Surgery Godfather
Chapter 1192 - 932: Pearl Intestines_2

Chapter 1192: Chapter 932: Pearl Intestines_2

Yang Ping greeted Song Zimo and Xu Zhiliang, telling them he was going to rest in the resting room for a while, and if needed, they should come and call him.

There was no one in the resting room at the moment. Yang Ping found a spot to sit down and then entered the System Space. The second batch of modified K factors had again ended in failure. Yang Ping continued the modifications, starting the third batch of K factor modifications, allowing the experiment to continue.

After adjusting the experiment in the System Space, Yang Ping came out of the system and drank a glass of water.

Director Fang from the General Surgery Department called to say that a patient on the operating table had their abdominal cavity opened and, upon examination, their intestines were covered with "pearls."

Why did all these bizarre cases always happen to him, intestines covered with pearls?

Yang Ping decided to go and take a look. He then went back to the operating room to inform Song Zimo and Xu Zhiliang of his whereabouts before heading towards the surgery building without taking off his scrub gown and just throwing a white gown over it.

In fact, it wasn’t that Director Fang was lucky; since he had been the chief surgeon on an abdominal cluster organ transplant, he had been lecturing about this case everywhere, boasting about it being the first case in Asia. This made many hospitals in the province send their troublesome cases to him, and he accepted all that came his way, hence all the cases were concentrated with him.

However, this approach really worked wonders; the cases that others couldn’t or dared not tackle all ended up at Sanbo Hospital, and Director Fang quickly built up his reputation because of this.

On his way to the main operating room, Yang Ping ran into Sisi. She was sprinting with a few neatly folded white gowns in her hands, heading towards the Surgical Research Institute. Yang Ping stopped her and asked what was going on. She explained that she was helping her mother, who was too busy, so she went to logistics to get a few new white gowns.

At the entrance of the operating room, two groups of family members were crying fiercely, and security was maintaining order.

Yang Ping had forgotten his access card and rang the doorbell, waiting for a nurse inside to open the door.

From bits and pieces overheard from the spectators, the reasons for the two groups of relatives’ distress became clear; one was about a daughter undergoing surgery who had just had her frozen section returned showing triple-negative breast cancer. The patient was quite young, just started working, and was unmarried.

The other patient was likely the one with bloody injuries Yang Ping had seen in the morning, a traffic accident casualty who reportedly had not survived the rescue efforts and had been declared dead.

When the door opened, Yang Ping entered the operating room and came across Head Nurse Jiang and colleagues of Xiao Su, all asking when Xiao Su was due and discussing the ultrasound estimates of the baby’s weight. Yang Ping obliged with answers to each query, while Head Nurse Jiang reproached him for stealing her best nurse, Xiao Su, which had greatly weakened her team.

Head Nurse Jiang had a sharp tongue but a soft heart. Just recently, when the Surgical Research Institute requested personnel from her, she provided a list. When Yang Ping saw it, it was clear she was cutting her own flesh, as the list consisted of all her elite staff.

There was no choice, the Surgical Research Institute was Sanbo Hospital’s elite department. If not for its role as the locomotive of the hospital, Sanbo would not have developed so swiftly. Head Nurse Jiang had this big-picture mindset, so when Yang Ping wanted someone, despite it being difficult, she still complied with the list, balancing pain with necessity.

"Use those girls carefully, don’t wear them out too much," Head Nurse Jiang advised.

Yang Ping assured, "Don’t worry, we’ll treat them like treasures."

"That won’t do either; when necessary, they should be scolded, you can’t spoil them," the Head Nurse quickly retorted.

Jokingly, Yang Ping said, "Come on, none of the people from under the Head Nurse’s wing ever need scolding."

There were many operating rooms all lit with "In Surgery" lights. Yang Ping found Director Fang’s operating room, where the intestines were covered with pearls. What’s going on here? Did drinking pearl milk tea cause the pearls to not digest and remain in the intestinal tract?

Director Fang was struggling on the table as the patient was an emergency surgery case, admitted due to intestinal obstruction and undergoing exploratory laparotomy because the patient was in a state of shock, and other doctors dared not operate. Director Fang personally took to the operating table.

Upon opening the abdominal cavity and conducting an exploration, the surfaces of the intestines and their mesentery were covered with numerous millet-sized nodules that, due to their texture and the mucus on their surface, shone brilliantly, making them look like tiny, sprinkled pearls.

"Professor!"

Now, even the doctors from the Surgical Research Institute, followed by addressing Yang without his first name in front of Professor. In the Surgical Research Institute, only Yang Ping was referred to as Professor, while others could merely be called Doctor So-and-so or something similar.

To some extent, whether one addressed Yang Ping as Professor or Professor Yang indicated whether or not they were a part of the Surgical Research Institute.

"The frozen pathology samples during the surgery have been sent off, and we are waiting for the results," said Director Fang as he humbly reported the current progress of the surgery to his teacher, even slowing down his speaking rate.

Yang Ping moved closer to the operating table, taking advantage of his height to look over it. Director Fang quickly grabbed an S-hook to open up the surgical area and used his other hand to lift out a piece of intestine covered in miliary nodules, with both the mesentery and the surface of the intestines completely studded with such nodules. Under the operating room lights, it really had the look of "pearls."

Miliary, this formation is typically characteristic, often associated with tuberculosis, Yang Ping thought preliminarily.

"Patrolling, turn on the camera. Why isn’t it more responsive? Do I have to remind you?"

Director Fang’s voice was harsh and impatient.

The patrolling nurse, who knew Director Fang’s temper and was used to it, didn’t say anything and immediately went to turn on the camera silently.

All the operating rooms in Sanbo Hospital have cameras on the shadowless lamp, and the walls of the operating room are equipped with high-definition screens, which can display the surgical area through the cameras at any time, sometimes offering clearer views than the naked eye.

"Move quickly, stop dawdling," Director Fang urged impatiently.

Whether it was a loose plug or a disconnected wire, turning on the switch didn’t show any reaction on the screen. The patrolling nurse was checking the connections and various ports, and seeing that the screen still had no image, Director Fang was very discontented, shouting:

"What’s going on? Aren’t the equipments checked? Who’s responsible for this? What if this was rescue equipment?"

The patrolling nurse took the scolding, kept her head down and worked, and half-jokingly tried to comfort Director Fang, "Director, did you have goji berries for breakfast? Why are you so fired up?"

Hearing the nurse’s playful comment, Director Fang’s irritability eased a bit, "I haven’t even had breakfast, hurry up and fix it, the professor is still busy with things."

It took several minutes, but they finally found the problem. It was the video cable plugged into the wrong port on the back of the video system’s host. These foolproof ports are designed to match one-to-one and surely won’t fit if plugged incorrectly. Trying to force it almost damaged the plug.

While the nurse was re-plugging the cable, she said to a few young doctors, "Fess up, who did this clever job last night? Couldn’t find the right port, just plugged it anywhere."

These young doctors had been with the emergency surgeries from last night until now.

"Alright, don’t blame them, they’re just not familiar with the anatomy," said the deputy chief doctor who was assisting.

On the video below, the miliary "pearls" glistened, enlarged and brought close. Yang Ping was fairly certain this was tuberculosis.

"It might be tuberculosis, have the pathological results not come back yet?" Yang Ping stated his conclusion, cautiously prefacing it with ’might,’ as medicine is about being calm, rational, and objective.

A graduate student brought Yang Ping the patient’s medical record file, which Yang Ping reviewed.

Admitted due to abdominal pain, abdominal distension, and cessation of passing gas for 5 days; examination: somnolent, bloated abdomen, tense abdominal muscles, significant tenderness and rebound pain, absent bowel sounds. Supplementary examination: abdominal CT shows fluid in abdominal and pelvic cavities, complete obstruction in the small intestine section. Blood test: procalcitonin 62.32 ug/l.

Admission diagnosis: 1) small intestine obstruction, 2) peritonitis, 3) sepsis; indications for emergency surgery which Director Fang performed on the patient.

Previous history included pulmonary tuberculosis, resolved after standardized antituberculous therapy, and that’s roughly the medical history.

From the appearance of these miliary nodules, the possibility of tuberculous peritonitis is very high. In recent years, tuberculosis has shown a resurgence, especially with the emergence of some drug-resistant strains, indicating a possible comeback.

"Who is looking at the frozen section, what’s taking so long, still no results?"

Director Fang was irritable and "dawdling" is a frequent word in his vocabulary.

"Director, it just got sent down, they probably just received it," a doctor replied.

"This slow? You could’ve gone to Beijing and back!"

Director Fang cursed.

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