I'm just a veterinarian! You've unlocked the Great Physician System!

Chapter 120 Severe hernia, desperately kicking his legs, physical anesthesia with bricks, Old Zhang admires him!!
System scan complete.

Patient's name: Unknown.

[Patient's gender: Male.]

[Disease type: Umbilical hernia.]

[Patient's condition: A large hernia has formed in the abdomen, accompanied by indigestion and adhesions to some internal organs.]

[System Prompt: Under normal circumstances, an umbilical hernia does not connect with internal organs. This particular umbilical hernia is an extremely serious type, with internal organs embedded within it. The host can advise the patient to go to the hospital as soon as possible for umbilical hernia removal surgery. Removal of the umbilical hernia will grant 40 professional reputation points.]

This is the system scan result.

Almost without any surprises.

Just as he had predicted, his second senior brother developed an umbilical hernia.

What I didn't expect was that the other person's umbilical hernia was a rather complicated type.

Random daily tasks are being distributed.

[Mission Description: The current host has discovered an umbilical hernia patient. The patient's current level is intern, meaning they cannot perform Level 1 or Level 2 surgeries, but there is an opportunity to participate in two hernia suturing procedures.]

[Task Name: Daily Random Task]

[Task Requirements: Participate in two hernia surgeries within two days.]

[Task time: 2 days. 】

[Task Rewards: Rewards will be distributed based on the rating.]

【Task progress: 0/2.】

[Mission Penalty: No reward for failure.]

In addition to scanning.

He didn't expect that he had activated another daily task.

As an intern, he was tasked with participating in the suturing work for two hernia removal surgeries.

The duration is two days.

Just imagine.

If I were an intern at a hospital right now, let's take the emergency department of Qingzhou First People's Hospital as an example.

Then the system issues the task.

The requirement is to participate in two hernia surgeries within two days.

It seems quite difficult.

After all, there aren't patients undergoing hernia treatment every day. Sometimes there are four or five, or even ten, patients a day, but sometimes you're unlucky and don't see any.

Even if you were given the opportunity, as an intern, you might have a chance to participate in odd jobs, but sewing is definitely not something an intern could do.

I'm afraid I'll have to go through some social niceties just to barely get a chance to participate.

Unlike now, when he works as a veterinarian.

Hernia surgery!

I operated the whole process myself!

There's absolutely no fear of not having a source of hernia.

If all else fails, just go to a pig farm!
Some piglets will have a hernia.

After all, this is a fairly common disease in pig farming.

Then sew it up!

Then there is even less need to worry.

I perform the surgery myself, so what difficulty is there in suturing?

Another day of thanking system bugs.

"Adorable Veterinarian: @PetDoctorXiaoyu, tag my friends with a taste for the extreme, come and see."

"Veterinarian Xiaoyu: There's no need for that. I've always had a strong palate."

"Damn, I never win a lottery: For those with a taste for the extreme! @LittleStarInTheSky"

"Pipi Ghost: It feels like Veterinarian Zhang is getting more and more skilled at live streaming now; he can recite those little rhymes one after another."

"I don't like eating melons: Is that big lump a hernia? That's terrifying!"

"Starlight: The pigsty really stinks. I almost fainted when I happened to pass by last time. It's not easy being an agricultural worker or a veterinarian."

"I love roast goose: As a pig farmer, especially in summer, the taste is unbeatable, no amount of rinsing with water will save it."

"A Calm Egg Fried Rice: My 5-month-old puppy has a small lump on his belly. Does he need surgery? Will the lump go away on its own?"

"A chubby orange: Feel it; is it soft? Abscesses tend to be harder and feel swollen. Especially check if there's anything moving around. If it's soft, it's very likely an umbilical hernia. For umbilical hernias, it's recommended to have surgery performed by a professional."

Studio.

After Zhang Lingchuan finished speaking...

One by one, the viewers started chatting.

Some people even shared photos of their own pet dogs.

[Zhang the Veterinarian's daily live stream viewership: 70109.]

[No. 12 on the Veterinarian Daily Livestream Competition Popularity Ranking.]

As for the number of viewers during the live stream.

Less than ten minutes into the broadcast.

Seventy thousand people have already entered.

He consistently ranks twelfth on the overall popularity list, and almost every time he goes live, he reaches twelfth place on the daily live streaming list.

of course.

Whether it's the eleventh-ranked animal doctor, Meow Meow, or the tenth-ranked Little Dongmei.

Both of them were trembling.

[NO.1 Veterinarian Novice "1910.92 million views"]

[NO.2 · Dr. Wang, a pet doctor "1210.13 views"]

[NO.3 - My Experience as a Veterinarian Abroad (920.31 million views)]

[NO.4 Animal Nutritionist Qiang Ge "820.10 views"]

……

[NO.9 - Hong Ge being insulted by a dog "661.10 million views"]

[NO.10 Animal TCM Doctor Xiao Dongmei "431.11 million views"]

[NO.11 Animal Doctor Meow Meow (309.14 million views)]

[NO.12·Zhang the Veterinarian's Daily Life "230.60 million views"]

This is the current gap between the two rankings.

The difference in popularity between him and the animal doctor Miaomiao is only over 700,000.

It's worth noting that there was a difference of over a million between the two parties.

As for Xiao Dongmei, a practitioner of traditional Chinese medicine for animals.

Where does the other party's fan base lie?

Each live stream attracts 450,000 viewers.

Seeing Zhang Lingchuan catching up, she didn't care about the hype anymore.

We'll see how much it increases each day.

It's all about swiping!
Hold onto your tenth place position!!
"Oooooooo-"

Right now.

A pitiful scream came from the camera; it was Pigsy being captured by the pig farmer.

He is kicking his legs with all his might.

"Everyone, this blue cloth outside is the operating room where we will be performing surgery in a little while."

The camera then shifted to the operating room.

It was a makeshift operating room covered with a blue waterproof sheet.

After all, pigs are not human.

So basically, it's just a simple surgery performed outside the pigsty.

"Right now, our pig farmer, Mr. Meng, is fixing his pig with his kind-hearted neighbor. As you can see, this hernia is already about the size of a small balloon. Let me also take this opportunity to share some information with you."

At a fixed time.

Zhang Lingchuan casually touched the hernia on his second senior brother's stomach, which looked like a balloon.

And then he shared some knowledge with everyone.

"Generally speaking, umbilical hernias in pigs are divided into incarcerated Pitot's hernias and reducible hernias. Incarcerated Pitot's hernias are generally smaller but pose a greater threat to pigs. In the later stages, they can cause lethargy, rapid heart rate, cyanosis of visible mucous membranes, and even shock. Simply put, the intestines are clamped shut. Reducible hernias, on the other hand, are like the ones we see now. They are very large, like balloons, and some are even as big as the head. Normally, these types of umbilical hernias do not affect the pig's life. They just look scary and prevent the pig from fattening up. However, if the umbilical hernia is so large that it drags on the ground and ruptures due to friction, then it's definitely the end of the pig."

Facing the camera.

Zhang Lingchuan explained the difference between incarcerated hernia and reducible hernia.

Of course, these words are mainly for new pig farmers.

And some veterinary students.

"That's a really detailed explanation. I didn't know there were so many types of hernias."

"I took notes. Today we were talking about hernias, and then I witnessed a vivid practical lesson at Dr. Zhang's place."

"To be honest, we basically don't care about the big belly button pigs at my factory. They basically won't die, they just won't gain weight, they'll weigh at most 230 pounds. We raise more than 4000 pigs at home, so we can't manage them all."

"If this kind of hernia grows too big, it's very difficult for the pig to survive. There's a 99% chance it will die because pigs don't just sit and wait to grow. They keep rubbing themselves, and if the umbilical hernia ruptures and the intestines are worn through, there's no hope."

"So that's the disease. My brother's pig farm kills twenty or thirty of these big-bellied pigs every year! I was young at the time and thought they were possessed, especially after watching horror movies about 'ghost babies' that scare people to death."

……

After Zhang Lingchuan finished speaking...

Immediately, netizens began to comment.

Some people even talked about their own family stories.

"I never expected this kid to explain things in such detail."

After listening to Zhang Lingchuan finish speaking, Old Zhang, who was standing to the side, said something rather unusual.

To be honest, this is the first time I've ever watched my son's live stream.

"Uncle Zhang, you have no idea, Teacher Zhang's live broadcast room not only has many farmers, but also many veterinarians watching. Many people like his live broadcast style and say that they can answer questions correctly if they write it down in their exams."

Chen Qian immediately replied.

This wasn't something she made up.

But I did see similar comments.

The other party expressed gratitude to Dr. Zhang, a veterinary student, for explaining the surgical procedure in detail during the live broadcast, and for answering the multiple-choice question correctly at the time.

"Wow! How many fans does he have after doing this for so long?"

Zhang Zhenghai looked at Chen Qian with great curiosity.

He himself doesn't use TikTok or anything like that.

Therefore, we do not know the other party's data.

"Right now? I have over 700,000 followers. The highest number of viewers in my live stream has reached 80,000. I'm ranked 12th on the daily leaderboard and 12th on the overall competition leaderboard."

Chen Qian glanced at her phone and replied.

"Huh? Over 700,000 followers! And 80,000 people are watching this right now! It's even reached number 12 on the overall rankings?!"

Zhang Zhenghai was completely baffling.

It seems this kid has actually succeeded.

So what we talked about at the hospital yesterday.

The statement that someone wants to be a veterinarian rather than a human doctor is quite credible.

Indeed.

Compared to the complexity of human medicine.

Veterinarians are indeed much simpler.

The only downside is that it takes some effort to control the pigs.

"Oooooooo-"

"Hold it down!!"

Four people are holding the pig down.

Everyone was giving it their all. And Zhang Zhenghai, as a veterinarian, was also feeling incredibly excited.

I still want to go up and help.

But my foot wasn't fully healed either.

Don't be fooled by how small this pig is.

But the opponent's explosive power is something that ordinary people can't withstand.

"As anyone who has ever had a pig massage knows, this is the most difficult part of the process in Baoding. It basically requires the effort of a full-fledged surgery, and your entire hand will be sore the next day."

In the lens.

Each of the four people was in charge of a pig's leg.

Zhang Lingchuan then spoke in a half-complaining manner.

He once helped massage a pig when he was in college, and the pig really kicked its legs desperately!

"Veterinarian Zhang was right. We treated one before, and our hands were sore the next day."

"I also tried to control a 150-pound one a few days ago, and I almost couldn't hold it down."

"Pick up a brick and use it to physically stabilize the area!!"

"Haha, I think it's good that Dr. Zhang has more nonsensical humor. Anyway, I really like it."

"Live streaming is all about constantly forging your own path."

All of a sudden.

Quite a few netizens actually shared the same sentiment.

After all, they came to the live stream.

Many of them are related to veterinarians.

They are either farmers, students, or people who are interested or whose families have raised livestock before.

[Zhang the Veterinarian's daily live stream viewership: 90101.]

[No. 12 on the Veterinarian Daily Livestream Competition Popularity Ranking.]

The live stream reached a peak viewership of 90,000.

The surgery hadn't even started yet.

Chen Qian, Song Wanqing, and others looked at today's live stream data with a strong sense of excitement in their eyes.

If today's live stream is as exciting as the last one...

It's possible that the number could exceed 250,000 or even 300,000.

"Alright, the pig is basically secured now, it's in a 'four legs in the air' position. Now let's put on disposable gloves, or if we wanted to be more formal, we could wear a full set of white protective suits, but we don't need to here."

Zhang Lingchuan opened the medicine box.

Put on disposable rubber gloves.

At the same time, he introduced himself to the camera that Song Wanqing had brought to his face.

"Regarding the Baoding part, I have to add one more thing: it is essential to keep the pig firmly in place. Otherwise, it might start moving around halfway through the procedure or even run away, which would be very troublesome. If you are a complete novice performing this surgery, I suggest starving the pig for two days to reduce its abdominal pressure, which will make the procedure easier."

I feel that quite a few pig farmers are watching my live stream.

In principle, you can perform hernia surgery yourself.

A good fixed structure is the foundation.

"Great advice, remember it, and make sure you stay safe!"

"I feel like I learn a lot every time I watch Dr. Zhang's live streams."

"My grandfather is also a veterinarian. I once saw him treat a pig like this. Halfway through, the pig slipped out of his hands, and its intestines fell to the ground and were ruptured. In the end, he couldn't save it. Poor pig."

"Huh? The pig can still run around halfway through treatment? Aren't we supposed to tie it up? We've already tied its legs up."

"Speaking of which, why not use anesthesia? Wouldn't general anesthesia be safer?!"

"I don't know, some people get anesthesia and some don't. It seems like Veterinarian Zhang isn't planning on using anesthesia either?"

Because it is detailed down to every single step.

It's like a tutorial.

The activity level of the viewers is several times higher than before.

"I'm sure some friends will ask whether anesthesia is needed for this kind of surgery. Normally, we charge 100 yuan for surgeries performed on pigs with anesthesia, and 80 yuan for surgeries without anesthesia. I'm very skilled at performing this kind of surgery. Generally speaking, general anesthesia is rarely used, local anesthesia is occasional, and most of the time we don't use anesthesia. After all, we want to save our boss 20 yuan if we can."

Zhang Lingchuan smiled knowingly.

Their prices are quite reasonable.

"No anesthesia needed! How much pain must it be for you, Pigsy? Why aren't you moving?!"

"That's so cruel! They didn't even use local anesthesia!"

"Yes, that's definitely not necessary! Raising livestock is about cost considerations, not pets, so there's not that much emotional attachment involved."

"Pig farmers say they're already worried about money for feed, let alone anesthesia; they'd rather avoid anesthesia altogether."

"Veterinarian Zhang, I'd like to consult you about something. I graduated with a bachelor's degree in logistics management three years ago, but I really love the pet industry and want to get a veterinary license. However, I'm switching fields and don't know where to start. Could you give me some pointers?"

"Veterinarian Zhang won't see this. He hasn't even replied to my private message. Asking here feels pointless. But you can enroll in a correspondence course in animal medicine first. You can get a bachelor's or associate's degree. It takes about three years to get the certificate, and then you can take the veterinary licensing exam."

While the viewers were chatting.

Zhang Lingchuan had already prepared the surgical instruments.

Surgical instruments, scalpels, alcohol swabs, sutures, hemostatic forceps...

After all, as a professional university clinical veterinary student, the only thing I have is a lot of tools.

"Whether you are a novice or an expert, the first step in performing umbilical hernia removal surgery is to ensure that the skin is clean. First, wash it with clean water, then disinfect it with alcohol, and then apply iodine."

Zhang Lingchuan said.

One side has already been cleaned with water and alcohol has been applied.

"Old Zhang, how about it? Everyone says your son's procedure is very standard."

The speaker was Boss Meng's wife, Wu Rimei.

Because we often interact, we are quite familiar with each other.

"After all, those who graduated from regular universities are not as qualified as me, who came from an unorthodox background."

Looking at his son's set of tools and his standard cleaning procedure.

Zhang Zhenghai finally understood why this kid had such a high reputation among his group of old friends.

Everyone who has undergone surgery with him says it's good.

Everyone says he's better than him.

Just displaying this set of tools is quite intimidating.

And the cleaning technique is truly exquisite.

Anyway, someone like him would just brush it and wash it.

Gloves and the like are basically out of the question.

Just wash your hands and start.

"Next, we're going to make the incision. Normally, the incision is chosen based on the shape of the hernia. Some are spindle-shaped, while others are cut from the middle. The most suitable place for our hernia is to start cutting from the middle."

As Zhang Lingchuan spoke, he took the knife and made a cut on the area that had been disinfected with iodine.

The incision he chose was in the middle of the balloon-shaped umbilical hernia.

[Ding! Host detected performing independent hernia surgery in an unknown environment!!]

[Healing and saving lives is paramount; medical ethics come first. Host, please do not risk surgery to complete the mission!]

[Furthermore, to prevent unscrupulous hosts from recklessly exploiting human lives to complete missions, once a patient's vital signs disappear, the mission will fail, and the sensitivity of daily missions will be drastically reduced. The host may not receive any daily missions for one or two years. It is recommended to think carefully before proceeding and immediately send the incisively operated patient to the hospital.]

as predicted.

He knew that every time he performed surgery, this stupid system would always intervene.

I was just thinking that something seemed to be missing.

Normally, shouldn't the other party pop up a notification as soon as they start disinfecting?

As a result, he cut himself with the knife.

Three prompts popped up immediately.

It also prevents unscrupulous hosts from recklessly taking lives to complete tasks.

Don't say it.

You might say it's not intelligent, but it still has some anti-cheating measures.

I guess in the system's eyes, as an intern, I couldn't get sutures done at the hospital, so in order to complete the task, I'll just have someone suture my umbilical hernia in a makeshift place!
Thinking about it this way, it does seem a bit like treating human life as worthless.

It's a pity this is the second senior brother!

Their immune system is incredibly strong!

"Friends who are having this surgery, please be careful to avoid blood vessels when making the incision. Generally, good veterinarians can avoid blood vessels, like me. But what if you cut a blood vessel? Stop it immediately with hemostats, otherwise the pig will bleed to death before the umbilical hernia is even removed."

Zhang Lingchuan, of course, ignored the system's nagging.

After all, he's a qualified expert at exploiting loopholes and exploiting exploits.

The system can tolerate this minor quirk of talking to itself.

Anyway, the scan will definitely fail in the end, so I need to do some self-reflection.

That's the advantage of machines not being intelligent.

It doesn't look like a human.

Sometimes they make a mistake but don't admit it.

"It seems like Dr. Zhang is starting to let himself go a bit."

"A large part of the joy in today's live stream came from Veterinarian Zhang, but isn't this 'like me' a bit too overconfident?"

"To be honest, guys, Dr. Zhang really has every right to be so confident."

"That's right, look at the cut he made in the skin right now, there's practically no blood."

"That incision was amazing! It's the best I've ever seen in a veterinarian. The bleeding was so minimal! They didn't even need hemostats!"

"I can only say that he is indeed the man that even Abbess Miejue wanted. Although this incision technique is not as amazing as the one he used to cut open the rumen of a cow, it is not much different."

The knife gently sliced ​​it open.

Everyone saw it.

A cut was made in the pig's skin.

It revealed a white structure that looked somewhat like an egg.

At this moment, many veterinarians were stunned.

That incision technique is amazing.

Because the better the technology and the better the understanding of pig anatomy, the smaller the amount of bleeding can be.

Old Zhang, standing to the side, nodded in shock.

That set of professional procedures before was indeed very impressive.

But he didn't think it was a big deal.

Now that he has actually undergone surgery, he has seen the difference.

Normally, at least two hemostats would be needed to stop the bleeding after cutting open the pig's skin like this.

But with such a large umbilical hernia and such a large incision area, the bleeding is so little.

It's clearly something that requires a very high level of technical skill to achieve.

"When we cut open and see the inner hernia sac, we're basically done. Remember not to rupture the hernia sac, otherwise it will be very troublesome. Then, use your hands to bluntly separate the connective tissue and adhesions. Be careful with the force, don't tear the peritoneum, otherwise you'll have to compensate the pig farmer with a pig."

Cutting complete.

The hernia sac was now on display.

Zhang Lingchuan emphasized this to everyone.

In umbilical hernia surgery, blunt dissection is almost always necessary.

"This pig is not easy to handle. As you can see, its internal organs are stuck together. In general, you need to separate them little by little by hand. Remember, you must not be impatient, otherwise the pig's life may be in danger."

Zhang Lingchuan took a look.

The adhesion is quite severe.

You really have to tear it very carefully.

Don't be overconfident and lose the pig; otherwise, you'll really be in deep trouble. He still has a mission to complete.

　5800 words delivered. This chapter mainly focuses on the surgical procedure, and it's quite detailed. I hope to get everyone's support—more comments and votes! As for the next chapter, I'm working like crazy on it!!! It will definitely be updated at 23:59!!
　　
　
(End of this chapter)