When the Doctor Uses A Hack

Chapter 203: Chapter 204: So He Is Chen Cang! (Extra Chapter for 1500 Monthly Tickets!)

[Ding! Intrathoracic esophageal perforation repair upgraded to master level, skill effects: 1. Solid; 2. Accurate!]

Chen Cang looked up and said to Xiao He, “Director Xiao, let’s prepare for the surgery.”

At these words, Xiao He’s eyes immediately lit up!

“Chen…, You can do it?”

Chen Cang nodded seriously, “Yes, I can do it.”

Upon hearing this, Xiao He was so excited that he was about to leave, but just as he was about to open the door, he suddenly turned back, “Can we do it in our endoscopy room processing chamber?”

Chen Cang hesitated for a moment, “Let’s go to the operating room, full anesthesia is needed.”

Xiao He nodded, “I will contact the operating room.”

After speaking, he picked up the phone and dialed directly to the operating room.

Todays’s surgery was definitely going to be a favor-based one, but as the director of endoscopy, Xiao He still had that much clout.

After hanging up the phone, Chen Cang said, “I’m going to check on the patient. By the way… do we have photos on the gastroscope?”

Xiao He nodded, “Yes, I took several at the time.”

Chen Cang quickly said, “Let’s go take a look.”

At this time, everyone in the endoscopy room knew that there was a problem with a patient in Director Xiao’s area, and they all came over to see if they could help.

Chen Cang was the first to walk out of the director’s office, with Xiao He following behind him, hurrying to the endoscopy display screen to open the photos.

“Look, this is the surgical area’s rupture… I suspect there might be some fissures here, which can also be easily damaged over time…”

The doctors in the endoscopy room couldn’t help but worry when they saw the photos on the endoscopy display!

Esophageal perforation…

If time is wasted, it could lead to serious issues!

Chen Cang, after analyzing the esophageal photos for a while, breathed a sigh of relief; the problem shouldn’t be too big.

Thinking this, Chen Cang began to instruct Xiao He, “The patient needs preoperative preparation, starting with fasting and placement of a nasogastric tube for decompression, then ensuring the patient doesn’t swallow saliva but spits it all out, followed by using antibiotics for mouthwash to keep the oral cavity clean.”

Xiao He understood and nodded, “Yes, okay!”

This was to prevent mouth secretions, which contain a large number of bacteria, from entering the mediastinum or thoracic cavity through the perforation, worsening the infection!

Xiao He called over a nurse, “Follow all the arrangements made by Doctor Chen Cang.”

Since Chen Cang had performed surgery in the endoscopy room before, the young nurse was somewhat familiar and nodded.

The other doctors in the endoscopy room, however, didn’t recognize Chen Cang.

Seeing how respectfully Xiao He treated Chen Cang, they all frowned in curiosity, wondering who he was.

Such youth and yet commanding such respect from Director Xiao?

But looking at the badge on his clothes, he was clearly from Second Provincial Hospital.

This piqued everyone’s curiosity!

Hou Xu was even more surprised; thoracic esophageal repair surgery was a level-three operation in thoracic surgery, a type of micro-operation with some difficulty and high demands on the practitioner, definitely not that simple.

When did Second Provincial Hospital acquire such a talent?

Thinking this, Hou Xu walked over and asked, “Director Xiao… aren’t we transferring the patient?”

Xiao He shook his head, giving an excuse, “There’s no time, let’s just do it in our hospital! Plus, Dr. Chen can do it.”

Hearing this, Hou Xu was immediately stunned, “Dr. Chen? Is…”

Xiao He, as if lost in thought, turned to look at the crowd and said, “This is Dr. Chen Cang from emergency medicine, whom I’ve invited to do the surgery today.”

“Dr. Chen is our friend, so if you ever need any assistance from the endoscopy room, don’t hesitate to ask.”

As one of the auxiliary departments, the endoscopy room might not wield much power but was still a very important department. Friends and relatives needing a gastroscopy or colonoscopy all had to be arranged by An Yanjun; otherwise, you’d have to wait for a week without any other options.

When people heard Chen Cang’s name, they suddenly found it familiar. After thinking carefully, they had an epiphany!

This was a number one character indeed!

Chen Cang, who had been the talk of the hospital lately, turned out to be the young man in front of them.

It was because of Chen Cang’s incident that Director Song Qiang of the Medical Affairs Department was now relegated to sorting out medical records in the case room.

And the instigator was none other than this person right here!

Now…

The matter between Song Qiang and Chen Cang had become the talk of the hospital during meals and tea time just a short while ago.

However, people didn’t know much about Chen Cang and had no idea what kind of number one character he was.

Now that they saw him, they were surprised by his youth!

And what were his merits and abilities? Why did Director Xiao hold him in such high esteem?

After Chen Cang had methodically made the arrangements, he made a phone call to anesthesiologist Liu Jian.

“Teacher Liu, it’s me, Chen. There’s a surgery coming up shortly, and I need your help with the anesthesia… yes… alright.”

…

…

The surgery was quickly arranged.

Chen Cang called Wang Yong:

“Come to the operating room, number 6. There’s a surgery for you to observe.”

Wang Yong nodded without asking further questions and rushed to the operating room. When he learned it was a thoracic surgery, he first paused, then fell silent.

He knew that with Chen Cang, there was no need for many words; watch more, learn more, and just do what he needs to do.

And what was he supposed to do?

Nothing but to assist.

One hour later, Wang Yong and Xiao He followed Chen Cang into the operating room, and Liu Jian entered as well.

Upon seeing Chen Cang and Xiao He, he greeted Xiao He:

“Director Xiao, hello.”

Xiao He nodded and smiled:

“Thank you, Dr. Liu.”

Then… he couldn’t help but ask Chen Cang:

“Chen… are you doing it yourself?”

He knew Xiao He might at most perform some endoscopy to cut polyps or stop bleeding, but this kind of surgery was not something he could handle.

Chen Cang nodded: “Yeah, thanks for your hard work, Brother Liu.”

Liu Jian smiled faintly, not saying much:

“Good luck!”

Chen Cang sought Liu Jian because the anesthesia for this surgery was different; the choice of anesthesia for different operations varies, and it was also a test for an anesthesiologist. As a new leading figure in the anesthesia department who had previously administered anesthesia for thoracic surgeries, Liu Jian was familiar with this type of anesthesia as well.

The skill of an anesthesiologist, just like that of a surgeon, can vary significantly.

The anesthesia method chosen for this time was endotracheal intubation with general anesthesia.

The position chosen for Old Yang’s operation was not the usual supine position, but the lateral position, because there would be multiple incisions during the surgery, necessitating the use of a right posterolateral thorax incision.

After the anesthesia, the surgery began!

Wang Yong, too, didn’t ask further, but he was somewhat surprised; after all… this was the first time he had seen Chen Cang perform thoracic surgery, and the difficulty level of this esophageal surgery was quite high.

It was not just about stitching up that simply.

After sewing and repairing the esophagus, the fissure also needed to be covered with a pedicled pleural flap.

Moreover, due to the esophagus’ special location and the numerous distribution of vagus nerves around it, there was a risk of damaging them during the esophagus mobilization. There were many things to pay attention to, so Wang Yong felt somewhat nervous and uneasy.

Chen Cang turned to the nurse:

“Hand me the scalpel!”

ps: The eight updates for today are over, thank you everyone for your support, and thank you to Alliance Hierarch for the generous 100,000 reward from a bask in moonlight.

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