Chapter 31: Chapter 0030: Warm-Up Bout
Yang Ping contemted a lot after meeting with Huang Jiacai.
The prospect of a million-dor annual sry, which he did not doubt, was bing more possible especially as his skill in fingertip rentation was about to reach perfection and advance to the master level in the system.
With his skill set, a yearly sry of 500,000 or 600,000 wasmon in any orthopedic hospital, even if millions weren’t guaranteed.
However, leaving arge third-rate hospital like Sanbo Hospital and missing out on leaders like Director Han who focus on talent would perhaps leave him stuck as an orthopedic surgeon in a small hospital. This was not what Yang Ping wanted.
He believed in achieving greater things, setting higher and further goals. As for financial gain, Yang Ping believed it woulde naturally.
After some analysis, Yang Ping was even more firm in his resolve.
The five-section rentation put Sanbo Hospital’s Orthopedics department on the map.
Patients who needed finger rentation were flooding Sanbo Hospital almost every day.
Yang Ping, Tian Yuan, and Song Zimo alternated performing rentation surgeries. Surgeons like Little Five were trained by Song Zimo in microsurgery in the department’sboratory. Director Han required all doctors above the attending level to train in microsurgery, with the end goal of independentlypleting rentation surgeries.
Yang Ping checked the taskpletion progress on the system and it was at 30%.
He felt more at ease, considering the trend. Finishing the task should not be an issue.
Yang Ping only had over nine thousand points left fromst time, so he didn’t dare to spend them carelessly.
He learned to be more frugal. He could spend freely when points were plentiful, but he would need to hoard them for emergencies when they were scarce.
Although Yang Ping was a recent hire and an attending physician, his previous performance during surgeries had been spectacr, enough for Director Han to immediately promote him to attending physician.
Director Han had his own n. Orthopedics hadpleted its initial phase and was now nning to enter its rapid expansion phase.
Building a team of talents was of the utmost importance. Although he had several outstanding directors under him, they were still prevention-oriented.
Tian Yuan was very good, fully capable of independently handling tasks at the age of thirty-something. Song Zimo was extraordinarily gifted and shone with a bit of cultivation.
However, he felt theck of talent. Now there was Yang Ping, whopletely surpassed Song Zimo judging from a few surgeries.
This gave him a little more confidence. It was time to initiate a rapid expansion strategy.
He decided to help Yang Ping apply for third level surgery permissions, to allow him to progress even faster. He took the application form and knocked on the office door of Professor Zhang Zongshun, the hospital’s expert group.
The old man took off his reading sses, pointed at the words with his finger, read it once, and said, “A master’s degree, shows promise in limb rentation. It’s not rare. Common surgery.”
He was right, finger rentation was a verymon surgery. Any orthopedic hospital could do it every day. All they needed to do was take on tasks, there was no need for perfection.
The expert group was unique to Sanbo. A group of retired domestic experts and professors was hired. Due to their age, they no longer performed surgeries but mainly attended outpatient clinics.
Besides seeing patients, they also had some duties, mostly supervisory. As for assessing surgical permissions, they held that power, and that was when they felt the most important.
“Let’s follow the procedure. Go through all the surgeries on the list. Old Han, without your strong rmendation, we wouldn’t start the procedure for a neer without a special educational background. This is a special talent channel. Therefore, his surgical score needs to be more than just passing, it needs to be over eighty on average,” said the old man after putting his sses back on.
“He made a huge contribution to the hospitalst time.” Old Han defended, hoping to speak a few more words to help Yang Ping, at least to reduce the surgical score to lower the difficulty.
The old man looked up, his gaze showing above the rim of his sses: “That won’t work, it’s two different things. Haven’t we already put him on the special channel?”
These old stubborn men were once figures in their own right, each of them as stubborn as a bull. Old Han couldn’t argue further and had to agree.
“All right, we’ll follow the procedure. Send the surgery videos to us by every Friday. We old men will meet on Fridays and give a score. Director Han, you seem to have a little bias. There are so many attending physicians in the department. I haven’t seen you apply for third-level permission for all of them. This one hasn’t been here long, right?” The old man was sharp.
“The trauma emergency center was just officially opened, and the volume of orthopedic surgeries has surged. I’m short ofpetent people.” Old Han said helplessly.
So, after some haggling, this matter was more or less settled, at least they agreed to initiate the procedure. The next step was to perform the surgeries well.
As for how well Yang Ping would do in other surgeries, Old Han hadn’t seen before. Many doctors can only do finger rentation, even a simple fracture might give them trouble; it’s amon urrence.
That’s fine. This is a good opportunity to see how Yang Ping does in other surgeries. If it’s as outstanding as the finger rentation, we can add more responsibilities on his shoulders; if it’s not up to par, then I need to train him well.
The scalpel was a butcher knife. It depended on whether it could be used directly or needed to be sharpened.
Returning to the office from the administrative building, Song Zimo was waiting for Old Han. Song Zimo handed over the teaching surgeries for the next week for Old Han to review.
“I don’t need to see the teaching surgeries for next week, just report them to me,” Old Han took a sip of his tea.
Song Zimo flipped through the notebook: “vicle fracture, performed by Director Tian.”
There were a few teaching surgeries every week, to help young resident physicians and attending physicians learn and master the practical steps of surgery. They were usually done by Director Tian as the chief surgeon, and asionally Song Zimo would also be the chief surgeon.
In addition to adhering to the national physician training system, Sanbo Hospital also had its own system. Three years of standardized training and five years of specialized training were required to be a beginner specialist doctor.
“Tell Yang Ping that he’s up next week. Are the cases ready?” Director Han asked with concern.
“They’re ready, three cases, all vicle fractures. Simple fractures, crushed fractures, those requiring vascr and nerve exploration, they’re all typical cases. The patients are young and have no underlying diseases.
Song Zimo, as the secretary of the orthopedics department, was responsible for selecting and confirming these teaching cases.
vicle surgery is simple. That’s good, it’s a good opportunity to test the waters. After talking with Song Zimo, Director Han called Yang Ping over and closed the office door.
“Yang, I want to help you get permission for fractures of the limbs and pelvis. Do you think you can handle it? If you can, the hospital will start evaluating you. If you can’t, no worries. You can follow me for a while and I’ll get you up to speed.”
Old Han was being straightforward, and Yang Ping understood that Old Han was helping him get greater surgical permissions from the hospital.
He was moved and said, “Rest assured, I will live up to your expectations.”
“With your confidence, I’m assured. I have submitted the application form, and Old Zhang, the head of the expert group, has agreed. From next week onwards, you will perform the teaching surgeries. They are all scheduled for Thursdays. Next week, you’ll be dealing with vicle fractures. We have prepared three surgeries, one of which involves the exploration of blood vessels and nerves under the vicle. It’s somewhat tricky, but don’t worry, I’ll be by your side to assist you if necessary,” Old Han encouraged.
In any profession, having a good teacher is extremely valuable and can save you from taking unnecessary detours. A good teacher not only guides you in the right direction but also supports you in crucial situations.
“There’s a long road ahead, so keep going and remember that your goals are far beyond. Never give up too easily,” the torch-like gaze from Old Han lit up.
Yang Ping nodded, “Yes, thank you Director!”
“Get yourself prepared and review the procedures of vicle fracture surgery. Although it’s the simplest in orthopedics, it’s not that easy to do well. Every step needs to be urate. Also remember, your surgery score should average at least 80 points to obtain the surgical rights.”
“Understood!” Yang Ping responded confidently.
Yang Ping felt relieved as he walked out of Director Han’s office, grateful that he had umted some points earlier.
In the system, Yang Ping steeled himself and spent 1,000 points to purchase 500 cases of vicle fracture surgery.
In one go, he performed all kinds of vicle fracture surgeries within the system, from failing to crafting a perfect surgery each time.
On Thursday, after the shift handover and ward rounds, the young resident doctors and attending physicians converged in the orthopedic operating room which doubled up for teaching predicaments.
Everyone arrived early and sat in the adjacent teaching room waiting. Interns were not scheduled to attend, as they were yet to form a broad concept of specialized surgeries. Watching at this stage would be unproductive since they couldn’tprehend fully. However, some interns still managed to make time to be there.
On the beach chair was Little Five, acting as the assistant. They washed their hands routinely, disinfected the area, and put on their surgical gowns.
Su Yixuan was assigned as the instrument nurse for Yang Ping because her familiarity with the surgeries would enhance their coordination.
After preoperative verification, the surgery began!
As for how a surgeon, bestowed for his wless finger rentation, performs other surgeries, many were curious. Some even hoped to see him falter, just for the sake of rebncing their own mindset.
Song Zimo had been eager to observe him for a long time. Of course, not for the joy of watching him falter, but out of curiosity about the quality of his surgeries other than the finger rentations.
Scalpel!
There was no need to utter that. All he had to do was reach out his hand.
And it would delicately fall into his palm.
He began with a vertical cut, then tilted it forty-five degrees, and finally straightened it to retract the de.
A neat incision was made, following the grain of the skin, a one-off cut known as the cleaver incision! The cut was deep enough to open the skin without overdoing it and reaching the deep fascia.
The supravicr nerve was avoided!
Using skin hooks to part the cut skin, Little Five used both hands to carefully hold the hooks, both above and below the incision.
“Be gentle!” Yang Ping reminded Little Five.
Heeding the warning, Little Five instantly reduced the force in his hands.
Electrosurgical pencil!
As the electrosurgical pencil sliced through the deep fascia and the neck’s broad muscle, there was smoke, but it was all sucked away by the aspirator in his left hand. Barely any smell of the burning flesh was allowed to disperse.
Before pinpoint bleeding could form, the electrosurgical pencil eradicated them one by one, like in a game of ‘whack-a-mole’.
They advancedyer byyer. The gauze was nearly bloodless, with only faint spots here and there.
After cutting open the periosteum in one move with the electrosurgical pencil, there was a gentle peeling under the periosteum, and the limited bone surface showcased itself.
Without uttering a word, the reduction mp was already handed over. This was Su Yixuan’s first time assisting Yang Ping in a surgery other than the finger rentation. But the two of them felt as if they had rehearsed countless times beforehand, acting in tacit understanding without uttering a word.
Could it be that such harmony could be naturally fostered?
With two point reduction mps, the two fractured ends were secured. A gentle pull aligned the fracture, relying on the inherent stability of the fracture itself.
Another reduction mp swiftly mped onto the fracture end. A 1.5 millimeter Kirshner wire was drilled in perpendicrly to the fracture line, stopping once it had pierced through.
With robust temporary fixation, the reduction mp was removed.
The steel te temte was attached, pre-bent, and molded, then ording to the temte, the steel te was shaped.
Six holes in the steel te perfectly attached to the vicle, hole-drilling, depth-measuring, screw threading, each step was clear, no omissions, no rushes, steadily advancing.
Six screws were inserted.
Flush!
Layer byyer suturing, with absorbable sutures inside.
Finally, the skin was sutured with thin nylon thread, a ‘continuous intradermal suture,’ also known as ‘cosmetic suture.’
Just six minutes. Just six minutes from incision to suturing.
Song Zimo’s interest was piqued, but his curiosity had not lessened. Instead, it grew. He wondered how Yang Ping would perform in other types of surgeries. This curiosity had taken root deep within him, turning into an obsession.
Although it was a simple surgery, it was executed to perfection, just like from a textbook.
Old Han’s face bore a smile; thed hadn’t let him down.
This surgery was but a minor testing of the waters, and it seemed his performance wasmendable!