At 9:30 on Tuesday morning, Lin Jie walked into the operating room. Zeng Yang, Gao Yanhong, two attending physicians, and anesthesiologist Xing Yue were already prepared.
Xing Yue was the first to report: "Expert Lin, the pre-operative checks on the patient and the fetus did not reveal any new abnormalities. The anesthesia test also showed no allergic or other rejection reactions, so the surgery can proceed."
Lin Jie nodded lightly and said, "Dr. Xing, thank you for your hard work on this surgery."
This year, Xing Yue was nearly fifty years old and was a senior anesthesiologist at the Affiliated Hospital, whom Lin Jie had specifically invited to oversee this surgery.
In surgical operations, there's a saying: "The surgeon manages the disease, the anesthesiologist manages the life."
In a major operation, the lead surgeon and the anesthesiologist must collaborate seamlessly, working closely together to ensure the smooth execution of the surgery.
Their roles differ and each has its own focus.
Before surgery, the anesthesiologist needs to evaluate the patient's physical condition, including their dical history, surgical history, and dication history, determine the anesthesia plan, perform an anesthesia test, and conduct the last pre-operative physical examination.
Whether the patient can ultimately undergo the surgery is up to the anesthesiologist's final decision.
During the surgery, the anesthesiologist must use various instrunts to continuously monitor the patient's vital signs, such as ECG, blood pressure, pulse, and blood oxygen saturation, allowing the surgeon to concentrate solely on the operation.
If unexpected events like low blood pressure or major hemorrhage occur during surgery, the anesthesiologist must promptly replenish blood volu, ensure adequate oxygen supply, and maintain stable circulatory and respiratory functions while the surgeon actively stops the bleeding, ensuring the patient's safe passage through the critical phase of the surgery.
The anesthesiologist, who is responsible for monitoring the patient's vital signs, has the authority to halt the surgery at any ti if abnormal data is detected.
Thus, it is often said within the industry that the anesthesiologist's job is to ensure the patient leaves the operating room alive.
Anesthesia is both a technical skill and an art, and becoming an excellent anesthesiologist is no simple task.
Post-anesthesia, patients require to feel "no pain," and surgeons require "moderate muscle relaxation," so a successful operation must first have good anesthesia as its foundation.
This requires that the amount of anesthesia given is neither too much nor too little, but just right.
Controlling this dosage requires extended periods of study and experience gathering.
The dosage of anesthesia often needs to be calculated based on weight, and must also consider the patient's age, the function of important organs, and the depth of surgical stimuli when determining the drug amount.
However, it is not as simple as having a uniform, fixed dose.
For patients with conditions like a history of heart disease, severe bronchitis, asthma, liver cirrhosis, obesity, hypoglycemia, hypotension, alcoholism, infancy, or old age, the dosing must be individualized—a practice that relies on slowly accumulated experience.
Additionally, individual differences in people vary greatly, and their tolerance to anesthetics is not consistent.
Therefore, during surgery, anesthesiologists must administer and adjust the anesthetic dose while closely observing the patient's physiological features.
The surgery Lin Jie would perform today involved a high-risk pregnant woman with a fetus just six months old, posing a considerable challenge for anesthesia work.
To minimize the possibility of an accident, Lin Jie personally invited Xing Yue to participate in this surgery, to maximally ensure that Ge Qiuzhi could wake up after the operation.
Xing Yue smiled gently, politely saying, "Being able to work with Expert Lin is also my honor."
"I've heard from Dr. Wang and Dr. Fu in our anesthesiology departnt that working with you, Expert Lin, is the easiest thing and could even be considered a pleasure."
"It's unlike working with so doctors who occasionally create accidents, leaving people on edge."
Lin Jie rely offered a faint smile, indifferent to this small praise.
However, anesthesiologists, collaborating with many hospital doctors, probably understand surgical skills better than anyone else in the hospital.
If you want to find out which surgeon has the best surgical skills or who is most skilled at a certain procedure in the hospital, asking an anesthesiologist is most appropriate.
Lin Jie approached the operating table and said to Ge Qiuzhi, who was still awake, "Dr. Ge, relax and take a nap. Once you wake up, all your worries will be gone."
Ge Qiuzhi looked into Lin Jie's eyes and softly said, "Expert Lin, I'm entrusting everything to you."
Lin Jie signaled to Xing Yue, who took an inhalation anesthetic mask and placed it over Ge Qiuzhi's mouth and nose.
A few seconds later, Ge Qiuzhi fell into unconsciousness.
Xing Yue began adjusting the drop rate of the anesthesia drip.
After two or three minutes, he perford a small test on Ge Qiuzhi, looked at various monitoring data, and said, "Expert Lin, you can start the surgery."
Lin Jie extended his hand and took the scalpel from the nurse, making an incision below Ge Qiuzhi's swollen abdon...
Two or three minutes later, Lin Jie removed a palm-sized fetus from Ge Qiuzhi's uterus.
This fetus had a ping-pong ball-sized bulge on its chest that was visible to the naked eye.
Connecting the umbilical cord, Lin Jie placed this fetus in a specially designed water basin right next to Ge Qiuzhi's inner thigh.
In this tank, there's a constant-temperature cycle of artificial amniotic fluid, just covering half of the fetus's body.
This tank is the surgical platform that Lin Jie ticulously prepared for the fetus.
He strives to simulate an environnt similar to the mother's womb, allowing the fetus to maintain maximum comfort.
After Lin Jie secured the fetus's head and limbs with straps, Xing Yue began to connect so monitoring equipnt to the fetus and proceed with the anesthesia injection.
This was the first ti Xing Yue administered anesthesia to such a small infant.
For such a small infant, although the neural developnt is incomplete, and pain perception is delayed, it requires open-heart surgery to remove a parasitic twin and repair the heart—anesthesia is necessary.
He spent the past few days researching various sources before finalizing the anesthesia plan.
Anesthetic drugs are delivered through a tiny infusion tube, injected via the umbilical cord into the frail infant's body. Xing Yue kept his eyes on the data changes on the monitor, not missing a single minor fluctuation.
Once several key values slowly stabilized, Xing Yue gently exhaled and slowly said, "Expert Lin, you can begin now..."
There were only three people waiting outside the operating room.
Yan Yuesi, Ge Qiuzhi's brother, a broad-shouldered man with glasses, and An Kexin.
Walking back and forth, Yan Yuesi glanced at the clock on the wall and murmured, "At this ti, the fetus should be out and ready for the chest opening..."
She turned to look at An Kexin, who was holding a laptop and seed to be working, furrowing her brows and said, "President An, although you have signed an employnt agreent with Qiuzhi, it doesn't an I will join Anlin Hospital."
"It all depends on the final result of this surgery and how you accede to my conditions."
An Kexin looked up at her briefly, then continued staring at the computer screen, saying, "Dr. Yan, you're overthinking. You are no longer within our consideration range."
"If you wish to stay in Binhai to work, I suggest contacting Tongren Hospital or Limin Hospital."
Yan Yuesi was stunned for a mont, then uttered through clenched teeth, "President An, are you playing hard to get?"
"Let tell you, I'm not short of other options!"
"With hospitals like Binhai University Affiliated Hospital, it's not impossible for to get in if I wanted to."
An Kexin closed her laptop, stood up, looked into Yan Yuesi's eyes, and said, "I'm telling you the truth, not trying to deceive you."
"Lin Jie explicitly told you do not et Anlin Hospital's recruitnt standards."
"You understand, Lin Jie is the soul of Anlin Hospital. His decision is Anlin Hospital's final decision."
Unable to hold back her anger, she questioned, "I don't et the standards? Are you joking? My strength in obstetrics and gynecology is surely at the national top ten, if not top five."
"If I don't et the standards, what kind of high-level doctors does Anlin Hospital intend to recruit?"
Looking at the furious Yan Yuesi, whose anger level soared to ten thousand, An Kexin suddenly felt Lin Jie's decision was wise.
She brushed aside a few stray strands of hair from her forehead and calmly said, "The hospital mainly recruits young and middle-aged doctors. We look at their current level and, more importantly, their potential for future developnt."
"As for you, Dr. Yan, Lin Jie's assessnt was..."
Having severed the possibility of hiring this person, An Kexin spoke bluntly, "Though talented, you are arrogant and have poor emotional control, categorized as a 'chicken head' type of talent."
"If you ca to Anlin Hospital, without the unit-bestowed privileges and superior status, facing colleagues no less skilled and with trendous potential for growth, there might be a risk of emotional imbalance."
"I can only be a chicken head?"
These words infuriated Yan Yuesi, her chest heaving, and she chuckled coldly, "Even if I am a chicken head, I am at the top of a province-renowned tertiary hospital, yet Lin Jie still doesn't think highly of ."
"Don't you know what Anlin Hospital's developnt goals are? In your introduction to Anlin Hospital, the planned number of beds doesn't even reach five hundred, right?"
Her tone was mocking, "Isn't this even less than the standard for a tertiary hospital?"
An Kexin said lightly, "Anlin Hospital's goal is neither a tertiary hospital nor a special-grade hospital."
"Our goal..."
She spoke with pride, "Our goal is just to make Anlin Hospital an internationally renowned hospital and dical research institution."
Just "rely," Yan Yuesi subconsciously felt that An Kexin was boasting to the heavens.
She couldn't help but jeer, "I don't deny Lin Jie's exceptional dical skills, but thinking that just he alone can develop Anlin Hospital to such an extent, are you not living in a dream?"
"It certainly won't be just Lin Jie alone!"
An Kexin confidently said, "Lin Jie will personally train a group of people to achieve this goal together. Therefore, we have quite high requirents for the future potential of the talents we introduce."
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