I'm just a veterinarian! You've unlocked the Great Physician System!

"it is good!"

Yin Xiaoxiao immediately began preparations for surgery.

And they also took out all the tools they would be using next.

[Host has successfully entered the system's simulated training space. The minimum real-world time for training in this space can be adjusted to one minute. The system space time is one year. The host is currently using two simulation cards. Please select to set the real-world time to 30 seconds or the system space time to two years?]

[30S][2 years].

Two prompts appeared in front of me.

This was the first time Zhang Lingchuan had learned that two simulation training cards could be used together.

After using it, you can even choose to undergo two years of simulated training or experience 30 seconds of real-world time passage.

"30S!"

Zhang Lingchuan chose thirty seconds.

[Scanning the current environment and interpreting the host's current thoughts... Scanning the surgical target... System scan complete. Does the host wish to conduct specialized surgical training for the current brain herniation patient, Dong Yijing?]

Just like back in Ali, with the new mother Lazhen.

Zhang Lingchuan also received a prompt to switch to training.

【whether】.

Two more buttons, identical to the previous ones, appeared.

One is red, and the other is green.

"Yes!"

Without a doubt, he would choose to undergo specialized training at this point.

Because he needs to maximize the success rate of the surgery.

Otherwise, there would be no need to use two cards.

[Specialized training scenarios are under construction, specialized training aids are being developed, and specialized training has begun...]

Zhang Lingchuan's eyes were closed, but the entire scene suddenly became bright and clear.

And Xiao Xiao also appeared beside her.

However, this scenario simulation is not perfect and differs somewhat from the real world.

Because here it only consists of him, Xiaoxiao, the wilderness, medical equipment, electric drills, and patients.

Officer Zhang Qin and others were not present.

It's probably because they weren't involved in the surgery that the system didn't detect it.

In fact, this is fine.

Distinguish between the real world and system space.

Otherwise, if the system space were constructed exactly like the real world during specialized training, the confusion would be terrible.

So the system is quite user-friendly in this respect.

"Dr. Ogawa, what should we do next?"

Yin Xiaoxiao looked at Zhang Lingchuan.

"Xiaoxiao, disinfect my scalp now!"

In the temporal region.

Zhang Lingchuan said.

Normally, in cases of brain herniation, the burr hole side should be selected on the same side as the dilated pupil.

But now both of this patient's pupils are dilated.

And it has entered the clinical death stage.

So it doesn't really matter which side you choose.

The most commonly used drilling point is usually the temporal region, specifically the temporal squamoclit area, 2–3 cm above the ear tip, at the intersection of the line connecting the outer corner of the outer canthus of the eye and the upper edge of the ear.

The advantage of this location is that it is relatively thin and is a common point of compression in epidural hematoma, making it the easiest to release pressure quickly.

"understand!"

Yin Xiaoxiao immediately started disinfecting her scalp.

Zhang Lingchuan then took out a knife and made a cut of three to five centimeters in one area.

And it can quickly separate the periosteum.

"Well--"

A sound came from the electric drill.

"It's so heavy."

Zhang Lingchuan's heart tightened.

As a doctor, he must have strength.

However, as a doctor, I have no experience operating a power drill, not even when I was a veterinarian.

This type of electric drill is particularly heavy.

It swings very much when in use.

He held a hand drill and drilled it perpendicularly into the skull.

As someone with a mid-level skill proficiency of 1,000 points, he was still familiar with it.

Generally, a hand drill is used to drill perpendicularly into the skull. When the bone fragments become finer and suddenly loosen, stop immediately. Then, use suction or gauze to draw out the blood. If blood spurts out, the pressure has been relieved. Immediately administer mannitol and hypertonic saline to maintain blood flow, apply gauze to stop the bleeding, bandage the head, and transport the patient quickly.

Therefore, drilling into the bone is also a very crucial step.

"Zi-"

Zhang Lingchuan made his move.

However, in just a moment, Zhang Lingchuan discovered that the drill was like a wild horse that had broken free of its reins.

He immediately realized something was wrong.

The drill bit is swaying too much.

The patient has died.

as predicted.

The next second, his surgical mission failed.

As a doctor, he actually had a premonition that this thing wasn't like a scalpel, something he could control smoothly.

It's like holding a kitten in your hand.

Very well-behaved.

A power drill is like a tiger—powerful and fast, but difficult to control.

[In the current simulation, the host's hand drill deviated from its angle, directly piercing the dura mater and even damaging the cerebral cortex, venous sinuses, and brainstem, leading to localized cerebral hemorrhage, cerebral contusion, and fatal death. It is recommended to watch advanced surgical videos and attempt to control the hand drill.]

The system displayed a message.

Zhang Lingchuan knew that mastering the hand drill was something he had to overcome.

If you can't even hold the tools properly, how can you talk about saving lives?

At the same time, I'm also glad that I didn't take action directly back then; if I had, things would definitely have turned out like this.

The patient said that there was really no hope.

As a doctor, I was performing a last-ditch effort to save the patient, but this action was not in accordance with regulations, and upon closer examination, it could even turn the act of saving the patient into evidence that it accelerated the patient's death.

And so, in the system space, Zhang Lingchuan clicked on the relevant video to learn.

They also practiced using a hand drill.

Time flies, and a month has already passed.

In the past month, Zhang Lingchuan has trained hundreds of times.

The patient has died.

At that very moment, a notification sound rang out.

[The drilling location was close to the temporal region or the frontotemporal junction, accidentally injuring the middle meningeal artery, leading to arterial rupture and the formation of an acute epidural hematoma. The patient's intracranial blood pressure dropped, intracranial pressure rebounded, and the condition immediately deteriorated, resulting in on-site death.]

……

Despite hundreds of training sessions, it was still a failure.

The reason for the failure was that hand drills are difficult to control.

Taming this wild horse is no easy task.

However, there is one advantage to the system space: every minute is real, there is no day or night, and physical strength will not decrease.

Zhang Lingchuan quickly began this specialized training.

The surgery is actually very quick.

The procedure involves: 1. Disinfecting the scalp; 2. Making a 3-5 cm incision in the scalp; 3. Separating the periosteum; 4. Drilling the skull perpendicularly with a hand drill; 5. Stopping immediately when the bone fragments become finer and suddenly loosen, and then using suction or gauze to remove the blood.

Because I always fail here.

So there are no later steps, and the whole process only takes one or two minutes to get started.

A day has 1440 minutes.

According to Crazy Bull and Horse, if it really has to be once every two minutes.

You can do it 720 times a day.

There are 365 days in a year, and the maximum number of times it can be done is 262,800.

Of course, a normal person could never do that many times, but doing it 10,000 or 20,000 times is already equivalent to a doctor's decades of experience.

Zhang Lingchuan continued.

The initial problem was tremors during drilling, which damaged brain tissue.

Then, if the drilling is not handled properly, it can damage blood vessels in the brain.

He didn't know how much time had passed, but after tens of thousands of practice sessions, he gradually tamed the hand drill.

[The current rescue effort is expected to be successful in the short term, but it is anticipated that the patient will die from infection later, thus the effort will fail.]

But a new crisis has emerged.

[Current drilling depths are causing brain tissue exposure and contamination, increasing the risk of purulent meningitis, brain abscesses, and other complications, especially in the field.]

Besides hand tremors, you also need to control the depth of the ink.

In the following six months, Zhang Lingchuan encountered various troubles, including skull fractures, bone fragments compressing the skull, causing bone fragments to embed in the dura mater and brain parenchyma, resulting in secondary brain injury, hematoma expansion, and so on.

However, what he has in abundance is time.

So he trained in the system space day after day.

It was through this training that he gradually figured out how to use the hand drill.

This time, Zhang Lingchuan couldn't even remember how many times he had come to the system space to restart his training.

"Dr. Ogawa, what should we do next?"

All that could be seen was Yin Xiaoxiao asking questions.

It's still that signature line.

"Disinfect your scalp!"

Zhang Lingchuan said directly.

The next instant, Yin Xiaoxiao immediately began to disinfect her scalp, and then Zhang Lingchuan immediately picked up a scalpel and cut towards the scalp.

The normal cutting distance is 3cm-5cm.

It made a swift cut, very quickly, in just a few seconds, followed by the deafening sound of a hand drill.

It was Zhang Lingchuan who used a hand drill.

Anyone else who saw this would be extremely shocked.

Because this is not a medical drill at all.

It's a blue electric drill for home use.

He drilled directly into the head of the patient lying on the ground.

The bone fragments became finer, and stopped moving the instant they loosened.

"A small blood-sucking technique to relieve stress!"

Zhang Lingchuan shouted to Yin Xiaoxiao, "Okay!"

Yin Xiaoxiao nodded.

Seeing the blood come out, Zhang Lingchuan breathed a slight sigh of relief.

The fact that blood is spurting out means that the pressure has been relieved.

"Simultaneously administer mannitol and hypertonic saline to maintain the condition!"

Zhang Lingchuan confessed.

While giving his instructions, he also applied pressure with gauze to stop the bleeding.

At the same time, the head was bandaged.

[Ding! Mission failed.]

Right now.

Zhang Lingchuan went from learning to control the electric drill, his hand tremors, the depth of the drilling, and even subsequent infections to avoid bleeding, and finally completed the decompression.

Just when he thought he had succeeded and that his luck was about to change, Zhang Lingchuan was completely dumbfounded.

Another task failure message has appeared.

Why did it fail? Zhang Lingchuan felt he had done a great job.

The current total time is 60 seconds. Based on real-world patient assessments, and considering the end of the training, the maximum remaining time is 13 seconds. Decompression should be completed within at least 13 seconds.

One advantage of having a system space is that if you fail, you will definitely receive a notification.

The prompt has now appeared.

"time?"

Zhang Lingchuan was stunned when he heard this!
Yes, he forgot that there is a time limit in the real world.

When I performed the surgery, the patient with brain herniation had already entered the clinical death stage.

In this situation, you have to make the most of every second.

Being able to complete the task within 13 seconds is the key to the opponent's survival.

Because you need to leave at least one second for CPR.

At this moment, she was in a state where her heart had stopped beating.

If you can revive the person to the red level before the ambulance arrives, their chances of survival are greatly increased.

It seems that after one mountain, there is an even higher one.

After all, it's not enough to just finish it; we also need to shorten the time.

However, the procedure involves disinfecting the scalp, making a local incision in the scalp, separating the periosteum, drilling the skull, spraying blood, suctioning, applying pressure, rehydration, applying pressure to stop the bleeding, and bandaging the head.

A total of ten items.

The time should be kept under thirteen seconds.

This is an absolutely hellish challenge.

But having practiced this far, I can't possibly give up.

Then we have no choice but to go for it, what else can we do?

Zhang Lingchuan reopened.

"Dr. Ogawa, what should we do next?"

Zhang Lingchuan had heard this sentence countless times.

But every rescue operation begins with just one sentence.

"For a quick head disinfection, immediately prepare gauze, mannitol, and hypertonic saline."

Zhang Lingchuan quickly gave his instructions.

Every bit of time saved is a bonus.

After all, every extra second could mean the end of your life.

"understand!"

Yin Xiaoxiao immediately disinfected her scalp.

"Okay."

The instant the other person removed their tools, Zhang Lingchuan immediately drew his knife.

They quickly cut open, then separated the periosteum, turned on the electric drill... and bandaged the head.

[Ding! Current mission failed!]

The current total time is 20 seconds. Based on a real-world assessment of the patient, the remaining time is 13 seconds. It should be completed within at least 13 seconds.

……

again and again.

Zhang Lingchuan didn't know how many times he had tried.

[The current system space training countdown is down to 3 seconds.]

A countdown appeared in the vast world.

[Ding! Current task successful!]

The total time was 13 seconds. Based on the actual situation of patients in the real world, the remaining time after the training ended was 13 seconds. Completing the training within 13 seconds offered a chance of survival.

[Current system task completed; proficiency is being calculated.]

At this moment, a final prompt appeared.

Zhang Lingchuan's perspective was stretched out.

[Emergency craniotomy decompression: "Master-level: 79910/10w"]

Master level.

"Eighty thousand??"

Zhang Lingchuan's heart tightened suddenly.

They're just a little short of reaching the pinnacle level.

How many times have I trained in the system space?

[Training Details: Over one year, spanning 525600 minutes, the host viewed 12901 videos related to emergency craniotomy decompression surgery in this world…performed 120129 surgeries, gaining 78910 skill proficiency points. The skill proficiency gained in the later stages of specialized case training differs from normal comprehension; it may even be impossible to achieve just one point of proficiency per surgery.]

There are also training details.

In fact, Zhang Lingchuan already knew this when he was giving Lazhen specialized training.

He even felt it was a bit too much.

I actually got close to 80,000 proficiency points.

But looking at the number of times I've done manual labor, it's been 120,000 times, which is indeed pitifully few.

After all, I had at least one more repetition of the specialized training I received from Lajin last time, but this is 120,000 repetitions.

But then I thought about it again.

Rajin's surgery will take half an hour.

My understanding of cesarean section has made me more comprehensive.

But now, this emergency craniotomy decompression procedure, which initially took one or two minutes, was shortened to within one minute, then to within half a minute, and later even reduced to thirteen seconds.

Thirteen seconds is just a change in pure speed.

There has been little progress in neurosurgery regarding the overall structure of the brain.

It's just practicing some muscle memory.

[Note! The current host has an urgent need for data. Three precise scans can be initiated directly within the system for simultaneous analysis.]

[Three precise scans initiated...]

[Patient Name: Dong Yijing]

……

[Patient diagnosis: Brain herniation; currently in clinical death phase; countdown to death in 60 seconds; current remaining time: 14 seconds.]

[System notification: The current patient is in the clinically terminal stage of brain herniation. Drill hole decompression can be performed. After comprehensive evaluation, the current host is a master-level emergency drill hole decompression surgeon with an extremely high skill level and a success rate of 91%.]

Just as Zhang Lingchuan's heart sank, realizing it was only 91% and shouldn't be 99%, his gaze returned to the real world.

But at this moment, the real world has already exploded.

The number of viewers in the live stream reached over 500,000 within those few dozen seconds.

"Are we going to save them or not?! It's been so long!!"

"What is this doctor trying to do? Is he deliberately trying to kill someone?"

"I bet my life that he's 100% trying to use this pulse-taking to deliberately wear this woman down! When someone's about to die, the machine is beeping and beeping, and he's here taking her pulse with his eyes closed!"

"This doctor is disgusting. If you really can't save him, just give up. Why resort to such underhanded tactics?"

……

These newcomers were furious.

They were all talking about Zhang Lingchuan.

The content is all kinds of things.

Even those viewers who previously accused him of summoning a deity have softened their tone now.

The main problem is that it takes too long.

Despite the dangerous circumstances, Veterinarian Zhang remained motionless for such a long time.

hospital.

"What exactly is Xiaochuan doing, Director Huang?"

Fan Wang asked Huang Xiangning curiously.

I don't quite understand what the other party is doing.

"I'm not too sure either."

Huang Xiangning shook her head.

Normally, you would go through it in your mind with your eyes closed.

But Xiaochuan doesn't quite look like it.

In addition, it is not appropriate to take a pulse with your eyes closed at this time.

The person is almost dead.

However, if Ogawa's goal is to stall for time, then this is indeed a good method.

"What else could it be? It's probably just stalling for time, because in this situation, no one can save them. This is a household hand drill, which is far from the kind we use in medicine, and it's very difficult to control."

He Qifeng said irritably.

In his view, Zhang Lingchuan would probably only open his eyes after someone had died.

"Hey, Ogawa opened his eyes!"

Suddenly, Huang Xiangning said in shock.

"This is truly eye-opening! And his entire aura seems to have undergone a complete transformation!"

Director Wu shouted.

on site.

Zhang Lingchuan opened his eyes.

She really is like a completely different person.

"Dr. Ogawa, what should we do next?"

When Yin Xiaoxiao saw Zhang Lingchuan open his eyes, she couldn't help but ask a question. At the same time, she had a strange feeling, as if Dr. Xiaochuan had become more mature and confident.

However, what happened next...

Everyone at the scene felt suffocated!!
Director He, who had returned from studying in Japan, was even more embarrassed.

Because they witnessed the most outrageous scene in history.

Numerous neurosurgeons were stunned!
...(End of chapter)