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

Chapter 6: The Hidden Depths of a Small County and a Treasure Boy!
By 4 p.m., the sunlight streaming through the east-facing glass of the doctor's office had disappeared.

Lu Cheng greeted Chen Song warmly as he walked in from the doctor's office.

"Teacher Chen, would you like something else to drink? I'd like to order a milk tea."

"Sister Gao has already ordered."

Sister Gao's real name is Gao Hanqiu, and she is the on-call doctor in the internal medicine ward today.

The internal medicine and surgery departments of Longxian People's Hospital have three shifts: the on-duty doctor in the emergency room, the on-duty doctor in the observation ward, the wound cleaning room, and the operating room, and the assistant on-duty doctor.

The term "assistant shift worker" is easy to understand; it refers to emergency cases that the operating room doctors cannot handle, so the assistant shift worker comes to the rescue. However, even in the emergency department, this type of assistant shift worker is rarely used...

Chen Song's words in the morning directly advanced the panel regulations for suturing. Although he couldn't change the progress bar of the panel, it definitely improved his skills.

Lu Cheng naturally hoped that Chen Song would give him more guidance.

Chen Song rubbed his forehead vigorously with his right hand, his flat eyes narrowed into slits. He looked around to make sure no one was in the doctor's office before lowering his voice:
"Xiao Lu, why is the atmosphere in your hospital so awful?"

"Even an appendectomy is fought over."

"I was originally planning to call you, but Zeng Huanqi called Dr. Zhang directly instead. Absolutely amazing!!" Chen Song gave a thumbs up, his lips pursed.

Zeng Huanqi is the on-call doctor in the emergency surgery clinic today, while Zhang Tiesheng is the assistant on-call doctor!
Lu Cheng wasn't surprised: "Teacher Chen, I've never done an appendectomy before, and Brother Zeng knows that, so it's only natural that I called Brother Zhang."

Chen Song snorted: "Appendectomy is a resident physician's surgery. As long as you give a good lecture, an intern can do it. What does it matter if they have experience or not?"

Has Lu Cheng ever had an appendectomy? No!

Can it be done? Absolutely!
"You need to learn even more if you haven't done it before... I'm truly convinced..." Chen Song was clearly frustrated by Zeng Huanqi and was in a bad mood.

Lu Cheng immediately changed the subject: "Teacher Chen, would you like some milk tea?"

"Who is this Zeng Huanqi?" Chen Song asked Lu Cheng after calming down.

Even a fool could figure it out: if they weren't local bullies, they would never dare to mess with Chen Song, this out-of-town dragon.

Lu Cheng had just arrived at the emergency department and needed to spend some time getting familiar with the environment, so he didn't have time to do background checks on others. He shook his head and said, "I don't know, and it's not important, Professor Chen."

"After all, our county hospital doesn't perform many surgeries, and you have to wait in line to learn how to operate."

Lu Cheng deduced from the different attitudes of Director Lin Qianlong towards Zeng Huanqi and Zhang Tiesheng that the two men were not ordinary people.

Surgical skills are paramount in the county hospital's surgery department. Surgical skills are derived from the accumulation of surgical volume and are a very valuable 'resource'. How could Lu Cheng, who has only been in the emergency department for three days, easily accumulate surgical volume?

On the surface, everyone is very polite and courteous, but when it comes to core 'competitiveness', they are not so modest.

Lu Cheng had nowhere to reason with; he simply hadn't done it and 'wouldn't'.

The director won't ask you why you 'don't know'; if you haven't learned it well, it's your fault. Being bad is the original sin, there are no other reasons!

Similarly, if you can do something that others can't, then you're awesome!

Chen Song looked at Lu Cheng, who had been "rounded" by the harsh realities of life, scratched his sparse and short hair, and rolled his eyes: "Then give me a cup of milk tea."

"I'm more curious about what's to come..."

Chen Song was a little angry.

Okay, okay, so this is how you operate your ecosystem?

Then I'd like to see what you'll become if Lu Cheng learns surgeries that you don't, or if he performs surgeries better than you.

Chen Songlai, who was supposed to be "providing support in the countryside," didn't even have the freedom to take a "student" to have an appendectomy.

Lu Cheng, unaware of Chen Song's thoughts, proactively handed over his phone: "Teacher Chen, what would you like to drink?"

"Let me see what's the most expensive..." Chen Song started scrolling up and down.

The tuition fee shouldn't be too easy on Lu Cheng. "It's nothing." Lu Cheng didn't think much of it; after all, it was just a cup of milk tea.

After Chen Song ordered the milk tea, Lu Cheng continued the conversation from the morning, summarizing: "Teacher Chen, look here. Through the abdominal CT scan, we can see that the patient's spleen laceration is 3.1cm deep, and the intrasplenic hematoma is about 7.3cm!"

"Based on the hematoma diameter grading, it should be AAST skin injury grade 2, but based on the depth grading, it is the standard AAST grade 3."

"This is an indication for spleen preservation through combined surgery."

Upon hearing this, Chen Song raised an eyebrow and asked in surprise, "You can see the specific depth and hematoma diameter on a CT scan?"

CT scan interpretation techniques are traceable.

Lu Cheng can take some time to check the AAST score and learn about the AAST scoring criteria.

他知道脾破裂2级评分标准是：被膜下血肿大于10%表面积，实质内血肿直径10cm；实质裂伤深度1-3cm，长度10cm……

If Lu Cheng could specifically look at the abdominal CT scan and understand that the patient's spleen rupture depth was 3.1cm and the hematoma diameter was 7.3cm, this would be beyond what a superficial CT scan reading skill could 'guess' or memorize.

There are also skill levels in CT scan interpretation.

Lu Cheng had no doubts and started drawing lines on the film viewing system, then adjusted the coordinate ruler.

“Yes, Teacher Chen, these are quite obvious, aren’t they?” On the imaging system, Lu Cheng meticulously outlined the depth of the splenic rupture and the diameter of the hematoma.

Chen Song's level of expertise is exceptional, as is his ability to analyze films. He understands how the gradation of each person's film analysis ability changes.

The simplest CT scan reading is actually being able to find different anatomical structures, such as a ruptured spleen or a hematoma in the spleen. This is roughly the level of a resident physician.

Furthermore, if one can pinpoint the anatomical structure of the spleen and distinguish whether the rupture is in the anterior, posterior, left, right, superficial, or inner layer, that would be roughly equivalent to the level of a professional PhD.

Finding the specific location of the injury and accurately measuring its diameter and depth is a skill that even highly talented individuals, such as emergency room specialists with doctoral degrees, can master. It's not something everyone can do.

For emergency room doctors, diagnostic skills are paramount! Imaging interpretation is one of the most important components of diagnostic skills.

Upon hearing this, Chen Song, seizing the opportunity, asked again, "Then take a closer look at this patient's CT scan. Can you find anything that the radiologist didn't report?"

An assessment of a person's abilities should be multi-faceted.

Upon hearing this, Lu Cheng was not surprised at all. Instead, he skillfully zoomed in on the CT scan and immediately located a small cyst in the posterior lobe of the liver: "Teacher Chen, is this what you mean?"

"The cyst is only about 4mm in diameter, with an intact capsule and no calcifications. It is unlikely to be malignant. Such a small cyst does not warrant surgery."

Chen Song instantly understood, and looked at Lu Cheng with slight surprise, his local accent escaping his lips: "You're really just an undergraduate? You're lying, aren't you?"

"Huh?" Lu Cheng was full of doubt after hearing this.

"You didn't do a master's degree?" Chen Song asked.

Lu Cheng suddenly realized and shook his head: "Professor Chen, there is no such opportunity. The hospital where I did my residency training was Zhongnan Hospital of Wuhan University."

Chen Song, of course, knew about Zhongnan Hospital in Wuhan. His pupils brightened: "Xiao Lu, how old are you this year?"

"There are still two months until the 30th," Lu Cheng said.

Chen Songkui sighed, "It's a pity... I'm getting a bit too old. If I were a few years younger... that would be so nice..."

Lu Cheng suddenly realized and laughed, "Teacher Chen, if you were a few years younger, you probably wouldn't have even glanced at me."

Although he was getting old, Lu Cheng also understood that he had learned many more years of knowledge.

This society is a real-world organization.

……

(End of this chapter)