This doctor is already middle-aged, and he's only just started practicing medicine.
Chapter 227 Medical Skills Among the People
Chapter 227 Medical Skills Among the People
"Okay, I understand, Dr. Lu." The young man wasn't completely brainless; he immediately realized that all of this was Lu Cheng's implication.
As the saying goes, it's better to tear down ten temples than to break up a family. How could Lu Cheng possibly deliberately break up his marriage?
Therefore, everything can only be hinted at and left unsaid.
This includes, but is not limited to, the root causes of 'infertility'.
The patient insisted on being discharged, so Lu Cheng contacted his superiors and the security office. The patient still insisted, so the hospital had no reason not to release him.
Continuing to insist on not allowing the patient to be discharged would involve interfering with the patient's 'personal freedom'!
With the Security Office testifying, Lu Cheng and the hospital have fulfilled their final admonition. Even if problems arise later, the hospital will bear the responsibility, not Lu Cheng alone.
After the young man left, Lu Cheng thought carefully about what he had done that day, without setting any moral standards for himself.
If the young man hadn't brought up the topic of infertility, Lu Cheng might not have gotten into any further trouble.
Ignorant infertility may not be considered deception, but infertility resulting from oophorectomy is definitely a scam or some other form of scam.
But have I encountered a little too many scams?
The perpetrator of a heinous crime, an injured food delivery driver, and Zhang Xibei.
Okay, they come from different provinces and different regions, that's fine.
The day shift in the emergency surgery clinic is indeed busier than the night shift in the resuscitation room, since it involves writing medical records, changing dressings, and revising medical orders, while the night shift in the resuscitation room is mostly spent sleeping.
At 5:30 p.m., Deng Duanmou, who was on the day shift in the ward yesterday, arrived on time to take over the shift.
"Xiao Lu, is there anything special you need me to tell you? If not, you should go back and rest. You must be exhausted after a long day," Deng Duanmou asked politely.
“Brother Deng, there’s nothing special, except that the patient in bed 4 who was just admitted today has forcibly signed for discharge again. I’ve already reported it to the security office, and the patient still forcibly signed for discharge under the witness of the security office.”
"Just let me know about this," Lu Cheng reported casually.
"The patient in bed 2 was just admitted. I have already written the admission record and the medical record, but I would like to ask you, Brother Deng, to check the quality of the medical record. If there are any problems, I will come and revise it myself tomorrow."
Deng Duanmou quickly said, "It's alright. Our surgical department doesn't have such strict control over the quality of medical records. Director Xiao usually just turns a blind eye."
Lu Cheng hurriedly asked, "Brother Deng, Director Xiao used to be in the internal medicine department?"
Deng Duanmou nodded slowly: "Director Xiao is a talented person. He got to his current position entirely through his own efforts. If he were less capable, he wouldn't have had such an opportunity."
"However, Director Xiao is now one of the higher-ups himself."
Lu Cheng nodded slowly and bid farewell to Deng Duanmou: "Brother Deng, I'm leaving now. Could you please keep an eye on things for me?"
"Director Xiao comes from an internal medicine background, so he may have higher requirements for medical records."
Lu Cheng, carrying a backpack, walked towards the surface parking lot.
Lu Cheng had some understanding of Xiao Zhaoxi's 'identity', and he and Mu Leng were old acquaintances.
Mu Leng's family background was originally very ordinary, perhaps even worse than Lu Cheng's. At least Lu Cheng has an uncle working at the county hospital.
When Mu Leng, Xiao Zhaoxi, and the others were in the underworld, they truly relied entirely on themselves.
"..."
Lu Cheng returned to the house that Mu Nanshu and Mu Leng had 'sublet' for him. They would pay a symbolic amount of rent each month. The house was located in the Economic Development Zone, and the total rent for the year was four thousand yuan, which was within the average rent range in Jilin City.
This price is average for renting a room in Qianzhou or the old town of Jishi, but in the Economic Development Zone, it's dirt cheap.
All I can say is that it saved Uncle Mu Leng some property management fees and gave him a small reward.
As expected, when Lu Cheng returned home, Mu Nanshu was already in the kitchen.
Of course, Mu Nanshu had only finished washing the vegetables and was still clumsily chopping them into large pieces!
After Lu Cheng rushed back, he washed his hands and began to help.
It wasn't that Mu Nanshu was being deliberately pretentious. Cutting vegetables properly is a delicate task, and given her past injury to her finger tendons, it's understandable that she wasn't perfect at delicate operations like cutting potato shreds.
After the dishes were cooked and the rice was served, two cups of milk tea were delivered.
As Lu Cheng took the milk tea, he chuckled and said, "Did you come here to eat to avoid your aunt and uncle talking about you ordering takeout?"
Mu Nanshu chuckled to himself, "In their eyes, drinking milk tea is an unhealthy diet, so I guess you could say that."
"I also ordered you a cup of pure tea."
"Oh, by the way, you guys are working 24-hour shifts now, aren't you tired?"
Lu Cheng shook his head: "It's even easier than when we were in Long County. Our emergency surgery department mainly focuses on functional positions, only referring patients, not treating them."
“I slept for a full six hours last night. If I hadn’t woken up on my own, I could have slept for another hour or so.”
“That’s good,” Mu Nanshu said.
Lu Cheng's cooking skills are so bad that even a dog would shake its head in disbelief, but Mu Nanshu's culinary skills are really good, bordering on exquisite.
Lu Cheng ate three large bowls of rice before sitting down with Mu Nanshu to watch TV: "Watching dramas is so comfortable."
"But how many times have you watched 'The Story of Minglan'? I almost remember the plot."
When the show was first released, Lu Cheng hadn't watched it yet. At that time, Mu Nanshu had just gone abroad and was still in contact with Lu Cheng. Lu Cheng watched it only after the show was released.
Later, when Mu Nanshu returned, Lu Cheng discovered that Mu Nanshu was still pursuing this.
"I've watched it almost ten times already. The main problem is that there aren't any better shows right now, so I just watch whatever's available." Mu Nanshu was wearing pajamas and a bathrobe, holding a remote control in her left hand and a milk tea in her right.
"Professor Chen Song came to see me today. He said that we have almost finished collecting data from our animal experiments and can use this data to apply for clinical trials."
"It won't be long before the Phase I clinical trial approval comes through, and then you can start working on the spleen-preserving surgery."
"Regarding tendon suturing, although Professor Tong and his team started their research relatively slowly, they collected data much faster."
"I don't know if it's because tendon injuries don't affect the patient's life, so the clinical research on tendon suturing techniques has already been approved," Mu Nanshu said.
Lu Cheng's voice rose: "The clinical trial for the tendon suturing technique has been approved??"
Tong Yuan'an was "resting" with Lu Cheng. Although they didn't go to Feng County for tourism together, they happened to meet.
How many days has it been?
Mu Nanshu said, "So in terms of the power behind their bosses, perhaps Professor Tong's boss is more shrewd."
"Tong Yuan'an's teacher is an old professor. He's just old, but he still has connections and influence, which are stronger than those of younger professors."
"That's even better. I've been so bored lately, I'm practically going crazy."
"Professor Tong's idea is that you go to Longxian County and he goes to Fengxian County to conduct a relatively small-scale, multi-center clinical trial."
"Sure! I have no problem with that."
"Regarding the procedures for the collaborative clinical research project with Longxian People's Hospital, will you handle it on your end or will I be responsible for it? I can free up some time in the next few days," Lu Cheng quickly replied.
Mu Nanshu helped me a lot.
Mu Nanshu's tone suddenly turned somber: "I told you, Professor Tong has already completed all the procedures for the clinical trial."
"This time, among the proposals for our several projects, only the vascular suturing and spleen suturing were approved."
"The tendon suturing technique you first developed did not win the bid. The nerve suturing technique research project that I led also did not win the bid."
Lu Cheng has four technique topics, each hosted by Lu Cheng, Mu Nanshu, Tong Yuan'an, and Chen Song respectively.
Unsurprisingly, the research project led by Tong Yuan'an and Chen Song proceeded smoothly, while the proposal submitted by Lu Cheng and Mu Nanshu was rejected.
Lu Cheng asked, "What about Hubei Province?"
Mu Nanshu also submitted bids to Hubei Province.
“Passed,” Mu Nanshu said.
“Okay, I understand.” Lu Cheng explained, “You are protected by geopolitical factors, while I have no accumulation at all.”
At this point, Lu Cheng added, "Bookworm, do you think it's possible that because I'm also listed as a contributor to Chen Song and Tong Yuan'an's projects, I can't apply for projects independently anymore?"
Mu Nanshu said, "That's the rule, but you also have projects to manage, right? Wouldn't it be good to lead one and participate in another?"
"However, the Provincial Science Foundation Committee prefers that you participate in both, as they have more confidence that Tong Yuan'an and Chen Song can complete the project."
"That's the benefit of accumulation."
Lu Cheng said, "That doesn't matter... I'll call Professor Tong first and ask when the clinical research project can officially begin clinical trials..."
Lu Cheng acted immediately.
Tong Yuan'an's reply was also quite clear: Lu Cheng can do it whenever he wants, as the current procedures have already been completed.
Moreover, even for topics related to animal experiments, the tendon suturing topic is enough to warrant writing a paper, but whether or not to write and publish it depends on Lu Cheng's decision.
Tong Yuan'an's idea was to hold off on publishing until the clinical trial data was available, then publish it all at once, which would allow them to submit to better journals.
Try to submit to a Q1 journal with an impact factor (IF) of 7 or 8.
Lu Cheng asked Mu Nanshu for her opinion, and Mu Nanshu felt that Tong Yuan'an's consideration would be better.
The research topic is on tendon suturing techniques, so Xie Yuan'an is naturally indispensable. This is something Lu Cheng has clearly stated he wants to collaborate with Peking Union Medical College Hospital on.
Although the research project was approved in Hubei Province, data collection could still be conducted at a county hospital in Hunan Province without any restrictions. Xie Yuan'an arrived quickly after receiving the news.
After Xie Yuan'an arrived at the community, she immediately showed Lu Cheng her learning achievements, namely the operation video and the "data collection" in the laboratory!
"Lu Cheng, with my skill level, I should have no problem conducting clinical research in Long County, right?" Xie Yuan'an asked.
"More or less, but this suturing technique isn't suitable for most tendon suturing. Do you know how to perform other tendon suturing techniques?"
"Professor Xie, you must be very familiar with the indications for different suturing techniques for tendon injuries, right?" Lu Cheng asked, praising him.
Lu Cheng's preconceived praise prompted Xie Yuan'an to immediately declare, "I'll go learn it right away!"
Xie Yuan'an was also afraid that Lu Cheng would look down on her, so she said, "The hospital we worked at before focused more on neurological issues and flap and vascular transplantation."
"Tendons are a minor category; you only need a little knowledge of them."
"Tendon transposition and tendon suturing are relatively different procedures, requiring completely different techniques, so..."
"But I can learn it."
In summary, Xie Yuan'an has his own reasons for not being proficient in tendon suturing, but he can learn it.
Lu Cheng thought for a moment and said, "I suggest you try to understand it more thoroughly."
"After this, I won't be here every day, but I will come and perform a few surgeries whenever I have free time."
"These data represent the comparisons between the experimental groups."
Lu Cheng is the designer of the technique, and he is the person with the highest 'skill'.
Industry consensus generally holds that whoever creates the original technique has a better grasp of it.
Xie Yuan'an and Tong Yuan'an were both "second-rate learners".
The reason for conducting this horizontal comparison is to verify the repeatability and dissemination of this technique, thereby qualitatively defining it.
Whether it's an individual's operational skill, a suturing technique, or even something that was eventually promoted as a suturing procedure, it remains to be seen.
This incorporates teaching topics, confirming its teachability.
If it weren't for the involvement of many professionals in the project, Lu Cheng, who was leading the project alone, certainly wouldn't have been able to do it in such detail.
But with Mu Nanshu around now, the emergence of many research topics is a natural consequence.
Furthermore, the master's and doctoral students brought by Tong Yuan'an and Chen Song can also use this technique to conduct some marginal research projects, and it won't be a problem to publish papers in the first or second quartiles.
Everything is brand new.
There is strength in numbers.
Xie Yuan'an left at nearly 10 p.m.
Lu Cheng originally suggested sending it, but Xie Yuan'an laughed and said, "No need, Lu Cheng, Xiao Mu Mu, someone has sent my car from Han City."
"I can drive now."
Mu Nanshu asked, "Sister Mu, aren't you still in your internship period?"
“One in Jilin City, one in Long County,” Xie Yuan’an said arrogantly.
"Little Mumu, I think you could prepare a few more cars, that would be more convenient."
"Goodbye, Teacher Xie!" Lu Cheng urged Xie Yuan'an to leave quickly.
If you can't get on the highway, you'll only prepare one vehicle per location, right?
Lu Cheng didn't want to chat with those two rich women anymore.
After Xie Yuan'an left, Mu Nanshu did not leave, clearly intending to stay overnight.
Of course, Lu Cheng didn't have any ulterior motives.
However, Lu Cheng did not intend to remain unmoved by the woman's advances. After returning with Mu Nanshu, Lu Cheng hugged her and squeezed into the quilt.
Jilin City is cold in winter, but this winter will certainly not be so cold.
"Let go of my hand, I'm not used to it." Mu Nanshu tilted her head back, her voice serious.
"It's okay... habits are formed from nothing!"
Lu Cheng hugged her even tighter!
Normally, just looking at it, one wouldn't notice how great the grip was. But after many years, when Lu Cheng served it, he still felt like he'd gotten a great deal.
The children will enjoy a better life in the future.
Just as Mu Nanshu was still struggling, Lu Cheng immediately changed the subject: "Is there any chance that you can have surgery to rebuild the function of your hand?"
"I see that Peking Union Medical College Hospital or Huashan Hospital are also performing functional reconstruction surgery. Do you have a chance to return to front-line clinical practice?"
Mu Nanshu was taken aback, then replied in a low voice, "It's not possible now. I've already asked around. Even if it were done, the muscle strength recovery wouldn't be very good."
"My main problem right now is muscle strength, not range of motion."
"It's okay, I'll just pursue a research career."
"Let me tell you, operators like you are just henchmen for the project."
Lu Cheng quickly replied, "I'm a thug? Then I'll leave?"
Mu Nanshu instantly realized he had said the wrong thing: "Okay, you're not a thug, you're the leader. It's Xie Yuan'an and the others who are the thugs."
"Xie Yuan'an is truly your best friend," Lu Cheng chuckled.
Mu Nanshu's body slowly softened, but she still forced herself to say, "I just wanted to tell you that research projects also have CPUs."
"The brain is the most important thing. It's easy to find thugs and replace them, but the core is the most crucial."
"If you have the ability and a certain network of connections, look at how many good people are around you now."
"And this positive feedback will continue indefinitely."
"This situation has come at least five years earlier than I expected."
Seeing that Lu Cheng didn't reply, Mu Nanshu assumed that Lu Cheng had other concerns, so she looked up and asked, "Are you feeling a little disappointed? After all, you didn't feel that involved in these projects."
Lu Cheng shook his head: "No, the essence of medicine is to solve problems for patients. Medical skills come from patients and should also benefit patients."
"I'm very happy to see these technologies helping patients."
Lu Cheng didn't care whether he actually worked on the research project or not. What he was thinking was that once Tong Yuan'an and Xie Yuan'an entered the clinical practice, his skill points would increase rapidly.
It becomes immediately clear who the employees are and who the bosses are.
By a twist of fate, he ended up indirectly hiring two sizable teams to "work" for him and earn skill points.
This is the most, most, most essential thing.
"Do you enjoy sitting on the sidelines and watching the tigers fight?" Mu Nanshu asked.
Lu Cheng replied, "What do you mean by 'sitting on the mountain watching the tigers fight'? I'm doing this from behind the scenes, okay?"
"Hmm, what did you mean by that just now?"
Mu Nanshu said, "You don't think Xie Yuan'an has a very laid-back personality, do you?"
"She represents Peking Union Medical College Hospital, you know."
Lu Cheng nodded slowly: "I see. It seems that Teacher Xie wasn't behaving himself in the lab either."
"Of course, Xie Yuan'an has always been thinking about whether he can find a way to get these projects back."
"But her experience and strength are too shallow; she is no match for Professor Tong Yuan'an."
"That's normal. When the qualifications are similar or equal, the age difference is the biggest disadvantage."
"Moreover, Xie Yuan'an's qualifications are not as good as Professor Tong's; he's at least one level behind."
Lu Cheng knew that Mu Nanshu was praising him indirectly, and Lu Cheng responded smoothly: "So, according to you, your research qualifications are not just ordinary as you said before, but may be one or two levels higher than Xie Yuan'an's?"
"Is that so?" Lu Cheng's voice was gentle.
These are private conversations in the room, so it's okay if they're a little aggressive.
Mu Nanshu remained silent, which meant he acquiesced.
Lu Cheng said, "We're going to get better slowly. We can go to the table and the podium."
"Mm." Mu Nanshu nodded gently.
Lu Cheng then whispered, "Do you want to go and beat someone up for no reason at all?"
Mu Nanshu asked, puzzled, "What do you mean?"
Lu Cheng said, "With a single swing of our swords, we'll move the mountain ourselves. With a single stroke, we'll cut the water and let it flow with us."
Mu Nanshu pushed Lu Cheng away and looked him in the eye earnestly: "I still don't understand."
Lu Cheng said calmly, "I will carry on the will of the senior academicians and further expand the indications for liver-preserving surgery! It should not be limited to liver suturing techniques."
(End of this chapter)
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