Tokyo, 1994, starting with medical training

Chapter 25 That's great!

"That's good."

Takikawa Takuhei visibly breathed a sigh of relief.

But he didn't leave immediately. Instead, he sat down on the empty chair next to Kiryu Kazusuke, looking like he wanted to say something but hesitated.

Seeing his expression, Kiryu Kazusuke probably guessed what was going on.

I simply wanted to ask about the technical details of the procedure.

For example, how did you come up with the idea of ​​using Kirschner wires to rebuild ligament tension?

For example, how were the insertion points and angles of those five needles precisely positioned in the blink of an eye?

For example, what is the principle behind the operation of using the fifth needle to tap the ends of the other needles to release stress?

But Kiryu Kazusuke didn't say anything.

He simply picked up the water glass on the table and took a sip.

He understands better than anyone that medical progress cannot be achieved without communication and knowledge transfer.

In his previous life, he had shared his experience with younger generations without reservation, and he had also humbly sought advice from more accomplished seniors.

Therefore, as long as Takikawa Takuhei asks, he doesn't mind giving him some pointers.

But the prerequisite is that the other party has to make the first move.

A doctor doesn't knock on doors, and a medical technique isn't easily passed on.

If you proactively offer your knowledge and experience, you won't receive gratitude; instead, you might be perceived as showing off or being generous.

Kiryu Kazusuke put down his cup and began tidying up his desk, preparing to make his rounds in the wards.

Seeing that Kiryu Kazusuke seemed to be preparing to leave, Takikawa Takuhei finally couldn't sit still any longer.

He gritted his teeth, as if he had made up his mind.

"Kiryu-kun, please wait a moment!"

Takikawa Takuhei took a deep breath.

He stood up and bowed deeply to Kiryu Kazusuke.

A senior medical student performed such a grand gesture of respect to a junior medical student who had only been working for six months.

"Please be sure to instruct me on the Kirschner wire fixation technique used in the surgery just now!"

In order to stay in the First Surgery Department, in order to pass the specialist medical exam, and in order not to be assigned to a remote affiliated hospital.

Kiryu Kazusuke looked at him, remained silent for a few seconds, and then sat down again.

"Please sit down, Takikawa-senpai."

Takikawa Takuhei straightened up, a thin layer of sweat on his face. He pulled out a chair and sat down awkwardly opposite Kiryu Kazusuke.

"What do you want to know?"

"all!"

Takikawa Takuhei answered almost without thinking.

But then he realized his mistake and quickly added, "No, what I mean is, starting from the very basics, how do you determine if there's a hidden ligament tear?"

That's a very good question.

Kazusuke Kiryu picked up a pen from the table and drew a simple diagram of a wrist joint on a piece of white paper.

"When I tried to pry that tiny bone fragment with a periosteal elevator, I felt the entire joint structure vibrate."

"This vibration is not the displacement of a single bone, but a systemic instability, like a fishing net that is not stretched tight enough."

"So the problem isn't with the bones, but with the 'ropes' that connect the bones, which are the ligaments."

His explanation was straightforward, without using any complicated medical terminology.

Takikawa Takuhei nodded repeatedly as he listened: "Then the idea behind the ligament tension reconstruction is..."

Kiryu Kazusuke drew four dots on the paper, representing the styloid process of the ulna, the styloid process of the radius, the dorsal side of the wrist joint, and the palmar side, respectively.

"Since the net is loose, the solution is not to secure the fish in it, but to tighten it again."

"The first and second stitches rebuild the stability of the inner and outer sides."

"The third and fourth stitches rebuild stability on both the anterior and posterior sides."

"These four needles, like the four tent pegs, together form a stable tension field."

"Under the influence of this tension field, those bone fragments that have shifted due to ligament laxity will naturally be restrained by the external force and return to their original positions."

As he spoke, he connected the four dots with the tip of his pen, forming a rhombus.

"I see……"

Takikawa Takuhei looked at the drawing and suddenly understood.

Previously, I only saw Kiryu Kazusuke's amazing skills, but I couldn't understand the logic behind them.

Now, with this little bit of guidance, I suddenly felt enlightened.

He had one last question: "Then what's the principle behind using the fifth needle to strike it?"

Kiryu Kazusuke replied, "Stress relief."

"The tension system established by four needles will inevitably have uneven stress inside, just like an overstretched string."

"Through minute vibrations, these stresses can be redistributed to reach an equilibrium state."

"However, this requires a very delicate touch; too much or too little will be inadequate, and you can only learn it by yourself."

At this point, Kiryu Kazusuke put down his pen.

He has already explained the core "Tao" clearly. As for the specific "techniques," that is, the details of the operation, those cannot be explained in just a few words.

It takes hundreds or thousands of repetitions to develop muscle memory.

"Thank you so much for your guidance, Kiryu-kun! I have benefited greatly from it!"

Takikawa Takuhei understood this principle, and stood up again, bowing at a ninety-degree angle once more.

Kiryu Kazusuke readily accepted his thanks.

"I need to go see the patient."

After saying that, Kiryu Kazusuke took his stethoscope and medical record folder and left the clinic.

Shinya Suzuki should be out of the anesthesia recovery room by now.

Takikawa Takuhei watched him leave, then looked down at the wrist joint diagram on the table, carefully folded it, and put it into his pocket.

……

The general ward area on the sixth floor.

At this point, more than an hour, almost two hours, had passed since the surgery ended.

Kazusuke Kiryu entered the ward where Shinya Suzuki was staying.

This is a three-person room; the other two beds are occupied by patients who are resting.

On the bed by the window, Shinya Suzuki had already woken up from anesthesia and was lying half-reclined, his left arm properly immobilized and his wrist wrapped in thick gauze.

Sitting by the bed was his wife, Mrs. Suzuki, a middle-aged woman who looked very gentle.

Standing beside her was her daughter, who was wearing a high school uniform.

"Suzuki-san, how are you feeling?"

Kazusuke Kiryu walked to the bedside, picked up the medical record board hanging at the foot of the bed, and glanced at it.

All vital signs were stable, and the patient's condition was good after waking up.

"Dr. Kiryu!"

Upon hearing his voice, Mrs. Suzuki, who had been talking quietly with her husband, immediately stood up.

"Thank you so much!"

"I heard from Dr. Takikawa that the surgery was successful entirely because of you!"

The next second, he grabbed his daughter's hand and quickly walked up to Kiryu Kazusuke, bowing deeply in respect.

"Doctor, I really don't know how to thank you enough."

Suzuki Shinya, lying in his hospital bed, also struggled to sit up.

"Suzuki-san, lie still and don't move."

Kiryu Kazusuke stepped forward and grabbed his shoulder.

"The wound has just been stitched up; moving around will affect the healing process."

As he spoke, he examined Suzuki Shinya's fingers.

The fingertips were rosy in color and at a normal temperature; when I gently pinched them, the color returned quickly.

"Can you move your fingers? Just a little bit."

Under his guidance, Suzuki Shinya carefully bent and straightened his fingers.

"Hmm, very good, I feel no problems with my nerves and blood circulation."

Kiryu Kazusuke nodded, then said to Mrs. Suzuki, "The surgery was a success."

"The fracture was reduced very well, and the ligament problem was also resolved."

"With proper rest and rehabilitation training, it is entirely possible for him to return to his pre-injury condition."

As soon as she said that, Mrs. Suzuki's eyes instantly reddened.

She covered her mouth with her hand, barely managing to suppress her sobs.

"That's great, that's great..."

(End of this chapter)