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

Chapter 224 Super-fast cut to expose!

"Risk? Explain yourself clearly!" Yao Xin's tone was slightly blunt.

He actually disliked that the person sitting across from him and negotiating with him was so young.

Lu Cheng carefully organized his thoughts for nearly ten seconds before cautiously saying, "Actually, it's not a risk, it's just that the time investment will be higher. But the return rate will also be higher."

Yao Xin fell silent after hearing this.

Zhang Tiesheng was somewhat annoyed by Lu Cheng's cryptic remarks: "Lu Cheng, why don't you just say what you mean? What is it?"

Yao Xin looked at his nephew and said, "He's selling you the future."

"What he's doing now has absolutely nothing to do with you."

Lu Cheng immediately replied, "Dean Yao, this is not about selling the future. It doesn't matter to Brother Zhang if he doesn't choose to come in."

“I will teach Zhang what he wants to learn.”

Yao Xin really couldn't figure out where Lu Cheng got his confidence from, or rather, how this young man managed to switch so erratically between Peking Union Medical College Hospital and Xiangya Hospital at his current age.

But it seems that reality is already like this, and there's no point in investigating why.

Yao Xin couldn't say for sure whether Lu Cheng had a future, so he left the choice to Zhang Tiesheng.

Zhang Tiesheng laughed without much hesitation: "Xiao Lu, don't overthink it. I'm easy to please. It doesn't matter whether I have it or not. I've already gotten what I needed, so what more could I ask for?"

"The reason I chose to go to Longxian People's Hospital in the past was because it was easier to get promoted in the county. I figured that associate professor would be my highest level."

Yao Xin coughed, reminding Zhang Tiesheng not to reveal his secrets so easily.

But Zhang Tiesheng insisted: "Uncle, there's nothing to hide."

"If nothing unexpected happens, this is how my life will be."

Seeing that Zhang Tiesheng wouldn't listen to reason, and that his phone was ringing, Yao Xin said, "Then you two can talk it out yourselves. I'll go answer this call."

"I also have a lot of things to take care of here."

"There are still quite a few unresolved issues to be addressed in Feng County."

Yao Xin understood perfectly well that either Lu Cheng was trying to dodge the question for both of them, or Lu Cheng was keeping quiet and wary because Yao Xin was still there.

This is a good thing, because Lu Cheng can clearly understand that what he knows about Zhang Tiesheng is the person, not all of Zhang Tiesheng's relationships.

If Lu Cheng and Zhang Tiesheng need help with their collaboration, it will be Zhang Tiesheng who uses his connections, not Lu Cheng who has to boss people around.

People with such self-awareness generally have a bright future.

What I fear most is that people who think they have a good relationship with someone and then treat that person's relationship as their own.

Yao Xin put the phone to his ear and went outside to answer the call, avoiding the situation.

"Xiao Lu, to be honest, although I didn't quite understand what you and Director Du were planning, I have a general idea of ​​what happened."

“But I was really confused by your conversation with my uncle just now,” Zhang Tiesheng asked bluntly.

Lu Cheng replied bluntly, "Brother Zhang, Dean Yao asked me to share some good stuff with you because he feels you've done me a huge favor this time. But you also know that I really can't decide who gets what right now."

"For example, there are really no more places available for paper ranking. It's not that there are no more places available, but even if you join the research group, you won't be able to do anything."

"Brother Zhang, let me put it this way: if I can handle these projects myself, I won't ask anyone for help."

"The problem is that I can't handle it myself right now, so I have to ask others for help, borrow money, and so on, so I'm in a very passive position."

"It's just like starting a business; if someone lends you money, they have to take a lot of the benefits."

After saying that, Lu Cheng quickly added, "Brother Zhang, these words are a bit blunt, please bear with me."

Zhang Tiesheng's expression changed several times before he finally digested it, and he said with a wry smile, "You mean, I'm too bad?"

Lu Cheng did not answer directly: "Director Du will not join these research groups either."

"Director Du never thought about these things!"

Zhang Tiesheng laughed: "I never thought about comparing my treatment with Director Du Qiang, and I never considered these things either."

Zhang Tiesheng hesitated for a moment, then said, "However, I definitely trust you, Xiao Lu. Whatever you give me, I'll take it. If you don't give me anything, it doesn't matter. We're all brothers."

Zhang Tiesheng was interested in the technology Lu Cheng possessed, but he never had any expectations regarding the articles derived from that technology.

Whether something is expected or not is irrelevant.

Taking the opportunity, Lu Cheng said to Zhang Tiesheng, "Brother Zhang, I was a little reserved when I talked to Dean Yao about the risks. Now I'm going to tell you the truth."

"That's right, the research I'm going to do in the future might conflict with top-tier teaching hospitals. I don't know exactly who it will conflict with."

"But some arguments might happen."

Zhang Tiesheng looked puzzled: "A conflict? Why?"

Lu Cheng said, "Brother Zhang, I didn't know before that doing research projects is actually very cruel, even crueler than playing in a competition."

"If we have the same research topic, it's either you or me who dies, or your money is wasted or mine is wasted."

“Generally, research funding comes from government grants. If you get the money but don't produce results, you might be held accountable…”

"Of course it's definitely not the kind of conflict that involves fighting."

Lu Cheng's words left Zhang Tiesheng speechless.

Without much thought, he knew that what Lu Cheng said was somewhat beyond his comprehension.

Zhang Tiesheng wasn't completely unfamiliar with the story, but he didn't know the details.

During each academician review, the amount of whistleblower materials flying around like scattered clouds.

There's a joke circulating online that goes like this: no matter who you are, as long as you have real evidence to report, all you have to do is start a team, and strong teammates will naturally join in.

Moreover, this isn't five vs. five; it's more likely ninety-nine vs. one.

You are definitely not that one.

"Yeah, I'm willing. I've already fallen to this state, what more could I ask for?"

"However, is there a lot I need to supplement?" Zhang Tiesheng asked, sounding eager to try.

This unfamiliar yet sophisticated thing can actually be quite novel once you have the opportunity to participate in it.

Lu Cheng said, "Brother Zhang, is it possible that for a long time, we were just thugs?"

"That's right, we just do the work, give directions and specific operations. 'Draft picks' and other drafting decisions are handled by more professional people."

"Sister-in-law? Or Professor Chen?" Zhang Tiesheng asked.

"We're not sure, so let's just focus on developing our abilities first."

"Seriously, the reality isn't a game; everyone's at the same development stage. We've only just left the game, and the other team is already max level and fully equipped."

“We don’t even have a chance to operate right now.” Lu Cheng tried to use simple and easy-to-understand words to explain to Zhang Tiesheng.

Lu Cheng wasn't lying; he was indeed wearing level 1 Karami gear.

Even in the very late game, the enemy support can still kill Lu Cheng with basic attacks.

After chuckling for a while, Zhang Tiesheng stopped dwelling on the topic and changed the subject: "Xiao Lu, actually, we all really missed you after you left."

"But when we think about the fact that you might be invited by Director Du to perform surgery in the future, we feel a little more used to it."

Lu Cheng said, "Brother Zhang, I haven't had a proper surgery for many months. Actually, I want to go back to how I used to be."

"But too much has happened recently."

This time, Zhang Tiesheng's words were very realistic: "Is it possible that the things that happen have always existed, but most of the time, neither you nor I have the right to participate?"

"..."

After saying goodbye to Zhang Tiesheng, Lu Cheng immediately returned to the state people's hospital.

Looking at his skill panel: [Current skill point balance: 251.6 points]

With so many skill points, it should be enough to spend them on a new unit.

As soon as Lu Cheng had a thought, the panel immediately underwent a significant change.

【外科基础技能：X线阅片术（专精20/20）（技能点-30）、CT阅片术（专精20/20）（技能点-10）、核磁阅片术（专精20/20）（技能点-30）、外科器械操作经验（熟练10/10）、体格检查（专精20/20）、辅助检查阅读技能（熟练10/10）】

【外科基础操作：切开术（专精20/20）（技能点-30），清创术（专精20/20）（技能点-30），缝合术（专家20/200）、打结术（熟练10/10）、穿刺术（专精20/20）（技能点-30）、止血术（专精20/20）。】

Skill Points Balance: 91.6

160 skill points are very hard to earn, but they can be spent in just a few years.

Lu Cheng chose to add these skill points to basic operations and basic skills, not randomly, but based on the actual situation in the state people's hospital.

The emergency department of the state people's hospital only saves lives, and Lu Cheng's job is just to work in the resuscitation room. So what is needed is the quality of basic skills, not specialized surgical techniques.

There are essentially two things to do in the emergency room: accurate diagnosis and saving lives.

The more life-saving the situation, the more crucial basic procedures such as hemostasis and diagnosis become.

After arriving at the department, Lu Cheng immediately found Deng Duanmou, who was on the day shift that day. The basic operations of all hospitals are roughly similar, and Deng Duanmou also had to write medical records, and was currently improving the daily medical records of inpatients under observation.

Lu Cheng was not familiar with Deng Duanmou, so after entering the doctor's office, he stood close to Deng Duanmou's right rear and silently watched him.

Deng Duanmou realized someone was behind him, glanced at them several times, and then said, "Xiao Lu, if you're on duty tonight, you can go and rest first."

"It's alright, Brother Deng, let me take a look first. I'll ask you about the electronic medical record system when you're done."

“Otherwise, if I’m on duty with Director Xiao tonight, I’ll be in trouble since I’m not familiar with the medical record system,” Lu Cheng quickly said.

Deng Duanmou nodded slightly: "Yes, the systems of each hospital are similar, but not the same."

"I'm almost finished writing..."

Lu Cheng waited for nearly ten more minutes before Deng Duanmou said, "Our hospital's emergency treatment system and medical record and prescription system are separate."

"The observation ward has the inpatient medical record system, just this button."

"And over in the emergency room is the outpatient and emergency system, it's marked with this sign. We'll open two pages first; you can log in by entering your employee ID and password..."

"Then, find the surgical observation ward and the emergency room, and click on the patient under your care or the patient waiting to be seen."

“In the emergency room, the patient may not have registered in time. In such cases, you need to create a virtual template to write the medical order. After the patient registers, you can put the virtual template into the patient's emergency system.”

"It's mainly to make it easier to write medical prescriptions..."

"Then..." Although Deng Duanmou looked rather fierce, he was quite meticulous in his work and took Lu Cheng's teaching very seriously.

While listening, Lu Cheng had already quietly opened the food delivery system and ordered two cups of coffee.

When Deng Duanmou was a little thirsty, Lu Cheng said, "Brother Deng, wait a moment, my takeout has arrived."

Deng Duanmou was taken aback: "Xiao Lu, you're too clever!"

"How much? I'll transfer it to you."

"Brother Deng, it's not much, less than a hundred million." Lu Cheng joked as he answered the phone and left the doctor's office.

Deng Duanmou: "???"

When Lu Cheng returned, Deng Duanmou was no longer in the doctor's office. After asking the on-duty teacher in the internal medicine department, Lu Cheng learned that Deng Duanmou had gone to get his wound cleaned.

Debridement is normally the responsibility of the on-call doctor in the emergency room. However, if there is a surgical emergency in the emergency room, the on-call doctor in the surgical observation ward will take over. If the on-call doctor in the ward has something to do, he/she will have to call for a standby doctor or ask the patient to wait.

Patients entering the debridement room are not in a particularly urgent situation.

When Yuan Xuela, the attending physician, was on duty in the internal medicine department, Lu Cheng certainly couldn't bring himself to have three people in the office, but he only ordered two cups of coffee.

"Sister Yuan, what flavor would you like to drink? I ordered three flavors: a velvet latte, a mascarpone latte, and a coconut latte." Lu Cheng politely let Yuan Xuela choose first.

"Dr. Lu, do I have one too?" Yuan Xuela was writing a medical record, which was quite long.

"Thank you, how old are you?" Yuan Xuela took a coconut latte and turned to look at Lu Cheng with a smile.

"I just turned thirty, am I calling you Sister Yuan incorrectly? Then I'll call you Teacher Yuan."

“I knew it, Teacher Yuan, you don’t seem like you should be called ‘sister’,” Lu Cheng asked with a smile.

"Dr. Lu, you really know how to talk. I'm thirty-seven this year," Yuan Xuela replied with a smile.

As they were talking, Guo Lili, the attending physician who had joined the emergency internal medicine department along with Lu Cheng, came in from outside: "Sister Xue La, Director Long wants to see you."

Yuan Xuela calmly asked, "What's the matter? Director Long wants me to come over and write a medical record?"

Unlike Longxian People's Hospital, which has only one associate chief physician, the Emergency Internal Medicine Department of the State People's Hospital has a total of five associate chief physicians. Long Chunbo is just one of them.

"No, Sister Xue La, there's someone over there who needs chest compressions," Guo Lili said.

Upon hearing this, Yuan Xuela immediately stood up and became anxious, quickly running towards the emergency room.

Guo Lili also left, and turned back to give Lu Cheng a special look, to which Lu Cheng returned the smile.

Soon, Deng Duanmou returned, muttering under his breath, "Damn, I thought it was some big cut, that's why the nurse was rushing me like that."

"If he had arrived any later, the wound would have already healed."

"No need for stitches?" Lu Cheng had worked in the emergency department and knew about similar patients.

Deng Duanmou gestured with his little finger: "It's so long and so deep. I told him to go out and turn right to buy the Band-Aids."

"Brother Deng, Sister Xue La took the coconut latte. You can choose one." Lu Cheng promoted the drink to Deng Duanmou.

"I also can."

Deng Duanmou said, "Xiao Lu, if I had been as sensible as you back then, I could have avoided a lot of detours."

Lu Cheng laughed and said, "Brother Deng, I've also made mistakes. It's just a drink, let's all drink it together."

"By the way, Brother Deng."

As Lu Cheng was speaking, a panicked voice came from outside the doctor's office. It was Liang Jianhong, who was on duty in the emergency room: "Call Director Xiao immediately!"

"Please consult with general surgery and orthopedics. This patient has massive internal bleeding. Please consult with emergency ultrasound." Liang Jianhong's voice was loud and piercing.

Deng Duanmou quickly put down the coffee he had just picked up!

He called to Lu Cheng, "Come on, let's go out and take a look."

Lu Cheng immediately put on a mask and followed behind Deng Duanmou.

As soon as the two stepped outside, they saw a middle-aged man lying on a gurney by the door. He was thin and had a belly like a frog.

This could be either ascites or massive internal bleeding.

Liang Jianhong was directing the doctors, nurses, and family members pushing the gurney into the emergency room.

The patient's wife, a family member, was extremely anxious: "How is my husband?"

"Don't block him, he's already in shock."

"How did he get injured?" Liang Jianhong shoved the woman away.

"He got into a car accident while riding his bike. He thought it was nothing serious, so he came back to rest. But when I called him to have breakfast, he couldn't wake up. So I quickly called 120."

"His stomach wasn't this swollen at first, why didn't you do anything about it?" the woman said.

"Are we going to handle this with our minds? Move aside, we need to get into the emergency room. Go pay the fees and register," Liang Jianhong retorted.

Lu Cheng and Deng Duanmou quickly stepped forward to help.

Deng Duanmou was quite experienced. After touching the patient's abdomen, he said, "Major internal bleeding and peritoneal irritation. He must be taken to the operating room immediately."

The nurses brought devastating news: "Blood pressure over 70. 74/55!"

"Immediately establish intravenous access. Start ECG monitoring."

"My heart rate is very fast."

Dr. Dai Jinzhong, the on-duty internist in the emergency room, approached and immediately said, "Insert intravenous catheter, and immediately administer the thyroid and kidney extracts..."

"It's too late. We might need to stop the bleeding at the bedside immediately. Has Director Xiao arrived yet?" Liang Jianhong asked.

"Director Xiao said he'll be here soon; he's conducting a general consultation in the ICU," a nurse said.

Deng Duanmou said, "Let's start by opening the abdomen."

“I’ll go find the family members to sign the papers. Liang Jianhong, you take Lu Cheng with you.”

Upon hearing the name Lu Cheng, Liang Jianhong was stunned. Then, as if remembering something, he noticed that Lu Cheng had already put on gloves, poured iodine solution on the patient's abdomen, and then picked up the scalpel handle and blade from the wound cleaning kit.

Lu Cheng looked at Liang Jianhong with a standard pen-holding posture and asked cautiously, "Teacher Liang, shall we open it or not?"

"Open!" Lu Cheng's actions were so fast that Liang Jianhong's mind went blank for a moment, but he still agreed.

Lu Cheng immediately lowered his head and began to make a diagonal cut about five centimeters long, then made the cut without the slightest hesitation.

By the time Liang Jianhong realized he needed to help, Lu Cheng had already cut into the muscle layer.

When Liang Jianhong reached out, Lu Cheng had already torn open the muscle layer and the peritoneum.

Inside the abdomen, there was a large amount of blood, but because it had not been oxidized, it did not appear to have any black marks.

In the blink of an eye, while Liang Jianhong was still searching for potential bleeding points, Lu Cheng had already inserted two hemostatic forceps and clamped the splenic artery very decisively and directly.

"No obvious damage was found in the lower abdomen, but there was delayed rupture and bleeding in the spleen, which I have already clamped."

"Establish an intravenous line first, and get him into the operating room as soon as possible," Lu Cheng quickly reported.

All of this happened very quickly; from the time Liang Jianhong agreed to the surgery to the time the procedure was completed, only a little over a minute had passed.

Lu Cheng has already completed the incision and stopped the bleeding!

The nurses were busy setting up the IV line and didn't pay any attention. Deputy Director Dai Jinzhong of the internal medicine department glanced at Lu Cheng unexpectedly, but continued to listen to the patient's heart.

Now that Lu Cheng's intervention is no longer needed, his auscultation can be more precise.

Xiao Zhaoxi hasn't arrived yet, and Deng Duanmou hasn't returned...

(End of this chapter)