"Old Du, take care of yourself."
"Academician Du, have a good rest and prepare for surgery."
"Don't worry about your family. We'll help you take care of it."
Academician Du was really admitted into the ward. His colleagues, former students, relatives, and friends came one after another.
Speaking of which, most of the people who came to visit the patient were knowledgeable and sensible. When they saw that there were so many people, most of them just turned around and left. There were also some who helped in the ward, such as fetching hot water, receiving people, and communicating with the doctors and nurses … However, there were too many people, so the ward was always crowded with more people than it could handle.
Ling Ran ate the roast duck and returned to the hospital. He called Xu Wen to do a ward round to aid digestion. When he arrived at the single ward, he saw that the door was jammed.
"The doctor is here. Please make way." The visitors were very polite. They greeted each other and let Ling Ran and Xu Wen in. However, there were people talking along the way.
"Doctor, you have to worry more. Academician Du is the pillar of China's geology field …"
"Academician Du's body was so good in the past. Why did he suddenly die? Could it be a misdiagnosis? "
"Doctor, can Academician Du not undergo surgery for this tumor? He's so old. Surgery is very hard. "
Xu Wen could not help but look at Ling Ran. He often heard similar words, but Ling Ran was young after all …
Ling Ran walked into the ward quietly. He did not seem to be bothered by the people's words at all. For him, this level of chatter was indeed a little child's play.
In the past, there were people who rushed up while crying and waving flags. It was considered simple. When he met a girl who released a thousand paper cranes, he had to help her calm down in order to maintain the stability of the situation.
"Is the visiting time not over yet?" Xu Wen turned and asked the nurse who maintained the order inside.
The young nurse was flustered. "I asked them to leave, but they didn't leave."
Xu Wen hummed and said, "Say it again."
"Oh." The young nurse raised her voice aggrievedly and said, "The patient has to undergo surgery tomorrow. He should rest. Everyone should go back … "
"If the visiting time is extended, tomorrow's surgery will also have to be postponed. If it's too late, we won't be able to perform the surgery. We have to finish all the examinations before the surgery," Xu Wen then reminded.
Only then did everyone start moving.
"Alright then, I'll go back first."
"Academician Du, have a good rest. We'll come back later."
Academician Du also smiled gently and greeted everyone. On the surface, he looked like a kind old teacher.
"Doctor Ling?" When Xu Wen saw that all the visitors had left and only three family members of the patient were left, he put away his serious expression.
"I'll give you a physical examination." Ling Ran did not say anything else. He stood up and laid Academician Du flat on the ground.
The update of the Virtual Human required human contact.
Ling Ran just had to touch Academician Du again to update his Virtual Human.
Of course, before tomorrow's surgery, he would activate the Virtual Human again, and the duration would be longer. But based on his current experience, it might be better to first operate on two short Virtual Human and then operate on a relatively longer Virtual Human.
A blue human body appeared in front of Ling Ran.
Ling Ran did not even think about it. He extended his hand and asked for a Virtual Scalpel. He cut open the Virtual Human and took out the liver inside. He rubbed it with his hand, and the normal tissue was rubbed open, exposing the cancerous tissue that was wrapped around the liver.
Below the blue Virtual Human, Academician Du blinked. He did not understand what Ling Ran was doing with such a large movement.
The other people in the ward wanted to ask, but it was not appropriate for them to.
Xu Wen could see that Ling Ran seemed to be simulating a surgery. However, Xu Wen felt that it was impossible to say that it was a liver surgery. So, he could only watch quietly and treat it as part of Ling Ran's maverick behavior.
There were many maverick doctors, and it was not rare for surgeons to need a psychiatrist to consult them. Xu Wen felt that Ling Ran, who was a little special in front of him, was even more normal.
If he did things like ordinary people, had a very high EQ, and did not have any strange hobbies, Xu Wen felt that it would be really strange. As a professional disciple who had a lot of teachers, Xu Wen felt that such a teacher would definitely be very difficult to flatter.
Ling Ran himself did not care about other people's thoughts at that moment.
Based on his experience, a large number of people would definitely have a large number of strange thoughts. It was too difficult to take care of everyone, so it was better for him to do his own thing.
This was just like when he helped a young athlete who had fallen beside him during the sports day in elementary school, there would even be sobbing sounds around him, and water bottles would be thrown at him. And when he returned the water bottle to the owner, the sobbing sounds around him would become even louder.
Soon, Ling Ran understood that sometimes, there would always be people who did not understand or agree with him when he did things. However, when he needed to help others up, he still needed to help them up. When he needed to return the water bottle, he still needed to return it. He could not judge whether he was doing something or not based on how loud the sobbing sounds around him was, and whether he was doing something right or not.
At that moment, it was the right thing to do to open the Virtual Human and make a basic analysis based on its performance. This was the judgment Ling Ran made based on his own knowledge, experience, and logical thinking. He would not change his way of doing things because of other people's expressions and actions.
He used his hand to gently rub Academician Du's virtual liver.
Ling Ran focused on observing the depth of the invasion of the cancerous tissue, especially the situation of the invasion of the intrahepatic bile duct and portal vein system.
The main reason why liver cancer was called the king of cancer was that the liver had an extremely rich blood supply. To supply the whole body, the liver could be said to have used every cell related to blood. Correspondingly, there were also a lot of blood vessels in the liver.
If these blood vessels ruptured in the slightest during surgery, it would cause a lot of blood loss, delay the progress of the surgery, and then affect the outcome of the surgery.
Similar to heart surgery, liver surgery was also a surgery that was a race against time.
If the blood flow to the liver was cut off for one hour, it would be dangerous, and two hours was basically the limit. In fact, if the blood supply to the liver was cut off for one hour, it was already dangerous enough, and no doctor would pursue the limit in this aspect.
In actual operations, the mode of cutting off the blood supply to the liver for fifteen minutes, then recovering, and then cutting off the blood supply again was also very popular. The purpose was to reduce the impact of liver ischemia.
It could be imagined that in this kind of race against time surgery, if there was a problem with the major blood vessels, even if the chief surgeon had the ability to repair it immediately, it would still be very dangerous, and it would affect the outcome of the entire surgery. Furthermore, it would affect the length and quality of life of the patient.
In ordinary hepatectomy, the risk of blood vessels was so high that surgeons who had been practicing for ten years would not dare to handle it easily. When it came to liver cancer surgery, the risk of the intrahepatic blood vessels and bile ducts was even greater.
Cancerous tissue was easy to move, and the intrahepatic blood vessels and bile ducts that were infected by cancer cells would have an increased risk of spread. If the cancerous tissue could not perform its normal function, the probability of removing or damaging blood vessels would also greatly increase …
The difficulty of liver cancer surgery was that there were too many large blood vessels in the liver, and they were all interconnected and rich in nutrients. Even in the early stage of cancer, it was very easy for the cancer to spread to the blood vessels. Once the cancer spread to the blood vessels, even in the early stage of liver cancer surgery, it would become extremely difficult.
Just like Academician Du.
As an academician, he could go to any hospital in the country, and he could find any doctor in the country, but no doctor dared to give Academician Du a definite answer.
Academician Du was old, had many underlying diseases, and the tumor's location was not good. Moreover, it had invaded the portal vein system at a young age, so the complexity of the surgery was not inferior to that of a patient in the late stage …
It was only because Academician Zhu and Academician Du had a good relationship that he could recommend Academician Du with certainty.
Ling Ran held Academician Du's Virtual Human and thought for a full two minutes before he waved his hand and canceled the Virtual Human.
The location of the cancer could be seen very clearly through CT, MRI, and PET scans, but it was not so easy to deal with it.
"Doctor Ling, there's no problem, right?" Academician Du looked at Ling Ran, and he felt extremely guilty.
"No problem, rest well." Ling Ran nodded slightly and got up to end the ward round.
The Du family members were discussing in a low voice in the room.
Xu Wen lowered his head and looked at his phone before he caught up with Ling Ran and whispered, "Some doctors heard that Academician Du's surgery will be tomorrow, and they want to come and watch. Professor Feng Zhixiang will also come. Associate Hospital Director Wang wants to ask, do you want to make it a demonstration surgery? Or do you want to close the operating theater and refuse visitors? "
Different doctors had different behaviors in different conditions. Associate Hospital Director Wang was not familiar with Ling Ran, so he wanted to show his respect.
Ling Ran walked in the corridor and said, "You don't have to refuse visitors. You can also do a demonstration surgery."
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