I just became an intern doctor, and the system says I'm a disciple of Mount Shu.

P.S.: I've revised the last few dozen words of the previous chapter.

"What's the situation now?" Cao Wu asked the nurse on the way.

"The patient is a football player who has just joined the national team and was injured during training."

"The Chinese national football team?" Zhuo Zhuo exclaimed in astonishment. "They paid money to get in?"

The nurse looked at Zhuo Zhuo and smiled, "Yes, I heard it cost several million."

Zhuo Zhuo was speechless. The national football team was ruined by these people.

If you don't have talent, why are you even in the national team? It's like a donkey dung ball that looks good on the surface!

Cao Wu raised his hand to interrupt the female nurse: "Get to the point."

The nurse continued, "Dr. Xiao is preparing to perform surgery on the patient."

"But now the family insists on saving their son's leg so he can continue playing football, otherwise they will not sign the informed consent form for the surgery."

Zhuo Zhuo frowned; he had heard about this kind of thing many times before.

The family's actions are harming the patient; they are prioritizing playing football over the patient's life.

The patient's leg is now broken; if surgery is delayed, the leg will be useless.

Cao Wu remained expressionless. In his more than 30 years of medical practice, he had seen far more outrageous things than this.

Compared to what happened today, it's nothing.

When they arrived, there was chaos outside the operating room.

The family members cried, became agitated, and trembled, while the doctors and nurses patiently tried their best to comfort them.

Seeing this, Cao Wu rushed forward in three steps and shouted sternly, "What's all the noise about? This is a hospital, not a vegetable market."

As soon as he finished speaking, the scene quickly fell silent.

Then, Cao Wu looked at the family members and said gently, "Everyone, I am the director of the emergency department. You can talk to me if you have any problems."

Although the family members behaved badly, as a doctor, I still need to gently comfort them.

Sometimes it's a tough job for doctors. They face pressure from the National Health Commission, are responsible to their patients, and have to comfort their families.

They were all the big shots, while the doctor was the only one stuck in the middle, unappreciated by either side.

If they have any problems, it's the doctor's problem.

A middle-aged woman, tears streaming down her face, gripped Cao Wu's sleeve tightly: "Director, your hospital must save my son's leg so he can continue playing football. He can't stop playing!"

I understand how you feel.

Cao Wu was adept at handling this situation, and he comforted the family members according to his own pace.

"Please rest assured, the doctors at our hospital are highly skilled and will do everything they can to save your son's leg."

"But the patient's condition is very urgent now. The longer it drags on, the lower the chance of saving the leg, and it could even endanger his life."

"So please sign the informed consent form for the surgery so that our doctor can perform the surgery."

The middle-aged man standing nearby insisted, "You must guarantee that my son's leg can continue to play football before we will sign the informed consent form for the surgery."

"Sir!" Cao Wu stared sternly at the middle-aged man: "The informed consent form for surgery is a legal notification procedure; it is not a guarantee."

"No doctor can give an absolute guarantee of the outcome of a surgery. This is common sense and also a legal requirement."

"Your demand that he continue playing football before you sign is unreasonable. The doctor cannot agree to that, and the hospital does not allow doctors to make such a promise."

When dealing with patients like this, sometimes you have to be firm.

If the hospital has to bear responsibility for any problems that arise with the patient afterward, then the hospital might as well switch to being a charity.

Cao Wu picked up the surgical informed consent form from the nurse next to him and handed it to the family member: "Sign it. We doctors can't perform the surgery if you don't sign it."

The family members looked at each other blankly, then the middle-aged man gritted his teeth and said, "Sign!"

After saying that, he took the informed consent form for the surgery and quickly signed it.

Cao Wu took the informed consent form for the surgery, then looked at Dr. Xiao beside him: "Dr. Xiao, let's begin the surgery!"

Xiao Yan nodded slightly: "Okay!"

Then, he looked at the family members and said, "Fellow family members, I have a few questions to ask."

The middle-aged man said irritably, "The paperwork's already been signed, so hurry up and do the surgery. What else do you want to ask?"

Xiao Yan was not angry at the middle-aged man's unkind words.

Being a doctor for a long time forges a strong ability to withstand pressure.

Especially in the emergency department, we face the irritability of patients and their families every day.

If I didn't have a strong heart, I would have changed careers long ago.

Cao Wu whispered to Zhuo Zhuo, "Listen carefully to what Dr. Xiao says next. You should ask patients' families the same questions in the future."

"Hmm!" Zhuo Zhuo nodded slightly.

Xiao Yan asked, "Does the patient have any underlying conditions such as hypertension, diabetes, heart disease, asthma, or epilepsy?"

"No!" The middle-aged woman shook her head: "Having these illnesses prevents one from becoming an athlete."

Have you had any other surgeries before?

Does circumcision count?

"Do you have a history of drug allergies or food allergies?"

"No!"

Does the family have a history of hemophilia, poor blood clotting, or other similar conditions?

"No!"

Do you regularly take any medication?

"No!"

"He's been taking sleeping pills for a long time," a young woman suddenly said. "He's had insomnia for over a year."

The middle-aged man glared at the young woman: "How come I didn't know?"

The young woman said, "His history of insomnia was caused by the pressure you put on him."

"How can I put pressure on him?" The middle-aged man instantly became agitated.

Xiao Yan didn't want to listen to their conversation. He had already asked his questions, so he walked towards the changing room next to the operating room.

Cao Wu said to Zhuo Zhuo, "Go in and observe; these are invaluable learning materials for you."

"Okay!" Zhuo Zhuo nodded.

He then went into the changing room to change into his surgical gown.

When Zhuo Zhuo walked into the operating room, the other doctors and nurses didn't say anything.

Xiao Yan is making preoperative preparations, checking the patient's leg condition, CT scans, X-rays, and anesthesia status.

Then he laughed and said, "Since you're the only one watching, you can come closer and observe, and I can explain it to you."

"Thank you, Dr. Xiao!"

The emergency department is short of doctors, and senior doctors are very willing to teach junior doctors.

Once junior doctors are trained, the number of doctors increases, and senior doctors will have a much easier time.

Therefore, for interns like him, as long as they are willing to learn, senior physicians are also willing to teach them.

After speaking, Zhuo Zhuo stepped forward, standing one meter away from the operating table.

This distance will not disturb the doctors and nurses, but will allow them to clearly see the surgical procedure and hear the doctors' and nurses' conversations.

Xiao Yan looked at the other doctors and nurses and asked, "Are you ready?"

The anesthesiologist said, "All done!"

The circulating nurse said, "All done!"

The first and second assistant doctors nodded: "All done!"

"Let's begin!"

This patient has a fracture of the fifth metatarsal bone; the bone is protruding through the flesh.

The fifth metatarsal bone, also known as the Jones bone, is located near the outer side of the sole of the foot, at the base of the little toe.

This bone is very important for football players.

Damage to this bone, or the inability to put weight on the foot after surgery, can ruin a football player's career.

This surgery is called an open Jones fracture surgery, which is a level 3 surgery.

If the bone does not pierce the skin and flesh, it is a simple Jones fracture surgery, which is a level 2 surgery.

Although the injury looks quite serious, it is actually only a lower-middle level surgery within the three-level surgery category, which is considered a relatively easy surgery.

It was much less difficult than the colon cancer surgery Cao Wu had two days ago.

Moreover, the patient was conscious when he came to the hospital, which means that his life was not in danger.

There's a rule in hospital emergency care: treat the unconscious first, then the one who's crying out.

If a baby can make noise, it means the illness is not too serious; if it doesn't make noise, then the illness is serious.

At this point, Xiao Yan began the surgery.

He first used a scalpel to gently extend the patient's original wound by three centimeters, then cut through the skin, subcutaneous tissue, and fascia layer by layer.

Zhuo Zhuo watched Xiao Yan's surgical procedure intently.

As Cao Wu said, this is very valuable knowledge that is difficult to learn from books.

Although you can watch the surgery in the video, you cannot ask the surgeon questions through the video.

Observing surgery allows one to clearly see the surgical process, including the exposure of muscles and fascia as the scalpel cuts across the patient's body.

You can also listen to a detailed explanation from the surgeon, and ask the surgeon any questions you may have immediately.

This reminded Zhuo Zhuo of what his anatomy professor had said when he was a freshman in college.

"Observing a single surgical procedure is more valuable than studying anatomical atlases ten times!"

Zhuo Zhuo regained his composure and continued to observe the surgery.

This surgery will take an hour, half the time of a colon cancer surgery.

Debridement, bone repositioning, internal fixation with cannulated screws, further exploration and drainage placement, wound suturing and bandaging.

These steps are all performed by the surgeon.

Time flies, and in the blink of an eye, we've arrived at the fourth step.

Further investigation and drainage placement.

This step requires the surgeon to manually explore nerves, tendons, and blood vessels, then rinse the wound again with saline solution to remove bone fragments and residual tissue, and finally begin drainage placement deep within the wound.

"Hmm?" Xiao Yan suddenly asked in surprise.

"What's wrong?" the doctor asked Xiao Yan.

Xiao Yan frowned deeply: "The tendon is stuck in the bone and cannot be restored."

"Let's get on the C-arm machine and take another look at the bones!"

Soon, they were put on a C-arm machine to examine the bones.

After examining the bones, Xiao Yan frowned even more deeply: "This is troublesome. Part of the tendon is tightly clamped by the bone. If it is forcibly broken free, it will damage the nerves."

The second doctor said, "Then we can only perform surgery because the tendon cannot recover."

"Mm." Xiao Yan nodded.

After saying that, he looked at Zhuo Zhuo: "When you encounter this situation, you have to prioritize the greater good over the lesser one."

"Prioritize enabling your legs to walk normally, and set aside other things for now."

Zhuo Zhuo nodded slightly, then asked, "I heard my orthopedic teacher say that tendons, nerves, and ligaments are all created by doctors using their bare hands."

"Your teacher is right, it is possible to do it with your bare hands, but the prerequisite is that you have a clear understanding of the direction of tendons, nerves and ligaments."

"With modern technology, we can see their structure, but not their condition or whether they are stuck. These things depend entirely on the doctor's experience."

"For patients like this, I can only see compression of tendons, nerves, and ligaments, but I can't tell their condition."

"If I force it, I might damage a nerve, which would be even more troublesome."

"Unless there is a doctor who is very skilled in tendon and soft tissue repositioning techniques, and can reposition the tendon around the nerve and out of the bone."

"Does our hospital have a doctor like that?" Zhuo Zhuo asked.

"No!" Xiao Yan smiled wryly, "There are relatively few doctors like that, only about fifty in the whole country."

"Don't be fooled by the fact that there are more than fifty people; if they were distributed among all the hospitals in the country, it wouldn't be enough."

"Anyone who is skilled in this technology will be highly sought after by top hospitals."

"Although our hospital's orthopedics department is very strong, this is a minimally invasive surgery in sports medicine, and our hospital has only started researching this type of surgery in recent years."

"Tendon and soft tissue reduction techniques have not yet been studied."

Zhuo Zhuo's eyes flickered, and he looked deep in thought.

"Alright, stop thinking about it." Xiao Yan said nonchalantly. He wasn't a god who could succeed in every surgery.

It is common for doctors to experience surgical failures.

He doesn't have much psychological burden as long as he gives his all in every surgery.

Zhuo Zhuo sighed deeply.

Although the national football team is in a state of disarray, he doesn't want such people to continue to stay in the national team.

But he's a doctor, so if we can save him, let's save him!

Moreover, every Chinese medical student recites the medical student oath at their freshman commencement ceremony.

Zhuo Zhuo also read it aloud.

I volunteer to dedicate myself to medicine, love my country, and be loyal to the people.

Adhere to medical ethics, respect teachers and abide by discipline, study diligently and tirelessly...

……

I am determined to do everything in my power to eliminate human suffering and promote perfect health.

Upholding the sanctity and honor of medicine, saving lives and healing the wounded, working tirelessly and persistently, and dedicating one's life to the development of the nation's medical and health undertakings and the physical and mental health of mankind!

With that in mind, Zhuo Zhuo opened the system.

[Host: Zhuo Zhuo]

Level: Lv5 (220/500)

Internal medicine techniques: ...

外科技术：单纯间断缝合（专家：0/800）、单纯连续缝合（专家：0/800）、垂直褥式缝合（专家：0/800）、皮内连续缝合（专家：0/800）、连续锁边缝合（专家：0/800）

Equipment: None

Supernatural powers: None

Item: Enlightenment*1

Merit: Two

Skill Experience: 575

"Let's apply this profound enlightenment to this technique!"

After saying that, Zhuo Zhuo had a thought and used his enlightenment to learn tendon and soft tissue repositioning techniques.

In an instant, countless images, words, and numbers seemed to appear before his eyes.

His hands looked as if they had undergone countless orthopedic surgeries.

Tendons, ligaments, fascia, fat and other soft tissues are manipulated in his hands as if they were his own arms, like kneading clay, he can shape them into whatever form he wants and send them wherever he wants.

[Tendon and Soft Tissue Reduction Techniques (Master Technique)]

It's too late to say, then soon!

In reality, only a few seconds had passed.

On your journey to slay demons, you encounter an elder from your sect fighting a powerful monster. You realize he's struggling to defeat it, so you step in to help.

[Mission: Help your sect elders slay demons!]

Zhuo Zhuo looked at the patient a meter away, at which point Xiao Yan was already preparing to place the drainage tube.

"Dr. Xiao!" Zhuo Zhuo said.

"What's wrong?" Xiao Yan didn't even turn his head, his hands continuing to move.

"I know tendon and soft tissue reduction techniques. How about I put the tendon back in place?"

Xiao Yan almost made a mistake in the drainage procedure. He had just said that there was no such talent in the hospital, and Zhuo Zhuo said that he knew the technique.

That's a tendon and soft tissue reduction technique, not a circumcision.

Don't brag here!

"Don't joke around!" Xiao Yan naturally didn't believe Zhuo Zhuo's words.

The others found it amusing and assumed Zhuo Zhuo was joking.

Zhuo Zhuo looked around, but there were no tools available for him to demonstrate.

Zhuo Zhuo looked at the patient, and in the surgical field, Xiao Yan was about to place a drain.

Zhuo Zhuo immediately said, "This tendon dislocation isn't severe, and the embedment isn't deep."

Xiao Yan nodded: "You're right..."

Xiao Yan had only said a few words when he realized something was wrong. "I was about to place the drainage tube, and you pulled it back and repositioned the tendon."

Zhuo Zhuo continued, "I practiced tendon retraction many times on the model before."

"You see, this tendon is slightly twisted. When you put it back in place, you need to gently straighten the fibers first."

"First, release the trapped fascia, then gently hook the edge of the tendon, and finally retract it along the direction of the tendon sheath."

Xiao Yan: "Stop talking. You do know about tendon and soft tissue reduction techniques, but saying it and doing it are two different things."

"I can talk about the theory, but I can't do it."

"Dr. Xiao, I really can reposition the tendon. How about I tell you what to do and you do it, or I do it and you control the direction and force from the side? If there is any mistake, please stop me immediately."

"Dr. Xiao, I have also recited the medical student oath. I would never joke with a patient's life. I would never do it if I wasn't sure."

"I stake my career on it."

"Furthermore, you must believe in miracles, especially in medicine."

Xiao Yan was tempted by Zhuo Zhuo's words, but also annoyed by them.

But Zhuo Zhuo's words also make sense; there aren't many doctors who would be so foolish as to joke about patients' lives.

"Okay, you do it. If you make a mistake, I'll stop you immediately!"

Zhuo Zhuo was overjoyed: "Thank you, Dr. Xiao!"

After saying that, Zhuo Zhuo took over the position of the surgeon and then moved his hands toward the tendon.

Xiao Yan grabbed Zhuo Zhuo's hand: "You're bare-handed!"

Zhuo Zhuo said, "This tendon repositioning is not too difficult. No tools are needed; it can be done by hand."

Only those with a high level of proficiency in tendon and soft tissue reduction techniques dare to perform the procedure barehanded; otherwise, they would definitely use tools.

"Okay, go ahead!"

Xiao Yan had seen arrogant people before, but he had never seen anyone like Zhuo Zhuo before.

But for some reason, he didn't dislike it; it was as if his arrogance wasn't conceit, but rather confidence.

His confidence seems innate; he should be confident.

Xiao Yan thought to himself, "Let him do it first, and then stop him if he makes any mistakes."

Young people won't turn back until they hit a brick wall.

Zhuo Zhuo continued the surgery, placing his hands on the tendon, first relaxing the fascia, then hooking his fingers around the edge of the tendon and pulling it slightly while simultaneously rubbing the tendon with his hands.

Squeak squeak~~

The sound of tendons and fascia rubbing together, it made my scalp tingle!

In the blink of an eye, Zhuo Zhuo released his grip: "Alright, the tendon has been successfully repositioned!"

Everyone looked at the patient's leg, and in the surgical field, the tendon had indeed returned to its original position.

Everyone stared in astonishment; he really did have expertise in tendon and soft tissue repositioning techniques, and he wasn't joking.

Moreover, it was done by hand.

Xiao Yan was also shocked and his eyes widened. He was thinking of scolding Zhuo Zhuo after he hit a brick wall!

Now, instead of scolding him, I treat him like a treasure.

At the age of 24, he can manually retract tendons.

Holy crap, what kind of genius is this?

Tendon and soft tissue reduction techniques are not considered high-precision technologies.

However, it is a very delicate technique that requires a high level of experience and dexterity from the doctor.

Zhuo Zhuo's ability to rub out the tendon in just a few seconds demonstrates the highest level of skill.

It requires a combination of talent and extensive surgical experience, followed by more than a decade of further honing of skills.

Zhuo Zhuo is only 24 years old. To develop top-level proficiency in his skills, he would have to start practicing from the age of 10.

But which hospital would allow a ten-year-old child to practice on a patient?

Not a single one!

Unless he was born with that knowledge.

Xiao Yan grabbed Zhuo Zhuo's hand and said eagerly, "Zhuo Zhuo, come to our orthopedics department. Name your price."

The orthopedics department Xiao Yan mentioned was not a specialized orthopedics department, but an emergency orthopedics department.

He works in the emergency orthopedics department.

"Dr. Xiao!" Zhuo Zhuo silently withdrew her hand and took a step back. "We're still in the operating room!"

"I was reckless." Xiao Yan took a deep breath, suppressing his excitement: "Let's continue with the lead generation."

"By the way, Dr. Xiao, I'm also very good at suturing. Let me do the suturing too!"

Zhuo Zhuo smiled confidently: "I've recently improved my intradermal continuous suturing skills, and I guarantee that the sutures will leave no visible scars."

Xiao Yan nodded and smiled, "Alright, I'll leave the stitching to you. I've heard that your stitching skills are quite good."