The original surgical plan Zeus and his team had discussed before the operation was to insert a guidewire through the femoral artery, place a covered stent, and seal the tear in the dissection.
But once the idea appeared, it spread through his mind like wildfire. He felt that this new approach would yield a higher success rate than the conventional plan. If he succeeded, his method would become a textbook standard for such cases.
At this thought, Zeus’s breathing quickened slightly, and his eyes grew unusually sharp. He actually wanted to act on his own impulse without consulting the surgical team.
“Prepare the instruments for a thoracotomy.”
Zeus’s sudden command stunned everyone in the operating room. The assistant and the anesthesiologist exchanged glances, seeing the confusion in each other’s eyes.
“Dr. Sloan?” The first assistant frowned. “Didn’t we decide on an interventional approach during the pre-op discussion? Why the sudden switch to open-heart?”
Zeus didn’t even look up, his tone cold and hard. “This patient’s vascular condition is too poor. While the intervention carries lower risk, the probability of recurrence later is high. Open surgery has higher risks, but the chance of recurrence is low. I want to switch to a thoracotomy immediately.”
The circulating nurse, Helen, keenly sensed something was wrong. While Zeus wasn’t technically incorrect, the patient’s vascular condition, though poor, was far from requiring an open-chest procedure. She stared at Zeus’s slightly red eyes and his tense jawline, her heart skipping a beat—his mental state was off!
“Dr. Sloan!” She suddenly raised her voice, her tone strict. “The decision to use an interventional approach for this patient was made after a full department discussion. You can’t just switch to open surgery on a whim! You cannot alter the treatment plan without authorization!”
Zeus paused his movements, looking up to sweep a cold glance over her. “I am the lead surgeon. I have the authority to adjust the plan based on the situation during surgery.”
Helen didn’t budge an inch. “But you haven’t communicated with the team! If something goes wrong, who will take responsibility?”
Zeus’s body jolted as if a bucket of ice water had been dumped over his head. As someone who had become an attending physician at such a young age, he certainly knew the consequences of unauthorized changes to a surgical plan. If Helen really reported him to the Medical Board, his career would be over.
Zeus squeezed his eyes shut. When he opened them again, the paranoia in his gaze had receded slightly.
“…Continue with the intervention.”He said hoarsely.
The team in the operating room finally breathed a sigh of relief.
Zeus resumed the surgery. Throughout the process, Helen kept a close watch on him, only relaxing once she saw that Zeus wasn’t stubbornly trying to execute his own plan.

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