American Medicine: I survived the death knell thanks to the devil.
Chapter 79 Wool Hats
Norepinephrine powerfully constricts peripheral blood vessels, forcibly squeezing blood back into vital organs such as the heart and brain.
Blood pressure slowly rose to 70, 75, and 82.
"Blood pressure is back to normal, 82/60."
"Keep an eye on it."
Lynn sped up the separation process.
The hepatobiliary triangle was finally fully exposed.
The cystic duct and cystic artery are clearly displayed on the screen, like two threads pulled from a tangled mess.
"Take a look."
Lynn removed the forceps, allowing Cassie to confirm the anatomical relationship.
Before cutting the tube in a laparoscopic surgery, two people must verify the procedure.
Cassie scanned the screen: "By confirming the cystic duct and cystic artery, there is sufficient safety margin between the duct and the common bile duct, so clamping can be performed."
Two titanium clips firmly grip the proximal end of the cystic artery, providing double protection.
One locks the remote end to prevent backflow.
The scissors snipped it in half.
The cut ends were clean and there was no bleeding.
The same three-clamp technique was precisely replicated on the cystic duct.
With the tubes cut off, Lynn began to peel the gallbladder off the liver bed.
The gallbladder grows close to the liver, and the necrotic gallbladder wall is stretched thin as a cicada's wing by the high-pressure pus, like a rotten grape that could break at any moment.
"The electrocoagulation power has been reduced to 20."
Cassie quickly reduced the power of the high-frequency electrosurgical unit.
Even a slight overflow of heat can puncture this membrane, causing high-concentration pus to flow back into the abdominal cavity.
Lynn manipulated the electric hook to precisely locate the loose connective tissue layer between the liver and gallbladder.
The last fiber broke, and the gallbladder detached completely.
"The abdominal cavity was rinsed with warm saline solution, and the puncture site was sutured."
Lynn dropped the equipment, took a half step back, and took off her sterile gloves.
On the monitor, as the source of infection was completely removed, the elderly woman's heart rate and blood pressure began to steadily return to their physiological baseline.
Lynn turned off the propofol infusion pump, cutting off the supply of anesthetic drugs, and glanced at the monitor.
Tidal volume and end-tidal carbon dioxide partial pressure are steadily increasing, indicating that the lungs are regaining control of gas exchange.
"Extubation will be done once spontaneous breathing has fully recovered and the swallowing reflex has been established."
A few minutes later, the old man's chest began to rise and fall more forcefully, and he experienced an instinctive coughing reflex.
Cassie decisively removed the endotracheal tube, turned the elderly man's head to one side, and used a suction device to clear the oral secretions to prevent aspiration.
The old woman hummed incoherently, her eyelids fluttered, and she slowly opened her eyes.
[Worldline complete]
[Reward: Skill "Deep Sleep - Beginner" has been issued]
The amazing skill is now in hand.
This means that you can suddenly have two extra hours of absolute wakefulness every day.
As skill proficiency increases, this benefit will continue to expand, enough to forcibly boost physical recovery efficiency under high-pressure conditions of continuous, extreme work.
Upon seeing his grandmother open her eyes, Tuko let out a joyful roar.
Outside the vehicle, red laser dots, moving wildly along the interior walls of the RV, all pointed straight down to the ground.
The "click" sound of the gun safety being released rang out repeatedly.
As soon as the airtight door to the sterile room was unlocked, Tu Ke suddenly yanked open the door panel and tried to rush inside.
Lynn raised her arm to block him: "She was just removed from the tube; her airway is extremely fragile. Do you want to strangle her?"
Tuco shrank back abruptly.
He looked at his grandmother, who had regained consciousness, from half a step away, and his whole body trembled violently as if he had been electrocuted.
"A miracle...this is fucking a miracle!"
Tuco grabbed Lynn's shoulder, so excited he was incoherent.
He reached haphazardly into the pockets of his flashy shirt and trousers, pulling out a handful of banknotes stained with cocaine powder and dried blood.
"Not enough! This is far from enough!"
Tuco turned and roared at his henchmen outside the car door, "Empty all the money off you! Now!"
The dozen or so drug dealers were so frightened that they frantically searched their pockets, and even ran back to their car. With great difficulty, they managed to scrape together a large pile of crumpled banknotes and handed them into the car with trembling hands.
Tuco pushed the entire pile of cash in front of Lynn, which amounted to at least forty thousand US dollars.
"Take it! Doctor! It's all yours!"
Tuco grinned, his gold-plated front teeth gleaming under the overhead light, his laughter filled with extreme excitement.
Lynn took out disinfectant wipes from her pocket and carefully wiped her hands.
Then, he precisely counted out $25,000 from that pile of money.
He pushed the remaining money back.
"Twenty-five thousand."
"Twenty thousand is the price of the surgery, and five thousand is compensation for your previous recklessness."
Lynn looked into Tuco's eyes, her tone completely flat.
"This is my offer. I won't take any extra money, nor will I owe anyone any favors."
Tuco was stunned.
In the South Bronx, no one dared to refuse Tuco's money, and no one dared to talk to him about the rules.
He stared intently at Lynn's indifferent face for a full ten seconds.
Suddenly, Tuco smiled.
"Funny, you're a fucking funny guy."
Tuco pushed the remaining money back to his underlings, his gold-plated front teeth gleaming under the light.
He patted Lynn on the shoulder and turned to walk out of the car.
Halfway there, he suddenly stopped and looked back at his grandmother lying on a stretcher in the sterile room.
The old woman's breathing was steady, and the numbers on the monitor were fluctuating regularly.
A devout gentleness appeared on Tuko's face.
He tiptoed to the car door, carefully stepped off the footrest, and even held onto the door frame with his hand, afraid of making too much noise and waking his grandmother.
After landing, he turned around and gently closed the car door.
Click.
The door was closed securely and quietly; a considerate grandson closed the bedroom door for his sleeping grandparents.
The underlings were standing two steps away from the car door, hunching their shoulders and waiting for instructions.
Tuko walked toward them and opened his arms.
"You've worked hard, brothers. My grandmother was saved thanks in part to you."
He put his arm around one of his underlings' neck and pulled him closer to his chest.
The younger brother forced out a fawning smile.
Tuco pressed his right hand against the back of his head.
He flipped his left wrist.
The blade is pulled horizontally.
Cassie is very careful about maintaining the RV; she keeps the windows sparkling clean.
Through the spotless glass, she could see everything happening outside clearly.
Blood was squeezed out directly from the wound on his younger brother's neck by the pressure of the artery.
The first spray landed on the outer wall of the RV door, flowing from the bottom edge of the window all the way to the wheel hub.
The second jet traveled even further, hitting the hood of a black SUV and splattering into a patch of dark red specks.
The younger brother gripped his neck with both hands, and blood oozed between his fingers.
The severed trachea made a "ha-ha" sound as it leaked air, like a crushed plastic bottle squeezing out its last breath.
He staggered back three steps, his knees buckled, and he knelt on the asphalt road before falling straight forward.
His face slammed into the ground, and the sound of his teeth breaking could be heard even through the car door.
The seeping blood made the brim of the red woolen hat even more vibrant.
The henchmen standing around immediately took three steps back.
Recently, a bald young man had his shoes covered in splattered blood.
Sachs raised his M45A1 the moment Tuco made his move.
Tuco didn't even look at him.
On the side of the glass window, Cassie, worried about disturbing the patient, tried her best to control herself and didn't make a sound from beginning to end.
She bit through her lower lip with her teeth, the metallic taste filling her tongue, and her fingernails dug four crescent-shaped marks into her palm.
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