YM778.TV Chapter 6: Rare Monster, Burst Equipments!
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Chen Cang and Chen Bingsheng came out to wash their hands and change into surgical gowns, as there was a second surgery to follow, which was connected to the first.
The emergency room surgeries conducted independently were generally not major or very serious, but they kept the staff quite busy. The emergency department was always bustling with activity, with a full day packed of tasks.
The second patient was a stout man in his fifties who, it was evident, had a pretty good constitution. It was a case of appendicitis brought on by eating barbecue and drinking beer, which this big brother did not take seriously at all. After popping some anti-inflammatory drugs, he continued his eating and drinking as usual the following day.
His appendicitis worsened and turned into suppurative appendicitis.
Only then did he come to the hospital, where he was received by Chen Cang. The big brother’s first words were:
“Doctor, you gotta cut out this appendix for me; it flares up all the time and interferes with my drinking!”
Chen Cang: …
What sort of logic is that???
Why does it sound kinda reasonable to me?
Chen Cang patiently explained, “It’s the drinking and reckless eating that caused your appendicitis, not your appendix getting in the way of your drinking. You need to have some health knowledge and awareness.”
The big brother was really tough, clutching his stomach and chuckling, “The appendix is dispensable, just cut it out; drinking is a joy in life, how can I do without it?!”
Wow, that even rhymes.
This caused a wave of giggles among the nurses.
Big brother, you didn’t come here for surgery, did you? You came here to perform a comedy routine?
I should let you in free of charge instead of charging you, and treat this as your admission fee, right?
Chen Cang had no choice but to give a thumbs-up, managing to espouse such fallacies to a noble, resolute, well-grounded, skilled, and proficient doctor… and even managed to shake my conviction.
You’re damn talented, I’ll give you that!
I’m tempted to bring out my ‘big gun’ to give you a salute.
There he was, lying on the bed, stark-naked, yet the big brother was still adamant, “Doctor, show it to me once you’ve cut it out. I want to see this little bastard that has ravaged my body and tormented my soul. I’m gonna take it home, stew it, and feed it to the dogs!”
Chen Cang: …
Chen Bingsheng: …
The master and his pupil couldn’t help but sigh in unison.
As the surgery began, Chen Bingsheng said to Chen Cang, “This patient might be different from the last one. You’ll know once you open him up. Don’t panic.”
Chen Cang nodded.
After the anesthesia was administered and the surgery was about to begin, the patient suddenly said, “Doctor! Wait!”
Chen Cang was startled, “What’s wrong?”
The patient gave an embarrassed smile, “Can you make this incision look more fierce? Yes, that kind of fierce, as if it was a slash wound from a knife attack?”
Chen Cang was speechless: you’re looking to make a false claim for money, aren’t you?
Go tell the reporters, and there it is, another medical dispute headline: ‘A patient’s appendectomy turned into artistic doodling on the belly with a scalpel – a lapse in morals or a twist in human nature!’
The patient coughed and said, “It’s for when I go out boasting. I’ll say that I got slashed with a knife, and despite the excruciating pain, I didn’t make a peep. In the end, I got sewn up with thirty-six stitches! Down the line when drinking, I’ll just lift my shirt to show off this scar. How cool will that be? Tattoos can’t even compare; they’re too low!”
Chen Cang ignored him.
This joker!
A stand-up comedian!
That was a freestyle just now.
The anesthesia time is sufficient, and Chen Cang begins the surgery.
A right lower quadrant McBurney’s incision is made to enter the abdomen, cutting the skin to a length of 6cm.
The dermis layer and subcutaneous fat layer are cut layer by layer. At this point, Chen Bingsheng proactively came over to perform electrocoagulation for hemostasis.
Not bad, the little sidekick’s quite sharp!
Chen Cang looked at Chen Bingsheng appreciatively, offering encouragement!
Chen Bingsheng was taken aback, glaring fiercely: Itching for a smack, are you?
The external oblique aponeurosis was cut layer by layer, the external oblique and internal oblique muscles were separated, and the peritoneum was lifted and cut to enter the abdomen.
At that moment, the abdominal cavity lay before Chen Cang.
Indeed, just as Chen Bingsheng had said, it might be different.
As Chen Cang explored the cavity, he was cautious.
Chen Cang could now see that the ‘greater omentum of the abdominal cavity’ was green, indicating there was no adhesion of inflammatory abdominal pus, so he breathed a sigh of relief!
However…
There was a large amount of purulent exudate in the right lower abdomen.
The ‘cecum’ was green, with no problems,
And the position of the appendix was in front of the cecum. Through the omentum, Chen Cang saw the conspicuously congested and enlarged appendix (don’t get any weird ideas)!
The appendix was now fully exposed before Chen Cang, highlighted in red!
And it was even redder than the ones he saw before!
The two red words ‘appendix’ seemed to be telling Chen Cang that this level of boss might be a bit higher.
“`
About 10cm in length and roughly 1.5cm in diameter, purulent, highly tense, with the root of the appendix necrotic and perforated. The surrounding adipose tissue pendant was encapsulating it, with only slight adhesion to the surrounding tissues.
Chen Cang naturally saw all this!
[Ding! Rare Appendix Monster: This is an acute purulent perforated appendix. Lv12.]
Chen Cang pondered:
If I kill this rare creature, might it drop some equipment?
Even if it doesn’t drop equipment, there should be more experience and money, right?
Chen Cang fully exposed the surgical field!
Prepare for surgery!
“Gauze!”
“Hemostat!”
“Ligate the mesoappendix!”
“Suction!”
…
This surgery was no longer the same as before; the rare monster gave Chen Cang quite a bit of trouble!
The procedure was no longer as simple as earlier.
Chen Cang cut off the appendix and placed the removed appendix into the tray.
“Carbonic acid solution 5ml.”
“Alcohol swab”
“Saline solution 20ml!”
Chen Cang needed to wash the mucosa of the cut surface of the appendix to prevent further infection.
Next came the suturing task, performing a typical figure-eight closure including the local adipose tissue for coverage.
These were all basic maneuvers, So what.
Time to finish up!
Chen Cang gave Chen Bingsheng a look: Hurry up and wrap this up, will you?
Why are you looking at me?
Isn’t this the look you give as the chief surgeon at this stage?
Chen Cang reflected: Could it be that my look isn’t quite perfected?
Chen Bingsheng glared back, “What are you staring at? Hurry up and finish up!”
Chen Cang: “Is this what the chief surgeon should do? Don’t you always leave this to me when it comes to this point???”
For a moment, Qin Lele, the instrument nurse next to them, couldn’t help but laugh: “Chen, don’t be naughty, get on with it!”
Chen Cang, feeling helpless, thought that being the chief surgeon meant having the authority and style associated with it, but it turned out he still had no power…
Helplessly, Chen Cang began to mop up the effusion in the abdominal and pelvic cavity, checked for no active bleeding, placed one drainage tube in the right iliac fossa, and made another incision beside it for drainage.
The instrument nurse also began to count the gauzes and instruments.
“All good, we’re done!” announced the instrument nurse.
Chen Cang began to close the abdomen layer by layer.
Surgery completed!
[Ding! You’ve defeated Rare Appendix Monster: Acute purulent perforated appendix, gained +200 experience points, +200 RMB, and +200 appendix removal surgery experience.]
[Ding! Congratulations, you’ve obtained a Suture Needle (White) One!]
Chen Cang’s eyes widened in disbelief, what the heck???
I…
I…
Hahaha, equipment loot!
A white suture needle?
What’s it for?
Look quickly, look!
Could it instantly smash heavens, earth, and air?
[Suture Needle (White): Sharpness +1]
Chen Cang was stunned?
So?
That’s it?
What’s the deal with Sharpness +1?