When the Doctor Uses A Hack-Chapter 804: Mother’s Self-Blame (Part Three - The Tiger that Walks Like a Cat for the Alliance Hierarch, Extra 1)

Watching a five-year-old boy pretend to be strong, with teary eyes and a smile, Chen Cang couldn't help but turn around, visibly moved.

But the little boy's mother, Qin Fang, could no longer hold back, and ran over to hug her child tightly, breaking into inconsolable sobs.

The little boy, seeing his mother cry, suddenly froze, seemingly startled.

"Mommy... I'm fine, really!"

Qin Fang, unable to speak through her tears, eventually managed to sob out, "Silly child, you are mommy's treasure, how could mommy ever abandon you?"

"Don't listen to their nonsense! Mommy has never said she didn't want you. Mommy is earning money for you, to buy you good food, a new house, toys!"

"Mommy has never thought of abandoning you, from now on, mommy will never again leave your side."

Qin Fang's husband, the father of the little boy, was somewhat reticent but hugged his son and Qin Fang, "Daddy swears, our family will never be separated again!"

…

…

With the comfort from both his parents, the little boy also realized that he needed surgery.

His big eyes fixed on his parents, "Mommy, daddy, does the surgery cost a lot of money... Grandpa and grandma are reluctant to even buy medicine, they say it's too expensive."

Qin Fang, looking at her sensible child, took a deep breath, "Child, nothing is more important than you, earning money is all for you to spend. If you ever feel unwell, you must tell mommy immediately, it would worry me to death!"

The little boy remained silent.

"Moreover, the longer you delay, the worse the illness gets, and more money will be spent, you hear me?"

The little boy didn't grasp much else, but the idea of spending more money, he understood very well!

In his young heart, he had learned things that other children had not.

At that moment, the results of the little boy's tests and chest X-rays were available.

Chen Cang looked at them and furrowed his brow immediately.

Heart failure was quite serious!

The X-ray results showed: an enlarged shadow of the left atrium and left ventricle in the posteroanterior view; a double atrial shadow could be seen at the right heart border, indicating pulmonary congestion!

Chen Cang sighed a breath of relief; thankfully there was no right ventricular hypertrophy or end-stage heart failure, which would have been a real problem.

However, such serious heart failure at such a young age was something Chen Cang had never seen before.

Looking at the little boy lying in bed so sensibly, not moving, his eyes full of resolve.

Chen Cang suddenly felt a string in his heart being touched!

For this surgery, Chen Cang was determined to give it his all, to do it well, to do it perfectly!

Such a sensible child needed a healthy body!

Perhaps this was the value of a doctor's existence?

To grant patients the right to enjoy life!

Nurse Yang Jie wheeled the child to the operating room, comforting the little boy all the way.

The boy remained silent from start to finish; it was unclear whether he was frightened or what!

Beneath the blanket, the child's hands, tightly gripping the bedsheets, betrayed him: at this moment, he was more nervous than anyone else, more scared than he had ever been!

Because he yearned for happiness, for companionship; he did not want his joy to be so fleeting.

He feared losing it all at once...

…

…

Inside the operating room.

Zhang Yuan and Yang Hui followed in, washed their hands, donned their surgical gowns, and held their hands in front of their chests, not daring to move.

Chen Cang was discussing the patient's condition with the anesthetist, awaiting the start of the surgery.

The anesthetist was a forty-one-year-old associate chief physician, very experienced.

Any surgery is a test of both the surgeon's and the anesthetist's skills, and the choice of surgical procedure for special patients currently largely depends on the surgeon's and anesthetist's mastery of the technique, as well as having specialized retractors, fixators, and such.

Of course, as a national emergency center hospital equipped with top-tier hardware and software, there was no need to worry about these conditions.

But one thing did require the active cooperation of the anesthetist.

After discussing the patient's condition, Chen Cang looked at the anesthetist and said, "Dr. Zhou, the child is very young, and the heart failure is severe, even co-occurring with low cardiac output syndrome. If we opt for cardiopulmonary bypass, it will evidently bring adverse complications to the patient. Even if the surgery is completed, the impact of the complications is very serious; therefore, I would like to choose a mitral valve plasty procedure without arrest!"

As soon as he finished speaking, the room fell silent!

Everyone looked at Chen Cang in shock!

Mitral valve surgery without cardiac arrest?

That was quite a bold move!

Zhang Yuan and Yang Hui beside him were even more starry-eyed; the master was truly extraordinary... Mitral valve surgery without stopping the heart, wasn't that too impressive?

The anesthetist, Dr. Zhou, upon hearing Chen Cang's words, suddenly changed his expression and without any hesitation, flatly refused, "I disagree!"

Indeed, anesthetists and surgeons are sometimes like grasshoppers on the same rope; they cannot act alone, they must cooperate.

Of course, there's a clear division of responsibility if a surgery fails.

But no one is willing to perform such an uninsured and even risky operation.

Dr. Zhou understood what Chen Cang meant; he knew the dangers of cardiopulmonary bypass machines.

But those were just possible complications!

While Chen Cang's choice sounded good, the patient might not survive the operation directly!

Years of work experience told him that taking risks in medicine just doesn't work.

Looking at Chen Cang, Dr. Zhou directly refused, without a moment's hesitation.

Chen Cang, upon hearing this, was suddenly rather anxious.

"Teacher Zhou, the child he…"

Before Chen Cang could finish his sentence, Dr. Zhou cut him off: "I know!"

"But do you realize how great the surgical risk is? Operating on a beating heart, one careless move could damage the heart, can you control the major bleeding that would ensue? Surgery isn't about doing the best operation, but choosing the most reliable technique!"

"To the patient, that is what being responsible means!" Dr. Zhou fervently refused Chen Cang.

Chen Cang, too, was anxious and shouted, "Yes! You're right, that would be the safer choice, but what's the point?

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Living a lingering, incomplete life? With no quality of life at all?!

Even if the surgery is successful, it will result in a body further weakened by heart failure. The prognosis for later on is very poor, and the gap between him and normal kids will only keep growing. What's the meaning of such a surgery?"

Dr. Zhou turned and stared at Chen Cang: "At least he would still be alive! Can you guarantee that you can successfully perform the mitral valve plasty without stopping the heart?"

Chen Cang, on impulse, said: "I can!"

Everyone around was stunned, and Dr. Zhou too took a deep breath, looked down at the little boy, sighed, and seemed to waver.

Chen Cang, realizing that he had been too impulsive, took a deep breath and said to Dr. Zhou, "Sorry, Teacher Zhou, I got a bit carried away."

Dr. Zhou shook his head: "An academic dispute isn't the same as a quarrel!"

You haven't seen Ma Yuehui and Yu Yonggang raising their voices in the operating room when they disagree. They can shout so loudly it's like a fight, enough to scare someone!

Just as Chen Cang had said, the complications from the heart-lung machine were all too apparent. With such indicators to proceed with the heart-lung machine, what good would a successful surgery do?

But, mitral valve plasty without stopping the heart? Zhou He had barely heard of a few cases in the entire hospital, only a few who did coronary artery bypass graft surgery without stopping the heart.

The surgery that first adopted the beating-heart technique was coronary artery bypass grafting, but that only involved the exterior of the heart without opening it!

But what about mitral valve plasty? It requires opening the atrioventricular septum for repair!

The difficulty was more than one level higher!

Dr. Zhou did not trust Chen Cang very much; he was just too young, and it was such a highly difficult, high-risk, and demanding surgery!

He did not believe Chen Cang could do the surgery well.

Perhaps he did not understand Chen Cang well enough.

Looking at Chen Cang's resolute voice, Dr. Zhou was somewhat startled himself.

Dr. Zhou walked aside, picked up the surgery consent form, glanced at the signature on it, and said, "Call Team Leader Ma and Director Yu to see what they say. If they agree, I'll do it!"

When Chen Cang heard this, his eyes lit up. He took off his gloves, nodded at Dr. Zhou, and said, "Thank you! Thank you, Teacher Zhou!"

He then picked up his phone and made a call to Ma Yuehui: "Team Leader Ma, I have something to tell you, there's a little boy… I'm preparing to perform… mitral valve plasty without stopping the heart!"

Ma Yuehui had just successfully resuscitated a patient and was in a car on his way back to the hospital. He was still feeling quite satisfied from the successful resuscitation!

But... after hearing Chen Cang's phone call, he was so startled his blood pressure skyrocketed!

"What? Mitral valve plasty without stopping the heart? No, no! Wait for me! Don't do anything, I'll talk when I get there, I'm on my way back now!"

Ma Yuehui was nearly scared to death by Chen Cang!

He thought to himself, you just got your surgical privileges and now you're doing this kind of surgery!

Is that appropriate?

You little rascal!

Don't you know I'm the one who signed...?

Ma Yuehui was extremely anxious inside.

With trepidation, he glanced at the driver, Old He: "Old He, drive faster. This kid, Chen Cang, really doesn't give me peace of mind!"

Xu Aiqing, who was sitting beside him, curiously glanced at Ma Yuehui: "What's going on?"

Ma Yuehui said, helplessly: "This kid wants to do a mitral valve plasty without stopping the heart!"

Upon hearing this, Xu Aiqing was also instantly dumbstruck!

…

Chen Cang then made a call to Yu Yonggang: "Director Yu, there's a patient…"

After Chen Cang finished explaining, Yu Yonggang, who was in the middle of a surgery, had a nurse answer in speakerphone mode!

Chen Cang's words immediately caused several senior doctors to be shocked!

Yu Yonggang glanced at the nurse somewhat dumbfounded. The nurse also felt wronged; why was it so awkward lately to answer calls and read text messages for Director Yu?

Yu Yonggang, with a stern face, said, "Which operating room? Wait for me!"

Then, he put down his scalpel, looked at the other directors nearby: "You continue, I'll go take a look!"

After saying that, he got up and headed to the operating room where Chen Cang was!

Over on the other side, the chief of thoracic surgery suddenly felt an irresistible itch; after all, the appeal of a mitral valve plasty without stopping the heart was too strong!

It was much better than the current sternum fixation!

The steel rod thoracotomy surgery he was doing suddenly lost all its appeal!

As soon as Yu Yonggang left, the directors looked at each other: "Since when did Old Yu have such a brilliant doctor under him?"

They all shook their heads!

"Let's finish up quickly, and then I'll go see that surgery!"

They all nodded in unison!

…

ps: Hehe, I wrote a bit more to make up for the part that was missing before, thank you for your concern.

Thanks to "You Can Achieve Great Things" for the 120,000 rewards, thank you!

Thanks to "Lighter Than a Feather," "Shenghui," and "Seven Years Guarding The Border" for the 10,000 rewards, thank you all.