When the Doctor Uses A Hack

Chapter 106: Li Baoshan’s Test (Extra update for the unambitious Alliance Hierarch thinking of you)

Translator: 549690339 |

Li Baoshan looked at Chen Cang, Qin Yue, and Wang Yong, his heart slightly shaken!

This is the spirit young people should have!

How wonderful!

They were just like them in the old days.

But-

Some things cannot be accomplished with just passion; this is not a war where one charges into battle with invincible courage, nor can the task be completed with mere enthusiasm!

Li Baoshan looked at the three of them, “Well done! All of you did well, but the patients sent by the 120 Emergency Center are no ordinary cases; each one is a complicated gallbladder operation that wouldn’t be sent to us otherwise!”

“So, you guys should stay out of this; 1’11 handle it!

His words were clear; he was saying that their abilities were not enough, and to

put aside their enthusiasm.

Chen Cang said, “Director, 1 can do it! I have done a lot of research on gallbladder surgery, and 1 have always been studying challenging cholecystectomy. 1 can handle this situation!”

As everyone was silent, Shi Na suddenly stood up and said, “Director, Chen really knows his stuff when it comes to gallbladder surgery; I’ve seen it with my own eyes… maybe give him a chance to try!

Shi Na was very low-key and rarely spoke up, being more conservative.

Li Baoshan looked at Shi Na curiously.

At this moment, Qin Yue, acting as Chen Cang’s cheerleader, hastily added, “Yes! Director, Chen Cang isn’t lying to you, he really is amazing; he can even handle Mirrizi syndrome, he’s not lying!”

This statement made Li Baoshan freeze, “You can perform a cholecystectomy

under Mirrizi syndrome?”

Chen Cang nodded, “Yes.”

This response truly stunned Li Baoshan!

He knew all too well what Mirrizi syndrome was!

He also understood better than anyone the significance represented by this syndrome!

It was one of the most difficult surgical procedures for gallbladder removal in hepatobiliary surgery.

How old was Chen Cang?

Had he even seen Mirrizi syndrome, let alone operated on it?

Seeing Qin Yue nod with all the certainty in the world, Li Baoshan was honestly somewhat shocked.

Li Baoshan hesitated, “Chen, this is not the time for passion. The patient’s life comes before everything. Compared to that, honor means nothing; do you understand?”

Chen Cang nodded resolutely, “Director, I can do it!

In the entire office, everyone’s eyes turned to Chen Cang.

In their look was a mix of complex emotions: admiration, envy, praise, and

appreciation!

He had stood up once again!

Back when the chemical plant exploded, Chen Cang had turned the tide and

saved the lives of the patients.

And now, at a time when the emergency department was short of people and in most need of talent, he had once again stood up.

It was hard to find any reason to hate such a person.

Wang Yong was much more honest now, sitting there looking at Chen Cang, as

if he saw a vision of his future self!

Where was his jealousy now?

Having followed Chen Cang for only a short time, he had already learned the cholecystectomy technique, helping relieve the department’s burdens, which also gave him a sense of being needed and respected.

Every time he thought of the young nurses in the operation room calling him

Dr. Wang gently, Wang Yong felt like he had boundless energy.

After a moment of contemplation and consideration, Li Baoshan made a decision. He decided to accompany Chen Cang in one operation; if Chen Cang really could do it, that would be great!

Li Baoshan nodded, just about to speak when the duty nurse barged in:

“Director, a patient transferred from City Hospital N0.8 is coming. After laparoscopy, they found a cholecysto-duodenal fistula! They are about to arrive at our hospital, so get the operating room ready!”

Upon these words!

Li Baoshan’s expression changed, “Okay, meeting dismissed, Chen Cang prepare for surgery, Qin Yue you come too.”

After speaking, Li Baoshan addressed Chen Cang, “Let’s go, do you know how

to do a cholecysto-duodenal fistula operation?

Chen Cang nodded, “Yes!”

A gallbladder-duodenal fistula is no minor matter!

It is also one of the typical difficult cholecystectomies.

Li Baoshan could take this opportunity to observe Chen Cang’s skills.

Inside the operating room!

Guo Cheng, the director of general surgery at the municipal eighth hospital, looked anxious as he pushed the patient into the operating room, “Director Li, hello!”

Li Baoshan nodded, “Director Guo, how’s the patient?”

Guo Cheng spoke as he walked, “The situation is quite bad. We initially thought it was just an ordinary case of cholecystitis, but once the laparoscope was in, we were shocked; the whole right upper abdomen was full of adhesions, yet the inflammatory indices weren’t high.”

“It’s a mixed-type gallbladder-duodenal fistula, accompanied by upper GI bleeding. If it weren’t for the surgery prep, we would have never found it!

Li Baoshan nodded in agreement, indeed, a mixed-type gallbladder-duodenal fistula has no specific symptoms or signs, and it is often masked by the clinical presentation of the primary disease, resulting in high rates of clinical misdiagnosis or missed diagnosis.

Guo Cheng passed over the medical records, “Director, here are the records.” After looking through them, Li Baoshan handed them to Chen Cang, “This is Doctor Chen, the chief surgeon for this operation. Take a look at the medical records first, Chen.”

Chen Cang nodded and took the records.

Guo Cheng, however, was wide-eyed, “Director…this…this is a gallbladder-duodenal fistula operation, a major surgery, and you’re letting a junior doctor perform it? Is that appropriate?”

Guo Cheng was considering the patient’s welfare, not looking down on Chen Cang.

Chen Cang was just too young, barely in his twenties, a green young fellow. You’re performing this operation? I came all the way here with the patient because I was worried about my own skills not being sufficient!

Li Baoshan patted Guo Cheng’s arm reassuringly, “I’m here, don’t worry!” After hearing this, Guo Cheng finally breathed a sigh of relief, but still looked nervous at Li Baoshan, “Director, it’s not that 1 don’t have faith, it’s just that the patient’s condition is quite special and I am just concerned. If something goes wrong, our responsibility would be great!”

After seriously reviewing the examination results, and finding nothing special, Chen Cang said, “Let’s see the situation under the laparoscope on the operating table; the records don’t show much.”

Qin Yue also came over, and as Chen Cang walked towards her, he said, “Don’t help out; just do some recording for me.”

Qin Yue was slightly startled, “What recording?”

Chen Cang whispered, “I want to make a summary of experience on difficult cholecystectomies. Record the surgery process for me; I will do a postoperative analysis later, mainly take photos.”

Qin Yue’s eyes widened in disbelief; this Chen Cang… was quite bold!

Already making an experience summary?

This was an attempt by Chen Cang!

After all, he had a lot of difficult cholecystectomies to perform here, and they’re hard to come by. Not recording them would be a pity.

If he could analyze and summarize these records, and compile them into an experience summary, it could help many people.

Moreover, he had discovered that to convince others, one must produce results, and for a young person, the best results are not in anything but scientific research achievements.

The surgery began promptly.

Chen Cang started exploring with the laparoscope when Guo Cheng suddenly suggested, “Laparoscopic surgery has a low safety margin, wouldn’t it be safer to opt for an open procedure?”

Before Li Baoshan could speak, Chen Cang said calmly,

“Director Guo, the patient has severe abdominal infection and obvious adhesions; indeed, an open procedure would have a higher safety margin.

“However! The main reason for the adhesions might be due to the duodenal fistula, and an open operation would increase many risks, possibly spreading the infection, enlarging the wound, which is not good for the patient s postoperative recovery. The establishment of pneumoperitoneum under laparoscopy can effectively… therefore, I suggest we give priority to laparoscopic surgery.”

Guo Cheng’s face turned red for a moment, “But, this will undoubtedly increase the difficulty of the surgery under laparoscopy! And whether it’s the suture repair of the duodenum or the removal of the gallbladder, even the dissection of the Calot’s triangle, it will be very challenging. Can you guarantee the patient’s safety?”

Chen Cang didn’t say much, simply nodding, “Correct, I can!”

Guo Cheng was at a loss for words.

Li Baoshan then intervened soothingly, “Alright, let’s begin. Don’t worry, Director Guo. If Doctor Chen could complete a cholecystectomy under the conditions of Mirrizi’s syndrome, the duodenal fistula shouldn’t be much of a problem.”

At these words, Guo Cheng was suddenly dumbfounded.

ps: The chapter name in the following chapter is wrong, but don’t mind the name, it doesn’t affect reading..

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