Famous Among Top Surgeons in the 90s

Xiao Yang said over the phone to Shao Jialiang: "She has this capability. If you don't believe it, let her try. Some things need to be seen with your own eyes to believe."

The colleagues spoke of her in awe, Shao Jialiang furrowed his brow.

The patient's family member at the door did not go far; the elderly grandmother occasionally checked in, holding onto great hope. It was the family who requested someone from Guoxie to come. Respecting the reasonable demands of family members is a duty a doctor must fulfill.

Shao Jialiang agreed.

The anesthesiologist pushed the prepared anesthetics into the patient's vein, and the patient fell asleep, completely relaxed. At this time, inserting the gastroscope face no resistance, making it relatively easy. Like the bronchoscope Teacher Xin demonstrated earlier, the challenging part is the throat area, making sure not to insert it into the wrong duct. One must have a deep understanding of the anatomy here. Fortunately, the esophageal entrance is much easier to find than the trachea; even nurses can blindly insert a stomach tube.

The operating doctor donned a surgical gown, gloves, and a surgical cap, ready to perform a special endoscopic examination including necessary endoscopic surgery.

Senior Brother Yu stood by, and Xie Wanying picked up the gastroscope.

Having tried bile duct scopes and bronchoscopes, the basic component structures and operating principles of endoscopes seem not to differ much. Light source (for illumination), operating hole (for inserting various instruments, named differently on various endoscopes), and rotation button (for adjusting angles) — the specific details surely have slight differences, but the hand feel is similar, all are tubes, all work within the patient's lumen organs. Perhaps because of this, endoscopy expert Senior Brother Yu dared to let her operate herself.

The procedure began.

As mentioned before, finding the esophageal entrance was very easy for her. However, as soon as the tube entered the esophagus, about thirty-five centimeters from the incisors, there was a narrowing; this was the anastomosis site, where a nutritional tube could be seen in place. The anastomosis site was too narrow, consistent with the situation provided by the attending physician, and the endoscope could not pass through it. Above the anastomosis site, a titanium clip tail was seen, indicating that the titanium clip had been tried but likely did not clamp the most crucial leakage site, resulting in continued signs of leakage.

To remove the residual titanium clip, first withdraw the nutritional tube, then insert the guidewire to perform balloon dilation of the anastomosis site. Xie Wanying's mind kept recalling the gastroscopic techniques she had previously seen teachers perform.

Yu Xuexian knew her basic operation was not a problem, thinking that even though she had never done neurosurgery before, she dared to replace Xin Yan Jun to perform puncture that night; gastroscopy is relatively easier than neurosurgery and carries much lower risk, how could it possibly stump her. What she needed now was to impart some experience, saying, "Pay attention to the force when removing the titanium clip, withdraw the nutritional tube slowly, don't assume the anesthetized patient will have no reaction. Pay special attention to positioning when placing the guidewire."

Exhale, Xie Wanying adjusted her breath rate internally, adapting to the rapidly increasing pressure. This kind of technical pressure is not given by others but as a doctor, it is the new challenges that must be faced daily.

It's clear female and male teachers differ. Male teachers, such as Senior Brother Yu, even though like Teacher Xin are internists, are distinctly different.

Teacher Xin would proceed step by step, not rushing things. Most importantly, Xin Yan Jun insists that difficult matters should be borne by teachers themselves, not letting students carry the burden of responsibility.

Senior Brother Yu and Senior Tao are more alike, letting her shoulder the responsibility burden, having her handle difficult matters herself, while they first stand by observing the situation.

Teacher Xin is truly gentle at heart; Senior Tao may speak well, and Senior Brother Yu may be a good person but won't be as intimately considerate.