When the Doctor Uses A Hack

Hospitals are also a small community, where Qin Xiaoyuan is the dean, and Tan Liguo is the secretary. Given that hospitals are public service units, interpersonal relationships are rather complex. As the helmsmen of the hospital, their relationship is akin to that of love rivals, vying for the affection of the same lover, which in this case is the hospital itself. Any matter concerning the hospital becomes a point of contention between them.

Qin Xiaoyuan emerges from the field of internal medicine and accordingly, places considerable emphasis on it, while the surgical Zhang Youfu and thoracic surgery’s Shi Qi were promoted by Tan Liguo himself.

Therefore, an issue as trivial as job positions could blow up into something big and is always subject to dispute.

But for Chen Cang, this issue was no small matter!

In the office of the director of the emergency department.

When Li Baoshan conveyed this piece of news to Chen Cang, Chen’s eyes widened instantly.

“A full-time position?”

Li Baoshan rolled his eyes, “That’s the sixth time you’ve asked, yes, a full-time position! Not a contractual one.”

“Now, surgeries have been intruded upon by Zhang Youfu and Shi Qi from thoracic surgery. Your academic qualifications are a weak point; even Dean Qin can’t do anything about it.”

Chen Cang, upon hearing this, merely furrowed his brows slightly.

Such is society; the more desirable something is, the harder it is to obtain.

This is an era that demands a “comprehensive strength” competition.

Yet, Chen Cang harbored a doubt…

Ultimately, Chen Cang couldn’t hold back, since the question had troubled him for a long time, he asked, “Director, a full-time position… how much can one earn per month? And… there’s insurance and a housing fund, right? How much is deducted for the housing fund?”

Li Baoshan became angry in an instant!

You’ve been daydreaming for these two minutes just to ask me this question?

Yet, seeing Chen Gang’s innocent face, he couldn’t help but say irritably, “Once you’re on a full-time position, your efforts will reap rewards. Based on the coefficient, the housing fund will be three to five hundred; after insurance deductions, your net salary will be just under three thousand. Other bonuses will depend on your personal coefficient and workload; work hard, and you might bring home seven or eight thousand a month. If you reach the state of old Chen, then over ten thousand a month isn’t an issue at all.”

What Li Baoshan said was the stark truth.

The emergency department was never meant to be a lucrative sector. Compared to general surgery, cardiac surgery, neurosurgery, oncology, gynecology, interventional radiology, and the like, it was relatively impoverished.

Moreover, the emergency department always required special funds from the hospital to survive—after all…. there are often patients who evade payment.

This is also why the emergency department frequently depended on temporary workers.

Temporary workers received just over two thousand a month, without any social benefits; they were not provided with food or accommodation, representing a super cheap labor force.

Contract workers, however, were part of the hospital’s coefficient distribution. Virtually every operation cost money, and there were only three types of insured benefits without a housing fund, reducing the hospital’s burden.

Fundamentally, the hospital had the final say; if the department head wanted you, there weren’t many issues.

But a full-time position was different. Each province essentially had only one full-time examination per year; if passed, a full-time position was granted, with the exception of special talent inductions.

The hospital also had a number of full-time slots for in-house employee sales.

All of a sudden, Li Baoshan looked at Chen Cang, “This time Dean Qin is backing you up; you’d better put your all into it!”

Chen Cang nodded, thinking: This must be the benefit of favorable impressions, right? It seems that being well-regarded is quite useful!

Li Baoshan looked at Chen Cang, “It’s inevitable now that the three of you will compete this time, all being surgeons. This competition will most likely be a surgical one.”

“For fairness’ sake, one basic surgical procedure and one specialized surgery.”

Chen Cang was speechless, “Director, what specialized surgeries do we have in emergency medicine?”

Li Baoshan shook his head, “The specialized surgery is actually to accommodate you all by choosing a surgery you’re most skilled at. I’ve brought you here to ask which surgery you are best at; we have to report it.”

Chen Cang carefully opened his skill panel and searched for quite a while…

He discovered that the only technique he could confidently present was Tendon Suture Surgery.

But, does that even count as surgery?

“Does Tendon Suture Surgery count?”

Li Baoshan was taken aback, “Of course it counts! You just have to be sure, since this will be the deciding factor. By the way, I don’t know how that patient you stitched up for the criminal police is doing now; I’ve heard Director An mention that the Provincial People’s Hospital has taken a keen interest in you?”

At that moment, Chen Cang also recalled Wu Gang. Although he was confident, he couldn’t be certain about the recovery progress, “I’m not too clear, the records are on file, I’ll call and follow up on another day.”

Li Baoshan nodded. Truth be told, he was becoming increasingly satisfied with Chen Cang.

He sighed and said, “This was originally set up for you, I didn’t expect it to come to this situation, and moreover, the competition itself isn’t fair. For Zhou Xiaodong from general surgery, it could be said he has a great advantage.”

“But that’s how our hospital operates, the dean and secretary are at odds, and it brings about a lot of trouble… Sigh… I think it’s going to be a close call. Sigh… it’s my fault. If I had known, I would have taken you under my wing in surgery earlier.”

“The competition is on Friday. Here’s what we’ll do, tomorrow you’ll join me in a few appendectomy procedures, and I will guide you properly!”

As soon as Chen Cang heard this, he suddenly paused—it was Wednesday today, and Friday was just two days away!

These people were really determined.

The competition was on Friday, and he was a bit flustered because his appendectomy skills were only at an intermediate level so far.

“Okay, Director, thank you for your trouble,” Chen Cang said with a sincere smile.

After leaving the office, Chen Cang sat in the duty room, looking at the virtual panel’s information.

He had four skill points.

Plus a special training card.

Chen Gang’s gaze shifted to the “special training card,” and a series of messages flooded his mind.

[Special Training Card: After use, you can enter the special training space to train intensively on this skill. You may leave once the system is satisfied. Would you like to start special training?]

At noon, when everyone had gone for lunch and both the duty room and the office were deserted, Chen Cang decisively locked himself in the duty room and bolted the door.

He was a bit worried about one issue—would this consume a lot of time?

[Ding, this special training takes place in a virtual space and will not consume any real time.]

This was good news!

Chen Cang picked up the special training card and clicked to activate it.

[Please select the training content.]

[Appendectomy! ]

[Would you like to start?]

[Begin!]

Suddenly, Chen Cang felt the scene before his eyes change, and in an instant, he found himself in an operating room.

[Training content: Appendectomy. During the training period, every step of your operation will be evaluated by the system. This training will comprehensively hone your mastery of appendectomy, aiming for you to grasp the essentials and difficulties of every type of appendectomy surgery! Please start your operation.]

Chen Cang moved forward, facing a patient case with basic information written on it, ordinary appendicitis.

He skillfully completed the preparatory work, ready to make the incision marks!

Marking the incision line, disinfecting…

Opening the abdomen, the skin… the fat layer… the peritoneum…

The surgery began step by step, and Chen Cang felt it was going smoothly. The first operation was completed.

[Ding! Score: 61, passable. Room for improvement: 1. Marking, 2. Incision… 39. Suturing. Starting specialized training: Marking.]

Chen Cang was stunned!

An appendectomy that he was quite satisfied with scored only 61 points, with 39 areas for improvement—that was an exaggerated number.

However, he soon saw the specialized training.

Marking?

What was wrong with the marking?

[Hint: Marking is crucial. A targeted incision can effectively reduce the size of the wound and decrease the possibility of infection… The first specialized training on appendectomy: positioning and marking…]

Chen Cang was dumbfounded; who knew there was so much to learn about a simple marking?

But soon Chen Cang realized why there were so many intricacies.

Because the position of the appendix is mostly fixed, there is often talk of an aberrant appendix.

For example, common cases like malrotation, incomplete rotation, incomplete fixation of the ascending colon, reverse position, and even physiological shifts like displacement during pregnancy.

The specialized training, like a lecturing session, constantly provided professional training to Chen Cang!

A simple study on marking, and he went through thousands of surgeries…

What came next was the most painful part, the incision!

For the first time, Chen Cang discovered how low his skills were; why should he learn his appendix incisions, which were full of flaws? Following the hints, Chen Cang kept adjusting.

The purpose of adjusting the incision was to improve the precision of the surgery and prevent accidents. Moreover, he realized a good incision greatly aided in the suturing, especially when combined with his “beautiful eyes,” which could even make the suture scars almost invisible.

Such a simple appendectomy, with such profound knowledge!