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

Chapter 190 Technology is King!
“Okay, Teacher Tong.” Lu Cheng agreed without hesitation.

The tendon layering that Tong Yuan'an mentioned refers to a tendon that is in a split state. Tendon ruptures in this state are more difficult to suture.

Traditional tendon suturing techniques have a relatively high re-rupture rate, which has historically been addressed using conventional methods due to technical limitations.

However, even with the availability of relatively better suturing techniques, we cannot abandon them. Intentionally increasing the chance of breakage is unacceptable.

As long as the specific suturing technique is not shown in the surgical record, it is acceptable.

Lu Cheng immediately called the operating room team and asked them to come out of the operating room to take over his shift.

When Lu Cheng arrived at the operating room, Tong Yuan'an had already done most of the work on the severed limb, and only the tendon needed to be sutured!
"Teacher Tong, it's split into two layers?" Lu Cheng asked hesitantly.

"Yes, so in this situation it's best to use the weaving method. I'm not very proficient in this technique, and after careful consideration several times, I've decided to call you over."

“After all, you’re on duty today,” Tong Yuan’an replied naturally.

If Lu Cheng is resting, he won't shout.

Lu Cheng not only developed high-quality tendon suturing techniques, but also mastered and learned a wide range of tendon suturing techniques.

When it comes to weaving and sewing techniques, Tong Yuan'an has never systematically studied them. His skills have already reached a certain level, and he won't spend time going back to learn other tendon sewing techniques.

Tong Yuan'an's words indicated that he had assessed the surgical procedure. Lu Cheng was merely the person actually performing the procedure; the treatment concept was provided by Tong Yuan'an.

"Okay, Teacher Tong." Lu Cheng listened to the advice and followed the weaving and sewing method to quickly suture the broken ends of the two tendons.

After the suturing was completed, Tong Yuan'an immediately measured the tension of the tendon suture: "Not bad, not bad... The more techniques you master, the more adaptable you become."

"Xiao Lu, it must be so comfortable for geniuses like you to be doctors. You just learn the techniques you need and use them."

Lu Cheng replied, "Teacher Tong, I wouldn't call myself a genius."

"You've already won two first prizes, and you still say you're not a genius? How big is your ambition?" Tong Yuan'an said with his head down and his tone was kind.

Lu Cheng's expression, eyes, and tone were all honest and unassuming: "Teacher Tong, this is only a first prize in the province, not a national competition."

After the tendon is sutured and the vascular bed of the replanted finger is prepared, the vascular suturing will begin.

Tong Yuan'an didn't make things difficult for Lu Cheng; instead, he took the initiative himself. He looked up at Lu Cheng and said, "You'll most likely stand out in the national competition!"

"The reason why good scientific research is the mainstream that everyone is pursuing is that once a scientific breakthrough is achieved, it can achieve a dimensional reduction attack."

"When it comes to technology, if you don't know it, you just don't know it."

"Good technique can make up for a lot of lack of basic skills."

"Just a matter of time."

Lu Cheng suddenly said, "Teacher Tong, I don't plan to participate in the upcoming national competition."

Tong Yuan'an shook his head a few times, his double chin swaying: "Why? Weren't you going to make money?"

Lu Cheng said, "That was the original plan, but the situation has changed now, hasn't it?"

"Teacher Tong, you are well aware of what has been happening at our hospital recently. I'm afraid that if I achieve too good results, it will be harder for me to continue working at the county hospital."

"The more chaotic the situation, the more people will try to use something to divert attention and calm things down."

"I don't want to be the one to stick my neck out."

What Du Qiang told Lu Cheng was easy to understand.

This is a common tactic in news reporting and attention diversion: if something bad happens in a place, a good way to divert attention is to promote other positive events.

Is it positive energy if a doctor from a county hospital wins first prize in a provincial skills competition? Absolutely.

What if you also win first prize in the National Skills Competition?
This kind of promotion, once it becomes too deeply entrenched, will simply become unsustainable.

As the saying goes, "Listen to advice and you'll eat your fill." Lu Cheng wasn't willing to gamble on the magnanimity of those leaders to prove that Du Qiang's words were false.

Plans are plans, and advance plans need to be adjusted according to the actual situation. Lu Cheng did not want to become the core of Longxian People's Hospital's diversionary tactics, thereby completely binding himself to the hospital or even becoming its leader.

"Then all the things you did before were wasted?" Tong Yuan'an could understand, but he felt a little regretful.

Lu Cheng smiled and said, "It's not a pity, Teacher Tong."

"You saw it with your own eyes. Hearsay is not as good as seeing it with your own eyes. I won the award and outshone others. At least others will no longer look down on me because of my status."

"My first day in Shashi," Lu Cheng said, smiling without saying anything more.

Tong Yuan'an didn't care: "Xiao Lu, this is the real world. Most people are materialistic and only care about status."

Lu Cheng nodded: "So... if I say now that I want to teach Teacher Tong some techniques so that they can participate in competitions, they shouldn't think I'm being eccentric."

At this point, Lu Cheng explained his formal plan: "Teacher Tong, this is what I'm planning."

"At Peking Union Medical College Hospital, I have a teacher who will be competing with tendon suturing techniques and solid organ suturing techniques."

"If any teachers at Xiangya Hospital are willing to learn, they will bring their vascular suturing and nerve suturing techniques to the competition."

Tong Yuan'an was stunned for a moment after hearing this, then sighed: "You'd be better off not saying anything at all."

"Anyway, you're also from Peking Union Medical College Hospital, so it's fine if you keep all the benefits for your own hospital."

Is Lu Cheng speaking human language?
The only techniques you can confidently win awards for right now are tendon suturing and solid organ suturing. If you don't compete and instead teach these techniques to people at Peking Union Medical College Hospital, that's like giving a gift and paving the way for your future.

Can Xiangya Hospital outperform Peking Union Medical College Hospital in vascular and nerve suturing?
Lu Cheng continued with a smile, "Teacher Tong, you are also my teacher, which is why I gave gifts to your colleagues."

Tong Yuan'an retorted irritably, "You're offering suturing techniques from Peking Union Medical College Hospital as a gift? What good is that?"

Lu Cheng replied: "Skills are skills, and techniques are techniques. Only skills that have formed a standard routine can be called techniques."

"Peking Union Medical College Hospital has not yet developed a 'naming' technique for nerve suturing!"

"Wouldn't it be interesting if your colleague, Professor Tong, also came out on top in this area?"

Lu Cheng's tone was a bit mischievous and frivolous, as if he were the kind of person who enjoyed watching the drama unfold.

Tong Yuan'an wasn't an idiot; his intelligence and cognition were fine, so he could naturally understand Lu Cheng's hint.

His eyes blinked rapidly several times: "What do you mean?"

"The literal meaning," Lu Cheng replied quickly.

"There are only two points: I won't participate in the competition, and I don't want someone I don't want to win to win an award!"

"If possible, I would even prefer that the person I want to win the award gets the higher award."

Lu Cheng's words sounded a bit eccentric, as if the microscopic competition was just a plaything for him.

Lu Cheng wanted to control the rules, as if he could designate whoever would receive the award and that person had to accept it.

Tong Yuan'an exclaimed, "Hey, who do you think you are?"

"Leaving aside nerve suturing, how are you going to help us win awards in the main field of vascular suturing?"

"Everyone basically has a 100% immediate blood vessel patency rate!"

Lu Cheng replied, "Speed, vessel diameter, severed segment."

"A 100% perfect stitch from one broken end is definitely not as good as a 100% perfect stitch from two or three broken ends. A 100% perfect stitch from ten minutes will definitely not be as good as a stitch from five minutes."

Tong Yuan'an fell silent after hearing this!
Of course, Tong Yuan'an became withdrawn again.

He understood what Lu Cheng meant; Lu Cheng was saying that he would probably be working on these two suturing techniques again.

Lu Cheng has a criminal record.

If Lu Cheng hadn't developed tendon suturing techniques and solid organ suturing techniques beforehand, Tong Yuan'an would have wanted to spit in Lu Cheng's face.

But Lu Cheng has a criminal record, and he's unreasonable.

The suturing technique for the spleen, a solid organ, was something that shouldn't have happened, but Lu Cheng managed to figure it out, and even made Chen Song shut up, which proved the authenticity of this suturing technique.

Based on these points, Lu Cheng now claims to have improved vascular and nerve suturing techniques. Do you believe him?
Instinctively, I couldn't believe that Lu Cheng could be so perverted.

However, rational people will not completely disbelieve, but will adopt a "better safe than sorry" attitude.

Tong Yuan'an was internally turbulent, so much so that he even felt his actions were becoming distorted.

Why?

Why is Lu Cheng's output like sheep droppings, producing as soon as he walks?

It wasn't until Tong Yuan'an had sutured the two veins that he broke the silence in the operating room, his voice hoarse and serious: "Jokes are not to be taken lightly."

"Teacher Tong, I can joke, but it's inappropriate to joke like this with you."

Lu Cheng's tone was also very formal: "Besides, you already know that I am a villain, not a gentleman."

"I did this based on two points."

"First, I can't go out to compete anymore. Otherwise, I would like to win first place in four categories."

"Secondly, no matter what, Huashan Hospital cannot be number one, and no other hand surgeon from Peking Union Medical College Hospital can be number one."

"It's not for any other reason than that I feel uncomfortable."

"Then you'll do it again." Tong Yuan'an didn't come out again.

You're so damn high and mighty!

If you don't want the hand surgery departments of Huashan Hospital and Peking Union Medical College Hospital to be number one, then you should take the top spot by using original techniques. What a refreshing and unique reason you have!

Tong Yuan'an's Dao heart collapsed, even more shattered than Xie Yuan'an's.

"Teacher Tong, let's wait until tomorrow, and then we'll talk about it after we've seen it," Lu Cheng said with a smile.

[Unnamed Nerve Suturing Technique (Proficient 10/10), Unnamed Vascular Suturing Technique (Proficient 10/10)]

Lu Cheng looked at the regulations on the panel with considerable confidence.

Tong Yuan'an once again solemnly warned: "Xiao Lu, you are already excellent enough. You don't need to add weight to your own standards."

"As long as you do your best, you'll be amazing. If you're just joking, then Teacher Tong doesn't have to take this joke seriously."

"But if I really call people over, even though we won't tell anyone, your 'goofy' label will be firmly established in our minds."

"It's not much of a downside, but it's not much of a benefit either."

Tong Yuan'an can send men, and he will definitely send men.

In terms of hand surgery, the innovation of tendon suturing techniques does not have much original significance. It is just to avoid letting neighboring countries ride on our backs, nothing more. It is a sentimental matter.

In terms of hand surgery, the innovation of suturing techniques for solid organs such as the spleen is also unrelated to hand surgery, as hand surgery does not involve solid organs. Therefore, Tong Yuan'an would only give Lu Cheng his blessings.

However, the hand surgeons also recognized the brilliance of this original work. The reason why Tan Zhongyuan and others valued Lu Cheng was that they hoped Lu Cheng could make achievements in other areas of hand surgery in the future.

For example, in fields like vascular and nerve suturing where standardized techniques haven't yet been established, we can set our own benchmarks, put Lu Cheng and Xiangya Hospital's names on the list, achieve a leapfrog development, and stand at the very top of hand surgery nationwide and even worldwide. "Yes, I understand, Professor Tong," Lu Cheng replied calmly.

This time, Lu Cheng wasn't passively responding, nor was he passively drawn into the situation; he was determined to cause trouble.

Even if he can't go to the competition in person, Lu Cheng is still going to cause trouble.

There is no cheating in the competition. As long as the judges do not manipulate the clinical environment, no matter how much teaching is involved, it does not count as cheating.

"Vascular suturing techniques? Nerve suturing techniques?"

"Not a joke?" Tong Yuan'an continued to press.

“No!” Lu Cheng replied.

"Come up and sew! I'm going to make a phone call." Tong Yuan'an immediately stopped what he was doing.

This matter is too big, and Lu Cheng's vascular suturing quality is also good. After all, he won an award in the provincial competition, so it's unlikely that it wouldn't meet the standard quality.

"Okay!" Lu Cheng nodded.

Tong Yuan'an actually made the calls. This time, he not only called his teacher Zhou Yuhui, but also Tan Zhongyuan and Liao Fan.

October 28th is a Wednesday, and October 29th is a Thursday; both are workdays.

In principle, professors at Xiangya Hospital all have formal work arrangements, either performing surgeries or seeing patients in the outpatient clinic.

However, the matter was quite serious, so much so that when Professor Tong Yuan'an called, Tan Zhongyuan angrily berated him on the phone: "Tong Yuan'an, you're not a child anymore, you'd better take responsibility for your words."

“When we call the hospital to request leave and cancel outpatient appointments and surgeries, we must have a valid reason and evidence.”

Tong Yuan'an said, "Director Tan, what I mean is, whoever is free to come tomorrow, please come."

“I asked Lu Cheng five times, and he answered affirmatively each time.”

He said yes.

Tan Zhongyuan thought seriously for a while, trying his best to keep his breathing calm, like a bellows: "Professor Zhou and I will come, so Liao Fan shouldn't come."

"We'll be there soon."

“I think so too,” Tong Yuan’an replied.

What is Lu Cheng thinking?

"He didn't have any particular thoughts. He said he just didn't want someone who didn't want to win an award to receive one, that's all."

Tan Zhongyuan is not Tong Yuan'an; he doesn't have Tong Yuan'an's good temper, nor is he a recluse: "Go to hell."

……

The following day, October 29th, the weather was cloudy turning partly cloudy.

On the 15th day of the 9th lunar month in the year of Guimao (癸卯年壬戌月庚申日), it is an auspicious day for marriage, travel, cleaning, moving, signing contracts, transactions, moving into a new house, and receiving wealth!
Fortunately, the small practice room that Tong Yuan'an built himself in his dormitory has not been demolished. Not only have many pieces of equipment not been moved away, but many other things have been moved in instead.

At 11 p.m. last night, Tong Yuan'an personally contacted the 'suppliers' in Shashi and asked them to deliver the goods directly to Longxian County in Hunan Province.

The order was for a large quantity of goods, numbering in the hundreds of thousands, so the sales staff set off overnight without any hesitation, arriving in Longxian County before Professor Tan Zhongyuan and Professor Zhou Yuhui, and began setting up the practice room overnight.

When Tong Yuan'an and Lu Cheng returned, they had already made most of the arrangements.

"Professor Tong, please check and see if there are any changes needed. We have plenty of stock this time, as much as you need." The sales representative from the biotechnology company smiled very kindly.

Because they know that once this kind of project is launched, it won't just be a project worth tens or hundreds of thousands of dollars; it could be worth over a million.

"Well, it's okay to prepare more. Let's leave it at that for now, you guys go and rest." Tong Yuan'an nodded and began to urge everyone to leave.

"Then Professor Tong, you all go ahead with your work."

“Teacher, let’s add each other on WeChat. If you need any materials in the future, just let us know, and we’ll handle delivery throughout the province. If it’s across provinces, we can also arrange for someone to help.”

"The price is definitely negotiable." The salesperson was quite professional; they'd rather make a mistake than let a deal slip by.

Tong Yuanan said, "This is Dr. Lu Cheng. You'd better offer a lower price, even lower than the price you gave me."

"No problem, no problem. Ms. Tong, the price we're offering is negotiable if you want more." The salesperson had a very keen sense of opportunity.

Tong Yuan'an is about to do something big; it might be a deal worth several million.

He's a physical salesperson, not an online salesperson, so he wouldn't be indifferent to a project team's multi-million dollar deals.

This is the God of Wealth.

"You guys go ahead, we need to get busy." Tong Yuan'an officially began to urge them on.

Lu Cheng said, "Teacher Tong, I'll start. When we're almost done, you can go find Professor Tan and Professor Zhou to come and verify the data."

"They've been traveling all night, let them rest for a bit."

"Are you tired?" Tong Yuan'an asked Lu Cheng. "We're not in a hurry right now."

Lu Cheng said, "I'm a little tired, but I'm afraid I'll oversleep if I fall asleep."

"It's just a demonstration, so we don't need to do a lot of data. It'll only take less than an hour."

"Teacher Tong, let me explain to you. I plan to perform suturing of three or four blood vessels and two or three nerves."

“I’ll leave as soon as I’m done. You guys can keep track of the data. If the data isn’t good, then you can let Teacher Tan and the others leave. I’ll call them personally to apologize after I wake up.”

"If it's alright, could you please let me get a good night's sleep?"

"The competition is in December, which is still a long time away."

Tong Yuan'an's breathing became rapid. Looking at Lu Cheng's calm demeanor, he said in a soft voice, "You go first. If you do a good job, I'll personally give you a back scrub tonight."

Lu Cheng no longer hesitated and began to put on sterile surgical gowns and gloves.

Tong Yuan'an, the fat man, was of course anesthesiologist. He not only had to anesthetize the nude mice, but also dissect and expose the blood vessels and nerves in their tails.

These preliminary tasks were naturally done by the lower-level employees.

Lu Cheng's current role is that of the chief surgeon, not a henchman.

It's not a performance, but it surpasses any performance.

……

It was 11:40 a.m.

Professors Tan Zhongyuan and Zhou Yuhui arrived at Tong Yuan'an's dormitory, and the three of them even brought three very professional measurement devices.

These measuring instruments were all placed in the car; they had brought them from Shashi overnight.

At 11:45, Tan Zhongyuan examined the appearance of the three-section, four-segment vascular suture performed by Lu Cheng, and his expression became serious.

The nude mouse has been anesthetized and awakened. Although its tail cannot move flexibly, it occasionally makes a 'tail sweeping' motion!
This is a bit scary.

It should be noted that Tong Yuan'an took photos, and Lu Cheng cut the tail nerve of the naked mouse twice!
Nerves are not blood vessels; you can't just cut them open and suture them back together to make them open again.

If nerve suturing were that simple, there wouldn't be so many motor impairments caused by nerve damage in reality!
"Hu Yi, Han Yunshen. Begin boarding!"

"Okay!" Hu Yi and Han Yunshen were both Tan Zhongyuan's students and members of Tan Zhongyuan's group.

Among them, Han Yunshen's surgical breadth is stronger than Tong Yuan'an's; only in the depth of some procedures is he inferior to Tong Yuan'an.

Hu Yi, the attending physician, was the first place winner in vascular suturing in this provincial competition. He is a young, unassuming master who works quietly behind the scenes.

He is only thirty-two years old this year, just two years older than Lu Cheng!

The measurement speed on the machine is very fast.

The results came out quickly, and the various data immediately silenced Tan Zhongyuan, Zhou Yuhui, and others.

"Immediate blood flow rate 99.9%!"

"Blood flow rate: 0.24-0.26 ml/min; theoretical value is 0.2-0.3 ml/min."

"Re (Reynolds coefficient): 2322-2425! (2000-2500)"

"Turbulent volume ratio: 8%; (Normal value: 1%)."

"Bleeding: None!"

"Neural conduction velocity is NCV: 33-35 m/s! (25-50 m/s)"

"The action potential amplitude is the APA: 100-108 mV (90–130 mV)."

Sensory nerve conduction velocity (SNCV): 55-57 m/s (40–60 m/s)

"Motor nerve conduction velocity (MNCV): 56-58 m/s (40–60 m/s)"

……

Glug, glug, glug!

Han Yunshen, Tong Yuanan, and the others all began to swallow their saliva.

"Is this some kind of cheat?" Hu Yi's frog-like eyes widened!

"This is absolutely cheating." As a professional hand surgeon, Hu Yi, who understands the practical significance of these parameters, spoke with certainty.

Tong Yuan'an was jolted out of his shock by Hu Yi's words, and then said, "Director Tan, Master, Lu Cheng is not manipulating simple separation data, but data from multiple separations."

"These parameters are too stable. He was mentally prepared for this in advance."

“I have his operation video here, and I can confirm that Lu Cheng performed all the operations himself.”

Tan Zhongyuan and Zhou Yuhui were relatively calm, after all, they were getting on in years and were not suited to extreme joy or sorrow.

"Test the other one," Tan Zhongyuan immediately ordered.

The data for the second one was also measured, and it was very similar to the data for the first one.

Tan Zhongyuan glanced at it and asked, "What did Lu Cheng say again? He didn't want the teams from Peking Union Medical College Hospital and Huashan Hospital to receive the award, right?"

Tong Yuan'an said, "Hmm, that reason is a bit of a rip-off."

Zhou Yuhui, who hadn't said a word, patted Tong Yuan'an's chubby cheek: "What? This reason is so damn stupid?"

"Do you know what 'fucking' means? Any reason is a legitimate reason."

"Huh?" Tong Yuan'an was taken aback.

“That’s a good reason!” Zhou Yuhui’s expression was serious, and his tone left no room for argument.

(End of this chapter)