I'm just a veterinarian! You've unlocked the Great Physician System!
Chapter 296: Results of the Insect Cancer Surgery; The Academician Has Fainted from Exhaustion—You&#
Chapter 296: Results of the Insect Cancer Surgery; The Academician Has Fainted from Exhaustion—You're Telling Me This Is an Intern?! [Requesting Monthly Tickets]
"Everyone, take a look. The place I just touched is the platysma muscle. This platysma muscle is very well-developed and extremely healthy. After you see it, we're going to cut it open next."
Zhang Lingchuan made amends for his earlier actions.
Then, with a swift and decisive slash, he delivered another blow.
Fang Yuan and Yin Xiaoxiao breathed a sigh of relief.
So it was a detailed explanation of the neck structure.
And the live stream room in the camera lens.
"666!"
"Which hospital's bigwig is this?!"
"I think this opening section alone is absolutely golden material for teaching tracheotomy."
"Indeed, look at that crisp and clean knife technique, and look at that incision. It's practically a standard surgical incision, flowing smoothly. How did he manage to make such a precise cut with just one stroke?"
"When our teacher taught us this, he would slowly cut it with a knife, so when I first saw the expert, I was shocked and wondered who was so irresponsible. But when I saw the effect, my brain went blank."
Only five or six people clicked in on the live streaming website.
But almost everyone sent a comment.
Because this was an anonymous live stream, they didn't know which hospital was behind it.
Department of Teaching and Research, Provincial Hospital.
"Dean Sun, who is this doctor? Although tracheotomy is only a level two surgery, his technique is really good, and his logic is clear and he explains things in great detail."
The speaker was a man with a Mediterranean physique.
"That's right. Just like netizens have said, this opening paragraph alone is simply golden material, excellent for both beginners and advanced learners."
The other members of the team also chimed in.
This is an expert research team organized by the National Health Commission.
Although tracheotomy is a level 2 surgery, it is still very difficult to study it thoroughly and master it.
As medical workers, we only need to be able to perform one surgery well to make a living.
But they hadn't heard of any expert at the provincial hospital besides Vice President Huang who specialized in tracheotomy. After all, Vice President Huang was there; otherwise, they would have suspected that this person was Vice President Huang.
In Chunshi, the other party is one of the top emergency medical experts.
The fact that he is the deputy director of the National Health Commission's Emergency Medical Services Expert Committee and enjoys a special allowance from the State Council shows just how prestigious this position is.
"A top student of Vice President Huang, an intern at our hospital. Please excuse my poor performance, Lao Chu."
At this moment, Sun Jianguo, the president of the provincial academy, smiled slightly and said.
This intern in the emergency department is really doing a good job.
At first, he was a little worried.
Now it seems I was overthinking it.
"Oh? Vice Dean Huang's top student? Or an intern?"
"Dean Sun! You must be joking! Let alone interns, even senior professionals who have been working on the front lines for a long time would have a hard time finding this technology."
"Exactly, this kind of surgery can't be done without experience of thousands of tracheotomies. Are interns training in the womb? Why don't you ask Director Liu if he can make such clean incisions when performing tracheotomies? He's a top expert in general surgery in your Chunshi area! I guess Vice President Huang is only half as good."
Many of the members of the expert group are highly respected figures in the industry.
They came here mainly to attend an academic conference and took the opportunity to visit the provincial hospital.
So, on the surface it was an inspection and research trip, but in reality it was just a chance to relax and take a look at the multi-functional teaching and research room at the provincial hospital.
Let’s put it bluntly.
They're just here to test the sound system, check the clarity of the TV, and see if the internet connection is good. So, the specific surgery isn't really important.
That's why Sun Jianguo arranged such a simple and straightforward surgery.
Unexpectedly, the expert-level presentation, delivered with a crisp and concise approach and a patient, accurate, and logical teaching method, attracted the attention of the evaluation team.
It is precisely because of their status, experience, and the fact that many of them are old acquaintances.
Therefore, everyone speaks very frankly.
"This……"
Liu Wensu looked at Vice Dean Lin Feng with a confused expression.
He noticed that Lin Feng's face looked even uglier.
It was as black as soot from the bottom of a pot.
Yes, they all wanted to see the emergency department make a fool of itself, and then when the other side made a mistake, they would add fuel to the fire by saying, "Vice President Huang Xiangning is really bold in her personnel choices; Zhang Lingchuan is a veterinarian, after all."
She was reportedly a student of her husband, Shen Changming. Not only did she bring him in for an internship, but he also directly participated in the surgery.
While CPR and other first aid skills are indeed quite good, surgery is surgery. Isn't it ridiculous for a veterinarian to participate in human surgery?
Then take the opportunity to nerf the emergency department.
But now they can't say what they've prepared.
It felt like something was stuck in my throat.
They really hadn't expected this kid to be so skilled.
How exactly did he train to that level?
Even if you're surrounded by pigs, cows, horses, dogs, and cats every day, animals are still different from humans.
Many interns are confused about why they need to do internships, and some are even confused after doing them for a long time.
That's because we need to understand the human body.
The human body in books is different from the human body in real life.
For example, books will use colors to distinguish and mark different blood vessels, muscles, etc.
Some are red, some are dark red, some are blue, cyan, and so on.
But in reality, different blood vessels and other structures in the human body are quite similar.
It takes extensive surgical experience to be able to distinguish between them.
In any case, it is absolutely impossible for a veterinarian to perform a tracheotomy on a human at an expert level.
It was like seeing a ghost.
This is also why Liu Wensu hesitated to speak.
Because he knows how to perform a tracheotomy.
As the head of general surgery, this is something that Xiao Karami can do casually.
Use drawing, something anyone can understand, as an analogy.
A tracheotomy is like drawing a person.
Normally, the standard for doing a good job is being able to create a portrait of a person.
Liu Wensu draws an analogy to a realist professional painter, who can easily paint a portrait of a person.
But this kid just showed you a painting by a realist master, Mr. Leng Jun, which sells for 70 million yuan.
Not only is the painting incredibly lifelike, with no difference whatsoever, but it's also extremely detailed. Most importantly, it's faster than Leng Jun's work.
So another expert said, "You, Liu Wensu, probably couldn't achieve this level of realism."
Do you think Liu Wensu can answer that?
As a doctor, he has his own expertise, just like a realist painter. Some people can paint realistic landscapes, realistic architecture, and realistic portraits, such as the elderly, children, and beautiful women. According to the materials, there are sketches, pen and ink paintings, watercolors, oil paintings, ink paintings, etc. So for most painters, it is really impossible to achieve such realism and detail in a simple portrait, unless they have studied it in special ways.
Liu Wensu had not specifically studied it either.
So to be honest, he really couldn't do it.
But he couldn't answer that.
This is practically a calculated scheme.
How can you say that a general surgery director is inferior to an intern in tracheotomy? Isn't that a disgrace to the entire field of general surgery?
“Vice Dean Huang, look, no one believes me. They’re all waiting for you to make the final decision. Actually, if I had such an outstanding student, I would have already published my thoughts.”
Sun Jianguo looked at Huang Xiangning.
Well, as the dean, he certainly couldn't be unaware of the friction between departments.
The booming emergency department has naturally aroused dissatisfaction among some departments.
Especially in general surgery.
Many general surgery emergency procedures were performed, which naturally reduced the revenue of the general surgery department.
Therefore, Sun Jianguo understood that the other party was deliberately making things difficult for Huang Xiangning.
The reason he agreed was that he was quite interested in Zhang Lingchuan. After all, a graduate student majoring in veterinary medicine had come to the provincial hospital for an internship and even received expert-level accommodation.
Well, the other party is certainly qualified.
The research level and the fact that they have saved patients from near death several times is already sufficient.
But Vice President Huang actually planned to have the other person perform the surgery as the chief surgeon. Coincidentally, the general surgery department was also discussing this with Lin Feng, so they decided to just test it out.
The test results are very encouraging, and the two of them have completely shut their mouths.
At least for the time being, there won't be any evil winds blowing in my ear from time to time.
"No, no, Dr. Ogawa is very quick to learn, and I didn't really teach him much, so I really don't dare to attribute his excellence to myself."
Huang Xiangning's heart nearly jumped out of her chest the moment she saw Zhang Lingchuan pause in the video.
Who would have thought that he was actually introducing the platysma muscle, and then immediately continued the surgery.
That scene was both serious and somewhat humorous.
But it undoubtedly had a very good teaching effect.
As for being her student...
To be honest, she never taught tracheotomy.
At most, I've only talked about some theoretical knowledge; she wouldn't dare admit it.
"No, Vice Dean Huang, Dean Sun isn't joking. Was this surgery really performed by an intern?"
The experts present were baffled when they heard Huang Xiangning say this.
Well, this is expert-level surgery.
No one present could do it.
It is estimated that Huang Xiangning has the ability to fight.
So they all guessed that this must be a newly arrived top technical expert, or that the provincial institute was hiding someone.
Who would have thought it was an intern?
This is simply an international joke on them.
"Yes, Dean Chu, she is indeed an intern in our emergency department."
Chu Xiaoyi is the president of Tianjin People's Hospital.
Huang Xiangning then answered earnestly.
"hiss--"
In an instant, everyone present gasped.
"This intern is doing such an excellent job! They say the younger generation surpasses the older generation, but this isn't just about being swept aside; it's like being completely crushed! Vice Dean Huang, Dean Sun, where did you find such a promising talent?!"
Chu Xiaoyi's actions were even more unbelievable.
After all, how old are interns?
That is, in their early twenties.
Even if one comes from a family of doctors, this would still require extremely high talent.
I don't know where they found such a promising talent.
That's truly incredible.
"Old Chu, I don't know if you guys have heard of the 'One-Five Cycle Method' recently. Also, there was a news story from Guizhou Province before, about someone with acute epiglottitis who cut open his trachea with a kitchen knife, and it even went viral."
Sun Jianguo began to speak.
Seeing their surprise made him quite happy.
After all, there is still a gap between the hospitals in Northeast China and those in Tianjin.
The main reason is that they are close to the capital.
As a result, they now have such a promising partner as Dr. Ogawa.
"Hey! Guizhou Province! Isn't that where Vice Dean Meng is from?"
I heard about Guizhou Province.
Everyone looked at a middle-aged woman who was dressed simply and wore glasses.
Meng Caiju.
Vice President of Guizhou Provincial People's Hospital.
He was also one of the members who came to attend the meeting this time.
Of course, that's why we came here to investigate.
"Huh? I do have that impression. It was acute epiglottitis, in the mountains, where ambulances couldn't get there. A veterinarian just grabbed a kitchen knife and slit the throat, and that saved the person... I remember this veterinarian was an intern at some hospital! Good heavens! Could it be an intern at your Northeast Provincial People's Hospital, Director Sun?!"
Meng Caiju recalled.
She manages to handle both scientific research, clinical practice, and administration.
So I didn't pay much attention to the news.
I only heard someone mention this message in the group, and I glanced at it at the time.
She felt that the fact that the Northeast Provincial Hospital could bring it up, and that there was a keyword like "intern doctor," inexplicably gave rise to an unbelievable thought.
It's impossible that the intern and the person performing the tracheotomy are the same person!
"Speaking of which, I do know about the 1-5 cycle method. It also came from your hospital, Dean Sun. I think his name was Zhang Lingchuan. He amazed the world with his one hour and forty minutes of rescue! Could it be this intern named Zhang Lingchuan?"
Some members of the postgraduate entrance examination expert group were confused, while a few others showed disbelief.
In fact, Huang Xiangning herself was also extremely shocked.
How could Dean Sun know so much information, even showing him the news on Weibo about Xiao Chuan saving people?
It seems the other party is paying far more attention to Xiaochuan than he imagined.
how to say.
As experts in the medical field, I believe that most top talents in various technical fields are similar; unless required for work, they rarely watch entertainment news or even browse TikTok.
The main problem is that everyone is short on time; who can spare the time to look at these things?
She and Lao Shen started paying close attention to the live stream because of Xiao Chuan. "It really is Dr. Xiao Chuan, a rising star in the emergency department right now."
Sun Jianguo laughed heartily.
silence.
An inexplicable silence fell over the scene.
"It's so beautiful. Studying medicine is about pursuing the fifth level of needs, and this kind of surgery is about pursuing the sixth level."
"The biggest difference between doctors is in the details, and the details require constant reading and practice. Practice can only be achieved in a large hospital with a leader who can delegate to you. Anyway, this expert is perfect in terms of details and time, and he looks so young. Is he a senior expert from West China Hospital or Peking Union Medical College Hospital?"
"I've learned something."
"Why are there only a dozen or so people attending such an excellent demonstration lesson?"
"I have a feeling that this will become the benchmark video for tracheotomy on the website in the future."
Because everyone's eyes were drawn to the big screen.
There are also some comments from netizens above.
Yes, although there are only a dozen or so people now, such a professional and detailed tracheotomy technique will definitely become a benchmark video in the future.
operating room.
This is the white linea alba, a crucial landmark for tracheotomy. Making the incision here reduces bleeding and avoids damage to deeper blood vessels and nerves.
After cutting open the platysma muscle, the linea alba can be seen.
The system marked the white line on Zhang Lingchuan's neck with a 'white line' label.
Yes, a prompt appeared after I touched it.
As it suggests, it is indeed quite 'crazy'.
"When the platysma is cut open, the linea alba is visible. It is a longitudinal fibrous connective tissue structure located in the midline of the neck. It is formed by the intersection of the fascia of the muscles on both sides of the neck. It appears as a white line. Its main function is to connect the fascia of the superficial muscles such as the platysma and sternocleidomastoid muscles on both sides, forming mechanical support in the midline area."
"It helps coordinate neck movements such as turning and lowering the head by stabilizing the muscles on both sides, and reduces friction during muscle activity. In neck surgeries such as thyroidectomy and tracheotomy, the linea alba is an important anatomical landmark. Making an incision along the linea alba can reduce bleeding and avoid damage to deep blood vessels and nerves."
Although the prompt is the same thing.
Isn't he teaching?
So, thinking that the people on the other end might be interns or even medical students watching, I explained it in a little more detail.
After saying that, he slashed again.
"If you are unsure during the incision process, do not proceed blindly. You should palpate the trachea multiple times to confirm its location."
A small incision made in the neck.
Zhang Lingchuan reached his hand inside.
He looked like he was teaching everyone how to locate the trachea.
"At the same time, careful hemostasis should be carried out during this process to prevent postoperative wound bleeding. In my case, where there is basically no bleeding, this step would definitely be skipped."
Zhang Lingchuan continued explaining.
"?"
"Goodness."
"Look at this, is this what a human being says?"
"The tech expert is really awesome. When he cut it open, his assistant became nothing but decoration, and there wasn't even much blood seeping out."
And he doesn't know.
I am currently live-streaming a medical surgery.
The dozen or so people in the live stream all asked a question mark.
The Versailles of the big boss is truly beyond our reach.
This is a healthy sternohyoid muscle; you need to separate it to both sides.
Zhang Lingchuan's operation has progressed to separating the sternohyoid muscle.
Yes.
The system notified me again.
Of course, he also spoke to the students who might be attending his classes in the future, who were in front of the camera.
The entire shot at this moment.
Fang Yuan and Yin Xiaoxiao are using hooks to pull each other.
Because muscle is elastic when cut.
It will bounce back.
Therefore, it was necessary to use a hook to hold it, so the cut-out area in the shot resembled the eye on Erlang Shen's head, stretched into a diamond shape.
"In addition to the sternohyoid muscle, we also need to divide the sternothyroid muscle to both sides."
Zhang Lingchuan's movements in front of the camera were as fluid and graceful as ever.
It's like the experience accumulated from performing thousands or tens of thousands of surgeries.
This is a branch of a transverse vein, which can be cut or ligated.
The surgery is ongoing.
"When you encounter a transverse vein branch, cut or ligate it. You can watch my demonstration to see how to do it."
Zhang Lingchuan picked up the needle and thread.
"?"
"Who is this big shot?!"
"That's awesome, I really want to kneel down in awe."
"Are all these experts all multi-talented? Their suturing and ligation speed is incredible—just pure speed, precision, and ruthlessness!!"
He already possessed master-level basic surgical skills.
Therefore, the stitching process is very fast.
This completely stunned the colleagues watching the live stream.
After all, don't underestimate the seemingly simple tracheotomy; there's actually quite a bit of intricacies involved.
You only know how amazing this person is when you do it yourself!
Not only them, but the experts in the teaching and research office also nodded in agreement.
skilled.
We're really too familiar with each other.
"Then we see the trachea. At this point, we gradually loosen the retractor, check for any bleeding points, and at the same time, we prepare for the insertion of the tracheostomy tube by lubricating the tracheostomy tube with gauze and checking for any air leaks in the cuff."
In the lens.
Zhang Lingchuan uses a syringe to test the airbag.
I was in charge of the entire surgery myself.
seriously.
No one believed that someone so skilled could be an intern.
Even seasoned experts who have been performing tracheotomies for a long time cannot do this.
"Then, an empty needle was inserted, and air was aspirated to confirm the trachea."
Zhang Lingchuan had Xiaoxiao pick up the syringe, and then began the puncture.
After all, the other party's injection skills are expert-level.
Yin Xiaoxiao cooperated very well.
This is a trachea; you need to cut it open.
After Xiaoxiao finished, he took a sharp knife and prepared to pry open the anterior wall of the trachea.
The system notification appeared again.
Anyway, he had already figured out the pattern.
The system will display a corresponding prompt every time a specific human body structure is touched.
“When we perform an incision, it is usually in a straight line, an L-shape, or an inverted U-shape. Then we insert a tracheostomy tube and remove the core.”
Zhang Lingchuan cut it open in front of the camera and then started cooking.
"pretty!"
"Perfect!!"
"That's too strong! That's too strong!!"
……
"It truly is perfect!"
"Is this really an intern? I can't believe it!"
"Tracheotomy is a minor level two surgery, but this surgery taught me that there is no distinction between complex and simple surgeries when performing surgery on patients; even the simplest surgery can be performed brilliantly."
The surgery is nearing its end.
Zhang Lingchuan was unaware that he was receiving so much praise from experts.
It was even broadcast live on a dedicated medical surgery live streaming website, and the footage was also saved on the website.
Half an hour later.
"Dr. Ogawa! You're amazing!!"
Yin Xiaoxiao gave a thumbs up.
"I really didn't expect this, Xiaochuan. Your tracheotomy was even more expert-level than that of an expert. It seems that Vice Dean Huang's worries were completely unnecessary."
Fang Yuan also started talking.
"It's not that amazing, I just do it based on my feelings."
Zhang Lingchuan smiled and said.
Don't say it.
The upgraded special scanning feature includes built-in human body structure recognition, which is truly unbeatable.
When a regular doctor makes an incision, they rely on experience; this is like having a built-in navigation system!
But what about the teacher's wife?
Zhang Lingchuan originally thought his master's wife would be outside, but he didn't see her.
She still hadn't shown up, even when it was four or five in the afternoon and we were about to leave work.
At this moment, Tsinghua Chang Gung Hospital...
The surgery for the parasitic cancer is nearing its end.
Nine hours have passed since 8 a.m. until now, at 5 p.m.
They removed that piece of liver from Xia Yu's body.
Then, external parasite control is performed.
More than forty assistants assisted him.
Half past five.
After nine and a half hours, the operating room door finally opened.
Dean Dong Jiahong was walking in a daze, looking like she was about to faint.
"Dean, are you alright?"
The assistant noticed something was wrong and hurriedly asked, since the hospital director was getting old and such a long surgery was quite strenuous.
"I'm fine. You guys should go eat too. I only had breakfast. Thank you for your hard work."
Dong Jiahong sighed.
People say that doctors must eat breakfast, because if they don't eat breakfast, they might only eat one meal a day.
In fact, this is indeed the case.
"You too, Dean?"
Many of them even had shift changes.
But Dean Dong actually worked for ten hours straight.
They didn't even eat anything in between.
Because the faster the liver processes the disease, the better the prognosis.
As the lead surgeon, he certainly couldn't leave the battlefield.
"Dean Dong, how is the situation—"
"Yes, was the surgery successful, Dean?"
The outer door opened.
Zhou Wei and his family members rushed up to inquire.
"Don't worry, it's all been removed now, the surgery was a success!"
When Dong Jiahong said those words, for some reason, she felt a sense of satisfaction.
It's been a long time since I've performed such a complex surgery.
Spring City, Provincial Hospital.
"That's strange, Dr. Xiaochuan. It feels like Director Huang has disappeared. Are you staying here tonight, or going back to school?"
It's half past five.
There's still half an hour until I can get off work.
Yin Xiaoxiao asked Zhang Lingchuan.
"Let's go back. It's more comfortable in my own doghouse."
Zhang Lingchuan smiled.
He guessed that his teacher's wife might have had something to do and had left.
Anyway, the surgery is over, and I'm about to finish my workday.
A tiring day has come to an end!
"Then I'll go back with you."
Yin Xiaoxiao chuckled.
"Oh dear, I told you not to eat that kind of thing! Look at this!!"
As they walked and talked, a man and a woman suddenly walked in with a small child!
Zhang Lingchuan frowned because he saw that the child actually had a red tag!
……
Curse! Curse! I've written another 6600 words!! I'll definitely try to write 8000 tomorrow!!
(End of this chapter)
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