Chapter 71: Chapter 71: A Spectacle! 2 Great Chiefs Assisting Wu Ting
Due to the previous incident with Wu Ting, Director Yao had gained a large number of new followers.
His latest video, "An Opinion on the Treatment Plan for Extremely Elderly Acute Appendicitis Patients with Comorbid Coronary Heart Disease and Hypertension," was instantly shared by numerous industry professionals.
"I think Director Yao’s analysis is quite objective. It’s not that he’s biased against City First Hospital. Surgery on an extremely elderly appendicitis patient like this is truly difficult, especially with comorbidities like hypertension and coronary heart disease."
"+1. As a senior attending physician with over a decade of experience, I also agree with Director Yao’s opinion. Just considering the potential risks from a CO2 pneumoperitoneum—mediastinal emphysema, hypercapnia, diaphragmatic hernia, air embolism, and cardiopulmonary dysfunction—there’s no way this surgery could be completed at City First Hospital."
"If the doctors at City First Hospital actually insist on a conventional laparoscopic appendectomy, they’d be acting irresponsibly with the patient’s life. It’s a reckless disregard for human life!"
"Sigh, it’s infuriating when you think about it. Our Fan City is right next to Xianglin City and Xiao City. With such a prime location, why is our medical standard so far behind theirs?"
"Actually, everyone shouldn’t be so disappointed in Fan City First Hospital. For a patient like this, even in Xianglin City or Xiao City, only a handful of expert professors would dare to operate. The best course of action for such a patient is actually conservative treatment. If they go ahead with surgery, even if it’s successful at the time, the subsequent recovery will be very poor."
"Exactly. People shouldn’t be too harsh on the team at City First Hospital. For them, the most responsible thing to do is to follow Director Yao’s advice and transfer the patient immediately!"
In no time, the short video was being forwarded en masse in various chat groups, sparking heated discussions.
And just like that, Yao Shi went viral again.
Watching his follower count shoot up, seeing all the comments under his video, and receiving numerous private messages, he was incredibly pleased with himself.
Yao Shi added another supplementary comment under the video:
"It seems many industry professionals are following this surgery. To be honest, I feel for the team at City First Hospital, but they’re out of their depth. I don’t mean to belittle them, but given the patient’s condition and the hospital’s current medical standards and technical capabilities, this is truly an impossible task."
"I will remain in constant contact with the patient’s family and will follow up with everyone to report on the patient’s treatment status."
After pinning his comment, Yao Shi sent a private message to the patient’s family, eagerly awaiting the latest developments.
Yao Shi already had a plan. Once the results were out, he would make another commentary video, which would also serve as an advertisement for his own team and a warm-up for the upcoming *Path to Health* program.
However, to his frustration, Fan City TV Station had not yet finalized the guest list.
This time, City First Hospital’s laparoscopic appendectomy would face intense scrutiny because of this patient’s case. Meanwhile, his team would be promoted on *Path to Health*. As one’s fortune waned, the other’s would wax. This could very well be the best opportunity for his team to crush City First Hospital.
...
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Inside a room in the emergency department of City First Hospital.
When the patient’s family saw Xiao Xixi arrive with Director Huo and the rest of the medical team, they immediately started asking questions.
"Director Huo, what’s the situation? My mother’s condition, can you treat it or not? How are you going to treat it?"
"If you can’t do it, then arrange for her to be transferred immediately."
Facing the family’s aggressive questioning, Huo Yun calmly gestured for them to be quiet.
"Everyone, please listen to me. Our team has just finished a discussion and has designed a brand-new plan specifically for the patient."
"This surgical plan will discard the conventional laparoscopic appendectomy. We will forgo the use of a CO2 pneumoperitoneum and instead employ the brand-new Suspended Gasless Abdominal Laparoscopic Appendectomy!"
"This plan has been thoroughly vetted by our team. It is safe, reliable, has fewer complications, and allows for a faster postoperative recovery."
Huo Yun deliberately proposed this surgical plan in the name of the entire team, rather than crediting Wu Ting. At this moment, Wu Ting’s age and experience were not enough to be convincing and could easily arouse the family’s suspicion.
This was also meant to protect Wu Ting. If the surgery succeeded, they could give him the credit then. But if the worst happened and there was an accident during the operation, Director Huo would be the one to bear the responsibility.
Hearing Director Huo personally explain such an unheard-of surgical plan...
The patient’s family was a bit surprised. ’This sounds completely different from what that Director Yao from City Second Hospital said earlier.’
However, there was one thing they did understand: this was a modified plan designed by a team of experts specifically for their mother.
Huo Yun’s commanding presence, backed by the impressive team behind him, was enough to convince the patient’s family.
Besides, the patient’s condition was unstable, and they were afraid something might happen on the road during a transfer. Now that the City First Hospital team had a clear plan and was willing to operate on Zhang Ying, they chose to trust them.
"Director Huo, thank you so much. Being able to have the surgery at City First Hospital is the outcome we were hoping for."
"We’re entrusting her to you."
The patient’s family expressed their gratitude to Director Huo:
"Director Huo, please forgive us. We were just anxious earlier. Please, let’s proceed with my mother’s surgery as soon as possible."
Director Huo nodded. He gave the family the preoperative briefing, and after they signed the consent forms, the preparations for the surgery officially began.
"Wu Ting. Director Zheng and I will personally assist you in this surgery."
Huo Yun and Zheng Duqing, two senior directors, set aside their status to act as Wu Ting’s personal assistants.
Jiang Ming, Song Qi, and Yasui followed behind to learn and observe. This was also the first time they had ever heard of such a surgical plan.
"Nurse Xiao, I’ll need you to prepare all the necessary instruments."
Wu Ting took a piece of paper and listed the required instruments.
Ten minutes later, the surgery officially began.
Zhang Ying was given an epidural anesthetic.
In the operating room, Wu Ting stood in the chief surgeon’s position, presiding over the entire operation. Director Zheng and Huo Yun stood by, ready and alert.
The success of this surgery would elevate City First Hospital’s reputation to a new level, and the first-ever performance of this new surgical technique held special significance.
Following Wu Ting’s command, the first step of the procedure began.
As chief surgeon, Wu Ting made a 1 cm incision along the lower edge of the patient’s navel.
". . . Insert a 1.0 cm trocar as the observation port . . ."
". . . Briefly establish an artificial pneumoperitoneum . . . Maintain pneumoperitoneum pressure at 6 mmHg . . ."
". . . 30-degree laparoscope . . ."
Under the watchful eyes of everyone present, Wu Ting began his performance.
After preliminarily exposing the appendix and confirming its location, he used a double-needle purse-string suture at the appendix site on the abdominal wall. He pierced vertically into the abdominal cavity at a 6 cm interval, pulled the double needles out through the operating port in stages, cut the needles, tied a knot, and then lifted the extra-abdominal sutures to secure them on a specialized support frame.
". . . Release the pneumoperitoneum . . . Director Huo, assist by adjusting the height of the support frame . . ."
". . . Director Zheng, assist by creating another operating port in the avascular area near McBurney’s point to provide a view of the surgical field . . ."
In the operating room, Wu Ting commanded Director Huo and Director Zheng. It was an absurd scene, yet at this moment, it felt perfectly reasonable.
Even Director Huo and Director Zheng were giving their all to assist Wu Ting.
Jiang Ming, Yasui, and Song Qi watched, their eyes glued to the scene.
It seemed this new surgical technique was destined to leave a deep and brilliant mark on the history of laparoscopic diagnosis and treatment in Fan City.
