Chapter 77: Orthopedics’ Consistent Consultation Opinions
【Independently completed professional tendon suturing… gained 1.6 skill points… 】
【Assisted in the completion of multiple tendon injuries, bringing functional recovery to patients, and gained 3.1 skill points. 】
After the surgery, Lu Cheng once again confirmed that the skill points obtained from treating multiple tendon injuries did not increase linearly, but were subject to a certain degree of reduction.
Lu Cheng sutured three extensor tendons. According to the logic, it should have been 4.2, but more than one point was inexplicably deducted.
【Current Skill Point Balance: 18.5 points. 】
It was only 12.1 this morning, and now it’s 18.5. It’s not even noon, and today’s earnings have reached 6.4!
It can now be confirmed that skill point rewards are related to surgical level.
Lu Cheng imagined the approximate average rewards.
【Manual Reduction: 0.7 points/case, Appendectomy: 1.0 point/case, Tendon Suturing: approximately 1.2 points/tendon, Gallbladder Preservation Surgery: 3.2 points/case （Needs Improvement ）, Spleen Preservation Surgery: 3.4 points/case （Needs Improvement ）. 】
【Gallbladder Removal: 1.5 points/case; Splenectomy: 1.3 points/case… 】
“What are you grinning about? Let’s go.” Tong Yuan’an saw Lu Cheng spacing out, patted him on the shoulder, and signaled him to leave.
“Teacher Tong, I was waiting for you to leave together. The reason I’m happy is because you teach so well, Teacher Tong, which is why I feel I have some presence in clinical practice now,” Lu Cheng replied truthfully.
Skill points must be obtained by genuinely healing patients and alleviating their suffering. Otherwise, one cannot even get onto the operating table.
“You are still young, so you find it invigorating to learn these minor surgeries, and performing a few surgeries will give you a sense of accomplishment. That’s good,” Tong Yuan’an said, looking at Lu Cheng’s happy expression with a mix of envy and deep emotion.
However, in hand surgery, tendon suturing is truly just an entry-level condition.
For example, hand deformity reconstruction, finger replantation, tendon transposition, nerve transposition, functional reconstruction, and functional restoration are the true hand surgery procedures.
The tendon suturing that Lu Cheng performs is not even done in the hand surgery department at Xiangya Hospital; it’s something junior doctors might do a few times during their chief residency to practice.
As for splenectomy and spleen preservation surgery, these are surgical procedures for emergency general surgery.
For instance, liver tumors and gallbladder tumors are the real surgical procedures in hepatobiliary surgery, and there are even more advanced surgeries whose full names Tong Yuan’an doesn’t even know…
However, Chen Song had told him about Lu Cheng’s situation, so Tong Yuan’an didn’t want to discourage Lu Cheng.
It’s a real pity about Lu Cheng’s talent, completely wasted by his age. He hasn’t even reached the threshold for scientific research yet. No matter how strong his professional ability is, he’s merely a technician.
How can China achieve self-reliance and confidence in its pharmaceutical industry?
By learning from others?
Wake up! “Learning from the barbarians to control the barbarians” has long been proven wrong. History has shown that only innovation can bring about revival, not by treading the old paths of others.
However, being a good technician is enough for Lu Cheng to experience the feeling of being a good doctor for a lifetime, at least to relieve patients’ suffering.
But he probably won’t experience that physician’s mindset of saving people from despair and absolute suffering.
When faced with people who have no one to turn to, no way to seek medical help, who are waiting to die with that intense gaze, Lu Cheng will also realize, “The best of knowledge is acquired only when it is needed.”
Tong Yuan’an was invited to ‘save the day’ to handle the ‘vascular suturing’ that Lu Cheng couldn’t manage. After completing it, Tong Yuan’an naturally left.
Lu Cheng was on duty, so Zhang Tiesheng was responsible for Tong Yuan’an’s lunch.
Lu Cheng transferred one thousand yuan to Zhang Tiesheng, but Zhang Tiesheng returned it, replying via message: “Xiao Lu, are you looking down on your brother now?”
“Inviting Professor Tong to lunch is also my personal accumulation of favors. You want to pay for it? You’re forcing your Brother Zhang into an embarrassing situation!”
Lu Cheng explained: “Brother Zhang, no, it’s just that you and Professor Tong both came to help me. It’s normal to treat you to a meal. Brother Zhang, don’t break the rules…”
Zhang Tiesheng said: “Then I really have to break it. Next time, next time, okay…”
Zhang Tiesheng didn’t dwell on it too much. Lu Cheng was now bringing in far more revenue for the department than before.
In August, Zhang Tiesheng’s performance bonus surged to over 6000 yuan, with his take-home pay being a solid ten thousand. Lu Cheng’s would be around twelve to thirteen thousand, but Lu Cheng receives chief surgeon performance bonuses. Without him, this money wouldn’t exist, and it’s not something to be envious of.
Lu Cheng has genuinely increased Zhang Tiesheng’s income, so Zhang Tiesheng is naturally “convinced”…
“Doctor Lu, how is my wife’s surgery?” As soon as Lu Cheng returned to the ward, the aunt’s husband rushed forward to ask.
Lu Cheng immediately put away his mobile phone and said, “Everything went very smoothly. Now we just need to observe the blood circulation post-operation.”
“I’m on duty today and will check in a few more times, but you must also pay attention to the few things I explained to you before the surgery.”
“If you notice any numbness, swelling, or purplish discoloration, be sure to inform us doctors immediately, no matter when you find it.”
“The vascular injury to this finger is quite dangerous in the first twenty-four hours after surgery. Vascular issues will determine whether the finger can survive, so we cannot be careless…”
“Of course, we conducted a detailed assessment during the surgery, and the current blood circulation is very good. However, we are concerned about local hematoma compressing the blood vessels post-operatively,” Lu Cheng explained in detail.
“Yes, yes, okay, I’m relieved that the surgery went smoothly,” the middle-aged man took a deep breath.
“Actually, several patients in the ward have told me that Doctor Lu’s technique is good and that we shouldn’t worry. But my wife’s situation is different.”
“When you first said you couldn’t handle it, Doctor Lu, it really scared us,” the middle-aged man said.
Lu Cheng said, “I apologize, Uncle. It’s true that my ability is limited. This time, if Professor Tong hadn’t been here, I really couldn’t have handled it.”
As Lu Cheng was speaking, Lin Lang’s loud voice came from the nurse station: “Lu Cheng, Du Daihua from the clinic is looking for you. He has a patient and can’t get away.”
“Uncle, I need to go for a moment,” Lu Cheng immediately turned his head to apologize and then ran off quickly.
“It’s fine, Doctor Lu, you go ahead and be busy…” The middle-aged man was in the Emergency Department and understood Lu Cheng’s haste.
Passing by the nurse station, Lu Cheng looked at the 170-pound Sister Lang, whose arms were thicker than his, and asked, “Xiao Lang, what’s the matter?”
“There’s a bunch of patients over there, and I need to carry out medical orders. Sister Duoduo has gone to give injections. There are a lot of patients in observation today, with nearly seven or eight admitted for gastroenteritis,” Lin Lang said.
Tian Duoduo is a head nurse, and Lin Lang is a nurse! Although Lin Lang is large, she is actually very young, only twenty-four years old, two years younger than Tian Duoduo.
“Oh, okay…” Lu Cheng didn’t get specific information and headed directly to the clinic.
Du Daihua saw Lu Cheng and said, “Brother Lu, can you take a look at this fracture patient?”
“I called Orthopedics, and Doctor Xiang still told the patient to go directly to the ward…”
The Emergency Department called for a consultation from Orthopedics. They dared not refuse to give an opinion. Except when Peng Kun is on duty and comes to the Emergency Department himself, most of the opinions given recently are to send the patient directly to the ward.
“Okay, I’ll do a physical examination on the patient first…” Lu Cheng’s expression was calm.
