《Surgery Godfather》 Chapter 1 - 0001 Rescue Chapter 1: Rescue ¡°Quick, the blood!¡± ¡°Why hasn¡¯t the blood arrived yet?¡± It was past midnight, as G City¡¯s People Hospital¡¯s operating room was brightly lit, filled with urgent, hoarse shouts. Several more bags of blood were hung on the IV stand, a bunch of empty bags piled on the side table next to it, the remains of the blood vaguely visible. The blood was flowing swiftly through several transparent tubes into the patient¡¯s body. Blood transfusion¨C It had be the only lifeline for the one on the operating table. ¡°It¡¯s no good, can¡¯t find the blood vessels, the gauze! Continue stuffing, talk to the family, the chances of rescue are slim, they must be prepared mentally.¡± Director Wu had been digging in the pelvic cavity for a long time, unable to find the damaged blood vessels, he could only stuff the cavity with gauze. Sweat soaked his forehead as he constantly moved away from the sterile area, letting the patrolling nurse wipe his sweat. Young doctor Yang Ping was helping to suture in the operating room, after several nights of continuous surgeries, he was exhausted and his vision was starting to blur. Suddenly, a warm current forcibly poured from the top of Yang Ping¡¯s head, this strange sensation radiating throughout his body. The world seemed to freeze, as all people and objects stood still, the image in his field of vision frozen. Yang Ping¡¯s body couldn¡¯t move, but his consciousness could. A window appeared in the upper right corner of his vision. A series of subtitles, apanied by a mechanical female voice¨C ¡°Binding has begun!¡± ¡°Binding process, smooth!¡± ¡°Binding, sessful!¡± ¡°Testing¨C¡± In an instant, everything around him vanished, and he found himself in a strange ce. There was an operating table in front of him, the patient on it had already beenid out, and a few mechanical arms like octopus tentacles were moving around it. How did I get here? Who¡¯s suturing on that operating table? ¡°Hello! Is anyone there? Where am I?¡± Yang Ping called out. The space was eerily silent, with no one answering his questions. Yang Ping cleared his thoughts and slowly approached the operating table. From the exposed surgical field and the patient on the table, he determined that this patient was the same one he had just been trying to save? ¡°Would you like to start a simted surgery?¡± a few words appeared on the screen. Could this be a simtion for rescuing the patient? Thinking that, Yang Ping moved the cursor using his consciousness and chose yes. The screen instantly started a countdown, five minutes to go. Yang Ping began the surgery, the mechanical arm served as his assistant. Indeed, this was the same patient from the stabbing incident. The pelvic cavity was stuffed with gauze, and blood was still pouring out incessantly. He began to attempt to find the blood vessels, but no matter how hard he tried, he couldn¡¯t find them. When the five-minute timer ended, the patient¡¯s respiration and heartbeat stopped. Yang Ping felt disheartened and a bit lost. He got his bearings, extended the incision, and opened the abdominal cavitypletely. Because the heart had already stopped beating, there was no more bleeding inside. He thoroughly cleared the umted blood with a suction device, which enabled him to look for the ruptured blood vessel more easily. He searched back and forth inside, found themon iliac artery, thismon iliac artery didn¡¯t have an apparent internal-external iliac artery sprouting from it, instead, it had a single trunk extending downward, continuously branching off either from the main trunk or the branches but none of them were damaged. Yang Ping was puzzled, thinking from left to right, could it be a variation in vascr anatomy? Following this train of thought, he found the upstream abdominal aorta, and traced it downwards, he discovered a finger-thick branch of the abdominal aorta, hiding in the back, about ten centimeters above the branch he had found earlier. When he traced it back, he finally found the ruptured area. It turned out to be a variant external iliac artery, not branching from themon iliac artery, but directly originating from the aorta. The origin point was extremely high and hidden at the back. This type of variation is something that a doctor may never encounter in their entire career. Dealing with such a variant blood vessel, let alone in an emergency situation flooded with blood, making it hard to approach. Even given ample time, it would be very hard to find, no wonder Director Wu had spent so long searching and couldn¡¯t find it. Repeat the simtion? Yang Ping clicked yes. Indeed, the patient on the operating table was scattered like fragments of light and then reappeared, returning to the moment when he first entered the system. The countdown also started anew. Yang Ping immediately located the bleeding vessel. This time, knowing the exact location of the vessel, he directly searched for the iliac artery variant, mping both ends with a vascr mp, ligating the veins, and slowly suturing the artery. Because ligating the veins doesn¡¯t have a significant impact, but if the artery is ligated, it would cause necrosis of the corresponding lower limb, so the veins can be ligated, but the arteries can only be sutured. This time, the entire process took half an hour toplete. The patient did not survive, and the system deemed it unsatisfactory. Again! So it continued, he wasn¡¯t sure how many times he practiced, possibly several hundred times. Finally, he was able toplete the surgery within three minutes, and the system finally deemed it satisfactory. Immediately, the surroundings disappeared and Yang Ping found himself back in the real operating room. At this point, the freeze frame released, everything was back to normal. The External Iliac Artery is ruptured! Not only that, it was a variant unseen before. This type of bleeding was like a geyser, if not for the continuous blood transfusion, this patient would have checked out long ago. ¡°The blood pressure is dropping, I can¡¯t measure it. Increase the speed of the blood transfusion, fast! Dopamine¨C¡± The situation was changing at rapid speed, the anesthesiologist shouted, his hand never stopping as he pulled out drugs from the nearby drug box, uncapped the vial, loaded the syringe and pushed the medicine into the intravenous line. ording to the previous simtion, the rescue time window was at most five minutes. A life was on the verge of disappearing. ¡°Director, it¡¯s a ruptured variant External Iliac Artery, this artery originates high in the back of the abdominal aorta, I¡¯ve seen this kind of variation before!¡± Yang Ping softly told Director Wu. How do you know? You¡¯ve seen it? You¡¯ve only been working for a few years. If only we had vascr imaging. But in this emergency situation, if we were to do an imaging scan, the patient wouldn¡¯t make it. Director Wu stuffed in a gauze, giving Yang Ping a re. He had his own considerations. Given the current blood pressure, the only choice was to pad with gauze. It was a gamble. If he removed the gauze to make room for the blood vessels, it would be like re-opening a bleeding faucet. It was almost certain that the patient would die instantly. ¡°Director, trust me¡ª¡ª¡± Time was of the essence, Yang Ping was anxious, he asked again. He was reluctant to see a life fading before his eyes, he knew he had just five minutes, but nobody else knew. Director Wu said impatiently, ¡°Enough, hook it.¡± ¡°Proceed with the padding!¡± Director Wumanded. ¡°The blood pressure is not going up, the dopamine is useless!¡± the anesthetist was very tense. Director Wu¡¯s throat was dry, his heart pounding like a drum. If something happened to this patient, there was no way to exin it. Perhaps in a critical moment, clutching at straws, Director Wu nced at Yang Ping and nodded. Yang Ping immediately started. He had already spent two minutes, with only three minutes left. No time to waste. ¡°Scalpel! Hemostat! Vascr mp! Open three suction devices!¡± The instrument nurse, the patrolling nurse, and the anesthetist all seemed stunned at first, but after a short moment, they immediately cooperated. Little Five and Yang Ping made a good team. Upon seeing Yang Ping¡¯s actions, after a moment¡¯s hesitation, he immediately started to assist Yang Ping. Yang Ping kept his cool, bending his head, the scalpel extended along the original incision. He has been trained countless times in this process, it has almost be muscle memory. ¡°Keep the pressure on, give blood! Get the suction tubes ready, remove all the tips, direct suction. ¡°Suction! Vascr mp!¡± When the gauze that was stopping the bleeding waspletely removed, the blood sprang forth, flowing swift and red along the three suction tubes. With utmost efficiency, Yang Ping immediately located the broken blood vessels in the sea of blood. Without even looking, he reached in with his left hand and grabbed the near end of the vessel between his thumb and index finger, and immediately mped it with a vascr mp using his right hand. Then using the same method, he mped the other end of the vessel. ¡°Hemostat!¡± He temporarily mped the apanying vein of the external iliac artery. The blood was stopped, and under suction, the blood in the pelvis started to decrease slowly. It was as if the tide was receding, until the mped vessel was exposed. ¡°6-0, vascr suture needle thread!¡± The instrument nurse efficiently handed it over. Yang Ping¡¯s scissors started to trim the ends of the blood vessels rapidly. After trimming, he put down the scissors, took the needle and thread, and started the vascr anastomosis. Each stitch was precise, the distance appropriate, akin to a precise machine operating, fast and without error. Extreme speed! The vessel was anastomosed in mere seconds. ¡°Thread, ligate!¡± The hemostat with the thread was ced into the palm of Yang Ping¡¯s overturned hand. He tied off the apanying vein and the smaller blood vessels nearby. Rinsing, suctioning, the operative field was immediately clean. He ced a negative pressure drain, stratified sutures, closed the wound, all in one go. He finished thest stitch. ¡°The blood pressure is back up.¡± The anesthetist breathed a sigh of relief. All people looked at Yang Ping, a sense of respect arose spontaneously. ¡°Brother, awesome!¡± Little Five secretly gave a thumbs-up. At this moment, the captions and female voice appeared again: ¡°Dingdong! The system and the host match perfectly!¡± Yang Ping was certain that only he could hear this voice and only he could see these captions. Good heavens, what the hell was happening? At this moment, Yang Ping felt like a deted ball, extremely tired. Everything felt like a dream! The anesthetist was sitting against the wall on the floor, drinking a bottle of glucose. In a corner, a nurse was making a call: ¡°Baby, are you still awake? Is dad home yet, or is he still workingte?¡± The clock on the wall disyed: 00:49. ¡°Director, we are done here¡ª¡ª¡± said Yang Ping. Only then did he realize, he had somehowpleted the surgery all by himself, leaving the director aside. There was no choice but to proceed this way with just three minutes left, otherwise, the patient¡¯s life would have been lost. Director Wu was still astonished, he hadn¡¯t snapped back to the reality yet, he said, ¡°Hmm, good, as long as the patient was saved.¡± In this kind of hemorrhagic shock caused by traumas, as long as the bleeding is stopped and the blood transfusion can keep up, the situation can usually be stabilized. They pushed the bed, and sent the patient to the Intensive Care Unit¨CICU. Yang Ping, Little Five, the anesthetist, and the nurse together pushed the stretcher to the ICU, reported the details to the doctor on duty. Once everything was finished, Little Five returned to the Orthopedics on-call room. Today was Little Five¡¯s turn for duty, Yang Ping was only called over to help with the emergency surgery. Not wanting to waste time, Yang Ping rode his little electric scooter back to his rented room in the urban vige. It was already past two o¡¯clock in the morning, he quickly took a shower, andy on the bed, intending to have a good sleep. But today¡¯s events were too bizarre, the thought of it made it impossible for Yang Ping to sleep. He pinched himself hard. It hurt. He was not dreaming. Chapter 2 - 0002 Winning the Big Prize Chapter 2: Winning the Big Prize ¡°Ding Dong! Reminder! A new user gift pack: Training Pack 1.¡± Clear subtitles appear in the upper right corner of the vision. It looks like he really got hit by the system! Yang Ping swallowed, normally he couldn¡¯t even win a five-dor lottery, and now he encountered this magical thing. What on earth is this system, how to use it, and are there any side effects, a series of question marks appear in his mind. How to enter this system? It seems that when he first tested it, it was like entering a space. With a thought, Yang Ping makes everything around him disappear and enters an unfamiliar space. The space is strange, nothing but a tree. A screen opens in front of him, with many choices of projects: General Surgery, Internal Medicine, Obstetrics and Gynecology, Pediatrics, Ophthalmology, Otorhinryngology, Dentistry, etc. With no hesitation, Yang Ping chose General Surgery through his thoughts. Immediately, there are many more subcategories. Orthopedics, Neurosurgery, Thoracic Surgery, General Abdominal Surgery, Urological Surgery, stic Surgery, etc. Yang Ping chose Orthopedics, and immediately, the screen shed, a window appeared. There are some buttons on it: Home, Credits, Skills, Shop, Treasure box¨C. Yang Ping controls the cursor on the screen with his thoughts, opens the store, where there are all kinds of items¨Cbone traction, skin grafting, bone grafting, periosteum stripping, tendon fixation, ster fixation, splint fixation, amputation surgery, local anesthesia, etc. They are all basic technologies, with prices ranging from one hundred to nine hundred points respectively. The images of these goods are disyed in gray, unable for purchase. Turning the page further, it prompts: need to unlock. How to unlock? It seems he needs to spend time studying it in depth. Opens the treasure box, there is a gift pack pattern inside, click on the gift pack¨CFirst Aid techniques, training time is thirty days. Opens ¡°First Aid Techniques¡±, the pattern immediately shes. ¡°Do you confirm to use it?¡± ¡°Confirmed!¡± In an instant, light flows, and a person appears in front of him, lying on the ground. The screen disys: Cardiopulmonary Resuscitation (CPR) Training. Below the words is a 3D transparent image of a human body, very clear, with internal organs, nerves, and blood vessels clearly visible. Lines of subtitles appear: 1. The time in the system does not upy your real-world time; 2. The psychological experience in the system is consistent with the outside world, such as the experience of the flow of time; 3. Any behaviors in the system do not consume your physical energy, you do not need to sleep or eat in the system, nor do you need to excrete. 4. Everything simted in the system is indistinguishable from reality, exactly the same, you can think of it as ¡°real¡±. Yang Ping starts cardiopulmonary resuscitation training, and when he does chestpressions, the transparent human body on the screen will show the sternum sinking, and the red blood being squeezed to circte throughout the body. At the same time, parameters such aspression strength, depth, frequency, etc., will also be disyed. Doing artificial respiration, green gas travels through the trachea, bronchi to the alveoli, then exchanges, and finally enters the body¡¯s cirction. While Yang Ping trains, he corrects ording to the images and data on the screen, constantly improving. The system only evaluates as ¡°perfect¡± before moving on to the next training topic. The training content includes all first aid techniques, including cardiopulmonary resuscitation, Heimlich maneuver, cricothyroid membrane puncture, tracheal intubation, electric defibrition, trauma first aid, etc. The system times thirty days uponpletion of the training, during these thirty days he doesn¡¯t feel hungry or tired, and never thinks about going to the bathroom. With the end of the timer, the test subject disappears. ¡°You have acquired 720 points of skill!¡± The subtitle appears. The numbers jump out on the screen and, after a brief stay, explode into starlight. The system gives a detailed introduction to the surgery level: beginner, proficient, specialist, perfect, master, grandmaster, saint. The beginner level merely masters basic knowledge, basic theory, basic skills; proficiency can proficiently performmon surgeries; specialization reaches the expert level in this field; perfection reaches the textbook level in surgery, which can be a standard demonstration for peers; master can have unique insights into the technology and make innovative improvements; grandmaster has major original innovations; saint opens up a new era of medicine. Yang Ping spectes that the beginner level is probably equivalent to a resident doctor, proficiency corresponds to an attending physician, specialization is amon associate director and director, perfection is equivalent to an associate director and director of a top hospital; a master improves a certain theory or technique of surgical professors, such as some domestically and internationally renowned figures; a grandmaster is probably at Nobel Prize level; as for saint, he can¡¯t guess for now. There is also a tree-like upgrade chart, probably the skill tree, surgery is the main trunk, orthopedics is the extension of the main trunk upwards, other branches extending to all sides are neurosurgery, thoracic surgery, general surgery, urologic surgery, stic surgery, etc. The branches of Orthopedics are rtively chunkierpared to others, not far upward from Orthopedics there are finer branches: Trauma Orthopedics, Sports Medicine, Joint Surgery, Spinal Surgery, Bone Tumors, and so on. Yang Ping exited the space, nced at the time on his phone, and then calcted a bit, the system really doesn¡¯t consume time in reality. That is, in an instant, hepleted thirty days of emergency rescue technique intensive training. Everything was just like what had just happened. However, because it doesn¡¯t consume real-time, the system¡¯s events seem sudden like experiences suddenly inserted into reality. Moreover, while training in the system just now, he clearly felt the acquisition and improvement of skills were much faster than in reality. For instance, practicing tracheal intubation for the same hour¡ªalthough he had practiced this in reality before¡ªhe didn¡¯t feel such quick progress. Yang Ping was not sure if it was an illusion. If it¡¯s really like this, even in reality, if he had the conditions and solid training time, it would still not be possible to have the efficiency of the system. He couldn¡¯t sleep that night, feeling very excited. This meant that he gained an advantage. This was only possible in his daydreams normally. ¡ª Being a doctor is like this, busy for a whole night, but still going to work the next day, no one cares whether you can bear it or not. Because¨Cyou must bear it! Early in the morning, after handing over his shift, Yang Ping was preparing to help out in the operating room. He ran into Director Wu at the elevator; Director Wu kindly said, ¡°Xiao Yang, you worked hardst night, so you can rest today, no need to be on surgery duty.¡± Possibly due to his outstanding performance on the operating table yesterday, Director Wu started looking at him differently. He definitely had to work hard in the future and not disappoint Director Wu¡¯s high expectations. Since Director Wu said it, he felt it was not good to rush into the operating room anymore and returned to the doctor¡¯s office instead. A nurse rushed into the doctor¡¯s office, nced around, saw Yang Ping, and said: ¡°Doctor Yang, it¡¯s good that you haven¡¯t left yet. Just now, the Human Resources Department couldn¡¯t reach you on your phone, they called the nurse station looking for you, asking you to go to the Human Resources Department.¡± Yang Ping responded in agreement, anyway, he didn¡¯t need to be on surgical duty today, he could go to the Human Resources Department and see what the matter was. Would they be raising his sry? Yang Ping chuckled to himself. When he got to the Human Resources Department, a kind sister indicated for Yang Ping to sit down, took out a piece of paper, and said: ¡°Doctor Yang, your conduct yesterday severely vited the regtions, and regtions are a guarantee of medical safety. We have no choice but to terminate our contract with you in advance. We are very sorry, we will provide somepensation. If you have no objections, please sign here.¡± A white paper with ck writing was passed across the table. Was he being fired? It was a bit sudden, he waspletely unprepared. Didn¡¯t Director Wu agree to let him perform the surgeryst night? Why are they saying that he vited the regtions, is there some misunderstanding? Yang Ping wanted to find Director Wu for an exnation, but this morning when they met at the elevator, Director Wu didn¡¯t mention this at all. The dismissal agreement nowid out before him, Director Wu must have already made the decision, he wasn¡¯t interested in listening to exnations. The situation was irreversible now, So be it! It was just, this dismissal seemed inexplicably abrupt to him. ¡°Thank you!¡± Yang Ping decisively signed his name. The big sister in Human Resources took back the agreement: ¡°If you need a new job, can I help with a rmendation?¡± ¡°I really appreciate it, but I want to take a break for a while,¡± Yang Ping tactfully declined. In arge top-tier hospital like G City People¡¯s Hospital, most of the doctors hold Ph.D.¡¯s and even the master¡¯s degree holders have a hard time surviving. For someone like Yang Ping without any degree from a prestigious university or other background, he wouldn¡¯t have been able to get in the door if he weren¡¯t a top schr. Even so, after being recruited, he basically did heavybor. The so-called contract system is nothing more than famous temporary workers, they have no prospects and can be dismissed at any time, as long as the Department Director says so, there would be no reasons needed, just a small amount of money aspensation ording to the contract. Yang Ping walked out of the Human Resources Department office, feeling cold inside. After all, he worked there for many years. But because of the unexpected gain of the system, he didn¡¯t feel too much loss. Perhaps this was a case of God opening a window as he closed a door. He returned to the ward to pack his things¡ªthere wasn¡¯t much stuff, a big stic bag was enough. His colleagues in the ward didn¡¯t know that he had been fired, and a nurse even called Yang Ping to change the dressing for a certain patient. Yang Ping didn¡¯t refuse, temporarily shelved his bag of belongings, went to the dressing room to push the cart, and meticulously changed the dressings for the patient. Looking at the familiar ward, he still felt a little disheartened. Back at his rented room, a single room in the urban vige with a bathroom, costing one thousand a month. The house prices in G City were climbing year after year, and Yang Ping didn¡¯t bother to think about buying a house or a car. He had a vehicle¡ªan electric bike, a famous brand! As for a house? With his current ie level, even if he only bought a bathroom, he couldn¡¯t even afford the down payment. Yang Ping called Little Five to tell him his own situation. He began to n his next step¡ªconsidering how long the money in his ount wouldst and where to look for a job. In big cities like G City, jobs are easy to find, just that good jobs are very difficult. Back in the day, he relied on his good grades to participate in the public hiring for contract positions at G City People¡¯s Hospital and barely managed to get a temporary job. Chapter 3 - 0003: Hemlick’s Emergency Aid Chapter 3: Hemlick¡¯s Emergency Aid In the afternoon, there was a knock on the door. Knock knock knock. Yang Ping opened the door to find Little Five, moving bag after bag into the house. ¡°Little Five, what are you doing?¡± Yang Ping looked at him nkly. Little Five usually lived in a hospital dormitory, sharing the room with several other people. ¡°I¡¯ve been fired too¨C¡± Little Five said dejectedly. Birds of a feather flock together! ¡°It¡¯s alright, there are plenty of jobs out there.¡± Yang Ping said. Yang Pingforted Little Five, watching the armfuls of bags he was lugging around: ¡°Why do you have so much stuff?¡± ¡°There¡¯s just two boxes of instant noodles alone.¡± Little Five began to pull out instant noodles, a dumbbell, aptop, and a bunch of other random items from his bags. Once they had settled in, the two of them started to discuss their next steps for work. ¡°Big Bro, honestly, that surgeryst night, it was amazing, who knew you had it in you?¡± Little Five questioned. Yang Pingughed, ¡°I just don¡¯t like to show off, when during normal times would we get a chance? We would get yelled at just for doing stitches, let alone surgeries. Now, if we do manage to do a surgery, it would be so exciting we wouldn¡¯t sleep.¡±. ¡°I wonder, you¡¯ve been at G City People¡¯s Hospital since you graduated, you never left for further education, did you?¡± Little Five asked. Yang Ping patted his shoulder: ¡°Talent, you either have it or you don¡¯t! Just like you with gaming.¡± ¡°I see.¡± Little Five seemed to have an epiphany. They chatted all afternoon andpletely forgot about lunch. Yang Ping pped Little Five¡¯s shoulder: ¡°Today, we are going to treat ourselves.¡± ¡°A feast?¡± ¡°Hah, little brat! Moon ying down on the river bar street.¡± Moon ying, the bar¡¯s name. This was a hot-spot for inte celebrities, Little Five disregarded the shock from the p on his shoulder: ¡°let¡¯s go!¡± Truth be told, they hadn¡¯t rxed like this for a long time. Back at the hospital, it was almost always 24/7, all year round. They found an outdoor table, had some beer, and chatted. Starting from when they first started working, they recalled each and every event, when things got exciting, they gave each other high-fives and cheered. One by one, empty beer bottles were ced to the side. Not far off, on one side was the peaceful river with a slowly cruising boat; the other side was the bustling road with lots of cars and people. Even though it was already 9 pm, it was still so lively. ¡°What do people spend their whole life working hard for?¡± Little Five huped from the alcohol. ¡°That¡¯s too philosophical, it¡¯s hurting my head!¡± Yang Ping lifted his ss. ¡°Bottoms up!¡± ¡°Bottoms up!¡± Suddenly, it seemed like something was happening, a riot started. Everyone crowded around a nearby table. Yang Ping and Little Five also went over. A middle-aged man in his forties, overweight, was sitting on a chair, leaning on the backrest, his face as pale as a sheet. The man¡¯spanions were in a state of panic, running around yelling: ¡°He¡¯s not okay! He¡¯s not okay! Help!¡± Help! As a doctor, nothing else could be more eye-catching to Yang Ping. He pushed his way through the crowd. The crowd surrounding them was filled with people who thought they knew what they were doing, shouting instructions: ¡°Pinch his Renzhong acupoint, his Renzhong acupoint!¡± Where is the Renzhong acupoint? The man¡¯spanion had no idea, and reached towards the man¡¯s buttocks. ¡°That¡¯s not where, the Renzhong¡¯s up above!¡± Good grief, if you¡¯re so knowledgeable then why don¡¯t you do it yourself? Yang Ping nced at him with an irritated look, stumbling from the alcohol. ¡°Call 120, quickly!¡± ¡°p his back, hard!¡± ¡°Open his mouth and give him some water.¡± There were quite a lot of self-proimed experts, no one really knew what they were basing their advice on. A tall woman, her shoulder-length hair in a ponytail, was busy unbuttoning the man¡¯s shirt. She revealed his chest, feeling his pulse, then listened to his breathing. Given her techniques, she must be a real doctor. ¡°Ding Dong, a beginner¡¯s first task: Save one person in a street rescue. You will receive a beginner¡¯s experience package.¡± A female voice appeared, captions also appeared in the top right corner of his field of vision. So this is what triggers the system task. Yang Ping finally managed to squeeze his way through. He stumbled a little, the evening breeze blew, rejuvenating his spirit. Isn¡¯t this an airway obstruction? It was a technique they had practiced so much in the system they could do it in their sleep. If they didn¡¯t perform a rescue soon, he would suffocate to death, so Yang Ping rushed in immediately, pulling that girl away forcefully, possibly hurting her in the process. A little petnt, the girl shakes her sore hand, ¡°What are you doing?¡± Rescuing someone was more important than arguing with her. Yang Ping drags the patient up ¡ª he¡¯s too heavy, so Little Five rushes over to help, together they prop up the patient. Yang Ping sits in a chair, lets Fatty sit on hisp, wraps his arms around Fatty from behind, Little Five assists from the side. Yang Ping¡¯s left hand makes a fist, his right hand tightly grips his left wrist, both arms form a ring around Fatty. The fist of his left hand is positioned at the middle of Fatty¡¯s upper abdomen. Both arms push with a force which is centered at the upper abdomen, pushing upward and backward. With a popping sound, Fatty spits something out onto the floor. Instantly, Fatty¡¯s airway opens up, enabling him to gasp for air. Yang Ping and Little Five slowly guide him back to the chair. After Fatty takes a few quick breaths, he regains hisposure, his breathing slowly steadies and his face gradually bes flush. The ponytailed girl watching from the side was stunned. ¡°Ding! Task sessfullypleted, Reward: One Experience Pack.¡± The surrounding crowd discussed amongst themselves. Some praised the young man for his medical skill; some sighed about the patient¡¯s condition; some people made the heart-feltment: If the man hadn¡¯t been saved, this young man would be facing awsuit. Slowly, the crowd began to break up, each person returning to their tables. Yang Ping pointed to Fatty¡¯s flushed face: ¡°Tracheal obstruction. Heimlich manoeuvre, if you don¡¯t rescue him right away, he¡¯ll die. What were you doing checking his carotid? Were you practising to be a doctor?¡± ¡°Who are you calling a trainee doctor, you¨C¡± The ponytailed girl was obviously furious, but she noticed that Fatty seemed to be fine, she realized that Yang Ping must be right, and her tone softened. Blushing, she said: ¡°I thought it was acute coronary syndrome, how did you know?¡± ¡°Want to know? Buy us a drink?¡± Little Five leans in and says. ¡°Sure!¡± The girl agrees forthrightly. Little Five gives Yang Ping a look, leans into his ear and whispers: ¡°The beauty wants to treat us, let¡¯s go with it. Times are tough without a job, we should save some money.¡± Makes sense! This guy is thoughtful. The ponytailed girl goes over and does a simple check on Fatty, confirms that there are no problems, she tells his friends several instructions before she leaves. Fatty¡¯s friends hurriedly bow and shake hands, expressing their gratitude for the assistance. The ponytailed girl has a few girlfriends; along with Yang Ping and Little Five, they all sit around the table. The ponytailed girl doesn¡¯t drink alcohol, she has a cup of milk tea in front of her. Yang Ping takes an extra moment to look: She has beautiful features. No, they¡¯re more than beautiful, they are exquisite, she has a pair of clear, ck eyes, long eyshes, the skin on her face is white, with a flush, smooth as egg white, with dimples, that are very charming when she smiles. She is tall and slim, with clear curves, probably due to regr exercise. Her demeanor is extremely elegant, even her sitting posture seems like it has been deliberately trained. Beneath her coat, it seems like she¡¯s wearing a tennis shirt. There¡¯s arge bag next to her, likely contains a tennis racquet, they probably just finished ying tennis and are here for a drink. She clearly wants to get to the bottom of Yang Ping¡¯s trick: ¡°We have treated you guys to a drink, now it¡¯s your turn, how did you know it was a tracheal obstruction?¡± This question is a bit tricky. If the system hadn¡¯t trained him countless times, how could he have identified it so easily? So he hastily lied, ¡°Didn¡¯t you see the chicken bones on the te on the table? That man was touching his throat, explicitly telling you that this ¡ª the chicken bone ¡ª was stuck here, preventing him from breathing. Seems like you didn¡¯t learn medical bodynguage.¡± After considering, the girl agreed that she had been too mechanical, rigidly following the textbook, neglecting these details. Had another doctor not been present, she would probably have dyed the rescue. Medical bodynguage? The girl murmured to herself, she had never heard of this subject before. Yang Ping shook his head, found it amusing, he had made this up on the spot, and she believed it. ¡°Which hospital are you guys from?¡± The ponytailed girl continued to ask. ¡°G City People¡¯s Hospital¨C¡± Yang Ping says. ¡°Temporary workers, just beenid off, currently both jobless and seeking employment¨C¡± Little Five adds, triggeringughter from the other girls. The girl says, ¡°My name is Su Yixuan, I work at Sanbo Hospital. Our hospital is hiring, you can try to send in your resumes.¡± ¡°Thank you!¡± Little Five quickly responds, ¡°The Sanbo Hospital, also called the Overseas Chinese Hospital, right? The one with a helipad on the rooftop? My name is Lu Xiaowu, and this is Yang Ping.¡± Not long after chatting, Su Yixuan stood up, her expression ufortable, saying: ¡®It¡¯s gettingte, sorry, but we must leave. You two continue drinking, I¡¯ll pay extra for the drinks, so drink without worry.¡± Su Yixuan went to the counter, probably to pay for the drinks, came back, packed her things and did not forget to wave at Yang Ping: ¡°Goodbye!¡± Then she left with her girlfriends, carrying her bag. ¡ª Yang Ping did not hold his liquor well, couldn¡¯t even be considered as a Bronze drinker, he drank a bit too much yesterday, his head hurts. Little Five, this guy, bbered the whole night, about treasures and Xiao Qing or whatever, went to bed and slept. Yang Ping could only lean against the wall and sleep on the floor. He woke up to find Little Five was gone. This guy always disappears mysteriously. Yang Ping rubs his temples, looks at the time on his phone, it¡¯s past eleven in the morning. Crap! He rushes for the door without even brushing his teeth. When he reached the staircase, it hit him: Wasn¡¯t I fired yesterday? I don¡¯t have work today, why the rush? Returns to the room, freshens up, goes downstairs to buy a few mutton buns. Opens hisptop, surfs the web, after searching for a while, he finds a doctor¡¯s resume temte. He fills it out diligently, checking it repeatedly. Then he reads all the recruitment guidelines for all the hospitals in G City. He bets on everything, casts a wide, applying to all the major and minor hospitals, evenmunity health stations, there has to be at least one hit right. If he can¡¯t find a job, he¡¯ll have to leave G City. Leave G City? It¡¯s impossible to leave G City! Chapter 4 - 0004 Examination Chapter 4: Examination Days passed after submitting his resume and nothing happened, it felt like throwing a stone into the ocean. Out of boredom, Yang Ping entered the System space, remembering he was given another experience package forpleting an emergency aid task on the street. Once he opened the treasure chest, he found a gift inside¨Cbasic surgical skills training. Yang Ping opened the training package and started his intensive training. A surgical bed appeared out of nowhere, with a prepared subjectying on top. ¡°This training willst for three months,¡± the female voice exined. Three months without eating, drinking, sleeping, or using the toilet, training non-stop. Damn it, isn¡¯t it inhumane? >It¡¯s devilish training, real devilish training. ¡°Incision, suturing, dissection, knotting, hemostasis, these five basic surgical skills training will begin now!¡± Before Yang Ping could react, the training had already started. Yang Ping started to use his imagination, pulling out all his relevant knowledge. All sorts of body parts, variousyers, diverse shapes of incisions; intermittent suturing, continuous suturing, purse-string suturing, vascr suturing, nerve suturing, tendon suturing, skin suturing, fascia suturing; finger dissection, vascr mp dissection, scissor dissection, curved knife dissection, scalpel dissection; single-handed knotting, double-handed knotting, instrument knotting. Each item was trained countless times. Initially, it was single-item training. Every item trained was scored by the system. After it waspleted, the next item was initiated. After the five items were finished, theprehensive training started. This kind of intensive training was incredibly efficient! Yang Ping had sutured hundreds of blood vessels for the vascr anastomosis alone. It took over ten minutes for each at the start, subsequently reduced to a few minutes each. At first, the sutures were crooked but gradually, he could make his stitches evenly spaced and beautiful. If it were in reality, who would have so much time to practice basic surgical skills? Even if you took out an hour every day, it would take 2160 days, about 6 years. Very few people have this level of patience and perseverance! In other words, this training package is equivalent to letting Yang Ping practice his basic surgical skills for an hour every day continuously for 6 years. And then with the cessation of time came the disappearance of the operating table and the experimental body. More than ten days passed. During these agonizing days, Yang Ping had no idea how he got through, spending every day with a copy of ¡°Orthopedic Surgery,¡± which eventually fell apart. Finally, the call arrived ¨C Sanbo Hospital, the one with a helipad on its roof. He had some knowledge about this hospital, which was only established a little over a decade ago. It was rumored to have been founded by a wealthy overseas Chinese, hence it was also referred to as the Overseas Chinese Hospital. This hospital was newly built and located somewhat in the outskirts, so its reputation couldn¡¯tpete with the Affiliated Hospital of Nandu Medical University, G City People¡¯s Hospital, or the Traditional Chinese Medicine Hospital. Yet, it was still a Provincial Level III Hospital. Undeniably, it had high demands for its staff. The job vacancy post explicitly mentioned a starting qualification of a master¡¯s degree and required 211 and 985 universities. Those who got in, all had special channels. As he received the call, he decided to go! There might be some urgent positions, lowering the standards. For instance, the obstetrics and gynecology department wanted to improve team cohesion by increasing the number of male doctors? For survival, Yang Ping didn¡¯t mind adjusting his professional direction somewhat. The name brand bag, purchased for thirty bucks, and the cheap but long-preserved suit were finally put to use. Yang Ping, dressed in a suit and carrying a ck leather bag, stood at the entrance of Sanbo Hospital, full of confidence, looking up at the twin-star main building. On the top floor, a helicopter wasnding. The interview took ce in the teaching room of the orthopedic department, with arge wave of peopleing in for the interview, causing Yang Ping to lose count as the room filled to the brim. After quietly snooping around, he discovered that people seated on his left were from Beijing Medical University, while those on his right were from Huaxi Hospital. He couldn¡¯t find a single timid person. He started doubting if the human resources department had made a mistake in making the call, or if he was just invited to make up the numbers, perhaps the admission quota was already predetermined. The person standing on the podium was the Department Director of Orthopaedics, Han Jiangong, who was not tall, but strong, with thick, short hair, and bright eyes. He waved the name list in his hand, saying: ¡°Usually, when youe for an interview at a hospital, it involves first a written test, then an operational test. Today, we¡¯re doing it in reverse order. Why? Because a surgeon needs to have hands-on capabilities first. Without it, everything else is mere idle talk! Those who fail the operational test will be eliminated immediately; those who pass the operational test will proceed to the next step, the written test. Now, let Dr. Song Zimo introduce the operational test -¡± ¡°This guy has a PhD from Fudan University, he¡¯s pretty impressive,¡± a doctor beside him whispered. ¡°Do you know him?¡± Yang Ping asked, surprised. The man replied proudly, ¡°A senior told me about him. This guy is a genius. When he was studying at Magic City Sixth Hospital, he trained in microsurgery. He was tasked to do procedures on a hundred rat tails. His sess rate was 100%, and his time was the fastest among everyone.¡± Indeed, this was a bit impressive! Yang Ping looked past the crowd at Song Zimo. At his twenties, he stood over everyone physically and mentally. With a height of at least 185cm, a bnced physique, high nose, proper facial features, and clear contours. Two words came to mind ¨C handsome. Furthermore, he was a PhD holder and a recognized talent. He was truly charismatic. However, this had no connection to Yang Ping since he was there for the interview. ¡°Wee everyone to choose Sanbo. Although our hospital, Sanbo, has only been established for just over a decade, our technical level is no less than any other hospital in G City. As long as you work hard, Sanbo will give you plenty of development opportunities ¨C training, further education, studying abroad ¨C ¡± ¡°Spouting nonsense without needing a draft,¡± thought Yang Ping. ¡°You don¡¯t know much about Sanbo, do you? Do you know who the director that spoke just now is? Han Jiangong, he came from Magic City Sixth Hospital. He is a leading figure in Trauma Orthopaedics in this country.¡± Chapter 5 - 0004 Examination_2 Chapter 5: Chapter 0004 Examination_2 Really? Really! Wow, the hospital must offer greatpensation then, right? Yang Ping made a gesture signifying money! ¡°Vulgar!¡± the young man sneered in his mind. Meanwhile, a young doctor ying the role of an assistant handed out a piece of paper to each candidate¨Can interview sheet with the scoring items for the practical test. ¡°Position applied for: Emergency Department Resident Physician.¡± There must be a mistake, I am an orthopedic physician ¨C why has it suddenly changed to an emergency department resident? Yang Ping thought about raising his hand but decided to wait until after the test to address it. Song Zimo said, ¡°There¡¯s a practice knot-tying module in front of each of you, which has been prepared with a bundle of thread. First, pull out a single thread and ce it on the peg. When I say start, everyone start tying knots by hand. When I say stop, stop.¡± Quite a nice voice, baritone, really. ¡°Don¡¯t underestimate knot tying, this is a fundamental skill in surgery. If you can¡¯t even tie a knot efficiently, how can you perform other operations? A passing mark is 60 square knots in 1 minute, which is equivalent to 120 positive and negative knots. Our Senior Brother Song can tie 143 square knots in a minute, or 286 positive and negative knots, which remains the record in our hospital,¡± the assistant added tteringly by Song Zimo¡¯s side. Song Zimo paced up and down between the rows, looking cold yet confident. His white gown was unbuttoned, revealing both his sides. With hands in his trouser pockets, he definitely looked cool. The assistant just finished speaking. Wow¨C the ce burst into amazement! 143 square knots in a minute! We have to train hard just to reach 60 square knots, 80 knots is already an expert level. It¡¯s probably impossible for those with underdeveloped motor skills, no matter how much they train. Over 100 square knots and you¡¯re reaching the realm of the unbeatable lone ranger, but 143 knots¨C ¡°Alright, everyone calm down, we¡¯re not expecting you to reach this high. It¡¯s impossible! If you can tie 60 knots within 1 minute, that¡¯s already considered passable. Remember, the module will do an automatic count, but we will also be watching. Any noticeably substandard knots will be discounted,¡± the assistant was knocking on the podium. ¡°Ding dong! Newbie task number 2: Challenge the surgery skill master. Achieving sess will earn you the third experience pack.¡± This could trigger a task? But any chance to gain points is a good thing, I would still have to take the interview regardless of the task. ¡°Is everyone ready? If you¡¯re not ready, raise your hand!¡± the assistant said. No one raised their hand. ¡°Start!¡± Yang Ping¡¯s fingers moved rapidly. The knots appeared neatly one after another. Once a strip had been transformed into a line of beautiful knots, he switched to another strip and continued. Stop! Exactly one minute had passed. ¡°59! 61, 35, 47, 16, 81¨C not bad.¡± ¡°I previously imed first prize in a knot-tyingpetition during surgical ss.¡± ¡°That was close! I just made the cut!¡± The man next to Yang Ping turned to look at him. ¡°Damn, 241! Is this guy even human?¡± The loud exmation drew nces from around the room. The assistant stopped by Yang Ping, the counter on the module disyed: 241 square knots, or 482 positive and negative single knots. A square knot required two single knots, one positive and one negative. Are my eyes ying tricks on me? The assistant picked up the module for a closer inspection, then put it back down. Waved over to Song Zimo, and even Director Han, having noticed that something was amiss, came over as well. 241 knots, impossible! Song Zimo picked up the module, checked it, and announced, ¡°The counter is faulty, let¡¯s switch a module.¡± Song Zimo set up a new module, pulled out a thread himself, hung it on the peg, then took out his phone and set up a timer, ¡°The module was faulty, go again.¡± Yang Ping pulled another thread himself, hung it on another peg. There were several pegs on the module. ¡°Start.¡± Those nimble hands moved in unison, so fast that one could barely see it. Stop! 240 square knots, almost exactly the same count ¨C superbly steady. Two threads, the knots densely packed, each one immactely crafted ¨C like machine precision. ¡°Sorry, I was a bit nervous, which affected my performance. I fell short!¡± Yang Ping rubbed his hands together. This round, Song Zimo was hit with a pang of insult as if someone had thrown a bucket of ice water in his face, shattering his proud ego. The assistant took a look at Yang Ping¡¯s form, ¡°Oh, you¡¯re applying for the position in the emergency department. My bad, no wonder I thought there was an extra one.¡± Song Zimo asked, ¡°Do you practice knot tying every day? For how long?¡± ¡°Who would waste their time practicing this every day? Just learned it when I was in school.¡± Yang Ping replied nonchntly. This kid is almost twice as fast as me in knot-tying. Maybe this guy is just good at knot tying, that¡¯s all. Song Zimo consoled himself. Old Han looked at the form, then at Yang Ping. He did this so often that Yang Ping felt a bit embarrassed. Man to man, why are you staring so intently? ¡°Director, he¡¯s here for the position in the emergency department. The human resources department probably got the notification mixed up,¡± the assistant mentioned the problem again. ¡°It¡¯s ok, since he¡¯s already here, let him take the full test,¡± Director Han made the decision. The next item was stopping bleeding. Again, a module was utilized. It was a rough and uneven board covered with ayer of soft material. This material had several small points, some concealed while others exposed. There were a total of 100 points on the board. As soon as a red light came on at a point, the candidate had to immediately use a hemostat to clip it. Once it was mped, the light would go out, and a point would be scored. 60 points was the passing mark. ¡°Start!¡± Some people were so flustered that they dropped their hemostats, only to pick them up and continue the task. While others started off well, they couldn¡¯t keep up the pace towards the end. Stop! As soon as all 100 points lit up, the examination was over. ¡°Dude! Are you messing around?¡± The person next to him gaped, mouth big enough to stuff an apple into. Full marks! Director Han was standing behind Yang Ping the whole time, observing the whole process without uttering a word. Full marks! He was getting more and more interested in this young man. ¡°Full marks!¡± Song Zimo took a nce at the scoreboard on the module. There was no longer room for doubt this time, and they couldn¡¯t make him redo it again either, as that woulde off as petty. Despite this, he was quite upset inside. ¡°The third and final task, everyone pay attention. It is a training round consisting of incision, separation, and suturing.¡± Everyone received another module, which had ayer of simtion material on it, mimicking human skin, fascia, and muscle. This hospital was certainly well-equipped, considering it had helicopters. These modules must be quite expensive too. Yang Ping took a pair of forceps in his left hand and a pair of tissue scissors in his right. Both his hands moved together seamlessly, the scissors seemed to possess a soul of their own, moving between theyers, cutting and separating them one after another. ¡°Switch hands!¡± Director Han ordered. Yang Ping swapped the instruments between his hands. His actions were just asposed and smooth as before, as if his left hand was as skilled as his right hand, without a hint of awkwardness or clumsiness. This ability to swap instruments between hands must be the result of deliberate training and would have required a considerable amount of effort. Having done this in his youth, Director Han was well aware of this. Director Han took the paper from Yang Ping¡¯s hand, looked at it, then crossed out the applied position with his pen. He changed it to ¡°Orthopedics Resident Doctor.¡± I was a fully qualified doctor, and you¡¯ve reduced me down to a resident doctor. But Yang Ping epted it. This was a lot better than before, so he decided to keep quiet. He was afraid that the director might change his mind if he said anything. Chapter 6 - 0005: Fractures That Can’t Be Seen on A CT Scan (Part 1) Chapter 6: Chapter 0005: Fractures That Can¡¯t Be Seen on A CT Scan (Part 1) ¡°Ding Dong! Task ovepleted, a third experience pack has been awarded.¡± After the interview came the written exam. As someone who once ranked within the top ten of his entire school, the exam was a breeze. At noon, Sanbo provided a free lunch. After the meal, Yang Ping took a tour around Sanbo Hospital. The hospital was indeed impressive. Its main building consisted of two towers¨C¨Cthe Surgery Building and the Internal Medicine Building¨C¨Ceach over thirty floors high, connected by sky bridges on each level. There were also, among others, an Administration Building, an Outpatient Building, an Emergency Building, Medical Technology Building, and the Overseas Chinese Building¨C¨Ceach one a six- to eight-story structure, reasonably distributed, with ayout that was pleasing to the eye. The rooftops of the Surgery Building and the Internal Medicine Building served as a helipad, with a helicopter parked on the roof of the Surgery Building. It added an air of grandeur, making it a symbol of the hospital. Yang Ping also visited the orthopedics department. Sanbo Hospital¡¯s orthopedics division had over a hundred beds, divided into four areas: trauma, spine, joint, and sports medicine. Director Han was the head of the whole orthopedics department, as well as the head of the trauma division. Orthopedics is a broad specialty. Many big hospitals sub-categorize orthopedics into trauma, spine, joint, sports medicine. Some even split off a pediatric orthopedics section. Some hospitals with a strong hand surgery program have a separate hand surgery department. Somerger regional medical centers also have orthopedic oncology. The more technologically advanced the hospital, the further down they divided. For example, trauma could be split into upper and lower limb, the spine into cervical, thoracic, and lumbar, and the joints into hip and knee, etc. In other words, some people specialized in fractures of the upper limb while some specialized in fractures of the lower limb¨C¨Csomething unimaginable in an ordinary hospital but amon practice in top-tier hospitals. There¡¯s a top orthopedic surgeon from a prestigious hospital in Beijing who specializes in upper cervical vertebrae surgery, including the base of the skull, the first and second vertebrae. Such surgeries are rare in regr hospitals, perhaps performed once a year, whereas this surgeon can perform them year-round, treating patients from all over the country. After spending the entire day touring Sanbo, Yang Ping went to a nearby restaurant for dinner before heading back to his rented room in the city via the subway. Little Five hadn¡¯t returned for many days, leaving Yang Ping with some peaceful quietude. Excited by the novelty, Yang Ping again entered the system, opened his gift box, and started using his gift¡ªthe training program for interpreting radiographic images of limb fractures, whichsted for fourteen days. Upon entering the training space, a variety of limb fracture images appeared on the electronic viewer, one after another. There were X-ray images, CT scans, MRI scans, and the system¡¯s mechanical female voice would also provide detailed exnations. After fourteen days of rigorous training, Yang Ping had seen over ten thousand images. A few dayster, he received a call notifying him that he had passed the interview and could start working in the orthopedics department. Yang Ping was so thrilled that he almost jumped with joy. On his first day at work, Yang Ping arrived very early. ¡®The clumsy bird flies early.¡¯ Although he didn¡¯t consider himself clumsy, he was sure that starting early wouldn¡¯t be mistaken. The duty room, men¡¯s changing room, women¡¯s changing room, meeting room, dining room, teaching room, and therapy room¨C¨CYang had to familiarize himself with these ces as soon as possible to be able to work efficiently. As everyone trickled in, their shift started promptly at eight o¡¯clock. Everyone lined up in a U-shaped formation; at the open end of the U stood a projector, at the base of the U sat the department head along with several team leaders, on the left sat the male doctors, and on the right sat the female nurses. The doctors were all dressed uniformly¡ªwhite shirts, dark trousers, dark shoes, neckties, and white gowns over them. The nurses, all taller than one point six meters, were dressed in slim-fit blue nurse uniforms. Their hair was tied up and secured with a ck hai, making them look youthful and charming. Among the doctors, there was actually a female doctor named Tang Fei. She was dressed in blue jeans and a goose-yellow T-shirt. Her hair was tied up, and her female doctor¡¯s white coat was very neat. Standing amidst male doctors, she was a dazzling bit of color. After the handover, Director Han briefly introduced the new doctors including Yang Ping, and everyone apuded to wee the neers. If there were no objections to the handover, the nurses would leave the office and start their busy workday. The doctors began a brief morning meeting, discussing the surgeries performed on the previous day, and the surgeries to be performed that day. They would put the radiographs on a viewer, and give a brief report. Each team took turns to report their respective cases. One of the patients, named He Jianmin, a seventy-six-year-old man, caught Yang Ping¡¯s attention. His X-ray showed a fracture of the left femoral shaft. Surgery to fix it with an interlocking nail was nned to be the first surgery of the day. In this patient¡¯s X-ray, Yang Ping noticed a femoral neck fracture which was not mentioned in the handover diagnosis. Based on the choice of surgical procedure, it was apparent that the operating surgeon waspletely oblivious of the femoral neck fracture. Such fractures are concealed and almost impossible to detect on X-rays and CT scans. Yang Ping had undergone training to interpret over ten thousand images of limb fractures, which enabled him to detect even concealed fractures with great precision. If there indeed was a concealed femoral neck fracture, the surgeon would fall into a pitfall. Being unaware of the femoral neck fracture, he would proceed with the usual surgical procedure, creating an entry point in the upper femur, then twisting or hammering the nail into the marrow cavity of the femur. Such actions could potentially turn the concealed neck fracture into a visible fracture without the surgeon even realizing it. Upon post-operative re-examination of X-ray: Damn it! The neck of the femur is fractured! What to do then? Surely, you can¡¯t just ignore the fractured femoral neck? They would then need to exin to the patient: ¡°Sorry, you have an untreated femoral neck fracture and need a second surgery to address it.¡± The patient¡¯s reaction: ¡°Why did the previous x-ray not show a fracture but now it¡¯s visible? Did the surgery you performed cause the fracture? And now you¡¯re trying to trick me into a second operation?¡± At this point, the disputes arise. ¡°Ding dong, Novice Task Three: Help your coworkers avoid diagnostic pitfalls and present the final novice gift box.¡± So it¡¯s a chain of four gifts, how generous of the system. After the x-ray film was reviewed, Director Han scanned the room, speaking sinctly, ¡°Does anyone have any questions? If not, the meeting is over.¡± This patient definitely has a femoral neck fracture, it cannot be mistaken. I¡¯ve seen tens of thousands of these x-rays and developed a keen eye for detail. I won¡¯t misstep. I must remind the chief surgeon to avoid this unnecessary dispute. Immediately, Yang Ping raised his hand, and all doctors focused their attention on him. Director Han asked, ¡°Xiao Yang, what do you want to say?¡± Some people have already gone to the door, ready to leave, but then they retreated. Questioning someone else¡¯s diagnosis and treatment n is a risky move, especially on the first day of work, and under the public eye. If I don¡¯t say something, will I just watch others fall into a trap? After pondering, Yang Ping said, ¡°Could you please pull out the x-rays of He Jianmin for review?¡± The X-ray and CT scans were brought up and projected onto the screen. ¡°Is there a problem?¡± Director Han asked. Yang Ping humbly replied: ¡°I¡¯m sorry for wasting everyone¡¯s time. I suspect that this patient has a concealed fracture of the femoral neck. We have had simr cases in our hospital in the past and suffered losses, so I¡¯m particrly sensitive about such cases.¡± Anyway, a few words won¡¯t waste too much time. Since there are doubts, just say it out. Director Han says: ¡°Xiao Yang, go ahead.¡± With the approval of the director, Yang Ping continued, ¡°I had a case where the preoperative X-ray and CT scan did not reveal a femoral neck fracture, but the postoperative X-ray showed a hip fracture. We were forced to suggest a second surgery to fix the femur neck to the patient, and the patient didn¡¯t understand why the preoperative films did not show a fracture, but the postoperative review did. They insisted it was the surgeon¡¯s mistake and they caused the fracture, causing disputes and even litigation. I thought about it and concluded that this case was a result of dashboard injury¡­ ¡°Hmm, then you can discuss this case, where do you suspect?¡± Director Han encouraged Yang Ping. Yang Ping continued: ¡°When I just looked at the x-ray, I noticed swelling in the soft tissues in front of the knee, which indicates a bruise and is simr to a dashboard injury, which immediately reminded me of a hidden femoral neck fracture. On careful examination, the trabece of the femoral neck on the x-ray are slightly disordered, and there¡¯s a fold on the cortex on one of the CT slices, which made me even more suspicious. I¡¯m sure it¡¯s nothing tough about, but now, whenever I see a femoral fracture, all I can think of is a hidden femoral neck fracture, and it makes me break out into a cold sweat.¡± After all that was said, some people were amused by thest sentence. The group responsible for this patient is led by Tian Yuan, Director Tian, vice chief physician, doctoral graduate from Huaxi Medical University. When he looked at Yang Ping and stood up to sit at theputer connected to the projector, he flipped through the X-rays and CT scans repeatedly on theputer. Indeed, there was a slight disorder of trabece in the femoral neck on the X-ray and one cortical fold on the CT scan. But it¡¯s subtle, almost imperceptible. Without a foregone conclusion, you wouldn¡¯t notice it at all. ¡°The CT scan is the gold standard for diagnosing fractures, isn¡¯t it better than an MRI at detecting fractures? If a CT scan doesn¡¯t show a fracture, can an MRI detect it?¡± The resident doctor, Zhang Lin, asked, sounding a bit aggravated. ¡°Exactly!¡± Fang Yan, the attending doctor under Tian Yuan, agreed. Director Han reprimanded, ¡°He¡¯s not wrong, the MRI is the best diagnostic tool for detecting hidden fractures of the femoral neck. X-rays and CT scans may not show it. Xiao Zhang, you need to brush up on your knowledge.¡± Zhang Lin was publicly criticized and seemed a bit upset. After browsing the films, Tian Yuan turned his head and said to Director Han, ¡°Director, Xiao Yang really reminded me. Indeed, there are doubts.¡± The patient had already begun anesthesia in the operating room. Tian Yuan immediately picked up his phone: ¡°Xiaobo, can you please check the patient¡¯s left knee for any swelling or bruising?¡± ¡°Since there are doubts, let¡¯s pause the operation and rify the situation?¡± Director Han made the final decision. The other doctors, including several department directors, all needed to stretch their necks to carefully review the films on the projection screen. Where can you see the fracture? Their eyes hurt from looking so hard, and they still couldn¡¯t see it! Chapter 7 - 0006: Fractures Not Seen in CT (Part 2) Chapter 7: Chapter 0006: Fractures Not Seen in CT (Part 2) A few minutester, Chen Xiaobo, a resident doctor under Director Tian, called from the operating room: ¡°Director Tian, there are bruises and swelling on the left knee.¡± ¡°Xiaobo, pause the surgery and send the patient to radiology for a bteral hip joint MRI. Yes, I¡¯ll exin to the family right now, immediately, right away.¡± It¡¯s really a dashboard injury! Director Tian hung up the phone and looked at Yang Ping with admiration: ¡°It really is a dashboard injury! You were right, I¡¯m putting the surgery on hold immediately. I am now sending the patient to get an emergency hip joint MRI. Thank you for the reminder!¡± Director Han said, ¡°Hmm, if there really is a hidden femoral neck fracture, we¡¯ll have to change our surgical approach. Any other thoughts?¡± No one spoke. Director Han said, ¡°Then let¡¯s get ready. Tian Yuan, go to radiology immediately. I will also go down shortly to look at the MRI.¡± Director Han dismissed everyone, then found aputer and carefully reviewed the patient¡¯s X-rays and CT scans. Song Zimo came over and quietly asked Yang Ping: ¡°Does this patient really have a hidden femoral neck fracture? Hidden fractures don¡¯t show up on X-rays and CT scans, do they? How did you see it?¡± ¡°I saw it with my eyes.¡± Yang Ping replied with a smile. Song Zimo red at him, then said, ¡°I¡¯m going down to radiology to take a look. Do you want toe?¡± Yang Ping didn¡¯t have anything else to do. It was his first day on the job, and he hadn¡¯t been given any tasks. Besides, the doubt was raised by him. Naturally, he needed to go check it out. Director Han came over at that moment: ¡°Let¡¯s go. Let¡¯s go check it out together. I checked again just now. There indeed is a doubt.¡± The three of them headed straight for radiology. Many others have already followed Director Tian there. The patient was also sent to the MRI room to start preparing for the examination. Director Han had called Director Meng, the head of radiology, in advance. Director Meng was waiting in the reading room. Director Han, Director Tian, Song Zimo, Yang Ping, along with some curious graduate students and standardized training students, gathered in arge circle. When everyone saw Yang Ping arriving, they made space for him to stand inside the circle. Everyone was curious to see if there was indeed a fracture, as none of them had noticed it. ¡°Old Han, what¡¯s going on? Hurrying to have an MRI for this patient, I¡¯ve just looked at his CT and X-rays again, and there¡¯s no femoral neck fracture.¡± Director Meng said. Doctor Yang from our department just raised a doubt. He detected a hidden fracture from the X-rays and CT scans. To rify, we¡¯re doing an MRI. I¡¯ve scrutinized the films myself as well, and there indeed is a doubt about this patient,¡± replied Director Han. ¡°I see!¡± Director Meng, consequently, stopped talking and quietly awaited the MRI images to appear on the screen. The MRI room nurse was checking whether the patient had any maic metals on him, asking about potential contraindications like ustrophobia, and then had a form signed for confirmation. MRIs use maism for examination. Maic metals are not allowed in, and if there are maic metals imnted in the body, some are also not allowed to be done, as strong mas can move these metals. Non-maic metals are fine, and most medical imnts nowadays are non-maic. Unlike X-rays and CT scans, MRIs don¡¯t emit ionizing radiation. Ionizing radiation is the dreaded nuclear radiation everyone talks about. Chen Xiaobo, the resident doctor under Tian Yuan, was currently assisting in moving the patient. Attending physician Fang Yan was also there. ¡°Brother Fang, why did Director Tian suddenly stop the surgery and have the patient taken down for an MRI?¡± Chen Xiaobo was confused. ¡°The new doctor Yang said that our patient has a femoral neck fracture. Director Tian didn¡¯t see it, but he did.¡± Fang Yan didn¡¯t sound too happy either. The patient was on the operating table and the anesthesiologist¡¯s needle was already in the spine. They were about to administer the drug when the surgery was abruptly halted. Now, they had to take the patient here for an MRI. Naturally, it was somewhat unsettling. ¡°The new guy, who is he? He¡¯s so amazing!¡± Chen Xiaobo asked. ¡°Whether he¡¯s amazing or not, let¡¯s wait until the MRI resultes out.¡± said Fang Yan. ¡°You guys, why would you listen to the new doctor? Just because he says so, you bring the patient down here for an MRI. Let¡¯s go, doctors, we can start the examination.¡± The technicianined as well. ¡°Upon hearing him say this, Director Tian had to take it seriously, dropping all the hard work on us,¡± Fang Yan said. Once everything was ready, the technician pressed the switch on the external control panel, and the moving tbed, with the patient on it, slowly passed through the ring-shaped machine opening. On this side, the two directors stopped talking, and so did everyone else. Everyone silently waited for the examination to finish and the technician to upload the images. The MRI procedure is slightly longer than ordinary inspections, but the MRI machine introduced by Sanbo Hospital is the most advanced 3.0T high-speed MRI in the world, which is dozens of times faster than ordinary MRI scans. A few minutester, images began to appear on the screen, filling the entire screen. Director Meng immediately grabbed the mouse and began reviewing the images, curious as to whether this patient had any fractures. Director Han leaned in. Under the premise of maintaining a certain distance from the two directors, everyone else also gathered around as much as possible. Images were flipped, erged, and reviewed one by one. Then one image was locked, erged, and Director Meng leaned forward, his mouse pointing to one area. He looked closely for a good five minutes. ¡°There is indeed a fracture in the neck of the femur. Look, Old Han, here, T1 and T2¡ª.¡± Director Meng confirmed. Director Han turned around and looked at Yang Ping, then leaned in: Indeed! It¡¯s fractured! This young man is impressive; he identified a concealed fracture in the neck of the femur during the morning shift review. This type of concealed fracture is extremely difficult to detect in x-rays and CT scans, like looking for stripes on a mosquito¡¯s wing. The first time they met, Han was impressed by Yang Ping¡¯s sublime basic surgical skills, and today, his film reading skills surprised Director Han once again. ¡°Fractured, it¡¯s fractured!¡± With the answer out, everyone looked at Yang Ping in unison. Fang Yan and Chen Xiaobo rushed from the MRI room to the viewing room. Did they hear correctly? Was there really a fracture? Had he really guessed correctly? Director Han immediately instructed Director Tian, ¡°We need to speak with the patient¡¯s family again, a new consent form for the surgery needs to be signed, and the surgical procedure needs to be reconfirmed. It¡¯s best to use an elongated PFNA to fix the femur and femoral neck at one time. In this case, the surgery will be postponed until tomorrow. We¡¯ll discuss it this afternoon. Fortunately, we prioritized the MRI, otherwise, we would have fallen into a trap.¡± ¡°Thank you, thank you very much!¡± Director Tian patted Yang Ping¡¯s shoulder. ¡°Come to my officeter,¡± Director Han also patted Yang Ping¡¯s shoulder. Song Zimo found it a bit magical, how did he detect the fracture, how did he do it? ¡°How did you manage it?¡± Song Zimo asked. Yang Ping shrugged, ¡°Nothing special, just made a mistake once, and naturally became proficient.¡± ¡°The task of rmending a colleague to terminate the surgery and reconfirm the diagnosis has been sessfullypleted, bringing in thest beginner¡¯s gift package,¡± the system¡¯s female voice reminded. Now, Yang Ping had gotten used to the system and wasn¡¯t startled by its sudden voice and captions. In the director¡¯s office. Director Han and Yang Ping sat across the desk from each other. ¡°We should thank you for today. You¡¯ve saved the department from a dispute. Have you everpleted any specialist training in radiology?¡± Yang Ping shook his head. But immediately said, ¡°In the past, when I was at the People¡¯s Hospital, I¡¯d thoroughly studied almost all the orthopedic imaging materials in theputer system.¡± After thinking for a moment, Director Han understood. Yang Ping wasn¡¯t lying. He had indeed worked hard in medical school and had studied almost all the image information in the department at the People¡¯s Hospital. He also often went to the Radiology Department for consultations. With such a solid foundation, coupled with the system suddenly going haywire, providing more than ten thousand image studies, Yang Ping had thoroughly developed a keen eye for imaging studies. No matter how minute or difficult to detect the abnormalities on the X-ray images were, he could spot them at a nce. Chapter 8 - 0007: The Life of a Serf Chapter 8: Chapter 0007: The Life of a Serf As Director Han lifted the lid, a cloud of steam wafted up from his zisha y tea cup. He took a thoughtful sip. Although Yang Ping was already an attending doctor, Director Han had nned to put him on a resident¡¯s rota. He was now having some second thoughts and decided to reassess the situation. Cupping the warm zisha y cup, he said, ¡°You¡¯re new here and unfamiliar with everything, so why don¡¯t you start by shadowing someone during their rounds? You¡¯ll be paired with Dr. Zhang Lin from my group.¡± Yang Ping nodded. As an attending doctor, being scheduled as a resident and having to shadow a doctor with less experience was somewhat vexing for him, but it was necessary for now. Typically,rge hospitals divide staff into groups, each with a mix of ranking officials. Each group usually has a senior ranking Chief or Associate Chief, a mid-ranking Attending, and a few junior Residents. Some groups also include interns, graduate students, and visiting students, if the hospital is a teaching one. Residents are generally tasked with directly managing patients, admitting them, writing their medical histories, arranging surgeries, changing medications, and so on. Attending physicians, on the other hand, rarely manage patients directly. Instead, they primarily assist their group leader with operations and guide residents in their patient care. Each group operates as an individual unit, with the group leader bearing full responsibility for the medical techniques used within the group. Apart from a few special instances when the Department Director needs to handle cases, surgeries are typicallypleted within the group. Each group operates separately and doesn¡¯t interfere with each other, but is capable of coborating if necessary. Some hospitals don¡¯t have Department Directors working with groups, while others do. Director Han leads a group himself,posed of Attending Doctor Song Zimo and Resident Zhang Lin. ¡°I¡¯ll be taking Song Zimo with me to a conference in a few days. If anythinges up, you can lend Zhang Lin a hand. If you can¡¯t handle something, report it to Director Tian immediately. Director Tian is a decent person with a schrly demeanor. You openly questioned his diagnosis at the meeting today, but he wasn¡¯t angry. Instead, he promptly corrected his mistake. What you did today was correct. If it hadn¡¯t been for your timely reminder and insistence, we would have been embroiled in a medical dispute, and the patient would have had to undergo another surgery. The guiding principles of science are to not be awestruck by authority or books, but to only be convinced by facts. Although, once a decision has been made, you can disagree, but you must never disobey ¨C let alone act on your own. Doctors operate within a ranking system, and this traditional hierarchy is a cornerstone of patient safety.¡± ¡°I understand, Director. I¡¯ll keep your words in mind,¡± Yang Ping promised sincerely. ¡°Alright, work hard. Sanbo is a good tform and our orthopedics team is excellent. You¡¯ll see that in due course.¡± Director Han had surgery shortly, so he needed to end their conversation. Yang Ping went to find Zhang Lin, who was behind hisputer issuing medical orders. Zhang Lin was a recent Master¡¯s graduate with a skinny and tall figure. e peppered his face. He wore sses and didn¡¯t socialize much. ¡°Dr. Zhang, hello. I¡¯m Yang Ping. Director Han¡ª¡± Yang Ping began, extending his hand. ¡°I know, Director Han called me. Writing medical histories? Changing medications? You know how to do all that, right?¡± Zhang Lin¡¯s tone was somewhat unfriendly; he didn¡¯t even bother shaking Yang Ping¡¯s hand. ¡°Damn it! I¡¯m already an attending doctor, and you¡¯re asking me if I can write medical histories and change medications. Are you treating me as an intern?¡± Yang Ping withdrew his hand, feeling disgruntled. ¡°Yes, yes, I can do everything!¡± Yang Ping¡¯s thick skin saved him from a lot of needless hassle, otherwise they would¡¯ve been arguing, or worse, squabbling. Zhang Lin adjusted his sses; his eyes never once left hisputer screen. ¡°Beds 1, 3, 8, 10, 11, and 12¡ªchange their medications and check for any missing progress reports,plete them all.¡± ¡°Aren¡¯t there any surgeries today? Shouldn¡¯t we not change the medications pre-surgery?¡± It was only just past nine. Yang Ping wanted to check out a surgery, and gain some experience even if it was just while observing. ¡°Oh, you don¡¯t need to do surgery today. Just change the medications in the ward.¡± With that, Zhang Lin walked away with his head held high. ¡°Thinks he can do surgery after looking at a few x-rays,pletely lost sight of himself,¡± grumbled Zhang Lin under his breath in the elevator. ¡°Damn, he¡¯s really treating me like an intern.¡± Well, you can¡¯t really fight it when you¡¯re in someone else¡¯s territory. Yang Ping found the medication room, prepared the necessary items, put on a mask and cap, and started pushing the cart through the ward, changing medications one by one. ¡°You there, don¡¯t just stand! Come over here and help carry these struts and weights to Bed 33.¡± A resident doctor waved him over. Although Yang Ping was clearly busy changing medications, he was repeatedly mistaken for being idle. ¡°Hey! You over there,e help push the bed.¡± After delivering the traction setup, a nurse called Yang Ping over to help push a patient down to get an X-ray. After much toiling for half an hour, he had to return and finish the progress reports. Not being familiar with these patients and not receiving an adequate briefing from a colleague madepleting the medical histories a challenging task. He found some patients¡¯ progress reports hadn¡¯t been updated for a week, it was impossible to catch up on all that. ¡°Boss!¡± ¡°Boss my ass, I¡¯m being treated less than ackey.¡± It was a call from Little Five. ¡°Did you eat gunpowder for breakfast or what? This is Little Five!¡± ¡°Mmm, if you have something to say, say it. If you need to fart, just let it out!¡± ¡°I¡¯ve found a house for you, right across the street from the hospital. It¡¯s just a quick walk over a footbridge. I¡¯ll bring you the keys after work this afternoon. I also got a call. I¡¯ll be going for a Residency in the Emergency Department, specializing in working with ambnces. In a few days I¡¯ll go for the interview. It physically demanding work, but I¡¯ve got the strength for it. And there¡¯s no disgrace in working hard,¡± Little Five babbled away. ¡°That¡¯s enough, call me at seven. We¡¯ll have dinner tonight, my treat.¡± Yang Ping¡¯s mind was in turmoil. How would he manage these case histories? Since his previous apartment was in the city¡¯s urban vige and he had now moved to the outskirts. Yang Ping was short on time, so he asked Little Five to terminate the lease and find a new ce near Sanbo Hospital. The hospital had its own dormitories, but these were shared suites, which wasn¡¯t convenient. The queues for the restroom were endless. Renting his own ce offered more freedom. Over the next few days, Yang Ping found himself at the beck and call of Zhang Lin, reaching the hospital at seven am and leaving after eleven pm. His legs felt as heavy as lead, his hands were on the verge of developing tendonitis, his eyelids felt heavy, and he was forever yawning. His life mimicked those of serfs, but life had to go on. He decided to visit his own private world in the system. He opened the treasure chest, using thest newbie package¡ªfive thousand limb reattachment surgeries. Five thousand surgeries! Yang Ping was astounded. This was an unrivaled treasure trove of resources for a doctor¡ªcase histories. These five thousand surgeries represented a number that many doctors couldn¡¯tplete in their lifetime. Upon entering the training space, the system simted various reattachment surgeries for him. There were simple knife wounds, crushing injuries, avulsion injuries, injuries split into several parts, skin-deficient wounds, fingers, toes, hands, wrists, ankles, forearms, upper arms, lower legs, thighs, elbows, knees, disjoined at the shoulder, or the hip. The system had simted every possible injury he could encounter. However, the majority of the surgeries were finger reattachments, including infants newly born, premature babies, babies with congenital malformations. Every conceivable scenario was simted. Surgery is a skill developed through practice, and practice requires arge number of surgeries. This volume transitions into quality; this was an irond rule. It was impossible to have the rigorous volume of training that the system provided in reality. Moreover, Yang Ping vaguely felt that the efficiency of training within the system was higher than that in reality. Nevertheless, this kind of practice was hard to bear. He wanted to give up several times, but he ground his teeth and persisted. Unconsciously, he spent his time in intensive training in the system, he had no idea how long it had been, presumably a few months. Chapter 9 - 0008: Brother, can you make it? Chapter 9: Chapter 0008: Brother, can you make it? It was Zhang Lin¡¯s turn for the night shift. ¡°We¡¯re on night duty tonight. Come early and make sure to eat! We get a lot of emergencies at night.¡± Zhang Lin instructed, like a grandpa. Fine! If you say it¡¯s early, then it¡¯s early. Right now, you¡¯re the boss, there¡¯s no choice but to follow you. The shift started at half-past five in the afternoon. Yang Ping arrived at four o¡¯clock, had a bowl of Lanzhou noodles with beef and a fried egg. He was full enough, and also brought a bucket of instant noodles just in case. ¡°Dr. Zhang, you have another new intern?¡± the nurse on duty greeted him. This guy was leaning on the marble counter of the nurse¡¯s station, casually joking around with the nurses. Yang Ping looked a bit young, he had been working for several years, but people always thought he had just graduated. ¡°He¡¯s not an intern, he¡¯s a new doctor. The director asked me to guide him for a while, give him a lesson or two.¡± Zhang Lin proudly stated, raising his voice a few degrees. ¡°Dr. Zhang, you are so impressive, now you are guiding other doctors.¡± The nurse praised. ¡°Treat time! We¡¯re on duty today!¡± ¡°Heytea? How many cups?¡± ¡°Four of us, two on duty, and two intern nurses.¡± The nurse said smiling. This was an old tradition. When on duty, the duty doctor would treat the nurses to something, so they wouldn¡¯t ring for you every time a patient sneezed. ¡°Hey! You there, Yang¨CDoctor Yang! Come here!¡± Zhang Lin called him over. Yang Ping walked over, thinking he was introducing him to the pretty nurses. Instead, Zhang Lin said, ¡°Five cups of Heytea, if you can¡¯t drink all of them, make it six.¡± I¡¯m not drinking, I¡¯ll just watch you guys enjoy. Yang Ping muttered to himself, hmm, treating is treating, I¡¯m not a stingy person. Yang Ping quickly took out his phone to order delivery. ncing at it, the cheapest cup of Heytea was more than ten yuan. He thought it was just a few yuan a cup. No problem, it¡¯s pocket change, not like he was strapped for cash. Zhang Lin admired his readiness. He usually pushed him around, and Yang Ping neverined. Suddenly, Zhang Lin felt a bit guilty, saying, ¡°Take it easy, there¡¯s no rush with the medical records.¡± This was the most normal thing Yang Ping had heard him say. In thest few days, Zhang Lin¡¯s facial expression when he spoke was as if Yang Ping owed him millions, just like a sulky pig liver. Indeed, these resident doctors are under tremendous pressure, they don¡¯t earn much, and practically spin around the ward twenty-four hours a day, so it¡¯s understandable if they act like crazy people. That¡¯s why Yang Ping didn¡¯t say anything. ¡°It¡¯s going to be a peaceful night tonight!¡± An intern nurse sipped her Heytea, happily expressing her hope. ¡°Shh, shh, shh, don¡¯t jinx it!¡± Zhang Lin stomped his foot anxiously, pretending to spit on the ground. There¡¯s a rule among doctors, you can¡¯t becent. For instance, you can¡¯t say that none of the surgeries you performed got infected; or that you definitely won¡¯t admit a new patient on your shift; or that the patients you manage won¡¯tin¨C Legend has it that the moment you say something like that, you¡¯ll get a case immediately to prove you wrong. ¡°How did your teacher train you? He didn¡¯t even teach you the basics?¡± Zhang Lin nced indignantly at the experienced nurse. The senior nurse quickly answered, ¡°Alright, alright, how about we send you a few severed fingers to reattach, will that do?¡± Reattaching severed fingers was a tough operation. It was time-consuming, and some doctors dreaded it. If such a patient was admitted during the shift, they would spend the whole night on it. The few of them chatted idly for a bit. The telephone at the nursing station rang. Everyone looked at each other. It couldn¡¯t be, could it? The senior nurse picked up the phone, ¡°Hello, this is Orthopedics, an emergency consultation, what kind of patient, severed finger?¡± Oh my god! Fire seemed to shoot out of Zhang Lin¡¯s eyes. The nurse gently put down the phone, spread her hands, and shrugged, ¡°Nothing we can do about it. Did you hear that? Emergency Room, consultation, severed finger!¡± ¡°Is that kind of thing even possible?¡± Zhang Lin held back his rising anger, got up, gently patted the young nurse¡¯s shoulder and said, ¡°I give in to you guys.¡± Then he said to Yang Ping, ¡°You stay in the ward, I¡¯ll go down and check. Wait for my news, it could be an open fracture instead of a severed finger.¡± Zhang Lin straightened his hair and entered the emergency elevator. In less than fifteen minutes, Zhang Lin¡¯s call came through. ¡°It¡¯s a real severed finger, right thumb, cut off by a cutting machine, in two sections. Prepare for emergency surgery.¡± The chief was still in the middle of a major operation, for a fall from a height, multiple fractures all over the body, several of them open fractures. Such an operation wouldn¡¯t finish in a few hours. Plus, President Guo had mostly passed the severed finger case. In the department, three people performed the best in finger reattachment surgeries, Director Han, Director Tian, and Song Zimo. The others who could do it were not as skilled. Director Han and Song Zimo had both gone to a meeting, and only Director Tian was left. Director Tian was on second-line duty, but there was an emergency at home, he needed to go into the city. He reported to Director Han and notified the chief resident about Old Jin covering his shift. But Old Jin was in surgery. In the meantime, Zhang Lin started debridement, Director Tian would be back soon. Zhang Lin called Director Tian again. Tian said for this kind of two-segment cases, it would be better to wait for him to do it. He was on his way and the severed finger could be kept in the fridge for a while, it wouldn¡¯t be a big problem. The junior nurse was about to cry, her innocent eyes seemed to be saying: ¡°It¡¯s not my fault!¡± After hanging up the phone, a picture was sent to his WeChat. The thumb was cut into two segments, unspeakably ghastly. The two detached segments wereid out on a white cloth, incredibly jarring to the eye. ¡°I just called Director Tian, he said to arrange for surgery first. He is on his way.¡± Zhang Lin said, ¡°You go straight to the operating room, draw blood, conduct electrocardiograms, the preoperative examination has been done in the emergency room. I am doing the consultation and signing off, I will go to the operating room right after.¡± These emergency surgeries were usually expedited and didn¡¯t require prior hospitalization. To save time, preoperative preparations were done in the emergency room, consultation and consent werepleted, then they were directly taken to the operating room for surgery, and admitted to the ward after the surgery. Yang Ping instructs the nurse to call for the on-call staff to watch over the ward. He then checks on the critically ill patients to ensure they aren¡¯t in immediate danger. Riding the emergency elevator, he rushes to the operating room, swaps his shoes, and puts on surgical scrubs, a mask, and a cap. The operating room is fully lit with President Guo and Old Jin hard at work. Caesarean sections in Obstetrics and Gynecology, Appendicitis in General Surgery, Traumatic Pneumothorax in Thoracic Surgery, Craniotomy in Neurosurgery ¡ª a frog-like cry, a baby is born from a Caesarean section. The automatic doors open and despite the patient not having arrived yet, Yang Ping waits in the operating room, where the circting nurse is already preparing the materials. About ten or so minutester, the patient is wheeled in by the nurse and Zhang Lin enters in his scrub suit. The small refrigerator containing the severed finger sits on a medical cart. Upon opening it, Yang Ping notices that the severed edge is uneven. ¡°Is Director Tian here yet? Has he not arrived?¡± The circting nurse shows anxiety as he asks Zhang Lin, his voice a bit hostile. Zhang Lin feels slighted by the nurse¡¯s tone and responds curtly, ¡°Tend to it first!¡± Senior doctors aren¡¯t on the first line of duty but rather the second. In case of an emergency, the doctors below disinfect andy sheets, slowlyying down the groundwork. This is standard procedure. Yang Ping assists in extending the hand, Zhang Lin wears gloves, and begins washing the hand¡¯s wound and the severed finger. Saline, hydrogen peroxide, saline, and antiseptic solution, all rinsed twice in this sequence. ¡°Hold the hand steady! I¡¯m going to go wash up,¡±mands Zhang Lin to Yang Ping. The scrub nurse has already washed her hands and put on her clothes, the sterile operating set allid out, with every tool being arranged on the table by a pair of dexterous hands. Soon, the tools are split into different zones, with the mostmonly used ones in the most easily essible spots. After Zhang Lin has washed his hands, disinfected them, and covered the table with the scrub nurse, he anticipates Yang Ping helping on the operating table and instructs him to wash his hands and suit up. Despite both men being prepared and suited up inside the operating room, Director Tian has yet to arrive. Debridement, we can start with the debridement. Zhang Lin visibly loses confidence, theposure he feigned at the start now broken. Rinse ¨C debride ¨C rinse again! One-millimeter Kirschner wire, drill! With the quiet hum of the miniature drill, the two broken ends of the bone are fixed together with intersecting Kirschner wires. The microscope is wheeled over and adjusted, its eyepieceing into view. After adjusting the focus and pupil distance, the vision field finally bes clear. The patient¡¯s hand must be secured to avoid any disruptions during the surgery. With all the prep work done, the only things left are the critical steps ¨C identifying the blood vessels and performing vascr anastomosis. Zhang Lin can only perform simple procedures under a microscope, but when ites to vascr anastomosis, he¡¯s not able. So he dares not continue. This isn¡¯t a joke; his limited microscopic skills would result in poorly connected blood vessels, which won¡¯t allow blood flow. Zhang Lin picks up the microscope forceps and scissors, attempting to locate the blood vessels, but his hands are shaking severely. ¡°Brother, can you do this?¡± Yang Ping asks gently. Zhang Lin, originally intent on proving himself in front of Yang Ping, abandons the forceps and scissors as soon as his hands disobey him, he replies, ¡°Wait for Director Tian.¡± ¡°It¡¯s been over an hour, why isn¡¯t he here yet!¡± The circting nurse whispers to Zhang Lin. ¡°Hurry him up!¡± Zhang Lin lowers his voice in response. The patient was given brachial plexus anesthesia, not general anesthesia; only one arm is numb. They have to be discreet and avoid the patient overhearing their telephone conversations to prevent unnecessary worry. The circting nurse darts out again to make a call. A few minutester, she returns, her spirit deted, nods her head, and whispers, ¡°He¡¯s in a traffic jam in the city area; even if the road clears right now, it will still take an hour.¡± The circting nurse asks, ¡°What do we do now?¡± ¡°We wait. We wait right here on the tform. He should be arriving shortly!¡± Zhang Lin replies. ¡°Anesthesiologist, put the patient to sleep.¡± Zhang Lin instructs. ¡°Ding-dong, Task: save the team from the crisis,plete one finger reattachment, reward: 1600 points.¡± These words appear in the upper right corner of Yang Ping¡¯s vision, stay for a moment, and then disappear. Now that the novice¡¯s period is over, there¡¯s no newbie gift package and the reward points have started. Through several tasks, Yang Ping understands a little about the system¡¯s temperament. Real-world events can trigger system tasks. Completing tasks will earn rewards such as points, which can then be used in the system to swap for surgical training, thereby enhancing skill levels. Sounds about right, Yang Ping thinks. He had just obtained the system not too long ago and isn¡¯t very familiar with it. He needs to probe it more in the future to fully utilize it. While Zhang Lin is whispering to the nurse, Yang Ping suggests, ¡°If we go on waiting, it might dy the patient¡¯s situation. Can I do it?¡± ¡°Have you ever done a finger reattachment before?¡± Yang Ping answers casually: ¡°I have done it before!¡± ¡°A lot?¡± ¡°Not a lot, just a few hundred times!¡± Wow! I haven¡¯t even seen a few hundred of those surgeries, and you¡¯ve done it a few hundred times and you¡¯re saying it¡¯s not a lot? ¡°Give it a try!¡± shrugs Zhang Lin. Under the microscope, one blood vessel is already groomed clean and is undergoing anastomosis. The operation is carried out systematically¡­ Chapter 10 - 0009: Airplane Speed Chapter 10: Chapter 0009: Airne Speed Quickly, one blood vessel was anastomosed, and the process of attaching another one began. Zhang Lin attempted to pick up the microscope instruments and enter the field of vision to help, but his hand was shaking uncontrobly, nearly snipping the blood vessel that Yang Ping had just attached. ¡°Don¡¯t just start moving around!¡± Yang Ping warned. Zhang Lin didn¡¯t dare to make another move, his face feeling as if it was on fire. He simply put down the instruments, doing nothing, just staring intently at the field of vision through the eyepiece, watching Yang Ping work. Yang Ping had no intention of getting help from Zhang Lin. He calmly continued operating alone, using the forceps and scissors in tandem to gradually expose the ends of the severed vessels. He then located another blood vessel. He immediately pruned the ends of the severed blood vessel, clearing away part of the outer sheath. With one snip, the ends of the vessel became clean and neat. ¡°Can we record the surgery?¡± Yang Ping asked Zhang Lin. ¡°Yes, the microscope is directly connected to a video system,¡± Zhang Lin responded. ¡°Turn on the recording, I want the entire surgery recorded,¡± Yang Ping instructed Zhang Lin. Although his aim was to ensure the patient¡¯s well-being, keeping a record of the procedure would ensure ountability, whether towards Director Tian or other parties. If anything unexpected happened, there would be something to refer back to. ¡°Start recording, turn on the recording system!¡± Upon remembering that the process needed to be recorded, Zhang Lin called out to the circting nurse. The microscope was equipped with a high-definition camera, capable of recording the entire procedure. ¡°Alright!¡± The circting nurse responded promptly, immediately pushing over various video systems, connecting all the cables, and turning on the main machine. ¡°Rinse with heparin saline, use an 11-0 micro suturing needle,¡± he directed. An injector with a t needlehead, filled with heparin saline, was handed over. The microsurgery suture with the needle attached was handed over. The scrub nurse today was excellent. Despite this being their first time assisting Yang Ping, they proved to be highly proficient. Yang Ping nced at her ©¤ her long eyshes framing clear and lively eyes. Su Yixuan? He had an instant feeling ©¤ her eyes looked familiar. But he didn¡¯t give it much thought and promptly returned his attention to the surgery. The thread, much thinner than a hair strand, under the microscope and in Yang Ping¡¯s hands, was stitched in and out with ease, as if he were sewing skin. He continued on to the next one. One vessel after another. In one go, he anastomosed six vessels ©¤ two arteries and four veins. As it was sliced into two pieces, there were two openings to deal with. He went on to anastomose another six blood vessels at another opening, managing it with practiced ease. Releasing the vessel mp, the vessel began to undte softly. The pale fingers on the distal end immediately turned ruddy. The vessels were excellently anastomosed, with no leakage and good blood cirction. Zhang Lin could only hand Yang Ping the instruments; he could hardly keep up with the pace of the surgery. Although he had seen the procedure performed, and had assisted Song Zimo and Director Tian in doing so, he was incapable of conducting this finger reattachment procedure on his own. In Yang Ping¡¯s hands, the finger reattachment procedure seemed to take on a different character. It didn¡¯t seem like a highly challenging surgery, but more like a simple debridement and suturing, or a straightforward tendon anastomosis. It seemed exceptionally easy. If previous finger reattachment procedures could bepared to the speed of a train, this one was like the speed of an airne. The nerves and tendons were anastomosed, standard Kessler stitches were used for tendon repair, and the skin was also sutured under the microscope. The tiny drainage strip was carefully ced subcutaneously at both wounded sections of the finger. Yang Ping let out a sigh of relief. If nothing went wrong, with this quality of vascr anastomosis, the finger should survive without any problem. ¡°Bandage it, fix it with a ster cast!¡± Yang Ping and Zhang Lin began bandaging the injured limb. The anesthetist was the first to react: ¡°What happened? Is the surgery over?¡± ¡°It¡¯s done!¡± Zhang Lin responded. ¡°Already done?¡± The anesthetist was a bit skeptical. They usually had a good understanding of a surgeon¡¯s skills since they frequently worked together. The actual surgery only took about two hours, less than three in total. It seemed too quick to be true. The anesthetist thought that the young men simply sutured the wound after realizing they couldn¡¯tplete the reattachment procedure. However, as the anesthetist, while they could think this way, they could not voice such usations. Thus, they simply responded affirmatively and prepared to wrap up the procedure. The scrub nurse, with her bright eyes filled with skepticism and spection, had been ready for a long fight but was surprised by the early conclusion of the battle. Zhang Lin unrolled the surgical clothyer byyer, handed the final towel mp to the nurse, and proimed, ¡°End of work.¡± ¡°Doctor, is it because you couldn¡¯t reattach it?¡± The patient, hearing that the procedure had ended so quickly, expressed his disappointment: ¡°You must help me. My child is still young, and I¡¯m the only breadwinner in the family. Without this hand¡­¡± The man began sobbing quietly. Yang Ping gently rested his hand on the man¡¯s shoulder, reassuring him, ¡°Don¡¯t worry, your finger has been reattached. You¡¯ll have to stay in bed for the next ten days, doing everything on the bed, and you absolutely can¡¯t smoke. Do you understand? If you don¡¯t follow these instructions, the finger will die.¡± The patient immediately broke into a wide grin. ¡°Really, doctor, thank you. Once I¡¯ve recovered, I¡¯ll treat you to a barbeque and beer. A young doctor told me the surgery would take five to six hours, so I didn¡¯t expect it to bepleted so quickly.¡± Yang Ping left the operating table and stealthily checked the surgical records. Indeed, the scrub nurse was Su Yixuan. They had chatted in the bar before, but only about airway obstruction and hadn¡¯t inquired about each other¡¯s professions. So, Su Yixuan was actually an operating room nurse. Su Yixuan, who was packing up the instruments, waved to Yang Ping. ¡°Yang Ping?¡± ¡°Su Yixuan?¡± Yang Ping wanted to confirm. She nodded, ¡°You really sent in your resume and started working so fast. So you were an orthopedic doctor.¡± ¡°Did you two know each other before?¡± The circting nurse pointed at them and asked. Su Yixuan nodded. They had a brief chat before going their separate ways. Zhang Lin and the anesthetist apanied the patient back to the ward. The nurses in the ward were stunned: ¡°Is it a finger preservation or a reattachment procedure?¡± ¡°Reattachment!¡± Are you kidding me! It didn¡¯t take long. The young nurse couldn¡¯t quite believe it, but there was no time to ponder. She immediately prepared for the patient¡¯s return to the ward. Yang Ping sat in the changing room for a while, resting against the back of the chair. It felt good. This was the first time he had applied the surgical skills acquired in the system space to reality. He felt slightly nervous at the beginning but also a little excited, which made him take his time with the surgery for fear of making a mistake. Now reassured, he realized that the surgical skills acquired in the system space could be practically applied to reality without any issue. They were no different from the skills learned through conventional methods. ¡°Ding-dong! The task isplete, reward 1600 points.¡± The first page of the system¡¯s store now disyed blinking icons where there used to be white boxes, meaning he could now make purchases. He bought a few cheap skills andmenced training on them. Yang Ping rose a few times to check on the blood cirction of the reattached finger. He went to the ward to check the finger¡¯s blood flow, as even the most wless surgery could fail because there were many factors that could affect the sess of a surgical procedure. If any signs of vascr congestion or crisis were observed in the reattached finger, prompt action would be necessary to address them. Otherwise, even the legendary physician Hua Tuo would not be able to resuscitate a necrotic finger. Naturally, Hua Tuo wasn¡¯t even conducting finger reattachment procedures while he was alive. Chapter 11 - 0010: Doubt Chapter 11: Chapter 0010: Doubt Who knows what time it was in the middle of the night. The duty room was filled with persistent knocking. ¡°Who is it? Can¡¯t a man get some sleep?¡± Zhang Lin opened the door, bellowed, with sleep deprivation painting the urge to fight someone on his face. The nurse station has switches; once pressed, the duty room bell rings, enabling intemunication. Zhang Lin assumed the intern nurse was clueless and hade knocking directly. ¡°Director Tian?¡± Oh, what a blunder this was. Director Tian was slipping on his white gown, his face not just livid, but murderous, ¡°Have you guyspleted the surgery?¡± Zhang Lin, rubbing his sleepy eyes, responded, ¡®Yes!¡¯ ¡°You guys are gutsy, so irresponsible. Who behaves like this?¡± Had it not been for years of higher education, Director Tian was ready to curse aloud. Zhang Lin was dazed. Afterpleting the surgery, he had nned to call Director Tian from the changing room. But his cell phone battery was low, and he feared it might shut down automatically. So, he decided to charge it once back in the ward and callter. But once in the ward, he fell asleep and forgot about Director Tian. Getting a hard reprimand, he realized that the surgery was actually supposed to be performed by Director Tian, who had been stuck in traffic. By now, several hours had passed since the surgery waspleted. Toe here, banging and nging at the doors, Zhang Lin was annoyed internally but couldn¡¯t express it on his face. After all, being scolded by superiors was amon urrence for junior doctors. After receiving a severe scolding from Director Tian, Zhang Lin was wide awake and quickly woke Yang Ping, who was still asleep. Hurriedly slipping on his white coat, Director Tian had his mind set on examining the patient¡¯s blood flow to the severed finger. Zhang Lin and Yang Ping followed behind him, as silent as the grave, not daring to break wind. In order to stay awake, Zhang Lin took out a box of essential balm, and began to apply it onto his temples. Like scolded school children, they followed behind their disciplinarian principal. As it turns out, the moment Director Tian reached his department, he went straight to the operating room, asking the nurses about the procedure. They told him the surgery was already done and the patient had been back for three hours. Returning to his department, he found that the nurses had told him that Zhang Lin and Yang Ping were deep asleep. Calcting quickly, six hours had passed since he received the phone call, the patient had been returned three hours prior, deducting the preparation time, the surgerysted approximately two hours. Two hours, with the skill sets of these two blundering fools, couldn¡¯t they just do a minor debridement and suture? Or could it be that these two idiots, despite his tardiness, carried out the surgery without linking nerves, blood vessels, or anything, fixed the fractured finger with a Kirschner wire and directly sewed up the skin? Could something so preposterous happen? If so, this would be a medical malpractice! This would be a sham surgery. Tian Yuan¡¯s pace became faster, the more he thought, the angrier he got, he could feel the blood rushing to his head. No longer caring about disturbing the patient¡¯s rest, as there¡¯s still a few hours left, if they were to return to the operating table now, there is still hope. But if they wait till tomorrow morning, it will be toote and the finger would die. He could almost picture the sewed up severed finger: pale, shriveled, icy cold, with no blood flow! With a sudden flick, the sound of a light switch echoed in the ward, and the lights turned on. The pain relief was well done, the patients were all asleep. With the sudden turning on of lights and doctors storming towards their bedside, the patient and the person apanying were jolted awake. They squinted, evading the harsh illumination,pletely confused about what was happening. ¡°We¡¯re doing a ward round, checking the blood flow in the finger!¡± Trembling, Zhang Lin stood by the bedside and exined to the patient as he switched on his portable shlight. Tian Yuan pushed Zhang Lin aside, grabbed the shlight and shone it. The sewn-up finger was outside, looking plump and red. Tian Yuan carefully touched it; it felt warm! He then lightly squeezed it, the fingertip was full and had sticity, the capiry refill test appearing normal on the fingernail. This was impossible and defied all logic. ¡°Syringe needle!¡± At this time, a nurse had pushed over a medical cart, on which were dressing packs, cotton swabs, iodine disinfectant, syringes and more. The nurse handed over two iodine-soaked cotton swabs, Tian Yuan disinfected twice, and delicately injected three shots at different positions on the fingertip, barely prating beneath the skin. Blood, a vivid red, slowly emerged. At first a drop, then slowly spreading, and finally trickling to one side. Tian Yuan turned to gaze at Yang Ping, then Zhang Lin. ¡°The blood cirction is very good! I am sorry for the disturbance, we need to check the blood flow every hour,¡± Tian Yuan exined to the patient. The patient and his family promptly replied: ¡®No problem, thank you, Doctor.¡¯ They seemed a bit taken aback. Everyone returned to the doctor¡¯s office and sat down, creating a somewhat tense atmosphere. Tian Yuan was stumped. What happened? Did they manage to do the vascr anastomosis? That couldn¡¯t be possible. It had only been two hours, and with two segments detached, it would usually take her three to four hours to finish in a good state. It couldn¡¯t have been possible for these two to do it in two hours. She wondered where the diagnostic inuracies had urred. Perhaps there had been a time discrepancy. ¡°What time did the patient arrive at the emergency department? When did he enter the operating room? When did the surgery start? When did it end?¡± Tian Yuan bombarded them with questions. ¡°He arrived at the emergency department around eight. Got to the operating room at half-past eight, surgery officially started a little after ten and ended around twelve.¡± Zhang Lin remembered quite clearly. Although he couldn¡¯t recount the exact minutes, he recalled the approximate times. The nurse was also startled by Tian Yuan¡¯s expression, believing something severe had urred. This astute nurse immediately grabbed the patient¡¯s file and handed it to Tian Yuan. ¡°It¡¯s okay, go about your work. We will stay here for a while,¡± Tian Yuan gently said to the nurse. She flipped through the files in detail, locating the anesthesia form and surgery nursing record sheet andpared the times listed with what Zhang Lin remembered. There wasn¡¯t much discrepancy. ¡°They really did the vascr anastomosis?¡± Tian Yuan asked. ¡°Two arteries, four veins! Each of the twocerations was anastomosed this way,¡± Yang Ping soberly exined. Tian Yuan adjusted her sses: ¡°Currently, the blood cirction looks good, but the surgery only ended two hours ago. How did it happen so fast? Was it aplete detachment?¡± Then it dawned on Tian Yuan; it might not have been a true finger detachment if there had been tissue connecting and one side of the blood vessels was left intact. Whether the vessels were sutured or not wouldn¡¯t affect their survival. This was known as an open fracture in diagnostic terms and was distinct from a detachment. But¡ª-but¡ª-She had seen the picture that Zhang Lin sent. The finger appeared to be clearly detached in two ces. ¡°It was aplete detachment, at two separate nes!¡± Zhang Lin exhaled as the tension in his nerves ckened and he pulled out the pictures on his phone. He understood Tian Yuan¡¯s suspicions: that he and Yang Ping had simply done the suturing and hadn¡¯t performed the vascr anastomosis. Now that he got it, there was no reason to be worried. He had watched the entire surgical process, not only did theyplete the anastomosis but also the quality was quite high. The revtion gave him quite a fright. ¡°Director Tian, we recorded the entire surgery. Would you like to watch the video?¡± Yang Ping suggested. Zhang Lin also remembered the recording, ¡°Yes, indeed there is a video. I have it copied onto our officeputer.¡± Watching the video appeared to be a good solution. Tian Yuan nodded in agreement. They all gathered around theputer as Zhang Lin yed the recorded footage. As the video yed, Tian Yuan asionally cast perplexed looks at Yang Ping¡ªcould it really be this kid performing the surgery in the video? The instruments under the microscope didn¡¯t wobble even slightly, his movements were highly skilled, as smooth as flowing water. His sutures were urate, light, and nimble, devoid of any superfluous movement¡ªeach motion precise, achieving its desired effect in one try. The quality of the anastomosis¡ªwhether of blood vessels, nerves, or tendons¡ªwas exceptionally good. Even the final skin sutures were near perfect. Such expertise couldn¡¯t be achieved without several a hundred or even a thousand surgeries, even if one had talent. Operating under a microscope required specific training and a certain level of talent¡ªgood hand bnce and no shaking. Even a slight tremor, when magnified under the microscope, could seriously affect the operation. The requirements for vascr anastomosis are very high. The tissue outside the vascr stub, including the outer membrane, must be cleaned thoroughly. If even a tiny bit gets inside the vessel during anastomosis, it could cause thrombosis and vascr blockage. The vascr alignment must be precise; any slight miscement could lead to vascr narrowing or irregrities, causing abnormal blood flow, slowed flow rate or turbulent flow, thus increasing the risk of thrombosis and vascr blockage. Small blood vessel anastomosis has the highest requirements for suturing technique in surgical operations. A surgeon needs to practice anastomosis countless times on the tails of mice or rabbit ears under a microscope to achieve such advanced anastomosis skills. This is the pathway taken by Director Han, Director Tian, and Song Zimo. Tian Yuan reviewed the video once and then reyed it upside down and inside out, paying extra attention to the key steps, fearing she might miss a detail. Yang Ping understood what Tian Yuan was thinking. He had already thought of a countermeasure and said, ¡°I bought a set of microsurgical instruments online, and even got a second-hand microscope. I practiced on chicken meat every day at home for several years, so I¡¯ve gotten fairly good at vascr anastomosis.¡± Tian Yuan reflected for a moment; this exined a lot. If he dedicatedly learned and practiced microsurgery, it was normal for him to achieve this level with a bit of talent. This surgery was indeed perfect. ¡°You should rest, it¡¯s been a hard day. The quality of vascr anastomosis is quite high, but we need to be vignt. Instruct the nurse to monitor the blood flow and address any issues promptly.¡± Tian Yuan instructed. Tian Yuan wanted to say something else but didn¡¯t know what to say. ¡°You guys go and rest. I¡¯m going by the operating room, Old Jin and team haven¡¯t finished yet.¡± Chapter 12 - 0011: Turning things around Chapter 12: Chapter 0011: Turning things around After all the hustling fromst night, they didn¡¯t get many hours of sleep, but work must go on. ¡°Doctor Yang! Let¡¯s go to the operating room togetherter!¡± Zhang Lin scratched his head, stopping Yang Ping who was about to go change the medication. ¡°There are several changes of medication left, and a heap of medical records to supplement, you go on your own,¡± said Yang Ping. Director Han has been away for a meeting these few days, and just returned not long ago, so today the group doesn¡¯t have a single surgery scheduled. Going to the operation theatre now would just be to observe surgery from another group. Yang Ping didn¡¯t really want to go, he wanted to take the opportunity toplete the medical records. Zhang Lin was a tad embarrassed: ¡°It¡¯s okay, changing medication, writing medical records, we¡¯ll do it togetherter.¡± Over the past few days, he had been bossing Yang Ping around like a serf, sometimes deliberately making things difficult. But Yang Ping never objected, nor talked back, he alwayspleted tasks on time withoutints. Zhang Lin found himself a bit ridiculous. The man was so proficient in reattaching severed fingers, yet remained so modest. Thinking about himself, he was looking down on him for not having graduated from a prestigious university. Superficial! Truly superficial! While thinking about it, Zhang Lin almost pped himself. ¡°Alright, just let me know if you need anything,¡± Yang Ping pushed the medication cart back into the treatment room. Today there was no need to hustle around changing medication and writing medical records like a driven donkey, it was like turning the tables for the serf. When they went to the operating room and were waiting for the elevator, Zhang Lin said: ¡°Doctor Yang, are you free tonight? Let¡¯s have dinner together. I¡¯ll treat you, we can go somewhere near the hospital.¡± ¡°Sure, but I should be the one treating you. I¡¯ve been following you these past few days, I¡¯m unfamiliar with many things. You¡¯ve been teaching me, I should thank you for that, let me treat you; it¡¯s settled then,¡± said Yang Ping, wholeheartedly. ¡°Okay!¡± Zhang Lin agreed readily. No matter who treats who, in the end, it¡¯s just having a meal together, trying to build rapport, and clear misunderstandings. Having arranged dinner with Yang Ping, Zhang Lin felt much more rxed, thinking, this person is definitely worth befriending, showing no malice and demonstrating broad-mindedness. Upon arriving at the operating room, most of the surgeries had already started. The operating room was bustling, everyone chatted while working. The two looked through the small ss window on the operating room door, one by one, until they saw Tian Yuan and Song Zimo, only then did they open the door to enter. Fang Yan was wearing sterile gloves, holding up a leg. The ankle had already been disinfected, and Song Zimo was disinfecting from the ankle up to the top of the thigh. Tian Yuan was standing in front of the light panel looking at the X-rays, with his arms crossed over his chest. Director Han was sitting on a stool in the corner. The surgical nurse had already put on her surgical gown and was fiddling with the equipment on the tray next to her. The circting nurse was walking around, checking to see if anything needed to be replenished. The equipment vendor¡¯s technician, who had a keen sense of what was going on, walked over to Fang Yan: ¡°Mr. Fang, do you want me to hold it?¡± ¡°Not necessary, he¡¯s capable, you go count the equipment,¡± said Song Zimo. Only after hearing this did the technician dare to leave. Seeing Zhang Lin enter, Song Zimo happily said: ¡°Come over here! Hold up the leg! Dilly-dallying, sote only then you came up. Where are all the interns today?¡± ¡°They¡¯re at the medical education department for a meeting, they all went after the shift,¡± said Zhang Lin. ¡°No wonder, help Fang Yan hold up the leg so he can go rinse his hands and put on his gown,¡± said Song Zimo. Zhang Lin quickly disinfected his hands, put on sterile gloves, helped Fang Yan lift the leg so that Fang Yan could free his hands to wash them. Later, they need to wrap up from the ankle and above, so Zhang Lin doesn¡¯t need to wash his hands, he just needs to use a disinfectant gel to wipe his hands, put on sterile gloves, and then use small sterile wraps to lift the leg. ¡°Learning orthopedics starts by lifting legs and arms. Did you know, in our mentor¡¯s generation, during the nned economy era, when there was still a rationing system, an orthopedic doctor received a daily food ration three ¡®liang¡¯ (around 100g) more than other doctors,¡± spoke Director Han from the corner. ¡°Why is that?¡± Tian Yuan responded from the other end. ¡°Because orthopedic doctors have to lift legs, it¡¯s physical work, naturally they eat more than others.¡± As soon as he finished speaking, it set off a round ofughter. In actual fact, in the operating room, doctors and nurses often joke around, make a few dirty jokes, liven up the atmosphere, and relieve tension. There was one time, a patientined about the main surgeon: that they were actually chatting during the operation. This was due to ack of understanding of operating room culture, if everyone was very serious, straight-faced, and didn¡¯t chat, it probably would be under two conditions; either the main surgeon is a neer, being nervous; or the patient¡¯s condition is very serious, in a critical condition. ¡°No wonder, my teacher said, when they were recruiting orthopedic doctors in the past, during the interview, they would prepare a pair of iron balls, try lifting them a few times to test, if not able, they would immediately be eliminated, not even getting into the next round,¡± Tian Yuan said. ¡°Iron balls, wasn¡¯t it a bottle of Erguotou (strong spirit)? First test their alcohol tolerance. Those who don¡¯t pass are directly eliminated, those who pass are eligible for the next round of the interview,¡± Song Zimo said. ¡°Tian Yuan, let me tell you, you¡¯re born in a good time, with the level of alcohol tolerance you had when you first arrived, if you were born ten years earlier, you wouldn¡¯t be admitted into orthopedics,¡± said Director Han. Everyone was chatting along to the topic, one after another, but their hands never stopped. Soon, disinfection and bedding was done, the suction device, electric knife were all connected, and Tian Yuan also went to wash his hands and put on his outfit. Today Director Han didn¡¯t schedule any surgeries, so he was just looking around in the operating room, asionally giving some guidance. The surgeries he performed were usuallyplicated operations. Yang Ping went to the other operating rooms for a tour, Director Bai was performing a rough interbone fracture; Director Ouyang was performing a pelvic fracture. In the spine disease area, they were performing a cervical spine operation. In the joint disease area, a knee joint recement surgery was in progress. For the past week, they¡¯ve hardly been to the operating room, that jerk Zhang Lin, who was supposed to share the workload among a few people, pushed everything to Yang Ping alone, ordering medication, changing medication, writing medical records etc., A whole morning was wasted. Where was their time to get to the operating room? After doing one round, at the least, I had some impression of the several teams in the department. The trauma orthopedics ward had five teams in total: Director Han, Director Tian, Director Ouyang, Director Bai, and Director Ding. The trauma orthopedics ward had 80 assigned beds. Each team had 15 beds, and there were five public beds for the critically ill patients. There were 45 beds in both the spinal and joint wards, and the sports medicine ward had only 20 beds. All wards usually had extra beds. After wandering around for half a day, I had a surgical meal in the operating room for lunch, and then Iid on the long chairs in the resting room for a while. The operating room resting room had many long chairs, wide and long. You can either sit or lie on them. Little Five called me: ¡°Boss, I have passed the interview. I¡¯m now an emergency worker in the emergency department. Our brothers have anotherrade in the hospital. I also just rented a house. It is right under your apartment on the 16th floor. Are you avable tonight? Shall we have dinner together? Xiao Qing is also here. She will work in the emergency department.¡± ¡°Tonight¡­ I have dinner ns with colleagues from the department.¡± Yang Ping remembered she had dinner ns with Zhang Lin. ¡°Well, never mind then. Talk to youter!¡± Who was this Xiao Qing? It was Little Five¡¯s girlfriend, a nurse from the People¡¯s Hospital. This boy had some tricks up his sleeve. Right after his graduation, he tricked her into being his girlfriend. This time when Little Five left People¡¯s Hospital and came to Sanbo Hospital, this girl insisted on following him. Even when her family disagreed, she threatened to slit her wrists. While I was lying there, Director Han came in and said to Yang Ping: ¡°Xiao Yang, how are you getting used to things here? Participate in more surgeries, especially emergencies. Young people should do more.¡± Yang Ping quickly sat up: ¡°Okay! I have already told Dr. Song that if there¡¯s any emergency surgery, call me at any time. I also greeted Director Tian. If they need help with surgeries, I¡¯m always avable.¡± ¡°Very good!¡± Director Han came in to drink a cup of water and then left. Spent the whole afternoon in the operating room. At around 7 pm, after finishing a surgery, Yang Ping and Zhang Lin went to have dinner near the hospital together. This neighborhood was quite lively, mainly due to therge number of people in the hospital itself, coupled with the slow development of factories and office buildings nearby, the corresponding services naturally developed as well. They found a Sichuan restaurant and ordered several dishes: grilled fish, iron te beef, Sichuan sausage, plus a vegetable dish and a vegetable soup. The two of them had a nice chat and drank some beer. Zhang Lin apologized for his behavior during the previous days. Yang Ping dismissed it lightly, saying he didn¡¯t mind. With that, Zhang Lin felt relieved and the knot in his heart was untied. After a drink, they became brothers. Zhang Lin was from the Northeast. After finishing his Master¡¯s degree, his father exhausted his connections and spent his entire efforts to get him into Sanbo Hospital through a Southernrade. His girlfriend was a pediatrician in the same hospital. They had saved some money and nned to borrow from their parents to buy a house and get married. ¡°Did you know Tang Fei before?¡± Zhang Lin suddenly asked. ¡°No!¡± Yang Ping said. ¡°The other day, I saw youughing and chatting with her.¡± What Zhang Lin was talking about was probably when Yang Ping and Tang Fei were discussing the fracture film reading of a femoral neck fracture. ¡°Oh! She was asking me how I diagnosed atent femoral neck fracture that day?¡± Yang Ping didn¡¯t like chatting about such stuff. Zhang Lin seemed very interested: ¡°Oh, I thought you were familiar with her¡­ Let me tell you, Tang Fei is one of the most attractive women in our hospital, and Song Zimo likes her.¡± Why do I care! Yang Ping thought to himself. Why is he telling me all this? But Zhang Lin was a master gossip. He was well-known for gossiping in the department. He was the first to receive any gossip in the hospital, who was dating who, who broke up with who, all sorts of things. ¡°Let me tell you, Song Zimo and Tang Fei are both from Fudan University. Song Zimo is two years older than her. I heard that¡­¡± Zhang Lin looked around the restaurant. There seemed to be no familiar faces. He continued: ¡°Song Zimo has been chasing after Tang Fei for many years and hasn¡¯t seeded yet.¡± Although Yang Ping didn¡¯t enjoy gossip, he was not annoyed by Zhang Lin¡¯s words and simply listened. Zhang Lin thought he was interested and became more excited. And he continued: ¡°Howe Song Zimo can¡¯t win over Tang Fei? Look at Song Zimo. He¡¯s the number one dreamboat of our hospital. He¡¯s handsome, tall, a Ph.D. from a prestigious university, who is both excellent and hard-working, and most importantly, he is rich! You know what car he drives to work?¡± Yang Ping gave him a nce. ¡°A BMW 7 series!¡± ¡°But Tang Fei¡¯s family seems to be pretty rich too. They say she has a Maserati sports car¡­ sigh¡­ They¡¯re all golden spoon babies. As ordinary people like us, we can only rely on electric donkeys for transportation and spend our youth worrying about food and clothing.¡± Still iming to be in his youth, he¡¯s already in his twenties, still speaking of youth. ¡°Don¡¯t be so sentimental. People, everyone has their own lives. Living your own life well is the greatest happiness. In this world, most people are ordinary. Ordinary people have their own happiness.¡± Yang Pingforted. Zhang Lin raised his ss: ¡°Well said! Did you see the house beyond the overpass? I¡¯ve gone to see it several times. I¡¯m nning to get a small ce as a nest.¡± ¡°You¡¯re doing great! Just a few years after graduation, and you¡¯re already nning to buy a house?¡± Yang Pingplimented him. Zhang Lin squinted his eyes: ¡°Don¡¯t even mention it. It¡¯s a sad story.¡± ¡°How do you still have so much alcohol?¡± ¡°Didn¡¯t you say that once you finish your drink, I can do whatever I want?¡± ¡°Did I say that? OK OK OK, we Northeasterners, regardless of other things, can¡¯t be afraid of drinking!¡± Chapter 13 - 0012: Director’s Rounds Chapter 13: Chapter 0012: Director¡¯s Rounds Zhang Lin didn¡¯t let his northeastern roots down, he had several bottles of beer yet he still managed to stand up and ask for the bill. It was initially agreed that Yang Ping would pay, but Zhang Lin insisted on doing so. Unable to persuade him otherwise, Yang Ping had to go along with his wishes. The two men said goodbye at the entrance of the restaurant. Zhang Lin wobbled a bit as he started to walk away, prompting Yang Ping, who was worried about his condition, to consider apanying him. However, Zhang Lin¡¯s pediatrician suddenly appeared as if she had been hiding under a tree for a long time. She immediately rushed over to support Zhang Lin with her petite body, stopping at each step. Yang Ping felt a little envious, the life of themon man seemed pretty good, too. At seven in the morning of the following day, Yang Ping arrived at his department, ready to begin another busy day of work. ¡°What day is it today?¡± Zhang Lin said, pulling out some menthol, pouring it onto his finger, then rubbing his temples. ¡°Tuesday!¡± Yang Ping replied. It¡¯s quitemon for a doctor to forget the day of the week. As long as they remember which day they¡¯re on duty, that¡¯s more than enough because every day is a work day. ¡°I¡¯m doomed! Today is the chief¡¯s grand rounds and I¡¯m utterly unprepared. I¡¯m definitely going to ¡®die¡¯ today,¡± Zhang Lin eximed with a p on his thigh. ¡°It¡¯s just rounds, what¡¯s there to be nervous about?¡± Yang Ping consoled him. Grand rounds with the chief are typically a young doctor¡¯s worst nightmare. This is when the chief assesses their studies and work once a week, just by asking questions, enough to make a young doctor feel drained. In this department, grand rounds are scheduled for Tuesday mornings. Therefore, aside from emergency surgeries, no other elective surgeries are scheduled for Tuesday mornings. All elective surgeries are postponed to the afternoon. Once the customary morning handover meeting waspleted, the rounds began and the whole department staff assembled. The teamprised of Director Han in the lead, with Directors Tian, Ouyang, Bai, and Ding on the nks, followed by attending physicians, resident physicians, graduate students and intern doctors, respectively. The hierarchy was well-defined, the formation was neat. The hierarchy amongst doctors was strict, almost simr to the military. Lower ranks obeyed the higher ranks, surgeries couldn¡¯t be prescribed out of rank and simrly, standing positions also followed rank. Director Han¡¯s white coat was buttoned up neatly. His typically thick, short, ck hair was cut close to his scalp. He walked with his head held high and chest out, his movements as steady as if he had iron for bones in his body. Director Tian appeared the most refined, with his ever-present gold-rimmed sses, slightly chubby frame and well-proportioned facial features, embodying the charm of a schr. Director Ouyang was actually only in his early forties, but half of his hair was already grey. He was tall and slim, with a straight posture. His blue shirt under the white coat gave off an astute and calm impression. Director Bai was the most influential among the directors. With a height of almost 170 cm and a weight close to 180 pounds, his custom-made white coat was still stretched taut in the front, giving a sense of imminent ¡®explosion¡¯. Director Ding was always somewhat aloof and indifferent. The second echelon consisted of attending physicians. Song Zimo habitually left his white coat unbuttoned, his hands tucked into his pockets, letting the coat sway as he walked, creating a rustling sound, looking cool above all else. Tang Fei was like a radiant rose. She wore minimal makeup, a light purple hair clip adorned her symbolic ponytail, and her feminine physique entuated by her white coat looked enchanting. The third echelon was made up of the resident physicians, who stood at the base of this pyramid. They were constantly rushing around, working from early morning tote at night, often reprimanded, and subsisting on near-subsistence wages. Yang Ping also belonged to this third echelon, standing side by side with Zhang Lin, calmly recalling all the patients¡¯ data he¡¯s responsible for in his mind, in case of any unexpected questions from the chief. Thest group consisted of the interns, who were the only workforce the resident physicians had any control over. With everyone assembled, the entourage travelled along the hospital corridor whilst the people upfront cleared the way. The process of making rounds had strict procedures such as entering and exiting wards, standing positions, all of which were precisely regted. The ward doctor would enter first, then the rest of their team would fall into ce. When exiting, everyone moved aside for the chief to leave first, followed by the others leaving in single file. The resident physician would knock on the door, greet the patient upon entering the ward, then stand at the left of the patient¡¯s bed. The attending physician and team leader from the same group would follow and take their respective ces. Everyone found their ces without deliberate arrangement. With the room packed, some interns squeezed into corners near the doorway while others, unable to find a space inside, were forced to stand outside with their ears perked up, trying to catch what was being said. The prime location on the right side of the patient¡¯s bed, at position C, was reserved for the chief physician. An intern, unaware of this fact, tried to swoop into position C just to be gently discouraged by his preceptor: ¡°Young man, this is right under the air conditioning vent, you might catch a cold.¡± He then squeezed the intern in next to him. The intern felt touched by his mentor¡¯s thoughtfulness; having such a teacher was indeed a blessing in life. He was overjoyed. The chief took his position, his strong posture standing firm like a rooted tree. His prating gaze, sharp as an X-ray beam, was probably what they meant by the phrase ¡®eyes that burned brightly¡¯. Though everyone possessed two eyes with the same anatomical structure, why was there such great disparity in their perceptive powers? Yang Ping wondered if any research had ever probed this. If not, it could be a potentially valuable topic for a post-doctoral study. The patient whose severed finger was reattached the previous night was on the bed. The patient, leaning against the headboard, looked around at everyone. The formidable scene likely intimidated him. Standing across from the chief, Zhang Lin began to report the patient¡¯s medical history ¨C the patient¡¯s name, age, gender, diagnosis, reasons for hospitalization, course of illness, treatment process, previous illnesses, details of their physical examination, diagnostic tests performed, and any abnormalities noted. Zhang Lin recited everything without referring to the medical records, depending entirely on his memory. The first half went smoothly, he reported confidently causing a smile to curl on the face of the attending physician, Song Zimo. Unfortunately, it appeared that Zhang Lin had pushed himself too hard, as he began to stammer midway through his report. His voice lowered bing indistinct and disjointed, he was sweating profusely, and a bead of sweat eventually rolled down his face. He stopped altogether, unable to say another word. It was quite a pity, as it would have been a perfect presentation of medical history. The other doctors felt regretful that Zhang Lin had overexerted himself. The chief¡¯s eyebrows furrowed. Song Zimo immediately stepped up and continued the medical history presentation. ¡°Let me see the medical records!¡± Director Han extended his hand. The medical records were handed over to the chief. As he read through them quickly, he said, ¡°Right thumbpletely severed ¨C hmm, this medical record is exceptionally well-written, capturing details that others often overlook.¡± Suddenly, because of a mistake, he regained his lost confidence in front of everyone. To receive an openpliment from Director Han was something that he could boast about in the cafeteria. Zhang Lin perked up again. ¡°Exactly, let¡¯s keep up the good work,¡± added Song Zimo. ¡°This patient is male, yet you still managed to ask about his menstrual history, first period, andst menstruation time clearly. Truly a talent, a pir of the nation!¡± said Director Han seriously. Someone couldn¡¯t hold back and burst outughing, which then turned into an obvious sound of holding their breath. ¡°Ah¨C¡± Zhang Lin¡¯s face instantly turned beet red. It was all because of copy and paste! Although Zhang Lin wrote the medical record himself, Yang Ping who was standing by also felt super awkward. They were in the same team and under everybody¡¯s gaze, had to face the pressure of ten suns¡¯ worth of spotlight. The X-ray was passed over, and Director Han held up the film to look at it against the light from the window. They were about to be questioned; It was really happening. Everyone immediately shrank back like ostriches as if doing so would make them invisible to the director. Zhang Lin, who was just starting to rx, began to break out into sweat again. ¡°What is the core and the key to re-imntation of severed fingers?¡± Director Han put down the film and scanned the room with his eyes. Wherever his gazended, the young doctors lowered their heads even further. This was a bit of a tricky question, as it required a summary of knowledge to answer. Those who crammed in ¡°Hand Surgery¡± the night before because they were rtivelyposed, were now confused. The book didn¡¯t mention anything about this! The director¡¯s gaze continued to roam, like a searchlight. Just then, Song Zimo stepped forward. There was no question that Senior Brother Song couldn¡¯t answer, this was the consensus amongst his peers. ¡°The core is to anastomose the blood vessels, and the key is to anastomose the nerves.¡± ¡°Hmm, very good. The surgery took only two hours, and Director Tian is getting faster and faster.¡± Director Han flipped through the surgical record. Director Tian, who was next to him, flushed slightly: ¡°I didn¡¯t do it, it was the new Doctor Yang.¡± Wait, Doctor Yang? They got it wrong, didn¡¯t they? He could do the re-imntation of severed fingers all by himself? And to finish up one that was severed into two pieces within two hours? Everyone nced over, wasn¡¯t he an intern lead by Zhang Lin? Some people didn¡¯t even know he was a new doctor and confused him with an intern. The department was just too busy and there were too many people. The crowd started chattering, filled with doubts, envy, and whispers. ¡°Yes, Doctor Yang did it. I was his assistant.¡± Zhang Lin managed to win back some face. After losing face twice already, this two-hour finger re-imntation surgery was something he assisted with. Anyone who had something to say about it, try assisting with a surgery yourself. ¡°Yang Ping did it?¡± Director Han looked up and down at Yang Ping, as if he couldn¡¯t quite believe it. ¡°Yes!¡± Zhang Lin confirmed once again. As the one involved, he had the most authority to speak, especially as the status of the assistant involved could not be questioned. ¡°I didn¡¯t think it was thatplicated, so I did it myself.¡± Yang Ping scratched the back of his head. Director Tian added: ¡°The quality of the anastomosis of the blood vessels was very good.¡± The crowd buzzed again. Some people couldn¡¯t sit still, what? Finger re-imntation is not veryplicated? Why talk so flippantly? How are we supposed to cope with this? Director Han nodded and asked: ¡°Can you exin why the core is to anastomose the blood vessels, and the key is to anastomose the nerves?¡± Yang Ping scratched his head: ¡°First you have to survive, then you can think about thriving.¡± Everyoneughed, not knowing whether they wereughing at Yang Ping¡¯s answer, or because they were relieved they didn¡¯t have to answer the question themselves. Director Han grunted in acknowledgement: ¡°That¡¯s the gist of it. Without high-quality anastomosis of blood vessels, the finger can¡¯t survive, and nothing further can be discussed; without high-quality anastomosis of nerves, sensory and motor function cannot be restored, and the finger bes useless, a burden. So, the survival of the finger is only the foundation. What we pursue is functionality.¡± ¡°So it¡¯s selective breeding.¡± someone interjected. ¡°Hmm, youe¨C¡± Director Han found his next target. This brother wished he could smack his own mouth for speaking out of turn and giving away his position. ¡ª After more than three hours, the director¡¯s round of ward rounds had finally ended, and everyone heaved a sigh of relief. Those who were picked to answer questions were drenched in sweat, with some showing signs of dehydration. Someone was already leaning weakly into the nurses¡¯ station: ¡°Sis! Can you get me a bottle of 5% glucose to drink?¡± Those who weren¡¯t called out were thrilled at their narrow escape and breathed a sigh of relief, at least for this week they could stop living in fear. Oh, shit! Just now, when the director was doing his rounds, his eyes flicked over here and my heart was pounding like a diesel engine. That was close. Someone was recalling the nerve-wracking moment. When everyone else had left, Yang Ping went for another round of rounds alone, to check on the patient whose severed finger he had re-imnted. The blood cirction looked good. Chapter 14 - 0013: Replanting an Infant’s Severed Finger Chapter 14: Chapter 0013: Renting an Infant¡¯s Severed Finger Afterpleting the morning rounds, there was some free time in the afternoon. Zhang Lin had worked the night shift yesterday so ording to the roster, he was off-duty today. Yang Ping, who also worked the same shift as Zhang Lin, was naturally on break. Despite rest days being stated in the schedule, for doctors, they are merely for show and have no real significance. Busy until after three in the afternoon, when he finally had lunch, he really wanted to take a break. But once back in his room, the phone rang before he could even settle down. A surgery was on the horizon, involving a severed finger. Director Han specifically requested Yang Ping¡¯s involvement. How could there be so many cases of severed fingers, it wasn¡¯t like it was Singles Day. Yang Ping quickly crossed the sky bridge. Just after descending, he crossed a small square and there was the emergency department. At the entrance, two security guards stood guard, helmets on heads, protective clothing on bodies, batons and shields in hand; they were like wardens at the gate. The spacious emergency room was bustling. Regardless of whether it was doctors, nurses, or patients, everyone was in a hurry. Even, some life hurriedly withered away. The disorder made Yang Ping¡¯s head buzz. From fights, car idents, drunkenness, shouting, bickering, crying; all mixed up. Without a certain psychological quality, one really cannot endure this ce. ¡°Do you believe I could kill you? There¡¯s blood oozing from my head. Just how long must I wait? Must I die here before you rescue me?¡± a man in his forties with a scarred face cursed at a pregnant nurse. A pregnant woman still working the night shift? Goddamn, until one hits a certain month of pregnancy, one still has to diligently pull night shifts. Otherwise, there wouldn¡¯t be enough people. What were you thinking, iming your pregnancy to a head nurse, and following which, the head nurse patting you on the shoulder saying: ¡®Good girl, go home and take care of your baby, no need to do night shifts.¡¯ For a nurse, this scenario is fairy-tale level. Not only do pregnant women have to pull night shifts, but pregnancies need to be scheduled too, you can¡¯t simply conceive whenever you want. That¡¯s right, you have to line up. It¡¯s your turn this year and hers the next. If pregnancies are not nned, if everyone gets pregnant all at once, that particr department would indeed copse. Recruit more nurses? Hmm, easy for you to say. Among the most in-demand professions, I reckon nursing would definitely crack the top ten. As for emergency and pediatrics department nurses, they could easily take the cake. ¡°I¡¯m sorry, you need to wait. The doctors are currently busy with a rescue, you need to wait a bit longer.¡± The pregnant nurse was practically pleading. With a p, scarface hit the reception desk in the emergency room: ¡°Wait for nothing! Is this not your blood leaking out?¡± If not for the high and wide marble doctors¡¯ counter, this p would¡¯vended on the nurse¡¯s head. Yang Ping was just considering going over to intervene. ¡°Hey, what are you doing? Hold your horses.¡± Two security guards drew their batons from their belts and walked over in their leather boots. Scarface was abashed and stopped his aggressive behavior. The hospital¡¯s security is pretty good, Yang Ping thought. This jerk, actually, the nurse had already done some basic bandaging to stop the bleeding. It¡¯s just that a bit of blood was seeping out of the gauze, probably was waiting for the doctor to clean the wound and stitch it up. Yang Ping shook his head, he was used to such incidents. Allegedly, in some hospitals¡¯ emergency departments, all the doctors¡¯ consultation rooms are uniformly next to windows that are left open. Why? Because right beneath the windows are thickly padded mats. They are meant for emergency department doctors to escape using when dealing with annoying people who assault doctors. They can immediately jump out the window and escape. The mats offer protection against injury. Passing through the emergency room, Yang Ping made a right turn into the emergency trauma room. Swipe the ess card, the explosion-proof door swings open. The central ind is where the doctors and nurses converge. Around it are evenly distributedputers and phones. There are dozens of emergency beds arranged in a circle around the room, separated by curtains. ¡°The heart has stopped, begin cardiopulmonary resuscitation, get the defibritor!¡± One bed was involved in resuscitation, the doctor was drenched in sweat, pressing hard on the patient¡¯s chest. ¡°Closed-chest thoracic drainage; tension pneumothorax; urgent consultation with the thoracic surgery department.¡± Another bed was being disinfected, ready for closed thoracic drainage. ¡°20% mannitol, quick intravenous drip.¡± ¡°Perform a tracheotomy.¡± ¡°Put on the venttor.¡± ¡ª¡ª The emergency department, particrly the trauma room, is a battlefield without gunpowder smoke, where doctors and nurses are warriors battling with death. Several phones were ringing non-stop. The on-duty nurse had a receiver pressed to her ear and was speaking loudly while grabbing another receiver with one hand. Her gaze was already on yet another receiver that had just begun ringing. A few receivers were swapping ces in her hands and at her cheeks like a juggling act. ¡°Bed 3!¡± Although Yang Ping was new, the nurses had sharp eyes. Just a distant nce at Yang Ping¡¯s namete and they knew he was an orthopedic surgeon. She pointed to one side. The on-duty doctor was talking with Song Zimo: ¡°A little over a month old, female, all five fingers on her left hand severed¡ª¡±. A small babyy on the bed, her left hand wrapped in bandages. Perhaps oblivious to the pain, she wasn¡¯t crying, her eyes darting around as if searching for something. ¡°Where¡¯s the severed finger?¡± Song Zimo asked. A nurse took out a transparent film bag from a small fridge, inside which the severed finger was kept. So small? Of course it was! How big can the hand of a two-month-old baby be? A woman in her thirties was sobbing next to the bed. A man was trying tofort her. ¡°Can it be reattached? Doctor, I beg you,¡± she asked, her eyes swollen from crying. Upon inquiry, the emergency room doctor said that the child¡¯s mother was pushing the baby in a stroller at a supermarket when she got distracted by her mobile phone. On an esctor, she didn¡¯t pay attention and the stroller toppled over. The baby¡¯s hand became trapped between the esctor and thending. All five fingers were crushed and retrieved only when maintenance staff dismantled the esctor. Director Han was having a conversation with Director Xiong from the emergency department. The emergency room doctor was holding a freshly printed informed consent form, his voice hoarse as he discussed the situation with the distraught mother. The conversation was broken up a few times by the mother¡¯s sobbing. ¡°Xiao Yang, have you checked on the patient? Song Zimo will be performing the surgery, are you alright with assisting?¡± Director Han waved over Yang Ping who had just arrived. Director Han was nning for Song Zimo to perform the reattachment of the baby¡¯s severed finger, which was considered extremely challenging due to the minute blood vessels involved. Song Zimo¡¯s skills in microsurgery were well known to Director Han. He was adept in handling blood vessels as thin as 0.1 mm. ¡°No problem at all, I¡¯ll cooperate fully,¡± Yang Ping answered without hesitation. ¡°Excellent!¡± Director Han made swift arrangements: ¡°Let¡¯s prepare for the surgery immediately, we can discuss more in the operating room. Grab a snack from the department ¨C there¡¯s high-calorie chocte and biscuits. We have already eaten. Derentation of a baby¡¯s severed finger is rare and challenging. Keep up your spirits!¡± ¡°Understood, we willplete the task,¡± Yang Ping responded seriously. Director Han, much like a seasoned military general, was calm and efficient. After sharing some instructions with Director Xiong, he hurried off to the operating room. Song Zimo, who was a bit unhappy, followed behind Director Han, wanting to speak up. ¡°Director, Director, Director¨C¡± ¡°Perhaps Director Tian should assist instead? I¡¯m afraid this operation might be too demanding,¡± Song Zimo finally voiced his concerns. His concerns were valid. Known for his exceptional talent, Song Zimo had practiced countless times on man-made blood vessels of 0.1 mm diameter or even smaller, and had stitched the tails of newborn mice countless times before being confident enough to undertake such a baby finger reattachment operation. Director Han paused to think: ¡°Director Tian can assist with the finger prep while you join the blood vessels. He just finished an open pelvis fracture surgery and must be tired. Yang Ping managed a two-hour severed finger surgery thest time. Assisting you should not pose a problem. If indeed necessary, I¡¯ll step in.¡± With the Director¡¯s assurance and contingency n in ce, Song Zimo couldn¡¯t argue. But he remained a bit upset. Complete blood count, blood type, biochemical tests, liver and kidney functions, coagtion tests, four infectious disease tests, electrocardiogram¨C The emergency department staff worked like disciplined soldiers. Although it seemed chaotic, everyone knew their roles, and co-operated seamlessly and efficiently. The nurse drew blood for the tests. Once tube after tube of blood was filled, they were quickly sent off to theb for automated analysis. The electrocardiogram was wheeled in. Leads were fastened onto the baby quickly and urately. The machine spit out readings characterized by their distinct wave patterns. ¡°The ECG is normal,¡± the doctor announced, after looking at the results. ¡°The operating room is ready. Let¡¯s transfer the patient,¡± shouted a nurse from the central ind. The doctor gave an OK sign with his hand. The baby was pushed on the gurney towards the operating room, via a dedicated route and elevator. The mother, tears streaming down her face, held onto the side of the gurney and asked, ¡°Can I go with her into the surgery?¡± ¡°No!¡± The emergency doctor mechanically pushed the gurney on without pausing. After several attempts to persuade his wife, the father finally managed to make her let go. ¡°Crying all the time ¡­ what were you doing earlier? Couldn¡¯t even keep an eye on her on an esctor, always on your phone! Did your phone give birth to your child?¡± The child¡¯s grandparents, unable to hold it in any longer after watching the medical staff push the gurney away, yelled at their daughter. ¡°Mom and dad, please, stop criticizing her,¡± the child¡¯s father pleaded. The elderly couple couldn¡¯t resist rebuking further: ¡°She¡¯s our child, we can¡¯t scold her? And you too-¡° Chapter 15 - 0014: Genius Chapter 15: Chapter 0014: Genius Yang Ping ate a piece of chocte and apressed biscuit, then rushed to the operating room. Director Han, Song Zimo, Director Tian, Zhang Lin, Fang Yan and many others had arrived, including many young doctors and interns who had rushed to see the baby¡¯s severed finger reimntation. After all, this was a rare and highly difficult surgery, sometimes a once in a lifetime opportunity. The circting nurse scolded unruly interns: ¡°So many people? Who is the teacher? Everyone, stay back, keep in mind the concept of sterility!¡± Fortunately, the operating room for orthopedics was spacious, so it didn¡¯t seem very crowded even with many people. ¡°Split into two groups. Tian Yuan will lead Fang Yan and Chen Xiaobo to clean and search for blood vessels, nerves, and tendons in the severed finger; Song Zimo will lead Yang Ping and Zhang Lin in cleaning the proximal wound and looking for blood vessels, nerves, and tendons; The reimntation will be handled by Song Zimo and Yang Ping, with the others on standby.¡± Director Han exined clearly. ¡°Who is the nurse on duty today?¡± ¡°Su Yixuan!¡± ¡°The specialist nurse for orthopedic surgery?¡± ¡°Yes, Director.¡± The circting nurse responded as Su Yixuan had already gone to wash her hands. The anesthesiologist was Liang Jing, a bona fide hefty man, who just happened to have a woman¡¯s name. After the sessful anesthesia induction, he gently pried open the baby¡¯s small mouth, then carefully inserted the tracheal intubation, pulled out the guidewire, ced the stethoscope on the chest, and confirmed it was inserted into the trachea. Then, he connected the anesthesia machine. ¡°Well, the anesthesia was sessful. You may wash your hands now.¡± Liang Jing sat at the head of the child, recording information as he stared at the monitoring data on the disy screen. ¡°This one is too hard to handle today. So small, even magnified fifty times under a microscope it¡¯s still difficult. A slight tremble of the hand will cause the blood vessels to rupture.¡± ¡°Yeah, I heard that the most difficult reattachment surgery is for babies, where blood vessels are probably as thin as a hair.¡± ¡°It must be Director Han doing it. He used to work at Magic City Sixth Hospital, which is where the reattachment of severed limbs originated at the national level. The world¡¯s first limb reattachment was performed in that hospital.¡± ¡°Really? No wonder Director Han is so amazing.¡± ¡°No, it¡¯s Senior Brother Song doing the surgery.¡± ¡°Senior Brother Song, wow!¡± ¡°He is really amazing, I¡¯ve heard he¡¯s a genius. Haven¡¯t you noticed that Director Han is always with him?¡± ¡°He is so tall and handsome, highly educated, and so exceptional. I¡¯ve heard that many girls like him.¡± Some female interns started to gossip in whispers. ¡°Of course, I heard his family is really wealthy.¡± ¡°Really? Did he take all the good things in the world?¡± Once the gossip box was opened, it was endless. ¡°Quiet! All observers, remain quiet! Renting a severed finger requires highly concentrated attention. Turn on the video system in the next room. When the operation starts, go next door¨C¡± The chief nurse patrolled the operating room and came in to take a look. This operating room was the main operating room, with additional rooms on both sides. One was a storeroom, the other was a teaching room, half of the wall dividing the teaching room was made of transparent ss. There was a high-definition screen on the wall, connecting to the high-definition camera on the microscope or shadowlessmp here. When needed, surgical video could be broadcast live throughout the entire process. Su Yixuan had finished washing her hands and raised them in front of her chest. She took a sterile gown and stood on an empty side, facing the sterile table. With a slight shake of her hands, they slipped neatly into the inner sleeves. The circting nurse immediately stood behind her, helping her pull on the gown and tie the straps at her back. Then she put on gloves and started to count and sort the instruments. There were two operating tables. On one side, Song Zimo and Yang Ping were washing the wound. On the other side, Tian Yuan, with Fang Yan, was also washing the severed fingers, carefully, for fear of missing one. After washing the wounds, everyone went to wash their hands and put on their robes. Generally, the first assistant is responsible for sterilizing and spreading the sheets, but Song Zimo let Yang Ping get dressed and did the sterilization and sheet spreading himself. The microscope was rolled in and put aside. Both sides began to debride, which is to thoroughly clean the foreign bodies, necrotic tissues, and devitalized tissues from the wound, and then neatly trim the edge of the skin. The observing young doctors and interns were all driven to the next room. Starting from the thumb, Fang Yan handed over the cleaned thumb to Song Zimo, who drilled the steel pin into the phnx with an electric drill to connect the bones first, thus establishing the main framework. The next step was to find the blood vessels, nerves, tendons and stitch them together. In simple terms, these were the steps. Blood vessels are the hardest to find, and also the most difficult to sew; nerves are the next; tendons are easy to find and easy to sew, any orthopedic resident can sew them skillfully. The microscope was pushed to the operation area, fixed in position, adjusted for focal length, pupil distance, and magnification. The blood vessels were too thin, they were magnified fifty times. Song Zimo held a microscopic tweezer in his left hand and a microscopic scissors in his right, starting to debride under the microscope and find the blood vessels. His operation under the microscope was indeed impressive. Under the viewing field magnified fifty times, his hand didn¡¯t shake and his operation was extremely skillful. This guy indeed had basis for his pride. Yang Ping had to admit it. ¡°The blood vessels are too thin. Hold your breath, steady your hands.¡± Director Han encouraged Song Zimo. Song Zimo hasn¡¯t spoken a word, operating on the microscopic instruments quietly, finding blood vessels, nerves and tendons under the microscope. In addition to therge screen on the wall in the next room, there was also a screen in the operating room, just not asrge. Director Han was sitting in front of the screen, staring at it. The vessels of the thumb were found smoothly, followed by finding nerve and tendon. Next, debride the two ends of the vessels, making the vessels clean and standard, the tube cannot contain any impurities, let alone injury. Rinsed with physiological saline. Thread! The thinnest double-needle non-damaging vascr suture thread, its diameter was only a few tenths of a child¡¯s hair. Cut it in half, half was given to Song Zimo, the other half was preserved by Su Yixuan. Song Zimo started suturing the arterial vessel. However, the baby¡¯s vessels were even smaller than imagined, the diameter should be far less than 0.1 millimeters, estimated around 0.05 millimeters. Song Zimo took a deep breath,posed himself, tried to keep his hand movements slow and steady, at this point, he was challenging the pinnacle of microsurgery. Starting with the first stitch. ¡°Slow down, don¡¯t rush.¡± Director Han said to Song Zimo. Now he couldn¡¯t rush even if he wanted to. The vessels were not only small, but also the wall was rtively thin, totally different from an artery¡¯s wall. Song Zimo¡¯s first stitch was very slow, much slower than his usual training speed, he lifted the outer membrane of the vessel wall with a pair of tweezers, the appropriate touch was required as the wall was extremely delicate and could rip easily. The needle gently pierced the wall of the vessel, in the correct position, and then emerged from the wall of the other end, gently drawn together, and knotted, the first stitch was perfectly sutured. Director Han nodded slightly, indeed Song Zimo was a gifted individual, he had progressed very fast recently. Doing a suture on a 0.05mm vessel so adeptly already. Yang Ping was ready to cut the thread, but Song Zimo declined and took the microscopic scissors to cut the thread by himself. The second stitch, and the third stitch, ¡ª all the way to the sixth stitch, his rhythm was very stable, the distance and edge of the needle were very neat, he sessfully rejoined the first pipe smoothly. If it wasn¡¯t for the need for silence in the operating room, the people observing the surgery next door would probably apuse. Chapter 16 - 0015: Predicament Chapter 16: Chapter 0015: Predicament ¡°Senior Brother Song is amazing!¡± ¡°His reputation is well-deserved!¡± ¡°If Magic City Sixth Hospital acknowledges him as a genius, there¡¯s nothing more to say.¡± ¡°His operation is god-like.¡± His hands were incredibly steady; the surgical process for the second blood vessel had begun. Each stitch was inserted precisely on the first try, without any repetition. Just like the first one, the second blood vessel was also sessfully sutured together. A smile appeared on Director Han¡¯s face. Then came the nerve and tendon suturing, and skin stitching. For Song Zimo, it proceeded like a performance, rapidlypleted. The surgery on the thumb was finished, and the reattachment process for the index finger began. The index finger¡¯s blood vessels were in a worse condition than the thumb¡¯s. The vascr walls were not only thinner, but also very brittle. Song Zimo carefully inserted the needle, but the position was not ideal. He withdrew the needle, adjusted the needle¡¯s point, and reinserted it. The position was barely passable. As he nned to thread the needle through the other side of the vessel wall, an ident urred. The thread that had been inserted ripped a small hole in the blood vessel¡¯s wall. Despite the utmost steadiness and delicacy in his maneuvers, the blood vessel was ripped apart. Director Han furrowed his brows. The situation was not looking good. The blood vessel was extremely thin, with a very delicate wall, and was brittle throughout. The baby must have been a premature birth, which was why the blood vessel development was immature, causing suchplications. Song Zimo put down his microscopic tools, moved his eyes from the microscope¡¯s field of view, twisted his neck for a little adjustment, and then picked up the tools again for a new attempt. Since Song Zimo asked Yao Ping not to cut the thread, Yao Ping had not moved, instead he was watching and waiting to help at the right moment. The second attempt still failed. Song Zimo was not willing to give up and tried a third time, but still failed. Each attempt caused the blood vessel to tear. This was just the blood vessel of the index finger; the conditions of the other fingers were imagined to be simr. ¡°Even with such a delicate touch, it still tears.¡± ¡°There¡¯s no way to connect it.¡± ¡°Even if a god descended, it still wouldn¡¯t work.¡± The crowd started a cautious discussion as the operation hit a stalemate. Song Zimo felt a little despondent. He had practiced on simr blood vessels many times, and even manipting the tail artery of a newborn mouse had be a matter of ease. His condition today was excellent, and he had already been extremely careful with his hands. Why, then, was he still tearing the vessel wall? ¡°This is a premature baby. The blood vessels are not well-developed; the vessel walls are very thin and fragile. They are not like the blood vessels you normally sew or practice on. Song Zimo, wait for a moment. Yao Ping, you can have a rest.¡± Old Han stood up. He let Yao Ping rest to make room for himself to take over the surgery with Song Zimo. Song Zimo could no longer continue, so he put down his tools, moved away from the field of view, tucked his hands into the protective bag on his chest, and waited for Director Han to take over the operation. ¡°Task: Clean up the remains,plete the reattachment surgery for the premature baby¡¯s severed fingers. Reward: 2400 points.¡± The subtitles along with a female voice appeared. Another task was triggered. It seemed that from now on, tasks would be the main line of his life. ¡°Director, can I try it?¡± Yao Ping asked Director Han confidently and sincerely. Director Han was about to get up to wash his hands, but upon hearing Yao Ping¡¯s words, he did not leave. ¡°Let him try? His microscopic surgical operation is amazing. I¡¯ve seen it before,¡± Zhang Lin chimed in to help persuade. After a moment¡¯s consideration, Director Han replied: ¡°Fine, give it a try. But, move slower.¡± Director Han sat down, and the paused actions on the screen started again. But this time, they were not from Song Zimo¡¯s station, but Yao Ping¡¯s. The forceps gripped the outer membrane, and the needle with the thread pierced through the outer wall and emerged from the inner wall. It held a vertical posture,pletely devoid ofteral pulling force. Then it entered the inner wall from another end, finally emerging out of the outer wall. The entire thread smoothly passed through the blood vessel in an optimal position each time it entered and exited. Tie the knot! The sharp end of the needle holder was situated between the two threads, closer to one of them. It made a beautiful loop, grabbed the end of the thread. A pretty knot was made, and the two ends were gently brought together perfectly! Tie two more! Exactly three knots. Cut the thread! Song Zimo staring at the screen, he forgot to help cut the thread, Yao Ping cut it himself. The second stitch was being sutured, the movement was very gentle. There was absolutely no need to worry about tearing the blood vessel wall. How is he so skilled? Song Zimo could hardly believe it. Director Han watched attentively as the second stitch was sutured, then stroked his beard and turned to Yao Ping. ¡°Yao Ping, switch seats with Song Zimo and continue¨C¡± The microscope had two eyepieces: one for the chief surgeon and one for the assistant. As Yao Ping was sitting in the assistant¡¯s spot, Director Han suggested him to switch to the chief surgeon¡¯s seat for a morefortable and convenient operation. The two men switched roles, and the operation continued. Just as Su Yixuan was about to rest, she quickly regained her focus to be ready to pass the instruments at any time. After suturing another stitch and making a knot, Yao Ping put down the microscopic forceps in his left hand. Without having to turn his head, a microscopic scissor had already been handed to him. He took the microscopic scissor, and cut the thread. And then, he continued. The microscopic scissor in his left hand was switched back to the microscopic forceps. Song Zimo was at a loss as to whether he should participate or not. The second stitch, the third stitch, the fourth stitch, the fifth stitch, the sixth stitch¨C Old Han restrained the breath he wanted to exhale, trying to do so as slowly as possible. The operating room was silent, save for the hissing sound of the anesthesia machine. Tian Yuan and Fang Yan, sitting on another operating table, had their hands tucked into the protective bag on their chests, and were also watching the screen attentively. Arger screen in the next room had attracted a crowd. Those young doctors and interns gathered in front of the screen. ¡°It seems that it¡¯s not Senior Brother Song operating anymore!¡± ¡°Must be Director Han!¡± Some looked through the ss windows. ¡°Director Han is not operating; it¡¯s that new guy, Doctor Yang.¡± ¡°He¡¯s that skilled? Even better than Senior Brother Song.¡± They were discussing quietly, careful not to make too much noise even though they were separated by a wall. The operation was wless, each stitch was at an ideal distance from the edge. Every time a blood vessel was fully sutured, the vessel lumen was strictly mated. If not for the ring of blue thread and the slightly everted edges, no one would believe that it was a severed blood vessel. Not a single stitch tore the vessel wall, and not a single stitch had to be repeated. By this point, all of Song Zimo¡¯s disbelief had evaporated, reced by awe. He realized that he could not perform like this. Is this what they call a genius? Are the real geniuses in this world like this? Song Zimo had always thought of himself as a genius, but now he understood that he was just a counterfeit genius, only slightly better than ordinary people. When Song Zimo was pursuing his master¡¯s degree, he started training in microscopic surgery and sessfully performed a hundred mouse tail surgeries. His rate of sess was 100%, and his speed was the fastest among the doctors who participated in the training at the time. He had singlehandedlypleted the first sessful finger reattachment surgery in record time,parable to the average time of the orthopedic surgery department in Magic City Sixth Hospital, and the surgery was sessful. At that moment, several other doctors had finished their surgeries and came to the teaching room; everyone was glued to the screen. Oh my God! Is that the current surgery happening right now? Finger reattachment can be done this way! Director Han must be operating. It¡¯s been a while since shest saw him perform a finger reattachment surgery. She turned her head to see, no, it¡¯s Song Zimo and Yao Ping, but Song Zimo appears to be holding his hands in his chest protection bag, not operating. It must be Yao Ping then. Director Han swallowed, feeling a lump in his throat. Chapter 17 - 0016: Perfection Chapter 17: Chapter 0016: Perfection The two arteries and four veins have already been anastomosed, smoothly done with no clumsy or duplicate motions, and each action was seamlessly connected without a hitch. Next finger! Hmm! Song Zimo barely had any of his pride left. The sterile, refrigerated small box was opened and Song Zimo personally went to im the severed finger. He reached in, took the broken middle finger and ced it carefully on the operating table. ¡°Vital signs?¡± Yang Ping asked. ¡°Stable! Rest assured, you can go on.¡± Liang Jing confidently responded, proud to participate in such a challenging surgery. This kind of tension was restrained, quiet, and calm, unlike those noisy, chaotic resuscitations. It was like a person walking a tightrope without any protection, with the rope stretching across a chasm between cliffs, one misstep leading to a deadly fall. ¡°Do you want to take a break?¡± Director Han asked with concern. ¡°No need!¡± Old Han looked at the time disy on the wall panel. The anastomosis of six blood vessels just now had taken about twenty minutes, meaning each vessel took only about three minutes. Next was the nerves. The anastomosis of nerves was much easier than that of blood vessels. The nerves, being solid structures instead of hollow, did not need to worry about patency. Plus, all the nerves in the fingers were sensory nerves, with a rtively high tolerance for error, and there was no risk of sensory nerves and motor nerves growing in a mix. Tian Yuan, Song Zimo, and the other doctors temporarily turned their eyes away from the screen, taking a short rest before watching the next vascr anastomosis. The most exciting and challenging part of the entire surgery was the vascr anastomosis. They would reserve their limited visual power for this most essential part. When the nerves are on edge, people get tired easily. After the two nerves were anastomosed, they moved on to anastomosing the flexor and extensor tendons, which was even simpler process that could bepleted without a microscope. Lastly, they stitched up the skin, sealing the woundpletely, and announced the sessful reattachment of the index finger. Starting from the vascr anastomosis to the final suturing of the skin took only around thirty minutes. This remarkable speed was sure to leave everyone speechless. The index finger was done, and the rubber band tourniquet around the base of the finger was removed. The pale fingertip gradually turned rosy and there was no bleeding at the anastomosis sites. Next was the middle finger, and it was again Song Zimo who brought the severed piece. If he still had a shred of arrogancest time, it had nowpletely disappeared. He ced the severed finger on the operating table and silently returned to his seat. They repeated the previous steps ¨C stabilizing the fracture, anastomosing the vessels, nerves, and tendons, and finally suturing the wound. ¡°Want to take a break?¡± Director Han suggested again. ¡°Thank you, Director, I¡¯m still okay.¡± said Yang Ping. And the vessel anastomosis started again! The nerves that had just been rxed instantly tightened again. For some who hadn¡¯t had enough rest, the sudden tension was quite ufortable. They all focused on the screen again, not daring to look away for even a second. The surgical movements maintained their previous consistency and speed. After the middle finger waspleted, they moved on to the ring finger. Old Han rxed, his back sinking in relief. After the ring finger, there was only one finger left. Even if it failed, it was only the pinky, which would not greatly affect the function of the hand. By now, Song Zimo hadpletely sumbed. Medicine, especially clinical medicine, and surgery, were all tangible things. There was no room for pretension or bragging ¨C everything was right there, clear and palpable. Finally, it was the pinky. ¡°Pinky!¡± Song Zimo ced the pinky on the operating table, now willingly doing this job. Yang Ping stretched his neck a bit and loosened his grip on the tools, adjusting his posture slightly to rx for a moment. ¡°This severed finger has a slight problem. The vessels seem a bit adhered to the surroundings.¡± Yang Ping said quietly. ¡°Premature infant, blood vessels are underdeveloped, the surrounding tissues didn¡¯t develop properly either, causing scar-like adhesions!¡± Old Han reminded Yang Ping while looking at the video. ¡°Hmm.¡± Yang Ping also agrees. Yang Ping tries to find the blood vessels, carefully separating the hard adhered tissues bit by bit, exposing the ends of the blood vessels. The forceps pinch the outer membrane while the scissors carefully separate them. The adherence is too tight, making it difficult to separate, and could easily rupture the blood vessel wall. Yang Ping¡¯s scissors stop. ¡°Don¡¯t rush, we have already connected four, there is no issue with its function, we have achieved adequate sess already,¡± Director Han says. ¡°I will try again.¡± Yang Ping does not n to give up. He is not a perfectionist, but he is not one to give up easily either. He likes challenges. When he was at university, he enjoyed running, from one thousand five hundred meters, to three thousand, to five thousand, to ten kilometers, to finally forty plus kilometers marathon. He likes the feeling of constantly challenging himself, he always believes that giving enough effort can achieve the goal. The scissors start to separate again, the speed obviously slows down. One bit at a time, each time he separates a little, he stops. The forceps hold up the blood vessels, and stay steady, while the scissors carefully open and close along the blood vessel wall. ¡°Have you done this kind of severing finger?¡± Song Zimo gently asks. ¡°Hmm.¡± Yang Ping just hums a single note. Song Zimo does not like the temperament of this young man. Possibly having found the feel to separate such tissue, Yang Ping mastered the strength of the surgical tools better, the speed of the scissors gradually increased. The first blood vessel is freed from the adhesion, and gained sufficient length. Then the second blood vessel started getting separated. At least four blood vessels are needed, two arteries and two veins so that the blood flow can be guaranteed The veins are harder to separate because the vein walls are thinner than the arteries. However, the operating surgeon apparently quickly learned from the previous separation experience. With each cut, the scissors can urately separate between the blood vessel wall and the adhered tissues. Four blood vessels, two arteries, two veins, both proximal and distal ends were separatedpletely intact. The blood vessels separated from the adhesion, the vessel walls are more fragile. The little finger¡¯s vessels are even smaller. The difficulty of stitching it up is several fold. ¡°This is too hard to sew, feels like it will break at any slight mishandle.¡± Someone speaks in the room next door. Everyone follows the voice to locate the speaker, ring at them, the person speaking immediately shuts up, and everyone again focuses on the video. Su Yixuan is a professional surgery nurse in orthopedics, her understanding of surgery is much deeper than the average nurse. As there was nothing for her to do on the stage for now, she also turns her body to watch the screen. With such high-level skill, no wonder everyone is silent, only left with the sound of the anesthesia machine¡¯s air delivery. From Su Yixuan¡¯s position, she can see Yang Ping¡¯s profile, even Yang Ping¡¯s eyes looking into the eyepiece. Those pair of eyes deeply move Su Yixuan, his determination, confidence, and focus. Uncontrobly, her face feels a little heated, what is wrong with me? Su Yixuan quickly shifts her gaze. The vascr anastomosis begins, the stitching of this finger¡¯s blood vessels is slower, the surgeon is finding the feeling. The second one is obviously much faster. The third, getting into the groove, he haspletely found the technique for stitching this special kind of blood vessels. Yang Ping¡¯s sutures are still as smooth as they were, quality is notpromised at all. Once thest stitch of the vascr anastomosis ispleted, Yang Ping puts down the needle holders and the needle thread. Su Yixuan catches them steadily, then carefully puts the tiny needle back on the needle panel. ¡°Shall I stitch the nerves and tendon?¡± Song Zimo suggests. Director Han declined: ¡°No, let him finish it.¡± Not for anything else, but to allow this surgery to end perfectly in the end, anyone recing Yang Ping at this time, even for stitching a single thread, will be considered a w by him. Yang Ping continues, stitching all in one breath, nerves, tendons, and skin. Releasing the rubber tourniquet, after a few seconds, the distal part of the little finger turns red. Apply dressing, cast for fixation, the surgery ends perfectly. Chapter 18 - 0017 Eldest Apprentice Brother Chapter 18: Chapter 0017 Eldest Apprentice Brother ¡°Taskpleted, reward 2400 points.¡± Yang Ping didn¡¯t expect to umte a few thousand points so quickly. Full of confidence, he believed he could make a fortune from finger amputation and rentation. He had thought there would be no opportunity for such operations, but now it seemed otherwise. Therefore, his n started to take shape. Yang Ping entered the System Space, went to the mall to buy several basic techniques, andpleted the training while the iron was still hot. As such, his points dwindled to about a thousand or so. He was now hard up for points. Song Zimo, Zhang Lin, and the anesthesia nurse together sent the patient back to the ward. All the others had already left, each still relishing the experience. In the changing room, Director Han and Yang Ping sat on a bench in their surgical gowns, leaning against the backrest to rest. Director Han took out a cigarette and offered it to Yang Ping: ¡°Do you smoke?¡± Yang Ping shook his head with a smile and said, ¡°Thanks, Director, I don¡¯t smoke and I can¡¯t hold my liquor either. If it was a few decades ago, I wouldn¡¯t have passed the first cut in the interview. I would have tried to grit my teeth and lift the heavy weights, but with liquor, I¡¯m aplete mess.¡± Director Hanughed heartily: ¡°What a pity, the team of doctors is short of a drinker, and the hundreds of millions of drinking people in China have one less doctor to turn to, a double loss!¡± Director Han put the cigarette to his nose and took a sniff, then put it away. Perhaps he worried that Yang Ping would inhale his second-hand smoke, he leaned back against the chair even more and asked: ¡°There aren¡¯t many finger amputations and rentations in People¡¯s Hospital. I¡¯m curious, how did you develop your skill in microsurgery?¡± ¡°Director, I also don¡¯t know why. Under the microscope, I feel very fluent in operation, just like when I do surgery in direct view.¡± Yang Ping¡¯s face was slightly flushed. ¡°When you have the time, you need to train everyone else and help sharpen their skills. It¡¯s not spring when only one flower blooms, but rather when all the flowers blossom together.¡± Director Han said meaningfully. Yang Ping nodded, ¡°Understood, Director. I¡¯ll activelymunicate with everyone and make progress together.¡± Director Han excitedly gave him a thumbs up and said, ¡°Magnanimous!¡± ¡°Oh, feel free to bring up any difficulties or requirements you have at work, and you can always talk to me about any ideas you have, whether they¡¯re mature or not. You can call me Old Han in private, just like Tian Yuan and Song Zimo do. It¡¯s more casual that way. Sanbo provides a big tform where you can freely disy your talents.¡± With his eyes closed, Director Han seemed a bit tired. The two had their post-operative meal, and Yang Ping quickly left to rest. On his way home, Yang Ping had to cross an overhead bridge. The bridge was wide and bustling. Both sides were lined with stalls, offering fortune-telling, cures for all ailments, and mobile phone screen protection services. Yang Ping stood on the bridge in the breeze, nning his next steps when his phone buzzed with a message from Song Zimo: ¡°Doctor Yang, have you had dinner yet?¡± ¡°Just had it.¡± Yang Ping had already had his post-surgery meal. ¡°Are you still at the hospital?¡± Song Zimo asked cautiously. ¡°Still here!¡± Yang Ping nced around. ¡°Can youe to theb?¡± Song Zimo asked, sounding a bit embarrassed. Theb of the Orthopedics Department was actually arge room for surgical training. It held training microscopes, arthroscopes, and other equipment for the younger doctors to use. These training materials are very expensive, and only top hospitals in the country could afford them. What could Song Zimo possibly want? Usually, they would just nod and greet each other when they saw each other. It was rare for Song Zimo to initiate a call. Yang Ping returned to the department where theb was located at the end of the corridor. The door wasn¡¯t shutpletely, just ajar, with a slit of light shining through. Yang Ping gently pushed the door open and entered. There was one person inside, sitting in front of a microscope, practicing. It was Song Zimo. A diligent rich second generation indeed. The saying was true ¡ª he had more money and worked harder than you. Hearing someone enter, Song Zimo turned around: ¡°Come,e, senior brother, I practice very quickly and steadily, but why was I always using too much force during today¡¯s surgery, and couldn¡¯t pick up the pace?¡± Senior brother? Below the Associate Chief Physician and Chief Physician, Song Zimo¡¯s position in the department was that of the senior brother. No one could shake it. Being called his senior now fills him with a strange ttery. ¡°Aren¡¯t you resting yet? Practicing with the microscope sote?¡± Yang Ping guessed that he might be seeking her to discuss today¡¯s surgery, but she didn¡¯t expect such earnestness. This version of Song Zimo waspletely different from the one she usually saw. Song Zimo gave up his seat, and Yang Ping sat down, putting her eyes close to the eyepiece. In her field of view, on a fixation te, a 0.05mm simted blood vessel was wlessly anastomosed, very standard. He truly is a genius. These simted vessels are consumed in training for microscopic surgery. They are expensive and consumed inrge quantities; only hospitals like Sanbo that are willing to invest could afford to establish such aboratory. Famous hand surgery hospitals, like Jishuitan Hospital, Hospital 401, and Hospital 89, all have their ownboratories and host arge number of rabbits and rats. Using rabbit ears or rat tails for practice presents a more realistic scenario, but it is also more time-consuming. With these artificial blood vessels thate in a variety of diameters, one could use as many as they want, and practice for as long as they are willing to pay for. Currently, Song Zimo is practicing with a 0.05mm blood vessel, roughly the same thickness as the finger vessels of a newborn baby. The vessels he bridged in the infant surgery were even thinner than this. ¡°During the surgery today, I always felt I couldn¡¯t go any faster. I needed to go very slow. As soon as I sped up a little, my movements became toorge, and I tore the blood vessels,¡± Song Zimo admitted, rubbing his neck in frustration. In fact, he was already quite impressive, managing to urately anastomose a 0.05mm blood vessel. However, he met with a challenge ¨C Yang Ping. What could be done? They were on different levels. Yang Ping was quite willing to be friends with Song Zimo. Having just arrived at the new hospital, she needed to establish good rtionships. If she could handle her rtionship with Song Zimo well, the other young doctors would naturally align with her, or, at the very least, not be unfriendly towards her. Being too harsh isn¡¯t a good thing, but being too soft could lead to being overlooked and missing out on many opportunities. It was critical to strike a bnce. ¡°Today¡¯s infant was premature, and the blood vessels were underdeveloped and brittle, differing from normal vessels. This is the paradox between training and actual scenarios. I suggest you use a newborn rat as a model, feed it corticosteroid dexamethasone for a while, to create a model for the type of finger vessels a premature baby would have, and then practice on that. This field is about talent and hard work, and practice makes perfect.¡± Yang Ping helped him analyze the situation and provided practical advice. ¡°Actually, your talent is really high, you just haven¡¯t encountered this kind of case before, and it just so happens that I have, so I have the experience,¡± Yang Ping added, encouraging him. Praise works for anyone ¨C this is a famous quote by Dale Carnegie, whose books have topped best-seller lists worldwide. From childhood to adulthood, Song Zimo had always been number one. He aplished with ease what others struggled to achieve. Experiencing today¡¯s setback unsettled Song Zimo¡¯s mood, but with Yang Ping¡¯s words, he could find a face-saving exit. If he had the experience of dealing with such cases, he certainly wouldn¡¯t have been as passive as he was today. ¡°Try my approach, and practice for a while, you¡¯ll definitely be able to break through this bottleneck.¡± Yang Ping encouraged him. Song Zimo nodded. He felt that Yang Ping was right. She didn¡¯t get arrogant after sessfully reattaching the finger of a premature baby today and wasn¡¯t protective of her techniques or perfunctory towards him. ¡°Teach me more when you have time, you¡¯re more experienced than me,¡± Song Zimo said somewhat awkwardly. Yang Ping nodded, ¡°Let¡¯s learn from each other and improve together.¡± ¡°Senior, you should go rest now, you worked hard today during the surgery, I will practice a bit more.¡± Song Zimo¡¯s tone was a lot more natural. Yang Ping also wanted to go rest, ¡°Alright, if you have any insights from your practice, do share them with me.¡± Within just half an hour of conversation, Song Zimo granted his respect to Yang Ping. She was highly talented yetcked even a trace of arrogance, which is quite rare. Having such a colleague was indeed fortune in disguise. Song Zimo held pride, but he didn¡¯t have narrow-mindedness; on the contrary, he disliked narrow-minded people. Chapter 19: 0018 Trauma Emergency Center Chapter 19: 0018 Trauma Emergency Center Yesterday¡¯s battle shot him to fame. ¡°Hello, Senior Brother!¡± In the corridor, whenever the young doctors see Yang Ping, they would respectfully greet him. If Yang Ping decides to change a patient¡¯s medication by himself, pushing the medical cart, and a resident doctor sees him, they immediately rush over: ¡°Senior Brother, I¡¯ll do it, I¡¯ll do it, you rest.¡± Director Han, who had apparently taken a round from the administrative building, returned and saw Yang Pinging out of the ward. He gestured for Yang Ping toe to his office. He made a cup of tea and handed it to Yang Ping, who was astonished and immediately held it with both hands, ¡°Director, please don¡¯t bother.¡± Director Han sat down and said, ¡°There¡¯s some good news, do you want to know in advance?¡± ¡°What news?¡± Yang Ping wondered what Director Han was implying. He lightly and rhythmically tapped his fingers on the office desk, humming what sounded like Beijing opera. What kind of news would make this man in his fifties as excited as a child? After humming a piece from the opera ¡°Shajia Bang¡±, Director Han took a sip of his Longjing tea and said: ¡°Our hospital is preparing to establish a Trauma Emergency Center. Dean Xia just spoke with me. This center will be led by our Orthopedics department, and involve the neurosurgery, chest surgery, general surgery, urological surgery, ICU, and Rehabilitation departments.¡± ¡°Trauma Emergency Center?¡± ¡°Yes, it is a big system, interdisciplinary, specifically forrge-scale,plex, serious, and critical trauma patients, such as traffic idents, high falls, major safety idents, like amputations, multipleplex fractures, severe open wounds, life-threatening pelvic fractures, and so on. In order to improve the efficiency and sess rate of treatment, the patient will have a dedicated channel, process, team, and ward as soon as they arrive at the hospital. They will be quickly sent to the operating room for surgery and will get the best care and treatment post-surgery.¡± ¡°Our surgical team will be the heart of the Trauma Orthopedics department, especially my group and Tian Yuan¡¯s. The ICU will establish a Trauma ICU. The chest, general and urological surgeries will be responsible for setting up a chest and abdominal trauma surgical group. The neurosurgery will be responsible for establishing a cranio-cerebral trauma surgical group. The Trauma Emergency Center has not been established due to various reasons. I have repeatedly urged Dean Xia, and this time the hospital board has finally made up their minds.¡± ¡°The emergency department will admit patients, specialist departments will be responsible for the surgery, ICU will then take over post-surgery, when stable, the patients will be transferred back to the general ward, and finally, they will go to the Rehabilitation department for rehabilitation training. In addition to our regr work, we will also be in charge of these trauma surgeries. I¡¯ve already adjusted your position to attending physician. For now, you can perform finger amputation rent surgeries. As for other responsibilities, I¡¯ll figure it out slowly. For the time being, you¡¯ll only focus on finger rent surgeries. I want to break into this field through finger rentation surgeries. Speaking of which, Song Zimo brought Zhang Lin to his team, so we need to find someone to assist you. Who would be suitable?¡± Yang Ping quietly listened. He made up his mind to seize this opportunity. It was a rare one. Once he could show his advantage in limb rentation, he could possibly develop in the field of trauma orthopedic surgery, or else he¡¯d remain where he was. ¡°What do you think? Do you have any requests? Just name them.¡± Director Han was very forthright. Yang Ping thought of Little Five, and immediately said: ¡°Director, I have a request. I have a former colleague who is a resident doctor. He was my partner for many years. Now, he is in the emergency department. Can he be transferred to our department?¡± ¡°What¡¯s his name?¡± asked Director Han. ¡°Lu Xiaowu, his surgical skills are not bad, he used to assist me in surgeries. He¡¯s quick-witted, has strongmunication skills, and is efficient.¡± Yang Ping replied. ¡°Hey, Old Xiong, it¡¯s Han Jiangong. We talked about establishing a Trauma Emergency Center together, right? Well, here¡¯s the thing, I want to pull one of your people to our side, Lu Xiaowu, from your Emergency department.¡± Director Han immediately made a call. Director Xiong, whose real name is Xiong Sihai, graduated from the military medical academy. With his robust body, he¡¯s one of the three ¡°tough guys¡± in Sanbo Hospital, standing 1.92 meters tall. After twenty years of weight-lifting, he¡¯s full of muscles and quite imposing in every aspect. Speaking of Sanbo¡¯s three tough guys, one of them is Dean Xia Changjiang, who stands at 1.88 meters and has a background in general surgery. He¡¯s an imposing figure who moves like a walking iron tower. Then there¡¯s Cai Junsheng from the Pediatrics department, also 1.88 meters tall, with sturdy limbs. Such a physique, and he¡¯s working in pediatrics. It¡¯s surprising that children don¡¯t burst into tears when they see him. It¡¯s rumored that Cai Junsheng has an extremely gentle personality, like a girl. Imagine, a 1.88 meter-tall man with a feminine air ¨C enough to make you wanna puke. As for Xiong Sihai, once a bunch of medical troublemakers rushed into the emergency department. Xiong Sihai stood in the middle of the hall like a giant, his voice as loud as a bell. He roared so hard, even Zhang Fei of the Battle of Changban would be scared. The group of troublemakers trembled and scattered like birds and beasts. Imagine a man standing 1.92 meters tall, not skinny but also tall, physically developed in every direction. Isn¡¯t this a real-life version of Dwayne Johnson? Xiong Sihai and Han Jiangong were very close friends, often drinking together, proiming their brotherhood. ¡°Lu Xiaowu, the new guy, Old Han, your eyes are poisonous, you poached my treasure. I¡¯m telling you, this kid not only does his job well and quickly, but he also has a clever mind. With his talkative mouth, he can talk his way out of any situation. Now, for any difficult patients in our emergency department, he takes the lead. Where did you hear about him?¡± Xiong Sihai¡¯srge hand made the Huawei Mate in his hand look like a small toy. ¡°Cut the crap, will you let him go or not!¡± Director Han cuts right to the chase. ¡°Bro, you poached my man and won¡¯t even let me speak. Only you, Han Jiangong, would dare bully me like this. When should he report to your department? You owe me a drink, just to let you know.¡± Xiong Sihai was absolutely clear about everything. ¡°Tomorrow, no, right now, right now. Have him pack up his things ande over. I¡¯ll go and talk to HR about the procedures. As for the drink, with your capacity, we better not even speak of the word ¡®drink.''¡± Director Han banged the table. ¡°Don¡¯t you get cocky, I¡¯m busy now, I won¡¯t talk with you any more. I¡¯m leaving him to you, and don¡¯t forget about the drink.¡± Xiong Sihai¡¯s face turned red as he hung up the phone, his voice booming like thunder. ¡°Did you hear that? I got him for you. You better do a good job. Be on call 24/7. Let me know if you need to go out. Where do you live?¡± ¡°Across the street, go over the overpass.¡± ¡°Very Good. A phone call and you could be here in minutes.¡± ¡°As for the sry, rest assured, the hospital has policies. There are special channels for special talents, and I will apply to increase your sry.¡± ¡°In addition, the nurses in the operating room also need to establish a specific team. The head nurse asked me to nominate, and I think Su Yixuan is good. The girl is an undergraduate and has undergone training at Magic City Sixth Hospital and Jishuitan in Beijing. What do you think?¡± Su Yixuan, perfect for the operating station, remembering her eyes, Yang Ping actually felt a bit blush. ¡°Yes, she was with me at the operating stationst time, very proficient.¡± Yang Ping replied. Director Han immediately said, ¡°Well, let¡¯s settle for this youngdy first, I¡¯ll think about the rest.¡± Knock, knock, knock, there was a knock at the door. Upon opening the door, a mischievous and smiling face of Lu Xiaowu stretched in, ¡°Director Han, hello, Director Xiong asked me to report to you.¡± ¡°Just him?¡± ¡°Just him!¡± Yang Ping nodded his head. Little Five surreptitiously gave Yang Ping a thumbs-up. Director Han said, ¡°Come on in, Lu Xiaowu. I¡¯ll tell you, Yang Ping personally rmended you. Work hard, don¡¯t tarnish his reputation. Specific tasks will be delegated by Yang Ping to youter.¡± Lu Xiaowu came in, ¡°Director, rest assured, I will definitely work hard.¡± These few days, Director Han was incredibly busy, running around with Dean Sun and Xiong Sihai. A few dayster, the que of the ¡°Trauma Emergency Center¡± was put up at the entrance of the emergency department. Dedicated telephones and inte lines connecting the emergency department, the various departments, the ICU of Trauma and the operating room were alsounched. Various rules and procedures were being implemented. Material was ready and staff were being mobilized and organized, everything was in ce. Director Han looked at the three big characters ¡°Trauma Emergency Center¡± on the que, touching his forehead, looked left and right, and couldn¡¯t hide his smile. Yang Ping felt a sense of urgency, because the only thing he was very good at now was reattaching severed limbs. When the Trauma Emergency Center would open, there wouldn¡¯t only be severed limbs to reattach. There would be all kinds of injuries, all of them critical. Fortunately, the task that Director Han assigned him for now was concentrating on severed limb reattachment. He had to seize this time to enhance his skills in trauma orthopedics. After all, limb reattachment was just a surgery that belonged to the department of hand surgery, and hand surgery was just a branch of trauma orthopedics. Chapter 20 - 0019 Astonishing Everyone (Part 1) Chapter 20: Chapter 0019 Astonishing Everyone (Part 1) The Trauma Emergency Center carried out its inauguration ceremony. Dean Xia, with several deputy deans and the department directors of the surgical system, stood in a line on the steps outside the Emergency Department¡¯s main entrance. Below were doctors, nurses, postgraduates, interns from various departments, anyone who was free came to join in, and the more people there were, the livelier it looked. First, Dean Xia gave a stirring speech, then each department director pledged selfless dedication and teamwork to develop and strengthen the center. Finally, Dean Xia unveiled the silk red cloth with a grand gesture. The golden lettering ¡°Trauma Emergency Center¡± was revealed. There was a loud round of apuse. A few short dayster, at a little past seven in the morning, the dedicated line of the Trauma Emergency Center was put to use. A nearby factory caught fire, and the higher-ups demanded that Sanbo Hospital promptly dispatch helicopters and ambnces for the rescue operation. The ground and air teams set off simultaneously. A helicopter could carry five people: two crew members, a doctor, a nurse, and a seat reserved for the patient. It was equipped with advanced emergency equipment, including a venttor. The helicopter arrived first,nding in a nearby football field. The doctor and nurse, carrying emergency kits, walked towards the ident scene. A pir of heavy smoke climbed upwards like a giant dragon. The surroundings were in utter chaos; paramilitary police had marked off arge circle area with warning tapes. Announcements were being made over loudspeakers, but people were still crowding around, unwilling to leave, pushing and shoving each other. Red fire trucks were stationed all around, high-pressure water jets crisscrossing, aimed at the copsed building. Ambnces were shing red lights, lined up one after the other, parked nearby. This morning, there had been a fire at this factory. Though the fire was eventually put out, the building had copsed, burying eleven people, eight of whom were firefighters. Then, another person was dug out. ¡°Make way! Make way!¡± Firefighters carried a person out of the heavy smoke on a stretcher. ¡°Hang in there, Qiangzi! Hang in there, you hold on!¡± The firefighter supporting the stretcher yelled, sobbing, his voice breaking. ¡°What¡¯s the situation?¡± The deputy mayor, who was in charge of the rescue operations, wearing a helmet, immediately rushed over, followed by other staff. ¡°Ourrade. He¡¯s conscious, his right upper limb has been crushed, broken into several pieces, we¡¯re still looking for a thumb,¡± the firefighter said in a rushed tone. ¡°Be quick!¡± ¡°Which is the nearest hospital?¡± ¡°Sanbo!¡± ¡°Send to Sanbo Hospital, Sanbo hospital¡¯s ambnce!¡± ¡°Over here!¡± The ambnce also arrived, and the doctor immediately raised his hand, the paramedics ran over, grabbing the stretcher. The fridge was opened; the severed limbs were counted and recorded one by one, sterilized gauze wrapped around them, put into stic bags, and ced inside the fridge, dry and cold refrigeration. A venous ess pathway was opened on the other forearm, and saline was already being administered. The ambnce had automated testing equipment, so blood samples were immediately drawn for tests. The hospital was called to prepare red blood cells and sma. ¡°Quick! Back to the hospital.¡± ¡°Report, traffic jam, it¡¯s the rush hour for work.¡± ¡°Traffic jam? Damn it! Traffic cops! Dispatch a patrol car, several motorcycles, go and clear the traffic, those who don¡¯t make way, flip their cars.¡± The deputy mayor started cursing. ¡°No need, we have a helicopter, it¡¯s parked at a nearby football field, we¡¯ll drive the patient to the helicopter, we can get there quickly.¡± ¡°Helicopter, right! The patient is in your hands now, we¡¯ll send somebody after you.¡± ¡°Qiangzi, hold on! Brothers, we¡¯re going back in¨C¡± Several firefighters, once again courageously rushed into the ruins. ¡°Report to the Mayor, six individuals have been rescued, four firefighters, two workers, one has been sent to Sanbo Hospital, the other five have been sent to People¡¯s Hospital and Medical University Affiliated Hospital.¡± After finishing the call, the deputy mayor, his head buzzing, leaned over with his hands on his waist, his clothes soaked with sweat, stared nkly at the smoking ruins. There were still five people buried inside, their fate unknown. A few days after the establishment of the Trauma Emergency Center, it weed patients in this manner. Ding-dong! Mission: A stunning feat, surgery for a hero¨C five-section limb rentation! Reward: 16000 points + random gift pack! Five sections severed, it gives goosebumps just thinking about it. It seems the building copsed and was hit by a machine that happened to have several des attached to it. Yang Ping and Old Han headed straight for the helipad, the dedicated elevator goes directly there, the helipad was already crowded with people. Next to thending pad, Director Xiong and several doctors and nurses were waiting, next to them was arge box containing prepared emergency medicines and equipment. ¡°Yes, yes, yes! Our helicopter will bending soon, the rescue team has already been assembled, all personnel are in ce, rest assured, we willplete the mission.¡± Dean Xia was sweating profusely, his shirt back soaking wet. ¡°Director Han, Director Xiong has already informed you of the basic situation. The helicopter will be back soon, take a look at the patient as soon as itnds, immediately develop a n, assemble the best team, and carry out the surgery quickly.¡± Dean Xia looked up at the sky. The helicopter approached from afar, the sound of the engine grew louder, it circled above the rooftop beforending steadily on the helipad. The wind stirred up by the rotors blew everyone¡¯s hair to one side. The patient was stretchered out and rushed towards the elevator on the rooftop. Emergency doctors and nurses immediately moved forward, even as they followed the stretcher from which they extracted blood from the ced intravenous cann, and sent it to the blood transfusion department for cross-matching. This speeds up the blood transfusion process. ¡°Complete the preoperative examination, go directly to surgery!¡± Director Xiong waved his hand. ¡°Secretary Luo from the municipal government is on his way. The rescue team¨C Secretary Luo is the team leader, I¡¯m the deputy, and you are the chief expert. Themand centre is stationed in our surgical building conference room. Secretary Luo requested that the entire rescue process be broadcast live in the conference room. Mayor Li is in Beijing for a meeting and is very concerned about this ident, and is rushing back.¡± Dean Xia tried to exin everything in a few sentences. ¡°Song Zimo, Lu Xiaowu, and Zhang Lin are already in the surgical room, we are going downstairs right now to prepare for surgery.¡± Old Han got excited. Soon, Dean Xia arrived at the conference room, followed by Secretary Luo and representatives from the armed police, health, and public security department. The attendant guided everyone to their seats in the front row. ¡°Secretary Luo, please have a seat! We have organised the hospital¡¯s elite to participate in the rescue. Our chief expert, Professor Han Jianguo,es from the Magic City Sixth Hospital and has abundant experience in trauma orthopedics.¡± Dean Xia led Secretary Luo to his seat. Secretary Luo put his document bag on the table, with a solemn look on his face: ¡°Hmm, I just heard from the health bureau that Professor Han is a well-known professor in domestic trauma orthopedics. Mayor Li just spoke with me on the phone for half an hour, instructing us to spare no effort, to save patients, and prioritise people¡¯s health.¡± ¡°Yes, we will fulfil the trust ced in us by the people. Secretary Luo, you will be able to see the entire rescue process on this screen here, andmand the entire process.¡± ¡°Great, I was just about to mention live video broadcasting. Mayor Li also wants to see the scene as soon as possible. Also, to strengthen the rescue force, the city has contacted Professor Hong Zhigang from Magic City Sixth Hospital, a top orthopedic expert in the country. He will connect with us via video at that time to instruct the surgery.¡± Secretary Luo adjusted his hair. ¡°Professor Hong Zhigang is the senior of our Director Han.¡± Professor Xia exined. ¡°Then that¡¯s a strongbination.¡± Secretary Luo settled into his seat. ¡°Xiao Yang, are you confident enough? If not, I¡¯ll do it myself.¡± In the changing room, Old Han asked while changing his clothes. Yang Ping nodded: ¡°No problem, I will give it my all.¡± ¡°Good! Remember, stay calm, ensure the quality of the anastomosis, this multi-segment limb injury is severe, and highly contaminated. The blockage of any anastomosis will cause our previous efforts to be wasted. Don¡¯t bear any psychological burden, I will bear all the consequences! Do it as you did with the baby finger rentation, go all out. I will say it again, if there is any problem, I will take all the consequences!¡± ¡°Understood!¡± Yang Ping had changed clothes and put on his mask and cap. Old Han took out a cigarette, sniffed it, put it back, and pressed his hand on Yang Ping¡¯s shoulder, saying: ¡°Let¡¯s go!¡± The whole hospital disyed high professionalism. Everyone stayed calm, keeping to their roles, cooperating with each other, allowing work to proceed smoothly. The surgery required a long time, with tracheal intubation for general anaesthesia. ¡°Anesthesia sessful, you can start the operation now!¡± Anesthetist Liang Jing, said calmly, then added: ¡°I will take care of the patient, you guys go ahead.¡± Old Hanmanded the surgery room again like the previous time, the operation was divided into two groups, with two operating tables. Yang Ping and Song Zimo washed the injury site on the near end, Tian Yuan and Fang Yan washed the severed limbs, and the rest of the people helped ordingly¨Csetting the body position, lifting the hand, and passing things. ¡°Go for it!¡± Tian Yuan made a gesture, sending an encouraging look. Song Zimo also gave a thumbs-up: ¡°Go for it!¡± ¡°Go for it!¡± Yang Ping responded, his heart surging with emotions. After washing, everyone went to wash their hands. Song Zimo disinfected the spread, Yang Ping immediately put on the gown and gloves. The scrub nurse, Su Yixuan, her bright eyes, long eyshes, flickering, she clenched her small fist and said to Yang Ping: ¡°Brother Ping, go for it! I believe in you.¡± The sound of the anesthesia machine puffing air, the circting nurse bustling about: ¡°8 units of red blood cells, 1600 millilitres of sma, are being infused.¡± ¡°Blood pressure stable, vital signs stable!¡± ¡°Micro instruments, ready!¡± ¡°Microscope, ready!¡± Pre-surgery check¡ª Start! Yang Ping held a pair of tweezers in his left hand and sharp tissue scissors in his right, and began to debride the wound. He carefully identified and thoroughly removed the foreign bodies, necrotic tissue and non-viable tissue; neatly trimmed the skin; found, trimmed, and marked every blood vessel, nerve, muscle, and tendon. After cleaning this side, rinse again. They then separately debride the severed limbs with Tian Yuan¡¯s group, finding and marking the blood vessels, nerves, and tendons. The severed limbs, after both groups have cleaned them,e together and are rinsed again. The radial and ulnar fractures are reset, and the steel te is ced. The three steps of temporarily fixing the steel te with reduction forceps, drilling holes, measuring depth and tapping, arepleted in one go. Then the screws are screwed in one by one. And then the hand and finger fractures are fixed with 1.5 and 1.0 Kirschner wires. Sessful connection of the severed limbs¡¯ skeleton, the basic shape restored, the rest is the connection of the severed blood vessels, nerves, and tendons. Tendon sutures¨C! Connecting the tendons first? Old Han was sitting a few meters away, staring at the screen on the wall of the surgical room: ¡°Xiao Yang, hurry up and connect the blood vessels! Reduce ischemic time.¡± ¡°No dy, connect them level by level, from deep to shallow, there¡¯s no need to rigidly connect the blood vessels first, it won¡¯t cause much dy!¡± Yang Ping¡¯s tone was confident. ¡°Within a certain time, connecting them level by level can reduce interference with the already connected blood vessels, ensuring the highest quality of connection.¡± Yang Ping added, this was his confidence in his speed. Old Han hadplete confidence in Yang Ping¡¯s abilities, so he didn¡¯t say anything else, just focusing on the screen to provide necessary support at any time. After all, Yang Ping was still young and inevitablycked experience. In fact, when Yang Ping was fixing the fracture, he deliberately slowed down. Because he knew that his fracture surgery level was far behind limb rentation. But this kind of radial and ulnar fracture is not a problem for any orthopedic specialist, and it had little impact on the overall surgery time. Therge screen was divided into two halves, one half disying the surgical video; one half connected to Professor Hong Zhigang in Magic City. At Magic City, Professor Hong was holding a conference, a national orthopedic trauma web meeting. Professor Hong requested for the surgery live broadcast to be connected to the conference tform. This way, he could remotely instruct the entire surgical process and let all the national participants see the live broadcast of the five-section rentation. After all, five-section rentation was very rare, whether it seeded or failed, it was an excellentmunication opportunity. Moreover, he wanted to see how his junior, Han Jianguo, created a miracle. The first fracture, the first blood vessel. Beginning the connection. Chapter 21 - 0020 – Stunning Everyone (Part 2) Chapter 21: Chapter 0020 ¨C Stunning Everyone (Part 2) The high-definition camera is mounted on the microscope, directly capturing the surgical field of view under the lens. The video¡¯sment feature is activated. To avoid distracting the viewers, thements are moved to a dedicated area under the video. Since no one can see each other in this virtual meeting, everyone is unrestrained, and thements section quicklyes alive. ¡°What the hell, why did he start with the tendon rather than blood vessels first? Must be a rookie?¡± ¡°Yeah, probably a newbie.¡± ¡°Why would they let a newbie live stream at such a high-profile conference? Is this some kind of joke?¡± ¡°Must have sponsored the conference and trying to advertise.¡± ¡°They failed to mention from which hospital they are.¡± ¡°Silence!¡± ¡°Look at his speed.¡± ¡°Just a few seconds, and he finished suturing a tendon. A perfect junction. A rookie?¡± ¡°A rookie with such speed?¡± ¡°This isn¡¯t the usual order of suturing. It¡¯s organized byyers, not everyone dares to do it this way.¡± ¡°Fasten your seatbelts!¡± ¡°He¡¯s starting on the blood vessel now!¡± ¡°His skill level will be evident from the quality of the vascr anastomosis.¡± Thest surgery was a baby¡¯s finger rentation where the surgeon¡¯s speed was hindered by the thin veins. But this time, they are suturing an adult¡¯s blood vessels, the blood vessels of the forearm no less. The speed can certainly be elerated. ¡°You can judge someone¡¯s surgical skill from a forearm blood vessel surgery? Ridiculous.¡± ¡°Again, just a few seconds to suture each one, am I seeing this right?¡± ¡°He¡¯s suturing the nerves now. Looks like he¡¯s gearing up to suture the median nerve.¡± ¡°Damn! Is he nning to use an epineural suture?¡± ¡°In a five-part dissection, he dares to use epineural sutures? Is he trying tomit suicide?¡± ¡ª ¡°Are you crazy? nning to use epineural sutures?¡± Song Zimo quietly asked. Old Han stroked his chin, tapping his fingers on his thigh, peplexed: ¡°For a five-part dissection, using an epineural suture is unwise. What¡¯s this kid trying to do?¡± Old Han knew that the live-streamed surgery was being viewed by surgeons nationwide. But Yang Ping didn¡¯t know. He couldn¡¯t tell him, fearing the pressure might get to him. Epineural suture? Hong Zhigang unscrewed his bottle of mineral water, took a long gulp, and leaned in. For such a surgery, everyone would choose perineural sutures, no one would use epineural sutures. The reason is simple: it takes too much time. For instance, an arm has three main nerves¨Cthe median, ulnar, radial¨Ceach with tens of bundles inside. It¡¯s like a thick electrical cableposed of tens of thinner cables. When you suture perineurally, you just suture the outer casing of the whole bundle. However, if you use epineural sutures, you have to suture each individual nerve bundle, the ¡®casing¡¯ on each ¡®thin cable¡¯. With perineural sutures, a problem can typically be solved in about 12 stitches. With an epineural suture, you¡¯re looking at more than ten times the number of stitches. Can you imagine the difference? If you needed one stitch for a perineural suture, you¡¯d need more than ten for an epineural one. Such a surgery is already time-consuming, spanning tens of hours. If one were to use epineural sutures, they might not even be finished by tomorrow. How could this friend of ours make such a basic mistake? Hong Zhigang started feeling confused, and so did everyone else. Everyone wanted to see what would happen to this irresponsible surgeon! Renting five parts was already pushing the industry¡¯s limits, let alone using epineural sutures. Overconfidence would sink the ship. He¡¯s sure to fail, just doing it for the shock factor. Hong Zhigang thought, and most people probably thought the same. ¡°The higher you fly, the harder you fall!¡± ¡ª The live-stream continued! The tiny nerve sheaths were gripped by a microscopic tweezer. Like following a predetermined path on repeat, the needle thread never veered off course as it went in and out, pulling and knotting. The air seemed to solidify in the operating room. No one spoke; everyone treaded lightly, afraid to disturb Yang Ping. Yang Ping was breathing evenly. Inside the system, after 5000 simted finger reattachments, he had learned to tune his body to an effortless state, not tense, but not rxed either. His movements were neither stiff nor erratic. This was high-level coordination between the brain and muscles. Everymand from the brain went through the nervous system to the muscles. The muscles controlled the fingers, which then controlled the surgical tools, transmitting themands from the brain to the tip of the surgical tool almost without loss. His hand speed began to increase. Song Zimo couldn¡¯t keep up with the pace anymore. He put the microscopic scissors by Yang Ping¡¯s right hand. Every time Yang Ping finished a stitch, he would rece the forceps with the scissors to cut the thread, then rece those with the forceps to keep suturing. He never took his eyes off the surgical field during the entire process, and he never messed up switching the forceps and scissors. Su Yixuan was highly focused, trying to anticipate Yang Ping¡¯s next move. She was trying to understand what each of his movements and expressions meant. She held her breath, feeling both nervous and excited. Nervous because she had never put so much effort into assisting a surgery before, and excited because she was able to keep up with his rhythm. ¡°I¡¯ll be damned, the speed? Is this a joke, are they fast-forwarding the video?¡± ¡°I also noticed it, it¡¯s sped up! Mother F, they even fake this?¡± ¡°What happened to the live broadcast? Why is it fast-forwarding?¡± ¡°It¡¯s live!¡± ¡°Don¡¯t kid yourself. As an attendee from Beijing, my hospital ranks in the top three in suture skills and I can¡¯t even reach that speed. Are you still gonna say it¡¯s not fast-forwarding?¡± ¡°Stop bullshitting, brains are a good thing, some people just don¡¯t have one! Look carefully, in the same shot, another pair of hands is clearly moving at a human speed. They¡¯re struggling to keep up with the rhythm. So I ask you, the one saying it¡¯s sped up, how would you speed up one pair of hands but not the other in the same shot? If you can¡¯t do it, don¡¯t say others can¡¯t either.¡± ¡°Merlin¡¯s beard, I thought we had a rookie here, but this is clearly a master.¡± ¡°I haven¡¯t seen such a smooth surgery in many years.¡± ¡°Not a single unnecessary movement, every stitch is like a precise machine at work, perfect! Art! Please ept my meniscus-injured knee in respect. Oh, my God.¡± ¡ª The first break point had been perfectly sutured ¨C blood vessels, nerves, and tendons all secured ¨C and now they were starting on the second. Five sections had been severed: two breaks at the forearm, one in the palm, and two fingers. The thumb was missing, not found at the site. Each break at the forearm needed six blood vessels, three nerves, and seventeen tendons reconnected; the palm and the fingers required even more connections, and each one was a delicate blood vessel or nerve. Hong Zhigang held a bottle of mineral water, several times intending to unscrew the cap but hesitating each time. His heart was restless. In the video, that pair of hands continued the operation mostly by themselves. What had happened to his junior over these years? His microsurgical skills had be so breathtakingly adept. Ten years ago, when the mentor stepped down from the director¡¯s position, the sessor should have been Han Jiangong. Hong Zhigang had used some methods to force Han Jiangong to leave the Magic City Sixth Hospital. Naturally, Hong Zhigang became the sessor. Hong Zhigang¡¯s lips trembled. In reality, he hadn¡¯t wanted things to turn out that way. But as events spiraled out of control, his junior was forced to leave. He had always wanted to exin to Han Jiangong, to say sorry. But in ten years, the two men had not been in contact. Even at academic conferences, they merely smiled at each other like unfamiliar colleagues, a way of saying hello. This time, when he received an invitation from the G City government for remote guidance of a rescue operation, Hong Zhigang did not call Han Jiangong. Hong Zhigang took out his phone, flipping through his contacts. He saw Han Jiangong¡¯s number and gave a bitter smile. The man was in surgery, and besides, he might have changed his number already. ¡°Teacher Hong!¡± a student approached, quietly asking a question Today was Sunday. Except for the duty doctor, all other doctors were in the conference room participating in an online conference. Magic City Sixth Hospital was the host. ¡°What is it?¡± Hong Zhigang was pulled from his thoughts. ¡°The conference attendees strongly request that the live broadcast continue!¡± the student said. Hong Zhigang nced at the screen and said, ¡°Isn¡¯t the video being live-streamed continuously?¡± The student replied, ¡°They worry that it will be cut off due to the duration.¡± ¡°All right! Continue then.¡± ¡°What about the other conference items?¡± ¡°Condense them! Exin this to everyone.¡± ¡°Ok.¡± ¡ª Comments: ¡°Exciting! Major event! I¡¯ve prepared c and fries.¡± ¡°I¡¯ve already found someone to cover my shift, and my phone is switched off.¡± ¡°Quick question, is this level of skill enough to contend for the Golden Knife Award?¡± ¡°Huh, I was thinking the same.¡± ¡°Which hospital is this?¡± ¡°No information so far.¡± ¡°What the hell, an emergency surgery, at this time.¡± ¡°I¡¯m not going, let the director do it.¡± ¡°I am the director!¡± ¡°Let the dean do it.¡± ¡°The dean specializes in gynecology.¡± ¡ª Thements were afire, the atmosphere more intense than any previous online conference. Hong Zhigang looked back to see everyone riveted to the screen, no one leaving. Even if an individual had to use the washroom, they ran there and back. Old Han watched with a smile on his face, lightly humming a Peking Opera tune and rhythmically tapping his fingers on his thigh. He turned and nced at Yang Ping¨Cthis kid, who had the audacity to do this, was something Old Han himself wouldn¡¯t dare to do even if he were twenty years younger. The anesthetist would asionally nce at the screen but, duty-bound, soon turned back to focus on the patient¡¯s vital signs. Su Yixuan¡¯s eyes often stole nces at Yang Ping. She didn¡¯t know why she was so bold today, but since he was focused on the surgery and couldn¡¯t see her, she allowed her gaze to wander back to him. Sanbo Hospital¡¯s spacious conference room in the surgical building was now packed. Official media such as the city¡¯s newspaper and television station had been invited and were legally present. Other journalists, such as those from online media, had managed to infiltrate by bing tea and water servers through various connections. For an event this big, everyone wanted thetest information first hand. One must know, for some websites, a heavyweight news piece that attracts attention could bring immeasurable traffic. Secretary Luo sat in the front row, in the middle of Dean Xia. Policemen, Public Security Bureau staff, Health Bureau staff, newspaper staff, and TV station staff lined up on both sides. Secretary Luo was nervous. He had been in politics for many years and had developed aposure that was difficult for ordinary people to match. He had handled countless public events, but he still felt tense. After the ident, the First Deputy Mayor went to the scene tomand Rescue; the other leaders of the municipal government went to various hospitals to direct rescue operations. Secretary Luo was assigned to Sanbo Hospital. ¡°Want some water?¡± Dean Xia pointed at the mineral water. Secretary Luo realized that he hadn¡¯t drank any water from the bottle in front of him. He slowly unscrewed the cap, took a sip, and coughed a few times. The operation continues! Thements continue! ¡°They¡¯ve started on the palm.¡± ¡°The rhythm is so clear.¡± ¡°After the palm, there are five fingers left. Each has two joints, so it¡¯s like dealing with ten fingers. My scalp is tingling!¡± ¡°It¡¯s four fingers, which is like eight.¡± ¡°What about the thumb?¡± ¡°Didn¡¯t you read the case summary? They didn¡¯t find the thumb at the scene, they¡¯ll probably have to do a stump repair.¡± Stump repair is when the stump doesn¡¯t have a finger attached, and the wound is simply cleaned up and sutured closed. Chapter 22: 0021 A Stunning Success (Part 2) Chapter 22: 0021 A Stunning Sess (Part 2) The surgeon pulled it off. The challenge was a sess! Everyone was full of sighs, as if they¡¯d just gotten off a rollercoaster. Hong Zhigang sat there, unmoving. His curiosity piqued about this junior who he had lost contact with for over ten years. Stable hands, pushing the surgery forward at a speed of a bundle every ten or so seconds. In this way, just around four to five minutes were required to anastomose a nerve. In effect, all three nerves were reconnected in just over ten minutes. This was the speed of proficient hand surgeons performing neural anastomosis. Hong Zhigang marveled. It was no wonder he had the audacity to use the fascicr method. Honest to God, the oue of the fascicr stitching technique was far superior when repairing peripheral nervespared to the epineural stitching. Given a limb amputation, if you don¡¯t consider function and focus solely on survival, it¡¯s meaningless. Many patients after limb reattachment, because the reattached limb doesn¡¯t function, choose to have it amputated. It¡¯s a burden. The functionality of a reattached limb post-surgery hinges on the restoration of damaged nerves. If sensory nerves don¡¯t recover, patients are prone to burns, frostbites and, at times, ulcers due to breakdown of skin. If motor nerves are not repaired, limbs can¡¯t move and they¡¯re merely a burden. For the second amputation site on the forearm, they followed the same sequence and method as before. The blood vessels are getting tinier. The amputation site on the hand, anastomoses were done on the superficial and deep palmar arches, four veins, and thirteen tendons. This was no longer exciting enough to hold everyone¡¯s interest. Many chose to take a break and the barrage ofments declined sharply. It seemed like everyone was waiting. When they started on the fingers, everyone had to forcibly bring their attention back. While the fascicr method is impressive, it¡¯s limited to stitching nerves and it¡¯s hard to draw a conclusion. Now, the core technique of microsurgery¡ªthe anastomosis of finger blood vessels¡ªwas about tomence! The barrage ofments reduced considerably, as everyone tuned in intently, afraid of missing any detail. ¡ª ¡°We¡¯ve been waiting for this! Finger blood vessels, they¡¯re stitching the finger blood vessels now.¡± ¡ª ¡°Would you want to take a short break? Let Song Zimo take over for a bit, catch your breath? I can scrub in as well.¡± Old Han suggested. Yang Ping replied, ¡°I can still hold on. I¡¯ll let you know if I can¡¯t.¡± Old Han went back to observing the screen, he knew what was at stake. After all, even if it was reattachment of an infant¡¯s severed finger, it was a familiar knowledge, this adult¡¯s blood vessels were several timesrger than an infant¡¯s and would be so much easier to operate on. What Old Han was concerned about was fatigue, as fatigue can diminish one¡¯s abilities. Whether due to fatigue or to best control power to avoid causing tearing force on the vessel wall, Yang Ping slowed down. This allowed Song Zimo to take the opportunity to enter under-microscope surgical field and assist. Song Zimo took a deep breath and adjusted to his optimal state. While Yang Ping was tired, he was recharged. He was prepared to catch up with the rhythm. The instruments and sutures, like spirited little elves under the microscope, weaved in and out. They maintained a certain speed without causing significant tension from the friction between the thread and the blood vessel wall. The best bnce was achieved between the two. Yang Ping was like a machine operating under themand of his brain. His body was highly coordinated. Even his breaths were terrifyingly even. From Old Han¡¯s perspective, Yang Ping looked like a sculpture, calm and focused. Apart from his hands, every other section of his body remained still. There was no sweat on his forehead like there was supposed to be. At this moment, even if the earth shook and the mountains moved, he probably wouldn¡¯t be affected. He waspletely immersed in another world, his own world. In this world, surgery was everything! ¡ª ¡°So perfect it leaves one breathless!¡± ¡°I doubt that the surgeon is a person. Could it be a state-of-the-art surgical machine? Each stitch is so perfect¡ªonly a machine can achieve that level of perfection.¡± ¡°The Chief Surgeon has been leading all along!¡± ¡°Is this an advertisement for Redbull?¡± ¡°No, it¡¯s for Viagra!¡± ¡°Finally, the assistant hase into view.¡± ¡°Let me repeat, this is Beijing. Top three hospital. Our top microsurgeon admits to being no match. Yes, I¡¯m saying this on the record.¡± ¡°Look closely, not a single stitch needs adjusting.¡± ¡°This is as easy as sewing skin for me. Who ys like this? Do they want us to live?¡± ¡°Ah! How can the difference be so great?¡± ¡°The world is so vast; I want to go see it!¡± ¡ª Operating room. ¡°Director Han!¡± Dean Sun must have walked in at some point. Dean Xia was inmand in the meeting room, while Dean Sun was in charge of coordination in the operating room. ¡°Everything is going smoothly!¡± Old Han replied as he turned around. Dean Sun whispered something into his ear. Old Han then got up to go out with him. They walked out of the operating room and the automatic door opened. In the family waiting area, an elderly woman, with the support of a young woman, was walking over. A few young men were following them. The elderly woman held a handkerchief, incessantly wiping away her tears. Dean Sun introduced her, ¡°This is the mother of our hero.¡± Old Han immediately stepped forward to shake her hand in salute. The elderly womanposed herself and said, ¡°Doctor, could you try to reattach Qiangzi¡¯s thumb as well?¡± The thumb? The thumb wasn¡¯t found, so it couldn¡¯t be reattached. The only option was reconstruction during the second phase. After this surgery is sessful, at least a monthter, another operation would take ce. A toe would be taken and attached in ce of a thumb. The olddy hesitated for a moment, then said, ¡°Could you take my thumb and attach it to him?¡± ¡°Take mine! Take mine!¡± The young men behind her chimed in simultaneously. This goespletely against medical principles! For someone else¡¯s finger to be attached, it requires intricate treatment, such as immunosuppressive therapy to prevent rejection, otherwise, the transnted tissue won¡¯t survive because of rejection. The cost of such treatment is high, the price is too great. In cases of kidney or liver transntation, the objective is to save lives, and there aren¡¯t any better alternatives, so no matter how high the cost or how big the price, it¡¯s worth it! But fingers are different, even if lost, they don¡¯t affect life, especially when there is a better option¨Cconstructing a new thumb from a free second toe. ¡°No! Definitely not!¡± Old Han patiently exined. ¡°Please! Doctor, can you take a toe as you just mentioned?¡± the old woman asked. ¡°Yes!¡± Old Han said. ¡°Then why wait, can it be done now?¡± the old woman hastily asked. ¡°That¡¯s also not possible, it¡¯s too dangerous! This operation should be left for the second phase. Wait until this operation is done, and the limb has survived, then consider taking the toe to rece the thumb. Doing this operation now would not only prolong the operation time, but if the limb reimntation fails, a toe would be wasted for nothing.¡± Old Han maintained patients. ¡°I see!¡± The old woman was very disappointed. She then pleaded, ¡°Doctor, please try to find a way.¡± ¡°Doctor, it¡¯s fine, we are willing to take the risk. If Qiangzi were awake, he would definitely agree.¡± The young woman said. ¡°No!¡± Old Han decisively refused. The family members didn¡¯t want to push any further and turned to leave. Old Han felt that he was too harsh, so he lowered his voice and asked gently, ¡°Could you tell me why you insist on this?¡± Upon hearing Old Han¡¯s words, the family members felt they saw an opportunity and immediately returned. The old woman said, ¡°Doctor, Qiangzi¡¯s father is hospitalized and the doctors say he won¡¯tst much longer. He heard about Qiangzi¡¯s ident and is very worried. We told him that Qiangzi¡¯s hand was reattached and didn¡¯t lose a finger. He is very stubborn and insists on seeing it for himself. He is already on his way here. If he sees Qiangzi missing a thumb, especially on his right hand, he would worry a lot¨Che probably won¡¯tst until the next surgery, we want him to pass away peacefully.¡± Old Han was silent for a moment and said, ¡°We will try our best to find a solution, but we must prioritize saving lives.¡± ¡°Of course, thank you!¡± Old Han returned to the operating room and looked at the patient¡¯s vital signs on the monitor, ¡°How¡¯s it going, can the patient still tolerate it?¡± The anesthesiologist said, ¡°The young man¡¯s situation is fine, it¡¯s just that he¡¯s losing a lot of blood. There are no other injuries, as long as the blood transfusion and fluid recement can keep up, it shouldn¡¯t be a problem, he should be able to withstand another ten or so hours.¡± Old Han looked at the timer on the wall panel, good God, it¡¯s been over three hours already. If they could finish the reconstruction of the thumb within an hour, extending the time should not be a problem. But, is it necessary to take this risk? The patient is under general anesthesia and cannot be consulted. Old Han paced back and forth in the spacious area of the operation room. Then he sat down and rhythmically tapped his fingers on his thigh. There¡¯s no question about Yang Ping¡¯s capabilities, but after several hours of work, fatigue is inevitable and energy will decrease. I don¡¯t know if he can keep going. If not, I will have to step in. ¡ª ¡°I¡¯ve guessed it, this is deliberately done by Mo Sixth. Is the surgery performed by Professor Hong Zhigang?¡± ¡°Professor Hong just spoke at the video conference, how could he be in two ces at once?¡± ¡°Then it must be his rising star¨CProfessor Wen.¡± ¡°Stop talking, it¡¯s not Mo Sixth!¡± ¡°How can you be so sure.¡± ¡°Professor Wen is right in front of us.¡± ¡°Holy Moly! Big shot from Beijing, respond.¡± ¡°It¡¯s not me!¡± Professor Wen, Professor Hong Zhigang¡¯s most-admired student, Song Zimo¡¯s idol. In the industry, there¡¯s a story about this¨C Back in the day, Professor Hong recruited a graduate student who had a high talent for microsurgery, but after the interview, he disappeared and said he wouldn¡¯t pursue a Masters degree. When Professor Hong investigated, he found that the young man was working at a private orthopedic hospital. He then went to the hospital in haste. After a face-to-face discussion, it turned out that the man was in a financial bind. His father was hospitalized due to illness and he was going around trying to collect medical fees. He reluctantly gave up pursuing a Masters degree to keep working and earn money. On the spot, Professor Hong dered, ¡°In that case, youe and join the Masters program. Tell me, how much money do you need to solve your current difficulties? Give me your bank ount number, I¡¯ll transfer it to you. Plus, I¡¯ll cover your tuition for the next few years.¡± The man was so touched that he was barely able to hold back his tears. He was so grateful he wanted to kneel and bow. This way, Professor Hong got a rare talent, the kind thates once in a veritable blue moon. This graduate student was Professor Wen¨CWen Rentao. He studied for both a Master¡¯s degree and PhD under Professor Hong, andter studied abroad. He eventually stayed at Magic City Sixth Hospital and became Professor Hong¡¯s most outstanding deputy. Wen Rentao is a peak figure of the younger generation in orthopedics. He¡¯s made breakthroughs in multiple fields and published several papers in the international top-tier journal, The Lancet, garnering a high citation rate. This story spread in the industry, to the extent that those who could not afford to pursue Master¡¯s degrees were advised, ¡°Why not pursue your Master¡¯s under Professor Hong Zhigang at Mo Sixth?¡± ¡ª ¡°This isn¡¯t surgery, it¡¯s a car race!¡± ¡°A rollercoaster ride!¡± ¡°Finally it¡¯s over, restoring the thumb now and reconstruction in a second stage!¡± ¡°Meeting is over!¡± ¡°Bring in your clothes, it¡¯s raining!¡± There was a moment of silence. ¡°Holy Moly, what does that mean? This isn¡¯t a set up for reconstruction¡­ They¡¯ve opened up the snuffbox? Blood vessels being examined? Are they going to do an emergency reconstruction?¡± ¡°They¡¯ve gone insane. Truly insane! You¡¯re already impressive enough. Are you really going to challenge the absolute limits?¡± ¡°I feel dizzy!¡± Chapter 23 - 0022 – Remarkable (Continued) Chapter 23: Chapter 0022 ¨C Remarkable (Continued) A gasp of surprise, and the barrage ofments immediately revived. ¡°Emergency reconstruction! Emergency reconstruction of the thumb is required!¡± Someone in the orthopedic conference room of Magic City Sixth Hospital shrieked. The live broadcast that was originally intended to be shut down was kept going. ¡°Professor, shouldn¡¯t it be time for lunch?¡± A student came over and whispered a reminder. Oh yes, lunchtime had long passed. They had spent the whole morning watching this live broadcast and had forgotten to eat. Hong Zhigang looked at his watch and realized it was already past two o¡¯clock. ¡°Didn¡¯t we order boxed meals?¡± Hong Zhigang remembered. What the student meant was ¨C could the boxed meals be distributed now? Hong Zhigang nodded: ¡°Go ahead, let¡¯s eat and watch. Everyone seems to be enjoying this.¡± Hong Zhigang himself was quite interested too. A few graduate students carried several baskets of boxed meals and started to distribute them one by one. The meal sets, which consisted of three dishes and a soup ¡ª beef, fried eggs, tofu skin, additional vegetables, a rib soup, a bottle of mineral water, and a pack of tissues. Some ced the boxed meal in front of them without opening it; others kept their eyes on the screen, mechanically feeding themselves with chopsticks, barely registering whether they were eating or not. In any case, they consumed this meal without tasting it. ¡°Any thoughts?¡± Hong Zhigang turned his head to ask. Wen Rentao did not reply but asked, ¡°Is this another masterpiece by Uncle Han?¡± He immediately realized he had said something he shouldn¡¯t have, but it was toote. Han Jiangong was a taboo subject when chatting with Hong Zhigang. None of his students dared to mention this name in front of him. However, Hong Zhigang did not get angry. He sighed and said, ¡°Who else could it be besides him?¡± ¡°Professor, you are a Golden Knife Award winner!¡± Hong Zhigang said nothing more. ¡ª ¡°I¡¯ve ordered takeaway, let¡¯s stay on this until the end today.¡± ¡°This lunatic is too confident.¡± ¡°Indeed impressive, but a bit too arrogant.¡± ¡°I hope the organizers track the survival and function of the severed limb.¡± ¡°Can it be defined as showing off?¡± ¡°A quick hello from Mo Sixth.¡± ¡°Of course, we will follow upter.¡± ¡ª ¡°Xiao Yang, can you still hold up? Or should I wash my hands and take over the stage? You can rest for a while.¡± Old Han was concerned, but at this point, it was crucial. Even if this five-segment limb rentation fails or necrosis urster, it would not tarnish their reputation. However, in a situation like this, to carry out an emergency toe-to-thumb transntation, if the operation fails, they would be drowned in their colleagues¡¯ spit. Even top-tier hospitals in the industry dare not make such a decision. That¡¯s why people believe that this is an explicit challenge, a disy of recklessness, a form of blind confidence, ignorant arrogance, and craziness that disregards consequences. ¡°It¡¯s okay, I will rest afterpletion. Half an hour more wouldn¡¯t make a difference,¡± Yang Ping casually said. Old Han gave him a quick nce and thought: this kid has some spunk. Song Zimo was across from him, quietly saying, ¡°Isn¡¯t it enough? Should we call it quits? The way we are wrapping up is entirely in line with medical principles. What if¨C¡± He did want to challenge Yang Ping on an emergency thumb reconstruction, but what if something goes wrong? All their efforts would be in vain, and they would face the me from their colleagues. ¡°What about you? Tian Yuan, what¡¯s your opinion?¡± Old Han urged. This was a small-scale and straightforward discussion. Tian Yuan had been watching the screen too, she said, ¡°It isn¡¯t quite appropriate, the reconstruction can definitely be done in a second phase. But from what I just heard you saying, I think, if it were me, I would take the risk and continue.¡± Old Han tapped his fingers again, thought for a moment, and stood up, ¡°Tian Yuan, take Fang Yan, prepare to disinfect, and remove the second toe of the left foot.¡± As they had not nned for an emergency thumb reconstruction, the left foot hadn¡¯t been disinfected and was covered by arge sterile sheet. Tian Yuan and Fang Yan began to remove their surgical gowns and rewashed their hands to disinfect and prep the left foot. Being familiar with the routine, they quicklypleted the preparation. ¡°Ready to start?¡± Tian Yuan asked. ¡°Begin!¡± Old Han decisively said. Tian Yuan held the scalpel right, made a neat V-shaped incision near the metatarsophngeal joint of the second left toe, dorsal and ntar side, then skillfully began the dissection. While freeing the dorsal vein connected to the second toe, she gradually moved proximally to dissect out the dorsal venous arch and the great saphenous vein, extending to the front lower part of the medial malleolus, cutting and ligating branches, and transecting. The dorsalis pedis artery waspletely freed to ntar perforating branch, continued to the first dorsal metatarsal artery, and along the first dorsal metatarsal artery, the dissection was extended to the bifurcation at the web, cutting and ligating unnecessary branches, roughly equivalent to transecting the dorsalis pedis artery at the level of the vein. Then she dissected out the nerve of the second toe and cut it at the required length. She chose a sufficient length, cutting both the long and short extensor tendons of the toe, and the long and short flexor tendons of the toe. Finally, the buzzing sound of the saw cut off the bone. The second toe was sessfully removed. Why choose the second toe? Because its size is close to the thumb. Fang Yan began to trim and stitch the skin. Tian Yuan handed over the removed toe, which Song Zimo took. In fact, the removal of the second toe causes minimal visual impact. Whether it is four toes or five, it¡¯s often hard to tell at a nce, and if you put on shoes, it¡¯s even less of a problem. The hollow section where the thumb meets the wrist is where the toe is typically attached in thumb reconstruction surgeries, to connect the blood vessels. Yang Ping had already opened up this hollow section, and the cut off region of the palm had conveniently avoided this area, making the locating of the blood vessels very easy. However, even though this was ideal, the blood vessels for the reconstructed thumb would still need to pass through three cut-off points. Performing a simple thumb reconstruction using a toe is not difficult for a hand surgeon, and is in fact a standard operation that every hand surgeon must master. However, the situation today is different. Five severed parts, and it¡¯s an emergency reconstruction. It¡¯s like, for a motorcyclist daredevil, a single flip is not difficult, but to do it on a tightrope is a considerable challenge. Hong Zhigang stared at the screen. He had a faint feeling: was this his junior colleague¡¯s challenge to him? The fascia suturing just now could be done swiftly enough not to affect the surgery time. The emergency reconstruction now is not just a matter of technique anymore. One couldpletely opt not to do it this way, to do a secondary reconstructionter, and no one would have any objections to that. If the emergency reconstruction fails, then this operation, which could have been the pinnacle, would be branded as foolish, and criticisms would be legion. This could do great harm to a doctor¡¯s reputation. The blood vessel for the reconstructed thumb needs to flow through three cut-off points. Even a single poorly ced stitch could lead to failure. The viewers¡¯ focus was no longer on the technique but on whether he dared do it, and where his courage came from. ¡ª- ¡°He¡¯s really doing it?¡± ¡°Yes, he is!¡± ¡°If this is sessful, it could go down in textbooks.¡± ¡°I don¡¯t even know what to say.¡± ¡°I support the surgeon, a surgeon needs to be bold and meticulous, always challenging difficulties. If everyone just rigidly follows the rules, how will surgery progress? Salute!¡± ¡°Salute!¡± ¡°The most incredible academic conference I¡¯ve ever attended, I will remember this forever.¡± ¡ª The surgery proceeded without a hitch and waspleted within half an hour. ¡°Vital signs?¡± ¡°Normal.¡± ¡°Urine volume is normal.¡± ¡°Count the gauzes, instruments¡± ¡°Rinse, ce a drainage strip, and suture!¡± Under the microscope, they performed the final round of hemostasis using the Bipr Electrosurgical Pencil, ced in a drainage strip, and then sutured the skin. The gauze was loosely applied, followed by loosely fitting sterile bandages. The prepared arm support frame was handed over, and the injured limb was carefully secured in it. The blood cirction in all five fingers was excellent! ¡°The procedure ispleted!¡± ¡°Begin anesthesia recovery!¡± ¡°Recovery of autonomous breathing, sessful extubation!¡± ¡°Send the patient to the trauma ICU for monitoring!¡± The entire operationsted 8 hours and 11 minutes. ¡ª ¡°Is it over?¡± ¡°It¡¯s over!¡± ¡°Will there be such live broadcasts in the next conference? ¡°Salute! The Hand of God!¡± ¡°The hospital, what¡¯s the name of the hospital?¡± ¡°Damn it! How is my Coke still here? What the hell did I just drink ¨C¡± Thest bullet screen! ¡ª The video was closed. Chapter 24 - 0023 Press Conference Chapter 24: Chapter 0023 Press Conference Ding Dong! Task: Make a Big Ssh Completion: Perfect Reward: 16000 points, plus 1 random gift The subtitles appear in the upper right corner of the vision, apanied by a female voice. The surgery has finally ended! Yang Ping stretched his limbs, and Director Han personally helped him untie the strap behind his surgical gown, the inner gown was soaked as if it has just been pulled out of the water. Havingpleted the sterilization of the instruments, Su Yixuan¡¯s first act off the stage was to rush over and, heedless of the crowd in the operating room, jump up to hug Yang Ping. This man, who had never had a girlfriend before, felt his heart pounding at the young girl¡¯s actions. Happiness came so quickly that his heart was not prepared. Su Yixuan barely hugged him before letting go, leaving Yang Ping somewhat disappointed. He had thought she would nibble on his face, which is how it was always shown on TV. Even with a mask on, he wouldn¡¯t mind. Anesthetist Liang Jing, punched Yang lightly and then patted his shoulders: ¡°Today was too thrilling, next time, let brothers fly with you.¡± ¡°Flying is possible, but lose weight first,¡± someone piped up unexpectedly. Tian Yuan, Song Zimo, Fang Yan, Zhang Lin, and Little Five all took off their surgical gowns, came over, and shared a group hug, like brothers who had just stepped off a battlefield. Old Han chuckled, looking like a child, hummed ¡°The Drunken Concubine¡±, his head swaying rhythmically with the melody. His phone rang, beep after beep and Old Han pulled it out. Congrattions from General Surgery! Congrattions from Thoracic Surgery! Congrattions from Urological Surgery! Neurosurgery¡ª Dean Sun rushed to the operating room, shook hands with each team member, took photos, and extended his warm congrattions. Secretary Luo and Dean Xia conveyed their congrattions through a connected video, and immediately issued directives. Secretary Luo was very pleased, a strand of hair on his forehead gently shaken, and he coughed a few times. He said, ¡°Use the best medicine, the best equipment, the best technology, and the best whatever was it?¡± ¡°That¡¯s about it!¡± Dean Xia gently reminded from the side. ¡°Hmm, curb arrogance and impetuosity, ensure the sess of subsequent treatments.¡± ¡°Let Song Zimo and Zhang Lin transport the patient, we will rest in the changing room for a while. The chef in the cafeteria is busy preparing a few hot dishes, which will be delivered soon. Let¡¯s go.¡± Old Han slung his arm around YangPing¡¯s shoulder. After the anesthesia wore off, Song Zimo and Fang Yan, along with the anesthetist and nurse, escorted the patient back to the ICU. Tian Yuan also followed them. Little Su Yixuan, wearing gloves and pushing the instrument cart to clean the instruments, didn¡¯t forget to make a cute goodbye gesture to Yang Ping. In the changing room. After changing clothes, Old Han sat down on the long bench to rest. He beckoned, ¡°Come here, sit down and rest for a while, we will eat soon.¡± Yang Ping, making himself at home, sat down beside him: ¡°For the next two weeks, I n to stay in the department around the clock until the severed limb is out of danger.¡± Old Han nodded, ¡°Hmm, this patient is the cynosure of all eyes, not only among colleagues but also among the entire G City popce, we can¡¯t afford to make a mistake. After all, this was not just a five-segment amputation, but also an emergency thumb reconstruction. Besides ensuring survival, we need to take precaution against infections and acute renal failure, and try to restore functions as much as possible in theter stages.¡± ¡°Did you know? The entire surgery was live-streamed on the Orthopedic Trauma Network Conference!¡± ¡°Ah?¡± Yang Ping gasped in surprise. He had been so focused on the surgery that he had beenpletely unaware of the live broadcast. ¡°Didn¡¯t tell you because I feared it might put additional pressure on you.¡± ¡°You have no idea, today¡¯s live broadcast was incredibly exciting! Those bulletments were really interesting, I sat there all morning without moving.¡± Old Han chuckled again. Looking at Yang Ping¡¯s surprised expression. Old Hanughed, ¡°Don¡¯t be so shocked, who doesn¡¯t have a few coarse words.¡± ¡°This year¡¯s Orthopedic Trauma Network Conference? It¡¯s hosted by Magic City Sixth Hospital, right? Director, you also came from there?¡± Yang Ping was aware of this conference. ¡°Yes! It¡¯s been ten years since I left there.¡± Old Han¡¯s eyes looked a bit vacant, as if he was reminiscing about something. Just then, Tian Yuan came in to call them for dinner. He had been looking everywhere for them before finally finding them in the changing room. ¡°No more talking, let¡¯s go eat!¡± Old Han instantly got up. The dining hall of the operating room, where the doctors ate during their rest breaks during surgery. ¡°Here, chicken leg, you eat it. It¡¯s clean, untouched. You need it for growth.¡± Old Han picked up a huge chicken leg with clean chopsticks and put it into Yang Ping¡¯s bowl, and then forcefully pushed it down. ¡°Man, I¡¯m in my twenties already, I¡¯m not growing any more.¡± However, he was really hungry, so Yang Ping picked up the chicken leg and started eating. In a flurry of activity, he quickly finished his meal, wiped his mouth, and left. The two of them headed to the trauma ICU to check on the patient. The patient was conscious, his vital signs stable, and his limb cirction was good. All five fingers were red and plump. After seeing the patient, they returned to the ordinary ward on the 7th floor. Exiting from the elevator, this particr elevator opens to the interior of the ward corridor, without needing to pass through the main entrance of the ward. They heard a bustling noiseing from the direction of the main door, curiosity piqued, they went to see what was causing themotion. Many people were gathered at the entrance, pushing their way in, while security personnel formed a human wall to block them. Upon seeing the situation, Old Han lost his temper. A security guard ran over, his face sweaty: ¡°Director Han, these people are trying to force their way in, saying they want to interview the surgeon.¡± ¡°Where is the PR department? Didn¡¯t I tell them that nobody is allowed in the ward? If they wish to conduct interviews, they should go find the PR department!¡± Old Han shouted furiously. ¡°There are even more people at the PR department? It¡¯s bordering on a stampede.¡± ¡°One-eight-one-eight! This is One-nine!¡± ¡°What? Assist you guys? No way, we can¡¯t hold our position here any longer¨C¡± The security guards were shouting into the walkie-talkie, red-faced and neck bulging. ¡°Lock the door, only let patients or visitors enter with ID.¡± Upon saying this, Old Han waved his hand. The security immediately shouted, ¡°Close the door, close the door.¡± Several security guards at the entrance began to use all their strength to close the main door, while the crowd outside persisted in resisting, hoping to prevent the doors from closing. ¡°Old Han, quickly bring your team over, especially Yang Ping. Administrative Building No. 2¡¯s small meeting room, a press briefing, quickly, everyone is waiting.¡± It was Dean Xia¡¯s voice. Press briefing? Yang Ping felt a bit nervous, he did not like to be in the public eye. As for meet-and-greet sessions ¨C those always have a concrete goal, but a press briefing¨C Building No. 2¡¯s meeting room was already packed with people, with even military police maintaining order. Seeing Old Han appear, Dean Xia strode over: ¡°Old Han, you must be tired from the operation, originally I didn¡¯t want to trouble you. But these journalists nearly broke down the door of our PR department. Mayor Li specifically instructed Secretary Luo that we should showcase this positive event. Don¡¯t you think it¡¯s also an opportunity for us? Social influence!¡± With the assistance of the military police, they finally squeezed into the conference room, With the assistance of the military police, they finally squeezed into the conference room, which was already in progress. The stage in the small conference room was quite low, only about ten centimetres high. On it, there was a long table with a red carpet spread. In the middle sat Secretary Luo, to his left sat in order: military police, health, public security¨C , to his right Dean Xia, Dean Sun, the head of the PR department, and to the right of them were empty seats. A stewardess led Old Han and Yang Ping to their seats. The seats next to Dean Sun were for Old Han and Yang Ping, their names were already written on the electronic table card. The meeting room was swelling with people, the aisles in the middle and on both sides were lined with numerous cameras, journalists seated and standing, holding wireless microphones, all staring at the stage. Outside the door, people were still trying to squeeze in, blocked by the military police. One managed to sneak in while a military cop was distracted, darted under an arm and rolled in, then stood up. ¡°Don¡¯t be scared! We¡¯re just sitting around, if someone asks you a questionter, our PR department will pass you a note.¡± Old Han tried to calm Yang Ping. From childhood, I¡¯d stutter and blush just speaking a few sentences on stage, and now I¡¯d have to answer questions, isn¡¯t that like pushing me into a firing line? Yang Ping grumbled in his mind. The entry of Old Han and Yang Ping caused a flurry of activity. ¡°Are these the surgeons?¡± ¡°One of them seems very young!¡± ¡ª ¡°Alright, everyone, if anyone has a question, one at a time please! Keep in mind, given therge number of people, everyone only gets one chance to ask a question, and please keep it shorter than three minutes.¡± The head of the PR department spoke into the microphone like a television host, calm and collected, his clear and maic voice echoing in the conference room. The conference room quieted down a bit. ¡°Here you go!¡± The stewardess handed the closest microphone. A woman in a long skirt and sses took the microphone: ¡°Hello, I am from G City TV station, I¡¯d like to ask, who does this pair of hands belong to?¡± She took out a photograph, which was obviously a video screenshot, then printed as a photo: under the microscope, a pair of hands were performing vascr anastomosis. The photo was passed up to the stage for identification! ¡°Um, this is our lead surgeon!¡± ¡°Is he on stage right now?¡± Damn it, this isn¡¯t following the script, weren¡¯t the questions already sorted out? The experienced PR department head remainedposed: ¡°Yes, he¡¯s sitting on the stage now.¡± ¡°Can we find out which doctor he is, the one known as ¡®God¡¯s Hands¡¯ by his colleagues?¡± The female journalist cut straight to the point. What now? The quick-witted PR manager immediately responded: ¡°Please, our lead surgeon, wave hello to everyone!¡± ¡°Old Han, Old Han, wave to everyone.¡± Dean Sun nudged Old Han in the side. Now was the time, of course, to push forward their figurehead, the shining star from Magic City Sixth Hospital, top-notch in the field of trauma orthopedics nationwide, Old Han. Pushing a young man forward wouldn¡¯t be appropriate, what if he couldn¡¯t handle the pressure from the journalists, that would make a mockery of the asion. ¡°Yang Ping, stand up!¡± Old Han patted him on the waist. What did that mean? Weren¡¯t we just supposed to sit here? Why am I suddenly being thrown under the bus? Old Han, that¡¯s not fair! Yang Ping felt embarrassed, but had no other choice than to stand up. ¡°Old Han, what are you doing? This young man, hecks experience.¡± Dean Sun was furious. Old Han whispered: ¡°I¡¯m over fifty, the youngd doesn¡¯t even have a girlfriend, some exposure might help him solve some personal problems.¡± ¡°Wow, he¡¯s so young!¡± Someone eximed. ¡°Hello! I would like to ask this doctor, at that very moment, with such a critical situation? Such a high-risk surgery? And all sorts of pressures arising, you must have had a lot of thoughts, could you share with us what your feelings were like at that moment?¡± The female journalist asked. The room was a bit out of control, the head of the PR department looked around, this was not going ording to script. Everyone held their breath, waiting for the answer. Chapter 25 - 0024: This Kind of Interview is Killing Me! Chapter 25: Chapter 0024: This Kind of Interview is Killing Me! Dean Sun was breaking out into a cold sweat. Old Han, Old Han, you really made a mess. It¡¯s such a big event, with media outlets from all over the city and the province, it¡¯s a total log jam. You put this kid out for disy. As things stood, they could only take it one step at a time. Dean Xia, along with Secretary Luo, left with their entourage since it was now the second half of the press conference. They were ready to wrap things up, but the journalists were fired up and insisted on interviewing the surgeon. Mayor Li made a phone call giving instructions: positively portray such a noble act. Secretary Luo figured they shouldply, let the journalists have their field day, digging up content to uphold the selfless dedication of medical professionals. Yang Ping stood up and picked up the microphone. The journalists looked at him, so young? This greenhorn, they¡¯d have to dig deep for some substantial news. Secretary Luo and Dean Xia, being old hands at political maneuvering, spoke in such official tones, not leaving any openings for journalists to exploit. The guy from the PR department was a professional, he could fend off anything the journalists threw his way. Deriving anything unique from him was harder than cracking open a bank vault. So they set their sights on this greenhorn. None of the journalists were not rubbing their hands with anticipation. Yang Ping faced the roomful of journalists, with aposed demeanor that seemed incongruous with his age experience. Thinking about tricking me? Dream on! Yang Ping snickered inwardly and calmly stated, ¡°The sacred duty of doctors is to save lives. At the time, our only thought was how to save the patient. We had no time for anything else. When a ne is in danger, the pilot¡¯s duty is to do everything in their power to control the aircraft, not to be distracted by unrted matters.¡± The room was in an uproar! Under such circumstances, he should at least depict the fierce and painful internal struggle, how the surgery was nerve-wracking, how dire the consequences of failure could be, how he was haunted by the Hippocratic Oath, and finally making the most difficult decision. He didn¡¯t think of anything at all? He just brushed off the question with a few words, this kid wasn¡¯t ying by the rules. ¡°From what I understand, this surgery is extremely difficult, especially the part where a toe is used to reconstruct a thumb. Most people in the field believe that it shouldn¡¯t have been done as an emergency procedure. What drove you to take such a risk? Was it just for fame?¡± The female journalist was clearly unsatisfied with the prior answer and proceeded to ask a follow-up question. Who asks a question like that? Was she deliberately trying to sabotage this? The director of public rtions felt things were spiraling out of control and internally groaned. The question was sharp, Old Han was regretting it, he had a paper in his hand outlining which outlet would ask what kind of questions and the appropriate responses. Wasn¡¯t it supposed to go ording to this? He looked for a while, couldn¡¯t find it! The question ¡ª clearly crossed the line. ¡°Let¡¯s use the analogy of flying a ne again, how do you get a ne in the sky? For you, it might be difficult, even impossible. But for a pilot, it¡¯s just their daily work, there¡¯s no difficulty involved.¡± ¡°You still haven¡¯t answered my question. What exactly were your considerations?¡± The woman reporter was pressing. ¡°There¡¯s no need for a reason. Let¡¯s say you take a flight, would you ask the pilot why they are flying the ne? Isn¡¯t that what they do every day? Saving lives is our job, when a patientes, we have to treat, we have to save. As long as there¡¯s hope, we have to take action. Would you say a pilot is flying a ne to post on their moment?¡± This response left the journalists speechless and the female reporter a bit disheartened, extremely unsatisfied. This guy, can¡¯t get a word out of him, seems like a novice, but he¡¯s actually clever, always deflecting, never falling for their tricks. Things were in disarray! Next one, next one! The director of public rtions hurried to wrap this up as soon as possible. ¡°Hello, I am a reporter from Doggy.Net.¡± A tall, thin, slightly hunched over gentleman, who adjusted his ck-framed sses, was clearly not an ordinary individual. The director of Public Rtions quickly looked him over, which media outlet was this, Doggy.Net? Who gave him the microphone? Doggy.Net? Just by the name they could tell it was no small fry. Then look at their video camera, the longest one in the room. It was set up like an anti-aircraft gun, if you didn¡¯t have a bit of mental fortitude, you wouldn¡¯t dare look at it straight. Yang Ping nced at the massive camera and calmly waited for the question. ¡°From what I understand, Dr. Yang used to work at the G City People¡¯s Hospital and only recently joined this hospital. A young talent like yourself, most hospitals would try their best to retain. What really happened that caused you to leave G City People¡¯s Hospital? For example, were you ostracized? Was there a love issue? Or something else ¨C¡± Forced out, clearly leading! Inducing! Old Han felt like mming his hand on the table, a real paparazzi, this guy. Heck, it¡¯s actually prying into his private matters. What¡¯s it got to do with him anyway? But with all these media outlets around, even if he gritted his teeth, he had to be patient. There certainly was someone stirring things up. Dean Sun quickly started approach the front of the seating area so he could make arrangements, they couldn¡¯t let this continue, it was going to spiral out of control. Yang Ping kept hisposure and said: ¡°Could you repeat the question? I didn¡¯t hear the question clearly just now, sorry.¡± The bespectacled elder gentleman crinkled his brows slightly with helplessness but had to repeat: ¡°Dr. Yang used to work at G City People¡¯s Hospital and only recently joined this hospital. A young talent like yourself, most hospitals would try their best to retain. What really happened that caused Dr. Yang to leave G City People¡¯s Hospital? Were you ostracized? Was there a love issue? Or something else¡ª¡± This time the question wasn¡¯t as underhanded, the instigation was faded, he merely restated his question verbatim. ¡°This is an excellent question asked by the gentleman. The professionalism is impressive and I find it great that this question hits right at my heart. Yes, there indeed was a reason and it was difficult for me to express. But seeing how inquisitive you are today, I¡¯ll make an exception and share.¡± Yang Ping¡¯s face was solemn, his expression seemed mournful as if it triggered some painful memory. This journalist was too wicked, Yang Ping yed along and carried on with his narrative, pretending to be hurt. Old Han Frowned, Goodness spend, his eyes really changed! Could it be that it really touched his soft spot and he¡¯s about to reveal his heart? After Yang Ping praised him, the spectacled elder gentleman felt instantly swell with pride. Beingmended publically with so many cameras around, this was a first in his forty some years. The entire venue was eerily silent. Crunch time had arrived and anyone who dare fart would attract instant mob justice. ¡°Ahh¡­¡± Yang Ping gave a long sigh. So,e on and spill the beans! Today¡¯s audience andizens love this sort of thing. Are you feeling oppressed? Just the mere mention of it is tantalizing. Emotional issues? Or could there be more ndestine secrets? Good lord, a love triangle? A pentagonal love affair? The deeper I think, the more intriguing it gets. ¡°Ahh, ahh¡­¡± And two more long sighs. Old Han shivered, ¡°Stop sighing and speak up, damn it. You¡¯re driving me nuts with suspense!¡± Everyone else was echoing the sighs, not daring to make a fuss, fearful that any louder noise would startle him. It was like a fish on the verge of biting the bait on the hook, with you not wanting to scare it away. ¡°Maybe I shouldn¡¯t say it. It¡¯s too painfully heartbreaking, even despairing.¡± Yang Ping¡¯s eyes were filled with sorrow, stirringpassion in everyone present. The bespectacled man perked up and reassured, patting his chest: ¡°We empathize with you. It¡¯s okay, speak your truth. We can help you, we can seek justice for you.¡± ¡°You can help?¡± ¡°Yes!¡± ¡°Then I won¡¯t be afraid. I will speak.¡± Afraid? Involving some forces? The deeper this gets, the more interesting it bes. We must dig, dig to death. The website traffic for this year depends on it, and annual bonuses are at stake here. Be it the gossip sites or even the legitimate TV station and daily newspaper reporters, everyone, including the big-bearded cameraman, were all eyes and ears. Even if they didn¡¯t report themselves, the human nature to pry into others¡¯ secrets was evident. But after waiting for a long time, the young man just wouldn¡¯t speak. It was exasperating! People were anxious and sweating: the big fish was ying with the bait but would not bite, you would understand how frustrating it could be. The bespectacled man pulled out a tissue to wipe his sweat: ¡°Go on, speak up, speak up!¡± And this was the chorus of the crowd. ¡°Alright, since everyone¡¯s so eager to encourage me! So concerned about me, I¡¯ll speak.¡± Yang Ping gathered courage, appearing as if he made a very important decision. So, the big fish finally took the bait! Bloody hell, it was hard work, even my decades of experience with the gossip website wasn¡¯t able to deal with you. Yang Ping arranged the microphone in position and everyone held their breaths yet again. ¡°I¡¯ve worked for several years at the People¡¯s Hospital and still haven¡¯t managed to get a girlfriend. Don¡¯t you find that discouraging? Heartbreaking? Torturous? Do I have to remain single if I don¡¯t switch environments?¡± Damn, this guy! The bespectacled man almost spat out blood and copsed. You beat around the bush just for this? I thought I¡¯d unearthed some explosive scoop. ¡°Thanks for offering help. As human beings, we must be honest.¡± Yang Ping remarked, looking towards the bespectacled man. ¡°Sure thing, definitely.¡± You bastard, you fooled me. I thought there was some real scoop. I almost nned out how to spend the year-end bonus, and you tell me this. Yang Ping chuckled inwardly. Are there more questions? I haven¡¯t even started messing with you yet, and you think I¡¯m a fool? The PR Director breathed a sigh of relief; that was horrifying. Among the crowd, an older reporter popped a heart pill into his mouth and pulled at his shirt in anxiety. It¡¯s better not to attend such press conferences in the future; they can literally kill. Next one, next one! Still want to ask? Everyone exchanged nervous nces. If they pressed on with the questions, they riskednding into a trap and making fools of themselves. This guy is even trickier to deal with than the oily officials. At least they only y around the bush avoiding the issues. But this boy here, if you¡¯re not careful, he turns the tables on you. Worse still, you risk public embarrassment and end up worse off. Not a single reporter dared ask another question. Next one, next one, next one! Yang Ping evoked a smirk and took a sip of water as he returned to his seat. ¡°No more questions?¡± ¡°I¡¯d like to thank all the journalist friends¨C¡± Grabbing the microphone, the PR Director quickly announced the end of the session. Chapter 26 - 0025 Rich People Chapter 26: Chapter 0025 Rich People The Public Rtions Director ended the press conference on time, arranging for Director Han and Yang Ping to slip away from the small exit of the conference hall. The two rode the elevator down to the first floor, safely out of sight. Even if they ran into reporters, they wouldn¡¯t be recognized. A few people were in a hurry, their gear indicative ofters from the press. When they ran into Director Han and Yang Ping, a journalist asked: ¡°Where is the press conference?¡± Director Han pointed in one direction: ¡°Over there, it¡¯s ongoing!¡± Without questioning where exactly ¡®there¡¯ was, the journalists rushed off in the direction Han pointed. The two men then left the hospital. ¡°You should go home and rest today, and take off tomorrow as well. Turn off your phone.¡± Director Han dismissed with a wave of his hand. Yang Ping was indeed feeling worn out, his strides stiff and arduous as he walked. He knew if he had to perform another surgery, he wouldn¡¯tst. After bidding Director Han goodbye, he returned to his ce, managed a shower, then copsed face-up on his bed. Thinking of Su Yixuan¡¯s embrace in the operation room earlier that day, Yang Ping felt revitalized, he touched his face which was still warm. He shouldn¡¯t have washed it earlier. If it meant receiving more embraces like that, he would dly take on ten more surgeries. Tsk, she was just happy. It¡¯s the same as shaking hands, he thought to himself. Yang Ping discarded these thoughts and excitedly essed his training system. He had earned a whopping 16,000 points. Checking his total, he was up to 17,000 points. With so many points on hand, he felt like a millionaire! In contrast to his earlier empty-handedness, this feeling was truly wonderful. Although he couldn¡¯t afford to splurge on soy milk and get two bowls at a time, he could at least now afford an extra spoon. The first page still disyed the training packages: Bone Traction Technique, Skin Grafting, Bone Grafting, Periosteum Separation Technique, Tendon Fixation Technique, Cast Fixation, Splint Fixation, Bandaging Technique, Local Anaesthesia, Amputation, Surgical Handwashing, Surgical Disinfection, Surgical Dress Changing, Surgical Positioning, Patient Transfer and more. All of these were basic surgical techniques, many of which were specialized for Orthopedics. The cost wasn¡¯t high, only a few hundred points each. The training time for each was short, varying from three, seven to ten days. He had already purchased a portion of these before. Scrolling further down, the second page had been unlocked, but all sections were greyed out: vicle Fracture, Humerus Fracture, Ulna and Radius Fracture, Femur Fracture, Tibia and Fib Fracture, Pelvic Fracture, Acetabulum Fracture, and more. All were trainings for fractures of the limbs and pelvis. He could read about these, but couldn¡¯t purchase them yet. Yang Ping wasn¡¯t sure when he would be able to purchase these or what the prerequisites were. The system had its quirks and he would need to spend more time to study it thoroughly. Yang Ping decided it was essential to purchase the basic techniques listed on the first page. As the saying goes, a towering structure starts from the ground up. With a solid foundation, the journey ahead would be smoother. After some calctions, he knew he would still have a decent amount of points left even after purchasing these pacakges, so he bought all of them. After undergoing all the training he¡¯d just purchased, nearly four months passed in the system. The experience wasn¡¯t as gruelling now. He had adapted to the system¡¯s time framework, and was especially engrossed when learning things of interest. The time seemed to pass quickly. Havingpleted the training, he checked the screen again, and to his surprise, found that all items on the second page had turned from grey to gold, indicating they were now avable for purchase. It turned out that he needed toplete all the training on the first page before he could purchase those on the second. The system¡¯s progression seemed to have its own arrangement. Yang Ping calcted that he still had over 9,000 points left. He had no idea what surgeries he might encounter in the future, so he decided to hold onto these points for now. The only procedure he was really adept at now was a finger rentation. For a significant amount of time toe, he would have to rely on finger rentations to earn and umte points. He would then gradually use these points to purchase more system training and improve other techniques. But Sanbo was a general hospital, unlike a specialised hand surgery hospital. He couldn¡¯t realistically expect many finger rentation surgeries, so his situation was still quite difficult. However, there were always more solutions than problems. For now, Yang Ping decided to take things one step at a time. After exiting the system, Yang Ping fell into a deep, satisfying sleep. He woke up at ten the next morning, casually ate something, read for a few hours, then went back to bed. When he woke up again, it was already past six in the afternoon. He had missed a dozen calls, all from Little Five. Yang Ping called him back. ¡°Hello! Bro, are you awake? There¡¯s a department gathering tonight, with the Emergency Department and the Operation Room too. We¡¯re going to the ¡®Five Lakes and Four Seas¡¯ restaurant. Hurry up! I¡¯m downstairs at our rental apartment building, you cane down now.¡± As soon as the call connected, Little Five immediately spoke, fearing that he wouldn¡¯t get a hold of Yang Ping again. Little Five and Yang Ping lived in the same building. Little Five was on the 16th floor while Yang Ping was on the 20th. Little Five had rented the apartments initially, saying it was better for the two brothers to watch out for each other. Yang Ping quickly freshened up. He was covered in sweat, so he needed a shower and a change of clothes. All these departments having a gathering together, there might be some beauties, especially that surgical nurse Su Yixuan. She would definitely be going. After showering and changing, hebed his hair while calling and taking the elevator downstairs. ¡°I¡¯m under the tree across the street!¡± Little Five instructed over the call. Yang Ping exited the building and stood by the road. Looking across the street, there was a car parked under a tree, but no one was in sight. ¡°The ck car, license te number¨C?¡± Little Five guided over the call. Yang Ping looked and saw a ck Audi A6 sedan parked by the roadside. Seeing no cars approaching from either direction, Yang Ping crossed the road, opened the passenger side door and got in. ¡°When did you get a car?¡± Yang Ping asked while fastening his seatbelt. ¡°It¡¯s Xiao Qing¡¯s,¡± Little Five replied. ¡°I slept the whole day away and nobody woke me up. Nothing happened at the department, right?¡± Yang Ping was worried about the post-op patients. Little Five answered, ¡°Director Han gave instructions not to call you unless it was absolutely necessary. I¡¯ve been waiting for you downstairs for more than an hour. If you didn¡¯t pick up, I was about to go upstairs and knock on your door. The patient with the severed limb, the blood flow is very good. Director Han and I went to see him when I got off work.¡± Yang Ping checked out the interior of the car. It was new, and he remarked, ¡°First, you swindled the girl, and now you¡¯ve swindled a car?¡± ¡°Bro, please reassess your worldview. This isn¡¯t swindling; she introduced me to her parents,¡± Little Five beamed proudly. ¡°Her parents approved?¡± Yang Ping inquired. Little Five nodded, ¡°They didn¡¯t just approve, they¡¯re pushing us to get married.¡± Yang Ping looked Little Five up and down. He had to admit, he was a bit envious. ¡°Director Han asked me to pick you up, they should all be there already.¡± Little Five started the car, moved a few meters, then stopped again, fumbling clumsily with the turn signal. ¡°Can you drive at all? I¡¯ve never seen you drive before. When did you get your license? Recently?¡± Yang Ping was getting nervous. ¡°Oh, I got it three years ago.¡± ¡°You haven¡¯t driven in three years?¡± Yang Ping rechecked his seatbelt was good and secure. ¡°It¡¯s been a while¡­ The turn signal, up is for a right turn, right?¡± Little Five continued fiddling. ¡°Bro, let me out. I¡¯ll take a cab there. You take your time,¡± Yang Ping was sweating with fear. ¡°Don¡¯t panic! A true brother would dare to sit in the passenger seat at this moment.¡± He then stepped on the elerator. The car shot off. Chapter 27 - 0026 Su Yixuan Chapter 27: Chapter 0026 Su Yixuan A spacious private room,rge enough to host several tables. ¡°Come,e,e! Xiao Yang, sit here.¡± Old Han called out as he saw Yang Pinge in. He had left a chair next to him. It was supposed to be for Yang Ping, who had no choice but to sit there. This central table was entirely filled with directors such as Director Han, Director Tian, Director Ouyang, Director Bai, Director Xiong of the Emergency Department, Director Pan of the ICU, the Anesthesiology Director, and the head nurse of the Operating room. Neither Dean Xia nor Dean Sun hade. Probably this was just a casual gathering amongst doctors. It could get too formal with the leaders around. Director Han would probably meet them individually. Yang Ping felt ufortable in such an environment, but there was little he could do. He sat silent, listening to their conversation. ¡°Old Han, you¡¯ve got this Italian cannon under you. Why don¡¯t you let him blitz often? I¡¯ve never seen him in the operating room.¡± The Anesthesiology Director wondered. ¡°Xiao Yang is new here, right? The infant fingers rentationst time was his handiwork.¡± The head nurse of the Operating Room had some insights. ¡°Infant surgeries are the most difficult. How old? Maybe it¡¯s a world¡¯s first.¡± Director Pan of the Trauma ICU wondered. Director Han responded, ¡°A one-month-old infant, with a blood vessel diameter of just 0.05 millimeters. Suturing blood vessels of this diameter represents the pinnacle of microsurgical techniques. Infant finger rentations are rare, for an infant older than one month, maybe it is the first in the world.¡± Director Xiong of the Emergency Department, sitting like a giant on a chair that seemed too small for him, said, ¡°This five-section rentation is impressive, emergency reconstruction no less! It was live-streamed on the National Trauma Orthopedics Network. Old Han, you must be feeling proud. How¡¯s the blood flow now? Any issues?¡± ¡°Very good indeed! I just checked.¡± Director Pan said. ¡°Xiao Yang, you came from People¡¯s Hospital, right?¡± Director Xiong inquired. Yang Ping nodded, ¡°I joined People¡¯s Hospital right after graduation and just recently moved over.¡± ¡°People¡¯s Hospital is headed by Wu Siwen, isn¡¯t it?¡± Director Bai asked, his overweight body risked toppling the chair as he turned towards Yang Ping. ¡°Yes! Director Wu.¡±, Yang Ping confirmed. ¡°Wu Siwen and I are alumni. He¡¯s a year junior, so technically my junior. Is Director Wu easy to work with?¡± Director Bai asked with a smile. Yang Ping replied, ¡°Director Wu is quite nice.¡± ¡°Nice? That man is notorious for being stingy, and can be cunning too.¡± Director Bai stated bluntly. The medical circle in G city was not too big. Everyone regrly met in meetings and knew each other quite well. ¡°He¡¯s preparing to be the Vice-Dean now. He saved Jiang Baicheng¡¯s son once. This Jiang Baicheng¡¯s influence spans politics and business. His Vice-Dean position might have something to do with Jiang Baicheng¡¯s maneuvers.¡± Director Bai seemed to know it all. ¡°I¡¯m not sure about that. I was just a temporary worker over there, a junior doctor, and had very few interactions with him. Over the years of work, we hardly exchanged a few words.¡± Yang Ping exined. ¡°People¡¯s Hospital ignored such a gem. They trained a talent for us! Coming to our Sanbo is indeed right.¡± Director Ouyang interjected. ¡°What¡¯s going on here? Serve the dishes! We¡¯ve been busy chatting. Serve the dishes and pour the drinks!¡± Director Xiong eximed. Several bottles of Feitian Moutai wereid out on the table. The waitstaff began opening the bottles, pouring the liquor into miniature bottles, and then serving everyone¡¯s drinks. Other than this central table, there were several others around with doctors from Orthopedics, Operating Room, Emergency Department, and Trauma ICU ¨C everyone who had participated in the rescue operation. Yang Ping sneakily nced around to see if Su Yixuan was present. The dishes were served quickly, and soon the table was full. Director raised his ss, ¡°This sessful rescue of the five-segment amputation was the result of everyone¡¯s concerted efforts. Under everyone¡¯s hard work, our Trauma Emergency Center will definitely grow stronger!¡± Drink up! Drink up! Drink up! Orthopedic doctors certainly didn¡¯t beat around the bush when it came to drinking. None of them flinched, except for Yang Ping. ¡°Xiao Yange now¨C¡± Director Xiong lifted his ss with his left hand and his miniature bottle with the right. After toasting Director Han, he moved on to Yang Ping. Director Han stood up and stopped Director Xiong, ¡°Xiao Yang can¡¯t hold his liquor. Today he indulged a bit in the spirit of the day, but we can¡¯t let him drink anymore. Let him stay aside while we have a st, ok?¡± ¡°If you say so, then it is. Come, let¡¯s drink up.¡± Director Xiong emptied his ss. Immersed in drinking and noise, the ambience of the room was chaotic and lively. Yang Ping slipped into a couch, away from the chaos, but with a view of the Operating Room table to see if Su Yixuan was there. The girl really looked charming. Her delicate features, ck shoulder-length hair, pink t-shirt that entuated her youthful vibrancy, and shapely figure. Her dimples appeared when she smiled, and her clear and ck eyes sparkled under long eyshes. Su Yixuan nced over, and Yang Ping wanted to avoid her gaze, but it was toote, he got caught. He smiled awkwardly, as Su Yixuan got up from the table and walked over. She had a cup of fruit juice in hand and was bouncing around with joy, ¡°Brother Ping,e on, have a drink. You¡¯re the big hero today.¡± Little Five handed him a cup of fruit juice, deliberately pressing the cup heavily into his hand, signaling him to seize the opportunity. ¡°Thank you! You did a great job assisting in the operation. Otherwise, it wouldn¡¯t have gone so smoothly.¡± Yang Ping didn¡¯t know what to say, he was a bit uneasy. Get a grip, Yang Ping! He scolded himself ¨C not afraid of reporters, yet scared of this young woman, stuttering in her presence. Su Yixuan grinned, ¡°The head nurse arranged for me to assist your team in the future. Please take care of me.¡± She made a bowing gesture, looking extremely adorable. Yang Ping replied, ¡°Let¡¯s look out for each other.¡± ¡°Do you want more juice? I can pour it for you. I like coconut juice, do you like it too? You¡¯re not drinking with them?¡± Su Yixuan asked. Coconut juice, Yang Ping didn¡¯t usually like it. But at that moment, he immediately replied, ¡°I also like coconut juice.¡± There really was no bottom line. As for the alcohol, admitting poor tolerance would be embarrassing, so he said, ¡°I¡¯ve had enough, just need a break.¡± What does ¡®enough¡¯ mean? He barely even finished a ss, only wetting his lips. ¡°As microsurgeons, you should drink less alcohol, or better yet, none at all! Here, fruit juice.¡± Su Yixuan poured more juice for Yang Ping. ¡°Let me pour it.¡± Yang Ping said. ¡°You¡¯re the hero today, let me do it.¡± Su Yixuan insisted. The directors were busy toasting each other, it was very lively. A few bottles of Moutai had long been reced. Song Zimo brought a cup of tea over, ¡°Big brother, let¡¯s have a drink. Yesterday was so thrilling!¡± Song Zimo, a man of high self-discipline who didn¡¯t touch alcohol, Yang Ping had long heard. Both men drinking tea or coconut juice, toasted each other, creating a drinking atmosphere. Song Zimo put his arm around Yang Ping¡¯s shoulder, ¡°You must teach me more when you¡¯re free. How did you master your microsurgery skills? You mustn¡¯t hold back.¡± ¡°We learn from each other, practice makes perfect!¡± Yang Ping responded. Little Five, Zhang Lin, and Fang Yan all came over to toast with Yang Ping. He had to use coconut juice as a substitute, and Su Yixuan sat next to him, constantly pouring juice for him. The scene was chaotic, and the atmosphere was very high. Su Yixuan asked, ¡°Don¡¯t you like crowds?¡± Yang Ping nodded honestly, the thing he feared the most was social asions like this. They gave him headaches, made him dizzy and had trouble breathing. Su Yixuan shook her head, ¡°Me neither.¡± ¡°Should we go out for a walk to get some fresh air?¡± Su Yixuan suggested. That¡¯s exactly what Yang Ping wanted. In his heart, he kept encouraging himself, ¡°Don¡¯t be nervous, behave normally!¡± The private room was on the first floor. As they left the restaurant, they found themselves on a street lined with trees. ¡°Do you really like performing surgeries?¡± Su Yixuan asked. Yang Ping replied, ¡°I feel apart from performing surgeries, I can¡¯t do much else. Once I start operating, I¡¯m totally absorbed.¡± ¡°Me too! I love performing surgeries.¡± And so, the two of them chatted under the trees. The wind was gentle, and traffic bustled outside. Their conversation was incredibly illogical, intermittent and disjointed. Yang Ping thought, if only there was a ¡®pick-up chicks crash course¡¯ in the system, he would definitely spend all of his remaining points. Suddenly, he regretted not learning more from Little Five, who was even forced to get married. He was seriouslycking a learning attitude. Chapter 28 - 0027: One Hundred Cases of Finger Reattachment Chapter 28: Chapter 0027: One Hundred Cases of Finger Reattachment After the hustle and bustle, it¡¯s back to the ordinary daily life. Switching shifts, ward rounds, surgeries, these are the mainstay of Yang Ping¡¯s life, everything else is a minor episode. ¡°Ding dong,plete one hundred cases of finger rentation with a sess rate of one hundred percent, within a deadline of three months. Reward: fifty thousand points.¡± The system unexpectedly issued a task, Yang Ping was already used to its entricity. But this task was absurd, one hundred cases could not be achieved even if he deliberately severed fingers. This is a general hospital, not a private hand surgery clinic. Finger rentation is generally monopolized by private hand surgery clinics. Is it trying to force him to quit and go to a hand surgery clinic? After a great effort to get a good hospital job, just getting on his feet, the system issued such a task, its intentions are condemnable. For a junior doctor, the tform is as crucial as it says it is. Arge tertiary hospital like Sanbo, except for short-term economic ie, is unparalleled in all aspectspared to a hand surgery clinic. Yang Ping temporarily ignored it, he had a lot of work to handle. Everyone had been conducting surgeries all day, it was six in the afternoon when they left the operating room. Director Han had to go to a meeting in the hospital. Yang Ping, with Little Five, went to do the afternoon ward rounds, followed by Song Zimo and Zhang Lin. Yang Ping stopped, they stopped; Yang Ping moved, they moved. Yang Ping was a bit puzzled: ¡°Why are you following us?¡± Song Zimozily said: ¡°When Director Han is busy, you take us all to see the patients together. It¡¯s part of your duty as a senior.¡± So this was the case, they wanted to do the ward rounds together. Yang Ping continued to move without responding, starting the ward rounds. The two of them followed behind. When it was their patient¡¯s turn, Zhang Lin reported the medical history and Song Zimo supplemented it like a junior doctor. The worker with the severed thumb could start moving around in a few days. He brought out a photo to show everyone, ¡°My daughter has just started university this year. Now that my finger is reattached, I feel relieved. Thank you, really.¡± The girl in the photo looked youthful and immature. Yang Ping cautioned him, ¡°Don¡¯t smoke.¡± The worker replied, ¡°I quit smoking many years ago.¡± The baby recovered quickly, its five fingers were red and it was moving around on the crib. The young couple cared for the baby by its side. Yang Ping noticed that the young mother¡¯s phone had been switched to a Nokia model for seniors. The four of them, and a few graduate students and standardized training students, finished the ward rounds and then went to the Trauma ICU to see the fireman hero, Qiangzi. Upon reaching ICU, Director Pan personally introduced Qiangzi¡¯s current condition, which surprised all the other doctors. Qiangzi was in good condition, his amputated limb had a good blood flow and the kidney function was also normal. Yang Ping had everyone change his dressings by the bedside, the wound was temporarily dry and clean, showing no signs of infection. Having heard that Yang Ping was doing ward rounds, the doctors and nurses in the ICU came over, curious to see who Dr. Yang was. A few young nurses dared to take more nces, but they couldn¡¯t see much with the masks on. Qiangzi¡¯s condition was good enough to be transferred to the general ward, but considering his special status, the hospital decided to keep him in the ICU for a few more days for intensive monitoring. Just out of the ICU, Zhang Lin received a call for a consultation in the emergency department, and everyone hurriedly rushed to the emergency department. It was a case of an open tibial and fibr bone fracture. The skin of the entire lower limb waspletely torn off and the muscles were severely crushed. This case would follow the trauma emergency center¡¯s procedures. This can only be handed over to Director Tian. ording to Director Han¡¯s current assignments, this type of trauma was under the responsibility of Tian Yuan¡¯s team. Song Zimo made a call to contact Director Tian. Upon leaving the emergency room, Yang Ping¡¯s peripheral vision caught a glimpse of amercial vehicle abruptly braking at the entrance of the emergency department. A young man with yellow-dyed hair squeezed out of the car and rushed into the emergency department, followed by a man in a suit and a doctor in a white gown. ¡°Doctor, doctor, help, help!¡± The young man screamed as he ran. The yell caught the attention of those nearby, but soon everyone else returned to their own business. In the emergency department, life-saving was amonce affair. ¡°Don¡¯t scream! Here I am, why did you run so fast to save yourself?¡± Dr. Lv, the on-duty doctor, saw the right hand held up by Little Five, and the stic bag in his left hand, and basically understood the situation. ¡°Here, help me with the surgery, wait, wait!¡± On seeing the doctor, Little Five immediately handed over the stic bag. He then whipped out his phone and started tapping and swiping on it. ¡°Hurry up, it¡¯s not time to y with your phone. Haven¡¯t you quit the game ¡®King of Glory¡¯ yet?¡± The doctor following him was apany doctor, and he was getting anxious. ¡°This, I want this doctor to do it!¡± Dr. Lv took the phone. This was a news report photo of our hospital performing a five-section rentation, showing a pair of hands performing surgery under a microscope. ¡°Alright, alright!¡± The doctor said, ¡°Quick! Sign the consent forms, have your blood drawn, get an EKG, and prepare for the operating room.¡± ¡°You know who he is, right? Don¡¯t get it wrong. I¡¯ll be checkingter.¡± Little Five was very astute. The doctor waved his hand, ignoring him, and told the nurse at the reception desk, ¡°Please call for an emergency consultation in orthopedics and alert the Trauma Emergency Center hotline.¡± Suddenly, he saw Doctor Yang and his team, and immediately waved them over, ¡°Doctor Yang, just in time, I was about to consult with you. This man just came in, his hand crushed by a machine, and specifically requested surgery from you.¡± Dr. Lv showed Doctor Yang the severed finger, which had yet to be ced in the fridge. It was the index finger on the right hand, severed at the middle joint. ¡°Schedule the surgery.¡± Doctor Yang said. Dr. Lv immediately began the procedural routine ¨C drawing blood, taking an EKG, taking X-rays, having conversations, signing papers ¨C nothing could be missed. ¡°It¡¯s this doctor, right? I specially sought him out to do it.¡± Before signing the consent forms, Little Five once again whipped out his phone, pulling up the stored photo. ¡°Yes, the doctor who showed you before is this one.¡± Dr. Lv urged. After receiving an affirmative response, Little Five signed decisively, feeling a weight off his chest. This hand is guaranteed to be safe. If they could reattach it when it had been severed into five sections, my one segment would be as easy as slicing through a melon. He even took out his phone and started ying ¡°King of Glory¡±. ¡°What are you standing here for? Pay up! I tell you, this is a workce injury, I did not vite any operating procedures, there must be a problem with the machine. After this, I¡¯m going to report you to thebor bureau.¡± Little Five shouted at the man in the suit standing beside him. The man in the suit was the factory¡¯s upational injurymissioner and already had a lot on his te, ¡°Ah, the Yunjian Hand Surgery Hospital contracts with us on a monthly basis, there¡¯s no need to pay. I didn¡¯t bring any money, how could I? I was nning to take you to Yunjian Hospital, but you insisted oning here.¡± ¡°Then go back and get the money. I¡¯m telling you, if anything goes wrong with this finger, I¡¯ll be leeching off you for food and drink.¡± Little Five threatened. ¡°Okay, okay! Doctor, proceed with the surgery. I¡¯ll call now to have someone bring the money over. Money is not the issue. Just make sure you reattach the finger properly.¡± Themissioner was having a hard time holding his temper, silently cursing internally: What a weirdo! The younger generation nowadays are not to be trifled with. Just the other day, a worker quit on the spot after getting called out by the team leader for using his phone during work hours. They refuse to work if the wages are low, if there¡¯s no air conditioning, if they have to work overtime, or even if the factory girls aren¡¯t pretty enough. Today¡¯sbor force truly arebor resources. Themissioner had just finished making a call asking the financial department to send money when his phone rang again. He went to a corner to answer the call. The person on the phone gave him an earful, ¡°Why did you send him to Sanbo Hospital? The salesman from Yunjian is sitting in my office right now. How am I going to exin this? Hurry up and transfer him to Yunjian.¡± Hongda Factory is thergest metal factory in G City. Incidents of severed fingers aremonce, if not a daily urrence. Ordinarily, they would coborate with Yunjian Hand Surgery Hospital for such cases, patients would be sent there as it¡¯s the standard practice everyone is familiar with. Not only is the billing done on a monthly basis, making things simpler, but they also offer a referral fee, with perks during holiday seasons. The arrangement had been mutually beneficial for years now. Themissioner is indeed in line to get yelled at over today¡¯s incident, yet it really wasn¡¯t his fault. Themissioner sounded unjustified, ¡°There was no other way. We had the car heading towards Yunjian Hospital, but Little Five threatened to jump out halfway there. This kid is being obstinate, wouldn¡¯t listen to reason. He said if we took him to Yunjian Hospital, he¡¯d create a ruckus there. He was recording the whole thing with his phone, what could I do?¡± There was a moment of silence on the phone before the voice replied, ¡°I¡¯ll report this to the higher-ups. This sets a bad precedent. This is a big deal. Call back finance to send the money right now, handle the matter ande back ASAP. Keep this in mind,e straight to me when you¡¯re back, don¡¯t tell anyone else.¡± After hanging up the call, Little Five had already disappeared. The factory doctor asked, ¡°He¡¯s been taken to the operating room. How is everything?¡± Both the factory doctor andmissioner were nervous since they were both in the same boat. Themissioner replied, ¡°We¡¯ll talk about it when we get back. Head straight to Mr. Gong¡¯s office when we get to the factory. Don¡¯t say anything on the way.¡± Both of them contacted the driver and returned to the factory in themercial vehicle. The operating room, the surgery had already begun. Anesthesia, positioning, hand washing, sterilization,ying of surgical drapes, and setting up the microscope. Chapter 29 - 0028 Mysterious Friend Chapter 29: Chapter 0028 Mysterious Friend To rinse, disinfect, clean the wound, fix the bone fractures, perform vascr and nerve anastomosis,plete the tendon anastomosis, and then suture the skin. For a single finger amputation, the entire process took less than half an hour. Su Yixuan passed over the bandages that had beenid out in advance, then bowed her head to tidy up the tools. Yang Ping took them and began dressing the wound. At the same time, Song Zimo raised his hand for Little Five to remove the towel mp. ¡°Your dressing is so beautifully done, wless,¡±mented Song Zimo. He began to wonder what Yang Ping¡¯s other surgeries looked like, beyond just finger reattachment. The more he thought about it, the more curious he became. Could they all be equally breath-takingly perfect? In fact, Yang Ping had also trained on bandage application technique in the system. ¡°Doctor, thank you so much. Is my finger going to be okay? It won¡¯t affect my game of King of Glory, will it?¡± the guy with dyed hair asked anxiously. ¡°It shouldn¡¯t!¡± Yang Ping replied. Hearing that, the guy heaved a sigh of relief, his gratitude deep and genuine. ¡°Thank you, Doctor. You guys are my saviors¨C¡± He suddenly caught onto something. These doctors looked too young. ¡°Actually, you guys are my brothers in arms! They wanted to send me to Yunjian Orthopaedics. Fat chance. I insisted oning here.¡± ¡°How did you know our surgical team was impressive?¡± Song Zimo asked with a smile. The guy responded: ¡°The TV, the newspapers, they all said the hero¡¯s hand was severed into five pieces, and you guys reattached it. What happened to me is simply minor surgery for you guys.¡± The man was a good talker, his words eliciting heartyughter from everyone in the operating room. ¡°Remember, you¡¯ll need to stay in bed for ten days. If you want to y King of Glory, use your other hand. You cannot use this finger right now. If you get off the bed before then, your rank in King of Glory will drop, I¡¯m not joking!¡± Song Zimo admonished him. ¡°Don¡¯t worry, we will do as you say,¡± the man said determinedly. ¡°From your voices, none of you seem to be over 30. So young, yet so aplished.¡± He really loved to chat. Yang Ping fixed his hand to his chest with a sling, gave him a pat: ¡°Alright, it¡¯s time to return to the ward and get some rest.¡± The loquacious patient wanted to say more, but decided to keep quiet. ¡°Hey, Doctor Yang, how about treating us to a meal for having Nurse Su around to assist you day and night in the past few days?¡± the patrolling nurse teased. ¡°Of course, why don¡¯t we do it right after we finish work? You guys can choose the ce.¡± Yang Ping suggested with a smile. ¡°Great!¡± the patrolling nurse agreed. ¡°Why not one of the ces near the hospital? Whichever one that is avable?¡± ¡°Sure thing!¡± Little Five chimed in. ¡°Alright, then let¡¯s meet up after work?¡± Yang Ping proposed. Song Zimo declined: ¡°You guys go ahead. I¡¯ll have to pass this time.¡± ¡°You probably think the ces around the hospital aren¡¯t up to your standards, right?¡± the patrolling nurse surmised. Song Zimo replied sheepishly, ¡°No, it¡¯s not that. I really do have ns for today.¡± ¡°The rest of you, no one else can bail. Xiao Su, you¡¯re the star, so you¡¯re expected to be there. Today¡¯s meal is on you,¡± the patrolling nurse dered. As Su Yixuan tidied the tools, she simply hummed in acknowledgment, a blush creeping up her cheeks. In the changing room, she nced at her phone to find it was already past eight o¡¯ clock. After Su Yixuan went to clean the tools, Yang Ping changed his clothes and sat down on a chair in the changing room to rest. With eyes closed, he seized the opportunity to enter the system. An alert on the screen reported that thepletion of the system task was at 1%, the progress bar had only moved a tiny fraction. The road is long and winding. Keep working,rade. A message appeared in the WeChat group for the surgery team: ¡°Meet at the West Gate of the hospital.¡± Yang Ping immediately headed to the West Gate, standing near the entrance to wait. His eyes constantly scanned for his colleagues. One after another, people exited but none of them were his colleagues. Several interns that he knew walked out in pairs, waving at Yang Ping as they passed, which made him feel rather awkward. Soon after, Su Yixuan emerged with her hair in a bun, wearing a knee-length skirt, white sandals, and a cross-body bag. Seeing Yang Ping, she pouted. ¡°Where are the others?¡± ¡°I didn¡¯t see anyone. Should we just head over and secure a spot?¡± It didn¡¯t make sense for the two to continue waiting there. ¡°Where to?¡± Yang Ping scratched the back of his head. Su Yixuan grinned: ¡°You haven¡¯t decided yet, eh? How about we try our luck at Uncle Er¡¯s Grilled Fish? It¡¯s the weekend, which means they have fresh bass. The only downside is therge crowd. I didn¡¯t manage to get a meal therest weekend.¡± ¡°Alright, let¡¯s give it a try.¡± Su Yixuan and Yang Ping then crossed the road to the restaurant. Upon arriving at Uncle Er¡¯s Grilled Fish, they found it was full, with a long line waiting for a table. Wondering how long it would take, Su Yixuan asked a waitress for an estimated waiting time. Without lifting her head, the busy waitress replied: ¡°Best toe tomorrow. We stopped giving out queue numbers for today.¡± ¡°This is harder to get than a consultation with a specialist,¡± thought Yang Ping. A disappointed Su Yixuan said: ¡°Thest time I came with the nurses from my department, it was toote, so I didn¡¯t get any. We missed out again today. Let¡¯s just go eat something else. Eh, howe the others aren¡¯t here yet?¡± ¡°I don¡¯t know, they might not know we are here. I¡¯ll give them a call.¡± Yang Ping said, reaching for his phone. ¡°What¡¯s happening? No one is picking up. You give it a try.¡± Yang Ping was baffled. Su Yixuan also tried calling a few numbers, but no one answered. ¡°Gosh, nobody is answering,¡± she said. Then, several messages appeared in the group chat: My kid has a fever. I won¡¯t make it. I¡¯m at a car dealership for a checkup. Won¡¯t being. I sprained my ankle, currently icing it. ¡ª This was awkward. Hadn¡¯t they all agreed to have a meal together? Now, it was just the two of them. With a thick skin, Yang Ping said, ¡°Then, we two should just find a ce to have dinner.¡± ¡°Hmm!¡± Su Yixuan lightly bit her lower lip. Just as they were about to leave to find a ce, someone behind them shouted: ¡°Wait a minute!¡± ¡°Hello, you are Doctor Yang from the Orthopedics department, aren¡¯t you? I am the owner here.¡± A stocky uncle with a big belly, dressed in a white coat and shorts, ran out. ¡°You know me?¡± Yang Ping was a bit surprised, but it wasn¡¯t strange as all the nearby shops were near the hospital. The uncle said: ¡°They all call me Uncle Er. Someone has already reserved a table for you,e,e, it¡¯s quite a good spot.¡± Uncle Er led them to the second floor. The restaurant had two floors. Indeed, on the second floor, there was a table by the window. ¡°You both sit down and wait a bit, your fish is also reserved, just wait a little, and I will have someone bring it over.¡± Uncle Er was very enthusiastic. Yang Ping was a bit hesitant to sit, Su Yixuan also looked at him: ¡°Could they be ying a prank on us?¡± ¡°That¡¯s not right. We only decided to have grilled fish by the hospital¡¯s West Gate just now, didn¡¯t we?¡± Yang Ping wondered. ¡°No, Uncle Er, who did you say reserved for me, even the fish is pre-ordered?¡± Uncle Er justughed, ¡®This person said they were your friend, but they said they can¡¯t tell you who they are. Don¡¯t worry, your friend is very polite and decent, not a bad person.¡¯ ¡°What do they look like? Man or woman?¡± Asked Yang Ping. ¡°This, I can¡¯t say.¡± Uncle Er replied. ¡°Uncle Er, if you don¡¯t tell me, I won¡¯t dare to sit down.¡± said Yang Ping. Uncle Er said, ¡°Your friend said that if you don¡¯t sit, you¡¯ll have to wait till next weekend. We only have bass in stock on weekends, and your friend also said that they only reserved this spot for you, you¡¯ll have to pay for it yourself, so don¡¯t worry, you can just enjoy your meal.¡± How interesting, he¡¯s got such a friend who only reserves the seat, if he¡¯s paying for it anyway, why beat around the bush. The two sat down. Su Yixuan was very happy: ¡°Brother Ping, you¡¯re really awesome, your friend already reserved a spot for you in advance.¡± ¡°It¡¯s not like that¨Cah yes, you like this, don¡¯t you?¡± Yang Ping would¡¯ve been embarrassed if he continued speaking. But he couldn¡¯t think of who else it could be besides Xiao Five? It must have been Xiao Five, always giving him advice on how to court Su Yixuan. It was definitely him. Feeling assured, he decided to send a WeChat message to tell him and stop being so mysterious about it. A live bass was brought in, heated with ingredients sprinkled on top. The aroma gradually permeated the air as the mes flickered. ¡°Come on, eat more. You¡¯ve had a hard timetely, it¡¯s time to grow.¡± Yang Ping said, borrowing a phrase often said by Old Han. ¡°Can I still grow taller? This is the first time I¡¯ve heard you say this.¡± Su Yixuan, a little foodie, pinched a piece of fish and tasted it. ¡°Hmm, it¡¯s delicious. Here, you eat.¡± Su Yixuan handed him the fork. To his surprise, she gently ced it in his palm, much like passing surgical instruments. Realizing the peculiarity, the two looked at each other andughed, Su Yixuan burst into giggles. ¡°Hey, are you dissecting or eating fish?¡± Su Yixuan saw Yang Ping using a small knife and chopsticks to cut the fish meat off the bones, his movements as practiced and skilled as if he was performing a surgery. As the knife passed through, the meat separated from the bone easily without leaving any residue. He moved the knife expertly in the crevices of the bones, carving the fish meat piece by piece. ¡°Here!¡± Yang Ping passed it to Su Yixuan. ¡°Surgeons have their own way of eating. Watch carefully, what we¡¯ll have left is an intact skeleton, to be posted by the boss on his moment.¡± ¡°You¡¯re really interesting.¡± Su Yixuan giggled. ¡°They¡¯re giving away free ice cream here. I¡¯m going to get it.¡± She hopped off like a child and returned with two ice creams. ¡°They¡¯re both in vor. Here.¡± ¡°Go ahead and eat, it¡¯s free. I¡¯m going to get a few more on the way out, and you help me to fetch a few.¡± The two chatted andughed, and Yang Ping felt a rxed atmosphere he had never experienced before. After finishing the fish, a shiny,plete skeleton remained. Su Yixuan took a picture of it and then looked closer. She pped her hands and admitted, ¡°Brother Ping, you are amazing. You are a surgery maniac. You even take pride in your work when eating fish.¡± Su Yixuan lived in dorms. After escorting her back to her dorm, Yang Ping went home. Yang Ping picked up his phone and dialed Xiao Five: ¡°Hey, Xiao Five, thank you for today.¡± Xiao Five said proudly, ¡°We¡¯re brothers, no need for thanks. Had a good time today, right? You¡¯ve taken a big step forward in the revolution, haven¡¯t you?¡± ¡°How did you know we were going to eat at Uncle Er¡¯s Grilled Fish and reserve a spot in advance?¡± Asked Yang Ping. Xiao Five was dumbfounded: ¡°Wait a minute, I didn¡¯t reserve a spot for you.¡± ¡°Stop acting mysterious. I know all about the tricks in your book.¡± Said Yang Ping. ¡°Me? Was it me? Howe I don¡¯t know about it.¡± ¡°So it¡¯s really not you.¡± ¡°Bro, I, Lu Xiaowu, am an upright and straightforward person, I¡¯ve never done anything underhanded. If it was me, I¡¯d say it was. I have no idea where you guys were eating.¡± ¡°Really, it¡¯s not you?¡± Now Yang Ping was confused. Xiao Five was also helpless: ¡°It¡¯s really not me. After the surgery, I just ate a few buns, went to the 4S shop to look at cars, and just got back home.¡± Alright, Yang Ping hung up the phone. This is strange, who else would go to the trouble of reserving a spot for him? And how did they know we were going to Uncle Er¡¯s Grilled Fish? Is it someone in the operating room? The head nurse? Song Zimo? That circting nurse? No, no, no. Why would they do such a thing? They have no motive. Strange things happen every year, and this year seems to be particrly full of them. Who cares, anyway. It¡¯s my own money. With that thought, he felt relieved. Chapter 30 - 0029: Meeting Chapter 30: Chapter 0029: Meeting The next day, Yang Ping went to work and was doing surgery in the operating room. Thinking about the dinner he had with Su Yixuanst night, he felt an indescribable sense of happiness. The first thing he did in the operating room was to check on Su Yixuan. For some reason, looking at her eyes brought himfort. He felt at ease, but if he didn¡¯t see her, he was a little anxious and full of anticipation. Everyone was teasing him and Su Yixuan, asking them where they had dinnerst night and where they went after. Su Yixuan lowered her head and didn¡¯t say a word, her face flush with embarrassment. Yang Ping was also stammering, unsure of how to respond. Everybody was sidestepping the issue of reservation, and Yang Ping didn¡¯t want to ask either. After a busy day of surgery, he received a call from a courierpany, insisting that he must sign for the package himself. Yang Ping was puzzled. He hadn¡¯t ordered anythingtely. The delivered item ¡ª iceberry ice cream ¡ª was even more baffling. It was delivered in a mini fridge and Yang Ping was hesitant to ept it. The phone rang, a strange man¡¯s voice on the other end said, ¡°Dr. Yang, don¡¯t be shy. I¡¯m sorry for the inconvenience. This is your girlfriend¡¯s favorite ice cream. It¡¯s not avable in G City at the moment, so it was delivered from Shanghai. The cost of the ice cream and the delivery have been taken care of, so you have nothing to worry about. Please ept it, it wille in handy.¡± Yang Ping was curious and asked, ¡°Who are you?¡± After all, there are a lot of scammers these days, and tel fraud has gotten extreme. A single phone call could cost you hundreds of thousands. ¡°Don¡¯t worry, I¡¯m not a scammer. Scammers don¡¯t reserve seats or deliver ice cream for you. I admire your superb medical skills and hope to meet you in person, that¡¯s all¨C¡± He wanted to say that Su Yixuan was not his girlfriend, but he found the way the man spoke to make him feelfortable, so he let it slide. ¡°Thank you, but¨C¡± ¡°If you want to know why, let¡¯s arrange a time and ce to meet. If you don¡¯t mind, I¡¯ll see you at three in the afternoon tomorrow, at the revolving restaurant on the top floor of the Queen¡¯s Hotel¡± The man hung up. Yang Ping had a day off tomorrow. This man seemed to know him well. There are all kinds of people in the world. He tried to recall if he had offended anyone or gone out of his way to help anyone. Could this be one of his patients showing gratitude in this unusual way? The Queen¡¯s Hotel is a high-end five-star hotel in G City. The revolving restaurant on the top floor is a well-known high-end restaurant. He should be safe there. He didn¡¯t have any concern about being kidnapped because there was no reason to kidnap him. It seems that he had to meet this mysterious man. Since the ice cream was delivered to his door, he decided to ept it. Who knows, Su Yixuan might really like it. The next day he was off from work, originally he intended to perform surgery, but Old Han stopped him, urging Yang Ping to rest, saying the battery needs to be recharged and people who know how to rest know how to work. He slept in the morning, hurriedly ate a little at noon, and took a cab to the Queen¡¯s Hotel. He arrived at the revolving restaurant on the top floor at three in the afternoon promptly. There was already someone waiting for him. A man in his thirties, dressed impably and delicate with a hint of faint fragrance on him, who had a ck briefcase by his side. ¡°Hello, Dr. Yang! I¡¯ve heard so much about you! Please have a seat!¡± The man stood up, and his handshake was perfect. ¡°Hello!¡± Yang Ping sat down. He couldn¡¯t think of who this man might be. ¡°I am truly grateful for everything you¡¯ve done.¡± Yang Ping is a cultured and well-mannered man. Regardless of the motive, he should express his gratitude. ¡°Don¡¯t mention it, it was nothing. I hope to be able to do more for you.¡± The man called for the waiter to bring coffee. Yang Ping added a lot of sugar to his coffee because he found it bitter, but he had to drink some to show his taste in such a ce. The seat was good. From the ss window next to him, he could overlook the entire G City. ¡°Although we¡¯ve only just met, you¡¯ve gone to so much trouble by reserving seats and delivering ice cream, I really can¡¯t express my appreciation enough. I apologize for any inconvenience I¡¯ve caused,¡± said Yang Ping while sipping coffee. ¡°I wouldn¡¯t say we¡¯ve only just met. You may not know me, but I know you very well. Dr. Yang, your expertise in orthopedic surgery, especially in digit rentation, is unparalleled.¡± The man spoke with precision and appropriateness which was appreciated. ¡°I¡¯m curious, how did you know that I was going to Uncle Er¡¯s Grilled Fish Restaurant that day, and how could you reserve a seat in advance?¡± asked Yang Ping. The man answered leisurely, ¡°Simple. I saw you waiting outside Uncle Er¡¯s Grilled Fish Restaurant for more than ten minutes, so I bought the queue number for that spot, including the best fish.¡± ¡°Would they definitely sell it to you?¡± asked Yang Ping. ¡°Whether they sell it or not doesn¡¯t matter to me; the important thing is I need to buy it. Apart from health and life, there¡¯s hardly anything that can¡¯t be negotiated in terms of price. In a sense, health and life can also be bargained,¡± said the man calmly, without any boastfulness. ¡°Thank you! And how did you know about the iceberry ice cream?¡± Yang Ping brought up the matter of the ice cream. The man said, ¡°Everyone has their own way of surviving. Knowing others¡¯ preferences is my way of survival.¡± ¡°Yes, appeal to their interests! You must have put in a lot of effort; I admire you and thank you. If I had known you a few years earlier, I would already have a child,¡± joked Yang Ping. ¡°Don¡¯t mention it. I invited you for dinner, and I should have done something for you in advance,¡± said the man. Yang Ping said, ¡°I am rather embarrassed, you¡¯ve been put to a lot of trouble.¡± ¡°This isn¡¯t extravagance. No matter how you look at it, it¡¯s the least I could do. Everyone in the city would love to be able to show gratitude towards the hero who performed surgery on them, like I am treating you to a meal today.¡± The man spoke with diplomacy. ¡°What can I get you? The salmon here is superb. It¡¯s imported from Norway.¡± The man picked up the menu. ¡°Feel free to order whatever you like. This meal is on me, as a token of my gratitude.¡± Yang Ping made a weing gesture. The man nodded, ¡°I ept. In this situation, neither of us owes anything to the other. We simply be friends.¡± To be honest, Yang Ping was quite fond of the way this man carried himself by helping others without making them feel guilty. After the man had ced his order and closed the menu, he asked, ¡°Aren¡¯t you curious as to why I¡¯m doing all this?¡± Yang Ping chuckled, ¡°Aren¡¯t you going through all this trouble just to have me sit here and listen to you exin why?¡± The manughed softly, ¡°Dr. Yang, you truly stand apart.¡± ¡°Really not curious?¡± The man asked again. ¡°I¡¯ve already asked about what I was curious about. The rest doesn¡¯t interest me much. Still, making a friend isn¡¯t a bad idea.¡± Yang Ping continued to drink his coffee. ¡°Allow me to introduce myself then,¡± The man respectfully handed over his business card. The card was finely made. It read: ¡®Bole Talent Network, Top Headhunter! Huang Jiacai.¡¯ ¡°Perfection in my profession is my aspiration, just like Doctor Yang has achieved excellence in surgical practice. In this regard, we are colleagues,¡± the man said. ¡°I mentioned earlier that those things were trifles and not worth mentioning. I want to do something significant for Doctor Yang and wonder if you would grant me the opportunity,¡± Huang Jiacai said. ¡°Of course, I¡¯m willing. Right now, my top priority is to find a girlfriend. Aren¡¯t you going to introduce me to someone?¡± Yang Ping said attentively. Huang Jiacai answered, ¡°A girlfriend? Doctor Yang, your girlfriend is already one in a million.¡± He liked hearing that ¡ª he liked hearing people refer to Su Yixuan as his girlfriend. The salmon, condiments, and silver tableware were served. ¡°Just spit it out. If you don¡¯t, I¡¯ll leave as soon as I¡¯ve finished eating, then your hard work will have been in vain. Surely, since you know me so well, you know I¡¯m erratic,¡± said Yang Ping, busy tucking into his meal. Huang Jiacai was genuinely flustered by his nonchnce, ¡°Let me get straight to the point, a hospital is willing to offer you a significant amount of money.¡± ¡°How much?¡± Yang Ping was direct. The amount? Huang Jiacai gestured with his fingers. ¡°A billion?¡± Huang Jiacai thought Yang Ping would go low with his guess, but instead he decided to shoot high; this put Huang in an awkward spot. Somewhat deted, he replied, ¡°One million! That¡¯s annual sry.¡± Yang Ping wiped his mouth with a napkin and thought: Indeed, for a doctor his age, such money is very enticing, and any sane person would give it some thought. ¡°It¡¯s a personal invitation from the owner of Yunjian Hand Surgery Hospital. I don¡¯t need to tell you about Yunjian¡¯s standing in the industry; you probably know it better than I do. They¡¯re thergest specialized hand surgery hospital in G city, and they consistently rank amongst the top in the nation in terms of the number of surgeries performed. As a surgeon specializing in hand surgery, the tform they offer is second to none. If you join them, they¡¯re willing to give you an entire floor for you to preside over as chief. With all due respect, even if you were to be chief at a prestigious general hospital like Sanbo, it wouldn¡¯t be for at least another decade,¡± Huang Jiacai reasoned logically, skillfully pinpointing key problems. ¡°It is certainly tempting.¡± Yang Ping nodded. ¡°We live in a time of specialization, with every industry moving toward specialization. The same goes for doctors; you no longer need to diversify your skills, you just need to perfect your limb reattachment surgeries, and you¡¯ll be able to make a steady profit from this expertise alone. After all, whether it¡¯s here or anywhere else, we¡¯re all working to make money. With your age, Doctor Yang, you should be thinking about getting married, buying a house, a car. As far as I know, you¡¯re still renting. It¡¯s unfair for a doctor of your caliber to be living like this, your talent is being wasted. But if you go to Yunjian, things will be different. Soon enough, you¡¯ll be able to buy your own house and car, and live the life you want,¡± Huang Jiacai rationalized. ¡°Byparison, it seems like I have no choice but to go,¡± Yang Ping said. ¡°If you agree, I can call the owner of Yunjian immediately. Once a contract is signed, one million will be transferred to your ount right away. Boss He of Yunjian is well-known for his magnanimity, especially when ites to cherishing talent. He¡¯s a man of his word and fully supports a partnership system. A select few doctors in the hospital already own shares.¡± ¡°I might consider it,¡± Yang Ping said, not wanting to outright reject the proposal. Life is like a tree ¡ª it needs a strong, central trunk to grow tall andrge. Yang Ping understood clearly that his true path would not confine him to merely being a hand surgeon. ¡°You are quite familiar with the medical circles?¡± Yang Ping deflected the conversation. ¡°Of course, you could consider me well connected. Not just in G city, but I also know all the heavyweights on the national level. I used to be a medical sales representative before I became a medical headhunter,¡± Huang Jiacai replied. ¡°I really appreciate everything you¡¯ve done for me,¡± Yang Ping expressed his gratitude once more before calling for the waiter to settle the bill. ¡°No need to thank me. When I was a medical representative, I did a lot more. From delivering rice and oil, carrying gas tanks, driving children around, helping with homework, washing cars, fixing cars to changing tires, it was all in a day¡¯s work. To thrive in this line of work, you need to be adaptable, which isn¡¯t easy.¡± ¡°Listening to your words of wisdom, I realize I¡¯ve learned more from this conversation than I could have by studying on my own for twenty years. I¡¯ll think about the offer, but I¡¯m d to have made a friend,¡± Yang Ping said, shaking hands with him. ¡°Here is the contact number for the Iceberry ice cream store in Shanghai. It mighte in handy.¡± In the end, Huang JiaCai gave Yang Ping another card. He just might find use for it in the future. Chapter 31 - 0030: Warm-Up Bout 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! Chapter 32 - 0031: The Effort is Under the Stage Chapter 32: Chapter 0031: The Effort is Under the Stage ¡°Senior Brother Yang performs fracture surgery so well too.¡± ¡°Corbone fracture, very simple, I can perform it as well.¡± ¡°Can you do it in 6 minutes?¡± ¡°¡ª¡± Song Zimo sits silently on the side. For this guy to perform so many corbone surgeries, one would think he only knew how to handle amputated fingers. He avoids and protects even the cutaneous nerves on the corbone. Many doctors don¡¯t pay attention to such details, especially when making a horizontal incision. With a swipe of the scalpel, the cutaneous nerves are severed, causing numbness around the site of the operation after surgery. Numbness is a small issue, not a big deal. The hemostasis is extremely well done; hardly any blood could be seen on the gauze. The dissection of the periosteum was minimized, maximally protecting the blood supply of the fracture. Secondly,minuted fracture of the corbone, should not look down on any fracture surgery. Because there will never be two identical fractures, trauma orthopedics challenge one¡¯s adaptability. The corbone was not only broken into several segments, but each segment was also divided into several pieces, front and back. Doctors are often left embarrassed trying to fix these fractures. Some doctors are forced to rush and barelyplete the operation. Completing a surgery and doing it well are two different stories. High-quality operations have fewerplications and have better post-surgery recovery. ¡°This is difficult!¡± Looking at the shattered fragments of bone, even some experienced attending physicians expressed concerns. Old Han looked at the X-rays on the view box. It was indeed difficult. The surgery has started the fracture reduction. Everyone sharpened their focus, with Song Zimo fully concentrating as well. Let¡¯s see how he deals with this type of fracture, or how he perfectly manages it. With Song Zimo¡¯s experience, he recognized that seeing Yang Ping handle the first corbone surgery was not something one could achieve after a few or even dozens of operations. He believed that Yang Ping could handle it, but he was curious how he would perfectly handle it. 1.2 mm Kirschner wire, the steel wire used this time was even thinner. The forceps were carefully holding the bone fragments, very steady, as if it were holding an egg securely without putting too much pressure and crushing it. Even if there was a bit of soft tissue left, it was gently retained. First the big pieces, then the smaller ones. Horizontal, vertical, oblique, almost every piece of bone had a thin steel wire. Once the bone fragments were assembled, the shape was restored. ¡°How to put the steel te, these will interfere with the cement.¡± Someone frowned. The steel te was shaped, and then ced. This time it was ced on the front side. Most of the steel wires avoided the steel te; two could not avoid but just passed out from the hole of the te without affecting the cement of the te. The location of each inserted wire was pre-nned, taking into ount the cement of the steel te, and everyone suddenly realized. The cement of the screws, the direction of the screws in each hole is different, each will hold a piece of bone. Each time a screw is imnted, at least one wire is removed. After thest screw is imnted, the wire waspletely pulled out. The fracture was reduced nicely, and it was securely fixed. Old Han smiled slightly, handling it with seasoned skill. He had spent a lot of time and effort to figure out how to address the interference between temporary fixation and final fixation. It seemed this young man had also put in a lot of work. Song Zimo was satisfied. Behind the simplicity, a lot of effort was often required. Another way to put it: one minute on stage, ten years off stage. The entire process reflected the philosophy of protecting the blood flow at all times. Even some bone fragments with a little soft tissue, which could be pulled off with a slight movement, were still protected. Bone fragments attached to soft tissue have blood supply, and are therefore living bone, while those not connected to the soft tissue,pletely separated, are effectively dead bone. Living bone has healing ability, dead bone doesn¡¯t, it can only rely on the growth of living bone to rece it. After fifteen minutes of cleaning and sterilizing the operating room, the third operation was about to begin. This operation involved exploring the blood vessels and nerves beneath the corbone, which was already ssified as a Level 4 surgery. This type of investigation is a high-risk operation. Old Han was a bit worried about the third operation. Once it involves exploring of blood vessels and nerves, it¡¯s no longer a simple corbone fracture operation. The stubborn old heads in the expert group won¡¯t take it lightly in their evaluation, they would find fault even in the trivial things. ¡°The tip of the fracture has pierced the blood vessels and nerves under the corbone, be careful with the exploration, especially the bone fragments, don¡¯t move them easily. After exploring clearly, prepare for hemostasis and then remove the bone fragments. The blood vessel end may retract as soon as the bone fragment is removed, and if bleeding has to be stopped by opening the chest, it¡¯s troublesome.¡± Old Han reminded Yang Ping. Old Han was experienced, he didn¡¯t need to sit here all the time. His purpose was to see how Yang Ping¡¯s orthopedic surgical skills actually were and provide timely guidance to Yang Ping while ensuring patient safety. The exposure was standard; a usual transverse incision was made to facilitate the exploration of blood vessels and nerves under the corbone. Below the corbone, on the outside are blood vessels and nerves, extending to the upper limb. On the inside is the apex of the pleura and lungs, which is the top of the thoracic cavity and lungs. If the pleura is punctured, it could lead to pneumothorax, requiring intervention from the Thoracic Surgery Department. The exposure in orthopedic surgery is crucial, with many operations passing through numerous blood vessels and nerves, and some even passing through the viscera. These blood vessels, nerves, and organs are like minefields. To reach the destination of the operation, you must either bypass or traverse these minefields. Hence, the ancestors have used a great deal of effort to design different approaches to either avoid or traverse these minefields. When the muscle is peeled off from under the vicle and lifted, a blood vessel as thick as a little finger and yellow nerves can be seen pulsating rhythmically. Underneath these is a vivid life. If any of these are damaged, it could lead to disability or even death. Slow down, as Yang Ping supports Little Five¡¯s hook. Respect for life can produce excellent doctors. A sharp piece of bone has punctured between the blood vessels and nerves, surrounded entirely by blood clots. There are more clots than in a typical fracture, covering the area of vessels and nerves. This suggests the possibility of ruptured blood vessels, the veins in particr. ¡°Be careful, an injury to the subvian vein can cause it to retract. If it does, the incision will need to be erged and the chest will have to be opened,¡± Old Han reminded again. Prepare ice saline and a vascr mp. Yang Ping paused from his work, not anxious but also not careless. He had practiced countless types of vicle fracture surgeries in the system, but no trauma could be replicated. Each individual has a different physical constitution, the direction and magnitude of force exerted varies, the posture of the body at the time is different, and other influencing factors differ as well. Hence, system training only provides an opportunity to acquire capabilities, the real surgery requires adaptability on the spot. Ice saline can constrict blood vessels, reducing the risk to the minimum. A metal basin filled with ice saline was brought over. Yang Ping soaked the gauze in it, took it out, and drizzled some on top. With so many blood clots, the process of removing them can easily disturb the blood vessels leading to their retraction, which could have disastrous consequences. Old Han regretted a bit, selecting such a case was not the right idea. If there happens to be a mishap during the operation, it will be unanimously rejected. Although taking the stage at this time is good to impress the old heads, patient safety is paramount. ¡°I¡¯m going to scrub in,¡± Old Han went to wash his hands. While waiting for the ice saline to take effect, Yang Ping had tissue scissors in his left hand and a vascr mp in his right. He gently separated the blood clots from the periphery inwards. The vein emerging from below the vicle into the axiry vein was clearly exposed, and the vascr mp was quickly mped onto it. The operation could not becent at this point; this only blocked possible bleeding, the proximal end was still at risk of retraction. If it retracts, it is like the breakage of a water pipe inside a wall. Only by removing the wall can the pipe be repaired; otherwise, one could only helplessly watch it leak. This exceeds the capabilities of an attending physician; even a genius like Song Zimo wouldck the necessary experience. For doctors, especially surgeons, surgical experience is very important, which is why a tform is extremely important for surgeons. As an example, two ssmates, one smart, good grades, skilled hands, went to a county hospital. The other often failed, clumsy, ended up in a top-tier, Level III teaching hospital. Ten yearster, the one in the county hospital could notpare to the one in the top-tier hospital. Because thetter performs surgeries every day that the former may only encounter once a year. This is the difference. The number of cases is the reason why gaps arise among doctors, especially surgeons. Therefore, even for a genius, without attaining a certain level, you won¡¯t have the rights to perform certain surgeries, resulting in an inability to umte and improve. ¡°We encountered onest time where the blood vessel retracted and chest had to be opened to locate the vessel for hemostasis.¡± ¡°I¡¯ve seen arterial bleeding here that sprayed all the way to the ceiling.¡± Those who have experienced such sight recalled with trepidation and discussed cautiously. The blood clots were gently lifted, and then mped with vascr forceps, lifted, and ced in the curved dish. Song Zimo leaned forward, mping the blood clot with the vascr forceps. He practiced for a long time before he could firmly grasp them. Because blood clots are fragile and can easily break apart with a bit of force, normally clots are scraped off with a curette and then piled up and removed. At this moment, if a curette were used, it could easily lead to vessel pull and retraction because of excessive force. Whereas vascr forceps can mp precisely, but it¡¯s a technical task and not everyone can imitate it. After the blood clots were removed, the ruptured vessel was exposed. It had already been blocked by the blood clot and only a little bit of the connected vessel wall was left. The proximal end was also mped immediately with the vascr mp. Ligation is the safest and simplest treatment, but Yang Ping selected suturing. After cutting off the ruptured end, he sutured easily. After checking the artery, there were no issues. The nerve¡¯s outer sheath was split, Yang Ping opened it, exposing the inner nerve bundle sheath, which was fine. Then, he irrigated and sutured. Old Han entered the room after washing his hands. The third surgery waspleted. Chapter 33 - 0032: Being Targeted Chapter 33: Chapter 0032: Being Targeted ¡°Ding dong, Stage Task: Help Sanbo Hospital establish the strongest orthopedics department in G City. Reward: 500,000 points.¡± Clear text appeared in the upper right corner of his vision, lingering for a moment before disappearing. Stage task? So, the previous individual surgeries were individual tasks. If there are stage tasks, then there must be main tasks. What are the main tasks? The task of 100 reattachment surgeries after finger amputation should be a branch task, and this stage task seems more like a part of the main task. Yang Ping temporarily failed to fully understand the system¡¯s task structure. During his break in the dressing room, Yang Ping entered the system and checked his skills: his mastery of limb rentation had entered the master level, and his vicle fracture treatment had reached a perfect level. But for other surgeries in trauma orthopedics, he was still at the beginner level. For some areas, he was not even a beginner yet. Many areas, such as sports medicine, spinal surgery, joint surgery, bone tumors and so on, were nk. It seemed unrealistic to help the hospital establish the strongest orthopedic department with such skills. He must seize the time and make up for his deficiencies in trauma orthopedics as soon as possible. Back to the doctor¡¯s office, Director Han summoned him immediately when he saw him return. Old Han served him tea and invited him to sit. Yang Ping was used to it and epted Old Han¡¯s hospitality without any hesitation, taking tea from him and sitting on the sofa. ¡°Xiao Yang , I want to talk to you about two things: One, you should n carefully, take time to read more, and prepare for the PhD exam next year. You can join my PhD program, my connections have already transferred from Shanghai Medical University to Nandu Medical University. You can get admission straight away when the application opens. You are young and your education is paramount. In our profession, it¡¯s a must. Without education, even if you are talented, you will be buried. Two, we are nning to establish a city-level trauma emergency center in the city¡¯s People¡¯s Hospital. Our hospital is selected along with several affiliated hospitals of Nandu Medical University for this. Our mainpetition is the City People¡¯s Hospital, your old ce. They established trauma emergency center before us, they have strong foundation and the city gives them lots of attention. Our hospital is rtively new and our position is not very stable yet. We don¡¯t have a lot of confidence. But our Hospital Authority has clearly stated that orthopedics is a key department for development at this stage, and this city-level center must be won. The two affiliate hospitals of Nandu Medical University are also to be taken seriously, they have the strongest talent. If they concentrate on building this center, they will have an advantage. Tian Yuan, Song Zimo, and you are all our young talents. I have guaranteed your capabilities to the hospital. Case volume, surgical difficulty, rescue sess rate, and so on are all review indicators. You cannot let us down when the crucial timees.¡± This happened to coincide with the system¡¯s stage task. If he helped the hospital to win this city-level trauma emergency center, wouldn¡¯t that mean that the trauma orthopedics department had be the top one in G City? Moreover, he wouldn¡¯t even have this opportunity if it weren¡¯t for Old Han¡¯s promotion. If it weren¡¯t for him breaking rules and promoting him during the interview, he would probably still be spinning his wheels in the emergency department. Many talented people are excluded and suppressed, unable toe to the fore. If they don¡¯t give you opportunities to operate, it still amounts to zero, no matter how talented you are. He remembers at G City People¡¯s Hospital, there was a very talented doctor with outstanding surgical skills who could perform the surgery perfectly just by having seen it once. Wu Siwen suppressed him and didn¡¯t even give him the opportunity to assist. Old Han was his benefactor. Even without the system task, he would spare no effort to help him achieve his goal. Seeing Old Han looking ambitious, it seemed that his goal was not just to build the top trauma orthopedics department in G City. As he thought about it, he thought of the G City People¡¯s Hospital and Wu Siwen, which filled him with resentment. Although Yang Ping wasn¡¯t a vindictive person, he also wasn¡¯t a saint who could repay evil with good. ¡ª The old man returned to the administration building¡¯s office from the outpatient department and tossed his document bag on the table. A CD was ced on the table with the words: ¡°Orthopedics ¨C Surgical Video by Yang Ping.¡± ¡°It was sent over so quickly; let¡¯s take a look.¡± He inserted the CD into theputer and fumbled around the keyboard with one finger Zen technique. After a few minutes, he finally opened the CD. ¡°vicle fracture?¡± He no longer had the desire to continue watching. As the video yed, the old man put on his reading sses and leaned in to watch: ¡°Ya ya ya, these vicle surgeries are done so well now, he is quite adept at removing the hematoma with the hemostat! That young man, no wonder Han Jiangong is so focused on him. Usually, his eyes are always looking up, but now he pays so much attention to this neer.¡± He picked up the telephone: ¡°Han Jiangong, this is Zhang Zongshun. What was the name of the attending physician who applied for the third level surgery authorization? I will personallye to see his surgery next week, let me know in advance.¡± Zhang Zongshun, Old Zhang! He was highly respected, the head of the hospital expert group, which was equivalent to an advisory group, all were a bunch of old men. He worked half a day in the outpatient department every week, wandered around when there was nothing else to do and did some guiding and supervisory work. He participated in consults for difficult cases. When Old Han received his call, he was dumbfounded. The pickiest old man, he could remember what was written on any page of any book, and if your surgery is even a little bit off, you¡¯d be severely criticized. Every orthopedics director, except Han Jiangong, had been scolded by him at meetings. Director Bai was once left speechless by his scolding, his chubby face flush with embarrassment. Seeing Old Han¡¯splexion change, Yang Ping thought it was another major rescue, and asked, ¡°Director, what¡¯s wrong?¡± Old Han waved his hand: ¡°You¡¯re in trouble, the chief of the expert group, Elder Zhang, has his eyes on you. He will personallye to watch your surgery next week, and he will probably bring a few old folks with him.¡± Yang Ping had heard some rumors, mostly about Zhang insisting on double-checking even the prescriptions that cost a few dors or a few dozen dors. ¡°No one who has been stalked by the old man has had a good day. You¡¯d better prepare yourself for criticism. I can help you with anything else, but with this, let me say it upfront, I cannot help you.¡± Old Han shook his head: You will have to face it yourself. Song Zimo came in, heard that Yang Ping had been targeted by Elder Zhang, and burst intoughter. ¡°You! You had to provoke him of all people. Listen, even Dean Xia has been criticized by him. No head of the surgical system has escaped his criticism. Oh, except Director Han.¡± Song Zimo was rolling withughter. ¡°I will try to select the simplest surgeries for next week.¡± Song Zimo felt sorry for Yang Ping. Old Han said: ¡°That¡¯s useless. Once he¡¯s got his eyes on you, you still think you have a choice?¡± The phone rang, Old Han pointed at the mobile, and everyone kept quiet. Old Han answered the call: ¡°Elder Zhang, Elder Zhang, hello, yes! Yes, yes, yes, you are wee to choose. He is young, so he surelycks experience. Elder, please show a little mercy. No, no, no, that¡¯s not what I mean¡ª¡± After the call, Old Han helplessly said: ¡°I told you, he¡¯s already chosen two surgeries for next week: terror triad of elbow joint andminuted fracture of the distal humerus. Deal with it yourself.¡± Even Song Zimo was shocked: ¡°This is not an assessment, it¡¯s a test right from the start. Why don¡¯t I get on the operating table to assist Yang Ping next week? I¡¯m afraid Little Five may not coordinate well.¡± Old Han said: ¡°Alright! I¡¯ll be in the gallery. This old man has a keen eye, you need to be careful, even your scalpel-holding technique must be standard.¡± The three of them discussed how to deal with Elder Zhang, and then went together to the rehabilitation department to visit the firefighting hero Qiangzi. Qiangzi was now transferred to the rehabilitation ward. The Trauma Emergency Center is arge system. Postoperative rehabilitation is the responsibility of the rehabilitation department, which has established a dedicated trauma rehabilitation team. When the three of them arrived at the rehabilitation department, Qiangzi was in the rehabilitation room, doing rehabilitation exercises under the guidance of the therapist. The rehabilitation room was spacious and filled with all kinds of modern rehabilitation equipment. The oversea Chinese businessman who donated the money to build Sanbo Hospital, every year, his foundation allocates funds to Sanbo Hospital to purchase equipment. Hence, Sanbo Hospital can acquire more equipment more easily than other hospitals. A girl on the side was constantly wiping his sweat. When Qiangzi saw Director Han and otherse in, he was very happy. Yang Ping carefully checked the nerve growth, conducted a tapping test, the nerve terminations were progressing towards the distal end, which was a reason for celebration. The more delightful thing was that Qiangzi introduced his girlfriend to everyone, a primary school teacher, a freshly graduated college student. She saw Qiangzi¡¯s news on TV, ran to send him flowers, fell in love with Qiangzi at first sight, and gradually they started dating. The girl shyly greeted everyone, then helped Qiangzi sit down: ¡°Look at you, I told you not to rush, and you are sweating so much.¡± Everyone burst intoughter. Old Han¡¯s phone rang again. ¡°Han Jiangong, remember, inform me in advance!¡± ¡°Absolutely, Old Zhang!¡± Chapter 34 - 0033 Pediatrics, Vegetable Market Chapter 34: Chapter 0033 Pediatrics, Vegetable Market After returning from the rehabilitation department, I just entered the elevator when I received a call from Su Yixuan. ¡°Brother Ping, where are you? I¡¯m in the Pediatrics outpatient clinic, outside Room 17. My cousin¡¯s child is having issues with his arm. Can youe over and help?¡± Su Yixuan asked anxiously. This was an emergency! Yang Ping immediately parted ways with Old Han and Song Zimo, rushing to the pediatric clinic. Old Han and Song Zimo were left confused by the urgency, not knowing what had happened. On the way, they ran into Zhang Lin who was carrying snacks and fruits. He was also heading to the pediatric clinic. His girlfriend had fainted in the examination room in the morning. After receiving an intravenous infusion, she had gone back to work. He was worried and wanted to check on her. Zhang Lin looked haggard and kept applying vapo rub throughout the journey. Both men were shocked when they arrived at the pediatric clinic. It was noisy and chaotic, resembling a meat market. There was a long queue for appointments, starting from the information desk, winding out the door and into the parking lot, where it continued in arge loop. Noise from the children echoed all around: wailing, adults coaxing kids, and families arguing ¡ª all intermingling with each other. You would see discarded diapers and fever patches everywhere, and a baby bottle with half-filled milk, rolling on the floor. Some entire families were stationed here, each doing their part. Some kept their ces in the queue while others set up floor bedding in corners with their children, using fever patches on their foreheads. A parent even brought a camping tent and set it up in one corner of the clinic¡¯s hall. The woman sat inside the tent feeding her child form while the man was negotiating with the security guard. This man looked quite unkempt and held a steamy bowl of instant braised beef noodles in his hand. He argued, ¡°I¡¯ve been queuing since midnight and it¡¯s been more than ten hours now. Can¡¯t you show some humanity?¡± While the security was having a heated debate with him, the crowd suddenly erupted in noise. People pushed their way to the front to see a specialist who couldn¡¯t bear the load anymore and was helped out of an examination room, pale and gasping for breath. The sign for ¡°Temporarily not seeing patients¡± was hung, anger ran high amongst the crowd. ¡°What¡¯s the matter?¡± ¡°My child isn¡¯t seen yet.¡± ¡°Such an irresponsible doctor!¡± ¡°You can¡¯t leave!¡± The substitute specialist waved his hand: ¡°The old professor really couldn¡¯t stand it any longer, but I will finish seeing the rest of his patients.¡± ¡°What do you mean? I paid for an appointment with the specialist to see him, not just to be told that someone else will see us instead.¡± The crowd was outraged. Others sighed and said: ¡°Just change the doctor. The professor was dragged out. How can he be expected to see patients?¡± ¡°Change the doctor? There¡¯s no room in any of the clinics!¡± It was a hard truth. Yang Ping rarely visited Pediatrics and was surprised by the chaos; it was overwhelming. His ears buzzed from the noise and his head spun. The hallways of the patient wards and the elevator spaces are full of extra beds that you¡¯d have to squeeze your way through,¡± Zhang Lin remarked. ¡°You¡¯re familiar with this pediatric outpatient clinic, right?¡± Yang Ping wanted to ask where Consultation Room 17, the one that Su Yixuan mentioned, was located. To his surprise, Zhang Lin waves his hand off: ¡°Bro, not to be unhelpful, but my phone has been blowing up these days with requests for specialist appointments connections. I really can¡¯t manage to help anymore.¡± ¡°No, you see¡ª¡±Yang Ping tried to exin. Zhang Lin waved him off and took off: ¡°Bro, I¡¯m so sorry.¡± Yang Ping shook his head. This kid doesn¡¯t even let others finish their sentences. He decided to look for Consultation Room 17 among the crowd on his own. Pediatric doctors are always busy, paid less and are prone to getting scolded asionally. Even in a major three-tiered hospital like Sanbo, they still struggle to retain staff. Other hospitals are facing the same situation. Many doctors have left over the years and it¡¯s difficult to hire more. As a result, when the flu season peaks, scenes like this ur with patients far outnumbering doctors. Some hospitals have no choice but to close down due to theck of pediatricians. The higher-upsmanded: it must remain open! Must be open? If a cow can¡¯t produce milk and you don¡¯t feed it, shouting ¡°It must produce milk!¡± will not make it produce milk. Some hospitals had no choice but to have their internists fill in. Once a problem arose¡ªinternists treating pediatrics¡ªthat¡¯s illegal practice! It¡¯s so confusing, these poor doctors were just trying to support their colleagues and ended up being used of breaking thew. At the railing on the second floor, Dean Xia was talking to the Director of Pediatrics: ¡°Divert it, don¡¯t let it all block here.¡± ¡°Divert?¡± The Director said, ¡°People have to rush to tertiary hospitals even for a sneeze now. You can¡¯t drive them away. Go and see the Children¡¯s Hospital in the city, it¡¯s even more crowded than here. I pulled out all the new residents to see patients. I can¡¯t hold on any longer if this continues. I have been seeing patients for a month straight. A few of ourrades have already copsed, one yesterday and two today. Even with the diapers on, not eating or drinking, we still can¡¯t finish seeing all the patients. To be honest, I¡¯m also wearing a diaper now.¡± Dean Xia¡¯s tall figure stood out. He looked down and muttered to himself: this could be lethal. Not limiting the number of patients could be lethal. ¡°Limit the number of patients,¡± he suddenly said in a louder voice, ¡°fucking limit the number of patients.¡± The Department Director of Pediatrics was taken aback, ¡°You¡¯re not kidding, are you? It¡¯s a clear rule set by the higher department to meet demand. It doesn¡¯t allow number limits.¡± ¡°Tomorrow I will bring them to the outpatient clinic with me.¡± The rage Dean Xia felt was sky-high. Dean Xia had a unique personality. He had before been a national model worker, a representative in the National People¡¯s Congress, one of the country¡¯s excellent Deans, and had even received awards at the People¡¯s Hall. He dared to be domineering, others did not. The Department Director of Pediatrics gave a soft agreement, then quickly added, ¡°Dean, you said it. I¡¯m just following orders.¡± He then promptly called the reception desk: ¡°Limit the number. Damn it, limit it! Yes, I am the one who said it. No, it was Dean who said it.¡± The Department Director of Pediatrics had never been so domineering before. After hanging up the phone, he felt a wave of relief washing over him. His right hand reached up to touch his hair, like in his youth when his hair was thick and his spirit was high. Dean Xia nced at the Department Director¡¯s bald head, ¡°Next week we will need to discuss the Pediatrics again at the weekly meeting. We will discuss the special subsidies policy.¡± ¡°Didn¡¯t we discuss itst week? Many Department Directors disagreed.¡± The Department Director of Pediatrics felt upset at the recalling. ¡°If they disagree, they cane and help in Pediatrics and try the feel of ¡°padding diapers.¡± What Dean Xia said, he would do. ¡°Let¡¯s go and see where those colleagues of ours are staying.¡± Dean Xia strode off, leaving the Department Director trailing behind. ¡ª Yang Ping enquired around a bit before rushing to Room No. 17. Finally, he saw Su Yixuan¡¯s graceful figure standing by a small slide outside the consultation room. On seeing Yang Ping, Su Yixuan waved to him as if he was her savior. ¡°Sis, this is our Doctor Yang. He¡¯s really capable, he can help.¡± ¡°How old is the child? What happened?¡± Yang Ping asked, bending over. The little girl just cried, timidly dodging away. Her right arm was semi-bent and hanging loose, and she was guarding it with her left hand, not allowing anyone to touch it. ¡°She¡¯s four. She fell from the slide. When I pulled her up, she was like this.¡± Her pretty and noble cousin looked anxious and regretful. ¡°Don¡¯t worry, let me take a look.¡± Yang Ping soothed the little girl, gaining a bit of her trust, then gently rolled up the girl¡¯s sleeve. There was no swelling, the forearm was rotated forwards and the elbow joint was half bent. He had a clue of the problem. The child continued crying while Yang Pingforted her, ¡°Uncle is just going to have a look, don¡¯t be afraid, it¡¯ll be over after a quick touch!¡± His expression was serious thereafter. ¡°Is it broken?¡± The cousin asked worriedly. With a snapping sound, the child¡¯s partially dislocated radial head was relocated. ¡°Can you move it?¡± Yang Ping encouraged the young girl. Initially, she dared not try. However, upon being encouraged, she slowly attempted to move and realized it didn¡¯t hurt anymore. Thus, she boldly moved,pletely normal. She instantly stopped crying, joining the others in ying on the slide. ¡°Nothing to worry about, she is fine.¡± Yang Ping straightened up his back. The cousin joyfully said, ¡°Xiaoxuan, your colleague is really good. He made it better with just a touch, he¡¯s really magical.¡± ¡°I told you he is powerful,¡± Su Yixuan said proudly, holding her head high. ¡°Thank you so much.¡± Su Yixuan¡¯s smile revealed two charming dimples. Yang Ping casually replied, ¡°It¡¯s nothing!¡± ¡°You guys stay busy, I have some other stuff to handle.¡± Yang Ping didn¡¯t want to stay too long. Su Yixuan quietly showed her phone. Meaning: Contact on WeChat! Chapter 35 - 0034: Emergency Dispatch Chapter 35: Chapter 0034: Emergency Dispatch ¡°Thank you, tomorrow night at six, Uncle Er¡¯s Grilled Fish!¡± Su Yixuan sent a WeChat message. Yang Ping checked her phone countless times and then put it on her chest, feeling sweet inside and excitedly unable to sleep. Tomorrow is going to be a happy day. But time was passing too slowly for her enlivened state. Unable to sleep, Yang Ping opened WeChat and browsed through several groups until she felt sleepy. In her college group, few people were active, and the most active ones had all joined top tertiary hospitals via the fast track. Someone was showing off photos of attending an academic conference abroad with the head of the department, standing next to international big shots for group photos, and humorously making aint: ¡°Being a doctor is not easy, having to go overseas for training.¡± A few congrattory messages followed. After that were various links for group-buy discounts sprinkled through the group chat. She didn¡¯t sleep well because she felt too excitedst night. She got up early in the morning, still feeling a little sleep-deprived. After having breakfast in a restaurant near the hospital, she arrived at the hospital just a little after seven. Doctors like Zhang Lin and Little Five who lived in the hospital were already busy, and the keyboard sound of theputers never stopped. Little Five gave a simple report to Yang Ping about the patients¡¯ situations from the previous day, about those who owed fees, exceeded insurance coverage, didn¡¯t report hospital infections promptly, and so forth, all kinds ofplicated issues. Director Han¡¯s group actually had two sub-groups: Yang Ping and Little Five¡¯s group, and Song Zimo and Zhang Lin¡¯s group, each group handled different patients. Zhang Lin managed ten beds and Little Five managed ten beds. While typing on the keyboard, Zhang Lin said mysteriously, ¡°Didn¡¯t you hear about the incident in the spinal department?¡± ¡°An ident?¡± Little Five asked curiously. Zhang Lin nodded, ¡°Remember the three-noes patient? His four sons and two daughters came. Yesterday, they caused a scene in the department, and were forced out by the security.¡± ¡°Didn¡¯t he have no rtives? Their home was called before, and they said he had no family.¡± Not only did Yang Ping know, the whole department knew about this patient. He had a bursting fracture of the thoracic vertebrae and damage to the spinal cord at the same ne, and he was paralyzed from the navel down. Zhang Lin gave a sly smile, ¡°Right, but they denied being his family because they were afraid of being asked for money. An entire half year in the hospital and not a single person came to visit. Now that his family is suddenly here, they¡¯re demandingpensation.¡± ¡°Compensation? For a three-noes worker who fell from a height at a construction site, resulting in severe spinal fracture, spinal cord injury, and destruction of the spinal cord? He would be paralyzed anywhere he went. This is a problem worldwide. Free treatment, free caregiver service, free meals three times a day, stayed for more than half a year, and now suddenly rtives appeared, upon arrival demandingpensation?¡± Little Five was indignant. Zhang Lin said, ¡°Right, yesterday the medics went there, and the other party proposed apensation amount of six million yuan. Threatened to give the hospital a blood bath if they didn¡¯t get the money.¡± ¡°Seems like there¡¯s going to be trouble! Be careful these days, everyone. And be especially cautious whilemuting,¡± said Zhang Lin. ¡°I¡¯m thinking about buying a stab-resistant vest, do you want to group order? Oh, and remember, your desk should never face the doorway. Pay attention to suspicious people on your way to and from work, and try to wear running shoes.¡± ¡°Is it that serious?¡± Yang Ping said quietly. Zhang Lin said seriously, ¡°Trust me, not long ago, a doctor at Nandu Fuer was stabbed several times and admitted to the ICU. Haven¡¯t you seen someone measuring the door clearance of the outpatient and emergency departments recently?¡± ¡°Weren¡¯t they saying it was just some doorway renovation?¡± Yang Ping was interested in this. Zhang Lin was well-informed, ¡°Reliable sources say the outpatient and emergency departments will only keep one door open and install security screening channels at the entrance. This is a policy pushed directly by Dean Xia. You didn¡¯t know that they were also going to strengthen security and train doctors in self-defence? The new triple security policies of the hospital will be announced on the official website soon.¡± ¡°How do you know all this?¡± Yang Ping knew none of this. Zhang Lin said mysteriously, ¡°Don¡¯t ask about that, just know that I¡¯m right. And remember not to tell anyone about this.¡± Then he repeated the same words to Little Five, Fang Yan and several others. He announced it to everyone, but still asked for confidentiality. Shift exchanges, ward rounds, surgeries, all were done as per normal routine. She performed a finger reattachment surgery, and assisted Director Han in several surgeries. It was past five in the afternoon when she finally finished. Director Han was both fast and skilled in surgery, it¡¯s like he could control the pace as he desired, always had a well-thought-out n. While they were changing, Old Han received a call. After hanging up, he said, ¡°Xiao Yang, the emergency department just asked for help. An ident happened at a construction site and a worker¡¯s leg is trapped under a piece of cement. He can¡¯t get out. They are currently attempting a rescue. It¡¯s estimated they¡¯ll have to amputate on site. You take Little Five and go. Meet at the entrance to the emergency department. The emergency transport is waiting.¡± This couldn¡¯t wait. Yang Ping and Little Five hurried to the emergency department. A Mercedes ambnce was waiting at the door. The doctor saw Yang Ping and immediately opened the door, ¡°Doctor Yang, you¡¯re doing a great job!¡± The emergency department had already sent an ambnce earlier. This one was just for transporting Yang Ping. The ambnce¡¯s sirens sounded as it headed straight to the construction site. ¡°Ding Dong! Task: Race against time to save the life of a critically ill patient. Sessfulpletion will be rewarded with 6000 points.¡± Tasks had now be part of their life. Yang Ping wasn¡¯t surprised when the system released tasks at any time. People were waiting at the entrance and exit of the construction site to hand out hard hats. Yang Ping and his team put on the hard hats and followed the worker who was leading them to the ident site. It was a subway tunnel construction project, leading underground. They could see the early signs of tracks, esctors, pirs, etc. ¡°There was a corner that hadn¡¯t been reinforced yet which was off-limits. But a worker had hidden there because he needed to relieve himself urgently. As a result, it copsed. His upper body has been dug out, but one of his legs is trapped under a chunk of cement,¡± exined the site leader who was responsible for safety. Dr. Lv from the emergency department was already waiting there with a nurse. An IV drip was set up and fluids were being administered. Dr. Lv reported, ¡°His right lower extremity is trapped under cement weighing hundreds of kilos. The rescue is difficult because the machinery can¡¯t be used and manual rescue is required. His internal organs have sustained damage. A surface ultrasound just revealed that his liver is ruptured and approximately 1000ml of fluid has umted in his abdominal cavity; there is bleeding beneath the casing of the spleen, and the bleeding is worsening. We should perform aparotomy as soon as we get him back to the hospital.¡± The emergency department was well-equipped with portable surface ultrasound machines, X-ray machines, ECG machines, etc. Therger ambnces also had fully automatic biochemical analyzers for on-site blood drawing and results analysis. Ever since the Trauma Emergency Center was established, these doctors have undergone training every few days, so using a surface ultrasound machine was no major task now. A ruptured liver was already dangerous enough. In addition to that, the patient had steadily worsening hemorrhage beneath the spleen¡¯s casing ¨C an urgent indicator for aparotomy. Otherwise, if the bleeding increased, especially if the spleen¡¯s casing is ruptured, it could prove fatal on the spot. The patient was barely conscious, thanks to his strong overall physical condition and timely fluid replenishment. They needed to quickly rescue the man and transport him to the hospital for theparotomy. Timing was critical: it was a matter of life and death. The patient¡¯s face was pale, his expression agonized. His right pant leg had been cut open, and the entire part of the leg from below the thigh down was trapped inside. Rescue workers were using a tool to remove chunks of cement bit by bit. Yang Ping said, ¡°We can only amputate. Otherwise, he won¡¯t survive!¡± At urgent moments, it¡¯s best to put harsh realities into words as clearly as possible. Dr. Lv passed over an informed consent form attached to a clipboard, and an open box of ink, ¡°Please sign here. If you can¡¯t sign, pressing a hand print will also work.¡± It couldn¡¯t be helped. All conscious patients had to sign. It was procedure. The worker kept sweating and his face twisted with pain. Each word he spoke was a struggle, ¡°Doctor, can it be saved? Please try. I have old parents and young children to support. If I lose a leg, it would be a disaster.¡± ¡°We can¡¯t save it, nor should we try. Currently, you need to choose between your leg and your life. What will it be?¡± Yang Ping was stern. At a time like this, lengthy or flowery speech was useless. Only firm and resolute decisions were helpful. ¡°Nowadays, prosthetic lower limbs are highly functional. You¡¯ll be able to walk and work normally in the future,¡± Yang Ping added. The worker was still hesitating. After all, it¡¯s not easy to make a decision to amputate a live leg that was fine just a moment ago. ¡°Doctor, if the leg is amputated, can it be reconnected at the hospital once it¡¯s dug out?¡± The worker strived to negotiate. Yang Ping peeked through the gap between the cement chunk and the ground. The lower leg had beenpletely ttened and it had turned a pale gray. Regrettably, he said, ¡°There¡¯s very little hope. The severe crush injury makes it impossible to reattach.¡± ¡°Creatine levels have increased!¡± Dr. Lv interrupted. That meant arge amount of muscle tissue had been destroyed by being crushed, causing myoglobin to enter the bloodstream and clog the renal tubules, which damaged the tubr cells and led to acute renal failure. This could also be fatal. ¡°Trust me, we need to amputate immediately. We are all here to save your life. If you hesitate any longer, what you¡¯ll lose won¡¯t just be your leg, it will be your life.¡± Yang Ping¡¯s tone was calm, every word clear. The worker took a deep breath, closed his eyes, clenched his teeth, and said, ¡°I trust you, Doctor. Amputate.¡± Then, he dipped his right index finger into the ink and pressed it onto the informed consent form. At this moment, there was no choice. His liver had ruptured and he was already bleeding. If his spleen ruptured as well, he would surely die on the spot. The only option was to amputate to buy some time and save his life. ¡°Little Five, prepare!¡± Chapter 36 - 0035: Race Against Time Chapter 36: Chapter 0035: Race Against Time Even if amputation was performed on-site, Yang Ping did not want to make it a hasty affair. The misceneous items around them were cleared away, and a waterproof pad ced under the thigh. Little Five worked methodically and swiftly. As Yang Ping¡¯s assistant, he strived to meet the standards. A sterile package was opened, disinfected, and a sterile bottom sheet and hole towel wereid out. ¡°Syringe, 10% lidocaine, saline water, dilute one to one!¡± Little Five had already handed these items over. Without an anesthesiologist, only local anesthesia could be administered. Amputation under local anesthesia? What high level of local anesthetic technique was required! Dr. Lv from the emergency department broke out into a cold sweat. Local anesthesia is generally used for minor surgeries, like suturing small wounds or removing small tumors. Too small a dose might not achieve the desired effect; a dose toorge might risk anesthetic poisoning. One hospital had a patient die from anesthesia poisoning in the outpatient operating room after overdosing on local anesthetic during the removal of a tendon sheath cyst on the hand¡¯s back. Hence, even slightlyrger operations, such asrger wound sutures, wouldn¡¯t typically use local anesthesia due to the higher risks and subpar effects. Now Yang Ping was using local anesthesia for an amputation? This surprised everyone. Although local anesthesia seems simple, it too is a technical job. Ordinary local anesthesia involves injecting the drug around the surgical area; a more urate method is to block the nerves that control the surgical area. Thetter is called nerve block, which is a more advanced form of local anesthesia. If we were to use an analogy, the former would bepared to blindly firing a cannon at enemy lines, while thetter would be like using precision-guided missiles to obliterate enemy bases. To master nerve block anesthesia, one must be very familiar with anatomy, understand the nerve control in each region, and familiarize themselves with the nerve pathways. Now, Yang Ping was about to block the right femoral and sciatic nerves. Anesthesiologists usually use surface ultrasound for positioning for this kind of block, but Yang Ping now had to do it manually. Dr. Lv watched intently and with anticipatory admiration¨Camputation under local anesthesia. Following the pathway of the femoral and sciatic nerves, Yang Ping first blocked the femoral nerve¨Cstarting from the skin on the upper part of the thigh and anesthetizingyer byyer. As he carefully inserted the needle into the nerve sheath, the feeling of electric shock immediately emanated. ¡°Feeling like an electric shock?¡± ¡°Yes!¡± The patient said with gritted teeth. Then, the medication was injected into the sheath of the nerve. The same method was used to block the sciatic nerve, whose branches primarily control the skin¡¯s feeling in the lower limbs. Just as the transmission of current along a wire is interrupted, the nerve impulse was sessfully blocked by the anesthetic. The effect was very good. After a short wait, the patient¡¯s right lower limb had no sensation, and Yang Ping began to make the incision. The knife formed a beautiful tongue p¡ªskin, subcutaneous tissues, deep fascia, muscles, blood vessels ligation, high-level nerve incision, exposing the femur and sawing it off mid one-third with a wire saw. The fracture site of the femur was lightly rounded off. The same method was used to cut a tongue p from the skin, deep fascia, and subcutaneous tissues on the opposite side. The bleeding site was ligated one by one, leaving the surgical area clean. The amputation waspleted in less than five minutes, perhaps even shorter. The stump was wrapped in a sterile sheet, with the remaining treatment to be continued on the ambnce. The EMTs quickly lifted the patient onto the stretcher, put on a nasal cann, continued with cardiac monitoring, and swiftly connected various tubes and wires before tidying up. The stretcher was ced in the middle, with Yang Ping and Little Five on one side, Dr. Lv and the nurse on the other. The vehicle started, heading for Sanbo Hospital. To save time, the driver chose the quickest route on the GPS. Lidocaine local anesthesia canst one to three hours. The anesthetic was still effective, and the patient felt no pain. Dr. Lv was thinking ¨C if he could master Yang Ping¡¯s superb nerve blocking technique, there would no longer be a need to use morphine for pain caused by injuries in future emergency situations. A direct high-selectiveness nerve block would make the journey to the hospital painless for patients. In the ambnce, within the limited space, Yang Ping and Little Five carefully washed the amputation stump. After disinfecting andying sheets again, they stitched together the muscles, fascia, and skin. Only then was the amputation consideredplete. This too took only a few minutes. ¡°Doctor, can I survive?¡± The patient¡¯s voice was already very weak, his face and lips were pale, his eyes were closed and he struggled to open them slightly. They had turned the IV to the fastest rate possible, simultaneously giving infusions through three channels, colloids, crystalloids, entering the body. Yang Ping was tightly holding his hand. It was ice-cold. ¡°You can! You definitely can!¡± The patient gasped, still wanting to talk, but was unable to gather the energy to speak several times. ¡°Don¡¯t talk anymore, you¡¯ll be alright, hang in there!¡± Yang Ping held the patient¡¯s hand, squeezing it a bit to offer encouragement. Still, the patient managed to squeeze out a few words: ¡°Save ¡ª me ¡ª my child ¡ª junior high school ¡ª pitiful ¨C¡± Words have be sparse and discontinuous. The ambnce is quite advanced, but it is still just an ambnce, only providing basic life support such as fluid resuscitation. In the short term, fluids can maintain volume, but ultimately it will require a blood transfusion to replenish red blood cells and maintain oxygen transport. And transfusions can only be done at the hospital. Heart rate has already risen to 120 per minute, blood pressure has dropped to 80/40mmHg, and oxygen levels are barely maintained at 90% with oxygen inhtion. No one knows whether the burgeoning spleen has ruptured. If it has, it¡¯s a sure death. Sometimes you have to admit it¡¯s all down to luck. Dr. Lv can¡¯t perform a surface ultrasound anymore, as applying pressure with the probe also carries a risk. Even if a rupture is identified, there¡¯s still nothing that can be done for now. ¡°Hurry!¡± Yang Ping said to the driver in front, his hand clutching the patient¡¯s, his fingers continuously pressing on the radial artery. The pulse was weak, seemingly about to disappear. ¡°We¡¯re already going as fast as we can!¡± shouted the driver, yet his foot pressed harder on the elerator. The nurse switched out another bag of fluid. Dr. Lv was on edge, his face covered in sweat. The ambnce siren was urgent, and the driver danced through the traffic. Some cars moved aside to make way, but most others simply ignored it. The driver, a retired armored driver, was very skilled and calmly handled the steering wheel, constantly overtaking other cars. The biggest unpredictability of urban traffic is jams. Everyone in the car was praying, begging the traffic gods for no congestion, just not now! The patient was now delirious, and a shout would only cause a slight flutter of the eyelids. The ambnce got onto the overpass. Suddenly, the car in front braked, slowed down, and stopped gradually. The ambnce followed suit, slowing to a stop. Because the ambnce had maintained a good distance from the car ahead, the stop was smooth and didn¡¯t jar the patient too much. ¡°What¡¯s going on?¡± Little Five asked. The driver shook his head: ¡°I¡¯ll go and check.¡± Immediately, a long line of cars formed behind them, and looking forward, a long snake of cars stretched out ahead as well. The driver pulled the brake, opened the door, and got out. He walked about ten meters forward to investigate the situation. He came back and said, ¡°A truck broke down up ahead. It¡¯s caused a traffic jam.¡± Damn! Everyone cursed. Stuck in traffic at a time like this, it was a hopeless situation. Cars were packed tight on all sides, there was no way to move forward or backward. Yang Ping¡¯s heart sank, and the pulse in his hand was nothing but a faint whisper, like a candle in the wind, about to go out. The me of life can sometimes be very tough, but at other times it¡¯s extremely fragile, easily extinguished by the slightest disturbance. Dr. Lv opened the ambnce¡¯s back door. He shaded his eyes with his hand and looked ahead to the endless snake of traffic, looking back, the snake still continued in winding coils. He walked back and forth behind the ambnce, his right fist smashing into his left hand, nervousness etched on his face. Time was slipping away, second by second. The patient waspletely out of it, no longer even stirring when called. His pulse rate was increasing rapidly, his pulse as faint as a gossamer thread, and on the verge of disappearing. After looking again and again, with the trafficpletely stationary, Dr. Lv lifted his head and let out a heart-wrenching cry: ¡°Help! There¡¯s someone in the ambnce who needs urgent help!¡± Even if they called for a helicopter right now, it would be toote. And not everyone has the chance to be airlifted. Of the two helicopters that the hospital had, one was undergoing maintenance, and the other was hired by a high-end insurancepany to transport another patient. The piercing siren of the ambnce, the shing lights, and the desperate cries of the doctor attracted the attention of other drivers who had got out of their cars for air. A fellow wearing sunsses squeezed through the narrow gaps between the cars and asked, ¡°What¡¯s going on?¡± ¡°The person in the ambnce is dying. They won¡¯t make it much longer,¡± Dr. Lv said helplessly, wiping sweat off his forehead with his sleeve. Inside the vehicle, Yang Ping and Little Five watched over the patient. Little Five stared at the heart monitor while Yang Ping continued to hold the patient¡¯s hand. The man in sunsses scratched his head, took off his sunsses, peered in, then looked at the traffic jam. Then he raised his voice: ¡°Quick, quick, quick! Come help, emergency! Someone¡¯s life is at stake!¡± Chapter 37 - 0036: Warm Relay Chapter 37: Chapter 0036: Warm Ry After shouting, the sunsses-wearing guy returned to the back door of the ambnce. He peeked into the ambnce and said, ¡°The bridge is jam-packed and there¡¯s no room for even flipping a car, hurry up, lift the patient down. Let¡¯s all carry him together. Get past this section and find another vehicle for transport. Saving lives is the most important thing now!¡± Yes! This is the only choice, to lift the patient up and walk out of the congestion. This is a solution, the only solution. Yang Ping, Little Five, Dr. Lv, the nurse, and two paramedics immediately started to work. The patient was already on a stretcher, and they worked together to lift him up. Two paramedics, the sunsses guy, Little Five carried the stretcher. Dr. Lv was holding the first aid kit, the nurse held a few bags of fluid, and Yang Ping kept holding the patient¡¯s hand tightly. Even in aa, the patient held on tight. As he walked, the sunsses guy shouted, ¡°Help, help please, emergency, extremely urgent!¡± More and more people got out of their cars. At first, they were observing, not sure what was going on, but as they understood, some rushed over to help. A few people, dozens of people, even more¡ªthey must have somehow figured out what was happening near the ambnce. The space between thenes was cleared and became a designated path for the stretcher. People stayed away to both sides, and those who came over to help were also moving through the gaps on both sides. ¡°Switch, switch, the next group get ready!¡± The sunsses guy picked out a few strong-looking individuals from the crowd who were running alongside. Those carrying the stretcher werepletely switched out for fresh hands as they continued to rush forward. ¡°Hold it steady, no shaking!¡± The sunsses guy rolled up his sleeves to wipe off the sweat, instructing the new people with their hands on the stretcher. Some were helping to clear the way, some were ready to take over carrying the stretcher. The gaps between thenes were barely passable, but for any disregarding vehicles or ones not parked properly, it was hard for the stretcher to go through. ¡°Hurry up, you go ahead to clear the way, you go ahead to arrange a vehicle, we need a truck¡ªother cars won¡¯t do, we can¡¯t put the stretcher in them.¡± The sunsses guy wasmanding everyone with great experience. ¡°I¡¯ll carry! I¡¯m in sports, long distance running.¡± A young man in his twenties ran along with the team. The sunsses guy pulled him over immediately: ¡°You, hurry up and run ahead to find a truck. We need a truck.¡± ¡°Yep!¡± The young man epted the mission and immediately put his specialty to use, running as fast as he could forward to find a vehicle ahead of the congestion. An orange Bentley Bentayga might have tried to changenes before the traffic waspletely stopped, and was now diagonally across twones, pinned by other cars in the middle, causing the stretcher to be unable to pass. The only way to get across was to go over the front of the car. The car owner, wearing a T-shirt, shorts, and slippers, with a beer belly, was the first to climb onto the bo to receive the stretcher, not caring about his car anymore. He was desperately waving his hands and shouting, ¡°Over here! It¡¯s alright, hurry up, saving lives is what matters!¡± Speaking Mandarin with a Cantonese ent, the owner forcefully directed everyone. The stretcher was lifted onto the bo, slowly dragged across from there, caught by the people on the other side. Several long scratches were left on the bo. Carrying the stretcher, holding it steady, and running is an extremely strenuous task. So, they didn¡¯t run far before switching to another group of people. Each time, after the switch, the next group was ready to step in as a recement. ¡°Hold it steady, hurry up!¡± Northeastern ents, Cantonese, Sichuanese, various dialects filled the air. Everyone was panting, taking turns carrying the stretcher, racing forwards as fast as they could. Yang Ping was always following the stretcher, trying to keep it steady and free of any vibrations. The people carrying it understood the doctor¡¯s instruction and held it extremely evenly. Some people tripped and fell, but others immediately took their ces. When some ran out of stamina, recements were immediately avable. The stretcher was always steady, rushing forward at the fastest possible speed. No one cared about the traffic anymore; they were only focused on making this stretcher break free. The straying individual, waving a red shirt, continued to shout ahead: ¡°Move aside, move aside, we¡¯re saving a life.¡± With everyone¡¯s ry efforts, the stretcher broke free from the jammed bridge and began sprinting downhill. Astonishingly, they kept up a running pace, left the line of traffic behind and saw a clear road ahead. The long-distance running boy, seemingly out of nowhere, caught hold of the sunsses guy, his face glowing red: ¡°The truck is over there, it¡¯s a cargo truck, we can put the stretcher in.¡± A small open truck was parked on the side of the road into which everyone carried the stretcher and put it onto the truck bed. ¡°Sanbo, go to Sanbo Hospital!¡± Dr. Lv shouted. Exhausted, the sunsses guy leaned against a tree at the roadside, fell onto the ground and waved his hand: ¡°Hurry, you guys go to the hospital, I can¡¯t go on.¡± The crowd was waving back, some were doubled over and panting, some were vomiting by the roadside, some were sprawled out on the ground. The truck started, rushing to Sanbo Hospital. The weak pulse was faint, and a few times couldn¡¯t be felt at all. Finally, the patient was sessfully transported to Sanbo Hospital. Having gone into shock, he was immediately sent to the operating room after a quick crossmatching for blood. The general surgeons were already waiting. When Yang Ping released the patient¡¯s hand, he had to use a lot of force to pry open the patient¡¯s hand and withdraw his own. Dozens of bags of blood were hung on the infusion stand, being pumped into the patient¡¯s body at the fastest possible speed. An endotracheal intubation was performed under general anaesthesia, the General Surgeon washed his hands and spread sheets for an emergency exploratoryparotomy. Yang Ping sat in the corner, Little Five handed him an opened glucose drink, Yang Ping gulped it down, unsure if they could still save the patient. The scalpel sliced through the skin,yer byyer, as soon as they entered the abdominal cavity, blood gushed out and the suction device couldn¡¯t keep up with it. ¡°There¡¯s a stomach full of blood, at least two thousand milliliters. The liver has ruptured, and there¡¯s a subcapsr rupture of the spleen.¡± The Associate Chief Surgeon holding the scalpel said. The procedure: Splenectomy, hepatic lobectomy. Having just ligated the splenic artery and vein, the spleen finally couldn¡¯t bear it and ruptured in the abdomen with a ¡°pop¡± sound, a bag of blood gushed out again. The frail spleen had actually already been squashed to pulp. ¡°Xiao Yang, that was close! A minuteter, and this patient would have been done for. It¡¯s quite rare to see a severe splenic rupture like this, with the capsule remaining intact. This was caused bypressive injury. The ruptured liver has already caused severe bleeding, if the spleen¡¯s capsule breaks, it can lead directly to fatal shock.¡± the Chief Surgeon said. He tossed the removed spleen into a metal basin, pointing at it with vascr forceps, saying: ¡°Look, the spleen ispletely ruptured, the capsule is like a balloon, continually expanding until it couldn¡¯t hold and burst spontaneously.¡± Next, they performed the hepatic lobectomy, and the bleeding finally stoppedpletely. They then checked the pancreas, the intestines, etc., without finding any further issues. ¡°How are the vital signs?¡± the Chief Surgeon asked. ¡°Blood pressure 90/50mmHg, oxygen saturation 98%, heart rate 100 beats/min¨C¡± ¡°The blood pressure ising up, it should be fine now, transfer the patient to trauma ICU after the surgery.¡± The surgeon performed multiple washouts, ced a drainage tube, and performedyered suturing. ¡°Does Orthopedics have any other issues? If not, we¡¯ll be transferring the patient to the Trauma ICU soon,¡± the Chief Surgeon asked Yang Ping. Only then did Yang Ping regain his senses: ¡°How is he? Can he survive?¡± The Chief Surgeon said: ¡°There¡¯s a great chance.¡± Yang Ping finally could breathe a sigh of relief. He survived! ¡°Ding-dong, mission aplished, awarded 6000 points.¡± As promised, the system rewarded him instantly without any deduction. The severed amputation stump was left clean and expertly managed, no second procedure was necessary. Dragging his exhausted body, he headed to the changing room. Su Yixuan sent a WeChat message: ¡°When you get back, remember¨C Uncle Er¡¯s Grilled Fish Restaurant, I¡¯ll be waiting for you.¡± Oh no, he had arranged to dine with Su Yixuan today, scheduled for six o¡¯clock, but now it was already nine o¡¯clock. Yang Ping made a call: ¡°I¡¯m sorry! I¨CI¨CI¨C¡± From the other side, Su Yixuan spoke: ¡°It¡¯s okay, I knew you were out with the emergency department so I didn¡¯t call you. Hurry up ande over, I¡¯ve been waiting for you for three hours.¡± She was still there! After getting changed, Yang Ping and Little Five went to see the patient in the Trauma ICU, the intubation tube had not been removed yet, but his blood pressure had increased a little. After saying hi to Little Five, Yang Ping rushed over to Uncle Er¡¯s Grilled Fish Restaurant. It was the same seat by the window, Su Yixuan was wearing jeans and a white T-shirt, her shoulder-length hair tied up, she was looking out of the window. Yang Ping felt an inexplicable sense of being touched! Chapter 38 - 0037: Take Your Time, Couple Chapter 38: Chapter 0037: Take Your Time, Couple ¡°Sorry.¡± Yang Ping sat down. Having just run over, he was still a bit out of breath. ¡°Sorry to keep you waiting.¡± Not giving a heads-up and making someone wait for two or three hours was really impolite. Another person would have been annoyed and left already. For doctors, endless surgeries often interrupt meals. An emergency phone calles, and off they rush, leaving the girlfriend alone. So many people can¡¯t stand dating a doctor. Su Yixuan turned around, flipping her sleek ck hair, and smiled, ¡°It¡¯s okay. Consider it as experiencing several surgeries with you. Have some water first; I knew you woulde just about this time.¡± ¡°A worker had a ruptured liver and spleen, and his lower limb was crushed by a cement block, needing an amputation at the site. I was dispatched with the emergency department¡­¡± Yang Ping exined. Su Yixuan calmly said, ¡°I know, two or three thousand milliliters of blood spilled out of the abdominal cavity. If he had arrived at the hospital a few minutester, he might not have survived. I heard you amputated his limb within minutes, saving precious time.¡± Luckily, they both worked in the operating room. If one of them was in a different profession, discussing things like blood and liver and spleen ruptures at the dinner table could make them run to the restroom to vomit. Since they are in the same field, they can chat and eat without losing their appetites. Yang Ping recalled anatomybs in college. Sometimes, if someone overslept and rushed to theb with their breakfast, they¡¯d eat while watching others dissect cadavers. When it was their turn, they would put down their breakfast, go wash their hands and put on gloves, dissect, and afterward remove their gloves, wash hands, and finish the rest of their breakfast. There was no incongruity, and no one thought anything was amiss. Su Yixuan poured a ss of water for Yang Ping, ¡°Have a drink. Rest a bit. Are you hungry? I¡¯ll have them bring up the fish.¡± She immediately signaled to have the waiter bring the food. Yang Ping nodded, ¡°I am hungry. There was traffic on the way back. You can¡¯t imagine how thrilling it was.¡± Then narrated the heartwarming story vividly, even adding his imaginative embellishments. Su Yixuan covered her small mouth, utterly engrossed. When it came to the part about the Bentley, he suddenly stopped, leaned back on his chair, looking slightly fatigued. He took a sip from his ss of water, ¡°I¡¯m tired, I¡¯ll continue tomorrow.¡± Su Yixuan almost got up, aiming a yful punch at him, ¡°You bad guy, continue, continue, what happened next? Did you scratch somebody¡¯s car?¡± That was the reaction he was going for. Yang Ping, with such high sales IQ and EQ, perplexedly wondered why he¡¯d been single all this time. ¡°Alright, I¡¯ll grudgingly continue¨C sigh, you weren¡¯t there. If only you were there¨C¡± Yang Ping sighed deliberately. Su Yixuan earnestly said, ¡°Call me next time. The head nurse has me assigned to be on your team now. If you¡¯re not in surgery, it seems like I won¡¯t have much to do. If I¡¯m there, you¡¯d definitely be faster and more confident. Lu Xiaowu is so clumsy; he definitely can¡¯t keep up with your pace.¡± ¡°When I request a mp and a thread, he either hands me a vascr mp or gives me a thread,¡± said Yang Ping. Su Yixuan said regretfully, ¡°Hmm, I¡¯ll definitely be there next time.¡± ¡°Huh! Howe it¡¯s this spot again?¡± Yang Ping just remembered to ask. ¡°I don¡¯t know. It was the boss¡¯s arrangement.¡± Su Yixuan refilled Yang Ping¡¯s ss, ¡°The boss said he took a photo of the fish bones you leftst time and made it into a hanging picture, look.¡± Indeed, a picture was hanging on the wall ¨C an intact fish skeleton, perfectly clean without a single piece of meat left, like a simtion model set on a dish. A massage beside it read¨C ¡°It ended up like this because it was delicious!¡± ¡°I ought to ask him for copyright fees,¡± said Yang Ping. Su Yixuanughed, ¡°This seat is probably your copyright fee.¡± The fish was served and the boss brought it himself, ¡°Come on, I personally prepared this for you. Consider it your copyright fee. Anytime youe to support us, this seat is reserved for you guys, and you even get a discount. Don¡¯t call me boss. Call me Uncle Liang.¡± While he was managing the fish and starting the fire, Uncle Liang said, ¡°I can tell you two are orthopedic surgeons from Sanbo Hospital. You¡¯re the famous Dr. Yang who reattaches severed hands, right? Everyone knows about you helping the firefighterst time. Orthopedic surgeons are the best because while people can avoid falling sick or having children, who could guarantee they won¡¯t slip and fall or have a sore back or leg? In theory, everyone needs your expertise. My old back hurts sometimes when I lift something heavy, and it¡¯s painful for days. One of my legs even feels numb and I have to limp. If you have time someday, give me a good check-up, okay?¡± Having finished his tasks, Uncle Liang took a brief look at them both and said, ¡°Hmm, handsome man and beautiful woman, perfect match. You two lovebirds, enjoy your meal. I have to get back to my work.¡± Who talks like that? Yang Ping thought. Uttering so much gibberish, he should have just gotten to the point. Thisst sentence was the important bit. Su Yixuan blushed at thepliment, lowering her head to eat the fish. Yang Pingughed awkwardly, ¡°You¡¯re right, no, no, no, I mean, you are indeed beautiful, but I, I am not worthy of such apliment.¡± ¡°Enough with thepliments, aren¡¯t you hungry? Let¡¯s eat.¡± Su Yixuan said blushing, as she picked up a piece of fish and put it into Yang Ping¡¯s bowl. This wasn¡¯t just a piece of fish, it was a delicacy to Yang Ping. He couldn¡¯t bear to eat it, instead staring at it with a sweetness in his heart. No wonder, he barely had any close interactions with girls, now even a piece of fish from her feels unbearably sweet. Su Yixuan looked up at Yang Ping, who seemed to be lost in thoughts, ¡°What¡¯s the matter? You don¡¯t want to eat? I¡¯ll take it back then.¡± Yang Ping immediately picked up the fish with his chopsticks, ¡°Why wouldn¡¯t I? If only there were more pieces.¡± ¡°Dream on! Serve yourself! I noticed you¡¯ve been working all day. I wanted to reward you for being such a great assistant,¡± Su Yixuan scolded yfully. Yang Ping carefully reached into the pot with his chopsticks and tried to pick up some fish. He struggled at first but eventually managed to ce some into his bowl. Then, he stretched his arm and put his chopsticks down. ¡°What happened? Your hand hurts?¡± Su Yixuan asked as she noticed his gesture. Yang Ping picked up the chopsticks again, ¡°It¡¯s nothing, probably a slight muscle strain from lifting the stretcher today. I didn¡¯t realize it at first, but it feels a bit off.¡± Su Yixuan looked at him suspiciously, ¡°Really?¡± She then quickly picked up a few big pieces of the fish and ced them into Yang Ping¡¯s bowl, ¡°Eat up and go home to rest early, you look pretty tired.¡± Humming in agreement, Yang Ping delightedly picked up his chopsticks and began eating the fish. Su Yixuan gave him a perplexed look. Didn¡¯t he say his arm was hurting? Why was he eating so quickly? ¡°You¡¯re very skilled in surgeries. I can tell that Director Han really appreciates you,¡± Su Yixuan said, chewing on her food without opening her mouth. ¡°Practice makes perfect, I suppose. I¡¯ve done a lot of surgeries,¡± Yang Ping replied. ¡°Did you perform a lot of surgeries at your previous hospital?¡± Su Yixuan was curious. Yang Ping thought for a moment and said, ¡°Maybe I have a natural talent in this field. After watching a surgery once, I can perform it, and few practices make me proficient.¡± ¡°Don¡¯t you have a girlfriend?¡± Su Yixuan asked with a smile. Duh! Yang Ping shook his head, ¡°Look at me, I spend all my time in the operating room, who would like me.¡± Su Yixuan said, ¡°You¡¯re kidding, surgeons are pretty popr.¡± Yang Pingughed, ¡°Maybe I¡¯m the exception.¡± ¡°It¡¯s okay, when I have time, I¡¯ll introduce you to someone. I have a lot of friends, they¡¯re quite attractive,¡± Su Yixuanforted him. While eating, Yang Ping waved his hand, ¡°No! Forget about me, what about you?¡± ¡°I¡¯m still young, I don¡¯t want to be in a rtionship for now,¡± Su Yixuan pouted. Their uncle unexpectedly made an appearance: ¡°Come,e, I brought you some ice cream.¡± ¡°Iceberry!¡± Su Yixuan almost jumped up in excitement. Chapter 39 - 0038: Elder Man Zhang’s Instructions Chapter 39: Chapter 0038: Elder Man Zhang¡¯s Instructions Iceberry ice cream! Uncle Two walked over, his belly protruding, to deliver it personally. ¡°Wow! How do you guys have this brand? It doesn¡¯t even exist in G City.¡± Su Yixuan pped her hands in surprise. Uncle Two said, ¡°You¡¯ll have to ask him.¡± ¡°Me?¡± What could Yang Ping say? ¡°Thank you!¡± Su Yixuan took the ice cream from him. Yang Ping rubbed the back of his neck, stuttering, his old face flushing red: ¡°I¨C.¡± At the soft whisper of Su Yixuan¡¯s thanks, and the blush that bloomed on her face, Yang Ping was surprised that this man who only knew how to do surgery, knew of her love for Iceberry. Yang Ping¡¯s mind raced to Manager Huang, that headhunter from the website. It must have been him who orchestrated this. He was really quite unusual, special even. Knowing that there was no way Yang Ping would go to that Orthopedic Hospital, Manager Huang was still persistent, following him doggedly. But why? Seeing Su Yixuan sitting and eating her ice cream, Yang Ping followed Uncle Two, immediately seizing the opportunity to ask him, ¡°Uncle Two, what¡¯s really going on?¡± ¡°Lad, weren¡¯t you the one who asked someone to deliver the ice cream to me? You even instructed me to send up two whenever you dined with this youngdy here. Ah, don¡¯t put on an act, I won¡¯t spill your secret. Go on, enjoy your meal. I have business to attend to.¡± Uncle Two waved his hand, his voice quiet as he exined, his final sentence intentionally louder. After dinner, it was already past ten, but the customers in the restaurant showed no signs of reducing as thete-night snack time had just begun. Yang Ping dropped Su Yixuan back at the hospital dormitory. He cooled off at the skybridge before returning to his own apartment. Recalling this week¡¯s teaching surgeries ¡ª ¡°horror triad¡± elbow injuries and distal humerus fractures ¡ª Yang Ping entered the system space, scrolling through the holographic screen to see if there were any such solo training packages avable. In the dense list of surgical training, he found these two items. The minimum requirement was to buy 500 simtions and each one required 4,000 points. Calcting his points, he logged in an ount containing 6,000 points, leaving him with 14,000 points. These two individual items would cost 8,000 points, which was indeed quite pricey. Looking at other fracture surgery training packages, each calcted for 500 cases, the humerus fracture was 2,000 points, the ulna and radius fracture was 2,000 points, the femur fracture was 3,000 points, and the tibia and fib fracture was 3,000 points. The packages like the one for the humerus fracture also include distal humerus fractures. The one for the fracture of the ulna and radius contained the ¡°horror triad¡±. So it would be more cost-effective to buy these, but possibly fewer cases for the single conditions. After careful consideration, Yang Ping bought the humerus fracture and the ulna and radius fracture packages. This left him with 10,000 points, allowing more room for emergency situations. Since it didn¡¯t consume real-world time, Yang Pingpleted all the surgical training packages he had just bought inside the system space. After finishing his shift in the morning, Yang Ping took Little Five on rounds and visited the Trauma ICU. The patient with the ruptured liver and spleen had been extubated and regained consciousness, though the patient¡¯s face was still somewhat pale. The ICU doctor saw Yang Pinge in, immediately joined him, and reported, ¡°In the morning blood draw, the patient¡¯s hemoglobin was 70g/L. After a massive blood transfusion, the heart rate was somewhat fast at 105 times per minute, and the blood pressure has returned to normal at 98/64mmHg¡±. This data was essentially normal. A bit more blood and the hemoglobin would gradually correct itself. ¡°The blood bank says that blood is currently tight¡ªnow that we¡¯re above 70, it¡¯s somewhat difficult to get more blood.¡± The ICU doctor exined. Yang Ping said, ¡°Even without a transfusion, it shouldn¡¯t be a big problem. Provide better nutrition in the future, prevent infections, and the hemoglobin should gradually recover, creating a virtuous cycle.¡± The patient recognized Yang Ping, and tried to sit up. The ICU doctor held him down: ¡°You can¡¯t get up yet.¡± ¡°Doctor, thank you for saving my life.¡± He extended his hand. Yang Ping shook it, saying, ¡°It¡¯s my duty.¡± Really, it was simple for doctors. The greatest fulfillment was saving the lives of patients. ¡°There shouldn¡¯t be a big problem now.¡± The ICU doctor also knew Yang Ping was now an integral member of Orthopedics, one of Director Han¡¯s severalmanders. He was very polite to Yang Ping, clearly not treating him as an ordinary attending physician. There was a lot more respect in his speechpared to how he treated the regr attending physicians. After making rounds in the ICU, Yang Ping received a call from Director Han, telling him that Professor Zhang Zongshun wanted to see him in his clinic, as he had something to discuss. Professor Zhang Zongshun was someone that young doctors avoided. He was entric and his demands were strict. If he noticed that you hadn¡¯t buttoned your white gown properly, he would scold you for half an hour. Yang Ping shuddered at the thought, quickly checking his white gown. Noticing an unbuttoned button, he hastily corrected it before making his way to the outpatient clinic. Professor Zhang was a nationally renowned professor of orthopedics. His clinic consisted of an inner and outer suite. The outer suite was a sitting room equipped with a sofa, a coffee table, and a water dispenser ¨C a ce for rtives of patients to rest. The inner suite was his proper consulting room, which was rather spacious. It had a diagnostic bed against one wall, curtained off for privacy. Two desks and twoputers were pushed together, the screens connected for shared use, with a young graduate student assisting him. Yang Ping knocked gently and entered the room, greeting the graduate student before finding a corner to stand in where he wouldn¡¯t be in the way. Old Zhang was in the middle of seeing a patient, his reading sses held together by tape. The patienty on the diagnostic bed, wearing a crumpled blue work uniform. As Old Zhang examined the patient¡¯s elbow joint, he mused, ¡°Hmm, only four thousand yuan, huh? Budget¡¯s a bit tight, let me work something out.¡± The patient hurriedly exined, ¡°Professor Zhang, I work as aborer at a construction site. My boss ran off without paying our wages. This money was collected by my coworkers. We¡¯ve been to several hospitals, but they all say that four thousand yuan isn¡¯t even enough to buy the screws, let alone pay for the te and screws which would cost over twenty thousand.¡± ¡°Indeed, a steel te and screws can amount to over twenty thousand yuan. Now, even the cheaper ones cost upwards of ten thousand yuan and they¡¯re hard to find. Let me see, don¡¯t worry.¡± After finishing his examination, Old Zhang returned to his desk and scrutinized the X-rays under his viewing light. After examining the X-rays for a few minutes, Old Zhang said, ¡°Don¡¯t worry,rade. You need money to eat too. I reckon we can only allocate three thousand yuan for the treatment. I will n ordingly.¡± Assisted by his coworkers, the patient got up. The graduate student helped reapply his cast and secured it with bandages, then hung it over his chest. ¡°Thank you, Professor. I¡¯ve been to several hospitals. They all just nced at my X-rays before telling me it¡¯s impossible with four thousand yuan, suggesting I go to a different hospital, then promptly ignored me,¡± the patient said, tears welling up in his eyes. Upon noticing Yang Ping had arrived, he beckoned him over. ¡°Come here,e here, take a look!¡± Yang Ping immediately walked over, putting on a friendly smile, while Old Zhang added, ¡°This one only has three thousand yuan. If we don¡¯t treat him, he¡¯ll be disabled. Here¡¯s what we¡¯ll do: admit him, and you¡¯ll perform the surgery. Don¡¯t use a steel te; just proceed with a Kirschner wire. Preoperative examination should only include routine blood, biochemical and serological tests, as well as a kidney function test, and an EKG. He doesn¡¯t have a cough, does he?¡± ¡°No, I don¡¯t. I¡¯m in good health. If not for the fracture, I wouldn¡¯t have ever needed to go to the hospital,¡± the worker promptly replied with confidence. Old Zhang reflected briefly, ¡°Let¡¯s not take a chest X-ray to save some money. We¡¯ll perform the surgery and discharge him three days afterwards. The cost should be kept around three thousand yuan, we mustn¡¯t go over budget.¡± The consumables for fracture surgery, like steel tes, were expensive, costing tens of thousands of yuan, with imported ones being even more pricey. Kirschner wires, on the other hand, were essentially thin steel pins. Affordable and even at a few yuan apiece, this was virtually free. However, the Kirschner wire could only be used for simple fractures, like those of the hands and feet, and wouldn¡¯t work for moreplicated fractures. Goodness, Old Zhang, using a Kirschner wire for this kind of surgery might have worked decades ago when function wasn¡¯t a major concern. But in today¡¯s era, function is key. This kind of fracture can¡¯t be properly fixed with Kirschner wires. If it¡¯s not fixed properly, the patient can¡¯t start exercising early. This kind of distal humerusminuted fracture is particrly delicate and if it isn¡¯t exercised early, the joint will stiffen in three weeks¡¯ time. He¡¯s really giving me a hard problem to solve. Without leaving room for Yang Ping to discuss, Old Zhang adjusted his sses and directed the graduate student to issue an admission notice: ¡°Arrange admission and get the surgery scheduled as soon as possible.¡± ¡°That¡¯s all. You may go back to your work,¡± Old Zhang stated. That¡¯s it? ¡°Wait, Old Zhang?¡± Yang Ping wanted to argue. Old Zhang waved his hand dismissing Yang Ping¡¯s concerns: ¡°Consider this an assessment for surgical cases.¡± He leaned in and whispered, ¡°You don¡¯t have to perform the two surgeries I assigned youst time. Just do this one, and do it properly. If not, I¡¯ll give you a score of thirty!¡± That conniving old man, always ying dirty. Everyone was ying him, this was ridiculous! How was he supposed to use a Kirschner wire for this kind of fracture? Professors from Beijing and Shanghai wouldn¡¯t even be able to perform this surgery. He was truly in trouble now. No wonder when Old Han and Song Zimo heard Zhang had chosen him, they adopted an ¡°it¡¯s your problem now¡± attitude. Yang Ping refused to leave the consulting room, hoping to catch Old Zhang during a moment of respite to discuss the issue further. However, Old Zhang was busy meticulously instructing the patients on the admission process, cheap food options, and how to protect their belongings from thieves. He then turned his attention to the next patient, paying no heed to Yang Ping. A young, stylish woman wheeled in a patient suffering from chronic osteomyelitis of the tibia. The patient had undergone treatment at several hospitals and had already had six surgeries. Chapter 40 - 0039 Hermes Chapter 40: Chapter 0039 Hermes The patient was a man in his forties, short and fat, with slightly crooked teeth. He was wearing a floral shirt, Hermes crocodile skin belt, and a ridiculously extravagant diamond ring on his hand. The youngdy pushing his wheelchair had a beautiful face, a model¡¯s physique, and a pair of slender long legs that were distractingly long and curved. She had an LV bag hanging diagonally on her body. As the wheelchair entered, a wave of strong perfume scent hit them. ¡°Professor Zhang, hello. Finally, I was able to get an appointment with you,¡± the patient was visibly excited, shaking Professor Zhang¡¯s hand and trying to stand up from his wheelchair. Elder Zhang held patient¡¯s hand, and immediately patted his hand, ¡°Sit down, sit down and talk. Calm down.¡± Professor Zhang nced at theputer screen from over his reading sses, ¡°You¡¯re from Shanxi?¡± ¡°Yes, from Shanxi,¡± the patient replied while sitting down, ¡°I¡¯ve been waiting in line for three months just for this appointment.¡± The hospital does have VIP examination rooms. Professors of distinguished reputation like Elder Zhang could take advantage of a VIP appointment for 2000 RMB. If money is not a concern, you can get a VIP appointment and avoid the long wait. After all, not many people are willing to pay 2000 RMB for an appointment. However, Elder Zhang is stubborn. He does not take VIP appointments and only sees patients with general specialist appointments. Furthermore, he turns a deaf ear to all forms of line-jumping, whether it¡¯s through connections or backdoor channels. He insists on maintaining queue order, no matter who the patient is. They either see another doctor or wait in line. The graduate student and the youngdy assisted the patient to lie down on the examination bed. Elder Zhang conducted a detailed physical examination, asked about the medical history, leaving no stone unturned. He put on a glove, poked the pus-filled sinus and asked, ¡°Three years ago? Six surgeries?¡± ¡°I had a car ident three years ago, my tibia here was fractured, and it was an open one. I had an intramedury nailing surgery. Pus started to leak from the wound three months after the surgery. I had several surgeries afterwards, they scraped the bone, filled the bone, even grafted skin from my thigh here, but all was in vain. If one part healed, another part would break and pus would leak out. It has a foul smell,¡± Patient responded to Elder Zhang¡¯s question with an borative answer, even using several professional terminologies. Indeed, there was a strong smell of pus. ¡°Your condition is very serious andplex!¡± Elder Zhang said with gravity. Disaster! The patient¡¯s mouth half-opened and he asked shakily, ¡°Professor, is there hope for recovery? It¡¯s been years, I have been to every nook and corner of Beijing and Shanghai. I consulted with all the renowned professors in the country, and all of them suggested amputation. We heard that Professor Zhang you might have some solution, so we travelled all the way from Shanxi again. Tell me, is there hope?¡± Professor Zhang remained silent with a serious expression, took off his gloves and headed to wash his hands afterpleting the examination. The patient quickly got off the bed, sat in the wheelchair and started moving towards Elder Zhang, ¡°Is there hope? Professor, is there any hope?¡± Elder Zhang wore a solemn expression, ¡°This condition is really, really severe, but there might be hope, only that¨C¡± ¡°Only what, Professor?¡± The patient seemed agitated. After washing his hands and drying them using a piece of paper towel, Elder Zhang turned back, sat down in the chair and slowly said, ¡°Only that it will cost a lot of money, a lot of it.¡± A look of despair on the patient¡¯s face turned into a smile immediately, ¡°You scared me, professor. Money is not a problem. You don¡¯t need to worry about that. As long as I can be cured and my limb can be saved, no matter the cost.¡± ¡°It¡¯s not a small sum of money. The expenses will be hefty as hospitalization will be a long process. And, there will be multiple surgeries involved. Plus, the sess rate is not 100%,¡± Professor Zhang enunciated distinctly. ¡°Professor, I trust you. I want you to treat me. If even you can¡¯t cure me, then I¡¯ll ept my fate. I¡¯m just in my forties, if I lose this leg, I¡¯ll feel terrible just even by thinking about hopping around on one leg,¡± The patient started holding back his tears as he spoke. ¡°You can get a prosthetic leg, a high-tech one, even if it costs millions,¡± Professor Zhang suggested. ¡°But it won¡¯t be my own, right? You mentioned there¡¯s a chance if we can afford the expenses. I say, go ahead, let¡¯s give it a shot,¡± The patient had made up his mind. ¡°This is not a small sum, it ranges from hundreds of thousands to millions. In your case, it¡¯splex. The entire infected bone needs to be sawed-off, only the healthy parts at both ends will be left. Then, we will need to install a frame to extend the healthy bones to reach to each other gradually. This entire process will take one to two years. During this period, we need to fill the void with antibiotic-containing calcium sulfate. You will also have to take intravenous antibiotics. I¡¯m not even talking about other things, just the cost of the extension frame alone. The lower-end ones will cost tens of thousands, and the high-end ones will cost hundreds of thousands,¡± Elder Zhang exined. ¡°What¡¯s the difference between the cheaper and more expensive ones?¡± The patient was curious. ¡°Let me put it this way. What¡¯s the difference between a BMW that costs two million and a Wuling Hongguang that costs fifty thousand? One can argue, ¡®no difference¡¯. They both are cars, and they both have four wheels and can go on the road. But still, there is a difference, isn¡¯t there? You can¡¯t say a BMW is the same as a Wuling Hongguang,¡± Elder Zhang said, trying to exin the difference. ¡°I get it! Let¡¯s finalize it, use the expensive frame. Start the procedure now. Get the card! You clumsy fool, quickly get the card. Swipe it!¡± The patient made up his mind on the spot. The woman who was apanying the patient started rummaging through her LV bag to find the card. To her surprise, she pulled out a bunch of credit cards, unsure of which one to swipe. ¡°Calm down. It¡¯s not now. You need to be hospitalized. The expenses will be charged when you get admitted, not now,¡± Professor Zhang knocked on the desk. Thedy then put the cards back into her bag. ¡°Oh, professor. Thank you so much. You¡¯re like our second parents. I feel our efforts were worthwhile in making this trip,¡± The patient was so excited that he was bing emotional. ¡°There is hope, we¡¯ll do our best. You don¡¯t have to be so anxious,¡± Elder Zhangforted him. The patient wiped his tears and said, ¡°Thank you, professor. I got a sense of the situation. I¡¯m a businessman and I¡¯ve met plenty of people from all over the ce. I must say this is the first time meeting such an responsible professional like you, professor. You took your time to unwrap my bandages, examined my wounded leg. I feel reassured. Can I get your phone number, professor? If it¡¯s not too much trouble?¡± Professor Zhang patted his shoulder, ¡°No need to take my number. Don¡¯t mention it. After getting admitted to the ward, just listen to the doctors and focus on getting recovered. I will check up on you asionally.¡± ¡°Ah, you have toe and see me. When the timees for surgery, you have to do it yourself, professor,¡± The patient gripped Elder Zhang¡¯s hand. Meanwhile, the graduate student had prepared the hospitalization notice and handed it over to the patient, ¡°The beds are limited. You¡¯ll have to wait. You can go back to your amodation for the time being. We will give you a call as soon as a bed bes avable.¡± ¡°Why wait for a bed? Get him a VIP ward!¡± Elder Zhang seemed dissatisfied with the way the graduate student had handled the situation. The patient was deeply moved once again, ¡°Yes, yes, yes. Book a VIP ward. I want to move in right now!¡± ¡°The patient has been waiting for so long. Why does he need to wait more?¡± Elder Zhang said. Elder Zhang was so considerate, it made the patient even more delighted. He should have chosen this hospital from the start, he had wasted several years going around aimlessly without finding apetent doctor. Today was his lucky day. After seeing this patient, Elder Zhang noticed that Yang Ping was still standing in the consulting room. He only realised his presence right now when he saw him. ¡°Why are you still standing here?¡± ¡°Me?¡± Yang Ping did not know how to respond. Elder Zhang asked, ¡°Do you have something to say?¡± He then totally ignored Yang Ping, and started speaking, ¡°I¡¯ve told you, young doctors, again and again, a physician should have benevolence and excellent medical skills. You should also be flexible. Look at that patient, he came here with only 4000 RMB. Is he supposed to stay crippled just because he could not afford more? We should try our best to find ways to treat him, for 4000 RMB there should also be a corresponding treatment n. Could he not go to Beijing because he can¡¯t afford to buy a flight ticket? Now, look at this tycoon, millions for him is a night at the card table. If you¡¯re not going to earn his money, whose money will you earn? And you were going to admit him to an ordinary ward? You were not using your brain. The objective is always the same, to cure the disease. But the process is always different. It¡¯s just like diet pills. There are cheaper ones, which are just regr bitter pills. Then there are the expensive ones, consuming them will make you feel like you¡¯re experiencing your first love again. Both are just pills, the effect is essentially the same, but the experience is not.¡± Yang Ping was enlightened by thisment. It was almost like he was achieving enlightenment. Watching Elder Zhang, an image appeared in Yang Ping¡¯s mind ¨C the image was of the Chan Buddhist monk. Chapter 41 - 0040: The Cold Easy Water with the Desolate Wind Chapter 41: Chapter 0040: The Cold Easy Water with the Deste Wind After returning from the clinic, Yang Ping hurried to the operating room where Little Five and the interns had already sterilized andid out the sheets. One could end up spending half a day in the operating room. He finished work at a little past six in the evening and took a shower in the changing room of the operating room. There was also a bathroom in the ward¡¯s duty room, but with many young doctors present, they all gathered there to shower. Yang Ping, not one for the hustle and bustle, simply took his shower in the changing room of the operating room. After showering and while resting in the changing room, Yang Ping kept thinking about the surgery Elder Man Zhang had instructed him about. Simple fractures could be treated with Kirschner wire, but forplex fractures like this one, a metal te was needed. Even ordinary metal tes would not suffice ¡ª a locked metal te was required. Nevertheless, even with a locked te, the difficulties would be abundant. Now, Elder Man Zhang was asking Yang Ping to use the Kirschner wire for the surgery, with a budget of three thousand yuan. Honestly, three thousand yuan, in a top three-tier hospital like this one, could sometimes amount to just a day¡¯s expense. If the cost was concentrated around the surgery period, a day¡¯s expense would fall far short. Yang Ping initially intended to perform CT three-dimensional reconstruction on the elbow joint. It could show a three-dimensional portrayal of the fractured bone, resulting in intuitive and concrete understanding of the fracture. A CT three-dimensional reconstruction could cost over six hundred yuan, and upon realizing how expensive the procedure was, he quickly abandoned the idea. For such fractures, many prestigious hospitals make use of virtual reality technology and 3D printing technology to create fracture models. By using this model for preoperative simtion training to understand how to fit the metal te and where to insert the nails, the sess rate of the surgery substantially increases. Speaking of expenses, the main cost was the anesthesia. The surgery fee was fixed, but the anesthesia was charged by the hour. It meant the surgery needed to be efficient; otherwise, the cost of anesthesia could quickly exceed the budget. Patients were indeed pitiable, and Yang Ping empathized with them. When he first started working, he only earned two thousand yuan a month. After deductions and paying for rent and utilities, the remaining spending money was tight. It was genuinely hard to make ends meet without cash. Elder Man Zhang was right, if no solutions were sought, the worker¡¯s elbow joint would be ruined. For a doctor, it might not matter much, but this could change the patient¡¯s life, and possibly even the life of the next generation. ¡°Ding dong! Mission: Perform a cost-effective surgery on aminuted fracture at the distal humerus. Reward: 5,000 points.¡± A system task was triggered. What did it mean by cost-effective? It meantplete the surgery with three thousand yuan, ensuring good functionality so that the patient could get back to work as usual. Yang Ping essed the system to see if there were any solutions. He scanned through the mall and noticed something that caught his attention¡ª ¡°Wire and pin osteosynthesis¡±. He hadn¡¯t paid attention to this before, probably because he felt itcked relevance or the technique was too simple. Anything could be a treasure when it was needed, and be dismissed as a grass when it wasn¡¯t. It only cost him three thousand points, lucky that he still had ten thousand points left, so there were no worries about payment. He immediately bought the wire and pin osteosynthesis technique. Yang Ping remembered reading a book written by a German doctor ¡ª ¡°Steel Cable Bone Connection Surgery¡±. This German had a famous quote: ¡°Give me enough steel wire and pins, and I can solve all bone fractures.¡± Feeling as if he had seen a glimmer of light in the darkness, Yang Ping immediately found his direction. He started the wire and pin osteosynthesis technique and entered the training space. The system prepared numerous pins of different diameters and steel wires of varying thicknesses. It simted fractures at various locations, some simple, someplex, and some were a mess. He began practicing puncturing steel pins along a designated path: specifying an entry and exit point, then making sure the pin entered at the designated entry point, and exited at the designated exit point. This seemingly simple task was highly challenging. It was simr to shooting at two targets set a certain distance apart, with the two targets staggered on parallel lines. You¡¯d have to ensure that the shot went through the heart of both targets. This was a challenging operation. At first, Yang Ping always failed to puncture correctly. Designating an entry point was easy; seeing the steel pin tip touching the designated point with your naked eye. But as for the exit point, it was impossible to ensure the pin could get out through thick bone tissue. He barely managed to get somewhat close a few times, but the system dered them as failed attempts. This required spatial imagination. One had to build a three-dimensional concept in mind of the pin¡¯s path in the bone tissue ¡ª although it was invisible, they had to use their mind to imagine it. Yang Ping tried to visualize it repeatedly, and after extensive training, finally managed to sessfully puncture the pin through the designated entry and exit points, mastering the technique. Next, he practiced parallel puncturing, which required multiple pins to be inserted through the bone in perfect parallel. Two pins in parallel, three pins in parallel, four pins in parallel, five pins in parallel ¡ª all the way up to ten pins in parallel. The system requirements were stringent; even slightly off would be deemed as a failure, and the procedure had to be restarted. With this training, you could smoothly pass, but the system wouldn¡¯t offer any rewards. If you failed, the system would harshly deduct points. In other words, it was a situation where you only lose points but never gain. How many points were deducted? It was at least double the amount you had spent to purchase the training, and severe errors could result in all points being deducted. After mastering parallel puncturing, he learned intersecting puncturing ¡ª 15 degrees intersection, 30 degrees intersection, 45 degrees intersection, 60 degrees intersection and 90 degrees intersection. Lastly, he practiced puncturing fragile, tiny bone fragments ¡ª the type that could break upon a single puncture. At first, the bone fragments would break every time, but gradually he learned to control his strength and drilling machine. The pin could go through, leaving the bone fragments untouched. After mastering puncturing, he learned the technique of steel wire ligation ¡ª single-strand, double-strand, multiple-strand, tension band ligation, circr ligation, figure-eight ligation, rectangr ligation etc. Yang Ping practiced everything that existed in orthopedics. Uponpleting the training, he noticed a new feature on the screen ¡ª a library. ¡°The system will release new features ording to the upgrade of skills,¡± the robot¡¯s feminine voice said. So that¡¯s how it works. But he didn¡¯t know how to use this feature. When Yang Ping opened the library feature, bookshelves, a table and chair suddenly appeared beside him. ¡°What book would you like to borrow? All worldwide documents are avable here, including medical ones. You can provide a book title or keyword for searching,¡± the system¡¯s female voice said. Then, a holographic screen appeared in front of him, disying a catalog of books. ¡°Steel Cable Bone Connection Surgery,¡± Yang Ping recited the book¡¯s title. Immediately, the title of the book showed up on the screen, along with other rmended books of simr nature. ¡°Reading material consumes one point per minute,¡± the female voice exined. Yang Ping clicked on the book¡¯s title, and a physical copy of ¡°Steel Cable Bone Connection Surgery¡± instantly appeared on the bookshelf. This feature was beneficial. He no longer needed to buy books, as he could read anytime, anywhere. The deducted points for the service weren¡¯t expensive either. It was a handy learning tool. Yang Ping read several books on wire and steel pin bone grafting in one go. For good measure, Yang Ping spent 4,000 points to purchase 500 cases of distal humeralminuted fracture surgery training. He was left with only 3000 points. When he came out of the space, he felt a lot older. Probably the graduate assistant let the cat out of the bag, the whole department knew that Yang Ping was assigned a challenging task by Elder Man Zhang. When Yang Ping returned to the department, everyone was busy switching to X-ray films on the electronic film reading screen, wanting to have a discussion. But the patient¡¯s films weren¡¯t in theputer because they were taken in another hospital. The patient was admitted to a bed managed by Little Five, who hung up the X-ray film. This was a spontaneous discussion by everyone, there was no official notification for it. Standing around the film viewing light, Song Zimo patted Yang Ping¡¯s shoulder, ¡°Brother, this is more than just challenging. Did you offend the old man somewhere?¡± ¡°This is beyond challenging, it¡¯s practically impossible,¡± Zhang Lin, with his face full of e, chimed in. Director Tian just finished a surgery and was just in the doctor¡¯s office. ¡°Come and have a look, director Tian,¡± Song Zimo beckoned. Director Tian was usually steady, with cutting-edgeprehensive skills, and very much respected by everyone. ¡°An AO te, huh? The radial side goes to the back, the ulnar side goes to the edge, and then you assist with a countersunk screw. What, are you testing me?¡± He chuckled. ¡°No, it¡¯s just that Elder Man Zhang has designated Yang Ping to do it with Kirshner wires.¡± Little Five exined. ¡°How can that be possible? What a joke, can he really make a demand like that? If he¡¯s so insisting, then he should do it himself.¡± Tian Yuan muttered, not daring to say that to his face. ¡°Tell it to Director Han, let himmunicate with the elder man. How can this be done with a Kirschner wire?¡± Tian Yuan scrutinized the X-ray film. ¡°Yeah, boss. Director Tian is right, you can¡¯t just listen to him.¡± Little Five got anxious. ¡°Let me think about it¡±, Yang Ping leaned back against the nearest desk. Director Han came in just then. Seeing everyone gathered together, seemingly in no hurry to go off work, he found the scenario quite lively. Looking at the X-ray hanging on the viewing light, he nced at everyone, ¡°Case discussion?¡± Everyone kept quiet, while Tian Yuan said, ¡°Director, how would you handle this fracture? Everyone here wants to hear your opinion.¡± The director looked closely one more time, ¡°Distal humeralminuted fracture, intra-articr fracture, needs two tes. Why are we discussing this again?¡± ¡°The man Elder Man Zhang admitted could only afford 3,000 RMB and he insisted that Yang Ping has toplete the surgery with Kirschner wires within three days.¡± Tian Yuan exined in a clear and steady pace. Director Han was a little confused now, he took another close look at the film: ¡°Oh my, Kirschner wires, really, if it could really be done well, that would be high-level surgery. So Professor Zhang asked for it? When? I¡¯ll pop by and take a look, haha.¡± ¡°Yes! And there¡¯s a limit on the cost, it can¡¯t exceed 3000 yuan.¡± Tian Yuan added. ¡°That¡¯s indeed a tough one.¡± Director Han furrowed his brows and turned to leave. So Director Han made no defense for Yang Ping? His smile seemed rather gloating, strange. Tian Yuan originally thought Director Han would fight for Yang Ping, going to Elder Man Zhang to discuss a different surgical approach. She didn¡¯t expect this reaction from Director Han. Tian Yuan was at a loss for words, besides Director Han, who else would dare to confront the old man? Remembering how Director Bai was criticized during the meeting, Tian Yuan shivered at the thought. ¡°I¡¯ve done my best, you¡¯ll have to figure the rest out on your own. If I have time that day, I¡¯lle support you, if you need any help, just say the word. I have all the orthopedics books you need.¡± Tian Yuan shook her head. ¡°There seems to be a book named ¡®Steel Cable Bone Grafting Surgery¡¯ by the Germans, it might be helpful for your reference. I¡¯ll cover your shifts for the next few days.¡± Song Zimo said. ¡°I¡¯ll look after the patient, don¡¯t worry. I¡¯ll call you if anythinges up.¡± Little Five said. Zhang Lin also moved closer to his side, sitting next to him, ¡°Keep going, the people thank you!¡± Everyone took turns to encourage him. It was as if there he stood, against the wind by the banks of the Yi River, about to set off on a daunting journey. ¡°The wind blows bitterly against the Yi river, brave warriors¨C¡± Zhang Lin was reciting a verse, shaking his head, as he swaggered out. ¡°Brave warriors my foot¨C¡± Little Five choked Zhang Lin by the back of his neck. ¡°Little Five, let me tell you, don¡¯t push me. Us Northeast people don¡¯t back down in fights.¡± Zhang Lin wailed. Chapter 42 - 0041: Rubik’s Cube Restoration Chapter 42: Chapter 0041: Rubik¡¯s Cube Restoration The news spread quickly, the entire Orthopedics Department knew that Yang Ping was going to perform a three-thousand-yuan distal humerusminuted fracture surgery using only steel wire and steel needles. Many young doctors, graduate students, and interns from the Spinal, Joint, and Sports Medicine departments had already been asking in advance about the time of the operation. Little Five and Zhang Lin had been spreading the word: ¡°One seat, one meal! No bargaining.¡± They even had the registration textbooks ready from the head nurse. The stamp pad for signatures in the department was also taken away by them, saying that a written confirmation would be required at the time. ¡°Elder Man Zhang will definitely be there, he¡¯s sure to sit front and center, so I¡¯m going to spread glue over his chair,¡± shared Zhang Lin, full of mischievous ideas. ¡°The operating room has urged you three times, and you¡¯re still applying glue,¡± scolded Nurse Chief Yao Ling, lightly tapping him with a medical record book. The Nurse Chief had a lot of respect in the department; she was essentially the executive housekeeper of the ward. Everyone had already arranged substitute doctors for the surgeries they would miss and were rolling up their sleeves to observe the uing operation. There were plenty of people in the department, with a great number of standardized training students and graduate students, hence arranging manpower was a piece of cake. Song Zimo, Zhang Lin, Fang Yan, along with people from several other teams¨Cand even people from Director Ouyang and Director Bai¡¯s teams, had arrived, and over a dozen people from the Spinal, Joint, and Sports Medicine departments. Everyone wanted to see how this three-thousand-yuan surgery would be performed, especially since it is to be done with a Kirschner wire ¨C which seemed impossible. After everyone finished their shifts on Thursday, they were worried about not getting a seat, so from early morning they already seated in the Teaching Room next to the main operating room, just short of having popcorn in their hands. Wearing surgical gowns andmunicating through surgical masks, everyone greeted each other. All are members of the Orthopedics Department, face to face daily, and may have even worked together during previous shifts. Doctors just after graduation typically rotate through different specialties, getting acquainted with surgical or internal medicine departments, three months at a time, to learn about surgical or internal medicine knowledge, also familiarizing themselves with colleagues from these specialties. Some interns, having no ce to sit, stood at the back or, if they knew someone seated, squeezed onto their seat. The front row was automatically left vacant, a seat saved for Elder Man Zhang and the Directors, although it was uncertain if those directors woulde. However, since Elder Man Zhang was said to be attending, his assistant had already spread the word. ¡°Hello, Professor Zhang!¡± Doctor Peng from the Spinal department greeted Zhang Lin, making everyone¡¯s heart skip a beat because they thought Professor Zhang Zongshun had arrived. Zhang Lin immediately shook hands with Doctor Peng, ¡°What an honour, Professor Peng, did youe in person?¡± These young doctors, in their private interactions, jokingly addressed each other as ¡®Professor¡¯ or ¡®Director¡¯. Next door, Song Zimo was sterilizing. Little Five was raising his hand, Director Tian was sitting on the side, mientras que enfermera de instrumentos Su Yixuan was sorting out the instruments, and Yang Ping was already dressed in a surgical gown, waiting. Director Tian was very stable and technically proficient making him someone who doesn¡¯t stand out on a normal day, but alwayses in handy. Seeing those old spectacles wrapped in tape, everyone fell silent and shrunk back; he had actuallye. Professor Zhang Zongshun arrived, guided in by his assistant and settled into the middle seat. Zhang Lin quickly notified Director Han. Not long after, Director Han too made an appearance. It was just a surgery and wouldn¡¯t hinder anything. Other surgeries could be postponed, so Director Han had arranged his time ordingly. Director Han shook hands with Old Zhang: ¡°Professor Zhang, why have youe in person? We could have just sent a video for you to critique!¡± ¡°I wanted to see for myself. Wasn¡¯t it said that Kirschner wire is useless for this kind of fracture? I wanted to see for myself. If I don¡¯t have money for a ne ticket, how can I go to Beijing?¡± Old Zhang always had a humorous yet sharp way of speaking. Director Han apanied him: ¡°Hurry up, find a cushion for Old Zhang to lean on.¡± A student brought over a silicon position cushion, and Old Zhang didn¡¯t hesitate to lean against it: ¡°Young people, dared to be on stage, give yourself one point.¡± ¡°Young peopleck experience. Their skills are nothingpared to the doctors during your time, Old Zhang,¡± said Director Han. ¡°Don¡¯t you have backup? I tell you, Second Brother Han, these youngsters, you can¡¯t pamper them every day. Scold them if you have to, otherwise, they¡¯ll never grow up. Just look, each hat is tipped sideways.¡± All those sitting behind immediately checked their hats, whether or not they were tipped, everyone adjusted them. ¡°At the start of the operation, just pretend the old guy isn¡¯t here, just do your best¨C¡± Tian Yuan was cheering up Yang Ping. ¡°Lateral decubitus position, not a bad choice,¡± Old Zhangmented. Time to start, preoperative confirmation. The knife hitting the center of Yang Ping¡¯s palm ¨C a ssic pencil grip, both incision and extraction were spot-on. The skin was split open in one motion, not too deep, not too shallow. They switched to the electric knife, and before any blood even came out, it was already applied; lightly tapped, the bleeding waspletely cauterized. The deep fascia was subsequently cut open with the knife. The approach was through Eagle¡¯s beak osteotomy, the most convenient way to reveal the area. A miniature electric saw created a neat V-shape, opening the eagle¡¯s beak and flipping it up, revealing the entire articr surface of the distal humerus. The suction tip cleared away coagted blood, revealing broken bones, some with cartge, some without, horizontal, vertical, transverse sections; all kinds of shapes in a chaotic mess. ¡°How are they going to do this?¡± It looked even worse than the X-ray. Everyone watching the clear video on the screen was stupefied. The initial idea of seeing how they would operate was dismissed ¨C the surgery seemed impossible to even start. There¡¯s a specific term to describe this condition: a bag of bones! Bone fragments like stones, outside skin and soft tissue like a bag. Reassembling these bone fragments is extremely difficult, one could even say impossible. Chapter 43 - 0041: Rubik’s Cube Restoration_2 Chapter 43: Chapter 0041: Rubik¡¯s Cube Restoration_2 If it¡¯s an extrajoint fracture, it¡¯s rtively easy to handle because no assembly is needed. However, intraarticr fractures are different. Any irregrities could wear down the joint and once it is worn down, it can cause long-term pain and disability. Intra-articr fractures require surgical reduction, that is, the pieces should be rejoined exactly as they were before the fracture. If the bone can¡¯t be reassembled, even missing a tiny bit could result in arthritis; if a bigger piece is missing, it could lead to disability. From intensive training within the system, Yang Ping found that assembling bone fragments followed some rules. The order of the reductions and the distribution of the Kirschner wires mattered the most. The whole process was like solving a Rubik¡¯s cube; there must be a scientific order, it can¡¯t be approached haphazardly. What appears simple usually requires tremendous effort. An empty eggshell can be reassembled by hand ¨C believe it or not, Yang Ping did. The fracture was a mess,rge bone fragments that could reflect the original appearance were no longer discernible. Even thergest fragments didn¡¯t give any indication of their original location. It¡¯s like a house that haspletely copsed, turning into a pile of rubble. Can you still identify which brick belonged where? Director Han furrowed his brow and Elder Man Zhang didn¡¯t say a word. A person with great observation skills could find the few leaves they had seen before from thousands of identical ones. With lots of training, Yang Ping also gained sharp eyes. He carefully held the bone fragments, identifying them one by one. If there were soft tissues adhering to the fragments, regardless of the amount, he carefully preserved them all. The forceps used to mp the blood vessels was as delicate as if it was holding eggshells, demonstrating excellent control ¨C strong but not forceful enough to break them. When all fragments had been identified and their original locations determined, the order in which they would be assembled for reconstruction began to take shape in his mind. Without a scientific order, one piece could fall off as soon as another was fitted; a piece that fitted well in one position could block the reduction of another piece; just as one piece was fixed, another could be overlooked, and the reconstruction would not be achieved. ¡°Sharpen the other end of the Kirschner wires too, prepare five like this.¡± Little Five did as he was told. Normally, a Kirschner wire is sharp on one end and t on the other. Now, they needed to cut the other end to be sharp as well. ¡°Does he really think he can achieve reduction? How could that even be possible?¡± ¡°Even with a steel te, this would be hard to do.¡± ¡°Did not do a CT scan.¡± ¡°If a CT scan were needed, he wouldn¡¯t dare to perform the surgery.¡± ¡°He¡¯s in a tight spot now, how will he back down?¡± People started to whisper. They initially intended to watch the surgery. However, the situation now seemed impossible to salvage ¨C it waspletely unmanageable. Ironically, as it was proimed to be the most severe, the procedure might turn out to be fairly straightforward. It¡¯s likely that they would just open it up and close it back down again. Some were very disappointed; they hade with great enthusiasm to observe and learn and now this. Elder Man Zhang, who was leaning on the silicone cushion, removed his sses and wiped them. After rinsing the surgical field, the Kirschner wires were ready and fitted into the power drill. The first bone fragment was put in ce, with a Kirschner wire securely fixed in the proximal end of the humerus, allowing the wire to go through the other side of the bone, through the skin, and the bone fragments were aligned perfectly. What a good eye for this, Director Han secretly praised. This piece was repositioned in one attempt without any prior trial positioning. The key was used to unlock the power drill¡¯s mp head and pull it out. It was then reversed to mp the other end sticking out and slowly retract it until only a little bit of the sharp end was exposed. The second piece was put in ce, again using the original Kirschner wire but in reverse, by drilling it back in; the third piece was attached to the proximal end of the humerus. A Kirschner wire was drilled in diagonally from the opposite side, intersecting the first wire at 60 degrees. The fourth piece was ced in the middle and then drilled in with the rest. People couldn¡¯t understand why the fourth piece should be ced in the middle. They couldn¡¯t even tell it was in the middle, could they? Everyone was puzzled. Except for the first few pieces that were already pierced, they couldn¡¯t see where the other fragments were from. It still seemed like a mess. The fifth piece was attached to an empty gap by the Kirschner wire that was drilled in earlier. It was like solving a Rubik¡¯s cube where every step affects the other. It must be done ording to a certain method, otherwise, it could never be solved. Simrly, before solving it, others might see it as mess ¨C wondering why one red piece was here and why another blue piece was there. After all the manoeuvres, it still looked messy and chaotic. Could it be that they would just disregard everything, tie it up with a steel wire and call it a day? Everyone was worried. Song Zimo was also worried. He thought Yang Ping had been acting a bit reckless recently to have epted such a surgery. However, looking at how deliberate Yang Ping was, it seemed like he had everything under control. It didn¡¯t look like blind fumbling at all. Could it be possible that he actually reassembled all these bone fragments to their original positions? That would certainly be quite amazing. When the sixth piece was ced, two Kirschner wires were drilled through it in reverse. The seventh piece was attached to the recent gap, revealing a new gap after which the ninth piece fitted well right into the new gap. The third Kirschner wire was drilled in, not only fixing these two pieces but also drilling through other pieces. The steel wire pierced through the bone fragments ¨C each puncture perfect, even for minute and thin bone fragments that couldn¡¯t withstand a second puncture, it neatly went through. Song Zimo was beginning to see the pattern, feeling something indescribable inside. Theteral condyle had gradually taken shape, like the solution to the firstyer of a Rubik¡¯s cube. The tenth, eleventh and twelfth pieces were slotted in diagonally, each piece precisely ced. The fourth Kirschner wire was drilled in just once, fixing the pieces exactly on the most solid cortical part. The medial condyle began to take shape too, just like the secondyer of the Rubik¡¯s cube. The thirteenth piece was attached, the fourth wire was advanced further, piercing through it. A fifth Kirschner wire was inserted, piercing not only this piece but also several others. The intact form of the medial condyle was revealed and the articting surface were also sessfully assembled; it was smooth and free from any defects. A smooth joint surface was formed, without any cracks or steps. With that, the thirdyer of the Rubik¡¯s cube was sessfully solved. A small gasp of surprise echoed through the room. Those previously bored were now paying attention; those who were thinking of leaving early changed their minds and all eyes were now glued to the screen. Some even regretted not paying attention to the details of the previous reductions ¨C they had missed a precious learning opportunity. A standard tension band was added on each side with a steel wire and another diagonal tension band was added, forming a rigid, three-dimensional triangr structure just like a steel frame in architecture. The steel wire was tightened and trimmed, the ends processed, Kirschner wires were trimmed and the end bent for cement. Just like solving a Rubik¡¯s cube, the process might be difficult to understand, but the result was clear. They had truly reassembled it. Kirschner wires and steel wiresposed a marvelous three dimensional stable structure. The elbow joint was moved a little ¨C it was extremely stable. Such an impressive procedure! Only now did people understand that the order of the bone assembly and the drilling of the Kirschner wires had all been nned. Only then could maximization of coverage be achieved, each part locking onto another to finally form a whole. One wrong step, one step missed, and it couldn¡¯t have been done. An impressive feat indeed! Amazing! This was the first time Song Zimo had seen anyone use steel wires and Kirschner wires this way. This wasn¡¯t just surgery; it was like creating a micro self-stabilizing structure with bone fragments and steel wires. ¡°Second Brother Han, this young man under your tutge is quite something,¡± Elder Man Zhang stood up. ¡°What¡¯s the matter, Old Zhang, won¡¯t you stay till the end?¡± asked Director Han. ¡°My prostate can¡¯t hold it in any longer. I need to use the restroom,¡±Old Zhang stood up to leave. Chapter 44 - 0042: Doctor’s On-Call Room Chapter 44: Chapter 0042: Doctor¡¯s On-Call Room Professor Zhang Zongshun had returned from a trip to the washroom. ¡°I should get a TURP done someday.¡± said Elder Man Zhang. Director Hanughed, ¡°You¡¯ve been talking about your prostate for years, and yet you still have not had it done.¡± Elder Man Zhang adjusted his cushion, leaned back, and said, ¡°After a lifetime of performing surgeries, I find it hard to trust the skills of the young doctors these days. They arecking inparison, and I can¡¯t bring myself to trust them.¡± ¡°You¡¯re far too demanding, truly. You¡¯re excessive,¡± Director Han replied. Elder Man Zhang shook his head, ¡°Our tools cut into the living flesh of people, with lives hanging in the bnce. No demand is too great. Second Brother Han, if you were a urological surgeon, I would have already had my prostate surgery.¡± Amidst theirughter and chatter, the surgery was nearingpletion. The fracture was entirely reset; the joint surface was extremely smooth, with each piece back in its right ce. The fixation was also very firm, after several attempts to move the elbow joint, there were no signs of loosening. They flushed the surgical area, reced the eagle beak of the bone cutter, then used steel Kirchner pins to secure it with tension bands, put a drain, and sutured the deep fascia and skin. Nobody wanted to leave yet; some were discussing and some were considering downloading the surgical video for a more detailed view. ¡°How did he manage to reset it?¡± someone asked, a bit puzzled, as the solution indeed seemed beyondprehension. ¡°Didn¡¯t you see?¡± The person trying to answer him wasn¡¯t able to exin much. It felt like watching someone solve a Rubik¡¯s cube when you don¡¯t know how to ¨C you observe as they twist and turn it and suddenly it¡¯s solved, but you still don¡¯t understand the process. Last time, a simple corbone fracture had given Song Zimo a new understanding of Yang Ping¡¯s surgical skills. This time, an almost impossible operation of repositioning was aplished using steel Kirchner pins. This again refreshed his understanding. Song Zimo¡¯sprehension was challenged repeatedly by Yang Ping, and he wondered how many more times this would happen. Song Zimo witnessed the entire process. Although others couldn¡¯t see the profound intricacies, he could perceive them. This level of surgical expertise requires not only brilliant surgical skills, but also exceptional visual acuity, spatial imagination, andprehensive thinking about bone repositioning and Kirschner pinyout to create the most logical sequence. All this was done by Yang Ping without a CT scan, using just an X-ray image. If he were to do the operation himself, even with CT imaging, virtual reality, and 3D printing, he wouldn¡¯t have been able to achieve such perfection. Little Five could have done the suturing, but in a surgery where operational authority approval is involved, it is required that the surgeon perform the entire procedure from start to finish. ¡°Ding Dong, mission aplished, you are rewarded 5000 points!¡± The reward arrived almost instantly, bringing his score up to 8000 points. With the fluctuations, things were still quite tight; he couldn¡¯t afford to waste a single point. Yang Ping ced the needle holder in the curved tray that Su Yixuan handed over. Being around orthopedic surgeries all the time, Su Yixuan of course knew the difficulty level of this operation, and how perfectly Yang Ping had aplished it. Somehow, each time Yang Ping sessfully performed a perfect surgery, she would be filled with joy. Afterpleting this surgery, Yang Ping felt much more rxed. He had to pass Professor Zhang Zongshun¡¯s test. If it were a level two operation, typically performed by a medical attendant, only Director Han¡¯s signature would have sufficed. However, a level three surgery is performed by a senior medical attendant or a physician associate. For a newly promoted medical attendant like Yang Ping to perform a level three operation was considered overstepping. It required expert team review since a surgery isn¡¯t something to be taken lightly. Surgical authority is directly linked to sry. If he gets ess to all level three operations, he could receive full bonuses, surgicalmissions, and equipmentmissions, leading to a considerable ie. If he could get some level four surgical privileges, he could start leading his group. Thinking about performing all the level three surgeries in the future and exploring level four surgeries excited Yang Ping. But this was just the beginning and he didn¡¯t know what challenges this entric old man would throw at him in the future. This old man had the power to make or break his career. If he couldn¡¯t pass, he would have to wait three years, or get promoted to a physician associate, to apply again. ¡°Xiao Mo, Xiao Mo, assist Professor Zhang.¡± Professor Zhang Zongshun, who had been moving around to stretch his muscles, was about to leave. Director Han called over his assistant, who was eagerly discussing the surgery with others. Hearing Director Han call, he promptly came over to assist Elder Man Zhang. ¡°This kid has really worked hard, Second Brother Han, you have an eye for talent.¡± Elder Man Zhang¡¯s back was a bit bent over; the assistant attempted to help him, but he declined. ¡°Hasn¡¯t Elder Man Zhang selected better talents?¡± Old Han thought, feeling anxious. Without full faith, he wouldn¡¯t put forward such a peculiar request. Walking a few staggering steps, Elder Man Zhang got his footing back, straightened his back and resumed his brisk pace. Everyone lined up to download the surgery video from the system. It was at this time Tang Fei came looking for Director Han to discuss something. She was originally in sports medicine and should be stationed there. However, wanting to broaden her skill set before getting promoted, she decided to stay in trauma orthopedics for a while. After this surgery, there were still many surgeries to be done. Everyone returned to their respective operating rooms. ¡°Yang Ping, safeguard these operation details. At the end of the year, we n to hold an academic conference where we could share them.¡± Director Han instructed Yang Ping. Yang Ping asked Little Five to collect the data and keep it separately on file. Little Five is also a graduate student. He¡¯s smart and is very good at what he does. Thursday afternoons are for case discussions, so all surgeries are usually finished by the morning. There are two special days in a week. Tuesday mornings are for ward rounds, Thursday afternoons are for case discussions. Learning and training sessions are arranged for Saturdays and Sundays. Everyone gathers together, not only to revisit the basics but also to learn new things and keep up with thetest developments in the field. Doctors do not have public holidays, and they can only take breaks in rotation. Standardized training students, graduate students, resident doctors, basically work tirelessly all year round. It¡¯s hard work. Once the operations arepleted in the morning, there are case discussions in the afternoon. No surgeries are scheduled for the afternoon, so everyone has some time after lunch and they gather in the on-duty room. These young doctors practically live in the department. There are several on-duty rooms: one for residents, one for attending physicians, and one for the director. The director doesn¡¯t do shift duties, so the on-duty room is usually just used for napping. Except for Thursdays, opportunities for napping are scarce, as they are in the operating room all day. The attending physician¡¯s duty room is in a bad condition. The head nurse reported it for repair. When the Engineering Department came to take a look, they said some parts needed to be reced and it would take a few days to fix. Yang Ping squeezed into the resident doctors¡¯ on-duty room. This is thergest room with bunk beds lined up against the walls on both sides. There¡¯s a desk in the middle. The room is equipped with a TV, fridge, andputer. The desk is cluttered with charging cables, and revision materials for medical licensing exams and attending physician exams. The beds are messy, with a sock here and a slipper there. ¡°Why is this sock mine?¡± ¡°Oh, where is mine then?¡± When the others saw Yang Pinge in, they all called him ¡°Brother¡±, making way for him to rest. There were enough beds for sixteen people. Yang Ping greeted everyone and theny down on a bed. Zhang Lin was in the bathroom using a hair clipper, trimming his hair expertly in front of the mirror. It only took him a few minutes to create a hairstyle. These young doctors do not have time for haircuts and use hair clippers to cut their own hair. All of these young doctors have simple haircuts, except for Song Zimo. ¡°Can I borrow this? Mine is broken,¡± Fang Yan asked from the doorway. Zhang Lin quickly put it away: ¡°Let me tell you, even though we are all medical students, this kind of thing should not be shared.¡± ¡°It¡¯s not a razor. No skin gets broken, no blood is drawn,¡± Fang Yan reached out to take it. ¡°That¡¯s not the point. Who knows if you have e on your scalp? If it bursts and then I have e and it bursts, wouldn¡¯t that be infectious? The rate of HIV infection in our country is now nine in ten thousand, which is more than one million people. Who knows if you are one of those nine in ten thousand?¡± As he spoke, Zhang Lin put the hair clipper in a cab and locked it. Once Zhang Lin was out, Fang Yan walked in holding a tube of facial cleanser. There are two bathrooms in the on-duty room, but they still aren¡¯t enough for more than a dozen people. Seeing Fang Yan go in, Zhang Lin knocked on the door. ¡°Why are you knocking?¡± Fang Yan opened the door, peeked out with his face full of foam and held up his facial cleanser. ¡°Damn, SK2 Miracle Water, it¡¯s anti-e and upscale. Squeeze me a little.¡± Zhang Lin tried to take it. Fang Yan grabbed it quickly, pulled it back from Zhang Lin, and said: ¡°Who knows if you¡¯re one of those nine in ten thousand.¡± Zhang Lin, however, had already squeezed out a bit into the palm of his hand. Zhang Lin said: ¡°You¡¯re such a pretty boy, do you need all this? Guys like me need it more.¡± Fang Yan replied: ¡°Your face is beyond help, using it would be a waste.¡± Zhang Lin responded: ¡°Fang Yan, don¡¯t be too arrogant. You squeezed my toothpastest time. We have not settled the score yet.¡± Little Five interrupted: ¡°Hey Zhang Lin, tell me, why do you have pimples even though you have a girlfriend?¡± ¡°What? Is it a rule set by the Ministry of Health? If you have a girlfriend, you can¡¯t get pimples?¡± Zhang Lin retorted. ¡°Too much fire.¡± Chen Xiaobo came out of another bathroom, giving thumbs up. ¡°No matter how fiery you are, you can¡¯t match him. What are you doing in there for an hour, taking a bath?¡± another doctor said as he read his book while waiting for the bathroom. Seizing the chance to tease him, Zhang Lin said: ¡°Next time, the Hospital Infection Department will culture bacteria from your hand. Be careful not to grow some strange things.¡± Everyone burst intoughter. In the on-duty room, these young people having fun together was a rxing scene. ¡°A patient sent a fruit basket,e and enjoy.¡± A nurse called out. Everyone rushed out as if in an onught. The head nurse said: ¡°Let me tell you, I¡¯ve recorded which group received fruit baskets. If you get a lot, it means you have a good rtionship with your patients. If not, you need to work harder.¡± ¡°Whose fruit basket is it?¡± ¡°Just eat, no need to ask which tree it fell from.¡± Chapter 45 - 0043: Complex Diseases Chapter 45: Chapter 0043: Complex Diseases Yang Ping was resting in the on-call room. Regardless of how noisy it was, he could still fall asleep, a skill that allowed him to recharge anytime, anywhere. When he woke up, there were many fruits by his bed, left by his colleagues and washed clean. Yang Ping ate an apple and washed his face, recalling the case discussion scheduled for three o¡¯clock in the afternoon. At two forty, Yang Ping arrived at the teaching room, where many people were already waiting. Little Five, Zhang Lin, and Fang Yan all greeted him, pointing to an avable seat and signaling him to sit quickly. The teaching room also served as the department¡¯s meeting room, where case discussions were conducted. Except for those involved in emergency surgeries, everyone was required to participate, discussingplex and fatal cases encountered during the week. For young doctors, this was a valuable learning process, while for senior doctors, it was an opportunity to showcase their talents. How the surgery went was clear on the table, and theoretical knowledge was tested during case discussions. During these discussions, everyone closed the doors, engaged in heated debates and banged tables, all of which were regarded as legal. Song Zimo came in and sat next to Yang Ping. He whispered, ¡°Regarding the preterm babyst time, its blood vessels were too fragile. I practiced on a newborn mouse, used drugs to make its blood vessels fragile, and practiced for many days. Now I can barely manage to do suturing. Can you advise when you have time?¡± Yang Ping said in surprise, ¡°You didn¡¯t take a nap at noon and practiced operations under the microscope?¡± Song Zimo said, ¡°Yes, you are not an elder brother for nothing, you must teach me when you have time. Let me do it for the next baby¡¯s operation, with you as backup?¡± ¡°Your ¡®elder brother¡¯ carries a great deal of weight,¡± said Yang Ping. But Song Zimo had enough talent and diligence, and a broad-minded. He had pride but he could face the gap. Having such a colleague was a blessing. Now, whenever he had spare time, Song Zimo would actively step up to assist during Yang Ping¡¯s surgeries. ¡°Alright, next time I¡¯ll arrange the operation for you,¡± Yang Ping said. Song Zimo put his arm around Yang¡¯s shoulder and asked, ¡°How is it going with the surgical nurse? Any progress?¡± Yang Ping shrugged his shoulder and took his hand off, ¡°Why are you so nosy? Can¡¯t you tell the asion?¡± Song Zimo said, ¡°I am a human being too, as your elder brother, I should also pass on life experiences, don¡¯t hide your methods.¡± Yang Ping sneered, ¡°Forget it, who doesn¡¯t know about you, Song Zimo, a single smile from you when walking down the street can cause people to have heart palpitations.¡± People starteding in one after another. Once Director Han came in, Song Zimo stood up, stretched, and sat next to Director Han. He was the secretary of the department, responsible for record-keeping. People gathered in groups in the teaching room, packing it so tightly that there was almost no room to move. Several senior directors sat in the first row, a bottle of mineral water in front of each. The doctors¡¯ office had a projector, but here a high-definition screen was used. ¡°Everyone, be quiet, this week we didn¡¯t have any fatal cases, but there were a few difficult ones. Let¡¯s discuss them, starting with Director Ouyang¡¯s team ¨C¡± The resident physician in Director Ouyang¡¯s group started reporting the case. ¡°XXX, male, 14 years old, recurrent pain and swelling in the limbs for 3 years. Three years ago, without any trauma or obvious triggering factors, left wrist joint pain and swelling urred, gradually progressed to bteral shoulder joints, elbow joints, right wrist joint, bteral hip joints, knee joints, ankle joints. Treated in several hospitals¨C Past history: 4 years ago, due to an old fracture of the left carpal scaphoid, he underwent open reduction, bone grafting, and internal fixation. After the fracture healed, no functional impairment remained. Physical examination: swelling and tenderness in the limbs¨C Auxiliary examination: MRI of bteral shoulder joints, elbow joints, wrist joints, hip joints, knee joints, ankle joints showing synovial swelling and joint effusion¨C¡± After the resident doctor ended the case report, Dr. Jin, a senior doctor in Director Ouyang¡¯s team, added, ¡°This childes from a rtively good family and has traveled to many ces. Renowned hospitals and professors across the country have treated him, as well as traditional Chinese medicine, Western medicine, internal medicine, and surgery departments. However, the pain and swelling persisted, and even normal walking became difficult. He has consulted many hospitals, but the problem has not been resolved. Everyone, let¡¯s discuss and see how to make a clear diagnosis and treatment.¡± Dr. Jin had been a senior doctor for a long time. He was over forty and only a few years younger than Director Ouyang. ording to his years of service, he should have been a chief physician. However, he was rigid and never indulged in falsehood. To this day, he hadn¡¯t published any papers or obtained any research topics, so he hadn¡¯t progressed to an associate chief physician. But in terms of actual skills, he was already at the level of a chief physician. After Dr. Jin supplemented, several young doctors began to scratch their heads. This kind of atypical case was the most troubling and tested a doctor¡¯s diagnostic abilities, which just happened to be a weak point of surgeons. Many orthopedic surgeons, once the X-ray film was hung on the viewing light: Surgery! Very straight forward. Why bother diagnosing? Isn¡¯t everything clear on the film? Diagnosis was the field of internal medicine doctors. ¡°It¡¯s very necessary to discuss this case. Usually, for those with joint pain and some atypical cases, if we can¡¯t find the cause, we just let it go. I always say that a surgeon not only needs to be good at surgery, but also needs to have good clinical thinking ability. Now, let¡¯s discuss how to make a diagnosis and treatment for this patient,¡± said Director Han. There are many diseases in medicine that can¡¯t be traced to a specific cause. Diagnosis is like solving a detective case, following certain logical thought processes based on medical history, physical examination, and auxiliary examination to pinpoint the illness. There are unsolvable cases and undiagnosable diseases. Usually, in case discussions, the doctors with less experience start off, gradually moving on to the seniors. In today¡¯s case, the less experienced doctors are at a loss for words. ¡°We have run a battery of tests including endocrine, metabolism, nutrition, blood, rheumatism, etc. We did all the imaginable tests¡ªX-rays, surface ultrasound, CT, and MRI scans. We have done dozens of MRIs.¡± ¡°A variety of diagnoses have been considered: synovitis, rheumatoid arthritis, autoimmune arthritis, reactive arthritis. Someone even bluntly made a diagnosis: a difficult andplicated disease?¡± Noticing the silence, Dr. Jin chimed in to avoid an awkward pause. His knowledge is more profound, like an old draft cow that endures hardship withoutint. Director Ouyang has relied on him for many years, and as a result, he hasn¡¯t performed an emergency operation in a long time. Each time, it¡¯s Dr. Jin who takes care of the major emergencies. ¡°Reactive arthritis is more like a catch-all phrase; when the disease can¡¯t be traced, it¡¯s called reactive arthritis. This disease, however, has no medical history rted to urogenital or intestinal infections.¡± Director Ouyang said. ¡°Many transient synovitis cases found in clinical practice have no obvious causes. This diagnosis is indeed challenging. Otherwise, someone wouldn¡¯t have gotten frustrated andbeled it as a difficult andplicated disease.¡± Director Bai said. ¡°Was a synovial biopsy performed?¡± Director Tian asked. Dr. Jin responded: ¡°Yes, it was done in a Beijing hospital. The pathological examination indicated the inmmation of the synovial tissue.¡± Yang Ping half-closed his eyes, leaning on the chair while Song Zimo told him, ¡°Why don¡¯t you say something? Aren¡¯t you always full of surprising solutions?¡± Hearing this, Yang said, it doesn¡¯t take any time to ess the system. In real life, it only takes an instant. Now he is emotionally ready to switch to the system at any time and any ce. Upon opening the window, he found the newly added library function. After essing the system, he began an exhaustive search of textbooks, journals, and papers about synovitis, especially rare cases, and even individual case reports. Synovitis is merely a symptomatic diagnosis, not an etiological one. Like fever, many diseases can cause it, but you have to find the cause of the fever to treat it effectively. Yang Ping thought to himself, ¡°The system is indeed a torture device. Providing such arge library, it would have been easier to just help with the diagnosis, and then I would be able to show off without any effort.¡± But it requires so much effort to find relevant information. Fortunately, the search function of the system¡¯s library is quite potent. He finally found many papers, one of which caught Yang Ping¡¯s attention. Five years ago, an Austrian doctor wrote a paper which was published on an inconspicuous medical school journal, written in German. The system, being very considerate, actually had a trantion function. The paper mentioned¨Cmetal ion reactive synovitis, which usually happens internally with imnts, such as steel tes, artificial joint recement, and even metal dentures could cause it. This happens because the synovial joints are sensitive to metal ions, thereby causing an inmmatory reaction. This is a very rare disease. After searching, Yang Ping found that apart from this Austrian doctor, nobody else had reported it. That¡¯s interesting. Yang Ping studied the paper in detail. This kid had surgery on his left scaphoid four years ago as shown on the X-ray with residual metal screw. Could this metal screw be releasing metal ions into his bloodstream and then causing synovitis after being deposited in the synovial joints? The kid¡¯s symptoms seem simr to those mentioned in the paper, but it¡¯s just a hypothesis and there¡¯s no concrete evidence. After a lot of searching, this is the most usible diagnosis he could find. After looking up more information but not finding anything more suitable, Yang Ping exited the system. ¡°Yang Ping, Song Zimo, what are you two doing hiding there, say something!¡± Seeing everyone remaining quiet, Director Han called out their names directly. Now that Director Han has called them out, it wouldn¡¯t be appropriate to remain silent. Song Zimo nudged Yang Ping, ¡°Big brother, it¡¯s your turn!¡± Yang Ping cursed him silently. At this time, he called him ¡®big brother¡¯ more sweetly than anyone else. Pushed into acting swift, Yang Ping sat upright. He couldn¡¯t lose face in front of his colleagues, so he maintained a thoughtful expression, ¡°Hmm, this, after listening carefully to the medical history, I think it may be metal ion reactive synovitis, a very rare disease with few reported cases.¡± Metal Ion Reactive Synovitis, what? They had never heard of this disease. Is it even a real illness? It¡¯s not mentioned in any textbooks. Chapter 46 - 0044: Troubles Caused by Two Screws Chapter 46: Chapter 0044: Troubles Caused by Two Screws None of them had heard of this disease, including Song Zimo and Dr. Jin. Dr. Jin looked at him in surprise, thinking, this kid reads more books than I, Old Jin, do. He had thought of him as a surgical craftsman, but he didn¡¯t expect his theory to be so solid. On a day without any social engagements, he basically reads books in his spare time, books in Chinese or English, he has read all the orthopedic specialized works, and his papers are updated daily. He tracks international trends and has never heard of this disease. He mulled over Yang Ping¡¯s words and found some sense in them. Those with metal imnts will release metal ions to some extent. These ions are taken to various joints by the blood cirction. If the synovial membrane is allergic to them, it can easily cause an inmmatory response. Theoretically, it is entirely possible. Song Zimo gently nudged Yang Ping next to him with his elbow: ¡°Senior Brother really is Senior Brother, to think of such an extraordinary disease, how did you learn about this disease?¡± ¡°I forgot, I heard it from someone.¡± Yang Ping said dismissively. Director Han nodded, ¡°Hmm, being able to propose this diagnosis shows that you have a wide range of reading and learning in your daily life, talk more specifically about it.¡± Yang Ping said, ¡°The patient underwent a fracture surgery of the lunate bone 4 years ago, during which two micro metal screws were used. These two screws were never removed. The onset locations are consistent with the inference; first, it was the left wrist joint and then other joints. The inmmation of the synovial membrane in the left wrist joint is thought to be directly caused by the release of metal ions, so it urred earlier. The other joints were affected by the spread of metal ions through the bloodstream, so naturally, it happenedter. Additionally, the timing also aligns with the hypothesis. The swelling pain in multiple joints appeared after this surgery. For now, I am just specting and there is not enough evidence. We can try to remove the two screws and see if the symptoms will gradually diminish.¡± ¡°As for Dr. Yang¡¯s opinion, I agree, let¡¯s remove the two screws. Even if that¡¯s not the cause, it won¡¯t bring any adverse effects on the patient.¡± Tian Yuan¡¯s opinion was moderate. ¡°How is it that none of you young men are speaking up?¡± Director Han said. Usually, the discussion starts from doctors with less seniority and gradually esctes, with Director Han summarizing in the end. But today, this case was so rare that someone had to diagnose it as ¡°difficult andplicated disease¡±. This diagnosis is reserved for cases where all doctors nationwide are stunned. Just now, everyone was silent and it was like their mouths were sealed shut. But after what Yang Ping said, everyone¡¯s mind was opened. Even though no one had heard of this disease, if Senior Brother Yang said it was the case, then it was. The rest is just about verifying the conjecture. ¡°Hmm, I agree with senior brother, no, Dr. Yang¡¯s point of view.¡± Fang Yan said. Little Five nodded too, ¡°I agree with this opinion, it seems nothing elsees to mind.¡± Zhang Lin raised his hand and spoke in a deliberately deep tone: ¡°I have an immature idea. It is too slow to let these metal ions metabolize on their own. Can we use a chting agent for metal ions and hasten the clearance of these ions, that way the symptoms can be relieved quickly.¡± Director Han praised Zhang Lin: ¡°Very thoughtful, let¡¯s hear everyone¡¯s ideas. Make bold assumptions and verify carefully.¡± Zhang Lin perked up immediately after being praised, as if he¡¯d suddenly grown taller. Song Zimo said: ¡°We can perform a joint puncture and draw joint fluid to test for metal ions to see if they can be detected. If metal ions can be detected, we will see if they are consistent with theposition of the imnted screws.¡± Song Zimo is still Song Zimo. Although Yang Ping has boldly taken over the position of the eldest senior brother, it seems that no one can shake the position of second senior brother. ¡°Hmm, this is a good idea, drawing joint fluid for metal ion detection. This wouldn¡¯t be hard for theboratory. If necessary, we could ask the medical school¡¯sboratory to do it.¡± Dr. Jin agreed. He has always had a high opinion of Song Zimo. ¡°Even if metal ions are found, it doesn¡¯t necessarily prove they are the cause.¡± Tian Yuan said. The discussion started to escte, Director Ouyang said, ¡°In clinical practice, we should first address practical issues. By removing the screw and monitoring subsequent symptoms, we might gradually find relief. Such diagnostic measures are permissible in clinical practice, and besides, they pose no harm but offer potential benefit to the patient. As for other factors, they can be studied slowly. This is indeed a rare case and can be researched as a new topic.¡± Director Ouyang, quite handsome, had an upright posture reminiscent of a soldier in stance. His salt-and-pepper hair added to his unique charm. Dr. Jin was of the same lean type. His group contrasted markedly with that of Director Bai. Director Bai, weighing 180 pounds, pressed heavily on his chair. If it were not for the good build quality of the chairs in the department, the chair might have copsed under his weight. His attending physician too was of substantial size. The two of them sitting together looked rather odd. ¡°Currently, many people are studying the effect of metal ions that enter the bloodstream due to the friction of metal-on-metal artificial hip joints on the human body. But few study the ions released by metal imnts, because the amount of ions released can almost be ignored.¡± Director Bai spoke with vigor. Director Ouyang chimed in: ¡°I have searched for many documents and haven¡¯t found any relevant papers. A few years ago, one of my ssmates who was a visiting schr in Europe mentioned that some European doctors were studying this, but I don¡¯t remember the specifics. I also haven¡¯t seen any rted papers published about it.¡± Everyone was very engaged in the conversation. They weren¡¯t speaking carelessly but rather with certain thought. Rigorous clinical thinking is very important. In fact, it requires logical reasoning capabilities. A brilliant physician diagnoses diseases like peeling offyers of an onion, with clear logic and rigorous methodology. The group¡¯sbined views provided a clearer perspective to the case. Director Han said, ¡°Why did we discuss this case? I only want to say two words, seriously. We need to take any issue seriously. Don¡¯t think it¡¯s just about joint pain? There are many cases where the cause is elusive, they receive routine treatment and then are discharged. Why does Peking Union Medical College Hospital remain the top hospital in the medical field? It is because of its rigor, this tradition has been followed till today. The first AIDS case in our country was diagnosed by Peking Union Medical College Hospital. The process of it could be written as a fascinating book. At that time, nobody had seen such a disease and could only learn about it through literature reports. There were no mature biological reagents for diagnosis, it all depended on the doctors themselves tobine resources and break new grounds. There are countless such examples. A patient with hyperthyroidism caused a loss of bone calcium throughout the body and was diagnosed with advanced bone cancer in several hospitals. The patient was not willing to give up and went to the outpatient department of Peking Union Medical College Hospital with difficulties. The professor examined him for a long time and then said, ¡®I have insufficient experience in this area and cannot make a conclusion yet. I need to look up some references. You don¡¯t need to make an appointment in a week, juste directly to the outpatient department to find me.¡¯ The patient was furious at the time, waiting for several months just to hear him say he didn¡¯t know? He almost blew up on the spot. He angrily left saying Peking Union Medical College Hospital was merely so-so. However, a weekter, the patient thought it over and still decided to go find the professor. At that time, the research on hyperthyroidism-induced bone mineral disease was just starting worldwide and many people were not familiar with the disease. The professor tried his best to find relevant literature and consulted with colleagues at home and abroad by telephone after getting off work. A weekter, he made the diagnosis: it was hyperthyroidism, not bone cancer. From then on, whatever the disease, the patient always went to Peking Union Medical College Hospital for examination. Even if he had to wait for months, he would still opt to go to Peking Union Medical College Hospital. Previously, when the secretary of the World Health Organization Children¡¯s Fund visited our country, he mentioned he was born in Peking Union Medical College Hospital in the 1930s. As a result, Peking Union Medical College Hospital found his birth medical record. The footprint from his birth was perfectly preserved, and the record of his mother¡¯s several breastfeeding times a day was also clear. This type of rigor truly impresses mensen.¡± Director Han, speaking earnestly added somewhat more, ¡°I thought with this case, everyone would find it boring and feel it had no value for discussion. However, everyone spoke actively and enthusiastically today, showing that they are seriously considering it. Indeed, this is a rare case. An Austrian doctor researched it and published a paper on it, but it was in German and in an obscure medical college journal. Therefore, it might be challenging for everyone to ess.¡± When he mentioned the German paper, everyone¡¯s eyes was directed towards him, wondering if this person could read German papers, surely not. ¡°Xiao Yang, where did you find this German paper?¡± Director Han asked. ¡°I heard a professor talk about it before, so I remembered it.¡± Yang Ping chuckled. ¡°No matter how you obtained it, if you can remember such obscure information and apply it when necessary, it is worth praising. You can proceed with this patient ording to the procedure discussed just now. Conduct puncture of the joint fluid to find metal ions, and remove the screw surgically. Make sure to exin this clearly to the patient.¡± Director Han concluded in the end. Could two screws cause severe synovitis of the limbs over three years? Is that really the case? Everyone was impatient to know. Chapter 47 - 0045 Whose Phone Call Chapter 47: Chapter 0045 Whose Phone Call After the meeting, the directors all left. The young doctors were still full of thoughts and unwilling to leave. They wanted to discuss more. Zhang Lin, who wasmended, was still excited. ¡°Tell me, when we do research, we can¡¯t simte clinical phenomena. This is a special allergy, finding an animal and injecting the same metal ions into its joint cavity. The synovial membrane won¡¯t be allergic to these ions. We can¡¯t reproduce the synovitis,¡± Zhang Lin approached and spoke. Song Zimo said, ¡°With your scientific thinking today, I can directly hand my national natural topics to you for application.¡± Zhang Lin scratched his head with shame, slightly inted, ¡°I can try.¡± As they were discussing, a nurse ran up and said that the infant who underwent finger reattachment hade back for a follow-up appointment. After X-rays in the outpatient department, they wanted to hold him in the ward. They wanted Doctor Yang to have a look before feeling at ease. Yang Ping agreed, and the nurse dared to reply to the others. When the child was brought up, Yang Ping went out to see him, followed by everyone else. The woman was holding the child in the chair, arranging his clothes, while the man clumsily helped. Seeing Yang Pinging over, the woman got up and the man bowed to greet Yang Ping, ¡°Doctor Yang, thank you for your trouble. The outpatient doctor said the recovery was very good, but we are anxious and would like you to see. We have caused you trouble.¡± Little Five hung the X-ray on the illuminator. Yang Ping saw that the child¡¯s fracture was healed very well, much faster than an adult¡¯s. The steel pin for fixation of the fracture had already been removed in the outpatient department. Since the child was not cooperative during the examination, Yang Ping could only observe and try to judge the recovery of sensation and movement. After ying with the child for a while and confirming that the sensation and movement were all recovered very well, Yang Ping felt relieved. There stood Little Five, recording the child¡¯s hand with his mobile phone. He collected detailed andplete data for every operation Yang Ping performed. Yang Ping gave a few precautions, and the two thanked him again before leaving. After they left, Yang Ping remembered the worker with a severed thumb who hadn¡¯te back for a follow-up after being discharged, causing him some worry. He was uncertain about the current situation. Before getting off work, Yang Ping, Song Zimo, Little Five, and Zhang Lin checked the ward again. The department required two rounds per day, one in the morning and one in the afternoon. Although the four were divided into two groups, they spontaneously blended into one. During each round, Song Zimo always led Yang Ping to check together. Also, they discussed coboratively when receiving patients for surgery. The worker with aminuted fracture at the lower end of his humerus hadpleted the operation in the morning. The anesthesia had worn off, so Yang Ping guided him to begin active elbow movements. ¡°Doctor Yang, thank you very much, Professor Zhang, and you. Without you, this arm of mine would be wasted.¡± The patient expressed gratitude. ¡°You¡¯re wee, the key point is to move now. If you don¡¯t move, the joints will be like rusty machines and be stiff. These few days, I will take some time to guide your exercise. You can practice by yourself after discharge once you learn,¡± Yang Ping said while guiding his movements. At this point, the canteen aunt came over, put a bag of big steamed buns on the makeshift table in front of the worker¡¯s bed, ¡°Your ordered meal, four buns, still hot.¡± Sanbo Hospital was well-managed, orderly. This was due to Dean Xia¡¯s efforts. Patients can order meals in the canteen. They can scan QR codes to order online, order by phone, or order from the ordering staff. An ordering staff memberes every morning to take orders for the next day. If admitted to the hospital the same day, patients can ce orders at any time, but meals are provided by the canteen and cannot be chosen freely. Free-choice ordering is only possible a day in advance ording to the menu. ¡°Will you eat this tonight?¡± Little Five asked. The patient said, ¡°This is very filling. The steamed buns in your hospital are big enough, one is equivalent to two outside, and it¡¯s cheaper.¡± The patient¡¯s workmate, standing on the side,ughed heartily and put away the buns. After guiding the worker¡¯s exercise and checking the other rooms, several of the reattached fingers had very good blood cirction. Finally done, they could get off work. They discussed going to a nearby restaurant for a meal. There was a good mutton hot pot shop nearby, and the four of them took off their white gowns and washed their hands. As they walked out of the surgery building, they found that the hospital¡¯s security checkpoint had been installed and was in use. Anyone entering had to go through the security checkpoint. If a person carried a knife or something simr, the machine would beep. Once the machine beeped, the security guard would immediately step forward and ask to see the item. Yang Ping and the others were curious, so they stood by to see how this security checkpoint worked. A tall, burly security officer walked over. This officer was the newly appointed head of the security department at Sanbo Hospital, personally interviewed and hired by Dean Xia. He was as burly as Xiong Sihai, the head of the emergency department. One nce at his walk, and it was obvious he had a military background. From then on, the three ¡°strongmen¡± of Sanbo increased to four. The officer inspected the security machine, opened his notebook, and asked, ¡°How¡¯s today¡¯s situation?¡± The security officer in charge of this checkpoint opened a box. Inside was a sharp knife with a sheath: ¡°We found a knife today.¡± The officer carefully picked up the knife, pulled it out from the sheath, took a nce, then reinserted it back into the sheath and threw it back into the box. After recording in earnest, he said: ¡°We have already found several knives in just one day of operation. What are patients doing with these knives? Remember, don¡¯t be careless, each time a knife or other offensive weapon is found, take down the name and ID of the individual, and ensure it¡¯s entered into the security system. Immediately report any suspected illegal activities. Those who are caught twice will be discreetly trailed by assigned security, and those caught three times will be cklisted. Dean Xia has already banged the table at the meeting and told you men to be vignt.¡± ¡°Yes, Captain, I understand,¡± the security officer replied. After the captain finished recording, he said, ¡°As for your wife¡¯s job, the Human Resources Office has already arranged for her to be a cashier at the outpatient clinic. The hospital will provide training. You can focus on your work here, and if there are any difficulties, just let me know.¡± The security officer grunted in reply, a look of joy lighting up his face as he tightened his belt. Little Five and Zhang Lin purposely walked around the security gate a few times, asking the security guard, ¡°Would nail clippers or scissors trigger it?¡± The security officerughed and said, ¡°No.¡± Then they looked at the knife in the box, ¡°They really found a knife?¡± The security officer said, ¡°Only this one was found in the Surgical Building, a few more were found in the entire hospital today.¡± After inspecting the security checkpoint, everyone chatted and walked. On the way, they saw Dean Xia, Dean Sun, and the office director. The leaders were inspecting, with Dean Xia making gestures, Dean Sun nodding, and the office director recording. It must¡¯ve been rted to the security system. At the mutton hot pot restaurant, the four of them found an empty table to sit down. ¡°I don¡¯t drink,¡± Song Zimo gave a heads-up in advance. ¡°Whoever doesn¡¯t drink pays the bill, that¡¯s the rule from now on,¡± Little Five said. ¡°Fine, I¡¯ll pay,¡± Song Zimo didn¡¯t mind. ¡°Zhang Lin, do you drink?¡± Little Five asked.p> ¡°I don¡¯t drink, am I here to drink milk tea?¡± Zhang Lin answered. Little Five said, ¡°It seemsckluster for a bunch of guys to have hot pot together. Boss, call over your instrument nurse; Zhang Lin, call your pediatrician out, and Song Zimo, your Maserati.¡± ¡°What¡¯s the point of calling them? It¡¯s way more unrestricted when it¡¯s just us guys drinking. If we bring women along, can we still drink properly?¡± Zhang Lin objected, as a waiter brought over a few bottles of beer and prepared to open them. ¡°What if there¡¯s an emergency?¡± Yang Ping suddenly remembered, and the waiter¡¯s bottle opener stopped mid-air. ¡°It¡¯s Thursday today, there¡¯s an in-house doctor on duty in our department, and Old Tian is on standby at the Trauma Emergency Center. Our second team, I¡¯ve just sent a WeChat message asking them to hold fort,¡± Song Zimo assured. ¡°Let¡¯s drink, we haven¡¯t in a long time. We work and perform surgeries together daily, rarely do we all gather. If we¡¯re not on the operating table, then we¡¯re too exhausted and resting,¡± Zhang Lin urged the waiter to open the beer as the hot pot soup bubbled and all the ingredients were served. Zhang Lin dumped the ingredients into the pot with a ssh, Little Five distributed the drinks, and Song Zimo¡¯s phone rang. Everyone¡¯s hearts clenched. No way, right? Doctors dread the sound of their phone ringing during their break. Once it rings, no matter who¡¯s calling, their hearts give a wrench. Whose call could it be? Song Zimo lit up his phone. Chapter 48 - 0046 Dangerous Surgery Chapter 48: Chapter 0046 Dangerous Surgery ¡°It¡¯s a call from Director Tian!¡± The name disyed on the mobile phone. After the call, Song Zimo shrugged, ¡°They couldn¡¯t hold off any longer. There was a brawl, injuring more than ten people. The minor injuries have been taken by the orthopedics department on duty, while the two severe cases are following the procedure of Trauma Emergency Center for immediate rescue surgery.¡± ¡°Didn¡¯t they say they can handle it a moment ago? That was quick. Director Tian is not doing well. He needs to replenish his energy.¡± Zhang Lin remarked. It looked like they wouldn¡¯t enjoy the hot pot after all. In the awkward silence, Zhang Lin vigorously picked up a bunch ofmb from the pot with his chopsticks. Not bothering with the seasoning, he blew on it a few times before stuffing it into his mouth, making puffs of steam from his mouth. ¡°Let¡¯s go!¡± Yang Ping said, as time was the most critical for emergency rescues. Little Five instructed the waiter, ¡°Hold onto it. Keep it for us until we return.¡± Song Zimo scanned the bill with WeChat. Even though they hadn¡¯t eaten, they had ordered. If they left just like that, the staff might think they were dining and dashing. Zhang Lin kept stuffingmb into his mouth, even when Little Five was pulling his arm. With the hot pot still cooking, they gave a quick farewell and hastily left for the hospital. They arrived at the emergency department in minutes. There was a significant police presence in the emergency hall. Yang Ping and his team swiped their cards to enter the rescue room. The rescue room was enclosed, requiring card ess. There were also several police officers inside. Doctors and nurses were busy, their rescue techniques skilled. Director Tian and Fang Yan were still inside the emergency room. Seeing their reinforcements arrive, they came forward and said, ¡°We need to operate on two severe cases. One received dozens of blows, severing the nerves and blood vessels in all limbs. The worst blow was in the back, affecting the spinal canal, likely causing spinal cord injury. Another person got stabbed in the left groin with a bottle, rupturing the femoral artery and leaving ss fragments, causing shock. We have conducted an EKG and taken blood samples, but the results are not out yet. We are preparing to send them to the operating room immediately. Fang Yan and I will handle the spinal surgery, and you can handle the ruptured femoral artery. How does that sound?¡± Director Tian was calm, exuding the demeanor of a leader. The arrangement was reasonable. Only an associate chief physician could perform spinal surgery, something Yang Ping wasn¡¯t allowed to do yet. Moreover, he hadn¡¯t dealt with spinal cases and didn¡¯t know how to handle them. Unlike injuries to the limbs, he had been systematically trained for those procedures. ¡°No problem, let¡¯s go with that.¡± Yang Ping responded decisively. It was not the time to dawdle. Yang Ping wanted to see the patients, but they had already been moved during the discussion. The process was indeed swift. They immediately rushed towards the operation room. Song Zimo opened a locker in the changing room, took out a bag, and tossed it to Little Five, ¡°Open it and distribute it.¡± Little Five peeked into the bag to find it full of chocte bars. ¡°These are energy choctes from Germany, high in calories. They are essential for emergency surgeries,¡± said Song Zimo. ¡°Thanks, Young Master Song!¡± Little Five distributed a few chocte bars to everyone. Having quickly devoured the choctes, Yang Ping changed his clothes. Upon entering the operating room, a patrolling nurse came over and said, ¡°Theboratory just called ¡ª the patient tested positive for HIV in the preliminary screening. The paper report is on the way. Everyone needs to take precautions. I¡¯m off to prep the protective suits.¡± A positive HIV screening meant that the patient could potentially have AIDS. This surgery had indeed be stressful. Little Five called up the patient¡¯s test report on the operating room¡¯sputer. It was indeed positive in the preliminary HIV screening. ¡°Ding-dong, task: Carry out a highly dangerous operation. If youplete the operation without upational exposure, you will earn 6000 points.¡± This was truly a highly risky operation. Usually, this kind of surgery would be performed at the Seventh City Hospital, a specialized infectious disease hospital. Despite its excellent infectious disease department, its other departments, especially surgery, were weak. For emergency cases or major surgeries like these that the infectious disease hospital wasn¡¯t equipped to handle, integrated hospitals have to step in. The anesthesiologist wore a face shield, goggles, and two pairs of gloves early on. The face shield was anti-fog, but still fogged up. Making it hard to see clearly. Fortunately, the anesthesiologist had enough experience to sessfully administer general anesthesia and intubated the patient, despite the poor visibility. The patrolling nurse prepared a disposable sterile sheet. Su Yixuan also arrived by then. Yang Ping pulled her aside and said, ¡°You don¡¯t need to scrub in for this surgery. We have four people, that¡¯s enough.¡± Confused, Su Yixuan asked, ¡°What¡¯s wrong? I¡¯m okay.¡± Yang Ping seemed a little absent-minded as he said, ¡°We have enough people, and Little Five and Zhang Lin want to try their hands at instrument passing.¡± ¡°The suits are ready!¡± the patrolling nurse called out. The protective suits, also known as ¡®space suits,¡¯ were special types of surgical gowns that included a hood, which couldpletely shield a person from blood sttering during surgery. Seeing them preparing to wear the suits, Su Yixuan immediately understood why Yang Ping didn¡¯t let her participate, and she was moved. ¡°I¡¯m more familiar with assisting in surgery for you than anyone else, which lowers the risk of injuries during surgery. Especially when ites to sharp equipment, they might not understand as well as I do. Despite you operating with them on a daily basis, they are not as versed in the equipment as I am. I¡¯ve attended training in Shanghai, Hong Kong, and Japan for high-risk infection surgeries like this. Believe me, it will be alright,¡± she said stubbornly. Yang Ping looked at her, wondering why the young girl was so defiant. In reality, it was not a big deal, he just didn¡¯t want her to take such risks. The man had no reservations about how he felt towards Su Yixuan ¨C he was already falling for her. ¡°Alright, be careful, got it? Go slow. And double glove,¡± Yang Ping advised her with a concerned look. Su Yixuan nodded, feeling a warmth surge within her. ¡°Just the two of us will be enough, too many people could lead to idents! You two can stop scrubbing in,¡± Song Zimo started to put on gloves and disinfect. He addressed Zhang Lin and Little Five. When performing surgery on an HIV patient, protection must be adequate. This was not out of discrimination or distaste, but for safety based on scientific facts. Only by ensuring one¡¯s own safety can one save others effectively. After Yang Ping scrubbed in, he began to put on a surgical gown. A space suit provided good protection, but it was very inconvenient for surgery. Especially the field of vision, it was tough to see clearly through the protective shield. It was even more inconvenient for doctors who wore sses. Luckily, Yang Ping did not need sses. ¡°How do we proceed when the blood starts spouting out once we open the wound?¡± Song Zimo asked. Yang Ping donned his gloves: ¡°What do you think?¡± ¡°Open the abdomen, locate the external iliac artery, block the blood flow, then proceed to the next step?¡± Song Zimo suggested. Yang Ping gave him a thumbs up; he indeed was a genius. If he wasn¡¯t there with his out-of-the-ordinary abilities, Song Zimo would have been the star of the show. The method suggested by Song Zimo was the safest course of action, not only did it reduce blood loss but it gave ample time to locate the blood vessels. ¡°Should we go in, Senior?¡± Zhang Lin and Little Five were eager to get involved, but they were worried. Truth be told, they were somewhat apprehensive. However, as doctors, they had no choice. This was their job. Just like police officers facing criminals ¨C while others can run, police officers can¡¯t. It wasn¡¯t about being noble but about professionalism. ¡°You two are so eager,e on in. We¡¯re going back to our hotpot,¡± Song Zimo was annoyed. He had told them repeatedly not toe in, but they kept asking. Afterying out the drapes and performing a brief preoperative check, they wasted no time. Yang Ping made an incision in the lower abdomen. Because he had performed hundreds of surgeries to locate the external iliac artery during previous system tests, he was very familiar with the anatomy of the pelvic blood vessels and nerves. Very quickly, from making the incision to locating it, it took less than two minutes to find the external iliac artery and clip it off. He purposely slowed the process down. ¡°How are you so skilled?¡± Song Zimo asked while he assisted. He did more than a dozen dissections in medical school to gain aprehensive understanding of anatomy. Yang Ping couldn¡¯t possibly have the same opportunity to dissect as many bodies, but from the looks of it, it seemed like he was performing external iliac artery surgeries every day. ¡°Unlock the tourniquet below and disinfect again,¡± Yang Ping ignored him andmanded firmly, exuding a strong and decisive air as the lead surgeon. They untied the cloth towel and bandage from below. Somebody had shoved a towel into his wound before bandaging it up. The person must have been experienced. If it wasn¡¯t for this crude hemostatic method, this patient would¡¯ve probably been gone by now. Once they untied it, as expected, there was no bleeding. They disinfected the wound again. ¡°Watch out, there¡¯s a lot of ss inside. Be careful.¡± Yang Ping warned Song Zimo. The ss in the wound was the most dangerous. Under normal circumstances, they could put their hands into the surgical area for operation, but it was absolutely not permissible in this case. The sharp ss could easily prick the gloves and skin, causing HIV infection. ¡°Vascr forceps!¡± Yang Ping reached out for the instrument. ¡°Got it, let¡¯s get the big pieces out. Leaving the fragmented ss wouldn¡¯t cause too much trouble,¡± Song Zimo was being extra careful while assisting. As Su Yixuan passed the vascr forceps, she gently reminded, ¡°Take your time, don¡¯t rush.¡± Song Zimo nced at Yang Ping and then at Su Yixuan. He could tell something was up. With the forceps, he reached into the wound and took it out. A piece of ss, at least three centimeters long, was carefully ced into a kidney dish. Chapter 49 - 0047 The Table is Still Left Chapter 49: Chapter 0047 The Table is Still Left ¡°The femoral artery is severed, with threerge pieces of ss nearby.¡± Song Zimo turned to look at the CT scan on the light box. Yang Ping was looking for the second piece, saying, ¡°You¡¯re pretty smart, being able to see all three.¡± Song Zimo said, ¡°Don¡¯t be smug. I¡¯m getting much faster at vascr anastomosis on newborn mice with fragile blood vessels. I¡¯m catching up with you.¡± As Song Zimo spoke, he constantly adjusted the retractor in his hand. He was indeed smart, anticipating where Yang Ping would look next, making adjustments in advance so that Yang Ping always had the best field of vision. Actually, handling the retractor well is a skill. If done correctly, the surgeon can maintain the best surgical view without noticing the retractor. ¡°Should I shine the light in?¡± the circting nurse asked. Song Zimo said, ¡°No need.¡± At this moment, what matters is one¡¯s ability to position urately, spatial imagination, the feel of forceps in hand, preoperative precision spatial positioning based on imaging, and identifying different tactile sensations when the metal touches ss and soft tissue during surgery.> At this point, the surgical instruments act as extensions of the surgeon¡¯s fingers. ¡°You have e all over your face, standing so close, when the blood sprays¨C¡± Little Five handed over a face shield. Scared, Zhang Lin immediately moved away from the operating table, involuntary remembering a story from his internship. During an internship, a ssmate was sprayed with a trauma patient¡¯s blood in the emergency department. The ssmate had a face full of e and only discovered the patient had AIDS after saving his life. Immediately reporting upational exposure, he then went for blood tests and took AIDS blocking medicine for four consecutive weeks. Blood tests were performed periodically for half a year. During those six months, his weight plummeted from over 80 kilograms to barely 80 pounds. A return to normal life only happened after confirmation he was fine. With such thoughts, Zhang Lin retreated a few more steps, putting on the face shield from Little Five. The second piece was detected but could not be removed, as it was adjacent to blood vessels and nerves. Any abrupt removal could damage these. ¡°Light!¡± Song Zimo, as an assistant, was absolutely perfect. Without Yang Ping¡¯s reminder, he held a retractor in one hand and the sterile handle of the surgicalmp in the other, precisely directing the light. The suction device extended in, drawing blood away. As Yang Ping moved to adjust the retractor, Song Zimo gently let go, allowing Yang Ping to reposition the retractor. Suddenly, a pair of scissors was already in his hand. He used them to sharply dissect the tissue surrounding the ss, fully exposing it. Indeed, an artery branch was right next to the ss. Yang Ping carefully removed the ss, a fragment of green beer bottle. ¡°How deep was their hatred? The groin was pierced badly, with shards of beer bottle left inside,¡± Zhang Lin eximed. Little Five said, ¡°Fighting over a woman in a nightclub, two groups of men got out of hand.¡± Zhang Lin corrected, ¡°Not two groups of men. I heard he fought ten men by himself.¡± What exactly happened was a matter for the police. Doctors only need to treat and save people. Su Yixuan stopped their chatter: ¡°Quiet.¡± The other nurses might argue sometimes, but they wouldn¡¯t dare with Su Yixuan. Little Five made a gesture to keep quiet and Zhang Lin didn¡¯t dare to speak again either. ¡°There¡¯s one piece left, and it¡¯s gone into the pelvic cavity.¡± Song Zimo adjusted the light again. With the local anatomy of this area etched in his mind, he could build a 3D image even with his eyes closed. After hundreds of attempts to save patients with ruptured external iliac arteries, he had a clear understanding of the anatomy and its variations. He dissected along the vessels and nerves upward, into the retro-peritoneal space of the pelvic cavity, and the third piece appeared. It was easily removed, and the surrounding area was examined. The peritoneum was not ruptured. Large quantities of saline flushed the surgical area. A detailed investigation again revealed both the femoral artery and vein were severed. The femoral nerve was thankfully intact, the outeryer only exposed through a small incision, with the nerve bundles inside unaffected. ¡°Needle and thread!¡± Su Yixuan ced the needle and thread on the dish, passing it over. This way, by transferring items via the dish, the chances of inadvertent injury were minimized. Yang Ping picked up the needle and thread, holding a needle holder in his right hand while his left hand held a long-toothed tweezer. This type of vascr anastomosis was incredibly simple for him. In just over a minute, he had trimmed the blood vessels,pleted the anastomosis of the artery, and ligated the vein. After releasing the mps on the external iliac artery and vein, there was no bleeding. Then, another rinse,yers of suturing, insertion of a drain. Last, applying a dressing neatly. In the right corner of Yang Ping¡¯s vision, a window and caption appeared: ¡°Taskplete, gained 6000 points.¡± The entire process went incredibly smoothly, especially the extraction of the ss shards, which totally impressed Song Zimo. Speaking of foreign object retrieval, it¡¯s a minor task, but it¡¯s not easy to handle this minor task exceptionally well. Many doctors be frustrated as they use a C-arm X-ray machine for a tiny foreign object, they may find the object on the screen, but not able to retrieve it, and they can¡¯t help it. Dr. Jin in our department once locked himself away to study the X-rays, surface ultrasounds, CT scans, and MRIs of all foreign objects in the hospital because he failed to extract one. He drew hundreds of diagrams. Yearster, whenever there was a foreign object that couldn¡¯t be removed, they turned to old Jin who always removed it with ease. No joke, a senior director may well perform a cervical spine surgery easily, but sometimes fails to take out a tiny foreign object. Many even make a long incision and rummage through it, only to close it in vain. Foreign objects can be quite tricky sometimes. Song Zimo spent a great deal of time asking old Jin and studying the space localization of medical imaging to remove foreign objects. He finally outperformed old Jin. Now these pieces of ss, Yang Ping took them out in a breeze. Song Zimo admired Yang Ping even more and couldn¡¯t figure out the limit of Yang Ping¡¯s capability. The patient was sent to the ICU, all the sterile sheets and clothes had to be disposed of through a special channel, and the surgical instruments went through a special sterilization process. ¡°How¡¯s everything going for Director Tian?¡± Yang Ping wanted to see if there were any ways he could help. Little Five and Zhang Lin didn¡¯t know, because this was an infectious surgery, they couldn¡¯t freely visit other operating rooms. They would be kicked out if discovered by the patrol nurse from another operating room. Since no one had been called over to ask for help, Director Tian probably didn¡¯t need any. Tian was a well-rounded surgeon who could easily handle any kind of surgery, and it was unnecessary for Yang Ping to check on him especially after just performing a surgery on an AIDS patient. Song Zimo led Little Five and Zhang Lin to send the patient to the trauma ICU, having already advised the ICU to prepare an istion ward in ordance with the standards for isting body fluids and blood. Yang Ping had a shower in the changing room and sat down to rest for a while. He was very familiar with the anatomy of the part he operated on today. His recent practice with wire and needle techniques had further improved his spatial localization skills, which made the surgery so easy. It might not be this smooth if the location of the procedure was different. He must take every opportunity to train his skills of removing foreign objects and spatial positioning in the system. He opened the window and checked he had umted 14,000 points, bringing him one step closer to purchasing the pelvis fracture training. Once he nailed the pelvis fracture, his trauma orthopedic techniques would be consideredprehensive. He closed the system window when Little Five called. ¡°Boss, the hot pot is still waiting for us. We¡¯ve just showered in the department, let¡¯s meet at the front gate of the Surgical Building.¡± His stomach was growling, he was starving. Yang Ping thought, if only reality was like the system, where he didn¡¯t need to eat, drink, or sleep, life would be so much easier. But that was impossible. They went back to the mutton hot pot shop which was still bustling with activity. The table had been saved for them. The fire had been put out, but the food was still there. Seeing theming, the waiter quickly helped relight the fire. The waiter said, ¡°I told the boss that you guys are doctors from Sanbo Hospital. The boss said he¡¯d keep this table reserved for you until dawn.¡± Such a magnanimous boss, if this was ancient times, he would be a great hero like Chai Jin. Everyone sat down and started adding ingredients into the pot before the soup even started boiling. Zhang Lin directly stuffed raw cabbage into his mouth, chewing it with great enjoyment. This is what hunger truly means. ¡°Tell your boss, we all appreciate his hour. If he ever strains his waist, he doesn¡¯t need to book an appointment, juste look for me directly,¡± said Zhang Lin. At that moment, the boss came over. He was in his forties, skinny, and spoke with a Chaoshan ent. ¡°This meal is on the house, thank you for reattaching my son¡¯s hand.¡± ¡°Your son?¡± Yang Ping asked. He had reattached so many hands, he had no idea who the boss¡¯s son was. The boss pointed to his hair. ¡°That blonde kid, he got mad at me and went to work at Hongda Factory. He crushed his hand.¡± It was him, he should have said so earlier. Chapter 50 - 0048: Elder Man Zhang’s Fracture Chapter 50: Chapter 0048: Elder Man Zhang¡¯s Fracture Eating too much mutton can produce internal heat, causing a dry mouth and tongue. Yang Ping drank several cups of water, but could not suppress the fire in his heart. Strangely, after Zhang Lin consumed mutton, the pimples on his face seemed to have decreased. I don¡¯t study traditional Chinese Medicine, so I can¡¯t exin it. Song Zimo doesn¡¯t drink alcohol, but after a night of drinking Tiandi No.1, he imed to have drunk too much in the morning. As for Little Five, that little amount of alcohol is nothing, nearly equivalent to gargling with mouthwash. Handover, ward rounds, and surgery. These three routines govern their daily life. Director Han led several people on ward rounds. The patient with aminuted fracture of the distal humerus was training very hard on his rehabilitation exercises, showing significant improvementpared to yesterday afternoon. His hospital bill has only a few hundred Yuan left and he ns to be discharged in a couple of days, ording to the n. With Su Yixuan¡¯s help to negotiate with the billing nurse in the operating room, the bill managed to stay within three thousand Yuan. There are over a dozen in-patients who underwent finger reattachment surgery. Many of them started rehabilitation in the physical therapy department after the sutures were removed. The patient with chronic osteomyelitis of the right tibia has a somewhat controlled blood pressure and blood sugar level now. His surgery is to be scheduled soon. The patient who underwent an amputation on-site, mainly because of a ruptured liver and spleen, has been transferred from the ICU to the Department of General Surgery. Now, he can walk back and forth in the corridor with his prosthetic limb. The other patients are mostly various types of fractures. Director Han has been quite busytely. He is currently applying to establish an in-hospital orthopedic research institute. In addition, he intends to apply for it to be recognized as a key provincial department. Overall, he¡¯s very ambitious and energetic. Despite being busy, he asionally rounds the ward with Yang Ping when he has spare time, understanding every patient¡¯s specific condition. In the corridor, they ran into Director Ouyang¡¯s team. Dr. Jin happily said, ¡°I¡¯m preparing to remove those two screws tomorrow. Then we¡¯ll see if the postoperative joint pain and swelling decrease.¡± Little Five and Zhang Lin went to the operating room. Director Han summoned Yang Ping and Song Zimo to his office. Old Han, in his customary manner, took a sip of tea before speaking: ¡°Little Yang, Little Song, I want to add a new member to your team, and she¡¯s a girl.¡± A new recruit? A girl? Could it be that Tang Fei is going to join our four-person team? Thebination of men and women makes work less tiring. Old Han truly understands the essence of management. ¡°Our department is developed rapidly and fresh blood will continuously be infused. Our new colleague has an excellent educational background. She is an eight-year program graduate from Beijing Medical School. I¡¯m telling you this so you can prepare in advance.¡± said Director Han. After all his talking, it wasn¡¯t Tang Fei, but a new person. She hadn¡¯t arrived yet, this was just a preventive briefing. After a brief talk and some important reminders concerning the patients, Director Han left for the administration building. Yang Ping and Song Zimo went to the ICU to check on the AIDS patient who had the surgeryst night. Two police officers were guarding the main entrance of the ICU. Yang Ping had seen such situations often and didn¡¯t pay much attention. The patient stayed in the negative pressure istion room in the ICU. This guy is tenacious; the endotracheal tube was removed the same night. Now, he was asking if he could be transferred to the general ward, he was out of money. The high cost of the ICU, around twenty-thousand Yuan a day, was something he could not afford. His vital signs were stable, it was just an issue of blood loss shock and it¡¯s almost corrected now. Besides, with the patient being able tomunicate clearly, there was no reason not to move him to a general ward. ¡°Of course, move!¡±, Yang Ping, after confirming that there were no wounds on his hands, reached out to shake the patient¡¯s hand. He hesitated for a moment: ¡°I am HIV positive.¡± Yang Ping smiled, saying: ¡°I know. We can shake hands, you were really brave yesterday, passed through the ¡®Ghost Gate¡¯.¡± He carefully reached out and shook hands with Yang Ping. Handshaking would not spread the virus unless there were wounds on the hand. ¡°I had a note in my pocket, but I was unconscious and couldn¡¯t take it out. Are you okay? I am really worried.¡± He said. Yang Ping replied, ¡°We¡¯re fine, we took the right precautions.¡± ¡°Thank you for saving my life. Don¡¯t worry about the expenses, I will definitely manage to pay them.¡± He said. Yang Ping had seen many patients who owed bills, especially those involved in fights and brawls, but never had he met a patient who offered to pay the bills so proactively. Regardless of whether it was true or not, it wasforting to hear. Once a man involved in a fight had surgery done as an emergency procedure and didn¡¯t pay a single penny, escaping early one morning. Not only that, he stole the remote control from the ward, causing Yang Ping to eat instant noodles for two weeks! After seeing the patient, Yang Ping left the ICU. Outside the entrance, the police were still guarding. A girl was sitting on the bench, her head low as she cried softly. Dr. Meng from the ICU was discussing the condition with her: ¡°That¡¯s enough, his life was saved. The orthopedic doctor said he would be transferred to the general ward soon.¡± ¡°Really?¡± The girl stopped crying and smiled. ¡°Just right, Dr. Yang, this is the family of the patient who had a femoral artery rupturest night.¡± Dr. Meng noticed Yang Ping and Song Zimoing out of ICU through the sliding door. The girl immediately got up, bowed, wiped her tears with a tissue, and said: ¡°Doctor, thank you. Is Wang Feng really okay?¡± Yang Ping nodded, ¡°He¡¯s out of danger now, go and wait in the trauma orthopedics ward, you can see him very soon.¡± ¡°I will pay the costs as soon as possible. Use the best medicine, you must make him better.¡± The girl¡¯s eyes were red. It should be Dr. Meng who discussed the cost with her. Yang Ping remembered the AIDS case, but immediately pretended not to. Because such a thing would be reported to the hospital infection department, they would follow the process, and the CDC would intervene. What a doctor needs to do is keep the patient¡¯s confidentiality, as well as to protect themselves. After returning from the ICU, he went to the general surgery to see the worker who had amputated his limb. He had already put on a prosthetic limb and had started walking back and forth in the ward corridor, training to adapt to the prosthesis. The wound at the end of the truncated limb healed well, but he had phantom limb pain at night. Yang Ping gave some medication instructions to his brother in the general surgery. The two hurried to the operating room, there were several surgeries waiting, one was an emergency finger rentation, which Song Zimo and Zhang Lin did. There were also several fractures, humeral shaft, ulnar and radius bones, femoral shaft, tibia and fibr bones, yang Ping did with Little Five. So far, apart from pelvic fractures, Director Han had totally trusted Yang Ping with limb fractures. Director Han now knew that Yang Ping could be relied on. Theminuted fracture at the lower end of the humerusst time was easily handled with Kirschner wire, so he waspletely relieved with long bone fractures in the limbs. After a day of surgery, they were out by 4 p.m. The four of them checked at the end of work, and sat in the department for a while. Old Han hurriedly said, ¡°Old Sir Zhang fell down and fractured his hip, the situation is still unclear, let¡¯s go to the emergency room and check.¡± Old Han led everyone, rushing to the emergency department resuscitation room. Old sir was lying on the Pingche, surrounded by arge group of people, Xiong Sihai¡¯s tall figure was particrly noticeable. Seeing Director Haning, Xiong Sihai was a bit anxious, ¡°The old man is very stubborn, he wouldn¡¯t let us touch him, he said he was waiting for you, I think he may have broken his hip.¡± ¡°Be careful, he¡¯s an elderly patient. He¡¯s been in pain in the left hip and has had a movement disorder in the left lower limb for half an hour after the fall. The physical examination revealed obvious tenderness and knock pain in the area of the greater trochanter, deformities of shortening and external rotation of the left lower limb. It¡¯s basically certain that there¡¯s a fracture in the left hip, and looking at the degree of external rotation of the left lower limb, it¡¯s reached 90 degrees, that¡¯s not a fracture of the femoral neck, it has to be an intertrochanteric fracture. Don¡¯t you guys do physical examinations, everything depends on the slides, can¡¯t diagnose without slides?¡± The old man was still giving a lecture to the people around him. Seeing Director Haning, the old man said, ¡°Second Brother Han, what I shouldn¡¯t have said was prophetic, this time it really fell into your hands.¡± ¡°What happened, old man, did you break your hip as soon as you said you did?¡± Han wouldn¡¯t let go of his hand. Elder Man Zhang waved his hand, ¡°There was nothing to do in the afternoon, so I took a walk in the hospital park, met some people ying Tai Chi, got excited and practiced pushing hands with them, I threw the other guy down, and fell myself, he fractured his lumbar vertebrae, I fractured my hip, he was taken to the spinal surgery department, do you see, how quickly do people age?¡± He¡¯s eighty years old, why does he have to y Tai Chi push hands. ¡°We¡¯ll take a picture first, presumably a greater trochanter fracture, a small matter, think of it as a vacation.¡± Director Hanforted. ¡°Now that it hase to your hands, you¡¯re the boss, you can decide what to do with me.¡± The old man was open-minded. They pushed him to the radiology department for filming. Those who needed traction were given traction, those who needed bed transfer were given bed transfers, with so many people fussing about getting the old man up there. The technician brought a neck brace to protect the old man¡¯s thyroid nd, and then pushed the door of the lead door. As expected, there was a left intertrochanteric fracture and the discement was quite obvious. The technician printed the film, opened the door, and respectfully handed it to him, The sses, where are the sses, he took out his reading sses and put them on, ¡°Fractured and shattered, this sharp tip is embedded in the muscle, it¡¯s troublesome.¡± ¡°I have a flight tonight, tomorrow¡¯s field meeting for the orthopedic research institute. Traction for a few days first, I¡¯lle back and do the operation for you, you just rx, no more talk, otherwise it¡¯s showing off one¡¯s skill in front of an expert. In ¡®Orthopedic Surgery¡¯, your name is still on the first page.¡± ¡°You can¡¯t dy the institute¡¯s affairs, Second Brother Han, you¡¯re busy with your own. There¡¯s no need for traction. Waiting longer increases the risk of deep venous thrombosis, I still want to work for a few more years, do it as an emergency, I want to walk tomorrow, once bedridden, the problem is serious.¡± The old man is impatient. ¡°Doing it as an emergency, there¡¯s not enough time.¡± Director Han was in a difficult position. ¡°No problem, you just find someone to do it for me.¡± The old man was quite calm. A bit surprising, he actually agreed to let just any random person operate on him, that wasn¡¯t like the temperament of this old man. ¡°How about this, I¡¯ll talk to Dean Xia and push back the institute¡¯s event.¡± Said Director Han. The old man red at him, ¡°Why mention it to him? I¡¯m not that desperate yet, you should know what¡¯s important and what¡¯s not, the institute¡¯s work can be postponed, once postponed, it might be next year. That¡¯s it, find someone, the same kid fromst time.¡± Then he looked up to find Yang Ping, ¡°You¡¯ll do it.¡± ¡°Me?¡± ¡°What¡¯s wrong, don¡¯t want to? Let me tell you, if you can¡¯t walk tomorrow, it¡¯s a zero score for you. Don¡¯t tell me you¡¯re too pretentious to only do upper limb fractures and not do lower limb ones.¡± As long as it¡¯s not the pelvis, Yang Ping is full of confidence. In the system, there are hundreds of such fractures. But this old man is so quirky, demanding to bear weight and walk tomorrow, shattered like this, how to walk. ¡°That¡¯s it, Second Brother Han, you can rest assured and do your thing, leave my business to him, whether it¡¯s a mule or a horse, let¡¯s run twops and see.¡± Said the old man. Then, with no room for doubt, he reiterated, ¡°I want to walk tomorrow.¡± Chapter 51 - 0049: The Arrival of the Strongest Patient Chapter 51: Chapter 0049: The Arrival of the Strongest Patient After the examination, the old man was pushed to the trauma orthopedics ward, with Director Xiong personally assisting him at the window to handle the hospitalization procedures. Upon hearing that Professor Zhang had arrived, the ward was like a storm hade in, causing everyone from interns to lead professors who were still working in the ward to panic. Everyone immediately stopped what they were doing. The first thing was to quickly make sure the buttons of their white gowns were properly buttoned; anyone missing a button had to rush to the head nurse. ¡°What have you been doing all this time? Only now realizing you need to sew buttons, like only thinking about fixing your tooth with a chicken leg in your mouth,¡± Yao Ling reprimanded the postgraduates and standardized trainees. But she was all bark and no bite. There¡¯s no time to go to the linen room to get this done, nor can they ask a nurse to sew it on. These young women were superb at injections and infusions, but as for sewing clothes and buttons, you better forget it. Yao Ling herself found a needle and thread box as well as buttons from the department¡¯s storeroom and sat down in the doctor¡¯s office: ¡°Come one by one.¡± A few young men lined up to have their buttons sewn, with someone standing guard at the door, ready to alert everyone to any unusual urrences. ¡°Hurry, hurry, Elder Man Zhang has fractured his bone, he will be hospitalized soon.¡± Someone rushed into the duty room to give the news. A few guys who took advantage of their spare time to y games lost control of their phones when they heard the shouting. They immediately shut down the games, quickly grabbed a book to nce over, pretending to be serious. ¡°Where is the fracture?¡± someone asked. ¡°The greater trochanter of the femur!¡± responded the one who delivered the news. Oh ¨C everyone sighed, and they no longer needed to pretend. The books in their hands were put down, definitely not daring to y games anymore. The rumbling sound of wheels grinding against the ground and the beeping sound of the emergency elevator¡¯s opening door. Professor Zhang was pushed to the ward on a stretcher, Yao Ling and the top nurse, Cai Qiaojun, personally guarded the entrance, but Cai Qiaojun was noticeably nervous. Not just the nurses, but the entire hospital, except for Dean Xia and Director Han, who wouldn¡¯t be nervous in front of Professor Zhang? When Professor Zhang criticizes people, he never uses a swear word, never gets angry or raises his voice. His criticism is clear and logical. He can recall which page of a book, who published which paper, or thetest guidelines; every word and detail is urate. You¡¯d have no choice but to concede to his point. Yang Ping was pulling on the injured leg to help everyone transfer him onto the bed. Little Five brought over the skin traction equipment. As emergency surgery was needed, bone traction would no longer be needed. Skin traction could provide some relief for now. After buckling a wristband onto his wrist and hanging a card indicating a pre-surgery patient on the head of the bed, we immediately began fasting him. We drew his blood, performed an electrocardiogram at the bedside, made sure that there were no recent coughs or other respiratory symptoms, and bypassed a chest x-ray as he had a CT scan during his annual check-up. Everyone helped Professor Zhang find the mostfortable position, straightened the skin traction ropes, lifted the head of the bed to 45 degrees so he could restfortably; he didn¡¯t want to lie t. Cai Qiaojun efficiently tied a rubber tourniquet around his arm and began to insert an intravenous catheter into the back of Professor Zhang¡¯s hand. However, whether due to nerves or because Professor Zhang¡¯s veins were truly difficult to find, she surprisingly didn¡¯t get a blood return on her first attempt. Despite Cai Qiaojun being an exemry nurse in orthopedics, and a past award recipient at the city-wide nursing skillspetition, she turned pale and visibly faltered with Professor Zhang. Lying there was Professor Zhang. How could she not be nervous? One could see her sweating from her forehead. Professor Zhang had his right hand ced next to him for the insertion of the needle, slightly turned to his side. He extended his left hand and said, ¡°Give it to me!¡± His tone was very gentle, the gentler he was, the more nervous everyone became. He took the piercing needle for blood drawing, nning to perform the venous puncture himself. ¡°Look, first 45 degrees, to shorten the puncture path. The puncture needle should pass throughyers clearly, skin, subcutaneous tissue, then the vein. Eachyer you pass, you should be able to feel it. You just aren¡¯t practiced enough.¡± Professor Zhang said patiently while operating. He overturned the needle with his left hand, pushed it lightly, and there it went in, drawing blood in one go. ¡°After inserting the needle, press and lower the angle of the needle to keep it in line with the direction of the vein. As long as the vein is thicker than the needle, you can insert it. There is no such thing as being nervous. Nervousnesses fromck of proficiency, no matter how nervous you are, you can still answer that one plus one equals two.¡± Professor Zhang continued talking, while Yao Ling and Cai Qiaojun blushed. Professor Zhang releases his hand. Cai Qiaojun removed the needle and left the tube inside, then securing it in ce, attaching the infusion liquid, and starting the infusion. In the past, the myth of the old man injecting himself was only hearsay, but now, up close and personal, which nurse would dare to refute his prowess? All they could do was meekly stand by and listen. Director Han came in carrying his document bag, ¡°Teacher Zhang, I have a ne to catch, please settle in. I¡¯ve also spoken to Tian Yuan. Little Yang, Xiao Song, and Tian Yuan will be present.¡± ¡°Alright, I understand. You go about your business. It¡¯s crucial to handle the matters at the institute and not to dy anything.¡± Professor Zhang was fiddling with the remote control, wanting to watch TV. Director Han left in a hurry after some small talk. The head nurse offered to adjust the TV for him, but he declined, ¡°Why are so many people surrounding me? You all carry on with your work. Standard procedures are just fine.¡± Upon turning on the TV and channel surfing, he stumbled upon an old movie about the Korean War called ¡®Surprise Attack on White Tiger Regiment¡¯. ¡°You guys go on, there are so many patients. You don¡¯t have to care for me. Get me a malepanion nurse. No need for a pre-surgery catheter, it might even be difficult for the Urology department to insert a metal probe sessfully. As for my meals post-surgery, there are no dietary restrictions, order anything. You guys can go now. You, stay behind,¡± he instructed, keeping Yang Ping back with him. Seeing there was nothing else to be done, the head nurse offered a fewforting words before leaving the ward with everyone else, leaving only Yang Ping behind. ¡°Sit down. Why are you standing? You haven¡¯t done anything wrong.¡± The elder man asked Yang Ping to sit. Yang Ping moved a visitor¡¯s chair over and sat by the bed. Professor Zhang paused the TV, ¡°These old films are interesting to watch. At that time, I was only a teenager. My father was one of the earliest Western-trained orthopedic surgeons. After studying in the United States, he worked at Xiehe Hospital. When the war broke out in 1950, he volunteered to go to the battlefield. In the Battle of Chosin Reservoir, he was injured by a fragment of a shell ¡ª even at ny, the old man still insisted on going to the clinic, sleeping in the office chair there ¨C¡± Yang Ping listened quietly, a respect silently forming within. Suddenly Professor Zhang stopped and said, ¡°Bring me the X-rays and CT scans, let¡¯s discuss.¡± Yang Ping took out the X-rays and CT scans from the bag by the bed. Professor Zhang put on his reading sses and under the natural light, he began to exin as he pointed at the scans, ¡°The biggest difference between the upper and lower limbs is that the lower limbs bear weight. Any lower limb fracture requires early weight-bearing activity, and there has to be osseous support, i.e., the more pressure there is, the tighter it bes. The imnts only serve as aids and cannot take overpletely. For the most basic transverse fracture of the tibia, the Germans would operate in the morning and the patient would be walking by the afternoon. It was so startling that we dared not speak up. It would take us six to eight weeks to partially bear weight and only after three months would the patient managepletely. Initially, we thought it was a problem with the materials. Butter we realized the main issue was not the materials, but the theory of osseous support. Their interlocking intramedury nails utilized a longitudinal sliding hole, which lockedterally and slid longitudinally, which automaticallypressed the fracture ends. Weight bearing actually became a beneficial factor, the more they walked, the faster the fracture healed.¡± Yang Ping listened attentively, and Professor Zhang continued. ¡°This bone fragment has to be pulled out, these few must be anatomically reduced, and this fragment needs steel wires and cables. Nowadays, once a surgery needs steel wires, it¡¯s considered backward. Without the use of steel wires, it¡¯s considered advanced. But surgery isn¡¯t about following trends, there needs to be your own thought process. Medicine needs to advance, but new things aren¡¯t necessarily the best, they need to be tested over time. Thest distal humerusminuted fracture you did used steel wire and a pin, and it was done very well. You must¡¯ve put a lot of thought into the process of anatomical reduction and fixation.¡± ¡°I think the sequence of anatomical reduction and fixation in a fracture is a profound process, it¡¯s not simple at all. Much like building a house, it¡¯s not just stacking bricks, there should be aplete theory behind it,¡± said Yang Ping, expressing his feelings. ¡°Hmm, to be able to realize this is very good. I too have been considering this issue. Many things seem simple on the surface, but upon further study, you¡¯ll discover they are incredibly profound andplex. Just like a Rubik¡¯s cube, on the surface, it seems to be all about twisting and turning, but the strategy of restoring it, how to arrange the order, is a big topic.¡± Professor Zhang put down the scan. Yang Ping kept the scans, and Professor Zhang said: ¡°A surgeon, especially an orthopedic surgeon, should possess an important ability¡ªspatial imagination. They should be able to construct a three-dimensional anatomy in their minds, and this construction must be precise and specific. Just like a chess yer can y with their eyes closed, we surgeons should be able to perform surgery in our minds. Close your eyes and be able to recall the entire surgery process in your mind. Pass me the paper!¡± Yang Ping pushed the mobile table over, setting it on the bed and in front of Professor Zhang, locking it in ce. He then retrieved paper and a pen from the bedside drawer. The old man began to draw on the paper with the pen, and in less than three minutes, an image of a hip joint appeared on the paper. Hepletely drew out his own fracture. Then, he drew another picture on a separate paper, showing what it would look like after anatomical reduction and fixation. The picture was so realistic and detailed, portraying a strong sense of three dimensions, that it left a strong visual impact. ¡°Back in our day, mastering the art of drawing was necessary. Nowadays, it¡¯s hard to find a doctor who can draw. If you need, I have some sketch manuscripts, you can take a look.¡± Professor Zhang put down his pen. Yang Ping was stunned. No wonder everyone in the hospital feared him. It wasn¡¯t because he liked to scold people, but because everyone indeed could not meet his expectations. The two pictures on the table were of such high quality that they could bepared with the works of Western realist painters. They were incredibly lifelike and breathtaking. Also, these weren¡¯t just 2D but 3D drawings. With just a ck pen, he managed to perfectly depict the sense of three dimensions. This level of skill could easily earn him a spot as a street performer drawing 3D images. ¡°Surprised? If it was in color, you would think there were joint models and steel tes and screws on the paper. Simple linebinations can achieve such results, why can¡¯t medicine? After self-learning modern 3D painting andbining it with medical illustration, I acquired such 3D painting skills.¡± Professor Zhangughed. Yang Ping was highly interested in Professor Zhang¡¯s drawing. He previously had no concept of it. He put away the two pieces of paper, ¡°Can I keep these two drawings?¡± ¡°They were drawn for you in the first ce, take them and study the surgical process. I¡¯m a bit thirsty, and the mixture in this IV drip doesn¡¯t seem quite right.¡± Professor Zhang chimed in. Yang Ping quickly poured a ss of water. There were cotton swabs on the bedside table. He soaked a cotton swab and helped moisten Professor Zhang¡¯s lips. ¡°During the surgeryter, get someone to arrange a tablet that¡¯s connected to the operating room¡¯s video system. I want to watch the entire process myself.¡± Professor Zhang reminded. Yang Ping responded, ¡°I¡¯ll have someone prepare it now.¡± ¡°You go prepare. I need to rest now. I¡¯ve performed surgeries on others all my life, now it¡¯s my turn.¡± ¡°Remember, I want to be walking by tomorrow.¡± As Yang Ping was about to leave the room, Professor Zhang reminded him once again. Chapter 52 - 0050: Can We Walk Normally Tomorrow? Chapter 52: Chapter 0050: Can We Walk Normally Tomorrow? Just after leaving Elder Man Zhang¡¯s private ward, a system task was triggered. ¡°Ding dong! Task: Complete Elder Man Zhang¡¯s surgery, allowing him to regain normal walking ability within 24 hours. Reward: 9000 points, one unknown gift.¡± It¡¯s been a long time since the system rewarded a random gift. The surgery isn¡¯t hard, but the tricky part is immediately walking with weight bearing on the second day after surgery. This is a harder challenge than before. Yang Ping is now discovering the endless wonders of the system ¡ª it doesn¡¯t take up real time. That is, no matter how long it takes in the system, it¡¯s just an instant in reality. This greatest feature can be made full use of. What is more precious than time? Yang Ping suddenly had an idea, wondering if all his future learning could be done in the system. This is a good idea, and he needs to make good use of the system resources. Yang Ping went to the office to find Little Five, but he wasn¡¯t there. Zhang Lin was writing a medical record and preparing to sign the informed consent form. Although Professor Zhang is in the same hospital, the process must not be skipped. Song Zimo was absorbed in viewing a CT reconstruction on an electronic reader and sketching something on a piece of paper, leaning back in his chair. Yang Ping did not disturb him, only nced at the paper. Medical Illustrations! This guy can draw medical illustrations, and very good ones too. They¡¯reparable, if not superior, to the illustrations found in some surgical books. Yang Ping went to the staff room, where Little Five was downloading some software onto a tablet. Yang Ping was surprised: ¡°How did you know that Professor Zhang wanted to watch his own surgery livestream?¡± Little Five said: ¡°Who doesn¡¯t know about Professor Zhang? I just prepared it in advance, in case he asked for it during the surgery and we didn¡¯t have time to prepare.¡± Yang Ping said: ¡°You¡¯re right, Professor Zhang did really ask me to prepare a tablet to connect to the operating room¡¯s video system. He wants to watch the live broadcast while undergoing surgery.¡± ¡°I¡¯ve already downloaded the connection APP from the video system¡¯s website, and I¡¯ve just confirmed with the operating room. There is a long dedicated data cable that can be fixed to the headrest, and he can watch it lying down.¡± Little Five said. Yang Ping was slightly surprised. This kid¡¯s mind was iparable. He really was a wasted talent not studying medicine. Yang Ping found a bed andy down, ¡°I¡¯ll rest for a bit. Call me when Elder Man Zhang is ready for surgery.¡± ¡°You should eat something. I ordered takeout, it will be here soon.¡± Little Five said as he was working on hisputer. Yang Pingid down to rest and entered the library in the system space. Time here required points to use, with each point corresponding to one minute. Unable to bring images into the space, Yang Ping had to rely on memory to draw diagrams in the space and then study how each bone fragment would be repositioned, focusing on how to build a bone support. It¡¯s incredibly convenient to consult information in the system. Any publicly published information can be found, no matter thenguage it will be tranted to Chinese. Yang Ping consulted arge number of relevant references, especially on the subject of procedures rting to femoral trochanteric fractures. He read every word of each paper, utilizing his umted points toplete the task more efficiently. After gaining a thorough theoretical understanding, Yang Ping went to the store in the system space. Among the thousands of training packages, he found one for hip fractures. He spent 4000 points to purchase 500 cases, which included arge number of closed reduction and PFNA internal fixation surgeries for femoral trochanteric fractures. PFNA is an acronym for proximal femoral nail antirotation, which is the best fixation device for this type of fracture in the elderly. ¡°Death Fracture¡± or ¡°Life¡¯s Final Fracture¡± is the nickname for hip fracture¡ªacetabr fracture, femoral neck fracture, femoral trochanteric fracture¡ªin the elderly, and has a mortality rate of 68%-70% within two months of conservative home treatment. The survival rate is 50% after one year, meaning that out of 100 patients, 50 will pass away, most of whom received conservative treatment. Therefore, if surgery is possible, it should be performed. It¡¯s not the fracture that¡¯s fatal, but theplications brought on by bed rest: deep vein thrombosis, lung infections, bedsores, urinary tract infections, etc. Having been an orthopedic surgeon for his entire life, Professor Zhang fully understands the intricacies of the situation, which is why he¡¯s impatient to undergo emergency surgery. Yang Ping performed 500 surgeries in the system, covering all varieties ofminuted fractures. Afterpleting each procedure, he would evaluate the stability and consider improvements. He used 3000 points on books, leaving him with 7000 points. He then purchased training packages for femoral shaft and tibiofibr fractures, costing 6000 points. Now, he was left with just 1000 points. Without dy,Yang Pingpleted all the training packages. The 4-hour water fasting and 8-hour food fasting periods for Professor Zhang were up, so he was pushed to the operating room for surgery. The head nurse from the operating room personally came down to get him. Yang Ping and a few others followed the gurney into the elevator. The elevator was too crowded with the gurney in there and they had to let Zhang Lin go with the others while they took a different elevator to the operating room. While dressing, Tian Yuan said, ¡°Doctor Yang, you are pretty influential. This old guy¡¯s prostate has been left unattended for years, and now he has a trochanteric fracture. He insisted that you perform the emergency surgery. This news will spread and from tomorrow, you won¡¯t have to line up in the cafeteria. No one will dare to stop you.¡± Yang Ping, while putting on his face mask,ughed and said, ¡°I have no choice but to do this. ¡®Life¡¯s Final Fracture¡¯ isn¡¯t just a name. The old guy understands it very well.¡± After changing their clothes, they stepped into the operating room. Perhaps because this operation had such high demands or perhaps it was the elderly gentleman¡¯s special status, everyone sat in the attached teaching room quite a while before the start of the operation. Even more people hade aspared with thest time and there were people from other departments as well. Dean Xia, along with several hospital leaders, all came. Even though he was very busy, he had to find the time to attend. In fact, Dean Xia had visited Professor Zhang in his ward while Yang Ping was resting, but Yang Ping didn¡¯t know about it. The anesthetic was epiduralbined with general anesthesia, and the Director of the Anesthesiology department did the anesthesia himself. However, having been out of direct practice for a while and not wanting to take any chances, he instructed from the side while Liang Fatty actually performed it. ¡°Yang, I¡¯m passing Elder Zhang into your hands.¡± Dean Xia patted Yang Ping¡¯s shoulder. He had a good understanding of Yang Ping¡¯s abilities. After all, Elder Zhang had personally chosen Yang Ping, and that wouldn¡¯t be a mistake. At that time, when Dean Xia learned that Elder Zhang had fractured his bone, he wanted to keep Director Han, but Elder Zhang adamantly disagreed. He also wanted Elder Zhang to move into the Overseas Chinese Building, but again Elder Zhang wasn¡¯t having it. In the end, Dean Xia could only amodate his wishes. Elder Zhang was very determined, and his decisions couldn¡¯t be changed, not even by 18 strong men. After the anesthesia took effect, they positioned the body. Zhang Lin and Song Zimo set up the traction frame while Little Five connected the tablet to the video system. After adjusting it and fixing it to the anesthesia frame, Elder Zhang could watch the live broadcast of the surgery while lying down. The cameras were also adjusted. One was aimed at the screen of the C-arm portable X-ray machine, one at the surgical area, and one at the surgeon. ¡°This surgery shouldn¡¯t be too hard, right? Using the PFNA should wrap things up in half an hour.¡± ¡°Elder Zhang needs to put weight on his leg and walk tomorrow.¡± ¡°Really? His bone is shattered into several pieces. How could he possibly walk right after surgery?¡± ¡°I don¡¯t know, I heard it from Zhang Lin.¡± ¡°This guy is really impressive. He was the one who did the amputation rentst time.¡± ¡°The orthopedics department has be an incredible ce. Director Han is a top-ss figure, Tian Yuan appears to be verypetent, Song Zimo is a gifted individual, and this guy is even more impressive than Song Zimo. It seems like Director Han is nning to transform orthopedics into a nationally recognized brand, we need to buck up.¡± ¡°Yes, indeed. Director Han is now applying for a research institute in orthopedics, it seems like he¡¯s coborating with Fudan University. Didn¡¯t you notice he didn¡¯te tonight? He¡¯s gone to Shanghai.¡± ¡°Wow, then our orthopedic department will be very advanced.¡± The surgery didn¡¯t start yet, and everyone started chatting. Dr. Jin came in, a Bluetooth earphone dangling from his ear. He was conducting a surgeryst time and missed Yang Ping¡¯s treatment of theminuted humeral fracture. He had toe to watch this time. Dean Xia exchanged a few words with Professor Zhang but didn¡¯t stay long. He had a lot of things to do, and it¡¯s quite stressful for doctors to have a dean standing around. So he left promptly. ¡°Xiao Yang, we specially arranged a table setup for you by Nurse Su. Feel free to bring up any suggestions you may have.¡± The head nurse, in her forties, was decisive and energetic. Yang Ping sat in the corner while Su Yixuan had already washed her hands in preparation for the operation. Yang Ping said, ¡°Nurse Su is truly outstanding. We work together very well.¡± The head nurse said, ¡°That¡¯s good. From now on, Xiao Su is with you. You must not ill-treat her, she is a kind and smart girl. She has previously undergone orthopedic specialist equipment nursing training in Shanghai, Hong Kong, and Japan.¡± As they were chatting, the traction frame was ready on the other side. The procedure calls for a traction reduction first for this kind of fracture, followed by disinfection andying out the towels before starting the surgery. Traction reduction ys a very critical role and forms roughly half of the surgery. If the reduction is not done well, the subsequent surgery would be challenging or even impossible toplete. Song Zimo guided Little Five and Zhang Lin to adjust the traction angle and strength. Yang Ping saw it and made some personal adjustments. The originally set adduction was changed to an abduction position, and he also readjusted the tightness of the adjustment rod. After he was satisfied, he said, ¡°Okay! It¡¯s done. Let¡¯s do a fluoroscopy.¡± ¡°Senior, this is the abduction position!¡± Zhang Lin reminded, thinking Yang Ping made a mistake. During surgery, it¡¯smon for assistants to point out mistakes to the chief surgeon in real-time. Yang Ping clearly responded, ¡°Correct, it¡¯s in the abduction position.¡± But how would they insert the intramedury nail in an abduction position? Little Five was puzzled. The neighboring group began their discussion as well. ¡°Isn¡¯t this kind of surgery usually done in the adduction position? Why is it in abduction? How would they insert the nailter on?¡± ¡°Yeah, did he forget?¡± ¡°Why isn¡¯t Song Zimo reminding him?¡± ¡°Why are you meddling unnecessarily? Just focus on watching.¡± A graduate student was responsible for controlling the C-arm X-ray machine. He skillfully maneuvered the machine into position, adjusted its position and angle, and everyone stepped out. He controlled the machine remotely from outside. The doors and walls of the orthopedic operating room areced with lead to protect the room from excessive radiation. Once the picture was taken, everyone went back in. Theteral position waspletely reduced, and everyone was satisfied. They did another anteroposterior fluoroscopy. There was still a decentlyrge angtion on the anterior-posterior X-ray, indicating the fracture was notpletely reduced. In such a surgery, any angtion renders the surgery unachievable as it would impede the intramedury nail, and the surgery would be awkwardly stalled. ¡°It hasn¡¯t been reduced properly, It needs to be done again.¡± Zhang Lin looked at the screen andmented. As Little Five prepared to adjust, Yang Ping stopped him: ¡°Leave it as it is, no need to adjust.¡± Little Five returned confused. Song Zimo prepared to persuade Yang Ping, ¡°This isn¡¯t reduced properly, we have to¨C¡°. But after some thought and looking at the angtion on the screen, he suddenly realized something: ¡°Senior, you are indeed a senior. I am impressed.¡± ¡°What happened?¡± Both Little Five and Zhang Lin were totally confused. Song Zimoughed, ¡°You guys stay below the stage. It¡¯s enough with just my senior and me. Watch it closely. Today, my senior is going to perform another of his unique skills for you.¡± Yang Ping had already gone out to wash his hands. Song Zimo hurriedly followed him: ¡°Hey! Wait up.¡± ¡°Any suggestions?¡± Yang Ping stood before the sink, the sensor faucet started flowing water, and he began to scrub his hands. ¡°You¡¯re bing more and more difficult to understand. Are you really nning to attempt minimally invasive surgery to reposition those fragments, including the one lodged in the muscle? Can the patient really walk tomorrow?¡± Song Zimo caught up with him. ¡°What do you think? He said that if it¡¯s not possible, he¡¯ll give me a duck egg.¡± Yang Ping continued scrubbing his hands. ¡°I have to admit, Old Sir Zhang is indeed a divine person. How did he know that you would do it?¡± Song Zimo eximed. ¡°Didn¡¯t you say he¡¯s a divine person? Does a divine person need a reason to do something?¡± Yang Ping¡¯s retort left Song Zimo speechless. Chapter 53 - 0051: Really Didn’t Understand Chapter 53: Chapter 0051: Really Didn¡¯t Understand ¡°A traction abduction position, the fracture hasn¡¯t been properly realigned, and we¡¯re already ready to operate?¡± ¡°Wait tillter when we¡¯re in trouble and the intramedury nail can¡¯t be inserted.¡± ¡°Is it that this kind of fracture is seldom treated?¡± ¡°Let¡¯s see, I¡¯m not sure either.¡± ¡°Heard it is supposed to be normal walking the day after surgery, whether the operation can bepleted now is still uncertain.¡± ¡°Overblowing things, it will burst.¡± The next-door teaching room started to discuss, everyone was very disappointed with the opening scene. Like a movie, heavily promoted before release, everyone is eager to see it. On the day of release, the streets are empty as everyone rushes to the theatre, but after finally managing to buy a ticket and watching it¨C it¡¯s a lousy movie, no eye-catching scenes at all. The towering image of Yang Ping also lost some credit in the young people¡¯s hearts. As the saying goes, even a clever wife often overspends, talent depleted, everyone sighed in their heart. In older people with osteoporotic femur fractures, a minimally invasive approach is usually used. The PFNA intramedury nail is the first choice for internal fixation of these fractures. This surgical technique, positioning is very important, internal position or neutral position are eptable, definitely cannot proceed with an abduction position, the intramedury nail simply can¡¯t be inserted. Realignment of the fracture is equally important, the fracture must be realigned first, otherwise, the next steps can¡¯t be carried out. Correct position and good realignment are necessary conditions for surgery. How can the operation be sessful now when the two mandatory conditions are not met? In the neighboring teaching room, there are senior doctors like Dr. Jin, and directors such as Director Ouyang and Director Bai, all of them want to see Yang Ping perform surgery, after all, the legend of how miraculous Yang Ping is has been circting among them. Among the young doctors, besides the ones rotating and students in standardized training, the majority specialise in orthopedics, possessing basic understanding of these routine operations. Seeing that the procedure has already started even before achieving necessary positioning and reduction, they couldn¡¯t help but voice their opinions. ¡°This young man probably doesn¡¯t have much experience with lower limb fractures, rushed to the battle?¡± asked Fatty, an attending physician under Dr. Bai, to Dr. Jin. Dr. Jin shook his head: ¡°I don¡¯t understand!¡± Fatty said: ¡°Why would Director Han feel reassured to let him go ahead, not even checking his basics. There are plenty of people who are good at hand surgery but all other surgeries are a mess.¡± ¡°Probably Director Han was in a hurry to catch his flight, he didn¡¯t exin clearly?¡± another doctor suggested. ¡°Impossible, it was said that Elder Man Zhang himself specifically requested him to do it.¡± someone who knew the situation exined. ¡°This is an awkward situation now, but it¡¯s fine, Tian Yuan will definitelyeter, if it doesn¡¯t work out Tian Yuan can handle it, it¡¯s a matter of minutes.¡± someone from the spinal surgery department joined the discussion. ¡°This operation is simple actually, the bone fragment on the inside, I heard it¡¯s embedded in the muscle, it won¡¯t be able to be realigned if not cut open. In minimally invasive surgery, this kind of bone fragments can be ignored, as long as the main bone fragments are matched properly in the front and side view, just insert the nail and it will be done. Now, even the main bone fragments are not realigned well, how will this endter?¡± ¡°What realignment, even the body position is misaligned.¡± People became more and more daring to speak out. At this time, Tian Yuan also came in. Seeing that Song Zimo was there and there was no shortage of hands, he didn¡¯t want to stay in the operating room, fearful of Elder Man Zhang¡¯s dislike of a crowded room and thex sterile concept, so he simply came to the next room to observe along with everyone else. Although Su Yixuan is a nurse, she is a specialist orthopedic instrument nurse and has a strong understanding of operations. She has attended countless surgeries of this kind and naturally understands these. The positioning and realignment really doesn¡¯t seem right, the operation will be very awkwardter. She felt nervous in her heart, this wooden guy, usually, even forying a piece of cloth on the operating table, he demands perfection, today he¡¯s doing surgery for Professor Zhang, why would he haphazardly start the surgery without cing the body in position and properly realigning the fracture, could he have been too nervous and made a mistake? Yang Ping and Song Zimo went to wash their hands. Through the ss, Song Zimo noticed everyone¡¯s expressions and understood what they were thinking. Next to the sink, Song Zimo said: ¡°Everyone is worried, won¡¯t you exin?¡± While washing his hands, Yang Ping said: ¡°What¡¯s to exin? They¡¯ll know once the patient can walk two steps after the surgery.¡± The saying may be coarse but it¡¯s to the point: a boxer who ims they will win a thousand times before a match is less effective than one whonds a knockout punch on the opponent on stage. After washing their hands, Song Zimo disinfected, Yang Ping began to put on surgical gowns and gloves, his face remained calm, not overly reacting to everyone¡¯s query. Su Yixuan nced at him several times, her eyes seemed a little anxious. Yang Ping smiled at her, indicating not to worry, he had everything under control. As if linked by a kind of spiritual connection, Su Yixuan immediately dropped her nervousness and began to arrange the instruments, checking the PFNA intramedury nail, spiral de, locking screw, wire cable, and supporting instruments. The engineer from the instrumentationpany was standing by, checking with Su Yixuan using aser pointer. If any errors or omissions urred, they risked facing a chief surgeon with a bad temper, so he was not at all negligent. After disinfecting and draping, and ceremoniously verifying all items before the surgical procedure, the operationmenced! Yang Ping made a three-centimeter incision on the top and bottom of the greater trochanter, took the bone hook from Su Yixuan and gently probed the bone hook into the incision below the greater trochanter. ¡°He isn¡¯t trying to realign the fracture fragment on the inside, is he? That should be embedded in the muscle, it¡¯s impossible to realign.¡± ¡°When I was training in Beijing, there was a big shot who wanted to show off a bit, trying to realign the muscle-embedded bone fragment in a minimally invasive procedure, but he failed and ended up giving up.¡± ¡°As soon as it is embedded into the muscle, either give up or open up.¡± ¡°Yeah, the bone fragment embedded in the muscle, even when cut open for realignment, it¡¯s sometimes strenuous, how could it possibly be sorted out in a closed reduction?¡± ¡°For this kind, doesn¡¯t need to realign all the fragments, right?¡± The bone hook was inserted, practically without any probing, it was pulled back. ¡°Four steel cables, one by one, hand them over!¡± Three steel wires, one attached to the other, run along the bone surface, guided by the introducer to each respective position on the opposite side. The fourth wire intertwines and mingles with the other three wires, for reasons unknown. ¡°Pull on the traction carrier, internal rotation!¡± Zhang Lin and Little Five immediately help adjust the traction carrier. ¡°Continue to adduct the muscle, yes, keep going, stop!¡± ¡°Retract the lever three rounds.¡± ¡°Okay! That¡¯s it.¡± Each sentence was like amand from a superior, clear and unquestionable. On the operating table, all actions adhere to the orders of the chief surgeon. The authority of the chief surgeon guarantees the discipline of the surgery. Zhang Lin and Little Five are now entirely clueless about the steps and can only mechanically follow them. ¡°I underestimated you. You have a deep understanding of the attachment of muscles to each part of the skeleton, the function of each muscle, and the rtionship between different muscles,¡± Song Zimo said from the side. ¡°Since you call me your senior, wouldn¡¯t you acknowledge me if I didn¡¯t have some skills?¡± Yang Ping said while operating. The bone fragments lodged in the muscle were easily extracted. The tip of the bone hooktched onto the bone fragment, gently moved, repositioned. The first steel wire was ced in the center of the fracture, tightened around, and the tail of the wire was cut off. Fluoroscopy! Everyone retreated from the operating room again. After one exposure, they returned. The x-ray on the C-arm machine screen showed the fracture had been anatomically reduced. One could almost mistaken it for unfractured if they didn¡¯t look closely. The direction and force of the traction were just precisely right. ¡°Damn! Can it be done like this?¡± ¡°I didn¡¯t understand.¡± ¡°The positioning and reduction just now seemed intentional. But I didn¡¯t understand it. Does it have something to do with the bone fragment inserted into the muscle on the inner side?¡± Dr. Jin asked Director Ouyang. No one knows what the others are thinking, but Zhang Lin and Little Five feel like they¡¯ve been tricked. They thought they were hastily called to action and were worried about failing. Turns out their worries werepletely unnecessary¡ªthey even managed to remove the bone fragment lodged in the muscle. How they did it, they can¡¯t wrap their heads around. The second steel wire, the third steel wire looped around, tightened, and the tail end was cut off. The tip of therge rotator was directly opened, a guidewire was inserted, followed by an intramedury nail, precisely ced within one attempt. The guidewire was removed, and the guide needle of the spiral de was knocked in. Fluoroscopy¨C The guide needle of the spiral de was in the perfect position, not a bit more, not a bit less. It was in the middle line in theteral view of the femoral neck and the lower-third in the anterior view of the femoral neck. Its tip was just a bit away from the circr boundary of the femoral head. ¡°A 90 mm spiral de.¡± After measurement, a hole was drilled with an electric drill, and the spiral de was knocked in. The locking screw at the lower end was drilled, depth gauged, and a screw was smoothly inserted. Steel wire! The fourth steel wire was tightened and the tail end cut off. Looking now, it astonishingly interweaves with the previous three wires to form an integrated structure. It created a fascinating tension band structure on the outer side. No one could understand this maneuver, even Song Zimo seemed puzzled: ¡°What¡¯s this?¡± ¡°A person with an IQ approaching 250, still needs to ask me?¡± Yang Ping screwed in the cap on the intramedury nail, trading ces with Song Zimo. Song Zimo started rinsing and suturing, just a few small incisions, quickly sutured up, not even needing drainage. Finally, fluoroscopy was performed for confirmation. The whole process took just over ten minutes. For a regr intertrochanteric fracture, in top-drawer hospitals with substantial surgical volume and skilled surgeons, they can finish in just over ten minutes if someone is there to assist. However, with this type of fracture where the fragment is lodged in the muscle, minimally invasive surgery can¡¯t realign it, and most likely it would eventually require an open surgery, or the fragment would have to be abandoned. Everyone stared at the screen. The operation was over just like that? They didn¡¯t understand. They could somewhatprehend the first three steel wires, but truly couldn¡¯t make heads or tails of thest one. Dr. Jin, sitting amongst the crowd, kept gazing at the screen and took pictures of the surgery. Also present, Director Ouyang asked, ¡°This surgery is a bit unconventional, did you understand the purpose of thest steel wire?¡± ¡°Not yet, but I should understand by tomorrow.¡± Dr. Jin shook his head. Song Zimo lifted the sterile drape, and suddenly Professor Zhang spoke, ¡°Ask the ophthalmology department to consult me tomorrow. My eyes aren¡¯t working well.¡± He actuallyy there and watched the whole surgery. He didn¡¯t make a singlement, which was unlike his temperament. He would usually offer some guidance. Yang Ping gripped Professor Zhang¡¯s hand. ¡°Don¡¯t worry. Tomorrow morning, I¡¯ll have the nurses give you a walker. You should be able to walk then. You won¡¯t me me for nothing, will you?¡± Professor Zhang said, ¡°Let¡¯s talk about that after I take a few steps tomorrow.¡± The Head nurse of the operating room came over, ¡°Professor Zhang, you¡¯re feeling okay, right?¡± The phone of the Head nurse rang. It was Dean Xia. He directly called her cell phone and asked Yang Ping to take the call. Yang Ping went to the changing room to call Director Han and assure him everything went well. Song Zimo leaned against the bench, ¡°What an ingenious idea!¡± The others were buzzing with discussion. ¡°What¡¯s the meaning of thatst steel wire? Really didn¡¯t understand.¡± ¡°You¡¯re asking me, then who should I ask?¡± Chapter 54 - 0052: Coming Down to Buy Cigarettes Chapter 54: Chapter 0052: Coming Down to Buy Cigarettes Coming out of the operating room, it¡¯s already past eleven at night. As the door of the operating room opens, Professor Zhang¡¯s wife immediatelyes up to him, holding his hand, ¡°The surgery was so quick, it didn¡¯t hurt, did it?¡± ¡°They¡¯re afraid of my scolding, so they had to rush.¡± Professor Zhang joked. His wife holds his hand the whole time, walking along with the gurney. ¡°Our sons called to ask about you, be sure to call back when you¡¯re in the ward. They won¡¯t rest easy until they hear your voice.¡± The elderlydy was once a heavyweight in ultrasound technology in our country. At eighty years old, she keeps herself clean and tidy, even wearing light makeup. ¡°No calls, those two disobedient rascals.¡± Professor Zhang scolded. Both of Professor Zhang¡¯s sons didn¡¯t want to be doctors. The older son graduated from Renmin University, studied finance, started working in a bank after graduation, and then went into politics. The younger son studied pharmacy and went to the United Kingdom for further studies. He now works in AstraZeneca¡¯s research center. As per Professor Zhang¡¯s instructions, he was taken straight to radiology to have X-rays and a 3D CT reconstruction. After finishing, they returned to the ward. Dean Xia and his staff hadn¡¯t left work yet and were waiting at the elevator entrance of the ward. As the elevator doors opened, and Prof Zhang¡¯s gurney came out, Dean Xia immediately stepped forward to help push the gurney, with several other deputy deans also lending a hand. ¡°Oh, Professor Zhang, the surgery went smoothly. You should rest easy, get a good night¡¯s sleep, and I will call a meeting with the entire hospital tomorrow. I will call in traditional Chinese medicine and rehabilitation departments, they will take good care of your recovery.¡± The director of the office and Dean Sun were carrying arge fruit basket and followed the gurney toward Professor Zhang¡¯s private ward. ¡°You guys are busy, stop hovering around me, you never listen.¡± Professor Zhang was a bit annoyed. ¡°You usually devote yourself to the hospital, now that you have a fracture, isn¡¯t it only right that we hover around you?¡± Dean Xia is an eloquent speaker. He helped push the gurney all the way to the ward, and even helped transfer the patient to the bed. The head nurse Yao Ling¡¯s male nursing aide had already been waiting in the ward. ¡°When can he eat something?¡± Yao Ling pulled up the nket, tucked Professor Zhang in, and asked the anesthetist, Liang Fatty. Liang Fatty said, ¡°He should lie t for six hours, as for eating, he can tilt his head to take liquid food through a straw right now.¡± It was not a general anesthesia, so he didn¡¯t have to fast for that long. Despite having intravenous fluids protecting his stomach, he was still quite hungry. Walkers, crutches, and canes were ready in the ward, with their height adjusted ording to Professor Zhang¡¯s stature. ¡°Professor Zhang, we won¡¯t disturb your rest anymore. We¡¯ll leave now. Teacher Li, you should also not tire yourself too much. Go back and rest early, there¡¯s a nursing aide here.¡± After doing their part to reassure Professor Zhang, Dean Xia and others excused themselves. Dean Xia was undoubtedly very busy, entangled in all sorts of problems like medical insurance cost control and zero markup on drugs. It was gettingte, and after finishing the surgery, Professor Zhang needed to rest. Everyone else also dispersed, and the caregiver apanied the elderlydy home. Before leaving, the elderlydy repeatedly expressed her gratitude to Yang Ping, making him feel somewhat embarrassed. Yang Ping returned to the doctor¡¯s on-call room, checked Professor Zhang¡¯s medical orders: gastric support, intravenous fluids, and prevention of deep vein thrombosis, ensuring nothing was missed. Song Zimo was looking at the postoperative X-rays and CT reconstruction on the electronic screen. The head nurse came over and said, ¡°Professor Zhang arranged for me to orderte-night snacks for you all. I¡¯ve already ordered from Seaside People¡¯s Restaurant. It will be delivered soon, you can have it and then go home.¡± Seaside People¡¯s Restaurant was a high-end, well-known seafood restaurant nearby. Before she had finished speaking, a nurse said that the people delivering thete-night snacks were already arranging the dishes in the resting room and were asking them toe over immediately. Everyone immediately rushed over, Little Five and Zhang Lin got stuck at the door, pushing and pulling. Wow, big hairy crabs, such a big one. ¡°Why are you grabbing, there¡¯s freshly put out tes for everyone, there¡¯s so many. Where are your fellow students?¡± The head nurse pped Zhang Lin¡¯s hand. The resting room that was usually used for meals had small square tables, each with four chairs. The tables were packed full of food, dozens of huge hairy crabs,rge bowls of shrimp and crab roe porridge, and some other snacks. They started eating. nobody even bothered with gloves, just ready to grab the legs of the hairy crabs. Old man Zhang really knows how to spend money, usually, he still wears his shirt even when the cor is worn out.¡± ¡°That¡¯s called a state of mind, which we cannot learn.¡± ¡°Yes, our values are not the same.¡± Everyone was busy eating and talking, Zhang Lin had only eaten one, whereas Little Five had already gobbled down three. Zhang Lin looked at him and said, ¡°You gobble too fast.¡± Little Five didn¡¯t stop, ¡°If it weren¡¯t for my mom and dad¡¯s coercion and temptation, I would be a leading figure in the e-sports world by now. Back in the day, ying World of Warcraft and CS, I was dominating everyone, undefeated.¡± Having eaten and drunk their fill, Little Five and Zhang Lin decided not to go back, but to sleep in the department. Song Zimo said he wouldn¡¯t go back either. Only Yang Ping went back home. ¡ª- Early the next day, Yang Ping rushed to work, passing by the convenience store on the first floor of the surgical building. A familiar figure caught Yang Ping¡¯s attention, and he quietly walked over. Isn¡¯t this Professor Zhang? Professor Zhang was leaning on a crutch, receiving a packet of peony brand cigarettes from old aunty at the kiosk. The nurse aide didn¡¯t help him, but closely watched, ready to lend a hand at any moment. Turning his head, Professor Zhang saw Yang Ping and wasn¡¯t surprised in the slightest: ¡°Couldn¡¯t resist, I had toe down to buy a pack of cigarettes.¡± It was as if there was no bone fracture or surgery yesterday. ¡°Let¡¯s go, up together.¡± He said. Without any assistance, leaning on his crutch, one step at a time, Professor Zhang walked out of the kiosk smoothly and stably towards the elevator. Yang Ping and the nurse aide escorted him on both sides. The kiosk old aunty, being knowledgeable around, knew that Professor Zhang had a hip fracture yesterday: After all, she was the one who put together the fruit basket from the hospital¡¯s office. Did she get it wrong, he came down himself to buy cigarettes with a crutch? This scene is somewhat eerie, it would have been even more frightening at night. The aunty was confused, and for the sake of rity, she followed them out, staring at Professor Zhang¡¯s leg for a while as if through a magnifying ss. After looking at other people, she asked,¡±Is this, Professor Zhang Zongshun?¡± Among those in the store, he is the one who buys the most Peony brand cigarettes. This has really left her befuddled. A standardized training student from the Orthopedics arriving for his shift saw this sight and was startled, covering his mouth with his hand. He saw the surgery with his own eyesst night: an intertrochantericminuted fracture with a subtrochanteric fracture. Damn, he¡¯s walking down on his own, it isn¡¯t an illusion right? He rubs his eyes. Suddenly having a eureka moment, he quickly takes out his mobile phone, records a video and posts it in the group. ¡°Professor Zhang, Professor Zhang!¡± Someone chased behind him shouting just as professor Zhang reached the elevator. Who is it? Professor Zhang nced sidelong. ¡°Professor Zhang, I am your patient from Shanxi, the tibial osteomyelitis one.¡± The guy Hermes, with chronic tibial osteomyelitis, is currently hospitalized waiting for his surgery, staying in the VIP ward. He was taken out for a stroll by his fashionable wife this morning, and just happened to run into Professor Zhang. ¡°Professor Zhang, wasn¡¯t there a fracture here? After hearing, I wanted toe and see you, but was afraid to disturb you, so I didn¡¯t daree. Aren¡¯t you okay? Who is spreading these rumours!¡± Hermes touched his hip. Professor Zhang said:¡±There was a fracture, and I underwent surgeryst night. This morning, I got a craving for a cigarette and so came down to buy a pack.¡± With a dismissive sentence, he prepares to go back to his ward via the elevator. He smacks his head as he sits in the wheelchair, ¡°No way, the medical technology in this hospital is that good?¡± He is aware of such fractures, his dad also had one two years ago. After the surgery, he couldn¡¯t step on the ground for more than a month. And for several monthster, he was still not walking stably. He came down to buy cigarettes just after the surgery. Has the technology advanced this much? It seems his knowledge is reallycking. Looking at his own leg, it¡¯s toote. If he hade here earlier, he might be running about now. The standardized training student has a knack for social media. With just one video, without adding a single word, the group exploded. ¡°Who posted this, looks so alike.¡± ¡°Must be Elder man Zhang¡¯s brother, who came to visit him.¡± ¡°It¡¯s Elder man Zhang, look at the tape on the sses.¡± ¡°That tape, that¡¯s Elder Man Zhang.¡± ¡°Damn!¡± ¡°He had surgery yesterday, today he¡¯s walking on the ground, doesn¡¯t even need a walker,pletely weight-bearing.¡± ¡°I just saw him on the first floor, came down to buy cigarettes.¡± Another video is thrown out from a different angle. Not exclusive, not exclusive, it¡¯s not me who first posted it, copycat. The standardized training student curses in his heart. This group is filled with standardized training students, who usually vent frustration about how the hospital exploits and crunches them in the group. ¡°Didn¡¯t understand the surgery yesterday, who can exin?¡± ¡°Asked in the wrong group.¡± ¡°Whoever cane and say a few words, I¡¯ll help him write one month¡¯s worth of medical records.¡± In the circle, such a reward is indeed substantial. Chapter 55 - 0053 Preparation for a Short Lesson Chapter 55: Chapter 0053 Preparation for a Short Lesson Yang Ping apanied Professor Zhang in the elevator, escorting him back to his ward. Professor Zhang instructed: ¡°Don¡¯t you guys have lectures on Saturdays? You and Xiao Song can arrange it, you talk about my surgery to everyone, exin why I can get out of bed so quickly, I can also sit in and listen.¡± Yang Ping said: ¡°Professor Zhang, we¡¯ve been thinking about that, I¡¯ll prepare with themter.¡± On Saturdays, there is no need to hand over the shift, but the doctors in charge of patients need to do ward rounds. Not only in the standard training student group, Professor Zhang¡¯s video is also spread in other groups. The small group cannot bear the energy implied by the message, and the discussion is transferred to the orthopedic group. Some people had already rushed to the ward to see the truth of the matter with their own eyes. Neither photos nor videos are enough to convince people, seeing is believing. When they saw Professor Zhang walking from the corridor to the ward, everyone¡¯s doubts were dispelled. Really, he is really walking on the ground already. Song Zimo took out his mobile phone and showed the video to Yang Ping. ¡°Exin it to everyone, or should I say something? Won¡¯t you correct me if I¡¯m wrong?¡± Song Zimo knew Yang Ping¡¯s temperament, and he was willing to take over the task on certain things . ¡°Morning lecture should be postponed to the afternoon, the theme centers around Professor Zhang¡¯s surgeryst night, specific details to be announcedter.¡± Song Zimo sent a message to the group. Immediately there was a flurry of responses: ¡°Received, received, received¡ª¨C¡± Everyone has been waiting for a response. Now that it¡¯s finally here, the mystery will be revealed in the afternoon lecture. ¡°Little Five, didn¡¯t you boast about knowing animation? You¡¯re free this morning. After the ward rounds, let¡¯s work on it together, and create an animation demonstration to exin yesterday¡¯s surgery, will there be enough time?¡± Song Zimo asked Little Five. ¡°It¡¯s not boasting, I really know how to do it.¡± Little five corrected, this little guy knows a lot of things, especially some niche skills, no one knows where he learned it from. ¡°You can even create animations, create the Cbash Brothers to have a look.¡± Zhang Lin said. The graduate students and standard training students who were following them perked up their ears, ready to catch any information. Someone in the group has already offered to write medical records for a month, this temptation is huge, those who have never been residential doctors don¡¯t know the burden it carries. Although the writing of medical records has been digitalized and is all being typed onputers. But for residential doctors, medical records are still a huge burden, making it hard for them to catch their breath. Especially when theputer is not running fast enough the urge to smash theputeres to mind. First illness record, admission record, Daily illness record, preoperative discussion, surgical consent, or even surgery records, each and every one of those are tediously typed out by residence doctors. The superiors periodically sign those. And these considerable amounts of writing, often after a times operation is done during the day, only then there¡¯s time avable at night to do it. Before the lecture today, whoever cracks the surgery password, even if they say a few rted words, they don¡¯t need to write medical records for a month, howfortable! A few people round the ward, the other patients had nothing special. The AIDS patient had been transferred to the ordinary ward, the istion room, and a sign of blood and body fluid istion was hung at the door. The police who had been guarding here before also left. The girl who had been crying at the entrance of the ICU was taking care of him, very carefully, feeding him porridge spoonful by spoonful. When she saw the doctorse in for ward rounds, she felt embarrassed. The hospital infection control department and the district CDC have already intervened, and a blood sample has been taken for diagnosis, it still returned positive. There is a standard procedure for diagnosing this disease, the doctor cannot announce the diagnostic test results, only the CDC can announce it, and then the CDC will investigate the patient¡¯s close contacts. In short, it is no longer a matter for doctors. What doctors need to do is to keep secrets and protect themselves. ¡°Doctor, we have paid the fees, look, this is the receipt.¡± The girl showed everyone the receipt. The fees are disyed in real-time on theputer, everyone can see. Out of respect for their credit, Yang Ping still nced at the receipt. ¡°You saved my life, how could I owe you this money and make it hard for you.¡± Patient Wang Feng said. Severalic books were ced beside the bed, and Zhang Lin picked one up to read. ¡°This is mytest work?¡± Wang Feng said shyly. ¡°You are aic artist, can you teach me when you¡¯re free?¡± Little Five said. Song Zimo said: ¡°Don¡¯t tell me you know how to drawics.¡± ¡°I¡¯m not exactly aic artist, just that I have some works, that people seems quite like.¡± Wang Feng said. Little Five nced at a fewic books: ¡°The famous Street Alley is actually you,¡± ¡°I¡¯m ttered, Street Alley is indeed my pseudonym.¡± Wang Feng bowed his hand. ¡°Let¡¯s be friends,eee.¡± Little Five shook hands with Wang Feng. Aftering out, everyone in turn squeezed a few drops from the hand sanitizer bottle at the door, rubbed their hands, and sanitized their hands to avoid cross-infection. Every time a patient is visited during ward rounds, they must sanitize their hands when theye out. Otherwise, the hospital infection office will want to have a talk with you in a few days. After the ward rounds, they are free. Surgeons are afraid of not having operations to perform. It¡¯s only life when there are operations. Rather collect dust on the medical books, wishing that everyone in the world is disease free. That¡¯s just a grand wish, a grand wish is kept in one¡¯s heart. In reality, people fall ill everyday, people get injured, they need doctors to help. The father of Chinese surgery, Qiu Fazu, once said: ¡°Those who are not nearly as talented as immortals cannot be doctors, those who do not have the virtues approaching that of Buddha cannot be doctors.¡± Yang Ping preferred this sentence. Hold on to the ideals with the left hand, hold the reality with the right hand, keep your feet on the ground to stay steady, look far ahead to go further. Zhang Lin wrote patient record, chatting and typing at the same time, not affecting the speed or uracy at all. Little Five and Song Zimo were creating animation and courseware, preparing for a lecture. Little Five was not bragging, he really knew how to create animations. Following the requirements of Song Zimo, he created an animation depicting the movement of the hip joint on hisptop. These 3D anatomical structures can be obtained as finished products from a digital 3D anatomypany, and then they can be modified further. Soon, Little Five made a rough draft, and then started making modifications slowly. Ding dong! Taskpleted, reward 9000 points. This time, the system¡¯s reward was a littlete, probably because it takes some time to evaluate the effect of the surgery. Yang Ping didn¡¯t have much to do, so he entered the system to check his points. He now has another ten thousand points. These frequent ups and downs kept him on his toes. Now that the training for limb fractures has beenpleted, the next step is to tackle pelvic acetabr fractures. Once the orthopedic trauma field is mastered, it will soon be time to venture into sports medicine. Sports medicine usually involves arthroscopic surgery. Back at the People¡¯s Hospital, he had only assisted by holding legs and supporting the arthroscope. Now, he was about to venture into sports medicine. Yang Ping felt a flutter of excitement. To learn about pelvic acetabr fractures, it would cost twenty thousand points, and even more expensive was multiple trauma, which cost as much as thirty thousand points. Compared to the limb fractures, which cost only a few thousand points, these prices were astronomical. The current aim was to take on pelvic acetabr fractures. Yang Ping spent some points to read books in the space. Reading in space was the most cost-effective. As long as you have enough points, you can read as long as you want. In an instant, he could spend days reading in there. As long as he had enough points, reading for months was not an issue. Yang Ping read books on mechanics and biomechanics, as well as books on architecture and woodworking. The knowledge was cross-referenced and integrated. Song Zimo and Little Five were making the final changes to their presentation. Yang Ping reviewed Zhang Lin¡¯s medical records. Zhang wrote fast and urately, was logically clear, watertight, standardized in writing, and highly readable. Not just one, but all the medical records were very good, of excellent average quality. Song Zimo asked Yang Ping to review the presentation to see if any modifications were needed. Yang Ping went through it several times, and it looked like this guy hadpletely understood the principle of the surgery and was visually demonstrating it through the animation. Genius is genius. It needs no proof, every action is proof. Yang Ping wondered how great it would be to have such an assistant. But he quickly dismissed the idea. This proud guy wouldn¡¯t lower himself to be someone else¡¯s assistant. His currentpliance was just a temporary measure to gain strength. At noon, they were toozy to go out for food, so they ordered takeout again. Little Five specifically ordered from a ce where they didn¡¯t even need to speak. Little Five made the call and said, ¡°Hello¡±. The other person answered, ¡°Hmm¡±. The call was then hung up, and the order was ced. There was no chance of any mistakes. ¡°A mini lecture this afternoon. Professor Zhang sponsored the refreshments. The stuff has been bought, notify everyone in the group.¡± The Head nurse, Yao Ling, usually didn¡¯t work on the weekends, but today was special, and she came to see Professor Zhang. ¡°Dean Xia has already gone to see Professor Zhang by himself, he didn¡¯t want to disturb everyone¡¯s work, so he went alone.¡± Yao Ling added. Every Saturday¡¯s mini lecture brought together young doctors. Normally, it was organized by Song Zimo. Sometimes, a director would participate, other times when the directors were busy, young doctors would participate while discussing among themselves. ¡°It¡¯s twelve o¡¯clock, and no announcement has been made yet!¡± Someone in the WeChat group was urging. There must be a secret behind why a patient could walkpletely weight-bearing within 24 hours after surgery. This wasn¡¯t a reckless act of desperation. Could anyone else here have fooled a man like Professor Zhang, who was a chief editor-level figure in ¡°Orthopedic Surgery?¡± Waiting was an anxious affair, and it was extremely irresponsible to the health of others. ¡°When¡¯s the lecture?¡± The chat group was unusually lively today, even the usually silent Dr. Jin was urging. ¡°Who¡¯s presenting?¡± ¡°Time?¡± ¡°Send the notice quickly, waiting online.¡± ¡°Torturers!¡± ¡°Show mercy, say something, won¡¯t it? Sweat is literal dripping in anticipation. It could have repercussions.¡± ¡°Topic: Biomechanics Analysis of Hip Fracture, Presenter: Song Zimo, Guidance: Yang Ping. Time: Today at 3 PM, Venue: Orthopedic Trauma Teaching Room. Tea and snacks will be provided during the break.¡± The announcement was finally made by Song Zimo. The guide for the lecture was usually the mentor. Normally for a lecture given by a junior doctor, the mentor usually took the relevant director¡¯s name. This implied that he or she had reviewed the presentation and given his or herments. Now that Yang Ping¡¯s name had been put in, wasn¡¯t that a bit arrogant? But who could argue? Professor Zhang had specifically chosen him to operate, and post-operation, the patient waspletely weight bearing within twenty-four hours. This was not something any ordinary person could imagine. ¡°Today¡¯s coursees with refreshments, has it been upgraded?¡± ¡°Sponsored by Professor Zhang Zongshun.¡± ¡°Wow, if I¡¯d known earlier, I wouldn¡¯t have eaten lunch.¡± Yao Ling had arranged for a few nurses to buy fruit, cakes, and candy. The fruit had all been washed and cut and arranged on tters. The girls began to set up the snacks in the teaching room. This was a simtion of the orthopedics academic meeting. Usually, such meetings had breaks with something to eat and drink. ¡°Can we arrive early to eat?¡± ¡°Sure, just send a red envelope first, two hundred¡¯s worth.¡± Chapter 56 - 0054 Newton also studied medicine Chapter 56: Chapter 0054 Newton also studied medicine The agonizingly slow afternoon finally reached three o¡¯clock. Director Han didn¡¯te back, Directors Ouyang and Bai went out for emergency surgeries, and Director Ding has always been elusive. Director Tian and Dr. Jin both arrived. Such small study sessions were usually dominated by young doctors. The high-resolution screen repeatedly yed Professor Zhang¡¯s surgical video. Since quite a few people showed up, Yao Ling quickly arranged for two nurses to add some folding chairs to the room. Zhang Lin sat at the most exterior desk in the front row, spread out a notebook, and everyone signed it one by one. ¡°Don¡¯t forget to sign in, brothers,¡± he shouted. Anyone who had forgotten hurried over to make up for it. Professor Zhang didn¡¯t arrive just yet; he¡¯d asked Yang Ping to inform him when the session was nearing the end, as he wanted to say a few words. He said that if he were present, the youngsters wouldn¡¯t dare speak, so he didn¡¯t want to create chaos. ¡°Professor Zhang, you seem to be in high spirits today,¡± someone greeted Zhang Lin. Everyone was taken aback. Damn, isn¡¯t ¡®Professor Zhang¡¯ thrown around too casually? ¡°Hurry up, there are no seats left.¡± ¡°In the elevator.¡± They urged each other in the WeChat group. Almost everyone had arrived, Zhang Lin ¡®Little Five¡¯ maintained order, Director Tian checked the time, and told Song Zimo, ¡°Start at exactly three o¡¯clock.¡± The highest-ranking attendee was Director Tian, so naturally, he presided over the meeting. He was also curious about the lecture and particrly keen to discuss Professor Zhang¡¯s surgery. He was intrigued by the bold decision tomence weight-bearing walks so rapidly. The room was packed with supplemental folding chairs scattered around, but it was still not enough, and some people had to stand. Usually, for small lectures, some would find various reasons to slip away. Except for those who were assisting with emergency surgeries at the hospital, everyone showed up today. All the interns were present, and people from other departments also came over. There¡¯s no harm in flocking to a bustling event. The lecture began promptly at three. Song Zimo stepped onto the podium, characteristically sporting an open whiteb coat. He was a natural-born star with an outstanding appearance and confident demeanor. His electrifying ¡®raytheon¡¯ eyes had once captivated countless young girls. But today, the vast majority of the attendees were males, and it seemed that, no matter how electrifying he was, it was a wasted effort. ¡°Biomechanics Analysis of Hip Fractures¡± Biomechanics were familiar to the orthopedic doctors as it is apulsory course in postgraduate studies. Everyone saw these words. It felt familiar yet alien. When it came to biomechanics, barely any concepts sprung to mind besides these words. ¡°Everyone is very concerned about why Professor Zhang Zongshun¡¯s patient began walking so soon post-surgery, and why the patient was bearing full weight. Today, Doctor Yang and I will use this lecture time to study and discuss this with everyone,¡± said Song Zimo at a moderate pace, with clear pronunciation. ¡°Fractures in the femoral intertrochanteric region are familiar to everyone as we regrly encounter this surgery. What doubts everyone is how can a patient with such a fracture, even aminuted one, walk just 24 hours after surgery? And bear full weight? Is this reckless or scientifically backed? I¡¯ll exin this now, please direct your attention to the animation disyed on the screen.¡± Animation of the hip joint appeared on the screen. Based on a 3D reconstruction from the CT scans, it fully simted Professor Zhang¡¯s fracture at the time. ¡°See, Professor Zhang¡¯s intertrochanteric fracture wasminuted, and it wasminution on the medial side. The stability of this kind of fracturepletely depends on the support of the medial cortical bone. This medial cortical bone is the bearing wall. Now that the medial side isminuted, everyone thinks that the patient can¡¯t bear weight early post-operatively,¡± Song Zimo quickly delved into the focal point of the problem. The animation continued to demonstrate, now with a simtion of the post-surgery fracture. The transmission of gravity was marked out with red lines and arrows. A few students who were sitting close to a tableden with refreshments stealthily reached out to grab a few candies but retracted their hands promptly, lest they missed out on the key points of the lecture. Song Zimo leaned on the podium with both hands, ¡°This involves mechanical knowledge in orthopedics, that is, biomechanics. Most of us only have a fragmented understanding of biomechanics. If it were not for the profound impact of this surgery, I wouldn¡¯t have realized the importance of biomechanics for orthopedic surgery. But Doctor Yang realized it and made active use of it in the surgery.¡± Song Zimo came down from the podium and walked back and forth between the rows. Yang Ping was reminded of when he first arrived at the hospital; during the interview, this guy behaved in an extraordinarily arrogant manner, strutting around just like now. ¡°In order to achieve early weight-bearing walking with this type of fracture, two conditions must be met: anatomical reduction, to establish the condition for osseous support; and stress distribution, to relieve the load for osseous support. Look!¡± Song Zimo turned around to face the screen. ¡°I won¡¯t go into anatomical reduction, the bone fragments arepletely reset, and you don¡¯t have any doubts. I¡¯ll only talk about the second one, stress distribution. This is the focus today, the application of biomechanics!¡± Song Zimo spoke so eloquently that he turned the lecture into an impressive presentation. Yang Ping murmured to himself: I¡¯m working hard on surgery, and this guy is having a good time on the stage. The teaching room was quiet, with everyone intently capturing the information presented. ¡°For this surgery to achieve stress distribution, the principles of tension band and barrel hoop were used.¡± Everyone is familiar with tension bands, often used in fractures of the radial styloid process and the pate, where tensile stress is converted intopressive stress. But the barrel hoop principle was something they were hearing for the first time. Some people began to scratch their heads and necks in confusion. ¡°Theteral steel cable here is the tension band, and the three steel cable hoops that fix the fracture are the barrel hoops.¡± Song Zimo returned to the stage, his mouse cursor moving on the screen. ¡°Pay attention to the animation. When a person walks upright, the normal gravity line goes from the spine to the second sacral vertebra, then to the hip joint, and from the head of the femur down along the lower limb gravity plumb line.¡± The animation was incredibly detailed and intuitive, with a red line of gravity flowing like water along the described path. ¡°In a simple intertrochanteric fracture, osseous support can bear the body weight, so after anatomical reduction of a simple intertrochanteric fracture, fixation with a PFNA ispletely safe for weight-bearing walking within 24 hours. But what aboutminuted intertrochanteric fractures, where osseous support can¡¯t bear the body weight? What do we do?¡± What to do? A cold sd? I¡¯m here to listen to a lecture, not to answer questions. Song Zimo got everyone thinking. ¡°Stress distribution is the best solution. Look at this animation.¡± It was previously an animation of normal human weight transfer, but now it is an animation of a postoperative fracture model by Professor Zhang. ¡°The gravity starts from the femoral head and is divided into four routes: a part is transmitted downwards through the osseous support, a part is transmitted downwards through the intra-medury nail, a part is converted into tension by theteral tension band steel cable, and another part bes the expansive force of the three steel cable hoops. This way, the load reducing for the osseous support prevents fracture discement, and the load reducing for the intra-medury nail prevents fatigue fracture.¡± The animation was simple and easy to understand. There was the red line of weight distribution, one along the femoral shaft and one along the intra-medury nail, both finally converging; two red arrows along the external steel cable showed an upward and downward pulling force; the three steel cable hoops were surrounded by arrows, as if they were about to expand and explode in all directions. Everyone understood, while some people still did not understand, there began whispering amongst the crowd. Dr. Jin and Director Tian sat together: ¡°This is really clever,¡± said Dr. Jin. ¡°I have used steel cables frequently in my work but never with this level of understanding. You need to be really familiar with the parameters of the bone fragment, the steel cable, and the intra-medury nail to dare tobine them like this. And the positioning and sizing of the three steel cable hoops must be very important, especially when locking them in ce, isn¡¯t the tightness of each hoop different?¡± Director Tian leaned in and said, ¡°You¡¯re right, the tightness and thickness of these three hoops are all different. This ensures that when weight is put on the bone, the sharp end of the main bone fragment on the inside always leans slightly toward the medury cavity, reaching the gap. Otherwise, if it tilts outside of the medury cavity, it wouldn¡¯t take long for it to slide out, and the barrel hoops would be ineffective. The mechanical knowledge involved in this surgery has exceeded themon knowledge of an orthopedist, Old Jin. I¡¯ve learnt something new today, steel cables can indeed be used in this way.¡± ¡°This guy is tricky,¡± said Dr. Jin. ¡°Director Han has a keen eye for talent; I heard he was picked up from a batch of new hires.¡± Director Tianughed and said, ¡°Do you remember? On his first day at work, he called me out on my mistake. Thanks to him, I was able to avoid falling into a big pit.¡± Dr. Jin remembered, ¡°You¡¯re talking about that case of the concealed femoral neck fracture, right? That day I went out for a meeting and heard about it from my subordinates when I came back.¡± Privately, Director Tian and Dr. Jin got along well. Despite being much older than Director Tian, Dr. Jin was highly respectful of him and did not treat him like a subordinate. The crowd was buzzing with discussion. Everyone¡¯s ideas were shaken up quite a bit. Everyone here is a professional, with specialized education. These exnations,bined with animated demonstrations, helped clear almost all doubts. Given these many mechanical principles in orthopedic surgery, was Newton actually a medical student? They wondered if he came upon his theory of gravity not because of an apple, but because of bone fracture. Song Zimo rapped on the podium, and slowly the room quieted down: ¡°I want to emphasize one point, if you use the same method for the next simr surgery, you will fail!¡± This statement confused everyone again, they had just gained some understanding. Song Zimo exined, ¡°Why? Because if you don¡¯t master the principles of biomechanics, you won¡¯t achieve satisfactory results. The number, thickness, positioning, tension, and cross-linking structure of the steel cables are not chosen arbitrarily. Otherwise, you¡¯d just produce a regr fixation loop, incapable of changing the direction of the force, or maintaining stability of the fracture.¡± Who knew applying a loop could be soplicated? That tension band, everyone knew about that ¡ª it¡¯s often used in fractures of the radial styloid process and pate, but nobody thought it could be used in this ingenious way. And the steel cable hoop too. Isn¡¯t it usually just tied around to fix a fracture? What¡¯s this about converting stress? It really made their heads hurt! Song Zimo quieted everyone down again: ¡°Now, let¡¯s take a ten-minute break to have something to eat. We will then continue with the discussion.¡± Chapter 57 - 0055 Discussion Chapter 57: Chapter 0055 Discussion Everyone, grab some fruit and pastries, have a drink, and take a short break. Song Zimo pped his hands on the podium, while Zhang Lin shouted, ¡°Brothers, quiet down! Quiet down!¡± The shout worked. Everyone stopped talking and returned to their original positions. It wasn¡¯t always like this, hardly anyone paid attention to Zhang Lin in the past. However, now he is deemed more important as he is associated with Yang Ping and Song Zimo. ¡°Shall we start the discussion?¡± Song Zimo softly asked Director Tian, mainly to show respect. Director Tian nodded, and Song Zimo announced, ¡°Now it¡¯s time for the discussion. Everyone can ask questions, and Doctor Yang will answer them. Don¡¯t be shy, ask freely. There¡¯s a prize for anyone who flusters him.¡± ¡°What¡¯s the prize?¡± someone asked loudly. ¡°You won¡¯t have your active case files checked for a month,¡± Song Zimo replied. That prize had enough weight, even though it didn¡¯t beat not having to write case reports for a month. After speaking, Song Zimo sat down next to Yang Ping in the front row: ¡°It¡¯s your turn now.¡± Yang Ping stepped onto the podium, and everyone apuded enthusiastically, wave after wave. When you have skill, your aura naturally radiates out. With a few directors absent, everyone was more rxed and spoke more boldly. Director Tian was young and didn¡¯t intimidate anyone. These youngsters loved to seek advice from Director Tian if they had any problems. If they made a mistake, they would quietly ask him for help. Dr. Jin stood up first, ¡°Doctor Yang, I would like to ask, your method of stress diversion is indeed ingenious, but one question, how do you ensure that the bone fragments do not break under stress, and that the steel cables do not snap?¡± ¡°Yeah, why are you so confident in the steel cables? If they snap, everything copses, and the patient will have to have a second surgery. The family will be irate,¡± another doctor whispered. Yang Ping responded, ¡°The tensile stress,pressive stress, rigidity, strength, and stic modulus that the human bone tissue can withstand all have documented data. These data vary by age and body part. There are also data on the fatigue resistance of steel cables, the number of daily steps a person takes, and the weight of the patient. Bybining all these data and doing some calctions, you can estimate how long the steel cable canst. As long as the steel cable holds up until the fracture heals, it¡¯s fine.¡± ¡°I understand, we medical people worship Hippocrates, and now we have to worship Newton and Gauss,¡± Dr. Jin joked. A graduate student raised his hand, saying, ¡°What if the fracture shifts because the patient started weight-bearing too soon? The patient might sue you. Even if the recovery is not as good because of dyed weight-bearing, it would still be better than being sued.¡± Yang Ping appreciated the student¡¯s honesty, saying, ¡°With hip fractures, early mobilization is unquestionable. If full weight-bearing is not achievable, partial weight-bearing is an option; if even partial weight-bearing is not achievable, supporting the patient to walk without weight-bearing is possible. If the patient continues to lie down after surgery, the advantages of surgery are lost, and the disadvantages of both surgery and conservative treatment are umted. Like neither being able to outrun a horse or a Benz. As forwsuits, I haven¡¯t done any relevant dataparison to see whether there are morewsuits from early weight-bearing orte weight-bearing.¡± ¡°Confidencees from experience and data, not blind faith,¡± Yang Ping added. The graduate student was satisfied with the answer, indeed, there is no rule that dying weight-bearing can avoidwsuits. ¡°ording to a multi-center retrospective study, there is no significant difference in average lifespan between people who ride airnes and those who don¡¯t!¡± Some hotshot in the corner casually dropped thisment, talking with a candy in his mouth, his words weren¡¯t very clear. It turned out to be a PhD from spinal surgery, an elegant and high-ss remark. Once he opened his mouth, everyone could tell, his educational background must have started from a master¡¯s degree. ¡°Teacher Yang!¡± a standardized training student asked shyly. ¡°How did you manage to remove that bone fragment embedded in the muscle so effortlessly? In my experience, we¡¯ve encountered such fragments many times. If they¡¯re not critical, we give up. If they must be anatomically repositioned, we can only do it by cutting open the area.¡± Song Zimo suddenly remembered that he had forgotten to exin the concept of stress diversion. ¡°You can just call me Doctor Yang or Senior Brother Yang. Performing minimally invasive repositioning on this bone fragment is challenging. Firstly, you need to understand which muscle the fragment has prated, and if there are any essential nerves or blood vessels nearby. Secondly, you need to understand the fragment¡¯s depth within the muscle, whether the fragment has formed a barb, and if it can slide out smoothly. Lastly, you need to understand if any muscles are attached to the fragment. If so, you must understand which muscles are attached and the different positions and motions each muscle group performs. This fragment has prated the psoas muscle and the iliopsoas muscle attached to it. During the limb¡¯s external rotation, the psoas muscle is extremely tense and pushes the fragment out. Meanwhile, the iliopsoas muscle rxes, and with just a slight lever motion, the fragment is freed.¡± It turns out that extracting a bone fragment requires such sophisticated anatomical knowledge. ¡°This surgery is really mentally taxing,¡± a standardized training student sighed. Everyone turned to look at the speaker, who was a man with a mature appearance, showing signs of baldness, and many white hairs. Based on his hairstyle, he seemed to hold the rank of Associate Chief Physician, but in reality, he was just a standardized training student. ¡°Any other questions?¡± Song Zimo asked everyone. It seemed like everyone had understood, and there were no more questions. Seeing that there were no more questions, Director Tianmented, ¡°Doctor Yang, yourst humerus distalminuted fracture case, the repositioning and fixation you did was remarkable! I replicated your approach and used Kirschner wires and steel wires to build a model. The model has the ability to self-stabilize, and when I simted elbow joint flexion and extension movements, the model demonstrated a certain self-tightening ability during movement. Generally, our structures are loose, but yours is aplete dynamic stable structure.¡± Thinking about the child who had his screws removed, Dr. Jin said, ¡°That child¡¯s two screws have been removed. If his symptoms really go away, I¡¯ll treat you to a meal and we can talk more.¡± ¡°If there¡¯s nothing else, let¡¯s end the meeting,¡± Song Zimo announced. Everyone saw that there were refreshments left, so they helped themselves and continued chatting. ¡°I need to go back and review anatomy, physiology, and pathology. Really, thest patient with an infection, we couldn¡¯t get it under control with antibiotics. We used medication based on antimicrobial susceptibility tests, but neither switching antibiotics nor increasing the dosage worked. We had a nephrology consult, who said that the use of drugs to elerate kidney excretion had prevented the antibiotics from umting and maintaining effective concentrations in the blood. Following the consultant¡¯s advice, we discontinued the drugs promoting kidney excretion, retested antimicrobial susceptibility, and selected sensitive drugs. It worked, the infection was gradually controlled over a few days.¡± ¡°Exactly, the surgery can be performed like this¡ªI had no idea until today. It was truly an eye-opener.¡± While talking and eating, the conversation carried on among two graduate students and several standardized training students. Professor Zhang appeared at the door, with a nurse trailing behind him. Tian Yuan, Yang Ping, and Song Zimo all stood up. Originally, Professor Zhang nned to address everyone before the meeting ended. However, seeing the clear and simple animation demonstration on the screen, he changed his mind. The younger generation has their ownnguage and methods. There wasn¡¯t any need for him to step in, so he just listened at the door for a while. ¡°You all should umte more cases and conduct mechanical analyses on these internal fixation structures. In the future, you might be able to publish a book¡ª¡¯The Study of Orthopedic Internal Fixation Structures¡¯. It would specifically discuss the design of these stable structures.¡± Professor Zhang suggested to Tian Yuan and Yang Ping before leaning on his cane and returning to the ward. And so, Saturday came to an end. Su Yixuan messaged Yang Ping via WeChat, notifying him that she had left a couple of slippers in his surgery room¡¯s shoe cab since his slippers were torn. Sunday was rather calm. The system didn¡¯t release any tasks; it was very quiet. Yang Ping calcted his points and found he was still short of 10,000 points to purchase pelvic fracture training. The gap was a little wide. Only afterpleting the pelvic fracture training could he rx a little. If he had to perform a pelvic fracture surgery right now, he might not be able to handle it. Although his surgical skills had reached the master level, practice is essential for improving surgical proficiency. Pelvic fracture surgery is something he must master as soon as possible. Chapter 58 - 0056: Enemies on a Narrow Road Chapter 58: Chapter 0056: Enemies on a Narrow Road Over the weekend, Yang Ping enjoyed his leisure time by entering the system space to read books. He collected all relevant books about pelvic acetabr fractures and had them all on his bookshelf. Now, Yang Ping could confirm that whether it¡¯s reading or practicing surgery in the system space, the efficiency is higher than in the real world. While reading in the system, Yang Ping almost never forgot what he read, and his understanding and insight into the knowledge were very fast. The only drawback was that he needed points to support reading time, but it was quite generous to trade one point for one minute. Yang Ping read book after book about pelvic acetabr fractures, preparing theoretical knowledge for future surgeries. He thus spent his rare free weekend. Director Han returned on Sunday night and attended the shift on Monday. He brought good news. The establishment of the Orthopedics Research Institute in coboration with Fudan University Medical School had been finalized. Representatives from the other party woulde to sign the agreement this week. Next, it would be the preparation. The location was not a problem; Sanbo had an eight-story building that was not in use, and it wouldn¡¯t be a problem to use one floor. This building used to house a day surgery center, but it failed and was abandoned, with operating rooms and wards kept idle. Money wasn¡¯t a problem either. Sanbo had a fund supported by overseas Chinese. The money for equipment and scientific research coulde from this fund, simplifying operations. After the shift, Director Han called Yang Ping into the office and thought for a moment before saying, ¡°Be well prepared for next year¡¯s doctoral exam. You must pass.¡± Then his tone softened, ¡°If you¡¯re really too busy, you could also follow the exemption pathway, but it might be a bit more troublesome.¡± Director Han still hoped that Yang Ping could earn his doctorate by passing the exam and secure a spot in the doctoral program genuinely. Yang Ping used to perform well academically, but he didn¡¯t pursue further studies at the time to join the workforce earlier. Now he had the opportunity and naturally, he wouldn¡¯t let it pass. Moreover, studying under Director Han, he would likely have plenty of operational experience in the department. Yang Ping also didn¡¯t want Director Han to worry about him. Exemptions were not up to Director Han alone. It definitely involved a lot of favor-pulling andworking. Now that the system had a reading feature, he could spend more time on it. With his previous foundation, he should have confidence in making the grade. ¡°Director Han, I¡¯ll definitely pass,¡± Yang Ping said. After chatting with Director Han for a while and then reporting Professor Zhang¡¯s surgical situation to him in person, Director Han was very satisfied. Director Han led everyone to visit Professor Zhang, make rounds, and go to the operating room. Sure enough, in the shoe cab of the operating room, there were two pairs of brand new slippers with Yang Ping¡¯s name marked. The operating room originally had plenty of slippers, which were all cleaned and sterilized for use by the surgeons. However, some doctors prefer their own pairs. As long as it meets the cleaning and sterilization requirements, the operating room would allow doctors to bring their own slippers. Every day, the logistics staff would open the doctors¡¯ shoe cabs, take out the worn slippers, and put in disinfected ones. The operating room bustled with excitement. The entire orthopedic department had eight operating rooms, the trauma orthopedic department had three, the sports medicine department had one, and the spine and joint departments each had two. The patient on whom Director Han was the chief surgeon had already been anesthetized, and Zhang Lin Xiaowu begun disinfection. The arrangement of the surgeries in the operating room followed not only the principle of urgency but also the status of the chief surgeon. Like Director Han, his surgeries were always arranged first. Although Tian Yuan was also an associate chief physician, she was young and often performed follow-up activities. Directors Ouyang and Bai had more seniority and had a higher priority than Tian Yuan. But for the surgeries of Yang Ping and Song Zimo, no matter how skilled you are, you have to wait in line. The qualifications and status of a doctor, like the gentry families of ancient times, cannot be achieved in a day. Therefore, the growth of a doctor, no matter how skilled you are, it¡¯s always one step at a time. The difference is that some people move fast while others move slow. Dreaming of a meteoric rise might be possible in other professions, but it¡¯s not for doctors. Just like Yang Ping, reattachment of the severed finger amazed the world and moved both heaven and earth, but still had little impact on promotion. He still needed to work on his topics, prepare his papers, whatever was needed as usual. Yang Ping was lucky enough to meet a valuable person like Director Han. If he were a little less lucky and met a mean and narrow-minded department director who could find any excuse to take away his surgical privileges, no matter how capable he was, he would be suppressed. Eventually, he could only leave in resentment to be a chief in a surgical hospital, surviving on his craft for a few years. The start of the surgery was lively, with the sounds of ping pong, and the hum of hammers and saws, and the stench of burnt flesh from the electric knife¡¯s cauterization. Orthopedic surgeries have distinct characteristicspared to other surgical disciplines. Some people joke that orthopedic surgeons are carpenters. The way they work with hammers, saws, nails, and screwdrivers does resemble that. While it might seem so, this is only a superficial impression. The field of orthopedics is extremely broad, with the most varied categories of surgery. There are over a hundred different procedures for the correction of Hallux Valgus alone. Amon orthopedic textbook is heavy enough that you need to exert some strength to lift it. If we consider the full set of ¡°Campbell¡¯s Operative Orthopaedics¡±, a girl might not be able to lift it, and an out-of-shape guy would have to rest several times when carrying it upstairs. Today, Director Han¡¯s team performed six operations: an acetabr fracture, a proximal humerus fracture, a humerus diaphysis fracture, a radius and ulnar fracture, a femoral diaphysis fracture, and a tibia and fibr fracture. The first operation, an acetabr fracture, led by Director Han waspleted in half an hour. None of the rest areplicated. Song Zimo performs three surgeries, and Yang Ping performs two. Since I¡¯m now their senior, I should give them as many opportunities as possible. They finished operating around seven in the evening and went back to the ward. Yang Ping checked the patient¡¯s most recent test results. Director Han said, ¡°The Overseas Chinese Building called, said they have a female patient with a double fracture of the radius and ulna, we¡¯ll go take a look.¡± The Overseas Chinese Building is the VIP ward at Sanbo. Only the wealthy and influential people live there. The eight-story Overseas Chinese Building houses patients from the third to the eighth floors. Some rooms can¡¯t be booked just by being rich, Dean Xia has to personally sign off for each patient to stay. Only department directors have ess to the patient records in the Overseas Chinese Building, or doctors temporarily authorized by the medical affairs department. Ordinary doctors can¡¯t even look at the medical records. A few curious interns wanted to follow them over to the Overseas Chinese Building to take a look. Director Han said: ¡°Xiao Song, Xiao Yang, you twoe with me to the Overseas Chinese Building, the rest should stay.¡± The Overseas Chinese Building is a stand-alone building with its own garden. When Sanbo was newly built, this area was not yet developed. The government was very generous and approved arge tract ofnd for it. If it were today, they would never give such arge piece ofnd. Dean Xia often says, ¡°With such a vast area, we ought to aplish some things.¡± There are corridors connecting each building, marble railings give a feeling of grandeur and stability. To be honest, Yang Ping has not been to the Overseas Chinese Building after so long working here. The Overseas Chinese Building only has one entrance. The first floor has a reception desk with very pretty and eye-pleasing nurses. There are a few security guards patrolling the hall. There are elevators specific to each floor, they took the elevator to the seventh floor and swiped their card to enter. The nurse at the nurse station immediately guided Director Han to the doctors¡¯ office. The doctors¡¯ office is spacious and bright, even theputer monitors are a few inches bigger than the ones in the ordinary ward. The seventh floor houses surgery patients and is managed by Director Zhuang, who is from the general surgery background. For VIP patients, if surgery is needed, it is done by specialists from respective departments, while daily management is undertaken by their own doctors. ¡°Female patient, twenty-five years old, left radius and ulnaminuted fracture. This patient is a reporter from the city TV station.¡± Director Zhuang introduces. The doctor in charge calls up the X-ray images that are disyed on the digital reading screen. The left radius and ulnaminuted fracture, discement is very obvious. Just as they were looking at the X-rays, Director Han received a call and talked for several minutes. It seemed to be Dean Xia. After hanging up, Director Han said, ¡°Let¡¯s go see the patient!¡± Director Zhuang, along with the nurse in charge, led Director Han to the patient¡¯s room, with Yang Ping and Song Zimo following behind. The nurse in charge knocked on the door. ¡°Come in!¡± A woman¡¯s voice. Pushing the door open, the female patient was wearing a hospital gown, her left upper limb was in a ster cast and suspended in front of her chest, her right hand was holding a cell phone as she was on a call, ¡°The doctor is here, I won¡¯t talk to you any longer, I tell you I won¡¯t have surgery, I won¡¯t.¡± She hung up the phone, sounding like a little girl throwing a tantrum. ¡°I¡¯m sorry, please take a seat.¡± The patient still has good manners. This? Yang Ping recognized her, wasn¡¯t it the female reporter who was first to make trouble at the press conference? Howe it¡¯s her. Even though he was wearing a mask, she recognized Yang Ping, like long-lost ssmates meeting again. She clenched her dress sleeve in her right hand, wanting to point at Yang Ping but realized it¡¯s impolite. She retracted her hand, nodded, ¡°It¡¯s you, Doctor Yang.¡± It felt like Yang Ping had done something wrong and now he was caught by her, it had an ¡°enemies often cross each other¡¯s path¡± feel to it. This left Director Han and Director Zhuang wondering what had happened. ¡°You know each other?¡± ¡°Of course, we do.¡± The female patient said. Chapter 59 - 0057: Absolutely No Surgery Chapter 59: Chapter 0057: Absolutely No Surgery ¡°Of course I know her!¡± She was the first one to kick up a fuss at thest press conference. To be honest, Yang Ping didn¡¯t have much affection for journalists, keeping them at arm¡¯s length. Director Han didn¡¯t recognize her. There were so many journalists at the time, how would he remember? ¡°What a coincidence!¡± Director Zhuang said. Seeing the look of difort swiftly pass over Yang Ping¡¯s face, Director Han quickly changed the subject, ¡°The swelling in your hand is severe. We need to loosen the splint a little.¡± It was a splint tied around her left forearm. Yang Ping initially mistook it for a cast when she came in. ¡°This is Professor Han from the Orthopedics Department,¡± Director Zhuang introduced. With a constant turnover of patients in the hospital and an abundance of VIPs, she had seen all sorts of rich and powerful figures, and was now numb to it all. Yang Ping nced at the little electronic screen on the wall above the bed. It disyed the patient¡¯s name: Li Jingshu. Upon hearing that the splint needed to be loosened, Li Jingshu¡¯s first reaction was to shrink back, turn her head to look at Yang Ping, and then weakly ask, ¡°Does adjusting the splint hurt?¡± What a joke, who do you think I am to you? How would I know? Yang Ping looked up at the ceiling, ignoring the question. ¡°It hurts just a bit,¡± Director Han said. ¡°How much is ¡®just a bit¡¯?¡± asked Li Jingshu. ¡°Like a mosquito bite!¡± Yang Ping replied. She thought back to the press conference where Li Jingshu was even more aggressive than some men. And now she was cowering, just like a little girl. After Yang Ping¡¯sment, Li Jingshu was reassured and shifted her previously withdrawn left limb carefully back into ce. The medical cart that the attending doctor had pushed in was now ced at the bedside, loaded with bandages, gloves, and a tray for medication change. Yang Ping and Song Zimo both put on gloves. One held the hand, while the other began to undo the binding. The injury was immobilized with four splints and three bands, a standard technique for small forearm fractures. The splints were even made of fir bark, a traditional material only found in Chinese medicine hospitals. ¡°I¡¯ve been to the Chinese medicine hospital and undergone anesthesia for repositioning three times, but with no sess. So I decided toe here and see what you guys can do,¡± Li Jingshu said, gritting her teeth, prepared to endure the pain. ¡°Should we give her a shot of painkiller?¡± Director Zhuang asked, seeking Director Han¡¯s opinion. Before Director Han could respond, Li Jingshu shook her head, ¡°I can tolerate a mosquito bite.¡± Yang Ping began to unfasten the bind, well acquainted with the small splint technique from training in the system. Her movements were gentle and deft, careful not to cause any vibration to the forearm while adjusting the bandage. However, Li Jingshu was so nervous she shivered. Any slight movement is painful with aminuted fracture. ¡°¡ª¡± Li Jingshu bit her lip. Song Zimo stabilized the forearm, and Yang Ping swiftly and gently adjusted each of the three bands in turn. After making the adjustments, she helped Li Jingshu to bed. ¡°You say it¡¯s like a mosquito bite, but this mosquito must be bigger than a pig,¡± Li Jingshu said, a bit angry, but her anger felt childlike. She took a few deep breaths: ¡°I¡¯m feeling much better now. The swelling was causing severe pain earlier.¡± Yang Ping thought to herself, this girl would be quite pretty if she weren¡¯t so bothersome, with clear eyes and brows, exuding a sense of intelligence yet hardly masking an impetuous and willful spirit. ¡°Surgery is necessary for this,¡± Director Han exined, multiple exnations seemed futile as many had tried exining it to her before. Li Jingshu looked distraught. ¡°I don¡¯t want surgery. Can¡¯t you just reposition it manually? Professor Zhang Zongshun from your hospital is really good at manual repositioning, isn¡¯t he? Didn¡¯t he even write a book about it? The book is right here!¡± She bent down to pull a book out of the bedside table with her right hand¨C ¡°Traditional Bone Setting Research¡±. Director Han took the book, and sure enough, it was written by Professor Zhang Zongshun. The book must have been published decades ago and yet this girl had somehow managed to get her hands on it. He had never seen a patient bring in a book for reference before. ¡°Have you read this book?¡± Director Han asked, returning the book to her bedside table. ¡°I briefly flipped through it,¡± said Li Jingshu. ¡°There are a lot of cases simr to mine in it, so that¡¯s why I came to your hospital.¡± Such a stubborn person is impossible to convince at once. Deciding to step back for a moment, Director Han said, ¡°Your condition right now is too severe for a manual repositioning. We need to wait for the swelling to subside. This is a temporary treatment. Let the duty doctor know if you¡¯re in pain tonight.¡± ¡°Alright!¡±, as long as she wouldn¡¯t have to have surgery, she seemed to be okay with anything. ¡°I absolutely refuse to have surgery!¡± Li Jingshu emphasized. ¡°Then you should rest properly, don¡¯t worry, let the swelling go down first,¡± Director Zhuangforted her. Back in the VIP¡¯s doctor¡¯s office, Dean Xia had already arrived and was waiting in the office. Seeing Director Han, he immediately called everyone to Director Zhuang¡¯s office and said, ¡°This patient is Mayor Li¡¯s daughter. Secretary Luo just called to say that she is throwing a tantrum with Mayor Li and refusing to have surgery. Other hospitals like the First and Second attached hospitals to Nandu Medical University have all consulted and agreed she needs surgery, but she doesn¡¯t want to. So left with no choice, Secretary Luo arranged for her to be transferred to the Traditional Chinese Medicine Hospital. Director Kang from the Orthopedics department there tried to set her bones three times without sess. She then drove herself to our hospital, and Secretary Luo arranged for her to stay in the Overseas Chinese Building.¡± ¡°She heard that Professor Zhang Zongshun is very good at bone setting, so she came here herself,¡± said Director Han. ¡°Professor Zhang is currently hospitalized himself!¡± Dean Xia said with a troubled expression. ¡°Distal radius, supracondr humerus ¨C these simple repositions were things I did many years ago. For theseminuted fractures of the ulna and radius, closed reduction, I tell you, I don¡¯t know how to do it,¡± said Director Han. ¡°This girl is very hard to handle. Secretary Luo is also struggling now. You can count on one hand the number of people in the country who can perform manual reduction. Director Kang from the Traditional Chinese Medicine Hospital, who inherited his family skills and has a well-known reputation, couldn¡¯t fix it. So, how are we supposed to?¡± said Dean Xia. ¡°What if we ask Professor Zhang Zongshun to help?¡± Director Zhuang suggested. ¡°We might have to. I¡¯ll talk to Old Zhang tomorrow morning,¡± said Director Han. The patients in the Overseas Chinese Building are the most difficult, not because of theplexity of the cases, but because of their special status. Everyone discussed but did not reach a conclusion. Dean Xia said, ¡°Do your best. If all else fails, we may have to operate. Secretary Luo has agreed to have the surgery in our hospital. Let Mrs. Li persuade her again tomorrow. After all, young girls can be a bit willful.¡± ¡°Let¡¯s go take a look, I haven¡¯t checked yet.¡± Dean Xia said. This time, Yang Ping and Song Zimo did not go with him. There was an automatic shoe-polishing machine in the office. Yang Ping tried to polish his leather shoes. ording to Zhang Lin,ing to the Overseas Chinese Building without polishing your shoes is a wasted trip. ¡°If it were someone else, I might try, but for the daughter of the Li family, forget it.¡± Song Zimo said. Yang Ping huffed, ¡°Can you do it?¡± ¡°I learned by sitting in on outpatient clinics with Professor Zhang. He really is brilliant at manual reduction. In the research of Western medicine, he should be the only one. I¡¯ve seen him fix even worse fractures than this. You can¡¯t?¡± Yang Ping didn¡¯t respond. ¡°Finally, I¡¯ve found something I can beat you at,¡± Song Zimo said triumphantly. This little guy, he can actually do manual reduction? After checking on Li Jingshu, Dean Xia came out and said, ¡°Should I talk to Old Zhang tomorrow?¡± Director Han said, ¡°No need, I can speak with him.¡± ¡°Thank you for your hard work, Han. I still need to go upstairs and visit Director Cao from the Department of Construction who is also hospitalized here,¡± Dean Xia said, pointing to the ceiling. ¡°You go ahead, leave this matter to me,¡± Director Han said. ¡°The principle of necessary surgery must still be adhered to,¡± Dean Xia reminded. Sitting in the Overseas Chinese Building for a while, several nurses came in and out. Song Zimo still attracted attention with his cool demeanor. Director Han instructed the on-duty doctor to watch for pain and changes in finger sensation, and to be alert forpartment syndrome. Everyone then withdrew. It was already evening, and it was not appropriate to bother Professor Zhang, Director Han decided to go the next morning. Song Zimo said that since he had eaten the surgical meal, he was not hungry. He decided to practice arthroscopy in the department. He trained for one or two hours in theboratory almost every day. Microscopes, arthroscopes, foramen scopes, and many other equipment were worn down by his use. Those with high talent who are also diligent are the closest to sess. On the way home, Yang Ping thought about the traditional bone-setting technique. This is the business of the Traditional Chinese Medicine Hospital, but only a few people still maintain this skill. Truth be told, the Traditional Chinese Medicine Hospital and Western hospitals are not much different these days, the difference lies only in the signs they carry. In the Traditional Chinese Medicine Hospital, there are few doctors who can truly use Chinese medicine and understand Chinese medical theory. It¡¯s not a matter of which is superior and which is inferior; it¡¯s like thepetition between a horse-drawn carriage and a Benz. Chapter 60 - 0058: Peerless Skills Chapter 60: Chapter 0058: Peerless Skills Song Zimo stayed up practicing until midnight, yet he was still bright and energetic in the morning. Seeing Yang Ping in the office, he said in a low voice, ¡°Now I can proficiently peel and stitch grape skins, pinch crystal babies, and thread needles under an arthroscope even with my eyes closed.¡± These are all arthroscopy training methods: making an incision into the grape¡¯s skin under a microscope, peeling it off intact, and then stitching it back on; a crystal baby that has been soaked in water for too long is prone to cracking and can easily be crushed with a little force; threading a needle is a delicate operation, requiring the thread to be passed through a fine needle, and then using the needle to thread a string of tiny beads. These are all highly difficult microscopic techniques. Arthroscopy is a type of endoscopy, a minimally invasive technique that is specifically suitable for joint surgery; there is no need for an incision, just a few holes the size of chopsticks toplete the procedure. The microscope facilitates direct coordination between the hand and eye, whereas arthroscopy separates the hand and eye. The eye doesn¡¯t directly view the operating area, instead, it watches the video on the screen in front of the operator, and the hand performs the operation guided by the video. One hand holds the lens and the other hand holds the instrument; both the lens and the instrument enter the joint through a small hole, the lens records footage inside the joint in real time and sends it to the screen for the doctor to operate the instrument while watching. Because the hand and eye are separate, the learning process tends to be fairly long, many doctors can¡¯t master it even after many years of practice. On the surface, Song Zimo appears indifferent, as if he doesn¡¯t care about anything, but his passion for surgery burns like fire within him. He never backs down from a match with Yang Ping. Given the opportunity, he makes sure to dere his presence like a King of Lions. After making his rounds, Director Han specifically sought out Professor Zhang about Li Jingshu¡¯s manual reduction technique. ¡°Teacher Zhang, could you help me out with something?¡± Director Han asked, standing. Professor Zhang sat on the sofa in the only suite in the department, which had a ward inside and a living room outside, which was equipped with a sofa, coffee table, refrigerator, microwave, and the like. ¡°Just say it, since when did doing things be so tedious?¡± said Professor Zhang. Though it was difficult, Director Han still spoke up, ¡°There¡¯s a patient with aminuted fracture of the left ulna and radius, with noticeable discement, who hase specifically for manual reduction from you, but you¡ª¡ª¡± Professor Zhang waved his hand, ¡°Where is the patient now? Do we have the films? Let¡¯s see the films first, then bring the patient over.¡± Director Han knew Professor Zhang the best, he didn¡¯t even mention that the patient was the Mayor¡¯s daughter. Because for others, this information could be a key factor influencing their decision, but for him, it has no effect. The most useful thing to him is the phrase ¡°patient¡±. It doesn¡¯t matter whose daughter she is, emphasizing that she¡¯s a patient will do. ¡°The films are here.¡± Director Han gave a meaningful look. Song Zimo immediately took out the films from the bag, bent down to one side to hold themfortably, and conveniently presented them to Professor Zhang to review. Professor Zhang carefully read the films, ¡°You can proceed with manual reduction, but you¡¯ll need to do it under anesthesia. It¡¯s very difficult, I¡¯ll need an assistant.¡± His gaze swept over them, first hitting Yang Ping, then bypassing Yang Ping tond on Song Zimo beside him: ¡°Xiao Song could assist, this kind of thing he should be capable of.¡± Song Zimo raised his proud head; Yang Ping thought, he looks just like a Gallic Rooster. After examining the films, Professor Zhang seemed particrly reflective, ¡°People¡¯s attitudes towards traditional Chinese medicine are either all for it orpletely against it. Few people view it with a scientific mindset. Those who despise traditional Chinese medicine and want to see it eradicated, need not be so agitated or fretful. Look at the doctors in Chinese medicine hospitals, how many of them truly understand traditional Chinese medicine? No need to shout looks like this day is not too far off. As for those who are heartbroken about the impending extinction of traditional Chinese medicine, they could put their tears away, build up their spirits, and think about how to leverage modern technology to uncover the value of traditional Chinese medicine. If something must rely on sentiment to be preserved, then sentiment is all that thing has left. The traditional bone-setting treatment is greatly advantageous for long bones of the limbs, especially the humerus and ulna radius of the upper limbs. For fractures involving the joint surface,plex fractures, to be honest, it¡¯s not very effective. It¡¯s likeparing a bow and arrow to a gun. Is a bow and arrow useful? Yes, it is! In small-scale use! Special forces even carry crossbows with them because they¡¯re silent, meless, and suitable for infiltration and assassination. But in modern warfare, would you rely on a crossbow to fight battles? If you do, you¡¯re either out of your mind, or you¡¯ve been hit on the head.¡± Professor Zhang spoke with conviction, calmly and moderately. Professor Zhang continued, ¡°I once wrote a book in which I systematically analyzed traditional bone-setting from the perspectives of anatomy, physiology, and biomechanics.¡± Director Hanughed and said, ¡°This patient came to us with your book.¡± Professor Zhang was surprised, ¡°Can that book still be found? I wrote it in the seventies. Nowadays, doctors are not interested in this anymore. In the past, this was a skill passed down through generations, from father to son, but not to daughter. Times have changed, and we can¡¯t me doctors. To master bone-setting, it takes many years of practice, at least a decade or so, until you¡¯re skilled. Even then, it¡¯sborious. Several people will be sweating profusely toplete one procedure, and the charges are only a few tens of dors. At the high end, it may cost one to two hundred dors, hardly a livable ie. Who would be willing to practice this? Besides, its application is limited. In the past, fractures were often caused by wrestling or fights, simple fractures that could be treated with maniption. Nowadays, high-energy injuries such as car idents aremon. Anyplex fracture you get will be in vain no matter how skilled you are at maniption. Thus, I don¡¯t encourage everyone to practice this. The medical environment is not suitable for this practice, but those in pediatrics orthopedics may want to try. How is the patient?¡± Realizing he had strayed from the point, Professor Zhang quickly brought the conversation back on track. Director Han said, ¡°She fell off a horse while horseback riding, and her left hand swelled up when she tried to brace herself. She¡¯ll undergo surgery after the swelling subsides. Will there be anesthesia?¡± ¡°Definitely. In the past, we didn¡¯t have the conditions, and the patients would wail during bone-setting procedures. Some even fainted if their health was not good.¡± Professor Zhang thought that such practices were inhumane in those days. ¡°Xiao Yang, if you have time, take a look. It¡¯s okay whether you¡¯re interested in learning or not.¡± Professor Zhang said to Yang Ping. In fact, the old man was not stubborn but rather open-minded. With Professor Zhang¡¯s agreement, Director Han felt relieved. He took Yang Ping and Song Zimo to the Overseas Chinese Building to see Li Jingshu. Possibly after loosening the splint, her venous return became smooth and the swelling lessened. There was a fluffy panda stuffed animal next to her bed, and her dark red round sses were on the bedside table. Apanying her was a meticulously dressed woman who must be her mother, the Mayor¡¯s wife. On seeing the doctore in, Mrs. Li immediately stood up. Department Director Zhuang introduced, ¡°This is our orthopedics department director, Professor Han.¡± Mrs. Li slightly bowed, ¡°Thank you so much for your trouble. This child is too willful and insists on refusing surgery. We understand that how could such a fracture get better without a surgery. Please give her another chance. I just spoke with her and if she still insists, we¡¯ll proceed with the surgery.¡± ¡°Professor Zhang currently has a hip fracture and just finished his surgery. He is in our department for recovery. I just discussed with him, and he agreed to help with the bone resetting after the swelling subsides,¡± Director Han replied, maintaining his dignity. Mrs. Li said, ¡°That¡¯s great, but I¡¯m sorry for all the trouble we¡¯ve caused you and Professor Zhang. Look at how much trouble my daughter has put everyone in. Xiao Zheng, get ready. We are going to visit Professor Zhang and thank him in person soon. What are you looking at? You areing too. Despite his own fracture and hospital stay, the old professor still has to deal with us.¡± Li Jingshu stuck her tongue out at her mother. Xiao Zheng must be the female assistant who came with Mrs. Li. She stood silently on the side, very polite and respectful. Around thirty years old, she appeared very respectful. After scolding Li Jingshu, Mrs. Li turned to Director Han, ¡°Professor Han, when would be a good time for us to visit Professor Zhang? I feel uneasy without thanking him in person.¡± Director Han said, ¡°Let¡¯s wait until after the bone resetting. Let Professor Zhang have a good rest first.¡± Mrs. Li said, ¡°Yes, you¡¯re right. Thank you. Li Jingshu, my daughter, is spoiled by her father and me. Please forgive her for any inconvenience caused.¡± Li Jingshu pouted, looking a little impatient. After leaving the ward, Director Zhuang said, ¡°Dean Xia already took a look this morning. Could you report the situation to him again? He¡¯s also pretty busy. He spoke with Director Cao for more than an hourst night.¡± Director Han nodded. He said to Song Zimo, ¡°Discuss with the doctor in charge of the patient and prepare for the surgery. If the bone resetting fails, immediately proceed with the surgery. Once the swelling has subsided sufficiently, arrange for the procedure immediately.¡± Suddenly, Director Han remembered something, ¡°Xiao Yang,e with me.¡± Chapter 61 - 0059: There is no fastest, only faster Chapter 61: Chapter 0059: There is no fastest, only faster Director Han pulled him to a secluded ce, ¡°What¡¯s the deal with you knowing Li Jingshu?¡± Yang Ping thought it was something serious, ¡°She¡¯s just the female reporter from the press conference, the first one who asked questions, the one with sses, instigating everyone else to ask strange questions. If it wasn¡¯t for her, other reporters wouldn¡¯t have been so bold!¡± ¡°Oh! I see. If it¡¯s like that, it¡¯s fine.¡± Director Han seemed thoughtful. He had some vague recollection, but couldn¡¯t quite pin it down. It was no big deal, as long as their rtionship was straightforward. Director Han was overthinking it. He mistakenly thought that this guy had someplicated romantic history with Li Jingshu. He didn¡¯t know why he hade up with such an odd idea. Looking back on it now, he thought he was being absurd. Now was a critical time for the department¡¯s development. The unity of the team was most important. There should be no problems with his key staff, even if there were personal romantic issues, they must be taken care of and shouldn¡¯t interfere with work. Indeed, he was overthinking. How could the Mayor¡¯s daughter have a thing for this guy? It was an unlikely urrence. ¡°There¡¯s no problem, right? Director?¡± Yang Ping thought Director Han was acting a bit strange, appearing frankly quite confused. Director Han said, ¡°No problem, I was just asking. Let¡¯s go to the operating room. It looks like the ER has admitted two severed finger cases that have already been sent to the operating room. Howe there are severed finger cases at this time, aren¡¯t they usually at noon or in the evening?¡± Usually, the severed finger emergencies were brought in from the surrounding factories, especially from hardware factories. Such idents usually happen during overtime shifts in the afternoon or evening when workers are fatigued and not focused. At around eight or nine in the morning, when people are energetic and clear-minded, idents involving severed fingers rarely ur. Song Zimo had already gone to the operating room, and Director Han and Yang Ping hurriedly followed. Director Han took a graduate student and a standardized training student to perform the surgery, allowing Yang Ping and Song Zimo to do the finger reattachment surgeries. An emergency operating room had been freed up, so they could perform the two surgeries simultaneously. Simultaneous surgeries? Song Zimo was rubbing his hands with anticipation. After training for so long, it was time to showcase his results. The two patients, one with a severed index finger and the other a little finger, were theoretically on the same level. Yang Ping paired up with Little Five, and Song Zimo paired up with Zhang Lin, both starting the surgeries simultaneously. After washing, sterilizing, setting up, debriding, fixing the bone fractures, moving the microscope into position, and bringing out the micro-instruments, everything was simple. The vascr anastomosis of 0.05 millimeters was done as quickly as suturing the skin. In Song Zimo¡¯s eyes, reattaching an adult¡¯s single digit was no different from doing a minor debridement and suturing operation. If there weren¡¯tplications like vascr crisis, he felt like performing it directly in the emergency room would be more convenient, saving the trouble of upying a hospital bed. The previous mishap was a case in a hundred years, a premature baby, with brittle blood vessels. If that case were presented to him now, he would breeze through it. Locate the blood vessels, nerves, and tendons, and then stitch them together, one by one. After about forty minutes, he was done. Finished? Finished! Song Zimo, light as a feather, took off his surgical gown, flicked his sleeve, and did not leave behind a trace of worry. Unlike a fingertip rentation where only one artery and one vein are connected, the formal connection of two arteries and four veins in less than forty minutes is a feat not many can achieve nationwide. Song Zimo didn¡¯t know where he ranked nationwide, but he felt that defeating Yang Ping today wouldn¡¯t be a problem. ¡°I don¡¯t understand what these orthopedic surgeons are doing,pleting a severed finger surgery in forty minutes?¡± The patrolling nurse watched Song Zimozily walk out of the operating room¡¯s automatic door and murmured quietly. He wandered over to Yang Ping¡¯s operating room and peered through the small ss window. Sure enough, he was just starting to bandage, meaning that he was minutes ahead. Although there¡¯s a difference in the thickness of the blood vessels between the little finger and the index finger, among top surgeons, this difference doesn¡¯t impact the speed at all. The automatic door opened, and Song Zimo leaned against the doorway, the feeling of reiming his throne was excellent, Yang Ping could indeed be defeated. ¡°So, can¡¯t find the blood vessels?¡± Song Zimo askedzily, the undertone being: You are behind. Yang Ping, after finishing the bandage: ¡°It¡¯s fine.¡± Su Yixuan tidied up the instruments, while the patrolling nurse tidied up the drapes, ¡°Young Master Song has finished as well? Why are there so many severed fingers today? There have been three surgeries already.¡± Hearing this, Song Zimo asked, ¡°Three surgeries, is there another one? When is iting up?¡± The patrolling nurse said, ¡°Well, Dr. Yang just did two, you did one, doesn¡¯t that make three?¡± Song Zimo was instantly bombarded by a force capable of obliterating a. Such terror! Yang Ping! Didn¡¯t he have a limit? Leaning against the wall to rest, Yang Ping closed his eyes to rejuvenate and entered the system space. The progress bar for his task had already crossed the halfway mark. It seemed that thepletion of the side task was imminent. He opened the system¡¯s library and gathered all books rted to manual bone setting, including Professor Zhang¡¯s, and put them all on the bookshelf. He wanted to find any gaps in his skillset andplete them; each weakness must be addressed. He read each book one by one. It was Professor Zhang¡¯s that was the most informative. It wasn¡¯t simply teaching how to reset a bone, but rather, it dissected the process from anatomy, physiology, and biomechanics, elevating the technique from a matter of experience to a scientific theory. The others merely taught straightforward resetting, many of them indistinguishable from each other, knowledge that was also avable in textbooks. Using Professor Zhang¡¯s book as a foundation and supplementing it with the other books, Yang Ping formed aplete theoretical system in his mind. With the theory in ce, it was time to practice. Browsing the system¡¯s store, a training package called ¡°Manual Bone Setting¡± was found. He looked at it; the smallest packages contained at least twelve thousand case studies. However, the price was only four thousand points. The serious inversion between the number of cases and the price made him increasingly uncertain about the system¡¯s whims. What does twelve thousand cases mean? If a doctor resets one case a day, it would take about thirty years. People with a fear ofrge numbers would get goosebumps at this figure. For four thousand points, Yang Ping decisively purchased it! There were twelve thousand cases, some involving upper limbs, some lower limbs. Lower limb resetting often employs bone traction, while upper limbs generally use human traction. There were three thousand cases involving the humerus, two thousand each for the femur and tibia and fib, and five thousand for the forearm fractures. With five thousand cases of manual resetting and the system¡¯s efficiency, he was an existence looking down on the masses. Yang Ping began intensive training. At first, each case took a long time, and he always failed. There was a window in the upper right corner of the space that showed a clear stereoscopic image of the limb being tested. Yang Ping¡¯s operations, the movement of the fracture, the contraction of the muscles, the tension of the ligaments ¨C they could all be seen in the window. He pondered repeatedly on how to use muscle ligament traction for indirect resetting and how to control the bone fragments directly through skin and muscle with his hands. Failure! Again, failure, and still failure! But Yang Ping did not lose heart. Using knowledge of anatomy, physiology, and biomechanics, he repeatedly thought and felt his hands, and then adjusted ording to the image in the window. When practicing forearm fractures, the system judged him as qualified after a thousand cases; proficient after two thousand; specialized after three thousand; perfect after four thousand. Afterpleting the fifth set of thousand cases, he moved directly into the master level, extremely proficient and exhrating! There was never such a thing as a lost art in the world. If others had not mastered it, you could; if others were not proficient, you could be more proficient. That was a lost art! Coming out of the system space, several more months of experience were added to Yang Ping¡¯s count. He now had no sense of disorientation in switching between time and space and adapted very well. Sometimes he wondered, what would it feel like to stay there for ten years, would he age? ¡°No! The time of the system will not have any effect on your physical body.¡± The female voice hadn¡¯t answered his question in a long time. However, Yang Ping was still uneasy. He suddenly remembered Inception, the feeling of being locked in the dream world. How eerie would that be? The manual bone setting had some effect on skill upgrading, and the limb fracture procedures had risen slightly, about to break through to perfection. Only the surgery for pelvic and acetabr fractures were missing. ¡°Hey! How many records do you have at most? Just one, give me a number.¡± Song Zimo asked indignantly. ¡°There¡¯s no fastest, only faster!¡± Yang Ping did not open his eyes. ¡°Damn it! That¡¯s not how you demoralize someone.¡± Song Zimo flippantly walked away. Chapter 62 - 0060: Can Anesthesia Reduce IQ? Chapter 62: Chapter 0060: Can Anesthesia Reduce IQ? After three days in the hospital, Li Jingshu¡¯s swelling had significantly subsided, and she was ready for manual reduction. ording to the original n, if manual reduction was unsessful, they would proceed to surgery. Professor Zhang insisted on walking on his own, leaning on his crutch, with everyone guarding his sides. To be honest, not to mention aplex dual bone fracture reduction in the forearm, everyone had little experience with even the simple ones. Manual reduction was like an endangered animal teetering on the brink of extinction. Li Jingshu was wheeled in by her mother. It was only a case of an upper limb fracture, and she could walk, but Mrs. Li still used a wheelchair to push her along. She rubbed her eyes, she looked a little haggard. This sudden trauma was a double attack emotionally and physically. Her orderly life had been disrupted. The uncertainty of recovery kept haunting her, making her worried and scared. ¡°Mom, I don¡¯t want surgery?¡± Li Jingshu turned her head, looking pitiful. Mrs. Li¡¯s heart ached as she stroked her daughter¡¯s hair, ¡°Silly girl, not everything can go ording to your wishes. I would rather it was me who had the fracture, not my precious baby.¡± Her phone vibrated, Mrs. Li answered, ¡°We¡¯re about to head to the operating room, don¡¯t worry, everything will be fine. Professor Zhang will personally attempt the reduction. If it doesn¡¯t work, then we have to do surgery. Everything has been arranged, don¡¯t worry.¡± ¡°It¡¯s your father.¡± Mrs. Li handed the phone to Li Jingshu. ¡°Uh-huh, dad, I¡¯m afraid of scarring. Uh-huh, I understand, don¡¯t worry.¡± Just like a wronged child, tears flowed from Li Jingshu¡¯s eyes. After ending the call, Mrs. Li said, ¡°Just rx, when the timees the doctor will do cosmetic stitches for you. You know Sanbo Hospital, they¡¯ve sessfully done a five-section rentation that sensationalized the whole country, you¡¯ve got nothing to worry about.¡± Mrs. Li reassured her, clutching her daughter¡¯s hand which was stretched over her shoulder. She knew well that the chances of sessful manual reduction were slim. It was just a case of not giving up hope until the very end. ¡°No matter how they stitch it, there will be scars. You are lying to me. I¡¯m scared of surgery.¡± Li Jingshu sounded like a little girl. ¡°I will let you get a tattoo on your arm afterwards, okay?¡± Mrs. Li keptforting her. ¡°I¡¯m not getting a tattoo.¡± Li Jingshu said. The surgery naturally took priority, and the operating room had long been prepared. While lying on the operating table, staring at the ceiling and the surgical lights, Li Jingshu¡¯s body started to shake slightly. The anesthesiologist was positioning her arm under a surface ultrasound, preparing to administer an axiry block anesthesia. This was the first time she felt so helpless. Her arm was in someone else¡¯s hands, and whether it was a sess or failure was no longer up to her. ¡°Don¡¯t be afraid, it¡¯s going to be alright. Even if we have to do surgery, we won¡¯t let the scar be too obvious. If worsees to worst, you can work in the Northeast where you¡¯ll be bundled up in thick clothing all the time. Who will notice?¡± Yang Ping tried tofort her. Seeing her pitiful look, Yang Ping¡¯s heart softened, and she no longer found her annoying. ¡°You make it sound like eating candy.¡± Li Jingshu said, bing more and more scared, terrified of failure and ultimately, of surgery. Professor Zhang only assigned Yang Ping as a spectator, the assistant position was given to Song Zimo, and there was also that assistant graduate student, Xiao Mo. So she had nothing to do, she could chat with Li Jingshu a bit, it was purely voluntary encouragement. This kind of reduction normally required three people to cooperate¡ªtwo to do the traction and one to reposition the bone. It was just like a surgery, with clear roles for the main doctor and the assistant. ¡°Help me pull up my cap, it¡¯s covering my eyes. I¡¯m scared that if it doesn¡¯t work, I¡¯ll need surgery.¡± Li Jingshu turned her head. Yang Ping noticed her disposable sterile cap had slipped down, covering her eyes. She reached out to pull it up. ¡°Will the anesthesia lower my IQ?¡± Li Jingshu asked. I¡¯m faint, are you a well-educated person, asking such a stupid question. But on second thought, she isn¡¯t a medical student, of course she wouldn¡¯t understand. It¡¯s all assumptions when people are uninformed. In the past when he rotated in the emergency department, there were parents who firmly refused anesthesia for their children, especially general anesthesia. When asked why, they said their child was so smart they didn¡¯t want to make them stupid. Can anesthesia make people stupid? Only after Yang Ping had looked through a great deal of anesthetics literature, did he dare to conclude that anesthesia would not make people stupid. ¡°Your IQ is so high, losing a little bit won¡¯t matter. It¡¯s like losing one note from a $10,000 bundle, it¡¯s not a big deal.¡± Yang Ping casually replied. ¡°So it will lower my IQ after all?¡± She was almost in tears again. Yang Ping had thought she was joking. But it turned out she was asking sincerely. Patients¡¯ IQs drop to zero in front of diseases. This is a statement Yang Ping believed in now. This is also the theoretical basis for the rise of miraculous healers, like Tian. ¡°No, it won¡¯t!¡± Yang Ping reassured her, ¡°Anesthetics just temporarily block nerve conduction. The liver and kidneys of the human body will clear these substances. After a period, the body will have cleared the drugs, and they won¡¯t have any effect anymore. How could that lower your IQ?¡± Educated people like to hear the theory. After this exnation, she understood, and her crying turned intoughter. The anesthesia puncture was sessful, and the drugs were infused into the nerve sheath and the surrounding area. The equipment on the other side was also almost ready. Bandages, splints, bone separators, pressure pads wereid out. The C-arm X-ray machine was also brought over. The Patrolling Nurse used a lead apron to shield Li Jingshu¡¯s lower abdomen, and a bib to cover her neck. To protect against X-rays, the focus was on the nds, such as the thyroid and gonads, for females the gonads are the ovaries. The splints were made of cedarwood bark, Sanbo Hospital didn¡¯t have such equipment, they only had splints with aluminum cores, which were not very suitable. These cedarwood splints were meticulously selected from the storeroom of the Traditional Chinese Medicine Hospital. Professor Zhang didn¡¯t yet know that this patient was the Mayor¡¯s daughter, not because he was slow, but he simply didn¡¯t care about these things. ¡°Youngdy, don¡¯t be nervous, we¡¯ll help you with another reduction. If it doesn¡¯t work, we¡¯ll have to resort to surgery. But there¡¯s no need to fear surgery, we¡¯ll try our best to sew it up in a way that the scars are not noticeable,¡± Professor Zhang reassured her kindly. The Head Nurse had already brought a chair, Professor Zhang sat on it, after all he had just finished an operation, even though he could walk, he couldn¡¯t be as rxed as usual. The height of the operating bed was adjusted to match the height of Professor Zhang¡¯s chair. Director Han was also present, as for the reduction, it was something he had done in his youth, it was merely a youthful memory to him. Others who missed the surgery, those whose surgeries had not yet started, all gathered around to see. The Head Nurse drove many away because too many people would interfere with the operation. The office director, dressed in visitor¡¯s clothing, also came in, representing the hospital leadership, to show their concern. The hospital leaders and their families staying in the hospital, those who Dean Xia personally visited, the time of the visit, the duration, and the quantity of flower and fruit baskets, none of these were done at random, there were rules. ¡°Miss Li, hello! Dean Xia is in a meeting and asked me toe on his behalf. Don¡¯t be nervous, Professor Zhang is an expert in manual reduction, we will do all we can to assist.¡± The purpose of a visit is to make your status known, otherwise, the visit would be deemed as wasted. The Office Director¡¯s words were quite bureaucratic, but he was addressing Li Jingshu who was trembling and looking as feeble as a little girl, hence it felt a bit misced. Li Jingshu looked innocently at the Office Director, seeming to have not registered what he had said. The details didn¡¯t matter, what mattered was that the protocol had beenpleted. When he left, he wouldn¡¯t simply leave but would report the progress in the operating room to Mrs. Li. The idea was to make it clear to Mrs. Li that a representative of the hospital¡¯s leadership had visited, otherwise, it would have been a wasted visit. Although Yang Ping disliked these formalities, he understood its necessity in these professional settings. Xiao Mo was using the small splint topare against Li Jingshu¡¯s upper right limb, trying to measure the splint¡¯s length and width. Generally, the limbs on both sides are simr, byparing with the healthy limb, it can alleviate the patient¡¯s pain and fear. Li Jingshu¡¯s reaction was intense, she immediately tensed up and said, ¡°You¡¯ve got it wrong, it¡¯s the left side.¡± ¡°He¡¯s justparing the size of the splint, to estimate the measurement.¡± Yang Ping exined. Nowadays there is pre-surgery check, the patient¡¯s surgery is checked once upon eptance at the ward; checked again upon entering the operating room; and once more before surgery. There are very few cases of operated body parts being misidentified. Previously, without these strict regtions, mistakes did happen. The most serious case was at a big hospital, two children, same sex, same age, same name, one was to undergo surgery for a congenital heart defect, and the other to have his tonsils removed. The child with the tonsils problem was mistakenly sent to the thoracic surgery room, and the one with the congenital heart defect was sent to the ear, nose, and throat department operating room. In any case, the surgery was prepared by assistants, sterilizing and arranging sheets, everything was done, then the professor came onto the stage, and all he saw was the prepared surgical area. The professor was very efficient, his skills were top-notch. Opening the chest! Damn it, something was wrong, there was no heart malformation. The professor¡¯s hand was shaking so much that he could not hold the instrument steadily. As a result, the patient with the heart malformation had his tonsils removed, and the one with the tonsils problem had his chest opened. This incident waster reported nationally, hence hospitals had organized doctors for learning sessions. But this was a low-probability event, simr to a ne falling from the sky. The anesthesia took effect, the splint was cut to the correct size, Li Jingshu¡¯s left limb was ced on the C arm machine¡¯s detector. Professor Zhang had also finished studying the CT 3D reconstruction. Professor Zhang, Song Zimo, Xiao Mo put on their lead clothing, everything was ready, they began the reduction. ¡°Don¡¯t leave!¡± Li Jingshu saw Yang Ping preparing to leave and seemed a bit frightened. Possibly because he had just apanied her in a chat, she got a brief sense of security. Professor Zhang said, ¡°Put on the lead coat, it¡¯s good to watch.¡± Yang Ping put on the lead coat that Little Five brought, and stood aside. All other personnel were cleared from the room. Chapter 63 - 0061: Fighting Technique of Left and Right Chapter 63: Chapter 0061: Fighting Technique of Left and Right Song Zimo and Xiao Mo continued their traction for several minutes. Professor Zhangid his hand on the site and gently fiddled with it. Hands-on bone setting! This is the primary technique in orthopedics, requiring the practitioner to gain a sense of the bone fragments underneath the skin and muscle ¨C how many there are, what shape each one is, and where they are located. Traditional bone setting techniques include: touching, joining, lifting, pressing, rubbing, pushing, and grasping. New bone setting techniques: feeling with hand, stretching and traction, rotation and flexion, lifting and pressing, swaying and touching, splitting the bone, top twisting and rotation, massage pushing and pulling. Whether it¡¯s traditional or modern techniques thatbine eastern and western methodologies, tactile sensation is put in the first ce. This is the foundation for all subsequent techniques; without it, none of theter techniques can be implemented. The so-called hands-on technique, everything relies on the feeling and control of the hands. Our ancestors, who survived through experience, truly maximized their application of experience. In Wuqiao, hometown of acrobatics, teacher Wu Baohe with his masterful hands could perform the acrobatic trick ¡®Three Immortals Returning to the Cave¡¯, where no one could spot any w. Foreigners used several high-definition cameras to shoot from different angles, and then yed the footage in slow motion, hoping to find a w, but they just couldn¡¯t. Hands-on technique! It can be yed to such an unsurpassable extent. Professor Zhang sat on the chair, his chair was very stable, and his hands were even more so. He carefully sensed the shape and condition of each piece of the radius and ulna bones underneath the skin and muscles, and he knew precisely how each piece was. The number of people who could reach this stage in the whole country could probably be counted on one¡¯s fingers. Professor Zhang began to manipte the bone pieces, returning them to their ce one by one ording to a pre-designed sequence. Pieces of bone with attached soft tissues are rtively easier to reposition, just like leading an ox. There is a rope to guide it and slowly lead the ox into the pen. Free pieces of bone with no soft tissues attached would be like a free ox without a guiding rope; to get it into the pen, you can only drive it. It goes without saying which one is easier, leading the ox or driving it. ¡°Bend it, yes! Now straighten, over-extend it, further extend it, stop! Then return to the straight position, rotate it, slowly rotate it, good!¡± Professor Zhang directed Song Zimo and Xiao Mo as they precisely followed hismands. During the movements, Professor Zhang¡¯s hands never halted and he seized each opportunity to drive the ¡°ox¡± into ce. It was an even greater skill to reposition the pieces in motionpared to repositioning them in a still state. One needed to understand how to achieve the movement, when the opportunity to reposition the bone piece would arise during that movement, and how to control this bone piece to cooperate with the movement and fit into ce. The people next door watched the screen. Although they did not fully understand what they saw, they knew they were witnessing a highly skilled technique. Cameras shot from different angles, presenting multiple angle views. Some of the students even tried to mimic Professor Zhang¡¯s actions in the air as if they too had a patient under their hands. ¡°That will do!¡± Professor Zhang lifted his hand off Li Jingshu¡¯s forearm: ¡°let¡¯s have a look!¡± Inside, only Yang Ping was free. He stepped on the footswitch of the C-arm X-ray machine. An X-ray image of the forearm bones immediately appeared on the screen. The radius had beenpletely reset, but the ulna had not met the requirements. For bone fracture resetting, there are anatomical resetting and functional resetting. Anatomical resetting is topletely restore it to its pre-injury state, without any deviation. Functional resetting is to restore it to approximately its original state with a certain deviation, but this deviation will not affect your use of it, that is, it will not leave any disability. The ulna, however, didn¡¯t even meet the requirements of functional resetting. Professor Zhang shook his head. He was clearly sure of it. Was it unstable? The people next door had never seen real bonesetting techniques before. Usually, it is a simple traction and flexion for fractures of the distal radius or upper humeral fracture. It¡¯s not a genuine example of bone setting technique. Today, seeing this case of aminuted and clearly disced fracture of both the ulna and radius, the radius could be reset so well, they truly got to see real bone setting. Professor Zhang pondered, a fracture of the ulna and the radius is not simply about resetting the ulna first and then the radius. It is necessary to take both into ount as treating one could lead topromising the other since they function as a finely coordinated whole. ¡°Xiao Song, your turn! Xiao Yang, help with the traction!¡±manded Professor Zhang. He wanted to swap in another person. Maybe due to his age or not having operated for a long time, his hands may not offer the same sensitivity as before. Young people tend to have more sensitive nerve endings, and they may have a higher chance of sess. Moreover, he had trained Song Zimo personally and was well aware of his resetting skills. Yang Ping took over Song Zimo¡¯s position and held onto Li JingShu¡¯s elbow along with Xiao Mo to maintain the traction. Song Zimo helped Professor Zhang stand up, moved the chair back and assisted the professor in sitting down once again. Now standing in the position previously upied by Professor Zhang, Song Zimo started the resetting procedure. In truth, he was eager to show his abilities. He waspetitive and wanted to outperform others. The stronger Yang Ping¡¯s inability was shown, the greater he wanted to demonstrate his proficiency. Since childhood, he had been academically dominant. In his dictionary, there was no term such as ¡®second ce¡¯. A slight stir went up from the room next door. ¡°Does Song Zimo also know hands-on bone setting?¡± ¡°After learning with Professor Zhang for a few years, it¡¯s not just about knowing, he¡¯s brilliant!¡± ¡°It seems he knows how to do everything.¡± ¡°Can¡¯t help it, since he¡¯s so smart, he catches onto things as soon as he¡¯s taught.¡± ¡°It seems like he¡¯s good at basketball too.¡± ¡°Not just good, but a key yer in the hospital team. We won the Medical System Basketball Championship several times, and he yed a significant part in those victories.¡± ¡°Ah, how can someone be so skilled at everything? I¡¯d be satisfied if I was this good at just one thing.¡± ¡°Forget it,paring ourselves to others will only make us unhappy.¡± Yang Ping maintained the traction force, admiring Song Zimo. This guy was truly talented, and he wasn¡¯t bluffing. Song Zimo ced his hand, for the ulna! Now he needed to reposition the ulna. He furrowed his brows slightly, getting himself mentally prepared and focused on what he was feeling in his hands, bit by bit. To those around, it was hard to see much, only the careful handling of his hands, instructing his assistant to rotate, flex, and extend. ¡°How are we doing, Xiao Song?¡± Professor Zhang asked. Upon hearing the ¡®click¡¯ sound, Song Zimo nodded, ¡°It should be done now.¡± ¡°Let¡¯s do a fluoroscopy,¡± Song Zimo said, realizing that he was the only one able to manipte the C-arm machine, so he stepped on the switch himself. The image appeared on the screen. The ulna was repositionedpletely, but the radius was not yet repositioned. Despite this, everyone couldn¡¯t help but marvel. They managed to manually reposition such a fragmented fracture. Professor Zhang shook his head, it still wasn¡¯t satisfactory. Further attempts at repositioning might not guarantee sess. Professor Zhang analyzed that the previous attempts at repositioning might have damaged the soft tissue attachments of some bone fragments, leading to instability. They were stretching themselves too thin. Too many attempts at manual repositioning could lead to ossifying myositis, where certain areas of the muscle calcify and turn into bones. Thisplication may sometimes lead to severe functional disability and residual impairment. Professor Zhang once again examined the CT scans on the lights and said, ¡°Let¡¯s go for surgery. Call Director Han¨C¡± ¡°Stop!¡± The tears in Li Jingshu¡¯s eyes spilled over her cheeks. ¡°Please give it another try!¡± Li Jingshu pleaded. Professor Zhang shook his head, ¡°We can¡¯t try again. The fracture is unstable and it¡¯s hard to cater to both sides. Attempting again would only increase the damage.¡± Song Zimo looked a bit dazed, staring at the illuminated radiographs. Professor Zhang told him, ¡°To sessfully reposition this type of fracture, a person needs to use both hands simultaneously. The left hand repositions the radius while the right repositions the ulna, or vice versa. I could have done it before, but it¡¯s been a long time since I performed this kind of manoeuvre.¡± ¡°Can¡¯t the two of us work together? Reposition simultaneously. You handle the radius and I handle the ulna?¡± Song Zimo asked tentatively, unwilling to give up. But Professor Zhang shook his head again, ¡°It¡¯s not possible. The hands need to simultaneously sense and guide the bones¡¯ movements based on that sensation. Two individuals can¡¯t unify these sensory perceptions, let alonemand the movements. Furthermore, both hands need to work in perfect harmony. How can two persons possibly coborate seamlessly? It¡¯s as difficult as trying to y the same unknown piece on a piano with four hands.¡± Seeing Song Zimo¡¯s determined expression, Professor Zhang exined, ¡°If this happened thirty years ago, I could have repositioned it with both hands simultaneously. But, it¡¯s not as simple as just getting both hands to operate at once. Each hand needs to performpletely differently ording to a pre-nned strategy, just like writing different words with each hand simultaneously. It¡¯s easier said than done. It¡¯s a highly difficult procedure, and I can¡¯t do it anymore. We should move forward with surgery.¡± ¡°Simultaneous left and right?¡± Song Zimo thought of a term. Professor Zhang nodded, ¡°Correct!¡± Director Ouyang might have finished a surgery as he had time toe and check in on them. His graduate student immediately reported to him, ¡°We need to perform simultaneous left and right.¡± Upon hearing these words, Director Ouyang was reminded of a memory from over a decade ago. His senior had refused surgery for aminuted fracture of the radius and ulna with significant discement. When they sought help from a traditional Chinese medicine practitioner, the attempt to reposition the fracture failed, forcing them to seek help from their mentor. The mentor managed to arrange for him to see a centenarian in Beijing immediately. Ouyang had apanied his senior on that trip. The centenarian performed the simultaneous left and right operation, managing to anatomically reposition all those disced bone fragments. This left Director Ouyang so astounded that he reyed the scene in his mind for several days. Director Ouyang often shared this story with his graduate students, which is why they were familiar with the term ¡®simultaneous left and right¡¯.¡¯ Hearing this interesting term, a doctor standing nearby couldn¡¯t help but ask, ¡°You mean Zhou Botong¡¯s simultaneous left and right technique?¡± The graduate student responded, ¡°It¡¯s almost the same. Each hand independently maniptes the bone fragments, following different paths. Plus, they need to coordinate with each other, managing both sides equally. The difficulty level is extremely high. Although it sounds simple to position the bone by hand, the real skill is in the hands.¡± ¡°Ah, I think Professor Zhang should be able to do it. He studied this technique extensively in the past and has even learned from numerous masters.¡± ¡°He might have been able to in the past. But as he hasn¡¯t used this technique in a long time, we can¡¯t be sure if he can still do it.¡± Chapter 64 - 0062: Devil’s Hand Chapter 64: Chapter 0062: Devil¡¯s Hand ¡°Performing maniptions with both hands is the ultimate skill in bone setting, an unspoken secret. Professor Zhang mentioned it in his book, but only in passing¡ªwith no detailed instructions for training. Song Zimo had tried to practise it, but it was too difficult, and hecked a sufficient number of cases for hands-on practice. Eventually, he simply gave up. ¡°Don¡¯t try to reset it anymore, proceed with the surgery. We can¡¯t blindly continue. Operating with both hands is the most skill-intensive in bone setting. When I was studying under my mentor, he feared that this technique would be lost, so after much consideration, he finally passed it on to me, but under the condition that it remain confidential. To keep my promise, I didn¡¯t detail it in my book. This reticence is part of why traditional Chinese medicine has declined. If Western medicine were to be this secretive about their surgical techniques, I suspect even an appendectomy would be an unspoken secret.¡± Professor Zhang waved his hand dismissively. Li Jingshu¡¯s heart felt like it had plunged into icy water. Although she had prepared for surgery, the reality of confronting it was difficult to ept. She had no choice but to cry alone, quietly. ¡°Task: Eliminate the disease with a touch, perform aplex repositioning for a bteral forearm fracture, fulfill the patient¡¯s desire not to undergo surgery. Sess earns a reward of 8000 points and a loyal friend in the media industry.¡± Finally, the system issued another task, though the difficulty ofpleting it was high. Director Han entered, ¡°I¡¯ll go and speak with the patient¡¯s family to prepare for surgery.¡± They had already discussed and signed consent forms prior to the operation, but it was customary to still inform the family at this juncture. Just as Director Han reached the doorway, Yang Ping suddenly eximed, ¡°Wait!¡± Wait! Li Jingshu echoed. Like seeing a glimmer of hope in their desperation, Li Jingshu instantly tried to sit upright, but Yang Ping held her down. ¡°You have a solution?¡± In her desperation for treatment, her thinking was chaotic. If he could perform the five-section rentation, surely he must have a solution. However, the five-section rentation had nothing to do with bone-setting techniques. Li Jingshu understood this, but she insisted on connecting the two, forcibly using the former as a basis for thetter, just so she could cling to some hope. Self-deception. Song Zimo was taken off guard: ¡°You have a solution?¡± This referred to another solution, as performing maniptions with both hands was impossible. Director Han paused, ¡°Xiao Yang, what is the issue?¡± Professor Zhang also let out a sigh, ¡°Alright, don¡¯t waste time. Prepare for surgery. If swelling sets in, the surgery will have to be postponed.¡± Next door, everyone was about to depart, figuring there was nothing more to see of the surgery. They had all been excited by Professor Zhang¡¯s bone-setting technique; after all, in the medical field, Professor Zhang still retained some legendary status. But now, seeing Director Han pause and the discordant discussion within the room, it seemed the situation might be changing. Everyone settled back down. Director Ouyang said to Dr. Jin, who was urging for the surgery to begin, ¡°You go ahead, I¡¯ll sit here for a while.¡± Could it be that Professor Zhang was about to perform the technique of manipting with both hands? Among the younger people, only Xiao Lei, Director Ouyang¡¯s graduate student, understood this technique. His interest piqued, he was prepared to exin it to others. ¡°Is operating with both hands really that difficult?¡± asked someone beside him,pletely oblivious to the technique. Xiao Lei said, ¡°For one person, imagine beating two different drums with each hand, each with its own rhythm and melody, simultaneously. Would you find that difficult?¡± This did seem difficult, and the person beside him ceased talking. With everyone else clueless, Xiao Lei held the knowledge, naturally attracting everyone towards him for professional exnations. Xiao Lei fully enjoyed the feeling of being the center of attention¡ªwho wouldn¡¯t? ¡°I¡¯ll give it a go.¡± Yang Ping said with confidence. Li Jingshu voiced her support instantly, pleading, ¡°Let him give it a try!¡± Ast straw was better than nothing, regardless of whether it worked. ¡°You?¡± A trace of surprise shed across Song Zimoo¡¯s cool face. Right now, facing a challenging surgery, he wouldn¡¯t have any doubts. But bone setting? You would need arge number of case practices and a good mentor to guide you intensively. Without a mentor, which patient would willingly offer their fractures for you to manipte? ¡°Let me try once more.¡± Yang Ping requested. ¡°Xiao Yang¡ª¡± Director Han didn¡¯t understand why Yang Ping was persisting. Professor Zhang sat on his chair, turned his head, and stared at the light box for a long time before saying: ¡°Let him try, but only once. He can¡¯t take up too much time or stubbornly persist.¡± ¡°Okay!¡± Yang Ping was ted to receive approval. Song Zimo took over from Yang Ping to maintain the traction. Yang Ping moved to the outer side of the left forearm. Li Jingshu¡¯s originally fair and smooth arm was now covered in bruises with patches of dry blisters. ¡°Bring him a chair.¡± Professor Zhang instructed, and Director Han immediately brought a simple chair from the operating room for Yang Ping. Yang Ping sat down. His hands, like those of a pianist about to y a note, hovered over Li Jingshu¡¯s forearm for a moment, without touching down. ¡°Doctor Yang?¡± ¡°Is heing?¡± Xiao Lei in the next room noticed the change of people¡¯s positions in the room. Could it be that Professor Zhang was imparting his special wisdom and letting him experience it firsthand? Xiao Lei regretted not going in, he should have volunteered to wear a lead gown and stay inside. Yang Ping¡¯s hands gentlynded on the surface of Li Jingshu¡¯s forearm, starting to feel around. The information about the bone fragments was transmitted to the tactile nerves of his fingers through skin and muscles. Quantity, shape, location, condition, all were graduallypleted in his mind bit by bit. The feeling of bone pieces in his hand was intricate, like understanding, obedient elves. As long as he figured out their personalities, they would obediently move to their rightful position. The order of which one moves first and which one moves next is well-arranged, just as if a machine that could perform three-dimensional scanning was monitoring them at the moment. Those bone pieces must be truly adorable. They would kindly bypass each other, then return to their original positions and assemble back into their original forms. Operating with both hands separately, were it not for this kind of super cultivation technique, this would undoubtedly be an unreachable skill. ¡°Can he operate with both hands separately?¡± Director Ouyang immediately called out to Xiao Lei, ¡°A lead gown, grab a lead gown.¡± No matter how clear the screen is, even a close-up camera can¡¯t rece the real thing. Among those present, Director Ouyang might be the only one who had witnessed the technique of dual operation with his own eyes. People tend to have a sense of mystery toward these traditional techniques. The closed-off method of inheritance is likely to generate a sense of mystery. Director Ouyang put on a lead gown and took another one with him. Xiao Lei was following behind him, to which Director Ouyang said, ¡°Don¡¯t go in.¡± He was afraid that if everyone followed him inside, things would get out of hand. Director Ouyang gently opened the door separating the two rooms and silently went in. He stood aside and handed a lead gown to Director Han. Despite the preparation of a lead screen in the operating room, it was better to wear a lead gown. That¡¯s right, dual operation. This young man in his twenties could actually perform a dual operation. He had seen it over a decade ago and this was exactly how it was done. That scene had stayed in his memory for over a decade. From then on, he always treated traditional culture with deep reverence. ¡°Flexion, abduction, adduction, anteversion, slowly move to retroversion, stop, maintain at a traction!¡± Every order was like amand, no doubts, no reduction. This was the scene, this was the feeling. Director Ouyang was absolutely thrilled. The scene that had been imprinted in his memory for more than ten years being yed out again, how could it not make him excited. Each change in position, Yang Ping seized the opportunity during the motion and controlled different bone pieces with both hands, allowing them to return to their optimum position at the right time. Professor Zhang was struggling to his feet with the help of the chair, Director Han saw him and immediately supported him. His facial muscles were trembling. Young as he was, this young man could actually carry out dual operation, the highest art of orthopedic maniption. Where did he learn that? There must be someone who carefully guided him and through hard training, he mastered it. Moreover, without hundreds or even thousands of cases, he couldn¡¯t have practiced it. ¡°Maintain at an external rotation traction, the traction force is not enough, do not ck, keep your hand movements stable.¡± Yang Ping¡¯s tone was stern. Song Zimo immediately put a little more force into his hands. ¡°The splint!¡± Yang Ping¡¯s hands left Li Jingshu¡¯s forearm. ¡°Xiao Yang, shall we use the fluoroscopy machine first?¡± Professor Zhang suggested. ¡°Let¡¯s use the fluoroscopy machine after applying the splint!¡± Yang Ping said. ¡°Alright!¡± Professor Zhang agreed. Director Ouyang assisted in providing the splint, which was mped on from four different sides, front, back, inside and outside. The back splint was bent, crossing the elbow joint, the fixation beyond the elbow. The bone splints and pressure pads were ced correctly, and the splints were skillfully applied. The bandage was skillfully wrapped around in his hand, tied, trimmed, and fastened. ¡°Fluoroscopy!¡± Director Ouyang helped by stepping on the pedal. The X-ray fluoroscopy image shown on the screen. Those present in the operating room, all leaned closer to look; those in the room next door, stared closely at the screen. The radius and ulna bones havepletely returned to their original positions! A magic hand! Someone eximed in astonishment. Chapter 65 - 0063 What exactly can’t you do Chapter 65: Chapter 0063 What exactly can¡¯t you do ¡°Ding dong! Task aplished, patient¡¯s wish fulfilled, and the traditional orthopedic technique is promoted, rewarded with 8000 points, and a Super Orthopedic Trauma Cultivation Gift Pack is given.¡± This really is a super training technique. It was only after treating 5000 cases of forearm fractures that this unique skill was developed. Yang Ping sighed. ¡°Was it sessful?¡± Li Jingshu asked in a small voice. She was lying on the operating table. Although she could only see the ceiling, she could hear everything. Yang Ping stood by the surgical bed, his gaze fixed on the C-arm machine¡¯s screen, paying no attention to what Li Jingshu was saying. Li Jingshu wanted to tug at him, but her left hand was immobilized in a splint. Her right hand couldn¡¯t reach, and she was afraid to turn over in case she rolled off the operating table. ¡°Doctor Yang!¡± Li Jingshu¡¯s voice was much louder. Only then did Yang Ping hear her: ¡°Oh! Are you calling me?¡± ¡°Was it sessful?¡± Li Jingshu asked. ¡°Yep, you won¡¯t have to go work in the Northeast now.¡± Yang Ping stated casually. Li Jingshu was delighted; it was like being given a second chance at life after surviving a dangerous situation. ¡°Do you have tissues?¡± Li Jingshu asked. Who carries tissues during surgery? Yang Ping took a pack of sterile gauze from the cab and handed it to her: ¡°Use this, it¡¯s clean.¡± As he handed her the gauze, he realized she must be having trouble wiping her tears, given her left arm was fractured and her right had an IV needle in it. Yang Ping casually wiped her tears with the gauze, causing Li Jingshu tough foolishly a few times. ¡°Alright, let¡¯s take her back to the ward now, making sure to adjust the tightness of the splint and pay attention to her cirction,¡± Professor Zhang dered firmly. The X-ray disyed on the monitor left no room for dispute; both the radius and ulna bones were perfectly realigned. ¡°All finished here, everybody cane in now,¡± Director Ouyang called out. The anesthesiologist and the patrolling nurse came in. ¡°Transfer her to the Overseas Chinese Building!¡± Song Zimo eximed. He had nced towards Yang Ping several times. He had suffered two stunning blows in two days and was taking a hit to his confidence, temporarily unable to bounce back. ¡°Is there anything you can¡¯t do?¡± Song Zimo finally couldn¡¯t help but ask. Yang Ping responded: ¡°What do you think?¡± Song Zimo red at him. ¡°I¡¯ll go and talk to the family,¡± Director Han said, clearly still in awe. Xiao Mo also stared at the screen, stroking his chin, and only joined the group transferring the patient after Song Zimo urged him several times. ¡°Thank you,¡± Li Jingshu said as she moved to the wheelchair, pulling a funny face. ¡°There¡¯s no need to thank me. Just avoid asking such tricky questions next time,¡± Yang Ping muttered under his breath. The patrolling nurse, anesthetist, and Song Zimo escorted the patient whilst Xiao Mo stayed with Professor Zhang. Yang Ping, naturally, was held back until Li Jingshu had left the operating room. Professor Zhang asked: ¡°Where did you learn the ambidextrous technique?¡± Yang Ping could hardly say: ¡®The system¡¯s super-cultivation technique, after treating 5000 cases of forearm fractures, finally cultivated this pair of magical hands.¡¯ ¡°Professor Zhang, you mentioned it in your book.¡± Yang Ping scratched his head. ¡°My book only briefly discusses the concept, without revealing any details,¡± Old Zhang replied earnestly. Yang Ping said, ¡°Those few sentences were enough. Ambidexterity is nothing more than doing two different things with each hand at the same time. When I had just graduated, I read your book and started practicing. When I didn¡¯t have patients, I practiced with long bags of rice, hiding broken sticks in them.¡± Professor Zhang nodded his head slowly, ¡°Just doing two things at once,¡± he said, ¡°You make it sound so easy.¡± If it¡¯s not practiced, will it fall from the sky? This is the only exnation. Thinking about it, this exnation is quite reasonable. But the fact that this could be practiced indicates a high level of talent and significant effort. Professor Zhang looked at Yang Ping with a gaze full of appreciation and affection. ¡°Alright, let¡¯s return to the ward together and chat while walking. Get a wheelchair and push me; my legs are numb,¡± Professor Zhang decided not to probe further. Director Han patted Yang Ping¡¯s shoulder, ¡°Kid, I didn¡¯t know you had so many tricks up your sleeve.¡± Then, after letting out a few heartyughs, he said, ¡°Teacher Zhang, I have to pop over to the Overseas Chinese Building. This patient is the mayor¡¯s daughter, and I have to check on her frequently.¡± Professor Zhang responded with an ¡°oh¡±, showing no reaction to the mention of the mayor¡¯s status. After bidding farewell, Director Han left. Director Ouyang, remembering that he still had a surgery to perform with Dr. Jin, also excused himself and left. None of the people from the next room left; they probably didn¡¯t dare toe in because of Professor Zhang¡¯s presence. They were waiting for an opportunity to rush in, look at the X-ray film on the screen, and consult Yang Ping. Xiao Mo brought a wheelchair from the operating room and helped Professor Zhang sit on it. Yang Ping pushed the wheelchair while Xiao Mo walked along. They went to the changing room to change their clothes and then headed back to the ward. Mrs. Li, along with her assistant, was waiting outside Professor Zhang¡¯s ward, with Dean Sun and Head Nurse Yao Ling apanying her. Seeing Professor Zhang returning in a wheelchair, Dean Sun and the Head Nurse immediately went forward. Dean Sun said, ¡°Old Zhang, this is Li Jingshu¡¯s mother, Mrs. Li, the Mayor¡¯s wife. She insists on thanking you in person!¡± Mrs. Li, radiant and slightly bowing, entered the ward with the wheelchair and said, ¡°Professor Zhang, I can¡¯t thank you enough. Our entire family is grateful to you.¡± As someone experienced in dealing with all sorts of situations, her manner and speech were graceful and appropriate, which made everyone feel at ease. ¡°Oh! Why are you here? The patient has already returned to her ward.¡± Prof. Zhang said unexpectedly. The situation was a bit awkward, but Mrs. Li, unfazed, continued to smile, ¡°Indeed, Jingshu has just returned to her ward. Despite yourself being a patient, you didn¡¯t hesitate to perform the repositioning surgery for Jingshu. We are extremely grateful. This is a small token of our gratitude, you mustn¡¯t refuse.¡± Mrs. Li took the gift box handed over by her assistant, ced it respectfully on the makeshift table next to the bed. There were two boxes of Korean ginseng. Professor Zhang said, ¡°The repositioning was quite challenging. Yang did a good job with it. The bone is fully repositioned now, but there¡¯s still a risk of discement. We cannot afford to take it lightly.¡± Everyone didn¡¯t pay much attention to Professor Zhang¡¯sment about Yang doing the repositioning. Mrs. Li assumed that Yang was his student, and it was perfectly standard for the student to perform the operation under the guidance of the senior professor. Yang Ping and Xiao Mo helped Professor Zhang rise slowly and sit by the bedside. Professor Zhang waved his hand and said, ¡°Don¡¯t worry, I appreciate the sentiment, but take away these gifts. They¡¯re quite expensive but not particrly useful to me.¡± The situation was awkward, but Mrs. Li kept her smile andposed demeanor intact, not showing even a hint of displeasure. Dean Sun quickly smoothed things over, ¡°Mrs. Li, Professor Zhang has been practicing medicine for nearly sixty years and has never epted gifts from patients. We should not break his rule.¡± Mrs. Li immediately responded with augh, ¡°I apologize for the imposition, I admire Professor Zhang¡¯s integrity and code of ethics, so we won¡¯t breach his rule.¡± ¡°Professor Zhang, you should rest now. We won¡¯t disturb you any further.¡± Dean Sun promptly ended the visit. They made some small talk and then left Professor Zhang¡¯s ward. Little Five came looking for Yang Ping to take some photographs. Professor Zhang said, ¡°You all go and do your work, I will rest for a while.¡± Xiao Mo helped Professor Zhang lie down, Yang Ping tucked him in, and then turned off the room lights. Head Nurse Yao Ling was holding a banner, ¡°Come on, Doctor Yang, it¡¯s a token of gratitude from your patient.¡± Zhang Lin and Little Five stood on either side holding the banner, Yao Ling took the photos with Yang Ping in the center. After taking the photo, they showed it to Yang Ping. Zhang Lin took a peek and said grumpily, ¡°No beauty filter, this won¡¯t do. It has to filter out the e on my face. Let¡¯s retake the photo.¡± ¡°You¡¯re not the main character. Why do you want to look so handsome?¡± teased Head Nurse Yao Ling. But Zhang Lin was persistent, leaving her no choice but to retake the picture. ¡°Which patient sent this?¡± Yang Ping couldn¡¯t remember. ¡°It¡¯s the one who had an amputation at the construction site,¡± Little Five replied. Zhang Lin was looking at the photo on his phone with a grin. Little Fivemented, ¡°Zhang Lin, you didn¡¯t really participate in the rescue of this patient, why are you so keen on taking photos?¡± Head Nurse Yao Ling responded, ¡°If he doesn¡¯t take the photo, how would he brag to his wife about patients giving him banners again?¡± Zhang Lin immediately turned his phone away, ¡°Are you peeking at my text messages? Do you have any sense of privacy!¡± Chapter 66 - 0064: The Ultimate Cultivation Method Chapter 66: Chapter 0064: The Ultimate Cultivation Method The original n was to perform surgery for Li Jingshu this morning, but she no longer needs the surgery now. So they let the next patient move up in the schedule, but this patient sneakily ate some biscuits, the anesthesiologist did not dare to administer anesthesia, and the third case was scheduled earlier as a result. Zhang Lin went back to the ward to find the patient who ate biscuits and deliver preoperative education again. Little Five went back to the ward with him as well. A patient gave a banner of appreciation, and the senior nurse asked everyone to take a photo. After the photo, Yang Ping was ready to take them back to the operating room. A nurse ran over, anxiously asking: ¡°Where is the nurse manager?¡± She was just here, the nurse manager always walks like the wind. ¡°Doctor Yang, we have a problem.¡± Not seeing the nurse manager, the nurse turned to Yang Ping, perhaps believing that she could offer advice. ¡°Are you new here? Can you use the word ¡®problem¡¯ so casually? What¡¯s wrong?¡± Zhang Lin was not pleased. ¡°You alle over and take a look.¡± The nurse was very anxious, and she pulled Yang Ping along. Yang Ping followed her into the procedure room, Zhang Lin and Little Five followed also. In the yellow waste bin, there was a broken urinary catheter with blood on it. ¡°What¡¯s going on? You broke the urinary catheter. It can¡¯t be that violent, can it?¡± asked Zhang Lin in surprise. Breaking a urinary catheter is a low-level error. Even the interns can¡¯t make such a mistake. ¡°Oh my!¡± The nurse was stomping anxiously: ¡°It wasn¡¯t me, this was found in the restroom of bed 31. The patient in bed 31 is missing, his phone is off. The patient in the bed next to him said that when he woke up in the morning, the bed next to his was empty.¡± ¡°Bed 31? Isn¡¯t that Director Ouyang¡¯s bed? Who is in charge of that patient?¡± asked Yang Ping. ¡°Dr. Lei is in charge of this patient. He was admitted from the emergency roomst night with a wrist cut by a knife, with severed blood vessels, nerves, and tendons. The surgery was performed by the Director,¡± answered the nurse. The position of Director sounds prestigious, but in reality, it¡¯s a strenuous job. The full title is Chief Resident. The Chief Resident of trauma orthopedics is President Guo, who is also a resident doctor under Director Ouyang. Generally, before a resident doctor is promoted to an attending physician, he have to serve as Chief Resident for a year. This is a period of training that involves greater workload and higher work intensity. If he can perform emergency surgery, it will generally be his responsibility. A Chief Resident works all year round, 24 hours a day in or near the ward, ready for any call. Looking at the broken urinary catheter, an intern whispering: ¡°Could he have jumped off the building?¡± Little Five said: ¡°A jump from the building would have caused a big stir by now. Why would he need to break the urinary catheter to jump? Most likely, he escaped to avoid payment, check theputer.¡± The intern ran to theputer, and came back a few minutester, confirming: ¡°He owes over ten thousand.¡± He had just finished his surgery and had escaped after breaking his catheter. They had seen patients running away to avoid payment, but never in such a brutal and bloody manner. The urinary catheter has a balloon, which is generally filled with water or air, lodged at the mouth of the dder, so the catheter wouldn¡¯t slip out. The patient probably thought it would be inconvenient to run with a urine bag hanging, so he didn¡¯t realize there was a balloon, and thought pulling it out would do the trick. He exerted too much force and broke the catheter into two parts, leaving one part in the dder. The other part that he pulled out was discarded in the restroom. His violent pull likely damaged the urethra, which is why the catheter was covered in blood. ¡°Quickly report to the nurse manager and notify Director Ouyang¡¯s team,¡± Yang Ping made a swift decision. They came to him because they wanted help making a decision and share the risk. As for the procedure of handling these matters, they all knew. The nurse went to report immediately. Zhang Lin said: ¡°President Guo and Brother Lei will have to stock up on instant noodles again.¡± After this incident was handled, Yang Ping led everyone to the operating room. They ran into anesthesiologist Liang Fattying out of the restroom after a smoke: ¡°The patient just arrived.¡± ¡°Big Brother, you sit here and rest for a while, we¡¯ll go in first,¡± said Little Five. Yang Ping changed his clothes and sat in the dressing room. Director Han still had not returned from the Overseas Chinese Building, so he waited for a while to report the situation to Director Han in person. ¡°Yang, I¡¯m going in first too, alright?¡± Liang Fatty gave a shout. There weren¡¯t many people in the changing room at this time, Yang Ping closed his eyes to rest. Director Han should be arriving soon. Having just received a reward of eight thousand points, he thought it necessary to check the system. Currently, he had thirteen thousand in his ount, which was still not enough to buy training for pelvic and acetabr fracture surgeries. Every time he nearly reached the points goal, he had to spend some points toplete tasks. Thus, he was always short and could only wait for the next task to make a big ssh. What¡¯s the deal with the super training gift pack provided by the system? Whether it¡¯s 500 vicles or 5,000 forearm fractures, both are enough to be called super. Is there anything more super than this? Out of curiosity, Yang Ping entered the system space and opened the box on the screen. Inside was a small box; it seemed this present was fairly valuable. It had different packaging, not the ordinary gift bag pattern, but a delicate silver box instead. Open the treasure box, six thousand cases of human anatomy! Yang Ping felt sweat trickling down his back. Six thousand cases! Dissect one each day, that would total to sixteen years in there. That concept was overwhelming. Now, imaginations had to be big enough to keep up with the system¡¯s way of thinking. After some consideration, Yang Ping decided to let it be for a while, to store them up. At least for now, he wasn¡¯t daring enough to use them, they were too advanced. ¡°The treasure box can be used intermittently; it doesn¡¯t all have to be used at once,¡± the mechanical female voice said. If only she had exined this earlier, then he wouldn¡¯t have to be in such a bind. Previously the system demanded all packages to be fully utilized at once, so Yang Ping assumed it was still the same. Now that he didn¡¯t need to use it all at once, he could n properly and start off by trying a few dissections. ¡°Is there a requirement for the number of times it can be split?¡± ¡°No, it can be split any number of times,¡± the female voice answered. He had to understand these details clearly. It wouldn¡¯t befortable being trapped in there for years, not being able toe out. Even though it doesn¡¯t take up real time, for Yang Ping, the years spent in the system space were very real. The system was reliable, which put Yang Ping at ease. As he entered the space, the only tree there seemed more thriving. The light from the system was always so soft, and the air so clear. The mechanical hand hanging from the tree like an octopus¡¯s tentacle was motionless. The screen in front of him was very clear. Yang Ping started using the treasure box. The operating table appeared, a naked experimental bodyy on it, and the mechanical hand handed over a scalpel. Yang Ping started his dissection. The window in the top right corner disyed a 3D digital human anatomy chart, detailed, and clear. This was convenient for Yang Ping to learn throughparison. The window shed a choose button: dynamic dissection? static dissection? You had to choose one. What was the difference? The system did not respond. Whether it responded or not was all up to its mood. Yang Ping randomly selected one, dynamic dissection! It seemed far more advanced. With the sharp scalpel, he carefully made an incision, and blood sipped out. Yang Ping immediately stopped his motion. Was this supposed to be a body for dissection? It was a living human being! How could a body bleed? All the pores on Yang Ping¡¯s body stood at attention. He felt the person lying on the operating table, there was a heartbeat and breathing, the skin was rosy and warm,pletely like a living person. ¡°This is just an experimental body, not a real human body, you don¡¯t need to have any ethical concerns,¡± the female voice said, as if it wasn¡¯t the first time she had said this. Experimental body! Yang Ping regained his senses. This was not a person, just an experimental body. But still, he couldn¡¯t bring himself to continue. The human body on the operating table, the wound he had just cut, healed at a speed visible to the naked eye, without leaving any trace. ¡°Look carefully, humans cannot heal this quickly, this is a simted experimental body.¡± The system demonstrated and exined. Yang Ping calmed himself and affirmed that what she said was correct. But still, he chose to perform static dissection again, to see what was different about static dissection. He cut it open again, and not a drop of blood flowed out. It seemed that the experimental body was frozen at a certain moment. There was blood in the vessels, but it did not flow. In this case, even if it was cut open, no bleeding would be seen. Yang Ping deliberately severed a blood vessel. He could see the red blood inside, but it didn¡¯t flow. Was this the beginning of the super cultivation method? Static dissection seemed easier to ept. Yang Ping began with dissecting the upper limbs, then the lower limbs, pelvis, spine, skull, neck, chest, and abdomen. Finally, he finished dissecting an experimental body. The system did not care about the time of dissection, and there was no numerical timer. Yang Ping kept going like this, and by the time he had used one hundred experimental bodies, he had basically mastered human anatomy. As for the remaining five thousand nine hundred, take it slow. Dissection is something that leads to different levels of understanding at different times, requires reflection, and allows for settling. The operating table and the experimental body disappeared. Yang Ping sat under the tree. The tree had no withered branches and no yellow leaves, which showed that its vitality was extremely strong. In the distance, a waterfall fell from the sky, looking majestic and magnificent. Now, the space was no longer just a tree, it also had a waterfall. In the novels, aren¡¯t the system¡¯s skills always given directly? A sh of gold light, countless information pouring in, and the skills were obtained. It seemed that theory and reality always had a gap. Or, this system was rather primitive, like a version 1.0. Chapter 67 - 0065: The Third Strike Chapter 67: Chapter 0065: The Third Strike Director Han arrived in the changing room less than ten minutes into his rest. Yang Ping reported the catheter issue to Director Han. Director Han asked, ¡°Where is that piece of the catheter? Did you throw it away?¡± ¡°It¡¯s in the trash can of the disposal room,¡± Yang Ping honestly replied. Director Han said, ¡°You allck caution. How could you throw away the catheter? In such situations, you should keep the catheter, protect the scene, and have someone from the medical department investigate and record. This matter could be insignificant or serious.¡± While saying this, he dialed a number, ¡°Yao Ling, yes, I was about to tell you about it. Don¡¯t throw away the catheter. Report it to the Nursing Department. I¡¯ll report it to the Medical Department. Have someone find the catheter and guard the restroom where it¡¯s located.¡± After giving clear instructions, Director Han asked Yang Ping, ¡°Does Director Ouyang know about this?¡± ¡°They¡¯re all in the operating room, so probably not,¡± Yang Ping responded uncertainly. Director Han pondered for a moment and said, ¡°Remind me to bring this up with Director Ouyangter.¡± Situations like this needed to be addressed separately, not like other matters which could easily be rified with a few casual words during a stroll in his operating room. ¡°Where did you learn your incredible bone-setting skills?¡± Director Han suddenly changed the topic, swiftly taking advantage of the fact that they were the only two in the changing room, a perfect opportunity to ask his question. Yang Ping was taken aback. He thought Director Han wouldn¡¯t ask this question. He didn¡¯t expect him to bring it up so abruptly. ¡°I taught myself,¡± Yang Ping answered. ¡°Mastering the art of bone-setting single-handedly is as challenging as ascending to the heavens.¡± Director Han didn¡¯t question his credibility, and would believe anything Yang Ping said now. He just wanted confirmation from Yang Ping himself. ¡°Professor Zhang, it¡¯s important for you to learn from him often. He has a lot of knowledge to share with us.¡± Director Han emphasized ¡°us,¡± implying that to Director Han, Professor Zhang was also an excellent teacher. ¡°We are seeing more and more patients with severed fingers. The ward is under strain. I¡¯m thinking of expanding Trauma Orthopedics to two levels, and renaming it Micro Trauma Orthopedics. What do you think?¡± ¡°Creating a separate department for Hand Surgery isn¡¯t meaningful; it¡¯s just a branch of Trauma Orthopedics. If we could create Micro Trauma Orthopedics, it would leverage the advantages of our current microsurgery, without breaking down Trauma Orthopedics into smaller fragments.¡± Director Han¡¯s topic jumped wildly, changing without warning. ¡°I definitely agree with that,¡± Yang Ping agreed with Director Han¡¯s suggestion. Sometimes trauma cases encounter skin deficits. Having trauma orthopedics handle bone fractures while asking hand surgery to deal with p surgery is redundant. Hand Surgery is already a small branch of Trauma Orthopedics. ¡°I¡¯ve considered this for a long time. The development of the department in the future, Trauma Orthopedics is the driving force, and the other departments are dependent on it. The signpost for Microsurgery must be erected properly. The current development meets my expectations. There are now dozens of finger reattachments at the hospital. But who should be the director if we create Micro Trauma Orthopedics?¡± Director Han rhythmically tapped his thigh. Why wouldn¡¯t Director Han continue as the director? Yang Ping was a little puzzled. ¡°This is a dilemma. Tian Yuan won¡¯t do. You¡¯d have to follow me¡­¡± Director Han mumbled to himself, leaving his sentence hanging. ¡°The surgery should almost be ready. Let¡¯s go!¡± Director Han got up. With experience, they knew roughly how long it would take to prepare a patient for surgery and administer anesthesia. The timing couldn¡¯t be off by more than a few minutes. As expected, Little Five called, ¡°The surgery is ready.¡± The two of them went through the semi-restricted area and into the restricted area. The doors were automatically triggered, very responsive, without needing to manually press a switch. The door opens at a proper distance when approached and timely closes when leaving. Compared to other hospitals, Sanbo Hospital¡¯s operating rooms were far more advanced, mainly because the hospital was newer, which made things easier as modern systems could be implemented. Some hospitals, constrained by limited grounds in the urban area, could only expand by relentlessly establishing branches, taking the group-based development path. G City¡¯s Traditional Chinese Medicine Hospital was an example of this. There were several surgeries lined up. Director Han, Yang Ping, and Song Zimo were only operating on pelvic fractures and some particrlyplex fractures. Everything else was done by Yang Ping and Song Zimo. They performed the surgeries, but Director Han¡¯s name was written on the surgical records. This practice was tacitly approved. Subordinate doctors could grow this way; otherwise, they would be stuck in a vicious cycle ¨C not being allowed to perform surgery would prevent technical maturity, resulting in them not qualifying to perform surgeries. Under the guidance and supervision of senior doctors, it was perfectly legal and reasonable to be the lead surgeon in an operation beyond one¡¯s authority. Director Han was fighting for Yang Ping to get independent surgical authority, perfectly legitimate authority, which would impact his position within the hospital, his treatment, and future learning opportunities. The scheduled surgeries included fractures of the proximal humerus, distal radiusminuted fracture, distal femur fracture, ankle joint fracture, and probably two finger reattachments by thete afternoon or early evening. Professor Zhang Zongshun¡¯s Hermes patient could have scheduled surgery already, but he adamantly refused. While most patients would eagerly schedule their surgery, he was the odd one out who disagreed. Upon questioning, it turned out that they were worried that Professor Zhang¡¯s leg injury had not healed, preventing him from supervising the surgery in person. He said that injuries to the muscles and bones take at least a hundred days to heal, hence he would have to wait three months before performing surgery. He also mentioned that they had waited three years already, so waiting another three months was not an issue. The hospital doesn¡¯t have amodations for him to stay for three months, and the Overseas Chinese Building isn¡¯t an option either. This guy bought an apartment in amunity near the hospital, exclusively to use while waiting for surgery. Having no understanding of the world of the rich, all Yang Ping wants is to be a good doctor. He truly loves his profession! The houses near Nandu Medical University¡¯s Tumor Hospital are priced at triple or even five times the normal rental price, and hotels are even worse, in demand but not avable. Why? It¡¯s because the tumor patients are waiting for a bed in the hospital, generally not just for a few days, but for months. With no other option, they rent apartments as they wait, which has gradually led to the development of a rental industry around the hospital. Some unfortunate patients die before a bed bes avable. Given the current increase in the number of reattachment cases, he anticipatespleting the indirect task of one hundred finger reattachment surgeries ahead of schedule. Recalling that his points are still insufficient to purchase a pelvic acetabr fracture surgery training, he feels a bit frustrated. He wonders if he will only be able to buy it once hepletes this indirect task and gets the 50,000 points. Yang Ping is worried. His days are filled with frugality, spreading every minutia of ie as far as possible. He yearns for the day he can have financial freedom. ¡°I¡¯ll operate on the proximal humerus, and you guide from below?¡± Song Zimo¡¯s tolerance to setbacks is impressive. Despite the consecutive calling-outs these past few days, he hasn¡¯t given up his ambition to excel. He seems a bit smug, albeit slightly dampened from his earlier arrogance. It¡¯s just a proximal humeral fracture. Little Five has already moved the round stool to the corner. Yang Ping sits down while Song Zimo leads both Zhang Lin and Little Five onto the stage. ¡°Not using a metal te?¡± There is no metal te on the surgical table, nor is there a technician from the surgical toolpany underneath the table. ¡°Kirschner wire!¡± Song Zimo coldly responds. He is devoid of emotion, simply falling into habit. Apparently, at the annual G City medical sector basketball match, a group of die-hard fans will fervently cheer for him, but he remains indifferent to these fans. Although it¡¯s not the lower part of the humerus, splintered fractures like this on the upper end of the humerus presents high difficulty, even when fixed with Kirschner wires. Yang Ping is slightly interested, seeing Song Zimo as a Lion King. Indeed, it suits Song Zimo ¨C he is likely a Leo by the zodiac. Disinfecting sheets, attaching the suction tube to the electric knife, and meticulous pre-surgical checks that never be tiresome. The surgery begins. Song Zimo¡¯s surgical technique is excellent. For this right-shouldered patient, using a right hand to operate can be awkward, but Song Zimo can use his left hand. He is one of the few in the department who can use both hands equally well. There are others ¨C Director Han, Tian Yuan. As for Yang Ping, he is adept with both hands, using either hand as freely as the main hand is merely a distinction between primary and advanced lessons. Song Zimo¡¯s left-hand techniques are as proficient as his right-hand ones. Moreover, Song Zimo¡¯s surgeries have their own unique ir ¨C graceful movements, poses, chest-out head-down, movements confined mainly at the wrist. ¡°Raise your head!¡± Song Zimo¡¯s stern voicemands. Zhang Lin hastily straightens his hunched body. On the operating table, Song Zimo despises vulgar actions, a w which Zhang Lin unfortunately has. But Zhang Lin doesn¡¯t harbor any resentment. As Song Zimo¡¯s knife slices through the skin, a beautiful arc appears, a red line that gradually thickens from thinness. The skin parts, and then the subcutaneous deep fascia, the cephalic vein is pulled apart, smoothly entering through the muscr space, perfectly revealing the fracture. He has done many surgeries before ¨C during his studies, he was favored by his mentor. After he started working, he was deeply trusted by Director Han. Many surgeries that his peers wouldn¡¯t dare attempt, he could perform under the director¡¯s guidance. Indeed, a favored one of heaven, such is Song Zimo! This type of surgery is normally a breeze for him. But today, it bears a special significance. He ns to use the Kirschner wire and metal thread for this surgery, testing the Rubik¡¯s cube-like repositioning and fixation puzzle. He has poured quite a bit of effort into studying this, even mastering the rbination of a three-phase Rubik¡¯s cube, primarily to understand the significance of sequence in rbination. Yang Ping stands up and steps to the lightbox, carefully analyzing the X-ray films hung up. There isn¡¯t any CT 3D reconstruction ¨C was this deliberate? ¡°I¡¯ve drawn 120 diagrams!¡± Song Zimo announces. He is skilled in medical illustration. Yang Ping saw his illustrations once before, and they were stunning. As a surgeon, he is extraordinary, exceptional! Indeed, he has meticulously nned the repositioning sequence. It must have proceeded through meticulous brainstorming, constant trial and error, and optimization. Yang Ping believes the first person to solve the Rubik¡¯s cube must not have done it in one go but through multiple trial and errors, ultimately summing up the sequence of repositioning steps. Song Zimo has grasped the essence, understanding the core of this type of repositioning ¨C optimizing the sequence. If a single piece is out of ce, the entire project is a failure. Chapter 68 - 0066: Surrealism Chapter 68: Chapter 0066: Surrealism One hundred and twenty drawings for a single surgery. Aside from himself, only Song Zimo has this patience. Yang Ping admired him, genuinely! The stool is in the corner, not hindering others¡¯ings and goings. Yang Ping, leaning his head against the wall, takes a short rest, and enters the system space. Medical Illustration, this gap must be filled, a good surgeon needs to be proficient in image construction. But the system only has surgery training, there is no item for medical illustration. There¡¯s always a way, it can be achieved with the help of the system library. Yang Ping selects a few medical illustration books, as medical illustration is just the application of drawing techniques in medicine. It requires mastery of some basic drawing skills. There are many schools of drawing both in the east and west, which one to choose? The library has a vast amount of resources, grasping useful information in these resources is not a simple task. Yang Ping wants to ask the system, but itpletely ignores him. I had to find useful information from memory then, surrealism! Yes, that¡¯s the school. The most important thing in medical illustration is realism, to realistically reflect the object, what could be more real than surrealistic painting. Yang Ping selected a few more basic surrealism painting tutorials. The books¡¯ introduction to the art movement and some ssic paintings left Yang Ping dumbfounded. The verisimilitude of each painting exceeds that of high-definition cameras. One of them was even drawn with a ballpoint pen. And there was one painter who used their self-portrait as the photo for their United States visa application, and it was actually approved! A single painter¡¯s brush can be so expressive! Astonishing! From the tools of primitive humans to today¡¯s precision machinery, technological advances continue endlessly. And so does craftmanship, such as orthopedics, from the simple pull to the ultimate pursuit of left and right mutualbat techniques. Yang Ping began to learn to draw in space, starting with the most basic surrealistic painting, then applying it to medical illustration. I don¡¯t know how long the learning process took, but finally, I was able to draw a decent picture. Although it¡¯s not at a very high level, it¡¯s more than enough to illustrate a shoulder joint. Time passed quickly, and quietly managed to consume four thousand points, bringing the points down to nine thousand again. I can¡¯t consume any more points, I immediately exit the system space. Yang Ping pulls out a sheet of A4 paper from the printer next door, picks up the pencil next to it, and starts to draw. After finishing, he quietly hangs it on the viewing light. The fracture is fragmented, there are too many bone fragments, it¡¯s hard to know where to start. But Song Zimo is not daunted, he has Little Five and Zhang Lin on his side, he fixed the bone fragments with his right hand and held the electric drill with his left hand. The order of operation is clear in his mind, the Kirschner wires cross each other, it seems simple, but it is full of the mystery of mechanics. Science makes the impossible possible. With the stopping of the electric drill¡¯s buzzing sound, the surgery is sessful. Song Zimo tries to move the shoulder joint, the bone fragment fixation is very stable. The ingeniousyout of the Kirschner wires allows the bone fragments to form dynamic stability, tightening each other during movement. Rinse, suture, the operation is over. Song Zimo is like an eagle,nding from a storm, standing on a cliff rock. Yang Ping returned to sit in the corner, leaning against the wall, he enjoyed this rxing feeling. Little Five Zhang Lin cleaned up the aftermath, Song Zimo took off his surgical gown. On the viewing light, next to the X-ray, a piece of A4 paper with a drawing was added, Song Zimo, after throwing his gloves into the yellow collection bin, approached it. This is not just a simple medical illustration, it¡¯s an art of surrealism, a masterpiece of a pencil. Compared to a professional painter, it¡¯s not even entry-level. But as a medical illustration, it absolutely has a killer ability. There were only three pictures, one of the fractured bone, one of the reduction, and one of the fixation. Each bone fragment and each Kirschner wire was marked with a numerical order. The sequence of reduction shown in this drawing, the cement of Kirschner wires is better than his own method. Song Zimo turned his head to look at Yang Ping. Yang Pingzily threw him a sentence: ¡°There are many ways to restore a Rubik¡¯s Cube, yours is just one of them.¡± I used a hundred and twenty drawings just to infer today¡¯s proud result, while he thought of a better n in less than a single surgery¡¯s time. Little Five Zhang Lin also gathered interest in that drawing, but he didn¡¯t understand. When immortal beings fight, in the world of mortals, there is only the rumble of thunder. The lion-like determination needs constant activating, Song Zimo¡¯s potential extends far beyond, he cannot be struck down. Director Han is in discussion with the head nurse, evaluating what additional surgical equipment and tools the orthopedic department might need. It appears that the orthopedics department is soon to be Micro Orthopedics. Only two words will go upon the que, yet they symbolize an evolutionary trend, the emergence of aprehensive trauma orthopedics department is on the horizon. There have been some difficulties with the surgery that Director Tian is handling, so he requested Director Han¡¯s guidance. The patient had an acetabr fracture with apanying sciatic nerve damage. Having been injured for over ten days, he was transferred from another hospital. Yang Ping couldn¡¯t help but wonder what exactly those difficulties might be. Passing by the sink, he saw Su Yixuan teaching a few intern nurses the seven steps of proper hand washing. With a brief eye-contact, they greeted each other. Su Yixuan quickly nced at Yang Ping¡¯s flip-flops before returning her full attention to the intern nurses, continuing her teaching. Her voice is graceful, her Mandarin standard, and her pronunciation so clear. Turns out, the problem at Director Tian¡¯s end was the fact that during the surgical exploration, it was discovered that a fractured piece of the acetabulum waspressing the sciatic nerve. The sciatic nerve was crushed. Before the surgery, the patient¡¯s injured side had sensory-motor disorders in the lower limbs. After doing an electromyogram, it showed that there was a blockage in the transmission of the sciatic nerve, and the MRI showed that it was severed. A high peripheral nerve rupture, chances of recovery are slim to none. Likely to be chronically impaired. So, Tian Yuan requested Director Han came for a consultation. Technically, however, this isn¡¯t a big problem ¡ª it¡¯s just a matter of reattaching the nerve. How much function can be restored will be up to fate. Still, it is wise to let the director personally examine such matters, the more opinions, the better, doing so also helps to share the risks. ¡°Have we thoroughlymunicated with the patient before surgery?¡± Director Han asked, concerned. Tian Yuan responded: ¡°Yes, we were clear about the situation. The electromyograms from both the outside hospital and ours indicated that the sciatic nerve was severed. They had made a clear diagnosis.¡± ¡°That¡¯s good, let¡¯s proceed with a nerve anastomosis, using the microscope.¡± Tian Yuan tilted his head, and the patrolling nurse helped him put on the magnifying ss headset. With his hands floating above the patient, he began to join the nerves Surgery in mid-air is quite challenging, but Director Tian is very skilled. It¡¯s just that he is soprehensive in his work that it¡¯s easy to overlook. His gaining of Director Han¡¯s trust was not without reason. After finishing a surgery, Director Ouyang came looking for Director Han. Director Han had previously said hello to Director Ouyang in his operating room, promising to find some time to talk once he was free. Directors Han and Ouyang left the operating room, heading towards the changing room or the resting room. It was now noon, time to rest and have the surgical meal. Su Yixuan was still acquainting the intern nurses with the equipment in the operating room, she ran into Yang Ping again and said, ¡°Check your WeChatter, I sent a file to you.¡± A standard conversational tone between colleagues, nothing that draws attention. After saying this, she continued to exin the basics of the C-arm X-ray machine to the intern nurses, behaving like a gentle big sister to nursery students. A file, what file? Even punctuations are a big deal, let alone a file. Over here, Song Zimo had finished another surgery and was sitting in a corner studying a drawing done by Yang Ping. If their morning surgeries were done, they¡¯d rest; if not, they¡¯d continue working. The cleaning staff started cleaning the garbage in the operating rooms which had just finished surgeries, doing thorough cleaning and sterilization. Yang Ping opened his locker in the changing room and took out his cell phone. What file? A WeChat message from Su Yixuan: ¡°Top shelf, all the way to the left, in the surgical canteen cab. There¡¯s a bottle of chili sauce there with your name on it.¡± Everyday meals in the operating room are boxed meals provided by the cafeteria. Though the cafeteria food isn¡¯t too bad, the taste alwayscked a bit. Sometimes, staff will bring their own hot sauce, spices to add some vor. They usually keep these condiments in the canteen cab, marked with their names, to enhance their meals whenever necessary. Yang Ping had thought about this before but always forgets. A warm feeling sprouted within him. In the canteen cab, the top shelf, there was indeed a new bottle of hot sauce to the left, even with a little spoon aside. Little Five had already helped to get the boxed meal out of the food warmer and ced it on the table: ¡°Brother, here.¡± Yang Ping brought the hot sauce over and Little Five excitedly eximed: ¡°Wow, hot sauce!¡± Zhang Lin was eager to try it. Yang Ping felt something was wrong and stopped trying to open the bottle: ¡°This is expired, it can¡¯t be eaten.¡± Ignoring the hopeful gazes of Little Five and Zhang Lin, Yang Ping took the hot sauce back to the changing room, opened his locker, ced the hot sauce in the most inner part, made sure it was in a good spot, then locked the locker. Coming back, he naturallymented: ¡°I threw it out.¡± Song Zimo sat alone at the furthest table, he doesn¡¯t like to sit with others while eating. People who knew this wouldn¡¯t try to intrude, and for those who didn¡¯t know and sat together with him, they wouldn¡¯t talk either. It¡¯s no different than eating alone. The only difference is whether you upy a whole table or half of it. While eating, he was also studying that drawing, asionally using his fingers to measure or trace on it. Medical drawings too! Even with a touch of surrealism. Song Zimo looked up and turned his gaze towards Yang Ping. Chapter 69 - 0067: The Big Boss of the Overseas Chinese Building Chapter 69: Chapter 0067: The Big Boss of the Overseas Chinese Building After finishing his meal, Yang Ping collected his lunch box. Song Zimo passed by and picked up his lunch box, saying, ¡°I¡¯ll throw it away for you!¡± Without further words, he walked straight towards the big bin for collecting lunch boxes. Even throwing away a lunch box looked cool when he did it, Yang Ping thought. Wiping his mouth, he continued the surgery. Another whole day was spent in the operating room. In the afternoon, after finishing the rounds, Yang Ping took Little Five to the Overseas Chinese Building to see Li Jingshu. The small splint needed frequent monitoring of blood flow, and the tightness needed timely adjustment. Her mother was always with her, sitting by the bed, and she had ced a peeled apple on the bedstand¡¯s tray. Li Jingshu was wearing a coat, sitting on the bed. The moveable desk stretched across the bed, and she was typing one-handed on herptop. On seeing the doctore to check on her, Mrs. Li stood up: ¡°Everything is good, thank you all very much!¡± ¡°Sorry for the rush, I have to turn in my manuscript!¡± Li Jingshu stopped typing. She looked well and no longer had the gloominess she wore before. ¡°Let me check the blood flow in your fingers,¡± Yang Ping said. Li Jingshu carefully extended her arm. The blood flow in her fingers was good, and the tightness of the splint was just right. ¡°Thank you, Dr. Yang!¡± Mrs. Li was always polite. ¡°You¡¯re wee,¡± Yang Ping finished examining Li Jingshu¡¯s arm. He advised them about what they should pay attention to, like observing the blood flow. Just as he left the ward, he ran into Dr. Yu, who was in charge of the bed. Coincidentally, he was on duty. He was buttoning his white gown while chewing something in his mouth, probably just having a meal. Dr. Yu was particrly enthusiastic towards Yang Ping this time, apanying him to the doctor¡¯s office, moving chairs, and pouring water. News spreads fast in the hospital, Dr. Yu also found out about Yang Ping¡¯s exceptional bone-setting skill. Broken fingers were notmon, but it was inevitable that rtives or friends would have fractures due to falls. For instance, fractures of the distal radius, they now knew who to turn to for bone-setting help. There are surgeons everywhere, but doctors with excellent bone-setting skills, such as Director Kang from the traditional Chinese medicine hospital, were rare. He was a local celebrity, an inheritor of the intangible cultural heritage, and it was not easy to establish connections with him. When his aunt broke a bonest time, they wanted to have it repositioned at the traditional Chinese medicine hospital. They had asked many friends to help find connections, and in the end, it was a student of Director Kang who did the repositioning. First, he wanted to get familiar with Yang Ping: ¡°Senior Brother Yang, what should we pay attention to? Could we add each other on WeChat? It would be easier to consult you if anything happens.¡± Yang Ping let him scan his WeChat QR code. Doctors in the Overseas Chinese Building are exceptionally good atworking, a tradition that has been handed down. ¡°Xiao Yang! Come to do the rounds, huh?¡± Yang Ping turned around to see Director Zhuanging in, who hadn¡¯t gotten off work yet. Yang Ping immediately stood up to greet him. ¡°Sit, sit! We¡¯re all colleagues here, there¡¯s no need to be so formal!¡± Director Zhuang pulled a chair and sat down diagonally opposite to Yang Ping. His gaze naturally swept around and seeing a bottle of mineral water on the desk, he said, ¡°Xiao Yu, make some tea. Why are you letting Dr. Yang drink in water? There¡¯s excellent Longjing tea on my desk, bring it over. The office door isn¡¯t locked.¡± This was certainly no coincidence. Director Zhuang was deliberately waiting in the office for Yang Ping toe to do the rounds, then he would take the opportunity to chat and get closer to him. Director Zhuang was a shrewd man who saw things more clearly than others. There would be many uses for someone like Yang Ping who had mastered the core bone-setting techniques in the future. Among the dignitaries he knew, if anyone fractured a bone, other ces would require surgery. But here, one phone call: ¡°What surgery? Come here, let someone help you with bone-setting.¡± It was impressive, and his value would immediately rise several grades. Director Zhuang on the seventh floor of the Overseas Chinese Building, and Director Kong on the eighth floor, they were both cunning people from Sanbo. Those like them who had been lurking in the Overseas Chinese Building for years had cultivated theirworks with precision and their influence was far beyond that of ordinary directors. There was a guy in the emergency department, Xiong Sihai, who owned an amusementpany. Because of a license issue, they were suspended for rectification. Director Kong just made a phone call, and they resumed business the next day. It¡¯s said that Director Kong¡¯s brother owned a constructionpany with not many employees. Their tires had never even touched mud, yet they had vis and luxury cars. Many contractors were lining up to call Kong¡¯s brother their own, all because of his connections! ¡°Xiao Yang! Your bone-setting skill is hard to find. I have a rtive who had a distal radius fracture, and the reduction was not very good. It still hurts now. Could I have your WeChat? I will send you the X-ray filmter to get your advice.¡± It was hard for Yang Ping to decline, so he took out his mobile phone again, showed his QR code, and Director Zhuang added him immediately. Making friends with these crafty people is also a good thing. Friendship always brings many possibilities. In fact, the matter of the distal radius fracture had happened half a year ago. There was no point in looking at the films now. He was just finding an excuse to establish a connection and to have someone to rely on in the future. Although they were in the same hospital, if the person didn¡¯t want to help with bone-setting and refused to give you face, and they just suggested ¡°Surgery!¡±, you couldn¡¯t do anything. In one hospital, the rtionships could still be closer or more distant. After a while, it was about time to head home. Director Zhuang knew, ¡°Doctor Yang, you need to get off work. I will not hold you up any longer. Whenever you can, keep in touch. Do look after Mayor Li¡¯s daughter, Dr. Yu.¡± With that, he leaves. The nurse on dutyes over to Dr. Yu and mentions, ¡°The patient in bed no. 3ins of bloating again.¡± Yang Ping and Little Five make their exit. ¡°Could you please help me check on this patient?¡± Dr. Yu says, ¡°This patient underwent a joint recement surgery a week ago and has been continuouslyining about abdominal distension since then. The D-dimer values keep increasing instead of decreasing, although the repeated ultrasound examination showed no thrombus in the lower extremity.¡± In Dr. Yu¡¯s eyes, Yang Ping is a high-level doctor, despite being in the field of traumatology, specifically major surgery. He could provide some insight. Yang Ping had to help check the patient when asked, even if it was merely for formality¡¯s sake. ¡°Let¡¯s check the patient.¡± Yang Ping says. Clinical examination, direct questioning, physical examination, interpretation of patient data, these are all necessary. ¡°Doctor Yang?¡± Li Jingshu wearing a coat and carrying her injured arm, knocks softly on the doctor¡¯s office door. ¡°What can I do for you?¡± Yang Ping asks. ¡°Nothing, just¡­ Thank you.¡± Li Jingshu haltingly speaks. ¡°No problem, it¡¯s my duty.¡± Yang Ping says as he prepares to see the patient. Li Jingshu hasn¡¯t left yet; she stays at the doorway. ¡°Is there something else?¡± Yang Ping asks. Li Jingshu gives a small shake of the head, ¡°No, I just¡­ I wanted to apologize forst time.¡± Then she leaves. Apologize? For what? Yang Ping is left confused. Yang Ping has no time to ponder. Dr. Yu leads the way into the ward, knocks thrice and enters; the old man was reading the paper while his caretaker watches muted television. ¡°Old Zhou, this is our surgeon from orthopedics, you¡¯ve beenining about bloating, so I¡¯ve asked him toe and take a look.¡± Dr. Yu says. ¡°Oh that¡¯s fine, there¡¯s no need to worry. I¡¯m an old man, can¡¯t expect to be as fit as a fiddle. A car that¡¯s been driven for many years will have its squeaks.¡± Old Zhou says. Old Zhou lost a leg in the Korean War when it was bombed by the Americans, it¡¯s said that despite having only one leg, he still managed to kill several American soldiers. ¡°Dr. Yu, remember to take care of what we discussed earlier, help me transfer to a regr ward, I¡¯m not used to this one, it¡¯s too expensive.¡± In reality, his expenses are fully reimbursed, but he still insists on transferring to a regr ward. Old Zhou lies in the bed, curls up his legs and lifts his shirt to expose his belly. He¡¯s quite used to it; several individuals have felt his belly. Yang Ping listens to Old Zhou¡¯s bowel sounds, then conducts an abdominal examination. As a surgeon with strong basic clinical skills, this is not an issue for him. He begins palpating the abdomen with his finger. Maybe it¡¯s a benefit of practicing orthopedic manual therapy; he has a sensitive touch. He can clearly feel the liver, spleen, and intestines distinctly beneath his hand. But there¡¯s an unexpected hardness along the path of the inferior vena cava. Inferior vena cava thrombosis? Major orthopedic surgery, abdominal distension and persistent increase of D-dimer score. The history, physical examination, andboratory findings all point to the same conclusion. He¡¯s almost certain of the diagnosis! ¡°Old Zhou, you need to stay in bed and avoid movement,¡± Yang Ping says as he pulls down Zhou¡¯s shirt. Heading back to the doctor¡¯s office after washing his hands, Yang Ping says: ¡°It seems to be a case of inferior vena cava thrombosis! You say he¡¯s been bloating for a few days. I estimate that it¡¯s already beyond 24 hours.¡± A venous thrombosis, once dislodged can cause a fatal pulmonary embolism, with a horrifying 44% mortality rate. Orthopedic surgeons dread two things: infection and pulmonary embolism. The former is annoying, while thetter is perilous. The mere mention of inferior vena cava thrombosis makes Dr. Yu turn pale. This is a significant medical event, he must immediately contact Director Zhuang and report! Director Zhuang, having not left his office yet, asks: ¡°Inferior vena cava thrombosis?¡± Yang Ping says: ¡°I highly suspect it.¡± Director Zhuang immediately calls the director of the Cardiovascr Department. ¡°Strict bed rest, emergency abdominal CT scan plus venography; if confirmed, emergency imntation of an inferior vena cava filter.¡± Director Zhuang says on the phone while simultaneously giving instructions to Dr. Yu. ¡°We¡¯ll be taking our leave, okay?¡± Yang Ping quietly bids farewell to Director Zhuang and Dr. Yu. They wave him a goodbye, whilst still engaged in their phone calls. Chapter 70 - 0068: Snatching Surgery Chapter 70: Chapter 0068: Snatching Surgery When I got up in the morning. Dr. Yu from the Overseas Chinese Building sent a WeChat message: ¡°Doctor Yang, you¡¯re amazing. Indeed, it was an inferior vena cava thrombus. A clot was about to break off, that was close! We asked the cardiology emergency team to intervenest night and they put a filter in.¡± It turned out to be an inferior vena cava thrombus. It seems that physical examinations are not only important, but also require skilful hands. If it weren¡¯t for the extraordinary palpation ability gained during orthopedic training, I wouldn¡¯t have made such an urate diagnosis. It seems I should take the opportunity to improve my examination skills. Although there are many gaps in my knowledge, system points are always short. While washing my face and brushing my teeth, I casually entered the system space. To my surprise, my points had increased by 1,000 to a total of 10,000. I have not had any recent tasks, so how did I earn points? I checked the point tracking record and found a new entry under thest task: Sessfully diagnosing an inferior vena cava thrombus by physical examination, avoiding a fatal pulmonary embolism, rewarded 1000 points. When did that task get assigned? I didn¡¯t ept this task, did I? Yang Ping was really confused. Could the system have made a mistake? Just as I was wondering, the mechanical female voice said, ¡°After a recent system evaluation, the host performed well and the daily reward mode has been activated to supplement the task reward system.¡± Daily reward? Yang Ping inquired. The system was more patient with this, the mechanical voice continued to exin, ¡°Yes, in daily medical treatment activities, if significant positive oues are produced for the patient, you will be rewarded certain system points. It mainly focuses on surgeries and rescues.¡± This is good, providing an additional way to earn points. Otherwise, I¡¯d only be able to rely on system-assigned tasks. It can be rather passive when there are no tasks and you¡¯re left empty-handed. Although this channel does not offer many points, it is very stable. Over time, small amounts add up to make a substantial difference. This is essentially like having a basic sry. At least I won¡¯t go hungry. After the morning handover, Director Han led everyone on ward rounds. All patients were stable. Wang Feng gifted everyone a caricature. It was a scene of several doctors operating under the shadowlessmp. Everyone chatted with him for a while. He was quite optimistic and did not look like a patient with AIDS. His girlfriend was taking good care of him. After the rounds, when we returned to the office, we saw Director Zhuang from the Overseas Chinese Building. He was standing by the office window enjoying the view and saw Director Han and his team. Director Zhuang greeted Director Han and then shook hands with Yang Ping, ¡°Xiao Yang, I¡¯m really grateful for what you did yesterday. If you hadn¡¯t made the diagnosis in time, we would have all overlooked it. The thought is terrifying.¡± Director Han said with joy, ¡°Director Zhuang called me this morning to thank you in person. I told him it wasn¡¯t necessary, but he insisted oning.¡± Director Zhuangughed and said, ¡°Definitely, I must express my gratitude in person. Director Han, arrange for us to get together some time. It¡¯s been a while since we all got together. You set the time. I know you all are busy and I wouldn¡¯t dare to decide on my own.¡± ¡°I¡¯ll check and call you back,¡± said Director Han. Knowing they were about to head into surgery, Director Zhuang didn¡¯t wish to impose: ¡°You¡¯re busy. I¡¯ll leave now. Let¡¯s get together sometime soon. When I have spare time, I need to talk to the Dean about this.¡± I felt as if Yang Ping were a rtive of Director Zhuang, the respect he was showing was immense. Personal thanks, an invitation to dinner, and even going to talk to the dean about it. However, making friends with such an influential figure from the Overseas Chinese Building couldn¡¯t be too bad. It would make many things easier in the future. For instance, when I go home for New Year, I won¡¯t need to vie for high-speed train tickets. A phone call, and someone would deliver it to me. Do I get a holiday for New Year? No! After seeing off Director Zhuang, Director Han said: ¡°Xiao Wu Zhang Lin, go to the operating room to prepare for surgery. The two of youe to my office, where is Tian Yuan?¡± ¡°I just saw her doing the rounds.¡± ¡°Ask her toe as well.¡± Several of us sat down in his office. Director Han took a sip of hot tea and said: ¡°There¡¯s a patient with a severe pelvic fracture in Shipo County People¡¯s Hospital. It¡¯s quite a serious case, and ratherplicated. For now, they are conducting a skeletal traction. Director Miao invited me to assist with the operation. The consultation form was faxed to the medical department yesterday. I really can¡¯t get away, so I told Director Miao I¡¯ll send someone else. They will probably traction for about ten days before they can operate. Tian Yuan, you lead Yang Ping and Song Zimo there next Sunday. The radiographs are with me. I¡¯ll email them to you guyster. Have a look in advance and make a n.¡± Everyone took a look at the radiographs. Good heavens, the pelvic acetabulum was all fractured. It was a mess. Director Han is sending himself too, isn¡¯t he going to lend a hand to Director Tian? If I couldplete the system¡¯s training for pelvic fractures, I could definitely help Director Tian. Unfortunately, I haven¡¯t been able to buy the training package. Now that there are daily point rewards, with ten days until we go to Shipo County, there might be a chance if I can keep doing surgeries crazily. Once the decision was made, it was immediately put into action. In the operating room¡¯s changing room, Yang Ping put on his cap and mask in front of the mirror, saying to Song Zimo, ¡°I¡¯ll handle all surgeries for the next ten days¡ªdon¡¯t interfere. Also, speak to President Guo about my taking over his emergency cases for that period too.¡± Shocked, Song Zimo asked, ¡°What do you mean? You¡¯re not even sparing the emergency operations?¡± Yang Ping nodded and said, ¡°Don¡¯t ask questions, just help me get it sorted,¡± before walking away. Touching his forehead, Song Zimo mumbled to himself, ¡°Okay! It¡¯s settled!¡± Zhang Lin asked Little Five, ¡°Is big brother okay?¡± Little Five couldn¡¯t figure it out either. Looking thoughtfully around and seeing no one else, he said mysteriously, ¡°Eighty percent chance he has won over Su Yixuan and is raising money for a diamond ring by doing some extra surgeries for amission.¡± ¡°If that¡¯s the case, I should stock up on instant noodles.¡± Zhang Lin nodded. ¡°What¡¯s it got to do with you?¡± Little Five replied. Zhang Lin said, ¡°I¡¯m raising money for a red packet! I can¡¯t be stingy¡ªit can¡¯t disgrace our brothers.¡± ¡°Good point, also help me buy a box while you¡¯re there. I like the braised beef vor.¡± Little Five said seriously. The word from Song Zimo ted the boss. He was indeed delighted that someone intended to relieve him from the surgical duties ¨C he wasn¡¯t hearing things wrongly, was he? ¡°Are you sure?¡± President Guo seemed a bit puzzled. Song Zimo assured, ¡°Definitely. Big Brother has been studying some operations recently and needs to collect cases. There will be a lot of cases, so¡­¡± ¡°Alright, what if we let Big Brother collect even more cases, so he could cover the entire month?¡± President Guo was generous. Song Zimo rolled his eyes at him and dropped a remark, ¡°Hmm, remember where the operating room door is?¡± ¡°Over there?¡± President Guo was a bit confused. Young Master Song¡¯s words were always so cryptic. Unable to do anything, Song Zimo had to serve as an assistant for ten days. Zhang Lin and Little Five pulled out all the stops to persuade Director Tian¡¯s team to schedule surgeries, all for the sake of research, hoping for their support. Before they could extend their reach to other groups, Song Zimo promptly curtailed all attempts. It was different with Director Tian, considering they were all brothers. Reaching out to other groups would not be well-received. President Guo¡¯s days were quite splendid, watching dramas in the duty room, with snacks provided by Zhang Lin and Little Five. Since taking over the hospital, he had not had such an easy time. Fate worked in mysterious ways ¡ª sometimes, when it wants you to have a good time, you don¡¯t even have a choice to not enjoy it. After ten days, Yang Pingy in the duty room, exhausted. He began to do some tallying. 12,000 points¡­ umted painstakingly from daily rewards of a few tens to a couple of hundred points, were added to the previous 9,000 points, making it a total of 21,000 points. Finally, he could afford the 20,000-point pelvic-acetabr surgery training. umting more than 20,000 points was not easy, but it filled thest gap in trauma orthopedics. Yang Ping entered the system space. He still had 5,900 out of the 6,000 anatomy cases left from the super cultivation method. He started with a few dozen partial dissections of the pelvis. Not wanting to waste the specimens, after the partial dissections, he carried out full-body dissections. Afterpleting the dissection of the specimens, Yang Ping went ahead with the training for pelvic-acetabr fractures. Pelvic-acetabr fractures are high-risk and difficult, so the system training package starts from 3,000 cases. He purchased 3,000 cases of pelvic-acetabr fracture surgery for 20,000 points. It started with few hours per surgery, then reduced to half an hour, andter, the fastest cases werepleted in just ten minutes. It wasn¡¯t until the system assessed his proficiency at performing these surgeries as perfect that he left the system space, having spent several months there. Looking at his skill upgrade, trauma orthopedics had reached the master level, indicating that all the branches within trauma orthopedics had been mastered. The foundation was finallyid! Chapter 71 - 0069 The Trip to Shipo Chapter 71: Chapter 0069 The Trip to Shipo Sunday, heading to Shipo County. Song Zimo¡¯s BMW is veryfortable. Yang Ping sits in the passenger seat, with Director Tian behind the driver¡¯s seat. The car is stocked with a few snacks and bottles of water. Yang Ping has been too tired these past ten days, he reclines his seat and sleeps. Although he¡¯s physically exhausted, he feels reassured at heart, a sense of relief that makes himpletely rxed. It¡¯s his first time assisting in a surgery. He¡¯s working with Director Tian, who is technically all-rounded, reliable, and dependable. However, if he hasn¡¯t independently performed a pelvic acetabr surgery, some technical shorings may remain, which could make him feel uncertain. Just in case, he fears the off-chance he¡¯ll need to operate independently, even though the likelihood is almost zero. But having been a doctor for so many years, he¡¯s used to preparing thoroughly without leaving anything to chance. Had it not been for this surgery, he would not have felt this sense of urgency in Sanbo Hospital. The moment he heard about the surgery, remedying his shorings became a top priority. It¡¯s simr to making sure you fill up your gas tank before getting on the highway for peace of mind. Fortunately, he pushed himself these past ten days, earned the points, andpleted the system¡¯s training on pelvic acetabr fracture surgery. Now he¡¯s finally reassured, there¡¯s no weakness in traumatology anymore. Shipo County is a remote area in Nandu Province, located at the junction of three provinces. Even though it¡¯s only a county hospital, the patient source is extraordinarily rich, making it a quasi-third-grade-A hospital. This reasoning is interesting: Because it¡¯s remote, patients rarely travel elsewhere for treatment. Unless they have a major illness, they will most likely seek treatment locally. In recent years, their hospital dean has made substantial reforms, attracted and retained talent, as well as upgraded the facilities. Hence, the hospital has been growing incrementally each year, attracting patients from neighboring counties and cities. The highway snakes through mountainous terrain with numerous tunnels, the longest of which takes about ten minutes to pass through. Song Zimo wears prized sunsses and a Bluetooth headset. His driving skills are impable, extremely smooth. ¡°Doctor Yang, I hear you¡¯ve been working on research and collecting surgery cases. What kind of research is this? Why hasn¡¯t there been much progress?¡± Tian Yuan asks Yang Ping. They need to find a topic to talk about during the several hour-long journey, or it will be too dull. Tian Yuan thinks: He¡¯s responsible for the research in his department, yet this guy has not given him any hint. What secret n is he working on? ¡°Research? What research?¡± Yang Ping is confused. Song Zimo, worried that Yang Ping might spill the beans, quickly interjects: ¡°It¡¯s nothing special, actually. After ourst seminar, Professor Zhang Zongshun suggested we collect cases and write a book ¨C ¡®Internal Fixation Structure¡¯. We just want to perform more fracture surgeries on the limbs, and follow up on the biomechanical performance of different internal fixations.¡± Yang Ping turns to look at Song Zimo, wondering what he¡¯s talking about. Song Zimo, who is driving, tries to signal him with his eyes. Damn it! The rearview mirror is reflective, it¡¯s not a good ce to signal with his eyes. ¡°Your research cases¡­ Little Five and Zhang Lin got some from Director Tian for you.¡± Song Zimo is smart and reacts quickly. Yang Ping finally realizes what he means and promptly replies, ¡°Right, I thought you were talking about some kind of research. It doesn¡¯t count as research. There¡¯s no official project yet, we are just preparing the preliminary data.¡± ¡°What do you mean ¡®digging for patients¡¯? Don¡¯t make it sound so serious. Really, if you need anything, just let me know. We¡¯re all brothers.¡± Director Tian chats happily with them, not acting superior because he¡¯s an associate attending physician. ¡°Thanks, Brother Tian!¡± Song Zimo says immediately. ¡°Little Five and Zhang Lin asked me for surgery patients, saying it¡¯s for your research. They bumbled around when asking about the specific topic. I thought you guys might have something confidential that I figured I wouldn¡¯t ask too much about, so that¡¯s what this is.¡± Tian Yuan takes out a pack of chewing gum, gives two to Yang Ping from behind. Yang Ping keeps one for himself and gives one to Song Zimo. ¡°The Orthopedics Director of Shipo County, Director Miao, is good friends with Director Han and has referred many patients to us. Therefore, Director Han takes this case very seriously. If our hospital can expand its influence in the Shipo area, there will be a significant increase in our patient source. Don¡¯t underestimate this area, it¡¯s all mountains. It lies at the border of three provinces, concentrates the patients from the border of three provinces. Though it¡¯s nominally a county hospital, it practically serves as a regional central hospital. Transportation here is inconvenient, it¡¯s far from the provincial capital, there are no high-speed rails or trains. Patients here generally don¡¯t travel elsewhere for treatment, especially now that they have medical insurance, they are even less willing to travel.¡± Director Tian has been working at Sanbo Hospital sincepleting his Ph.D. He has always been with Director Han and is very familiar with the situation. He used to frequently perform surgeries here with Director Han. ¡°This patient¡¯s pelvic fracture is quite serious, quite tricky,¡± Song Zimo said while driving. Director Tian reminded, ¡°Focus on driving. This is a winding mountain road, keep your spirits up.¡± ¡°I¡¯ve also checked the scans, it indeed looks tricky,¡± Yang Ping said. ¡°I¡¯ve studied it for several nights, made a lot of ns. Director Han asked me to bring you guys here to ensure the absolute safety of the surgery because he was worried that their team wouldn¡¯t be as skilled as ours,¡± Tian Yuan passed another bottle of water. Yang Ping opened it and took a sip. Director Tian¡¯s phone rang. It was Director Miao asking where they were. Everyone chatted casually along the way, enjoying the rare leisure. Their usual work didn¡¯t allow as much idle chatter as the conversation in the car right now. When the sedan entered Shipo County, the houses along the roadside reminded Yang Ping of his hometown, another small county. Yang Ping¡¯s father was a rural doctor, the kind used to be called a barefoot doctor, who carried a medicine box and walked everywhere. Nowadays, with the economic development in the countryside, living standards have improved, and health stations have been established. Adding to that, Yang Ping passed the university entrance exam and got a job after graduation. Life for Yang Ping¡¯s parents is quitefortable now. ¡°After I graduated from Huaxi, I worked in a county hospital, doing general surgery,¡± Director Tian began reminiscing after seeing the familiar scenery. Yang Ping knew quite a lot about Director Tian from Zhang Lin. He¡¯s a practical and low-key person, who blends in well with the young doctors without any airs. When there were graduate students who struggled financially, he voluntarily lent them some pocket money. Therefore, many young doctors aimed to be in his team. Afterpleting his undergraduate studies, he did general surgery in a county hospital for three years before getting into Huaxi for his postgraduate studies. With excellent grades, a knack for writing papers and doing surgeries, he was rmended by his advisor for abined Master and Doctorate course. With the help of his supervisor, he was able to pass his attending physician exam during his study. After graduating, he started working at Sanbo Hospital. After two years, he smoothly rose to the position of associate attending physician, advancing steadily at every step of his career development. At the age of thirty-something, he led his own team, capable of working independently. Director Tian is from Shaanxi, where he had many siblings and grew up in a poor family. It¡¯s said he even wore patched pants when he was studying for his master¡¯s degree. Later, he made his way through his studies by earning money from helping others write papers. Now that he¡¯s leading a team, he obviously has no financial problems. He owns a house and a car, and leads a happy family life. He hasn¡¯t forgotten his roots and often provides financial aid to his siblings. Some of his siblings are even working in G City with his help. He often helps his fellow vigers when he returns home. I¡¯ve heard from Zhang Lin that a primary school teacher in his hometown fell off adder, fracturing his femur. Unable to afford the medical bills, he had to endure the pain at home. Director Tian contacted his former colleagues at the county hospital and had the teacher transferred there. He not only helped to pay the medical expenses but personally performed the operation as well. The teacher fully recovered afterward. ¡°We¡¯re almost there. Director Miao asked us to park at their hospital¡¯s parking lot. He¡¯ll be waiting for us at the exit,¡± Director Tian reminded Song Zimo. After leaving the freeway, Song Zimo slowed down, drove on a section of the cemented highway and the car entered Shipo County. Following the navigation, they parked at the Shipo County People¡¯s Hospital. Director Miao was personally waiting for them at the parking lot exit. He was of average build, a bit chubby, and wearing a white shirt. He recognized Director Tian and had seen him perform surgeries before, now that Director Tian was here, he felt reassured. Director Miao greeted everyone warmly with a handshake, ¡°Thank you for your hard work. Let¡¯s go have lunch first? We can also rest a bit. Everything is arranged.¡± Checking the time, Director Tian said, ¡°It¡¯s still early, no hurry. Let¡¯s go to the department and see the patient first.¡± Chapter 72 - 0070 The Charm of the Professor Chapter 72: Chapter 0070 The Charm of the Professor Director Miao was deeply moved by Director Tian¡¯s dedication and professionalism. Without saying much, he led everyone to the department. Shipo County People¡¯s Hospital might not be able topete with big city hospitals, but it is definitely leading in this region. The new hospital building is notably impressive, and the old building has also been renovated and looked as good as new. There are many patients in the hospital area, people keeping and going. We took the elevator to the orthopedics office, where many doctors were still on duty. Some were talking to patients, some were writing medical records, and others were gathered around aputer looking at X-rays. Upon hearsay that the professors had arrived, they all wanted to see for themselves, so they purposely postponed their lunch. ¡°Everyone¡¯s here, these three professors are from Sanbo Hospital in G City, Professor Tian, Dr. Song, and Dr. Yang.¡± Everyone stood up and apuded to wee them. At first, Director Miao had intended to introduce them as Professor Song and Professor Yang, but considering they were very young, he referred to them as doctors instead. ¡°This is our doctors¡¯ office, it¡¯s a bit rudimentary.¡± Director Miao said with an inviting gesture. Director Tian casually nced around the room and said, ¡°Director Miao, your hospital is changing for the better every year. Not only is the building environment beautiful, but each doctor also brings a powerful energy that can¡¯t help but make people feel trusted and secure. No wonder patients from all three provinces are flocking here.¡± Older doctors who had met Director Tian before came over to shake hands and exchange greetings. These doctors were secretly observing them. Generally, they asionally invited professors to perform surgeries, but none of them have had such strong auras. Director Tian has a graceful demeanor, a refined speech, and an aura of a well-read man, giving a sense of maturity and stability. Song Zimo is tall and handsome, full of vigor, with a single shoulder bag slung across his body, is holding Director Tian¡¯s document bag in his hands, and has a somewhat wavy thick hair, giving him a unique blend of Eastern and Western charm. Although Yang Ping couldn¡¯t be described as handsome, he does have aparatively pleasing look, and his eyes were full of confidence. The doctors marveled at how different they seemed to be from those from big hospitals. ¡°Would you like toe and sit in my office?¡± Director Miao suggested. ¡°No need, we¡¯ll stay here and look at the x-rays first,¡± said Director Tian. Although these films have been viewed countless times, they still had to go through the motions. This was done to reassure the host, otherwise, it would seem a bit flippish to start operating as soon as they arrived. ¡°Xiao Tao, hang up the films.¡± Director Tian called the ward doctor. Xiao Tao, who in fact wasn¡¯t young, and looked older than Director Tian, immediately responded, ¡°Director, they¡¯re already hung up.¡± A few films were already hung up on the light for viewing. Director Tian walked up to the light, Director Miao apanied him, and Yang Ping and Song Zimo stood on either side. Everyone else gathered around. Director Tian adjusted his gold-rimmed sses and said, ¡°Hmm, the anterior and posterior pirs of the acetabulum are fractured, discement is obvious, the sciatic nerve behind must be affected bypression or tension, are there any neurological symptoms?¡± ¡°Yes, the muscle strength on the injured side of the lower limb is at level 3.¡± Dr. Tao said. Dr. Tao, who was also in his thirties, had thin sparse hair, and could see his scalp clearly. He looked older than Director Tian, which made him feel somewhat ashamed. He was just a newly promoted attending doctor at such an age, working day and night shifts while Director Tian, a professor in his thirties, was performing surgeries all around at major hospitals. He was filled with mixed feelings about the contrast. ¡°The of the ilium and the sacrum are also fractured, and the sacroiliac joint is clearly separated. Let¡¯s go and see the patient.¡± Director Tian sinctly summed up the condition urately. He didn¡¯t show off with English words or specialized vocabry, but still demonstrated his high-level proficiency, without making people feel he was condescending. Dr. Tao led the way, Director Miao guided, and they all went to the ward to see the patient. The rtives became excited when they learned that the professor had arrived. The patient, a 35-year-old man, was injured in a car ident. He was lying on the bed, with his right lower limb in skeletal traction from the femoral epicondyle. One of the several rtives by the bed was holding a document bag, who seemed to be making the decisions. He looked a bit older than the patient. His ck shirt was smooth and shiny like silk, and they looked simr, so he was probably the patient¡¯s brother. The man with the document bag immediately stood up. Director Miao introduced, ¡°This is Professor Tian that we invited. He just got here and wanted to see the patient right away. It took a lot of effort to get Professor Tian here as he is very busy.¡± The man shook hands with Director Tian, ¡°Thank you, Professor Tian, we are extremely grateful!¡± The patient himself didn¡¯t say much, just looked around. ¡°I¡¯m going to examine you now, please let me know if you feel any pain,¡± Director Tian said in a soft voice. After obtaining the patient¡¯s agreement, Director Tian pulled the patient¡¯s clothes up to the chest to expose the abdomen and chest, and began to examine him very seriously. They had only seen the x-rays before, and this was the first time they saw the patient. Often at this time, new information can be found, things that the x-ray might not have captured, or things that may not match the initial assessment. Following the strict orthopedic examination procedure of inspection, palpation, motion, and measurement, he examined from the healthy side to the affected side, from local to systemic. First, look for any deformities in the pelvis, shortening of lower limbs, muscle atrophy, and the color of the cornea and lips. Then check the sensitivity of the skin, the movement of the toes and perform palpations on the abdomen and chest, finally asking about the color of stool and urine. The examination isprehensive, thorough, with highlighted key points, reflecting excellent professionalpetence. Director Tian picks up the patient¡¯s wrist and counts the pulse. ¡°Do you have a stethoscope?¡± Director Tian asks. Surgeons seldom carry stethoscopes, everyone nces at each other. Director Miao loudly asks: ¡°Who brought a stethoscope?¡± There is no answer, no one brought it! A versatile doctor, runs and returns huffing and puffing with a stethoscope in hand, gives it to Dr. Tao and then to Director Tian. Director Tian pulls up the patient¡¯s clothing a bit more and bends over to begin auscultating. First, he listens to the lungs, there are no problems. Next is the heart. After listening to the five standard auscultation areas, he focuses on certain special parts. ¡°Murmurs can be heard in the third and fourth intercostal spaces on the left edge of the sternum, from grades four to six with palpable thrills, indicating a small ventricr septal defect,¡± Director Tian stands up. ¡°Yes, he has congenital heart disease.¡± The patient¡¯s family immediately responds. The doctors observing are privately amazed, a professor is a professor, even the auscultation of the heart by a internist is this proficient, big hospitals are truly different. Director Tian continues to listen to the abdomen and says, ¡°The bowel movements are rather slow, you often have bloating, right?¡± ¡°Yes, Professor, my stomach has been ufortable, like it¡¯s filled with gas,¡± the patient answers himself. The professor hits the nail on the head each time. Director Tian says: ¡°The hematoma behind the peritoneum stimtes the abdominal nerve plexus, leading to slower intestinal motility and difficulties with bowel movement and gas discharge, let me check the medical record.¡± Dr. Tao passes the medical record, Director Tian carefully checks the course of the disease record and examines the inspection items one by one. ¡°The hemoglobin is a bit low, only 90.¡± ¡°Well, you¡¯re lucky. No injury to the rectum or urethra,¡± Director Tian says while looking. When he gets to the page with the electrocardiogram, he unfolds the EKG paper, reading as he goes along, ¡°There is an rSr wave in the V1 lead, indeed indicating a small ventricr septal defect.¡± The electrocardiogram report indicates: sinus rhythm, 80 beats/min, and generally normal EKG. When the patient hears this, he realizes he indeed has this condition. Because he didn¡¯t feel significantly ufortable, he didn¡¯t pay much attention. This time after getting injured, he didn¡¯t mention it to the doctor. The professor is incredible, he figured it out just like that. ¡°Yes, Professor Tian, I do have this condition. I had a heart ultrasound during every physical check-up, I visited several hospitals, the doctors said it was congenital and the defect is very small, no need for surgery,¡± The patient and family members are sincerely convinced. The doctors in the room are alsopletely won over, he can even read EKGs, more urately than cardiologists and the EKG department. You can¡¯t help but respect him. ¡°Please ask the cardiology department toe for a consultation for the heart issue, and ask the surface ultrasound office to do a bedside surface ultrasound, and quickly!¡± Director Miaomands. This professionalism is different. Director Miao¡¯s face is filled with confidence, the person was invited by him, of course he looks good. Director Tian, holding the patient¡¯s hand says, ¡°The surgery is challenging and risky, but don¡¯t be too nervous. We will do our best, aiming for perfection.¡± The patient continuously nods his head. After seeing the patient, they return to the doctor¡¯s office. Director Miao says: ¡°The operation is scheduled for two o¡¯clock in the afternoon, we¡¯ll first go to the office for a cup of tea and take a short break, then go for lunch.¡± ¡°Okay!¡± Although Director Tian is young and not very famous, he¡¯s not doing a swift surgery for the first time, he knows the ropes. Director Miao leads them to the director¡¯s office and pours a few cups of tea. Director Miao says: ¡°Professor Tian, this patient¡¯s family is wealthy in Shipo County, a respected local family, I entrust them to you.¡± Director Tianughs and replies: ¡°Director Han has briefed me in detail, I will do my best. See, Director Han is thoughtful. He asked me to bring two more people. We perform surgeries together often, so we work well together.¡± Director Miao refills the tea: ¡°Director Han is really considerate. Oh, the patient¡¯s family, the one present just now, his brother, wants to understand the operation situation in person again, is it convenient for him toe over?¡± Director Tian, who is looking at the calligraphy and painting on the wall, says, ¡°Fine, let hime, I¡¯ll talk to him again.¡± Director Miao immediately goes out and brings in the patient¡¯s brother who was there just now. The family member, holding a ck document bag, has a smile on his face: ¡°We¡¯re troubling Professor Tian, we¡¯re troubling all of you!¡± ¡°You chat, I¡¯ll go and see the situation with the sterilization of surgery room equipment.¡± Director Miao closes the door behind him. Chapter 73 - 0071: Not confident about the surgery? Chapter 73: Chapter 0071: Not confident about the surgery? In fact, Director Miao had not left at all, he was standing right at the doorway. Soon, the door opened, and the family member emerged, holding a document bag with an awkward expression on his face. He spoke to Director Miao in a low voice, ¡°Old Miao, can we step aside to talk?¡± The family member was quite familiar with Director Miao, having sought his help multiple times for conditions like cervical spine disease and lumbar disc herniation. If not for this trust in Director Miao, they wouldn¡¯t have entrusted this matter to him. Director Miao nced into the office. Director Tian was loungingfortably, sipping tea, while two young doctors were engrossed in their phones. As to what exactly was happening, he couldn¡¯t quite figure it out yet. Taking the family member with him, Director Miao headed to the doctors¡¯ duty room. He closed the door behind them, found a bed to sit down on, and said, ¡°Don¡¯t panic, what happened just now? Sit down and tell me!¡± The family member too sat on the edge of the bed, his face flushing from anxiety. He wiped his sweat with a tissue, and said, ¡°Old Miao, they refused to ept the consultation fee, adamantly iming it must be some misunderstanding and told me to find you.¡± Whether it was an outright refusal or just a token declination, the family member could tell the difference. If he, a businessman, couldn¡¯t see through such things, he would have wasted all his years of experience. His heart filled with unease, his initial confidence shattered. ¡°Old Miao, is it because the professor examined my brother and feels the surgery is too uncertain? That¡¯s why he doesn¡¯t dare to ept the consultation fee?¡± Remembering the professor¡¯s mention of congenital heart disease, he became even more anxious. Could it be that the heart disease would affect the surgery, adding to its risk? His mind was filled with chaotic thoughts. He had no doubts about Professor Tian¡¯s skills. Having been in the business world for over 20 years, he was adept at reading people. Even though he wasn¡¯t a medical professional, he could see from the expressions of the onlooking doctors in the ward that Professor Tian was not just ordinarily talented. He had also been friends with Director Miao for many years. The Professor invited by Director Miao under a ¡°money is not an issue¡± promise wouldn¡¯t be just any individual. The rationale behind this was quite obvious. The only usible exnation: The disease was too severe, beyond treatment. Who dares to ept your consultation fee then? Consider it as volunteering. If the money had been epted, the family member would surely be ted and relieved. But now, with the fee not epted, who could be calm? His feelings were all over the ce, like a drum being beaten. ¡°Old Miao! I¡¯m feeling a bit anxious. How should we proceed? Can you help me with this? I only have one brother. Is his disease in this severe stage now?¡± The tissue he had used for wiping his sweat was now crumpled in his hand. Knife-throwing, a term referring to performing surgeries at different hospitals for a certain remuneration, is a very lucrative ie source for surgeons. There are two types of knife-throwing. One where doctors privately go to other hospitals to perform surgeries for a pre-agreed remuneration,monly known as consultation fee. This practice is somewhat dubious but prevalent, and hospitals usually turn a blind eye to it. The other type, like the one Professor Tian was involved in, is when a formal consultation request form is sent to Sanbo Hospital¡¯s medical office from Shipo People¡¯s Hospital. The Sanbo Hospital¡¯s medical office then approves the record. This ispletely legitimate and reasonable. As for the price, it¡¯s agreed upon by both parties; there¡¯s not much toment on. The rates for surgeries performed by the professor are clearly marked. Director Miao stroked his chin, pondering for a while. Suddenly remembering something, he said to the family member, ¡°You might be overthinking this. If you trust me, you can give the money to me, and I¡¯ll handle it.¡± ¡°Old Miao, what are you talking about? There¡¯s nothing to doubt you. Last time when my father had rectal cancer surgery, wasn¡¯t it you who handled it perfectly? We can¡¯t thank you enough. Honestly, with my brother¡¯s condition, if we had to transfer him to a provincial hospital for surgery, not to mention the risks on the road, the costs would be several times higher in the city. Without any acquaintances, we wouldn¡¯t even be able to secure a bed. We¡¯d end up dragging the severely ill patient around aimlessly. Your decision to invite Professor Tian to perform the surgery has been a great help. My whole family is truly grateful.¡± The family member was sincere, he gave three packets to Director Miao while instructing, ¡°This one¡¯s for Professor Tian, these two are for his assistants.¡± Director Miao casually took a pen out of his white gown, circled the packet meant for Professor Tian, and wrote a few words as a distinction, so the packets wouldn¡¯t be switchedter on. Only after this urgent discussion did the situation seem to have a handle. Hearing Director Miao¡¯s wordsforted the family member as if a weight was lifted from his heart. As long as the professor was willing to ept the consultation fee, it meant the surgery had a very high chance of sess. Being the eldest, the entire responsibility was on him. If everything went well, no one would acknowledge his efforts. But if something went wrong, everyone would me him. Director Miao sent the family member out of the duty room, reassuring him to wait patiently in the ward for the patient¡¯s transportation to the operating room. Looking at the time, it was time for lunch, Song Zimo turned to Professor Tian in the director¡¯s office, ¡°Professor Tian, should we go for lunch?¡± Director Tian took another sip of tea and said, ¡°Let¡¯s go, let¡¯s have our meal early and take a break.¡± Yang Ping and Song Zimo put away their phones. The lunch was arranged in the hospital¡¯s cafeteria. Though it was just a few stir-fry dishes, they were still prepared with care. Director Miao said, ¡°Please make do with lunch. Tonight, we will have a good gathering. President Dong will also be joining us. He said he must thank you all. Director Han has given us enormous support in orthopedics over the years. See, these past years, our orthopedic department has evolved from being mixed in with general surgery, to bing a separate department, and now we have expanded to ny beds. This is all thanks to the help of Director Han.¡± Director Tian said, ¡°You guys are also putting in a lot of effort. Everyone knows that Director Miao¡¯s professional skills and management level are exceptional. If you weren¡¯t effective, even with Director Han¡¯s help, you wouldn¡¯t have been able to achieve anything. Other counties also invited support from hospitals in the provincial capital, but they haven¡¯t achieved any results.¡± Director Tian had a way with words that was always well-received. Doctors in higher and lower-ranking hospitals have a mutually beneficial cooperative rtionship. Doctors from lower-ranking hospitals maintain good rtionships with professors from higher-ranking hospitals, so they can consult the professors if they encounter any problems. If the situation getsplicated, they may request professors to fly over and assist with surgeries. When implementing new techniques, the professor can provide hands-on guidance. Having connections also makes job promotions smoother. In short, there are plenty of benefits. As for higher-ranking hospitals, they often receive lots of patients and manye for advanced studies. These doctors, once they havepleted their training, are key members in their departments. If they encounterplex cases they can¡¯t handle, they send those patients to the hospitals where they trained since they are familiar with these hospitals and the people there are easy to cooperate with. Whether it was due to hunger or the unique taste of the dishes in a small county town, everyone had a hearty meal. After checking the time, Director Miao offered to drive them all to the hotel across from the hospital to rest for two hours. They would then return to prepare for the surgery scheduled for two o¡¯clock. They took a brief nap at the hotel to gather energy. Performing surgery is a task that drains both mental and physical resources, especially for major operations. Two hourster, Director Miao called to inform that the patient had been sent to the operating room and was being anesthetized. He was nowing to pick them up. They rode Director Miao¡¯s car to the hospital and followed him into the operating room. Director Miao was very enthusiastic, helping them with their surgery gowns, masks, and caps, and asking the head nurse for the locker key. In the changing room, Director Miao took out three envelopes from his bag and handed them to Professor Tian, ¡°This is a consultation fee from our hospital for your hard work.¡± Professor Tian hesitated slightly. Director Miao said, ¡°Why so formal? There are plenty of times in future we will need your help again. We can¡¯t let you work for free.¡± Professor Tian epted the envelopes, handed them to Song Zimo, who put them back into the bag. Then, using Director Miao¡¯s key, he opened the locker and locked the bag inside. ¡°I sent over pictures of the instrumentsst time,¡± Director Miao said. ¡°Yes, I¡¯ve seen them. No problem. We will use those,¡± Professor Tian had already changed his clothes. After changing into surgical gowns and putting on caps and masks, everyone followed Director Miao into the operating room. Chapter 74 - 0072: Sudden Shock Chapter 74: Chapter 0072: Sudden Shock The patient had already been anesthetized and intubated for general anesthesia. Dr. Tao was preparing the patient¡¯s position, waiting for Director Tian¡¯s instructions. The surgical position is crucial; one inurate positioning could render the operation impossible. The films were hanging on the operation room¡¯s lightbox. Director Tian read the films again. Although Dr. Tao had already marked the operation site, Director Tian decided to verify the left or right side of the operation site himself. ¡°Professor Tian, how many people do we need in the surgery?¡± asked Director Miao. Director Tian replied, ¡°Just the two of us, Director, and we need Dr. Yang onboard. Dr. Song can rest.¡± Song Zimo was responsible for driving. He needed to rest to avoid fatigue in case he had to drive back at night, so he stayed on as backup. Director Miao had to perform the surgery. He was the director, and the patient was an acquaintance of his. Even if he didn¡¯t do anything, his presence in the surgery was mandatory. It was the most logical arrangement. ¡°Begin the blood and fluid transfusion!¡± Director Tian gave the instructions to the anesthesiologist and circting nurse, and then assisted in positioning the patient in the prone position. They would go from the back road and then the front road. Thisplex type of fracture could not be solved by either front or back approach alone; both approaches had to bebined. Director Tian had long been confident about the operation. Indeed, the surgery wasplex. There aren¡¯t many hospitals capable of handling this kind ofplex pelvic and acetabr fracture. It represents the pinnacle level of trauma orthopedics. For the doctors of the county hospital, going out for further study is a chance to learn. Also, having a professor from a higher-level hospital do the operation is another learning opportunity. Any avable orthopedics¡¯ doctors were now in the operating room to watch the operation. Everyone had already been impressed by Director Tian¡¯s professionalism back in the ward, and now they all wanted to see his remarkable surgical skills. There were already three people on stage, and Dr. Tao didn¡¯t know whether he should join in. It¡¯smon to have four people for pelvic fracture surgery. He was torn. ¡°Xiao Tao, you can help out with the C-arm machine at the side.¡± Director Miao made the decision for him. The positioning waspleted, Director Miao, Director Tian, and Yang Ping went to scrub up. Anyone who could do things was always energetic. Despite being fifty, Director Miao was still full of vitality, sturdy and forceful in action. ¡°How much blood is prepared?¡± Director Tian asked. ¡°Twelve units of suspended red cells and 1200 milliliters of sma!¡± Dr. Tao replied. That was enough. They started to scrub up and dress. This kind of operation was beyond Dr. Tao¡¯s reach. He usually only performed simple surgeries, leavingplex fractures for Director Miao. Even Director Miao was not confident he could handle this patient¡¯s surgery. It was not because of the patient¡¯s special identity, but it was actually technically challenging. Surgery was not child¡¯s y. For an operation like this, if it cannot be handled, insisting would risk a patient¡¯s life. Doctors can brag in their day-to-day, but no one would be foolish enough to undertake a surgery they can¡¯t handle. That¡¯s purely self-destructive. One operation could ruin a lifetime. As a department director, aside from holding up the department with skills, you need to have some backup. Like Director Miao, when the operation was too difficult to handle, he could make a call, and Director Han would dispatch an A-team to provide strong support from the province. Someone else may not be able to do this. The sterilization and sheet set up were routine procedures and were the same in all hospitals. Yang Ping was the first assistant, and Director Miao was the second. They started with the back road, aiming to reduce and fix the posterior column and posterior wall fracture of the acetabulum. Director Tian was extremely proficient, making standard incisions, steadily advancingyer byyer. Director Tian made the operation look light and effortless. His movements were unhurried but without any superfluous or ineffective ones, and the transitions were tight, so the operation was swift. Usually, when Director Miao performed a pelvic surgery, gauze pads were used one after another. The clean gauze pads would be soaked with blood when they came out. Now only one gauze pad has been passed over, and there was only a faint red hue on it. This led to doubts about whether this was a pelvic surgery, or if the surgery had even started. A few doctors were moving around, trying to find the best observation spot, but they couldn¡¯t get a good view and did not dare toe closer. Unlike in Sanbo Hospital, where high-definition cameras provided a video feed, Shipo People¡¯s Hospital¡¯s operating room did not have this equipment. ¡°Prepare the te, get ready for the electric drill!¡± It was only about ten minutes, and the posterior column and posterior wall of the acetabulum had already been reduced. It¡¯s time to apply the te. Howe he was so fast without hurried movements? When the several doctors were discussing in private, the te had already been pre-bent and they had started to put in the screws. Director Miao was impressive for being able to invite such a skilled professor from the provincial city. Dr. Tao felt a bit discouraged. At the same age, the professor could handle such a major surgery with ease, while he was still struggling with secondary surgeries. In about half an hour, the posterior column and posterior wall fractures had already been reduced. After syringing, they ced the drainage and started suturing. X-ray! The screen shows the rear wall of the acetabr posterior column has been fully repositioned, and the position of the steel te and screws is good. ¡°Flip them over and prepare for anterior surgery!¡± This seemingly casual remark has already attracted countless admiring gazes. To the observing doctors, the technological gap seems insurmountable at this moment. Disinfect again,y out the drapes, wash hands, and put on gowns. The anterior surgery begins. ¡°There will a lot of blood loss in anterior surgery! Therefore, you must replenish fluids and blood in advance to dilute the blood,¡± exins Director Tian. The CT angiography has indicated many vascr injuries in the pelvis. The patient¡¯s blood pressure was stabilized through fluid and blood transfusion immediately after the injury. However, now that we are directly approaching the fracture point, the bleeding, which had previously ceased, will inevitably resume. ¡°The death artery has already ruptured and retracted. We need to move quickly. We should find the blood vessel within ten minutes,¡± Director Tian reminds Yang Ping that their cooperation is crucial in this key step. The ¡®death artery¡¯, which is an anastomotic branch between the obturator artery and the external iliac artery, is also known as the death wreath. Once ruptured and bleeding, it will recoil, much like a snake retreating into a hole in a bush¨Cit bes very difficult to locate and stop the bleeding. Consequently, the patient will fall into a perilous situation, which is why it is given such a frightening name. This is a major hurdle that must be taken seriously in pelvic surgery. Regrly replenishing fluids and blood, Director Tian¡¯s techniques not only supplement and dilute the patient¡¯s blood, but also minimize the patient¡¯s own blood loss. This specific patient, being anemic, cannot endure significant blood loss, otherwise, their blood pressure is likely to plummet. Experience is gained and risks are assessed through numerous surgeries. Like a captain navigating the ocean, experienced surgeons can avoid hidden rocks and wind waves. The anterior operation needs to address the acetabulum and iliac wing, as well as the sacroiliac joint and sacrum. The difficulty is extremely high. Even within the entire province, only a few prominent figures who frequently appear in academic conferences can perform this surgery. To address multiple fractures, Director Tian uses an incision that he personally designed. Director Miao, standing off to the side, feels as though he¡¯s sitting beside a race car driver with sweat in the palm of his hand. There are many nerves and vessels here¨Cbe careful! But Director Tian skillfully avoids them. If an idental vessel incision urs there and the blood cannot be stopped in time, slow down! But again, Director Tian perfectly avoids this. As soon as Director Tian contemtes elevated exposure, the hook¡¯s position has already changed, assisting in the revtion. Blood has just begun to seep out, but the assistant has already mped the vessel with a hemostat. A touch from Director Tian¡¯s electric knife brings a perfect stop to the bleeding. Just when you¡¯re about to caution about nerves and vessels, the assistant¡¯s hemostat has gently pushed it away, aiding in the separation of vessels and nerves. With Director Tian¡¯s high-level skills and Yang Ping¡¯s excellent coordination, the surgery is practically a perfect performance. Director Tian just realized that he didn¡¯t pay enough attention to the assistant during the initial posterior surgery. Now it seems that this assistant is so perfect. No wonder Director Han asked himself to bring him along. Director Tian looked up at Yang Ping. Director Miao has already been dazzled and cannot keep up with the pace. He can only stand to the side, idle. The surgery has entered a critical phase, and we are about to encounter the death artery! Beforeing to Shipo, Director Han repeatedly reminded Director Tian to be careful here! ¡°Controlled hypotension!¡± Director Tian ordered the anesthesiologist. Intraoperative controlled hypotension, also known as low-pressure anesthesia, can control blood pressure within a lower yet safe range. Lower blood pressure naturally results in less bleeding, simr to how a pipe with lower pressure has a weaker water flow. ¡°The death artery is hemorrhaging and has recoiled already, we are unsure if it has luded on its own,¡± Director Tian reminded Yang Ping. Although it¡¯s nerve-wracking, it is essential to face and resolve it. Otherwise, the surgery cannot proceed, let alone bone fixation. The left and right hands cooperate dexterously, and the scissors skillfully perform sharp dissection. Once the adhesions are separated, blood spurts out immediately, and the blood vessels are not visible. As expected, the death artery has recoiled and ruptured the fragile self-clotted blood clumps. However, Director Tian remains calm. Anyone else would havepletely copsed by now or lost the courage to continue. But he is Director Tian after all. He just needs to replenish blood to buy him ten minutes. Then he can find the death artery and stop the bleeding sessfully. Using the speed of blood transfusion to buy ten minutes is not a problem. He had considered this well before the surgery. The suction device in Yang Ping¡¯s hand quickly sucked up the blood to keep the operation area clean and create the best surgical vision for Director Tian. ¡°The blood pressure is dropping, they¡¯re in shock!¡± The anesthesiologist cried out in a somewhat panicked voice. Shock? Need gauze quickly! Gauze! Director Tian immediately stops the surgery, temporarily packing with gauze. His hands move swiftly to pack the bleeding area with gauze. Yang Ping has taken over, pressing down firmly to free Director Tian to handle other matters. The monitor indicates that the blood pressure has dropped to 70/30. True shock has set in and it is still declining. There wasn¡¯t much blood loss just now, even with the bleeding from the death artery. It only just started bleeding. They had already started blood transfusions and fluid recements just now, so why did the patient suddenly go into shock? Could it be that the earlier posterior repositioning affected the major arteries or veins, such as the abdominal aorta or the internal or external iliac artery, causing a rupture? No, the entire process just now was clear. There were no blind maneuvers, and he hadpletely understood the images before the surgery. None of the bone fragments were close to the major blood vessels. Several possibilities quickly shed through his mind. Chapter 75 - 0073: Lightning Action Chapter 75: Chapter 0073: Lightning Action Practical experience and umted knowledge y a crucial role at this moment. ¡°Transfusion allergic shock!¡± After filtering through a series of potential diagnoses, Director Tian quickly makes a decision. Even before he utters these words, Yang Ping quietly says, ¡°Transfusion allergic shock.¡± Director Tian nces at Yang Ping and promptly orders the anesthesiologist, ¡°Check the skinplexion!¡± The anesthesiologist quicklyplies, responding, ¡°Facial redness, swelling around the eyes!¡± ¡°Transfusion allergic shock! Stop blood transfusion, rehydrate quickly, even remove the blood transfusion tubing!¡± Director Tian¡¯s voice is loud and clear, yet calm and collected. He nces at the monitoring screen and the anesthesia machine. The patient¡¯s heart is still beating, there¡¯s no need for cardiopulmonary resuscitation; as for respiration, the patient is on an anesthesia breathing machine, so there won¡¯t be any breathing problems. The anesthesia doctor is doing fine, but the patrolling nurse is slightly overwhelmed. Having a transfusion allergic shock on one hand and significant bleeding on the other, either condition can be deadly, but now both are urring simultaneously. The watching doctors¡¯ hearts are pounding in their chests. ¡°0.1% adrenaline, 0.5 milliliter, intramuscr injection!¡± Director Tianmands firmly. Normally adrenaline is injected subcutaneously, but now intramuscr? The patrolling nurse questions with slightly hesitant eyes. ¡°Intramuscr!¡± Director Tian repeats harshly. Under the authority of the professor, the anesthesiologist and the nurse no longer question how he diagnosed a transfusion allergic shock or why he ordered an intramuscr injection of adrenaline. Time is life; all that matters now is fast execution. Bleeding and adrenaline present a contradiction. Adrenaline can exacerbate hemorrhagic shock and bleeding can intensify the allergic shock. The two are intertwined dilemmas. While directing the rescue, Director Tian continues working without pausing; rescue operations must be swift as allergic shock is extremely dangerous. It only takes a few minutes to see who lives or dies. ¡°Scalpel, open the abdomen, prepare a rubber strip to temporarily block the abdominal aorta!¡± Temporarily blocking the abdominal aorta is a drastic procedure; generally, people wouldn¡¯t dare to do it. Director Miao now has no clue what to do, he can only fret on standby. ¡°Prepare a rubber strip!¡± The patrolling nurse struggles to keep up with Director Tian¡¯s pace. The gloves are taken and started cutting the rubber strip. Director Miao assists by cutting together. The incision is extended along the original cut. Yang Ping¡¯s retractor is already in ce to help expose the tissue. After cutting through the skin, subcutaneous tissue, and deep fascia, then the threeyers of abdominal muscles, they enter the abdominal cavity and sessfully locate the abdominal aorta. The thick abdominal aorta pulsates in the abdominal cavity. The pulsations aren¡¯t as strong as they would be under normal conditions due to the shock, yet they still give a strong visual impact. This is the main artery supplying the whole lower half of the body. A mp is passed behind the abdominal aorta, and Yang Ping feeds the rubber strip urately. Once the rubber strip is stretched, Director Tian tightens it and Yang Ping instantly mps the strip, forming an stic ligation around the abdominal aorta. Without the need for verbalmunication, Yang Ping can always anticipate Director Tian¡¯s actions, never making a mistake, never arrivingte. The major source of bleeding has been sessfully blocked. Temporarily blocking the abdominal aorta cannot endure for very long, but can hold for forty-five minutes, which gives Director Tian enough time to find the ruptured vessels. ¡°Continue the surgery!¡± Director Tian orders. Pausing the surgery now bears a greater risk; it¡¯s like a ship entering a whirlpool, either it gets swallowed or it breaks free. The suction device delicately inserts into the fracture gap, clears the umted blood, and attempts to find the deathly artery that¡¯s bleeding. It¡¯s a challenging task. ¡°Do we have the interventional department?¡± Song Zimo asks from below the operating table presenting an idea as an observer. Director Tian decisively replies, ¡°No need.¡± It would take at least half an hour to get the interventional department involved. The many bleeding points shown on CT angiograms are a mess, which the interventional department can¡¯t urately embolize. The only option would be to riskily perform mainstem embolization, which can lead to serious ischemic consequences. They¡¯d only consider this if there were no other options left. The bone fragments are carefully turned over. An assistant¡¯s hemostatic forceps have already mped a vessel. Gently pulling it out, Director Tian looks up and locks eyes with Yang Ping, whose gaze is steady and confident. ¡°Number 4 silk!¡± A hemostatic forceps carrying silk sutures is handed over. Director Tian wraps it around and ties a deft surgical knot. ¡°Suture!¡± He sutured another one, a suture, a ligation. With two sutures, it should be safer. Director Tian released the rubber band of the abdominal aorta, and blood gushed out from the surgical area. He hurriedly fastened the abdominal aorta again and Yang Ping¡¯s vascr mp went up again to secure the rubber band. Could it be that the artery he ligated is not the lethal artery? Or are there two lethal arteries? He looked at Yang Ping, who seemed to have guessed his thoughts and nodded, ¡°There should be two lethal arteries, and both the proximal and distal ends need to be ligated. In essence, we have to find and ligate four blood vessels. They have formed a loop, ligating just one end is pointless.¡± What he said was right, more urate than himself. He also found the first lethal artery faster than him. ¡°Hand me the suction! Your turn!¡± Director Tian took the suction from Yang Ping¡¯s hand and started to suck the blood. Even though he was confident, speed was of the essence at this moment! The faster, the better. He would not risk the patient¡¯s life just to save face. If he could be one minute faster now, there would be more chances of sess. The second blood vessel was located. Ligation, suturing! Another two procedures. The third one, the fourth one! Two blood vessels, all four ends were found and sutured, as well as ligated. He released the rubber band of the abdominal aorta again, and no more blood gushed out from the surgical area. Director Tian thought, Yang Ping was faster in making decisions, and his movements were also quicker than him. No wonder Director Han asked him to bring Yang Ping along. He couldn¡¯t help casting an appreciative nce at Yang Ping, who took the suction back from him. These small movements on the operating table couldn¡¯t be seen by the people below. Director Miao was now focusing on the patient¡¯s vital signs and had no time to watch the surgery. Director Tian hesitated, wondering if he should let him continue to finish the surgery. Yang Ping¡¯s eyes were full of encouragement. Director Tian smiled, continuing. Having passed the risky point of the lethal arteries, they could take a breather now. It was important to control the pace of the surgery. They had risked continuing the surgery earlier to resolve the conflict between epinephrine and bleeding. But now, they could finally rx. The allergic shock came fiercely, but it also ended quickly. The patient¡¯s vital signs had stabilized and the blood pressure hade back up. In fact, during an allergic shock, there are only a few golden minutes left. If the rescue is sessful, the patient lives. If not, the patient will never wake up. The blood bag and transfusion tube from earlier were preserved to find out the cause. Even though they had faced a critical situation, Director Tian went through the entire process without any panic. Once again, it confirmed that his judgment was correct as he confirmed the patient¡¯s stable vital signs. ¡°Continue!¡± The doctors below have just gone through a lifesaving roller coaster ride, and their emotions were still unsettled. But now the surgery continues. The professor really was a professor, with the demeanor of a general. The anterior column of the acetabulum was fixed, next came the iliac wing, then the sacral fracture, and finally the sacroiliac joint dislocation was treated. Any single one of these fractures would be a difficult surgical operation, let alone a mixture of several at the same time. Fixation of the fractured iliac wing, fixation of the sacral fracture, and finally, the sacroiliac joint was restored back into position and fixed! The remaining tasks were smoothly handled by Director Tian, even when facing theplex venous plexus near the sacrum. With the cooperation of the two, very little blood was lost. X-ray imaging, perfect fixation. Rinsing, cement of drainage tube. Director Tian began suturing, Yang Ping cut the thread. ¡°Allergic shock, earlier that was so dangerous! Director Han and I have encountered it during surgery before.¡± Director Tian hadpletely forgotten Director Miao¡¯s presence earlier, so he only remembered to exin now. Director Miao was still in shock, as if waking from a dream, thankfully it was Director Tian conducting the surgery. To think, if it had been himself, either the allergic shock or the bleeding from the lethal arteries, would have made him extremely nervous. Let alone the urrence of both at the same time, he couldn¡¯t have handled it. Thankfully, they had invited the professor to do it who remainedposed throughout, otherwise the fear might have soaked his surgical gown entirely. ¡°Send the patient to ICU for at least 24 hours after the surgery. There was not much blood loss from the fracture, the main concern is the follow-up care and treatment for the allergic shock.¡± Director Tian instructed. The doctors present were grateful for their experience of the rescue they had just witnessed. The professor¡¯sposure on the stage, his urate judgment of the patient¡¯s condition, decisive rescue, daring continuation of the surgery, and finally getting through the danger, was certainly an experience to be remembered for a lifetime. If only they could be just aspetent. Chapter 76 - 0074 The Professors Title Is Not In Vain Chapter 76: Chapter 0074 The Professor¡¯s Title Is Not In Vain The patient¡¯s vital signs are stable, and moving them to the ICU is just to ensure their safety. As long as the shock is corrected and blood pressure is maintained normally, there shouldn¡¯t be a major problem. Director Tian and Yang Ping take off their surgical gowns, and the doctors beside them immediatelye over to help. ¡°There are many fractures, be wary of fat emboli and pulmonary emboli!¡± Director Tian instructs Dr. Tao. Director Miao removes his surgical gown, the scrub underneath is almost half soaked. ¡°It¡¯s all right.¡± Director Tian reassures Director Miao. He is a highly reputed director of a major department, known as the famous doctor of Shipo, but the situation just now was indeed intense. It was too much for him, and he is still a bit scared. Director Miao acknowledges, ¡°It was dangerous. I was lucky to have you guys.¡± Surgery is like this. Although idents are low-probability events, when they ur to specific patients, it is a matter of life and death. ¡°Pay attention toryngeal edema in ICUter. The tube can be removed only after the edema subsides. If it hasn¡¯t subsided, keep it. Even after removal, always keep the tracheal intubation and tracheotomy kit at the bedside, just in case.¡± Director Tian further instructs. As the Chief Surgeon, some things are worth emphasizing over and over again. Director Miao takes note of the professor¡¯s words and reminds Dr. Tao, ¡°Xiao Tao, remember this. Brief the ICU doctor clearlyter. Stick to it closely.¡± Dr. Tao responds, and several doctors move over stools. Director Miao, Director Tian, and Yang Ping all sit down. The patient needs to be observed for a while and can be transported away only after confirming that there are no issues. ¡°In a situation like this, I remember Director Han and I once encountered it. It was so memorable, the patient¡¯s condition was even more serious than this. His heartbeat and respiration suddenly stopped, and we performed cardiopulmonary resuscitation and defibrition on the operating table. Finally, we saved the patient. This is rtively better, with no cessation of heartbeat or respiration. The judgment of anaphctic shock should be fast and urate, the rescue time is only a few minutes. If the rescue is correct within these few minutes, the chances of sessful treatment are very high.¡± Director Tian speaks confidently. All doctors listen attentively. They faced even dire cases and saved those patients. No wonder they could deal with the situation just now calmly and decisively. The professor is really a professor, for good reason. ¡°Professor Tian, how did you determine it was anaphctic shock just now?¡± the anesthetist asked. He had just carried out the rescue exactly as Professor Tian directed, but still didn¡¯t understand it. ¡°Yes, Professor Tian, how did you make the diagnosis so quickly?¡± Director Miao was also very interested. ¡°Such a sudden drop in blood pressure, the first consideration is shock. There are only a few types of shock: cardiogenic, hemorrhagic, traumatic, allergic, infective, neurogenic, and burn-rted shocks. After considering this patient¡¯s case, Burn-caused, neurogenic, and infective could be ruled out. Traumatic is also ruled out as the acute phase of the injury has passed. Hemorrhagic isn¡¯t the cause as there was very little blood loss during surgery. So the possibilities left are cardiogenic and allergic shocks. For cardiogenic, there would be reactions in the ECG waveform on the monitoring screen. I saw the ECG waveform and ruled that out. It left the allergic shock. Drugs or blood transfusion could cause this. The tube used for infusion was running with normal saline, and shock urred immediately after changing the bag of blood for transfusion from this side. So, I thought of transfusion-rted anaphctic shock. No matter whether it is caused by transfusion or drugs, they both are types of anaphctic shocks, and the treatment procedure is pretty simr.¡± Director Tian exined clearly as though peeling an onion, effectively giving an on-the-spot mini-lecture. If he doesn¡¯t say a few words at this time, others might think the professor is being conservative, not wanting to teach real knowledge. It was surprising that he observed so many details during the surgery such as the data on the monitoring screen and noticing when the nurse changed the blood bag. Director Miao smiles, ¡°You¡¯ve truly learned from Director Han who always demands a clear sight of the monitoring screen while performing surgery.¡± The doctors who came to observe felt they had learned a lot. There are so many details involved in surgery, none of which they were aware of before. ¡°Emergency resuscitation is not about hastily cutting through the tangle, but about quickly untangling it. You need to understand the thousands of different ways things can be tangled up in order to quickly unravel it; otherwise, you¡¯ll only end up creating a bigger mess,¡± summarized Director Tian. ¡°When faced with such situations, people tend to get flustered and can only think simplistically. We can¡¯t ount for everything,¡± said a doctor, joining the discussion given the collegial and humble demeanor of the professor. Feeling less restrained, everyone unconsciously moved closer to Director Tian. ¡°This is where traininges in. Special forces can identify hostages from criminals in a room in just a fraction of a second based only on the profiles they¡¯ve seen, swiftly neutralizing the criminals and rescuing the hostages. That¡¯s the result of training. Ayperson entering at that point would definitely be at a loss, taking a long time just to count the number of people in the room, let alone identifying the hostages.¡± Everyoneughed at the professor¡¯s humorous remarks, while finding his analogy easy to understand. After observing for ten minutes, the patient¡¯s vitals remained stable and they were ready to be moved out. ¡°Shall I take a few of you to rest? You¡¯ve all worked hard,¡± Director Miao suggested. ¡°That¡¯s fine. Let¡¯s go to the ICU together to check on the patient. I¡¯ll also brief the ICU doctors. Director Miao, could you please exin to the family that the patient will be moved to the ICU after surgery? This might scare them,¡± Director Tian reminded Director Miao. ¡°We¡¯ve already discussed it. It¡¯s safer for the patient to receive monitored care in the ICU after such a major surgery,¡± Director Miao said as he led everyone to the changing room. ¡°Great. Let¡¯s head to the ICU together.¡± The operating room doors opened, and the gurney bearing the patient was wheeled out, quickly surrounded by anxiously waiting rtives, and two elderly rtives were helped forward. ¡°How did it go, Director Miao?¡± the patient¡¯s brother asked. Given theplexity of the surgery, they were expecting it tost till the evening. Seeing the patient wheeled out just three hours into it, they were worried that it might have been cancelled due to difficulty. ¡°Director Miao, that was quick. Was something wrong?¡± the rtives asked anxiously. ¡°The surgery was very sessful! Don¡¯t worry, the professor¡¯s surgical skills are both fast and precise, so there was minimal blood loss.¡± ¡°We encountered a very rareplication in the form of an allergic shock, which can be fatal within minutes. Fortunately, we had Professor Tian, who immediately diagnosed it and swiftly initiated treatment. The patient is currently safe and the operation was excellent¡ª¡± In short, the professor had not only perfectly performed the surgery but also pulled the patient back from the brink of death. Director Miao stated passionately, with expressive facial expressions, gesturing intermittently. The rtives¡¯ expressions fluctuated as he spoke. When they heard the final sentence, they firmly grasped Director Miao¡¯s hand, ¡°You are a lifesaver¡ª without you, this¡ª¡± They choked back the rest, considering it unlucky to voice. The rtives then remembered to thank Professor Tian who was the real hero. They immediately shook Professor Tian¡¯s hand, repeating, ¡°Thank you! Thank you!¡± in their gratitude. Their excitement caused them to grip his hand a bit too tight and shake it vigorously. ¡°This is Professor Tian from the provincial capital who performed the surgery. He¡¯s amazing. He noticed a small hole in the younger brother¡¯s heart that even he himself didn¡¯t tell the doctors about. The younger brother¡¯s injuries were very severe, and he even suffered from an allergic reaction just now. Professor Tian dragged him back from death¡¯s door.¡± The patient¡¯s brother narrated the events to the elders and other rtives with vivid detail and a touch of pride in his tone. The patient¡¯s brother was feeling quite good. Initially, some rtives suggested sending the patient to the provincial capital or Beijing for treatment, but they were not the ones to make the decision. It¡¯s as if they owned the hospitals in the provincial capital or Beijing and could admit anyone at leisure. Now, they could all shut up. Humph, let those who are in charge be in charge, their foresight is not something these rtives can understand, thought the patient¡¯s brother. The gurney rolled towards the ICU. Chapter 77 - 0075: Thank You Dinner Chapter 77: Chapter 0075: Thank You Dinner Everyone followed the patient to the ICU. In the ICU, Director Tian personally checked the patient¡¯sryngeal edema and found it had already receded. Therefore, he personally removed the tracheal intubation. Seeing the patient¡¯s vital signs were stable, he again personally checked the bedside backup tracheal intubation and tracheotomy kit. The patient regained consciousness andined of hunger, wanting to eat. The family, led by Director Miao, looked through the ss to visit, and seeing the patient¡¯s good spirits, they were also relieved. Sanbo Hospital had many surgeries, and fearing that Director Han would be too busy, they had originally nned to take Yang Ping and Song Zimo back overnight. But Director Miao firmly refused, saying that after helping with such a big surgery and not having a good meal, how could he face Director Han and have the audacity to ask the professor to perform surgery. This dinner had escted to a moral level, and they could not decline. Caught in the middle, Director Han ordered over the phone: have dinner at Shipo and return tomorrow ¨C he would handle all tomorrow¡¯s surgeries. Since Director Han had spoken, they stayed, letting these two youngsters taste the local vors of the mountain area. Song Zimo said: ¡°Old Han can only perform pelvis surgery with Little Five and Zhang Lin tomorrow.¡± Yang Ping chuckled: ¡°Zhang Lin will have more moments to post on WeChat.¡± It was already six in the afternoon, so Director Miao drove everyone to a hotel ¨C the Shipo Hotel. The hotel was old and shabby, but carried the word Shipo in its name, indicating its status within the county. Inside, there were shady trees. Everyone went along the winding path to a separate room. Inside was arge round table that could seat at least twenty people. The patient¡¯s brother, wearing a shiny ck shirt, was already waiting there. He immediately stood up, bowed, and shook hands: ¡°Thank you, thank you. You have traveled a long way and endured many hardships to operate on my brother. I am deeply grateful. I have prepared a little wine, please sit down.¡± His words were very articte, as if he was reading a drafted speech. The phrase ¡®operate on¡¯ stuck out to Yang Ping, although he couldn¡¯t tell why. At the head of the table, facing the entrance, was a seat for Director Miao. He ushered Tian Yuan to sit: ¡°This is the patient¡¯s brother, Mr. Du, a capable man of Shipo.¡± ¡°Nice to meet you, I have heard a lot about you!¡± Tian Yuan shook his hand again. ¡°Oh no, it¡¯s just the times are good, the policies are good, I am merely a pig caught in the tide, not worth mentioning.¡± Mr. Du waved his hands. Tian Yuan let Director Miao sit: ¡°Director Miao, it¡¯s a bit awkward. The guest should follow the host¡¯s lead, please!¡± After some back-and-forthing, Tian Yuan took a seat, Director Miao took the seat to his right, with Yang Ping and Song Zimo on his right. To Tian Yuan¡¯s left was an empty seat, then the deputy dean of medical affairs and the department head of Shipo People¡¯s Hospital, as well as Mr. Du¡¯s brother-inw. A pot of wine was ced on the table, contained in an earthenware container ¨C an antique. Thebel was hand-written and affixed to the container. ¡°This wine is home-brewed by Mr. Du, made from select sorghum, a traditional form, brewed in an antique way. The wine is a treat used by our county to wee visiting investors and distinguished guests.¡± Director Miao introduced. The Du family started their business in Shipo with their inherited brewing skills, then diversified their developments, with industries covering surrounding counties and cities, including tourism, real estate, hotels, etc. At this moment, someone came in. Director Miao and others stood up: ¡°President Dong, President Dong is here!¡± President Dong, carrying a document bag, walked with a bit of a stoop, giving the impression of leaning forward. As soon as he entered, he shook hands with Tian Yuan: ¡°Professor Tian, you¡¯ve worked hard, please sit down,¡± then took a seat to the left of Director Tian. Director Han and Sanbo Hospital¡¯s Orthopedics was a solid backing to Shipo People¡¯s Hospital. To show his importance, President Dong specifically took the time toe over. Everyone was here, the dishes were served, and the wine was poured. Nine people sat at such arge table that it was inconvenient to reach for dishes, thought Yang Ping. ¡°Xiao Song and Xiao Yang drove here, so they can¡¯t drink!¡± Tian Yuan exined for them, then he took a drink for himself. Once the first round of wine was poured and several dishes served, President Dong raised his ss saying: ¡°To express gratitude on behalf of others, thank you to Professor Tian, Professor Yang, Professor Song for your hard work,ing down to the countryside to guide the surgery, along with Director Han, and Sanbo Hospital, cheers!¡± President Dong turned the first dish in front of Tian Yuan, picked a piece of chicken with public chopsticks, and ced it into Tian Yuan¡¯s bowl: ¡°There isn¡¯t anything special about Shipo. This is a free-range chicken from Shipo¡¯s Nan vige, which even has some fame in the province. These chickens are all raised in the wild, not a single feed given, purely grain-fed, fried with vegetable oil, and very delicious. Do try it.¡± Tian Yuan picked up the chicken, took a small bite, and said: ¡°It truly lives up to its name. No wonder people say Shipo is full of treasures. Everyone please have some!¡± ¡°Come,e, these two young professors are too low-key.¡± President Dong picked a piece of chicken and ced it in each of their bowls. ¡°This is a Shipo river fish, wild river fish freshly caught by fishermen. Just an hour ago, I specially asked the fishermen to catch some, and then immediately sent to the kitchen to be steamed. We didn¡¯t dare dy them for even a moment.¡± Mr. Du began to introduce the second dish. ¡°Although our Shipo is a small town in the mountains, it has advantages that big cities don¡¯t have¡ªgreen and natural. In your words, these are wild forest mushrooms, freshly picked.¡± Mr. Du introduced each dish one by one. When the mushrooms were turned in front of Yang Ping and Song Zimo, Yang Ping looked at Song Zimo, and Song Zimo looked at Yang Ping. Both of them didn¡¯t dare to pick up their chopsticks. These wild mushrooms¡ªwho dares to eat them? They¡¯d seen too many cases of mushroom poisoning during their on-call shifts in the ER. Director Miao noticed this,ughed loudly: ¡°Professors, there¡¯s been a misunderstanding. These are not just any wild mushrooms. The mushrooms were sown in the forest on the mountain, but they are all edible and non-toxic. Look,¡± and then he picked up one and began to eat it with pleasure. So that¡¯s why nobody dared to touch their chopsticks before everything was clear. Song Zimo picked up a piece, followed by Yang Ping; the taste was indeed good. ¡°Regarding this wine, be sure to take some with youter to gift to Director Han. Don¡¯t refuse,¡± said Director Miao as he clinked sses with Tian Yuan. Tian Yuan¡¯s demeanor was obviously more mature andposed than Yang Ping¡¯s and Song Zimo¡¯s. He was neither rough-around-the-edges nor pedantically schrly, capable of fitting in at any asion. A skilled schr who navigated the world adeptly, he had been following Director Han for many years and could stay on top of any situation. Despite his refined demeanor, at Sanbo Hospital, when it came to drinking, he was a deadly contender, on par with Xiong Sihai from the emergency department. His drinking style was deliberate and careful, able to keep the pace. ¡°Here, let me propose a toast to President Dong. Thank you for taking time out of your busy schedule to join us,¡± he said. ¡°Another toast to Director Miao. You¡¯ve been most hospitable. The next time youe to the provincial capital, allow me to reciprocate your hospitality.¡± ¡°Mr. Du, thank you for meticulously preparing these rare delicacies. Each one is a rare treat.¡± ¡°Wild vegetables, wild vegetables!¡± Another dish was served, and Mr. Du hurriedly introduced it. ¡°Times have changed, it has flipped around. In the past, rural people ate wild vegetables, but now city dwellers treasure them. At my farm, the annual sales of these wild vegetables are astounding,¡± Mr. Du added, further borating on the dish. ¡°Look at this. You¡¯re here today and will leave early tomorrow morning. You¡¯re all busy, I can¡¯t insist you stay longer. But if you have time,e to the countryside for a vacation. Let Director Miao know and I will arrange for you ¨C fishing, crab catching, rafting, hot springs¡­ You¡¯re busy working all day, soe to the countryside for some rxation,¡± Mr. Du said as he scooped some wild vegetables onto Tian Yuan and President Dong¡¯s tes. ¡°Mr. Du has a tourist area under him. It¡¯s well-known in Shipo County. The rafting and hot springs there are unbeatable!¡± Director Miao interjected. ¡°Old Miao, don¡¯t call me Mr. Du. Just call me brother Du. Else, you owe me a drink. Old Miao and I have been friends for many years. I must admit, Professor Tian, that I had a herniated lumbar disc. I was in so much pain that I could¡¯t walk. It was Old Miao who performed the surgery. It¡¯s been 10 years and it hasn¡¯t recurred. My father had colorectal cancer, and it was Old Miao who helped bring a professor from the provincial capital to operate; now Little Two at home is again troubling Old Miao. Old Miao has practically be my family¡¯s private physician,¡± Mr. Du, a businessman, was able to control the situation effortlessly in these circumstances. ¡°You ought to give him a sry for that,¡± President Dong joked. ¡°Sry? No need. Just drink three cups as a token!¡± Director Miao said. ¡°Was the surgery sessful today?¡± President Dong asked. Director Miao replied, ¡°Extremely so. For such a difficult surgery, I would guess that there are only a few in the provincial capital capable of performing it. But Professor Tian acted as if it was as simple as an appendectomy. There was an incident of anaphctic shock during the surgery, which was really scary. But Professor Tian was unshaken and resolved the issue in no time. The surgery proceeded without dy, and the patient has woken up from anesthesia and isining of hunger, wanting to eat.¡± ¡°Such talent at a young age, Professor Tian. Here¡¯s another toast to you,¡± President Dong stated. Yang Ping and Song Zimo took full advantage of this time to eat, not caring whether it was wild vegetables, freshwater crabs, or free-range chicken. Their priority was to fill their stomachs first. Yang Ping didn¡¯t delight in these types of asions, but he was interested in the food. One should never neglect oneself, especially one¡¯s stomach. Thanks to his polished skill of using both hands at the same time to eat, he picked up the food with his chopsticks unerringly. The banquetsted several hours with a variety of dishes ¨C truly a unique countryside vor. Mr. Du, this local tycoon, did indeed know how to put on a good show. No wonders he was able to make a fortune. Suddenly, someone knocked on the door and came in. They whispered something into Mr. Du¡¯s ear. Mr. Du stood up, an apologetic expression on his face. He whispered something to President Dong and then said, ¡°Excuse me, everyone. I¡¯ll be back shortly. County Chief Wu is entertaining an investor at a meal, and I need to go greet them.¡± ¡°Go ahead!¡± President Dong gestured him off. Riding high after a few drinks, Director Miao put his arm around Tian Yuan and said, ¡°The friendship that Director Han and I share, we¡¯re like brothers. Ask President Dong, he knows best. When President Dong took office, he was full of enthusiasm and energy, looking to develop the hospital with orthopedics taking the lead. President Dong led us to the provincial capital to look for hospital coborations. Coborations? What a joke! We rural hospitals, with our few shabby resources, talk about coborations? Begging would be more like it. Nobody paid attention to us; people were even unwilling to chat with us. Only Director Han listened to us patiently, even treating us to a meal. Do you remember that day, President Dong?¡± President Dong replied, ¡°How could I forget? We didn¡¯t have to eat our boxed meals for once and had a big feast in the city. We almost developed pancreatitis from overeating.¡± ¡°Yes, after the meal, Director Han agreed to coborate with us on the spot, but it was more like poverty alleviation or border support. We knew it in our hearts. Coboration should be mutually beneficial, but we had nothing to offer. When we first invited Director Han for surgeries, some of the equipment, he had to prepare himself, bring it over, sterilize it, clean it up after the operation, and bring it back. Not to mention, he guided me in performing surgeries, and even pulled strings for us to go for further training in Beijing and Shanghai. That¡¯s how our orthopedic department developed. Director Han must not have told you this,¡± Director Miao concluded, his voice filled with sincerity. Tian Yuan mentioned, ¡°Yes, he has shared this with us.¡± ¡°Back then, the hospital was drowning in debts. Doctors were thinking of leaving. They were desperate to leave. The talent drain was severe. Who knew we would be able to make it to today? Now, in these three provinces across dozens of counties, they¡¯re all under our feet,¡± Director Miao emptied his ss. ¡°Professor Tian, it¡¯s no secret that President Dong had an important dinner tonight, but he postponed everything. When he heard that someone from Director Han wasing, he had to apany them to dinner no matter what.¡± As he spoke, Director Miao¡¯s eyes started to well up with tears. President Dong interrupted, ¡°What are you talking about? You¡¯re bringing up all these old stories. Let¡¯s not spoil the mood! Drink, drink, and for our two young professors, make yourselves at home. If you don¡¯t drink, eat freely as if you¡¯re in your own hospital¡¯s cafeteria.¡± His phone buzzed with a WeChat alert. Yang Ping stealthily checked his phone. Su Yixuan had sent him a WeChat message. The operating room needed Yang Ping¡¯s photo. As Yang was new, he hadn¡¯t handed in a photo yet so his picture was not on the introduction wall in the operating room. The head nurse was asking for it. Yang Ping sent a reply: Right now, I¡¯m in Shipo County. I¡¯ll be back early tomorrow morning. Will take a photo in a few days¡¯ time. Song Zimo was picking up some food when he casually nced at it. Chapter 78 - 0076 Personnel Changes Chapter 78: Chapter 0076 Personnel Changes They set off at six in the morning and arrived at the hospital by ten. Director Miao had stuffed Song Zimo¡¯s trunk full of local specialities from Shipo, including several jars of liquor. Upon arriving at the hospital, everyone hurried to the operating room, where Director Han and Little Five were performing hip socket fracture surgery. Previously, in order to earn points by buying the pelvic surgery training from the system, they had taken on surgeries for ten days straight. ording to the agreement with Song Zimo, the surgeries for the next ten days were all to be performed by Song Zimo, while Yang Ping would take some time off. Director Han had given his surgery to Song Zimo. Song Zimo was very skilled at pelvic and hip socket surgery. Of course, he was still not as good as Tian Yuan since experience matters. ¡°You can handle the rest of the surgeries. I have to leave, if you encounter any difficulties, call Tian Yuan,¡± Director Han took off his surgical gown and gloves and left. Song Zimo with Little Five and Zhang Lin were enough, Yang Ping, seeing that his help wasn¡¯t needed, went back to the changing room to rest. In the system space, there were more than 20,000 points. However, since most of them were used to purchase the pelvic surgery training, only a few hundred points were left. He scanned the mall, but could not find anything worth a few hundred points. The category for sports medicine had opened, but it was still gray. Judging from experience, Yang Ping guessed that there were unfinished trauma orthopedics training, and the barrel was notpletely filled. This was strange. Hadn¡¯t all of trauma orthopedics beenpleted? Yang Ping checked his skill tree. Indeed, all of trauma orthopedics waspleted. However, there was one branch linked on the main trunk, which was parallel to trauma orthopedics ¨C multiple traumas. Only bypleting this training could he proceed to sports medicine. Usually, multiple trauma surgeries required a multidisciplinary team and were not entirely operated by orthopedic surgeons. The fact that the system included this as a part of trauma orthopedics showed that the system had high requirements. In the short term, it was difficult to gain points through daily work. He could only wait for the system to issue tasks, orplete the side task of reattaching a hundred severed fingers to earn a significant amount of points. The side task of reattaching a hundred severed fingers was already more than eighty percentpleted. Once this task waspleted, he would receive fifty thousand points, and his financial situation would be much better. He only needed toplete about ten more surgeries to close this side task. Yang Ping was nning to ask Song Zimo to hand over the finger reattachment surgeries, but he decided not to. It wasn¡¯t right to go back on one¡¯s word, he could wait a while longer. The stage mission was to help Sanbo Hospital establish the top trauma orthopedics department in G City. He wasn¡¯t sure about the evaluation criteria for ¡°the strongest¡±, but the progress of the mission had already reached sixty percent. At the moment, he couldn¡¯t buy anything useful in the system. He couldn¡¯t even spend a few hours studying, so he had toplete a few dozen more human anatomies before exiting the system space. Yang Ping went to the operating room again but did not find Xiao Su. He was seen by a nurse whoughed and said, ¡°Doctor Yang, are you looking for Xiao Su? She¡¯s in the ophthalmic operating room, leading an intern.¡± Then she giggled. Yang Ping pretended not to hear theughter. After the nurse walked away, he went to the ophthalmic operating room. The two operating rooms were rtively secluded, and one of them was not scheduled for any surgeries today. Xiao Su was exining themonly used ophthalmic surgical instruments to the intern. Yang Ping didn¡¯t want to interrupt her. Instead, he peered through the small window on the door. Su Yixuan saw Yang Ping¡¯s head peeking through the door, greeted him with a hand gesture, and then continued her exnation. At the washbasin, he ran into Director Tian, who said: ¡°Drop by the office of the ward director before leaving work. The boss has something to say.¡± Sometimes, the department director or tutor is referred to as the boss. ¡°Okay!¡± Yang Ping responded, assuming it was to discuss the Shipo surgery. ¡°Why aren¡¯t you operating, giving everything to Song Zimo? Did you get sick of it in the previous period?¡± Tian Yuan noticed that he was so idle while Song Zimo was working diligently. ¡°We agreed to take turns. He gave me a break for the next ten days,¡± Yang Ping said. ¡°You guys are quite interesting. I can¡¯t figure you out. How¡¯s the data preparation for your project? If you need my help, just say so.¡± Tian Yuan was drying his hands. Tian Yuan was an expert in project applications in the department. He had sessfully applied for a national-level project this year, obtained a post-graduate director title, and was nning to mentor postgraduates. ¡°I will definitely need your help,¡± said Yang Ping. Having disinfected his hands, Tian Yuan went to perform the surgery. Initially, Director Han was prepared to handle the surgeries of his group, but when Tian Yuan returned, he decided to do it himself. At noon, he had a surgical meal and took a short nap on the bench. In the afternoon, he came across Xiao Su leading an intern again. She told him, ¡°I sent you a file. Check your WeChat when you¡¯re free.¡± It was another file. Yang Ping was delighted. This file was different from the previous one. He had kept the bottle of chili sauce locked in the cab, reluctant to eat it. When Yang Ping checked his phone in the changing room, he saw that it was a real file this time. Su Yixuan was preparing to teach the interns about the recognition and use of basic orthopedic surgical instruments. She had made a PPT and asked Yang Ping to help her review and modify it. She would need it by tomorrow. He would pull an all-nighter that night if he had to, just to do a good job of this task, Yang Ping thought. When the surgery was over, Tian Yuan, Song Zimo, and Yang Ping went to Director Han¡¯s office. Tian Yuan closed the door, and Director Han poured tea for everyone, saying, ¡°I held this small meeting today because I have something to discuss with you.¡± Director Han sat down, lightly tapped his fingers on the table and paused before saying, ¡°We¡¯re going to move a professor to be the new head of trauma orthopedics.¡± A new department director? What about Director Han? Everyone was unanimously surprised. This news was rather sudden. ¡°What about you? Director.¡± Tian Yuan immediately asked. Director Han said, ¡°I just resigned as the director of the trauma orthopedics department, but I will still continue to serve as the director of the overall orthopedics department. Dean Xia has a long-term vision. He wants to develop the high-end medical market, using orthopedics as a pilot. We will open a new orthopedics department in the Overseas Chinese Building, which will perform all types of orthopedic surgeries, without subdividing sub-specialties. This will not conflict with the other departments here. The new department will only admit VIP patients and will have 30 ward beds. I want to take the three of you over there. Would you like to do this? Initially, there will definitely be fewer patients than there are here, and it would be a startup, so it may be tougher for everyone.¡± Everyone thought that Director Han was not continuing as the director of the overall orthopedics department and it gave everyone quite a shock. If that were the case, it would have caused quite a disturbance in the department. ¡°Director, I¡¯ll go with you, there¡¯s no need for discussion.¡± Tian Yuan asserted decisively. ¡°So will I!¡± ¡°So will I! Yang Ping and Song Zimo simultaneously agreed, their attitudes were firm. The three of them were sincere and genuine, and not just paying lip service. All three of them were the favored subordinates of Director Han. Yang Ping joined Director Han¡¯s team thetest, but he had long been valued. Director Han considered him as close as Tian Yuan and Song Zimo, otherwise, he wouldn¡¯t have been summoned to this meeting. With the current expansion n, the three of them definitely felt obligated to join, not minding the potential hardship. However, the trauma orthopedics department had just started to garner a reputation, and now they had to hand it over to others, which was somewhat regretful. Tian Yuan said, ¡°No matter the reason, we will follow you. But the trauma orthopedics department has just made a name for itself, so¨C¡± ¡°It is part of the hospital¡¯srger strategy. The new orthopedics department being opened in the Overseas Chinese Building needs someone like me to take charge. ¡± Director Han exined. ¡°Who will be the new addition?¡± Tian Yuan asked. ¡°From Fuer at Nandu Medical University, his name is Tan Boyun!¡± ¡°He is arrogant and looks down on others, and he is not getting along with his director.¡± Director Tian is very familiar with him. ¡°His personality is indeed problematic, but he is indeed a talent. Perhaps the higher-ups factored in this point, that¡¯s why they transferred him to Sanbo. We do have a shortage of staff here, I¡¯ve been pondering who should serve as the director of trauma orthopedics, this event happened right at the time, thus I let Dean Xia agree.¡± Director Han said. If Director Han hadn¡¯t agreed, Dean Xia wouldn¡¯t have agreed with the higher-ups either, thus this matter would have passed. ¡°He has more drive than Ouyang, Old Bai, and Old Ding. This was also my consideration. Originally, I nned to let Tian Yuan serve as the director of trauma orthopedics, but after considering it thoroughly, when the new department opens in the Overseas Chinese Building, your presence will be indispensable.¡± Director Han said. ¡°Won¡¯t Ouyang, Old Bai, and Old Ding have thoughts about this?¡± Tian Yuan is Director Han¡¯s confidant and spoke whatever was on her mind. ¡°I¡¯ve spoken to each of them, there won¡¯t be issues, at least on the surface. Let them mesh gradually. All of themck a spirit of drive, they¡¯re not suitable for aggressive pursuits, but this Tan Boyun can! His surgeries are very well-done, and he also has managerial talents. He¡¯s been harboring resentment at Fuer, as he¡¯s always been under his director¡¯s thumb. Now that he¡¯s here, he will certainly go all out, subtly and overtly contesting against Fuer. This is a good thing, we just have to fear that he can¡¯t control his enthusiasm. The foundation of the trauma orthopedics department has already beenid by me, and the Trauma Emergency Center is operating smoothly. If he arrives and makes full use of this tform, a good show can be performed.¡± Director Han took a sip of his tea. ¡°With his temperament, will he often cause conflicts with Ouyang and the others.¡± Tian Yuan still worried. Director Han said, ¡°Don¡¯t worry, let him be the right-hand man, and there may indeed be disorder. But if he¡¯s in charge, there won¡¯t be any problems. He will be able to control Ouyang and the others. Honestly, once he joins us, the strength of our trauma orthopedics department will increase significantly.¡± ¡°At that time, he will also bring a student over, which is understandable. Everyone wants to have a capable assistant when they work. Am I not always thinking of having you guys by my side? When you were in Japan, you and he were visiting schrs at the same time, right?¡± Director Han remembered. ¡°That¡¯s not just in Japan. When we were at the New York Special Surgery Hospital in the United States, we were in the same group and even shared a dormitory. How could I not understand him so well?¡± Tian Yuan got up to refill Director Han¡¯s tea. ¡°What are your thoughts on this? Speak up.¡± Director Han asked Yang Ping and Song Zimo. Song Zimo said, ¡°I don¡¯t have any thoughts. As long as I¡¯m with you, boss.¡± Yang Ping said, ¡°Of course I¡¯m willing to follow you, Director.¡± Director Hanughed heartily, ¡°That¡¯s good. Also bring Zhang Lin and Xiaowu, for now, we will only have these many people. Later on, depending on the number of patients, we may need more people. Keep this news confidential for now and don¡¯t tell Zhang Lin and Xiaowu yet.¡± After leaving Director Han¡¯s office, Xiaowu called, ¡°Boss, do you have any ns after work? Come to the underground parking lot, quickly¨C¡± The underground parking lot? What was it that he was being so secretive about? Yang Ping took the elevator down to the underground parking lot, found Xiaowu¡¯s car ording to the parking spot Xiaowu gave him. ¡°What¡¯s going on? You¡¯re being so secretive, as if we¡¯re engaging in illegal transactions.¡± Yang Ping got into the passenger seat and closed the car door. Xiaowu said, ¡°Nothing much, just on the way. I¡¯m giving you a ride home, aren¡¯t you going back?¡± Yang Ping was caught betweenughter and tears, ¡°Heavens! It¡¯s just across the bridge. You drive to work and back? You¡¯re taking me home as well, but all these detours will make uster than if we had walked.¡± Xiaowu said, ¡°Xiao Qing is worried about me getting too tired, so she insisted that I drive to work. There¡¯s nothing I can do about it.¡± This public disy of affection! Yang Ping felt like smacking him on the head. Chapter 79 - 0077 Brothers Chapter 79: Chapter 0077 Brothers It wasn¡¯t until past two in the morning that I finished revising Su Yixuan¡¯s PPT. I had to tweak it over and over to ensure its quality, which took quite a long time. Once it was done, I sent the PPT via WeChat and asked Xiao Su if she was satisfied with it. However, I realized it was nearly two o¡¯clock, she was probably already asleep. As a surgeon, Yang Ping¡¯s ability to stay upte was remarkable. The next day, he woke up refreshed and prepared some breakfast.. Little Five made a call, ¡°I will drive you to work!¡± ¡°Bro, spare me please. I can walk home in a dozen minutes, and yet you insisted on driving me yesterday which took half an hour.¡± Yang Ping answered, choking back his tears. ¡°Look outside, it¡¯s pouring!¡± Little Five responded. With heavy rain, it made sense. At least this way my shoes wouldn¡¯t get wet. Alright then, I¡¯ll take his ride. ¡°Alright, wait for me!¡± Yang Ping agreed. Someone has slid a magazine under the door gap. Yang picked it up and realized it was an advertising brochure for houses. Might as well browse through it. Had no money now, but I¡¯ll need to buy one in the future. Yang carried the ad to the parking garage, got into the car, and started scanning through the ads. Little Fivemented, ¡°You¡¯re really into it, even reading on your way to work?¡± He nced over and noticed it was an advertisement for houses. ¡°¡­Just flipping through!¡± Yang replied casually. Shift change, ward check-up, surgery; surgeons base their life on these three things. ¡°Hey! I can¡¯t keep up anymore! Feel free to pick whatever surgery you want, it won¡¯t count as a breach of our promise!¡± Song Zimo called out to Yang Ping, who was resting on a long bench in the resting room. Yang Pingzily responded, ¡°Trying to make me break my word? No way!¡± ¡°Just so you know, it¡¯s a one-time offer. Do you want it or not?¡± Song Zimo asked lightly. Given how sincere he seemed, it didn¡¯t look like he was plotting anything. Likely, Young Master Song was genuinely struggling. Relenting, Yang Ping said: ¡°Fine, I¡¯ll do the finger amputation and reattachment?¡± ¡°Deal!¡± replied Song Zimo. Internally, he thought: This guy must really be strapped for cash, deliberately choosing the mostplicated surgery. Of course, for them, finger amputation and reattachment is as simple as cleaning and stitching a wound. We really need to swiftly change our signboard to ¡°Micro Trauma Orthopedics¡±. With an average of two finger reattachment surgeries a day, if we push a little further, we might just catch up with specialized hand surgery hospitals. If it weren¡¯t for the rush toplete the side quest, I wouldn¡¯t have agreed to this temptation. Director Han was leading everyone to the Overseas Chinese Building to expand into new territories, and Yang was afraid that he wouldn¡¯t get to perform finger reattachment surgeries, thus making it impossible toplete the side quest. Two consecutive finger reattachments at noon. After finishing two surgeries, the progress of the side quest once again took a leap forward. If it kept going on like this, I could finish the battle within a week. ¡°Tonight! We¡¯re dining at Huang Mao¡¯s ce, a private room is already booked for us four.¡± Little Five came into the resting room and told Yang Ping. ¡°Is Song Zimoing?¡± Yang asked. This kid doesn¡¯t usually dine at these kinds of ces. Has he started hanging out with the masses too? ¡°If you¡¯re going, then he¡¯ll definitelye. People change, remember about the dinner tonight.¡± Little Five said before leaving for another surgery. I continued to rest on the bench. Xiao Su sent a WeChat message: ¡°Thank you! The lecture was really sessful today, everyone said the PPT was great. The head nurse even saved my PPT, saying she¡¯ll use it for training new trainee nurses.¡± Yang Ping yawned. Oh, little girl, your brother stayed up until two o¡¯clock to revise that. How could it not be a masterpiece? ¡°Did you stay up until two o¡¯clockst night?¡± Xiao Su sent a WeChat message, likely noticing the time he had sent the file. Yang Ping replied: ¡°No problem, I would havepleted the task Leader Su gave me even if it had taken until dawn.¡± ¡°How could you stay up sote, you could¡¯ve just casually helped me revise it.¡± ¡°For a surgeon, staying upte is basic training.¡± ¡°Not going to chat anymore, the head nurse has given me a new task. I¡¯m mentoring some new interns recently.¡± ¡°Get to Huang Mao¡¯s hotpot restaurant, second floor private room, fast!¡± Little Five called to hurry him up. Didn¡¯t they say we were going together? These fellows had left Yang Ping on his own. He hurried to the hotpot restaurant. Upon entering, Song Zimo, Little Five, and Zhang Lin were already there. They were all looking at Yang Ping together. The vibe felt off, felt strange. Was this some trap? A thought crossed Yang Ping¡¯s mind. ¡°Is everything alright? You guys?¡± Yang Ping cautiously entered, worried about any unforeseen urrences. ¡°Sit, sit! It¡¯s all fine.¡± Song Zimo pulled out a chair. Yang Ping checked the chair for thumbtacks or glue, ¡°Are you sure it¡¯s alright? The expressions on your faces are odd, why so serious, did something go wrong with the surgery today?¡± ¡°Sit down first!¡± Song Zimo said. Yang Ping felt ufortable. He sat down nheless. Zhang Lin poured him some tea, Little Five left to close the door. This was not good, Yang Ping was getting more and more tense, as prickly as a hedgehog. ¡°Senior! It¡¯s like this¨C Song Zimo, you exin.¡± Little Five hemmed and hawed. Song Zimo was equally hesitant: ¡°Well¡­ well¡­ Little Five, you exin? Wasn¡¯t it agreed that you would exin?¡± ¡°What¡¯s going on? Did the surgery really go wrong? Did you report to Director Han? What¡¯s happening? Hurry up and say it, don¡¯t beat around the bush. Let¡¯s figure this out together.¡± Yang Ping sensed the seriousness of the situation. Something was off. Zhang Lin got angry: ¡°What¡¯s wrong with you two today, stuttering like this, let me say it.¡± He filled Yang Ping¡¯s cup with more tea: ¡°Senior, you¡¯re really out of line, nning to marry Xiao Su and not even telling us. Do you look down on us, disregarding us as your friends?¡± ¡°You guys? Wait, let me exin¨C¡± Yang Ping was utterly confused. They had been brooding on it for so long just to talk about this? Zhang Lin put down his teapot and waved his hands: ¡°Don¡¯t say anything now. We already know everything. In a few days, you two are going for a pre-wedding photoshoot, you¡¯re nning to buy a house, currently short of cash, hence you¡¯ve been taking on surgeries like crazy. Even if you don¡¯t tell us, it doesn¡¯t mean your brothers aren¡¯t concerned. We¡¯ve all noticed and are worried. Brother, you know my situation. I just started the house buying process and paid the deposit, I¡¯m strapped for cash right now, but I must still support you. I can afford to lend you fifty thousand for now.¡± The conversation had been ignited by Zhang Lin. ¡°I can do a hundred thousand on my end. You know I live pay-check to pay-check, Senior. This hundred thousand is borrowed from Xiao Qing but if it¡¯s not enough, I¡¯ll figure something else out.¡± Little Five said seriously. Song Zimo continued: ¡°I have plenty saved up. Other than spending on myself, I just save up. I don¡¯t need to pay for the house or car, that¡¯s all from my family. Just see how much you¡¯re short on for the down payment, I¡¯ll figure out the rest.¡± Yang Ping was truly baffled by these guys. He and Xiao Su haven¡¯t even held hands, yet they were iming they were getting ready for marriage, even talking about pre-wedding photoshoots. Where did these rumors originate from? Nothing like that was happening, but they were here helping him scrape together money for the house down payment. Yang Ping shook his head, momentarily at a loss for words. After taking a deep breath, he said: ¡°Firstly, let me tell you, Xiao Su and I currently have not confirmed any romantic rtionship. Yes, there¡¯s a bit of mutual interest, but that¡¯s it. Where did you guys get the news, so certain that Xiao Su and I are getting married?¡± Now it was their turn to be utterly confused. ¡°Song Zimo! Say something, he¡¯s still in denial!¡± Zhang Lin shouted. Song Zimo calmly, with confidence said: ¡°You¡¯ve been taking surgeries like crazytely, and I found it strange. It¡¯s not your style. Little Five guessed that you and Su Yixuan must be getting ready for marriage, and I didn¡¯t believe him. But two nights ago, while dining at Shipo, right beside me, you were texting Su Yixuan. Don¡¯t use me of invading your privacy, I saw it out of the corner of my eye, you and her were nning to take a bridal photo shoot in a few days. This confirms it.¡± ¡°Song Zimo, Young Master Song, you¡¯re usually quite intelligent. That night, Xiao Su asked me for a photo to hang on the introduction wall in the operating room. I told her we could take a photo in a few days.¡± Yang Ping was almost on the verge of tearing his hair out. ¡°Then how do you exin your sudden urge to perform surgeries?¡± Zhang Lin asked. ¡°I wanted to see how far I could push myself, how many surgeries I could handle in a day.¡± Yang Ping replied. ¡°And the house buying?¡± Little Five pursued. ¡°What house buying?¡± Yang Ping waspletely clueless. ¡°If you¡¯re not buying a house, why were you studying real estate ads?¡± Little Five wasn¡¯t convinced. His headache worsened! ¡°The message on my WeChat wasn¡¯t deleted, wait, you can only see this one. Let me find it.¡± Yang Ping pulled up the chat with Su Yixuan and showed them. ¡°Damn! It¡¯s really not.¡± What a misunderstanding! Song Zimo leaned back against his chair. Chapter 80 - 0078: The Parachuted Director Chapter 80: Chapter 0078: The Parachuted Director Although it was a blunder, a dizzy one at that, Yang Ping was extremely touched. With the hot pot served, and everyone exhausted from the surgeries, no one drank alcohol. Yang Ping held up a ss of apple cider: ¡°Brothers, seriously, thank you.¡± A thousand words were contained within this ss of beverage, which Yang Ping drained in one gulp. Even if the drink wasn¡¯t alcohol, he drank it with the ir of one who was celebrating with spirits. Huddled around the hot pot, the brothers chatted, joked,ughed, and Zhang Lin hinted several times, ¡°How about some alcohol?¡± ¡°We have lots of surgeries, and emergencies can ur anytime. Want to drink? Ask Huang Mao to prepare a te of peanuts for you, and drink slowly on your own,¡± Song Zimo discouraged him. Is it really okay not to drink at a gathering like this? Zhang Lin wondered to himself as he took a sip of the apple cider. ¡°Wang Feng was discharged from the hospital on Sunday when you guys were not around.¡± Little Five said, ¡°He left secretly without saying goodbye, just like how he left his girlfriend. That girl cried so hard in the ward, I guess he felt forced to leave for her sake.¡± ¡°After being diagnosed with AIDS, hepletely despaired of life and spent every night at the nightclub drinking heavily. His girlfriend, Xiao Yao, who was a pole dancer at the nightclub, encouraged him time and time again, and eventually, he regained his will to live. One day, a group wanted to forcefully take Xiao Yao away, Wang Feng saw this and bravely fought against them, even though it was one against ten. Then the police came.¡± This world isposed of stories. Every person is a unique book of stories. Pure things are actually hidden in unexpected ces; you just haven¡¯t discovered them with your heart. ¡°It takes courage to give up, this is true love. Wang Feng is a real man,¡± Song Zimo sighed. ¡°Drink!¡± Zhang Lin shouted. ¡°You are drunk now, stop drinking,¡± Song Zimo shook his head. The days went by, and two weeks passed again. One hundred severed fingers were sessfully rented, all came back to life, the side quest was sessfullypleted. ¡°Ping! 50,000 points rewarded.¡± 50,000 points, the first time he received such arge reward. He used 30,000 points to purchase a multi-trauma surgery training, kept 20,000 points for future use, finally not in dire straits anymore. Multi-trauma includes surgeries for head, neck, chest, and abdomen injuries, which are beyond the scope for an orthopedic surgeon. In the system space, Yang Ping performed dozens of dissections, paying particrly attention to local dissections of the head, neck, chest, and abdomen. Applying the knowledge acquired from dissections to surgeries, and using the experience gained from surgeries to guide dissections, Yang Ping bes increasingly skilled in dissection. Afterpleting dissection training, and finishing the training on 3,000 cases of multi-trauma surgery, he then exited the system space. He¡¯s now not surprised even when the system offers thousands of cases for surgery. If the system only gives a few or dozens of cases, it wouldn¡¯t really be a system anymore. He has gotten used to staying in the system space for a long time. It¡¯s gotten to the point where it¡¯s second nature. One day, after the morning shift handover, Director Han said, ¡°That pelvic fracture case that I just talked about during the handover, who transferred from the Trauma ICU, let¡¯s go check him out. For the other patients, you guys just take a look.¡± Director Han led everyone to see the patient, a male in his forties, lying on the bed with an emergency external fixation on his pelvis. He looked pale and had a worried look on his face. Next to him, a woman and a girl in school uniform, likely his wife and daughter, were keeping himpany. The woman prepared a cup of protein powder or something simr, the girl took it and sat by the bed to feed her dad. ¡°Doctor, am I stable? Will I be disabled in the future?¡± the patient asked. ¡°The doctor said you are out of danger. See, you are now staying in a general ward. You wouldn¡¯t have been transferred here if you weren¡¯t stable. Don¡¯t panic. Medical science is very advanced now. I looked it up online, Professor Han is a top expert. What are you worried about?¡± The girl was not at all like a middle school student as sheforted her dad with a mature and sensible tone. ¡°Xiao Tong, don¡¯te every day. You are in your senior year, study is intense. Dad¡¯s fine,¡± the patientforted his daughter, who helped him wipe his mouth with a tissue. ¡°Don¡¯t worry about it. If you don¡¯t let here, she will be even more anxious and it will affect her studies more. She has a mock exam tonight, so she came to visit you in the morning and won¡¯t be able toe in the evening. Xiao Tong ranked first in her grade on herst exam, rest assured, you don¡¯t need to worry about her. I¡¯m going to take her to school soon, we wille backter.¡± The mother and daughter packed up and left in a hurry. Director Han said, ¡°The injury was severe. We performed emergency intervention embolization to stop bleeding and temporarily fixed it with an external fixator. We will perform surgery in a few days, typically without any long-term disabilities, so don¡¯t worry too much. Your liver function is at risk, and both your blood pressure and blood sugar are high. The internal medicine department needs to get those under control before we proceed with surgery. That¡¯s the safest approach. You have insurance coverage for medical fees, don¡¯t you? You shouldn¡¯t worry.¡± Director Han assumed that his major concern was the potentially high medical bills. The patient sighed, ¡°I have both medical insurance andmercial insurance, so I am not concerned about my medical fees. But, honestly, I am in sales, where making one deal often leads to another. Now that I¡¯m bedridden, I¡¯m only making a small base sry. My child is in year twelve this year, and his mother is devoted to taking care of him full-time. The monthly mortgage and car loan payments can¡¯t be reduced, and my ie and expenses have been barely bnced. I hardly have any surplus money. This hospitalisation due to my illness has resulted in financial hardship. I don¡¯t even know if I can hold onto my job. It¡¯s really troubling. Doctor, do you have a quicker solution so I can recover sooner?¡± The patient was in a hurry. With elderly parents and a young child dependent on him, and a mortgage to pay off, every expense was calcted down to the cent. The hardships endured by middle-aged men often go unspoken, swallowed down and hidden deep in their guts. They dare not change jobs, nor fall ill. At work, they would not even dare to vent their frustrations for fear of offending others and losing their jobs. ¡°No, this won¡¯t work. Your liver function is poor, and your transaminase is high along with your blood pressure and blood sugar. Going ahead with surgery under these conditions could cause issues. We will try to correct these as promptly as we can. Please don¡¯t worry. You can get back to work after you recover.¡± Director Han reassured him. ¡°I was diagnosed with these conditions a few years ago. The doctor told me not to drink alcohol, but I couldn¡¯t avoid it in sales. Professor Han, please, I really want to recover quicker. I wouldn¡¯t mind using a crutch if it means I can leave the hospital sooner.¡± The patient spoke helplessly. ¡°We will try our best, you also need to stay calm.¡± Director Han gently patted the patient¡¯s shoulder infort. After visiting this patient, Director Han returned to the doctor¡¯s office, ¡°Starting next Monday, the Director of Microtrauma Orthopedics, Director Tan will officially begin work, but he needs some time to get familiar. After one month, he will formally assume the position of Director of Microtrauma Orthopedics. He will perform surgery on this patient. Once the patient¡¯s various indications have been adjusted and if possible, schedule the surgery for next Monday. Director Tan is in the elevator, he wille soon to see the patient and the medical imaging.¡± As if on cue, Director Tan and his student, Dr. Zhong, arrived. Dressed casually without carrying anything, they seemed to have settled down already and were only here to get a head start on familiarizing themselves with the environment and the patients. Director Tan appeared to be in his mid-forties, slightly overweight with thinning hair. Dr. Zhong was in his thirties, fit, confident, and probably around the same age as Director Tian but still an attending physician. They had visited a few times before but only interacted with Director Han as Yang Ping and others were performing surgery and weren¡¯t avable to meet them. ¡°Director Tan, this is the patient scheduled for surgery next Monday. If there is anything else you need to be prepared, feel free to discuss it with Xiao Song.¡± Director Han shook hands with Director Tan. ¡°Director Han, you¡¯ve sessfully grown Sanbo¡¯s Orthopedics in a decade. I admire your work.¡± Director Tan spoke courteously. ¡°Not at all, inparison to your Fuer, we still have a long way to go. In the future, Director Tan, I hope that you can help to develop Microtrauma Orthopedics into a top national department.¡± Director Han spoke graciously. ¡°Sanbo definitely has the potential for this, and we shall strengthen the talents in the future.¡± Director Tan replied while starting to review the medical imaging. After looking through the images, he furrowed his brows, stroked his chin, and said, ¡°This is a difficult case. Fractures in the front and back columns and walls of the left acetabulum, the left sacral bone, the left of the ilium, and the upper and lower branches of the pubic bone, severe dislocation of the left sacroiliac joint, and the pubic symphysis have also dislocated. Director Han, this operation is going to be tough.¡± A newly appointed director often needs a surgery to showcase his skills and convince others of his abilities. Doctors revere skills. If youck the skills and rise to a position through connections, you would be secretly disrespected. Once you¡¯ve proven your skills, others will not only vocally praise you but also respect you internally, leading to more productive work. Typically, surgeries used to demonstrate one¡¯s skills aren¡¯t rushed. Tan Boyun is extraordinarily eager to show-off. He voluntarily chose this case. If he¡¯s doing it, he wants to tackle the most challenging one. Once, during a conference at Fuer, Tan Boyun¡¯s surgery was scheduled for a live demonstration. But during the conference, an emergency case arrived with severe pelvic fractures. He swiftly switched cases and streamed the emergency pelvic fracture operation live, which led to his quick rise to fame in G City. He is truly skilled at what he does, which Director Han spotted and admired. ¡°With this level of difficulty, do you usually perform the surgery, or do you ask for help?¡± Dr. Zhong asked. His words were somewhat impolite, given his youth. ¡°Oh, it¡¯s fine; Xiao Tian and others usually handle these.¡± Director Han handled it well and was very gracious. Dr. Zhong didn¡¯t utter a word but did not believe Director Han¡¯s words. At Fuer, only he and Director Tan could smoothly handle such surgeries. When Director Han mentioned that ¡°Xiao Tian¡± and others would do it, it seemed like an intentional exaggeration. ¡°Director Han was formerly at Magic City Sixth Hospital, a representative of the new generation of Orthopedics. Do you think he needs to ask for help?¡± Tan Boyun responded with an intentional reprimanding tone. While he was arrogant, surgery was a serious matter involving people¡¯s lives. Tan Boyun carefully reviewed the patient¡¯s medical records and examination results: ¡°The transaminase level has dropped. Today is Friday, and the surgery can probably take ce next Monday.¡± He then went to see the patient in the ward, conducted a careful physical examination, and took the time to exin things to the junior doctor who apanied him. He asionally used English words to appear highly sophisticated. Academics have a tendency to be carried away, especially when they have people listening attentively with admiring eyes. One can easily get caught up in the moment and forget to stop. ¡°Professor Tan, shall we check the images in the office?¡± Dr. Zhong reminded him subtly in time to prevent the bedside teaching from bing too broad. ¡°How does it look, Director Tan?¡± Back in the office, Director Han asked him. ¡°Proceed as nned, schedule the surgery.¡± Director Tan responded with easy confidence. The Novel will be updated first on this website. Come back and continue reading tomorrow, everyone! Chapter 81 - 0079: Surgery Show Chapter 81: Chapter 0079: Surgery Show Prof. Tan¡¯s parachuted arrival to the Trauma Orthopedics department was akin to a stone being thrown into a cidke; it was bound to cause ripples. Naturally, the most significant reactions came from Directors Ouyang, Bai, and Ding. On the surface, they remained calm, but they were certainly feeling all kinds of dissatisfaction and discontent inside. After over ten years of hard work developing the Trauma Orthopedics department into a strong entity, they were now expected to hand it over to an outsider. It was a hard pill to swallow. Fortunately, Director Han possessed a strongmanding presence. Given his position as the department head, no one dared to start any conflicts or create any significant disturbances. The tranquil weekend then passed. On Monday morning, Deans Xia and Sun, as well as Director Zhao of the medical department, made their appearance at the Trauma Orthopedics department. After the shift was handed over, Dean Xia whispered something to Director Han. Afterward, with a stern face, he made an announcement: the Trauma Orthopedics department was being renamed the Micro Trauma Orthopedics department, and Prof. Tan and Dr. Zhong were joining. Although no one was officially appointed as the new director, it was understood who it was. Normally, Director Zhao would make the announcement. But this time, Dean Xia did it as a show of strong support. Following the promation, there was a round of apuse, and Dean Xia made a short speech, then shook hands with Prof. Tan. Everyone knew that the new director was going to showcase a surgery, so they all scheduled their surgeries for the afternoon, leaving the morning free to observe this exhibition. There was a tale of how Prof. Tan had previously showcased an emergency surgery of the pelvic acetabulum at an academic conference. The sess of that surgery had catapulted his fame. The new director! Everyone was curious to see his skills firsthand. After all, rumours about how incredible he was were just that, rumors. There were numerous cases where such reputations proved hollow. There were a few directors who had never participated in clinical procedures and mainly conducted research overseas. Upon returning, they were directly appointed as heads of departments. This was lessmon in surgery and more so in internal medicine. After visiting the wards, Director Han led Prof. Tan and Dr. Zhong to the operating room, introducing them to the situation there. Once inside the operating room, Prof. Tan checked the operating table, the C-arm x-ray machine, then called for two assistants. Tian Yuan volunteered himself, saying, ¡°I¡¯ll go!¡± Prof. Tan refused: ¡°No, no need. We can watch from down here. For this surgery, let young people handle it. Let Dr. Zhong do it. You can arrange two other people to assist him. He¡¯s already very skilled at this surgery.¡± Everyone wondered what Director Han must be thinking. At least Tian Yuan was dissatisfied. What did he mean by such arrangements? Sending an inferior surgeon to the stage, was it to show that his subordinate could outdo them all? Director Han instructed Tian Yuan to assign two others to go up. Tian Yuan considered for a moment and then said, ¡°Let Song Zimo lead with Little Five as his assistant. Song Zimo will be the primary assistant, and Little Five will be the secondary assistant.¡± ¡°What about Yang Ping?¡± Director Han asked. Tian Yuanughed, ¡°Yang Ping is the backup.¡± This arrangement seemed reasonable, and Director Han had no objections. ¡°Prof. Tan, what do you think if we have Dr. Song as the primary assistant and Doctor Lu as the secondary assistant?¡± Tian Yuan softly queried Prof. Tan. Prof. Tan casually dismissed the concern: ¡°That¡¯s fine, any two people should suffice. They just have to assist.¡± Everyone moved next door where the video was set up. Director Han and Director Tian sat in the front row with Prof. Tan. Tian Yuan waved to Yang Ping, ¡°You can sit behind me. Don¡¯t wander off.¡± Yang Ping understood Director Tian¡¯s intentions. He was ready to be called to the stage at any moment. Directors Ouyang, Bai and Ding sat in the second row. Director Ouyang kept his emotions hidden, Director Bai looked troubled, and Director Ding was as indifferent as usual. Director Ding rarely attended these surgical observations, so his presence today was unusual. In the operating room, several individuals were busily preparing. The anesthesia had been administered, and Dr. Zhong was directing Song Zimo and Little Five to position the patient. He seemed unsatisfied and adjusted them several times. The nursing manager personally prepared the instrument table below, and Su Yixuan was suddenly asked to step in as the surgical nurse. Finally satisfied with the patient¡¯s position, the three who were going up on stage washed their hands, got dressed, prepared the surgical drapes, and sterilized the equipment. Once the preparations wereplete, the sacred ceremony of beginning the operation took ce. After pre-operative checks, the surgery began! For the groin entry route, Dr. Zhong was indeed quite skilled. His credibility in the Nandu Affiliated Hospital was significant. His grip on the scalpel was standard, and he made a standard anterior incision. He nned to perform the anterior surgery first since it was more challenging, allowing everyone to relish his performance when their energy was at its peak. To be honest, in G City, hospitals like Nandu Affiliated Hospital One and Two looked down upon Sanbo, an institution that had only been established for over a decade. Even if Han Jiangong individually was incredibly talented, he couldn¡¯t make up for the hospital¡¯sck of reputation. Dr. Zhong¡¯s surgical cuts were impressive, definitely deserving of a showcase. He made incisions through the skin, subcutaneous tissue, and deep into the fascia, systematically dissecting the muscles, nerves, blood vessels, and spermatic cord. The spaces between these structures formed three ssical windows, which became safe paths for visualizing the surgery. Through these paths, they could sessfully reach the fracture site. The muscles in the area were a bit hard, but it didn¡¯t hinder the surgical operation. The first window was easily created as the abdominal muscles and iliac muscles were peeled off the iliac bone and lifted upward. The electrosurgical unit was quickly used to stop bleeding, and the iliac fossa and the anterior part of the sacroiliac joint were easily exposed; the operator¡¯s technique was remarkably adept. The piece of gauze handed over only had a few small blood stains on it. Prof. Tan was quite pleased: ¡°Young people need to practice. Director Han will have to teach them more.¡± Director Han said, ¡°Dr. Zhong performs beautiful surgeries. Look at the basics of his dissections, they are excellent. Prof. Tan, you¡¯ve tutored him well.¡± When Dr. Zhong began to separate the spermatic cord, the surrounding tissue didn¡¯t appear to be normal. It was a bit hard, and Dr. Zhong had to palpate it a few times to define the cord. The blunt dissection with a hemostat seemed inefficient. There seemed to be some adhesions, and the tissue nes weren¡¯t very clear. At such times, sharp dissection was favored. ¡°Scissors!¡± A pair was handed over. ¡°Be quick about it!¡± Dr. Zhong sternly admonished in a low voice; the authority of the chief surgeon was apparent. Although Su Yixuan was quick, she was still regarded as slow. It appeared that the chief surgeon had quite the temperament. The sharp scissors opened and maneuvered, suddenly, blood gushed out; a small artery underneath had been cut. ¡°Hemostatic forceps! Quickly!¡± He was once again frustrated with the slow instruments. Dr. Zhong received the forceps, immediately mped it shut, and used the electric knife to cauterize and stop the bleeding. Her movements were swift and well-practiced. They continued to advance, isting the spermatic cord. The progress was not as quick as anticipated, and a few times small arteries were cut, but they quickly stopped the bleeding. A sizable region on the surgical sponge was already dyed red. ¡°Lift it up and maintain tension!¡± Dr. Zhong lightly tapped Song Zimo¡¯s back of the hand with the handle of the scissors. Song Zimo looked up. His cold gaze returned to adjusting the tension in his hand. ¡°That¡¯s toorge, make it smaller.¡± Song Zimo lowered the hemostatic forceps in his hand, reducing the tension on the spermatic cord lifted by the forceps. ¡°Don¡¯t you perform many of these surgeries normally?¡± Dr. Zhong was not satisfied. Song Zimo remained silent. Upon the sessful istion of the spermatic cord, a rubber strip was ced inside to spread and protect it. Next, they began the istion of the external iliac vein and lymphatic vessels. The surgical approach for pelvic surgery involves many blood vessels and nerves, most of which are vital. The surgical approach is a precondition for the sess of the surgery. Dr. Zhong frowned, carefully feeling for the blood vessels underneath. The hard and brittle tissues were increasing, and the structuralyers were bing more and more blurred. Just a moment ago, he was barely able to discern the spermatic cord from experience. Now, the external iliac vessels werepletely unrecognizable, and the sticky tissues were everywhere. He couldn¡¯t sense anything beneath. This patient had extensive scar adhesions. Had surgery been previously performed in this area? A CT scan couldn¡¯t reveal this type of soft tissue adhesion. Even an MRI needs an experienced person to make a judgment. Before the surgery, he had carefully questioned Professor Tan, and there was no previous surgical history. There were also no small scars in this region during the physical examination. So how could there be adhesions? However, exploring the cause was useless at this point. The only option was to keep pushing forward. ¡°Scalpel!¡± The scalpel was handed over. Using the scalpel to make a sharp dissection, he gently and progressively cut open the site. A stream of blood sprayed out, reaching over ten centimeters away. Dr. Zhong immediately pressed down with surgical sponges. ¡°Fasten the retractor properly!¡± Song Zimo didn¡¯t know where he¡¯d gone wrong, but he still adjusted the position of the retractor. ¡°You! Get your strength together!¡± The instrument hit Little Five¡¯s hand. ¡°Hemostatic forceps!¡± The hemostatic forceps were handed over. ¡°The smaller one!¡± Dr. Zhong¡¯s tone was a bit unfriendly. The smaller hemostatic forceps were handed over. Releasing the surgical sponge, Dr. Zhong mped to stem the bleeding, and cauterized with the electrosurgical knife. Continue! Another stream of blood spurted out, this time it was promptly covered with a surgical sponge. ¡°Hemostatic forceps!¡± Dr. Zhong¡¯s voice shrank, sweat began to dampen his forehead. The adhesions were too severe. There was no way to continue pushing forward. The smile on Professor Tan¡¯s face gradually faded and he became serious. He looked at the screen and said, ¡°This patient could have experienced infection before, possibly pelvic tuberculosis. It self-healed but it caused extensive adhesions. The anatomical structure is not clear. Young people stillck experience, I will scrub in.¡± Adhesions. Extensive adhesions are a great threat to the surgical approach, especially for the pelvis. Numerous blood vessels and nerves need to be avoided. Even the slightest injury could be a great embarrassment. This patient was a bit unexpected. Professor Tan expected to let Dr. Zhong showcase his skills. However, this is okay too. For this kind of extensive adhesion surgery, probably in Sanbo hospital only Director Han could carry it out. This can be counted on one hand among other hospitals in G City. So it wouldn¡¯t be a loss of face for him to go on the stage this time. The safety of the patient is the most important, Professor Tan stands up, ¡°I will scrub in!¡± Tian Yuan said, ¡°Professor Tan, there¡¯s no rush. Let¡¯s sit down and let the younger ones do this kind of surgery. As long as we watch, there won¡¯t be any problems. Yang Ping! Scrub in, you will assist Dr. Zhong.¡± Director Han didn¡¯t know much about Yang Ping¡¯s pelvic surgeries. He only let him be the assistant and never let him carry out the surgery alone. Therefore, he can¡¯t make any judgment on him. However, seeing Tian Yuan¡¯s confidence, he felt assured. He knew very well of Tian Yuan¡¯s cautious and steady character. He would never allow anyone on stage if he didn¡¯t have confidence in them. At some point, Tian Yuan must have let him perform pelvic surgery, so he felt confident. ¡°Xiao Yang, go!¡± Director Han gave the order. Yang Ping stood up. Chapter 82 - 0080: Fire Chapter 82: Chapter 0080: Fire Yang Ping went out to scrub his hands. Everyone was a bit surprised to see that it wasn¡¯t Director Tan or Director Han or Tian Yuan who had gone out, but Yang Ping. This type of pelvic surgery, a solid level four surgery, if it weren¡¯t for the cap at level four, this could very well be a level five or six surgery. At this point, this surgery had taken on a certain special significance for both sides¨Cto defend their dignity! Of course, the safety of the patient was the number one priority, which was the bottom line of any medical activity. ¡°There¡¯s extensive serious adhesion in the pelvis, all scar tissue, the anatomical structure is a mess.¡± Dr. Jin was by Director Ouyang¡¯s side. ¡°They¡¯re letting a subordinate attending surgeon take over?¡± Director Bai grumbled inwardly. They¡¯re biting off more than they can chew! ¡°They seem a bit too impatient.¡± Ouyang was always steady, unfazed by the double entendre. They all sat in the second row, discussions were not easy to carry out. After a fewments, everyone quieted down and continued watching. The other doctors behind saw the widespread adhesions and felt a sense of fear. Every step the surgeon took in separating the adhesion, their hearts thumped, truly a case of being nervous and tense. This wasn¡¯t a limb, it was the pelvis, it was the pelvic cavity, if mishandled, it could result in death or disability. Just earlier, the surgeons had been praising the skilled and confident operation, and they were envious that the attending physicians of Fuer Hospital were so good. Now, they retracted their overflowing admiration and started focusing on how the surgery would proceed. The surgery was forced to proceed slowly. ¡°One careless moment could harm the blood vessels and nerves.¡± ¡°In the past, there was a hospital that had to execute this type of extensive pelvic adhesion surgery. The femoral nerve was misced, and the electric knife was too fast, cutting off the femoral nerve. Thewsuitsted for several years.¡± ¡°Yes, there was also a case where a vessel was buried in scar tissue, was cut with one stroke, and retracted. The surgical team couldn¡¯t recover.¡± ¡°Yeah, this isn¡¯t something to mess around with.¡± ¡°He seems a little scared to continue.¡± ¡°If Director Tan took over this surgery, he would have to give his all, right?¡± ¡°Director Tan should be on the stage by now, right?¡± ¡°Yeah, if he doesn¡¯t go up now, the surgery will be stalled.¡± Gossiping is a spectator¡¯s nature! Everyone was whispering, asionally looking at the front row, worried that the people in the first row would hear. Everyone knew that Director Tan would be the director of trauma orthopedics in the future. If he heard, it would be the end. Despite the high risk, everyone couldn¡¯t suppress their spectator nature. ¡°They sent such a young doctor to the stage?¡± Even though he was wearing a mask, from his eyes, Tan Boyun could roughly guess his age. Vaguely, Tan Boyun felt the sharpness of the opposing side, and thepetition subtly began. He didn¡¯t know much about Director Han¡¯s character, but Tian Yuan, he knew him too well. Respectful on the surface, but capable of gathering a strong killing intent at any time. Tan Boyun looked sideways, Director Han was smiling pleasantly and rhythmically tapping his fingers on his leg; Tian Yuan also had a smile on his face, but it was a different kind of smile, a smile hiding a knife. The decision to send such a young attending surgeon to the stage might have been ack of careful consideration, inadequate judgment. It appeared that Tian Yuan also had insufficient experience with this kind of special pelvic surgery andcked a deep understanding. Otherwise, he wouldn¡¯t have been so impulsive. After all, he had over a decade less surgical experience than him. Director Han trusted Tian Yuan too much, to actually go along with him. Just watch, he would eventually have to take the stage himself. Just consider it a minor interlude, Tan Boyun thought. The surgery had, in fact, already stalled. Dr. Zhong began to make repetitive motions. The scalpel continued its motions, but there was no substantial progress. He put down the scalpel and began to explore with his fingertips again, his eyes looking upwards, carefully seeking feeling; After a bit of futile exploration, he tried a pair of scissors, but dared not continue, then switched back to the scalpel, gave a couple of superficial, symbolic cuts and began the exploration again, repeating the cycle. He was always marking time, and that was not a good thing. Summoning his courage, he carefully cut downwards with the scalpel, blood began to well up, the gauze pressed down, the electric knife cauterization, took a short break. Let¡¯s aim for a different target, let¡¯s try to separate the femoral nerve. His experience inbat was rich, but the enemy was too strong, the extensive adhesion in the pelvis. Even an expert would break a sweat. After all, most experience was based on normal anatomy. This kind of widespread adhesion, apart from the blurred levels of division, also had blood vessels and nerves disced from their usual positions. The blurred anatomybined with discement made it possible for any cut to be a nerve or blood vessel. Even to experienced doctors, it was unfamiliar territory. He could only continue and wait for backup, he looked up, through therge ss window on the wall, he saw Professor Tan unmoved, still sitting in his original ce. Dr. Zhong¡¯s mood began to fluctuate, feeling anxious and restless, taking deep breaths, reminding himself to stay calm, he lowered his head, and continued. ¡°Tissue scissors!¡± The tissue scissors were handed to him. ¡°The small ones! Is this your first time assisting at an orthopedic surgery?¡± Dr. Zhong angrily red at Su Yixuan, tapping Su Yixuan¡¯s hand with the hemostatic mp handle. Su Yixuan felt a little aggrieved, her delicate hand hurt from the tapping through the gloves, frightened, she retracted her hand and immediately swapped the scissors for smaller ones. Gave up on the separation of the external iliac vessels, switched targets, and began to separate the femoral nerve. It seemed a bit easier to separate the nerve. After a few attempts to stop the bleeding, the femoral nerve was finally isted in a small section, which boosted Dr. Zhong¡¯s confidence. One who could locate a nerve amidst such a scar was truly a master, and not someone who attained his position by berating others. Starting from the exposed part of the nerve and working backwards, if a person could grasp the vine, then they should be able to find the fruit. However, Dr. Zhong felt puzzled. He had the vine in his hand but could not find the fruit. Where did this section of the nerve originate and where was it going? He was unsure whether to continue deeper or if it was still at this level. His normally useful knowledge of anatomy was failing him, so Dr. Zhong paused his activities again. ¡°You two! Can you be more professional? You¡¯re tearing the pelvis in half with your tugging. Use less force.¡± Both Song Zimo and Little Five felt like cursing out loud. ¡°I¡¯ve never performed such a frustrating surgery before,¡± thought Song Zimo, as he kept his head down in frustration. He tempered his anger with discipline, there was no way he was going to argue here on the operating table. Little Five looked up and gave a hard stare. If the operating table¡¯s discipline didn¡¯t require him to defer to the chief surgeon, he might have exploded. If this were a game of chess, he would have flipped the table by now. Indeed, when the chief surgeon is bad-tempered, the assistants and nurses can get quite miserable. This reflects the atmosphere on the operating table. A chief surgeon with a good attitude can lighten the mood through humour and casual conversation, which makes everyone feel at ease. Director Han and Tian Yuan were like this, but such chief surgeons were rare. A chief surgeon with a poor attitude can make it extremely difficult for everyone, cursing andining about the assistants when difficulties arise. Intimidating, unforgiving, making everyone feel anxious and uneasy. There¡¯s a rumor that Tan Boyun at Fuer has a notoriously bad temper. One time during a surgery, surgical instruments were thrown all over the floor, but nobody knows if it¡¯s true or not. Apparently, there are operating table manners, and even family manners. ¡°Take a short break!¡± ¡°Scalpel!¡± Dr. Zhong reached out his hand. Picking up the scalpel to make a few more incisions, he then lightly threw it onto the transfer tray for sharp instruments. ¡°Change the de!¡± Su Yixuan immediately reced the de with a new one. She handed it to him again. ¡°Tissue scissors, ophthalmic scissors,¡± he said in a resigned tone. Su Yixuan took back the scalpel, quickly prepared the ophthalmic scissors. Normally, ophthalmic scissors aren¡¯t required in this type of surgery. But there were a pair prepared and individually wrapped on the instrument table below. ¡°Open the ophthalmic scissors!¡± Su Yixuan called for the patrolling nurse. Having seen the events unfold beforehand, the patrolling nurse did not dare dy. She quickly opened the individually wrapped, sterilized ophthalmic scissors. It took less than ten seconds for the ophthalmic scissors to be handed over. ¡°Could you be a bit quicker? This isn¡¯t a beauty salon, it¡¯s a surgery. Why do I have to request the ophthalmic scissors at thest minute?¡± The chief surgeon was not pleased. Damn! Which hospital prepares ophthalmic scissors for a pelvic surgery? Does Fuer only conduct pelvic surgeries on infants? Little Five had a bellyful of fire, but discipline did not permit challenges. All he could do was swallow his frustration. If they weren¡¯t on the operating table, he would challenge him to death. The operating table is a battlefield, and the chief surgeon is the leader. You must obey. No matter how angry you are, you have to wait until the surgery is over to vent your anger. Here, it¡¯s not eptable. The patient¡¯s life is on the line, so as long as the chief surgeon isn¡¯t wildly shing around and the surgery is proceeding safely, you have to submit. Song Zimo nced at Little Five, who seemed to see the fire raging in his eyes, a me that seemed palpable through their protective sses. People watching through the ss didn¡¯t know what the discussion was about. They only knew that the patient¡¯s vital signs were stable, that there wasn¡¯t any bleeding in the surgical area at the moment, but that the surgery was at a standstill and difficult to proceed. He began to use the delicate ophthalmic scissors to separate the scars. The scars were tough and hard to cut through, even after several attempts to open and close the scissors, only a little could barely be cut. He abandoned the ophthalmic scissors and switched back to the scalpel. ¡°Should we let Senior Brother Yang take over?¡± someone asked in a soft voice, from the Spine Surgery section. ¡°We should! He¡¯s amazing!¡± answered someone from the Joint Surgery section. ¡°Is he that amazing?¡± someone from General Surgery managed to squeeze themselves into the crowd. They seemed to have just finished a procedure and wanted to catch some excitement. Finally, a voice from Trauma Orthopedics spoke up, ¡°Our eldest senior brother is definitely amazing!¡± ¡°Isn¡¯t your eldest senior brother Song Zimo?¡± a man from General Surgery was apparently thest to catch on. Someone sneered at the man¡¯ste realisation, ¡°The hierarchy has changed. He¡¯s our eldest senior brother now, and Song Zimo is the second senior brother.¡± Yang Ping had already finished washing his hands and the automatic door opened as he approached. Chapter 83 - 0081: The Real Show Chapter 83: Chapter 0081: The Real Show ¡°Ding Dong! Mission: Battle For Dignity,plete a ultra-difficult pelvis surgery. If the surgery is wless, sessfully maintaining the team¡¯s dignity, reward is ten thousand points, along with admiration to varying degrees.¡± The system¡¯s task was triggered during hand washing. The automated door slowly opened. Yang Ping stood at the entrance. His disinfected hands were raised to his chest, from shoulder to waist. His eyes were sharp. Seeing Yang Ping at the door, Song Zimo and Little Five, felt a sense of relief as their savior had arrived! They were aware that the ¡°high-level¡± doctors from the neighboring room had made a decision after observing their progress. When Su Yixuan saw Yang Pinge in, her lonely and helpless gaze instantly lit up brightly. In her eyes, at that moment, Yang Ping seemed to walk on a seven-color auspicious cloud. As soon as Yang Ping opened the door, he heard Dr. Zhong¡¯s rebuke. Seeing Su Yixuan¡¯s pitiful look, he felt a surge of anger in his chest, as if he could hear the sizzling sound of roaring mes. The contest unfolded among the younger generation. Dressing in surgical gowns, putting on gloves. He pulled up the fastening belt from the waist of the surgical gown, handed it to Su Yixuan, turned around, took back the belt from Su Yixuan and tied up a neat knot, exchanging brief eye contact. Go on stage! ¡°Dr. Zhong, please move aside. The difficulty level of the surgery is high, Director Han asked me to take over.¡± His tone was calm, resolute, and beyond doubt. Dr. Zhong hesitated for a moment before moving aside, but he had no intentions of leaving the stage. Zhang Lin, who had quietly entered at some point, was there ready to help move the C-arm X-ray machine. He brought a stool over and pointed to the screen: ¡°You can sit here to watch the screen, it¡¯s clearer than the view on stage.¡± Dr. Zhong, who was still reeling from the overpowering aura that Yang Ping had just demonstrated, responded, ¡°I¡¯ll watch from the stage.¡± Unwillingly, he decided to stay and see how the surgery would proceed. The screen didn¡¯tpare to the live scene. Little Five made room, Song Zimo remained motionless, and Dr. Zhong stood in the assistant¡¯s position. ¡°Senior Brother, the adhesions are too severe, the anatomy is totally unclear, the blood vessels and nerves have been disced.¡±, Song Zimo warned, cleaning off the burnt tissues from the tip of the electric knife and cing it where Yang Ping can easily reach. The instruments on the stage were rearranged, the bipr electrocoagtion machine was brought up, the cables of the electric knife, bipr electrocoagtion machine, and aspirator were sorted out, the wrinkles on the green surgical drape were smoothed out. The gauze on the table was reced, a clean white piece was brought over. They worked in wless harmony. Scalpel! Non-toothed forceps! Yang Ping did not speak, but as soon as he stretched out his hand, the handle of the scalpel was already in his hand. Immediately after, the non-toothed forceps were passed to him. Even though Su Yixuan was assisting in Yang Ping¡¯s pelvis surgery for the first time, from her previous experience, she was familiar with his need for a scalpel and non-toothed forceps for a precision sharp dissection at this stage. The exposure was excellent, Song Zimo¡¯s assistance was impable. With his left hand holding the non-toothed forceps and scalpel in his right, the sharp dissection began. The experience of dissecting over a hundred times, training on three thousand pelvis surgeries, and hundreds of bizarre pelvis surgeries, was enough to create an overwhelming dominance in his technique. Yang Ping used his finger to lightly touch and began the dissection. Tough and brittle scars were everywhere in the view, it seemed like the entire surgical area was made up of scar tissues and no other structures. With the non-toothed forceps, the scar tissue was held steady, with no need to worry about slipping due to theck of teeth. The tip of the scalpel, both agile and precise, was used to slowly open up the scars¡¯ adhesions. As the white scars¡¯ surfaces were revealed, the surgeon seemed to know the exact positioning and distribution of all the blood vessels. Even tiny vessels would be cauterized in advance with bipr electrocoagtion. The scalpel perfectly sliced through scars without damaging the blood vessels. The bipr electrocoagtion was switched to stop the bleeding, then continued. The scalpel and the bipr went on in turns while the electric knife was left aside. The dead artery buried in the scar had no ce to hide under the knife, it gradually emerged, was mped by two vascr mps, cut off, and sutured. The previously pristine gauze hadn¡¯t been used yet. The contours of the external iliac artery and vein slowly began to appear, enveloped in their intact adventitia. The femoral nerve andteral femoral cutaneous nerve were up next. At this stage, most people use an electric knife for dissection, which can simultaneously stop bleeding by cauterization. However, the thermal injury caused by the electric knife is rtivelyrge, which might cause some tissue damage. Yang Ping preferred thebination of a scalpel and bipr electrocoagtion, a stark contrast akin to the difference in scale between a cannon and a precision-guided missile. Just like a dancer on the tip of a knife, the adhesions were meticulously picked out bit by bit. It was like an archaeologist¡¯s brush gently removing sand, slowly revealing a priceless antique. The nervy structures, appearing like strips, clearly surfaced. They were apanied by intact adventitia and faintly visible blood vessels that run on the ventral side. The assistant¡¯s vascr mp timely and skillfully passed under the nerves, gently lifting them. Yang Ping reached out his hand and the surgical nurse passed him a beautiful moist rubber band. Neither early norte, both hands reaching out at the same moment, meeting each other, the rubber band in Yang Ping¡¯s hand. The vascr mp on this side had its mouth open, the rubber band was fed in, mping, pulling, aligning the end parts. The mp held both ends of the rubber band, pulling it to one side. Theteral femoral cutaneous nerve,pletely buried in scar tissues, was also separated, pulled open and protected. ¡°Senior Brother¡¯s pelvis surgery is so good?¡± A heartfeltpliment inevitably slipped out from under stage. ¡°This adhesion is severe, it¡¯s hard to perform, there will be a lot of bleeding.¡± ¡°Look, the operating table is very clean, there¡¯s no bleeding.¡± ¡°The legendary bloodless operation!¡± ¡°So amazing.¡± ¡°Much better than the doctor from Fuer.¡± Discussions were unavoidable. Dr. Zhong¡¯s throat was very dry; he swallowed his saliva. This method of separation surpassed his abilities, it was far beyond his reach. Sometimes coordinating left and right, sometimes crossing both hands, the left and right hands were equally proficient, with no difference in ability. There was no slipping when holding scar tissue with a toothless forceps, and the scalpel and bipr electrocoagtion worked together seamlessly, rendering the entire surgery almost bloodless. Critical strike! A definite strike above thirty thousand! Dr. Zhong was somewhat dazed. Up to this point in the surgery, the surgeon had not said a single word. ¡°Focus! Pay attention to the exposure!¡± Yang Ping¡¯s voice was extremely stern, like a professor scolding his own student. Dr. Zhong came to his senses and realized he was being talked to. Since he was the second assistant, he quickly adjusted the retractor. As a professional, he should not give people any reason to doubt him. The separation of the spermatic cord was not very satisfactory, so Yang Ping went back to it and performed a better exposure on the spermatic cord already separated by Dr. Zhong. After all, scar tissue is not stic, and if it is pulled a little too hard, it can easily damage the spermatic cord, causingplications after surgery. Afterpleting the three windows, they continued to operate deeper in. Old clotted blood surged out, immediately neutralized by the suction tube ced by the assistant in advance. The dark red blood was quickly sucked into the sealed bottle below the table. Fresh blood surged out as the ruptured and retracted small artery was awakened by the operation and broke through the self-coagted thrombus, ready to spray out. There was no opportunity to spray as Yang Ping¡¯s vascr mp, two of them, one in each hand, had already mped the two severed ends of the artery. Without a second dy, Song Zimo tied a knot to stop the bleeding. Repeat the process and another severed end was ligated. Then, they handled the blood vessels around the fracture, whether they were retracted or not, they were all easily located and dealt with. Even if they were retracted into the bone fragments, they were filled with bone wax, leaving the surgical area clean. That piece of gauze hadn¡¯t been used at all. They had kept the surgical area absolutely clean by using only the suction device and a bipr electrocoagtion device. ¡°Ready to rinse! Pay attention, this is surgery!¡± With an unsatisfied tone, Yang Ping reprimanded, and banged Dr. Zhong¡¯s hand with the vascr mp, causing him pain but his hand was holding a retractor. There was nothing he could do. He had been distracted again and the position of the retractor was incorrect, making the exposure poor. Shame was weighing heavily on him, and Dr. Zhong became dizzy and had trouble concentrating. Luckily, he was just the second assistant and his distraction wouldn¡¯t heavily impact the surgery. However, stepping off the tform now would seem petty, so he chose to grit his teeth and stay. From the beginning of the operation up to this point, Yang Ping had only spoken three sentences, and all three were directed at Dr. Zhong. Ice salt water was passed over and Yang Ping began to rinse. ¡°Seven holes, reconstruction, arc¨C¡± Yang Ping reported several te models in one breath. Su Yixuan heard this and her hands moved almost simultaneously, picking out all the required te types and their neighboring types and cing them in the appropriate position. Next, Su Yixuan made sure the drill bit was set properly and double-checked that there were no issues, even inspecting the drill bit rotation lock. Sheid out the three-step tools used to drill holes, measure depth, and tap screw threads. Even though they were using a locking te and there was no need to tap screw threads, Su Yixuan still prepared the tools just in case. ¡°Such an impressive young man. How old is he? An attending physician?¡± Tan Boyun had no previous impression of Yang Ping. The people he currently knew and could remember were Director Han, Director Tian, and a few team directors. He also remembered Song Zimo because of his standout appearance, but he had no memory of this young man. ¡°Ah, a twenty-something-year-old young man, just promoted to attending physician. Young peopleck experience, they need to be given more opportunities.¡± Director Han said indifferently. No wonder Tian Yuan was so confident to let him perform the surgery, Director Han thought. He had been busy and perhaps his training progress had been slow. He didn¡¯t let Yang Ping do pelvis surgery, and at most made him the first assistant. It seemed that Yang Ping had had a lot of practice doing pelvis surgeries with Tian Yuan, and Tian Yuan was very familiar with his abilities. Director Han felt a bit guilty for paying so little attention to his young subordinates. Truth be told, he had been very busy recently, with the Orthopedics Institute and minimally invasive trauma orthopedics, there was too much to do. He was always short on time and often dreamed of making the orthopedic department top-notch nationally within a few days. During this period, he had mostly ignored Yang Ping, Song Zimo and the others. Fortunately, Tian Yuan was able to take his ce and guide these young people. This kind of pelvic fracture was at the peak of a level four surgery, and widespread scar tissue adhesions furtherplicated it. Even seasoned experts would feel at a loss, yet this young man confidently performed the operation on stage. This level of proficiency could not be achieved without hundreds of surgeries under his belt. The swift and precise separation of the adhesions and dealing with retracted blood vessels left people speechless. This young man, Tian Yuan, hadn¡¯t even gone up on stage, yet an attending physician was already so skilled. He had always had a deep impression of Tian Yuan. When they went to Japan and the United States, they were in the same group. This young man was more than a decade younger than him, yet his skill level was not inferior in any way. Diligence, high ability, perseverance, no weaknesses in surgery, theory, or research, he remembered being intimidated by Tian Yuan before he was transferred. But when he heard that Tian Yuan had joined Director Han in the newly opened department, he was relieved. ¡°Sanbo is really full of hidden talents, eh? Brother Tian!¡± Tan Boyun didn¡¯t know how to continue the conversation. Director Tian replied nonchntly, ¡°Oh, we don¡¯t have as many high-end,plex surgeries here as at Fuer. We just perform these routine surgeries more often. As long as these youngsters are willing to learn, Director Han is usually willing to teach.¡± Damn, he thought, they call this surgery routine? What then are your high-end surgeries? Head transnts? But he was helpless and could only listen. After all, the attending physician on stage now was performing the surgery so smoothly. If this was at Fuer, he would be someone who could strut around confidently. His self-esteem and pride were severely damaged. Simrly, a critical strike over thirty thousand! Chapter 84 - 0082 - Submission Chapter 84: Chapter 0082 ¨C Submission The approach is open, the surgery is only halfwayplete, let¡¯s continue. For top experts, the difficulty of this surgery lies in gaining ess. Doctor Zhong should also be able toplete the following reduction and fixation, the only differences being speed and quality. They started with the anterior acetabr fracture fixation. The surgeon¡¯s proficiency was not just versed but masterly¡ªmaking the highly difficult surgery appear extremely simple and effortless. Next were the iliac wing fracture, sacral fracture, sacroiliac joint dislocation, pubic bone fracture, and finally, the pubic symphysis. All the numerous reductions and fixations, one after another, were smooth and coordinated with a clear rhythm, and there were no stoppages even for a few minutes. Even when dealing with the tricky bleeding from the presacral venous plexus during sacral fracture and sacroiliac joint dislocation, the precision of the bipr coagtion was very high, as urate as a moving target shooter, hitting the mark every time. Horizontal, vertical, diagonal¡ªevery steel te adhered well, forming a robust and solid fixation of the dislocated fracture. The whole process was pleasing to the eye and highly watchable. If a surgery has a certain viewer appeal, it¡¯s not just about sessfullypleting the surgery¡ªit¡¯s aprehensive demonstration of superior surgical skills, a sense of speed, smoothness, rhythm, perfection in details, and more. Doctor Zhong¡¯s forehead was covered in sweat. To prevent the sweat from dropping and contaminating the surgical field, the circting nurse had to remind him several times before he heard and turned his head to let the nurse wipe his sweat off. The fracture that needed to be dealt with through anterior approach is done. ¡°We need to turn the patient over and operate from the back,¡± Song Zimo reminded him about the remaining posterior acetabr fracture. He was afraid that Yang Ping, with the surgery going so smoothly, might have forgotten. ¡°We can do it all at once, no need to turn the patient over.¡± Yang Ping responded. ¡°Scalpel!¡± The incision was extended, and the direction changed. The iliac inguinal approach transformed into the para-rectus approach¡ª the surgeon¡¯s use of the incision was innovative. The para-rectus approach, a newly developed approach in recent years, can be used to treat both anterior and posterior acetabr fractures through a single approach without having to turn the patient over. However, forplicated and difficult-to-reduce posterior acetabr fractures, using this single approach to simultaneously tackle both anterior and posterior acetabr fractures can be quite challenging. It was precisely this consideration that Director Tian, when on Shipo, gave up the single approach and adopted the ssic anterior-posteriorbined approach. ¡°Para-rectus approach?¡± Tan Boyun recognized the surgeon¡¯s intent at first nce. Daring to use the para-rectus approach at this time, this person is too bold! Tan Boyun stood up straight. The pelvis was already severely adhered. Wrapping up the anterior approach swiftly, then changing the patient¡¯s position, disinfecting again, and covering the operating table, to carry out the posterior acetabr fracture from the posterior approach would be much safer and easier. It appeared that this adhesion was caused by tuberculous peritonitis and would not significantly affect the posterior structure. The kid sure is gutsy and talented! Director Tian also adjusted his posture. However, with Yang Ping¡¯s level of skill, which he had clearly understood while assisting to handle the retracted arterial hemorrhage in Shipo, he wasn¡¯t too worried. Using his familiar scalpel and bipr coagtion, he advancedyer byyer, rapidly and rhythmically. Nerves and blood vessels were revealed and pulled aside, the peritoneum-wrapped intestines were pushed aside, the adhesion space was separated¡ªadhesions were no obstacle under the scalpel and bipr coagtion,pleting the bloodless procedure from start to finish. Before Tan Boyun even had a chance toment, they had already reached the posterior acetabr fracture and began fixation. In a cramped space, the difficult posterior acetabr fracture was easily reduced. The steel te mold went in and out, already formed; the steel te and bending tools that Su Yixuan had prepared were handed over. Song Zimo immediately mped the steel te, and Yang Ping adjusted it with a few moves¡ªwhenpared to the mold, they were a perfect match. At the same speed, another steel te was bent. The steel te was put in ce, holes drilled, screws twisted, and an x-ray was ordered! While Doctor Zhong was still in a daze, Zhang Lin had already moved the C-arm machine in and everyone left to avoid the radiation. After the x-ray was done, they returned to the OR. The x-ray image on the screen, presented several angles: the proper position, the exit and entrance. Fracture was beautifully reduced, the steel te and screws were in very satisfactory positions. There was no snapping in the hip joint, and the screws hadn¡¯t identally ended up in the joint cavity. This skill was simply out of his league. Doctor Zhong had already forgotten his previous embarrassment and began focusing on the perfect surgery. The back of his hand that Yang Ping had hit was still a bit sore. The sense of superiority he had when he first arrived, that feeling of being on high, was utterly extinguished. At Fuer, he also had a small reputation in terms of his skills. Under Director Tan, walking a little arrogantly or strutting about wasn¡¯t a problem. To be Surgically Adding Internal Fixation toplex pelvic fractures in trauma orthopedics was an achievement that could enable you to set up your private practice in big hospitals. The bad luck! Having done so many pelvises, he hadn¡¯t evere across such an odd one. This pelvic surgery, there was adhered scar tissue everywhere¡ªit was like cooked noodles left for a few days that had turned into dough. Where could you separate each noodle? And yet, he managed to separate each noodle. Sigh! Fate! It¡¯s all about fate! If not for bad luck, he would currently be the subject of admiration more intense than equatorial sunshine. Doctor Zhong sighed, ¡°Time is not on my side,¡± that¡¯s all he could think, his mind buzzing as if covered with a hood¡ªeverything was blurry. It wasn¡¯t until Zhang Lin had called his name twice during the x-ray that he heard him and followed everyone else out to avoid the radiation. ¡°Perfect!¡± ¡°That¡¯s a wrap!¡± With the surgery over, the circting nurse began to count the gauze and instruments, calcting the amount of blood loss. Song Zimo said, ¡°Brother, you¡¯ve worked hard, please take a break. Dr. Zhong and I will close the incisions. Dr. Zhong, is it okay with you?¡± ¡°No problem, no problem at all.¡± Dr Zhong hurried back to the operating table, now fullymitted like a spinning top, wherever he was needed, there he would be. Yang Ping began to remove his surgical gown and gloves, and Little Five also climbed onto the operating table to assist. ¡°You should take a break!¡± said Su Yixuan, her eyes aplex mix of admiration, respect, and gratitude. ¡°Are you okay?¡± Yang Ping pointed to her hands. Su Yixuan shook her head, a sweet smile on her face. Flushing, inserting drainage tube, suturing theyers. And like that, the surgery was over. ¡°Elder Brother is too incredible¡± ¡°Yeah, look, that doctor from Fuer isn¡¯t upset anymore.¡± ¡°Such a difficult surgery, and yet so beautifully done, truly admirable!¡± There was a small uproar next door, and anyone who wasn¡¯t oblivious could sense the significance of this surgery. Dignity! Not just the dignity of an individual, but the dignity of an entire team. Now, that dignity was being vigorously defended! ¡°Ding Dong! Perfect surgerypleted, task aplished, reward ten thousand points, reap countless admiring looks.¡± The system never reneges on its word, Yang Ping sits on a stool to rest. ¡°Such a pelvic surgery, from start to finish, virtually bloodless, too impressive.¡± Dr. Jin said. Director Ouyang said: ¡°The two people¡¯s surgical skills aren¡¯t even in the same league, Little Yang¡¯s surgery was truly meticulous!¡± Director Bai ¡®s face lit up in a smile: ¡°It¡¯s always the younger generation from Sanbo who are most steady.¡± ¡°Director Tan?¡± Director Han stopped patting his legs. Tan Boyun didn¡¯t respond. ¡°Director Tan?¡± Director Han raised his voice slightly. ¡°Oh!¡± Tan Boyun snapped back to reality. The surgery¡¯s over already? What incredible speed. This surgery, there wasn¡¯t absolutely anything toin about. Tan Boyun awkwardly said: ¡°Director Han, your subordinates are unbeatable. Having Tian Yuan is already extraordinary, let alone such a young prodigy. The younger generation is indeed formidable. The doctors of our Fuer Hospital couldn¡¯t evenpare.¡± ¡°Director Tan, you¡¯re ttering me too much, you¡¯ll be Director Han¡¯s top tiger in the future.¡± Tian Yuan joined in the conversation. ¡°Definitely not!¡± Director Tan felt his neck burning with embarrassment. ¡°In the future, the micro-injury orthopedics department will need Director Tan¡¯s guidance to reach new heights.¡± Director Han patted Tan Boyun¡¯s shoulder. ¡°Under the leadership of Director Han, we will do our utmost.¡± Tan Boyun suddenly found himself feeling inferior. Tan Boyun in Fuer, never use to getting along with his elder, always rebellious. Now, after this rotation to Sanbo, it was undeniable that he aspired to be the orthopedic director. This surgery had left himpletely stunned, and he was wholeheartedly in agreement with the methods. His aspirations faded and all he wanted was to maintain his position as the director of micro-injury orthopedics, do his best during his prime years, and achieve some results. ¡°Tian Yuan, apany Director Tan for a walk and familiarize him with the operating room. I have to leave now due to some work.¡± Director Han stood up, and Tan Boyun and Tian Yuan followed suit. Director Han gestured politely: ¡°After you, Director Tan!¡± Immediately, Tan Boyun bowed and motioned with his hands: ¡°After you, Director Han, after you.¡± Director Han held his hand: ¡°Alright then, you guys take a look around. We¡¯ll get together againter. Dean Xia is holding a banquet in person.¡± ¡°Why don¡¯t we chat this evening! You¡¯re too kind!¡± Tan Boyun¡¯s sharpnesspletely receded in front of Director Han. Director Han walked out inrge strides, and Tian Yuan said, ¡°Director Tan, let¡¯s take a walk together and familiarize ourselves with the operating room.¡± ¡°Sure! After you, Director Tian.¡± Tan Boyun felt a newfound modesty deep in his heart when facing Tian Yuan. Dr. Zhong also came out and saw Director Tan: ¡°Director!¡± His face showed signs of shame. Director Tan patted his shoulder: ¡°Come, let¡¯s walk along with Director Tian and familiarize ourselves with the operating room.¡± Meaning: Don¡¯t worry, there¡¯s no need to feel stressed out. Chapter 85 - 0083 Visit to the Operating Room Chapter 85: Chapter 0083 Visit to the Operating Room Director Tan and his disciples have been here several times and have toured the operating room, but they were just fleeting visits. This time, they need to look closer. The three men stood near the operating room they had just visited. Director Tian enthusiastically introduced the condition of the operating room: ¡°Our Orthopedics Department currently has eight operating rooms. There are three in the Trauma Orthopedics, two in the Spine and Joints each and one in Sports Medicine. Out of the eight operating rooms, four are primary operating rooms, each ward has one. Our trauma orthopedics¡¯ main operating room is this one, which includes a teaching room and a storage room. The general operating rooms only have storage rooms.¡± ¡°Hmmm, Sanbo Hospital has first-rate hardware!¡± Tan Boyun eximed, but quickly added, ¡°I mean, the technical hardware is top-notch!¡± Tian Yuan pointed to the other two operating rooms, continuing, ¡°These two operating rooms are also for our Trauma Orthopedics, they are general operating rooms.¡± The setup was simr to Fuer Hospital¡¯s, but Sanbo¡¯s main operating room also had a teaching room. ¡°How many C-arm machines do you have?¡± Tan Boyun was particrly interested in this. Last time, Director Han gave a general introduction, but this time he needed a more precise understanding in order to carry out future work efficiently. In some hospitals where surgeries are frequent but have fewer C-arm machines, embarrassing situations often arise where staff fight over the machines. ¡°We have three C-arm machines, two are new and one is old. We have one over here, there is one in the Spine and Joints, which is G-shaped, and one old one for the Joints and Sports Medicine since they use it less often,¡± Tian Yuan gave a detailed introduction. ¡°What about the microscopes?¡± Dr. Zhong asked. Tian Yuan replied, ¡°We have three microscopes from Carl Zeiss. Come over and take a look.¡± Tian Yuan led them through the main operating room to the storage room, where the patient from the prior surgery was already waking up from anesthesia, prepping to move to their bed. Dr. Zhong was passing by Yang Ping¡¯s side, so he bowed slightly in greeting, albeit rather awkwardly, ¡°We¡¯re getting familiar with the operating room equipment.¡± Director Tan also waved in greeting, ¡°Hard work pays off!¡± Tian Yuan introduced, ¡°This is Dr. Yang! I¡¯m showing Director Tian and Dr. Zhong the microscope.¡± Yang Ping immediately got up to shake their hands, ¡°No worries, it¡¯s not tough. Take your time to familiarize yourselves.¡± After the greetings, Tian Yuan took them to the storage room where a microscope was ced. ¡°This microscope was purchased not too long ago. It haspleted a rentation of a one-month-old infant¡¯s five fingers, an adult¡¯s upper limb¡¯s five-section rentation, and has so farpleted nearly 200 finger rentations. The microscope next door bought when our hospital was established haspleted our hospital¡¯s first case of free toe-to-thumb reconstruction, fingertip construction, and five-digit three-section rentation using a single hand on a child,¡± Tian Yuan narrated enthusiastically. Each piece of equipment held its own story. ¡°Who usually does the microsurgery?¡± Dr. Zhong asked, adjusting the eyepiece. The microscope was simr to their hospital¡¯s, but surprisingly, it had performed a baby¡¯s finger rentation. ¡°Normally, I do it, along with Xiao Yang and Xiao Song, they do it more often. They¡¯re young; without surgeries to keep them busy, they can¡¯t grow. In cases we can¡¯t handle, that¡¯s when Director Han steps in,¡± Tian Yuan exined. ¡°This ultrasound bone knife is great!¡± Tan Boyun, with his sharp eye, saw an ultrasound bone knife inside. This device is very useful. When cutting bones, it won¡¯t harm the surrounding nerves and blood vessels. Its cutting has selectivity, only cutting the hard and leaving the soft untouched. ¡°The ultrasound bone knife is used more by the Spine and Joints team. We rarely use it. All this equipment is shared by therge Orthopedics team. Last time, when Director Han was reforming a malunion of an old pelvic fracture, the ultrasound bone knife was pulled over here, it was temporarily ced here and has not been moved yet,¡± Tian Yuan uncovered the dust cover protecting the ultrasound bone knife. ¡°Your equipment is very sophisticated.¡± Tan Boyun felt reassured seeing that everything that should be present was there. ¡°It¡¯s OUR equipment that¡¯s sophisticated!¡± Tian Yuan corrected with augh. ¡°Right, right, OUR equipment is sophisticated.¡± Tan Boyun immediately corrected himself, with a chucklingugh. ¡°The approval procedures for our equipment have been vastly simplified. In Fuer, therge-scale equipment is entirely financed by the government. Over here in Sanbo, there¡¯s support from an Overseas Chinese Foundation. The Foundation not only supports the purchase of equipment but is also responsible for supporting doctors¡¯ overseas research and scientific research funds. Theboratory our Orthopedics Institute is currently applying for grants from the Foundation.¡± Although they all belong to hospitals directly under the provincial Health Department, none of the affiliated hospitals of Nandu Medical University can bepared with Sanbo, irrespective of their strength, lineage or history. Even though Han Jiangong was originally from Magic City Sixth Hospital and was a representative figure of the young faction in the orthopedics field at that time, the reputation of an individual cannot take the ce of a hospital¡¯s brand. The brand value of a hospital requires time to build up. Fuer Hospital¡¯sprehensive strength is dominant in the province. The third branch is a specialist cancer hospital nationally renowned, and the fourth is a specialist orthopedic hospital. Although it¡¯s a specialist orthopedics hospital, its reputation cannot bepared with the orthopedics department of the first and second branches. The potential for future development is promising. The other hospitals can only be the second choice. The Provincial People¡¯s Hospital and the City People¡¯s Hospital belong to the second tier. The Provincial People¡¯s Hospital is stronger than the City People¡¯s Hospital. All of the hospitals have a high patient inflow and perform numerous surgeries. There isn¡¯t a significant difference in size whenpared with the first and second branches, the only difference is in academic status, which can¡¯t bepared with the Nandu system at all. The Nandu Traditional Chinese Medicine College Affiliated Hospitals, the Provincial Traditional Chinese Medicine Hospital, and the Municipal Traditional Chinese Medicine Hospital form their own system, also belonging to the second tier. The Nandu system, the People¡¯s system, and the Traditional Chinese Medicine system, these three forces coexist peacefully with a bnced pattern, each with its traditional stronghold. Sanbo Hospital doesn¡¯t belong to any faction and is located in a remote area. When the hospital was established, people were hired from the Nandu and the People¡¯s system. Not many were willing toe; most of them were poached from other ces. So, Sanbo has always been inconspicuous and unnoticed by these hospitals. However, in the past few years, these hospitals were startled to find that Sanbo had unexpectedly begun to develop. When Doctor Tan and Doctor Zhong shifted to Sanbo Hospital, the medical setup made them feel superior, as technology enthusiasts often have a wild and unruly spirit. After inspecting the main operating theater, they moved on to the others. ¡°Director Tan, over here,e see this,¡± Tian Yuan guided, leading them to the end of a hallway, to a closed door. Director Tian entered a code, the door opened automatically, revealing aplete contrast to the operating rooms they¡¯d just visited, they had seen the operation room before, but not this ce. ¡°These are newly constructed multi-functional operating rooms, already inspected and ready for operation, take a look!¡± Through the small observation window in the door, this one looks several timesrger than a regr operating room, filled with screens of various sizes, robotic arms, and other equipment. ¡°A surgical robot? Da Vinci!¡± Doctor Zhong eximed in surprise. Director Tan was also interested. The automatic door opened, and they all walked in. Thisrge operating room was apanied by several auxiliary rooms: an operation room, storage room, and teaching room. ¡°Is it the Da Vinci surgical robot?¡± Director Tan confirmed. ¡°Our hospital also bought a Da Vinci, but it¡¯s only used by the thoracic, general, and urological surgery departments. We in orthopedics can¡¯t use it,¡± Director Tan regretfully added. The Da Vinci surgical robot currently cannot perform orthopedic surgery. This robot is quite expensive, with a unit price ranging from tens of millions, and a startup fee of twenty thousand each time a surgery is performed. ¡°This one was directly donated by the Overseas Chinese Foundation. We actually prefer local products if we were to purchase ourselves,¡± Tian Yuan exined. Robotic surgery is a new technology in surgical fields in recent years, leading the trend in high-end technology. Currently, it is heavily utilized at affiliated hospitals of Zhengzhou University, Zhejiang University, and 301. Within the country, only a few dozen such robots have been installed, mostly used in thoracic, abdominal, and urological surgeries. ¡°It¡¯s truly a shame that Da Vinci can¡¯t be used for orthopedic surgeries,¡± Professor Tan expressed his disappointment. ¡°Director Tan, let¡¯s check the next operating room!¡± There were several multi-purpose operating rooms in the same row. They all went to another one. ¡°Tianji?¡± Tianji, a domestic surgical robot, can perform orthopedic procedures. Director Tan¡¯s eyes lit up. Director Tian exined, ¡°This one we bought ourselves, using money from the foundation. It¡¯s just as good as the imported ones, albeit we only have one for now.¡± ¡°What a wonderful piece of technology, truly wonderful!¡± Director Tan admired, caressing the robotic arm and looking around the operating table. While Da Vinci is an American product, it can¡¯t perform orthopedic surgeries. Tianji, on the other hand, is locally produced and can handle orthopedic procedures ¨C it¡¯s the only orthopedic robot in the world capable of conducting surgeries on the whole spine, pelvis, and limbs. But these high-end technologies are not perfect, machines can always make mistakes. In one country, a patient¡¯s major artery was punctured by a robot during heart surgery, leading to their death a week after the operation. Surgical robots are not actual robots, as the name might misleadingly suggest ¨C they don¡¯t perform surgeries by themselves. It¡¯s more precise to call them remote surgery systems, where the surgeon doesn¡¯t need to be at the operating table, insteadmanding the robotic arm to perform the surgery by watching a video screen from some distance. At the end of the day, surgeons are still in control, it just so happens that robotic arms are more stable and precise than human hands. This entire process is simr to a remote-controlled toy excavator. ¡°All these surgery rooms are designed with lead walls for radiation protection, that side will be the operating room, and the operating desk will be set there.¡± Director Tian went into the operating room, touched the disy screen, and sat on the operation desk chair to get a sense of it. What a great tform. Choosing toe to Sanbo was definitely the right decision. Back at Fuer, they felt stifled and were unsure when they might be able to make their mark. Now, they felt a surge of ambition and determination stirring within them. ¡°Will this robot be exclusively for our orthopedics department?¡± Director Tan asked excitedly. ¡°At present, it will be shared among the major orthopedics departments, and we n to buy another one. So, the trauma orthopedics department will have one robot, and the other departments will share another one. Director Tan, you¡¯ll get your chance to shine.¡± Tian Yuan said. ¡°Our hospital startedter and has a less solid foundation, so we need to catch up. We can¡¯t fall behind on equipment,¡± Tian Yuan modestly said. ¡°Yes, you need a good axe to chop wood,¡± Director Tan said. Next door, there was also a multi-functional surgery room for sports medicine. Director Tan was not particrly interested in that, as he was specialized in trauma orthopedics. In the future, they are going to make a significant contribution! Tan Boyun thought, feeling quite pleased. Chapter 86 - 0084: Heart-to-Heart Trust Chapter 86: Chapter 0084: Heart-to-Heart Trust In the evening, Dean Xia hosted a banquet in the hospital¡¯s private restaurant to wee Tan Boyun. Before attending the banquet, Director Han called Tan Boyun to his office and poured him a cup of tea. ¡°Thank you, Director, you¡¯re too kind!¡± Tan Boyun took the tea with both hands. ¡°Sit, sit!¡± Director Han grabbed his own Yixing teacup and took a sip. ¡°This is decent tea!¡± Sitting down, Tan Boyun also took the time to taste it. ¡°Brother Tan, honestly, in Fuer, whether it¡¯s surgery or research, you¡¯re first-rate. What youck is just a tform, a tform where you can showcase your talents. After you¡¯ve joined Sanbo, I¡¯llpletely hand the micro-injury orthopedics to you. You can do as you wish, and I¡¯ve got your back. As long as it¡¯s in line with therger orthopedics strategic n, I won¡¯t interfere. You haveplete freedom and unless it¡¯s strategic issues, you don¡¯t need to report to me. Ouyang, Old Bai, and Old Ding, I¡¯ve spoken with them, they¡¯ll be offering you theirplete support. Unity and progress are our cherished traditions at Sanbo. However, there¡¯s always an adjustment period. If they disy any discontent in the short term, please be understanding.¡± Director Han spoke candidly. Hearing these words, Tan Boyun was filled with mixed feelings. He couldn¡¯t help thinking how over the years at Fuer, he had no ce to vent. Why didn¡¯t hee here earlier? Han Jiangong is indeed talented and charismatic, no wonder all of his subordinates follow him devotedly. ¡°I definitely won¡¯t let you down!¡± Tan Boyun said emotionally, ¡°A schr living in purity and contentment, being respected and having the freedom to showcase his abilities, that¡¯s enough!¡± ¡°Did Tian Yuan take you for a tour of the operating room?¡± Director Han asked. ¡°Yes, I have seen it. I also checked out the surgical robot, our equipment is top-notch,¡± Tan Boyun replied. ¡°That¡¯s nothing. Right now, your Micro-Injury Orthopedics Department is the main force. Without proper equipment, how can you fight a battle? The Tianji, prioritize it in your department, I n to buy another one for the other Orthopedics Departments to share. If there¡¯s anything else you need, make a list and I will get Dean Xia to approve it.¡± Director Han said energetically. ¡°At the end of the year, we¡¯re nning to host an Orthopedics Academic Conference. Initially, I was going to be in charge, but now that you¡¯re here, you will take over. Tian Yuan will assist you. We will have Fuyi, Fuer, Provincial People¡¯s Hospital, and City People¡¯s Hospital in attendance, and we¡¯ve also invited a few foreign professors. You can work out the details with Tian Yuan,¡± Director Han continued. ¡°That¡¯s not right! It can¡¯t be. Director, you should take charge. Tian Yuan and I will assist you,¡± Tan Boyun refused. ¡°We¡¯re family here, no need for dilly-dallying. You¡¯ve just arrived, you need the conference to raise your profile. The academic conferences at Fuer, you¡¯ve always been a sidekick, this time you¡¯re the leading role,¡± Director Han insisted firmly. Tan Boyun was extremely touched. Director Han was indeed a visionary and open-hearted. He was nothing like someone who was always afraid of being overshadowed by his subordinates, always confining him. Any more refusals would appear unappreciative. ¡°Director, I¡¯m ttered that you think so highly of me. I will give it my all to achieve results and repay you,¡± he said. The two of them had a heart-to-heart in the office. They hit it off well, drinking cup after cup of tea andughing heartily. It was only when they were urged over the phone to go to dinner that they ended their conversation and rushed off to the hospital¡¯s private restaurant. Yang Ping got off work and rode in Little Five¡¯s car. Half an hour was half an hour. He could take a nap in the car. ¡°Senior, that Zhong guy was much less arrogant today. You didn¡¯t see how cocky he was at the beginning,¡± Little Five said while driving. Yang Pingmented, ¡°Didn¡¯t he submit in the end? Thew of the jungle applies everywhere, there¡¯s nothing to discuss!¡± ¡°Is Tan Boyun really that great? Director Han gave him the position of director of the Trauma Orthopedics Department?¡± Little Five also liked to ask these questions. Yang Ping replied, ¡°He definitely has strength, otherwise why would Director Han have chosen him? We just need to do our own jobs, Director Han knows what he¡¯s doing with these arrangements.¡± Little Five nodded, ¡°I was just chatting idly with you.¡± ¡°Ding-dong, because of the host¡¯s good performance, after system evaluation, the timing consumption of the library has been reduced. Each point can now purchase one hour of learning time,¡± the system announced. The system was pretty decent. It seemed that it pays to work hard, the system rewards those who make the effort. If you don¡¯t work hard, the system will probably leave you behind. Now, with thirty thousand points in hand, he felt at ease. One point can now buy one hour of study time in the system library; this price was practically a steal. Yang Ping decided to move all his studying into the system space. In preparation for his doctoral exams next year, there was a lot to learn, from medical theory to English. English wasn¡¯t about ttering foreign ideas. Modern medicine originated from the West, and many achievements are recorded in English. If you want to surpass others, you must first learn from them. Sticking to one¡¯s old ways and preserving the remains will only result in being left far behind. Yang Ping¡¯s foundation was good to begin with, so now that he can learn in the system space, his learning progress was naturally much faster than others. In the car, Yang Ping entered the system space and studied for a week, but it only cost him a hundred and sixty-eight points. When he exited the system space, his phone rang. It was a call from Huang Jiacai. Now, there¡¯s an odd one. ¡°Hello, Doctor Yang, this is Huang Jiacai, do you have time to meet up?¡± ¡°Bro, you don¡¯t have to bother, I¡¯ve told you, I won¡¯t go to that Orthopedics Hospital.¡± Yang Ping found this man a bit too persistent, almost stubborn. The other party was silent for a while: ¡°I didn¡¯t mean that, I have a personal matter and I need your help. If it¡¯s convenient, can we meet at a nearby cafe?¡± ¡°Now?¡± ¡°Is it convenient?¡± He might have been waiting already. Why not go meet him, for the sake of the ice cream. ¡°Alright!¡± Yang Ping agreed. ¡°Get me to that cafe near the hospital,¡± Yang Ping said. ¡°Are you inviting me for coffee?¡± Little Five was delighted. ¡°Some weird guy wants to chat with me, I¡¯m going to check it out,¡± Yang Ping said. Little Five didn¡¯t ask further, dropped him off at the cafe and said, ¡°Call me when you¡¯re done, I¡¯ll pick you up.¡± ¡°It¡¯s just a few steps; you don¡¯t need to pick me up, you can go back,¡± Yang Ping closed the car door. As expected, Huang Jiacai was already there, with a young girl with short, pretty hair sitting next to him. Was he really taking my joke about introducing a girlfriend seriously? It was a booth for four people. Huang Jiacai and the girl sat side by side, while Yang Ping took a seat across them. ¡°Doctor Yang, sorry for bothering you after you¡¯ve finished work. But this is the only time you¡¯re free,¡± Huang Jiacai was always polite and humble at all times. ¡°No worries, what is it?¡± Yang Ping took the hot coffee from the waiter and took a sip. ¡°It¡¯s nothing much, I want to introduce someone to you,¡± Huang Jiacai said. He really was introducing a girlfriend. This guy is quite something. Yang Ping looked at the girl across him, who was slightly shy. He decided to let him finish his words. ¡°Huang Jiahui, my sister,¡± Huang Jiacai introduced. The girl stood up, extended her hand, ¡°Looking forward to working with you.¡± ¡°Looking forward to working with you.¡± Yang Ping shook hands with her, not quite understanding what he was supposed to be looking forward to. ¡°Who is she?¡± Yang Ping asked Huang Jiacai. ¡°Oh, Doctor Yang, Jiahui just started working at Tianjipany as a technical specialist, you might be working together in the future,¡± Huang Jiacai said. ¡°Isn¡¯t Tianji thepany that makes surgical robots? Our hospital just bought one, we haven¡¯t started performing surgeries with it yet. I¡¯m afraid there¡¯s not much I can do in terms of ¡®looking after¡¯ her,¡± Yang Ping was still unsure what he was supposed to look after. He was just a doctor after all. ¡°It¡¯s alright, just getting to know each other. You can look after each other in the future,¡± Huang Jiacai said. ¡°That¡¯s all?¡± As long as he wasn¡¯t introducing a girlfriend. There wasn¡¯t much to chat about, so the three of them just drank coffee. Huang Jiahui introduced some recent developments in surgical robots and took out a stack of documents from her bag for Yang Ping to look at. This was valuable information. Although he has ess to a vast amount of data in the system space, they were all public publications, books, and published papers. This kind of internal information from medical equipmentpanies was not avable, and Yang Ping was very interested in it. After all, surgical robots were considered the third generation of surgical technology, following traditional surgery and minimally invasive surgery. He was bound toe into contact with it and master it eventually. Chapter 87 - 0085 - A News Report Chapter 87: Chapter 0085 ¨C A News Report When he got home, he studied the data on the surgical robots once again. Director Zhuang of the Overseas Chinese Building sent a message on WeChat, saying that Li Jingshu wanted toe for a check-up the next day. Was he avable? It had been six weeks since Li Jingshu had fractured her bone. It was time for the splint to be removed. Yang Ping arranged to meet Director Zhuang at eight-thirty. By then, the ward rounds would have ended and he could take ten minutes out. When they were done, he would head to the operating room. So he told Director Zhuang to bring her to the hospital at eight o¡¯clock. He asked the doctors from the Overseas Chinese Building to prepare her documents and take an X-ray for her check-up. She should bring the X-ray ande find him in the ward at eight-thirty. The next day, Li Jingshu was on time and appeared in the trauma orthopedics ward exactly at eight-thirty. Director Zhuang personally brought her in. During her previous check-ups, her mother had apanied her. This time she came alone. She was dressed in a pink and white sports outfit and carried a bag with her X-ray films. Director Zhuang took out the X-ray films and Yang Ping hung them on the lightbox. ¡°How is it?¡± Li Jingshu asked anxiously. After examining it, Yang Ping said: ¡°The fractured bone is healing well; you can have your splint removed.¡± Li Jingshu made a fist with her right hand, indicating a sessful gesture. While Director Zhuang waited in the doctors¡¯ office, Yang Ping took her into the treatment room to remove her splint. He cleaned her skin with 75% alcohol. There were many indentation marks on the skin where the splint and pressure pad had been. ¡°It won¡¯t remain like this forever, will it?¡± Li Jingshu asked worriedly. Yang Ping replied: ¡°No, in a few days, your skin will slowly bounce back and shed the outeryer. It will be normal then.¡± ¡°I thought I didn¡¯t have to have surgery. I was considering going back to work in the Northeast.¡± Li Jingshu said with a smile. Yang Ping guided her through a series of mobility exercises¨Crotating her forearm, flexing and extending her elbow and wrist joints. He demonstrated the movements for her. She was smart and understood right away. However, when it came to performing the movements, she was scared and didn¡¯t dare to move because she feared the pain. ¡°Be bold and make sure you exercise. Otherwise, your joints will be stiff. It¡¯s just like a machine rusting. It¡¯s okay now; the fracture has healed and you can move.¡± Yang Ping encouraged her but she still hesitated. So, Yang Ping gently helped her to move. ¡°Be gentle,¡± said Li Jingshu, biting her lip. This hurts? Yang Ping was surprised. Li Jingshu shook her head. ¡°A little bit. Like a mosquito bite. But mainly, I get scared whenever I move.¡± ¡°If it doesn¡¯t hurt, then boldly practice! You must practice! The treatment of a fracture, whether it is surgery or manual bone resetting, only ounts for half the treatment. The other half is functional exercise. Without this, it¡¯s the same as zero.¡± Yang Ping exined, but his tone was not very pleasant. ¡°Don¡¯t be so fierce! I know!¡± She exhaled softly and began to rotate her forearm and to flex and extend her elbow and wrist joints as she was shown earlier. She moved slowly, and it was much better than before. ¡°You don¡¯t have to achieve everything in one go. During functional exercise, make gradual progress. You¡¯ll get better every day. Soon, you¡¯ll be back to normal.¡± Yang Ping felt that his tone was a bit harsh earlier and softened his exnation this time. After disassembling the splint and the straps, a nurse helped to clean up and then left. ¡°The next check-up will be three months after the operation. Counting from today, it should be about one and a half months.¡± Yang Ping reminded her. ¡°Mm, I remember. It was written in the discharge recordst time. I¡¯ve set a reminder in my phone¡¯s calendar. When are you free for a meal together?¡± Li Jingshu picked up her bag. ¡°From morning to night, I am performing surgeries. When would I have time to go out for a meal? You don¡¯t have to be polite.¡± Yang Ping tactfully declined. ¡°You misunderstood. I don¡¯t intend to treat you. You should treat me!¡± Li Jingshu looked at her arm and touched the uneven skin indentations. Yang Ping was confused. This youngdy was willful and unreasonable. He was too busy to waste time with her. ¡°I¡¯m going to the operating room.¡± Yang Ping didn¡¯t bother responding. ¡°Wait, is there a ce we can talk? Seriously, it¡¯s something important!¡± Li Jingshu was very serious. She didn¡¯t seem to be joking. ¡°Isn¡¯t here OK?¡± Yang Ping couldn¡¯t figure her out. She was so unpredictable. With a mysterious smile, Li Jingshu said, ¡°No, this ce isn¡¯t suitable. We need to find a ce where two people can talk in private.¡± Goodness, she was flirting with him. A twenty-something-year-old man being courted by her. But Yang Ping¡¯s face turned red. ¡°Look at you, you¡¯ve never been in love. Your face has changed color. Don¡¯t worry, I won¡¯t eat you up. It¡¯s really something important. Does your ward have a meeting room or something?¡± Li Jingshu said. ¡°Yes!¡± The meeting room is avable. Helpless, she imed to have something important and she was being quite cryptic about it, leaving him no choice but to take her to the meeting room. They sat down, a table between them. The meeting room was usually used for family discussions and providing signatures. Li Jingshu locked the door behind her. What is she up to? Thought Yang Ping as he instinctively leaned back. ¡°What¡¯s on your mind?¡± Li Jingshu chuckled. She took a file out of her shoulder bag and slid it across the table to Yang Ping, ¡°This is about your department. My girlfriend happened to be the one reviewing it. If she hadn¡¯t suppressed it, it would¡¯ve been published by now.¡± What is it? Yang Ping took a look. The headline was shocking, ¡°Outrage! Patient couldn¡¯t afford hospital fees, nurse rips out catheter forcefully.¡± The headline was so sensational, immediately igniting anger and eliciting cries of condemnation. ¡°Once this report hits the news, your hospital, your department will be infamous, overshadowing your five-segment rentation surgery by hundreds of times over,¡± Li Jingshu coldly stated. Yang Ping suddenly remembered. There was a patient who had removed his own catheter to avoid paying his bills. He had a wrist injury caused by a knife attack, resulting in a rupture of nerves, blood vessels, and tendons. It was a case managed by Director Ouyang¡¯s team, with Dr. Lei providing care, and President Guo performing the surgery. ¡°The patient didn¡¯t pay a dime. He had emergency surgery and left the hospital secretly after removing his own catheter,¡± Yang Ping clearly remembered. Li Jingshu chuckled, ¡°Who knows? Who would believe that? Is your version even interesting?¡± Yang Ping was stumped. ¡°No need to worry, the draft is still here.¡± Li Jingshu reassured. This is serious, Yang Ping replied, ¡°I will report to Director Han immediately and let the hospital find a solution.¡± ¡°What kind of solution?¡± asked Li Jingshu. What kind of solution toe up with is the hospital¡¯s responsibility, not mine. ¡°Take a look at the author of this article.¡± Li Jingshu suggested. Yang Ping pointed out at the author¡¯s name: Wang Ge! Oh my god! Everyone knows this name, the famous reporter Wang Ge, well-known even among doctors. ¡°Your hospital is not his first victim. He has smeared many hospitals in G City. Remember the Provincial People¡¯s Hospital a few years ago? A patient who underwent a colostomy for intestinal perforation was reported as suffering from medical neglect with an exposed and perforated intestine, left suffering in pain with no results from their attempts to seek justice. It caused a hugemotion back then. If it were not for the high status of the Provincial People¡¯s Hospital, any other would¡¯ve faced a catastrophe. Regardless, the doctor involved was still disciplined and transferred to the logistics department.¡± ¡°Later investigations proved that it was fake news,¡± Yang Ping said indignantly. ¡°Even if it was proven to be faketer on, the damage was done. The poison was ingested and absorbed. Does proving it as poison after the fact help?¡± Li Jingshu¡¯s logic was clear. Was this the same Li Jingshu who looked like a teary-eyed little girl, the one who huddled in a wheelchair like a small child? ¡°Don¡¯t just stare at me. I have been following this incident for a month now. I know every single detail,¡± Li Jingshu said, pulling the draft away. ¡°You¡¯ve been investigating this incident, even in your condition?¡± Yang Ping pointed at her arm. ¡°Didn¡¯t Professor Zhang Zongshun set my bone while sitting in a chair with a broken bone himself?¡± Li Jingshu shrugged. ¡°To attract attention, are reporters just allowed to make up nderous stories?¡± Yang Ping was outraged. Li Jingshu countered, ¡°Don¡¯t generalize. Not all of us are like that. Of course, there are reporters and media outlets who create fake news for personal gain, tarnishing this doctor, or that person, causing chaos wherever they can. However, there are also those reporters who have lost their lives trying to uncover the truth. Do you remember their names? Does anyone remember? We should understand both the positive and negative aspects. We can¡¯t change the negatives in a day, but if each of us does our part and makes an effort, that¡¯s when we can affect great change. History is a great torrent made up of individual efforts.¡± Li Jingshu sounded like a political science teacher, and Yang Ping was at a loss for words. ¡°This report won¡¯t be published in G City, but I can¡¯t make any promises for outside G City. However, rest assured, I have a n. If he dares to publish it, I will nip it at the root. You don¡¯t need to report this either. I will contact your hospital and keep them informed. How about we grab a meal together as a token of gratitude? Here¡¯s my card. My WeChat and phone number are the same.¡± Li Jingshu pulled out a business card and ced it on the table, presentable and nothing like the stubborn, willful girl she was earlier. Yang Ping was taken back by this about-face. ¡°That¡¯s all I wanted to talk about. I need to go now. I¡¯ll see you again during my next check-up.¡± Li Jingshu opened the door and waved goodbye. Chapter 88 - 0086 Advanced Sports Medicine Chapter 88: Chapter 0086 Advanced Sports Medicine After Li Jingshu left, Yang Ping took the business card for a look before tucking it away. She truly had done them a huge favor. Although it wasn¡¯t directed at herself, she had certainly helped the department and the hospital. Yang Ping sat in the meeting room for a while until Little Five called to inform her that the anesthesia was ready for the patient, only then did she head to the operating room. Upon entering the operating room, she saw Director Ouyang, President Guo, and Xiao Lei all hurriedly exiting the ce. Li Jingshu must have informed the hospital about the situation. Thus, the hospital administration had these individuals summoned for an exnation. The hospital would naturally handle these matters. All she needed to worry about was ensuring her surgery went smoothly; knowing her own limits, she must do her part well. Yang Ping foundfort in this realisation. When she arrived at the operating room, the patient was already under anesthesia. With Song Zimo and Little Five as well as Zhang Lin, there was no need for her to step into the operating theater. She decided to rest at the side. Director Tan and Dr. Zhong casually walked about the operating room, offering to lend a hand upon any request. Director Bai from another operating room was facing difficulties with a hip socket surgery and sent a standardised training student to invite Director Tan over for guidance. Without hesitation, Director Tan took the responsibility of going over to assist. This was part of being a Director, stepping in to save a surgery when others encountered difficulties. When Director Tan reached Director Bai¡¯s operation room, Director Bai said, ¡°Director Tan, this hip socket is trouble. He¡¯s only a sixteen-year-old boy, his fracture is melding too quickly. The area is filled with bone calluses which makes it difficult to do the anatomical repositioning.¡± Being unable to perform an anatomical repositioning means a traumatic arthritis could persist. This scenario was generally uneptable for bone fractures. ¡°Let me take a look,¡± Director Tan was very proactive, ¡°Hang on, I¡¯ll wash my hands ande up on stage.¡± Although his official appointment only started next month, since he was officially on duty now, he had an obligation to act. After washing his hands and dressing up, Director Tan got on stage, ¡°Let me see.¡± Director Bai relinquished the spot of the chief surgeon, allowing Director Tan to take over. Indeed, extensive calluses were causing the original fracture surfaces to be indistinguishable, making putting the fragments back together difficult! ¡°Oh, for how long has this old fracture been?¡± ¡°Four weeks!¡± said Fatty, Director Bai¡¯s attending physician. If the fragments didn¡¯t mend well and traumatic arthritis urred, the young patient would likely experience a lifetime of hip joint pain. Most doctors wish to perform their surgeries perfectly. However, the reality was that it was often difficult to do so. Bone cutter! said Tan Boyun. Once he had the bone cutter, he delicately started to chisel away bit by bit, softly touching the bone callus with a vascr mp after chiseling a portion, gently pressing it. The bone callus was different from original bone shards and needed to be distinctly differentiated. For example, the hardness differs when touched with a vascr mp. As the bits of bone fragments were removed one by one, they were attended to and all remaining calluses removed, so as to reveal the original shape of the bone shards. The fragments fit together perfectly like a freshly fractured bone. There were neither steps nor fissures. ¡°You can continue now, call me if there is an issue.¡± Without any intention to continue, Tan Boyun gave his directions. The crucial steps wereplete and it was unnecessary to use a sledgehammer to crack a nut. He didn¡¯t even ask for Director Bai¡¯s opinion; he simply took off his surgical gown and gloves, threw them into the collection bucket, and reminded,¡±You don¡¯t need to attend to the bone fragments anymore. Over-attendance will result in gaps. I¡¯ve repositioned them well, you can proceed with the fixation.¡± Having said that, he left for the operating rooms of Director Ouyang and Director Ding. ¡°Tan Boyun¡¯s reputation is well-earned!¡± Fattymented. Director Bai gave him a cold nce. Fatty responded with a wide grin, ¡°Still, no one can beat you, Director.¡± Yang Ping said her goodbyes to Song Zimo, informing him she would be resting in the resting room and to call her if there were difficulties. Arriving at the rest area, heid down on the long bench, entered the system, and found the page on sports medicine surgery training gleaming faintly with golden light, finally unlocked. Most sports medicine surgeries are conducted with an arthroscope, such as the suturing of the meniscus in the knee and the reconstruction of the cruciate ligament. The arthroscope is a type of endoscope, belonging to minimally invasive surgery. It doesn¡¯t require incisions, and with a few small holes, the size of chopsticks, the surgery is done. Compared with traditional surgery, learning endoscopic surgery is more difficult and the learning curve is longer. He was always an assistant before, holding the mirror and watching others perform arthroscopy surgery, eager to try but never got the chance, not even the chance to perform a simple arthroscopic examination. Now he can learn arthroscopic surgery in the system space, which is exceedingly exciting. Just like a child yearning for a beloved toy, dreaming about it day and night, one day finally being granted their wish. There are still thirty thousand points umted from tasks, and several thousand points gathered from daily activities. Altogether, they sum up to over thirty thousand points, which is currently quite a lot. Yang Ping reviewed the surgical training items one by one, selecting a three-month basic arthroscopy training package, costing six thousand points, neither expensive nor cheap. Entering the system space, Yang Ping began the arthroscopy training. The operation of the arthroscope involves separating the hand and the eye, technically referred to as triangtion. Normally, when we work, the hand and eye are in sync. The eye directly observes the target, acquiring information that is sent to the brain, and then the brain directs the hand to manipte the target. This pathway is a physiological loop in humans: Target-Eye-Brain-Hand-Target, with the starting point and endpoint being the same, straightforward. However, with arthroscopy, this pathway is different. The eye sees the video; the video is transmitted to the brain; the brain issues instructions based on the information from the video, directing the hand to manipte the target. Video-Eye-Brain-Hand-Target; the starting point and endpoint don¡¯t match; it contradicts the human physiological loop. The human body cannot adapt to this; it must be learned. This requires repeated and arduous training to be proficient. With two hands, one holds the camera lens, the other holds the instrument. Both are inserted into the joint through two small holes. The lens records what is happening inside the joint, transmitting it in real-time to the screen, while the instrument is responsible for manipting the surgical target. The lens has a field of view, which it can see within; but outside this field, it can¡¯t see. The instrument must first enter this field. Only after entering the field, will it be captured by the camera, disyed on the screen and ready for subsequent actions. Though the process seems simple, it is very difficult to operate. Many beginners learning arthroscopy take a long time to guide the instrument into the field of view. Once it moves out of sight, they need another long period of time to adjust. Because the lens and the instrument are inside the joint cavity, the screen only disys what the lens captures, not the lens itself. Introducing the instrument into the lens¡¯s field of view is a blind operation, relying entirely on spatial perceptions. First, practice on the knee joint, then the shoulder joint. Once proficient with these two, the other joints will be easy. Although practicing in the system does not consume time or energy, the psychological experience of the passage of time remains consistent with reality. Undergoing three months of continuous training is something not everyone can tolerate. But Yang Ping has a natural endurance, able to perform surgery in the system space nonstop, repeatedly training until he bes incredibly skilled. In the afternoon, everyone finished their surgeries. Zhang Lin and Liang Fatty were hiding in the bathroom to smoke and got caught by Song Zimo. ¡°You two, there¡¯s a smoking room for that. Why must you hide in the toilet to smoke?¡± Song Zimo chastised. ¡°Smoking room? Seeing the words ¡®smoking room¡¯ on the door, it dulls the feeling. Smoking should be done slyly, hiding in the bathroom, that brings a sense of thrill. This is part of cigarette culture, you guys wouldn¡¯t understand.¡± Liang Fatty defended himself confidently, even involving ¡®cigarette culture¡¯. ¡°Did you check WeChat?¡± Zhang Lin extinguished his cigarette. The group sent a message, a meeting in the teaching room for all of the trauma orthopedics, no one is allowed to be absent. ¡°Big news! Definitely big news! The phrase ¡®no one is allowed to be absent¡¯ is not typically used unless there¡¯s major announcement,¡± Zhang Lin said. Chapter 89 - 0087: Great Matter Chapter 89: Chapter 0087: Great Matter Everyone, hurry up and change. Head back to the demonstration room of your department. The demonstration room is full of people. Usually, doctors and nurses have separate meetings, but now everyone is gathered together, and the room is not big enough. Regardless if you are sitting or standing, as long as you are in the room, it doesn¡¯t matter. Everyone is in a noisy uproar, guessing why they were suddenly summoned together. But after guessing for a while, no one could figure out the reason. Some wanted to ask Zhang Lin, but he was busy maintaining order at the meeting. Seeing that most of the people had arrived, Director Han went up to the podium: ¡°Is everyone here?¡± ¡°Be quick, scan the QR code and sign in!¡± Zhang Lin shouted while standing. On the electronic screen in front, arge QR code changes every second, making it impossible to capture and send to those who arezy and didn¡¯te. The screen continuously refreshed the names of those clocking in. Everyone who should havee, hade, unless they had to be on duty in the ward or if they couldn¡¯t make it back from the night shift. ¡°Quiet, quiet. Sorry for taking up your time. Now please let Director Zhao from the medical affairs department say a few words.¡± Director Han was brief and got straight to the point. Immediately, everyone quieted down. Director Zhao walked onto the stage, waving his hand as a greeting to everyone. He stood firm, his hands on the podium, looked around the room, cleared his throat and said, ¡°Today, we suddenly gathered everyone here to discuss an important issue, a serious issue!¡± With a wave of his hand, Director Zhao directed a staff from the medical affairs office to project a medical record onto the electronic screen; it was the patient who had pulled out his catheter and fled without paying. ¡°Cui Erming, male, thirty-seven years old, suffered a chopping wound on the right wrist, causing right median nerve rupture¡ª¡± A long string of diagnoses. ¡°Are you all familiar with this patient? Doctor Guo and Dr. Lei should be. The patient fled after pulling out his catheter the morning after an emergency surgery, leaving behind his treatment fees. However, he¡¯s recentlye back into the picture. Did hee back to pay? No. Did he bring a banner to show his appreciation? No! Look at this document I have!¡± Director Zhao shook the document in his hand: ¡°This is an unreported draft, a draft by a certain reporter. What does it say? It uses our hospital of forcefully removing Cui Erming¡¯s catheter by a nurse and driving him away just because he couldn¡¯t pay his medical expenses. It¡¯s a good thing this hasn¡¯t been published, or we would all be infamous. This would be even worse than the scandal in the Provincial People¡¯s Hospital two years ago. Do you remember that incident?¡± Director Zhao paused, allowing everyone to recall the incident. Who can forget it? A patient, a colostomy patient, underwent regr treatment, but a news report imed that the doctor had forgotten to transfer the intestines back into the abdomen after surgery, resulting in a hole. At the time, the scandal was huge, and the Provincial People¡¯s Hospital¡¯s reputation was severely tarnished. The reporter became famous overnight, and the doctor involved was nearly driven mad. We were all sickened by the anger. In the end, it was all false news! Director Ouyang, Dr. Jin, President Guo, and Dr. Lei were all sitting together, with Director Ouyang and Dr. Jin looking very grim. President Guo and Dr. Lei were a bit on edge. When it seemed that everyone had recalled the incident, Director Zhao continued: ¡°Look, just look at this headline: Horrible! Patient can¡¯t pay hospital fees, nurse forcibly removes urinary catheter! They are fabricating malicious rumors so shamelessly!¡± The audience erupted in anger, boiling mad by the false usations. The way this article was written was infuriating! Almost everyone in the department knew the details of the incident. The patient had an emergency admission and didn¡¯t pay even a single cent. President Guo and Xiao Lei performed the surgery, and the next morning, the patient pulled out his catheter and ran away, forcing President Guo and Xiao Lei to eat instant noodles for a month. Now, the story has been distorted that a nurse pulled out his catheter and drove him out of the hospital. ¡°Quiet, quiet!¡± Director Han immediately quelled the crowd. Director Zhao continued: ¡°Let me ask everyone, have any reporters interviewed you? No! Can news be fabricated by imagination, turning into fantasy novels?¡± Director Zhao¡¯s impressive oratory skills showed as he abruptly shifted gears: ¡°Originally, the hospital wanted to keep this incident confidential and handle it down low. However, Dean Xia said that the more we keep it under wraps, the more likely problems will arise. We should inform everyone, establish a collective strategy, and fight against these unhealthy tendencies together. After saying so much, what is the implied meaning? First, don¡¯t be afraid. The medical service department and the nursing department have conducted investigations at the time, the records are on file, and we have both eyewitnesses and material evidences, especially the doctors and nurses involved in the incident. You shouldn¡¯t have any mental burdens. Xiao Lei, President Guo, please stand up.¡± The Director of the Medical Affairs Department addressed him as President Guo, causing the crowd to burst intoughter. President Guo and Xiao Lei stood up. Director Zhao said, ¡°Hold your heads high, you haven¡¯t done anything wrong, so there is nothing to fear.¡± President Guo and Xiao Lei seemed much more rxed, their eyes even looked more lively. ¡°Secondly, everyone should be alert about this matter. Any information about this patient should not be gossip freely, nor should it be spread randomly. If anyone notices any negative news about our hospital, especially online, it must be reported to the PR department promptly. If friends and family ask about this event, it¡¯s everyone¡¯s responsibility to rify and resist ill-intended rumors. Third, Dean Xia wanted me to pass on a message, that as long as he, Xia Changjiang, no, Dean Xia, as long as Dean Xia is still standing, he will not let any innocent medical staff get injured if anything like the incident at the Provincial People¡¯s Hospital two years ago happens. Fourth, our hospital will fight against things like these to the very end, without fear of the effort and consumption involved. That¡¯s what our legal affairs department is for!¡± Director Zhao always had plenty to say, once he started, he couldn¡¯t stop. Thest few sentences brought apuse from everyone. Dean Xia was truly a man of great courage. Truth be told, even though the draft wasn¡¯t sent out, there was no guarantee it wouldn¡¯t be published outside of G City, or on the inte. Such fake news can put enormous pressure on the physicians involved, not to mention being subjected to relentless scrutiny. Some hospitals, under pressure, might rush to penalize the physicians first, without aprehensive investigation. The pressure President Guo and Dr. Lei were under can only be imagined, but hearing Director Zhao¡¯s reassuring words, they began to rx, and smiles finally appeared on their faces. There was a certain reporter, and everyone knew who it was. The room began to buzz with conversation. ¡°How could they make this public when the draft hasn¡¯t been published yet? Isn¡¯t that just creating trouble?¡± Director Bai whispered. Fatty echoed, ¡°Yeah, the draft wasn¡¯t sent, so this matter should have just been dropped. Going public with it will only make it worse.¡± It wasn¡¯t just Director Bai and Fatty who were confused, everyone was. Director Ouyang said, ¡°It¡¯s not that simple. When has Dean Xia ever been thoughtless?¡± Dr. Jin said, ¡°Yeah, it must have been ordered by Dean Xia, or else how would Old Zhao dare to go public with it?¡± This was a bit unconventional. If it was any other hospital, they would surely handle it quietly. Even though the situation was suppressed, it was still being brought up for discussion. Tan Boyun and Tian Yuan sat together. Tan Boyun said, ¡°Dean Xia really is Dean Xia. How did this draft get to the hospital before it was even published?¡± Tian Yuan said, ¡°Dean Xia has extensive connections. Even though it was suppressed here in G City, there¡¯s no guarantee it won¡¯t be posted on another tform or online. It¡¯s not the thief who steals that you should be afraid of, but the thief who keeps you in mind.¡± Tan Boyun said, ¡°Dean Xia is making it clear to the thief: Don¡¯t mess with me, or I¡¯ll resist to death, I knew you walked around the roof of my house long ago.¡± ¡°Bullies always pick on the weak. People like this are just trying to gain fame. They would definitely weigh the pros and cons before taking action, upon encountering a tough nut like Dean Xia, they might change targets,¡± Tian Yuan said. As expected, the hospital took an unconventional path, even holding a hospital-wide meeting the next day. The content was simr to the one in the Orthopedics Department; only the speaker was reced by Dean Xia. Dean Xia was very impassioned, his voice loud and his gestures vivid. He concluded with a m of his palm on the podium, ¡°To resist this kind of harmful tendency, I, Xia Changjiang, am willing to stake all my bones. Sanbo isn¡¯t afraid of a ghost!¡± He was possibly in his fifties, not old, he was even very energetic while ying basketball. He bumped into many others, still aiming for a basket. If not for giving face, he would have almost been penalized by the referee. The next day, many websites and media outlets posted the hospital¡¯s official statement. It began with a detailed introduction to the incident of Cui Erming, followed by a brief introduction to the rumors, a severe condemnation of those creating malicious rumors, and stated that the hospital had notified the police about this matter and wouldn¡¯t support harmful tendencies, while aiming to restore the society¡¯s tranquil atmosphere. Right after, G City TV Station also interviewed Cui Erming. Cui Erming seemed terrified and his speech was a little incoherent. He imed he had absolutely no knowledge of any interview, and knew nothing about these rumors. As things became apparent, this high-level maneuver dazzled everyone. People finally understand that if this article had been published, regardless of where, it seemingly would¡¯ve lost its value, and could only serve to harm itself further. Dean Xia truly is Dean Xia. Everyone was grateful to have such a great dean. Chapter 90 - 0088: Rural Medical Team Chapter 90: Chapter 0088: Rural Medical Team The issue with the catheter removal was resolved, eliminating a potential problem. Yang Ping saw the business card still in his white gown, took it out, and pondered for a moment before tossing it into a drawer full of business cards. Tan Boyun adapted to his new environment quickly. Originally, Director Han nned for him to familiarize himself with the surroundings before officially taking up his position a monthter. However, he couldn¡¯t wait and began implementing reforms within a few days of starting work, effectively already assuming his role. Firstly, he assembled all physicians, from the attending physician down, and dedicated at least five hours per week to training in microsurgery. If this wasn¡¯t met during the week, it would be made up on Saturday or Sunday, with weekly assessments of their training progress. He argued that every one of them in micro trauma orthopedics must master microsurgery and be capable of carrying out digit rentation. ording to the Trauma Emergency Center process set by Director Han, he incorporated the entire micro trauma orthopedics into the Trauma Emergency Center system: whichever group was on duty would handle the surgeries from the Trauma Emergency Center. Reportedly, he checked on the critical patients every morning and evening, not just those in micro trauma orthopedics but also those in the Trauma ICU. He rushed over several timeste at night to guide surgeries. This enthusiasm was exactly what Director Han wanted. Just as Tan Boyun emted Director Han by leading a team himself, consisting of himself, Dr. Zhong, and several standardized training students, the team quickly took shape. Director Han¡¯s patients were all handed over to them, and he left micro trauma orthopedics ahead of time. The transition was incredibly smooth. The Orthopedics department in the Overseas Chinese Building was named the Comprehensive Orthopedics, and the ward was ready, just waiting toe into operation. The head nurse for Comprehensive Orthopedics was also chosen: Cai Qiaojun. She was a specialist orthopedic nurse who had been trained and selected in Nandu Province and had spent a year honing her top-notch skills at Hong Kong¡¯s Queen Mary Hospital. To bolster the new department, Yao Ling handpicked staff based on looks, height, professional level, and other stringent conditions. After numerous rounds of tests and selections, a nursing team was formed. The equipment for the Orthopedic Research Institute had also arrived and was being urgently fine-tuned. Director Han nned to hold the inauguration ceremony for the Orthopedic Research Institute and Comprehensive Orthopedics on the same day, to celebrate both things at once. Tian Yuan was nning an academic conference for Tan Boyun, while Song Zimo was training Zhang Lin Xiaowu in microsurgery and arthroscopy. Director Han led Yang Ping on a tour of the Orthopedic Research Institute before inspecting the Overseas Chinese Building, making sure nothing was missing. After a few rounds, they found no issues. The two sat down in the new Director¡¯s office of Comprehensive Orthopedics, which was filled with Director Han¡¯s things. The office was now reserved for Tan Boyun. As soon as they sat down, they didn¡¯t forget to have some hot tea. ¡°Sit!¡± Director Han called. ¡°Thank you!¡± Yang Ping received the teacup with both hands and sat down. The director¡¯s office here was much more grand, befitting the Overseas Chinese Building. It was spacious and light, with walls painted with diatom mud, reputedly eco-friendly. ¡°Nice tea!¡± This almost became a standard opening remark. After taking a sip of tea, Director Han gazed at the eight-horse painting on the opposite wall. His fingers tapped rhythmically on the table, revealing good spirits. He had been too busy recently, neglecting the younger staff. It wasn¡¯t until he saw Yang Ping performing pelvic surgery that he suddenly remembered to offer more support to the younger generation. ¡°In Comprehensive Orthopedics, you won¡¯t just perform trauma orthopedic surgeries anymore. You¡¯ll perform all kinds of orthopedic surgeries, which is better. Ideally, you shouldn¡¯t specialize too soon at this stage in your career. You should perform a full range of surgeries before specializing in a subfield as a senior assistant. I don¡¯t advocate specializing too early. Have you ever performed arthroscopic surgery before? Theb in Trauma Orthopedics is avable for everyone in Orthopedics. Practice more when you have time.¡± ¡°I practice there quite often actually,¡± Yang Ping replied. ¡°You¡¯re young, you can learn anything quickly.¡± Director Han encouraged. ¡°How¡¯s your Doctoral admission test preparation going? Do you want to secure a spot without taking the test?¡± Director Han asked with concern, considering it a big deal. For Yang Ping, this was also a big thing. Although it wasn¡¯t all about the degree, in this day and age, education was crucial. A degree symbolized that you have received better professional education. Looking at the Nobel Prize winners, most of them hold doctoral degrees. Lacking opportunity is one thing, but now an opportunity is staring at him. He had to cherish it and strive for it. ¡°No need for reserving a spot, I should be able to clear the cut-off. I¡¯m confident.¡± Yang Ping expressed. As long as there was no big issue, meaning there was no issue at all, Director Han felt relieved. ¡°You¡¯ll have to register at the end of this year, exams start in March next year. It¡¯s a tight schedule. You can only seed, failure is not an option.¡± Director Han stated. Yang Ping assured: ¡°Absolutely!¡± Director Han leaned back in his chair and enjoyed sharing: ¡°After the Spring Festival next year, we¡¯re sending a team to Tokyo University¡¯s affiliated Hospital for exchange learning. This is a rare opportunity. The list was determined before you came, but Imunicated with the Japanese side to add one more spot. The team will be led by Tian Yuan. You, Song Zimo, Tang Fei, and Xiao Su from the operation room will go. Xiao Su is outstanding, we need to cultivate her so she can further train a bunch of specialized orthopedic nurses.¡± Going to Japan was a good opportunity. Even though the system provided a training space, the exposure and concepts were only attainable through interaction. A doctor isn¡¯t just a craftsman. ¡°Japanese people have a strong craftsmanship spirit, and their surgical skills are world-ss, even better than the United States and Germany. Never be narrow-minded, acknowledging others¡¯ superiority is true confidence. Learn from others and then surpass them. Shutting yourself away and iming to be the best won¡¯t do. I suggest you catch up on Japanese. You can exchange learning experiences with Song Zimo and Tian Yuan. I have many Japanese learning books, you can borrow some.¡± Director Han patiently guided. ¡°Director, do you speak Japanese?¡± Yang Ping had never heard him speak it before. Director Han replied: ¡°I spent a year each in Japan, the United States, and Germany when I was young. I naturally understand some Japanese, I just haven¡¯t used it for a long time.¡± His English was pretty solid, slightly intensifying his effort might do the trick. But Japanese was entirely new to him. Yet, it was not difficult if he diligently put in the work. When he didn¡¯t have the system, he was confident about learning anything. Let alone now he had the system to back him up. It certainly wasn¡¯t a problem as long as he put in sufficient effort, many things would be simple then. ¡°Also, in a few days, the hospital will organize a rural medical assistance event. Everyone was busy previously and I hadn¡¯t assigned anyone. Now that Tan Boyun has taken over orthopedic trauma, you guys don¡¯t need to be on duty, so I signed you up for it. Think of it as a vacation and take a rest. You have been working hard recently. It¡¯s in Nanqiao County, an ethnic minority county not far from Shipo County. You will be carrying out free clinics and guiding local hospital surgeries for two weeks. At that time, Director Miao will be your guide. Oh right, Xiao Su from the operating room will also go.¡± Director Han said. What does he mean? Did Director Han know about his slight fondness toward Xiao Su? Why did he mention Xiao Su? It must¡¯ve been loose-lipped Zhang Lin who spread the word. The two chatted for a long time. Director Zhuang and Director Kong learned Director Han was in the Comprehensive Orthopedics Department and immediately went down to converse with him. Yang Ping found an excuse to leave. After leaving Director Han¡¯s office, Yang Ping felt invigorated. Not because of the Japan trip, but because of the rural medical aid team. If there¡¯s nothing else, he could check out the Trauma Orthopedics Laboratory. But there were too many people and no extra equipment, so he might as well go home. Once home, he took out some vegetables from the fridge, cooked rice, and stir-fried a dish of farmer¡¯s small stir-fried meat. He ate to his heart¡¯s content. His phone hadn¡¯t rung all day, so quiet, making him feel empty inside. Yang Ping entered the system space again and read books for several months. Actually, residing in the system space for a prolonged time required formidable willpower. Chapter 91 - 0089: The Failed DIY Chapter 91: Chapter 0089: The Failed DIY No emergencies, a light burden. Nowadays, following Director Han¡¯s orders, he didn¡¯t need to join the hand-off meetings in the traumatic orthopedics department. He could rest and recuperate, waiting for instructions. Yang Ping stayed at home, researching online all day, listing books on sports medicine and arthroscopy. He focused on studying sports medicine and arthroscopy during this period. He could read in the system space, but reading required consuming points. By listing the required books in advance and finding them in the system space, he could save points. In the afternoon, as soon as he had arranged all the material, Zhang Lin called him. A child of a pediatric colleague¡¯s friend had a fracture at the femur condyles and wanted to see if he could help in setting the bone. Yang Ping asked Zhang Lin to bring the patient to the orthopedic outpatient clinic and find a free consultation room, he would get there immediately. The outpatient building was a separate structure, positioned to the front right of the Gemini Towers. Opposite it was the emergency building on the left. Between the two eight-story buildings was a small square, the hospital¡¯s evacuation assembly point. In the orthopedic outpatient clinic, most of the consultation rooms were fixed, but some backup rooms weren¡¯t assigned to anyone in particr and were likely vacant. Zhang Lin had a nurse open a consultation room, and he was already waiting there with the patient. Pediatrics, his girlfriend¡¯s department, naturally he had to treat them well, so he personally escorted the patient. The patient was a rtion of Cai Junsheng, one of the infamous Sanbo studs, this was the first time Yang Ping had met him in person. He wasn¡¯t a sloppy man, but rather handsome and trendy. As soon as Yang Ping entered the consultation room, he shook hands with Cai Junsheng. Looking at the X-ray on the viewing screen, the fracture in the condyles of the right femur was misaligned and looked terrible. ¡°How did this happen?¡± Yang Ping asked the family. The child¡¯s father¡¯s face flushed red and stammered, ¡°This morning he fell off the horizontal bar, hended on this side.¡± The father pointed to the elbow joint. That didn¡¯t sound right. Based on Yang Ping¡¯s experience in manually setting bones, he had a clear understanding of the mechanism of injury and its results. He asked the family, ¡°When the injury happened, did you apply any massage or pressure to the injured area?¡± This type of fracture discement typically happened as a result of a secondary injury. When a child is injured, the biggest mistake parents make during initial treatment: first, they spray some topical medicine, then give it a vigorous massage, with the intention of dissipating the blood from the bruise. This kind of treatment would take a minor injury and make it severe. Patients often hide their medical history for various reasons, so it was crucial to ask clearly, only then would it be better for the treatment. ¡°No, we came straight here after getting an X-ray,¡± the child¡¯s father said. The child¡¯s mother seemed unhappy, as if she had something to say, but remained quiet. The child spoke up, ¡°But my mum and dad helped me pull it for a long time, it hurt so much.¡± Yang Ping, Zhang Lin, and Cai Junsheng were all shocked. Zhang Lin said, ¡°Quick, tell us what happened. Exin it clearly, otherwise Doctor Yang will have to operate soon, and there won¡¯t be time to set the bone.¡± The mother, unable to hold back, spilled the whole story. It turned out that the father was an avid DIY enthusiast. When the child fell, he took him to the hospital. After an X-ray, the doctor said there was a fracture and discement. The doctor suggested setting it manually and stabilizing it with percutaneous pins, a minimally invasive surgery. This meant anesthetized adjustment in the operating theatre, the skin would be pierced by a few slim steel pins to stabilize the fracture, which would be removed four weekster. Just from a little fall, and now needing surgery, and inserting pins, the father thought the doctor was exaggerating the situation. He immediately made a wise decision, they would go home first and see. After searching around online and watching videos, he felt the treatment was very simple, just pull a little, then flex the elbow joint. It was so simple, even easier than fixing a television. He decided to set the bone himself. He could use hard cardboard for fixation and buy a brace for the elbow joint online, waiting for it to be delivered. All this cost less than a hundred. But he couldn¡¯t pull it by himself. ording to the video, at least two people were necessary. So he asked the mother for help but she was reluctant. The father reassured her, ¡°It¡¯s simple, I¡¯ve learned how to do it, don¡¯t worry, just pull a little,¡± then he threatened her a little, ¡°If we go to the hospital, it would definitely require surgery.¡± The mother, with her soft heart, agreed to help, and they pulled so hard the child cried. After pulling, they used cardboard for fixation, then confidently felt the spot and announced, ¡°It¡¯s done.¡± The mother was unsure and insisted on going to the hospital to get another X-ray. When they got to the hospital, they headed straight to Emergency. The father told the doctor, ¡°Doctor, I want an X-ray, the right elbow joint, just an X-ray, nothing else.¡± The doctor was puzzled, ¡°Are you also a doctor?¡± The child¡¯s father just grunted. When the X-ray came out, it was shocking¡ªthe fracture discement had increased several times. Even ayman could tell that it was a joint before, but now it waspletely disassembled, in aplete mess. The child¡¯s father¡¯s hands were shaking¡ªhe¡¯d messed up! At home, he managed all the repairs himself when the refrigerator or TV broke after the warranty period¨Cthere were even times when all the parts were scattered, and he could call the manufacturer to clean up the mess. There was no manufacturer to call this time. The mother looked at her husband¡¯s pale face, she knew something had gone wrong. Shepared the two X-rays to two reports and said, ¡°The discement is significantly worse than before.¡± ¡°You¡¯ve broken it. Were you ying around with our son?¡± After scolding him profusely and causing a scene with tears, punches, and kicks, the child¡¯s father took all the me and continued to call his friends for help. After many turns and turns, he found Cai Junsheng. There were instances of people doing much more dangerous things than this at home, like watching surgical videos online and circumcising themselves, then rushing to the emergency room with blood-soaked pants because of the wounds. Ignorance is truly bliss! ¡°You think flying a ne is as simple as pressing a few buttons?¡± Zhang Lin said bluntly. The child¡¯s mother pleaded anxiously, ¡°Doctor, please find a solution.¡± ¡°We need to reposition it under anesthesia, use percutaneous pinning instead of surgery. This type of fracture cannot be fixed with a cast, we have to use pins. The ends of the pins will be left outside and removed in about four weeks.¡± Yang Ping exined. A standard procedure formon fractures, though the father had made the repositioning much more difficult, but this wasn¡¯t a problem for Yang Ping. ¡°Great! Doctor, I¡¯ll sign the paperwork. Please arrange the surgery as soon as possible.¡± The child¡¯s mother said decisively. ¡°Do you want to perform it in the outpatient operating room? But we don¡¯t have a C-arm X-ray machine there.¡± Zhang Lin said. Yang Ping assured him, ¡°We don¡¯t need a C-arm X-ray machine. A drill and Kirschner wires will do.¡± After so much practice in repositioning, he could tell what was needed by touch. They signed the form to prepare for surgery. The outpatient building had its own operating room, usually for minor surgeries like ganglion cysts for orthopedics, or abortions for gynecology. The surgery itself was simple. The anesthesiologist did nerve blocking, then disinfected andid out the sheets. The standard procedure was followed to reposition the bones, using two wires on the radial side and one on the ulnar side, and the three Kirschner wires were crossed for fixation. All the while, the child¡¯s dad was being constantly scolded by his wife. His head hung low, unable to lift it up from the shame. His treasured image of a high IQ technical man, built up over the years of DIY, had crumbled to the ground. ¡°You big idiot¨C¡± The child¡¯s mom concluded with a vicious scolding. The child¡¯s father didn¡¯t dare to retort even a word. Sweat was dripping from his forehead as he let his head hang low. After around ten minutes, the surgery waspleted. The kid was pushed out and sent to radiology for X-ray. The fracture was perfectly repositioned and the Kirschner wires were in good shape. The parents were instructed to let the child rest in the outpatient department for around fifteen minutes and could then go home. They were advised to return for a check-up after a week, and to not move it around at home excessively. If there were any issues, they should promptly return to the hospital. After they were given the instructions, the child¡¯s parents expressed their immense gratitude. Cai Junsheng also showed his gratitude and Zhang Lin was pleased. Cai Junsheng thanked Zhang Lin. Zhang Lin replied, ¡°No need to be polite. We¡¯re all on the same side.¡± Yang Ping used his free afternoon time to borrow a manual for the arthroscope from the equipment department and then went to the operating room to study the arthroscope. There was a spare one in the storage room. He studied the function of each button and each connection on the arthroscope carefully, using the manual as a reference. He could urately recall any detail of the equipment even with his eyes closed. Chapter 92 - 0090: Encounters Chapter 92: Chapter 0090: Encounters In these few days of rest, Yang Ping dedicated all his time to studying arthroscopy and sports medicine. Just as he was about to go to bed and put his cellphone on the pillow, a message popped up in a WeChat group, the one for Nanqiao¡¯s vige medical team. A group was set up a few days ago for this vige medical team, and Yang Ping was added to it. ¡°Friendly reminder again: gather at the number one square of the hospital tomorrow at 8 o¡¯clock in the morning, we will not wait forters!¡± The announcement was made by Zhang Lin, this medical team was led by Director Tian, who entrusted him and Little Five to be in charge of organization andmunication. The number one square was the small za between the emergency building and the outpatient building. The hospital¡¯s vige medical team operated in batches as a charity event, providing free medical treatments and surgeries for disadvantaged patients in mountainous areas and helping grassroots hospitals improve their medical skills. This time, staff from the orthopedics department, obstetrics and gynecology department, urological surgery department, along with Song Zimo, Tang Fei, Yang Ping, Su Yixuan, Little Five, Zhang Lin, the anesthesiologist Liang Fatty, and another nurse from the operating room were involved. Including the standardized training students and interns from the Obstetrics and Gynecology and Urology departments, there were dozens of people in total. The next day, at 7:45 a.m., a coach with fifty-five seats was waiting in the number one square. Now, it was past 8 o¡¯clock, and some people still hadn¡¯t arrived. Su Yixuan arrived early to wait. Seeing Yang Ping, she waved and greeted him. She was carrying a sports bag, dressed in white and light purple sportswear, and her hair was tied into a ponytail. Yang Ping was reminded of the first time he saw her¡ªit was the same look. Zhang Lin was standing at the bus door, counting the straggling people one by one. Little Five was holding a notebook in his hand, using it to call and urge each person one by one. Some people were carrying bags, some had steamed buns in their mouth, and others were running while fixing their hair. ¡°Take roll call!¡± Director Tian told Zhang Lin. ¡°Roll call now, those who are called, raise your hand and respond! Liang Jing, Ma Xiaohua, Su Yixuan ¨C Orthopedic, Operating Room, Urological Surgery are all here. Why are there so many missing from the obstetrics and gynecology department? Little Five, hurry them up.¡± Zhang Lin looked and saw that all those who were missing were from obstetrics and gynecology. ¡°A group of women getting ready to go out, there¡¯s no way they can be efficient.¡± Liang Fatty took out a cigarette, about to light it. ¡°Fatty, give me some face, don¡¯t smoke here. If you want to smoke, go over there.¡± Zhang Lin hastily stopped him. With no choice, Fatty had to walk a little further, to the downwind area, squat down, light up his cigarette, and begin smoking. Once he gets on the bus, smoking was not allowed, so he had to get in a few puffs to ease his craving for nicotine. One after another, a few more people from the obstetrics and gynecology department arrived. One of them was rummaging through her bag, iming she had forgotten her lipstick and needed to go back and get it. Zhang Lin was so angry that smoke was practicallying out of his ears: ¡°Sister! Hurry up, we agreed that we¡¯d leave at eight o¡¯clock, now it¡¯s already half past eight, we need to get there in time for lunch.¡± Anotherte arrival, in high heels, hopped over with arge suitcase. ¡°It¡¯s mountainous terrain, Sister, we are going to the countryside, not shopping, didn¡¯t it say to wear sneakers, not high heels?¡± Zhang Lin was at a loss. ¡°There are sneakers in the suitcase!¡± This beauty dismissed the issue, took out her mirror, touched up her make-up, and began heading to the bus. ¡°Luggage here, with such arge suitcase, where will we find space to fit it on the buster?¡± Liang Fatty had finished his cigarette and was standing by the luggagepartment of the bus, helping to arrange the luggage. The beauty handed her suitcase to Liang Fatty, and started heading toward the bus again. ¡°Don¡¯t get on yet, line up for roll call, get on when your name is called. There is a seating arrangement, it¡¯s not a free-for-all.¡± Zhang Lin stopped her. ¡°Isn¡¯t this firste, first-served seating? There¡¯s an arrangement? It¡¯s not like we¡¯re on a ne. I get carsick, I need to be by the window.¡± The beauty refused toply. ¡°You can switch with your acquaintancester, but for now, listen to the arrangement. We need to keep the center of gravity of the bus steady on the highway, for people with body types like Fatty, how could they all sit on one side? Don¡¯t you understand science! Everyone, remember, listen for your name, who gets which seat number, sit in that seat, don¡¯t sit randomly, everyone needs to show their quality.¡± Zhang Lin shouted with his hoarse voice. Thest person finally showed up, holding a cup of soy milk, drinking while rushing over. Those watching were on edge, afraid she would choke. ¡°Everyone¡¯s here, everyone¡¯s here, listen for roll call. Chen Xiaoqiao, Zhou Can¨C3, 4, get on the bus!¨CSong Zimo, Tang Fei, 13, 14, get on the bus, ¨CYang Ping, Su Yixuan, 17, 18, get on the bus. Once again, I would like to emphasize discipline, do not sit randomly, safetyes first. If you sit in the wrong spot, I will find out, and I will make sure you get back to your original seat.¡± Zhang Lin began calling out names, arranging for everyone to board the bus. Finding it quite difficult to gather everyone, Little Five and Zhang Lin each counted the number of people on the bus one more time to make sure no one was missing before the bus could finally depart. Su Yixuan packed a lot of snacks in her bag. She took some out, put them in a small bag, and asked Yang Ping to put the bag on the luggage rack. He guessed that half of what was in her bag was snacks. After putting away the bag, Yang Ping sat down. It was his first time sitting so close to her, which made him a little excited. Xiao Su had a faint but heart-warming fragrance around her. From close up, he saw that her skin was fragile and beautiful, with a rosiness beneath the paleness. ¡°Help me hold these, I¡¯m going to rest a bit.¡± Xiao Su leaned back on the chair and closed her eyes. ¡°No cheating and eating, wait until I wake up to open them. I stayed up all night preparing lessons for the interns.¡± Xiao Su said with her eyes closed. Yang Ping felt sorry for her: ¡°Why didn¡¯t you tell me? I would have helped you with the PowerPoint.¡± ¡°You¡¯ve been busytely, Zhang Lin said you¡¯re studying for your doctoral examination.¡± Xiao Su said. ¡°You rest, I¡¯ll call you when we get to the service area.¡± Yang Ping saw that she was indeed a bit weary. Zhang Lin, this big bbermouth, anything thates to his mouth was known to the entire country. Yang Ping neatly stacked the snacks pack by pack, holding them in his hands. There were milk candies, ginger candies, choctes and so on. Do all girls like snacks? He was also tired and wanted to rest, but he was afraid the snacks would fall, so he was half-asleep. Usually, in the hospital, where the lifestyle is routine, many people in the bus were chit-chatting due to the novelty of heading to the countryside. The journey, which was over four hours, required a halfway break to freshen up and use the restroom. The bus had covered about half the distance when it stopped at a service area. Yang Ping nudged Xiao Su: ¡°We¡¯re off. We¡¯re at the rest area.¡± Xiao Su rubbed her eyes: ¡°Let¡¯s go down. You carry the snacks and follow me, I won¡¯t let you down, I¡¯ll share half with youter.¡± Everyone alighted in order, with the colleagues from the Department of Obstetrics and Gynecology exhibiting a lively spirit, some touching up their makeup by the bus, others sharingughs and chats. ¡°Director Zhu!¡± Tian Yuan spotted a familiar face as soon as she alighted, from the adjacent bus. Director Zhu, upon hearing his name, turned around and immediately shook hands with the caller, exchanging pleasantries. ¡°Are you on a tour?¡± Tian Yuan looked at his bus, which was surrounded by a group of people waving a g that read ¡®life insurance¡¯. ¡°Director Zhu, what¡¯s this about?¡± Tian Yuan asked, somewhat puzzled. Director Zhu replied with a smile, ¡°I no longer work at the provincial hospital. I¡¯m working in an insurancepany now, just got my actuarial certificate.¡± ¡°Impressive, Director Zhu. We¡¯re heading down to the countryside for medical assistance,¡± Tian Yuan exined. Someone was calling for Director Zhu to board his bus as it was about to leave. Director Tian said, ¡°Never mind. Carry on with your duties!¡± After Director Zhu¡¯s bus left, Director Tian said to Zhang Lin, who was next to her: ¡°That¡¯s Director Zhu from the provincial hospital, he¡¯s the one involved in the colon incident two years ago. Such a good person.¡± ¡°Is he the one that was ndered by the fake news?¡± Zhang Lin asked. ¡°Yes, he¡¯s not even forty, in the prime of his career, it¡¯s such a pity. He¡¯s deeply passionate about medical advances. He just said that he¡¯s left the provincial hospital and is now working at an insurancepany, where he got his actuarial certificate,¡± Tian Yuan said as she looked in the direction where director Zhu¡¯s bus had gone. ¡°Being an actuary is impressive. It¡¯s said that they earn a million a year and it¡¯s hard to qualify. They¡¯re at the top of the pyramid in insurancepanies,¡± Little Five said. ¡°Really? A talent like Director Zhu will always find a way to shine. As long as one does not give up on himself, he can still excel irrespective of the path chosen,¡± Tian Yuan opined. Some took turns to rest at the tables, with a few going to the restroom, a few getting a drink, some stretching their legs; others visiting the special product shops, while Liang Fatty pulled Zhang Lin aside for a smoke. Xiao Su had gone to the restroom. Yang Ping, holding the snacks, sat next to the leisure table and waited; it took several minutes before Xiao Su came out. After sitting down, she said, ¡°Help me unwrap the chocte, we¡¯ll split it.¡± Yang Ping opened the chocte wrapper to find individually wrapped small pieces of chocte. Xiao Su started eating them with great relish, apparently unfazed by the prospect of gaining weight. Yang Ping was much more rxed this time. She had a good chat with Xiao Su, who had diverse interests. Xiao Su had participated in the nationwide college sports meet and had won a silver medal in swimming. ¡°What sport do you like?¡± Xiao Su asked. ¡°Running!¡± This was a wless answer; long-distance running, although he didn¡¯t participate in any college sports meet, he was deemed an unrivaled match at the campus sports meet. ¡°If there¡¯s a medicalmunity sports meet in the city, you take the running events, I¡¯ll take the swimming ones, and together we can monopolize both thend and water events.¡± The two of them sharedughs and jokes, enjoyed a short break, and then continued on their journey. Perhaps due to fatigue, the chatting be sparse, and most people, in a drowsy state, nodded off in their chairs. Xiao Su was indeed very tired and dozed off again in her seat, with Yang Ping holding her snacks. After an unknown period of time, the bus gradually came to a halt with a long traffic jam up ahead. ¡°What happened!¡± Tian Yuan, who was sitting behind the driver, woke up as the bus stopped. ¡°There¡¯s a traffic jam. This road usually has no congestion, it¡¯s usually only during Spring Festival and National Day,¡± the driver answered. Her phone vibrated. Tian Yuan took it out. It was a call from Director Miao. This trip was to Nanqiao County, which was adjacent to Shipo. Director Han had mentioned to Director Miao about their trip, who was quite enthusiastic and insisted on making time toe to Nanqiao. He reasoned that their unfamiliarity with the ce would necessitate his help to get settled. ¡°Professor Tian! Are you stuck in a traffic jam?¡± Director Miao¡¯s voice sounded anxious. ¡°How did you know? Our bus stopped just now.¡± Director Tian said. ¡°What a mess!¡± ¡°What¡¯s going on?¡± Director Miao said: ¡°There has been an ident up ahead of you. Arge truck loaded with wood rear-ended the car in front of it. One of the victims has been impaled by tree branches. He needs to be brought to our hospital. The ambnce is on its way, but it¡¯s toote to transfer him anywhere else. Weck experience in this and we need your assistance!¡± ¡°A chest and abdomen impalement injury? We can help, but we are stuck in traffic and can¡¯t get past,¡± Director Tian said, looking ahead. Clearing the traffic could take quite some time. An injury involving chest and abdomen impalement, especially by a tree branch, triggers a major rescue operation. Not only is the surgeryplicated, but on-site rescue also requires very professional guidance. Otherwise, the patient will not even have a chance to make it to the hospital. We can manage supporting them, but how do we get there while stuck in traffic? Chapter 93 - 0091: A Storm is Brewing Chapter 93: Chapter 0091: A Storm is Brewing ¡°Send me your license te number, along with a GPS location. Check if there is any road sign near you. If there is, take a picture of it and send it to me. We will contact the traffic police to find you.¡± Director Miao spoke urgently. ¡°Let me check!¡± Tian Yuan looked outside, there was a road sign ahead, ¡°500 meters ahead, Shipo exit.¡± Perfect. Tian Yuan quickly reported, ¡°We are 500 meters away from the Shipo exit!¡± ¡°Good, good, perfect. We will get the traffic police to dispatch a car to pick you up.¡± Director Miao¡¯s tone was excited. But the traffic police won¡¯t do, there were hardly any cars on the emergencyne, but some impatient drivers have begun using it, so now it is also blocked. However, it is possible to walk to the exit along the highway and find a car near the exit to go to Shipo People¡¯s Hospital. ¡°Director Miao, the emergencyne is blocked, traffic police¡¯s vehicle can¡¯t get through. We can walk to the Shipo highway exit and let the traffic police arrange a car near the exit to take us there, is that okay?¡± Tian Yuan made a suggestion to Director Miao based on the current situation, after all, Director Miao was not aware of the on-site conditions. ¡°Okay! Stay in touch.¡± After hanging up, Director Miao immediately reported to President Dong and sought help from the traffic police. Tian Yuan checked his phone¡¯s battery, it was quite full and he also had a power bank in his bag. It shouldn¡¯t be a problem. At critical moments, a phone was a strategic resource. He quickly stood up, held onto the seat, and announced loudly: ¡°There¡¯s been a traffic ident ahead. Shipo People¡¯s Hospital is asking for our help. They need us for an urgent rescue operation for a thoracoabdominal tree-prating injury. Anyone from orthopedics or the operating room should go. Director Wang of Urological Surgery, you pick two more individuals. We need three of you to assist, the rest will go to Nanqiao County after the traffic eases.¡± Upon hearing this, the people in the car immediately started stirring. Someone from Gynecology raised a hand: ¡°What about us? Director Tian, isn¡¯t this discrimination? In case the injured person was a pregnant woman, we can provide greater contributions and assess the surgery.¡± ¡°The patient right now has a thoracoabdominal prating injury. Look at this traffic jam, it¡¯s unbearably congested and we can¡¯t send too many people over with the present circumstances. We don¡¯t even know how to get these folks there yet. I¡¯d like you all to join too, but the people at Nanqiao County are waiting for us. All these beautifuldies can represent the youthful and impressive image of our hospital by going to Nanqiao County.¡± Director Tianforted them. The phone vibrated again. It was Director Miao: ¡°Professor Tian, we just received news that there are more than one casualties. The one with the thoracoabdominal prating injury is just the most severe one. There are a total of eight severely injured patients that need to be sent to our hospital.¡± ¡°Old Miao, currently we have fifty-four people in the car, all doctors and nurses. We can all go over to assist the emergency rescue.¡± Tian Yuan hurriedly replied. ¡°That¡¯s great, thanks for your hard work. Hurry over to the Shipo exit and wait, we have already called the traffic police to find you.¡± Director Miao sounded excited. ¡°We just got news, there are eight critically injured patients. Everyone will go!¡± Tian Yuan announced, causing the colleagues in Gynecology Department to immediately burst with excitement. Tian Yuan instructed the driver: ¡°We are all getting off to aid at Shipo People¡¯s Hospital. You can drive directly to Shipo People¡¯s Hospital after we get off. I willmunicate with those at Nanqiao. Be careful.¡± ¡°Yes, you all take care too. I¡¯ll call you once I reach Shipo.¡± The driver replied. ¡°Everyone get off in an orderly fashion, don¡¯t crowd. Once you¡¯re off the bus, walk along the guardrail and be careful. Zhang Lin and Little Five, you two go first, lead the way.¡± Tian Yuan arranged. Zhang Lin and Little Five immediately got off the bus. From their observation, the cars behind also seemed to be stuck in traffic, so it should be safe. Although it was a traffic jam, they were still on the highway and safety came first. The fifty or so people all got off at once. The scale of the group attracted the attention of people nearby. Director Tian led everyone along the guardrail and moved forward. ¡°Give me your bag, I promise I won¡¯t steal your snacks. Be careful.¡± Yang Ping spoke to Xiao Su. Xiao Su took off her bag and handed it to Yang Ping: ¡°You be careful too.¡± The group arrived at the Shipo highway exit after a 500-meter walk. The exit ramp was already blocked. The cars near the ramp all wanted to exit to take a detour and ended up blocking the exit even more. The lines of cars in front and behind were so long that there was no end in sight, stretching into the unseen distance. Director Tian shielded his eyes from the sun as he surveyed the environment: ¡°Everyone, wait here. I¡¯m going to contact Director Miao. Be careful.¡± ¡°Fatty, your jacket is red on the inside, take it off and turn it inside out. We will use it to signalter.¡± Yang Ping reminded Fatty. Tian Yuan listened and thought it was a good idea: ¡°Fatty, hurry up. You¡¯re going to be our signal.¡± Fatty quickly took off his jacket, turned it inside out to present the red side, and held it up on a selfie stick passed to him by a colleague in Gynecology. ¡°Director Miao, we have gotten off the bus and are now at the exit of the Shipo highway ramp. Yes, that¡¯s right, we are here, with fifty-four people. Yes, we are holding up a red jacket. Good, we will wait here.¡± Tian Yuan called and told Director Miao about their location. ¡°The traffic police wille find us soon. Fatty, hold up the red jacket higher.¡± Director Tian said. He was very concerned about the injured, he didn¡¯t know what their condition was. Time was life, every second counted, more seconds meant more hope of survival. Finally, a traffic police officer wearing a fluorescent vest and holding a walkie-talkie appeared. He was also walking. He looked around as many people had gotten off their vehicles to get some air. Around the exit alone, there were several groups of people. Suddenly, he noticed the red jacket being waved around from a distance and quickly made his way through the gaps between cars. The traffic police officer¡¯s skin was deeply tanned, and his voice was hoarse. He waved over as he approached and said, ¡°Hello, are you Professor Tian from the provincial capital?¡± Tian Yuan quickly shook his hand: ¡°Yes, I¡¯m Tian Yuan. Shipo People¡¯s Hospital called for our urgent support.¡± ¡°Finally found you all. You¡¯ve had a tough journey, pleasee with me. After the ramp is the toll station; we have a car waiting for you beyond the toll station. Can I take your bags?¡± The traffic police officer was very genial, offering to carry his nearest female colleague¡¯s bag. Another traffic police officer also came over. He was younger. The first officer called to him: ¡°Quickly, help carry the bags.¡± The traffic jam made it hard to move, everyone had to squeeze through the gaps between cars. Having previously apanied emergency vehicles to treat patients suffering from ruptured spleens and livers, Yang Ping was experienced in this. Luckily, the traffic was congested at the ramp junction. Everyone walked along the ramp and saw the Shipo Toll Station. All the cars on the ramp were blocked here, but it was noticeably more open after the toll station, at least all of them were moving slowly. Across the toll station¡¯s temporary parking area, a tour bus was waiting. ¡°That¡¯s the bus we¡¯ve arranged for you, to take you directly to Shipo People¡¯s Hospital. It¡¯ll be quick, you can get there in half an hour.¡± Director Tian led everyone to start running. Fatty, struggling a bit, followed behind. One of the female colleagues from the gynecology department, who wore high heels, forgot to take her sports shoes out of her suitcase. She chose to take off her heels and run in her socks. At this point, it was noticeably better than when they first set off. There was no need to maintain order, no one was dragging their pace, and everyone got on the bus ording to their original seating arrangement, no one took the wrong seat. The colleague who ran in socks had a pained expression on her face, but didn¡¯t utter a sound and didn¡¯t fall behind. ¡°We are on the traffic police¡¯s car, we¡¯ll be there soon.¡± Tian Yuan kept in touch with Director Miao. At that moment, Director Miao was waiting at Shipo People¡¯s Hospital¡¯s Emergency Department, the ambnce had yet to arrive. ¡°Old Miao, there are a total of eight critically injured patients on the way. County Chief Wu will arrive shortly. How¡¯s it going, where is Professor Tian and his group?¡± President Dong was personally directing the operation in the Emergency Department, never putting down his phone. The Shipo People¡¯s Hospital was the most technically proficient in the area, thus it was impossible to send patients who were involved in such arge traffic ident nearby to or temporarily requisition staff from another ce. Even the Regional Central Hospital was three hours away from here via highway, and its capability was not much different from Shipo¡¯s. Hence, all the pressure for emergency services was on Shipo People¡¯s Hospital. It had been a long time since Shipo handled such arge-scale incident. Director Miao and President Dong stood at the entrance of the Emergency Department, feeling the surge of energy they used to have when they were younger. The county government¡¯s Red g sedan skidded to a halt at the entrance of the Emergency Department. They didn¡¯t care about formalities or making an entrance anymore. County Chief Wu himself pushed the car door open and exited. It took at least two seconds before the secretary followed suit with his bag. ¡°County Chief Wu, all hospital medical staff is on standby!¡± President Dong greeted him. County Chief Wu firmly shook his hand: ¡°Dong Shuquan! Listen, this is a tough battle. We must focus all of our resources on winning it. Anyone who does not follow orders will be punished on the spot.¡± ¡°Emergency and outpatient services have all been suspended, patients have been redirected to the Traditional Chinese Medicine Hospital.¡± President Dong led County Chief Wu inside. ¡°Good, focus the resources. How about the blood bank?¡± County Chief Wu asked. ¡°No problem.¡± ¡°Where is the medical team from the provincial capital now?¡± ¡°They¡¯re on the traffic police¡¯s vehicle, they¡¯ll arrive within half an hour. There are more than fifty people, including orthopedists, urologists, and gynecologists.¡± ¡°Excellent!¡± County Chief Wu¡¯s murky eyes sparkled radiantly. ¡°The minor injuries have been diverted to several friend counties that we have already contacted. The seriously injured will all be transferred here, you have the best skill and equipment. Stand your ground, you must hold on even if you can¡¯t.¡± County Chief Wu had climbed up from the grassroots level, he wasn¡¯t polished. The director¡¯s office of the Emergency Department became the temporarymand centre. After that, ck sedans one after another halted in front of the Emergency Department. Officials from the Health Bureau, the Road Transport Bureau, the Public Security Bureau, the Blood Bank all gathered, one department director after another. If a major traffic ident was mishandled, heads would roll. Rapid honking approached closer and closer. The first ambnce appeared at the entrance of the Emergency Department. Chapter 94 - 0092: Extremely Urgent Chapter 94: Chapter 0092: Extremely Urgent Director Miao, Director Wu from the Emergency Department and all the hand-picked doctors and nurses were lined up at the entrance of the emergency room waiting. The Emergency Department had also stopped receiving patients, with all patients being redirected to the Chinese medicine hospital. There were dedicated personnel and vehicles near the entrance to guide and transfer patients who came for emergency treatment. President Dong and County Chief Wu were waiting in the emergency hall, with various directors scattered around making phone calls, mobilizing resources they were in charge of, and fully cooperating with the rescue. County Chief Wu was very anxious and paced back and forth, asking several times: ¡°Where are the injured?¡± ¡°They¡¯re almost here. A police car was sent to clear the way and escort them to the hospital. They should be arriving soon,¡± exined the chief of public security. ¡°What about the medical team from the provincial city?¡± ¡°They¡¯re close too, probably about ten minutes away. A police car was sent to clear the way and escort them as well,¡± the public security director said. ¡°We have sufficient stock of all blood types and have already transported a lot to the hospital blood transfusion department. All our blood delivery vehicles are in ce, and support from neighbouring counties is also on the way,¡± reported the blood bank. ¡°Emergency medication?¡± County Chief Wu asked with experience. ¡°All county hospitals are providing emergency rescue support. Each hospital has set up a hotline to receive personnel and medication allocation in real time. Neighbouring counties have also agreed to provide support at any time,¡± the director of health answered. ¡°Very good.¡± There seemed to be no further oversights, and County Chief Wu nced at the emergency entrance from time to time. An ambnce followed by a police car with its siren ring drove past the emergency entrance, the back door swung open and a stretcher was lifted out from the vehicle. The folding legs of the stretcher opened, converting it into a gurney. The gurney was covered in dark red blood, sticky and viscous. The person on it was also smeared with blood, lying on his side, curled up, his torn clothes soaked with blood. A wooden stake as thick as arge bowl pierced through the junction of his chest and abdomen,pletely prating his body, entering from the front and exiting from the back. The stake was stained with a lot of blood, both ends of the stake were the result of being sawed off by rescuers. The scene was extremely bloody and terrifying. If it weren¡¯t for the doctors who were ustomed to seeing bloody scenes and life-or-death situations, anyone else would have been shocked and would never forget such a sight. Director Miao and Director Wu led doctors immediately to meet them, running alongside the gurney. The sound of the gurney grinding against the ground was urgent, as every second counted. County Chief Wu and President Dong also came over. When the directors saw the gurney carrying the patient being pushed in, they followed while making calls. President Dong, who came from a clinical background, had no issues; seeing this scene, County Chief Wu immediately ced his hand on his forehead, feeling a bout of dizziness. ¡°Help County Chief Wu to my office to rest,¡± President Dong told his secretary. County Chief Wu waved his hand: ¡°I¡¯m fine, I can hold on.¡± He then lowered his hand from his forehead. There was no time to waste. The gurney was pushed into the red zone of the Emergency Department. The management of the emergency department at Shipo People¡¯s Hospital was very standardized, with a clear division of red, yellow, and green zones. The red zone was responsible for first and second degree patients, that is, critically ill and seriously ill patients. The yellow zone was for patients with acute diseases, and the green zone was for non-acute patients. Such zoning was meant to prioritize and optimize the allocation of medical resources. Some doctors took over the patient condition from the ambnce medics, while other doctors and nurses changed the patient¡¯s fluids, checked his pulse, examined his urine output, drew blood for testing, attached a cuff for blood pressure testing, and connected the leads for heart monitoring. As the strongest hospital in the area, every doctor and nurse at Shipo People¡¯s Hospital was well-trained. They weren¡¯t flustered, surprised, or dyed, and cooperated proficiently with each other. ¡°Quick! Draw blood immediately and prepare for a transfusion, then send him directly to the operating room!¡± Director Miao ordered decisively. He had overseen many traffic ident cases and had more experience than the Director of the Emergency Department, but this shocking scene deeply affected him as well. ¡°I can¡¯t draw blood!¡± The nurse, after several attempts at venipuncture, had failed. The patient¡¯s blood pressure was too low, his veins were not full and had copsed, so naturally, blood couldn¡¯t be drawn. Drawing blood directly from the intravenous infusion line could lead to some inurate test results due to the fluids that had just been administered. If venipuncture didn¡¯t work, then the vein had to be cut open! The nurse brought over a venous incision kit. The doctor put on sterile gloves and within two short minutes, a small incision was made in the skin over the patient¡¯s inner ankle where the great saphenous vein was located. The vein was exposed, pierced under direct vision, the needle secured, and the skin sutured. Blood was drawn for a cross-match transfusion. A middle-aged man, who had been following the gurney mixed among the crowd since leaving the ambnce and was not dressed in a white coat, suggested: ¡°Use pillows to fill the gap between the stakes and the gurney to reduce the downward pull of gravity.¡± Who was he? Everyone looked at him; he seemed to be a friend of the injured patient, but no one asked more questions. There was no time for that. They felt he was correct and everyone¡¯s experience with such a unique injury was inadequate, and some finer details were inevitably overlooked. Two pillows were immediately brought over. ¡°I¡¯ll do it!¡± The man was very skilled, gently stuffing the pillows in, lifting the stake slightly. This could reduce jostling during transit and also reduce the downward pull of gravity which could lead to pressure on the underlying tissues, causing the area above to bleed easily. ¡°Thank you!¡± The doctor from the ambnce who had been in charge of the scene shook hands with him. The rescue operation would not have been as professional without his guidance. ¡°It¡¯s nothing! I just know some first aid knowledge.¡± The man was very humble. Now that they had arrived at the hospital, what was left was surgery. The man took a seat on a stic chair in the emergency department to rest instead of leaving, quietly observing if there was anything else he could help with. Everyone was busy and in a rush. There was a rescue happening, and no one cared who he was. The blood draw wasplete! ¡°Take him to the operating room! Emergency surgery!¡± Director Miao ordered. The gurney stayed in the emergency red zone for only a few minutes, ¡°Quick! Quick! Quick!¡± The sound of the gurney ttering as it was hurriedly pushed to the operating room where the heads of General Surgery and Thoracic Surgery Department were already standing by. Watching the ambnce leave, Director Miao took out his phone, beads of sweat on his forehead, anxiously. ¡°Professor Tian, the patient with the prating injury has arrived and he is in a pretty severe condition. We have already sent him to the operating room for preoperative preparation!¡± ¡°Alright, we¡¯re almost there, just a few more minutes. We can see the hospital building!¡± Director Miao, President Dong, County Chief Wu, and several bureau chiefs all went to the entrance of the emergency department to wait. The wail of sirens announced the arrival of the ambnce. Arge bus carrying the medical team pulled up and stopped in the parking lot under the stairs of the emergency entrance. The bus door opened, and Director Tian was the first one to step down. Director Miao, President Dong, and County Chief Wu immediately went forward to wee them. ¡°Professor Tian, you¡¯ve arrived just in time!¡± Director Miao walked too fast, leaving President Dong and County Chief Wu behind. County Chief Wu nearly tripped on the stairs, but luckily was steadied by his secretary. ¡°The first victim, who suffered a prating injury from a tree, has been sent to the operating room. The other seven are on their way and will be here soon.¡± Director Miao briefly exined the situation. Everyone came down from the bus and orderly lined up in a nearby open field. The previous emergency response training at Sanbo Hospital was paying off now. The feminine colleagues, those with shawl-like hair, had already tied it up in the bus. All essories, including rings, nes, and earrings, had been removed. Liang Fatty didn¡¯t go off to smoke after getting of the bus. Professor Tian swiftly arranged, ¡°Yang Ping, Song Zimo, Su Yixuan, Liang Jing, Zhang Lin, Little Five, follow me to the operating room to rescue the casualty with the prating injury. The rest of the team will remain on stand by in the emergency department, ready to cooperate with Shipo People¡¯s Hospital. The rest of your colleagues, who has the highest professional title? Whoever has a high senior title, raise your hand!¡± Chen Xiaoqiao from the obstetrics and gynecology department and Wang Hansheng from the urological surgery department raised their hands. ¡°Director Wang, I¡¯ll go to the operating room right away. I leave the remaining colleagues to yourmand. If you also go to the operating roomter, Director Chen will take over themand. Everyone is familiar with the protocol; just elect the person with the highest title on site as themander, and follow theirmand!¡± ¡°Understood!¡± The response was loud and clear. After clear instructions, Tian Yuan turned back to Director Miao and said, ¡°The team is in your hands now; we have to rush to the operating room.¡± Under such circumstances, there was no time for pleasantries. All redundant formalities were omitted and Director Miao immediately apanied Tian Yuan to the operating room. Introducing County Chief Wu and several bureau chiefs was dismissed or rather, it waspletely forgotten. Once they reached the operating room, they quickly changed into surgical attire and masks, and entered the surgery without hesitation. The patient was lying on his side on the operating table, and Dr. Tao was steadying the patient. It was difficult to position such a casualty; he could only lie on his side. This sideways position was hard to maintain, the surgery view was extremely poor, and it was also difficult for the anesthetist to intubate. One doctor was specifically in charge of positioning the head in a tilted back posture to open the airway and facilitate the anesthetist¡¯s intubation. But the anesthetist had tried several times and still failed. This kind of emergency was indeed rare. Judging from the position, a wooden stake had pierced through the diaphragm, and all the surrounding areas were vital organs such as the heart, lungs, as well as liver, galldder, pancreas, and spleen. Any of them could be fatal. It was also lucky to be able to survive unto the operating table. Both the Directors of the General Surgery and Thoracic Surgery Departments felt helpless about where to start the surgery. The more experienced they were, the more terrified they felt. Ignorance was a kind of courage in itself. If the wooden stake was pulled out, the patient could bleed out and die in a matter of seconds, and the rescue effort would be over. Proper decorum was immediately dismissed as Tian Yuanmanded, ¡°Fatty, you¡¯re up!¡± Fatty immediately put on his gloves. Director Miao dered, ¡°This is Professor Tian from the provincial city, who came to support us. Everyone should follow Professor Tian¡¯smand.¡± Professor Tian? He had performed a surgery here before, everyone knew, he was very skilled. With the strong reinforcement from the provincial city, the Heads of General Surgery and Thoracic Surgery Departments felt relieved. Liang Fatty¡¯s surgicalpetency was directly proportional to his smoking addiction. He gently inserted theryngoscope, put the tracheal tube in, pulled out the guide wire sessfully, inted the cuff, secured the tracheal tube, and connected it to the anesthesia machine. ¡°Can we operate simultaneously to save time?¡± Yang Ping evaluated the casualty. He had performed countless surgeries on such multiple trauma patients in the system space. He had even treated more severe cases simted by the system, so he had enough confidence. Tian Yuan looked at Yang Ping, ¡°Have you done this kind of surgery before?¡± Yang Ping nodded, ¡°Trust me, there are no problems. You manage the backside, and I handle the front. We perform the surgery simultaneously.¡± ¡°No, the front is too challenging. The heart, lungs, liver, galldder, pancreas, and spleen are all around the impalement, squeezed and pulled by it. Some organs have definitely been damaged. It¡¯s just that as they¡¯re beingpressed, there¡¯s no fatal blood loss.¡± ¡°Trust me!¡± Yang Ping requested again. Tian Yuan hesitated. Judging from the previous pelvic surgery, Yang Ping indeed outperformed himself but, this surgery? It was too risky and difficult. The slightest mishap could cause the patient to bleed out and die on the operating table. It could be said to be one of the most dangerous traumas. Recalling his pelvic surgery with adhesions, excellent and refined anatomical skills, transcendental separation, and sharpshooter-like precision in stopping bleeding. He can do it! After brief consideration, Tian Yuan made his decision. ¡°Scrub in!¡± Chapter 95 - 0093 Panda Blood Chapter 95: Chapter 0093 Panda Blood ¡°Ding Dong!¡± ¡°Task: The Sanctity of Medicine! Rescue a patient with a life-threatening chest and abdominal prating injury, reward twelve thousand points.¡± The system is always there, just silent. The sanctity of medicine! Not understanding why this task has such a serious name ¨C isn¡¯t every surgery upholding the sanctity of the art of medicine? Yang Ping is very familiar with this phrase, it¡¯s a part of the medical student¡¯s oath. ¡°¨CI am determined to do my utmost to eliminate human suffering, assist in achieving perfect health, uphold the sanctity and honour of the art of medicine, save lives, attend to injuries, not avoid hard work, persist in pursuit¨C¡± The art of medicine, by its inherent nature, requires a somewhat transcendental pursuit. After washing his hands, he returns to the operating room. ¡°Leave this to us, you go take care of other things!¡± Tian Yuan says to Director Miao, there were still seven seriously injured patients who need treatment, and Director Miao is absolutely essential. Director Miao instructs Director Zhang of General Surgery and Director Li of Thoracic Surgery to assist Director Tian inpleting the surgery, then he hurries out. The temperature in the operating room is maintained at 28 degrees Celsius, and Zhang Lin and Little Five have already got the patient into position. This position is challenging to set, the pillows and fixed tes used for theteral position arergely useless here. A small pair of fixed tes can only be used at the sacrocygeal part and the pubic symphysis, to just barely stabilize the patient in theteral position. They cut off all of his clothes, cleaned around the wound and the whole body with saline gauze. The wound couldn¡¯t be irrigated for the moment, it would have to be done in the middle of surgery. ¡°Zhang Lin and Little Five, go wash your hands. Song Zimo, cooperate with Yang Ping. Zhang Lin and Little Five,e help me. Director Zhang, Director Li, please help Doctor Yang.¡± Tian Yuan assigns the surgical staff. ¡°You be the chief surgeon!¡± Tian Yuan turns to Yang Ping and says firmly. This procedure will require simultaneous operations on the chest, abdomen, and back, but the chest and abdomen are rtively harder. There should be a chief surgeon on the operating table to orchestrate the entire surgery. ¡°Thank you!¡± To decline would be to waste time. Yang Ping appreciates Tian Yuan¡¯s trust. Su Yixuan and another surgical nurse, Zhou Can, have already put on their surgical gowns and are each organizing their instruments. There are two surgical instrument tables, Zhou Can will assist Director Tian¡¯s operation, and Su Yixuan will assist Yang Ping¡¯s. The cleaning of the body with saline has beenpleted, Song Zimo has alsoe in after washing his hands, Yang Ping and Director Tian begin to sterilize together. Around the wooden stake are all ck blood clots, and some blood is still seeping out from inside. The wound isn¡¯t bleeding much anymore, because the pressure from the wooden stake has acted as a natural hemostatic, preventing rapid blood loss. The wooden stake is tilted, nting downwards from the back, piercing through the chest and abdominal cavitities. There are still some broken pieces of leather on the stake, the truck probably made a sudden stop and inertia caused the wooden stake to fly forwards like an arrow, piercing through the car, the seat, and the victim¡¯s body. This kind of rescue is a great test of professional capabilities; without enough experience, the victim can easily bleed out on the spot. They are cautious not to disturb the blood clots around the wooden stake during disinfection, so as to not break the temporary bnce and induce massive bleeding. This is an extremely difficult operation. One misstep, and the patient will die on the operating table. This kind of surgery is akin to breaking into the prison of the God of Death, having to bypass numerous visible and hidden traps to snatch a life back from the hands of death. The probability of sess is extremely low, but as long as there is a glimmer of hope, doctors must give it their all. The preparation of the surgical field isplete, no need for preoperative verification, the name on the medical record isn¡¯t even filled out yet, just temporarilybelled as ¡®John Doe 1¡¯. Disinfect, prepare the surgical field! Every step is timed to the second, stepping to the beat of the second hand. ¡°Blood pressure is 80/35mmHg, oxygen saturation is 92%, heart rate is 120 beats/minute¨C¡± As long as blood pressure can still be measured, there are signs of life, but it has already dwindled to a small spark, and it¡¯s uncertain how much longer this spark can endure. Why isn¡¯t the blood up yet? Yang Ping asked, in his role as the chief surgeon. Blood drawing, blood type testing, blood cross-matching all require time. It¡¯s been no more than a few minutes since the patient entered the operating room from the emergency department. ¡°Can you hurry the blood bank?¡± Yang Ping orders. The circting nurse was about to ce a call just as the cordless phone in the operating room rang. The nurse picked it up; it was a call from the blood transfusion department. ¡°Type A, Rh negative blood type!¡± The news hit like a bolt of lightning! Panda blood, a rare and precious blood type. The entire Shipo blood bank only has 4 units of Rh negative erythrocytes in storage, a number that includes all nearby counties and cities. There¡¯s only one unit of type A Rh negative erythrocytes.¡± This blood type has a three in a thousand probability among the Han people, and then it has to match the same type of ABO blood group, making the chances of sessful blood matching less than three in ten thousand. With only one unit of erythrocytes, how can this patient be saved? Without blood, in such a state, a cut would cause blood loss, leading to certain death. There¡¯s no other way around it; no conjure can turn corn-stalks into needles. The news was immediately reported. County Chief Wu, President Dong, the Director of Health Bureau, and the Director of Blood Bank were urgently nning countermeasures in the temporarymand center. Already two victims of this traffic ident have lost their chances of reaching the hospital. Out of the eight who were rushed here, it is uncertain how many can be saved. The pressure is immense. ¡°Keep seeking help from neighboring cities and counties, and widen the search range to include counties outside the province!¡± County Chief Wu made a resolute decision. No one could have predicted that the patient would have Rh negative blood type. The odds were very low. Thankfully, the director of the blood center was meticulous and had wisely collected all avable Rh negative erythrocytes from neighboring counties already. They were on their way. The Director of the Blood Bank immediately made calls, using several phones: the one in his hand, the one on charging, cycling their usage. Once the call ended, he said in a despondent tone, ¡°I¡¯ve checked with all our neighboring counties in other provinces. They only have two units of Type A Rh-negative, and it will take over an hour for the fastest unit to arrive here.¡± An hour¡­ by then, it will have been toote. ¡°Have them send the blood, immediately. But this is too slow. We need to think of other ways.¡± County Chief Wu decreed, his eyes sharp, holding a cigarette burning down to his fingers, oblivious of the heat. ¡°The blood bank keeps records of Rh negative individuals in our county. We can go through the records, call them, and have theme in to donate blood on site,¡± the Director of the Blood Bank suggested, chastising himself for forgetting about the record in the heat of the moment. County Chief Wu immediately gave the order. ¡°Start calling, one by one. Get help from the police to locate them, convince them, then have the local police stations bring them in to donate blood. They¡¯ll each receive a ten-thousand-dor reward. Remember, do not force them, we must follow the principle of voluntariness; good exnation work must be done!¡± The Blood Bank Director started making calls, notifying his subordinates to go through the records and call for potential donors. There were very few people on the list. Many had gone off to work elsewhere, and most of the phone numbers left couldn¡¯t be reached. asionally there¡¯d be a sessful call, but the person would be miles away. Time was flowing away, second by second. A WeChat group! Of course, it¡¯s the best and fastest method. The director suddenly realized. There are self-established WeChat groups for this panda blood in various ces. There¡¯s a big group for the entire Nandu Province. If the message is sent to the group, we can find out who is closest. We might be able to find a few. The Blood Bank specifically designated a person to join all the major groups in our province, but the person left the job recently and nobody took over his tasks. No one was appointed to join the group, they didn¡¯t even know the group existed. A tiny oversight in the day-to-day work has now magnified into an irreparable loophole, a fatal weakness. ¡°Who knows the group? Left the job? Don¡¯t you have his WeChat or phone number? Quickly, find him, ask him to add you to the group and post the call for help.¡± The Director was practically roaring into the phone. He couldn¡¯t afford any issue at this point. He had just be the Director; his position was still on shaky ground. The phone rang. They had found him. The inte is wonderful, allowing people to connect anytime, anywhere. ¡°Quickly, post the message to find anyone near Shipo with Rh negative Type A blood. Let me repeat, Rh-negative Type A blood. I¡¯ll send it on WeChat, check again.¡± The trembling, excited hand of the station chief sent out the WeChat message. This small group was the patient¡¯s lifeline. Without blood, saving someone with such trauma would be impossible. The WeChat message was sent. The rescue team in the blood bank gathered around the office table, all eyes glued to the phone, waiting for responses from the group. A few replies popped up in the group. The closest was a three-hour drive away. Desperate times, yet too far away to help. The Director was also glued to his phone, praying desperately for someone toe forward. Finally, another message came in. There was one right in Shipo. ¡°Shipo, there¡¯s one person right in Shipo.¡± The Director nearly jumped up! Chapter 96 - 0094: Ups and Downs Chapter 96: Chapter 0094: Ups and Downs The person with RH negative type A blood is at Shipo! The lifesaving straw finally appeared, everyone looked at each other, and County Chief Wu¡¯s ashen fingers stubbed the cigarette out fiercely in the ashtray. ¡°Find him quickly!¡± He finally exhaled a sigh of relief, Director of the Blood Station. Where in Shipo? Shipo is so big. The reply in the group chat didn¡¯t specify where in Shipo, and no phone number was left. Shipo county is so big, where could he be? Does finding a needle in a pond differ from finding one in an ocean? In order tomunicate and get information more timely, Director of the Blood Station personally joined the WeChat group, he clicked on that group chat, anxiously waiting for the next message, but nothing showed up. ¡°How is it going?¡± the Health Bureau Director asked. ¡°Only mentioned in Shipo, no specific location.¡± The Blood Bank Director replied, his face anxious. County Chief Wu saw the sweat on the Director of the Blood Station¡¯s forehead, understanding another difficulty hase. When it rains, it pours. In the group chat, everyone had marked their blood type and contact number in their WeChat. The Director immediately clicked on the profile picture of the person who had just responded in the group, and dialed the phone number recorded. ¡°Sorry, the number you dialed is turned off¨C¡± Switched off! The message was sent but then he switched off the phone, does he not want to donate blood? If he didn¡¯t want to, he wouldn¡¯t have revealed his location. Could he already be on his way to Shipo¡¯s Hospital? Or perhaps his phone happened to run out of battery. Thetter two possibilities are the most likely. If his phone ran out of battery, he would definitely charge it as soon as possible and send out his exact location; if he was on his way here, all they could do was wait. The Director of the Blood Bank regained a little confidence, but his heart was still in disarray, as if his heart was unsupported. County Chief Wu lit up another cigarette, asking the Director of Public Security, ¡°Do you have any other ideas?¡± The Public Security hesitated for a moment, ¡°It¡¯s hard to do anything in such short notice¨C¡± ¡°How far away is the backup blood?¡± County Chief Wu kept his clenched fists on the office table, his eyes slightly bloodshot. ¡°It¡¯ll be here in half an hour,¡± the Blood Bank Director softly replied. But even when it arrives, there¡¯s only one unit. The issue of blood supply was once again at a standstill. At the window, President Dong answered the phone, his face twitching slightly. ¡°County Chief Wu, the resuscitation in neurosurgery has failed, it has been dered¨C¡± President Dong hung up the phone, pronouncing heavily. County Chief Wu waved his hand, silent, he got up, walked towards the window, staring out. He calmly stated, ¡°Make sure to handle the aftermath well!¡± ¡°The aftermath handling team and the insurancepany¡¯s personnel will soon intervene.¡± The head of the traffic police was next to the Director of Public Security. ¡ª ¡°Blood pressure 74/32mmHg, blood oxygen 90%, heart rate 128 Bpm, hemoglobin 47g/L¨C¡± The anesthesiologist reported the vital signs, the first unit of RH negative type A blood had been infused, but it was too little to satisfy the need. The patrolling nurse was collecting and sorting the patient¡¯s clothing that had just been cut off. Any objects in the clothes needed to be checked, ced in a stic bag, and checked again in the presence of another person whilst signing, ideally witnessed by a third person to avoid disputes over lost valuables afterward. The nurse wore gloves, wiped the blood off the wallet, disinfected it with alcohol, and counted all the cash and various cards that tumbled out. Another nurse was responsible for taking pictures and registering; the amount of cash, the number of cards, all were to be clearly recorded. ¡°Is that an ID card? Register the ID card!¡± The observant nurse in charge of registering spotted the ID card. With an ID, you can find out the identity of the victims in order to notify their families or workces. The nurse carefully examined the ID card and began to read out the name and ID number: ¡°Wang Ge¨C¡± The nurse registering quickly wrote the name and the ID number in her notebook. Wang Ge? Dr. Tao was standing nearby, this name was so familiar. Dr. Tao nced closer. The ID card clearly read¨C Wang Ge, there was also a press card next to the wallet. Dr. Tao opened the press card. Wang Ge, the familiar Wang Ge that everyone knew! ¡°He is Wang Ge!¡± For reasons unknown, Dr. Tao naturally blurted out aloud. The anesthesiologist was taken aback, ¡°Wang Ge? Which Wang Ge?¡± ¡°The Provincial Hospital Incident!¡± Holy shit! Fatty¡¯s eyes were about to pop out. Director Tian, Yang Ping, Director Zhang, Director Li, all the doctors present were stunned. Yang Ping looked up and locked eyes with Director Tian; the other doctors turned their heads to look at the operating table. The atmosphere in the operating room was somewhat strange. Was he Wang Ge? He was indeed Wang Ge, the one lying on the operating table, curled up, with a wooden stake piercing through him, was Wang Ge? How uncanny! It felt like a time-space anomaly! If it were usual, everyone would surely be buzzing with chatter, filled with indignant, readiness to mobilize. But now, only a brief moment of surprise existed, after which everyone immediately re-engaged in the surgery, no time to be distracted. Who was lying on the operating table no longer mattered; the changes in the patient¡¯s condition were what everyone cared about. At this moment, Wang Ge was just an anonymous patient number one. ¡°Blood pressure 72/32mmHg, blood oxygen level 89%, heart rate 129 beats per minute¨C¡± The anesthesiologist raised his head to look at the data on the monitor and reported again. ¡°Urine output is 300 milliliters, from the insertion of the catheter at the emergency scene till now!¡± The nurse checked the urine bag and catheter, reporting the urine output. ¡°The subsequent blood has not yet arrived, so we can only continue to supplement with crystalloid and colloid solutions.¡± said the anesthesiologist. ¡°I¡¯ll go urge them again!¡± Dr. Tao said, he was responsible for coordinating this patient¡¯s needs. ¡°Open the chest, sternum central entry route!¡± Yang Ping issued the order to the chief surgeon. We can¡¯t wait any longer. There must still be active bleeding in the thoracic and abdominal cavities, the blood pressure was continuously dropping; if we wait any longer, there won¡¯t be any blood left, like amp running out of oil! ¡°Open chest?¡± Tian Yuan hesitated in his heart, but he didn¡¯t speak. He had a good understanding of Yang Ping now. He was calm, decisive, had clear thinking, and wouldn¡¯t even consider stepping up to the te without enough assurance for such a surgery. Orthopedics doctor performing general thoracic surgery, there were no legal issues, the license was registered under surgery, not orthopedics, the key is to have the technique. Now, some major trauma centers are beginning to cultivate integrated trauma surgeons. Tian Yuan believed in talent. What was talent? The direct manifestation of talent was the efficiency of learning; what others might take a hundred tries to learn, some people would only need one. Using the big round knife, they cut vertically along the center of the sternum, cutting through the skin; after that, they switched to an electric knife, slicing through the deep fascia and the periosteum of the sternum. Electric saw! Bone wax! Song Zimo kneaded the bone wax into evenly-sized balls, cing them in a curved tray for standby. ¡°He can actually dobined thoracoabdominal trauma surgery, as if he¡¯s very adept at opening the chest.¡± Song Zimo kept pace with the operation. Now, Yang Ping was a continuously growing mountain in front of Song Zimo, with no peak or elevation. Xiao Su urately followed Yang Ping¡¯s rhythm, as soon as Yang Ping reached out, without a moment¡¯s hesitation, the handle of the electric saw touched his palm. Taking the electric saw, he sawed along the center of the sternum. The sound of sanding was heard, and Song Zimo¡¯s syringe, filled with saline solution, sprayed new liquid following the saw, to lower the local temperature increase caused by the high-speed movement of the saw de against the bone tissue. The sternum was split open from the center line, and Song Zimo¡¯s bone wax was ready, evenly pressing balls of bone wax to the cut surfaces of the sternum, all at once, rendering it just right in thickness and evenness. Just as the bloody bone surface began to seep, the bone wax promptly sealed it off. The retractor was ced, and the chest cavity was opened. ¡ª Office, temporarymand center, a moment¡¯s silence. ¡°Any news?¡± County Chief Wu had nearly smoked half a cigarette in just a few puffs. ¡°No news yet!¡± The Director of the Blood Bank hadn¡¯t blinked his eyes. He turned to ask the director of the Health Bureau, ¡°There¡¯s no signal problem in this room, right? The mobile card?¡± ¡°No problem.¡± The director of the Health Bureau assured. The director of the Blood Bank tried to open a webpage with another mobile phone, the inte speed was quite good. Finally, in the WeChat group, a new message popped up. ¡°I am now at Shipo People¡¯s Hospital!¡± What a coincidence! He was in the hospital. ¡°He¡¯s in the hospital, right in the hospital!¡± The Director of the Blood Bank shouted, like a child. County Chief Wu promptly stubbed out the cigarette butt once more. ¡°Quick, quick! Quickly invite the person!¡± ¡°Emergency hall, waiting area, stic chair, the one closest to the inside in the first row.¡± Immediately after, the person replied with another message. Chapter 97 - 0095: Eight Hundred Milliliters of Blood Chapter 97: Chapter 0095: Eight Hundred Milliliters of Blood ¡°Aortic mp!¡± The surgeon ced the aortic mp in a handy ce in advance. The chest cavity is opened from the middle! Blood gushed out, and the aortic mp got there first, mped lightly and urately after the aorta bifurcates into the arm, blocking the heart¡¯s blood supply to the lower half of the body. Several suction tubes were working at the same time to remove the blood clot in the chest cavity. As the hematoma receded, the heart and lungs appeared in view, the warm heart beating rhythmically, and the lungs expanding and contracting under the drive of the respirator. The thick aorta emerges from the heart, turns a corner, and extends downward into the thoracic aorta and abdominal aorta. The human hood is open, and the engine is disyed in front of your eyes, still working, with life illustrated intuitively in its physical form. Using the original wooden stake as a dashboard, it is now at the 12 o¡¯clock position. There were no significant vascr injuries found other than a diaphragmatic rupture. The heart and lungs were undamaged, slightly disced by the pressure of the stake, with some minor bleeding from small vessels quickly tied off and stopped. However, this amount of bleeding is definitely from a rupture of the aorta, the rupture just isn¡¯t at this location, so the examination continued. The operator was calm andposed, their hands moving fast, the operation carried out quickly and rhythmically, showing no signs of impatience or urgency. Director Li, a thoracic surgeon, was standing by, assisting. He had seen prominent surgeons work during his advanced studies. Isn¡¯t this emergency surgery supposed to be carried out in a tense and noisy environment? How could it be so quiet, soposed? The operating surgeon¡¯s control over the surgery was exceptional, and the team¡¯s cooperation was wless. By blocking the heart¡¯s irrigation to the lower body, the pressure of bleeding in the surgical area is relieved; simultaneously, the finite blood is concentratedly directed to supply the brain tissues, which have a far lower tolerance for ischemia than the trunk and limbs. Under ischemic conditions, brain tissue can only hold out for three minutes safely; the abdominal organs that are currently cut off from the blood supply can tolerate this for twenty minutes. Blocking the aorta in this area can only be done for twenty minutes, because the patient is already in a state of low perfusion, the time of lusion has to be even less than twenty minutes. Is he going toplete the operation and end the battle in twenty minutes? Tian Yuan looked at the aortic mp that had already been ced, understanding the operator¡¯s intention. He must speed up, align well with Yang Ping. Although the tasks on the back road are not as dangerous andplex as those on the front,pleting an operation in twenty minutes is a tough challenge. The back road is also a midline incision, the automatic retractor is in ce, the spine has been exposed, the spine is transected, the spinal cord is destroyed on the same ne, it needs to be fixed with pedicle screws and steel tes in front and back, otherwise, the whole body will lose its support. A midline sternum incision was made at the 12 o¡¯clock position. Now, a midline abdominal incision is needed to be made at the 6 o¡¯clock position. The two entry points need to be opened on both sides to fully expose the surgical area. With the midline abdominal incision, the skin, subcutaneous tissue, deep fascia, and threeyers of abdominal muscles were cut, right down to the abdominal cavity, blood clots burst out, and the intestines spilled out, being caught in a sterile single-folded cloth pocket. The hook was put in, pulled left and right, in cooperation with the chest retractor, the surgical area was well exposed. Simrly, the abdomen was full of clotted blood, several suction devices worked together, and it took a few minutes to suck it all up. The aorta and inferior vena cava were pushed to the right at the junction of the thorax and abdomen by the wooden stake, the entry of the stake was a bit oblique, just avoiding the aorta and the vena cava, otherwise, the patient wouldn¡¯t have made it to the ambnce. The 6 o¡¯clock position was examined, the duodenum was ruptured, the pancreas was ruptured, and the bleeding vessels were ligated. In fact, because the aorta was blocked, there was not much bleeding. However, due to the surgeon¡¯s proficiency with the anatomy, they could still easily locate the broken vessels and ligate them. ¡°Blood pressure 54/37mmHg-¡± Liang Fatty reported the blood pressure, which was dropping consistently. The human body¡¯spensatory ability is steadily decreasing. The moment of copse will be when the spark of life goes out. ¡°Blood! Howe it¡¯s not here yet?¡± The chief surgeon¡¯s voice was loud, but he didn¡¯t yell. ¡°It will take a few more minutes! It¡¯s on the way!¡± Dr. Tao said. Even though there were volunteer blood donors, they still had to go through the procedure, test for blood type, test for infectious diseases, and cross-match blood, all this needed time. The examination turned to the 9 o¡¯clock position, there was arge amount of blood clot around the aorta and inferior vena cava, with fresh blood leaking out, there must have been an opening, the remaining blood in the vessels wasing out. Fingertips extended to examine, for sure, the aorta had a two-centimetre slit, an aortic tear, this was a fatal injury. Generally, you only have 6 hours for rescue, with the help of excellent and experienced great vessel surgeons, there¡¯s a chance for survival. This 6 hours is just an average time, many withrger tears, die instantly or within a few minutes. The patient was able to buy some time to get to the hospital because the wooden stake pressed and slowed down the speed of bleeding from the slit. Two mps were ced on the opening of the aorta each from above and below, to prevent the loss of remaining blood, now every milliliter of blood is precious. The inferior vena cava was unscathed as was the liver, although it too had been crushed. The wooden stake, at its 9 o¡¯clock position, had a nail exposed about three centimeters out, forming a hook, it was so terrifying that it made one¡¯s scalp numb at the sight of it. The hook was perfectly hooked onto the aorta, tearing a slit, it was a dangerous move! Therge scissors cut off the nail, and it was carefully removed. ¡°Blood pressure 50/32mmHg-¡± The doors of the operating room opened, finally, two bags of blood were seen, the patrolling nurse quickly hung them up, it seemed that the emergencymand had thought of a solution. ¡°Blood transfusion from the upper limb vein!¡± Yang Ping reminded the nurse. Director Tian was also probing and trying to stop the bleeding. The 9 o¡¯clock position was investigated thoroughly, then the 6 o¡¯clock position was investigated, and another nail was found, simr in shape to the previous one, but with the tip pointing in the opposite direction. Surprisingly, the spleen was fine, and the stomach and duodenum were torn. They cut the nail and removed it. If the reckless people tried to pull out the stake, the nail would hook on the surrounding tissue,rge blood vessels, or organs, no matter from which direction, the consequences would be unthinkable. Directors Li and Zhang had worked in grassroots hospitals for many years and had been to big hospitals for further study. They had seen a lot, but never had they seen someone so proficient in anatomy. They held immense respect for such a person. This patient was indeed fortunate, regardless of whether they could be saved or not. A unit of red cells, 400 milliliters of whole blood, was inputted by pressurizing it quickly, The blood pressure showed no signs of rising, but at least it was no longer falling. There had been too much blood loss before. ¡°How is it?¡± The Head of Medical Department walked in, Director Miao was already operating on the pelvis fracture. ¡°Ready the pedicle screws and anterior steel tes, we need to fix the spine. The spine is fractured in half, we need to stabilize it from both front and back!¡± Director Tian said while operating. The Head of Medical Department immediately made arrangements over the phone. They had both the pedicle screws and anterior steel tes, which were originally for a surgery scheduled tomorrow, now to be used in this emergency. ¡°The blood pressure is not rising, we don¡¯t have enough blood, we need to transfuse more.¡± Liang Fatty said. The Head of Medical Department said: ¡°We are trying to figure it out, we have already drawn 400ml, currently, there¡¯s only one blood donation volunteer.¡± An orthopedic doctor was astonishingly adept at performing abdominal surgery, it was a matter of shame and embarrassment for Director Zhang who specialized in general surgery. Now, All sides of the stake werepletely separated, the anterior and posterior sides had met, making the anatomical structure clearly visible. ¡°We can remove the stake now.¡± Yang Ping looked up, his neck was sore, this position was too difficult to operate from, and the field of vision was very bad. ¡°Sterile tourniquets, four!¡± Yang Ping said. Sterile tourniquets aremonly used in orthopedic surgeries, finding a few was not a problem. Sterile tourniquets wereid on the table. ¡°Large straight pliers, thergest!¡± With the pliers, he took the tourniquet, carefully threaded it through the hole between the stake and the wound, which Director Tian caught. When all four sterile tourniquets were handed over, they were slowly unfolded and they stretched in the opposite direction, causing tissues near the stake to pull apart as they formed a small space, protecting the surrounding organs and blood vessels. Yang Ping and Director Tian carefully removed the wooden stake, trading off between pushing and pulling, and eventually, the stake was safely taken out. Flushed and explored again for injuries, then thoroughly flushed again. Using tissue scissors, the rupture of the aorta was repaired, four 0 non-damaging vascr sutures were prepared and the rupture was quickly fixed. Repaired the diaphragm, liver, pancreas, stomach, duodenum, and again thoroughly ligated to stop the bleeding. This kind of operation doesn¡¯t have a fixed procedure in textbooks, it entirely depends upon the surgeon¡¯s abundant experience and the ability to apply knowledge. The disassembly during the surgery was like an experienced butcher cutting meat. Every single blood vessel was undamaged, even the minor arteries. While probing, she tied off the small blood vessels that bled,yer byyer without the slightest pause or repetition. The whole process was like an intense prison escape, a prison escape from the prison of Death itself. Directors Li and Zhang thought, if they were to perform this surgery, the patient surely would not be saved. They simultaneously thought of studying at Sanbo Hospital when they reached the age of forty. ¡°Four hundred milliliters of whole blood!¡± It was brought again. This person has donated eight hundred milliliters. Equivalent to the blood loss from a serious femoral stem fracture. Usually, blood donation doesn¡¯t exceed 400 milliliters at a time, going beyond poses risks. This person had donated 800 milliliters. ¡°There is only one volunteer, the Blood Bank is not daring enough to draw more blood.¡± Dr. Tao said. With this added 400ml, at least, they could hang on, afterward, several units of red cells could keep them afloat. ¡°Blood pressure! 76/42mmHg¨C¡± It is raising! The anesthesiologist is updating the blood pressure dynamically. The time was nearing the limit, the obstructive mp was released, directed the blood to circte in the whole body. What¡¯s left is to fix the spine now. Chapter 98 - 0096: Who is the blood donor? Chapter 98: Chapter 0096: Who is the blood donor? Front to back fixation, posterior pedicle screws, anterior steel tes. Flush, insert drain, sternum steel wire fixation,yer byyer suturing for each incision. The wood likely had a sharp nting surface, and after removal, the skin had no obvious defects but was merely pushed apart. Quick but not hurried, everything linked neatly together, the surgery naturally came to an end. ¡°Blood pressure, 90/55mmHg¡ª¡ª¡± The blood pressure is starting to rise! ¡°Hemoglobin 68g/L¡± About every 200 milliliters of blood can theoretically raise hemoglobin by 6g. Considering losses, an increase of 4-5g of hemoglobin is achievable. Despite the low hemoglobin level of 68g/L, as long as there is no more bleeding, the life of the patient can be saved. For acute blood loss, if the hemoglobin exceeds 70g/L, a blood transfusion may not be needed. Spinal cord transacted. This is a challenge in world medicine. From now on, the patient will spend the rest of their lives in a wheelchair. The surgerysted about forty minutes. ¡°Ding Dong, taskpleted, reward twelve thousand points, plus a super cultivation series treasure box.¡± A robotic female voice, apanied by subtitles in the top right corner of my field of vision. ¡°Son of a bitch!¡± The sterile sheet was lifted, and Zhang Lin swore. ¡°Director Zhang, the patient with the ruptured liver and spleen has arrived. President Dong has assigned you as the Chief Surgeon.¡± Someone rushed into the operating room to call for Director Zhang, their tone urgent. Once this surgery was over, Director Zhang and Director Li had nothing else to do. After removing their clothes and gloves, they found their backs soaked with sweat, cold and damp. Director Zhang rushed to operate on the patient with the ruptured liver and spleen while Director Li had to deal with a patient with multiple rib fractures and a lung contusion. A deputy chief physician from his department was currently operating, but he needed to get on stage. The entire operating room was operating at high speed, with all elective surgeries being halted. The capacity was being squeezed to the extreme. The subsequent seven patients arrived in the operating room, except for the patients with lung contusion in the Thoracic Surgery Department and the ruptured liver and spleen in the General Surgery Department. The Orthopedics Department had one case of severe leg crush injury requiring amputation. Another case involved a pelvic fracture withbined dder and urethra injury and unstable blood pressure; Director Miao was operating on this patient with assistance from Director Wang Hansheng of Sanbo Hospital. Yet another case involved an exploded vertebral fracture resulting in paralysis, operated on by another Associate Chief in Orthopedics. There was also a case of severe perineal tearing; both intestines and uterus were exposed. Director Chen Xiaoqiao from Sanbo was operating on this patient. In the neurosurgery department, a patient with intracranial hemorrhage, brain contusion, and brain herniation could not be saved and was dered dead. The stretchers were rushing in and out. Blood, fluids, medications, gauze, instruments were all transported to the respective operating room. Nurses were running around. The Vice-Dean in charge of clinical affairs and the Director of Medical Affairs wearing observer gowns were shuttling between the operating rooms, coordinating resources. ¡°The patient in the Thoracic Surgery is suffering from cardiac arrest. They have performed open-chest heartpressions. Hurry!¡± ¡°General Surgery needs another one thousand of blood!¡± ¡°Obstetrics and Gynecology need assistance from General Surgery!¡± Fires extinguished here were re-igniting elsewhere. ¡°Should we assist Director Miao with the pelvic surgery?¡± Director Tian asked Yang Ping. Dr. Tao guided them into another operating room where Director Miao was waging an uphill battle. ¡°How¡¯s it going, Director Miao? Need a hand?¡± Director Tian asked. Director Miao was studying images on the C-arm machine. He was installing an external pelvic fixation device. The patient had a precarious blood pressure, and there was a risk of him not surviving the surgery. Yang Ping was reviewing radiographs on the viewing box. The primary fractures were around the front of the pelvic ring. External fixation should manage bleeding. ¡°I am putting the external fixation to stabilize the pelvic ring. Let¡¯s consult with Interventional Radiology for embolization if the blood pressure still cannot be maintained, do you think it is appropriate?¡± Director Miao sought Director Tian¡¯s opinion. It wasforting to discuss matters with someone during critical times. Director Miao¡¯s experience was invaluable; his treatment n was extremely reasonable. ¡°Okay, how is the rectum and urethra?¡± Tian asked. ¡°The rectum is fine, but the dder is ruptured and the urethra is severed. We will first create a urinary diversion stoma. The urethra can be repaired during a second procedure once the blood pressure is stable.¡± Wang Hansheng was on stage assisting Director Miao in managing the dder and urethral injury. This patient could be stabilized. Nothing much to see in the amputation case, as long as it is amputated in time to avoid triggering acute renal failure. Director Tian wanted to examine Chen Xiaoqiao¡¯s patient. He called Yang Ping toe along, as Yang Ping was proficient in managing thoracic and abdominal trauma, which made Tian feel relieved. In the Obstetrics and Gynecology operating room, the O & G Department Director was assisting with the surgery. Due to an unknown injury mechanism, the entire pelvic floor was severely ripped apart, resulting in heavy bleeding, and both the intestines and uterus were extruding from the body. The patient was set in a lithotomy position. Dr. Chen Xiaoqiao was leading the surgery with assistance from the O & G Department Director from Shipo Hospital, who was wearing high-heeled shoes. ¡°How¡¯s it? Need any support?¡± Tian Yuan asked. Chen Xiaoqiao was intensely focused on the operation and requested while operating, ¡°Ask General Surgery to send someone over; the rectum and colon are also ruptured.¡± ¡°Call General Surgery!¡± Director Tian instructed Dr. Tao. Just as the Chief of Medical Affairs was patrolling nearby, ¡°I¡¯ve already called. They¡¯ll be here soon.¡± ¡°We need more blood, at least a thousand more,¡± Chen Xiaoqiao looked up at the monitor screen. ¡°It¡¯s here!¡± Just as she finished speaking, a nurse rushed in with bags of blood. A deputy chief physician from Orthopedics was operating on a patient with a burst fracture of the spine, performing a posterior dpression and pedicle screw fixation. They had no difficulty performing these surgeries, unlike the thoracoabdominal prating injury just now. Without sufficient experience, the smallest mistake could lead to severe bleeding. The patient from Thoracic Surgery had multiple rib fractures, a lung contusion, and il chest. The patient was struggling to breathe, so a lung resection and rib fracture fixation were being performed when suddenly the patient¡¯s heart stopped. The vice president of the hospital rushed over and asked Director Tian and Yang Ping to take a look. Director Li, who had seen them perform an operation on an aortic rupture, knew their skill was on par with top hospitals outside of their own and Anzhen. Director Tian and Yang Ping quickly switched locations. Director Li was manuallypressing the patient¡¯s heart. ¡°Sudden cardiac arrest, fibrition, get on the stage!¡± Director Li saw Director Tianing over and quickly informed him. There was no time to scrub in. The two of them quickly put on the sterilized gloves handed over by the nurse, changed into surgical gowns, and put on another pair of sterilized gloves. Director Li stepped aside. Director Tian took over,pressing the heart. After a while, the heart started to pulsate, but the contractions were weak: ¡°Inject 1 ml of 0.1% epinephrine directly into the heart.¡± The syringe was handed over, filled with 1 ml of 0.1% epinephrine. It was injected directly into the heart. They continued the massage, and finally, the heart began to pump forcefully. The blood pressure went from immeasurable to 90/60 mmHg. ¡°Use dopamine to maintain blood pressure, administer 5% sodium bicarbonate intravenously, that should do it¨C¡± Director Tian pulled his hand out of the chest cavity, turned around, and swapped positions with Director Li. ¡°The heart has contusions, use some drugs to protect the myocardium, check the injection site for bleeding, if it is, apply pressure, if not, continue with the surgery.¡± Director Tian and Yang Ping removed their gowns and gloves and went around to check on the other patients. When they confirmed that no other patients required immediate attention, they decided to rest a bit. They could assist whenever necessary. The group retreated to the resting room. ¡°The jerk is rather lucky, to have us operate on him, even had a volunteer donate him the Rh negative A-type blood.¡± Zhang Lin was not appeased. ¡°Can we smoke here?¡± Liang Fatty asked Zhang Lin. ¡°After we leave, it¡¯s not our problem,¡± said Little Five. ¡°Let¡¯s go ahead, give me one. I¡¯m irritated. We almost got sacked by him, and we¡¯re helping him through the surgery, sweating buckets,¡± Zhang Lin was still angry. Liang Fatty handed out a cigarette to each of Zhang Lin and Little Five. ¡°It¡¯s no problem to curse, but we¡¯ve got to save the person anyways. Give me one too,¡± said Director Tian, who did not usually smoke. ¡°I¡¯m just irritated. Haven¡¯t we saved the patient? Even during surgery, I didn¡¯t dy a second with the forceps,¡± Zhang Lin lit up his cigarette. Leaning back in his chair, Yang Ping said, ¡°Pass me one too.¡± ¡°You don¡¯t smoke, do you? Waste!¡± Zhang Lin rebuked. Liang Fatty flicked out a cigarette, Yang Ping took one, and Liang Fatty helped him light it up, ¡°Isn¡¯t Director Tian a non-smoker too?¡± The five men filled the resting room with smoke. A colleague, Shipo, an anesthesiologist from the same hospital, who had just done anesthesia with Liang Fatty, walked in for a sip of water, just in time to overhear their conversation. Sitting down, he said, ¡°Talk about luck, not only did he run into you guys, but he also encountered a diligent person with a lot of rescue experience at the site. Furthermore, the person who donated blood was the same person. Some things in the world are just this coincidental.¡± Zhang Lin asked, ¡°Are you saying someone saved him at the scene? And also donated blood for him?¡± ¡°Yes, the Emergency Command Centre couldn¡¯t find A-type Rh-negative blood, they even asked for help in the group, and damn, there was one person in the ER, the same person who brought him in. Were they twins in a past life or something?¡± As the man knew emergency procedures, he could be a doctor. When Director Tian thought of this, his heart tightened. For some reason, he suddenly thought of Director Zhu, whom he had coincidentally met on the road. Director Zhu¡¯s car was right in front of the bus he was on. Was it him? That couldn¡¯t be; how could things be so coincidental? It would be too cruel; such a passionate person about medicine was ruined. Although he¡¯s doing well in insurance now, it¡¯s not what he loves. He felt a sharp pain in his chest. He said to Yang Ping, ¡°You stay here; I¡¯ll go down to have a look.¡± He had performed several surgeries here before, and the security guard recognized him; he was familiar with the hospital environment. ¡°Do you know where the person who donated the blood is?¡± Director Tian asked the anesthesiologist. Being an anesthesiologist meant being a Mr. Know-It-All. He replied, ¡°Professor Tian, let me find out for you.¡± The anesthesiologist picked up the phone and dialed his brother in ER. After confirming the details, he said, ¡°He¡¯s in the ER observation room receiving a fluid transfusion. He gave 800ml of blood and is now replenishing his fluids.¡± ¡°Professor Tian? Is he a friend of yours? How coincidental? Should I give a heads-up to the ER?¡± Director Tian thanked him. He hurriedly changed his clothes and headed to the ER. Upon introducing himself to the nurse, she immediately enthusiastically escorted him to the observation room. For some reason, he felt heavy-hearted. He hoped that it wasn¡¯t what he was thinking. It would be too cruel if that were the case. He stopped, ¡°Which room is he in? I can go myself; you can go back to work.¡± The nurse pointed ahead, ¡°Room number 3!¡± Director Tian pondered for a bit, picked up his phone, and dialed Director Zhu¡¯s number. They had exchanged numbers when they were both sent to Japan by the province. However, they didn¡¯t contact each other regrly, and it was uncertain whether Director Zhu had changed his number. The phone rang several times, and then it got picked up. The Novel will be updated first on this website. Come back and continue reading tomorrow, everyone! Chapter 99 - 0097: Setting Off Again Chapter 99: Chapter 0097: Setting Off Again ¡°Hello!¡± ¡°Hello!¡± ¡°Is this Director Zhu? This is Tian Yuan!¡± ¡°Yes, Director Tian, hello!¡± ¡°I happened to run into you on the road, but didn¡¯t have the chance to chat much. How are things goingtely?¡± ¡°Thank you for asking. I¡¯m doing very well. You have already arrived at the designated hospital, haven¡¯t you?¡± ¡°Not yet, a major traffic ident urred on Shipo Road. We are providing assistance in the rescue mission at Shipo People¡¯s Hospital. I hope you didn¡¯t get caught up in any traffic.¡± ¡°Oh, we¡¯ve already reached Daxiang Mountain. The traffic ident must have happened behind us. We didn¡¯t get stuck in traffic.¡± ¡°Good, that¡¯s a relief, perhaps we could get together when we return to the city?¡± ¡°Sure, let¡¯s keep in touch.¡± After hanging up the phone, Director Tian breathed a sigh of relief. It wasn¡¯t Director Zhu. Overthinking again. I¡¯ve been too sensitive. How could the world be so coincidental? How could Director Zhu possibly be an RH-negative type A blood, just like that? Tian Yuan felt a sense of guilt. Director Zhu had started a new life, but she was still connecting him with Wang Ge in her mind. Even though it was just spection, she couldn¡¯t help but feel guilty. As for Director Zhu, the best thing she could do was not to disrupt his life and let him start his own new chapter. A faint twinge of pain arose in Tian Yuan¡¯s heart, as the image of the schrly figure who discussed big ideas and wrote fervently with her during their study abroad period began to blur. Now that she¡¯s here, even if it¡¯s not Director Zhu, she should go greet the blood donors as the chief surgeon. While she was on the phone earlier, the nurse had stayed put. Tian Yuan continued walking towards ward No.3, with the nurse leading the way. When they reached the door, the nurse peered through the small window, ¡°Huh, where did he go? Maybe he¡¯s in the restroom. He was here just over ten minutes ago.¡± The nurse pushed door open, Director Tian followed her in, only to see the bed neatly made. The nurse knocked on the bathroom door a few times, ¡°Sir, are you in there?¡± After repeating herself a few times and receiving no response, the nurse opened the bathroom door to find it empty. ¡°He was just receiving an IV transfusion here about ten minutes ago, where did he go?¡± The nurse was perplexed and muttered to herself. She inspected the remaining IV bag hanging on the bedside stand. ¡°Do you know his name?¡± asked Director Tian. ¡°He said he didn¡¯t want to leave his name, nor did he want the reward money from the County. We didn¡¯t ask much more at the time, as it was an emergency. As long as the blood type was correct, and he didn¡¯t have any contagious diseases, there were no issues with trans-cross blood transfusion.¡± The nurse gathered the unfinished saline bag. Director Tian wanted to ask about his appearance, but decided not to. Such a coincidence couldn¡¯t be possible. Director Zhu had already stated that his car had left before the ident and had reached Daxiang Mountain. Tian Yuan¡¯s phone rang. ¡°Director Tian, Director Miao in the operating room is looking for you. She wants you toe to the operating room as soon as possible.¡± The call was from Song Zimo. Song Zimo hadn¡¯t gone to rx as expected, he had been watching the surgery the whole time. Tian Yuan hung up the phone, bid the nurse goodbye, and hurried out of the emergency observation room. Back in the operating room, Director Miao had already finished the pelvic surgery. However, even after applying the external fixation, the patient¡¯s blood pressure still wasn¡¯t stable. She called for Tian Yuan to consult on the next steps. ¡°Let the Intervention Departmente to do an angiography. If the main trunk isn¡¯t ruptured, some unimportant branches can easily be embolized, and as long as the main trunk isn¡¯t severed, once the pelvic ring is stable and enough blood is transfused, the blood pressure can be stabilized. If the main trunk is severed, the angiography can still confirm the location. Then, we can perform an open abdominal procedure, block the abdominal aorta and anastomose the main blood vessel.¡± Director Tian gave her opinion. ¡°What do you think?¡± Director Tian asked Yang Ping. Yang Ping said, ¡°Yes, that¡¯s the best n avable.¡± The intervention department was summoned for an emergency angiography. The results showed that both the internal and external iliac arteries were intact. The department performed selective embolization on some blood vessels. After a few more bags of blood were transfused, the patient¡¯s blood pressure finally stabilized. The operation on Chen Xiaoqiao was nearing its end. After the intestines and uterus were repaired, they were put back into the abdominal cavity. The muscles at the base of the pelvis were being repaired, and the skin was being sutured. The thoracic surgery was still in progress. A lobe of the lung had been removed, sixteen ribs were broken and were fixed with memory alloy rib mps. There was no recurrence of cardiac arrest. There were several fractures in the limbs for which the orthopedics department helped. The upper limb fracture was casted, and the lower limb fracture had undergone skeletal traction treatment. Out of eight victims, only one had died despite the rescue; the rest were sessfully rescued, at least temporarily. All the patients whopleted the surgery were sent to the ICU, and the hospital transferred elite surgical staff and ICU doctors to participate in shifts. After President Dong finished his report, County Chief Wu¡¯s tense face finally rxed. The ashtray was full of cigarette buds, he was satisfied with these results, this crisis had been tentatively warded off for now. The directors present wiped their sweat, some unbuttoned their top shirt buttons, and some waited to take a sip of the tea they hadn¡¯t drunk yet. The tension was too high, exhausting! ¡°This rescue operation was a collective and proactive effort from everyone. It appears to have been a sess, but there were also many problems. Everyone should reflect earnestly afterward. This rescue operation was a substantial and surprise test¨C¡± County Chief Wu concluded on the spot. ¡°For the deceased due to the ident, we need to handle the aftermath well. For the rescued ones, don¡¯t cken in follow-up treatment. Therade who donated blood should be rewarded with 10,000 yuan. Also, we should appreciate the medical team from the provincial capital for their great help. We should thank them in personter and send a letter of appreciation to the medical team¡¯s unit¨C¡± County Chief Wu also issued brief instructions for the next steps. He checked the watch, stood up, and said to President Dong: ¡°Let¡¯s go and wait at the entrance of the operating room to thank the provincial capital medical team and all frontline workers.¡± County Chief Wu waited with several directors at the entrance of the operating room. As every victim was wheeled out, they personally asked about their condition and thanked the medical staff. After the surgery, Director Miao, with all the doctors from Sanbo Hospital, went to the hospital meeting room to rest. County Chief Wu and President Dong gave simple words of thanks. Checking the time, it was already past three in the afternoon, they hadn¡¯t eaten yet. President Dong handled things very carefully and didn¡¯t arrange a feast to avoid any misunderstandings as this was a major traffic ident after all. He ordered the canteen to prepare boxed meals, which were delivered to the operating room, emergency department, and meeting room. Even County Chief Wu ate a boxed meal. After dinner, Director Tian, Yang Ping, and Director Chen Xiaoqiao went to the ICU with Director Miao to check on the postoperative patients. Yang Ping personally checked the urine output, which was already more than 800 ml; the shock was corrected. There wasn¡¯t much blood in the drainage bag, only a few milliliters. Yang Ping checked the patency of the drainage tube; it was very smooth. The monitor showed a blood pressure of 102/67mmHg, already within the normal range. Maintaining normalcy indicated that there was no internal bleeding, and the bleeding had been stopped very thoroughly. Various indicators from the blood drawn in the ICU also showed signs of improvement. The hemoglobin was maintained above 65g/L; the blood sugar was also within a normal range, without any signs of hyperglycemia after pancreatic injury. This indicated that the pancreatic function should still be normal. After the gastrointestinal repair, they needed to be on intravenous nutrition for a while, which is something ICU doctors were very proficient at. After seeing the patients, Director Tian said goodbye to President Dong and Director Miao, expressing that if needed, they could contact him anytime. President Dong and Director Miao thanked them repeatedly. Originally, Director Miao was supposed to apany the Sanbo medical team to Nanqiao County, but something huge happened at home, so he didn¡¯t have time to go. The sun was about to set, signaling the time to leave Shipo. ¡°Get in the car!¡± The bus was parked in the parking lot of the emergency entrance. Zhang Lin shouted loudly while Little Five took the roll call. Almost everyone had participated in the rescue. Except for the doctors who were in the operating room, everyone had participated more or less in the emergency department handling victims and transferring them. The female colleagues from obstetrics and gynecology were still wearing high heels. Walking was difficult for them; they were limping, had foot injuries, and painful expressions on their faces. Liang Fatty opened the luggagepartment: ¡°Change your shoes. Which suitcase is yours? I¡¯ll help you get it out.¡± County Chief Wu, President Dong, and Director Miao saw everyone off, shaking hands over and over again. A red banner was quickly made and hung at the entrance of the emergency department: ¡°The people of Shipo thank you!¡± Counting heads. ¡°Everyone is here!¡± ¡°Let¡¯s go!¡± Chapter 100 - 0098: Finding a Foothold Chapter 100: Chapter 0098: Finding a Foothold Nanqiao County is a minority county, the dwelling ce of the Yao Ethnic Group, being economically backward. It¡¯s the most remote county of Nandu Province, located deeply within the mountains. The medical support activity this time was organized by the Health Department of the province. The hospitals directly under the provincial hall sent dozens of people every time; they switched people every two weeks, taking turns to provide help. All the hospitals were busy, and they were short-handed; some with high professional titles, with a handful of middle and lower titles, in addition to some interns, formed the team. When the coach arrived, the sky was dim. Dean Pan of Nanqiao People¡¯s Hospital came in person to receive them. Everyone was very tired, sleeping on the bus. Yang Ping, on the bus, entered the system space and read for a long time. He was preparing for his doctorate, studying English, as well as the theory of Sports Medicine and arthroscopy. He also spent twenty thousand points to purchase an imaging training package, with hundreds of thousands of films, including spine, pelvis, extremities, X-rays, CTs, and MRIs, for intensive film reading training. Xiao Su was sleeping very soundly. When Yang Ping woke her up, she rubbed her eyes and asked in a daze, ¡°Is there another emergency surgery?¡± Yang Ping found it amusing; this person also had surgery on her mind all the time. The lights inside the bus were switched on. Yang Ping packed up his luggage and Xiao Su¡¯s, got off the bus, and helped Xiao Su find her suitcase from the luggage hold. The Nanqiao Hospital was far inferiorpared to Shipo Hospital. The hospital was not big, being just a six-storey building. The area for parking was a dpidated basketball court. Dean Pan, in his fifties, appeared honest and kind, missing a front tooth. Shaking hands with Director Tian, he said, ¡°Wee, wee, I heard you just came from Shipo, you must be tired. We have prepared dinner. After everyone has settled their luggage, hurry to eat. This is Director Jiang, who is in charge of your logistics. I¡¯ll go to the cafeteria to notify the chef. Director Jiang will lead you to the dormitory.¡± Director Jiang led everyone to the hospital dormitory, a two-story building behind the hospital; it was quite old, but it had been simply renovated on the inside and all the furniture was rtively new. As soon as the support n was confirmed, the hospital urgently used their limited finances to renovate this building, to make the medical team¡¯s amodations somewhatfortable. Originally, this ce also housed several young doctors and medical school interns. However, the hospital provided them with subsidies to rent outside amodations instead. The women stayed on the second floor and the men on the first. Each floor hadmon toilets and bathrooms on the sides. The hospital specifically assigned an auntie to manage the dormitory. ¡°Forgive the slight difort everyone. The small rooms can amodate two while therge rooms can amodate six. You can assign yourselves. The keys are allbeled and ced on the desk.¡± Director Jiang said. He called the auntie over, ¡°The kettles are all filled with hot water? Disposable cups are all set? There¡¯s no shortage of new buckets, tubs, and hangers, right?¡± The auntie spoke in a stiff Mandarin: ¡°Everything¡¯s ready.¡± ¡°The tubs and buckets are all newly bought. You can use them with peace of mind. We didn¡¯t prepare for the rest since you all would bring your own.¡± Director Jiang was very meticulous. Director Tian made arrangements: for the first floor housing male doctors, he was the counselor, and for the second floor housing the female doctors, Chen Xiaoqiao was the counselor. Everyone sorted out the dormitory on the spot. Those who were usually close naturally grouped together. Zhou Can pulled Su Yixuan to room together. The female doctors quickly sorted out everything. ¡°Would it be okay if I go upstairs? I¡¯ll help bring your suitcase and luggage upstairs.¡± Yang Ping saw that the stairs were steep and the luggage and suitcases were heavy. Zhou Canughed and said, ¡°Yang Doctor, don¡¯t just bring Xiao Su¡¯s things, help me carry my suitcase as well.¡± Zhang Lin said, ¡°With the amount you eat for breakfast, three steamed buns, you can¡¯t handle carrying this suitcase? Come, let me help you carry it, you have to wash my clothes tomorrow.¡± Saying this, Zhang Lin went to pull Zhou Can¡¯s suitcase. ¡°Sure, I¡¯ll help you wash them tomorrow, prepare your durian in advance.¡± Zhou Can said without missing a beat. ¡°Did you pack lead suits in this suitcase?¡± Zhang Lin weighed the suitcase. Yang Ping and Zhang Lin brought the female doctors¡¯ luggage to the second floor. Song Zimo also helped Tang Fei with her luggage. The stairs were steep and one needed to carry the luggage up. It would indeed be a big task for the female doctors. After arranging Xiao Su¡¯s luggage, Xiao Su took out a few packages of beef jerky and handed them to Yang Ping, ¡°You can eat this when you¡¯re hungry at night.¡± Zhou Can wanted to say something, but Zhang Lin pulled her, ¡°Where do you want to put your suitcase, quickly make up your mind.¡± After Yang Ping and Zhang Lin Xiaowu came down from the second floor, Xiaowu said, ¡°Director Tian said we can stay in the six-person dormitory.¡± ¡°Isn¡¯t there a two-person one?¡± Zhang Lin asked. Director Tian said, ¡°The two-person dorm doesn¡¯t sound fun. Let¡¯s stay in the six-person one. We can have a bed-time chat at night.¡± ¡°Director Tian, you fancy this kind of thing?¡± Yang Pingughed. ¡°From now on, let¡¯s have a medical summit forum every night.¡± Looking at the grand mountains, Director Tian was excited. Everyone settled down and went to the cafeteria to eat. It seemed this meal had been prepared by the cafeteria chef for a while. The standard definitely exceeded the usual. There was shrimp congee, grilled meat skewers, fried rice, fried chicken legs, and a variety of other dishes. Dean Pan said, ¡°Everyone took a long ride on a bus, the cafeteria chef said that you might not have an appetite to eat rice and dishes, so he made these instead. Everyone¡¯s tired, don¡¯t be polite. If there are any opinions, tell the cafeteria chef. From now on, there will be somete-night snacks arranged every evening.¡± Everyone was hungry and ate like wolves. Yang Ping had a big bowl of fried rice, a chicken leg, a bowl of shrimp porridge, and he finished cleaning out his dish in a few bites. Xiao Su came over with a te in hand. ¡°Little Five, let¡¯s see what else there is to eat,¡± Zhang Lin said to Zhang Lin Xiaowu. Catching Little Five¡¯s signal and Xiao Su in the corner of his eye, Zhang Lin said, ¡°Right, let¡¯s go check.¡± The two guys took off. Xiao Su brought a chicken leg over for Yang Ping, putting it in his bowl: ¡°Reward for you, clean, untouched.¡± ¡°I¡¯d rather it was touched!¡± Yang Ping grumbled under his breath. Xiao Su walked away with a few female colleagues, then Zhang Lin and Little Five huddled back in. Liang Fatty was eating alone in a corner with a pile of chicken bones on his te, still relishing his meal. ¡°Isn¡¯t he on a diet?¡± said Zhang Lin. Little Five said, ¡°Starting tomorrow!¡± After dinner, everyone rested. At both ends of this floor, there were three bathrooms that were remodeled with water heaters. Some people took buckets and made a ssh, took a bath, and then washed their own clothes, hanging their clothes on the rods in the corridor. After hanging the clothes, it seemed there was nothing to do. It was too early to sleep, and no one had the energy for a walk. In the big room, there were six people: Director Tian, Yang Ping, Song Zimo, Zhang Lin, Little Five, and Liang Jing. Just six people. Three sets of bunk beds, with Director Tian, Yang Ping, and Song Zimo sleeping on the bottom bunk, and Little Five, Zhang Lin, and Liang Jing sleeping on the top. Song Zimo set his feet on the bed edge and was doing push-ups: ¡°One hundred, one hundred and one, one hundred and two¨C¡± Song Zimo is a highly disciplined person, he exercises every day. Liang Fatty tried to climb onto the top bunk a few times, but failed. He wanted someone to switch with him, but didn¡¯t know how to ask. Not possible to have Director Tian climb up and down, Song Zimo was not the bestmunicator, and Yang Ping was a solid character. Seeing Liang Fatty struggling to climb up, Yang Ping had an idea: ¡°Fatty, I like the top bunk, how about we swap?¡± Fatty was overjoyed: ¡°Really, I don¡¯t know how to thank you.¡± ¡°When I was in school, I liked the top bunk, so I should be thanking you,¡± Yang Ping said. ¡°I¡¯ll change the sheets and quilts for you,¡± Fatty started immediately. ¡°No need,¡± Yang Ping said, he hadn¡¯t changed anything. ¡°You should change it, I saw him sneak a look at the dermatology department,¡± Zhang Lin said. Fatty was worried: ¡°That was a mango allergy, I¡¯m allergic to mangoes, you know that.¡± ¡°Who knows,¡± Zhang Lin deliberately teased him. Fatty hummed a few times: ¡°I¡¯m the one with the soft Zhonghua cigarettes, watch your mouth.¡± Zhang Lin immediately softened: ¡°Brother Fat, no, Brother Liang, I¡¯m sorry for the offense, please forgive me!¡± The next two weeks everyone would y a role, known as the temporary assignment. ¡°Director Tian, I heard you¡¯re appointed Deputy Dean? Are we going to call you Dean Tian from tomorrow morning?¡± Zhang Lin said. Tian Yuan said: ¡°That¡¯s the n.¡± ¡°Big Brother seems to be the head of Orthopedics, and Young Master Song, the Deputy head?¡± Zhang Lin asked. Tian Yuan said: ¡°Yes, do you two want to try leading a group?¡± ¡°Sure, Little Five, we¡¯ll follow Dean Tian¡¯s arrangement, starting to lead the group tomorrow,¡± Zhang Lin said. Liang Fatty wanted to smoke: ¡°Xiao Zhang, let¡¯s go outside for a smoke.¡± ¡°Two hundred and one, two hundred and two, two hundred and three¨C¡± Song Zimo was still doing push-ups. ¡°You¡¯re wasting your shower, if you want to do it, could you stop counting out loud?¡± Zhang Lin said. ¡°I¡¯ll rinse off again in a bit.¡± Song Zimo didn¡¯t stop. ¡°Any smokers up for a soft pack of Zhonghua?¡± Liang Fatty showed off. Little Five immediately followed suit. Chapter 101 - 0099 Director Yang Chapter 101: Chapter 0099 Director Yang Everyone chatted until midnight, and got up early at five in the morning to freshen up. Director Jiang came by early in the morning and led everyone to the cafeteria for breakfast. Having over fifty people in the dining hall was quite a spectacle that attracted many gazes. After breakfast, the group of over fifty people headed to the hospital conference room to receive their work assignments. The urological surgery team was to be split in half between the People¡¯s Hospital and the Hospital of Traditional Chinese Medicine. For Obstetrics and Gynecology, two were assigned to the People¡¯s Hospital, and the rest were sent to the Women and Children¡¯s Health Hospital, and the Hospital of Traditional Chinese Medicine. Those assigned to other hospitals would have a shuttle service to and from their residence, arranged by the County Health Bureau. The Orthopedics and Operating Room staff were all retained at the People¡¯s Hospital. The newly formed Orthopedics Department at the People¡¯s Hospital needed a lot of support. For those staying at the People¡¯s Hospital, Tang Yuan would be the acting deputy dean, Professor Yang Ping the acting director of orthopedics, Song Zimo the deputy director of orthopedics, Su Yixuan the head nurse in the operating room, and the others were doctors and nurses without administrative duties, tasked with guiding clinical work. After all tasks were assigned, Director Jiang personally escorted those who were delegated to other hospitals over for the turnover. For those remaining at the People¡¯s Hospital, Dean Pan and the Head of Medical Affairs led everyone to their respective departments to participate in the handover of duties. In order, Orthopedics, Urology, Obstetrics and Gynecology, and the Operating Room were each paid a visit. The departments assigned to personnel must wait for Dean Pan before the turnover could take ce. Hospitals at the grassroots level have broad categorizations for their divisions, including Orthopedics, Surgery, Internal Medicine, Obstetrics and Gynecology, Pediatrics, and Otorhinryngology. Surgeryprises Neurosurgery, Thoracic Surgery, General Surgery, and Urological Surgery. Doctors didn¡¯t specialize in these departments. Orthopedics had just been branched out from Surgery. The director of Orthopedics, Director Zeng, was a seasoned doctor. Short and with a reddish face and neck, he had an acquaintance at the First Attached Hospital in the provincial capital and took advantage of this connection to attend further training in Orthopedics there for a year. He was very cooperative with the dispatch of technical support from higher level hospitals because it had no impact on him since the people above would only be in position for two weeks. Moreover, he had the chance to learn something new. By eight o¡¯clock, Director Zeng was waiting with all the doctors and nurses. The Orthopedics department, including the Director,prised only five doctors and ten nurses. It wasn¡¯t until half-past eight that Dean Pan arrived. Seeing Dean Pan bringing in a group of doctors in their twenties, Director Zeng was very disappointed. He had hoped to learn some skills from professors. These youngsters wouldn¡¯t be able to bring much to the table. He was quite unhappy. He felt that the medical aid provided this time was somewhat sloppy. He felt that despite being a grassroots hospital, they were still a bona fide People¡¯s Hospital. It was inappropriate to give the impression of making up the numbers by just bringing in some fresh graduates. After everyone was situated, Dean Pan announced, ¡°Starting from today, the medical team from Sanbo Hospital will officially be stationed at our hospital for two weeks. There are four doctors assigned to our orthopedics department. Let me make the introductions: Professor Yang Ping, who will be serving as our director of orthopedics, Professor Song Zimo, acting as deputy director. We also have Dr. Zhang Lin, Dr. Lu Xiaowu, and Dr. Tang Fei. Let¡¯s all give a warm round of apuse.¡± Everyone apuded, and Dean Pan turned to look at Director Zeng, ¡°Director Zeng, we expect wholehearted cooperation in assisting Director Yang. During these two weeks, everyone should take this opportunity to learn from the professors. Now, Director Yang will say a few words.¡± Dean Pan pped his hands. In this kind of situation, he had to say something. Yang Ping calmly said, ¡°I¡¯m very grateful for the opportunity and am pleased to be able to work with you all. In these two weeks, we will be learning from each other and making progress together. Thank you all in advance for your help.¡± Yang Ping bowed slightly, and there was warm apuse. ¡°Director Yang, I¡¯ll be going to the next department. You guys continue what you need to do and feel free to contact me if there¡¯s any problem.¡± Dean Pan shook hands with Yang Ping and then left. After Dean Pan left, Director Zeng said, ¡°Director Yang, would you like to bring everyone on rounds? Currently, there are thirty beds in the department, and twenty-one patients are admitted¨C¡± Director Zeng reported the current situation of the department, which dealt mostly with limb fractures, waist and leg pain, neck and shoulder pain that were treated conservatively. Patients with slightly serious conditions would usually go to the Shipo People¡¯s Hospital. The director wasing, and Director Zeng had originally been quite apprehensive, fearing that he wouldn¡¯t be able to keep up with the director¡¯s thought process. However, now that a few young doctors in their twenties had been dispatched, the humble attitude he had prepared had rxed a lot, and he didn¡¯t sound nervous at all when speaking. Some of the nurses were secretly ncing at Song Zimo, thinking how handsome the doctors from big hospitals were. They thought it was so cool how young some of the professors were. Song Zimo was sitting at the desk, appearing nonchnt. Others were looking at Tang Fei. A woman doctor in Orthopedics? And she¡¯s so pretty. ¡°Do we have any emergency or difficult cases in the department? If so, let¡¯s take a look first.¡± Yang Ping asked for Director Zeng¡¯s opinion. Yang Ping was, at first, being modest and showing respect to the host, but Director Zeng thought that this young doctor didn¡¯t have much to offer andcked confidence. Many young doctors from big hospitals didn¡¯t have much surgical experience. Director Zeng spoke with a noticeablexness, fully abandoning his humility, saying, ¡°We don¡¯t have any emergencies. There is one tough case, but it¡¯s nothing to look at. They¡¯ve been to the provincial capital to see it, and after being hospitalized for over a month there, there was no improvement. Even the professors there at the provincial hospital didn¡¯t dare to perform surgery. The patient was discharged and has been pulling through here at our ce for a few months now. Their financial condition is okay, so they¡¯ve been staying with us for some months now.¡± Yang Ping could perceive the change in Director Zeng¡¯s tone, but he didn¡¯t mind. He said, ¡°Let¡¯s take a look at this patient then. Bring over his X-rays and medical records.¡± ¡°Xiao Li, go get the medical records.¡± Xiao Li went to retrieve the medical records. ¡°Several big professors from the provincial capital have already seen this¨C¡± Director Zeng then listed a few prominent directors that Yang Ping recognized, all of whom were professors from the First and Second Attached Hospitals and the Provincial City People¡¯s Hospital. ¡°There¡¯s no rush, let¡¯s observe and learn from this difficult case.¡± Yang Ping didn¡¯t argue with him. Yang Ping carefully read through the case file, and then examined each imaging slide. There was a huge bag of images, including X-rays, CTs, and MRIs, all of which had been done, some multiple times. On the way here, Yang Ping had already purchased a training module for reading medical images in the system space. It covered imaging of the spine, pelvis, extremities, trauma, and bone diseases, amounting to hundreds of thousands of images. The diagnosis in the file was chronic osteomyelitis of the left femur. Locking intramedury nail surgery had been performed a year ago, but there had been a post-operative infection. The entire femur, including the proximal and distal ends, was severely infected. The skin and muscles were deficient, exposing the nail. This patient indeed posed a challenge; Yang Ping stroked his chin thoughtfully. Director Zeng looked somewhat disdainful, but it didn¡¯t show in his expression. Putting on a show, are we? The city¡¯s senior director didn¡¯t manage to handle it, yet here you are pretending to be an expert, even appearing to be very serious about it. Yang Ping didn¡¯t think these images were consistent with chronic osteomyelitis. The devil-style training in the system space endowed him with extraordinary abilities to interpret images. ¡°Let¡¯s go see this patient first.¡± said Yang Ping. The other patients could wait. Director Zeng was slightly impatient, but he didn¡¯t show it. He had no choice but to take Yang Ping to visit the patient, with everyone else following behind. ¡°This patient has some influence. He has been seen by many hospitals and is experienced.¡± The subtext was to just go through the motions and not take it too seriously. Yang Ping picked up on his meaning and said, ¡°Understood.¡± When he got to the bedside, Director Zeng introduced briefly: ¡°This is Doctor Yang from the city, who is very concerned about your condition and hase to see you.¡± The patient was a young man, only twenty years old. He had seen so many hospitals and was tired of it, so his attitude was rather cold and aloof. From the mainints, present illness, medical history and so on, Yang Ping re-asked everything. The patient was slightly impatient: ¡°It¡¯s all written on the medical record.¡± Yang Ping seriously said: ¡°Do you want your leg to get better or not? If you do, cooperate a little. If you don¡¯t really care about it, and want to stay this way for the rest of your life, I have nothing more to say.¡± The young man was naive, listening to the young doctor, it seemed like he could heal his leg. This was interesting, he thought, let¡¯s see what he has to say. Even though he was not enthusiastic, at least he was not resisting anymore. ¡°Do you often lose your temper like this?¡± Yang Ping was not annoyed and asked him. He said, ¡°I have a fiery temper, I can¡¯t hold it in over small matters.¡± ¡°How tall are you and how much do you weigh?¡± Yang Ping asked. ¡°One meter seventy-six, forty-eight kilograms.¡± The young man replied. He looked very thin. ¡°Do you often have loose stools, more frequent bowel movements?¡± Yang Ping asked. The young man said, ¡°Yes, how did you know? I have chronic stomach and colon inmmation. Sometimes I have bowel movements several times a day, always loose. I¡¯ve had colonoscopies, but nothing has been found.¡± ¡°Do you have no strength for running, do your limbs feel weak like you¡¯re going to fall after a long run?¡± Yang Ping pursued further. The young man immediately sat cross-legged on the bed, his mood improved a lot: ¡°Yes, yes, back in school during Physical Education, after running threeps, my whole body would go limp, I couldn¡¯t even stand.¡± ¡°Show me your hands.¡± Yang Ping counted his pulse and felt his palms. ¡°Aren¡¯t you afraid of the cold wearing just a vest in the morning?¡± Yang Ping noticed his vest. ¡°It¡¯s so hot, what¡¯s there to be afraid of?¡± The young man answered sinctly. ¡°Take off your sses, let me have a look.¡± Yang Ping pointed at his sses. The young man cooperated and took off his sses. Yang Ping carefully checked his eyes. Director Zeng couldn¡¯t stand it any longer, what were these questions about? Everyone was waiting to do rounds. ¡°Director Yang, why don¡¯t we do rounds first, ande back to him when we have time?¡± Director Zeng said, suppressing his dissatisfaction. Chapter 102 - 0100 Difficult Patient Chapter 102: Chapter 0100 Difficult Patient ¡°Alright, let¡¯s go on rounds!¡± said Yang Ping. He had asked enough questions for now. As for Director Zeng¡¯s subtle attitude, Yang Ping could perceive it acutely but decided not to dwell on it for the time being. With Director Zeng apanying him, Yang Ping led everyone on their rounds. Twenty-one patients to check on, excluding the young man they had just seen, there were twenty others. Six were suffering from pain in their neck, shoulders, waist, or legs and were undergoing conservative treatment. Fourteen were surgical patients: two had vicle fractures, one humerus fracture, two radius and ulna fractures, one femur fracture, three had fractures to both the tibia and fib, three had ruptured tendons, one had a finger fracture, and one had a pelvic fracture, which had been treated with an external fixator. Although he was an acting head, Yang Ping wasn¡¯t at the hospital to rx. He was there to treat and save lives, and his rounds were carried out conscientiously. After seeing thest patient, there was one more ward. The door was shut, so it looked empty and unupied, which caught Yang Ping¡¯s attention. ¡°That¡¯s all,¡± said Director Zeng. Suddenly, the door swung open. An old man in his seventies, wearing round, ck-rimmed sses, emerged: ¡°Zeng Little Treasure, how can you say that I¡¯m not a patient? You tried to kick me out to the surgical department, but I refused. I¡¯ve moved back here.¡± Wasn¡¯t this room supposed to be locked up? How did he manage to move back in? At this point, Director Zeng was clearly ufortable. His face looked as though he had just smeared it with chili oil ¨C it was burning red. ¡°What¡¯s¡­ the situation here?¡± asked Yang Ping quietly. Standing at the doorway, he couldn¡¯t avoid asking. ¡°This patient underwent surgery a year and a half ago and is here for rehabilitation. You should examine him as well¡±, Director Zeng responded reluctantly. He then turned to the patient with a forced smile on his face: ¡°Teacher Yan, because a single room became avable in the surgical department, we arranged for you to move there. This room will soon be needed for another patient.¡± ¡°Hmph!¡± The patient grunted coldly. Yang Ping led the team into the room. ¡°Who cares for this patient? Report his case history!¡± Director Zeng ordered. Before any of the doctors could speak, the patient himself spoke out: ¡°I have a lumbar disc herniation. My main symptom is numbness and severe pain in my right leg. It¡¯s so painful that I¡¯m having trouble walking. I had surgery, but it still hurts. I¡¯ve spent a lot of money, and my suffering hasn¡¯t lessened a bit.¡± ¡°May I examine you?¡± asked Yang Ping, who had already discerned that this patient was a contentious case. ¡°This is Director Yang from the provincial hospital. He¡¯s here specifically to see you. Perhaps he has some ideas¡±, Director Zeng introduced. ¡°Director Yang? From the provincial hospital? Perfect. I was nning to present a petition and lodge aint at the provincial hospital. My surgery was performed by a professor from there, too. Even after medical insurance reimbursement, I paid over twenty thousand out of my own pocket. And my leg still hurts, and my back has worsened.¡± The patient¡¯s attitude was poor, his belly filled with bitterness. ¡°Zeng Little Treasure, let me tell you, once my leg gets better, I will certainly present a petition and lodge aint against you all. What is this? You¡¯re treating human life with utter disrespect. Do you think I don¡¯t know? You and that Professor Zeng from the provincial hospital must be rted. You¡¯re in cahoots. There must be some unmentionable activity going on. I¡¯ve already written my letter ofint.¡± The patient rambled on and on. Yang Ping took his hand and said: ¡°What should I call you? Please, calm down first. Tell me what the problem is, and I¡¯ll see how I can help.¡± ¡°Teacher Yan!¡± blurted out Director Zeng, clearly embarrassed. Yang Ping said: ¡°So, what seems to be the problem, Teacher Yan?¡± The patient took out a notebook and began: ¡°On June 17thst year, I had a CT scan here, in this very hospital. It revealed that I had lumbar disc herniation at L4/L5, L5/S1, spinal stenosis, and right-sided nerve rootpression. After a month of conservative treatment, which proved ineffective, Zeng Little Treasure suggested that Professor Zeng from the first affiliated hospital in the provincial city perform surgery. The date of the surgery, let me check¡­ It was July 28thst year. We gave Professor Zeng a red envelope with five thousand yuan. It¡¯s all recorded here. After surgery, my right leg pain didn¡¯t alleviate at all. After I was discharged following the removal of stitches, I was readmitted on September 20th. Since then, I¡¯ve been constantly admitted to and discharged from the hospital. This has been happening over and over for more than a year. Now the year is almost over, and there¡¯s been no relief. Tell me, how can this be resolved?¡± The man¡¯s thick notebook was poked and prodded with fingers wet with saliva, as he flipped through it, page by page. Then he picked up a pen and began to write: ¡°What¡¯s the date today? I should write it down. Zeng Little Treasure came with someone from the provincial hospital. What¡¯s his name?¡± The old man looked at Yang Ping¡¯s ID card: ¡°Yang Ping, Director Yang, came for rounds, noted.¡± Once the old man finished writing, he closed the notebook and ced it under his pillow. No need to introduce the patient¡¯s history¡ªit was even clearer than what was recorded in the medical chart. What was in the medical chart, he had; what was not, he also noted down. ¡°Teacher Yan, what did you teach before you retired? Can I have your permission to examine you?¡± asked Yang Ping. The many down: ¡°High school politics. Go ahead with the examination. I¡¯ll cooperate. Later, don¡¯t say that I didn¡¯t cooperate with the doctors, which led to poor results.¡± While the patient was sharing his medical history, Yang Ping was able to go through the medical chart. The patient had undergone L4/L5 and L5/S1 lumbar intervertebral disc removals, posterior dpression, intervertebral fusion, and pedicle screw internal fixation surgery. Yang Ping did not know Professor Zeng from Fuyi Hospital, but he did know that his surgical skills were beyond question, top-notch in the province. So what was causing the issue? He conducted a Straight Leg Raise Test on the patient¡¯s right lower limb. It showed a clear positive result ¨C the patient couldn¡¯t lift the leg beyond thirty degrees. Upon testing the strength and sensation, the muscles controlled by the sciatic nerve were somewhat weak and the sensation was somewhat impaired. The right calf muscle showed atrophy. Resistance Abduction and ¡®4¡¯ Figure Tests were also positive. ¡°I can¡¯t, I can¡¯t. It¡¯s numb and painful, unbearable.¡± The patient cried. Yang Ping had the patient lie prone. He pressed the position of the piriformis muscle which was firmer than normal. Upon pressing, the patient cried ufortable words and the right lower limb suffered from severe numbness and pain. Could Piriformis Syndrome be a possibility here? Professor Zeng was busy performing surgeries, perhaps he only looked at the radiograms. The lumbar disc prpsed pressing severely against the right nerve and the symptoms coincided closely with the radiogram, so he rushed to operate without conducting a detailed examination. This scenario was not unheard of. ¡°What do you think? Do you understand now? You¡¯re not at fault in this, and I won¡¯t sue you. But, I will definitely sue Little Zeng.¡± The patient sat up. After visiting the ward, Yang Ping organized his thoughts. Among the patients in the department, besides the chronic osteomyelitis patient earlier, this one also had problems in diagnosis and treatment. Through his reading in the system space and his solid theoretical foundation, Yang Ping made rapid progress in terms of the breadth and depth of his knowledge. These two cases needed to be addressed separately. If he spoke about issues directly, of course, it would damage Director Zeng¡¯s ego. Even though Yang Ping had only been there two weeks, it was of no need to offend him. You shouldn¡¯t do two things to someone: disrupt their ie or spoil their reputation. Yang Ping decided it would be better to take a roundabout approach. He would speak about the dispute patient first. As Director Zeng now seemed overwhelmed by this patient, he believed there would be no problem offering him advice. ¡°It¡¯s embarrassing, so embarrassing!¡± Director Zeng wiped his sweat. Yang Ping casually said, ¡°Every hospital has demanding patients. It¡¯s no big deal.¡± Director Zeng said, ¡°Director Yang, do you have any advice about these patients?¡± ¡°No specific advice. Director Zeng, you are very experienced and spent time studying at Fuyi Hospital, your case handling is appropriate. It¡¯s clear to see Dean Pan had full confidence to make Orthopedics an independent field.¡± Yang Ping made thesements in front of everyone. Although Director Zeng had been previously embarrassed, Yang Ping¡¯sment restored a bit of his dignity. ¡°Director Zeng, shall we go sit in the office?¡± Yang Ping suggested. Director Zeng had something to say and immediately nodded his head. Once in the director¡¯s office, Director Zeng poured a tea. Yang Ping said, ¡°For this lumbar disc herniation patient, I suspect there may be Piriformis Syndrome. If we can get him to have an MRI and EMG of the piriformis muscle performed, it might differentiate the conditions. If it is truly Piriformis Syndrome, another surgery can be performed to release the sciatic nerve, that should solve the issue.¡± If the problem could be solved, he would be willing to kowtow in gratitude. This patient had been a major worry for him, extremely troublesome, and half of his gray hair was probably due to this man. The patient created a nuisance several times, showed up at his office, blocked him on the way home from work, and now refused to leave the hospital, even lodging aint to the mayor. ¡°The hospital doesn¡¯t have an MRI, we¡¯ll have to go to Shipo People¡¯s Hospital to have it done, which is outpatient and non-reimbursable. He will definitely reject it. He hasn¡¯t paid a cent for his current hospital stay.¡± Director Zeng spoke out his grievances. ¡°A CT and EMG can also be done; they should be enough to determine the condition. We have both a CT scan and EMG, right?¡± Yang Ping asked. ¡°Yes, we have both!¡± Director Zeng confirmed. ¡°Shall we go talk to the patient together?¡± suggested Director Zeng. Yang Ping said, ¡°Yes, it¡¯s a good idea. It would be best if we could call him over here.¡± ¡°I¡¯ll go get him!¡± Director Zeng prepared to leave. Yang Ping stopped Director Zeng, asking him to rify the patient¡¯s family situation before going to invite him. After a while, the patient came over, limping heavily, leaning on a crutch. Chapter 103 - 0101: Checking Circuits Chapter 103: Chapter 0101: Checking Circuits ¡°Ding dong, task: Turn conflict into harmony! Alleviate a patient¡¯s pain quickly, help colleagues resolve disputes, ¨C sessfulpletion will receive a reward of six thousand points.¡± The system timely released the task, as it had just been contemted, the task had been assigned. Resolving the problem was easy enough, but resolving it quickly was difficult. How could this kind of dispute with a patient be settled quickly? Communication would be incredibly difficult and delicate. If there were no difficulties, it wouldn¡¯t be a task. Time to work hard. Even before the people came in, you could hear the whining andining from outside the door. ¡°So much money was spent, and the pain didn¡¯t lessen at all. What are doctors even for?¡± The patient¡¯s words were harsh to hear. Yang Ping asked him to sit down: ¡°Teacher Yan, you were called here to get your problem solved and your pain taken care of. I came from the provincial city.¡± ¡°The surgery on my hand was done by professors from your city. I spent over twenty thousand on it and I¡¯m still in the same condition. Do you think it¡¯s not infuriating that my money¡¯s gone down the drain? I¡¯m definitely going to file aint.¡± Teacher Yan mmed his cane on the ground. ¡°Teacher Yan, don¡¯t be rush. Given your current status, it¡¯s inconvenient for you to file aint. How about we first solve the problem with your pain, and then when you can walk around easily, you can file yourint. Doesn¡¯t that sound right to you?¡± Yang Pingforted him. ¡°You have a way to solve the problem? You¡¯re probably just wanting to use me for practice¡±, Teacher Yan shot a sideways nce at Yang Ping. ¡°Not possible. Do you think I¡¯m stupid? I¡¯d use someone who¡¯s threatening to file aint against me for practice? The slightest mistake, and wouldn¡¯t you file aint against me to the Ministry of Health?¡± Yang Ping said with a smile, while Director Zeng made tea for Teacher Yan with a disposable cup. ¡°You¡¯re right!¡± Teacher Yan thought it over and agreed that his logic was sound. Normally, one would avoid such situations, not court them. ¡°So how are you going to solve it?¡± Teacher Yan somewhatpromised. He was indeed in a lot of pain. Seeing his willingness to listen, Yang Ping said, ¡°The problem you¡¯re having is that nerves are being pinched. Your nerves are like wires, and right now they¡¯re being squeezed at some point.¡± ¡°The doctors in the provincial city said the same thing, and even did surgery but howe it¡¯s still the same?¡± Teacher Yan¡¯s tone was somewhat softened. Speaking loudly required energy and he needed a buffer period. ¡°The surgery you had was to fix the main switch. The main switch is now fine, but there¡¯s a problem with the wiring. The wiring also needs to be fixed.¡± Yang Ping poured him a cup of tea. ¡°So you¡¯re saying I¡¯m just this unlucky, that both the main switch and wiring have failed?¡± Teacher Yan found it hard to believe. ¡°How about this: we do a little test on your wiring. It¡¯s simple, we¡¯ll just do a CT scan and an electromyogram. If the wiring really does have a problem, then there¡¯s hope for a solution. Surely, Teacher Yan, you don¡¯t want this pain to continue like this, right?¡± Yang Ping was slowly gaining control of the conversation. Teacher Yan hesitated and took a sip of his tea. Seizing the opportunity, Yang Ping said: ¡°Let¡¯s have the tests first and think about the rest once we have the results. You know, you¡¯ve had quite a fortunate life. Your children are sessful, your grandson is adorable, and there¡¯s still a big world of our great country for you to enjoy with them. If your problem really gets solved, you can get rid of this cane and have a good night¡¯s sleep. How wonderful would that be!¡± ¡°You¡¯re quite pragmatic for such a young doctor. I¡¯ll trust you just this once. Look into this wiring problem for me.¡± There¡¯s no harm in running tests, Teacher Yan thought. ¡°From the look of you, I can tell that you must have made quite a contribution in your youth. There must be many grateful to you for your guidance. In the past, when you were dedicating your heart and soul to teaching and educating, now you¡¯re retired, you should be enjoying life. We apologize for our shorings in solving your problem.¡± ¡°I can¡¯t say my students are all over the world, but several have reached the level of bureau. I haven¡¯t even told them about the situation yet.¡± Teacher Yan was proud. ¡°Shall we arrange for the tests now?¡± Yang Ping asked tentatively. ¡°Arrange it, but remember, I¡¯m not paying.¡± Teacher Yan said. ¡°Let¡¯s focus on solving your problem first, and we¡¯ll talk about everything elseter. If the problem remains unsolved, then no matter how long you stay here for free, it is of no use.¡± said Yang Ping. ¡°Director Yang, I trust you. Please arrange it for me.¡± Teacher Yan urged. Director Zeng assigned a bed-side doctor to process the order, and a nurse pushed him in a wheelchair to get a pelvic CT scan first before proceeding with the electromyogram. There is only one doctor in the electromyogram room. Director Zeng called and brieflymunicated the main situation in advance, focusing on observing the conduction of the sciatic nerve at the exit of the pear-shaped muscle. After dealing with this patient, Yang Ping decided not to mention the patient with the left femoral osteomyelitis for the time being. During the free time, Yang Ping arranged the personnel. Zhang Lin and Little Five each led a doctor, Song Zimo led two doctors, and Tang Fei assisted Song Zimo. There wasn¡¯t much else to do for the time being. After all of this, Director Zeng¡¯s impression of Yang Ping changed. Watching him speak calmly and collectedly, he didn¡¯t seem like a young inexperienced boy at all. The two chatted about the condition of the hospital, the disposition of the staff in the department, and the difficulties of development. When the examination reports came back, the bedside doctor brought the CT scans and elective cardiogram reports over. Director Zeng hung the CT scan on the light box in his office and switched on the light. Yang Ping stroked his chin, carefully examining the scan. A maic resonance imaging would have been the best choice to examine the muscle and soft tissue, but the hospital did not have this equipment. So he had to make do with the CT scan. Orthopedic doctors often have shorings in analyzing bone diseases and soft tissues. They can easily diagnose fractures, but diagnosing bone diseases and soft tissue issues can be tricky. ¡°Director Zeng, look, the density of the piriformis muscle is different from normal muscles. Local muscle fibers have contracted and fibrosed. This is the sciatic nerve being pinched at the outlet of the piriformis muscle. There is also swelling, which aligns with our assumptions,¡± Yang Ping pointed at the scan and exined. Director Zeng leaned in to look at the CT scan. He was quite adept at reading fractures but not so much for muscles and nerves. He could only nod and mutter, ¡°Hmm, hmm.¡± ¡°What about the electromyogram?¡± Yang Ping inquired of the ward doctor. The ward doctor produced the electromyogram report, which was densely filled with English-specific terminologies and data. Instead of reading the report directly, Yang Ping looked at the data and analyzed it himself: ¡°The transduction of the sciatic nerve is notably reduced at the outlet of the piriformis muscle.¡± ¡°Hmm, hmm.¡± Director Zeng, who typically just read the report without looking at the data, echoed. ¡°The results are out now. It is as we expected. With the patient¡¯s history, physical examination, and auxiliary examination collectively, the diagnosis is clear. Call the patient over, let¡¯s talk to him again,¡± Yang Ping rmended. ¡°Go bring him over quickly.¡± Director Zeng ordered the ward doctor. This time the patient was wheeled in on a wheelchair. ¡°Teacher Yan, the examination results are out. There is a problem with the line at an area in your buttocks we refer to as the piriformis muscle outlet. The line is being pinched and not being fully functional,¡± Yang Ping gestured towards his own hip to exin. Teacher Yan responded, ¡°Just my luck. I used to stand a lot during my lessons, how could I have damaged my nerve sitting?¡± ¡°You didn¡¯t damage it from sitting. This muscle is often injured from injections, and also potentially from other physical traumas,¡± Yang Ping elucidated. Teacher Yan began to recall, ¡°You¡¯re right. When I was a teenager, I had a leg injury on this side, which became infected and turned into an abscess. I had penicillin injections for a month at a barefoot doctor¡¯s ce. My buttocks swelled up from the injections.¡± ¡°Teacher Yan, if you believe in me, I will perform the surgery to relieve your pain,¡± Yang Ping stated sincerely and decisively. After a detailed analysis of the examination results, Yang Ping was fairly confident. ¡°Another surgery? I am scared. I fear it will all be the same after being cut open,¡± Teacher Yan seemed conflicted. ¡°Without the surgery, it will continue like this. Teacher Yan, even if you petition, the problem won¡¯t be solved. You will still be in pain. Petitioning won¡¯t alleviate your pain,¡± Yang Ping helped him analyze the situation. Teacher Yan sighed, ¡°This pain is unbearable. And it¡¯s invisible and intangible. Before, I could get relief from painkiller injections, and using corticosteroids and mannitol had some effect, but now they aren¡¯t working anymore. I can¡¯t even sleep at night.¡± ¡°It must be tough. How long have you had this illness?¡± Yang Ping had seen the medical history but still asked for reaffirmation. ¡°Over ten years. Initially, it hurt intermittently and was not this severe, so I could bear it. The numbness and pain got worse over the past two to three years, especially when I walk. I can only take a few steps before I have to stop. That¡¯s why I decided on surgery, but who knew¡ª¡± Teacher Yan sighed heavily. ¡°We have identified the problem. It can be resolved with surgery. The question is whether you trust me, Teacher Yan,¡± Yang Ping replied. ¡°I trust the doctor, or else I wouldn¡¯t have agreed to have the surgery. But¡ª¡± Teacher Yan expressed his helpless stance. ¡°Teacher Yan, some things in the world behave abnormally. For example, you teach, and a student who usually performs well messes up in the high-stakes college entrance exam. There are many influencing factors. When encountering abnormal situations, the methods to address problems be moreplex, but that doesn¡¯t mean we should stop solving them,¡± Yang Ping offered him sce. ¡°You¡¯re right. I had a student in my ss who consistently ced in the top ten during regr examinations, but somehow messed up the college entrance exam. He had to retake a year to get into college,¡± When it came to educating students, Teacher Yan perked up noticeably, his tone more energized. ¡°Exactly, Teacher Yan. Considering your situation, how about you ¡®retake¡¯ the process again?¡± Yang Ping immediately suggested. ¡°How sure are you about the results?¡± Teacher Yan seemed caught between choices. ¡°Ny percent!¡± Yang Ping replied. ¡°Then what are the risks in the remaining ten percent?¡± Teacher Yan inquired cautiously. ¡°There are uncertainties in life. Like the risk of fish bones choking you while eating fish, and the risk of tripping while walking,¡± Yang Ping said. ¡°I understand what you¡¯re saying,¡± Teacher Yan was an educated man who wouldn¡¯t have trouble understanding the logic. ¡°You can think it over and discuss it with your family. Perpetual suffering is not the answer either. You should be enjoying your grandchild and going for walks,¡± Yang Ping encouraged him. ¡°I¡¯ll discuss it with my family,¡± Teacher Yan seemed to have some idea in mind. ¡°I¡¯ll wait for your decision. I¡¯ll be here for another two weeks, and then I¡¯ll return to the provincial city,¡± Yang Ping said, shaking hands with him. ¡°Thank you, Director Yang!¡± Teacher Yan¡¯s attitude seemed considerably improved. Chapter 104 - 0102: Tough Negotiations Chapter 104: Chapter 0102: Tough Negotiations Teacher Yan, leaning on his cane, returned to the ward, and Yang Ping had the ward¡¯s doctor help him get settled in. Director Zeng was now pouring tea for Yang Ping, ceasing to view him as a greenhand. On his first day at work, he helped resolve a difficult problem. Although the matter hasn¡¯t been resolved yet, watching the way young Director Yang handled it with maturity made him sincerely admire him. Yang Ping¡¯s decision to suggest another surgery for the patient was not impulsive, but was based on a thorough analysis of the medical condition. Not going into a battle without certainty; this was Yang Ping¡¯s motto. The medical industry is different from others; lives are at stake, making this motto even more apt. ¡°It¡¯s your first day at work and you had to deal with all this mess. I¡¯m sorry,¡± said Director Zeng with a guilty look. ¡°Director Zeng, these words are unnecessary. We are colleagues; it¡¯s not unheard of for even renowned professors to make a mistake, let alone this incident which is filled with misunderstanding. The surgery waspletely wless; it was just the concurrent pear-shaped muscle syndrome that was overlooked. Anyone looking at the X-rays at that time would assume it to be just a case of intervertebral disc protrusion; I too, am just a hindsight prophet,¡± Yang Ping said modestly. ¡°You handled the situation admirably; his tone became more tempered, at least he didn¡¯t quarrel with you and agreed to consider it,¡± said Director Zeng, who was stressed because of the incident. ¡°It¡¯s not so much my skill as it is his deep misunderstanding of you. In such a case,munication effortlessly flows when someone else steps in.¡± Yang Ping said while sipping his tea. The candidacy for surgery in this particr case was strong, the results should be good. The key to a sessful surgery is to choose the right candidates correctly. If the candidacy isn¡¯t chosen correctly, even if the surgery is executed wlessly, the results won¡¯t be good. It¡¯s like using the right medicine for an ailment¡ªmisdirected medication, even if it¡¯s the best in the world, won¡¯t work. Yang Ping began to n- if the patient agreed to the surgery, how would they perform it, what the risks were, what they needed to be mindful of, and if there was any other differential diagnosis to consider. He mulled over it repeatedly until he couldn¡¯t find any ws. One of his good habits was to meticulously n and repeatedly study even minor surgeries and run the process in his mind beforehand to ensure nothing was overlooked. ¡°If the patient agrees to the surgery and there are no contraindications, n it for tomorrow. Don¡¯t dy; postponing canplicate things,¡± Yang Ping instructed Director Zeng. ¡°Understood,¡± Director Zeng agreed. After finishing his talk with Teacher Yan, the two walked around the department. The morning was not very busy. The ER admitted a case of dorsal forearm tendon rupture that Zhang Lin took to surgery. A case of lumbar vertebralpression fracture was being treated conservatively by Little Five and her team, while a child with a humeral shaft fracture had their injury realigned and immobilized by Song Zimo. Once done, Director Zeng took Yang Ping to get familiar with the ER and the operating room. Yang Ping and Director Zeng had lunch together in the cafeteria and chatted for a long time. In the afternoon, just before the shift was about to end, a nurse from the director¡¯s office informed them that Teacher Yan¡¯s family had arrived. Director Zeng quickly invited them to his office. They were Teacher Yan¡¯s son and daughter-inw, both teachers themselves. Director Zeng offered them tea, but with a glum look on their faces, they refused. ¡°What¡¯s the current situation? The old man said he might need another surgery, so we wanted toe and understand the situation,¡± the son addressed Director Zeng. Director Zeng replied, ¡°Please sit down first, let us exin in detail.¡± The couple sat down, but they didn¡¯t even nce at the tea Director Zeng had poured for them. The teacher¡¯s son asked, ¡°What did the hospital director from the provincial capital say? That another surgery will resolve the pain?¡± It was clear that he didn¡¯t recognize Yang Ping as that director. ¡°What do the people consider us? One incision on the left, one on the right. Are we still not satisfied?¡± the daughter-inw said, her tone sharp. The old man¡¯s son immediately stopped his wife: ¡°What¡¯s the point of saying all this? First, let¡¯s understand the situation.¡± Director Zeng introduced, ¡°This is Director Yang, who hase from the provincial capital to our hospital to provide medical support. We have studied your father¡¯s medical condition this morning and even conducted a CT scan and electromyography.¡± The old man¡¯s son scrutinized Yang Ping; he was so young, doubt clouding his mind. He had initially thought the provincial capital professor would being, but it turned out to be a young doctor. ¡°Hello, I¡¯m Doctor Yang. I was dispatched to Nanqiao by the Provincial Health Department to provide medical support,¡± Yang Ping greeted politely, shaking hands. The old man¡¯s son shook his hand; being a teacher, he certainly had some decorum. He didn¡¯t speak as rudely as his wife did. ¡°Here¡¯s the situation. This morning, while doing rounds, I assessed your father¡¯s health. He has been in pain for over ten years, with the past two or three years being particrly severe. He underwent surgeryst year, but his symptoms did not alleviate at all. We¡¯ve been wondering why the pain didn¡¯t subside after the surgery. We carefully studied his case, conducted a CT scan and electromyography, and figured out the problem. His right sciatic nerve has been pinched in two ces: the lumbar spine and the buttocks. Last year¡¯s surgery only dealt with the lumbar spine section, while the pinch in the buttocks was left neglected, as a result, the pain did not subside. It¡¯s like having a broken switch and a damaged wire at home; fixing only one of the problems won¡¯t make your bulb work; only when both are fixed, will the bulb light up,¡± exined Yang Ping. ¡°We invited a professor from the provincial capital for the previous surgery, and all we got was mere theory,¡± the daughter-inw retorted sharply. The old man¡¯s son interrupted her: ¡°The case has nothing to do with him.¡± The daughter-inw swallowed the rest of her words. Yang Ping said, ¡°It¡¯s okay, I understand how you are feeling. I¡¯m only going to be here for two weeks and this matter has nothing to do with me. I could have ignored it entirely. Why trouble myself? Because I¡¯ve encountered such special cases before and I have experience. I can¡¯t bear to see an old man suffer like this. A toothache can cause one to toss and turn in pain, let alone this kind of sciatica. The old man is enduring the pain so as not to burden you. It¡¯s hard to imagine how he¡¯s been able to endure all these years.¡± The old man¡¯s son initially didn¡¯t believe in this young director. But after these words, he began to waver. Why else, he wondered, would he bother with this if it weren¡¯t his issue? Maybe this man truly does have a solution ¨C he did say he¡¯s encountered a case like this. This matter, after all the argument andmotion, had worn down the family. The couple had to work, the child needed attention, and the old man was suffering so much. After a year of fuss, the problem remained unsolved. Now this young doctor ims to have a solution, why not listen? Who wouldn¡¯t want to resolve this issue and live a happy life? This whole situation has reduced the quality of life for the entire family. ¡°Why didn¡¯t Professor Zeng notice the nerves being pinched at two ces thest time?¡± the old man¡¯s son asked. Yang Ping replied, ¡°This situation is very rare, difficult for the first time operating surgeons to consider. The previous cases we encountered were the same, the pain didn¡¯t subside after spinal surgery, and only after further examination was it discovered.¡± The daughter-inw asked, ¡°So did the first surgery, which cost so much, turn out to be a waste?¡± Her tone was softer this time. Yang Ping exined, ¡°Not at all. It¡¯s like when a light bulb in your house doesn¡¯t light up. There¡¯s nothing wrong with the bulb, but the switch and the wiring are broken. The first surgery fixed the switch, and now we need to repair the wiring. Repairing one without the other won¡¯t solve the issue. If we only performed the hip surgery and left out the spinal surgery, the pain wouldn¡¯t have subsided after the operation. Only by performing both surgeries can we achieve a positive oue.¡± ¡°What if the next surgery doesn¡¯t work out? Can you guarantee 100%?¡± the daughter-inw turned her face to one side. ¡°I can¡¯t give a 100% guarantee, but the chance of sess is more than ny percent,¡± Yang Ping replied calmly. ¡°I understand, you doctors always leave some leeway.¡± The old man¡¯s son epted the estimate, realizing that no doctor would dare to im a hundred percent certainty. Seeing them fall silent, Yang Ping said, ¡°Let¡¯s collectively solve the old man¡¯s pain. If the pain isn¡¯t resolved, no matter how you deal with this, it will remain a problem. The old man suffers, and you suffer too, don¡¯t you?¡± The old man¡¯s son noticed that although Yang Ping was young, his speech was mature and calm, far from the disposition of a typical young doctor. Perhaps he truly does have a solution, or else why would he voluntarily take up this hot potato? ¡°I need to discuss this with the old man. Can you wait a bit?¡± the old man¡¯s son picked up his tea, taking a sip¡­ ¡°No problem, take your time to discuss. We¡¯ll wait for you.¡± Yang Ping maintained a calm and steady tone. ¡°Let me reiterate, if I didn¡¯t want to alleviate the old man¡¯s pain, I couldpletely ignore this matter,¡± added Yang Ping. After the couple stepped out, about ten minutes passed before the old man¡¯s son returned. ¡°We agree to the surgery, but we request that Director Yang performs it.¡± ¡°Of course, I¡¯ll be the chief surgeon,¡± Yang Ping replied. ¡°And about the expenses for this time¨C¡± the old man¡¯s son stumbled out, clearly troubled. ¡°Let¡¯s first solve the problem at hand and then we can talk about the rest, how does that sound?¡± Yang Ping suggested. The old man¡¯s son didn¡¯t say anything more. ¡°Our attitude before was poor, please forgive us. This matter has been causing a lot of stress in our family,¡± the old man¡¯s son said. Yang Ping waved his hand, ¡°It¡¯s okay.¡± Once the preliminary work with the patient¡¯s family was done, immediate arrangements were made for preoperative examination. Except for the thickened lung texture, there were no other abnormalities. Blood pressure and blood sugar levels were normal, and his overall health was alright. The surgery was scheduled for the following morning. Yang Ping instructed that two doses of methyprednisolone be prepared before surgery and be brought to the operating room. Subsequently, he sent a message to Su Yixuan via WeChat, asking her to help prepare the instruments. He was going to assist with a surgery the following day, and currently, Su Yixuan was acting as the head nurse in the operating room. Upon returning to the dormitory, Yang Ping wanted to report the day¡¯s work situation to Director Tian. Director Tian did not reply as he had gone to dinner with Dean Pan and the leaders of the Health Department. ¡°Fatty, do you have those soft Zhonghuas?¡± Zhang Lin asked Liang Fatty. Fatty was somewhat discontent, ¡°Don¡¯t call me ¡®Fatty¡¯. Call me ¡®Director Liang¡¯. I¡¯m acting as the director of the anesthesia department.¡± ¡°Aren¡¯t you getting too much into the role?¡± Little Five asked. ¡°What do you guys know? This is called professionalism. Two weeks as a director is still being a director.¡± ¡°Director Liang, Director Liang, could you spare one soft Zhonghua?¡± Zhang Lin extended his hand. Fatty pulled out a box of cigarettes. Chapter 105 - 0103: Immediate Results Chapter 105: Chapter 0103: Immediate Results Liang Fatty, Zhang Lin, and Little Five went out for a smoke. Yang Ping summarised the work of the first day into a WeChat message and reported it to Director Tian. He made a specific report about Teacher Yan¡¯s case, but purposely didn¡¯t mention local closure during the surgery in the surgery n.] Director Tian replied: I agree with your opinion. Implement the surgery as initially nned. Be sure to use Methylprednisolone for local closure during the surgery, focusing on the nervepression segment of the ischium. A good doctor is both brave and wise. Without bravery, one would be too cautious and unlikely to seed. Without wisdom, courage alone invites disaster. To ensure the sess of the surgery, Yang Ping entered the system space and dissected a few more specimens. Apart from routine full-body dissection, he paid special attention to the local dissection surrounding the pear-shaped muscle. He slowly began to appreciate the power of the super cultivation method. Each dissecting training greatly contributes to the surgery, with improvements spiralling upward. Just like basic science and applied technology, a strong foundation in basic science allows applied technology to thrive. Otherwise, applied technology would flounder and stagnate. With the umtion of dissection knowledge from several specimens and an orthopedics specialty, dpression of the sciatic nerve is a minor procedure. The next day, after the morning shift and ward rounds, Yang Ping led everyone to examine the films and then proceeded to the operating room for surgery. Director Zeng was very enthusiastic and genuinely wanted to learn something: ¡°Let me assist you.¡± Yang Ping said, ¡°Director Zeng, I wouldn¡¯t dare trouble you. Dr. Song can assist me. You might need tomunicate with the patient¡¯s family at any time.¡± Yang Ping was the chief surgeon, assisted by Song Zimo. Director Zeng was free to observe and move around as he pleased. Protecting the nerves during surgery is especially crucial. Carelessness can lead to nerve damage or excessive tension, which can have severe consequences after surgery. This was the first time working with Director Zeng on a surgery, and they were unfamiliar with each other¡¯s working styles. Yang Ping worried about idental nerve damage, but it would be inappropriate to directly ask Director Zeng not toe up to the stage, so he arranged it this way. They administered general anesthesia through endotracheal intubation. Little Five and Zhang Lin had prepared and positioned the patient in a prone position. ¡°Good morning, Director Yang!¡± Su Yixuan, apanied by a nurse from Nanqiao Hospital, was arranging the tools. She greeted Yang Ping as he entered. Yang Ping responded formally, ¡°Nurse Su, I appreciate your help in preparing the operating table.¡± ¡°It¡¯s only right to prepare for Director Yang¡¯s surgery,¡± Su Yixuan replied with a sterilized mask, lips curled in a smile. Once everything was prepared, they washed their hands, dressed, disinfected, spread the surgical drapes, and began. An incision was made at the lower edge of the gluteal maxima, avoiding scar formation at the ischial tuberosity to preventsting pain when sitting. Upon lifting the skin, they exposed the gluteal maxima, where local fibrosis had ured. They cut open the tendinous fascia of the lower edge of the gluteal muscle without damaging the muscle fiber, and lifted the gluteal maxima upward, protecting the subgluteal and femoropopliteal nerves. The pear-shaped muscle was revealed, and indeed, the bottom third of it had fibrosed, turning into fibrous scar tissue that hadpletely lost the qualities of muscle tissue. The sciatic nerve wasn¡¯t emerging from below the pear-shaped muscle. Rather, it was piercing through the fibrosed pear-shaped muscle in the form of a trunk, gettingpressed by scar tissue at the exit. No wonder the symptoms of the sciatic nerve were so severe, and even worse during walking, because when walking, the pear-shaped muscle contracts andpresses the sciatic nerve, worsening the symptoms. They carefully separated the nerve from the scar tissue, removing surrounding scar tissue to fully expose the outer membrane of the nerve. The nerve formed a depression at thepression spot, swollen on both ends of the depression. Yang Ping gently pointed out the nerve, ¡°Director Zeng, look!¡± Indeed it was Piriformis syndrome. Director Zeng felt relieved, knowing that his preoperative judgment was correct. ¡°Little Five, take a photo!¡± Everyone moved aside as Little Five carefully aimed his phone camera to take a photo, taking precautions to avoid polluting the surgical field. A rubber strip gently held the nerve open. At this time, it was crucial not to interfere with the sciatic nerve. Excessive tension could cause nerve damage; although it usually recovers eventually, it could take anywhere from a few days to several months. Lower limb numbness or weakness could lead the patient to misunderstand the surgery as a failure and an exacerbation of symptoms. A doctor must always tread carefully. ¡°Dr. Song, make sure to protect the nerve!¡± Yang Ping reminded. He was not really worried about Song Zimo, but feared Director Zeng would not pay proper attention to protecting the nerve. Any unintentional movement such as slipping with the retractor could damage the sciatic nerve. In an operating environment, it¡¯s always better to be cautious and meticulous. Understanding the instruction, Song Zimo ced one hand between Director Zeng¡¯s hook and the nerve, providing stringent protection to the nerve. With the nerve held open, Yang Ping bluntly separated the pear-shaped muscle from the surrounding healthy muscle fibers. Entering through a gap, his fingers divided a seam, then cut the fibrosed part of the pear-shaped muscle at the attachment points of both ends of the muscle. With a bit of healthy muscle fiber left, the fibrosed tissue waspletely resected. This way, the nerve was able to pass through the remaining normal pear-shaped muscle beneath the exit of the great ischial foramen without experiencingpression. As the separation was done along the natural gap among muscle fibers without damaging normal muscles, future formation of scar adhesion was unlikely, and future issues were prevented. It was crucial not to allow any scar formation around the dpressed nerve; otherwise the surgery would fail, and the nerve would bepressed again. Blunt dissection and sharp dissection: blunt dissection is used when there is a natural gap, while sharp dissection is used when there isn¡¯t. The former follows an existing path, while thetter makes a new one. They then thoroughly cleansed the surgical field and stopped bleeding again. ¡°80mg Methylprednisolone, mixed with 20ml of saline, get me a syringe!¡± Methylprednisolone is a glucocorticoid that has anti-inmmatory and edema-reducing effects. The injector quietly stabs into the nerve sheath diagonally, injecting the Methylprednisolone, and then sprinkles some on the outer membrane of the nerve to locally inste the nerve. It waits for about five minutes. Then, use 20mg of Ropivacaine, diluted with saline on a one-to-one ratio, to infiltrate the area where the muscle scar was cut. Then, infiltrate the cut edgesyer byyer. This can reduce postoperative pain. Upon re-inspection, the loosening was thorough, the blood clotting was perfect, and the entire surgery was pleasing with almost no bleeding. The gauze was even untouched. The few Orthopedics doctors who were observing the operation discussed among themselves that the operations in big hospitals are really different. The rubber band was pulled out, and the nerve was returned to its original ce. Insert the drain, sew theyers together, and the surgery is over. As soon as the surgery was finished and the sterile single sheet was lifted, the patient woke up. Liang Fatty used a suction tube to clean the secretions in the patient¡¯s trachea and sessfully extubated the tube. The cooperation was very good. The patient was recovering from anesthesia and was being taken out of the operating room. A nurse called a rtive, and his son immediately came up. Yang Ping took out his cell phone and showed him the pictures he took during the surgery: ¡°Mr. Yan, look, this is your sciatic nerve,pressed like this, thinning in the middle and swollen at both ends. If you don¡¯t undergo surgery, you will be paralyzed. You would have lost the use of one leg.¡± Arriving in the ward, the patient had fully regained consciousness and could have normal conversations. Those who have undergone general anesthesia can move all their limbs once they regain consciousness. The patient moved his right lower limb a bit, and surprisingly, it didn¡¯t hurt. Maybe the anesthetic was still working, but regardless, the pain was gone for now. Pain greatly negatively impacts a patient and seriously affects their life, like a relentless nightmare. Some patients who are tortured by pain even be suicidal. Having had this burden lifted, even if only temporarily, made the patient feel extremely relieved, like they had been reborn. ¡°It doesn¡¯t hurt anymore!¡± This is the first thing Teacher Yan said upon returning to the ward. ¡°Go and say thank you to the doctor!¡± Teacher Yan instructed his son. The son said, ¡°Don¡¯t worry, I know.¡± In cases of nerve rxation, some may experience a rebound where the symptoms be worse than before. To avoid this, Yang Ping used Methylprednisolone to locally inste the nerve, eliminate inmmation, alleviate nerve edema, and prevent possible postoperative rebound. This would enhance the patient¡¯s postoperative experience, which is crucial. The patient wouldn¡¯t know whether the surgery was performed well. What they would know is whether the problem was resolved and to what extent. For Teacher Yan, relief from pain means sess. A million words wouldn¡¯t be as persuasive as his own experience. After more than ten years, he finally had a day without pain. Teacher Yan was so excited that his hands were shaking. He gripped his son¡¯s hand: ¡°Remember, say thank you to Director Yang.¡± Even though the entire process went smoothly, Yang Ping didn¡¯t let down his guard for the time being. He couldn¡¯t jump to any conclusions yet. After all, he had used local instion during the procedure. He still needed to see if any rebound symptoms would appear in the next few days, even though the probability was low. Yang Ping instructed the bedside doctor to pay attention to stomach protection and use some nerve nourishing medications. He stressed to Little Five that he should personally handle the dressing changes and to call him over while doing so. He wanted to see it for himself. After the surgery, Yang Ping and Director Zeng rested in the office. Teacher Yan¡¯s son came over. His facial expression was normal this time; he wasn¡¯t scowling anymore. ¡°Thank you, Director Yang!¡± He took the initiative to shake hands with Yang Ping. Yang Ping said, ¡°You¡¯re wee. Doctors and patients arerades, and ourmon enemy is sickness.¡± ¡°Director Zeng, thank you too.¡± Seeing Director Zeng beside him, the old man¡¯s son expressed his gratitude. Just after the surgery, it was clear that there was an immediate effect, but it was unknown whether it could be maintained. So, the old man¡¯s son didn¡¯t say much. He decided to observe a bit more for now. Dean Pan and Director Tian had just arrived at the department, and from a distance, they heard Dean Pan¡¯s voice. Because he was missing a tooth, his speech had a unique character. ¡°Director Yang, you¡¯ve worked hard! I heard you just finished a surgery.¡± Dean Pan shook hands with Yang Ping. Director Zeng said, ¡°The patient we just did surgery on was Teacher Yan, who has been pestering us for a year. The pain has eased after the surgery, and the patient¡¯s family just came to thank us.¡± Director Tian had already reported this matter to Dean Panst night. Such a patient was a special case, and the surgery could not be done discreetly. Dean Pan said, ¡°Oh dear, as soon as Inded, you had me clean up the mess. This is so embarrassing, airing our dirtyundry like this.¡± Yang Ping said, ¡°Dean Pan, your words are too harsh. Director Zeng was the one who figured out the medical condition. I was only asked to mediate due to the deep misunderstanding between both parties. It¡¯s not a big deal.¡± Dean Pan turned to look at Director Zeng: ¡°Director Zeng, learn from the professors in the provincial city, and dig deeper.¡± Director Zeng felt extremely pleased though he knew Yang Ping was being polite. Therefore, he said, ¡°That¡¯s why I am always there to pestle Director Yang, trying to squeeze out some real knowledge. Director Yang was instrumental in helping me understand this medical condition.¡± After a bit of small talk, they inquired about any work difficulties, living conditions and habits, and also rmended a few interesting ces in Nan Bridge. Dean Pan and Director Tian then left to go to other departments. ¡°What about that left femoral osteomyelitis?¡± Director Zeng took the initiative to bring it up. He had sensed that Yang Ping had something to say when they made their rounds yesterday. Chapter 106 - 0104: From War to Peace Chapter 106: Chapter 0104: From War to Peace ¡°Let¡¯s discuss this patient in detail.¡± Yang Ping felt the timing was right. Director Zeng sincerely said, ¡°Sure, I¡¯ll go get the patient¡¯s records.¡± The patient had a lot of medical images, bulging out of several bags. They came from Nanqiao People¡¯s Hospital, Shipo People¡¯s Hospital, and the provincial city hospital. Each hospital had done aplete set of tests. Yang Ping quickly sorted out these images, X-rays, CT scans, and maic resonance imaging, dividing them into three sections. Each section was arranged in chronological order, with those dated earlier at the top, and those at the bottom datedter. Otherwise, it would be unclear when and where each image was taken from the pile of pictures. The two men put up each film on the viewing light, one by one, changing out each image after viewing it. Pointing at the most recent MRI Yang Ping said, ¡°Look at the left femoral shaft. The local signal here is different from other areas. Now let¡¯s look at the CT scan.¡± He took out the CT scan from the same period, verified the date, and put it up: ¡°Likewise, the density at this spot is different from other areas. You can see a slight formation of dead bone and local proliferation here. Other areas do not have this phenomenon, they just have uneven bone density reduction and the surface is pitted.¡± He then put up the X-ray: ¡°The trabecr bone is unevenly reduced, and the cortical area does not show any voids yet.¡± After all this exnation, Director Zeng didn¡¯t understand what Yang Ping was trying to convey. Seeing his confusion, Yang Ping said, ¡°I suspect that this patient does not have an infection throughout the femur, only a localized infection here!¡± This novel viewpoint intrigued Director Zeng. The crux of why this case was tricky and why the provincial hospital did not want to perform surgery on this patient was precisely because they thought the entire femur was infected and was inoperable. ¡°This patient was once hospitalized at the Provincial People¡¯s Hospital, nning to undergo an infected bone segment resection and bone elongation surgery. But since both ends were also infected, it wouldn¡¯t be possible to cut off the entire femur. What would they elongate then? Hence, the doctors gave up on surgery and suggested going back to the local hospital for anti-infection treatment.¡± The so-called return to the local hospital for anti-infection treatment was just an excuse; they didn¡¯t want to take over the case. Yang Ping said, ¡°If our diagnosis is correct, that it¡¯s only a focal osteomyelitis, that would make things a lot easier. We canpletely remove the infected bone tissue, use antibiotic-loaded calcium sulfate to fill the area, then perform a myocutaneous p to cover the lost part. Problem solved. Bone elongation technology, also known as bone transportation technology, uses the bone extension technology developed by Dr Ilizarov from the Soviet Union to elongate the bone tissue.¡± For a while, this technology was quite popr; many hospitals used it to perform height-enhancing surgeries. That¡¯s right; the infamous method of increasing height through bone-breaking.¡± These height-increasing surgeries led to the misuse of the technology and resulted in many idents. The Ministry of Healthter explicitly forbade using this technology for height increase, allowing it only for disease treatment and deformity correction. ¡°Director Yang, if it¡¯s localized osteomyelitis, how do you exin the imaging changes in other parts, the pitted ones?¡± Director Zeng was interested in following Yang Ping¡¯s line of thought, not only to solve the problem but also for the pleasure and sense of aplishment brought about by such logical reasoning. A doctor can be like this! He felt that discussing with Yang Ping like this had elevated his level of clinical thinking. Yang Ping went straight to the point, ¡°The changes in other areas are caused by hyperthyroid bone disease. The disease just coincided with osteomyelitis, making people think without hesitation that the entire femur was infected and beyond salvation.¡± Thyroid tests are not part of the routine hospital admittance protocol, and orthopedic patients do not usually get tested for thyroid hormones unless there are symptoms like thyroid ergement. ¡°So what should we do next?¡± Director Zeng wanted to know straightforwardly. This knowledge was a bit too much; it was thought-provoking! Yang Ping said, ¡°These are merely my assumptions at the moment. We need further tests, like drawing blood to check the thyroid hormone level and taking bone tissue from multiple puncture points for bacterial culture.¡± Medicine is a rigorous science. Decisions can never be made based on mere assumptions, which not only cannot cure diseases but also can easily harm the patients. ¡°We will use multiple puncture points and conduct bacterial cultures. If bacteria are found at every puncture point, it would mean that the femur is extensively infected. If bacteria are only detected at this point, and not at the others, it would support my diagnosis. We can then perform surgery to remove this area of infected bone tissue and use a myocutaneous p to cover the defect,¡± Yang Ping exined in detail. Director Zeng said, ¡°I¡¯ll arrange for it right away. Shall we draw blood tomorrow morning on an empty stomach?¡± ¡°Yes, draw blood tomorrow morning on an empty stomach, and do the bedside bone puncture now to collect bone tissue for bacterial culture,¡± Yang Ping agreed. No time to waste, once decided, better start early. Two weeks of dragging their feet will get nothing done. Director Zeng immediately went to the doctor¡¯s office, grabbed a random doctor, and ced an order for a blood draw on an empty stomach the next morning. He ordered a thyroid hormone test and a surface ultrasound to check if there were any nodules on the thyroid. In Director Zeng¡¯s eyes, Yang Ping was a miracle worker. He had to take advantage of the next two weeks while Yang Ping was still around to solve the two big issues in his department. Being a department director wasn¡¯t easy. Every day while he was in the office, before he had a sip of tea, he had to first check if Teacher Yan had arrived. He even had to take a detour to and from work for fear of being cornered. Although he was no threat to his physical safety, he was bothersome ¨C if someone¡¯s always pestering you, how can you have any peace? The patient with osteomyelitis of the femoral shaft, though his surgery wasn¡¯t performed here and his family was polite, keeps asking you every few days: ¡°How is it, can the infection be controlled, do you have other ideas?¡± You get overwhelmed by being asked so much and every time you can only gloss over it: ¡°Maybe we change the medicine a few more days and see.¡± But changing the medicine every day, it leaves you at a loss and feels frustrating! There was no time to lose, Director Zeng asked a doctor to prepare for a bone puncture kit, preparing for a bedside bone puncture. ¡°Shall we go see Teacher Yan again?¡± Yang Ping thought it¡¯s time to check on him again. Despite full confidence, he still wanted to keep a close eye on him. The human body isplex, and medicine isn¡¯t perfect and cannot ount for all changes. This is the uncertainty of treatment. After undergoing general anesthesia, a six-hour fast is required. Teacher Yan¡¯s son sat at his bedside, dipping a cotton swab in water to keep Teacher Yan¡¯s lips moist. ¡°Dad, Director Yang and Director Zeng are visiting you,¡± the old man¡¯s son said. Teacher Yan was lying on his side, facing inwards to avoid putting pressure on his post-operative site. Upon hearing Yang Ping was here, he said: ¡°Director Yang, I feel no pain now, my body feels so relieved. Thank you so much.¡± He reached behind the pillow and grabbed a notebook: ¡°Hand me a pen. Wait a minute, let me jot this down. What¡¯s the time? Director Yang came to check on me. I want to write a letter to thank you. If I had met you earlier, I wouldn¡¯t have suffered this long. You¡¯ve rooted out a disease that has gued me for more than a decade, and the relief I feel is indescribable.¡± ¡°Director Yang, which hospital are you from? Can you tell me?¡± asked Teacher Yan. ¡°Provincial Sanbo Hospital,¡± Yang Ping told him. ¡°I¡¯ll take note of this. I want to write a letter of praise to your hospital. You are young and promising, a pir of the country.¡± Teacher Yan closed his notebook and handed it to his son to ce under the pillow, After they visited Teacher Yan and the bone puncture kit was prepared, the bone puncture ideally should be performed under CT guidance for precise targeting of the lesion. But as the femoral bone disease was diffusive with widespread presence, a sessful procedure merely required the puncture to reach the femoral bone. The suspected infected bone tissue was exposed, a direct vision puncture. Thus, there was no need for CT-guided, it could be done directly at the bedside under local anesthesia. The in-charge doctormunicated with the patient and obtained an informed consent form. Yang Ping performed the operation himself, the whole process was strictly aseptic to prevent pollution that could affect the uracy of the result. The bacterial culture would need several days, once the bone puncture was done, they could only wait for the results. Zhang Lin was checking the doctors¡¯ medical records, guiding them on how to write an excellent medical record. One of his fingers was wrapped with a bandage, he broke his skin while washing clothes. The hospital had bought a washing machine for everyone to use, but as doctors, many of them were a bit hygiene-obsessed. With over a dozen groups rotating in the rural area, the idea of sharing a washing machine daunted most of them. They preferred to wash their clothes by hand especially when it was just for two weeks. ¡°Writing a medical record is the biggest test of a doctor¡¯s skill!¡± said Zhang Lin, emphasising every word, very much in the style of a teacher. Doctors surrounding him all raptly listened. ¡°You see, brother, your medical record, it¡¯s written very well. It pointed out the anomalies that others might have missed. A truly worthy talent!¡± Zhang Lin pointed at the medical record. Everyone crowded in to look at the medical record; the praised brother swelled with pride. ¡°Male patient, menstrual history written down in such detail, well, that¡¯s quite the effort,¡± Zhang Lin pointed his finger at the table. Everyone wanted tough but didn¡¯t dare to. Song Zimo took Little Five into surgery, a case of finger rentation. It was originally nned to just sew the finger up without attempting to rent it. However, after calling the operating room and learning that they had microsurgical instruments and sutures, plus a second-hand microscope, they decided to proceed with the rentation. They ran into Director Tian at the cafeteria at noon. Director Tian said that the weather had been nice these past few days and suggested everyone go up to the mountain to provide free medical care to the vigers. Before going off duty, Yang Ping went to see Teacher Yan again who was still pain-free. He was most concerned about a rebound, which sometimessts for several days. While it could be simply exined to regr patients, if this patient had a rebound, it risked causing misunderstandings. The system didn¡¯t immediately announce the result as it usually did after surgery. It seemed to be waiting for the result too. The system was so cunning- extracting points from it was not an easy job. ¡°Director Yang!¡± Teacher Yan¡¯s voice rang out. ¡°What¡¯s up?¡± Yang Ping responded. Teacher Yan said, ¡°I¡¯ve been considering writing a thank you poem!¡± Chapter 107 - 0105: Charity Surgery Chapter 107: Chapter 0105: Charity Surgery After visiting Teacher Yan¡¯s ward, I went to visit a young man with osteomyelitis. Yang Ping asked the duty doctor to bring the dressing kit, and she personally changed the dressing, measuring the area of skin defect. ¡°I was fine after the surgery, but three monthster a lump formed here, then it broke, bing an open wound, and ever since it has been continuously discharging pus.¡± the young man exined. ¡°You¡¯ve undergone several surgeries, haven¡¯t you?¡± Yang Ping conversed with him while changing the dressing. ¡°Yes, I¡¯ve had several debridement surgeries, some skin was cut off, some flesh too, a piece of bone removed, since the metal nail had surfaced, the doctor didn¡¯t dare to meddle with the bone anymore, they said it¡¯s all infected now, more cuts wouldn¡¯t do any good. I originally wanted to join the army, but now this has happened¡­¡± The young man appeared very dispirited, his dream had been obliterated. Being in the army, even if his osteomyelitis was cured, his hyperthyroidism would prevent him from enlisting. The path to being a military man was no longer possible. After dressing the wound, Yang Ping said, ¡°We¡¯re trying to figure out the best treatment, though it will be a tough process. We took a bone sample for testing today, and we will need to get some blood samples tomorrow morning. Once we have the results, we will examine your condition further.¡± ¡°If I get cured, can I still be a soldier? They say that for the rest of my life my leg will remain like this, unless it gets amputated¡­¡± the young man seemed pessimistic. ¡°Rest well these few days, don¡¯t worry too much, there are more solutions than problems.¡± Yang Pingforted him. ¡°Yes, I have to be a soldier.¡± The young man¡¯s dream of joining the army was very strong. ¡°There are many other professions you can choose from, doesn¡¯t have to be the army,¡± Yang Ping tried to console him. ¡°Doctor, as long as I can get cured to the point where I can join the army, I wouldn¡¯t mind how many surgeries it takes. I¡¯m sure you¡¯ll find a way.¡± He looked up to the doctor with hopeful eyes. ¡°I¡¯ll try my best!¡± Reassured Yang Ping. At this moment, an elderly couple entered the premises, bringing food in a thermal lunch box. Klthough nearly eighty, they seemed to be in good health and had no need to walk with a cane. After changing the dressing, Yang Ping noticed Director Zeng had been waiting by the door the whole time, and wondered if there was something he wanted. It turned out he wanted to treat Yang Ping and the others in the ward to dinner, including all the doctors except those who were on duty. Initially, he had intended to invite everyone a dayter, but learned that Yang Ping and others had to go on a rural outreach mission in two days. He was worried that any further dy would make the invitation seem insincere. So, he decided to take them out for dinner that same day at a restaurant near the hospital. The attending doctor helped clean up the trash. Everyone went to dinner together, a short walk away. During the feast, everyone was in high spirits. Director Zeng expressed his usual grievances about the various difficulties of running a rural hospital. Talking about the young man with osteomyelitis, his face grew troubled. The young man¡¯s surname was Xu, he was actually quite pitiable. Both his parents died when he was young and he was raised by his grandparents who are now in their eighties. Because the treatment for chronic osteomyelitis takes a long time and is very costly, even with health insurance, the out-of-pocket expenses are unbearable. To afford his treatment, the elderly couple sold their only house and now live in an old bungalow belonging to a rtive. What Director Zeng said on his ward round that morning contradicted what he just said. Zhang Lin seemed about to say something, Yang Ping immediately said, ¡°Zhang Lin, can you pour me a drink?¡± Zhang Lin understood and refrained from making anyone ufortable. Yang Ping knew, that when Director Zeng spoke the way he did on the first day, it was only to caution them against making rash decisions. Director Zeng had misunderstood. ¡°Given the situation, cost is an issue, we need to think of a solution.¡± Yang Ping brought attention to the very real problem. Expecting the hospital to foot the bill? If every case like this had to be paid for by the hospital, it would go bankrupt. This Sanbo¡¯s medical outreach is a charity activity, but it merely entails volunteer work by Sanbo¡¯s doctors. Yang Ping and Director Zeng started doing the math on the cost, assuming the test results confirm the prognosis, surgery is possible. The intramedury nails need to be removed, reced with an external frame. The bone defect needs to be filled with antibiotic-containing calcium sulfate, which is even more expensive than gold and if calcted by the gram, is estimated to cost thirty to forty thousand yuan, just for this consumable alone. Even if health insurance covers a part of the cost, he would still have to bear at least over ten thousand yuan. Asking the equipment dealer to sponsor some materials could be an option, but since the rural county hospital would have lesser usage, they may not be willing, especially with regards to the calcium sulfate, as Director Zeng surely wouldn¡¯t use much of it all year round. Doing business, essentially, means making money. Asking someone for sponsorship means the cost is absorbed by the sponsor¡¯s customer base; since Zeng himself rarely used the product, why would anyone agree to sponsor it? Director Zeng was distressed about this issue; this was more formidable than Teacher Yan¡¯s problem. Yang Ping took a sip of his drink and proposed, ¡°The bulk of the cost for this surgery stems from the external frame and calcium sulfate, I¡¯ll figure something out.¡± Once Yang Ping said this, Director Zeng felt at ease; the issue of cost was resolved. No one drank any alcohol for fear of an emergency. With a staff shortage in the small hospital, there were even fewer people who could perform surgeries. Unlike at Sanbo Hospital, where the surgery doesn¡¯t get dyed even if all directors are not operating, because there are experienced attending doctors like Dr. Jin, who can handle surgeries without any fuss. After dinner, they returned to their quarters. Director Tian came back rtively early today, having no socializing to do. He gave a list to Zhang Lin, ¡°The weather has been quite nice these days, there¡¯s an outreach activity in the rural areas. You and Little Five take care of assigning personnel, the ones in circles don¡¯t need to go. Notify everyone to meet in the hospital meeting room tomorrow noon. We will leave the day after for the activity, which will take a whole day. We will set off early in the morning and return in the evening.¡± Zhang Lin took the list and asked, ¡°Aren¡¯t we already in the countryside? More rural outreach? How much further can we go?¡± ¡°Go into the mountains and viges, deliver medical services and medicines, conduct physical examinations and treat diseases,¡± Director Tian said. ¡°For how long?¡± ¡°One day, a total of ten viges, all of which are minority ethnic settlements. Vige doctors and vige officials will guide the entire way,¡± Director Tian said. ¡°That¡¯s not bad, we should do it for several more days, for a week,¡± Zhang Lin said with delight. Director Tian nced at him and said, ¡°Are you here for rural assistance or for a vacation?¡± ¡°Both poetry and mundane life are important, Director Tian! This is called the spirit of revolutionary optimism.¡± Zhang Lin began to sketch on paper with a pen. Liang Fatty asked, ¡°Am I going too? Am I delivering anesthesia?¡± ¡°No need for you to risk your neck, your job is to measure blood pressure. Aren¡¯t you trying to lose weight? Walking up and down the mountain roads, I guarantee you¡¯ll lose five kilos. If you carry all your luggage, it¡¯s not impossible to lose ten kilos,¡± Director Tian said leisurely. Whenever Director Tian was free, Yang Ping would speak up: ¡°Director Tian, there is something I need to report to you.¡± Yang Ping had briefly reported on the patient with chronic osteomyelitis earlier. Now he needed a detailed report. Speaking of calcium sulfate and an external fixator, Yang Ping said Director Zeng wanted to find a supplier to solve the problem, but there would definitely be difficulties. After thinking for a moment, Director Tian said: ¡°They don¡¯t use it much, how could anyone sponsor them? Losing now is for earning more in the future. I¡¯ll take care of this. How much calcium sulfate would we roughly need?¡± ¡°At least thirty grams,¡± Yang Ping estimated. Director Tian immediately picked up the phone: ¡°Xiao Lin, this is Tian Yuan, I have a charitable surgery at Nanqiao County People¡¯s Hospital, I need thirty grams of calcium sulfate, I will send you the address, please send it over as soon as possible, urgently needed. Can it be express shipped tonight? That would be best.¡± After hanging up the phone, he dialed another number and solved the issue of the external fixator. ¡°They will ship it tonight, and it should arrive tomorrow or the day after. It won¡¯t affect the surgery, right? If necessary, I can have them send a special car,¡± Director Tian was very enthusiastic. ¡°No need for that, the surgery will certainly be several days from now,¡± said Yang Ping. Originally, he was just reporting first, there was no rush for the materials, there was still uncertainty if the surgery would proceed or not. But Director Tian solved everything with just a few minutes and two phone calls. With the issue of materials solved, the next step was diagnosis. Is the patient¡¯s condition the same as his conjecture? No one can be absolutely sure until the resultse out. With the problem solved, Yang Ping had a good night¡¯s sleep. Another day passed, the third day of work. Just when the shift had ended, but before rounds had started, Director Zeng received a call from the Director of the Laboratory Department. ¡°Thyroid hormone, T3, T4, FT3, FT4, are all elevated, especially T3 and FT3 increased significantly! The thyroid function is truly hyperactive!¡± After hanging up the phone, Director Zeng sounded excited, as if he was hoping for the patient¡¯s hyperthyroidism. If one were to say that an imaging examination was the first piece of evidence. Then the second piece of evidence already supports his diagnosis. Now they are just waiting for the third piece of evidence ¡ª the bacterial culture! This is the most important piece of evidence, if all the specimens yield cultured bacteria, the previous two pieces of evidence will be overshadowed. The results of bacterial culture onlye out after three to five days, so patience is necessary. This patient was not like Teacher Yan who could be diagnosed quickly and show immediate changes after surgery. Diagnosis alone for this patient was a troublesome matter. Now, Teacher Yan was doing well. Except for some slight pain at the surgical site, the previous numb pain in the lower right limb hadpletely disappeared, and the anticipated aftermath had not urred. During rounds, he was on the phone: ¡°Too small, a little bigger, even bigger¨C¡± His son had gone to buy breakfast. A pair of crutches was ced beside the bed. He had wounds on his butt, so it was inconvenient to sit, walking was easier. Seeing Yang Ping came, he immediately smiled: ¡°I had a good sleepst night, so rxed. Before, even several tablets of An Ding had no effect on me, just like eating beans. Last night, I intentionally didn¡¯t take An Ding, then unknowingly fell asleep, and when I woke up, it was almost eight o¡¯clock. This is what life should be like.¡± After lunch, in the conference room of the hospital, Director Tian and Dean Pan called a small meeting, about carrying out the health services to the rural areas tomorrow. They selected ten viges, all rtively remote, popted with ethnic minorities. Two to three people were assigned to a vige, along with a medical box, to carry out physical examinations and treat the vigers. Doctors from the Traditional Chinese Medicine Hospital and Maternal and Child Health Hospital assigned by Sanbo were not required to participate. The Health Bureau would send cars to drop people off at the entrance of the vige, each team would be apanied by local vige or township officials. In the afternoon, everyone was to return to their dormitories to prepare. Yang Ping packed his backpack and checked the weather forecast on his phone. The weather was clear for the next few days, which was quite suitable for going to the countryside. The rural areas here were the real countryside, with concrete roads only reaching the entrance of the vige. The so-called ¡°vige entrance¡± was just a concept, not a geographic location. The residences here were very dispersed, some mountain roads werepletely suspended over cliffs, it¡¯s impossible to build a road there. ¡°On such a sunny day, why are you packing a raincoat?¡± Zhang Lin asked, seeing Yang Ping packing a raincoat. Yang Ping thought that the weather forecast wasn¡¯t always 100% urate, it¡¯s moreforting to take a raincoat along. ¡°Preparation beforehand!¡± Yang Ping folded up two raincoats. Chapter 108 - 0106: Eighteen Bends in the Mountain Road Chapter 108: Chapter 0106: Eighteen Bends in the Mountain Road In the early morning, the sky was shrouded in a thinyer of fog. After Yang Ping had breakfast, he went over the n for the vige outreach activity in his mind, even though he had prepared thoroughly the night before, he still wanted to check if there was anything he missed. He then called Director Zeng, reminding him to contact him at any time with any issues in the department and not to be afraid of being a bother. Everyone¡¯s spirits were high for this deep vige outreach activity, and they gathered at the hospital entrance earlier than necessary. The Bureau of Health sent six vehicles, all of which were minivans, parked at the side of the road in front of the hospital, with a loudspeaker installed on the roof of the first vehicle. Dean Pan, representatives from the Bureau of Health, and Director Tian each gave a brief speech. Everyone got into the vehicles ording to their numbers. The group and vehicle arrangements had been posted in the group the day before, it was clear and straightforward. The Bureau of Health had assigned a liaison officer to each group, and they were standing by the door of the vehicles, waiting. Director Tian rode in the first vehicle with Dean Pan, everyone else was to find their own vehicles as assigned, and if they couldn¡¯t figure out where to go, they would ask Zhang Lin. As for the minivans, the interior was not that spacious. When Fat Liang tried to squeeze into the back, he seemed stuck. Zhang Lin, worried, shouted: ¡°those on the side, stop watching and give him a push.¡± Yang Ping was grouped with Xiao Su again, he had a bag on his back and carried another in his hand, and he helped Xiao Su onto the bus. Once everyone had boarded, Zhang Lin and Little Five began to roll-call and when they finished, Zhang Lin swung his hand and shouted ¡°Depart!¡± People who didn¡¯t know him might think he was a bureau leader. ¡°Get on the bus!¡± Little Five waved at him. Zhang Lin poked his head in, there was only one seat left, beside Fatty. ¡°Stop searching, there¡¯s only one seat left.¡± Little Five had boarded the car earlier. ¡°Fatty, move in a bit.¡± Zhang Lin couldn¡¯t really fit in. ¡°I am already leaning to the side, half of my butt is hanging off the seat, and you can¡¯t sit down, it¡¯s time for you to lose weight.¡± Fatty squeezed as much as he could to the side. Zhang Lin red at him, took the seat by force. He wanted to curse, how could such a person exist, he thought to himself. The convoy set off, winding its way along the vige¡¯s cement road, with asional cars passing by. If the oing vehicle was big, it would be inconvenient to pass them. The oing car would have to reverse until they reached a fork in the road or a specifically widened passing area. Gradually, the vehicles branched off, and soon only the vehicle Yang Ping was riding in remained. Xiao Su was very curious about the scenery seen from the window and frequently asked questions. Yang Ping patiently answered her, asionally including amusing countryside stories that were new to Xiao Su. The two of them chatted with interest and enjoyment. After finishing their conversation, they suddenly fell silent, nced at each other, immediately shifted their gazes, and blushed simultaneously. The minivan started climbing the slope, with the driver constantly shifting gears and maneuvering the steering wheel dextrously. At the sharp corners, it felt as if one would be flung out of the vehicle by the centrifugal force. Those not ustomed to it would be anxious, but the driver did not seem to mind, perhaps he had gotten used to such roads. Slowly, the minivan came to a stop. The other group on the minivan had reached their vige and it was time for them to disembark. Yang Ping looked out, the entrance to the vige was a staircase paved with stones leading up the mountain. Four people disembarked, one liaison officer, three doctors, and nurses. There were some people waiting at the junction, they were likely there to receive them. The minivan continued onward, winding and twisting, going deeper and deeper, an abundance of gigantic trees that were seldom seen were visible everywhere. When the cement road finally led to a dead end, the liaison officer announced, ¡°Doctors, we have arrived!¡± ¡°We¡¯ve arrived!¡± Yang Ping reminded Xiao Su. ¡°Hmm,¡± Xiao Su softly agreed. She felt confused. She had been thrown off bnce by the mountain road earlier and had been on edge the whole time. Yang Ping carried the luggage while Xiao Su offered, ¡°I¡¯ll carry some.¡± ¡°It¡¯s fine, I had three eggs for breakfast.¡± Yang Pingughed. Some medical supplies had been moved to the health outpost in the vige earlier, so all they were carrying now was their personal luggage. The liaison officer had a big camera hanging around his neck, the kind that seemed very professional. There were a few people waiting at the entrance of the vige, and they came towards us as we got off. ¡°This is Vige Chief Fang, this is Mago from the health station. We couldn¡¯t pull out more manpower from the township hospital, so only Mago can assist us,¡± the liaison officer introduced. An older man and a middle-aged woman came forward to shake hands with everyone. There were also several young men, each carrying a pole. They looked at everyone with friendly smiles. ¡°Give all the luggage to them. These youngds came specially to help carry the luggage, the road ahead is not easy.¡± The liaison officer advised. Yang Ping handed the backpack over to them. They hung it at the ends of their poles, and one man section handled the luggage. The rest, with nothing to do, wanted to help the liaison officer carry his camera, but the liaison officer instinctively turned aside, ¡°I can manage it myself.¡± The group climbed up the steps. The young man carrying the luggage was lively, carrying the load rhythmically, and leading the way. They were all dressed in the traditional cloth garments of the Yao Ethnic Group. Mago spoke Fluent Mandarin, while the vige chief¡¯s Mandarin was rather poor. He spoke a few sentences, but no one understood him. The Vige Chiefughed, and so did Yang Ping. Mago tranted for him: ¡°He says, thank you all, thank you to the government.¡± After climbing the steps, they entered a mountain path almost clinging to the rock cliff, about wide enough for two people side by side. There was a deep valley on one side, with a guardrail simr to those on highways running along the edge of the road. The valley was filled with water, but it was unclear what to call it, ake? A motorcycle came from the opposite direction, and everyone made way for it. People dared to ride motorcycles on such a road? Weren¡¯t they afraid of falling off? To read ten thousand books, and travel ten thousand miles. The vige chief said a few more words, seemingly about the guardrail. Mago exined, ¡°He said the railings were built by the government. They weren¡¯t here before.¡± Mago was very lively and introduced as they walked, ¡°The reservoir is down below, it¡¯s full of fish. Our whole vige depends on this reservoir. There are fish buyers every day. They would park at the entrance of the vige ande to the dam ahead.¡± Seeing this reservoir, Yang Ping felt a natural fear. But he still took Xiao Su to the inside and guarded her from the outside. ¡°The government had nned to build houses along the cement road and let everyone move out, but everyone disagreed. They were used to living here, generation after generation.¡± Mago said. Mago graduated from a health school and had worked in coastal areas before, working in both pharmacies and clinics. Later, when the vige nned to build a health clinic, she, being a medical professional, returned to be the vige doctor. The cliff gradually became less steep, no longer perpendicr but nting, and the rocks turned into earthen hills. The road widened, the reservoir got bigger, and a boat moved across the water. The sound of its diesel engine was loud. There was a bare hillside along the road, scattered withrge and small stones,pletely out of ce with the lush surroundings. A t area was dug out halfway up the mountain, seemingly ready for construction. There was a huge rock on the t area, which looked to be several tons in weight. ¡°The former township chief cut down all the trees in this area without the vigers¡¯ consent. The trees have already been cut down and there¡¯s nothing we can do. The vige chief ns to build a fish station on top of the hill to sell fish. That huge rock was originally at the top of the mountain, but it fell to the hillside during andslidest year.¡± With Mago¡¯smentary, the mountain walk was not boring. The young man carrying the luggage strode quickly. Mago told him to slow down. He gave a simple and honest smile over his shoulder and slowed down. The Vige Chief said a few more words, and Mago helped trante, ¡°He said that rock is very dangerous. It was nned to be sted, but the sting needs to be applied for through the township government. He has applied, but the township government hasn¡¯t sent anyone to st it. If they don¡¯te soon, he will get someone to roll the rock down into the reservoir.¡± After nearly forty minutes, they finally saw the vige. The houses were old-fashioned, made of green bricks and tiles, three-storied, with overhanging eaves, very distinctive. At the entrance of the vige sat an olddy under a big tree by the front door of a simr house, puffing on a long pipe. The clouds in the sky didn¡¯t disperse, it seemed as if the sun was trapped, it showed a little face and then got covered by the clouds again. ¡°This is the vige health clinic and also my home. Don¡¯t stand on ceremony, pleasee in. This is my grandmother, she¡¯s ny-nine.¡± Mago quickly invited everyone in. The sign for the health clinic was hanging on the side of the house. A middle-aged man walked out of the house, chuckling, ¡°Everyone, pleasee in and sit.¡± ¡°Why not sit outside and enjoy the scenery?¡± the liaison officer suggested, seeking Yang Ping¡¯s opinion. ¡°This is my husband. He works on the reservoir.¡± said Mago. Mago¡¯s husband brought out long benches, while Mago brought out a bamboo chair for Xiao Su to sit on. ¡°Our medical outreach will be held here soon. Everyone heard the doctors from the city wereing, so they decided to stay and wait for the outreach.¡± Olddy asked Mago something in dialect. Mago responded to her, then turned to them and said, ¡°She asked if the city officials have arrived. She told me to make tea and pour water for you all. She said not to just stand there.¡± Everyoneughed, the olddy was ny-nine but still so sturdy. Yang Ping looked at the olddy. Although her facial wrinkles were as deep as orange peel, her body was sturdy, her eyes were bright, and her hearing was sharp. Mago had spoken to her in a regr tone. ¡°Doctor Yang, people say that smoking is bad for health, but granny smokes and she¡¯s ny-nine but still so healthy?¡± The liaison officer said while fiddling with his camera. ¡°Granny has longevity genes, ordinary people shouldn¡¯tpare with her.¡± Yang Pingughed. Those young men had already started to get busy. They were setting up sun umbres at the entrance and arranging tables and chairs. Chapter 109 - 0107: Free Clinic Chapter 109: Chapter 0107: Free Clinic There are only a few dozen families in the vige, and news spread fast when the doctor from the provincial city arrived. They gathered one by one at the entrance of the health clinic, someone asked Mago when the free clinic would start. Having rested enough, Yang Ping asked Mago what medicines were prepared for this free clinic. Mago pulls out a list for Yang Ping to examine. The list of medicines was very well prepared; it included treatments for a range ofmon diseases. Director Tian must have been involved in the preparation of the medicines. Yang Ping said, ¡°Everyone is getting impatient. Let¡¯s start the free clinic.¡± Mago told everyone to line up, each person was given a number. Patients were seen in order of their numbers. Those who had not been called could wander around but would have to wait their turn again if they missed their number. Yang Ping sat behind the consultation desk, while Xiao Su sat beside him to help with blood pressure checks. Each patient received a blood pressure check before their consultation. With the doctor from the city here, everyone came to take a look whether they were sick or not, just to ease their mind. Most of the younger people spoke decent Mandarin, but the older ones didn¡¯t. Mago acted as a trantor for them. When trantion wasn¡¯t needed, she helped Xiao Su with the blood pressure checks. The customs of the vige were a bit different; the younger ones were examined first, and the older onesst. The reason was that the young and strong needed to hurry back to work, and the elderly were not in a hurry, so they could take their time. The liaison officer picked up his camera and started taking photos from different angles ¨C this was one of his main duties during the trip. ¡°Doctor, my neck always feels sore and swollen. It¡¯s exhausting and ufortable. I don¡¯t know how to sleep at night. What¡¯s going on?¡± The first viger, a middle-aged man in his forties, came to see Yang Ping with a number one card. He rubbed his neck, looking quite distressed as if he was severely tormented. He made a neck turning gesture and said, ¡°Look, it makes cracking sounds!¡± Yang Ping rose from his chair, walked around to the front of the table and to the man¡¯s back, ¡°Let me check,¡± he said. He palpated the man¡¯s neck and shoulder area, ¡°The physiological curvature of your cervical spine is straightening. The muscles on both sides of your neck and back are tense. Do you experience numbness in your hands? Do you have dizziness?¡± he asked. ¡°Yes, sometimes my hands will go numb, and as for dizziness¡­let me think¡­only asionally, I suddenly feel faint, for no apparent reason,¡± the man replied. The viger with the number one card had great confidence in the doctor from the city. ¡°You have cervical spondylosis. Do you spend a lot of time looking down at your phone?¡± Yang Ping asked. ¡°Yes¡­how should I treat it? It¡¯s not a big problem, right?¡± Number one was very worried. Yang Ping returned to his seat, ¡°Don¡¯t worry. Your symptoms are still rtively mild, and treatment is very effective. I will give you some medicine, which is free. You will feel better after you finish it.¡± He then wrote a prescription, mainly non-steroidal anti-inmmatory drugs and skeletal muscle rxants, and handed the prescription to Mago to distribute the medication. ¡°Buy a wave-shaped pillow which will support the back of your neck when you sleep. This will keep your head slightly raised and help restore the natural curve of your cervical spine. You¡¯ll sleep much better,¡± Yang Ping added. ¡°Support the back of my neck?¡± Number one was a little confused. Yang Ping patiently exined, ¡°Yes, usually we put the pillow only below our head while sleeping. But now you need to prop up the back of your neck as well so your head can lean back slightly. Also, try to reduce your screen time on the phone. It¡¯s the number one killer of cervical health.¡± ¡°Are we done? There are others waiting to be seen,¡± someone from the back of the line urged. Number one thought for a while, wondering if he had any other questions. Realizing he didn¡¯t, he finally vacated his seat for the next person. ¡°I have back pain while his is neck pain. Doctor, it hurts here. If I sit for a long time and then stand up, it hurts. A few days ago, I twisted my back when I bent down to pick up an egg. It¡¯s been hurting for several days.¡± Number two, a man in his thirties came next. Yang Ping asked him to turn around and pressed on the lumbar and sacral area. He then pressed along the sciatic nerve path and asked, ¡°Does your leg hurt? Does it go numb?¡± ¡°Once, from here all the way down to my calf, it hurt and felt numb,¡± Number two gestured with his hand. ¡°This isn¡¯t a twisted waist. It¡¯s a lumbar disc herniation,¡± Yang Ping made a preliminary diagnosis. ¡°It¡¯s over. Lumbar disc herniation?¡± Number two reacted as if he had been diagnosed with a severe disease. ¡°How is it over?¡± Yang Ping was confused. ¡°Everyone says this disease is incurable, it can only be managed, and it will lead to paralysis in the future!¡± Number two blurted out. ¡°Who said that?¡± Yang Ping asked. ¡°Them,¡± replied Number two. ¡°Who are they?¡± Yang Ping asked again. Number two was at a loss for words. Who were they? ¡°Lumbar disc herniation can be treated; the vast majority will not lead to paralysis. Only very few cases do. In my years as a doctor, I haven¡¯te across any patient who has been paralyzed because of a lumbar disc herniation,¡± Yang Ping said confidently. ¡°Really? Doctor, then I¡¯m relieved,¡± Number two expressed both his sorrow and joy very quickly. ¡°For your condition, take some painkillers if it hurts quite severely. The medicines I prescribe are the same as those for the previous patient. The underlying mechanism of your condition is simr to his, only the location differs,¡± Yang Ping tore off the prescription he had written. Number two shook his head, ¡°I won¡¯t take painkillers! They have severe side effects!¡± Yang Ping exined, ¡°Every medicine indeed has side effects, butpared to their curative effects, most of these side effects seem trivial. The negative effects of pain on the human body might even be worse than those of painkillers. Besides, the medicine I prescribe not only relieves pain but more importantly, it reduces inmmation and alleviates your body¡¯s inmmatory response.¡± ¡°In this case, I¡¯ll give it a try,¡± Number two appeared to understand. Yang Ping advised him, ¡°This disease, after the pain has eased, you still need to exercise regrly to prevent recurrence. I¡¯ll teach you a set of exercises for strengthening your back muscles. Once these muscles are conditioned, the stability of the spine will improve, the load on the discs will decrease, and naturally, your back will get better. When your back¡¯s good, everything¡¯s good.¡± Hearing Yang Ping¡¯s words, not only Number two but all the other men also leaned forward. They were intrigued by this magical exercise method; it seemed there was some secret code in it that only men would understand. The liaison officer with the camera came up close. ¡°Do you have any padding?¡± Yang Ping asked Mago. Mago instructed her husband, ¡°Go bring out the mattress.¡± Mago¡¯s husband brought out a mattress from the house, the sort of makeshift one that soldiers use. ¡°Lie down, it¡¯s simple, one arch bridge, one flying swallow, both are exercises for the back muscles. Lie down, bend your legs, yes, lift your waist and buttocks, slowly, slowly raise them, hold, persist a while, then slowly lower them, persist in doing these exercises every day, starting with a few dozen to a few hundred. Now lie down on your front, yes, ce your hands by your sides and lift your head, chest, and feet, supported by your abdomen, lift both ends, tight, persist, then slowly lower down.¡± ¡°It¡¯s that simple?¡± Number Two seemed a bit skeptical. Yang Ping said, ¡°Simple, cost-free things are often overlooked by people, they think they¡¯re useless, and that getting injections and taking medicine are the only solutions.¡± ¡°Understood, I¡¯ll start practicing today.¡± Number Two was quite confident. Words spoken earnestly by a city doctor can¡¯t be false. Number Three, a young man in his twenties, hobbles over. ¡°What¡¯s making you ufortable?¡± Yang Ping asked. ¡°Doctor, I want to see if there¡¯s any way to cure this leg of mine, so that I can walk without limping?¡± Number Three put forward a leg, bending down to roll up his trouser leg. Everyone bursts intoughter. ¡°What happened to your leg?¡± ¡°I fell from a tree when I was a child and broke it, didn¡¯t get it treated, and have been limping ever since, you see, this leg is a bit crooked, and it¡¯s also a bit shorter.¡± Yang Ping stood up, helped him with his physical examination, and measured the force lines and lengths of his lower limbs. Number Three worriedly asked, ¡°Can it be cured? Nowadays, men can even be surgically transformed into women, my case must be simpler than that, right?¡± ¡°Why don¡¯t you stop wasting time, let the people behind see if you don¡¯t have other problems, the doctor is busy, and you¡¯re messing around.¡± Someone was unsatisfied, thinking this youngster was purposely making things difficult for the doctor. ¡°Yes, don¡¯t cause trouble if there¡¯s nothing wrong, everyone is waiting.¡± Some people were agitated, urging him incessantly. ¡°It can be cured, and the possibility of a full recovery is very high.¡± Yang Ping leaned on his chair, took a sip of water. The crowd gasped in astonishment, that can be cured? ¡°Really?¡± The young man just asked on a whim, not really harboring any hope, but who would have thought the doctor said it could be treated, this was beyond his wildest dreams. ¡°Don¡¯t y me for a fool, doctor.¡± The young man smiled bitterly. Yang Ping said: ¡°You probably had a fracture in your lower leg bone before, which healed deformly, causing this side to be too short. You can undergo surgery to rectify it and regain a normal walking pattern.¡± The young man felt a bit dizzy: ¡°How¡ªHow¡ª can it be rectified?¡± ¡°Lengthen the short leg, lengthen it to the same length as the normal one,¡± Yang Ping naturally said. It can be done like that, medical techniques are really advancing. The young man was excited: ¡°Can you leave a phone number? I¡¯lle to find you in the provincial city. Truly, I want to treat this leg properly.¡± Yang Ping took a piece of paper and wrote down a phone number for him. He stood up, took the phone number that Yang Ping had written for him, and muttered to himself: ¡°It can really be cured, it can really be cured.¡± Next. A young woman, in her early twenties, sat down: ¡°Doctor, I¡ª¡± ¡°What¡¯s wrong with you?¡± Yang Ping asked. She didn¡¯t speak, her face flushed red, she said, ¡°I¡¯ll write it down for you.¡± Yang Ping handed her paper and pen. She wrote down: ¡°I have regr menstrual pains!¡± It was awkward, how to say this, he quickly drafted mentally in his heart, exining the illness clearly without making the girl feel embarrassed. He knew a little bit about diseases in other disciplines, just not as precise as the specialists, so he also picked up a pen to write. Xiao Su on the side, peeked an eye, almost bursting intoughter. ¡°It¡¯s raining!¡± ¡°It¡¯s raining!¡± Someone in the crowd shouted. The weather was decent just now, with a bit of a reluctant sun. Suddenly, it started raining. Chapter 110 - 0108: Dont be afraid, Im here! Chapter 110: Chapter 0108: Don¡¯t be afraid, I¡¯m here! The rain came suddenly, and it was heavy, covering the sky and the earth. Everyone hurried to bring the outdoor items into the house. Inside the house, under the eaves, even the room where Mago held the health station, were crowded with vigers seeking shelter from the rain. Some seized the opportunity to consult with the doctor, even if they just asked a couple of questions, they¡¯d feel reassured. Yang Ping patiently answered them all. The free consultation continued in this manner. Mago brought out disposable cups, poured tea from the pot for everyone, and served melon seeds and peanuts in the hall on a tray. People were standing, sitting, or squatting. ¡°This rain is too heavy.¡± Someone lit a cigarette. ¡°Didn¡¯t the weather forecast say it would be clear? How did it suddenly start raining, and so heavily?¡± Someone was looking on a cell phone. The liaison was wiping his camera. It had gotten wet in the rain. He felt bad about it, and gingerly wiped it, breathing heavily. The rain was getting heavier¡ªit wasn¡¯t rain, it was a flood ¨C everything outside was blurred. After wiping the camera, the liaison started making calls, reporting the situation here. Several people wearing raincoats and straw hats came in from the rain, their feet covered with mud. ¡°How¡¯s the dock?¡± Vige Chief Fang removed his hat and started gathering the information everyone had gathered. ¡°It¡¯s broken.¡± The dock was made of wood and used for selling fish. The vige nned to build a stone and concrete dock, but it had not yet been started. ¡°What about the fishing site?¡± ¡°Just checked, it¡¯s okay. The water¡¯s too high, the drainage ditch at the construction site is too small, we need to dig a bigger one next time.¡± They stuck out their feet and let the rain wash away the mud. Vige Chief Fang wasn¡¯t worried about other ces; he was only concerned about these two spots. It rained heavily for a full two hours before it gradually stopped. Yang Ping had seen a dozen patients in the hall during that period. For those who needed medication, Mago had provided it. The liaison made another call and said after hanging up, ¡°The sudden weather change may cause heavy rain in the afternoon. The office asks us to return earlier.¡± Then they called the driver to wait at the entrance of the vige. The driver hadn¡¯t left and had been sleeping in the car, just thinking abouting over for a meal. This weather was strange, the rain had stopped, the clouds had cleared, and the sun was out again. ¡°Doctor Yang, because of the sudden weather change, the office has asked us to leave earlier and eat lunch when we get back. Sorry to inconvenience you both.¡± ¡°No problem! Let¡¯s go back while it¡¯s not raining.¡± Yang Ping and Xiao Su started packing their things. The liaison told Mago, ¡°I¡¯lle back to collect the items in a few days. The office has requested we send everyone back first.¡± Mago said, ¡°You¡¯re so far from home, treating everyone¡¯s ailments. Eat a meal before you go back, I¡¯ll make it right now, it won¡¯t take long. I caught some fish from the reservoir this morning.¡± ¡°No, Mago. I¡¯m really sorry, the weather is changing, the office is probably worried about safety issues.¡± The liaison was in a dilemma. Given the government¡¯s request, there was no need to put these guys in a difficult position. Mago brought out a few bags of local specialties: ¡°Take these back for the doctors.¡± ¡°You shouldn¡¯t be so polite.¡± Xiao Su declined. Mago was annoyed, ¡°These are all dry goods, take them back to the city. Don¡¯t dismiss them, I¡¯ll help you carry them and put them in the carter.¡± The olddy sat under the eaves, smiling all the time, not knowing what she was saying. Mago exined to everyone, ¡°Grandma is telling me not to dawdle, and let you all go back early. There might be more rainter.¡± Everyone hurried to pack their things. In fact, there weren¡¯t many items ¨C just two backpacks. ¡°Where¡¯s the Vige Chief?¡± Mago asked. ¡°He went to check the reservoir dock. They all went.¡± One of the women who hadn¡¯t left yet said. The dock was a few hundred meters away. ¡°We don¡¯t have much luggage, we¡¯ll walk. We¡¯ll just head back the way we came.¡± The liaison said. Mago insisted on escorting them, asking the woman to inform the vige chief, and picking up the local specialties herself, ¡°I¡¯ll walk you out.¡± They all headed back the way they hade. The two hours of heavy rain had significantly raised the water level in the reservoir. The sound of the drainage ditches on the slope was roaring, guiding the water from the mountain into the reservoir. Many fish were swimming in the reservoir, surfacing to breathe. The liaison walked in front, holding his camera and asionally taking pictures. Yang Ping walked in the middle, and Mago held Xiao Su¡¯s hand and walked behind, chatting as they walked. About twenty minutester, they arrived at the construction site for the fishing station. The water in the drainage ditch was rushing, all yellow mud water, creating arge yellow stain in the reservoir which kept expanding. Because the drainage ditch was too small, it had overflowed, and yellow mud water flowed down from all over the hillside. The road was also covered with it. There was some mud umted on the road, probably slid down from above. Yang Ping was considering whether to carry Xiao Su when Mago offered, ¡°I¡¯ll carry you over, there¡¯s too much mud.¡± ¡°No need, I¡¯m fine.¡± Xiao Su modestly declined. Mago seeming to sense something was wrong, walked back for about ten meters to look up at the mountain. Xiao Su stopped to wait for her. In front of them blocked by a pile of mud. The liaison attempted to find a clean gap to cross, but there was no gap to step through. He stopped and took photos with his camera. A sound of mud loosening was heard followed by andslide. Danger! Yang Ping had a keen sense of this, he urged the liaison in front to move quickly, but the liaison hesitated. Suddenly, there was a strong vibration, a loud noise, rumbling! Continuing sounds ofndslide! Yang Ping¡¯s heart pounded with fear. Looking up, he saw the entire slope copsing. There was no time to react as he was toppled over by a vast, violent force. In that instant, there wasn¡¯t even time toprehend what was happening. Yang Ping was down on the ground, covered by earth. Struggling, he freed himself from theparatively small amount of dirt that had piled on him. After a brief moment of mental nkness, it dawned on him ¨C andslide. The liaison officer who had been standing in front of him was gone, reced by a mound of earth that was at least a person¡¯s height. Xiao Su, Yang Ping thought, forcing himself to turn around. She was lying on the ground, half of her body buried in the soil near the guardrail of the reservoir. She tried to crawl out but couldn¡¯t move. The thickyers of the soil entrapped her legs. Mago was nowhere to be found, which terrified Xiao Su to tears. Without any hesitation, Yang Ping rushed towards Xiao Su and grabbed her shoulders, attempting to pull her out. It was impossible. The piled-up soil had to be cleared away first. There was just too much of it and it was too thick. ¡°Help!¡± he cried out. Simultaneously, he started to scoop away the soil with his hands. Xiao Su was shaking all over, not knowing how to react, and she kept crying. She was staring upwards with a look of utter terror in her eyes. While frantically digging, Yang Ping followed her gaze up. A shiver ran down his spine, every pore on his body contracted. A huge boulder was looming just over them, less than thirty meters away, looking dangerously likely to crash down any second. The t surface of the hillside hadpletely copsed. The enormous piece of rock sat precariously on the newly formed slope, ready to tumble down and crush them at any moment. This wasn¡¯t just a rock weighing several tons. It must have been dozens of tons. ¡°Don¡¯t be afraid! I¡¯m here!¡± Yang Ping tried to reassure her, keeping his voice as calm as he could. Xiao Su nodded, biting her lip. Her sobs grew quieter, but her body continued to tremble. Thendslide was still in progress, even the areas that had already copsed were unstable. There was a rumbling sound as more soil and rocks cascaded down the hillside. A stone of considerable size, weighing at least a hundred pounds, rolled past Yang Ping. Yang Ping swallowed, forcing himself to stay calm. He had no time to think. He just needed to get Xiao Su out and fast! His hands didn¡¯t cease in their frantic digging, as though they were not flesh and blood, but tools for survival. More rocks came tumbling down. The soil supporting the boulder loosened and the boulder moved a bit further forward, looking dangerously close to rolling downhill. ¡°Get out of here, go now!¡± Noticing the change in the boulder¡¯s position, Xiao Su realized the imminent danger. She cried out and pushed Yang Ping forcefully. Better to have one life spared than both perishing, she reasoned. The boulder was right above them, and there was nothing to stop or divert it once it rolled down. If it did, neither of them would escape alive, they would be crushed to death. ¡°Don¡¯t worry, we have time,¡± Yang Ping tried to sound confident and calm. He had to remainposed and confident. ¡°Speak softly, don¡¯t provoke it,¡± Yang Ping said jokingly, masking his fear with humor. At first, he was digging and shouting simultaneously. Now, he dared not shout anymore for fear that the sound waves would cause vibrations, upsetting the fragile bnce and making the rock roll down. The soil was hard to clear. Each time he cleared a portion, more would copse around it. Yang Ping¡¯s hands were coated in blood. In that moment, he had forgotten all about the pain, forgotten that those were his hands. All he knew was that they were his only tools for survival. He managed to clear most of the soil above Xiao Su¡¯s thighs. Yang Ping tried pulling her out again, and Xiao Su tried to crawl out too. But she still couldn¡¯t move. There was a cracking sound. The boulder tipped a little more, teetering on the edge of rolling downhill. ¡°Don¡¯t worry, it will wait for us,¡± Yang Ping reassured Xiao Su while feeling his heart rise to his throat. Her knee was now visible. Finally, part of her lower body was exposed. He tried to pull her out once more, but it was still impossible. Although an atheist, Yang Ping found himself praying for divine intervention, pleading for more time, even just a bit more. With no other options, he continued scooping the soil perseveringly with his hands. He thought about going up to the boulder and trying to wedge something under it to stop it from rolling, but quickly abandoned the idea. The slightest misstep could cause it to lose bnce, making the situation worse. At this point, any wrong decision could prove lethal. He absolutely couldn¡¯t afford any mistakes. Xiao Su watched Yang Ping while tearfully sobbing, allowing him to continue his frantic excavation. Her lower legs were finally exposed. Yang Ping attempted to pull her out again, but it was still impossible. Yang Ping looked up at the boulder. With his vision blurred by sweat, he continued to dig. Atst, he managed to fully unearth her. Yang Ping quickly pulled Xiao Su out, dragging her as far away as possible from the unstable slope. There was a crack and the final point of support gave way. Unable to hold on any longer, the boulder began to barrel down the slope with a force that could tten mountains. Damn! He had barely pulled Xiao Su out, when in the blink of an eye, Yang Ping threw himself over her to shield her from the impending disaster. The rock rolled down, crashing into the water, sending up a spray of water in all directions. ¡°Yang Ping!¡± Xiao Su screamed. There was no answer. ¡°Yang Ping¡ª¡± Xiao Su¡¯s cry echoed in the silence, followed by the sound of her sobbing hysterically. She carefully held Yang Ping, turning him over gently,ying him down, crying as she inspected his injuries. ¡°I¡¯m alive¡­¡± He mustered a weak voice. The Novel will be updated first on this website. Come back and continue reading tomorrow, everyone! Chapter 111 - 0109: Returning to Nanqiao Hospital Chapter 111: Chapter 0109: Returning to Nanqiao Hospital Yang Ping struggled to prop herself up and crawl. Her hand ached fiercely, bloody, mixed with dirt, it hurt even more. She¡¯s alive! Xiao Su lunged at her, tightly embracing Yang Ping, crying on her shoulder. Yang Ping used her wrist to stroke her hair: ¡°It¡¯s okay now, don¡¯t be afraid.¡± ¡°Mago and the liaison officer!¡± Yang Ping immediately remembered that there were two more people. Xiao Su immediately let her go: ¡°Rescue them quickly!¡± ¡°Help, there¡¯s been a copse!¡± Yang Ping and Xiao Su took turns yelling. ¡°Mago!¡± Xiao Su cried out. n/?/vel/b//in dot c//om Yang Ping wanted to call out to the liaison officer, but discovered she didn¡¯t know his name. ¡°Liaison Officer!¡± Yang Ping called out. There was no response, he must be buried inside. She could only rescue one at a time, Yang Ping remembered their positions. First, rescue Mago, then the liaison officer. The dirt on Mago¡¯s side was very firm. On the liaison officer¡¯s side, it was much looser. The looser it was, the more residual air trapped inside, and the longer the victims could hold on. Despite the pain, Yang Ping started digging again based on the position she remembered, rescuing Mago. In the distance, a group of people arrived, several dozens of them. When the vige chief and everyone heard the shouts, they rushed over. The distance was too far, so they only arrived now. Everyone brought their farming tools, hoes, and rakes, but none of them were useful as they could hurt the people buried inside. Vige Chief Fang led everyone to dig with their hands. The people were divided into two groups, one group digging to save Mago and the other the liaison officer. Yang Ping saw someone with a small metal spade. An idea struck her. She asked someone wearing a thick coat to take off their coat, wrap the spade, tie it tightly, and then continue digging. Although it wasn¡¯t as useful as the bare metal spade, it was much faster than hands and wouldn¡¯t injure the people buried inside. Another group of people rushed over, with gaps of a few minutes, it was the old, women and children. Mago¡¯s grandmother was also following them. Everyone started working together, and there was strength in numbers. Mago was soon dug out, the spade then moved on to where the liaison officer was buried. Yang Ping checked Mago¡¯s nose and carotid artery. She was still breathing and had a pulse. Pressed for just a short while, Yang Ping cleared the dirt from her nose and mouth, opened the airway, let fresh air in, and Mago gradually woke up and opened her eyes. ¡°Where are the two doctors?¡± The first thing she said when she woke up. ¡°We¡¯re here, we¡¯re okay!¡± Vige Chief Fang said. Soon, the liaison officer was also dug out, Yang Ping immediately went over to check him. Thank God, he was still breathing and his heartbeat was normal. Yang Ping also helped clear the dirt from his mouth and nose. His face gradually turned rosy. He coughed a few times and muttered something weakly. Yang Ping leaned in to hear: ¡°Camera, camera!¡± ¡°His camera!¡± Yang Ping understood. Vige Chief Fang removed the garment from the spade, continued to dig at where the liaison officer was buried, and dug out his camera, which waspletely covered in dirt. He handed the camera back to him, who held onto his camera tightly with both hands. ¡°Send them to the hospital!¡± Yang Ping said to Vige Chief Fang. The vige chief had the same idea, he quickly called to report to the township government and asked for a vehicle. While they were digging out Mago, Vige Chief Fang had sent people to find wooden nks. Two young men, each carrying a wooden nk, ran from a distance. Those were door panels taken from the door. Xiao Su picked up the two bags scattered on the ground, carried one and held another, she also supported Yang Ping. She insisted Yang Ping not carry any more bags. People carried Mago and the liaison officer on the door panels and sprinted along the mountain road. Yang Ping and Xiao Su were a little behind. After passing the cliff road, going through the dense forest, down the stone steps, they arrived at the concrete road. The driver was leaning on the front of the van smoking a cigarette. Seeing this scene, he rushed up and asked: ¡°What happened?¡± ¡°There was a copse near the reservoir. They were buried, we dug them out, they¡¯re conscious, they can speak.¡± Vige Chief Fang said, ¡°The township government¡¯s vehicle is on its way, it should be here soon.¡± Yang Ping surprisingly understood what the Vige Chief Fang said, ¡°Go to Nanqiao People¡¯s Hospital!¡± This small van obviously wouldn¡¯t be able toplete the transportation task. They could only wait for the vehicle from the township government. Yang Ping wanted to take out her phone to make a call, but her hand hurt so much. It was inconvenient. Xiao Su immediately said, ¡°I¡¯ll do it, where¡¯s your phone?¡± ¡°Right trouser pocket.¡± Xiao Su helped to take out her phone: ¡°Dialing Director Tian?¡± ¡°Hmm!¡± ¡°Password?¡± ¡°No password.¡± Xiao Su helped dial Director Tian¡¯s number, put it on speaker, and put it in near Yang Ping¡¯s mouth. Yang Ping reported the situation just now to Director Tian and asked him to contact Nanqiao Hospital to prepare to receive the patients. While giving the report, she actually forgot to mention herself and Xiao Su, only mentioned that Mago and the liaison officer were buried. ¡°Leave the phone with me. Receive and make calls. I¡¯ll hold it for you.¡± Xiao Su put the phone on herself. Xiao Su put down the bag, remembered there was a box of mineral water in the van, took out three bottles, ¡°Bear with it! I¡¯ll help rinse your wound.¡± It was only then that Yang Ping thought of it. Both her hands were bloody, covered in dirt, she needed to rinse them. Yang Ping extended her hand. The pain was there anyway, she decided to just grit her teeth. Xiao Su poured the mineral water, Yang Ping washed her hands under the stream. Tears welled up in Xiao Su¡¯s eyes as she watched in pain, ¡°Gentle, be gentle!¡± Gentle or heavy, it was still painful. She might as well just have a deep cleanse. It was a piercing pain, but it was unavoidable. After three bottles of mineral water, her hands were washed clean. After she finished washing, Yang Ping shivered. ¡°There¡¯s no gauze, ordinary bandages will stick, let¡¯s expose it first and bandage it when we get back.¡± Xiao Su lightly dabbed Yang Ping¡¯s hands dry with a tissue. Yang Ping instructed Xiao Su to check the injuries of the two victims. Thankfully, they didn¡¯t seem too serious. There was only dirt at the time of the copse, no stones. Vige Chief Fang was as restless as an ant on a hot pot, unsure what to do, he kept looking towards the road. The vehicle sent by the township government arrived, they sent a small four-wheeled truck. Everyone together lifted the people onto the truck¡¯s cargo deck. The township chief got out of the car anxiously and asked, ¡°Where did the copse happen? Are the people okay?¡± ¡°At the fish station worksite, two people were injured, but they¡¯re awake.¡± Vige Chief Fang reported. They¡¯re awake, that¡¯s good. The township chief felt slightly relieved. The van driver said, ¡°You all ride in this van.¡± ¡°I should go up there too, it¡¯ll put me at ease,¡± Yang Ping said. Xiao Su supported Yang Ping as they both climbed onto the truck, with the vigers loading their luggage onto the vehicle. ¡°Drive slowly!¡± The vige chief instructed the driver. The truck headed towards South Bridge People¡¯s Hospital. Director Tian received the call, immediately reported it to Dean Pan and prepared for the injured. Yang Ping was trembling slightly, probably due to exhaustion, pain, or excessive sweating. Xiao Su took off her coat and draped it over him. Yang Ping refused: ¡°No, the wind is strong in the car, don¡¯t catch a cold, put it back on!¡± ¡°It¡¯s okay! I won¡¯t catch a cold that easily; I exercise regrly.¡± Xiao Su wrapped the coat around him and hugged him. Yang Ping¡¯s hand could not touch anything, so he constantly held it in front of his chest, like how surgeons did after washing their hands in an operating room. Xiao Su carefully rested his forearm on herp, allowing his hand to hang freely. This provided support, otherwise it would have been tiring to constantly hold it up. ¡°Bear with it a bit longer, when we get back, I¡¯ll disinfect and bandage your wound,¡± Xiao Su said, visibly distressed. Mago wanted to speak, Xiao Su leaned in to listen. ¡°Are Doctor Yang and Nurse Su alright?¡± This was the second time she asked. ¡°We¡¯re fine, we¡¯re good,¡± Xiao Su said. Mago appeared relieved. The liaison officer clung tightly to the camera. Several people offered to keep it safe for him, but he did not let go. When they arrived at South Bridge People¡¯s Hospital, Director Tian and a few others were already there, waiting at the emergency room entrance. The two injured were immediately handed over to the emergency room doctors as soon as they were taken off the truck. Seeing Yang Ping and Xiao Su covered in mud, and Yang Ping¡¯s hand heavily injured. Director Tian asked with concern: ¡°What happened to you two?¡± ¡°It¡¯s nothing! The injury on my hand is from digging in the dirt,¡± Yang Ping said. Uninterested in discussing the ident, Xiao Su saw Yang Ping¡¯s reluctance to talk, and kept quiet too. He was okay, after all, and probably didn¡¯t want to trouble everyone. Song Zimo, Zhang Lin, and Little Five surrounded them: ¡°Are you okay? Quick, go to the Orthopedics ward to clean your wound and change the dressing.¡± A representative of the health bureau apologized, and Zhang Lin said: ¡°How are you doing your job? He¡¯s this badly injured! I¡¯m telling you, if there¡¯s any problem with these hands, I won¡¯t let it go!¡± Director Tian quickly pulled Zhang Lin away. The representative of the health bureau was beet red from being scolded and kept apologizing. Several people apanied Yang Ping and Xiao Su to the Orthopedics ward. Zhang Lin took the luggage, Little Five ran to prepare the stuff. Song Zimo and Director Tian stayed with them. Upon reaching the Orthopedics ward, Director Zeng also got news and came to see them: ¡°Why are you so injured? Quick, clean the wounds!¡± In the dressing room, they prepared to clean and disinfect the wounds, Xiao Su assisted with the handling. ¡°Do you want anesthesia? A wrist nerve block?¡± Song Zimo prepared to start cleaning. Yang Ping shook his head: ¡°No need, my hand ispletely numb.¡± ¡°Well, bear with it a bit, Little Five, saline water.¡± Song Zimo started to work. Little Five opened the bottle, saline water for rinsing, Song Zimo used a hemostat to hold a wet cotton ball for cleaning, his movements were fast and light. After few rinses, the flipped skin was then trimmed with ophthalmic scissors. It was all epidermal damage, shouldn¡¯t be a big issue. After trimming, more rinses were done, vaseline gauze used to cover the wound, and then bandaged. Liang Fatty, bumbling and oblivious, entered the room: ¡°Brother Yang, what happened? Such a big incident happened and nobody informed me!¡± Zhou Can also came in: ¡°Xiao Su! Are you okay?¡± ¡°Go to the office for awhile, do a tetanus skin test, and get a tetanus shot,¡± Song Zimo stood up. Everybody crowded around, with Xiao Su assisting, they entered the Director¡¯s office. ¡°Quick! Help him in, hang a few bottles of anti-inmmatory solution,¡± Director Zeng had cleared the office. ¡°There¡¯s no need for antibiotics,¡± Yang Ping said. ¡°How is Xiao Xu¡¯s bacterial culture going?¡± Yang Ping, remembering, asked. Director Zeng adjusted the chair: ¡°Why are you still worrying about this? Coagse-negative staphyloci was cultured from the exposed part of the bone, other parts haven¡¯t cultured any bacteria for now.¡± ording to his judgement, there shouldn¡¯t be any problems at the moment, but he definitely can¡¯t perform the surgery; Song Zimo would have to sub in. ¡°I¡¯ll do the surgery when the timees,¡± Song Zimo said. After a negative tetanus skin test, a tetanus antiserum shot was given. Both Yang Ping and Xiao Su were covered in mud. ¡°Go back to the dormitory, change into clean clothes,¡± Zhang Lin said. Zhou Can apanied Xiao Su, and Song Zimo and the others went with Yang Ping back to the dormitory. With the help of Zhang Lin and Little Five, Yang Ping was able to take a clean shower, making sure his hands didn¡¯t get wet. After changing into clean clothes, his brothers escorted him back to the dormitory. ¡°Leave the clothes here for now. I¡¯ll help you to wash them tonight,¡± Little Five put the bucket of clothes in a corner of the dormitory. Director Tian also rushed to the dormitory: ¡°The two injured are fine, the liaison officer has three broken ribs, Mago has a bruised scalp, and a soft-tissue contusion on her calf, but it¡¯s nothing serious.¡± Yang Ping finally rxed. Zhang Lin mixed a cup of cereal porridge for Yang Ping to drink. His hands couldn¡¯t use a spoon, so Zhang Lin tried to feed him, but he insisted on drinking directly from the cup, lifting it using his wrist. A few of them were discussing how Yang Ping would eat over the next few days. Song Zimo, Little Five, and Zhang Lin would take turns to assist. ¡°Can Ie in?¡± Xiao Su asked from outside. ¡°Xiao Su is here!¡± Song Zimo announced at the door. ¡°Yes! Of course!¡± Zhang Lin shouted. Xiao Su, having changed clothes, walked in with a foldable reusable bag. Seeing Yang Ping drinking cereal porridge, she set down the bag and immediately asked, ¡°Do you have a spoon?¡± ¡°Yeah!¡± Zhang Lin, startled, quickly passed her the spoon. Xiao Su held the cereal porridge, scooped a small spoonful, tested the temperature herself, and then spoon-fed Yang Ping bite by bite. ¡°Where are your clothes? Pack everything, I¡¯ll take it with me, wash, air-dry, and bring them back,¡± Xiao Su said while feeding him. Everyone was dumbstruck. Who spreads love this tantly and arrogantly? It seemed, no need to worry anymore about meals or clothes washing; Xiao Su had it covered. ¡°Your clothes are here!¡± Little Five picked up the reusable bag. They stuffed the bucket containing Yang Ping¡¯s clothes into it. Chapter 112 - 0110: End the Battle Early Chapter 112: Chapter 0110: End the Battle Early After Xiao Su left. Dean Pan, the health bureau officials, the township government, and Vige Chief Fang all came to visit Yang Ping, expressing their thanks, condolences, and apologies. Tian Yuan reported Yang Ping¡¯s injury to Director Han. Upon hearing this, Director Han expressed great concern and ordered Tian Yuan to shorten the outpost assignment and retreat early, specifying that he would inform her of the specific withdrawal time. He then immediately called Yang Ping, expressing his concern and urging him to rest well. Soon after, Director Tian and Song Zimo both received phone calls from Director Han, who stressed the importance of taking good care of Yang Ping and cautioned them to prevent any potential infections. About ten minutester, Director Han made another phone call, this time to Tian Yuan¡¯s cell phone. After the call ended, Director Tian said, ¡°We¡¯ll head back early the day after tomorrow. The hospital will arrange a car to pick us up. The car will arrive tomorrow, and we, the orthopedics team, will all leave ahead of schedule.¡± ¡°I¡¯ve told Director Han that Xiao Su will also be going back with us,¡± Director Tian added. Tian Yuan was kept busy, and her phone rang again. It was Dean Pan who had received notice from his superiors. He informed her that due to an emergency at Sanbo Hospital, a few members of the medical team needed to return earlier than nned. ¡°Return earlier? What about the patient with chronic osteomyelitis of the femur, Xiao Xu? His surgery hasn¡¯t been performed yet.¡± Yang Ping was still worried about this patient. Xiao Xu¡¯s bacterial culture results showed that he had coagse-negative Staphylocus on the exposed bone, but no other bacteria was detected, which was in line with the preliminary judgment. The surgery could be scheduled now. Director Tian said, ¡°The surgery can be entrusted to Director Zeng. Just make sure he understands the key points of the surgery.¡± Yang Ping was not reassured: ¡°No, that won¡¯t work. In this surgery, the removal of infected bone tissue needs to be very thorough. If even a tiny bit is notpletely removed, the surgery will fail.¡± ¡°In that case, we can suggest that hee to Sanbo for the surgery in the future.¡± Director Tian was in a dilemma as the return time had already been set, and knowing Director Han¡¯s temperament, it would be quite difficult to make a change. ¡°His financial condition is not good. He cannot afford to go to the city at this point.¡± Yang Ping had deep sympathy for Xiao Xu. ¡°Let¡¯s schedule the surgery for tomorrow then, and have Song Zimo as the chief surgeon,¡± Yang Ping suggested. He asked Little Five to call Director Zeng. He instructed him to sterilize the external fixation frame and its supporting equipment in advance, informed the patient to start fasting, and arranged for him to undergo a full-length femoral CT scan tomorrow morning. He also called for a bedside vascr ultrasound to locate the recipient artery of the skin defect area and the donor artery of thetissimus dorsi area; furthermore, he sought consultation from the Department of Internal Medicine for perioperative thyroid function management. ¡°For this patient, each imaging examination showed an increased range of bone tissue infection. I¡¯m afraid if we don¡¯t operate now, the whole femur might get infected and then there will be no chance.¡± Yang Ping exined. ¡°I have seen this patient¡¯s films. I heard you surmised that the local bone tissue infection of the femur is due to hyperthyroid bone mineral disease?¡± Director Tian asked. ¡°Yes, so it¡¯s best to remove the infected bone tissue as soon as possible,¡± Yang Ping replied. ¡°I¡¯ll be in the operating room tomorrow to assist Song Zimo,¡± Director Tian said enthusiastically. After arranging the surgery, Yang Ping finally felt relieved. That night, Yang Ping rested early. Upon entering the system, he dissected a few more subjects, and a preliminary anatomical image of the human body was established in his mind. For doctors, especially surgeons, the ability to visualize is very important. Yang Ping originally had strong visualization skills, and through intensive training in the system, the human anatomical diagram in his brain gradually became clearer. When he closed his eyes, the major organs, nerves, and blood vessels appeared incredibly clear, but some details still needed further refinement. Although there¡¯s no physiological energy consumption in the system, mental fatigue still existed, so he didn¡¯t stay for long and exited the space to get some sleep. The next morning, Xiao Su sent him a WeChat message. She was waiting outside the dormitory, inviting him to have breakfast with her. Watching from a corner, Xiao Su was gently feeding Yang Ping breakfast bit by bit. Liang Fatty said, ¡°From the very first time I saw them, I sensed that there¡¯s a story between them.¡± ¡°What story?¡± Zhang Lin was curious. Was there a story he didn¡¯t know about? With confidence, Fatty said, ¡°That night of the emergency finger amputation, it was Yang¡¯s first surgery, and Xiao Su was the scrub nurse. There was something off about the way they looked at each other.¡± ¡°Really? No wonder they knew each other before. Could it be that our senior brother transferred from the People¡¯s Hospital to Sanbo just for Xiao Su?¡± Zhang Lin stroked his chin, specting boldly. He had a talent for unearthing stories. Fatty nodded affirmatively: ¡°That¡¯s eighty percent urate. Before this, both of them were quite secretive. If not for Yang¡¯s hand injury this time, their secret would still be hidden; they¡¯ve kept this concealed quite well.¡± Zhang Lin said, ¡°Yes, for a while, we suspected that they were going to get married. Even though our senior brother denied it, it seems our guess was right.¡± Little Five remained silent off to the side. ¡°Why are you so quiet today?¡± Zhang Lin asked him. Now, Little Five was also confused and couldn¡¯t sort things out. After handover, Yang Ping was unable to do rounds due to his condition, so Song Zimo led the team on ward rounds. After making the rounds, everyone in the doctor¡¯s office was preparing to discuss Xiao Xu¡¯s condition. There was a ruckus outside that seemed like a patient causing trouble, so Director Zeng stood up: ¡°I¡¯ll go have a look.¡± N?v(el)B\\jnn ¡°Over here, over here!¡± Teacher Yan hobbled in on his crutch. His son and daughter-inw were carrying arge banner, on it were these golden characters: Cure at hand! ¡°Director Yang, what happened to your hand?¡± Teacher Yan gasped as he saw Yang Ping¡¯s hand. Yang Ping smiled: ¡°I identally grazed it, it¡¯s no bother.¡± Teacher Yan nodded: ¡°That¡¯s good, your hands can¡¯t get into trouble.¡± The old man instructed his son and daughter-inw to carry in the banner. This banner was big, at least three timesrger than usual. ¡°Director Yang, there¡¯s not much we can do to thank you, so we brought over this banner, just a token of our gratitude. I wanted to write a poem originally but after wracking my brain for two days, I couldn¡¯te up with one. So, these several characters will do.¡± After the excitement died down, they continued to discuss Xiao Xu¡¯s condition. Director Tian also came to the orthopedics department. After Xiao Xu had his CT scan he returned to the ward. The attending physician brought up his CT images and Director Zeng put them up on the light box. ¡°This patient, the surgical procedure mainly consists of three steps. First, the removal of the intramedury nails, reced by external fixation. Second, theplete removal of the diseased bone tissue, and filling the bone defects with vaycin-loaded calcium sulfate. Third, repair the defect using a freetissimus dorsi musculocutaneous p. The hardest part is the removal of the infected bone tissue. It must be precise and thorough. Each of his radiographic examinations shows that the range of bone tissue infected is expanding. Therefore, we need to redo the CT scan before the operation to determine the extent of the infection.¡± Yang Ping briefly outlined the procedure, looked closely at the images on the light box, and said, ¡°The rectangle bone p should be made 10 centimeters above the edge of the pate in the extended position. It should be 8 centimeters long and 3 centimeters wide. The centerline of the rectangle is the centerline of this section of the femur. This way, we canpletely remove the infected bone tissue. Hand me a piece of paper.¡± Someone pulled out a piece of A4 paper from the printer. Through his bandaged hand, Yang Ping barely grasped the pen with the webs of his fingers and started to draw on the paper: ¡°This is the shape of the infected bone tissue, and this is the shape of the rectangr prism.¡± A 3D shape was drawn on the paper, the irregr shape was surrounded by a regr rectangle. ¡°How did you work that out?¡± Song Zimo was looking at the drawing. Yang Ping replied, ¡°It¡¯s based on the CT scan image, with an added safety margin of twenty percent of normal bone tissue.¡± Song Zimo thought, this requires strong spatial visualization ability. If he were to draw it, he probably would need to measure and redraw multiple times. Yang Ping looked at the image and drew it just by estimation, demonstrating his impressive spatial visualization ability. Director Tian adjusted his sses: ¡°What are your chances of sess?¡± ¡°Theoretically, it shouldn¡¯t fail,¡± Yang Ping was very certain, after all, the extent was calcted from the CT scan. ¡°Trim the skin and muscle defect into an oval shape, 12 centimeters long and 5 centimeters wide. The size of thetissimus dorsi musculocutaneous p will be twenty percentrger than this. It can perfectly repair the defect in theteral thigh muscle.¡± An ultrasound technician arrived, the attending physician informed them. Together with the ultrasound technician, Yang Ping searched for the arteries in the defect area and thetissimus dorsi area, marking all usable arteries one by one. A skin p is a piece of skin taken from one location to rece skin missing in another location. If it¡¯s close, the skin can be transferred with the blood vessels still attached. If it¡¯s further away, the blood vessels are cut and reconnected to the blood vessels at the defect site. The musculocutaneous p includes stealing along with the muscles and skin. It can be used to rece both skin and muscles. It¡¯s all just robbing Peter to pay Paul. Yang Ping instructed Song Zimo to draw the shape of the defect to be repaired, as well as the shape of thetissimus dorsi musculocutaneous p, all with a surgical marking pen. ¡°Doctor, once this is done, I can finally enlist,¡± Xiao Xu hadn¡¯t forgotten his dream of bing a soldier. Yang Ping nced at his sses: ¡°You¡¯re nearsighted and still want to enlist?¡± Xiao Xu took off his sses: ¡°These are just for show.¡± Enlisting is out of the question, this young man will soon realize that sometimes dreams sh with reality, some conflicts are simply irreconcble. After the internal medicine doctor viewed the thyroid function data, he concluded that it wouldn¡¯t interfere with the surgery. He suggested another thyroid function test after the surgery, control it with medication, and for him to personally assist the operation, on alert for thyroid crisis. Song Zimo would take lead, assisted by Director Tian as the first assistant and Director Zeng as the second. This surgery wasn¡¯t difficult for Song Zimo. In the middle of the procedure, Yang Ping patiently guided Song Zimo on urately locating the infected bone tissue. Song Zimo, with his reasonably strong spatial visualization ability, found it easy to understand. Once the bone tissue was removed, Yang Ping confirmed repeatedly that the infected bone tissue had beenpletely excised, with a ring of normal bone tissue around it; this was the ideal situation. Chronic osteomyelitis is most troublesome to orthopedics specialists; it¡¯s what they dread most. Because bacteria hide inside bone tissue, where antibiotics can¡¯t reach, they can¡¯t effectuallybat the bacteria. So once you get chronic osteomyelitis, it rpses time and again and often requires many years to heal. If there are no unexpectedplications, Xiao Xu should be able to recover this time. Chapter 113 - 0111: New Base Chapter 113: Chapter 0111: New Base After performing surgery on Xiao Xu, Yang Ping reminded Director Zeng to keep up with the treatment for both hyperthyroidism and hyperthyroidism-induced osteopathy. He also asked Director Zeng to maintain contact via WeChat, as Yang Ping wanted to monitor Xiao Xu¡¯s condition until he was fully recovered. Even though it was just a short period of five days, Director Zeng was deeply impressed by this young acting director, and found it hard to say goodbye. Yang Ping wanted to talk to Xiao Xu, tofort and counsel him about his inability to serve as a soldier, but he changed his mind. That would be overstepping the boundaries, everyone has limited capabilities and can¡¯t manage everything. It¡¯s best to focus on doing well in one¡¯s own field. ¡°Ding dong, mission ¡®Turn the tide¡¯pleted, reward 6000 points.¡± The banner of thanks had already been delivered, and only now was the mission announced aspleted. It seemed like the system was very cautious about confirming the result of the mission. Havingpleted the two difficult surgeries, he could now peacefully return to Sanbo. The business car sent by Director Han had arrived at Nanqiao, the driver stayed overnight at a hotel, and came to pick up people at past eight the next day. Director Tian transferred the team-leading job to Chen Xiaoqiao, as they would have to continue their duty for another week. Dean Pan, Director Jiang, and Director Zeng all came to see him off. They were still waving even when the car had gone far. Throughout the journey, Yang Ping was sleeping. Xiao Su was carefully protecting his hand, afraid it would get hit. In the system space, Yang Ping carried out more than one hundred sessions of human anatomy training. The three-dimensional anatomical maps constructed in his mind were bing clearer and clearer, more stable, the details being gradually filled in, and the function demonstrations were starting to bebined with the anatomical images. Yang Ping suddenly remembered that when hepleted the ¡®Sacred Medical Skills¡¯ mission, the system gave him a treasure box. Yang Ping opened the box, inside there was a glittering, gorgeous jewel box. He opened the jewel box¨Cit was the System¡¯s Super Cultivation n 2, Physical Examination Training. Yang Ping had realized the importance of physical examination when he discovered a thrombus in the inferior vena cava through abdominal palpationst time; it was the only diagnostic method in absence of auxiliary instruments. ¡°This time, there is no limit to the number of test subjects for the n.¡± Words appeared on the screen. No limit? What does that mean? Does it mean that this training is long-term? Yang Ping then started the physical examination training, which includes visual inspection, palpation, percussion, auscultation, as well as movement, measurement, and special tests. The screen would provide the patients¡¯ diagnosis, symptoms, signs, various auxiliary examination results, and the internal connections between these data. If the first step of the Super Cultivation n was to train the ability to construct a map. Then the second step was to develop logical thinking, observation, perception, association, analysis and reasoning abilities, so as to use the brain to analyze and judge diseases. Yang Ping didn¡¯t know how long he had been in the space,pletely immersed in the wonderful world of medicine. It felt as if he had suddenly gained enlightenment and entered a brand new world. After a brief rest stop on the way, the business car continued its journey and arrived at the hospital before lunch. n/o/vel/b//in dot c//om Hearing that the car had arrived at the hospital, Director Han personally came to fetch. The business car was parked at the small square between the emergency building and the outpatient building, and before the car could even stop, Director Han had alreadye up to greet them. ¡°Only a few days out, and look at what you¡¯ve done to yourself!¡± Director Han reprimanded Yang Ping upon seeing his hand. ¡°Let¡¯s go, let¡¯s change your bandages first.¡± Director Han led everyone towards building number eight. Everyone carried their luggage and followed him. Building number eight was where the Orthopedics Institute was located. They seemed to have gone the wrong way. They should¡¯ve been going to the orthopedics department or if they were going to the new ward, it should have been the Overseas Chinese Building. Everyone was worried for Director Han¡¯s health, thinking that he must be confused from all the work. ¡°Director, you¡¯re going the wrong way, that¡¯s building number eight.¡± Tian Yuan reminded. For changing bandages, they should have gone back to the Orthopedics department. The day surgery center in building number eight had been abandoned since it failed. It was only recently that the Orthopedics Institute moved in, and the building was put into use again. Director Han, looking very pleased, kept quiet and continued walking, while everyone followed. Was he bringing them for a tour of the Orthopedics Institute? It was inconvenient since everyone was carrying luggage. Director Han led everyone to the second floor of building number eight, which used to be the ward for the day surgery center. After the center folded, the ward was closed and abandoned. But now it was spotlessly clean, evidently it had undergone sanitization and disinfection. Comprehensive Orthopedics! These words were prominently disyed on the background wall of the nurse¡¯s station as soon as one entered the main entrance. What was going on? Director Han purposefully opened a ward door. Inside, the beds were neat with crisp white sheets, even the remote controls for the television and air conditioner were already in ce. Cai Qiaojun was leading a few nurses doing rounds. On her hat were two additional stripes. ¡°Let¡¯s go, let¡¯s change the bandages first, we can chatter.¡± Director Han was taking his time revealing whatever secret he was hiding. Everyone put down their luggage in the doctors¡¯ office, then followed Director Han to the dressing room. Director Han wanted to change the dressing for Yang Ping himself, to check the injury. ¡°Let me do it!¡± Director Tian suggested. ¡°No, I¡¯ll do it.¡± Director Han insisted on doing it himself. Xiao Su helped Yang Ping by rolling up his sleeve and holding his arm. Director Han prepared everything himself, put on gloves, and carefully opened the bandage on Yang Ping¡¯s both hands. He moistened the petroleum jelly dressing with saline, waited for a bit, and then gently lifted the dressing. ¡°That¡¯s good, the damage is only to the epidermis. You should rest for these few days, don¡¯t worry about anything until you¡¯re healed. Little Five, you¡¯re in charge of taking care of him for these few days.¡± Director Han finally breathed a sigh of relief. Little Five hesitated before saying, ¡°Director Han, there¡¯s already someone taking care of him, and she¡¯s a hundred times more careful than me¡ª¡± Director Han looked up, ¡°What¡¯s going on?¡± When everyone remained silent, Director Han looked at Tian Yuan, whose gaze fell on Xiao Su. Chapter 114 - 0111: New Base_2 Chapter 114: Chapter 0111: New Base_2 Xiao Su had always stayed by Yang Ping¡¯s side, helping him roll up his sleeves, assisting him with his limbs, making it look as if she was the one unpeeling the vaseline gauze from her own hands. Director Han was a bit older, but he had been young once, so he understood immediately and chuckled softly. After changing the bandages, Director Han felt reassured. They were all superficial scratches. ¡°Let¡¯s talk in the office.¡± Director Han gently ced his tweezers in the dressing tray as Zhang Lin cleaned up the rubbish. Everyone went to the doctors¡¯ office and settled down while Cai Qiaojun arranged the cups and poured the tea. Director Han was all smiles. ¡°I guess you didn¡¯t understand?¡± Indeed, they didn¡¯t understand. Wasn¡¯t the General Orthopedics ward supposed to be in the Overseas Chinese Building? Why was it here? Director Han¡¯s fingers rhythmically tapped against the table, ying an unknown tune. He paused for a moment before saying: ¡°From now on, General Orthopedics will be based here. This will be our new headquarters. The fifth floor, formerly the day surgery centre, will now be our exclusive operating room. Everything from the anesthesiologists to the operating room nurses, and even the rehab therapists, will all be specially assigned. Even the parking lot of this building will be reserved for General Orthopedics. Xiao Liang, Xiao Su, I invite you to join General Orthopedics. Any objections?¡± Why would there be any objections? No need to mention Xiao Su, Liang Fatty had always been hanging around with Zhang Lin¡¯s clique. ¡°Director, are you saying that we¡¯ll have our own operating room, anesthesiologist, surgical nurses and rehab therapists?¡± Tian Yuan was a bit excited. This was the model he had always admired. In Europe and America, day surgery centers adopt this model, an independent one. In such abined cooperative model, efficiency is extremely high: eighty percent of surgeries can be conducted and discharged within 24 hours. This model is equivalent to having an integrated team, strong and formidable. But due to limitations of medical policies, medical environment, and ack of family doctors, most orthopedic surgeries couldn¡¯t be performed under this model. However, this efficient model can still be utilized to shorten hospital stays and achieve speedy recovery, which is now the direction General Orthopedics is heading towards. Director Han confidently said, ¡°That¡¯s the idea.¡± Song Zimo was a bit confused, ¡°The wards we saw earlier didn¡¯t seem up to VIP standards?¡± Director Han waved his hand dismissively, ¡°We¡¯re doing away with the VIP designation. We¡¯re going back to the previous method where any ward can ept patients. Right now, patients from Orthopedics are concentrated on one floor, which was the original n for our new ward. We¡¯ll continue managing wards as usual, still under the supervision of the Surgical Department in the Overseas Chinese Building.¡± ¡°So how will we admit patients? Won¡¯t this cause conflicts with the other wards?¡± Zhang Lin asked. In the past, only VIP patients were admitted, which clearly set the boundaries with other wards. Now, admitting all patients would blur the lines with other wards.¡± ¡°There won¡¯t be any conflicts. Both the emergency department and the orthopedic outpatient department won¡¯t be sending patients to us. We¡¯ll open a separate outpatient clinic right here on the first floor,¡± Director Han said confidently. This essentially meant setting up an independent orthopedic department using the new day-surgery model. After the exnation, Director Han instructed everyone to get their keys from the head nurse and to put their luggage away. Everyone was present, so they decided to have dinner together at the hospital¡¯s internal restaurant, which was already reserved by him. After everyone put away their luggage, they all went to have dinner together at the restaurant. Director Han ordered all of the restaurant¡¯s signature dishes. After the meal, Xiao Su and Liang Fatty wanted to return to the operating room to deal with the procedures for their position changes. Meanwhile, Zhang Lin Xiaowu and the others needed to shift things to the Trauma Orthopedics ward. Director Han had already discussed the transfer of these two personnel with the Department Director of Anesthesia, and the Head Nurse of the Operating Room. Director Han called Tian Yuan, Yang Ping, and Song Zimo into his office, poured tea for them, and said: ¡°When we applied to establish the General Orthopedics department, I had mentioned this model. But it was just a casual mention, we didn¡¯t formally apply to the hospital because I was afraid everyone would misunderstand, thinking that we were trying to split up the Orthopedics department. That¡¯s not the case at all, I¡¯m still the Head of the Orthopedics department. Why would I need to set up another separate Orthopedics department? The introduction of thebined cooperative model would be a win-win for all the departments. This General Orthopedics department will be a new driving force. Together with the Microtrauma Orthopedics department, they would be like two engines driving forward. General Orthopedics would focus on bone diseases while the Microtrauma Orthopedics would concentrate on trauma cases. Both will contribute to the advancement of Orthopedics. I¡¯ve already moved all this to the ward in the Overseas Chinese Building. I never thought about activating this ce. Butst week, Dean Xia approached me for a discussion whichsted two hours. He wanted to give the original day surgery center to me. It was already in ce, just needing to be cleaned and maintained before it could be operational. I declined as I was afraid it would cause misunderstandings. Dean Xia told me that during his recent trip overseas, he was inspired and after thinking about it for a few nights, he had a sudden realization. He really wanted me to develop thisbined cooperative model, setting the foundation for future departments to establish day surgery centers. I called a meeting with the heads of several departments to discuss this matter. I aimed to foster a high-end market and needed a tform that could perform a full range of Orthopedic surgeries. This was the intention when I initially nned to establish General Orthopedics in the Overseas Chinese Building. Now that the hospital has given me the day surgery center as a tform, I could do without the former. All I needed was an independentprehensive tform. With this, there would be no need for the other, and the VIPs could be shared amongst all. Tam Boyd was the first to express his support, and the other department heads also agreed. Thus, this change came forth.¡± So that was what happened. Director Han had put in a lot of thought. n/o/vel/b//in dot c//om ¡°Director, you always consider the big picture, without any ulterior motives. I wouldn¡¯t be able to do it, handing over therge Trauma Orthopedics department to somebody else. With the other departments besides strategic nning, you don¡¯t intervene, implementing a sort of federal system. Honestly speaking, I truly admire this broad mindset of yours.¡± Tian Yuan earnestly said. ¡°Only through sharing can we expand. If each of us was to calcte their own small gains, it would be impossible to expand. Only bybined efforts to erge the pie can everyone benefit,¡± Director Han said. ¡°For General Orthopedics, Tian Yuan, I nominate you as the Deputy Director. Dean Xia agreed and it should pass the Hospital Committee without issue. I¡¯ll concurrently act as Director, and the detailed responsibilities will be transferred to youter on. Yang Ping will act as the Chief Diagnostic Physician. He, along with the team, will be responsible for diagnosing and performing surgeries on regr patients. For VIP patients, per the hospital regtions, only Deputy Chief Physicians and above can perform the surgeries. Tian Yuan and I will take care of those. Are there any objections to this allocation of duties?¡± Song Zimo agreed, ¡°No objections.¡± With Tian Yuan opting not to be the Chief Diagnostic Physician, Yang Ping was the only one left to fill the role. ¡°The term ¡®Chief Diagnostic Physician¡¯ is the new term under this model, which is equivalent to the responsibility of the group leader. From the outpatient clinic to surgery and discharge, you¡¯ll be responsible for leading your team. This way, I can focus on admitting and treating patients in the General Orthopedics outpatient clinic with Tian Yuan. Xiao Yang, are you confident about this? Xiao Song, be sure to help Xiao Yang out,¡± Director Han said, shaking his head and humming a tune The currentyout of the Orthopedics department was closer to his true intention than the initial n. ¡°We will give it our all!¡± Yang Ping replied. If he declined at this point, it would seem hypocritical. He didn¡¯t want to disappoint Director Han¡¯s earnest effort and the trust of his colleagues. ¡°For now, I can only get one anesthesiologist toe over. Regarding the surgical nurses, besides Xiao Su, I¡¯ll see if I can bring another one, but it¡¯ll be difficult,¡± Director Han said excitedly, forgetting that the tea was hot. He drank too quickly and burned his mouth. ¡°Let¡¯s all go and check out the operating room!¡± Tian Yuan brought a cup of cold water over, and Director Han rinsed his mouth. Chapter 115 - 0112: Patients with Neck Pain Chapter 115: Chapter 0112: Patients with Neck Pain Just a few days, and Dean Xia and Director Han¡¯s efficiency was sky high. If they weren¡¯t efficient, I guess Sanbo Hospital with its vast premise would now be nurturing sparrows. It¡¯s not that it hasn¡¯t happened before. When it first opened, you could hardly see any patients around. When you mentioned Sanbo, there were more doctors than patients, and more sparrows than doctors. I followed Director Han to the fifth floor to see the operating rooms. A considerable amount was invested in these operating rooms. There were three multifunctional operating rooms, allminar flow, one of which was a hundred-levelminar flow. They had nned to develop a same-day surgery center before, but the environment wasn¡¯t mature enough. This ambitious n was aborted after only a few months. This time, Dean Xia might have visited somewhere that opened his mind. I heard he deliberated on this for several days and nights. Finally, he discussed it with a few deputy deans and Director Han. They decided to adopt the same-day surgery model to set up aprehensive orthopedic department. Although the environment was not mature, they could be flexible. They wouldn¡¯t strive for discharge within 24 hours, but would aim to speed up recovery and shorten hospital stays. Instead of the two weeks others take, we aim for one week. The operating rooms were fully equipped, with arthroscopes, foraminoscopes, microscopes, etc., all properly prepared. These were picked from old ones in the existing operating rooms. ording to Director Han, when opening a new department, we should not affect the existing departments. The old ones could still be used. Everyone borrowed a cart from logistics and moved everything at once. Zhang Lin brought a bag of facial cleanser. Little Five had many misceneous items. Yang Ping didn¡¯t have much, so Little Five helped him. Song Zimo also used a cart to transport his and Tang Fei¡¯s belongings, which included dozens of books, each fairly heavy. The department was not officially opened yet, so no one had much to do. Every day at work involved reading some books, chatting in the doctor¡¯s office when bored. Zhang Lin brought a Go set. On a whim, Yang Ping and Song Zimo decided to have some matches. But Yang Ping¡¯s hand was not convenient to use, how could he y? Blind Go! They yed back to back, depending on memory to move pieces, with Little Five and Zhang Lin helping to maneuver the pieces. There was no other way, two geniuses shing. The ordinary people could only stare. They could astonishingly finish a game of blind Go from start to end. This memory, can only be described with a vulgar phrase, bloody awesome! Song Zimo had met blind chess masters in his time, but blind Go masters were a new breed. Many would forget halfway through the game, but Yang Ping could y through an entire game with him. He was officially defeated! He absolutely had to admit it! He got steamrolled in surgery, and then got steamrolled in chess. After ying chess for more than ten days, Song Zimo got steamrolled for more than ten days. During these days, Xiao Su brought meals to the department every day, feeding Yang Ping during mealtime; she took his clothes home to wash every day, bringing them back after drying them. About ten dayster, his hand healed. The superficial injury recovered quickly and didn¡¯t leave any traces. After yearning and waiting for what seemed an eternity, theprehensive orthopedics finally opened. After the simple ceremony on the first day, they started seeing patients. Director Han and Director Tian saw patients in the specialist outpatient clinic, while Yang Ping and Song Zimo saw patients in the general outpatient clinic. Not too bad, they saw several patients within the first hour. Director Han took a patient with persistent wobbly knees. He had an MRI done and a surgery at another hospital, but it was ineffective. He came to Sanbo this time because the introduction on the wall of the clinic hall mentioned thatplex orthopedic cases are treated in theprehensive orthopedics department. Well, he decided to register with this department. Another patient arrived: a man in his 30s, carrying a briefcase, pulling a suitcase, looking rushed. With the small number of patients, he didn¡¯t even have to queue. He put down his suitcase, went to the registration desk to register, and had his blood pressure measured. He said he felt somewhat feverish and had his temperature taken. ¡°Doctor, my neck and back hurt. I have cervical spondylosis and have had X-rays, CT, and MRI scans done. I visited a local doctor two days ago and took some medicine and received therapy, but it didn¡¯t work. My condition worsened this morning, and it¡¯s unbearable!¡± The patient rubbed his neck and pointed at the painful part. Yang Ping read his patient slip: Blood pressure: 152/102mmHg; Temperature: 38.0¡ãC,. ¡°Your blood pressure is a bit high. Has that been the case normally?¡± Yang Ping asked. The patient replied, ¡°Sometimes it is. I haven¡¯t paid much attention to it since I don¡¯t feel unwell, so I¡¯ve never taken medication for it. My neck is making me feel worse. My cervical spondylosis is more severe this time. Please give me some painkillers. I¡¯ve to catch a flight to Beijing for a meeting.¡± n/?/vel/b//in dot c//om ¡°Your temperature is slightly raised, too!¡± said Yang Ping. The patient touched his forehead: ¡°It was normal yesterday, only rose today.¡± ¡°Do you feel difort in your chest or abdomen?¡± ¡°No issues with my chest. I felt a little nauseous this morning and there¡¯s a slight bloating pain in the abdomen, very slight. I have chronic gastritis.¡± Yang Ping inquired about the history of his disease. The neck and shoulder pain had persisted for three days. During the physical examination, he felt the neck and shoulder muscles, which showed no clear spasms, and the several special tests for cervical spondylosis were all negative. So he took the stethoscope to listen to his lungs and heart: ¡°There seems to be a problem with your heart. Let me do an electrocardiogram for you.¡± He noticed weakened heart sounds in the apex area, galloping rhythm of the fourth heart sound, friction sound in the pericardium, and arrhythmia. Highly suspected of myocardial infarction, the pain radiated to the neck. The procedure for handling this type of patient is: Complete an electrocardiogram within ten minutes, call the Chest Pain Center, and send the patient there. Yang Ping immediately asked the nurse for help and brought in the electrocardiogram machine. The patient was quite cooperative, heid down, and Yang Ping undid his clothing to perform an electrocardiogram. ¡°The ST segment is elevated, acute myocardial infarction, needs immediate treatment!¡± The EKG supported his examination, Yang Ping realized that this patient was extremely dangerous, and could drop dead at any moment. ¡°You suspect I have heart problems? I have medical checks every year, my heart has never had any issues, doctor, aren¡¯t you diagnosing too recklessly?¡± The patient buttoned his clothes while taking a call. ¡°Don¡¯t get upset, listen to me¨C¡± Yang Ping tried his best not to antagonize him. ¡°I don¡¯t have time to debate with you, I have to catch a flight, my ride is here.¡± The nurse¡¯s wheelchair was brought, but the patient hurriedly ran off. Yang Ping ran after him but the man ran too fast and disappeared from sight. ¡°What happened?¡± Song Zimo came out the consulting room, thinking that Yang Ping and the patient had a physical conflict. Yang Ping stood at the entrance and said lightly: ¡°This patient is highly suspected of having acute myocardial infarction, the pain is radiating to the neck, the infarction area is expanding, he could drop dead at any time, I just carried out an electrocardiogram on him, and he ran away.¡± It wasn¡¯t highly suspected, but confirmed. The examination training that Yang Ping went through in the system space gave him a recognition ability that was sharper than ordinary people¡¯s. High blood pressure, and there being atherosclerosis in the coronary artery as the foundation. Body temperature at 38 degrees, indicating that the infarction has appeared for 24-48 hours, and the heat from the necrotic material being absorbed. Nausea, upper abdominal distension, although mild, is caused by necrotic myocardial or tissue perfusion insufficiency stimtion to the vagus nerve. ¡°Quickly tell Director Han, find a way.¡± Yang Ping hurried to Director Han¡¯s consultation room. Director Han was seeing a patient. ¡°Director, can I interrupt for a bit? It¡¯s quite urgent.¡± Yang Ping said. Director Han immediately stopped his examination of the patient, when a doctor said it was urgent, it meant a life was at stake. ¡°Just now there was a patient with cervical pain, came to me for consultation under the impression of cervical spondylosis. When I examined him, I highly suspected that it was acute myocardial infarction ¨C no, it was confirmed, definitely confirmed, the infarction area is expanding, he could be in danger at any time, he didn¡¯t believe me and ran off on his own.¡± Yang Ping showed the electrocardiogram to Director Han. ¡°He ran off? Excuse me, we have an emergency rescue, could you please wait a moment.¡± Director Han exined to the patient he was seeing. ¡°No problem, doctor, go ahead, I am not in a hurry.¡± The patient was understanding. ¡°Are you sure this patient is suffering from acute myocardial infarction?¡± Orthopedics¡¯ internal medicine diagnosis ability has always been a weak point, but for Yang Ping, hepletely believed in him, he confirmed again just to be certain. ¡°I am sure, one hundred percent, this is his electrocardiogram, the ST segment is elevated, he needs immediate treatment to restore myocardial blood supply, otherwise he could die at any time!¡± Yang Ping¡¯s tone was calm and clear. Director Han immediately shouted: ¡°Everybodye in!¡± Director Tian and Song Zimo among others came in. ¡°We will call the contact number left by the patient, at the same time ask the security department to pull up the surveince video and find out where the patient went to, fast!¡± ¡°We will go to the security center, Song Zimo will call the patient¡¯s phone.¡± Director Han arranged. Director Han and Yang Ping rushed towards the security department, the security department had a surveince room, every surveince footage of the entire hospital was there. Seeing Director Han in such hurry, the head of the security team asked: ¡°What happened, Director Han?¡± ¡°There is a patient, who could drop dead at any time, and he ran away. Quickly, pull up the video surveince of the entrance of theprehensive orthopedics department, our building, building number eight.¡± ¡°Quick! Building number eight entrance!¡± The security guard in charge of the surveince started pulling up the video. About ten minutes earlier, the video was rewound to about ten minutes ago. ¡°That¡¯s him!¡± ¡°Freeze that, track him!¡± ¡°Surveince shows the man crossed the garden, took the shortcut, went out from the east gate, got on a vehicle that was waiting for him. The license te, can you see the license te?¡± the head of the security team pointed at the surveince and said. Thankfully, the position where he got on the vehicle, at the hospital¡¯s east gate, was still in the range of the hospital¡¯s surveince. ¡°Zoom in, note down the license te number!¡± Director Han¡¯s phone rang, it was Song Zimo. ¡°The call went through but he didn¡¯t answer, I called several times, he didn¡¯t answer.¡± Chapter 116 - 0113 - Intercept, Intercept! Chapter 116: Chapter 0113 ¨C Intercept, Intercept! ¡°Should we call the police for help?¡± The security team leader wasn¡¯t sure if this was necessary. ¡°We have no choice. They are more capable than us. We have to find him. Otherwise, he could die out there at any moment!¡± The word ¡°death¡± was harsh and chilling, but it was necessary to emphasize the seriousness of the situation. Yang Ping was absolutely confident in his judgment. The spacious surveince room was quiet and tense. Everyone had realized that their actions right now could save a life. ¡°Call in the police for help!¡± Director Han made the decisive call after a moment of thought. Director Han trusted Yang Ping¡¯s judgment, given that Yang Ping¡¯s unconventional actions had always yielded sess in the past. Seeing the doctor¡¯s determination, the Security team leader promised to give his all: ¡°I¡¯ll go to the police station.¡± Located in Sanbo Hospital, the police station is manned by a police officer every day. The huge screen in the surveince center was divided into many sections, each corrting to a camera feed. Dean Xia¡¯s surveince system, set in ce by him, had be key in saving a life at this moment. ¡°I¡¯ll call Director Guan over!¡± Director Han immediately made a phone call. Director Guan was the head of the cardiology department and also the director of the chest pain center. The chest pain center dedicated to the first aid of non-traumatic chest pain patients. Acute myocardial infarction, pulmonary embolism, aortic dissection, pneumothorax, etc., with acute myocardial infarction bearing the highest incidence rate. Patients with acute myocardial infarction need to have their coronary arteries unblocked as soon as possible to be saved. If too much time is wasted, even divine intervention won¡¯t make a difference. Since the patient¡¯s blood vessels were notpletely obstructed at the moment, he felt fine. But his vessels were continuing to close up. Oncepletely blocked and he doesn¡¯t get immediate medical attention, then the regrettable oue is unavoidable. If he is far from the hospital, on an airne, for example, the chances of saving him are slim. Song Zimo, Zhang Lin, and Little Five all rushed over to help. Song Zimo exined, ¡°Director Tian is managing over there. There aren¡¯t many patients, and Tang Fei is also helping. Director Tian asked us toe and assist.¡± Director Guan rushed over hurriedly, dressed in a green scrub suit with sweat on his back as he had justpleted his operation and left the operating table. Director Han quickly briefed him on the situation: ¡°We just attended to a patient with neck pain at the clinic. We suspect it¡¯s an acute myocardial infarction, but the patient did not believe it and ran away.¡± ¡°Is this his ECG?¡± Yang Ping still had a piece of the ECG printout in his hand. The initial ECG test was interrupted because the patient received a phone call and hastily got up from the examination bed and left. Therefore, the ECG record was iplete. Director Guan took the ECG paper and carefully examined it. ¡°ST-segment elevation! What are the symptoms?¡± Years of professional umtion enabled him to quickly realize the issue. ¡°Neck and shoulder pain for three days, probably referred pain; blood pressure: 152/102mmHg, body temperature: 38.0¡æ, developed a fever this morning; heard a weakened first heart sound and a galloping rhythm of the fourth heart sound in the heart apex area during auscultation, also a friction rub was heard over the pericardium; heart rate is 92 bpm, with irregr rhythm.¡± ¡°Acute myocardial infarction! The luded coronary artery needs to be unblocked immediately, or he could drop dead at any moment. Currently, he¡¯s in thepensatory stage. Once his blood vessels bepletely blocked, his heart will be disorganized, which will lead to ventricr fibrition and cardiac arrest.¡± Director Guan made an immediate and resolute diagnosis. ¡°He ran away, we¡¯re currently looking for him.¡± Director Han frowned. A bone doctor understanding so much about the diagnosis of cardiovascr diseases was something Director Guan had heard about Yang Ping. He had heard from Dean Zhuang that Yang Ping was the one who diagnosed the case of inferior vena cava thrombosis that required a filter imntation during an emergency case. This type of acute myocardial infarction where the presenting symptom is not chest pain but neck pain, and other symptoms are atypical, is extremely rare and 90% of the time, it is misdiagnosed. This young man¡¯s fundamental skills were really exceptional, Director Guan couldn¡¯t help but admire Yang Ping a little more. Officer Wang from the police station came soon after. After understanding the situation, he solemnly stated: ¡°I¡¯ll immediately report back to the station and ask for support to track the vehicle he boarded and intercept it.¡± Officer Wang was very responsible. He reported to the police station, which in turn had to report to the higher-level Public Security Bureau. After several rounds of phone calls, Officer Wang said: ¡°The car he got on is a Didi private hire car. It should still be on the airport highway ording to our estimates. We have contacted Didi, asking the driver to inform the passenger; toll booth workers have also been notified to intercept him when he leaves the highway. If the car uses the ETC for automatic toll payment, it will be much harder to intercept as manual toll booth operators won¡¯t be able to do so. We¡¯ve also informed the traffic police to intercept at exits but as this operation involves quite arge area and given the limited police force, there are too many things to handle. I¡¯m not sure if it will be executed in time.¡± Although Yang Ping still felt uneasy, he knew this was the best they could do at the moment. Everyone was on tenterhooks, although they were strangers, now a living life was at stake. ¡ª¡ª Xie Dongsheng was sitting in the car. He was a bit angry today, annoyed that his cervical spondylosis was nearly sent to a chest pain center by the doctors. His chest didn¡¯t hurt at all, only his neck. What a mess. This isn¡¯t how you look after patients. His neck wasn¡¯t properly treated, everything was in shambles, it was tant overtreatment. His WeChat on his phone beeped. ¡°Dad, where are you?¡± It was his precious daughter with a cooling patch on her forehead. Xie Dongsheng felt distressed: ¡°Baby, didn¡¯t you go to daycare today?¡± ¡°She has a bit of a fever. I just gave her some medicine. I took a leave and let her rest at home. Did you eat breakfast? Make sure you don¡¯t starve yourself.¡± A soft voice from the side. ¡°Yes, I have eaten. Don¡¯t worry. I¡¯m on my way to the airport. There¡¯s a light in the kitchen that¡¯s out. Don¡¯t try to fix it yourself, it¡¯s dangerous! I¡¯ll fix it when I get back. When you¡¯re cooking tonight, open the kitchen door and let the light from the living room shine in.¡± Xie Dongsheng advised. He noticed the light was out this morning as he was leaving, but he didn¡¯t have time to fix it since he was in a rush. ¡°My toy bear also stopped working, dad, you have to help me fix it.¡± The little girl was very well-behaved, pouting her cute mouth. ¡°Yes, good girl, listen to your mom. Dad will help you fix your bear when I get back.¡± Xie Dongsheng made a kissing gesture at his phone screen. ¡°Call us when you get there. The weather is cold in the north. I¡¯ve packed cotton clothes for you in your suitcase. Don¡¯t overwork yourself and don¡¯t stay upte. Say bye to daddy.¡± His wife also moved into view. After ending the video chat, Xie Dongsheng rubbed his neck. The kind of pain he couldn¡¯t touch or press down on was ufortable. But it would gradually ease by itself, he had experience with it. It wasn¡¯t the first time. Thest cervical spondylosis outbreak was also after ate night. He had reviewed the project n dozens of timesst night. There were no issues. His phone rang again. It was hispany¡¯s boss: ¡°Xie, do your best! Thepany has high expectations of you. I look forward to hearing good news from you.¡± Xie Dongsheng secretly clenched his fists, boosting his own morale. ¡°I definitely will! Thank you, President Wu!¡± Xie Dongsheng guaranteed. This trip to Beijing was to attend a customerpany¡¯s project briefing. The customer was very optimistic about this project. As long as he doesn¡¯t mess up his performance, he should be able to secure the contract, which would allow him to be promoted to mid-level management next year. The driver¡¯s phone rang. A standard Mandarin-speaking customer service representative said: ¡°¡ª¡ªPlease confirm whether the passenger in the car is Mr. Xie Dongsheng, Sanbo Hospital requests to notify: Mr. Xie is diagnosed with acute myocardial infarction, he may be in life-threatening danger at any time, please go to Sanbo Hospital¡¯s chest pain center immediately for treatment, if you need help, please call¡ª¡ª¡± The driver got anxious: ¡°Are you Mr. Xie Dongsheng?¡± ¡°Yes, keep driving, take me to the airport. Do I look like I need be rescued to you? This is clearly some young doctor¡¯s misdiagnosis. The phone call even got routed here, truly astonishing.¡± Xie Dongsheng paused slightly, regaining hisposure. Last time during a medical check-up, a lump was discovered in his chest x-ray. They said it couldn¡¯t be ruled out as a tumor and suggested he get a CT scan. Then they said it still wasn¡¯t clear, so he had to have an enhanced CT scan done. He was tossed around for a long time. For those few days, he was so stressed that he lost his appetite. He was a distraught man, sneaking into the bathroom to cry at night. In the end, it turned out to be lymph node calcification! What a false rm. Xie Dongsheng was already familiar with this routine. This is how doctors were ¡ª sensing ghosts at the slightest gust of wind. Over-treatment had reached such a level now. Every single person is a potential enemy. ¡°Or, let¡¯s just get off the expressway and turn back to the hospital.¡± The driver didn¡¯t want to take any risks. ¡°Keep going. It¡¯ll be quicker to get to the airport now.¡± Xie Dongsheng encouraged the driver. Well, the sooner he can get to the airport and drop off his passenger, the sooner it would no longer be his problem, the driver thought. He hadn¡¯t eaten breakfast this morning, and his old stomach ailment was acting up; he was feeling a bit nauseous. Xie Dongsheng rubbed his stomach, winding the car window down a bit to let in some fresh air. The car reached the highway exit. The barrier automatically lifted, and the sedan left the highway. ¡ª ¡°He¡¯s off the highway. There¡¯s not much we can do in this kind of situation. We can only notify, we can¡¯t enforce.¡± Officer Wang said, feeling helpless as he put down the phone.N?v(el)B\\jnn Chapter 117 - 0114 In the Name of Family Chapter 117: Chapter 0114 In the Name of Family Indeed, it was a helpless situation. Everyone had tried their best. It was notmon for police to forcibly handcuff a person, bring them to the hospital, and have them pinned down on a bed to undergo surgery for a stent cement. They had made every effort to intercept and notify him along the way. It was not as if they were pursuing a criminal. ¡°Did Didipany notify him?¡± Yang Ping sought confirmation. Officer Wang replied, ¡°The driver reported that the patient in his car was Xie Dongsheng. He had repeatedly informed Xie himself, but Xie believed he was fine with no issues. He thought you had misdiagnosed him and instructed the driver to continue towards the airport.¡± Everything that could have been done was done. Stubborn people would always believe they were right. The atmosphere became slightly awkward. It felt like the meeting was about to end, but no one wanted to be the first to mention it. Director Guan broke the silence by saying, ¡°There¡¯s another surgery waiting for me. May I leave first?¡± Indeed, another surgery was waiting for him in the Chest Pain Centre. These surgeries were all life-saving operations. Others were also waiting to be saved. To him, all lives mattered. He couldn¡¯t let someone else¡¯s life hang in the bnce because of this man. Director Han shook his hand appreciatively, ¡°Thank you for your hard work!¡± ¡°Reach out to me anytime if you need anything,¡± Director Guan replied. At some point, Director Zhao of Medical Affairs had also arrived. He had received a call from Director Han, but as he arrived, the meeting was about to end. There was little he could do to help in such a situation. ¡°Would it be possible to contact the airport and have a broadcast announcement made as ast-ditch effort?¡± Yang Ping unexpectedly suggested. Officer Wang considered for a moment, ¡°Alright, I¡¯ll report back to the station and ask them to help contact the airport for a broadcast announcement. We¡¯ve done all we could. It¡¯s incredible how this man could ignore warnings to this extent.¡± Yang Ping continued unfazed, ¡°Why not, as another measure, try notifying his family members? If he¡¯s married, we can inform his wife and hope she can persuade him.¡± Those with families would usually have something to fear. This method could potentially work better. If the man boards a ne and suddenly dies, there would be no way to save him with the limited medical equipment on board. Yang Ping was unwilling to watch this vitality slip through his hands. It was too much of a waste. n/o/vel/b//in dot c//om His stubbornness was not a valid reason to give up. ¡°Are you sure about this?¡± Officer Wang asked. Yang Ping nodded affirmatively, ¡°Please!¡± He didn¡¯t care if he was seen as a nuisance. In front of him, Officer Wang saw a determined, relentless young doctor. But this ced him in a difficult position. The hospital imed the patient was in danger while the patient said the hospital misdiagnosed him. In such a conflicting situation, relying too much on police forces could lead to a massive mishap, and he would bear the full responsibility. If there was no dispute, he could go all out with full force and whether it was sessful or not, at least he would have tried his best. However in this case, there was a dispute, and ording to the driver, the patient seemed to be in good condition. Caught between the two, Officer Wang hesitated to make a decision. Director Han took his phone and walked away to make a call, ¡°Hmm, Director Zheng, I need a favor ¨C¡± After ending the call, Director Han gently patted Yang Ping on the shoulder, ¡°Director Zheng from the city police department will get in touch with the airport for a broadcast announcement and contact the patient¡¯s family tomunicate with him. However, they can only inform, and no coercion is allowed.¡± ¡°Understood!¡± Yang Ping replied. As long as the patient had not boarded the ne, there was still hope. The blood would gradually form more and more blood clots around the blockage part, resulting inplete obstruction. Subsequently, there would be a disorder in the myocardial electrophysiology and ventricr fibrition would ur. The heartbeat would eventually stop. Yang Ping simted the whole process in his mind. If this were the case, the patient wouldn¡¯tst more than an hour. Perhaps, he was already feeling nauseous and weak with reduced pain around the neck and shoulder but the area of difort was likely expanding. These were mere deductions based on anatomy and physiology. If things were as spected, he could only stand a maximum of an hour, and once he boarded the ne, his chances of survival were almost nil. Director Han then turned to Officer Wang and said, ¡°Thank you very much, Officer Wang. I understand your difficulties. I just called Director Zheng from city public security. He will handle it.¡± Officer Wang felt relieved upon hearing this, ¡°Thank you for your understanding.¡± Officer Wang had a police station at Sanbo and was well-acquainted with Sanbo¡¯s matters. He was aware that Director Han was a capable man at Sanbo and even surpassed two bosses at the Overseas Chinese Building. It was notable that Director Han was ¡°sworn brothers¡± with Director Zheng from the city¡¯s public security bureau, a police officer and a doctor, respectively. It was not known how they became sworn brothers. ¡°My dear boy, we have done our best!¡± Director Han draped his arm over Yang Ping¡¯s shoulder. ¡ª In just another one and a half hours, hurry up, it¡¯s a good thing he didn¡¯t waste any time in the hospital, otherwise, all these years of hard work would be in vain. Xie Dongsheng took his ID card to the automatic ticket machine, hurriedly pulling his suitcase, passed the preliminary security check, found the check-in counter, exchanged his boarding pass, and checked in his luggage. He took the backpack out of the suitcase and stuffed his wife¡¯s prepared cotton coat into it. Once he arrives in Beijing, he will put it on as soon as he gets off the ne. His wife was very thoughtful, packing the cotton jacket in a small vacuum bag, so it won¡¯t take much space in the backpack. With the check-in procedurespleted, it was time to move through security and locate his departure gate. The timing couldn¡¯t be better, there was still a little time left. Xie Dongsheng sat down to rest, reminiscing about the hard years. There had been several opportunities to move up, but he had failed every time. This time, there was no room for failure. At his age, if he didn¡¯t move up to a middle management position, it would be extremely dangerous. He¡¯s hitting the significant age of 35. His stomach felt ufortable, still nauseous. Xie Dongsheng felt like vomiting, he quickly walked to the restroom, and threw up several times, nothing but a few mouthfuls of yellow bile. In the past few years he frequently stayed upte, his body wasn¡¯t what it used to be. During his school days, he could y a full ser game, then still have the energy to stay up all night gaming. After vomiting, he felt slightly better. The pain in his neck and shoulders had lessened somewhat, but it seemed as if the pain had spread, covering a wider range than before. Xie Dongsheng returned to his seat to rest, revising every detail of the project proposal in his mind, rehearsing his presentation once again, zero room for errors. He rubbed his hands together, feeling a bit anxious and nervous, for reasons he did not understand, as if there were unresolved matters on his mind. A young mother leading her little girl passed by him, he thought about his own daughter, his wife. He wondered if his little girl¡¯s fever had subsided, and worried about the broken light in the kitchen making cooking difficult for his wife. The announcement rang out, ¡°Attention passengers.¡± He was ready to board. Xie Dongsheng got up, tightened the straps of his backpack. Each time he reaches this point of his journey, a bitter-sweet wave of emotion, apanied by many years of tears and heartache, would rush over him. From being a rookie in the corporate world to now being able to negotiate such a major project, every step he took was filled with hardship and pain, of which only he truly understood. The line at the boarding gate began to move forward. Xie Dongsheng was in the middle of it, frequently looking behind. ¡°Calling all passengers of east airlines flight MU5182, Mr. Xie Dongsheng!¡± The call was repeated three times. The voice of the announcement was loud, but it wasn¡¯t until the third repetition that Xie Dongsheng heard his name. As he moved slowly with the crowd, he kept his ears pricked up. ¡°Please stop boarding immediately. You have been diagnosed with acute myocardial infarction. You are in danger at all times. Please ask for emergency medical assistance immediately!¡± Xie Dongsheng stopped walking. The news had already reached the airport. Could it really be so serious? He stood still, undecided. Sess was right in front of him, within his reach. Was he really going to give it all up? The persistence of Sanbo Hospital far exceeded his expectations. If the Didi driver had informed him, he would have only hesitated slightly without deviating from his decision. Now he¡¯s starting to waver, but¡­ But? The people behind him saw he wasn¡¯t moving and reminded him. He didn¡¯t hear them and they all moved around him. His pocket vibrated. Xie Dongsheng pulled out his phone. It was his wife¡¯s voice, ¡°Honey, where are you? You haven¡¯t boarded the ne yet, have you?¡± Her voice was urgent, filled with tears. ¡°Daddy! Daddy!¡± His daughter¡¯s voice came from the phone as well. ¡°Honey! Please, believe the doctor! You are having an acute myocardial infarction, and you¡¯re in danger at any moment. Go find the nearest emergency medical station fast, have them send you to the nearest chest pain center in an ambnce. Listen! I don¡¯t need anything else, just you, safely and healthily returned. Keep your phone on, our baby and I will be waiting for you. I implore you, in the name of me and our child, in the name of our family¨C.¡± ¡°Daddy¨C¡± His daughter¡¯s cry! Xie Dongsheng stood still, unable to move a muscle. He was suddenly overwhelmed, tears instantly began to stream down his face. The boarding gate was empty, the line had moved throughpletely. Everyone was hurrying forward, and the airport staff seemed to be urging him. He suddenly came to his senses, ran to the nearest emergency medical station, gasping for breath, ¡°Help me! I¡¯m having an acute myocardial infarction, I could die at any moment. Please send an ambnce to take me to the nearest chest pain center!¡± He clutched at his chest, gasping for breath! The doctor looked shocked at first, then immediately grabbed the phone to call the airport¡¯s emergency center for an ambnce. A nurse pushed in a stretcher bed, and together with the doctor, they helped him onto the bed. He was then rushed out of the waiting area through the emergency exit. Chapter 118 - 0115 Wild Growth Chapter 118: Chapter 0115 Wild Growth ¡°The ambnce has already been dispatched from the airport!¡± Officer Wang wore a smile on his face. Director Han gently nudged Yang Ping: ¡°You can rest assured now!¡± What¡¯s left is up to the chest pain center nearest to him, at least the patient now has hope. We have done all that we could to our utmost capability. Once everyone had dispersed, Director Han expressed his gratitude to Officer Wang and they returned to the general orthopedics department. Yang Ping and Song Zimo no longer needed to attend the outpatient clinic. Initially, both of them were not supposed to run the clinic. It was just that on the first day the department was established, everyone was quite enthusiastic and thus multiple clinics opened at once, creating an even more impressive scene. For their first patient, Yang Ping led everyone on ward rounds. The patient was a 62-year-old female suffering from right knee joint instability for three years. She had undergone arthroscopy twice; once to treat a free body, and once for a highly activeteral meniscus. However, her symptoms disyed no relief after both surgeries. Instability, or a sensation of giving way, urs when the leg suddenly loses supporting power during walking, causing the person to kneel or fall. The mostmon cause is impingement within the knee joint. When the knee joint suddenly experiences impingement, the joint movement function is instantly lost, naturally disabling the walking function. This is directly manifested as the need to kneel or fall down. The patient has lost hope in treatment, but in the past three months, the instability in her leg has been happening more and more frequently, almost daily, leading her to fear leaving her home. This has resulted in her being confined within her home. This has caused many troubles as she used to be the pivotal part of her family. As her daughter and son-inw were busy with work, cooking three meals a day, housekeeping, and picking up and dropping off their child would usually be handled by her. But now, the infuriating knee instability has made it difficult for her to move. Even simple activities, such as going to the toilet, have to be done with utmost caution as she fears falling. If she fractures anything as a result, that would require her daughter and son-inw to take care of her, which would be the worst potential scenario. A small issue like this is affecting the normal function of the entire family. ¡°Doctor, I saw the introduction in the outpatient hall that the general orthopedics department treats difficult andplicated diseases. Does my condition count as a difficult andplicated disease? I¡¯ve had two surgeries, and the elderlydy in the same ward as me had a very good oue from her surgery, but mine is just like before, with no improvement at all.¡± The olddy seemed rather dejected. Yang Ping carefully examined her knee joint, then proceeded to conduct focused checks on key organs like the heart and lungs. The physical examination concluded: Does the source of impingement originate from theteral aspect of her right knee joint? What exactly is causing the impingement? The new office is spacious and bright. X-ray images and maic resonance imaging (MRI) scans of the knee joint are up on the viewing lightbox. MRIs of the patient¡¯s head and the entire length of her spine were also conducted by another hospital, as they suspected she might have pseudarthalgia. Pseudarthalgia is due to other causes, such as imbnce of the cerebellum, incoordination of motor function of the cerebrum, spinal cord pathology, and muscle weakness of the affected limb, etc. All these potential causes were ruled out. All evidence pointed back to a problem localized in her right knee joint, but the MRI showed no free body or torn meniscus. She¡¯d undergone arthroscopy twice; any inmmatory synovium should have been cleared. ¡°Is it difficult to diagnose our first patient?¡± Song Zimo frowned. ¡°Otherwise, there would be no need for the general orthopedics department!¡± Director Han walked in; Director Tian was still running his clinic downstairs. He seemed uninterested in the patient¡¯s condition: ¡°Xiao Yang, you are the team leader now. Unless it¡¯s a special case, solve it independently. VIP patients are Director Tian¡¯s responsibility, and you are fully responsible for the patients in the regr ward.¡± He quickly said a few words and left, no longer concerned with the diagnosis of this patient. He¡¯s only responsible for admitting the patients, any further treatment would be handled by the team led by Yang Ping. Free rein! That would be the working method from now on. Under Director Han¡¯s trust and limited supervision ¨C free rein. ¡°Senior Brother, does this mean we run our own clinic?¡± Song Zimo was thrilled. ¡°Wild growth!¡± Yang Ping continued to examine the images. He visualized the anatomy of the knee joint in his mind, then started to simte motion, looking for any possible reasons that may lead to these symptoms. Only wild growth¡ªcontrolled wild growth¡ªis the fastest, most solid, and most sessful way. It is an epiphany well-understood by Director Han that talents shouldn¡¯t be constrained by themon route. Sitting in his new office, he sipped his tea. He was quite satisfied with his new office; as the window faced the south, there was an abundant amount of sunlight. He squinted his eyes, leaned back in his chair, and quietly hummed along to the Beijing Opera ying softly. He savored every detail of what had happened today. He was deeply moved by Yang Ping¡¯s confidence and diligence. Coupled with Director Tian¡¯s report on Yang Ping¡¯s performance at Nanqiao Hospital, he had more faith in his judgment and decision: let them grow wildly; they are capable! Just as he was reminiscing, his cellphone rang. It was a call from Director Xiong from the emergency department. The patient with acute myocardial infarction from earlier was currently being transferred to Sanbo Hospital and would be there soon. The chest pain center closest to the airport was at a district people¡¯s hospital, but they only had one dedicated operating room for interventional procedures and there would be a two-hour wait. So, instead, the ambnce made the decision to send the patient directly to Sanbo Hospital, where the chest pain center wasrge enough to handle several operations simultaneously. Let¡¯s go check it out! Director Han called for Yang Ping, who was still in the office reading images. It had been quite some time since he¡¯d visited the emergency department, ever since he left the trauma orthopedics department. The ambnce pulled up to the entrance of the emergency department, with the words ¡®Airport Emergency Center¡¯ prominently disyed. The stretcher was swiftly removed from the vehicle and rapidly pushed inside. Someone was performing chestpressions on the patient during transit. The emergency department doctors sprinted over. One doctor even knelt on the stretcher and took over the chestpressions. ¡°Defibrition!¡± The gurney was pushed into the emergency department¡¯s resuscitation room. The two electrodes of the defibritor were attached. One under the right corbone, and the other on the apex of the heart. ¡°Stand back!¡± With a bang, electrical defibrition was initiated once, twice, and then a third time. The t ECG line started to show waves. As the patient¡¯s condition had already beenmunicated over the phone on the way to the hospital, now only a simple handover was needed. ¡°Please connect to the Chest Pain Center!¡± a nurse has already dialed the dedicated line for the Chest Pain Center. A few minutester, an attending physician arrived at the emergency room, running. Director Guan was still in the operating room, the attending physician in charge of the emergency consultation had arrived. The ECG paper was spat out, the doctor took a look and said: ¡°Acute myocardial infarction, primarily in the anterior wall, quickly, get him to the Cath Lab!¡± The doctors in the emergency department always walked swiftly, doctors and nurses pushed the gurney along the trauma center¡¯s dedicated transport route. n/?/vel/b//jn dot c//om The heavy lead door opened, the gurney was pushed in, and the patient was moved onto the intervention table. The heart stopped again! Compressions, defibrition! The EKG returned to normal. The doctor had already washed his hands and gotten dressed, draped in a heavy lead apron, he performed the puncture, inserted the catheter and guide wire, withdrew the guide wire, and injected the contrast agent. ¡°The left anterior descending artery ispletely blocked!¡± The contrast agent visible on the screen was stuck at one spot and couldn¡¯t go any further. Director Han and Yang Ping rushed to the emergency department, where the nurse told them that the patient had already been sent to the Cath Lab at the Chest Pain Center. Both of them hurried to the Cath Lab, a few minutester, a distraught young woman, apanied by family, followed in. The heavy lead door closed, separating the family from the patient. A doctor came out through a side door designated exclusively for medical staff. ¡°Xie Dongsheng, Xie Dongsheng¡¯s family!¡± The young woman could barely control her tears, and the family member apanying her responded. ¡°Come over here!¡± The doctor led them to a side meeting room, holding an informed consent form in his hand. ¡°Doctor! How is my husband?¡± ¡°What is your rtionship with him?¡± ¡°She¡¯s Xie Dongsheng¡¯s wife, and I¡¯m his uncle!¡± The doctor hesitated, then said: ¡°Xie Dongsheng has suffered an acute myocardial infarction, and he arrived toote. He is currently undergoing an intervention. His heart stopped on the operating table and we¡¯re trying to revive him. This is the third time his heart has stopped since he was brought into the emergency department, you need to prepare yourselves.¡± Xie Dongsheng¡¯s wife¡¯s vision went ck, and she fainted. ¡°We need help in the meeting room, a family member has fainted.¡± A nurse from across the hallway heard the call and immediately came over. The doctor checked her carotid pulse and breathing, there were no issues. ¡°Take her to the observation room to rest for a bit.¡± The nurse helped Xie Dongsheng¡¯s wife to the observation room. The doctor had seen it all before, he was used to it. ¡°Doctor, please, you have to try something. He¡¯s the breadwinner of our household. Our child is only four years old, and he himself is just over thirty.¡± The uncle¡¯s eyes were red. ¡°We are doing our best, but it was toote, too much time was wasted. Here¡¯s the surgical consent form, sign it, and once his wife regains consciousness, she can sign it too.¡± After collecting the signed form, the doctor put his mask back on and went back in. Yang Ping and Director Han sat on stic chairs waiting, they had been involved in the entire process and wanted to know the final oue. Yang Ping remained remarkably calm, Director Han put his hand on his shoulder: ¡°You¡¯ll get used to it, we can¡¯t save everyone.¡± ¡°You don¡¯t have to worry about me, I have done my part, as for the oue, only heaven knows!¡± The family members walked up to the lead door, feeling that being closer to the door would bring them closer to hope. This door! It separated the family members from the patient, and sometimes, they would be separated¨Cforever! Chapter 119 - 0116: Golden Knife Award Chapter 119: Chapter 0116: Golden Knife Award Xie Dongsheng¡¯s wife had regained consciousness and was helped by a nurse to sit on the bench by the door. Her eyes were vacant, she had stopped crying but was steadily wiping away her tears, and her sister-inw held her tightly. Her uncle kept going to the family waiting area to get water to drink, his hand trembling slightly as he held the cup. Finally, the lead-lined door was opened, and the patient was wheeled out. ¡°Family of Xie Dongsheng!¡± The family immediately stood up and crowded around the gurney. The chief surgeon stood at the door: ¡°We managed to save him. His coronary artery has been reopened, a stent has been inserted. He will need anticoagnt treatmentter and will stay in the CCU for a few days. This was really a close call given howte he arrived!¡± Being alive is more important than anything else! The family members followed the gurney all the way to the CCU, with his wife constantly holding Xie Dongsheng¡¯s hand. Director Kong came out, and when he saw Director Han, he said, ¡°Old Han, that patient was saved. I just finished my surgery and went over there, and they were already done.¡± ¡ª It was time for dinner. Today was the first day of the department opening, Director Han had ordered takeout, it would be delivered to the department¡¯s dining room, and it should have arrived by now. Yang Ping and Director Han returned to the department. The dining room was already full, everyone was busy putting tables together, it was lively. The order was from a seaside restaurant, the same ce where Professor Zhang Zongshun had treated everyonest time, a very famous high-end seafood restaurant. All the tables in the dining room were put together to form a rectangle, chairs were arranged around it, and a huge king crab was ced in the middle on arge te, surrounded by other seafood dishes, and snacks. ¡°The Director and senior brother havee back, can we start eating now?¡± Zhang Lin¡¯s pair of ws were itching to start, but he was held back by Little Five. ¡°Is everyone present? Where¡¯s Director Tian?¡± Director Han looked around, only Director Tian was missing. As Cai Qiaojun adjusted the tes, she said, ¡°He went to wash his hands.¡± At this point, Director Tian came in. Zhang Lin said, ¡°Everyone is here, everyone is here!¡± The huge king crab was ced on the table, therge te almost upied the entire width of the rectangle. Zhang Lin swallowed, ¡°King crab, Director, you go first, shall we start?¡± Tang Feiughed and said, ¡°This is a king crab, right!¡± Zhang Lin didn¡¯t get it: ¡°Is there a difference? King? Emperor? Is there a difference?¡± Song Zimo coldly said, ¡°No difference, both can make you drool!¡± ¡°Hold on, hold on, let¡¯s take a photo!¡± Little Five took out her phone to take pictures, Zhang Lin also followed, and several standardized training students and nurses took pictures with their phones. Director Han beckoned, ¡°Everyonee and eat! Put on gloves, get your tools!¡± Liang Fatty reached out, but was pped away by Zhang Lin, ¡°Fatty, aren¡¯t you on a diet? One must have willpower! This is not for you, go drink some porridge. I¡¯ll take care of your portion, we are brothers after all, I¡¯ll take the loss.¡± ¡°Your hands are perfect for this, let me help you.¡± Xiao Su said to Yang Ping. Song Zimo had already opened a crab leg, extracted a piece of crab meat, and put it on Tang Fei¡¯s te. ¡°Don¡¯t feel shy, you guys, feel free to eat. These are a bunch of wolves. If you¡¯re too slow, there will be none left.¡± Director Han called out to several somewhat restrained nurses. Cai Qiaojun anxiously said, ¡°Slow down, be a gentleman,dies first!¡± With his mouth full, Zhang Lin spoke muffledly, ¡°You guys dare to eat too? Such slender figures, would it be worth it if they are ruined by a crab that has crossed the ocean?¡± ¡°Even poison talks about dosage!¡± Liang Fatty had already started eating, who cares, dieting starts tomorrow. ¡°I¡¯m fine, I can do it myself,¡± Yang Ping started. Now was the time to showcase their basic surgical skills. Yang Ping was quick, his dissection skills top notch. With the coordinated use of pliers and fork, he easily cracked open the crab shell. The white and tender crab meat was cleanly separated, picked out, and ced on Xiao Su¡¯s te. Next was Song Zimo, also very fast and precise. They ate so fast! It was like they were performing a surgery. Director Hanughed heartily, ¡°Look, this is the time when we see the better and worse of surgical basic skills!¡± Director Tian helped Cai Qiaojun and several nurses separate the crab meat, putting pieces into their tes one after the other. One crab was enough for everyone to eat. ¡°Director Han, are you treating us to this king crab because you have something to say?¡± Director Tian only started eating himself at this point. After taking off his gloves, Director Han took a paper napkin and wiped his mouth and said, ¡°Everyone keeps eating, I¡¯ll talk after you¡¯re done.¡± ¡°Xiao Su, are there enough instruments in the operating room?¡± Director Han asked. Xiao Su was receiving crab meat forked over by Yang Ping: ¡°We have pretty much all the basic equipment, though we¡¯re missing a few special pieces that aren¡¯t used very often. I¡¯vepiled a list and sent it to the Head Nurse. Once she has everything ready, I¡¯ll go pick it up.¡± ¡°Everything¡¯s okay with the anesthesia equipment and medicines, right?¡± Director Han asked. Fatty, fiercely gobbling his food, said nothing. Zhang Lin nudged him with his foot: ¡°Fatty, the director is asking you a question. Are you choking?¡± Only then did Fatty raise his head ¨C he really was choking. After taking a sip of water and clearing his throat, he finally spoke: ¡°We¡¯re not missing anything. All the equipment is fine, almost brand new. I tested them all.¡± ¡°Everything is normal in the wards. We¡¯re notcking anything,¡± Cai Qiaojun said while Director Tian continued to pile crab meat onto her te. The standardized training students were all burping, some having already filled their bellies and were off sipping shrimp congee on the side. ¡°Fatty, you¡¯re enjoying yourself. Did you prepare the colchicine and diclofenac sodium?¡± Zhang Lin asked him as he noticed Fatty was still engrossed in eating. ¡°It¡¯s in my pocket,¡± Fatty responded. ¡°Fatty, is your uric acid level high? Maybe you should eat less,¡± advised Director Tian, out of genuine concern. Fatty shook his head. ¡°I won¡¯t eat this kind of stuff next time.¡± To the few standardized training students, Director Han said, ¡°You guys need to hone yourbat skills. There¡¯s still so much unimed seafood.¡± The king crab was so huge that even though the group was stuffed, there were still plenty of other seafood dishes and side dishes left, and they could not eat any more. The original n was to go out for dinner together, but Director Han suggested that they should not neglect those on duty. So, he decided to call for a feast in the department¡¯s dining hall instead. Everyone would eat together, enjoy themselves and spread goodwill. After all, they needed to eat. The nurses came to eat in shifts. When one batch finished, they swapped with another one. After they finished eating, Director Han gathered everyone in the doctor¡¯s office. He wanted them to have some tea and chat. ¡°The king crab you all enjoyed today wasn¡¯t free of obligations, I have a task for all of you!¡± Director Han asked Zhang Lin and Little Five to pour tea for everyone while they chatted. At the moment, there weren¡¯t many patients in the ward¨Cjust one, and there were no emergencies. Thus, the emergency department wasn¡¯t forwarding any patients their way. Director Han paused before saying, ¡°Taking advantage of the good day of our department¡¯s opening, I have an important announcement for all of you!¡± What announcement? Director Han paused for a beat, taking a sip of his tea. ¡°The hospital is nning to participate in next year¡¯s Golden Knife Awardpetition and Orthopedics will be the main force!¡± This remark immediately caused a stir. The Golden Knife Award is a grand event in the world of surgery nationwide. It happens every four years, and winning would mean that one had distinguished oneself nationally.n/?/vel/b//jn dot c//om Each Golden Knife Awardpetition showcases innovative ideas, new surgical procedures, and results. It¡¯s not only apetition for surgical skills, but also a major event for surgeons nationwide to exchange ideas. Thispetitionsts for half a year and involves standard procedures in every discipline. The uingpetition will start next April and end in October. The cases for surgery are selected by the participating teams and are submitted formittee review in advance. Once the case is admitted for thepetition, the judging panel will score the entire treatment process, with the surgery being the most important part. The selection of surgical indications, preoperative preparations, surgical operations, and postoperative handling all need to be scored. For the surgery, the judges score it live. For the other steps, the judges will review the medical records and physician orders and score ordingly. In previous Golden Knife Awardspetitions, only Fuer and affiliated hospitals of G City had the potential topete nationally. Select individual departments of the provincial people¡¯s hospital could get into the nationalpetition while the municipal people¡¯s hospitals could barely make it out of the southernpetition zone. Every year, the Golden Knife Award champions are all from top-tier hospitals like Xiehe, Huaxi, Tongji, affiliated hospitals of Beijing Medical University, Shanghai Medical University, Fudan University, Nandu Medical University, etc. The final championship is always a contest among these hospitals with the first few often gaining the upper hand and the others slightly falling behind. ¡°Director, are we going to participate in the Golden Knife Award?¡± Although Song Zimo had this dream, he thought he was too young. Even if they participated, it should be the group of folks like Director Tian and Director Tan who bear the brunt, right? The Golden Knife Award stiptes that the Chief Surgeon can¡¯t be older than 45, making it a tform for young and middle-aged doctors topete for their dreams. A doctor gets only two chances in their lifetime. This is not only a tform for a doctor to show their abilities but also a time for the hospital to demonstrate its capabilities. The new surgical procedures and results couldn¡¯t be fabricated haphazardly but had to apply previously researched scientific achievements. Showcasing them at this time allowed for recognition nationwide and an opportunity for national promotion. That would be a doctor¡¯s greatest achievement. So the award wasn¡¯t just about a simplepetition ¨C it was also a showcase of achievements with judges made up of highly respected authorities within the profession. The scoring waspletely fair, impartial, and transparent. Forget about Song Zimo, who wouldn¡¯t be excited? ¡°The Golden Knife Award! Howe you¡¯re not reacting?¡± Song Zimo elbowed Yang Ping a bit. Yang Ping replied, ¡°It¡¯s just an award, right? Even the Nobel Prize has been refused before.¡± Zhang Lin and Little Five said, ¡°The Golden Knife has awards for the best first assistant and the best second assistant. We have a good chance.¡± ¡°The Golden Knife Award has started to ept registrations now. Our Orthopedics Department will send two teams topete. One team consists of Tian Yuan, Yang Ping, Song Zimo, Zhang Lin, and Little Five, with instrument nurse Su Yixuan and anesthetist Liang Jing. The other team will be arranged by Bo Yun Tan. Orthopedics covers a wide range of surgeries. The Golden Knife Award requires a team to have the ability to perform all kinds of surgeries within the specialty. In the next few days, submit your ID cards, doctor¡¯s qualifications, practicing certificates, professional title certificates, graduation certificates, and degree certificates (both originals and copies), to the Medical Affairs Office. Director Tian will collect them all and submit them to the Medical Affairs Office for online registration and verification. The officialpetition will begin next April, by which time it¡¯ll be clear who the strongpetitors are.¡± Director Han was very happy. So far, the Orthopedics Department has been developing entirely ording to his n, step by step. Looking at these impassioned young people, Director Han thought: Ah, to be young! He took a sip of his tea, and several old memories came rushing to his mind. Chapter 120 - 0117: Dont Give Up Easily Chapter 120: Chapter 0117: Don¡¯t Give Up Easily Under the operating light, the human figures blurred. ¡°What¡¯s the panic? Calm down!¡± a stern reprimand rang out. Then came a kind voice, ¡°Xiao Hong, Xiao Han, look. The tumor has invaded the front of the aorta, the aorta is about to rupture. If we dy any longer¡ª¡± ¡°Remember, don¡¯t easily give up on any patient!¡± The voice was firm and deep. Had it not been for the teacher¡¯s call through the train station broadcast, that patient might have died on the train. Director Han tucked away his memories. Today¡¯s scene bore a striking resemnce. ¡°Don¡¯t easily give up!¡± These words were deeply engraved in his heart. Director Han took a sip of tea, even a few tea leaves found their way into his mouth and he chewed on them. ¡°It¡¯s not a bad thing for a doctor to be well-known. Only when you are known can more patients get to know you, trust you,e to you for treatment. In this way, your medical skills can save more people.¡± When Director Han said this, his eyes fell on Yang Ping, who had been silent. Actually, Yang Ping was contemting. Topete for the Golden Knife Award, he needed to fully develop his orthopedic skills, which required arge number of points. With only five months to go, he wondered whether he could achieve this. He entered into the system to check his stage mission¡ªhelping Sanbo Hospital to establish the strongest Orthopedics Department in G City. Sixty percent of the task was alreadyplete, but progress had stalled, with a gap of forty percent left. Yang Ping didn¡¯t understand why, having achieved sixty percent, the remaining forty percent seemed so elusive? If hepleted this stage mission and gained five hundred thousand points, lighting up the orthopedic skill tree seemed achievable. But how exactly toplete the remaining forty percent? ¡°Does everyone have confidence?¡± Director Han asked. ¡°Yes!¡± Everyone answered loudly. ¡°Xiao Yang, any problems?¡± Director Han called out specifically. Yang Ping answered seriously, ¡°Should be no big problem.¡± ¡®Should be no big problem¡¯, which means there¡¯s no problem. Director Han felt relieved. Although his words were casual, everyone could feel his confidence. Yang Ping had always been deeply invested in medicine, and was very serious and focused in his work. Through the recent system training, this character and disposition seemed to have intensified. This serious focus made him seem extremely confident, a quiet confidence. Having eaten their fill of the king crab and finished their meeting, everyone dispersed to attend to their own tasks. Director Han returned to his office, and the others stayed back in the doctors¡¯ office to chat. The excitement of registering for the Golden Knife Award hadn¡¯t worn off yet. Dr. Jin peeked his head in, saw that everyone was having a meeting, gestured a greeting, but didn¡¯te in, for fear of disturbing everyone. ¡°No problem, you continue. I have never been here, in the Orthopedics Department. Since it¡¯s opening today, I came to have a look.¡± said Dr. Jin. Director Tian stood up: ¡°Old Jin, there¡¯s nothing much going on. We¡¯re just chatting. Come on in.¡± Dr. Jin struggled to lift something from the floor and entered. It seemed quite heavy. ¡°You don¡¯t have to bring gifts for the department¡¯s opening. This set of Campbell¡¯s Operative Orthopaedics is our gift to you, Xiao Lei and I. Both the Chinese and English versions.¡± The four volumes of each set, eight in total, were quite heavy; so much so that Dr. Jin found it difficult to carry them even with both hands. He carried them into the office and then took them out one by one, cing them on the table. ¡°Didn¡¯t you guys already gift a set of human skeleton to our department?¡± Director Tian pointed to a human skeleton in the office that was identical to a real one. ¡°That was from the department, this is from us personally, just a token.¡± Dr. Jin looked around: ¡°This ce is not bad, it doesn¡¯t need any renovations. It¡¯s move-in ready.¡± Director Tian instructed Zhang Lin to put the books on the shelf and took Dr. Jin on a tour of the office. The two were on good terms. Xiao Lei also arrived,ining: ¡°Why is Old Jin so fast? I told him that I was changing clothes and asked him to wait for me, but he didn¡¯t.¡± It wasn¡¯t long before Fang Yan and Chen Xiaobo arrived, also carrying gifts. Zhang Lin received them: ¡°It¡¯s enough that you¡¯re here, no need to bring anything.¡± The two said: ¡°These are some stethoscopes, percussion hammers, measuring tapes, and twenty pens. All are high-end stuff. They¡¯re our gift to you.¡± Zhang Lin quickly poured tea for everyone. Fatty also arrived, apanied by a chubby young doctor, with both of them carrying a box each. They put the boxes down in the office. ¡°Who is this?¡± Little Five asked while helping to unload the boxes, as he hadn¡¯t seen the young doctor before. ¡°This is Director Bai¡¯s graduate student. He has just finished his theoretical courses and is about to start his clinical training. He just came from Nandu Medical University this month. Everyone here is his senior.¡± Fatty introduced. The young man shyly greeted everyone as his seniors. ¡°A box of dry rations and snacks, a box of Luochuan apples for emergencies when you¡¯re on duty. Shall I help move them to the duty room?¡± Fatty pointed at the boxes. ¡°Just leave them here, we¡¯ll carry themter.¡± Little Five invited them to sit down. ¡°My fellow brothers, feel free to drop by more often, don¡¯t hesitate! We are still one big orthopedic family.¡± Yang Ping came over to chat with everyone. ¡°Old Ding and his crew will be hereter. When I finished my surgery, they were still operating. They asked me to deliver a message.¡± Fatty¡¯s eyes narrowed into a line as he spoke. ¡°Considering Brother Yang is leading the group, don¡¯t forget us when you have any lectures or learning opportunities.¡± Fang Yan raised his tea. ¡°We learn from each other,¡± Yang Ping said to Fang Yan. Director Tian took a stroll with Dr. Jin and returned to the office. ¡°Young Fang!¡± Director Tian greeted. Fang Yan and Chen Xiaobo used to be in his group, but now they belong to Dr. Tan Boyun¡¯s group. ¡°Boss Tian, you¡¯ve abandoned us now.¡± Fang Yan joked. Director Tian patted his shoulder: ¡°We just started here, and there aren¡¯t many patients. When we have more patients, you cane back and help.¡± Fang Yan happily said, ¡°I¡¯m ready to be summoned anytime.¡± Dr. Jin looked around and observed, ¡°Director Han is visionary and decisive. With the opening of the Orthopedic research institute and the Asian Orthopedic Summit Academic Conference, our Orthopedics Department will rise. I heard there¡¯s a lot of real equipment in the Orthopedic research institute, including a 3D printer from Germany?¡± ¡°Yes, why don¡¯t I show you now? The software has been installed and debugged,¡± Director Tian said. Dr. Jin said, ¡°No, I¡¯ll take a look when it¡¯s officiallyunched. I have a surgery this afternoon, I need to leave early.¡± After seeing off Dr. Jin, Director Tian and the others stayed for tea and then left. Yang Ping asked Little Five to hang up the film again and began to study the MRI of the newly admitted patient. He noticed a synovial signal in theteral popliteal tendon fissure. Even if there was, there would only be a small amount of synovial signal, but this patient had arge synovial signal. He simted the motion of the knee joint in his mind using the images constructed from anatomy training. When the joint was active, the excess synovium was pulled out of the popliteal tendon fissure and moved to theteral tibio-femoral joint space, causing impingement. During arthroscopy, two small holes were made connecting the joint with the outside, eliminating the negative pressure and creating the water pressure to expand the joint. This caused the synovium to enter the popliteal tendon fissure, making it difficult to detect and treat with arthroscopy. This isn¡¯t a ssic cause of knee joint impingement and isn¡¯t described in textbooks. ¡°Let¡¯s go check on the patient again!¡± Yang Ping took everyone back to the ward, examined the patient carefully, and confirmed that the impingement was caused by the popliteal tendon near theteral side. The medical history, examination, and imaging all support a definite diagnosis of a rare case of synovial impingement in the right knee joint. The sneaky synovium hidden in the popliteal tendon fissure was the reason the two previous surgeries were ineffective. ¡°Madam, now we understand your condition. Your diagnosis is clear, the synovium is hiding in the popliteal tendon fissure on the outside. The synovium is cunning. When you walk, ites out and jams the joint, but during surgery, it hides, which is why it evaded our interventions in the two previous surgeries. We will conduct another surgery to remove it, and your symptoms will be relieved,¡± Yang Ping said calmly and clearly. ¡°Doctor, I trust you. You make the decision for me.¡± The patient was very convinced by Yang Ping¡¯s confident and focused attitude. She believed that she was here to solve her problem. ¡°We will arrange your surgery for tomorrow. It will be arthroscopic, minimally invasive. If all goes well, you can be discharged the day after tomorrow. Have your daughtere today, I¡¯ll speak to her.¡± Yang Ping instructed her. As per the practice, the children of elderly patients needed toe in for a discussion and to sign before the surgery. ¡°Okay, I¡¯ll call her now. Both of the surgeries I¡¯ve had were minimally invasive. The first one was at Fuer and was performed by Professor Gu, and the second one was at Fuyi and was performed by Dr. Su. This time, I feel that Dr. Yang has hit the nail on the head. You are not married yet, are you, Dr. Yang? You are so young.¡± The patient was a talker and began to reach for her phone as she spoke. After exining the situation to the patient, Yang Ping returned to his office to study the film. Song Zimo pointed at the MRI and asked, ¡°Are you saying this abnormal signal is the hidden synovial tissue?¡±N?v(el)B\\jnn Yang Ping nodded, ¡°In the popliteal tendon fissure, there¡¯s hidden synovial fold. Cut it off, and the problem will be resolved.¡± ¡°Have you performed many arthroscopies?¡± Song Zimo had never seen him performing an arthroscopy. Yang Ping said, ¡°Quite a few.¡± Song Zimo muttered to himself, if he says he¡¯s done quite a few, then it means he¡¯s done a lot. ¡°Director Han said he would let us practice arthroscopies this afternoon. You can show us then?¡± Song Zimo suggested. Yang Pingughed, ¡°Aren¡¯t you afraid I¡¯ll crush your confidence?¡± ¡°Cut it out!¡± Song Zimo held his head up high. Xiao Su sent a WeChat message asking them to go to the cafeteria for lunch. Both of them preferred quiet ces, and found a secluded spot. ¡°Look, that¡¯s Su Yixuan from the operating room! Is she dating Yang Ping from orthopedics?¡± ¡°Yes, they must have confirmed their rtionship, otherwise, they wouldn¡¯t be so intimate.¡± ¡°They are quite a good match. Su Yixuan is pretty, and Yang Ping is talented. A perfect match.¡± ¡°Look at Yang Ping. He really has an extraordinary aura.¡± ¡°You¡¯re not falling for him, are you?¡± ¡°Even if I was, I wouldn¡¯t stand a chance against Su Yixuan.¡± A few young nurses were whispering in the corner, the cafeteria was indeed a ce where gossip abound. Xiao Su put a few pieces of beef in Yang Ping¡¯s bowl: ¡°Are you free this weekend?¡± ¡°If you say so, then I am,¡± said Yang Ping nonchntly. Xiao Su smiled softly: ¡°Well then, we¡¯re going shopping this weekend!¡± Chapter 121 - 0118: Caught on the Scene Chapter 121: Chapter 0118: Caught on the Scene At noon, Yang Ping was resting in the duty room. With the points he had umted from individual assignments and daily tasks within the system, amounting to an existing total of 21,000, he had spent 6,000 to purchase 600 cases of knee arthroscopy, leaving him with a bnce of 15,000 points. The procedures included arthroscopic examination, joint cleansing, synovial resection, partial meniscectomy, suturing of the meniscus, anterior and posterior cruciate ligament reconstruction, cartge transntation, and more, covering almost every type of knee arthroscopic surgery. Such intense training might seem tedious and challenging to most people, but for Yang Ping, it was quite the opposite. He had a voracious appetite for learning medicine, so far from finding the training arduous, he reaped significant benefits from it. He often wished he had more points to purchase more surgical cases. Afterpleting the system¡¯s training, he found it strange that since returning from Nanqiao, the system had ceased to assign tasks, staying silent like a suddenly silenced bell. He logged into the system to find out the reason and opened the mission log, where a simple and clear task list was disyed. It precisely recorded all his surgeries, including the one for the patient with knee osmotic periarthritis which was still pending, but it was already partiallypleted. Has the system gone into silent mode, emitting no more ¡°dings?¡± Or does it no longer assign single tasks, only issuing progressive tasks now? Progressive tasks, such as helping G city establish the strongest Orthopedics department, which includes many daily tasks? Yang Ping analyzed it this way, even though he wasn¡¯t sure if he was right. If he was, then would each surgery he performed be considered a task? When he opened the treasure chest, there was an additional antique-looking golden box. However, it didn¡¯t sparkle. Yang Ping wanted to open it but couldn¡¯t figure out how. Checking the system log, he found that this box was a random gift pack given for aplishing the five-section rentation task. He hadn¡¯t noticed it before, but now he couldn¡¯t open it. Had it expired? In the afternoon, with not many patients around, Director Han asked everyone to practice arthroscopy. It was rare for Director Han to have such leisure time, so he deliberately put aside his work on the first day of the department¡¯s operation. Song Zimo organized these training activities for young doctors. Not only was he exceptionally skilled at microscope surgery, but his arthroscopy skills were also exemry. A long time ago, he was able to suture under the arthroscope, an incredibly difficult operation. As for surgery, under the guidance of Director Han, he had be very proficient. Song Zimo wasn¡¯t sure about the level of Yang Ping¡¯s arthroscopy skills. Facing something previously unseen but highly anticipated, expectations naturally run high. He knew Yang Ping was like a rapidly growing mountain, its peak veiled in clouds. One could never tell just how high it was. A natural desire to challenge lingered in his heart. Director Han picked up his purple y cup and moved a chair into theboratory. Thisboratory was simr to the Trauma Orthopedics department; it was also a training room with several pieces of training equipment borrowed from the Orthopedics department. ¡°Song Zimo, demonstrate the training under the arthroscope for everyone. Yang Ping will supplement youter.¡± As he took the lid off the cup, steam rose from the hot tea. There was only one simtor for practicing arthroscopy. He walked over to it and ced a fresh grape in the ck box. Holding the lens in one hand and equipment in the other, they were like a pair of chopsticks extending into the dark box through a 0.5cm hole. The inside of the ck box was transmitted in real-time onto the screen. A grape appeared in the center of the screen¡¯s field of vision. The arthroscopic scissors cut a small hole in the grape skin. Without another tool to help, peeling the grape with one hand was extremely difficult because there wasn¡¯t another instrument to keep the grape steady. A slight movement could lead the grape to shift in ce. Not to mention that this was happening under an arthroscope, even presented with a pair of small scissors, peeling off the entire skin of a grape with one hand is a feat not many people could aplish, even with training. The scissors did not push the grape away. When the grape swayed slightly, the scissors cut into the skin and began to separate. Bit by bit, every time they cut a little, they separated a little, alternating repeatedly. The cut in the grape skin revealed a slight serrated shape. The grape swirled around with the touch of the scissors, the cut side and the attached bottom switched ces; they continued until the whole grape skin was open. The scissors kept moving until the entire grape skin was neatly peeled off. The room erupted in apuse. However, Song Zimo wasn¡¯t as proud as he usually was; he was very sober. He was only the first to throw a brick, another piece of jade was waiting. ¡°Yang Ping, show some skills!¡± Director Han took a light sip of tea. Yang Ping approached the simtor. He had never practiced this kind of exercise within the system; he had only done actual experimental body surgeries, but the same principle applied. Like a sniper who returns to the shooting range after enduring the brutal baptism of the battlefield, his skills wouldn¡¯t regress. He extended the tool into the ck box; his eyes fixed on the screen, and his movements were extraordinarily flexible and steady. His field of vision fixed, and the arthroscopic scissors gently cut open the grape skin. The grape shook only slightly, much less than when Song Zimo was handling it. Bit by bit, the grape was sliced open. As it was being cut open, the grape turned around a fixed axis until the entire circle was cut apart. The scissors split apart, and the peeled grape flesh tumbled out. The edges of the cut skin were neat, even more, beautiful than Song Zimo¡¯s serrated cuts. A blow? Not at all! Song Zimo had already opened up a thought process. If one has a challenging goal, they could reach a higher realm. Just like in chess, the stronger your sparring partners are, the quicker you progress. Having Yang Ping as a peer was the greatest fortune for him. Steam was still rising from Director Han¡¯s purple y cup, and two rounds of demonstrations had already ended. He chuckled. Microscopic surgery and endoscopic surgery have the longest growth curve. If they are already so skilled, what is there to worry about? Director Han left theboratory and went to the institute upstairs, the real driving force for the orthopedic department¡¯s growth. Once the scale has expanded to a certain level, the contest came down to research and academic performance. He sat alone in his office drinking tea quietly. Yang Ping handed the task of training junior doctors to Song Zimo and returned to his office. He began scrolling through the examination reports of the patients scheduled for surgery the next day, carefully examining each one. ¡°I¡¯ve assessed it, and there should be no problem with anesthesia tomorrow. The patient should start fasting tonight,¡± Liang Fatty announced as he came out of the ward. Now with their dedicated operating room, the efficiency was greatly improved. Moreover, having anesthesiologists assess patients in advance made the process safer and more efficient. Worried about potential hitches in the newly established procedure, Xiao Su checked the readiness of the instruments. The patient¡¯s daughter arrived. Noting that her mother was the only patient across the entire floor of the department, she felt a sense of panic.n/?/vel/b//jn dot c//om As if, when going out to eat, seeing the front of the restaurant without many cars and the inside empty with unupied tables, one would feel reluctant to step in. If it weren¡¯t for the fact that Sanbo Hospital is a provincial-level hospital, she would have immediately taken her mother elsewhere. To be cautious, before meeting the doctor, she made a phone call to a friend who studied medicine. Her friend said that Sanbo Hospital¡¯s Orthopedics department was divided into four wards, all located in the surgical building and didn¡¯t have a standaloneprehensive orthopedics department. Now her worry wasn¡¯t really faltering, but it was fluctuating awkwardly. Since she came here, she decided to at least meet them before deciding anything further. Little Five led the patient¡¯s daughter to the meeting room. Doctor Yang suggested politely, ¡°Please have a seat. I¡¯m Doctor Yang. Doctor Lu has already discussed your mother¡¯s condition with you. Are there any other issues you¡¯re concerned about?¡± This young is the head of the department? Considering multiple factors, she came to a conclusion: Is this ce a leased department within a hospital? The more she thought about it, the more concerned she became! ¡°This department belongs to Sanbo hospital, right?¡± the patient¡¯s daughter asked uncertainly. Startled for a moment, Yang Ping quickly realized her concern, ¡°Our department branched from the Orthopedics department, it¡¯s a newly opened wing. We just started today, and your mother is our first patient. Don¡¯t worry, our director is the head of the main Orthopedics department, I¡¯m sure you¡¯ve seen his introduction on the wall.¡± ¡°I heard that after tomorrow¡¯s surgery, she will be discharged the day after?¡± the patient¡¯s daughter had never heard of such speed, she thought the doctor must be bragging. ¡°From now on, patients like her will be discharged within 24 hours. This is a safe and efficient model, and 80% of surgeries in developed countries in Europe and America operate in this way,¡± Yang Ping exined. ¡°Doctors in those Western countries are very skilled!¡± the patient¡¯s daughter responded quite directly. ¡°The clinical practice skills of our country¡¯s doctors are not inferior to theirs at all. We have a lot of patients, and hence, a lot of experience. What weck are research abilities and contributions to medical science,¡± Yang Ping thought it was necessary to rify this misconception. Courtesy is important, but dignity must be maintained. As long as this was not a leased department, it wasn¡¯t much of an issue. However, she decided to be cautious since surgery is a serious matter. The patient¡¯s daughter said, ¡°I¡¯ll discuss it further with my grandmother, and I¡¯lle backter to sign the consent.¡± ¡°You can find Doctor Lu afterward to sign the consent,¡± Yang Ping knew she was hesitant. It¡¯s normal to have thisck of trust on the first day of establishment. Back in the ward, the patient¡¯s daughter sent a WeChat message to her friend who studied medicine: Do you have any friends at Sanbo? Can you help me check how good Doctor Yang Ping is at performing surgeries? It didn¡¯t matter if she had friends working at Sanbo, as someone could be found after a few transfers. After about ten minutes, a message replied: ¡°Dr. Yang Ping of Sanbo¡¯s Orthopedics department, the pioneer of five-segment rentation, his surgeries are ¡ª thumbs up!¡± Relieved, the patient¡¯s daughter immediately went back to the doctor¡¯s office, ¡°Doctor Lu, my grandmother agrees. Can I sign the consent now?¡± Everyone was quite happy on the first day. Preparing for this patient¡¯s surgery, they could rx a little. With a few standardized training students on duty, Zhang Lin and Xiaowu could also take a breather. ¡°Little Five, Fatty, let¡¯s have a meeting,¡± Zhang Lin called them over. A few of them went to the on-call room, closed the door, and it was unclear what they were up to inside. Suddenly, inside the office, all the standardized training students straightened up. Yang Ping looked to see Professor Zhang Zongshun standing at the entrance. ¡°Professor Zhang!¡± Yang Ping immediately went over to help him. He didn¡¯t even bring his crutch. He deliberately walked a few steps, ¡°I¡¯m recovering quite well. It¡¯s almost been three months, time for a check-up, right?¡± ¡°There¡¯s one week left. I¡¯ll call you at that time. Please sit down, Professor Zhang,¡± Yang Ping arranged a chair for him. ¡°No need, I want to walk. Otherwise, my muscles will atrophy, and I will be prone to disuse osteoporosis. It¡¯s better to walk more,¡± Professor Zhang insisted on wandering around himself. ¡°I reviewed your follow-up x-ray taken one and a half monthster, your bone fracture is healing quite well,¡± Yang Ping apanied him out of the office. ¡°Hmm, I just want to see how your new department is doing. You continue with your work, I¡¯ll just wander by myself,¡± Professor Zhang said. Professor Zhang walked around with his hands behind his back, sometimes peeking inside empty wards, asionally looking up at the posters on the wall, and sometimes rubbing the floor with his foot, inspecting the ce just like a project manager checks the status of a construction project. Hmm, the male doctor¡¯s on-duty room, I¡¯ll take a look. Professor Zhang pushed the door open. Little Five nced at a person from the corner of his eye, took a closer look, and was stunned, it was Professor Zhang! Standing behind Zhang Lin and peering in without saying a word, Little Five didn¡¯t know when Professor Zhang had entered. Noticing Little Five paused, staring at him, Zhang Lin became annoyed: ¡°Are you stupid? Why are you staring at me? Shoot, let¡¯s rush out together!¡± Fatty was also sitting opposite Zhang Lin. They were sitting in a triangle on the bed, with Zhang Lin¡¯s back facing the door, and Little Five and Fatty facing the door. It¡¯s Professor Zhang! Fatty also saw him, so shocked he was dumbfounded, nearly shouting out loud. They were in such deep shit, it¡¯s as if they had sunk into the bottom of the Pacific. Both men were secretly cursing their bad luck. Chapter 122 - 0119: Difficult Task Chapter 122: Chapter 0119: Difficult Task ¡°Charge at them, use a sniper rifle, take out the sniper in the opposing forest!¡± Professor Zhang shouted in desperation. Zhang Lin turned his head, froze, dared not move a muscle, held his mobile phone tightly, stuck in a particr motion. ¡°Professor Zhang¡ªProfessor Zhang!¡± Sweat seeped from his forehead. If he got caught by Elder man Zhang, the ending would be miserable. Even a poorly buttoned button could get him Scolded, he didn¡¯t know what the oue of ying a game would be. ¡°Professor Zhang, you see, we¡¯re just rxing a bit this afternoon since there¡¯s nothing to do.¡± Zhang Lin wanted to cry. Begging pitifully, stuttering, it took all of his courage to squeeze out this sentence. ¡°Professor Zhang¡ª¡± ¡°We¡¯ll never dare to do it again!¡± Little Five and Liang Fatty pleaded together, sitting cross-legged on the bed. Their posture was quite awkward, but they dared not move. ¡°Go on, y it. Why are you looking at me?¡± Professor Zhang pointed at Zhang Lin¡¯s phone. y? y what? Zhang Lin¡¯s thoughts werepletely offline. ¡°It¡¯s already off-duty hours. Come on, let¡¯s y together.¡± Professor Zhang pulled out his mobile phone and sat down on the chair by the desk. Was this real or fake? Everyone waspletely bewildered, feeling their intelligence was clearly not enough to handle the situation. ¡°Lock the door, make sure it¡¯s bolted!¡± Professor Zhang shrewdly pointed his chin towards the door. Zhang Lin slid down stiffly from the bed, walked a few steps, looked back, waiting for Little Five and Fatty¡¯s thoughts. Little Five and Fatty were clearly out of ideas at this point, they wondered what Old Zhang was up to. He locked the door and twisted the handle to confirm. ¡°Hurry up, let¡¯s team up, before the olddy calls us back for dinner.¡± Professor Zhang beckoned them. ¡ª¡ª After a busy round, Director Han returned to the office and found Yang Ping still hadn¡¯t left: ¡°You can go off duty and rest, we have someone on duty.¡± Yang Ping said: ¡°Professor Zhang just came here.¡± ¡°Where is he?¡± Director Han asked. Yang Ping went to the door, peered into the corridor, ¡°He was just here a moment ago, but he disappeared when I turned away.¡± Director Han also looked out and said: ¡°It¡¯s fine, let him wander around. His leg ispletely normal now. I saw him doing Tai Chi in the park this afternoon. He will join us in a few days, help us, and run the clinic. I requested another nurse from the operating room side, Zhou Can! We only have one anesthesiologist for the time being.¡± Zhou Can is not bad, diligent and intelligent, quirky. Director Han was good at choosing people. ¡°That¡¯s enough for now. If we have more surgeries, we can discuss it.¡± Yang Ping knew it was hard to get people, the operating room was also short staffed. Director Han had significant pull, hence getting people in smoothly. ¡°There¡¯s ate-stage liver cancer patient at the Overseas Chinese Building. He has metastases all over his body, which have reached the thoracic 1 to thoracic 4 spine. He¡¯s now experiencing severe chest pain, morphine is not working, likely due to a metastatic tumor invading the tension nerve root. Director Kong asked me to go there for a consultation. Do you want toe with me?¡± Director Han was preparing to go to the consultation. ¡°Okay, shall we go now?¡± Yang Ping was very interested. ¡°Oh, and the Academic Conference is being prepared, you are responsible for the surgeries here. Director Tan hasn¡¯t arranged a specific role for you, but you have their help, you just need to focus on the surgeries here.¡± They chatted while walking. When they arrived at the Oncology Department doctor¡¯s office in the Overseas Chinese Building, Director Kong was waiting. He was glowing with excitement and looked very pleased. ¡°Thank you for your efforts. It¡¯ste-stage liver cancer, metastases all over his body. He has metastatic tumors on his spine, and he¡¯s in severe pain in the chest now. Morphine only relieves the pain in the liver area, but it can¡¯t relieve the pain in his chest. The department of pain management has installed an intravenous pain pump, but it¡¯s not working either. Let¡¯s go see him together.¡± In thete stages of liver cancer with metastases all over the body, there is not much that can be done, only pain relief and supportive treatment can be given to improve the patient¡¯s final quality of life. The patient¡¯s face was yellowish, inhaling oxygen, lying semi-reclined on the bed, the muscles on his face were twitching intermittently, and beads of sweat rolled down his forehead non-stop. It was heartbreaking to watch. The patient¡¯s family member, his daughter, a tall young woman, appeared mature and capable, sat beside the bed, looking distraught and helpless. Director Han examined the patient and briefly inquired about his pain. ¡°I¡¯m begging you all!¡± His daughter bowed deeply. ¡°We will discuss this matter.¡± Director Kongforted the patient. After seeing the patient, the group left the ward, washed hands, and returned to the doctor¡¯s office. ¡°Why isn¡¯t he in the ICU in this situation?¡± Director Han questioned. ¡°The patient refuses to stay in the ICU, and refuses intubation and resuscitation once his life is in danger. He already signed an informed consent form, his only request is pain relief.¡± Director Kong exined. ¡°We may need to request a consultation with specialists from within the hospital and from elsewhere. His family will probably invite experts from Fuer Hospital and Professor Su Qingyun for the consultation.¡± Director Kong added. Professor Su Qingyun, the dean of Fuer Hospital, is a prominent figure in orthopedics in Nandu Province and a popr candidate for academician. At this time, the patient¡¯s daughter came over and knocked lightly on the office door. ¡°Come in!¡± Director Kong motioned for her to sit down. ¡°This is Miss Ning, Mr. Ning¡¯s daughter,¡± Director Kong introduced. Mr. Ning was the patient they had just met. ording to Director Kong, Mr. Ning was a well-known tycoon in G City with enterprises that spanned banking, finance, stocks, and insurance. Miss Ning¡¯s eyes were red and slightly swollen, and she spoke sorrowfully, ¡°My father does not have much time left. I just want him to suffer less and leave this world with dignity.¡± As Miss Ning spoke, she wiped away her tears with a tissue, ¡°If it weren¡¯t for my brother, he probably wouldn¡¯t have held on this long. I¡¯m sorry to trouble everyone, please help!¡± Miss Ning brought her hands together as if in prayer. ¡°We will do our best to find a solution,¡± Director Kongforted her. Back at the orthopedic center, Director Han pulled up the patient¡¯s imaging data, ¡°Xiao Yang, take a look. Any good ns?¡± ¡°Based on the site of the pain, it is concentrated in his sternal angle. It seems that his thoracic 2 nerve root, has been infringed and strained. Look, both the CT and MRI indicate that the thoracic 2 nerve root is being invaded and strained by a tumor. There¡¯s no way to do intraspinal catheterization in this area. If the ne was below thoracic 4, we could catheterize and anesthetize the area below the ne, but not this one. Once anesthetized, it would seriously affect his breathing and we would need to intubate.¡± Director Han pointed at the images on the screen of the electronic viewer. ¡°What about a high selective root nerve block?¡± Yang Ping suggested. Director Han shook his head, ¡°Very difficult! Look, the tumor is blocking, puncture is limited; even if there¡¯s no tumor blocking, it¡¯s impossible to be precise and puncture into the sheath of the nerve root. If the anesthesia leaks out, it would have the same effect as intraspinal anesthesia and affect his breathing.¡± ¡°We can locate the blood vessels by doing a CT angiography for three-dimensional reconstruction, but we can¡¯t pinpoint the nerves using angiography. If we can determine the spatial orientation of the nerve and its rtionship with the tumor, things might be easier.¡± Yang Ping eximed. ¡°That won¡¯t work either. Even if we know the spatial rtionship, how can you ensure that you will be able to puncture into the sheath of the nerve?¡± Han said. ¡°Dingdong, mission: End-of-life care! Complete a high-difficulty pain management case, reward sixteen thousand points.¡± The long-silent system dingdonged again. Yang Ping thought it stopped issuing single tasks, it turns out the difficulty of the tasks has increased, and the less difficult ones are now counted as daily tasks. ¡°This patient¡¯s situation cannot be handled by our department alone. There will be a hospital-wide consultation and consultation with external experts soon. Let¡¯s wait for the major consultation. You can go off duty and rest now,¡± Director Han said as he was about to leave. Yang Ping didn¡¯t have anything else to do after work anyway, so he opened the patient¡¯s information on theputer using his VIP ess that Director Han had helped him secure before bing a chief doctor. He reviewed the data several times, thinking hard about the situation. The key issue of this patient was that intraspinal anesthesia for pain relief could not be performed, and if a nerve root block was to be performed, the puncture into the thoracic 2 nerve root sheath must be precise. This degree of difficulty was nearly impossible to achieve¡ªit was theoretically possible, but practically unfeasible. So what now? After thinking for a long time, Yang Ping kepting back to the nerve root block. Without that, there¡¯s no solution to this problem. ¡ª ¡°How can you be so poor at this?¡± Elder Man Zhang scolded Zhang Lin. Zhang Lin scratched his head and chuckled sheepishly. Elder Man Zhang¡¯s phone rang, ¡°I¡¯m not ying anymore, the olddy is nagging me to have dinner.¡±N?v(el)B\\jnn He stood up to leave and turned back, ¡°You can¡¯t y during work hours, but you can y after work!¡± He walked a few steps, opened the door and turned back, ¡°Remember! Not during work hours!¡± Chapter 123 - 0120 Three-dimensional Reconstruction Chapter 123: Chapter 0120 Three-dimensional Reconstruction The next day, at half past eight, the surgerymenced on time as the first operation conducted in the Department of Orthopedics. Director Han also took the time to be present, to have a localized oversight of the workflow and address any loopholes. The utilization of the multi-functional surgical suite proved to be quite an experience. High-definition LCD screens were fixed on adjustable overhead arms attached to the ceiling, allowing versatile angle adjustments. Several screens were avable for the primary surgeon, the assistant, and there was one connected to the operating roomputer host, which allowed the patient¡¯s clinical records and imaging data to be disyed anytime the doctors needed to reference them during the surgery. Moreover, the screen connected to the host was covered with a transparent sterile istion film. If the chief surgeon was dissatisfied with the lower-level controls, they could manipte the screen to retrieve the desired data. Positioning was achieved using surface ultrasound, and anesthesia was administered in the form of sciatic and femoral nerve blockade. Liang Fatty was quite adept at these procedures. ¡°How long will itst?¡± Liang Fatty asked. This type of blockade used one-time medication, which couldn¡¯t be replenished halfway through. If too much anesthesia was given, a patient may not be able to move their lower limbs even after the surgery; if too little was given, the patient would start feeling pain before the operation wasplete. Therefore, the anesthesia dosage had to be calcted extremely urately, ounting for body weight, age, and liver and kidney function. Additionally, familiarity with the chief surgeon¡¯s operation speed was crucial. ¡°Half an hour!¡± Yang Ping answered. ¡°Is that enough?¡± Liang Fatty questioned. A half-hour, less the time spent washing hands, sterilizing, clothes, and postoperative bandaging, only left slightly more than ten minutes for operating. ¡°It¡¯s enough!¡± Yang Ping assured confidently. Wash hands! Sterilize, redo hand sterilization, get dressed, cover with a disposable arthroscope sheet, connect various lines and tubes, drive out the blood, balloon the tourniquet, and Song Zimo¡¯s assistant. The scalpel prated the skin and the joint capsule, creating two 0.5 centimeter incisions on either side of the pater eye. An exploration sheath was ced through the left incision to enter the knee joint and extend through the suprapater pouch. After the puncture spike was withdrawn, a lens was inserted and the surgery began. A bright, circr view of the joint appeared on the overhead screen. After a thorough examination using the hook probe, it appeared as if the popliteal tendon foramen was normal. The hook probe was inserted and a strip of synovial membrane was gently pulled out. The basket forceps entered, severing the synovial strip, and the sma knife was used to prevent bleeding and eliminate the less-than two-millimeter remnant. The whole process took just over ten minutes, followed by suction and withdrawal of instruments. Long-acting local anesthesia was used topletely seal the two small incisions. The two 0.5-centimeter incisions were stitched up, stuffed with cotton pads, andpression bandage applied. Once the tourniquet was released, the patient¡¯s right lower limb was able to move and sensation had returned. The first surgery marked a striking coboration amongst the entire team and the rhythm was very well controlled. The damage and stimtion caused to the human body by this surgery would not be more than skin abrasion caused by a fall. The nerve blockade anesthesia was a type of local anesthesia. After surgery, the patient could immediately eat and even walk out of the operating room. The patient moved her knee joint a little and it didn¡¯t hurt or lock up anymore, she could feel the immediate effect. ¡°You can be discharged tomorrow. Do not let the incision get wet before the stitches are removed. You will have to visit a nearby hospital or our hospital for regr dressings. The stitches will be removed in ten days.¡± Song Zimo was responsible for after-surgery education. ¡°Try it! Walk back by yourself?¡± Little Five supported her while Zhang Lin fetched her shoes. ¡°So soon? Let me try!¡± The patient put on her shoes and tried to step on the ground, but was unsure at first. Yang Ping encouraged her: ¡°It¡¯s fine, take a few steps!¡± She mustered her courage to take the first step, feeling good and steady. The second step and the third step were fine. She could really walk back home. There was no problem moving her knee joint, except for the slight restriction from the bandage, no pain or seize up. Director Han got up, beyond the surgical proficiency of Yang Ping, his imagination. The patient¡¯s daughter waiting at the door of the operating room saw her mom walking out, chatting andughing with the doctor, and thought the surgery was called off. ¡°What happened?¡± ¡°It¡¯s done!¡± Done? So fast. The patient moved her knee joint and deliberately walked a few steps, turning to show her daughter. It was indeed normal movement. ¡°Finally, it¡¯s resolved. Where¡¯s Yangyang? I need to pick him up.¡± The patient was delighted. ¡°Can she really be discharged tomorrow?¡± The patient¡¯s daughter supported her, watching her legs closely. Having undergone two surgeries, it was the third time that her problem was finally resolved. It was a good thing she didn¡¯t rush the discharge. The elderdy praised them all the way. ¡°Are you still single?¡± The elderdy asked ¡ª when she¡¯s happy, she wants to y matchmaker. ¡°Getting married soon.¡± Zhang Lin interjected with the answer. The elderlydy seemed a little disappointed. ¡°I have a friend whose knee joint is severely swollen. He can¡¯t walk now. Can I ask him toe and see you?¡± The elderlydy was very pleased. Her daughter was not pleased,ining about her mother for poking into others¡¯ business. Introducing doctors was a thankless task. The elderlydy obviously didn¡¯t care; she just wanted to lend a hand to her friend. The first operation ended perfectly; everyone was delighted. It signified the official start of theprehensive orthopedics Department. Song Zimo began writing the surgical records. Zhang Lin recorded the course of the disease. Theprehensive Orthopedics Department had thirty beds in total. Zhang Lin and Little Five were in charge of 15 each, each of them guided two standardized training students, so the team had enough manpower to manage thirty beds. Yang Ping began studying Mr. Ning¡¯s condition again. The CT transverse sections had images of nerves, and the maic resonance images had images of nerves in three sections. Three-dimensional reconstruction uses these sectional images to reconstruct a 3D image. This job was performed by the built-in software of the CT or maic resonance machine. Yang Ping found his brain¡¯s imaging ability had improved quickly and notably ¡ª in particr, his memory of details was extremely powerful, nearly reaching the point of photographic memory. This was the result of the system¡¯s super training program. He attempted to reconstruct a three-dimensional image of the patient using his brain. Images appear, ovep, andbine in his mind. Both the details he focused on and those he did not were retained faithfully in their original appearance. The three-dimensional spine, tumor, blood vessels, and nerves gradually took shape. This was not the work of a system but of his own brain processing, without reliance on any system. To highlight, the nerves were marked in red, and their direction gradually became clear. Creating this three-dimensional image was not easy and was quite strenuous. Some key details had to be repeatedly reinforced to achieve stable rity. When one area was filled in, another wascking. When one area became clear, another became blurry. The image only barely took shape after several augmentations. Song Zimo was standing not far away, watching Yang Ping re at the screen with focused eyes, like a thinker¡¯s sculpture. He did not want to disturb Yang Ping, but wanted to see what he was so engrossed in. Yang Ping pulled out a piece of paper and began to sketch on it. First were outlines, then lines, then a dimensionality rendering, and finally details. The perfect application of surrealistic painting technique in medicine resulted in an image leaping out from the paper. Song Zimo approached, but Yang Ping was so engrossed that he did not notice. ¡°What is this? He actually made a reconstruction based on the CT and MRI images? Made a reconstruction using his brain? And then expressed the reconstruction through drawing?¡± Is this even a human? Am I working with an ordinary person? Director Han also came in, he saw the strange expression on Song Zimo¡¯s face and the sculptural focus of Yang Ping, not knowing what had happened. Upon closer inspection of the drawing and the images on the screen, he understood. Was this a reconstruction using the brain? And the reconstruction image was drawn out with a pencil? How strong a brain¡¯s visual construction capability would this require? No wonder it¡¯s said that the content of a genius¡¯s thoughts are images, while the content of an ordinary person¡¯s thinking is simtednguage vocalization. Both of them were unwilling to disturb him. Putting down his pen, Yang Ping touched his forehead and found sweat. It seems that creating such an image is still very strenuous, and he needs to keep improving his drawing ability in the future. ¡°Oh, Director Han! ¡°Yang Ping felt a presence behind him and turned around to see Director Han and Song Zimo. ¡°Song Zimo, how¡¯s the patient after the operation?¡± ¡°No problem, very good!¡± n/?/vel/b//jn dot c//om ¡°Director Han, this is the picture I drew based on CT and MRI. This is the spine, this is the spinal cord and dura, this is the nerve root, this is the intervertebral foramen. The Th2 nerve root is invaded by the tumor and pushed aside by the tumor. And this tumor has a very rich vascr supply,¡± said Yang Ping, pointing to the picture he had drawn. ¡°The Oncology Department has performed embolization treatment for liver cancer. Now there are few blood vessels, even fewer than before the embolization,¡± Director Han said, Song Zimo pulled a chair for Director Han to sit on, and he himself also sat down. ¡°Are you still thinking about nerve root blocks?¡± Director Han knew his thoughts. ¡°Yes, it seems that apart from that, there is no other way?¡± Yang Ping seemed distressed. ¡°Is this the reconstruction image you drew?¡± Director Han asked. ¡°A sketch!¡± Yang Ping nodded slightly, answering sinctly. This sketch can alreadypete with a real CT or MRI three-dimensional reconstruction, and the details are clearer. It¡¯s right not to train him as a normal person. ¡°Do you have any good methods?¡± Director Han couldn¡¯t help but ask curiously. ¡°Not yet!¡± The answer was very confident and precise. Finding a method is not easy. It must be feasible in theory and practice. It must be safe and not cause side damage. This is why medicine progresses slower than other sciences. Looking at his mobile phone, Director Han received a notification: a grand meeting consultation for the patient in the Overseas Chinese Building at five in the afternoon. In addition to the heads of each department of the hospital, orthopedic, tumor, and pain experts from Fuer will also participate. The consultation was originally scheduled for three in the afternoon, but Professor Su Qingyun was not avable. He could only arrive at five in the afternoon, so it had to be arranged for five in the afternoon. The family used many connections to invite Professor Su over. Professor Su, Meng Heng in Beijing, Hong Zhigang in Shanghai, Fu Shancheng in the western regions, are all hot candidates for academicians. ¡°In the afternoon, you participate as well?¡± Director Han not only appreciated his talent but also his attitude towards medicine. Yang Ping also wanted to join. He heard that Professor Su Qingyun was very distinguished, rigorous in his study, and advanced in his thinking. Whether in surgery or academic achievements, he was a top performer domestically and held a ce internationally, a spiritual g in the orthopedic academic field. To be able to invite him was not a question of money, but of rtionships. Perhaps Mr. Ning had a deep rtionship with Professor Su. To have the opportunity to discuss cases with him at close range, what a rare opportunity! Yang Ping thought. The voice outside was familiar, the aunt who had undergone surgery today was talking. She brought another aunt, and the family pushed her directly to the doctors¡¯ office in a wheelchair. ¡°Doctor Yang, this is the friend I spoke of. Look, her knee is so swollen, she can¡¯t move it at all, how long has it been?¡± The aunt was very enthusiastic. The patient said, ¡°It¡¯s been swollen for several years, often suddenly getting stuck, then it can move after a while. But this time it¡¯s been stuck for a month,pletely immobile.¡± ¡°Have you seen a doctor?¡± Yang Ping asked. ¡°No!¡± The patient touched her left knee. ¡°You guys are busy, I have something else to do.¡± Director Han got up and left, while Yang Ping continued to see the patient. He inquired about her medical history in detail and performed a physical examination. ¡°This is likely synovial chondromatosis. There are lots of little objects like peanuts growing inside the joint. To confirm, we need to do some tests, get an X-ray, and do an MRI. Little Five, can you arrange this?¡± Yang Ping said after the examination. Little Five exined to the patient¡¯s family how to apply for a patient card, once the patient card was ready, they coulde back up to get a check-up form. Once the patient¡¯s family understood, they pushed the patient to apply for the card. They had no questions and trusted Yang Pingpletely. This is the power of reputation. Nothing is more persuasive than reputation. Chapter 124 - 0121: Five Hundred and Four Chapter 124: Chapter 0121: Five Hundred and Four Soon, the patient came back after getting their medical examination card. Little Five essed theputer outpatient system and filled out the examination sheet for the patient:teral and frontal X-rays (in standing position) of the left knee joint, and an MRI scan of the left knee joint. Theputer showed that the queue for an MRI scan was backed up for a week. Seeing the patient¡¯s anxiety, Little Five cancelled the form and rmended them to go to a private imaging center called ¡°Quantum Imaging¡±, where they could expedite the examination and get the results on the same day. Quantum Imaging¡¯s owner is a radiography Ph.D. who spent years studying in the United States. A bright entrepreneur with a solid family background, he chose to run a business rather than practice medicine after returning home. n/?/vel/b//jn dot c//om He invested in setting up an imaging examination center in G City called ¡°Quantum Medical Imaging Center¡±. All the CT and MRI machines, including PET-CT machines, are top-of-the-line and the business has been booming since it opened. In big hospitals, it takes a week to get an examination done, and another week to get the report. At Quantum Imaging, it can take as little or as much time as the patient wants. For expedited services, one needs to pay extra, but the report will be avable in two hours. For regr services, results will be avable within 24 hours. As for dyed services, Quantum offers discounted rates and results within 24 hours, which is still faster thanrge public hospitals. As long as you¡¯re willing to pay, results can be produced immediately uponpletion of the examination, for a quite high fee, with a dedicated person apanying the whole process. Yang Ping had visited this imaging center and had been impressed. The waiting experience was also pleasant, with awork television, a wide range of newspapers and magazines, and free coffee and beverages. They even had toy rewards to encourage children¡¯s cooperation during examinations. Hearing that they could be discharged a day or two after the examination, the patient was eager to get everything done right away, including moving into the hospital for surgery. Without further ado, the family members pushed the patient to Quantum for examination. Meanwhile, Song Zimo, Zhang Lin, and Little Five went to theb to practice arthroscopic operations along with a few standardized training students and interns, as there were no new patients at the moment. Once again, Yang Ping began studying the case of Mr. Ning. All the potential puncture angles he imagined were not feasible. Neither could heplete the route of the intervertebral foramen surgery, as it was either blocked by the tumor or by the bone tissue. The target was like an enemy hiding in a dead spot from a sniper¡¯s bullet path, leaving himpletely at a loss. If none of the routes were feasible when he tried to puncture through soft tissues, what about puncturing through the bone tissue? Yang Ping allowed his imagination to run wild. If the enemy was hiding in a thick corner of the wall and couldn¡¯t be shot, then the solution would be to open a hole in the wall first, allowing the bullet to pass through the hole and hit the enemy. This was an interesting idea that Yang Ping believed could work. It would also be the safest as the puncture needle would stay within the bone until it reached its target, which means there was no need to worry about damaging the tumor¡¯s blood vessels. Yang Ping mentally tried to simte the puncture process. The nerve rootes out of the intervertebral foramen formed by the first and second thoracic vertebrae. Puncturing through the pedicle of the first thoracic vertebra would be ideal since it points downwards and inwards. After piercing through the bone tissue of the pedicle, breaking through the endpoint bone tissue, and entering the nerve sheath, the rest of the operation would be significantly easier. Once Yang Ping had refined this n, he went to Director Han¡¯s office and shared his thoughts. Upon hearing this, Director Han was amazed and highlymended Yang Ping¡¯s n. It was in line with his own thoughts. Although the puncture was extremely difficult, it was considered safe, and even if a failure urred, there wouldn¡¯t be much coteral damage. Just as Director Han had conceived this idea, Yang Ping had already pieced together a mature n including the angle, location, and depth of the needle insertion, precautions, and puncture techniques. Impressed by Yang Ping¡¯s imagination, a delighted Director Han said: ¡°You wille with me to the grand rounds this afternoon. But Director Kong just called. The patient¡¯s family has requested Professor Su Qingyun to attend. They estimate that he will bring his team. If the n for selective nerve block is confirmed, his team may be performing the operations. Your idea is very good and mature, and although the puncture is difficult, it is much safer as the entire puncture pathway is inside the bone. Even a failure will not have a significant impact, unlike having to perform puncture through soft tissues. A mishap in that could damage blood vessels resulting in bleeding, which wouldplicate matters. You should also give your opinion at the grand rounds to get some practice and experience.¡± ¡°I¡¯d rather not give an opinion, I¡¯ll just go and observe,¡± Yang Ping felt that at such meetings which were usually attended by high-ranking officials, it wasn¡¯t proper for him to speak. Director Han shut him down: ¡°When I tell you to give an opinion, you must give one. Don¡¯t keep on mumbling and hesitating. Just present the idea you shared earlier. Don¡¯t be afraid, you¡¯ll be sitting next to me and you are representing me.¡± Yang Ping spent the entire morning contemting the treatment n for that patient. By the time lunch arrived, Su Yixuan had to call him, otherwise, he would have forgotten to eat. She had already got his meal ready and was waiting for him in the cafeteria. Yang Ping quickly finished his work and went to the cafeteria. In the quiet corner, Xiao Su passed the chopsticks to Yang Ping, ¡°I heard that there¡¯s a grand rounds for a patient from Overseas Chinese Building this afternoon?¡± ¡°Yes, a patient in thete stages of liver cancer has metastases throughout their body. The tumor has infiltrated the second thoracic nerve root causing severe chest pain. They need a multidisciplinary consultation to find a solution for pain management. I¡¯ve been contemting the patient¡¯s case all morning and forgot to check your WeChat message.¡± Yang Ping spoke as he ate his lunch. Xiao Su didn¡¯t seem to mind Yang Ping¡¯s indifference, ¡°That¡¯s okay. I knew you would be busy. I came first to get us some food and waited for you.¡± ¡°A few outside experts have been invited as well. I will also be attending the consultation this afternoon.¡± Yang Ping reported his day¡¯s n. Xiao Suughed, ¡°Are they all directors? Are you the only young doctor?¡± ¡°I don¡¯t know. Director Han has called me over. There¡¯s a professor from a top hospital, he¡¯s the chairman of our province¡¯s Orthopedics Department. I¡¯ll go to experience the demeanor of a big shot professor.¡± Yang Ping devoured his food. ¡°Slow down, don¡¯t choke. Do you have enough? Shall I get you more?¡± Xiao Su said, with concern. Yang Ping epted Xiao Su¡¯s napkin, wiped his mouth and said, ¡°I¡¯ve had enough. I¡¯ll eat quickly and go back to study the patient¡¯s surgical n. It is indeed quite a challenge.¡± ¡°If it was not challenging, they wouldn¡¯t be asking for experts from external hospitals. Director Han is nationally renowned. If he needs to ask for external experts, it means that not only is it difficult, but the risk level must be high,¡± Xiao Su offered his analysis. ¡°Haven¡¯t forgotten about our weekend ns, have you?¡± Xiao Su¡¯s dimples looked quite charming when she smiled. Yang Ping blushed, realizing he had actually forgotten about it. ¡°What are you nervous for? It¡¯s not a big deal if you forget, as long as I remember it.¡± Xiao Su¡¯s observations of his expressions suggested to her that he might havepletely forgotten. Xiao Su packed up the two metal meal trays, tidied up the trash on the table, giving it a few wipes with a napkin, making it seem as though no one had ever eaten there. ¡°Let me do it!¡± Yang Ping picked up the meal tray, with Xiao Su following him. ¡°I need to take a call.¡± Xiao Su¡¯s phone vibrated. ¡°Hmm, I¡¯m busy this afternoon and won¡¯t have any free time. Hmm, hmm, hmm, understood¨C¡± After a few words, Xiao Su hung up the phone. While returning the meal trays, they bumped into Dr. Jin, who excitedly asked, ¡°Do you remember ourst case of metallic ion-reactive synovitis?¡± Yang Ping said, ¡°I remember.¡± ¡°The patient returned for a follow-up and has recovered. Now, his limbs are no longer swollen or painful, and he can y ser. The patients¡¯ family was so happy that they brought a banner to express their gratitude. This banner should be given to you.¡± said Dr. Jin. ¡°It¡¯s not meant for me. It¡¯s meant for our department, for everyone!¡± Yang Ping corrected. After chatting with Dr. Jin for a bit, Yang Ping and Xiao Su returned to their department. Unable to fall asleep during his lunch break, Yang Ping entered system space to conduct dozens of dissections, reinforcing his anatomical knowledge training. His current ability to construct mental images was still basic. He capable of forming images, but formingplex ones was quite challenging. Yang Ping tried to recreate the images he constructed in the morning, if he could reproduce them, it meant his memory was improving rapidly, especially his memory for images. In the afternoon, the patient came back from the full body scan. This patient was followed up by Little Five. Little Five put up the X-ray, and everyone became anxious upon seeing it. The X-ray film was filled with varying sizes of particles, round and oval-shaped, with at least hundreds of them visible. There were even some invisible ones on the X-ray film, because cartge is invisible on X-rays. Little Five put up the MRI images and everyone felt their entire bodies tense up. The patient¡¯s son nearly threw up, he rushed to the side of the trash can, gagging several times. Not every doctor can intuitively understand MRI images. The film was filled with hundreds of particles spread across the entire knee joint cavity. Synovial Chondromatosis! Extremely severe Synovial Chondromatosis! Those with a fear of clusters should stand aside. Little Five took out his mobile phone to photograph and collect data. He took photos of the patient and the imaging pictures. ¡°Schedule the surgery for tomorrow, Synovial Chondromatosis, big and small, a total of 504 nodules!¡± said Yang Ping. The patient himself ended up covering his eyes. Chapter 125 - 0122: Grand Consultation Chapter 125: Chapter 0122: Grand Consultation I¡¯ve seen quite a few cases of synovial chondromatosis of the knee, and this one is rather rare. Little Five removed the film to spare the ustrophobic patient any difort. He admitted the patient to the hospital and arranged for pre-operative examinations and surgery. Yang Ping continued his research on the patient from the Overseas Chinese Building, repeatedly simting the punctures in his mind and adjusting the puncture angles to ensure a hit with every attempt. Song Zimo didn¡¯t rest at noon, staying in theboratory to practice arthroscopy. His lunch was brought over from the canteen by Tang Fei. He finished eating during the department¡¯s mealtime then continued practicing in the afternoon. Apparently, when he was in trauma orthopedics, he would practice until ten every night as long as there were no exceptional circumstances, sometimes even practicing until midnight. The CT and MRI 3D reconstruction for the patient in the Overseas Chinese Building has beenpleted. It is a thinyer scan, and the reconstruction is incredibly clear. Director Hanpares Yang Ping¡¯s drawing with the reconstructed image on the electronic reader. The spatial structures hardly differ, and Yang Ping¡¯s drawing is even more expressive. Checking the time, Director Han noticed it is already half past four. He set aside his work at hand, taking Yang Ping to the Overseas Chinese Building to participate in the grand consultation. Several directors had already arrived at the meeting room for the Internal Medicine Department in the Overseas Chinese Building, including Director Zhao of the Medical Department. Everyone gathered around the oval table, discussing the patient¡¯s condition privately before the meeting. Director Kong weed Director Han and Yang Ping, inviting them to sit. High-definition tabletputers were ced at each seating position . These were the terminals for the mobile medical record system, where patients¡¯ medical records and auxiliary examination results were essible. The resolution of the tablets was much higher than average, so that the details of image photos could be seen clearly. Director Kong hardly had a moment away from his phone, with people continuously walking in. All the major directors of the hospital, several professors from outside the hospital, and Director Zhuang of the Internal Medicine Department had hurried over to help entertain the guest experts. ¡°This is from the Second Affiliated Hospital¡­¡± ¡°This is from the First Affiliated Hospital¡­¡± ¡°This is from the Tumor Hospital¡­¡± Several directors came over one by one, taking their seats. Director Kong and Director Zhuang handled the arrangements with vigor and were well-prepared without any neglect or omission. These two from the Overseas Chinese Building, they bothmanded the room. Naturally, the consultation had to involve seeing the patient. Someone had already suggested taking a look at the patient. Director Kong led a group to the ward to see the patient while Director Zhuang helped entertain the guests. Everyone took advantage of this time to catch up. These experts were usually familiar with the heads of relevant disciplines in Sanbo Hospital. They often gathered together at meetings, and some were even in the same circle. Busy as they usually were, meetings were a rare chance to get together. Aside from academic conferences,rge consultations like this were a chance to chat for a while and update each other on recent happenings.n/?/vel/b//in dot c//om Only Professor Su Qingyun from the First Affiliated Hospital hadn¡¯t arrived yet. He was the primary expert for this meeting. Although the patient had liver cancer, the problem they needed to solve now was caused by spinal metastasis. Su Qingyun was the chairman of orthopedics in Nandu Province and a hot candidate for academician. Naturally, he was the most significant expert for this consultation. The meeting had been deferred from three o¡¯clock to five, specifically to wait for him. Since Professor Su was also the president of the First Affiliated Hospital and had much important work on his te, his finding time toe was a token of respect. Everyone privately discussed just how significant the patient must be to warrant Professor Su¡¯s personal involvement. For some consultations at other hospitals, even if they could get Professor Su, he would only send a student to attend. There were only a few minutes left, and Professor Su had not yet arrived. Yang Ping had seen Professor Su before, at an academic conference held by the People¡¯s Hospital. That was from a distance, not as close as this. Professor Su had published over a dozen papers in top international orthopedic journals such as AJAM and JBJS. He had an extremely high impact factor and was at the pinnacle of his field domestically, as well as being internationally recognized. Some people were ncing at their watch, some were looking towards the doorway, others were whispering to each other, but everyone was patiently waiting. ¡°Speak up during the meeting, don¡¯t be shy. In academic matters, call a spade a spade. There¡¯s no need to be modest,¡± Director Han quietly instructed Yang Ping. Exactly at five o¡¯clock, Professor Su, guided by Director Kong, walked in, followed by a young doctor who looked much like him. As soon as Professor Su entered the room, he smiled and greeted everyone, ¡°Sorry! Thank you all for waiting!¡± Actually, he wasn¡¯tte. He arrived precisely on time; it¡¯s just that everyone else hade early. Professor Su, in his fifties, didn¡¯t look old at all. He wore sses and a Zhongshan suit with a white shirt underneath. His demeanor was refined, his schrly bearing evident, and his powerful aura came from his long-standing academic expertise. Everyone came forward to shake hands with him. When he shook hands with Director Han, he took a little longer. ¡°Brother Han, long time no see,¡± he said. Seeing Yang Ping next to Director Han, Professor Su asked, ¡°Who is this?¡± ¡°This is Doctor Yang, my student!¡± Director Han introduced. Yang Ping shook hands with Professor Su. ¡°A young man of unique charm. Professor Han¡¯s vision is famously astute. He has not enrolled any doctoral students in many years, adhering to a policy of preferring scarcity to mediocrity. It seems that he has chosen a promising talent,¡± Professor Su said with augh. ¡°This is Dr. Su!¡± Director Han introduced the young man beside Professor Su. ¡°Su Nanchen!¡± The young man standing next to Professor Su shook hands with Yang Ping. ¡°Yang Ping!¡± Yang Ping could feel his confidence andposure. When Director Han was in Shanghai, both he and Professor Su were outstanding figures among the younger generation in the field of orthopedics. However, when Director Han moved from Shanghai to Sanbo Hospital in Nandu, he had to start all over again, naturally falling behind Professor Su in terms of academic achievements, but his foundations were still solid. They both recognized each other¡¯s talents, exchanged pleasantries briefly and then took their seats. ¡°That¡¯s Professor Su¡¯s son, a graduate of the eight-year program at Xiehe, a promising young orthopedist at Fuer, who studied at the Twin Cities Spine Center in Minnesota and the Special Surgery Hospital in New York after graduation. He will be a strongpetitor for you in the southern division of the Golden Knife Award; on a national level, he is one of your few exceedingly strongpetitors. He is also a well-rounded contender,¡± Director Han whispered into Yang Ping¡¯s ear. A case of ¡°like father, like son¡±, this Dr. Su is not only impressive in appearance but also a graduate of the eight-year program at Xiehe. The difficulty of being admitted to the eight-year program at Xiehe is no less than that of Tsinghua. Those who are able to get in are typically the cream of the crop, ranking among the top in the province¡¯s college entrance examination. Professor Su undoubtedly had high hopes for his son, otherwise, he wouldn¡¯t bring him along to such conferences. Having him by his side was to let him see the world, encourage interaction, and even help build his reputation andwork. Everyone took their seats, and the consultation started, with Director Zhao presiding and the attending physician presenting the patient¡¯s medical history. Once the medical history was presented, Director Kong added, ¡°Respected experts and Professor Su, thank you for taking the time out of your busy schedules to consult on this case today. The issue that this patient currently needs to resolve is the severe pain in the chest area. Thank you all very much!¡± ¡°Shall we first see the patient? Would that be possible?¡± Professor Su suggested. Director Kong led everyone to the ward to see the patient. Professor Su personally asked about the patient¡¯s medical history and performed a physical examination, as did the other professors, based on their own requirements, selectively questioning the patient¡¯s medical history and performing a physical examination. After seeing the patient, everyone washed their hands and returned to the meeting room. Director Xu of the Pain Department at Sanbo Hospital was the first to speak: ¡°This patient was admitted the day before yesterday. From the moment of admission until now, the treatment for pain has been under our supervision. ording to the principles of pain management for tumors, this patient has been using morphine for three months. For this hospitalization, morphine was used to its maximum dosage, 30 mg per dose, twice a day, but it could only relieve the pain in the liver area. The pain in the chest area remains severe. After aprehensive examination was conducted after admission, chest pain caused by heart, lung, and aorta were ruled out. Based on neural localization, the range of pain in the thoracic area is within the distribution area of the Thoracic 2 nerve branch. ording to the CT and MRI images, the Thoracic 2 nerve root is just being invaded and oppressed. Therefore, we believe it is caused by the Thoracic 2 nerve root. Unfortunately, it is not possible to perform intra-spinal anesthesia for pain relief here. Once respiratory depression urs, the consequences would be serious, so we encountered difficulties and need everyone¡¯s help.¡± ¡°Have you considered using an imnted pain pump, inserted into the spinal canal, with morphine as the main drug in the pump form, released regrly? This would simultaneously relieve pain without causing anesthesia in that ne, hence not affecting breathing.¡± The director of the Pain Department at Fuer suggested. Once the director from Fuer had finished speaking, the director of the Pain Department at Fuyi said: ¡°An imnted intraspinal pain pump is also not feasible. Morphine has already been used to its maximum dosage to suppress the pain in the liver area. This kind of nerve root pain, based on our experience, is almost immune to morphine. In the past when the nerve root was healthy, without any tumor invasion, it worked. But when the nerve root is being invaded and strained by tumor tissues, morphine is ineffective; anesthetics must be used for nerve blockade.¡± The director of the Pain Department at Fuer had a different view: ¡°Nerve blockade is too difficult, almost unfeasible. Normally we perform nerve blockade around the sheath, and even if we puncture the sheath, anesthesia will leak. With this kind of blockade, we must guarantee that all anesthetics are in the neural sheath and cannot leak. Otherwise, it would cause anesthesia in that ne and suppress breathing. Mechanical venttion would be the only option.¡± After a brief silence, a professor from the Tumor Hospital spoke: ¡°Has surgical intervention been considered? Without affecting other areas, we can go in from the rear, only removing the tumor tissues that are pressing and invading the nerve root, relieving the pressure and liberating the nerve root, and the pain would naturally disappear.¡± ¡°The family refuses surgery, even if it¡¯s targeted!¡± Director Kong exined. ¡°They refuse surgery yet want a solution to the problem; this is indeed a challenging issue they have presented us with.¡± The director of Orthopedics at Fuermented. The orthopedics department at Fuer ranks second in Nandu province. A long time ago, Fuer and Fuyi orthopedics were on par with each other, but once Professor Su Qingyun took over as head of orthopedics at Fuyi, they began leaping ahead, frompetitive to dominant. Symbolizing high-risk orthopedic procedures, scoliosis correction surgery is performed more than three hundred times a year at Fuyi, ranking them in the top tier in the country, while Fuer only performs close to a hundred, cing them in the second tier. For bone tumors, Fuyi has its separate,rger-scale bone tumor ward, whereas Fuer doesn¡¯t yet have a separate bone tumor ward with scale. Hence, naturally, orthopedics at Fuer epted its position as second best, considering Fuyi as its older brother. Neither intra-spinal analgesia nor nerve blockade is applicable, and the family refused surgery. How can this discussion continue? The room fell silent once more. Chapter 126 - 0123: Sniping through the Wall Chapter 126: Chapter 0123: Sniping through the Wall The silence was brief, the discussion continued, tense and heated. In academic discussions, there¡¯s no room for diplomatic twists and turns. Sometimes arguments can escte, with table pounding and faces turning red. No one would concede to another. The presence of Professor Su prevented such explosive situations from urring, but debates were inescapable. ¡°Director Han, do you have any thoughts?¡± Director Zhao asked. Director Han stood upright, akin to a general initiating a war meeting, ¡°The best method is still to carry out a nerve root block. However, in order to avoid anesthesia leakage, it¡¯s essential to insert a cann into the nerve root sheath, which is incredibly challenging. Yet, it is feasible.¡± The subject was steered towards the nerve root block. The director of the oncology hospital scanned his tablet with one hand and rested his chin in the other. After a moment of contemtion, he said, ¡°The difficulty of a nerve root block is indeed immense. From what I see, the tumor has a rich vascr supply, and the patient¡¯s coagtion function is also not ideal. If a mispuncture urs prating into the tumor tissue, it could lead to uncontroble hemorrhage, formation of epidural hematoma, spinal cordpression, and in turn, respiratory depression. Eventually, we would have to resort to a respirator. As you can see, the surrounding soft tissue is entirely tumor, leaving limited space for puncturing, a mispuncture, and subsequent bleeding can happen quite easily.¡± ¡°Indeed, that¡¯s the case. This type of puncture is like sniping¡ªit must be urate and not miss, as a single error could result in serious consequences.¡± Director Yu of Fuer¡¯s orthopedics department agreed with the oncology hospital¡¯s view. There was an outline to the n ¨C nerve root block. It seemed like no one else could think of other alternatives, but considerable challengesy forth. Everyone¡¯s gaze rested on Professor Su, handing the difficult problem over to him. Professor Su steadied his tablet with his left hand, rested his right elbow on the table, took off his sses, and said, ¡°Everyone has exined their views in detail. It seems that nerve root block is the only choice and no one seems to objective. The difficulty lies in the puncture. It¡¯s indeed challenging, but not impossible. We need to leverage CT and MRI for 3D reconstruction and find a way to choose the correct puncture path. With the help ofputer-assisted navigation technology during surgery, punctures can be achieved.¡± The puncture is challenging, but feasible. That was Professor Su¡¯s conclusion. ¡°What if it fails? What are the rescue measures?¡± Director Yu of Fuer expressed a different opinion. Professor Su took a cloth to clean his sses and said, ¡°This is an excellent question. Every medical procedure carries inherent risks. Faced with these risks, we must strive to prevent, but also prepare rescue measures. If the puncture fails and prates the tumor causing bleeding, we abandon the puncture and install a drainage tube along the puncture path. We can use negative pressure to discharge the blood and avoid spinal cordpression due to hematoma.¡± Professor Su demonstrated quick thinking and meticulous nning. In a short time, he organized the n selection, risk control, and remedies for the worst-case scenario. Director Yu admired him. This kind of puncture is far from simple to achieve and reflects a person¡¯s cognitive ability and umtion of knowledge and experience. Just like firing a sniper rifle, it¡¯s never as simple as pulling the trigger. Each trigger pull is the result of painstaking efforts. ¡°Are there any other opinions?¡± Director Zhao, as the moderator, asked. Director Han smiled and said, ¡°What about the two young fellows? Do you have any thoughts? Don¡¯t keep silent.¡± Ordinarily, Professor Su wouldn¡¯t ask Su Nanchen to speak at such an asion. It was enough for him to listen. But as Director Han suggested, it would be a harmless chance for the youngsters to gain experience. Professor Su turned to Su Nanchen who was sitting next to him and asked, ¡°Your seniors are affording you such a precious opportunity. Do you have any brilliant ideas?¡± Confident yet humble, Su Nanchen said calmly, ¡°Thank you, Professor Han, for granting me the opportunity to speak. The puncture indeed resembles sniping, and the target is hiding in a bunker. The puncture needs to avoid both the tumor and bone tissue, leading to very limited options for puncture paths. If possible, we can use 3D printing technology to recreate the spine, tumor, nerves and vessels. We could use a precise one-to-one model for puncture path nning and simte the puncture. We might even temporarily design a locator tool. Inbination with navigational equipment during surgery, the sess rate of punctures would greatly increase.¡± This young man¡¯s cognitive ability is impressive. Being able to integrate advanced 3D printing technology with puncture operation and ording to him, the sess rate could potentially multiply. The directors looked at Su Nanchen with newfound respect. Even without the help of Su Qingyun, he could make significant contributions to the field of medical science. Professor Su put on his sses again, ¡°Xiao Yang, do you have any thoughts?¡± Professor Su had a good memory. Director Han introduced him only once, and he had already remembered the name. Whether it was for nurturing the younger generation or for giving a token of appreciation, it was appropriate to invite him to express his views. Director Han encouraged, ¡°Professor Su called on you, please say a few words.¡± ¡°Xiao Yang, what do you think?¡± Director Zhao also encouraged. Yang Ping calmly said, ¡°Thank you, Professor Su and everyone else! I think that the puncturing needle does not need to avoid bone tissue, instead directly passing through the bone tissue and pedicle. Bone tissue is actually the safest area. There would not be any risk to blood vessels as long as the puncturing needle is in the bone tissue, we don¡¯t need to know where the hidden danger lies, just where there aren¡¯t any.¡± The pedicle is a bony tunnel connecting the front and back of the vertebra, with hard cortical bone on the outside, and loose spongy bone on the inside. This point of view is very novel and breaks conventions. ¡°Since the enemy has hidden in a bunker, a dead angle for our trajectory, we will urately calcte the enemy¡¯s position in the bunker, fire at the bunker wall, pierce through the wall, and then let the bullet pass through the hole on the wall to snipe the enemy. Thank you everyone.¡± Yang Ping finished speaking. Professor Su looked once again at the three-dimensional reconstruction image on the tablet. This idea is indeed imaginative. The entire puncture path is within the bone tissue, only piercing through the bone tissue in thest step. This not only reduces the chance of mistake butpletely eliminates it. The chance of injury is almost non-existent, the rest is just a matter of how to hit the enemy. Puncturing through the pedicle is a basic procedure for any spinal surgery. It is highly unlikely to fail. However, the routine pedicle approach cannot be used and needs to be tilted. The target is inside the spinal canal, not inside the vertebra itself. Professor Su is interested, ¡°Xiao Yang, your idea is imaginative and very feasible.¡± ¡°If webine prative bone puncturing and pedicle puncturing with Dr. Su¡¯s 3D printing to simte puncturing, the sess rate would be very high and the feasibility would be beyond question.¡± Director Hanbined the ideas of both. The director of the tumor hospitalughed, ¡°Indeed, young people have a good imagination. One of them brought up 3D printing and another proposed sniping through walls, interesting. It seems we are getting old.¡± Director Yu joked, ¡°I see you¡¯re still sitting here after drinking two bottles of water and you don¡¯t seem to need the bathroom, where have you grown old, I can¡¯t see it.¡± Everyoneughed, rxing the tense discussion. ¡°Now that we are clear about the puncture path and methods to increase the sess rate of puncture, it¡¯s time for action. Does anyone have other suggestions?¡± Professor Su asked everyone. After discussing this issue to such an extent, everything has be very clear. ¡°Bone puncturing avoids the risk of tumor injury and significantly reduces the likelihood of bleeding, but it does notpletely avoid bleeding. The puncture path includes all the cancellous bone, which may bleed and the puncture needle will not enter the vertebra but tilt and break through the bone tissue into the spinal canal. The blood may flow into the spinal canal from the puncture tube, causing a hematomapression. Although this is unlikely, there is still a possibility, so there needs to be a contingency n.¡± Director Yu pointed out the ws in our n.N?v(el)B\\jnn ¡°This kind of bleeding is different from blood vessel rupture. It is a small amount of blood infiltrating from the bone surface. The catheter with a balloon at the end can be used. Calcte the distance, coat the balloon with bone wax and ce it into the bone canal, then inte the balloon topress the bleeding area.¡± Professor Su immediately suggested. Clearly, with little thought, he hade up with this on-the-spot solution, showing his vast knowledge in the field. ¡°Brilliant!¡± eximed Director Yu. Now there was a contingency n for unexpected situations and the proposal was veryprehensive. ¡°Any questions, professors?¡± Director Zhao asked. Everyone just shook their heads and drank water. Finally, Director Zhao concluded, ¡°So the n is set: perform a Thoracic 2 nerve root block, ce a tube using the bone prating method, preoperatively simte the puncturing using 3D printing, and useputer navigation assistance during the operation!¡± ¡°Professor Su, what do you think about this?¡± Director Zhao sought Professor Su¡¯s opinion. Though he presided over the meeting administratively, it was ultimately Professor Su who made the professional decision. ¡°Yes, the ¡®Sniping through Wall¡¯ n will be utilized!¡± Professor Su decisively concluded. Chapter 127 - 0124: The Growing Sanbo Chapter 127: Chapter 0124: The Growing Sanbo After repeated discussions, the n had been polished to perfection. Professor Su was entrusted by others toe for consultation, but time was limited, so the problem had to be resolved as soon as possible. ¡°If no one has any objections, let¡¯s arrange the surgery as soon as possible. It will be performed under local anesthesia with a post-approach pedicle needle puncture of the Thoracic 2 nerve root sheath and microcatheter pain pump imntation,¡± Professor Su spoke, putting down his tablet. Director Zhao looked around and everyone seemed to agree, so the consultation could be concluded, ¡°Thank you all, let us arrange the surgery immediately.¡± ¡°Nanchen, contact the Digital Medical Research Institute of Medical University to send the patient¡¯s imaging data there for immediate 3D printing.¡± Professor Su gave the order, his tone decisive. Director Han immediately countered: ¡°Professor Su, there¡¯s no need to trouble the university, we have a 3D printer here that can be used at any time.¡± He then called Director Tian, asking him to start the 3D printer and informed him that he and Professor Su¡¯s team would be arriving at the Orthopedic Research Institute shortly. Knowing that Sanbo had established an Orthopedic Research Institute and having received an invitation to attend an academic conference and the institute¡¯s inauguration, Professor Su took this opportunity to gauge the strength of Sanbo¡¯s Orthopedic Research Institute. Everyone dispersed, with Director Han leading the group to the Orthopedic Research Institute for a tour. The two directors of the Pain Department and the director of the Tumor Hospital didn¡¯t have much interest in the Orthopedic Research Institute, but they tagged along to take a look anyway. Director Han and Professor Su led the way, with the rest following behind. There was a connecting garden between the Overseas Chinese Building and the Department of Orthopedics. Passing through the garden, Su Nanchen noticed an auntie in patient clothing taking a walk. She looked familiar and, upon closer inspection, he recognized her as one of his patients. He wondered why she was admitted here. The auntie recognized Dr. Su and waved, approaching him, ¡°Dr. Su, what a coincidence meeting you here! Have you been transferred to this hospital?¡± ¡°Not at all, I came for a meeting. Are you still experiencing weakness in your right knee? Why haven¡¯t youe for a follow-up?¡± Dr. Su asked, puzzled. This patient had been diagnosed with a loose body in her right knee at Fuer Hospital and underwent arthroscopic surgery to remove it but showed no signs of relief. The patient sought treatment at Fu Hospital where she happened to be treated by Dr. Su. Reviewing her postoperative MRI, no loose body was found, her meniscus was normal and there were no tears. They checked her head and spine MRIs and didn¡¯t find any issues, ruling out pseudoparesis. After a lot of analysis, they considered it as a hypermobileteral meniscus. Dr. Su performed a second arthroscopic surgery on her and indeed found a hypermobileteral meniscus, so he treated it. However, she showed no signs of relief post-surgery. This confused Dr. Su, so he sent the patient¡¯s information via email to his mentor in America, an expert in sports medicine at the New York Special Surgery Hospital. His mentor said he needed to study the case and did not reply immediately. The auntie demonstrated to Dr. Su, bending and stretching her knee, walking a few brisk steps, and then squatting and standing up. Smiling happily, she said, ¡°You see, it¡¯s all good now,pletely normal. I had the surgery this morning and can be discharged tomorrow.¡± Dr. Su was surprised, ¡°Which doctor performed your surgery, Director Han?¡± ¡°Dr. Yang!¡± the auntie replied. Dr. Yang turned out to be a student of Director Han, which made Dr. Su take a new look at him. ¡°Dr. Su, you guys should study my case to gain experience,¡± the auntie advised. Though she spoke casually, she unintentionally bruised Dr. Su¡¯s ego, making him feel slightly embarrassed. After saying goodbye to the auntie, Dr. Su quickly caught up with the tour group. Intentionally, he walked closer to Yang Ping, looking for an opportunity to learn about the patient¡¯s diagnosis and how the surgery was performed. He was very curious about the case. Along the way, Director Han was enlightening everyone about the recent developments at Sanbo Orthopedics. While they had not taken Sanbo seriously before, seeing its rapid and steady progress now, they suddenly realized that Sanbo was not the same as before, and its orthopedics department had quietly grown stronger. Upon receiving the call, Director Tian also called Song Zimo to the Orthopedic Research Institute. They had worked together on a project involving 3D printing and were very familiar with the printer¡¯s operating procedure. This top-of-the-line German 3D printer, not a mold level but a machine tool level printer, worth tens of millions, was the core equipment of the Orthopedic Research Institute. Even Nandu Medical University¡¯s Institute of Digital Medicine didn¡¯t have a 3D printer of such caliber; they only had mold level printers and had to coborate with professional factories for machine tool level ones. Just as a warrior adores his exceptional weapon, academic researchers were naturally infatuated with excellent research equipment. Professor Su circled therge 3D printer, adjusting his sses to examine every detail, admiring, ¡°This is incredible, truly remarkable.¡± Professor Yu from Fuer also followed suit, but he seemed somewhat displeased. The research institute¡¯s hardware equipment was so formidable, including talents who almost all held doctorates from prestigious universities, which left Professor Su astonished. Whether in terms of talent or hardware facilities, Sanbo had already reached the forefront of G City and surpassed the Provincial People¡¯s Hospital and the City People¡¯s Hospital. The data had already been downloaded from the imaging center and transferred to the 3D printer¡¯s host. All parameters were set by Director Tian and Song Zimo, and the printing began. Bit by bit, the printed base material was sprayed out in the transparent mold printing chamber. Slowly, the patient¡¯splete torso model was printed. The chamber cover automatically opened, and the model was sent out. Yang Ping and Song Zimo moved the model to the disy table. The one-to-one model was incredibly detailed and clear, showing the structure of the spine, spinal cord, nerve root, tumor, and blood vessels. Director Xu from the Pain Department had already sent a set of intraspinal pain pump puncture tools, and Song Zimo had also prepared a set of vertebrosty puncture tools. Both tools would bebined toplete the puncture for this patient. ¡°Big brother, what¡¯s the situation?¡± Song Zimo asked, who was also paying attention to this patient. ¡°Thoracic 2 nerve root block, per-arachnoid puncture, and 3D printed puncture simtion,¡± Yang Ping told him. ¡°Don¡¯t we have 3D reconstruction? We can use navigation, why simte a puncture?¡± Song Zimo felt it wasplicated, unaware of the heated discussions during the consultation meeting. Su Nanchen gave Song Zimo a nce. Although not familiar, they recognized each other. He knew that Director Han brought a genius doctor from Fudan University. This proud individual, who called Yang Ping his senior and showed no arrogance nor usual aloofness in front of him, made Su Nanchen feel strange. Was Yang Ping that amazing to tame Song Zimo? Because time was limited, Su Nanchen didn¡¯t think further and started the simted puncture. He was looking for the optimal angle, measuring the length of the catheter, and preparing for precise puncturing during surgery. ¡°You guys carry on with the simted puncture here, I¡¯ll take Professor Su for a tour of the operating room,¡± Director Hanmanded Yang Ping and Song Zimo to apany Su Nanchen.n/o/vel/b//in dot c//om Director Han brought Professor Su and his team to look at the operating room. The operating theaters of the operation center were not separate ones for the Orthopedics Department. Professor Su seemed very interested in the operating rooms, especially the few for orthopedics. He tried to go in and take a look in each room and asked very detailed questions. Professor Su was particrly concerned about emergency surgeries: ¡°Are there many orthopedic emergency surgeries at night here?¡± Director Han replied, ¡°There are quite a lot now. The Trauma Emergency Center performs a serious trauma emergency surgery every day.¡± Professor Su murmured, ¡°That¡¯s quite hard work.¡± ¡°I heard that you bought the Tianji Orthopedic Surgery Robot?¡± Director Yu said. Fuer bought Da Vinci for the Thoracic Surgery Department and General Surgery, but the Orthopedics Department¡¯s request to buy a Tianji had been dyed. Director Han led everyone to see the Tianji surgical robot. ¡°Let¡¯s go and have a look. It¡¯s in the multi-function operating room here. It has already been put into use. I think a surgery is being performed right now.¡± Director Han led everyone to the multi-functional operating room. One of the multi-functional operating rooms for orthopedics was already in use and was performing a surgery. The radiation warning light at the door was on, indicating that the navigation device inside was running. From the corridor, through the small window, they could see a surgery was in progress. Everyone was very interested. ¡°Director Tan is performing a robot surgery.¡± Director Han suggested everyone wait before entering. There was radiation inside, so they could only enter after the navigation operation was suspended. Tan Boyun was operating the robot arm in the operating room, performing percutaneous sacroiliac screw fixation surgery for the pelvis. Tan Boyun had always had a falling out with Director Yu. Hearing that Tan had already begun robot surgery, had moved ahead, it upset Director Yu. Director Yu thought, Tan Boyun had been oppressed by him at Fuer since always. This time, after moving to Sanbo, he did not break down the rtionship with Han Jiangong, as Director Yu had thought. Instead, he rose rapidly. He heard that Tan would be the main character at the uing Asia Trauma Orthopedics Summit, a role given by Han Jiangong. The more he thought about it, the more ufortable he felt. Under normal thinking, no one wants their opponents to do too well. The screw had been urately imnted into the sacroiliac joint, the navigation function was stopped, and the radiation warning light was turned off. Director Han led everyone in. Tan Boyun came out of the operating room and saw that Director Han had brought so many people. He recognized Professor Su, Director Yu, and the Pain Department Director from Fuer. ¡°Director Tan, you must be tired. Is the robot handy? Professor Su, Director Yu, they came for consultation today, and everyone wanted to see our robot,¡± Director Han introduced. Tan Boyun shook hands with everyone, ¡°It is tiring, but the Tianji Surgery Robot is great for orthopedics. I havepleted over a dozen cases, which were very smooth.¡± Seeing Tan Boyun¡¯s excited look, Director Yu felt increasingly upset. Chapter 128 - 0125: High Precision Puncture Chapter 128: Chapter 0125: High Precision Puncture When Tan Boyun shook hands with Professor Yu, Professor Yu said, ¡°Director Tan is really skyrocketing now!¡± Tan Boyunughed heartily: ¡°I must thank Director Yu for his hard training!¡± Both were smiling on the surface. To those unaware of the circumstances, it would seem like they were good friends, greeting each other warmly. But to those in the know, it was clear that there was more to their words, each subtly taunting the other. Their rtion has be so bad that despite not being in the same hospital and having no direct business with each other, they cannot help butpete when they meet. In terms of robotic orthopedic surgery, Fuyi is at the forefront, with over five hundred procedures performed. If we consider only the volume of robotic orthopedic surgery, it is undoubtedly in the top three nationwide. Yet Fuer has not yet started orthopedic robotic surgery, offering only robotic surgeries in thoracic surgery, general surgery, urological surgery, and obstetrics and gynaecology. In just over a month, thanks to strong support from Director Han, Tan Boyun has alreadyunched more than ten robotic surgeries in Sanbo Hospital. With this aggressive momentum, Sanbo is indeed catching up with Fuyi. If Sanbo acquires a second robot, the hospital could start carrying out surgeries in spine, joint and sports medicine. It would then be in a fierce catch-up mode. Full of energy and ambition, Tan Boyun dares to embark on the cutting edge of the industry, aiming to challenge Fuyi¡¯s trauma orthopedics and carve out a niche nationwide. Now under Director Han, he can get whatever he wants, without any restrictions, and freely disy his abilities. ¡°Director Tanunched itter, but has done more than a dozen surgeries in a month,¡± Professor Su praised. Although Tan Boyun is often arrogant, he doesn¡¯t dare to show any pride in front of Professor Su. Not only because of Professor Su¡¯s outstanding academic and moral qualities, but also because Professor Su has once helped him. ¡°This robot is exclusive to our micro-trauma orthopedics department, so it is used very frequently. We have surgeries scheduled for tomorrow, and five for this week. We need to learn more from Fuyi ¡ªpared to Fuyi, we¡¯re merely infants,¡± Tan Boyun briefed them on the progress of robotic surgery at Sanbo Hospital, with a look of respect towards Director Han before starting. ¡°We have performed about a dozen surgeries, involving the pelvis and four limbs. Our goal is to carry out all types of trauma orthopedic surgeries using robots,¡± Tan Boyun introduced his blueprint. The dozen or so surgeries so far were just a warm-up. The real show was yet toe. Professor Su was deeply impressed in his heart. Han Jiangong knew how to use his talents. Tan Boyun, who found it hard to make progress in Fuer, was able to advance rapidly in Sanbo. This man was sure to make extraordinary contributions in the future. The patient, Mr. Ning from the Overseas Chinese Building, has already been sent to the operating room, just next to where Director Tan had just performed surgery, because this room contains the navigation equipment ¡ªputer-assisted surgical navigation system. Su Nanchen considered using the robot toplete the puncture, but he gave up. The puncture operation not only requires high precision but also needs excellent touch when inserting the guide wire. The sessful cement of the catheter can only be adjusted ording to the touch. The precision of robot-assisted surgery is extremely high, but itcks feedback from physical contact with the tools, which means itcks the sense of touch. This is its biggest drawback. Su Nanchenpleted the mock puncture and mastered the best puncture point, angle, and depth from it, bing thoroughly familiar with the rtions of various anatomy. Yang Ping took Su Nanchen to the operating room, with Song Zimo following behind. Su Nanchen and Wen Rentao are both Song Zimo¡¯s targets. He has always been making secret efforts to surpass these people who are hailed as the stars of tomorrow. Song Zimo followed silently. He¡¯s not unsociable, just indifferent to socialize, always appearing nonchnt. ¡°The aunt that we just met in the garden, the one with the limp right knee, did you perform surgery on her?¡± Su Nanchen took the opportunity to ask. Yang Ping nodded, ¡°The surgery was just done this morning. She¡¯s due to be discharged tomorrow. Why, do you know her?¡± Su Nanchen said, ¡°My old patient, her second surgery was done here. The treatment result wasn¡¯t good. I just met her, and this time, her symptoms werepletely resolved.¡± Yang Ping hadn¡¯t expected that this patient was his. The patient had mentioned that the second surgery had been performed by Dr. Su from Fuyi, but Yang Ping didn¡¯t pay much mind to it: ¡°This patient had popliteal tendon hiatus synovial band impingement syndrome. I found the synovial of the popliteal tendon hiatus and removed it, and naturally, the patient¡¯s symptoms were relieved.¡± ¡°You¡¯ve never heard of this disease?¡± Su Nanchen asked, surprised by the unfamiliarity of a disease, even with his extensive knowledge. Yang Pingughed: ¡°I hadn¡¯t heard of this disease either; I found the anomaly on her Maic Resonance Imaging (MRI) scan.¡± ¡°Can we take a look at the MRI scans together when we are free?¡± Su Nanchen, always eager to learn, asked. They had arrived at the operating room. They change shoes, put on clothes, and donned masks and caps. The patient was already in position, prone. Zhang Lin and Little Five had already helped with disinfection and draping, and instruments were also prepared. Professors Su and Yu, and Director Han had already put on lead gowns and were chatting inside. ¡°Nanchen, hurry up and scrub!¡± Professor Su urged. ¡°Xiao Yang, scrub. You¡¯ll assist Dr. Su in the operation.¡± Director Han instructed. The two of them donned lead garments and began to scrub their hands. Yang Ping and Su Nanchen hit it off well, unlike Song Zimo, who always emitted an aura of arrogance that kept people at bay with his aloof demeanor. Yang Ping differed in that he exuded a powerful self-confidence, yet he was not haughty nor overly aggressive. It¡¯s often said that experts are lonely, being able to find apetent opponent is a fortunate thing. The mutual admiration between these two talented young men made Su Nanchen regret not having met Yang Ping earlier. While they were scrubbing their hands, they chatted non-stop about the patient with a pinched gastremius tendon and the puncture for this surgery, as if there wasn¡¯t enough time for them to chat in doing so. With everything prepared, the chief surgeon once again verified everything, started the operation, applied local anesthesia, inserted an intramedury reference pin into the pedicle for navigational coordinates. Dr. Su had great operating posture; the way he sat, stood, walked, and ate all had their unique styles. His posture during surgery was no different, with some people having standard postures that made them look quite elegant, others hunched over and squinting closely at the surgical area; some twisted their bodies, which was not only unsightly but also potentially contaminated the surgical area; and some, for a simple fracture, awkwardly knelt, regardless of whether this was a special requirement or their first time in surgery. Dr. Su¡¯s surgical style revealed Professor Su¡¯s strict demands on him. Therge folds of the surgical gown were smoothed out, and the surgical instruments were neatly arranged in order of usage frequency. He hunched over with his chest out, his hands a proper distance from the operating table, and his movements were within a definite range. Everything that could be done with his fingers was, and if the wrist joint needed to assist, it stayed within the wrist area. Even if the elbow joint needed to assist, that too was a minimal movement. Every step followed standard protocols, it was all visually appealing, with a clear rhythm and steady progress. The navigational screen disyed 3D anatomical structures, with reference points showing urate coordinate rtionships between the instruments and anatomical structures. The navigational cursor indicated that the puncture needle with its sheath urately approached the target. With Simultaneous puncturing and precise navigation,bined with Dr. Su¡¯s talent and experience, the puncture was sessful in one go. The needle passed through the pedicle root, prating the cortex at the best location,pleted its journey through the bony passage. Aheady the target ¡ª the nerve root sheath. Each step was wless. Su Qingyun¡¯s son was indeed as talented as reputed. Professor Yu watched the entire puncturing process, and had to admire the impressive training Su¡¯s son.n/o/vel/b//in dot c//om Even without Su Qingyun¡¯s help, Su Nanchen would have qualified to enter Fuer on his own merits. Eight years at Xiehe gave him the highest academic achievement in the medical field in the country. Moreover, Su Nanchen was the top science schr in Nandu province in his year, he entered Xiehe as the top schr. Regardless of the academic status of his department or his personal achievements, Professor Yu was humbled by Su Qingyun. The puncture needle was withdrawn, leaving the sheath inside. The fine hollow puncture needle came out through the puncture sleeve. The needle tip touched the nerve root sheath. Despite having navigation assistance, this was an extremely difficult operation. He¡¯s a formidable young man! Everyone agreed unanimously. The needle tip was ready to puncture the nerve sheath and enter the sheath. This step couldn¡¯t be assisted by navigation, it had to rely on tactile sense. Song Zimo sat nearby. Su Nanchen indeed lived up to his reputation as a rising star alongside Wen Rentao, and this had nothing to do with his father. The needle tip punctured the T2 nerve root sheath, a catheter with a guidewire traveled through the hollow needle into the sheath, with a bit of it exposed, but it struggled to continue advancing. The puncture was obstructed in the final step of tubing. Su Nanchen frowned. The tumor tissue had invaded, causing adhesions between the sheath and the nerve bundle membrane. The guidewire designed to enter the sheath was flexible, ideally suited for the natural gap between the sheath and nerves. However, this gap no longer existed due to the adhesions. On attempting to advance again, the guidewire curved on the image and couldn¡¯t break through the adhesion. Professor Su stood up to look at the navigation image on the screen. The puncturing process had been perfect, but it met resistance in thest step. He believed Su Nanchen could handle it, and Su Nanchen remained calm, he stopped operating and started thinking about a solution. He had already considered adhesion before the operation. To solve this problem, he needed to adjust the angle of the puncture needle. The puncture needle currently entered almost perpendicr to the nerve. He had to adjust the needle tip¡¯s angle to create a certain degree of angle with the direction of travel of the nerve. This way, the guidewire could prate the adhesion better. It was like splitting wood, it was difficult to split horizontally but easy to split vertically. Hitting a cup with a missile was already impressive, but hitting it from a specific direction was even harder. The range for adjustment was very small, the diameter of the bony tunnel was already thin. The finer puncture needle does have room for adjustment, but it was minimal. He withdrew the guidewire and catheter and started puncturing the nerve root sheath afresh. Su Nanchen was very familiar with spinal anatomy. He was still young, just 30 years old, but he had already umted experience from operating on hundreds of patients with scoliosis, which was very rare. He had excellent tactile sensations; a slight adjustment to the needle tip changed the angle. However, as soon as the needle tip just touched the nerve root and he tried to push it forward, it slipped off. ¡°The angle is off; it needs to be adjusted by fifteen degrees.¡± Yang Ping reminded him. Chapter 129 - 0126 Fifteen Degrees Chapter 129: Chapter 0126 Fifteen Degrees Adjust it by fifteen degrees, to form a seventy-five-degree angle with the nerve root. If it¡¯s too small, it will slide; if it¡¯s toorge, the tube can¡¯t be ced. The angle calcted by Yang Ping is not a random estimate, but a precise angle derived from observing Su Nanchen¡¯s simtion of the puncture. The advanced training program of the system has improved Yang Ping¡¯s ability to visualize, enhancing the precision of both his brain and hands. This isn¡¯t just mechanical measurement, but also involves delicate, nuanced sensations. A puncture made at a seventy-five-degree angle with a nerve root, which meant adjusting it fifteen degrees from vertical, how could it be so precise? Su Nanchen wondered. The uracy of the navigation system could be as precise as a few tenths of a millimeter, but this was theoretical uracy. The reconstructed 3D image itself would have a certain distortion, and the reference points weren¡¯t 100% urate either. Just like the effective range of a sniper rifle being two thousand meters, it doesn¡¯t mean that one can always hit the enemy within two thousand meters. There are too many factors affecting this. ¡°As long as it forms a seventy-five-degree angle with the nerve root, it will definitely seed.¡± Yang Ping once again reminded in a low voice, his tone certain. Su Nanchen didn¡¯t have much confidence in attaining such precision. He attempted several times, but either the needle tip would slide off, or the tube could not be ced. Professor Su also saw the problem. The percutaneous needle was rigid, and the guidewire was stic. If the direction was not optimal, it would be impossible to break through the adhesions, requiring a level of manual precision beyond human capabilities. ¡°No need to aim for perfection. Once the puncture is sessful, then ce the tube directly. Twenty-four hourster inject the drug. The micro-catheter and the surrounding nerve sheath would form a biological seal, and the chances of leakage are extremely low!¡± Professor Su urged Su Nanchen to end the surgery soon. No need to stick to a hundred percent. Eighty percent is also a sess. If the puncture is sessful, and the tube is ced directly, the micro-catheter is also left in the nerve root sheath, but the distance left is very short, which may cause drug leakage, as well as the potential for the micro-catheter toe out when the patient moves. Although the probability is extremely low, the possibility still exists. Su Nanchen didn¡¯t want to give up, he wanted to fight for another twenty points, to reach a hundred percent. Not for himself, but for the patients. If one hundred percent can be achieved, anything less is uneptable. That was his belief. ¡°Are you confident?¡± Su Nanchen asked Yang Ping. Yang Ping nodded. After a brief conversation and exchange of nces, they turned and switched ces back-to-back. Su Nanchen let go, and Yang Ping took over the handle of the puncture needle protruding from the body. The percutaneous needle has two parts, a thick one that is responsible for creating the tunnel in the bone tissue, and a thin one that enters through the sheath of the thick needle, responsible for puncturing the nerve root sheath. The micro-catheter, encased by the guidewire, finally passes through the hollow thin needle and enters the nerve root sheath. Yang Ping held the handle, the thin needle in his hand spun around, trying to feel the sensation. The dynamic three-dimensional anatomical image in his mind appeared, perfecting the details bit by bit. The needle in his hand was also present in his mind, the rtionship between it and the nerve root was even more realistic than with the navigation system. He adjusted the direction of the thin needle, puncturing the nerve root sheath at a seventy-five-degree angle. Su Nanchen passed the micro-catheter, which was threaded with a guidewire, into the hollow needle, five millimeters, one centimeter, three centimeters, smoothly entered without any bending. This meant that the guidewire and micro-catheter had sessfully passed through the adhesion and entered the nerve sheath, prating up to three centimeters. An air-filled balloon inside the bony tunnel of the pedicle secured the catheter. The task that Su Nanchen failed toplete after several attempts was aplished by him in one attempt. Professor Su nodded slightly, his appreciative gaze fell on Yang Ping, appreciating his talent. The two switched positions again. Yang Ping handed the remaining actions back to Su Nanchen. Su Nanchen slowly withdrew the puncture needle, both thin and thick, and finally removed the guidewire. The puncture was aplished. ¡°Thank you!¡± ¡°I just helped you make the fifteen-degree adjustment.¡± Both looked at each other andughed. He had made a friend, Su Nanchen thought. The catheter was fixed outside the skin and connected to the pain pump. Anesthetic was injected through the micro-catheter, entering the Thoracic 2 nerve sheath. ¡°How do you feel, Ning Tianxiong?¡± Dr. Su asked the patient. The patient was under local anesthesia, so he couldmunicate clearly. ¡°No pain!¡± The patient, in the prone position, answered with difficulty. ¡°How¡¯s your breathing, any difficulties?¡± Dr. Su asked again. ¡°Lying like this is a little strenuous.¡± Ning Tianxiong was very cooperative. ¡°Blood oxygen saturation, one hundred percent!¡± said the anesthetist who was helping monitor the situation. There was no respiratory suppression, which indicated that the medicine didn¡¯t leak. The catheter had prated three centimeters, so leakage would not ur. ¡°Lie on your back, observe for fifteen minutes, if there¡¯s no respiratory suppression, then send the patient back to the ward.¡± Professor Su said to Su Nanchen. Yang Ping and Su Nanchen helped the patient turn around to lie on his back. They observed for fifteen minutes and there was no respiratory suppression. A highly difficult puncture was sessfully and perfectlypleted by two young people. The technique involved in this puncture is equivalent to a special forces decapitation operation in wartime, all of which required high skills. It was already past seven o¡¯clock, Director Han checked the time. Director Zhao of the Medical Department ordered the internal restaurant to prepare meals. Because Professor Su was short on time, he had no ns to stay for dinner. Now he had changed his mind and decided to stay for dinner. ¡°You have worked hard, stay and have dinner before leaving.¡± Director Han insisted. ¡°Okay!¡± Professor Su agreed cheerfully. ¡°Call Xiao Yang too!¡± Professor Su specifically requested. Talented people respect and cherish other talents even more. The other directors also decided to stay to apany Professor Su. After all, as the dean of the affiliated hospital, the chairman of orthopedics, and a future academician, whichever of his identities held significant weight in the medical circle. They couldn¡¯t snub him, especially when they might need his help in the future. The dinner was set in the restaurant within the cafeteria. Professor Su did not drink alcohol, and everyone else also refrained, some had to drive, and some still had surgeries to perform at night. In addition to Director Han, there were also Director Tian, Director Tan, Director Qin of the Spine Surgery Department of Sanbo Hospital, Director Gao of the Sports Medicine Department, and Director Chang of the Joint Surgery Departmenting to apany him. Both Dean Xia and Dean Sun came. As the dean of the affiliated hospital, he was a big shot in the medical world and could not be neglected. Moreover, Dean Xia and Professor Su were alumni and had once worked together, so they had a certain rapport. Dean Xia and Director Han apanied Professor Su on either side, Su Nanchen asked Yang Ping to sit with him. The two of them had endless conversations about how the patient could be precisely punctured at a vertical adjustment of fifteen degrees and how this angle was calcted. The dinner table was divided into two circles, Su Nanchen and Yang Ping in one, and everyone else in the other. N?v(el)B\\jnn Su Nanchen and Yang Ping were chatting in low voices, discussing entirely professional topics, and even added each other on WeChat. The others did not bother these two young individuals. ¡°Nanchen, your uncle is asking you something!¡± Professor Su reminded, and then Su Nanchen remembered that there were still Dean Xia and Director Han and others present. ¡°Nanchen,e to our house when you have time.¡± Dean Xia said. Dean Xia and Professor Su were both graduates of Nandu Medical University and belong to the same ss. Dean Xia also was transferred from the affiliated hospital. When they were young, they lived in the old dormitory of Nandu Medical University. At that time, Su Nanchen was still in primary school. Dean Xia¡¯s daughter was about the same age as Su Nanchen, and they were ssmates in primary school. But Dean Xia¡¯s daughter did not study medicine, she studiedw and works at the provincial judicial bureau. ¡°Okay, thank you, Uncle Xia.¡± Su Nanchen responded generously and then picked up the teapot, pouring tea for the seniors, and then raised his cup to toast everyone. Dean Xia and Professor Su talked about the farm of the affiliated hospital. The two decided to find time to visit it. In the past, funds were tight, the affiliated hospital was given a piece ofnd in the suburbs to farm. Everyone took turns working thend during their free time, growing grains, fruits, and vegetables to supplement basic necessities. Later, this piece ofnd was not sold. When it was passed to Professor Su, he built a modern farm on it. Every year, he would send some fruits and vegetables to the employees of the affiliated hospital as welfare. Yang Ping felt that the dinner was quite rxed, and he gained a lot from it, especially by befriending Su Nanchen. Su Nanchen was knowledgeable but not arrogant, asking Yang Ping humbly about every detail of the case as if he wouldn¡¯t rest until everything was clear. He showed none of the haughty habits often seen in privileged second-generation kids. ¡°Stay in touch when you have time!¡± Even after leaving, Su Nanchen sent a message over WeChat. ¡°Professor Su really appreciates you, Xiao Yang!¡± Director Han hummed a tune, looking very pleased. After the dinner was over, the two went to the Overseas Chinese Building to see Mr. Ning. He was smiling andforting his daughter, ¡°Rx, don¡¯t be so upset, everyone¡¯s life has toe to an end eventually, it¡¯s just a matter of time. No one can escape it.¡± Seeing Director Han and Yang Pinge in, he was very happy, ¡°Thank you both, I¡¯m not in pain anymore, and I have no problem breathing. I¡¯m truly grateful.¡± Pain can be a significant nuisance to people and is the most intolerable symptom for patients. The World Health Organization has listed pain as the fifth vital sign, following heart rate, respiration, blood pressure, and body temperature. Eliminating pain has be a basic right for patients and an obligation and responsibility for medical staff. ¡°I feelfortable!¡± Mr. Ning leaned against the head of the bed, holding a ¡°Visual Analogue Scale for Pain¡± in his hand. The muscles on his face were rxed, without any previous distortion. ¡°Thanks to you all! Thank you, Director Han, thank you, Dr. Yang! I¡¯m really grateful!¡± Miss Ning stood up and bowed. ¡°Thank you, Professor Han! You¡¯ve worked hard!¡± Mr. Ning shook hands with Director Han. When shaking hands with Yang Ping, he said, ¡°Dr. Yang and Dr. Su helped me with the puncture, and in the end, it seemed like there was a need for an angle correction, fifteen degrees. It was done by Dr. Yang.¡± ¡°I was conscious all along and kept listening,¡± Mr. Ning exined with a smile. Because it was local anesthesia, he was lying on the operating table and heard the doctors¡¯ conversation, so he was very clear about the surgical process. ¡°Thank you truly, for allowing me to sit here and talk with a smile,¡± Mr. Ning was in good spirits. ¡°Hmm, go back to rest early after eating, and don¡¯t drink alcohol.¡± Before dinner, Yang Ping had sent a WeChat message to Xiao Su. Xiao Su had replied via WeChat, but he hadn¡¯t checked it until now. Chapter 130 - 0126: Sly Fearer Makes a Detour Chapter 130: Chapter 0126: Sly Fearer Makes a Detour ¡°Ding dong, taskpleted. Sessful nerve root sheath puncture performed. Patient¡¯s pain relieved, no side effects observed. Reward: 16,000 points.¡± The points rose from 15,000 to 31,000, leaving him with a bit of a savings. After seeing his patient, Yang Ping, on his way back to the department, heard the system announce thepletion of the task. Now the tasks were getting harder. Unlike before, whenpleting a street-side rescue would reward him with a gift package. Theb lights were still on, with Song Zimo alone practicing arthroscopy. Yang Ping went in and found a chair to sit on. Song Zimo turned around, ¡°What¡¯s up? Aren¡¯t you going back to rest? Zhang Lin and Little Five have also trained for an hour and have already gone back.¡± ¡°Arthroscopy scissors should not only be trained for separation but should also be trained for rhythm. It¡¯s like tossing balls. One ball, two balls, three balls, tossed and caught in a loop. Master the rhythm!¡± Yang Ping said, watching Zimo keep spinning a grape until it rolled away. Song Zimo stopped, listening attentively. ¡°Get good at spinning the grape first, then alternate spinning and cutting. Break down the movements, train for each one. After perfecting each part, string them together for practice,¡± Yang Ping directed Song Zimo. Song Zimo, as if enlightened, immediately altered his training methods, breaking down and practicing each movement separately. ¡°Do you think Director Han will let us be the chief surgeon in the Golden Knife Award?¡± Song Zimo asked, worried. After all, they were below the deputy chief physician, Tian Yuan, and the chief physician, Tan Boyun. Both Tian Yuan and Tan Boyun were in their thirties and less than forty-five years old respectively, both meeting the age requirement for the Golden Knife Award. ¡°Chief physicians can also serve as chief surgeons in the Golden Knife Award. Director Han should give us a chance,¡± Yang Ping analyzed. Song Zimo was very familiar with the Golden Knife Award: ¡°Generally attending physicians participate as assistants. Those whopete as chief surgeons are very rare. Topete as a chief surgeon, performing third-level or fourth-level surgeries, signatures from two chief physicians within the same specialty are required, one inside the hospital and one outside. Su Nanchen has already been promoted to deputy chief physician and Wen Rentao is also a deputy chief physician.¡± Yang Ping yawned, ¡°So you want to defeat them?¡± ¡°Don¡¯t you?¡± Song Zimo retorted, stopping his arthroscopic training. Yang Pingzily shook his head, ¡°Nope, doesn¡¯t interest me. But Director Han did say that winning an award isn¡¯t a bad thing.¡± Song Zimo looked at Yang Ping, who spoke casually as if the award was easily attainable. ¡°Is the surgery for the synovial chondromatosis scheduled?¡± Yang Ping remembered the procedure set for tomorrow. Song Zimo resumed his training, ¡°It¡¯s set. Now it¡¯s easy for us to schedule surgeries. Schedule it here, call up to the operating room, and Xiao Su will have it arranged. Zhou Can is also here, he starts work tomorrow. Having two people makes it a lot easier. One handles the instruments and the other circtes.¡± ¡°Keep practicing. Can you handle all categories?¡± Yang Ping asked. Song Zimo nodded, ¡°Shouldn¡¯t you be able to, too?¡± Yang Ping snapped his fingers, ¡°Your time to prove your talent is here.¡± ¡°No attending physician has ever received the award before? But I want to try.¡± Song Zimo¡¯s ambition remained undiminished. ¡°Then let¡¯s start. Make them break the rule!¡± Yang Ping stood up, yawned, and left. Song Zimo was left alone in theb, lost in thought. Yes, start from this batch, and break the norm. He clenched his fist. Entering the system space before bed had be a daily requirement, more punctual than his daily grooming. It was the best time for focused training. Last time he trained with knee arthroscopy. This time, Yang Ping decided to practice shoulder arthroscopy. He spent 12,000 points in the system¡¯s store to purchase 600 shoulder arthroscopy cases, including ones for rotator cuff repair, acromiosty, Bankart lesion, SLAP lesion,brum lesion surgeries. He was left with just over 19,000 points. Every time he umted some points, after purchasing a training package he was left on edge. He checked the stage task; itspletion rate had increased by several percentages and the progress bar had moved a small step forward. Did today¡¯s puncture earn points for this task? It must have. Today¡¯s puncture, acknowledged by Professor Su, naturally boosted the team¡¯s reputation score. Yang Ping understood that now every piece of work, as long as done well, would earn him points, increase his experience, and directly or indirectly contribute to the stage task¡¯s score. This was the logic of aligning personal goals with team goals,bining personal growth with the development of the tform. N?v(el)B\\jnn No one was an ind, no one could seed on their own. The following day, the aunt with the soft-kneed syndrome was ready to be discharged. By the time he checked on her, she had already packed her stuff. She was overjoyed. She had gone from barely being able to move to being as spry as a hummingbird in just forty-eight hours. ¡°I¡¯m going to give you guys some good publicity. And please take good care of my friend I referred,¡± the aunt made a mental note of her friend¡¯s appointment. ¡°Doctor Yang, if you didn¡¯t already have a girlfriend, I¡¯d introduce you to one. Great girl, works at¡­¡± The aunt was enthusiastic. ¡°Mom!¡± Her daughter cut her off. ¡°Introduce me, auntie!¡± Zhang Lin joked. ¡°You¡¯ve got a girlfriend already, nephew ¨C trying to trick your auntie.¡± The aunt was sharp. ¡°How are you so sure?¡± Zhang Linughed as he asked. The aunt pointed to his shirt cor, ¡°Your cor is too clean to be single¡¯s. You¡¯re probably about to get married.¡± Holmes, they allughed heartily. The patient with synovial chondromatosis was prepped for surgery after rounds. ¡°Anyone here suffer from trypophobia? If so, step back!¡± Yang Ping announced before the procedure began. Patients like this, once the chondroma is removed, make those with trypophobia feel incredibly ufortable. Some may even vomit. While adjusting the height of the three-liter bag of saline, Zhou Can said: ¡°Even if we did, we¡¯d probably be immune by now. I have a ssmate who¡¯s also an OR nurse, used to faint at the sight of blood and needles. Not anymore. We see organs and intestines all day long, even if we wanted to faint we couldn¡¯t. That time in the tumor surgery department, a tumor weighing tens of kilograms was removed from the abdomen. When cut open, it was all raw, red meat.¡± Yang Ping came back after scrubbing his hands in. Song Zimo and Little Five had already prepared everything. Xiao Su had arranged the various tubes neatly, using a tie to bind them together and then fastening it above the knee. Water tube, suction tube, fiber optic, camera transmission line, electric ner wire, the line of the sma knife, four lines and two tubes, all without any entanglement, and the pre-set length was just right. Before the surgery, he checked anew, elevated the surgical limb, used a sterile tourniquet to evacuate the blood, inted theputer airbag tourniquet, and the surgery began. ¡°Those with mysophobia, stay back!¡± Yang Ping reminded again. The scalpel made a 0.5cm incision on the outside of the knee. With a blunt puncture cone, the sheath tube prated into the fossa intercondris, straightended the knee joint, and when the puncture cone entered the suprapater bursa, there was noticeable rustling friction sound, like a pair of chopsticks stirring a pot of peanuts. The puncture cone was withdrawn, and the arthroscope was inserted into the sheath tube, connecting the water tube. The view was all white, nothing could be seen. Under the impact of flowing water, the white objects were rolling and squirming, lined with round chondromas, white, slick and glistening from the crowd pressure. ¡°Wow!¡± Zhang Lin, Liang Fatty, and Zhou Can eximed simultaneously, finding the sight too dazzling, their skin instantly covered in goosebumps. It was no longer feasible to use needle punctures to locate the medial entry route as per the norm. The scalpel made another small incision on the inside of the knee, simrly, the puncture cone went in, carrying the sheath tube. ¡°Metal bowl!¡± The metal bowl was already handed over and ced underneath the inner sheath tube, just as the puncture cone was being withdrawn. Ssh! Some small cartge tumors flowed down the sheath tube and were caught by the metal bowl. Some even bounced around. After a while, the bottom of the metal bowl was quickly covered in white cartge tumors, all rtively small, about the size of sago, densely packed. Slowly, nothing more flowed out because therge sheath tube was blocked. The sheath tube was withdrawn and Xiao Su handed over the marrow forceps ¨C the best tool for removing floating bodies under an arthroscope. To remove the floating entities through an arthroscopy, each one had to be removed individually. Song Zimo¡¯s frequent training of taking crystal babies proved useful at this moment. ¡°Do you want to give it a try?¡± Yang Ping passed the marrow forceps to Song Zimo. Song Zimo had mastered these kinds of procedures. Now, he wanted to follow Yang Ping and upgrade his surgical skills, so he had agreed to assist, observing how Yang Ping operated. ¡°You go ahead, I¡¯ll support the legs and learn from you.¡± Song Zimo said. Each time Yang Ping¡¯s marrow forceps went in and out, it was holding a white chondroma, which he dropped in the metal bowl. He didn¡¯t miss a step with each repetition. He went in, mped a chondroma, then pulled out and dropped it into the metal bowl. One by one, then a couple, then dozens, the numbers kept climbing¨C In Yang Ping¡¯s forceps, not a single chondroma was missed, nor was any repetition required. A single metal bowl could no longer hold them all, Xiao Su had to swap it for another one. Slowly on the screen, the circr field of view was bing more clear. One could see the chondromas umted in different joint spaces, some even moving around under the flow of water. That a human knee joint could hide such clustered peanuts was beyondprehension. Zhou Can felt goosebumps all over his body, as if millions of ants were crawling inside his internal organs. The entire knee joint was upied by chondromas resembling peanuts packed together. Over three hundred had been removed, with more than two hundred still present. ¡°Zhou Can, are you okay?¡± Concerned, Liang Fatty looked at Zhou Can whose face had turned pale. Xiao Su also asked with concern, ¡°Zhou Can, why don¡¯t you take a break?¡± Zhou Can shook his head and took a deep breath, ¡°I¡¯ve got goosebumps all over now, but I¡¯m fine. I just need a moment to rx.¡± ¡°Weren¡¯t you immune?¡± Zhang Lin challenged her, recalling her confidence from moments ago. ¡°I was immune to tumors weighing several dozens of pounds, but have never seen hundreds of these things. It¡¯s making me feel suffocated,¡± Zhou Can admitted. Indeed, this was extremely rare. The removal of the chondromas continued. The procedure was quick; once one area was cleared, the next was targeted. In the end, the posteriorpartment was swept once more. From head to foot, the entire knee joint was inspected for any residuum ¨C under the meniscus, inside the synovial folds, everything was checked with the probe, including squeezing theteral recesses. Confirmed there were none left, a normal knee joint was revealed. Yang Ping had cleaned up the knee joint, removing the proliferating synovial tissue and repairing the degenerated, torn meniscus. The two metal bowls were filled to the brim, the height of the contents exceeding the edges. It was astonishing that all of this came from one single knee joint. Five hundred and twenty-seven pieces! More than what was shown on the MRI. The smallest was the size of sago, and thergest was bigger than an adult¡¯s thumb. ¡°Shall we show this to the patient and their familyter?¡± Zhang Lin took a photo. ¡°Communicate with them in advance and seek their opinion. If they don¡¯t want to see it, let it be. It might make them ufortable,¡± instructed Yang Ping. Last time, the patient was too scared to see it, and the sight almost made his son vomit. Zhou Can stared at the two metal bowls filled to the brim with white, smooth, egg-shaped tumors that had piled up like mountains. ¡°Are you sure you want to keep looking? Are you trying to desensitize yourself?¡± Zhang Lin blocked Zhou Can¡¯s view. ¡°Let me look a little longer. I won¡¯t feel this way next time. It¡¯s quite stimting,¡± Zhou Can admitted. ¡°You¡¯re a freak!¡± Zhang Lin moved aside. Chapter 131 - 0128 The First Strategic Position Chapter 131: Chapter 0128 The First Strategic Position The surgery ended, and we discussed with the patient and his family whether they wanted to see the removed object from the surgery. They firmly declined, unwilling even to look at pictures. It¡¯s amon practice; sometimes when the particr object that was removed during surgery is unique, it is shown to the patient and family to inform them. The anesthesia control for Liang Fatty was excellent, allowing the patient to be able to walk out on their own. Being wheeled in on a wheelchair but walking out by yourself presents an impressive contrast; this can significantly boost the patient¡¯s confidence. However, this patient hadn¡¯t walked normally for several months. Due to insufficient lower limb strength and his inability to support his weight immediately after surgery, coupled with the psychological fear induced by joint lock, his fears couldn¡¯t be alleviated instantly. Little Five and Zhou Can helped the patient sit up while Yang Ping encouraged the patient to move their knee joint. The patient was afraid to move; Yang Ping helped the patient move as the patient was too frightened, leading to severe muscle resistance. Song Zimo called a ward nurse to bring a walker to the entrance of the operating room to help the patient walk back afterward. Everyone changed clothes and exited the operating room, where Zhou Can and Liang Fatty were already waiting with the patient in a wheelchair. Upon seeing the significant decrease in the swelling around the knee joint, the patient¡¯s son felt relieved. Recalling the dense items he saw in the X-ray yesterday, he felt goosebumps; he dared not look at his mother¡¯s operated knee again. ¡°Come on, try to walk with this walker. The more you walk, the faster you¡¯ll recover. The less you walk, the harder it will be to recover. Be bold and walk!¡± Yang Ping encouraged the patient. Song Zimo properly adjusted the walker, and Xiao Yang and Zhang Lin helped the patient stand up. The patient had good upper limb strength and could support her body with the walker. After trying to take a few steps, she immediately gained confidence. The family members watching felt very happy as well. After escorting the patient back to the ward, another patient was waiting for Yang Ping in the doctor¡¯s office. Professor Zhang¡¯s patient ¨C Hermes, was being pushed in by his fashionable wife. ¡°Hello, Doctor Yang!¡± Hermes greeted, shaking hands with Yang Ping. ¡°Hello, are you looking for Professor Zhang? He¡¯s in the Department of Orthopedics.¡± Yang Ping knew he had been seeking Professor Zhang. Hermes responded, ¡°I went to see Professor Zhang in the outpatient department. He kept telling me to see you and have you admit me to the hospital. He said that he will visit here in a few days.¡± In a few days, Professor Zhang would move to the Comprehensive Orthopedic Clinic to specifically handleplicated cases. He had applied to the hospital to move here, so Han and Director Tian would be released by having Professor Zhang¡¯s help. ¡°Do you want to stay in the Overseas Chinese Building or here?¡± Yang Ping asked him; he had stayed in the Overseas Chinese Buildingst time. Hermes chose to stay here. ¡°With Professor Zhang here, I feel safe. Did you not see what happenedst time in the Overseas Chinese Building? An old man next to my room suffered a sudden heart attack after surgery. He was rushed into emergency treatment and installing a stent; it was only after a night of turmoil that they managed to save him. I was frightened by it. I feel secure seeing Professor Zhang, so I will stay here. What about we charge ording to the rates of the Overseas Chinese Building?¡± While he was talking, he wiped away the sweat with a tissue. He was genuinely terrified. Yang Ping asked Xiao Yang to admit him to the hospital. ¡°It doesn¡¯t matter; you can choose where to stay. We have our charging standard here. We can¡¯t charge randomly. We also have separate suites, with a daily fee of 1200, and other charges are the same as ordinary patients. This single suite is better than the general ward but much worse than the Overseas Chinese Building.¡± Every time Yang Ping talked to Hermes, he didn¡¯t dare to look straight at him, as his wife¡¯s clothes were too bold. She unbuttoned her coat, revealing a tight, low-cut dress that boldly showed off her curves. On the first day of the establishment of the Comprehensive Department of Orthopedics, a doctor group was created on WeChat, as well as arger group for Comprehensive Bone doctors and nurses. Professor Zhang had been added to the group. This octogenarian had an impressive mastery of his smartphone. Looking at his phone, Yang Ping saw that Professor Zhang had sent a message in the big group chat. He wanted Yang Ping to admit Hermes to the hospital,plete the preoperative examination, and prepare for surgery next week. Xiao Yang took Hermes aside to help himplete the hospital admission procedure on theputer and issue a certificate of hospitalization A nurse came over and reported that a patient was waiting in the meeting room. Yang Ping went over and saw that it was Mr. Ning¡¯s daughter. She politely smiled, ¡°Sorry to disturb you, Doctor Yang, do you have a moment to speak?¡± Yang Ping weed her to sit down, ¡°How is Mr. Ning feeling? Is his chest not hurting anymore?¡± He was nning to go and check on Mr. Ning after finishing up. ¡°There¡¯s no pain in his chest area at all, he slept wellst night, and this morning he even ate a steak, two pieces of bread, and a bowl of porridge. Our father is very grateful to you,¡± Miss Ning expressed with gratitude. ¡°Please, it¡¯s what we are here for,¡± replied Yang Ping. Miss Ning looked somewhat gloomy as she said, ¡°The pain in my father¡¯s chest has beenpletely relieved, but the pain in his liver can only just barely be relieved with morphine right now. I worry that the morphine will soon be ineffective. Could I bother you to use the pain-relieving method that you used yesterday when that happens?¡± ¡°If there is really a need, we will do our best. However, the pain in the liver area is much moreplex than the pain in the chest,¡± Yang Ping honestly responded. Miss Ning said sadly, ¡°Thank you very much, I really appreciate your help. My father trusts youpletely.¡± ¡°Thank you for your trust. When I get a chance, I wille to see him.¡± Yang Ping knew that this sessful pain management had given Mr. Ning confidence, allowing him to walk thest stretch of his life with dignity. ¡°I will not bother you anymore, Doctor Yang,¡± Miss Ning said her farewells, shaking hands with Doctor Yang. After sending Miss Ning away, Hermes was pushed into the doctor¡¯s office by his wife: ¡°Doctor Yang, sorry for the disturbance. Please make arrangements for my surgery next week. Professor Zhang will only be here next week.¡± ¡°Okay, don¡¯t worry, I will arrange the surgery ording to Professor Zhang¡¯s schedule.¡± Yang Ping gave him reassurances, and only then did Hermes leave with peace of mind. Su Nanchen sent a WeChat message, about a fifteen-year-old football yer who had a seriousplex tear in the meniscus of his left knee. Surgery was needed for endoscopic meniscus repair. There was a shortage of beds at their ce, and they could not arrange for it temporarily. The patient¡¯s family was very anxious, so he let the patiente to Sanbo to find Yang Ping. Yang Ping immediately agreed, grateful for Su Nanchen¡¯s rmendation. Rmendations between doctors are usually not made unless there is a high level of trust. Even if they do rmend, it¡¯s usually from lower-level hospitals to higher-level hospitals, not among same-level ones, or from higher-level ones to lower-level ones. That is somewhat umon. Yang Ping did not expect that he would be dealing with endoscopy these days. The first surgery in the department was an endoscopy, followed by another one. It seemed that just like the five-section rentation for trauma orthopedics, endoscopy forprehensive orthopedics might be a breakthrough point. Director Han called Yang Ping to his office. Without dy, Yang Ping immediately rushed over and found Director Han staring at a picture on the wall. It was a blueprint for the development of orthopedics. Micro-trauma orthopedics had been marked with a blue tick. Director Han held a red and blue marker in his hand: ¡°In trauma orthopedics, the five-section rentation has made a name for itself, and the trauma emergency center is serving as a tform. Now the patient numbers have skyrocketed. Dr. Tan Boyun¡¯s abilities are also outstanding, so the development of trauma orthopedics ispletely on track and there is no need to worry anymore. The other departments, the spine and the joint are neither too hot nor too cold, and Sports Medicine only has twenty beds, which is seriously holding us back. Currently, very few hospitals in the country have developed well in the field of Sports Medicine, other than the third hospital in Beijing, Jishuitan, Huashan in Shanghai, and the sixth hospital. There is no big scale in the others. Ourprehensive orthopedics department has been open for three days now, and I keep thinking, should we find a breakthrough point, like trauma orthopedics, to make a name for ourselves?¡± Using the marker to draw circles in his hand, Director Han turned around and sat down: ¡°Xiao Yang, have a seat!¡± ¡°What do you think?¡± Director Han asked. The Comprehensive Orthopedics department ys the role of the vanguard in the major orthopedic units, which is responsible for capturing territories. After capturing a territory, it is handed over to other wards for operation. For example, the trauma orthopedics territory has been captured and handed over to Tan Boyun for operation. This is Director Han¡¯s strategy for the positioning of the Comprehensive Orthopedics department. Yang Ping looked at the blueprint on the wall: ¡°Director, the advantage of ourprehensive orthopedics department at the moment is the inherited system of the day surgery. We need to capitalize on the advantage of the system, for speedy surgery and rapid recovery. The most suitable surgeries in orthopedics for this system are sports medicine and arthroscopic surgery, which would be the perfect breakthrough point!¡± Yang Ping suggested, reflecting the results of his consideration over the past few days.N?v(el)B\\jnn ¡°Hmm, the first day I saw you guys carry out surgery, I was thinking about this issue. In G City, besides the No.1 attached hospital which focuses a lot on Sports Medicine, the other hospitals do not differ much from us. They do not ce much emphasis on it either. This is indeed an ideal breakthrough point. The first strategic position that ourprehensive orthopedics department should attack is this one.¡± Director Han stood up and marked Sports Medicine with a red tick. ¡°Director Gao graduated from Beijing North Hospital with a PhD. His educational background and technical skills can definitely support this department. As long as we upy this territory, it can then be handed over to him to establish a Sports Medicine Center without any problems in the future.¡± Director Han lifted his teacup and took a sip of tea. ¡°Xiao Yang, I¡¯ve seen your work with arthroscopy. Your skills are top-notch, just like when you perform finger rentation. Do you feel confident in capturing this territory?¡± Director Han was full of confidence. ¡°There should be no problems!¡± Yang Ping answered habitually. ¡°That¡¯s exactly what I wanted to hear!¡± Director Han began humming a tune. The mutual understanding between a Bole and a talented horse led to a strong rapport between the old and the young. ¡°The academic conference ising up soon, and Director Tan has already started preparing. There are still slots for more lectures in the conference. You shoulde up with a theme and present it at the conference as a way of training yourself. Choose a topic on your own, prepare well, and hand it over to Director Tan. We will have a progress report meeting for the academic conference this afternoon, which both you and Song Zimo should attend.¡± Director Han instructed. This academic conference was not for a small range in G City, but international. Director Han used his own connections to organize this academic conference together with hospitals in Japan, South Korea, Israel, and Singapore ¨C it was the Asian Trauma Orthopedics Summit. The content of the conference revolved around cutting-edge techniques. Zhang Lin was responsible for the paperwork of the academic conference, like crafting the opening speech, designing the schedule, and so forth. Yang Ping looked at Zhang Lin¡¯s lecture schedule. Director Tan¡¯s topic was ¡°The Establishment of the Database for Robotic Surgery Cloud,¡± and Director Tian¡¯s topic was ¡°The Application of 3D Printing in Trauma Orthopedics.¡± If he were to give a lecture, what theme should hee up with? He had yet to tackle any specific topic. He had not been at Sanbo for a long time, and what he had umted was more about surgical operations. He hadn¡¯t really dabbled in any of these cutting-edge technology topics. Toe up with a theme and present it at this conference would be quite challenging indeed. Chapter 132 - 0129 Xiao Sus Cooking Skills Chapter 132: Chapter 0129 Xiao Su¡¯s Cooking Skills This was a rare opportunity for a meeting, and Yang Ping wanted to cherish it, not letting Director Han¡¯s high hopes down. He pondered hard over the topic for his speech, but could not find an appropriate one for the moment. After all, unlike Director Tan and Director Tian, who had their own research topics, studying cutting-edge things. Yang Ping felt he should give up and share his thoughts with Director Han. Director Han was very open-minded: ¡°Well then, there will be a surgical demonstration. If there is a rescue surgery at the Trauma Emergency Center during the conference, Tan Boyun will do a live surgery demonstration, showcasing our process and surgery. That guy has courage and creativity. You can also use a surgical demonstration to showcase yourself.¡± This was more in line with his current situation; Yang Ping could manage it. Yang Ping told Director Han about Su Nanchen introducing him to a patient. Director Han was delighted: ¡°This is good news, it means they trust you. Handle every patient with care, turn every surgery into a masterpiece, and your fame will spread naturally.¡± The old and the young sat drinking tea while chatting, having a whale of a time. Su Nanchen sent a WeChat message, saying that the patient woulde to Sanbo Integrated Orthopedics in the afternoon to look for Yang Ping, arriving around four o¡¯clock. Little Su, Zhou Can, and Tang Fei headed to the dormitory to cook some dishes, which they nned to pack up and bring over. The group would have lunch together at noon. With no emergencies at the moment and surgery times being controble, everyone was rtively rxed. The hospital dormitory was a suite. Little Su and Zhou Can, who were roommates in a two-bedroom living room, were equipped with a kitchen, which made it very convenient for them to cook. They had gone to the market early in the morning to buy ingredients, stating that they needed to celebrate the sessful discharge of the first surgery patient that day. Around 11 o¡¯clock, the three girls brought the food to the dining room and asked Zhang Lin and Little Five to fetch rice from the canteen. The food was packed in disposable containers, steaming hot and fragrant. One by one, they were ced on the table. The leek fried eggs looked very unappetizing, being burnt. The carved decoration next to the cold dish was a bit awkward. The rest of the dishes looked beautiful and were of good quality. ¡°How could this dish look so unappealing, Zhou Can, did you make it?¡± Zhang Lin thought the leek and fried eggs looked very unappetising. With his head lowered, Zhou Can looked wronged: ¡°I¡¯ve never cooked before. It¡¯s already good that I¡¯ve made something for you to eat, so don¡¯t be picky.¡± As Little Su adjusted the cement of the dishes, she said, ¡°Zhou Can spent half an hour making this dish, stirring the eggs for over ten minutes. This is abor of love from Zhou Can.¡± ¡°Yes! Little Su understands me.¡± Zhou Can grabbed Little Su¡¯s hand. ¡°This dish, don¡¯tment on it. I made it.¡± Tang Fei voluntarily admitted, saving the awkwardly carved chilled dish from Zhang Lin¡¯s critique. ¡°Where¡¯s Xiao Qing? Invite her to eat with us. Zhang Lin, your pediatrician also needs to eat lunch, right?¡± Yang Ping suggested to Little Five and Zhang Lin. ¡°Emergency Department, don¡¯t even think about getting away for lunch. It takes enough time to walk from the Emergency Building to the Integrated Orthopedics department to save several people.¡± Xiao Qing worked in the emergency department, which was tough, but the girl actually loved her hard work. Zhang Lin, looking at the dishes: ¡°Pediatrics is also quite busy. Why don¡¯t I take some food to go and deliver it to her?¡± ¡°Look at Zhang Lin, Little Five, you need to learn from him. How considerate!¡± Liang Fatty exaggeratedly gestured. ¡°You¡¯re just all talk.¡± Little Five poured cold water on Fatty, and Fatty shut up. Little Su then took out two more meal boxes: ¡°These are for your homes. They¡¯re all set. It¡¯s still early, and they definitely haven¡¯t had lunch yet. Take them over. I packed a little of each dish.¡± ¡°My sister-inw is so thoughtful.¡± The words slipped out of Zhang Lin¡¯s mouth. ¡°Look at my mouth, always spouting out more than it should!¡± Zhang Lin pped himself in the mouth. Little Su¡¯s face instantly turned as red as a red apple. ¡°I¡¯ll go ahead and make the delivery, you guys wait for me, wait for me!¡± Zhang Lin shouted as he walked. ¡°Hurry up, I¡¯m starving.¡± Fatty was getting impatient. Zhang Lin turned back and took a photo: ¡°Everything starts with a photo!¡± ¡°Zhang Lin, be honest when you get there. These were made by Little Su, don¡¯t im you made them to your wife.¡± Liang Fatty knew this guy was thick-skinned. Little Five also rushed towards the Emergency Department with his lunchbox. Liang Fatty¡¯s chopsticks were in his hand and about to reach out several times: ¡°Let¡¯s not wait for them, let¡¯s start eating.¡± ¡°Fatty, you¡¯re so disloyal,¡± Zhou Can angrily said. Little Five and Zhang Lin returned, panting heavily. The two boys had clearly run a round trip. ¡°Time¨Ctime¨Cto eat!¡± Zhang Lin gasped. ¡°Come, brother, youe, taste it first!¡± Little Five grabbed Liang Fatty¡¯s hand. After trying a bite, Yang Ping acknowledged the impressive culinary skills of Xiao Su. The dishes were not only well-picked but also delicious, especially the sweet and sour pork ribs, which had an excellent taste. Such cooking skill couldn¡¯t havee from mere self-learning, there must have been expert guidance. ¡°Call the standardized training students.¡± Yang Ping noticed they were missing. ¡°Already did, they all went to the hospital teaching room for procedure practice. The practical exam is in a few days, they are cramming.¡± Song Zimo replied. Xiao Su¡¯s cooking was excellent ¡ª it was savored by everyone. Even Zhou Can¡¯s fried egg and Tang Fei¡¯s mixed vegetables were all gone. ¡°Who is on duty today?¡± asked Yang Ping. Zhang Lin raised his hand: ¡°It¡¯s my shift.¡± ¡°There¡¯s a patienting in with a torn meniscus around four, I¡¯ll be in a meeting this afternoon. Let the on-duty doctor know, if the patient arrives, to have them wait in the meeting room. Patient is being referred by Su Nanchen from the affiliated hospital, we must handle this properly.¡± Yang Ping told Zhang Lin. Everyone pitched in to clean up the trash and tidied up the dining area, leaving Yang Ping and Xiao Su in the dining room. Xiao Su wiped the table twice, until it was squeaky clean. Resting her chin on her hand, she looked at Yang Ping: ¡°So, Su Nanchen from the affiliate hospital is referring patients to you? You guys are close?¡± ¡°Yes! Due to their bed crunch and long surgery waiting time, the patient was rather anxious, so he referred them here.¡± exined Yang Ping. Xiao Su¡¯s long eyshes sparkled: ¡°Doctor Yang is really something.¡± ¡°Little girl, why are you looking at me like that?¡± Yang Ping felt his face heat up under her gaze. Still resting her chin in her hand, Xiao Su asked: ¡°Had a close encounter with Professor Su yesterday, right?¡± ¡°Yes, I did. I messaged you about the meal on WeChat, and had it with them. Su Nanchen and I hit it off, he¡¯s a very nice guy. Highly talented and modest, andcks any arrogance. Professor Su is also very gentlemanly, which is why he¡¯s so respected in the medical field.¡± Yang Ping praised. Xiao Su stopped speaking and continued to gaze intently at Yang Ping. ¡°Why do I feel like all those with ¡®Su¡¯ as their surname are like this? They look good and have high IQs, like the one in front of me.¡± Yang Ping said with augh. ¡°Hmm, you¡¯ve improved, you¡¯re quite the tterer.¡± Xiao Su withdrew her gaze. ¡°I¡¯ve got to go back to preparing the meniscus suture instrument, and I have to get more meniscus suturing tools. Which one does it need? Made in our country?¡± Xiao Su gets busy too. ¡°Use the domestic-produced one! Xiao Su, you know me well!¡± Yang Ping preferred domestically manufactured medical equipment. Even though they might have been somewhat inferior to imported ones, if they were not supported, the domestic ones would never have the chance to improve. The hospital¡¯s sports medicine supplier had several vendors, including Shi Lehui, Arthrex, and a domestically manufactured one ¨C Ruixing. To do a good job, one must first sharpen one¡¯s tools. Yang Ping had studied all the sports medicine products on the market, thoroughly understanding their design principles, materials, pros and cons. ¡°Prepare more consumables for shoulder and knee arthroscopies. We¡¯re going to be performing more in this area.¡± Yang Ping instructed Xiao Su. Xiao Su returned to the operating room to prepare the tools. Yang Ping picked up his mobile phone, pulled out the text, images, and video data on these products he¡¯d been collecting all this time and studied them all over again, not missing a single detail. Heading to the departmentputer, he pulled up their open patent information and gave it another thorough study. Yang Ping had a deep understanding of the entirety of the equipment; even deeper than the engineers who had designed them. Director Tan sent a WeChat message informing everyone of a 4 p.m. meeting, an academic conference preparation report meeting. Yang Ping didn¡¯t have specific tasks for the academic conference preparations because he was in charge of general orthopedic surgeries. Song Zimo, Little Five, Zhang Lin, and others had specific tasks. The patient with synovial chondromatosis was very active, hobbling back and forth in the hallway with the aid of a walker.N?v(el)B\\jnn Hermes finished the hospital admission paperwork for the operation, had lunch, returned to his room and was on the phone once more, speaking about increasing capital, funds and contracts and such. ¡°4 p.m. this afternoon, in the integrated orthopedics teaching room, academic conference preparation reporting meeting.¡± The message was repeated in the academic conference preparation WeChat group, sent by Dr. Zhong. Because Director Han¡¯s office was in the Integrated Orthopedics Department, Tan Boyun felt that it was better to hold meetings closer to the head of the department. Chapter 133 - 0130 Crouching Tiger, Hidden Dragon Chapter 133: Chapter 0130 Crouching Tiger, Hidden Dragon At four o¡¯clock, the meetingmenced punctually in the teaching room of the Integrated Orthopedics Department. The participants were all members of the Academic Conference Preparation Group, including Director Tian, Yang Ping, Song Zimo, Tang Fei, Zhang Lin, Little Five from the Integrated Orthopedics Department.N?v(el)B\\jnn Additionally, it included group leaders and attending physicians from the Micro-trauma Orthopedics Department. Although others did not participate in the preparation group, most graduate students, standardized training students along with some nurses were given specific tasks, such as receptionists, venue attendants, and usherettes, etc. As the theme of the conference was Trauma Orthopedics, the departments of Spine Surgery, Joint Surgery, and Sports Medicine were temporarily not required to send participants for preparations. However, they expressed full support and dered that they could provide personnel anytime if needed. This was a big event of the Orthopedics Department, in which each person actively participated. Everyone was going to benefit from it, and the team spirit of Orthopedics was fully demonstrated. Once everyone had gathered, Tan Boyun took the podium and reported the work progress to Director Han. The preparations had beenpleted for the moment; the remaining tasks were improving the details. The guests of this conference included Professors from the First and Second Affiliated Hospitals of Nandu Medical University, Provincial People¡¯s Hospital, City People¡¯s Hospital, along with Professors from Beijing, Shanghai, and Western China. Some professors also came from abroad, such as from Japan and South Korea, predominantly representing several Asian countries. There were over a thousand doctors attending the conference. This number was quiterge, indicating thepelling nature of the issues discussed at the Academic Conference. An international academic conference of this nature would have been difficult for Tan Boyun to operate solely, mainly due to theck of awork foundation. However, with Director Han¡¯s assistance in inviting people and establishing the conference framework, he found the operation much easier. Therefore, Tan Boyun was very grateful that Director Han entrusted him with this glorious task and himself took the backstage, reflecting his remarkable magnanimity. Once Tan Boyun had finished his report, each preparation group then reported their work progress, and raised any issues that needed resolution, for everyone to coborativelye up with solutions. Tan Boyun was the leader of the preparation group, with Director Tian as the deputy leader. He, along with Song Zimo were tasked with reviewing the conference papers. Zhang Lin was in charge of text publicity tasks, such as drafting the content for the promotional posters and Tan Boyun¡¯s opening speech; Little Five was responsible for arranging guest hospitality such as transportation, amodation, breakfast, lunch, dinner; Tang Fei was in charge of arranging trantion tasks; other projects also had dedicated personnel responsible for them. There were foreign guests attending, but most of the audience wasposed of Chinese doctors; hence, a trantion was essential to interpret guests¡¯ speeches, and facilitate a question-answer session between the audience and guests. Tang Fei took the podium to report: ¡°The conference speeches will all be delivered in English; the venue trantion group isposed of myself, Director Tian, Dr. Yang, Song Zimo, and Dr. Jin. All doctors in the group have English proficiency assessed as highlypetent.¡± Medical conferences involve many professional terms, so it might be embarrassing to trante without a certain medical background, despite the interpreting ability. Many doctors fromrge hospitals have overseas studies experiences. Some have even participated in tranting medical monographs, making them better than trantionpanies. Director Tan, Director Tian, Song Zimo, and Tang Fei had studied in the United States, Dr. Jin had studied in the United Kingdom, while Yang Ping, despite not having studied abroad, had excellent academic scores and a strong English foundation. With increased study over this period, his trantion skills have rapidly improved without any issues. Director Han needs no introduction. He has alwaysmunicated directly in English at overseas academic conferences, and he participated in formting the English version of Sanbo Hospital¡¯s medical certificate and other documents. Professor Zhang Zongshun, being 80, still reads original English medical literature. Since most of the achievements in Western medicine are documented in English, learning English is to keep up with the international advanced standard and progress through education andmunication. Next, Zhang Lin gave a report on the progress of his text publicity tasks. He disyed on the screen his designed posters, expert introductions, conference agendas, attendance guides, and the draft of Director Tan¡¯s opening speech. Everything looked very professional and beautiful.¡¯ Despite appearingx, this guy surprisingly possesses profound writing skills. He does things systematically and properly when ites to official matters. Director Tan said while looking at the screen, ¡°I have read the opening speech draft, and it¡¯s very good. I made only minor amendments. This is the final version. Would everyone please check to see if there are any issues? If not, could Director Tian please help trante it into English?¡± ¡°No problem, send me the manuscript, Zhang Lin, and I will trante it tonight.¡± Director Tian had just read through the manuscript and was quite satisfied. Director Tan had less time recentlypared to Director Tian, so he entrusted the trantion of the speech to Director Tian. Little Five was in charge of guest logistics, including airport pick-ups, amodation, and the arrangement of breakfast, lunch and dinner. He opened a notebook: ¡°I have already made arrangements with the hospital¡¯s logistics department to send three business cars to the airport for pick-ups. The amodations are arranged at the Tri-Bo Hotel. I reserved an entire floor for the guests to stay, and hotel rooms for other staffs based on the registration form. Breakfast, lunch, and dinner will all be provided at Tri-Bo Hotel, with a buffet for breakfast and lunch. The dinner will be arranged in the hotel hall, and tables have been booked ording to the number of people. This is the list of refreshments and fruit for the conference¡¯s two-day tea break, arrangement, standards for breakfast and lunch buffet, dinner menu, and the list of guests for each table. Take a look and see if anything needs to be adjusted.¡± Little Five also made these into charts and disyed them on the screen, making it crystal clear. The Tri-Bo Hotel was a hotel located inside the Sanbo Hospital. The majority of its guests were family members of patients. Whenever there was a conference at the hospital, it would also serve as the conference¡¯s exclusive hotel. ¡°Little Five, I suspect you used to work in a conventionpany during the summer when you were studying. Your arrangements are impable.¡± Upon seeing such mature arrangement from Little Five, Director Tian was impressed. Both the buffet and banquet had taken into ount the tastes of experts from different countries. ¡°The menu is finalised after several discussions with the hotel.¡± Little Five zoomed in on the menu. Dr. Zhong was in charge of collecting courseware: ¡°I have collected all the courseware. Apart from a few professors who chose not to submit their slides, stating that they would bring them with them, there are no other issues.¡± ¡°All sponsorship funds for the conference have been secured. There are a total of thirty-two sponsors, and all their booth areas are well nned.¡± Dr. Jin and Fatty were in charge of sponsor management. Dr. Jin managed the money, Fatty managed the ounts, and the hospital dispatched financial supervisors to monitor them. Medical academic conferences were usually sponsored by equipment or pharmaceutical manufacturers. By sponsoring, the manufacturers would get a booth to disy their products to all the experts attending the conference. Everyone¡¯s preparations over this period of time were very thorough, Director Tan concluded after going through it without finding any problems, he said: ¡°If a major emergency surgery happens to take ce during the conference, we will demonstrate the entire surgical process. There will be three surgical demonstration teams, I, Director Tian, and Doctor Yang will be the chief surgeons, each with our own familiar assistant. This program is a bit risky, we have trauma emergency center patients almost every day now, so the likelihood of needing to perform a demonstration during the conference is pretty high. If we seed, it would demonstrate our capabilities; if not, we¡¯ll be theughing stock. Director, do you think this program is appropriate? Should we cancel it?¡± Director Han is now working behind the scenes, not directly involved in organizing this academic conference, but he is helping make decisions. He shook his head and said: ¡°No need to cancel it. It¡¯s indeed very risky, but it also presents the best opportunity to test our capabilities. Let¡¯s show what level we are at andpare ourselves to others. We should be bold and careful, our ideas should be bold, and our work should be meticulous.¡± ¡°Thank you for your support, Director! Based on our usual performance, there should be no problem. Dr. Yang, you don¡¯t need to be involved in preparing for the academic conference during this time. Rest and rejuvenate, and show the best of you on that day.¡± Director Tan entrusted Yang Ping with an important task. Director Han paused and said: ¡°Let me say a few more words. Just now we mentioned the demonstration of emergency trauma surgery, this is something that no traumatic orthopedic academic conference dares to undertake. Even if there are surgical demonstrations, they are often elective surgeries, as such they can be fully prepared with foolproof strategies. Director Tan, for your courage, I apud you first!¡± Everyone followed and apuded. ¡°For this surgery demonstration, everyone needs to stay calm and perform the surgery as usual. A doctor needs not only superb skills but also strong psychological quality. I want to tell you that this time, we are demonstrating Sanbo¡¯s standards to Fuer and Fuer, Nandu¡¯s standards to Beijing and Shanghai, and China¡¯s standards to foreigners. You need to show the best of your skills, that day there will be no bosses, no authority, you yourselves are the bosses, the authorities!¡± The apuse at the scene rang out again, these words were just as effective as a shot of adrenaline, everyone couldn¡¯t hide their excitement, wishing the conference would start tomorrow. Generally, everyone is busy with clinical work and rarely has the opportunity to showcase talents beyond medicine. During the preparations for this conference, they suddenly realized that their team was full of hidden talents. ¡°Any other issues?¡± Director Tan wrapped up the meeting. Everyone shook their heads. Director Tan sought Director Han¡¯s opinion: ¡°Director, shall we conclude the meeting then?¡± Director Han waved his hand: ¡°Let¡¯s conclude the meeting!¡± Director Tan announced the conclusion of the meeting and everyone was extremely excited. The patient that Su Nanchen introduced was already waiting in the meeting room. Chapter 134 - 0131: Surgery of Professional Athletes Chapter 134: Chapter 0131: Surgery of Professional Athletes Zhang Lin led the patient to the doctor¡¯s office. The patient¡¯s name is Luo Xiaohu, a male, fourteen years old, a key yer in the provincial youth ser team, he ys very well and is expected to join the national youth team. The worried faces of his parents, who pushed him in a wheelchair, were hard to miss. Since the opening of the Orthopedics Department, all three patients they had seen were brought in wheelchairs. Luo Xiaohu had loved ying football since he was a child. He was very talented, and his family was financially well-off to support his passion. He even had a year of intensive training in Brazil. His parents had pinned great hopes on him, eagerly anticipating that he would be a football star and bring honor to the family. When professional athletes get injured, their demands for restoration of function are much higher than ordinary people¡¯s. They are also familiar with doctors in the industry. They are very careful about their choice of treatment once injured. Injuries are inevitable in football. Every time Luo Xiaohu got hurt, even if it was a minor ankle sprain, he would go to Fuer Hospital to see Dr. Su. Especially after Dr. Su returned from studying abroad, Luo Xiaohu consulted only him, and had great trust in him. This time, he got injured during a game. The team doctor performed immediate first aid, and then promptly sent him to Fuer Hospital to see Dr. Su. Dr. Su examined him, performed an MRI scan which revealed a Grade III tear on the medial meniscus, requiring surgery. A Grade III injury signifies a tear. Luo Xiaohu¡¯s meniscal tear was quite serious. It wasn¡¯t a general tear, but apound tear. The tear was longitudinal, diagonal, radiated, and p-shaped, with several tearing points. This type of tear is very difficult to suture. Dr. Su is very skilled at arthroscopy, having trained under a well-known international sports medicine master at the Special Surgery Hospital in New York. Unfortunately, Dr. Su had so many surgeries lined up that it would take two weeks to get to this one. The earlier the meniscal suture surgery, the better the healing. Much like a wound, the earlier you suture it, the better the healing. After two to three weeks, the tear bes chronic, the sess rate of healing decreases, and the quality of healing also deteriorates. If you want to increase the probability of healing, you need freshening treatment such as filling the wound edges with blood clots to promote healing. Waiting two weeks might not be a big deal, but it was uneptable for Luo Xiaohu¡¯s parents. He needed the surgery at the optimal time. Luo Xiaohu¡¯s parents nned to fly to Sanbo Hospital in Beijing, but since they didn¡¯t have any acquaintances there, it could possibly take longer. Even if they were admitted into the hospital, it didn¡¯t necessarily mean that the best doctor would perform the surgery. Therefore, they sought help from Su Nanchen, asking how they could arrange the surgery as soon as possible. Su Nanchen rmended that theye to Sanbo to find Doctor Yang, iming that his surgical skills were even better than his own. Luo Xiaohu¡¯s parents knew this was modesty. In G City, there was no one who could outperform Su Nanchen in arthroscopy. But as someone rmended by Su Nanchen, they knew this doctor must be a formidable figure in the field, perhaps even someone recently returned from the United States. Not wanting to waste any more time, Luo Xiaohu¡¯s parents immediately came to Sanbo Hospital to find Doctor Yang. While Doctor Yang was in a meeting, Father Luo read Doctor Yang¡¯s personal profile on the corridor wall. He discovered that Yang was still young, an attending physician, but his profile had nothing particrly noteworthy, including no experience studying abroad. The ward was empty, and Father Luo felt uneasy. Su Nanchen was also young, but it was different; their son was a professor, and an expert who studied in the United States. Could it be possible that Dr. Su rmended a random doctor just to appease them? It wasn¡¯t possible! Father Luo hesitated; his son had a promising future and he couldn¡¯t afford to jeopardize his career because of this meniscal injury. ¡°Doctor Yang, Dr. Su rmended us toe see you. He said you¡¯re very experienced in this field. You¡¯ve definitely performed surgeries on many professional athletes, haven¡¯t you?¡± Father Luo asked tentatively. ¡°Each patient¡¯s condition is unique!¡± Doctor Yang didn¡¯t directly answer his question. He hung the MRI film: ¡°The medial meniscus is severely torn. It¡¯s apound tear, with vertical cuts, radiated cuts, inclined cuts, and a p-shaped piece. Luckily, the 2 to 4 millimeter part of the meniscus which is attached to the joint capsule is unharmed. This is like the hoop of a barrel. As long as the hoop is still there, we can restore the normal function by fitting the pieces back together one by one. We¡¯ll arrange surgery for tomorrow. Perfect suture of this kind of tear under arthroscopy is very difficult, but we can do it.¡± Despite his youth, he spoke with the confident calm of a seasoned professor. Doctor Yang¡¯s strong presence increased Father Luo¡¯s trust and at least he didn¡¯t n to leave. ¡°Thank you, we¡¯ll get admitted to the hospital right away.¡± Father Luo said. It seemed they didn¡¯t have a better option. Zhang Lin gave them the hospital admission notice and instructed a nurse to arrange a bed for them while they went through the admission procedure. Father Luo then wheeled Luo Xiaohu into the ward, followed by Mother Luo. In the corridor, they ran into the olddy who had synovial chondromatosis. The olddy was practising walking with a walker. Sometimes she lifted the walker and tried to walk on her own. Seeing Luo Xiaohu on the wheelchair, shemented, ¡°Herees another one who couldn¡¯t be treated properly outside.¡± Hearing thedy say ¡®treated properly outside¡¯, Father Luo wondered what she meant. ¡°Auntie, are you also a patient here?¡± Father Luo asked. Thedy shot him a look: ¡°If I¡¯m not a patient, why would I wear a patient¡¯s gown and exercise in the hospital?¡± ¡°I¡¯m sorry, Auntie, I mean what kind of illness do you have? Did you also have surgery here?¡± Father Luo was trying to gather some information from her. ¡°My disease might scare you if I told you. It¡¯s best not to ask. Seeing you with a bag full of films, I assume the case is too severe to be treated outside, so you came to see Doctor Yang?¡± The auntie stopped exercising.n/?/vel/b//in dot c//om ¡°How do you know?¡± Father Luo asked. ¡°A friend of mine had a knee problem and always had weak legs. She had surgeries at Fuer and Fuer Hospitals but they had no effect. So she came here to find Doctor Yang. As soon as she finished her surgery here, she recovered immediately. She was wheeled into the operating room for her surgery and walked out of it on her own after the surgery.¡± The auntie spoke clearly. ¡°Is it true? Is he that good?¡± Mother Luo was skeptical and wanted to inquire further. ¡°I myself couldn¡¯t walk for several months. I had the surgery this morning. As soon as I left the operating room, I could walk with the aid of a walker,¡± The olddy resumed practising walking with her walker. Hermes wasing out of the suite ward at the end of the corridor and overheard their conversation. He interjected, ¡°Oh my, you¡¯vee to the right ce. I waited three months just for registration, and then stayed near the hospital for another three months, in order to wait for the professor¡¯s surgery. Professor Zhang of this hospital is nationally renowned. When he broke a bone himself, he specifically asked for Doctor Yang to do his surgery. The next day after surgery, he could walk normally.¡± Hermes touched his hip, exining with gestures. Father Luo was pleased this time, this big brother obviously looked wealthy, with a leggy model pushing his wheelchair; not just anyone could afford such a lifestyle. Surely this man wouldn¡¯t make carelessly decision when it came to medical treatments. ¡°This department has just been established, specializing in difficult surgeries. The doctors here are top-notch and can handle what others can¡¯t.¡± Hermes left this remark and was pushed away by his wife, leaving a trail of perfume in the hallway. The couple felt reassured. If the patients had such confidence, and Dr. Su strongly rmended it, then Dr. Su would not blindly rmend something that might tarnish his reputation. Father Luo felt that his initial distrust when they first met was quite impolite, even though it was discreetly shown. He thought it was necessary to build rapport. After settling Luo Xiaohu down in the ward, Father Luo returned to the doctor¡¯s office. Yang Ping was discussing surgery instruments with Song Zimo. ¡°Hello, Doctor Yang!¡± Father Luo was extremely polite, his courtesyced with guilt. ¡°Hello, is there anything else?¡± Yang Ping could tell he had something to say. ¡°I came over for the surgery consent.¡± Father Luo found an excuse, anyway, he needed to sign the consent form. ¡°Oh, Dr. Zhang will get your signatureter.¡± Yang Ping was busy and had no time for small talk. ¡°Then I¡¯ll go back to the ward and wait, thank you, Dr. Yang, I¡¯m counting on you tomorrow.¡± Father Luo shook hands with him. ¡°Don¡¯t worry, we will do our best. Make sure your child has a good rest tonight.¡± Yang Ping reassured him. Parents can worry so much. Ever since his child started ying football, he worried about the child getting injured every day. This time the child was injured and they found Dr. Su, but his surgery schedule was put off. Actually, Dr. Su said that the dy wouldn¡¯t have much impact. Although insignificant, an impact is still an impact, and they wouldn¡¯t tolerate even a tiny bit. He considered going to Sanbo Hospital in Beijing, but he didn¡¯t know who performed the best surgery. Even if they got in quickly, it didn¡¯t guarantee that the best doctor would perform the surgery, which would affect the child¡¯s future sports career. The one and a half meniscus operation was worrying the whole family, but now they could finally let relief wash over them. ¡°Ding dong! Task: Complete a professional athlete¡¯s meniscus surgery. If the level reaches perfect, you can receive 16,000 points while also gaining a lot of trust value in reality.¡± The threshold for triggering system tasks by current events is much higher now, which means the tasks are more challenging. Trust value is what Yang Ping needs the most. Yang Ping recalled Luo Xiaohu¡¯s MRI images he had just viewed. This is a professional athlete¡¯s surgery, any w can affect the subsequent function. If the operation is not done well, it will affect the trust of subsequent patients; if it is done well, they can umte some trust points. Based on the MRI images, Yang Ping constructed a mental image of Luo Xiaohu¡¯s knee joint, the shape of the meniscus, and the image of the torn meniscus. He simted the process of meniscus suture in his mind to find the optimal suturing method. In the past, the importance of the meniscus was not fully realized, so it was simply removed. The entire meniscus was cut off. Then gradually people began to realize the importance of the meniscus. After the meniscus was removed, the degeneration and wear of the knee joint elerated. A person in their 30s or 40s had a jointparable to a 60s or 70-year-old¡¯s. With the deepening of research on the meniscus, the idea of preserving the meniscus and repairing it as much as possible was proposed. The methods and instruments for repair have also been continuously improved, moving from the initial anchor sutures to the meniscus arrows, to the various disposable full-internal suture instruments we have now. The so-called full-internal suture, the entire suturing process does not require any extra skin incisions. It can bepleted through two 0.5 cm small holes in the arthroscope. The level and quality of the sutures are getting higher and higher, and the postoperative effects are also getting better and better. After picturing the surgery in his mind, Yang Ping entered the system space and spent 10,000 points to purchase training in 500 cases of meniscus suturing surgery. After finishing, he came out of the system space, went to the operating room to check the instruments, and personally checked all the instruments for the first meniscus suture. ¡°This is a domestically-made instrument, stocked in the surgery center. We in Sports Medicine use it sparingly, so I brought over extra. I have checked all the seals and expiration dates, there are no issues. We have thirty needles prepared here, which should be enough.¡± Xiao Su showed Yang Ping the gadgets in the sterile material warehouse, the ce was neatly organized, with each sterile package being ced on the shelf, centered and just at the edge of the front. It¡¯s really reassuring to have Xiao Su prepare the instruments! After checking the instruments, Yang Ping returned to the ward. Song Zimo informed him: ¡°The manager from Ruixing Company, who is in charge of our hospital, is waiting in the meeting room.¡± Yang Ping left all these surgical preparations to Song Zimo. Arriving at the meeting room, a girl dressed in professional attire sat inside. Her face still had a fresh-out-of-college look. Yang Ping thought she looked very familiar, he seemed to have seen her somewhere before. Chapter 135 - 0132: Sincerity Chapter 135: Chapter 0132: Sincerity ¡°Doctor Yang! Hello, I¡¯m Huang Jiahui, we had coffee together once, at the Starbucks near the hospital.¡± She smiled warmly. ¡°Hello! Huang Jiacai¡¯s younger sister?¡± Yang Ping remembered her now, no wonder she looked familiar.n/?/vel/b//jn dot c//om ¡°Aren¡¯t you working at Tianjipany?¡± Yang Ping recalled that she had given him some pamphlets on surgical robots. ¡°After graduation, I¡¯ve worked in trauma, spine, joint, sports medicine appliances and surgical robot manufacturers. My brother suggested I familiarize myself with every aspect of orthopedic appliances, and then focus on a specific area. I¡¯ve recently joined this sports medicine manufacturer¨CRuixing. Even though I¡¯ve only just started, this is what I¡¯ve decided to dedicate my career to. I¡¯m now in charge of business with Sanbo Hospital. Earlier, Professor Song informed us that tomorrow¡¯s meniscus suture surgery will require our equipment. I brought you some information about Ruixing¡¯s meniscus suture gun. We are a wholly domestic manufacturer, specialized in the field of sports medicine, and can supply a full range of sports medicine products, including consumables and instruments for knee and shoulder operations, among other things.¡± She¡¯d rehearsed this speech so many times that she blushed as the words came out. Having finished speaking, Jiahui looked a little lost as she held out the product information with both hands. ¡°Hmm, I¡¯ll take a look at the information. Say hi to your brother for me, have a seat!¡± Yang Ping said as he took the materials, sat down and began to flip through them. ¡°This suture gun is designed entirely based on principles of human engineering, making it very easy to operate. A single gun can suture a stitch, and it¡¯s disposable, eliminating the need for repeated sterilization and reducing the risk of infection. Just pulling the trigger twice canplete one stitch, which is very fast and convenient. I brought a sample for you, Doctor Yang, have a look!¡± Huang Jiahui took out a sample from her bag to show to Yang Ping. Yang Ping had done thorough research on their products, but seeing her enthusiasm, he didn¡¯t want to disappoint her, so he sat down and listened carefully to her exnation. ¡°These built-in sutures were developed independently by us. Their strength is twice that of simr products on the market.¡± Huang Jiahui took out a woven suture from her bag and demonstrated by pulling it forcefully. ¡°Hmm, thank you for your exnation. The surgery will start at 8:30 tomorrow.¡± Yang Ping closed the materials. Huang Jiahui was ecstatic, she felt that she had been acknowledged by Yang Ping, her face glowing with a blush: ¡°If I may, can I scrub in tomorrow?¡± ¡°Alright! Come over tomorrow then.¡± Yang Ping didn¡¯t have the heart to disappoint a girl who had just started out in the field. ¡°I¡¯ll definitely be on time for the operation. Thank you, Doctor Yang, for this opportunity.¡± Jiahui said gratefully. Agreeing to let her scrub in meant that he would use her products, which would give her a chance to get more affirmation in the future. ¡°You¡¯ve received training on surgical room sterility, haven¡¯t you?¡± ¡°Thepany provided specialized training!¡± Yang Ping picked up his cell phone and dialed Su Yixuan, who was still on duty. After the call, he said: ¡°Go to the fifth-floor operating room and find Nurse Su. You¡¯ll need to take a test on surgical room sterility. If you pass, you can register. Only then will you be allowed in the operating room tomorrow.¡± ¡°Okay, thank you!¡± Jiahui was excited. Although Ruixing¡¯s products were also chosen as potential suppliers along with a few others, among dozens of stockpiled items in the operating room, no one had used them yet. Truth be told, there is still a gap in product qualitypared to international brands. ¡°Doctor Yang, what do you like for breakfast? I can bring it for you tomorrow.¡± Jiahui took advantage of the momentum. Yang Ping found her a bit naive and cute, so he joked: ¡°No need, thanks, I was quite satisfied with your product introduction just now. You should head home early, I¡¯m about to finish work as well.¡± ¡°Doctor Yang, take care!¡± Jiahui bowed slightly as she saw him out. After Yang Ping left, she clenched her fists and silently cheered, ¡°Yes!¡± Her performance was not bad, though a bit stiff due to nervousness. It would get better with time. ¨C Before knocking off, Yang Ping went to the Overseas Chinese Building to see Mr. Ning. His open-mindedness surpassed his expectations, it might be an act to avoid worrying his daughter, or perhaps he really had an understanding of life and death. Miss Ning had her head resting on the edge of the bed, her father¡¯s hand in hers: ¡°We¡¯ve gotten news. Uncle Nong is rushing over to confirm.¡± ¡°This is his picture!¡± Miss Ning took out her phone and showed the photo. Mr. Ning¡¯s trembling hands took the phone, staring at the photo for a long time as tears fell unconsciously. ¡°He¡¯s lost weight ¨C¡± he said after a while. ¡°Where did they find him?¡± Mr. Ning asked, regaining hisposure. Miss Ning tenderly wiped away her father¡¯s tears with a tissue: ¡°In Vancouver, Canada. He was performing at a bar there.¡± ¡°Hmm, good that they found him. I need to go. You must take good care of your younger brother. Your dad knows you¡¯re sensible. You¡¯ve had a tough time these past years.¡± Mr. Ning patted his daughter¡¯s head. When they heard Yang Ping knock on the door, they immediately ended their conversation. ¡°Pleasee in!¡± Miss Ning greeted him with a smile as she stood up: ¡°Doctor Yang, hello!¡± ¡°Mr. Ning, are you feeling okay?¡± Yang Ping asked, standing at the bedside, noting that he looked fine. Mr. Ning smiled: ¡°I don¡¯t feel any pain in my chest at all, I¡¯m very grateful. There is a little pain in the liver area, but it¡¯s bearable. Doctor Yang, haven¡¯t you finished work yet?¡± ¡°I¡¯m about to finish. Before leaving, I thought I¡¯de over and have a look. Please turn on your side, I need to check the catheter.¡± Yang Ping approached the bedside. Miss Ning helped her father turn onto his side, while Yang Ping took a pair of gloves from the bedside cab and put them on. After a careful check, he found the catheter was in the correct position and had note out. After finishing the check, Yang Ping removed his gloves and threw them into the yellow wastebasket. Chapter 136 - 0132: Sincerity_2 Chapter 136: Chapter 0132: Sincerity_2 Mr. Ning adjusts to a semi-reclining position, ¡°Qiqi, I need to speak with Dr. Yang.¡± Miss Ning leaves the ward considerately, ¡°Dad, you chat with Dr. Yang, I¡¯m going to make a phone call.¡± After Miss Ning left, Mr. Ning attempts to sit up and invites Yang Ping to sit down. Yang Ping rushes to support him, ¡°Don¡¯t get up. I¡¯ll sit down.¡± Yang Ping sits down on the chair beside the bed. Mr. Ning smiles and says, ¡°Sorry for taking your time. These past few days, I¡¯ve been feeling as if my energy were dissipating. Could it be that my time is near?¡± ¡°You look much better today!¡± Yang Pingforts him. Mr. Ning shakes his head, ¡°I¡¯m afraid -¡± He hesitates then says, ¡°I know my own situation. Dr. Yang, I want to ask for your help. Are there any medical interventions that could let me hang on for a few more days? Just a few days would do. I won¡¯t hide it from you, there¡¯s still an unfulfilled wish which needs a few more days. It might be strange to you, asking for your help, but it¡¯s my intuition. That day, when you performed the puncture, I heard your conversation and started to trust you more. It¡¯s troublesome for you, but intubation and other life-saving measures are meaningless. I want to stay conscious for a few more days.¡± ¡°The mostmon cause of death from tumors is the failure of the invaded organs, leading to multiple organ failure. There are other causes too, such as massive bleeding, serious infections, pulmonary embolism, and so on. I¡¯ve seen your test results these past few days. Your lungs can still hold on, but your liver function is already at the brink of copsing. It would be better if you start using artificial liver ahead of time.¡± Yang Ping speaks frankly to Mr. Ning, a man who appreciates transparency. ¡°Thank you for your frankness!¡± Mr. Ning is very grateful. ¡°And thank you for your trust. If you have any needs, please contact me anytime.¡± Yang Ping shakes his hand. ¡ª¡ª The house Huang Jiahui rents is in amunity near the hospital, located on either side of the hospital where Yang Ping lives. She returns home, takes out a notebook from her bag, and adds a few notes to it. The notebook records many things, like the time it takes to get to the operating room of the orthopedics department in Sanbo Hospital, the time waiting for the elevator, the time in the elevator, and so forth. After organizing her notes, she sits on the sofa, recalling every detail of her meeting with Yang Ping today, scrutinizing every word she said, checking for any indiscretions or anything that may have annoyed him. The product introduction was a bit stiff, like reciting a script; the offer to buy breakfast was ill-timed and unnatural; and his suggestion that she head home early ¨C was that a sign of annoyance with her? ¡°Jiahui, you¡¯re back. How did it go?¡± Huang Jiacai emerges from the kitchen where he had prepared dinner. Jiahui pours her brother a cup of tea and shares with him the happenings of the day. Huang Jiacai sits down on the sofa, takes a sip of tea, moistens his throat and says, ¡°Hmm, not bad. But you didn¡¯t leave him with a very good impression. He sat and listened to your exnation, but his patience was an act,pletely out of consideration for your rookie sensitivities.¡± ¡°How do you know?¡± Jiahui feels a little disappointed. She had thought she had been sessful. Huang Jiacai smiles and says, ¡°This is the result of over ten years of studying people.¡± ¡°Also, you forgot the most important point today!¡± Huang Jiacai reminds his sister. Jiahui anxiously asks, ¡°What was it?¡± ¡°You only mentioned the pros of the product, not the cons. You should candidly disclose the disadvantages and gaps of the product. That¡¯s the only way to show sincerity, to think from the customer¡¯s perspective. The biggest drawback of this product is its certain jamming rate. The probability is very low, but once a jam urs, it bes troublesome and difficult to deal with, prolonging the operation time.¡± Huang Jiacai counsels patiently.n/?/vel/b//jn dot c//om ¡°Jiahui, remember, in our line of work, when we don¡¯t have sufficient other capital, there¡¯s one thing that can truly touch people, and that is sincerity.¡± Huang Jiacai says solemnly. He stumbled through this journey himself, enduring all sorts of hardships. Now it¡¯s different for his sister. She has his experience and shouldn¡¯t take the scenic route. ¡°What should I do? I¡¯ll tell him about it tomorrow morning.¡± Jiahui is at a loss. Huang Jiacai shakes his head, ¡°Waiting till tomorrow won¡¯t do. You need to tell him now. That way, he can think of countermeasures in advance.¡± ¡°I¡¯ll go to the hospital now!¡± Jiahui stands up from the sofa. Huang Jiacai stops her, ¡°He¡¯s already off work.¡± ¡°I¡¯ll¡­ I¡¯ll call him now!¡± Jiahui is very agitated. A young girl asking to meet him now, he would surely refuse to avoid any improprieties.¡± Huang Jiacai eliminates his sister¡¯s idea. ¡°Should I call him then?¡± Jiahui suggested. ¡°No, it must be exined in person with the sample.¡± ¡°I¡¯ll make the appointment then!¡± Huang Jiacai hesitates for a moment and says. ¡ª¡ª Yang Ping is confused. He had just met Huang Jiahui two hours ago and now Huang Jiacai is asking to meet him at a cafe for an important matter, but he doesn¡¯t mind as the siblings are not unpleasant people. He was just escorting Su Yixuan to her dormitory but hasn¡¯t reached it yet. He ends the call and says to Xiao Su, ¡°Could youe with me to a nearby Starbucks to meet someone?¡± ¡°Sure, why do you need me to apany you?¡± Xiao Su always has such a charming smile. ¡°Because the other person has a sister who is the sales manager of a meniscus suture device. Remember the one who took your exam notes today?¡± Yang Ping exins. ¡°I¡¯ll go with you. For such matters in the future, even if someone asks you out alone, you¡¯ll be fine going alone. You don¡¯t have to worry. I¡¯ll always trust you.¡± Xiao Su straightens Yang Ping¡¯s cor and holds his hand. In the coffee shop, Huang Jiahui anxiously watches the entrance. Huang Jiacai consoles her, ¡°It was the same when I started. The first time I met a client, I arrived an hour early and kept rehearsing how I would introduce myself. When the time came, the client called and asked why they hadn¡¯t seen me. Do you know why?¡± ¡°Why?¡± Jiahui asks. ¡°Because I was so nervous, I got the meeting ce wrong.¡± Huang Jiacai says leisurely. Jokingly, he was able to make Jiahui rx a bit. When Yang Ping and Xiao Su finally arrive, Jiahui breathes a sigh of relief. As Yang Ping and Xiao Su sit down, Huang Jiacai gets up to usher in the hot coffee, ¡°Dr. Yang, Nurse Su, sorry to disturb you. We¡¯ll only take up a few minutes of your time.¡± Jiahui anxiously pulls out the suture gun, ¡°Dr. Yang, I apologize. I forgot to mention its drawbacks during the product introduction today. Due to manufacturing and quality control reasons, it has a certain jamming rate. You see, to suture a stitch requires two punctures; if the first stitch doesn¡¯t retract in time uponpletion, the second will enter the track. This would create a jam with the first stitch obstructing the second.¡± After speaking, Jiahui feels relieved, her breath much smoother. ¡°I told Dr. Yang it must¡¯ve been researched and expected, but Jiahui insisted that I invite you here to exin clearly.¡± Huang Jiacai looks embarrassed. ¡°Just for this?¡± Yang Ping had thought it was something urgent. ¡°Just this!¡± Jiahui nods. Chapter 137 - 0133: Perfect Suture Chapter 137: Chapter 0133: Perfect Suture There were few patients, so rounds were quick. Onceplete, Zhang Lin and Little Five escorted the patient to the operating room. Meniscal repair and cruciate ligament reconstruction are signature surgeries of arthroscopy. Although Director Han had full confidence in Yang Ping, he still went to observe these signature surgeries to assess Yang Ping¡¯s skill level in arthroscopy. Huang Jiahui arrived early in the operating room, standing by a cart of instruments. She neatly stacked twenty individually sterilized meniscus suturing guns on the cart and parked it in an out-of-the-way corner. After careful thought, she had chosen this corner as the ideal location. It allowed her to observe the progress of the surgery without hindering any of the operating room staff. She originally had enviable long hair but she decided to cut it short upon joining this profession. Short enough to tie up. Today, she had her hair tied up, tucked under a cap, and put on a sterile hat without a single hair sticking out. She had practiced putting on the sterile cap countless times at home, in front of a mirror, until not a single hair was exposed. The anesthesia was administered, Song Zimo hung the patient¡¯s X-rays and MRI images on the viewing light, guiding Little Five and Zhang Lin to position themselves properly. He then went to scrub his hands, sterilize the sheets, and do the preparatory work. He was meticulous about every detail. By the time Yang Ping came in to wash his hands, all preparations had been made and they were ready for surgery. As Yang Ping was getting into his surgical gown, Director Han walked in. ¡°Hello, Director!¡± Everyone greeted. ¡°Hello, Professor Han!¡± Jiahui greeted Professor Han and bowed. ¡°Hello!¡± Seeing that she had aser pen in her hand and was standing next to a sterile box of instruments, Director Han knew that she was from a supplierpany. ¡°Whichpany do you work for? Are you new here?¡± Director Han had never seen this young woman before. ¡°Professor Han, I¡¯m new. I¡¯m from Sharp Medical, specializing in sports medicine products.¡± Jiahui introduced herself. Director Han picked up a packaged meniscus suture gun and said, ¡°Sharp Medical! A domestic brand, we should really give more support to our own country. This suture gun sometimes jams, be careful!¡± ¡°There¡¯s sometimes a 0.5mm discrepancy between the first and second shots, which might jam the gun. The key is not to release the trigger after the first shot. You need to keep pulling back until the first shot is confirmed to be removed. Then you can loosen the trigger and take the second shot. Thus, there won¡¯t be any jamming. The design needs some improvement.¡± Yang Ping has conducted extensive research on Sharp Medical¡¯s instruments. He was aware of this w long before Huang Jiahui could remind him, and he already had a solution in ce. He was not concerned. ¡°It¡¯s good that you have deep knowledge about the instruments. As a doctor, you must master the instruments, and you can¡¯t rely on the exnation from thepany representative.¡± Director Han admired Yang Ping¡¯s attitude. ¡°What¡¯s the patient¡¯s situation?¡± Director Han asked while viewing the films. ¡°Male, 14 years old, a professional football yer, withplex tear of the medial meniscus in the left knee. The tear is located at the posterior horn and the body.¡± Yang Ping introduced the patient¡¯s condition to Director Han. ¡°Hmm, looking at the MRI, the meniscal tear is severe, the suturing technique will be challenging. Take your time, don¡¯t rush.¡± Director Han instructed Yang Ping. Huang Jiahui brought a stool over for Director Han to sit on. Pre-operation checks werepleted, blood was driven out, and the tourniquet was inted. Yang Ping started with the scalpel, skillfully making theteral incision, inserting the trocar with the sheath, straightening the knee joint, entering the suprapater pouch, withdrawing the trocar, and inserting the arthroscope. In the blink of an eye, the examination under arthroscopy waspleted. The medial meniscus was torn, no other obvious abnormalities were detected. It was time for the medial meniscus to be sutured. Director Han moved to the side of the monitor to view the video image, ¡°The tear is severe. A portion of the meniscus has flipped over. Is this a recent tear?¡± ¡°The injury urred just two days ago. This patient was referred by Su Nanchen, he¡¯s an athlete in the provincial youth ser team.¡± Yang Ping started inserting the needle from the inside to create an opening. Once the opening was created, he inserted the probe. The probe was an extension of the doctor¡¯s fingers in arthroscopy, providing further insights into the pathological changes and damage. Yang Ping closed the irrigation tube to reduce the water disturbance to the torn meniscus. Using the probe, he repositioned and smoothed out the torn edges of the meniscus. Since it was a fresh tear, it could be directly sutured without the need of freshening the tear edges. ¡°Suture gun!¡± Xiao Su had also researched the manufacturer¡¯s instruments. Before Huang Jiahui could quiz her about sterile knowledge, Xiao Su had sought advice from Huang Jiahui about the details of these instruments. Yang Ping took the suture gun, entered through the medial portal, and started suturing the posterior horn of the meniscus. The gun was aimed at the chosen puncture point, the trigger was pressed, and the needle tipped with a suture anchor pierced the meniscus until it breached the capsr attachment of the meniscus. The suture anchor was left outside the joint capsule. sping the trigger tightly and not loosening his grip, he gently pulled back. The first needle sessfully exited. With the gun against another chosen point 0.5 cm away from the first needle, he squeezed the trigger. The second needle smoothly went in and he withdrew the gun. By pulling tightly on the suture, the two suture anchors which initially entered longitudinally were now positioned transversely, serving as an anchor point for the suture outside the joint capsule. The knots on the suture were pre-made, irreversible, and could only be tightened, not loosened. Using a knot pusher, he pushed the knot to the appropriate position and cut the thread with a thread cutter. The first stitch was beautifullypleted. It was the perfect tension and urately ced. The tear wasplex and irregr, so the suture gun had to be inserted from different directions. Sometimes it was easier to enter from the inner side, and sometimes from the outer side. Doctor Yang had already nned how many stitches and their distribution; he first stitched up a few spots on the inner side. Then he moved the scope to the inner side and inserted the suture gun from the outer side to sew the outer portion. Each stitch was skilfully and effortlessly ced with just one swift movement. In total, six stitches were made, with horizontal, diagonal, radiating, and p-like tears all stitched up nicely. The meniscus was perfectly pieced back to its original state; a nce at the video after sutures looked like a few stitches had been made on a healthy meniscus. With the water pipe inserted, the joint cavity was flushed. After closing the water pipe, the water in the joint cavity was sucked out and the scope was pulled out. Doctor Yang stepped back, leaving Song Zimo toplete the finishing touches. The exterior of the knee joint was dried with sterile gauze. The skin was disinfected with 75% alcohol, and the two small incisions were sutured, one stitch each. They used cotton padding and stic bandage for pressure dressing, released the tourniquet, and thus, the surgery was over. Director Han was staring at the screen; the surgery ended in just a little over ten minutes, even before their conversation fully began. The suturing was perfect. The torn meniscus was gradually restored to its original state, slick and tidy. The edges matched perfectly, with no wrinkles after suture, it was a visually appealing work of art. This kind of result can¡¯t be achieved without extensive surgical experience. To achieve smoothness without wrinkles, every stitch¡¯s tension needs to be perfectly controlled. It¡¯s not about controlling the tension of each stitch independently, but coordinating several stitches to achieve bnced tension. ¡°Perfect!¡± Director Han gave him a thumbs up. Huang Jiahui had been standing by his side, constantly praying silently that the suture gun wouldn¡¯t jam. Having watched the whole surgery process, she could tell that Doctor Yang¡¯s proficiency with the suture gun was as if he had designed it himself ¨C it seemed even more perfect than thepany¡¯s surgical demonstration video. Earlier, he had casually mentioned how to handle a jammed suture gun, indicating that he had a strategy prepared. While knowing about this w, he still opted to use their product. This naturally invoked some gratitude in her. ¡°Dr Yang, was our equipment handy to use?¡± Jiahui asked nervously, rushing over to help Doctor Yang untie the straps of his surgical gown. ¡°Not bad, very good!¡± ¡°Thank you, Dr Yang!¡± ¡°Get the reconstructive equipment for anterior and posterior crossed ligament ready.¡± Doctor Yang instructed her. Remembering thatst night, this youngdy had urgently asked her brother to arrange a meeting just to report the deficiency of the meniscus suture gun, Doctor Yang was touched, whether it was due to her sincerity or other reasons ¨C at least she put heart into it. Such earnestness deserved acknowledgment. ¡°Okay, I will have it delivered to you in a moment, along with the documentation.¡± Jiahui responded enthusiastically. n/?/vel/b//jn dot c//om Although the surgery center already had some of the equipment ready, Jiahui, having heard Doctor Yang¡¯s request, assuredly wouldn¡¯t mention it. Why would she ask them to fetch the equipment when she could deliver it herself? She would deliver it as promised! She adhered to her brother¡¯s instructions: Always keep the hassle on our side, never to burden the clients. ¡°How is our domestically produced equipment?¡± Director Han asked. Doctor Yang replied, ¡°Very smooth! It¡¯s no way inferior to imported ones.¡± ¡°If you need equipment or supplies, let me know anytime. Just focus on the surgery.¡± Director Han was always ready to provide support if needed. The surgery was over, and as the effects of the anesthesia wore off, Liang Fatty¡¯s true character started to shine through. Zhang Lin helped the patient put on a knee brace, and Song Zimo handed a pair of crutches to him, instructing, ¡°Make sure to avoid putting weight on this leg for the next six weeks. Begin your recovery exercises in the afternoon. The doctor will exin the postoperative precautions in detail.¡± The instructions in the operating room were always concise, focusing on key points, so the patient could remember them. Little Five, who was monitoring the video system, captured a few key images and sent them to Doctor Yang and Song Zimo, who wouldter discuss them with the patient¡¯s family. Outside the operating room, the family was waiting. Upon seeing Luo Xiaohue out himself, leaning on crutches, his parents immediately rushed forward to support him. ¡°Was the surgery that quick? He just went in a while ago.¡± Father Luo asked worriedly. A lengthy surgery would warrant worry, as it could mean that problems had arisen. But an unexpectedly short one also raised concerns ¨C was the procedure hastily done? Song Zimo showed the images on his phone. ¡°Doctor Yang is very skilled at this type of surgery, that¡¯s why it was so quick. Look, this is the meniscus before the surgery, and this is it after it. Doesn¡¯t the suturing look wonderful?¡± After careful inspection, Father Luo was very satisfied. The chaotic tears seen in the pre-surgery images, whenpared to the wless meniscus post-surgery, made it nearly impossible to see that it had been torn at all. He was by no means a doctor, but he had a visual understanding. The same way a patient could judge the quality of a wound suture. A nicely done suture was neat and orderly with skin edges aligned beautifully, whereas a poorly done suture would be uneven with misaligned skin edges, rather unappealing. Having cleared this hurdle, Father Luo felt as though a weight had been lifted off his chest. Doctor Yang sent the images to Su Nanchen, along with a brief description of the findings during the surgery. It was important to provide feedback for a referral. Chapter 138 - 0134: He Has a Way Chapter 138: Chapter 0134: He Has a Way As soon as he returned to the ward, the system announced the task had beenpleted. ¡°Ding dong! Perfect surgery, mission aplished, awarded 16,000 points! Arge number of trust values in reality has also been added.¡± The points now total to 26,000; not much, but way better than before. If before he was constantly struggling to make ends meet, he can now be considered as out of poverty, his basic needs have been met, and he is trying to achieve a better standard of living. The system has been much more generous; most of the task rewards are now more than ten thousand points. As the water level rises, the boat floats higher. The price of surgical training in the store has also increased significantly. Right now, Yang Ping is like a poor middle-ss person. The rewards for each task are high, but the high costs of various surgical training sses always leave him unable to save more points. After Song Zimo finished writing the surgical record, he began to study Yang Ping¡¯s surgical pictures and recalled the surgical process of today. Usually, he didn¡¯t see Yang Ping practice at all, and as soon as the surgery started, the results were incredible. ¡°To achieve high-quality sutures in this kind of surgery, it¡¯s necessary to n the distribution of each stitch beforehand. You should be able to draw a diagram of the torn meniscus before surgery and simte the distribution of sutures on the diagram.¡± Yang Ping felt the need to give him some guidance to help him progress faster, which would in turn make the whole team progress faster. ¡°How do you control the tension of each knot?¡± Song Zimo thought this was the most crucial question. ¡°Controlling the tension is difficult. If you aren¡¯t sure when tying a knot, don¡¯t cut the thread, manage the tail thread first, and tie the knots once all sutures are finished. Each knot is locked step by step, locking it bit by bit each time, and after several rounds, the tension of several knots will be more bnced.¡± Song Zimo listened attentively, and Yang Ping¡¯s simple guidance cleared up a lot of things in his mind. He doesn¡¯t know that this is the conclusion of thousands of arthroscopic surgeries performed by Yang Ping, which has been easily taught to him. ¡°When suturing, should the inflow tube be turned off to eliminate the turbulence caused by the inflow on the meniscus? If water is flowing from the entrance, should it be blocked?¡± Song Zimo asked all he could. Yang Ping nodded: ¡°Yes, to get the most perfect suture, interference must be reduced to a minimum. The flow of water is the greatest interference, which may affect judgment on coaptation and tension during suturing.¡± Admiringly, Song Zimo replied, ¡°I understand.¡± ¡°For any surgical and medical activities, you must first do it right, then do it well!¡± Yang Ping summed up sinctly. ¡°Allocating the distribution of suturing thread well means doing things right. Without proper distribution, no matter how the tension is controlled, such a perfect effect can¡¯t be achieved. If the distribution of suturing thread is rational, what¡¯s left is to get the coaptation and tension control right, which is part of doing things well.¡± Song Zimo proved to be intelligent and had an extraordinaryprehension ability. ¡°Just like that liver cancer patient at Overseas Chinese Building, one must first determine the correct method ¡ª training for nerve root block, before striving to implement it. A correct method is needed before making effort, otherwise, the effort could be counterproductive.¡± Yang Ping continued to exin with examples. Song Zimo was pleased. He learned a lot today, it seemed that he satisfied his assistant, who finally startedmunicating with him. Before, he didn¡¯t say a word after finishing a surgery. Meanwhile, Zhang Lin was busy creating posters for the academic conference on hisputer, improving the introduction of guest participants. Little Five peered over, ¡°Are you looking for beauties during work hours?¡± Zhang Lin retorted, ¡°Brother Five, look carefully, she is a guest participant, a Japanese doctor!¡± Little Five widened his eyes, ¡°A doctor? Really? She¡¯s so beautiful.¡± The Japanesedy was indeed beautiful, not sure if the photo on her introduction was just gorgeous, or she was naturally so beautiful. Zhang Lin gave Little Five a disgusted look, ¡°Brother Five, do you really need to look so closely? Don¡¯t tell me she looks familiar. She¡¯s a real doctor, has nothing to do with those Japanesedies you¡¯re familiar with. Look, a talented graduate from the Medical department of Tokyo University.¡± ¡°Thisdy surnamed Park (pu), she¡¯s Korean, right?¡± Little Five sat and watched Zhang Lin working on the post while he already changed another one. ¡°Can you have some manners, that character is read as ¡®piao¡¯!¡± Zhang Lin said, clearly disdainful. ¡°Israel is also Asia? Isn¡¯t it Europe?¡± Zhang Lin changed another poster, Little Five saw it was an Israeli doctor. Little Five was even more annoyed, ¡°Brother, it would be better if you keep quiet and don¡¯t embarrass yourself. Israel is authentically an Asian country. Are you going to move it to Europe?¡± ¡°Hey Fatty, what delicious food did you bring? Get some over here.¡± Little Five stopped talking to Zhang Lin and saw Liang Fatty bringing a bag of things. Fatty quickly hid the bag behind him, ¡°You can¡¯t touch this. It¡¯s for my diet. I¡¯ve decided to eat only two meals a day, breakfast and lunch, and for dinner, I¡¯m eating this.¡± ¡°Seriously Fatty, let me see.¡± Little Five quickly grabbed his hand and opened the bag. ¡°Chocte balls!¡± Little Fiveughed until his stomach hurt. He had never seen someone who doesn¡¯t eat dinner to lose weight but eats chocte instead. ¡ª Jiahui finished assisting the surgery and didn¡¯t dy for a second. She immediately delivered the anterior cruciate ligament reconstruction instruments to the operating room and handed them over to Su Yixuan. The instruments were kept at her home, a three-bedroom apartment where one room had been emptied out to operate as a storage room for all kinds of instruments. Whenever Yang Ping needed them they could be sent over right away. On her way home, she felt exceptionally hungry, realizing she hadn¡¯t had breakfast yet. However, she was overjoyed inside knowing that her product would finally see use today and could still be used in the future. Ruixing¡¯s products have never made a significant mark in frontline cities, despite considerable efforts. After much difficulty, they did manage to make inroads into severalrge hospitals, bing standby suppliers. However, the instruments that were delivered and kept in storage were close to expiry, without even being used. Many reasons ount for this, the most important being the undeniable gap in product quality. It was said that a hospital director used them once, experienced a jam, and was so annoyed that smoke almost came out of his nostrils. Eventually, after much effort, he managed to cut off the sutures and re-suture the wound. The furious director threw the suturing gun to the ground in front of the Ruixing representative, saying, ¡°Don¡¯t you evere back!¡± In crude terms, he was told to ¡°Get lost!¡± During training, the instructor said that some hospital directors might have terrible temperaments and could curse at others. If faced with such a situation, it was important to remain calm and keep a smile on their faces. Jiahui had always been nervous, fearing she would be scolded. However, Doctor Yang didn¡¯t say a single foul word. Although he wasn¡¯t overly enthusiastic, he did not cast me or berate others. Hepleted the surgery in just over ten minutes. Her brother said about Yang Ping, ¡°A man who is not greedy for money always ns far ahead!¡± He also emphasized repeatedly to focus on helping with Yang Ping¡¯s surgeries and on nothing else. Before she knew it, she was already home. Jiahui began to record everything again. The position of the equipment trolley could be tweaked today; whenever anyone is reading films beside the lightbox or observing surgeries on the screen, don¡¯t offer them stools. Only when they move back to the corner to rest, should a stool be brought over; the moment Yang Ping steps down from the operating table, immediately help untie his surgical gown. Don¡¯t wait for him to start doing it himself. There are twenty-four meniscal suturing guns left in reserve at Sanbo. The next time she goes, she should bring a few more to ensure they have at least thirty in reserve. Was there anything else she overlooked? Oh, breakfast. Remember to eat breakfast next time. It looked like everything was covered. Before going to bed tonight, she would have to check everything again. Jiahui closed her notebook, she encouraged herself to stabilize and expand this business line. ¡ª At noon, Su Nanchen finished performing surgery and was about to eat when he saw Yang Ping¡¯s message on WeChat. He then erged the photo. A single photo said it all. The quality of the meniscal suture was perfect, with a neat and wrinkle-free alignment. Predicting the tension on a few sutures required immense precision, achievable only with the experience of conducting thousands of such surgeries. Upon calcting the time, the surgery, which probably started at half past eight, was concluded before nine o¡¯clock, meaning it didn¡¯tst more than half an hour. Adjusting tension on a few sutures at such a pace would require getting it right on the first try. If it were him, he might have managed to achieve this by adjusting the tension bit by bit. However, getting it right in one try would be very difficult. This man was indeed better than him, Su Nanchen had to admit. He was mulling over aplicated case he had on hand. He wondered whether to discuss the treatment n with Yang Ping? The patient was a national-team female 5000-meter runner. She had previously sustained injuries at the junction of the calcaneal tendon and the triceps surae, which led to a loosening of the calcaneal tendon, severely affecting her performance. Although her diagnosis was clear, and the treatment protocol was determined to involve shortening of the tendon, the process posed a problem. The tendon needed to be cut in a Z shape, then a part of the muscle tendon had to be removed and reattached. Once the tendon was severed, even if it was sutured, no matter how high the suturing standard, or how well the wound healed, the originalposition of the fiber tissue wouldn¡¯t be a perfect assess to provide the requisite strength to the wound, with a certain degree of scar tissue inevitably forming during healing. Scar tissues, which are connective tissues, do not have the same tenacity and sticity as fibrous tissues. The result of such a surgical intervention was akin to diluting theposition of the tendon. While this wouldn¡¯t affect an ordinary person significantly, it would gravely impact a long-distance runner. Why did some athletes suffer a poor prognosis despite receiving treatments for chronic damage causing tendinitis? These athletes, despite having ess to the best medical resources, the world¡¯s top surgeons, and the best rehabilitation teams, were unable to note substantial improvements. The issue was not with the treatment, but with the fact that the tendon had degenerated like a rope that had been soaked in water for too long and had snapped, needing to be knotted together. No matter how skillful the knot, it didn¡¯t matter. The problem wasn¡¯t with the knot, but with the rope itself. Once pulled, it would snap again. Because of these considerations, this particr patient had been hesitant to undergo a tendon-shortening surgery and was unable to find satisfactory solutions after several trips abroad for medical consultation. Since the patient was registered in G City, they came to the First Affiliated Hospital admiring Professor Su¡¯s reputation, hoping to find a better solution. ¡°Nanchen, eat up quickly. We still have a few surgeries this afternoon.¡± Professor Su noticed Su Nanchen staring nkly at his phone. ¡°Look at this patient¡¯s meniscal suture.¡± Su Nanchen handed his phone over. After examining the photo, Professor Su eximed appreciatively, ¡°What a quick progress. The quality of this suture is perfect,pletely free of wrinkles; The alignment is very t, and the distribution of the six sutures is reasonable.¡± Blushing, Su Nanchen confessed, ¡°It wasn¡¯t me who did this, it was Doctor Yang from Sanbo Hospital.¡± N?v(el)B\\jnn ¡°Yang Ping? The one who proposed the sniping from behind the wall to Chief Han during the consultation?¡± Professor Su appeared surprised. With a serious look on his face, Su Nanchen said, ¡°Yes! I have been thinking about our long-distance runner who is preparing to undergo tendon shortening. I want to hear his thoughts. I feel he might have a solution!¡± ¡°Sure, contact him!¡± Professor Su agreed with Su Nanchen¡¯s idea. Chapter 139 - 0135 Ilizarov Chapter 139: Chapter 0135 Ilizarov Hermes¡¯ surgery is scheduled for next week, and a discussion is needed this afternoon. This surgery is a major one, in which arge portion of the tibia will be discarded, leaving only the healthy parts at both ends and removing all the infected bone tissue in the middle. Then, using Ilizarov¡¯s technique, an external fixation frame will be used to lengthen the healthy bone tissue at both ends, extending from both ends towards the middle until they converge. To aplish bone elongation, an external fixation frame has to be fitted to the calf. With a screw on it, the frame will move along with the bone tissue as the screw is turned. The elongation process will begin two weeks after the surgery, and extend by one millimeter each day. Hermes will need an extension of over thirty centimeters, which would take approximately a year. This is just the ideal situation. If any abnormalities ur in the bone formation process midway, the elongation will have to be halted. Havingpleted Luo Xiaohu¡¯s surgery in the morning, Yang Ping didn¡¯t have much to do in the afternoon. So, he decided to sleep in the on-call room, enter the system space, read for a long time, dissect several experimental subjects, and train his ability to construct images.n/?/vel/b//jn dot c//om He also spent five thousand points to purchase training on five hundred cases of specialized surgery involving external fixation frames. Upon returning to the ward from the first floor, Director Tian had already tranted Tan Boyun¡¯s opening speech into English and handed it over to Zhang Lin. His posters were almost ready as well. Zhang Lin sat in front of theputer, reviewing them one at a time and going over them several times. ¡°Is this really a Japanese doctor? Are we sure there¡¯s no giarism?¡± Little Five, sitting next to Zhang Lin, was still wrestling with this issue. Zhang Lin ignored him, but Little Five remembered that Director Tian was familiar with the guest speakers and had been to Japan, so his knowledge was broad. He pointed to the photo on theputer and asked, ¡°Is this really a Japanese doctor?¡± Director Tian smiled and said, ¡°Yes, she is the guest of the conference, a doctor from Tokyo University Hospital. FUJIWARA is her name, very proficient in sports medicine.¡± ¡°Have you seen her in person?¡± Liang Fatty showed great interest. ¡°When I was a visiting schr there, I saw her in person,¡± confirmed Director Tian. ¡°Is she as beautiful in reality as she is in the photo?¡± Little Five was still skeptical about the photo. Director Tian smiled, ¡°She is even more beautiful in person. Do you know her height?¡± ¡°How tall?¡± Zhang Lin asked as the provided data didn¡¯t mention her height. ¡°One meter seventy-eight!¡± Director Tian announced the number. ¡°She¡¯s that tall? As tall as me! Only Song Zimo can handle her; even Elder Brother would just barely manage!¡± Zhang Lin eximed in surprise. Having said so much, Director Tian was getting impatient, ¡°You lot, pour me a ss of water; stop talking and let me speak.¡± Immediately, Little Five gave him a ss of water with a smile. Only then did Director Tian continue, ¡°And if you thought that was surprising, wait until you hear what she does part-time. Would you like to know?¡± What does she do? Everyone showed great interest; this sounded juicy. It is Japan, after all! The possibilities were endless ¡ª some had already thought up certain acronyms¡­ Director Tian took a sip of water, ¡°Fatty, get out your weight-loss supplement snacks. I need some energy to talk as I¡¯m running out of ATP.¡± Reluctantly, Fatty pulled out a few chocte balls from his bag and handed them over. Director Tian unwrapped one and popped it into his mouth. Everyone watched him eat, waiting for him to reveal what she did part-time. Teasingly, Director Tian took a sip of water and said, ¡°She is a part-time model, a famous one in Japan who ranked in the top ten at the World Elite Model Competition. She has even participated in Paris¡¯s Victoria¡¯s Secret Show.¡± ¡°Might as well not hold the conference anymore and just watch her walk on the runway,¡± Liang Fatty suggested. Zhang Lin scoffed, ¡°Fatty, do you think everyone is as vulgar as you are? You should be a bit more refined.¡± Director Tian continued, ¡°She¡¯s a rising star in Japanese sports medicine. Her brother is a specialist in traumatic orthopedics, and I guess she¡¯s apanying him this time. Although notmon, there are other cases like her. Take Japan¡¯s Sony Corporation Chairman, Norio Ohga, who is also a conductor for the Tokyo Philharmonic Orchestra; or Hedy Lamarr, the American inventor of CDMA telmunications technology who also happened to be a Hollywood star and was the first woman to appear fully nude in a film. You¡¯ve heard of Bohr, right? The creator of Bohr¡¯s Law which we studied in high school. Not only was he a physicist and a Nobel Prize winner, but he also yed as the goalkeeper for Denmark¡¯s national football team. I¡¯ll tell you this: several Olympic gold medalists happen to be full-time doctors! If you invite me to dinner sometime, I can tell you more.¡± Director Tian was brimming with knowledge as he spoke eloquently. ¡°Wow, what a legend!¡± Liang Fatty helplessly shook his head. ¡°Fatty, you¡¯re one too, an anesthesiologist by day and the Chairman of the Sanbo Food Association by night.¡± Zhang Lin said seriously. Liang Fatty didn¡¯t get angry; instead, he proudly reminisced, ¡°A true hero never brags about his past glories. But I tell you, I really did start the Food Association in college, and I served as the first chairman. There are always costs associated with doing things; look at my body shape now, that is the price I paid.¡± Fatty gestured towards his waistline. ¡°What a guy!¡± Zhang Lin and Little Five gave Fatty a thumbs up. ¡°Look, this is her photo from the Victoria¡¯s Secret Show in Paris!¡± Zhang Lin found a picture of the Japanese female doctor on the inte. ¡°Wow!¡± Little Five and Fatty stretched to take a closer look. ¡°Keep your distance, don¡¯t get your nosebleed on me.¡± Zhang Lin sidestepped to avoid them. ¡°This is not photoshopped, she¡¯s really beautiful. Those legs alone could bring nearly ny percent of men worldwide to their knees!¡± Fatty swallowed a mouthful of saliva. In the photo, Fujiwara was on the runway, sparkling in her trench coat, super-short shorts, and sunsses. Suddenly, Director Tian stopped speaking and coughed a few times. Without knowing who, a handnds on Zhang Lin¡¯s shoulder, and without a thought, Zhang Lin immediately switches the screen: ¡°Hmm, this patient is indeed troublesome.¡± ¡°Yes, very troublesome!¡± Little Five stroked his chin. ¡°Extremely troublesome!¡± Liang Fatty nodded as well, his brows furrowed. A bunch of drama queens, actors whose professional calling had been dyed by medical school. ¡°You guys did well today. Are you reviewing Wang Changxin¡¯s case?¡± Professor Zhang Zongshun walked in through the door. Wang Changxin is the patient¡¯s name, such a wealthy name at that. ¡°Hmm, just getting familiar with it in advance!¡± Zhang Lin stood up, seemingly enlightened. Some damned hand identally hit theputer keyboard and brought up Fujiwara¡¯s picture. Professor Zhang nced through the gap between their bodies, ¡°What is this?¡± Zhang Lin looked back, the picture had popped up, calmly he said: ¡°Screen saver, screen saver image.¡± ¡°Oh!¡± Professor Zhang didn¡¯t probe further. ¡°Where is Yang Ping?¡± ¡°Studying in the duty room!¡± Actually, he¡¯s sleeping in the duty room. ¡°What about Song Zimo?¡± ¡°Practicing arthroscopy in theb!¡± He¡¯s indeed practicing arthroscopy. ¡°Are all the people here? Let¡¯s discuss Wang Changxin¡¯s caseter.¡± Professor Zhang briefly took a head count. ¡°Director Han is in the administrative building, he hasn¡¯t returned yet.¡± Director Tian moved a chair for Professor Zhang to sit. ¡°That¡¯s fine, you guys prepare first, we¡¯ll wait for Director Han. The suggestion for this case discussion was made a few days ago, you all have read the book, right?¡± ¡°Yes, we did! We did!¡± Little Five and Zhang Lin responded in unison. Everyone went to the teaching room to wait for Director Han, Director Tian made a phone call, Director Han was on his way back, and before long, Director Han was back. The discussion began. It was Little Five¡¯s patient, and Little Fivepleted the case report. ¡°Little Five, all of you have studied the case and read up in advance, tell us about your opinions on this case.¡± Director Tian moderated. Little Five looked at the screen: ¡°The diagnosis for this patient is not problematic. He has chronic osteomyelitis of the right tibia, supported by imaging examination and bacterial culture. The best approach would be to thoroughly excise the infected tibial tissues. Then, bone elongation would be performed using an external fixator, and the defect would be temporarily filled with calcium sulfate containing vaycin.¡± Yang Ping had already talked to them, and he got the main points down. ¡°This tibial elongation needs at least thirty centimeters, this length is very rare, would there be anyplications from nerve and blood vessels? Zhang Lin, what do you think?¡± Director Tian followed up. ¡°Well, this is, um -¡± Zhang Lin scratched his head. Song Zimo took over: ¡°This is different from elongating a shortened deformed limb, there¡¯s no need to consider the extension limit of nerves and blood vessels. This is because only the bone tissue is being lengthened, there¡¯s no need to lengthen the blood vessels and nerves. In theory, however long the original was, it can elongate that much, there¡¯s no limit.¡± Song Zimo¡¯s knowledge is solid, and he has been known as the terminator of Director¡¯s round questions. ¡°There are two types of elongation devices to choose from: external fixators and intramedury nails. Among these two, the external fixator is more suitable for this patient. The retained proximal and distal tibia can each amodate two sets of fixation pins, so there¡¯s no problem installing the external fixator.¡± Director Tian added. Generally, people only know that external fixators can be used for elongation. They don¡¯t know that there¡¯s another type of specialized intramedury nail that can also be used for elongation. ¡°What are Yang Ping¡¯s thoughts?¡± Professor Zhang called upon Yang Ping whosements tend not to be very proactive. Yang Ping collected his thoughts and said: ¡°Every detail has been thoroughly discussed by everyone, there¡¯s really not much left to say. When inserting the needle, pay attention to going through the intermuscr space. That way, during elongation, the interference with muscle strength training is miniman.¡± Song Zimo looked over. It¡¯s easy to say to insert the needle through the intermuscr space, but it¡¯s really hard to do itpletely in practice. He seemed to make everything look simple. Collecting everyone¡¯s input, Director Han summarised their teaching points, adding a finishing touch: ¡°Ilizarov Tissue Distraction Regeneration Theory states that slow traction of biological tissues produces a certain tension that can stimte tissue regeneration and active growth. The manner in which this growth urs is simr to fetal tissue development, where the same cells divide. In simple terms, it¡¯s using slow and continous traction to get the tissue back to its fetal period growth stage. This technology has revolutionised traditional pressure bone healing theory.¡± Yang Ping deeply respects the pioneers of these medical theories. These people have big imaginations and rich imaginations. Professor Zhang added on to the origin of the theory: ¡°Ilizarov was a rural doctor in Siberia in the Soviet Union during the 1950s and 60s. This technique was the result of an ident. The initial purpose of his external fixator design was to treat a fracture patient. Every day, by turning the screw on the external fixator, the fractured ends could be tightlypressed, which would promote fracture healing. Once, when he was on leave, he instructed a nurse to adjust the screw on the external fixator daily. The nurse was very serious and acted strictly ording to his medical advice; the only mistake she made was turning the screw in the wrong direction. By the time Ilizarov came back, the patient¡¯s fractured ends had been separated, but surprisingly, new bone callus had formed. Inspired by this phenomenon, he invested a lot of time and effort into research, eventually proposing the Tension Stress Rule, or the Theory of Traction Tissue Regeneration. The Soviet Union then invested a lot of manpower and resources into research, perfecting this theory, resulting in the mature theory we have now. This theory is fully deserving of the Nobel Prize, but at the time of the US-Soviet Cold War, naturally it did not win. China began implementing this technique in the 1980s. There was a time when this technique was abused to lengthen normal people to increase their height; it caused manyplications such as skin necrosis, muscle weakness, non-union of bone, nerve injury, and so on. In October, 2006, the Ministry of Health ordered a ban on osteotomy to increase height for ¡®medical cosmetic treatment¡¯, that is, it could not be used to increase the height of normal people. It can only be used for congenital deformities, trauma, infection, tumors, and other reasons for bone defects and unequal limb length, as well as limb deformities caused by disease.¡± The discussion not only made the patient¡¯s diagnosis and treatment n clearer and moreprehensive, but it was also a great opportunity for young doctors to learn. Through clinical cases, experience is umted, the knowledge of a category of diseases is acquired with each typical case. After such a discussion, everyone had a basic understanding of Ilizarov¡¯s magical technique. After the meeting, Yang Ping received a WeChat message from Su Nanchen, asking Yang Ping to go to the First Affiliated Hospital for consultation. Going for a consultation? It¡¯s to The First Affiliated Hospital! Is there a mistake?! Chapter 140 - 0136: Attached Consultation Chapter 140: Chapter 0136: Attached Consultation Director Zhao, head of the Medical Affairs Department, had just returned from a weekly meeting when an aide reported that he had received a phone call. Nandu Affiliated Hospital One was requesting a consultation from Sanbo¡¯s Orthopedics specialist, Doctor Yang Ping. The scanned copy of the consultation invitation had been sent over. The aide printed it out and handed it to Director Zhao for review. ¡°Must be some kind of mistake?¡± Director Zhao reacted instantly. In the medical field of Nandu Province, Nandu Affiliated Hospital One holds a dominant position. Nationwide, it also ranks among the best. High-profile individuals like Director Han from the Orthopedics department, with his strong individual capabilities and reputation within the circle, are asionally invited to join consultations and case discussions at Nandu Affiliated Hospital One. This is seen as a personal honor. Normally, it¡¯s not Nandu Affiliated Hospital One inviting Sanbo for consultations, but the other way around: Sanbo regrly invites experts from Nandu Affiliated Hospital One for consultations. The orthopedics department of Nandu Affiliated Hospital One is top-tier nationally. Now they are inviting Doctor Yang Ping for a consultation, could there be a misunderstanding? Director Zhao, since his promotion to Chief Physician and working in the Medical Affairs Department, was well-versed in these matters. Even though Yang Ping did impress everyone with his rentation of amputated fingers, it was unlikely that a young doctor excelling at this procedure would be invited to Nandu Affiliated Hospital One for consultations. Looking at the brief case description on the consultation invite, the patient was indeed a professional athlete with left Achilles tendonxity. The consultation invitation clearly indicates that the inviting party is Nandu Medical University Affiliated Hospital One. The invited party is Sanbo Hospital of Nandu Province, and the doctor being invited is Yang Ping, an Orthopedics Specialist. There seemed to be nothing amiss. ¡°Please confirm if there has been a mix-up. Doctor Yang is just a Specialist, yet he has been invited to Nandu Affiliated Hospital One for a consultation.¡± Director Zhao was cautious. A misunderstanding could lead to an embarrassing situation. ¡°I called the Medical Affairs Department at Nandu Affiliated Hospital One to confirm. There¡¯s no mistake. They¡¯re inviting Doctor Yang Ping from our Orthopedics Department.¡± The aide too, was a seasoned professional. Director Zhao took a closer look at the consultation invitation and saw Nandu Affiliated Hospital One Dean Su Qingyun¡¯s signature. Did he notice Yang Ping¡¯s potential during hisst consultation at Sanbo and now wants to recruit him? Yang Ping indeed had potential and had made several remarkable contributions. Not to mention his stunning five-section rentation surgery that even gave Director Zhao goosebumps, shouting ¡°goodd¡±. Recently, at the major consultation held at the Overseas Chinese Building, he proposed an innovative idea that even Professor Su greatly admired. This matter required careful consideration. If Yang Ping was poached, not just Han Jiangong, but even Dean Xia would skin him alive. If things looked amiss, then there was usually a trick involved. Zhao felt something was suspicious and decided to take the consultation invitation to discuss it with Han Jiangong. Sanbo was currently in need of personnel, they couldn¡¯t afford to have someone undermine their team. Despite being a simple and honest person, Director Zhao was tactful. Otherwise, he wouldn¡¯t have been able to hold his current position. He called Director Han. The moment he returned to his office after the meeting, Zhao, with the consultation invitation in hand, hurried over without skipping a beat. Upon entering, Zhao locked the door and without even taking a sip of Director Han¡¯s Longjing Tea, he took out the invitation and ced it on his desk. ¡°Old Han, take a look!¡± Director Han was confused by Zhao¡¯s urgency. They had just met at the hospital-wide morning meeting earlier and Zhao didn¡¯t mention a word about it. Now, in such a rush, Director Han was left wondering what was going on. Taking a look at the consultation invitation from Nandu Affiliated Hospital One, it invited Yang Ping to participate in an Orthopedics consultation the following Tuesday. ¡°What¡¯s the problem?¡± Director Han waspletely confused. Zhao was now even more anxious: ¡°Old Han, why aren¡¯t you worried? Look, Nandu Affiliated Hospital One is inviting one of our junior attendants for a consultation! With Su Qingyun about to be promoted to academician, and arge number of professors in their orthopedics department receiving special government subsidies, why would they invite a Specialist from us for a consultation? This is a tant attempt to poach our staff.¡± He was so infuriated that he took a sip of tea to calm himself down. ¡°This is outrageous! Su Qingyun has had a good reputation in the circle all along, with principled actions. How could hend himself in a situation like this?¡± The more Zhao thought about it, the more furious he became. If they had secretly asked their Human Resources Department to start a dialogue, it would be understandable. But in this style, isn¡¯t it a tant act of aggression? ¡°Don¡¯t panic. They¡¯re just invited for a consultation. Isn¡¯t this a good thing, inviting our people for consultations?¡± Director Han was not worried at all. ¡°Do you really think so?¡± Zhao couldn¡¯tprehend Director Han¡¯s intentions. Director Han reassured him, ¡°Don¡¯t worry. Even if they try to poach him, Yang Ping won¡¯t be easily swayed if he doesn¡¯t want to leave; if Yang Ping himself wants to leave, we can¡¯t keep him either. In my opinion, this might not be asplicated as it seems. My guess is that Su Nanchen is interested in bing friends with Yang Ping. Didn¡¯t you notice at the dinner table the other day that the two wouldn¡¯t stop chatting, like they were old friends meeting after a long time?¡± ¡°Making friends? It¡¯s only a case, the two of them could have discussed it privately, over the phone, or via WeChat. Why do they need to formally issue a consultation order?¡± Old Zhao still felt that there was something wrong. Director Han looked at the consultation invitation again and flicked it with his finger: ¡°This is purposely giving Yang Ping an opportunity to make himself known, promoting him! Praising him! Didn¡¯t you notice? Only Su Nanchen would know about Yang Ping¡¯s capabilities from private discussions, but a consultation like this is different, with one consultation order issued, Yang Ping¡¯s skills would be showcased at both Sanbo and Nandu Affiliated Hospital One. Look, the invitation is personally signed by Su Qingyun, is it necessary for him to sign a consultation for orthopedics himself? Without his signature, this type of consultation invitation would not be able to be issued, it is probably the first time in the history of Nandu Affiliated Hospital One to invite a chief physician from another hospital! Su Qingyun really has an eye for talent, he¡¯s broad-minded, no wonder Nandu Affiliated Hospital One developed so rapidly in his hands!¡± ¡°If it¡¯s really as you say, then I can rest easy. Our hospital is currently in a crucial period of development, we must guard against other people¡¯s intentions,¡± Old Zhao thought carefully and felt that what Han Jiangong said made sense. ¡°I¡¯ll call Yang Ping in for a briefing and let him prepare,¡± Director Han picked up the phone and Director Zhao opened the door. As soon as Yang Ping entered the director¡¯s office, he saw a paper in Director Han¡¯s hand and Director Zhao staring at him, he started wondering if he had done something wrong. ¡°Director Han, Director Zhao!¡± Yang Ping greeted them, maintaining a calm demeanor on the surface, but his mind was already analyzing countless possibilities. ¡°Sit! Xiao Yang!¡± Director Han said kindly, with a smile on his face. Eighty percent chance it¡¯s good news, Yang Ping made a judgment. He had figured out Director Han¡¯s moods from his facial expressions before. ¡°What do you think this is?¡± Director Han didn¡¯t give an outright exnation, but showed the consultation order to Yang Ping. Yang Ping took it, it was an inter-hospital consultation invitation from Nandu Affiliated Hospital One, signed by Su Nanchen and Su Qingyun, and stamped with the seal of the Medical Affairs Department of Nandu Affiliated Hospital One. Oh, so it was this matter. Su Nanchen had mentioned the consultation via WeChat yesterday, and even sent the patient¡¯s information over the tform. Yang Ping was initially taken aback, him being invited to Nandu Affiliated Hospital One for a consultation? Impossible. After Su Nanchen sent over the information, he didn¡¯t exin much. Yang Ping therefore interpreted this ¡°consultation¡± as a case discussion on WeChat. He didn¡¯t expect the hospital to send an official inter-hospital consultation invitation today. This procedure is typically for inviting professors, Su Nanchen, you¡¯re giving me too much face. Before Yang Ping could say anything, Director Han spoke: ¡°Prepare yourself, I¡¯ll give you leave next Tuesday afternoon, go for the consultation, speak as you normally would, and show them your capabilities.¡±N?v(el)B\\jnn ¡°Director¨C¡± Yang Ping wanted to exin, as this consultation request bypassed Director Han in favor of him, seemed somewhat inappropriate. However, on second thought, there was no need to exin. What kind of person was Director Han? He was the type who wasid-back and open-minded, not someone who was narrow-minded. ¡°Yes! Director, I will certainly do you and the hospital proud!¡± Yang Ping confidently dered. Director Hanughed: ¡°I love hearing that.¡± ¡°Should I arrange for the hospital to dispatch a car for his transportation?¡± Director Zhao felt that this would also raise his stature. Nandu Affiliated Hospital One inviting a chief physician from Sanbo for a consultation was an unprecedented event. Yang Ping quickly declined: ¡°Please don¡¯t fuss over it, I can go by myself, it¡¯s just a consultation.¡± Yang Ping disliked causing trouble. Going to Nandu Affiliated Hospital One for a consultation and having the hospital arrange a car was too ostentatious. Being low-key was more suited to his personality. ¡°Let¡¯s go with what Xiao Yang says, if he doesn¡¯t want a car then don¡¯t send one, let him do it however he wishes, perhaps Su Nanchen wille to fetch him,¡± Director Han understood Yang Ping¡¯s temperament. With this matter set, Old Zhao also felt relieved. As long as it¡¯s a normal consultation, it¡¯s a good thing, and Sanbo has hope. He and his old colleagues had been with Dean Xia through thick and thin for more than ten years,ying this foundation. If these youngsters could make a name for themselves, he would feel proud upon retirement. Even when meeting ssmates and peers, he could brag a little while ying mahjong. Yang Ping replied to Su Nanchen on WeChat: Received the consultation invitation, deeply grateful, I will be there next Tuesday afternoon at three o¡¯clock to attend the consultation. Since they¡¯ve invited me and given me such great face, I should go confidently. This week, he¡¯s only performed three surgeries because Director Tian was on an outpatient shift alone. Director Han only worked half-day outpatient shifts a week, and that was located on the first floor of the Orthopedics Department. They couldn¡¯tpete for patients with other departments, so the patient volume was quite low. Tomorrow is Saturday, and Yang Ping remembered about apanying Xiao Su for shopping. He checked the bnce in his bank ount. Sinceing to Sanbo, his ie had be much higher than before. Apart from rent and utilities, he didn¡¯t have many expenses, and had a bnce of tens of thousands in his ount. Although Xiao Su was very good, she didn¡¯t overspend. But it was better for him to be prepared. Chapter 141 - 0137: The First Time Shopping Chapter 141: Chapter 0137: The First Time Shopping There wasn¡¯t much going on Friday, and the patient with synovial chondromatosis was joyfully discharged from the hospital, leaving only Hermes and Luo Xiaohu in the ward. Yang Ping had been sleeping in the on-call room when Huang Jiahui called, saying she had brought some materials and was waiting in the meeting room. Yang Ping donned his white gown and went to the meeting room, where he found Huang Jiahui rubbing her hands, panting, her fingers and palms red from strain. A bag full of heavy equipment information from Ruixing Corporation, includingplete data on shoulder arthroscopes and knee arthroscopes. Upon seeing Yang Ping, she immediately stood up: ¡°Professor Yang, sorry to bother!¡± Yang Ping asked her to leave the materials and to stock up on consumables for the shoulder arthroscope when she had a chance. The young girl was so excited she could barely contain her urge to jump up, she bowed several times in gratitude: ¡°Thank you, Professor Yang!¡± The orthopedic department doesn¡¯t ept emergency cases, and there are no surgeries on Saturdays and Sundays. This allowed Yang Ping and Xiao Su to have a rxed weekend and to go shopping! The weather in the south began to turn cold, requiring thicker outerwear. At 8 o¡¯clock in the morning on Saturday, Yang Ping arrived on time at the agreed meeting point. Xiao Su showed up wearing a light reddies¡¯ trench coat, with a scarf wrapped around her neck. Her shoulder-length hair was dark and shiny due to regr workouts, her body curves were beautiful and full of vitality. She didn¡¯t wear any makeup, her lips were reddish, naturally so. Even in this dry winter season, her skin was still delicate and glossy, giving a youthful and healthy impression. Standing in the wind on the za between the emergency building and the outpatient building, Xiao Su waved at Yang Ping. Her hair fluttered in the north wind, she was beautiful! This was their first time going shopping together, and apart from the excitement, there was also some unease. Performing surgeries was routine, but apanying a girl shopping was unfamiliar territory. ¡°Sir, may I trouble you?¡± Xiao Su handed over her backpack. N?v(el)B\\jnn ¡°At your service!¡± Yang Ping took the backpack. ¡°Where are we going?¡± ¡°18th Street!¡± 18th Street is a well-known traditionalmercial area in G City, a bustling pedestrian street. Xiao Su had mentioned this in advance. ¡°The subway will be packed on the weekend, shall I call a ride?¡± Yang Ping pulled out his phone. Yang Ping had meticulously nned for the shopping trip; he had prepared everything from bank cards, his WeChat wallet, to cash. Regrettably, despite working in G City for several years, Yang Ping had never visited 18th Street. In the past, apart from going to work, he would stay home and read books. Being a single homebody, he didn¡¯t need to go shopping, all his shopping needs were met by online shops like Taobao and . This time, he¡¯d thoroughly researched 18th Street in advance, collecting information on everything from routes, transportation, shops, culture, and characteristics. He knew it so well he could probably write a guide on 18th Street. Had it not been for work, he would have gone and scouted ahead. Xiao Su smiled sweetly, ¡°No need.¡± She pointed at a car parked at the temporary parking lot on the za, a red Te Model S, an electric car. ¡°Let¡¯s go, I¡¯ll be the driver.¡± Xiao Su tidied up her hair, which had been ruffled by the wind. The hidden door handle automatically popped out. Xiao Su opened the passenger seat door: ¡°Sir, after you.¡± She sure kept a low profile, as Yang Ping had never seen her drive before. Yang Ping got into the passenger seat, and Xiao Su walked around the front of the car to get into the driver¡¯s seat. ¡°I¡¯ve never seen you drive before?¡± Yang Ping began to adjust his seat. ¡°I live in the city area, I only go home during my days off. I usually stay at the dormitory and don¡¯t need a car, it¡¯s parked in the hospital¡¯s underground parking lot.¡± Xiao Su unbuckled her scarf and fastened her seatbelt. ¡°There are snacks and water in thepartment in front of you, help yourself.¡± Xiao Su put on her sunsses and started the car. ¡°Sir, I¡¯m honored to be at your service. Please buckle your seatbelt, and let me know if the temperature in the car is alright for you.¡± Xiao Su solemnly said. ¡°Hmm, thank you. Take the most convenient route, we have a date to catch!¡± Yang Ping replied earnestly. The electric car was very quiet, Yang Ping opened thepartment, inside were a few packets of snacks and two bottles of water. It was about an hour¡¯s drive to the city from here, Xiao Su drove steadily and proficiently, reassuring her passenger. ¡°On Tuesday, I¡¯m going to the First Affiliated Hospital for a consultation. Their orthopedics department invited me. Su Nanchen sent the invitation.¡± Yang Ping told Xiao Su. ¡°You¡¯re going to consult at the First Affiliated Hospital? Should we call you Professor Yang now?¡± Xiao Su was surprised. ¡°I was surprised too, Su Nanchen is probably showing some respect.¡± Yang Ping exined. ¡°Will the hospital send a car, or will theye to pick you up?¡± Xiao Su asked. ¡°Director Zhao said they would send a car, but I declined. I¡¯ll go myself.¡± Yang Ping was munching on some beef jerky. ¡°Tuesday afternoon? I¡¯ll take you there.¡± Xiao Su said. ¡°No need, I¡¯ll go myself.¡± Yang Ping knew Xiao Su was busy. Although they didn¡¯t perform many surgeries, it was just her and Zhou Can in the operating room, and they had other responsibilities. ¡°How about this, I give you the car keys, and you can drive there yourself?¡± Xiao Su was still worried. ¡°I got my driver¡¯s license when I was in grad school, but I haven¡¯t driven since.¡± Yang Ping was honest. ¡°I can apany you for some practice in the afternoon, it¡¯s quick. A few practice sessions and you¡¯ll be ready for the road.¡± Xiao Su smiled. ¡°Alright!¡± Yang Ping agreed. However, thinking about it, shouldn¡¯t it be inappropriate to practice driving in such a high-end car? It even looks like a high-spec Model S. ¡°When you get to Affiliated Hospital No.1, don¡¯t be afraid, show them what you¡¯re capable of! Cheer up, you¡¯re the best!¡± Little Su was so cute, encouraging Yang Ping. Truth to be told, why would I be scared? Whether it¡¯s studying or practicing surgery within the system space, I usually spend months on it. This unique experience made Yang Ping feel like someone who has weathered the rough storms, steadier, cooler and more confident than most people. At this point, Yang Ping had almost finished reading many books about sports medicine. Each one of them was studied in-depth, not skimmed through. He studied diligently, digesting and absorbing knowledge. These prolonged experiences were manifested externally as confidence, steadiness, and cool headedness, as if having aplete grasp of any situation. Yang Ping also slowly figured out some quirks about the system. For instance, if you enter the system space in a quiet environment like before sleep, it¡¯s much more efficient than normal times. Before sleeping, the training effect can be ten times, or even higher. Entering at normal times could only get two to three times the effect. That¡¯s why Yang Ping often enters the system space in his sleep, during his breaks, in the car, etc., thus improving the training effect and saving points. Those who didn¡¯t know would think he was a heavy sleeper, always ducking into the duty room to sleep. Yang Ping pretended to be quite encouraged: ¡°No fear, they are all humans, on the same ne as us.¡± ¡°I¡¯d still like to drive you there on Tuesday. While you¡¯re in your meeting, I¡¯ll wait for you outside. We can head back together after your consultation.¡± Little Su still seemed worried. The two chatted merrily on the way, full of endless jokes, with Little Suughing heartily from time to time. Unbeknownst to them, they had already reached Eighteenth Street in the city centre. Xiao Su found a parking lot, parked the car, took Yang Ping¡¯s hand, and happily roamed the streets like a child on holiday. ¡°Let¡¯s eat something first!¡± Xiao Su was well-prepared. Without saying much, she led Yang Ping away. ¡°Slow down, slow down!¡± ¡°Hurry, it will get crowded soon!¡± Yang Ping had no idea where she was nning to go, taking no notice of the shops beside them. They walked a long way and turned into a small alley. Old Chen Fish Skin! One of the three major delicacies of Eighteenth Street. Truly embarrassing. Despite its fame, I¡¯ve never had it. Xiao Su was very familiar with the ce. While Yang Ping was still looking at the sign pondering what to order, She had already ordered: two servings of fish skin and two servings of boat congee. ¡°Pay, pay!¡± Xiao Su held onto Yang Ping¡¯s arm, prompting him to quickly scan the WeChat QR code. A bowl of fish skin cost twenty-four yuan, a bowl of boat congee eight yuan. Double servings cost sixty-four yuan. They came early and there were still seats. The shop was very simple, no different from a street-side food stall, with wooden tables and benches both inside and outside. A canopy was set up outside. The two found a spot inside. Gradually, many other people started to arrive and queue up. ¡°Eat!¡± Xiao Su passed Yang Ping a set of disposable chopsticks. The fish skin was indeed excellent ¨C tender, smooth and chewy. The peanuts inside were also crispy. Its fame was indeed well deserved. ¡°Later it¡¯ll be even busier, and the queue for take-aways will be so long.¡± Xiao Su was very familiar with this. The couple finished their food, Xiao Su cleared the trash, tidied the table, wiped it clean, and then took Yang Ping to start their official shopping spree. The pedestrian street was bustling with old, established shops, and the buildings on both sides were of traditional design. They strolled along, enjoying the view. They noticed a branded clothing store having a clearance sale. Xiao Su immediately pulled Yang Ping over. It was a pile of high neck sweaters with a sign that read: sixty yuan each. Xiao Su wanted to pick one, but after searching for a while, she couldn¡¯t find one she liked. She was looking for a pink one, but the sizes of the few she picked did not fit. Most of the clothes were of discontinued sizes. Yang Ping randomly picked through the pile and pulled out a pink one for her: ¡°This fits you.¡± Xiao Su had a look and indeed, the size was the most fitting. She had shopped this brand before and was familiar with her size. ¡°How did you know?¡± Xiao Su was puzzled. He picked it at random without even looking at the size. How could he be so urate? Interestingly, the ability Yang Ping gained from practicing brain imaging in the system space, to observe color, size, and even matching, was beyond what an average person could achieve. At just one nce, he could reconstruct the clothes in his vision in his brain, then simte putting them on the Xiao Su in his mind. Whether it fits or not, he would know after one simtion. That¡¯s the magic of the super cultivation n. Yang Ping paid, had the clothes packed, and the two continued shopping. Xiao Su kept asking while holding Yang Ping¡¯s hand: ¡°You didn¡¯t even look at the size. How could you guess it so urately?¡± Yang Ping kept quiet, but Xiao Su persisted. Yang Ping replied calmly: ¡°Talent! I can tell just from one hug. You hugged me so tightly that day, I naturally took your measurements.¡± ¡°Really?¡± ¡°Really!¡± ¡°So, in the future, if you want to buy clothes and choose the most fitting one, let me hold you first!¡± Yang Ping said earnestly. Xiao Su looked at him, her eyshes fluttering. Chapter 142 - 0138: The Dimension Brought Out Chapter 142: Chapter 0138: The Dimension Brought Out ¡°I also want to buy a Li Ning sports outfit.¡± Xiao Su, holding Yang Ping¡¯s hand, nestled close to him. Yang Ping, indifferent, responded, ¡°In that case, stay close. Sports outfits should be the right size. Too big and they look ugly, too small and they get in the way of movement.¡± Xiao Su leaned closer, snuggling tightly against Yang Ping. At the Li Ning specialty store, in thedies¡¯ section, Xiao Su merely eyed the dazzling array of clothes, not reaching out to select any. ¡°You pick for me!¡± she said. She wanted to see if Yang Ping was bluffing. The clothes were neatly hung up. Yang Ping asked, ¡°Which style do you want?¡± ¡°You pick anything!¡± Xiao Su waited for him to slip up. Yang Ping just casually nced around and picked out a jacket and a pair of pants. He didn¡¯t even look closely at the clothes, let alone check the size on thebels. ¡°This set suits you best, whether we¡¯re talking about style, color, or size.¡± Yang Ping handed the clothes to Xiao Su. Xiao Su took them and immediately checked the size inside. Just as she thought, he was guessing. This wasn¡¯t her usual size. What a trickster he was. After seeing through Yang Ping¡¯s trick, Xiao Suughed and said, ¡°This isn¡¯t the size I usually wear! Mine is smaller than this.¡± ¡°Take both this set and the one in the size you think suits you and try them on. You¡¯ll know once you do.¡± Yang Ping seemed very confident. What a sly fox, acting so calmly. Xiao Su thought, giggling to herself. Laughing while picking out clothes, Xiao Su chose another set of the same style but a different size. Still somewhat skeptical but also curious, she found an open dressing room and brought both sets in to try them on. Yang Ping sat on the stool to rest as a sales associate tried to make conversation, ¡°Sir, your girlfriend is really pretty!¡± ¡°Hmm.¡± Yang Ping answered curtly. N?v(el)B\\jnn ¡°See, sir, this section houses this month¡¯s new arrivals. They¡¯d look even better on her. For winter sports, she should stock up on more sets.¡± The sales assistant suggested. ¡°Okay, she¡¯ll pick them outter.¡± Yang Ping wasn¡¯t talkative and didn¡¯t quite like talking to strangers. About ten minutester, Xiao Su came out. She returned one set to the sales associate and asked her to bag the other. ¡°How did it go?¡± Yang Ping was confident, but still wanted to know the answer. ¡°You were wrong this time, it¡¯s not the right size!¡± Xiao Su said triumphantly, intentionally trying to knock down his confidence. Yang Ping shook his head, ¡°Impossible!¡± ¡°Are you so sure?¡± asked Xiao Su. ¡°I¡¯ve never been wrong before!¡± Yang Ping murmured. Xiao Su red at him. Her gaze seemed a bit unusual, with a hint of anger. Xiao Su didn¡¯t say anything else, only coldly admitting, ¡°You win, this set that you picked truly fits the best.¡± Then she turned to the sales assistant and asked, ¡°I buy all my sports outfits here. Why do I need arger size today?¡± She was confident that she had maintained her figure very well, she hadn¡¯t gained weight. If she chose to work part-time, she could definitely qualify as a women¡¯s fitness trainer. ¡°Oh! I¡¯m sorry. The dimensions of this line are all slightly smaller than usual!¡± The sales assistant exined. Xiao Su finally believed him. He could determine her size just by hugging her, it was like the high IQ weirdos on TV. Remembering how he could determine sizes just by hugging, she found itughably absurd. On remembering Yang Ping¡¯s words just now, she couldn¡¯t help but feel a little jealous. Fortunately, he was right. Thanks to the system¡¯s intensive training program, Yang Ping¡¯s observation and thinking ability had significantly improved. Not only could he urately grasp the 15-degree angle during puncture, but he could also apply this ability in daily life. After buying the sports outfit, they left the Li Ning gship Store. Xiao Su then dragged Yang Ping around for a stroll, without buying anything else. It seemed like women never got tired of shopping. A few times they passed by high-end women¡¯s fashion brand stores, but Xiao Su ignored them. Yang Ping tried to pull her in to buy something pricier. She turned her nose up, ¡°This stuff doesn¡¯t look good; itcks vitality!¡± By noon, the two went to a noodle shop for shrimp dumpling soup, then ran to an old-style diner for tri-color ice cream. These were time-honored eateries known for delicious food, a great reputation, and reasonable prices. ¡°You must be tired. Let¡¯s take a break and have a cup of coffee.¡± Xiao Su led Yang Ping. The two of them found a coffee shop to sit down and rest, had some coffee, and chatted. The sun outside the window was perfect, and the architecture had a lot of character. Being with Xiao Su was indeed very rxing and cheerful for Yang Ping. He didn¡¯t feel awkward or uneasy, and he didn¡¯t have to consciously take care of her feelings or worry about making her angry. ¡°Is that all you¡¯re buying? I came prepared, so you can shop freely!¡± Yang Ping weighed the bag of clothes in his hand. Everything fit into one bag. Isn¡¯t a woman¡¯s shopping trip supposed to involve many bags,rge and small? ¡°Today, Miss Su is feeling merciful. You can keep your money for now, let it earn some interest.¡± Xiao Su ripped open a sugar packet and added it to Yang Ping¡¯s coffee. Yang Ping felt his neck, ¡°I¡¯ve stuck my neck out, and you¡¯re not making a move?¡± Xiao Su made a chopping motion on Yang Ping¡¯s neck with her delicate hand, ¡°Let¡¯s fatten you up first, then we¡¯ll deal with you!¡± ¡°No need to deal with me!¡± Yang Ping shook his head helplessly. ¡°You think Miss Su is too merciful? Fine, next time we¡¯ll go to DaTang!¡± Xiao Su huffed. DaTang! That¡¯s a luxury shopping center in G City. A piece of clothing there easily costs tens of thousands, and a bag can range from tens of thousands to hundreds of thousands. The Hermes gship store is located there. This little girl, she didn¡¯t often shop, but when she did, she left no stone unturned. ¡°No, Miss Su, take it easy, let¡¯s fatten me up first. I don¡¯t think my card can handle a swipe at DaTang.¡± Yang Ping hurriedly stirred his coffee. Chapter 143 - 0138: The Dimension Brought Out_2 Chapter 143: Chapter 0138: The Dimension Brought Out_2 ¡°Nope. I¡¯ve made myself clear. Next time at the Datang meeting, I¡¯ll show you how fierce this little missy can be!¡± Xiao Su pouted, her face filled with bluster. ¡°I beg you, mdy, to spare me!¡± Yang Ping made a mock kowtow gesture. Xiao Su gleamed with satisfaction. ¡°Fine. Since you¡¯re pleading so sincerely, I¡¯ll wait for now.¡± ¡°I have a question. You said you¡¯ve never made a mistake before. What does that mean?¡± Xiao Su¡¯s face fell. Having just been overflowing withughter, she was now suddenly serious. ¡°What? What do you mean?¡± Yang Ping waspletely confused. Xiao Su cooed like a shrew, ¡°Tell the truth, your quirky measurement technique never messed up; how many have you measured?¡± So this was what she meant. Yang Ping was relieved but somewhat embarrassed. He¡¯d never been in a rtionship before. In university, he was too shy to even chat with girls close by. At times, he had doubted whether the university he attended was even authenticpared to others. ¡°If you don¡¯t confess right now, you¡¯ll have to do so at the Datang meetingter,¡± Xiao Su retorted. ¡°I¡¯m confident about this. As for the method, I¡¯ve only ever applied it once, and that was in my presence,¡± Yang Ping replied jovially. ¡°Really?¡± Xiao Su¡¯s face burst into a smile. ¡°Truly! Look into my eyes,plete sincerity here!¡± Yang Ping stared intently at her. On the verge ofughter, Xiao Su eximed, ¡°You¡¯re really scared, aren¡¯t you? It¡¯s okay, even if you have measured a few. Just don¡¯t abuse this unique skill in the future.¡±n/?/vel/b//jn dot c//om Yang Ping felt relieved, thankful that he¡¯d never been intimate with a woman before. With Xiao Su¡¯s threats and entrapments, he felt lucky to have survived her questioning unscathed. After a short break, Xiao Su mysteriously informed him, ¡°Stay here and wait for me; I have to buy a few things.¡± ¡°I¡¯ll go with you.¡± Yang Ping began to collect his things. ¡°No, just rest here and wait for me. No need to apany.¡± Xiao Su was insistent, and not wanting to push her, he agreed, though he remained curious about what she might be up to. ¡°Don¡¯t wander off; hurry back.¡± Yang Ping told her. Xiao Su raised her hand in an OK gesture and left the caf¨¦. Compared to coffee, Yang Ping preferred tea. Yang Ping signaled a waiter, ¡°Do you serve tea here?¡± ¡°I¡¯m sorry, sir. We only serve coffee!¡± replied the waiter. ¡°Oh! Makes sense, a caf¨¦ wouldn¡¯t sell tea.¡± He muttered to himself. Half an hourter, Xiao Su returned carrying a bag, which upon his quick nce, appeared to contain clothes. Xiao Su blocked his view with her hand, ¡°That¡¯s for my family, no peeking!¡± Intrigued by the apparent mystery involved in buying clothes, Yang Ping offered to hold the bag for her, but Xiao Su refused, ¡°I can carry it; I¡¯ll put it in the car shortly.¡± Checking the time, Xiao Su proposed, ¡°We still have plenty of time. I¡¯m going to take you driving! The University City area is less busy and the roads are new and wide ¨C perfect for learning to drive. After driving, we can find a ce to eat and then head home.¡± Overall, the day was quite enjoyable. Despite his strong aversion to shopping, doing it with Xiao Su made it one of the most exciting experiences for him. At the parking lot, Xiao Su neatly ced the few bags of clothes she had bought on the back seat before taking Yang Ping to drive around University City. Due to its wide and new roads along with scanty traffic, University City of G City was indeed a good ce to practice driving. Few cars were on the road, with some clearly marked as instructor vehicles, while the tortoise-like speed of others gave away learners practicing their skills. They parked by the roadside and Xiao Su switched ces with Yang Ping. An SUV was parked in front, and suddenly a revving sound startled them. Yang Ping poked his head to see a girl in the driver¡¯s seat. She must have floored the elerator while the car was in neutral. He was relieved that the car was not in reverse, or else she would have bolted straight for them. With his training in the System Space and umted talent points, Yang Ping quickly realized that his learning ability had surpassed that of the average person. Coupled with the fact that he already had a driving license and had undergone formal training, he felt at ease. ¡°Don¡¯t be scared, start slow and get a feel for the car. Whenever you feelfortable, you can increase speed. As long as you don¡¯t elerate, keep your foot on the brake. If press vertically down, you¡¯ll brake, and if you press it at an angle, you¡¯ll elerate. In case of any emergencies, your first instinct should be to use your right foot to brake. Remember this, and rx. I¡¯m here.¡±ver the car with a practiced look. As if he were an old hand at driving, Yang Ping adjusted his seat and fastened his seatbelt. He recalled his driving lessons when he was earning his license. Steps for starting the car instantly popped into his head, unfolding in the form of sequential images brake pedal, ignition, selection of D mode, left turn signal, release hand-brake, release foot brake, and lightly press the elerator if required. Yang Ping grew puzzled. This car was quite different from the clunky Volkswagen he had trained on. He had examined it earlier and couldn¡¯t find the ignition or a gear stick in the central control area, not even a switch for the electronic handbrake. ¡°This car differs from others. It doesn¡¯t have a gear stick in the central control area. Instead, gears are shifted using a lever on the steering wheel: up for reverse, down for drive, and in the middle for neutral. See, the chrome button on the right side of the lever is the parking brake. You just need to press it to the left. The ignition works differently too; there¡¯s no ignition button. As long as the car key is within the car¡¯s sensing range and you¡¯ve depressed the brake pedal, the car will power on. Then, switch to D mode, step on the elerator ¨C actually, it¡¯s an electric pedal ¨C and the car will start moving. You can switch to neutral when waiting at red lights,¡± Xiao Su exined patiently. ¡°Until now, the only car I have driven was a manual Volkswagen Jetta.¡± Yang Ping listened attentively to Xiao Su and repeated the instructions to ensure he had understood correctly. He had it under control. He pressed the brake pedal to power up the car, switched to D mode, turned on the left indicator, released the brake, lightly pressed the electric pedal, and off he went! ¡°Not bad at all! You sure you haven¡¯t driven for a few years since you got your license?¡± Xiao Su found it hard to believe. ¡°Honestly, I haven¡¯t!¡± Yang Ping confirmed. Xiao Su remarked, ¡°Driving is really about the coordination of your hands and mind. As a skilled surgeon, you must have good hand-eye coordination, so naturally, you¡¯d handle the car well. Feel free to speed up if you feelfortable.¡± Yang Ping gradually increased his speed, and upon reaching a traffic light, he smoothly applied the brakes, switched to neutral gear, and stopped. His movements were impressively smooth. After a round trip around the University City, he felt very familiar with driving. ¡°You have a good feel for the car. Go for a few more turns!¡± Xiao Su quenched her thirst with some water. After a few more rounds, Xiao Su suggested, ¡°Let¡¯s park by the side and take a breather!¡± Yang Ping parked the car urately thirty centimeters from the kerb, braked, and shifted to P mode. They both got out of the car to get some fresh air. The car parked nearby, which had been doing a few rounds as well, also pulled over to rest. It was the same car that had revved its engine earlier. The man and the woman also got out to take a breather. The man had noticed Xiao Su instructing Yang Ping in the car earlier. When he saw Yang Ping step out of the car, he looked at him disdainfully, finding it pathetic to see a grown man being taught how to drive by a woman. However, when Xiao Su got out of the car, his eyes were fixed on her. Taking note of the Te they were driving, his gaze returned to Yang Ping. The earlier disdain had now turned into admiration! Chapter 144 - 0139: Perforation of Parietal Peritoneum Chapter 144: Chapter 0139: Perforation of Parietal Peritoneum The two of them rested under a tree by the road. ¡°When we go backter, you can drive. Take it slow, and the key is not to panic. Especially when there are many cars and people, you need to anticipate the traffic conditions in advance. In case of an emergency, just make sure not to mix up the gas and the brake. When you were driving earlier, you switched between the gas and the brake quite freely. After driving enough, it bes second nature.¡± Xiao Su summarized Yang Ping¡¯s driving from earlier, drawing from her own years of driving experience to instruct Yang Ping. A couple nearby seemed to have rested enough. They got into their Honda SUV. Before getting in the car, the man didn¡¯t forget to nce in this direction. Yang Ping and Xiao Su took a break for a bit. Xiao Su checked the car¡¯s battery. The charge was sufficient, it was fully charged when they left. The two of them drove around the university town a few more times. When Xiao Su thought they had practiced enough, she took Yang Ping to practice parking in reverse. Parallel parking, angle parking, perpendicr parking, Xiao Su found parking spots for all of these and let Yang Ping practice each one. She passed every item. Yang Ping learned quickly. She mastered each item with just one try. After practicing a few times, she even had her own insights. Once they had practiced enough, they found a buffet hot pot restaurant ording to the GPS. The restaurant was quite popr and not expensive ¨C a hundred yuan per person. The two of them found a booth by the window. A yin yang hot pot was brought to them by a waiter. Yang Ping and Xiao Su picked many ingredients. They were hungry and ready to feast. ¡°You learn so quickly. You practiced until you were so skilled in just one afternoon.¡± Xiao Su put ingredients into the hot pot. Yang Ping felt a bit embarrassed: ¡°I was supposed to apany you shopping. But after shopping a bit, it turned into you apanying me driving.¡± Xiao Su cleverly said: ¡°We have been shopping for several hours, and I think that¡¯s enough. Look, we¡¯ve done shopping, and now we are having a meal. Today is indeed a happy day!¡± After Xiao Su filled up the hot pot with ingredients, Yang Ping covered the pot. They waited for the soup to boil. Xiao Su thoughtfully said: ¡°You have a consulting up on Tuesday. You should take my car. After we get back to the hospital, I¡¯ll fully charge the car. Our Hospital parking lot has an area full of charging stations. When you go to the Adjunct First Hospital, their underground parking area on the third floor in Zone E has charging stations.¡± ¡°You are very familiar with the Adjunct First?¡± Yang Ping realized she had a clear understanding, down to where the charging stations are. Xiao Su nodded her head: ¡°For those who own an electric car, they pretty much know where all the charging stations in G City are. After all, charging stations are not asmon as gas stations, it¡¯s quite unavoidable to feel some ¡®range anxiety¡¯.¡± ¡°This all-electric car feels like a mobile phone, which is quite interesting. When it gets back home, it¡¯s not refueling, but charging. After all, I am going to get a purely electric one, environmentally friendly, healthy, and quiet.¡± Yang Ping became interested in electric cars. ¡°You should also opt for this model. Ites in ck, and has several other colors avable.¡± Xiao Su rmended. Yang Ping shook her head like a wobble doll: ¡°No way, no way. This is too expensive. I would rather buy a BYD. Those are domestic.¡± ¡°I heard that the battery safety of BYD cars is better, and it could pass the needle-prick test.¡± Xiao Su kept up with the topic. The two of them chatted and ate, from daily life, bringing the conversation to surgical operations. Xiao Su asked about some professional knowledge of her own that she didn¡¯t understand, like the use of certain instruments, or why certain steps were required. Yang Ping patiently answered, thinking that she really likes to learn, and is truly considering the surgical steps in order to better assist the Chief Surgeon. After they finished all the ingredients, Yang Ping asked Xiao Su what else she wanted. He was about to get up to pick more ingredients. Suddenly, there was somemotion in the restaurant. Yang Ping turned his head to look. Following his gaze, Xiao Su also looked over. Someone was in trouble. Inside the hall, a woman in her twenties had copsed.n/?/vel/b//jn dot c//om Yang Ping and Xiao Su immediately rushed over to see what happened. ¡°She was just fine, then suddenly her face went pale and fell down.¡± The woman¡¯s boyfriend was at a loss, frantically seeking help from everyone, then he took out his phone to dial 120, stuttering as he spoke. ¡°Excuse me, let me through. I am a doctor.¡± A middle-aged man separated the crowd and rushed in. He quickly assessed the situation, started chestpressions below the breastbone. His technique was extremely skilled, a kind of skill that could onlye from many years of long-term training, not just basic training. The CPR process followed the newest guidelines exactly. After a few seconds examining consciousness, breathing, and carotid pulse, he startedpressions, then opened the airway. The ¡°head tilt-chin lift¡± technique was used to open the airway. He checked the mouth to see if there was anything that needed clearing, then he performed mouth-to-mouth resuscitation twice, followed by another chestpression sequence- a 30-2 ratio ofpressions to rescue breaths. This person must be a doctor, and probably an emergency physician or an ICU doctor. His resuscitation was decisive and smooth, clearly derived from excellent professional training. Yang Ping also squeezed in, kneeled on one knee on the ground, checking her carotid artery and nostrils, checking the skin on her neck and limbs. There was a weak pulse in her carotid artery, her heart was still beating. Under these circumstances, chestpressions werepletely fine. Compressions would help the weakened heart pump blood, not justying a hand when the heart hadpletely stopped beating. There were some hives on the skin, an allergic reaction! This was an allergic reaction, not sudden cardiac death. The allergic reaction caused acuteryngeal edema, leading to suffocation. When Yang Ping first obtained the system, he underwent emergency training. Thenter, he received more systemic and intensive examination training. He was confident in his judgment. ¡°Allergic reaction! Acuteryngeal edema! The airway needs to be opened immediately!¡± Yang Ping calmly reminded the middle-aged doctor. Chapter 145 - 0139: Perforation of Parietal Peritoneum_2 Chapter 145: Chapter 0139: Perforation of Parietal Peritoneum_2 ¡°I¡¯ve already done that.¡± The middle-aged doctor was confident. ¡°We need to perform a cricothyroid membrane puncture or a tracheotomy immediately!¡± Yang Ping looked him in the eye. The middle-aged doctor did not stoppressing, his gaze showed hesitation. In such a critical situation, both cricothyroid puncture and tracheotomy are invasive. If the assessment is wrong, it could lead toplications or even cause trouble if the patient does not survive. Although thew exempts medical professionals from legal responsibility in such emergency situations, things are often moreplicated than they seem. Serving as a doctor for so many years, he had seen it all. The doctor exchanged nces with Yang Ping, stepping aside to give Yang Ping space. Yang Ping immediately stopped him: ¡°You continue withpressions, I¡¯ll perform the cricothyroid puncture!¡± Compressions can help the heart pump blood, delivering the residual oxygen in the bloodstream to vital organs, especially the brain as it can withstand oxygen deprivation for only four minutes. If breathing isn¡¯t restored within ten minutes, irreversible brain damage happens. ¡°Quick, I need a small knife and a clean straw! A sharp knife or small scissors would work; for the straw, an ordinary size should suffice.¡± Yang Ping shouted to the crowd. He had initially thought of applying alcohol or high-proof liquor to sterilize the knife for throat disinfection. But locating these items would require precious time. In an emergency case like acuteryngeal edema which leads topletely blocked airways, the patient could die within a few minutes. To save time, the sterilization step was omitted. A small knife and straw were easily found in the crowd. A Swiss Army knife was handed to Yang Ping, and the waiter brought a handful of straws of varying sizes from the counter. Xiao Su took the knife and selected the appropriate straw, ready to assist Yang Ping. A small pair of scissors was also handed over to Xiao Su. The Hotpot restaurant¡¯s manager was sweating profusely, fearing the ensuing trouble this incident might bring. Yang Ping quickly constructed an anatomical image of the throat in his mind. With tentative touch of fingers, Yang Ping located the spot between the thyroid and the epiglottis where the cricothyroid membrane lies. Xiao Su handed the knife to him, and with precision, Yang Ping inserted it into the identified spot. After an initial feeling of emptiness, once the scalpel reached the trachea, he swiftly withdrew it and gently inserted the straw. The straw had been trimmed by Xiao Su, the sharp ends removed, and one end bent at an angle to make insertion easier. With these precautions, the tube was easily slipped into the trachea without causing any injury. The blockage caused byryngeal edema was bypassed by puncturing the trachea below the obstruction and creating an artificial pathway for airflow. Sessful venttion! The sound of air flowing mimicked a quiet whistle. Yang Ping palpated the carotid artery, gazing at the patient whose pallor slowly returned to a healthier hue. Seeing this, the middle-aged doctor halted chestpressions. ¡°An acuteryngeal edema caused by an allergic reaction. Keep her t and still, wait for the ambnce.¡± After doing all he could, Yang Ping stayed on the scene. The pulse at the carotid artery was now palpable, indicating that the initial signs of shock were not very severe despite the swollen throat. ¡°Any further assistance needed?¡± asked the middle-aged doctor, filled with admiration for his peer¡¯spetence. Yang Ping answered, ¡°No, we wait for the ambnce now.¡± ¡°I¡¯ve already dialed 120!¡± said the girl¡¯s boyfriend, crying. Being youthful and naive, he wept like a child. Flushed with embarrassment, the middle-aged doctor admired the younger doctor¡¯s bravery. His quick judgment and decisive action saved the situation. However, he himself had been excessively cautious. Oh! How the passion faded over the years, and the courage diminished! Watching Yang Ping handle the situation with such calm and without showing any panic, brought forth feelings of reverence and pride in his profession. The middle-aged doctor hadn¡¯t felt this deep sense of professional pride and honor for a long time, which now seemed to be finding their way back to him. Such a sense of mission had only been experienced when he first entered medical school and took the Hippocratic Oath. ¡°Thank you, I¡¯m familiar with the cricothyroid membrane puncture procedure, but my judgment was not urate; even if it had been, I wouldn¡¯t have dared to use the procedure; even if I did, I wouldn¡¯t have had your expertise, to finish it off with just a knife and a straw. I¡¯d be searching frantically for a needle, or at least for a ball-point pen or a fountain pen.¡± The doctor confessed, filled with regret. ¡°You¡¯re right, a decision to use such invasive procedures can sometimes be hard to make.¡± Yang Ping understood him, realizing that not everyone had his level of confidence. ¡°This doctor is really amazing!¡± ¡°I admire doctors the most.¡± ¡°If it hadn¡¯t been for the doctor eating here, the girl would have been in big trouble. She is really lucky.¡± ¡°Yes, how could this suddenly happen.¡± ¡°Life is full of uncertainties.¡± Among the quiet chattering of the crowd, some returned to their tables to continue eating. Yang Ping checked the patient again. Her skin was covered in quite a few hives. How could she have had an allergic reaction? There were cases of people allergic to penicillin who developed allergies after eating residual penicillin in chicken, fish, or other food products, but these circumstances were very rare. The cause of the allergy had to be left for the hospital to judge. As it could affect the reputation of the restaurant, Yang Ping could not jump to conclusions. Although Yang Ping analyzed this in his mind, nothing was said out loud. Finally, the paramedics arrived. The physician, nurse and the emergency personnel rushed to the scene with a stretcher. ¡°What¡¯s the situation?¡± The physician immediately inquired. ¡°Acuteryngeal edema. As you can see, there are hives all over her body. Possible contact with an allergen caused a Type 1 hypersensitivity reaction. I have performed a cricothyroid membrane puncture with a straw, bypassing the airway. No disinfection process was carried out during the operation.¡± Yang Ping briefly exined the situation, the physician checked the patient, and confirmed, ¡°Alright, leave her to us! It must be an allergic reaction! Adrenaline¨C¡± The physician immediately ordered a nurse to administer the drug. The nurse had already established an IV line, with a bag of saline attached. After the adrenaline was injected, the patient was moved onto a stretcher. The paramedics lifted the stretcher. The physician said to Yang Ping and the middle-aged doctor, ¡°Thank you for your help, you did an amazing job!¡± The patient was taken away in an ambnce. Someone else had also called 110 and the police arrived. The manager of the hotpot restaurant, several eyewitnesses, as well as Yang Ping and the middle-aged doctor, were questioned by the police. Phone numbers were taken down to aid further inquiry. The police preserved the hotpot that the patient had eaten, taking it away forb tests to rule out food poisoning. Seeing this, most of the crowd dared not continue eating, initially thinking it was just a sudden illness. Now that the remainder of the patient¡¯s hotpot had been taken away by the police, no one dared to eat. Some even felt dizzy, while others contemted visiting a hospital. As everyone dispersed, Yang Ping and Xiao Su decided to head back. Yang Ping drove, with Xiao Su next to him on the passenger seat, heading back to the hospital. Once back at the hospital and out of the underground parking, Xiao Su handed a bag to Yang Ping as they parted. It contained what Xiao Su had imed to be clothes for her family. ¡°You did great today, this is a reward for you. Wear it for the consultation meeting on Tuesday,¡± Xiao Su said, her face flushing, exuding shyness.n/?/vel/b//jn dot c//om Yang Ping took the bag, slightly taken aback. Wasn¡¯t this meant for her family? ¡°How do you know my size?¡± Yang Ping naively asked. ¡°Taking a page from your book!¡± Xiao Su turned around. Waving goodbye to Yang Ping, she said, ¡°Rest early!¡± Chapter 146 - 0140: Affection Chapter 146: Chapter 0140: Affection This Saturday was extremely pleasant, and Xiao Su went home on Sunday. Yang Ping stayed at home, not wanting to go out, and he chatted nonstop with Xiao Su on WeChat from the moment he got up. It¡¯s hard to say exactly what they talked about, but they detailed everything, even getting engrossed in their breakfast choices. ¡°You continue reading, my mom is asking me to go out with her, I¡¯ll text youter!¡± Xiao Su sent him a message on WeChat, including a dejected expression sticker. Yang Ping replied, ¡°Okay! You go ahead, I will read!¡± As soon as he put down the phone, he couldn¡¯t help but pick it up again to check if Xiao Su had sent him any messages. He didn¡¯t even keep track of how many times he charged his phone. ¡°Why did you pick up your phone again!¡± The other party would see the typing indicator. ¡°Aren¡¯t you also sending a WeChat message?¡± If she didn¡¯t pick up her phone to check WeChat, how would she know he was typing? ¡°Good boy! Continue reading!¡± ¡°Hmm¡ª¡± Within the system space, Yang Ping had twenty-one hundred points left. He checked to see what skills he needed to enhance. He had already trained for surgeries of the knee joint and shoulder joint. What was left was to reinforce his training based on the surgeries he would encounter. Recalling his Tuesday consultation at the city¡¯s first affiliated hospital, Yang Ping entered the library within the system space. He re-read the ssic sports medicine textbooks, especially focusing on research about injuries to the Achilles tendon. After finishing the book, he chose one thousand cases of routine sports medicine surgery training in the store. All were open surgeries, not arthroscopic. The surgeries covered repairs and reconstructions of muscles, tendons, ligaments, joint capsules, and more. Afterpleting these surgical trainings, he purchased a few hundred more cases of surgical training rted to Achilles tendon injuries. The system simted various types of Achilles tendon injuries, including damage at the interface of the tendon and muscle, body part injuries, damage at the attachment point on the heel bone, and avulsion fractures of the heel bone. The injuries were caused by a variety of mechanisms, including sharp instrument cuts, blunt instrument contusions, and avulsion injuries caused by violent muscle contractions. Initially, Yang Ping performed surgeries as per the go-to textbook approach. Once he became very proficient, he selected some suitable cases to perform popr minimally invasive repairs. After doing many, he discovered that minimally invasive repairs were only suitable for simple transverse fractures, andpletely unsuitable forplex fractures. Afterpleting the Achilles tendon surgery, he purchased a hundred more cases of Achilles tendon rxation surgery training. Yang Ping wasn¡¯t training purely for surgical experience now; his approach was now more research-oriented as he hoped to make innovative breakthroughs. Currently, hispetency in sports medicine was at a perfect level. However, he knew from advancing in trauma orthopedics, that perfection was merely performing textbook surgical procedures wlessly, and this was far from enough. His advancement to the master level in orthopedic trauma was not due to wless operations, but rather, breakthroughs in the ssical surgical approaches and improvements in the surgeries. For instance, with the worker¡¯s crushing distal humerus fracture, Yang Ping had innovatively applied dynamic stable structures to fracture fixation after researching fixation structures. And with Professor Zhang¡¯s intertrochanteric femoral fracture, Yang Ping had even performed deep research on biomechanics and creatively applied stress diversion to the surgery. These were all breakthroughs beyond the textbook surgery level, demonstrating his own innovation. Therefore, without innovation in surgery, his talents in sports medicine would remain at a perfect level and he wouldn¡¯t make further progress. Given this logic, the grandmaster level probably isn¡¯t about such minor improvements but rather major original theories, and establishing entirely new surgical methods based on these theories. And a higher-level, godfather-level, would probably need to bring about earth-shaking changes in medicine! Such a revolution in medicine should be on par with mankind¡¯s several technological revolutions, like the machine era symbolized by the steam engine, the electrical era dominated by electricity, the information age led byputers, and the intelligence era led by artificial intelligence. With his each advancement, the tree in the system space would grow more robust. Yang Ping couldn¡¯t help but get excited about the possibility of scaling the godfather-level; he was exhrated. After all these trainings, he was left with just six thousand points. He couldn¡¯t afford to spend these points frivolously anymore. Otherwise, he wouldn¡¯t have any savings and in case he encountered other types of surgeries, he wouldn¡¯t be able to purchase emergency training. Currently, due to surgery permissions, I barely have a chance to be the Chief Surgeon for artificial joint recement, spinal surgery, and bone tumor surgery. Nevertheless, I don¡¯t rule out some aberrant surgeries that require targeted training in the System Space. Upon exiting the System Space, the battery level of my phone that had been charging remained the same, not increasing by even 1%, which again indicates that time spent in this space does not affect the real world. The phone rang. My mother and father were calling again. Usually, they know I am busy and refrain from calling, but the weekend seems to be their favored time for inquiries. My father is straightforward, always inquiring about my work, and urging me to study hard, put theory into practice, and maintain good rtionships with colleagues. However, my mother¡¯s conversations are full of twists and turns, leading to the focus of her concern every time: ¡°Do you have a girlfriend yet? You must find a girlfriend! This is vital! This is absolutely vital!¡± ¡°Mom! Can you stop bringing up this topic? I want to focus on my career and don¡¯t want to consider this issue right now!¡± Yang Ping¡¯s ears had grown calluses from hearing the same thing every time his mother called and it always left him with a ringing headache. His mother did not hesitate: ¡°Don¡¯t hang up, you need to listen! What do you mean you don¡¯t want to talk about this? This is so important! There are many women in the hospital, both doctors and nurses. If you find someone suitable, be brave and act on it. If you don¡¯t, others will, and before you know it, they¡¯ll have picked the best ones. We haven¡¯t arranged any matchmaking meetings for you, that¡¯s democratic enough. If we don¡¯t hear any updates, we¡¯ll have toe in person. I heard that the daughter of Aunt Wang¡¯s rtive is a primary school teacher in G City. Just remember this, next Chinese New Year, we¡¯lle to your ce. If we don¡¯t see your wife, you¡¯ll have to get ready for arranged meetings¨C¡± She rattled on like a machine gun, then hung up the phone, not giving me the slightest chance to rify. Then, my father called, speaking softly: ¡°Son, just bear with your mother. Don¡¯t let her drive you crazy. Focus on your work. It¡¯s fine to get marriedter. Once your career takes off, finding a spouse will be¨C¡± His voice was cut off. ¡°What are you telling him? That¡¯s why he is like this¡ª¡± His mother¡¯s scolding echoed through the phone. Fine, I¡¯ll hang up. These dear old folks, always worrying about me. However, the mention of them spending the New Year here brought to mind his own ns. He was considering inviting them over at the end of this year. Since he had gone through college and graduate school, and has been working for several years, he hasn¡¯t brought them to G City yet. He wanted to seize this opportunity while they were still in good health. When the dayes that they can¡¯t move around anymore, it might be toote. The thought of this left him with a sour feeling in his nose. Not only had he not brought them over, but he also had not sent a penny home since he started working. A couple of years ago, his parents borrowed a lot of money from rtives to build a house. He didn¡¯t know if the debt had been paid off. The earnings from their small health clinic couldn¡¯t be much. With the current policies, managing to save two or three ten thousand yuan a year would already be considered impressive. Yang Ping dialed his father¡¯s number again: ¡°Dad, give me your bank card number. I have saved some money. I¡¯ll transfer a few tens of thousands of yuan to you.¡± There was a pause on the other side: ¡°Son, don¡¯t worry about things at home. The money we borrowed to build the house has been paid back. We are healthy, have a skill, and can cover our living expenses. Save your money, you¡¯ll need it for a down payment on a house. Big city houses are expensive. I heard that even if you get a loan, you still have to pay over a million in down payment. Some even require several millions! If you really want to get married, where will you live without a nest? Which girl these days would want to be with you? Your mother is busy with your marriage, you don¡¯t have to worry about it. You just have to remember, take it slow. You know the situation at home. We can¡¯t give you much money. If you want to buy a house, let us know. We will scrape together some money, add a few tens of thousands, perhaps even a hundred thousand, to help you out. Don¡¯t rush, life has to be lived step by step, there¡¯s no such thing as an instantaneous leap to the top.¡± But Yang knew his parents hadn¡¯t paid off all their debts yet. He also knew that they wouldn¡¯t let him send any money home. Yang Ping suppressed his emotions, spoke in an adjusted voice: ¡°Mom, Dad, why don¡¯t youe at the end of this year? I work at a very good hospital now, it¡¯s quite beautiful and the leaders and colleagues are very nice to me. I¡¯m also doing well in my department, I will strive harder.¡± ¡°Yes, son, that¡¯s the spirit. Set a lower standard for life and a higher one for work, understand? We do want to visit, your mother especially can¡¯t stop worrying. We don¡¯t want to interfere with your work. If we¡¯d disrupt your work, we¡¯d rather note. It¡¯s just a casual thought, but if it wouldn¡¯t affect your work and you don¡¯t mind, we¡¯d like to stay for a couple of days,¡± his father uttered. His mother grabbed the phone and interjected: ¡°Your father has been wanting to go forever. He mentioned that when he was in the army, he was in G City¡ª¡± ¡°What are you talking about? Don¡¯t listen to her, she¡¯s talking nonsense.¡± It was his father¡¯s voice. This time, the call with his parentssted for a considerably long time. The phone showed that Director Kong from the Overseas Chinese Building was calling. Yang could no longer chat with his parents: ¡°Mom, Dad, it¡¯s settled then, you wille at the end of the year to celebrate Chinese New Year here. Let me know when you have sorted out your schedule, and I will book the flight tickets for you online. I have another call from the hospital, I¡¯ll talk to youter.¡±n/?/vel/b//in dot c//om He switched to the iing call, from Director Kong. ¡°Hello, Doctor Yang, this is Director Kong. I¡¯m sorry to bother you, but Mr. Ning¡¯s condition has worsened. He specifically asked for you. He really trusts you.¡± It must be very urgent, he wouldn¡¯t bother me on a Sunday otherwise. Yang Ping could not afford to dy and headed towards to the hospital immediately. Chapter 147 - 0141: Magic Lung Chapter 147: Chapter 0141: Magic Lung Director Kong anxiously watched the elevator door. As soon as Yang Ping came out, he immediately greeted him. ¡°Doctor Yang, I¡¯m sorry to call you over on the weekend!¡± Director Kong looked troubled. Yang Ping modestly said: ¡°Director Kong, you¡¯re overestimating me. I¡¯m at your service anytime, anywhere. How can I assist?¡± In the urgent situation, Director Kong did not beat around the bush: ¡°Mr. Ning suddenly suffered respiratory failure this morning. His blood oxygen level has been hovering around 70 and is not rising. Director Jiang from ICU came over and decided to use ECMO. After the tube was inserted into the patient¡¯s vein in the emergency ward and connected to the ECMO, the blood oxygen level did rise slightly, but it was still low, only 78. They believe this might be due to the tumorpressing and invading the right external iliac veins, resulting in the constriction of the veins and therefore an insufficient blood flow. The amount of blood oxygenated per unit time is too low to meet the demand. Miss Ning took the initiative to ask you toe over.¡± ECMO, known as the ¡®miracle lung¡¯, is an upgraded artificial heart-lung machine, its official name being Extracorporeal Membrane Oxygenation. It can rece a person¡¯s lung or heart function to a certain degree and for a certain period of time. It draws blood from veins, oxygenates it through the machine, turns it into oxygen-rich blood, and then returns it to the human body via veins or arteries. If it is returned via veins, it can rece lung function; if it is returned via arteries, it can rece both heart and lung functions. Doctors call ECMO thest life-saving straw! However, this machine is very expensive, so the use cost is also high, and it is not covered by medical insurance. The start-up cost is sixty thousand, and the subsequent daily cost is between ten to twenty thousand. This is astronomical for ordinary people, but for Mr. Ning, it is not even a matter of consideration. As the two walked towards the ward, Director Kong exined the situation to Yang Ping. By the time they reached the emergency ward, he had given a full ount of the situation. The emergency ward of the Overseas Chinese Building is equivalent to a mini ICU, fully equipped with all kinds of emergency equipment, including the expensive ¡®miracle lung¡¯. Moreover, these equipment were not purchased by the hospital itself. Many were donated by patients who lived or have lived here. Inside, Director Jiang from ICU was inserting the tube with his assistant, but they had already stopped, probably waiting for Yang Ping. Nearby, there were also chief physicians or deputy chief physicians from vascr surgery, general surgery, oncology surgery, and the ultrasound room. ¡°Don¡¯t go any further, quickly retreat a bit, or the vein will rupture!¡± The deputy chief physician of vascr surgery warned Director Jiang. ¡°Lower the pressure a bit! Look clearly!¡± Director Jiangmanded the doctor from the ultrasound room. The ultrasound doctor¡¯s probe pressed slightly lower, making the image of the blood vessel clearer on the ultrasound. Mr. Ningy on the bed, his face sallow, and somewhat delirious. He was covered with a blue sterile sheet. Director Jiang had justpleted the catheterization of bteral femoral veins. The catheterization on the left femoral vein was smooth, but there was a narrowing on the right side, so the catheter could not be inserted deeply. The tube on the right was used to draw blood and the tube on the left to input blood. Because of the narrowing of the right external iliac vein, the blood drawn did not reach the expected flow rate. If they swapped and used the right side as the input tube and the left side as the output tube, the result would be no different. Even if enough blood is oxygenated on the left side, if the blood flow back is too slow, it still cannot achieve the expected purpose.n/o/vel/b//in dot c//om ¡°Doctor Yang, I have to trouble you again!¡± said Miss Ning. She had been apanying him by the side, squatting beside the bed, holding her father¡¯s hand and smiling: ¡°Dad, don¡¯t be afraid, Doctor Yang is here, he has a solution.¡± Mr. Ning heard his daughter¡¯s words, seemed to understand, but he couldn¡¯t speak. He nodded with difficulty. In fact, for a patient with advanced liver cancer and systemic failure, what can be done? Yang Ping was also helpless. A doctor to a patient is, as stated on the tombstone of Dr. Trudeau from New York, America: Sometimes to cure, often to help, always tofort. Mr. Ning strenuously and tremulously extended a hand. Yang Ping tightly held his cold, skinny hand. He trembled his lips, trying to say something. Yang Ping bent his ear to his mouth and heard the vague words. ¡°Help¡ªme¡ªhang on for a few more¡ªdays¡± After uttering these words, Mr. Ning seemed to have exhausted all his strength. Yang Ping nodded gravely and tightly held his hand, indicating that he had heard his words. Trust, how precious this trust was, with just a few words exchanged on the operating table, a life could be entrusted to him. ¡°I will do my utmost to fight for you!¡± Yang Ping let go of his hand. Mr. Ning had once been hospitalized in the attached first hospital. For his condition, the attached first hospital had invited all the top tumor experts in the industry, even overseas experts were invited for consultation. However, it was alreadyte-stage, with systemic exhaustion, multiple tumor metastases, and the loss of the opportunity for surgery. Tumor resection, liver transntation, and lung transntation were all impossible. So he underwent interventional treatment for liver cancer, then targeted treatment with Lefatinib. When it became drug-resistant, they switched to Regorafenib, and invited famous old traditional Chinese medicine practitioners from the provincial Chinese Medicine Hospital to carry out traditional Chinese medicine treatment. Because the inpatient conditions of Sanbo¡¯s Overseas Chinese Building can be said to be the best VIP wards in G City, he transferred to Sanbo, nning to walk through thest journey of life in the Overseas Chinese Building of Sanbo. ¡°The bteral subvicr and internal and external jugr venous region is severely invaded by the tumor, and we dare not puncture for catheter cement, so we want to ce two tubes in the bteral femoral veins. The left side is no problem, but the tube on the right side cannot be ced correctly. Looking at the X-rays, the tumor had pushed open the external iliac vein, causingpression, and the tube cannot go in. Forced insertion may rupture the blood vessel, resulting in heavy bleeding. If left here, the outflow from the exchange is too low, not up to standard, and the blood oxygen still cannot go up, as you can see, it¡¯s only 80, which is not good¨C¡± Director Jiang didn¡¯t care about face at this time, he was a pragmatic person, at the brink of life and death, he would listen to whoever had a solution, regardless of whether he was a young doctor or a great professor. As for Yang Ping, he was familiar with him. He had heard about the previous nerve root block, not to mention the five-section rentation, Director Han¡¯s precious gem, if his skills were not up to par, he had no right to stand here at this time. ¡°You have worked hard, let me take a look!¡± The emergency ward had a film viewing light, and the film was already hanging properly. Yang Ping went to the viewing light to view the film. Indeed, as Director Jiang said, the bteral subvicr and internal and external jugr veins were no longer avable for puncturing. Only the bteral femoral veins could be punctured. The right femoral artery and vein had already been invaded andpressed by the tumor, and the lumen was ttened. If puncture was forced, a rupture of the blood vessel would cause heavy bleeding. If Mr. Ning had such a massive abdominal hemorrhage, his whole body would immediately copse, multiple organ functions would fail, and cannot be saved by artificial lung. But now, if only to leave the catheter of the artificial lung in its current position, it is a narrow mouth above, the amount of blood drawn out is too small, the amount of blood oxygenated per unit time is too small, and it does not meet the needs of the vital organs. If a stent was used to prop it open, it would need to be able to pass through before it can be propped open. No wonder, thest time he examined him, the temperature of his right lower limb was lower than his left, and the cirction at the extremities was especially poor. Yang Ping stood in front of the viewing light using the knowledge of systematic anatomy trainingbined with Mr. Ning¡¯s CT scan, started forming images in the brain, stacking section upon section, slowly, a three-dimensional anatomical image was presented in the brain. This time it was still strenuous, several assembly attempts were unsessful, but it was easier than thest time, which showed there was improvement. Based on the speed of the body¡¯s blood flow, Yang Ping simted the blood flow in his mind and added the dynamic image of the blood flow, presenting a clear dynamic three-dimensional anatomical image in his mind. It appeared that the brain¡¯s image construction was very significant in improving medical skills. The system was training his ability using the anatomy tirelessly toy a strong foundation for future medical skills enhancement. Yang Ping understood the intention of the system. To sessfully puncture and ce the catheter, it was also necessary to construct the catheter of the artificial lung. Yang Ping preserved the image in his brain and turned to ask Director Jiang, ¡°Director Jiang, do you have the catheter of the artificial lung? May I see it?¡± ¡°Xiao Li, open a tube for Doctor Yang to see.¡± Director Jiang directed a nearby ICU doctor. A tube was very expensive, costing thousands or tens of thousands, but now was not the time for calction, nor was it necessary. Xiao Li opened the sterile packaging of the tube. Yang Ping inspected theplete catheter, replicated a simr catheter in his mind, thenbined it with the image constructed in his brain to simte the puncture and catheter cement. Now, Yang Ping had a n. ¡°That¡¯s enough!¡± Yang Ping let Xiao Li pack up the catheter. ¡°Let me try!¡± Yang Ping put on sterile gloves, put on a disposable sterile gown, and stood by the bed. Chapter 148 - 0142: Only One Chance Chapter 148: Chapter 0142: Only One Chance Director Jiang made room: ¡°Come over, Xiao Yang, look at the ultrasound images, the catheter is already close to the narrow part. I was nning to perform the procedure in the interventional operating room, where the surveince is better, but I don¡¯t dare to move the patient anymore. Any slight movement causes the blood oxygen level to drop immediately.¡± Although there is no X-ray monitoring from the interventional room, having ultrasound monitoring now is better than going past the narrow part blindly. Yang Ping told the ultrasound doctor, ¡°Keep this position, don¡¯t move it, I am going to insert the tube.¡± The hand of the ultrasound doctor was very steady, freezing at the position Yang Ping thought was good. He was sitting at the edge of the bed, with his hand suspended in the air because he couldn¡¯t press against the abdomen, which was very taxing. To maintain stability, he propped up the hand holding the probe with his other hand. ¡°Miss Ning, could you please step out for a moment?¡± Yang Ping said. Family members are generally not allowed in the room while the doctor is performing the procedure, because sometimes they may interfere with the operation. Especially at critical junctures, if the family members do not understand the principles of the operation, they may easily misinterpret the situation. And once they interfere, things could go wrong. Miss Ning hesitated and then reluctantly left the ward. As she left, she said to Yang Ping, ¡°Please take care of him!¡± Yang Ping nodded at her definitively. ¡°Be careful, Xiao Yang! The blood vessel wall is very thin right now, a slight prick could rupture it.¡± The associate chief physician of the vascr surgery department reminded him, purely out of concern for his colleague. Director Jiang suggested, ¡°Shouldn¡¯t we withdraw the catheter and use interventional tools to send in a vascr stent, use it to prop open the narrow part, and then re-catheterize?¡± This method seemed good, but it was infeasible at the moment. The catheter could not be withdrawn. Once it was withdrawn, the entire human cirction would be interrupted. Mr. Ning¡¯s lungs hardly functioned on their own, so the direct consequence would be a domino effect, leading to the failure of multiple organ functions, which would be beyond saving. ¡°The catheter can just pass through the narrow part. As long as the direction is adjusted correctly, it should be able to go through. The catheter cannot be withdrawn. If it is, the blood oxygen level will drop straight down!¡± Yang Ping stared at the ultrasound screen and said. Director Jiang stopped talking. Yang Ping was right. Once the catheter was withdrawn and the new catheter had not been inserted, the patient¡¯s blood oxygen level would drop drastically, causing cerebral tissue hypoxia and triggering multiple organ failures. Ultrasound cannot rece touch, especially as the ultrasound image shown is two-dimensional and distorted. Yang Ping judged the depth and state of the catheter based on the length and state of the exposed part. He held the catheter with the thumb, index finger, and middle finger of one hand and gently rotated it. He withdrew about one centimeter first, the image in his mind was blurry. Yang Ping enhanced it in his brain, causing it to be clearer, but due to the mental strain, sweat appeared on his forehead. He had to try several times before the image was clear. Just like when ordinary people try to remember an object, its image stays clear in their minds at first, but after a while it gets blurry. Especially the details, they can¡¯t recall them at all. ¡°Xiao Yang! If you can¡¯t, don¡¯t force it¨C¡± Director Jiang was on tenterhooks, fearing that rookie bravado might lead to extreme bleeding and immediate death. Even if the family didn¡¯t pursue the matter, it wouldn¡¯t be a good thing. ¡°Don¡¯t worry, I¡¯ve got this.¡± Yang Ping responded. He gently moved the catheter upward until it hit the narrow part. The slight contact between the catheter and the narrowed area sent a delicate sensation through the catheter to his hand. His hand made fine adjustments depending on this indirect tactile feedback, as if threading a needle. Bit by bit, they all stared at the ultrasound screen as he managed to adjust and move past the narrowing. ¡°I can¡¯t hold it steady anymore.¡± The ultrasound doctor¡¯s suspended hand started to shake. Yang Ping immediately, gently pulled the tube back: ¡°You can rx your hand, rest for a bit, I¡¯ll wait for you!¡± After a short break, the ultrasound doctor¡¯s probe was pressed down again. Yang Ping¡¯s hand that was guiding the catheter didn¡¯t move at all, he waited till the ultrasound image of the blood vessel and catheter reappeared, his hand began to adjust the catheter again, and began to slowly pass it through the narrow area. The blood oxygen level fluctuated severely and suddenly dropped, Mr. Ning became agitated, Yang Ping¡¯s hand withdrew the catheter once again, with precision ensuring it didn¡¯t hit the blood vessel wall. ¡°Give him more sedatives!¡± An anesthetist, who had been silent all along, only spoke up when necessary. The narrow part was just big enough for the catheter to pass. If the direction deviated slightly, it would be impossible to pass. If the patient became agitated while passing, there was a high probability that the catheter would puncture the blood vessel. The risk was too high passing it slowly, Yang Ping decided to seize the opportunity to pass it quickly. At this time, Director Han, who had been notified by Director Kong, came in. After all, it wouldn¡¯t be right not to inform him when it involves high risk operations being performed by a member of his team. Upon hearing the news, Director Han immediately rushed over from home. No matter how capable Yang Ping was, he was still human. Having Han around could help provide additional advice. ¡°Director!¡± Yang Ping greeted Director Han. Director Han nodded slightly, indicating for him to continue his work without distraction. After greeting Yang Ping, Director Han went over to the viewingmp to examine the films. After studying for a while, he spoke: ¡°Xiao Yang, in this situation, it¡¯s best to proceed quickly, although the risk is extremely high, but it¡¯s still better than proceeding slowly.¡± The idea coincided with Yang Ping¡¯s. ¡°Call Miss Ning in!¡± Yang Ping wanted to discuss the risks with her; this was a gamble. If sessful, Mr. Ning could hold on for a few more days, even several tens of days; but if not, his heartbeat and respiration could stop at this very moment. Director Kong understood Yang Ping¡¯s intentions and said, ¡°We¡¯ve already had a careful discussion before the surgery; the risk is extremely high, he might stop breathing and his heartbeat may stop immediately¡±. But Yang Ping still insisted on the necessity of discussion: ¡°Let me talk to her again¡±. Director Kong summoned Miss Ning. Just earlier, Miss Ning had been pacing anxiously in the hallway. Although she had mentally prepared herself for this, at this critical moment, she still found it hard to ept. ¡°Miss Ning, this catheter must pass through the narrow portions now; otherwise, Mr. Ning will not survive today. However, passing through these narrow parts carries a very high risk. I have to seize this opportunity to quickly insert the catheter; sess or failure would be a split-second difference. We only have this one chance for sess. If we seed, Mr. Ning could hold on for a few days, even tens of days. If not, his heartbeat and respiration could stop immediately. I¡¯d like to hear your opinion and whether you¡¯re willing to take this risk¨C¡± Now, the anesthesiologist had administered a sedative, leaving Mr. Ning unable to express himself, even a simple nod was out of the question. Miss Ning was caught between a rock and a hard ce. Her facial muscles trembling, her lips attempting to speak but only resulted in small movements without any sounding out. ¡°We don¡¯t have much time. The current oxygen pressure is extremely high, we can¡¯t maintain this pressure for too long!¡± Yang Ping said calmly. If they didn¡¯t take this risk, Mr. Ning wasn¡¯t likely to survive the day. This would be no different from his heart stopping on the spot. Miss Ning analyzed that her father was stalling because he wanted to see his younger brother one more time. Although she was young, her years of experience in the business world had made her calmer and more rational than most people.N?v(el)B\\jnn ¡°What are the chances of sess?¡± Miss Ning asked. Yang Ping shook his head: ¡°It¡¯s hard to say!¡±. Biting her lip, Miss Ning said decisively: ¡°Doctor Yang, I trust you. You do everything you can, I¡¯m willing to take this risk, whatever the consequences, I¡¯m ready to ept them.¡± ¡°Alright, I understand, you wait outside!¡± Since the family member was willing to take the risk, he might as well gamble. Yang Ping had some level of confidence, however, he knew that it was crucial to rify the situation with family members specifically and not to make things appear more certain than they actually were. Miss Ning went out, and the door to the intensive-care ward was closed by a doctor. ¡°Can you still continue with the ultrasound? If no, take your hands off for a rest.¡± Yang Ping said to his colleague operating the surface ultrasound machine. ¡°I can keep going!¡± The technician replied. ¡°Just hold the position steady for 30 seconds and I can finish inserting the catheter. Make sure to holdpletely still, it¡¯s best if you rest a bit.¡± Yang Ping noticed the ultrasound technician had been holding the position for quite some time. ¡°Alright!¡± The technician retreated the probe, started to stretch a bit, weak and numb. After some rest, he picked up the probe again and pressed it firmly onto the right side of the abdomen. When the image captured was at its best, he froze in position. ¡°Alright, don¡¯t move!¡± Yang Ping and the ultrasound technician exchanged confirmative looks. ¡°Hold steady, look for the right opportunity and pass through in one go!¡± Director Han encouraged. Everyone held their breath, falling silent, eyes glued to the ultrasound screen. The ultrasound technician gritted his teeth, his hand held perfectly still, like a statue. The screen was extremely stable with no tremors, the red and blue colors representing blood flow flickered. Yang Ping adjusted his breathing, holding on to the catheter, releasing and tightening his grip to adjust it to just the right direction, before he made his move! In an instant, it was as if a sniper who had been aiming for a long time finally pulled the trigger. Perfect! The catheter sessfully passed through the narrow segment without touching the vessel walls, moving on a further twenty centimeters before Yang finally loosened his grip. Everyone let the breath they¡¯d held in their throats out, relieved. On the monitor, the oxygen saturation, which had been dangerously low, gradually rose¡­.90, 92, 95, 99¨C ¡°It¡¯s a sess!¡± Director Han said, barely managing to suppress the excitement in his voice. With the support of this ECMO machine, Mr. Ning could survive for a few days. If they were lucky, even a few tens of days. Chapter 149 - 0143: The Story Behind Chapter 149: Chapter 0143: The Story Behind Watching the saturation of the blood oxygen rise, rise continuously to 100%, everyone is relieved. His life has been temporarily saved. If the oxygen saturation dropped below 80 as earlier, he really wouldn¡¯t have made it through the day. The time taken from the discovery of respiratory failure to the use of the artificial lung, and then to cing the tubes, was very short. The rescue was timely. Therefore, after some of the sedatives had metabolized, Mr. Ning slowly woke up. ¡°Dad, it¡¯s okay now, you¡¯re stable!¡± Miss Ning stroked her father¡¯s forehead. Mr. Ning nodding weakly: ¡°Thank you to all the doctors, thank you Dr. Yang.¡± Miss Ning gently said: ¡°You¡¯ve already thanked us, rest assured and get some rest.¡± Mr. Ning looked at the machines beside his bed, the artificial lung, the artificial liver, with all sorts of tubes connected his body. His blood was being drawn out, run through the machines, then reinfused back into his body. He gave a bitter smile. The doctors and nurses were sitting at a workstation not far away, monitoring the readings on the screen. The Emergency Ward at the Overseas Chinese Building is guarded by doctors and nurses round the clock. People are needed to watch over the artificial lung and liver, especially the artificial lung. A medical team must stay on duty day and night, ready to solve any problems immediately. Otherwise, it might endanger life. ¡°How is the matter with your little brother?¡± The matter on Mr. Ning¡¯s mind most was this. Miss Ning¡¯s expression was a bit unnatural: ¡°It¡¯s confirmed. Yes, it¡¯s my little brother.¡± ¡°Then have Uncle Nong bring him back as soon as possible!¡± Mr. Ning knew that he wouldn¡¯t be able to hold on much longer. ¡°Uncle Nong is booking flights now, they should be back in a couple of days.¡± Miss Ning said smilingly. Mr. Ning attempted to sit up. Miss Ning quickly stopped him: ¡°Lie down, I will help adjust your bed.¡± Miss Ning slightly raised the bed, which is allowed by the doctor, to help reduce the load on his heart. Currently, the artificial lung is using the venous-to-venous mode, only taking over a portion of his lung functions. His heart is still good, it does not need to be reced by the artificial lung. ¡°Has the hygiene of the bar been handled properly?¡± Mr. Ning asked anxiously. Miss Ning nodded, ¡°It was done days ago, you forgot again.¡± Mr. Ning was a little breathless, ¡°Qiqi, think about it, this is how he envisions the bar to be, right?¡± ¡°Exactly. I remember clearly what he said.¡± Miss Ning talked with her father. Mr. Ning gave a bitter smile, then said resignedly: ¡°You said, these were his words from high school. Does he still like this style now? Bring the photos over.¡± Miss Ning brought over the photo album of the bar. Mr. Ning flipped through it, pointed to a photo and said: ¡°Look, they used red here, will he like it?¡± ¡°That¡¯s what he said at the time, he liked the use of red bricks here.¡± Miss Ning confirmed. ¡°Did the money for the assaulted kid get sent this month?¡± ¡°It was sent. The bank transfers it on time every month.¡± ¡ª¡ª ¡°Director, I feel bad that you rushed over from home on a weekend.¡± Yang Ping was feeling apologetic. Director Han said: ¡°No problem, I worry, so I came over to check.¡± Actually, Director Han was not worried about Yang Ping¡¯s medical skills. He was more concerned about risks outside the medical field, afraid that his youthful fervor would lead to impulsive action. After all, he is young andcks experience. Seeing the steady performance of him when he exined the patient¡¯s condition to the family after the procedure, Director Han felt more reassured. This young man is not only technically excellent, but also has a stable disposition. ¡°You¡¯re not in hurry to go back, right? Shall we go to our department and sit a while?¡± Director Han suggested. ¡°Sure!¡± Yang Ping had nothing else on hand, it was good to apany Director Han for tea. In Yang Ping¡¯s eyes, Director Han is both a mentor and a godfather. Yang Ping is a grateful person, let alone his current green years, even when he is matured in the future, he will still maintain reverence and loyalty towards Director Han. On the way, the two chatted about Mr. Ning¡¯s condition. With the support of the artificial lung, as long as there is no serious infections, blood clots or tumor clots causing key organ obstruction, he can hold on for a while. Money can sometimes prolong life. Sadly we have to admit, if it were an ordinary wage-earner, they wouldn¡¯t even be able to afford this life-saving equipment. Even targeted medicines for liver cancer can drain the family¡¯s savings. Director Han has abundant social experience, his depth and breadth in considering issues far surpass those of the young. Like just now, when the Overseas Chinese Building called Yang Ping to do a tube cement, while Yang Ping was solely focused on the illness, Director Han was able to consider all aspects. Although doctors are usually very straightforward and cooperate well with each other, some people do have human weaknesses. Doctors are people, and people havemon weaknesses, such as selfishness, jealousy, and so on. Mr. Ning is formidable, his family business involves banking, securities, insurance, and so on. You should know, those who can get licenses in these three fields are the top yers among the rich. Once something happens, and someone needs to take the me, it besplicated. People like him, even if his family doesn¡¯t cause trouble, it doesn¡¯t exclude the possibility of other rtives or outsiders stirring up trouble. Harboring ill intentions towards others is not eptable, but one must always guard against others. The two first went to Director Han¡¯s office, Director Han reced the water and added tea leaves to the Zisha teapot. ¡°Just started the division, are you used to it?¡± Director Han asked. Yang Ping also helped with the work: ¡°Very much.¡±n/o/vel/b//in dot c//om ¡°Don¡¯t worry about ie, just do your surgeries well, but you also have to make money. Everyone needs to eat and provide for their families. This is a very realistic problem. Without reality, there can be no ideals. Now you are in charge ofprehensive orthopedics surgery. The surgeries you do, and the orthopedic consumables are all yours. This is a time of need of money, in the future, buying a house, getting married, having children, which one doesn¡¯t require money. If you have any difficulties in work and life, just tell me at any time, you can call, send WeChat messages, or talk in person.¡± ¡°Thank you, Director, but how can I take all the consumables?¡± Yang Ping disagreed. Without Director Han, he wouldn¡¯t be where he is today. The orthopedic consumables are shared proportionally ording to the rules. ¡°That¡¯s settled then, you just need toply with the arrangement. Follow me, improve your skills and also economically. You can¡¯t just work hard all day and end up with nothing. Don¡¯t worry about the consumables. You may not know this, but our hospital¡¯s Dean Xia has his ways with this. This area is clean, just take it and rest assured. I¡¯ll exin to you moreter.¡± Director Han was very firm with his arrangement. Since Director Han had made the arrangement, he must have his reasons. Yang Ping no longer had any objections: ¡°Thank you, Director!¡± The tea was slowly boiling, Director Han took out a Zisha cup from the sterilizer: ¡°From now on, you¡¯ll use this for tea in my office. It has a mark on it.¡± Indeed there was a mark of the character ¡°Ping¡±, Director Han was really thoughtful. ¡°To achieve great things, one must have team awareness. Song Zimo is also very talented, although he is not as good as you, he is indeed a rare talent. You need to guide him well, in the future, he will be your capable assistant.¡± ¡°Yes, I understand, Director, I will manage the team well.¡± The two chatted until lunch. They went to a nearby beef restaurant called Cow Demon King. After eating, Yang Ping went back to the division to take a seat. Zhang Lin was on duty, he had just finished eating, the pediatrician cleaned up the lunch box and went home. ¡°The love meal is good, isn¡¯t it?¡± Yang Ping sat down in the dining room and joked with him. ¡°Stop teasing me. With Xiao Su¡¯s cooking skills, you¡¯ll be eating full-course meals all the time.¡± Zhang Lin said with his mouth, but was very happy in his heart. ¡°Did you get the house settled?¡± Yang Ping asked. Zhang Lin was a bit hesitant: ¡°Not yet, I have to make the down payment soon, but I haven¡¯t raised enough money for it.¡± ¡°How big is the house?¡± ¡°Eighty square meters¡± ¡°How much is the down payment?¡± ¡°Over nine hundred thousand. Both of our families are wage earners, our parents could only put together six hundred thousand, we¡¯ve only been working for a short time, and even with frugality, we could onlye up with around two hundred thousand in savings. There is still a gap of over a hundred thousand for the down payment.¡± Zhang Lin frowned. Yang Ping looked around. There was no one else: ¡°I have a few tens of thousands on hand, if you need it, just let me know.¡± Zhang Lin sped his hands: ¡°Thanks. Let¡¯s not talk about it for now, I appreciate the sentiment. I¡¯ll see if I can raise enough, and if not, we¡¯ll talk.¡± ¡°I¡¯ll hold on to it for you, just let me know when you need it.¡± Yang Ping figured this money wouldn¡¯t be enough to buy a house anyway, it¡¯s better to let Zhang Lin use it. That kid, Little Five, probably doesn¡¯t care about money for buying a house at all. Despite his idling looks, it¡¯s said that Xiao Qing¡¯s family owns building in G City CBD. They are engaged now and an Audi was sent formuting. It was said to be a Porsche Cayenne but they didn¡¯t dare to drive it for it could be too high-profile. Xiao Qing won¡¯t marry anyone but him. However, Xiao Qing¡¯s parents are also quite satisfied with Little Five ¨C a graduate student, a doctor, handsome, and sweet-talking. ¡°Why did youe back with Director Han on the weekend? Heard that Mr. Ning from the Overseas Chinese Building isn¡¯t doing well?¡± Zhang Lin was quite knowledgeable. ¡°Yes, he suddenly developed respiratory failure and is on ECMO.¡± Yang Ping said. Zhang Lin seemed to know everything: ¡°This old man is just holding on, waiting for his son. I don¡¯t know if he could wait that long?¡± ¡°How do you know? This is their family matter?¡± Yang Ping was surprised. ¡°For someone of his status, is there such a thing as family matters? His son paralyzed someone ten years ago and served five years in prison. It is said his son med him for not helping him get out of it. After his son was put in prison, he cut off father-son ties. After he was released, he disappeared, a rebel!¡± Zhang Lin knew a lot about it. ¡°Where did you get this information?¡± Yang Ping felt this guy seemed to know everything. ¡°Don¡¯t ask, it¡¯s just my talent, like how you do surgeries.¡± Zhang Lin said, proud of himself. This guy, where does he dig out these backstories? Zhang Linughed: ¡°The incident with his son was reported in the newspapers back then.¡± Chapter 150 - 0144 Family Channel Chapter 150: Chapter 0144 Family Channel ¡°It made the papers?¡± Yang Ping asked with some curiosity. Zhang Lin nodded, ¡°Back then, it was big news that shook G City.¡± ¡°You were still in high school in the Northeast at the time, or had just started college at the most, right? I¡¯m surprised,¡± Yang Ping said, ¡°You make it sound like you were in G City when it all happened.¡± ¡°Exactly, I only found out about it when I came to work here,¡± Zhang Lin shrugged. While they were chatting, Zhang Lin was about to reveal more details of the story, but a nurse came over needing his attention. ¡°Hermes¡¯s surgery has been scheduled for 8:30 a.m. tomorrow, the external fixator and calcium sulfate have arrived. I asked Professor Zhang on Friday, he said to find you. He would juste to the operating room to have a look,¡± Zhang Lin told Yang Ping as he left. ¡°Ok, I got it. Professor Zhang has already mentioned it to me.¡± Yang Ping knew about it. Unless there were special circumstances, Yang Ping would be the one to perform the surgeries here. Unless he was the one who initiated the request, expressing his inability to handle the case, he wouldn¡¯t need any extra help. After Zhang Lin left, Yang Ping was in the dining room alone. He opened WeChat on his phone. Xiao Su had sent him many messages, with a scroll of sledgehammer emoji, she had returned from shopping with her mother. Yang Ping quickly replied to her WeChat, telling her in detail about the patient from the Overseas Chinese Building. Xiao Su responded with several astonished emoji. After chatting with Xiao Su for a bit, Yang Ping went to the duty room to put on his white gown and did rounds, checking on the only two patients in the ward. Luo Xiaohu was hard at work doing leg raise exercises, strengthening his quadriceps, with Father Luo helping count his reps on the side. ¡°Thank you, Dr. Yang!¡± Father Luo paused his counting, stood up, and thanked him jovially. After the surgery, Father Luo, wanting to be cautious, sent the surgery photos to Su Nanchen, and Su Nanchen replied that the surgery went perfectly. With that, he was reassured. If the son of Professor Su said it was perfect, then it was perfect. Yang Ping replied with a smile, ¡°You¡¯re wee, it¡¯s my duty.¡± He checked the firmness of Luo Xiaohu¡¯s brace; it was alright. He then corrected Luo Xiaohu¡¯s incorrect exercise movements. Not only sports medicine surgeries but for all orthopedic surgeries, rehabilitation is crucial. If the rehabilitation isn¡¯t done well, the surgery may be in vain. Father Luo took out a business card from his pocket and handed it to Yang Ping, ¡°Dr. Yang, this is my card. I work at G City High-Speed Rail Group.¡± Father Luo understood his strengths and how to leverage them in making friends. His son ys football and injuries are inevitable. Even though they already knew Su Nanchen, it wouldn¡¯t hurt to know another skilled doctor. ¡°If you ever have difficulty buying tickets, feel free to give me a call,¡± Father Luo put forward his advantage promptly. As a courtesy, Yang Ping carefully looked at the business card, then put it in the pocket of his white gown, ¡°Thank you. As for Xiaohu, the focus now is rehabilitation. Stick to the n and he should be back on the field soon.¡± ¡°Thanks, Dr. Yang,¡± Father Luo stood tall, slightly leaning forward. ¡°Would it be okay to add each other on WeChat?¡± Father Luo thought of it, he had added Dr. Zhang before, but not Yang Ping. Nowadays, WeChat seemed to be more efficient than phone calls. Yang Ping was very amiable. He took out his phone and showed him his WeChat ID, which was specifically used for patientmunication. He stayed in Luo Xiaohu¡¯s ward for a few minutes, guiding him on rehabilitation. Hermes was scheduled for surgery tomorrow. Yang Ping wanted to check on him again, but the door to his ward was closed and even locked from the inside. ording to the ward management regtions, all ward doors should not be locked from the inside in case of emergencies where they would need to break the door and waste precious time. As there was no pressing matter, he decided not to enter. Since the door was locked, Yang Ping left and told a nurse to remind Hermes not to lock his door. Speak of the devil. Just as Yang Ping was about to leave to rest, Little Five called. His father-inw had tumbled, resulting in a severe dislocation and fragmentation of his distal radius fracture. Little Five¡¯s father-inw had connections at the Provincial Hospital of Traditional Chinese Medicine and at the Municipal Hospital of Traditional Chinese Medicine. He decided to go to the nearer Provincial Hospital to get an X-ray. Both ces suggested surgery due to the severity of the fracture. He was reluctant to have surgery. Considering both his daughter and son-inw work at a hospital and the son-inw was an orthopedist, he informed Little Five and Xiao Qing, who were out at the time. ¡°Older brother, where are you? I really need your help, is it okay for me to bring him to the hospital now?¡± Little Five anxiously asked. Yang Pingughed, ¡°It¡¯s the weekend, so I am off, but since he¡¯s your father-inw, I have to rush back. Get him here soon and send me the scans first.¡± ¡°I¡¯ve already sent them to you on WeChat.¡± Little Five felt relieved, how embarrassing it would be if things didn¡¯t go well with his father-inw¡¯s situation. Yang Ping studied the X-rays. The severe dislocation and fragmentation of the distal radius fracture was indeed severe, and worse, was an intra-articr fracture. Luckily, there weren¡¯t any loose fragments in the center of the joint, the repositioning seemed manageable. Distal radius fractures can usually be managed with a cast or splint after manual reduction, but considering the severity of Little Five¡¯s father-inw¡¯s fracture, surgery would be the only option if he hadn¡¯te across Yang Ping. Yang Ping waited in the department for almost an hour until Little Five, pushing his father-inw in a wheelchair, arrived. Xiao Qing and the mother-inw came along as well. ¡°Dad, this is Dr. Yang, my senior and good brother. When Mayor Li¡¯s daughter fractured her bone, she went to him for treatment and managed to avoid surgery,¡± Little Five introduced sinctly. Nothing more needed to be said. The city¡¯s mayor¡¯s daughter wouldn¡¯t let just anyone set her broken bones. ¡°Thank you, Dr. Yang!¡± Little Five¡¯s inws seemed rtively young, only in their forties, and weren¡¯t good at Mandarin. They were local people from G City with local ents. ¡°Let¡¯s move to the treatment room for reduction and casting!¡± Yang Ping suggested after briefly looking at the X-rays. ¡°Xiao Qing, youe over here and push. Little Five is busy enough, you should help out a bit,¡± the father-inw said, getting slightly annoyed with his daughter. Xiao Qing quickly moved over to assist Little Five with pushing the wheelchair. ¡°It¡¯s fine, you stay with mom, I can manage. Don¡¯t worry.¡± Little Five was an adaptable guy, no wonder this family liked him. ¡°I¡¯ll go with dad, you stay here with mom and rest. There¡¯s water for you to drink.¡± Little Five didn¡¯t want them to worry so he made sure they couldn¡¯t follow. ¡°You two just rest in the office!¡± Yang Ping also suggested the same. Zhang Lin pushed over chairs and offered them water, ¡°Auntie, please sit. They are capable so no worries.¡± ¡°This is Little Five¡¯s colleague, Dr. Zhang!¡± Xiao Qing introduced. ¡°Dr. Zhang, hello!¡± Little Five¡¯s mother-inw greeted. ¡°Just call me Xiao Zhang, I am very close to Doctor Lu, who is a real talent in the department. I usually learn from him,¡± Zhang Lin said seriously.n/o/vel/b//in dot c//om Little Five wheeled his father-inw into the treatment room and Yang Ping hung the X-ray film on the viewing light in the room. With the ability to map the brain now,bined with expert technique, this kind of fracture was simple. ¡°Do you need anesthesia, elder brother?¡± Little Five was worried that his father-inw would feel pain. Yang Ping nodded, ¡°A local anesthesia will do.¡± ¡°Dad, after the anesthesia is administered, it won¡¯t hurt. The actual setting of the bone will just take a few seconds. You just need to hang in there,¡± Little Five patiently exined. His father-inw nodded, ¡°It¡¯s all right!¡± ¡°Do you have an alcohol allergy?¡± Yang Ping asked. ¡°No issue, he¡¯s a drinker,¡± Little Five helpfully answered. Yang Ping called a standardized training student over to help, prepared the polymer cast, and then cleaned the sweat off the skin with alcohol. Little Five brought saline water and lidocaine, diluted them one to one, drew them into a ten-milliliter syringe, and handed it to Yang Ping. Yang Ping used cotton swabs soaked in iodine to disinfect, from the surface of the skin to the subcutaneousyer, all the way to the fracture hematoma, performing the anesthesia. They waited for a moment, then began to reset the bone. Little Five and Yang Ping had done this on many fractures, their cooperation was smooth. He held the proximal forearm, while Yang Ping held the distal wrist. Yang Ping gently felt the fracture site, roughly understanding the situation of the fracture, and aplete image of the fracture presented itself in his mind. The processes of how to reset and how to stabilize it were already visualized. ¡°How did you get injured?¡± Yang Ping chatted with Little Five¡¯s father-inw to distract him. ¡°ying golf, I don¡¯t know how I fell, I braced my right hand on the ground,¡± Little Five¡¯s father-inw described the scene at that time. ¡°Hmm, not bad, you exercise regrly.¡± Yang Ping tightened his grip on the wrist, and with Little Five, they began to traction. The tractionsted for two to three minutes, and the anesthesia was very effective, so Little Five¡¯s father-inw didn¡¯t feel any pain at all. Judging that the traction was in ce, with a click! Yang Ping made a quick move with his hand. The ulna was flexed and the fracture was reset. Because the anesthesia was effective, the patient did not feel any pain throughout the process. ¡°Is it done?¡± Little Five¡¯s father-inw asked in surprise. ¡°Done!¡± Yang Ping said. The standardized training student took Little Five¡¯s ce, freeing Little Five¡¯s hand so he could assist Yang Ping. While Little Five and the training student maintained the traction, Yang Ping started applying the cast and bandaging it, doing it both quickly and beautifully. Finally, he gave him a sling to suspend the right upper limb in front of the chest at an eighty-five-degree angle. ¡°Take him down for an X-ray check,¡± Yang Ping instructed. Little Five helped his father-inw adjust the sling, ¡°Elder brother,ter on, I will apply for a medical card and pay for the bone setting and material costs.¡± Yang Ping tidied up the garbage with the training student, ¡°One of us, don¡¯t talk like a stranger. What fees are you talking about?¡± ¡°Imaging department, do you want me to make a call?¡± Yang Ping meant, don¡¯t take the normal route, use the special channel, find a familiar person to directly take the X-ray. It wasn¡¯t a matter of money, Little Five¡¯s father-inw wasn¡¯t short of money. Taking this special treatment route for family members felt great and gave a sense of privilege. It demonstrated the superiority of having a doctor as a son-inw. No need to register, no need to queue, no need to pay, the best doctor, the best service attitude, and straight through, how cool! ¡°I¡¯ll handle it!¡± Little Five, who had strongmunication skills, got friendly with the young doctors in all departments whenever he came to Sanbo. Whoever he found, he managed to take care of it within a few words. He turned on the speaker phone, and they constantly called him Brother Five on the other end. ¡°Brother Five, your business is my business, your father-inw is ¡ª¡ª¡± Realizing that he misspoke, he immediately stopped, ¡°Brother Five, hurry up and bring him over, I am waiting for you.¡± Yang Ping was clear about whether the fracture was properly set, the X-ray was just for the patient¡¯s own reference. Within half an hour, the X-ray film was brought up, the anatomical bone reduction, that is, theplete recovery, was confirmed. ¡°Many thanks to Little Five today, otherwise your dad would have had to endure a cut again,¡± his mother-inw said contentedly. ¡°We have to go to work tomorrow, so we won¡¯t go back to the city. We will have to rush back here,¡± Xiao Qing asked her mom to drive her dad back home. Mother-inw got annoyed, ¡°What about dinner? Eating out is not hygienic. How long does an hour¡¯s drive take? Come back and have dinner before going, Little Five, don¡¯t just listen to her. Mom will make you boiled shrimpster.¡± ¡°We¡¯ll go back. Dad just had the cast applied, and I want to observe the blood cirction in a while.¡± Little Five gave Xiao Qing a significant look. Xiao Qing pouted, and the mother-inw said, ¡°Look at how dutiful Little Five is,pared to you.¡± Little Five used his own medical card to prescribe some pain relieving and swelling reduction medications for his father-inw. His inws noticed all these small acts of thoughtfulness. They saw in Little Five a reliable support for their old age. They only had one daughter. If they chose a good son-inw, of course they would be happy in their hearts. Chapter 151 - 0145: A Glimmer of Hope Chapter 151: Chapter 0145: A Glimmer of Hope On Monday, Luo Xiaohu was discharged from the hospital. His family was delighted, and Father Luo even hummed a song. At 8:30 in the morning, the surgery that Hermes had been waiting for months was finally performed. This surgery had no highlights. It was a routine procedure. For Yang Ping, with his strong foundation in trauma orthopedics, this surgery posed no difficulty, but the treatment period was long, requiring a systematic engineering concept. Yang Ping was the chief surgeon, before the anesthesia, Professor Zhang entered the operating room to greet Hermes and reassure him, making him feel at ease. Before this, he had not seen Professor Zhang, he had refused to be anesthetized, leaving Fatty at a loss. Only upon seeing Professor Zhang did he feel at ease to ept the anesthesia. The operation went very smoothly, nonstop in less than half an hour. About five centimeters of healthy bone tissue at both the proximal and distal end of the right tibia were preserved. The infected bone tissue in the middle was excised, along with a portion of the healthy bone tissue at both ends, a full thirty centimeters, all cut off and discarded.n/?/vel/b//jn dot c//om The defect was temporarily filled with calcium sulfate containing vaycin. The five centimeters at the proximal and distal ends are then cut from the middle. From the cut, traction starts two weekster, one millimeter per day, with both ends pulled towards the center, slowly lengthening the bone until it eventually fused in the middle, restoring the full length of the tibia. The newly grown bone tissue is healthy, without bacterial infection. It¡¯s like a tree infested by termites. It¡¯s hard topletely eradicate the termites, but if you saw off the infested part along with the surrounding healthy wood, youpletely resolve the termite issue. Chronic osteomyelitis, the infection of bone tissue, is more tricky than termites infesting a tree. Bacteria scatter and hide inside the bone tissue making antibiotics hardly reach, so it cannot be wholly eradicated. Once part of it is eliminated, the symptoms slightly improve, but the remaining bacteria multiply to a certain extent, bringing the symptons back, hence the difficulty inplete healing. Thanks to Ilizarov, his miraculous technique has not only saved countless people¡¯s limbs but also made the previously insurmountable correction of deformities easy. The edifice of medicine is built by pioneers like Ilizarov, brick by brick. How much bitterness, tears, and grievances they have represented, we cannot know. Because of the Cold War¡¯s political reasons, he did not win a Nobel Prize, yet, the radiance of this country doctor does not require any awards for affirmation. Geniuses and pioneers are always misunderstood; they are lonely. Semmelweis, who revealed puerperal infection, was ridiculed and opposed by the world. He died alone and destely in a mental hospital, One of the four cornerstones of modern surgery, disinfection, owes its great merit to Semmelweis. It can be said that he single-handedly bore the expulsion and suppression of the entire medicalmunity, heroically ushering in an era. After the surgery, Hermes¡¯ right calf became like a mechanical limb, filled with inserted pins and fitted with circr frames. The pins and frames form a scaffold responsible for lengthening the bone. Back in the ward, Hermes was very excited, as if a long-standing worry had been resolved. He held Yang Ping¡¯s hand tightly, and repeated, ¡°Thank you! Thank you! Thank you!¡± When he asked about Professor Zhang, Yang Ping told him Professor Zhang was in the outpatient clinic on the first floor and was very busy. He had managed to spare some time to guide the surgery. Hermes made a grateful gesture, ¡°I¡¯m deeply grateful, beyond words!¡± Starting this week, Professor Zhang was seeing patients in the outpatient clinic on the first floor, working inprehensive orthopedics. In just half a day, he saw six patients, three of whom were collected intoprehensive orthopedics, with the rest into the Overseas Chinese Building. Among the patients transferred toprehensive orthopedics was an overseas Chinese person from Southeast Asia, suffering from avascr necrosis. In thete stage and unwilling to have an artificial joint recement, they chose to seek out Professor Zhang. Another patient was a retired athlete with an old anterior cruciate ligament rupture. Finally, there was a nine-year-old girl with osteosaa. Professor Zhang originally only had clinic hours one morning a week. Now, he has applied to the hospital to have clinic hours five mornings a week, from Monday to Friday. In this way, Director Han and Director Tian are freed uppletely. Especially Director Tian, who can now concentrate solely on dealing with VIP patients received by Professor Zhang. Yang Ping led the team on patient rounds to see the newly admitted patients. The child with osteosaa was a nine-year-old girl. She had already seen many hospitals and had been hospitalized in Peking Union Medical College Hospital and Nandu Affiliated Cancer Hospital for treatment. She had undergone two surgeries, both pathologically diagnosed as osteosaa at the advanced stage. PET-CT scans showed multiple organ metastasis throughout her body. The girl was very sensible and excelled academically, having won a first prize in the National New Concept Composition Contest. Before making rounds, Little Five informed Yang Ping in his office, ¡°The girl does not know that she has a malignant tumor. The family requested her condition be kept secret from her. Her parents told her that she had few fibromas on her body and it would take a long time to cure, so she needed to be patient. Besides, they are out of money. Their house has been sold, and so have all valuable things. They had also done fundraising online and borrowed from all friends and rtives. Now, nobody lends them money as friends and rtives avoid their calls. Despite this, her parents don¡¯t want to give up. Even knowing there¡¯s no hope, they still refuse to abandon the idea. They came to seek Professor Zhang¡¯s help after hearing his reputation. They stated explicitly that they are at the end of the rope and are looking for a low-cost solution for their child to live longer. Professor Zhang said let¡¯s admit her first, owe the costs for now, and figure out a solutionter.¡± ¡°Old Zhang always does this kind of stuff. Last time, that worker asked you to solve it with 3000 yuan. 3000 yuan, how could it be enough? In the end, he had to negotiate with the operating room to waive some fees to settle it. He always forces people to do the impossible. He might be a saint, but I¡¯m not. I am amoner; I need food and drinks. In order to save up for a house, I couldn¡¯t even afford takeout, asional orders cost just ten yuan. Damn it, there¡¯s even less meat in it than in instant noodles.¡± Zhang Lin was very dissatisfied. ¡°Zhang Lin, don¡¯t be so unrefined. What¡¯s the meaning of what you just said?¡± Little Five immediately quieted him down after seeing how angry he was. Zhang Lin retorted without hesitation, ¡°He doesn¡¯t know, eh? This isn¡¯t a matter of emergency rescue. For owed fees, it¡¯s the doctor¡¯s money that gets withheld. Once this patient is admitted, there will be a pile of bills. So what if I¡¯m just amoner? If you go to the supermarket, would they let you take anything without paying every cent? That patient in the spinal surgery, stayed for half a year for free, no family members showed up. The moment a family member does, all they do is make trouble and extort money. They¡¯re causing trouble right now. So you want charity? Let people like Ma Yun do it, I¡¯m not up to it.¡± ¡°Zhang Lin!¡± Little Five admonished him. Yang Ping waved his hand: ¡°Let him vent, it¡¯s okay!¡± ¡°I¡¯m sorry, Senior Brother, I was just airing my sentiments.¡± Zhang Lin blushed, now that he vented, he also felt better. Yang Pingforted him: ¡°Everyone don¡¯t worry, if in the end there¡¯s really a debt, I will find a way. I won¡¯t let anyone get disheartened.¡± ¡°I¡¯m not getting angry just because they¡¯re withholding my money. It¡¯s wrong to deduct anyone¡¯s wages. Whose money isn¡¯t earned from hardbor. Why does the hospital make this rule? If it¡¯s not for emergency rescue, doctors¡¯ wages are withheld for patients skipping fees. Even Dean Xia who¡¯s so enlightened doesn¡¯t cancel this rule. If there¡¯s no such regtion, anyone can default on payment, and the hospital will surely close down. Then we¡¯d all go bare.¡± Little Five patted his back to help soothe his anger. Yang Ping drew a deep cold breath in his heart, nodded, ¡°Understood, during rounds, let¡¯s not mention the cost or use the word tumor. Let¡¯s keep a consistent line, let¡¯s do the rounds.¡± When they went to see the little girl in the ward, she had two little braids. Her innocent face showed no trace of worry, she maintained an innocent smile all the time. She was typing on aputer. ¡°Little sister, are you studying?¡± Yang Ping teased her. She looked up, swinging her braids, ¡°I¡¯m learning to write essays in English.¡± ¡°Wow, you¡¯re awesome!¡± Yang Ping purposely leaned over to take a look, but the little girl blocked it with her hand. He couldn¡¯t tell what she was typing on theputer. It was neither English nor Pinyin, perhaps she was punching in random keys. ¡°Wow, you can write in English.¡± Little Five feigned surprise. The girl¡¯s dad intervened, ¡°Her English is good. We don¡¯t understand English. It¡¯s all what she learned in school.¡± Yang Ping didn¡¯t ask for her medical history or examine her, he just sat with her and chatted. As they were leaving the ward, her father followed. Yang Ping gestured at him, pointing to the office, ¡°Wait for me in the office.¡± Yang Ping continued his rounds. The patient from Southeast Asia is a Chinese from Singapore. He had osteonecrosis of the left femoral head, which had progressed tote stage three. He needed artificial hip joint recement. Since his rtives in Mysia visited China and were very satisfied with their consultation with Professor Zhang, they rmended him to seek treatment from Professor Zhang in China. His Chinese was very fluent. He said he had been bilingual since childhood, knowing both English and Chinese. His Chinese involved simplified characters like in China, so there was no problem with either Chinese conversation or reading. The retired athlete was a basketball yer. After retirement, he made a living by training middle and primary school students in basketball. He had no idea when his anterior cruciate ligament broke. In the past year, his left knee had be markedly unstable when walking. After having an MRI in a hospital, it was suggested that his anterior cruciate ligament had ruptured. He had heard that Professor Zhang of Sanbo Hospital was highly responsible, and had thus specially sought him out. ¡°This patient¡¯s anterior cruciate ligament has been ruptured for a long time. From the MRI, severe deformation of the intercondr fossa can be seen. I estimate that at the time, there was also a fracture, which might have healed in a deformed manner. We need toplete a CT scan and three-dimensional reconstruction of both knee joints before the surgery.¡± Yang Ping instructed Little Five, who noted it down. After finishing the rounds and returning to the office, the father of the little girl was sitting and waiting. Upon seeing Yang Ping return, he stood up and said, ¡°Thank you all. We¡¯ve had no choice either, and we are indeed causing you trouble. We¡¯ve already told Professor Zhang and Doctor Lu about our situation. We truly just can¡¯t ept it as it is¡­ As for the money, I¡¯m figuring out a solution¡­¡± The child¡¯s father had a mncholic look with moist eyes. Yang Pingforted him: ¡°You have given it your all, and many things can be resolved with effort. It¡¯s not like every goal can be achieved. Everyone has goals that cannot be achieved, and regrets that pain the heart. That¡¯s life!¡± Although his words sounded as if he saw through life, it wasn¡¯t quite in line with his age. Perhaps it was because he had been in the system for too long. When it was time to get off work, Professor Zhang came over, found Yang Ping and said seriously: ¡°This patient¡¯s family has already been hollowed out financially, they truly have no money left. The child is very sensible, I want to give her a little hope. As for the costs, I¡¯ll handle it. It won¡¯t affect you all.¡± After simply saying these few things, Professor Zhang walked away, his back slightly stooped due to age. His figure gradually disappeared down the corridor, one step at a time. Chapter 152 - 0146: The Enthusiasm of Su Nanchen Chapter 152: Chapter 0146: The Enthusiasm of Su Nanchen ¡°Dad, he did that five-section rentation at Sanbo,¡± said Xiao Su. ¡°The one streamed live at the Traumatology Orthopedics online conference held by Shanghai Sixth Hospital?¡± ¡°Yes, it was a live broadcast, a real sensation. I asked around, he was the chief surgeon.¡± ¡°I always thought it was Professor Han. If that¡¯s the case, he¡¯s highly gifted!¡± ¡°That¡¯s the only exnation. He had been working at the city hospital since graduation. As far as I know, not many finger rentations were performed there. But he was overlooked there, he was just an ordinary resident doctor. He was just promoted to attending physician when he was dismissed.¡± ¡°Why would such a promising young talent be dismissed?¡± ¡°They said he made a mistake, acted inappropriately during a surgery. I don¡¯t know the exact details.¡± ¡°Geniuses always have unique traits, they should be guided more.¡± ¡°I suspect there is more to this story. I bet the situation was urgent, and his judgment differed from his superior doctor. He couldn¡¯t convince the senior doctor, so he had to act on his own. Even though I only met him once, I don¡¯t feel Yang Ping is the kind who would casually defy a superior.¡± In Su Qingyun¡¯s office, father and son were chatting and the conversation had turned to Yang Ping. Though Su Qingyun is now the dean of Fuer, he still retains his office in the Orthopedic Center. As the center¡¯s director he continues to perform surgeries if they are too difficult or risky for others. ¡°If he did perform that five-section rentation, Nanchen, you¡¯ll likely meet fiercepetition in the Southern Division of the Golden Knife Award. Look at his microsurgical operations, they¡¯re smooth and fast, almost attaining perfection. His arthroscopic surgeries are also perfect. This means he is likely an all-round orthopedic surgeon, not biased towards one area.¡± Su Qingyun sat in a spacious leather executive chair. ¡°I will try my best. I¡¯m not afraid of any rivals, I also admire realpetition.¡± Su Nanchen confidently said. ¡°He¡¯s attending the consultation tomorrow, right?¡± Su Qingyun asked. Su Nanchen said: ¡°Yes, he will arrive early. I had offered to pick him up, but he said he woulde by himself.¡± With a touch of regret, Su Qingyun said: ¡°He is Han Jiangong¡¯s student, if he was from another hospital, I might have tried to poach him.¡± ¡°You admire him too?¡± Su Nanchen was happy to hear this. Su Qingyun smiled: ¡°Of course, anypetition in any field ultimately boils down to talent. Why is the orthopedics department of Fuer considered top-tier nationwide? Just look at our talent poolpared to other hospitals. We have talents of all ages and stages, well-resourced and ready.¡± The surgery was about to start, and there was no time for further chat. Su Qingyun looked at his watch: ¡°Nanchen, time to go to the operating room. When Xiao Yanges for the consultation and since he¡¯s unfamiliar with the ce, you should apany him all the way.¡± Happily, Su Nanchen said: ¡°I have already told him toe early, I will apany him the whole time.¡± ¡ª After discussing the new hospital admissions in the morning, including a meeting with Professor Zhang, Yang Ping had to attend a consultation at Fuer in the afternoon. Over the past few days, he had reviewed the case studies several times, preparing fully. Su Nanchen called to offer to pick him up; Yang Ping declined, wanting to go by himself. At one o¡¯clock, Yang Ping prepared to leave. Xiao Su handed him the car keys: ¡°Drive slowly, okay? Do you want me toe along?¡± Yang Ping touched her hair: ¡°Silly girl, treating me like a child. I¡¯ll drive slowly, don¡¯t worry. Don¡¯t you have confidence in the student you taught?¡± After practicing driving all Sunday afternoon, Xiao Su was very confident in Yang Ping¡¯s driving skills. Otherwise, she wouldn¡¯t let him go alone, she¡¯d surely go with him. ¡°Park the car in the underground car park, in the same area we parkedst time. It¡¯s fully charged. Call me when you get there. Good luck!¡± Xiao Su clenched her little fist. Yang Ping fist-bumped her: ¡°Okay! Don¡¯t worry.¡± The drive from Sanbo to Fuer took about an hour. With GPS navigation, knowing the route wasn¡¯t a big deal. Upon reaching Fuer¡¯s underground parking lot, he immediately headed for the third-floor E area. Xiao Su had mentioned it has a charging station, but he didn¡¯t need to charge the car. After parking, Yang Ping called Xiao Su, who once again encouraged him to go for it. He had agreed to meet Su Nanchen at the front entrance of Fuer¡¯s outpatient building at two o¡¯clock. Checking the time, it was just right. Su Nanchen had said that Tuesday afternoon was Fuer¡¯s case discussion time. This patient was the focus of the discussion. Fuer was a top-rated hospital nationwide, and the scale of its case discussions was beyond what Sanbo could match. Yang Ping found the entrance to the outpatient building; Su Nanchen was already waiting there. Wearing a Fuer white gown, he looked young and dashing, truly living up to the title of Fuer¡¯s rising star. ¡°Dr. Yang!¡± Seeing Yang Ping in the crowd, Su Nanchen immediately waved. ¡°Dr. Su!¡± Yang Ping approached him and shook his hand. Su Nanchen put his arm around his shoulders, like a close friend of many years: ¡°It¡¯s still early,e on. I¡¯ll take you to see the patient, then we can tour the Orthopedic Center.¡± The orthopedics department of Fuer Hospital is huge; just the Trauma Orthopaedic Center alone has four wards with over two hundred beds. The Spine Center has two wards with more than eighty beds, and the number of surgeries for scoliosis per year exceeds three hundred cases. There are also the Artificial Joint Recement Center, the Sports Medicine Center, the Pediatric Orthopedics Center, and the Bone Tumor Center. Even though Sanbo Hospital¡¯s spinal surgery department also has forty-five beds, it simply can¡¯tpare. Fuer Hospital has a faster patient turnover rate and theplexity of their surgeries far surpasses those of Sanbo. Sanbo Hospital only has about forty cases of scoliosis correction surgery per year, and Fuer¶þ doesn¡¯t even exceed eighty. This shows the strength of Fuer¡¯s Orthopedics department¡ªit is utterly dominantpared to other hospitals in G City.N?v(el)B\\jnn From the Outpatient Building to the Orthopedic Center, it seems like every doctor and nurse that Su Nanchen runs into knows him, and they all shoot nces of admiration at him and greet him: ¡°Dr. Su!¡± Yang Ping could see that this was not just for show¡ªit was sincere admiration and respect from the heart. At the Orthopedic Center, it was even more so. Every young doctor who saw Su Nanchen would step aside, make way and bow slightly, saying, ¡°Hello, Dr. Su!¡± Indeed, all the doctors here have doctorate degrees, but those who can be addressed as ¡®Doctor¡¯ are certainly the best among them. Those who are a bit older would nod with a smile when they see Su Nanchen, saying, ¡°Dr. Su!¡± Even if Su Nanchen were not the son of the Dean, he would still receive such respect: an eight-year program at Xiehe, being the Nandu Province¡¯s top science scorer in the national college entrance examination, and having his doctoral dissertation published in The Lancet ¨C any one of these achievements is enough to gain respect amongst his peers. The Orthopedic Center is located in a separate twenty-story building. The bronze lettering of ¡®Orthopedic Center¡¯ hangs on the wall in the lobby, lending a sense of prestige¡ªa goldenbel created by generations of doctors at Fuer Hospital who have devoted their hearts and soul to their work. The Sports Medicine Center is on the tenth floor. People noticed Su Nanchen bringing a young doctor, talking to him warmly, and found themselves involuntarily looking their way. Su Nanchen took Yang Ping to the duty room and gave him a clean white coat that he had just washed. Their body sizes were simr, so the coat fit Yang Ping very well. ¡°Let¡¯s take a look at the imaging data first,¡± Yang Ping suggested. ¡°Dr. He, I want to take Dr. Yang to see bed 22. He¡¯s here for a consultation that I invited him to. He¡¯d like to see this patient¡¯s imaging data!¡± Su Nanchen spoke seriously, with the authority of a senior doctor. The attending doctor in charge of the ward, Dr. He immediately hung up the prepared films on the viewing light. Yang Ping leaned over to look, touching his chin, and then after viewing a batch, said, ¡°Next!¡± Dr. He quickly changed the films until all of them have been viewed. ¡°Now let¡¯s see the patient,¡± Yang Ping said. Dr. He and the senior attending doctor led the way immediately, and the research students and doctoral students from the same team all followed. Given that Dr. Yang was invited by Su Nanchen for consultation, one didn¡¯t need to think much to know that they must be of the same caliber. ¡°Please, Dr. Yang!¡± Su Nanchen said courteously. Yang Ping felt a little embarrassed inside, as he hadn¡¯t really taken the doctoral exam yet, but thinking about it, this was in his future, being called ¡®Doctor¡¯ a bit earlier didn¡¯t matter much. Heposed himself and, guided by Su Nanchen, confidently proceeded towards the patient on bed 22. When they reached the ward, they knocked a few times before pushing the door and entering. In teaching hospitals like Fuer, even such casual ward rounds are very standardized. Dr. He is a master¡¯s student, and the senior attending doctor above him is a doctoral student. The two stood on the left side of the bed, followed by a bunch of other postgraduates, standardized training students, and refresher students lined neatly around the head of the bed. The right side was reserved for Yang Ping and Su Nanchen. ¡°Please Dr. Yang!¡± Su Nanchen was very polite. Yang Ping and Su Nanchen took their ces. Su Nanchen formally introduced the consultation to the patient. Dr. He gave a report on the case history fluently, without mechanical recitation, and was able to clearly present the case. This is a performance that required strict regr training. ¡°We analysed the MRI, referred to her photocopied case history at the time, and previous imaging tests, and ording to her memory, we reconstructed the mechanism of injury. At that time, it should be the injury to the region where the left Achilles tendon and the triceps surae were connected. The tendon fibers contained in the muscle slid rtive to the distal end of the muscle, and after healing, this slight slide caused the loosening of the Achilles tendon,¡± exined Su Nanchen. Yang Ping asked about the medical history and performed a physical examination. His technique was extremely professional and experienced. After the examination, Yang Pingposedly expounded in-depth on the mechanism of injury, the consequences brought about by the loosening of the Achilles tendon, and the rted effects each millimeter of looseness in the Achilles tendon could cause, such as the loss of muscle strength, increased load on the healthy limb, changes in the foot arch¡¯s stress, etc. The depth and breadth of his analysis not only amazed all the masters and doctoral students there, but even Su Nanchen was impressed. All these masters and doctorate students are top students with strongprehension abilities. They are the group that has the deepest research in this profession. As soon as they open their mouths, it¡¯s clear whether they really know their stuff. Yang Ping surely is an expert Su Nanchen has invited, he must have returned from studying abroad. Everyone spected that Yang Ping must be a good friend Su Nanchen made in America, who recently returned to the country and was invited to consult on this case. Yang Ping¡¯s lecture just now, literally a book could be written about a single tendon. Every sentence he said was solid knowledge. To have these insights, how many books must he have read, how many cases must he have researched, no wonder Su Nanchen invited him. Compared to this guy, I¡¯m like a primary school student, thought the senior attending doctor after hearing, standing even more upright. Chapter 153 - 0147: Big Scene Chapter 153: Chapter 0147: Big Scene Actually, the case discussion started at two o¡¯clock, and around three o¡¯clock they began discussing the cases from the Sports Medicine Center. This patient with a rxed tendon is an Olympic gold medalist in the women¡¯s 5,000 meters and is still in her prime sports years, so the hospital is paying special attention. If they sessfully perform surgery on this patient, the Sports Medicine specialty at the hospital may have the potential to reach the pinnacle of the industry just like Spinal Surgery. After seeing the patient, Su Nanchen brought Yang Ping to the meeting room on the twentieth floor, where weekly orthopedics case discussions are held. In the second row of the meeting room, there were two empty seats reserved, where Su Nanchen and Yang Ping sat down. It was indeed a grand event. The first row was seated with heads of all specialties in the Orthopedic Center, all doctoral supervisors, government special allowance experts, and a few were nationally renowned figures. Such as the director of the Spine Center, Professor Zou ¨C a nationally renowned master in spinal curvature correction. He used to follow Professor Su. After Professor Su became dean, he focused less on clinical work and more on research and administrative work, allowing the majority of spinal surgeries to be performed by Professor Zou. He was the second editor of ¡°Spinal Curvature Surgery¡± after Professor Su. Professor Huang, the director of the Trauma Orthopedic Center, is also a nationally known professor and one of the main trantors of ¡°AO Principles of Fracture Fixation¡±. Professor Guan Sheng, head of the Sports Medicine Center, is a prized student of the big names in Sports Medicine in Beijing¡¯s top three hospitals. Recruited by Su Qingyun, he has made great progress in Sports Medicine in just a few years. Most doctors would feel awed and intimidated in this meeting room. However, Yang Ping was calm. He had been trained hard in system space. He sat there calmly, observed secretly by Su Nanchen, hisposure was rarely found in people, and Su Nanchen couldn¡¯t help but admire more. The hierarchy among doctors was embodied to the fullest here. Even if there were empty seats in the first row, no one of inappropriate status would sit in them. The second row was upied by group-leading professors who were all heads of departments or associate heads; the third row was taken by other associate heads; the fourth row was reserved for outstanding individuals among the younger generation. From the fifth row onward, seating was free, but camps were spontaneously divided. For instance, doctoral and attending doctors sat near the front, master¡¯s degree holders and resident doctors sat further back, and those receiving further education or undergoing regr training sat even further back. No one rudely forced their way forward. In the second row was also the leading professor of Sports Medicine, Chen Ge. He was quite a character, always liking topete with Su Nanchen. As a doctoral student of Guan Sheng, he stayed at the hospital after graduation. Chen Ge was proud andpetitive but always seemed to be overshadowed by Su Nanchen. He noticed Su Nanchen leading a stranger into the room and sneakily nced over. Chen Ge knew Su Nanchen had invited a doctor from another hospital for a consultation and had been wondering who this impressive individual was that Su Nanchen had invited. Now, seeing the person, he thought it would be some professor, but this person looked in his twenties, a young doctor. Coming to this hospital for consultation made things interesting. Chen Ge rubbed his chin, a sneer appearing in his mind. When Su Qingyun turned his head and saw Yang Ping already seated with Su Nanchen, seemingly steady as a rock, he silently admired him. The case discussion was very heated, people debating fiercely. Despite the loud voices, the debaters were not unruly or personal. They reasoned based on facts in pure academic debates and solved academic problems in academic manners. Everyone had the right to speak, regardless of their rank. This was a rule set by Su Qingyun. The free academic atmosphere was one of the key elements in the rapid development of the orthopedics department of this hospital. Generally, normal case discussions are conducted within the department. Cases discussed at this Orthopedics Center level are usually high difficulty, high risk or new surgical methods, or the high-ranking figures who have significant social influence. Yang Ping also listened to one of them. It was about a spine curvature case where the patient was almost folded in half and his nose almost touched his toes. They nned to perform corrective surgery to straighten the spine. Finally, it was the turn of the Sports Medicine Center cases. They had two cases for discussion: one about an unstable knee joint and one about a rxed tendon. The case of the unstable knee joint was from a professional football yer and a famous star. The knee joint dislocation caused the anterior cruciate ligament, posterior cruciate ligament, and bothteral and medial structures to all rupture. They all needed to be rebuilt, and there were multiple structures in theteral and medial ones that needed rebuilding. Theplexity level was quite high, just like a matryoshka doll. The surgery was extremelyplex; this case¡¯s reconstruction was the top-level surgery for knee joint movement injuries. Nationwide, there are only six hospitals able to perform such surgery well, and the number of doctors capable of doing it can be counted on one hand. Most surgeries in Sports Medicine aren¡¯t a matter of life or death. The goal points directly to function and focuses on surgery quality, not a matter of whether it can be done, but rather a question of quality. Just like stic surgeries that point directly at appearance, the results are clear. ¡°What are your thoughts on this case?¡± Su Nanchen asked softly. ¡°Too many structures needed to be rebuilt. The static bnce, dynamic bnce, short-term bnce, and long-term bnce all need to be taken into consideration.¡± Yang Ping lowered his voice too. ¡°If you were to perform it, would you have it done in multiple operations or one singr operation?¡± Su Nanchen tried to gauge his thoughts. ¡°Once! That¡¯s the only way to truly achieve bnce,¡± Yang Ping readily responded. Once? To achieve bnce, the difficulty is huge, Su Nanchen felt embarrassed. The second case is a female long-distance runner with loose tendons. Dr. He stepped onto the stage to report the case, with the chief doctor assisting and adding details as needed; the imaging data, marked clearly with dates, were shown on arge high-definition screen. ¡°The patient is a professional athlete, and the state of her tendons affects her athletic performance and future career. We n to perform a tendon shortening surgery, using the ssic method of cutting the tendon in a Z-shape or horizontally and then shortening and suturing it. This solves the problem of looseness, but introduces a new issue ¨C the rejoining of the cut tendon involves a certain amount of scar tissue. Though only a small amount, it¡¯s nheless there, and a small amount of scar tissue affects the strength and endurance of the tendon. The patient sought medical treatment in the United Kingdom before, and they followed the same treatment n. Hence, I¡¯d like everyone to discuss if there are any better treatments.¡± Once the case report was finished, Su Nanchen outlined the discussion¡¯s purpose as a leading professor. ¡°As for suturing the tendon, any orthopedic resident doctor can do it skillfully. The crux of the matter is determining how much to shorten. Too much would result in tight tendons; too little, and the tendons would still be too ck. As for scar tissue formation, it¡¯s unavoidable. Surgery can be performed under a microscope, and sharp knives can be used for swift tendon incisions to minimize tissue damage, thus reducing scar tissue formation,¡± Chen Ge contributed eagerly. ¡°So, how do you decide how much to shorten the tendon?¡± asked Guan Sheng, the director of the Sports Medicine Center. ¡°Each millimeter we shorten the tendon, the tension increases by a corresponding amount. I¡¯m conducting an animal experiment about this and am currently gathering data,¡± Chen Ge replied with pride. ¡°Apes are quadrupeds, and humans are bipeds. The structure of ape tendons differs from humans, so data from animal experiments can¡¯t be directly applied to humans,¡± an opposing professor from the Sports Medicine department retorted. ¡°Why must we rely on animal experiments? Can¡¯t we get reliable data from the patient¡¯s healthy side?¡± a postdoctoral fellow who was standing offered his opinion. ¡°During the surgery, incise the skin on the healthy side, expose the tendon, measure the tension under the same posture, and then apply this data to the afflicted side, shortening step by step until the tension matches the data from the healthy side!¡± The postdoc continued to exin. He was sitting in the fourth row, looking somewhat sloppy. The buttons on his white coat were off by one, and he held a bottle of milk in his hand, the straw chewed to a pulp. Eating and drinking were permitted as long as it wasn¡¯t too noisy. Afternoon case discussions often involved many doctors who had just stepped out of surgeries and probably had not had lunch. ¡°The tension adjustments you¡¯re all talking about are static, but the patient¡¯s running motion is dynamic. We must analyze the patient¡¯s state of motion. After all, the patient¡¯s tendon and triceps experienced a rtive shift. Do we still determine the tension ording to the previous standards? These data must be obtained dynamically,¡± Su Nanchen offered his opinion. The debate waged on fiercely. Opinions rose and fell from different corners of the room, each with its unique perspective showcased. Those speaking were animated while those listening were engrossed. No one was checking their phones and not a single phone rang. ¡°Everyone¡¯s very active in this discussion, with opinions that are more or less unified. Our surgical approach involves shortening the tendon, with the difficult part lying in exactly how much to shorten. We need exact numbers, otherwise, the surgery will fail and the patient¡¯s athletic performance could even downslide pre-surgery. We¡¯ve just mentioned several methods including animal experiments, referencing the healthy side, and analyzing the state of motion. So, our next step is to find out the precise length to shorten the tendon. Professor Su, how does that sound to you?¡± Professor Su stood up and said, ¡°All your suggestions are good. The uniqueness of everyone¡¯s perspective shows that everyone is thinking meticulously. This is how academic discussions should be¡ªa dialogue based on equality and freedom! We have the privilege today to invite Dr. Yang Ping from Sanbo Hospital for a consultation. Dr. Yang has a distinctive experience in sports medicine, shall we see what he thinks?¡± Following Professor Su¡¯s pping, everyone else joined in apuding. Everyone knew about Sanbo Hospital¡ªan institution at the city level that. But, who was Dr. Yang Ping? They didn¡¯t know him! Never even heard of him! He was actually invited over to Beijing First Hospital for a consultation? Su Nanchen stood up, ¡°Dr. Yang, please!¡± A flinch in this environment would cool down Su Nanchen¡¯s enthusiasm and disappoint everyone¡¯s expectations. Yang Ping, as usual, maintained hisposure. He stood up and greeted everyone. ¡°Xiao Yang, go up to the podium and share your thoughts,¡± encouraged Professor Su. ¡°Who is he? Where did this amazing persone from!¡± Everyone looked around, hoping someone recognized him and had some information. Those who had just made the rounds with him said, ¡°He¡¯s Dr. Su¡¯s ssmate, and he truly is amazing!¡± One of them who seemed very sincere had already taken out a notebook, ready to take notes, ¡°Brother, take good notes. Earlier, we were seeing patients with him, and he said something. After listening, I doubted whether my doctorate degree was genuine.¡± The one who asked the question also took out his notebook and found a pen.N?v(el)B\\jnn ¡°Is he a ssmate of Young Master Su from his studies in the United States?¡± ¡°Most likely so!¡± Calm as ever, Yang Ping approached the podium and slightly bowed to the audience. Chapter 154 - 0148 What Relationship Chapter 154: Chapter 0148 What Rtionship Su Nanchen led the way for Yang Ping, guiding him to his standing spot. He took the microphone from Dr. He, tested it a few times, and then said, ¡°Here¡¯s a little secret for you all. Dr. Yang is the creator of five-section rentation at Sanbo Hospital!¡± At such a gathering, introductions don¡¯t need to be long. A single weighty statement is enough. No one knows who Dr. Yang is, yet everyone is aware of the five-section rentation. Immediately, the meeting room was filled with whispers and conversations, asserting, ¡°I knew it! The person Su Nanchen invited must have a significant background. So, he was behind the five-section rentation.¡± A few months ago at the National Orthopedic Trauma Network Conference, everyone had learned about the famous five-section rentation. Most doctors from the affiliated hospital were attending this live-streamed conference right here in this meeting room. Everyone spected about who could be the Chief Surgeon? Could it be Hong Zhigang from Mo Sixth, or Wen Rentao? All guesses were eventually debunked. The organizer, Magic City Sixth Hospital, didn¡¯t disclose either the hospital involved or the surgeon responsible for the operation. The video only showed the surgical field under the microscope,cking any clues. Since all their guesses turned out false, the matter was dropped altogether. It was onlyter, through the news, that they discovered that it was a case from Sanbo Hospital. They then recalled the little-known Sanbo Hospital in G City. In G City, no other hospital was of significant importance to the doctors of the Affiliated Number One Hospital. Those who could remember Sanbo were either older doctors familiar with Han Jiangong, or the younger generation impressed by the five-section rentation. Han Jiangong had gained most of his reputation during his tenure at Magic City Sixth Hospital. Every orthopedic doctor of his generation knew his name. After moving to Sanbo, however, he gradually faded from the public view. Compared to Magic City Sixth Hospital, Sanbo¡¯s tform was too small to support a nationally renowned expert. Traditions of the Chinese medicalmunity rarely change, and seeing anyone outside top-tier hospitals hold the chairmanship of any professional field is rare. Never! Truly never! A doctor from a non-first-tier hospital, however gifted they might be, would face much difficulty achieving extraordinary sess. To achieve anything noteworthy, one can only aspire upward. Why? Clinical work requires cases, and research requires funding; both need broad tforms for support. Without cases or funds, how can anyone proceed? The five-section rentation was a brilliant surgical masterpiece and a pinnacle achievement in the field of finger rentation. Especially for the young graduate students who were re-experiencing the exciting moment when the rentation waspleted, and emergency reconstruction was performed after it. Their idol was now standing on the podium. As if under a spotlight, all eyes were on him, and the atmosphere in the conference hall was heated by the intense scrutiny. Yang Ping stood quietly on the podium, confident and calm, facing the vigorous examination! ¡°Dr. Yang¡¯s expertise in sports medicine is just as profound as his work in finger rentation. We are fortunate to have him consult on the challenging case of tendonxity in our orthopedics department. Now let¡¯s hear if Dr. Yang has any unique insights?¡± Su Nanchen¡¯s voice was loud and clear as he handed the microphone to Yang Ping before taking a step back. What is the big boss up to, pushing this young man forward in this situation? Is this a prelude to headhunting him? A few of the department heads were promoted by Su Qingyun, and the more astute among them had already started pondering the reasons behind this move. Professor Zou was one of the most astute. He contemted the implications of Professor Su¡¯s actions. Anyone who holds a high position is a crafty individual, able to understand the situation and discern other¡¯s intentions. While others saw a seed, he saw what kind of fruit it could bear. What¡¯s this guy¡¯s rtionship with the big boss? No matter what, there¡¯s more to this than meets the eye. He¡¯s from Sanbo Hospital? Could it be¡ª? If that¡¯s the case, the big boss¡¯s intentions are clear. He probably wants to bring this young man to Number One Affiliated, but considering his position as the dean, he¡¯s concerned about rumors of favoritism. Is this a way to subtly hint at his ns to everyone? If so, he should seriously assess the situation. If things turn out as he guesses, he should take the lead in this matter. If the big boss can¡¯te forward, then it¡¯s up to him to make things happen and fulfill the boss¡¯s wishes. Yang Ping took the microphone: ¡°Thank you all for giving me this opportunity to learn from the teachers and colleagues of Number One Affiliated Hospital. The reason this patient¡¯s case has been brought for discussion is due to the technical requirement to shorten the Achilles tendon involves severing it. This will result in side effects, lowering the strength and endurance of the tendon, which is not desirable for a long-distance runner. I believe this issue is one of the reasons we are discussing this case.¡± The graduate students who had followed him on rounds were especially attentive. They kept making notes, cross-referencing their notes with each other for fear that a misunderstanding might arise from a possible error. Students, indeed the most hardworking yet most hopeful among us. These folks had arrivedte because they had been waiting to watch Dr. Yang with the patients. One of them was standing while making notes. His white gown¡¯s cor was worn out from his dedicated work. Everyone was waiting for Dr. Yang to share his opinion. After a brief pause, he went on: ¡°Actually, we can shorten the Achilles tendon without severing it.¡± ¡°Not sever the tendon? How to shorten it?¡± As soon as he spoke, everyone was left with a mental question mark. The whole room erupted in whispers, with some professors starting to feel that he was boastful and innovative for the sake of being different; a few others, very careful and rigorous, made no conclusions before they finished listening to him. ¡°We don¡¯t need to cut the Achilles tendon, but to reposition the Achilles anchor point and the surrounding bone tissue to shorten the tendon. We can call this method the Achilles tendon anchor point depression or sinking procedure. In this procedure, the tendon fibers are not damaged, and ultimately it¡¯s a bone-to-bone healing, like a fracture, which is much simpler,¡± Yang Ping said confidently. He had performed this operation, designed by himself in the system space, more than a hundred times and was very skilled at it. Hisparison of the postoperative tendon tension with the healthy side could be perfectly matched. Su Qingyun smiled slightly. Except for the consultation at Sanbo, this was the second time he had seen Yang Ping. There had been no preliminary contact between them for this consultation. He had observed Yang Ping¡¯s calm demeanor just now and guessed that he must have some unique insights. It turned out to be another highly imaginative suggestion. Imagination is the most precious thing, the source of innovation. Without it, we can only parrot others and follow suit. A lot of our doctors perform surgery better than doctors in Europe and America, thanks to our poption advantage. However, our gap in innovation capabilities is too wide. We can only follow, and at best, imitate and improve. Yang Ping¡¯s proposal stirred up quite a fuss. These professors, doctors, and masters were all people with active minds. The education and training they received did not even mention this kind of procedure, let alone discuss it. It was unheard of to shorten the Achilles tendon without cutting it and using the depression procedure. However, when Yang Ping mentioned this procedure, everyone began to ponder its rted knowledge, like a new machine. Although not invented by themselves, they could understand the principle while looking at the existing machine. The main advantage of this surgery over cutting and shortening the Achilles tendon is that it does not damage the tendon. It¡¯s a genius idea that sidesteps everyone¡¯s main concern. But the difficulty of the surgery increases a lot. Chen Ge raised his hand, stood up, took the microphone handed over by Dr. He, and asked, ¡°Dr. Yang, which sports medicine center in a foreign country uses this procedure? It seems that I haven¡¯t seen any reports.¡± A bold and innovative procedure like this couldn¡¯t possibly have been his own idea. It must have been something he had seen at a sports medicine center abroad, which had not yet been reported. He was merely showing off. There had been such instances. One professor had studied abroad and found an excellent monograph that had not been introduced into our country. He secretly tranted it, published the trantion as if it were his own book, and it sold quite well. Everything was fine until someone found out that the two books looked the same, down to the diagrams, text, and even theyout. It was disgustingly hical. However, the giarists got away with it and the book even became famous. The chaos in academia was caused by such people. Yang Ping said somewhat shamefacedly, ¡°It¡¯s just a little thought of mine.¡± This operation is so impressive, you came up with it yourself? Who would believe that? ¡°Then, Dr. Yang, how many cases have you done it? Have you done any statisticalparisons? Have you published any papers?¡± Chen Ge continued to question. Director Zou looked visibly annoyed at the young and impetuous Chen Ge, shaking his head internally. This kind of person was just as good as a fool, with no future prospects. Guan Sheng should have guided him a bit.n/o/vel/b//in dot c//om ¡°Not yet, because I have not encountered any gold medal athletes. With ordinary patients, the demand is not so high. There¡¯s no need toplicate it.¡± Yang Ping was calm and rxed, but inside he felt some disdain for this man. If they hadn¡¯t done a procedure before, they didn¡¯t dare to, and only dared to do what Europeans and Americans had done. So they were treading water, always following behind others. ¡°Dr. Yang, since there are no simr operations abroad for reference, and you haven¡¯t done it yourself, I¡¯m afraid this operation is a bit of an armchair strategy.¡± Chen Ge was a little aggressive, desperate to win. He wanted topete over everything, no matter whether it made sense or not or what the consequences were. He was exactly the kind of stickler for technicalities. Yang Ping felt disgusted with this type of person but remainedposed: ¡°It¡¯s not necessary to wait for a foreign report of a simr surgery before we do it. This operation has a sound theoretical foundation. First of all, the healing of the tendon is best with bone-to-bone healing. Secondly, this method avoids iatrogenic damage to the tendon. Both methods achieve shortening, so why not choose the better one?¡± ¡°Ipletely agree with Dr. Yang. Why should we wait for the Americans, Europeans, and Japanese to do it before we can? We learn from them because they are advanced, not because weck confidence.¡± Professor Zou seized the opportunity. This ttery left no traces; he hadn¡¯t praised Yang Ping, he was just talking about scientific research confidence, so there was nothing wrong. He awaited Su Qingyun¡¯s reaction. Chapter 155 - 0149: Doctors Gathering Together Chapter 155: Chapter 0149: Doctors Gathering Together Professor Su took up Professor Zou¡¯s words: ¡°Yes, we must believe in our academic work!¡± He always emphasized the independence and confidence of academics and didn¡¯t blindly follow foreign practices. He had his own judgment. As Professor Zou just mentioned, he just felt it necessary to emphasize it again. Seeing Su Qingyun picking up his argument so quickly, Professor Zou had a fairly clear idea. It wasn¡¯t a sure thing, but it was very close. A small smile appeared on his face. Dean Su, you are still too principled, worrying about reputation in everything you do. When Su Nanchen joined the hospital, you followed all the standard procedures without cutting corners. Close but not quite there, Professor Zou thought, this matter requires caution. It won¡¯t be toote to take action once the situation is clearer. ¡°I think this surgical method has excellent advantages. It breaks away from the conventional methods. Although the heel bone is quite special, with cortical bone on the outside and spongy bone on the inside, extracting the Achilles tendon anchorage point is tricky. We originally wanted to extract an intact bone plug, but in the end, it might crumble. Drilling a tunnel in the calcaneus is also difficult, and if not done correctly, it could cause heel bone copse. This increases theplexity of the operation, but the oue is clearly better than the conventional methods.¡± Professor Guan Sheng¡¯s analysis wasprehensive, he spoke with objectivity and bnce. Professor Huang resonated heavily: ¡°I oppose using an unproven surgical method without statistical evidence on professional athletes. If there are harmful results, it will not only harm the patients but also damage the reputation of the hospital. When dealing with such patients, we should be conservative and not reckless!¡± Professor Huang was direct by nature and sometimes publicly contradicted Su Qingyun. However, Professor Huang was honest and diligent in his work, and his surgical academics were top-notch. He spoke out without ulterior motives, and Su Qingyun didn¡¯t take it personally, but instead respected his views. Once, Professor Huang offended someone due to his temperament, almost ruining his career. Su Qingyun lent him a helping hand, and he managed to survive. This man was like Wei Zheng: loyal but did not hesitate to speak the truth. ¡°Oh, Old Huang, we are here today because of the strong promotion by the big headlines. How can you always stick out like a sore thumb, and publicly contradict the main storyline? You should consider the asion.¡± Professor Zou, sitting beside Professor Huang, gave him a nudge with his foot. Professor Huang red back, unable to voice his curse, but inwardly he was scolding, ¡°You brown-noser!¡± Professor Zou involuntarily flinched. Who is the brown-noser? He knew what Professor Huang meant, despite not speaking aloud. They¡¯ve been colleagues for over 20 years, and he knew him inside and out. Professor Zou shook his head. This guy never changes. If not for me, the real brown-noser, trying to bnce the situation with the main headlines everywhere, this stubborn ox wouldn¡¯t have his position of influence today. The doctoral student standing by the back wall raised his hand and asked for the microphone: ¡°This surgical method does not actually carry much risk. It is a variation of the traditional method, with a solid theoretical basis. It only uses a slightly different approach to shorten the Achilles tendon, even if the methods used are different, the goals are the same. I support this method. Patientse to us looking for better approaches. The traditional method! It is also suggested by the British. Why don¡¯t we bravely try a new surgical method? Even if it fails, at most, we have tension regtion inuracy, nothing too serious, and it won¡¯t be worse than it is now.¡± The director of the joint orthopedics department said quietly: ¡°This ces a great test on the surgeon¡¯s precision. Controlling the shortening length of this method is more difficult than traditional methods. Traditional methods control the length in a straight line, while this method controls the length on a curve, increasing theplexity significantly. Without absolute certainty, do not attempt this lightly. With traditional methods, at least controlling tension isn¡¯t problematic.¡± A master¡¯s student raised his hand, noticeablycking confidence, but Professor Su encouraged him: ¡°Speak boldly. It¡¯s okay to be wrong! There¡¯s always a chance you will be correct.¡± Everyone was amused by Professor Su¡¯s words. ¡°I¡¯d like to ask how the Achilles tendon anchor sinking works? Does it involve removing the bone plug, drilling a deeper tunnel where the bone plug was extracted, and then reinserting the bone plug with the Achilles tendon?¡± The master¡¯s student turned slightly red, and his voice shook slightly. This was all brought on by nervousness. ¡°Correct, you¡¯ve got itpletely right!¡± Yang Ping affirmed the student¡¯s idea. The master¡¯s student was exhrated. Engaging in a professional dialogue on equal terms and being correct was a significant boost to his confidence. ¡°Thank you!¡± The master¡¯s student sounded slightly emotional. ¡°How about fixation? How do we fix it?¡± Another postdoc asked directly, without asking for the microphone. Yang Ping answered: ¡°We can do cross fixation or usepression screws for fixation, referring to the fixation used in ACL reconstruction.¡± ¡°I understand now, Dr. Yang, stop being modest. You must have performed this before and it was not just one. Otherwise, you wouldn¡¯t have such profound insights. Perhaps for reasons rted to research secrecy, Dr. Yang denies having done it before.¡± It¡¯s easy to distinguish whether someone has experience in clinical matters. Dr. Yang must have done many cases already. A clinician¡¯s self-confidence is based on experience. If you don¡¯t have experience, you can¡¯t be confident. The discussion continued for a long time until someone reminded everyone about the time limit, and they reluctantly moved on to the next case. ¡°Thank you, Dr. Yang, for your innovative opinion!¡± Su Qingyun did note to a conclusion just yet. Yang Ping and Su Nanchen returned to their seats, and Dr. He brought two bottles of mineral water. Su Nanchen was delighted and had forgotten to get water for everyone. ¡°That knee instability case is also my patient. If you¡¯re interested, do you want toe and together perform the surgery?¡± Su Nanchen was eager to see him reconstruct four structures and bnce them all at once. Yang Ping would definitely not turn down such a great opportunity: ¡°Sure, is it appropriate?¡± ¡°Why wouldn¡¯t it be appropriate? It¡¯s not someone else¡¯s patient.¡± It seemed as if their friendship ran deep. ¡°Do you have a free afternoon? If not, let¡¯s have a meal together after the meeting. As brothers, you can¡¯t say no.¡± Su Nanchen was very enthusiastic. ¡°Sure! I came over specifically for this consultation this afternoon and I didn¡¯t schedule any surgeries.¡± Yang Ping was also willing to befriend Su Nanchen. The discussion of the next case began. ¡°Old Huang, Old Huang?¡± Professor Zou called quietly to Professor Huang. Professor Huang pretended not to hear. ¡°After work, shall we sit down somewhere together?¡± Professor Huang continued to pretend not to hear, leaning on his chair and watching the slides on disy. You stubborn old mule, fine, have it your way! Professor Zou crossed his arms and leaned back into his chair, focusing on the screen. Yang Ping was invited for consultation, hence it¡¯d be improper for him to stay on and waste other¡¯s time. Su Nanchen leaned in to whisper a few words to Su Qingyun, and then led Yang Ping out a back exit early. The younger doctors watched as the two left the scene, feeling a bit regretful. Some had hoped to chat a bit and take a few pictures after the meeting. Upon leaving the conference, Su Nanchen took Yang Ping to sit for a while in the orthopedics ward, then called him into the duty room, offering him a consultation fee. Yang Ping hesitated for a moment before epting the money. This was the first consultation fee he had ever received. Afterward, Su Nanchen took Yang Ping to tour the hospital. He then asked, ¡°Would your girlfriend mind if you stay for dinner?¡± Yang Ping answered with a smile, ¡°I am all alone.¡± What he actually meant was that he lived alone, not that he didn¡¯t have a girlfriend. At this, Su Nanchenughed: ¡°Yes, prioritizing work is always a good idea.¡± Yang Ping thought Su Nanchen had misunderstood him, but then decided that there was no need to exin further. Was he supposed to say that he had a girlfriend? That would just be a joke. After strolling around and chatting for a while, it was already past five in the afternoon. Su Nanchen led Yang Ping to a pavilion in the hospital and began calling people to apany them for dinner ¡ª all young talents from the hospital. ¡°Get off work ande to the restaurant next to the hospital, Shisan Chong. We have the same private room asst time!¡± Su Nanchen made several phone calls. ¡°Should I ask some people to apany you? Do you drink?¡± Su Nanchen asked after finishing his calls.n/o/vel/b//in dot c//om Feeling somewhat ashamed, Yang Ping replied: ¡°I don¡¯t drink!¡± In reality, he barely drank enough to count as a drinker. ¡°No worries, just have some soft drinkster.¡± Su Nanchen replied cheerfully. One of his buddies who had arrived early came out: ¡°Young Master Su, has your good friend arrived?¡± ¡°This is my good friend, Yang Ping from Sanbo, Doctor Yang!¡± ¡°This is Doctor Shao from neurosurgery, Shao Wei, Doctor Shao!¡± ¡°Nice to meet you!¡± The two shook hands. ¡°Sanbo, I know. A few months ago, your hospital made the turn. Professor Han from your orthopedics department performed a five-section rentation, impressive! It was all I could do to keep breathing.¡± Doctor Shao gave a thumbs-up. Laughing, Su Nanchen said: ¡°Only five-section rentation and Professor Han had to step in? It was my brother here who was the lead surgeon.¡± ¡°No way! I had no idea I was in the presence of such greatness! Come on, shake hands again.¡± Doctor Shao looked surprised as he vigorously shook Yang Ping¡¯s hand once more. ¡°You guys also attend the orthopedic trauma conference?¡± Su Nanchen asked while waiting for others to arrive. ¡°We neurosurgeons, we focus on microscopic procedures as well, just like you orthopedics. It¡¯s an essential skill for us. Our director showed us a video of Brother Yang¡¯s procedures, saying ¡ª look at their level of proficiency under the microscope. Compared to them, you guys are just fooling around!¡± Doctor Shao himselfughed as he finished his sentence. Wrapping his arm around him, Su Nanchen said: ¡°Old Shao, if you want some real skills, you¡¯re gonna have to drink a few more tonight.¡± ¡°Absolutely, Young Master Su¡¯s friends are my friends too. Brother Yang, if you ever need anything, just let me know. Although I don¡¯t have much else, I am top-notched at writing papers.¡± ¡°He has published over thirty SCI articles?¡± Su Nanchen added. Yang Ping praised him: ¡°You are the real genius here! Over thirty, are you wholesaling SCI articles?¡± ¡°Oh, it¡¯s just a humble skill. Not worth mentioning.¡± Doctor Shao pretended to sigh helplessly. ¡°Old Zhou, old Zhou, why haven¡¯t you arrived yet?¡± Su Nanchen asked. Old Zhou, a doctoral student from the Thoracic Surgery department. Doctor Shao said: ¡°Old Zhou ns to go to Germany to raise rabbits for a year. He said he wants to marry into the German gene pool.¡± ¡°Who¡¯s badmouthing me? Oh, it¡¯s you again, Shao Wei. I heard you this time.¡± Doctor Zhou was somewhat shorter than the rest. Dean Su, who had a knack for picking out talent, had recruited this man who was not just skilled but also good-looking. However, Doctor Zhou had been chosen in spite of his lesser height, due to his unique abilities. This guy was brilliant at research and procuring projects for his department ¡ª he was as prolific as popcorn. ¡°That¡¯s what you said yourself, unprocessed raw data.¡± Doctor Shao rebutted Old Zhou. ¡°Let¡¯s go, some of our gang are still on their way. We¡¯ll start eating and save them a seat.¡± Su Nanchen rallied the group to leave. In a setting like this hospital, doctoral degrees weremon amongst staff. Those without one often felt intimidated to step forward. Chapter 156 - 0150: Easy Socializing Chapter 156: Chapter 0150: Easy Socializing Yang Ping sent a WeChat message to Xiao Su to report the situation. Xiao Su told him not to drink and to drive slowly at night. Shisan Chong, the seafood restaurant, is just nearby a local university.n/o/vel/b//in dot c//om As soon as they entered, a pretty waitress warmly guided them to the private room upstairs. The boss was familiar with Su Nanchen. In just a few minutes, he arrived. He was a Chaoshan man, quite young, in his thirties, slender and nimble, and slick in social interactions. ¡°Professor Su, I was a bitte due to some just came up, please forgive me! What would you like to order today? The usual?¡± The boss greeted everyone to sit down, took the teapot from the waitress, and poured tea himself. ¡°Any dietary restrictions?¡± Su Nanchen asked Yang Ping. ¡°No food restrictions, and no history of allergies.¡± ¡°Okay!¡± ¡°President Wu, as usual, we have ten people in total. You decide. Whether you¡¯re drinking alcohol or a beverage, report to President Wu. Yang Ping, what would you like to drink?¡± Su Nanchen pulled out a chair for Yang Ping to sit down. ¡°Apple vinegar, please!¡± Yang Ping sat down. ¡°Let¡¯s have a bottle of Dream Blue!¡± Dr. Shao volunteered to order the wine. ¡°I¡¯ll have the apple vinegar, too!¡± Dr. Zhou followed Yang Ping. The boss personally took note of their wine and drink orders, arranged a menu, and handed it to Su Nanchen. Su Nanchen nodded, ¡°Okay! I¡¯m fine with your rmendation.¡± ¡°Dream Blue, M9!¡± Su Nanchen told the boss. The boss instructed the waitstaff to prepare quickly, then chatted briefly before excusing himself tactfully, ¡°Professor Su, I won¡¯t disturb you anymore. Call me if you need anything!¡± ¡°Alright, you can go ahead with your work. We¡¯ll take care of ourselves.¡± Su Nanchen waved his hand. The boss left two pretty waitresses in charge and grinned as he left the private room. Everyone was very conscious. Those who didn¡¯t have tasks tonight and wanted to drink did not need to be forced; they ordered drinks voluntarily. Those who had tasks or did not wish to drink alcohol ordered their own beverages. Gradually, everyone arrived. Dr. Yao, who was in Su Nanchen¡¯s group and resident physician Dr. He, came in. Dr. Shen from trauma orthopedics called: His surgery was done, and he was changing his clothes. The three others were still in surgery, and it was probably going to be moved to 9 pm, so they probably wouldn¡¯t make it. About ten minutester, Dr. Shen came in and greeted everyone, ¡°Young Master Su, what¡¯s the asion today? Is it because the temperature has dropped that brothers have to warm up?¡± ¡°Today we have a new brother. Let me introduce you. This is Yang Ping from Sanbo Hospital, and this is Shen Liang from Trauma Orthopedics!¡± Su Nanchen introduced. ¡°Shen Liang, don¡¯t you want to pay your respects? Your master is here!¡± Dr. Shao incited. During the five-section rentation, Shen Liang once joked about recognizing the chief surgeon as his master to learn some ingenious microsurgical techniques. Shen Liang was puzzled, not understanding what Shao Wei was trying to stir, scratching the back of his head, waiting for an exnation. Shao Wei leisurely said, ¡°The chief surgeon from the five-section rentation is sitting in front of you. You¡¯re still mystified and not acknowledging him?¡± What¡¯s happening? Shen Liang looked at Su Nanchen, and Su Nanchen slightly nodded, ¡°Yang Ping was Professor Han¡¯s student, and he was the chief surgeon for the five-section rentation!¡± Shen Liang immediately bowed his head, his movements looking quiteic, ¡°Brother, I pay my respects to you!¡± Yang Ping immediately stood up, ¡°We¡¯re all brothers, don¡¯t be so formal! Don¡¯t be so formal!¡± Having bowed, Shen Liang straightened up and said, ¡°I was wondering why Young Master Su is making such a fuss today, even calling the operating room. So this is why.¡± ¡°Calling him brother? You got the seniority wrong. Didn¡¯t you say you wanted to acknowledge a master?¡± Shao Wei disagreed. Settling into his seat, Shen Liang said, ¡°I¡¯d like to acknowledge a master too, but Brother Yang doesn¡¯t just ept apprentices so casually. They¡¯ll just let you acknowledge him if you say you want to?¡± He sat down, and immediately reached out to shake hands with Yang Ping, ¡°I admire you! Brother, no, Big Brother!¡± ¡°I always thought that Professor Han did it, I didn¡¯t expect it was Brother Yang¡¯s work, it¡¯s really extraordinary!¡± Shen Liang picked up his tea and took a sip, perhaps he was thirsty just after surgery. ¡°The others probably won¡¯t be able to make it, they ran into some problems in surgery.¡± Shen Liang had juste from the operating room and knew the situation inside. There were three others, from Sports Medicine, Spine Surgery, and Joint Surgery, respectively, a few brothers. ¡°You don¡¯t have anything tonight, right? How about a drink?¡± Su Nanchen poured tea for Shen Liang. ¡°No problem. We must have more wine. How could one bottle be enough? Let¡¯s get another one!¡± This guy sure is a hero. ¡°Let the feast begin. Yong Bo still has to hurry back.¡± Su Nanchen beckoned to the waitress. The waitress was efficient, and the dishes were served quickly, filling up the entire table. When a group of young people are together, it¡¯s casual. Those who want to drink alcohol drink, those who want to drink soft drinks do so. No one is forced. Drinks and alcohol mixed, there¡¯s no disharmony. There¡¯s no need to observe who eats first or eat in a specific order. There¡¯s no rules, no procedures, just a lively gathering. At usual banquets, Yang Ping always gets a headache, but this gathering is actually rxed. A few people take turns toasting Yang Ping, some with real liquor, some with apple vinegar, but it doesn¡¯t matter. Yang Ping just takes a sip of apple vinegar to respond, and no one says he is insincere or anything like that. Shen Liang came over, ¡°Brother Yang, or should I call you Doctor Yang? I see you¡¯re younger than us, so I don¡¯t want to age you with titles, but your five-section rentation scared the heck out of me.¡± ¡°I invited Yang Bo toe here for a consultation. He had to do an emergency operation, so you didn¡¯t listen to his presentation. His sports medicine and arthroscopic surgery skills are as top-notch as his five-section rentation.¡± Su Nanchen said calmly. ¡°I¡¯d love to see it for myself one day. Su, you¡¯re not thoughtful, keeping such a good friend hidden. Come, let¡¯s toast to Yang Bo.¡± Shen Liang finished his ss first, and Yang Ping took a sip of apple vinegar in response. ¡°Brother Su!¡± Dr. Yao said while peeling a shrimp. In public, they usually call him Professor Su, but in private they call him Su Brother. ¡°What¡¯s up?¡± Su Nanchen knew he had something to say. Dr. Yao knew it wasn¡¯t appropriate to talk about work at the dinner table, but since they¡¯re all good friends, he thought it wouldn¡¯t hurt to share. ¡°That four-way reconstruction for Chen Ge, Professor Ye from Beijing has been asked to do it!¡± Dr. Yao said. ¡°The one from the provincial basketball team?¡± Su Nanchen was familiar with this patient. ¡°Yeah!¡± Dr. Yao put a peeled shrimp with some sauce into his mouth. Professor Ye is the academic elder brother of Professor Guan, and one of the top professors in sports medicine and arthroscopic surgery in the country. To be honest, there are only a few people who can conduct such a surgery with simultaneous reconstruction and good function, and Professor Ye is the best among them. Fuyi¡¯s spinal surgery is the best in the country, but its sports medicine is inferior to the Third Hospital of Beijing, which is the top in sports medicine in the country. ¡°He asked how we are doing with this, and whether we should do it all in one go.¡± Dr. Yao said. It wasn¡¯t a problem for Su Nanchen to perform this surgery, but to reach the level of Professor Ye was definitely challenging. He doesn¡¯t do as many surgeries as Ye, so naturally, he doesn¡¯t have as much experience. After a moment of contemtion, Su Nanchen said, ¡°Let¡¯s not rush. We¡¯ll see what the patient wants.¡± Inviting a professor from Beijing for a surgery is going to cost money. Even though the patient is wealthy, it¡¯d be better to discuss this in advance to avoid making decisions for him. Dr. He came over a bit shyly, holding a soft drink, ¡°Brother, let me toast you.¡± ¡°Sure, don¡¯t be shy.¡± Yang Ping responded. Dr. He didn¡¯t say much. He just kept eating, listening to everyone chatting, joining in theughter and asionally chiming in, to remind everyone of his presence. Everyone had fun chatting. Old Zhou from neurosurgery, who was on call today, had to leave early for a rescue. The rest of them continued to eat and chat, for more than three hours. By the time dinner was over, it was already past ten. Saying goodbye was hard, with handshakes and shoulder hugs, promising to keep in touch. After bidding farewell to Su Nanchen, Yang Ping returned to Sanbo Hospital. It was already past eleven. When Yang Ping got home, he sent a WeChat message to Xiao Su. Xiao Su was still up, waiting for his message. ¡°Didn¡¯t drink alcohol right?¡± ¡°No, I drove here. I wouldn¡¯t dare.¡± ¡°Even if you didn¡¯t drive, you¡¯re not allowed to drink.¡± ¡°Okay, I¡¯ll listen to you.¡± ¡°Get some rest early. Don¡¯t stay upte.¡± ¡°Got it.¡± After chatting a bit with Xiao Su, Yang Ping showered, went to bed, and logged into his system to read for a while before sleep. It was a fulfilling day. And he made many new friends. Chapter 157 - 0151: Pure Person Chapter 157: Chapter 0151: Pure Person N?v(el)B\\jnn In the morning, Song Zimo stepped out of theboratory and stretched. He happened to run into Yang Ping. ¡°Senior brother, how was the consultation at the hospital yesterday?¡± Song Zimo inquired, showing concern. Yang Ping answered nonchntly, ¡°A patient with a loose Achilles tendon. A 5000m Olympic gold medalist preparing for Achilles shortening surgery.¡± Song Zimo shook his head: ¡°This is quite tricky. For a long-distance runner, a rxed Achilles tendon is uneptable. Once shortened, the strength of the tendon decreases, possibly causing surgical side effects. The chances of it are quite significant. Overseas, some use a sma Scalpel for shrinkage, but the effective range of the sma Scalpel is minimal. Your case might not work then; otherwise, a consultation wouldn¡¯t even be necessary.¡± ¡°Yes, the patient requires surgery to shorten the Achilles tendon.¡± Yang Ping took a seat in the office. Song Zimo followed suit and took the seat next to him. ¡°So, what are your thoughts, from the consultation?¡± Checking the time and seeing it was still early, Yang Ping said: ¡°We won¡¯t cut the Achilles tendon. Instead, we¡¯ll use the method of lowering the Achilles stop point. This method involves resecting the Achilles stop point together with the bone tissue, drilling a little deeper into the bone tunnel, and then renting the bone plug with the Achilles attached.¡± Song Zimo pondered for a moment, eyebrows raised with newfound understanding: ¡°Senior brother, did youe up with this?¡± ¡°No, perhaps you did?¡± Yang Ping said, taking a breather while waiting for the shift change. Song Zimo pped his forehead: ¡°Senior brother, your surgical method is brilliant, but how will you adjust the tension? It seems quite challenging.¡± ¡°The shift change is soon, I¡¯ll exin it to you in detail when I get the chance.¡± Yang Ping stood up. They still had the same three patients, with no new admissions. Professor Zhang was good at controlling the pace and did not want to take in too many patients at once. The goal of Comprehensive Orthopedics is not quantity, but the quality of surgeries. Otherwise, there would be no value in its existence. Put simply, Comprehensive Orthopedics exists to build a reputation, as it is a trump card in tackling tough projects. Director Han is now very reassured and no longer participates in shift changes. Director Tian simply went over to the Overseas Chinese Building to participate in the shift change. The hospital there already had over a dozen patients. He is currently applying to Director Han to have Fang Yan and Chen Xiaobo transferred over to the Overseas Chinese Building. Yang Ping led everyone on their ward rounds. The patient from Singapore, who is Chinese, was engrossed in reading a pile of newspapers. It seems like he bought all the avable newspapers from the stand at the hospital entrance. This patient was preparing to undergo a core dpression and ceramic rod imntation procedure. This procedure is quite new and should be one of the more advanced procedures for the treatment of avascr necrosis of the femoral head. It is designed to guide blood vessels from other areas into the necrotic region, simr to the South-to-North Water Diversion. The patient with the ruptured anterior cruciate ligament is scheduled for surgery tomorrow. The patient, a professional athlete, is diligently practicing quadriceps strength exercises. Compliance is indeed beneficial. The little girl is quietly doing her morning reading. Apart from looking a bit pale, and her hair a bit thin due to chemotherapy, her spirits are high, and she always has a smile on her face. Yang Ping checked on herst, so he could chat with her a bit more. He was quite taken with this little one. Her eyes were clear and translucent¡ª so pure they seemed untouched by the dust and grime of the human world. ¡°Where¡¯s your mom?¡± Yang Ping asked, seeing that she was quietly reading by herself. The little girl answered with a smile, ¡°My mom went to make breakfast, and she¡¯ll bring it over for me to eatter.¡± ¡°So your home is not far from here?¡± Yang Ping asked her. The little girl replied seriously, ¡°We can¡¯t casually ask people for their addresses!¡± Yang Ping found her adorable, and he purposely apologized: ¡°Sorry about that!¡± The little girl giggled, ¡°I was only joking with you. My house isn¡¯t here. My parents rented a ce, it¡¯s our new home. My dad found a new job, and my mom takes care of me.¡± ¡°You are really lucky!¡± Yang Ping decided to chat with her a little more. ¡°You all go ahead. I¡¯ll chat with her for a bit.¡± Yang Ping told Song Zimo, Little Five, and Zhang Lin they could leave. ¡°Can we chat? Be friends?¡± Yang Ping took a seat on the chair beside the bed. The curtains of the ward were open, and the sunlight streaming in was warm. ¡°Of course, I really like you. Can I call you Doctor Brother?¡± The little girl closed her book. Yang Ping nodded: ¡°Sure.¡± ¡°Why do you like me?¡± Yang Ping asked, looking curious. ¡°Because your eyes are very clear, not muddy at all.¡± The little girl replied. Clear, not muddy. What does that mean? He didn¡¯t quite understand children¡¯snguage. ¡°Can you exin it more clearly?¡± Yang Ping found her fascinating. The little girl frowned, looking quite troubled. After a moment of thought, she said, ¡°I don¡¯t really know how to put it. It¡¯s just¨C your eyes have high purity, and you¡¯re a very pure person. That¡¯s what I think.¡± ¡°So, you mean I¡¯m a very genuine person?¡± Yang Ping rephrased her words, seeking understanding. The little girl thoughtfully nodded her head, ¡°Yes, that¡¯s what I mean, you¡¯re a very pure person.¡± It was the first time someone had described her as such. High purity, that¡¯s interesting. Yang Ping looked at the book on the table: ¡°What are you reading?¡± The little girl handed the book to Yang Ping herself¨C Oliver Twist! ¡°Can you understand this book?¡± Yang Ping was astonished. The little girl was a bit unhappy, ¡°You adults always underestimate children. I was already reading Andersen¡¯s Fairy Tales when I was in kindergarten.¡± ¡°That¡¯s amazing!¡± Yang Ping flipped through the book and gave her a thumbs up. The little girl blinked, her eyes twinkling like little stars in the night sky, ¡°I have read a lot of books, but certainly not as many as you.¡± ¡°How do you know I¡¯ve read a lot of books?¡± Yang Ping became more and more interested in the little girl. The child blinked again, ¡°My intuition. Your eyes told me!¡± ¡°Eyes are the window to the soul, it seems the window has given my secret away.¡± Yang Ping returned the book to her. After chatting with the little girl for a while, Yang Ping had to get going. He said goodbye to the girl. Her calmness andposure was beyond Yang Ping¡¯s expectations, after all, she was just a child who knew nothing. Yang Ping returned to his office and carefully reviewed the little girl¡¯s case again. Regardless of the treatment method, the cost was a problem. This problem had to be solved first. She had already had two surgeries. The operative sites were all at the original lesion. A part of the left femur had already been reced by a prosthesis, and now another tumor had grown at the original site. There were metastatic tumors at several other ces. Even amputation wouldn¡¯t help. ¡°Does our hospital have a Gamma Knife?¡± Yang Ping suddenly asked. ¡°Yes, we do!¡± Song Zimo replied, unsure of what Yang Ping meant. ¡°Are you nning to treat her with the Gamma Knife?¡± Song Zimo sat beside him, waiting for him to exin about the sinking of the tendon. Yang Ping didn¡¯t confirm or deny, ¡°I need to figure out how to fund it. If nothing else works, I¡¯ll ask Director Han to apply for a waiver from the hospital, or pursue it as a research case.¡± Song Zimo paused for a moment, then said, ¡°Let me handle the cost. You don¡¯t need to worry about it, just focus on treating her illness.¡± ¡°I know you have money, but you¡¯re not obligated to do this.¡± Yang Ping knew that Song Zimo was considering paying out of his own pocket and was capable of doing so. Song Zimo lightly said, ¡°Think of it as charity, my grandfather would be willing.¡± ¡°Count me in!¡± Tang Fei chimed in when she heard they were discussing the cost. Yang Ping knew that they didn¡¯tck money. One had a BMW series 7, the other a Maserati. What a perfect pair, matched in both wealth and status. If they were willing, Yang Ping wouldn¡¯t stop them. This was voluntary, but wealth couldn¡¯t morally bind people. After all, they were also doctors here, not a charity organization. Someone knocked on the door. Huang Jiahui stood at the entrance. Seeing Yang Ping and the others discussing something, she realized she had interrupted. She bowed slightly, ¡°I¡¯m sorry for the interruption. I¡¯lle backter.¡± Yang Ping beckoned her in, ¡°It¡¯s okay, we¡¯re just chatting casually. What¡¯s the matter?¡± She entered and respectfully said, ¡°Teacher Yang, we need a set of consumables for tomorrow¡¯s anterior cruciate ligament reconstruction patient. I came to resupply in advance.¡± ¡°Oh!¡± Yang Ping remembered. These preoperative preparations, including calling for the equipment, were all handled by Song Zimo, Little Five, and Zhang Lin. Yang Ping now only handled the surgeries. ¡°The operation is at 8:30 tomorrow!¡± Song Zimo reminded her. Huang Jiahui nodded, but her nce lingered on the radiographic images on theputer. ¡°Teacher Yang, may I ask about this patient?¡± Huang Jiahui asked nervously. Song Zimo pointed at the screen, ¡°No problem, it¡¯s not a sports injury. It¡¯s a little friend with bone cancer. The family is already destitute from her treatment. We just discussed waiving the fees.¡± ¡°I¡¯m sorry to have interrupted.¡± Jiahui left the office almost running, took the elevator to the first floor, and immediately made a call to her brother. Chapter 158 - 0152: Short-sighted Chapter 158: Chapter 0152: Short-sighted Huang Jiacai hung up the phone and leaned back in his chair, his mind whirling with thoughts. He turned thirty and had retained his passions in spite of life¡¯s trials. In other words, he had ambition! Since the age of eighteen, he always thought he was capable of aplishing great things. Now, with umted experiences, it was time to make his move. He pondered for an entire month before making a bold decision. He quit his previous job and returned to his original line of work, this time focusing on medical equipment. Moreover, he chose to work with the smallestpany ¨C Sharp Medical, a start-uppany that survived on venture capital. It was apany that might disappear overnight! The office was located under the rented apartment. He rented a shop space of a few dozen square meters as the new starting point for his career. As the regional manager of Sharp Medical, he had only one subordinate ¨C his sister. Huang Jiacai squinted for a while, then got up and looked out the window, lost in thought. He sat back down at his office desk, took out his mobile phone, and dialed the business leader¡¯s number: ¡°President Jia, this is Huang Jiacai. I would like to report something very important to you. Yes, it is crucial to ourpany¡¯s expansion into the G City market -.¡± He then detailed the situation of the little girl with the bone tumor, proposing that thepany should fund the girl¡¯s treatment. By organizing a charitable event, they could solidify thepany¡¯s business rtionship with Sanbo¡¯sprehensive orthopedics department. However, the person on the other end of the phone did not share his opinion and didn¡¯t even bother listening to his entire report. ¡°Jiacai, ourpany is currently short of funds. Sanbo Hospital only uses a limited number of our products. Investing in charity work for them seems unrealistic. Your idea is good but-¡± After hanging up the phone, Huang Jiacai felt a bit helpless. He loosened his tie, untwisted the cap of the mineral water bottle on his desk, took a big gulp, and muttered a few words, ¡°Short-sighted!¡± Jiahui rushed into the office and noticed her brother, sitting in his office chair, smoking with furrowed brows. ¡°Brother, how did it go?¡± Jiahui asked cautiously. Seeing his sister had returned, Huang Jiacai immediately put out his cigarette in the ashtray. He didn¡¯t want her to inhale secondhand smoke. ¡°Useless! Narrow-minded! He mentioned that Sanbo didn¡¯t use many of our products and refused to fund the charity event.¡± Huang Jiacai¡¯s tone was steady even though he was furious inside. He always spoke gently to his sister. Their parents had passed away early. They relied on each other for survival. In Huang Jiacai¡¯s senior high school year, their parents died in a car ident. To allow his sister toplete her education, he tore up his college admission letter and determinedly went south to find a job. Regardless of difficulties he faced in life, he never raised his voice to his sister. Jiahui seemed disappointed: ¡°What can we do then? I think this is an excellent opportunity. Remember what you said, brother? To maintain a good rtionship with someone, you need to consciously and continuously strengthen the rtionship to make it more secure.¡± Huang Jiacai nodded. ¡°Correct!¡± He got up and scanned the room before saying, ¡°We will cover the cost ourselves. Go tell him tomorrow. No, do it now. We will fund the little girl¡¯s treatment. Also, do not let him know that I am in charge of thepany¡¯s business in G City for now.¡± ¡°Brother, are you saying we should pay for it? It¡¯s not a small amount. We would need at least tens of thousands, even up to hundreds of thousands. What if-¡± ¡°No, there are no ifs. If you don¡¯t believe in yourself, how can you reach your goal? Trust my judgement, I wouldn¡¯t misread people. Let¡¯s settle this, and don¡¯t discuss this with anyone else in thepany. Tell him that ourpany has annual charitable funding and we are willing to sponsor this child! We don¡¯t necessarily have to cover all of it, but we need to show enough sincerity.¡± Huang Jiacai resolved. ¡°Brother, I will go right away.¡± Jiahui was still catching her breath. ¡°Wait, don¡¯t tell him directly. Speak with the ward¡¯s doctor instead. Just mention that ourpany has an annual charitable allowance and that we have a spot open this year. If there are suitable patients, we can help apply.¡± Huang Jiacai instructed. Jiahui spun around, ready to leave immediately. ¡°Go slow, don¡¯t run. Watch your step,¡± Huang Jiacai warned his sister. ¡°Why should I not tell him directly?¡± Jiahui was puzzled and asked again on her way out. Huang Jiacai exined, ¡°You want to give a natural impression, not one that seems forced or deliberate, understand? Speak clearly, but pay attention to your tone and attitude. It should feel casual when you say it, got it?¡± ¡°I got it, brother!¡± Jiahui had just returned, did not even drink a sip of water, and was rushing out again. ¡°That girl! Such a mess!¡± Huang Jiacai shook his head, wearing a wry smile. Huang Jiacai opened the window even wider, lit a BaiSha cigarette, leaning on the sofa, closing his eyes to rest. When you meet at the lowest point, you can grasp each other at the peak! In a person¡¯s life, opportunities onlye once or twice, winning if you seize them, losing everything if you don¡¯t. He has to seize the opportunity strongly. Jiahui was holding an eco-friendly bag in her hand, running a bit towards the Orthopedics department. She felt a slight pain in her lower abdomen, gritted her teeth, pretending as if nothing happened. Arriving at the office door, she didn¡¯t see Little Five, so she called him, saying she wanted to check the patient data for tomorrow¡¯s surgery again to confirm the size of the surgical supplies. Not long after, Little Five came to the office. He had just been in the ward, doing perioperative education for tomorrow¡¯s surgery patients. With a calm demeanor, Jiahui said, ¡°Teacher Lu, can you help me measure the X-rays of a patient undergoing surgery tomorrow? I need the dimensions of the distal femur and tibial teau, can you?¡± It was a standard procedure for medical device salespeople to collect patients¡¯ relevant image data to better prepare the devices. Little Five was very satisfied with her seriousness. He started theputer, took the measurements carefully, and then gave the data to Jiahui, who noted it down in her notebook. ¡°Mm, please measure theteral images as well. I apologize for the trouble.¡± Jiahui was very serious. Little Five didn¡¯t find her bothersome. Both her beauty and sincerity served as excellent passports. After recording the data for theteral images, Jiahui closed her notebook, put it in her bag, and took out two bottles of Wong Lo Kat. ¡°Teacher Lu, you¡¯ve been working hard. I brought these for you.¡± Jiahui ced the Wong Lo Kat and the straws next to Little Five¡¯sputer. ¡°You¡¯re too polite.¡± Little Five didn¡¯t refuse. It was just a bottle of drink, after all. ¡°Oh, Teacher Lu, there¡¯s this arrangement we have where ourpany sponsors a few economically challenged patients every year. Since the year¡¯s almost over, we still have one slot. If you have any such patients, you can let me know anytime. I can apply for it.¡± ¡°Really, that¡¯s great. To what extent can you usually provide support?¡± Little Five asked interestedly. ¡°It depends on the patient¡¯s condition¡ªtens of thousands, hundreds of thousands¡ªit varies,¡± Jiahui gritted her teeth, trying to sound as casual as possible. ¡°Alright, this is a good thing. I¡¯ll contact you if there¡¯s a need.¡± Little Five bid her farewell. ¡°Thank you, Teacher Lu. I¡¯ll head off first. Bye.¡± Jiahui left the office. After leaving the Orthopedics department, Jiahui let out a sigh of relief, but was also a little worried. Did she give herself away? Would people think that she had deliberatelye here on a whim? She should have timed it right, right? She wasn¡¯t too ahead of herself, was she? Jiahui felt like she was still too naive ¨C without her brother¡¯s guidance, she would have been like a naive child, ignorant about everything. The word was out, and she had no idea whether Little Five would mention it to Yang Ping or not. All she could do now was to wait for the call. She checked her phone to ensure the ringtone and vibration were turned on. When she thought about it, she felt pain in her heart. It was really her brother who would foot the bill. She was used to being frugal, even buying her lipsticks from Taobao at cheap prices and carrying fake bags. She would usually pinch a penny till it squeaked. n/?/vel/b//jn dot c//om Now, at least tens of thousands would be spent in one go. The thought made her wince as though her flesh was being cut. She felt a bit nauseous. But her brother said it was doable, so it must be. Having walked so fast earlier, Jiahui¡¯s stomachache worsened. Every girl had a couple of tough days each month. She had to hold on. Her head began to grow heavy too. She touched her forehead; it was a little warm. Had she caught a cold because the weather had recently be colder? Jiahui crossed her arms against her chest and hurried to the office. The winter in the south was chilly, but it was much betterpared to their old home in Guizhou. But Jiahui preferred summer and hated winters. Her pretty face turned slightly pale. Jiahui took out a bottle of antifreeze cream, squeezed a bit of it, rubbed it between her hands, and the chapped areas stung a little. Chapter 159 - 0153: Dont Come Anymore Chapter 159: Chapter 0153: Don¡¯t Come Anymore Every surgery began on the dot, as urate as a clock. The anterior cruciate ligament reconstruction surgery began promptly at half past eight. To perfect this surgery, Yang Ping used his extra 6,000 points, and spent 2,000 of them in the system space to buy another hundred of the anterior cruciate ligament reconstruction procedures for specialized training, progressing this operation from skilled to perfection level. Director Han was extremely confident in Yang Ping. With every operation, he managed to achieve both speed and quality, wless. However, curiosity always gets the better of humans. The previous meniscus suturing surgery was not enough for him, for this anterior cruciate ligament reconstruction, Director Han decided to go up and observe again. Huang Jiahui didn¡¯t show up. Zhou Can made several calls, but she didn¡¯t pick up. Zhou Can ced the sterile packaged surgical materials on the instrument trolley. Not seeing Huang Jiahui, Song Zimo furrowed his brows, but as Yang Ping didn¡¯t say anything, Song Zimo didn¡¯t n to voice out his opinion immediately. He decided to talk to the young womanter. She should¡¯ve notified them if she couldn¡¯t make it. ¡°The duration of the surgery?¡± Fatty, out of habit, would always ask this when dealing with a new category of operation. ¡°Half an hour!¡± Yang Ping looked at the MRI of the left knee and the dual knee CT in scan + 3D reconstruction on the viewing light. The left knee patellofemoral groove was seriously deformed, and reconstruction would have to be performed during the operation. The patellofemoral groove is like an arch-shaped cave, but this cave had now copsed and needed to be reconstructed. What to reference if the original shape was gone? They had to rely on the right side; the right and left sides mirror each other. ¡°This patellofemoral groove has a high difficulty in reconstruction!¡± Song Zimo pointed out the patellofemoral groove on the image. ¡°The patient went to another hospital and they refused surgery, fearing problems arising from a bad reconstruction. If the reconstruction is not in ce, it will cause an impingement after the reconstruction, leading to aplete surgical failure; if the reconstruction is excessive, the patellofemoral joint will lose stability, and new troubles will arise.¡± Yang Ping exined to Song Zimo. Song Zimo took out a folded piece of paper: ¡°Look, this is the left patellofemoral groove that I drew based on the right knee patellofemoral groove CT 3D reconstruction, at 1:1 ratio.¡± Song Zimo unrolled the paper, and Yang Ping took it over. Indeed, it was well-drawn. If it were a simple rough reconstruction, many doctors could do that. But to draw specific and urate illustrations based on the right side, this spatial imagination ability was absolutely rare, very rare. This kind of spatial imagination ability is not something everyone possesses. It requires talent, one in a million. With the ability to y a blind game of Go, for an entire morning, without missing a single piece or making a mistake, what kind of capacity would thatmand? A memory and spatial imagination ability that is beyond the reach of ordinary people. Ordinary people think innguage, but geniuses think in arge number of images. Song Zimo was a genuine genius, proven! ¡°Get a pen!¡± Yang Ping immediately guided Song Zimo. Song Zimo asked Zhou Can for a blue-ck gel pen. Yang Ping brought out the 3D model that had been constructed in his brain in advance. This time, it was much easierpared to thest time, the model stayed in his brain for a longer time, although there were still some slightly blurred parts. Yang Ping instantly filled in the blurred parts with reference to the CT image in front of him. It was not as effortful, although it was still difficult, at least he didn¡¯t break a sweat. Yang Ping drew a new pattern under his own: ¡°When CT performs 3D reconstruction, there may be some image distortions due to pseudo shadows, and we need to correct them. Look, this part shouldn¡¯t bulge out, it should be smooth; here, it should be a bit deeper; and this arc needs a little correction.¡± Song Zimo could only force a smile. He could only draw mirror images based on CT 3D reconstruction images and could not use the original section images to do a reconstruction on the paper. But Yang Ping could. Mr. Ning from the Overseas Chinese Building didn¡¯t have a 3D reconstruction done at that time, only a CT in scan was done. Yang Ping was able to hand-draw a 3D reconstruction on paper based just on the in scan images. What terrifying mental power was required? It was beyond human ability. But Yang Ping had done just that, and Song Zimo had seen it with his own eyes. If Song Zimo knew that Yang Ping in front of him actually didn¡¯t need a paper at all, as he could create designs in his mind, he would probably take Yang Ping to do a head CT and MRI scan to see if there were any chips or simr things inside his brain. ¡°Are you discussing the reconstruction of the patellofemoral groove?¡± Director Han put his phone aside on the shelf and came over. Although Director Han hadpletely let go, he was still very aware of the conditions of the patients in his department. This was a sense of responsibility. He leaned over to look at the papers. These two young men had managed to draw the correct image of the affected side¡¯s patellofemoral groove based on the healthy side¡¯s one. One of them even corrected the pseudo shadows in the reconstruction image. ¡ª Huang Jiahui was not feeling well all night. She had a high fever and was drowsy. She reached out for her mobile phone on the bedside table, squinting her eyes open: ¡°It¡¯s forty past eight! Forty past eight!¡± The surgery started at half past eight, and she should have arrived at the operating room earlier. She was supposed to be at the operating room, standing next to the instrument trolley. She regained her senses instantly, as if a bucket of cold water was poured over her head. Her muscles all over her body were sore and she had a severe stomachache. Her brother didn¡¯te backst night due to some obligations, otherwise he would have woken her up. Jiahui was on the verge of tears. She immediately got up, dragging her heavy body, rushed to wash up, but first, she had to make a phone call. The operation had already begun, who should she call? Call Song Zimo, Yang Ping seemed to delegate these matters to him. ¡ª The phone on the table vibrated with a call from Huang Jiahui. Zhou Can picks up the phone: ¡°Song Zimo, it¡¯s a call from Huang Jiahui?¡± ¡°You answer it!¡± Song Zimo was busy. Zhou Can answered the call, and after listening, he ryed to Song Zimo: ¡°Huang Jiahui says she¡¯s sorry. She had a high fever from a coldst night, she still has a fever, and iste. She is on her way.¡± ¡°Tell her not toe!¡± Yang Ping had finished examining the knee joint, confirmed an anterior cruciate ligament rupture, and began to prepare to extract the tendon, the semitendinosus and gracilis from the same side. ¡°Little missy, you¡¯re pushing yourself too hard,ing over despite having a high fever. You won¡¯t need to be here for future surgeries,¡± Yang Ping was saying while working. Zhou Can understood Yang Ping¡¯s intention and ryed the message over the phone, ¡°Doctor Yang said you won¡¯t need toe anymore.¡±N?v(el)B\\jnn The level of mimunication was astounding. Was there a distinction between ¡°you don¡¯t need toe in the future¡± and ¡°don¡¯te¡±? ¡ª What does not having toe anymore trante to? To put it bluntly, it means scram! You are no longer needed in this sector! Without any prior notice, being absent from surgery is a severe mistake. One of her colleagues had made a professor irate by doing just that, and the professor responded by saying¨Cyou will not have toe in the future. In order to pacify the professor, thepany simply fired that colleague. Jiahui was so shocked that she had no desire to brush her teeth or wash her face anymore. Tears streamed down her face as she realized the trouble she was in. She quickly dialed her brother¡¯s number in search of help, but there was only a busy tone. With no other options, she braced herself, quickly freshened up and changed clothes. Ignoring the aching pain in her entire body and lower abdomen, Jiahui picked up her bag and rushed out of the house. A gust of wind made her shiver involuntarily as she crossed her arms to hug herself tightly. ¡ª The movements were so smooth they seemed exaggerated. Making a mere centimeter-long incision in the inner side of the knee, Song Zimo didn¡¯t even have time to see clearly. All he saw were forceps, a scalpel, and a tendon stripper operating in quick session beneath the small incision. Yang Ping took out two tendons skillfully, extracting to their maximum lengths. Both the semi-tendon and gracilis tendons exceeded thirty centimeters. ¡°Prepare the braided tendon!¡± Yang Ping handed over the two tendons to Song Zimo, and Song Zimo moved to the sterile instrument table to process the tendons. Meanwhile, Little Five held the leg as Yang Ping continued working on the knee joint. The camera was reinserted to trim the meniscus and started forming the intercondr notch. The quickly spinning drill resembled a carving knife. The severely deformed intercondr notch of the patient served as a nk canvas, slowly taking on the shape of a perfectly normal intercondr notch, meticulously carved out by the spinning drill. Next, they used a sma knife to cauterize the newly formed inner wall of the intercondr notch to stop bleeding and to deactivate it. This prevented the intercondr notch from regenerating bone spurs and causing re-narrowing in the future. ¡°Tibial locator!¡± Before Yang Ping could finish speaking, the instrument was already in his hand. He shared a knowing nce with Su Yixuan and continued with the surgery. The pre-adjusted tibial locator was positioned, and the electric drill, guided by a pin, prated the tibial teau to drill a tunnel. Releasing the electric drill and handing it over to Su Yixuan, a second pin was lodged to drill a second tunnel. ¡°Is the tendon ready? Report the size!¡± Yang Ping was waiting. ¡°Professor Yang! It¡¯s an 8-strand, double-bundle reconstruction! Can we slow down?¡± Song Zimoined, but his hands moved deftly to keep pace with Yang Ping. Being Yang Ping¡¯s assistant required speed and precision. ¡°Length 8 centimeters, diameter of the tibial end 7 millimeters, femoral end 8 millimeters. Both bundles are the same!¡± Song Zimo managed to keep pace effortlessly. ¡°7-millimeter tibial tunnel drill bit!¡± Varoom! The electric drill perfectly drilled two tibial tunnels. ¡°8-millimeter femoral tunnel drill bit!¡± Yang Ping dropped the electric drill; Su Yixuan took it immediately and switched to an 8-millimeter femoral drill bit. Without hesitation, she drilled two femoral tunnels. The thickness of the tunnel was pre-set to 25 millimeters. ¡°Measure the femoral tunnel¡¯s length!¡± The ruler was handed over, with the numbers already set up in reverse. ¡°Two tendons. Anterteral bundle: 25 millimeters at the femoral end both in thick and thin tunnels. Posteromedial bundle: 25 millimeters in the thick tunnel and 20 millimeters in the thin tunnel at the femoral end. Prepare the tendons quickly!¡± Song Zimo turned up his speed to the max, holding his breath. Just a few seconds after Yang Ping finished speaking, he had already adjusted the length of the suspensory steel te. The crucial part of this surgery was the shaping of the intercondr notch and precise double-bundle tendon tunnels. Any mistakes or inuracies in positioning could spell surgical failure, and in some cases, result in mobility issues. But Yang Ping finished all of these steps in just a few minutes. The rest of the procedure proceeded even faster. He inserted the tendon into the femoral tunnel, pulled out the cortical bone with a suspensory button, and then pulled back to flip the button. Then, he guided the tendon into the tibial tunnel and secured the tibial end with bioabsorbable interference screws. This was done for both tendons. In this way, both ends of the two tendons were imnted into the bone tissue, allowing them toe back to lifeter and fulfill the role of the original ligament. The entire surgery essentially reced the ruptured ligament with a new one, mimicking the work of the original ligament. ¡°Is it finished?¡± It was better not to look at all, each nce made his eyes flicker. Director Han had just left to examine a CT scan for a bit. When he returned to his seat to watch Yang Ping¡¯s surgery in detail, he was surprised to find out that the surgery was already over. At this moment, Huang Jiahui rushed in to see everyone putting away the tools and preparing to remove the sterile drape. It was over,pletely over! Jiahui felt a chill in her heart. Chapter 160 - 0154 Medicine, Iron, and Fire Chapter 160: Chapter 0154 Medicine, Iron, and Fire Yang Ping didn¡¯t notice Huang Jiahui, shedding his surgical gown, he went straight out of the operating room, with Jiahui quickly following behind him. ¡°Doctor Yang, I¡¯m sorry!¡± Yang Ping turned around, saw Huang Jiahui following him, and noticed her pale face: ¡°Why are you here?¡± ¡°I¡¯m sorry, today, I¨C¡± Huang Jiahui didn¡¯t know what to say. Seeing her so nervous, Yang Ping knew that she was concerned about beingte, so he reassured her: ¡°It¡¯s fine, I heard that you¡¯re running a fever. You¡¯d better go to the outpatient clinic to see a doctor right away and don¡¯t force yourself!¡± Wasn¡¯t she supposed asked to leave? Jiahui was surprised. She cautiously asked: ¡°Doctor Yang, can I stille back? Will ourpany¡¯s product be taken off the shelf?¡± Now it was Yang Ping¡¯s turn to be surprised. Why would she say such a thing? Remembering that week when Zhou Can called her, he smiled inwardly. She must have misunderstood, such an innocent person. ¡°They¡¯re still on the shelf. Please prepare some linked anchoring screws when you¡¯re free. They will be needed for knee joint quadruple reconstruction in the future.¡± Yang Ping washed his hands in the sink. Jiahui cheered up, nodding vigorously: ¡°Okay, I got it, I¡¯ll prepare them right away. Thank you, Professor Yang.¡± She helped tear off a strip of paper, folded it in half, and handed it to Yang Ping. ¡°No rush, go see a doctor first. Your face is very red, it looks like you¡¯re still running a fever. Do you want me to call a doctor from the Respiratory Clinic for you?¡± Yang Ping took the paper from her and dried his hands. Jiahui shook her head: ¡°No need, thank you, I¡¯ll go myself.¡± Watching Yang Ping¡¯s figure in the operating room corridor, Jiahui felt touched. Her nose tingled, and tears welled up in her eyes, seemingly against her will. Isn¡¯t it said that high-level doctors are difficult to serve? She had heard all kinds of bizarre stories from her seniors in the industry. ¡°Is there anyone you know in the Gamma Knife treatment room?¡± Yang Ping asked Song Zimo in the changing room. ¡°Are you nning to use the Gamma Knife to treat that little girl?¡± Song Zimo guessed. Yang Pingughed: ¡°Hippocrates once said, what can¡¯t be cured by medicine, should be treated with iron; what can¡¯t be cured by iron, should be treated with fire.¡± By ¡®iron¡¯, he meant surgery; and by ¡®fire¡¯, he meant energy. Radiotherapy is the application of various types of radiant energy. As for the Gamma Knife, it makes use of ultrasonic energy, also known as the High-Intensity Focused Ultrasound (HIFU) system. Compared to various types of radiotherapy, Gamma Knife uses ultrasound waves, which don¡¯t have the side-effects of ionizing radiation. The focused ultrasound waves are capable of targeting tumor tissues in mid-air, killing cancer cells with thermal energy. Tumor cells have a weakness, they are much less heat-resistant than normal cells. High-intensity focused ultrasound is beneficial if precisely targeting, but if not urately targeted, thermal energy can cause burns to normal tissues. ¡°I know someone there, I¡¯ll give them a call.¡± Song Zimo picked up the phone. Even though Young Master Song appears cold on the outside, his heart is fiery. ¡°Can you take me there now, is it convenient? I want to study the Gamma Knife.¡± Yang Ping had already changed his clothes. Song Zimo fixed his hair: ¡°Sure, it¡¯s very convenient, I will do whatever you ask. If conditions permit, we must do it, if not, we¡¯ll create the conditions to do it.¡± Most of the side effects of the Gamma Knifee from inurate positioning, whereby it targets normal tissues instead of tumor tissues, causing burns. If we are able to precisely locate the tumor area, the advantages of the Gamma Knife would be huge. Yang Ping made a gesture: ¡°Medicine, surgery and energy, we need to master all of these. Doctors may specialize in different fields, but medical skills know no boundaries. I n to use interventional techniques to embolize the tumor¡¯s blood vessels and administer local chemotherapy treatment. After the tumor shrinks, I¡¯ll carry out a precision missile attack with the Gamma Knife.¡± ¡°Based on what you have just said, you can definitely establish aprehensive tumor treatment system and publish numerous papers on it. If it¡¯s possible, I can write up the papers for you.¡± ¡°You know how to write academic papers?¡± Yang Ping feigned surprise. ¡°That¡¯s an offensive question. My doctoral paper is also published in The Lancet. How many Chinese doctoral candidates are published in The Lancet? Don¡¯t just focus on Su Nanchen!¡± Song Zimo replied with a nonchnt air. Yang Ping suddenly remembered that the Song Zimo in front of him was another Su Nanchen. He had been ordering him around all this time, not paying any heed to him, greatly overlooking him. ¡°Whether it¡¯s pharmaceuticals, surgery, or energy, they are all tools, weapons to cure diseases. Combining their strengths and covering their weaknesses as a cohesive unit can maximize their advantages. In warfare, the coordination of firepower is even important.¡± Yang Ping sat down to rest for a bit.n/?/vel/b//jn dot c//om Song Zimo finished his phone call and said: ¡°We¡¯re good to go. Shall we head there now? There aren¡¯t many patients there, most of them are gynecology cases ¡ª uterine fibroids and such.¡± ¡°Lead the way!¡± ¡°Speak up!¡± Zhang Lin and Little Five were pushing and shoving each other, looking really suspicious. Seeing them act like this, Song Zimo¡¯s face darkens: ¡°Did you guys get caught ying games by the medical inspector? Do you need your senior brother to help you argue your case?¡± These two little ones always whisper when they¡¯re up to no good. ¡°No, it¡¯s not that, senior brother.¡± Little Five sat next to Yang Ping, and Zhang Lin also sat down, both of them helping to massage Yang Ping¡¯s shoulders. Zhang Lin hinted at Little Five with winks and grimaces, Little Five saying impatiently: ¡°I know!¡± ¡°Senior brother, you¡¯re trying to find a way to pay for the little girl¡¯s bone tumor treatment, aren¡¯t you? Now there¡¯s a good opportunity, a charitable organization is willing to fund her.¡± ¡°Charitable organization? What charitable organization? You two are not the charitable organization, are you? Thinking of sponsoring her?¡± Yang Ping asked. Little Five immediately said: ¡°Not us, it¡¯s Huang Jiahui¡¯spany. They have quota for charity funding every year. They still have a slot left this year. If we have suitable patients, she can help apply?¡± Yang Ping mulled over this for a while with a smile on his face. This Huang Jiahui, she¡¯s thoughtful. She wants to do charity, so they¡¯ll give her the chance. ¡°Senior brother, what about this?¡± Song Zimo believes this needed more consideration. Yang Ping waved his hand: ¡°Little Five, you go and discuss with her, see if the little girl¡¯s situation fits thepany¡¯s standards?¡± ¡°Understood!¡± Little Five said happily. Little Five and Zhang Lin thought that Yang Ping wouldn¡¯t agree, so they didn¡¯t dare to ask. Now that Yang Ping has agreed, they can arrange this without any worries. With a spring in their step, Little Five and Zhang Lin left whilst Yang Ping and Song Zimo were chatting. When they arrived at the Gamma Knife treatment room, there really were not many patients. They had just finished treating a young woman. ¡°Brother Ming?¡± Song Zimo greeted the middle-aged doctor in the operating room. The man was bald and his head shone. Brother Ming got up: ¡°Young Master Song, what brings you here today? Don¡¯t tell me you want to use our Gamma Knife to perform ation for some special parts?¡± ¡°If I use your tool for ation, are you treating it as roasting eggs?¡± Song Zimoughed. ¡°This is Doctor Yang Ping!¡± Song Zimo introduced. ¡°Doctor Yang, a famous figure in the medical world. We haven¡¯t had the pleasure of meeting in person. Our department doesn¡¯t interact much with orthopedics.¡± Brother Ming invited everyone to sit. ¡°Brother Ming, I need your help today.¡± ¡°Young Master Song, don¡¯t be a stranger. Since we do not have many patients, feel free to explore as you like. Consider it as adding to our fun.¡± Originally, Brother Ming was a deputy chief physician in the ultrasound department. A few years ago, when the hospital introduced the Gamma Knife, they sent him abroad to study, so he switched to operating this Gamma Knife machine. Looking at him, his quality of life wasn¡¯t bad, he had an assistant, two nurses, and only a few patients. ¡°Look, the basic data is all here. There are more in the cab next door if necessary.¡± Brother Ming and his assistant each brought a stack of thick materials. ¡°The machine is right here. If you want to operate it, wait until we have a patient here. I¡¯ll guide you through it. If you have a foundational understanding of ultrasound technology, it would be simple. But if you don¡¯t, it might be difficult. There¡¯s another patientingter, she booked an appointment for a uterine myoma.¡± Brother Ming was very enthusiastic. ¡°Now, in the world, most tumor treatment knives, such as the TomoKnife, Beam knife, Gamma Knife, Proton Knife, heavy ion and the rtively new EDGE non-invasive surgical system, are based on the use of radiation. Among them, EDGE is the most advanced, only avable at the Henry Ford Hospital Tumor Center in the United States. These are all radiation therapy tools, the only exception is our country¡¯s own HIFU Knife which treats tumors using ultrasound. But since it¡¯s domestically produced, it¡¯s been rtively unknown. I treat mostly gynecology diseases, mainly uterine myoma, I¡¯m bing a gynecologist. Maybe I should go and talk to Director Mei in the obstetrics and gynecology department and ask if they can take me in.¡± Brother Ming shook his head helplessly. He still has some confidence in the Gamma Knife, but due to theck of patients, he¡¯s somewhat dissatisfied with this idle life. Doctors are ustomed to the tiring work; they can¡¯t stand to be idle. Yang Ping was reading the materials carefully. A lot of these were internal files of the equipmentpany, which aren¡¯t avable in the library in system space. As for the machine itself, system space doesn¡¯t have that either. ¡°Thank you for helping with my son¡¯s school enrollment.¡± ¡°It¡¯s nothing, just a phone call.¡± Song Zimo and Brother Ming were chatting, the two seemed to know each other well. It wasn¡¯t until a patient arrived that Yang Ping finished his work and left with Song Zimo. Director Han¡¯s call came in: Mr. Ning has had another turn of health; this time there¡¯s been a massive upper gastrointestinal hemorrhage. He¡¯s been taking anticoagnt drugs, so the massive hemorrhage has now be an issue. It¡¯s not known whether he can pull through this time. The Novel will be updated first on this website. Come back and continue reading tomorrow, everyone! Chapter 161 - 0155: The Last Time Chapter 161: Chapter 0155: The Last Time Yang Ping didn¡¯t even have time to eat, he immediately rushed to the Overseas Chinese Building. Director Kong led Yang Ping to the emergency ward, which was already crowded with people. There has been upper gastrointestinal bleeding, and his hemoglobin level is only 45g/l. Since he is on an artificial liver and magic lung, and continues anticoagtion, it is now massive bleeding. Relying solely on the human body¡¯s own coagtion function, stopping the bleeding is simply impossible. So conservative treatment probably won¡¯t work, he must stop the bleeding through gastroscopy. Mr. Ning is already being transfused with blood. Director Gan of the gastroenterology department, along with the doctors, nurses, and anesthesiologists, has pushed the endoscopy equipment to the bedside, preparing to perform bedside endoscopy for hemostasis. Life is fragile, yet it is so persistent. The matter of life, sometimes, is kind of unpredictable. With such low hemoglobin levels, Mr. Ning is surprisingly conscious, but his face extremely pale, his forehead sweating, all shiny. He lies on one side, his body slightly writhing. One of his hands is held tightly by Miss Ning, and the other hand is gripping the bedsheets hard. He is doing hisst resistance himself. The anesthesiologist wanted to use propofol for general anesthesia, but he refused. ¡°What time is the flight? Qiqi!¡± Mr. Ning is very weak and seems to pass out at any moment. ¡°The flight was at 15:55 yesterday afternoon, Canada time. It should arrive at Nandu Airport at 21:30 tonight, and here around 11 o¡¯clock.¡± Miss Ning helped her father wipe the sweat off his forehead, which was very greasy. ¡°I don¡¯t think I can hold on much longer. I know I won¡¯t make it this time! Please help me! Can you help me hold on until tonight? I¡¯m really scared that I won¡¯t wake up after the anesthesia. It will be a great help, Doctor Yang, could you stay aside?¡± Seeing Yang Ping, Mr. Ning grabbed Yang Ping¡¯s hand. Every time, Yang Ping was able to pull him back from the brink of death. In his heart, Yang Ping is a god who can guard the me of life, allowing it to burn a little longer. ¡°Don¡¯t worry, I¡¯ll stay here!¡± Yang Ping pped Mr. Ning¡¯s back of hand with his other hand. ¡°We can¡¯t skip anesthesia, it¡¯s too painful.¡± Director Gan, with his assistant, has put on a disposable sterile suit, a sterile hat, mask, and sterile gloves, quickly preparing the instruments by smearing lubricating oil on the lens. ¡°I can do it!¡± Mr. Ning was stubborn. Tears welled up in Miss Ning¡¯s eyes, seeming this time it was really a goodbye. She suddenly grabbed Yang Ping¡¯s hand: ¡°Doctor Yang, could you please figure out a way.¡± She wanted to let her father see his son onest time, to untie her father¡¯s knot of ten years, to fulfill hisst wish, so he could leave this world without any regret. She realized that she was too excited, lost herposure, and immediately let go. Yang Ping nodded his head: ¡°Don¡¯t worry, I¡¯ll figure out a way! Director Gan, don¡¯t use anesthesia. Let¡¯s get started. He can do it.¡± What kind of solutions could he find? It¡¯s all about giving him a glimmer of hope, a littlefort in his final moments. Mr. Ning nodded his head. Hey on his side. His colleagues in the endoscopy room moved swiftly and skillfully. The nurse hasid down a disposable sterile sheet and sat next to him, supporting Mr. Ning¡¯s head. ¡°Open your mouth!¡± n/?/vel/b//in dot c//om Once Mr. Ning opened his mouth, Director Gan skillfully put in the endoscope. The endoscope, like a snake, instantly went deep into his throat, sucked away some phlegm, then went into the esophagus. Probably because of the air stimulus, peristalsis urred in the esophagus. Director Gan didn¡¯t even wait for the wave of peristalsis to pass, he directly and skillfully pushed the endoscope in, all the way into the stomach. ¡°This kind of emergency gastroscope, carries a huge risk, especially under no anesthesia, the irritations of gastroscope can cause vomiting, vomiting can cause aspiration!¡± Director Gan said as he was performing the procedure. ¡°Don¡¯t worry, his lungs are virtually inactive now, it is being reced by the magic lung, carry on.¡± Yang Ping was on the side watching the screen. He, too, had put on a sterile suit, a hat, a mask, and gloves. Miss Ning also encouraged Director Gan: ¡°We have signed the informed consent form, we are willing to bear any consequences.¡± ¡°Can the family member please step outside?¡± Director Gan heard Miss Ning¡¯s voice and realized there was still a family member in there. Miss Ning was reluctant to let go, but Yang Ping said, ¡°Let her stay!¡± Director Kong had already greeted Director Gan. For this patient, what mattered most was that Yang Ping was present. Any treatment would be much more effective whenever Yang Ping was around. Director Gan didn¡¯t say anything and continued the endoscope procedure. ¡°You see the source of the bleeding. It should be a rupture of esophageal varices at the stomach base caused by portal hypertension. Look, there is blood everywhere, still flowing. Very fierce. If we can¡¯t stop it, transfusion is useless. The coagtion factors are consumed quickly, causing disseminated intravascr coagtion which is even more dangerous.¡± Director Gan showed Yang Ping the screen. The stomach shown on the screen is full of surging blood. They can¡¯t keep up with suction. It sucks the blood away, more res up. ¡°Such a fierce bleeding from esophageal varices at the stomach base, it¡¯s quite rare.¡± Director Gan was calm and collected. His experience told. ¡°Ice saline water, wash it with adrenaline!¡± The assistant had already prepared. The ice saline water went into the stomach through the forceps channel, which is the instrument channel, normally it could contract the blood vessels. But now it doesn¡¯t seem too effective, same as before. ¡°Still blind to the bleeding spot. I can¡¯t find the source of the blood.¡± Director Gan¡¯s operation was very skillful, but under these circumstances, indeed it is hard to find. ¡°Electrocoagte for hemostasis. The only thing we can do now is to electrocoagted at the rough position of anatomy.¡± The special cautery for gastroscopy went into the stomach through the instrument channel smoothly, arrived at the base of the stomach. Relying on his rich experience, Director Gan electrocoagted a few spots at the possible bleeding locations. Emergency medicine has its own way of thinking. Director Gan had encountered situations like this before. He knew what to do. After a few electrocoagtions, it seemed a bit better. But instantly, it went back to its original state. Still no use. ¡°Titanium clip hemostasis!¡± This was thest resort, also the most effective. Directly send the titanium clips into the stomach, mp it to the bleeding spot. ¡°If that doesn¡¯t work, I¡¯ll send a few more clips into it. Hopefully, it can mp it and stop the bleeding. Saving his life first is the priority. What¡¯s his blood pressure now?¡± Having his left hand ced on the operating end of the scope and his right hand holding the applicator¡¯s handle, Director Gan sent the titanium clip into the stomach through the instrument channel. ¡°82/40mmHg!¡± Although not under anesthesia, but the anesthesiologist was responsible for the monitoring. In the room, only the sound of the machine was heard, beep beep. Estimating the approximate location of the bleeding, one titanium clip mped it, one squeeze, the titanium clip was in ce, the applicator was pulled out. ¡°Continue, give me another one.¡± Director Gan was very stable andposed in the face of danger. The bleeding persisted, even after Director Gan had ced three titanium clips consecutively. It was not working. ¡°What¡¯s going on today?¡± Director Gan¡¯s confidence wavered. That¡¯s how it is with doctors. When theirst resort fails to produce the anticipated oue, their confidence naturally suffers. Yang Ping was not a specialist in gastroscopy and thus hesitated to interfere. Yet he notedmonalities in the procedure he observed. Every time the blood was suctioned away, he could discern the spot of hemorrhage, demonstrating the keenness honed through his systemic examination training. ¡°Look, that¡¯s the bleeding point!¡± Yang Ping pointed it out. ¡°Where? I can¡¯t see clearly!¡± Director Gan followed where Yang Ping was pointing. ¡°May I try?¡± Yang Ping proposed. The proposal was somewhat unconventional but unavoidable. He believed he could stem the bleeding. Where the others couldn¡¯t discern clearly, he could. Director Gan turned to give Yang Ping a look. Being a reasonable man himself, he figured it wouldn¡¯t hurt to let Yang Ping have a go, especially since they had run out of options. His motto was to treat a dying horse like a living horse-doctor. If they weren¡¯t getting anywhere, why not let someone else try? Yang Ping was a respected and trusted doctor ¨C a surgeon. He clearly had experience and confidence in performing gastroscopies. Having him involved would help distribute the risk at hand. ¡°Come on, Doctor Yang. Give it a try.¡± Director Gan made room for him. Yang Ping took the gastroscopy equipment from him. After fiddling with the instruments to familiarize himself with them, he quickly got the hang of it. There were simrities between arthroscopy and gastroscopy; both required disconnected hand-eye operations. The systematic long-term training not only enhanced Yang Ping¡¯s skills but also helped elevate his innate abilities. His confidence wasn¡¯t blind; he really picked it up quickly. ¡°Remove the blood. Keep removing the blood!¡± Director Gan directed from the sidelines. He wanted to make a graceful exit ¨C if Yang Ping seeded where he failed, these instructions would show that he could still share the credit. For him, it was a matter of saving face. In the short period when the blood had been suctioned out, Yang Ping immediately mped the bleeding point. Just one attempt, and he swiftly nailed it. Once the umted blood was suctioned out, the bleeding ceased. He fixed a titanium clip in ce, removed the holding device, and solved the problem with a single clip. ¡°No more bleeding! Doctor Yang, your skills are truly miraculous. Undoubtedly, you are the one who performed the five-segment rentation.¡± Director Gan was forthright in his praise. ¡°Where, where. I¡¯m just having some good luck these days. That¡¯s why I wanted to give it a try. Without Director Gan¡¯s guidance, I wouldn¡¯t have been able to do this.¡± Yang Ping modestly replied, giving Director Gan a face-saving exit. ¡°Well, there¡¯s that!¡± Said Director Gan, readily seizing upon the offered respect. ¡°Take a blood sample, quickly test forplete blood count and DIC panel, and monitor dynamically, every hour.¡± Director Gan issued the verbal order, which the nurses immediately executed. Miss Ning wiped away her tears, ¡°Has the bleeding stopped?¡± ¡°Yes, it has.¡± Yang Ping handed over the equipment to Director Gan. After washing with an ice salt solution, Director Gan performed a thorough check, no other spots of hemorrhage to be found. He suctioned out the gas from the stomach, put in a gastric tube, then withdrew the scope. Mr. Ning had been grappling with nausea throughout, once the scope was removed, he promptly vomited. Mixed with the blood was saline solution; this mess covered the bed and floor. The nurses were already ustomed to this and promptly cleaned up the mess. The deft orderly nearby hastened to help. After Director Gan¡¯s assistant tidied up the equipment and machine, and retreated, the nurses busied themselves cleaning up the waste. The janitorial staff mopped the floor first with a wet mop, then with a dry mop. With the exception of the attending physician and the critical illness management team, everyone else exited the room. Mr. Ning seemed to want to say something, but due to the taxing ordeal of vomiting and the ufortable gastroscopy, he was too overwhelmed to articte anything momentarily. He just pointed at Yang Ping. Miss Ning quickly fell in step with Yang Ping, ¡°Doctor Yang, could you please wait a moment?¡± Yang Ping paused, ¡°Director Kong, I¡¯ll stay for a while.¡± Miss Ning felt a pang of guilt for always imposing on him, ¡°Sorry, Doctor Yang. It seems that my father wants to speak with you.¡± This time again, Doctor Yang had helped him through a critical juncture. Both Mr. Ning and Miss Ning had noticed this, and it had touched their hearts. Yang Ping went to the bedside. At a time like this, he would halt for any patient. In his eyes, there were no billionaires¨C only patients. Mr. Ning pointed downward. ¡°Please sit!¡± Miss Ning moved a chair over. Yang Ping sat down. What Mr. Ning needed right now wasfort. At the brink of life, people often desire something for sce. Some turn to God, while Mr. Ning turned to Yang Ping. ¡°Can you stay with me?¡± Mr. Ning finally managed to utter this sentence. The next one seemed a long timeing. Yang Ping nodded, ¡°I will stay right here. Don¡¯t worry.¡± Mr. Ning slightly nodded, a smile eerily present on his face. Miss Ning felt awkward at imposing on a doctor to keep watch. However, seeing her father¡¯s satisfied smile, she said, ¡°Doctor Yang, I apologize for troubling you.¡± ¡°No problem! I¡¯ll just stay here.¡± Yang Ping knew that the massive blood loss and subsequent blood transfusion would soon likely result in disseminated intravascr coagtion. He wouldn¡¯t survive the night. Indeed, he wouldn¡¯t make it through this time. What reason could there be to deny a dying man¡¯s simple request? ¡°What time is it?¡± ¡°It¡¯s a little past noon.¡± ¡°That¡¯s still quite a long time.¡± Mr. Ning squinted his eyes andy down. Chapter 162 - 0156: Endless Waiting Chapter 162: Chapter 0156: Endless Waiting ¡°Doctor Yang, I will keep an eye on things here; you should go and eat. If anything happens, we will call you immediately!¡± Dr. Cheng, who had been watching over the patient¡¯s bed, returned from his lunch break. Miss Ning¡¯s eyes were still swollen red. Indeed, they had not yet eaten lunch because of the earlier rescue effort. ¡°Doctor Yang, we truly appreciate everything you¡¯re doing. Please go, we will call you if anything happens.¡± ¡°In that case, I¡¯ll step out for a bit, only for about ten minutes.¡± Yang Ping prepared to leave for his meal. It was necessary to eat when time allowed to stay energized for future emergency rescues. Yang Ping carefully checked all the device parameters again, scrutinized the urine bag and took note of the recorded urine output by the bedside. The urine output was rtively low, only 150 ml/hour, even though he had administered 40mg of Furosemide for diuresis. Renal failure was likely imminent, followed by multiple organ failure, pushing all bodily functions toward the brink of copse. As he exited the emergency room and walked down the corridor, he noticed Xiao Su standing not far off. Had shee to deliver food? He felt a rush of emotion. ¡°I tried calling and sending you messages on WeChat but you didn¡¯t respond. I ran into Song Zimo and Tang Fei in the cafeteria, and they told me you joined the rescue operation. I was denied entry at the door, so I called Director Han, who asked Director Kong toe out and collect me,¡± Xiao Su exined with a smile. ¡°The food is still warm. Please eat quickly!¡± Xiao Su guided Yang Ping to the dining room. As they sat across from each other, Yang Ping ate in a hurry without uttering a word. Xiao Suforted him, ¡°I heard about the patient¡¯s condition. Some situations are beyond our control. Just do your best.¡± After finishing his meal, Yang Ping looked up, ¡°I¡¯ve been a doctor for many years and it¡¯s still hard to watch a patient¡¯s life slip away in front of my eyes.¡± ¡°I understand you!¡± Xiao Su handed him a tissue. ¡°I might have to stay here today; the patient requested that I remain on standby.¡± Yang Ping said softly. Xiao Su cleared away the dishes and chopsticks, ¡°Alright, I¡¯ll bring you dinnerter and even make ate-night snack if need be.¡± Director Han exited Director Kong¡¯s office and called for Yang Ping. As Yang Ping stepped out from the dining room to answer the call, he saw Director Han waiting by the nurse¡¯s station. ¡°Yang, you¡¯ve been working hard today. Mr. Ning specifically asked you to lead the rescue efforts. Don¡¯t worry, the department is being managed by me and Song Zimo. You don¡¯t need to stay in the emergency room constantly, take a rest in the duty room if needed. They will call you if anything happens. If you have any questions, contact me anytime. Remember, your health is the most important. Got that?¡± After Director Han finished advising Yang Ping, he turned and instructed Director Kong to ensure Yang Ping got some rest, hinting that he wouldn¡¯t lend his staff for overworking if it were to happen again. Over in the Overseas Chinese Building¡¯s office, the atmosphere was bustling. Department directors gathered for interdisciplinary consultations on the rescue operation. Director Zhao from the Medical Department had stopped by several times, as did Dean Xia to keep apprised of the patient¡¯s condition. To prevent disrupting the rescue efforts, anyone not directly involved in the clinical emergency effort were staying in the office. Mr. Ning, a major entrepreneur in G City, had assets nearing one trillion in his conglomerate, a genuinely behemoth enterprise. News of his hospitalisation was kept a secret, especially the news of his worsening condition. Any negative news could cause fluctuations in hispanies¡¯ share prices and trigger a steep personnel upheaval. The hospital strengthened security measures in the Overseas Chinese Building. The entrance to the floor was secured, with additional security personnel stationed upstairs and downstairs to keep reporters and strangers out. Private bodyguards from the Ning Family were also allowed to station inside the hospital in cooperation with hospital security. Any hospital staff that wanted to enter had to get approval from Director Kong, while any of Ning¡¯s family members had to receive approval from Miss Ning¡¯s secretary. ¡°The hemoglobin level has started to improve, reaching 60. However, his coagtion function is not looking optimistic. The D-dimer level is unusually high as well. We¡¯ve increased the anticoagnt dosage, but there¡¯s a risk of disseminated intravascr coagtion at any moment. If microthrombi develop in the brain, it could cause extensive brain infarction.¡± Director Wei, who had rich ICU experience and was responsible for the emergency ward in the Overseas Chinese Building, was showing Yang Ping thetest test results. Multiple organ failure, disseminated intravascr coagtion, and extensive cerebral infarction were all immediate problems they were facing. n/?/vel/b//jn dot c//om In such a desperate situation, all they could do was hold on, for as long as possible. Director Wei¡¯s team, along with Yang Ping and Dr. Cheng, constituted a total of nine people guarding the emergency ward. ¡°Doctor Yang, please have a seat.¡± said Director Wei. Everyone, whether doctors or nurses, showed great respect to Yang Ping. The fact that he had been the chief surgeon on a five-section rentation procedure might not be known to outsiders, but it was well known amongst the hospital staff. From the first nerve root block analgesia, the second cing of the extracorporeal lung device to the recent endoscopy for hemostasis, Yang Ping seemingly could do everything. His exceptional performance with the endoscope earned him the respect of everyone calling him the epitome of a skilled doctor. ¡°Qiqi, check the time.¡± ¡°It¡¯s just a little past three.¡± ¡°Is time moving this slowly?¡± As Mr. Ning spoke, one could see through his skin to the outline of the muscles in his neck. His forehead, face, and neck were all sweating. Miss Ning had wiped his sweat several times; it was thick and greasy. Yet, his spirit seemed to be improving, in stark contradiction to his worsening condition. ¡°When you were young, I was busy with business. I didn¡¯t spend enough time with you. Now, if I try to recall your brother¡¯s face back then, I wouldn¡¯t be able to get a clear image without any photos. I am sorry, my children. If only I¡¯d spent more time with you, more time with your brother, perhaps things wouldn¡¯t have turned out this way.¡± Mr. Ning spoke the words clearly and effortlessly. ¡°Dad, don¡¯t say anymore. I know everything ¨C that everything you did was for us¨C¡± Miss Ning tried to suppress her emotions. ¡°Raise the bed a bit higher; give me the picture to look at again.¡± Mr. Ning tried sitting up. Miss Ning gave Mr. Ning a small framed picture from the head of the bed. It was a photo of his son, likely from high school. The boy, still in his teens, was ying a violin. Miss Ning raised the bed, padded the pillows behind Mr. Ning for him to lean against, semi-reclining. As he looked at the photo, with moist eyes and touching the image tenderly, he said, ¡°This child¨C¡± ¡°D-dimer continues to rise, going beyond ten thousand! His hourly urine output is decreasing, now only amounting to 90 milliliters ¨C anuria. Blood potassium reached 6.2mmmol/l!¡± Director Wei discussed with Yang Ping. ¡°Acute renal failure!¡± Yang Ping eximed. ¡°Dialysis?¡± Director Wei suggested before quickly rejecting his own proposition, ¡°It¡¯s pointless to do dialysis at this point. The DIC panel results havee in; disseminated intravascr coagtion has already begun.¡± Still, Director Wei went ahead and connected the bedside hemofiltration machine, in order to prevent hyperkalemia from causing cardiac arrest. ¡°We can¡¯t increase the dosage of anticoagnts anymore. Increase it further and any part of the body, the cranial cavity? The chest cavity? Or the abdominal cavity? You name it. It could start hemorrhaging.¡± Yang Ping said, looking at theb results on theputer screen. ¡°Shall we switch the ECMO to V-A mode?¡± Director Wei suggested. After a moment of consideration, Yang Ping responded, ¡°In V-A mode, blood in the heart could stagnate, which makes it more likely to form clots. Let¡¯s keep it in V-V mode!¡± Miss Ning kept looking at the clock, anxious and flustered, without any resolution at hand. All she could do was to wait. The state of Mr. Ning, however, continued to improve, his dim eyes unusually sparkled with intent. ¡°Everyone has been troubled during these times, especially you, Doctor Yang. When there¡¯s something on a person¡¯s mind, it affects everything else they do.¡± Mr. Ning spoke to Yang Ping, who was at his side monitoring the heart monitor. Yang Ping smiled at him, ¡°Don¡¯t mention it!¡± ¡°Qiqi, bring out the list!¡± Mr. Ning instructed his daughter. Miss Ning pulled out the list from her document bag, ¡°Dad, we¡¯ve gone over this several times already.¡± Mr. Ning said seriously, ¡°I will go over it onest time, you must listen carefully. The people crossed out on this list are those whom I have permanently removed for you; never rehire them. The ones circled are loyal, but because your qualifications didn¡¯t hold up, I¡¯ve had to sideline them. Eventually, you should restore them to their original positions gradually. In this way, they will be forever grateful to you and aid you wholeheartedly. Uncle Nong is the most trustworthy, but do not overly trust anyone; people change. In our position, we cannot afford to let emotions cloud our judgement. My dear, you are too kind-hearted; that¡¯s what I¡¯m most worried about.¡± ¡°Don¡¯t worry, father; I know what I¡¯m doing.¡± Miss Ning put the list away. Mr. Ning stroke his daughter¡¯s hair gently, ¡°From now on, the Ning family depends on you¨C¡± The whole afternoon was calm. Though his condition continued to worsen, his spirits remained inexplicably high ¨C like thest gleam of sunshine before an avnche. In the evening, Xiao Su brought over dinner. She had made it herself. She ate with Yang Ping, and after they finished, she wanted to stay with him. But worried about the implications it might have, she decided against it. Mr. Ningy back against the pillows at the head of the bed, eyes shut, mumbling and muttering about past experiences, memories spilling out of him in bits and pieces. Time slipped away with the hum and whir of the machines. ¡°Qiqi, what time is it?¡± ¡°It¡¯s eleven o¡¯clock.¡± Chapter 163 - 0157: Missed Chapter 163: Chapter 0157: Missed The ne arrived at Nandu airport at 9:30 pm, but now it¡¯s 11 o¡¯clock and the person still hasn¡¯t arrived. ¡°Has the nended?¡± Mr. Ning sounded a little tired, his voice raspy. ¡°Arrived a while ago, Xiao Feng has picked up Uncle Nong and your brother, they are on their way to the hospital.¡± Miss Ning sent one more message on WeChat urging them. ¡°Why haven¡¯t they arrived? This child¡­¡± Mr. Ning¡¯s eyelids were heavy, he finished his sentence, closed his eyes, and rested. The room was quiet, only the sound of machines. Blood was flowing in and out through various tubes. The doctor constantly checked the machines, analyzed the returned test data, issued various medical advice. The nurses were busy carrying out the doctor¡¯s orders, making timely nursing records. ¡°The blood oxygen has started to drop!¡± The doctor in charge of the venttor reported. ¡°There is a thrombus forming, the efficiency of blood exchange has decreased!¡± Director Wei analyzed. After a while, Mr. Ning said with his eyes closed: ¡°Qiqi, why is it so dark, don¡¯t turn off the light!¡± Miss Ning looked at the lights in the room; they were on. Her heart lurched, and she tightly held her father¡¯s hand. ¡°Dad, all the lights are on, don¡¯t be scared!¡± The sound of several machines was a bit noisy, and the monitor asionally emitted beeping rm sounds. ¡°Look!¡± Thetest blood test results came out. Director Wei quietly called Yang Ping to take a look. All the checked tests are shown. Normal results are in gray, high indicators are in red, low ones are in blue. Now, all of Mr. Ning¡¯sb tests are either red or blue. And critical values, the critical point when a patient¡¯s life is endangered, theb will report a critical value. There would be a special plum blossom mark next to a critical value. Now, there are not one or two critical values on theb test report but clusters of them. One phone call after another rang on the nurse¡¯s desk in the emergency ward. A nurse answered the phone, jotting down critical values while listening, without stopping. Considering all the reportedb tests, Yang Ping and Director Wei sighed helplessly in their hearts: multi-organ failure, disseminated intravascr coagtion, acute pulmonary embolism, acute myocardial infarction, acute cerebral infarction have all started. Mr. Ning¡¯s physiological functions as a living being have already begun to avnche. Time was slipping away, the candle was almost burned out, the me was flickering in the wind of the dark night, the tiny weak me was about to extinguish. Life always has an end, only some people leave quietly, while others keep looking back and waiting. ¡ª ¡°Xiao Feng, hurry up!¡± Uncle Nong kept checking his watch, clutching his pants with both hands, his palms full of sweat. ¡°It¡¯s been ten years, he must have forgotten he has a son. I grew up under his scolding. In his eyes, I¡¯m just a loser, everything I did, he hated it, looked down on it. I loved music, but he didn¡¯t understand. Dismissive when I won a school violin award by hurling my prize ¨C a bronze violin model ¨C into the trash calling it a waste of time, child¡¯s y. I can never forget that moment, never! Really, never! Since then, it became clear to me that he didn¡¯t recognize me as his son, he gave up on me. I don¡¯t care, I have my own life and I don¡¯t need to live ording to his will.¡± Xiao Ning scoffed, shook his head, his gaze fixed outside the window. He looked exhausted, holding a bag in his arms, his curly long hair embodying his artistic temperament. ¡°You¡¯re wrong! He loves you profoundly, although in a way you don¡¯t like, he has never given up on you. When you were jailed and didn¡¯t want to see him, on each of your birthdays, he would squat outside the prison smoking alone, regardless of whether it was raining, snowing, from dawn to dusk. You left without saying goodbye after being released from prison, he went to great lengths to search for you, even though he knew some leads were deceitful, he still rushed there without hesitation; do you remember the essay you wrote in middle school ¡ª My Dream? In it, you wrote about your most desired life, singing in a bar and ying the violin, you described that beautiful bar in your dream. Inspired by your essay, he built a bar, every brick and tile was installed by him personally. For this, he even fell and fractured his lumbar spine, and was bedridden for a whole month and a half; in these ten years, he¡¯s been calling your name in his dreams, longing to sit down with you, face to face, and chat properly.¡± Uncle Nong appeared exhausted, his voice hoarse. Xiao Ning remained silent, staring out the window, clutching the bag tightly in his arms. ¡°Do you remember this ce? The old factory area, which has now been demolished. You and Qiqi lived here when you were children. When the factory closed, everyone wasid off. I started venturing into business with your father, do you know the hardships we went through then? Of course you wouldn¡¯t know, because your father never told you. Let¡¯s not talk about that anymore. After your mother passed away, he never remarried, why? For fear of you being aggrieved! Given his status, would it be difficult for him to remarry? He not only didn¡¯t remarry, he didn¡¯t even have any scandals, why? All to take your sister¡¯s and your feelings into consideration! If he didn¡¯t care about you or you two, he could have 10 or 8 sons, why would he need to wait so eagerly for you to return now? For the child you injured, he sends money over every month, beyondpensation, every Spring Festival, Mid-Autumn Festival, Dragon Boat Festival, and the child¡¯s birthday, he personally visits. What is he doing? He¡¯s atoning for you, atoning for you!¡± Uncle Nong started to cough from getting too emotional. Xiao Ning took a deep breath, feeling a tightness in his chest, a dull pain. The old factory area was now lined with tall buildings, the buildings of his childhood no longer existed, but some childhood memories were still vivid. ¡°Daddy, my stomach hurts a lot!¡± ¡°Don¡¯t be afraid, daddy is here, we¡¯ll be at the hospital soon.¡± When Xiao Ning was five, he had acute appendicitis. He had abdominal pain and a high fever in the middle of the night. Coincidentally that night a typhoon hit, it was stormy and the buses stopped running, there was not a single car on the road. The ambnce might have been obstructed on the road and was still not there. His father wrapped him in a raincoat, held him, and ran to the hospital in the storm. ¡°Son! There are some things, if you miss them, you will regret it for a lifetime; some things, once lost, will never have a chance to be made up for!¡± Uncle Nong handed Xiao Ning a tissue. Wiping away his tears, Xiao Ning continued to stand in silence, gazing out the window. Uncle Nong¡¯s phone rang, a lump formed in his throat, a wave of dread washed over him. ¡°Uncle Nong, father¡¯s condition is deteriorating rapidly!¡± Miss Ning¡¯s voice trembled over the phone. ¡°Hurry up, Xiao Feng!¡± Urged Uncle Nong, tears streaming down his face, the Rolls-Royce hurrying through the darkness of the night. ¡°Your father is deteriorating¨C¡± Uncle Nong spoke gravely, incessantly gripping his thigh, gazing out the window.n/o/vel/b//in dot c//om Xiao Ning sniffled, ¡°Faster¨C¡± ¡ª Suddenly, Mr. Ning started fumbling for something under his pillow. Miss Ning reached in to help him and retrieved a small, exquisitely crafted, copper violin model. ¡°When you see him, give this to him and tell him that I love him and that he is the best!¡± The frail, trembling hand ced the small violin in Miss Ning¡¯s palm. He then maneuvered himself to a semi-supine position,y still, and turned his head to one side, towards the door. Mr. Ning closed his eyes. His voice was barely audible, he muttered: ¡°Qiqi, leave the door open. You stay, send the doctors out. Thank you, thank you, Doctor Yang, for all your hard work!¡± Time silently slipped away, such is life! After a long while, Mr. Ning let out a sigh. His voice was even softer. ¡°The boat has arrived, it¡¯s time for me to go, this child¨C¡± ¡°Qiqi, it¡¯s dark outside, go call your brother home¨C¡± His head remained turned towards the door. He fell silent; two streams of tears cascaded down his face. ¡°Father!¡± Miss Ning knelt beside the bed, clenching her father¡¯s hand, which was chillingly cold. The wave pattern on the cardiac monitor fluctuated wildly, then straightened to a t line. ¡ª As the elevator doors opened, Miss Ning¡¯s secretary stepped forward to greet them. Without waiting for her to speak, Uncle Nong dashed in with Xiao Ning. The secretary immediately alerted the security to let them through. ¡°Hurry! Thest room!¡± Their footsteps echoed hurriedly. Xiao Ning, burdened with his bag and struggling to catch his breath, followed behind Uncle Nong¡¯s hefty figure who kept urging them forward, pointing towards thest ward. Reaching the entrance, they found the door open and the room empty save for the cleaning staff inside. He recognized his sister sitting calmly at the bedside. Xiao Ning walked steadily towards his father¡¯s empty bed and asked nkly: ¡°Sis! Where¡¯s dad?¡± ¡°He¡¯s gone. He asked me to wait for you here!¡± She handed over a small copper violin model. ¡°He has kept this under his pillow for ten years, he asked me to give this back to you!¡± ¡°Before he left, he said he loves you, and you are the best!¡± Chapter 164 - 0158: Love, Must Be Voiced Out Chapter 164: Chapter 0158: Love, Must Be Voiced Out Life, ah¨C The patient persevered for so long, but in the end, he couldn¡¯t wait for his son and left with regrets. As a doctor for these years, I have seen countless partings of life and death, but this one pierced Yang Ping¡¯s heart the most. At thest moments of life, that look back, waiting, helplessness, sigh! It breaks one¡¯s heart! It was almost two in the morning, the streetlights dim, the overpass empty, the stalls had long been deserted. The winter in the south was also cold, Yang Ping, wearing only a shirt, stood alone on the overpass, allowing the cold wind to blow in his face, entirely forgetting to shiver. ¡°I love you!¡± He gathered the courage to send a WeChat message to Xiao Su. ¡°I love you!¡± Xiao Su immediately replied. ¡°Where are you?¡± ¡°On the overpass!¡± ¡°Wait for me!¡± ¡°Mhmm¡± Yang Ping leaned on the railing, his field of view dimly lit. At this moment, he really wanted a cigarette. Now he understood why, sometimes, in dimly lit ces, you would see people smoking alone. Xiao Su had already stood by his side without him noticing. She was wearing a long down coat and holding another one in her arm. She quietly approached and draped the down coat over Yang Ping. ¡°The patient is gone?¡±N?v(el)B\\jnn ¡°Yes, he didn¡¯t get to see his son onest time. I couldn¡¯t help him.¡± ¡°You did everything you could.¡± ¡°Increasing anticoagtion, switching the lung machine to V-A mode might have bought a few more hours.¡± ¡°That¡¯s unpredictable, it could have been worse!¡± ¡°He left without seeing the person he wanted to see, without saying the words he wanted to say!¡± ¡°Life is always full of regrets!¡± Yang Ping turned and took Xiao Su¡¯s hand and ced it in his own, warming it: ¡°I love you!¡± Then he tightly pulled Xiao Su into his arms, Xiao Su pressed against his chest, holding tightly to Yang Ping, her heart pounding. ¡°I love you too!¡± Life, ah¨C Love, it needs to be spoken out loud. In the cold wind, under the streetlight, on the overpass, the two of them held each other tightly. It took a long time for Yang Ping to gradually separate from Xiao Su, holding her beautiful face, staring at her. Xiao Su was trembling all over and slowly closed her eyes. Yang Ping gently, slowly, pressed his lips against hers, their two frantic, fiery hearts collided in the cold wind. The greatest distance in the world is not between life and death, but when I stand in front of you and you don¡¯t know I love you! ¡ª The sun rose as usual, but the weather was getting colder. Considering that Yang Ping had been up all night saving Mr. Ning, Director Han allowed Yang Ping to rest for the day. The surgery for the Chinese patient from Singapore was handed over to Song Zimo. It was a procedure to treat ischemic necrosis of the left femoral head by core dpression and ceramic stick imntation, a hip preservation procedure. Song Zimo¡¯s surgery was excellent, but his brilliance was only overshadowed by Yang Ping. Whether it was open surgery, surgery under the microscope, or arthroscopy, he performed all with beautiful proficiency. During lunchtime, Yang Ping freshened up. Since he had nothing else to do, he decided to take a round in the ward, then go to the cafeteria to have lunch with Xiao Su. Song Zimo hadpleted his surgery and was engrossed in examining the X-rays and MRIs of his newly admitted patients. When he saw Yang Ping enter, he was surprised: ¡°Why are you here, aren¡¯t you supposed to be resting? I¡¯m on the wards, don¡¯t worry!¡± Yang Ping sat next to him: ¡°It¡¯s fine, I had enough sleep. I came over to see if we have a new patient.¡± ¡°It¡¯s a case of an unstable right knee joint. A month ago, the patient had a history of dislocating the right knee joint, a PCL-A[L-M], ACL-P[L-M] injury, along with instability at the patellofemoral joint. Professor Zhang admitted the case. He said that you¡¯d be able to handle the surgery without any issues. He has absolute confidence in your skills.¡± Song Zimo exined the condition of the newly admitted patient. ¡°It¡¯s truly a PCL-A[L-M], ACL-P[L-M] injury!¡± After checking the scans, Yang Ping concluded that this case was even more severe than Su Nanchen¡¯s patient. ¡°How should we proceed? Step-by-step surgery or a single-phase procedure?¡± Song Zimo asked. Yang Ping responded: ¡°Complete it in one go!¡± ¡°Can we proceed with the surgery in one go? Is it feasible?¡± Song Zimo was still unsure. This surgery was quiteplex. Without experience with at least a hundred such operations, it would be challenging to master the bnce control required for sessful reconstructive procedures aiming to restore knee joint stability. Stability hinged on bnce. Where would Yang Ping go to get experience with a hundred such surgeries? He was well aware of the standard of sports medicine at the City People¡¯s Hospital. It was a mere trickle. Even the few cases they encountered each year were handled by First Attached Hospital. ¡°Why divide a procedure that can be done at once? Are youining about ack of surgical opportunities?¡± Yang Ping scoffed at him. Song Zimo had hit a dead-end, but he didn¡¯t care. He was already beaten ck and blue; a few taunts couldn¡¯t hurt him anymore. Yet Song Zimo cautioned, ¡°It¡¯s challenging to master this bnce.¡± As young people, it¡¯s easy to get carried away. He knew he too sometimes needed someone to keep him grounded. ¡°If the bnce isn¡¯t correctly established and revisions are needed, it would be troublesome. The options for the selection of tendons are not good,¡± Song Zimo pointed out. ¡°Rx,pleting the surgery in one go is actually better as it offers better control over bnce. Division of the procedure is the helpless choice of those whose skills are not up to the mark. We certainly don¡¯t need to resort to that,¡± said Yang Ping, nonchntly. ¡°What about that little girl?¡± Yang Ping recalled. Song Zimo answered, ¡°I checked up on her during rounds. She¡¯s doing quite well.¡± ¡°I¡¯ll go and check on her. You continue analyzing this patient¡¯s scans.¡± Ping went alone to see the little girl, who was ying with a Rubik¡¯s cube. She was surprisingly fast with the 3¡Á3 cube. ¡°You are so good at this! You can solve the Rubik¡¯s cube so quickly!¡± Yang Pingplimented her. ¡°I¡¯m not good. I lost to that big brother,¡± the little girl said, looking upset. ¡°Which big brother?¡± Yang Ping asked. ¡°The really tall one, taller than you,¡± the little girl described. She must be talking about Song Zimo. Song Zimo can solve Rubik¡¯s cubes? But then again, is there anything Song Zimo can¡¯t do? ¡°I¡¯m practicing now so that I can beat him. One day, I will defeat him,¡± the little girl said confidently. ¡°Are you going to be the one to perform my surgery?¡± The little girl suddenly asked. ¡°I¡¯m researching a n to use an ¡®invisible knife¡¯ for your surgery. It won¡¯t make you bleed nor cause any pain, but it will get rid of the fibroma in your body,¡± Yang Ping said, demonstrating with his gestures. The corners of the little girl¡¯s mouth twitched, as though she wanted to say something but refrained. ¡°Hmm! I believe you can do it. Because that tall brother said you¡¯re the best doctor he has ever seen,¡± the little girl gave a thumbs-up. ¡°He was boasting!¡± Yang Ping replied in a disdainful tone. ¡°No, he wasn¡¯t boasting. He said he could beat me with one hand on the Rubik¡¯s cube. I thought he was bragging, but he really did beat me using only one hand. So, I believe him. You are the best doctor,¡± the little girl asserted. ¡°I was thinking, no matter how good a doctor¡¯s skills are, people can¡¯t live forever,¡± the little girl said thoughtfully, her chin in hand. ¡°Why not? If scientists crack the aging code, humans might well be immortal,¡± Yang Ping teased. ¡°Impossible! The Earth, the Sun, the entire Milky Way gxy will eventually be destroyed. The universe itself has an expiration date. How could humans possibly live forever? At best, we can extend our lives a bit. If people could live forever, the Earth would be overcrowded and eventually copse under the weight. If these people choose not to have children, then they would be too selfish. Why not give new life a chance?¡± Yang Ping looked at her in surprise. Was this the thought the process of a nine-year-old? ¡°Ding dong! Reward of thirty-eight thousand points. Extra points for palliative care task!¡± The system sounded unexpectedly. It seemed that this task was not limited to nerve root blockage. The bronchial intubation for the pneumothorax case and the endoscopic hemostasis were also included as task contents, although thetter two were under stealth mode. Thirty-eight thousand points, Yang Pingughed. Truth be told, he was more concerned with gaining points in the system than earning money in reality, almost dozens of times more. Since participating in the rescue of the tumor patient, Yang Ping now wanted to unlock thoracoscopy,paroscopy, gastroscopy, even interventional procedures, at least to a perfect level. However, since the challenge for sports medicine was not yet conquered, advancement to the next level was locked. He had to take one step at a time. Before the Golden Knife Award, he had to unlock the entire orthopedics skill tree. The task was hefty, but it was a must. The Novel will be updated first on this website. Come back and continue reading tomorrow, everyone! Chapter 165 - 0159 Gausss Story Chapter 165: Chapter 0159 Gauss¡¯s Story At noon, after having lunch with Xiao Su at the cafeteria, he spent the afternoon sleeping in the office of the department. With the usual daily rewards, his score is now 51,000 points, enabling him to proceed with the surgical training. Yang Ping spent 10,000 points to purchase 500 cases of ACL reconstruction surgery, and another 20,000 points for 500 cases of knee multi-structure reconstruction surgery, leaving 21,000 points. He finished training for these 1,000 surgeries after spending about ten days in system space. The mall has a vast variety of surgical training packages. All you could want is avable for purchase, as long as you have enough points. The only drawback is the progression in training. You must take it step by step,pleting one advanced training session before progressing to the next. Afterpleting surgical training, Yang Ping carried out anatomy training in the system space, using his knowledge of anatomy for human brain mapping exercises. When he woke up, it was already after four in the afternoon. Song Zimo was sketching in the office, images of knee joint pentad injury. He drew the reconstructed structures on the images. Once he finished a sketch, he would cross it out and begin anew. ¡°I¡¯ve operated on the four-incidence reconstruction for ordinary people, but the pentad reconstruction for professional athletes is really hard to bnce. How can we urately determine the start and end points of these ligaments? And how do we adjust the tension among so many ligaments?¡± Song Zimo was very troubled. This type of surgery involves many structures to reconstruct: dual beams of the anterior cruciate, dual beams of the posterior cruciate, three structures of the posterior external side, three structures of the posterior internal side, a joint capsule that needs repair, pater external supporting belts that need to be released, internal supporting belts that need tightening. After all these structures are reconstructed, it¡¯s still not over. The tension for all these structures must be adjusted until they are satisfactory and bnced. Let alone performing such a surgery, even a sports medicine specialist may feel dizzy at the sight of it. Most of them would rather not go through the trouble, as in front of such surgery, the confidence that most doctors umted over time would be shattered. Not to mention that Song Zimo rarely came across such situations, even Su Nanchen from the First Affiliated Hospital seemed to feel powerless. After all, the number of cases were too few¨Chard to umte. Only a national sports medicine center like the third hospital in Beijing could umte arge number of cases. For Song Zimo to be able to manage ordinary people¡¯s four-incidence reconstruction and for Su Nanchen to be at the doorstep of the veteran surgeons in Beijing¡¯s third hospital with his expertise in four-incidence reconstruction in professional athletes ¨C these achievements alone makes them exceptionally gifted. ¡°When the timees, you willprehend after observing one surgery. Tell Jiahui to prepare the surgical instruments. As this is arge operation, prepare at least 10 allograft tendons for reconstruction,¡± Yang Ping instructed Song Zimo. ¡°As soon as the patient came in, I notified Huang Jiahui. She has already prepared all the surgical instruments. As for the allograft tendons, I have readied twenty, from Shanxi Medical Tissue Bank, one of the suppliers listed by our hospital. They¡¯re avable for immediate use. Sports Medicine Centers use theirs too. Huang Jiahui has a flu and is getting intravenously rehydrated in the emergency department. I told her not to attend the procedure but she is insistent and will be there no matter what,¡± said Song Zimo, having made thorough preparations for the operation, leaving Yang Ping with nothing to worry about. ¡°Was the Singaporean patient¡¯s surgery sessful?¡± Yang Ping asked caringly. Song Zimo confidently replied, ¡°Yes, it went very smoothly. I have the follow-up scan results. Whenever you¡¯re free, you can take a look at them. I sketched a three-dimensional model before the operation, simted the scraping off of the necrotic bone. During the surgery, we should have scraped off all the necrotic bone.¡± ¡°Well done!¡± Yang Ping gave a thumbs up. Song Zimo was a little embarrassed, ¡°Well, I ought to learn something from you. Compared to you, my spatial localization ability is vastly inferior.¡± This indeed was aplex surgery. Watching Yang Ping¡¯s surgeries can be addictive. They often led to unexpected discoveries, just like a sudden enlightenment. For this reason, Director Han had be addicted. His general orthopedics department had just started recently, and yet they have already begun performing pentad injury reconstructions. On Saturday, Xiao Su didn¡¯t go home. Yang Ping apanied her to y tennis in the hospital¡¯s court. Xiao Su was professional, while Yang Ping only had some experience with the sport during college. Naturally, he waspletely beaten by Xiao Su, and she became his coach. On Sunday, Xiao Su went home, while Yang Ping stayed inside without going out. He studied and brought back some reference materials on the Gamma Knife to read. On Monday, Director Han was in the operating room early. Normally he would note in until the surgery had begun. ¡°Little Five, adjust the video system a bit. We need to take snapster. I want to make a poster out of this surgery and hang it on the ward wall. This surgery, along with the multi-directional instability of the shoulder joint reconstruction surgery, rank among the most difficult surgeries in sports medicine,¡± Director Han directed Little Five as he sat. Last time, during the anterior cruciate ligament reconstruction, the sculpture of the femoral intercondr notch was like carving made by a sculptor. Relentlessly chiseling and chiseling until a perfect femoral intercondr notch had formed. Director Han had reyed the surgery video several times, and he firmly believed that Yang Ping must have studied sculpture and practiced sculpting the femoral intercondr notch with a burr. Otherwise, how could he have done it so perfectly? Director Han was right to assume that Yang Ping had practiced, but only in the system space. In the system space one could perform countless surgeries because there were no repercussions if you messed up ¡ª you just tried again. As long as points were umted, it continued to provide new cases. Regardless of whether it was pentamerous, hexamerous, septamerous, or even octamerous injury, they were all avable to practice on. Even cases that one might nevere across in real life could be simted in the system space. Yang Ping had previously used drills to practice in the system space, honing the art of intercondr fossa shaping. He studied numerous books on carving, understood the theory behind the art form, used the patient¡¯s intercondr fossa as the raw material for practice, and the drill as the carving knife in this body sculpting exercise. If Yang Ping was ever required to perform some stic surgery involving bone carving, he could entirely rely on this trick and open up a clinic specializing in it. Little Five was deeply interested in these medical devices. He was so adept at using this video system, he had be more familiar with it than the engineers who designed it. When the video system previously had a software bug, the manufacturers could not solve the issue despite their many apologies. Finally, it was Little Five who fixed the problem. Huang Jiahui had stopped running a fever, but she still looked very pale. As Yang Ping passed her instrument trolley, she bowed to him, ¡°Hello, Teacher Yang!¡± ¡°I hope you are feeling better. If you are not, you can take a rest. You don¡¯t have to be here,¡± Yang Ping said with a smile. To herself, Huang Jiahui thought how lucky she was to have met such a good-natured doctor. He had not shown too much discontent even thest time she waste. The reconstruction of the anterior and posterior cruciate ligaments wasn¡¯t very different from the previous surgery. The anterior cruciate ligament was anatomically rebuilt with an octuple-bundle technique to maximize its functionality, while the posterior ligament was also reconstructed with a double-bundle anatomical reconstruction method. The surgical principles were simr; only the positions of the bone tunnels were different. The surgery seemed effortless as if a major procedure had been conducted with the same ease as a minor one. If one didn¡¯t know better, they would think they are just making a minor surgery. After finishing the reconstruction of anterior and posterior cruciate ligament, the posteriorteral and medial structures were rebuilt. There were three necessary structures for the posterteral corner needed reconstruction: theteral coteral ligament, the biceps femoris tendon, and the popliteo-fibr ligament. For the posteromedial corner, there were also three structures: the medial coteral ligament, the posterior oblique ligament, and the oblique popliteal ligament. After reconstructing these eight structures, the joint capsule needed to be repaired. Theteral support band of the pate had to be loosened, and the internal support band had to be tightened, correcting the pate¡¯s track. The ligaments stretched alternately from the femur bone down to the tibia or the fib. Each one was to be inserted into the bone canal with precision and appropriate tension. They should all be considered equally without any bias. If anyone ligament was poorly reconstructed, even if it was a bit loose or tight, the surgery would bepromised, which meant failure. In the whirlwind of devices, the drill whirred on and off. One after another, the foreign tendons were handed over, and they became the patient¡¯s ligaments stretching anterior, posterior, medial, andteral¨C the entire joint was densely packed with inserted tendons. The operators seemed to be very light-hearted and the viewers felt just as easy. Afterpletion, they tested the knee joint for stability. It was incredibly stable¨Cthey had managed to perfectly bnce stability and tension in one go. Song Zimo was left puzzled. The patient was wheeled out by Little Five and Zhang Lin. Fatty was very cautious this time. He was afraid that the surgery had been too long so he used a lot of anesthetic. The patient¡¯s operated leg was still numb when they left. Song Zimo quietly approached Yang Ping and asked, ¡°Where have you practiced suchplex surgeries? Can you give me a convincing answer that is not too mystical?¡± Yang Ping was copying the video. ¡°Do you know Gauss?¡± he asked. ¡°Yes, I do. But what does this surgery have to do with Gauss?¡± Though Song Zimo was intelligent, he couldn¡¯t decipher the hidden meaning behind Yang Ping¡¯s words. Yang Ping stopped operating his mouse and said, ¡°When Gauss was 19 years old and studying at the University of G?ttingen, his teacher would assign him three problems every day. One day, his teacher only assigned two problems. But by mistake, a slip of paper with a problem on it, was stuck inside Gauss¡¯s textbook. Gauss quickly solved the first two problems, but he struggled with the problem on the slip of paper. He spent the whole night working on it. The next morning, he handed in his homework and said guiltily to his teacher, ¡®I¡¯m sorry, but I spent the entire night on the third problem you assigned me. I¡¯m afraid I¡¯ve let you down.¡¯ This problem had been a two-thousand-year-old mathematical mystery that neither Archimedes nor Newton could solve.¡± After copying the videos and the pictures, Yang Ping stood up. Song Zimo seemed to be in a state of shock, for the answer was apparent in the story itself.n/o/vel/b//in dot c//om Yang Ping patted his shoulder and said, ¡°Some people can learn the surgery by just watching it once, like you. Others can do the same by reading a book once and render the surgery perfect, like me. Believe it or not, it¡¯s up to you.¡± ¡°There¡¯s only one key to these kinds of surgeries; for single structural reconstructions, the position of the tunnel is crucial. For multi-structure reconstructions, you need both the right tunnel position and the right bnce. Both are indispensable. To adjust the bnce, you will need to rely on your instincts. The few centimeters listed in your textbook are useless. Finding your bnce is something you need to figure out on your own. I think after doing a few operations, you¡¯ll understand what I¡¯m saying today.¡± Yang Ping asked Su Nanchen for an email address through WeChat. He then sent the video of the surgical procedure for Su¡¯s reference as his patient would soon require simr surgery. Chapter 166 - 0160: Tops Video Chapter 166: Chapter 0160: Top¡¯s Video Yang Ping merely suggested sending a video for reference without mentioning the source of the video. After the surgery, Su Nanchen changed his clothes in the changing room, sat down for a break and downloaded the video from his email to his phone. He was preparing to perform a quadruple reconstruction on his patient, and now he had a quintuple reconstruction video, which seemed perfect for reference. As he watched the video, Su Nanchen became fascinated. Where did Yang Ping¡¯s surgical videoe from? Why couldn¡¯t he find a video like that on his own? The quintuple reconstruction video was even better than the surgeries he had observed in the United States. Could it be a top orthopedic surgeon¡¯s video from Germany or Japan? The Germans and the Japanese, who hold firmly to the concept of craftsmanship, are equally as adept in surgical operations as the Americans. If we go by this logic, it almost certainly belongs to a German or Japanese professional. He is very familiar with top surgeon¡¯s videos from around the world but for this one, based on the style of the surgery, he found it difficult to pinpoint an owner.The operation was delicate when necessary, and bold and efficient when required. Whose video of top surgery could this be? Su Nanchen brought out his collection of simr surgery videos from the New York Special Surgery Hospital, to review it once more, especially those by Professor Robert, a master of sports medicine, which he watched multiple times. But,the video was not theirs. Objectively speaking, it was somewhat better than theirs. Out of gratitude, Su Nanchen replied to Yang Ping on WeChat: ¡°Doctor Yang, thank you for your video, it¡¯s of great learning value to me.¡± ¡°The surgery was a bit rough, hardly worthy of learning. I hope you could take it as a reference,¡± Yang Ping said with humility. This guy has a big mouth. Even if it¡¯s a video of surgery from a world-ss expert, he said that the surgery was rough. Su Nanchen didn¡¯t know how to respond. Seems like Yang Ping usually appears humble but has a prideful personality deep down. This pride seems a bit over the top. Out of curiosity, Su Nanchen still wanted to know the source of the video so that he could pay homage to this expert in the future: ¡°Could you kindly tell me the source of the video?¡± Yang Ping seemed busy and didn¡¯t reply to his WeChat. Su Nanchen didn¡¯t want to keep on asking either. Su Nanchen buried his head back in the video which unfortunately had no sound or text annotations. ¡°Nanchen, what are you watching?¡± Professor Guan came into the changing room to change his clothes after his surgery. Su Nanchen replied, ¡°I¡¯m watching a quintuple reconstruction video.¡± Professor Guan seemed interested and came over for a look: ¡°Whose work is this? Someone from the New York Special Surgery Hospital?¡± ¡°No, a friend sent it over,¡± Su Nanchen said truthfully. The more he watched, the more interested Professor Guan became. These kinds of top-level surgery videos are very precious, often snuck out of the hospitals by doctors who are furthering their studies, and are then shared and studied. ¡°Could it be from the Tokyo University¡¯s affiliated hospital? This style is quite delicate. It doesn¡¯t look like it¡¯s from a European or American.¡± Indeed, the style of the surgery was finer than that of the Americans, but grander than the Japanese, a perfectbination of soft and hard. Guan Sheng, who has seen a lot and exchanged knowledge with many others, identified it: ¡°It looks like it¡¯s from the Tokyo University¡¯s affiliated hospital. Look at how delicate the movement of the lens is, the technique is flexible, the pursuit of perfection is everywhere, the attention to detail is spot on.¡± Guan Sheng had been around and seen many top surgeons at their work and was familiar with their surgical styles. ¡°Nanchen, this is some good stuff. Is your friend furthering his studies in Japan? Share this in our department study group. This multi-ligament reconstruction surgery video is world-ss. It would be a good learning tool for everyone.¡±Professor Guan changed his clothes and sat down to rest. ¡°For Chen Ge¡¯s patient, I¡¯m considering asking Professor Ye to do it. How about your patient? Agreeable to that? We are quite experienced in performing quadruple reconstruction and multi-directional shoulder instability, but we¡¯re still trailing behind Professor Ye. We still need to learn from him and strive to reach his level.¡± Su Nanchen uploaded the video into the group and titled it: A top surgeon¡¯s quintuple knee reconstruction. As they were all keen learners, there was no immediate response. After ten minutes, the group started to be active. ¡°Who¡¯s the top surgeon in this video? From the New York Special Surgery Hospital?¡± ¡°Watch closely!¡± ¡°Can¡¯t tell?¡± ¡°It looks like both the patient and the surgeon are Asian!¡± ¡°Detecting ethnicity by looking at the color of bone tissue? Aren¡¯t they all white?¡± ¡°There¡¯s a difference in the size of the medial andteral femoral condyles between Westerners and Asians, this definitely looks like an Asian style.¡± ¡°Did you measure it?¡± ¡°I actually paused the video and used the size of the probe in it to measure.¡± ¡°That¡¯s why you are a postdoc, what about the surgeon?¡± ¡°What about the non-microscopic view?¡± ¡°All I can see are the patient¡¯s knee joint and the doctor¡¯s hands. Nothing else.¡± ¡°All the anatomy lessons are wasted. See that knee joint? The part outside, isn¡¯t it skin colored? Clearly, an Asian.¡± ¡°You noticed that too? Don¡¯t Western countries have Asian patients?¡± ¡°Look at the gloves, the surgeon clearly has a seven and a half.¡± ¡°But the assistant¡¯s hand has an eight-sized glove.¡± ¡°You guys are all freaks, even your spections sound like noble truths.¡± ¡°Enough with guessing, one¡¯s knee joint or another¡¯s glove. You¡¯re missing the point focusing on the trivial, just look at the surgery. Fellows, be objective. Don¡¯t get ahead of yourselves, there are only a few hospitals that can perform this type of multi-ligament reconstruction, if you screen those, you will know who did it.¡± ¡°It¡¯s from the Tokyo University Hospital in Japan. No need for more guessing. I saw their expert¡¯s operation while I was there to study, it¡¯s simr to this one, I vouch for it with my integrity.¡± ¡°That of the Japanese, I¡¯ve seen too, but it wasn¡¯t this fast, right? All the tunneling here is done in one go, right? The Japanese measure several times.¡± ¡°Even the experts improve and have their own states, aren¡¯t youparing different stages of their career? This is the pinnacle of an expert¡¯s skill.¡± ¡°This kind of multi-ligament reconstruction is a world-ss operation. Based on the meticulousness of the technique, it rules out Special Surgery Hospital, Munich Orthopedics and others. Only the Tokyo University Hospital fits the bill!¡± Su Nanchen checks his WeChat, he hasn¡¯t replied yet. When he got home from work, mom was already off work, cooking in the kitchen. Dad was reading a book in the study. Su Nanchen also went in and sat across from his dad, checking his phone. ¡°Nanchen, what are you so absorbed in?¡± ¡°A knee multi-ligament reconstruction, supposedly from Tokyo University Hospital.¡± Su Qingyun paused his reading, took off his sses: ¡°Let me have a look.¡± ¡°Wait a minute, I¡¯ll put it on theputer.¡± Su Nanchen transferred the video onto theputer and yed it. Su Qingyun put on his sses again, and halfway through he said: ¡°This surgery is well done. Truly master ss. Those ligament tunnels, amazingly, they didn¡¯t even attempt to locate, directly got it in one go, very precise. The adjustment of the tension and bnce, every single detail is optimized.¡± ¡°If this video hasn¡¯t been doctored, it¡¯s realistic. Even Doctor Robert won¡¯t be able to achieve this level. This is purely unattainable. The position of those bone tunnels, all in one go, requires a lot of practice, right? Even Doctor Robert has to measure under the microscope, use special tools for repeated location, only then he could find the best start and end points. To adjust the tension and bnce, it requires even more step-by-step testing to be satisfactory. But the video doesn¡¯t seem to need suchplications, the doctor seems to have reached the peak in adjusting the tension and bnce. The final knee joint stability test, forward and backward, internal and external rotation stability, all very good.¡± Su Nanchen stood next to his dad, watching the video together. ¡°Where did this videoe from?¡± ¡°Doctor Yang from Sanbo sent it to me.¡± ¡°He is really keen on learning.¡± ¡°Dinner is ready, father and son, what are you discussing so enthusiastically?¡± Mrs. Su brought the dishes to the dining table. ¡°A surgery video!¡± Su Nanchen exined. ¡°You¡¯re doing operations even after work. Now you guys are discussing cases in the study after work. Where¡¯s your sister, she¡¯s even toozy to call now. She used toe home for the weekend on Friday after work, but now she onlyes back on Sunday mornings. Nanchen, what¡¯s the girl busy with these days?¡± ¡°She¡¯s all grown up now, we should give her enough personal space.¡± Su Qingyun said. ¡°This girl, something seems off about hertely. Nanchen, you need to probe into it.¡± Mrs. Su served the rice as well, and set the table. There¡¯s a new message on WeChat. Su Nanchen had a look, it¡¯s from Yang Ping: ¡°Oh, this is a surgery I performed today. I recorded it for you because I heard about a four-ligament reconstruction casest time. It¡¯s for you to refer to.¡±n/?/vel/b//in dot c//om He performed this? A violent shock ran through Su Nanchen¡¯s heart. The Novel will be updated first on this website. Come back and continue reading tomorrow, everyone!