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

Chapter 195 Overall Level: Associate Chief Physician!

“Brother Zhang, really, there’s no need… If you give me money, the nature of this changes. It won’t be legitimate.”

“The suturing technique for this solid organ, the spleen, isn’t difficult to learn, but I can only give you a tutorial in a few days because I haven’t figured out how to practice it yet.” Lu Cheng rejected Zhang Tiesheng’s suggestion.

It's not that Lu Cheng doesn't want to make money, it's just that he doesn't want to make money in this way at this time.

Zhang Tiesheng thought for a moment and nodded: "That's fine then. Anyway, Xiao Lu, as long as I learn well, your brother Zhang will definitely not let you suffer any losses."

Zhang Tiesheng and Lu Cheng joked around as they left the operating room.

The family members were naturally worried about the patient's condition, so they immediately came over to ask about the specific situation. Zhang Tiesheng also took the initiative to go up and communicate and negotiate with the family members.

Upon seeing that Zhang Tiesheng was being "stopped," Lu Cheng immediately rushed back to the ward to write medical orders and surgical records.

As a junior doctor, he should be responsible for writing surgical records.

When Lu Cheng returned to the ward, he saw Peng Kun leave the office of the head of the emergency surgery department. Peng Kun glanced at Lu Cheng from a distance, smiled at him, and then left silently without saying hello.

Lu Cheng didn't think about anything else and went straight to the doctor's office to start working.

Not long after, Director Du Qiang came out of his office, passed by the doctor's office, and then turned into it.

With his hands behind his back, Du Qiang's emotions and expression suddenly became extremely conflicted as he stood to Lu Cheng's left rear.

Lu Cheng had noticed Du Qiang's arrival, but for a moment he didn't know whether he should call him Uncle Du.

“Director Du.” Lu Cheng stood up.

"You've got quite the connections, huh? Starting to bully others with your power?" Du Qiang's expression and tone immediately turned stern.

Lu Cheng remained silent, watching Du Qiang's performance quietly.

Du Qiang continued, "Anyway, I've told you before that you're an adult and you have to take responsibility for your own actions."

"If anything goes wrong, don't take me with you."

Lu Cheng's tone was also "slightly cold": "Okay, Director Du, thank you for your concern."

Du Qiang then walked to a computer next to him, sat down, and glanced at Lu Cheng's surgical records and postoperative instructions.

He lowered his voice and said, "Peng Kun from the orthopedics department just came to see me. You should know Peng Kun; he's Director Peng Haibo's son."

Lu Cheng remained silent and did not answer.

"As you said, it's not easy to stay in orthopedics. When the tree falls, the monkeys scatter, and when the person leaves, the tea cools down. After Director Peng was investigated, Peng Kun was the first to be wound up."

"So he applied to be transferred to our emergency department next month, and the hospital's medical affairs department agreed."

“After all, Peng Kun has a master’s degree, which is quite high in terms of academic qualifications in our hospital.”

"Secondly, what's going on between you and Huang Haibo from internal medicine? He's starting to get on my nerves."

Lu Cheng looked at Du Qiang with a puzzled expression, completely confused about what was going on.

Looking into Lu Cheng's clear and innocent eyes, Du Qiang smiled bitterly: "Forget it, there's no point in telling you all this. I can only say that you're lucky and capable."

"Therefore, everyone I meet now is a good person."

"Huang Haibo was unwilling to serve as the director of the emergency department because he didn't want to stay in the county. However, he has a senior professional title, and he wants to go to the emergency department of Xiangzhou People's Hospital without going through the selection exam."

"It looks like he's going to take you away."

Lu Cheng was even more puzzled, but he didn't reply immediately. Lu Cheng knew that Du Qiang was asking him these questions so that he could find out the answers after get off work.

Du Qiang suspended Lu Cheng from all unrelated shifts, giving Lu Cheng plenty of free time.

Du Qiang walked away from the doctor's office with his hands behind his back, looking arrogant.

Once outside, Du Qiang gave the order: "I don't want to see my name. Do whatever surgery you want, just don't add my name."

Even if you add me, I won't acknowledge you!

Lu Cheng could only give Du Qiang a thumbs up for his acting talent.

Actually, this wasn't the first time Du Qiang had acted this way; he wasn't the only one in the county's units who did it.

Lu Cheng simply had no opportunity to get to know a director in depth before, so he had no idea about their survival "ecosystem"!
If we're talking about hypocrisy, Lu Cheng could see it in any of his former superiors.

Including Zhang Tiesheng, Zeng Huanqi, Xiang Kuihua, and others...

However, the patient's family did not come to find Lu Cheng. Lu Cheng was the actual surgeon, but the surgeon listed in the surgical record was actually Zhang Tiesheng, an associate professor.

Zeng Huanqi was on the day shift in the ward. After yawning, "Blackie" entered the doctor's office and immediately said with a smile, "Teacher Lu is here, and my coffee has arrived too."

Lu Cheng quickly said, "Brother Zeng, the patient who just had surgery will be back in the ward soon. Please keep an eye on him!"

"Pay more attention to attracting traffic."

Zeng Huanqi waved his hand and said, "Don't worry, don't worry, Professor Lu, aren't you confident in the quality of the surgery you performed?"

Lu Cheng still dawdled: "After all, it's a relatively unfamiliar surgery, so it's better to be careful. If the drainage volume exceeds 60ml, then do a bedside ultrasound immediately."

"Yes, yes, I've remembered it. I've taken notes."

Zeng Huanqi laughed: "I wouldn't dare not take notes, I'm afraid you'll annoy me to death, Xiao Lu."

"Hey, by the way, Xiao Lu, can Tian Zhuang start working on the tendon suturing now? I just found out too. He brought a team into the operating room alone today."

Lu Cheng smiled and nodded: "Yes, Fifth Brother has been working very hard. After studying for so long, he has indeed started to get the hang of tendon suturing. He can handle some simple tendons without any problems now."

"Besides, isn't Fifth Brother your creditor? Please take a little care of him."

Zeng Huanqi rolled his eyes and continued to complain: "I paid for the repairs of my door myself, but his brother is really stubborn."

"He'd rather be detained longer than pay money, as if he thinks he doesn't have to pay at all if he doesn't. Civil and criminal cases are separate, okay?"

"Forget it, I can't be bothered to talk about this nonsense."

"But Tian Zhuang had a tough time too. I saw through the surveillance footage that he took out the knife at least six or seven times before he finally cut off all these troubles."

“If you’re not a pure-hearted person, you probably wouldn’t be able to pick up a knife in front of a child.” Zeng Huanqi’s expression was helpless.

Tian Zhuang is definitely a good-tempered person, but the fact that he was forced to threaten his niece and nephew with knives shows how awkward his situation was.

Similarly, once such a person has made up their mind about something, it is impossible to change their mind.

"Brother Zeng, let's not talk about these things anymore. I know what you mean, but I really don't want to dwell on Brother Zhuang's situation."

"I don't want to be a teacher and become a burden," Lu Cheng shook his head, speaking in a rather snobbish tone.

What technical diagrams did Lu Cheng teach Tian Zhuang before?

Tian Zhuang is an adult. No matter how naive he is, shouldn't he have done his job of settling things with his relatives and not causing trouble for his teacher?

They are no longer seven or eight years old, or even seventeen or eighteen years old.

"Well, that's true."

"By the way, Xiao Lu, Director Du just called me and said that when you're on duty in the future, if there are any general surgery procedures such as appendicitis, you should call him first."

After taking two deep breaths, Zeng Huanqi said irritably, "This guy is so narrow-minded, I don't know how he became the director."

Zeng Huanqi understood Du Qiang's approach perfectly: to block Lu Cheng's surgery. You might be able to perform it, but your rank isn't high enough. I, Du Qiang, will handle it all by myself.

This is common in the county; it's all about increasing the number of surgeries performed.

There's a reason for that, because Du Qiang's appendectomy surgery quality is definitely no worse than Lu Cheng's; it's just that his methods are much more unsightly.

Lu Cheng sarcastically remarked, "What about tendon sutures and finger replantation? Why don't we just call Director Du about those too?"

If you're going to act, you have to go all the way.

Although Lu Cheng didn't quite understand, he still wanted to do it like Du Qiang did.

"Well, we'll call him then and see what Director Du has to say." Zeng Huanqi wasn't a good person; he was cunning and sly...

The surgical team operates 24 hours a day, and normally, these surgical teams could wait at home and be on call at any time. However, Lu Cheng's surgical team has a wide range of surgeries and doesn't discriminate between meat and vegetables, so he simply stays in the department all the time.

After Zeng Huanqi's day shift ended, Zhang Tiesheng's night shift began.

The night shift was relatively peaceful. Lu Cheng and Zhang Tiesheng spent four hours in the break room 'lining up', and no trauma patients came to visit.

Both of them felt a little dizzy.

Lu Cheng put down his phone and said, "Brother Zhang, let's climb the ranks together again next time. I'm going to check on that surgical patient, take a shower, and then rest."

"Okay, I'm going to take a shower now."

"This kind of shift is so comfortable. The patients are at peace, no one gets hurt, and we're happy to have some free time." Zhang Tiesheng yawned and then casually ate a jujube.

Lu Cheng didn't accept money, but Zhang Tiesheng thoughtfully bought a lot of snacks, including a fruit platter and spicy beef from a snack shop, mainly to control the man's appetite...

[Overall Level: Associate Chief Physician]

【基础理论：外科学（熟练10/10）、骨科学（熟练10/10）、手外科（熟练10/10）、创伤外科基础理论（专精0/20）、急救医学（专精5/20）……】

【外科基础技能：X线阅片术（熟练10/10）、CT阅片术（专精10/20）、核磁阅片术（熟练10/10）、外科器械操作经验（熟练10/10）、体格检查（专精20/20）、辅助检查阅读技能（熟练10/10）】

【外科基础操作：切开术（熟练10/10），清创术（熟练10/10），缝合术（专家20/200）、打结术（熟练10/10）、穿刺术（熟练10/10）、止血术（专精20/20）。】

【外科基础术式：骨折切开外固定术（熟练1/10）、骨折手法复位术（专精10/20）、骨折切开复位内固定术（熟练0/10）、关节脱位手法复位术（专精12/20）……】

【专科术式：断肢再植术（专精20/20）、胆囊切除术（熟练10/10）、阑尾切除术（熟练10/10）、脾切除术（熟练10/10）、保脾术(专精20/20)、保胆术（专精20/20）、保肝术（专精20/20）】

[Suturing (Expert 20/200)]

【缝合系专业基础技能：肌腱缝合术（专精16/20）、神经缝合术（熟练10/10）、血管缝合术（熟练10/10）、骨缝合术（熟练10/10）、膜系缝合术（熟练10/10）】

【缝合系专科技能：血管端端缝合术（熟练专精0/20），肌腱未命名缝合技法（专精15/20）、未命名肌腱缝合术（专精8/20）、神经外膜-束膜缝合（专精0/20）、未命名脾缝合技法（专精20/20）、未命名神经缝合技法（专精0/20）、未命名血管缝合技法（熟练10/10）……】

Lu Cheng glanced at his overall qualifications again and indeed saw the words "Associate Chief Physician" in full view.

Putting everything else aside, just considering the specialized surgical procedures alone, if Lu Cheng doesn't even reach the level of an associate chief physician, then the average level of an associate chief physician is frighteningly high.

【专科术式：断肢再植术（专精20/20）、胆囊切除术（熟练10/10）、阑尾切除术（熟练10/10）、脾切除术（熟练10/10）、保脾术(专精20/20)、保胆术（专精20/20）、保肝术（专精20/20）】

Specialized skills are definitely not commonplace; a specialist's level of proficiency in a particular technique may even surpass that of an associate professor.

With the added benefits of established surgical techniques, the support of new techniques, and the "icing on the cake" of new suturing methods, Lu Cheng himself felt that the panel's overall strength assessment was very realistic.

With his strength, Lu Cheng was naturally not afraid.

Lu Cheng doesn't care if his actual skill level is higher than his professional title; what he fears is if his actual skill level is lower than his professional title, then it will be difficult for him to get by.

……

Time flies, and in the following days, Lu Chengguo indeed witnessed Director Du Qiang's 'methods'!
When Lu Cheng wasn't on duty, he didn't receive a single phone call, not even from patients with tendon injuries.

Not to mention other related injuries.

Lu Cheng also had things to do, and after he had some free time, he finally had time to go see Professor Chen Song.

Professor Chen Song had already prepared the first batch of nude mouse models for animal experiments. He contacted Lu Cheng and asked him to take some time to go to Ji City to complete the first batch of operations.

Lu Cheng also took the time to contact Professor Tong Yuan'an of Xiangya Hospital and finalized the list of several people to learn nerve and vascular suturing techniques.

These attending physicians and associate professors arrived in Long County immediately to do two things.

The first thing I have to do is witness the miracle Lu Cheng created with my own eyes. After all, Lu Cheng has created a blood vessel and nerve technique that never existed before, which is just too amazing.

The second thing, of course, was to actively seek out a master.

Even a fool could figure out that this was a perk Tong Yuan'an secured for them, including but not limited to using these techniques to show off in competitions...

With all these benefits, these guys studied very actively and diligently.

Of course, based on their active efforts, Lu Cheng also roughly understood how a student should ingratiate himself with superiors and teachers in a teaching hospital, and the arrangements were truly comfortable...

Massage, karaoke, drinks, food and other amenities are all available.

In addition, they also took the initiative to contact Lu Cheng, offering to teach him how to write papers, including but not limited to teaching him how to write meta-analyses, and also recommending several of Lu Cheng's marginal SCI papers in Q3 and Q4 journals.

If Lu Cheng didn't already have a girlfriend, and their relationship wasn't so good, he swore these bastards would have dragged him down with them...

Compared to these sensible older brothers, Xie Yuan'an, who followed Mu Nanshu back to Longxian to learn tendon suturing techniques and spleen solid organ suturing techniques, was much more of a novice.

Xie Yuan'an only knew to invite Lu Cheng and Mu Nanshu out for dinner; she didn't make any other arrangements.

Most of the time, they would go shopping and eat together with Mu Nanshu. When they had free time, they would also take a day trip to Yushi to eat hot pot, a day trip to Shashi to eat stinky tofu, and a day trip to Hanshi to eat hot dry noodles...

On November 9th, when Lu Cheng was on duty for his fourth surgical shift in November, Zeng Huanqi, who was on the day shift, finally explained to Lu Cheng what Du Qiang had said in the department.

"Director Du said that Lu Cheng will leave sooner or later. If you move all those tasks into the department now, who will replace him after he leaves?"

"If we lose the business we could have done, and the leaders hold us accountable, who will be responsible for this?"

"Back then, shouldn't referrals still be made?"

"At that time, should the patient continue to face the life-threatening risks?"

"If you keep calling Lu Cheng in, the higher-ups will think you can handle these kinds of things routinely!"

Zeng Huanqi was on the day shift in the emergency room. After seeing off a patient with gastroenteritis, he said, "You know what, there's some truth to Director Du's twisted logic."

"That's how it is within the system. If you can get things done, you'll always have more to do."

"On the contrary, sometimes when you lie down, not so many people bother you."

Lu Cheng's departure is a done deal; this is something Lu Cheng has made clear.

Because it currently offers many benefits to hospitals, the hospitals have not particularly objected to this.

Moreover, the hospital has been in chaos lately, with everyone on edge and no one having time to consider whether Lu Cheng should leave.

Lu Cheng's staying is merely icing on the cake for the hospital. If the current situation is not handled well, and the inspection team gives him a few more blows, that would be truly "kicking someone when they're down"!

Lu Cheng said, "Brother Zeng, let's just follow Director Du's arrangements. I have to work four operating shifts in ten days, which is not a small number."

"That's quite a lot, but compared to the frequency of your previous shifts, it's far less."

Zeng Huanqi continued, "Actually, when you're not on duty, Professor Tong Yuan'an is occasionally on duty, so emergency patients in hand surgery are generally quite lucky."

"that is…"

"Forget it, I won't say anymore. It's all fate."

Zeng Huanqi didn't continue to put pressure on Lu Cheng. Instead, he changed the subject and asked, "Little Lu, I heard that you rejected Xiangzhou's talent recruitment offer and decided to cross the single-plank bridge on your own."

"What were they thinking?"

Lu Cheng replied with a smile, "My talent recruitment is not legitimate, so I dare not make any exceptions in this situation."

"Moreover, rights and obligations are relative. While the various benefits of talent introduction are certainly good, the service period is much longer."

"The contract I signed now is a regular contract, and the selection exam is just an internal personnel change within Xiangzhou."

Zeng Huanqi wasn't stupid. He said, "So, you still plan to jump ship at any time after your service period ends?"

Lu Cheng's plan was not something that everyone could not understand.

Lu Cheng did not refute.

Zeng Huanqi then said, "Then you'd better be careful when you go to the prefecture to take the exam tomorrow."

"How so?" Lu Cheng asked.

Zeng Huanqi said, "Given the current situation, with the inspection team present, even though the selection exam was arranged in advance, it must proceed as scheduled."

"But some people can no longer get inside information, so they may have to resort to outside methods."

(End of this chapter)