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

Chapter 36 Lu Cheng's Attack!
"Xiao Lu, are you tired?"

"Fortunately."

"Xiao Lu, looking at how energetic you are, why don't you be the one to perform this liver-protecting surgery?" At the sink, Chen Song washed his hands while proudly raising his chin, trying to make it level with Lu Cheng's.

Lu Cheng's smile froze instantly: "Teacher Chen, aren't you mocking me..."

"Let alone liver-preserving surgery, I wouldn't even dare to undergo a liver lobectomy!"

"We still need to rely on your great power, Teacher Chen." Lu Cheng's eyes were fawning, as if he had just had cosmetic surgery.

Chen Song's current problem is similar to asking a butcher at a slaughterhouse, "Mr. Hu, there's a fracture surgery being performed at the People's Hospital. Would you like to go and have it done?"

If Master Hu could do this, why would he still be slaughtering pigs at the slaughterhouse?
"Are you sure you don't want to do it? If not, I'll come over. Don't say Teacher Chen didn't give you a chance." Chen Song's tone was kind and approachable.

"When your teacher Chen dies from exhaustion one day, you'll have to fight alone." Chen Song's voice was serious, yet he could be described as a mischievous troublemaker.

It's 3:30 in the morning. Lu Cheng has forgotten the exact date in July. Since he stopped having regular shifts and started being on standby at any time, Lu Cheng really can't figure out what day it is anymore.

"Teacher Chen, after I finish this one, I'll call Director Lin right away. We'll take a day off and suspend emergency surgeries." Lu Cheng's tone was decisive, and he understood Chen Song's unspoken meaning.

Chen Song narrowed his eyes, clasped his hands together in front of his chest, and walked into the operating room, his tone barbed: "My God! Xiao Lu, you still remember that your teacher Chen is a person, not a machine? That's great!"

Lu Cheng blushed slightly.

Lu Cheng understood that Chen Song's agreement to the "cow and horse class" with Director Lin Qianlong and others was mainly for the purpose of teaching him.

Otherwise, how could Chen Song, a professor working in a rural area, be on call for emergency medical services at any time?
Lu Cheng followed him in and asked, "Brother Liang, what's the date today?"

Brother Liang, an anesthesiologist, looked surprised: "July 28th? You don't even remember the date? How did you manage to work this shift?"

Chen Song said, "He's trying to get himself killed and drag someone else down with him. His main goal is to avoid losing money."

Chen Song finally understood that if he didn't tease Lu Cheng a bit, Lu Cheng wouldn't know anything about what a normal person's daily routine was.

The key is that Lu Cheng is still full of fighting spirit...

Dr. Liang was taken aback: "Professor Chen, you haven't gone home to rest since the surgery on the 25th, have you?"

The last time Liang Guihong was on duty was on the night shift on July 25th, after which he had two days off.

Chen Song didn't say anything.

Lu Cheng lowered his head and followed Chen Song to put on sterile surgical gowns.

This emergency patient, whom no one else could handle, was already anesthetized, so the surgery had to proceed; there was no turning back.

Liang Guihong winked at Lu Cheng: "Lu, you need to take it easy. If Professor Chen doesn't get enough rest, you can't take the responsibility."

If a doctor goes to another hospital for further training and dies from exhaustion, the training institution will be in serious trouble. If a doctor sent to a rural area for assistance dies suddenly at Longxian People's Hospital, a whole string of people will be doomed.

Lu Cheng lowered his head, thinking that he was still not meticulous enough in his work. After this surgery was over, he had to add a new memo to record Professor Chen Song's opening and closing times, and make sure to ensure that Chen Song had enough rest time.

In my spare time, I can do appendectomies and tendon sutures by myself...

It was I who wanted to learn surgery, not Professor Chen Song.

"Teacher Chen, I'm so sorry..." Lu Cheng apologized sincerely.

Once the surgery officially began, Chen Song stopped joking around and said, "If the liver damage is grade 3 or below, the hemodynamics are stable, there are no signs of peritoneal irritation, and the CT scan shows no active bleeding, non-surgical treatment can be chosen."

"But this patient is not suitable; he has AAST level 3 and must undergo debridement and liver resection."

"Ultrasonic scalpel precisely removes the liver, and the wound is sealed with fibrin glue. Since it hasn't reached the point of destructive rupture, there's no need for segmentectomy. This is the chosen treatment method." Lu Cheng nodded: "Yes, Professor Chen."

"The best hemostasis strategy is interventional surgery, but your hospital doesn't have that, so we can't use interventional embolization to stop the bleeding. We can only drive in and slowly stop the bleeding."

"What we're going to use today is the hepatic segment blood flow occlusion (Takasaki method). This method is actually very easy to understand; it's simply a selective hepatic blood flow occlusion procedure."

"But the process is quite complicated. We first need to dissect the Glisson sheath, precisely separate the Glisson pedicle of the target liver segment, and then precisely close it with a vascular clamp."

"This process, which may seem like a hemostasis technique, is actually a precise application of incision. Just watch carefully..." After patiently explaining to Lu Cheng, Chen Song made the incision into the liver lobe.

In Chen Song's hands, the ultrasonic scalpel moved as nimbly as a dragon, going in and out for a while before exposing the Glisson pedicle of the target liver segment.

"You insert the vascular clamp and experience the procedure of blocking blood flow to the liver segment..."

Lu Cheng did as instructed in a daze, and after inserting the vascular clamp, the bleeding points in the area were completely hidden.

There may be a small amount of bleeding, which is residual blood and will gradually disappear.

This clamping motion seemed to eradicate the weeds completely...

"This AAST level 3 liver protection surgery is the best material for you to learn. If you want to perform liver protection surgery, this is the surgical technique you need to learn."

"But you can't do it yourself. You'll have to bring your Director Lin along, and that will do..."

"For grade III liver injuries, lobectomy is not necessary; only debridement and resection are required. However, how to perform the resection is a very specific and detailed matter."

"What's important is the flexible application of debridement techniques, but your basic debridement skills are not yet up to par, so you need to practice slowly."

"The most basic principles remain the same: remove all necrotic tissue and suspected necrotic tissue..."

"But there are techniques for treating the excised wound. If the wound is a first-degree oozing wound, bipolar electrocoagulation is sufficient. If it is a second-degree oozing wound, then a shallow argon plasma coagulation is required. Your hospital does not have this, so we can only apply hemostatic gauze for about two minutes, just like with third-degree oozing."

"The most important thing to pay attention to is to rule out bile leakage. The strictest standard is that the bilirubin in the wound exudate should be less than 17umol/L, which is not easy to quantify. So you can only practice your basic skills very rigorously."

"The ratio of fibrin glue is also important; you can read the book about it when you get back..." Chen Song explained the key points of each step to Lu Cheng in detail.

Lu Cheng nodded repeatedly. These things weren't included in the instructional videos; they were the personal experiences and understandings of each surgeon, belonging to experiential knowledge points...

[Expert and long-term guidance from renowned instructors on the liver protection procedure leads to improved skill levels.]

[Liver Protection Techniques (Beginner 4/5) (+2)...]

This time, Chen Song's guidance directly increased Lu Cheng's experience points by two, which can be described as a great gain.

The benefits of skill points also follow.

[By assisting in the specific procedures of hemostasis, debridement, and suturing during the liver-preserving surgery, ensuring the smooth progress of the operation, 0.4 skill points are awarded.]

Current skill point balance: 42.3 points

Four days, 30 skill points—enough to make Lu Cheng grin from ear to ear.

After Chen Song stepped down from the stage, he pointed his index finger at Lu Cheng's temple and said, "Stop grinning like an idiot. Go back and get some rest. The surgery isn't over yet!"

"Just live first... as if possessed." Chen Song, with his hands behind his back, stepped open the automatic sensor-operated airtight door of the operating room and walked out arrogantly.

Chen Song finally understood that if he didn't directly point out that he was too tired, he would be ruined by Lu Cheng sooner or later.

However, Chen Song didn't blame Lu Cheng. If Lu Cheng hadn't been passionate about surgery, it would have been a miracle if he had learned it so quickly.

(End of this chapter)