Tokyo, 1994, starting with medical training

Chapter 24 Form and Spirit

The surgery was successfully completed.

Kazusuke Kiryu took off his surgical gown and threw it into a special recycling bin.

The surgery just now had some twists and turns, but the result was good.

He could feel his body releasing dopamine at an alarming rate.

Whether it was the Kirschner wire manipulation during the operation or the final suturing, it gave him an unprecedented sense of pleasure.

Takikawa Takuhei untied the strap of his mask, revealing a face with a complex expression.

He witnessed firsthand how a medical resident used the incredible Kirschner wire technique to pull a surgery back from the brink of disaster.

As is customary, the drafting of surgical records is usually the responsibility of specialists like him, while the actual writing and subsequent ward management are handled by visiting doctors.

He was responsible for supervision and guidance, and the chief surgeon made the final confirmation and signature.

"Kiryu-kun."

Takikawa Takuhei stepped forward.

The way he addresses Kiryu Kazusuke has unconsciously changed from the somewhat authoritative "Kiryu" to the more equal "Kiryu-kun".

"You must have had a tough surgery."

"Takikawa-senpai too."

Kazusuke Kiryu smiled and nodded in response.

Although the other person was replaced midway through the operation, as the first assistant, he did not make any major mistakes in the preoperative preparation and the initial cooperation during the operation.

Moreover, it was precisely because of the other party's mistake that I had the opportunity to go on stage.

Therefore, it's still necessary to exchange polite words.

Takikawa Takuhei's gaze fell on the information board next to the operating room door, where his name was still written in the position of the first assistant.

He let out a sigh of relief and then offered, "Kiryu-kun, I'll take care of the surgical records."

That's a very polite way of putting it.

However, Kiryu Kazusuke knew in his heart that the other party was doing this simply to do him a favor.

After all, given the skills he demonstrated in this surgery, as long as he doesn't make any major mistakes, his future prospects shouldn't be too bad.

It's only natural to invest now and build closer relationships.

Kiryu Kazusuke declined, saying, "I can't accept that, Takikawa-senpai, let me do it."

Takikawa Takuhei insisted, "It's fine, it's decided then."

After saying that, he turned and walked toward the nurses' station to retrieve the medical records.

Kiryu Kazusuke didn't say anything more.

Since the other party insists on it, let them be.

After changing his clothes, Kiryu Kazusuke walked out of the operating area.

The corridors in the hospital are always very long, with white walls, white ceilings, and people in white coats coming and going.

As he walked, he mentally reviewed the surgery that had just taken place.

Although his "Kirschner wire fixation technique - perfect" was given to him by the Villainess Project, the feeling of performing it himself still left him with a lasting impression.

Each needle insertion and each fine adjustment felt like completing a work of art.

This feeling of being in control is just so exhilarating.

More bad women, please.

Just as he turned a corner, a familiar figure walked towards him.

It is Imagawa Ori.

Kiryu Kazusuke noticed that the right pocket of her white coat was bulging unnaturally, causing the hem of the coat to sag and become somewhat deformed.

Then he glanced again in the direction Imagawa Ori had come from.

He immediately understood.

It seems that Dr. Imagawa has just finished a difficult surgery and is now rushing to visit his patient.

What a good doctor!

He greeted him with a smile: "Dr. Imagawa, thank you for giving me the opportunity on the operating table today."

Imagawa Ori glanced at him and said calmly, "We've settled everything about last night."

Kiryu Kazusuke nodded: "I understand."

He knew perfectly well what Imagawa Ori meant; she simply wanted to distance herself from the situation and let last night's events be forgotten so as not to affect her work at the hospital.

He never intended to use the "Kagura Club" incident to blackmail anyone.

I'm already very satisfied that I was able to get the "surgical incision suturing".

As for the thick envelope in Imagawa's pocket, he pretended not to see it.

After all, in Japan at that time, it was not exactly legal for doctors to accept "a little something" from patients, but it was a common unspoken rule.

As long as it's not done too excessively, hospitals usually turn a blind eye.

After the two parted ways.

Kiryu Kazusuke went to the restroom first.

Looking at myself in the mirror.

He has a very handsome appearance.

What does that faint red tinge in the depths of his eyes mean?

[Imagawa Ori: I'm still 7362 million yen short of my 1 million yen goal. I wish Kiryu-kun would be interested in me, and I wish he would rob a bank for me.]

[Can converge world lines]

[Branch 1: Sanhe Bank is located in Qianqiao City. You purchase a mask and a replica gun and then visit them. (Reward: A stable job with room and board for 10 years)]

[Branch Two: You finally managed to borrow 100 million yen from various banks after exhausting all your resources, and gave it all to her that same day. (Reward: Her personal pager number)]

[Branch 3: Next Saturday is her birthday. You bought a cake and wished her a happy birthday. (Reward: Basic Joint Dislocation Reduction Technique)]

There seem to be three options, but in reality, you can only choose one.

……

Inside the First Surgeon's Bureau.

Kenji Tanaka and several other trainees of similar seniority haven't returned yet; they've probably been taken away by their seniors to handle other miscellaneous tasks.

Kazusuke Kiryu returned to his corner, pulled out a chair, and sat down.

Several medical documents and medical records that had not yet been organized were piled on the table.

He pulled out Suzuki Shinya's medical record folder from the bottom.

Opening the folder, I found a thick stack of various documents inside.

There was his personal information form filled out upon admission, lab test reports for various examinations, and a preoperative marking diagram he had hand-drawn himself…

Although Takikawa Takuhei took the initiative to draft the surgical record, Kiryu Kazusuke still planned to prepare a draft himself first.

It's not that I don't trust Takikawa Takuhei.

However, the surgery he just underwent was of extraordinary significance to him.

The entire surgical procedure, every detail, and every decision is still vividly etched in his mind.

Especially the on-the-spot judgment when encountering "occult ligament tear" during surgery.

By using five tiny Kirschner wires to construct a temporary ligament tension network, the displaced bone fragments are automatically repositioned using external tension.

He himself found this idea somewhat unbelievable.

That's brilliant.

Kazusuke Kiryu picked up a pen and began to write on a blank sheet of paper.

Draw an anatomical diagram of the distal radius, and use different colored pens to mark the insertion points, angles, and directions of tension applied by the five Kirschner wires.

A complex mechanical equilibrium diagram gradually takes shape.

This is no longer just a simple surgical record; it's more like a core draft of an academic paper that could be published in a top medical journal.

He was so engrossed in writing that he didn't notice the time at all.

Until the door of the clinic was pushed open again.

"Kiryu-kun, I've finished writing the surgical record. Please take a look and see if there's anything you need to add."

Takikawa Takuhei walked in carrying a freshly printed document.

He handed over the A4 sheet of paper, still warm from the printer, his politeness almost unsettling.

Kiryu Kazusuke put down his pen and quickly skimmed through it.

Takikawa Takuhei wrote in great detail, recording every step clearly, from the anesthesia method and the choice of surgical incision to the fracture reduction process, and even the type of plate and the number of screws.

For a routine ORIF surgery for a distal radius fracture, this record is quite standard and complete.

but……

The record only briefly mentions the most crucial part, "ligament tension reconstruction," in a few words.

Intraoperative exploration revealed a hidden ligament tear combined with joint instability, which was temporarily reinforced with multiple Kirschner wires.

That's it.

Kiryu Kazusuke understood that Takikawa Takuhei wasn't unwilling to write it, but rather that he simply hadn't fully grasped the essence of the operation.

He only saw the "form" but failed to grasp the "spirit".

That's not his fault.

This level of operation is so sophisticated that even someone like Imagawa Ori, who repeatedly failed his specialized medical exams, might not be able to see through all the secrets at a glance.

"Well written, Takikawa-senpai."

Kazusuke Kiryu said with a smile, without offering any suggestions for revision.

Since the other party doesn't understand, there's no need for me to explain it to them in detail.

Some things you have to figure out for yourself.

(End of this chapter)