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

Chapter 274 Expert-level Hemostasis Techniques!

The caller was Yao Xin, who chuckled and said, "Your question leaves me speechless."

"In short, he wants you to understand things a little better, and then he'll give you something else he can offer."

Upon hearing this, Lu Cheng knew that the person making the request was still at Yao Xin's house. Yao Xin didn't want to be too obvious: "Dean Yao, if other teachers can support the trauma center, then it's naturally not my turn to make a fool of myself."

"I'm still young, I can wait."

Yao Xin said, "Oh, I see. I understand."

-

After Yao Xin hung up the phone at Century Mountain and Water Residential Complex, a person sitting opposite him quickly asked, "Dean Yao, what did Lu Cheng say?"

Yao Xin looked slightly embarrassed: "Lu Cheng didn't agree."

“He said that if others go to the trauma center, he can stay in his original position.”

Dong Chang's expression changed drastically, and he asked tentatively, "Is Lu Cheng too young to understand what I mean?"

"Dean Yao, you didn't seem to explain clearly just now... Would you like to?"

Yao Xin crossed his legs, his voice pale and distant: "Dong Chang, Lu Cheng doesn't lack any of what you're talking about, and you can't give him what he wants."

Dong Chang stiffened, shrank back, and bulged his eyes slightly: "Dean Yao, isn't this enough to fill his pockets?"

Yao Xin said, "The problem is he doesn't need it..."

"As far as I know, Lu Cheng has repeatedly declined invitations from professors at Xiangya No. 2 Hospital and Xiangya Hospital."

"And they're not even angry yet."

After hearing Yao Xin emphasize that he wasn't angry, Dong Chang's eyes darted around, and he swallowed his various emotions before saying goodbye and leaving.

Both the pure tech circle and the pure mixed circle have their own operating rules. Dong Chang only belongs to the 'semi-mixed circle', so he dares not easily break their rules.

……

After returning home with Mu Nanshu, Mu Nanshu went into the study, while Lu Cheng sat in the living room, casually flipping through some books.

While taking notes: "Since it is a trauma center, non-traumatic diseases and surgeries such as appendicitis, cholecystitis, and pancreatitis in acute abdominal conditions can be excluded."

“Surgeries such as those involving arterial dissection would certainly not be performed at the trauma center.”

"More of the conditions that need to be addressed are injuries to the limbs, ruptured blood vessels, traumatic hematomas, contusions of solid organs, and ruptured intestines."

"Intracranial hematomas still fall under the jurisdiction of neurosurgery!"

"..."

After Lu Cheng roughly sorted out the types of diseases the trauma center might encounter, he flipped through his notebook again.

Deaths (Xiangzhou): Pelvic hematoma, retroperitoneal hematoma, direct liver rupture, spleen rupture, pancreatic rupture, extensive soft tissue contusion, catastrophic injury...

These are all diseases that Lu Cheng personally handled, but which were not able to be sent to the operating room.

Among them, the highest mortality rates are pelvic hematoma, retroperitoneal hematoma, and liver rupture.

With his current skills, plus the 'blind hemostasis technique,' Lu Cheng is certainly better than many associate chief physicians or chief physicians in general prefecture-level city hospitals in terms of emergency care, but he is not invincible.

There are many doctors across the country with the same abilities as Lu Cheng.

Lu Cheng was able to move around in front of Professor Zhong Junyun and others because of his improved techniques and breakthroughs in scientific research.

Technique improvement and scientific research breakthroughs emphasize the importance of thinking outside the box and achieving breakthroughs in specific areas. For example, Lu Cheng can achieve higher and better quality results than others when it comes to hemostatic tendons, hemostatic blood vessels, and hemostatic nerves.

Therefore, the level of basic hemostasis skills still needs to be improved; it's still not enough.

Current skill point balance: 105 points.

[Hemostasis (Expert 0/200) (Skill Points -20): With effective guidance and favorable circumstances, Hemostasis has been upgraded to Expert level. This passively boosts the Hemostasis skill tree. Please see the detailed demonstration for the specific boost amount.]

【止血系技能：徒手止血术（专精20/20）（+3）、器械止血术（专精18/20）（+2）、压迫止血术（专精14/20）（+11）、电凝止血术（专精16/20）（+4）、理论止血术（专精1/20）（+31）（新）】

"Theoretical hemostasis techniques?" Lu Cheng's heart stirred when he saw the newly appeared regulations.

After carefully studying the knowledge gained from this regulation, Lu Cheng suddenly understood.

Theoretical hemostasis is not a traditional hemostasis technique, but rather a technique that combines all available methods to achieve hemostasis when encountering a bleeding patient, based on the existing situation.

There is no specific number, and no specific application object.

With few skill points remaining, Lu Cheng temporarily set them aside for future use.

……

March 10th, afternoon, Lu Cheng was on the night shift in the ward!
During the night shift, there's no need to write medical records. After making rounds of the wards, Lu Cheng makes minor adjustments to the inpatients' medical orders, mentioning the level of painkillers to patients with significant pain, and then he can take a break while waiting for the inpatients to be transferred.

Timely.

Dai Linfang and Tian Zhiliang walked in together from the office door.

Tian Zhiliang humbly asked, "Dr. Dai, you handled this case very well."

Dai Linfang said calmly, "The treatment of a ruptured spleen is fairly standard. However, I didn't have much experience with it when I was with my teacher."

"Most of these emergency cases are handled by attending physicians and resident physicians. Whether they are good or bad, that's about it."

“Director Song, I’ll go whenever you call me.”

"Brother Lu!" Dai Linfang called out when he saw Lu Cheng.

Dai Linfang was assigned to the emergency department this month as one of the deputy directors of surgery.

Despite having a doctorate and being an attending physician, he is still new to the emergency department and has very few surgical authorizations. Most of the time, he works under the guidance of two associate chief physicians.

Dai Linfang's own skills are quite unique. Apart from his spleen preservation and hemostasis techniques being inferior to Lu Cheng's, his other abilities are not far behind Lu Cheng's.

Even in terms of debridement techniques, he is slightly better than Lu Cheng.

Lu Cheng put down his phone and asked, "Director Tian, ​​should we transfer the new emergency room patient here?"

"It should be the hepatobiliary surgery department."

Tian Zhiliang's gaze swept between Lu Cheng and Dai Linfang: "Lu Cheng, did Dai Linfang really only start learning that spleen-preserving technique from you this month?"

Tian Zhiliang's tone was somewhat tense.

Lu Cheng was not one to hide his talents, nor did he have any intention of teaching his students to the point of starving their master. He had already given Tian Zhiliang and others the essentials of learning.

But Tian Zhiliang's Daoist heart is now somewhat broken.

“Yes!” Lu Cheng nodded.

“You two are both monsters,” Tian Zhiliang clicked his tongue.

"Monsters, you can talk amongst yourselves. Remember to come to my office for tea later!"

Lu Cheng's night shifts in the emergency room and ward overlapped with Tian Zhiliang's "second-line shifts," a arrangement Tian Zhiliang deliberately made to alleviate his own pressure to some extent.

The first half of the month went well. Occasionally, Lu Cheng would be called up to the stage, and Tian Zhiliang felt that he was capable enough to hold the position of director.

But during the time Lu Cheng was on leave, it was like a nightmare haunting him. Only then did Tian Zhiliang finally realize his own limitations and understand the ferocity of Lu Cheng's skills, which were not as effortless as they appeared...

After spending more than a month together, Lu Cheng and Dai Linfang had become quite familiar with each other: "Brother Dai, what have you been up to again?"

“You brought your spleen-preserving surgery to the State People’s Hospital, right? I also applied for the procedure and obtained the surgical authorization. Today, I tried to perform the first case.”

"Isn't this a normal thing?" Dai Linfang replied naturally.

Regardless of Dai Linfang's family background, his mentor was Professor Huang Gengwen of Xiangya Hospital. It was relatively easy for Professor Huang to arrange a surgical authorization 'review' for Dai Linfang related to spleen surgery. It's estimated that Dai Linfang knew almost everyone on the review committee.

To be honest, if it weren't for his own control panel, Lu Cheng would feel a lot of pressure if someone like Dai Linfang stood in front of him.

Therefore, Lu Cheng couldn't understand why Dai Linfang was saying something so normal: "Brother Dai, if you encounter a hematoma, I still suggest you don't handle it alone."

With the example of Peng Kun from Longxian People's Hospital as a precedent, Lu Cheng also made a clear suggestion.

Dai Linfang scratched his head: "Brother Lu, don't worry, I know what I'm doing."

"I haven't had enough opportunities to reach that level of blind operation yet. I definitely won't act rashly until I reach that stage."

"Clinical practice and scientific research are different. The cost of scientific research is nothing more than a few dollars. I am a clinician, and I would never joke about a patient's life."

Dai Linfang continued, "Brother Lu, how are your preparations going regarding the things we discussed before?"

After Dai Linfang joined the emergency department, although he was the deputy director, he only had the title of attending physician and was not considered a 'senior'. He was currently just an apprentice.

A doctorate is just an academic qualification; it doesn't give you much extra experience or clinical time capital!
Of course, Dai Linfang also discussed with Lu Cheng what kind of preparations Lu Cheng would need to make if he were to take charge of the trauma center.

"That should be enough," Lu Cheng replied.

Dai Linfang's gluteal muscles clenched, causing his anus to tighten: "Ah?"

"Big brother?"

"Complete at least 80 precise electrocoagulation hemostasis operations within one minute, with a hemostasis error tolerance of less than 4 times. The depth of the operation is 5cm, and the diameter of the hemostasis point is 3mm?!"

Dai Linfang had received formal training, so he knew exactly what Lu Cheng was talking about and how difficult it really was.

Prior to this, hemostasis training involved performing at least 70 precise electrocoagulation hemostasis operations within one minute, with a tolerance for error of less than 4 times. The depth of the operation was 3cm, and the hemostasis diameter was 2mm!

Although it only involved 10 additional operations, only an additional 2cm of depth, and an additional 1mm of hemostatic diameter.

However, the actual difficulty of implementation has increased by at least tenfold!
"Yes, I have already filmed a video and asked Professor Chen Song. Professor Chen found the problem, which should be just enough."

“Oh…he just got back,” Lu Cheng said.

Lu Cheng added the video last night, the video was filmed this morning, it was edited at noon, and it was posted at 2 pm.

It is 8:43 PM now.

Chen Song sent a voice message, his voice trembling violently: "Xiao Lu, let's make a deal next time, okay? Please don't contact me again."

"My mom told me since I was little not to hang out with perverts, lest they shatter my values."

This was a serious reply, interspersed with mumbled murmurs, and was indistinct—

"Go to hell! How many people at this age can break through two fundamental skills to this level?"

'I can tolerate your excellence, not because I want you to undermine my Daoist principles.'

"Ahem!" Lu Cheng coughed twice: "Professor Chen has started swearing without any manners."

Dai Linfang rolled his eyes: "You deserve to be scolded."

"In our spleen and pancreas surgery, at my age, to have a basic skill that allows one to use it to pursue personal interests requires a talent that is hard for ordinary people to understand."

"I estimate that Professor Chen and Professor Tong were only thirty-two or thirty-three years old when they acquired the basic skill of 'Huashan Sword Competition'!"

"The fact that both doors are here is somewhat beyond our comprehension."

"Many top professors, around forty years old, can also achieve this if they dedicate enough time."

"As for me, I've barely crossed the first threshold."

Expert-level basic skills are definitely not commonplace; a small number of chief physicians can reach that level, and top geniuses can achieve it in their thirties, with generally only one such person.

Lu Cheng knew that Dai Linfang was also trying to show off: "Then Brother Dai, you're a genius too."

“Isn’t that right?” Dai Linfang asked rhetorically.

But he quickly realized, his expression changed, and he grinned slightly: "My understanding of you, Brother Lu, was too superficial before. I only saw your theoretical organization ability."

"Actually, your learning ability is much, much more abnormal than I expected."

"If you had received excellent formal training from the beginning, I don't know how abnormal you could have become now."

"Perhaps, it is possible to be like the senior Wu Mengchao, who could command the world in his thirties."

Wu Mengchao, 38, performed China's first liver surgery, successfully removing a liver cancer lesion and breaking the previous record of no successful liver surgery in China.

To be able to set a precedent at such a young age!

There are predecessors who have paved the way, but few successors have repeated it.

These days, a 38-year-old hepatobiliary surgeon removing liver cancer is no longer considered a "top achievement"; it can be achieved simply by following the established path of learning.

Times have changed, and transcendent standards have become higher and farther...

"How difficult is this spleen-preserving surgery?" Lu Cheng changed the subject.

Dai Linfang stretched and said, "The difficulty is very ordinary; it's just a simple repetitive task."

"The difficulty lies in not knowing how; if you know how, it's not difficult. This applies to all surgeries," Dai Linfang said calmly.

Lu Cheng said, "Brother Dai, you're too impatient."

Dai Linfang lowered his outstretched arms and slowly nodded: "Compared to your personality, I'm definitely a monkey jumping around."

"But that's just my personality!"

Lu Cheng is so steady and capable; there are many things he can do, but in pursuit of procedural justice, he is willing to wait and chooses to wait.

Of course, Lu Cheng wasn't entirely passive; he would also display his masculine instincts whenever there was a natural opening for penetration.

For example, Lu Cheng, the head of the trauma center this time, did not back down.

Dai Linfang, who had been following Lu Cheng all along, witnessed firsthand how Lu Cheng was very cautiously calculating his ability to bear the consequences and his sunk costs.

“By the way, Brother Lu, I’ve discovered that Zhang Xibei’s talent is actually better than Ni Xiexin’s, but it’s been held back,” Dai Linfang said.

Lu Cheng chuckled upon hearing this: "That's a good thing...it proves that our team has great potential for growth..."

"I'm going to read a novel for a while... to find some inspiration," Dai Linfang said.

"Huh? Brother Dai, you're looking for inspiration by reading novels?" Lu Cheng was quite surprised.

"Novelists' imaginative thinking is sometimes more divergent than ours, and this is a necessary thinking ability for them."

"Sometimes it's worth learning from."

"Do you want me to push it to you?" Dai Linfang asked.

"Well, not for now. I need to take a closer look at the operating rules, common diseases, and outcomes of other trauma centers." Lu Cheng's decision to take over the trauma center wasn't a rash one.

We should learn from the lessons of our predecessors with humility.

Dai Linfang stood up: "Brother Lu...you'll soon be able to stand up truly, and you won't be bound anymore!"

"The hospital's low level is not necessarily a bad thing in terms of getting things done."

Lu Cheng understood Dai Linfang's meaning, but did not reply.

If it were at Peking Union Medical College Hospital or Xiangya Hospital, Lu Cheng wouldn't be in charge of any center.

But this is in the remote Xiangzhou and Xiangxi areas...

(End of this chapter)