Surgery Godfather
Chapter 1305 - 991: Li Yidao of Nanqiao

Chapter 1305: Chapter 991: Li Yidao of Nanqiao

Quickly, Li Min repaired the aorta and the inferior vena cava, both quickly and well.

In fact, if ranked by the standards of the Surgical Research Institute, Li Min would be the lowest; his speed was also the slowest, trailing behind in the training of doctors, but a fish from the Pacific Ocean could easily be much larger than the biggest fish in a pond.

After repairing the blood vessels, he released the clamps on the major vascular, and the aorta began to pulsate. Li Min carefully checked every suture to see if there were any weak links. Such stitches cannot have weak links, as they are prone to gather the force of the blood pressure, eventually tearing again and causing life-threatening risks.

After a careful inspection, Li Min found no weak links, but for safety’s sake, he decided to wait another ten minutes before continuing the work.

Throughout the surgery, Li Min was very steady. After all, he was an apprentice taught by a world-class doctor. He omitted none of the surgical steps, advancing step by step. Although he was somewhat nervous at heart, by the end, he felt no trace of nervousness at all.

The level Li Min demonstrated completely overshadowed Director Peng and Director Zhang, who watched, stunned and almost unable to believe their eyes. This was a doctor from a township hospital.

The local doctors from Guandu Town were utterly baffled. Since when had Li Min become so formidable? In the past, his diligence and eagerness to learn placed him above everyone else, but even so, he had never exceeded the scope of a township hospital doctor’s level. Now, Li Min’s every move was that of an expert, smoothly handling surgeries that even Director Peng and Director Zhang couldn’t manage.

"Artificial blood vessels would have been more reliable, but given our constraints, this repair should also hold well. Keep the blood pressure well-controlled over the next few days; it cannot go too high. After two weeks, there shouldn’t be any major issues," Li Min instructed the physician in charge.

The physician in charge kept nodding, but the Elderly Director, dissatisfied with the physician in charge, said, "Don’t just listen, write it down. The memory is less reliable than a bad pen. What if you forget?"

The physician in charge immediately scrambled to find a notebook, and the patrolling nurse handed over a piece of paper and a pen. The physician in charge hastily recorded what Li Min had just said onto the paper.

"Vital signs?" Li Min asked while his eyes darted to the monitor to check the data. The blood pressure was a bit low, 90/54mmHg, and the heart rate was also high at 108 beats per minute, but the rest were within normal ranges.

This indicated that the patient, due to blood loss, had a significant deficiency in both blood volume and hemoglobin. However, the timely control of the situation had prevented further deterioration.

"Infuse the rest of the blood; Elderly Director, is there any way we can get more blood?" Li Min could only make the best choice given the objective conditions.

Director Zhang immediately said, "Take my phone, look for Director He in the contacts, that’s the Director He from the blood bank. Let me talk to him and get him to send blood over urgently."

In the medical community of the county, not to mention other sectors, Director Zhang was well-connected. Every head of department was a friend of Director Zhang, and the Director of the blood bank was an even closer brother. Asking for his urgent help in sending blood was just a phone call away.

As expected, Director He on the phone didn’t hesitate and immediately promised to send blood in a special vehicle to Guandu Hospital, offering twelve units of packed red cells and twelve units of plasma, asking if it was enough.

Director Zhang turned to ask Li Min if it was enough, and Li Min nodded. It was sufficient. This time, Director Zhang regained the confidence and poise of Nanqiao’s Zhang Yidao from the act of acquiring blood.

Indeed, being a Department Director in the medical industry wasn’t just about technical skills; it involved a wealth of interpersonal relationships. Even if you were highly skilled, without good interpersonal relationships, at this moment, a blood bank head could delay, send less, or even refuse your request according to the rules. With the limited blood supply in the county, why should it be sent to your side?

Interpersonal relationships are even more critical in small towns. For example, if Director Zhang encountered difficulties during surgery and needed to be saved from embarrassment, he had to find someone willing and able to assist. Or if a surgery had minor issues and the patient’s family caused a disturbance, he needed to find someone to speak up for him. And if there were any inspections from above, he had to find someone to provide guidance and cover.

Without interpersonal skills and relying only on technical ability was far from enough to be a Department Director. Some directors were not very skilled in performing surgeries, with some not conducting surgeries at all, mainly dealing with interpersonal matters and ensuring the smooth operation of the department.

Those capable of providing blood, having already performed crossmatching and other tests, simply needed to send blood according to the original tests. Township hospitals were far from the county seat, which was inconvenient if a large amount of blood was needed for a rescue.

However, given the patient’s current situation, they could afford to wait. Li Min then instructed the anesthesiologist to supplement the patient with colloids, which would maintain volume over a longer period. Fluid replenishment was, indeed, a delicate matter.

"Let’s continue with the tumor resection!" Li Min didn’t plan on stopping.

With four units of blood left to transfuse, it was enough to complete the tumor resection. If they gave up on the tumor resection and closed the abdomen now, it would be disadvantageous for the patient. Because Director Zhang had already made the first cut, and the tumor was still bleeding—not as vigorously as a major vascular rupture, but sustained bleeding over time could accumulate and lead to hemorrhagic shock.

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