top student at medical school

Chapter 380 Exporting to the Anesthesiology Department?! (Second Update, Please Subscribe)

The professor in the anesthesiology department was not a woman, but a middle-aged woman in her forties.

Thinking back, having worked in the anesthesiology department for many years, he should have been used to life and death and his emotions should have been very stable.

But at this moment, he broke down for the second time, his body trembling slightly.

In the realm of medicine, life and death are separated.

It can be said that even if Du Yuanxian saw a colleague fall down, he would not be particularly affected by it.

Sudden myocardial infarction, shock, aortic dissection rupture, etc.

Doctors are ordinary people too. When a disease can be fatal to a patient, a doctor may also face life-threatening danger while in the patient's position. If a doctor dies, it's just bad luck.

But what he fears most is being half-dead!

What are people doing in the operating room now? If this were in the Qing Dynasty, it would be comparable to the Ten Great Tortures of the Qing Dynasty, and it was something that Michi himself requested.

Light anesthesia, regain consciousness at any time, then begin moving around on the spot, communicating with the surgeon, and making continuous adjustments.

It sounds wonderful, but it hurts like hell.

Pain is recognized as the sixth vital sign by the World Health Organization, and pain management has been written into textbooks, ingraining these four words into the very marrow of surgeons.

It's because the pain is so unbearable.

Surgeons are there to save lives, treat illnesses, and restore function; they are not perverts and cannot enjoy the pleasure of torturing others.

"I don't want to give you anesthesia anymore!" Du Yuanxian, one of the 'SM' members invited by Mi Qi, didn't have a penchant for torturing people, and his hands were trembling at this moment.

If the videos here are leaked, everyone present will be cursed so badly that they won't recognize their ancestors for eighteen generations!

Du Yuanxian knew that as an anesthesiologist, he was in charge of choosing the anesthesia method and had absolute autonomy at this moment: "I said, either nerve block or general anesthesia!"

"You have to choose one of the two. You yourself have also taken on the role of a doctor, so you should know that now that you are a patient, you must adhere to the bottom line principle of a doctor, which is the principle of not harming."

"If this causes you psychological or emotional harm, it constitutes an illegal act. As a citizen of China, I have the right to refuse any invitation to engage in such illegal activities!"

"Stop pressuring us. How much time has passed already?"

"You're not crazy, we'll be the ones who go crazy first!"

"Mickey, make your choice quickly, nerve block or general anesthesia!" Du Yuanxian said decisively and crisply.

Upon hearing this, Fang Ziye felt a pang of unease.

But after thinking for a while, he looked at Mi Qi, whose painful expression of closing his eyes and struggling seemed to have touched a thorn deep within Fang Ziye's heart—

Huang Kai.

Kaiye's experience can be said to be one of the most regrettable things in Fang Ziye's entire professional career.

When Kaiye left the medical industry, it was also the moment when Fang Ziye felt most incompetent and powerless.

But what could Fang Ziye do? At that time, he was just a junior doctor with average skills and limited expertise. The only thing he had saved up was some knowledge points, which he added to his position in the rehabilitation department.

But if rehabilitation alone could have such miraculous effects, what would be the point of surgery? What would be the point of surgical technique improvements and research?
Mi Qi's friendship with Fang Ziye is far less close than that with Huang Kai back then.

However, at this moment, Mi Qi's expression reminded Fang Ziye of Kai Ye, whom he had met in Enshi, and Kai Ye's voice and smile.

Moreover, compared to Kai, what are Mickey's injuries and misfortunes?
However, interpersonal relationships cannot be understood in this way.

Fang Ziye asked curiously, "Professor Du, I'm sorry, but I have a small question. Is it possible to control the duration of low-dose, light local anesthesia?"

"If it could be controlled?"

Liu Huanglong coughed to interrupt: "Ziye, who can control the duration of local anesthesia? Especially low-dose light anesthesia?"

"Professor Du's puncture technique and application of local anesthesia have exceeded the imagination of us laymen."

"If you keep asking questions, you're just getting stuck on the details."

Du Yuanxian glanced at Fang Ziye, but did not blame him. He shook his head and said, "It can be calculated, but it's very complicated. It requires consideration of the patient's different tissues, different depths, and even the volume of the syringe, etc..."

"To put it simply, it might take me more than an hour to do this once. The amount of calculation involved is enormous."

"Moreover, even if the calculations are completed, how to control the amount of anesthetic drugs during the operation of the puncture depth, layer, and dosage, and then calculate the concentration and diffusion range."

"This will also be very troublesome. To be honest, the level I can achieve right now is just to roughly estimate the dosage, which is not accurate at all."

"Then, we also need to calculate metabolic flux and time based on blood flow, which is even more..."

Upon hearing this, Fang Ziye thought for a moment and asked, "Professor Du, is there someone who can calculate this quickly?"

When Fang Ziye saw Du Yuanxian's eyes widen, he quickly explained, "No, no, Professor Du, it wasn't me, it was my junior brother."

“My junior colleague is very good at calculations, and he can even use a computer to do them. He has a double doctorate in mathematics and computer science and is currently pursuing a master’s degree in medicine. Should I call him over and ask him?”

Fang Ziye's intention was naturally to get Du Yuanxian to agree to continue with light anesthesia, so Fang Ziye didn't realize the weight his words carried for everyone in the operating room.

Even the patient, Mickey, seemed to have forgotten the pain at this moment, opening his eyes and saying, "Bro, you're exaggerating so much, I can't feel the pain at all!" "Wait, where did you find such a data processing genius?"

All eyes turned to Fang Ziye, making him the center of attention.

Fang Ziye swallowed hard: "That's not the main point right now, is it? The main point is to call him over, ask him to bring his computer."

"Teacher, please use my phone to call Lan Tianluo. The lock screen password is three fives and three sevens."

"If we could calculate it, we could know the exact duration of the local anesthesia, and within that time, we could immediately stop the procedure. This might alleviate some of Dr. Mi's pain."

"Hit them!" Du Yuanxian, filled with shock and curiosity, didn't care whether it would work or not, and shouted for his men to attack.

……

Because of Fang Ziye's initiative to call, Lan Tianluo entered the operating room with his computer in about ten minutes.

Lan Tianluo yawned slightly as he entered and said, "Senior brother, you were looking for me? Were we going to have dinner together... Why are there so many people?"

The circulating nurse simply told Lan Tianluo to bring his computer over to do some calculations, without explaining anything in detail.

Fang Ziye quickly repeated what he had just said to Professor Du Yuanxian to Lan Tianluo.

Unexpectedly, Lan Tianluo already had experience in this area, and picked up his computer to ask, "Teacher, do you have the local metabolic index of local anesthetic drugs? Or, blood flux?"

"I..." Du Yuanxian, who was over forty years old, felt a slight tingling on his scalp.

“Who in their right mind keeps track of these things every day? Local light anesthesia and low-dose anesthesia are not routine anesthesia methods.”

Lan Tianluo wasn't annoyed: "It's alright, I'll look for the drug's instructions; it should be there..."

"Teacher, what's the model of your syringe needle? What's the approximate penetration index of this anesthetic drug?" Lan Tianluo looked up and asked again.

Du Yuanxian swallowed hard a few times: "You, you, you, what department are you from? How do you know all this so well?"

"Lan Tianluo, a first-year master's student in trauma surgery. I often read books when I have free time..." Lan Tianluo replied in a serious tone, exuding an air of sophistication.

Another five or six minutes passed!

Lan Tianluo used some software to create a formula.

He explained, "Based on the penetration and metabolic rates, a batch of the drug is metabolized approximately every 5 minutes. If we want to maintain the duration of each local anesthesia session at 90 seconds, then the required amount of injected medication would be..."

"Based on the diffusion rate of the syringe needle type and the penetration index of the anesthetic drug, it is recommended that the anesthetic drug be pushed at a rate of 0.3 ml per second, with a pushing time of approximately 2.7 seconds, and the syringe type selection..."

"The choice of puncture depth and angle is..."

This left not only Du Yuanxian questioning his life, but also Liu Huanglong, Ni Yaoping, and others filled with doubt.

No, where did this animal come from? It's a real animal!

Upon hearing this, Fang Ziye looked at Du Yuanxian once again.

Du Yuanxian was simply curious. He wanted to know if there really was such a genius who could calculate it in a short time, and even if they could, how could they achieve such precise angles, depths, and drug delivery rates?

Who could manage this so well?
Nerve block anesthesia is considered difficult, but there's never been a time when the calculations were this precise. General anesthesia, on the other hand, is simply a matter of calculating the weight and pushing the needle in; it takes only half a minute to render the patient unconscious—a piece of cake for Du Yuanxian.

"You figured it out, but I... I can't do it either."

"However, I can control the amount of work relatively precisely within this range."

"So, theoretically it's possible, but in practice..."

Lan Tianluo's eyes immediately bulged and twisted, and he glared at someone with an urge to hit them.

Upon hearing this, Du Yuanxian quickly changed the subject: "Young man, are you interested in developing your career in the anesthesiology department?"

I was inwardly screaming, "Such a promising talent, sending him to a carpentry-like department like trauma surgery? Isn't that a bit ridiculous?"
Looking at Fang Ziye again, there was a sense of naivety in him, seeing the young man as swaggering around. His expression was full of gratitude for the gift.

Fang Ziye gently raised his head, smiled, and asked, "Teacher Du, may I give it a try?"

Du Yuanxian was currently preoccupied with how to recruit Lan Tianluo to the anesthesiology department, and also pondered how to persuade Mi Qi to change the anesthesia method. He was completely unaware of the advice he received from Fang Ziye.

"Hmm? What do you want to try?"

Fang Ziye gestured towards Lan Tianluo with his lip: "Try these data he mentioned, such as puncture and medication."

"Huh? You?" Du Yuanxian was taken aback at first, then his eyes bulged out a bit.

At this moment, Liu Huanglong and the others were waiting for Du Yuanxian.

Because the previous anesthesia method was indeed too inhumane and caused too much damage to Mi Qi, Liu Huanglong and others felt reluctant to complete the subsequent suturing and other operations!
Therefore, they could only wait for Du Yuanxian to choose the method of anesthesia. However, Fang Ziye's words made Liu Huanglong and the others thoughtful again—

Holy crap, Fang Ziye is going to export his expertise to the anesthesiology department?

Does Fang Ziye still want to stay in this operating room?

(End of this chapter)