《After 100 days of signing in system, My first operation shocked the world》 Chapter 1 - Check-in, reward: World-class surgical experience! Chapter 1:- Check-in, reward: World-class surgical experience! S?a??h the N0v?lFir?.?et website on G??gl? to access chapters of n?vels early and in the highest quality.In Pengcheng City, at the entrance of First Hospital, a group of white-clad interns, led by their instructors, stood in a line, ready for the hospital¡¯s inspection. These recent graduates hailed from various medical universities such as Lingnan Soy Sauce University, Duck University, Ling Medical College, Peng University, and more. Among the crowd, one individual stood out¡ªLin Feng. His remarkably handsome appearance was beyond adequate description. He was genuinely remarkable, dressed in a pristine white coat and adorned with a vibrant red stethoscope around his neck. Lin Feng sighed deeply as he glanced at the other interns, who failed to make a significant impression. ¡°Ah, this cursed self-awareness! I still look as attractive as I did in my previous life!¡± Lin Feng, a time traveler who had just transmigrated the day before, found himself inhabiting the body of a recent Soy Sauce University graduate on the verge of commencing a formal one-year medical internship. Panic overwhelmed him when he realized his lack of medical knowledge. Nevertheless, Lin Feng possessed a unique talent¡ªacting. He couldn¡¯t afford to falter in his demeanor. With unwavering confidence, he held his head high and radiated the aura of a top student, leaving a lasting impression on several interns. Suddenly, a notification sound broke the silence. [Ding¡­ Sign-in system rewards credited¡­][Daily check-ins offer valuable rewards, continuously enhancing medical skills!] Lin Feng was taken aback. Lost in thought, he contemplated the implications of the system, a potential advantage that promised to improve his medical skills. His mind was filled with questions and curiosity, and he stood there in surprise. The realization that, as a time traveler, he had been granted special privileges left him both astonished and thrilled. ¡°Hahaha~~~¡± Lin Feng chuckled with excitement. ¡°With this system, I¡¯ll undoubtedly become a top student!¡± However, his joy was interrupted by Director Yang Fan¡¯s arrival from the Medical Education Department, accompanied by a group of authoritative and disciplined doctors. The interns straightened their postures and prepared for inspection. Yang Fan addressed the interns with a warm smile, delivering the good news that the hospital urgently needed doctors and that there would be opportunities for them to stay on after their internship. The interns were ecstatic about the prospect of working at City First Hospital, a prestigious institution renowned for its reputation, competitive salaries, and excellent benefits. However, their enthusiasm waned when Yang Fan disclosed the harsh reality¡ªonly a select few would be retained, with an elimination rate exceeding 80%. The interns were struck by the severity of the situation, and their passion evaporated instantly. Director Yang Fan¡¯s gaze fell upon Lin Feng, captivated by his handsome face and because he had the potential to become a prominent figure for the hospital. Meanwhile, Lin Feng remained unaware of Director Yang Fan¡¯s attention as he clicked the ¡°Check-in¡± button. Instantly, a notification informed him that he had completed Day 1 check-in and acquired the ¡®World-class Appendectomy Skill.¡¯ Suddenly, a flood of experiences rushed into Lin Feng¡¯s mind, unfolding like a cascading waterfall. Initially perceived as a straightforward surgery, an appendectomy revealed itself in many variations. Even renowned doctors in large hospitals often overlooked these seemingly simple procedures. The steps played out in Lin Feng¡¯s mind: make an incision, locate the appendix, lift and ligate, suture the purse-string closure, and suture further. At first, Lin Feng believed it was genuinely that simple. However, he soon realized his mistake. Within this world-class experience, he encountered not only straightforward appendectomies but also incredibly challenging cases. One particular case stood out¡ªan intricate surgical video titled ¡°Pregnant Appendicitis with Threatened Miscarriage.¡± It presented a high-difficulty scenario that Lin Feng now faced. As the video played before his eyes, he became entranced by the flawless surgical process unfolding before him. It was like witnessing a mesmerizing work of art, with each movement executed with precision and finesse. The procedure flowed smoothly, removing the appendix and the baby¡¯s salvation¡ªa perfect outcome. Lin Feng realized that at the world-class level, surgery transcended simplicity and became a masterpiece, an art form in itself. Overwhelmed by his newfound knowledge, Lin Feng murmured excitedly, his eyes blazing with determination. At that moment, a realization struck Lin Feng like a bolt of lightning¡ªhe had fallen in love with the noble profession of being a doctor. He understood that the challenges it presented far exceeded those of writing novels or any other pursuits he had encountered in the past. The intricacies of medicine, the responsibility of saving lives, and the continuous pursuit of knowledge ignited a passion within him that he had never experienced before. The artistry of surgery, the complexity of diagnoses, and the compassion required to care for patients resonated deeply within his soul. Lin Feng knew that he had found his true calling and was determined to dedicate himself wholeheartedly to the remarkable journey of becoming a skilled and compassionate doctor. Chapter 2 - Every days check-in brings progress, bit by bit! Chapter 2: Every day¡¯s check-in brings progress, bit by bit!On the second day, the hospital-assigned doctors led a large group of interns on a comprehensive tour of various departments. They visited multiple units, including the emergency department, cardiothoracic surgery, neurosurgery, hepatobiliary surgery, urology surgery, colorectal surgery, orthopedics, burn surgery, respiratory internal medicine, cardiovascular internal medicine, digestive internal medicine, endocrinology, oncology, rheumatology, immunology, and more. On the third day, the interns were assigned to different departments for their internships. Lin Feng was placed in the emergency department, starting his first day as a doctor. To his delight, the system rewarded him with valuable experiences for each daily check-in. [¡­ Day 2 check-in, rewarded with ¡°Top-notch Aortic Stent Placement Experience¡±!].[¡­ Day 3 check-in, rewarded with ¡°Top-notch Coronary Artery Bypass Grafting Experience¡±!].[¡­ Day 4 check-in, rewarded with ¡°Top-notch Extended Pancreaticoduodenectomy Experience¡±!].[¡­ Day 5 check-in, rewarded with ¡°Top-notch Intrauterine Gauze Packing Experience¡±!].[¡­ Day 6 check-in, rewarded with ¡°Top-notch Tongue Resection Experience¡±!]. Countless experiences poured in, and Lin Feng¡¯s surgical expertise skyrocketed. Each day brought a new skill, and he relished the daily growth, finding it incredibly fulfilling. However, despite his rapid advancement, Lin Feng maintained a low profile as an intern, diligently assisting other doctors. He understood the importance of being diligent and humble in his role. The emergency department bustled with activity as a continuous stream of patients arrived from all city corners. They ranged from minor ailments like headaches and fevers to serious injuries caused by fights or accidents, resulting in many cases. Lin Feng¡¯s skills and abilities gradually began to shine, making him stand out among the interns. His talent couldn¡¯t be concealed, and the doctors and nurses in the emergency department took notice. When no other medical professionals were available, Lin Feng took charge, efficiently triaging, diagnosing, and treating patients with utmost precision. Furthermore, Lin Feng was able to ease tension and unrest among female patients. His sunny smile and comforting words had a calming effect, instantly putting their minds at ease, and significantly alleviating the pressure within the emergency department. ¡°He¡¯s genuinely talented.¡± ¡°He could be a valuable asset to our department.¡± ¡°Maybe we should consider keeping him here in the emergency department.¡± ¡°With his attractive appearance, he can greatly improve doctor-patient relationships.¡± ¡°He¡¯s like a morale booster for us!¡± Gradually, the thoughts of the emergency doctors and department heads leaned towards Lin Feng, and their gazes became more friendly and approving. Lin Feng began to notice the improved treatment he received in the department. The doctors and nurses smiled at him more frequently, and he was entrusted with more important tasks while menial duties were assigned to other interns by the doctor and nurse supervisors. Meanwhile, the other interns couldn¡¯t help but feel frustrated and envious. ¡°Wow, what the heck! Is being handsome such a big deal? Why does this world treat us, the less attractive ones, with such malice? When will we, the ¡®less conventionally attractive¡¯ ones, have a chance to stand up? It¡¯s frustrating!¡± They lamented. Lin Feng maintained his focus and dedication, despite the envious glances from the other interns. He continued diligently checking in daily, eager to acquire new skills and knowledge. [¡­ 20th-day check-in, rewarded with ¡°Top-notch Coronary Angiography Experience¡±!].[¡­ 21st-day check-in, rewarded with ¡°Top-notch Aortic Stent Implantation Experience¡±!].[¡­ 22nd-day check-in, rewarded with ¡°Top-notch Tonsillectomy Experience¡±!].[¡­ 23rd-day check-in, rewarded with ¡°Top-notch Heterologous Skin Transplantation Experience¡±!]. Each day brought progress, and Lin Feng reveled in the joy of learning and personal growth. He felt great and fulfilled in his journey as a doctor. On the 30th day, Chief Zhou Guorong, the head of the Emergency Department, approached Lin Feng. Lin Feng sat up straight, his gaze fixed on Chief Zhou Guorong. The chief was known for his exceptional abilities, being both the most skilled cardiac surgeon in Pengcheng and politically astute. His establishment of an operating room within the emergency department had caused annoyance and resentment among the heads of other surgical departments. Chief Zhou Guorong, a prominent figure in the hospital, wore a kind and friendly smile as he addressed Lin Feng. ¡°Lin Feng, how has your experience been in the emergency department?¡± Chief Zhou Guorong inquired. ¡°It¡¯s been a valuable experience in the emergency department. I¡¯ve learned things that textbooks simply can¡¯t teach,¡± Lin Feng replied humbly, acknowledging the practical knowledge he had gained. Chief Zhou Guorong continued the conversation, raising the question in every intern¡¯s mind: the possibility of staying at City First Hospital after the internship. ¡°As interns, you have a one-year internship period, and many of you hope to continue working here after graduation,¡± Chief Zhou Guorong stated. His implication was clear, almost suggesting that if Lin Feng agreed, he would prepare a contract to stay at the hospital. Lin Feng was shocked for a moment. He hadn¡¯t even had the opportunity to showcase a fraction of his true abilities yet, so why was he being offered such a proposition? Was it solely because of his handsome appearance? Lin Feng couldn¡¯t help but curse his unmistakable good looks inwardly. However, considering its benefits and opportunities, Lin Feng quickly decided. There was no reason to hesitate. ¡°Chief, I¡¯m more than willing to stay and contribute to the success of the emergency department,¡± Lin Feng responded fervently, his voice filled with determination. Chief Zhou Guorong¡¯s face lit up with a camaraderie-filled smile. ¡°That¡¯s great! Work here with peace of mind, Lin Feng. The emergency department has a promising future,¡± he declared, expressing his confidence in Lin Feng¡¯s abilities and the potential growth of the department. S?a?ch* Th? N?v?lF?re.?et website on G??gl? to access chapters of n?vels early and in the highest quality. Chapter 3 - a horrifying sight as a knife pierces the heart! Chapter 3: Major incident: Assault, a horrifying sight as a knife pierces the heart!As the news of Lin Feng¡¯s continued employment at City First Hospital spread among the interns, jealousy and desire filled the atmosphere. Known as the ¡°handsome guy from the soy sauce university,¡± Lin Feng became the object of envy and discussion among his peers. The interns couldn¡¯t help but wonder when they would have their chance to be retained and experience the advantages that came with it. Some even playfully considered getting cosmetic surgery to imitate Lin Feng¡¯s success, generating both laughter and a hint of bitterness. The province had more than ten medical universities and many hospitals, including 108 tertiary hospitals and numerous secondary ones. With the allocation of interns, City First Hospital had limited spots available for retention. Consequently, Lin Feng found himself with only ten classmates at the hospital, and they weren¡¯t particularly close. The rest of the interns came from different schools, which further amplified the envy and jealousy surrounding Lin Feng due to his outstanding performance. Nonetheless, Lin Feng remained committed to his daily check-ins and skills development. Each day brought a new increase in his proficiency and knowledge, thanks to the world-class surgical experiences he gained through the system. Additionally, he took the opportunity to observe surgeries in the emergency department¡¯s operating room, carefully analyzing the lead surgeons¡¯ techniques. With a discerning eye, he quickly identified flaws and errors in their operations, easily finding solutions and rectifying the issues within seconds. Lin Feng¡¯s dedication to self-improvement remained unwavering despite the envy and jealousy surrounding him. He continued to check in daily, witnessing his skills soar and his capabilities expand daily. As the second, third, and fourth months passed, Lin Feng¡¯s skills grew stronger through his daily check-ins and the abundant rewards he received. While the initial shock of his retention at the hospital had faded, the presence of twelve other exceptional interns retained alongside him reduced his prominence. Some interns believed that Lin Feng¡¯s retention was solely due to his good looks rather than his skills, leading to resentment. They couldn¡¯t help but think that if they were as attractive as Lin Feng, they too would have been retained. However, Lin Feng paid no attention to the gossip and continued to develop quietly, focusing on his growth. He diligently checked in day after day, accumulating more world-class surgical experience. The rewards kept pouring in, further enhancing his abilities. On his 98th-day check-in, he was rewarded with the ¡°World-class Repair of Massive Intrathoracic Hemorrhage Experience,¡± followed by the ¡°World-class Pericardial Incision and Drainage Experience¡± on his 99th-day check-in and the ¡°World-class Hemostasis Experience¡± on his 100th-day check-in. But the highlight of reaching 100 consecutive days of check-ins was the special reward¡ªa passive ability called ¡°Dexterous.¡± This ability increased Lin Feng¡¯s manual talent by 100%. Delighted by this unexpected development, Lin Feng tested his newfound agility by moving his fingers. He could immediately feel the difference as his movements became more agile and precise. Previously challenging tasks now seemed much simpler to him, a testament to the growth he had achieved through his dedication and perseverance. Amid the chaotic scene, Lin Feng¡¯s instincts as a doctor kicked in. He understood the urgency of the situation and immediately rushed forward to intervene. With his newfound skill and calm demeanor, he approached the enraged man, attempting to diffuse the tense situation. ¡°Sir, please listen to me,¡± Lin Feng said calmly and authoritatively, trying to establish control. ¡°I understand your pain and frustration, but resorting to violence won¡¯t solve anything. Let¡¯s find a way to address your concerns peacefully.¡± Still filled with anger and grief, the man glared at Lin Feng but momentarily loosened his grip on Chief Zhou¡¯s collar. The onlookers held their breath, anxiously awaiting the outcome of this confrontation. Lin Feng continued, ¡°We are here to save lives, and every doctor in this hospital works tirelessly to do their best. We understand that not every outcome is successful, but we learn from each experience to continuously improve our skills. Please put down the knife and let¡¯s talk about what happened calmly.¡± The man hesitated, conflicted between his anger and the logic presented by Lin Feng. Slowly, he lowered the knife, although his emotions remained evident on his face. The doctors and nurses, seizing the opportunity, quickly stepped forward to provide support and help ease the situation. They surrounded the man and Chief Zhou, reassuring him and addressing his concerns. Meanwhile, Lin Feng turned to the onlookers and urged them to give him some space and respect the privacy of the situation. ¡°Please, everyone, step back and allow us to handle this situation with care and professionalism. We are committed to resolving this matter and providing the necessary support to the patient¡¯s family.¡± Gradually, the commotion subsided as people complied with Lin Feng¡¯s request. The emergency department staff continued to calm the situation and address the man¡¯s grievances, hoping to find a resolution to comfort him. At that moment, Lin Feng realized that remaining calm and composed in such tense situations was just as important as his surgical skills. He understood the significance of empathy and effective communication in diffusing conflicts and restoring trust. As the situation stabilized, Lin Feng knew that the journey to becoming an exceptional doctor was not just about technical expertise but also about building meaningful connections with patients and their families. It was about finding the right words and actions to provide solace and reassurance during distress. S?a??h the N?v?lF?re.?et website on G??gl? to access chapters of n?vels early and in the highest quality. They trod cautiously, refraining from sudden movements that could incite the patient¡¯s aggression. The potential for a catastrophic incident loomed over them, amplifying their trepidation. Past experiences have taught them the volatile nature of interactions with patients¡¯ families, whose emotions could drive them to unpredictable extremes. But now, the situation escalated further as the patient brandished a knife. Lin Feng anxiously observed from the sidelines, his palms slick with sweat. ¡°Why hasn¡¯t security arrived yet?¡± he muttered. In an instant, without warning, chaos erupted. ¡°Pay with my son¡¯s life!¡± a middle-aged relative bellowed, his face contorted with fury. With a vicious motion, he thrust the knife into Chief Zhou Guorong¡¯s chest, piercing him directly. Only the hilt remained visible, a stark testament to the brutality of the attack. Unrelenting, he struck again and again, three consecutive stabs targeting different areas of the left chest. In that harrowing moment, everything turned surreal for Lin Feng. It felt like lightning had struck him, leaving his mind blank and his senses numbed. A primal scream escaped his lips, and the emergency department descended into chaos, akin to an upturned pot of boiling water teeming with frantic ants. ¡°Murder!¡± ¡°Blood!¡± ¡°Murder!¡± The cry echoed through the chaos, fueling an atmosphere of complete mayhem. Patients and their families scrambled like headless flies, colliding with objects before fleeing in a frenzied panic. Seizing an opportunity amidst the commotion, the enraged middle-aged relative swiftly withdrew the knife and vanished from sight. ~ Three wounds oozed crimson. The force of the pounding heart propelled the bright red blood several meters. It was a sight that sent shivers down the spine, invoking pure horror. Chapter 4 - Step forward, bare-handed heart retrieval! Chapter 4: Emergency! Step forward, bare-handed heart retrieval!Silence filled the emergency department as a needle dropping echoed through the air. The nurses and doctors stood motionless, their astonishment evident. Director Zhou Guorong, their former comrade-in-arms with whom they had shared laughter and fought side by side, lay before them, stabbed and in pain. A torrent of blood surged, painting their vision a vivid red. Clutching his chest, Director Zhou Guorong collapsed to the ground. The collective shock left everyone¡¯s minds blank, unable to comprehend the unfolding tragedy. At that moment, a flurry of surgical experiences flashed through Lin Feng¡¯s mind, awakening him instantly. Swiftly, he provided a series of diagnostic conclusions: The knife¡¯s length is about 25 cm.It pierced straight into the heart, causing a penetrating injury.The wound¡¯s width is approximately 4 cm.Three stabs resulted in three wounds, accompanied by tearing, leading to extensive bleeding.The initial blood spurt amounted to an estimated 1000 milliliters. Considering the internal accumulation, the bleeding volume exceeded 2000¨C3000 milliliters, if not more!Director Zhou Guorong, weighing around 60 kilograms, possesses a total blood volume of approximately 4200¨C4500 milliliters.In other words, the bleeding has already surpassed half, or even more, of his total blood volume, necessitating immediate intervention!Concurrent symptoms include decreased blood pressure, cardiac tamponade, and hemorrhagic shock.Dangerous!Dangerous!Dangerous! In less than a second, Lin Feng¡¯s extensive experience synthesized these diagnostic findings, a horrifying sight that sent shivers down one¡¯s spine. Determination surged within him. ¡°No, I must stop the bleeding immediately!¡± However, before Lin Feng could take action, another doctor from a different department, Zhang Yuan, had already grasped the gravity of the situation. He acted swiftly, outpacing Lin Feng and rushing forward. Zhang Yuan tore open Director Zhou Guorong¡¯s garments with a fierce urgency, exposing the gruesome wound. He held a bottle of iodine solution in his hand, its cap swiftly removed. S?a??h the ?ov?l?ir?.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. The dark-red iodine solution cascaded directly onto the wound. Dr. Zhang Yuan promptly donned sterile gloves and inserted his finger into the knife-inflicted cavity. Using one or more fingers, he exerted pressure on the bone, staunching the profuse bleeding from the wound. Digital pressure hemostasis, when accurately positioned and with adequate pressure, can yield immediate and effective results in stopping bleeding. It is the most efficient and practical method of hemostasis. However, faced with three wounds, it became impossible to discern which artery had been severed. His fingers alone proved insufficient! Furthermore, the heart continued to beat, complicating matters. Soon, Dr. Zhang Yuan¡¯s face paled, cold sweat dripping from his brow. With mounting dismay, he realized he had failed to locate the severed artery in the anticipated position. His attempt to halt the bleeding had faltered! Blood continued to spurt out unabated, drenching Dr. Zhang Yuan¡¯s body and transforming his pristine white coat into a battle-worn robe. In this dire moment, Director Zhou Guorong¡¯s breathing gradually weakened, his pupils on the brink of dilation. Other doctors hesitated, paralyzed by fear. Dr. Zhang Yuan, a cardiac surgery specialist, and Director Zhou Guorong¡¯s disciple, possessed specialized knowledge and experience in the field. The remaining doctors, lacking such expertise, dared not act recklessly. Yet, as fresh crimson blood flowed ceaselessly, life sounded an urgent alarm. And in that very moment, a figure emerged, dashing forward. Initially, Lin Feng had placed his faith in Zhang Yuan¡¯s abilities, but feeling utterly impotent, he could no longer remain idle. With determined strides, Lin Feng burst into the operating room. After five seconds, he emerged, donning sterile gloves and clutching a surgical knife. The sight left everyone stunned. In that instant, Lin Feng¡¯s countenance contorted with ferocity, and his breaths were heavy and difficult. He donned the sterile gloves, raising the surgical knife high. Nurses and doctors alike stood frozen in place, overcome by shock. Their expressions twisted dramatically. ¡°Lin Feng, what are you attempting?¡± They cried desperately. ¡°Don¡¯t do it!¡± ¡°You don¡¯t understand anything! Don¡¯t act recklessly!¡± Frantic shouts filled the air, but it was too late to halt him. The knife descended! At that moment, Lin Feng¡¯s repository of 100 world-class surgical experiences sprang into action. In a mere 0.5 seconds, he accurately determined the optimal location and length of the incision based on the three stab wounds. He cut! After directly slicing open a wound of approximately 10 cm. As the incision parted, the already darkening blood surged forth. ¡°Oh no!¡± Lin Feng¡¯s face contorted. This volume exceeded 2000 milliliters at the very least! In other words, blood loss had surpassed 3000 milliliters. At this juncture, all the doctors and nurses stood frozen. They were petrified! Too frightened to move! What was Lin Feng doing? He had dared to open Director Zhou Guorong¡¯s chest! Could he have intended to stem the bleeding with his bare hands? But wait! Wasn¡¯t Lin Feng just an intern? Had he ever performed surgery before? Had Lin Feng lost his mind? To dare such audacity! Could they stop him now? How could they summon the courage? Nervous due to their lack of knowledge, they were utterly bewildered. Doctors and nurses alike stood dumbfounded, unable to comprehend what was unfolding before their eyes. Chapter 5 - A Gripping Rescue! Chapter 5: A Gripping Rescue! He held a blazing heart in Lin Feng¡¯s grip, intimately feeling its rhythm with his hands. He searched mindlessly, guided by his extensive surgical experience honed through numerous check-ups. In just a second, he instinctively located multiple bleeding points. A rapid burst of the heart¡¯s three-dimensional image and the locations of the bleeding points raced through his mind. Without hesitation, he swiftly devised the optimal method of applying pressure. With a determined grasp, he squeezed all the bleeding arteries and veins simultaneously, exerting unwavering control. The spattering of blood abruptly ceased, and its flow came to an abrupt halt. Silence fell upon the room as everyone stared at Lin Feng, mesmerized and dazed. ¡°Did he succeed?¡± ¡°Did he extract the heart with his bare hands?¡± ¡°Isn¡¯t he just an intern?¡± Dumbfounded, everyone stood frozen, unable to comprehend the incredible scene unfolding before them. The moment they were hung suspended was marked by their sheer shock value. ¡°What are you all staring at?¡± Lin Feng¡¯s voice thundered with anger, breaking the stillness. ¡°Move quickly! Bring the stretcher and prepare for surgery!¡± He shouted. His words snapped everyone from their stupor, bringing them back to reality. ¡°Oh, Oh, Oh.¡± Suddenly, a surge of determination coursed through everyone, propelling them into swift action. As emergency personnel, they are more than qualified to handle this crisis. Their initial shock and disorientation were understandable, considering Director Zhou Guorong¡¯s significance as their leader and comrade, someone who fought alongside them. Witnessing his stabbing had momentarily rendered them stunned and incapable of immediate response. But now, their resolve resurfaces. Despite being an intern, Lin Feng¡¯s authoritative command carries an undeniable air of dignity emanating from his vast experience as a world-class doctor in the operating room. ¡°Bring the stretcher!¡± ¡°Quickly prepare the IV fluids!¡± ¡°The emergency operating room just completed surgery. We need to clean and disinfect it again¡ªhurry up!¡± ¡°Get the ventilator and gather all the necessary equipment!¡± ¡°Also, contact the ICU and operating room to borrow an ECMO machine. We need it urgently!¡± ¡°Notify doctors from relevant departments to come for a consultation!¡± With Lin Feng¡¯s resounding shout, the previously panicked doctors and nurses begin reorganizing themselves with newfound composure. Thankfully, at this moment, all the patients and their families have already been frightened away by the earlier incident, minimizing any potential obstructions. A stretcher rushed in, halting steadily beside Lin Feng and Director Zhou Guorong. Nurses and doctors converge, offering assistance and carefully transferring Director Zhou Guorong¡¯s body onto the stretcher. Meanwhile, the operating room remained unfinished in terms of disinfection. Time ticks away relentlessly. With every passing second, they held immeasurable significance. Tension filled the air, causing everyone¡¯s hearts to race. Beads of sweat trickle down Lin Feng¡¯s forehead, a testament to the immense pressure he felt. Although the pressure method had proven effective in temporarily halting the bleeding, it was not a sustainable solution. Procuring the ECMO machine promptly and initiating extracorporeal membrane oxygenation was crucial for providing critical support and buying precious time for the patient¡¯s rescue. ECMO utilized the membrane lung and blood pump to provide long-term cardiopulmonary assistance to individuals suffering from severe cardiac and respiratory failure. Regrettably, the First City Hospital only possesses two ECMO machines, one in the ICU and another in the surgical operating room. Lin Feng¡¯s hopes rest on the possibility of acquiring the machine in time. ¡°I pray we make it in time,¡± Lin Feng silently implores. As phone calls echoed through the hospital, chaos ensued. The hospital director, doctors, and anesthesiologists were alerted and raced to the scene with lightning speed. Fortunately, the emergency operating room completed the disinfection process, and everything was poised for action. The surgery begins. Anesthesia was administered, blood transfusions and fluid replacements were initiated, and assisted ventilation was provided through a ventilator. S~?a??h the N?velF?re.?et website on G??gl? to access chapters of n?vels early and in the highest quality. ¡°Intravenous infusion of 1mg adrenaline¡­¡± ¡°1 mg atropine¡­¡± ¡°Administer adrenaline¡­¡± ¡°Infuse sodium bicarbonate¡­¡± Lin Feng¡¯s hand grows increasingly numb from the intensity of the situation. Cardiothoracic surgeon Zhang Yuan gazes in awe at Lin Feng, now resembling an apprentice. Lin Feng¡¯s quick and accurate responses have left Zhang Yuan impressed. Lin Feng speaks up, ¡°I¡¯ll hold it for now. You continue with the thoracotomy!¡± Zhang Yuan nods and proceeds with the operation. The knife rises and falls, making way for a thoracotomy. The ribs are spread apart, revealing a larger surgical field. However, with Lin Feng¡¯s hand obstructing the view, it becomes challenging to see clearly and identify the bleeding points. Lin Feng requests, ¡°Give me the hemostatic forceps, 14 cm, curved with all teeth. I¡¯ll take it from here.¡± Zhang Yuan promptly hands over the hemostatic forceps. Lin Feng swiftly inserts them, relying on his experience and intuition to accurately locate and clamp the bleeding points. The second one¡­ The third one¡­ In just four seconds, the task is accomplished. Remarkably swift! Lin Feng releases his hold on the heart. No bleeding! Success! In that instant, a sigh of relief escapes everyone¡¯s lips. Then, their attention turns towards Lin Feng, their gazes filled with awe and respect. Their eyes portrayed a mix of disbelief, shock, and sheer astonishment. Could this be just an intern? Was Lin Feng a master in disguise? The image of him fearlessly delving into the chest cavity with his bare hands would be a story to be told for a lifetime. The level of shock was unparalleled. But Lin Feng understands that the surgery has only just begun. The initial success was just a small victory in the grand battle ahead. The real challenges lie in vessel suturing and establishing extracorporeal membrane oxygenation (ECMO). With steady hands and focused determination, Lin Feng guides the surgical team through the intricate process of suturing damaged blood vessels, ensuring optimal blood flow to vital organs. Meanwhile, the urgent need for ECMO drives the team to work swiftly and precisely to set up the life-saving device. Throughout the surgery, Lin Feng¡¯s expertise shines as he orchestrates each step with meticulous precision and unwavering resolve. He commands the respect and admiration of his colleagues, who witness the extraordinary skills of this seemingly unassuming intern. Time becomes irrelevant in the operating room as the team fights to save Director Zhou Guorong¡¯s life. The grueling battle continues, and Lin Feng¡¯s mettle as a surgeon is tested to its limits. Chapter 6 - The Hospital is in Chaos! Chapter 6: The Hospital is in Chaos!At that moment, Dr. Zhang Yuan looked at Lin Feng with an inexplicable feeling swirling in his heart. It seemed as if his extensive 20-year experience in cardiothoracic surgery had been rendered insignificant. If he were to switch places with Lin Feng, he couldn¡¯t fathom possessing the same exceptional abilities. No, it was certain that he wouldn¡¯t. Could this young individual be a true prodigy? Zhang Yuan¡¯s mind retraced the numerous accolades bestowed upon him by his mentors throughout his career, designating him as a gifted student. He had always carried a sense of pride, deriving confidence from those commendations. Yet now, all that self-assurance crumbled beneath the weight of this extraordinary encounter. ¡°I¡¯m not a genius,¡± Zhang Yuan murmured, his voice filled with despair. ¡°I¡¯m merely here to mechanically fulfill the role assigned.¡± The shrill ring of a mobile phone pierced through the tension-filled air, capturing everyone¡¯s attention. Gasps of anticipation echoed in the room. ¡°I¡¯ve managed to secure an ECMO machine from the ICU,¡± a breathless voice spoke, as if on the verge of exhaustion. ¡°A colleague from the ICU is bringing it back right now.¡± The voice, though strained, radiated a ray of hope, infusing the listeners with renewed strength and optimism. The arrival of the ECMO machine could potentially significantly enhance the chances of success in this critical rescue mission. There has always been an insurmountable gap in cardiac surgery, a chasm that separates surgeons from conquering the impossible. Extracorporeal circulation, a technology with a rich clinical history spanning over half a century, emerged as the tool that propelled cardiac surgery forward. It created a bloodless surgical environment, shattering the long-standing belief that ¡°the heart remains the forbidden realm for surgeons.¡± ECMO, an offshoot of this groundbreaking technology, stood as a testament to a hospital¡¯s or even a region¡¯s or country¡¯s critical care capabilities. At that moment, a commotion of disorderly footsteps reverberated from outside, signaling the arrival of the cardiothoracic surgeons. Dr. Zhang Yuan swiftly inquired, ¡°Where is Director Zhao?¡± Director Zhao, Zhao Wangyang, served as the head of the cardiothoracic surgery department and stood as one of the two most esteemed cardiothoracic surgeons in the hospital, alongside Director Zhou Guorong. A doctor promptly responded, ¡°Our director went to a neighboring province last night for a high-difficulty surgery employing the flying knife technique. He won¡¯t be able to return in time.¡± Zhang Yuan¡¯s heart quivered, his face draining of color. Considering Director Zhou Guorong¡¯s current condition, this surgery should be classified as a highly challenging level-four procedure. With Director Zhao Wangyang, the hospital¡¯s foremost cardiothoracic surgeon, absent, the question loomed heavily: who else could step up to the task? Zhang Yuan was intimately familiar with the cardiothoracic surgeons at First City Hospital, recognizing that no one else within their ranks could shoulder this immense responsibility. Hope shattered, leaving him feeling adrift and bewildered. Memories of a decade¡¯s guidance and teachings from his mentor, Zhou Guorong, flooded Zhang Yuan¡¯s mind. The mentor had extended countless kindnesses, inviting him for meals at his humble abode, aware of his impoverished background. Zhou Guorong had even played matchmaker, introducing Zhang Yuan to potential life partners, ultimately leading him to his current wife. The debt of gratitude weighed on Zhang Yuan like an insurmountable mountain. And now, as his esteemed mentor lay in a critical condition, Zhang Yuan found himself powerless to save him. Tears streamed down his face, a testament to his deep sorrow and helplessness. ¡°Why are you crying? Start preparing!¡± A voice interrupted the gloomy atmosphere. It was Lin Feng. Lin Feng now stood before them, adorned in surgical attire. Lin Feng queried, ¡°Is anyone else capable of performing this surgery?¡± In response, Zhang Yuan shook his head and said, ¡°Director Zhao, the head of the cardiothoracic surgery department, is away for a flying knife surgery. I don¡¯t believe anyone else here is capable of performing it.¡± Lin Feng posed a question, his voice unwavering: ¡°Can you do it?¡± Zhang Yuan lowered his head, his voice filled with self-doubt. ¡°I cannot.¡± Taking a deep breath, Lin Feng spoke with determination, ¡°Very well. Since that¡¯s the case, I will give it a try.¡± Initially, he had intended to continue his development quietly, avoiding the spotlight. However, given the current circumstances, he had no choice but to step up and take charge. Lin Feng positioned himself as the lead surgeon, exuding an indescribable air of dignity, confidence, and composure. ¡°I will lead the surgery, and you will assist,¡± he announced. Zhang Yuan instinctively nodded in agreement, ¡°Okay!¡± S?a??h the N0v?lFir?.?et website on G??gl? to access chapters of n?vels early and in the highest quality. They began by suturing the blood vessels. Lin Feng opted for a reinforced mattress suture technique, ensuring greater security. His movements were swift and precise as he swiftly sutured the bleeding points. At that moment, a colleague rushed into the room, pushing the ECMO machine. Lin Feng¡¯s spirit soared, and he declared, ¡°Let¡¯s begin!¡± The cardiothoracic surgeon¡¯s gaze fell upon Lin Feng with surprise and curiosity lingering in their eyes. Who was this young doctor, bold enough to lead such a complex surgery while concealing his face under a surgical cap? Yet, as Lin Feng issued the command, a sense of urgency enveloped the room, and everyone sprang into action. The ECMO machine had arrived. The next step involved arterial and venous cannulation, connecting the tubes to the arteries and veins, and swiftly establishing the extracorporeal circuit. This crucial process ensured the arterial blood from the perfusion entered the circulatory system, maintaining the perfusion of vital organs. A highly challenging surgery was about to commence, and the hearts of everyone present pounded with anticipation. Whether the surgery will be successful hangs in the air, shrouded in uncertainty. However, Lin Feng¡¯s remarkable speed and skill are undeniable. With each movement¡ªsuturing the double purse string, excising the outer and inner membranes, removing loose connective tissue, and cutting through the aortic wall¡ªhis proficiency with the surgical tools is evident. The operating room falls into a hushed silence, with only the sounds of busy activity filling the space. Like a graceful butterfly fluttering amidst flowers, Lin Feng moves with stability and agility. Meanwhile, chaos ensues in various departments throughout the hospital. Doctors rush towards the elevators in a flurry, driven by urgency. Some doctors, bound by their responsibilities, cannot leave their posts but are consumed by anxiety. Simultaneously, the hospital¡¯s work chat group explodes with messages. ¡°Something has happened in the emergency department!¡± ¡°Director Zhou Guorong was stabbed three times by a patient¡¯s family member. Blood was spraying everywhere!¡± ¡°Oh my god!¡± ¡°I heard Dr. Zhang Yuan attempted to control the bleeding but was unsuccessful. Then, an intern stepped forward, performed a chest incision, and manually applied pressure to stop the bleeding.¡± ¡°An intern? Are you kidding?¡± ¡°But the bleeding was indeed stopped. They displayed remarkable courage. I fear my legs would have given way!¡± ¡°People from the emergency department are saying that the bleeding was horrifying. If it weren¡¯t for this intern, the director would have succumbed to acute ischemia.¡± ¡°The emergency department shared a photo. Everyone, take a look.¡± A frenzy of reactions erupts within the chat group. ¡°I can¡¯t believe it!¡± ¡°I can¡¯t believe it!¡± ¡°I can¡¯t believe it!¡± ¡°I can¡¯t believe it!¡± ¡°I can¡¯t believe it!¡± The repeated exclamations of disbelief reverberate throughout the chat group, capturing the shock and astonishment that fills the hearts of those who witness the extraordinary events unfolding. The situation is undeniably terrifying, with the account of an intern bravely taking charge in a life-or-death scenario. The question arises: are interns now endowed with such fearlessness and resilience? Amidst the flurry of reactions, messages expressing well wishes and prayers for Director Zhou¡¯s safe recovery flood the chat group. ¡°Wishing Director Zhou a swift and complete recovery!¡± ¡°Praying for Director Zhou¡¯s healing and strength!¡± ¡°Praying for his recovery!¡± Director Zhou was not only a colleague but also a comrade who has dedicated himself to the medical field. Touched by the scene and filled with empathy, every individual joins in collective prayer, hoping that Chief Zhou will emerge victorious from this daunting challenge. Chapter 7 - he looked incredibly handsome! Chapter 7: At that moment, he looked incredibly handsome!Hospital Director Wang Chang rushed to the hospital in his car, his sense of urgency palpable. He had been attending a medical industry meeting in the city when he received a distressing call. After explaining the situation to city leaders, he swiftly returned to the hospital, determined to take charge of the unfolding crisis. As the phone in the car rang incessantly, Director Wang Chang contacted various parties and made necessary arrangements. He delegated tasks and issued instructions to ensure a coordinated response. ¡°Dr. Zhao, the head of the Cardiothoracic Surgery Department, is unavailable due to a critical surgery. Very well, I will immediately contact Dr. Lin Feng from People¡¯s Hospital and request his presence as soon as possible.¡± ¡°To the blood bank team, provide the emergency department with an ample blood supply without any complications or delays!¡± ¡°Has the ECMO machine in the ICU been deployed? Is there someone skilled and capable of handling it at this moment?¡± ¡°What? Is an intern leading the surgery? This can¡¯t be a joke!¡± ¡°I have already called Dr. Lin Feng, the head of the Cardiothoracic Surgery Department at People¡¯s Hospital, and urged him to come over without delay. We must stabilize Director Zhou¡¯s condition as swiftly as possible.¡± Ten minutes later, Director Wang Chang¡¯s car stopped at the hospital entrance, signaling his arrival. Opening the car door, the director hurriedly made his way toward the emergency room, his sense of urgency evident. Outside the emergency room, a chaotic scene unfolded as a crowd gathered, forming concentric circles around the area. People flocked from all directions, creating a dense and bustling atmosphere. The crowd consisted of doctors who had rushed to the scene upon hearing the news, anxious patients and their families seeking refuge from the emergency room, and curious onlookers drawn by the commotion. The security guards worked diligently to maintain order amidst the chaos, attempting to regulate the influx of people and ensure the smooth operation of the emergency room. The director pushed through the crowd, his determined strides indicating his unwavering commitment to resolving the crisis. ¡°Director!¡± ¡°Director!¡± ¡°Director!¡± S?a?ch* Th? N?velF?re.?et website on G??gl? to access chapters of n?vels early and in the highest quality. Upon the director¡¯s arrival, the doctors and security guards quickly parted, clearing a path for him. With determined steps, he navigated through the crowd and soon reached the entrance of the emergency operating room, which was already bustling with activity. The Director of the Medical Affairs Department had also arrived, and doctors from various departments, especially those renowned for their expertise, were gathered, their attention fixated on the ongoing surgery. ¡°Director, you¡¯re here,¡± one of the doctors acknowledged, a hint of relief in their voice. Internally, Director Wang Chang felt nervous tension but maintained a composed demeanor. ¡°What is the current situation?¡± he inquired. A nurse assisted him in donning a surgical gown as she provided an update. ¡°Director Zhou has already been connected to ECMO, and his condition has stabilized for the most part.¡± ¡°Director, this lead surgeon is extraordinary. I¡¯ve never witnessed such mastery in cardiothoracic surgery. Their movements are seamless, and their speed is astonishing. I can hardly keep up with their thought process!¡± ¡°Yes, who invited this doctor? They appear so young; I¡¯ve never seen them before.¡± As Director Wang Chang listened to the remarks, a sense of curiosity and intrigue settled within him. With others making way, the director ventured further into the operating room, and what he witnessed left him taken aback. In the position of lead surgeon, there stood a doctor whom Director Wang Chang did not recognize. While he couldn¡¯t discern their faces clearly, he could sense their youthful energy. ¡°Who is this?¡± Director Wang Chang pondered, his confusion evident as he glanced around the operating room. On the other hand, he did recognize the second surgeon, Zhang Yuan, who had been a devoted student under the guidance of Director Zhou Guorong for over a decade. The question lingered in Director Wang Chang¡¯s mind¡ªwho exactly was this lead surgeon? His attention turned back to the surgical site, and a look of sheer astonishment spread across his face within mere seconds. What a skillful suturing technique! And there¡¯s a certain aesthetic appeal to it as well! Based on this skill alone, Director Wang Chang suspected even Director Zhao from the Cardiac Surgery Department would struggle to compare. But there was more to discover. Numerous wounds adorned the heart, each meticulously identified, stitched, and repaired by the lead surgeon. The process unfolded with astonishing speed and precision as if the surgeon possessed complete mastery over the situation. They swiftly identified the wounds, stitched them up, and seamlessly moved on to the next¡ªeach step executed with remarkable swiftness. Director Wang Chang¡¯s amazement grew as he witnessed this display of surgical prowess. Director Wang Chang was utterly shocked. ¡°Who is this doctor?¡± ¡°Why are they so skilled?¡± He inquired of the nurse beside him, who responded, ¡°This is intern Lin Feng.¡± Director Wang Chang: ¡°¡­¡­¡­¡­¡­¡­¡­.¡± Damn it! Do I look like a fool to you? Dare you to try to deceive me like this? Once again, the operating room descended into a profound silence. Tense and suffocating. All eyes were fixated on the surgery. Nervous. Full of anticipation. Time ticked away, minute by minute. 47 minutes¡­ The heart¡¯s chest cavity was sutured, rinsed, and fitted with drainage tubes. At this stage, the atmosphere eased slightly. Someone let out a long sigh. After observing the monitoring data, the blood oxygen saturation had already returned to 97%. While there were minor fluctuations in other parameters, they could be gradually adjusted and controlled with medication. A smile graced someone¡¯s face. Because, in all likelihood, Director Zhou had been saved. As the surgery ended, Lin Feng felt his entire body, which had been taut with tension, suddenly relax. His legs gave way. Thud~~~ He collapsed onto the floor. Only then did he realize that his entire body was drenched in sweat, and he felt weak from low blood sugar. At that moment, a compassionate nurse approached and helped him up. All eyes were on him. Filled with admiration and gratitude. Dr. Zhang¡¯s voice broke with sobs at that moment, as this stalwart man couldn¡¯t contain his tears. It was a mix of exhilaration and tears of joy! Outside the operating room, a group of rookie interns stood on their tiptoes, attempting to catch a glimpse inside. ¡°How is the surgery going?¡± ¡°Will they be saved?¡± ¡°Being a doctor is truly perilous.¡± ¡°Don¡¯t you think it¡¯s incredibly cool how Lin Feng saves people by exposing the heart?¡± At that moment, in the hearts of many interns, Lin Feng¡¯s image transformed from a ¡°freeloading¡± intern to a master. ¡°Yeah, super cool!¡± ¡°I¡¯m a guy, but he made me dizzy with his awesomeness!¡± ¡°So, this is the allure of being a doctor?¡± ¡°In the future, I want to save people like this. I want to be this cool!¡± Indeed, at that moment, Lin Feng exuded true coolness! Leaving an indelible mark in the hearts of all the doctors and nurses at City Hospital No. 1! Chapter 8 - First Outpatient Visit, Drunk Patient Chapter 8: First Outpatient Visit, Drunk PatientThe atmosphere in the hospital was filled with relief and happiness as word spread about the successful outcome of Director Zhou¡¯s surgery. The entire medical staff, from the hospital director to the department heads, doctors, and nurses, emerged from the emergency operating room with a mix of tension, unease, and anticipation on their faces. Among them was Lin Feng, an important figure in the hospital or someone closely associated with Director Zhou. When Director Wang Chang confirmed the procedure¡¯s success, a wave of excitement swept through the room, and the doctors and nurses outside erupted in cheers. The relief was palpable as they realized Director Zhou had been saved from a critical situation. The burden of worry that had weighed on them for hours was lifted, giving way to delight and even tears of joy. As healthcare professionals, they understood the risks and challenges involved in their line of work. They were keenly aware of the potential consequences of doctor-patient conflicts and the impact they could have on their colleagues¡¯ lives. The unity and camaraderie within the medical community were evident in their collective celebration. They recognized that the loss of a fellow doctor was a loss for all, much like the sorrow a fox feels when a rabbit dies. Throughout Director Zhou¡¯s surgery, the entire hospital staff had been preoccupied with worry, unable to concentrate on their tasks. But now, with news of a successful outcome, an immense weight had been lifted off their shoulders. They could finally take a deep breath, feeling a sense of personal salvation and relief. The knowledge that Director Zhou had been saved brought a renewed sense of purpose and determination to their work, reminding them of the importance of their director. Wang Chang turned his head, intent on locating Lin Feng. As the greatest contributor and the current shining star, Lin Feng undoubtedly deserved public praise. However, to Wang Chang¡¯s astonishment, Lin Feng was nowhere to be found. A surge of disbelief coursed through him as he exclaimed, ¡°Where is Lin Feng?¡± with a hint of concern. ¡°Lin Feng!¡± He called out again, growing more perplexed. ¡°Huh? Is he not here? He was just here.¡± The doctors scanned the surroundings, their eyes darting in every direction, but Lin Feng remained elusive. It became increasingly apparent that he had slipped away unnoticed. ¡°He must have departed recently,¡± speculated one doctor. ¡°Haha~~ It seems the young man prefers to maintain a low profile,¡± remarked another, enjoying the situation. S?a??h th? ?ov?l?ir?.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Director Wang Chang, realizing Lin Feng¡¯s absence, chose not to press further and departed after briefly exchanging words. Following suit, the remaining doctors gradually exited the emergency room. The chaotic atmosphere subsided, restoring order to the emergency room. Shortly afterward, Director Zhou Guorong was swiftly removed and transferred to the Intensive Care Unit (ICU). In the blink of an eye, three days they were passed. The commotion gradually settled, and Lin Feng resumed his routine in the emergency room. He had risen to a prominent position within the emergency room. Both nurses and doctors regarded him respectfully, no longer seeing him as an ¡°intern.¡± He had become a significant figure¡ªa big shot whose status had soared. The admiration and reverence for Lin Feng multiplied among the other interns, causing them to tremble in awe of him. They eagerly attended to his every need, and simultaneously, rumors about Lin Feng began to circulate throughout the surgical, medical, and inpatient departments. ¡°I heard from my ICU colleagues that Director Zhou¡¯s condition has seen remarkable improvement, all thanks to Lin Feng¡¯s expertly executed surgery,¡± whispered one individual, spreading the rumors further. Amidst the chaos, news of the extraordinary surgery performed by a student began to spread like wildfire. It quickly captured the attention of medical professionals across the nation. ¡°Was it indeed an intern who performed the surgery?¡± ¡°This is astounding!¡± ¡°Who is this intern? How can they possess such remarkable skills?¡± ¡°Could it be that incredibly handsome intern? It must be him!¡± ¡°It¡¯s a shame the surgery wasn¡¯t recorded. We could have learned so much from it.¡± As time passed, news of the events at City Hospital No. 1 reached a broader provincial and national audience. The incident involving the assault on doctors by family members had a profound impact on medical professionals nationwide, leaving an indelible mark. The repercussions were enormous, with numerous TV news reports, online media articles, and public accounts covering this heart-wrenching incident. Naturally, Lin Feng, the outstanding contributor, received widespread attention with admiration and skepticism directed towards him. However, one image remained etched in everyone¡¯s memory¡ªthe sight of Lin Feng kneeling on a moving car, selflessly ¡°opening his heart to stop the bleeding.¡± This astonishing act left countless medical staff members in awe, as the difficulty and skill required for such a procedure were far from ordinary. To this day, no known doctor has replicated such a feat of ¡°heart-opening.¡± With his elevated status, Lin Feng gained the opportunity to attend to patients and offer clinical consultation services. However, he still required the presence and supervision of a clinical supervising teacher or attending physician. Dr. Zhang Yuan volunteered as his attending physician in gratitude towards Lin Feng. As for the other interns, they continued to perform menial tasks, a situation that left them disheartened. Before long, Lin Feng was assigned his first patient¡ªa 27-year-old obese young man who stumbled into the emergency room, his face pale and clutching his stomach. ¡°Doctor, my stomach is in excruciating pain,¡± he groaned, taking a seat. As a rookie, it was Lin Feng¡¯s first time encountering a patient, but he exuded an aura of composure, instilling a sense of reassurance in the patient. Recognizing that stomach pain after excessive drinking was common, Lin Feng asked, ¡°How much did you consume?¡± ¡°Three glasses of liquor and four bottles of beer,¡± the young man replied. ¡°And when did you consume them?¡± ¡°About four hours ago. After drinking, the pain in my stomach started to intensify. Initially, I took over-the-counter stomach medications like digestive tablets and antacids, but they did not relieve relief.¡± The young man swiftly recounted the sequence of events. ¡°Do you have any previous medical history?¡± ¡°Yes, I have gallstones,¡± he responded. Gallstones? A realization sparked within Lin Feng¡¯s mind. Gallstones could lead to obstructive impaction in the Oddi sphincter before entering the duodenum, potentially triggering an episode of pancreatitis. Could it be pancreatitis? Moreover, pancreatitis often correlates with ethanol intake, particularly long-term alcohol consumption. ¡°For how many years have you been drinking?¡± Lin Feng asked. ¡°Over ten years,¡± he replied. ¡°Any other medical history?¡± ¡°No,¡± he replied. Nodding thoughtfully, Lin Feng extended his hand and proceeded to palpate various regions of the obese young man¡¯s abdomen, one by one. ¡°Does this cause any discomfort?¡± Lin Feng inquired, applying pressure to a specific area. ¡°Ouch, it hurts!¡± The patient exclaimed. ¡°And how about this?¡± Lin Feng continued, moving his hand to another region. ¡°No pain¡­¡± ¡°And this?¡± One minute later, Lin Feng concluded the physical examination. Considering the patient¡¯s obesity, the duration of abdominal pain for five hours, and a history of gallstones, he made a preliminary assessment. Acute gastroenteritis or acute pancreatitis¡­ The likelihood of acute pancreatitis was significantly higher. Moreover, acute pancreatitis can sometimes be life-threatening. Lin Feng swiftly made a decision. ¡°Write a self-order and proceed with an abdominal CT scan, amylase blood test, and amylase urine test.¡± Upon finishing his statement, he penned the order and handed it to Dr. Zhang Yuan, who had been present as a ¡°supervisor¡± behind him. Dr. Zhang Yuan promptly signed the order without any modifications and passed it on to the obese young man. Chapter 9 - Pancreatitis, the Non-Compliant Patient Chapter 9: Pancreatitis, the Non-Compliant PatientAt that moment, Zhang Yuan found himself in a state of astonishment. Lin Feng¡¯s medical consultation displayed a level of expertise far exceeding that of a novice. He appeared more like an experienced ¡°seasoned professional.¡± His choice of diagnostic tests was focused, and he exhibited unwavering confidence in identifying the underlying cause. Reflecting on his years of experience in the emergency department, Zhang Yuan could only aspire to reach the level Lin Feng demonstrated. Based on the symptoms and clinical findings, he had also considered pancreatitis as a potential diagnosis. ¡°Is this your first medical consultation?¡± ¡°Wow, is there truly such an extraordinary prodigy in this field?¡± Zhang Yuan marveled within himself. ¡°Doctor¡­¡± At that moment, the young man glanced at the stack of diagnostic orders, hesitating. As a patient, especially one with limited financial means, he dreaded undergoing various tests. Each test would incur several hundred dollars in expenses. S?a??h th? N0v?lFir?.?et website on G??gl? to access chapters of n?vels early and in the highest quality. ¡°Doctor, it¡¯s probably just gastritis. I had the same symptoms two weeks ago, and I was treated here with two bags of IV fluids, which helped.¡± The patient wished to avoid the financial burden. Lin Feng shook his head and said, ¡°I¡¯ve reviewed your medical history, and I know you received treatment here for acute gastroenteritis before. However, I believe this time it¡¯s not gastroenteritis but pancreatitis.¡± ¡°Please take a deep breath.¡± ¡°Inhale, cough, ah, ah.¡± The overweight young man grimaced in intense pain, clutching his stomach. ¡°You see, this is also one of the signs of pancreatitis¡­ I just listened to your heartbeat, and it was shallow and rapid. Many of the symptoms suggest it might be pancreatitis.¡± However, the obese young man remained unconvinced. He was incredibly stubborn. ¡°No, it must be gastroenteritis. Just give me an IV drip.¡± ¡°Doctor, please help us save some money.¡± Desperately, the overweight young man offered a cigarette and pleaded, ¡°Doctor, could you save us some money?¡± At that moment, Lin Feng felt a throbbing headache. ¡°Doctor, we¡¯re struggling financially.¡± ¡°Doctor, could you prescribe more affordable medications?¡± ¡°Doctor, help us save some money.¡± Many doctors often disliked such comments, as they felt their professional ethics were being questioned (even though, regrettably, some doctors do exhibit poor ethics). Suppressing his frustration, Lin Feng advised, ¡°If cost-effective options are available, I will certainly assist you. However, in my professional opinion, I strongly recommend undergoing the recommended tests for your condition.¡± He patiently explained to the obese young man ¡°pancreatitis¡± and its potential dangers. The chubby young man persisted, pleading, ¡°The tests take too long. Can we start with the IV infusion first?¡± Lin Feng: ¡°¡­¡­¡­¡­¡± Ultimately, the patient stubbornly clung to his stance with a determined expression. Lin Feng spoke firmly, ¡°Either you comply with the recommended tests or seek another doctor!¡± Lin Feng refused to compromise on his diagnostic principles. He would never haphazardly prescribe treatment plans. If anything were to go wrong later, who would be held responsible? ¡°Next!¡± The corners of the obese young man¡¯s mouth twitched, but eventually, he took the diagnostic orders and proceeded with the tests. An hour later, the obese young man returned with the test results. The amylase levels were five times higher than the normal range. The lipase levels were four times higher. The CT scan revealed clear indications of pancreatic leakage. Considering all these findings and his vast experience, Lin Feng made a definitive diagnosis. ¡°Doctor, how is it? Is it gastroenteritis?¡± ¡°It¡¯s pancreatitis¡­ You need to prepare for admission.¡± Lin Feng understood that pancreatitis was not a minor illness. Failing to diagnose and treat it promptly could have severe consequences, even leading to death. ¡°What? Admission?¡± The obese young man was utterly shocked. He abruptly stood up, staring at Lin Feng in disbelief. ¡°It¡¯s just a minor case of pancreatitis. Why should I be admitted?¡± Admission meant significant expenses. Lin Feng had to reiterate the seriousness of pancreatitis and the importance of receiving proper medical care. ¡°¡­¡­¡± After persistent persuasion from Lin Feng, the obese young man reluctantly agreed to be admitted. Lin Feng contacted the inpatient department, arranged a bed, and completed the necessary admission paperwork. At that moment, the obese young man mentioned, ¡°I need to use the restroom.¡± Lin Feng responded, ¡°Take a left when you leave.¡± Five minutes passed¡­ Ten minutes passed. Fifteen minutes passed. The obese young man had not returned. ¡°What? Did he escape?¡± At that moment, it dawned on Lin Feng that the young man had avoided admission! Countless expletives filled Lin Feng¡¯s thoughts. ¡°Well, it¡¯s not my life.¡± For the first time, Lin Feng realized that no matter how skilled he was as a doctor, he couldn¡¯t guarantee every patient¡¯s recovery. He continued attending to other patients, but his mind remained preoccupied with the obese young man. Eventually, unable to bear the thought of the patient¡¯s potential demise, he asked the nurse to try and reach out to him. However, despite numerous attempts, there was no response to the calls. Lin Feng gave up. ¡°Some stubborn people are hard to convince.¡± Soon, he pushed the patient out of his mind. However, on the third day, the Intensive Care Unit (ICU) contacted him, informing him that they had admitted a patient with severe acute pancreatitis and that urgent surgery was required. They requested Lin Feng¡¯s consultation. Lin Feng was puzzled, ¡°Why do they need me? I¡¯m an emergency physician. Shouldn¡¯t they invite specialists from various departments?¡± The ICU nurse explained, ¡°Dr. Lin, the thing is, this patient came to the emergency department two days ago, and you were the one who made the diagnosis. You¡¯re more familiar with his condition and can provide valuable insights¡­¡± Suddenly, he clicked for Lin Feng, ¡°Ah, it¡¯s him. He agreed to admit?¡± After ending the call, Lin Feng hurriedly made his way to the ICU. He couldn¡¯t help but feel a sense of speechlessness that the obese patient had allowed his condition to worsen, progressing from acute pancreatitis to severe acute pancreatitis. Acute pancreatitis, a condition characterized by inflammation of the pancreas, could be managed through medication in most cases. However, surgical intervention was necessary to remove the necrotic tissue in severe acute pancreatitis where there was significant tissue damage. This form of pancreatitis constituted approximately 20-30% of cases and had a considerable in-hospital mortality rate of 15%. Additionally, the treatment costs associated with this severe condition were exorbitantly high. Considering these factors, the pursuit of such treatment was deemed unworthy. Chapter 10 - Encountering Severe Acute Pancreatitis Again Chapter 10: Encountering Severe Acute Pancreatitis AgainEarly in the morning, Lin Feng arrived at the ICU, greeted by a chorus of ¡°Dr. Lin!¡± from a group of nurses. Their faces lit up at his sight, impressed by his exceptional medical skills and good looks. Lin Feng acknowledged their greetings with a smile and nod. They proceeded to the conference room, where many consulting doctors from various specialties had gathered. Each one respectfully addressed him as ¡°Dr. Lin,¡± recognizing his growing reputation and esteemed position despite being just an intern. Some doctors were surprised by his youth, having only heard his voice before. The fact that he had successfully performed a complex life-saving operation under Director Zhou¡¯s guidance seemed almost unbelievable to them. Nevertheless, their interactions remained polite and devoid of excessive flattery. Finally, Dr. Qian, the head of the ICU, provided a concise overview of the obese young man¡¯s specific condition. The patient¡¯s condition had progressed from acute pancreatitis to severe acute pancreatitis, accompanied by septic shock and pulmonary infection. Lin Feng shook his head in acknowledgment as he listened to the worsening state of affairs. Clearly, the situation should not have been delayed, as further delays would only worsen the problems at hand. Dr. Qian turned to Lin Feng and requested that he share the situation he had encountered during his initial contact with the patient two days ago. Lin Feng nodded and proceeded to provide a comprehensive overview to everyone present. As the doctors heard that Lin Feng had recommended the patient¡¯s admission and that the patient had chosen to leave alone, they collectively shook their heads and sighed. Although they had witnessed similar occurrences many times, it always frustrated them. An hour later, following the triage meeting, Lin Feng made his way to visit Director Zhou, who was recovering well and had regained consciousness. Director Zhou¡¯s spouse repeatedly expressed their gratitude to Lin Feng, causing him to feel slightly embarrassed. Trying to deflect the attention, he swiftly excused himself and departed. In the blink of an eye, three days had passed since then. [¡­ Check-in on the 106th day Reward: ¡°World-class Experience in Colon Cancer Radical Surgery¡±![¡­ Check-in on the 107th-day Reward: ¡°World-class Experience in Gastric Cancer Extended Radical Surgery¡±![¡­ Check-in on the 108th-day Reward: ¡°World-class Experience in Scoliosis Correction Surgery¡±! During this time, Lin Feng had successfully treated nearly 60 patients, demonstrating impressive professionalism in handling each case. The managing physician, Zhang Yuan, was initially shocked by Lin Feng¡¯s capabilities but had grown somewhat accustomed to them. Unable to contain his curiosity, he finally asked Lin Feng, ¡°How do you know all of this? Where did you learn it from?¡± Lin Feng calmly responded, ¡°I acquire knowledge from domestic and international journals, forums, videos, and textbooks. I understand as I read.¡± Zhang Yuan was left speechless. It was the first time he had encountered someone who could gain practical expertise in their field solely through online resources, without any hands-on experience. This person was even more skilled than him¡ªan experienced emergency doctor. The realization filled Zhang Yuan with self-doubt and deep discouragement. Just as these thoughts plagued Zhang Yuan, something unexpected happened. Lin Feng¡¯s name was brought up in the internal chat group, catching his attention. Dr. Qian, the head of the ICU, relayed the news to Lin Feng, saying, ¡°Dr. Lin, I have some news for you. Unfortunately, the patient with pancreatitis deteriorated despite the surgery, and he passed away.¡± Lin Feng fell silent, absorbing the weight of the news. The past was swiftly swept away like a gust of wind. He believed he had done everything he could, but ultimately, the patient didn¡¯t value their own life. With a heavy sigh, he composed himself and called from the door, ¡°The next patient¡­¡± An old woman entered the room, accompanied by her daughter. She appeared to be in her 60s, her hair white, clutching her stomach with a pale face. Taking a seat, the woman shared her concerns with Lin Feng. ¡°Ma¡¯am, do you have any concerns?¡± Lin Feng smiled kindly, trying to put her at ease. ¡°Doctor, I¡¯ve been experiencing stomach pain, chest tightness, and shortness of breath in the past two days,¡± the elderly woman explained. ¡°Ma¡¯am, do you have any past medical history?¡± Lin Feng inquired. ¡°Yes, I have gallstones,¡± she replied. Lin Feng asked several more questions, to which both the old woman and her daughter truthfully responded. Following the inquiry, Lin Feng conducted a physical examination. Ten minutes later, Lin Feng reached a preliminary diagnosis: pancreatitis. The woman¡¯s daughter nervously asked, ¡°Doctor, what¡¯s wrong with my mother?¡± Lin Feng responded reassuringly, ¡°We still need to conduct some tests. I¡¯ll write the necessary requisitions, and you can proceed with the tests.¡± Concerned, the elderly woman asked, ¡°Doctor, is it something serious?¡± Lin Feng smiled warmly and replied, ¡°Let¡¯s not worry for now, Auntie. We¡¯ll discuss everything once we have the results.¡± Swipe, swipe, swipe¡­ Lin Feng completed the requisitions, obtaining the necessary signatures from Dr. Zhang Yuan. He then handed them over to the old woman and her daughter, outlining their needed tests: abdominal CT scan, blood biochemistry, amylase in blood, urine, and more. They took the requisitions without hesitation and headed to the laboratory for the tests. An hour later, they returned with the test results in hand. As Lin Feng reviewed the findings, shock washed over him. Abdominal CT scan: 1. Presence of gallstones in the gallbladder and bile ducts 2. Enlarged and rough-edged pancreas, indicative of pancreatitis 3. Enlarged pancreatic head with abnormalities Blood biochemistry: Elevated C-reactive protein levels at 273 mg/L, total bilirubin at 398 mol/L, and more Amylase in urine: Remarkably high at 21,365 U/L. Amylase in blood: Elevated at 980 U/L. Blood gas analysis: pH level of 7.416; PO2 at 70 mmHg, among other readings. Lin Feng was surprised by the data before him. It was evident that the patient¡¯s condition encompassed several factors: Severe acute pancreatitis, Gallbladder stones, Bile duct stones, Pulmonary infection, and potentially more. It was a case of severe acute pancreatitis again, a coincidence that left Lin Feng astounded. S?a??h the N?v?lFire.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Chapter 11 - Laparoscopic Clearance Surgery Chapter 11: Laparoscopic Clearance SurgeryThe daughter and the elderly woman closely observed Lin Feng¡¯s troubled expression, instantly growing concerned. They anxiously asked, ¡°Doctor, what¡¯s wrong with my mother?¡± Furrowing his brow, Lin Feng responded, ¡°It¡¯s severe acute pancreatitis, and it¡¯s very serious. She needs to be admitted to the hospital immediately.¡± ¡°What?!¡± The daughter and the elderly woman were surprised by the gravity of the situation. The urgency of hospitalization shocked them. Suddenly, with a loud clang, the elderly woman¡¯s body unexpectedly slumped to the ground, collapsing. ¡°Mom!¡± The daughter¡¯s face filled with alarm as she hurried to assist her mother. Lin Feng¡¯s expression also changed, and he swiftly reached out to help. However, his touch felt cold, and his consciousness seemed hazy. He checked her hands, feet, and neck, discovering that they were all unnaturally cold. Her body temperature had dropped significantly. ¡°Could it be shocking?¡± Lin Feng thought to himself. Shock, characterized by acute cellular hypoxia, often manifests through symptoms such as low blood pressure, reduced blood flow, cold extremities, pale complexion, decreased body temperature, impaired consciousness, and even coma. Lin Feng knew he couldn¡¯t waste any time. He lifted the elderly woman from the ground, urgently shouting. ¡°Septic shock, in addition to severe acute pancreatitis! Prepare for a blood transfusion, blood type B!¡± ¡°Prepare low-molecular-weight dextran, alanine, epinephrine, and isoproter.l¡­¡± A rapid stream of orders poured forth from Lin Feng¡¯s mouth, and due to his authoritative tone, the nurses in the emergency department acted without hesitation. Some quickly wheeled in a trolley, while others prepared the necessary medications and set up the ventilator. Everything proceeded in an orderly and rapid manner as the medical team swiftly administered infusions and medications and set up the ventilator. Through their concerted efforts, the elderly woman¡¯s condition gradually stabilized. Relief washed over the daughter as she witnessed her mother regain consciousness and the ability to communicate. Gratefulness filled their voices as they expressed their appreciation to Lin Feng, acknowledging the fright they had experienced during the intense intravenous rescue. Lin Feng listened attentively and then explained, ¡°I believe the elderly woman¡¯s condition is severe acute pancreatitis. The complication we just witnessed was a result of that condition.¡± ¡°It is crucial not to delay treatment, and surgery is necessary as soon as possible. You have the option to undergo the surgery here in the emergency department, where we have skilled doctors readily available, or you can choose to consult a specialist and make an appointment.¡± ¡°However, opting for surgery in the emergency department means you won¡¯t have to wait in line, so that may be a faster option.¡± The daughter and the elderly woman exchanged glances, considering the options before them. After a brief moment of contemplation, the daughter replied, ¡°Doctor, we trust your expertise. We will proceed with the surgery here in the emergency department.¡± Lin Feng nodded, understanding their decision. He reassured them, ¡°Rest assured, we will do our best to ensure a successful surgery and a smooth recovery. Please prepare for the procedure, and we will get everything ready.¡± With their trust in Lin Feng, the daughter and the elderly woman prepared themselves for the upcoming surgery, hopeful for a positive outcome. The daughter nodded with determination, affirming, ¡°Okay, let¡¯s proceed with the surgery right away!¡± Lin Feng nodded back and said, ¡°I will write the requisitions for the necessary tests. Based on the results of the abdominal CT scan, it appears that there is a significant fluid-filled area around the pancreas.¡± ¡°For the initial surgery, you can choose to have ¡®percutaneous drainage of necrotic tissue around the pancreas,¡¯ which involves draining the pus-filled necrotic tissue without the need for open surgery.¡± The daughter continued to nod, expressing her trust, saying, ¡°I will follow your guidance, doctor.¡± Lin Feng further explained, ¡°However, it¡¯s important to understand that this procedure may not provide a complete cure. If the percutaneous drainage does not effectively resolve the issue, the next step would be ¡®laparoscopic removal of necrotic tissue around the pancreas¡¯.¡± ¡± Lin Feng¡¯s expertise in these procedures reassured the daughter and the elderly woman. They nodded in agreement, saying, ¡°We understand. We trust your judgment, doctor.¡± With the decision made, the medical team swiftly made the necessary preparations for the surgery. The elderly woman was settled into a bed in the emergency department, where she would undergo the procedure. Time seemed to blur as the medical team focused on providing the best care. The daughter remained by her mother¡¯s side, offering support and reassurance during this critical time. The faith they placed in Lin Feng and the medical team gave them hope as they braced themselves for the upcoming surgery. The emergency department at City Hospital was renowned for its high capability in providing comprehensive care with its operating room and wards. Among the medical staff was a gastroenterologist named Song Ziming, a 34-year-old with a bald head. When Song Ziming learned that a patient with severe acute pancreatitis requiring surgery had been admitted to the Emergency Department, he couldn¡¯t sit still. Surgery meant professional achievements and financial rewards, which caught Song Ziming¡¯s attention. He approached Lin Feng, addressing him respectfully, ¡°Dr. Lin¡­¡± Lin Feng turned to face him, responding politely, ¡°Dr. Song¡­¡± With a hint of embarrassment, Song Ziming continued, ¡°Dr. Lin, I heard that you admitted a patient who needs surgery for severe acute pancreatitis.¡± Lin Feng confirmed, ¡°Yes, that¡¯s correct.¡± After a moment of hesitation, Song Ziming made his request: ¡°Dr. Lin, if there are no complications, this patient may require two surgeries: percutaneous drainage and a laparoscopic procedure. ¡± ¡°I don¡¯t know if you could allow me to perform the percutaneous drainage surgery. Of course, I¡¯m not proficient in laparoscopic surgery, and I wouldn¡¯t dare compete with you for that.¡± Lin Feng chuckled and reassured him, ¡°Dr. Song, you can perform the percutaneous drainage surgery. I don¡¯t consider it a significant procedure.¡± Lin Feng didn¡¯t hold the percutaneous drainage surgery in high regard, as it was relatively straightforward compared to the more complex laparoscopic procedure. He saw no reason to deny Song Ziming the opportunity to showcase his skills and gain experience. Hearing Lin Feng¡¯s response, Song Ziming felt grateful and expressed his thanks, saying, ¡°Thank you, Dr. Lin. By the way, I¡¯m not very familiar with laparoscopic surgery. Do you know that area?¡± Lin Feng nodded confidently, ¡°I do have some knowledge.¡± Coincidentally, on the 65th day of his [World-Class Laparoscopic Surgery Experience] check-in reward, Lin Feng received an award, further bolstering his confidence in this particular surgical procedure. Song Ziming was astonished and exclaimed, ¡°Dr. Lin is truly remarkable! Not only skilled in cardiac surgery but also laparoscopic surgery! Your expertise is truly impressive!¡± Dr. Song Ziming was sincerely admiring Lin Feng¡¯s skills and expertise. He had initially thought that Lin Feng would invite a surgeon to perform the laparoscopic surgery, but to his surprise, Lin Feng wanted to do it himself. It was evident that Lin Feng was highly confident in his abilities. Laparoscopic surgery was a complex procedure that Song Ziming hadn¡¯t even learned about himself. The intricacies of the equipment, small incisions, and limited field of view made it extremely challenging. However, witnessing Lin Feng¡¯s remarkable cardiac surgery had given Song Ziming the belief that if Lin Feng could handle that, he would also be capable of laparoscopic surgery, which was considered ¡°less difficult¡± in comparison. An idea sparked in Song Ziming¡¯s mind, and he proposed, ¡°Dr. Lin, if you¡¯re going to perform the laparoscopic surgery, do you think I could assist as the camera holder?¡± Being the camera holder meant being the second surgeon in a way, assisting during the procedure. Song Ziming saw it as an opportunity to learn from Lin Feng and gain valuable experience, improving himself. Lin Feng readily agreed, saying, ¡°No problem!¡± Song Ziming was overjoyed and expressed his gratitude, exclaiming, ¡°Thank you, Dr. Lin. No, Teacher Lin!¡± s?a??h th? ?ov?l?ir?.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Lin Feng chuckled and replied, ¡°You¡¯re welcome.¡± That night, Dr. Song Ziming successfully performed the percutaneous drainage procedure on the elderly woman, effectively draining most of the necrotic tissue fluid. The procedure was carried out with a high level of proficiency. However, after 24 hours, there was little improvement in the patient¡¯s condition. Another 24 hours passed, and still, there was no significant change. Lin Feng ordered further tests, including a repeat abdominal CT scan, to assess the situation. After half a day, all the test results were collected, and the conclusion was not optimistic. The urgency for surgery became evident. Lin Feng made a decisive decision, stating, ¡°Perform a laparoscopic surgery to completely remove the necrotic tissue!¡± This time, Lin Feng took personal action, ready to carry out the laparoscopic surgery himself. Chapter 12 - Arrival of Expert from the Provincial Capital Chapter 12: Surgery in Progress, Arrival of Expert from the Provincial CapitalLin Feng stood beside his skilled team of nurses and doctors in the operating room as the laparoscopic surgery on Grandma began. He had informed her about the situation, reassured her, and gained her trust. As the surgery started, Lin Feng focused on Grandma¡¯s well-being, ensuring her comfort and safety during the procedure. With his expertise and a steady hand, he made small incisions and inserted the laparoscope into her abdomen, earning the admiration of the medical team for his precision. The laparoscopic images were displayed on monitors, providing a clear view of the surgical site. Lin Feng expertly manipulated the laparoscopic instruments, navigating Grandma¡¯s abdomen and addressing any issues he encountered. The medical staff was closely observed, eager to learn from Lin Feng¡¯s techniques and expertise. Outside the operating room, the nurses and doctors eagerly watched the live broadcast of the surgery. They were determined to study and analyze every step, understanding the nuances of laparoscopic surgery and expanding their knowledge and skills. Throughout the procedure, Lin Feng¡¯s confidence and composed demeanor reassured Grandma, who had trusted him. His effective communication and coordination with the medical team ensured a smooth and efficient surgery. The staff worked seamlessly together, anticipating Lin Feng¡¯s needs and providing support as needed. As the laparoscopic procedure neared its conclusion, Lin Feng carefully closed the incisions and ensured Grandma¡¯s stability. The successful completion of the surgery showcased his expertise and the collaborative efforts of the medical team. With the surgery concluded, Lin Feng stepped out of the operating room, carrying a sense of satisfaction and fulfillment, knowing he had positively impacted Grandma¡¯s health. The successful laparoscopic surgery further solidified his reputation as a skilled surgeon. S~?a??h the N?v?l(F)ire.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Witnessing Lin Feng¡¯s expertise and participating in the surgery was a valuable educational experience for the medical staff. They were inspired to expand their knowledge and enhance their skills, motivated by the remarkable surgery they had just witnessed. Ultimately, the laparoscopic surgery on Grandma was a success, thanks to Lin Feng¡¯s skill and the medical team¡¯s support. His ability to inform and reassure the patient and his remarkable surgical skills exemplified the qualities of an exceptional surgeon. The entire experience reinforced the trust Grandma had placed in Lin Feng and served as a reminder of the positive impact that skilled healthcare professionals can have on patients¡¯ lives. As the live streaming began, the medical staff outside the emergency surgery room turned their attention to the screens, eagerly watching the surgery unfold. They listened to the updates and commentary provided by their colleagues inside the operating room, keeping them informed about the procedure¡¯s progress. Inside the operating room, Lin Feng focused on identifying the entry points on Granny¡¯s abdomen for inserting the laparoscope. The puncture sites were crucial for a successful laparoscopic procedure, like the careful selection of incisions in general surgery. After three minutes, Lin Feng skillfully drew the lines and confirmed the positions of the primary trocar 1, 2, and camera ports, ensuring accurate access points. The next step with the patient under anesthesia was establishing pneumoperitoneum, introducing carbon dioxide gas into the abdominal cavity. This created space for the laparoscope and other instruments to maneuver. Lin Feng and the surgical team coordinated to ensure effective pneumoperitoneum, allowing for optimal visualization and access to the surgical site. Ten minutes later, the laparoscope was inserted into the patient¡¯s abdomen, precisely locating the area affected by pancreatitis. The screens displayed a vivid image of putrid yellow necrotic tissue, fluid, and tissue, resembling the appearance of diarrhea. This visual confirmation provided valuable information about the extent and nature of the pathology, guiding Lin Feng in his surgical approach. As the surgery progressed, Lin Feng skillfully navigated through the affected area, carefully removing the necrotic tissues and cleaning the site. The medical professionals remained composed and focused despite the unpleasant sight and smell. ¡°I¡¯ve watched so many videos, but I¡¯ve never seen pancreatitis this severe. Oh my god, the entire internal environment has become a septic tank of stinky tofu,¡± one doctor remarked, highlighting the gravity of the situation. The doctors and nurses were aware of the challenges associated with such a severe case of pancreatitis. They hoped for the best outcome and relied on Lin Feng¡¯s expertise to guide them through the procedure. Lin Feng¡¯s surgical skills were evident as he effortlessly performed the necessary steps to remove the necrotic tissues. The precision and efficiency with which he operated impressed his colleagues. ¡°Impressive!¡± Silently praised the other doctors, recognizing Lin Feng¡¯s expertise and the artistry of his surgical technique. Amidst the challenging circumstances, the medical team remained focused, driven by their duty to the patient¡¯s well-being and the desire to achieve a successful outcome. As Cai Song expressed frustration and disbelief about the situation, Granny¡¯s daughter, Xiaoyun, tried to reassure him. ¡°Brother, please trust me. Dr. Lin is not an ordinary intern. He has shown exceptional skills and has successfully performed complex surgeries before. The medical staff here has confidence in him,¡± Xiaoyun explained, hoping to alleviate her brother¡¯s concerns. Cai Song remained skeptical, unable to comprehend how a young intern could be entrusted with such a critical surgery. ¡°Skilled? At 25 years old? What kind of skill is that? Like a cockroach?¡± He scoffed, expressing his doubts. However, Xiaoyun stood her ground, determined to support the medical team and their decision. She had witnessed the impressive results of Dr. Lin¡¯s previous surgeries and had full faith in his abilities. ¡°Brother, please give him a chance. The doctors here have assessed his capabilities and believe in his expertise. We have to trust their judgment,¡± Xiaoyun pleaded with her brother, hoping he would understand. Cai Song, still apprehensive, reluctantly agreed, though with a lingering sense of doubt. ¡°Alright, but if anything goes wrong, I won¡¯t let them off the hook,¡± he warned, his protective instincts kicking in. With their conversation concluded, Cai Song and Xiaoyun anxiously awaited news of their mother¡¯s surgery, hoping for a successful outcome despite their reservations. When Cai Song and Dr. Zhang Fan arrived at the hospital and received an update on the surgery¡¯s progress, they learned that it had already been more than 20 minutes since it began. Cai Song¡¯s expression immediately changed, and he grew increasingly anxious. ¡°What? Over 20 minutes already?¡± Cai Song exclaimed, his worry evident in his voice. Dr. Zhang Fan, the renowned surgical specialist accompanying him, furrowed his brows upon hearing the news. He knew an inexperienced intern would typically take more time for positioning and intubation in a complex surgery like this. He understood the potential risks involved if errors occurred during this critical stage. ¡°20 minutes¡­ An intern would be inexperienced and take a lot of time for positioning and intubation,¡± Dr. Zhang Fan remarked. ¡°It should be just the beginning after 20 minutes, but if there were errors in intubation, it could increase the risks significantly.¡± Cai Song¡¯s nervousness escalated as he absorbed Dr. Zhang Fan¡¯s words. He pleaded with the specialist, realizing the gravity of the situation. ¡°Dr. Zhang Fan, my mother¡¯s life is in your hands!¡± Cai Song implored, seeking reassurance. Dr. Zhang Fan, understanding the weight of the responsibility entrusted to him, responded with determination. ¡°Don¡¯t worry, I will do my best,¡± he assured Cai Song, his voice carrying a mix of confidence and sincerity. With their anxieties high, Cai Song and Dr. Zhang Fan waited anxiously for further updates on Granny¡¯s surgery, hoping for a positive outcome and relying on Dr. Zhang Fan¡¯s expertise to ensure her best care. Chapter 13 - where even the experts would bow in admiration! Chapter 13: A remarkable surgery, where even the experts would bow in admiration!Cai Song implored Dr. Zhang Fan to enter quickly, but Dr. Zhang Fan remained stationary, explaining the necessity of awaiting approval from the medical department. Being from a different hospital, Dr. Zhang Fan understood the importance of respecting the protocols and boundaries of another hospital¡¯s jurisdiction. He didn¡¯t want to appear to be taking over the surgery or causing problems. Informing the hospital and obtaining proper permission were essential steps. Cai Song became increasingly anxious upon hearing this. He asked, ¡°Do we require someone else¡¯s authorization for my mother¡¯s surgery?¡± His concern for his mother¡¯s well-being was evident in his tone. Dr. Zhang Fan reassured him, saying, ¡°Don¡¯t worry. On my way here, I had already established a good rapport with the head of the medical department at City Hospital. Someone will arrive soon.¡± Just as he said, the head of the medical department appeared within a minute. ¡°Zhang, my old friend!¡± ¡°Chen, my buddy!¡± S?a??h the N?v?lFir?.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. The two warmly greeted each other and embraced, clearly showing familiarity. ¡°Haha, it was quite a journey for you to come to City Hospital this time. How about sharing some insights with our hospital¡¯s surgery department later?¡± The head of the medical department suggested enthusiastically. Dr. Zhang Fan was respected in the province¡¯s gastroenterology department and held a prominent position in his field. ¡°No problem,¡± Dr. Zhang Fan replied with a wry smile. He understood that attempting to take over a surgery meant owing someone a favor, and he would have to repay that favor. With the necessary approvals, Dr. Zhang Fan and Cai Song could now proceed into the operating room, confident that they had followed the proper procedures and established the appropriate relationships to ensure the best outcome for Granny¡¯s surgery. After some casual conversation and signing the agreement, Cai Song couldn¡¯t help but question Director Chen about why an intern was assigned to perform the surgery for his seriously ill mother. Director Chen was surprised by the revelation. He inwardly criticized the state of the emergency department, realizing there appeared to be a lack of communication or proper organization. Worried, Director Chen turned to the emergency nurse and asked for clarification on who was performing the surgery. The nurse confirmed that Dr. Lin Feng expressed confidence in his ability to perform the surgery, and the patient agreed. Upon hearing that it was Dr. Lin Feng, Director Chen felt relieved. He had closely observed the latter part of the previous surgery performed by Dr. Lin, where he displayed impressive skills that surpassed those of the Director of Cardiac Surgery. The medical department was considering how to reward Dr. Lin for his outstanding performance. Director Chen believed that since Dr. Lin expressed confidence in performing the pancreatic laparoscopy, there shouldn¡¯t be a problem. He reassured Cai Song, saying, ¡°Don¡¯t worry, our hospital won¡¯t casually deceive patients.¡± Still upset that an intern was performing the surgery, Cai Song retorted, ¡°An intern performing the surgery, doesn¡¯t that amount to deception?¡± Director Chen smiled but neither confirmed nor denied Cai Song¡¯s statement, leaving the matter open to interpretation. Cai Song and Director Chen entered the emergency operating room, divided into two sections: an inner and an outer area. In the outer section, several emergency doctors stood, observing the surgery process through a live broadcast. Director Chen scolded them, reminding them of their primary responsibilities. He said, ¡°You don¡¯t need to watch. Go and attend to the patients.¡± Realizing their mistake, the emergency doctors quickly left the operating room to fulfill their duties. As Cai Song anxiously urged Dr. Zhang Fan to hurry, Zhang Fan remained rooted in place, his attention fixed on the live broadcast of the surgery. He was intrigued by the impressive display of surgical skills unfolding before his eyes. Significant necrotic tissue adhering to surrounding tissues posed a formidable challenge for the surgery. Yet the lead surgeon, Lin Feng, skillfully manipulated the graspers and dissecting forceps, demonstrating high mastery in his movements. Every action was executed precisely and fluidly as if performed by a seasoned expert. Zhang Fan couldn¡¯t help but be amazed by the surgeon¡¯s extraordinary technique. Equally astonishing was the minimal bleeding observed during the procedure. Despite the complexities involved, the amount of bleeding appeared remarkably low, around 10 ml. Such controlled bleeding was a rarity in surgeries of this kind. Zhang Fan¡¯s initial hesitation and skepticism dissipated as he witnessed Lin Feng¡¯s skillful performance. He started recognizing that this young intern possessed surgical expertise that warranted attention and respect. Turning to Cai Song, Zhang Fan spoke with newfound confidence: ¡°We should trust in Dr. Lin¡¯s abilities. From my observation, he handles the surgery with remarkable skill and precision.¡± Though still concerned, Cai Song could sense the growing assurance in Zhang Fan¡¯s voice. He understood that time was of the essence, and putting their faith in the capable hands of Dr. Lin was their best course of action. Together, they watched the live broadcast, their anxiety gradually giving way to a glimmer of hope. The operating room became a stage where expertise and determination intertwined, with the outcome hanging in the balance. Zhang Fan¡¯s astonishment grew as he witnessed the exceptional skills demonstrated by the lead surgeon, Lin Feng. The precision and expertise displayed during the laparoscopic surgery surpassed his abilities, leaving him in awe. Gradually, Zhang Fan began questioning the assumption that Dr. Lin was merely an intern. Lin Feng¡¯s mastery level in handling such a challenging procedure was far beyond what one would expect from an intern. As doubts filled his mind, Zhang Fan couldn¡¯t help but wonder, ¡°Who is this masterful surgeon? Could a renowned expert have taken charge of the surgery?¡± The possibility of a highly skilled specialist performing the surgery started to take shape in Zhang Fan¡¯s thoughts. It seemed more plausible than accepting the notion of an intern possessing such remarkable surgical prowess. With newfound curiosity and admiration, Zhang Fan decided to investigate further. He made up his mind to discover the identity of the surgeon who had captivated him with their extraordinary skills. He was determined to unravel the mystery of Dr. Lin¡¯s true background. While Zhang Fan was momentarily lost in his thoughts, Cai Song¡¯s please brought him back to the present. Understanding the urgency and concern in Cai Song¡¯s voice, Zhang Fan assured him that the current surgeon was highly skilled and capable. He accepted that he couldn¡¯t match the expertise demonstrated by the surgeon, but he believed in the doctor¡¯s ability to save Cai Song¡¯s mother. Cai Song, still feeling uncertain, questioned Zhang Fan¡¯s assurance. He couldn¡¯t fully trust the capabilities of an intern, especially considering the gravity of his mother¡¯s condition. While maintaining his composure, Zhang Fan reiterated his belief in the current surgeon and emphasized that if the surgeon couldn¡¯t save Cai Song¡¯s mother, he would likely face the same challenge. Cai Song fell silent, torn between his doubts and the trust he wanted to place in Zhang Fan. The live broadcast of the surgery continued to capture everyone¡¯s attention, including Director Chen, who had been observing closely. The surgical skills displayed were exceptional, matching the previous surgery¡¯s excellence. Director Chen¡¯s admiration for Dr. Lin Feng grew even stronger. He acknowledged that his initial salary offer of $500,000 was inadequate for someone with Dr. Lin¡¯s expertise. Given his cardiac and pancreatic surgery proficiency, Director Chen believed Dr. Lin deserved an annual salary of $1 million. Recognizing the competitive landscape for talent retention, Director Chen was determined to discuss the matter seriously with the hospital director to ensure they could secure Dr. Lin¡¯s services by offering a more enticing compensation package. As the surgery progressed, Zhang Fan, Cai Song, and Director Chen were engrossed in the surgical skill display. Their ideas and actions were shaped by the awe-inspiring abilities of Dr. Lin Feng, leaving a lasting impact on their perceptions and decisions moving forward. Chapter 14 - I wont eat this shit anymore. Chapter 14: I won¡¯t eat this shit anymore.Director Chen from the Medical Department expressed his admiration, highlighting the significance of preserving the surgery footage for educational purposes. He considered such videos to be invaluable assets to the hospital. However, their enthusiasm was abruptly disrupted when the live broadcast¡¯s endoscope camera began to shake, becoming contaminated and producing a blurry image. S?a?ch* Th? n0v?l(?)ire.?et website on G??gl? to access chapters of n?vels early and in the highest quality. Doctor Zhang Fan and Director Chen were momentarily at a loss for words, discouraged by the situation. Urgently, they demanded the camera lens be promptly cleaned. Fortunately, after the lens was cleared, the surgical process resumed in its visually pleasing clarity. However, the camera shook again five seconds later, and the lens became contaminated. Doctor Zhang Fan, growing increasingly irritable, voiced his frustration at the assistant responsible for holding the scope, deeming their performance subpar. Director Chen shared the sentiment, lamenting how the assistant¡¯s incompetence had marred what could have been a perfect surgical video. Inside the operating room, Surgeon Lin Feng patiently guided the ¡°incompetent assistant,¡± Dr. Song Ziming, providing instructions on anticipating and mitigating contamination by retracting and returning the scope to the docking position when the procedure commenced and contaminants were likely to be released. In addition, Surgeon Lin Feng advised the ¡°underachiever¡± Dr. Song Ziming on various matters. He pointed out that Song Ziming¡¯s arm was getting tired. He advised leveraging the anesthesia stand for support, thereby reducing the strain caused by the extended suspension of his upper arm. Furthermore, Lin Feng cautioned Song Ziming against consuming alcohol the day before surgery, despite his inclination for moderate drinking. Finally, Lin Feng stressed the importance of maintaining a steady visual plane during the procedure, emphasizing that the scope should never be tilted, regardless of the circumstances. Dr. Song Ziming nodded incessantly, resembling a chicken pecking at grains, acknowledging and internalizing the instructions given to him. ¡°Mm, mm, mm. Okay, okay.¡± ¡°Wow, Dr. Lin is so amazing!¡± ¡° I¡¯ve learned a lot!¡± ¡°I finally grasp it now!¡± Exclaimed Song Ziming, overwhelmed with gratitude towards Dr. Lin for imparting such valuable knowledge. Tears of excitement rose in his eyes, marking a significant turning point in his learning journey. However, his emotional moment was postponed by a voice beside him¡ªthe Director of the Medical Department. The director bluntly told Song Ziming to step aside, criticizing his inadequate performance as the scope holder. This unexpected remark fueled Song Ziming¡¯s irritation. Defiantly, he retorted, ¡°I am learning, and my progress has been exceptional. How dare anyone ask me to leave? Who dares to take my place?¡± With a mix of anger and curiosity, Song Ziming turned his head to identify the person responsibly, only to find Director Chen from the Medical Department¡ªthe boss himself. Knowing the repercussions of challenging the director, Song Ziming reluctantly relinquished his position as the scope holder, his face streaked with tear stains as he cast a reluctant glance at the director. Meanwhile, Dr. Zhang Fan, already attired for surgery, swiftly took over the lens, demonstrating adept control and providing Lin Feng with a clear view. Lin Feng found the procedure significantly easier to manage with a new assistant and an improved lens. He swiftly realized the remarkable capabilities of this assistant, who anticipated his every move and promptly provided the precise surgical view he required. The surgery proceeded remarkably comfortably, far superior to when Song Ziming was the assistant holding the scope. Lin Feng was amazed by the doctor¡¯s expertise beside him, whose skills surpassed his expectations. Without dwelling on it, Lin Feng continued the dissection and separation process. Time flew by as minutes ticked away¡ª5 minutes, 10 minutes, 20 minutes. With Dr. Zhang Fan, an expert from the provincial capital hospital, as his assistant, Lin Feng¡¯s speed increased exponentially. Meanwhile, Song Ziming found himself speechless, feeling that he was only dragging down Dr. Lin and realizing his inadequacy. The surgery was completed 40 minutes later as Lin Feng used a suction device to remove residual fluid. Director Chen and Dr. Zhang Fan exchanged a shocked glance, unable to believe the speed at which the high-difficulty SAP surgery had been accomplished. The achievement left Director Chen ecstatic, envisioning the video becoming a classic surgical case for the hospital¡¯s learning purposes. Lin Feng removed his surgical gown, prompting Dr. Zhang Fan¡¯s astonishment at his youthfulness. Curiosity getting the better of him, Dr. Zhang Fan approached Lin Feng and introduced himself as a Provincial Duck University Hospital doctor. They shook hands, and Dr. Zhang Fan admitted to holding the scope during the surgery. Lin Feng praised him for his impressive performance. Dr. Zhang Fan felt awkward being praised by an intern despite his professor-level status. Intrigued, he inquired about Lin Feng¡¯s source of surgical knowledge, to which Lin Feng mentioned books, videos, and medical journals. Dr. Zhang Fan couldn¡¯t help but question the truth, contemplating his bet about eating necrotic tissue from pancreatitis if the intern was amazing. Cai Song and his sister anxiously awaited the outcome outside the operating room. When Lin Feng and the team emerged, Cai Song eagerly approached Dr. Zhang Fan, seeking an update on his mother¡¯s surgery. Dr. Zhang Fan attributed the success to Dr. Lin¡¯s exceptional surgical skills, surpassing his own. Cai Song shows his gratitude to Dr. Lin, impressed by his abilities. During the interaction, Dr. Zhang Fan discreetly handed Lin Feng his business card, suggesting they have dinner together and revealing his enthusiasm for recruiting Lin Feng to the Duck Hospital. Director Chen instantly grew suspicious and protective, viewing Zhang Fan¡¯s actions as an attempt to undermine him. Chapter 15 - A Patient in Shock In a Car Accident Chapter 15: A Patient in Shock In a Car AccidentThis time, the surgery was incredibly successful. By the fourth day, the elderly lady could leave bed and walk. Remarkably, she had significantly recovered by the eighth day and was ready to leave the hospital. On the day of her discharge, Cai Song arrived at the emergency room with five fruit baskets and a congratulatory banner as a token of gratitude. Furthermore, he approached Lin Feng to offer a heartfelt apology. Simultaneously, the hospital shared the surgical video of Lin Feng¡¯s procedure with various departments, considering it a classic case for educational purposes. This act served to enhance the hospital¡¯s knowledge and expertise. Moreover, the human resources department promptly contacted Lin Feng, requesting his presence to sign a contract. The terms of the agreement were outstanding: an annual salary of $500,000! With the possibility of surgical bonuses, a yearly income of $1 million was easily attainable; even $2 million was not out of the question! This generous compensation could rival the salaries of chief surgeons in provincial hospitals. The hospital spared no expense in its efforts to retain Lin Feng. Despite the tempting contract, Lin Feng remained humble and unassuming, focusing on his personal growth and professional development. One day, while engrossed in his work, an intern named Tan Hui approached him, presenting him with a lunchbox. ¡°Dr. Lin, here¡¯s your lunch!¡± Tan Hui exclaimed, offering the meal to Lin Feng. Recently, the interns in the emergency room had a change of heart, going above and beyond to please Lin Feng. They eagerly provided him with breakfast, lunch, coffee, and milk tea and even served him meals. S?a?ch* Th? ?0velF?re.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Moreover, they had started addressing him as Dr. Lin or Brother Lin, displaying newfound respect and admiration for his skills and expertise. ¡°Dr. Lin, can I join you in the next surgery? I want to learn,¡± one intern eagerly asked, expressing a strong desire to expand their knowledge. ¡°Dr. Lin, I¡¯m currently studying surgery. I would be honored if I could observe and learn from your operations,¡± another intern said, their passion for surgical procedures evident. The influx of interns seeking Lin Feng¡¯s guidance extended beyond the emergency room. Even interns from other departments made their way to seek his favor. Recognizing their eagerness, Lin Feng readily extended a helping hand whenever possible. He tactfully declined if circumstances didn¡¯t permit his assistance, ensuring a smooth workflow. His satisfaction stemmed from the knowledge that he could contribute to their growth. The emergency department buzzed with its usual activity as a new day dawned. Patients streamed in with various ailments, ranging from common colds and fevers to burns and other conditions. The bustling atmosphere demanded the full attention of the medical staff. The emergency department¡¯s doors swung open, and a distressed voice suddenly interrupted the bustling environment. ¡°Doctor!¡± The burly man exclaimed, his face etched with worry. ¡°There¡¯s been a car accident. Please help me check on my two friends. They have head injuries and bleeding!¡± Reacting swiftly to the urgent plea, two male doctors hurried over, their training kicking in as they assessed the situation. With a sense of urgency, they carefully attended to the two unconscious youths, examining their bleeding heads and initiating various examinations to determine the extent of their injuries. A nurse, recognizing the need for crucial information, approached the burly man. ¡°How did they lose consciousness? Please explain the details,¡± she calmly requested, understanding the importance of gathering accurate details for proper diagnosis and treatment. Gasping for breath, the burly man recounted the traumatic event. ¡°I was driving just now, and then an elderly person on a tricycle suddenly turned. To avoid them, I swerved but collided with a concrete block, causing the car to flip. The impact was severe, and my two friends were injured and lost consciousness.¡± Despite the man¡¯s apparent anxiety and forceful demeanor, he didn¡¯t seem to have any major injuries. The twisted and deformed car bore witness to the accident¡¯s severity, and it was clear that his two friends had sustained significant injuries, rendering them unconscious. While the burly man¡¯s concern remained evident, there was a sense of gratitude in knowing he had emerged from the accident relatively unharmed. In this moment of crisis, the swift response and expertise of the medical team stood as a beacon of hope for his injured friends. Noticing the nurse¡¯s intention to examine him, the burly man anxiously assured her, ¡°I¡¯m fine. Please help my two friends quickly.¡± Acknowledging his energetic demeanor and lack of apparent injuries, the nurse trusted his assessment and redirected her focus to the two unconscious patients. She joined the efforts to provide immediate care and support for their critical condition. With urgency, the medical team swiftly transported the injured patients to the emergency room. Understanding the gravity of the situation, they promptly conducted CT scans of their head, chest, and abdomen to evaluate the extent of their injuries. The room fell into tense anticipation as the results were revealed. To the collective relief of everyone involved, the scans showed no signs of internal trauma or serious injuries. Luck seemed to be on their side, as the patients had mainly sustained external wounds despite losing consciousness. A sigh of relief swept through the room, gratitude and reassurance washing over the medical professionals. However, the atmosphere abruptly shifted as a nurse¡¯s voice pierced the prevailing comfort. ¡°Hahaha, good news! They caught the person who stabbed our director, Zhou!¡± She exclaimed, her excitement palpable, as she held up her phone. The revelation of this development injected a wave of delight and distraction, momentarily diverting attention from the car accident to a significant breakthrough within the hospital. The staff exchanged glances, their faces brightening with hope and satisfaction, knowing that justice was being served for their esteemed director, Zhou. Wow¡­ ¡°They caught them?¡± ¡°Haha, great news! After pursuing them for so long, they finally caught the culprit!¡± ¡°Wow, they finally caught them! This kind of person deserves severe punishment!¡± ¡°If it weren¡¯t for Dr. Lin, Director Zhou wouldn¡¯t have been saved.¡± ¡°Intentional murder deserves the death penalty!¡± The news of the culprit¡¯s capture sparked a mix of excitement and anger among the group of nurses and doctors. They enthusiastically discussed the long-awaited justice, expressing their satisfaction at the apprehension of the person responsible for harming Director Zhou. Lin Feng, too, felt a surge of joy in his heart, grateful that Director Zhou would finally see justice served. However, amidst the animated conversations, a sudden, loud thumping sound disrupted the atmosphere. The burly man, who had previously pleaded for help, collapsed to the ground, unconscious. Lin Feng¡¯s expression shifted, his concern evident as he swiftly rushed to the man¡¯s side. Squatting down, he began assessing his condition, only to be met with a chilling realization. The man¡¯s body felt cold, and his complexion had turned pale. Alarm bells rang in Lin Feng¡¯s mind. Realizing the severity of the situation, Lin Feng urgently called out, ¡°Quick, bring the blood pressure monitor!¡± Within moments, the blood pressure monitor was fetched and prepared for use. The results came back swiftly, revealing a dangerously low reading of 50/20. ¡°Oh, my God! This is serious!¡± Lin Feng exclaimed, his voice filled with urgency. ¡°Prepare the stretcher and get ready for the operating room!¡± The medical team swiftly lifted the unconscious man onto the stretcher, pushing him towards the operating room while taking immediate action to counter the shock he was experiencing. Entire limb movement, intravenous injections, and forceful squeezing of the IV bag were initiated without delay. Lin Feng¡¯s professional instincts kicked in as he assessed the situation. ¡°There must be a problem in the chest or abdomen. With such low blood pressure, there must be massive bleeding in some areas,¡± Lin Feng stated urgently. ¡°Start the resuscitation!¡± Resuscitation procedures were immediately initiated, and the medical team worked diligently to restore the man¡¯s vital signs. The gravity of the situation hung heavy in the air as they swiftly carried out life-saving measures, determined to stabilize his condition and give him the best chance of survival. With the urgency mounting, the entire medical staff in the emergency room snapped into action, fully aware of the critical nature of the situation. After realizing the urgency and the lack of time for further diagnostic procedures, Lin Feng swiftly made a decision. ¡°There¡¯s no time for a CT scan. Get me a disposable abdominal puncture kit!¡± He commanded. Understanding the importance of rapid fluid aspiration from the abdominal cavity to assess the extent of internal injuries, a nurse swiftly retrieved the necessary kit from a nearby cabinet. The kit, containing a puncture needle, sterile injection needle, and sterile syringe, would enable them to detect abnormalities within the abdomen quickly. Lin Feng, donning gloves, carefully selected a needle from the kit and prepared it with precision. He swiftly inserted the needle into the patient¡¯s abdomen without hesitation, carefully navigating the delicate procedure. Moments later, he withdrew the needle, eliciting a collective gasp from those witnessing the procedure. ¡°Wow!¡± ¡°¡± Whispers filled the air as the medical staff observed a dark red, non-coagulated fluid flowing through the tube. The telltale sign of internal bleeding indicated that some organs had ruptured, leading to the life-threatening condition. According to the situation¡¯s urgency, Lin Feng¡¯s voice resounded loudly: ¡°Some organ must have ruptured, causing severe bleeding. We need to operate immediately! Prepare for surgery!¡± At that moment, Lin Feng didn¡¯t waste time inquiring about who could perform the surgery. He knew that time was of the essence, and his expertise made him the quickest and most capable surgeon for the task at hand. With lives hanging in the balance, he couldn¡¯t entrust the operation to anyone else. The entire operating room sprang into action, mobilizing swiftly and efficiently. The medical team prepared themselves for the critical surgery, driven by a sense of urgency and purpose to save the patient¡¯s life. Chapter 16 - Splenectomy Surgery Chapter 16: Splenectomy SurgeryIn critically ill patients, the principle followed is to prioritize rescue overpayment, so there is no time for delay and the surgery is performed immediately. Hand washing, gowning, and gloving¡ªa series of procedures¡ª were quickly completed. Lin Feng stood in the position of the primary surgeon, while emergency physician Song Ziming quickly took the position of the first assistant. His skills were adequate, and when the first assistant position was filled, another doctor named Huang Ziqian, who was very clever, swiftly secured the position of the second assistant. Learn from Dr. Lin! Experience soared like a rocket! Other doctors looked on and thought, ¡°Damn, that was sneaky!¡± Regretfully, they missed the opportunity! It was unfortunate! Lin Feng paid no attention to these reactions but instead received the surgical scalpel from Song Ziming. At this moment, the blood pressure had already risen above 90. At the same time, the anesthesiologist made a gesture. OK! Anesthesia completed! Lin Feng held the surgical scalpel and, without hesitation, made a left subcostal oblique incision¡ªaround the location of the spleen. The incision was made! Why the spleen¡ªor more precisely, just the spleen? Because if other organs were ruptured, the patient would likely have shown symptoms. However, this robust patient, who had been conscious and feeling great from the scene of the car accident to the emergency room, indicated that it was probably not other organs. The highest likelihood was a ruptured spleen because it is the least sensitive. One incision was made. Open the abdomen! A surgical opening appeared, revealing the internal view. It¡¯s shattered! The entire spleen was completely fragmented into small pieces and destroyed! Meanwhile, bright red blood continued to gush and flow throughout the thoracic and abdominal cavities. Lin Feng breathed a sigh of relief. The cause has been found! The spleen is shattered! And beneath the spleen, there was a major artery as thick as a little finger! The bleeding was originating from this artery. Lin Feng reached his hand inside and accurately located the position of the major artery, using digital pressure to hold it. The massive bleeding was stopped! (There were still other small blood vessels bleeding.) Song Ziming swiftly handed over a hemostatic clamp, and Lin Feng clamped the artery. ¡°Number 7 thread¡­¡± The first assistant quickly handed over the size 7 suture. Due to the obstruction of the ribs, the field of view was limited, but it didn¡¯t stop Lin Feng, who quickly ligated the vessel. Vascular ligation was completed, releasing the hemostatic clamp, and blood continued to flow. Everyone breathed a sigh of relief. The surgery had reached this stage, and the rest would be straightforward. Remove the spleen! The spleen was already shattered, and although Lin Feng had world-class suturing skills, he couldn¡¯t repair it in this condition. The spleen belongs to the reticuloendothelial system and is the largest lymphoid organ in the human body. Its structure is similar to that of lymph nodes, consisting of a capsule, trabeculae, and lymphoid tissue. The main difference from lymph nodes is the absence of lymph sinuses, but it contains a large number of blood sinuses. It serves as the body¡¯s ¡°blood bank,¡± storing blood when the body is at rest and releasing it into the circulatory system during stress states such as exercise, blood loss, or hypoxia to increase blood volume. Therefore, once injured, the bleeding can be extremely significant. Someone asked, ¡°What are the effects of removing the spleen?¡± It can be said that there are no significant effects because the patient¡¯s life is saved and they can live a normal life afterward. However, it can also be said that there are some effects because the spleen is a powerful immune organ, accounting for 25% of the total lymphoid tissue in the body. It contains a large number of lymphocytes and macrophages, making it the central organ for cellular and humoral immunity. If the spleen is removed, the person¡¯s resistance to infections may be compromised, and they may need to be prepared for common illnesses like colds and fevers by having medications readily available. However, in the case of the muscular patient at hand, it was necessary to remove the spleen! Lin Feng said, ¡°Let¡¯s begin¡­¡± The splenectomy surgery started. Step by step, Lin Feng ligated the ligaments surrounding the spleen, including the gastrosplenic ligament, splenorenal ligament, splenocolic ligament, and other ligaments. He proceeded to cut and suture them one by one. Because these ligaments contained important blood vessels and veins, they needed to be ligated. Throughout the procedure, Lin Feng¡¯s movements reached their peak, precise and rapid, neither too much nor too little, leaving everyone delighted. Song Ziming and Huang Ziqian, the two assistants, were extremely excited watching from the side. Their heads were buzzing with excitement. They felt that they had gained a lot from this experience! After ligating the ligaments, Lin Feng proceeded to cut, suture, and ligate the splenic pedicle. At this stage, the bleeding became minimal as most bleeding points were sealed. The entire process took over 30 minutes. That was already very fast. Next was the removal of the shattered spleen, taking it out completely and placing it in a basin. Finally, the splenic bed was sutured to achieve hemostasis. S?a?ch* Th? ???el F?re.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Saline irrigation was performed. Lin Feng checked other organs as well to ensure they were not injured. Fortunately, everything was fine. Lin Feng accelerated the pace. Rinsing with warm saline, suctioning¡­ Injection of antibiotics¡­ Placement of an intra-abdominal drain Closure of the surgical incision, disinfection, The surgery was completed! It took 54 minutes. Most of the time was spent cleaning and ligating the shattered spleen, as there was a lot of debris. ¡°Phew~~~¡± All the doctors and nurses collectively breathed a sigh of relief. Smiles appeared on their faces ~~~~ Dr. Zhang Yuan, the supervising physician, stood aside and thought to himself, ¡°I am Lin Feng¡¯s supervising physician, but¡­ I couldn¡¯t do anything at all! Outside the emergency room at this moment, the two friends of the muscular patient woke up. When they learned that their friend had ignored his condition to save them and had entered the operating room, they were filled with a mix of gratitude and anxiety. They quickly made phone calls to inform the patient¡¯s family. Shortly afterward, the patient¡¯s wife arrived with their two children and burst into tears outside the emergency room. Buzz~~~ At this moment, the doors of the emergency operating room opened. The patient was wheeled out on a stretcher. His wife burst into tears once again. Lin Feng comforted her, saying, ¡°The surgery was successful, and the patient¡¯s condition has stabilized. He should wake up soon. After the operation, he shouldn¡¯t eat anything.¡± Lin Feng gave some instructions. The wife repeatedly bowed, tearfully expressing her gratitude. ¡°Thank you, Doctor! Thank you so much!¡± Lin Feng felt a warm feeling in his heart. The recovery of patients and the gratitude of their family members might be the greatest sense of accomplishment for a doctor. Lin Feng found himself increasingly falling in love with this profession. Chapter 17 - Finally, encountered legendary appendicitis Chapter 17:- Finally, encountered legendary appendicitis¡°Wait, Dr. Lin performed another surgery?¡± The news of Lin Feng¡¯s surgery quickly spread throughout the hospital. ¡°This time, it¡¯s a spleen removal.¡± ¡°He has already done heart surgery, pancreatic surgery, and now the spleen¡­ Oh my, is there anything Dr. Lin can¡¯t handle?¡± ¡°I heard that the hospital administration was impressed with the surgery and decided to share a video for us to learn from.¡± ¡°I love gaining knowledge!¡± ¡°I haven¡¯t finished studying the video of the pancreatic surgery yet, but the more I think about it, the more amazed I become by Dr. Lin¡¯s skills.¡± ¡°I¡¯m starting to feel like I¡¯m just here at the hospital to fill the roster.¡± ¡°I¡¯m here to fill the roster too!¡± ¡°+1 for roster duty!¡± ¡°+10,000 for roster duty!¡± ¡°I¡¯m curious about what the next surgery will be.¡± ¡°It might be an appendectomy. After all, Dr. Lin hasn¡¯t performed an appendix removal yet.¡± ¡°For such a minor procedure, it¡¯ll be a breeze for him!¡± ¡°We can perform a minimally invasive laparoscopic surgery without an open abdominal incision.¡± ¡°Appendix: feeling slighted.¡± On Lin Feng¡¯s side, he once again immersed himself in the routine of seeing patients. Colds, fevers, cardiovascular cases, pancreatitis, alcohol poisoning, gastrointestinal illnesses¡­ Each case was unique and quite fascinating. Let me know if you need further assistance! Shortly after, a woman in her forties entered the emergency room with the support of her husband. Lin Feng approached and asked, ¡°What¡¯s the matter?¡± The female patient replied, ¡°Doctor, I¡¯m currently experiencing abdominal discomfort.¡± Lin Feng nodded and asked, ¡°Is the discomfort sharp or dull?¡± After a moment¡¯s thought, the woman replied, ¡°It¡¯s a dull ache.¡± Lin Feng recorded the information on the computer and inquired, ¡°Do you have any other symptoms?¡± The woman shared, ¡°I feel a bit queasy, have no appetite, and I¡¯m feeling weak and lightheaded.¡± Lin Feng continued, ¡°Any episodes of nausea or vomiting? Have you had a fever or diarrhea?¡± The woman replied, ¡°No vomiting, fever, or diarrhea.¡± Lin Feng then asked, ¡°Can you tell me your age?¡± The woman responded, ¡°I¡¯m 49.¡± Lin Feng followed up, ¡°When was your last menstrual period?¡± Since abdominal discomfort could be linked to menstrual pain, it was crucial to clarify this to avoid misunderstandings or misdiagnosis. The woman recalled, ¡°It was last month, on the 12th¡­¡± Lin Feng considered, ¡°Today is the 10th; could it be related to your menstrual cycle?¡± The woman was concerned, ¡°But I¡¯ve never had menstrual pain before.¡± Lin Feng acknowledged her response but couldn¡¯t rule out the possibility of menstrual pain. After a few more questions, Lin Feng conducted a physical examination, which revealed tenderness in the lower abdomen and right lower abdomen upon deep palpation. Let me know if there¡¯s anything else I can assist you with! He then performed the ¡°gallbladder tenderness test¡± to assess for acute gallbladder inflammation, effectively ruling out that possibility. Following this, he conducted several other tests, including the ¡°psoas sign,¡± ¡°colonic distension test,¡± and ¡°obturator sign.¡± The results were positive for all three. At this point, Lin Feng had a rough idea. ¡°Appendicitis!¡± However, he chose not to share his suspicion with the female patient, as further detailed tests were necessary to avoid any potential mistakes. Lin Feng quickly composed several orders: complete blood count, urinalysis, abdominal ultrasound, and CT scan. He handed them over to the overseeing doctor, Zhang Yuan, for signature. ¡°Please go and have these tests done.¡± ¡°Of course, doctor.¡± The patient obediently underwent the required tests. Meanwhile, Lin Feng attended to several more patients, which took about an hour. When the female patient returned with her test results, she handed them to Lin Feng. ¡°Doctor, here are the test results.¡± ¡°Let me take a look.¡± Lin Feng reviewed the test report, noting a significant increase in the neutrophil ratio. The urinalysis results ruled out the possibility of a urinary tract infection or urinary stones. If you need further assistance, feel free to ask! The amylase and lipase levels ruled out acute pancreatitis, while the ¦Â-hCG test effectively ruled out ectopic pregnancy. The CT scan revealed a thickened appendix, blurred surrounding fat, and suspected appendicitis. Additionally, the ultrasound indicated an appendix diameter greater than 6mm. Lin Feng nodded, confirming that, based on these test results, it was indeed a case of appendicitis. There was no room for error. In pain, the female patient asked, ¡°Doctor, what should I do?¡± Lin Feng replied, ¡°We can confirm that it¡¯s appendicitis. I¡¯ll write an order for you to prepare for hospitalization and surgery.¡± The woman¡¯s face changed, reflecting her shock. ¡°Ah? Appendicitis? Do I need surgery? Can¡¯t we avoid it?¡± s?a??h th? N?v?lFire.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Her husband joined in, asking, ¡°Yeah, is surgery necessary?¡± Although appendicitis is a well-known condition, many people not in the medical field are unaware of it. The prospect of surgery instilled fear in them as they lacked understanding and believed surgery to be a ¡°dangerous¡± and significant event. ¡°Don¡¯t worry, appendicitis is a minor surgery,¡± Lin Feng reassured them warmly. He then proceeded to explain some essential information about appendicitis. After listening attentively, the female patient and her husband couldn¡¯t help but feel relieved. The woman nodded and said, ¡°Okay, I¡¯ll trust the doctor and proceed with the surgery.¡± Lin Feng further explained, ¡°There are two types of appendectomy: ¡°One is a laparoscopic appendectomy, which offers the advantage of smaller incisions, faster recovery, a shorter hospital stay, and a lower risk of complications. The disadvantage is the higher cost and longer surgical time.¡± ¡°The other option is an open appendectomy, which carries a slightly higher risk of complications but is more cost-effective.¡± After discussing the options with her husband, they decided on an open appendectomy due to financial constraints. Lin Feng smiled and said, ¡°Let¡¯s proceed with the necessary procedures.¡± The husband went to handle the payment and admission process. If you have any further questions or need more assistance, feel free to ask! Chapter 18 - The supervising doctor is just a mascot, nothing more! Chapter 18:- The supervising doctor is just a mascot, nothing more!The emergency department chat group was excited, especially among the interns. ¡°What? Dr. Lin received a patient with appendicitis. Is it time for an appendectomy?¡± ¡°Open abdominal surgery?¡± ¡°Hahaha, another surgery opportunity! This could be my chance!¡± ¡°Dr. Lin, I¡¯d like to be the second assistant!¡± ¡°Sob sob sob, Dr. Lin, I¡¯m eager to learn! Finding comfort in daily learning is my goal. Can I assist in the surgery as the second assistant?¡± ¡°Learning brings me joy, Dr. Lin. Can I have the chance to be the surgical second assistant?¡± ¡°Appendicitis might be a minor surgery, but if I can assist Dr. Lin Feng, I¡¯ll gain valuable experience. I can¡¯t miss this opportunity as an intern! No way!!¡± ¡°@Song Ziming, @Huang Ziqian, you two can compete for the first assistant position. Let us interns vie for the second assistant spot.¡± Song Ziming: ¡°Hehe. Do you think you can take my opportunity? No way!¡± Huang Ziqian: ¡°Hehe. Do you think you can take my opportunity? No way!¡± Interns: ¡°¡­..¡± After nine hours, the surgery began, with Dr. Zhang Yuan ¡°supervising.¡± Huang Ziqian secured the first assistant position, while Song Ziming became the second assistant. The other interns cried and silently cursed their senior colleagues. The team proceeded with handwashing, gowning up, and gloving up. They shaved the patient¡¯s hair for cleanliness and, of course, to avoid awkwardness. The anesthetist administered anesthesia outside the patient¡¯s dura mater, completing the procedure. After routine disinfection and draping, which involved covering the entire body while exposing the surgical site, Dr. Lin Feng took hold of the surgical knife and initiated a McBurney incision on the patient¡¯s lower right abdomen. The McBurney incision is an oblique cut commonly used for appendectomy, with the size adjusted per the patient¡¯s condition and surgical needs. Some young, enthusiastic doctors may opt for smaller incisions to display professionalism. With skillful precision and ease, Dr. Lin Feng performed the procedure. However, he prioritized the incision size based on the patient¡¯s specific characteristics and condition rather than merely aiming for a smaller cut for appearances. S?a??h the n0v?l(?)ire.?et website on G??gl? to access chapters of n?vels early and in the highest quality. The surgical knife gradually sliced through the skin and subcutaneous tissue, revealing the surgical field. Then, the external and internal oblique muscles were separated and pulled apart, protecting the peritoneum. Dr. Lin Feng examined the area. He found that the cecum omentum had shifted downward, a symptom of appendicitis. Without delay, Dr. Huang Ziqian, the second assistant, adeptly separated the greater omentum, tracing it down along the colon until reaching the terminal part where it met the cecum. ¡°It¡¯s appendicitis¡­¡± The appendix appeared congested, swollen and had purulent exudate in the surgical field. The yellowish pus was somewhat unpleasant, but the medical staff remained unfazed. ¡°Forceps¡­¡± Dr. Huang Ziqian, the second assistant, handed the appendix forceps to Dr. Lin Feng. The appendix forceps have a widened front end, forming a hollow structure that securely holds the tubular appendix. Compared to surgical instruments like vascular forceps and tweezers, appendix forceps are less likely to harm or rupture the appendix. Dr. Lin Feng used the appendix forceps to grasp the appendix. Next was the dissection. All the surrounding tissues of the appendix were meticulously separated. The interns watched closely. But Dr. Lin Feng¡¯s speed was astonishing! In less than 10 seconds, the dissection was completed! Interns: ¡°¡­¡­¡­¡­¡­.¡± ¡°So fast!¡± ¡°I haven¡¯t even gotten into the groove!¡± ¡°Sob sob sob.¡± ¡°I watched in vain!¡± ¡°No, I need to go back and do it twice as slowly!¡± A chorus of lamentation followed. With the dissection, the entire appendix was vividly displayed before Dr. Lin Feng. It seemed to tremble as if pleading, ¡°Don¡¯t cut me! Don¡¯t cut me!¡± Dr. Lin Feng approached the cecum, about 1 cm away from the base, and prepared for purse-string suturing. Then, with a swift motion, Dr. Lin Feng removed the appendix. The appendix was taken away. Next, the hemostatic forceps were applied to the ligature at the base of the cecum, tightening the purse-string suture. The forceps were then removed. The remaining end of the appendix was buried in the cecum, tied, and the sutures were cut. At this point, the surgery was nearly finished. A check of the abdominal cavity revealed no issues. Then, the abdominal cavity was cleaned, and the incision was sutured. The entire sequence of procedures was carried out swiftly, leaving observers dazzled. The whole surgery took less than 20 minutes. Soon, a group of interns gathered to discuss. ¡°This appendicitis should be the most basic and common type in textbooks, right?¡± ¡°But Dr. Lin¡¯s speed is truly impressive.¡± ¡°No wonder, Dr. Lin, this is simply gaining experience from a routine appendectomy.¡± ¡°Huh¡­ What did I learn?¡± ¡°Um¡­ It seems like I didn¡¯t learn anything.¡± ¡°I think I¡¯ve been shouting ¡®excellent¡¯ the entire time~~~¡± ¡°Isn¡¯t that enough?¡± ¡°I¡¯m exhausted, my dear heart!¡± Meanwhile, the supervising doctor, Zhang Yuan, who stood behind everyone, looked up at the sky, lost in thought. ¡°What am I doing here? Guiding? Does Lin Feng need my guidance?¡± ¡°I¡¯m probably just a mascot, right?¡± ¡°Ummm~~~~¡± Chapter 19 - The daily routine in the emergency department Chapter 19: The daily routine in the emergency departmentIn the hospital, there was a belief among the medical staff in certain superstitions that were said to bring good luck or ward off misfortune during their shifts. One such superstition was the belief in the ¡°Night Shift God.¡± It involved a depiction of the god made from seven red apples, wearing a yogurt cap on the head, and closed eyes with a beard. This symbolized a week of safe and peaceful nights, a healthy digestive system, and the absence of illness. While some may view these superstitions as feudal or irrational, many doctors and nurses held a strong belief in them. Those who adhered to these beliefs felt that it brought them good luck and a sense of tranquility during their night shifts. Conversely, those who dismissed or ignored these superstitions often found themselves facing challenging cases or feeling exhausted throughout the night. Another superstition mentioned was the notion of the ¡°fortune-delivering child.¡± Some medical staff seemed to have a knack for attracting patients with serious illnesses during their shifts. This earned them the reputation of being a ¡°fortune-delivering child¡± among their colleagues, who would approach their shifts with a mix of fear and trepidation. Additionally, the term ¡°Setting a Flag¡± was mentioned, but its specific meaning or context was not provided. It could refer to another superstition or belief held by the medical staff within the hospital. Overall, these superstitions and beliefs served as a way for the medical staff to find some comfort, reassurance, and camaraderie amidst the demanding and unpredictable nature of their work. During his days at the hospital, Lin Feng followed the advice to not make promises lightly. He kept his thoughts to himself and refrained from speaking them out loud, understanding that reality could swiftly contradict him and present challenging situations that required hard work and effort. The mention of ¡°Snacks¡± during night shifts referred to the common practice of healthcare professionals indulging in some snacks to keep their energy levels up. However, even in choosing snacks, there were specific considerations based on superstitions. Eating peaches or drinking peach juice, hanging peachwood decorations, or consuming apples and pears were seen as favorable choices, symbolizing the desire to avoid difficult situations. On the other hand, mangoes were considered an absolute taboo due to the belief that they would bring about a busy and chaotic shift. Even if a patient insisted on giving a healthcare professional a mango, it was advised to refuse, even if it meant potentially facing a confrontation. In the hospital, Lin Feng continued to maintain a low profile and diligently fulfilled his responsibilities, signing in for his shifts and focusing on his work without drawing unnecessary attention. [Ding¡­ 122nd-day check-in, rewarded with ¡°World-class Liver Abscess Drainage Experience¡±!].[Ding¡­ 123rd-day check-in, rewarded with ¡°World-class Biliary Redo Surgery Experience¡±!].[Ding¡­ 124th-day check-in, rewarded with ¡°World-class Left and Right Hemiliver Resection Experience¡±!].[Ding¡­ 125th-day check-in, rewarded with ¡°World-class Left Lateral Segmentectomy Experience¡±!].[Ding¡­ 126th-day check-in, rewarded with ¡°World-class Radical Resection of Various Intestinal Cancers Experience¡±!]. Day by day, Lin Feng continued to make progress, finding joy in each new experience. The check-ins rewarded him with prestigious titles and recognition for his expertise in different surgical procedures. From mastering liver abscess drainage to successfully performing biliary redo surgeries, liver resections, left lateral segmentectomies, and radical resections of various intestinal cancers, Lin Feng¡¯s repertoire of skills grew steadily. Lin Feng¡¯s commitment to learning and self-improvement was evident in his constant presence with a book in hand. Whether he was devouring books or delving into medical journals and renowned works from around the world, Lin Feng dedicated himself to expanding his knowledge. His immersion in the world of medicine allowed him to not only gain expertise but also learn various languages along the way. This linguistic prowess enabled him to comprehend and appreciate the complex terminology found in medical papers that might intimidate others. Lin Feng¡¯s relentless pursuit of knowledge, coupled with his enthusiasm for the medical field, contributed to his continuous growth as a healthcare professional. Each day brought new experiences and opportunities for him to excel, solidifying his passion for the field and driving him to achieve greater heights. The life of an intern can indeed feel monotonous and socially limited, as they spend most of their time within the hospital premises. Work, studying, playing games, and joking around become the primary activities in their daily routine. They may also find amusement in mocking medical dramas that prioritize romantic relationships over providing accurate medical knowledge. Such shows often contain common-sense mistakes and oversights that healthcare professionals would not overlook. For instance, adhering to aseptic procedures is crucial during tasks like administering injections or changing dressings. Wearing a hat and a mask is necessary to minimize the risk of contamination, as the hands and mouth harbor numerous bacteria. It can be frustrating to observe healthcare workers wearing their work uniforms outside of designated areas, potentially contaminating the environment, food, and others with their attire. These common- sense issues can be disheartening to witness, particularly for individuals with obsessive-compulsive tendencies. It is important to differentiate between medical dramas, which are often youth dramas and love stories, and professional dramas that focus on accurate medical knowledge. As a new day begins, Lin Feng heads to work and encounters a situation where a nurse inside the emergency department scolds Dr. Huang Ziqian. ¡°Why are you late again? The patients have been waiting for you for a long time,¡± the nurse scolds Huang Ziqian as he apologizes for his delay due to a stomachache. However, at that moment, Lin Feng enters the emergency room and is accepted by a gentle smile from the nurse. The nurse offers Lin Feng a glass of soy milk and asks if he has had breakfast, leaving Huang Ziqian feeling resentful. He questions the nurse, expressing his dissatisfaction with the difference in treatment between himself and Lin Feng. In response, the nurse glares at him and playfully suggests that Lin Feng¡¯s looks are more favorable than Huang Ziqian¡¯s, leading to snickers in the room. Dr. Huang Ziqian feels a sense of defeat, as if his heart has been repeatedly stabbed. It becomes apparent that he is at a disadvantage in comparison to Lin Feng. Lin Feng, on the other hand, laughs off the comment and graciously declines the offer of soy milk, stating that he has already eaten breakfast. Huang Ziqian, unable to suppress his hunger, expresses his desire for soy milk, hoping to satiate his appetite. The nurse, looking disdainful, reluctantly hands over the soy milk to him. With gratitude, Huang Ziqian happily takes a sip, finding comfort in the warm sweetness that flows down his throat. However, his moment of satisfaction is short-lived as the nurse demands 5 yuan as payment for the soy milk. Huang Ziqian is taken aback by the unexpected request for money, feeling frustrated by the additional cost. Meanwhile, Lin Feng remains composed and accustomed to the relaxed atmosphere of the emergency department. He proceeds with his routine, seeking out his supervising doctor, Zhang Fan, before returning to the consultation room to activate the calling system. The first patients to arrive are a father and son, marking the beginning of another busy day in the emergency department. Lin Feng listens attentively as the father shares his medical history. He takes note of the critical details and prepares to ask further questions to gather more information. ¡°I understand that you had a sudden episode of right lower abdominal pain four months ago, which was diagnosed as appendicitis, leading to the removal of your appendix,¡± Lin Feng summarizes. ¡°Since then, you have been experiencing recurring pain in the same area every ten days. Is that correct?¡± He continues, ¡°Can you describe the pain in more detail? How would you characterize its intensity? Is it a sharp, stabbing pain or more of a dull ache? Does the pain worsen with any specific activities or movements? And how long does each episode of pain typically last?¡± Lin Feng¡¯s goal is to gain a comprehensive understanding of the patient¡¯s symptoms, their duration, and any associated factors. This information will assist him in formulating a preliminary assessment and determining the appropriate next steps in diagnosing and managing the condition. S?a??h the ??v?l_Fir?.?et website on G??gl? to access chapters of n?vels early and in the highest quality. Chapter 20 - A Middle-Aged Uncle with Colon Cancer! Chapter 20: A Middle-Aged Uncle with Colon Cancer!Dr. Lin Feng carefully examines the surgical incision on the patient and listens to his concerns about the possibility of not completely removing the appendix. While Dr. Lin Feng understands that leaving a part of the appendix during an appendectomy is highly unlikely, he acknowledges that further investigation is needed for the recurrent abdominal pain. To gather more information and assess potential causes, Dr. Lin Feng asked about the patient¡¯s stool color. Changes in stool color can sometimes indicate underlying gastrointestinal issues and help narrow the diagnostic possibilities. Dr. Lin Feng considers various conditions, including colorectal cancer, which he recently gained extensive knowledge about. S?a??h the ?ov?l?ir?.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. The patient responds, ¡°Doctor, my stool color is normal. I haven¡¯t noticed any significant changes in that regard.¡± Dr. Lin Feng nods and proceeds to ask more questions to gather additional information about the patient¡¯s symptoms. He inquires about the pain¡¯s nature and severity, associated symptoms, and factors that may trigger or alleviate the pain. Dr. Lin Feng also asks if the patient has experienced weight loss, changes in appetite, or blood in the stool. By systematically gathering information and conducting a comprehensive physical examination, Dr. Lin Feng aims to narrow down the potential causes of recurrent pain and develop an appropriate diagnostic and treatment plan. Dr. Lin Feng carefully considers the information provided by the middle-aged man, particularly his recent dietary habits and the possibility of gastrointestinal bleeding. While certain foods can darken the stool, Dr. Lin Feng remains cautious and maintains his suspicion of cecal or colon cancer. Understanding the potential connection between previous appendicitis and colon cancer, Dr. Lin Feng recognizes the need for a thorough investigation to determine the underlying cause of the recurrent abdominal pain. He emphasizes the importance of a colonoscopy, which can provide a direct view of the colon and identify any abnormal growths or tumors. ¡°Given the recurrence of abdominal pain and the possibility of underlying conditions such as cecal or colon cancer, it is crucial that you undergo a colonoscopy for further evaluation,¡± Dr. Lin Feng advises. ¡°This procedure will allow us to visualize your colon¡¯s condition directly and identify any potential abnormalities. If colon cancer is detected, we can then proceed with an enhanced CT scan to assess the extent of the cancer and determine the most appropriate course of treatment. Early detection and intervention are key to effectively managing these conditions.¡± Dr. Lin Feng assures the middle-aged man that the medical team will support him throughout the process, and the colonoscopy will provide valuable information to guide the next steps of diagnosis and treatment. On the third morning, as Dr. Lin Feng was holding his clinic, he saw the father and son returning to the clinic. Their tired and pale appearances indicated that they had completed the preparation for the colonoscopy. Dr. Lin Feng greeted them, saying, ¡°Good morning. How are you feeling after taking the medication?¡± The middle-aged man weakly replied, ¡°It was quite uncomfortable, but we managed to get through it. We¡¯re here for the colonoscopy today.¡± Dr. Lin Feng nodded sympathetically. ¡°I understand that the preparation process can be challenging, but it¡¯s necessary for a successful colonoscopy. You¡¯ve done well. Please proceed to the endoscopy unit, where the medical staff will guide you through the procedure.¡± The father and son expressed their appreciation and headed toward the endoscopy room. Dr. Lin Feng hoped that the discomfort they experienced during the preparation would soon be forgotten, replaced by the valuable insights the colonoscopy would provide. As he continued his clinic, Dr. Lin Feng reflected on some patients¡¯ challenges regarding medical expenses. Unfortunately, the father and son chose not to be hospitalized to save money, but Dr. Lin Feng understood their circumstances. He hoped the colonoscopy would provide the necessary information for a proper diagnosis and subsequent treatment planning. Dr. Lin Feng attended to his patients throughout the day, providing medical care and advice. Meanwhile, in the back of his mind, he eagerly anticipated the colonoscopy results and the opportunity to discuss them with the father and son, guiding them toward the best course of action for their health. Dr. Lin Feng¡¯s reassuring words were met with relief and lingering fear from the middle-aged man and his son. The mention of curative surgery and the possibility of treating cancer in its early stages gave them a glimmer of hope amidst their distress. ¡°I understand that this diagnosis has shaken you, but it¡¯s important to remember that treatment options are available,¡± Dr. Lin Feng continued. ¡°An enhanced CT scan will provide us with a clearer picture of the extent of the cancer and help us determine the best course of action. It will allow us to assess if surgery is viable to remove the tumor.¡± He stressed the importance of early detection and the potential for successful treatment when cancer is caught early. Dr. Lin Feng explained, ¡°When colon cancer is detected early, the chances of a successful outcome are significantly higher. With advancements in medical technology and comprehensive treatment approaches, many patients have achieved long-term remission and even full recovery.¡± To address their concerns about medical disputes, Dr. Lin Feng acknowledged the situation¡¯s complexity. ¡°I understand that misdiagnoses can lead to frustrations and disagreements. In such cases, it¡¯s essential to communicate openly and transparently with the medical team to understand the circumstances. Our priority is always to provide the best possible care for our patients and ensure their well-being.¡± He further reassured them, saying, ¡°Rest assured that we will follow proper protocols and take all necessary measures to assess your condition accurately and develop a suitable treatment plan.¡± ¡°Our goal is to provide you with the best possible care and guide you through this process with compassion and expertise,¡± emphasized Lin Feng. He stressed the importance of seeking further medical evaluation to gather more information and make informed decisions about the next steps. Lin Feng expressed his commitment to supporting the father and son throughout their journey, addressing their concerns, providing guidance, and coordinating with other specialists as needed. ¡°Remember that you are not alone in this. We will be by your side every step of the way, working together to provide you with the best care possible,¡± Lin Feng reassured them. ¡°We have a dedicated team of healthcare professionals experienced in treating colon cancer, and we will involve other specialists as needed to ensure comprehensive and personalized care.¡± With Lin Feng¡¯s reassurance and guidance, the middle-aged man and his son felt renewed hope and determination. They realized that while the road ahead might be challenging, there were still options and a supportive medical team to rely on. They agreed to proceed with the recommended enhanced CT scan and put their trust in Lin Feng and the healthcare professionals involved in their care. After arranging the enhanced CT scan and expressing his gratitude to Zhang Jie, Lin Feng returned to the middle-aged man and his son. He could sense their anxiety and wanted to provide them with more information and reassurance. ¡°Mr. Zhang, we have arranged an enhanced CT scan for you. This scan will help us gather more detailed information about the extent of the cancer and guide our treatment plan,¡± Lin Feng explained. ¡°It¡¯s important to remember that the CT scan is a non-invasive procedure that uses advanced imaging technology to provide a clearer picture of what¡¯s happening inside your body. It will aid us in determining the best course of action for your case.¡± He continued, ¡°I understand that waiting for the scan and receiving the results can be anxious. But it¡¯s essential to stay positive and focused on the next steps. Remember, early detection and timely intervention are key factors in treating colon cancer successfully.¡± Lin Feng¡¯s words and compassionate demeanor helped alleviate some of the tension in the room. The father and son began to feel a glimmer of hope amidst their fears. They appreciated Lin Feng¡¯s efforts in prioritizing their case and arranging the scan quickly. As they prepared to leave, Lin Feng offered some final words of encouragement. ¡°Mr. Zhang, this is a challenging time for you and your family. But remember, you are not alone in this journey. Our medical team is here to support you every step of the way. We will discuss the scan results together, explore treatment options, and develop a comprehensive plan tailored to your needs.¡± He emphasized the importance of maintaining a positive mindset and seeking emotional support from loved ones. Lin Feng assured them that the hospital had resources available, such as counseling services and support groups, to help them cope with the emotional and psychological aspects of the journey. ¡°Please don¡¯t hesitate to contact us with any questions or concerns. We are here to provide you with the best care possible and support you throughout your treatment,¡± Lin Feng concluded with a warm smile. With a newfound hope and trust in their healthcare team, the father and son left Lin Feng¡¯s office, knowing they were in good hands. Chapter 21 - Going to extreme lengths for the surgical assistant position. Chapter 21: Going to extreme lengths for the surgical assistant position.One day later, ¡°Congratulations, your cancer is still in the early stage,¡± Lin Feng said with a smile to the middle-aged man. After conducting an enhanced CT scan, tumor marker tests, MRI, and a series of other examinations, it was determined that the man¡¯s cancer cells had not spread yet, indicating an early stage of cancer. The man, surprised and anxious, asked, ¡°What do you mean?¡± Lin Feng replied, ¡°I can perform surgery to remove and potentially cure this cancer, but risks are involved. I can¡¯t guarantee a hundred percent success¡­¡± Even though Lin Feng was highly confident, he refrained from making absolute assurances to avoid potential medical disputes. The man exclaimed with joy, ¡°Really?¡± Originally prepared for the worst, he was now hearing the possibility of a cure. A ray of hope emerged, and things were looking up. Lin Feng nodded and said, ¡°Don¡¯t worry; it should go smoothly. Please complete the payment for admission. We must remove the cancer immediately, as it could spread over time. Let¡¯s schedule the surgery for tomorrow morning since there¡¯s an available slot in the operating room, and I¡¯ll arrange it for you.¡± The man nodded eagerly and said, ¡°Okay, I¡¯ll go pay right away!¡± ¡­ As the middle-aged man completed his payment and was admitted to the emergency room, intern Wu Haoming quickly found Lin Feng and offered him a cup of hot milk tea. ¡°Teacher! Dr. Lin!¡± Wu Haoming wore an ingratiating expression as he tried to win Lin Feng¡¯s favor. ¡°What are you up to?¡± Lin Feng felt a sense of unease. ¡°Dr. Lin~~~ I heard there¡¯s going to be a colon cancer surgery later. Could you assign me as the second assistant?¡± Wu Haoming asked hesitantly, eager for his first surgical experience. Lin Feng sighed, contemplating the request. At that moment, the door to Lin Feng¡¯s consultation room was forcefully kicked open, and a group of doctors rushed in. Attending physicians Song Ziming and Huang Ziqian, along with six interns, had all arrived, their eyes gleaming with ambition. Song Ziming declared, ¡°Dr. Lin, I want to be the first assistant!¡± Huang Ziqian asserted, ¡°The first assistant position is mine!¡± The other interns sneered at these two senior colleagues, expressing their desire to be the second assistant. ¡°Dr. Lin, could you please assign us as the second assistant this time? Let us gain some experience!¡± ¡°Yes, please allow us to be the second assistant!¡± ¡°I¡¯ve been diligently studying various subjects daily to become the second assistant.¡± ¡°I sleep with surgical tools every night. I may not hold them, but my mind is filled with them!¡± ¡°Eww~~~ That¡¯s so fake!¡± ¡°Dr. Song, Dr. Huang, you two shouldn¡¯t snatch our opportunities.¡± ¡°Yes, show some sportsmanship, you unscrupulous individuals!¡± The interns unanimously criticized Song Ziming and Huang Ziqian. Song Ziming and Huang Ziqian coldly chuckled, ¡°What¡¯s wrong with us competing with you? We also need to learn!¡± Lin Feng: ¡°¡­¡­¡­¡­¡­.¡± A senior doctor entered the scene! Chief physician Zhang Yuan pushed everyone aside. ¡°Clear the way for me¡­ Dr. Lin, this time, I¡¯ll take the first assistant position. I want to learn too!¡± Song Ziming, Huang Ziqian, and the interns stared in disbelief at Zhang Yuan. Their mouths hung open! Zhang Yuan, the chief physician and surgical expert, was trying to snatch their opportunity! Zhang Yuan looked disdainfully at them, ¡°What¡¯s the matter? Can¡¯t I learn too? I haven¡¯t performed surgery for colon cancer yet!¡± S?a?ch* Th? N?v?lFire.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Song Ziming and Huang Ziqian gritted their teeth inwardly but could only compete for the second assistant position. By now, they were hiding in a corner, silently cursing: ¡°Wishing those seniors have a night shift and work until they drop dead!!¡± The next day in the morning, Several relatives of the middle-aged man arrived at the emergency room to visit him but were driven away by the emergency nurses. Then came the preparations before the surgery, various examinations, and family members signing consent forms. At 10:30, the middle-aged man was wheeled into the operating room. ¡°The surgeon looks so young?¡± ¡°I asked, and he¡¯s only 24.¡± ¡°Can a doctor that young handle it?¡± The relatives began chattering and gossiping among themselves. Inside the operating room¡­ Preparations began. Zhang Yuan occupied the first assistant position proudly, Song Ziming secured the second assistant position happily, Huang Ziqian sobbed, and the interns were envious, secretly cursing them¡­ This surgery was for cancer, and one crucial aspect was preventing the ¡°implantation metastasis¡± of cancer cells. Meaning: During the surgery, tumor cells might detach and spread like seeds in the body cavity, implanting on the surfaces of other organs and forming metastatic tumors. If this happened, it would be a disaster! Therefore, placing towels, protective barriers, and organs became crucial. Chapter 22 - What a mediocre doctor!... No, a genius physician! Chapter 22: What a mediocre doctor!¡­ No, a genius physician!The surgery begins! Anesthesia: General anesthesia.Surgical approach: Laparotomy, radical colon cancer resection.Surgical resection range: Includes the bowel, mesentery, and lymph nodes within a 10 cm margin of the tumor. Instruments: Surgical instrument set, pouch clamp, electrocautery, suction device, protective film, electrocautery pad, purse-string suture. The patient lies supine under general anesthesia. ¡°It¡¯s ready!¡± Anesthesiologist Liu Baolin gives Lin Feng a thumbs-up. The surgical nurse expertly drapes the abdomen with a green cloth, exposing the abdominal area, and then disinfects it with an iodine solution. Lin Feng stands in the primary surgeon¡¯s position. The first and second assistants are ready. Lin Feng: ¡°Surgical scalpel¡­¡± Zhang Yuan skillfully retrieves a No. 23 surgical scalpel, handing it to Lin Feng. Lin Feng makes an incision after measuring the abdomen¡¯s position. Lin Feng: ¡°Retractor¡­¡± Zhang Yuan, Song Ziming, Huang Ziqian: ¡°¡­¡± Interns: ¡°¡­¡± ¡°That was incredibly fast!¡± ¡°I haven¡¯t had time to grasp it, and the expert is already finished!¡± ¡°Let¡¯s go back and watch the footage in slow motion at 2x speed to analyze and learn from it¡­¡± Next, two curved forceps clamp the ends of the mesenteric blood vessels. ¡°No. 4 suture¡­¡± Quickly ligate with a No. 4 suture using tissue scissors to cut off the ends of the blood vessels. By this time, the cancerous tissue had been completely removed. Lin Feng, the first assistant, and the second assistant removed their gloves, washed their hands, disinfected them, and put on fresh gloves to prevent cancer implantation. ¡°Whew¡­¡± Everyone breathed a sigh of relief. Looking at the time, a little over an hour had passed¡­ That was incredibly fast! As quick as a restroom break! ¡°Hmm, it seems like I didn¡¯t learn anything¡­¡± ¡°Why bother learning? Just shout ¡®666¡¯!¡± ¡°That makes sense!¡± ¡°Don¡¯t worry. I shouted ¡®666¡¯ the whole time. I won¡¯t hold anyone back!¡± Outside, about ten of the middle-aged uncle¡¯s relatives and friends keep running to the emergency operating room door to look. ¡°Erma, they said there¡¯s no need to watch. I checked it. Colon cancer surgery usually takes 4-8 hours, and it has only been an hour.¡± ¡°I¡¯m just anxious, you know¡­¡± ¡°Worrying won¡¯t help. We¡¯ll have to wait for at least another three hours¡­¡± At this moment, the doors of the emergency operating room open. Lin Feng and the others came out, pushing a trolley. Relatives: ¡°¡­¡­¡­¡­¡± No! Could the surgery fail? Relatives are shocked: ¡°Doctor, did the surgery fail? Why was it so fast?¡± Upon hearing those words, the other relatives became flustered and panicked. ¡°No way? It failed?¡± ¡°Stone, please don¡¯t die.¡± ¡°Dad, you can¡¯t die! I haven¡¯t married yet. The dowry money isn¡¯t enough!¡± Lin Feng: ¡°¡­¡­¡­¡­¡­.¡± ¡°They say that doctor is too young. His skills must not be good!¡± ¡°Quack doctor, accompany my husband to his death!¡± A barrage of accusations. Lin Feng: ¡°¡­¡­¡­¡­¡­.¡± ¡°Everyone, don¡¯t worry, he¡¯s not dead. He¡¯s doing well!¡± ¡°The surgery was not a failure. It was very successful. The patient is still under anesthesia, but vital signs are stable, no major issues¡­¡± ¡°What? It was successful?¡± ¡°That¡¯s great, it¡¯s a success!¡± ¡°Doctor, a genius physician!¡± ¡°Thank you, doctor! Thank you, doctor!¡± ¡°They say online that this surgery takes at least four hours or more. How did it finish in one hour?¡± ¡°This doctor is a genius!¡± Lin Feng: ¡°¡­¡­¡­¡­¡­.¡± Glaring at the two noisy young men. ¡°Did you hear? Dr. Lin performed another surgery, colon cancer, the type that requires resection¡­¡± ¡°Oh, another added surgery? Dr. Lin¡¯s expertise seems bottomless. Is there any surgery he doesn¡¯t know?¡± ¡°More importantly, they say this surgery was completed in just one hour.¡± ¡°What? Completed in one hour?¡± ¡°Really?!¡± ¡°So fast? Faster than our chief?¡± ¡°Shh¡­ the chief is behind us¡­ Chief is great!¡± S?a?ch* Th? ??v?lF?re.?et website on G??gl? to access chapters of n?vels early and in the highest quality. Chapter 23 - Clinical Case: Temporal Lobe Epilepsy Chapter 23: Clinical Case: Temporal Lobe EpilepsyGastrointestinal surgery. Dr. Tan Feng, the chief surgeon, has been hearing a lot about an impressive intern in the emergency department lately, performing surgeries like a seasoned chef, with a touch of artistry. Today, he¡¯s conducting his usual department rounds. And then¡­ ¡°Have you heard? Dr. Lin did another surgery, colon cancer, the kind that involves resection¡­¡± ¡°What? Completed in just one hour?¡± ¡°Really?¡± S?a??h the ?ov?l?ir?.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. ¡°So fast? Faster than our chief?¡± ¡°Shh¡­ the chief is right behind us¡­ Chief is amazing!¡± Feeling the attending physician¡¯s disrespectful expressions, Tan Feng snorts dismissively and leaves. ¡­ ¡°Achoo~~~¡± In the emergency department, Lin Feng sneezed. He didn¡¯t think much of it. He continued to educate patients and their families on postoperative care for colon cancer surgery, as there shouldn¡¯t be any major issues after a successful operation. In the following days: the patients stay in the hospital for observation, nurses maintain fluid and electrolyte balance, provide parenteral nutrition therapy as needed, change the dressing of the abdominal incision on the third day, and perform timely drainage if there were any problems. On the first, third, and fifth days, blood tests and electrolyte checks were done to adjust antibiotic medications and parenteral nutrition therapy based on the results. After giving instructions, Lin Feng continued with his consultations. Soon, a young man in his twenties with an extremely pale face, even paler than any patient Lin Feng had ever seen, walks in, clutching his stomach. This patient looked like he was on the verge of collapse, more like a case of a heart attack or aortic dissection. Lin Feng quickly inquired about his condition. The patient, in pain, smiled and said, ¡°Doctor, don¡¯t worry, I¡¯m used to it. It started six years ago after I had a drink. I¡¯ve experienced this pain hundreds of times since then.¡± Lin Feng: ¡°¡­¡­¡­¡­¡± While surprised, he felt relieved. ¡°Let me see your medical records¡­¡± They must be quite extensive. As expected, the patient handed over three thick medical records to Lin Feng, filled with examination reports, and diagnostic forms¡­ Ruled out pancreatitis¡­Exclude stones¡­Exclude myocardial infarction¡­¡­ They¡¯ve ruled out many diseases. But they just couldn¡¯t find the cause. These three medical records represent visits to almost all of the top-tier hospitals in the province, and still, they couldn¡¯t identify the cause. The patient says, ¡°Doctor, just give me painkillers. After all, you won¡¯t find the cause anyway.¡± Lin Feng nods. First, administer analgesics for pain relief, then continue investigating the underlying cause. I had tried them all. The results had been inconclusive, and the effectiveness of these medications had been minimal. This is quite perplexing. Suddenly, Lin Feng had a moment of enlightenment in his mind. ¡°Epilepsy?¡± Lin Feng recently browsed through a doctor¡¯s public account where they mentioned a case with symptoms similar to this patient. ¡°Let¡¯s try diazepam¡­¡± Diazepam, or Valium, is a medication/injection used with other antiepileptic drugs to treat major or minor seizures. The nurse quickly administers the diazepam injection intravenously. Soon after, the patient felt a significant reduction in pain. The patient is surprised, ¡°Oh¡­ it¡¯s effective, doctor. What medication is this?¡± Lin Feng says, ¡°It¡¯s a diazepam injection. If you experience pain in the future, you can ask the doctor to try this medication.¡± The patient nods repeatedly, ¡°Diazepam injection, right? Okay, I¡¯ll remember that.¡± ¡°Go and have these two tests done¡­¡± The patient rushes back to the emergency department with the test reports. ¡°Doctor, please take a look. Did you find anything?¡± Lin Feng reviews the test reports: MRI result: ¡°Magnetic resonance imaging. Left temporal lobe cystic lesion with solid wall nodule.¡±EEG: ¡°Characteristic of temporal lobe epilepsy.¡± Lin Feng hands back the reports. Lin Feng says, ¡°It¡¯s been identified. It says here, temporal lobe epilepsy, which is causing your pain.¡± Patient: ¡°Temporal lobe epilepsy?¡­ Doctor, how can this be treated?¡± Lin Feng replies, ¡°For specific treatment, you should consult a specialist in the Department of Neurology.¡± This was a form of intractable epilepsy that could not be treated with medication alone. Lin Feng didn¡¯t have a good solution either, so they didn¡¯t tell the patient how to treat it. The Department of Neurology had more experience in this area, and it¡¯s a good opportunity for them to shine, isn¡¯t it? (Neurologist: I %¡­@#$%@¡­ I¡¯m really grateful to you!) Chapter 24 - Doctors Story Chapter 24: Doctor¡¯s StoryThe evening had arrived, marking the end of a busy day at the emergency department. ¡°Dr. Lin, let¡¯s go. I¡¯ll treat you today. Let¡¯s head to Point Doodle and grab a meal!¡± Attending physicians Huang Ziqian and Song Ziming warmly invited Lin Feng to dinner. Lin Feng¡¯s stomach was growling, and it had been a while since they enjoyed some dim sum, so he agreed. The three of them hopped into a car and went to Point Doodle. After they settled in, they ordered a variety of dim sum dishes. While waiting for their food, the conversation among the three friends naturally gravitated towards the medical field. ¡°Last year, when I went to work at the county hospital in the northern district of Shaoshan, I had an experience that taught me a valuable lesson,¡± Song Ziming began, sipping his tea. ¡°At the hospital, a young doctor had recently graduated with a bachelor¡¯s degree. He was energetic and enthusiastic, and many colleagues admired him.¡± ¡°One day, he treated a pregnant woman.¡± ¡°The pregnant woman explained that she didn¡¯t know she was pregnant when she had a chest X-ray taken, which happened to be after she became pregnant. Worried, she rushed to the hospital and asked if the radiation could harm the baby.¡± ¡°At that time, the young doctor probably referred to the guidelines from the American College of Obstetricians and Gynecologists (ACOG) released in 2017. He knew that the minimum radiation dose that could harm the fetus was 50 mSv (millisievert), and as long as it didn¡¯t exceed that, there should be no harm.¡± ¡°We all know that chest X-rays have very low radiation doses, only about 0.02 mSv, which is 2,500 times lower than the threshold of 50 mSv,¡± Song Ziming explained. Lin Feng nodded, indicating his understanding of the situation. ¡°This is something I¡¯m aware of,¡± Lin Feng replied. Song Ziming continued, ¡°So, the young doctor reassured the pregnant woman, telling her that the chest X-ray wouldn¡¯t harm the baby. But¡­¡± ¡°In the end, something went wrong,¡± Song Ziming added. ¡°A few months later, the pregnant woman gave birth to a baby boy, but the child had deformities. The mother then began filing complaints, becoming a major issue in the country. Government departments, courts, and the hospital all got involved.¡± Lin Feng and Huang Ziqian understood where the story was heading. As expected, Song Ziming concluded, ¡°In the end, the court ruled that the hospital was fined several tens of thousands of dollars, and the young doctor was also fined the same amount. Furthermore, the family members visited the hospital daily to criticize him. Unable to cope with such treatment despite his sincere dedication to patient care, the young doctor resigned.¡± Lin Feng and Huang Ziqian couldn¡¯t help but feel a sense of sadness about the unfairness of the situation. The male infant¡¯s deformity had many causes, but the blame fell squarely on the young doctor¡¯s shoulders. Was it fair? No, it wasn¡¯t. But that¡¯s how the harsh reality unfolded. Lin Feng sighed, realizing that the medical profession indeed required extreme caution. After the meal, Lin Feng returned to the hospital dormitory, freshened up, and prepared to sleep. The conversation earlier had mostly revolved around the challenges of night shifts. Huang Ziqian expressed his lament about the demanding night shifts in the emergency department, comparing them to doing sit-ups repeatedly. ¡°It¡¯s still the endocrinology department that has it good. Most patients there have relatively mild conditions. When can I transfer to the endocrinology department?¡± Huang Ziqian humorously wished for a less demanding workload. Lin Feng learned valuable insights from his experienced colleagues during their chat. S?a?ch* Th? N?v?lFir?(.)n?t website on G??gl? to access chapters of n?vels early and in the highest quality. ¡­ Meanwhile, in the Cardiovascular Surgery ward of the inpatient department, attending physician Li Yuan was on night duty. He was responsible for patients in beds 1 to 8, with bed 4 being a particularly concerning case. Patient in bed 4: A male, 58 years old, presented with ¡°sudden back pain for one day.¡± After a series of examinations, it was found that he had an aortic dissection. ¡°Aortic dissection¡± was a highly dangerous condition where the aorta developed a bulge and expanded, posing a constant risk of rupture and life-threatening internal bleeding. Furthermore, the patient in bed 4 had a three-year history of hypertension, with blood pressure readings as high as 180/110 mmHg. He was irregular with his antihypertensive medications, keeping his blood pressure consistently elevated. This situation made the aortic dissection even more dangerous, as it could rupture at any moment. Upon admission, the patient had a high fever, a distressed expression, chest tightness, and shortness of breath. In essence, this patient was like a ticking time bomb. After completing his rounds, Li Yuan decided to rest and dozed off. However, he was suddenly jolted awake by a dream in which the patient¡¯s heart ruptured, and he died. This dream left him in a state of fear. Just then, an urgent call rang out, ¡°Bed 4¡­ Doctor, come quickly!¡± ¡°Doctor, hurry!¡± Upon hearing this, Li Yuan was jolted into action and sprinted to the patient¡¯s room in bed 4. There, he found the patient clutching their chest in intense pain, curled up in extreme discomfort, and clearly in severe distress. Could it be that the aortic dissection had ruptured? Li Yuan was deeply alarmed. Chapter 25 - Emergency Consultation Before Surgery Chapter 25: Emergency Consultation Before Surgery¡°This is a sign of a ruptured aortic dissection!¡± Li Yuan was extremely nervous. Before rupturing an aortic dissection, it often causes severe chest pain that can radiate to the neck, jaw, shoulder blade area, left arm, or upper abdomen. However, with the patient in Bed 4 currently curled up in severe pain, asking them about their symptoms was impossible. Li Yuan quickly observed the patient in bed 4: Pale complexion, profuse sweating, cold and clammy skin, with a sense of impending doom.The monitor displayed that the patient¡¯s blood pressure hadn¡¯t decreased; instead, it remained stable or slightly increased.On palpation, there was no pulsation in the patient¡¯s bilateral brachial and femoral arteries, but pulsatile masses could be felt in the suprasternal notch and abdomen. All of these were signs of aortic dissection rupture. Suddenly, the instrument beeped! S~?a??h the ?0velF?re.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. The blood pressure began to continuously drop. ¡°Oh no!¡± It had ruptured! It must be a rupture of the aortic dissection, causing massive blood loss, and leading to a significant drop in blood pressure. At this moment, resident doctors, interns, and nurses rushed over. ¡°Administer dopamine to increase blood pressure!¡± ¡°Give saline solution first, then glucose, for fluid resuscitation to prevent shock!¡± ¡°Administer intravenous analgesics and oxygen!¡± Li Yuan was dumbfounded. It had ruptured! These were all signs of a ruptured aortic dissection. Li Yuan was drenched in cold sweat. He was a second-year resident on night duty, with a third-year resident and an associate chief physician. At this moment, he knew he couldn¡¯t handle it alone. A rupture of the aortic dissection could claim the patient¡¯s life at any moment. He could manage ordinary cases, but for such a serious condition requiring surgery, he couldn¡¯t operate. ¡°Director Zhao Wangyang is off today, and Vice Director Liang Guomin is on duty¡­¡± Li Yuan quickly called Liang Guomin, the deputy director of the department. Soon, Dr. Liang Guomin arrived quickly, made a diagnosis, and immediately called for consultations from various departments. ¡°Descending aortic dissection, excessive blood loss!¡± ¡°Shock is setting in!¡± ¡°We must perform surgery immediately!¡± ¡°The surgical plan is descending aorta replacement with an artificial graft!¡± ¡°Call doctors from the anesthesiology department, imaging department, ICU¡­ to come over right away¡­¡± Soon, doctors from various departments on duty arrived in a hurry. Consultation began, presenting all the patient¡¯s conditions to the attending physicians. At this moment, Dr. Qian, the director of the ICU, suddenly asked, ¡°Lao Liang, this surgery is highly difficult. Various complications can arise during the artificial graft replacement, especially regarding the urgent demand for spinal ischemia time, which is only 20 minutes. If it exceeds this time, it can lead to spinal necrosis and paralysis of the lower or entire body. And now, it¡¯s the night shift, with most doctors unavailable. Lao Liang, you alone performing the surgery, is it possible?¡± Liang Guomin¡¯s expression turned unpleasant. ¡°I have already called Director Liu for this matter, but he went to a meeting in the provincial capital yesterday and can¡¯t rush back. Given the patient¡¯s condition, we cannot afford any delays. We cannot wait for Director Liu to return and perform the surgery.¡± Director Qian nodded, ¡°I understand what you mean. I wanted to ask, Liang, who will be your first assistant during the surgery?¡± Liang Guomin replied, ¡°It¡¯s Li Yuan, he¡¯s an experienced doctor.¡± Li Yuan faced the appreciative gaze from Director Liang and straightened his chest. Director Qian said, ¡°Dr. Li will do¡­ Liang, you know me, I focus on the work, not the person. I know there¡¯s a promising intern in the emergency department. Last time, when Dr. Zhou was stabbed in the emergency, that intern saved him with a timely intervention. He has good skills in this area. I think we can call him and ask him to come over.¡± Liang Guomin became even more displeased. Liang Guomin had also heard about this intern, and it was said that he had good abilities. Liang Guomin couldn¡¯t accept it. Director Qian, on the other hand, focused on the work, not the person. ¡°Just ask him to come over first. Let him observe and learn. We¡¯re not asking him to perform the surgery, right, Liang?¡± Liang Guomin was initially annoyed, but then he realized that their expertise was a bit thin in his team, as a deputy chief physician, with two attending physicians as first and second assistants. Director Zhao Wangyang couldn¡¯t help them from a distance if there was an error during the surgery. ¡°Fine, let¡¯s call that emergency intern, Lin Feng, and have him participate in the consultation.¡± The nurse made a call to the emergency department. In the emergency department. Ring, ring, ring¡­ ¡°Hello, Emergency Department.¡± ¡°Hello, I¡¯m calling from the Cardiovascular Disease Ward in the Inpatient Department. We have an urgent consultation for a ruptured descending aortic dissection and would like Lin Feng to come up immediately. The location is XXXX¡­¡± ¡°Okay, I¡¯ll inform Dr. Lin right away.¡± In the hospital dormitory¡­ At this moment, Lin Feng was lying on his bed, sleeping. The weather in February had begun to turn slightly cool. Lin Feng was enjoying his sleep, covered by a thin blanket. Ring, ring, ring¡­ A ringtone startled Lin Feng awake. ¡°Urgent consultation? Cardiovascular Disease Ward? Ruptured descending aortic dissection¡­ Alright, I¡¯ll go right away!¡± Although Lin Feng was puzzled about why it was related to cardiovascular disease and why he had to go himself, he quickly put on his clothes and rushed out. Several interns were having a party and playing cards in the adjacent dormitory. They heard the commotion from Lin Feng¡¯s room. ¡°Did you hear that? Dr. Lin is going to attend a consultation.¡± ¡°Ruptured descending aortic dissection¡­¡± ¡°Ummm¡­ Dr. Lin has already started the consultation, and we haven¡¯t even participated in a single surgery!¡± ¡°Forget about performing surgery. We don¡¯t even qualify to attend the consultation¡­¡± ¡°Ummm~~~¡± Confidence -1-1-1-1-1¡­ Tears +1+1+1+1+1+1¡­ ¡°Let¡¯s flip the table. Why are we still playing cards!¡± ¡°Yeah, I want to study!¡± ¡°Hehe~~~ You talk as if studying can catch up with Dr. Lin¡­¡± ¡°¡­¡­¡­¡­¡­¡­¡± Chapter 26 - Doctor, You Cant Drink Alcohol! Chapter 26: Doctor, You Can¡¯t Drink Alcohol!Conference room¡­ When Lin Feng entered the consultation conference room, it was almost full of doctors. As soon as he entered, all the doctors¡¯ eyes turned towards him, focused and attentive. They were all staring at Lin Feng, the intern from the emergency department, who had gained quite a reputation. ¡°Because of your heroic efforts in saving Emergency Department Director Zhou Guorong¡¯s life during the Black Tiger Incident, you have become famous overnight!¡± Li Yuan exclaimed. The photo of the ¡°Black Tiger Incident,¡± where you performed the life-saving procedure, has been widely circulated within the hospital. It has also humbled many arrogant doctors. It was rumored that Lin Feng had been observed throughout the procedure during the last pancreatic surgery by a renowned surgeon from the Provincial Duck Hospital. After the surgery, the surgeon praised Lin Feng highly and invited him to intern and work at the Provincial Duck Hospital. That was the prestigious Provincial Duck Hospital, the number one hospital in Lingnan Province, and ranked sixth nationwide. Their own city hospital would be fortunate to make it to the top hundred. It was said that the hospital, fearing other hospitals would snatch away Lin Feng, even offered him a generous salary. The exact amount of this substantial salary was still unknown. Therefore, many people had been eager to meet this ¡°renowned¡± and ¡°mysterious¡± intern, Lin Feng. As soon as they saw him in person, they couldn¡¯t help but exclaim, ¡°Wow!¡± He was incredibly good-looking and surprisingly young. Combining his various ¡°achievements,¡± it felt like watching the lead character in a TV drama. Many people even thought, ¡°What if Lao Liang collapses during surgery, and Lin Feng takes over? That would be great. We can see if Lin Feng¡¯s skills are as impressive as the legends say.¡± (Liang Guomin: ¡°¡­¡± I have something to say, but I¡¯m unsure if I should!) s?a??h th? N?v?l(F)ire.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Lin Feng found a seat and sat down. The triage continued. Lung function: NormalKidney function, thyroid function, liver function: NormalNo history of cerebrovascular diseaseNon-smoker No diabetes Lin Feng reviewed the MRI and CT scans and silently noted the findings. After half an hour, the consultation ended, and a detailed plan was discussed.Plan: ¡°Simple occlusion method.¡± This involves occluding the ascending and descending aorta above and below the aneurysm at room temperature, removing or opening the aneurysm, and transplanting an artificial blood vessel.Points to note: After occluding the main aorta, it increases the burden on the left heart and causes ischemia in important organs beyond the occlusion, such as the spinal cord, liver, and kidneys. The spinal cord tissue is the most susceptible to ischemic damage. The safe duration for tolerating ischemia after occluding the thoracic aorta at room temperature is around 45 minutes for the kidneys, 30 minutes for the liver, and only 20 minutes for the spinal cord. Exceeding these time limits will result in serious damage. At this moment, the nurses were also preparing systematically. The patient signed the consent form. The patient was placed on the operating table. Anesthesia. Sterilization drapes¡­ All the doctors donned their surgical gowns and entered the operating room. An hour later, the patient¡¯s chest was opened. The lead surgeon, Liang Guomin, picked up the scalpel and made an incision on the left side of the chest, entering through the sixth or seventh intercostal space. Then the sternum was opened, and the posterior end of the rib above or below was cut to enlarge the incision and expose the surgical field. Indeed, the artery had ruptured, causing significant bleeding. There was a substantial accumulation of fluid in the chest cavity. Next was dissection, which had to be performed very cautiously. Any mishap could damage the lung because this artery was adhered to the lung. If blood enters the lung and blocks circulation, it could result in embolism, which could be fatal. 1 minute¡­ 5 minutes¡­ 10 minutes¡­ Liang Guomin was being extremely careful, with sweat pouring from his forehead. At that moment, he suddenly felt a bit dizzy in his head. He thought to himself, ¡°Oh no!¡± During lunch, he had a meal with a medical instrument company¡¯s CEO and a little alcohol. On the one hand, he enjoyed drinking, and on the other hand, the CEO was too enthusiastic and generous, so when the atmosphere got lively, he couldn¡¯t resist having a bit. He didn¡¯t think it would be a problem, but he suddenly felt dizzy during this critical surgery. ¡°No, I must persevere!¡± Liang Guomin assessed the situation and believed he could continue because he had performed this type of surgery seven or eight times before, so there shouldn¡¯t be any issues. Liang Guomin¡¯s face changed. He had just trembled! During the dissection, he accidentally cut the lung. The first and second assistants¡¯ faces changed. The doctors outside the operating room also had a change in expression. ¡°Something¡¯s not right!¡± ¡°It went wrong!¡± A strange atmosphere began to fill the room. Fortunately, the injury from the dissection wasn¡¯t significant. ¡°Xiao Li, suture it up.¡± ¡°Yes.¡± Li Yuan quickly sutured the wound. It was a basic procedure, and he was skilled at it. Liang Guomin continued to dissect the adhered aortic dissection and the surrounding tissue. He trembled again! Liang Guomin: ¡°¡­¡­¡­¡­¡± First assistant, second assistant: ¡°¡­¡­¡­¡­¡± Nurse: ¡°¡­¡­¡­¡­¡± Other doctors: ¡°¡­¡­¡­¡­¡± The atmosphere became even stranger. But no one dared to say anything; it was silent. Liang Guomin¡¯s face turned pale. On one hand, he was feeling dizzy; on the other hand, he had made two consecutive mistakes. And this wasn¡¯t even the most critical moment of the surgery. If he made a mistake during the arterial occlusion, that would be a big problem! At that moment, his surgical knife stopped. He hesitated. Should he stop the surgery? Chapter 27 - Time was of the essence! Chapter 27: The surgery encountered complications. Time was of the essence!The atmosphere in the operating room was eerie. Li Yuan didn¡¯t dare to take a breath and kept his head down, diligently suturing the lung injury. ¡°Cough, let¡¯s have a chat¡­¡± Suddenly, Dr. Qian, the director of the ICU, broke the strange silence, instantly easing the tension. The operating room became lively with chatting. Director Qian asked Lin Feng, ¡°Lin Feng, let me ask you a question. What do pregnant women and rotten radishes have in common?¡± Lin Feng pondered for a moment but couldn¡¯t figure it out. Finally, a nurse said, ¡°Ahem, it seems our Dr. Lin is still a bit innocent¡­ The answer is very simple, it¡¯s censored.¡± Lin Feng exclaimed, ¡°?????¡± as the others laughed at the explicit joke. In the meantime, Dr. Liang Guomin hesitated. Continuing the surgery had its risks, but not doing so might affect his position in the hospital due to power struggles. After some contemplation, he continued with the dissection, proceeding cautiously and preserving his strength for the crucial moments ahead. Finally, after an hour, the dissection was complete, and the segment of the aortic dissection was peeled off. Next was the formal occlusion of the aorta, and Liang Guomin began the process, clamping the dissected segment with the occlusion forceps. He succeeded in this critical step. The subsequent steps were a race against time, with the spinal cord safety incident looming in their minds. Liang Guomin swiftly incised the dissected area, removed the blood with a suction device, and sutured the artery opening, all in one go. ¡°Artificial blood vessel, quickly!¡± he called, and the nurse promptly handed him the artificial blood vessel. Liang Guomin took a deep breath. ¡°4-0 polypropylene suture!¡± He began the proximal anastomosis, starting with the posterior wall and then suturing the anterior wall. With the aorta¡¯s high blood pressure, improper suturing could lead to severe bleeding. Therefore, precise and meticulous suturing ensured even needle spacing and margins. While demanding such high standards, time was also a pressing concern. It was time to test fundamental skills. Liang Guomin, with the prepared needle and thread, began suturing. One stitch¡­ Two stitches¡­ Three stitches¡­ Time passed, minute by minute. One minute¡­ S~?a??h the N?v?lFire.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Three minutes¡­ Seven minutes¡­ The proximal end was almost sutured. Suddenly, Liang Guomin staggered and fainted, slipping on the floor. The proximal aorta stretched over 10 centimeters and ruptured with a loud sound. The suture had snapped. The aorta¡¯s tissue tore open. Liang Guomin¡¯s face turned pale. He had messed up! The entire emergency department, everyone¡¯s heart skipped a beat. The anterior part of the descending aorta tore! All the previous sutures became invalid! Now, 7 minutes and 32 seconds had passed¡­ Out of the total time of 20 minutes, There were only 12 minutes and 28 seconds left! This time was insufficient to complete the cutting, replacement with an artificial blood vessel, and re-suturing! Once it exceeded 20 minutes, the patient would inevitably be paralyzed! There was a high probability of complete paralysis! The patient¡¯s family might even react violently! At this moment, the entire operating room fell into dead silence. Everyone stared blankly at the patient. Everyone stared blankly at Liang Guomin. Li Yuan, the assistant, stood there dumbfounded. The patient lay on the bed, unaware of anything. If they knew, they would probably be furious with Liang Guomin! Meanwhile, Liang Guomin thought of more consequences. He had consumed alcohol before entering the operating room, and although no one knew about it now, it might come out later. If something went wrong, it would undoubtedly be a medical accident, and his medical career would be ruined! ¡°Li Yuan, I¡¯m having some health issues. I¡¯ll let you take over. Is that okay?¡± Liang Guomin looked at Li Yuan with hope. Li Yuan¡¯s face changed, and he cried, ¡°Director Liang, I can¡¯t do it. I don¡¯t have the suturing speed required.¡± At this moment, the time reached 7 minutes and 53 seconds! Liang Guomin glanced at the second assistant, Li Wenxian, who shook his head. He couldn¡¯t do it either. Suddenly, Liang Guomin thought of Lin Feng! At this critical moment, with Li Yuan unreliable and Li Wenxian unable to do it, only Lin Feng, who had experience in cardiac suturing, could perform this surgery. Chapter 28 - a true hero turns the tide! Chapter 28: Facing danger and taking charge, a true hero turns the tide! s?a??h th? N0v?lFire(.)n?t website on G??gl? to access chapters of n?vels early and in the highest quality.¡°Lin Feng.¡± ¡°Dr. Liang.¡± Lin Feng also noticed Dr. Liang Guomin¡¯s dilemma at the moment. ¡°Can you assist me in completing this surgery?¡± Dr. Liang Guomin asked. ¡°Yes, I can,¡± Lin Feng replied. Dr. Liang Guomin was relieved, thinking Lin Feng might impose conditions, but Lin Feng agreed without hesitation. He felt a growing admiration for Lin Feng! He thought, ¡°I should support Lin Feng more in the future!¡± At this point, Lin Feng said, ¡°I¡¯m just an intern, so I can¡¯t sign¡­¡± Dr. Liang Guomin nodded, ¡°Don¡¯t worry, I¡¯ll handle it!¡± Signing the document meant taking responsibility in case of a medical accident. But could the situation get any worse than it already was? Dr. Liang Guomin stepped away from the operating table, and Lin Feng took his place. ¡°Let¡¯s begin!¡± At that moment, the first and second assistants, Li Yuan and Li Wenxian felt different intensities. They couldn¡¯t help but pause for a moment. Then, they watched Lin Feng swiftly cut the damaged artery and begin the re-anastomosis. At this point, the clock showed 9 minutes and 23 seconds remaining. Less than 10 minutes left to suture the proximal and distal ends and restore blood flow. Everyone wondered, ¡°Can Lin Feng do it in such a short time?¡± However, in the next moment, they were astonished. Lin Feng¡¯s needlework was incredibly fast! He pierced the aorta, pulled it through, and repeated the process with the artificial blood vessel. He successfully completed the first anastomosis in just 1 second! Everyone exclaimed, ¡°How is he so fast? Is his hand really that steady and agile?¡± They continued to watch Lin Feng¡¯s movements. Lin Feng¡¯s speed was astonishing as he rapidly formed a rough structure. Someone noted, ¡°This isn¡¯t an ordinary suturing method! I see suture ligations in four quadrants!¡± Another commented, ¡°It¡¯s even more complex and time-consuming!¡± ¡°It seems like a variation of the ¡®ringed polyester graft wrapping technique.''¡± The method Lin Feng was using appeared to favor vascular anastomosis. ¡°Dr. Lin seems very confident in his speed!¡± ¡°Impressive!¡± ¡°I feel like I¡¯m getting old.¡± After seeing this, the doctors couldn¡¯t help but sigh. And the interns watching were already in awe! At this moment, Dr. Liang Guomin was both shocked and overjoyed. It seemed that this surgery was being saved! When Dr. Liang Guomin looked at Lin Feng, his eyes were filled with gratitude! Soon, after 3 minutes and 21 seconds, Lin Feng successfully completed the proximal vessel anastomosis! Using the same method, Lin Feng completed the distal anastomosis in 3 minutes and 15 seconds. The anastomosis was successfully finished! The total time reached 15 minutes and 59 seconds, leaving 4 minutes and 1 second remaining unexpectedly! Everyone¡¯s eyes were filled with shock! Next, Lin Feng applied dry gauze around the blood vessels to absorb any blood. The real show began, and everyone¡¯s gaze was fixed on the scene! Lin Feng released the proximal clamps, allowing the blood to flow from the front end into the artificial blood vessel. ¡°Pay attention to fluid infusion, blood transfusion, and maintaining arterial pressure¡­¡± ¡°Administer a small amount of sodium bicarbonate through an intravenous drip to correct metabolic acidosis caused by distal ischemia.¡± Lin Feng slowly loosened the distal clamp, being careful not to release it too quickly to avoid severe hypotension. The blood continuously flowed through the distal artery, spreading throughout the body. Time: 16 minutes and 47 seconds! Only a little over 3 minutes left until the 20-minute mark! Applause erupted in the operating room! A hero emerged in a desperate situation, displaying an unbelievable speed. This would become a classic case for educating future doctors in the hospital! The blood pressure stabilized on the monitoring device. ¡°Go back and study hard!¡± ¡°Yes, this kind of video is precious!¡± ¡°Oops¡­ sorry, I didn¡¯t enable the camera just now!¡± ¡°What? You didn¡¯t turn it on?¡± ¡°I accidentally turned it off midway!¡± ¡°One by one, they lamented the missed opportunity. Last time, they didn¡¯t capture the video of rescuing Director Zhou Guorong, and now they missed it again. It¡¯s truly a great loss for the hospital!¡± The surgery wasn¡¯t over yet. Next was hemostasis and closure, which were relatively straightforward procedures. Lin Feng knew he had already gained enough attention and stepped aside. ¡°It¡¯s your turn, Director Liang.¡± Liang Guomin looked at Lin Feng gratefully and felt a sense of relief upon returning to the operating table. ¡°From now on, I¡¯ll never drink again!¡± He resolved in his heart. Next, they administered fish sperm protein to neutralize heparin¡­ Checked the anastomotic site¡­ Placed a left chest drainage tube¡­ At this point, the patient¡¯s condition was very stable, indicating a successful surgery. Checked for any omissions¡­ Closed the chest¡­ After a series of operations, more than an hour had passed. The surgery officially ended! The whole process was thrilling, like a roller coaster ride! Applause filled the room, expressing admiration for Lin Feng. A true hero who stepped up in a crisis! Chapter 29 - Explosive Myocarditis: Emergency Rescue Across Hospitals Chapter 29: Explosive Myocarditis: Emergency Rescue Across HospitalsLin Feng¡¯s latest surgical accomplishment in cardiovascular surgery quickly became the talk of the entire hospital. ¡°Did you hear? Dr. Lin performed another surgery. This time it was an artificial aortic replacement.¡± ¡°I heard Dr. Lin managed to suture both the proximal and distal ends in just about 7 minutes.¡± ¡°The speed was incredibly impressive!¡± ¡°Is there any surgery that Dr. Lin can¡¯t do?¡± ¡°We experienced doctors feel like rookies now.¡± ¡°The pioneers die on the beach.¡± ¡°In this world, there truly are exceptional talents.¡± ¡°We can¡¯t allow someone as remarkable as Dr. Lin to exist in First City Hospital!¡­ Oh, it¡¯s Dr. Lin. Sorry, excuse me (bows)!¡± Lin Feng returned to the emergency department and continued with his regular consultations. Other interns often sent ¡°666¡± to Lin Feng as a sign of admiration. The mascot and mentor, Zhang Yuan, only needed to sign documents for Lin Feng daily, as if he were a human signature machine. (Zhang Yuan: Damn it! I¡¯m a deputy chief physician, after all!) Meanwhile, 10 kilometers away, an ambulance rushed towards its destination at the Eighth Hospital, and pedestrians quickly made their way. The ambulance stopped outside the emergency department. Inside the vehicle, a group of medical professionals swiftly pushed a stretcher out, carrying the patient as they rushed into the emergency department. ¡°Hypotension, malignant arrhythmia, shock¡­¡± The doctors shouted while pushing the stretcher. ¡°Prepare for shock treatment¡­ Start the infusion!¡± They arrived at the emergency room, and the nurses efficiently prepared everything, then quickly inserted the IV and started the infusion. Two days ago, the 13-year-old patient had a fever and took cold medicine, but his condition did not improve. It continued until today, and the patient began experiencing dizziness, vomiting, and intermittent abdominal pain. It was at this point that the parents realized something was seriously wrong, definitely not just a cold or fever! They immediately called for emergency help. The 120 ambulances arrived quickly, and the patient was taken to the nearest Eighth City Hospital. After half an hour of rapid fluid resuscitation and appropriate treatments¡­ The patient¡¯s condition did not improve! ¡°Doctor, please save my son!¡± ¡°Please, doctor!¡± The child¡¯s parents knelt on the ground, pleading desperately to Dr. Huang, the head of the emergency department. And the interns gathered around, witnessing an eye-opening experience. Gain new experiences. Fluid resuscitation, intubation, assisted ventilation with a respirator, administration of inotropic drugs to maintain circulation¡­ The head of the emergency department provided constant reassurance while waiting for the test results. After half an hour, all the test results were available. The head of the emergency department took a look and gasped in shock. ¡°Explosive myocarditis!¡± ¡°Cardiogenic shock!¡± This was a serious illness, with a high risk of life-threatening complications! Especially with explosive myocarditis, the mortality rate was high, and it was often misdiagnosed as a common cold or fever. Many hospitals faced medical disputes with the patients¡¯ families over this disease (families would believe it was just a cold or fever, but you treated it and caused the patient¡¯s death, leading to disputes). ¡°Doctor, how is my son? Please, please save him!¡± s?a??h th? ??v?l_Fir?.?et website on G??gl? to access chapters of n?vels early and in the highest quality. The patient¡¯s mother grabbed the hand of the emergency doctor, her voice filled with tears and desperation. Dr. Huang, the head of the emergency department, replied, ¡°Don¡¯t panic, your urgency won¡¯t help¡­ Your son has explosive myocarditis, and our hospital currently doesn¡¯t have the capability to treat it. He needs to be transferred to the nearest First City Hospital.¡± Upon hearing this, the patient¡¯s mother exclaimed, ¡°Then send him quickly!¡± Dr. Huang reassured her, saying, ¡°I¡¯ll make the call right now!¡± He comforted the mother while dialing the phone number of the ICU at the First City Hospital. He had a close relationship with Dr. Qian, the director of the ICU, as they were classmates. He knew that the First City Hospital¡¯s ICU had an ECMO machine. ¡­ ¡­ First City Hospital, Intensive Care Unit (ICU)¡­ Dr. Qian was conducting rounds, accompanied by a group of doctors, resembling the lion king leading his pride, visiting various beds, inquiring about patients¡¯ conditions, and evaluating the doctors and nurses. Soon, he arrived at Director Zhou Guorong¡¯s bed. ¡°Old Zhou, your condition is almost stable. Tomorrow, we¡¯ll transfer you from the ICU to the cardiovascular department.¡± ¡°Okay.¡± Director Zhou Guorong¡¯s condition had deteriorated. After undergoing three cardiac surgeries and relying on ECMO, his physical condition was not what it used to be. He used to be the lion king of the emergency department, but now he was an exhausted old lion. Especially after being attacked by a patient¡¯s family, he had completely lost his faith in the medical profession. Director Zhou Guorong was going to retire due to illness. The hospital¡¯s director was currently considering: A: Who should take charge of the emergency department? B: Should the emergency operating room be preserved or removed? Many senior doctors in the hospital had already begun maneuvering, eager to take the position of the head of the emergency department. Ring, ring, ring~~~ At that moment, Dr. Qian¡¯s phone vibrated incessantly. ¡°Old Qian, help!¡± ¡°Old Huang, what¡¯s the matter?¡± ¡°I received a patient with explosive myocarditis here. I can¡¯t handle it, so I must send him to your hospital. But it¡¯s a bit dangerous to transport him. Is the ECMO machine available over there? Hurry!¡± Dr. Qian¡¯s expression turned serious upon hearing this. When lives were at stake, there was no time for hesitation! ¡°Alright, I¡¯ll bring the ECMO machine over immediately!¡± After hanging up the phone, Dr. Qian started selecting a few individuals. ¡°You, you, you¡­ Put on the ECMO equipment and come with me to Eighth City Hospital!¡± ¡°You have 15 minutes to prepare. Meet me downstairs at the ambulance!¡± ¡°Yes!¡± All the doctors and nurses who were called immediately responded in unison. They swiftly went to make preparations. Dr. Qian thought for a moment and made a phone call to Lin Feng. He liked Lin Feng and was very satisfied with his performance. Talented young individuals like him were rare, and Dr. Qian couldn¡¯t help but want to nurture him more. This case of explosive myocarditis could allow Lin Feng to gain some experience. The call connected, ¡°Hey, Lin Feng, are you free? Can you come with me to the City Hospital Eight?¡± Chapter 30 - The Heart of Compassion: Let Me Handle It Chapter 30. The Heart of Compassion: Let Me Handle ItEmergency. Over here, in the emergency department, Lin Feng and the medical staff were conducting rounds. Since the department head was absent, Vice Director Xie Yunxiang took charge. He had spent over 30 years in the emergency department, a seasoned veteran who kept a low profile. However, he never managed to become the department head. ¡°Patient in Bed 1, Lu Zhaobao, chronic gastritis. Administer 1.0g of Amoxicillin intravenously to prevent infection¡­¡± ¡°Patient in Bed 2, Yang Tengyun, incompatible combination with Vitamin C and Inosine, avoid co-administration¡­¡± ¡°Patient in Bed 3¡­¡± They went through each bed¡­ If any attending doctor or nurse couldn¡¯t answer, they would face criticism. The interns, with their lowly status, were the most miserable. Due to their lack of experience, it was easy for their mistakes to be discovered, resulting in severe criticism from Vice Director Xie. Four interns had already been scolded to the point of humiliation. Interns: Trembling in fear. s?a??h th? N0v?lFir?.?et website on G??gl? to access chapters of n?vels early and in the highest quality. One intern had it the worst. During rounds, their phone rang, and Vice Director Xie scolded them mercilessly, leaving them utterly embarrassed. Ring, ring, ring~~~ At that moment, Lin Feng¡¯s phone rang. Everyone looked over. Lin Feng calmly silenced the phone. Ring, ring, ring~~~ The phone persistently continued ringing. Vice Director Xie smiled and said, ¡°Answer it, it¡¯s fine¡­¡± The other interns: ¡°¡­¡­¡­¡­¡­¡± The difference in treatment was too great?! They couldn¡¯t help but burst into tears! ¡°I¡¯m sorry¡­¡± Lin Feng apologized with a guilty expression and walked to the side to answer the call. ¡°Hello, Lin Feng. Are you available? Can you come with me to Eighth City Hospital?¡± ¡°Ah? Dr. Qian?¡± ¡°It¡¯s me. At Eighth City Hospital, we have a case of explosive myocarditis. We¡¯re bringing the ECMO machine from our ICU. If you have the time, you can come with me and take a look.¡± ¡°Well¡­¡± Lin Feng wanted to go. Explosive myocarditis was a relatively rare but life-threatening condition. As a skilled individual like Lin Feng, witnessing such a case firsthand was quite appealing. Lin Feng looked at Vice Director Xie Yunxiang. Lin Feng was delighted and thanked Vice Director Xie, saying, ¡°Thank you, Vice Director!¡± At that moment, Lin Feng could feel the resentful and envious gazes of the interns around him. Background music started playing: ¡°We¡¯re Different~~¡± The ambulance, carrying Dr. Qian, Lin Feng, the ICU medical staff, and the ECMO equipment, quickly arrived at Eighth City Hospital. The emergency doctors from Eighth City Hospital had been waiting outside the main entrance, guiding the ICU team from First City Hospital. ¡ª The vehicle came to a stop. The group swiftly disembarked and rushed into the emergency department, carrying the ECMO equipment (already disassembled). ¡°Huh, Lin Feng?¡± One intern was surprised upon seeing Lin Feng. ¡°Wang Qiang?¡± Lin Feng looked at his old classmate in astonishment. Wang Qiang had a crew cut, thick glasses, and a kind and honest demeanor. He was Lin Feng¡¯s classmate, and although they weren¡¯t particularly close, they had a friendly relationship. ¡°Are you at the Emergency Department of City Hospital Eight?¡± Lin Feng asked, surprised. ¡°Yeah¡­ Are you in the ICU at City Hospital One?¡± Wang Qiang looked at Lin Feng with envy written all over his face. Lin Feng corrected, ¡°No, I¡¯m also in the Emergency Department at City Hospital One!¡± Wang Qiang: ¡°???¡± He looked bewildered. Wang Qiang: ¡°Wait, weren¡¯t you here to save that little boy with fulminant myocarditis?¡± Lin Feng: ¡°Yes.¡± Wang Qiang: ¡°Isn¡¯t that the ICU team?¡± Lin Feng: ¡°But I¡¯m just an emergency medicine intern¡­¡± Wang Qiang: ¡°¡­¡­¡­¡­¡­¡­¡± Still puzzled, Wang Qiang wanted to ask, but Director Qian was already calling, ¡°Lin Feng, come here.¡± Lin Feng: ¡°Alright.¡± And he quickly rushed over. Leaving Wang Qiang in utter confusion, he felt overwhelmed as if his brain couldn¡¯t process it. How could an emergency medicine intern run to this side of City Hospital No. 8 with the ICU team? Wang Qiang followed along, attempting to join the crowd and observe forcefully. However, the emergency doctor looked at him with disdain, as if saying, ¡°There are too many people here. Get out!¡± Wang Qiang: ¡°¡­¡­¡­¡­¡­..¡± That disdainful look, these interns had experienced too much of it. Looking at Lin Feng again, he was called over by a distinguished-looking doctor to discuss the patient¡¯s condition. Wang Qiang was dumbfounded. ¡­ Lin Feng had no idea about his classmate Wang Qiang¡¯s thought process. At this moment, he was observing the young boy in front of him, who appeared to be on the verge of collapse. It appeared that the young boy was in critical condition. He was barely conscious, his heartbeat was nearing cessation, and his blood pressure was so low that it was almost unmeasurable. Meanwhile, the patient¡¯s family members were sobbing and crying, severely disrupting the treatment process. They had already been asked to leave the Emergency Department. Dr. Huang, the head of City Hospital No. 8¡¯s emergency department, quickly briefed them on the case: coughing up pink foamy sputum, severe dyspnea, loss of consciousness, and serious breathing difficulties¡­ Dr. Qian picked up various test reports¡ªECG, imaging¡ªand, after looking at them, handed them to Lin Feng, saying, ¡°Take a look.¡± Lin Feng nodded and, without hesitation, started examining each report¡­ As for the other ICU doctors and nurses from City Hospital No. 1 were swiftly assembling the ECMO machine. From the emergency department, Dr. Huang glanced at Lin Feng in surprise, wondering, ¡°Who is this young fellow?¡± (Outside, Wang Qiang looked utterly bewildered: ¡°?????¡±) Dr. Qian and Lin Feng finished reviewing all the reports one minute later. Dr. Qian: ¡°My diagnosis is also fulminant myocarditis.¡± Lin Feng: ¡°I have the same opinion. We need to start ECMO immediately.¡± Dr. Qian: ¡°You¡¯ll do it? Are you confident?¡± Lin Feng nodded: ¡°No problem. I¡¯ve done ECMO once before, and I can set up the arteriovenous access in 10 minutes this time!¡± Dr. Qian was astonished! 10 minutes? Even with the expertise of City Hospital No. 1¡¯s ICU team, it would take at least 20 minutes with full cooperation. In fact, at first, Lin Feng thought he could just observe silently once he arrived, but as a top doctor with extensive world-class experience, he couldn¡¯t stand idly by when faced with a life on the brink of death. He believed that by taking action himself, they could be faster, seize more time for resuscitation, and increase the chances of the young boy¡¯s survival. So, impulsively, he volunteered to join the operation. Director Qian pondered the classic case of Director Zhou Guorong¡¯s ECMO surgery performed by Lin Feng. He felt confident that Lin Feng would not disappoint him. Even if it fails, he can still remedy the situation. ¡°Alright, it¡¯s your turn!¡± Chapter 31 - Such an awesome intern, I want them! Chapter 31: Such an awesome intern, I want them!Director Qian from Hospital One said, ¡°Prepare for the surgery in the operating room right away¡­¡± Director Huang from Hospital Eight replied, ¡°Alright.¡± And they began preparations. Wang Qiang was excited because he could observe the surgery again! Even though he couldn¡¯t participate in the surgery, he could still learn from observing. He was thrilled! The other interns from Hospital Eight¡¯s Emergency Department were equally excited and looking forward to witnessing an ECMO rescue for the first time. But then¡­ these interns were met with disdain from Director Huang of the Emergency Department: ¡°Interns, don¡¯t come in. There are too many people, and it¡¯s crowded¡­¡± The interns: ¡°¡­¡­¡­¡­¡­.¡± They cried silently~~~~ The resident doctors stood by, delighted because they could enter and watch. But then, Director Huang said, ¡°Resident doctors don¡¯t come in either. The ICU at Hospital One is quite crowded, and the operating room can¡¯t accommodate more people.¡± The resident doctors: ¡°¡­¡­¡­¡­¡­.¡± It was tragic! They found themselves in the same unfortunate situation as the interns. Wang Qiang, while holding his ¡°Journey to Self,¡± felt sorry for himself, but then he saw Lin Feng entering the operating room. Wang Qiang: ¡°?????¡± In the emergency operating room, Director Qian signed documents and pointed at Lin Feng, saying to Director Huang, ¡°Later, this young man will intubate.¡± Director Huang: ¡°What?¡± Director Qian: ¡°Don¡¯t worry, he¡¯s very capable. Last time, our hospital¡¯s Director Zhou was saved by him after receiving three stab wounds.¡± Director Huang widened his eyes: ¡°Ah¡­ it¡¯s him?¡± S?a?ch* Th? n0v?l(?)ire.?et website on G??gl? to access chapters of n?vels early and in the highest quality. He stared at Lin Feng intently. Director Zhou Guorong¡¯s three stab wounds were known to everyone in Zhupeng City¡¯s hospitals, and Director Huang was no exception. ¡°How old is he?¡± ¡°24.¡± ¡°Oh my god, is he that amazing? Young people these days? I thought it was just a rumor.¡± ¡°Hehe¡­ you¡¯ll see his skills later!¡± Everyone washed their hands. Nurses helped them put on surgical gowns and gloves. The patient was already under general anesthesia, so the usual anesthesia procedures were not required. There are three methods to establish the ECMO V-A circuit: Femoral vein (in the buttocks) ¨C femoral artery cannulation.Internal jugular vein (in the neck) ¨C catheter insertion into the carotid artery.Central cannulation: right atrium ¨C catheter insertion into the ascending aorta. Lin Feng chose the first method: An incision was made in the femoral vein, located in the buttocks, and the catheter was inserted from there, extending upwards to the right atrium.The venous blood drawn from this was oxygenated in the ECMO oxygenator, driven by a pump, and then infused into the body through the femoral artery. Disinfection¡­ Incision¡­ Locate the femoral vein¡­ Find a suitable-sized catheter for the femoral vein¡­ Insert the catheter¡­ Repeat the above steps, locate another artery, and insert the catheter¡­ Finally, connect the ECMO, monitor and control various data¡­ Total time: 9 minutes and 10 seconds¡­ There were no hiccups in between. Everything went smoothly, and without any obstacles, Lin Feng left the battlefield and let the doctors from the ICU take over. Director Qian smiled and gave Lin Feng a thumbs up. Director Huang looked at Lin Feng in astonishment, amazed by his surgical skills, ease, and confidence in handling the surgical knife and inserting the catheter. Even Director Huang, a veteran surgeon of thirty years, couldn¡¯t compare. The more skilled a person is, the more they can feel Lin Feng¡¯s excellence! ¡°Lin, would you be interested in working at our hospital?¡± Director Huang extended an invitation. However, his actions angered Director Qian. ¡°Sure, old Huang, you scoundrel! You want to poach our hospital¡¯s talent?¡± Director Huang smirked, ¡°Hehehe, I¡¯m desperate for talent. What do you think? If he comes to my hospital and becomes my student, I will nurture him with all my might.¡± Director Qian glared at Director Huang in anger. Upon hearing this, Director Huang was shocked and determined not to give up. ¡°If that¡¯s the case, why do you still use him as an intern? If he comes to my department, I can apply for a high salary and research funding¡­¡± Director Qian sneered, ¡°Haha, do you think you¡¯re smart? The head of our Medical Affairs Department has already taken action.¡± Now, he gave up completely. It¡¯s such a pity. This kind of genius couldn¡¯t be snatched! Director Huang asked, ¡°By the way, which university is Lin Feng from?¡± Director Qian replied, ¡°Soy Sauce University.¡± Director Huang nodded, ¡°Soy Sauce University is still quite impressive, ranked twelfth nationwide.¡± He thought, Chapter 32 - National Clinical Competition for College Students Chapter 32: National Clinical Competition for College StudentsAfter the young boy was placed on ECMO, his life was temporarily saved. However, he still faced the potential development of multiple organ dysfunction syndrome (MODS) as a complication of shock, necessitating further treatment. It was clear that City Hospital No. 8 lacked the necessary technical capabilities, so the decision was made to transfer the young boy to City Hospital No. 1 as soon as possible. Director Qian stated, ¡°I won¡¯t waste time; I¡¯ll prepare for City Hospital No. 1 surgery immediately.¡± Director Huang nodded in agreement, saying, ¡°Alright.¡± Soon, the stretcher was prepared, and ICU doctors and nurses accompanied the young boy into the ambulance. Director Qian, Lin Feng, the family members, and others boarded another vehicle as they left City Hospital No. 8. Director Huang watched Lin Feng¡¯s departing figure regretfully, wondering why City Hospital No. 8 didn¡¯t have a medical genius like him. Director Huang called out to a passing nurse named Xiao Li. She was a friendly girl who got along well with everyone. ¡°Xiao Li, do we have any interns from Soy Sauce University in our Emergency Department?¡± Director Huang asked. ¡°Yes, we do,¡± Xiao Li replied. Director Huang was pleasantly surprised, ¡°Really? Who?¡± ¡°His name is Wang Qiang. He¡¯s the intern over there,¡± Xiao Li said, pointing to Wang Qiang, who was trying to impress the head nurse. Director Huang recalled, ¡°Oh, I remember him. He made significant mistakes during the last three ward rounds¡­¡± Disappointed that Wang Qiang wasn¡¯t a medical genius like Lin Feng, Director Huang returned to his office. He thought for a moment and then found the contact number of a teacher from Soy Sauce University¡¯s academic affairs office and made a call. ¡°Hello, is this Teacher Zhang? This is Dr. Huang from Pengshi City Hospital No. 8. Do you remember me? We sat next to each other at the conference last year.¡± ¡°Oh, I remember now. Dr. Huang, hello. What can I do for you?¡± Teacher Zhang replied. ¡°Well, I just met an intern named Lin Feng from City Hospital No. 1. He¡¯s from your university, and his skills are truly impressive. Soy Sauce University is indeed a top medical school. Are there any students similar to him that you could recommend? I¡¯d like to meet one or two. Let¡¯s have dinner if you¡¯re available~.¡± ¡°Huh?????¡± Teacher Zhang responded, perplexed. Who¡¯s Lin Feng? Is he an outstanding student? Why haven¡¯t I heard of him? Aren¡¯t outstanding students usually assigned to top hospitals in the provincial capital like Duck University Hospital, Lingnan Hospital, or Soy Sauce Hospital? Why is he in Pengshi City? In a state of confusion and bewilderment, Teacher Zhang muddled through a few sentences to appease Director Huang and hung up the phone. Director Huang was left feeling puzzled. Did Teacher Zhang not understand what he said? ¡­¡­ Back at Soy Sauce University, Teacher Zhang checked on a student named Lin Feng after hanging up the phone. Academic performance: Average.School performance: Average. Teacher Zhang shook his head and sighed, ¡°The hospitals in Pengshi City aren¡¯t up to par. They consider this kind of student a genius.¡± After a moment of reflection, Teacher Zhang put this matter aside and started working on the registration for this year¡¯s ¡°Physician Qualification Examination.¡± Registration occurred from January to February, with the examination scheduled for September. Passing the exam would grant them the ¡°Physician Qualification Certificate,¡± a crucial milestone for graduating students. Meanwhile, on Lin Feng¡¯s side, his phone suddenly vibrated with a message notification. School notification: ¡°The ¡®Practitioner Qualification Examination¡¯ registration period is about to end. Please hurry up and register for the exam.¡± Lin Feng glanced at the message but didn¡¯t pay much attention since he had already registered on the first day the portal opened. Another message arrived: School notification: Notice about the 11th National Clinical Skills Competition for Higher Medical College Students. Lin Feng was shocked by this notification. This nationwide competition occurs once a year, and Lin Feng began to contemplate whether he should participate. Opening the message, he read through the details: Co-organized by the Ministry of Education and Health, the national finals will be held on April 15.Organized by the Lingnan Provincial Department of Education, Health Department, and various higher medical colleges in Lingnan Province.Internal competitions in each university must be completed before March 1. Calculating the time, it was February 3, leaving him 25 days to prepare. Back in the class group chat, students were discussing the competition: ¡°Has the competition finally started?¡± ¡°I feel confident this time. I want to participate and make it to the finals!¡± ¡°Su Li, with your mediocre skills, do you think you can participate?¡± ¡°Shen Qiu and Feng Yuya are probably the only ones in our class with a chance.¡± ¡°Indeed, Shen Qiu, our class monitor, and Feng Yuya, our deputy class monitor, are the strongest. They even went to Duck University Hospital¡¯s emergency department and learned from experienced senior doctors. Their skills must have improved significantly in the past six months.¡± S?a??h th? N0v?lFire(.)n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Shen Qiu replied modestly, ¡°Oh, come on. After entering Duck University, I realized how little I know. It¡¯s embarrassing.¡± Feng Yuya added, ¡°Yeah, I feel like a complete idiot now, getting scolded by attending doctors and head nurses every day~~~ It¡¯s unfair.¡± Other classmates consoled them, ¡°The more you feel like you don¡¯t know, the more you¡¯re learning.¡± ¡°That¡¯s right! Like me, thinking I know everything is just being ignorant.¡± ¡°Our class monitor and deputy class monitor are being modest. They are so capable; there shouldn¡¯t be any problems this time.¡± An average student, Lin Feng, also participated in the chat, praising the class monitor and deputy class monitor. Everyone exchanged compliments, and the conversation lightened up with humor. Chapter 33 - A patient coughing up blood Chapter 33: A patient coughing up blood¡°Class monitor, deputy class monitor, may culture and martial virtues unify the world!¡± Lin Feng continued chatting in the group, and suddenly, a message from his classmate Wang Qiang popped up in his private messages. Wang Qiang: ¡°Lin Feng, I think you¡¯re much better than Shen Qiu and Feng Yuya.¡± Lin Feng: ¡°Oh, not at all. I can¡¯t compare to them.¡± Wang Qiang: rolls his eyes. ¡°Stop pretending. Today, I heard that you performed a part of a surgery. I don¡¯t believe Shen Qiu and Feng Yuya would even get a chance to be in the operating room, let alone participate.¡± Lin Feng smiled slightly but didn¡¯t respond. Wang Qiang: ¡°By the way, Lin Feng, do you have time for dinner? We¡¯re pretty close anyway.¡± Lin Feng: ¡°Sure, how about tonight?¡± Wang Qiang: ¡°Sounds good.¡± They agreed on a location and met at the Phoenix Tower restaurant. During dinner, Wang Qiang asked, ¡°Lin Feng, have you registered for the competition?¡± Lin Feng replied, ¡°Not yet. I¡¯m still considering it.¡± Wang Qiang encouraged him, ¡°Why hesitate? I¡¯ve already registered. It would be fantastic if we could make it to the national finals. It will also improve our chances of getting hired by top hospitals after graduation. Even if we don¡¯t make it to the national finals, entering the South China division or ranking high in our school would be great.¡± Lin Feng thought momentarily and agreed, ¡°Alright, then I¡¯ll register¡­¡± Inwardly, he added, ¡°I¡¯ll use only 10% of my skills so I don¡¯t overpower the competition¡­¡± Wang Qiang was delighted, ¡°Lin Feng, with your skills, getting first place in this school should be a piece of cake!¡± Lin Feng modestly responded, ¡°Oh no, the class monitor and deputy class monitor are much more capable. There are also many talented individuals in other classes.¡± Wang Qiang expressed his disdain for Shen Qiu and Feng Yuya, saying, ¡°Shen Qiu and Feng Yuya have too much arrogance. I don¡¯t like them. I¡¯m sure they can¡¯t compare to you.¡± Lin Feng smiled in response. Soon, the waiter served their dishes, and they continued chatting while enjoying their meal. Wang Qiang asked, ¡°By the way, why did you come to the ICU today?¡± Lin Feng explained, ¡°I know the head of the ICU. He asked me to come.¡± Wang Qiang was surprised, ¡°You got the attention of the ICU bigshot. Impressive! As interns, we have no power at all. Those doctors are all high and mighty, looking at us interns with disdain. I¡¯ve been scolded so many times.¡± Lin Feng was equally surprised, ¡°Really?¡± Wang Qiang asked in disbelief, ¡°You haven¡¯t experienced it?¡± Lin Feng replied, ¡°No, the nurses and doctors are really nice to me. They often buy me bubble tea, fruits, etc.¡± Wang Qiang couldn¡¯t believe it, ¡°¡­¡­¡­¡­¡­.¡± Not being scolded and getting bubble tea and fruit every day? ¡°Damn it! I envy you to the point of being unrecognizable! Is it because I¡¯m not handsome enough?¡± Wang Qiang looked at Lin Feng¡¯s handsome face and fell into contemplation. Question: Is it still possible to get plastic surgery now? At that moment, Lin Feng¡¯s phone rang. Ring, ring, ring~ Lin Feng answered the call from the emergency department¡¯s doctor, Song Ziming. Lin Feng: ¡°Song Ge, what¡¯s up?¡± Song Ziming: ¡°It¡¯s like this, I have surgery here, a case of pancreatitis. Can you come and assist me?¡± Lin Feng: ¡°Uh, sure¡­ I¡¯ll go back now. It¡¯ll take about half an hour.¡± Song Ziming: ¡°Alright.¡± Lin Feng hurriedly left the restaurant. Wang Qiang: ¡°¡­¡­¡­¡­¡­.¡± Pancreatitis? Assist in surgery? Wang Qiang looked at Lin Feng with a strange expression. Lin Feng: ¡°I¡¯ll head back now. Let¡¯s reschedule next time.¡± After saying his goodbyes, Lin Feng rushed back to the emergency department. The surgery began, and three hours later, it was successfully completed. Song Ziming was relieved and grateful for Lin Feng¡¯s assistance. In the following days, Lin Feng continued his work in the emergency department. On a new day, a female patient rushed in, seeking help. Woman: ¡°Doctor, I¡¯m feeling unwell. Please help me figure out what¡¯s wrong.¡± Lin Feng observed the woman, who was around 40 years old, had sun-exposed skin, drooping eyelids, and flushed skin. She appeared to be breathing rapidly. Suddenly, the woman started coughing violently, covering her mouth. ¡°Cough, cough~~~~¡± (Intensifying) ¡°Cough, cough~~~~¡± (Further intensifying) ¡°Cough, cough~~~~¡± Her coughing intensified, and her body shook as if she was about to cough out her lungs. Lin Feng¡¯s gaze froze as he noticed blood on her hand when she removed it from her mouth. Lin Feng immediately considered various possible causes, primarily related to the lungs. He asked the woman to explain her condition, and she revealed that she had been coughing for four years, with the condition worsening over time. Lin Feng asked for medical records, but the woman had lost them. Wang Qiang: ¡°¡­¡­¡­¡­¡­.¡± S?a??h th? N?velF?re.?et website on G??gl? to access chapters of n?vels early and in the highest quality. Chapter 34 - This doctor is too young... Chapter 34: Pulmonary hydatid disease. This doctor is too young¡­Lin Feng physically examined the female patient but didn¡¯t discover anything unusual. ¡°You need to undergo a few tests,¡± Lin Feng said. ¡°Okay,¡± she replied. ¡°I¡¯ll write you some requisition forms,¡± Lin Feng added and quickly printed out several test orders: complete blood count, chest CT scan, and ultrasound. ¡°Go and get these tests done, and then come back,¡± Lin Feng instructed. ¡°Thank you, Doctor,¡± the woman expressed her gratitude and left the consultation room. The next patient arrived shortly after. Two hours later, the female patient returned, accompanied by two men. One was her husband, and the other was her tall and intimidating brother. ¡°Doctor, here are the test results,¡± she handed over the reports. Lin Feng took the test results and examined them: Complete blood count: increased white blood cell count, increased eosinophils.Ultrasound: cystic lesion in the liver.Chest CT scan: a well-defined low-density lesion measuring 4.5 cm x 3.8 cm in the lower right lung, with a CT value of 19.2 HU. The cyst wall showed ring-like calcification, uneven thickness, and small linear, slightly higher-density shadows within the cyst. The lesion showed no enhancement after contrast administration (Figure 1). CT diagnosis suggests a secondary infection of a lung cyst, pulmonary hydatid cyst, or lung abscess. Please correlate with clinical findings and other tests for a definitive diagnosis. With just one look at the CT scan, Lin Feng immediately identified it: a pulmonary hydatid cyst! Lin Feng asked the female patient, ¡°Where are you from?¡± ¡°I¡¯m from the Xinjiang province,¡± she replied. Now, Lin Feng was even more certain. It was highly probable that she had a pulmonary hydatid cyst, a disease that commonly occurs in pastoral areas and is a severe zoonotic infection. In China, the high-risk regions are primarily concentrated in high-altitude grassland areas with cold climates, limited rainfall, and semi-agricultural and semi-pastoral regions. Domestic dogs and wild animals, such as foxes, are the main sources of infection. Humans become infected by contacting dogs or consuming water, vegetables, or other foods contaminated with parasite eggs. Regarding symptoms, the female patient experienced coughing, chest pain, and hemoptysis. If the cyst compresses the trachea, it can lead to respiratory distress. Compressing the associated nerves causes drooping eyelids and flushed skin, typically on one side of the face. All of these symptoms matched those of pulmonary hydatid cysts! The increased eosinophils in the complete blood count are also commonly seen in cases of hydatid disease. Unable to contain her anxiety, the female patient asked, ¡°Doctor, what is my condition exactly?¡± s?a??h th? ???el F?re.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Curious, Lin Feng asked, ¡°Have you never been to a major hospital before?¡± She shook her head. ¡°No.¡± Nodding, Lin Feng explained, ¡°If you had gone earlier, it might not have been this severe. Your test results indicate numerous hydatid cysts in your lungs, known as cystic echinococcosis, a disease prevalent in pastoral areas. In other words, your lungs have been infected by parasites.¡± Upon hearing this, the female patient became nervous. ¡°Doctor, what should I do?¡± Lin Feng: ¡°I can perform surgery on you to remove it, and once it¡¯s done, you¡¯ll be fine.¡± The female patient nodded repeatedly, saying, ¡°Okay, okay!¡± Lin Feng wrote a requisition form, saying, ¡°Go and pay the fees and get admitted.¡± At that moment, the female patient¡¯s brother reached out and stopped Lin Feng. ¡°Sister, this doctor is too young. Maybe they don¡¯t even know how to perform the surgery. We should find a more reliable doctor instead,¡± Lin Feng suggested. Her husband chimed in, ¡°That¡¯s right. This doctor is so young. He probably hasn¡¯t even performed surgery before. He¡¯s probably using you as a guinea pig to practice his surgical skills. Don¡¯t let him operate on you. It¡¯s not safe.¡± Brother: ¡°That¡¯s right, let¡¯s find another doctor.¡± Lin Feng: ¡°¡­¡­¡­¡­¡± He smiled and said, ¡°In that case, go find another doctor.¡± He put away the admission form. The three of them hurriedly left. ¡­ At the same time, in a five-star hotel located 4 kilometers away, inside was a Michelin-starred restaurant, and a couple was on a date. Suddenly, the woman accidentally spilled hot water onto her leg due to a mistake. ¡°Ah, ah, ah~~~~¡± The woman screamed in pain. The man panicked and helped her wipe it off. A male waiter quickly rushed over to help. The woman screamed in pain at the waiter, ¡°What are you standing here for? Hurry up and call 120 for an ambulance!¡± The waiter: ¡°¡­¡­¡­¡­¡± Thunderstruck! It¡¯s just hot water. Why call an ambulance? Too dramatic, isn¡¯t it? The woman urged loudly, ¡°Call them quickly!¡± The waiter rolled his eyes and had no choice but to call 120 for emergency assistance. 10 minutes later¡­ The ambulance arrived, and several people rushed into the restaurant with a stretcher. The atmosphere was tense and urgent. ¡°Where is the patient?¡± ¡°Here.¡± ¡°??? Who?¡± ¡°Me! I got burned, so hurry up and take me to the hospital!¡± The paramedics, as well as the surrounding guests, looked at this lively woman and were dumbfounded! Stunned!! What the heck! It¡¯s just water burns! And she wants an ambulance escort from 120? Is she made of diamonds or something? ¡°Hurry up!¡± The woman grumbled, but judging by her demeanor, she seemed like a pampered and spoiled young lady. The 120 emergency personnel thought for a moment. Since they already dispatched the vehicle, they could take her to the hospital. After all, they can make some money out of it. (Note: Ambulances charge for their services.) ¡­ Ring, ring, ring~~~~ The emergency nurse station at City Hospital, Xiao Li, answered the phone. ¡°Hello, we have a patient here, sending them to the emergency department¡­¡± ¡°What¡¯s the condition?¡± ¡°Burns.¡± ¡°Burns???? Does the doctor need to prepare in advance?¡± ¡°No need¡­¡± Nurse Xiao Li hung up the phone with a bewildered expression. Chapter 35 - A Dramatic Female Patient Chapter 35: A Dramatic Female PatientSoon, the ambulance arrived at City Hospital¡¯s emergency department. The burned patient disembarked the vehicle and hurriedly made her way to the nurse¡¯s station. With a concerned look, she exclaimed, ¡°I¡¯ve been burned. Please, help me treat it quickly.¡± Xiao Li assessed the situation and inquired, ¡°Where is the burn located?¡± The patient replied, ¡°It¡¯s on my thigh. I was scalded by boiling water.¡± Taking her to an examination room, Xiao Li had the patient remove her pants, revealing reddened skin with no deeper injuries. Xiao Li couldn¡¯t resist commenting, ¡°Miss, are you sure you need to see a doctor for this?¡± The patient retorted, ¡°Of course, I need a doctor; schedule an appointment for me.¡± Xiao Li complied, ¡°Dr. Lin Feng has the fewest patients. I¡¯ll schedule an appointment with him for you.¡± The patient persisted, ¡°I want the fastest service, cut in line.¡± Xiao Li professionally replied, ¡°I¡¯m sorry, but most patients here have more serious conditions. It¡¯s not possible to cut in line.¡± In the consultation room, Lin Feng was diagnosing a patient with a cough when he heard a loud argument outside. ¡°I said I want to cut in line. My condition is severe!¡± ¡°You only have slight skin redness; it¡¯s not serious enough to cut in line.¡± ¡°Do you know how wealthy I am? Any injury affects my beauty as a woman. I want to cut in line!¡± ¡°No cutting in line allowed! This is a hospital; many patients are waiting. What makes your minor injury special?¡± ¡°Remember my name, Wang Yanli! You¡¯ll hear from my complaint!¡± The argument intensified, with other patients joining in. ¡°This girl is dramatic, fussing over a minor burn.¡± ¡°My child has a 39-degree fever and is still waiting.¡± ¡°I¡¯m bleeding and waiting!¡± ¡°Do you know she called an ambulance for a minor burn? That¡¯s overreacting!¡± Patients and nurses were shocked. Lin Feng was also surprised. However, the dramatic patient wasn¡¯t one to underestimate; she called her father. A chief dermatologist arrived in less than 10 minutes, attending to the patient and scolding Nurse Xiao Li. He even demanded an apology. Xiao Li stood firm, ¡°If I apologize, how can I do my job? What about other patients? I refuse to apologize for this!¡± Patients around applauded, saying, ¡°Well said!¡± The chief physician left in embarrassment, escorting the patient away. Finally, the emergency room regained its tranquility. ¡­¡­ At the surgical outpatient department, Deputy Chief Physician Zhu Tao attended to a female patient recently diagnosed with pulmonary hydatid disease by Dr. Lin Feng. ¡°Did you go to the emergency department for treatment?¡± ¡°Yes.¡± Zhu Tao examined the reports and forms and noticed a familiar name: Lin Feng. ¡°Did Dr. Lin Feng provide you with these examination forms?¡± ¡°Yes.¡± ¡°What was Dr. Lin¡¯s diagnosis?¡± ¡°Pulmonary hydatid disease¡­ Doctor, is this pulmonary hydatid disease?¡± Zhu Tao nodded, ¡°I also believe it¡¯s pulmonary hydatid disease. This condition requires thoracotomy surgery to remove all the hydatid cysts. Is that alright with you?¡± The female patient agreed, ¡°No problem. I want the surgery as soon as possible.¡± Curious, Zhu Tao asked, ¡°Why didn¡¯t you have the surgery done by Dr. Lin? Why did you come to me?¡± The husband explained, ¡°We feel that having you perform the surgery is safer.¡± S?a?ch* Th? ???el F?re.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. The brother added, ¡°That¡¯s right. Dr. Lin is too young, and we aren¡¯t at ease with him.¡± Zhu Tao sweated inwardly but smiled, ¡°Then go pay the fees and get admitted¡­¡± Payment was made, and the admission was arranged. Fasting, and bowel preparation, all in preparation for the surgery. On the third day, the female patient was wheeled into the operating room, with her husband, brother, father, and mother present. ¡°She should be alright, right¡­¡± ¡°No problem. The surgeon leading the operation is a deputy chief physician and a renowned thoracic surgeon. He has performed many surgeries.¡± ¡°Then I¡¯m relieved.¡± ¡°By the way, I heard it wasn¡¯t him originally?¡± The mother asked curiously. The husband proudly said, ¡°That¡¯s right, initially, it was a young doctor from the emergency department. He looked very young and probably hadn¡¯t performed many surgeries.¡± The brother added, ¡°Exactly. If we had let him perform the surgery, it would have been dangerous. Luckily, we reacted in time.¡± The mother shivered at the thought, ¡°Thank goodness you stopped it. Otherwise, our daughter¡¯s life might have been at stake.¡± The father praised, ¡°You two did well.¡± The female patient with pulmonary hydatid disease inside the operating room was already under general anesthesia. Deputy Chief Physician Zhu Tao opened her chest, exposing the surgical field. A large mass of hydatid cysts became visible in the lower right corner of the lung. They were round and golden, resembling agate or pearls¡ªquite beautiful. Chapter 36 - Special case, expert consultation. Chapter 36: Special case, expert consultation. s?a??h th? ???el F?re.n?t website on G??gl? to access chapters of n?vels early and in the highest quality.Zhu Tao opened the chest cavity, initially not paying much attention, thinking it was just a common hydatid disease. After a thorough examination, he took a sharp breath. ¡°This is big trouble!¡± He began to regret taking on this surgery! But now, in this situation, he could only brace himself and continue. Fortunately, he knew how to perform surgery for this severe disease ¨C a lung disc operation! ¡°Let¡¯s begin¡­¡± The surgery started! One hour¡­ Two hours¡­ Three hours¡­ The family members¡¯ faces gradually changed from relaxation to concern¡­ Four hours¡­ Five hours¡­ The family members started to feel anxious. Inside the operating room, Doctor Zhu Tao was sweating profusely! The surgery encountered a complication because the cyst wall was relatively thin and located deep within the lung, making exposure difficult. He accidentally punctured it. A severe allergic reaction occurred when the cyst fluid leaked into the pleural cavity, leading to shock. After a difficult rescue, a significant amount of cyst fluid had already leaked into other lungs, liver, and bronchi, carrying viable cysts and protoscolices with strong reproductive capabilities. Dr. Zhu Tao frantically tried to remedy the situation, cleansing the area multiple times. Finally, he sighed and said, ¡°This is all I can do.¡± He closed the abdomen, and the surgery concluded, lasting for 8 hours and 34 minutes. At the same time, he wondered, ¡°If it were Lin Feng, could he handle this surgery? Perhaps it would be difficult for him as well?¡± In the emergency department, Nurse Xiao Li received a call from the thoracic surgery department regarding a patient with unexplained syncope. ¡°Hello, this is the emergency department.¡± ¡°Hello, I¡¯m a nurse from the thoracic surgery department. We have an unexplained syncope patient transferred from a lower-level hospital. The thoracic surgery department is organizing triage among various departments. Is Dr. Zhang Yuan and Dr. Lin Feng available?¡± ¡°Alright, let me go and ask Dr. Lin. As for Dr. Zhang Yuan, he went to the lower-level hospital to receive a patient.¡± ¡°Okay, thank you.¡± Lin Feng was currently attending to an elderly woman with a headache. ¡°Dr. Lin, the thoracic surgery department is inviting you for triage. Are you available?¡± ¡°I can go.¡± He promptly finished seeing the patient and left the examination room, walking quickly toward the inpatient department¡¯s thoracic surgery area. The interns behind him looked envious: ¡°Dr. Lin is going for a consultation again¡­¡± ¡°When can we go for consultations?¡± ¡°Probably another seven or eight years from now¡­¡± ¡°Forget about being invited for consultations, even entering the operating room now, doctors give us the cold shoulder, telling us to ¡®stay away and don¡¯t touch me.¡¯ It¡¯s miserable.¡± ¡°That hits hard!¡± The interns cried in the corner, embracing each other for warmth. ¡­¡­ In the inpatient department, thoracic surgery ward. Lin Feng entered the conference room, greeted by numerous gazes. Many doctors had interacted with Lin Feng before and greeted him. Soon, the meeting began. The head of thoracic surgery, Director Chen Changming, opened the slides. ¡°The patient is a 64-year-old female farmer. She was brought to our emergency department by her family due to ¡®repeated syncope episodes over the past two weeks.''¡± ¡°Half a month ago, the patient felt dizzy and blacked out while riding a bicycle to work in the fields. She lost consciousness and fell to the ground. After a few minutes, she regained consciousness but felt chest tightness afterward¡­¡± ¡°At that time, she was taken to the local hospital by her family for examination, including blood tests, biochemistry, CT scans of the head, and electrocardiograms, but no obvious abnormalities were found¡­¡± ¡°Just three hours ago, she fainted again and was brought to our hospital¡­¡± A series of introductions followed: Physical examination upon admission:¡­ Electrocardiogram:¡­ Blood routine findings:¡­ Tumor markers:¡­ Pulmonary artery CTA:¡­ (Several more items were omitted¡­) It took a full 40 minutes to present all the results. Lin Feng read and contemplated, incorporating his vast world-class experience to interpret various reports. The patient¡¯s echocardiography showed filling defects in the main pulmonary artery and the origins of the left and right pulmonary arteries. Lin Feng suspected it was a thrombus formation, especially given the thrombus size. Director Chen Changming clapped his hands, signaling the doctors to share their opinions. Director Qian believed it might be a thrombus. The thoracic surgeon suggested an intraluminal sarcoma of the pulmonary artery. The hepatobiliary surgeon leaned toward pulmonary artery sarcoma but did not exclude thrombus. Based on various symptoms and test results, the cardiovascular specialist thought it was a thrombus. Finally, Lin Feng was asked for his opinion. Lin Feng agreed that it was a thrombus. However, he suggested being prepared for anticoagulation and thrombolysis due to the thrombus¡¯s size and the risk of recurrent syncope or sudden cardiac arrest. He even considered direct thrombolysis as an option. The other doctors found his idea intriguing and couldn¡¯t help but look at Lin Feng with greater respect. They realized Lin Feng had skills and a reputation for a reason. Chapter 37 - Remembering the name even without meeting Chapter 37: A senior from the capital city? Remembering the name even without meetingLin Feng continued, ¡°As we all know, thrombolysis carries significant risks, with approximately 9% of patients experiencing major bleeding, including intracranial hemorrhage¡­ Therefore, we can consider an alternative method, interventional thrombolysis, which offers a more targeted approach and relatively reliable outcomes!¡± Upon hearing this, the Director of the Interventional Department shook their head and said, ¡°No one in our department has performed this type of procedure yet. If we were to do it, we could invite a capital city professor to perform the surgery. It would also be a great opportunity for our Interventional Department to learn.¡± Lin Feng was skilled in interventional procedures at the global level but preferred to keep a low profile for now. Moreover, if they invited a renowned professor from the capital, it would be a good chance to compare their skills. The interventional doctor added, ¡°Interventional surgery and inviting the capital¡¯s expert might be costly. Based on the patient¡¯s information, she appears to be a farmer. I wonder if she would resist the cost¡­¡± Director Chen Changming, with a smile, said, ¡°Please rest assured. This lady is a resident!¡± The doctors exchanged glances, realizing she might be affluent and have no financial issues. As expected, the nurse quickly returned and said the patient agreed to undergo the interventional treatment without any concerns about the cost. ¡°Then it¡¯s settled¡­¡± The meeting adjourned. Three days later, Dr. Qi Guoxing, a top interventional specialist from the Harmony Hospital in the capital, arrived in Peng City with a student by plane. Dr. Qi Guoxing was a renowned interventional expert in the country, and his student, Zhu Zhian, had a high level of talent and was now an attending physician at Harmony Hospital. Dr. Qi asked, ¡°Zhian, is your hometown Peng City?¡± Zhu Zhian replied, ¡°Yes, Professor.¡± Dr. Qi said, ¡°After this surgery, I¡¯ll give you three days off to visit your parents.¡± Zhu Zhian shook his head, ¡°Professor, I¡¯ve already taken seven days off. I¡¯ll be returning to my alma mater on March 1st to give a speech at the Clinical Skills Competition opening ceremony and serve as a judge. I¡¯ll have enough time to see my parents then.¡± At this time, City Hospital No. 1 doctors had been waiting outside the airport to receive Dr. Qi and his team, escorting them to the hospital. On the fourth day, Professor Qi finished evaluating all the patient¡¯s medical records and was ready for the surgery. On the fifth day, the surgery began, drawing the attention of the entire hospital staff. A professor from the capital and the top expert from Harmony Hospital, renowned for their exceptional skills and respected reputation, led to many doctors gathering to witness the surgery. s?a??h th? ?0velF?re.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. ¡°Professor Qi has such an imposing presence when he walks.¡± ¡°That¡¯s the aura of a big shot.¡± ¡°No wonder he¡¯s from Harmony Hospital.¡± ¡°His student looks quite handsome.¡± ¡°But he can¡¯t compare to our Dr. Lin!¡± ¡°Of course not. They¡¯re not on the same level!¡± Zhu Zhian thought to himself, ¡°¡­¡­¡­¡­¡­¡­..¡± With his sharp ears, he naturally overheard what the nearby doctors were saying. Little did I expect to be looked down upon in this small City Hospital No. 1. ¡°Oh, by the way, I heard that Professor Qi¡¯s student is from Pengu University.¡± ¡°Huh? Pengu University? Does that mean he¡¯s Lin Feng¡¯s senior?¡± ¡°Who do you think is better, Qi¡¯s student or Dr. Lin?¡± ¡°Dr. Lin. Even though he¡¯s just an intern, his skills are evident.¡± Zhu Zhian couldn¡¯t help but find it amusing! He deeply engraved the name ¡°Lin Feng¡± in his heart. So, this Lin Feng is an intern? In other words, a fresh graduate. He will return to his alma mater as a judge for the clinical competition. He will look at Lin Feng and see who he is. (Lin Feng: What does this have to do with me!) ¡­ The patient was wheeled into the operating room. Professor Qi, Zhu Zhian, the Thoracic Surgery Chief, ICU staff, the Cardiovascular Department head, and others entered the operating room. The patient was anesthetized. The live broadcast began. The surgery started. Lin Feng rushed from the emergency room and watched the live broadcast outside. ¡°Dr. Lin, I heard that the student and assistant brought by Professor Qi are from your university.¡± ¡°Oh?¡± Lin Feng was surprised for a moment but focused on the surgery¡¯s live broadcast. Interventional treatment: using specialized catheters, guidewires, and other precision instruments guided by medical imaging devices to diagnose and locally treat pathological conditions inside the body. 10 minutes later¡­ Under Professor Qi¡¯s operation, the catheter entered the body from the jugular vein¡­ Then, it took nearly 30 minutes¡­ The catheter advanced through the blood vessels, guided by fluoroscopy, and reached the pulmonary artery through the right heart system¡­ Every step was nerve-wracking! Because if a mistake occurred and the vessel wall of a vein or artery was punctured, it could lead to massive bleeding. Lin Feng observed and compared. ¡°Professor Qi¡¯s skills are remarkable, clearly at a world-class level!¡± ¡°But he¡¯s no match for me!¡± (Professor Qi: ¡°?????¡±) Chapter 38 - Recurrent Vomiting in a Girl with an Unknown Cause Chapter 38: Recurrent Vomiting in a Girl with an Unknown CauseInterventional surgeries are known for their meticulous nature and time-consuming procedures. Lin Feng, watching the live surgery broadcast, furrowed his brows when he saw the catheter being forcefully inserted, resulting in a blood vessel puncture. The screen filled with the spreading mist of blood, and chaos erupted in the operating room. Despite the mistake, Professor Qi showcased his skills by quickly sealing off the vessel since the damage was not severe and the wound was small. S?a??h th? N0v?lFir?.?et website on G??gl? to access chapters of n?vels early and in the highest quality. However, this error caused a delay of over an hour. It took nearly three hours for the catheter to finally reach the site of the blood clot. The next step involved inserting the thrombectomy device. A small amount of contrast agent was injected to confirm its position, followed by the gradual suctioning of thrombus fragments while maintaining negative pressure inside the catheter. The entire process remained complex and slow. Hours passed by¡ª4 hours, 5 hours¡ªand some of the observing doctors began to feel bored and left, having other tasks and responsibilities to attend to. Professor Qi continued repeating the process of extracting the thrombus until a sufficient amount had been cleared. The grueling surgery had already consumed 7 hours and 32 minutes. However, the relentless efforts paid off, as the enormous blood clot was completely cleared. As an observer, Lin Feng reflected on the procedure in his mind. ¡°Professor Qi¡¯s skills are indeed impressive,¡± he thought. ¡°He can be on par with me or slightly inferior.¡± Lin Feng acknowledged Professor Qi¡¯s abilities, recognizing that they were comparable to his own or perhaps slightly below. Despite any initial doubts or competition, Lin Feng now had a newfound respect for Professor Qi¡¯s expertise in interventional surgery. Upon hearing the doctor¡¯s remarks about an intern named Lin Feng from Soy Sauce University who had performed a remarkable surgery, Professor Qi and Zhu Zhian were taken aback. The story of Lin Feng¡¯s exceptional skills and life-saving intervention on a critically injured patient struck them with surprise and disbelief. The doctors continued to praise Lin Feng¡¯s remarkable abilities, emphasizing the gravity of the situation¡ªthe head of the emergency department had been stabbed three times in the heart, resulting in extensive bleeding of over 2000 milliliters. It was only thanks to Dr. Lin¡¯s swift and proficient actions that the head of the emergency department survived. The words hung in the air, challenging Zhu Zhian¡¯s preconceived notions about Lin Feng¡¯s capabilities as an intern. The contrast between his arrogance and the praise being showered on Lin Feng was stark. He couldn¡¯t help but feel a pang of envy and a touch of self-doubt. Professor Qi, known for his expertise and discernment, also couldn¡¯t ignore the acclaim surrounding Lin Feng. He was taken aback by the unexpected revelation, which forced him to reevaluate his earlier assumptions about Lin Feng¡¯s skills. The evidence of Lin Feng¡¯s remarkable talent and life-saving capabilities left a lasting impression on both Professor Qi and Zhu Zhian. At that moment, Zhu Zhian¡¯s arrogance wavered, replaced by a newfound respect for Lin Feng¡¯s abilities. The encounter served as a humbling reminder that talent could emerge from unexpected places, even from those who were initially dismissed or overlooked. In the emergency department, Lin Feng returned to his duties, resuming his role as an intern. He entered the consultation room and switched on the number-calling device, ready to attend to the patients waiting to be seen. Meanwhile, Professor Qi¡¯s skepticism grew as he questioned the credibility of the hospital¡¯s claims about Lin Feng¡¯s remarkable intervention. His past experiences with hospitals exaggerating their abilities and resorting to deception had made him wary. Without any video evidence, he couldn¡¯t fully trust the accounts of the extraordinary surgery performed by Lin Feng. Feeling disappointed and suspicious, Professor Qi decided to decline the invitation for a meal with the director of City Hospital No. 1. His impression of the hospital had considerably diminished, and he felt it was better not to indulge in any further engagement with an institution he perceived as potentially deceptive. The director of City Hospital No. 1 was left confused by Professor Qi¡¯s sudden cancellation. The reason behind the change of plans was unknown to him, adding to his confusion. Meanwhile, Lin Feng focused on his responsibilities in the emergency department, attending to the patients in need of medical attention. Lin Feng attentively listened to the woman¡¯s description of her daughter¡¯s condition, understanding the desperation and frustration she felt after a year of visiting multiple hospitals without finding a diagnosis. He could see the love and concern in the mother¡¯s eyes as she held her daughter close. Considering the symptoms of severe vomiting, dizziness, and disorientation, Lin Feng¡¯s mind started racing through the potential underlying causes. He considered a wide range of possibilities, including oral issues, food allergies, gastroesophageal reflux, gastritis, diabetic ketoacidosis, gastrointestinal abnormalities, encephalitis, and brain tumors, among others. The list was extensive, and each potential cause required careful consideration. Lin Feng¡¯s interest was piqued by the complexity and challenges posed by the case. Unusual and difficult cases often present opportunities for growth and learning in the medical field. As a doctor, he found himself drawn to such cases, as they not only provided a chance to help the patients but also offered a chance to expand his knowledge and expertise. With determination in his eyes, Lin Feng assured the woman that he would do his best to find a solution for her daughter¡¯s condition. He also mentioned that, if needed, he would consult the deputy director from the emergency department to ensure comprehensive care. The woman, still uncertain but willing to give it a try, agreed to let Lin Feng proceed with the examination. She trusted the nurse¡¯s words and hoped that this young doctor would be able to provide some answers and relief for her daughter¡¯s suffering. Lin Feng, with a mix of empathy and determination, urged the woman to provide more details about her daughter¡¯s symptoms, medical history, and any potential triggers or patterns associated with the episodes of severe vomiting. He was ready to delve into the case and embark on a journey to uncover the underlying cause of the girl¡¯s condition. Chapter 39 - Class group chat Chapter 39: Class group chat¡°Lie down on the bed. I¡¯ll perform an examination,¡± Lin Feng said. First, he conducted a thorough physical assessment from head to toe on the little girl. He found no abnormalities, only noting that she seemed lethargic and had a pale complexion. After spending an additional half-hour reviewing the girl¡¯s extensive medical records, Lin Feng realized that every hospital had conducted numerous tests but couldn¡¯t identify the cause. ¡°Auntie, these examination reports are from three months ago and won¡¯t be useful for diagnosing the current situation. Would you consider taking your child for more tests?¡± Lin Feng asked, concerned that some parents might resist these tests due to the cost. S~?a??h the N0??F?re.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. ¡°No problem, don¡¯t worry about the money,¡± the aunt replied generously. Lin Feng then ordered a series of tests covering all possible examinations, including urinalysis, complete blood count, cranial MRI, EEG, and gastrointestinal endoscopy. The aunt took her child for the tests without hesitation. In the afternoon, Lin Feng stayed overtime for an additional half-hour to finish examining the last patient. At that moment, the aunt returned with the little girl, holding a stack of test reports. ¡°Doctor, please take a look,¡± she said. Lin Feng sighed, realizing he would be delayed by an hour again. Doctors have no power, huh? ¡°Let me look,¡± Lin Feng said as he examined the test reports. The complete blood count and urinalysis were normal, and the cranial MRI showed no issues, ruling out brain tumors or hemorrhages. The EEG was also normal, eliminating neurological disorders like epilepsy. Endocrine and genetic metabolic diseases were also tested, and no abnormalities were found in lactate, organic acids, etc. Ten minutes later, Lin Feng carefully reviewed all the reports. He furrowed his brow as he looked at the adorable little girl in front of him. ¡°Why is she vomiting?¡± Lin Feng wondered. ¡°This is incredible!¡± He muttered. With Lin Feng¡¯s extensive experience, he couldn¡¯t find any problems. ¡°Doctor, is there any solution?¡± the aunt asked hopefully. ¡°I¡¯m sorry, but I couldn¡¯t find any problems either,¡± Lin Feng replied. Seeing the disappointment on the aunt¡¯s face, Lin Feng felt sympathetic and said, ¡°Auntie, how about this? Tomorrow, I¡¯ll seek approval from my superiors and apply for an MDT for your daughter. It stands for Multidisciplinary Team, where experts from various departments, such as surgery, oncology, radiation therapy, radiology, pathology, and others, come together to diagnose your daughter¡¯s condition. What do you think?¡± The aunt¡¯s eyes brightened upon hearing this. The aunt looked at Lin Feng with gratitude. ¡°Thank you, doctor! Thank you, doctor!¡± ¡°Thank you, Uncle, ~~~¡± The young girl suddenly expressed gratitude to Lin Feng. Lin Feng quickly responded, ¡°You¡¯re welcome. We will do our best to help find the cause for your daughter.¡± The aunt repeatedly expressed her thanks and then left with her daughter. After work, Lin Feng returned to his dormitory. While taking a shower, he pondered over this unusual case. After the shower, Lin Feng searched online but found no valuable information. Lin Feng thought for a moment. In the class group, he shared this case, hoping that his classmates, who had diverse perspectives, might offer some new insights. ¡°Sharing a medical case: Today, I encountered a patient experiencing recurrent vomiting every two to three months for the past year. We have conducted physical examinations and various tests, but we couldn¡¯t find the cause¡­ (Attachment: .rar file) ¡­ ¡± ¡°Welcome, classmates, to assist with the diagnosis¡­¡± The group quickly became lively. ¡°Such an unusual case?¡± ¡°Let me take a look¡­¡± Downloading +1 +1 +1 +1 +1 +1 +1¡­ ¡°, the tests are more comprehensive than I expected. Why haven¡¯t they found the cause despite all these tests?¡± ¡°It¡¯s remarkable; I¡¯ve never heard of such a condition.¡± ¡°After reviewing all the tests, I realized I don¡¯t understand it either.¡± ¡°@Class Monitor Shen Qiu and @Deputy Class Monitor Feng Yuya, come out! There¡¯s a case here. Let¡¯s see if you geniuses can uncover the mystery.¡± The group continued to buzz with activity. Messages flooded in, reaching 99+¡­ Class Monitor Shen Qiu: ¡°I¡¯m sorry, I can¡¯t identify any issues. It¡¯s a perplexing case.¡± Deputy Class Monitor Feng Yuya: ¡°I can¡¯t see anything either¡­ I¡¯ll forward the details to my supervising physician, the Chief Physician of the Gander Hospital¡¯s Gastroenterology Department. Maybe he can provide some insights.¡± Class Monitor Shen Qiu: ¡°I¡¯ll share it with my teacher, the Chief Attending Physician in the Emergency Department. This case is intriguing and worth studying.¡± Both of them were competitive. While being modest, they subtly showcased their expertise. Classmates praised them. ¡°Class Monitor, Deputy Class Monitor, you¡¯re amazing. Your supervising doctors are chief-level physicians, unlike us, who are just resident doctors, inexperienced.¡± ¡°Interns have no power, sob ~.¡± ¡°Class Monitor, Deputy Class Monitor, let¡¯s not forget each other when we become rich and successful in the future.¡± Deputy Class Monitor Feng Yuya: ¡°Haha, as long as we work hard, we can find good hospitals after graduation.¡± Class Monitor Shen Qiu: ¡°That¡¯s right. And there¡¯s the upcoming National Clinical Skills Competition. Let¡¯s all strive to perform well.¡± Lin Feng read through the entire conversation. He broke out in a cold sweat~~~ Indeed, these people were unhelpful and seemed more interested in showing off in the group. Suddenly, a classmate with keen eyes noticed something. ¡°Hey, Lin Feng, why is your name written on these test orders¡­ Did you write these test orders?¡± ¡°Oh? Is that so?¡± ¡°Let me see.¡± Chapter 40 - Found the Cause: Psychiatry! Chapter 40: Found the Cause: Psychiatry!¡°One statement startled everyone from their reverie! Others promptly opened the medical record to examine it. ¡®Wow, is this for real, Lin Feng?¡¯ ¡®Do you have such a confident supervising doctor?¡¯ ¡®I tried to prescribe once, but my resident supervisor scolded me. It was miserable!¡¯ ¡®Same here, it¡¯s disheartening! Interns have no privileges!¡¯ ¡®Lin Feng, did your supervising doctor take it easy on you? Allowing you to prescribe?¡¯ ¡®I envy Lin Feng.¡¯ A group of classmates were astonished. At the university cafeteria. Class monitor Shen Qiu savored his meal while proudly browsing the group chat. Engaging in daily casual conversations was his delight. Because whenever he appeared, his classmates would heap praise on him incessantly. Compliments kept pouring in, and he reveled in it! Glancing at the chat, even the cafeteria¡¯s lackluster food seemed appetizing. Suddenly, his face froze. ¡°What? Lin Feng has started prescribing on his own. Unbelievable! I, Shen Qiu, consistently ranked top in the class every year, was valued by teachers, recommended for further studies at Duck University, and even personally guided by the chief physician¡­ I¡¯m the epitome of a prodigy template! But now¡­ I haven¡¯t even prescribed it once! At that moment, Shen Qiu found his meal no longer appetizing. Not far away, Feng Yuya, sitting next to the supervising physician, glanced at the class group chat with beautiful eyes. Suddenly, even she lost her appetite. She was surpassed by a classmate with average grades. At that moment, Wang Qiang, lurking in the class group chat, finally spoke up. ¡°Lin Feng is amazing now. Last time, in our hospital, we had a case of fulminant myocarditis in a young boy. Our hospital lacked the capability, so we needed support from City Hospital. At that time, Lin Feng accompanied the director of ICU from City Hospital to our hospital.¡± ¡°What¡¯s more important is that Lin Feng is from the emergency department, not the ICU, yet the ICU director took him to other hospitals¡­ you guys can imagine the implications¡­¡± Wang Qiang didn¡¯t like the pretentiousness of class monitor Shen Qiu and Feng Yuya, so he couldn¡¯t resist speaking up and boosting the low-key Lin Feng. As expected, after hearing Wang Qiang¡¯s words, the classmates were shocked. ¡°Oh wow, Lin Feng is so impressive?¡± ¡°Did Lin Feng catch the attention of the ICU big shot?¡± ¡°Lin Feng is going places!¡± ¡°Lin Feng is incredible!¡± Lin Feng looked at the chat filled with compliments and thought, ¡°If only you knew that I¡¯m already officially practicing and seeing patients. Wouldn¡¯t you be astonished?¡± ¡°If only you knew that I¡¯ve started performing surgeries, wouldn¡¯t you be amazed?¡± Class Monitor Shen Qiu said, ¡°@Lin Feng, congratulations! Each department director is a remarkable person. Being valued by them means a promising future. Keep up the good work!¡± Vice Class Monitor Feng Yuya added, ¡°@Lin Feng, have you registered for the Clinical Skills Competition for college students? Let¡¯s support each other!¡± Lin Feng replied, ¡°@Class Monitor Shen Qiu, @Vice Class Monitor Feng Yuya, I¡¯ve already registered. See you at the competition.¡± Class Monitor Shen Qiu asked, ¡°Lin Feng, you¡¯re from Peng City Hospital, right? I heard Senior Zhu Zhi¡¯an went to your hospital for a complex surgery. Did you see him?¡± Lin Feng replied, ¡°I witnessed Professor Qi¡¯s impressive surgery, but I didn¡¯t see Senior Zhu outside the operating room.¡± Class Monitor Shen Qiu remarked, ¡°That¡¯s a missed opportunity.¡± Lin Feng thought, ¡°I missed an opportunity?¡± Feng Yuya said, ¡°@Lin Feng, I asked my mentor about this patient, and he said he had diagnosed them. The patient came to the hospital two months ago, and the attending doctor initiated a consultation, but they couldn¡¯t find the cause in the end¡­¡± Classmates reacted with surprise, ¡°Wow really? Duck University Hospital couldn¡¯t handle it?¡± ¡°So many experts couldn¡¯t figure it out during the consultation. Is this illness so mysterious?¡± ¡°This medical record can become a hidden treasure?¡± Lin Feng was disappointed that even Duck University Hospital couldn¡¯t find the cause during the consultation. He thought, ¡°Does that mean the consultation at City Hospital won¡¯t be helpful either?¡± Lin Feng furrowed his brow and decided to focus on his work. The next day, he continued his work as usual, signing in using the attendance system. [¡­ 200th-day checked-in. Reward: ¡°Clinical experience from a renowned psychiatrist¡±!][¡­ Completing 200 consecutive check-ins. Reward: Passive Ability ¨C ¡°Vigorous Stamina,¡± +100% stamina¡­] Lin Feng was delighted with the rewards, especially the +100% stamina boost, which would be valuable for his demanding job. After breakfast, he prepared for another day of consultations. As he entered the emergency department, he had completely absorbed the ¡°Clinical experience from a renowned psychiatrist.¡± A woman with a young girl approached him urgently, the same mother and daughter from yesterday. ¡°Doctor, you¡¯re here! I don¡¯t know about the consultation you mentioned yesterday¡­¡± She looked at Lin Feng with hope in her eyes. Lin Feng reassured her, ¡°Don¡¯t worry, I¡¯ll find out immediately¡­¡± Suddenly, a bright idea flashed through Lin Feng¡¯s mind. ¡°Oh my goodness! I think I know why your daughter has been vomiting!¡± The ¡°Clinical experience from a renowned psychiatrist¡± had given him a clue. S~?a??h the ?ov?l?ir?.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Indeed, it was related to psychiatry! Chapter 41 - Special Case: Cyclical Vomiting Syndrome! Chapter 41: Special Case: Cyclical Vomiting Syndrome!¡°Doctor, have you found the reason?¡± The woman looked at Lin Feng with joy, excitement, and disbelief. She had searched all the top hospitals in the province but hadn¡¯t found the cause. Unexpectedly, she found a glimmer of hope at City Hospital. ¡°Auntie, please calm down for now¡­¡± Lin Feng didn¡¯t provide a direct answer but asked detailed questions about the little girl¡¯s condition. The little girl is a left-behind child. Her aunt and husband work in Peng City, while she lives in the rural mountainous area of northern Guangdong with her grandmother.The little girl performs well academically and seems to be an achiever. She excels when encouraged.Every time the little girl vomits, it happens in her hometown and has never occurred in the city. ¡­ He asked many questions. Lin Feng spent nearly an hour, filling several pages with notes. The aunt remained patient because she understood that the more thorough Lin Feng¡¯s inquiries were, the higher the chances of finding a cure. Two hours later¡­ Lin Feng finished the questioning and printed a ¡°Child Psychological Assessment Test.¡± He asked the aunt to have the little girl fill it out. There were 28 questions, and it took 20 minutes for the little girl to complete them diligently. After analyzing the test results, Lin Feng¡¯s mind finally settled. The cause is ¡°Cyclic Vomiting Syndrome¡±! Anxiously, the aunt asked, ¡°Doctor, how is it? Did you find the cause?¡± Lin Feng nodded and said, ¡°Yes, I found it. The reason is your husband¡¯s phone calls¡­ Your daughter has a strong personality, enjoys praise, and has an achiever personality. She is resistant to criticism¡­ Your husband calls and scolds her once her academic performance declines, leading to vomiting episodes¡­¡± Lin Feng smiled at the little girl, saying, ¡°Little sister, am I right?¡± The little girl hesitated for a moment and nodded. The aunt stood stunned, ¡°Is it possible? Vomiting just because of a phone call?¡± She couldn¡¯t accept it! She felt that Lin Feng was trying to fool her. However, Lin Feng wasn¡¯t deceiving her. In a ¡°clinical experience of a certain world-renowned psychiatrist,¡± there were three cases of this condition. Lin Feng shared these three cases with the aunt. ¡°I never expected¡­ it¡¯s because of this¡­¡± The aunt¡¯s face was filled with pain, guilt, and regret. She regretted being too strict with her daughter and not stopping her husband. She looked at Lin Feng eagerly, ¡°Doctor, is there any way to treat it?¡± Lin Feng replied, ¡°This condition is a bit challenging. First, you shouldn¡¯t let your husband make phone calls anymore. If possible, come back home personally and avoid criticism. Encourage her instead, and don¡¯t make your daughter feel anxious¡­ Additionally, she needs to receive psychological counseling from a mental health professional to address and correct the underlying issues¡­¡± The aunt nodded repeatedly, ¡°This time, I won¡¯t let my husband treat our daughter like that anymore¡­¡± Lin Feng said, ¡°As for the vomiting, I will prescribe some medication. She can take it if vomiting occurs, but it only treats the symptoms and not the root cause¡­ The fundamental solution lies in parental love.¡± The aunt said, ¡°Thank you, doctor, thank you!¡± She hugged the little girl and cried. ¡°Mom and Dad are sorry, my dear~~~¡± Soon, Lin Feng prescribed the medication, the aunt received it, and they left with the little girl. An hour later, they met the father who had just finished work. ¡°Caused by my phone calls? Ridiculous, what a quack doctor!¡± After hearing the diagnosis, the father became furious. He felt it was absurd! ¡°, I don¡¯t believe this ridiculous reason¡­ How about this? Let¡¯s go to another doctor to verify it!¡± ¡°Alright, if it is the cause, you can¡¯t be so harsh on our daughter in the future!¡± ¡°Naturally, she¡¯s my precious daughter!¡± ¡­ An hour later, the couple, accompanied by the little girl, went to another top-tier hospital, Peking University Hospital, and got an appointment with a specialist. This hospital was the most famous and well-equipped in Peng City. After reviewing the medical records and examination results, the senior professor was also puzzled. He had never seen such a strange illness before. At this moment, the aunt couldn¡¯t help but say, ¡°Doctor, earlier in the morning at City Hospital, the doctor who saw us mentioned that it could be ¡®Cyclic Vomiting Syndrome¡¯¡­¡± She explained it in detail. The senior professor exclaimed, ¡°Oh, I think I¡¯ve heard of this¡­ Wait, I remember! A few days ago, my student called me and mentioned this condition!¡± The husband exclaimed, ¡°Doctor, is such a condition true?¡± The senior professor nodded, ¡°Indeed, there are cases like this. It is said that there have been three cases in Beacon Country.¡± The aunt nodded repeatedly, ¡°Yes, the doctor there mentioned these three cases to me!¡± The senior professor chuckled, ¡°What a coincidence.¡± Encountering such a case, the senior professor was also interested. He immediately called his student¡¯s phone in Beacon Country and discussed the little girl¡¯s case. S?a??h the N?v?lFir?.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Twenty minutes later¡­ After hanging up the phone, the senior professor told the couple, ¡°It can probably be confirmed that it is indeed this condition.¡± The husband fell silent. The guilt in his heart made tears well up uncontrollably. He remembered his daughter¡¯s repeated vomiting and her serious illnesses¡­ It was all because of himself, causing his daughter so much suffering!! He swore that he would never scold his daughter again and would make up for his past mistakes! ¡°By the way,¡± the senior professor became curious, ¡°What¡¯s the name of the doctor who made the diagnosis at City Hospital?¡± Without hesitation, the aunt replied, ¡°His name is Lin Feng, a very young doctor, and I think he¡¯s still an intern.¡± The senior professor fell silent. However, he remembered the name. Chapter 42 - Young People with Myocardial Infarction~~ Chapter 42: Young People with Myocardial Infarction~~ ¡°Good evening. Class group chat. Class Monitor Shen Qiu: ¡°@Lin Feng, I apologize for making you wait over ten hours. Regarding your case, my teacher just got back to me, suggesting that there may be more possibilities related to digestive issues, and recommending a more detailed examination.¡± Lin Feng was reading information about ¡°Cyclic Vomiting Syndrome¡± from Beacon Country, which took him a while to find. After a moment of searching, he found it. His phone vibrated. Lin Feng glanced at the group chat message from Shen Qiu. After some thought, Lin Feng replied, ¡°Thank you, Class Monitor, for your assistance¡­ However, I¡¯ve already reached a diagnosis, and it¡¯s not related to digestion but rather a psychiatric condition called ¡®Cyclic Vomiting Syndrome.''¡± Lin Feng¡¯s response sent shockwaves through the entire class. ¡°What? You have a diagnosis!¡± ¡°Cyclic Vomiting Syndrome? I¡¯ve never heard of it.¡± ¡°A psychiatric condition causing vomiting?¡± ¡°Wait¡­ Lin Feng, be careful not to jump to conclusions; you might trigger medical disputes!¡± There was shock, skepticism, and discouragement in the chat¡­ At that moment, class monitor Shen Qiu was on his way back to the hospital with his supervising doctor. When Shen Qiu saw the messages in the group chat, he couldn¡¯t hold back. ¡°Doctor¡­¡± ¡°Yes?¡± The supervising doctor, Wu Xiaodong, squinted his eyes, half asleep. ¡°Regarding my classmate¡¯s little girl who had vomiting episodes, he mentioned a possibility, ¡®Cyclic Vomiting Syndrome,¡¯ a psychiatric condition.¡± ¡°¡®Cyclic Vomiting Syndrome¡¯? A psychiatric condition?¡± Wu Xiaodong furrowed his brows, ¡°Nonsense, how could it be related to psychiatry?!¡± After saying that, he closed his eyes and rested, clearly not wanting to engage in further conversation with Shen Qiu. Shen Qiu felt awkward and didn¡¯t say anything more. In the class group chat, he appeared brilliant and talented, someone the hospital ¡°valued,¡± but only he understood the bitterness of being an ¡°intern.¡± The next day, a typhoon formed over the sea and moved over 2,000 kilometers, approaching the coastal areas of Lingnan. The sky over Peng City quickly turned stormy, and heavy rain poured down. The dark sky. This weather significantly reduced the number of patients coming to the hospital. The emergency department, usually bustling with activity, also became quiet. It continued until the afternoon. A young, thin man braved the pouring rain as he entered the emergency room entrance. Rainwater streamed down along his umbrella. ¡°Heart pain?¡± S?a??h the N?velF?re.?et website on G??gl? to access chapters of n?vels early and in the highest quality. Nurse Xiao Li, upon hearing that, instinctively directed the patient to Lin Feng¡¯s area. No doctor understands this condition better than Lin Feng. The young man entered Lin Feng¡¯s consultation room and sat down. Lin Feng glanced at the medical record. Male, 20 years old. ¡°What¡¯s going on?¡± Lin Feng asked. ¡°Doctor, I have chest pain,¡± the young man replied. ¡°Chest pain?¡± Lin Feng¡¯s expression became serious. ¡°Is it superficial or deep?¡± The young man casually replied, ¡°It¡¯s deep, on the left side¡­¡± Isn¡¯t that related to the heart? Lin Feng became instantly alert. ¡°How long have you had this pain?¡± ¡°For about six hours,¡± the young man answered. ¡°Six hours!¡± Lin Feng was shocked. Chest pain for six hours! It could be life-threatening if it¡¯s heart-related, like a blood clot! The young man scratched his head and said, ¡°I couldn¡¯t come earlier due to the heavy rain.¡± Lin Feng didn¡¯t have time for a detailed consultation. There are many causes of chest pain, and Lin Feng could think of a dozen. But he remembered what his teacher had emphasized in school: for patients with chest pain, always prioritize an electrocardiogram (ECG) and measure blood pressure in both arms! This was the experience of countless emergency workers! Lin Feng called the nurse and began performing an emergency ECG. The results came out quickly. ¡°Doctor, how is it?¡± the young man asked, now realizing the seriousness of the situation. Lin Feng furrowed his brow and said, ¡°The ECG diagnosis is acute myocardial infarction¡­ You need to call your parents immediately!¡± ¡°What?¡± The young man was shocked. ¡°Doctor, could the diagnosis be wrong?¡± Lin Feng shook his head. ¡°I¡¯m sorry, but the ECG is highly specific and sensitive for diagnosing myocardial infarction¡­ If it diagnoses you with a myocardial infarction, it¡¯s unlikely to be wrong.¡± The young man turned pale. ¡°Doctor, am I going to die?¡± Lin Feng reassured him, ¡°Don¡¯t worry, if it¡¯s a myocardial infarction, you won¡¯t die with me here.¡± The young man looked at Lin Feng¡¯s youthful face but didn¡¯t find much comfort. Chapter 43 - Interventional Department seeks assistance. Chapter 43: Interventional Department seeks assistance.Lin Feng carefully explained acute myocardial infarction to the young man. ¡°Our coronary arteries are blocked acutely, causing the heart muscle to die due to insufficient blood supply and impaired cardiac function. This is a potentially life-threatening acute condition.¡± ¡°But wait, Doctor, how could I have a heart attack out of nowhere? I¡¯ve been working regularly, not engaging in strenuous activities or arguments¡­¡± The young man found it hard to believe. ¡°There are many causes of a heart attack; even staying up late can contribute¡­¡± ¡°Staying up late? Yes, I stayed up late for three days playing games with friends¡­¡± ¡°That could be a contributing factor.¡± While speaking, Lin Feng prescribed medication and had the nurse administer nitroglycerin tablets and aspirin to the young man, stabilizing his condition temporarily. Then, Lin Feng arranged for further tests, including blood sampling, cardiac marker laboratory tests, coronary angiography, and echocardiography. Lin Feng made an urgent call to the laboratory, and half an hour later, all the results were available. Among them, the cardiac troponin (cTn) level was significantly elevated, confirming a myocardial infarction. ¡°It¡¯s a heart attack!¡± ¡°Doctor, what should I do now?¡± the young man asked nervously. At that moment, the young man¡¯s parents arrived at the hospital, and Lin Feng briefed them on the situation. ¡°What?¡± ¡°Myocardial infarction?¡± The parents were bewildered. Father: ¡°Doctor, are you sure it¡¯s not a mistake? How is this possible? He has been working regularly without any other issues!¡± Lin Feng shook his head seriously. ¡°We conducted several types of examinations, all confirming that he has a myocardial infarction. It¡¯s a very dangerous condition. He¡¯s already at death¡¯s door, so we can¡¯t delay. He needs surgery immediately.¡± Father: ¡°I just looked it up on the internet, and it says that patients with acute myocardial infarction can undergo thrombolysis¡­ no need for surgery¡­¡± Lin Feng sighed in frustration. ¡°Thrombolysis is only suitable for myocardial infarctions that have occurred within three hours. The problem is, your son has been experiencing symptoms for more than six hours, so thrombolysis is not appropriate.¡± Mother: ¡°May I ask who will perform the surgery?¡± Lin Feng replied, ¡°For myocardial infarction, interventional surgery is the most effective and least invasive approach. I can perform the procedure.¡± The parents looked at Lin Feng skeptically, their faces filled with distrust. Mother whispered, ¡°Honey, should we change doctors and seek a specialist, find someone more experienced¡­¡± Father nodded, ¡°Alright, let¡¯s go and make an appointment immediately.¡± And they hurriedly went to register. Lin Feng: ¡°¡­¡­¡­¡­¡­.¡± At this moment, Lin Feng was worried about whether this young man could hold on until the next doctor¡¯s diagnosis and surgery because time was of the essence. ¡­ Ten minutes later, Dr. Zhang, the director of the Interventional Department, took over the case today since there were fewer patients, and the condition was urgent. He started examining the young man. ¡°The emergency department provided the results? Myocardial infarction?¡± ¡°Yes, Doctor¡­ that doctor also said he could perform the interventional surgery.¡± ¡°What? A doctor in the emergency department can perform interventional surgery?¡± Dr. Zhang was momentarily stunned. ¡°Lin Feng¡­ but I thought he looked too young, so I came to you¡­¡± ¡°Lin Feng can do it?¡± Dr. Zhang¡¯s voice increased eightfold! He was dumbfounded! If Lin Feng himself said he could perform interventional surgery, he should be able to! But¡­ where did Lin Feng learn interventional surgery? Did he learn it just by ¡°reading books and watching videos¡±? Dr. Zhang felt that his brain was not enough. ¡°Let me see the test reports¡­¡± One minute later, Dr. Zhang¡¯s tone turned serious, ¡°Dr. Lin¡¯s diagnosis is correct. It is myocardial infarction¡­ proceed with the surgery. Speed is crucial to prevent any delay in the patient¡¯s condition. Go and complete the admission and payment procedures immediately.¡± The father repeatedly nodded, ¡°I¡¯ll do it right away.¡± Since it was an interventional surgery, it didn¡¯t require as many complicated preoperative preparations as open surgery. Moreover, the chances of survival significantly decrease if the time since the onset of myocardial infarction exceeds 6 hours. Unfortunately, in the case of this young man, it has already been nearly 7 hours. ¡­ Ten minutes later, in the cardiac catheterization laboratory, the surgery began! Dr. Zhang personally performed the procedure because it was too urgent, and he had the highest confidence in his skills. Incision¡­ Inserting the catheter, advancing it through the veins towards the heart¡­ One hour passed¡­ Two hours passed¡­ ¡­ Lin Feng lazed around in the emergency department, picking up a medical journal to read. Ring, ring, ring~~~ The sound of the nurse¡¯s station phone suddenly rang. S?a?ch* Th? N?v?l(F)ire.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Nurse Xiao Li answered, ¡°Hello, this is the emergency department.¡± ¡°This is the cardiac catheterization laboratory. Please ask Dr. Lin to come to the cath lab¡­ It¡¯s an emergency¡­¡± The voice on the other end sounded urgent, indicating a major issue. Xiao Li shouted, ¡°Dr. Lin, they¡¯re calling you from the cardiac catheterization lab¡­ It¡¯s urgent¡­¡± Lin Feng¡¯s heart skipped a beat. Did something go wrong with that patient¡¯s surgery? Without hesitation, Lin Feng called for the supervising physician, Zhang Yuan, and rushed toward the cardiac catheterization laboratory. Zhang Yuan: ¡°¡­¡­¡­¡­¡± Chapter 44 - The shocking surgery that stunned the Entire Interventional Department Chapter 44: The shocking surgery that stunned the Entire Interventional Department¡°10 minutes later, Lin Feng arrived at the cardiac catheterization lab. Outside the door, there was chaos. Nurses and doctors were rushing in and out of the operating room. The young man¡¯s parents outside had pale faces, filled with worry. Lin Feng swiftly passed by them and entered the operating room. Inside, there was a large screen displaying the live surgery footage. A transparent heart with a network of blood vessels and a guidewire attempting to advance was visible on the screen. Lin Feng immediately noticed signs of blood vessel rupture inside, indicating they had been punctured and sealed. Dr. Zhang, the chief surgeon and director of the Interventional Department, was sweating profusely, and a nurse was continuously wiping his brow. ¡°This blood vessel won¡¯t work. It¡¯s too narrow with sharp turns. The guidewire can¡¯t pass through,¡± he muttered. ¡°It¡¯s over; I¡¯ve destroyed all the feasible pathways,¡± he lamented. ¡°It has already been three hours; the longer it takes, the more severe the patient¡¯s condition becomes,¡± he added. Erdao spotted Lin Feng and said, ¡°Director, Dr. Lin is here.¡± Dr. Zhang was delighted, seeing Lin Feng standing not far behind him. ¡°Dr. Lin!¡± he exclaimed. ¡°Director Zhang,¡± Lin Feng responded. ¡°You said you can perform interventional surgery?¡± Dr. Zhang inquired. ¡°I can,¡± Lin Feng replied. ¡°To what extent?¡± Dr. Zhang asked. ¡°To a significant extent,¡± Lin Feng answered. Dr. Zhang looked at Lin Feng expectantly, hoping for him to demonstrate his surgical prowess as in previous surgeries. ¡°I¡¯ll do my best, but I can¡¯t guarantee anything,¡± Lin Feng cautioned. ¡°Play back the surgery process.¡± Dr. Zhang instructed the nurse to play back the process, and Lin Feng carefully watched, constructing a mental 3D model of the heart with all damaged and undamaged pathways. ¡°This Dr. Zhang¡¯s skills seem a bit lacking,¡± Lin Feng remarked after watching the surgery. ¡°But it¡¯s somewhat expected, considering that the medical level in Peng City is far behind the provincial capital, not to mention the Imperial Capital or the Beacon Country. My standards are global, so naturally, I find Dr. Zhang¡¯s interventional skills subpar.¡± Lin Feng shook his head and chuckled.¡± Beside him, Zhang Faxing asked, ¡°How is it?¡± Lin Feng nodded, ¡°Although all the pathways have been destroyed, there are a few that I think we can still try¡­¡± Lin Feng¡¯s skills were world-class, so his expertise in handling the procedure naturally surpassed that of Zhang Faxing. Just because Zhang Faxing couldn¡¯t navigate certain pathways didn¡¯t mean Lin Feng couldn¡¯t. Zhang Faxing was delighted, ¡°Really?¡± Perhaps this was the only good news he had heard today. Lin Feng washed his hands, wore his surgical gown, and donned gloves. The surgery began! Could Dr. Lin Feng save this operation? Soon, the expressions of everyone present began to turn astonished! It was too fast! Lin Feng¡¯s speed in threading the guidewire through the blood vessels was astonishingly fast! Like a nimble earthworm, he maneuvered through the blood vessels, yet not even a fraction of the vessel wall was damaged, and no blood leaked out! This speed was more than five times faster than Dr. Zhang Faxing¡¯s interventional speed! Zhang Faxing stared at Lin Feng as if he had seen a ghost. He thought that even if Lin Feng ¡°knew¡± interventional surgery, at most he would be on par with himself, maybe at a five-story level, right? But the result was different! Lin Feng wasn¡¯t just at the five-story level! He was at the ten-story level! It seemed he had surpassed Professor Qi¡¯s level! ¡°What kind of monster is he?¡± ¡°He can be so skilled just by reading books and watching videos?¡± ¡°Are there geniuses like this in the world?¡± With a pale face and swollen nose, Lin Feng had a moment of existential doubt. As for the attending physician, Zhang Yuan, he was observing the situation quietly, his expression unreadable. Deep inside, Zhang Yuan silently roared, ¡°I knew it, I knew it, he¡¯s got this again!¡± ¡°Freaking frustrating, freaking frustrating, freaking frustrating!¡± Next, the catheter reached a critical bend in the procedure! Once again, Lin Feng demonstrated his peak performance with lightning-fast precision. His hand twisted a few times. Inexplicably, the catheter made the turn! He successfully passed through the bend! Zhang Faxing: ¡°(O-V-O)~~~¡± Others: ¡°(O-V-O)~~~¡± s?a??h th? N?v?l(F)ire.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Their eyes widened! Damn, how did he achieve such an operation! It was unbelievable! It was so inexplicable! Zhang Faxing almost rushed over to beg Lin Feng to teach him! Chapter 45 - Doctors have no authority~~ Chapter 45: Doctors have no authority~~Ten minutes later¡­ Lin Feng successfully guided the wire to the location of the myocardial infarction. Next step: retrieving the blood clot! Lin Feng stepped aside and handed the task over to Dr. Zhang Faxing to perform. After an hour, the blood clot was successfully extracted and placed in a plastic container (the type that shows the clot¡¯s coagulation pattern). The entire operating room collectively sighed in relief. The surgery was a success! The young man¡¯s life had been saved! At that moment, applause filled the entire operating room. The applause was not only for Director Zhang Faxing but also a tribute to Lin Feng¡¯s outstanding performance. ¡°Dr. Lin, impressive!¡± ¡°Incredible!¡± Words of praise filled the air, full of admiration from the interventional doctors and nurses. Lin Feng humbly acknowledged the compliments, washed his hands, removed his surgical gown, and left the operating room. Outside, he encountered the anxious parents of the young man who had been waiting. Lin Feng didn¡¯t say anything and simply left. Shortly afterward, the operating room doors opened, and Dr. Zhang Faxing delivered the good news to the young man¡¯s parents. ¡°Congratulations, the surgery was successful¡­ your son¡¯s condition is stable!¡± ¡°Thank you, doctor! Thank you, doctor!¡± The parents were overjoyed and expressed their gratitude profusely. Dr. Zhang Faxing felt a bit ashamed. ¡°Don¡¯t thank me. You should thank Dr. Lin Feng from the Emergency Department. He came to help me and made the surgery successful.¡± ¡°What? That young doctor?¡± The parents were shocked. ¡°Yes, it was him.¡± ¡°Then we must go back and thank him properly!¡± The parents felt both ashamed and grateful. They planned to make a banner to express their gratitude and send it to Lin Feng as a token of appreciation for saving their son¡¯s life. ¡­ Back at the emergency department, Lin Feng had barely returned when he received another phone call from the Cardiovascular Surgery department. Another surgery was in progress, and they again needed Lin Feng¡¯s assistance! ¡°Seriously?¡± ¡°Why is everyone looking for me?¡± ¡°I want to rest, darn it!¡± Well, he decided to go. After all, he had fallen in love with this profession. Lin Feng sighed and, accompanied by his mascot, Zhang Yuan, headed to the Cardiovascular Surgery ward. To his surprise, this visit would last through the entire night! ¡­ The next morning. After completing a life-saving surgery in the Cardiovascular Surgery Department, Lin Feng was washing his hands and reflecting. Twenty hours? Working overtime every day, losing track of time, Lin Feng couldn¡¯t even remember the taste of the street food anymore. Finally, he finished this surgery and was eager to go out and enjoy himself! Lin Feng washed his hands, took off his surgical gown, and tossed it into the specialized medical waste bin. With his feet in slippers, he kicked the foot-operated button near the operating room floor (designed to prevent doctors¡¯ fingers from touching bacteria). In the hospital, doctors often prefer wearing slippers. Don¡¯t inquire why; just try working continuously for 20 hours, and experience immediate relief when you remove your shoes. Zhang Yuan caught up with him and inquired, ¡°Is your shift over?¡± ¡°Yeah,¡± Lin Feng replied. Casually, Lin Feng asked, ¡°When did you start your shift?¡± ¡°Well, I¡­¡± Zhang Yuan was about to respond when he nearly spat blood, exclaiming, ¡°I¡¯ve been standing on the opposite side of your surgery for over an hour! I even acted as your second assistant, and you didn¡¯t notice me? Remember, I¡¯m the one who approved your surgery! Don¡¯t forget your position as an intern! Can you perform surgeries without my approval?¡± Zhang Yuan¡¯s eyes filled with resentment, thinking, Even if I¡¯m not the most noticeable, I¡¯m still your supervising doctor. You, an intern, couldn¡¯t even see me! Lin Feng suddenly realized and apologized, ¡°Sorry, hahaha! I was wondering why the assistant¡¯s role seemed odd. My bad.¡± ¡°¡± Zhang Yuan couldn¡¯t believe it, and he nearly spat out blood, collapsing to the ground and convulsing. As a senior doctor, I humbled myself to assist you, and you say it¡¯s a mismatch? Zhang Yuan thought, feeling utterly frustrated. Lin Feng quickly tried to remedy the situation, realizing things were going south. ¡°Haha, it¡¯s all good. Let¡¯s continue to improve next time. I must go now before Director Zhou sees me or another emergency patient arrives, and I can¡¯t leave.¡± He made a hasty exit to avoid further embarrassment. Emergency physicians lead a demanding and often grueling lifestyle, with no fixed working hours. The idea of a regular 9-to-5 schedule is nearly unthinkable for them. If they don¡¯t act quickly, a critically ill patient might be rushed in just as they change into regular clothes. Lin Feng left the hospital, and the bright sun outside temporarily blinded him. He couldn¡¯t help but sigh. No wonder there are so many rumors about affairs between doctors and nurses in the hospital. Their relationships are kept internal. Who has time to interact with the outside world? Having a romantic relationship is nearly impossible. When he realized the traffic was heavily congested, Lin Feng was about to hail a taxi, so he decided to wait for the bus instead. He noticed a middle-aged woman with a long-legged girl standing next to him. They appeared to be a mother and daughter waiting for the bus. The girl was attractive, and Lin Feng couldn¡¯t help but glance at her. , he thought. S?a?ch* Th? N?v?l(F)ire.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Unexpectedly, the middle-aged woman glared fiercely at Lin Feng and scolded him, ¡°Kid, if you keep ogling at my daughter, you¡¯re a toad lusting after a swan¡¯s flesh!¡± Lin Feng was shocked. The long-legged girl secretly stole a glance at Lin Feng, thinking, Damn, he¡¯s handsome! Her face blushed secretly. She pulled her mother¡¯s arm and said, ¡°Mom, stop making a fuss. It¡¯s just a glance.¡± The middle-aged woman didn¡¯t relent. ¡°Although the mother is unhappy, the daughter and the young man are willing. Hehe.¡± People around them burst into laughter. ¡°Haha, the overprotective mother is worried for nothing.¡± ¡°The young ones won¡¯t be stopped!¡± ¡°The key is that the young man is good-looking!¡± However, the middle-aged woman wasn¡¯t pleased and continued criticizing Lin Feng, scolding her daughter for showing interest in him. Lin Feng was left speechless. Chapter 46 - The young man lacks sportsmanship. How rude! Chapter 46: The young man lacks sportsmanship. How rude!¡°Mom, if you continue to be impolite to others, I¡¯ll ignore you!¡± The beautiful long-legged girl was embarrassed, with a thin face and blushing cheeks. The middle-aged woman didn¡¯t think much of it and glanced at Lin Feng. ¡°What can he, a loser, do? Young man, do you think what the old lady said is right?¡± Lin Feng hadn¡¯t spoken yet when suddenly the bus suddenly stopped to avoid an elderly person who had dashed out. The middle-aged woman slipped and fell directly onto the platform, letting out a painful scream. Lin Feng: Who can escape the wrath of heaven? He rubbed his nose and turned to leave when he suddenly heard an exclamation behind him. The long-legged beauty was about to help the middle-aged woman up when the woman said, ¡°No, this isn¡¯t right! I¡­ I can¡¯t get up. Don¡¯t pull me. I really can¡¯t get up¡­ I¡¯ve lost sensation below my waist.¡± As a doctor, Lin Feng saw things differently. To others, it seemed like the middle-aged woman only scraped her face, but Lin Feng sensed something was wrong. The situation was not right. The middle-aged woman¡¯s face turned pale, she appeared weak and without energy, and her hands trembled slightly. With a trembling voice, the long-legged beauty asked, ¡°Mom, are you okay? What¡¯s wrong, Mom?¡± The middle-aged woman replied, ¡°Han Ruo, it seems like I¡¯m paralyzed! I can¡¯t even grip anything with my hands, and my legs won¡¯t listen to me. I can¡¯t move them. Han Ruo, quickly call 120. Mom can¡¯t make it¡­¡± People around them started discussing in a flurry, questioning how a fall could lead to paralysis. The beautiful girl was at a loss, struck by the sudden events. She quickly dialed 120, and within 10 minutes, an ambulance arrived. The doctors examined the middle-aged woman and asked a few questions. ¡°This doesn¡¯t seem like a fracture, right?¡± The young doctor from the 120 Emergency Medical Services frowned and inquired, ¡°Dr. Wang, what¡¯s your opinion?¡± ¡°Indeed, there are no indications of fractures anywhere on her body,¡± replied the elder Dr. Wang, also furrowing his brow. Given the slippery, icy winter conditions, even in the relatively warm city of Pengcheng, fractures resulting from falls were quite common. ¡°Let¡¯s transport her to the Emergency Department at People¡¯s Hospital,¡± suggested Dr. Wang. Dr. Wang and his team were part of the 120 medical team, not affiliated with People¡¯s Hospital but opted for it due to its proximity. However, a voice of opposition emerged, and all eyes turned to Lin Feng. The young lady with long legs, assuming Lin Feng was seeking revenge, bit her lip and said, ¡°My mother offended you earlier, and I apologize on her behalf. But she¡¯s paralyzed and needs emergency treatment. Could you please not obstruct us?¡± Ignoring her, Lin Feng approached the middle-aged woman and gently examined her neck. Turning to the two confused paramedics, he explained: ¡°The patient appears unharmed externally, but her symptoms fit the profile of a classic spinal cord injury paralysis, likely due to cervical disc herniation and trauma-induced ¡®spinal cord injury,¡¯ causing nerve compression paralysis. I can feel significant protrusions on her C5/6 and C6/7 intervertebral discs. Following the usual procedure and moving her onto the stretcher could potentially worsen her cervical spine condition and lead to irreversible paralysis.¡± ¡°What?¡± The two 120 doctors were left stunned. The long-legged lady was also stunned. Surrounding onlookers were equally surprised. Who would have expected the young man, who had just been criticized by the middle-aged woman, to suddenly speak such professional medical terms? Spinal cord injury? Compressive nerve paralysis? And he could diagnose it by touch alone? Dr. Wang, with his extensive experience as a former orthopedic surgeon, felt a bit perplexed. He had seen more patients than this young man had seen individuals in his career. ¡°Neurogenic paralysis? As a former orthopedic surgeon, I¡¯ve encountered such cases before. How did I not detect any cervical spine issues?¡± Dr. Wang questioned. Dr. Wang¡¯s confidence was rattled. Lin Feng¡¯s warning couldn¡¯t be taken lightly in this tense doctor-patient relationship era. Dr. Wang¡¯s concern was primarily about saving face, especially in front of his apprentice, the patient, and the onlookers. The beautiful long-legged girl looked at Lin Feng in amazement. Who would have thought that the ¡°toad¡± her mother had called him turned out to be an emergency doctor at City First Hospital? The middle-aged woman groaned on the ground. Without hesitation, she pleaded with Dr. Wang, ¡°Doctor, regardless of whether what he said is true, it¡¯s better to believe it for now. Please handle my mother¡¯s suspected cervical spine injury with care. Hurry and take her to the hospital for emergency treatment.¡± The girl¡¯s voice had a hint of tears. Dr. Wang finally found a way out and begrudgingly agreed, ¡°Fine! We¡¯ll proceed as you suggested, treating the patient with cervical spine damage and compressive paralysis. If you¡¯re wrong, I¡¯ll return to your hospital and hold your leaders accountable! Young people these days¡­¡± He shook his head while speaking, seemingly saying, ¡°Young people lack ethics these days, just a bunch of nonsense!¡± S~?a??h the N0v?lFir?.?et website on G??gl? to access chapters of n?vels early and in the highest quality. Chapter 47 - Dr. Wang, with tears streaming down his face! Chapter 47: Dr. Wang, with tears streaming down his face!Lin Feng didn¡¯t pay much attention to Dr. Wang¡¯s emotions. The three of them worked together to handle the situation. For patients with cervical spine injuries, someone must support the neck and carefully lift them onto a stretcher. Every movement must be done with utmost care. The middle-aged woman was quite heavy, and Lin Feng and the two 120 doctors were sweating profusely. ¡°Kid, don¡¯t go! Let¡¯s go to the hospital together. I don¡¯t believe in superstitions!¡± Dr. Wang fixed his gaze on Lin Feng. Lin Feng decided to comply with what Dr. Wang had said, waiting for an opportunity to show Lin Feng¡¯s incompetence later. 20 minutes later, they arrived at City First Hospital¡¯s Emergency Department. Dr. Zhang Yuan, who saw Lin Feng come and go, looked puzzled. ¡°Didn¡¯t you just finish your shift? Why are you back again?¡± ¡°I took a patient¡­¡± Lin Feng pointed to the woman on the stretcher. ¡°Quick, prepare the requisition form for an MRI! Consider cervical spine injury with spinal cord damage due to external trauma!¡± Dr. Zhang was shocked. He had heard of such a condition. It was rare but mentioned in case studies. He looked troubled. ¡°In our Emergency Department, we can handle general injuries, but cervical spine injuries with spinal cord damage? We need to call the orthopedic department, which must be a deputy chief or above. Aren¡¯t they off duty now? Should I inform the Medical Affairs Office to call an orthopedic specialist?¡± Each specialty had its own expertise, and in medicine, it was like facing a mountain when dealing with a different specialty. Outpatient departments looked down upon the Emergency Department because they knew a little about everything but weren¡¯t experts. The Emergency Department could only provide temporary treatment when faced with challenging cases. A spinal cord injury like this, at least a Grade 3 difficulty level, was something the Emergency Department couldn¡¯t handle. Qiao Hanru was in a state of panic, sweat pouring down her forehead. With her mother suddenly paralyzed, the orthopedic department already off duty, and the Emergency Department unable to handle the situation, Qiao Hanru was at a loss for what to do. Lin Feng remained calm and composed, calmly giving instructions, ¡°Alright, listen to me. Sign the consent form for the necessary tests. I¡¯m still in my internship period, so I can¡¯t authorize them myself.¡± Lin Feng: If I didn¡¯t have the authority to issue a medical referral, would I even bother talking to you? s?a??h th? N???lFire.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Dr. Wang from the 120 team was stunned! ¡°So, you¡¯re just a rookie doctor without the qualifications to see patients?¡± ¡°Do you dare to challenge me?¡± Dr. Wang rolled his eyes and said to Qiao Hanruo, ¡°Miss, let me advise you. Don¡¯t waste time with him. Hurry up and go to the Orthopedic Hospital. They specialize in this and are more reliable than an intern doctor like him.¡± In the eyes of Dr. Wang, who had been practicing medicine for 20 years, intern doctors were inexperienced! Resident doctors were also a dime a dozen! Qiao Hanruo hesitated as well. Her mother had already been in excruciating pain and on the verge of unconsciousness. She couldn¡¯t negotiate. Should she trust Lin Feng or not? Lin Feng said calmly, ¡°It¡¯s up to you. If you want to transfer to the Orthopedic Hospital, it¡¯s fine. But the sooner your mother has the surgery for her cervical spine paralysis, the better the outcome will be.¡± ¡°Okay! I trust you!¡± After hesitation, Qiao Hanruo thought about how Lin Feng could detect the problem with a touch, while Dr. Wang couldn¡¯t. The difference in skill level was evident. Lin Feng looked at Zhang Yuan. Zhang Yuan advised, ¡°I¡¯m telling you, spinal cord injuries are not a minor matter. If you¡¯re not careful, you might be unable to save the person and even endanger yourself.¡± He genuinely valued Lin Feng. He feared something happening to Lin Feng and ruining his medical career. After all, in today¡¯s tense doctor-patient relationship, even basic trust was hard to come by. One medical accident could end the career of even a renowned doctor, let alone an intern like Lin Feng. He spoke out of goodwill. Lin Feng said, ¡°Don¡¯t worry. I¡¯ve read several books on spinal cord injury surgeries and watched teaching videos. I¡¯m confident!¡± Zhang Yuan spewed out a mouthful of blood. (The highest difficulty level is Grade 4.) However, since Lin Feng had been successful so many times, Zhang Yuan, with the idea of ¡°there¡¯s no harm in checking,¡± issued requisitions for a CT scan and an MRI, and asked Qiao Hanruo to register at the emergency department, pay the fees, and undergo the examinations. Doctor¡¯s mindset: Whether there¡¯s something wrong or not, it¡¯s best to conduct a thorough examination! The more detailed, the better! The more tests, the better! The 120 team was only responsible for transporting the patient to the hospital, and once they arrived, it was no longer their responsibility. ¡°No hurry!¡± Dr. Wang sneered by the side. ¡°Let¡¯s see!¡± A while later, Qiao Hanruo ran back. ¡°It¡¯s done!¡± ¡°Let¡¯s go!¡± With a sweeping gesture, Lin Feng took charge without hesitation, remotely directing Dr. Wang and his apprentice. Dr. Wang: ¡°¡­¡± Apprentice: ¡°¡­¡± ¡°What¡¯s wrong?¡± ¡°Of course, we¡¯re going to take the patient to the Radiology Department for an MRI!¡± Lin Feng glared, ¡°What else would you two be doing? Just freeloading?¡± Dr. Wang¡¯s face flushed with anger. Dr. Wang vowed in his heart that he would give Lin Feng a good face-slapping to let out his frustration once the diagnostic results were out. Chapter 48 - The diagnosis he mentioned turned out to be true! Chapter 48: The diagnosis he mentioned turned out to be true!Lin Feng walked confidently ahead, while the unfortunate Dr. Wang and his apprentice pushed the elderly woman towards the radiology department on the underground second floor. However, halfway there, on a ramp (since the underground of the old hospital was converted from air-raid shelters, most radiology departments were underground with many ramps), Dr. Wang, being older, failed to grasp the gurney, and the elderly woman almost slipped down. Lin Feng quickly caught her, saying, ¡°Be cautious! If the patient¡¯s neck suffers further injury, it will be your medical responsibility!¡± Dr. Wang: ¡°¡­¡­¡­¡­¡± They arrived at the MRI room, and after 30 minutes, the CT scan results came out first. ¡°The CT scan results~~ The patient¡¯s bones throughout the body are intact!¡± The radiologist presented a sheet with the signature of the examining physician. ¡°Hahaha~¡± Dr. Wang couldn¡¯t help but laugh, triumphantly as he mocked Lin Feng, ¡°What did I say? Did I waste 12 years as an orthopedic doctor? This patient¡¯s issue has nothing to do with bones! You, a rookie, a mediocre doctor!¡± Zhang Yuan also worriedly looked at Ye Xuan and muttered softly, ¡°This will backfire, right?¡± Little did they know, Lin Feng was completely unfazed. ¡°We¡¯re still waiting for the MRI results. CT scans can only see bones, while MRIs can visualize blood vessels and nerves.¡± ¡°¡± Dr. Wang hadn¡¯t even finished speaking when the MRI results came out. ¡°The patient¡¯s cervical nerves have indeed been compressed and deformed by the anterior cervical discs between the fifth and sixth vertebrae, and the degeneration of the cervical spine has also been found!¡± The radiologist said. The entire room was shocked! Dr. Wang¡¯s mouth hung open, unable to close~ His jaw almost dropped to the ground! It was too shocking! Zhang Yuan¡¯s eyes widened. Qiao Hanru covered her mouth in disbelief and stared at Lin Feng, unable to comprehend what she was hearing. The results of the examination were exactly as Lin Feng had described! Could he have some kind of divination? Lin Feng maintained his calm expression, picked up the MRI film, carefully examined it for a while, and said to Qiao Hanruo, ¡°Look, your mother¡¯s cervical spine here, between the fifth and sixth vertebrae, is compressed and deformed by the discs. It has degenerated and formed a ¡®beak-like¡¯ shape, commonly known as ¡®bone spurs.''¡± ¡°When she slipped this time, her cervical spine suffered external trauma, causing these bone spurs to ¡®aggravate¡¯!¡± Lin Feng continued, ¡°This protruding intervertebral disc is like a ¡®time bomb¡¯ lurking within her body. Even a minor injury can ¡®trigger¡¯ it, causing immediate symptoms of nerve compression and leading to paralysis. Did she experience numbness and pain in her upper limbs before?¡± Qiao Hanru tried to recall, ¡°Oh, now that you mention it, my mom did mention having some minor issues with her hands. Before today, she would often experience pain and numbness in her hands, but the symptoms would subside on their own after a while. I urged her to see a doctor several times, but she didn¡¯t take it seriously and didn¡¯t go to the hospital for an examination.¡± Lin Feng calmly continued, ¡°Pain and numbness in the upper limbs are typical symptoms of cervical disc protrusion. In addition, there can be pain and numbness in the upper limbs and hands, increased sensitivity in the skin of the upper limbs and hands, a sensation similar to an electric shock, slow hand movements, poor coordination, and a feeling of weakness. Unsteady walking and a tendency to fall with the sensation of walking on cotton can also occur. When these symptoms appear, it¡¯s crucial to seek medical attention at a reputable healthcare facility; otherwise, it may be too late when cervical spine damage leading to paralysis occurs.¡± ¡°The intervertebral discs between the 5th/6th and 6th/7th vertebrae of the cervical spine are the primary stress areas during head and neck movements. They degenerate rapidly and are more prone to developing chronic cervical disc protrusion, especially in older individuals.¡± ¡°What should be done then?¡± Qiao Hanruo asked eagerly, grabbing Lin Feng¡¯s sleeve. ¡°Dr. Lin, you¡¯re truly a miraculous doctor! Please help my mom. She may have a sharp tongue, but she¡¯s a good person.¡± Lin Feng: ¡°¡­¡­¡± Dr. Wang, who had a swollen face, couldn¡¯t resist saying, ¡°He¡¯s just an intern. What¡¯s the use of begging him? I¡¯m an orthopedic doctor. Why didn¡¯t you come to me?¡± Qiao Hanruo glanced at him. Under normal circumstances, with a 12-year experienced orthopedic doctor and a young intern, Qiao Hanruo wouldn¡¯t need to think twice to believe Dr. Wang. Dr. Wang failed to recognize that her mother had cervical spine damage on the spot! He even almost lifted her using conventional methods. If it weren¡¯t for Lin Feng stepping forward, her mother could have been ¡°rescued¡± by him, resulting in even more severe damage! Qiao Hanruo trusted Lin Feng¡¯s professional opinion more. Dr. Wang: ¡°¡­¡­¡­¡­¡± S~?a??h the N?v?lF?re.?et website on G??gl? to access chapters of n?vels early and in the highest quality. It seems like this young girl looks down on me! Lin Feng looked at his watch and said, ¡°Your mother has suffered cervical spinal cord damage, so the sooner it¡¯s repaired, the better. The earlier the release of nerve compression and restoration of the neural pathway, the better her prognosis. However, even after the diagnosis, the earliest the surgery can be scheduled is tomorrow.¡± ¡°I can¡¯t wait for that!¡± Qiao Hanruo exclaimed, becoming even more anxious. Technically, Lin Feng could pass this on to the orthopedic department since he was an emergency department doctor and an intern. It would be impossible for him to perform this level 3 difficulty surgery. Even if he had some responsibility, it wouldn¡¯t fall on him. However, if surgery was needed, Lin Feng couldn¡¯t resist his itchy hands. ¡°If you trust me, I can perform anterior cervical spine surgery!¡± Lin Feng said firmly. ¡°Anterior cervical spine surgery?¡± Qiao Hanruo asked in surprise. ¡°Yes,¡± Lin Feng explained, ¡°This is a classic minimally invasive surgery for the cervical spine. All the important surgical steps can be performed through a small 4-5cm incision in a confined space, with only about 10 milliliters of blood loss.¡± ¡°Really?¡± Qiao Hanruo responded with excitement. Chapter 49 - Chief Physician Zhang Yuan: I feel like a student! Chapter 49: Chief Physician Zhang Yuan: I feel like a student! ¡°What? Are you planning to undergo anterior cervical spine surgery? Are you out of your mind?¡± Dr. Wang exclaimed, shouting at Lin Feng. Dr. Wang was becoming agitated, shouting at Lin Feng, ¡°That¡¯s an intricate procedure! It¡¯s a level-three surgery! Even if I, as an experienced surgeon, have been away from the operating table for a while, I wouldn¡¯t dare to perform it directly! And you, an intern, dare to attempt a level three surgery? You¡¯re playing with people¡¯s lives! You¡¯re doomed!¡± Dr. Zhang nodded, ¡°Anterior cervical spine surgery is highly challenging, and it¡¯s a specialty of one of my mentors. I have assisted in two cases as a second assistant, but I wouldn¡¯t dare to perform it myself. The surgical guidelines clearly state that this surgery carries significant risks and requires skilled techniques and extensive experience. Beginners are prohibited from attempting it, which can lead to catastrophic consequences! Lin Feng, are you sure you can handle it?¡± Lin Feng smiled faintly. How could he not be aware of the surgery¡¯s high difficulty? The potentially catastrophic consequences included, but were not limited to, damage to important neck nerves like the recurrent laryngeal nerve and superior laryngeal nerve, resulting in symptoms such as coughing, difficulty breathing, or swallowing difficulties. Moreover, spinal cord or nerve root damage could lead to paralysis, limb weakness, numbness, pain, and other nerve-related issues. Local organ damage, such as thyroid or esophagus, could cause swallowing difficulties, breathing problems, and thyroid dysfunction. Infections and slow wound healing were also possible risks. S?a??h the ??v?lF?re.?et website on G??gl? to access chapters of n?vels early and in the highest quality. The cervical spine was a crucial body part where the carotid artery and spinal cord nerves intersected. A single mistake could lead to catastrophic errors, endangering the patient¡¯s life and potentially causing permanent paralysis or even death. It could result in a level-one medical accident. ¡°That would be a level-one medical accident!¡± Lin Feng chuckled, ¡°Do you remember when I performed a bare-handed heart surgery? Saving Director Zhou? If there¡¯s something I¡¯m not confident about, can I still do it?¡± Dr. Zhang paused, deeply aware of the debt he owed Lin Feng for saving Director Zhou Guorong¡¯s life. With Lin Feng¡¯s impressive track record, including level-four surgeries, attempting a level-three surgery didn¡¯t seem unreasonable. Dr. Zhang finally nodded, ¡°How confident are you?¡± Lin Feng shrugged, ¡°Around 80-90%.¡± Given Lin Feng¡¯s impeccable record, an 80-90% confidence level was more than sufficient. Dr. Zhang signed the surgical notification form, handing it to the patient¡¯s family, Qiao Hanruo. Qiao Hanruo, looking at Lin Feng, signed it with determination. Dr. Wang and his disciple were left dumbfounded. ¡°This world is too crazy,¡± they thought, as their preconceptions shattered. By signing for the surgery, Lin Feng had defied all expectations, and so had Qiao Hanruo, the patient¡¯s family member. ¡°Notify the anesthesiologist!¡± Lin Feng wasted no time, getting right to business. ¡°Dr. Zhang, be my first assistant!¡± ¡°What about the second assistant?¡± Dr. Zhang inquired. ¡°We don¡¯t need one. You and I, along with two nurses, will be enough for the surgery,¡± Zhang Yuan replied. Dr. Wang remained speechless, his eyes wide in astonishment. ¡°Are you even daring enough to perform such a high-risk surgery with this makeshift team?¡± he wondered. ¡°Do you think performing surgery is child¡¯s play?¡± Lin Feng didn¡¯t bother with small talk and proceeded directly with the surgical preparations. Fortunately, for anterior cervical spine surgery, an orthopedic procedure, there was no need for the patient to fast beforehand. Thirty minutes later, the surgery commenced. Lin Feng, Zhang Yuan, and the nurses assumed their positions, with Dr. Wang eagerly watching, anticipating Lin Feng¡¯s failure. The old woman patient had already been fully anesthetized and intubated. She was prone with a thin pillow under her shoulders, her neck extended, and her head slightly tilted to one side. The rest of her body was covered with sterile green surgical drapes, exposing only a small area for the incision. Lin Feng marked the surgical incision location on the patient¡¯s neck with a pen beforehand. Zhang Yuan, curious, asked, ¡°For anterior cervical spine surgery, there are two typical incision choices. Why did you opt for the right anterior lateral neck instead of the anterior border of the sternocleidomastoid muscle?¡± The choice of incision is a critical step in the surgical plan. Lin Feng calmly replied, ¡°I¡¯ve determined that the issue lies between the C5-6 intervertebral discs, so I chose the right anterior lateral neck skin. If it were between the C7 disc and the first clavicle, I would have used the anterior border of the sternocleidomastoid muscle. Understand?¡± Dr. Zhang, supervising Lin Feng, was left speechless and felt like a novice student in Lin Feng¡¯s presence. Lin Feng extended his hand, saying, ¡°Tissue forceps!¡± The instrument nurse handed over the tissue forceps. Lin Feng expertly used the forceps to disinfect the surgical area with an iodine-soaked gauze ball. Usually, this would be done by a nurse, but the nurse assigned to assist was unfamiliar with the surgery, so Lin Feng took matters into his own hands. Fortunately, the surgery¡¯s difficulty was not particularly high, though Zhang Yuan and Dr. Wang vehemently disagreed. Lin Feng then secured the retractor and suction device, completing the preparations. Next, the surgery began. Lin Feng made a transverse incision on the right anterior lateral neck, starting from the outer side of the neck¡¯s midline and extending towards the right clavicle. The incision measured two finger-widths in length, approximately 10 centimeters. Lin Feng adeptly cut through the patient¡¯s skin and neck muscles, layer by layer, with precise and confident movements. He paused momentarily and looked at Zhang Yuan. Zhang Yuan was puzzled, ¡°? ? ?¡± ¡°Dissect the sternocleidomastoid muscle and retract the trachea and esophagus,¡± Lin Feng instructed. Lin Feng sighed internally, realizing that Zhang Yuan wasn¡¯t well-versed in cervical spine surgeries. ¡°Oh, oh!¡± Zhang Yuan replied, sweating profusely and feeling like he couldn¡¯t keep up with Lin Feng. Zhang Yuan successfully dissected the sternocleidomastoid muscle and retracted the trachea and esophagus, exposing the three surgical options¡¯ target areas of C6-5, C5-4, and C4-5. He created a clear surgical field for Lin Feng. Achieving clarity, cleanliness, precision, and caution is paramount in surgery. A clearer surgical field allows the surgeon to visualize the patient¡¯s pathological structures better, ensuring a good overall understanding and surgical plan. Although Zhang Yuan had initially been flustered, he regained composure while working alongside the confident and steady Lin Feng. Chapter 50 - Dr. Wang went from questioning to being shocked and eventually to being impressed... Chapter 50: Dr. Wang went from questioning to being shocked and eventually to being impressed¡­ Lin Feng operated precisely, cleanly incising the anterior cervical fascia within the surgical field. The patient¡¯s vertebral bodies were fully exposed under the surgical light, which amazed Zhang Yuan. Dr. Wang, observing from the outside, was also astonished. ¡°Holy moly! This is incredible!¡± Exclaimed Dr. Wang. As Lin Feng had deduced earlier, there were noticeable bone spurs between the C5-6 and C6-7 intervertebral discs, leading to cervical spine pathology. When bone spurs grow inward and compress nerves, they can cause complications. This patient¡¯s condition was a classic example of cervical spondylosis with osteophyte formation and bone spurs. Her fall had caused a fractured bone spur to penetrate the spinal cord, resulting in paralysis of both upper and lower limbs. Opening up the cervical spine, Lin Feng exposed the surgical field, revealing the exact location of the pathology. Dr. Wang was astonished by Lin Feng¡¯s incredible precision and expertise. ¡°Is this intern for real?¡± wondered Dr. Wang. ¡°Even with my 12 years of orthopedic experience, I wouldn¡¯t have made such a direct diagnosis. This intern is something else!¡± Dr. Wang couldn¡¯t help but feel overshadowed by Lin Feng¡¯s surgical skills. This young intern was outshining his years of experience. Feeling overwhelmed, he continued to observe Lin Feng¡¯s surgery. Initially, he had been critical, looking for flaws, but now he shifted his perspective to learning. As he watched, Dr. Wang had a sense of d¨¦j¨¤ vu, reminiscent of his early years as a resident learning from experienced surgeons. He felt that Lin Feng¡¯s surgical prowess transcended mere technical skills and approached the level of artistry. In Dr. Wang¡¯s mind, there was only one phrase to describe Lin Feng¡¯s skill¡ªremarkable! He couldn¡¯t help but be amazed by this intern¡¯s extraordinary talent. How had he acquired such expertise? Did he learn this in medical school? It seemed highly unlikely. Medical students in school wouldn¡¯t be able to perform surgeries of this complexity. Yet, Lin Feng moved easily, displaying confidence and mastery that belied his status as a first-time surgeon. Dr. Wang was left in utter disbelief, his thoughts echoing with amazement. In less than half an hour, Dr. Wang went from questioning and being amazed to completely admiring the intern¡¯s skills. ¡°The next step is identifying the location of the affected vertebral body! Let¡¯s proceed with the decompression surgery!¡± Lin Feng said in a solemn voice. He wasn¡¯t reminding himself, as he had already memorized the procedural flow of this surgery by heart. He reminded Zhang Yuan and the instrument nurse, so they wouldn¡¯t be completely lost and clueless. s?a??h th? ?0velF?re.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. ¡°Oh, okay!¡± Zhang Yuan responded absentmindedly but didn¡¯t make any movements. Lin Feng felt helpless. He decided not to bring this ¡°supervisor¡± with him next time; he was too clueless and hindering the process. ¡°Prepare for a partial laminectomy with fenestration decompression!¡± Lin Feng instructed, ¡°16mm circular saw!¡± He reached out his hand. Without prior preparation, the instrument nurse scrambled for a few seconds before handing it over to him. Fortunately, this surgery wasn¡¯t a race against time, and the difficulty level was relatively low. Lin Feng couldn¡¯t be bothered to complain anymore. He took the 16mm circular bone saw, selected the affected vertebral body, and began the fenestration. The 16mm circular bone saw looked like a wine opener, with sharp teeth on its head, giving it an intimidating appearance. But in the hands of an orthopedic surgeon, it was a handy and enjoyable tool. This device could make repetitive rotational cuts on the affected vertebral body, with an incredibly fast rotation speed and a satisfying feel. Lin Feng sweated at his thought. If that middle-aged lady, whom I insulted as a loser just moments ago, knew I would cut her cervical spine less than an hour later, would she regret it? Dr. Wang watched as Lin Feng spun the circular bone saw, rotating it like opening a bottle of wine. The speed was astonishing, and it scared his heart almost to a stop! If you cut too quickly and accidentally go past it, you could sever soft tissues or nerves directly. The patient would indeed be in a critical condition if such a mistake were to occur. (Zhang Yuan: Stay calm, stay calm~~~~) At this critical moment, Lin Feng¡¯s rotation speed abruptly stopped! At that moment, Zhang Yuan happened to hear a sound. It was very faint. But it indicated Lin Feng had cleanly and precisely severed the bone segment! Dr. Wang¡¯s mind trembled violently. Because¡­ Every point matters, a slight excess or shortage! The timing of Lin Feng¡¯s completion of the bone saw, and the complete severance of the bone was seamless, without any deviation! Could this be the legendary master? Zhang Yuan stared with wide eyes, dumbfounded. The nurses were equally shocked. Handling the circular bone saw was difficult, especially when the spinal cord nerves were right underneath. A slight mistake could easily cut too deep and injure the nerves. The psychological pressure on the surgeon is immense in such a situation. It is an incredibly challenging test. Many doctors had no problem in theory and scored full marks in exams, but they would become overwhelmed once they stepped onto the operating table. The main obstacle was overcoming the psychological barrier. A single miss-step could lead to eternal regret. However, Lin Feng seemed to have no pressure at all. He rotated the saw several times in place, then gently lifted the circular bone saw. He placed a small piece of bone stained with blood in the surgical tray. Chapter 51 - The family member is throwing a tantrum. Chapter 51: The family member is throwing a tantrum.The bone fragments have been completely removed! ¡°Forceps number 3!¡± Lin Feng said in a serious tone. The forceps were handed to him. The nurse handed over the surgical instruments one by one. They needed to be handled with a certain degree of force, reminding the surgeon to be cautious not to misidentify them and, more importantly, not to cause accidental harm. In a hundred years of surgical history, some doctors accidentally cut themselves during surgery and died from tetanus infections. Lin Feng¡¯s gaze remained steady as he gently inserted the forceps into the circular gap, securing a bone spur and carefully removing it! This was the bone fragment that had led to the patient¡¯s paralysis! The primary culprit! It used to be a part of a hypertrophic disc herniation, but when Auntie fell, it was impacted and broke, piercing the nerve. With the fragment¡¯s crisp sound as it fell onto the surgical tray, Zhang Yuan and the nurses breathed sighs of relief. The main culprit had been identified. Half of the mission had been accomplished. But Lin Feng didn¡¯t relax; his gaze remained sharp as he searched for other fragments. He switched to finer forceps and extracted an extremely small fragment piece. After confirming that there were no more fragments, Lin Feng proceeded to the next step of the surgery. ¡°Scrape off the bone spurs at the posterior aspect of the vertebral body and the facet joints.¡± If these proliferative bone spurs were not removed, they would continue to compress the spinal nerves in the future. Lin Feng used a scraper and an impact thin-mouthed bone-biting forceps, alternating between them, silently expanding the excision area, eliminating the bone spurs, and further decompressing the nerves. He removed the upper edge bone spur of the upper vertebral body from above and the lower edge bone spur of the lower vertebral body from below, achieving a 22mm hook edge on both sides. Lin Feng reached out again, ¡°Hook knife!¡± He observed that the posterior longitudinal ligament had thickened, causing compression on the spinal cord, so he simply removed it to relieve the compression further. The anterior cervical decompression was completed. Lin Feng completed a dazzling series of operations and removed the cervical distractor¡­ Properly expand the deformed cervical spine! Adjust the cervical distractor to keep the cervical spine relatively healthy. And then¡­ begin the fixation! Use the expanding screws to implant autogenous tricortical iliac bone grafts through the bone window that was just opened! These preferably autogenous bone grafts, were taken out in advance to prevent rejection reactions and accelerate the patient¡¯s healing. After all, the cervical spine is the most critical part of the human body. After the decompression surgery, going without any filling material is not acceptable. It must be filled. Theoretically, as long as a properly sized steel plate is placed in the right position on the patient and secured with screws, keeping the patient¡¯s cervical spine supported by the steel plate in an appropriate expanded state without compressing the nerves, it would be a complete success! Lin Feng inserted two sharp vertebral bodies at a distance of 8-10mm above and below the implanted bone grafts along the midline of the vertebral bodies. These two sharp vertebral bodies opened the incision and marked the starting position of the steel plate! The nurse brought a tray, and Lin Feng selected a 20mm steel plate, carefully choosing the curvature to fit perfectly in front of the bone graft. This way, the bone graft would be firmly fixed and unable to move. Lin Feng used fixation pins to secure the steel plate! He adjusted the bone-plate interface and slightly adjusted the steel plate¡¯s position using a nerve dissector. With a nerve dissector, he carefully explored the area in front of the vertebral bodies, making additional minor adjustments to the position of the steel plate. Once the position of the steel plate was confirmed, Lin Feng decisively drilled holes and inserted the fixation screws! After confirming the correct position of the steel plate, Lin Feng decisively drilled holes and inserted the anchor screws for fixation! S?a??h th? N?v?lF?re.?et website on G??gl? to access chapters of n?vels early and in the highest quality. Additionally, the drilling must avoid penetrating the gaps between the bones to maintain the stability of the fixation. Layer by layer, the wound was sutured, and drains were left in place. Finally, the nurse cleaned up, counted the surgical instruments, and closed the abdominal incision. The surgery was complete! ¡­ Outside the operating room, Dr. Qiao Hanruo¡¯s father, Deputy Secretary-General Qiao Yuanshan, arrived along with several relatives, including the director of the First Municipal Hospital. Dr. Qiao Hanruo explained the situation to her father. Qiao Yuanshan sternly questioned, allowing an intern and an emergency department doctor to perform such a significant surgery on his wife. Qiao Hanruo defended the decision, explaining that Dr. Lin had accurately diagnosed her mother¡¯s condition and had a strong track record in performing complex surgeries. Despite her explanations, Qiao Yuanshan was furious and felt they should have consulted with him before proceeding with the surgery. Qiao Hanruo argued that Dr. Lin had emphasized the importance of early treatment for her mother¡¯s condition. Tensions escalated, and the director of the First Municipal Hospital, Wang Chang, remained relatively calm but concerned about the outcome. He had confidence in Dr. Lin Feng¡¯s surgical abilities, having closely followed his impressive performances in various surgeries. However, the patient, being the wife of a high-ranking official, added pressure to the situation. As the green light outside the operating room signaled the surgery¡¯s completion, everyone anxiously awaited the outcome. Chapter 52 Chapter 52: The first trophy of life has arrived!¡°¡± The red light in the operating room [In Surgery] turned green. Lin Feng, Zhang Yuan, and the nurses pushed the cart out of the operating room. Everyone was bewildered. Did the surgery fail, or how else could such a short duration be explained? The hospital director approached, ¡°How did it go, Lin Feng? Was the surgery successful?¡± Lin Feng confidently replied, ¡°Director, the surgery was a success!¡± The hospital director immediately felt relieved. Indeed, Lin Feng had lived up to his expectations as the talent he had worked hard to retain. ¡°Hehe~~¡± Qiao Yuanshan stood up with a grim face, ¡°It seems that your hospital lacks skills and medical ethics! Empty boasting won¡¯t get you anywhere, right? Hanruo, arrange for your mother to be transferred to another hospital. I¡¯ve already contacted Director Ma from the provincial capital¡¯s orthopedic hospital; he will perform the surgery immediately!¡± Qiao Hanruo stood up in confusion and asked Lin Feng, ¡°Did it succeed?¡± Lin Feng nodded lightly, too lazy to waste words with these people, and walked straight to his office. Qiao Yuanshan was so furious that he couldn¡¯t speak. He was about to jump up when he saw several nurses pushing the surgical cart out. His wife was lying quietly on the hospital bed. Qiao Yuanshan rushed over without caring about Lin Feng, ¡°Darling, are you okay?¡± However, she was still under anesthesia, and the patient couldn¡¯t speak. ¡°Should we take an X-ray to see the surgical results? Although the director has confidence in Lin Feng, with the presence of the municipal party committee leaders, he needs to make a gesture,¡± the hospital director said. Qiao Yuanshan remained silent with a sullen face. Lin Feng changed his clothes, didn¡¯t even bother to look at Qiao Yuanshan, and just gave a few instructions to Qiao Hanruo, ¡°When the patient wakes up from anesthesia, make sure she doesn¡¯t move. Continue with the immobilization and traction treatment.¡± Then, he left the hospital confidently. Qiao Yuanshan¡¯s eyes were burning with anger. Kid, the monk can¡¯t run away from the temple. If something happens to my wife, I¡¯ll hold you accountable. Lin Feng went back, turned off his phone, and fell asleep. He slept for a good 12 hours. The next day at noon, he finally woke up. He opened his phone. Lin Feng: ¡°¡­¡± Wasn¡¯t that a normal procedure? Basic operation, nothing extraordinary! Qiao Hanru¡¯s voice came through, filled with joy and excitement. ¡°Is this Dr. Lin? Dr. Lin, you truly are a miracle worker! My mother woke up! She says she can feel her limbs again! You cured her paralysis!¡± Lin Feng replied, ¡°¡­¡± Wasn¡¯t that just standard procedure? Qiao Hanru¡¯s voice trembled with excitement. ¡°On behalf of my mother, I apologize to you! And on behalf of my father, I apologize too! My father has already invited a specialist from the city¡¯s orthopedic hospital to discuss my mother¡¯s condition. They confirmed that the nerve compression has completely improved compared to the previous MRI results! Your surgery was a great success!¡± Lin Feng lazily sat up. Ah, the life of a busy doctor. He hadn¡¯t even hung up Qiao Hanru¡¯s call when Director Zhou¡¯s phone started ringing again. ¡°Kid! You¡¯ve done something big! Why didn¡¯t you tell me?¡± After his heart surgery, Director Zhou couldn¡¯t speak too loudly, but this time his tone was high, indicating that he was very excited inside¡­ While grumbling, Lin Feng could sense Director Zhou suppressing his excitement. ¡°Sweating, Director, it was an urgent situation, so I couldn¡¯t report to you,¡± Lin Feng explained. Director Zhou wasn¡¯t blaming him but expressing concern. After a brief phone conversation, they hung up. Continuing his clinic duties today, Lin Feng grabbed a toilet paper roll and headed straight to the restroom. A paid bathroom break! Feeling bored, Lin Feng opened WeChat and was surprised to see a flood of notifications. Without even opening the WeChat group, he knew the source of the commotion ¨C it had to be the class monitor and vice monitor. Let¡¯s take a look. The commotion started when the class monitor, Shen Qiu, suddenly posted a photo. It showed their mentor, Director Wu Xiaodong, receiving a plaque from a patient. The plaque had eight big characters inscribed: ¡°Serving the world, miraculous healing!¡± In the photo, eight or nine doctors were lined up beside the patient¡¯s family and Director Wu Xiaodong. Shen Qiu wrote below the photo, ¡°This case was handled by our mentor last month. The patient traveled from the northeast to present this plaque to Director Wu. Normally, our mentor doesn¡¯t accept plaques, but this was an exception.¡± ¡°Although I didn¡¯t contribute much, seeing the grateful expressions of the patients and their families, I suddenly understood the profound meaning of what our mentor said about the benevolence of being a doctor. It brought tears to my eyes.¡± Shen Qiu¡¯s words hinted at his superiority as a renowned director¡¯s student. And then, a classmate started bootlicking. ¡°Wow! A plaque. So jealous.¡± ¡°Class monitor¡¯s future looks bright.¡± ¡°Let me serve the big boss some tea.¡± ¡°When will it be my turn to receive a plaque from a patient?¡± But Wang Qiang, a dissatisfied student, noticed a glaring issue. ¡°Receiving plaques is fine, but wait? Class monitor, where are you?¡± Caught off guard while receiving his classmates¡¯ admiration, Shen Qiu suddenly felt embarrassed¡­ The silence in the air was deafening. He hesitated for a while and reluctantly replied, ¡°Uh, I¡¯m the one who took the photo with my phone.¡± Class group chat: ¡°¡­¡± Lin Feng almost burst into laughter. Shen Qiu¡¯s pretentious show-off had crashed and burned! This wasn¡¯t a medical school classmates¡¯ group; it was a group for showing off! While Lin Feng was laughing in the restroom, he suddenly heard someone knocking on the door. Nurse Xiaoli¡¯s urgent voice called out, ¡°Dr. Lin! Is Dr. Lin from the Emergency Department in there?¡± Lin Feng didn¡¯t doubt that if he didn¡¯t respond immediately, this impatient girl would barge into the men¡¯s restroom¡­ He could only shout, ¡°I¡¯m here! Is there a patient?¡± Feeling exasperated, being an overworked doctor in the Emergency Department didn¡¯t even allow him the freedom to use the restroom¡­ If this continues for too long, will I develop psychologically induced constipation? I¡¯m constantly on edge during work, unable to take a break. Xiaoli¡¯s face was filled with excitement. ¡°No! It¡¯s a patient¡¯s family member. They¡¯ve come to bring you a plaque!¡± Lin Feng: ¡°???¡± S~?a??h the Nov?lF?re .??t website on G??gl? to access chapters of n?vels early and in the highest quality. Chapter 53 Chapter 53: Someone is presenting a congratulatory banner! Let¡¯s take a group photo!Just now, the class monitor, Shen Qiu, was bragging in the class group, showing off the plaque given to him by his mentor. How is it possible that someone gave me a plaque too? As a medical professional, although Lin Feng had lost hope for a harmonious doctor-patient relationship and had become extremely grateful to patients, receiving a plaque for the first time in his life was still a little exciting. ¡°Wait a minute!¡± Lin Feng became suspicious: ¡°Could it be a fake plaque with insults toward doctors?¡± Such absurd things do exist. A few days ago, Lin Feng heard that someone at the Provincial Duck University Hospital received a plaque from a patient. The doctor was happy about it and called the entire department to take a group photo to commemorate the occasion. However, when the patient unfolded the plaque smiling, the doctor¡¯s expression turned darker than the bottom of a pot. It read, ¡°Nothing works except taking money, ranked first!¡± It caused minimal harm but had a tremendous amount of insult! ¡°It won¡¯t happen,¡± Lin Feng reassured himself. With an excited and flushed face, Xiao Li reassured him, ¡°We checked the plaque. There¡¯s no problem. The hospital leaders are all here! Hurry up.¡± With the constant urging from the young nurse, Lin Feng pulled up his pants and walked out of the restroom, only to find that the situation outside had already caused a sensation! Although the First City Hospital was a large institution and had seen all sorts of storms, doctor-patient relationships were not harmonious these days. If a patient voluntarily sent a plaque, it would bring some light to the faces of the hospital director and department head, wouldn¡¯t it? Moreover, the patient¡¯s gratitude to the hospital was sincere, and they made a big fuss about it. They even invited several media journalists for coverage. Reporters were running around, taking photos and videos, which had already alerted the hospital staff. When the people from the hospital administration saw the scene, they couldn¡¯t believe it. ¡°What? It¡¯s not a medical dispute or an attack on a doctor, but¡­ a plaque?¡± How could they not let the leaders appear for such a good thing? So, while Lin Feng, the one being thanked, was still squatting in the restroom, President Wang Chang, Director Zhou Guorong, and a large group of hospital leaders and department heads he didn¡¯t even recognize had already gathered. They crowded together, smiling, talking, and laughing with the patient¡¯s family. Their words were more beautiful, their postures more dignified, and their positions higher than one another. In his heart, Lin Feng couldn¡¯t help but think, ¡°Unbelievable. If only you all ran this fast during emergencies. Why don¡¯t I ever see the hospital leaders during emergency rescues in the Emergency Department?¡± Seeing Lin Feng emerge from the restroom (due to the urgent urging from Xiao Li), the journalists swarmed in, excitedly taking pictures. Lin Feng was drenched in sweat internally. The patient who sent the plaque was a young man who had a heart attack a few days ago, along with his parents. The young man looked a bit pale, but his father strode forward, tightly grasped Lin Feng¡¯s hand, and moved as he said, ¡°Dr. Lin, thank you! If it weren¡¯t for your amazing skills, my son¡­ Xiao Yu would have been in danger! I didn¡¯t recognize the preciousness then and even complained about your youth. I told President Wang, the First City Hospital is truly full of talent! Dr. Lin is young but can perform high-difficulty interventional surgery and save my son!¡± Lin Feng was sweating profusely as the middle-aged man held his hand tightly. Indeed, that day he had voluntarily offered to perform a cardiac intervention for the man¡¯s son. However, this guy thought he was too young and went to find Director Zhang from the Interventional Cardiology Department. Director Zhang struggled for three hours, destroying all viable pathways in the young man¡¯s heart! Fortunately, Lin Feng¡¯s skills were remarkable, and he saved the young man. Otherwise¡­ seeing Director Zhang from the Interventional Cardiology Department among the group of leaders, Lin Feng secretly gave him a thumbs-up with a flattering expression. Director Zhang¡¯s lifelong reputation was about to be ruined. ¡°I only have this one son! Thank you, Dr. Lin!¡± The middle-aged man was sincere. ¡°I need to give you my respect. You young people are incredible! This time, I especially informed several journalists from newspapers under my group to promote you!¡± He raised his thumb to Lin Feng and unveiled a plaque, striking a pose. It read, ¡°Exceptional Medical Skills, Marvelous Recovery!¡± Several journalists were particularly enthusiastic, running around, taking photos, and constantly referring to this middle-aged man as a ¡°leader.¡± He seemed to be a high-ranking figure in some media outlets and had utilized his resources to show gratitude to Lin Feng and the First City Hospital. Lin Feng was at a loss, but under the gaze of President Wang and Director Zhou, he could only obediently stay still and let the journalists arrange various shots. Lin Feng¡¯s inner thoughts: I¡¯m an emotionless photography prop! Finally, after the family photo session ended, Lin Feng was about to leave when he saw President Wang and Director Zhou approaching with smiles, followed by numerous leaders of different ranks, all rushing over eagerly. Everyone wanted to bask in the limelight during such a good event. Lin Feng let out a miserable cry¡­ Endless combinations, countless poses, various staged shots. Lin Feng felt that this was more exhausting than performing ten surgeries! His facial muscles were stiff and twitching from all the forced smile. After the family expressed their gratitude once again, they finally left. S?a?ch* Th? ?0velF?re.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Lin Feng¡¯s head was buzzing¡­ Although President Wang and Director Zhou seemed to be saying something with their smiling faces, he didn¡¯t hear anything. Chapter 54 Chapter 54: What should I do if a classmate likes to show off? [P-4]Lin Feng, however, hadn¡¯t anticipated that the congratulatory banner incident wasn¡¯t over yet and had set off a series of chain reactions. Three hours later, inside the class group, the excitement continued. Compliments for Lin Feng were still pouring in. ¡°The class monitor is amazing, and your future looks bright!¡± Shen Qiu¡¯s spirits were soaring as he humbly responded to each comment. ¡°Well, we¡¯re all interns, and we¡¯ve experienced our share of ups and downs. I just got lucky with this congratulatory banner. Let¡¯s all encourage each other, and hopefully, in ten years, we¡¯ll all receive congratulatory banners from our patients.¡± As he was trying to boost everyone¡¯s morale, a classmate named Wang Qiang suddenly exclaimed, ¡°Wow!¡± The group fell silent, and Shen Qiu was slightly annoyed, wondering why Wang Qiang was causing a disturbance again. Before he could scold Wang Qiang, he noticed that Wang Qiang had forwarded an article from the official [Healthy Pengcheng] WeChat account. (?1? is the official media of the Pengcheng City Health Commission, overseeing all hospitals in Pengcheng, and doctors had to read it.) The article¡¯s headline read: ¡°Genius! 22-Year-Old Intern at City First Hospital Receives Congratulatory Banner from Patient¡¯s Family!¡± Shen Qiu was left speechless, and so were his classmates. They were all stunned. Shen Qiu almost choked on his words as he struggled to respond. ¡°Geniuses can be found anywhere.¡± Little did he know that the group chat would explode with messages. ¡°Wow!¡± ¡°Unbelievable!¡± ¡°Incredible!¡± Shen Qiu was utterly bewildered by the sudden turn of events. ¡°Lin Feng! The intern who received the congratulatory banner is Lin Feng!¡± ¡°According to the article¡­ this doctor who performed the cardiac intervention procedure for Little Yu is named Lin Feng, 22 years old, and an intern in the Emergency Department!¡± ¡°Oh my goodness, could it be the Lin Feng from our class?¡± ¡°Well, it should be, right? Is there another 22-year-old intern named Lin Feng at City First Hospital?¡± Countless classmates were in shock, and the group chat was exciting. Lin Feng, who had been quietly observing from the shadows, couldn¡¯t help but feel a mix of emotions. Had he just been exposed? He hadn¡¯t mentally prepared himself for this. Was his excellence revealed too soon? It seemed like a careless move. He had been caught off guard by the reporters. Lin Feng was sweating profusely, contemplating how to conceal his impressive skills. Lin Feng replied below: ¡°Haha, actually, the reporter got it wrong. I didn¡¯t perform that surgery. How could I do such a high-difficulty cardiac intervention procedure? Interventional procedures are the crown jewel of surgery! I only assisted Director Zhang from our hospital¡¯s Interventional Department and helped out a little.¡± The class group, which was previously uprooted, suddenly fell silent. Countless people had an epiphany! ¡°Oh, I see.¡± ¡°That makes sense.¡± S?a??h the Nov?lF?re .??t website on G??gl? to access chapters of n?vels early and in the highest quality. Class monitor Shen Qiu, who was being praised, immediately breathed a sigh of relief. Lin Feng¡¯s words provided a perfect solution! ¡°Even if the boss kicked you out, at least you¡¯ve been on the stage!¡± ¡°Lin Feng, could you assist the head of the Interventional Department in surgery? So envious!¡± Lin Feng was happy to let them have this misunderstanding and smiled. ¡°I just filled in for the Interventional Department. I was called in temporarily to assist. I went in trembling, constantly looking up to the great Director Zhang while he performed the surgery. In the end, I got to do some sutures when the second assistant had something urgent and had to step down. It was sheer luck! Sheer luck!¡± Shen Qiu breathed a sigh of relief. Lin Feng¡¯s words put him at ease. Shen Qiu believed that true strength was the way to go! He smiled and replied seriously and solemnly below Lin Feng¡¯s comment: ¡°Becoming an overnight sensation isn¡¯t necessarily good. I hope your skills can catch up with the publicity of this news soon.¡± Lin Feng also smiled and replied below: ¡°Hopefully.¡± Shen Qiu frowned. For some reason, he felt that behind Lin Feng¡¯s reply, there seemed to be a strong self-confidence supporting him, which made him uncomfortable. Shen Qiu¡¯s gaze was sharp like a sword. ¡°Why is Shen Qiu just standing there? Help push the cart!¡± At this moment, a senior brother scolded him. Shen Qiu suddenly became like a wilted eggplant and ran off to push the patient¡¯s surgical trolley, crying. Chapter 55 Chapter 55: A patient who had their intestines burst out due to a sneezeA new day had begun. Lin Feng got out of bed and headed to the emergency department. In two days, the intercollegiate clinical competition for university students at Soy Sauce University was set to start. In the class group chat, students had already begun forming teams and searching for teammates. The National University Clinical Skills Competition was a team event. Better teammates meant better results. According to this year¡¯s format, teams consisted of three people. The top-performing students in the class were already forming alliances, with Shen Qiu and Feng Yu being the most popular choices. Meanwhile, average and below-average students weren¡¯t as selective and simply teamed up with familiar classmates to fill the slots. The school would assign teammates from other classes if they were short on members. Soon, Wang Qiang asked, ¡°Lin Feng, have you found a team?¡± Lin Feng replied, ¡°Not yet.¡± Wang Qiang suggested, ¡°How about teaming up with me?¡± Lin Feng agreed, ¡°Sure.¡± Notifications flooded in. Many female classmates privately messaged Lin Feng, saying, ¡°Lin, do you need another teammate? Can I join?¡± Despite having average grades, Lin Feng was quite popular among his female classmates due to his good looks. Lin Feng quickly selected one of his female classmates, Zhao Silu, to form a three-person team with Wang Qiang. They created a private chat group for their team. Wang Qiang asked, ¡°Lin Feng, what are you up to now?¡± Lin Feng replied, ¡°I¡¯m heading to the emergency department for my shift.¡± Wang Qiang had no words. Zhao Silu was equally shocked. Their surprise was evident. Zhao Silu couldn¡¯t believe it, ¡°No way? Lin, you¡¯re actually on duty?¡± Lin Feng jokingly replied, ¡°I initially wanted to keep a low profile with you guys, but instead, I received your contempt¡­ Fine, I won¡¯t pretend anymore. I¡¯m a one-in-a-million genius!¡± Zhao Silu teased, ¡°Are you delirious? Even if you had a plate of peanuts, it wouldn¡¯t make you drunk like this¡­ Don¡¯t worry, I won¡¯t look down on you. During the competition, I¡¯ll help you show off!¡± Lin Feng chuckled. Zhao Silu was a stunning girl, almost like a goddess, with 95% beauty and a sweet, charming personality. She resembled a certain actress and was the class and school beauty. Of course, she always admired Lin Feng¡¯s handsome appearance! While chatting in the group, Lin Feng arrived at the emergency department. He saw Doctor Song Ziming being scolded by a nurse, ¡°Why are you late again? Many patients are waiting for you.¡± Then, the nurse saw Lin Feng and smiled, ¡°Dr. Lin, good morning¡­¡± Song Ziming: ¡°¡­¡­¡± Lin Feng entered the consultation room and activated the number-calling machine. He took a photo and sent it to the group chat. Lin Feng: ¡°Office desk picture.jpg. I¡¯ll talk to you later; the first patient is here!¡± Wang Qiang: ¡°I envy you. Didn¡¯t the mentor kick you out?¡± Zhao Silu: ¡°I also want to sit in that position, but I¡¯m too scared. I tremble in front of the mentor, hmm¡­¡± S~?a??h the N?v?lFir?(.)n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Lin Feng jokingly boasted, ¡°At least I¡¯m a man who has done sutures in surgery¡­ Wait, the patient is here.¡± ¡­ The first patient arrived. The was a 30-year-old woman with gastroenteritis, vomiting for a day, and 12 weeks pregnant. Lin Feng prescribed a glucose drip for her to replenish energy consumption and added some potassium ions to alleviate hypokalemia. Many medications are unsuitable for pregnant women, but glucose provides energy, and potassium ions help with low potassium levels. Suddenly, a loud noise erupted outside the emergency room. Nurse Xiao Li¡¯s voice shouted urgently, ¡°Prepare the operating room! The patient coughed, and the cesarean section incision opened up, with her intestines coming out.¡± The entire emergency room became chaotic. The patient and their family were stunned, realizing such a condition existed. Other doctors quickly rushed out as well. A trolley was swiftly pushed into the emergency room, with a nurse running alongside it. A female patient lay on the trolley, holding a pile of intestines. The scene was shocking! Many young patients watching couldn¡¯t help but take out their phones and snap photos, but the nurse quickly went over to discourage them. After all, such behavior lacked etiquette. ¡­ The female patient was positioned in the operating room, and the anesthesiologist began to administer anesthesia. Four interns were now ecstatic. They could witness surgery with great intensity again! Lin Feng glanced at the patient and saw the ruptured wound. It was approximately 30 cm in length. The subcutaneous incision on both sides had already turned into the peritoneum, and the small intestine, greater omentum, and part of the colon were protruding from the incision. From this point, it could be seen that the rupture of the muscular layer had not happened overnight but had occurred about a week ago. The patient hadn¡¯t noticed the wound opening since the internal part was ruptured while the external part was still sutured. And then she coughed. The intestines burst out! In summary: ¡°The sutures were not well placed!¡± As for why such a basic mistake occurred in the suturing process? Lin Feng glanced at the few interns who were eagerly watching, his eyes filled with a hint of disdain. The interns: ¡°?????¡± Scratching their heads, feeling perplexed~~ Zhang Yuan examined the wound and made a diagnosis. ¡°It should be a poorly sutured incision from a cesarean section, which was too fragile. When she had a strong sneeze, the pressure was too great, and it caused the sutured wound to burst open.¡± Then he looked at the interns again. The interns: ¡°¡­¡­¡­¡­¡± Then, Zhang Yuan said, ¡°You rookies, you haven¡¯t performed many surgeries. I don¡¯t think suturing is easy. Once it¡¯s not done well, you¡¯ll face consequences like this. Learn from this experience!¡± The interns: ¡°¡­¡­¡­¡­¡± Chapter 56 Chapter 56: Returning to School, Clinical Competition for College Students There was no need for this type of surgery for Zhang Yuan and Lin Feng to perform it themselves. Song Ziming and Huang Ziqian were both capable of handling it.Zhang Yuan: ¡°Ziming, you take care of the suturing¡­ Oh, and make sure to check for any remaining sutures inside.¡± Song Ziming: ¡°Certainly.¡± Next, it was a straightforward process of gently separating the herniated contents from the adhered incisional peritoneum. They discovered a continuous suture entangled around the transverse colon during the procedure. Then, they removed the peritoneal tissue inside the incision, rinsed it, and performed a full-thickness interrupted suture of the peritoneum, muscle, and fascial layer using 1-0 antimicrobial thread. The abdominal closure was completed. The surgery concluded. Lin Feng recorded a video and shared it in a small group chat. Lin Feng: ¡°Just had a surgery where the cesarean section sutures weren¡¯t done properly, and it burst with a sneeze.¡± Zhao Silu: ¡°You were in surgery? Were you assisting?¡± Lin Feng: ¡°For this minor surgery, I didn¡¯t need to personally handle it.¡± Zhao Silu: ¡°You¡¯re bragging!¡± Lin Feng chuckled, ¡°You think I¡¯m bragging, but I¡¯m just stating facts!¡± In the afternoon, after work, Lin Feng found Dr. Zhang Yuan. Lin Feng: ¡°Old Zhang, I¡¯m heading back to the university tonight.¡± Zhang Yuan: ¡°Alright, bring back the first place nationwide.¡± Lin Feng waved his hand, ¡°No problem!¡± He then left. Zhang Yuan was puzzled, ¡°Wait, what did he call me? ¡®Old Zhang¡¯! Well, well, he¡¯s getting arrogant!¡± Lin Feng returned to the dorm, freshened up, grabbed his backpack, went to the train station, met with Wang Qiang, and took the train back to their university¡ªSoy Sauce University. Zhao Silu greeted Lin Feng enthusiastically as they exited the ¡°Soy Sauce¡± subway station. Zhao Silu: ¡°Mr. Handsome, I¡¯m here!¡± Zhao Silu: ¡°Wow, Mr. Handsome looks even more handsome!¡± Zhao Silu waved and shouted at Lin Feng. Lin Feng was used to the attention. Wang Qiang, standing nearby, muttered to himself. Wang Qiang: ¡°Seems like I¡¯ve become invisible!¡± ¡°Let¡¯s go get some late-night snacks. I¡¯ll treat, you up to 500 yuan,¡± Lin Feng generously offered. Both Wang Qiang and Zhao Silu were surprised. They exclaimed, ¡°Brother Feng is generous!¡± Lin Feng chuckled, ¡°Can¡¯t help it. I¡¯ve been earning quite a bit and have no place to spend it¡­¡± As of this month, Lin Feng had received a salary of more than 120,000 yuan, with surgical bonuses accounting for over 90%. Wang Qiang was curious. Wang Qiang: ¡°Brother Feng, how much did you receive in salary?¡± Lin Feng replied casually. Lin Feng: ¡°Not much, around 120,000 yuan¡­¡± Zhao Silu couldn¡¯t help but burst into laughter. Zhao Silu: ¡°Handsome, it¡¯s been six months. How did you become such a great storyteller?¡± Wang Qiang chimed in. Wang Qiang: ¡°If only there was a single peanut, I wouldn¡¯t have ended up like this.¡± Lin Feng chuckled again. Lin Feng: ¡°Don¡¯t believe me? Come, young ones, let me show you something eye-opening!¡± The phone lit up, and Lin Feng revealed something intriguing: bank messages displayed for them to see. Account 1467 received RMB 1365.32 on December 20 (Source: Salary). [China Merchants Bank]Account 1467 received RMB 47,380.82 on January 20 (Source: Salary). [China Merchants Bank]Account 1467 received RMB 75,380.63 on February 20 (Source: Salary). [China Merchants Bank] One was over 40,000, and the other was over 70,000! Source: Salary! ¡°Damn!¡± Wang Qiang was stunned! Zhao Silu was also stunned! How much did interns earn? As little as a few thousand yuan, and as much as two or three thousand yuan! Working like a bull, earning like a dog! It couldn¡¯t be more miserable! And what about Lin Feng? That damn guy directly received tens of thousands! Wang Qiang plopped down and hugged Lin Feng¡¯s thick leg, ¡°Brother Feng¡­ No, Father¡­ Teach me, how did you do it?¡± Lin Feng patted Wang Qiang¡¯s shoulder in fear, ¡°It¡¯s alright, as long as you get close to the dean, the money will come.¡± S?a?ch* Th? N?v?lFir?.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Wang Qiang fell down! He shouted, ¡°If I can get to know the dean, why would I endure being scolded as a resident doctor?¡± In the blink of an eye, two days passed. March 1st. The Clinical Skills Competition of Soy Sauce University officially began. All participating teams gathered. All idle students gathered. Arranged in order by class on the square. Next were the speeches from the education department officials, the principal, the vice-principal¡­ One hour¡­ Two hours¡­ One student after another started dozing off. ¡°Next, let us invite our outstanding graduate, distinguished alumnus, Zhu Zhi¡¯an, to share his experiences with all our students!¡± This time, all the students became instantly alert! Zhu Zhi¡¯an, a senior student, was a legendary figure at Soy Sauce University. Rumors had it that Zhu Zhi¡¯an was the campus heartthrob, incredibly handsome, and countless female students were infatuated with him. He excelled in his studies, consistently ranking first in almost every subject. He led his team to win the top three in the national clinical skills competition for three consecutive years, with one championship. At the same time, under the guidance of his mentor during his university years, he successfully wrote a paper published in one of the top four journals in the world, The Lancet. The renowned Professor Qi Guoxing then noticed him in the medical field of the imperial capital and became his student. He took up a position as an attending physician at the top-ranked Harmony Hospital in the country, with several published papers in world-class journals. In just eight years, he would undoubtedly be promoted to chief physician! He was bound to become a leading figure in the country¡¯s medical field! He could be said to be the most admired idol and star by all medical students in the university. Lin Feng was astonished, ¡°Isn¡¯t he the senior who assisted Professor Qi in the interventional surgery at the First City Hospital last time, but accidentally messed up?¡± ¡°Yeah, he looks much better than he did before.¡± (Zhu Zhi¡¯an: Damn you~~~) Chapter 57 Chapter 57: Competition, Stepping onto the Stage¡°Hello, everyone!¡± Zhu Zhi¡¯an took the stage, standing tall, confident, and commanding. Applause erupted in the venue. Lin Feng noticed that the class monitor, vice monitor Shen Qiu and Feng Yuya, and other outstanding students in their class, along with talented students from other classes, were all looking at Zhu Zhi¡¯an with admiration. Lin Feng felt puzzled. He realized that Senior Zhu was ostensibly sharing his experiences but was showing off his achievements. He recounted his research accomplishments, published papers, and encounters with influential people to convey that his hard work had led him to a superior platform, stronger medical connections, and greater development. He encouraged the junior students to strive to catch up with him, even though they couldn¡¯t. As Zhu Zhi¡¯an finished his speech, the applause was enthusiastic. Zhu Zhi¡¯an felt proud, thinking his efforts to show off were not in vain. Suddenly, he noticed Lin Feng, who stood out among the crowd with his striking appearance. Lin Feng was so handsome and outstanding that he couldn¡¯t help but notice him. Zhu Zhi¡¯an thought, ¡°Damn, there¡¯s someone even more handsome than me!¡± His inner satisfaction from showing off diminished instantly. The competition officially began at 10:00 AM in the teaching building. To maintain confidentiality, no one was allowed to bring mobile phones into the exam room, including candidates, judges, and logistical staff. There were no written exams; all assessments were practical. The exams were conducted in isolation, and the school provided standardized competition topics with detailed scoring criteria based on students¡¯ performance. ¡­¡­ ¡°Teams 1-20, enter the exam room¡­ Teams 21-40, prepare¡­¡± After 15 minutes¡­ ¡°Teams 21-40, enter the exam room¡­ Teams 41-60, prepare¡­¡± After 30 minutes¡­ ¡°Teams 41-60, enter the exam room¡­ Teams 61-80, prepare¡­¡± Lin Feng, Zhao Silu, and Wang Qiang stood up. Lin Feng said, ¡°It¡¯s our turn. Let¡¯s go, and strive for first place!¡± Wang Qiang asked, ¡°Huh? First place? Is our goal that high?¡± Lin Feng replied confidently, ¡°Don¡¯t worry, I¡¯ve got this!¡± Lin Feng¡¯s team arrived at examination room number 6. They entered. ¡°Damn it!¡± Lin Feng was shocked. He recognized two familiar faces: Zhu Zhi¡¯an, a senior from the school and the self-proclaimed king of showing off. Zhang Fan, a provincial Duck University Hospital surgeon, had witnessed Lin Feng¡¯s surgical talent. Upon seeing Lin Feng, Zhu Zhi¡¯an frowned and appeared disgusted. On the other hand, Zhang Fan, the surgeon, became enthusiastic upon seeing Lin Feng and even invited him for a meal. Lin Feng thought it was another attempt to recruit him. Liu Jian, another judge, was curious about Zhang Fan¡¯s sudden change in attitude towards Lin Feng. Zhang Fan explained that Lin Feng was incredibly talented, having performed high-difficulty surgeries during his internship. This surprised Liu Jian, who couldn¡¯t believe it. Lin Feng¡¯s teammates, Wang Qiang and Zhao Silu were also puzzled by the judge¡¯s familiarity with Lin Feng. The competition started with a 7-minute countdown. A medical question appeared in front of Lin Feng¡¯s team. Question: ¡°Oxygen Inhalation¡±Patient: Wang Gang, male, 65 years old, intermittent cough, 30 years of smoking, intermittent cough, coughing up white sputum¡­Physical examination: Temperature 37.2, heart rate¡­ Auxiliary examination: Complete blood count¡­, arterial blood gas analysis¡­ The task was administering oxygen therapy to the patient and answering related questions. Zhao Silu expressed uncertainty about the details of oxygen therapy. S?a?ch* Th? ???el F?re.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Wang Qiang admitted he didn¡¯t know either. Lin Feng took charge and commanded his teammates to complete the task quickly. Chapter 58 Chapter 58: Competition, Stepping onto the Stage [Part-2]¡°First, Silu, please check the items for missing components¡­¡± ¡°Second, Wang Qiang, verify the patient¡¯s name, bed number, explain the purpose of oxygen inhalation to the patient, reassure them, and obtain the patient¡¯s consent¡­¡± With these two instructions from Lin Feng, delivered swiftly and calmly, he displayed a leadership aura and authority that caught the attention of the three judges: Zhu Zhi¡¯an, Zhang Fan, and Liu Jian. Feeling a bit guilty, Zhao Silu and Wang Qiang instinctively followed Lin Feng¡¯s instructions and proceeded with the tasks as directed. Once everything was done, Lin Feng stated, ¡°The previous steps were just the preparation. Now, let¡¯s move on to the procedural steps.¡± ¡°First, emphasize the importance of sterility, ensure everyone wears masks and caps, position the patient, and clean their oral cavity. Wang Qiang, your turn.¡± ¡°Next, install the oxygen delivery device, connect it to the patient, and adjust the oxygen flow rate. Zhao Silu, it¡¯s your turn.¡± ¡°For the remaining steps, I¡¯ll take over, including documentation, briefing the patient, ending the oxygen inhalation, and cleaning the patient¡¯s face.¡± After clear instructions, Wang Qiang and Zhao Silu followed Lin Feng¡¯s orders, and Lin Feng performed the final set of actions. Following a seamless and fluid operation, the procedure was completed. Lin Feng declared, ¡°Three judges, we have completed the operation.¡± s?a??h th? ??v?l_Fir?.?et website on G??gl? to access chapters of n?vels early and in the highest quality. Regarding the last two questions, Lin Feng answered, ¡°First, the patient is experiencing an acute exacerbation of COPD and type 2 respiratory failure. Second, when administering oxygen therapy to this patient, we should use a low flow rate, maintain permissible levels of hypercapnia, and avoid respiratory depression.¡± The countdown stopped at 3 minutes and 48 seconds (exceeding 4 minutes, deducting 1 point). It was all over, and Zhang Fan nodded with a smile. This level of operation didn¡¯t pose a challenge to Lin Feng; it was too trivial. On the other hand, Zhu Zhi¡¯an and Liu Jian looked at Lin Feng in astonishment. The three judges took their scorecards and marked¡­ Overall score: 34 out of 35! Points were deducted for the operation. Wang Qiang¡¯s operation was not proficient, a bit chaotic, deducting 1 point. Individual scores: Lin Feng 35, Zhao Silu 30, Wang Qiang 25. Next, the second question. Lin Feng, Zhao Silu, and Wang Qiang entered the second examination room. There were three judges again, but Lin Feng didn¡¯t recognize them. ¡°Prepare for the exam, 7-minute countdown¡­ begin!¡± The question appeared: Task: Venipuncture + Blood Type IdentificationPatient: Wang Li, female, 25 years old. Presented with purpura and bruising on the skin for one week and gum bleeding for one day¡­Physical examination: ¡­Auxiliary examination: ¡­Question: Please provide a preliminary diagnosis for this condition. What type of blood component should be administered?Provided items: Treatment tray, bending disc, cotton swabs¡­ This practical question wasn¡¯t difficult, but the challenging part lay in the two questions asked. Zhao Silu and Wang Qiang looked at Lin Feng, waiting for his instructions. Without hesitation, Lin Feng gave his orders: ¡°Silu, you¡¯ll perform the equipment check, verify the name and bed number, explain the procedure, and obtain the patient¡¯s consent.¡± ¡°Wang Qiang, you¡¯ll handle disinfection and positioning¡­¡± ¡°For the actual venipuncture, I¡¯ll take over¡­¡± After 3 minutes, the entire process was completed. ¡°Three judges, we have finished the operation!¡± Lin Feng continued, ¡°Regarding the question, my answer is: The patient¡¯s condition is idiopathic thrombocytopenic purpura, and platelets should be administered¡­¡± The countdown ended at 2 minutes and 45 seconds (exceeding 3 minutes, deducting 1 point). The three judges exchanged surprised glances. Which hospital did they study at? They marked their scores¡­ Team score: 35 out of 35 (maximum) Individual scores: Lin Feng 35 (maximum), Zhao Silu 30, Wang Qiang 30. Moving on to the third, final question (30 points). Lin Feng, Zhao Silu, and Wang Qiang entered the third examination room. The question was: Scalp vein infusion in children. After 4 minutes, Lin Feng and the others left the exam room. Wang Qiang, who had been holding back his excitement, couldn¡¯t contain himself and shouted, ¡°Oh my god! Oh my god! Oh my god! Oh my god!¡± Wang Qiang exclaimed excitedly. ¡°Lin Feng is awesome!¡± ¡°Oh my god, Feng ge¡­ no, Feng dad, I didn¡¯t expect you to be the real genius. You¡¯re simply incredible!¡± ¡°I estimate that these three questions, totaling 100 points, will at least earn us 95 points!¡± Lin Feng paused momentarily, then instantly understood, revealing a sly smile. ¡°Yes, we should be humble!¡± Next, they had to wait. Lin Feng and the others retrieved their phones and started following the progress of other classmates. The chat group had gradually become lively. ¡°Damn, impressive! The class monitors, Shen Qiu and Feng Yuya, estimated 93 points!¡± ¡°Based on previous years¡¯ results, they¡¯ve probably secured the first place as a team!¡± ¡°Champions!¡± ¡°Oh my god, I only estimated 75 points. Such a huge gap compared to the class monitors.¡± ¡°I estimated 78 points as well. The questions had too many details, and the time was too tight¡­¡± ¡°@Shen Qiu, @Feng Yuya, congratulations to both class monitors! After winning the championship, you¡¯ll participate in the competition in the South China region and then the national competition¡­ Aim for the national first place and enter the capital, following in the footsteps of Senior Zhu. We¡¯ll look up to you!¡± ¡°Congratulations!¡± The classmates in the group showered them with congratulations. Shen Qiu: ¡°Phew, it¡¯s not announced yet. Maybe there are even stronger teams.¡± Feng Yuya: ¡°Even with 95 points, it¡¯s not necessarily a guaranteed first place. Please spare me¡­¡± Lin Feng watched Shen Qiu and Feng Yuya. Shaking his head. (Interns at the First City Hospital¡¯s Emergency Department: ¡°Oh, damn it~~~~~¡±) Chapter 59 Chapter 59: Outrage! 7-Year-Old Girl with Liver Cancer!In the blink of an eye, three hours had passed. All the teams had finished their exams. At this moment, in the office of the Academic Affairs Department. The score sheets were collected, and the teachers quickly started tallying the scores. ¡°Oh my goodness, there¡¯s a 93-pointer! It¡¯s a record-breaking score!¡± One teacher suddenly stood up and exclaimed in excitement. ¡°What? 93 points?¡± ¡°That¡¯s a record-breaking score, isn¡¯t it?¡± ¡°Who is it? Who¡¯s so impressive?¡± All the teachers rushed over to see. A few minutes later, another teacher shouted, ¡°Wait, I have a 94-pointer here!¡± ¡°There¡¯s a 94-pointer too? Oh my goodness!¡± ¡°The students are so impressive this time?¡± A few more minutes passed¡­ ¡°Everyone, pay attention! There¡¯s a 95-pointer here!¡± A teacher excitedly shouted and waved the score sheet in their hand. ¡°What? 95 points?¡± ¡°Wait, let¡¯s not get too excited!¡± ¡°Yes, let¡¯s stay calm. Maybe there¡¯s a 96-pointer coming up¡­¡± ¡°That¡¯s right, everyone here is an experienced teacher, aren¡¯t we!¡± The teachers nodded in agreement. Suddenly¡­ A teacher spewed out a mouthful of tea. ¡°Oh my goodness!¡± The sound reached 120 decibels! It echoed throughout the office! The person abruptly stood up, holding the score sheet, and exclaimed in astonishment. ¡°The team got 99 points! The individual got 100 points!¡± The sound of spewing water filled the entire office. ¡°What?¡± ¡°The team got 99 points? The individual got 100 points?¡± ¡°Is this for real?¡± ¡°Who is this student?¡± ¡°Who?¡± ¡°We don¡¯t know him?¡± The teachers were all dumbfounded. ¡°Report this to the higher-ups immediately!¡± Meanwhile, in the office of Principal Fang, he was waiting for the competition results. The door was pushed open. ¡°Principal Fang, the results are out!¡± the Director of Academic Affairs rushed in. Principal Fang remained calm and composed, holding the watering can steadily, ¡°Old Liu, the results will come out when they come out. No need to rush. Stay steady and calm~~~¡± Director Liu: ¡°Ummm..,¡± he chuckled. ¡°Principal Fang, you¡¯re right!¡± s?a??h th? ??v?lF?re.?et website on G??gl? to access chapters of n?vels early and in the highest quality. ¡°Go ahead. How are the exam results?¡± ¡°They¡¯re record-breaking. The students¡¯ performance this year is quite impressive, breaking records.¡± ¡°Oh, breaking records?¡± Principal Fang raised an eyebrow, inwardly shocked but still composed. ¡°I, Principal Fang, remain calm!¡± Director Liu smirked, ¡°Principal Fang, the results are good this time. The highest score is 99 points for the team and a perfect 100 points for an individual.¡± ¡°What did you say? A perfect score!¡± Principal Fang, who was usually calm and composed, now had a bewildered and blank expression! ¡­ In the afternoon, at 3:00 PM. The class group chat was becoming livelier. Everyone was discussing the competition results and talking about various details of the event. ¡°This time, the class president and vice president will surely be in the first place!¡± ¡°Class president and vice president, let¡¯s celebrate with a meal!¡± ¡°93 points, a record-breaking achievement that will go down in the school¡¯s history!¡± ¡°Class president and vice president, don¡¯t forget us when you become rich and famous~~¡± ¡°6666~~~~¡± ¡°Even though our scores aren¡¯t good, we¡¯re still good at shouting 666!¡± Feng Yuya: ¡°Oh no, the results haven¡¯t been announced yet~~~ (smiling face~)¡± Shen Qiu: ¡°Everyone, don¡¯t worry. If we come in first, I¡¯ll treat the entire class to a meal tonight! (bold statement~~)¡± The group chat was buzzing with excitement. Group Message: ¡°Class president Shen Qiu has invited Teacher Zhang, the homeroom teacher, to join this group¡­¡± The group fell silent. Shen Qiu: ¡°Everyone, please be quiet. The homeroom teacher is about to announce the exam results¡­ (anticipation~~)¡± Homeroom Teacher: ¡°Hello, everyone. The exam results this time were outstanding for our Class Three. One team achieved first place in the whole school!¡± The group chat erupted in excitement! ¡°The class president is awesome!¡± ¡°Congratulations in advance to the class president!¡± ¡°This is amazing!¡± However, Shen Qiu and Feng Yuya¡¯s team was only in fifth place¡­ The homeroom teacher smiled, ¡°Ahem¡­ everyone, please be quiet. I announce that in this internal clinical competition, the highest total score goes to Team Lin Feng, with a team score of 99 points, and Lin Feng individually achieved a perfect score of 100. Let¡¯s give them a round of applause¡­ Of course, Shen Qiu and Feng Yuya¡¯s team did an impressive job, scoring 93 points, ranking fifth in the whole school!¡± The atmosphere in the class group chat became extremely awkward. Shen Qiu: ¡°¡­¡­¡­¡­¡± Feng Yuya: ¡°¡­¡­¡­¡­¡± All the students: ¡°¡­¡­¡­¡­¡± It was an incredibly uncomfortable atmosphere. The homeroom teacher quietly slipped away, regretting creating this situation and embarrassing all the students. As for Shen Qiu and Feng Yuya, they wished they could hide in a hole after boasting so much. Lin Feng couldn¡¯t help but feel sympathetic toward these two classmates. It was indeed a miserable situation! Lin Feng decided to shift the topic and sent a message in the group chat: ¡°Huh? Really? Me? Could there be a mistake in the scoring? I thought I did just okay¡­¡± This message successfully diverted the conversation. Other students started discussing, wondering when Lin Feng had become so impressive and whether there might be a scoring error. Shen Qiu and Feng Yuya¡¯s embarrassment was no longer the center of attention. They felt grateful to Lin Feng for changing the topic. The previous atmosphere had made them wish they could disappear. Lin Feng was truly a great classmate~~~ They would never try to show off in front of him again~~~ Chapter 60 Chapter 60: Competition, Stepping onto the Stage Soon, the campus-wide broadcast at Soy Sauce University began to play. ¡°Warm congratulations on the conclusion of the 11th National Clinical Skills Competition South China Division at Soy Sauce University and the campus competition¡­¡± ¡°All teams, please gather on the playground for the award ceremony¡­¡± The broadcast repeated continuously. More and more students gathered at the playground. When Lin Feng, Zhao Silu, and Wang Qiang arrived at the playground, there were already over 20,000 people gathered, tightly packed together. The crowd was enthusiastic! Lin Feng reached the class¡¯s designated spot, where classmates surrounded him. ¡°You¡¯re amazing, Lin Feng!¡± ¡°Wow, first place!¡± ¡°He¡¯s a real hidden talent!¡± They surrounded Lin Feng one by one as if he were a celebrity. Shen Qiu and Feng Yuya also came over to congratulate him. Soon, the school leaders stepped onto the stage to begin the award ceremony. ¡°I announce the team that has won the third prize: XXX¡­¡± ¡°I announce the team that has won the second prize: XXX¡­¡± Third and second-prize teams went on stage one after another, receiving their awards and taking photos. Finally, Principal Fang personally took the stage. ¡°Now, I will present the first prize team of this competition¡­¡± ¡°They are Lin Feng, Zhao Silu, and Wang Qiang from Clinical Class Three, 2015!¡± ¡°The team¡¯s total score is 99 points, with only 1 point deducted!¡± ¡°In addition, I have an announcement to make. Not only did Lin Feng achieve first place in the team competition, but he also achieved first place in the individual scores of this competition, with a perfect score of 100 points!¡± The crowd erupted into cheers! Lin Feng and the others walked up to the stage. Lin Feng remained composed, Zhao Silu was excited, and Wang Qiang was nervous. At this moment, many teachers and doctors looked at Lin Feng, who was leading the group, with curiosity in their eyes. ¡°He must be Lin Feng.¡± ¡°He¡¯s quite handsome!¡± ¡°To achieve a perfect score, where did he do his internship?¡± ¡°I heard it was at Peng City First Hospital.¡± ¡°What? Why did he go to Peng City? Why didn¡¯t he go to Duck University Hospital? Or Provincial People¡¯s Hospital? Soy Sauce Hospital and Lingnan Hospital are way better than Peng City!¡± ¡°Grades don¡¯t represent everything. Practical skills in the clinical setting are still very important¡­¡± At this moment, many hospital doctors started considering whether they should try to recruit Lin Feng to their own hospitals. Although the exam questions weren¡¯t difficult this time, achieving a perfect score had never happened before. This kind of student was worth a try. On the stage, Principal Fang also looked at Lin Feng and whispered to himself, ¡°He¡¯s handsome.¡± ¡°Lin Feng, you did a great job!¡± Principal Fang patted Lin Feng on the shoulder and praised him with a smile. As soon as he learned about the perfect score, he immediately found the nine judges responsible for scoring the three questions, and without exception, they all appreciated Lin Feng. They said about Lin Feng: He has a team leader¡¯s overall perspective!Calm and composed!Clear thinking!Skilled technique! The nine judges spared no praise for Lin Feng! The only regret Principal Fang felt was that Lin Feng went to Peng City First Hospital, which was a bit too limited of a platform, suppressing a talented individual. ¡°Should we find a way to get him to Duck University Hospital?¡± ¡°Never mind, let¡¯s wait until he passes the South China Division competition and enters the national finals¡­¡± The following day, Lin Feng¡¯s name spread throughout the school, and numerous teachers and students remembered him. Compared to so-called big stars Yan, Yan, and Kun¡­ he was a hundred times more attractive! He had exceptional skills! That day, Lin Feng¡¯s homeroom teacher took him to meet the administrative leaders of top hospitals in the provincial capital, hoping that Lin Feng would have the opportunity to work in these prestigious hospitals after graduation. It was a thoughtful gesture from the teacher, and Lin Feng couldn¡¯t decline. It felt like an endless day¡­ In the evening, wearing a mask and fully equipped Dr. Zhang Fan from Duck University Hospital secretly met Lin Feng and took him out for dinner. Lin Feng chuckled, ¡°Dr. Zhang, you don¡¯t have to be so cautious, do you?¡± Zhang Fan chuckled, ¡°I¡¯m afraid other hospitals might recognize you. They think you¡¯re on the 3rd floor, but I know you¡¯re actually on the 10th floor¡­ So I can¡¯t let them see how outstanding you are, or I won¡¯t be able to win you over.¡± Lin Feng felt a touch of gratitude in his heart and added, ¡°You think I¡¯m on the 10th floor, but I¡¯m actually on the 100th floor!¡± Zhang Fan pushed Lin Feng into the car and drove to Lingnan Restaurant, one of the provincial capital¡¯s finest dining establishments. They placed their orders and began to eat. Lin Feng said, ¡°Old Zhang¡­¡± Zhang Fan interrupted, ¡°Call me Old Zhang; I¡¯m only 45¡­¡± Lin Feng chuckled, ¡°Old Zhang I¡¯ve already signed an agreement with Peng City First Hospital to stay there after graduation.¡± ¡°Signed?¡± Zhang Fan paused with his chopsticks and looked at Lin Feng. ¡°How much money? How much can Peng City First Hospital offer you? Our Duck University Hospital can help you fight for it, even more! You have to believe in the strength of our hospital!¡± Lin Feng didn¡¯t hide it, ¡°An annual salary of 500,000, not including surgical bonuses¡­¡± Dr. Zhang Fan spurted out a mouthful of tea! He stared at Lin Feng in astonishment. ¡°500,000?¡± ¡°So much!!¡± Dr. Zhang cursed silently at Peng City for being so stingy. An annual salary of 500,000 was higher than many chief physicians in hospitals. And they were offering it to an intern! Peng City First Hospital had gone crazy! Zhang Fan smiled bitterly. He had just boasted about Duck University Hospital having money, but¡­ it was impossible to offer Lin Feng an annual salary of 500,000. With Lin Feng¡¯s surgical skills, Peng City First Hospital would probably keep offering him surgeries. By then, his total income would easily exceed 1 million, 1.5 million, or even 2 million! ¡°Damn it!¡± ¡°Peng City Hospital is being too ruthless with the money!¡± S?a??h the N???lFire.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Chapter 61 Chapter 61: Competition, Stepping onto the Stage [Part-3]Zhang Fan grumbled to himself. He had originally wanted to suggest Lin Feng go to Duck University Hospital, but now he couldn¡¯t say it anymore. They paid too little! Lin Feng smiled lightly and continued eating. In fact, for Lin Feng, the size of the hospital or the platform didn¡¯t matter. It had no impact on him. That was all he needed as long as he clocked in daily, received rewards, and quietly became stronger. Zhang Fan helplessly said, ¡°Alright, since that¡¯s the case, let¡¯s forget about it then¡­¡± Lin Feng respectfully said, ¡°Thank you for your trust, Old Zhang.¡± Zhang Fan shook his head and said, ¡°But you have to promise me, if there are any difficult surgeries in the future, I¡¯ll invite you to Duck University Hospital. Don¡¯t refuse, okay?¡± Lin Feng laughed, ¡°I definitely won¡¯t refuse!¡± Then, Zhang Fan started talking about his own past, bragging and chatting¡­ After a meal, their relationship became much closer. ¡­ March 4th. Lin Feng returned to Peng City and reported to the emergency room. The good news was that Director Zhou had undergone nearly four months of rehabilitation treatment and returned to the emergency room two days ago to continue working! s?a??h th? N?velF?re.?et website on G??gl? to access chapters of n?vels early and in the highest quality. The emergency department once again had its backbone! When Lin Feng¡¯s colleagues heard that he would participate in the South China University Student Clinical Skills Competition, they congratulated him one after another. ¡­ The next morning, Lin Feng arrived at the emergency room on time. Xiao Li was scolding Dr. Song Ziming again for being late. Lin Feng noticed that Dr. Song seemed quite pleased. Could there be something going on between them? A patient arrived before he could even take a sip of hot tea. A couple rushed into the room carrying a 7-year-old girl. The little girl had a pale complexion and looked extremely weak, her big eyes staring weakly at Lin Feng. Upon seeing her, Lin Feng¡¯s heart couldn¡¯t help but ache for her. The mother burst into tears and cried loudly. The father also wore an anxious expression on his face. Lin Feng quickly comforted the parents, ¡°Don¡¯t worry, tell me what happened.¡± The mother quickly explained, ¡°It¡¯s like this, my daughter has been vomiting, having diarrhea, feeling nauseous, and refusing to eat these past few days¡­¡± Lin Feng frowned and accused, ¡°Why did you wait for two days before bringing her here?¡± The mother felt embarrassed momentarily and said, ¡°My husband and I have been busy with work outside, so¡­¡± ¡°Busy? Is your child¡¯s illness not important even if you¡¯re busy?¡± Lin Feng touched the little girl¡¯s cold hand and scolded the parents angrily. The parents were rendered speechless by Lin Feng¡¯s scolding. At this moment, the little girl weakly said, ¡°Brother, don¡¯t scold Mommy and Daddy. They work very hard.¡± Lin Feng looked at the little girl¡¯s pleading eyes, his heart softened, and he sighed. She didn¡¯t cry or make a fuss when she came in, and now she¡¯s defending her parents like this. Lin Feng couldn¡¯t help but feel heartbroken for her. ¡°Swallow¡­¡± The parents embraced their young daughter, tears rolling down their cheeks again. Lin Feng smiled warmly and said, ¡°Little sister, let me check your body, and later you can tell me where it hurts, alright?¡± With her innocent voice, the little girl replied, ¡°Okay, brother.¡± Lin Feng began the examination of her abdomen, following the sequence. After the check-up, there were no specific findings except for tenderness in the upper abdomen, where the liver is located. ¡°The liver?¡± Lin Feng inquired. ¡°Maybe it¡¯s not gastroenteritis?¡± He pondered. Just a moment ago, Lin Feng heard the mother complain that the little girl had been vomiting, having diarrhea, and losing her appetite. Initially, he had thought it might be gastroenteritis. With tenderness in the liver area, another possibility crossed his mind: liver cancer. ¡°Liver cancer?¡± He wondered aloud. Lin Feng shook his head and chuckled, feeling overly sensitive. The probability of a 7-year-old girl having liver cancer was exceedingly low. Considering the general mechanisms of cancer, the incidence rate in children, except for certain types like leukemia, was not high. As for liver cancer, it rarely occurs in children. However, Lin Feng couldn¡¯t rule out the possibility due to his professional sensitivity. Lin Feng pointed out several examination forms, including complete blood count, urinalysis, B-ultrasound, and CT scans. ¡°You should get these tests done and pay first,¡± Lin Feng advised. The mother nodded eagerly, saying, ¡°Alright, I¡¯ll go right away!¡± The father hurried to the payment counter with the examination forms in hand. After paying, he swiftly went to the imaging department and the laboratory for the tests. ¡­ Next, Lin Feng continued to see other patients, but the image of the sensible and heart-wrenching little girl lingered. Moreover, Lin Feng had a vague suspicion that it might be liver cancer. ¡°I hope it¡¯s not liver cancer¡­¡± He muttered. After waiting for nearly two hours, the parents arrived at the emergency room, still holding their daughter. ¡°Doctor, please help us. Just now, my daughter vomited again,¡± the mother implored. Lin Feng paused the next patient and received a stack of test reports from the little girl¡¯s father. The first report was the ultrasound results: ¡°Multiple solid space-occupying lesions in the liver ¨C consider liver cancer (further examination recommended).¡± Lin Feng¡¯s expression changed. It seemed to be liver cancer. The father¡¯s lips trembled, and he asked, ¡°Doctor, what¡¯s wrong?¡± Lin Feng turned to the CT scan report, which confirmed his suspicion: ¡°Massive space-occupying lesion in the right lobe of the liver, suspected liver cancer,¡± Lin Feng sighed. There was no need to say more. It was liver cancer. ¡°Perhaps the tests were incorrect..,¡± he mumbled, but deep down, he knew the diagnosis was likely correct. Upon seeing Lin Feng¡¯s change in expression, the parents grew uneasy. ¡°Doctor, what¡¯s wrong?¡± they asked. ¡°I¡¯m sorry, although I don¡¯t want to say it, you need to know¡­ Based on the current two test reports, your daughter has liver cancer,¡± Lin Feng explained gently. The parents were stunned, unable to comprehend the gravity of the situation. ¡°Liver cancer?¡± they murmured in shock. ¡°Cancer..,¡± they repeated, their voices filled with disbelief. The father¡¯s knees gave way, and he knelt heavily before Lin Feng. ¡°Doctor, please save my daughter!¡± ¡°I can¡¯t lose my daughter, please, I beg you!¡± the mother cried out, holding the girl in her arms, but the little girl, too young to understand, simply watched her parents with curiosity. Chapter 62 Chapter 62: Competition, Stepping onto the Stage [Part-4]At this moment, the parents¡¯ cries were so loud that all the patients in the emergency department were alarmed and turned to look. Lin Feng quickly helped them up. ¡°Please get up!¡± It took a lot of effort to calm down the two parents. Lin Feng began to inquire about the origin of the condition. How could a young girl possibly have liver cancer? Family medical history: No one in the family has had liver cancer.Radiation exposure: None. Finally, Lin Feng learned from the parents that due to their frequent overtime work and lack of time to cook for their child, they had stocked up on many instant noodles, ham, and cola, which the child ate daily! This had been going on for over two years! ¡°How could you do this?¡± Lin Feng exclaimed. ¡°Two years! How could you have the heart to do this!¡± ¡°You parents, you give birth to a child but don¡¯t care for them properly.¡± ¡°For making a little money, you let your child eat instant noodles daily?¡± ¡°Do you know how many harmful substances are in instant noodles?¡± ¡°She¡¯s only seven years old!¡± The parents were already in tears, kneeling on the ground, begging Lin Feng. ¡°I know I was wrong. Please, save my daughter.¡± ¡°As long as you save my daughter, I will be your servant in this life and the next!¡± The reserved father even knocked his head against Lin Feng, thump, thump, thump~ The little girl, frightened, tugged at Lin Feng¡¯s clothes and pleaded. ¡°Brother, don¡¯t scold Mom and Dad anymore. They¡¯ve been working so hard, busy for my sake¡­¡± S?a??h th? N?v?l(F)ire.n?t website on G??gl? to access chapters of n?vels early and in the highest quality. Lin Feng¡¯s heart ached upon hearing this. Looking at this couple, although Lin Feng was angry, he quickly pulled them up. At this moment, the commotion reached the waiting area, and the patients in the emergency room rushed over to see what was happening. ¡°What¡¯s going on? Is the patient scolding the doctor?¡± ¡°Is there a conflict between the doctor and the patient?¡± ¡°Hey, why is the patient kneeling in front of the doctor?¡± ¡°What¡¯s happened?¡± The emergency room nurse quickly pulled away the patients and their family members. Director Zhou hurriedly rushed over and was taken aback when he saw the parents crying. But after knowing the situation, Director Zhou was furious. ¡°You¡­reckless parents!!¡± Other doctors and nurses arrived upon hearing the news, and after learning the details, they felt great sympathy for the little girl. Some emotional nurses even cried. It was too pitiful, only 7 years old! ¡°Doctors, we know we were wrong. Please save our daughter!¡± The parents pleaded desperately. Lin Feng sighed. What use was it to try to salvage the situation now? ¡°Let¡¯s proceed with further examinations. Go for an MRI first, to determine the stage¡­ There¡¯s a better chance if it¡¯s in the early stages¡­¡± MRI, or magnetic resonance imaging, had a high accuracy rate for detecting 1.0 cm liver cancer. It also helped differentiate between benign and malignant tumors and determine if the liver cancer had spread to other body parts. ¡°Oh, and there are payment and admission procedures to be taken care of¡­¡± ¡°Okay, I¡¯ll go and handle it right away,¡± said the reserved father, nodding quickly and rushing off in a panic to make the payment. Unlike a regular CT scan, a magnetic resonance imaging (MRI) scan takes a long time, around 15-30 minutes, especially for abdominal scans. In complex cases, obtaining clear results could take at least 30 minutes. Around noon, the parents returned to the emergency department, holding the little girl and the MRI results. Lin Feng opened the MRI report and furrowed his brow. ¡°Doctor..,¡± the father almost pleaded, fearing whenever he saw Lin Feng furrow his brow. Lin Feng said, ¡°I have both good and bad news¡­ The good news is that liver cancer is still in the early stage and hasn¡¯t spread, so it can be treated¡­ However, the bad news is that the location of the liver cancer is in the left lobe of the liver, and what¡¯s dangerous is that it¡¯s close to the liver hilum¡­¡± The father trembled, ¡°What does liver hilum mean?¡± Lin Feng explained, ¡°The liver hilum is the area where the left and right liver ducts, left and right branches of the hepatic artery, left and right branches of the hepatic portal vein, liver nerves, and lymphatic vessels enter and exit¡­ It can be said that it¡¯s the most dangerous location in the liver!¡± The father initially didn¡¯t understand, but then he grasped the meaning. Lin Feng continued, ¡°The liver has a strong regenerative ability. Even if a large portion of the liver is removed, it will gradually grow back over a few years, approaching normal liver size. Additionally, under normal circumstances, a person typically only utilizes less than 20% of their liver function, so¡­ in necessary cases, removing a portion of the liver doesn¡¯t pose significant harm to the body.¡± Lin Feng explained in simple language to ensure the parents understood. ¡°Now, your daughter is in the early stage of liver cancer, and the best approach currently is to remove the cancerous part of the liver.¡± The father nodded, ¡°I agree!¡± The father might have been unwilling if Lin Feng hadn¡¯t explained and simply suggested removing the cancerous part. However, after Lin Feng explained, he quickly agreed to the procedure. Lin Feng nodded, ¡°Alright, the next issue is that your daughter¡¯s cancer is located near the liver hilum, about the size of a ping-pong ball. During surgery, there is a risk of damaging important structures such as arteries and bile ducts¡­¡± ¡°If we were to perform traditional surgery to remove it, there would be certain difficulties¡­¡± ¡°If I perform the surgery, I will employ the technique of ¡®ex-situ liver tumor resection¡¯¡­¡± ¡°In simple terms, it involves cutting off the liver, removing it from the body as a whole, completely excising the tumor under low temperature, and then transplanting the liver back into the body¡­¡± ¡°Ah?¡± ¡°Remove it from the body?¡± The parents were horrified.