Doctor: I Can Synthesize Infinite Entries

Chapter 282: Chapter 211: Exorbitant Expert Fee (Part 2)

Dean Liu wasn’t very familiar with Wu Ting or Luo Can. He had previously been working with Director Duan’s emergency department.

Director Duan was, after all, only the director of the emergency department. Now that Dean Liu himself was here, how could he dare overstep his authority?

He briefly explained the patient’s general condition and Wu Ting’s diagnosis, then waited for Dean Liu’s instructions.

Dean Liu noted how young Wu Ting was, yet so calm and professional. He offered a word of thanks before leading Director Duan and Director Luo into the emergency room.

Director Duan gave Wu Ting a slight nod and gave up on the idea of inviting him to join.

First, his impression of Wu Ting was mainly centered on tendon repairs, appendectomies, and cholecystectomies. He didn’t think Wu Ting specialized in a complex case like a ruptured liver with massive hemorrhage.

Second, Wu Ting was from the same village as the patient, so it was best to avoid any potential conflicts of interest. The patient’s condition was not optimistic. If something went wrong and Wu Ting was part of the surgical team, it would only have a negative impact on him.

Third, Dean Liu had already taken over this emergency surgery, and Director Duan didn’t want to complicate matters. Dean Liu had a policy of not using people he didn’t trust. Given that he didn’t know Wu Ting, who was so young and also connected to the patient’s family, there was no way he would invite him to join the surgical team.

Of course, Wu Ting understood Director Duan’s and Dean Liu’s decision.

Inside the emergency room, Dean Liu, Director Luo, and Director Duan began emergency procedures, starting with an exploratory laparotomy.

To Dean Liu’s surprise, Dr. Du and the nurses, following Wu Ting’s prior arrangements, had already established an IV line for the patient and started a blood transfusion in a timely manner.

The patient’s blood pressure and vital signs had also been stabilized thanks to Wu Ting’s initial first aid.

In particular, hearing Dr. Du’s report describing Dr. Wu’s abdominocentesis and its results saved them a great deal of time.

’This young doctor’s fundamentals are quite solid.’

Dean Liu thought to himself with a bit of admiration, but he was currently preoccupied with the emergency.

Soon, the surgical team completed the abdominal exploration:

"Massive hemoperitoneum... The falciform ligament and parts of the left and right coronary ligaments, along with the liver itself, have a severe laceration extending all the way to the second porta hepatis..."

"The wound track is five centimeters deep, a partial through-and-through injury. The track is filled with blood clots. Probing along the track reveals that a finger can enter the retrohepatic inferior vena cava. Withdrawing the finger causes uncontrollable massive hemorrhage..."

Seeing the patient’s condition, the expressions on the faces of Dean Liu, Director Duan, and Director Luo turned grim. The situation was even more critical than they had imagined.

"Injury to the left hepatic lobe, the inferior vena cava, and the common bile duct... We’re temporarily controlling the bleeding with gauze packing, but because it’s a penetrating injury from a rebar, the wound track is too deep. It’s damaged major intrahepatic vessels, and the bleeding is too fierce. Choosing a method for hemostasis is difficult. This is tricky to handle..."

"Additionally, we also need to perform a partial resection of the crushed liver tissue and repair the common bile duct... The difficulty is just too high..."

Director Duan and Director Luo were, after all, only directors at Yu State Hospital. They laid their cards on the table: they couldn’t handle it.

Dean Liu’s forehead was also covered in sweat. For now, they could only control it temporarily with gauze packing, but this was by no means a long-term solution...

Comparatively, Dean Liu was a bit more skilled and proposed a plan:

"The preferred option now is to use the finger fracture technique to crush the liver parenchyma between the two ends of the wound track, exposing it for ligation of the ruptured bile ducts and vessels under direct vision... At the same time, we’ll resect the necrotic liver tissue!"

Dean Liu had more opportunities for advanced training. He had once studied and observed this kind of procedure in the hepatobiliary surgery department at Xiao City First People’s Hospital.

Listening to Dean Liu’s plan, Director Duan and Director Luo perfectly demonstrated the typical style of directors at a state hospital.

"Dean Liu, this method is sound in theory, but it requires a very intimate knowledge of the intrahepatic anatomy. Plus, it demands extremely precise control of the surgeon’s finger pressure... We understand the concept, but in actual practice, there’s a high probability of damaging vital structures... After all, the liver is rich with blood vessels..."

In short, their attitude was:

We understand it, but we can’t do it.

Your plan is brilliant, but we’re just not good enough.

Dean Liu looked at the two directors, sighed, and accepted the reality of the situation.

’It’s like feeding fine bran to a wild boar! These two... one’s technique is cruder than the other’s.’

He definitely couldn’t perform this kind of surgery alone; he needed assistance.

After a moment of thought, Dean Liu quickly made a decision:

"Go talk to the family. Given the patient’s current condition, our only option is to call in an expert from the provincial hospital."

Hearing they were calling for backup, the eyes of both Director Luo and Director Duan lit up. That would work!

"However, for a procedure involving hemostasis for massive liver hemorrhage, a partial hepatectomy, and the repair of the common bile duct, we’ll need to invite some truly top-tier experts."

"And an expert of that caliber... their consultation fee will be very expensive."

Dean Liu considered this. It was true. Huang Liangyu and Sister Hong looked like they were from a village in Yu State. They didn’t seem very educated and probably didn’t have much in savings.

Coming up with tens of thousands of yuan for an expert’s fee on the spot would likely be difficult for them.

"How about this: I’ll contact the provincial expert first to discuss the fee, and then we’ll negotiate with the patient’s family."

This was a classic move for Yu State Hospital. When calling in outside help, a major obstacle was always the expert’s fee, especially for a high-difficulty, high-risk emergency rescue like Sister Hong’s.

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