When the Doctor Uses A Hack

“Peritoneal incision, poor review!” “Muscle separation, poor review!” “Appendix exploration, poor review!”

Chen Cang sighed, I really don’t want to nitpick!

It’s just an instinctive reaction.

Who knows how many times I’ve performed each movement?

If you ask Chen Cang what he’s most familiar with in this life, he would now say without hesitation that it’s the appendix.

The appendix monster is like a goblin, tormented by Chen Cang in the newbie village until it’s battered and bruised.

At this moment, after making his incision, Zhang Zhixin felt very satisfied, thinking he had outperformed himself. Not only the depth and force but also the level of skill was very impressive-he could change his name to Zhang Yidao in the future.

Chen Bingsheng also nodded slightly in agreement, that incision was skilled!

Turning to Chen Cang, he said, “Did you see Old Zhang’s incision just now? His angle and depth, especially the control of force, were on point. You need to continuously practice this in your future work. The force of the incision, like the throttle under a veteran driver’s foot, requires a full understanding of how much pressure to apply!”

Chen Cang wanted to scratch his head, but, being sterile, he couldn’t move his hands and could only nod in response.

The surgery proceeded slowly, and Zhang Zhixin was very satisfied with today’s overall performance!

It seems that without pressure, there’s no drive. The pressure Chen Cang added made a difference, making the scalpel glides impressively-nice!

Very satisfied!

Zhang Zhixin gave himself 95 points for today’s performance.

After the suturing was finished and the patient had been taken away, Zhang Zhixin, looking thoughtfully at Chen Cang, asked with a smile, “Little Chen, any insights?”

Chen Cang, considering that this was essentially half his boss, felt he should be somewhat diplomatic, “Quite impressive, I think if I were to score, it would be around seventy or eighty.”

Chen Cang thought seventy or eighty was already giving a lot of face, considering… that his first time, he had only received 61 points.

But…

Upon hearing this, Zhang Zhixin immediately laughed. I gave myself 95 points, and you give me seventy or eighty, you kid.

Chen Bingsheng couldn’t help but laugh as well, “You, young man, are just talking big. Old Zhang’s surgery just now, in my opinion, is worth at least 90 points. There were no problems whatsoever.”

Chen Bingsheng wasn’t just being polite but speaking the truth-as Zhang Zhixin’s maneuvers were genuinely skilled.

Exchanging glances with Zhang Zhixin, they both smiled knowingly, feeling that Chen Cang, due to his limited level, couldn’t discern the inherent techniques.

As Zhang Zhixin washed his hands, he teased, “Oh, Little Chen, you’re quite picky! Then tell us, where did those twenty or thirty points get deducted?”

Chen Cang hesitated, “You really want to hear it?”

Zhang Zhixin’s eyes widened, “Of course.”

Chen Cang nodded, “First, during the incision, even though the force was very accurate, there was no change in force in the subcutaneous fat area. You have to know that the elasticity of skin and fat tissue are different, the choice of force… Secondly, when separating the muscles bluntly, the technique was too clumsy. Although blunt separation requires strength, precision control is also very important… and also when excising the appendix you could have completely… and finally, during suturing…”

Toward the end, Chen Cang sighed, “Lastly, it’s the suturing, didn’t you feel that your suturing was very unprofessional?”

As soon as Chen Cang finished speaking, the three men fell into silence…

The sound of water washing over their hands, seemingly endless as if trying to rinse away sorrow?

The anesthetist Liu Jian, who was originally preparing to wash his hands, also stopped still upon hearing this conversation.

Zhang Zhixin frowned. Initially, he just wanted to tease Chen Cang a bit, but… gradually, as he listened to Chen Gang’s serious reviews, he couldn’t help but reflect on them… and then… he was stunned!

Because he realized that Chen Cang wasn’t speaking without basis-every word was logical and well-founded. Each critique was direct, pinpointing the deficiencies without beating around the bush; on the contrary, every sentence Chen Cang said pointed straight at his own shortcomings.

Firstly, regarding the incision, indeed, as Chen Cang had said, every tissue is different, and the way of holding the scalpel can vary, thereby achieving a more efficient incision.

Secondly, when it came to the separation of muscles with blunt dissection, I’d always overlooked this seemingly inconsequential step. But upon careful consideration, perhaps there truly was something to it!

Every step, every word Chen Cang said, struck Zhang Zhixin’s ears like thunder!

During surgery, each person has their own techniques, their own habits, even to the point where it becomes very difficult for senior attending physicians to improve their skills any further.

Because your habits have changed you; the surgical maneuvers become greasy,” and surgical habits accumulate more and more.

That’s what’s called a “so-and-so style of excision.”

And these habits persist precisely because no one points them out.

That’s why junior physicians require the presence of their senior counterparts during surgeries-to prevent mishaps, and to immediately correct any errors, benefiting their future development.

As for appendectomy, being the most basic surgical operation in general surgery and one that most general surgeons will experience, the role of their leader becomes particularly important at this time.

Zhang Zhixin kept brainstorming, thinking continuously, and with his many years of clinical experience, many long-standing doubts began to resolve!

Chen Bingsheng, too, furrowed his brows deeply. Chen Gang’s words earlier hadn’t initially caught his attention, but as they progressed to the end, Chen Bingsheng listened more earnestly, becoming increasingly captivated!

He and Zhang Zhixin were of the same generation, very familiar with general surgical operations and frequently performed them, so his understanding and insight were likewise profound.

Especially that line about being attentive to the force and angle when making an incision; there were so many things to consider…

These words constantly filtered through Chen Bingsheng’s mind… screening… pondering… envisioning…

Countless thoughts barraged his years of surgical memories!

Suddenly!

He felt a flash of insight streak through his mind!

Instantly, a feeling of clarity came over him!

He felt his understanding of “incision” had deepened; this was a breakthrough, an enhancement of a bottleneck, elevating his “incision” to a new level.

This feeling was hard to describe!

Yet at this moment, Chen Cang suddenly heard the system’s prompt: [Ding, with your assistance, Chen Bingsheng’s skill “Incision and Drainage” has advanced to a high level, gaining +io favorability and +1 skill point.]

Chen Cang was startled!

What the!?

Was there such a slick operation?

With that thought, he looked up at Zhang Zhixin, watching him with a gaze filled with love and expectation, like a hen waiting for a chick to break out of its shell…

Come on, break through already!

I made these suggestions specifically for you…

But, after a long while… a very long while…

There was no change!

Chen Cang sighed helplessly, a rotten wood cannot be carved…

Boss Zhang, your talent is limited indeed.

At this thought, Chen Cang couldn’t help shaking his head.

ps: Thanks to the friend for the 10,000 Starting Point coins

reward, for becoming the first helmsman of this book.

Also, thanks to every friend for their rewards and votes, allowing “When a Doctor Gains a Cheat” to enter the new book rankings and become one of the Starting Point website’s contracted authors, placing third this week (new book ranking). It’s the first time achieving such great results, I’m a bit excited.

Over on Q.Qreading, I’ve also seen that this book appears to be in 18th place on the free new book rankings. For a book from Starting Point, this is already a very satisfying achievement.

Thank you so very much to everyone, this is all our joint effort!

A bow of thanks, to every reader friend!