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

Chapter 295 Leaders' Inspection, Intern's Tracheotomy Skill—Dude, that's a bit of a cheat code! [Requesting Monthly Tickets]

Name: Yin Xiaoxiao.

Category: Nurse.

【Skill:
Basic nursing skills:
Measure vital signs such as body temperature, blood pressure, pulse, and respiration: "Professional grade: 2533/5000".

Injection skills:
Subcutaneous, muscle, and vein: "Expert level: 6001/10000".

Catheter skills:
Urinary catheter, gastric tube, trachea: "Professional grade: 2190/5000".

……

Emergency rescue skills:
Foreign body removal from the trachea: "Intermediate: 1021/2000".

Communication skills:
This includes effective communication with patients, families, and doctors, and providing psychological support: "Professional Level: 2332/5000".

Hidden Skill:
清创「中级：1411/2000」、换药「中级：1722/2000」、包扎「中级：1811/2000」……心肺复苏：「专业级：2401/5000」。】

[System prompt: When scanning peers, to encourage the discovery of others' strengths, attributes stronger than the host's will be actively displayed, while attributes weaker than the host's will be automatically hidden.]

System scan complete.

He found that all of Yin Xiaoxiao's attributes had suddenly appeared in front of him.

This system really knows how to use incentives effectively. It doesn't mention those weaker than itself at all, hiding them completely, while it displays those stronger than itself in a lot of ways.

However, he was also very surprised.

Don't let the fact that this girl is only in her early twenties fool you.

Their basic nursing skills have reached a professional level.

For example, measuring vital signs such as body temperature, blood pressure, pulse, and respiration requires real, hands-on skill.

The doctor-patient communication and catheterization skills are also professional-level.

According to the system's labeling, only those stronger than oneself will be displayed, so all of her skills are stronger than hers.

One of the first aid skills is tracheal foreign body removal, which should involve using tools such as tracheal forceps or fiberoptic bronchoscopes to remove the foreign body. This small skill is at the intermediate level.

Indeed, he simply cannot.

He only knew one other method for clearing foreign objects from the airway: the Heimlich abdominal thrust.

However, this method is not a panacea.

Often, tools are needed to remove it from the trachea.

However, what surprised him the most was that the small injection was actually done by an expert.

Good guy.

You really can't judge a book by its cover! She's actually quite good at giving injections!

This skill seems similar to my current skill set. Could it be the same as my current skill? This seems to be the first time points have appeared. Does this mean skills also have points?
Zhang Lingchuan was eating a steamed bun while deep in thought on the bus.

It seems that this special scan upgrade brought him quite a few surprises.

【技能级别与对应技能点：初级（100技能点）、中级（1000技能点）、专业级（2000技能点）、专家级（5000技能点）、大师级（1w技能点）、巅峰级（10w技能点）、完美级（100w技能点）。】

next second.

Another system notification appeared.

Just as he expected, the system gave all the skill levels to be consistent.

If a minor expert-level injection skill is advanced one level, it becomes a master-level skill; two levels further, it becomes a peak-level skill; and three levels further, it becomes a perfect-level skill.

The only difference is.

Since the Super Acceleration Pack was used, and the special scan automatically upgraded, it has shown that each skill has corresponding skill points.

Hmm, I wonder if I can check my skill points?

Suddenly, Zhang Lingchuan had a flash of inspiration.

[The system has detected that the host wishes to view skill points. Currently, you can browse the non-restricted skills you have acquired. Meditation-related skills will then be displayed.]

The system pops up a prompt.

【气管切开术：「完美级：100w/100w」（春市TOP1、华夏TOP1、全球TOP2）。】

Zhang Lingchuan immediately thought of the tracheotomy he had just received.

Sure enough, the tracheotomy appeared in front of him the next second.

"Ok??"

It really is a skill rewarded by the system.

I maxed out my skill points.

But there's actually another ranking after that?
Why wasn't there a ranking before?

[Note: Players who reach Master level or above in a single skill are eligible for ranking.]

An excellent system.

A prompt was given again very quickly.

It turned out to be the case.

He quickly reviewed the perfect precordial thump technique, cardiopulmonary resuscitation, bone setting, and the Heimlich maneuver.

He was surprised to find that the skills he was rated as perfect by the system were all ranked in the top 2.

So who is number 1?
It's unbelievable that someone on a global scale can completely outclass Perfect.

【外科基本六项技术：「大师级：58910/10w」（春市TOP25、华夏TOP209、全球TOP1501）。】

【清创换药术：「巅峰级：107100/100w」。（春市TOP1、华夏TOP10、全球TOP100）。】

He also showed the two items that were not perfect to himself.

He is currently a master of the six basic surgical techniques: exposure, separation, hemostasis, ligation, incision, and suturing.

The skill points are 58,910.

The top 25 in Chunshi.

Two hundred and nine people from China.

One thousand five hundred and one people worldwide.

It seems there are quite a few experts among the six basic surgical techniques.

As for debridement and dressing techniques, he is at the pinnacle level, ranking first in Chun City, among the top ten in China, and around 100th globally.

It seems there's still a lot of room for improvement in these two areas.

But where do these skill points come from? Do you increase the corresponding skill points every time you perform surgery?
Zhang Lingchuan felt that since his special scanning skill was upgraded, he had encountered too many new things, and his face was full of question marks.

Skill Points: Skill points can be gained through relevant surgical practice, supplementing theoretical knowledge, and observing others learn. The specific number of skill points gained varies depending on individual comprehension. For example, in the same suturing surgery, some people may gain ten skill points, while others may only gain one.

Does it depend on comprehension?
Speaking of which, he originally got the opportunity for a 'single basic skills training' in the system space.

They were trained in basic surgical techniques.

In the space, he went from initial basic training to master level after a year.

At the time, all I knew was that he was a master, but I didn't have any concrete data.

Only now does he realize that after a year of working tirelessly, spending 8,760 hours, 525,600 minutes, and performing tens of thousands of surgeries—the workload of an average doctor's entire life—he only managed to train 58910 skill points.

On average, you learn about five key points from each surgery?
[Note: Even if ordinary people achieve master-level or even peak/perfect-level skills, they can only achieve pain reduction and increase the success rate at the technical level, without any additional special effects. For example, a perfect-level precordial thump technique can increase the success rate by 80%, and a perfect-level cardiopulmonary resuscitation can increase the success rate by 50%. These are special effects exclusive to holders of the Perfect Great Physician System.]

At last.

The system also answered his question about whether there would be any special effects if someone else reached the master level.

This was something he had been curious about before.

For example, there is another person in the world who has achieved a perfect level of precordial thump technique.

Does the other party also come with an 80% success rate?

He looked at the system's explanation and learned that it could only alleviate pain or increase the success rate at the technical level, without any additional special effects.

Using debridement and dressing changes might be a better approach.

The Mayo Clinic has a specialist in wound cleaning and dressing changes who can reduce pain by 50% with his superb skills.

My top-level debridement and dressing techniques can reduce pain by 80%.

It has already exceeded the limits that normal technology can achieve.

Not bad.

It seems these five super acceleration packages are pretty awesome.

He genuinely felt that this effect was more motivating than traffic lights.

He once thought that the master and the peak were already the top level, and even the perfect was the only one that could stand alone for all time.

The result is that there are always people more capable than you, and mountains beyond mountains.

And besides these skills, look, Little has so many other skills that can easily defeat him.

"Dr. Ogawa, you seem a little distracted today. Is something on your mind? Tell me, your caring teammate is here~"

The car has already entered the provincial hospital parking lot.

At that moment, Yin Xiaoxiao smiled and asked Zhang Lingchuan a question.

They chatted along the way.

But I felt that Dr. Ogawa was acting a little strange.

He seemed to be deep in thought, as if he were pondering something.

“Xiaoxiao, fame brings trouble… Vice Dean Huang has asked me to write a paper on tracheotomy again, and I’m having a headache over this lately.”

Zhang Lingchuan snapped out of his thoughts.

And he made up some excuse to brush it off.

After all, he can't exactly say he's looking at your skill attribute points.

That probably means we're not far from being sent to mental hospitals or having our tissues dissected for research.

"Oh, so that's what happened. Dr. Xiaochuan, let me tell you, you have no idea how many people in the entire emergency department envy you, and how many people in many departments of the hospital are unhappy with you. After all, you've only been at the provincial hospital for a short time, and you've already published so many papers, including one that was even reprinted by the four top international medical journals. That's incredibly impressive. Director Huang definitely wants to strike while the iron is hot."

Upon hearing that this was the case, Yin Xiaoxiao immediately began to describe it vividly.

In fact, a hospital is a small world of its own.

Dr. Ogawa is so capable that many people genuinely admire him from the bottom of their hearts.

However, some people are jealous, or even resentful.

The emergency department of the provincial hospital is very strong, as can be seen from the fact that the department director is the vice president.

Each department in the hospital has its own performance targets.

The emergency department is a department where everything can be handled in an emergency, so it inevitably takes away business from other departments.

Therefore, the more dazzling Dr. Ogawa is, the more he is regarded as a thorn in the side by some people.

Doctors rely solely on their skills.

Even if you see them as a thorn in your side, if they have advanced technology and are good at scientific research, then you can only keep quiet about it.

She guessed that Director Huang must want Dr. Xiaochuan to quickly establish his research results so that he could stay in the expert's room. At that time, the vice president she didn't get along with had a lot of opinions, but ever since Dr. Xiaochuan published his first paper, those opinions have disappeared.

Two of his papers are now in Q1 journals, one of which has been reprinted by one of the four top international medical journals.

Some people's mouths were completely sealed shut.

If you publish two papers in Zone 1 and two papers in Zone 2 within six months, you're practically invincible.

In terms of scientific research, it is among the best in the entire college.

The brilliance of the emergency department will surely reach new heights.

"I'm so tired..."

Zhang Lingchuan rubbed his forehead.

Honestly, he still has no clue about papers on tracheotomy.

"Hehe, Dr. Ogawa, the capable should do more work, right?"

All that could be seen was a slight upturn of Yin Xiaoxiao's lips.

"Uh uh uh……"

Zhang Lingchuan looked somewhat helpless after hearing this.

"I like being around a big shot like Dr. Ogawa; I'm sure I'll have fewer surgeries in the future."

"boom--"

The car door is closed.

Yin Xiaoxiao pressed the lock button.

Then, she looked at Zhang Lingchuan with a smile.

"..."

Zhang Lingchuan was speechless.

Are all rich girls so ambitious?

All I want is to have the surgery.

Provincial Hospital.

director's office.

"Xiao Chuan, you're here."

After changing his clothes at the hospital, Zhang Lingchuan went to the vice president's office.

This was instructed by my teacher's wife beforehand.
The other party said that after arriving at the hospital and changing clothes, they should come to the office.

"Yes, Madam."

Zhang Lingchuan nodded and then sat down to one side.

He often visited his teacher's wife's office, so he was quite familiar with it.

"There are three main reasons why I called you here this time. The first is that the 1-5 cycle method I told you about before has been reprinted by top international journals. Foreigners are very interested in your cycle method. Even top emergency care experts from the Cleveland Clinic and the Mayo Clinic have participated to verify your success. You could say that Xiao Chuan, you have become the pioneer of a new emergency care method!" Huang Xiangning looked at Zhang Lingchuan with great emotion.

I remember that I recruited them into the provincial hospital in September, and in just three months they have given me such a big surprise.

"It's all thanks to your excellent guidance, Master's wife!"

Since his teacher's wife had said that, what else could Zhang Lingchuan say?

I could only humbly say that my teacher's wife taught me very well.

"Stop flattering me. Although I have taught you the precordial thump technique, I am not as good at it as you are. Anyway, I don't care whether you discovered this pattern before or by chance. You have made our modern emergency medicine in China proud. Keep up the good work. I don't ask you to give me a surprise every three months. Giving me a surprise every three years would be enough for me. After all, our emergency department needs people like you to support it now."

Huang Xiangning looked at Zhang Lingchuan. The emergency department had become too big, and many people were eyeing it covetously.

As for the claim that he taught well, nobody would believe that.

This kid is hiding his true colors.

That night, she had a heart-to-heart talk with Lao Shen, who said that he had also been badly deceived.

There are many things he simply doesn't know.

He did teach surgical techniques.

Although this kid worked hard in school, his skills weren't top-notch; they were just passable.

Who would have thought that they would pull off such a big thing on a live stream during summer vacation?

He was completely baffled when many people called to ask him questions.

"Yes, yes, yes, I will definitely try my best, Master's wife."

Zhang Lingchuan nodded.

"Well, whether it will be foreign experts visiting or you going abroad to attend a seminar, we'll find out next year. The second thing is, I didn't expect you to be so good at tracheotomy, Xiao Chuan. I didn't realize that. Are you upset that your teacher's wife was a bit blind and didn't arrange a similar surgery for you before?"

Suddenly, Huang Xiangning changed the subject.

Honestly, when she saw that video, she was completely stunned.

Previously, she thought that Xiaochuan was only proficient in general first aid skills, such as CPR, Heimlich maneuver, and precordial thump.

Who would have thought that a tracheotomy could be performed so perfectly with just a kitchen knife?

Even if you asked her to do it, she wouldn't be sure if she could do it.

It is generally possible to make it.

They just didn't do it as well or as decisively as he did.

But after thinking about it carefully, I realized that the other party's basic surgical skills were so good that their other surgical skills were probably not much worse.

If you think about it this way, a tracheotomy makes perfect sense.

"No, no... How could I blame you for being blind? It was an emergency, and I just had to bite the bullet."

do not know why.

Zhang Lingchuan felt that his master's wife's eyes inexplicably had the look of a spider demon from the Spider Cave about to devour him.

That's terrifying!!

"Go ahead and do it despite the risks? Xiao Chuan, besides this surgery, what other surgeries can you perform? Come have a glass of water and tell me everything."

Huang Xiangning sat down next to Zhang Lingchuan and even poured him a glass of water.

"As you know, I'm a veterinarian, so I'm sure I know a little bit about every kind of surgery, from head to toe..."

As a veterinarian, all he could say was that they were incredibly strong.

From craniotomy to gastrectomy and tumor removal, there's nothing pet owners are afraid to do, only things they don't want to do.

"How much is 'a little'? Does it all mean the same as a tracheotomy?"

Huang Xiangning's eyes lit up.

"No, no, Madam. A tracheotomy is the best surgery I've ever performed. It's the only one I've ever done that involves cutting a person."

Seeing the look in his teacher's wife's eyes, Zhang Lingchuan quickly corrected her.

"Okay, there just happened to be a case of epiglottis inflammation that hasn't gone down after two days of treatment and is even getting worse. According to the assessment, a tracheotomy is needed. I'll show you your best surgery in a bit. Oh, and I'll be there too, along with Dr. Fang and the others."

Huang Xiangning stood up and a slight smile appeared on her lips.

They've kept it so well hidden, how could they not let you show off your skills at the hospital?

"what???"

Zhang Lingchuan was completely dumbfounded when he heard this.

Why do I have this inexplicable feeling of being schemed against?
"What do you mean 'oh'? Just do your best."

ten minutes later.

Zhang Lingchuan went down to the emergency room on the first floor.

He was certain that he had been tricked.

His wife specifically arranged this surgery for him.

Sin ah.

"Wow! Dr. Ogawa! There really is surgery! That's amazing! And I'm the retractor's assistant!!"

Downstairs, Yin Xiaoxiao was excited after receiving the surgery notification.

Tracheotomy is frequently performed in the emergency department, as various types of patients may encounter respiratory problems.

Airway narrowing can be caused by factors such as laryngeal trauma, foreign body obstruction, laryngeal tumors, or acute laryngitis, resulting in severe respiratory distress, decreased blood oxygenation, severe allergic reactions such as laryngeal edema, infections such as epiglottitis, or airway mucosal swelling caused by burns.

"How I wish that one day I could be as passionate as you, little one..."

Zhang Lingchuan truly admired the other person's pure passion.

On the other side is the dean's office.

Key personnel are having a brief morning meeting.

"Dean, isn't this a coincidence? The star doctor in Vice Dean Huang's emergency department who's been making waves lately is about to perform a tracheotomy. Why don't we just turn it into an instructional video and let the visiting leaders and experts take a look?"

The speaker was a tall, thin doctor with a crew cut.

Liu Wensu, Director of the Department of Surgery and Director of General Surgery at the Provincial Hospital.

It turns out that the dean's morning meeting was about some external experts and leaders coming to visit and exchange ideas.

Hopefully, they will prepare a simple teaching surgery today.

Don't take too long to react immediately.

Secondly, the surgery showcased the hospital's professionalism and expertise.

"Director Liu! You've really hit the nail on the head! A while ago, there was a report on Weibo about this celebrity doctor, Dr. Zhang, who used a kitchen knife to cut open the trachea of ​​someone with acute epiglottitis and saved their life. I think we can definitely entrust this important task to him!"

Another vice president spoke up.

Huang Xiangning naturally refused.

After all, the last time Xiaochuan used a kitchen knife to save someone was in an emergency.

Moreover, his ability to save lives doesn't necessarily mean he can give lectures.

If I make a mistake in front of the high-ranking leader who is inspecting the area, that would be terrible.

“Vice President Huang, I also think highly of Dr. Xiao Chuan in your emergency department. Let’s give him a try.”

The dean spoke.

Huang Xiangning knew that struggling was futile.

These two probably seized this opportunity.

The operating room on the other side.

"Huh? Why are there so many devices here?"

Unaware that the event would be broadcast live, Zhang Lingchuan, who was giving a demonstration lesson to the leaders, changed his clothes and walked in, his face immediately filled with confusion.

Because there was actually filming equipment inside.

what's going on?
It wasn't said that this was a demonstration lesson.

"Xiao Chuan, there's been a change in your surgery. The higher-ups are inspecting the hospital and specifically requested that your surgery be used as a demonstration. Try to explain it in as much detail as possible. Of course, if you really can't explain it, just make sure the surgery looks good. If you don't understand anything, just ask Dr. Fang."

Huang Xiangning rushed over urgently.

He then gave Zhang Lingchuan a long explanation.

"what??"

Zhang Lingchuan's eyes widened in surprise. Such a high intensity right off the bat?!
"Xiao Chuan, don't be nervous. Just follow your instincts. I'm right here next to you."

"Dr. Fang said softly."

The camera was turned on very quickly.

The surgery began after Huang Xiangning left.

"Ladies and gentlemen, our patient here is suffering from respiratory obstruction due to epiglottis inflammation. He has been anesthetized and we plan to perform a tracheotomy."

Zhang Lingchuan then began to speak.

Let's just leave it as an instructional video.

"First, assume a supine position with your shoulders elevated and your head tilted back as far as possible, and disinfect the surgical area."

A large screen was covered with a blue sterile cloth.

Only a circular opening was left.

Zhang Lingchuan was to have his surgery performed at this location.

"You guys actually did a live stream?!"

Teaching and research office.

Huang Xiangning discovered that they had even started live streaming on a website specifically for medical professionals.

"Vice Dean Huang, don't be so nervous. Look at Dr. Xiao Chuan, he's doing a great job, and he also has live streaming experience. Since he's so excellent, he should showcase his excellence in the industry."

Liu Wensu's lips remained curved in a smile.

A veterinarian went to give a lecture.

This isn't emergency care; it requires meticulous analysis of the body's structures, which demands a high level of expertise!
So there's a high probability that this celebrity veterinarian is going to mess things up.

The main reason is that the emergency department is currently in such high demand.

If they advertise their surgeries as "specialty surgeries," isn't that just taking food out of the general surgery department's mouth?

We should strike when necessary.

"Liu Wensu, you..."

Huang Xiangning suppressed her anger.

On the surface, this is an honor for the emergency department, but in reality, it's pushing them into a fire pit. If something goes wrong like this, they'll face all sorts of criticism!

"Next, we need to draw a line, a horizontal cut, across the suprasternal notch."

Zhang Lingchuan didn't know what the demonstration video looked like.

Based on my usual live streaming experience, after drawing the lines, I immediately picked up the electrocautery knife and cut open the skin and subcutaneous tissue.

"Wow! What a clean and crisp knife!"

"Is this a big shot?"

"What a master! And he explained it in such detail."

……

Medical website.

Tracheotomy is actually not an attractive procedure.

Because it's a very routine surgery, only a few people came in sporadically.

But they were stunned when they came in.

That knife is so fast!!
That's a very detailed explanation.

Most experts don't have the patience to explain so much to you.

"Note that each layer must be separated by the same length as the opening to avoid the cuts becoming smaller as you go down."

Zhang Lingchuan said as he cut it open.

Having acquired a perfect tracheotomy technique, he felt that lecturing was actually quite easy and he handled it with ease.

"Um???"

Suddenly, Zhang Lingchuan's hand paused the next second.

In an instant, Dr. Fang and Yin Xiaoxiao visibly looked up.

Those eyes seemed to be wondering why his knife had suddenly stopped!
However, they didn't know that Zhang Lingchuan wanted to rub his eyes at that moment because he felt that he must be hallucinating.

After cutting open the skin, he saw the patient's platysma muscle, and there was even a Chinese label for "platysma muscle" on it!

Yes.

This system actually marked the platysma muscle.

He never expected that this special scanning upgrade would not only allow him to see other people's attributes, but also automatically add human body annotations, because he was certain that he had never had these things before.

Good heavens! Is this cheat code really that big?
[You are touching a healthy platysma muscle. Please focus on the surgery and don't play around.]

Zhang Lingchuan touched the instrument.

Crazy.

This world has truly gone mad.

So I can perform surgery based on the prompts in the future?

……

　Another day of writer's block, and here's 6600 words from the pros~
　　
　
(End of this chapter)