I just became an intern doctor, and the system says I'm a disciple of Mount Shu.
Chapter 21 Tendon Repair, Bilateral Surgical Conclusion
I changed into surgical gowns in the changing room next to the operating room, then washed my hands again before entering the operating room.
"Dr. Zhuo, you're here!"
The nurses and doctors in the operating room greeted him.
Zhuo Zhuo surveyed the operating room. Tendon repair is a level two surgery, which is not very difficult.
However, the surgery is not difficult, and there will be a sufficient number of doctors and nurses.
Including Zhuo Zhuo, there are three doctors and three nurses.
Zhuo Zhuo participated as a second assistant doctor.
Zhuo Zhuo looked at the doctor and said, "Dr. Hu, you're here too."
"Dr. Zhuo, I'm here too!" Qiao Yun said with a smile.
The surgeon was Xiao Yan, with Hu Tian as the first assistant and Zhuo Zhuo as the second.
There is a scrub nurse named Qiao Yun, as well as an anesthesia nurse and a circulating nurse.
Zhuo Zhuo nodded and then walked to the position of the second assistant doctor.
Xiao Yan said, "Let's begin!"
After saying that, they began the surgery.
Tendon repair surgery mainly consists of four steps.
1. Cut open and expose.
2. Suturing the tendon.
III. Fixed Protection.
4. Close the wound.
Xiao Yan took the first step, Zhuo Zhuo took the second and fourth steps, and Hu Tian took the third step.
Zhuo Zhuo stood aside and watched Xiao Yan perform the surgery carefully.
He is skilled at suturing, but exposure is another technique he will learn next.
As the saying goes: one part learning to stop bleeding, three parts learning to suture, and ten parts learning to expose the wound.
One point, three points, ten points – these represent the level of difficulty in learning; the higher the score, the greater the difficulty.
The key to successful exposure is that the surgical area is clearly exposed, with distinct layers and a clean field of vision.
It determines whether the surgery can be completed smoothly and safely.
Xiao Yan quickly completed the incision and exposed the area, then stepped aside from the main surgeon's position: "Dr. Zhuo, you can take over now."
"Okay!" Zhuo Zhuo nodded and took his place as the chief surgeon.
Then, he reached out his hand, and Qiao Yun immediately handed him a needle holder to hold the suture needle.
He then used the needle holder to insert a needle into the ruptured tendon.
Zhuo Zhuo has performed many surgeries and has mastered the techniques.
Therefore, he performed the movements with great skill and ease.
The operating room was quiet, with only the hissing sound of needles piercing flesh.
And the sounds of clothes rubbing together, faint breathing, and the ticking of instruments.
This was Qiao Yun's first time performing surgery with Zhuo Zhuo as an scrub nurse.
The previous wound suturing was just a minor surgery, the lowest level one surgery, which was completed in a few minutes in the treatment room.
Those minor surgeries and tendon repair surgeries are naturally incomparable.
As she watched Zhuo Zhuo's skillful technique, she couldn't help but recall the first time she met him.
At that time, Zhuo Zhuo had just started her internship, and she took Zhuo Zhuo to find Hu Tian to suture patients.
I wasn't very skilled at it at first, and it took me more than ten minutes to complete a small wound suture.
But in less than a month, Zhuo Zhuo has already become proficient in performing one part of a level-three surgery.
This feels like a dream. How could someone improve their medical skills so much in less than a month?
Qiao Yun couldn't help but look up at Zhuo Zhuo's face. He looked handsome when she first saw him, but he looked even more handsome now.
Why are there men who are handsome, cool, arrogant, and incredibly talented?
I also heard that his family is very well-off.
He's practically my dream man.
I wonder which lucky woman will marry him in the future.
[Your fellow disciple has fallen for you, and her affection for you has increased dramatically!]
[Senior Sister Qiao's favorability +20]
Zhuo Zhuo didn't raise his head, nor did he stop.
There are too many women who are interested in him; he receives similar messages on the system panel several times a day.
"Huh?" Suddenly, the two doctors exclaimed in surprise.
"What's wrong?" The two nurses immediately looked at the two doctors with concern.
"Dr. Zhuo has also mastered tension-reducing suturing, tendon simulation fine suturing, and intestinal anastomosis suturing, and has reached the chief physician level in all of them."
Qiao Yun exclaimed in surprise, "Director-level? That's that impressive?"
She only thought that Zhuo Zhuo's sewing was very easy and skillful, but she did not expect that his sewing skills were so high.
"Hmm!" Hu Tian nodded and smiled, "Xiao Zhuo, when did you learn these three stitches? You said before that you knew how to stitch them, but that they were very ordinary."
"I do know it, but it's not very ordinary. I just haven't used it. I just practice randomly. I never expected to accidentally reach the director level."
The two doctors silently rolled their eyes.
You're just putting on an act. Have you ever thought about the two of us?
We also hope to accidentally reach the director level.
But the two also knew that not everyone was as talented as Zhuo Zhuo.
Trying to outdo Zhuo Zhuo in improving his medical skills is just asking for trouble.
[Both senior disciples highly praised your abilities, increasing your affinity with them.]
[Uncle Hu's favorability +5]
[Uncle Xiao's favorability +5]
Qiao Yun exclaimed happily, "Dr. Zhuo is truly amazing!"
Your fellow disciple highly praised your abilities, increasing her favorability towards you.
[Senior Sister Qiao's favorability +5]
Zhuo Zhuo's lips curled slightly: "Calm down, basic stuff!"
"It's basic procedure for Dr. Zhuo, but not for other doctors." Qiao Yun gave him plenty of emotional value.
Qiao Yun holds a high position among all the nurses in the emergency department, and she rarely gives interns a friendly look.
But he always greets Zhuo Zhuo with a smile.
There's no way around it; in a world obsessed with looks, appearance is everything.
At this point, the tendon suturing is complete.
Next is fixed protection.
Zhuo Zhuo stepped aside to take the lead in the surgery, and Hu Tian took the lead.
Immobilization involves placing a brace to immobilize the tendon and prevent it from rupturing again. Generally, after a few weeks of immobilization, once the ruptured tendon has healed and reconnected on its own, the brace can be removed.
After the fixation and protection were completed, Zhuo Zhuo was placed back on top to begin suturing the skin.
He sutures dozens of skins every day, and he's become quite skilled at this step.
He stitched up the wound, which was more than ten centimeters long, in less than three minutes.
Finally, he bandaged the wound, and the surgery was considered complete.
"The surgery is over!" Xiao Yan said. "Let's go!"
[Task complete. Rewards: Skill experience +800, Level experience +40]
"Huh?" Zhuo Zhuo was astonished: "It's just a level two surgery, yet you're giving so much skill and level experience."
After some time of exploration, he discovered that level one surgery grants up to 300 skill experience points and up to 150 level experience points.
Level 2 surgery, skill experience below 600, level experience below 300.
For Level 3 surgery, skill experience should be within 1500 and level experience within 800.
Level 4 surgery requires less than 2,000 skill experience points and less than 1,000 level experience points.
What he didn't know was that the surgeries he had previously performed were all procedures that weren't very important.
The system assigns skill experience and level experience based on the difficulty of the surgery and the content of the surgery performed.
"Eight hundred skill experience points is just enough to upgrade one skill to expert level."
Zhuo Zhuo was in a good mood.
As everyone walked outside, Xiao Yan smiled and said, "Dr. Zhuo, based on your performance today, you are qualified to perform surgery. You can try starting with the simpler level two surgeries."
"For example, appendicitis surgery."
Hu Tian nodded: "That's good. Talk to the director later and have the department arrange for you to be the lead surgeon."
Zhuo Zhuo nodded and said, "I think so too."
Zhuo Zhuo is never modest; if he thinks he can do it, he can do it; if he's capable of being promoted, he's capable of being promoted.
Humility doesn't exist for him; the word "humility" doesn't even exist in his dictionary.
"Dr. Zhuo!" Qiao Yun said with a smile, "Since this is your first time performing surgery, you must let me be your scrub nurse."
"I'll be your anesthesia nurse."
"I'll be your round nurse."
Hu Tian and his companion were speechless. Did these women only care about looks?
The first time the surgeon performed the operation, it wasn't the doctor leading the nurse, but rather the nurse leading the doctor.
Typically, the head nurse will assign an experienced nurse to guide the surgeon performing the first operation.
Therefore, many nurses are not very willing to be nurses for the doctor performing their first surgery.
Of course, they also knew that Zhuo Zhuo's situation was different.
This wasn't Zhuo Zhuo's first time in the operating room; he had participated in more than a dozen surgeries.
Their skills are no less than those of attending physicians.
Therefore, many nurses are happy to be his nurses.
With that face of his, many nurses would line up to serve him.
After everyone dispersed, Zhuo Zhuo pondered, "I should use the skill experience I just gained to improve my knot-tying skill!"
"To improve the surgical joints of both hands."
Surgical knots are essential for high-tension hemostasis and are frequently tested in competitions.
One-handed knot tying is faster, while two-handed knot tying is more stable and secure, making it suitable for deep operations.
After saying that, he used his mind to consume 800 skill experience points to upgrade his Bilateral Surgery skill to the expert level.
[Bilateral Surgical Knot (Expert: 0/800)]
"There are three types of knots that are frequently tested in competitions, and I now know two of them."
"Even if the test includes a third type of knot tying, I can still get around 90 points with my skills."
"We've got the competition in the bag!"
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