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

Chapter 237 Goal Established!
"Uncle, Auntie, Xiaoshu and I will be leaving now. We'll come back for dinner tomorrow night." After dinner and their walk, Lu Cheng said goodbye to Mu Nanshu, Mu Leng, and Yan Sangyue.

Mu Leng listened to Lu Cheng's words, a moment of complexity flashing in her eyes, but she quickly responded: "You guys do your thing. If you're really too busy, you can take care of your own dinner."

Female students are not allowed to stay in college.

Mu Nanshu has already turned 30 and is a person of the new century. There's no point in you talking about premarital cohabitation anymore.

If something were to really happen between these two, they would have already done everything they should have done in college when they were eighteen or nineteen.

"Uncle, do you think it's troublesome for us to come and freeload? I think it's great to be able to come home to a healthy, hot meal every day," Lu Cheng chuckled.

Mu Nanshu rolled her eyes at Lu Cheng, but in her opinion, Lu Cheng had stayed in Long County for a long time and was indeed better at coaxing the local elders than she was.

"That's not what we meant," Yan Sangyue quickly explained. "We were just worried about disrupting your work."

Lu Cheng said, "No, Auntie, we can manage our own work."

"Oh, right, Uncle."

"I just called my parents. My dad will be going back to his hometown to see my grandma for his birthday. If you are going to Longxian, it would be best to call them in advance."

"I have to work that day, so I won't be going back for the time being," Lu Cheng explained.

"Okay, I'll contact him later." Mu Leng wanted to drink.

Given his status and position, he could easily find many people to drink with in Ji City.

However, drinking with different people has completely different meanings and flavors. If you're not simply enjoying the wine in a relaxed state, you won't have a pleasant drinking experience.

Drinks made with ulterior motives are never palatable.

……

Lu Cheng was wearing a thin cotton nightgown with a light gray robe over it. He sat in the study with his feet on the long fireplace.

After tilting the computer to the side, Lu Cheng looked at Mu Nanshu's profile.

Mu Nanshu has long, slightly upturned eyelashes. When she is working seriously, Lu Cheng can clearly see the small brown mole at the outer corner of her right eye.

She wore a perm with curled bangs and a focused gaze, seemingly unaware that Lu Cheng was looking at her.

This scene lasted for more than twenty minutes. Mu Nanshu glanced at Lu Cheng several times before finally saying, "Are you done?"

"Yes, I've finished reading the papers I recently downloaded. I didn't want to bother you since you were still working so diligently."

"Are you going to be busy for a long time? It's still early, how about we treat ourselves to a milk tea?" Lu Cheng asked.

Lu Cheng bought two portions of kimchi. Mu Nanshu only took one portion when she ate at home, and the rest was for a late-night snack.

Tea and milk tea go well together in winter, and Mu Nanshu was immediately tempted, but she was a little worried: "I'm afraid I won't be able to sleep at night."

Lu Cheng hummed in agreement: "You always sleep so soundly."

Mu Nanshu blushed, instantly understanding Lu Cheng's meaning: "Instead of wasting your time, you should really study the papers and try to write a meta-analysis yourself to improve your paper writing skills."

"Otherwise you will suffer a great loss in the future, and no one else can help you with that."

Lu Cheng said, "I know what I'm doing. I'll start ordering milk tea now."

"Oh, by the way, I also have some good news to tell you. I just found my clinical direction while reading the papers."

Mu Nanshu's delicate body trembled slightly for a moment.

It wasn't that she had any ulterior motives, but she was genuinely shocked by Lu Cheng's prolific output.

Since Lu Cheng developed the tendon suturing technique, no papers on the technique have been published yet, but techniques for suturing the spleen, blood vessels, and nerves have gradually emerged.

A few days ago, Professor Chen Song was once again captivated by liver suturing techniques and liver-preserving surgery.

Although Mu Nanshu had always been "confident" in her boyfriend, she never expected Lu Cheng to be so unreasonable.

Can a sow be compared to Lu Cheng?
When it comes to reproductive productivity, boars are the eternal gods: "What?"

Mu Nanshu has never fought such a wealthy battle before. Now, she is so wealthy that she is at a loss!

They were simply too busy to keep up with Lu Cheng's pace.

"Trauma!"

"I may have to go back to my old profession for the time being," Lu Cheng said.

Mu Nanshu knew about Lu Cheng's predicament in clinical practice. Although Lu Cheng was closer to the research group at the State People's Hospital, making it easier for everyone to discuss the research together, he had much less clinical work than he did in Long County.

It has greater limitations and a more rigid framework!

“Tell me more details,” Mu Nanshu said.

"Actually, there's not much to say. It's just the most difficult aspect of the trauma industry right now: the treatment of destructive injuries."

“However, the trauma I’m referring to isn’t just orthopedic trauma surgery, but rather a comprehensive trauma center, including but not limited to trauma to the limbs,” Lu Chengdao said.

Mu Nanshu has a medical background, so she immediately understood the word "damage," but it triggered her memories, and her pretty face turned slightly pale.

It seems like images of destruction are flashing through my mind. (P.S.: Please, everyone, don't be curious and search it on Baidu. Take my advice.)
"This must be difficult, right?" Mu Nanshu frowned slightly.

"It's not easy, but it's okay to make mistakes."

"Trauma is something that can be encountered everywhere, regardless of the type of trauma or the level of hospital."

"For major trauma, the current treatment is palliative care, including but not limited to amputation."

"Actually, in addition to the limb injuries, there are also abdominal injuries. The current treatment is relatively gentle, cutting as much as possible to save the patient's life."

“But after thinking about it, I realized that if the opportunity arises, the postoperative rehabilitation of some patients with devastating injuries could be better,” Lu Cheng said.

"Moreover, this topic is a natural clinical topic, and it is one of the surgeries we must perform."

Lu Cheng did not have any destructive surgeries when he was in Long County, but he did have them when he was in the orthopedics department.

It's very simple: amputation.

Some people say that fractures are the simplest orthopedic surgery, but that's not true; amputation is.

A resident physician can perform the procedure; there's no set method. After the amputation is completed, the bleeding is stopped, and the sutures are put back together.

It's effective, but not very patient-friendly.

"Yeah!~"

"Tell me your thoughts?" Mu Nanshu knew that Lu Cheng had experienced so much in terms of original research techniques, so when he put forward a concept, he wouldn't just make things up without a purpose.

"First of all, as far as I know, I certainly won't be dealing with patients with devastating injuries right away; each specialty has to handle those cases on its own."

"But in medium-sized trauma, there are actually some localized, small-scale destructive injuries. These patients are the ones we in the emergency department must deal with."

"Postoperative tendon and skin healing is very poor in patients with moderate trauma. I was thinking, if I could help patients with moderate trauma achieve good local repair, that would be a breakthrough!"

“Look, I currently have tendon suturing techniques, nerve suturing techniques, and vascular suturing techniques. I can perform limb replantation, so why is there no such thing as tissue replantation?” Lu Cheng asked Mu Nanshu a question in return.

"What if it's not completely removed and an infection occurs?" Mu Nanshu also raised a specific question.

Lu Cheng ordered takeout. He knew Mu Nanshu's favorite flavors perfectly. He put down his phone and replied, "Shudai, do you think the postoperative infection rate for patients with moderate trauma is now worse?"

"That's a contaminated wound, with a high chance of infection and a second surgery."

"These patients are simply transferred to either the infectious disease department or the burn unit."

Trauma patients often have poor prognoses, inadequate treatment outcomes, and a high rate of requiring secondary surgeries.

According to Lu Cheng's analysis, indeed, all sorts of negative buffs have been applied to the maximum extent.

But Mu Nanshu still had doubts: "But?"

"There aren't many 'buts'. I'll share my thoughts with Director Xiao later. This is a minor innovation within a minor innovation in clinical practice, and as an attending physician, I certainly have the authority to do so."

“No guideline dares to provide detailed treatment instructions for trauma patients!!” Lu Cheng said with certainty.

Trauma is invisible, there are no standard answers, and therefore no cure.

Anyone who dares to frame a trauma patient is simply making themselves uncomfortable.

An injured hand is a trauma; a hand split in half is also a trauma; a hand crushed into a pulp is still a trauma; a broken head is also a trauma.

How do you standardize it? Just kidding.

"Are you exploiting loopholes in the rules?" Mu Nanshu chuckled.

"It's just to keep myself occupied," Lu Cheng said.

"How do you preserve the tissue from a wound that no one else can handle?" Mu Nanshu asked.

"Based on the concept of limb replantation in hand surgery!" Lu Cheng said.

"Currently, the definition of wound debridement is the surgical removal of foreign bodies from open wounds and the excision of necrotic, devitalized, or contaminated tissue!"

"According to this definition, foreign objects, necrotic and devitalized tissues must be removed, but contaminated tissues may not be."

"There is a certain time window for limb replantation. So, what about tissues without blood supply? Are they completely necrotic?" "I don't think so. They also have a certain time window. It's just that rebuilding their blood supply is extremely difficult, so very few people do this thankless task."

"But I think I can give it a try because I can suture blood vessels very quickly, and I can also suture very small blood vessels."

"In this way, I can save some tissues that may be necrotic but actually have a potential survival rate."

"The less tissue loss, the less scarring the patient will have after surgery, and the better the local aesthetics will be."

“I even have the opportunity to reconstruct the local cutaneous nerves.”

"Since I can't pursue high-quality surgery now, I can pursue precision surgery. Is that okay?"

Quantity is a horizontal issue, referring to the number of patients. Surgical quality and treatment quality are vertical issues.

"Okay, then keep thinking about it. Since everything is suitable, you can certainly do it."

“But now, can we go rest, grab some late-night snacks, and wait for our milk tea?” Mu Nanshu wasn’t trying to discourage Lu Cheng, but rather hoping that Lu Cheng wouldn’t be too hasty and act rashly.

Lu Cheng thought things through carefully, taking all the causes and consequences into account, so of course she supported him.

What Lu Cheng needs to do is not to open up new tracks arbitrarily, as before, but to integrate all the existing tracks.

"Let's go get something to eat."

“This portion is vacuum-packed; we need to mix it ourselves. Just add some vinegar and a little scallion and ginger water.” Lu Cheng stood up voluntarily.

But just as Lu Cheng stepped out, his phone rang.

Seeing this, Mu Nanshu said, "You're busy, I'll go."

"Hello!" Lu Cheng didn't dwell on Mu Nanshu and answered the call on his phone.

"Hello, is this Brother Lu from the emergency department?" A young man's voice came from the other end of the phone. The voice was loud and clear, and the other person was probably standing in a quiet place outside.

"I am Lu Cheng from the emergency department. May I ask who you are?" Lu Cheng introduced himself.

"Hello Brother Lu, I'm Dai Linfang from the oncology department. You can call me Xiao Dai or Lao Zhu, it's fine either way." Dai Linfang's voice was still magnanimous and amiable.

"Brother Dai, is there something you need? Deng Duanmou and Xiang Kai should be on duty right now, I can call them." Lu Cheng thought Dai Linfang wanted to see him for a medical consultation.

Then I randomly asked someone for my phone number.

They were all colleagues at the hospital, and some of these colleagues were also relatives or friends. It was common for relatives to ask their colleagues to see them privately for medical treatment.

"No, Brother Lu, I'm here to talk to you about something personal."

"Brother Lu, it's like this. Well, although I don't have a high level of education, I do know a little bit. I heard that you are working on a research project, and when I heard that, I felt like I was in a different world. So I was thinking if there was anything I could help with."

"I was bored and wanted to find something to do, so I made this call," Dai Linfang said.

Lu Cheng's gaze sharpened slightly: "Brother Dai's information network is really impressive. Very few people know about this, and I'm embarrassed to tell anyone."

"I did it all with the guidance of my teachers."

Dai Linfang laughed and said, "Brother Lu, you're someone who's already in the industry, of course you'd be humble. The fact that you're so well-liked by the other teachers is definitely something special."

"Brother Lu, if it's convenient for you, could you recommend someone for me?"

"Although I don't have any other abilities, and I'm not as talented as you, Brother Lu, I can still help with odd jobs and such."

"If you need to conduct research at the hospital later, I can help you with the arrangements."

Dai Linfang was subtly revealing his relationship to Lu Cheng.

He learned that Lu Cheng's research would eventually be applied to clinical practice, and since Lu Cheng was now at the State People's Hospital, he would definitely be conducting his research there.

"Brother Dai, the main problem is that I haven't heard of any other teachers needing manpower. Maybe if they mention it to me sometime, I can mention it to you?" Lu Cheng had a lot of experience in handling such situations and wanted to get away with it this way.

Dai Linfang said, "Brother Lu, we may have enough people to do the work, but we definitely need people to do odd jobs."

"There are plenty of names that can be listed on a paper, so it won't matter if I'm added. If you help me out, we can all have a meal together, and this matter will definitely be settled."

"Should I send you the location? I can call the boss to book the whole place anytime."

Lu Cheng quickly declined, "There's no need, Brother Dai."

"It's not about money or food; I'm afraid I'll ruin my current position!"

Lu Cheng took another step back.

"Brother Lu, as the saying goes, risk and reward go hand in hand. How do you know things won't get better if you don't try?"

“I assure you, Brother Lu, if you introduce me and suffer any losses, no matter how big or small, I will immediately give you 50,000. If you are kicked out, I will give you 200 privately.” Dai Linfang’s words were not very subtle.

“Brother Dai, with your abilities, you can find research groups or companies on your own, right?” Lu Cheng replied.

“Different research projects are not the same. Who would dare to use the data that the company produces so easily these days?”

“Brother Lu, I definitely have some connections. Of course, I found out that your research group is quite excellent and a good fit for me.”

"To be honest, I do need this to enhance my image and make things easier for my future development."

"If things don't work out, I won't let you down, Brother Lu. If things do work out, I certainly won't let you down either."

"Even if it's not ten times, six or seven times wouldn't be a problem," Dai Linfang said.

Lu Cheng said, "Brother Dai, this isn't about the money. I'm being pulled along by the teacher, and I'm not willing to let this opportunity slip by."

Dai Linfang was silent for a moment, then said, "Brother Lu, your research group definitely wants to move the research to Jishi!"

"It's convenient for everyone, there's no need to create unnecessary trouble. Why don't you pass this message on?"

Dai Linfang was too soft, so he put on a chain.

This was the first time Lu Cheng had ever heard someone directly threaten to kill his research project.

"Huh? Brother Dai, what do you mean by that?" Lu Cheng asked.

Dai Linfang laughed and said, "Just kidding, Brother Lu, I really came with sincerity."

“I know, Brother Dai,” Lu Cheng replied.

“You just said that you have some connections in the province. You can skip over them and go directly to my teacher for a face-to-face meeting. You don’t need me to be your guide.”

Dai Linfang sighed: "Brother Lu, to be honest, I have looked, but I haven't found the right approach yet."

"As far as I know, the current setup of this research group is a bit strange, as it includes not only units from within the province but also units from outside the province."

"I wouldn't dare do these things in private without seeing Teacher Quan."

"And I've also heard that this research group can move to Hubei Province at any time, which is a huge joke."

"Brother Lu, could you do me a favor and introduce me?" Dai Linfang said.

“Brother Dai, then I’m even more helpless. Really, I can’t help you.” Lu Cheng’s tone was firm.

Dai Linfang remained silent for a moment, then his tone turned slightly cold: "You're not even willing to convey my feelings? Are you being so disrespectful?"

“Brother Dai, what you’re saying will only cause conflict. There’s really no need to bring it.” Lu Cheng remained polite.

“Then your clinical research projects can’t be conducted in Jilin City,” Dai Linfang said more bluntly.

"Then let's not do it in Jilin City." Lu Cheng said calmly.

"Huh? What do you mean?" Dai Linfang's voice sounded a little flustered.

"Are you planning to outsource your clinical research?"

Lu Cheng said, "I don't know. These are things the teachers are talking about. I just think that if we can't open a branch in Jishi, we can open one in another place."

"There will always be places to open in Hubei Province and other prefecture-level cities in Hunan Province."

Dai Linfang said in a pained tone, "There's no need for this, is there?"

"The problem is, my opinion doesn't count. I'm just answering your question, Brother Dai," Lu Cheng replied.

"Then why can you get in and move this research topic around at will? This proves that you hold a special place in their hearts." Dai Linfang's intelligence is definitely not a problem.

"Moreover, it wasn't set up anywhere else from the beginning."

“I am deeply grateful to the teacher for being willing to guide me. But I cannot take over the role,” Lu Cheng said.

"Then can you do me another favor? I really need this."

"This is something you can decide for yourself, right?" Dai Linfang asked, as if he were really grasping at a straw.

“It won’t sell anyway. How much influence do I have to sue?” Lu Cheng said.

"Then you'll see if you can finalize the clinical research project later." Dai Linfang unilaterally hung up the phone.

He didn't threaten Lu Cheng into not being able to make a living. If Lu Cheng couldn't make a living at the state hospital because of that, then the reason would be too far-fetched.

A person who isn't afraid of offending others wouldn't offend others like this.

(End of this chapter)