All Chapters of After the Divorce, I Became a Super Doctor: Chapter 71
- Chapter 80
177 chapters
Chapter 071
The first assistant moved. A second Jackson-Pratt drain was placed. Greenish fluid began collecting, bile that had no business being outside its duct."Fix the reconstruction. Check the anastomosis."They checked. The primary anastomosis looked clean. The leak was coming from a smaller branch, not from the main suture.Vance repaired it in four minutes.But when he finished, the numbers on the monitor didn't come down.Portal pressure: eighteen.The collected biloma fluid didn't stop accumulating despite the drain being in place. The volume was increasing too fast. And within that fluid collection, ultrasonography showed the expanding biloma beginning to compress the adjacent portal vein branch, a secondary occlusion exactly categorized as a risk by someone whose name Vance did not want to think about right now."Liver function panel. Now."The point-of-care results came back two minutes later.AST: 847. ALT: 923. Total bilirubin: 4.2.All outside normal range. And not by a little, by
Chapter 072
The Ashford family's jet was already on the runway when Caelan and Dorian arrived at Velmont's private airport.No queue. No departure procedure that took longer than necessary. They boarded, the door closed, and wheels left the ground in a time that made commercial airports look like institutions with a very poor relationship with the concept of efficiency.Inside the cabin, Dorian didn't say much. Neither did Caelan.Caelan closed his eyes from the first minute and didn't open them again until the wheels touched down in Arvenmore. Not sleep, but a process more productive than sleep. His meridians moved, his spiritual energy flowed and gathered, like someone filling a reservoir before facing something that would drain a great deal of it.He didn't know how much he would need tonight, but he wanted to make sure everything was available.---The Valdecroft Medical Institute looked exactly as elegant as the photographs Caelan had once seen, a gray stone building with exterior lighting c
Chapter 073
The Valdecroft operating room had no concept of small. Four operating lights hung from the ceiling with individually adjustable angles, monitors on three different walls displaying vital parameters, real-time ultrasonography, and a backup laparoscopic camera feed. The operating table in the center of the room was equipped with a tilt and positioning system that allowed patient position adjustments in seconds.On that table, Edmond Whitaker lay with his abdomen still open, a surgical field that should have been closed an hour ago still being maintained because the situation hadn't permitted closure.Vance stood at the left side of the table with an expression behind his surgical mask that couldn't be fully read, but his shoulder posture spoke for itself. The shoulders of someone who had put in more than he usually put in and hadn't gotten the result he usually got.Then the door opened.Vance looked up.Caelan walked in."How dare you walk into an operating room like this!" His voice c
Chapter 074
"A-are you out of your mind?!"Vance's voice came out in a way that had never happened in his operating room in twenty-three years. A voice that lost control of its own volume because what he had just heard couldn't be processed calmly."That's impossible! Tissue that's been without perfusion for two hours can't—""Haven't you already done everything, Doctor Vance?" Caelan didn't cut in loudly. But the sentence came out in a way that made Vance's unable to continue. "And nothing worked." His eyes didn't move from the surgical field. "Now hand this over to me."Vance swallowed something. His hands were still in the same position as when he had first moved toward Caelan. Not advancing, not retreating."If something bad happens to Mr. Whitaker—""I will take full responsibility."Said without pause. Without modification. Without the conditional clauses that usually accompanied a statement that heavy from anyone Vance had ever known.He looked at Caelan.The man in front of him didn't loo
Chapter 075
Right hepatic artery.Average internal diameter of three to four millimeters, a size that demanded precision even from the best hands, even with magnifying assistance. End-to-end anastomosis: connecting the cut artery from the resected lobe to the stump remaining in Edmond's body, suture by suture with six-zero prolene no thicker than a human hair.Caelan worked without speaking through this segment.His hands moved at a speed that couldn't quite be described as fast. More accurately: efficient. No movement exceeded what was necessary, no readjustments that wasted time, no hesitation between one suture and the next. And at every point where the needle entered tissue, Vance caught something, a kind of very localized warmth that couldn't be explained by the irrigation temperature or the operating lights."Bulldog clamp released." Caelan's voice. "Hold the field."The second assistant released the clamp.Blood began flowing through the new anastomosis, and there was no leakage. No spurti
Chapter 076
Vance didn't ask right away.He needed a few seconds to make sure that what was in front of him, the monitor numbers moving in the right direction, tissue that should have been necrotic but wasn't, anastomoses that should have been impossible but were there, was real and not something that would disappear if he blinked.Then he raised his head toward Caelan."What did you just do?"Not a question with a challenging tone. Not a question waiting for an answer to be argued with. This was a question from someone who had run out of reference frameworks and was choosing to acknowledge that.Caelan removed his surgical gloves and placed them in the medical waste container."Before I connected the anastomoses," he began, "I channeled qi, which can also be called vital energy, directly into the ischemic tissue through hand contact. Not passive qi like conventional acupuncture, but active qi with adjusted polarity to stimulate the mitochondrial response in hepatocyte cells experiencing oxygen d
Chapter 077
The operating room door opened for the second time.Vance came out first, followed by his five assistants at a closer distance than usual, like people who had just come through the same thing together and hadn't fully separated themselves from the experience yet.Vance's face was different from when he had walked into that room several hours ago. Not tired, because he was used to tired. This was something deeper than that, something that happens to a person when the foundation they've built over twenty-three years gets its first crack.He stood in front of Caelan."What happened in that room—" He stopped, before finally continuing. "I've performed more than four hundred hepatobiliary surgeries. I've written about the complications that occurred tonight. I've developed protocols to manage them." His eyes met Caelan's directly. "And I have never, not once, witnessed anything like what Doctor Voss did tonight."The corridor was quiet enough for that sentence to be heard by everyone there
Chapter 078
Helena took one step forward before continuing. "Doctor Voss, please let us have you over tonight. Come to our residence as an honored guest, not as a doctor. We haven't been able to repay what you've done, and this is at least something we can offer.""I'd also like to be there." Vance spoke before anyone else could, in the way of someone not used to asking permission but who had realized that tonight he was in a position that didn't allow him not to. His eyes went to Caelan. "I have too many questions to settle in one hour. The method you used tonight, I want to understand it. All of it."That wasn't ordinary professional curiosity. Twenty-three years, and throughout those twenty-three years, Harland Vance had never left an operating room with questions he couldn't answer himself. Until tonight. And someone who had built his life on understanding couldn't simply make peace with not understanding."If it's alright, I'd like to come too." Dorian raised his hand slightly in a way that
Chapter 079
"What do you want?"His voice wasn't loud. Didn't carry anger. Just cold in a way far more uncomfortable than anger, like a door that had been closed with no intention of being opened again.Serena took one step forward. "Cael, stop being cold to me. I'm still your wife.""My wife? Didn't I already sign those papers?""Yes, you did. But I haven't submitted them to the court yet." There was something in her tone trying to sound like a neutral fact, not like a card being deliberately held back. "So legally, we're still husband and wife.""Then let me take care of that. Now leave."Caelan turned back, pressed the elevator button. The door opened.He stepped in, but Serena stepped in too.The elevator doors closed. No other sound for a few seconds except the soft hiss of the elevator machinery moving upward."What else do you want?""Let's talk in your room." Serena spoke in a tone trying to sound casual. "There's a lot I'd like to discuss."Caelan didn't respond.He could refuse. Could a
Chapter 080
Layla's phone vibrated on her desk while she was reviewing an operational report. She set down her pen and found a message from Doctor Voss.And how surprised she was when she read its contents."There's an unwanted guest outside my door. Please have them removed."Who on earth would dare disturb Doctor Voss's rest at this hour?Layla grabbed her jacket from the back of her chair, straightened her shirt collar once in the small mirror behind her office door, then spoke into the small radio on her desk. "Three security staff to the top floor. Now."---The manager's elevator took her up faster than the regular guest elevator.The door opened.Layla stepped out and stopped exactly one step from the elevator door.In front of the Presidential Suite's firmly closed door, a woman was standing. Her hair slightly disheveled. The corners of her eyes red. Her posture still held together, but in the way of someone spending a great deal of energy just to maintain it.Layla recognized her in one