Chapter 51: Xiao Lu The Scumbag
“Spleen preservation surgery is divided into in situ spleen preservation surgery and ex situ spleen preservation surgery, and the decision should be based on the grading of spleen injury.”
“Although it is called spleen preservation surgery, it is actually the debridement of necrotic spleen tissue and hemostasis.”
“Currently, what you can operate on are biological glue adhesion, hemostatic gauze packing, microwave coagulation hemostasis, and simple suture, which corresponds to Grade I-II splenic laceration.”
“For Grade II to III lacerations, omental reinforcement sutures and splenic artery ligation + local sutures are required. This is what you need to master in detail.”
“In the future, such as splenic segmentectomy, splenectomy, subtotal splenectomy, interlocking suture excision, ultrasonic aspiration knife excision, and postoperative pedicled vascular splenic autotransplantation, and splenic embolization are all things you can learn slowly.”
“The difficulty of liver protection surgery is slightly greater than that of spleen preservation surgery, understand…” Chen Song stood with his hands behind his back, meticulously detailing the surgical procedures and indications for spleen preservation surgery to Lu Cheng.
Lu Cheng nodded slightly, glanced at Professor Tong Yuan’an, and seeing that Tong Yuan’an was not particularly angry, replied, “Teacher Chen, I understand. With my current ability, I can only perform splenectomy and Grade I to II splenic injury suturing.”
“That’s already very good. This is thanks to your excellent basic skills in suturing, which allows you to operate delicately during the suturing process.”
Chen Song concluded, “The suturing techniques from hand surgery are indeed very practical.”
Zeng Huanqi offered a cigarette at the right time, “Teachers, want to go out for a smoke?”
“Let’s go.”
“Let’s go.” Both Tong Yuan’an and Chen Song did not refuse.
…
The fire escape of the emergency comprehensive ward connects to the outdoors; it is cramped but open. Chen Song, while puffing on his cigarette, looked at Zeng Huanqi and said,
“Xiao Zeng, although splenic suturing doesn’t require very high suturing skills, if you can’t complete the suturing of orange peel, to perform such an operation, the trial-and-error cost for the patient is too high.”
“And orange peel suturing is something that second-year master’s degree students in hand surgery must master. If they haven’t mastered it, they are considered to be falling behind.”
“Of course, in our Emergency Department and General Surgery, orange peel suturing is considered the standard for doctoral graduates in specialized fields. Our standards differ.”
Zeng Huanqi pouted and smiled, “I understand, Teacher Chen. Xiao Lu not only has good basic skills in suturing but also has good proficiency in hemostasis, which is crucial for spleen preservation surgery, so he will learn much faster.”
“Here, we mostly performed splenectomy and non-surgical spleen preservation in the past, so there’s no specific information on how to get started.”
Chen Song said, “This information certainly cannot be given out indiscriminately. The development level of each hospital is different. If a lot of things are exposed to the public, medical disputes are already tense, and this environment will only become more tense.”
“Learning surgery has its intricacies, and there are too many details to pay attention to. Knowledge is not passed to everyone; it’s usually passed down privately.”
“Everyone has their own destiny. Splenectomy is a one-time curative method.”
“Spleen preservation surgery may still lead to splenic necrosis, requiring complications such as a second operation…”
“As for Xiao Lu, his comprehension is indeed excellent. A person’s fundamental comprehension is best reflected in the progress and level of their basic skills.”
Tong Yuan’an also had a general understanding of the county hospital’s ecosystem and knew that Zeng Huanqi had given Lu Cheng an opportunity. Therefore, he explained, “Doctor Zeng, during master’s and doctoral studies at our Xiangya Hospital, we don’t actually learn very specialized surgical procedures.”
“We are constantly honing their basic skills, one is to stimulate their comprehension, and the other is that once their basic skills are strong, simple surgeries become easy to learn.”
“For example, the spleen preservation surgery that Chen Song knows, I can definitely do it better than him in half a month.”
Zeng Huanqi heard Tong Yuan’an belittling Chen Song, and he glanced at Chen Song. However, Chen Song did not retort, nor did he show any expression; instead, he seemed to tacitly agree.
“So that’s how it is. Then, the comprehensive level of theory and basic skills reflects a person’s overall potential.”
“We didn’t have standardized training before; we went directly to work after finishing our undergraduate studies. We never heard such remarks,” Zeng Huanqi said with an expression of having learned something.
After Zeng Huanqi finished, Chen Song retorted, “Tong Yuan’an, what are you bragging about? If it’s a splenic artery dissection type of splenic injury, wouldn’t you just stare blankly?”
“With your basic skills in hemostasis, if you were given a femoral artery dissection, you could kill the patient…”
“What about vascular grafting?” Tong Yuan’an retorted.
Chen Song retorted, “That’s because your hand surgery department makes money!!!”
“Why don’t you put patients with colds directly on ECMO?” Chen Song elegantly referred to overtreatment.
Zeng Huanqi curiously changed the subject, “Teacher Chen, Teacher Tong, in your assessment, how would you rate Xiao Lu’s current qualifications?”
Tong Yuan’an said, “Third in our department!”
Chen Song: “Second in our department.”
Tong Yuan’an’s chubby face immediately broke into a smile, wiggling his large buttocks left and right, as if he had won and fairness had prevailed.
Seeing that Zeng Huanqi didn’t show much expression, Chen Song added, “The ranking we are talking about includes ourselves…”
Zeng Huanqi’s legs trembled, and he shivered all over. His mouth slightly parted, and his Adam’s apple bobbed as he swallowed saliva, “No… it can’t be that serious, right?”
To become an associate professor at Xiangya Hospital and Xiangya Second Hospital, one needs not only sufficient academic qualifications but also opportunities, courage, aptitude, and talent are indispensable, and perhaps even a strong research talent.
“It’s about that… it’s hard to give a specific evaluation for now,” Chen Song said no more.
Then he picked up another cigarette and offered it to Zeng Huanqi, “Xiao Zeng, do you want another one?”
“I won’t, I have to go hand over my shift.” Zeng Huanqi understood and politely declined, immediately ducking inside, leaving Tong Yuan’an and Chen Song to continue their battleground.
After Zeng Huanqi left, Tong Yuan’an sighed and lit another cigarette, “Chen Song, let’s make a deal. How do you plan to arrange things for Xiao Lu?”
“I haven’t decided yet, but you, Tong Yuan’an, definitely won’t be involved.”
“If you don’t want Director Xiang to call you and curse you, I advise you not to go down any crooked paths,” Chen Song said with a sly smile, his tone appearing harmless but carrying a warning.
Chen Song understood Tong Yuan’an quite well.
Xiang Dongshan is the director of the Emergency Surgery Department and the Chief Director of the Emergency Department at Xiangya Second Hospital. He has a fiery temper and is known in the industry as “Mouth Cannon” for his ability to scold any specialist in the surgical departments of Xiangya Second Hospital without anyone daring to retort.
Tong Yuan’an’s eyes darted around for a moment, almost thinning his chubby eyelids, “You’ve already registered Xiao Lu with Director Xiang? On what grounds?”
Chen Song said, “It’s not that I’ve registered him, but Director Xiang said he’s willing to give him a chance. If he can reach that step, the Ladder to the Azure Clouds… it’s openly laid out there. If you can, you can also ascend…”
“We can give you the position of deputy director in our department.”
“What’s there to be ashamed of?”
Ladder to the Azure Clouds symbolizes soaring to success, where the capable can ascend. Of course, the price to purchase it is not cheap. Those who can reach this Ladder to the Azure Clouds are no more than five people nationwide.
Most of these people are already taken and do not easily give up their positions.
Tong Yuan’an flinched slightly, “If Xiao Lu wants to go down this path, it will take some time. Ten years at least.”
“But will Xiao Lu be willing?”
Chen Song did not doubt this: “Why wouldn’t he be willing? Because of your fat face?”
“Huashan, you told me,” Tong Yuan’an said very softly, “If you insist on entering the demonic path, you must have something you yearn for.”
Chen Song was slightly stunned, his gaze becoming distant…
