Life is like a journey

"Dean Meng is rarely on stage, so he has to record it properly and keep it as a teaching video"

In the observation room, the deputy director of the medical affairs department was gearing up, looking at the orderly operation below, full of praise.

Director Liu didn't say anything, his brows were tightly furrowed, and he glanced at the operation time, four hours had passed.

"Gallbladder, the removal is complete." Dean Meng put the stripped tissue into the dirt tray: "Send to pathology"

The nurse in the operating room nodded and went.

"Next, left hemihepatectomy plus caudate lobe resection, monopolar electrosurgical knife." The nurse handed over the equipment calmly, and Dean Meng held it firmly in his hand. Careful.

"Beep——" The bell in the operating room suddenly rang loudly, and the chief physician of the Department of Hepatobiliary Surgery motioned for the nurse to pick it up.

The nurse covered the receiver and sent a message: "Director, the patient in bed [-] has severe hemoptysis and needs emergency surgery for thoracotomy."

His hand holding the monopolar electric knife stopped suddenly: "Let Dr. Qian go, I can't leave at this critical moment."

"Dr. Qian is on his way back"

Dean Meng wore a magnifying glass and buried his head very low: "You go, my side is almost finished."

The monopolar electrosurgical knife made a beeping sound, and light blue smoke rose from the tissue. The whole operating room was filled with the smell of barbecue. Of course, facing the opened cancer organ, it could only be regarded as darkness at best. For cooking, ordinary people would throw up, let alone look at it, I am afraid they would not even dare to look at it.

"Then..." The director of hepatobiliary surgery hesitated for a moment, but put down the electric knife graciously. If the dean performed this operation, he would at most be icing on the cake. It is other patients who really need his help.

"Which operating room is empty, go in first, I'll be right there"

The automatic screen door of the operating room slowly closed, and the original second assistant took the place of the first assistant, standing opposite Dean Meng.

"Dean, the blood pressure has dropped to 60-80," the anesthesiologist called out.

"Don't panic, use booster drugs to maintain"

The operating table has never been a battlefield for one person. An excellent team has always been more popular than an excellent chief surgeon. After leaving a capable assistant, Dean Meng's forehead oozes a little sweat.

"Wipe the sweat, and just cut this point." The electric knife was replaced by a super knife, and the beeping sound sounded. Dean Meng carefully peeled off the distance between the healthy tissue and the cancerous cells. There are many blood vessels, and a careless operation can easily cause massive bleeding.

"Drainage, there is fluid accumulation." Sweat flowed into his eyes. He blinked and told his assistant, who quickly connected the suction device.

"Okay...the left hemihepatectomy is complete." The tweezers carefully clamped the black and hard diseased liver out of the abdominal cavity, and Dean Meng breathed a sigh of relief.

"The caudate lobe resection will be performed next." He picked up the electric knife again.

The anesthetist stood up: "Dean, the blood pressure still hasn't recovered"

Dean Meng glanced at the monitor, then immersed himself in his work: "How many milliliters did you bleed?"

"200cc"

"Okay, it may be that the operation time has been delayed for too long and has caused a burden on the patient's body. I will hurry up and use dopamine to maintain it."

The anesthesiologist swiftly administered the drug into the vein through the catheter.

"Assistant, expand the surgical field of view a little more," Dean Meng ordered softly, the surgical cap was already soaked with sweat from his forehead.

"Okay, nurse, wipe the dean's sweat"

"Liver...caudal lobe resection completed..." Putting the diseased tissue into the dirt tray, Dean Meng straightened his back and breathed a sigh of relief.

"Send pathology"

The operating time on the wall was six hours past.

"Next, partial resection and reconstruction of the portal vein"

The most dangerous part has been completed, and everyone in the operating room quietly breathed a sigh of relief, and even a complimenting smile appeared on the assistant's face.

"The dean is really young. It is a great benefit to perform an operation with Dean Meng."

"I'm old, I can't do it anymore. I had this kind of surgery when I was young..." Dean Meng said while preparing for the blood vessel resection: "It doesn't take so long, give me the blood vessel blocking forceps."

He buried himself in his work and asked the anesthesiologist, "Is the blood pressure still not up?"

As soon as the words fell, the monitor screamed sharply, a large amount of blood suddenly poured into the blood reservoir, and the anesthesiologist stood up abruptly from his seat: "The bleeding reached 500cc Dean!"

Dean Meng's hand holding the electric knife stopped suddenly. He looked at the clear surgical field of view, with clear tissue layers, and perfect sutures were done on the part that had just been resected and repaired, so there was no possibility of bleeding.

"Bring the plasma!"

"Open the venous access!"

"Replenish the balance solution!"

"Correct electrolyte!"

A series of orders were conveyed in an orderly manner. Dean Meng searched for the bleeding point with tweezers, and the heavy surgical gown was completely wet with sweat.

"Where is the bleeding?!" The assistant was also anxious like ants on a hot pan.

"Bleeding reached 1000ml!" In just a few minutes, it seemed as long as a century. The medical director jumped up from the chair and watched the blood pressure value on the ECG monitor keep dropping. It fell below the lowest value, and after a long chirp, it returned to silence.

"Heart stopped!" The anesthesiologist announced the final result. Dean Meng's hand stopped suddenly, his body shook slightly, and the scalpel fell into the tray with a crisp sound of "clang".

"Dean!" Everyone went up to help him one after another. Dean Meng was on the verge of falling, and his eyes were full of reconciliation: "Where is... where is the bleeding?"

The chief of the medical affairs slammed his fist on the glass of the observation room, and the deputy chief sat down all of a sudden, too frightened to make a sound.

Dean Meng has dealt with so many cases, and this is the first time that there has been a death case. This... how to explain this to the patient's family, how to explain to the media waiting outside?

Everyone in the operating room looked at each other in blank dismay, fear, fear, worry, and uneasiness appeared on everyone's face.

In the deathly silence, steady footsteps sounded. Lu Qingshi, wearing a green hand-washing suit and a radiation-proof lead suit, walked slowly into the operating room with his hands folded, pointing to the nurse in the operating room: "surgical gown"

Seeing that there was no response from the other party, she repeated it emphatically: "surgical gown"

The head nurse was the first to recover and quickly put on the surgical gown for her, and while Lu Qing was walking, she trotted behind and tied the belt for her.

"Give me the magnifying glass" The equipment nurse put on the magnifying glass for her.

"Bring an endoscope here"

"Disinfection" She took a scalpel in one hand and made a small incision on Wang Youshi's pleura with the other.

The assistant stopped her: "Why are you here in the emergency department?! Did you see that there is such a big gash in the abdomen that hasn't been sewn up?! The patient's heartbeat has stopped. The most urgent thing is to think about how to explain it to the family members instead of doing it here. Useless!"

Lu Qingshi threw him away and glanced at the open abdominal cavity: "The liver surgery was done beautifully, and the cause of the bleeding was the rupture of the patient's aortic dissection aneurysm."

She kept her story short as much as possible, and her hand movements were so fast that it was almost dizzying.

"I'm going to do a thoracoscopic root replacement plus a full arch replacement plus a stented elephant trunk, hold this"

The medical micro-camera passed through the observation hole she had just cut to display the situation in the patient's chest on the large screen.

The assistant who was summoned inexplicably held the observation mirror stuffed into his hand with a look of disbelief: "Doctor Lu, are you crazy! If the heartbeat stops, even if you find the bleeding point, you won't be able to save the person, and you may be brain dead if you are rescued!"

"So that's how it is." Dean Meng came back to his senses at this time, threw off the nurse who was supporting him, and walked to the operating table to pick up the electric knife: "Doctor Lu is going to do it under the condition of hypothermia when the circulation stops. nonsense, help"

"Doctor Lu, time is running out, and the circulation stops for at most two minutes." The anesthetist pinched the stopwatch.

"OK, I found it." Having seen his CT scan beforehand, coupled with the cessation of circulation under hypothermia to reduce the bleeding, Lu Qingshi determined the location of the hemangioma almost instantly.

The "vessel blocking forceps" miniature ultra-knife was installed on a thoracoscope. Her hands were very steady, and she had a flowing beauty under the shadowless lamp.

"Hurry up, there is 1 minute left!" The stopwatch counted down rapidly.

"The occlusion of the blood vessel is completed, and now the stent is placed and the artificial blood vessel replacement is performed"

Lu Qingshi put down the thoracoscope on one side and changed his hand, thin sweat dripped from his forehead and he didn't bother to wipe it off.

"I'll put the stent, and you replace the blood vessel." Dean Meng picked it up, she let out a sigh of relief, and nodded.

"50 seconds"

"40 seconds"

"30 seconds"

"20 seconds"

"ten"

"Nine"

The anesthesiologist quickly reported the number, Lu Qingshi's hand movements did not slow down, and she was not affected by the tense atmosphere in the operating room. Now she has nothing else to do, only one thought in her mind:

Don't give up on any patient.

"three"

"two"

"one!"

"Countdown ends"

"Artificial blood vessel replacement completed"

"Brackets installed"

The three voices sounded almost simultaneously, and everyone's face was full of joy after the catastrophe.

Lu Qingshi loosened the hemostat, and the bright red blood was slowly transported to the heart through the artificial blood vessel, and everyone stared at the screen tightly.

The heart muscle contracted suddenly, and the pumped blood flowed to the whole body through the arteries.

"Didi—" The silent ECG monitor sounded, and everyone in the operating room burst into cheers.

The anesthesiologist and the equipment nurse clapped their hands and congratulated each other.

Kazusuke breathed a sigh of relief, and hugged Sansuke tightly.

Dean Meng's ravine face showed a sincere smile of approval: "Young man, you are amazing."

Lu Qingshi also breathed a sigh of relief, sweating heavily, put down the thoracic mirror and nodded in greeting: "President Meng praises you."

She took a step back, gave way to the position of the first assistant, and was about to take off her gloves: "Then the operation is over, and I will take my leave."

When she was about to step out of the operating room, Dean Meng stopped her again: "Stop, who said the operation is over? The portal vein hasn't been rebuilt yet, and I'm a bad old man here to be the surgeon. It's good for you, all of you are watching , come and help me!"

Lu Qingshi paused, with a smile on his lips, turned around and bowed slightly, raised his hand and looked at his watch: "Sorry, I'm off work now, it's just the portal vein, the assistant next to you can take care of it"

After saying that, he waved his hand and turned to leave.

Dean Meng cursed angrily: "You damn girl! Deduct your salary for this month!!!"

The chief of the medical affairs department wiped the cold sweat from his forehead, and sat down: "I was scared to death, but also deducted salary, added money, added money, added money to Lu Qingshi!"