This doctor is already middle-aged, and he's only just started practicing medicine.
Chapter 34 Route Selection!
Chapter 34 Route Selection!
"The basics of suturing are easy to learn but difficult to master. According to Professor Tong from Xiangya Hospital, after you have completed the suturing practice of stretching the tourniquet, you can start practicing suturing the water-floating foam board."
"The standard for practice is that the foam board must not move when placed on the water surface during the sewing process."
"This is a more extreme training in controlling your needle insertion force, insertion angle, withdrawal force, withdrawal angle, and passing force and angle."
"This kind of training may not have a very good direct effect in clinical practice. For example, if you complete this, you can go directly to suture the tendon. But according to Professor Tong, if you can complete this step..."
"Only then will there be a chance to complete the suturing in cases where the artery is bleeding uncontrollably," Chen Song instructed in such detail.
Upon hearing this, Lu Cheng's pupils immediately contracted, and he asked, "Suturing a blood vessel to stop the bleeding? Isn't that just reckless?"
Stopping the bleeding before suturing is a rule in surgery and medicine.
Why would you want to challenge the rules?
Chen Song asked with a hint of amusement, "What if you encounter a special situation where there is bleeding from a blood vessel that cannot be stopped and the only option is to suture it?"
"We're just going to let the patient die like that?"
Lu Cheng was speechless for the moment, and simply said honestly, "We probably won't encounter this in our hospital. Even if we did, the 120 transfer doctor might not be able to safely monitor and transport him to the hospital."
"What I mean is, I'm not asking you to do vascular suturing in non-hemostatic situations, but rather to continue practicing your basic suturing skills."
"Didn't you say you wanted to learn? Just listen to me and that's it." Chen Song couldn't teach the root cause of the problem.
The only option was to force-feed Lu Cheng.
As for why the water-soaked foam board needed to be sewn up, and what its future significance would be, Chen Song had no idea. Even at Xiangya Hospital, Chen Song wouldn't dare to do something so extreme...
"Oh, okay, Teacher Chen..." Lu Cheng nodded immediately and obediently agreed.
Perhaps, at the level of basic suturing skills, being able to suture tendons already represents the maximum range of Chen Song's suturing skills.
The rest also fall into his knowledge and operational blind spots.
Not all surgeons are particularly skilled at suturing.
"You've been behaving a bit strange lately, not as relaxed as you used to be. Is something wrong?" Chen Song sat down, put his hands behind his head, and rested the back of his hands against the chair back, stretching and relaxing his neck.
His heels were pushing off the ground, and his legs were straight, like those of a patient with spinal cord extension deformity.
Lu Cheng was taken aback: "Really? Teacher Chen?"
"Don't be so obvious, okay?" Chen Song rolled his eyes at Lu Cheng.
Lu Cheng said, "Perhaps. I'm thinking about some things. I'm not sure if I should do that..."
"What's up? Would you mind sharing?" Chen Song asked, not out of gossip, just for casual conversation out of boredom.
"Just some trivial personal matters."
Lu Cheng shook his head and casually brushed it off: "Professor Chen, I will be spending more time on basic surgeries in general surgery in the near future."
Chen Song had already sat up straight, his expression showing gossip but not curiosity: "Your hospital is actually quite interesting."
Lu Cheng knew that Chen Song was implying something about Zhang Tiesheng and the others, and probably hadn't excluded himself either: "I still have to thank Teacher Chen a lot. Without you, I probably wouldn't have had a chance to do the tendon suture."
The transmission of skills is a very private matter. Even in the age of advanced information technology, such as car repair, one cannot learn it thoroughly simply by studying online.
Surgical skills cannot be learned simply by following tutorials and methods. The specific purpose of each step of learning and how to flexibly apply them to patients after practice all require careful guidance from a teacher.
Besides providing a safety net, the confidence it gives you is something that you can't replace by forcing your way in.
Lu Cheng also knew that Chen Song's learning in orthopedics had reached its limit during his time in the countryside, when he was able to thoroughly understand all the different types of tendon sutures.
There's no chance of getting the technology that Chen Song doesn't even know, which involves creating something from nothing.
Therefore, Lu should seize the remaining time to focus on some 'diseases' in general surgery, and take on the diseases that even the general surgery specialists at the county hospital cannot handle. That would be the optimal solution.
"Surgery is ultimately a technical skill; if you know it, you know it, and if you don't... it's hard to force someone to do something they don't..."
“Everyone has different surgical talents. You are considered to have relatively good surgical talent. If you are willing to fill in the gaps in your knowledge, this is a blessing for the patients in your county.” “Take it slow. You can’t rush learning techniques.” After Chen Song finished speaking, he raised his hands above his head and stretched his whole body in a relaxed manner.
Then he got up and left, his 'arrogant' voice echoing back: "It's time for you to dawdle..."
As Lu Cheng watched Chen Song's retreating figure, a different scene of their conversation flashed through his mind—
"You really don't have a boyfriend? That's impossible, right?" Lu Cheng's tone was somewhat joking.
Mu Nanshu said, "Really, there isn't one. You should know how hard it is to find a suitable partner."
"Actually, I'm just a girl who's relatively lucky. I might not be as outstanding as you think. My family background is just average, and I'm not good at speaking."
"Can boyfriends be provided by the government?" Mu Nanshu said.
"I haven't heard of this policy yet..." Lu Cheng replied with a simple, honest smile.
-
Is Mu Nanshu excellent? That depends on the individual.
To others, Mu Nanshu must be the type who has a "relatively big temper" and is rather "arrogant".
In Lu Cheng's view, the formerly quiet and reserved Mu Nanshu would directly storm into the orthopedics department of Huashan Hospital to argue with him, and her sharp, shrewish, and sarcastic "spicy girl" voice was indeed something that left a deep impression on Lu Cheng.
Later, Mu Nanshu gave up the opportunity to pursue a master's degree at Huashan Hospital and went directly abroad to "spend money" on education.
Of course, Lu Cheng was just Lu Cheng, a mere undergraduate student. Mu Nanshu was also just Mu Nanshu, a mere undergraduate student.
Lu Cheng's failure to pass the postgraduate entrance examination and Mu Nanshu's decision to give up the "admission opportunity" did not cause the slightest ripple at Huashan Hospital. They were all buried in history and few people knew about them.
Current skill point balance: 10.2 points
[Improved Tang Method (Proficient 8/10)]
"Get to work, get to work!" Lu Cheng didn't complain. Effort might also lead to regret, but if a person doesn't even put in the effort, then they can only wait to die.
While Lu Cheng was still writing the surgical record, his friend Zhang Tiesheng called.
"Brother Zhang?" Lu Cheng asked.
"Xiao Lu, is the surgery over? Did everything go smoothly?" Zhang Tiesheng asked with a gentle smile, his voice full of concern.
Lu Cheng replied, "It was only recently that I started writing the surgical record and postoperative instructions."
"That's right, brother. I have to admit that Lu Cheng, your talent is definitely better than mine."
"So, brother, can we make a shameless deal?" Zhang Tiesheng suggested.
"Hmm?" Lu Cheng was slightly puzzled.
“Starting tomorrow… Director Lin and I have applied for a shift change. You and Professor Chen will no longer work regular day shifts, but only surgical standby shifts.”
"Apart from the more basic surgeries, you can just focus on learning the techniques from Professor Chen throughout the rest of the time."
"During this period, you don't need to handle the department's medical record writing, bed management, dressing changes, and other tasks. You should learn as many skills as possible."
“In this way, you will learn more skills, and your brother will have a long-term teacher in the future.” Zhang Tiesheng’s tone was polite and gentle, without any pretense of nobility.
If you have a desire, you will find a specific way to achieve it.
Zhang Tiesheng wanted him to follow Chen Song through all his surgeries, focusing solely on learning and no longer doing basic tasks: "Will Director Lin agree?"
"Where there's a will, there's a way. If Director Lin doesn't agree, we can try to persuade him."
(End of this chapter)
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