This doctor is already middle-aged, and he's only just started practicing medicine.

I mentioned it in Chapter 149!
In the emergency operating room, in front of the sink.

Zeng Huanqi lowered his voice and said, "Lu Cheng, the medical affairs department has completely revoked the authority for tendon suturing surgery in orthopedics."

Lu Cheng was taken aback and tilted his head: "Just because of what happened yesterday? It can't be that serious?"

“That wasn’t the first time!” Zeng Huanqi hinted.

"The patient with the tendon injury in our department was operated on by Professor Tong himself, but was referred to our department for postoperative rehabilitation."

"I later asked around in the operating room, and they said that this wasn't the first time Peng Kun had acted on his own initiative."

"Several times, I only called Professor Tong when I was in a limbo. The patient outside also had a torn tendon, so the healing and recovery were relatively slow."

Has he gone to extremes in his pursuit of surgical skills? So reckless!
Lu Cheng washed his hands thoroughly and said no more.

"If you don't court death, you won't die," Lu Cheng thought, speechless and with no inclination to kick someone when they're down.

After thinking for a while, Lu Cheng added, "Brother Zeng, if Tian Zhuang and Han Xiaoping start suturing the tendons, remember to keep a close eye on them if you're on duty."

"We must never repeat the same mistake."

Zeng Huanqi chuckled: "Tian Zhuang and Han Xiaoping are much more honest than Peng Kun. They would never force their way into performing surgery."

It was only recently that Zeng Huanqi fully understood why the orthopedic department had repeatedly picked up and put down the practice of tendon suturing—it was truly fraught with pitfalls.

Yet, despite this very illness, Lu Cheng overcame it step by step.

The difficulty of completing these journeys is self-evident...

Back then, Lu Cheng was truly risking his life; he was literally living on the edge.

Fortunately, both he and Zhang Tiesheng were quick-witted enough to "give in" in time after recognizing Lu Cheng's talent.

"Xiao Lu, when we learn the spleen-preserving and gallbladder-preserving techniques, you need to teach us in detail! If something goes wrong, there might not even be a chance to remedy it." Zeng Huanqi's expression was stern.

Lu Cheng then joked, "Brother Zeng, just don't think I'm deliberately targeting you guys."

Zeng Huanqi raised his chin: "That's impossible, Xiao Lu, you're definitely not that kind of person."

After Lu Cheng stepped open the airtight door of the operating room, the two filed in and began disinfecting and draping the patient together...

Lu Cheng finished two extremely standard surgeries.

He immediately went to the surgical observation ward to begin his rounds.

The woman in bed 5 was also within Lu Cheng's rounds. Although her skin had healed, her recovery progress indicated that her condition no longer fell under the category of "tendon injury"!
"Dr. Lu, is my condition alright?" The older woman smiled sincerely. For her, it was a good thing that this kind of illness could be treated in the county, saving a lot of money.

Lu Cheng nodded and encouraged her, "You're recovering quite well... Sister, everyone's recovery is different, and everyone's constitution is different."

"It's okay if the recovery is a little slow, take it slow, there's no rush."

"As the saying goes, haste makes waste. We must proceed step by step. Are you still in pain?"

The older woman shook her head: "It doesn't hurt much anymore. I don't feel anything when I'm not exercising."

"Is it numb or not...?"

"Is your stomach upset?" Lu Cheng started his nagging mode again.

Zeng Huanqi, standing beside Lu Cheng, shook his head as he watched.

Patients would love to be doctors like Lu Cheng, but the doctors would be exhausted. What kind of nonsense is that, a full-body examination and consultation...?

Zeng Huanqi simply ran away; he really couldn't learn this trick.

……

[Current skill point balance: 16.3!]

Before the surgery, the profit was 13.1. Two surgeries yielded 2.8 points. Talking for an hour earned 0.4 points, which is equivalent to one-seventh of a surgery. It's still a small amount, okay?

When Lu Cheng got home, it was still early, not even midnight.

Lu Cheng then arranged a specific time for breakfast with Mu Nanshu the next day before going to wash up...

Zhuangyuanfu Residential Area, Longxian County.

Tong Yuan'an was in a group video call, his chubby face serious, and he emphasized loudly, "I mentioned it!~"

"Director Tan, Master, I've mentioned this to both of you!!"

"Didn't you say it wasn't necessary?"

The other people in the video fell silent instantly...

There were four people in the video call: Tan Zhongyuan, director of the hand surgery department; Professor Zhou Yunhui, Tong Yuan'an's mentor; and Han Yunshen, associate chief physician.

Tong Yuan'an's chubby face was puffy, his expression serious, and his voice tinged with grievance before he tried to explain, "Director Tan, Master, all my authority is limited to reporting it!"

Professor Zhou Yunhui smoothed his graying hair, strained to open his right eye so that his eyes could barely appear the same size, and his voice was slightly hoarse:
“Director Tan, Tong Yuan’an did recommend Lu Cheng to me, and I suppose he also mentioned it to you, Director Tan, in private.”

"At the time, I didn't pay much attention to him because he only had clinical talent, no research background, and had never been exposed to scientific research."

"We have plenty of people in our department who can learn surgery quickly. Take Yun Shen for example... currently, besides functional reconstruction surgery, what kind of hand surgery can't he perform?"

Zhou Yunhui gave an example.

Associate Professor Han Yunshen is relatively young, only thirty-three years old this year, yet he is already an associate professor, and his surgical scope is extremely wide, even wider than that of senior associate professors like Tong Yuan'an.

However, Tong Yuan'an's proficiency in vertical surgery, which he excels in, is higher than Han Yunshen's.

Tan Zhongyuan's serious, square face was contorted with worry; his thick eyebrows and prominent nose made his otherwise refined appearance appear somewhat distorted.
"Being able to quickly learn several techniques and improving one technique yourself are completely different things."

"How come Lu Cheng gained so much from just one advanced training course at Peking Union Medical College Hospital?"

"Is the advanced training program at Peking Union Medical College Hospital too incredible? Or have we misjudged him?"

Whether Lu Cheng learns the improved Tang method, or the 'tong' method or the Tajima suture technique, it is not enough to attract Tan Zhongyuan's attention.

However, Lu Cheng was able to develop his own 'Lu' method based on these suturing techniques, and the treatment could even surpass the aforementioned suturing techniques, which was clearly beyond the scope of the subject.

While a new tendon suturing technique may not be particularly innovative, every new and effective suturing technique can lead to many other developments.

For example, if this suturing technique is used in tendon transfer surgery, can it restore more function to the patient?

Will the overall treatment level of functional reconstruction surgery in hand surgery be improved due to the introduction of new tendon suturing techniques?
These are all real, specific, and subtle aspects of clinical practice that can be gradually experienced and explored.

It's not difficult to come up with a new stitching technique; anyone can come up with something random. But to come up with a stitching technique that surpasses all others is almost impossible.

Tong Yuanan said, "Director Tan, as I mentioned before, when I first came to Longxian County, Professor Xie Xiao from the Department of Hand Surgery at Xiehe Hospital called me and asked me to take care of Lu Chengyi and Lu Chengyi."

"Do you think it's possible that Lu Cheng and Professor Xie Xiao knew each other before... but Professor Xie Xiao couldn't conveniently come across the province to Long County to take care of Lu Cheng..." "Has Professor Xie contacted you?"

After Tong Yuan'an finished speaking, he glanced at Tan Zhongyuan, as if asking if Professor Xie Xiao had contacted him privately.

Tan Zhongyuan said, "Our hospital's change of counterpart support unit is an internal matter and has nothing to do with colleagues from other hospitals."

"Professor Xie from Peking Union Medical College Hospital has not contacted me either."

“Your suggestion to go to Longxian for counterpart assistance was made by yourself; I did not require you to go.”

Tan Zhongyuan then steered the conversation back on track: "Tong Yuan'an, is this the only thing you're certain of right now, that Lu Cheng has already made arrangements with his unit?"

Tong Yuan'an nodded and explained, "Although I don't know what Professor Zhong from Peking Union Medical College Hospital promised Lu Cheng, I think I might not be able to resist the temptation even if I heard it."

"I feel alright, but Chen Song is the main one who's feeling very uncomfortable."

"Why are you bringing up Chen Song again? What does this Chen Song thing have to do with this matter?" Director Tan Zhongyuan didn't know Chen Song, so he raised his eyebrows and said impatiently.

Tong Yuan'an quickly covered his mouth with his chubby hand.

Zhou Yunhui said, "Director Tan, let's leave it at that. Peking Union Medical College Hospital has sent people to follow the research project from start to finish."

"Right now, we can only be partners. Let's not think about anything else."

"This at least proves that the time we invested in the early stages was worthwhile."

Zhou Yunhui was quite calm about it; things had already happened and were set in stone, so there was no point in regretting them now.

Tan Zhongyuan spoke up: "Director Zhou, it's all up to us!"

"At this juncture, talent is the most important thing. Talented people need to compete to get into good companies, and companies also rely on competition to attract talent."

"Waiting passively for a rabbit to run into a tree stump is not a good idea."

Zhou Yunhui sighed softly and waved his hand: "I'm too old to argue anymore."

Professor Zhou Yunhui clearly didn't want to get involved in these matters.

Tan Zhongyuan said, "That's alright, Director Zhou. I've learned about 70-80% of your arguing skills from back then, which should be enough to handle most situations."

"I'm wondering if I can find an opportunity to poach Xiao Lu."

Zhou Yunhui's expression remained unchanged, clearly indicating that he neither supported nor opposed doing such a thing.

Tan Zhongyuan continued to look for a flaw: "Tong Yuan'an, do you know who the person in charge of the theoretical research at the Peking Union Medical College Hospital who came with Lu Cheng is?"

Tong Yuan'an glanced at Tan Zhongyuan furtively and said, "I heard she's Lu Cheng's girlfriend, I think she works in the gastroenterology lab at Peking Union Medical College Hospital or something."

Tan Zhongyuan: "..."

There are some things that Tong Yuan'an and others understand, and naturally, directors and senior directors like Tan Zhongyuan, who have had the power to manage personnel, also understand.

That's impossible now.

"Then you should just focus on your research... Don't think about anything else... You can't possibly figure it out." Tan Zhongyuan ended the conversation unilaterally, speaking politely.
"Teacher Zhou, you should rest first. I'm really sorry to have bothered you for so long."

Zhou Yunhui nodded slightly and then hung up the phone. He had already stepped down from his position as director, so he could have chosen not to participate in this video conference.

The main reason Zhou Yunhui participated in the video conference today was the suturing technique developed by Xiangya Hospital, in which Professor Zhou also participated...

"Director Tan, Xiao Han, I'll hang up now!" Tong Yuan'an replied.

After Tong Yuan'an's video went black, Tan Zhongyuan's thick eyebrows furrowed deeply: "Han Yunshen, your luck isn't so good, is it?"

"That Fatty Tong is incredibly lucky!"

Tong Yuan'an is currently the most capable associate professor in the ward, but Han Yunshen is not bad either, only a few years younger than Tong Yuan'an.

The age difference of only a few years is not insurmountable, as Han Yunshen has accumulated considerable scientific research experience.

If we can produce several research projects with more practical clinical significance, we can overtake others and eventually succeed Tong Yuan'an as the ward director.

Now, Han Yunshen can only slowly accumulate seniority, and it is estimated that he will have to wait until Tong Yuanan's term is over before he can be transferred to a higher position.

This is not a matter of a few years, but at least eight or ten years.

Han Yunshen said, "Master, opportunity is also a part of strength. More often than not, opportunity is even greater than personal effort and the accumulation of strength."

"If the information Tong Yuan'an sent us wasn't fake, then he really hit the jackpot this time."

"Tong Yuan'an is standing at the crossroads of opportunity, how can I compare to him?" Han Yunshen's tone was bitter.

He was thinking to himself, if he were to go to Longxian County to work in the countryside, would the opportunity be his?

Tan Zhongyuan touched his eyebrows: "Even Peking Union Medical College Hospital has sent people. Do you think it's possible that it's true?"

"Professor Zhong Junyun will actually act alongside Lu Cheng? Don't be ridiculous."

"According to the information, this suturing technique is not only suitable for flexor tendon suturing, but also for most extensor tendon suturing."

"This makes it scalable. In the next few years, many people will learn this technique to save time."

"This is something many people want to do... but can't..."

"Back then, Professor Tang Jinbo became popular in hand surgery because of the Tang method. If this technique improvement can make the success rate of the second zone flexor tendon surgery even higher."

"The name 'no man's land flexor tendon' can even be completely discarded," Tan Zhongyuan explained, revealing the underlying significance of the technique.

Actually, many of the constraints in clinical practice are clear to any professional.

Understanding constraints and breaking free from constraints are two different things.

Regarding tendon suturing alone, the current dilemma is that the efficacy of tendon suturing in many areas is not certain, and there are too many techniques, making it too complicated to learn.

You can easily fall into a trap if you're not careful.

"Master, this unified technique, defining a standard treatment plan for a specific disease, is a point with very practical clinical significance!"

"What do I need to do to be able to continue competing with Professor Tong?" Once a problem arises, it needs to be solved.

Han Yunshen shouldn't fight for the position of director just for the sake of fighting, but he should also think of solutions and healthy competition, which is also a source of hope.

“That’s quite a lot. If you can perfect the functional reconstruction technique and develop a new one on your own, it will be more practical than improving tendon suturing techniques.” Tan Zhongyuan said with a half-smile.

Han Yunshen's lips trembled, his muscles quivered, and his voice was strange: "Master... how about I wait until you become an academician and give me a hand?"

"Get lost... You're even making jokes like this with me now." Tan Zhongyuan's thick eyebrows furrowed as he cursed.

(End of this chapter)