This doctor is already middle-aged, and he's only just started practicing medicine.

Chapter 19 The Surprise Brought by Little Ink...

Lin Qianlong thought about it carefully—

Zhang Tiesheng and Zeng Huanqi were both "spoiled" and couldn't endure the hardship of practicing basic skills. Han Xiaoping, with his square head, would rather lie down than sit. Du Daihua had some talent but complained about the unfairness of the world and only thought about cultivating interpersonal relationships all day long.

As for Tian Zhuang, he had long been on Lin Qianlong's blacklist.

They wouldn't even let him talk to the patient or sign the consent form...

Lin Qianlong sighed and changed the subject: "Xiao Lu, our department has a rather special situation, so there's something I need to make clear to you beforehand."

"In our emergency department, we perform fewer surgeries, so the chief surgeon's performance bonus is 10% less than that of a specialist. The chief surgeon only receives 30%, and the remaining 10% goes into the department's overall performance bonus."

In fact, according to the hospital's secondary distribution principle, the surgeon receives 40% of the 'surgical fee,' the anesthesiology department and the operating room split 40% equally, the remaining 10% goes to the hospital, and the remaining 10% goes to the department's public performance bonus.

The chief surgeon in the emergency department's surgical team receives 10% less, meaning 20% ​​goes into public performance pay.

It's not just Lu Cheng who's like this; Lin Qianlong is too, and only then can this 'family' be supported. The current performance of the emergency department is due to the hospital's overall performance; otherwise, the emergency department really wouldn't be able to retain its staff.

Lu Cheng came from a vocational college and had never had the opportunity to be a lead surgeon before, which is why Lin Qianlong didn't explain this rule to Lu Cheng.

“Director Lin, let’s do it the way we should… I can’t always take advantage of you and the other brothers.” Lu Cheng replied with a smile.

Currently, the surgical team only has four people who can perform surgery independently.

Lin Qianlong, Zeng Huanqi, and Zhang Tiesheng were responsible for procedures such as splenectomy, cholecystectomy, and intestinal repair. Zeng Huanqi and Zhang Tiesheng were responsible for appendectomy and minor procedures like larger debridement and suturing.

Lu Cheng was responsible for tendon suturing.

These are some of the surgical procedures performed in the emergency department.

"I'm glad you understand... Anyway, if you still have enough surgeries, appendicitis and some major debridement will still be handled by Zhang Tiesheng and Zeng Huanqi. You know what I mean?" Lin Qianlong explained softly.

“Okay!” Lu Cheng nodded without hesitation.

The volume of surgeries performed is fundamental to honing a surgeon's skills. If Zeng Huanqi and Zhang Tiesheng want to solidify their positions in the emergency department and eventually become department heads, they must master the core surgical procedures.

"It's good that you understand... Otherwise, what if Professor Chen..."

"It's rather troublesome," Lin Qianlong said rather cryptically, his small eyes darting around...

Even a powerful dragon can't suppress a local snake. Zeng Huanqi and Zhang Tiesheng had a very strong relationship. Although Chen Song was aloof, he would eventually have to leave.

He's currently suppressing the other two too much for Lu Cheng, forcing Lu Cheng to have surgery, which is not good for Lu Cheng and Zhang Tiesheng's future relationship, and even less so for the harmony within the group.

As the team leader, I must consider many aspects in detail.

After Director Lin Qianlong left, Lu Cheng didn't rest either. He first checked on the patients, discharged the patient in bed 3, and made minor revisions to the postoperative medical orders of the other patients, and changed the dressings where necessary.

Lu Chengcai dialed the phone number of his uncle, Lu Nanyong.

"Uncle, does this mean you know anyone who can be transferred by 120?"

"Well, I'd like to find some cases of tendon sutures. Professor Chen Song is willing to guide me in doing them..." Lu Cheng explained with a smile.

……

Time flies, and five days have passed in the blink of an eye.

Lu Cheng had a fairly fulfilling five days. Under Professor Chen Song's guidance, he performed a total of five routine tendon suturing surgeries within his capabilities.

With the successive discharge of patients with tendon injuries, the number of postoperative patients in the surgical ward once surged to eight, breaking a new record for the ward.

Of course, Lu Cheng wasn't idle at other times either. When he was on duty, he did his job properly, studied the patients' medical orders, and had detailed "chats" and "communications" with the patients. If he found any clues, he would ask for consultations from other specialists and try his best to use his physical examination skills to find out the patients' "inconspicuous" hidden diseases in a way that was free of charge.

It should be noted that Lu Cheng's 'physical examination technique' comes with its own 'specialization'.

Previously, Lu Cheng had no surgeries or patients, so all he could do was break down the patients under his care into case studies. Over time, he naturally reached a level of 'specialization'. When on duty, he also strived for thoroughness in medication administration, digging deep and using AI to organize and collect the basic principles of commonly used postoperative drugs such as antibiotics, analgesics, and anticoagulants, compiling them into tables.

Then I sent it to Professor Chen Song and carefully asked about the differences between these drugs. I also asked which drugs would have relatively fewer side effects, whether they should be modified, and whether the modification would reduce the patient's complications.
For example, the elderly man was initially advised by a gastroenterologist to use the classic omeprazole to protect his stomach. However, after researching relevant information, Lu Cheng discovered that pantoprazole has a wider range of applications and is more suitable for elderly patients, so he revised the prescription and gained 0.2 skill points...

Seeing Lu Cheng's behavior, Chen Song became a little impatient and affectionately called Lu Cheng "Little Mole"!
"Little Ink-Staining Doctor" isn't just a nickname given to Professor Chen Song; the senior colleagues, nurses, and patients in the department also occasionally call Lu Cheng "Little Ink-Staining Doctor."

Lu Cheng certainly wouldn't care about this 'nickname'.

A thorough physical examination, a detailed conversation about the patient's medical history, and careful medication administration can not only uncover a patient's 'hidden' illnesses and lead to a better prognosis, but also provide valuable skill points.

Being called 'dawdling' is fine; Lu Cheng has always been dawdling...

When he wasn't on duty, Lu Cheng was either diligently reading and organizing the step-by-step practice procedures for various sewing techniques, or he was buying materials to practice.

Although the progress is slow, it's not without improvement.

也不知道是不是以前的积累一起奏效了，手外科的基础理论从原来的【熟练7/10】提升到了【熟练8/10】，陆成自己没有加点的打结术也自然的提升了一点熟练度到了【熟练9/10】。

Of course, these minor improvements are a drop in the ocean compared to skill points.

[Single-handedly performed professional tendon suturing, reducing the patient's pain and securing better functional recovery, earning 1.1 skill points...]

[Provide professional guidance on postoperative rehabilitation and medication adjustments to patients to reduce the likelihood of complications, earning 0.2 skill points...]

[Single-handedly performed a professional tendon suturing procedure...gained 1.6 skill points...]

【…】

On average, a standard tendon suture plus postoperative guidance can earn 1.4 skill points.

Lu Cheng earned a total of 8.5 skill points from the 6 surgeries he performed alone. Professor Chen Song's postoperative guidance and medication adjustments for the 'tendon injury' patient he 'consulted' with also earned Lu Cheng 0.3 skill points.

The postoperative medications for the remaining four general surgery emergency patients only brought Lu Cheng a total of 0.6 skill points.

[Current skill points remaining: 14.8 (+13.9)]

The remaining skill points were acquired from Lu Cheng's small tasks such as changing dressings, cleaning wounds, and suturing while on duty.

The gains from skill points are also quite slow.

【缝合系技能：肌腱缝合术（熟练2/10）、改良kessler缝合术（熟练3/10）、津下缝合术（包括滑动型）（入门2/5）】

The technique is difficult to master. After nearly a week of hard practice, Lu Cheng had only managed to advance the Tsushita suture technique to the beginner level (2/5). Unable to bear the snail's pace any longer, Lu Cheng decided to speed it up.

【缝合术（专精2/20）（技能点-2）、肌腱缝合术（熟练5/10）、津下缝合术（包括滑动型）（熟练1/10）（技能点-9）】

[Current remaining skill points: 0.8]

The skill points I accumulated over a week were used up so quickly.

However, Lu Cheng still managed to replace it with a video of the sew-up technique on pig trotters and sent it to Professor Chen Song.

This time, Chen Song didn't reply immediately. Instead, nearly an hour later, he exclaimed in surprise, "Oh ho... you weren't slow when you were learning the technology, were you? You didn't turn it off, did you?"

"You've figured out some new tricks with the Tsushita suture technique?"

"Did he cheat?"

The atmosphere was perfect for this, and Lu Cheng replied, "Teacher Chen, being a 'little devil' doesn't count; if there's any cheat code, it's you cheating me..."

"Let's go have a drink!" After reading Lu Cheng's words, Chen Song instantly felt refreshed.

(End of this chapter)