Chapter 1178: Bloodless Surgical Field (Part 2)
Even a slight change in tone caused by pain could be detected.
But the conversation with the pediatric patient remained light-hearted, with no trace of pain.
This made the observers, who initially thought local anesthesia couldn't handle the surgery, reconsider and take a serious look at what was happening.
"The hemostasis technique is amazing; the brainstem is exposed, yet there's no bleeding, not even a single piece of gauze used."
"Look, the gauze prepared in the assistant's hand has been on standby for a long time but hasn't been put to use."
"If our director were doing this surgery, he might have already used over a dozen pieces of bright red gauze."
"Our director can't perform this surgery. This pair of sisters came to us before, and after discussing for a month, we concluded that the surgery was impossible. Separating the heads would inevitably lead to the patient's death."
"Of course, I know Dr. Raymond can't perform this surgery. What I mean is that when he does brainstem tumor surgery, by the time the brainstem is exposed, he would have already used more than a dozen blood-soaked gauzes."
"Keep your voice down."
"Oh my, did he hear that? I didn't mean it."
"He probably didn't hear it; he hasn't turned his head at all."
The young doctors in the back started whispering among themselves because the bloodless, clean surgical field was a shock to the surgeons, suggesting the chief surgeon's high level of skill in hemostasis. Generally, surgical bleeding can reflect the level of the chief surgeon.
For similar surgeries, less bleeding doesn't necessarily mean higher quality, but more bleeding certainly indicates lower quality.
If you can't even do the basic hemostasis well, how can you perform a good surgery?
In fact, Raymond clearly heard the doctors behind him talking, but he pretended not to. They weren't belittling him, they were stating facts. It wasn't possible for him to turn around and scold the speakers, as that would make him look petty, so he acted like he hadn't heard anything.
Yes, what they said was true; Raymond couldn't be the chief surgeon for this type of surgery. But it's not just him; no doctor in the United States can be the chief surgeon, not even John Ansen.
The clean and beautiful hemostasis, Raymond couldn't achieve that either. The doctor was right; for brainstem surgery reaching this point, using more than a dozen gauzes wasn't an exaggeration. Probably even John Ansen would be at that level.
Thinking this way made Raymond much more comfortable, and he wasn't too upset by the private discussions.
Wait, that was the old John Ansen. Now John Ansen seems to have improved a lot. His brainstem tumor surgeries, both in terms of the number of cases and success rate, have far surpassed Raymond.
How annoying, this guy, Raymond was still vexed.
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At Mayo Clinic and Charite Hospital, all the doctors were focused; they didn't want to miss any details.
The laser knife's cutting thickness was limited each time, requiring enough patience to carefully cut and separate little by little. At this point, precision and efficiency are sometimes hard to balance. If the cutting thickness of the laser knife is too much each time, precision is lost, easily injuring surrounding non-target tissues.
The brainstem's capsule was cut open, and the laser knife began cutting through the brainstem tissue. The spatial distribution of the brainstem's neural nuclei was vividly clear in Yang Ping's mind. After long-term training, he developed a strong three-dimensional spatial imagination ability. The three-dimensional spatial anatomy diagram of the entire brainstem was imprinted in his mind, guiding his hands for precise operation—an ability acquired from long-term training in the system space, very useful during surgeries, especially those requiring precise positioning.
Meanwhile, an overhead electronic screen in the operating room showed the patient's brain tissue's three-dimensional anatomy diagram. The entire brain was divided into blue and yellow parts, blue for the elder sister and yellow for the younger. The neural nuclei were marked in green and red, green for the elder and red for the younger.
This anatomy diagram was established by an artificial intelligence model to guide Yang Ping during the surgery. Turning a diagram into surgical actions required a tremendous ability.
"How is everyone? You're all superheroes; I'm feeling great now, not at all uncomfortable."
"Me too, has the surgery started? I didn't feel anything, not even pain, I'm not sure if the surgery has begun."
Because this is an awake craniotomy, maintaining excellent consciousness allowing communication with the doctors was a good thing, and the lively sisters enjoyed this to the fullest.
"Is your breathing okay? Any feeling of breathing difficulty, like shortness of breath?"
Liang Fatty spoke to the little girl in English.
"No problem, you can boldly perform the surgery without worrying about us. Did the surgery start? Don't worry about us, we're not scared of surgery."
For this surgery that Yang Ping personally handled under local anesthesia, Liang Fatty's actual responsibility was to monitor the patient's vital signs, constantly providing feedback to the operating doctors, and giving certain handling in case of emergencies.
In this surgery, Liang Fatty's job was to chat with the sisters to determine their state of mind.
"The surgery has started, and it's at a critical step. You just need to lie down well and chat with me, but don't move too much."
"Don't worry, we won't move. Can we sing?"
"Of course you can, but keep the volume moderate. If your singing is beautiful, you can sing several songs. If it's not that pleasant, maybe just one song would be enough. We need to keep the operating doctors in a good mood." Liang Fatty sat beside them chatting.
"Okay, if we sing well, you just listen. If it's awful, you can interrupt me anytime; we won't be mad."
"What song should we sing? Let me think."
The two sisters actually started arguing about which song to sing, neither giving in.
"Children, don't argue; arguing spoils the pleasant atmosphere in the operating room. If we can't reach an agreement, let's talk about something else instead." Liang Fatty stopped them.
"Alright, actually, we could each sing our own, but that would sound awful, like noise."
"Where's our dad? Where is he? I want to chat with him. Actually, he's quite amazing; I only spoke ill of him because I was mad that day."
"Your dad is in the viewing room watching your surgery, not here right now. But he should be able to hear you, so if you want to say something to him, go ahead." Liang Fatty said.
"Alright then, I want to say, Dad, I love you, please don't be mad at us. Sister, don't you agree?"
"Yes, I agree. Actually, Dad, you're an excellent doctor too; it's just that your talent isn't high. Oh, sorry, I mean it's pretty amazing that you've come this far with lesser talent. In our hearts, you're always the best."
"You shouldn't have said Dad doesn't have talent just now, it would make him sad."
"I was just stating the facts."
"I know it's true, but you shouldn't say it out loud; you should keep it in your heart. Saying it would make Dad very sad."
"Oh, really? Then I take back what I said earlier. Dad, you actually have a lot of talent."
Morris, sitting in the viewing room, listened to the sisters' conversation, and a smile appeared at the corner of his mouth. What a pair of adorable darlings.
"After the surgery is successful, I want to go watch a movie. I like DC movies."
"I like Marvel. I want to sit alone in the cinema and watch all the Marvel movies, without ever asking your opinion."
"Also, I really hate eating durian, but you love it. I have to endure that nasty smell every time you eat it. When you're eating so heartily, all I can think about is throwing up."
"Don't you also like eating bananas? That's the fruit I hate the most, yet I still watch you eat those damn bananas."
"I want to learn swimming on my own; the coach will no longer have to headache over how to teach us to coordinate our limbs."
"Yes, that's a great suggestion."