Rebirth of a Doctor Without Regrets
Chapter 46 Perfect Perfection
As dusk fell, the hustle and bustle of the emergency room gradually subsided.
Wang Xiao finished suturing the last batch of patients.
【Ding! 】
[Current number of surgeries completed: 500]
Total backtracking attempts: 369
[Achieve the achievement "Slow and Steady Craftsmanship".]
[“Slow and Steady Progress” Achievement Reward: Congratulations on completing 500 surgeries. Feeling you've reached the limit of improvement in basic surgeries?]
The Perfect Surgery System will now include a "Perfection Adjustment" module, allowing users to set three perfection levels: "Standard," "Challenge," and "Perfect."
Patience and time will take you further.
Can the system now set the difficulty level of the surgery? Shouldn't it be something like easy, difficult, or hellish?
Wang Xiao planned to try a surgical procedure the next day.
After a quick meal at the cafeteria, I went to the training room as promised.
Li Renzhong and Chang Wei were already waiting at the door, each holding a notebook. One of them looked expectant, while the other looked anxious.
The bloodshot veins in Chang Wei's eyes had not yet faded, and he looked eager to go all in.
Looking at him, Wang Xiao's feelings were complicated. If it were in his younger days, he would definitely have kicked him while he was down.
However, there was no one else who could replace him. Li Renzhong was still a resident trainee, and even if he learned cosmetic injections, he would still have to continue rotating.
Moreover, he may not even want to stay in the emergency department.
But I've long since passed the age of being competitive and vindictive.
Chang Wei had previously focused all his energy on cultivating relationships and forming cliques, resulting in insufficient achievements in scientific research and surgery. As a result, by the time he turned forty, he had no hope of promotion.
It was his just deserts to have a wife like that; fate had already avenged Chang Wei on behalf of others.
Now, if he can pull himself together through his own efforts and take on specialized cosmetic injection services in the emergency department, he can carve out a new niche for himself.
And being able to break free from the constraints of the emergency department is also a way to help oneself and others.
"Today we'll officially begin. First, we'll explain the basic concepts and practice methods of cosmetic suturing. Once you have a solid foundation, you won't panic when you get hands-on practice later."
Wang Xiao took out an imported medical device kit provided by Huamei Medical and gave one set to each of the two people.
Titanium alloy micro-needle holder, non-abrasive tissue forceps, ultra-sharp cosmetic surgical blades, skin tension reducers, subcutaneous tension-reducing suture needles, and a headband-style loudspeaker.
If you're going to teach, you have to teach the best students; that's Wang Xiao's principle.
Wang Xiao then asked Chang Wei to bring out the thick pigskin he had requested to buy, and deliberately cut a slit in the pigskin with a blunt knife for demonstration purposes.
"The first step is to practice holding the needle and tying knots. When holding the needle, grasp the end of the needle about one-third of the way. Practice tying knots with one hand and two hands, especially subcutaneous knots. You must be so proficient that you can do it with your eyes closed."
As Wang Xiao spoke, she demonstrated, the needle holder firmly clamping the suture needle, and then quickly tying a knot with one hand, completing the task in one smooth motion.
"The second step is to practice needle insertion and suture placement. The needle insertion angle must be controlled at 15-20 degrees, penetrating between the dermis and subcutaneous tissue. The suture should be parallel to the wound, with a spacing of 3-5 millimeters, and the depth and length of each needle should be consistent."
Wang Xiao picked up a marker and drew parallel auxiliary lines on both sides of the "wound" on the pigskin. Then she picked up a suture needle and slowly inserted the needle along the auxiliary lines, each stitch landing precisely on the auxiliary lines.
"The third step is to practice layered suturing. Start with simple superficial wounds and then practice deep wounds after you are proficient. The key is to distinguish the suturing force between the dermis and subcutaneous tissue. You can use a little more force on the subcutaneous tissue to ensure a tight closure, while you should be gentle on the dermis to avoid damaging hair follicles and nerves."
The two began simulated training. Chang Wei's basic skills were much better than Li Renzhong's, after all, Li Renzhong had fewer experience with ordinary suturing.
"It's twelve o'clock, let's call it a day."
Wang Xiao put on a piece of clothing and prepared to sleep in the training room.
"Brother Xiao, you're sleeping here? Why don't you go to the rest room?" Li Renzhong asked in surprise.
"Director Lin had surgeries scheduled in the early hours of the morning. I'll go check on him after I get some sleep."
The two were deeply impressed and sat down to practice diligently.
At one o'clock in the morning, Wang Xiaosu woke up feeling refreshed.
This is the power of the system's [Da Vinci Sleep Module].
Wang Xiao looked around. Li Renzhong was asleep on the table, while Chang Wei was still practicing intently.
Very good, very energetic.
Wang Xiao went to the operating room to watch two surgeries, and then went to the duty room to sleep for an hour.
I only sleep two hours a day, who can beat me?
As usual, the morning's cosmetic suturing schedule was full. Li Renzhong and Chang Wei, who were on the night shift, were still sleeping in the practice room when Wang Xiao called them over.
The two had messy hair, red eyes, and kept yawning, looking utterly hopeless.
Xue saw Jia couldn't help but laugh, secretly took out her phone to take a picture, and then quickly put it away.
Today's first case is a female patient who fell and suffered a laceration on her forehead.
Wang Xiao immediately set the system's perfection level to the highest "perfect" to try out the new system features.
Xue Jia handed over the microsurgical needle holder, and Wang Xiao clamped a 0.6 gauge non-traumatic suture needle, aimed it at one end of the patient's forehead wound, and slowly inserted the needle.
The needle had penetrated less than 1mm into the skin when a mechanical sound rang in my ears.
【Ding! 】
Iatrogenic injury occurred. Surgery failed.
Wang Xiao frowned slightly and stopped.
"Is there a problem?" Li Renzhong asked.
"When I inserted the needle just now, I was off-center a little. The skin on the forehead is thin, and a larger angle can easily cause damage to the epidermis. I estimate that the angle I used was about 22 or 23 degrees. It needs to be controlled between 15 and 20 degrees."
[Start the time rewind module.]
[Current number of surgeries completed: 500]
Total backtracking attempts: 370
This time, Wang Xiao adjusted the strength of her wrist and precisely controlled the angle at 18 degrees before inserting the needle again.
【Ding! 】
Iatrogenic injury occurred. Surgery failed.
"Hiss." Wang Xiao couldn't help but exclaim.
"Is there a problem?" Li Renzhong asked again.
"The angle at which I inserted the needle was too precise, so I didn't control the depth well. The skin on the forehead is thin, and the needle depth needs to be controlled at around 1.8mm. The needle I just inserted was probably more than 2mm."
[Start the time rewind module.]
[Current number of surgeries completed: 500]
Total backtracking attempts: 371
It was another backtracking attempt. Wang Xiao held her breath, applied slight pressure with her fingertips, and controlled the needle insertion depth to 1.8mm. This time, both the angle and depth met the requirements.
But after running the cable for only 2mm, the system beeped again...
……
……
……
[Start the time rewind module.]
[Current number of surgeries completed: 500]
Total backtracking attempts: 444
Wang Xiao was extremely careful with every step, and it took her a full forty minutes to finish sewing.
【Ding! 】
The surgery was successful.
[Current number of surgeries completed: 501]
Total backtracking attempts: 444
Finally, he succeeded. Wang Xiao thought to himself, "If I were to use the perfect difficulty again, I would just kill myself in this hospital."
He took off his mask, wiped the cold sweat from his forehead, and turned to look at the three people who were already stunned.
Wearing a surgical magnifying glass, Li Renzhong was the first to react, exclaiming in amazement, "Brother Xiao... your suturing is absolutely amazing! The edges of the wound are perfectly sealed, you can barely see the needle holes, it's even better than the head of the plastic surgery department!"
Chang Wei snatched the magnifying glass and put it on his head. "Dr. Wang, you've taken forty minutes. No one without skill could sew for that long. Ordinary people simply can't do such details."
He practiced for half the night and thought he had made progress, but when he saw Wang Xiao's almost perfect skills, he realized how big the gap was between himself and the top level.
Seeing that Wang Xiao seemed exhausted, Xue Jia thoughtfully handed him a coffee: "Dr. Wang, the stitches are absolutely perfect. But you should still be careful not to burn out your energy on your first patient."
Wang Xiao chuckled inwardly, "You know absolutely nothing about Perfection."
These were all earned with their lives.
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