Chapter 1384: The Demon King’s Heuristic Teaching

Chapter 1384: Chapter 1384: The Demon King’s Heuristic Teaching

(Thanks to Banbu Huahua for the monthly ticket encouragement)

"Teacher Liu, we’re all set."

As soon as Liu Banxia arrived at the operating room, Liu Yiqing hurriedly said.

"If everything is checked, let’s just start." Liu Banxia said.

Anesthetist Zhao Feng directly administered anesthesia to the patient.

"Oh... there’s no choice, don’t count on lunch today, let’s combine it with dinner."

Once the patient was successfully anesthetized, Liu Banxia said.

"Teacher Liu, what surgical method are we planning to use today?" Liu Yiqing asked.

"Take a guess." Liu Banxia said earnestly.

"Teacher Liu, don’t joke around, we also need a mental preparation." Liu Yiqing said.

Others may be wary, but Liu Yiqing and Xu Yino are not afraid of Liu Banxia.

"So the question is, what method to use? Based on what situation should we decide? Who wants to make the first incision and see what the abdominal cavity is like, or we might miss dinner too?" Liu Banxia asked.

"Zhang Pengfei will make the incision."

Liu Yiqing said, then stared intently at Liu Banxia.

"What are you looking at?" Liu Banxia asked.

"Waiting for your answer." Liu Yiqing said.

"Wrong, you should say ’what are you looking at’ back." Liu Banxia said earnestly again.

Not just the people in the operating room, even those watching from the observation room felt helpless.

"No kidding now, let’s get serious, Liu Yiqing just raised a small issue regarding today’s surgical approach choice." Liu Banxia said.

"Let’s have a live Q&A then; what surgical method is best for this operation? Feel free to speak up, this helps solve Liu Yiqing’s confusion and guides my surgical approach."

"So here’s the deal, whatever you say is what I’ll do. Ultimately, if the surgical method isn’t appropriate, it’s on you."

No one treated his words as a joke; he might actually follow through.

Of course, if you choose wrong, he won’t execute it, but he sure can tease and scare.

"Use your brains, think a bit. Liu Yiqing, tell us, why are we so troubled by choosing the surgical approach?" Liu Banxia continued.

The ball was kicked back to Liu Yiqing.

"This patient needs spleen preservation surgery, but we also need to check the actual situation of the pancreatic tail tumor, right? If there are adhesions or unclear boundaries, then the spleen can’t be preserved." Liu Yiqing said.

"Very good, you know the answer, so why ask me?" Liu Banxia retorted.

"Isn’t it because spleen preservation has two operational methods? It’s about cutting the splenic artery and vein while preserving the gastric-omental left vessels and short gastric vessels to supply blood to the spleen." Liu Yiqing said without hesitation.

"Huh? So spleen preservation actually has two methods? Learned something new. But why is there such an option?" Liu Banxia asked again.

Liu Yiqing paused, her eyes turning resentful.

Why ask in the first place, now she’s trapped again?

"Why is that?" Liu Banxia pressed further.

This time he wasn’t joking but asked very seriously.

Zhang Pengfei, who had already done the incision and inflation, dared not speak up either, and the operating room fell silent except for the sound of the instruments.

"I’ll treat you to chicken drumsticks tomorrow noon, whether to preserve splenic vessels depends on whether there are adhesions. If serious and hard to handle, they’ll have to be cut." Liu Yiqing said.

"For the sake of those chicken drumsticks, I won’t bully you." Liu Banxia nodded.

"So, our knowledge has to be used flexibly. Some of our surgeries have very wrong methods, but for patients, we should offer the most appropriate one."

"The pancreas is located very concealed, surrounded by many blood vessels, and this patient has a long medical history. Hence, until we clear and see the pancreatic tail, no one knows the best surgical method."

"However, we should consider spleen preservation and preservation of splenic vessels before the surgery. The rest depends on the findings during the operation."

"From this patient’s MRI, there’s a higher likelihood the tumor is benign, looks clean. But it’s uncertain; we need to check adhesions. Zhang Pengfei, report."

"Exploration reveals no fluid in the abdominal cavity, no adhesion, slight discoloration of the small intestine, distal pancreatectomy is feasible." Zhang Pengfei hurriedly reported.

"OK, proceed with the incision, prepare to clear. As punishment for Liu Yiqing, she’ll handle the initial clearance."

As he spoke, the atmosphere in the operating room relaxed a little.

This feeling was not just limited to the people in the operating room; even those in the observation room outside could sense it.

Just a moment ago, Liu Yiqing looked a bit pitiful, but now she was rejuvenated.

"Brother Wei, do you think this guy is serious because he hasn’t taught properly for a long time, he’s been out for an internship for too long, or has he become scarier?" Wang Chao asked in a low voice.

Upon hearing his question, the others perked up their ears, wanting to hear Wei Yuan’s insight.

However, Wei Yuan just shook his head with a bitter smile, "How would I know, but our Director Liu is truly like a director now."

Everyone was stunned for a moment when they heard this. After thinking it over, they nodded in agreement.

That statement wasn’t wrong. No wonder Liu Banxia’s demeanor earlier seemed so familiar.

When Zhou Shuwen got serious, it was the same. He gave off a chilly feeling, and no one dared to make eye contact with him.

That’s how Liu Banxia was just now, with a pressing interrogation that made everyone feel a little uneasy.

But look at Liu Yiqing now? She seems completely unaffected by that little situation earlier; she’s happily drifting away.

"Hey, I have a new question. So, does our patient’s small intestine obstruction need to be dealt with? Chen Dongmei, what do you say?"

Liu Yiqing was still in her daze when Liu Banxia suddenly asked again.

"Ah..., yes, no, no, no need. Actually, it’s already been dealt with, so no need now."

A slightly taken aback Chen Dongmei stammered.

"What are you so nervous about? I’m not asking you to buy me a drumstick," Liu Banxia said.

"Explain it to the interns because you’ll encounter similar situations frequently in the future. Like Liu Yiqing’s earlier question, there’s no definitive answer to what method to use or whether to deal with it."

"Why is that? It depends on the actual situation of the patient. If the bowel obstruction is caused by adhesions, we must deal with it first. If not, even if we decompress the stomach and intestines, it’s useless."

"If it’s because of a foreign body stuck in the intestines, we still need to deal with it. That thing most likely won’t pass through easily, so we can only cut and remove it."

"What if it’s already necrotic? Then we deal with the intestines first. Ignoring it isn’t an option because the problem will become very serious."

"But from the current exploration of this patient, our gastrointestinal decompression is very effective. Also, the bowel is only slightly discolored, which will improve as decompression time increases."

"Moreover, we initially judge that this patient’s bowel obstruction is caused by chronic pancreatitis. And this chronic pancreatitis is triggered by the mass in the tail of the pancreas."

"So we’ll soon see the true nature of this mass. If it’s benign, I don’t think we need to deal with the bowel obstruction anymore."

"By removing the source, restoring bowel motility, and providing decompression treatment, the body can fully recover on its own. Does everyone agree with my assessment?"

No one dared to respond to Liu Banxia’s question. They all knew he was baiting them, just waiting for someone to bite.

"Su Wenhao, why don’t you say something?" Liu Banxia said.

"It depends on the severity of the obstruction. If it’s a severe obstruction, even giving intestinal decompression and vegetable oil might not clear it," Su Wenhao said.

"See, only Comrade Su Wenhao said something truthful," Liu Banxia said earnestly.

"It’s such a pity, what a great trap. I thought I could add another pig’s trotter tomorrow. Why be so cautious? You need to play along with my act."

Everyone was speechless, thinking he’s up to mischief again? Luckily, Su Wenhao was attentive; otherwise, it would be easy to fall into his trap.

"Sigh..., this is probably his Socratic method of teaching." Wei Yuan sighed.

"Brother Wei, what do you mean?" Wang Chao asked curiously.

"Think about it; after today’s ordeal, doesn’t everyone understand the surgery process and the handling of bowel obstruction more thoroughly and remember more clearly?" Wei Yuan asked in return.

Wang Chao thought for a moment and nodded; it indeed seemed so.

Not to mention the others, even his own understanding of pancreatic tail surgery improved. Listening to Liu Banxia’s teaching unconsciously helped him remember it.

This is Liu Banxia’s talent: performing such a big surgery while casually teaching in a meticulously thoughtful way.

I truly have to admire him, even though I’ve always respected him, now it’s to an even higher level.

Earlier, I thought it was just Liu Banxia being playful.

It was like with Liu Yiqing earlier; despite the immense pressure, she was also rewarded. After discovering that the bowel obstruction was relieved, she could take her time drifting away without rushing.

It’s a rare training opportunity, no wonder the six interns improved so quickly.

Thinking about Liu Banxia’s number of surgeries and the opportunities they get, Wang Chao felt a bit envious.