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

Chapter 277 Observing Surgery!
State People's Hospital, Trauma Surgery Department, Director's Office.

Zhu Guanghong was leisurely tending to the pothos and orchids by the window when, from inside his desk, the sharp voice of the associate chief physician reported thoughtfully, "Director Zhu, the emergency department has performed another manual reduction of a fracture."

“In the past week, the admission rate of emergency fracture patients in our department has dropped by a full 30%. Our shifts almost overlapped with Lu Cheng’s shifts in the emergency department, and we saw the largest decrease in the number of patients.”

"Director Wu, isn't this a bit inappropriate?"

The head of the trauma surgery ward is Zhu Guanghong, whose professional title is associate chief physician. The other two team leaders are chief physician and associate professor.

It's harder to become an associate professor at the state's People's Hospital than a chief physician.

Zhu Guanghong turned his head slightly, his tone sharp: "Min Rui, what do you want to say?"

Min Rui said urgently, "Director Zhu, you need to go see the hospital leaders!"

"Professor Huang and Director Wu can perform other surgeries, but what about us here?"

"Besides, it was their own fault for not getting the ward director position, it has nothing to do with you, Director Zhu."

Zhu Guanghong turned around and walked to his desk, a smile on his face: "You want me to go see the hospital leaders?"

"Min Rui? Do you think there's something wrong with the manual reduction technique used by Dr. Lu Cheng in the emergency department?"

Zhu Guanghong stretched out his hand: "Give me the evidence."

Min Rui certainly couldn't find any evidence, and even if there was flawed evidence, his colleagues wouldn't expose it: "Initially, Director Wu was the one who proposed setting up the trauma center, but it was halted after a period of time..."

"Isn't bringing this up now just to clean up the mess?"

"In order to balance and stabilize Lu Cheng, and to make him take on this responsibility, we also need to allocate a portion of the disease types to him to boost the trauma center's profits. Why should we do that?"

Wu Xiang is a chief physician and a member of the Trauma Surgery Group of the Hunan Provincial Medical Association, with a very rich resume. He has received advanced training at Jishuitan Hospital in Kyoto and Prince of Wales Hospital in Hong Kong, and was once the director of a ward.

Zhu Guanghong was of medium height and slender build, with piercing eyes: "Min Rui, don't rush, Director Wu is a director with his own ideas!"

"I'm just temporarily taking on the position of ward director because the trauma surgery department needs a ward director."

"Director Wu likes to take initiative, but his intention is not to make things difficult for patients. Rather, he hopes that the department and the hospital will be better. This sentiment is worthy of respect."

"I don't have that kind of ability, so I won't join in the fun, but I also can't cause any trouble."

"The establishment of the hospital's trauma center is a good thing for both the hospital and the patients."

Zhu Guanghong's position was indeed awkward, as he was sandwiched between chief physicians, associate professors, and chief physicians to become the ward director.

Zhu Guanghong never imagined he would become the ward director. The other two "teachers" betrayed him, so what could he do?
"But?" Min Rui hesitated, as if he wanted to say something but then stopped.

Zhu Guanghong gestured for them to speak: "Recognize your own situation and the current situation. If there are fewer patients with fractures, then we should transform our business model and gradually explore more complex fracture cases."

"Director Wu's idea back then was a bit too hasty. Mainly because he had experienced the suffering of many patients, was too compassionate towards them, and wanted to save as many patients as possible, so he was in a hurry to establish a trauma center."

"Otherwise, under the circumstances back then, Director Wu could have done nothing and simply enjoyed his position as director until retirement."

Min Rui's answer was realistic: "Then it would disrupt the balance within the department, forcing our group to reduce the number of patients?"

"Oh, so it won't affect their performance, right?"

Doctors need to make a living, and they need to rely on their skills and workload to earn a living.

The patients have all been lured away, they're starving, what's the point of talking about ideals?

As a doctor in a prefecture-level city hospital, Min Rui naturally believes that technology is king!

Lu Cheng had carefully examined the patients he had treated for repositioning several times.

Lu Cheng's manual reduction technique was correct, beneficial to the patient, and not reckless!

However, Director Wu Xiang's decision to send out the trauma surgery specialty in order to cover up his past mistakes was a poor one.

It seemed that Director Zhu Guanghong, whom I was following, was a little too calm: "Transformation is bound to involve growing pains."

“Director Zhu, I just finished paying off my car loan, but I still have a mortgage. My son is in high school, and my daughter is in tutoring classes. I’m under a lot of pressure.” Min Rui had a second child as soon as possible, in line with national policy.

Zhu Guanghong had already reached the shore, but Min Rui was still struggling in the water.

"Just say what you want to say," Zhu Guanghong said calmly.

“Director Zhu, I really have no choice. If you don’t talk to the hospital leaders, I will have to apply to transfer to Director Huang’s department.” Min Rui’s voice was cold and realistic.

He wants to make a living through his skills and the number of surgeries he performs; he doesn't want to talk about ideals or go through any pain.

If the advice given is ineffective, then switch groups and continue to rely on your skills to make a living.

eat first.

I need the number of surgeries.

Zhu Guanghong's expression changed slightly: "Min Rui, many people in the department have high hopes for you, and that's why we're having you work with me."

"Are you planning to spend your whole life working on fractures?"

"When you encounter difficult cases, are you planning to give up? After Director Wu and Professor Huang retire, and I retire too, are you planning to abandon these patients?"

Min Rui scratched his head hard: "I don't know... Director Zhu, I can't think about that right now."

“My father was hospitalized a while ago, and the expenses amounted to 300,000 yuan. Our family's monthly expenses are considerable…”

"I also want to focus on my studies, but reality doesn't allow me to slack off."

“I earn money through surgery, it’s all aboveboard, I don’t see anything shady about it.”

Zhu Guanghong knew about Min Rui's father's hospitalization. At Min Rui's age, it was indeed difficult to come up with 300,000 yuan to cover the debt.

Zhu Guanghong sighed softly: "Since you've already thought it through and discussed it with Professor Huang, then you should go over there."

Min Rui was extremely surprised: "Director Zhu? What's wrong with you?"

"You'd rather we all leave than talk to the hospital leadership? You're the ward director! You can refuse!"

Zhu Guanghong said, "I am the ward director, that's true, but I also want to do something. I can't be as dedicated as Director Wu, so I can only try not to hold anyone back."

"Min Rui, I understand your current difficulties very well."

"But you and I are both associate chief physicians, and in a prefecture-level city hospital at that. To a large extent, we don't need to worry about making a living."

"In this life, it's best to leave something behind, more or less... If you can't leave anything behind, at least do something you want to do..."

"We may not be able to participate in the cause of benefiting human health, but we should still think about promoting the development of medical care in hospitals and regions."

Min Rui was speechless, then turned and left.

He kept muttering things like: "You're so high and mighty, you're so great, you just lie down after you've eaten your fill," and "You son of a bitch."

Zhu Guanghong squinted in his office for a while, but didn't call Min Rui back.

You can only talk about ideals after you've had your fill. I've already weathered the toughest times, so I can't use morality to hold everyone else hostage.

Min Rui wasn't in his position; how could he know that the trauma center wasn't just a scar on Director Wu Xiang's personal career, but also a scar on the entire field of trauma surgery?

……

In the emergency room, inside the operating room.

Lu Cheng stood at the chief surgeon's position, Professor Qu Daowen stood at the first assistant position, and Dai Linfang, who was always with him, stood at the second assistant position.

Lu Cheng was operating diligently, while Qu Daowen and Dai Linfang constantly scanned the surgical field. This was an emergency case of splenic contusion and rupture, and the planned surgical procedure was spleen-preserving surgery (splenectomy with preparation)!

In Hunan Province, spleen preservation surgery is a routine area of ​​research for teams at Xiangya Hospital and the Second Affiliated Hospital, and a surgical procedure that the Trauma Center and General Surgery Department of Hunan Provincial People's Hospital are striving to explore.

In ordinary prefecture-level city hospitals, only a very small number of chief physicians have this ability.

This scene wasn't unique to Xiangzhou People's Hospital; the surgeon was a very young-looking doctor, making the scene quite remarkable.

After watching the surgical procedure for a while, Dong Liumeng returned to the CT scanner and carefully examined the patient's CT scan results, his eyes gradually bulging.

Dong Liumeng did not make a sound to disturb Lu Cheng's operation, and kept his emotions to himself.

Only after he clearly saw that Lu Cheng's operation was nearing its end did he involuntarily clap his hands, his tone serious:

"Professor Dong, this is unbelievable!"

"May I put it this way: compared to the spleen-preserving surgery performed by Lu Cheng, the spleen-preserving surgery we have been doing in our clinical practice is the traditional spleen-preserving surgery."

Traditional spleen-preserving surgery relies on debridement and resection to partially remove the damaged spleen in order to preserve the remaining spleen function.

Lu Cheng's spleen-preserving technique relies on his superb suturing skills to repair the damaged spleen in order to preserve more of its function.

This is similar to a lower limb injury. To save a life, the traditional procedure is amputation, but Lu Chengxing's procedure is limb preservation, leaving no stone unturned.

Qu Daowen, of course, saw the post-operative results more clearly. He pursed his lips, took a deep breath, and said, "You could say that!"

"After reading it, I felt very complicated!" Qu Daowen's tone was profound, and he didn't know what to say for a moment.

If spleen-preserving surgery can be done this way, then what about the partial splenectomy I had before?
Inadequate technology? Disregard for human life?

How should I calculate my many years of surgical career and surgical experience?
Dai Linfang lowered his head and said, "Professors, actually, Lu Cheng and I are still lacking in basic skills compared to you."

"The surgery was completed purely by taking a shortcut in the suturing technique."

Qu Daowen knew Dai Linfang was trying to comfort him: "But you forged your own shortcuts!"

"People have to accept getting old. Technology is constantly evolving, and there are always new generations and old ones..."

"I'm starting to understand the mindset of those older directors: minimally invasive surgery, openness, the younger generation versus the older generation..."

I went to great lengths and devoted my entire life to take over the regular army of the National Revolutionary Army, and you're telling me it's 1949?
Dai Linfang raised his head: "But Teacher Qu, at least we've seen something new. From now on, we're not so ignorant anymore, are we?"

"Compared to our predecessors, whom we will never know, we are at least lucky."

Dai Linfang is a child who knows how to comfort people.

Qu Daowen nodded slightly, then shook his head as if brushing it off: "That's true... at least I know such a thing exists."

"It's a pity, it's a pity I'm too old, I guess I won't be able to learn it."

Qu Daowen could only sigh.

His skills, compared to Lu Cheng's, are only relatively inferior; it's a limitation of the times and a limitation of cognition!
Previously, the mainstream practice worldwide was partial spleen resection with spleen preservation. This was the practice in surgical fields around the world, and there were very high requirements for surgeons who could perform spleen preservation surgery.

Being able to squeeze in is already difficult enough; it's a superhuman achievement. Compared to total splenectomy, it's already a stroke of luck for the patient.

Even so, it is still difficult to withstand the disruptive impact of scientific and technological innovation!

Indiscriminate, indiscriminate attacks.

Lu Cheng was not complacent. After finishing the surgery, he continued to examine the suture surfaces very carefully.

Continuously loosen and block the blood flow to check for any bleeding or unevenness of the sutures.

After ruling out these possibilities, Lu Cheng bowed and said, "Professor Qu, in fact, without the concept of spleen preservation proposed by our predecessors, this surgery would not have been performed."

"The suturing technique is only a supplement to the spleen-preserving technique, not an entirely original one. So it's not as exaggerated as you say."

"Teacher Qu, please check it again."

Qu Daowen truthfully said, "The only problem was that the technique wasn't refined enough during the local debridement. In other aspects, whether it was incision, suturing, or hemostasis, it was just right."

"Of course, you did better than me."

The most important basic skills in the trauma center where Qu Daowen works are debridement and hemostasis, so Qu Daowen has been deeply involved in this field.

In other aspects, such as incision and suturing, Qu Daowen's surgical skills are not as good as Lu Cheng's.

In other words, his hemostasis technique could put him to a fight against Lu Cheng.

Even the chief physician at the Provincial People's Hospital is not invincible or omnipotent, capable of everything.

In the field of surgery, one can only choose one or two basic skills to specialize in, and cannot develop comprehensively.

Even so, Qu Daowen still enjoys a high reputation in the field of emergency medicine throughout the province...

Which proper emergency room doctor would bother to learn the basics of 'suturing'?
Dai Linfang was responsible for taking the patient back to the intensive care unit, while Lu Cheng accompanied Qu Daowen and Dong Liumeng towards the changing room.

Qu Daowen was getting old, but Dong Liumeng was still young: "Dr. Lu, can we learn this spleen suturing technique?"

After listening, Lu Cheng glanced at the skill point reward regulations.

[By advocating and developing the 'spleen-preserving technique,' we can better preserve the patient's spleen function and promote their health, thus gaining 0.4 skill points.]

[By advocating and developing the 'spleen-preserving technique,' we can better preserve the patient's spleen function and promote their health, thus gaining 0.3 skill points.]

[By advocating and developing 'liver-protecting techniques' to preserve patients' spleen function to a greater extent and further promote their health, 0.2 skill points were earned.]

[By advocating and developing 'tendon suturing techniques', we can preserve patients' motor function to a greater extent, resulting in a better quality of life for patients and earning 0.3 skill points.]

【…】

These benefits are the skill points that Professor Chen Song and others remotely fed back to Lu Cheng when they used Lu Cheng's original surgical techniques to treat patients, which are considered to be a boost to Lu Cheng's treatment of the patients they treated.

Although the individual benefits are small, the sheer number of users makes up for it.

Currently, with the start of clinical trials, Lu Cheng's daily extra income is as high as 5 points. In addition, Lu Cheng performs surgeries on his own in the department, bringing his average daily income to 8 points.

240 skill points per month.

What kind of miraculous benefit is this?
"Of course, Professor Dong. If you'd like, our research group currently has mature animal models."

"Of course, these animal models need to be paid for by ourselves; the two teachers can just cover the cost," Lu Cheng said.

Upon hearing Lu Cheng's words, Qu Daowen's eyes flashed, and his tone changed drastically in shock: "What? There are even mature animal models for practice?"

"I think I can do it too!"

If there are mature animal models to practice with, then there is enough cost of trial and error, as long as you pay for it.

"When can we go?" Qu Daowen seemed to be an impatient person.

There are two things that surgeons value highly. The first is basic anatomical knowledge, so it is necessary to consult with cadavers.

The second factor is the number of surgeries performed.

The usual number of surgeries can only be achieved by accumulating a large number of patients in clinical practice, and the second option is to establish standard animal models.

But this thing is too high-end; most people can't access it or afford it.

(End of this chapter)