The anesthesia step was successfully completed, the patient on the operating table has been fixed, and the surgical site has been sterilized. "The operation has started, please everyone." said the chief surgeon, Yuangong Chengyi.His voice was as clear and loud as ever. Himuro Yuki stood opposite Yuan Palace, paid him attention, took a deep breath quietly, and told himself not to be nervous.Of course, it's pointless to just think about something, so that you can't concentrate on what you should do. The content of the operation is coronary artery bypass surgery, and it is off-pump assisted coronary artery bypass surgery "Off Pump CABG", which means that the operation is performed while the heart is beating without using an artificial heart and lung, and it is generally called OPCAB.

Xi Ji's important task was to remove the radial artery of the patient's left arm.In this case, the artery is called a graft and is used as a bypass vessel.Although there are arteries in the inner wall of the thoracic cavity, when Yuan Gong asked Xi Ji which one to use, Xi Ji answered the radial artery.The radial artery is thicker, and more importantly, this patient has diabetes. If the internal mammary artery is used, it may cause mediastinal cavity inflammation after surgery.The instructing physician nodded at her answer. Of course, Xi Ji had informed the patient in advance that he would remove the artery from the other's left arm.

"It will leave scars, is that okay?" The seventy-seven-year-old smiled brightly at her question. "What are the multiple scars on the arm at this age! Besides, there will be scars on the chest!" Of course - she replied. "In this case, choose the best method that the doctor thinks. I trust the doctor." It is said that the old man has a granddaughter who is the same age as Xi Ji. From the very beginning, the old man has been very kind to the young female resident doctor.When most of the patients saw Xi Ji, there was a suspicious expression on their faces, and sometimes some patients expressed their desire to change to a male doctor.However, this old man can be said to be an exception.

Xi Ji successfully removed the blood vessel, and Yuan Gong performed the fixed anastomosis and anastomosis of blood vessels.He is one of Xi Ji's guiding physicians, and he is highly skilled.Xi Ji watched intently, trying to steal some tricks, but Yuan Gong's movements were so fast that she couldn't keep her eyes open. After hemostasis, a catheter was inserted, the sternum was reset, and the fascia, subcutaneous tissue, and epidermis were sutured, and the operation was completed.The underarms are usually sweaty, and the back of the neck is also common.It has been two weeks since Xi Ji officially participated in heart surgery, and she is still not used to it.

The patient was moved to the intensive care unit for postoperative observation.In fact, starting here is the longest.It is necessary to monitor the patient's blood pressure, urine, electrocardiogram, etc., while adjusting the respirator and medication.Of course, there will be situations where the condition changes and a second operation is performed. Xi Ji stared at the ECG monitor, watching, knowing that her consciousness was gradually blurring. Oops, I need to pull myself together. She tried to stay awake, but her head went numb intermittently. Suddenly, feeling weak in her knees, she paused and raised her head abruptly.He seemed to have dozed off just now, and Yuan Gong in front of him was laughing.

"Princess, it seems to have reached the limit." With white teeth showing between two thin lips, this smiling face has fascinated many nurses.Yuan Gong is thirty-five years old, currently single, loves tennis, and has a tanned complexion all year round. Xi Ji shook his head. "I'm fine." "You also had an emergency operation yesterday, so you didn't sleep much, go and have a rest." "I'm fine." "I have a relationship." Yuan Gong's smile disappeared, and his eyes became stern. "A doctor who doesn't work isn't a doctor. The thought of someone being unreliable makes me sick."

"It doesn't matter anymore, I can rely on it." "It's up to me to decide whether you're reliable or not, that's why I asked you to rest. Come back after you have had enough rest, so that I can handle things better." Xi Ji bit her lip.Seeing her reaction, Yuan Gong smiled again and nodded slightly. Sadly, he was right.Since he dozed off during the postoperative observation, there is no rebuttal. "Then, one hour is enough for me." With that, she stood up. As she left the intensive care unit, she saw nurse Nomomo Mase.Mase, who is petite and round-faced, seems to be a kind and friendly person. When meeting in the hallway and other places on weekdays, the other party will always smile, and it is the same now.

Xi Ji stopped and told the other party that she was going to take a nap in the duty room, and asked the other party to wake her up if anything happened. "Doctor, it's hard work! Haven't you been operating all the time? There were three residents before, and now only Doctor Himuro is left." Nozomi Mase is twenty-one years old.It may be because he has the lowest seniority that he has a close relationship with Xi Ji. He treats Xi Ji very well on weekdays, and almost handles routine tasks such as sorting out subpoenas for her. "How can I just fall down like this!" Xi Ji smiled wryly.

Xi Ji lay down in the duty room, but the Sandman who was supposed to attack did not come.I thought I must sleep, but instead put pressure on myself, there was nothing I could do about it. After graduating from Teito University's Faculty of Medicine last year, she studied at the same university hospital.So far, I have studied in internal medicine, surgery, emergency and other departments, and my current department is cardiovascular surgery. This department is Xi Ji's ultimate goal. She was not at all moved by "finally come here", but felt strongly "Why am I still in this place".Even if the training is successfully completed, it is not necessarily possible to become a cardiovascular surgeon.After graduation, students must experience a minimum of seven years of tempering, and must also actively participate in the society.Even though what I do is only an assistant-level job, I feel that my physical strength has reached its limit, so I can't realize my dream.

"I want to be a doctor, and when I become a doctor, I want to save people like my father." In the evening of that autumn, Xi Ji, who was in the third year of junior high school, declared this to his mother Lily Hui.Lily Hui's shocked expression, Xi Ji still remembers it clearly. Shortly before that, her father Kensuke Himuro passed away.My father had a huge aneurysm in his chest cavity, but the operation to remove it did not go well.It is said that Kensuke knew beforehand that the operation was very risky and was mentally prepared. Since Xi Ji came to the Department of Cardiovascular Surgery, she has seen several patients with large aneurysms.It hurts to think that they suffer from the same disease as their father.Although the mood of wanting to be cured is the same as that of treating other diseases, when these patients undergo surgery, Xi Ji is a little more nervous.

Fortunately, all surgeries have been successful so far.Seeing the reassuring expressions of the family members, and more importantly, seeing the patient's recovery, Xi Ji also breathed a sigh of relief from the bottom of his heart. However, another completely different idea also occupied her heart at the same time. Save people like Dad—the words come from the heart.However, she has another, bigger motive, only one that must not be discovered by others.Needless to say, the instructing doctor, she even kept it a secret from her mother. When she woke up, she didn't know where she was for a moment, but when she remembered that this was the duty room, she had been in a daze for a while under the blanket.When she reached out to touch the alarm clock, her eyes widened immediately. It was already half past six in the morning. She planned to take a nap, but it was dawn. She quickly jumped out of bed, washed her face in a hurry, and rushed to the intensive care unit.Because no one woke her up, it should be that the patient is fine, but Yuan Gong's words made her feel uneasy-the resident doctor who was exhausted due to lack of sleep was unreliable, and it was not impossible to turn to other doctors for help.If this is the case, then she will be ashamed. However, Yuan Gong was nowhere to be found in the intensive care unit. When I asked the nurse present, he said that he had gone back around four o'clock and that the patient was fine. "The doctor told me that if anything happens, go and wake up the princess in the duty room." The nurse said with a smile. Xi Ji smiled in embarrassment and was relieved.It seems that Yuan Gong finally regards Xi Ji as a useful person. The patient who underwent surgery yesterday is in stable condition.Xi Ji went to the hospital store to buy sweet bread and canned coffee, and finished breakfast while reviewing the blood drawing and other materials. After that, he came to the ward and started rounds.Xi Ji is currently in charge of eight patients, all of whom are over 60 years old.Most people's hearts start to go wrong at this age. Yoshie Nakazuka, who is about to turn seventy-nine, was hospitalized three days ago with a large aneurysm in her abdomen.The tumor is about the size of an egg.Although it depends on the diagnosis, the success rate of surgery for large abdominal aneurysms is high, and surgery is usually performed immediately. Seeing Yuki, Nakazuka Yoshie blinked uneasily. "Has the date of surgery been decided?" She always asked this question first, presumably because she was very concerned. "We are still talking with the attending physician. We will decide based on Ms. Nakazuka's physical condition." Xi Ji took her temperature and it was a little high. After telling Yoshie Nakazuka, her face darkened. "Or because of the liver?" "It's very likely, and there will be another blood test later. Is your family coming today?" "My daughter and son-in-law should come." "Then, when they arrive, please inform the nurse that Dr. Yamauchi wants to discuss the future with you." Nakazuka Yoshie nodded silently, feeling frightened, not knowing what the doctor was going to say.Xi Ji squeezed out a smile again, said "I'll come back later", and left the hospital bed. Correctly speaking, it wasn't her liver that was at fault, but her bile ducts.Her bile duct was inflamed and a large aneurysm was discovered during the examination.Moreover, what she suffers from is not pure cholangitis, she may be invaded by cancer cells, so this aspect must be dealt with as soon as possible. Cancer or aortic aneurysm, which operation to perform first is the most difficult question to decide.Attending surgeons discuss this issue on a daily basis, but have not yet reached a conclusion. They have informed Yoshie Nakazuka's daughter and son-in-law of all the circumstances, and they have asked whether the two operations can be performed at the same time.It is not difficult to understand the mood of the patient's family members who intend to do their best, but as a doctor, I can only affirm that it is absolutely impossible.One of the operations alone would cause a huge physical burden on the elderly Yoshie Nakazuka, not to mention that it was technically impossible. No matter which operation is performed first, she has to wait until she regains her strength to perform the other, and it must take a long time. The problem is that the disease in the body changes during this time. The cancer will grow, and the large aneurysm will continue. Expansive, both have time limits. When Xi Ji returned to the desk to sort out the chronic stable of Yoshie Nakazuka, her attending physician Hajime Yamauchi appeared, and he was also her supervisor. Ten years old. "Doctor Himuro, you have gum in your eyes." After being told by Yamauchi, she quickly reached out to touch it, and then realized that this was impossible. She washed her face as soon as she woke up. "I heard that you also slept in the duty room yesterday. If you sleep without removing your makeup, your skin will get worse!" Xi Ji glared at him, but would not be angry.Yamauchi was famous for being considerate of the residents, and he also knew that Yuki never wore makeup. "Anyway, I'm so old, I don't know what will happen to cancer." After Yamauchi muttered, he looked at Xi Ji as if thinking of something. "By the way, the professor is looking for you and wants you to go to his office." "Professor Xiyuan is looking for me..." "I went to file a complaint, so he might read you, don't hate me!" Yamauchi raised his palm to her and made an apology gesture. Xi Ji secretly took a deep breath, got up from his seat, and walked along the corridor to the professor's office on the same floor.She clenched her fist unconsciously, sweat dripping from her palm. Taking another deep breath in front of the door, he knocked on the door. who?Xiyuan's voice came from inside, his baritone voice hadn't changed for more than ten years, at least that's how it sounded to Xi Ji. "I am Himuro, the resident physician." She answered, but there was no response from inside.When he was surprised, the door opened suddenly, revealing the smiling face of Hinata Nishizono, with his mottled hair combed back. "Sorry, I called you here when you were busy. Come in!" Xi Ji said "excuse me" and stepped into the office.This is the first time she has entered this room. The computer screen on the desk is displaying three-dimensional images (3D), and four chest X-ray pictures are hung side by side on the whiteboard next to it. "I heard that you have been in the operating room for two consecutive days." Xiyuan asked as he sat down. Yes - Xi Ji replied standing up. "Dr. Yamauchi performed the emergency operation the day before yesterday. Is there anything impressive about it? I heard you were standing opposite him?" It means standing in front of the chief surgeon. "Yes. I was just minding my own thing and spent a lot of time stopping the bleeding." "Well, I heard that it was a sudden bleeding, so you turned your face away." Xi Ji didn't answer.She had no recollection, but she couldn't be sure if she had done so. "It usually does at the beginning. But you must never forget that bleeding is the last warning sign. If you don't see the bleeding site, the patient will die. Remember, you must never take your eyes off the bleeding site, you know?" "Yes, I'm sorry." While apologizing, he realized in his heart that the complaint Yamauchi mentioned referred to this matter. Xi Yuan leaned back in the chair, and the chair creaked. "Okay, that's all for the lecture. How's it going? Are you used to cardiovascular surgery?" "Everyone has been very nice to me. But I still have a lot to learn and keep causing trouble for everyone." Xiyuan laughed out loud. "You don't have to be so reserved. Sit down first, or I won't be able to talk." There was another chair in the room, and Xi Ji said that she was being rude, so she opened the chair and sat down, putting her hands on her lap. Xiyuan looked back at the X-ray. "It's from the patient who was hospitalized the day before yesterday. What do you think?" "Is that the patient in the VIP ward?" Xi Ji said. "It looks like a hemangioma, and it's pretty big." "Seven centimeters in diameter." Doctor Xiyuan was very satisfied. "The first time I saw it three months ago, it was only five centimeters." "Does the patient have any symptoms?" "It is said that sometimes I can't make a sound, and my voice is hoarse and broken." "What about sticky?" "what?" "Is there stickiness in the arteries?" Xiyuan stared at Xi Ji carefully and shook his head slowly. "I don't know, maybe there is. The image can show the state of the blood vessels, but which parts are connected together. There is no way to know without a chest operation. This is the patient's information." Xiyuan showed her the medical records. Xi Jiqian thanked and took it over, and looked at a few numbers. "High blood pressure." "Atherosclerosis is very serious, and it is the result of not keeping healthy. At the age of sixty-five, he has not given up smoking or drinking at all. He eats a lot, and in terms of exercise, he can only ride golf carts to accompany guests to play ball. Of course, the blood vessels cannot bear it, and there are not many complications. It's a miracle." "When is the surgery scheduled?" "It depends on the results of the inspection. If it's quick, it will be done next week. Regarding this, I have a suggestion." Xiyuan sat up straight. "I want you to be my second assistant." "me?" "Don't want to?" "Where, I am willing. I will work hard." Xi Ji nodded. Xiyuan looked at her, nodded, and said "That's right", his tone had changed. "Have you been in touch with your mother recently?" Xi Ji felt a sense of surprise, never expected that he would mention Bai Hehui so simply, and was speechless immediately. "Didn't keep in touch?" he asked again. "Uh, occasionally I call..." "Really?" Xi Yuan raised his mouth and tilted his head. "It's totally different from what I heard." Xi Ji looked back at him.This sentence implied that he and Bai Hehui often met. "Did my mother complain to the professor?" Xi Ji asked. Xiyuan smiled wryly. "That's not the case. But I can hear it in the conversation, because your mother asked me a lot about you. If you often contact her, it shouldn't be like this." Xi Ji lowered her head, and the scene of Lily Megumi and Xiyuan dining in a certain restaurant appeared in her mind.But for some reason, the appearance of these two people is the same as ten years ago. "What else do you have today?" Xi Yuan asked. Why did the professor ask such a question, Xi Ji felt strange while sorting it out in his mind. "There are patients who are being discharged from the hospital, so I want to write an abstract. Then there are some clerical tasks." "No surgery?" "nothing now." "Well, Yamauchi is here today, and Yuan Gong should come later." Xiyuan looked up at the ceiling with a thoughtful expression, then said "OK" and nodded. "Today you get off work at five o'clock, then get ready and arrive at Akasaka at seven o'clock." "Akasaka?" Xiyuan opened the desk drawer, took out a business card from it, and handed it to Xi Ji. "Go to this store. I'll contact your mother." The name of the restaurant and a map are printed on the business card. "Professor, thank you for your kindness. However, when I want to see my mother, I will find her by myself. You don't have to bother..." "You can see as much as you want now!" Xiyuan said, "Resident doctors don't have Saturdays and Sundays, and they don't even have time to go back to the dormitory five minutes away. Even if they go back, they will still be called back by the first call. These I know it all. If you don’t do this now, your mother might not be able to hear you before the training is over.” "I see. I'll call my mother tonight, then." "Ice Room." Xi Yuan crossed his hands in front of his chest and stared at Xi Ji. "This is an instruction, the professor's instruction, and it can also be said to be the guidance for the resident physician." Xi Ji lowered her eyes, holding the business card in both hands. "I will explain to Yamauchi and Yuangong first." "But, I'm the only one who gets special treatment, or not..." "In the past I also forced residents to take time off and meet with their families, not just you, make no mistake." After hitting a big nail, Xi Ji had nothing to say, so he could only reply in a low voice, I know. After leaving the office, Xi Ji let out a big sigh.Although the time to go in was short, I felt very tired. Back in the ward building, when she was processing the summons for surgery, someone patted her on the shoulder from behind, it was Yuan Gong. "I just heard from the professor that you should get off work at five o'clock today! There should be no problem in the intensive care unit." "Sorry." "Why do you apologize? Professor Xiyuan pays great attention to the mental care of residents, and the professor also cared about me during my training." "Doctor Yuangong," Xi Ji hesitated, but decided to raise the question he had been having all along. "Why did you choose Imperial Capital University?" "Me? It's such a difficult question. To be honest, I didn't think much about it. My own strength, social evaluation, the result of many factors, right? What about you?" "I...me too." "Your volunteer is cardiovascular surgery, right?" "yes." "In this case, it is right to choose our university, so that you can study under him." "Professor Xiyuan?" "Yes." Yuan Gong nodded. "Even if I can only secretly learn his skills, I am very happy. Not only the skills, but I think that as a doctor, he also has an excellent personality." "You respect the professor very much." "Respect... well, it should be. Do you know why he is a heart surgeon?" "have no idea." "He was born with a heart disease. I heard that he had many operations when he was a child. He believes that he can live until now because of the gift of medicine." "So..." Xi Ji never knew. "In fact, his physique should not be able to withstand such a tiring job, but with his belief in repaying gratitude to medicine, self-control, and physical exercise, he was able to be active in the forefront of cardiac surgery for decades. Don't you think it's amazing?" Xi Ji nodded, feeling very complicated.She also knew that Xiyuan was an excellent doctor, but because of this, she couldn't let go. How could such a famous doctor... How could he not save his father?She couldn't help thinking about it.