In the operating room, Xia Gaofeng was the chief surgeon, Meng Xi assisted, and Ge Huai was the surgical assistant, while Chen Cang observed from the side.
Xia Gaofeng looked at Chen Cang, “Xiao Chen, to perform cardiac surgery, you first need a thorough understanding of the heart and major blood vessels.”
“Because, in plain terms, surgery is about the structure, the rational segmentation of the body’s tissue structure and function!”
“Ultimately, there are only two goals, the first is to excise the pathological tissue; the second is to repair the damaged tissue!”
“Actually, the heart is just like that. You might say it’s dangerous, indeed quite tricky, but if you do it often, it may not seem much different from pork, just a few layers of tissue to slowly repair.”
Xia Gaofeng’s words made Chen Cang smile and nod. It made sense, but that very thing was enough for some people to study for a lifetime.
After the surgery had started, Chen Cang immediately saw the gap.
When Teacher Meng operated, he was fully focused, not uttering a word more than necessary.
But Xia Gaofeng was relaxed and carefree, turning a highly complex surgery into something as simple as a minor procedure in his hands!
He didn’t stop explaining, “If you want to do well in vascular surgery, you must understand the aorta! It is the main artery of the systemic circulation.See here? Coming out of the left ventricle, it’s called the ascending aorta. After a certain distance, this part here… is the aortic arch, which you can see is right around the fourth thoracic vertebra and becomes the descending aorta.
Further down is the abdominal aorta, left, right common iliac arteries…”
Even though Chen Cang was quite knowledgeable about the circulatory system, he listened very attentively.
At this time, Xia Gaofeng carefully cleared the tumor mass with the surgical scalpel, but looked at Chen Cang, “Do you see? The biggest difference between the ascending aorta and the arch is… the ascending aorta comes out from the left ventricle. If there’s damage here, it can easily lead to pericardial congestion, inducing cardiac tamponade, so… compared to damage to the descending aorta, the ascending aorta is more lethal.”
…
Xia Gaofeng explained in great detail!
In Chen Cang’s mind, he also continually explored based on Xia Gaofeng’s explanations.
Surgery isn’t something you learn piece by piece; Chen Cang’s descending aorta repair surgery was at a master’s level, he didn’t have the skill for ascending aorta repair surgery, but that didn’t mean he couldn’t perform an ascending aorta operation.
Understanding one technique illuminates a hundred!
After understanding what to watch out for with the ascending aorta, Chen Cang, through his own insight, could already complete an operation, although he might miss many details.
What Xia Gaofeng taught was all about the details.
Chen Cang concentrated and earnestly reflected on this.
After an operation had finished, Chen Cang suddenly heard the system’s notification sound!
[Ding! Congratulations, you have intuitively grasped the Cardiovascular Skill: Ascending Aorta Repair Surgery: Beginner, and you have received one free skill point.]
Chen Cang was immediately overjoyed!
Although it was only at a beginner’s level, to receive the system’s recognition meant he had passed the system’s test.
He was even awarded a skill point!
Indeed, this was quite good.
After the operation had concluded, it was already past eight o’clock. Everyone took a short break, then prepared to start the second operation. For Chen Cang, the operations that night were one after another learning experience.
After three operations had concluded, around eleven, Xia Gaofeng looked at Chen Cang and said seriously,
“Xiao Chen, in truth, the surgeries you watched today aren’t representative!”
“Cardiothoracic major vessel surgeries are a common type of intrathoracic hemorrhage disease seen in your emergency department, but you simply won’t have the chance or the time to watch such operations. Those are surgeries where you race against time and life.”
“Such diseases are rare, but when they occur, they are life-threatening operations, so, you must be careful in the future.”
Chen Cang nodded.
The night was highly rewarding for Chen Cang, as he heard many details of the surgery, which were the essence of Xia Gaofeng’s years of surgical experience.
Not only applicable to Chen Cang, but Meng Xi and Ge Huai also benefited greatly.
The group exited the operating room, and Xia Gaofeng was the first to head home.
The white coat was sent to the ward by Ge Huai.
Chen Cang and Meng Xi walked side by side, and after descending the stairs, they suddenly heard a series of 120 emergency ambulance sirens blaring.
A full three vehicles drove up!
Chen Cang and Meng Xi glanced at each other and quickly entered the emergency department.
They just saw Wang Xiangjun and four or five doctors waiting in full readiness.
Meng Xi took the initiative to ask, “Director Wang, is there a task?”
Wang Xiangjun’s brow furrowed with urgency, “A traffic accident, two sedans collided, three people were sent here, and two others were sent to the Provincial People’s Hospital.”
Wang Xiangjun turned to see Chen Cang, and immediately nodded, “Is little Chen here too?”
Chen Cang nodded, seeing a large question mark appear above Wang Xiangjun’s head, his mind moved, he nodded and said, “Director Wang, shall we stay and help?”
Wang Xiangjun’s impression of Chen Cang greatly improved upon hearing this!
[Ding! Wang Xiangjun’s favorability +5!]
Wang Xiangjun looked appreciatively at Chen Cang and nodded, “Then we’ll be counting on you two.”
[Ding! Task triggered, help Wang Xiangjun handle the rescue operation for this traffic accident, upon completion, receive reward: Wang Xiangjun’s passive skill: Expertise in Emergency Medication (Master level).]
Chen Cang heard the system prompt but before he could rejoice, the emergency department doctors rushed towards the 120 ambulances.
Chen Cang also hurriedly followed!
Traffic accident rescue, every second counts.
Chen Cang and Meng Xi followed closely behind.
Soon, the three patients were brought to the emergency rescue room.
The nurses had already prepared the ECG monitors, and three rescue boxes were arranged to one side, all set for the rescue!
As the designated emergency center for Anyang City, East University Hospital bears a much heavier burden than the Provincial Second Hospital!
Three patients were simultaneously prepared for rescue.
Inside the rescue room, the tension was incomparable!
The machines were beeping alarms incessantly.
Doctors were continually observing metrics, preparing to issue medical orders.
Chen Cang and Meng Xi stood by without intervening.
It wasn’t that they didn’t want to intervene, but it wasn’t time yet, abruptly joining in now would not only be unhelpful but could instead disrupt the normal rescue order!
Meanwhile, Wang Xiangjun was shuttling among them, after checking on one patient, he kept issuing orders, instructing all aspects.
Thinking it over, Chen Cang followed Wang Xiangjun, and at that moment, an alarm suddenly went off at bed 1!
Wang Xiangjun and Chen Cang’s faces changed, and they hurriedly gathered around!
“Blood pressure: 50/20mmHg!”
“Cardiac arrest!”
“Prepare for cardiopulmonary resuscitation!”
Wang Xiangjun rushed over to look and his face immediately changed, “Cardiac tamponade! Prepare for pericardiocentesis! Do not perform cardiopulmonary resuscitation!”
The nurse quickly nodded and stepped back!
At that moment, Chen Cang urgently said, “I’ll do it!”
The emergency physician looked at Chen Cang, glanced at Wang Xiangjun, somewhat puzzled.
Wang Xiangjun nodded firmly, “Let him do it!”
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