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

Chapter 281 Dugu Qiubai and Zhang Wuji!

Under the operating light, the hand moved without leaving a trace, the surgical field was clear, and the blood flow to the spleen had been blocked.

Lu Cheng stood at the surgeon's position. After completing the preparatory procedures before the formal removal of the lesion, he looked up and asked, "Teacher Chen, I'm starting now."

Chen Song nodded: "I said you'd operate the whole process, so just do it. You're the lead surgeon, so it's not like you're not officially in charge! Stop talking nonsense."

Chen Song just wants to continue observing Lu Cheng's operational details. Although Lu Cheng also performed the minor procedures such as abdominal incision and hemostasis in the early stages, these were basic tasks.

Exposing the incision is a procedural process that has been summarized and refined to an exact degree by countless predecessors, so there is really nothing strange about it!
This is an elective splenic fibroma, not a splenic trauma caused by an emergency. Therefore, the spleen appears mostly round at this moment, except for a few cord-like protrusions at the upper right pole.

Lu Chengzao had carefully observed the direction of the splenic mass and assessed its size. After carefully cutting open the capsule, the red pulp was revealed.

The mass is located at the junction of the white pulp and the red pulp, pushing out the outer red pulp!
"Be careful of the splenic sinus," Chen Song added, still not entirely at ease.

Lu Cheng did not reply, but instead used the sharp knife in his hand to carefully cut deeper and deeper, with each point of force and depth of cut being just right.

The skill to control even the slightest changes is difficult to capture with the naked eye; it can only be revealed by examining the details of the separated surfaces after cutting.

Chefs can use knives, and ordinary people can use knives too.

The difference between skilled surgeons and ordinary surgeons lies in their meticulousness. The more skilled a surgeon is, the more absolute control they have over their hand when making a cut.

Those at a higher level achieve perfect harmony between hand and knife; those at an even higher level achieve perfect harmony between mind, hand, and knife.

While Lu Cheng's skill level hadn't yet reached that extraordinary level, his ability to perfectly integrate hand and knife was enough to change Chen Song's opinion of him.

Fibromas are benign tumors with their own complete capsule, structure, and pedicle.

To completely remove it, you don't just make an incision wherever it is. Instead, you go along the splenic trabeculae, expose it as much as possible, and then remove it completely through the smallest possible incision.

Alternatively, a partial splenectomy, which involves preserving the spleen, can be performed, along with partial removal of the splenic parenchyma containing the fibroma.
Chen Song looked at it for about two minutes, then slowly nodded: "Not bad, no bragging."

Although Zhang Tiesheng was only the second assistant at the moment, his level of understanding was too low to notice the details. He was only responsible for shouting "666!"

Chen Song then asked, "Where is the 'nice'?"

"Operation." Zhang Tiesheng, a clueless scoundrel, gave the answer simply to get some points. His eyes were kind, with a friendly, ingratiating look.

"Never mind, I'm sorry to trouble you with this question." Chen Song didn't press Zhang Tiesheng for a specific answer.

Asking an elementary school student to provide a proof of an elliptic function is asking too much of them.

"There is a large amount of it in the red and white marrow." Chen Song stopped talking as he was about to explain to Lu Cheng.

Lu Cheng had already dissected the proximal end of the red marrow and found the proximal end of the blood vessels supplying the red marrow. After suctioning out the remaining blood in the cavity with one hand, he nimbly clamped the main branch of the blood vessel, just like a bachelor looking for a widow.

Then, organize the branches...

The spleen-preserving technique is not just a simple three-word procedure, nor is it about fighting or killing, nor is it about human relationships. It is a specific and meticulous operation that, in terms of the local organ, is the rebirth of life...

The essence of demystifying medicine lies in the fact that it is difficult if you don't know how, but not difficult if you do.

When you reach a certain level of skill and mastery in operation, you can see things clearly and intuitively. But if you haven't reached that level, you're just an amateur, and it will seem unbelievable to others.

……

After the surgery, Lu Cheng performed it with great enthusiasm, and Chen Song watched with great enjoyment. Only Zhang Tiesheng felt that there was something strange about Lu Cheng and Chen Song.

Chen Song, in particular, seemed to have studied in Chengdu, his gaze towards Lu Cheng gleaming with a 'loose' quality as he circled Lu Cheng from all sides, tsk tsk, tsk tsk tsk...

Lu Cheng cautiously replied, "Teacher Chen, actually, I suddenly feel that if we follow the basic principles and do each step of the spleen-preserving technique just right, then there is no need to follow the 'formatted steps' of other teachers!"

"Of course, I don't know if my feeling is correct!~"

Chen Song stopped to Lu Cheng's right, resting his chin on his right hand: "Hey, Lu Cheng, let me give you an example. Guess why middle school students need to write out detailed steps when solving a linear equation in one variable?"

"You don't need it in high school?"

"For undergraduate studies, can many processes be omitted? Why?"

Lu Cheng had a vague idea and replied, "Professor Chen, are you saying that the so-called standard surgical procedure is actually prepared for doctors who are just starting out?"

That's right!

“As we have discussed before, a standard surgery can actually be seen as a human ‘procedure’. For example, in a splenectomy, you first need to locate the splenic artery and clamp the blood vessels that enter and exit the spleen.”

"The essence is to create all the necessary preparations beforehand so that there can be no more blood leakage after splenectomy."

“New doctors will generally be able to do well if they follow this principle when they are learning.”

"But some professors and chief physicians have a lot of experience and are very meticulous in their operations, so they can choose not to follow the recommended surgical procedures."

"This is the surgery itself, and it is also the fundamental reason why surgical, medical, and regulatory authorities grant senior clinical physicians proactive authority."

After Chen Song finished speaking, he added, "If all surgeons had your current basic skills, the splenectomy procedure could basically be abandoned."

Asking a college student to solve a linear equation in one variable is practically a piece of cake.

The problem is, a middle school student can't possibly have the level of a math major, can he?

Even some college students who are not math majors and have a strong preference for math may not be able to solve quadratic equations directly.

If you can't see the answer at a glance and don't give him the "standard steps" to solve the equation, then you shouldn't do the problem.
Zhang Tiesheng only half understood: "Professor Chen, Xiao Lu, what exactly are you talking about?"

Chen Song gave Zhang Tiesheng a fitting analogy: "We're talking about how to find a place to get a foot massage."

"Isn't this just a matter of sending a message?"

"I'll arrange it." Upon hearing this, Zhang Tiesheng immediately took out his phone.

Chen Song reached out to stop him: "What I mean is, you can just send a message to take off, but Lu Cheng and I can only go through procedures like Meituan."

"Understand?"

Zhang Tiesheng, of course, only vaguely understood, but could only nod to indicate that he comprehended it.

When Director Du Qiang returned, the surgery was already over.

Du Qiang wasn't too disappointed. He just rubbed his face and sighed to Zhang Tiesheng, who was on duty, "Sigh, Tiesheng... why am I so unlucky?"

……

Upon entering Professor Chen Song's dormitory, Lu Cheng immediately turned on the kettle to boil water and then went straight to the tea station where Professor Chen Song always kept tea.

Chen Song quickly reached out his hand: "Xiao Lu, I'll go get the tea leaves. You prepare the cups. The ones you can get aren't particularly good quality."

Chen Song had something to hide.

Lu Cheng has gradually come to enjoy drinking tea: "Teacher Chen, then I won't stand on ceremony."

Chen Song quickly went into his bedroom and then returned, holding a small pinch of tea cake in his hand, which he cherished dearly.

Continuing the conversation in the car: "Anyway, Director Du is facing this problem now. There are rumors that he is too harsh on his subordinates." "To the point that the people in the emergency department are not getting enough to eat, and there are even fights among their own brothers."

"Director Du has a real headache."

Lu Cheng smiled bitterly: "What does Tian Zhuang's family's mess have to do with Director Du?"

Chen Song said, "People who love listening to rumors and gossip naturally prefer to hear more exciting things, especially exposing the dirty secrets of those in power, which is what the public likes the most."

"It's like some young people in the hand surgery department in the province comparing you to Dugu Qiubai (a legendary swordsman who sought to defeat the world)."

Chen Song's analogy struck Lu Cheng as particularly odd: "Huh? How does this relate to martial arts novels?"

Lu Cheng had read the novel and knew about Dugu Qiubai, but the plot twists were a bit too abrupt.

"Dugu Qiubai, he became famous at a young age, and his Dugu Nine Swords were unparalleled in the world."

"Of course, some people say that you are Duan Yu who created the Six Meridian Divine Sword. Because your internal energy is limited, your explosive power is not strong, but if it is activated, it can still hurt people."

"Your stitching techniques are comparable to the Dugu Nine Swords and the Six Meridians Divine Sword; they are offensive moves, top-tier offensive moves."

"Of course." Chen Song slowly poured tea for Lu Cheng: "You are now like Xu Zhu who has been passed on his skills, and your internal strength is starting to become formidable."

"I wouldn't say you're unmatched in the world, but if you're under forty, no one can rival you."

Today, Chen Song finally managed to completely break down the surgical procedure for Lu Cheng.

Beginners rely on procedures, experienced people rely on techniques and methods, while masters do whatever they want.

The upper and lower limits of each level are completely different. For example, top professors can perform a surgery with their eyes closed, and their lower limit is higher than that of a novice.

Lu Cheng pursed his lips and said softly, "Teacher Chen, actually, there is another reason why I chose to go to the trauma center this time."

"You said."

"Let's have some tea and talk as we go," Chen Song said, extending his right hand in invitation.

Lu Cheng took a slow sip: "Besides the promotion, I can also get to know more diseases and do things I want to do."

"Teacher Chen, after all, you said that if you want your own setup to be recognized, the most convincing thing is the case studies, the case studies that you can present to others."

As Chen Song slowly sipped his tea, he also pondered what Lu Cheng had said.

After a long pause, he finally replied, "So you mean you don't want to be controlled by others anymore!"

Do you have a strong desire to express yourself?

Chen Song didn't know much about Lu Cheng's experiences, but he had heard quite a bit about them.

I faced setbacks during my postgraduate entrance exam, and my journey to Wuhan was also fraught with difficulties.

There aren't many trustworthy people around me.

In other words, Lu Cheng's original accumulation was nothing more than a consumable in the eyes of the top professors, a kind of pawn to be placed and won over, to become part of their chessboard.

What angered Lu Cheng was not that Professor Zhong Junyun asked him to cooperate with others, but that he made the "arrangements" for Lu Cheng without ever explaining them to him!
Arrangements and sacrifices are, to a certain extent, based on the player's subjective will.

"Perhaps, Professor Chen. I still think that medicine should ultimately come down to its medical essence."

"Whether it's technology, surgical procedures, techniques, or scientific breakthroughs, if they can't directly benefit patients, they're actually deviating from the essence of medicine."

"Therefore, I prefer clinical practice."

"I'm not prejudiced against basic research, it's just my personal preference."

“During my time in Xiangzhou, I didn’t have much to do, so outside of the lab, I just observed and explored what patients really needed, stepping away from my role as a doctor,” Lu Cheng replied.

At this point, Lu Cheng laughed: "Teacher Chen, you can also understand it as me being of little use, so I can only indulge in leisurely pursuits."

In ancient times, poetry was considered a minor art.

The real bigwigs in power were busy formulating national policies for the country and its people, so most of the poetry and lyrics were produced by frustrated scholars.

Those who truly succeed focus on learning and performing surgeries. Those like Lu Cheng, who try to understand what patients are thinking, are just losers in disguise, or at least losers for a period of time!

"Well... it makes sense to do that."

"After all, you do have the experience to do this kind of thing, so it's not like you're meddling in other people's business."

"Emergency room, you're about to enter the real inner circle."

"The essence of emergency medicine can be summed up in just two words: saving lives. It's the most interesting, the simplest, and also the most difficult thing to do," Chen Song remarked to Lu Cheng from the perspective of an emergency medicine practitioner.

At this moment, Chen Song was no longer Teacher Chen or Professor Chen. He and Lu Cheng were just colleagues sitting on equal footing, exchanging their insights.

"Teacher Chen, you're not going to scold me, are you?" Lu Cheng suddenly asked.

Chen Song replied, "Why would I scold you?"

"I'm afraid you won't even have time to react..."

"I knew it. With your personality, you're not the kind of person who acts recklessly. But, after all, my understanding is limited."

"How was I supposed to know you suddenly had such a rapid accumulation of knowledge?"

Lu Cheng continued, "Actually, Professor Chen, I had made preparations before I agreed to go to the trauma center."

"First, Zhang Tiesheng's relative works at our Xiangzhou People's Hospital. He is the vice president of our hospital. I confirmed with him that as long as I dare to stand up for him and am able to do so, there is no need to worry about procedural justice."

“The leaders in the state will have their own advocates for me, because they need to defend themselves.”

"Secondly, a guy named Dai Linfang joined our research group, and he helped me ask the provincial authorities about their opinion..."

"In summary, this is an opportunity."

"And I have waited for justice in all the procedures. At this point, I think that if I don't go, it's not prudence, it's cowardice."

Chen Song was immediately dumbfounded after hearing this.

After a moment of surprise, he asked, "Besides your professional skills, did you make other preparations?"

"Well, the provincial preparations are just a side effect. It's Dr. Dai who needs to establish a foothold in Xiangzhou to prepare for any possible changes in the future."

After listening and analyzing the situation carefully, Chen Song realized that he was the real clown.

Lu Cheng has already seized all the advantages of timing, location, and popular support.

Chen Song was so stunned that he couldn't utter a single word in rebuttal; all that remained was shock...

For the average person, it is extremely difficult to accumulate technical expertise.

(End of this chapter)