《My Medical Skills Give Me Experience Points》 Chapter 1 - 1 One Hundred Thousand Sutures Inside the collective dormitory for intern doctors at Tuya Hospital, the other roommates were either not yet returned from night shifts or sound asleep. Only a handsome young man was tirelessly practicing suturing. "201st stitch, 202nd stitch..." Zhou Can would silently count every stitch he completed. His goal for today was to complete 300 stitches. Even though he was already exhausted and drowsiness surged over him like waves, he still clenched his teeth and persisted. He must be harsh on himself; with the internship year coming to an end and wanting to stay on as staff, the upcoming residency recruitment in two days was his only chance. Tuya Hospital was a provincial triple-A hospital with comprehensive facilities and an array of famous doctors. To be able to work here would mean not only learning many advanced medical techniques but also broadening one''s horizons and elevating one''s overall scope. The room for growth was vast, and the future appeared bright. Everyone wanted to stay, so the competition was sure to be intense. He was only stronger in pathological diagnosis; his medical skills were far behind those of the outstanding interns. To stay, he had to work harder than others. The piece of pigskin crowded with dense stitches bore witness to his sweat. Pigskin closely resembles human skin, making it an excellent tool for practicing suturing. The closer the practice material is to human tissue, the better the practicing effect. Drowsiness grew more intense, and the wall clock had already pointed to midnight. He ran to wash his face with cold water, dispelled the sleepiness, and continued to persevere with gritted teeth. Almost two hours later, he managed to complete 300 stitches with an iron will. [Congratulations, you have completed a hundred thousand sutures and triggered the Experience Points system. Medical practice and surgeries will now earn you medical skill Experience Points.] Zhou Can vigorously shook his head. What the hell is this? As his thoughts wandered, something even more magical happened. A display appeared before his eyes. [Zhou Can, Intern Doctor] [Pathological Diagnosis, Level 2, Current Experience Points 89.5/100. Diagnostic ability at an excellent standard for residency training.] [Incision, Level 1, Current Experience Points 7.6/10. Dissection ability at a moderate level for interns.] [Suturing, Level 1, Current Experience Points 8.1/10. Suturing ability at an excellent level for interns.] [Ligation, Level 1, Current Experience Points 8.5/10. Ligation ability at an excellent level for interns.] [Hemostasis, Level 1, Current Experience Points 4.8/10. Hemostasis ability at a failing level for interns.] ... After reviewing all attributes, he found all the ratings to be very fair. Pathological diagnosis had always been his strong suit and his only edge. During department discussions on cases, he outperformed the vast majority of interns. Suturing and ligation were the medical techniques he practiced the most. Reaching an excellent level for an intern was not surprising. Other medical skills lagged behind due to limited energy and the inability to focus on them all. "What''s the use of this Experience Points system?" Zhou Can had read many novels where the protagonists acquire a system and then skyrocket in capability. Now that such good fortune had befallen him, he naturally wanted to thoroughly mine this ''gold mine.'' He tried to put another stitch into the pigskin. [+0.1 Suturing Experience, +0.1 Ligation Experience.] He couldn''t help but feel ecstatic. Previously, after practicing suturing a hundred thousand times, his experience remained at 8.1. Now, just one stitch had increased his experience to 8.2; the rate of progress was like riding a rocket. At this rate of increase in Experience Points, only 18 more stitches were needed for his Suturing Skill to advance to Level 2. He suddenly felt a surge of energy, his sleepiness completely gone. He ignored that the hands of the clock had already pointed to midnight and continued practicing suturing on the piece of pigskin. The Experience Points kept rising rapidly. When he completed the fourteenth stitch, it was as if electricity surged through his body, leaving him thoroughly rejuvenated. [Congratulations, your Ligation Skill has advanced to Level 2! Current Experience Points 0/100. Ligation ability at a lower standard for residency training.] He seemed to have reached a new peak in his understanding, application, and operational level of ligation. Good lord, he''s already leveled up to the training standard so quickly! With a needle in hand, the world is mine. Itching to test his skills, he tried tying a square knot with both hands on the spot. It only took 0.5 seconds. Before, it would take him at least 5 seconds to tie a square knot, now his speed had increased tenfold. And compared to the knots he tied before his promotion, both neatness and solidity are incomparable. It is said that the directors'' knot-tying skills are so advanced that they can hold the needle with one hand and operate on tofu pudding or a cotton ball, ensuring no damage to the tofu pudding while tying very sturdy knots. Just think about how fragile tofu pudding is; it would break at the slightest tug during tying. Zhou Can is still miles away from that level. However, he believes that with this magical Experience Points system, it''s not impossible to outperform the directors. After trying to tie with both hands, he tried tying with one hand, which took 18 seconds, and the knot was rather sturdy, pulling a bit tight on the sutured area. He didn''t attempt to tie knots holding the forceps with one hand. If he couldn''t even tie well with his hands, it would definitely be worse with forceps. Just like the swordsmen in martial arts novels, who must train their swordsmanship until it''s an extension of their limbs before they make a little achievement. Forceps and tweezers, in his hands, were far from reaching the realm of being alive. They were even somewhat clumsy, far from being nimble. Zhou Can kept his head down and continued to practice hard. Since his ligation level improved, his suturing speed also sped up a bit. Soon, his Suturing Skill Experience Points gratifyingly rose to 10/10. [Congratulations, your Suturing Skill has advanced to Level 2! Current Experience Points 0/100. Suturing ability is at a lower level within the training standards.] Finally, he leveled up. He split his face in a silly grin. The wonderful feeling of upgrading his medical skills fascinated him. This also meant that the gap between him and the outstanding interns was closing. sea??h th§× NovelFire.net* website on Google to access chapters of novels early and in the highest quality. At this rate of improvement, it won''t be long before he surpasses them. After leveling up in suturing, previous confusing aspects of suturing became crystal clear. His application and operation of suturing had also improved dramatically. He couldn''t wait to experience the upgraded Suturing Skill. Holding the forceps and needle, piercing the pigskin, threading through, and then tying the knot. All these movements were done smoothly in one go, seemingly with a bit of a master''s flair. The time taken for one stitch has been reduced by almost 50 seconds. The suturing effect has been substantially elevated; the skin edges of the wound were neatly aligned, the angle at which the needle pierced was just right, and the distance from the skin margin was spot on. This is the ability after leveling up in suturing. Now, looking back at his previous sutures. They were just two words: "Trash!" He could now spot any deficiencies and flaws in the sutures at a glance. It felt like looking back at the homework done in the first grade after reaching sixth grade, full of disdain. How can the handwriting be so ugly? How can such a simple arithmetic problem be wrong, so stupid. He felt a rapid improvement in his medical skills, and the invisible pressure brought by those outstanding interns had almost entirely dissipated. In its place was brimming confidence exuding from his every look. At this moment, this piece of pigskin had already been fully sutured. Zhou Can picked up the scalpel, ready to squeeze the last bit of utility value out of it. Finding the right angle, the scalpel carefully slid through. [Cutting Experience +0.1.] Every time he made an incision, the Cutting Experience would increase by 0.1. After 21 cuts, this piece of pigskin was of no use anymore. Seeing that his Incision Skill was only 0.3 Experience Points short of leveling up to Level 2, although he was reluctant, he had to dispose of this trash. Tomorrow, he''ll buy another piece of pigskin, and surely he will be able to level up the Incision Skill to Level 2. The clock was already pointing towards 1 a.m.; it was time to sleep. He had to go to work tomorrow. Chapter 2 - 2 Double Experience Interns are the most humble existence in the hospital, even less so than janitors. They do the most tiring work and get scolded countless times a day. Mentors scold, department doctors scold, nurses scold, and sometimes even patients and their families scold. And key point, they don''t get paid. Enduring humiliation and burden, all for the sake of rising up as soon as possible. Once becoming a training doctor, the treatment in all aspects will be greatly improved. It won''t be so miserable then. ... That night, Zhou Can slept particularly well, with unprecedented ease. In his dream, he became a successful and famous surgeon. He effortlessly resolved extremely difficult surgeries that other famed doctors couldn''t handle. Tu Ya Hospital took pride in him, and the medical community revered him as a modern surgical saint. S§×ar?h the Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. When he woke up, he realized it was just a pipe dream. He was still that little intern. Just wait, one day his dreams will come true. He glanced at the wall clock, 7:10 AM. Because he slept very late, he got up a whole hour later than usual. In the dormitory, his roommates who got up early were already studying, or practicing basic skills like pinching beans with toothpicks and suturing. The internship was coming to an end, and he could feel the tension and anxiety permeating the air. Everyone was working hard, trying to make themselves stronger. It was said that Tu Ya''s training recruitment was simultaneously open to interns from the hospital and medical personnel from society, the competition was more intense than one could imagine. Thousands participated in the training exam, and it would be good to have twenty people stay in the end. The elimination rate of more than 98% was terrifying. Using "one man''s success achieved over the dried bones of many" to describe it was not an overstatement. In life, you are always competing. From elementary to junior high, only a small portion of the best can enter key schools. Then from junior high to high school, a large part is eliminated. College exams eliminate another large part. Postgraduate exams eliminate yet another part. Those who remain until the end will stand at the apex of the pyramid. After graduating from college, Zhou Can failed his postgraduate entrance exams. This time, he does not want to fail again. He must rise up. Morning is the golden time for studying, with a clear mind and strong memory. After washing up, seeing that he still had some time, he quickly took out a medical book to read. The rise of every famous doctor depends on cumulative daily efforts. This book, authored by Professor Huang Houzhong and several surgical experts, titled ''1000 Cases of Surgical Pathological Diagnosis,'' recorded a large number of real cases. "Patient, female, 34 years old, living in the countryside. Noticed thickening of the neck 7 years ago, untreated. In the past two years, the neck thickening was obvious, and breathing difficulties were felt, but there were no symptoms of hoarseness or swallowing difficulties. She could feel several nodules in front of her neck by touching, the largest the size of an egg, the smallest about an apricot pit. After visiting a clinic, she took Iodine Sugar Pills, but there was no significant reduction in the neck mass¡­" Zhou Can read the cases in the book carefully. Based on the patient''s symptoms, medical history, and examination results, he began to deduce the cause and pathology. After some deduction, he concluded that this was a typical thyroid tumor. After reasoning, he read the master''s diagnosis from the book, and as expected, it really was a thyroid tumor. Eventually, this female patient underwent surgical treatment, and the removed tumor was found to be benign. It was a fortunate misfortune. Because the chances of a thyroid tumor being malignant are very high. Zhou Can just finished reading this case. [Pathology Diagnosis Experience Points +0.1.] Unexpectedly, reading could also increase experience points, truly a pleasant surprise. It looks like he no longer has to worry about lagging in pathological diagnostics. Its significance is in no way inferior to surgical skills. Pathological diagnosis tests a doctor''s application of medical knowledge and comprehensive abilities in therapeutic experience accumulation, analysis, and judgment. Having tasted the benefits and preparing to read another case, a roommate called out, "Zhou Can, let''s go, we''ll be scolded if we''re late." He closed the book and went to the hospital for work with a few roommates. His current internship department was General Surgery. Writing medical records, providing various care to patients, changing dressings, measuring blood pressure, recording medical processes, and assisting in surgeries were his basic daily grueling tasks. Don''t think that assisting in operations meant opportunities for surgical practice. Following the teaching doctor at the operating table meant standing for several hours, sometimes even tens of hours for a single surgery. All they could ever do was simplest tasks like hook handling and skin cleaning. Forget about managing cavities or suturing skin. Their supervising teacher was at a high rank, at the Deputy Director level, overseeing over a dozen interns. During operations, the team was even more luxurious. Chief doctors were just fit to be first assistants. Opportunities to suture or manage cavities were grabbed by resident doctors like hungry wolves. No chance for interns. Thus, another ordinary day passed. Zhou Can wished he could grow wings and immediately fly back to the dorm to practice medicine. The day after tomorrow was the recruitment for the training program, and time was extremely tight; he had to seize every minute. Pigskin used for suture practice was hard to buy in the market. Its thickness and refrigeration treatment were demanding. He usually purchased it at the hospital''s medical teaching building. While picking pigskin, he suddenly wondered whether he should also buy a rat to practice dissection and hemostasis? Hemostasis had always been his weak point, he couldn''t afford to lag behind because of it. After some selections, he bought a medium-sized piece of pigskin for 40 yuan. Rats were more expensive, even the cheaper ones cost 60 yuan each. He bought the best, spending 200 yuan. With such a high price, ordinary interns really couldn''t afford it. Zhou Can''s family was well-off, and for the sake of improving his medical skills, he was willing to spend the money. He returned to the dorm with the pigskin and rat. "Yo, Brother Can, both pigskin and rats today, looks like you''re prepared to practice until 2 or 3 AM!" "Isn''t the training recruitment coming soon? Sharpening the gun just before the battle, shine even if it wasn''t bright. Everyone is striving hard, I can''t drag our 211 dorm behind!" Zhou Can responded with a smile. "I heard that this year''s standardized training recruitment is open nationwide, and the number of applicants has already exceeded four thousand. In previous years, there were only about two thousand applicants; the difficulty has at least doubled this year. We''re really in for a tough time!" "Gu Jie, where did you hear that from? Is it true?" His roommates became anxious. "Absolutely true. And the number keeps increasing; I think this year is going to be especially tough!" Gu Jie''s parents work in the health system, so he is well-informed. Hearing this news, Zhou Can felt heavy hearted. But the fact that so many people are vying to get into Tu Ya Hospital also shows that each position here is very desirable. Everybody wants a good thing. May the best man win. Zhou Can began to practice against the clock. First, he made an incision on a piece of pigskin. [Cutting Experience +0.1.] Exciting! Just 0.2 more to level up. He persevered and continued dissecting the piece of pigskin. Finally, a joyful congratulatory sound emerged. [Congratulations, your Incision Skill has been upgraded to Level 2! Current Experience Points 0/100. Dissection ability at lower standardized training level.] Having his incision skill meet the standardized training level was exhilarating. His understanding and operation of dissection had leaped to a brand new height. While cutting, his hands were steady and unwavering, capable of making vertical or oblique cuts with ease. He even made significant advancements in areas he previously hesitated to touch. He tried experiencing Level 2 Incision Skill on the pigskin. When he looked at the pigskin, he was surprised to find that he could see its patterns. This was an ability he didn''t have before. Holding the scalpel and cutting down, the sensation was vastly different from before. He could now vaguely sense the subtle differences between the epidermal layer, dermal layer, and muscle layer. It''s said that skilled surgeons can take a scalpel to a stack of paper and cut the exact number of layers they intend to. That level of proficiency in incision is so refined it''s almost entrancing. Their scalpel can sense the moment it touches a vascular wall. This greatly reduces the tragedies of severing crucial blood vessels or nerves during surgery. Zhou Can''s dissection skills were now better than most interns. If he could advance to Level 3 and reach Resident Doctor level, he would likely have the capability to outclass outstanding interns. That would significantly increase his chances to stand out from the crowd. After upgrading his incision skill, he diligently practiced suturing and ligation. In less than an hour, he had completed 150 stitches. This efficiency was not just a little bit faster than yesterday; it had increased several times. And the outcomes of his suturing were much higher than intern level. Seeing his experience points rapidly increasing, Zhou Can was full of motivation. With a bit more effort, he aimed to elevate both suturing and ligation skills to Level 3 tonight. Another hour passed, and the entire pigskin was sutured. He had completed over 340 stitches in total. He should''ve bought a larger piece of pigskin to take home. Looking up at the wall clock, it wasn''t even 9 o''clock yet. Before, completing 300 stitches would have taken him until 1 o''clock in the morning. Now he had cut down four hours, the bitterness paying off sweetly, making him want to cry with happiness. He got up to stretch a bit and noticed that his roommates were all ''battling'' too. Gu Jie was probably the most impressive among them. He was practicing vascular anastomosis on the tail of a rat. This was a high-difficulty, finesse-intensive task. It could only be done with the aid of a microscope. "Gu Jie''s suturing might be reaching or nearing Resident Doctor level," Zhou Can speculated in his mind. Sitting back at his practice station, his gaze landed on that rat. "Buddy, sorry about this!" Two common methods of anesthesia for rats include cotton ball anesthesia. The rat is placed under a beaker, a cotton ball soaked with ether is dropped in, and the beaker is continuously rotated. After a few minutes, the rat would be anesthetized and at the mercy of the handler. Zhou Can used intraperitoneal injection for anesthesia. Its advantage being rapid onset and prolonged anesthesia. Moments later, the rat was immobile, as if dead. He positioned it face-up on a wax surgical plate then started the dissection. After choosing the right place for the incision, he carefully cut open its abdomen with the scalpel. Compared to cutting pigskin, he was obviously nervous. Practicing on a living creature involuntarily worried him about accidentally cutting its intestines or internal organs. As soon as the scalpel went down, blood immediately started to flow. All these elements increased the operator''s tension. Thankfully, his Incision Skill had already advanced to Level 2. This provided him immense help. A four-centimeter long incision appeared, and miraculously, the intestines were unharmed and the incision was neat. [Cutting Experience +0.2.] "Is this a mistake? How did the experience points double?" Zhou Can felt incredibly surprised. Chapter 3 - 3: Rapidly Improving Medical Skills Practicing incision skill on pigskin, each time only increases the experience by 0.1. Why does it double when practicing on mice? Could it be because it''s practiced on a live subject? After this major discovery, he felt both shocked and excited. It seems that there is a lot more to explore in this experience system! Practicing incisions on mice doubles the experience; what about other medical skills? Once the wound was opened, organs like the intestines, kidneys, and bladder were all exposed. He didn''t rush to touch its viscera. Instead, he chose to perform cavity ligation. [Suturing Experience +0.2, Ligation Experience +0.2.] All double experience, very satisfying. This feels like usually walking out the door, but now driving a car, experiencing unprecedented speed and passion. ¡­ Unknowingly, Zhou Can had already made fourteen incisions on this mouse. Each cut avoided vital areas, then followed by cavity suturing. It''s not that he held any grudges against this mouse from a past life, but to ensure it stayed alive. Only in this way could he continuously earn double experience points. At this moment, the clock had already struck twelve. In total, it should be about over two hundred stitches. Suturing on a live subject is slower compared to practicing on pigskin. However, since it earns double experience, it''s still very cost-effective. He checked the experience points for various medical skills. [Pathological Diagnosis, Level 2, Current Experience Points 89.6/100. Excellent standard training level.] It was originally 89.5, but because he read medical books this morning, finished a case, and increased by 0.1. If there was enough time, just reading another 104 cases could upgrade it to Level 3. Level 3 is the Resident Doctor level. There are hardly any interns who can reach this level, perhaps only one or two exceptional prodigies might have achieved it. If Zhou Can could upgrade his pathological diagnosis to Level 3 before the standard training recruitment, the chance of staying would increase by at least fifty percent. Pathological diagnosis carries a very high weight. It is the primary and compulsory item during the interview. This shows how important it is. He sighed; what a pity that time is too tight. He has to work during the day, and after work at night, he needs to practice medical skills, leaving no time to read. Besides, reading 104 cases isn''t just about simple reading, but requires deep thinking and making deductions on your own. Simple cases might take about fifteen to twenty minutes each to read. For difficult ones that require looking up various materials and repeated deliberations, even an hour or two might not be enough. [Suturing, Level 2, Current Experience Points 87.8/100. Excellent standard training level.] [Ligation, Level 2, Current Experience Points 89/100. Excellent standard training level.] These two medical skills are like twins, almost equal in terms of experience progress. Having gained so much in one night, Zhou Can was very satisfied. If he had discovered practicing on live subjects doubles experience earlier, maybe these two skills would have already advanced to Level 3. He''ll buy another mouse tomorrow, definitely can upgrade them to Resident Doctor level before the standard training recruitment. [Incision, Level 2, Current Experience Points 3.6/100. Below average standard training level.] The promotion of this medical skill is relatively slower. However, having a standard training level should be sufficient during the recruitment. [Hemostasis, Level 1, Current Experience Points 4.8/10. Failing practice level for hemostasis.] This skill has now become Zhou Can''s significant weakness. If he can''t upgrade it to Level 2, the day after tomorrow''s standard training recruitment will definitely severely hinder him. He looked towards the mouse. It was time to practice hemostasis technique on it. One hand holding a scalpel, the other holding an electrocautery knife. Continuously making cuts on the mouse, then following up with the electrocautery knife, targeting the bleeding points and cauterizing the severed blood vessels. The electrocautery knife mainly uses high-frequency electric currents to coagulate small blood vessels, using the heat to make the blood coagulate and carbonize, thus achieving hemostasis. Due to his novice level, he kept making various mistakes. Either missing the severed blood vessel or accidentally damaging surrounding tissues. However, this situation was improving as he continued practicing. Each successful hemostasis increased his Hemostasis Experience by 0.2. This was very thrilling. Practicing hemostasis was much faster than suturing or making incisions. Just making a small cut could produce two or three bleeding points. With a point of the electrocautery knife, basically 0.2 experience points were gained. [Congratulations on your Hemostasis Skill reaching Level 2! Current Experience Points 0/100. Below average standard training level.] After successfully performing hemostasis on the mouse twenty-six times, Zhou Can''s Hemostasis Skill successfully advanced to Level 2. He was thrilled to death. Finally, he had overcome his weakness in hemostasis. Seeing how easy it was to level up in hemostasis, he immediately set a new goal, aiming for Level 3 Hemostasis. He kept making cuts on the rats. Then he performed electrocoagulation to stop the bleeding. After reaching Level 2, his efficiency in stopping bleeding improved several times. Now, he could almost hit the target at one go, and the chances of damaging nearby vascular tissue had significantly reduced. Just when he was getting into the groove. [Hemostasis Experience Points +0.1.] He tried again, still only an increase of 0.1. The rat''s heartbeat had stopped. It had died. What a pity. Zhou Can sighed, his current hemostasis experience was 46.4/100. It looked like he could only wait until tomorrow to level up to Level 3. Even in death, it still had some value. He began to dissect its organs with a scalpel. Once the rat was unrecognizable, his Cutting Experience increased to Level 2, 9.7/100. That was quite good. The gains tonight were beyond imagination. Checking the clock, it was already 2 AM. He quickly cleaned up the practice table, dealt with the trash, took a shower, and went to bed. That night, he was dreamless. Because he was just too exhausted. The next morning, his roommates woke him up. "Zhou Can, Zhou Can, if you don''t get up now, you''ll be late!" Zhou Can opened his eyes and saw it was 7:32 AM. Scared, he rolled out of bed, hurried to wash up, then sprinted to the hospital. Interns were required to arrive at least twenty minutes early. He didn''t want to listen to the endless nagging of the resident doctor. Once at the hospital, he quickly finished breakfast in the cafeteria, then returned to his department to handle a series of routine tasks. Each intern had heavy responsibilities. The senior doctors seemed eager to dump all the trivial tasks on the interns. It was supposedly ''training''. "Xiao Zhou, hurry and inform the patient in bed 27 to prepare for surgery at 10 AM, you''re in charge of following up." The resident doctor always had such a loud voice. Being only slightly older than Zhou Can, he cheerfully called him Xiao Zhou. After all, he was a senior. "Okay!" Zhou Can glanced at the time and quickly went to the ward to inform the patient and their family. Pre-surgery preparations were very cumbersome and had to be meticulous. He dared not be careless. S§×arch* The nov§×lF~ire.net website on Google to access chapters of novels early and in the highest quality. After arriving at the ward, out of responsibility, he inquired detailed about the patient''s condition. Finding no issues, he then informed the patient to change clothes, use the bathroom, and refrain from eating and drinking. During this time, the senior doctor entered the ward to talk with the family, having them sign the surgical consent form. Once the surgery was confirmed, the anesthesiologist also arrived. It was standard procedure to have conversations and get signatures from the family. These essential processes couldn''t be skipped. In case of medical disputes, they could effectively protect the doctors and the hospital. Everything arranged, the nurse arrived. "Dr. Zhou, have you prepped the patient''s skin?" "Not yet!" Zhou Can was frustrated, weren''t these duties supposed to be the nurse''s responsibility? How did they become his job? "Don''t just stand there, I''ve brought in the tools. Prepping the skin and placing the IV belong to you now." The nurse was quite pretty, but her tone was fierce. What could Zhou Can say? He just needed to get it done. After he finished, a smile finally appeared on the nurse''s face as she nodded in satisfaction, "Hmm, Dr. Zhou''s pre-surgery preparation is getting more skilled. Not bad, not bad. Hurry and get the patient over, otherwise Director Liu is going to scold someone!" Zhou Can''s forehead was lined with frustration as he retorted. "How could I not get better? You''ve dumped all your work on us interns." "Oh, learning to talk back now, huh? Still want to find a girlfriend? Behave and I might introduce you to a girl!" The nurses looked fierce, but actually got along quite well with him. Knowing he was no match for these married women, Zhou Can quickly moved the patient along, leaving the nurses giggling behind him. Chapter 4 - 4: Director, Ive found the cause of the shock Rushing through red lights and lightning, the patient was wheeled into the operating room. "Good morning, Director Liu! Good morning to all senior doctors!" Zhou Can saw that there were already seventeen or eighteen people inside, each dressed in surgical protective clothing with masks and head covers. Honestly, without careful identification, it''s quite easy to mistake one person for another. Greeting people, he now had the experience. He would greet Director Liu, who held the highest position, separately, and could just use "senior doctors" to collectively address the others and be done with it. Typically, Director Liu would be at the outpatient clinic in the mornings. The early surgery today probably meant there was a temporary change in schedule. "In the afternoon, I need to attend a seminar at the Provincial Medical Association. I''ll leave after finishing this surgery. Let''s start promptly!" Director Liu''s qualifications are actually quite senior, but he''s a bit lacking in academic achievements, and has been stuck at the associate chief physician level without advancing. Shedding that "associate" title is what he most longs for before retirement. His eagerness can be seen from his frequent participation in various academic conferences. The patient was lifted onto the operating table with combined efforts. The circulatory nurse asked the patient to take off his upper garments and performed another skin preparation. Then the anesthetist came over to check the patient before anesthesia, and after ensuring he met the criteria, started to install various life-monitoring probes on the patient''s body, put on the breathing mask, and so on. In a major surgery, the importance of an anesthetist is no less than that of the chief surgeon. He is responsible for monitoring the patient''s vital signs throughout the procedure and providing timely suggestions. This was a surgery for the excision of cervical lymph node tuberculosis, classified as a Level 3 general surgery. Surgery of this caliber requires at least a director-level surgeon to be the chief surgeon. Even experienced attending physicians could only take part as first or second assistants. The danger of the surgery goes without saying. Zhou Can is just an intern, he only had a moment of glory while transporting the patient to the ward. Now that the patient was on the operating table, he didn''t even have the chance to hold a retractor. He could only stand at the back and observe for learning. In fact, observing such major surgeries a couple of times can still be novel. But without getting hands-on experience after watching it several times, what you learn is very limited. Interns often mock themselves with the phrase "a fleeting glimpse." Which tool to use in which part of the surgery, how to operate, it''s fundamentally impossible to remember. Only some emergency situations that require the use of life-saving drugs make a lasting impression. "Mr. Gao, can you hear me speak?" The anesthetist had administered anesthesia through inhalation, and the patient''s eyes had already listlessly closed. Calling the patient is a way to test their responsiveness. The patient seemed to be in deep sleep with no reaction. The anesthetist checked the patient''s limbs again, then turned to look at the life-monitoring screen to check the various indicators. "Anesthesia is successful, the patient''s vital signs are stable, we can begin the surgery." Clearly, this was directed at the chief surgeon. Director Liu had the scrub nurse help him put on his gloves, and the first, second, and third assistants all took their respective places. This preparation was very much like the charge before a battle begins. Except the warriors'' enemy to be vanquished was disease. "Make the incision!" The chief surgeon said to the first assistant. For such a major surgery, the chief surgeon generally only does the most critical part of the procedure. That''s also the most challenging part. You see, the first assistant holds the knife at the marked position, cutting through the patient''s cervical skin with calm steadiness. With the area being densely populated with blood vessels and lymph nodes, Zhou Can felt a tingling on his scalp. If it were him making the incision, he wouldn''t dare to cut. With the incision, dissection, and other preparations in place, the second and third assistants were also vigorously using hooks to widen the surgical wound, increasing the chief surgeon''s field of vision and creating favorable conditions for the surgery. A lymph node the size of an egg could be seen, surrounded by several other lymph nodes of varying sizes. The carotid artery was pulsating vigorously. Excising these diseased tissues in an area dense with blood vessels and nerves greatly increases the difficulty of the surgery. The lead surgeon was fully concentrated on dissecting the largest lymph node. His expression was focused, his movements steady, delicate, and skillful. The assistant was also coordinating very well. Whenever there was a bleeding point, it was immediately cauterized. Just like playing whack-a-mole, precise and swift. Zhou Can watched with great admiration. Just as the surgery reached the halfway point, the patient suddenly began to convulse, and their vital signs dropped sharply. Following that, the monitor started emitting a beeping alarm. "Not good, the patient''s blood pressure has plummeted to below 60, breathing is abnormal, heart rate 160... Director Liu, did you injure the patient''s carotid artery?" The anesthesiologist asked anxiously. "No!" Director Liu had seen all sorts of dangerous situations, was not panicked amidst crisis, and always remained calm. "It''s also very unlikely that we''ve injured any major nerves. There are no respiratory nerves in this area." S§×arch* The N?velFire.n§×t website on Google to access chapters of novels early and in the highest quality. The first assistant added. The resident doctors behind them were at a loss. The interns were even worse, overcome by panic and feeling completely helpless. During this very brief interval, the anesthesiologist told everyone more bad news: the patient''s condition had rapidly deteriorated and they had entered a state of shock. Shock is very close to death. Director Liu''s forehead was suddenly covered in sweat. "Wipe the sweat!" The scrub nurse quickly stepped forward to wipe Director Liu''s forehead. Panic spread quickly in the operating room. If the patient were to die on the operating table due to an unknown cause, Director Liu''s lifelong reputation would be ruined, and everyone involved in the surgery would be shamed. Zhou Can took a deep breath, exhaled, and adjusted his tense mood. Forced himself to remain calm. At this moment, he actually felt an invisible responsibility weighing on his shoulders. Protecting the patient''s life and health is the mission of every doctor. Even knowing his own capabilities were limited, he still wanted to contribute. This patient happened to be under his care for the surgery, so he was very familiar with the patient''s condition, symptoms, and all the test results. He began to ponder over the patient''s medical records, medical history, and various examinations. Then, he accidentally noticed some red rashes appearing on the patient''s skin. He seemed to have thought of something. "Yes, it must be this!" Zhou Can suddenly blurted out something that seemed nonsensical, catching everyone by surprise. "Xiao Zhou, be quiet. Didn''t you see that Director Liu and the attending physicians are thinking?" The Resident Chief reprimanded him coldly. "Director Liu, I''ve found the reason for the patient''s sudden shock." Zhou Can ignored the Resident Chief''s warning and looked excitedly at Director Liu. This time, everyone was shocked. They all turned to look at the intern standing in the back row. Even the experienced Director Liu and attendings couldn''t find the cause; could an intern, who usually performed very ordinarily, find the reason for the patient''s shock? They didn''t believe it. "Let''s hear it!" After recovering from his initial surprise, Director Liu decided to listen to the intern''s opinion. But he didn''t hold much hope. In his many years of teaching, he had seen too many young proteges with high aspirations but fragile as paper. They thought they were so great after a few days of reading books and learning some medical knowledge, arrogantly thinking they were so impressive. Their analysis of various diseases was also very unrealistic, based solely on personal subjective conjecture. In the end, it was laughable. Chapter 5 - 5: Great Achievements Made "You see the rash on the patient''s body; it only appeared after the surgery had started for a while. When I was preparing the patient''s skin in the ward, I can be certain that these rashes were not present." The expressions on the doctors'' faces turned unpleasant. Especially the primary and first assistant surgeons. They were the first and second responsible parties. "What nonsense are you spouting? Are you implying that we caused these rashes?" the Resident Doctor in charge rebuked in a deep, angry voice. This was no laughing matter. The patient suddenly going into shock on the operating table, with Zhou Can saying such things, was tantamount to pinning the accident''s responsibility on the lead surgeons and the others. This kid was naive and ignorant, not knowing what could be said and what could not. "Director, I think the patient is showing symptoms of an allergic reaction." Zhou Can paid no attention to the Resident Doctor in charge and continued. "An allergic reaction?" Director Liu''s eyes lit up instantly. Right, how could they not have thought of that? They only blamed the sudden shock of the patient, and their minds were in a mess at the time. "Did you conduct a skin test with the anesthesia?" Director Liu turned to inquire of the anesthesiologist. "We did, everything was normal. Also, we had asked the family and the patient beforehand; there was no history of allergies to anesthetic drugs," the anesthesiologist definitely did not dare bear the blame. "I think the patient is most likely allergic to rubber." Zhou Can continued. "Why do you say that?" Director Liu found this intern to be extraordinary and paid great attention to Zhou Can''s opinion. "Because when I was collecting blood from the patient, I used a rubber band to tie the patient''s arm tightly, and he showed a very resistant expression. At the time, I didn''t think much of it, but now with the patient suddenly going into shock and considering all the symptoms, I boldly deduce that the patient must be allergic to rubber." Zhou Can stated his conclusion calmly. [Pathological Diagnosis Experience Points +1.] The sudden increase in experience points, and by a whole point no less, felt like a gift from heaven. He was thrilled. Now that he had the experience points in hand, he was even more certain that his diagnosis was correct. Originally, using medical skills on patients, the experience gained was ten times that from reading. No wonder all doctors say that if you want to grow quickly, going to the operating room is the only way. He now finally understood why those ordinarily arrogant Resident Doctors, at the mere opportunity of stitching skin and closing cavities, would fight over it like hungry wolves. It was all for rapid growth. "Immediately start shock treatment for the patient. Everyone remove their rubber items. Circulating nurse, call the family immediately to inquire if the patient has a history of rubber allergy." Director Liu made a swift series of arrangements. When it was time to be decisive in patient rescue, there was no room for dawdling. Delaying the golden rescue time could mean missing the chance to save a life. After the rescue efforts, the patient''s vital signs gradually returned to normal. "It''s okay now, it''s all okay!" The anesthesiologist was as happy as a child. In surgery, it is the anesthesiologist who guards and ensures the patient''s life. Every doctor hopes that the patient leaves the operating room safely. Everyone breathed a sigh of relief, and smiles emerged on their faces. At this moment, more good news came. "Director Liu, I just inquired with the family. The patient indeed has an allergy to rubber," the circulating under the operating table nurse said after making the call. "Good! The cause of the shock has been confirmed, now I can proceed with the surgery with peace of mind." Director Liu, getting on in years, had been genuinely terrified just a moment ago. He nearly failed to preserve his reputation. After the crisis was averted, he immediately thought of the biggest contributor. He looked towards Zhou Can, who was standing at a distance, his gaze warmer and kinder than ever. "Xiao Zhou, right?" "Student Zhou Can." Zhou Can was speechless; it had been nearly a year of internships, and his mentor hadn''t even remembered his name. But this kind of thing was normal. Mentor doctors generally held high positions and rarely personally guided interns. Usually, it was managed by their attending and Resident Doctors. The one who oversaw Zhou Can the most was Resident Doctor in charge ¡ª Dr. Fang. "You performed very well, keeping calm in crisis, with a solid medical foundation. At critical moments, you were able to apply your learning and connect the details of the patient, synthesizing a comprehensive argument. This is particularly commendable." Director Liu used a string of positive words such as very good, calm in a crisis, and commendable. It was evident how much he appreciated Zhou Can''s performance just now. "Come here, stand over here. From now on, in my surgeries, you will be in this position. Young people should be nurtured." Director Liu was referring to the position where the Resident Doctor in charge was standing. This position is commonly known as the ''Fourth Assistant''s position''. Securing this spot in Director Liu''s surgeries was extremely difficult. Even the Resident Doctors only got to rotate standing there. Now that Director Liu himself had spoken, assigning the spot to Zhou Can, the Resident Doctors and interns around were green with envy. "Thank you for your cultivation, Director Liu!" Suddenly being bestowed such generous treatment, Zhou Can was flattered and surprised. After a year of internships and accompanying his mentor into the operating room countless times, this was the first time he had stood in such an important position. The Resident Doctor in charge felt displaced from the Fourth Assistant''s position, and was quite disappointed. Taking advantage of Director Liu''s current good mood, he forced a smile and said, "Director Liu, although I''ve been studying with you for many years now, I''m also only 28 years old. I''m also one of the ''young people'' you mentioned! Please don''t neglect me just because I''m older in terms of seniority." The squeaky wheel gets the grease. Director Liu was mainly worried that Zhou Can would permanently occupy the position of the fourth assistant, and that the others wouldn''t get their chance, hence his remarks. "Ha ha, you sly boy. Don''t worry, everyone will get their opportunity," Director Liu said with a laugh and a scolding tone. "With your word, I can rest assured. I want to be your student for a lifetime." The Resident Director really knew how to play the emotional card. With just a few words, he charmed Director Liu into beaming with pleasure. Leaving a good impression in the leader''s heart made it easier to seize opportunities for practice in the future. "Alright, let''s continue with the surgery! Xiao Zhou, help with the retraction and pay attention to how I isolate the pathological tissue, especially the parts adjacent to major blood vessels and important nerves, skill and experience are both extremely important." Director Liu continued with the patient''s surgery. And he directly involved Zhou Can in the operation. Although it was just a task of retracting, this was a Level 3 general surgery. One of the attending doctors was doing the retraction work. For an intern like him to join in retracting was already an honor. The Resident Director''s smooth talk ultimately couldn''t shake Zhou Can''s status in Director Liu''s heart. In today''s operation, he was destined to stand behind Zhou Can. At this moment, Director Liu had already begun. He carefully and delicately dissected the enormous lymph node tumor mass from the surrounding tissue. The scalpel came to life in his hands. Which part to cut, the force, angle, length of each stroke - all were executed with masterful precision. The First Assistant''s cooperation was also very much in place. When isolating pathological tissues, new bleeding spots would constantly appear. The First Assistant would immediately approach with an electrocautery knife. The bleeding stopped instantaneously. Their teamwork was incredibly in sync. The job of the Second Assistant was to assist the lead surgeon during the operation. For instance, holding the tumor in place or retracting tissue that might interfere with the operation to expose the best surgical view to the lead surgeon, etc. Zhou Can found that being up close in an operation versus watching from a distance were completely different matters. It was Director Liu who wielded the scalpel, yet Zhou Can felt as if he was in the thick of it, tense with anticipation. Every time he saw Director Liu''s knife rise and fall, his heart would fluctuate accordingly. When the scalpel descended, his heart would rise, and he would be highly tense. He couldn''t help worrying¡ªwhat if this cut damaged the patient''s artery? What if it sliced a nerve? Only when Director Liu''s knife was lifted and the patient was unharmed, did he secretly breathe a sigh of relief; the suspended heart finally settled. ... The surgery proceeded very smoothly, with all the lymph nodes and tumors that needed to be removed successfully excised. Zhou Can felt immensely rewarded. He gained a deeper understanding of the isolation and removal of tumors and lymph nodes. For example, how to minimize risk when separating a tumor from an artery without damaging the vessel. Or how to unravel complexities around the tumor and methodically clear obstacles step by step. Moreover, the flexible application of various hemostatic techniques by the First Assistant also provided him with great insights. Which blood vessels require ligation and which need hemostatic forceps for bleeding control? How to operate when the bleeding point is next to a nerve, and so on. These are difficult to learn from books. They must be learned in practice. The operating table, like a battlefield, is ever-changing. Different situations call for different approaches. This demands that doctors continue to accumulate experience and apply it flexibly. "Alright! Everything''s been removed cleanly. Remember to send it for pathology examination. Based on my personal experience, the likelihood of malignancy is very small," Director Liu instructed after inspecting the excised tumors and nodules in the tray. "He Hansheng, Song Ze, you two handle the surgical site hemostasis," he declared. This was clearly addressed to the First and Second Assistants. In the operating room, they were akin to the lead surgeon''s left and right arms. Both had strong medical skills and handled many critical tasks during the operation. "You''ve worked hard. Take a rest first. If there''s anything we miss, please give us guidance," the First Assistant humbly offered. The Second Assistant seemed to be the practical type. Not much of a talker, just quietly getting the job done. Doing the auxiliary work when needed and charging ahead when necessary. Zhou Can and the Third Assistant continued to retract diligently, watching the First and Second Assistants perform tasks like vascular anastomosis and effusion extraction. These tasks were technically demanding. Not all attending physicians could handle them with competence. If the hemorrhage control at the surgical site was poor, post-operation complications like hematomas and seromas could develop, severely impacting patient recovery. "Director Liu, the hemostasis at the surgical site is complete. Please review it," somebody called. Director Liu did not take it lightly and inspected carefully. He even moved aside to check some hidden areas more meticulously. This kind of conscientious attitude was very worth learning for young doctors. "Done very well, you can start stitching the skin," advised Director Liu after his inspection, nodding with satisfaction. Tasks like stitching the skin were beneath the notice of the First Assistant, Second Assistant, and Third Assistant. At this point, Zhou Can, who had been on hook duty the whole time, sensed his opportunity. He now ranked as above average in residency training for suturing and ligation. He did not dare to perform vascular anastomosis or organ suturing, but stitching the skin should be no problem. Zhou Can was not the only one eyeing the skin-stitching opportunity. Resident Doctors and interns standing behind were all eagerly waiting. Opportunities come and go in a flash. If someone else took the lead, it would be difficult to ask for the chance again. S§×arch* The nov§×lF~ire.net website on Google to access chapters of novels early and in the highest quality. Zhou Can mustered his courage and said, "Director, could you give me the opportunity to stitch the skin?" Chapter 6 - 6 The Soaring Experience Bar The resident doctors behind became anxious upon hearing this. Before Director Liu could speak, someone eagerly said, "Dr. Zhou has never performed surgery before, and the suturing site this time is the highly risky neck area. For safety, I suggest you don''t compete this time. Even though I''ve completed many Level 1 and Level 2 surgeries, I can''t say I''m fully confident." Another resident doctor nodded in agreement, "Safety first! It would be safer if one of us with suturing experience did it." They were all highly educated and intelligent, not vague about competing for training opportunities. Director Liu also found it difficult to decide. sea??h th§× n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. The difficulty of suturing a wound in a Level 3 surgery was greater than that in Level 1 or Level 2 surgeries. Zhou Can was just an intern, to be honest. He was very worried. But Zhou Can had achieved great things in this surgery, preserved Director Liu''s reputation, and saved the patient''s life. He owed him a great favor. Faced with Zhou Can''s eager eyes, Director Liu couldn''t bear to refuse. "Alright, you can stitch one first to try. If your level is adequate, you can do the suturing." Director Liu thought for a few seconds and finally decided to give him a chance. "Thank you! Thank you! I will do my best." Zhou Can was thrilled. He cherished this hard-won first opportunity in his life to perform surgical suturing. If he did well this time, it would be much easier to seize suturing opportunities in the future. This is called experience. The profession of a doctor is very special; safety is above all. Experience is very important. For example, if a doctor has successfully performed a lung cancer removal surgery, when faced with a similar case, he can confidently say, "I have done this kind of surgery before; that patient has already recovered." The patient, upon hearing this, immediately feels at ease. Finally found the right person, Doctor, please treat me as well. See, this is one of the roles of experience. "Xiao Zhou, you can stand here to suture!" The First Assistant stepped aside, making room. Zhou Can hesitated for a moment, then walked over with determination in his gaze and stood at the best position on the operating table. This was a highly difficult Level 3 surgery. For an intern to successfully stand at the ''main surgeon'' position was something he could boast about for a lifetime. He took three deep breaths, trying to calm his heart. On the first day in the operating room, Director Liu taught them that in any surgery, your mindset must be stable. He took the needle holder and tweezers passed to him by the scrub nurse. Needle. Suture thread, all in place. He just needed to start suturing directly. Everyone''s eyes were on him. Looking at the opened flesh, bloody, Zhou Can subconsciously tightened his grip on the suturing tools. No matter how hard he tried to stay calm, he couldn''t help feeling nervous, his heartbeat sped up. "Don''t be afraid, just be bold and careful. Everyone has gone through this." The Third Assistant smiled and comforted him. Just now, the two of them made a pinky promise, forming a sort of bond. Zhou Can raised his head and nodded gratefully at him. Then he looked down at the patient''s wound again and quickly formulated a suturing plan based on his understanding. He chose the first stitch placement meticulously, piercing at an angle and pulling through. Then he carefully tied the knot. [Suturing Experience Points +1.] At this moment, he was fully focused on suturing; he added a whole point to his Experience Points for a single stitch and he completely ignored it. It was this concentration that made him appear especially composed. Director Liu did not call for a halt, and the other doctors were even less likely to interrupt him. So Zhou Can continued suturing. For subcutaneous tissue suturing, continuous suturing is commonly used rather than simple interrupted suturing, especially on areas where the tension is not strong. His suturing movements became more skilled and confident. The nervousness, fear of poor suturing, fear of being scolded, all were thrown out of his mind. Now he had only one thought in his head, to do his utmost to close the patient''s wound well. [Congratulations on leveling up to Level 3 Suturing Skill! Current Experience Points 0/1000. Suturing Ability: Lower Level of Resident Doctor.] His suturing experience points reached Level 2 last night, at 87.8/100. Now every stitch he made would add 1 experience point. After sewing the thirteenth stitch, the Suturing Skill unexpectedly leveled up at this critical juncture. Heavenly Dao rewards the diligent. For those who strive to better themselves, heaven shall assist. The significant improvement in the suturing level quickly manifested in the results of his sutures. Director Liu, standing in front of the operation table, showed deep admiration in his eyes. This child truly has a gifted talent, progressing at a rapid pace. When he sutured the first stitch, he appeared particularly novice, with his technique, motions, and perfection just barely meeting the standard. Now look at the current level. Not only has the suturing speed noticeably increased, but the technique is also clean and decisive, with smooth and standard movements. The tissues are aligned more neatly, and the tension in the sutures is just right. Without a doubt, the wounds sutured now will heal faster. Such a child can be taught and will certainly accomplish great things in the future. Director Liu felt joyful at discovering such a promising new talent. For a medical professional, there are two most gratifying things: the patient''s recovery and the passing on of medical skills. The First Assistant was also shocked by Zhou Can''s rapid pace of improvement at this moment. The Second Assistant showed little expression, but a hint of astonishment flashed deep in their eyes. The Third Assistant kept nodding, their smile growing thicker and thicker. The Acting Chief Resident was somewhat comical, with eyes glued to Zhou Can''s movements, his eyes growing bigger and bigger, as if they were about to pop out. Perhaps he never expected that the little intern he called and shouted at every day would be so impressive. The other resident doctors behind him were initially hoping that Zhou Can''s suturing would not pass muster and that Director Liu would kick him off the operating table. Then they would have the opportunity to step up. Unexpectantly, this young man was truly spirited and performed better and better. It looks like they were completely out of the picture now. Each one of them showed a look of disappointment. Standing at the very back, the group of interns had mixed reactions. Some envious, some admiring, and there might also be those who were jealous. All were interns, so why was there such a big gap? The two unmarried nurses had already started frequently sizing up this exceptional intern doctor. Handsome and skilled, he indeed had a substantial appeal to the ladies. Zhou Can turned a deaf ear to the outside world, with only the patient''s wounds and suturing occupying his eyes, his heart, and his mind. After advancing to Level 3 in Suturing Skill, he sutured even more skillfully in the subsequent stitches. And the quality of the suturing was getting better and better of course. Naturally, his experience points in both suturing and ligation were also rising swiftly. After suturing the subcutaneous tissue, it was time to suture the skin. The feeling was vastly different from practicing on pigskin. Besides the tactile difference, there was also a significant difference in mentality. After all, this was suturing on a patient''s body, like tightrope walking, where every stitch, even every knot tied, was like walking on thin ice. He dared not have any negligence. ... [Congratulations on leveling up to Level 3 Ligation Skill! Current Experience Points 0/1000. Ligation Ability: Lower Level of Resident Doctor.] As the skin-suturing neared completion, his Ligation Skill also unexpectedly leveled up to Level 3. Now he had two medical skills that had reached the level of a resident doctor, which also became his two trump cards for participating in residency training recruitment. Level 3 Suturing combined with Level 3 Ligation gave him the ability to properly anastomose general blood vessels. He could even challenge the more difficult nerve anastomosis, which is more challenging than typical blood vessel anastomosis. Finally, he completed the last stitch. The just-upgraded Level 3 Ligation was put into use. He tied a square knot that was both beautiful and secure. "Director Liu, the suturing is complete, please inspect it." Zhou Can respectfully stepped aside, yielding his position. Only at this point did he realize his back was soaked. The intense mental focus during suturing, along with considerable physical exhaustion, led to a sweaty ordeal. But this sweat was worth it. Because as a novice, he had finally successfully completed his first real surgical suturing, bravely taking the first step in his career. Years of hard study, practicing day and night beneath the stage, all for the day when he could stand on the operating table to save patients. Though skin suturing isn''t a highly sophisticated technical task, it has opened up a good beginning for him. Chapter 7 - 7 Promotion in Status "Mm, the stitching is quite alright. To perform this well on your first time on stage is indeed commendable." Director Liu first affirmed his suturing. Then, changing the topic, he said, "However, there are some areas that need improvement. For example, this stitch could be closer together, making the skin layers bind more tightly after the knot is tied. Right now, to the naked eye, it looks tightly bound, but actually, there are small gaps in the dermis layer, which is not conducive to wound healing." Only someone with Director Liu''s immense surgical experience could spot the tiny gaps beneath the skin layer at a glance. "And here, when choosing the needle placement, it can be closer to the incision edge. As The Analects says, ''Too far breeds resentment, too close breeds disrespect.'' If the needle position is too far from the incision edge, it will lead to overly long suture tension and loose force. If it''s too close, the suturing will be tighter and the force stronger, but too likely to tear the skin. This balance can only be managed by yourself." Director Liu seldom explains these basic suturing details. He went into detail precisely because he saw Zhou Can as good potential, worthy of cultivation. "Right, the selection of needle positions for suturing isn''t one-size-fits-all. Some areas of the skin are more resilient and can be closer to the incision edge. Some areas with fragile skin need to appropriately increase the distance from the incision edge to ensure it does not tear apart." Simple as skin stitching may seem, it turns out to have so many profound techniques. "The student has remembered all your teachings and will definitely gain a deeper understanding in practice." Zhou Can nodded very sincerely. Which areas have delicate skin, which areas have strong resilience, can only be gradually explored in surgical practice. Moreover, the skin''s strength varies with age and gender. Children''s skin is certainly softer than that of the elderly. Women''s skin is more delicate than men''s. These differences can only be understood and accumulated personally. Director Liu saw his humble learning attitude and grew even more fond of this student. "Your potential is very good. In this recruitment for the Tu Ya training program, you should give it your all. If you can stay, I can make a proposal to the hospital to have you under my tutelage." Hearing this, the envy of the other interns was visible, their eyes turning red with jealousy. This was an enormous opportunity. It is known that Director Liu holds a position at the deputy director level. If not for a slight gap in academics, he would already be a director. Among the associate chief physicians in General Surgery, Director Liu''s skills are absolutely top-notch. There are countless numbers of training doctors and resident doctors who wish to be mentored by Director Liu. Even many attending doctors vie to become his students. Now, Director Liu was extending an olive branch to an intern like Zhou Can, how could people not be envious? "Dr. Zhou, you''ve hit the jackpot, a stroke of luck meeting a noble person!" A resident doctor said mockingly. Sour as his words were, his address for Zhou Can had subtly changed. From Xiao Zhou to Dr. Zhou. There was a hint of respect. "Thank you, Director Liu, for your appreciation!" Zhou Can wasn''t a fool; with such an opportunity, he quickly expressed his thanks. Director Liu smiled and nodded slightly. His gaze then turned to the anesthetist. "How''s the patient doing?" "The patient is waking up, vitals are stable. Blood oxygen is a bit low, but within normal range." "Mm, I''ll leave it to you guys from here," Director Liu said, looking at the first assistant. "Dr. Hee, please make sure to keep a close eye on the patient in the twelve hours post-surgery, and feel free to call me anytime if there''s any anomaly." Such a major operation carries great risks. The twelve hours after surgery are known as the critical period. During the entire perioperative period, its risk factor is second only to the surgical phase. "Sure. You can go ahead to the symposium without worries!" If this group were compared to a small sect, the position of the first assistant would be like that of the eldest apprentice. When the master is away, it''s the eldest apprentice who takes on the master''s duties. It wasn''t long before the patient woke up, showing normal post-operative behavior. After observation deemed it problem-free, medical orders were given, and the patient was sent back to the ward for recovery. ... Back at the office, interns who usually had little interaction were suddenly warmly approaching him. The cool and serious resident doctors'' attitude towards him also became much more polite. His status in the department had clearly risen. The feeling of earning respect through real ability was truly delightful. It also strengthened his resolve to continue improving his medical skills. After finishing the medical records and his tasks on hand, Zhou Can began to ponder how he could possibly advance one or two medical skills by tomorrow. Currently, suturing and ligation skills had both been raised to the resident doctor level, so there were no worries there. Hemostasis skills could only be practiced after work by buying mice or rabbits to practice back in the dormitory. Being just an intern, hoping to seize the opportunity to perform hemostasis on patients in the operating theater was wishful thinking. Anatomy skills also could only be practiced at home. Originally, Zhou Can didn''t expect to raise his anatomy skills to Level 3 before the training program recruitment began. Because there were so many medical skills he needed to improve and with limited time, he could only prioritize suturing, ligation, and pathology diagnosis. But now, he suddenly had great ambition. With proper planning and rational use of all resources and time, he might manage to raise all four basic surgical skills and pathology diagnosis to Level 3 before the training recruitment. To ensure that all five medical skills are elevated to Level 3, applying for a standardized training doctor position would almost be a sure bet. By then, it would be the others who should worry about being left out. Pathological diagnosis is the hardest medical skill to improve. But among all medical skills, it ranks at the top, with no other able to shake its status. The reason Zhou Can received Director Liu''s favor today, jumping from an unknown intern to a key training subject, owes much to his skill in pathological diagnosis. Its importance is evident. Now he''s ready to level it up first. He checked the experience points for the pathological diagnosis, Level 2, 90.6/100. Outstanding standard for standardized training. Just 9.4 experience points away from reaching Level 3. If he were to level up by reviewing cases, each case completed would only add 0.1 experience points. He would need to review 94 cases, which could take several days at least. In the operating room, a successful diagnosis for a patient added a full 1 experience point. After tasting such a great reward, he began to set his sights on this opportunity. Where is it easiest to get a chance to diagnose? It''s certainly the outpatient clinic. He checked the duty roster. He was surprised to find that Dr. Hee was scheduled for the outpatient clinic that afternoon. Zhou Can''s thoughts became active. Using the connection of Director Liu''s favor, he might have a chance if he cheekily asks Dr. Hee, perhaps an opportunity for an accompanying assistant in the clinic could be offered. At this moment, Dr. Hee was diligently reviewing written cases. Zhou Can stood up and walked over. "Dr. Hee, may I refill your tea cup?" Not only is Hee Hansheng a chief physician, but in terms of seniority, he has the highest status among all chief physicians in this department. Many speculate that next year he is very likely to be promoted to associate chief physician. He is usually pretty amiable to these junior doctors. Dr. Hee glanced up at Zhou Can. "You don''t give out favors for nothing, so you must want something. Out with it, what do you want?" Zhou Can''s little trick was seen through, and he couldn''t help but grin sheepishly. "Heh, I didn''t expect that not only is Dr. Hee''s surgical skill exceptional, but his psychological insights are also quite profound. You''ve caught onto my little trick instantly." Zhou Can started with some flattery. Nothing slips through like a bit of flattery. Everybody likes to hear nice things. Especially in front of leaders, saying a few flattering words now and then can greatly enhance the impression one leaves on a superior. The work following becomes much easier to handle. "The standardized training recruitment is happening tomorrow, and I lack practical experience in pathological diagnosis. I just checked the duty roster and saw you''ll be at the outpatient clinic this afternoon. Can I join you to lend a hand and accumulate some practical experience?" Zhou Can cheekily stated his request. "Um¡­ Alright, this afternoon follow me to the outpatient clinic." Dr. Hee hesitated for a moment before agreeing promptly. "Thank you! If I make it through the standardized recruitment, I''ll treat you to a big meal." Zhou Can thanked him profusely, clearly overjoyed. One must seize the moment¡ªwhen it''s time to compete, you have to have the gall to fight for it. See, he got his chance at an assistant internship, didn''t he? He calculated; for 9.4 experience points, if diagnosing one patient could yield 1 point, he would only need to diagnose 10 patients to raise his pathological diagnosis skill to Level 3. "Dr. Fang, assign someone else to Xiao Zhou''s duties this afternoon; he''s joining me in the clinic," Dr. Hee told Resident Doctor Fang. Most of the general surgery intern tasks were managed by Dr. Fang. "Okay!" With Dr. Hee himself asking, all Dr. Fang could do was agree. He pulled out a duty roster and began to overload other interns with augmented tasks. "Xiao Gao, you take care of the patients in beds 21 to 26 this afternoon. Xiao Wu, you are responsible for the surgical follow-ups for patients in beds 29 and 31¡­" Zhou Can''s afternoon duties were thus cleanly distributed by Resident Doctor Fang. For those interns who were loaded with extra tasks, although they were reluctant, no one dared to challenge the authority of the Resident Doctor. They could only mute their complaints and agree. Competition is omnipresent in society, survival of the fittest. The stronger rise, the weak fall¡ªit''s the law of nature. Dr. Hee was willing to give Zhou Can a training opportunity because he saw Zhou Can''s potential as worthwhile to cultivate. As for the other interns getting squeezed out, this is the result of fair competition. Everyone has opportunities; those who can seize them will climb higher. S§×arch* The n?velFire.net website on Google to access chapters of novels early and in the highest quality. And those who seize them have the chance to become even stronger. Chapter 8 - 8: The Obsession with Upgrading ... In the afternoon, Hee Hansheng led Zhou Can into the General Surgery consultation room number 4. The corridor outside was packed with patients waiting to see a doctor. Some were there for follow-up appointments, while others were seeking their first consultation. If it were the morning, there would be even more patients waiting. Nowadays, people live fast-paced lives with hectic work schedules, often neglecting their health. Minor ailments, neglected, can become major issues. Additionally, with increasing environmental pollution and the proliferation of harmful food products, the incidence of various diseases is on the rise. Tuya Hospital is operating at overcapacity almost every day. General Surgery in particular has become a disaster area second only to the Emergency Department. "Xiao Zhou, you''ll be responsible for writing the medical records." "Okay!" Zhou Can had started learning how to write medical records on his first day at the hospital, and after nearly a year of interning, he had become quite proficient at it. The triage nurse outside knocked on the door. "Dr. Hee, may we start calling the numbers now?" "Go ahead!" "Huang Fuqiu, number one, consultation room 4." The nurse''s voice came through the loudspeaker. Shortly after, a middle-aged man with a swagger walked in. He was holding a medical record and some test documents. "Doctor, I had hemorrhoid surgery last week and have come for a follow-up." "You seem to be doing pretty well. How do you feel now?" "Everything else is fine. It''s just that walking causes some pain at the wound site, and I can only sleep on my side or stomach. The first couple of days after surgery, passing stools was particularly painful..." The patient roughly described his postoperative condition. "Alright, go to the back and take off your pants, I''ll examine you." Dr. Hee briefly reviewed the medical record and conducted an examination on the patient. The patient''s wound was healing quite well. The wound had already scarred over. Dr. Hee prescribed some anti-inflammatory medicine, instructed the patient not to take baths, to take the medicine on time, and to come back for a follow-up if discomfort arises. One patient was seen just like that. Zhou Can felt a bit disappointed, as he had not earned any Experience Points. However, he also gained something; he would have a very good reference when faced with patients coming for follow-up after hemorrhoid surgery in the future. S~ea??h the n?vel_Fire.¦Çet website on Google to access chapters of novels early and in the highest quality. Immediately after, the second patient walked in. This was an elderly lady with sparse hair, frail in stature, with a large pus-filled abscess on her wrist. Her family member who accompanied her for the consultation said that she had been poked by a bamboo splinter, and the patient had removed it herself without giving it much thought. But as time passed, the wound not only failed to heal, but also grew more swollen. It wasn''t until recently, when pus started forming and the patient experienced low fever and severe pain, that they rushed to seek medical advice. After a brief round of questions, Dr. Hee conducted a physical examination on the patient. "Go get a complete blood count and an ultrasound first, then come back to me with the results." He instructed Zhou Can to write out two examination orders in his name. Thanks to the advancement of modern technology, writing examination orders and prescriptions can now be entered into a computer. Pricing and payment are convenient, and file searching afterwards is also easy. But patients still need to queue with the paper orders. After the patient left, Hee Hansheng chatted with Zhou Can in a casual tone. "Xiao Zhou, think about it, what do you think is the cause of the abscess in the patient we just saw? How should we treat it?" Zhou Can had already been thinking about the cause of the patient''s abscess. He quickly went through the patient''s symptoms and potential causes in his mind. Then, based on the medical knowledge he had learned, he analyzed and pinned down the pathological mechanism. "The low fever is likely due to the abscess causing bacteria to invade the bloodstream and triggering an inflammatory response." The human body has a complete immune mechanism. When the immune system detects an invasion by foreign bodies or pathogens, its immediate response involves phagocytic cells in the blood, lymphocytes, lymph nodes, the spleen, and other layers of response mechanisms. These defenders act as warriors to protect the body and kill the pathogens. Inflammation is actually a form of self-protection by the body. "The severe pain in the arm, keeping the patient awake at night, suggests that the abscess continues to spread, destroying normal bodily tissue." Listening to Zhou Can''s analysis, Hee Hansheng nodded slightly. "I suspect that there remains a foreign body inside the patient''s arm that has not been completely removed." This situation is not uncommon. Objects like bamboo splinters or wood thorns can become deeply embedded in the flesh, and sometimes only part of it gets removed because it''s stuck too firmly. However, the patient assumes that it has been completely removed. Eventually, the remaining foreign body causes infection and pus formation. [Pathological Diagnosis Experience Points +1.] Right after Zhou Can completed his analysis, he happily received 1 Experience Point. The patient''s pathological diagnosis wasn''t difficult; even an intern level could handle it. Now with an exemplary training level, he was sure to diagnose accurately. "And the treatment plan?" "Drain the pus through an incision, remove any broken bamboo slivers or foreign objects inside, clean the wound, suture, apply bandages, and then prescribe some anti-inflammatory drugs," Zhou Can quickly finished laying out the treatment plan he had in mind. Hee Hansheng smiled slightly, "The steps you mentioned are all fine, but you need to add something when prescribing anti-inflammatories. In cases like this, the patient should receive intravenous infusions at the hospital until the infection is under control, then switch to oral anti-inflammatory medication. Intravenous infusion is faster and stronger than oral administration and maximizes the chance of avoiding complications. Additionally, it allows for timely monitoring of the patient''s condition during their hospital visits." After hearing Dr. Hee''s guidance, Zhou Can nodded vigorously. "Remember, safety always comes first. Being a doctor is a special profession, where one controls the life and health of patients. Any negligence can lead to serious consequences. The saying ''doctors have the heart of a parent'' means that a doctor should treat patients as they would their own children, considering their condition more comprehensively and meticulously." Dr. Hee cautioned him with a heartfelt tone. At this moment, the third patient seeking consultation walked into the ward. She was a woman in her thirties, fashionably dressed, carrying a black shoulder bag, and quite attractive. She walked normally and seemed to be in good spirits. She didn''t appear to be sick. "Please sit! What''s the problem?" Dr. Hee asked the woman about her symptoms in a gentle tone. "Uh... um..." The woman was somewhat embarrassed, looking down and barely daring to look at anyone. Her face was flushed. "It is no shame to disclose your illness to your doctor, feel free to speak up, there''s nothing to be embarrassed about," Dr. Hee reassured her patiently. After hesitating for a moment, she finally muttered with her lips pursed, "I, I''ve been feeling some swelling and pain in my breast recently, and upon touching it, there seems to be a hard lump. In the past few days, it''s been so painful that it''s difficult to even lift my arm." Zhou Can immediately contemplated upon her description. Hard lumps appearing in a woman''s breast are generally indicative of conditions like mammary gland hyperplasia. "How long have you noticed the lump?" "It''s been almost two years since I discovered it. But it was only an occasional swelling and pain before, so I didn''t pay much attention to it. Recently I noticed that the lump is getting bigger, and I''m a bit scared. I checked online, and many people say it could potentially be breast cancer..." The woman was no longer so bashful at this point. When she mentioned the words "breast cancer," there was deep fear in her eyes. Indeed, breast cancer is known as one of the top three killers of women. It strikes fear in many adult women. "Are you married?" "I am." "Have you had children?" "My child is nearly eight years old." "Wow, you can''t tell at all. Your child is that big, and you still look so young." Dr. Hee''s playful compliment immediately eased the woman''s anxious tension quite a bit. The atmosphere in the clinic also relaxed significantly. "Hehe, you flatter me! Doctor, do you think my condition could be breast cancer? I didn''t dare tell my husband or child about this check-up." Hope filled her eyes. "Don''t worry, no one can say for sure right now. Go do an ultrasound first to check the thickness of the glandular tissue and whether there are nodules inside. If it''s mammary gland hyperplasia, the pain usually worsens during menstruation, so try not to stress yourself out too much." Dr. Hee''s medical knowledge was not only profound and his clinical experience rich, but he was also extremely patient with patients, doing his utmost to reassure them. His display of noble medical ethics deeply impressed Zhou Can, who was watching at the side. The female patient took her form and joined the queue for a check-up. In this way, they gradually received more than twenty patients. Some were easy to diagnose, others were challenging. Dr. Hee treated each patient with patience, amicability, and precision. It was an excellent example for Zhou Can. At that moment, the old lady with a large abscess on her arm returned from her check-up. Upon reviewing her test results. Exactly as Zhou Can had anticipated, the infection had caused inflammation and a low fever. There was a two-centimeter-long shadow inside the abscess. It could be confirmed that a piece of broken bamboo had lodged deep within the muscle. She was scheduled for surgery. It was believed she would recover soon. The patient with mammary gland hyperplasia also returned from her ultrasound examination. Fortunately, there were no signs of calcifications, blood flow, or ambiguous boundaries in the ultrasound features, indicating a minimal chance of malignancy. Considering the severity of her hyperplasia and the large size of the tumor, Dr. Hee suggested she have surgery in General Surgery to remove the tumor and then do a pathological test to prevent malignancy. She readily agreed. Such surgery is considered a simple Level 1 operation and can be performed in the outpatient clinic. However, it wouldn''t be Dr. Hee who would perform the surgery. The outpatient surgery room has a General Surgery surgeon on duty. Unless it''s a special case, the consulting doctor doesn''t usually perform the surgery. Even if occasionally encountering surgery requiring the attending doctor to operate, they would arrange for the patient to be admitted first and perform the surgery the next day or at another time. Zhou Can glanced at the time, 5:21 pm. His shift was almost over. And in the afternoon, he had only gained a total of 8 Experience Points. Pathological diagnosis current experience, Level 2, 98.6/100, superior training level. This made him particularly frustrated. He was only 1.4 Experience Points short of leveling up. "Please, God, send me another patient! Amen!" Zhou Can prayed silently. With just 1 more Experience Point, he would only be 0.4 points short. He could then squeeze time to read four case studies after returning, and his most important medical skill would level up. Chapter 9 - 9 Why Is Half Missing Knock knock knock! The knocking on the door sounded pleasant to the ears. It was almost time to get off work, so the chances that this was a follow-up patient was very slim. Generally, follow-up patients would come in early in the morning or at the beginning of the afternoon. Zhou Can readied himself to earn some Experience Points. "Come in!" Dr. Hee''s voice was always so gentle and rich. The door to the clinic opened, and a man in his forties entered with the help of his family. He was holding his abdomen with one hand, a pained expression on his face. "Ouch, ouch... Doctor, my stomach hurts so badly, please take a look at me!" The man''s pain was evident from his pale face and the cold sweat on his forehead. "Please sit down!" Dr. Hee remained very calm and composed. "When did the pain start?" "It''s been two days now, I''ve been in pain for two days, oh..." The man kept groaning in pain. The pain must be intense to affect a middle-aged man this way. "Have you consumed anything toxic recently? Like poisonous mushrooms, toads, or fruits and vegetables sprayed with pesticides?" "No, definitely not. I''ve been eating at home these past few days, and my wife and children are all fine." "Do you smoke or drink?" "Yes." "Do family members have a similar medical history?" "No!" "Come, help him lie flat on the bed, I''ll do a physical examination." Dr. Hee instructed the family members to help the patient onto the bed to lie flat and then began the examination. Xiao Zhou also got up and followed to watch. Based on the patient''s description and the symptoms he was exhibiting, Xiao Zhou had already begun making pathological deductions. However, without examination data and sufficient clinical diagnostic experience, it was difficult to determine the pathological mechanism of the patient''s condition. There are just too many possible causes of abdominal pain. Peritonitis, gastroenteritis, cholelithiasis, appendicitis, and many other diseases can cause severe abdominal pain. Dr. Hee pressed his hands on the patient''s abdomen. "Ouch... gently, gently..." The patient immediately cried out in pain. "So, it''s only this area that hurts, right?" "The right shoulder and the right back also hurt, but not as badly as my stomach." Xiao Zhou understood immediately that this was radiating pain caused by severe upper abdominal pain. It''s like throwing a stone into a pond; ripples spread out from the center where the stone landed. Pain works in a similar way. It''s transmitted through nerves to surrounding areas. This phenomenon is medically termed as radiating pain. Now it was almost certain that the initial site of pain was in the upper right abdomen area. "Did your abdominal pain appear suddenly two days ago, or did it come on gradually?" "Suddenly. There were no signs; it just started hurting out of nowhere, intermittently. And with each bout of pain, it intensified. Eventually, it became unbearable, and I even vomited a few times." The patient provided another clue. This is why inquiry is so important. One cannot be afraid of the trouble, and must ask for more related information. "Seeing as the pain was so severe, you couldn''t have possibly waited until now to seek medical attention, right? Have you visited any other hospitals?" Dr. Hee, with his rich medical experience, immediately deduced some truths the patient had not disclosed, according to the symptoms described. "Uh... I did go to a small clinic before. They gave me an IV, said it was anti-inflammatory. It didn''t help, and the clinic owner, afraid of trouble, advised me to go to a larger hospital." Those small clinics, they readily prescribe IV drips to patients. Overuse of various antibiotics is most egregious in these small clinics. Some minor colds or symptoms, treated with intravenous antibiotics, do indeed recover quickly. Little do they know, it''s akin to quenching thirst by drinking poison. This time, the recovery is fast, but the body''s immune system gets disrupted and weakened, leading to a higher chance of falling ill again. The subsequent illnesses become more severe. Such repetition leads to a vicious cycle. By the time patients truly require antibiotics for treatment, sadly, they often find that no medication is effective. This is because the viruses in their bodies have developed significant drug resistance. Even a common cold might result in a super virus. "Now, other than abdominal pain, you have pain in your right shoulder and back, any other symptoms? Your abdomen feels quite hot to the touch!" Physical examination is a doctor''s preliminary check after seeing a patient. This is extremely important. It can help doctors detect some hidden conditions of the patient. Some patients might be embarrassed or consider their symptoms trivial and deliberately conceal them. This is when doctors need to have keen eyesight. "I''m feeling feverish and have chills." "Mm, let''s take your temperature and measure your heart rate and blood pressure first. Relax, don''t be nervous. Here with us, we will certainly do our utmost to treat you." After Dr. Hee comforted the patient, Zhou Can quickly took the initiative to measure the patient''s blood pressure, heart rate, and temperature without waiting for instructions. These basic tasks couldn''t possibly trouble a senior doctor. Being proactive would certainly leave a good impression on Dr. Hee. Sear?h the N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. The likelihood of being asked to sit in on consultations again would significantly increase. "Temperature 39.6, pulse 98 per minute, blood pressure 120 mmHg. No abnormalities were found during lung percussion, no noise heard during breathing, about 25 breaths per minute." Zhou Can conducted a series of measurements on the patient. A temperature range of 39.1 to 41 degrees is considered high fever. This patient''s condition is more serious and complicated than expected. "Let''s get a complete blood count and an ultrasound first. If the results are not ideal, we might need to proceed with a CT scan," Dr. Hee said, addressing both the patient and Zhou Can. Zhou Can hurriedly went to the computer to make a request for medical tests. "Your condition is complicated, and the outpatient department is closing soon. We can''t admit you to the hospital without a clear diagnosis from your test results. After your tests, I suggest you go to General Surgery at the inpatient department and look for Dr. Fang. I''ll make sure to inform him about your situation." The patient''s condition could deteriorate at any moment. Dr. Hee did not take it lightly. If the condition were not serious, patients would usually be asked to return the next day. After the patient left, Dr. Hee stood up, ready to leave for the day. "Xiao Zhou, how was it? Did you learn anything after spending the afternoon in consultations with me?" "I''ve learned a lot. The process and methods of seeing various patients have been very beneficial to me, especially in terms of medical ethics and professionalism; you''ve set an excellent example for me." "Ha, you flatter me. Alright, the nurses from the information desk will come to close up. Let''s go." After leaving the consultation room with Dr. Hee, Zhou Can was still pondering what disease the last patient might have contracted. He was only 1.4 Experience Points away¡ª he couldn''t give up just yet! Severe pain in the upper right abdomen radiating to the right shoulder and back, the patient''s habits of smoking and drinking alcohol, coupled with high fever and chills¡ªwhen all these symptoms were combined, it pointed towards an issue with the bile duct. Could it be a common bile duct stone? Zhou Can felt like he had grasped something, his eyes shining like stars. Every time a doctor diagnoses a patient, it''s like solving a math word problem. After finding the right solution, there''s a special sense of accomplishment. [Pathological Diagnosis Experience Points +0.4.] The long-awaited Experience Points appeared again. Just that it was a bit minimal! Only increased by 0.4. Normally for clinical diagnosis, getting the correct answer would result in an increase of 1 Experience Point. Why is it less than half this time? Chapter 10 - 10 How Incompetent is Your Classmates Medical Skill? "Dr. Hee, what illness did the last patient you diagnosed have?" Zhou Can quickened his steps to catch up and asked. "Medicine is a rigorous discipline. I never make subjective guesses, but rather, make comprehensive judgments based on examination results, combined with the patient''s symptoms, medical history, age, gender, and habits, among other information. However, from the patient''s symptoms, it is very likely that there is more than one affected area." Having said that, Dr. Hee smiled. "I still have to do rounds; you can take your time to think about it." As a chief doctor, with a higher status than resident doctors and interns, the responsibility carried on their shoulders is even greater. Although there are specialized doctors in charge of the wards, chief doctors cannot treat their responsibilities lightly. Especially with some critical patients, extra caution is needed. For instance, the patient Old Liu operated on today is considered a key patient in need of close monitoring. Old Liu specifically reminded Dr. Hee to pay attention before he left. After watching Dr. Hee walk away, Zhou Can bowed his head in deep thought. From Dr. Hee''s words, it seems the patient has more than one illness. This would explain why even with a correct deduction, he only received 0.4 Experience Points. It indicates that there are other diseases that have not been diagnosed. What other illnesses could there be? Zhou Can racked his brains, but after much thought, he still had no idea. "Sigh, without examination data and relying only on a few symptoms, I could only diagnose gallbladder stones. My skills are still lacking after all." Zhou Can sighed. Dr. Hee must have some diagnoses in mind but simply wasn''t willing to share. It seems that the gap between the diagnosing abilities of a trainee and that of a chief doctor is vast! Since he couldn''t figure it out, he decided not to waste time. Clinging to one possibility is not wise. Currently, his pathology diagnosis Experience Points are Level 2, 99/100. Almost there, just one Experience Point short. He glanced at the time; it was 5:52 PM. If he went back to the dormitory and didn''t do anything else but read medical case studies, perhaps he could finish ten cases before tomorrow morning. On average, it takes 30 minutes to finish reading a case, so he would need 5 hours. In reality, if he encounters more challenging cases, the reading could take even longer. Focusing all his energy and time on improving his pathology diagnosis skills just for this final Experience Point would be a loss. Because he could use these few hours to improve both his Hemostasis Skill and cutting technique. He was absolutely confident that he could upgrade both medical skills to Level 3. As for the last 1 Experience Point in pathology diagnosis, he planned to cram at the last minute. Just find one more patient to diagnose at the hospital tomorrow, and there''s a high probability of making the final push to Level 3. By then, his proficiency in all five medical skills would be at the level of a resident doctor, securing a spot in the residency recruitment for sure. Having made up his mind, he no longer wasted time. He quickly headed to the educational building to buy white mice for practice. Taking into account that practicing cutting and hemostasis consumes a lot of instruments. Especially cutting - it''s not about simply making an incision on a small animal; it requires dissection. This requirement is quite high. A single white mouse could probably endure being dissected about twenty times before dying. Each dissection adds 0.2 Experience Points. Twenty cuts would amount to 4 Experience Points. After death, it''s also possible to practice dissection on its organs, but practicing on a dead specimen halves the Experience Points, yielding only 0.1 Experience Point per attempt. It is estimated to be doable about 25 times, totalling an Experience of 2.5. To be cautious, he calculated each white mouse would contribute 6 Experience Points. His current Cutting Experience is Level 2, 9.7/100. He needs 90.3 more Experience Points to advance to Level 3. He did the math; he would need to buy at least 16 white mice to be sure. 200 yuan per mouse, adding up to 3200 yuan. Zhou Can comes from a wealthy family, so this amount wasn''t an issue for him. "I''ll take 16 white mice. Pick the good ones." "Are you sure you want to buy so many?" The on-duty doctor was obviously startled by the quantity. Doctors usually buy one or two white mice at most for practice. This young man asking for 16 at once was extravagant. "I''m sure, absolutely!" Zhou Can directly paid by scanning a QR code, not bothering with chitchat. The on-duty doctor found a larger cage and picked out sixteen top-quality experimental white mice to put inside. Taking the cage from the doctor, Zhou Can turned to leave and was about to exit when three people came in. Almost bumped into them face to face. "Zhou Can!" S~ea??h the NovelFire.net* website on Google to access chapters of novels early and in the highest quality. The woman leading the group was tall with beautiful features, skin so fair and soft as if she was a baby. With brown hair cascading over her shoulders and a white coat on, she was truly something. Beauty is an asset, especially with proper attire. She was as beautiful as a fairy not of this world. Her large, phoenix-like eyes showed surprise and joy upon recognizing Zhou Can. "Class leader, long time no see." Zhou Can hadn''t expected to run into the class leader here. To be more precise, she held two other titles: class beauty and one of the top three campus belles. She''s not only the face of beauty in the group, but also possesses real talent and knowledge, far from being just a pretty vase. Calling her the most outstanding girl in the class isn''t an exaggeration in the slightest. They both started their internship at Tuya Hospital together. I heard she performed exceptionally well during her obstetrics internship and has already won the favor of Director Zhang Bihua from obstetrics. "How''s it going? Is your internship going smoothly?" Yang Chan looked Zhou Can up and down, her gaze finally resting on the mouse cage in his hands. Seeing that he had bought so many white mice, she was clearly surprised. "Heh, so-so. But I''ve heard about your glorious achievements in obstetrics, not only bringing honor to our Class 512 but also adding prestige to our alma mater." Zhou Can would have felt inferior in front of her in the past, Because she was just that excellent. Now with the Experience Points system, his medical skills have improved by leaps and bounds, and he''s got a bit of confidence for an equal conversation. Of course, having strength doesn''t mean you have to be cocky. You can still be a modest gentleman. Demonstrating confidence while keeping a low profile has always been a commendable tradition of the Chinese nation. "I''m not as outstanding as you said, just got lucky, that''s all. Hey, did you buy so many mice to practice dissection or suturing?" "Planning to practice both. You know, my medical skills have always been weak." "Are you preparing for tomorrow''s resident doctor recruitment?" "And I''m not allowed to have dreams?" "Hehe, never saw you talk so much back in school! Old classmate, go for it! No matter the result, as long as you''ve tried your best, you''ll have no regrets." Her words carried a comforting meaning. Obviously, she wasn''t very optimistic about Zhou Can. Understandably so, this year''s resident doctor recruitment is extremely competitive, and the elimination rate for interns who are not exceptionally outstanding is nearly one hundred percent. In her impression, Zhou Can''s basic medical knowledge was passable, but his overall medical skills left much to be desired. Seeing him buy so many white mice, she jumped to the conclusion that Zhou Can''s medical skills were still at a rather elementary level. Such a level is not competitive. "You still have a way with words as class president. See you." Zhou Can picked up on the subtext in her words, but didn''t elaborate. Tomorrow will reveal all. Waving at her, he left with the mouse cage. "Doctor Yang, how poor are your classmate''s medical skills that he needs to buy so many mice for practice?" "I''m not sure, but he has always been hardworking." "Next time you should teach him that using mice for anatomical practice is a huge waste, and he''s got the wrong approach. Vasculature anastomosis on a mouse''s tail is the actual high-precision technique." Their conversation reached Zhou Can''s ears. He just smiled lightly. With his current Level 3 suturing and ligation skills, the success rate of performing vascular anastomosis on the tails of mice should be a hundred percent. Looking at the entire intern group at Tuya Hospital, there are perhaps only one or two who can surpass him in vascular anastomosis. The high-precision technique that female intern spoke of is nothing much in the face of his Experience Points system. Zhou Can took the mice back to his dormitory. Goodness, everyone''s already practicing hard. Looks like everyone is preparing for tomorrow''s resident doctor recruitment. All fired up, ready to stand out from the crowd. "Wow, Brother Can, are you serious?! You bought so many mice; are you planning a barbecue?" "As long as you guys don''t mind, I can let you have them for barbecue after my practice!" Zhou Can said with a mischievous smile. "Forget it, my tastes aren''t that heavy." The idea of eating mouse meat scared his roommate into hastily declining. "I say Zhou Can is risking everything to qualify for resident training. Brothers, let''s work hard. Anyone lucky enough to stay must look after the others. Let''s honor our year-long friendship as roommates." The roommates cheered and practiced even harder. Zhou Can sat at his practice bench, and to save time, immediately administered anesthesia to the whole cage of mice. After they were anesthetized, he picked out one mouse, secured it on the wax tray, and began to enhance both his dissection and Hemostasis Skills. [Cutting Experience +0.2.] [Hemostasis Experience +0.2, +0.2¡­] The easiest Experience to gain was Hemostasis Skill; nothing else came close. As soon as you find a bleeding point and touch it with an electrocautery pen, instantly, 0.2 Experience Points are in your hands. ... Unknowingly, Zhou Can had practiced until 12:31 AM. By this time, all sixteen mice had been thoroughly used up. Both Hemostasis Skill and Cutting Experience successfully advanced to Level 3. He checked his Medical Technique Experience Points. [Zhou Can, Intern] [Pathological Diagnosis, Level 2, current Experience Points 99/100. Resident Doctor Level, above average.] [Cutting, Level 3, current Experience Points 5.7/1000. Resident Doctor lower Level.] [Suturing, Level 3, current Experience Points 21/1000. Resident Doctor lower Level.] [Ligation, Level 3, current Experience Points 1/1000. Resident Doctor lower Level.] [Hemostasis, Level 3, current Experience Points 652.4/1000. Hemostasis ability at Resident Doctor medium Level.] Among all the Medical Techniques, the Hemostasis Skill is now the strongest. It has reached an astonishing Resident Doctor medium Level. This Level is comparable to a surgeon resident with over three years of work experience. Chapter 11 - 11 The Formidable Auntie Why did the Hemostasis Skill, the most rudimentary of all, outstrip the others later on? Because even after leveling up Hemostasis Skill to Level 3, he did not stop practicing. Each dissection would involve a considerable amount of bleeding points. If hemostasis is not applied in time, after five or six incisions, the white rat would die of blood loss. In line with the principle of not wasting materials, he could only carry out hemostasis while dissecting. Once the Hemostasis Skill reached Level 3, the precision of stopping bleeding was almost 100%, able to stop a bleeding point in one second. More than six hundred Experience Points may seem terrifying, but in fact, you only need to click more than three thousand two hundred times. Sear?h the ¦Çov§×lFire .net website on Google to access chapters of novels early and in the highest quality. "All the four basic surgical skills have been successfully upgraded to Level 3 as I wished, securing the postgraduate training qualification should definitely be a sure thing. If I could also get the pathological diagnosis up to Level 3, that would be perfect." Zhou Can didn''t stay up late again but sorted out the trash, took a shower, and went to bed. Staying up late before an exam is a big no-no. ... The next morning, all interns got up early to prepare for the postgraduate training exam. Everyone had signed up two weeks ago. Zhou Can applied for General Surgery. However, according to the usual practice of Tuya Hospital, it''s up to the hospital to decide the specific placement. He got up relatively early today, washed up and used the bathroom; by the time he was done, it was nearly 7 o''clock. The recruitment for postgraduate training starts at 8 o''clock entrance, so there was still ample time. He quickly took out "1000 Cases of Surgical Pathological Diagnosis" to read. "Patient Ms. Ma, 43 years old, discovered a lump the size of a silkworm in her left breast while bathing in February this year. At that time, there were no uncomfortable symptoms, so she didn''t pay attention to it. In July this year, she found that the lump had been growing continuously, reaching the size of a walnut. The patient felt pain and swelling in her left breast during her menstrual period and worried about cancer, so she went to the local hospital. Upon examination, the patient had no fevers, chest pain, coughing, nipple discharge, or bloody secretions. There was no significant weight loss, and appetite and sleep were mostly normal..." From these symptoms, the patient should just have a benign tumor. However, pathological diagnosis requires synthesizing multiple pieces of information. Examination results are particularly important. "On palpation, the lump is 5*5*4 cm, hard in consistency, surface not smooth." Reading this, Zhou Can felt a thud in his heart. An ominous premonition emerged. "Routine blood test was basically normal, no anomalies found on routine urine and stool tests. X-ray examination, chest radiography showed abnormalities. Mammography, the upper outer quadrant of the left breast shows an irregular lump with high density in the center area." It''s over, this female patient is eight or nine times out of ten a malignant tumor. Had she sought medical attention immediately upon finding the lump, the outcome might have been much better. Most serious illnesses develop when patients drag a minor illness into a major one. "Ultrasound, homogenous mass in the outer upper quadrant of the left breast, possible malignant transformation." All the test results were getting worse. "Undoubtedly, the patient has breast cancer." [Pathological Diagnosis Experience Points +0.1.] Zhou Can earned 0.1 Experience Points, but couldn''t feel happy at all. Such a waste for this female patient. If only she had been treated earlier. Continuing to read the treatment results, the patient underwent a biopsy which confirmed the cancer. Further tests revealed that the cancer cells had spread to surrounding tissues and organs, missing the surgical opportunity. After chemotherapy, the patient eventually passed away on October 17 of that year. In the future, when encountering similar patients in practice, he must advise them to seek treatment early. He glanced at the time, 7:34 am. No time to read anymore, he needed to rush to the hospital for registration. The folks at the Medical Department, those ''lords'' and ''menopausal women'', heartless as they were, wouldn''t let him in if he were late for the postgraduate training recruitment. He rushed to the hospital cafeteria for breakfast, then strolled around the outpatient lobby, looking to seize the last opportunity to diagnose another patient. His experience points in Pathological Diagnosis were just 0.9 points away from the next level. He really couldn''t stand this! Early in the morning, long queues had already formed in front of the outpatient lobby''s intelligent registration machines, and the hall was very noisy. He didn''t dare to casually approach a patient and inquire about their condition and medical history. Afraid of being beaten by family members. These days, the most hated by patients and their families are medical scalpers and ticket touts. Encountering those with bad tempers, one might get punched right at the start, which wouldn''t be worth it. Real scalpers, each one has developed a sharp eye and a talent for persuasion. Knowing who to target for consulting among patients or family members, they''re less likely to get hit. Zhou Can scanned around but couldn''t find a suitable patient. Glancing at the time, it was already 7:47 am. From the outpatient hall to the Teaching and Research Building, three minutes should be enough. Only ten minutes left, I need to hurry. In the end, he focused on a middle-aged lady at the back of the line. From his observations, this lady frequently showed expressions of pain and kept glancing anxiously towards the front of the queue where the automatic registration machine was. She must be very anxious. Also, there were no male family members accompanying her, so the likelihood of getting hit was minimal. Zhou Can stepped forward with a smile and asked, "Auntie, are you having stomach pains?" The lady glared at him, visibly displeased, "Who are you calling auntie? Do I look that old? Go away, you''re annoying me." The foundation on the lady''s face was flaking off, revealing all the wrinkles around her mouth and eyes. She seemed very fierce. Zhou Can was so frightened that he didn''t dare say anything more and quickly moved away. Soon, he spotted another target. This was a young man in his twenties, clean and delicate-looking, probably just entering the workforce. "Brother, are you here to see a doctor?" "Uh-huh." The young man sized him up timidly. "Where are you feeling unwell?" Zhou Can was delighted inside. He finally found someone easy to talk to. The final 0.9 Experience Points found a destination. "Uh... I am registering for my mom." Zhou Can felt disappointed. After finally finding someone easy to talk to, it turns out not to be the patient themselves. "Security, security, that guy is a tout, it''s him. He was asking me about my illness just now and now he''s asking that young man. He''s definitely a tout..." The lady shouted at the patrolling security guards. Zhou Can was dumbstruck, realizing one should never mess with middle-aged ladies. Especially the ill ones. The hospital also loathed touts deeply. Not only could they cause patients to go elsewhere, but they also exploited patients, severely damaging their interests and tarnishing the reputation of Tuya Hospital. Two security guards immediately removed their batons and charged over. "Which hospital''s tout are you from? Be honest!" "Come with us to the security office!" Zhou Can had a recruitment event for residency coming up, and he didn''t have time to go to the security office. He quickly showed his intern badge. "I am an intern at this hospital, not a tout." After checking his badge, the guards'' expressions eased slightly. "Alright, so you''re an intern, no wonder you''re here asking patients all sorts of questions. Lucky I was vigilant, or I might have been harmed. Everyone, keep your eyes peeled, don''t let interns trick you into being their guinea pigs." Ms. Ma scolded loudly. Many people looked at Zhou Can with unfriendly eyes. He had no idea what illness Ms. Ma had; it was just a call of ''auntie''. Why harbor such deep resentment? Zhou Can didn''t dare cause any negative impact on the hospital because of this. Otherwise, people from the Medical Department would come knocking on his door. Even though he felt wronged, he still put on a smile and explained to the other patients in line, "I''m just doing a research survey, please don''t misunderstand." The crowd''s gaze towards him became a bit warmer. Zhou Can quickly made his exit. Due to the commotion caused by that fierce lady, if he tried to ask other patients, he probably wouldn''t receive any friendly responses. He stepped out of the outpatient hall and took out his phone to check the time. Five minutes left. Time to look some more. A middle-aged man getting out of a taxi caught his attention. This middle-aged man, about fifty years old, was wearing black trousers, a blue shirt without a tie, and carrying a black briefcase. Judging by his appearance, he was most likely a boss or a company executive. At first glance, Zhou Can noticed the man''s face was somewhat pale. His lips were pale too. Yet, he walked normally and seemed to be in a decent mental state, with a slight frown on his brow. Zhou Can, relying on a doctor''s keen intuition, was certain that this man was ill. Chapter 12 - 12 The Benevolent Heart of a Doctor "Just trying to cozy up to such a man brimming with mature charm, to inquire about his condition, was very likely to result in being turned away. This kind of successful man, with a rich life experience, having seen all sorts of worlds, has dealt with all kinds of people. Wise, mature and steady, with an especially high alertness. Approaching him without cause would surely increase this man''s guard. How could one quickly gain this person''s initial trust? Zhou Can didn''t want to put all his eggs in one basket. But the only suitable patient he could find at the moment was this man. The man had already begun to climb the steps. The distance from Zhou Can was getting closer and closer. And that''s when the accident happened. The man stumbled and almost fell. Zhou Can couldn''t help but be overjoyed, the opportunity had come. He immediately dashed over and supported the man. "Sir, are you alright?" "No... problem. Just a bit of chest stuffiness, angina. Thank you just now." The man managed to squeeze out a faint smile. When Zhou Can supported the man, he realized that the man''s body was trembling slightly. Coupled with the man''s self-reported symptoms of chest stuffiness and angina, he realized the seriousness of the issue. "I am an intern doctor at Tuya Hospital. Seeing your pale complexion, along with symptoms of chest stuffiness and angina, I suspect it''s related to a cardiac condition. Have you had any history of heart disease before?" Zhou Can helped him towards the outpatient hall. Hearing that Zhou Can was a doctor from Tuya Hospital, the man''s trust in him obviously increased a lot. "I have no history of that. This morning after running, I returned home and felt some chest stuffiness, difficulty catching my breath. After the shower and changing clothes, I had bouts of angina in my left chest, so I hurried to the doctor." The man briefly described the onset of his condition. "Just now when you were climbing the steps and nearly fell, did you also experience dizziness?" "Yes, I did feel somewhat dizzy, on and off." Chest tightness, shortness of breath, angina, accompanied by dizziness. And it is exercise-related. A critical disease name popped up in Zhou Can''s mind. Coronary heart disease. And likely acute coronary syndrome. This is a very dangerous disease. It could take a patient''s life in an extremely short period of time. [Diagnostic Experience Points +1.] [Congratulations, your diagnostic skills have been upgraded to Level 3, current Experience Points 0/1000. Lower level resident doctor.] The wish to upgrade his diagnostic skills to Level 3 had finally come true. He now had the medical skills of a resident doctor in five subjects, and in the regular training exams, he definitely had the capability to outshine the others. "From what you''ve described and the various symptoms shown, the situation doesn''t look good. The outpatient registration doesn''t start until 8 o''clock, I suggest you go to the Emergency Department immediately." Zhou Can advised earnestly. "I''ve never been to the Emergency Department!" The man''s body was trembling even more. S~ea??h the n?velFire.net website on Google to access chapters of novels early and in the highest quality. And most of his weight was leaning on Zhou Can''s arm. This meant his condition was rapidly deteriorating. Zhou Can glanced at the time, there were only 4 minutes left until the entrance time for the regular training exam. Taking this man to the Emergency Department was not something that could be done in one or two minutes. It would cause him to be late for the exam. "Do you not have a family member to accompany you for the doctor''s visit?" "My child is studying abroad, and my wife is extremely busy with work. I thought it wouldn''t be a serious issue, so I came by myself." Without a family member to accompany him, leaving the man here uncared for might lead to the loss of a precious life due to missing the best opportunity for rescue. Although Zhou Can wouldn''t have to take any responsibilities, he might suffer from a lifetime of guilt. However, if he accompanied the man to the Emergency Department, he would definitely be late for the regular training exam. The price he would pay was extremely high. He might lose the opportunity for residency training. Life is such a play of fate. He had been preparing for so long, exerting countless efforts, often staying up late until one or two in the morning to improve his medical skills. He was on the verge of impressing everyone in the regular training exam with his now Level 3 medical skills. Who could have predicted this turn of events at such a crucial time? "To accompany the man to the Emergency Department? Or to abandon him and rush to the regular training exam?" This was an extremely difficult choice. Even though the man was suffering from severe chest pain, his rich life experience allowed him to see Zhou Can''s hesitation. "Young man, are you in a hurry to get back to your post? It''s okay, go on with your work. I can manage," the man said, understanding the difficulties for these interns. At this moment, Zhou Can had made up his mind. Since day one at medical school, their teachers had taught them that "For a doctor, morality comes first, and medical skills are secondary. Morality without skills can be acquired; skills without morality will only get you so far." A doctor without medical ethics will never become a renowned physician. "Let''s go, I''ll take you to the Emergency Department! Honestly, I have an examination for my standardized training today, and there are only 4 minutes left before the exam starts. But compared to your life, what is that, really?" Zhou Can led the man towards the Emergency Department. "The noble medical ethics of the young man are admirable. Is my condition really that serious?" The man was obviously skeptical of his diagnosis. As an intern, his medical level was definitely average. There could be a misdiagnosis, or he might be easily alarmed by a condition that''s slightly more serious. "It''s very serious. I suspect it might be Acute Coronary Syndrome, which has a rapid onset and vicious progression that can take a life in a very short time. You might have triggered it by running in the morning, and then using cold water to shower when you got home, further aggravating your condition. I suggest you contact your family immediately, as any surgery will require a family member''s signature." Zhou Can earnestly informed the man of the potential consequences. Hearing the severity of the situation, the man hesitated for a moment but eventually called his wife and asked her to come to the hospital. Zhou Can faintly heard the woman sobbing on the other end of the phone upon learning about the seriousness of her husband''s condition. It was evident that the couple had a good relationship. In times of crisis, you can always rely on your closest loved ones. The thought made him yearn even more for the beauty of love. He assisted the man all the way to the Emergency Department. "I am a resident doctor from General Surgery at Tuya Hospital. This patient has chest tightness, angina, and dizziness, and is likely suffering from coronary artery disease with rapidly worsening condition. Please arrange for his diagnosis and treatment immediately." Zhou Can showed his intern certification and explained the situation to the emergency department''s on-duty doctor. This was the most straightforward and efficient way to communicate. "Is there any accompanying family member?" "No!" "Let''s give him a physical examination first!" The on-duty doctor seemed to value Zhou Can''s diagnostic opinion quite highly. Being from Tuya, he knew that even Tuya''s interns would have a solid foundation in medicine. "Sir, did you bring your ID card? I''ll help you register for emergency treatment, and then my colleagues will take over your examination and treatment," Zhou Can said. "Today I was fortunate to meet you." The man quickly took out his ID card along with a hundred-yuan bill and handed them to Zhou Can. After completing the registration, Zhou Can returned the change, registration receipt, and ID card to the man. The on-duty doctor was now measuring the patient''s blood pressure and heart rate. "The situation does not look good; we need to perform an electrocardiogram and ultrasound examination immediately," the on-duty doctor said gravely. "Mr. Cui, please inform your family to come to the hospital right away. It''s urgent." At this point, the man already had difficulty speaking. "He has already informed his family. They should be arriving shortly. I need to attend the standardized training exam, so I will be leaving now." Before he left, Zhou Can briefly explained the cause of the man''s symptoms and the symptoms he had reported. When he left, his heart was heavy. He hoped the man would be alright. A few minutes later, he ran to the temporary site of the standardized training exam. A few security guards were stationed outside the exam hall, probably to maintain order when there were more people around. At this moment, not a single candidate could be seen. Zhou Can checked the time: 8:21 AM, he was 21 minutes late. "Hey, hey, what are you doing?" The security guard saw him trying to rush inside and immediately stopped him. "I am a resident doctor from Tuya, here for the standardized training exam. Sorry, guys, I was delayed by an emergency. Could you please let me in?" Zhou Can explained. "To have such an important thing and still be late, you''re quite something. We don''t have the authority to let you in, but we can ask for you." The security guards didn''t give him a hard time. They ran inside to ask for him. Soon after, they returned with a middle-aged woman with glasses. "This is Deputy Director Hu from the HR department, you can explain your situation to her." "Director Hu, good day. My name is Zhou Can, and I am an intern at the hospital. I was delayed by an emergency on my way here, so I am late. Could you perhaps let me in to take the exam?" Zhou Can was very deferential. When addressing her, he instinctively omitted the word ''Deputy.'' Generally speaking, people whose titles include ''Deputy'' dream of having it removed. When addressing them by their titles, it''s best not to call them ''Deputy Director'' or ''Deputy Chief.'' Otherwise, it''s a surefire way to annoy them. "I don''t care what you were delayed by, being late is wrong. Being nearly half an hour late shows that you don''t take the hospital''s recruitment process seriously. We put people first in our hospital, prioritize ethics and character. Candidates like you, who have no concept of time, actually don''t need to sit the exam anymore." Deputy Director Hu elevated the issue to one of character and tactfully denied Zhou Can''s request to enter the exam. Chapter 13 - 13 Kindness is Ultimately Not Let Down "Please give me a chance, Director Hu." Zhou Can pleaded earnestly. "People with no sense of time usually have poor discipline. As doctors, saving lives and offering aid, the sense of responsibility is paramount. Therefore, I''m sorry, but judging from your performance, you do not meet the recruitment standards for our residency training program. Goodbye." The Human Resources division can be so callous. They hold the power to define HR policies, development, recruitment, training, assessment, pay, and more. They''re polite to the hospital''s renowned doctors and management team, but for the junior medical staff and nurses, they wield the power of life and death. In situations like Zhou Can''s, just a word from Deputy Director Hu could veto his eligibility for the exam. Zhou Can had no one to turn to, to share his grievances. He didn''t continue to beg; instead, he turned around, his departure filled with dejection. Men can be humble, they can be respectful, but their backs must not bend. Because that is a man''s dignity. Indeed, doing good deeds comes at a price. But he had no regrets. Given another chance, he would still choose to save lives. A gentleman''s heart is clear and open; having a clear conscience is all that matters. At this moment, Zhou Can felt deeply disheartened. He sat down on the edge of a flower bed by the roadside, his head buried, hands covering his face. Men do not easily shed tears. Losing the qualification for the exam meant all his efforts had gone to waste. One can only imagine the inner pain and disappointment. Time was flying by rapidly, with patients, doctors, and nurses occasionally passing by in front of him. To him, every minute and second felt unusually prolonged. There is perhaps no greater cruelty in this world than filling someone with great hope, only to later extinguish it. When Zhou Can obtained the Experience Points system, he was thrilled and full of ambition. Now, with his hopes shattered, he felt listless and desolate. It was as if even the sky had turned grey. He felt as insignificant as an inconspicuous blade of grass in the corner of the flower bed. At that moment, the urgent ring of his mobile phone interrupted his thoughts. He was startled and then realized it was his phone ringing. Checking it, he saw an unfamiliar number. After hesitating, he still answered the call. "Hello, who may I ask is calling?" His voice sounded a bit hoarse. "Is this Zhou Can?" A middle-aged man''s bold and authoritative voice came from the other end, exuding dignity. "Yes, it is. Who are you?" Zhou Can was on guard; these days there were too many scammers. Various forms of fraud were ever-present threats. Today had already been unfortunate enough, and if he was to be duped by a scammer, that would truly be the worst. "Hello, Dr. Zhou, I am Xin Wanshan, Director of the Medical Department at Tuya Hospital." For interns, the mere words "Medical Department" could send shivers down one''s spine. Even a regular clerk holds a position of great authority. The caller was actually the Director, an unquestionably high-ranking authority. Zhou Can quickly recalled the morning''s events, his heart skipped a beat, worrying whether the incident in the outpatient hall, where he was falsely accused of being a medical tout by that lady, escalated to the Medical Department. Could it be that he''s exhausted a lifetime''s worth of bad luck in a single day by alarming the Director of the Medical Department? A blessing in disguise or an unavoidable curse. He tried to steady his mind and remain composed. "Hello, Director Xin!" He quietly anticipated what would come next, his mind racing to figure out how to explain the morning''s incident. "Just now a patient''s relative called and told the Medical Department about your heroic deed of prioritizing saving a life over being on time for the residency exam. I just learnt how remarkable our interns at Tuya Hospital are. The relative was concerned that you might be affected by being late for the exam and insisted that I inquire about it." Being able to prompt the Medical Department Director to personally intervene indicated that the relative had significant influence. Zhou Can felt his pent-up grievances finding an outlet. A wave of emotion hit him, making his nose tingle. There are more good people in this world than bad. Her husband was critically ill, yet upon understanding the situation, her first thought was to help clarify Zhou Can''s circumstances, not wanting him to bleed and weep. Some people''s kindness is deeply ingrained in their very souls. He had no intention of receiving any reward for saving Mr. Cui, yet the family''s immediate initiative to clear his name was enough to comfort and warm his heart. Zhou Can took a moment to stabilize his emotions. "Thank you, Director Xin, for your concern, but I have already lost my eligibility for the standardized training exam due to being late." Having the Medical Department Head personally inquire, if he did not reveal the grievances he suffered, then he would truly be foolish. "Ah... where are you now?" Director Xin definitely had the authority to handle this matter. Hearing the hint of urgency in his voice, Zhou Can knew that today''s events might take a dramatic turn for the better. "I am sitting by the flower beds next to the Teaching and Research Building." "Okay, I''ll be there right away. You were wronged today." "Misunderstandings cleared, I won''t feel wronged anymore." "Can you stand at the entrance of the examination room and wait for me? I am wearing black trousers, a white short-sleeved shirt, and a red tie. I''ll get there in about five minutes." "Sure!" Zhou Can returned to the entrance of the examination room. The security guards saw him come back and advised, "Young man, we sympathize with what happened to you, but since Director Hu won''t let you in, there''s nothing we can do. You should leave, don''t make it difficult for us." Zhou Can flashed a toothy smile, "You won''t have a problem. The hospital leadership will be here soon to deal with this. I''ll just wait outside the examination room." Hearing that hospital leadership was coming, the security guards did not try to send him away anymore. They couldn''t help but size up Zhou Can. This guy must have some backing. Being late yet he could still get hospital leadership to come help plead his case. It wasn''t long before a man with a beer belly and imposing aura arrived, accompanied by two others. Black trousers, white shirt, red tie, it was precisely the Director Xin who spoke on the phone. As Zhou Can was about to go meet him, Xin Wanshan had already come over with a smile on his face. "Presumably you''re Zhou Can, Dr. Zhou, right?" "That''s me. Hello, Director Xin!" "Don''t worry, the hospital will never let a hero like you be wronged, and will promote you prominently as a banner of the hospital. Come with me." The security guards of course recognized Director Xin and didn''t dare to hinder him, instead, all attempted to curry favor with obsequious expressions. But internally they wondered, how come this young man, who was clearly late for the exam, ended up being promoted so vigorously as a banner of the hospital? Could there be some hidden story? Director Hu, who was in charge of the examination room, was shocked to see Zhou Can enter. Sear?h the N?velFire(.)net website on Google to access chapters of novels early and in the highest quality. She flared up immediately. "How is it you again?" Yet, as soon as she finished speaking, she saw the three people entering the examination room with Zhou Can. "Director, Director Xin!" Director Hu hurried to stand up and greet him, as a sign of respect. After all, they were both hospital leaders. If one were to rank hierarchy, the Human Resources Department managed people, the Medical Department managed doctors, clinical services, and so on. Her status as the Deputy Director of the Human Resources Department was not as high as Director Xin''s. "Hello, Deputy Director Hu! I''m here to clarify an issue for this intern." "He was late, wasn''t he?" Director Hu was puzzled. "Indeed late, but there was a reason. He was late because he went to save a patient..." Xin Wanshan briefly explained the situation. Upon hearing the details, the stern Director Hu was touched. The look she gave Zhou Can changed from cold and disgusted to one of admiration, respect, and a hint of guilt. "Young man, for doing such a remarkable thing, why didn''t you say so earlier?" Zhou Can was at a loss for words. You pronounced a death sentence on me right away, was there a chance for me to explain? "Due to my oversight, you were wronged, and I am deeply sorry. Fortunately, the matter has been clarified in time and can still be rectified. I will handle the rest." After saying this, Deputy Director Hu called the head of the Human Resources Department to report the incident. Before long, she received a call from her superiors. What was originally a minor issue had unexpectedly alarmed several important hospital leaders. These leaders must have been discussing how to deal with this matter just now. Now the result was clear. Zhou Can''s request was modest, simply to have his eligibility to participate restored. "Come, follow me into the examination room." Director Hu led Zhou Can into the examination room. Chapter 14 - 14 The Opportunity to Use Diagnostic Medicine Has Come This is an examination room temporarily converted from the auditorium that can seat ten thousand at the school. Tuya Medical College is actually a provincial medical institution that integrates both medical education and service. It includes Tuya Hospital and Tuya Medical University. What''s more interesting is that the hospital and the campus are connected. For instance, this auditorium for ten thousand people is also frequently used by the hospital for their staff meetings. At the moment, it is packed with interns from our institute and medical personnel from all walks of life. Tuya is recruiting for standardized training program candidates. Anyone with at least an undergraduate degree and under 35 years of age can apply. This includes standardized trainees in nursing, general practice, and medical technology. The training period is 36 months. The medical technology mentioned here does not refer to surgical techniques, but rather diagnostic departments such as the laboratory, radiology, ultrasound room, electrocardiogram room, electroencephalogram room, gastroscopy room, etc. So why is it so coveted to get a spot in Tuya''s standardized training program? Because as long as you complete the 36 months of standardized training here and meet the standard during the final exam, you can obtain a certificate of standardized training from Tuya Hospital. This is a certificate with significant value. Even if you don''t manage to secure a job at the hospital after the standardized training has ended, returning to your original hospital, or going to city-level or county-level hospitals, you would be highly sought after. Some of the attending and resident physicians from second-class A and B, third-class A hospitals in county towns and prefecture-level cities often treat standardized training at Tu Ya as a kind of advanced study. Inside the examination room, it is very quiet, with all candidates silently answering questions. The recruitment for standardized trainees is divided into three parts: written exam, interview, and physical examination. Right now, it is just the written exam phase. More than half of the over seven thousand candidates will be eliminated in this written exam phase. Among the candidates, there are both doctors in their twenties who are interns and medical personnel in their thirties from society. Of course, there are also some whizzes like graduate and doctoral students. If we are talking about academic qualifications, Zhou Can''s undergraduate degree doesn''t seem impressive. But in terms of medical skills, heh, he might be powerful enough to crush the crowd. "Please all candidates pause for a moment, I have an important announcement to make." Deputy Director Hu, holding a microphone, shouted loudly. The candidates looked up one after another towards her on the stage, and also at Zhou Can standing beside her. Some classmates or colleagues of Zhou Can''s had already recognized him. "What happened to Brother Can?" Several roommates were worried for him. Class monitor Yang Chan was silently praying, "Children of wealthy families are unreliable; I just hope he hasn''t caused any trouble, giving our alma mater a bad name." Her impression of Zhou Can had never been very positive. "Let me introduce to everyone, the young man standing beside me is named Zhou Can, also one of the candidates. This morning, as he was rushing to the examination room, he encountered a patient suffering from chest tightness and angina. After a brief questioning, when he diagnosed that the patient likely had acute coronary syndrome, and with no family members accompanying at that time" Deputy Director Hu''s voice echoed throughout the auditorium. Her voice was expressive. "At that time, Doctor Zhou Can faced two choices. Either abandon the patient and rush to the examination room for the standardized training test or send the patient to the Emergency Department to save their life and then be late for the exam. Even if he left the patient behind, he wouldn''t have to bear any responsibility. But being late for the exam, according to the rules, would mean losing the qualification to take the test directly." Everyone fell into brief contemplation. Put in such a situation, what would they choose? Honestly asking themselves, most would probably prioritize their own interests first. Especially in a decision affecting their future so substantially. Very few people can be selfless. Contrarily, selfishness and self-interest are human nature. "But do you know what? Doctor Zhou Can, rather than losing his exam qualification, decisively chose to take the patient to the Emergency Department for treatment. Thanks to his professional referral, the on-duty doctor diagnosed the illness in time, winning precious time to save the patient." The candidates were deeply moved and filled with admiration for Zhou Can. A gentleman carries great virtue. Those who are virtuous gain respect genuinely from the hearts of others. "Zhou Can is just an ordinary intern at our Tuya Hospital, but he has exemplified through his actions what is meant by great love and medical ethics come first. After learning of his heroic deed just now, I was extremely shocked. After consulting with the hospital leaders, everyone unanimously believes that such conduct deserves high praise. I declare that all penalties for Zhou Can''s tardiness in the exam will be waived, and he will receive full marks for medical ethics." As soon as she finished speaking, thunderous applause erupted throughout the hall. Full marks in medical ethics was by far the highest honor ever awarded by Tuya Hospital in the recruitment of standardized trainees. It would become a milestone in Zhou Can''s professional career. A smile that he had never shown before appeared on his face. "Thank you to the hospital leaders for their praise and recognition. I am not a hero, just the most ordinary medical worker. Saving lives and healing the wounded are my duty as a doctor. Thank you, everyone." Zhou Can''s words about saving lives touched every candidate present. Indeed, treating patients is the initial intent and rightful pursuit of every medical worker. For them, it was more like a purification of the soul. Their spirit becomes pure and is elevated. The hall burst into thunderous applause once more, lasting a long time. "Zhou Can, go to your seat to take the exam. You will be allowed extra time to submit your paper." Sear?h the N?velFire.n§×t website on Google to access chapters of novels early and in the highest quality. Deputy Director Hu said to him smilingly. "Thank you!" Zhou Can felt as though he was treading on a path of radiant light, realizing that life could be so splendid. A good person lives a peaceful life; the world had not let him down after all. His seat was in the back. Chapter 15 - 14 The Opportunity to Use Diagnostic Medicine has Arrived_2 When passing by the class leader Yang Chan, she smiled brilliantly and gave Zhou Can a thumbs up. Zhou Can responded with a smile and a nod. Following the seat number, he found his spot and sat down, with the hospital-provided tablet on the table. He directly entered his name, ID number, and the department he was applying for, and was ready to start answering questions. At a provincial top-tier triple-A hospital like Tuya Hospital, the requirements for recruiting resident trainees are very strict. Candidates for clinical medical departments are required to take a comprehensive theory test. That is to say, the questions presented not only include surgery topics but also Internal Medicine, Pediatrics, Obstetrics, Ophthalmology, etc. Theory has always been Zhou Can''s strong suit. During the test, his fingers flew across the tablet, swiftly solving complex medical questions. ... Although Zhou Can answered faster than most candidates, he entered too late and before he finished, the loudspeaker announced the time was up for handing in the papers. The candidates started submitting their answers. Zhou Can received special consideration and was allowed extra time to finish his test. He continued to concentrate on the questions. Not long after everyone submitted their tests, Deputy Director Hu announced the results using a microphone. "Thank you all candidates for your active participation, the examination results are now available. Whoever scored above A may stay for the interview phase. Unfortunately, candidates who scored below A are eliminated. Please leave the hall orderly and persevere onwards, Tuya Hospital welcomes you to apply again next year." Currently, computers are used for scoring and calculating results. Efficiency is astonishing. Only a few minutes passed between the candidates handing in their papers and the announcement of the results. The candidates who were eliminated left with their heads down dejectedly. About fifteen minutes later, from nearly seven thousand candidates, only about three thousand remain. Approximately 60% were eliminated. This is only the first phase; the interview stage that follows is even more challenging. "Next, we invite our panel of judges to enter." Sear?h the n?vel_Fire.¦Çet website on Google to access chapters of novels early and in the highest quality. Following Deputy Director Hu''s introduction, numerous doctors and nurses entered the examination hall. Three groups of judges in total. Then workers carried various props needed for the interview into the hall. "Residency candidates for the medical technology department, please come to this side." This department mainly performs various examinations and pathological tests for patients. Most of the devices carried in by the workers are for use by residency candidates in the medical technology department. Quite a few candidates applied for the medical technology department, at least around 800. During the interview, they need to read ultrasound images, CT scans, X-rays, etc., and perform operations with a Doppler ultrasound device to produce clear images. Of course, the body part to be imaged is randomly designated by the examiners. "Nursing candidates, please come to the front." Mostly female candidates flocked there, among them, notably beautiful girls. Tuya Hospital recruits a significant number of nurses each year. Nursing is essentially a profession relying on youthfulness. Many nurses, when a bit older, either return to their families or switch to other jobs, like health management consultants, etc. Very few lucky ones might get promoted to head nurse or shift to less intense duties. Such as managing medical orders, operating computers, distributing medications, managing supply rooms, and organizing documents. All in all, nursing is a youth-reliant profession. Staff turnover is very frequent. Basically, all hospitals are similar, often recruiting nurses. About 700 candidates applied for the nursing residency program. Not all were girls; there were also boys. However, the number of male candidates was very sparse. The remaining 1500+ candidates applied for the comprehensive department residency. This also reflects that being a doctor is still the most sought-after profession. As medical skills continually improve, the older the doctor, typically, the higher their income and status. The profession of a doctor is growth-oriented and promises a sweeping future. The competition for the comprehensive residency is the fiercest, far exceeding nursing and medical technology. Over 1500 candidates are eagerly preparing for the challenge. "Good morning to all candidates, we will now begin the first part of the interview, clinical diagnosis. I will act as a patient and present a series of symptoms, and you will develop a diagnostic plan on the tablet. Remember, you must not carelessly propose a diagnostic plan; over-prescribing or under-prescribing tests will both result in point deductions." A wave of tension spread among the candidates. No one expected the first interview question to involve real-life diagnosis. Those in their thirties and older, societal candidates, had it a bit easier, many having already worked as doctors in county or city-level hospitals for several years or even over a decade, possessing substantial clinical diagnostic experience. For interns, it was somewhat fatal. Their experience in clinical diagnosis was still very minimal, not to mention they had never consulted alone. Most of their experience was purely academic. Now being asked to diagnose a real person, naturally, some were panicked. "I suddenly felt chest pain and couldn''t breathe, feeling that my condition was quite serious, so I hurried to the hospital''s emergency room. You are the duty doctor who will see me; what tests will you conduct? Please list the tests in order on the tablet. Note that if the order of the tests is incorrect, the score will be halved." After a doctor sees a patient, there is a strict procedure for what tests to carry out. First, definitely a physical examination, such as palpation, inspection, etc. The following tests, like unraveling layers of thread. For instance, after a complete blood count, if there''s still a need to check an ECG, when ordering tests, the complete blood count should be ordered first, then the ECG. Chapter 16 - 14 The Opportunity to Use Diagnostic Medicine has Arrived_3 The candidates, after careful contemplation, successively submitted their requests for examinations. "Time''s up." The examiners only allotted about 10 minutes. This undoubtedly increased the difficulty of the exam. However, in actual clinical practice, when faced with emergencies or critical conditions, the reaction time given to a doctor is even shorter. "Now you can view the scores for the examination items and the results." Just at this moment, Zhou Can had finally completed the written exam. He submitted his answer sheet. The results were almost instantaneous. A. The score should be between 90 and 95. If the score were above 95, it would be an A+. But considering the difficulty of the exam, covering content from Internal Medicine, Surgery, Obstetrics, Pediatric... all medical departments, scoring an A was quite excellent. He had also vaguely heard some of the questions posed by the examiners earlier. Now that he had passed the written exam, it was time to face the interview stage. "Pain in the patient''s chest, difficulty breathing?" First of all, it was imperative to rule out cardiac diseases. He swiftly ordered a physical examination, complete blood count, and electrocardiogram. Submit. "Congratulations, you have correctly chosen all the examination items and received full marks." Zhou Can smiled slightly. After all, he had advanced to a Level 3 pathological diagnosis, reaching the Resident Doctor standard. If he managed to make a mistake in ordering tests, then his Level 3 diagnosis must have been bought with money. He quickly reviewed the various test results. Physical examination, heart rate 122 beats/minute, blood pressure 97/49mmHg. The normal range for heart rate is 60-100 beats/minute, the patient''s heart rate is clearly too fast. Normal systolic blood pressure ranges from 90-140mmHg, and diastolic blood pressure from 60-90mmHg. The patient''s blood pressure is conspicuously low. A man in his thirties, in the prime of life, with such low blood pressure, could lead to shock. Not to mention, with such low blood pressure, all organs in the body would not receive sufficient blood and oxygen, cellular functions and metabolism would be impeded. If it persists a little longer, organs will become overwhelmed and shut down. The patient would die. Next, he looked at the blood test results. Wow, the troponin levels are so high. Clearly above the normal range. Zhou Can involuntarily thought of a frightening disease, acute myocardial infarction. The Mr. Cui he saved this morning, it was somewhat similar to this condition. Acute myocardial infarction is also a type of coronary heart disease. If not treated promptly, the mortality rate is extremely high, with a poor prognosis. Based solely on the initial two test results, it was difficult to conclude. He continued to inspect the most crucial, the electrocardiogram. There were clearly changes on the electrocardiogram similar to those of a myocardial infarction. Under normal circumstances, the human heart can continuously produce electrical activity. An electrocardiogram is a monitoring of this electrical activity, transformed into a waveform, used by doctors for diagnostics. When a part of the heart muscle becomes necrotic, or a blood vessel becomes blocked, causing the heart muscle to lose vitality, the peaks on the electrocardiogram''s waveforms will be noticeably displayed. Doctors can roughly determine which blood vessel is blocked based on the electrocardiogram. "Damn, it truly is an acute myocardial infarction." Based on the three test results, Zhou Can preliminarily concluded that the patient likely had an acute myocardial infarction. S§×ar?h the n?velFire.net website on Google to access chapters of novels early and in the highest quality. Yet he had a nagging feeling that something wasn''t quite right. The words that Dr. Hee said to him after yesterday''s consultation echoed in his ears once again. "Medicine is a rigorous discipline; I never conclude lightly. Diagnosis must be based on a comprehensive assessment of the patient''s history, condition, gender, and various test data." At this point, the examiner, expressionless, said, "I believe after reviewing the diagnostic results, you have made your judgments. Please fill in the diagnostic outcome." Many candidates had already confidently begun to fill in their diagnostic results. Zhou Can, however, was frowning tightly, feeling that something was amiss. But he could not find the reason. Chapter 17 - 15: Is There a Perfect Score? The diagnosis represents the pathology conclusion given by the attending physician, and the subsequent treatment plan will also revolve around the diagnosis results. Misdiagnosis can easily lead to medical accidents. Adhering to a responsible attitude towards patients, since there are doubts, the diagnosis opinion should not be filled in. He felt it was necessary to understand if the patient had any past medical history. "Medical history inquiry." After entering four characters, the patient''s medical history information popped up. "The patient has no history of heart disease, and neither do the relatives within three generations of the family." This indicated that there is no issue like familial heredity. The patient''s heart should have been healthy before. "Course of the disease." He entered another four characters. Normally, this information should appear in the physical examination category. However, it didn''t. Only targeted inquiries would display that information. Zhou Can faintly realized that this was possibly the examiners deliberately hiding some information. Or they thought this information was not important, so it was omitted. "Before the onset of the disease, the patient lost his job and divorced his wife. While living alone, he suddenly experienced chest pain and difficulty in breathing." Seeing this information about the patient, Zhou Can''s eyes slightly brightened. He always felt something was amiss. Now thinking about it, it should be the omission of the patient''s medical history and course of the disease. Losing his job was already bad enough, and his mood must have been low. At this time, without any comfort, his wife instead divorced him, which was adding insult to injury. The greatest sorrow comes from a dead heart. When someone''s heart is extremely sad and in pain, it is easy to experience symptoms like chest pain and difficulty breathing. Zhou Can''s eyes became more and more determined, gleaming with insight. "Emergency, chest pain, difficulty breathing, elevated troponin, electrocardiogram showing myocardial infarction ¨C from the beginning, the examinees prematurely concluded acute myocardial infarction." Watching those examinees who completed their diagnoses and were complacent, Zhou Can couldn''t help but shake his head slightly. These examinees are likely to lose points. To confirm whether the patient had a myocardial infarction, the most authoritative examination is not an electrocardiogram nor an X-ray but coronary angiography. X-ray cannot detect clots. Only coronary angiography is the sole authoritative and effective detection method. This examination is usually performed by an experienced doctor from the Cardiovascular Department. It requires inserting a needle at the patient''s femoral artery at the root of the thigh and then inserting a guide wire. The guide wire is pushed deeper into the blood vessel, reaching the abdominal aorta, continuing further until it reaches the thoracic aorta, passing through the arch of the aorta, and finally entering the coronary artery. Once the guide wire is successfully placed, a catheter can be inserted along it. What for? Injecting a contrast agent into the catheter, which can smoothly reach the coronary artery. Now, performing an X-ray will make it visible. It can clearly show whether the coronary arteries are blocked, and even where the narrowing is evident. Zhou Can decisively exited the diagnosis input page and instead went back to the medical examination request page. "Request coronary angiography." He decisively submitted a new examination request. "Congratulations on receiving extra points for additional examination." The examiner is truly despicable. Setting layers of confusing fog for the examinees, it required the examinees to have strong willpower, high-level diagnostic abilities, meticulous observation skills, and a meticulous and responsible attitude to lift all the fog to distinguish the false from the true. Although cursing, it''s undeniable that the examiner''s test was truly challenging. It could maximally filter out the true elites among more than 1,500 excellent candidates. Recruiting the most potential talents for Tuya Hospital. "Alright, I believe many candidates have already completed their diagnosis results, now please provide your treatment plans." The corners of the examiner''s mouth revealed a hardly noticeable cunning smile. Clearly, it was a triumph of cunning, watching many examinees fall into the deep pit he dug, showing a smug smile. Zhou Can ignored the examiner''s urging and carefully reviewed the coronary angiogram results. The angiography results showed that the patient''s coronary arteries were normal. There was no myocardial infarction. Zhou Can showed a knowing smile. "Just as I thought." Next, it got simpler; he went to the diagnostic results page and wrote, "The patient''s heart muscle is normal, with symptoms similar to myocardial infarction due to severe emotional fluctuations." After submitting the diagnostic results, a treatment plan page popped up. He cursed inwardly, calling the examiner sly. After submitting the previous examination items, scores would immediately pop up, informing the candidates that their items were correct. But when it came to submitting the diagnostic results, there was no hint; it directly jumped to the treatment plan page. He believed many candidates would be kept in the dark. A perfect trap laid by the examiner. Students and examiners are natural-born enemies. That was the conclusion Zhou Can reached. In the treatment plan section, he filled in "Suggest psychological counseling." Then he submitted it. Next was to patiently wait for the examiner to announce the results. "Luckily I elevated the pathological diagnosis to Level 3, otherwise I might have failed the first part of the interview." His gaze swept over the other candidates, some still earnestly filling out their forms. No need to say, these heads-down types, nine out of ten would fall into the pit. The treatment plan for acute myocardial infarction is lengthy; it can''t be completed in less than ten to twenty minutes. Medically speaking, if the diagnosis is wrong, the detailed treatment plan that follows is all incorrect as well. It''s somewhat similar to the multiplication rule. If the multiplier is zero, no matter how large the multiplicand, the result is still zero. He was idly bored, glancing towards the nursing candidate recruitment. One after another, young and beautiful girls, very pleasing to the eye. Watching them lifted his spirits, giving him the impulse to start dating. S~ea??h the ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. On their side, they had also reached the interview stage, competing in basic skills like injection. When seeing a patient, encountering a nurse with poor injection skills is truly torturous. For a blood draw, she could jab you a dozen times just because she can''t find the vein. The simplest muscle medication injection could end up hitting your bone, guaranteeing an excruciating experience. When you feel like cursing, finding the person opposite is a young and pretty girl, a sense of chivalry kicks in, and the words at the tip of your tongue are swallowed back. "Please, candidates who have not yet submitted their diagnostic results and treatment plans, hurry up, you have only 60 seconds left." The sound of the examiner brought Zhou Can''s attention back. With the final deadline announced, candidates sped up their writing. "Time''s up! Now you can check your scores for the pathological diagnosis." Candidates eagerly checked their answers. "Ah...How come my score is only 2?" "Examiner, is the scoring system malfunctioning? I got all the examination items right, and there were no mistakes in the subsequent diagnostic results and treatment plans, so why did I only get 5 points?" "Mine is also 5 points, there must be a mistake in the scoring." ... Candidates complained, turning the examination hall into chaos. Nursing and medical technician candidates also turned their heads to look this way. Wanting to know exactly what happened? "What are you shouting about? What? Keep quiet, all of you." The examiner''s angry shout silenced everyone, and no one dared to challenge his authority, the complaining candidates quieted down. But the anger on their faces expressed their strong dissatisfaction. Without a reasonable explanation from the examination authorities, they were bound to make a fuss. "Do you know why your scores are low? The total score for pathological diagnosis is 30 points. Those who scored below 10, mostly got only the initial part of the examination items right." Upon hearing this, the whole room was shocked. Those scoring less than 10 began to re-examine the questions, striving to find possible errors. "This can''t be wrong! The patient exhibited low blood pressure, elevated troponin, and ECG showing myocardial infarction signs; isn''t this acute myocardial infarction?" The candidates who answered incorrectly were perplexed. The examiner smiled faintly, "Pathological diagnosis shouldn''t rely solely on appearances. What we see and hear might deceive us. It requires us to discern carefully, to distinguish true from false, ultimately avoiding misdiagnosis. Did anyone score full marks for this question?" Chapter 18 - 16 Whats the Use of Being Fast? "Report to the examiner, my score is 30 points." A tall male candidate stood up first, his face filled with pride. "Hmm, very good. What is your name? Which institution are you from?" The examiner looked at the candidate with an approving gaze. "I am Gao Jian, graduated from Imperial Medical College with a master''s degree, and my internship was at Imperial Renhe Hospital." This guy clearly had a somewhat show-off personality. Brimming confidence and pride were spilling over from his face. But his qualifications were indeed impressive. Imperial Medical College is among the best in basic medical education. Much better than Tuya Medical College where Zhou Can studies. Tuya Medical College''s academic achievements in basic medical education are not high, even at the bottom tier. It leans more towards clinical medicine, barely squeezing into the top ten nationwide. In recent years, thanks to the rapid development of Tuya Hospital, Tuya Medical College has gained recognition. "So you''re a top student from Imperial Medical College, and you interned at the top hospital in Imperial Capital; no wonder you scored full marks. Please share your diagnostic approach with everyone." After hearing Gao Jian''s introduction, the examiner held him in even higher esteem. Imperial Renhe Hospital is the ceiling of all hospitals in China in terms of academic and research achievements, cure rates for complex and high-risk cases, and medical teams¡ªit''s number one nationwide. An internship at the country''s top hospital is definitely a highlight on the CV. Gao Jian glanced around before answering unhurriedly with a smile, "My diagnostic approach has two points, the blood test report shows an increase in troponin. Indeed, troponin is a marker of myocardial necrosis. But creatine kinase, serum myoglobin is the most sensitive marker for early acute myocardial infarction. Although the patient''s troponin was elevated, it was not exaggerated to over twice the level." He paused, his eyes sweeping over everyone with a sense of superiority. "Then, look at myoglobin and creatine kinase¡ªthese equally critical indicators showed slight fluctuations but were basically normal. That''s when I began to doubt the patient was likely not suffering from acute myocardial infarction. So I took a closer look at the electrocardiogram, at first glance, indeed, it bears some similarity to that of myocardial infarction. However, when compared to a genuine myocardial infarction ECG, it lacked a certain essence." "How should I put this? It''s like comparing a tiger with a cat¡ªthey look somewhat alike. But the cat is much smaller in size and lacks the regal air of the king of beasts. If we come across a cat on the road, no one is afraid. But if one encounters a tiger while hiking in the mountains, it would scare the wits out of them, and they''d run for their lives. This patient''s ECG was the ''cat'' that somewhat resembles a tiger." Not for nothing was he a top student from Imperial Capital Medical University; he truly excelled. The depth of his medical expertise made Zhou Can feel inferior. Zhou Can''s diagnostic approach was completely different. "With the above two findings, I had essentially diagnosed that the patient likely only had symptoms resembling a heart attack. So I followed up with a coronary angiography. The result was as expected¡ªnormal coronary arteries. I felt it was necessary to check further for the cause of the patient''s illness, and upon investigation, I found that the patient had recently lost his job and divorced his wife, sustaining a great blow. Only then did the symptoms of chest pain and difficulty breathing appear. The treatment plan I prescribed was oral sedatives, followed by a recommendation for psychological counseling." This treatment plan was similar to Zhou Can''s. But Zhou Can did not prescribe sedatives, which have certain negative effects and dependency. It''s like trying to drown one''s sorrows in alcohol¡ªa cycle that leads to more sorrow. From this perspective, one can see the difference in teaching philosophy between Tuya Medical College and Imperial Medical College. Tuya leans more toward Chinese medicine, integrating some essence of Traditional Chinese Medicine. Imperial Medical College aligns with the most developed western, North American, and island nations, emphasizing western medical theory, with diagnosis and treatment plans that are also more westernized. Each has its own strengths. It cannot be said which is superior or inferior, only that both can cure the illness. From the patient''s point of view, Zhou Can''s treatment approach is better. Although it is slower to take effect, requiring the patient to open up and slowly recover, there is an old Chinese saying: "Destruction paves the road to reconstruction." Patients who stand up from their setbacks will be reborn, stronger than before. On the other hand, Gao Jian''s treatment plan is quick to take effect, but it can also inadvertently weaken the patient''s will. After emerging from the shadows, the patient''s spirit may strengthen, but only to a limited extent. After all, it is dependent on the assistance of medication. Furthermore, the patient has to bear the negative side effects of long-term use of sedatives, like insomnia, constipation, etc. From this point of view, Western medicine is actually detrimental. It cures the patient''s current illness but invisibly creates other diseases. Chinese medicine aims to treat the root causes, and Western medicine treats the symptoms. Perhaps one day, the treatment philosophy of Chinese medicine will be sought after by the world. "Good, thank you, Gao Jian, for your excellent sharing. Now those with scores below 10 points, do you understand why your scores are so low?" Candidates with scores below 10 points shamefully bowed their heads. No one was shouting about any scoring system errors any longer. Embarrassing. Gao Jian sat down, full of smug satisfaction. From his proud expression, he probably thought he was the only one who diagnosed correctly. Among the candidates, many females looked at Gao Jian with admiration and respect in their eyes. Even the prideful, fairy-like beauty Yang Chan couldn''t help but take a few more glances at Gao Jian. Having talent makes it easier to win the favor of ladies and the respect of others. Otherwise, why would the ancients say, "All skills are inferior; only the scholarly are superior"? Zhou Can has always preferred not to show off or compete for attention¡ªsuch things are beneath him. Looking at the current scores, he is certainly not lower than Gao Jian. However, Gao Jian''s theoretical score will likely be A+. After all, this guy''s medical foundation is too strong. "Next, we enter the second part of the interview¡ªmedical skill operation. It consists of anatomy, suturing, ligation, and hemostasis, totaling 60 points." The examiner made everyone thoroughly understand what''s called hellishly difficult. The earlier theory and pathological diagnosis leaned more towards Internal Medicine. But now, it''s the turn of surgical skills. This is a sure demand for versatile talents! Zhou Can was very well-prepared, so he seemed particularly composed. But those candidates who hadn''t practiced their surgical skills well were becoming visibly restless. "As modern medical technology advances, the application of surgical skills has become increasingly widespread. Both Internal and External medicine begin to highly integrate. Interventional, minimally invasive, and stenting surgeries of Internal Medicine are all based on the four fundamental skills of surgery. Internal Medicine is the foundation for disease diagnosis and treatment planning, while surgery is a sharp blade among the treatment methods. Together with medication, they are touted as the double-edged sword of treatment¡ªmerge the two, and there are no incurable diseases." The examiner spoke fervently of the importance of surgery. "Due to limitations in equipment and facilities, the medical skill examination is divided into preliminaries and finals. Only those with excellent preliminary scores will have the opportunity to enter the finals. Our staff will distribute a piece of pigskin and a set of anatomical suturing tools to each candidate. After receiving them, candidates will make an incision about four centimeters long on the marked spot on the pigskin, and then suture it." Zhou Can heard it was pigskin suturing and couldn''t help but reveal a slight smile. This is his strong suit! He had sutured so many pieces of pigskin that he could no longer remember the count. It''s probably measured in tons. The other candidates also showed a relaxed expression. Anatomizing and suturing pigskin is not a highly difficult skill. There''s no one present who can''t do it. The pigskin and tools were quickly distributed, and after getting them, the candidates were eager to show off their skills. Zhou Can also received a piece of pigskin and a set of anatomical suturing tools. The incision spot was marked on the pigskin. His Level 3 Incision Skill came in handy at this point. Focusing on the marked spot, he could discern the texture on the pigskin and further infer the approximate distribution of underlying nerves and blood vessels. When making an incision on a patient, cutting blood vessels or nerves is a big taboo. Imagine someone wanting to remove a benign tumor on their leg, but the surgery slices through the leg''s motor nerve. Oh ho, the chances are high that the leg will be crippled. That would result in a medical accident. With the skill of a Resident Doctor, Zhou Can effortlessly made an incision on the pigskin, roughly four centimeters long. He perfectly avoided the potential nerves and blood vessels. "Eh, what''s this? They''ve set up a trap inside?" He discovered two thin red tubes and one white tube had been placed under the skin. If cut wrongly, the tubes would most likely be severed. The red tubes represented hidden arteries, and the white tube important nerves. The examiners had gone to great lengths to help Tuya Hospital select talents. Next came the suturing of the incision. This too was Zhou Can''s strong suit. His five basic medical skills were all at Level 3, with no weaknesses. His suturing was both quick and good. In just about eight minutes, he finished both making the incision and suturing. After checking for any mistakes, he raised his hand to submit his work. The examiners were quite surprised to see a candidate finish so quickly. Upon closer inspection, oh, isn''t this the young man whom Deputy Director Hu praised highly? "Zhou Can, what do you need?" asked the examiner. "Reporting to the examiner, the operation is completed!" Many candidates were still carefully making incisions on the pigskin and were shocked to hear someone had already finished the operation. They all turned their heads to look at Zhou Can. Gao Jian, who attracted much attention during the pathological diagnosis, had already sutured about half of his incision. Hearing that someone had finished before him, he glanced at Zhou Can and continued to suture without much concern. "Surgery is not like other things; rushing makes it easy to be careless. The score probably won''t be good." He thought the young man was overeager for quick success and would likely be eliminated. This was the second time today that Yang Chan had heard the name Zhou Can. When she heard that Zhou Can had finished so quickly, she was initially stunned. Then she felt a wave of pity. Zhou Can''s surgical skills were just average to begin with; instead of focusing on suturing properly, he chased the vain glory of finishing first¡ªfoolish. What use is empty fame? Surgical performance is the key to advancing. She sighed softly. S§×ar?h the n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. Chapter 19 - 17: Breaking into the Repechage "I set a maximum surgery time of 30 minutes, and it''s still early. Would you like to check again?" The examiner really liked this young man with high medical ethics. He then tactfully reminded him to check again. "Thank you, examiner. I have already checked. I would like to submit my paper now." Zhou Can was absolutely confident in his surgical skill. "Alright then!" The examiner reluctantly nodded. A judge quickly walked towards Zhou Can. The judge picked up the piece of pigskin to inspect and instructed him. "You are quite fast, young man! But in surgery, you can''t just aim for speed, you need to pay attention to quality too... uh, this, this quality is pretty good!" The incision was smooth, without damaging the two red conduits secretly arranged. The suture layer was tightly closed with no gaps to be found. The tension test was also very good. The knot was perfectly matched to the epidermis, the stitches were firm and neat. I can hardly believe it, is this really the level of an intern? Even the resident doctors at Tuya Hospital might not do better. After inspecting, the judge looked at him with some surprise. Embarrassingly smiled and said, "I need to correct what I just said, if the surgery is both fast and well done, of course, there''s no issue." After speaking, he scored on Zhou Can''s tablet. Anatomy 9.5 points, suturing 9.5 points, ligation, still 9.5 points. The preliminary exam did not test the Hemostasis Skill, probably due to the high cost of the Monopolar Electrocoagulation Knife. Even the cheapest costs several tens of thousands, and there are over 1500 candidates; how much money would that require? The funding from Tuya Hospital for standard recruitment is definitely not too much. S§×arch* The N?vel?ire.net website on Google to access chapters of novels early and in the highest quality. The exam organizers must minimize costs as much as possible. Looking at the appreciative expression shown by the judge, it seems that Zhou Can got a high score. "What? He not only stitched quickly, but also did it well?" How is that possible? Gao Jian almost dropped his jaw in shock. With a tremble of his hand, he almost stitched crookedly. Scared, he quickly regained his composure and focused on stitching. Zhou Can had already taken the lead in speed, and if there were any mishaps in the scores, wouldn''t it tarnish the reputation of Imperial Capital Medical University? Yang Chan was equally shocked as she looked towards Zhou Can. Today, this old classmate has given her surprise after surprise. Making her reconsider this wealthy scion. In her impression, wealthy scions were all prodigals, ignorant and incompetent, spending their days in revelry and showing off wealth. Except for exploiting their parents, they were good for nothing. Having been classmates with Zhou Can for five years, she had never really looked at him properly. Now she discovered that the Zhou Can she looked down upon not only had high medical ethics, but his medical skills seemed much stronger than she had thought. Her previous understanding of him was really too superficial. She felt quite ashamed. ... The thirty minutes passed in the blink of an eye. The efficiency of the judges was quite good. They quickly finished scoring all the candidates. "All the candidates'' preliminary scores are out now. You can now check your rankings; the top 50 will advance to the re-examination." The preliminary phase was 30 points, and the re-examination will certainly be 30 points too. Those who didn''t advance to the re-examination were essentially destined to be eliminated. "Over there, more advanced surgical tables are prepared; please, the top 50 candidates take your tablets and move over there to prepare for the next phase of the exam." Following the direction indicated by the examiner, fifty temporary surgical tables were lined up, equipped with advanced tools like the Electrocoagulation Knife. It seems that in the final exam, the Hemostasis Skill will definitely be tested. Zhou Can checked his preliminary rankings; with a total score of 28.5, he was ranked 4th. This indicates there are three people with higher scores. There are truly skilled individuals among the candidates. Obviously, it''s normal, considering that participants in the standard recruitment include interns and doctors who have been practicing in society for over ten years. Though they come from county and city hospitals, their surgical experience is rich, not at all comparable to interns who have not touched a surgical knife. Zhou Can was fortunate to have upgraded all his medical skills to Level 3, otherwise, today it would have been close. Those who did not advance to the re-examination sat dejectedly in their seats. Candidates who successfully progressed were elated, enjoying the envious gazes of those who failed the test. When Zhou Can stood up, there were particularly many eyes focused on him. It wouldn''t be an exaggeration to describe the attention as if all eyes were on him. "Brother Can, well done, keep it up!" "Zhou Can, brothers can no longer join you in the final battle, you must regain some honor for our dormitory." Only Zhou Can from his dormitory had managed to advance. Even Gu Jie fell beyond the 50th rank. This illustrates how fierce the competition was this year. Even now, the competition isn''t over. There are only 11 spots for full-scope resident training. This means out of the last 50 who advanced to the re-examination, 39 will be ruthlessly eliminated. Zhou Can nodded solemnly at his roommates, he would not let the dormitory down. He quickly walked towards the operating table for the re-examination. As he passed a female candidate, she looked at him with a complex expression, somewhat bitterly she said, "Seeing you buying so many mice yesterday, I thought your surgical skills were poor, but you turned out to be a dark horse, making it into the top 50." This female candidate was none other than the female intern who scoffed at Zhou Can when he was buying the mice. "Hehe, just a stroke of luck." Zhou Can''s capabilities went far beyond merely making it into the top 50. She probably still underestimated him. "Xiao Lu, it''s not just you who was deceived, even I, being his classmate for five years, was fooled by him!" Yang Chan spoke with a sense of seeking justice. She was the class monitor, playing the role of a half-teacher on a daily basis. She was both strict and caring towards her classmates. Seeing Zhou Can perform so well this time, she was actually very happy. "Deceiving the class monitor is something I have never done; it''s just that the monitor didn''t pay attention to a small potato like me," Zhou Can jokingly turned the tables on her. "Nonsense!" Yang Chan glared at him, with her charm and allure in full effect. For a moment, Zhou Can was utterly captivated by her. My goodness, the class beauty''s reputation is well-deserved. Her beauty combined with her spicy temperament, mixed with her unique charm, is truly unforgettable! "All candidates for the re-exam have moved on, let''s hurry over too. Old classmate, good luck." Yang Chan felt somewhat uncomfortable under his direct gaze. She took the lead towards the area for the re-examination. Zhou Can inwardly praised the class monitor for her strength, as she also made it into the re-examination. Typically, females, both in terms of physical strength and hands-on ability, are weaker than males. In surgical operating rooms, there are much fewer female doctors than male doctors. This is a natural disadvantage. Her making it into the top fifty must have involved unimaginable efforts. By the time Zhou Can walked over, there was only one seat left. He quickly took his place. "Before the re-examination, let me announce one thing, according to tradition, the candidate who achieves the first rank in the medical, nursing, and general training exam each year will receive a substantial reward. Apart from a cash reward of 5000 yuan, the hospital will also provide some hidden benefits, such as fully assisting the candidate to obtain a practicing certificate. Directly sign a formal employment contract after training. Department promotion and further studies will be prioritized, etc." These are all genuine benefits. The eyes of all candidates became fervent. Each one aimed for the top spot. "Now let me talk about the rules of the re-examination. Each person will receive a rat, the surgical requirement one, remove the left lung of the rat, suture, hemostasis, and close the chest cavity. The rat must survive normally. Surgical requirement two, sever the tail at an appropriate position, perform an Anastomosis, ensuring smooth blood circulation in the severed tail." Both surgical requirements are highly difficult. Especially thoracotomy and left lung removal, these are close to the complexity of level 3 surgery. It should be noted that at least an associate chief physician is required to lead a level 3 surgery. Candidates couldn''t help but wonder, is this really a recruitment for training residents? Are they sure they are not hiring attending physicians? No choice, Tuya Hospital is just that formidable. If one can''t meet its standards, they are eliminated directly. Perhaps it is Tuya''s recent shift towards an elite strategy in the past decade. Recruiting clinical talents with utmost precision, which has led to its continual rise in overall ranking. Many domestic hospitals, previously superior to it, have been left behind. Some predict that Tuya might become one of the top ten leading hospitals in the nation within the next decade. Lobectomy demands highly skilled techniques in cutting, hemostasis, suturing, and ligation. Any medical skill falling behind could potentially lead to surgery failure. Candidates who made it to the re-examination are all skilled in medicine. For these geniuses, the more challenging the surgery, the more they thrive. How can they showcase their extraordinary skills without performing a highly sophisticated surgery? Each one was brimming with confidence, ready to demonstrate their capabilities. Chapter 20 - 18: Gaining Two Advanced Medical Skills Each person received a live white mouse. "Surgery time is two hours, begin now." With the examiners'' command, all fifty examinees immediately began to anesthetize the white mice. Then they fixed them onto the wax plates. They prepared all the surgical instruments needed, arranged them according to personal habits, and began the chest-opening surgery on the white mice. After Zhou Can secured the white mouse, he held a scalpel, selected an appropriate incision site, and slowly cut open. All surgical steps had to be completed alone, without any assistants. This undoubtedly increased the difficulty of the surgery. Level 3 Incision Skill is great; it perfectly avoided major blood vessels. The depth of the cut with the knife was just right, not damaging any organs. "Wow, how can the bleeding be so severe?" Zhou Can nearly thought he had cut the arterial blood vessels, seeing blood spritzing out profusely. It gave him quite a scare. He rapidly cauterized to stop the bleeding. One bleeding point, two, three... In less than eleven seconds, he stopped all thirteen bleeding points. The efficiency of Level 3 Hemostasis Skill was exhilarating. Accurate with every point. Of course, there are many methods of stopping bleeding, such as clamping the vessel with a hemostatic forceps, or performing ligation or anastomosis on severed vessels ¨C all are possible. The white mouse''s blood vessels are very small. If electric cauterization can stop the bleeding, Zhou Can would naturally not bring trouble upon himself just to show off medical techniques. "Such furious bleeding, mostly another pitfall set by the examiners." Zhou Can looked up at the examiners and, as expected, saw a sly smile on their faces. Pitfall B. He cursed silently and turned to check the situation of the other 49 examinees. Many examinees were operating in a flustered manner. Some of them got blood splashed on their faces, unable to even bother wiping it off. It seems that every white mouse had been tampered with; the speed of bleeding was ten times normal. If one''s Hemostasis Skill was a little weak, it''s very possible that the mouse would die from excessive blood loss shortly after the chest was opened. Zhou Can felt relieved. Luckily, the Hemostasis Skill had been elevated to a mid-level Resident Doctor''s standard. This allowed him to handle the situation calmly. After opening the chest cavity, organs such as the liver, lungs, and heart were all exposed to his surgical view. First, located the major blood vessel at the root of the left lung and tied it near the proximal heart end. This was to prevent massive bleeding when removing the left lung. Then he carefully separated the left lung from the surrounding tissues, little by little. [Congratulations, you have obtained the Separation Skill, current Experience Points, Level 3, 0.2/1000. Can be used to separate adhesions between various body tissues.] The Separation Skill is an Advanced Medical Skill established on the basis of anatomy. Its application scenarios are broad. For instance, when removing tumors, separating the tumor from normal body tissues. Or in surgeries at some special sites, it''s necessary to move certain body organs aside, which also requires the Separation Skill. Separating necrotic tissue from a patient is also inseparable from the Separation Skill. The sudden acquisition of an Advanced Medical Skill caused Zhou Can both surprise and astonishment. "Just obtained and it''s Level 3?" Aren''t other medical skills starting from Level 1? After a bit of contemplation, Zhou Can figured out what was going on. The Separation Skill was derived from the Incision Skill. His Incision Skill is currently Level 3, hence the Separation Skill came out immediately at Level 3. Practice a medical skill once on a live prop to increase Experience Points by 0.2. That''s why the current Experience Points are Level 3, 0.2/1000. He finally understood. Now that the left lung was successfully separated from the surrounding tissues, he decisively removed it. Fortunately, he had pre-tied the main vessels. Otherwise, with the small amount of blood in the white mouse, it probably wouldn''t take ten seconds to completely drain its blood. At this moment, it became much simpler. All that needed to be done was to cauterize those small blood vessels for hemostasis. The total blood loss was minimal. Then, after cleaning the wound and ensuring there were no errors, the subcutaneous tissue was sutured, and the thoracic cavity closed. The entire left lung resection surgery was completed smoothly and decisively. After closing the thoracic cavity, he began the second surgery. First, he used an elastic band to tightly wrap around the base of the tail, then cut off the rat''s tail, and with the help of a microscope, he began vascular anastomosis. There were four main blood vessels to be anastomosed. This was an extremely delicate process. The sutures were thinner than hair strands. The difficulty of the operation was extremely high. Even though Zhou Can''s Suturing Skill and Ligation Skill were both Level 3, it still took a great deal of effort to finally complete the anastomosis of the first blood vessel. [Congratulations, you have acquired the Anastomosis skill, current Experience Points, Level 3, 0.2/1000. It can be used to anastomose blood vessels, nerves, intestines, and other organs.] What a nice surprise, one after another! He had acquired another Advanced Medical Skill. And it was also Level 3. Anastomosis is derived from Incision and Suturing. It is used very frequently in surgical operations. Zhou Can vaguely realized that as long as he practiced the four basic medical skills of incision, suturing, ligation, and hemostasis well, the advanced medical skills acquired in the future would directly match the level of the corresponding basic skills. If the basic medical skill is Level 5, then the acquired Advanced Medical Skill would also be Level 5. This was quite good. It was akin to a shortcut that would allow him to grow faster. There were a total of four main blood vessels in the rat''s tail, and he carefully anastomosed the remaining three vessels one by one. Upon examination, there were no errors. Releasing the elastic band wrapped around the base of the tail, and after the resumption of blood flow, the anastomosed blood vessels exhibited no leak or obstruction. At the end closer to the tail, the re-supply of blood brought back its color. Not bad, all four blood vessels were fully patent. Zhou Can let out a long breath of relief. Normally, the surgery would be considered successfully completed at this point. He looked at the time; it had been less than 1 hour in total. Submitting now would probably mean just sitting around waiting foolishly. Therefore, adhering to the principle of not wasting time, he decided to attempt a rat tail nerve anastomosis. Because nerves are much finer than blood vessels, and a nerve consists of countless nerve fibers. The difficulty of this anastomosis was more than tenfold higher than that of vascular anastomosis. A complete nerve bundle is like a tube, with hundreds to thousands of fine nerve fibers inside. The nerve signals are transmitted through these nerve fibers. When this nerve is severed, in order to fully restore its function, it must ensure that each of the nanometer-sized fine nerve fibers is aligned with its original position. As one can imagine, the difficulty is immense. Zhou Can naturally didn''t have that level of skill yet. If he could perform a general anastomosis of the severed nerve, that would already be quite impressive. As for how much nerve function could be restored, no one could say for certain. All he could do now was to perform a more accurate anastomosis. Under the microscope, he painstakingly performed the nerve anastomosis. He strove to reconnect the severed nerve. Nerve cells are non-regenerable upon death; neuronal cells are permanent cells. The fact that an anastomosed nerve can regain some function is due to the fact that the normal cells in the necrotic region produce many synapses. These synapses contact each other and serve to compensate well for the function of the necrotic region. Zhou Can completed the anastomosis of the severed nerve, then proceeded to suture the muscles and skin at the stump of the tail. The underside of the rat''s tail was covered with rows of tiny scales, which added a certain degree of difficulty to the suturing process. However, it didn''t stump him. After suturing, he carefully checked everything over. The rat''s heartbeat was stable, the sutured wound was smooth, and it was time to submit his work. Zhou Can checked the time; the total procedure took 80 minutes. The speed of the surgery was definitely remarkable. Ordinarily, for someone with lower suturing skills, 80 minutes would probably only be enough to anastomose the blood vessels of the rat tail. "Examiner, I''ve finished." Sear?h the n?velFire.net website on Google to access chapters of novels early and in the highest quality. Zhou Can raised his hand to submit his work. The examiner looked over and thought, oh, it''s this young man finishing first again. Chapter 21 - 19 Dr. Gao is Quite Confident "The retest essentially determines who stays and who goes. Aren''t you going to check again?" "I''ve already checked!" "Alright then!" The examiner didn''t say much more, a staff member came over with a special marking pen, wrote the number 50 on the rat, and then handed it over to the judging panel. The judges immediately got busy. "I''m done too." The hand raised belonged to a man in his mid-thirties¡ªclearly someone engaged in community medical services. During the preliminary round, this person was likely within the top three. "Mine is ready too!" Gao Jian was the third to submit his work. Subsequently, seven or eight more people handed in their tests. Those able to submit half an hour early were generally the competitors with strong surgical skills. ... Time flew by, Zhou Can was idly awaiting the results while casually observing the guy next to him perform the surgery. It seemed like his rat had already died. Yet he persisted in completing the vascular anastomosis of the rat''s tail. Watching his clumsy suturing technique, Zhou Can felt as though he were seeing his former self, before acquiring the Experience Points system. "Time''s up! All contestants, please stop your surgeries. Staff will come to collect your rats. Please remain seated for now." The two-hour surgical period was far too long for Zhou Can. But for some competitors, the time was too tight, and they hadn''t even completed their surgeries. As the rats were collected and handed over to the judges, they were jointly reviewed and scored. "Scores will now be announced. Number 50, Zhou Can, scored 30 points." A gasp of surprise arose from the audience. Such a difficult surgery, and yet someone managed to get a perfect score; that''s incredible. And Zhou Can was the first one to submit. How strong exactly is his surgical skill? Many competitors looked at him with more than just admiration; their regard bordered on worship. S§×arch* The novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. If they knew that Zhou Can had also carried out an additional, highly challenging neurovascular anastomosis, they''d be completely awestruck. "Number 14, Jin Mingxi, scored 29.6 points. Number 5, Gao Jian, scored 29.5 points. Number 47, Yang Chan, scored 29.4 points..." The examiner announced the scores of all 50 contestants. The fact that Zhou Can, the quickest to submit, had the best score was unexpected to everyone. And he was so young. The worst-scoring dozen or so contestants all received zero points because their rats had died. Squad Leader Yang Chan''s capabilities were genuinely strong, second only to Gao Jian. She was a paragon among female intern doctors. No wonder she won the appreciation of Zhang Bihua, the director of obstetrics, she truly is exceptional. "Esteemed judges, may I ask why Zhou Can scored full marks?" Gao Jian, who originally considered first place within his grasp, could hardly believe that Zhou Can got a perfect score while he received only 29.5 points. He was especially eager to know where exactly the gap between him and Zhou Can lay. Not just him, other competitors were also very curious. "Everyone wants to know?" The examiner smiled slightly. "Then let me explain why Zhou Can''s surgery received a full score from the judging panel. Firstly, rat number 50 lost the least amount of blood during the surgery. For instance, Jin Mingxi, who came in second, and the third-place Gao Jian, were mainly docked points for excessive blood loss during the surgery." As the words fell, the examiner played the footage of Zhou Can''s surgical procedure on the big screen. Turns out, the organizers had already quietly recorded the entire process of their surgery. All contestants watched intently and carefully. Zhou Can was seen making a clean incision on the rat''s abdominal skin layer; as the blood began to squirt, he quickly reacted and cauterized the bleeding points. And his techniques were extremely precise and swift. To stop a bleeding point, he needed scarcely half a second. What''s more terrifying was that there were no errors. It really was ''stop as soon as you touch.'' Such exquisite hemostatic skills made the other contestants feel inferior. "His separation and removal of the left lung, subcutaneous tissue suturing, all were impeccable. Furthermore, the anastomoses of all four tail arteries were successful, and the vascular function was almost identical to pre-surgery. Just these alone would be enough to warrant a full score from the judges." Gao Jian detected an implication in the examiner''s tone. He asked in astonishment, "Does the surgery Zhou Can performed have even more outstanding points besides what''s been mentioned?" The highlighted points already mentioned were enough to leave many contestants far behind. Were there more significant highlights? Everyone was astonished. "You''re quite perceptive. Take a look, everyone." The examiner then took out three cages, each containing a rat. They had recovered from the anesthesia. The numbers written on their backs were also clearly visible. "The rat in this cage is number 50, operated on by Zhou Can. This one is number 14''s rat, operated on by Jin Mingxi, and this one is number 5, operated on by Gao Jian. They''ve all awakened from anesthesia now. As everyone can see, number 50 is still full of vitality, number 14 can move slowly, whereas number 5 is almost curled up and motionless." The more successful the surgery, the less harm the patient experiences. Conversely, if the surgery is subpar, the patient will suffer significant damage. That''s also why patients try every means to give a red envelope to the primary surgeon before surgery, hoping that the surgeon will take extra care during the operation because of the gift. Just from the postoperative state of the rats, one can easily tell whose surgical skills are the highest. "Next, I''ll conduct a small experiment for everyone to see the gap between yourselves and Zhou Can." The examiner took out a long-nosed lighter and burned towards the tail of rat number 5. The rat did not feel any pain and showed no reaction. The same happened when the tail of rat number 14 was burned. Finally, when he burned the tail of rat number 50. "Squeak!" The rat let out a painful shriek and quickly withdrew its tail. The candidates couldn''t help but gasp in amazement. "My God, Zhou Can not only successfully anastomosed the blood vessels of the rat''s tail but also its nerves." Comparing goods drives one to discard the inferior; comparing people can be crushing. Only now do they finally understand how vast the gap is with Zhou Can. "Zhou Can, you''re a cheater! Clearly, you have the talent to be number one, yet you claimed it was luck that got you to the retest!" The female intern who had mocked Zhou Can pouted and rolled her eyes in frustration. A man''s words are a ghost that deceives. She will never easily believe Zhou Can, this ''big liar'', again. Zhou Can made her redefine what it means to be modestly self-effacing. Yang Chan was seated just one seat away from Zhou Can, her bright eyes intently focused on him. "Hey! Zhou Can! Didn''t you say your medical skills were poor? You even dared to deceive the class leader; after work, I must take you out for a meal at your expense," she said, partly to save face. She has always been the most outstanding student in class 512. After her internship at Tuya Hospital, her journey was smooth sailing, advancing triumphantly and even gaining the appreciation of the director of obstetrics. Then there''s Zhou Can, who was average in his studies. Having interned at Tuya Hospital for nearly a year, he was also virtually unnoticed. Until today''s residency recruitment exam, Zhou Can shone bright like a rising comet, dazzling everyone. The brilliance he exuded dimmed all other candidates. Even geniuses like her and Gao Jian were left behind by Zhou Can. Her pride, which she always held onto, was being ground into the dust by Zhou Can. Out of embarrassment and annoyance, she used the authority of the class leader to deal with him. Naturally, from another perspective, her words carried a hint of coquettish whining. This was a customary tactic for a beauty to alleviate awkward situations. "Sure, pick any of the best five-star hotels in the city. What do you want to eat? Feel free to choose when the time comes." Zhou Can came from a wealthy family and definitely didn''t lack money. Not to mention paying for one meal, even ten meals wouldn''t be an issue. To dine with a beautiful lady, he was more than willing. "Oh, I forgot you are a rich son, not short of money. I was thinking of making you ''bleed'' a bit, to feel the pinch for a few days. Never mind, let''s wait for another chance for you to treat me," Yang Chan said with a disappointed wave of her hand. For ordinary people, treating someone to a big meal can hurt the wallet for quite some time. But for a rich young master like Zhou Can, it was too easy. To allow her to choose any five-star hotel and order anything was too generous. Facing someone like that, she was completely outgunned. "Any more questions?" The examiner asked with a smile. The candidates who had raised questions before all bowed their heads in silence. Even Gao Jian, arrogant as a dragon, had to admit defeat respectfully: "There are mountains beyond mountains, and people beyond people. Today, witnessing Zhou Can''s surgical skill, I''m thoroughly convinced. However, the retest accounts for 30 points of the total, and I''m only half a point behind Zhou Can. I should score higher than him in pathology diagnosis and written examination. The first place is still mine." Up to this point, Gao Jian still believed he was the only one who got the pathology diagnosis right. "Heh, Dr. Gao, you''re quite confident! The total score ranking is being calculated, and it will be announced shortly." The examiner smiled noncommittally. More than 1500 candidates were eagerly awaiting the final total score ranking. The recruitment notice at Tuya Hospital stated that only 11 general residency students would be recruited, meaning over 99% of them would be eliminated. Of course, the actual number of admissions would be based on the hospital''s final decision. With so many outstanding candidates this year and the number of applicants over double that of previous years, it''s likely that the hospital might slightly increase the number of admissions. Zhou Can''s residency spot was definitely secure. As for getting first place, he had no certainty. He definitely hoped to take first place. It wasn''t just a great honor, but also extremely beneficial for his future development. "Please keep quiet, I will now announce the total scores of the top 20 candidates." The voice of the examiner rose again. The room fell silent. Everyone was anticipating the verdict of fate. Chapter 22 - 20 Master of Soft Tactics "First place, Zhou Can, written examination grade A, actual score 94 points. Interview score 88.5 points, with extra points for medical ethics, 10 points. Total score 192.5 points." When Zhou Can really heard he had secured first place, he quickly returned to calm after a brief moment of excitement. This was just a standardized training exam; true achievements and growth should occur in the operating room. He still had a long way to go in his development. Learning has no end, and medicine is worthy of his lifelong dedication. A written examination score of A+ is above 95 points; he got 94, which was quite good. The full score of the interview was 90 points, and only 1.5 points were deducted. He estimated that he was at least in the top three, or even possibly first. There''s no need to mention the extra points for medical ethics; those were earned at the risk of losing eligibility for the training exam. He accepted these 10 points with ease. Among more than 7,000 candidates, he was the only one to receive this honor and enjoy the extra 10 points for medical ethics. Having secured first place, all the candidates'' eyes were on him. Envy, admiration, awe ¨C their feelings were manifold. Zhou Can had become the star of the entire venue. "Dear examiner, may I humbly ask, did Zhou Can also score full marks in the pathology diagnosis?" Gao Jian had believed he would undoubtedly be first, but it turned out that Zhou Can was the one who came in first, causing his head to buzz. "What else did you expect?" The examiner seemed to be somewhat annoyed by his question and retorted accordingly. "All candidates can rest assured, the scoring is fair and just, with virtually no chance of error. Some people like to flaunt their abilities, some like to wear it as a crown, and some like to keep it hidden in their hearts. I mean no offense; just to tell you, in my understanding, the more capable a person is, the more humble they tend to be and prefer to keep a low profile." With such a rebuttal from the examiner, Gao Jian was left with a red face. Bowing his head, he dared not make another peep. The one who boasted about his abilities was precisely himself, wasn''t it? "Second place, Gao Jian, written examination grade A+, actual score 99 points. Interview score, 88.1 points. Total score 187.1 points." As expected from a top student of Imperial Capital Medical University, the written examination score was truly impressive, deducting only 1 point. What''s more, Gao Jian''s interview score was also striking. Indeed, he was outstanding in both scholarship and demeanor. "Third place, Yang Chan, written examination grade A+, actual score 97 points. Interview score 87.4 points. Total score 184.4 points. Fourth place, Du Leng, written examination grade A+, actual score 100 points..." The crowd couldn''t help but gasp. The written exam was so difficult, yet someone had achieved a perfect score. What was the background of this Du Leng, even surpassing Gao Jian, a graduate student from Imperial Capital Medical University? It was truly not easy for Yang Chan to reach third place. After all, this session had too many strong competitors. Jin Mingxi, who had ranked second in the second round of exams, unexpectedly failed to make it into the top ten, which surprised many. His written examination score was 90 points. It was precisely this that dragged him down significantly. "Okay, the top 20 overall scores have been announced. Other candidates can check their rankings on the official website of Tuya Hospital. The top 20 candidates, please go to the hospital''s physical examination department to participate in a centralized physical examination. Congratulations to Zhou Can for securing first place." The examiner led the applause. The other candidates also clapped their hands to congratulate Zhou Can for his outstanding performance in achieving first place. "Thank you everyone for your support and trust in Tuya Hospital. Candidates who weren''t admitted should not be discouraged and can strive again next year. Also, check the recruitment notices on the official website of Tuya Hospital regularly. Goodbye." The examiners and the judges left the venue. The recruitment for the nursing and medical technology subjects had also been completed. Some were happy, others were worried. For those admitted, of course, their hearts were filled with joy. As long as they didn''t sabotage themselves, their prospects were generally bright. The eliminated ones left the venue with low spirits and disheartened. For every successful general, there are countless casualties. Success always belongs to the very few. Gao Jian walked up to Zhou Can, and as their eyes met, the light emanating from Zhou Can''s eyes was soft and calm, like the tranquil water of an ancient well, undisturbed. Gao Jian''s gaze was sharp and dominant, filled with an unyielding and untamed spirit. "You are strong." Gao Jian grudgingly squeezed out three words. "The same to you." Zhou Can replied nonchalantly. He had the demeanor of a master - strong as he may be, akin to a gentle breeze brushing over the hills. "Our competition has just begun, and will not end until I beat you, leaving you far behind." Gao Jian declared his challenge with an almost arrogant tone. This was a rivalry between two men. They were about to engage in fierce competition in the medical field. "Is winning really that important?" Zhou Can glanced at him sideways. "Before I came to participate in the recruitment for the standardized training at Tuya Hospital, my mentor asked me to secure first place, to honor the alma mater and to add glory to him. But I lost to you. If I don''t retrieve this defeat, I won''t be able to face my mentor." Gao Jian had come with a mission, which explained why he valued reputation so highly. "All right! I welcome your challenge." Zhou Can graciously extended his hand first. Gao Jian gripped his hand tightly. "I promise to compete fairly. As a man from the north, my word is my bond, and I will not stoop to underhanded tactics." Gao Jian''s expression was particularly serious as he said this. "Hehe, the eyes don''t lie, I trust you." Zhou Can chuckled lightly. In a confrontation, he had never been fearful. The straightforwardness of Gao Jian did indeed make him feel a trace of goodwill. This was a worthy opponent. "I''ve been interning at Tuya Hospital for nearly a year and am familiar with its layout. How about I take you to the medical examination department?" "Thank you." Gao Jian also smiled and followed Zhou Can to the medical examination department. The two walked shoulder to shoulder, talking along the way. Do they look like enemies? Clearly, they are like a pair of friends. Perhaps this is the contest between masters. Competitive in a friendly manner, each striving to outdo the other in medical skills. ... The most difficult parts of the standardized training exams are the written test and the interview. Once you get to the medical examination stage, it''s basically like having the training contract in your hand. Of course, there are exceptions, such as those unlucky enough to have an infectious disease or special illness, ultimately rejected by the hospital. Zhou Can''s medical examination results came out quickly, and everything was normal. Before long, he received an invitation message from the Personnel Department. He happily went to the Personnel Department to complete his training procedures. Because of his luck in securing the first place, the Personnel Department took care of all the matters regarding his medical practitioner''s license. When the time comes for the national unified exam, he just needs to participate in the exam. The hospital will handle the rest, such as the registration. This will save him a lot of time. Interning at the hospital for a year, working for free and sometimes having to pay, all for the medical practitioner''s license. Only with a medical practitioner''s license can one practice medicine legally. In the future, for promotions to attending physician, associate chief physician, and so on, a medical practitioner''s license is required. "People who have signed the training contract can go to the small meeting room next door to wait. The directors of various departments will come over to select people soon." Tuya Hospital really is wealthy and lavish, recruiting twenty residents in general medicine this year alone. Close to thirty were recruited for nursing, and ten for medical technology. This department is somewhat special, known for being a hotbed for nepotism. Where there are people, there are relationships. For example, a vice president of the hospital was invited by an old classmate to have tea. Upon meeting, the old classmate also brought his son. After pleasantries and bonding, the old classmate got to the point. "Buddy, you are the vice president at Tuya Hospital, right? You hold a high and powerful position. My good-for-nothing son also studied medicine, just at a less prestigious university¡ªa second-tier one. These days, it''s really hard to find a good job. Watching him mope around at home, constantly hanging out with bad influences, I''m really frustrated." "Can you see if you can get him a job at your hospital? We''ve been friends for so many years, and I''ve never asked for anything. I really have no choice this time." The vice president was in a tricky situation. Not to mention students from second-tier medical schools, even those from first-tier schools were not necessarily qualified to enter Tuya Hospital. But since the old classmate had asked, if he refused, it would certainly disappoint him. On the other hand, he feared that the old classmate''s son would cause trouble. The clinical medical departments are desirable, but the risks are too high. Someone incompetent shoved in there could create a multitude of problems in just three days. If a medical incident occurs, not only would the hospital suffer losses, but the old classmate''s son would be ruined, and even the vice president himself could be implicated. What to do? Assign the boy to the medical technology department. In charge of doing an electrocardiogram or something for patients, the work is easy and less prone to mistakes. The old classmate''s request would also be fulfilled. Thus, after some hesitation, the vice president reluctantly agreed to help. Eventually, with some maneuvering, the old classmate''s son was placed in the medical technology department. The other leaders saw this and thought, hey, this is a good method. The next time they encounter an insistent request, another leader would follow suit. In the end, the medical technology department became a hotbed for nepotism. The heads of the Personnel Department, both the director and deputy directors, are all shrewd people. After encountering leaders looking to place people many times, they deliberately set aside some medical technology traineeship spots each year for such purposes. Zhou Can entered the small meeting room and found that many people were already waiting inside. In the future, everyone will be colleagues. Some who are good at networking have already begun to build up relationships. Zhou Can prefers quiet and is not good at playing the social butterfly. So, he sat alone on the side and played with his phone. He accessed CNKI, opened his favorite research papers to read. Ever since he found out that reading case reports could increase his Experience Points in pathology diagnosis, he loved reading even more. S~ea??h the N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. Not long after, a man''s magnetic voice came through. "Hello! Beautiful Miss Yang, may I get to know you? My name is Du Leng, a PhD graduate from Johns Hopkins University." Du Leng ranked fourth overall, and had a perfect score in the written exam. It was guessed early on that this man was not to be underestimated. But he turned out to be explosively impressive. Not only does he have a terrifying PhD degree, but he also graduated from a prestigious foreign university, Johns Hopkins University. That university ranks second in the world in medical education. Truly an elite. Zhou Can turned his head when he heard the voice. He saw a handsome man, well-dressed in a suit, smiling elegantly and greeting Yang Chan. Facing such a tall and rich suitor, few girls would not be moved. This guy really has an eye for beauty, picking out Yang Chan from among all the girls. In fact, the girls sitting next to Yang Chan were also pretty. But compared to Yang Chan, they were like Cinderella. A woman is like a flower; a morning glory is beautiful on its own, but put it next to a peony and it immediately becomes outshone. Zhou Can wondered how the class monitor would respond to Du Leng''s advances. During their five-year acquaintance, Yang Chan, while seemingly friendly with her classmates, was proud at heart and self-respecting. Back when he first started college and saw such a beautiful girl in his class, Zhou Can immediately had the idea of pursuing her. And ended up with a resounding rejection. Yang Chan''s soft rejection left him with a lasting psychological shadow. If she looked down on Zhou Can, the wealthy scion, what about this cultured, handsome, and dazzlingly credentialed sea-turtle PhD in front of her? Surprisingly, Zhou Can found within him an unprincipled thought. He almost wanted Yang Chan to unleash a few of her soft rejections on Du Leng as well, to give him a psychological shadow too. Chapter 23 - 21 Humiliation "Hello, now that we know each other, is there anything else you need?" Yang Chan smiled and blinked. Polite and enthusiastic on the surface, but actually keeping people at arm''s length. Zhou Can couldn''t help but suppress his laughter. Back then, he had been fed the same gentle rejection by Yang Chan. Now, watching her use the same tactic on Du Leng, why does it feel so satisfying? S~ea??h the NovelFire.net* website on Google to access chapters of novels early and in the highest quality. "Hehe... I noticed your surgical skills are particularly impressive, and I really admire them. Over the years, I''ve mainly focused on academia and fell a bit behind in surgery. Could you give me your email, so I can consult you on surgical techniques later?" Du Leng really has thick skin. The girl had already subtly rejected him, but he pretended not to notice and kept pestering her. And his method of asking for contact information was pretty clever. Directly asking for a phone number or WeChat is easy to reject. Asking for an email address, on one hand, shows sophistication ¨C after all, in developed countries, especially the United States, people prefer to use emails. On the other hand, it makes it seem like he genuinely wants it for work-related communication. Phone numbers, WeChat, or QQ numbers are more likely to be associated with a clear intention to make friends. "Email? I don''t really check it much! Dr. Du, if you want to learn about surgical techniques, I think it would be better to consult Dr. Zhou Can, who ranked first!" This time, she directly uses her old classmate Zhou Can as a shield. Du Leng, under the guise of wanting to learn surgical techniques, was actually seeking more interaction with this top beauty. Now being directed to consult a male instead, he wasn''t eager at all. He also realized this knowledgeable and elegant beauty was hard to approach, but didn''t want to make a bad impression on her. He decided to stop while he was ahead and find another opportunity later. He then chuckled awkwardly, "Never mind, I''m not very familiar with Dr. Zhou, I''ll consult him some other time then! Goodbye!" Du Leng left with his tail between his legs, making a quick exit. "I could introduce you to Dr. Zhou, you know? Zhou Can and I are classmates!" Yang Chan is too sly. Even though she had already sent him packing, she still wanted to leave a deeper impression. She wanted to make sure Du Leng was discouraged enough from casually approaching her again. "I wouldn''t want to trouble you, Dr. Yang. I''ll meet Dr. Zhou on my own in the future! Thank you!" Du Leng said, wiping sweat from his forehead as he walked away. Worried that Yang Chan might bring up introducing him to Zhou Can again, he hurriedly kept his distance. "He''s leaving already? Introducing you two is really no trouble at all since Zhou Can is my classmate!" Du Leng pretended not to hear. He dared not respond again. He just sat far away, quickly fiddling with his phone to ease his inner embarrassment and nervousness. Zhou Can almost burst out laughing. It''s just as well that this Mr. Du knew his place, otherwise, Zhou Can wouldn''t mind walking over and introducing himself. Trying to hit on the beauty of class 512, he''d have to ask the male classmates of 512 if they agree. After nearly half an hour, the directors of various departments and the head nurse finally came to pick people. The first to arrive was the director of the medical technology department, who took away all 8 medical technology residents. The specific arrangements would be made within the department. Then, many heads of the nursing department came to pick people. They each belonged to different major departments. They generally prefer to pick personnel that match their own departments. Though nurses rank below doctors in hospitals, their importance is extremely high. Other than assisting doctors in administering medication and injections to patients, nurses handle most of the patient care after surgery and during hospital stays. Sometimes when doctors make mistakes in their medical orders, competent nurses immediately point them out and have the doctors correct them. As for operating room instrument nurses, scrub nurses, and circulating nurses, it''s because of their professional assistance that surgeries can be completed smoothly and efficiently. It''s worth mentioning that with the changing perceptions and the actual needs of the hospital, the nursing team has gradually included men. However, the number of male nurses is still very scarce. Nursing and medical technology residents were all selected. That left twenty general practice residents. In any hospital, the core talent is always doctors. These twenty individuals would be divided among the emergency department, obstetrics and gynecology, internal medicine, various surgical departments, and pediatrics. Anesthesia and pharmaceutical departments do not participate. The anesthesia department is quite special, being an interdisciplinary field encompassing a broad range of knowledge, not just meeting the needs of surgery but also involved in the resuscitation efforts of various departments, painless childbirth, and abortion procedures in gynecology. Recruitment is generally targeted, or the hospital''s clinical departments cultivate their own. Sometimes, if the hospital lacks an anesthesiologist and can''t recruit suitable candidates soon enough, the hospital leaders turn their attention to the internal medicine department. They talk to one or two newcomers, saying that they''ve performed well recently and there''s an opportunity for advanced training. Would they like to seize it? Typical workplace newcomers can hardly resist such temptation. They immediately agree, as eager as chickens pecking for food. Then they''re told to study anesthesiology and subsequently work in the anesthesia department, saying it has less work and more money, with more opportunities for promotion than other departments. All just smooth talk. Most newcomers happily agree, thinking they''ve been recognized by their leaders and have snagged a good promotional opportunity. Once they actually join the anesthesia department, they realize they''ve been thoroughly duped. ¡­ Not long after, directors of the major departments arrived. "Yang Chan has always been groomed by my obstetrics department, so you other directors better not compete with me for her!" Chapter 24 - 21 Humiliation_2 The moment Obstetrics and Gynecology Director Zhang Bihua arrived, she specifically requested Yang Chan. It was clear how much she valued Yang Chan. "Gentlemen do not covet what others admire; our Internal Medicine has always liked to bring out the best in people and will not fight over Director Zhang''s favorite pupil." The head director of Internal Medicine was a ruddy-faced man, looking to be about 40 years old. He was slightly overweight, with bright, expressive eyes, jet-black and shiny hair, and an exceptionally healthy complexion. It''s said that Internal Medicine is best at conditioning and health maintenance, and Director Tan from Internal Medicine serves as the best advertisement for the department. Based on the hospital''s profile of renowned doctors, it''s estimated that Director Tan is 59 years old this year. In the countryside, many 60-year-olds are decrepit with white hair and wrinkled skin. Director Tan of Internal Medicine looks 20 years younger than his actual age. Who would believe he doesn''t use his medical knowledge for personal health care and maintenance? He spoke unhurriedly, with a robust tone and a gentle voice. "I fully support what Director Tan has said. The Obstetrics and Gynecology department is quite unique, treating female patients, where female doctors earn more trust and affection from female patients. It''s common to find female doctors who are good at theory. To find one who also has firm medical knowledge and surgical talent is rare as a phoenix feather or unicorn horn. I may not know much about Yang Chan, this young woman, but I''ve heard of her exceptional potential. Congratulations to Director Zhang for finding a successor." Director Xie of Surgery also spoke very eloquently. His words earned the favor of both Director Zhang and Director Tan. "Thank you, thank you both for your tremendous support for this old woman," Director Zhang gratefully bowed her hands in salute, again and again. "Ladies and gentlemen, we have recruited a total of 20 general practice residents this year. By proportion, our Emergency Department can get two. You, Internal Medicine, Surgery, and Obstetrics and Gynecology, are all significant departments with notable achievements at Tuya Hospital, teeming with talent. However, our Emergency Department is still lagging behind in terms of talent. Could you possibly consider our needs and let our Emergency Department pick two individuals first?" Director Lou of the Emergency Department seemed a bit anxious, with thick eyebrows, small eyes, and a prominent nose, and a somewhat elongated face. He appeared to be around 1.6 meters tall. Thankfully he''s a man. If he were a woman, it might pose a challenge in finding a partner. He was worried that the prominent departments would snatch away all the good talents, quickly stepping forward to make his request. The Emergency Department is probably the toughest among the major clinical departments. Burdensome workloads, numerous tasks, and tense doctor-patient relationships. Crucially, the team of Emergency Department doctors is quite peculiar, with a limited number of fixed emergency doctors and most of these transferred from other departments. To put it harshly, the term "reject" isn''t really objected to when describing the situation. As one can imagine, the medical team in the emergency isn''t exactly strong. When visiting the hospital''s Emergency Department, if you stay long enough, you''ll notice that out of every ten patients the department receives, at least half of them require the assistance of doctors from other departments. This clearly demonstrates its lowly position. Any ambitious head of the Emergency Department would try every possible means to recruit talented individuals. However, given the low influence of the department and limited power of speech, opportunities to attract talents are genuinely scarce. The annual allocation of general practice residents represents a significant opportunity for them. Regardless of whether they can outcompete other departments, even if it means a fierce struggle, they must try their utmost to fight for it. Director Lou had obtained inside information through special channels early on, knowing that among this year''s twenty recruited residents, there were several exceptional individuals. Sear?h the n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. There was even an overseas returnee with a Ph.D. from a prestigious university. It would be fantastic if they could be recruited into the Emergency Department. "Hey, hey, hey, our Pediatric serves the future flowers of our motherland, should the talented not be prioritized for our Pediatric Department?" The head director of Pediatrics was a rather beautiful female doctor. She seemed to be under thirty. Of course, her actual age might be higher. Without certain credentials, it would be impossible to ascend to the esteemed position as the head director of a significant department like Pediatrics. Beautiful women have a psychological advantage when communicating with men. Their beauty naturally garners preferential treatment and goodwill from the opposite sex. Humans are visual creatures; this principle was established by the Creator. Zhou Can watched the directors of the major departments vying for talent, inwardly remarking, "So even these big shots deal with worldly concerns, competing for the interests of their respective departments." He had achieved the top score in the residency exam and was likely highly sought-after. There was a certain expectation in his heart, hoping to enter a key department. "I think we don''t need to argue anymore. Let''s take turns, and only one person can be chosen at a time. This way, it''s fair to everyone." Director Xie proposed. "This is a good idea, I agree." Director Lou from the Emergency Department, knowing his weak influence, felt that this outcome was already quite good. He happily agreed. The other three directors also nodded their consent. "Since Director Zhang has already chosen, based on departmental weight, our surgery and internal medicine should be tied for first place, obstetrics comes next, pediatrics following, and emergency is last. Director Tan, how about you accommodate our surgery department this time?" Director Xie smiled as he looked towards Director Tan of internal medicine. "Since Director Xie has so graciously requested, I naturally won''t refuse. If internal medicine encounters a thorny patient in the future, needing an extra hand, please do support us wholeheartedly!" Director Tan spoke amiably, without a hint of annoyance. It''s hard for ordinary people to maintain such composure. Internal medicine often comes across patients who need interventional procedures or cardiac stents. Because these minimally invasive procedures have only recently emerged in the past decade or so, it''s inevitable that some lack expertise. Accidents do happen sometimes. For instance, puncturing a patient''s heart during an interventional cardiology procedure due to poor judgment. That''s a matter of life and death. Putting aside face-saving concerns, it''s a dash to call over a surgeon to clean up the mess. As it stands, even though internal medicine holds a higher status than surgery, the fact that they often seek help from surgery is undeniable. Although internal medicine has always looked down on surgery, considering them mere knife-wielders who''d be useless without a scalpel, Director Tan took this opportunity to put forward a ''small request'' to Director Xie of surgery, expecting it would not be rejected. "Ha-ha, we are all from the same hospital, we''re a family. Sure thing, I will let my subordinates know, we are at internal medicine''s beck and call." Director Xie heartily agreed with a big laugh. "Let''s hurry up and choose! The emergency just took in a critically ill patient. I''m worried that without me there, those idiots might cause some trouble." Director Lou urged. Looking at the deep wrinkles between his brows, one could tell he was often worried. Director Xie''s gaze swept over the remaining nineteen trainees, merely glancing over Zhou Can''s face before quickly landing on Du Leng. "I choose Du Leng, not for anything else but his PhD from Johns Hopkins University alone is enough for me to pick him without any hesitation." Director Xie surprisingly didn''t consider Zhou Can, who ranked first overall and aced the rodent surgery. This took Zhou Can by surprise and left him feeling a bit lost. It turns out that academic qualifications can indeed trump everything else. Surgery relies on operations to thrive, choosing someone with higher education over someone with the strongest surgical abilities is genuinely puzzling. "Gao Jian, a graduate student from Imperial Medical College with a solid medical foundation and strong surgical capability - that''s exactly the kind of talent we need in internal medicine. Xiao Gao, you agree, right?" Director Tan of internal medicine still chose Gao Jian, a graduate student with higher academic credentials. Zhou Can was overlooked once again. He felt very uncomfortable in his heart. Suffering unprecedented discrimination due to lower academic qualifications made him face reality. He swore he would work twice as hard and one day reach the pinnacle of medical skill, to show everyone that qualifications do not mean everything. "Ah, you''ve taken the two best talents already! Chen Jiaojiao, it''s you. You''re also a graduate student from Imperial Medical College, and your surgical skills are not bad either. Our pediatrics welcome your addition." The choice by Director Tang of pediatrics was like rubbing salt into Zhou Can''s wounds. Zhou Can hung his head, bearing the humiliation brought about by his lower academic qualifications. "Zhou Can, would you like to join our Emergency Department?" At this moment, Director Lou from the Emergency Department extended an olive branch to him. Chapter 25 - 22 The Patient with Continuous Shock Rejected three times consecutively, Zhou Can''s stubbornness had fully set in. It''s fine to end up in the worst department. It''s more beneficial for his growth. The medical team in the Emergency Department was subpar, and the competition was far from as intense as the prestigious departments. Even newcomers like Zhou Can could grab ample opportunities to practice. Additionally, a fire of determination was burning in his heart. To quickly excel in the worst department would further prove his worth. He wanted those department heads who didn''t choose him to see that not taking him on was their biggest loss. "I''m willing." Zhou Can''s answer was exceptionally firm. "Pfft!" Someone let out a laugh. Annoyed, Zhou Can looked over to find Du Leng covering his mouth with a strange expression. Du Leng probably thought it was ridiculous that Zhou Can, being the top candidate, got no offers, while he, ranking fourth, became the most sought-after talent. Then, as the worst Emergency Department offered Zhou Can an olive branch, he eagerly accepted, as if afraid of being unwanted. The stark contrast made Du Leng find the situation rather amusing, hence the snicker. Sensing Zhou Can''s angry gaze, Du Leng quickly covered it up with a cough. This little incident didn''t affect the directors'' continuation of choosing their candidates. When it was Director Lou of the Emergency Department''s turn to pick again, he chose Jin Mingxi, who had a bachelor''s degree from an ordinary college, likely valuing Jin''s work experience and surgical skills. In the reevaluation phase, Jin Mingxi''s score was second only to Zhou Can. If Jin''s written test score had been higher, he could''ve easily ranked in the top three. "Alright, the Emergency Department''s two spots are filled, I must be excused," said Director Lou as he greeted the other four department heads before leaving with Zhou Can and Jin Mingxi. His hurried demeanor suggested that he is usually very busy. "First, I''ll take you to HR to get registered. From now on, you both will be doctors in the Emergency Department." He led them to the Emergency Department. "Ah, Director Lou has arrived, please have a seat!" The female clerk at HR smiled like a blooming flower. Just a short while ago, when Zhou Can was signing his contract with her, she had a haughty expression and was rather cold. Seeing her warmth toward Director Lou now, it made Zhou Can question if the woman had split personalities. "Register these two. They''ll be under the Emergency Department from now on. This one is Zhou Can, the other is Jin Mingxi." Director Lou was the least esteemed among the heads of the major departments. But in front of a junior HR clerk, he had significant influence. His words carried weight. The clerk quickly registered them, smiling and saying, "Director Lou, didn''t you choose candidates with higher degrees? There are plenty of postgraduates in this round of general practice trainees!" If there weren''t many postgraduates, it would make sense that Director Lou couldn''t outcompete the other department heads and had to settle for leftovers. However, more than 70% of this batch of trainees had postgraduate degrees, and with two spots available, it didn''t make sense for Director Lou not to secure even one. "The Emergency Department needs people who can get work done. Their educational background might be a bit lower, but their surgical skills are strong, and their diagnostic levels are not bad either. They are ready to work straight away. Besides, don''t the trainees have to rotate through departments? Taking in someone with a high degree looks good, but it means constantly nurturing them. By the time their training is up, who knows if they''ll just go off to another department." Hearing Director Lou''s explanation, the clerk giggled behind her hand. "Young lady, you really shouldn''t laugh. It''s the truth that our Emergency Department, with its heavy workload, low salary, and high risks, can''t retain people. Anyone slightly talented is quickly poached by other departments. I''ve come to terms with it; those who are leaving can''t be retained, so it''s best to pick those who can work right away." The Emergency Department had always been at the bottom tier in terms of departments, unable to keep talent, which was determined by the grand scheme of things. It had innate disadvantages compared to other departments. "You sure have an open mind about it. Alright, the registration is complete." With a department head watching, the clerk''s work efficiency rose significantly. People are just realistic. "Goodbye!" Director Lou waved to the clerk and led Zhou Can and Jin Mingxi back to the Emergency Department. "The Emergency Department isn''t like other departments; we often see patients with seemingly minor complaints like headaches or fevers that might turn out to be critically ill and quickly need to be transferred to the resuscitation room. Therefore, you two must be especially careful. I''ll give you half a month to get acclimated, and I will arrange for experienced doctors to mentor you. Anything you don''t understand or are not sure about, definitely consult a senior doctor. Don''t be afraid of being scolded or feel embarrassed..." On the way back to the Emergency Department, Director Lou outlined a few guidelines for them. For the first half-month, he didn''t expect them to be of much help, just to avoid causing trouble. As soon as they entered the Emergency Department, a nurse hurried over. "Director Lou, please come to the resuscitation room, that patient has gone into shock three times already. The family is causing quite an uproar; it''s almost turning violent," the nurse reported breathlessly. The patient was presumably the critically ill one that Director Lou had mentioned, who had been admitted not long before. Shock is a very special medical term. The average person might equate shock with being unconscious. But shock is actually much more serious than unconsciousness. Shock is a syndrome where the body, after being invaded by strong pathogenic factors, suffers a sharp decrease in effective circulating blood volume, leading to widespread, sustained, and significantly reduced tissue blood perfusion. This causes poor microcirculation function throughout the body and severe dysfunctions in vital organs. At this point, the body loses its compensatory functions, leading to tissue ischemia and hypoxia, and dysregulation of neural and humoral factors. Being in shock is practically on the verge of death. sea??h th§× Nov§×l?ire.n(e)t website on Google to access chapters of novels early and in the highest quality. It''s like being halfway through the gates of hell. Unconsciousness can be serious, or it can be not so serious. For example, the most common seizure episode, where the patient falls into a coma, isn''t actually that dangerous. Sometimes brief asphyxia from lack of oxygen, or even a heavy blow to the head, or being startled, can easily cause unconsciousness. From the above comparison, it is clear that a patient who falls into shock must be resuscitated immediately. Otherwise, they could die at any moment. That patient has shock three times in a short period, what exactly is the disease? Director Lou had a stern face, said nothing, and headed straight for the resuscitation room. Zhou Can saw that the director hadn''t made any arrangements, so naturally, he followed to the resuscitation room. On his first day in the Emergency Department, he encountered a perilous situation, and besides being a bit nervous, he was more excited. As long as he had strong medical skills, he could rise quickly in the Emergency Department. There were plenty of training opportunities to be had. "Is this hospital even competent?" "If my son loses his life, I''ll sue all of you in court!" "The person was conscious when they were brought in; it''s all you quack doctors who sent my nephew into shock. You''re murderers." Several family members were rolling and wailing outside the resuscitation room. The words they spat out were extremely unpleasant. Zhou Can had been an intern for a year, he had seen such scenes, but only a few times. At this point, arguing with the family members is useless, the priority is to save the patient. "Please do not panic, our director is here, he will definitely do his best to save the patient." The female nurse was brave, taking the lead to clear the way. "Why do we have to wait until the person is in shock before you show up? What have you been doing all this time?" "You all are too irresponsible." The anxiety and grief of these family members was understandable. But this kind of unreasonable behavior and insulting doctors cannot be encouraged. Director Lou was in a hurry to get in and save someone, but they were blocking the door, seriously disrupting the order of the rescue. "Make way, make way! If your obstruction and interference lead to the patient''s death, you will bear the consequences." Seeing that the nurse couldn''t control the scene, Zhou Can immediately strode forward, his face dark as he sternly reprimanded the family members. The family members were truly shaken by him. "Please wait over there. We are doctors, and it is our duty to save patients; we will do our absolute best to save your child. If you don''t trust us, you are free to transfer the patient to another hospital. Continuing this commotion is not good for anyone." Although the family members were somewhat reluctant, they eventually quieted down. Director Lou was able to enter the resuscitation room smoothly. Zhou Can and the others followed closely behind. Inside the resuscitation room, six or seven doctors and nurses were frantically trying to save a child who was convulsing. The child''s eyes were tightly closed, jaws clenched, and complexion pale, indicating a grim situation. The life-monitoring indicators for blood oxygen, heart rate, blood pressure, and other aspects were all poor. "Director Lou, this child has just been resuscitated and is in shock again. The cause hasn''t been found yet." A main treating physician, who was in his forties and covered in sweat, didn''t even have time to wipe it off. His eyebrows were tightly furrowed, his expression grave and filled with concern. "You all continue the resuscitation, hand me the medical records!" Director Lou was steady and unlike other medical staff, he was not panicked. Instead, he was calmly searching for the cause of the shock. After entering the resuscitation room, Zhou Can first visually examined the child, then listened to Director Lou read the medical record. "The child caught a cold two days ago, presenting symptoms of fever, loss of appetite, listlessness, and drowsiness. After treatment at a nearby clinic was ineffective, seeing the child''s condition worsen, they were sent to Tuya Hospital''s Emergency Department for medical attention." It''s just a simple cold, how could it become so serious? Zhou Can could only think of two possibilities: either the child didn''t have a cold at all, as there are too many diseases similar to it, or the family was hiding something. He was just a new trainee in the Emergency Department, with little authority and was not taken seriously; naturally, he wouldn''t speak rashly without a clear diagnosis. What he needed to do now was to methodically verify and investigate the causes one by one. Chapter 26 - 23: The Terrifying Counterfeit Medicines Director Lou finished reading the medical record but didn''t find any useful clues. His gaze fell involuntarily on the child. "The patient is 11 years old, with a body temperature of 39.7 degrees Celsius, a high fever. Shortness of breath, blood pressure dropping repeatedly, 86/54mmHg. Heart rate 155 beats per minute." Each piece of this basic data looked heart-wrenching. The child''s current condition was extremely dangerous, and if the cause of the shock couldn''t be found in time, the child was very likely to die in the resuscitation room. The doctors had fulfilled their emergency duty and bore no responsibility. But it could have a negative impact on the hospital''s reputation. Judging from the family''s previous behavior, the likelihood of medical disturbances was high. Director Lou''s and the attending physician''s expressions became more and more grave, a hint of anxiety showing between their brows. "Have all the necessary tests been done?" Doctors are human, not deities. When a diagnosis can''t be made with experience and medical knowledge alone, one must rely on modern, advanced medical equipment. "Here are the results of the blood tests, and imaging of the brain and thoracoabdominal region, all of which show no abnormalities." There are many possible causes for shock, such as major abdominal bleeding, brain tumors pressing on important blood vessels or nerves, and so on. Director Lou took the examination reports and scrutinized them carefully, hoping to find a clue. Sweat beaded on his forehead from the tension. The beads grew to the size of mung beans and slid down his forehead; he didn''t bother to wipe them away. "Looking at the results of the blood tests, we can basically rule out poisoning. Septicemia can also be ruled out. The imaging allows us to determine that the child does not have internal bleeding, and there is no apparent damage to the brain. No, I need to ask the family about the treatment received at the small clinic?" Director Lou, with his vast experience, began to suspect that there was an issue with the medications used at the clinic. Of course, this was still just a suspicion. "We''ve already asked, and the family bought Cold Relief Capsules for the child to take. Other than that, following the clinic doctor''s advice, they made the child drink plenty of water and didn''t perform any other treatments." The attending physician was experienced and the intake procedure was very rigorous. Everything that needed to be clarified had been clarified. There was no problem with the medication. "Small clinics love to administer IVs. Are you sure the child wasn''t given an IV?" "The family said no." Sometimes the words of the family are not completely reliable. "Did you check the child''s arms and forearms?" "Carefully examined, no trace of needle marks from IV infusion found." This reply came from a middle-aged doctor with dark skin and a lean build. He looked particularly strict, with deep frown lines between his brows formed from long-term frowning. His gaze was as sharp as a knife, piercing right to the heart. "Dr. Xu has personally examined him; there must be no mistake, then there is no need for me to look again. This child''s condition is critical, we cannot delay any longer. Contact the Internal Medicine department, ask them to send a doctor for a consultation." Director Lou made a decisive decision to request a consultation from a doctor in Internal Medicine. Internal Medicine is known as the mother of medicine and is highly specialized in the definitions, causes, pathogenesis, epidemiology, natural history, symptoms, signs, laboratory diagnosis, imaging differential diagnosis, pathological diagnosis, treatment, and prognosis of diseases. With a case of shock where the cause cannot be identified, perhaps only a doctor from Internal Medicine might be able to provide a more professional diagnostic opinion. "We''ve already called Cardiology for a consultation, explaining the urgency of the patient''s condition, and requested that they hopefully send a lead physician over." The nurse whispered from the side. Director Lou was silent for two seconds, "How long since the call was made?" "Almost fifteen minutes." The nurse muttered puffing her cheeks. Internists are known to be aloof and somewhat haughty, not easy to summon. S§×arch* The N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. The status of the Emergency Department is not as high as that of Internal Medicine, and an occasional request or two could be managed. But if asked frequently, they become very impatient. "Urge them again." Director Lou also knew that doctors from Internal Medicine are difficult to summon. However, human life is paramount, and the hospital has mechanisms in place. The Emergency Department is initially just an emergency triage platform, and when they encounter a patient they cannot handle, they have the right to request a consultation from any necessary department. No departments may refuse. "Never mind, I''ll call Director Tan myself!" Director Lou, worried that urging through the nurse might have little effect, decided to personally swallow his pride and call Director Tan of Internal Medicine. Director Tan did not decline and agreed to expedite the dispatch of a doctor from Cardiology immediately. Zhou Can had been interning at Tuya Hospital for a year, having rotated through several key departments. He could feel a hint of mutual disdain between the departments. Internal Medicine is one of the two most formidable departments in the hospital, supporting nearly all critical illness patients, including various cancers, leukemia, etc. Approximately sixty percent of the medications dispensed by the pharmacy come from Internal Medicine. In both medical status and revenue-generating ability, Internal Medicine is deservedly the leader. Cardiology is the ace of the Internal Medicine department. Asking for a cardiologist for an emergency is typical for them to show some attitude. After all, cardiologists are notoriously proud. Perhaps they also want to subtly remind the Emergency Department not to bother them with trivial matters, as everyone is busy. Time passed by the minute and by the second. Zhou Can''s gaze was fixed on the child who remained in shock. The child''s face was pale, with pathologically flushed cheeks on either side due to the fever, no sweating, and cyanosis at the fingertips... These symptoms all felt strangely familiar. They must have been mentioned in some book he had read. But he had read so many books that he couldn''t quite remember at the moment. "Ask the family, maybe there will be some gains." Zhou Can headed outside. At this time, no one paid much attention to him, a mere trainee. Director Lou only glanced at him before continuing to study the blood test results. Chapter 27 - 23: The Terrifying Counterfeit Medicines_2 Colds can easily lead to viral myocarditis and can also cause shock. However, it is rare for children to experience this condition. Both X-rays and blood tests point to normal. It can essentially be excluded. Zhou Can stepped out of the resuscitation room and went straight to the family. "May I ask who are Zhu Wenwen''s parents?" "I am the child''s mother. Doctor, how is my son?" "He is currently being resuscitated, and the situation doesn''t look very optimistic. Has Zhu Wenwen been staying with you recently?" "Yes! My son is so well-behaved, I would''ve never imagined that a cold could get so serious, sob sob¡­" As Zhu Wenwen''s mother spoke, tears began falling down her cheeks. "Please listen to me, the hospital is doing its best in the resuscitation efforts. If you can provide some important information, it might be of great help to the resuscitation work." Zhou Can communicated patiently with the family. "Ask me anything you want to know, I will definitely cooperate." She looked at Zhou Can with teary eyes; now the doctor was her only hope. "After Zhu Wenwen caught a cold, are you certain he didn''t receive any injections or IV fluids at a clinic?" "Absolutely not." "So he just took the Cold Relief Capsules?" "Yes. I personally fed them to my son." "How many did he take in total?" "Four capsules. Two last night and another two this morning. I followed the instructions strictly; it said to take two capsules at a time, three times a day." "Did you bring the remaining medicine?" "I did, I did. I was worried that we might need to continue giving him medicine at the hospital, so I brought everything." She took out a small plastic bag from her purse, which contained a box of medicine. Zhou Can took it over to inspect. The packaging box was labeled with "Cold Relief Capsules," specifically for treating headache, nasal congestion, runny nose¡­ Something was not quite right. Why was the packaging different from the Cold Relief Capsules in the hospital pharmacy? Upon closer inspection, turns out it was a knockoff brand. These days, pharmaceutical companies have also learned to ride the coattails of popularity. They would package their similar drugs to look like those with high market recognition. For instance, if a well-recognized brand is the "999 Cold Relief Capsules," this pharmaceutical company simply removed the three nines, playing a game of deception. The manufacturer''s information was all true, though affiliated with a pharmaceutical company name he had never heard of. What concerned Zhou Can the most was the composition of the medicine. All medications on the market must go through multiple reviews by regulatory agencies. This can''t be faked. The drug components must also be declared honestly. "Tribulus terrestris, wild chrysanthemum, caffeine, acetaminophen, chlorphenamine maleate, mint leaves, the excipient is talcum powder." The components were exactly the same as those of the 999 Cold Relief Capsules. One had to admire the mimicking capability of these small pharmaceutical companies. After taking out the capsules, there were twelve capsules per pack, leaving eight remaining. This confirmed that the child''s mother didn''t lie. The boy took four capsules. Actually, the dosage mentioned on it was tailored for adults. For a twelve-year-old child, the dosage should be halved. However, many parents worry that a lower dosage may not be effective and often choose to administer the adult dosage to their children. Normally, there should also be a paper insert included. After Zhou Can took out the capsules, indeed, there was a folded white instruction leaflet inside the box. The content on it was largely similar to the instructions on the packaging box. Ordinary consumers often can''t be bothered to read it. Only professional medical personnel could perceive some different information from the leaflet. "This medicine contains potent paracetamol ingredients, which can quickly alleviate pain and help you recover." It was such a slogan-like statement that caught Zhou Can''s attention. What does potentiation mean? It means a stronger effect can only be achieved by increasing the dosage. What is Paracetamol? Ordinary people might not know, but Zhou Can is very clear about it. Acetaminophen and Paracetamol are the same drug. This also means that the acetaminophen content in this counterfeit box of cold capsules is likely far higher than the genuine 999 Cold Relief Capsules. For small pharmaceutical companies to grab market share, it''s common to increase the active ingredient to enhance the drug''s effect. As for patient safety, those heartless bosses couldn''t care less. As long as it doesn''t kill anyone or cause serious consequences like disability, it''s considered fine. "I get it now, the child might have an allergy to Paracetamol or might have taken an overdose, leading to shock and critical condition." Zhou Can''s mind brightened. No wonder the child''s symptoms seemed familiar ¨C he had seen similar descriptions in a medical book at the library before. He never expected to actually encounter such a case today. [Pathological Diagnosis Experience Points +1.] Experience Points were duly acquired. S§×arch* The novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. It seems that the child''s shock was due to an overdose of acetaminophen. "This time, there''s no need to beg for help from those ''emperors'' of cardiology." Zhou Can is now a doctor in the Emergency Department, and his pride is tied to the Emergency Department. He was happy to alleviate some of the department''s concerns. "Thank you for the valuable information. This medicine isn''t genuine, I''ll take it for a drug composition test," Zhou Can told the family and hurried back to the resuscitation room. Upon entering, he found that the ''emperors'' of cardiology had finally arrived. It was a young doctor around thirty-five or thirty-six years old. Judging from the situation, he must have just arrived. He was examining the child''s condition. So young, definitely not a chief physician. Cardiology likely sent any available doctor to perform the task. "Even for a cold, you ask for a consultation from our cardiologists. Don''t Emergency Department doctors read books?" The person spoke with a cold face, not finding the cause but instead sneering at the doctors of the Emergency Department first. The doctors in the Emergency Department were furious but dared not express it. They needed help now, so they had to endure. "Looking at the symptoms, heart rate, blood pressure, blood oxygen, and other indicators, the patient''s shock isn''t particularly severe. It''s not a life-threatening situation for now. Give me the blood test report." The commanding tone was rather unsettling. It wasn''t quite appropriate for Director Lou to personally hand the report over, especially not in response to that demeaning tone. Imagine, would it be fitting for an emperor of one nation to hand documents to a servant of another like a subordinate? The status of the Emergency Department might be low, but not to such a demeaned extent. Zhou Can was about to step forward as a courier. But the nurse beat him to it. She naturally took the report from Director Lou''s hand and passed it over. "Doctor He, here''s the blood test report for the child." After accepting it, he scrutinized the report but seemed to find nothing of value. "Did you take any imaging?" "We did an ultrasound and CT scan; no issues found." The imaging was also passed over. Doctor He meticulously checked each one but still didn''t find anything. Actually, the doctors from internal medicine can''t be too mythologized. When it comes to basic medicine, everyone''s level isn''t that much different. If they couldn''t read an imaging scan or blood test result, they couldn''t possibly stay at Tuya Hospital. "Doctor He, have you found out what the problem is?" Director Lou asked. Now, his main concern was how to save the patient. "Don''t rush, this patient''s condition is a bit complicated. I need to think more about it." Doctor He had set his tone too high earlier and now found it difficult to back down, so he was stubbornly holding his ground. "Heh, even the cardiologist Doctor He needs to seriously consider to diagnose the cause, it seems this cold is no simple matter!" One of the enraged Emergency Department doctors fired a shot. The sarcasm wasn''t overt, just a bit of ironic teasing. After all, when Doctor He first came in, he had arrogantly taunted them, asking if the Emergency Department doctors ever read books since even a cold required a consultation with a cardiologist. "I didn''t say it''s difficult, just a bit complex. We need to be more meticulous in diagnosing," Doctor He insisted, stubborn to the end. Chapter 28 - 24 Did a Family Member Beat You Up? It seems that this ''expert'' from cardiology isn''t going to be of much help. Fortunately, Zhou Can has already found the cause of the child patient''s shock. "Director, I believe I have found the reason for the patient''s shock," Zhou Can said as he approached Director Lou. Everyone looked at him with surprise. Even Doctor He from cardiology couldn''t determine the cause of illness. As a trainee doctor who had only spent a few minutes in the resuscitation room, if he really could find the cause, he would certainly be a genius among geniuses. "Who is this?" Doctor He noticed how young Zhou Can looked and wondered if this kid was a virtuoso or just a greenhorn fresh out of school. Usually, some newcomers overestimate their abilities and come up with impractical diagnoses to show off, only to end up making a fool of themselves. "Oh, let me introduce to everyone, these two are trainee doctors who have just joined our Emergency Department. His name is Zhou Can; he is Jin Mingxi." Director Lou had been too busy trying to save lives earlier and had not had time to introduce the two newcomers. "Oh¡ªso it''s a rookie trainee doctor. No wonder what he said was so ''interesting''!" Doctor He revealed a mocking expression as if it all made sense. Such a smart-aleck attitude really deserved a beating. Zhou Can didn''t have time to bicker with him. Instead, he seriously said to Director Lou, "Director, I suspect that the child patient''s shock is related to taking the Cold Relief Capsules." After hearing this, Director Lou''s eyes filled with hope quickly dimmed. He wasn''t disappointed. Because he didn''t really expect this newly recruited trainee doctor to figure out the cause of the child''s shock. "Xiao Zhou, it''s good to be skeptical. However, I must tell you that Cold Relief Capsules have been on the market for many years, and I''ve never heard of anyone going into shock after taking them." Director Lou sighed inwardly. Other department directors vied for trainee doctors with higher qualifications for a reason. Even Zhou Can, who scored the highest on the trainee exam, had terrible abilities in pathological diagnosis and analysis. "Young man, diagnosing illnesses isn''t child''s play! You must consider the patient''s symptoms, combine them with various test data, then apply extensive medical knowledge to make scientific, rigorous diagnosis. I suggest you read more books when you get the chance, otherwise, it would be quite embarrassing if you make a laughingstock of yourself, wouldn''t it?" As Doctor He belittled Zhou Can, he frequently glanced at his phone. Was he seeking help online? Mocking Zhou Can was just a pretext for him to stall openly. Sear?h the N?velFire(.)net website on Google to access chapters of novels early and in the highest quality. "Director, please take a look at this medicine. I just went out to ask the family for it. It''s not the genuine 999 Cold Relief Capsules, but a counterfeit version," Zhou Can withstood the pressure and handed the box of medicine to Director Lou for inspection. "This is indeed a serious matter, let me see!" Director Lou''s expression became serious as he took the medicine and examined it carefully. "Damn, it really is a counterfeit!" He couldn''t restrain his language even in the presence of his role as a director and many onlookers. "I asked the family in detail; they gave the child a total of four capsules. Two last night and another two this morning. This dosage is for adults. Even more terrifying, this unscrupulous pharmaceutical company may have increased the dose of acetaminophen to enhance the effect. The child''s symptoms are highly similar to those of an allergic shock caused by Paracetamol." Zhou Can explained the causality in detail. The crowd was stunned. Who would have thought that the reason for the child''s shock was due to taking counterfeit Cold Relief Capsules? "Good job, young man. So many people couldn''t find the cause, yet you figured it out. Ha ha, this time our Emergency Department has really found a treasure," Director Lou laughed with joy. The cause of the child''s shock had been found; the child should be able to be saved soon. This Zhou Can they''d recruited was a hundred times more capable than he had anticipated. Just a moment ago, he had some regrets about choosing two trainees with lower qualifications, but now that he''d seen Zhou Can''s competence, he realized he had picked up a bargain. Feeling doubly joyful, he was understandably elated. "Treat the patient as urgently as saving his life, and immediately proceed with anti-allergy treatment." The patient must be saved without delay. Director Lou immediately wrote medical orders for the patient, giving calcium supplements, vitamin B, and other medications specifically for the allergic treatment against Paracetamol. "Director Lou, this is only a conjecture at the moment, not confirmed. Wouldn''t it be more prudent to conduct a gastric content test before deciding on the next step for treatment?" Doctor He advised caution. "Although the child is in shock, there is certainly time to run a test. If we rashly proceed with such a risky treatment based on a few words from a trainee doctor, I believe it''s highly inappropriate. If something goes wrong, I cannot take the responsibility." He was called over to Emergency for a consultation. If something indeed went wrong, he would certainly be involved. "What do you mean ''conjecture''? Doctor Zhou Can has already made an in-depth differential diagnosis, yet you''re still here fussing about a gastric content test, what are you thinking? Don''t listen to him, get on with the treatment!" Director Lou had many years of medical experience and knew his measure. Doctor He was already unlikable, arriving nearly twenty minutes late to the Emergency Department for the consultation. He didn''t contribute much upon arrival. Now that Zhou Can from the Emergency Department had diagnosed the cause, he was still making a fuss. What was he good for? Besides, the child''s condition was critical. With the cause now clear, was he going to wait until the child was dead before acting? "If Doctor He is afraid of taking the responsibility, no problem. If anything happens, our Emergency Department will handle it. If you''re busy, go ahead and attend to your matters," Director Lou stopped just short of saying that his presence wasn''t helpful and was actually getting in the way. Chapter 29 - 24: Have Your Family Members Beaten You?_2 Let''s hurry and go. Dr. He''s face turned a mixture of green and white. He had come over in a king''s manner, but without sufficient skills, his attempt to show off not only failed but got slapped in the face by a resident. His status plummeted. If he just walked away like that, he would most likely be laughed at when he returned to his department. But if he didn''t leave, he was worried that if something went wrong, he would be implicated. Plus, continuing to stay here was somewhat embarrassing. Gritting his teeth, he decided to wait and see how things would play out before leaving. So he could have something to report on his return. "Wow, the child''s blood pressure has gone up. The convulsions are also lessening. It shows that the anti-allergy treatment is correct." "That''s great!" Director Lou, upon hearing this, let out a long sigh of relief. A smile, unlike any before, appeared on his face. Even the particularly serious Dr. Xu rarely smiled. The atmosphere in the resuscitation room went from tense to relaxed. A crisis had been successfully resolved by Zhou Can. "What you are doing is too risky and does not comply with medical procedures," Dr. He maintained his so-called dignity. "We can''t help it, we doctors in the Emergency Department are less learned, we only know that any method that can save lives is a good method," an emergency doctor retorted with sarcasm. "Dr. He hasn''t left yet? Let me whisper to you, our doctors in the Emergency Department never fight battles on paper," the nurse also started to snark at him. Actually, everyone had been annoyed with this guy for a while. And yet, Dr. He, oblivious, insisted on staying put and even had a foul mouth. In terms of rank, Director Lou, attending physician Dr. Xu, each of them was higher than him. They also had more experience. It wasn''t his place to be calling the shots here. The doctors thought about saving face, in case they needed to ask for favors in the future and still be able to face each other. But the nurses had no such concerns and would retort as they pleased. Next time they needed to call a cardiologist for a consult, they would do it without any hesitation. "I''m leaving, I''m leaving right now!" Dr. He couldn''t provoke her, so he quickly conceded. Before he left, he still didn''t forget to save face for himself. "I was also worried that your anti-allergy treatment plan would not work, or would push the patient into a more dangerous situation. That''s why I didn''t rush to leave. In case of any issues, it would be convenient for me to lend a hand at any moment, right? Now seeing that the patient''s condition has improved, I''m relieved. Goodbye." Before he left, Dr. He deliberately took a few extra glances at Zhou Can. As if he wanted to remember this extraordinary resident. The one who had bested him, a first. Watching Dr. He''s embarrassed retreat, everyone shared a smile. Today they had indeed vented some frustration. Cardiology doctors usually strutted around with their heads held high, and it wasn''t often they faced setbacks. Many times, internal medicine doctors acted as authorities in a consult. After the discussion, they often delivered the concluding remarks. This time, however, Zhou Can, a junior resident, became an authority figure. He had earned a lot of respect for the Emergency Department. "Director, Director, the child''s blood oxygen has gone up! The heart rate has come down." "Haha, good, good, really good. Once the child wakes up and returns to normal, tell the family not to take the child home immediately. We''ll arrange a bed for them in the observation area to treat the child''s cold." Director Lou made a series of arrangements. The child''s shock was caused by an overdose of medication and an allergic reaction to Paracetamol. Now that the shock was resolved. The cold was still there, and treatment would definitely be needed next. He didn''t dare to let the family take the child home to mess around again. Otherwise, all the hard work of so many people here would be in vain. In a provincial-level tertiary hospital like Tu Ya, ordinary cases would never be admitted because of the extremely limited availability of hospital beds. In such special circumstances, letting the child stay in the Emergency Department''s observation area for treatment was the best solution. "Xiao Zhou, this time we really owe it to your diligence. Don''t worry, I''ll remember your contribution, and will not cheat you of it." Despite his unattractiveness, Director Lou was known for being straightforward. Working under such a leader was actually quite good. Much better than those hypocritical leaders who only smile on the surface. "Thank you Director Lou for your cultivation." Seeing that he was outspoken, Zhou Can did not refuse. Sear?h the NovelFire.net* website on Google to access chapters of novels early and in the highest quality. Otherwise, it would be unseemly. It might make people think he was insincere or pretentious. Remembering contributions, there would be opportunities for further training or promotion in the future where this could be useful. "Once you''re in the Emergency Department, we''re all family. No need for too many pleasantries. Let''s have Dr. Xu take you and Xiao Jin under his wing." Director Lou then looked over to Dr. Xu. Following such a strict superior made Zhou Can''s heart pound. He wasn''t afraid of anything but being scolded. "Old Xu, you will have to work hard for a while, earnestly teach them for about half a month. Then you can gradually let go and allow them to take on things they can handle. I feel relieved entrusting them to you." Director Lou seemed to hold particular trust in Dr. Xu. Whether it was treating patients or taking on two resident doctors for training, he seemed especially at ease. "Okay." Dr. Xu nodded seriously and agreed to the task. "You two will be following Dr. Xu from now on. Let me tell you, Dr. Xu is known for being very strict. You both should be prepared to be scolded." "I''m prepared, I definitely won''t scold people." Dr. Xu corrected without any expression. Not long after, the sick child woke up. When the family members outside learned that the child was out of danger, they were overjoyed to tears. They kept thanking the doctors. This was in stark contrast to their previous unruly and disruptive behavior. Sometimes, the tension in doctor-patient relationships is due to the treatment not meeting the expectations of the patient or their family. As long as the illness is truly cured, hardly any patients will cause trouble. A very small number of problematic patients or family members are not included in this. When Zhou Can walked out of the emergency room, the child''s mother came forward and thanked him repeatedly. This made Zhou Can feel particularly gratified and accomplished. If the child hadn''t been saved, it would have been a devastating blow to the family. Saving the child was like saving a family. ... When Doctor He returned to the Internal Medicine building, he ran into Director Tan who was picking residents. Behind him were five newly chosen residents. "Hello, Director Tan!" Doctor He was infamously arrogant in the Emergency Department. In front of Internal Medicine''s head, he was as humble as a crawling creature. People can be so pragmatic. "Oh, Doctor He, back from consultation? Next time the Emergency Department asks you for consultation, don''t delay it anymore. It got to the point where their Emergency Department''s Director Lou personally called me. People will think our Internal Medicine department is inconsiderate and arrogant. If the hospital leadership hears about it, it won''t look good for any of us." Director Tan knew the temperament of the doctors under him. He couldn''t help but give a few admonishments. "Understood." Doctor He did not attempt to defend himself. Talking back to the leadership when being criticized is a big taboo; it just makes the leader''s impression of you worse. Accepting feedback sincerely is the only right way to go. "Seeing your downcast look just now, did the child not make it?" Director Tan''s expression softened a bit, seeing his sincere attitude. "The child made it." "Then why the long face, as if you''ve been beaten up? Did the family hit you?" Director Tan asked with concern. Chapter 30 - 25 Gold Will Shine Everywhere Emergency Department is often prone to medical disputes, and it is common for doctors to be attacked by patients'' families. As the head of the department, one often protects the rights and interests of their doctors. It''s crucial not to dishearten the doctors. "The family''s emotions are quite stable, they haven''t caused any trouble." Doctor He felt awkward. It is embarrassing to be belittled in the Emergency Department, and he was really ashamed to speak out, especially with five new residency trainees watching behind Director Tan. Knowing his embarrassing situation by the newcomers would be too damaging to his pride. Director Tan became even more puzzled. The patient was cured, and the family members didn''t cause a scene or attack anyone, so why did Doctor He look like he had suffered a great loss? "Was it because you arrived late and got rebuked by the doctors in the Emergency Department?" "They wouldn''t dare." Doctor He stiffened his neck, and a trace of ''bastardly'' vigor returned to his face. The dignity and status of Internal Medicine, that is the pride deeply engraved in each internist. No Emergency Department doctors could ever rebuke him. "Watch what you say." Director Tan reprimanded lightly, but with little blame. He was just maintaining peace between hospital departments by asking Doctor He to be careful with his words. However, in his heart, he did agree with Doctor He''s perspective. The position of Internal Medicine is supreme and must not be trampled by other departments. "How did the consultation result turn out?" "The child took counterfeit drugs, taking Paracetamol way above the safety standards, which caused an allergic shock. After receiving targeted treatment for allergies, there has been improvement." Doctor He was secretly relieved that, luckily, he stayed until the child''s condition had eased before leaving. Otherwise, he would be clueless now. "Right, good. It seems it still requires our internists to identify the cause of disease! The medical status of Internal Medicine is unshakable by any other department." Director Tan nodded in satisfaction, his ruddy face breaking into a proud smile. These words were mostly intended for the five new members behind him. To let them understand that joining Internal Medicine is an extremely honorable and promising high-status endeavor. Doctor He felt awkward; he didn''t actually contribute much during the emergency visit. Yet Director Tan, unbeknownst to the situation, was relentlessly praising him. This matter could hardly be kept secret. Sooner or later, it would reach Director Tan''s ears. Taking a deep breath, Doctor He suppressed his strong vanity and decided to be honest. Otherwise, leaving an impression of dishonesty with the lead could jeopardize his imminent promotion to attending physician. Losing face is a minor issue; promotion means future prospects. "Director Tan, actually... I didn''t contribute much to this consultation." With guts mustered, Doctor He revealed the truth. "Uh!" Director Tan''s smile froze. "What do you mean by that? Are you being modest or did you truly not contribute much?" "I really didn''t contribute. The cause was diagnosed by the doctors from the Emergency Department." Doctor He wished he could bury his head in his pants, lowering his head with his face burning hot. Admitting these facts in front of the newbies almost took all the courage he had accumulated in his life. The atmosphere suddenly turned extremely awkward. Director Tan had intended to use this opportunity to boast about the medical status of Internal Medicine in front of the newcomers, but it backfired. He was somewhat embarrassed. "It wasn''t you who diagnosed it, but you still contributed. If the Emergency Department doctors were really capable of diagnosing it alone, they wouldn''t need our Internal Medicine doctors to step in, right?" Director Tan tried to smooth things over. A fig leaf has to be left, right? "Yes, yes, exactly. Think about it, the Emergency Department couldn''t diagnose the cause, but once Doctor He from Cardiology rushed over, the cause was immediately identified. What does this show? It shows the critical role played by Doctor He." There''s always those who flatter and suck up wherever you go. Gaining favor from leaders through flattery is simple, crude, and cost-effective. You only need thick skin and a glib tongue for this job. Director Tan''s face regained a semblance of a smile. "Doctor He, tell everyone, how did you help the doctors in the Emergency Department find the cause?" Director Tan asked expectantly. "I... I really didn''t contribute much, it was a residency trainee named Zhou Can from the Emergency Department who discovered the child took counterfeit drugs after communicating with the family." Doctor He stuttered out the events of the day. Today was really bizarre. He had a face full of dust in the Emergency Department, and upon returning to Internal Medicine, he coincidentally ran into Director Tan coming back with new doctors, incessantly questioning him about the consultation in the Emergency Department. Isn''t this bringing up what shouldn''t be mentioned? His words had just finished, and the scene became exceptionally quiet. That sycophantic residency trainee instinctively shrank back, trying to minimize his presence. Flattery comes with risks. He never dreamed that the situation would turn around, causing his beautifully executed flattery to hit the wrong target. Luckily, Director Tan''s attention was drawn elsewhere. "You''re saying it was a residency trainee named Zhou Can who figured out the cause?" Director Tan looked particularly surprised. Not just him, but even the few residency trainees behind him had complex expressions. Especially Gao Jian, who felt a jumble of emotions. After losing to Zhou Can in the residency exam, he wasn''t willing to accept defeat. The two agreed to continue competing in medical skills, and when department heads picked candidates, Gao Jian, with his higher education, got the edge. Joining the best Internal Medicine department pumped him full of confidence. A doctor''s growth cannot be divorced from a good learning environment. This includes guidance from renowned teachers, cutting-edge medical resources, and abundant opportunities for practice. No matter which aspect, Internal Medicine far surpasses the Emergency Department. Gao Jian believes that just a few months of studying in Internal Medicine would definitely allow one to surpass Zhou Can, leaving him far behind. Now, it seems like a joke. Gold will shine wherever it goes. Even if Zhou Can entered the worst Emergency Department, he could rapidly achieve results. Just after joining the Emergency Department, he diagnosed an illness that both Emergency and Cardiology doctors together couldn''t figure out. My god, just how strong is this monster? Gao Jian felt a sense of powerlessness. However, this also ignited his competitive spirit. If Zhou Can can make accomplishments in the Emergency Department, why can''t he achieve results in Internal Medicine? "Does the Director know that Zhou Can?" Doctor He inferred from Director Tan''s surprised expression that he certainly knew Zhou Can. He was particularly curious about what kind of prodigy this small-scale trainee doctor was. Even the major directors of Internal Medicine knew of him. S§×arch* The N?vel?ire.net website on Google to access chapters of novels early and in the highest quality. "Not really acquainted. I just know he ranked first in this year''s training recruitment exam. His surgical skills are said to be quite formidable, though his academic qualifications are a bit lacking, graduated from Tuya Medical University with a bachelor''s degree." Director Tan was indifferent. But inside, he wondered, was choosing Gao Jian the right decision after all? A formidable medical talent could even support an entire department. Lead the department towards glory. If they had missed out on a genius and instead chosen someone with just academic qualifications, they might deeply regret it. "So, he''s the top scorer in the training recruitment exam, no wonder he''s so impressive." Doctor He felt a bit better. Losing to a top-scoring trainee was not unjust. "Alright, you go ahead! The five of you, follow me to the main office, heads of various departments in Internal Medicine will soon come to pick personnel." Director Tan''s joy in snagging Gao Jian, a graduate student from a prestigious university, had somewhat diminished. Hoping that Gao Jian would not lag too far behind Zhou Can, otherwise, it would indeed be a big loss. After a while, we will see how Zhou Can is doing in the Emergency Department to know if he''s a dragon or a snake. ... In the Emergency Department, Dr. Xu was acquainting Zhou Can and Jin Mingxi with the department''s environment. "Our Emergency Department is different from ordinary departments; it''s a mishmash. According to hospital regulations, as long as a patient has a need, we must see them. Whether it''s headaches and fevers, or car accidents, burns, and acute diseases, we have to take care of them all. Usually, there are only two doctors on duty; here is the internal medicine diagnostic area, there is the surgical area." The volume of emergencies in Tuya Hospital is frighteningly high, with just two doctors, it''s unimaginable. How busy would it get? "Working in emergency is extremely tough; our department operates on three shifts. Due to the shortage of staff, sometimes, unavoidable circumstances even necessitate continuous shifts. You need to be prepared to endure hardships." Dr. Xu gave the two a precaution. "As long as it contributes to growth, enduring hardships is nothing. I''ve once worked a 36-hour shift in the county People''s Hospital, nearly collapsing." Jin Mingxi said with a laugh. Zhou Can had deduced early that Jin Mingxi was a community doctor. Bachelor''s degree, aged 35, likely with twelve to thirteen years of working experience. In terms of surgical skills, Jin Mingxi was no weaker than the current Zhou Can. "What about you? Afraid of hardships?" Dr. Xu was pleased with Jin Mingxi''s response and turned to look at Zhou Can. "I''m not afraid of hardships; I''m just worried that Dr. Xu might not trust me enough, coddling me like a baby every step of the way, not giving me chances to grow." Zhou Can needed to keep diagnosing and treating diseases to earn Experience Points and level up quickly. His biggest fear was missing out on training opportunities. Initially, he wanted to join General Surgery as a trainee. Because Deputy Director Liu had already placed some trust in him and promised to cultivate him. Unfortunately, man plans and god laughs; the chief director of surgery didn''t consider Zhou Can at all during personnel selection. He picked the returned scholar, Du Leng, instead. "Don''t worry, there will be plenty of opportunities for practice. However, as a trainee under me, I must see that you have the capability before I delegate any responsibility for you to try." Dr. Xu said earnestly. "Dr. Zhou wants training opportunities, huh? I have plenty over here! I''m counting on you two newcomers to grow quickly, to help us share some of the burden." A young doctor, currently on duty, took time to greet him with a smile. The news of Zhou Can''s achievements in the emergency room had already spread, and the department''s doctors and nurses were particularly polite to him. "Luo Yong, don''t multitask while treating patients, be careful of making mistakes." Dr. Xu advised the young doctor, then continued, "Come on, I''ll take you to the observation and infusion rooms to have a look." He was possibly worried about disturbing the two doctors on duty and did not introduce more, leading the two to the observation and infusion rooms. Here, one could mostly see only nurses bustling about. Without emergencies, doctors rarely visited these two areas. "Hey, Dr. Zhou, hello!" A pretty nurse greeted Zhou Can with a smile. "I remember you, you were that brave girl who confronted Doctor He in the emergency room just now." Zhou Can responded with a smile. "Gee, gee, gee¡­" She covered her mouth, laughing until her eyes squinted. "Cardiologists always act high and mighty; having the chance to put one in place is worth thanking you for creating that opportunity. My name is Ye Tingting, responsible for monitoring patients in the observation room and occasionally helping in the emergency room. Dr. Zhou, if there''s anything, just find me." Not only was she a brave girl, but she was also particularly enthusiastic. "Haha, then from now on, please cover me, Beauty Ye." Zhou Can laughed heartily. He found the Emergency Department''s family atmosphere to be quite nice. "Let me take you to the two most core places in the Emergency Department, the ICU and the operating room." The Emergency Department essentially comprises of internal and surgical consulting areas, observation rooms, infusion rooms, emergency rooms, operating rooms, and ICU. Where a department''s strength is truly reflected is in the operating room and the ICU. The operating room was Zhou Can''s favorite. Just, he wondered, what kind of surgeries do they perform in the Emergency Department''s operating room? Would he be able to get a chance to train? Chapter 31 - 26 The Earnest Dr. Xu "This is our Emergency Department''s ICU. It has a total of eight beds and operates under closed sterile management. The equipment includes the commonly used items such as multifunctional monitors, invasive and non-invasive ventilators, defibrillators, and so on. These devices require that you be able to operate and use them proficiently. If you don''t know how, you can learn by following others after work hours." Dr. Xu did not take them inside. Because maintaining a sterile environment is required, the management of personnel entering and exiting is especially strict. In principle, family members are not allowed to visit inside. Medical staff must strictly follow procedures when entering and exiting. "As you are still new, you won''t be scheduled for ICU duty for now. It is recommended that you often go in to learn and help the attending doctors, from which you can learn a lot." The ICU wards are for critically ill patients who may experience various emergencies at any time and must be cared for by experienced doctors. Newcomers would find it hard to take on the duty without three to five years of learning. "Let''s go, I''ll take you to the operation room next. I''ve heard that both of you have decent surgical skills. I particularly hope that you can grow rapidly so that you can help alleviate the severe shortage of manpower in the Emergency Department." Director Lou selected them precisely because of their surgical abilities. sea??h th§× N?velFire(.)net website on Google to access chapters of novels early and in the highest quality. Hoping that they could be put to work upon arrival. After entering the operation room, the three of them changed into surgical protective clothing in the changing room. "Including myself, there are four doctors who take turns being on duty in the operation room. Most of the surgeries we do are fairly simple, such as suturing small wounds, appendectomies, and so on. There are also exploratory surgeries, like laparotomies or craniotomies." Dr. Xu roughly introduced the personnel in the operation room and the types of surgeries commonly performed. These minor surgeries were exactly what Zhou Can needed at the moment. With his current surgical skills, he shouldn''t even think about difficult surgeries. Starting with some minor surgeries to quickly accumulate Experience Points and improve his medical skills was the most suitable path for his development. Rome wasn''t built in a day. You have to eat one bite at a time. Inside the operation room, there was only one doctor and one nurse performing surgery on a patient. "This surgical team seems a bit too streamlined." When Zhou Can previously followed Deputy Director Liu into the operation room, it was always bustling with various levels of doctors and nurses, at least a dozen people. Furthermore, the operation room was quite small, nowhere near as large as the General Surgery''s major operation rooms. The surgical equipment inside was also just the basics. From this, it was evident how much of a gap in strength there was between the Emergency Department and the Surgical Department. No wonder the Emergency Department was looked down upon. It was estimated that the entire Emergency Department was no match for a single General Surgery section. "The doctor currently performing surgery is Dr. Lu, a senior Resident Doctor. She is Nurse Liu Jing, with less experience," Dr. Xu finished introducing, then stepped aside to let the two newcomers forward. "This is Dr. Zhou Can, and this is Dr. Jin Mingxi, the new standardized training residents." The doctor performing surgery paused and smiled at the two of them. "Welcome to the Emergency Department." "Please take care of us in the future." Zhou Can showed a very humble attitude. "We are all from the same department, so we should naturally help each other. I''ll talk to you after I finish the surgery," Dr. Lu said, bending her head to continue the operation. Zhou Can''s gaze naturally followed to look at the patient''s wound. "This patient accidentally got bitten by a dog." Although Dr. Xu was not staying in the operation room, he was very familiar with the patient''s condition. If he wasn''t mistaken, Dr. Xu was the superior doctor in the operation room, and Dr. Lu had to operate under Dr. Xu''s direction. One could see a large portion of the patient''s right lower leg was torn open by the bite. Currently, the debridement of the wound''s interior was nearly finished. Seeing the opportunity to earn Experience Points right before his eyes, Zhou Can was very eager. It would be good to show off his suturing skills in front of Dr. Xu, which would facilitate getting more training opportunities in the future. "Dr. Lu, I see that you''re quite tired. How about you let me take over the rest of the suturing?" Zhou Can was someone who would not let go of any opportunity. Cheekily vying for it. Dr. Lu was indeed tired, and he was happy to have someone willing to take over the remaining work. For a senior Resident Doctor, opportunities like suturing were no longer of interest. "That, you have to ask Dr. Xu; I can''t make that decision." Dr. Lu did not dare to agree lightly. The trainees are mostly novices, and their suturing skills leave much to be desired. The patient was brought in by Dr. Xu, who must have confidence in them. "Have you done this before? I''m not talking about practicing on pigskin!" Dr. Xu asked. Having been an intern himself, Dr. Xu understood how difficult it was for interns to get opportunities to suture skin or close cavities. "Dear doctors, you can''t just use me as a guinea pig for practice!" The patient, under local anesthesia, was still conscious. Hearing that this young training doctor was going to suture his wound, he was very resistant. "I have sutured before during surgeries with Director Liu." "Director Liu Qingzhi of General Surgery?" Dr. Xu seemed to recognize the elder Liu. "That''s him." Zhou Can nodded. "Director Liu is a renowned surgeon in General Surgery, the surgeries he performs are mostly Level 3, high-difficulty ones. Chances to suture skin or close cavities surely wouldn''t come to interns like yourself, right?" Dr. Xu didn''t mince words, and directly challenged Zhou Can in front of the patient. His piercing gaze was fixed tightly on Zhou Can''s eyes. Clearly, he suspected Zhou Can was lying to grab the opportunity to practice. If it is confirmed that Zhou Can has character issues, not only would Dr. Xu refuse to give him opportunities, but he would also be wary and cautious of him in the future. Giving Zhou Can the cold shoulder would actually be considered polite. "Perhaps Director Liu trusted me. At that time, it was a cervical lymph node tuberculosis resection, the incision was quite large, and I took a long time suturing the subcutaneous tissue and the epidermis." Zhou Can appeared candid. These matters could easily be verified or inquired about by Dr. Xu. If Zhou Can got into surgery during the department head''s selection, there was a high chance that Director Liu would take him as an apprentice for focused mentoring. "A cervical lymph node tuberculosis resection? That''s almost a Level 4, highly difficult major surgery. Suturing the neck region is fraught with danger, and when Director Liu operates, even the most senior attending physicians can only play first or second assistant. The opportunity to suture or close would certainly be reserved for resident doctors first. I have to say, and you might not like hearing this, I really don''t believe they would let an intern like you suture the neck area." Dr. Xu wasn''t just serious, but also particularly insistent on the facts. A small matter somehow escalated to this extent. "If you really don''t believe me, there''s nothing I can do. Just now, I saw that Dr. Lu seemed quite worn out, and I thought I could share some of the easier tasks. Now that you have doubts, I won''t do the suturing." Zhou Can was somewhat speechless; he didn''t expect to encounter a superior who was so insistent on the details. Misunderstandings would clear up sooner or later. So he wasn''t in a rush. "You might not know me well. I can tolerate doctors under me having mediocre skills or slow progress, but I absolutely will not allow character issues. Tell me the truth, are you lying just to get a chance to practice?" Dr. Xu''s gaze was icy. His expression even colder. It was somewhat intimidating. "I''m not lying." Zhou Can denied it once more. "If you admit it now, I can still give you a chance. At most, you''ll be kicked out of the Emergency Department. If you''re delusional and wait until I find out before you admit it, you might not even be able to stay in Tu Ya." Dr. Xu''s expression and tone were very serious; if he said it, he would do it. "I really am not lying," Zhou Can emphasized. He cursed inwardly, thinking Dr. Xu must be out of his mind. Was it necessary to escalate to such an extent just for competing for a chance to suture? He was already feeling down about not entering a key department, and if he were to be kicked out of the Emergency Department by a senior doctor right after joining, which department would dare take him in the future? "Fine, I''ll call and ask right now. Just to let you know, I am quite acquainted with Director Liu." Dr. Xu sneered coldly. He had already convicted Zhou Can of lying. As soon as he finished speaking, he really did take out his phone to call Director Liu. Both Dr. Lu at the operating table and the nurse looked at Zhou Can sympathetically. They seemed to have grown accustomed to Dr. Xu''s insistence on getting the details right. Chapter 32 - 27: Gaining Recognition Jin Mingxi''s tiny heart thumped wildly with fear, his complexion turning somewhat pale. He guessed that following the precedent set by Zhou Can, he would definitely be more careful with his words in the future. Otherwise, if he touched a sensitive nerve of Dr. Xu, he could be in deep trouble within minutes. Dr. Xu called to verify with the venerable Director Liu. Meanwhile, Dr. Lu continued to clean the patient''s wound, preparing for suturing. "Hello, Director Liu!" "Ah, it''s Old Xu! I guessed you''re calling because you need something." The two did sound very familiar with each other. "Nothing special, just wanted to ask if you know an intern named Zhou Can." "Of course, I know him, a very promising young man. I had planned to take him under my wing after he qualified for the hospital residency training program, but then you folks from the Emergency Department snatched him up. What happened?" Director Liu spoke of Zhou Can with overflowing admiration. "You seem to have a high opinion of him!" Dr. Xu''s previously stern face softened considerably. "No other issue, just wanted to ask if you let him suture skin during surgeries." From Director Liu''s high praise, Dr. Xu was almost certain that Zhou Can had not lied. But he still wanted to ascertain the facts. The operating room was already quiet, and Dr. Xu''s voice on the phone was loud enough that Dr. Lu, Jin Mingxi, and others could hear everything quite clearly. It wasn''t too shocking for Jin Mingxi, who knew of Zhou Can''s strong capabilities and was somewhat prepared. He was only slightly surprised. Dr. Lu and the nurse, however, were far from calm. They both looked at Zhou Can with a newfound amazement. It seemed the Emergency Department had recruited someone incredibly talented this time. "Old Xu, getting hung up on details again?" Director Liu seemed to understand Dr. Xu very well and knew what was going on right away. "You still haven''t moved past that incident, have you? Zhou Can was with me for nearly a year as an intern, and I only later discovered his outstanding potential. It was during a cervical lymph node tuberculosis excision surgery, a very dangerous situation, and that kid was truly impressive. He later asked for a chance to suture skin, and I was hesitant at that time." "Cervical vessels are abundant, and there are many nerves, so even I was not fully confident with the Resident Doctors doing the suturing. And him, an intern, would he be able to do it properly? But facing his eager eyes, I could not bear to refuse him. Truth be told, I was very nervous when he did the first stitch. Fortunately, the lad did well, improving as he went on, and his level was not worse than that of my Resident Doctors." Director Liu''s words were enough to confirm that Zhou Can had not lied. "Ah, it''s a shame that you guys from the Emergency Department snatched him up. If he had been in General Surgery, I would have definitely taken him for focused training. He''s the intern with the most potential I''ve seen in my life." Director Liu''s high praise made Zhou Can blush slightly. At that time, halfway through the suturing, his Suturing Skill and Ligation Skill had consecutively advanced to Level 3. So, it was no wonder that Director Liu was especially astonished. To say that his potential was outstanding was no exaggeration. With the Experience Points system, as long as one can quickly earn Experience Points, reaching Chief Level surgical skills within a year was within the realm of possibility. With such potential, not just in Tuya Hospital, but in the whole country, it would be hard to find a second one. "Turns out he really wasn''t lying. But you dared to let him suture a neck wound on his first try, that required some nerve. Alright, nothing else, I''m in the middle of a surgery over here. We''ll talk another time." Dr. Xu was indeed someone who would hang up as soon as he said he would. That was a call with a highly senior Associate Chief Physician, no less! The casual tone and the impoliteness of hanging up so abruptly surprised everyone. As a Chief Level doctor in the Emergency Department, his standing was far from that of Director Liu from General Surgery. What made him act so high and mighty? And Director Liu spoke to him as if they were equals. What could be Dr. Xu''s backstory? During their conversation, Director Liu remarked that Dr. Xu hadn''t yet moved on from "that incident." This left much space for imagination. What could that incident be? Dr. Xu was definitely a man with a story. When there was a chance in the future, one could slowly uncover the story behind Dr. Xu. Upon realizing that Dr. Xu''s insistence on the details was almost neurotic, Zhou Can felt a sense of relief. "Zhou Can, you take over the suturing of the patient! As a medical practitioner, ethics come first, I was too persistent just now, don''t take it to heart," said Dr. Xu with a significantly changed attitude towards Zhou Can after hanging up the phone. His trust in Zhou Can had obviously risen considerably. "Understood." Zhou Can nodded. Misunderstandings clarified, everyone was happy. Dr. Xu turned to look at the patient. Sear?h the nov§×lF~ire.net website on Google to access chapters of novels early and in the highest quality. "Don''t worry, I specifically called Director Liu to verify, he praised Dr. Zhou''s suturing skills highly. Having him do the stitches won''t be any worse than Dr. Lu." With his rich experience in dealing with patients, Dr. Xu used just two sentences to gain the patient''s trust for Zhou Can. "Then please, Dr. Zhou, take good care of it." The patient squeezed out a smile of appeasement towards Zhou Can. Once in the operating room, patients are actually quite vulnerable. They''re basically at the mercy of the doctors. Dr. Lu stepped down from the operating table, making space. With the nurse''s help, Zhou Can put on sterile rubber gloves, ready to start suturing. "Dr. Zhou, is it okay to use No. 1 thread?" "You''re very professional." Zhou Can smiled and nodded. The tension in the leg area was very minimal, and No. 1 thread was just right. Her technique was standard and skilled, quickly threading the suture material and handing the hook and needle holder to Zhou Can. Before suturing, Zhou Can routinely checked the patient''s wound. The calf had a gash about the size of half a palm, with clear bite marks from canine teeth. Deep marks indicating a vicious bite and bloodied cavity. The dog that bit must have been quite ferocious. As he peeled back the skin and flesh, he couldn''t help but frown. Watching Dr. Lu clean the wound for so long, yet the wound treatment was quite rough. One could only say it was barely passable. Zhou Can hesitated for a moment, bringing it up now would most likely displeasure Dr. Lu. But just stitching up the wound as it was would be extremely detrimental to the wound''s recovery. Not only would it heal slowly, but there was also a high risk of infection and suppuration. Eventually, Zhou Can still decided to prioritize the patient. "Dr. Xu, according to my personal suturing habits, may I do some additional repair to the wound?" At this point, in front of the patient, he could neither criticize Dr. Lu''s wound treatment nor admit his own suturing level was poor. Zhou Can simply said it was a matter of personal suturing preference, which was a way to save Dr. Lu''s face. "Of course you can." Dr. Xu had also noticed the patient''s wound. With his expertise, he could immediately tell that Dr. Lu''s work was sloppy. There was no helping it. The Emergency Department was already short-staffed, and many resident doctors were kicked over from other departments. To put it unpleasantly, they were often the washouts from key departments. These people had over three years of work experience, either slacking off in previous departments just to get by or showing poor growth potential and lacking skills. They were all problematic individuals. Whenever the Emergency Department reported to hospital leaders about being understaffed, key departments would seize the opportunity for survival of the fittest, sending these problem doctors to the Emergency Department. Not only did it help the hospital leaders solve issues, but the departments would also conveniently get rid of dragging doctors. It was killing two birds with one stone. Perfect. After freeing up a position, they could bring in excellent personnel. This way, key departments'' medical teams naturally became stronger and stronger. But the Emergency Department was suffering. And they couldn''t even speak up about their hardships. Watching Zhou Can re-clean the patient''s wound, Dr. Lu curled his lip, looking completely indifferent. This person was likely one of those slackers who just drift through the days. Zhou Can, with a sense of responsibility for the patient, did an extremely meticulous job cleaning. In fact, cleaning such a laceration wound was quite troublesome. Those damaged tissues, if not thoroughly cleaned, were highly likely to become necrotic then infected and suppurate. Moreover, dog bites carried the additional risk of rabies infection. Cleaning needed to be even more thorough. "Doctor, can you actually do it or not? That Dr. Lu had already treated me, and now you''re fussing over it again; you''re not using me as practice, are you?" The patient didn''t know the truth and instead blamed Zhou Can. Doctors often encountered situations like this. Although well-intentioned, the patients would scold the doctors without understanding. "It''s alright, almost done." Zhou Can didn''t elaborate. Patients don''t understand medical science; explaining would be like playing the lute to a cow. Besides, this wasn''t something that could be explained. Unless he wanted to make an enemy of Dr. Lu on his very first day in the Emergency Department. "Just lie down and relax! Dr. Zhou is being responsible for you. The cleaner he cleans your wound, the faster it will heal," Dr. Xu''s words carried more weight and authority. With that said, the patient calmed down. After Zhou Can''s meticulous cleaning, the wound looked much better. Next, the actual test of suturing began. Dr. Xu and Dr. Lu were both watching him, curious to see if this youngster was really up to the task. Zhou Can, calm and composed, took the hook needle and needle holder from the nurse, steadied them, then with his left hand holding the forceps to assist. He selected the first stitch location, penetrated, passed through, tightened, and tied a knot. All movements were smooth and connected. The second stitch, the third stitch¡­ Such an exemplary performance left everyone dumbfounded. "The new Dr. Zhou seems to stitch even better than Dr. Lu," the nurse silently rated in her heart. Jin Mingxi was secretly impressed with Zhou Can''s suturing skill. Although his own suturing was not worse than Zhou Can''s, Zhou Can had reached this level after only one year of internship. In contrast, it had taken him a full fourteen years to achieve this level of proficiency. The learning time was 1 to 14. What was more horrifying, based on his experience as an insider, the opportunities for interns to practice real suturing were few and far between. One could only say that Zhou Can was too exceptional. No wonder Director Liu wanted to take him as a personal apprentice. Such talent, yet discarded by chiefs of surgery, internal medicine, and pediatrics due to low academic qualifications. They would surely regret it in the future. Nearly twenty minutes later, Zhou Can finally completed the suturing of the wound. "Dr. Xu, the wound has been sutured; please inspect it," Zhou Can laid down the tools, his heart brimming with joy. His Experience Points for Suturing Skill and Ligation Skill each increased by 21 points. Practicing on real people was exhilarating. The received Experience Points were ten times those earned from practicing on pigskin. At this rate, he estimated that within two months, both his suturing and ligation skills could reach Level 4. That was the level of a Chief. The thought was thrilling. What would the experience be like for a training physician to have two Chief-Level medical skills? By then, he would be able to suture more than just skin; he would be competent to anastomose blood vessels, nerves, and intestines. Chapter 33 - 28 Injection Techniques "Absolutely! The suturing is neat, the spacing between the stitches is reasonable, the knots are solid, and the incision layer is tight and firm. This skill level is quite impressive!" Dr. Xu checked and nodded in satisfaction. "Has the tetanus vaccine been administered?" "It''s already done!" "Okay, remember to remind the patient to get a rabies vaccine at the disease control center. Come in to change the dressing every day. You can wheel the patient out now." Dr. Xu issued the medical orders. Being bitten by a dog, the biggest risk is rabies. The mortality rate of this disease is one hundred percent. Vaccination is the only effective protection. "Dr. Zhou just entered the operating room and can already suture this well, quite excellent!" Dr. Lu praised him with a smile. "Too kind, too kind!" Zhou Can replied cautiously. From Dr. Lu''s sloppy attitude when treating patients, one can tell that his character is mediocre. The second debridement for the patient probably made Dr. Lu harbor some grudges. It''s better to be cautious. "You should not be modest! Earning Dr. Xu''s praise proves your extraordinary abilities. Being so skilled, you''ll have to take on more surgeries in the Emergency Department in the future!" Dr. Lu continued to praise him with a grin. However, Zhou Can couldn''t help but feel that this guy had a hidden agenda. Being new, Zhou naturally lowered his stance. Might as well present himself as a ''novice.'' "No problem, no problem. I am the junior after all, it''s only right for me to do more work." His response was impeccable. Dr. Lu had nothing else to add. The atmosphere between them was relatively harmonious. The surgery room in the Emergency Department is actually quite busy. The patient who was bitten by a dog had just been wheeled out, and a new patient was being wheeled into the surgery room. "This patient accidentally injured himself, with a 4cm long wound on his left forehead. Examination showed no intracranial hemorrhage. Dr. Luo Yong checked and said to stitch the wound in the surgery room." Dr. Xu looked at the X-ray carefully and found no issues. "Alright, go ahead and attend to that," Dr. Xu told the nurse, then turned to the patient. "Can you walk?" "Yes." "Based on the X-rays, there''s no major problem, just superficial wounds. We are preparing to clean and suture the wound. According to your description, you hit the edge of the coffee table when you fell, right?" "Yes. I just mopped the floor and it was too slippery, and I accidentally fell." "You are quite lucky! A few days ago, we had an old lady who fell and fractured her femur; she needed major surgery. Be very careful on freshly mopped floors in the future." S§×ar?h the n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. Dr. Xu is strict with his subordinate doctors, but he speaks kindly and amiably with patients. This showed Zhou Can a lovable side of him. "Dr. Zhou, this patient is now in your hands!" Dr. Xu turned his head and directly handed over the patient to him. "Alright!" Zhou Can was extremely happy, another opportunity to earn Experience Points. It seems that getting along with Dr. Xu, after clearing up the misunderstanding about lying, his trust in Zhou soared. Plus, showing off his competent surgical skills, this patient with a head injury was directly awarded to him for practice. He knew that to get more surgical opportunities from Dr. Xu, he must earnestly perform well in every surgery. "Come, please lie down. I will administer local anesthesia, then clean the wound. If everything looks good, we can directly suture the wound." Communicating with the patient before surgery is a basic professional etiquette for every doctor. It helps patients understand the entire procedure, build trust in the doctor, and reduce disputes. "Please take extra care, Dr. Zhou. Try to minimize any noticeable scars when suturing." "Will do." For locations like the face, neck, and arms, apart from considering the healing of the wound, considerations must also be made for aesthetic outcomes after recovery. Whether an unsightly scar forms depends not only on scar tissue propensity but also closely on the doctor''s suturing level. Zhou Can''s suturing level in a county hospital is roughly equivalent to a chief physician. Suturing a small forehead wound is definitely adequate. After having the patient lie on their side, he first administered anesthesia. In the past, he had practiced local anesthesia injections on small animals several times; this was the first time on a human. The forehead has less muscle, just a thin layer of skin, and underneath is the hard skull. Injecting anesthesia here is more difficult than other parts. But this did not pose a problem for Zhou Can. Slanting the needle and injecting solved it. [Congratulations, you have acquired the Injection Skill, current experience points, Intern level 1/10. Failed level.] Zhou Can was a bit stunned. Does administering an injection count as a medical skill? Generally, nurses are definitely the best at giving injections. Administering various medications to patients is usually done by nurses; practiced more, their skill is naturally refined. "Thank goodness it''s just injecting anesthesia in a patient. If it were giving a shot to a child, with these failed level injection skills, I might be beaten up by the family members in minutes." Internship performance not up to par, slightly better than an average person, indeed needs to be upgraded swiftly. Originally, two injection sites would have been enough. Zhou Can coveted the ultra-high Experience Points when injecting into the human body. He ended up administering the anesthetic at four different sites. In this way, a total of 4 points of injection Experience Points were easily earned. He needs to quickly figure out a way to improve this medical technique. Injection Skill is not just for injections, but can also be used in various scenarios during surgery. Having numerous skills is an asset. Regardless of the medical skill, being too poor ultimately is not beneficial. It easily becomes a flaw of his. "How does it feel now, do you still experience any pain?" He asked the patient. "It feels numb, seems like there''s no pain anymore." The patient was reporting their most genuine feelings. It appears that the anesthetic has taken effect; it''s time to start debridement. After cleaning the wound with hydrogen peroxide to remove hematoma and potential debris, he carefully examined it and found the condition of the wound to be reasonable. Direct suturing will do. It took Zhou Can less than ten minutes to complete the suturing. A total of five stitches. He checked everything again; there were no issues. This was the first surgery Zhou Can led, though it was a minor one, it was still highly significant. Leading a surgery and participating in a surgery are two completely different concepts. Leading a surgery exercises an individual''s comprehensive abilities. "Dr. Xu, please check this for me." Zhou Can looked up and noticed Dr. Xu was standing by watching. "Hmm, well handled." After again disinfecting the wound for the patient, dressing it with gauze, and sending them out. The rest would be handled by nurses according to the medical orders. "I''ve roughly grasped Zhou Can''s surgical capabilities. Jin Mingxi, the next patient, you have a try." "Sure!" Jin Mingxi had been eager watching Zhou Can gaining merits one after another. He happily agreed. Soon, another patient was brought in. The patient was diagnosed with a mild inguinal hernia. Jin Mingxi voluntarily stepped forward to examine the patient. "The patient''s condition is not serious, there is no incarceration. I believe manual reduction is sufficient, no need for surgery. Dr. Xu, what do you think?" It was evident that Jin Mingxi''s diagnostic experience was extremely rich and robust. "Are you confident in completing the manual reduction?" Dr. Xu retorted. "Yes." He answered decisively. "Then what are we waiting for, get on with it!" Dr. Xu fully empowered him. After having the patient lie down and relax, Jin Mingxi skillfully performed the manual reduction for the patient. Actually, sometimes the patient can push it back in themselves. Typically, hernias occur when the intestines protrude through a weak spot in the hernial sac. Forming a bulging bump in the abdomen or near the base of the thigh. They vary in size. Sometimes even invisible to the naked eye. The patient would experience severe pain. If the symptoms are mild, manual reduction is sufficient. No surgery needed. However, this condition is prone to recurrence. "All done." As soon as Jin Mingxi spoke, the painful grunts of the patient ceased. This fully demonstrated his strong capabilities. "After returning home, rest well. In the short term, you must avoid strenuous coughing, heavy lifting, or vigorous exercise to prevent recurrence. If you feel discomfort, immediately come to the hospital." He professionally advised the patient on some precautions after treating them. This patient with inguinal hernia was easily treated and walked out of the operating room by themselves. "Not bad at all, this time our Emergency Department has recruited two strong performers, truly a blessing." Dr. Xu rarely showed a slight smile. The arrival of two strong performers in the Emergency Department is enough to significantly alleviate the acute shortage of staff. "Dr. Jin, whether in treatment techniques or prescribing orders, you are particularly experienced. Which hospital did you work at before?" Dr. Xu''s address to him has changed. This is a recognition and even more, a form of respect. Chapter 34 - 29 Hello Auntie "After I graduated from college, I returned to Shuangchuan County People''s Hospital in my hometown and became a doctor. Internal Medicine, Surgery, Pediatrics, Emergency; I''ve worked in all departments. This job has lasted for fourteen years, from an intern to now a chief resident doctor at the hospital. If nothing goes wrong, next year I should be able to qualify for the rank of associate senior title." Jin Mingxi spoke of his past for the first time. "Wait, you''re 35 years old this year, right?" Dr. Xu''s penchant for detail seemed to have kicked in again. "Yes, I''ve just turned 35 this year. If I don''t qualify for the residency program at Tuya this year, I''ll never have another chance in my lifetime." Jin Mingxi was making his final push right at the age cutoff. There are actually quite a few doctors in society like him. Because the qualification for Tuya''s residency program is really difficult to obtain. Just like the old scholars or bachelors in ancient society who, despite their white hair, never gave up on the hope of passing the imperial examinations. Many community doctors who failed to qualify for Tuya''s residency program this year, try again the next. As long as they are not over 35 years old, they will persist. "You must have been at least 23 when you graduated from college. You''ve worked for fourteen years, so you''re actually 37 years old?" Dr. Xu''s piercing gaze was fixed on him. This was a significant inconsistency. Not long ago, Dr. Xu had looked at Zhou Can with that same scrutinizing gaze. "Hey, I skipped Level 3 when I was in elementary school. I was known as a child prodigy for quite some time." Jin Mingxi explained with a smile. These kinds of prodigies are found all over the country. There are even special classes for young geniuses. It was unexpected that Jin Mingxi was so exceptional as a child, being able to skip Level 3. "Why, after working so many years at the county People''s Hospital in your hometown, did you decide to come to Tuya to be a resident?" Dr. Xu asked curiously. In one more year, he would qualify for the rank of associate senior title, and would have made it through the hardest part. Even as a deputy chief physician at a county-level People''s Hospital, life could be very comfortable. At this level, there is absolutely no need to go through the hardships of Tuya Hospital''s residency program. "How can I put it? From my personal interest, indeed, there is no need to travel all the way to Tuya Hospital to become a resident doctor. My hometown, Shuangchuan County, is located in a remote mountain area, poor and underdeveloped, unable to retain top talent. This also leads to an especially backward overall medical level at the county People''s Hospital." "In my work, I often encounter patients who end up dying due to the limitations of local medical standards and healthcare conditions. Whenever this happens, I feel particularly distressed. Because I know that these diseases would certainly be curable at a big hospital like Tuya." "Later on, I had an idea: to become a doctor at a top hospital, learn all the necessary skills, and then go back to teach the doctors at my hometown People''s Hospital. Only in this way, can we gradually raise the medical standards of my hometown and save more people." After hearing Jin Mingxi''s words, everyone fell silent. Such a spirit of sacrificing personal interests for the greater good is particularly noble. Many people may have the sentiment, but those who dare to give up their personal benefits and wholeheartedly serve the people, and contribute to the medicine of their hometown, are truly few. Whenever the nation or the hometown faces difficulties, the heroes who appear are often the ''fools'' like Jin Mingxi. At critical moments, they dare to stand up, unafraid of sacrifice. Throughout China''s thousands of years of history, whether it was the disorder at the end of the Jin Dynasty or the invasion of the Eight-Power Allied Forces at the end of the Qing Dynasty, whenever the Chinese nation faced the danger of extinction, countless heroes would stand up. They bravely protected their country, not hesitating even to sacrifice their lives. This is the fortitude and courage ingrained in the Chinese people''s very bones. "Dr. Jin, I believe that your wish will definitely come true." Zhou Can blessed him sincerely. He would be happy to help if he had the chance in the future. "Thank you!" Jin Mingxi responded with a grateful smile to Zhou Can. "Remarkable Dr. Jin! Remarkable dream! If you ever have any medical questions, you can always come and ask me." Dr. Xu was also moved by Jin Mingxi. Giving him a thumbs up. "Definitely! Thank you!" Jin Mingxi nodded emphatically. "Heh, Dr. Jin''s idea is indeed great, but I think it''s better to let those who are more capable do these things. If it were me, I definitely wouldn''t do such foolish things." Dr. Lu did not agree with Jin Mingxi''s approach. "Maybe! Some things have to be done by someone. I know my abilities are limited, but even if I can only serve as a catalyst, that''s still a good thing." Jin Mingxi''s conviction was firm, unmoved by others'' opinions. People like Dr. Lu, who are refined egoists, simply cannot understand. Just then, another patient was wheeled in. "Ouch, ouch! Hurry up and operate on me, I''m about to die..." The patient moaned ceaselessly on the gurney. Zhou Can felt the voice was somehow familiar. "You two go and take over!" Dr. Xu instructed Zhou Can and Jin Mingxi. "Dr. Xu, this patient has been here since this morning. She registered for the gastroenterology department, and after examination, it was found that she has a cecal lithiasis. So, internal medicine directed her to register for surgery at the colorectal surgery department. She stood in line for a long time and really couldn''t bear the pain, so she heard from others that the Emergency Department doesn''t require queuing. That''s why she ran over here. Dr. Luo Yong''s intention is to operate on her if possible." The nurse briefly described the situation. Big hospitals, due to their high reputation, attract patients from all over the country and have an especially large number of people seeking treatment. S§×arch* The N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. Queueing is a torturous experience that every patient must endure. There have even been cases where patients died because the queuing time was too long, and they couldn''t be treated in time. The woman patient on the stretcher is quite pitiful; after being shuffled between the internal medicine and surgery departments in the hospital for nearly a day, she finally had no choice but to rush to the Emergency Department to plead for the doctors'' treatment. The Emergency Department doesn''t mean you can avoid queueing either. Patients with critical conditions can be prioritized for emergency care. Furthermore, because the Emergency Department is merely an emergency aid station that accepts all kinds of patients and has a tremendous intake, it results in the department''s trait of being broad but not specialized. For some difficult cases or those not urgent, patients are still eventually directed to see specialists for treatment. Zhou Can took the stretcher from the nurse''s hands and looked down at the woman on the stretcher, who was wailing in pain. He couldn''t help but laugh. No wonder the voice sounded so familiar. Isn''t this the same lady who accused him of being a hospital tout in the outpatient hall this morning? After a day of running around in the hospital, the auntie''s makeup on her face had become a total mess, and her hair was disheveled as well. She looked frightening, like a ghost. If Zhou Can''s impression of her wasn''t so deep, he almost wouldn''t have recognized her. "Is there any family with you?" Dr. Xu asked. The lady was too focused on crying out in pain and seemed not to have heard Dr. Xu''s question. Zhou Can only repeated once more. "The attending physician is asking if you have any family with you?" This time the auntie heard clearly. "There isn''t anyone with me! I can sign the documents myself; I''ve already signed the consent form for the surgery, and the money has been paid too." The auntie is so seriously ill, and it''s a mystery why she didn''t call any family members to accompany her? "This is a Level 2 surgery you''re undergoing, and if it''s done by a specialist as a laparoscopic surgery, it would even be classified as Level 3 surgery; it''s not allowed to proceed without a family member present!" Dr. Xu said while looking through the auntie''s examination records. The final decision on whether or not the surgery can be performed is his to make. Dr. Luo Yong, who is in consultation, can only make suggestions. "If you had come to the hospital for treatment earlier, it''s possible that you wouldn''t even need surgery!" After reviewing the abdominal ultrasound and CT images, he sighed softly. Cecal lithiasis is actually caused by fecaliths falling into the appendix cavity. If it''s not severe, conservative treatment is possible. The lithiasis can be expelled through medication. But once it develops into intestinal obstruction, or even approaches necrosis, that''s serious. It requires the appendix to be removed along with the cecum. When the auntie heard that she needed to find a family member to accompany her, she seemed very troubled. Her eyes turned towards Zhou Can. "Young man, your voice sounded a bit familiar earlier; could you take off your mask so I can have a look? We might know each other." She must be thinking that if she and this young doctor are acquainted, if she pleads a little, perhaps she won''t need to get a family member over. Zhou Can took off his mask, a smirk playing at the corner of his mouth. "Hello, Auntie!" That''s exactly how Zhou Can greeted her this morning. "Ah... how could it be, it''s you?" The auntie thought this young doctor might be someone she knew, that through some connection, a few nice words would make it more convenient to get cared for. But when Zhou Can took off his mask, and she clearly saw his face, she was dumbfounded. Talk about enemies on a narrow road¡ªwasn''t this the young man she had berated as a hospital tout this morning? "Ha-ha, it''s a small world, we meet again." Zhou Can''s smile was particularly content. Having been on the receiving end of a bellyful of annoyance from this lady in the outpatient hall this morning, now she''s the patient, and he''s the doctor. She probably feels like she''d rather die. What worries her the most is Zhou Can taking revenge on her. Chapter 35 - 30 Striving to Conduct Level 2 Surgery Although the old lady was in pain and sweating on her forehead, her face contorted, she still tried to squeeze out a smile that looked worse than crying. "Young man, I was wrong this morning, please don''t take it to heart with an old lady like me." Under someone else''s roof, one has to bow one''s head. This morning, just being called "auntie" by Zhou Can felt like a grave had been dug up in her family. Now, to seek Zhou Can''s forgiveness, she referred to herself as an old lady. This old lady''s ability to seek benefits and avoid harm was indeed formidable. What shone in her eyes was a full desire to survive. This morning, in a moment of satisfaction, she had said many sharp and harsh words, seriously offending Zhou Can. Now she had to apologize quickly; what if she ended up on the operating table and Zhou Can gave her a few extra cuts? What then? In fact, she was merely being overly suspicious and mean-spirited. Zhou Can was not as petty as her. He would never desecrate the noble profession of a doctor or joke about a patient''s life. "Rest assured, this morning was just a misunderstanding, I won''t take it to heart." Zhou Can graciously waved his hand. Getting an apology from the patient was enough. Seeing this sharp-tongued old lady bow her head still felt quite satisfying. "What a kind person! Young man, you really are a great person! Can you take special care of this old lady and not require family members to come? Is that possible?" The old lady pretended to be pitiable and pleaded desperately. "How can we proceed without family accompanying? Who will take care of you if you''re admitted? First, let''s take her out. Xiao Luo, this is nonsense; how can a patient who does not meet the operation conditions be pushed into the operating room?" Dr. Xu, noticing that Zhou Can was a newcomer and not experienced in dealing with troublesome patients, put on a stern face and played the villain role. Indeed, the old lady responded to this approach. Hearing that she would be taken out, she panicked immediately. From morning till now, she had been queuing and seeing doctors, dragging her sick body for nearly a day, and had only just managed to persuade Dr. Luo outside to agree to perform surgery in the Emergency Department. Now, when she was about to have surgery, losing the opportunity due to the absence of a companion, she naturally was unwilling to give it up. "Wait, I''ll call them now, I''m going to call now. Please, don''t take me out!" Seeing that the leading doctor was very strict, playing pitiful and desperately pleading didn''t work, and she had to honestly call her family. The call went through. "Daughter..." The old lady had just uttered the word daughter, then lost control of her emotions and couldn''t continue, choking up. Compared to the strong, fierce image she had in the outpatient hall that morning, it was like she was a completely different person. "Mom, what''s wrong?" A gentle and slightly languid voice came from the other end of the phone. It''s hard to describe, her voice was sweet, with a hint of laziness. "I...sob..." The old lady started to cry first. Zhou Can saw that this wasn''t helping; the operation room in the Emergency Department was extremely busy. Given the old lady''s uncontrollable emotions, it would be hard to express the situation quickly. "Maybe I should speak to your daughter instead!" Zhou Can gestured with his hand. The old lady, with her lips pursed and eyes red, handed him the phone. "Hello, I am a doctor from Tuya Hospital." "What happened to my mom?" S§×arch* The N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. The woman''s voice trembled, clearly panicked. Suddenly hearing that her mother was sick and in the hospital, she was understandably very nervous. This also showed that the mother-daughter relationship was not bad. Why didn''t the old lady want to tell her daughter about her serious illness? "Your mother has cecum stones and needs surgery immediately. However, according to hospital regulations, considering the patient will need to be admitted and there are risks associated with the surgery, family accompaniment is required." "Ah... Is my mom''s condition serious? She never told me! Doctor, I am coming right away. Which department of Tuya Hospital should I go to?" The old lady''s daughter suddenly heard her mother was seriously ill and was particularly anxious. "We are in the Emergency Department of Tuya Hospital. Come straight to the operating room. When can you get here?" Zhou Can asked. "About two hours at most! I will ask for leave from my boss and come right away." The mother and daughter probably didn''t live together. A two-hour drive, at least covering more than a hundred kilometers. "Okay, take care on your way." Zhou Can hung up the phone. After returning the phone to the elderly lady, he looked towards Dr. Xu. In situations like this, if family members agree to come for support, surgery can be performed immediately, or it can be deferred until the family arrives. "Doctor, I have already signed the consent form for the surgery, please proceed with it quickly!" The elderly lady pleaded again. Dr. Xu did not agree immediately, but seriously explained, "We can perform the surgery in the Emergency Department. However, from your examination results, although the intestinal obstruction is serious, it is not immediately life-threatening. If you are not in a hurry, you can get specialized treatment. The specialists have better techniques and more advanced equipment, and can perform laparoscopic surgery. The incisions would be smaller, and recovery faster, though it would be more expensive." Laparoscopic surgery is classified as a Level 3 procedure. It requires higher technical skills from the doctors and more advanced equipment. From this aspect, specialists, because they focus on specific fields, indeed have much better medical skills compared to the Emergency Department. "No, no, I want it to be done here." The elderly lady shook her head repeatedly. She was quite suspicious and probably thought the doctors were trying to trick her into paying more for the surgery. So she rejected it without even thinking. "If you insist on having the surgery in the Emergency Department, we can only perform the conventional procedure, do you agree?" "Yes." "Alright, we will arrange it then." Dr. Xu didn''t say more. "Notify the anesthetist to come and prepare for pre-operative anesthesia, and call nurse Ye Tingting to help. Tang Ling, start preparing the patient for surgery." Cecum stone surgery, though it''s just a Level 2 procedure, still requires at least five medical staff. An anesthetist, the main surgeon, an assistant, an instrument nurse, and a circulating nurse. For tasks like cleaning the skin of a female patient, it''s better to have female nurses perform them. Soon, the anesthetist arrived, went through the patient''s details, had a brief discussion, confirmed everything was fine, and had her sign. Then, the anesthetist administered an epidural anesthesia. "Anesthesia successful, patient''s vital signs are normal, surgery can proceed." Dr. Xu was already standing at the main surgeon''s position. Zhou Can watched with envy. The previous two surgeries were just minor ones. Especially the one for the patient with a forehead injury, it was only a Level 1 surgery, among the simplest. This appendectomy, however, is a solid Level 2 surgery. And it''s one of the more difficult ones in Level 2 procedures. If he could get a chance to train in this surgery, it would be significant for Zhou Can. According to related rules, there''s a provision in the assessment of doctors'' surgical capabilities: Completing 80% of surgeries at the same level qualifies them as competent in surgical skill, granting them permissions to perform such surgeries independently. What does that mean? It means, if Zhou Can could independently handle 80% of this appendectomy, he could earn the permission to perform Level 2 surgeries. Of course, since he has not yet obtained his medical license, nor registered as a practicing doctor, he cannot practice medicine alone. But having strong backing is beneficial! Working under the guidance of a senior doctor is still fine. This becomes significant here. The hospital implements a three-level accountability system. Zhou Can, merely a resident in training, his supervising doctor and the supervising doctor''s superior are all accountable for his actions. If he were to cause a patient''s death, Dr. Xu would bear the primary responsibility. Obviously, considering the potential impact on his career, Dr. Xu would keep a close watch on him. He definitely wouldn''t let him undertake any higher-risk tasks. If Zhou Can could demonstrate the ability to independently perform Level 2 surgeries, it would be a different story. At the very least, in Dr. Xu''s view, he would be qualified to access Level 2 surgeries. In future, such tasks would confidently be assigned to him. This is exactly what Zhou Can needs. In the Emergency Department''s operating room, most are Level 1 and Level 2 surgeries. Having only a Level 1 surgery qualification would definitely cause him to miss many opportunities. Skills like dissection, separation, and suturing are difficult to practice and improve. If he could also perform Level 2 surgeries, that would be great. Zhou Can could easily earn two to three hundred Experience Points by spending a day in the operating room. Chapter 36 - 31: Seemingly Strict, Yet Caring Opportunity is right in front of you, and it takes boldness and thick skin to seize it. "Dr. Xu, may I perform the laparotomy?" "No!" Dr. Xu didn''t think twice before decisively refusing. Dr. Lu''s smile curled up at the corner of his mouth, looking at Zhou Can with a touch of mockery for his ignorance of his own limits. "Zhou Can, don''t rush. When the time is right, Dr. Xu will give you the opportunity to train," Ye Tingting winked at him, comforting him with her words. "Sure!" Zhou Can responded with a grateful smile. This was a Level 2 surgery. Although a laparotomy is not as dangerous as a thoracotomy, the risks were still significant. Being rejected by Dr. Xu was within his expectations. Opportunities must always be bravely seized. Success or failure was beyond his control. At least he would have no regrets for trying. "Stand there, watch carefully!" After refusing his request, Dr. Xu gave him a chance to watch and learn from the best angle. Zhou Can was secretly delighted, Dr. Xu clearly intended to cultivate him. "When selecting the location for the surgical incision, be sure to avoid important blood vessels and nerves. The position of the appendix doesn''t differ much between males and females, but the anatomical location of the appendix itself can vary greatly, which requires combining the patient''s imaging to determine the location of the incision. Normally, the appendix is located in the lower right abdomen, between the navel and the iliac, on the outer one-third of the line connecting the two, known as McBurney''s point." While explaining, Dr. Xu demonstrated. "Here, her McBurney''s point is here, make the incision along McBurney''s point during the operation." This practical experience is very important. It''s summarized by the predecessors after countless surgeries. It can ensure the surgery goes without mistakes to the greatest extent. Zhou Can memorized it all, putting aside his previous impulsive thoughts. He calmed down and studied seriously. After finishing the explanation, Dr. Xu began to make the incision. The scalpel was like alive in his hand. Making the cut, pulling back. His gaze sharp, his actions precise, steady, and quick. Skin, subcutaneous fat, anterior sheath of the rectus abdominis, rectus abdominis, posterior sheath of the rectus abdominis - layers of human tissue were magically opened one by one. Zhou Can was so focused that his eyes nearly popped out. His skill was not inferior to Director Liu. He had never thought that the lowest-ranking Emergency Department could hide such a master. And Dr. Xu was still just a Resident Doctor. He hadn''t even made it to vice-chief. With such high-level surgical skills, being a Resident Doctor in the Emergency Department seemed a waste of talent. As the tissue layers were cut open, blood began to ooze out rapidly. Dr. Lu, the assistant, immediately took the electrocautery device to help stop the bleeding. But Dr. Lu''s skills were not commendable. The speed was alright, but accidental injuries or incomplete hemostasis occurred from time to time. His work was particularly sloppy. No wonder he was kicked out of the key departments. If he cannot correct his sloppy work habits, he can only perform Level 1 or 2 surgeries. Even Level 2 surgeries might be difficult for him to lead, and he might only serve as an assistant. Even with this level of hemostasis, Zhou Can was much better. Despite his disdain, Zhou Can, being just a training doctor, obviously had no right to criticize a senior Resident Doctor. Dr. Xu frowned deeply, but did not say much. S§×ar?h the Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. Probably nothing could be done. The Emergency Department was already short-staffed. Even if Dr. Lu''s skills were poor and his attitude was careless, they had no choice but to make do. This was the harsh reality of the Emergency Department. But with Zhou Can and Jin Mingxi joining as capable members, this situation would soon change. "Remember, once you cut to this point, only the adipose layer of the peritoneum and the peritoneum layers are left. Be careful during the operation, never rush or try to save time with one sweep. What''s most important in surgery? It''s not about explosive skills, but safety. Otherwise, no matter how skilled you are, a small mistake can ruin everything." Dr. Xu''s tone was quite special when he said the last sentence. It seemed to carry deep emotions. This made Zhou Can speculate about Dr. Xu''s story. Dr. Xu held the scalpel like sculpting a craft, his expression solemn and focused, not too fast nor too slow. The adipose layer of the peritoneum was perfectly opened. Then came the peritoneal layer. As soon as it was cut, pus began to ooze. Dr. Lu stood at the assistant''s position like a corpse, not moving at all. This situation required immediate removal of the pus. Zhou Can didn''t ask for permission this time. Nor was there time to ask. He immediately picked up the suction device to clean the pus. "I didn''t expect the infection to be so severe. She must have been suffering for a long time." Dr. Xu gave Zhou Can an approving glance. If it weren''t for Zhou Can''s quick response, the wound could have been easily contaminated. "Dr. Lu, go stand over there with Jin Mingxi, responsible for retracting. Xiao Zhou, come here, assist me." Dr. Xu recognized Zhou Can''s superior assistance and adaptability over Dr. Lu''s, not sparing any feelings, directly moving Zhou Can to the first assistant''s spot. The appendix removal procedure''s retraction isn''t particularly tough, and the surgery doesn''t take long. But this arrangement was essentially promoting Zhou Can to first assistant, while the more experienced and senior Dr. Lu was demoted to second assistant. Even behind a mask, one could sense Dr. Lu''s displeased face. Zhou Can just followed his superiors'' arrangement and instructions. After moving to the first assistant''s spot, he held the electrocautery device in one hand and the suction device in the other. Prepared with absolute attention. The peritoneum was gradually cut open, eventually matching the size of the surgical entrance. Chapter 37 - 31: Seemingly Harsh, Yet Caring_2 At this moment, one could already see the situation inside. Waves of foul odor hit the face. The abscess was even more severe than imagined. The necrotic tissues were stuck together, resembling minced flesh. "Expand the wound a little more." Zhou Can swiftly cauterized the bleeding points and then carefully suctioned the pus from the abscess. It had to be completely drained or else there was a high risk of contaminating the abdominal cavity. That would be a major problem. Without comparison, there wouldn''t be any harm. Compared to Dr. Lu''s clumsy assistance, not only was Zhou Can ten times more serious in his attitude, but his hemostasis skills were also streets ahead of Dr. Lu. "Xiao Zhou, you look for the cecum." "Alright!" Zhou Can understood that Dr. Xu was taking special care in training him. Almost guiding him by the hand. Following the colonic taenia, he pushed aside the fat hanging on both sides, searching intently. He quickly found the cecum which was a shade whiter than the small intestine. But it wasn''t purely white, rather, it was a greyish white. Having found the cecum, he had also found the appendix. Because they were connected. Zhou Can placed a gauze pad at his fingertip, lifted the cecum, and successfully located the appendix along the colonic taenia. "The adhesion seems to be particularly severe." Zhou Can looked towards Dr. Xu. "As long as you''re careful, separating them is not difficult." Dr. Xu appeared especially composed. He carefully separated the adhesion. The entire process was meticulous, precise, unhurried, subtly exuding a master''s flair. While separating, he continuously taught Zhou Can some techniques and explained the key points. It took nearly half an hour to completely separate the adhesions. "Now we can remove the necrotic cecum. Remember, whether you''re removing the cecum or the appendix, try to do it outside the peritoneal cavity to prevent contamination. If the conditions don''t allow, and you must do it inside the peritoneal cavity, you must pad the surrounding area with gauze well to protect the various layers of the abdominal cavity." The diseased parts had been separated and could be removed from the abdominal cavity. The end of the colon was sutured by Dr. Xu personally. He shared all the essential points, precautions, and different suturing techniques with Zhou Can and Jin Mingxi without reservation. Dr. Lu should have been taught before. "Return the intestines, and then clean up any accumulated blood or fluid. After checking that there are no errors, you must count the surgical instruments and materials used." There have been irresponsible doctors who have left surgical instruments or gauze inside the patient''s body. Ultimately causing medical incidents. These good habits need to be cultivated from the beginning. "Xiao Zhou, you close the abdomen!" Dr. Xu did not agree to let him open the abdomen or remove the cecum, which was correct. Because Zhou Can, whether in terms of experience or surgical skill, was still lacking. After this learning experience, the next time Zhou Can is tasked with removing the cecum or appendix, his confidence would be much greater. The growth of every doctor is accumulated over time, gradually maturing. The Experience Point system could accelerate his growth but could not help him achieve it all in one go. Dr. Xu also gradually delegated authority to him, nurturing him slowly. It seems harsh, but in fact, it''s a form of care. If a child who just learned to walk is allowed to run wild, it would be harming him. Because that child won''t run far before he falls hard. Zhou Can finished suturing the patient''s abdominal cavity and earned twenty Experience Points. He sutured a total of ten stitches. His suturing technique also became more and more skilled. Suturing on a patient, compared to on pigskin or mice, is completely different. First of all, the feel is different. Human skin is more delicate, so suturing appears more tender. Additionally, practicing with pigskin carries no psychological pressure. When suturing a patient, one naturally feels nervous, and the psychological pressure is immense. The mental focus must be highly concentrated throughout the process. To be precise, this is his fourth time suturing on a patient. Compared to the first time, there have been obvious improvements in all aspects. Although he''s not as composed as Dr. Xu, at least he''s not as extremely tense as the first time. Just now, when closing the patient''s abdominal cavity, he felt relatively calm inside. This kind of mental enhancement simply cannot be provided by the Experience Points system. It can only be achieved through surgical practice. "The suturing is decent; from now on, you can take on tasks like suturing the skin and closing the abdominal cavity. I reckon Dr. Lu and Dr. Jin have long since gotten tired of this kind of work, right?" Even a fool could see that Dr. Xu was intentionally nurturing Zhou Can. "It''s good for Zhou Can to practice more," Jin Mingxi stated. "As for suturing skin and closing cavities, they really don''t interest me. If only Dr. Xu would let me lead a Level 2 surgery!" Dr. Lu said with a laugh. "When you correct your carelessness, come back and make that request to me!" Dr. Xu bluntly criticized him. Dr. Lu just gave an awkward smile and kept silent. The old lady''s surgery was very successful. After waking from anesthesia, she was wheeled out of the operating room by the nurses. ¡­ S~ea??h the N?velFire.n§×t website on Google to access chapters of novels early and in the highest quality. In the Emergency Department operating room, patients were continuously brought in, providing a full load of work. For Zhou Can, it was simply heaven for upgrading his medical skills. It was a pity that many surgeries couldn''t be performed. Either led by Dr. Xu or they had to convince the patients to transfer to a specialty for surgery. Busy until midnight, when the shift change occurred and the next doctor arrived, Zhou Can was finally off work. Walking out of the hospital, Zhou Can felt as if his body was nearly falling apart. Being a doctor is truly exhausting. But today''s gains were unimaginably huge. Not only did he achieve his goal of staying in the hospital as a resident, but he also quickly integrated into the big family of the Emergency Department. He had initially gained recognition from Director Lou and Dr. Xu. As long as he doesn''t screw up on his own, his career prospects are definitely bright. Dr. Xu has already started to focus on his training. Even Jin Mingxi didn''t receive this kind of treatment. In addition, he earned quite a bit of Experience Points for his suturing, hemostasis, ligation, and injection skills. Cutting Experience earned the least, with just 2 points. For slightly risky dissections, Dr. Xu, wary of potential issues, mostly performed them himself, not daring to let Zhou Can take over. At most, during cutting, he would explain in detail every step of the operation and points for attention to Zhou Can. After all, cultivating a medical talent takes a long time. It''s not something that can be achieved in a day or two. Zhou Can also made adjustments in his studies based on the current situation. After work, he could buy more white mice or rabbits to practice dissections at home. Although practicing dissections on small animals earns 5 times less Experience Points than practicing on human bodies. But there''s no risk involved. And he can practice whenever he wants at home. Even if he only gains twenty or thirty points of Cutting Experience each day, after practicing for two or three months, his cutting skills could be elevated to Chief Level. He hadn''t had time to check his phone all day, so he took it out to look. There were quite a few unread messages. His class group from 512 had exploded. Almost all classmates and teachers had sent congratulatory messages for his and Yang Chan''s successful attainment of residency positions. Yang Chan had already replied in the group. Nothing more than thanking the teachers for nurturing and thanking classmates for their blessings. Zhou Can had not yet replied in the group, and some classmates were not pleased. They started to jest. Saying things like how he had soared to great heights now and why would he bother with teachers and classmates anymore? Some went even further, saying that now he was the top scorer in the Tuya Hospital residency exam, he didn''t even regard teachers, probably having long forgotten their kindness. Zhou Can briefly skimmed the class group messages and was left speechless. Chapter 38 - 32: Fortune Worth Tens of Millions Some people just can''t stand seeing you do better than them. Seeing Zhou Can suddenly becoming so outstanding, while they couldn''t even secure an internship at Tuya, it naturally left them seething with envy. Regarding these envious folks, Zhou Can simply chose to ignore them. The teachers had already congratulated him privately; of course, he had to show his gratitude! "Sorry, I just finished surgery and finally had time to check my phone. Thanks to the meticulous teachings of several mentors, I''ve achieved what I have today. Thank you to all my classmates for your congratulations and encouragement. I will not forget my original intentions, and I''ll work hard to improve my medical skills, striving to honor and add glory to class 512 together with my classmate Yang Chan." After sending this message, he didn''t bother with it anymore. There were many other private messages waiting for his reply. Those who sent him private messages were either family members or close classmates and friends. "Ah Can, amazing! You actually got first place in Tuya''s standardized training exam! When you come back to your hometown, remember to treat me!" This message was from his childhood friend Cheng Dazhuang. The two have been classmates all the way to high school and both loved medicine. Unfortunately, Cheng Dazhuang''s college entrance exam score was slightly low, and he ended up at a regular medical university. Zhou Can was incredibly lucky to have just made the cut to get into Tuya Medical University. It was considered a prestigious first-tier university. After graduation, their fates were starkly different. He successfully obtained an internship at Tuya Hospital and now even secured a position as a standardized training doctor there. His future looked very bright. Cheng Dazhuang, having attended a regular university, apparently had to pull some strings to get into the local county People''s Hospital. It''s estimated that he must have completed a year-long internship by now and is continuing his training at the hospital. Though both are standardized training doctors, their status and standing are worlds apart. Cheng Dazhuang was like a disciple of a minor sect. In contrast, Zhou Can was like a disciple of a prestigious sect. The gap between the two would only continue to widen over time. It might take Cheng Dazhuang ten years of hard work to become an attending physician, and his medical status and skills could still be inferior to a junior resident doctor at Tuya Hospital. This is why countless people desperately try to get into a good school. Zhou Can thought of his childhood friend and couldn''t help but smile. In a person''s life, family, love, and friendship are all indispensable. These are the most beautiful things. "Hehe, surprised? Pleased? I lucked out on the exams. Speaking of treating, even if I were back in the hometown, you should be the one treating!" After replying to his childhood friend''s message, it was time for the private messages from some close classmates and friends who had sent their best wishes. These people were really well-informed. After quickly responding to each one, he opened the most important message. It was from his mom. "You little rascal, is work going smoothly? It''s been so long since you asked for money from home, I just transferred 50,000 to you, eat well." Zhou Can felt a surge of warmth in his heart. His mom really cared about him. His parents ran a food processing plant back in their hometown, specializing in deep processing of agricultural products. Thanks to their commitment to integrity and hard work, the business was quite prosperous. He wasn''t sure of the exact annual income. Zhou Can only knew that from childhood to adulthood, his parents had never shortchanged him in material terms. However, unlike some parents who spoil their children excessively, They''ve guided Zhou Can from a young age to have the right notion about money¡ªreckless spending, drug abuse, gambling, showing off in luxury cars, flaunting wealth, and all such foolish acts were not part of Zhou Can''s life. The pocket money he received from his parents, other than occasionally treating friends to meals as part of normal social interaction, was mostly invested in stocks and study. At ten years old, his parents gave him 500,000 yuan as a birthday gift. And told him he could spend it however he liked. As a result, Zhou Can bought Tencent stocks with it. Being a minor, he purchased it under his mom''s information. The price was around 94 yuan per share at the time, totaling about 5300 shares. On his 20th birthday, his parents generously gave him 1 million yuan as a birthday gift. The same rule applied¡ªit was up to him to spend it. In reality, his parents were shrewd. They understood their child well and were confident in his decisions. Additionally, now that he was of age, his mom suggested transferring the Tencent stocks purchased when he was 10 to his name. By then, Zhou Can was already a university student with considerably broadened perspectives and horizons. He felt that Tencent''s stock had reached a high point and it was a good idea to cash out and invest in real estate. So, he had his mom sell all 5300 shares of Tencent at 586 yuan per share. The total cashed in was more than 3.1 million. A sixfold increase in ten years, it was a very successful investment. Especially since he was only ten years old at the time. Many kids that age hardly understand the concept of money beyond spending it in a small shop on snacks. It can''t be denied that if guided rightly, children of the wealthy have far greater insight, cognition, and outlook than those from poorer families. Zhou Can was running on the shoulders of giants. Later, with the more than 3 million made from selling stocks and the 1 million from his parents for his 20th birthday, after careful consideration, he pre-ordered four lake view apartments in the provincial capital city. Among them was the Bajing Lake apartment complex, known for its remoteness and the absence of developed infrastructure, which had led to slow sales. He bought four large apartments ranging from 121 to 142 square meters at an aggressive price of 6500 yuan per square meter¡ªin cash, not on credit. That year, he was just twenty years old. The apartments were handed over in February this year, and Zhou Can had done some simple renovations. Three of them were already rented out. He planned to live in the remaining one. The rent wasn''t high, about 2000 yuan per month for each apartment. But in total, it was more than 6000 yuan¡ªequivalent to a month''s salary for an ordinary worker. The key was that the price of those four apartments had risen from the initial 6500 yuan per square meter to around 17000 yuan per square meter. This was a real appreciation in value. He didn''t lack money now, nor did he plan to sell. After all, it''s in the provincial capital, and the infrastructure around the apartments was gradually improving. The No. 6 subway line was even extending right to his doorstep, and the formerly stinky Bajing Lake, after treatment and reconstruction, had been completely transformed. Zhou Can believed that the housing prices here would continue to rise. With the current prices, the value of his four properties was already around 9 million. If they increased further, they would surely exceed 10 million. Aside from the aforementioned investments, he also spent a lot of pocket money on investing in himself. Enrolling in martial arts school, specialty classes, and later during university, purchasing medical equipment, books, props, and so forth. These invisible soft investments were the most valuable. They enabled him to stay a step ahead in the fierce competition. "Thank you, mom, thank you, dad!" Zhou Can knew that whether it was the pocket money mom transferred to him or the large cash gifts for his 10th and 20th birthdays, his father definitely knew about them. But his father was strict on a daily basis and they rarely talked. When they met, Zhou Can would call out ''Dad,'' and his father would respond with a ''Hmm,'' and that would be it. Especially after Zhou Can entered high school, the father and son became even more distant. "Stinky kid, leaving work so late, huh?" Mom was actually still awake. "Being a doctor is just like that, right? If patients come to seek medical advice, I can''t just ignore them, can I?" Zhou Can chatted with his mom, feeling especially relaxed. "I and your dad only have you as our child. You must look after your health, do you hear me?" The sternest thing his mom would say to him was stuff like this. This was also why he could relax so much when talking with her. "Got it! Why are you still up so late?" "The factory got a big foreign trade order, and we''ve arranged to go to their company for a discussion tomorrow. There''s a flight at two in the morning; I''m just sitting here doing nothing, browsing on my phone!" Making money was actually quite tough for parents. Like now, to secure that big foreign trade order, they had to take a nighttime flight. But when giving their hard-earned money to their son, they wouldn''t even blink an eye. This was Chinese parental love for their children. "Wow, our factory''s products are actually being sold overseas, feels pretty impressive, huh!" Zhou Can even added a big ''thumbs up'' gesture after his remark. "Haha, there''s still a lot you don''t know! If you hadn''t insisted on going into medicine and had managed the factory instead, you would definitely have done even better. How about it, got a girlfriend yet? Your dad has mentioned it many times. It''s okay if you don''t want to take over the family business, but at least give him a few grandchildren so that someone can take over eventually." While talking, mom had started pushing for marriage. This was what Zhou Can found most troublesome. sea??h th§× ¦Çov§×lFire .net website on Google to access chapters of novels early and in the highest quality. He was only 24, what was the rush? With his qualifications, finding a beautiful wife wouldn''t be difficult, but it had to be someone he would spend his life with, so looks alone weren''t enough, right? When he met someone he liked, it would naturally work out. "Mom, gotta go, my phone''s battery is running low!" Zhou Can quickly ended the chat. "Stinky kid, you start playing dumb as soon as I mention a girlfriend. Don''t be picky, bring someone home quickly!" Mom kept on nagging, but Zhou Can acted as if he hadn''t seen it. Exiting WeChat, he noticed a message from the hospital. It had been sent to his phone at four in the afternoon. "Hello, according to hospital staff benefits, since you are now a Resident Doctor, you are entitled to improved accommodation. If willing, please collect your double room apartment access card from the logistical support department within a week. If you have questions, please contact 139... Chen Qin." Previously, as an intern, he could only stay in a shared dormitory for eight people. Now he had been promoted to Resident Doctor, his status elevated, akin to being a formal employee of the hospital, and his benefits had significantly improved. He could move into a double room apartment. Zhou Can had been there once before, it was up on a higher floor. Equipped with an individual bathroom, air conditioning, and the interior decoration was much better than the dormitory. Typically, two Resident Doctors would share one room. Given that most doctors need to work in shifts. If one works night shift and the other early morning shift, they might not even see each other. Compared to the dormitory, the double room apartment was much better in terms of personal privacy and noise disturbance. Zhou Can decided to get the room card sorted when he went to work at the hospital tomorrow. Pushing the door of the dormitory open, it was quiet inside. He guessed that his roommates were probably already asleep. He did not turn on the lights, but used his phone as a flashlight to navigate to his bed. Suddenly, someone switched on the lights in the dormitory. "Welcome back, hero of the 211! Welcome! Haha..." His roommates weren''t actually asleep; they had been waiting to celebrate for him. Each of them smiling, they surrounded Zhou Can. "Thanks, thanks brothers!" Zhou Can was truly touched by them. "We''ve already bought supper; we were just waiting for you, take your seat!" Two square tables were pushed together, covered with over a dozen disposable food containers. Upon opening them, the delicious aroma spread throughout the dormitory. There were braised chicken feet, crayfish, grilled lamb skewers, cabbage, Filipino dishes, and more. The food was still hot; his roommates really went to a lot of effort. Three bottles of beer were laid out on the floor. It looked like they were combining the victory celebration with a farewell meal. "Gathering together is fate. Having lived together for a year, even if we''re on different shifts and might not see each other for a month, the friendship among roommates is genuine. Here, I''ll toast to everyone first, thankful that fate brought us together, allowed us to meet, and build deep bonds." Gu Jie, with a father who was a leader, really showed no shortcomings as his son; his speaking skills were quite impressive. He also always played the role of the big brother in dormitory 211. Everyone grabbed a bottle of beer, not bothering with glasses. They clinked bottles together. Gu Jie''s gaze fell on Zhou Can. It was filled with blessings, and a touch of envy. "You guy, you''ve kept your cards so close to your chest! Everyone thought you were of average ability, but you ended up scoring first in the Resident Doctor exams. You can''t get away without downing a drink on your own today!" Chapter 39 - 33 This Misunderstanding Has Gone Too Far "Drink!" "Drink!" Other roommates chimed in rowdily. "Alright alright, I''ll go first to show my respects!" Zhou Can was in high spirits today and was determined to enjoy himself. He lifted the bottle and drank it down in one gulp. Sear?h the Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. "Great!" "What a man!" "Worthy of being the top scholar, so imposing!" Seeing him finish a bottle of beer in one breath, his roommates cheered loudly and applauded. "Eat, eat!" Everyone began devouring the food on the table. As they ate and drank, they started discussing their future plans. Some planned to return to their hometown and apply for jobs at city-level hospitals, while others planned to consider their options after obtaining their medical license. Gu Jie didn''t succeed this time and was very frustrated. He planned to use his father''s connections to enter a better hospital for training, and reapply for the residency recruitment exam at Tuya Hospital next year. Zhou Can was the luckiest one among them all. Just like the ancient imperial examinations, once he became a successful candidate, his fate would undergo a massive change. While his roommates worried about their futures, he could focus all his energy on improving his medical skills. ... That night, Zhou Can collapsed drunk on his bed. His roommates were also heavily intoxicated, some even cried like children because they failed to pass the residency exam. From the moment they became sensible, they all considered themselves to be exceptionally talented. Only when the harsh reality struck did they realize they were just the ones at the very bottom amongst countless others. They had been striving and struggling in their twenties, only to be ruthlessly eliminated in the end. That kind of heartache and bitterness couldn''t be shared with others. Under the influence of alcohol, they shed all pretenses, releasing the sadness and sorrow brought by their setbacks. Crying should not be labeled as cowardice or shame. It''s the most natural way for humans to express their pain. As infants, they cry when hungry, in pain, or upset. As we grow older, we''re told to be strong and that crying is shameful. Thus, many adults lose the ''expression'' of crying. Zhou Can, half-asleep, heard his phone ringing. He casually pressed it off. It rang again, and he pressed it off once more. Seemingly addicted to bothering him, the phone rang yet again. "Which maniac is disturbing people in the middle of the night?" Drunk and muddled, he muttered curse words and simply held down the power button to turn it off for some peace. The next morning, Zhou Can woke up feeling a bit of a headache. Sitting up, he rubbed his temples and the Fengchi acupoints at the back of his neck. After massaging, the pain subsided significantly. Studying medicine not only allows him to treat others but also quickly remedies his own minor ailments. He habitually picked up his phone to check the time, only to find it turned off. He drank so much that his memory was foggy. Through effort, he vaguely recalled someone calling his phone during his sleep, which he had dismissed. "Who would call me so late?" Could it have been the Emergency Department asking me to cover a shift? Thinking this, he became anxious. Being a doctor is unique, if a patient needs rescue, no matter the hour, you must rush back to help. Because saving lives is like fighting fires, sometimes even a slight delay of a few seconds can result in a loss of life. After turning on his phone, he checked the missed calls. "Yang Chan!" He never expected it was Yang Chan who had called him. Although they had each other''s phone numbers for over a year, they had never contacted each other. With her proud nature, calling so many times in the middle of the night at around 2 am, there were only two possibilities. Either she accidentally dialed the phone, or something very urgent had happened. "Oh no, she might have been accosted by thugs asking for my help?" Zhou Can''s heart sank; several hours had passed since she made the call, if she really encountered thugs... he didn''t dare think of the consequences. Drinking can really mess things up! He hurriedly tried calling back. No one answered the first time. This made him even more nervous. Fortunately, it connected on the second try. "Hello..." The groggy voice sounded a bit lazy. It seems like she just woke up? Knowing she was alive, his worried heart settled a bit. Hopefully, nothing bad had happened. "Class monitor, why did you call me last night?" "Zhou Can!" The class monitor''s voice suddenly escalated, seeming angry. "Did you deliberately ignore my calls?" "Why would I! I only got off work at midnight yesterday, returned to the dorm, and my roommates were celebrating for me. I ended up passing out drunk and in a daze, dismissed your call. You... you didn''t encounter any danger, did you?" Zhou Can explained and cautiously asked. "You''re the one who''s in danger!" she retorted irritably. "It''s all because of what you did, posting that message in our class group caused a huge misunderstanding. It made everyone, including the teachers, think something was going on between you and me¡­ Tell me, did you do it on purpose?" "I didn''t say anything in the group! Just thanked the teachers and classmates, what misunderstanding did it cause?" Zhou Can was completely baffled. "Go look for yourself! You jerk, you kept me up all night. Hurry up and explain things clearly to everyone in the group, understand?" she still commanded imperiously. "Alright, alright, I''ll go see what those troublemakers said that made you so angry. Don''t worry, I''ll definitely clear this up." After hanging up, Zhou Can entered the WeChat group to check. His head started to hurt all over again. Wasn''t it just a post saying "Together with Yang Chan adding glory to Class 512"? Why must these gossips make such a big fuss? Saying that Zhou Can and Yang Chan must have gotten together. Zhou Can performed exceptionally well this time, scoring the highest in the Tuya training exam, all thanks to the power of love. They also say his medical skills improved so quickly because Yang Chan tutored him with all her might. ¡­ Each one said it with such certainty. The harm of rumors is considerable, just like the saying: when three people repeat it, it becomes true. A perfectly normal statement was excessively interpreted and continuously spread by these people, eventually turning into a farce of mismatching couples. Zhou Can didn''t really care; let whoever wants to talk, talk. But Yang Chan is more sensitive, and the gossip kept her up all night. Having been the class monitor for five years, she has always maintained a good image in the eyes of her classmates. This made her even more conscious of her reputation. If Zhou Can doesn''t clarify this for her, the psychological pressure she endures will be immense. It might even severely affect her work. The best way to deal with rumors is not to respond at all. Otherwise, the rumormongers only become more vigorous. The current situation, however, would definitely not resolve by remaining silent. These bastards would think Zhou Can has admitted to it by default, making things even more troublesome. How can he make these people shut up? Zhou Can calmly pondered for a solution. Thinking it over, there was only one way to quickly exterminate the rumors of him dating Yang Chan. There''s a saying in medicine: fight poison with poison. To kill a rumor, you can also use a rumor. After making up his mind, he started organizing his words. "Thank you, classmates, for caring about my lifelong affairs. My family, not poor, insists on a suitable match, and they have already chosen a suitable parter for me. To avoid misunderstandings, I kindly ask everyone to not play matchmaker and affect my personal matters or harm the class monitor''s reputation. Please, for the sake of our five-year friendship, refrain from spreading rumors so we can put an end to this." After sending this message out, Zhou Can casually sent out a 1000 yuan luck-based red packet in the group. First, he used a rumor to break a rumor, then scattered money to win favors. Those who received the red packet started to speak in his favor. "Wow, I even got an 88 yuan big red packet, thanks, Brother Can. You guys stop pairing Brother Can with anyone, he already has someone." "I was saying, if Zhou Can really was in a relationship with the class monitor, how could there be no rumors about it? Let''s not overinterpret this anymore, it''s embarrassing to cause such a big misunderstanding!" "Sorry, it was my fault for saying something irresponsible for fun. Sorry! @Zhou Can, @Yang Chan." The first person who spread the rumor apologized right after receiving the red packet. The farce was finally settled by Zhou Can. "It''s okay, as long as it''s clear!" Yang Chan was probably watching all along. She quickly replied to the classmate who apologized in the group. Seeing that the issue was resolved, Zhou Can sighed with relief. He quickly got up, washed up, helped his roommate clean the dorm, and then bid an unwilling farewell. After arriving at the hospital, he first went to the cafeteria to eat breakfast. Tuya Hospital has a special staff cafeteria that is inexpensive and high-quality with a variety of options. You can eat lots of delicious food without spending much. This is actually very nice. Of course, only hospital staff can enjoy this benefit. Patients and public individuals can only eat at the different cafeteria downstairs. The price and food there are far different. While eating, he looked up and saw Yang Chan who also came for breakfast. And two female doctors were with her. "Good morning, Class Monitor!" Zhou Can greeted her with a smile. "Morning!" Her face expressionless and her tone very cold. What''s wrong with her? Zhou Can wondered. The rumors in the group had already been quelled by him, there was no reason for her to still be upset. In his five years as classmates, she always seemed to be a magnanimous girl. Apart from not dating, there were hardly any faults to pick on her. "Are you still angry about last night?" Zhou Can casually asked. The speaker doesn''t mean it, but the listener reads between the lines. The expressions on the two accompanying female doctors'' faces immediately became ambiguous. A young man and woman, being together at night, definitely implies a special relationship. And only lovers would argue and get angry. They secretly looked Zhou Can up and down. Handsome, with an extraordinary demeanor, especially his inner confidence that added extra charm to him. "Doctor Yang, who is this? Don''t tell me he''s your significant other?" "Hehe, we''ll go to buy breakfast first! You two take your time to chat!" The two female doctors covered their mouths, stole another glance at them both, and left Yang Chan standing there. "You idiot, Zhou Can! Can''t you be careful with your words?!" Yang Chan was so angry she stomped her feet. She blushed from shyness. "Did I¡­ say something wrong again?" Zhou Can looked innocent. Thinking carefully, the words he just said could indeed lead to some wild thoughts. "Wait for me, you two. He''s just an ordinary classmate of mine. The one he''s going to marry is a rich girl well-matched in social status, I am definitely not his type!" She glared fiercely at him and chased after her two female colleagues. Zhou Can was somewhat puzzled. The hearts of women, needles at the bottom of the sea. Why does it sound like she took to heart what he said in the group about matching social status? Even if her family background is average, there''s no need to care so much! If it''s not clear, then forget about it. Rushed to the Emergency Department for work. Yesterday, he earned quite a lot of medical experience points, and today is a brand new day. The gains should be no less than yesterday. Chapter 40 - 34: The Third Advanced Medical Skill Tuya Hospital''s Emergency Department is always so busy, and before eight o''clock, the hallways are already crowded with patients seeking consultation. Many patients who should have registered for a specialist outpatient department, in order to see a doctor earlier, or because the specialist appointments for the day are fully booked, flock to the Emergency Department instead. This further exacerbates the staffing shortage in the Emergency Department. "Dr. Zhou, hurry to the operating room to help, a car accident victim needs emergency surgery." Ye Tingting saw Zhou Can and immediately called him to support the operating room. By intuition, her professional title must not be low. Definitely not at the level of a junior nurse, at least she is a junior nurse practitioner. She seems to have a special liking for Zhou Can. She took good care of him in the operating room yesterday. Jin Mingxi, who entered the Emergency Department with Zhou Can, did not receive this kind of treatment. "Okay, I''ll be right there!" As soon as Zhou Can heard there was a surgery to be done, he immediately perked up. After changing into surgical scrubs, he entered the operating room and saw. Dr. Xu, an unfamiliar resident doctor, an anesthesiologist, and Tang Ling, the instrument nurse, four people in total, were preparing the patient for surgery. "Good morning, Dr. Xu! Good morning to all of you!" Zhou Can took the initiative to greet the four people. The patient''s legs were a mess of blood and flesh. The bloodied trousers had been cut off. Perhaps due to lack of manpower, the instrument nurse was multitasking, disinfecting the area to be operated on the patient. Though in the eyes of doctors, there is no distinction between male and female. But when she disinfected the patient''s perineal area, she was obviously embarrassed. "Let me do it!" Zhou Can took over the forceps from her hand, and disinfected the patient with a cotton swab. "Thank you!" Tang Ling gave him a grateful smile. "Don''t mention it!" When Zhou Can was an intern doctor, he had done this kind of thing a lot. Now, he operated with great proficiency. And soon it was done. "Catheterize the patient." Dr. Xu ordered. This task is usually done by nurses. Holding the catheter, Tang Ling looked at Zhou Can for help. "If I''m present, you can leave this kind of task to me." Zhou Can took the initiative to take the catheter without her asking and skillfully inserted the urinary catheter into the patient. For a patient with serious injuries like this, catheterization has multiple purposes. For example, obtaining urine samples for testing, and monitoring whether the patient urinates normally after surgery, among others. [Congratulations, you have acquired the implantation technique, current experience points, Level 3 1/1000. You can place special materials or medications such as vascular stents, bone nails, springs, etc., into the corresponding tissue parts of the patient.] Zhou Can was stunned for a moment, then overwhelmed with joy. Implantation technique belongs to Advanced Medical Skill. Its practice is extremely difficult. But it is widely used in various high-difficulty precision surgeries, such as cardiac stent placement, vascular balloon implantation, etc. Directly at Level 3, equivalent to a lower level of a resident doctor''s standard, this made Zhou Can very satisfied. If he mastered this medical technique, when he returns to surgery one day, he will surely shock everyone. The fact that he earned the implantation skill just by inserting a catheter truly surprised him. It seems that in the future, he can also eagerly take on these seemingly insignificant tasks. Inserting a single catheter and getting 1 point of implantation experience is incredibly thrilling. It''s as exciting as picking up a hundred-dollar bill on the street. Currently, he has acquired three advanced medical skills; if he can improve them all to the Chief Level, he would then have the capability to undertake some high-difficulty surgical work. "The patient''s legs have already suffered severe fractures. We in the Emergency Department can only do preliminary treatment of the injuries, ensure the patient''s life is safe, make our best effort to save his legs, and then transfer him to surgery." Dr. Xu set the tone for the operation. The Emergency Department simply does not have the conditions to perform all of the surgeries for such patients. Its job is to rescue critically ill patients and do its utmost to save lives. "Dr. Lin''s suturing and ligation skills are much better than Xiao Zhou''s, so Dr. Lin will be my first assistant, Xiao Zhou will assist, and also take on the duties of a circulating nurse." After Dr. Xu assigned the tasks, everyone took their positions. "Ouyang, how are the patient''s vital signs?" "Surgery is viable." Before surgery, it is necessary to hear the anesthesiologist''s opinion. The patient''s blood pressure was obviously low, and the heart rate was too fast. This indicates excessive blood loss. The thigh area contains the Femoral Artery, which can lead to rapid blood loss and death. Currently, it is very likely that the Femoral Artery has been ruptured. Many people may not realize how high the risk factor of a ruptured Femoral Artery is. Everyone knows that if the neck is cut, it is easy to die. In fact, if the trachea is cut in the neck, one does not die immediately. But if the carotid artery is cut, blood will immediately spurt out. The Femoral Artery, like the carotid artery, is directly connected to the coronary artery. Such severe bleeding is very frightening. Only next to being stabbed in the heart with a sharp object. On the contrary, wrist-slashing suicides often seen in TV dramas are not as terrifying in terms of bleeding. In some cases, with strong clotting function or in cold temperatures, bleeding may automatically stop. Dr. Xu carefully debrided the patient''s crushed leg area. A gush of fresh blood spurted out like a fountain. "Hemostatic forceps!" Before Dr. Xu could finish speaking, Zhou Can had already clamped the proximal end of the bleeding vessel with the hemostatic forceps. The Intermediate level Hemostasis Skill of a resident doctor is not given for free. The first assistant, Doctor Lin, looked at Zhou Can with a slightly surprised glance. "I heard that two strong recruits came to the Emergency Department, and I didn''t quite believe it. Having witnessed Dr. Zhou''s hemostasis skill, now I am convinced." As soon as a master makes a move, one knows if they have it or not. Zhou Can showed off his Hemostasis Skill and immediately won the respect of Doctor Lin. Surgery isn''t like writing papers. Many chief physicians spend money on buying papers or even projects in order to push for a sub-senior professional title or find various other means to lower the difficulty of obtaining it. Eventually, even if they do get the title, you can imagine the level of their actual skills. They only get an empty reputation while their actual expertise is shallow. However, you can''t fake surgical skills. If you''re competent, you''re competent; if not, it becomes apparent immediately. "I dare not accept the title of a master. I hope for Doctor Lin''s continued support in the future." Zhou Can lowered his posture as much as possible. For newcomers, the lower the profile the better. As long as you silently accumulate Experience Points, it won''t take long before you can leave opponents like Doctor Lin and Jin Mingxi far behind. "Now that we''ve found the source of bleeding here, Doctor Lin, you clean up the wound over there. Xiao Zhou, maintain the hemostasis posture, and I''ll do the vascular anastomosis." This is a Femoral Artery anastomosis, and although it is not too difficult, it''s quite a test of the doctor''s anastomosis level. Dr. Xu didn''t feel entirely comfortable letting Doctor Lin handle it. He chose to do the anastomosis himself. Zhou Can looked on enviously, but unfortunately, his current anastomosis skill was only at the lower level for resident doctors. If he could improve to an outstanding level for resident doctors, he should be capable of performing the Femoral Artery anastomosis. The patient''s other leg had muscles and bones destroyed from within, but the epidermis was still connected. Doctor Lin carefully incised the epidermis. Only to see that the muscles underneath were already rotten. There were hematomas and contusions everywhere. Even some bone fragments. It was terrible. The victim must have been run over by the rear wheel of a large truck directly over both legs. On the other side, there was a hole in the Femoral Artery. It was spurting out blood. Zhou Can had to use his mind for two purposes at once, freeing his left hand to hold the hemostatic forceps and control the bleeding point. "Thank you!" Without Zhou Can''s help, Doctor Lin wouldn''t have been able to operate by himself. The ruptured Femoral Artery needed to be repaired. "Dr. Xu, the Femoral Artery over here is also ruptured. The situation is still okay. Could you let me handle the repair?" By asking this, Doctor Lin more or less revealed his suturing skill level to Zhou Can. At best, it wouldn''t exceed the outstanding level of a resident doctor. It seemed that the gap between him and Doctor Lin wasn''t that big. Currently, Zhou Can''s suturing skill level was at the lower level for a resident doctor. With just a month or so in the operating room, it might be possible to surpass Doctor Lin. While others took a step-by-step approach to improving their medical skills, which was slow going, Most surgical resident doctors would need at least five years to elevate their suturing skills from a lower to an outstanding level. And that is under the condition of having sufficient surgical volume. If they only get a chance to stitch once every three or four days and are not diligent in practicing privately, they might not reach the outstanding level even after seven or eight years. So in comparison, Zhou Can''s advantage was quite significant. "You can give it a try. Keep the suturing intervals tight and consider the arterial pressure." Dr. Xu agreed. On one hand, he was really too busy. On the other, he tended to delegate authority for anything that wasn''t particularly high risk to his subordinates to help them grow rapidly. "Understood." Doctor Lin nodded and quickly began to repair the ruptured Femoral Artery vessel. It was also fortunate that the skin was intact, protecting the vessel and preventing it from being too badly damaged. Otherwise, repairing the blood vessel alone would be very troublesome. "Doctor Lin''s suturing level should be at the intermediate level for a resident doctor." After watching Doctor Lin''s vessel repair, Zhou Can felt assured. It seemed that it wouldn''t take too long to surpass Doctor Lin in suturing skills. With a bit of proactivity, maybe even ten days to half a month would be sufficient. "Xiao Zhou, for a large arterial anastomosis, apart from ensuring the suturing intervals are fine, you also need to ascertain whether the vessel has been damaged. Like this one; it must be cut out. If after cutting, the two segments of the vessel are too far apart with too much tension, you must not force an anastomosis. You can take a segment of the great saphenous vein or use an artificial vessel instead." sea??h th§× N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. "Generally, it''s best to consider using the patient''s own vessels. Although the artificial vessel technology is very mature, it''s still a risk. Especially when operating on young patients, you have to consider that they have many more decades of life ahead. Whenever replacing any organs or tissues with artificial counterparts, utmost caution is required." While operating, Dr. Xu meticulously passed on his valuable surgical experience to him. "Got it." Zhou Can nodded, his attitude was extremely sincere. Being eager to learn was one of his major strengths. Meanwhile, in the operating room, Jin Mingxi and Dr. Lu had entered one after another. It was time for the shift change. Doctor Lin was on night duty, while Dr. Xu and Tang Ling had been called by the hospital and came to help out. About twenty minutes later, Dr. Xu had successfully completed the anastomosis of the severed Femoral Artery. Doctor Lin was still busy. Differences in skill level are reflected in the speed of the surgery. Skillful surgeons not only complete surgeries quickly but also provide notably high quality. "Xiao Zhou, release the hemostatic forceps on this side to test the blood flow." Zhou Can slowly relaxed the hemostatic forceps. Instead of rashly letting go immediately. From this detail, one can tell that his hemostasis skill level was quite good. True expertise is not only shown through superb artistic proficiency but also requires careful attention to many other details. With such a major artery, just after successful anastomosis, suddenly releasing the hemostatic forceps. It''s equivalent to opening all the gates at once during a floodgate release. It could easily lead to adverse consequences. Chapter 41 - 35: A Great Teacher Produces Outstanding Students As Zhou Can slowly released the hemostatic forceps, the previously shriveled blood vessels began to fill. Following this, the patient''s right lower limb started to gradually regain coloration. It was no longer pale. "Blood circulation is smooth; the anastomosis is very successful." Smiles blossomed on everyone''s faces. For doctors, there is nothing more gratifying than witnessing the improvement of a patient''s condition. Restoring blood flow in the lower limbs also signifies a greatly increased chance of saving the patient''s leg. From a medical standpoint, if blood flow is blocked in a limb, it might result in death within about 20-30 minutes. If it''s cerebral ischemia, it''s even more terrifying. Brain death could occur in just four to five minutes. Even if saved, there''s a high probability of becoming a vegetative state or intellectually disabled. "Doctor Lin, is the anastomosis almost complete?" Dr. Xu asked. "Almost, give it another five or six minutes." Doctor Lin was intently repairing the damaged arterial blood vessels. "Given the patient''s current condition, moving the patient is not advisable. Please have a surgeon come over for consultation to see if the surgery can be completed right here." What the Emergency Department can do is initial life-saving work. Once the patient''s vital signs stabilize, they are handed over to specialized departments for further treatment. In the long wait, Doctor Lin finally completed the repair of the blood vessels. "Let''s test the blood flow!" Doctor Lin, after speaking to Zhou Can, looked with anticipation at the repaired blood vessels and the patient''s left lower limb. Zhou Can was still slowly releasing the hemostatic forceps. You could see the shriveled blood vessels gradually being expanded by the incoming blood. However, the color of the lower limbs remained pale. After watching for dozens of seconds, Doctor Lin looked nervously towards Dr. Xu. "Don''t worry, I think the blood flow is relatively smooth. The slow return of blood in the left lower limb could be for two reasons. First, the repaired blood vessels have narrowed, reducing blood supply to the lower limb. Second, excessive blood loss from the injury has resulted in low blood pressure, leading to insufficient blood supply to the extremities." Dr. Xu appeared very calm. Not panicking at all. Senior doctors can manage more complex surgeries not only because of their superior medical skills but also because they have stronger mental resilience in crisis situations. Coupled with richer experience, they can provide the correct solutions in a shorter time for sudden complications. In short, a doctor''s growth is quite challenging. Including academics, medical skills, experience, mental strength... many aspects. "Xiao Zhou, watching us perform vascular anastomosis, have you learned anything?" Dr. Xu asked him privately. This made other doctors and nurses enviously look at him. It was clear that Dr. Xu favored this new trainee. Sear?h the ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. "I''ve learned a lot, such as ensuring that there''s no air left inside the blood vessels in the final stage of anastomosis. Also, to what extent damaged blood vessels should be removed, and how to extract the great saphenous vein, etc. Apart from medical techniques, your composure in the face of crises also greatly benefited me." Zhou Can roughly shared his learning experiences. "Hehe, you even manage to learn the psychological quality of senior doctors, I admit defeat to you." The usually strict Dr. Xu showed a rare smile. "If it were you doing the repair on the artery that Doctor Lin just fixed, how would you proceed?" During the procedure, Dr. Xu had imparted many skills to him. Had Zhou Can genuinely absorbed it? Could he put it into practice? This was what Dr. Xu cared most about. He disliked those who were all talk and no action. "If it were up to me to repair, I might choose a triangular anastomosis. The reasons are twofold: a circular anastomosis isn''t as firm, and a triangular anastomosis is stronger. Secondly, it perfectly avoids a small damaged part of the vessel wall, removing it. This can maximize the prevention of narrowing of the vascular lumen, or even secondary rupture." Zhou Can gave his view. Doctor Lin felt a bit ashamed after hearing this. Although his suturing level was higher than Zhou Can''s, he clearly wasn''t as flexible in applying surgical strategies. "Not bad, it seems that my teaching was not in vain. It might still be a while before the surgeon arrives, so you can anastomose these two small saphenous veins." This was clearly providing Zhou Can an opportunity to practice. Even if he messed up, there wouldn''t be too much risk. Dr. Xu was watching. He could always step in if needed. Zhou Can was thrilled; he relished any opportunity to earn Experience Points. He had just learned a wealth of vascular anastomosis techniques and key points, and now he could practice on a patient. This is definitely what every early-career doctor dreams of. Because this method of combining learning with practice can double the effectiveness of the learning. Many people only know about famous teachers producing outstanding students. But they don''t know why disciples taught by famous teachers are so impressive. Besides the high level of the famous teachers themselves, the most important reason is that these teachers can provide their disciples with various real combat opportunities. For example, the current venous blood vessel anastomosis, ordinary residents yearning for such an opportunity is just wishful thinking. ¡­ After about twenty minutes, an orthopedic attending physician hurried over. "Old Xu, is this the patient?" He nodded at Dr. Xu, which counted as a greeting. His gaze then fell on the patient. "Right! The patient''s legs have been severely crushed by a vehicle. The Femoral Artery has been temporarily attached, the remaining surgery will probably have to be handled by your department. Personally, I suggest if your specialists could finish the surgery here and then transfer the patient to the ward?" Dr. Xu briefly explained the situation. Zhou Can was still intently performing the venous anastomosis. His speed was very fast; he has just successfully completed one. The one he is doing now is more complex, requiring cutting off a small damaged section before anastomosis. "The conditions in your operating room are quite basic, and bone connection and repair are complicated; it can probably only be done in our orthopedic surgery room. Also, the patient''s thigh muscles and bones are severely damaged; it''s hard to say whether his legs can be saved. You are the primary physicians, it''s essential to communicate this point with the family. Also, the medical costs will be high, the family must make a clear decision on whether to save the legs or amputate." These kinds of crush injuries easily lead to necrosis in the leg muscles and skin. It''s hard to tell just with the naked eye. Only after the surgery and observing for a few days can the final conclusion be drawn. "Well then, after we communicate well with the family, we will transfer him to your orthopedics for further treatment." Dr. Xu did not say much more. He was just an attending physician in the Emergency Department, with limited capabilities. Many things were beyond his control. Before leaving, the orthopedic physician glanced at Zhou Can who was still stitching. "Is Old Xu preparing to train a successor?" "What successor could I possibly have? Being an attending is my endpoint." Dr. Xu spoke with a hint of desolation. "Old Xu, to say something you might not like to hear. The environment and conditions of the Emergency Department are simply not conducive to training highly specialized talent. You would be better off letting go of some of your fixations and switch to emergency and critical care. With your talent, you actually might achieve something." The orthopedic attending seemed to know about Xu''s past as well. Zhou Can became even more curious, Dr. Xu''s medical skills were clearly not weak, why was he assigned to manage in the worst department, the Emergency Department? What exactly had happened back then? "What talent can I possibly have, I''m already a has-bean." Dr. Xu sneered at himself mockingly. "Don''t ever say that, at least to many doctors in our surgery department, you are still the legendary Xu Yidao. Anyway, I must go now!" The orthopedic physician waved his hand and quickly left. Orthopedics doctors are probably some of the busiest clinical physicians in departments. At that moment, Zhou Can finally completed the second venous vessel anastomosis. [Stitching Experience Points +1, Ligation Experience Points +1, Anastomosis Experience Points +1.] Earning Experience Points is simply flying. Anastomosing two venous vessels earned him 30 stitching Experience Points, 4 ligation Experience Points, and 2 anastomosis Experience Points. The orthopedic physician said that the Emergency Department could not train highly skilled doctors, Zhou Can disagreed. At the current rate of progress, it might take less than three years for the Emergency Department to produce a top-class surgeon. After completing the anastomosis, Zhou Can tried to restore blood flow. Not bad. At least the anastomosis was successful. Dr. Xu carefully inspected it and then said, "The method of anastomosis is correct, but the level of stitching still needs improvement. For example, here, due to your inadequate suturing, the internal lumen of the blood vessel has become narrowed. Also, this should have been chosen as the starting point for suturing. You must pay attention to these details in the future." Having Dr. Xu point out issues in the stitching one by one was of great benefit to Zhou Can. Being involved can cloud one''s judgment, while an observer sees clear. Many problems are hard to notice on one''s own, having a wise teacher outright point them out can prevent taking a longer path. "Doctor Lin, go and communicate with the family again. Tell them that the massive bleeding of the patient''s legs has been controlled, but now he needs to be transferred to orthopedics for further treatment. The cost to attempt to save the limbs would be at least 200,000, and there is a chance of failure. After understanding the family''s wishes, we can then proceed with the next step in treatment." Doctors can only give diagnostic suggestions. How the patient and their family ultimately decide is not something doctors can interfere with. Zhou Can had seen families opt for withdrawal of care over a mere 20,000 yuan treatment cost. The injured person was about fifty years old. Judging from his attire and his sun-darkened skin and rough hands, his family was likely not wealthy. Whether they would choose to spend hundreds of thousands to save his limbs was still very much in question. Everyone patiently waited for the result of Doctor Lin''s communication. Chapter 42 - 36 The Most Expensive Doctor to Bribe For family members, the greatest fear is losing both their loved one and their money. Doctor Lin quickly returned after going out for an emergency communication with the family. "The family requests the hospital to do everything possible to save the limb." Hearing this result, everyone still felt quite relieved. At least their efforts were not in vain. "Alright, immediately transfer the patient to the orthopedic department to receive further limb-saving surgery!" Everyone worked together to carefully transfer the patient from the operating table to the transport stretcher and then to the orthopedic department. Sear?h the NovelFire.net* website on Google to access chapters of novels early and in the highest quality. "Dr. Xu, I will clock out after I transfer the patient." Doctor Lin had already reached the end of his shift, but he couldn''t leave until this patient was taken care of. "Mm, alright! Xiao Zhou, help with the escort!" Dr. Xu, not feeling reassured, asked Zhou Can, who was meticulous in his work, to accompany him in escorting the patient. "Goodbye, everyone!" The anesthesiologist packed up his things and left with style. They belong to the anesthesiology department, providing anesthesia support for all clinical departments. It feels like anesthesiologists are like the wandering heroes of legend, appearing wherever they''re needed. As Zhou Can and Dr. Xu pushed the patient out of the operating room, nurse Ye Tingting was already waiting for them with the patient''s files. The family members immediately surrounded them. There were only two family members. The middle-aged woman, dressed in plain clothes and with wrinkles at the corners of her eyes and forehead, must be the patient''s wife. Her eyes were swollen like peaches, brimming with tears. The other family member was a girl of about seventeen or eighteen. Wearing faded jeans, a cheap white T-shirt, white canvas shoes, and a clean, neat ponytail. The young girl was especially pretty and genteel, probably still a student. Her eyes were also red, tears swirling in them, she bit her red lips and looked at the patient with a face full of sorrow. "Dad!" She rushed to the transport stretcher, calling out to her relative. "The patient has just awakened from anesthesia and is very weak, so he is currently unable to communicate with you. To save the limb, he must be immediately sent to orthopedic surgery." Zhou Can felt especially sympathetic towards this family, but there was very little he could do to help them. The middle-aged woman spoke in dialect, pulling her daughter to the side. Mother and daughter had just stepped aside when a man dressed in a complete Adidas tracksuit approached them with a smile. "Doctor, can his legs be saved?" "Who are you to the patient?" Zhou Can glanced at the man warily. The fact that this man could smile meant he definitely was not a family member. "I am the driver at fault, please have a smoke." The man took out a pack of cigarettes from his pocket, skillfully sliding two out, ready to offer them around. "Smoking is not allowed inside the hospital, please put it away. It''s too early to say whether the patient''s legs can be saved. But rest assured, our hospital will definitely do everything in our power." Zhou Can internally noted that this driver at fault still had some conscience, showing concern for the patient. "Doctor, I mean just in case, right, just in case the limb cannot be saved, what will happen then?" "Then we can only amputate to save his life." Zhou Can answered patiently. "Can you tell me, what''s the success rate for saving the limb?" After a silence of over a dozen seconds, the man asked again. "I can''t give you an answer to that. All I can say is, we will do our utmost to save the patient''s limb." Zhou Can felt particularly speechless when patients or their families asked similar questions. Doctor, can my disease be cured? Doctor, how many days will it take for my disease to get better? ... No doctor could give an accurate answer to these kinds of questions. The man probably also saw a hint of impatience in Zhou Can and did not continue to pester. Zhou Can and Doctor Lin quickly transferred the patient to the orthopedic department. At that time, the driver at fault pulled Zhou Can to the side, whispering conspiratorially. "Doctor, I think his legs are most likely not going to be saved. How about you just tell the family that amputation is the only option, what do you think?" Zhou Can rolled his eyes, rejecting the proposition immediately without a second thought. "Sorry, we can''t do that." The driver at fault was surely worried that after the limb-saving treatment, the patient would still end up needing amputation. In that case, he''d be liable for treatment costs amounting to hundreds of thousands. By insisting on amputation directly, followed by a one-time compensation, it would be most beneficial to him, the driver at fault. But what he didn''t consider was that amputation means the patient would spend the rest of his life in a wheelchair. Daily life would be greatly inconvenienced, he would be unable to take care of himself, and he would have to constantly endure the immense pain of losing both legs. Such dual suffering of body and spirit is enough to drive many people to despair and ultimately consider suicide. This driver at fault really had a dark heart. "Doctor, if you help me with this, I''ll give you twenty thousand." The man named his price. "Don''t worry, I can give you the cash directly and ensure no one knows about it." "Why do you think I would take your money?" Zhou Can looked at the man with an amused expression. "Uh... I thought since you look handsome and seem affable..." Zhou Can interrupted the man''s painstakingly crafted flattery. "I want to hear the truth!" Caught in his act of brown-nosing, the man chuckled dryly. "Because you''re a resident doctor, your level is quite low and your income isn''t high. Using money to sway you is easier." The man finally spoke the truth. "You should say, I''m at a low level, so it''s very cheap to bribe me." Zhou Can ruthlessly exposed him once again. "Ha ha, you''re really humorous. However, I hit someone this time, and since I only bought compulsory insurance, the insurance company won''t pay much, so I''m in a terrible situation. I might have to compensate the victim several hundred thousand. Getting things settled for the least amount of money is ideal." The man began to play the sympathy card in front of Zhou Can. "It''s a nice thought, but have you considered the victim at all? First, what you''re doing is illegal, and second, doesn''t your conscience hurt? Give it up." After saying this, Zhou Can turned and walked away. "Hey hey, doctor, if the amount is too little, I can add more. How about another ten thousand, making it thirty thousand? You can just give ten thousand to the other doctors, they will surely agree. You can easily make twenty thousand, why not do it? I see you''re so young, and your accent doesn''t sound local¡ªfor the future, buying a house, getting married, you''ll need money." The man took a few steps forward and grabbed him. "I''m sorry, but you''ve certainly misjudged." Zhou Can''s impression of the man had already couldn''t be worse. "What do you mean?" The man was puzzled. "You''ve sought out the most expensive doctor to bribe. Offer 3 million, and I might consider it." Personally, he had a net worth close to ten million, wealthier than the average department head. Trying to bribe him was indeed choosing the wrong target. After saying this, Zhou Can left without looking back, leaving only the man with a crestfallen expression. To bribe Zhou Can with 3 million¡ªwould there even be a need for bribery? The treatment costs and disability compensation for the victim would at most be around one or two million. The man failed to bribe Zhou Can and then quietly pulled Doctor Lin to the side. Any doctor with a bit of conscience would never agree to this. Zhou Can quietly observed the two of them. He saw Doctor Lin say something angrily and promptly returned. From this, one could say that Doctor Lin''s character was quite good. This little incident gave Zhou Can a good impression of Doctor Lin. They completed the handover of the patient, and Zhou Can glanced at the pitiful family members. "Auntie, don''t worry too much, have confidence in the doctors. I believe your husband will stand up again." "Thank you, doctor." The middle-aged woman was grateful enough to thank Zhou Can with a raspy voice. "Young lady, you''re still in school, right?" Zhou Can''s gaze turned to her daughter. "Mhm! Sophomore in college." "Being a college student is great, you''re educated and perceptive. You should be involved in making decisions. Never give up easily; encourage your father more." There were some things Zhou Can found inconvenient to say explicitly. But he believed that with his advice, the family would be more determined to request limb salvage. This way, even if the man bribed other doctors, no one would dare to amputate the victim''s limb ignoring the family''s wishes. "I will." She was na?ve and seemingly unaware of the deeper meaning in Zhou Can''s words. She thought this young doctor was just being compassionate and encouraging her. Zhou Can had nothing more to do here. He went straight back to the Emergency Department. "Dr. Zhou!" Doctor Lin quickened his steps to catch up with him, giving him a thumbs up. "Aren''t you making the same choice?" Zhou Can winked at him. "Ha ha, birds of a feather flock together! I have to go back to the Emergency Department office to hand over some work, let''s go together." Doctor Lin took the initiative to invite him. "Isn''t this walking together!" Zhou Can squeezed his brows and smiled. "Ha ha, not only are you highly ethical, Dr. Zhou, but you are also a witty man. I heard you ranked first in the residency exam, so why did you come to this godforsaken Emergency Department? With your talent, you should be developing in top departments like Neurosurgery, Cardiothoracic Surgery, Cardiology, and Neurology." He was treating Zhou Can as a friend, which is why he spoke so candidly. Doctor Lin had been in Tuya Hospital for many years and knew exactly which departments were good and which were not. "I''d love to go, but what can I do if they don''t want me!" Zhou Can shrugged, laughing self-deprecatingly. "Those department heads not choosing you, that''s their loss. You''re just in your residency phase anyway, so spending three years learning from Dr. Xu is not worse than staying in those heavyweight departments." Doctor Lin realized he had touched on Zhou Can''s sore spot and quickly offered comfort. "Dr. Xu is indeed very skilled medically; I''m curious, how come he''s just an attending physician in the Emergency Department?" Zhou Can had been curious about this for quite some time and seized the opportunity to inquire. As for not being chosen by the heavyweight departments, he no longer cared. He was continuously improving his medical skills in all aspects, and he believed he would eventually make a splash. Chapter 43 - 37: Fainting Pregnant Woman "Dr. Xu''s past, I''m not very clear either. I''ve only been at Tu Ya for five years. I only know that Dr. Xu seems very influential in surgery, at least a lot of attending surgeons particularly respect him. Even some deputy directors and chief surgeons are very polite to him. Even our Emergency Department''s Director Lou and Deputy Director Han don''t have that much face." This would suggest that Dr. Xu could possibly have been a major figure in surgery. Perhaps he offended some powerful individuals or made a mistake, and was relegated to the ''cold palace'' of the Emergency Department. Zhou Can speculated silently. "There''s another interesting incident. Once, the Emergency Department received a severely injured patient who needed urgent surgery. Several director-level physicians showed up, but eventually it seems they asked Dr. Xu to perform the most critical part of the surgery." This was another sensational piece of news. Any of these director-level physicians could become the ace of a prefecture-level hospital. Yet, it was Dr. Xu who managed the part of the surgery they couldn''t handle. What kind of skills does Xu Yidao, who has created legends, really have? Zhou Can was becoming more and more curious about him. "Although Dr. Xu is somewhat strict, he is actually quite nice to people, and his expertise spans multiple areas of surgery. I wanted to become his student as early as two years ago. He said my talent was poor, but staying in the Emergency Department wasn''t a bad thing. Occasionally, he would guide me through some surgical techniques. Unfortunately, my comprehension is limited, and my surgical thinking isn''t very flexible, so my improvement has been slow. But I still feel that, having been in the Emergency Department for two years, my surgical and diagnostic abilities have greatly improved under Dr. Xu''s guidance." Doctor Lin said this with a satisfied smile on his face. For him, being less gifted, such improvement was very fulfilling. "Dr. Zhou, I know you might find this too forthcoming, but don''t mind me saying. I see that Dr. Xu values you highly, you should seize this opportunity and learn earnestly from him. Your talent far surpasses mine, and I believe if you follow Dr. Xu for a few years, you will achieve significant progress." Doctor Lin said sincerely to him. "Thank you, Dr. Lin, for your valuable advice. Rest assured, I am not the type to aim too high without foundation. From the moment I joined the Emergency Department, I resolved to commit myself here. Having a mentor as excellent as Dr. Xu is my greatest fortune. I will cherish this opportunity." Zhou Can, who joined the Emergency Department deemed a ''cold office'', was fortunate to receive close guidance from a superior who was on par with a chief surgeon. He was already content. Even if he joined a more prominent department, given his qualifications, it was unlikely that a chief surgeon would pay him such attention. ... Back in the Emergency Department, in the operating room, only Dr. Lu, Jin Mingxi, and Tang Ling were performing surgery on a patient. The patient''s palm was cut by a sharp tool, and they were cleaning and suturing the wound. Without an attending doctor present, Dr. Lu could only perform Level 1 surgery. "Dr. Zhou is back! Your master asked you to go to the resuscitation room first; it seems a comatose pregnant woman needs to be saved," Tang Ling told him. "Dr. Xu is just his superior, not his master. Don''t assign roles recklessly," Dr. Lu, visibly jealous, took this opportunity to rebuke Tang Ling under the guise of criticizing. In the operating room, the lead surgeon has absolute authority. When the tiger is away, the monkey becomes king. With Dr. Xu absent, Dr. Lu''s status is the highest. He is the lead surgeon. Despite being able to only perform Level 1 surgeries, he still holds considerable sway. Zhou Can ignored his disgruntled comments and directly walked out of the operating room. Heading straight to the resuscitation room. Outside the room stood a very elegantly dressed, distinguished-looking elderly lady, anxiously peering inside. Upon entering the resuscitation room, Zhou Can saw Director Lou and Dr. Xu present, along with two other somewhat familiar senior doctors. He had seen them a few times during his intern phase in the Emergency Department. The skinny, tall, middle-aged male doctor with a slightly hunched back is the deputy director of the Emergency Department ¡ª Han Changqing. Despite his unimpressive appearance, he is the chief physician of the internal medicine department in the Emergency Department. Of course, there might be some inflation in such a title. But to be rated as a chief physician at Tu Ya, even inflated credentials couldn''t be that bad. The other, of medium build and slightly plump, with brown curly hair, is a comprehensive attending physician of the Emergency Department. What does comprehensive mean? It means she can diagnose and treat diseases across internal, external, obstetrics, and pediatrics. However, given the limitations of personal energy and time, it''s almost impossible to master all these disciplines at once. She is most likely a jack of all trades, master of none. The gathering of so many directors and attending doctors in the resuscitation room was rare, indicating a particularly critical situation with the patient. "Hello Director Lou! Hello to the other teachers!" Zhou Can actively greeted everyone. Deputy Director Han Changqing gave him a glance, frowned, and said, "Why has an intern come in?" His tone hinted at displeasure. The situation with the pregnant woman was dire and not progressing, and he was annoyed. Having an intern come in, wasn''t that just adding chaos? "It was me who called him here." Dr. Xu spoke indifferently. Even when facing the department''s deputy director, Dr. Xu still stood firm, unwavering. Zhou Can suddenly felt that as long as one truly excels, even just being an attending physician could be incredibly impressive. Be it Dr. Xu calling Deputy Director Liu directly as an equal, or the way the orthopedic attending physicians worshiped and respected him, or even the way he now confronted the deputy director with an indifferent tone, it was all deeply admirable. "He is Zhou Can. I picked him up yesterday. He was the top in overall training scores, and since coming to the Emergency Department, his performance has been remarkable. Including him in the diagnosis is also a way of training newcomers!" Director Lou also spoke up for Zhou Can. Deputy Director Han, who originally didn''t even bother to give Zhou Can a proper look, now turned his head to seriously examine this trainee who had caught the favor of two major figures in the Emergency Department. "Are you Zhou Can?" The way Deputy Director Han asked this... was somewhat foolish. Director Lou had already introduced him. And yet he asked like this. It was nothing more than an arrogant display, intending to establish his status as the deputy director of the department and head physician of internal medicine in front of Zhou Can in a way that was half-intimidating, half-warning. "You can just call me Xiao Zhou." sea??h th§× N?velFire.n§×t website on Google to access chapters of novels early and in the highest quality. Zhou Can had just joined the Emergency Department and was still in a learning phase. Naturally, he wouldn''t offend the deputy director over such a small matter. Lowering his stance was definitely a display of high emotional intelligence. When Zhou Can grows in the future, it will be Deputy Director Han''s turn to look up to him, the junior. "I heard your performance was outstanding yesterday, truly a promising talent! Since both Director Lou and Dr. Xu think highly of you, I''ll give you a chance to observe and learn from our diagnostics up close. Cherish it, as normal residents don''t get this treatment!" Deputy Director Han''s words were filled with a condescending seniority. It made him seem particularly arrogant and conceited. Zhou Can didn''t even want to talk to someone like that, merely nodding in response, then he stood behind Dr. Xu. "Take a look at this data first." Dr. Xu unapologetically took the data and handed it over to Zhou Can. This action caused Deputy Director Han and the other general attending physician to take another look at Zhou Can. "Heh, Dr. Xu seems really attentive to this new trainee here!" "Mainly because the kid is timid, if I didn''t hand it to him, he definitely wouldn''t dare to take it from you all on his own." Dr. Xu''s explanation was spot on. Zhou Can quickly started reviewing the patient''s records and X-rays. With so many senior doctors present, he couldn''t monopolize the data all the time. The time given to him was limited. "Patient, female, 36 years old, 24 and a half weeks pregnant, has a history of hypertension, felt uncomfortable and gradually lost consciousness during a taxi ride to her parents'' house. Upon arriving at the hospital, it was found that her heart rate was as high as 180, her blood pressure was 192/120mmHg, and fetal heart monitoring showed weakness..." Patients with hypertension are already a high-risk group. Pregnant patients with hypertension are even more terrifying. Moreover, the patient being over 35 years old belongs to the category of advanced age maternity. All these data were enough to send chills down any medical professional''s spine. A systolic pressure above 180 is classified as Level 3 hypertension, the most severe level. The patient''s systolic pressure reached 192. It''s hard to imagine, she managed to make it alive to the hospital. Preliminary abdominal and pelvic ultrasounds were done, head CT scan as well. Blood tests are standard for such critical conditions but the results were not yet out. The urinary catheter wasn''t inserted yet, so no urine samples were available, and it seems urine hadn''t been tested yet. After reviewing all the data, Zhou Can returned it to the table in the resuscitation room. This awareness and timing somewhat endeared him to the senior doctors. If he, a trainee, kept holding onto the data to study, it would likely irritate the senior doctors. After all, Zhou Can was there to learn as part of this diagnostic session. Frankly, he was just a supporting role. No one expected him to contribute anything significant to this diagnosis. Deputy Director Han, the only head physician of internal medicine in the Emergency Department, was the absolute main force of this diagnosis. At this moment, he had already circled around the resuscitation bed three times, seemingly with no intention of stopping this ''confusing'' behavior. Director Lou was the first to lose patience. "Old Han, you are the only one in our Emergency Department with deep knowledge in internal medicine, have you figured out anything yet?" Chapter 44 - 38 Alternative Diagnostic Approach Deputy Director Han stroked a few strands of gray hair on his forehead, his brows deeply furrowed. "Based on the current examination results and the patient''s symptoms, there are no issues with vital organs such as the heart, liver, and lungs. Liver and cardiovascular diseases can be largely ruled out as anomalies or pathological changes. The head CT scan shows a possible aneurysm near the brainstem. Additionally, intracranial pressure monitoring reveals levels significantly above normal. Therefore, I believe the cause of the patient''s fainting lies in the head." After giving his diagnostic opinion, he seemed somewhat unsure, as if afraid of being contradicted. His gaze then turned to the brunette attending physician, Doctor Ai, "Because of the special condition of this patient, who is a pregnant woman carrying a child, you have more experience in handling emergency cases for pregnant women. What is your opinion?" The Emergency Department is a high-intensity work environment. Most female doctors simply can''t withstand it. Not to mention anything else, just the night shifts every two days are enough to be unbearable for many doctors over 35. Doctor Ai, possessing a wealth of comprehensive diagnostic experience and being a rare female doctor in the backward Emergency Department, is as precious as a treasure. "There''s no risk of diseases like uterine fibroids, bleeding, or placenta previa in the pregnant woman, and I also lean toward the diagnosis that the cause of syncope is in the head. Her blood pressure is so high, like a powder keg that could be ignited at any moment; we need to find a way to get it down quickly. Also, the fetal heart rate has dropped from 116 to 105 within the short span of a few minutes since she''s been admitted, which is extremely dangerous." She used the word "extremely" twice to alert everyone that the fetus''s situation was even more critical than the adult''s. Several senior doctors felt disheartened, and their expressions turned even more grave. Specialization is key. Deputy Director Han had diagnosed the general area of the pregnant woman''s pathology, but Doctor Ai discovered that the fetus was in great danger. That''s why, when faced with patients with complex conditions, it is necessary for doctors from multiple departments to perform a joint consultation. Each person has different strengths; by combining them, they can complement each other and prevent major oversights. Just then, Director Lou''s phone rang. Being interrupted by a phone call at this time, he showed a hint of impatience, took out his phone to take a look, and then his expression changed dramatically. His demeanor became extremely respectful. He quickly swiped the screen to answer the call, standing up straight. From his reaction, one could guess that it certainly must have been a leader or an important figure calling. "Dean Zhu, hello, this is Lou Jingshan from the Emergency Department. Please instruct." "Understood, we will do our utmost to save her." "Currently, the cause is not clear and has only been preliminarily identified as a possible issue with intracranial vessels. The fetal heart rate of the pregnant woman''s baby has already fallen below 110, which is quite dangerous." Director Lou gave a brief report of the situation to Dean Zhu. In our country, the normal range for fetal heart rate is between 120-160. A fetal heart rate below 110 is already quite serious. "Understood!" After the brief call, Director Lou put his phone back into his pocket. "This pregnant woman''s status is no small matter; Dean Zhu has ordered us to spare no cost or effort in the rescue. Internal Medicine, Neurosurgery, Obstetrics, and other departments will soon send people over for support. Everyone, our Emergency Department has always been looked down upon by other departments; let''s all put in extra effort to find the cause of the illness before the other departments arrive. Otherwise, we''ll once again be subjected to their ridicule." Just what kind of background does this patient have? She was even able to have Dean Zhu mobilize doctors from three of the most elite departments to come to her aid. Director Lou picked up the patient''s file and looked through it again. "Go and urge the laboratory again. Blood test results are also a very important reference." "Okay." Ye Tingting ran off to expedite the blood test results. Patients who get personal attention from Dean Zhu are either rich or of high status. This kind of wealth doesn''t refer to owning tens of millions or hundreds of millions, but immense wealth. Ordinary millionaires or billionaires seeking treatment at Tuya Hospital wouldn''t even disturb someone of Dean Zhu''s caliber, not to mention getting a department chair to engage with them. Usually, individuals with a net worth in the billions would have a certain influence in both political and business circles. It''s quite normal to know a few powerful officials. The background of this pregnant woman is much more significant than that of a billionaire. Who would dare to neglect her? The senior doctors started working at full capacity, wishing they could cure her immediately and earn significant credit. This is a good opportunity to gain both fame and fortune. Zhou Can, on the other hand, didn''t care about credit, nor did he think about sucking up to anyone. He was obsessively determined to earn those few points of diagnostic experience. Following Dr. Xu in the Emergency Department''s operating room the past couple of days, his surgical experience points soared. But opportunities to earn diagnostic experience points were exceedingly rare. Because Dr. Xu neither held consultations nor was he anywhere else but the resuscitation room or the operating room. Zhou Can''s gaze fell upon the pregnant woman, whose highly raised belly indicated that the fetus was receiving quite good nutrition. Sear?h the n?vel_Fire.¦Çet website on Google to access chapters of novels early and in the highest quality. He had already gone over the pregnant woman''s examination data many times in his mind. The diagnostic opinions from Director Han and Doctor Ai were as good as saying nothing. Because the cause of the patient''s illness had still not been found. Zhou Can walked over to the patient''s bed and lifted the pregnant woman''s shirt to examine her abdomen. There were many stretch marks already crawling across it. Their color seemed rather light. Indicating that these stretch marks had not appeared long ago. Theoretically, this older pregnant woman should be having her first pregnancy. At 36 years old, women who married early are nearly grandmothers. For her to be pregnant with her first child at such an advanced age, there are only two possibilities. The first, she is a public figure, pursuing a career. For instance, a female celebrity, or a high-ranking executive at a large company, and so on. The second, there are underlying health conditions, precluding pregnancy. Or she had consistently failed to conceive. Which case it might be, Zhou Can felt it necessary to clearly understand. The pregnant woman was currently in a comatose state, utterly unable to answer his questions. He wondered if that elderly lady outside could be her family member? Zhou Can stared at the woman''s face for a moment, feeling that the old lady outside bore a slight resemblance to her. "Dr. Xu, I''m going to go out and talk to family members to understand the pregnant woman''s medical history." "Go ahead!" Dr. Xu readily agreed. "Xiao Zhou has found something again?" Director Lou remembered that just yesterday, it was Zhou Can who, by questioning a family member, had identified the cause of a child''s repeated bouts of shock. At this moment, with no major progress in the diagnosis, he held an extra measure of hope for this resident doctor who had made significant contributions. "No, no, I just think it is necessary to supplement the patient''s medical history, which can provide more detailed diagnostic grounds for the senior physicians." Zhou Can hurriedly denied. So many directors and attending physicians hadn''t identified the cause, yet he, a resident, should have figured it out with just a few glances. If that were the case, then he wasn''t human; he would be a god. At best, his diagnostic approach differed slightly from other doctors; he had merely found some clues that other doctors deemed insignificant. When a pregnant woman faints, no doctor would spend their precious time and energy studying the stretch marks on her belly. Zhou Can''s thought processes were always quite unique. Stepping outside the resuscitation room, the old lady was still anxiously awaiting the outcome. "Excuse me, are you Mrs. Cao Qin''s relative?" Zhou Can noticed that the old lady was wearing a very vintage Shanghai brand mechanical women''s watch. From this detail, he could generally deduce that she was a person who cherished the past. "Mhm, I''m her mother. How is my daughter?" The old lady took a quick glance at Zhou Can, her attitude quite cold and her presence particularly commanding. This old lady was definitely not an ordinary person. "She''s still being resuscitated." Zhou Can used this universal response. "I saw you doctors outside all huddled around my daughter, various check-ups, discussions, yet no actual lifesaving measures. Tell me the truth, no runaround." The old lady was not easy to fool. She was much sharper than the average family member. Chapter 45 - 39 Major Progress Her daughter is critically ill and it might result in the death of both her and her unborn child. Smiling at this time is highly inappropriate. It would cause annoyance among the family, making further conversation impossible. Zhou Can decided to tell the truth straightforwardly. "Our department''s director and attending physician are doing their best to make a diagnosis. However, as your daughter is pregnant, the diagnostic difficulty is significantly higher than usual, and we have only tentatively identified the lesion as potentially being within the cranium. Our Dean Zhu has already personally intervened in this matter, calling in doctors from some of the top departments for support. They should be arriving shortly." Zhou Can intentionally informed the family that reinforcements were on the way, so they need not worry about the rescue team being understaffed. This was also a form of reassurance for the family. The old lady showed no reaction when told about Dean Zhu''s personal intervention. It seemed she had already known about it. Having heard that the hospital temporarily pulled in doctors from the top departments to help, the old lady''s expression eased slightly. "I''m just a junior doctor. I''ve come to you not for any other reason but to urgently gather more medical history information to help our doctors quickly and precisely identify the cause of illness based on more data." Zhou Can''s honesty actually satisfied the old lady. Her attitude towards him thawed somewhat. "Ask me whatever information you need, young man!" "Is this your daughter''s first pregnancy?" Zhou Can asked directly. "Yes," sighed the old lady. "My daughter has hypertension, and the doctors advised against pregnancy. But she desperately wanted a child. This child means a lot to her and our family. She even told me, ''Mom, the baby in my belly is Haowei''s only remaining seed on this earth, it''s also a gift from God to him and me. I would risk my life to give birth to this child.''" Zhou Can, unable to contain his curiosity, asked, "If I may ask, did something happen to your daughter''s husband?" "My son-in-law was a narcotics officer. During an operation, he was stabbed twenty-seven times, his intestines spilling out. Yet, to capture the drug lord, he used his flesh and steel will to firmly pin down the drug lord beneath him. He only closed his eyes forever after his comrades arrived and arrested the drug lord." As she spoke of her son-in-law''s heroic deeds, tears sparkled in the old lady''s eyes. Zhou Can was also deeply moved after listening. The peace and security of the citizens rest upon the silent guardianship of these heroic warriors. The pregnant woman''s husband had sacrificed his life to protect the people from the scourge of drugs; such a hero truly deserved deep respect and gratitude. At that moment, a firm thought established itself in his mind. He must try his utmost to save the pregnant woman and her child. Because this is the only seed left in the world by a hero. "When did your daughter start having hypertension?" He continued to inquire, seeking more information. "Probably about twenty-one years old. She was overexerting herself in her studies then, not taking care of her diet, which led to the development of hypertension. Her hypertension didn''t improve but worsened with increasing stress from studies and work. Sigh, this child is too determined, disregarding her health for the sake of studies and work." It turns out, the pregnant woman in the emergency room had a history of hypertension for about fifteen years. This was an extremely important clue. It could provide guidance for the diagnosis. "Does your daughter have any other underlying diseases or significant medical history?" Zhou Can continued to ask cautiously. "She didn''t mention others to me. She occasionally suffers from headaches and fevers, but no serious illnesses have occurred," replied the old lady thoughtfully. "Thank you for your cooperation. Please take care of yourself; your daughter will need you to look after her later!" Zhou Can, seeing her advanced age, used psychological suggestion to give the old lady some confidence. "Okay, thank you!" The old lady walked over and sat down on the bench opposite the emergency room. Zhou Can entered the emergency room with the newly gathered medical records. "Teachers, I''ve just obtained crucial information from the family. The patient has had a history of hypertension for over fifteen years." Han Changqing''s eyes instantly lit up. "This information is so timely! The patient has especially high intracranial pressure and a long history of hypertension; it might very well be hypertension-related brain disease," Han Changqing said excitedly. Director Lou, seeing significant progress in the diagnosis, was also very pleased. Sear?h the ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. He looked at Zhou Can approvingly. This young man has made a contribution again. It seems necessary in the future to communicate more with the family, rather than just focusing on intensive rescue. Emergency Department admits critically ill patients, and due to the urgency of saving lives, communication with family members is often overlooked. Moreover, at this time, family members worry about the safety of their loved ones, and emotions are often very agitated. If the doctors do not rush to save lives but instead ask them various questions, they feel misunderstood and may even erupt in anger. This greatly increases the risk of conflicts between doctors and patients. Doctors fear being assaulted, often adhering to the principle of "less is more". During the reception of the patient, they only ask a few simple questions. Han Changqing has already begun to investigate hypertension cerebrovascular disease. However, Zhou Can stared at the patient and re-evaluated him. He always felt that the patient did not seem to have hypertension cerebrovascular disease because the early symptoms are headaches at the back of the head, not sudden consciousness disturbances leading to coma. Deputy Director Han, eager to diagnose before doctors from other departments arrive, wishes to gain respect and mark a significant achievement. This impatient and profit-driven mindset is actually very harmful. It easily leads to misdiagnoses. Zhou Can felt that he was forcibly fitting the diagnosis of hypertension cerebrovascular disease onto the patient. "Over fifteen years of hypertension history, pregnant for six months, elderly pregnant woman, fainting, consciousness disturbances, continuous decrease in fetal heart rate..." Zhou Can linked these symptoms, medical history, and examination results. After deep contemplation, he still gained no new insights. He couldn''t help but adjust his thinking again; the patient was highly educated and certainly understood some medical knowledge. She must know that hypertension during pregnancy is very dangerous. Being pregnant for nearly six months and nothing untoward happening indicates she controlled her blood pressure very well. What exactly caused her blood pressure to suddenly rise? Vaguely, Zhou Can seemed to grasp the key issue. His gaze swept over the pregnant woman again. From the moment he entered the resuscitation room, he always felt there was something slightly off about the pregnant woman''s face. Was it due to cyanosis of the lips? Probably not. He moved closer to the pregnant woman''s face for a closer examination. Since he had recently made a minor achievement, nobody shooed him away. "Xiao Zhou, learn something. Diagnosing hypertension cerebrovascular disease is not as straightforward as it is explained in books," Han Changqing still thought Zhou Can came over to learn how he diagnosed hypertension cerebrovascular disease. "Okay!" Zhou Can verbally agreed, but his eyes did not even glance at Han Changqing''s diagnostic methods. When his gaze landed on the patient''s eyebrows, he finally understood why the pregnant woman''s face looked somewhat odd. It turned out her eyebrows were not well drawn. The drawn lines were quite beautiful, at least showing that she had good drawing skills. However, the heads of the eyebrows were unevenly drawn, and the tails were somewhat crooked. Logically, this kind of basic mistake should not have happened. Zhou Can recalled a description from a medical book, "Hypertension during pregnancy is a systemic disease which can lead to ocular fundus changes, unclear vision, and even blindness in the pregnant woman." The pregnant woman was a particularly independent and strong-willed woman; she was preparing to visit her parents and would definitely put on beautiful makeup before stepping out. If she noticed that her eyebrows were uneven, she would definitely redraw them. But she did not. There was only one possibility; she did not realize the tails of her eyebrows were incorrectly drawn. This indicates her vision was already impaired before she left the house. Perhaps the severity was not particularly serious, so she did not pay attention to it. [Diagnostic Experience Points +0.2.] The sudden increase of 0.2 experience points further validated Zhou Can''s diagnosis as correct. Normally, diagnosing a patient could increase experience points by 1. This situation had also occurred once when he followed Dr. Hee from General Surgery. At that time, the patient had multiple diseases, and Zhou Can only diagnosed one. Therefore, he only gained partial experience points. Now that only 0.2 experience points were added, it indicated that there were still undiagnosed diseases in the pregnant woman. Despite this, Zhou Can still felt greatly encouraged. Diagnosing such difficult cases tremendously benefits his diagnostic skills. Every day dealing with minor ailments like colds and fevers, one could spend a lifetime in practice and still remain mediocre. Only by continuously challenging such difficult case diagnoses can one rapidly improve. Chapter 46 - 40 Consultation of Four Disciplines At this moment, the door to the resuscitation room was pushed open, and doctors from the three top-tier departments finally arrived. Zhou Can turned his head and couldn''t help but think to himself, "What a luxurious lineup. Director Tan from Internal Medicine arrived with three doctors. Among them was a top ace from the Neurology Department¡ªYin Hua, a Chief Physician in Neurology, who has published numerous important papers in core journals. He is reputed to be a gold-medal expert in Neurology, holding a pivotal position in the field of neurological medicine within the country. He could even sit down and discuss medical theories with the famous neurologists from Imperial Renhe Hospital. Even Director Tan of the broad Internal Medicine had to show him considerable respect. The other two, one was a neurologist around 37 or 38 years old, at the chief level. With an elegant demeanor, he carried a natural poise in every movement. The other was the 27 or 28-year-old Gao Jian. It must be said that outstanding academic accomplishments are indeed highly valued. Selected to join Internal Medicine, this was just Gao Jian''s second day when he was brought by Director Tan to the Emergency Department for an important consultation. It undoubtedly sent an important signal to everyone that Internal Medicine was preparing to focus on cultivating Gao Jian. Such treatment was truly enviable. As Gao Jian entered the resuscitation room, his gaze swept over everyone before naturally falling on Zhou Can. Others might not know of Zhou Can''s abilities, but Gao Jian regarded him as a formidable rival of his lifetime. After Director Tan came in with the three doctors from Internal Medicine, Director Xie from Surgery also entered with two doctors. The short and tough-looking old man might not be prepossessing, but he was the pillar of Neurosurgery¡ªWu Baihe. Known as the peak surgeon in neurosurgery, he had been presiding over the Neurosurgery Department for many years, commanding respect in the field of neurosurgery nationwide. Without exaggeration, a large part of Tuya Hospital''s Neurosurgery Department was built on his accomplishments. He has personally operated on and cured over a hundred cases of super high difficulty. Patients from huge cities like Beijing and Shanghai have sought him out for treatment because of his reputation. Following behind Wu Baihe was the returned scholar from overseas, Du Leng. The entire Surgery Department of Tuya Hospital didn''t have much academic achievement, which has always been a sore point for Surgery. Having just recruited Du Leng, Wu Baihe took it upon himself to mentor him, apparently aiming to establish Du Leng as a flagship for the Surgery Department. At least to make the Surgery Department look less ''uncouth.'' Following the Surgery Department''s entry were Zhang Bihua and Yang Chan from Obstetrics. Sear?h the n?vel_Fire.¦Çet website on Google to access chapters of novels early and in the highest quality. Despite only two people from Obstetrics coming in, one just making up the numbers, Director Zhang Bihua''s expertise was sufficient to equal several chief physicians. She was one of the few chief physicians with accomplishments in both medical skills and academic fields. As her disciple, coupled with her own super high attractiveness, Yang Chan was also in the spotlight. "Director Lou, please introduce the patient''s condition to everyone!" Director Xie said unceremoniously. Departments at times are like countries; the stronger the department''s power, the more say they have. With the Emergency Department being weak in strength, poor at generating revenue, and lacking academic achievements, they naturally receive disdain from other departments. This contempt directly manifests in unequal dialogues. For instance, Director Xie using such a semi-commanding tone in front of everyone to have Director Lou do introductions. Not even bothering with pleasantries. If it were Director Tan from the significant Internal Medicine, would he dare to be this impolite? "I am the first attending physician for this patient; let me introduce the situation to everyone!" Deputy Director Han stepped forward at this critical juncture. Taking the place of Director Lou for the introduction. This also protected the Emergency Department''s dignity. What would it look like for a head of a department to be ordered around by other department heads? When facing the insult from other departments, the Emergency Department showed exceptional unity. "The patient is a 36-year-old pregnant woman, her first pregnancy¡­" Deputy Director Han briefly introduced the pregnant woman''s condition. Some important information was only supplemented after Zhou Can had an in-depth conversation with the patient''s family. "Your team has been treating the patient for a while now, yet there are no substantial diagnostic suggestions?" Director Yin of the Neurology Department in Internal Medicine, spoke quite bluntly. His words were indeed a blow to the pride of the Emergency Department. "Uh... So far, we''ve only discovered that the fetus is in grave danger, and we suspect that the cause of the pregnant woman''s fainting is hypertensive encephalopathy." Deputy Director Han felt deeply ashamed and dared not look anyone in the eye. All chiefs in their own right, the gap between him and Yin Hua was more than just a little. "It''s not hypertensive encephalopathy." After hearing this, Yin Hua directly rejected Deputy Director Han''s diagnostic suggestion. He didn''t even bother to explain the reasons for his rejection. "The patient has had hypertension for over fifteen years, which has inevitably led to some pathological changes in her body. For example, left ventricular hypertrophy, ventricular dilation, arteriosclerosis, and so on. Among these, arteriosclerosis is the most fatal. Based on the results of the head CT scan, I personally lean toward a diagnosis of intracranial vascular malformation causing the fainting." Yin Hua''s work efficiency was truly high. His level was obviously far superior to a ''watery'' chief physician like Deputy Director Han. "The fetal heart rate is now only 100, which is 10 below the lowest standard of the international normal range. This situation indicates fetal hypoxia; decisive actions must be taken, or the child may survive but could potentially become a mentally disabled infant." After a rapid assessment of the pregnant woman, Zhang Bihua immediately provided precise advice on fetal protection. Without comparison, one cannot discern levels of expertise. Tuya Hospital''s most top-tier experts arrived on scene, and the situation immediately improved. Much more useful than the Emergency Department team''s blind fumblings. Having a specific target is the only way to ensure accuracy. This principle applies to the treatment of diseases as well. Treatments targeted at specific symptoms are only effective when appropriately matched. The Obstetrics and Internal Medicine departments successively gave their diagnostic and therapeutic suggestions. Particularly noteworthy, Director Zhang Bihua had already started fetal protection procedures with Yang Chan. Director Xie from the Surgery Department was a man who cared greatly about face; leading three people over, he couldn''t just freeload, could he? However, diagnosing such diseases with invisible lesions was not his forte. Speaking out of turn would only result in embarrassing himself. Du Leng, following behind, seemed to discern Director Xie''s embarrassment. After reviewing the patient''s records, he confidently stated, "It''s not a vascular malformation but rather an arterial aneurysm. Moreover, this aneurysm is located in the brainstem area." This amounted to overturning the diagnostic conclusion of Neurology Chief, Director Yin. And he was just a residency-trained doctor. The entire room was shocked. All eyes naturally turned towards him. The department chiefs all came up with the same thought¡ªthis is the returnee Ph.D. with well-deserved reputation. He had barely started working for a few days and was already challenging Director Yin, the top expert in neurology. "An aneurysm is a type of vascular malformation as well! Dr. Du, could you please explain your diagnostic basis? The patient''s condition cannot afford further delay; we need to come up with a specific and feasible treatment plan as soon as possible." Director Tan spoke up to relieve Director Yin of his embarrassment. However, the diagnostic conclusions of both Director Yin and Du Leng pointed toward intracranial vessels, so they shouldn''t be wrong. After all, one is a highly experienced chief physician in neurology, and the other is a wide-read and knowledgeable medical prodigy. "Ha ha, great minds think alike. Du Leng and Director Yin''s views are quite similar, but Du Leng''s diagnosis is more precise. Overseas medical science really is more advanced! Du Leng, please explain it thoroughly to the other directors!" Director Xie felt honored with the standout performance of the resident he had brought along. Surgery had never had such a shining moment in multi-disciplinary consultations. Director Xie felt even more convinced that choosing Du Leng as the first resident to join Surgery was the correct decision. He believed that none of the other residents from the same period could hold a candle to Du Leng. Chapter 47 - 41 Discussing Military Strategy on Paper "The basis for the diagnosis is very simple, just this head CT scan and some subtle changes in the blood test results. When I studied abroad, my PhD supervisor taught us to diagnose whether there was an aneurysm by combining blood test results with imaging. Specifically, where does it occur? Just as an increase in troponin makes us immediately think of myocardial infarction. This involves very complex formula calculations, which I will not go into in detail." Du Leng spoke at ease, his diagnostic approach also differs from the ordinary. "To quickly pinpoint the location of the aneurysm, and to assess its size and extent of disease, I think it is necessary to perform a head ultrasonography." Ultrasonography has the ability to observe changes in blood flow and can diagnose arterial sclerosis, cerebral vasospasm, cerebral vascular narrowing, and flow velocity. This proposal immediately received the approval of all the directors present. Unbeknownst to them, everyone realized that in a situation with so many directors and attending physicians jointly consulting, it was Du Leng, a resident in training, who had taken the lead. The two directors from surgery were genuinely pleased. While the directors from other departments, in addition to envy, felt a mix of complicated emotions. They felt the crisis of being left behind by the times. Zhou Can had been standing by the emergency bed, carefully observing the pregnant woman. Inspection and pulse diagnosis are different; both Western and Chinese medicine recognize them as diagnostic methods. No matter which doctor you see, inspection is always the first step. Now that the patient was about to be sent for a head ultrasonography, Zhou Can finally stepped aside, his curiosity not fully satisfied. With the cause of the disease largely clear, the directors felt much more relaxed. Director Xie''s gaze turned to Zhou Can again. A slight, somewhat smug smile appeared on his face. "Director Lou, I heard that the doctor you chose, Zhou Can, just earned a great merit for the Emergency Department on his first day back. Is that true?" "That''s correct." Director Lou nodded in affirmation, a hint of anxiety across his face as he subconsciously shielded Zhou Can behind him. He was afraid Director Xie would poach the good seedling from the Emergency Department. Director Xie seemed to have very good sources of information. It indicated that he was paying attention to Zhou Can as well. After all, everyone has a desire to compare themselves with others. He chose Du Leng, who had the highest education, over Zhou Can, who had the top overall score, and he too feared making a wrong judgment. However, Du Leng''s performance just now was extremely impressive, so Director Xie was very happy. It meant he hadn''t chosen the wrong person. "Haha, don''t worry, with Du Leng, a doctorate who studied abroad, in our surgery department, we wouldn''t dream of poaching an undergraduate! No need to be tense, ha." Director Xie''s remark was somewhat hurtful to Zhou Can''s pride. Perhaps he was too pleased with himself, straightforward and candid, without considering Zhou Can''s feelings. Realizing that Zhou Can looked downcast and aggrieved, Dr. Xu looked at Director Xie and said, "Education does not represent everything. I can''t agree with Director Xie''s view that undergraduates are far inferior to doctoral students." Dr. Xu was indeed stubborn, even daring to rebut the head of a major surgery department. Zhou Can was just a junior resident, and it was quite normal for him to face some grievances. Dr. Xu could have taken a prudent stance and ignored the situation. But instead, he spoke out for Zhou Can, which reflected his character. If he didn''t speak for Zhou Can, no second person would risk offending a head of a large department for Zhou Can''s sake. Many people don''t realize how powerful a head of a large department is. Their administrative titles could basically be on par with the hospital''s executive leadership. Because they hold sway over key departments and also have high achievements in academia and medical skills. Thus, they are akin to ''provincial governors'' of sorts. Director Xie glanced at Dr. Xu, somewhat surprised. He seemed not to expect Dr. Xu to defend Zhou Can like this. He sighed and said with a complex expression, "Old Xu, the era of dominating everything with medical skills is long gone. Your fall back in the day was both accidental and inevitable. The importance of academia has surpassed that of medical skills in today''s rapidly advancing medical science. It''s time you woke up!" The seemingly heartfelt advice was actually quite uncomfortable to hear. Zhou Can saw Dr. Xu''s face turn desolate, even revealing a touch of heart-wrenching sorrow. The decline of a hero is a heavy topic. One who experiences it has to endure the psychological plummet from a loss of status, the disappearance of reputation and glory, along with the double wounds of ridicule from others. Dr. Xu was under attack for protecting Zhou Can from humiliation. At this moment, Zhou Can felt grateful and wanted to use his modest strength to repay the most respectable person in his eyes. He would no longer remain silent. What of the head of a major surgery department? Within ten years, Zhou Can was absolutely confident that he would make Director Xie look up to him. Of course, whether Director Xie could still sit in the position of the head of major surgery by then was another matter. "Director Xie, I agree with the idea of keeping up with the times. But there''s no need to worship everything foreign, right? China''s medical civilization has a long and storied history of over five thousand years. Medical skills and medicine have always been recognized by the medical community as the two magic weapons to triumph over diseases. How come they seem so belittled in Director Xie''s words? Don''t forget, surgery relies on medical skills for its bread and butter, without a scalpel, it''s nothing." Zhou Can''s words were brilliantly put. If the circumstances had been different, everyone would surely have applauded him. Director Xie, who has always earned his living with a scalpel, now after bringing in a doctorate holder from abroad, has become so arrogant that he seems to have forgotten his own roots. "You, you..." Director Xie, who already had a bit of a temper, was left speechless by the rebuttal from this young man, Zhou Can, his face turned red and his neck swelled in anger. "Alright, alright, Xiao Zhou is just straightforward, focusing on the issue, not the person. Director Xie doesn''t need to take it too seriously." Director Lou played peacemaker with his words, but his face bore a smile. Seeing the usually dominant Director Xie take a hit brought him particular joy. S~ea??h the ¦Çov§×lFire .net website on Google to access chapters of novels early and in the highest quality. Of course, since everyone present had status and reputation, it was important to save face. So he promptly stepped forward to offer Director Xie a way out. To avoid a complete fallout. The matter could have ended there, but perhaps Du Leng, seeing Director Xie unable to win the argument against Zhou Can, felt that the prestige of surgery had been challenged. So he stood up again. "As for equating educational credentials, academics, and the status of medical skills, I disagree. Take the diagnosis of the pregnant woman just now, wasn''t the Emergency Department completely at a loss?" Du Leng, this guy, true to his high IQ and education, was incredibly sharp with his words. He hit the nail on the head, directly exposing the Emergency Department''s shortcomings. And he struck right at their vital spot. The doctors in the Emergency Department all felt disgraced, ashamed in their hearts. "Dr. Du''s words are a bit too much! We in the Emergency Department were not at a loss; it''s just that human life is at stake, and we didn''t dare to jump to conclusions based on the principle of caution." Deputy Director Han, annoyed by the comment, quickly came to the defense of the Emergency Department. Although his explanation was somewhat far-fetched, when the face of the Emergency Department was at stake, one could not simply allow a junior to slap them in the face, could they? Even a shred of dignity to cover up was better than nothing. At least they hadn''t lost all face. "Ha, Director Han might have a misunderstanding of the word ''cautious''. It is right to be meticulous in diagnosing and treating patients, but one cannot dawdle; otherwise, if the patients die while you''re still arguing back and forth, wouldn''t that be the epitome of medical incompetence?" This time, Dr. Du completely ripped away Deputy Director Han''s fig leaf. But everyone was civilized, and outright cursing was certainly not an option. Sneering a few times, ridiculing and despising one''s opponent, that''s a common phenomenon in hospitals. The doctors of the Emergency Department, one after another, felt disgraced and furious. Being called incompetent and yet unable to retort. Their feelings can only be imagined. Suffocated and helpless. For some reason, Zhou Can found this Du Leng particularly disagreeable. It wasn''t even due to jealousy of his higher education. He just couldn''t stand the guy''s holier-than-thou, arrogant demeanor. "Dr. Du''s words sound like those of a greenhorn, who has never experienced the dangers of saving lives in the Emergency Department. Hasty errors are easily made in emergencies; our Emergency Department doctors being cautious in their conclusions is not necessarily a bad thing. These are valuable experiences learned from bloody lessons that a novice like you should especially take to heart." Zhou Can never swore when insulting someone. He just took a dig at Dr. Du''s lack of experience, knocking him down hard. Leaving him no ground to get back up. "What do you mean by that, Dr. Zhou?" Du Leng''s face turned shades of green. But his composure was quite good, suppressing the fury within him. "Nothing much, I just want to tell Dr. Du that there is a quite a difference between theory and practice. After all, one is all talk, while the other requires real, hands-on action." Zhou Can replied nonchalantly. Haha! Many doctors and nurses couldn''t help but laugh out loud. Especially those from the Emergency Department, who felt thoroughly refreshed from head to toe. Zhou Can said everything they wanted to say, but couldn''t find the words for, vividly and in detail. This Du Leng, thinking he''s so great just because he studied and stayed abroad for a few years. He even dared to lecture all the doctors in the Emergency Department. Zhou Can using the term "armchair strategist" to retaliate against him was truly brilliant! Chapter 48 - 42: Beware of Misdiagnosis "Hmph! When I was studying for my PhD overseas, I interned at one of the top medical centers in the United States, and it wasn''t as bad as you''re making it out to be. This fainting pregnant woman, once she is treated, I will prove it is not all talk, and you will have to apologize to me." Du Leng considered himself a top medical genius, but was publicly accused by Zhou Can of being all talk and no action. How could he endure that? He wanted to use this pregnant woman to prove his diagnostic capabilities. And to make Zhou Can publicly apologize to him. Zhou Can''s mouth twisted into an inscrutable smile. "Fine, no problem! But I must remind Dr. Du that misdiagnosis is truly the most terrifying!" Du Leng''s face turned from pale to flushed, and his breathing became heavy. "What do you mean? Are you saying my diagnosis of this pregnant woman is wrong?" Anyone could feel that Du Leng was already furiously angry. Doctors fear the words ''misdiagnosis'' the most. A misdiagnosis at worst could lead to a medical accident. No wonder Du Leng jumped at that. Seeing that the reputation of the surgery department that had just been established was about to be smashed, Director Xie was also furious. "Director Lou, your subordinate is really too arrogant. Both Director Yin from Internal Medicine and our Surgeon Du Leng have diagnosed the patient''s fainting due to a brainstem-compressing intracranial aneurysm. Yet he casually says that our joint consultation opinion is wrong." Director Xie, holding his status high, directly protested to Director Lou. This was his way of asking Director Lou to reprimand Zhou Can. And incidentally pulling Director Yin into his camp as well. "Young man, although you scored first place in the standard training exam, you must be humble. The cases I have diagnosed exceed yours by ten thousand times. You''ve only been working for a few days, right? Don''t be too superficial in what you say. Otherwise, you will lose face not only for yourself but also for the Emergency Department." Director Yin also became somewhat agitated. Underneath the reputation are true capabilities. His authority in the field of Internal Medicine had already been challenged once by Du Leng. Now, a mere undergraduate student who had only started working a few days ago dared to contradict his diagnosis. This trend is absolutely unacceptable. Director Lou, facing protests from both heavyweights, was under great pressure. "Xiao Zhou, be a bit more prudent in what you say!" He gave a half-hearted reprimand to Zhou Can, sort of giving an explanation to both directors. Zhou Can did not say anything more, as the facts speak louder than words. All they needed to do was find the real cause of the disease, and it wouldn''t matter whether it was Director Yin or Du Leng, they would all have to concede. He dared to remind Du Leng to be careful of misdiagnosis because he already had some degree of confidence. Lesions can sometimes disguise themselves. For example, the often joked-about ''head hurts, treat the feet''. According to common logic, a headache would obviously indicate a problem in the head, but in reality, the lesion might actually be in the feet. Eye diseases caused by Athlete''s Foot can lead to symptoms of headache. If someone encounters a mediocre doctor prescribing treatment for headaches, it certainly won''t be effective. The fainting of this pregnant woman could indeed be caused by a cerebral aneurysm, but the true cause might not be that aneurysm. Zhou Can thought the sudden rise in the pregnant woman''s blood pressure was particularly peculiar. It was very likely that this was the real cause. As for the brain aneurysm, it was merely a symptom. If you only treat the symptoms when dealing with an illness, it''s like playing a game of whack-a-mole; hit one and another pops up. There are many such cases. Many patients enter the hospital with one disease, but end up getting worse with treatment. From one disease, five or six are produced, which in medical terms is called complications. Some complications may truly be unavoidable, but some so-called complications are purely caused by wrong treatment by doctors. Zhou Can bowed his head in thought. The pregnant woman had been nearly six months pregnant, always kept her blood pressure well-controlled, and had no issues. Why did her blood pressure suddenly rise? It is said that a long illness makes a patient a good doctor. The pregnant woman herself had over fifteen years of hypertension history, and in terms of controlling blood pressure, she might be no less competent than a professional doctor. From this, we can infer that low-level mistakes such as forgetting to take anti-hypertension medication or engaging in over-the-top behavior that raises blood pressure can basically be ruled out. Besides, she values the child in her womb more than her own life, so she must have been extra cautious. She fell ill suddenly in a taxi. This indicates that she didn''t notice any abnormalities in her body before leaving home, otherwise she wouldn''t have taken a taxi but an ambulance instead. But what risks are there in taking a taxi? Even if the driver had to slam on the brakes ten times in a row, it wouldn''t cause her blood pressure to skyrocket out of control. Judging from her intellectual and elegant attire and kind facial expression, the possibility that an argument with the taxi driver caused her blood pressure to rise is also very small. S§×arch* The N?velFire.n§×t website on Google to access chapters of novels early and in the highest quality. Since all the above are ruled out, let''s make a bold assumption: could it be because she ate something she shouldn''t have before leaving the house? Like taking the wrong medication. This possibility is very high. The fact that her eyebrows were drawn so messily before leaving home and she didn''t notice is enough to suggest that she had vision problems at the time. She habitually took her blood pressure medication before leaving home, but because of vision problems, she picked up the wrong medicine. After taking it, she hurried out. The medication entered her stomach, dissolved over a period of time, was absorbed by the body, and then caused her blood pressure to rise. It was about twenty minutes from taking the medication to the onset of illness. The timing of the onset of symptoms also matches up. "Yes, that must be it!" Zhou Can''s eyes became even brighter and more resolute. A breakthrough. Now, the reason for the sudden rise and loss of control of the pregnant woman''s blood pressure has been deduced by him. Next is to corroborate this with medical test data. After all, you can''t just make assumptions about anything? There must be scientific evidence to back it up. What exactly did she take by mistake? There are many medications that can raise blood pressure. Taking a look at her blood test report, maybe some clues can be found. Since the pregnant woman is currently unconscious and unable to communicate. To find the final cause of the illness, doctors must diagnose and differentiate. Zhou Can walked over to the storage cabinet and picked up the patient''s test results to check. This action immediately attracted everyone''s attention. Several senior doctors of the Emergency Department looked at Zhou Can with admiration. It''s good for young doctors to love learning. Only by looking more and thinking more can their diagnostic level improve. "Dr. Zhou seems to have a different diagnostic opinion!" Gao Jian said with a smile as he came over to initiate conversation. While others looked down on Zhou Can, a bachelor''s degree holder, Gao Jian felt that Zhou Can possessed genuine knowledge and skills. After coming to the resuscitation room, Gao Jian has also been pondering the cause of the pregnant woman''s condition. He was hoping to regain the upper hand in the competition with Zhou Can. But he didn''t have any clue. Now that Zhou Can suddenly started looking at the test results, it made Gao Jian feel uneasy. "I''m just looking at it with a learning attitude, just casually checking." After Zhou Can looked over the pregnant woman''s blood test report, he was slightly disappointed. This was just a routine blood test report. To find out the drug components in the patient''s blood, it is necessary to draw blood and send it to a specialized laboratory for testing. At this time, the pregnant woman was returned from the head ultrasound. Du Leng couldn''t wait to get the ultrasound images to check. "It''s confirmed, it''s a cerebral arterial aneurysm pressing on the Brainstem." Du Leng was exceptionally excited. It was just short of howling out loud. He almost wanted to announce to the whole world that his diagnosis was correct. Chapter 49 - 43 Director Tan Gets Jealous Director Yin of Neurology also looked at the films and nodded slightly, "It is indeed a cerebral arteriovenous malformation. It''s not large, but it has infiltrated the brainstem area." After he finished speaking, he showed the ultrasound images to Director Tan. "Director Tan, what is your opinion?" "I support your diagnostic conclusion. However, concerning how to remove this brain arteriovenous malformation, I''m afraid we still need to consult with surgery to discuss the treatment plan." Director Tan looked toward Director Xie from surgery. Only by combining internal medicine and surgery can we conquer formidable diseases. While the two major departments were discussing the surgical plan, Zhou Can felt that he couldn''t wait any longer. The brainstem area is the central nervous system of the human body, known as the ''forbidden zone of life.'' The risk of operating in this area is extremely high. Even for an experienced chief neurosurgeon, it is terrifying. A slight carelessness, even just a minor error, could lead to irreversible consequences. If the patient really took the wrong medication, causing uncontrolled blood pressure, as long as targeted treatment is administered and the blood pressure is reduced, the ''arteriovenous malformation'' might disappear on its own. At least that''s what Zhou Can believes. He had seen similar cases in medical books. The intracranial pressure of this pregnant woman was far higher than normal, which is more likely to cause a ''temporary arteriovenous malformation''. This is closely related to her over fifteen years of hypertension history. Because long term hypertension can cause atherosclerotic changes in the blood vessels. "Director Lou, could we arrange for the patient to undergo a specialized blood and urine test?" Zhou Can asked courageously. "Hasn''t the diagnosis been made already? Stop fussing and cherish this learning opportunity by observing from the side." Director Lou rejected Zhou Can''s suggestion. The Emergency Department, having failed to diagnose the cause of the pregnant woman''s illness, had already lost enough face. Now that both Internal Medicine and Surgery had agreed on the diagnosis and were discussing the surgical plan, the Emergency Department''s role was to support fully, not create chaos. Competition can exist between hospital departments, but they mustn''t undercut each other and should consider the overall situation. Zhou Can looked at the unconscious pregnant woman, sighing to himself. He was just a resident doctor; in a consultation of this level, being allowed to watch and learn was already quite favorable. His diagnostic opinion was unlikely to be regarded. After discussing, several directors from Internal Medicine and Surgery decided to proceed with craniotomy for the patient. But since the lesion was located in a special area and the surgery carried extremely high risks, even Wu Baihe, known as the ''summit surgical blade,'' wasn''t very confident. A misstep might result in one death and two lives lost. Seeing the ''summit surgical blade'' of surgery with his eyebrows tightly furrowed, admitting the surgery had less than a fifty percent chance of success. Zhou Can decided to make another attempt. "Dr. Xu, I suspect that the pregnant woman''s cerebral arteriovenous malformation might merely be an illusion. It''s too risky to rush into surgery. Her unborn child is the only legacy of a fallen narcotics officer. I request a specialist blood test for the pregnant woman to check if she has taken any medication that could have elevated her blood pressure." There was no other way. Zhou Can had to approach Dr. Xu. If Dr. Xu still disagreed, the pregnant woman could only leave it to fate. After all, his status was too low; if the senior doctors didn''t listen to him, he really had no other recourse. "This..." Dr. Xu was also in a difficult position. In this consultation, his status wasn''t much higher than Zhou Can''s. "Director Xie, Director Tan, could we arrange a specialized blood test for the pregnant woman?" Faced with Zhou Can''s pleading eyes, Dr. Xu ultimately decided to brave it out and put forward the request to the two main consulting doctors. "Old Xu, Old Xu, Zhou Can is causing trouble, why are you joining in the chaos too? The blood has already been tested, there''s no need to test it again. The most important thing now is to arrange the surgery immediately." Director Xie flatly refused. Director Tan remained silent, essentially agreeing with Director Xie''s view by default. Dr. Xu, after being scolded, gave Zhou Can a helpless look and said no more. Yang Chan observed all of this. "Teacher, I''ve been classmates with Zhou Can for five years, and I''ve never seen him this anxious. If he wasn''t absolutely sure, he definitely wouldn''t ask twice to give the pregnant woman a specialized blood test. Could you please help him out?" She actually pleaded with Director Zhang Bihua in a coquettish, cutesy manner at this time. There were only a few people present who had authority in the situation. All it would take was a nod from Zhang Bihua, and Directors Xie and Tan would no longer object. Zhou Can''s previously dashed hopes were ignited once again. In a critical moment, it was the old classmates speaking up, willing to help. "Xiao Zhou, explain your diagnostic reasoning!" Zhang Bihua''s gaze turned to Zhou Can. This was an opportunity she was giving Zhou Can, all because of Yang Chan''s earnest pleading. After all, rescuing the patient was a race against time, and there was no time to waste. "Thank you, Director Zhang, for this opportunity. Everyone, please look at the pregnant woman''s eyebrows." Zhou Can clung to this last lifeline. The crowd was puzzled; what did the pregnant woman''s illness have to do with her eyebrows? "Ah, the patient''s eyebrows are drawn messily, and the tails are skewed," Nurse Ye Tingting exclaimed. The doctors approached for a closer look and indeed, that was the case. "Hypertension during pregnancy can lead to fundus lesions in the mother, blurred vision, and even blindness. Clearly, the pregnant woman has already exhibited symptoms of blurred vision. She was originally going to visit her parents and would have paid extra attention to her appearance. The fact that her eyebrows are drawn like this without her realizing indicates that she herself did not realize her vision had become blurry," Zhou Can explained his diagnosis. After hearing this, Zhang Bihua slightly nodded, showing approval, "Continue." The other doctors began to take Zhou Can''s opinions seriously. Even Director Yin, who had initially criticized Zhou Can, listened intently, his look towards Zhou Can subtly changing. From initial disdain to taking it seriously. "We know that patients with long-term hypertension need to take antihypertensive drugs daily. She was visiting her parents, which wouldn''t have been a short trip; she might have stayed to eat and spend more time with them. She most certainly would have taken her antihypertensive medication before leaving. At that time, due to blurry vision, she might have picked up the wrong medication and taken it thinking it was her antihypertensive. The timeline from when she left her home to when she fell ill also matches the timing of taking the wrong medication, which caused a sudden increase in blood pressure and made her faint in the taxi." Zhang Bihua nodded again; this possibility indeed existed. "I once read in a medical book about a similar case recorded by a famous surgeon. That patient also had a history of long-term hypertension and fainted due to a sudden rise in blood pressure following an altercation. At the hospital, a pressurizing brain arterial aneurysm was discovered causing the unconsciousness. Due to the complexity of the operation, the hospital was wary of proceeding, and the family''s opinion was very conservative. They ultimately chose to first treat with medication to lower the blood pressure. Surprisingly, after the blood pressure was lowered, the brain arterial aneurysm gradually disappeared." Zhou Can shared the case he read about in the book. "Similar cases, like the one Dr. Zhou mentioned, I have also seen in surgical books. These sudden arterial aneurysms appear more like ''balloons'' and generally occur in patients with a history of hypertension for over ten years. When a patient''s blood pressure reaches an extremely high level, the affected part of the blood vessel can balloon and enlarge, forming a temporary arterial aneurysm." Director Yin, being an expert in internal medicine, truly had a point. Even surgical literature was not foreign to him. "Do the specialized blood test for the pregnant woman immediately, refrain from surgery for now. Although the patient''s condition is critical, with effective measures taken by Director Zhang to preserve the pregnancy, there shouldn''t be immediate grave danger." Director Yin''s way of addressing Zhou Can shifted from ''superficial young guy'' to Dr. Zhou. This was respect Zhou Can earned through his competency. It was also Zhou Can''s persistence that averted a potential misdiagnosis. He had, in essence, redeemed the reputations of all the doctors present. "I wholeheartedly agree. Avoiding surgery is best, as the risks of surgery are too high. To be honest, I wouldn''t even give a fifty percent chance of success if operating was necessary." Wu Baihe was very aware of the identity of the pregnant woman. If she were to die under his care, even if the family had signed a surgical risk consent form, they probably wouldn''t let him off easily. From an intern to the ''peak surgeon'' of neurosurgery today, it hadn''t been easy. Several chief physicians had agreed to conduct the specialized blood test first, and from there everything became straightforward. Blood was drawn and sent for urgent testing. While waiting for the results of the blood test, the senior doctors'' attitudes towards Zhou Can had completely transformed. "Director Lou, when picking people yesterday, you were indeed the most insightful," Director Tan said somewhat jealously. "Haha, those you picked are also quite outstanding! Xiao Zhou really has a gift for medicine, our Emergency Department also greatly needs such a successor," Director Lou laughed heartily, but he was more concerned about other influential department directors poaching his promising talent. After praising Zhou Can, he did not forget to emphasize Zhou Can''s importance to the Emergency Department. S§×arch* The ¦Çov§×lFire .net website on Google to access chapters of novels early and in the highest quality. Meanwhile, Du Leng, the foreign PhD holder, was quite embarrassed at the moment. There was a high probability he would be outshone by Zhou Can. To cover his inner embarrassment, he could only pick up the patient''s documents and ''carefully'' read through them, wishing he could scrutinize enough to find a few bugs. Chapter 50 - 44 You Made Me Redefine Resident Doctors He probably wishes he could turn into thin air right now, hoping no one would pay attention to him. There''s a saying that goes, "The higher you jump, the harder you fall." Du Leng was too high-profile just now, so much so that he couldn''t gracefully step down after a real misdiagnosis. Fortunately, everyone''s focus was mainly on Zhou Can and the pregnant woman. No one paid too much attention to him. Right now, the main concern was still the treatment of the pregnant woman. Although Zhou Can''s analysis was meticulous and logical, the final decision still depended on the results of the blood tests. "Should we try injecting the patient with a diuretic first?" Director Yin Hua actively sought treatment options to salvage his tarnished image. After all, he had almost made a misdiagnosis and mistreated the patient, which was a very serious mistake. "I think it''s feasible. Even though we''re not sure what wrong medication the pregnant woman took, diuretics typically don''t conflict with other drugs, almost eliminating any risk of exacerbating her condition." Director Zhang Bihua supported this experimental treatment approach. At this moment, the device monitoring intracranial pressure emitted a "beep, beep" alarm sound. It gave everyone a huge fright. "Not good, her blood pressure is still rising; we need to take immediate effective measures to reduce it. Otherwise, the aneurysm in her brainstem could rupture at any moment." All the doctors present were professionals and understood the potentially catastrophic outcomes of an aneurysm rupture. Director Yin immediately issued a medical order to inject the patient with a diuretic. "Director Zhang, do you think we can put a urinary catheter in the pregnant woman now?" Because pregnancy is a special period where the body''s ability to resist disease is lowered, inserting a catheter could cause a urinary tract infection, which in severe cases could lead to miscarriage. The risk was very high, and under normal circumstances, no one would want to take such a risk. "Let''s not insert it yet! Her fetus is rather large, and her physique is very unique, making the risk of inserting a catheter much higher than that of an ordinary pregnant woman. I''ll have Yang Chan closely monitor her urination situation. If she continues to have anuria, we''ll consider catheterization." Director Zhang Bihua pondered for a few seconds and did not agree to insert a catheter. It was obvious she was being very cautious. Almost all obstetricians are especially cautious during their practice. If any complications arise causing miscarriage or fetal abnormalities, the responsibility is enormous. "I think just using diuretics is too simple a method for lowering blood pressure. I personally suggest drawing some blood from her body first to reduce the blood volume, and then transfuse it back into her later." Director Tan proposed a blood pressure reduction method that most ordinary doctors wouldn''t dare to contemplate. After all, why else would more experienced doctors be in such demand? Older doctors, with their rich diagnostic experience and extensive knowledge, often deploy unconventional methods in practice. After employing the two methods of reducing blood pressure on the pregnant woman, the effects were immediately visible. Especially the bloodletting method suggested by Director Tan. This physical method of reducing blood pressure was straightforward. Compared to medication, it had no waiting period. Seeing that the pregnant woman''s blood pressure had successfully been reduced, several leading physicians heaved a sigh of relief. "Don''t celebrate too soon; her blood pressure has dropped a bit, but the underlying issue hasn''t been resolved yet. We just hope that Dr. Zhou Can''s deductions are correct, and once the blood test results are out, we can identify the culprit and medicate accordingly to cure her completely." Director Yin now held a considerable respect for Zhou Can. With his age and status, he could easily address Zhou Can as Xiao Zhou. Yet, he used the formal "Dr. Zhou Can" to express his respect for this resident training doctor. Time was passing second by second. The specialized laboratory also recognized the privileged identity of this patient. Plus, with three leading directors from major departments waiting in the Emergency Department, The blood test results were out in less than half an hour. "The specialized laboratory called; they''ve detected traces of indomethacin in the patient''s blood." Indomethacin is commonly used in anti-inflammatory pain relief medications. Taking it could lead to increased blood pressure. "Great, we''ve finally identified the culprit." Several chief physicians showed a relieved smile. This pregnant woman was a patient personally intervened by Dean Zhu. The consulting doctors were under immense pressure. If cured, it would be a cause for great joy. Had they failed to save her, there would be no legal responsibility, but it would be difficult to explain to the dean and the family alike. Zhou Can, hearing this news, also showed a happy smile. He felt an unprecedented sense of accomplishment. Through his relentless efforts, he had finally saved the pregnant woman and her unborn child. [Pathology Diagnosis Experience Points +0.8.] [You successfully diagnosed an exceptionally difficult complex hidden case, awarded +100 Diagnosis Experience Points.] Receiving that 0.8 Experience Points, Zhou Can was not surprised. But he was completely astonished when he received the reward of a whopping 100 Diagnosis Experience Points. This is a whole 100 Experience Points. It requires reading 1000 case records, or successfully diagnosing the pathology of 100 patients to gain so many Experience Points. Although diagnosing this pregnant woman''s disease is even harder than solving a case by reasoning, all efforts are well worth it. The harvest is beyond imagination. [Pathological Diagnosis, Level 3, Current Experience Points 102/1000. Resident Doctor, lower level.] This extremely difficult medical skill has taken a significant step forward. Just need to diagnose nine more cases of such high difficulty, and his pathological diagnosis can be upgraded to Chief Level. However, such patients are hard to come by. And with his current diagnostic skills, it''s probably very difficult to diagnose cases of super high difficulty. As for successfully diagnosing the pathology of this pregnant woman, luck played a big part. If it wasn''t for the accidental discovery that the patient''s eyebrows were not drawn properly, which led to the deduction that her vision was impaired, it would have been hard to have the subsequent successful diagnosis. Overall, it''s a combination of skill and luck. "Let''s proceed with symptomatic treatment immediately!" Having found the medication mistakenly taken by the pregnant woman, things get easier. Just administer the corresponding medication to resolve it. After a series of emergency treatments, the pregnant woman''s blood pressure finally showed a natural decrease for the first time. "It''s lowered, it''s finally lowered, haha!" Nurse Ye Tingting shouted excitedly, bursting into silly laughter. sea??h th§× N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. Smiles also appeared on everyone''s faces. After the patient''s blood pressure returned to the normal range, Director Tan did not rush to transfuse her blood back. "Send her for an ultrasound to check if the arterial aneurysm has disappeared?" Who knew that before she was moved out, she woke up. "Ugh... my head is so dizzy! Am I... in the hospital?" She instinctively tried to sit up, but she was so weak that she couldn''t manage it. "Don''t move! You fainted in a taxi due to a sudden increase in blood pressure. We are in the emergency room of Tuya Hospital, and after emergency treatment, your blood pressure has already come down. However, there is still some risk, so we need to send you for a head ultrasound to see if the intracranial aneurysm has disappeared." Director Zhang Bihua stepped forward and gently restrained the pregnant woman, patiently explaining the situation to her. "Ah, is my baby in the stomach okay?" "The child is currently fine." "Thank God, as long as the child is fine." Upon hearing that her child was unharmed, the pregnant woman showed a happy smile, seemingly unworried about herself. It was evident that she truly valued her child''s life above her own. "Let''s go for the examination first!" Only by confirming that the arterial aneurysm has truly disappeared can everyone be completely reassured. After the pregnant woman''s blood pressure returned to normal values, the fact that she could wake up from unconsciousness so quickly essentially confirmed that the aneurysm pressing on the brainstem had shrunk or disappeared. It wasn''t long before the pregnant woman returned from the head ultrasound. "Let me see." Director Yin couldn''t wait to take the ultrasound images, examining them against the light. The other doctors also craned their necks, eagerly anticipating good results. "This, this..." Director Yin''s right hand, holding the images, was trembling, his lips muttering. His expression was as if he saw his deceased grandfather returning to the world. Everyone felt a heavy sense of dread, as Director Yin''s reaction suggested that the situation might be grim. "Director Yin, what''s the result? Just say it!" Director Xie was always rather impatient. Seeing that Director Yin hesitated to disclose the results, he couldn''t wait any longer. Du Leng also perked up his ears eavesdropping, he was the most nervous of all. "It really disappeared, it''s truly gone... Dr. Zhou''s diagnosis was all correct." Director Yin was overwhelmingly excited, filled with numerous emotions. Who says a lower qualification represents poor diagnostic skills? Who says rotational doctor''s opinions aren''t reliable? "Dr. Zhou, I must say, you''ve redefined the term ''rotational doctor'' for me. You are the most remarkable rotational doctor I have come across, none other." Director Yin shared these words in front of everyone, somewhat apologizing to Zhou Can. After all, he had insulted Zhou Can as superficial not long ago. He even boasted in front of Zhou Can that he had diagnosed tens of thousands of cases, claiming he had consumed more salt than Zhou Can had eaten rice. Now with the pregnant woman''s blood pressure successfully restored to normal and her regaining consciousness, the intracranial aneurysm had miraculously disappeared. Facts speak louder than words. Medicine is such that if the diagnosis is correct, treatment follows precisely. If the diagnosis is wrong, then one can only pray to God and various deities to avoid any medical mishap. Chapter 51 - 45: Snatching Credit Comes with Risks "An aneurysm disappearing without surgery? That''s quite mystifying." Director Xie, who has been in surgery for so many years, is encountering this kind of case for the first time. Maybe it''s not the first time. It''s just that due to limited knowledge, if he ever encountered a temporary aneurysm, he treated it like a regular one and solved it surgically. "Let me see!" He took the patient''s cranial ultrasound images and examined them carefully. Even though he already knows the aneurysm has disappeared, when he actually sees the situation on the ultrasound images, he still couldn''t help but show a face full of shock. Medicine is just so magical. There are countless bizarre and peculiar diseases. Even doctors who have practiced medicine for decades often witness various ''miracles.'' This is also why doctors often treat the phrase ''live and learn'' as their motto. The sea of medicine is boundless, one can''t learn all there is in a lifetime. "Hehe, I''ve really gained new insight today." Director Xie laughed self-deprecatingly and passed the films to the other directors to look at. After the doctors saw them, they all marveled. "Alright, filter the pregnant woman''s blood and transfuse it back! Uh... remove about 150 milliliters, that''s a bit safer." Director Tan''s medical style is as steady as his temperament. Reducing the transfusion by 150 milliliters will not adversely affect the pregnant woman but can appropriately reduce the blood volume. It''s safer than transfusing it all back. The pregnant woman was out of danger, everything was progressing in a good direction, and every healthcare worker was especially happy. The happiest were the doctors and nurses of the Emergency Department. They had never felt such a sense of pride like today. Because the biggest contributor to the pregnant woman''s recovery was Zhou Can. He''s one of their people from the Emergency Department. Strength wins respect everywhere. The directors and doctors of the leading departments will no longer dare to look down upon the Emergency Department. At this moment, the door to the resuscitation room was pushed open. A middle-aged male doctor with an extraordinary presence walked in. Along with him, there was an old man around sixty years old and the pregnant woman''s mother. "Yo, Dean Zhu, you''re a very busy man, how come you''ve taken the time to come here yourself!" Upon seeing this middle-aged male doctor, Director Tan, Director Zhang, and others immediately showed respectful expressions. They all came forward to greet him. He was the Dean of Tuya Hospital, around his fifties or so. Perhaps due to working day and night, a severe case of male-pattern baldness had appeared on his head, and the remaining sparse hair had also turned grayish white. S§×arch* The n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. The old man accompanying him looked plain and unadorned but emanated an authoritative presence from his every move that commanded respect. "I just received a message from Director Xie, saying that the patient''s cause of illness had been found and that preparation for treatment was underway. My old leader was worried about his daughter, so I accompanied him to the rescue scene." Dean Zhu explained with a smile. "Oh, I forgot to introduce, these two are the pregnant woman''s parents, who are also my former leaders." After the introduction, he turned his gaze to the pregnant woman lying on the resuscitation bed and saw that she was receiving a blood transfusion and was awake. He paused briefly, then his face lit up with joy. The pregnant woman had awakened from her coma, indicating the resuscitation was effective. He would be able to explain this to his old leader. The directors present exchanged meaningful glances after hearing this. This Old Xie, his credit-grabbing skills are second to none. Everyone had been staying together, yet nobody knew when he sneaked off to report the good news to Dean Zhu. "Dad! Mom!" The pregnant woman also saw her parents entering the resuscitation room and excitedly called out to her loved ones. "Hehe! My daughter woke up! That''s really wonderful!" The old man exuding an authoritative presence was overjoyed when he heard his daughter''s call. Excited and moved. The old lady was moved to tears, walking to the bedside and tightly holding her daughter''s hand. Mother and daughter had narrowly avoided eternal separation, and fortunately, after the doctors'' efforts, they successfully revived her. Few people can remain calm after a reunion following a near-death separation. After the intense excitement and extreme joy pass, it''s time to fully release the negative emotions accumulated due to severe worry, sadness, and anxiety. Crying is the only natural way. It most genuinely reflects the sincerity of emotions. Dean Zhu, seeing the old leader''s family reunited, felt gratified and it was now time to commend the hero. "Who is Du Leng?" The dean asked with a smile. "That''s me!" Du Leng didn''t understand why the dean suddenly called his name. However, getting familiar with Dean Zhu was definitely a good thing. Looking at Dean Zhu''s smiling face, it certainly wouldn''t be a scolding. Du Leng couldn''t help but feel even more expectant. Dean Zhu looked at Du Leng, who had stepped forward, with eyes brimming with thick praise. "Truly worthy of a Ph.D. who returned from Johns Hopkins University, indeed a person of great talent and extraordinary presence!" "You flatter me! It''s my good fortune to work at Tuya Hospital under such a wise leader as you," Du Leng''s flattery skills were incredibly good. Spouting such cheesy lines as if it was second nature to him. Zhou Can, on the other hand, admitted he couldn''t do the same. Because the psychological barrier was too great. Some people are good at climbing the ranks through flattery, others through genuine talent. Zhou Can belonged to the latter. "Director Xie reported that in the pregnant woman''s rescue operation, you played a crucial role and made a key contribution, is that correct?" The dean''s smile became even warmer. Du Leng''s obsequiously smiling face, however, instantly froze. With his intelligence, he immediately realized that Director Xie might have quietly sought credit with Dean Zhu just as he had diagnosed the pregnant woman''s condition as brainstem compression by an aneurysm. But man proposes, God disposes. There had been a significant reversal in the situation. Now he had really been put into a dreadful pit. The misdiagnosis had already stopped being mentioned. Now that Dean Zhu was preparing to commend him, the matter had to be explained clearly. It was like being roasted on the fire; how embarrassing it could get was obvious. "Uh... Er..." Du Leng was mumbling, trying to figure out how to answer so as not to lose too much face. "Ha-ha, young Du Leng is not only highly educated and skilled in medicine but also quite modest!" Dean Zhu laughed heartily and praised Du Leng again. Otherwise, why is the first impression so important? Dean Zhu thought Du Leng was the great hero and thus had a very good foundational impression of him. Plus, with Du Leng''s dazzling academic credentials, that favorable impression was set to rise even further. Hence, everything about Du Leng seemed pleasing to the eye, full of merits. A single beauty masks a hundred flaws; this probably explains it. "Is this young man the one who saved my daughter?" The pregnant woman''s father also came over. Life-saving grace, that definitely needed thanks. "Uh... erm..." Du Leng was even more embarrassed, nervous sweat beginning to form on his forehead. Actually, Director Xie was even more embarrassed at the moment. Sneaking in to claim credit wasn''t really a big deal in itself. It not only bolstered the prestige of the surgery department but also supported Du Leng, the newcomer. And the diagnosis was confirmed by Director Yin Hua of neurology and Directors Tan and others had no objections either. It seemed like a sure thing in every conceivable way. But who could have expected that the diagnosis took several twists and turns, and Du Leng''s earlier diagnosis turned out to be a misdiagnosis. A huge blunder had been made. How was he going to explain this to Dean Zhu? He, a dignified chief of surgery, truly couldn''t afford to lose face. If only one of the chiefs stood up to clarify the situation right now. Although he would still be embarrassed, at least he wouldn''t have to face it directly. Director Xie looked for help toward the other directors. Unexpectedly, the expressions of these directors were astonishingly unanimous. Either they turned their heads away, or they looked at Du Leng with a smile on their faces as he made a fool of himself. All were watching the free show. Director Xie understood that these directors were annoyed at him for sneaking in to claim credit, and deliberately let him embarrass himself. It was indeed a bit underhanded. Now he was already reaping what he had sown. Chapter 52 - 46: The Meritorious Official "The key person wasn''t Du Leng! It was Dr. Zhou Can from our Emergency Department," Ye Tingting spoke bluntly like a fiery chili pepper, revealing the true story. Director Xie wished he could bow to her. At least he didn''t have to personally step forward to explain this matter. Dean Zhu''s smile halted, and with a look of astonishment, he asked, "What on earth happened?" His gaze directly met Director Xie''s. Deception and fakery are not traits any leader would appreciate in their subordinates. Director Xie was overwhelmed. Even though he occupied the high position of chief of the surgical department, he still broke out in a cold sweat. At this point, it wasn''t just a matter of saving face, but a question of personal credibility. However embarrassing, he had to bite the bullet and come forward to make things clear. "Dean Zhu, I must explain this to you. At that time, we had directors and experts from the surgical, internal medicine, and obstetrics departments rush to the resuscitation room for a joint consultation. With advanced diagnostic techniques he learned overseas, Du Leng immediately diagnosed the pregnant woman as having a brainstem-pressing intracranial arterial aneurysm. This diagnosis was roughly the same as the preliminary judgment of Director Yin Hua. To be precise, Du Leng''s diagnosis was a bit more accurate." After hearing Director Xie''s explanation, Dean Zhu softened his gaze. It wasn''t so cold anymore. "Why did the nurse say that it was Dr. Zhou Can from the Emergency Department who played the key role?" He asked. "At that time, we were discussing surgery to remove the aneurysm in the patient''s brain. However, because the aneurysm was located in the brainstem region, the surgery carried extremely high risks. Even Director Wu Baihe clearly stated that there wasn''t even a fifty percent chance of success." Upon hearing this, the pregnant woman and her parents deeply felt the danger of the situation. "At this juncture, Dr. Zhou Can inferred that there might be an issue with the patient''s vision, from her unfinished eyebrow makeup. After further deduction and a bold assumption, he proposed that she likely, by mistake, took the wrong medication instead of her antihypertensive drug before leaving the house. That was what caused the sudden rise in blood pressure." Director Xie recounted the diagnostic process, his emotions quite complex. He found himself enthusiastically praising a doctor from a competing department. It wasn''t that he wanted to praise Zhou Can, but he had to. With so many witnesses, Zhou Can''s credit couldn''t be erased. "Ah, I knew it; when I took that medicine, I felt that it tasted a bit off. I thought it was because my taste was distorted due to pregnancy. I was too careless. I probably took anti-inflammatory painkillers that were placed together with the antihypertensive drugs." The pregnant woman blamed herself after listening. "You child, why didn''t you tell us that you had vision problems?" The elderly lady scolded her daughter. But her eyes were full of sorrow. "At that time, I thought it was just a bit of blurriness from just having woken up and that it would clear up after a while. I didn''t take it seriously, and I almost lost my life. Luckily, the baby in my belly is fine." The pregnant woman stroked her belly, her face filled with relief. "Speaking of which, that Dr. Zhou Can is really amazing. At that time, I was unconscious and couldn''t describe what had happened, and I didn''t even know I had taken the wrong medication. If it wasn''t for him piecing together the clues and deducing the cause and effect, the consequences would have been unthinkable. Mom, Dad, you must thank Dr. Zhou for me." The pregnant woman, having narrowly escaped death and hearing about the diagnostic process, realized how difficult it had been for the doctor to identify the cause of her illness. Such a good doctor deserved thanks. "Yes, yes, when you are discharged from the hospital, we will thank Dr. Zhou together. You just rest well in bed and recover, okay?" The elderly couple gazed at their daughter, their eyes full of tenderness. "Weren''t you just saying my daughter has an intracranial aneurysm that needs surgical removal? Now that my daughter has awakened, please think of a way to avoid surgery. Don''t even mention a fifty percent chance of success; even with a ninety percent chance, I still think the risk is too great." The pregnant woman''s father was more concerned about this matter. It was good news that his daughter had awakened, but the prospect of surgery for the aneurysm was worrying. He didn''t want his child to take any risks. Especially after experiencing the regain after the resuscitation, he cherished the bond between father and daughter even more. "Cough¡­ After further joint consultation and analysis by Dr. Zhou and us, it was found that it was just a temporary aneurysm, caused by high intracranial pressure. After a series of antihypertensive treatments, we just examined your daughter. Very fortunately, the temporary aneurysm has disappeared." Director Tan still had some conscience. Although for the sake of saving face for the major departments in the hospital, he was forced to say it was a joint diagnosis, but he still highlighted Zhou Can''s name. At least he did not erase his credit. It would be impossible to tell the family and the patient that so many of our experts and chiefs failed to diagnose the condition, and even nearly misdiagnosed it, and that it was a resident physician who figured it out, right? If said outright, Dean Zhu''s face would probably be longer than a horse''s. For any hospital, reputation is equivalent to their signboard. It is more important than anything else. Sometimes when doctors cause negative news and make mistakes, the hospital will try everything to cover up. What is this for? It''s to protect the hospital''s reputation. Once tarnished, a top hospital''s business can shrink drastically in a very short span of time, and its competitiveness can decrease significantly. When that step is reached, what is smashed is not the rice bowl of one person. But the rice bowls of everyone on the entire ship. "Is that so! Will my daughter still be in danger?" The family and the pregnant woman all breathed a sigh of relief. The fact that surgery was initially suggested but then she was healed without it did not concern them much. For patients, as long as the illness can be cured, that''s all that matters. The process is not important. "As long as she keeps her blood pressure under control, generally speaking, there shouldn''t be too much danger." Director Tan also breathed a sigh of relief; the obstacle of the misdiagnosis incident had finally been overcome. Over the many years in medicine, he had been proven wrong countless times. But turns of events as embarrassing as today had only happened when he was younger. Since he became well-known, misdiagnoses had nearly ceased to occur. In situations where he really couldn''t find the cause of a patient''s illness, he would rather tell the patient and their family that he couldn''t find the problem at the moment. To have the patient check at other hospitals or to observe for a while longer. "Is Dr. Zhou Can still here?" After learning that her daughter was out of danger, the pregnant woman''s father finally felt his hanging heart settle down. Next, it was time to properly thank the life-saving doctor. "This is our Emergency Department''s Dr. Zhou Can." Director Lou introduced with immense pride, his voice loud. In an instant, the low-profile Zhou Can standing at the back became the center of everyone''s attention; he became the most dazzling star in the resuscitation room. Dean, pregnant woman, family members were all sizing him up. "What a young man!" The pregnant woman''s father couldn''t help but exclaim. He had thought that a doctor with such impressive diagnostic skills must be a white-bearded one. Seeing how young Zhou Can was, he was genuinely surprised. "Not only is Dr. Zhou young, but he is also very earnest in his work and has a particularly kind heart!" The pregnant woman''s mother came over at this point. She looked at Zhou Can with a grateful smile on her face. "Do you know him?" The elderly man asked, taken aback. "Mm-hmm!" The elderly woman nodded repeatedly. "Just now, when my daughter was being resuscitated inside, I was waiting outside. Their initial resuscitation efforts were not going smoothly, and it was Dr. Zhou who took the initiative to come out and ask me for information about my daughter''s medical history and such. At that time, I wasn''t very polite to him. But he didn''t mind it and, after asking, he even comforted me, took care to have me sit down on a chair to rest. Dr. Zhou truly embodies benevolent care!" People are made of flesh and blood. After learning that Zhou Can was her daughter''s life-saving benefactor, the elderly woman felt even more guilty. She looked at Zhou Can with eyes so soft they could melt a person. "Dr. Zhou, thank you for saving my daughter!" The elderly woman bowed deeply to him with a very solemn expression. Zhou Can, flustered, quickly reached out to support her. "Auntie, this shouldn''t be. I am a doctor, saving your daughter is my duty. To be honest, after hearing about your son-in-law''s heroic deeds, I made up my mind to do everything in my power to save your daughter and the child in her womb. Fortunately, those destined not to die will have good fortune, and with the joint efforts of all the medical staff, we finally managed to save your daughter." Zhou Can didn''t take all the credit for himself but shared the merits with all the medical staff present. This also left a very good impression of him in the hearts of many doctors. Even Director Xie''s gaze softened a lot when looking at Zhou Can. S§×arch* The Nov§×l?ire.n(e)t website on Google to access chapters of novels early and in the highest quality. Wealth should be shared, not monopolized; this is an immortal maxim. Those who only think of hoarding all the benefits to themselves are destined to not get far. Chapter 53 - 47: Strength Makes the World a Better Place "The young man is indeed very good. My name is Cao Zhengguo, and here is my business card. If you don''t mind, feel free to call and chat anytime. If you ever run into any trouble, you can always reach out to me." The old man handed him a black business card. On it, there was simply the name Cao Zhengguo, along with two phone numbers. Zhou Can took it with both hands and put it into his pocket. It''s a matter of learning how to address someone. If possible, use younger addressing terms; avoid calling them old. It can sometimes lead to their displeasure. "Thank you for your kindness, Uncle Cao. When I have the chance, I will surely bother you." Generally speaking, the more powerful the person, the simpler their business card. Because their name alone triumphs over any title. On the contrary, the swindlers who flaunt their presence, or those without real skills, often like to print a pile of fancy titles on their business cards. Such as President of Some Association, Manager of Some Company, etc. They appear impressive, like successful individuals. But in reality, they don''t have a single substantial title. Cao Guozheng is Dean Zhu''s old superior, and this connection alone is enough to bring endless benefits to Zhou Can. In the future, for hospital promotions, important training opportunities, and so forth, reporting to Dean Zhu, and realizing it''s Zhou Can, there''s a high chance he''ll receive extra care. Being a doctor is a beautiful profession. Apart from the joy of saving lives and helping the injured, there''s often the chance to gain some unexpected connections. These are very precious networking relationships. No wonder that some chief physicians in big hospitals have such high social status. Not to mention anything else, just the various influential figures they meet during their practice can make them stand out far beyond the ordinary elite. Society is a large net made up of all humans. Every person is a point on this super-large net. Interpersonal relations are about trying to connect oneself with other points, thereby forming a smaller network centered around oneself. The bigger and stronger one''s network, the better they fare in society. "Xiao Zhou, my old leader rarely hands out business cards, you should cherish it." The Dean gave Zhou Can a hint with a smile. Actually, there''s no need for him to remind me, Zhou Can understands the importance of this business card. "I will! Thank you, Dean Zhu!" Zhou Can showed extreme humility and politeness. "Hehe, the young man is quite polite. You have performed outstandingly and contributed greatly this time. You must maintain it well. Our Tuya Hospital needs talented individuals with both medical skills and ethics." The Dean used the term "talented individuals with both medical skills and ethics." This is a very high honor. It''s also a high recognition of Zhou Can''s performance this time. Du Leng, Gao Jian, Yang Chan, and others all looked at Zhou Can with envy as he was praised. Opportunities are equal; those who can seize them will take a big step ahead of others. In the future, whether they are promoted to resident doctors, attending physicians, or rise through the ranks, or participate in research groups, or study at other hospitals, Zhou Can will always have an advantage. After praising Zhou Can, Dean Zhu''s gaze swept over all the medical staff in the resuscitation room. "The rescue operation was completed very well, thank you for your hard work." "It''s our duty, our duty!" Several department directors expressed their positions. In such situations, ordinary doctors and nurses actually don''t have much right to speak. "Old leader, I will arrange a ward for your daughter in a bit, to stay and observe for a couple of days, and then she can be discharged once all her health indicators are stable. Does that work for you?" Dean Zhu made a considerate arrangement. It really is good to have connections. The beds in Tuya Hospital are extremely scarce, and many patients needing surgery are waiting in line for beds to be available. With a flick of Dean Zhu''s wrist, he directly gave Ms. Cao the green light. "You handle things, and I''m at ease." Cao Zhengguo also had great leadership skills, directly affirming Dean Zhu''s character. This was ten times more effective than just praising him. "Thank you for the trust, senior leader," Dean Zhu said with a smile like a blooming flower. "Alright, go ahead with your work! You''ve worked hard today!" Cao Zhengguo waved his hand, signaling that Dean Zhu no longer needed to accompany him. From the dialogue between the two, it was evident that Dean Zhu always regarded himself as a subordinate in front of Cao Zhengguo. The latter seemed to take it in stride. Who exactly was this Cao Zhengguo? It didn''t seem like he was the former dean of Tuya Hospital. Zhou Can had this old man''s business card, and with time and further contact, he would have the opportunity to understand better. After Dean Zhu left, the experts and directors who came for the consultation, all being very busy people, also said their goodbyes and left. Director Xie had ended up in an embarrassing situation today, and when he left, he gave Zhou Can a complicated look. That resentful expression was thought-provoking. It was unclear whether he regretted not choosing Zhou Can in the first place or whether Zhou Can''s exceptional performance changed his belief in the supremacy of high academic qualifications. Du Leng was probably the most tragic one. He had been in the spotlight at the beginning, but ''cried'' throughout the second half. Initially, Dean Zhu''s glance at him was full of admiration. But after learning of his near misdiagnosis, Dean Zhu''s attitude towards him had noticeably cooled. Dean Zhu didn''t look at him again before leaving. Director Tan also left with the three from Internal Medicine. "Dr. Zhou!" He looked at Zhou Can with a friendly and approachable demeanor. "You can just call me Xiao Zhou!" Zhou Can said, lowering his stance. "Mm, very good. You''ve just achieved a great feat, but you remain calm and composed; I think very highly of you. As Dean Zhu said earlier, our hospital needs talents with both medical expertise and ethics like you. You need to rotate through various departments during your residency training, right? You are welcome to intern in Internal Medicine; I can mentor you personally." Director Tan was extending an olive branch to him. Which made Director Lou anxious at his side. The talent pool in the Emergency Department was sparse, and they had finally found a promising newcomer; he couldn''t be poached just like that. "Director Tan, let me remind you that Xiao Zhou is the resident doctor chosen by our Emergency Department. You can''t snatch someone we cherish!" Director Lou said anxiously, issuing a preemptive warning. "Look at what you''re saying, aren''t we all doctors from Tuya Hospital? We''re one family, why divide so clearly? Besides, with the conditions in your Emergency Department, can you cultivate the most top-notch doctors? I see that this young man, Zhou Can, has the right mentality and is also kind, a person who knows gratitude. No matter how well he develops, he won''t forget the Emergency Department''s nurturing grace." After speaking, Director Tan looked at Zhou Can with a smile. "Right, Dr. Zhou?" "You''re right, the Emergency Department will always be my home," Zhou Can''s stance somewhat reassured Director Lou. "Internal Medicine is the foundation of all medical sciences. Studying Internal Medicine well will lay a solid foundation for your future growth. Therefore, I suggest you extend your Internal Medicine residency time. Three months is too short; even with great talent, you can only scratch the surface. Of course, this is just my personal advice; the final decision is up to you." Director Tan looked at him sincerely. "Thank you for your valuable advice; I will definitely go to Internal Medicine, and I hope for more guidance from you and the other teachers there," Zhou Can could feel Director Tan''s goodwill. He brought his hands together, bowing slightly in gratitude. "When you''re in Internal Medicine, cardiology is a must-learn subject! Dr. Zhou, you are always welcome to come see me," Director Yin Hua was usually reticent and even reprimanded Zhou Can severely not too long ago. Now, seeing Zhou Can as a talented and humble person with good character, he couldn''t help but take a liking to him. He even took the initiative to show kindness to Zhou Can. Getting guidance from this top cardiology expert was certainly something Zhou Can desperately wanted. "Thank you, Director Yin, for not holding grudges. When I come to seek advice, I hope you won''t be bothered by me," Zhou Can said with a smile. S§×ar?h the N?vel?ire.net website on Google to access chapters of novels early and in the highest quality. "Ha ha, to be fair, I''m famous for being strict with students; you should prepare yourself to be scolded," Director Yin was amused by him and found Zhou Can even more likable. "I''m not afraid. I''ve already toughened up my skin. If you don''t believe me, feel it; it''s probably not much thinner than the soles of your shoes." Zhou Can had been scolded quite a bit during his internship year. Almost every doctor had grown up that way. Zhou Can was happier than anything to have turned hostility into friendship with Director Yin. Moreover, he could consult with this top cardiology expert at any time in the future; a few scoldings were nothing. Even if Director Yin beat him up, it would be worth it. "You cheeky boy!" Director Yin couldn''t help but laugh and scold him. Chapter 54 - 48: Sudden Public Incident Gao Jian looked at Zhou Can with a tinge of defeat and bitterness, "You won another round, but I won''t admit defeat that easily." Director Tan was somewhat puzzled after hearing this. He turned his head and asked, "Xiao Gao, what''s going on between you two?" "When it was time for the Level 2 training exam, wasn''t Zhou Can the top scorer? I wasn''t convinced, so I challenged him with a vow that we''d compete in the field of medicine. Yesterday, I was a bit worried that it would be unfair to him being assigned to the Emergency Department. Now I feel depressed; a genius is a genius no matter where you put them. Today in this consultation, I lost to him again!" Gao Jian explained the whole story. Everyone couldn''t help but smile upon hearing this. Gao Jian had that straightforward and magnanimous character of a northern guy. Even after losing twice in a row, he could still make a comically distressed face, which showed he had a large heart. Losing was simply due to being outskilled, with no complaints. "Haha! This competition is quite interesting; I support it! One needs competition to improve!" Director Tan was unexpectedly very supportive of their contest. Where else could you find such an open-minded department head? "Let''s go!" He waved his hand and led the three Internal Medicine doctors away. The last to leave was Director Zhang Bihua of obstetrics. She had been monitoring the baby''s condition, and only after the pregnant woman had finished transfusing blood and the baby showed no abnormalities did she leave at ease, taking Yang Chan with her. When Yang Chan passed by Zhou Can, he smiled at her. "Thanks for helping me!" If it weren''t for her seeking help from her mentor at the critical moment, Zhou Can would have had a hard time convincing the directors. "Don''t overthink it; I didn''t do it for you. I did it out of responsibility for the patient." Her cherry lips were pouting slightly, her tone was so cold, and her face was expressionless, clearly still holding a grudge against Zhou Can. Zhou Can was puzzled. Wasn''t it just a heartfelt post in the class group last night that caused a misunderstanding? Did it need to be taken to heart for this long? To smooth things over, he even spent a thousand yuan. He had never seen this petty side of her. Other doctors and nurses watched Zhou Can get rebuffed and couldn''t help but laugh secretly. Youth is great! Everyone has beautiful memories of youthful love. A bit of verbal sparring, a small disagreement, it''s all normal. "Hey, wasn''t it just in the group¡­" "Shut up!" She seemed to guess what Zhou Can was about to say, and quickly glared fiercely at him, stopping him from continuing. In front of the teachers and so many doctors, this guy had no filter. Who knows what everyone might speculate. "Xiao Zhou, girls need to be coaxed, you know? But don''t worry, I will also work on Yang Chan''s thinking when I get back," Director Zhang Bihua taught him with the wisdom of someone experienced. "Teacher, it''s not what you''re thinking!" Yang Chan was extremely embarrassed. "Hehe, I understand, I understand. You don''t need to explain further; your teacher gets it." After saying this, Director Zhang Bihua winked at Zhou Can and left with Yang Chan. This was hinting to Zhou Can not to forget the lesson she imparted. Yang Chan was so embarrassed that even her pale neck turned red. Her thin red lips were almost bitten into bleeding. The more she tried to clear things up, the darker it got. If she kept explaining, she feared she might as well jump into the Yellow River and still couldn''t wash herself clean. Luckily, Director Zhang Bihua was a busy person and didn''t stay any longer, quickly leading her out of the resuscitation room. "Zhou Can, I think this young man is quite good, having a little tiff while dating is normal for you young people. A woman is like water, you have to be gentle; only softness can overcome hardness..." Director Zhang''s voice trailed off in the distance. Zhou Can couldn''t help but laugh; not only was Director Zhang responsible for teaching medical skills, but she was also teaching her student how to date. Such good teachers were rare. Actually, there was really nothing between him and Yang Chan. Classmates for five years, even if they had interned at Tu Ya Hospital together for a year, the words they exchanged were probably less than ten sentences. As he gradually began to stand out, he discovered that these chief physicians at Tu Ya Hospital weren''t as formidable, aloof, and strict as he had imagined. At least now quite a few chief physicians were very friendly to him. This society is like that; excellent people always find themselves in favorable circumstances. The less outstanding individuals encounter more obstacles and hit walls wherever they turn. This is also the real reason everyone strives so hard. Through hard work, as one becomes stronger, those who once looked down on you now greet you with smiles when they see you. Leaders who were very cold to you become much warmer. Even the prospective mother-in-law who always disagreed with your marriage suddenly gives her consent... It''s the effort that makes life exciting. "Xiao Zhou, stop daydreaming, the young lady is long gone. Come with me to the operating room to work!" Dr. Xu called out. It was clear that after this meritorious act, Zhou Can''s position in Dr. Xu''s heart had risen considerably. Dr. Xu had never joked with him before. His usual response was, "Okay!" Zhou Can''s favorite place to earn Experience Points was in the operating room. For him at this stage, the Emergency Department''s operating room was simply a holy ground for leveling up his medical skills. Not only was there a large volume of surgeries, but there were also many Level 1 surgeries. As they came out of the resuscitation room, before they even entered the operating room, they were shocked by the sight in front of them. They saw at least twenty or thirty patients waiting for surgery in the long corridor. The Emergency Department usually only conducts emergency surgeries. Many surgeries are suggested to be done in the outpatient clinic or specialized inpatient departments instead. The surgical processing capacity of the Emergency Department is very limited. How long would it take to deal with so many patients? And there would be a continuous stream of new patients joining the waiting list for surgery. Even Dr. Xu was taken aback when he saw this scene. "Wow, have we been in the resuscitation room for that long?" "Doesn''t seem like it''s been an hour and a half." Zhou Can glanced at the time. At this moment, a petite nurse ran over. "Dr. Xu, you''re finally here. These are all the patients needing surgery." "Why are there suddenly so many surgical patients? Our Emergency Department has limited capability; direct them to their specialized outpatient departments," whispered Dr. Xu. "I guess the general surgery outpatient clinic is already overwhelmed. I heard it was a concert by a third-tier female star; the stage suddenly collapsed, causing many injuries." The female nurse looked helpless. So this was due to a public incident; no wonder there was a sudden influx of surgical patients. Throughout the year, there were always a few dozen days when the Emergency Department would be overwhelmed. For instance, when there''s a bus crash, a small restaurant explosion, a building collapse... Even in winter, the morning icing could result in the Emergency Department being too busy to handle everything. Zhou Can still had a vivid memory of this. Last year, close to the end of the year, after several days of drizzling rain and a sudden drop in temperature, it unexpectedly froze one night. As a result, before seven o''clock in the morning, the hospital notified him to rush to help. A continuous stream of patients with fall injuries started in the morning. At times, five or six patients with fall injuries would arrive at once. Zhou Can had spent an unforgettable New Year''s period. He did a full twenty-four-hour shift, and afterwards, he just sat down against the wall of the operating room and fell asleep. This was his first encounter with a concert stage collapse. The number of injured people would probably not be small. Besides those injured from the collapsing stage, the sudden panic could lead to stampedes. If the venue wasn''t spacious enough and there were a lot of spectators, the secondary injuries caused by stampedes could be even worse. "Let''s go, hurry into the operating room." Dr. Xu hurried Zhou Can to the operating room. They heard Dr. Lu muttering from inside an operating room, "I''ve already done three surgeries this morning; I''m exhausted. Xiao Jin, don''t just stand there dazed, hurry up and suture this patient''s wound, I need to catch my breath." Zhou Can felt fortunate that he had followed Dr. Xu to the resuscitation room for consultation. If he had been with Dr. Lu, it would have been terribly unlucky. That man was both lazy and cunning. He wouldn''t learn much, and would still be ordered around by him. Ignoring the many patients outside, Dr. Xu seemed a bit unhappy and entered the operating room with a gloomy face. "Dr. Lu is so exhausted, the three surgeries he performed must be at least Level 3 major surgeries, right?" It was clear to everyone that this was sarcasm. "Heh, heh, I don''t have the skill for Level 3 surgeries! It''s just that if you didn''t come back, our Emergency Department''s operating room would really be overwhelmed. They say there was a star''s concert stage that collapsed, injuring a lot of spectators and staff. I really haven''t been slacking off; the three injured patients I treated all had multiple injuries and complex conditions. There are many more out there who meet the criteria for Level 2 surgeries, which I simply can''t handle; I just had to wait for you to come back and take care of them." What a crafty talker. With his response, Dr. Xu didn''t have much else to criticize him for. After all, Dr. Lu was a senior Resident Doctor. In terms of position, he was only second to an attending physician. "Alright, let''s hurry up and save the injured! With so many patients outside, I''ve observed that there are very few with serious injuries, and I simply can''t handle them all on my own. Xiao Zhou, Dr. Jin, each of you handle the patients within the scope of Level 1 surgeries. Dr. Lu, assist me. Then, call in two more nurses to help." Dr. Xu had a clear understanding of the situation. He directly arranged for Dr. Lu, who was lazy and deceitful, to be his assistant. Then he let Zhou Can and Jin Mingxi each lead a Level 1 surgery. Jin Mingxi had a calm expression because he had done far too many Level 1 surgeries. Moreover, he had the qualifications to practice medicine independently. Zhou Can, on the other hand, was thrilled. What a great opportunity to practice. He was about to gain another surge of Experience Points. The sooner he advanced his medical skills, the sooner he could participate in higher-level surgeries. sea??h th§× N?vel?ire.net website on Google to access chapters of novels early and in the highest quality. Chapter 55 - 49: Deceiving is Also a Required Course for Doctors "Dr. Xu, this arrangement isn''t reasonable! Xiao Zhou is just a residency trainee; he''s not qualified to perform surgery alone. How about having him assist you instead, while Jin Mingxi and I handle Level 1 surgeries independently?" Zhou Can does not have a medical license, but Jin Mingxi does. This is a soft spot for Zhou Can. When Dr. Lu heard that he was to assist Dr. Xu, his face immediately soured. He even found a perfectly reasonable excuse to try to switch places with Zhou Can. Zhou Can was cursing inwardly. Dr. Lu really is worthless. Seeing so many injured people waiting for surgery, he has no compassion, not eager to treat the injured, but only thinking about how to be lazy and take it easy. A person of poor character becoming a doctor is truly unfortunate for the patients. "Who said he''s practicing alone? Am I not here to guide him through the surgery? Stop talking nonsense and get ready to work. Tang Ling, have someone push in the most severely injured patient from outside." Dr. Xu''s words effectively shut Dr. Lu up. That''s why you should never fight with your superiors; you can''t beat them. Soon, two temporarily assigned nurses came in. They assisted Zhou Can and Jin Mingxi respectively. Then the small operating room became very lively. Three patients could be brought in at a time, with several doctors performing surgeries simultaneously. Zhou Can was fully engaged, assessing injuries, cleaning wounds, stopping bleeding, and suturing. Most of these injuries were superficial scrapes. More severe ones involved head or arm injuries with bleeding. The patients brought into the operating room had already been examined by the attending doctors. However, considering the large number of injured people and the high pressure on medical resources, some superficial wounds might only receive a physical examination before being further treated in the operating room. This required the surgeons to be meticulous to avoid any mistakes. "Next!" After handling the first patient, Zhou Can had the nurses take him out and bring in the next one. The previous patient had a wound on the palm. S§×arch* The n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. According to his own account, he was lucky to have been far from the collapsing stage. Still, he was hit by a long billboard. He instinctively raised his hand to protect his head and face. His palm was struck, resulting in a 2.5-cm long wound deep enough to expose the bone. Zhou Can gave him an anesthetic injection, cleaned the wound, stopped the bleeding, and sutured it, earning 4 points for Injection Skill, 1 point for Wound Cleaning Skill, 5 points for Blood Stopping Skill, 4 points for Suturing Skill, and 4 points for Ligation Skill. Overall, it was quite a fruitful gain. Especially earning points for Wound Cleaning Skill, which was a surprise to him. When he checked his skill list, he found that he had unexpectedly acquired a new Wound Cleaning Skill. [Wound Cleaning Skill, Advanced Medical Skill, current experience points: Level 1 8/10. Internship Excellence Level.] This skill can be applied to cleaning soft tissue damage, irregular wounds, and eroded or contaminated wounds. Surprisingly, Wound Cleaning Skill turned out to be an Advanced Medical Skill. His current level was quite basic, only reaching the Internship Excellence Level. Based on the current 8/10 experience points, it seemed this skill had existed previously. Zhou Can just hadn''t noticed it until now. Soon, a new patient was brought before Zhou Can. He came in a wheelchair. Seeing this situation, Zhou Can was startled. At his current half-proficient level, he really couldn''t handle very complicated injuries. Especially those potentially involving fractures. First, he crouched down to carefully check the patient''s knee, which had soaked through the trousers with blood. The patient had a pained expression on his face. "Have you had an X-ray?" "Yes, the attending doctor checked and said there''s no fracture, just needed treatment in the operating room before I can leave." Zhou Can carefully examined the X-ray film handed over by the patient. The bones were intact; indeed, there was no fracture. It was just the external wound that looked frightening. With his capabilities, treating external skin injuries was no problem at all. "I''m afraid we''ll have to cut off your trousers," Zhou Can told the patient. "Go ahead and cut them, just hurry up with the surgery." The patient was in so much pain that his face was contorted. After obtaining the consent of the injured, Zhou Can hesitated no more and cut off the trouser leg. The wound was clearly displayed in front of him. It was an irregular, round-like wound. "Did you fall to get this wound?" "Don''t mention it, the stage suddenly collapsed, and I got so scared that I ran immediately. I tripped over something and fell hard on the ground. My right knee hit the ground first, hitting the rubble, and started bleeding right on the spot." The victim recalled the scene with a look of misfortune. "Doctor, will my leg end up disabled?" "From the current situation, it should not lead to disability." It''s merely an external injury; the possibility of disability is quite low. However, Zhou Can also dared not speak in absolute terms. He learned this speaking technique during his internship with the resident doctors. He took the anesthesia prepared by the nurse and administered it around the wound. [Injection Experience Points +1.] [Injection Experience Points +1.] [Congratulations, your Injection Skill has advanced to Level 2, current Experience Points 0/100. Below standard level for resident doctors.] Finally advanced to Level 2. His understanding of injections had deepened a lot. Before leveling up, he naively thought, isn''t it just giving an injection? Everyone can do it. After reaching Level 2, he realized that seemingly simple injections involved a lot of knowledge. For instance, for intramuscular drugs, one must avoid areas rich in blood vessels and nerves, especially major vessels and crucial nerves. To be precise, any injection should try to avoid major vessels and nerves. Piercing a major artery with a needle is not saving a life, but ending one. The choice of site also has its science. Intramuscular injections are best given in areas where muscles are thickest, such as the arms, buttocks, etc. Depending on the characteristics of the drug, the site for intramuscular injections varies. The arm is closer to the heart and brain, allowing for quicker absorption of the drug effect. The blood flow in the buttocks is relatively poor, resulting in much slower drug absorption. Moreover, the muscle group in the buttocks is stronger, and the fat layer thicker, which provides greater tolerance. Besides theoretical understanding, his practical skills had also significantly improved. With his current skill level, he could perform more challenging intravenous injections more standardly. Errors like injecting into the skin or hitting a bone, or breaking a major blood vessel, would basically not occur. And yet, he had only given this patient two injections. According to Zhou Can''s habit of actively earning medical experience points, at least four injections were necessary. Choosing the right site again, he inserted another needle. His hand was steady, and the depth he reached was appropriate. Slowly injecting. The anesthesia in the syringe diffused steadily into the muscle layer. "Hey, doctor, you''ve given me three injections, and this one is the best!" praised the injured. He hoped that the doctor continued to maintain this high standard. Because compared to the first two, this injection was much more comfortable. "You might not understand this. I had to ensure that the anesthesia worked quickly for the first two injections, so I injected a bit harsher." Zhou Can naturally would not admit his injection technique was poor. The injured didn''t understand all of this, so duping him a bit could maintain a harmonious doctor-patient relationship. Communication between doctors and patients is a profound science. It''s also a compulsory course for every medical personnel. Getting the patient to cooperate with the doctor''s treatment is also an important part of surgery. He then gave the patient the fourth injection, still at the newly upgraded standard for a resident doctor. The technique was very adequate. This time, not only did the patient believe his explanation, but he also continuously praised him. "Doctor, you look quite young, I didn''t expect such a high level of skill! Giving me anesthesia injections, you did it so skillfully, tsk tsk, really impressive! Much better than those nurses." Zhou Can felt quite embarrassed upon hearing this. The nearby nurses had an expression of discontent. Following that, Zhou Can methodically cleaned the wound, stopped the bleeding, and sutured it. Because the wound was quite unique, he boldly opted for flap suturing. It was also a challenge to his own capabilities. Compared to straight suturing, this flap suturing is much more difficult. It is often used in cosmetic plastic surgery to minimize scarring to the greatest extent. "Alright, wheel him out! The wound mustn''t contact water, it''s right on the knee, so it''s best not to move too vigorously when bending. Too much tension might cause the wound to re-open. Remember to come on time for changing the dressing." After giving these instructions, the patient was wheeled out. After the patient left, a nurse winked at Zhou Can, "Dr. Zhou, I don''t remember it''s necessary to give two heavy and two light anesthesia injections?" Chapter 56 - 50: Calling someone teacher may protect them for a lifetime "Smartass, you figured that out! The highest realm is to see through things but not disclose them, you get it?" Zhou Can''s earlier excuses to the injured person were obviously fake to any professional medical staff. He simply admitted it openly. "Hmph, I can keep quiet about it. But my silence fee is a cup of bubble tea!" The nurse playfully smiled as she made her demand. Zhou Can looked at her. About twenty-two or twenty-three years old, with fair skin and a rather pretty face. Not as stunningly beautiful as Yang Chan, but still pleasant to look at. To be a nurse at Tuya Hospital, apart from some older staff, one must at least have a bachelor''s degree. College is known as a beauty factory. Books in the belly make one elegant, after all. After a few years of college, girls generally undergo a comprehensive transformation. Their temperament, figure, and dress sense all improve significantly. This is also an important reason why university campuses are filled with beauties. A girl who was originally an 80 in terms of looks could easily reach over 95 after several years of further education. Facing Zhou Can''s gaze, she boldly looked back at him. This nurse was quite daring and uninhibited. "Such a small matter, just a cup of bubble tea, right? Deal!" Zhou Can readily agreed to her request. "Hmph, I knew you wouldn''t dare to disobey me." She wore a triumphant smile. Zhou Can couldn''t help but think to himself, being popular really does attract troubles! This nurse, is she flirting with me? Of course, maybe he was being presumptuous. S§×arch* The N??elFir§×.net website on Google to access chapters of novels early and in the highest quality. Because the nurses at the hospital, married or not, were all very shrewd. Perhaps they saw Zhou Can''s huge potential and wanted to establish a good rapport in advance. Just so that they might receive some favor in the future. Nothing more. "Call the next injured person in!" Zhou Can said to the nurse. After completing his first surgery, Jin Mingxi discovered that Zhou Can had already completed two surgeries in a short time, which made him feel pressured. He certainly did not want Dr. Xu to think he was slacking off. So he decided to speed up his surgery. "Next!" He shouted as well. Zhou Can turned his head and looked over, their eyes met, and they shared a knowing smile. Both saw a trace of competitiveness in each other''s eyes. The two were ready to see who could handle more patients. Dr. Lu, who was assisting Dr. Xu, was sweating profusely from exhaustion. Seeing Zhou Can and Jin Mingxi surgery so energetically, he couldn''t help but curse them as foolish. Resident doctors do not participate in the department''s performance division, so why bother working so hard? A sparrow does not understand the ambition of a swan. He was only thinking about slacking off every day while Zhou Can and Jin Mingxi each had their lofty goals. This created a stark contrast in their work attitudes. ... Zhou Can treated thirteen injured patients in one go, whereas Jin Mingxi treated ten. "Next!" Zhou Can remained immersed in the surge of experience points, unabated. The sensation of leveling up quickly was simply too exhilarating. "Dr. Zhou, there are no more level 1 surgical patients left outside! Hehe!" The female nurse covered her mouth and giggled at him. "That quickly?" Zhou Can felt somewhat unfulfilled, but had no choice but to stop. "Even more patients couldn''t withstand the cleaning from you two ''monsters''!" The female nurse had witnessed Zhou Can and Jin Mingxi''s dedication. Hence she used the word "monsters" in a positive sense in her sentence. "Dr. Zhou truly deserves the title of a monster. I saved a few less patients than him, I can only be considered diligent," Jin Mingxi laughed as he spoke. Compared to Zhou Can, he was indeed much older and not as agile as the young. Plus, Zhou Can was progressing rapidly with the help of the experience points system. Suturing, wound cleaning, hemostasis, injections - his medical skills were becoming purer and his speed was increasing. Importantly, the quality was also improving. Acceleration without compromising quality, that was truly frightening. Currently, Zhou Can''s wound cleaning skill had risen to Level 2, a lower benchmark for resident doctors. His injection skill experience points also increased to Level 2, 48/100. If there were enough patients, he could even raise the injection skill to Level 3 in a single day. "Hehe, I just want to rescue the patients as early as possible! Since there are no Level 1 surgery patients left, assisting Dr. Xu isn''t too bad." Zhou Can approached the major surgery table where Dr. Xu was. Dr. Lu looked at him with a cunning smile. "We need proactive members like Dr. Zhou in the Emergency Department. You''ve come at the right time, take over my assistant duties, I need to use the restroom." He had been wanting to slack off for a while. Seeing how actively Zhou Can was working, he directly grabbed Zhou Can for the task. Dr. Xu didn''t say anything. After all, everyone has emergencies, and with someone to replace him, Dr. Lu''s reason for needing the restroom was undeniable. Zhou Can was worried about not having opportunities to practice. Dr. Lu, the slacker, handing off the task to him was like bringing a pillow to someone who was dozing off; he happily accepted it and took over as the assistant. The victim''s index finger was nearly severed, the broken bone had been fixed with Kirschner wires, and the tendons had been successfully anastomosed. Zhou Can looked on enviously. The reattachment surgery for the severed finger was relatively low-risk. Now, only the nerve and blood vessel anastomosis and the skin suturing remained. He might as well try, maybe Dr. Xu would agree. "Teacher, can I do the suturing?" Zhou Can mustered up the courage to ask. Dr. Xu looked up in surprise, "What did you call me?" "Tea... Teacher!" Zhou Can was somewhat embarrassed. In the emergency room, Dr. Xu had confronted Director Xie just to protect Zhou Can. It was from that moment that Zhou Can started regarding him as a teacher. Or more accurately, as a master. In the hospital, interns and residents sometimes, due to professional needs, address their superiors as "Teacher". There''s nothing wrong with that. After all, it''s the general practice. However, Zhou Can seldom called them that, feeling somewhat awkward about it. He preferred to address them by their formal titles. Like Director so-and-so, or Dr. so-and-so. This time, his referring to Dr. Xu as "Teacher" came genuinely from the heart, hence it was emotionally laden. "My eyes are a bit blurry right now, the young people are sharp and quick, you take over the finishing tasks." Dr. Xu actually agreed. As for his stated eye strain, Zhou Can didn''t believe it at all. This was also a speaking technique in front of patients. Without saying so, the patient might object. Everyone knows young doctors have less skill, and if the connection wasn''t made properly, the finger could be ruined. Now, with Dr. Xu claiming his vision was blurry and only ''finishing'' tasks remaining, the patient offered no objection. Zhou Can was overjoyed, stepping up to the primary surgeon''s position to perform the blood vessel and nerve anastomosis. That morning, he had anastomosed two venous blood vessels for a patient whose legs had been crushed by a tire. It wasn''t particularly good, but it was all successful. The vessel in the severed finger that needed anastomosing now were even finer, including an arterial vessel, and nerves that needed to be anastomosed as well. The difficulty of this surgery was far greater than the morning''s venous anastomosis. This was the reason for his excitement. If this anastomosis was successful, his surgical skills would have taken a significant leap forward. Dr. Xu would assign him more advanced tasks. Using a microscope, he began to focus intensely on the anastomosing the vessels. For the reattachment of the severed finger, at least one arterial vessel and two venous vessels needed to be connected to establish a normal blood circulation pathway. Because the vessels were very fine, the difficulty was quite significant. Mainly, Zhou Can''s current anastomosis, suturing, and ligation skills were all at the Resident Doctor level. If he could raise them to Level 4, reaching the Chief Level. He would be very stable in performing such surgeries. This is why the higher authorities have set a strict surgery level access system. Even senior resident doctors can only lead Level 1 surgeries. They can participate in Level 2 surgeries under the guidance of senior doctors. Note, it''s participating, not leading. Of course, in actual hospital practice, when senior doctors feel their juniors are capable, they would delegate appropriately. This so-called guidance is essentially just overseeing. Or checking post-surgery. There''s still quite a bit of leeway in this. The first vessel anastomosis didn''t go smoothly. Zhou Can''s forehead began to sweat, and he became even more nervous inside. Chapter 57 - 51: Supernatural Performance of Nerve Anastomosis "Don''t rush, take it slowly." Dr. Xu noticed something and encouraged him from the side. The patient had local anesthesia, and was conscious. Many things couldn''t be explicitly said. If the patient had been under general anesthesia, and only medical staff were present in the operating room, Dr. Xu would definitely have provided detailed guidance to Zhou Can. Now, he could only offer appropriate encouragement. If Zhou Can still couldn''t manage, then they would decisively need to stop and let Dr. Xu personally take over. Zhou Can took a deep breath, trying to calm his mind. Maintaining a peaceful and normal mindset is crucial for a successful surgery. He carefully identified the issues with his previous attempt at anastomosis, made improvements, and tried again. Ten minutes later, he finally successfully completed an anastomosis on the first vessel. It was also the most important arterial vessel. The venous vessel had yet to be anastomosed, so it was not possible to conduct a blood flow test at this time. Zhou Can felt somewhat unconfident. "Very good, continue." Dr. Xu had been standing beside him, carefully overseeing his work. With his mentor''s approval, Zhou Can''s confidence was fully restored, and he began to continue anastomosing the venous vessels. Generally speaking, for a replanted severed finger first involves wound cleaning and hurt removal, followed by bone reconnection, then by sequencing of tendon, vessel, and nerve anastomosis, and finally suturing of the skin. Whether the blood circulation is unobstructed is critical for the survival of the replanted finger. The nerves seem less significant. They determine how much of the finger''s functionality can be restored. The success of one venous vessel anastomosis, and eight minutes later, the second one was also successfully completed. His confidence was increasingly solid, and his maneuvers became more precise and accurate, decreasing the time taken for each vessel anastomosis from twelve to eight minutes. This significantly reduced the time by one-third. "Very good, continue." Dr. Xu showed a look of approval. Zhou Can then continued with the nerve anastomosis, which was a lot more challenging than the vessel anastomosis. However, the opportunity for this type of surgical practice was too alluring. It was like going into battle, taking a strong initiative, prepared to conquer the final ''fortress''. Having a strong mentor as his backup also gave him the courage to boldly try. The nerve anastomosis was completed in less than six minutes. The entire process went surprisingly smoothly. S~ea??h the NovelFire.net* website on Google to access chapters of novels early and in the highest quality. [Suturing Skill Experience Points +1, Ligation Skill Experience Points +1, Anastomosis Skill Experience Points +1.] Experience Points arrived as punctually as a monthly salary. Anastomosis is considered an Advanced Medical Skill, and for him, still a training doctor, it was tough to earn points. Mainly because opportunities for anastomosis surgeries are few. For riskier cases, Dr. Xu would not dare to let him operate. Opportunities like now, to earn 4 Anastomosis Experience Points in one go, were indeed rare. After completing the nerve and vessel anastomosis and verifying there were no mistakes. Next is the most crucial blood flow test. Success or failure depended on this moment. He released the rubber tube tied around the wrist. Blood immediately surged through the vessels into the entire palm. The other four intact fingers visibly regained color at a fast pace. The previously pale severed finger gradually turned red, slowly regaining its color. "It''s a success!" Zhou Can was immensely excited. His heart, which had been hanging, finally set down. This was his first case of replanted severed finger surgery, a significantly meaningful one. This is completely different from reattaching a rat''s tail. [Nerve Anastomosis Successful, Match Rate Exceeded 50%, Reward Anastomosis Experience Points 10.] Hey, he didn''t expect to receive an additional bonus. This was a pleasant, little surprise. A nerve anastomosis is almost never a 100% match, even for Wu Baihe, dubbed as ''Surgical Scalpel at the Pinnacle of Neurosurgery'', didn''t have that capability. Generally speaking, if the matching value after nerve anastomosis reaches around 30%, it is sufficient to restore partial nerve function. Zhou Can is just a novice, and it was his first time performing anastomosis on human nerves, yet he achieved a matching value of 50%, which is absolutely exceptional. Most director-level physicians are at this level. Normally, if a resident doctor can reach a 30% match in nerve anastomosis, that''s considered very excellent. Senior attending physicians generally achieve over 40%. This isn''t to say that Zhou Can''s level of nerve anastomosis has reached the director level, but rather that he was extremely lucky to perform exceptionally well this time. However, he seems to be extraordinarily talented in nerve anastomosis. During the standard training exam, he attempted to anastomose a rat''s tail nerve and successfully restored pain sensation to the severed tail, clearly showing his exceptional talent in this area. With a 50% match value in the nerve anastomosis for this patient''s severed finger, it is anticipated that the function of this finger can be largely restored. Seeing the surgery was very successful, a slight smile appeared on Dr. Xu''s face. The happiest was the patient. Just now, when Zhou Can started to operate on him, to be honest, he was resistant in his heart. Such a young doctor, he presumed, might not be very skilled at medicine. As a result, throughout Zhou Can''s procedure, the patient was extremely anxious. Thankfully, the outcome was very satisfying. "Let''s finish up the skin suturing quickly!" Dr. Xu issued the suturing command. "Okay." Zhou Can was even more confident now. The difficulty of suturing skin was not very high. He had already completed nearly twenty skin suturing surgeries, and now both his mentality and technique were very solid. There was none of the high tension that came with anastomosing blood vessels and nerves. He sutured quickly and composedly, faintly demonstrating the demeanor of an expert. "Done, please check it for me, teacher." Dr. Xu looked it over and nodded with satisfaction. "Very well, the finishing work is done perfectly! After bandaging the wound, the patient can go to the infusion room for fluids." The patient was quickly sent out. When leaving, the patient made a special point to thank both Dr. Xu and Zhou Can. Dr. Lu sulked, grumbling unhappily, "Even though I also participated in the surgery and exerted great effort, it''s rather impolite of the patient not to thank me." No one responded to him. The patient wasn''t foolish; Dr. Lu slacked off even as an assistant, it was already polite of the patient not to scold him. Still expecting a special thank you from the patient, he really thought too highly of himself. Seeing no one responded, Dr. Lu shifted his gaze toward Dr. Xu. "Dr. Xu, even a standard trainee like Zhou Can got to participate in important tasks like vascular and nerve anastomosis. Please give me some opportunities to train too!" He was feeling a bit upset seeing a newcomer like Zhou Can getting ahead. Apart from your parents, nobody likes to see you doing better than them. That''s truly a golden saying! "Ha, remember last time you almost ruined a patient''s blood vessel? I let you anastomose a low-risk limb vein, and not only did you fail to connect it properly, you even caused a thrombosis, almost leading to a serious medical incident. If you really want to improve, practice more on rat tail vein anastomosis at home. When you pass that, I''ll consider giving you more surgical training opportunities." Facing Dr. Lu, a senior resident doctor, Dr. Xu was particularly speechless. It wasn''t that he didn''t want to support him, but this guy was simply too disappointing. Dr. Lu awkwardly chuckled and said no more. "Tang Ling, go and see how many patients are left outside?" Dr. Xu, over 50 years old and after performing surgeries for such a long time, clearly was a bit drained. He took the opportunity to rest a bit by sitting on a small round stool by the wall. "We''ve made great progress, now there are only two patients left out there!" After checking, Tang Ling happily reported. "Let''s bring one in first!" Dr. Xu spoke evidently exhausted. However, he gritted his teeth and persevered, intending to treat all the patients before going for a meal. Zhou Can greatly admired his professional ethics. Doctors who place patients at the heart of their concerns are all good doctors. Soon, a male patient, who was crying out in pain, was wheeled into the surgery room. Upon inquiry, it was learned that this man was very close to the stage and unluckily got hit in the lower body. The attending doctor suspected a dislocation or damage to the patient''s testicles, hence he was sent to the operating room for treatment. No wonder the patient was screaming so distressingly. Chapter 58 - 52 Dr. Lu Was Rejected For men, the pain from testicular injury is no less than that of a woman in childbirth. The World Health Organization classifies pain into five levels, with the lowest being Level 0 and the highest being Level 4. Childbirth, a heavy blow to the male genital region, burns... these injuries can all reach Level 4 pain. After carefully examining the X-rays, Dr. Xu conducted further examinations on the patient and ultimately ruled out testicular rupture or displacement. Fortunately, it was just a hematoma and impact injury. No surgery was required, only medication and further observation were needed. From this perspective, the gap between the attending physician and Dr. Xu is quite substantial. Even setting aside surgical skills, Dr. Xu''s diagnostic abilities far surpass those of the attending physician. The patient was quickly sent out. Only one left. This was a boy about eleven or twelve years old, with a gash at the corner of his left eyebrow. The bleeding had already stopped, his entire left forehead was severely swollen, and his left eye was squished into a slit. The boy was exceptionally sensible, not crying or fussing. Under the guidance of the nurse, he obediently walked to the operation table. "Little friend, how good you are! Come, to Doctor Grandpa here!" Dr. Xu waved to the boy with a gentle tone, a compassionate gaze, and a trace of a kind smile on his face. Compared to his usual sternness and aloofness, he was like a different person. The shy boy stopped about two meters in front of him, not speaking, looking down, his eyes on the ground. "Don''t be afraid! I''ll check your injury for you!" Dr. Xu walked over to the boy, bent over slightly to inspect his wound. He shook three fingers in front of the boy''s left eye. S~ea??h the n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. "Can you see?" "Uh-huh!" The boy responded in a mosquito-like whisper. "Show me his X-ray." The nurse quickly handed Dr. Xu the examination bag. He examined it carefully. "Ouch, the left eyebrow bone is fractured. Luckily, the eyeball wasn''t damaged." The skull exists mainly to protect vital tissues like the cerebrum, cerebellum, brainstem, etc. Eyes are more fragile than one might imagine, whether it is the cornea or the vitreous body, optic nerve, any damage can potentially lead to blindness. "Xiao Zhou, tell us your treatment plan." After the examination, Dr. Xu suddenly asked Zhou Can for his opinion on treatment. "It''s simple, repair the eyebrow bone first, then suture it!" Dr. Lu cut in. Perhaps sensing the crisis of being overtaken by a newcomer, Dr. Lu had become proactive. But his approach to being active was unique. A normal person would definitely strive to learn, diligently improving their medical skills. Instead, he used the dumbest method: seizing every opportunity to show off, vying for credit. Such individuals can be found in any workplace who don''t work hard, who don''t study, but spend all day dreaming of unrealistic promotions, standing out. Seeing others getting ahead, they feel indignant and jealous. Always thinking leadership is unfair. Zhou Can calmly glanced at Dr. Lu, "I think the fracture of the left eyebrow bone is not serious, and the child''s body has a strong ability to recover quickly, so we do not need to deal with the fracture. Just clean the wound and suture the epidermis." The repair of the eyebrow bone is not as easy as one might think. If the eyes get injured. That would be an irreparable loss. "Jin Mingxi, what is your opinion?" After listening to Zhou Can and Dr. Lu''s opinions, Dr. Xu''s face remained expressionless. His gaze turned to Jin Mingxi. "I''m more in favor of Zhou Can''s treatment plan. However, we must ensure that the fractured brow bone hasn''t compressed the optical nerve; otherwise, intervention is necessary. Additionally, if the fracture is significant, it may affect the patient''s defecation, so this needs to be addressed." Jin Mingxi truly has over a decade of medical experience. His treatment plan is more comprehensive than Zhou Can''s. This type of experiential knowledge can only be accumulated gradually. I believe that after working for over ten years, Zhou Can will certainly surpass Mingxi. "Hmm, Jin Mingxi''s treatment suggestion is thorough and practical. Dr. Lu''s opinion is more suitable for patients with severe brow bone fractures," Dr. Xu gave his assessment. "Xiao Zhou, you will be in charge of cleaning and stitching up the child''s wounds." The teacher hasn''t taught in vain, always trying to provide Zhou Can with opportunities. "No problem." Zhou Can accepted the task joyfully. Suturing with underlying bone fractures, especially just above the corner of the eye, for someone new like him, indeed offers much valuable experience to sum up. Dr. Xu watched Zhou Can finish stitching and nodded slightly. "Wrap the child''s wound, remind the family to be vigilant in protecting the child''s forehead. The wound can''t be exposed to water, and this whole area must not be subjected to any pressure. Some parents like to rub the bruising forcefully to help disperse it for quicker swelling reduction. It''s especially important to clarify this point, they must not rub." After giving detailed instructions, Dr. Xu glanced at the time; it was already past 4 pm. Everyone was busy treating numerous injured patients, with no time even to eat. Particularly Zhou Can, Dr. Xu, and others, who had been busy since just after 7 am. Almost nine hours straight. During this time, whether doctors or nurses, barely a drop of water passed their lips. No wonder Dr. Xu seemed so weary. "Let''s brief each other on the work and go eat! You''ve all worked hard!" Dr. Xu told everyone. "Finally off work! I''m starving!" Dr. Lu was the first to laugh joyfully as he walked outside. Passing by the nurse who assisted Zhou Can, he flashed a mischievous smile. "Qiao Yu, we''re off at the same time today; no one''s had a meal, how about I treat you to French cuisine?" Dr. Lu must be in his early thirties. Qiao Yu probably around twenty-three or four years old. Like Zhou Can, she is also in the residency phase, currently a resident nurse at Tuya Hospital. From the way Dr. Lu talked to her, they seemed quite familiar with each other, having some interactions. "Hehe, thank you for your kind offer, but I have to go home and work on my thesis, let''s talk another day!" Qiao Yu smiled and politely declined. Whether in looks or professional level, she was quite outstanding among the many nurses. Dr. Lu''s work might be lackadaisical, but he certainly had good taste in girlfriends. He set his sights on her out of the many female nurses and doctors. Zhou Can now understood why, when operating on the injured, Dr. Lu kept glancing over at his side. He thought Dr. Lu was observing the progress of the surgery, not realizing that the wolf in sheep''s clothing was actually sneaking peeks at nurse Qiao Yu. He won''t interfere with others'' relationships. However, hearing Qiao Yu turn down Dr. Lu''s invitation, he still felt quite pleased. Not because he had any interest in Qiao Yu, but rather he felt someone as exceptional as her should look for a more reliable boyfriend. The signs are there. With Dr. Lu being such a sloth on the job, showing utter irresponsibility toward patients, it''s feared he''d be even lazier in life, lacking responsibility. Marrying such a man would likely be very difficult to find happiness. "Qiao Yu, I''ve asked you out several times these two months, but you''re either busy with your thesis or have plans with friends to go shopping. Can''t you give me a chance?" Dr. Lu clearly was not willing to give up easily. Chapter 59 - 53: Seamless Suture "I''m really sorry, I do have to work on my thesis. Plus... anything you want to say can be said in the hospital! No need to go to such expense!" Qiao Yu said with a forced smile, not wanting to offend him. Although nurses and doctors are part of two different systems, in the workplace, doctors are in a leading position. Especially a resident doctor like Dr. Lu, who has some minor authority due to his seniority. And she was just a backup nurse in the operating room. Moreover, she was a resident-in-training, not an official nurse. She was afraid that Dr. Lu, in a fit of pique, might intentionally make things difficult for her at work. That''s why she kept a smiling face and tactfully declined. Dr. Xu didn''t intend to meddle in such matters. Actually, the hospital wouldn''t interfere either. Personal love life, the institution has no right to intrude. Her reluctance to reject him assertively also had a brutal reality behind it. In disputes between doctors and nurses, if escalated, the hospital often sides with the doctors. Because doctors can generate more benefits for the hospital, they are the core talents of the institution. The training period and cost for a doctor are both far higher than those for a nurse. A renowned doctor can support an entire department, while even a top-level chief nurse practitioner ultimately only does nursing work, perhaps not even valued as highly as an attending physician. This isn''t to belittle nurses, but merely to state the harsh truth hidden beneath the veneer of equality. After nurses reach 45, the vast majority either change careers or take some retirement-like nominal positions. But look at doctors, even at ninety, as long as they can still work, they would be rehired by the hospital and treated with great respect. Not to mention the social status comparison. Qiao Yu was a very clever girl. In order to keep her work smooth, in the face of Dr. Lu''s advances, she preferred to smile and gently decline, to negotiate, rather than easily tear off the mask and spoil the relationship. Dr. Lu seemed a bit displeased by her public refusals for the second time. He joked, "Qiao Yu, you wouldn''t happen to be interested in Dr. Zhou, would you?" Zhou Can was caught off guard and quite speechless. Qiao Yu sneakily glanced at Zhou Can before hurriedly denying, "What are you talking about! Dr. Zhou is so outstanding, he must have a girlfriend already, don''t make wild guesses!" Dr. Lu curled his lip, "I don''t buy it! You even took the initiative to ask him to treat you to milk tea, I heard it all." While assisting Dr. Xu, he multitasked, eavesdropping on the whispered conversation between Zhou Can and Qiao Yu. Dr. Lu sure had sharp ears. "Hehe... That was just a joke between Dr. Zhou and me! Ah, it''s past four o''clock, gotta go! See you, ladies, goodbye, doctors!" Qiao Yu clearly didn''t want to continue the interaction with Dr. Lu, she waved her hand and left directly. Dr. Lu''s expression looked a bit grim, he changed clothes and then left the operating room. Judging by his expression, he probably wouldn''t give up just yet. "Fresh meat like Dr. Zhou is always popular! No female nurse has ever asked me to buy them milk tea!" After Dr. Lu left, Jin Mingxi joked with Zhou Can while laughing. The two were just colleagues now, with great mutual admiration. Jin Mingxi initiating a joke with him was probably to bridge the gap between them. Before Zhou Can could respond, Tang Ling and another nurse quickly said, "Hehe, Dr. Jin, we''ll definitely fulfill your wish. I want strawberry milk tea." "I like the Pu''er rose milk tea, thank you!" The two female nurses were savvy, not missing the chance for free milk tea. They immediately cornered Jin Mingxi. "Hey, come on! That''s robbery in broad daylight!" Jin Mingxi protested in frustration. "We''re clearly helping you accomplish your wish, no backing out now! Right, Dr. Zhou?" Tang Ling suppressed a laugh and winked at Zhou Can. She meant for Zhou Can to play along. "Absolutely, I can vouch for that, and so can my mentor." Zhou Can nodded repeatedly. Others would never dare to bring Dr. Xu into this, but Zhou Can, seeing Dr. Xu was quite serious, wanted to involve him in the vivacity of the youth. "That''s young people''s business, I''m not getting involved." Dr. Xu, with some effort, stood up from the stool, supporting his waist. Zhou Can promptly went over to assist him. "Mentor, from now on, please entrust me with any work that I am capable of handling. Even for tasks I can''t manage yet, I will try hard to improve and strive to take on more for you someday." His words were not flattery but came from genuine care and concern. Dr. Xu was older and certainly not as robust as a young man. If Zhou Can could help share some of the workload, he could have it easier. "Mm, I''m gratified that you feel this way. However, you can only eat one bite at a time, and medical skills cannot be achieved overnight. You must not become complacent and think of skipping steps just because you have some talent." While feeling reassured, Dr. Xu did not forget to admonish him. "I will certainly bear your teachings in mind." Zhou Can answered earnestly. When he first came to the Emergency Department, his mindset was indeed a bit anxious. After acing the residency exam at the top of his class and performing a significant feat in the Emergency Department, his head got slightly big due to youth. However, after being lectured by Dr. Xu the day before, he had recognized his errors and quickly adjusted his attitude. He considered himself fairly composed at the moment. Just then, the triage nurse pushed open the door of the operating room and poked her head out asking, "Dr. Xu, there''s another injured person here, can you work overtime to stitch her up?" "Let her in!" Dr. Xu agreed without giving it much thought. "Tang Ling, it''ll be tough, but please work overtime with Xiao Zhou and Jin Mingxi. Li Shuangshuang, you can get off work!" Another female nurse happily left. A simple suturing originally needed just two people. Zhou Can and Jin Mingxi were left behind for the purpose of training these two newcomers. S§×ar?h the Nov§×l?ire.n(e)t website on Google to access chapters of novels early and in the highest quality. The injured person was also brought in. A young woman, quite tall, wearing a loose coat and large sunglasses. She was wrapped up very tightly. "Dressed like this, she couldn''t be a fugitive, could she?" Zhou Can couldn''t help but murmur. The woman seemed to sense the doctors'' questioning gazes and took off her sunglasses willingly. Instantly, everyone''s eyes lit up. On her beautiful melon-seed face, the delicate features were arranged just perfectly. Under slightly arched eyebrows, her eyes were as clear as autumn water, and her slightly brown hair cascaded in waves down her shoulders. That unique aura, mixed with elegance, nobility, and charm, was like Chang''e descending from the Moon Palace to the mortal world. She truly was "more enchanting than a fragrant jade, more genuine than a flower''s whisper. Her brows extended like distant hills, her lips parted like a blooming cherry." Such a beautiful woman brightened the operating room a few shades. Wherever she stood casually, she was an absolutely beautiful scene. Fortunately, Dr. Lu had left; otherwise, he would surely have made an embarrassing display, drooling all over. "Hello, my arm is injured; could you help me stitch it up?" The woman gave Zhou Can a slight smile. It was like the bloom of spring flowers, and Zhou Can felt a sweet, comforting sensation. He thought he had seen plenty of beautiful women, but one so stunning and soul-stirring, he had never met before. "Of course, we can. This is my senior physician Dr. Xu, who needs to examine it first." Zhou Can snapped out of his daze, and immediately ushered his teacher to the front. He believed he had handled the situation appropriately, without losing his composure. He owed his strong immunity to beautiful women to his class beauty Yang Chan. Studying with her for five years had given Zhou Can ''face blindness''. All beautiful women seemed pretty much the same to him. The woman, seeing that Zhou Can had not been bewitched by her beauty, glanced at him with some surprise. Compared to Zhou Can, Jin Mingxi''s reaction was much weaker. He gazed at the beautiful woman, his eyes unmoving for more than a minute. As if he were spellbound. Appreciating beautiful things is human nature. Taking a few extra glances at a beautiful woman, even staring, is a man''s instinctive reaction. "Miss, where are you injured? Let me have a look." Dr. Xu was an old hand after all; facing such a beautiful woman, he actually appeared calm and indifferent. Zhou Can couldn''t help but secretly give him a thumbs-up. The woman carefully took off her coat, revealing that the lace sleeve on her left arm was dyed red with a large patch of blood. She had done some simple bandaging herself. From the looks of it, the bleeding had already stopped. "How long is the wound?" "Um! About 4cm." She nodded gently. "Unwind the bandaged gauze and let''s have a look," Dr. Xu instructed Zhou Can and Tang Ling. When they unwrapped the gauze, a shocking blood wound was revealed, with a depth that was certainly over 0.6cm, estimated length not less than 4cm. This is just a superficial skin injury, not complex, simply cleaning and suturing would suffice. "No other injuries?" Dr. Xu asked after examining the wound. "Just some abrasions on the back of this hand, it''s nothing. I was referred by Xu Dawei, he said that suturing by Dr. Xu Chen wouldn''t leave any scars. Please take extra care." The woman apparently came specifically to find Dr. Xu for suturing. And with an introduction from an acquaintance. It seemed she was no ordinary person. Suturing may seem simple, any intern could do it, but to do it without leaving a scar, perhaps even an experienced chief physician wouldn''t be confident in making such a promise. Zhou Can was somewhat excited; this was a treat for the eyes. He would get to witness Dr. Xu''s scar-free suturing. "Director Xu Dawei?" Dr. Xu looked into the woman''s eyes with a bit of surprise. Chapter 60 - 54 Unable to Leave "Yes, I''m an actor, and if there''s an ugly scar on my arm, it could have a significant impact on my career. So, I need you to do the stitching. Director Xu said that you have stitched for other stars before and the results were very good." She had done her homework before coming. She had already inquired about Dr. Xu''s expertise. "Since Director Xu referred you, I will do my best. But let me be upfront, if a scar remains, you can''t blame me." Whether a scar remains or not depends not only on the stitching technique but also on individual physique and post-operative care. The most common is scar-prone physique. Patients with this condition have a unique physique, and any wound could potentially lead to excessive scar formation. Even the best stitching technique from doctors can be futile. Post-operative infection and inflammation, or improper care, such as itching during wound healing, could stimulate scratching and possibly lead to scar formation or exacerbation. "I appreciate your willingness to stitch for me, how could I possibly blame you? If an ugly scar does remain, I''ve decided to tattoo a butterfly over it." Tattooing can effectively conceal scars and even enhance their appearance, turning an originally unsightly scar into something beautiful. This woman is so beautiful and carries an exceptional demeanor; she knows Director Xu and is particularly concerned about scarring. Zhou Can vaguely guessed that she must not be an ordinary actor. Thinking this, he suddenly realized, could this woman be the third-tier female star from the concert stage collapse? "Oh my, you''re the actress Su Qianqian, aren''t you?" At this moment, Tang Ling seemed to have also guessed her real identity. The woman nodded and openly admitted, "Yes, it''s me." Zhou Can was right; she was that third-tier female star. "Wow, it''s really you! Oh, I''m overjoyed! Today, I finally got to meet my idol, I''m so happy! I''ve listened to your songs, they''re really healing. By the way, with your severe injury, why did you come for stitching only now? With your connections, you should have been able to receive treatment immediately." It turned out Tang Ling was her fan. Zhou Can was not fond of idol chasing, not to mention third-tier female stars; he only remembered a handful of first-tier stars. He did not recognize this exceedingly pretty actress and knew nothing of her. "Ah! Today, I held a concert, hoping to promote my new album, but unfortunately, the stage collapsed, injuring many of my fans and causing them to bleed. Afterward, I really felt terribly sorry. I was also injured by the debris, and my management company took me to the hospital immediately. But seeing my fans hadn''t finished their surgeries, I couldn''t bear to go ahead of them." Su Qianqian spoke of the stage collapse and couldn''t help but tear up. Her genuine and considerate attitude toward her fans made Zhou Can think well of this female star. Many stars are duplicitous, showing perfection in public, appearing ethereal, while behind the scenes, they ruthlessly exploit their fans'' wealth and even some scoundrels deceive female fans'' affections, playing with them mercilessly. If Su Qianqian were merely acting, there was no need to wait until now to come for wound stitching. The hours of waiting and ongoing pain from the injury could break many people''s will. When personal interests are at stake, one''s true colors show. Her willingness to wait until all the injured were treated proved her to be conscientious and genuinely caring for her fans. "We''re about to change shifts in the operating room. Let''s hurry up and perform the surgery!" Dr. Xu looked at her sleeve. Lace-bordered, bell-mouth long sleeves. It looked particularly delicate and elegant. "This sleeve might be challenging to roll up, and it''s torn in the middle. To facilitate the surgery, would you like to cut it or...?" "Just cut it off!" She said straightforwardly. Without needing Dr. Xu''s instructions, Zhou Can and Tang Ling cooperated to cut off her left sleeve. With the sleeve gone, a snow-white arm as smooth as a white lotus root appeared before everyone. The skin maintenance of female stars is truly excellent. Soft and tender like baby skin. Indeed worthy of the description ''flawless.'' Zhou Can administered anesthesia to her first, then disinfected and cleaned the wound. "Doctor, is it possible to start the surgery now?" "Mm!" Dr. Xu nodded slightly. S§×arch* The ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. "Pay close attention, the Scarless Suturing Method is very different from regular stitching. The thread and needle used are finer, and the suture thread is usually a beauty thread that can be absorbed; the stitching is also very particular." Dr. Xu performed the wound stitching for Su Qianqian while simultaneously passing on advanced suturing techniques to Zhou Can and Jin Mingxi. The entire surgical process was not complex. The suturing speed was moderate, completed seamlessly in one go. The wound post-suturing slightly concaved inward. "My scarless suturing technique differs significantly from those used in beauty clinics. This method avoids granulation tissue and dermis layers that might lead to hypertrophic scars, and the sutures are closely aligned to greatly reduce the occurrence of scarring. It''s relatively less irritating to the wound. Once you learn it, it can be used for suturing the facial and neck areas of patients." Scarless suturing is more commonly used in beauty institutions. However, Dr. Xu''s scarless suturing is much more advanced than those performed in beauty institutions. "The requirements for suturing and knot-tying techniques are too high; I''m nowhere near that level yet." Jin Mingxi sighed deeply. Improving medical skills isn''t something that can be achieved just by wanting it. Personal talent, mentorship from renowned teachers, hard work, and practice opportunities are all essential. Like Jin Mingxi, who has worked in a county-level People''s Hospital for fourteen years, his medical skills might not even match those of a decent Resident Doctor at Tuya Hospital. He is only at the level of exceptionally skilled resident doctors like Zhou Can, Gao Jian, and Yang Chan. It''s not meant to belittle. Exposure is something that cannot be significantly enhanced by merely imagining or watching a few instructional videos. It must be improved through practice in a good learning environment. This is also why so many doctors are eager to join top-tier hospitals like Tuya Hospital. A year of training at Tuya might outweigh ten years of working in a county-level hospital. The patients treated here include many difficult cases that local hospitals can''t handle. Some patients deemed terminal in local hospitals can be cured here. Teacher resources, scientific capabilities, and academic achievements are all aspects that local hospitals cannot match. "It''s okay if you haven''t reached that level yet, take it slow. I see you have a decent talent for surgery; with persistence, you can certainly achieve something." Dr. Xu comforted him. His gaze turned to Zhou Can. Xiao Zhou was usually the most enthusiastic learner; why was he seemingly unresponsive today? He wondered to himself. Then he noticed Zhou Can with a slightly furrowed brow, staring intently at the female patient''s neck. "Xiao Zhou, Xiao Zhou..." Dr. Xu thought to himself, this young man, when faced with a beautiful woman, still has no resistance. Zhou Can''s behavior during the surgery was quite normal. But once the surgery was done, Zhou Can kept his eyes fixed on the female patient, unwilling to look away. Su Qianqian naturally noticed Zhou Can''s intense gaze. A trace of disdain flashed in her bright eyes. She had thought this young doctor was quite professional, but it all turned out to be a pretense. Hadn''t his true colors now been revealed? It seemed no man could resist her beauty. "Teacher, what is it?" Zhou Can looked up at his teacher. "Nothing much, the patient''s surgery is complete, wrap it up and let''s get her out of the operating room!" Dr. Xu understood well and did not criticize Zhou Can harshly. A young unmarried man interested in a beautiful woman, nothing could be more normal. "Oh! Alright!" Zhou Can agreed, performing a second disinfection on her sutured area, then wrapping it with sterile gauze. During this time, his gaze still occasionally lingered on her delicate clavicle and slender, fair neck. Su Qianqian''s dislike for him deepened. No one likes a hypocrite. "Let Miss Su leave once the wrapping is done!" Dr. Xu couldn''t stand it anymore. He had to speak up to hurry things along. Otherwise, this apprentice could stare at the female patient''s neck for another hour. "She cannot leave yet!" Zhou Can, without even thinking, immediately said. Tang Ling and Jin Mingxi were both taken aback, surprised at Zhou Can''s behavior. Because Zhou Can had always been outstanding, with high moral character and proper conduct, speaking and acting appropriately. Now, he was holding onto a female celebrity, directly not letting her leave. What''s this all about? Could this really be Dr. Zhou''s true nature? Chapter 61 - 55: Are You Constipated, Kid? "Has Dr. Zhou seen enough?" Su Qianqian''s beautiful face already showed a hint of annoyance. "Um, Miss Su is so pretty, I can never get enough of looking. It would be even better if you could roll up your pant leg to let me see." Zhou Can seriously nodded. Dr. Xu, appreciating this student, could also not stand it anymore. This is a hospital, their identity is doctors, how can they flirt with female patients? "Xiao Zhou, mind your conduct!" Dr. Xu reminded him sternly. Nurse Tang Ling was so shocked that her mouth fell open. Dr. Zhou''s behavior was somewhat appalling. Jin Mingxi looked at him sympathetically, a hero indeed defeated by a beauty! Even a man as outstanding as Dr. Zhou eventually fell for the beauty of this female celebrity. Su Qianqian glared at Zhou Can in disgust, her self-control quite impressive as she refrained from cursing. Instead, she stood up and gratefully said to Dr. Xu, "Dr. Xu, thank you for performing my surgery. I have other matters, so I will leave first." Anyone could see that Zhou Can''s frivolous words angered her. "Wait! If Miss Su doesn''t let me see her legs, that''s fine, but please be sure to get a urine test!" Zhou Can''s expression became even more serious. Su Qianqian was almost fainted from anger. Never had she seen such a shameless person. Enduring being secretly watched by Zhou Can, she bore it. Enduring Zhou Can''s frivolous words, she still bore it. Unexpectedly, he did not restrain himself but instead became more aggressive, even requiring her to take a urine test. Hearing that, she immediately interpreted it in another way. Insult. "You scoundrel, having such a scum in the medical team is truly unfortunate! A disgrace!" Her pretty face turned red with anger, and her bright eyes flared with fire. "Miss Su, please don''t be angry, I was always looking at your neck, asking you to go for a urine test is for your good." Zhou Can, being scolded as a scoundrel, felt more wronged than Dou E. Also, because she is beautiful, the first time I replied was slightly joking. But that was also a compliment to her. Because she really is quite beautiful, I can never look enough. "For my good? Asking a girl to pee, isn''t that indecent? Tell me, how is that for my good?" If she wasn''t a public figure, unwilling to make a big deal out of it. She''d definitely complain about this disgusting doctor. This stage collapse has already pushed her to the forefront of misfortune. Never thought that having a minor surgery, she would encounter such a disgusting doctor. "I noticed that the skin tone of your neck and below the collarbones is significantly different. Initially, I thought it was due to tanning, but some subtle details suggest otherwise. Your face and neck are fair and radiant while the skin below the collarbones is darker and lacks luster. I later identified the reason." Zhou Can stated his reason seriously. "Go on!" The anger in Su Qianqian''s heart subsided a lot. Others also looked thoughtful. By this time, they realized they might have misunderstood Zhou Can. "May I boldly ask if you use cosmetics to beautify your neck and face?" Zhou Can had never used cosmetics, but he had heard of their powerful effects. What freckles, dark spots, all can be covered up. Even making originally dull skin look fair and attractive. The discovery of Su Qianqian''s privacy sent a flash of panic through her eyes. She raised her right hand, habitually stroking her bangs to cover the awkwardness. "Um... indeed I''ve used some cosmetics, it''s rare for girls not to use cosmetics." She tried to maintain her thin face. She didn''t want others to think her beauty was through the application of cosmetics. "I didn''t mean that, I think it''s fine for girls to use cosmetics. But seeing the darkness on your skin, from a professional medical perspective, I have reason to suspect whether your kidneys might have developed problems? Such as unexplained itchiness or swelling in the legs, strange smelling urine, irregular urination, and so on." After hearing Zhou Can''s explanation, everyone then understood that Zhou Can wasn''t just unable to move his gaze from a beautiful woman. Rather, he discovered that this female celebrity might have hidden kidney abnormalities. Out of responsibility, he kindly wanted her to get a urine test. As a result, he was instead scolded as a pervert. "My, my legs sometimes do itch inexplicably. Swelling, probably not?" As she spoke, she pulled up her pant leg with her right hand. Her slender and fair lower leg appeared before everyone. "There is already slight swelling, quickly get a urine test to check the kidneys." After seeing it, Zhou Can pressed it with his hand, soft and cottony. The impression made by pressing took a long time to recover. At least ninety percent sure her lower leg is swollen. "Ah... Is it really that serious?" At this point, Su Qianqian had little doubt about Zhou Can. It''s just that Zhou Can was so young, it was hard for her to believe in his medical expertise. S§×ar?h the N?vel?ire.net website on Google to access chapters of novels early and in the highest quality. "Swelling, unexplained itching on the body, dull skin tone, it could indeed be a kidney disorder. Miss Su must take this seriously, the earlier it''s found, the better the treatment. If it gets to the middle or late stage, the damage to the kidneys will be irreversible." Dr. Xu emphasized the seriousness of the situation with a stern face. This time, Su Qianqian had no doubts left. Before she came, Director Xu must have told her about Dr. Xu''s high level of medical skill. Otherwise, she wouldn''t have waited for several hours just to have Dr. Xu stitch her up. "I''ll listen to you and do a urine test right away!" After saying that, she looked at Zhou Can somewhat sheepishly. "Dr. Zhou, I misunderstood you just now. I was offensive in my words, please forgive me!" She bowed deeply to Zhou Can. Accidentally pulling at the wound on her left arm, a pained expression appeared on her face. The local anesthesia probably hadn''t worn off so quickly, but pulling on the wound still caused some pain. The nerve block in the arm plexus, after all, is not as effective as general or spinal anesthesia. "No, no, no, watch your hand. My mentor put so much effort into stitching it up nicely, please don''t tear it open," Zhou Can quickly supported her, but having just been scolded as a rogue, he didn''t dare to actually hold her body. Watching Zhou Can''s clumsy, flustered response, Su Qianqian laughed lightly. Covering her lips delicately, she was charming and enchanting. Her eyes, clear and sparkling, fixed on Zhou Can. She giggled. "Dr. Zhou really is a unique person! At first, you seemed like a gentleman. Then, you acted like a rogue. But deep down, you''re still a gentleman. Further observing, you are Liu Xiahui among gentlemen!" She portrayed the impressions she had of Zhou Can from their first meeting to getting to know each other. "It''s like the saying by the high monk: The mountain is not a mountain, the water is not water. Look again, the mountain is still a mountain, the water is still water. It''s so vivid." It turned out that Su Qianqian not only had looks, but also talent and depth. The words she spoke were profound. Zhou Can''s impression of this female celebrity deepened a bit more. In his view, female celebrities were all about good looks and figures, flirting, whining through a few love songs, or acting in a couple of TV series, then becoming popular. Su Qianqian made him change his perception of celebrities. At least, she was a talented and thoughtful female celebrity. "Miss Su is too kind to me. I just pretended to be cultured and showed my true colors inadvertently. I''m very grateful that you could remove the rogue label from me. Go do the urine test quickly! If the creatine kinase is too high, you must actively seek treatment." Zhou Can was somewhat embarrassed by her compliments. Creatine kinase is a very important indicator, and if abnormal, it''s very likely that there''s a problem with the kidneys. "Okay, thank you. Goodbye!" Su Qianqian gave him a deep look, waved to everyone, put on her sunglasses, and walked out of the operating room. Watching her graceful departure, Tang Ling still wore a star-struck expression. "Wow, Miss Su truly is a star, her walking posture is so graceful! And her speech is also very profound. I''ve decided, I''m going to buy her album even if I have to eat instant noodles for a few meals." It seems that Su Qianqian, through her excellent performance, had heightened Tang Ling''s loyalty as a fan. "Are her songs really that good?" "Of course! Especially her sentimental love songs series, they are really amazing. If she were more famous, she definitely has the talent to become a top female singer, even competing for the crown of Best Female Singer." "Haha, is it that exaggerated? You''re getting more and more ridiculous. Let''s stop discussing, it''s time to get off work." Zhou Can shook his head; he didn''t believe Su Qianqian''s songs were that good. As a doctor, his biggest hobby was conquering case after case. Enhancing his surgical and diagnostic skills and reading various medical books were his favorite activities. He used to play basketball with classmates, but now his work was so busy that it was hard to find the time. "Xiao Zhou, good observation!" Dr. Xu removed his mask and disposable rubber gloves and threw them into the trash can, praising Zhou Can. "Hehe, it''s because the teachers and Dr. Jin are too much of gentlemen, they didn''t even look at that female celebrity''s neck and other areas." Seeing that his mentor was in a good mood, Zhou Can dared to make a small joke. It would be boring to be solemn and silent all day in the operating room as if at a memorial service, serious and respectful, no jokes allowed! "You kid, when did you also learn to be so slick, never serious? Pack up, you guys can also get off work." Dr. Xu teased. "Teacher..." Zhou Can called after him, then stopped short. "Do you have constipation? Speak up, I haven''t even had breakfast, this old man doesn''t have time to drag this on with you," Dr. Xu rolled his eyes in an exaggerated manner, causing Tang Ling and Jin Mingxi to chuckle quietly. Chapter 62 - 56 Growth Planning "Could you please inform the doctors on duty when you''re on shift to receive more Level 1 surgical patients during your watch? I''m completely new to this and desperately need more practice opportunities." Zhou Can''s four basic medical skills and two Advanced Medical Skills in anastomosis and separation are already at the resident doctor level. He is fully capable of handling Level 1 surgeries. This is more than ten times better than practicing at home on mice, tofu, and cotton. Because of limited surgical capabilities and staff shortages in the Emergency Department, they often only handle emergency surgeries. Less urgent cases are referred to various specialties. Simply by notifying the attending physicians, it''s possible to get more than enough Level 1 surgical patients. "Dr. Xu, I need it as well!" sea??h th§× N?velFire(.)net website on Google to access chapters of novels early and in the highest quality. Jin Mingxi quickly followed after Zhou Can spoke up. He wouldn''t dare to ask Dr. Xu directly. It''s different for Zhou Can; anyone can see that Dr. Xu favors him especially. He''s clearly being groomed as a successor. Thus, Zhou Can dares to make some small requests. "Wow! Are you two addicted after a day of surgeries? Okay, I''ll talk to the attending physicians and take in more Level 1 surgical patients when I''m on duty. If you think working eight hours is not enough, when Director Lou is on duty, I can try to arrange more for you as well." Dr. Xu was quite pleased with their ambition and readily agreed. The Emergency Department is incredibly short-staffed, and any patient that can be referred to a specialty is not retained. There are only two attending surgeons in the entire Emergency Department. They are Dr. Xu and another doctor surnamed Fu. Dr. Fu usually works in outpatient care. In the operating room, Dr. Xu and three surgical resident doctors are the main force. As they work in three shifts, Dr. Xu almost invariably takes the morning shift, which has the heaviest surgical load. Director Lou sometimes takes over the evening shift. The night shift usually doesn''t have many surgeries; mostly emergency operations or surgical inspections. The resident doctors stay and call Dr. Fu or Dr. Xu to the hospital for urgent surgeries above Level 2. It is worth mentioning that the Emergency Department generally only handles Level 1 and 2 surgeries, and Level 3 surgeries must be performed by specialists. This scheduling of the surgical doctors basically ensures the normal operation of the Emergency Department''s operating room. Zhou Can was truly pleased that Dr. Xu agreed so easily. He no longer has to worry about lacking opportunities to practice. "Thank you, teacher!" "Thank you, Dr. Xu!" Jin Mingxi also quickly expressed his thanks. "Go home now! You two must seriously review today''s surgical experiences. Especially the Scarless Suturing Method I taught you. I can reveal that mastering the Scarless Suturing Method will allow you to apply it in many high-end surgeries in the future. Moreover, this method is not the deepest, and in highly advanced top-level surgeries, it''s comparable to basic techniques like suturing, incision, ligation, and hemostasis." Before leaving, Dr. Xu painted a big picture for them. What are extremely advanced top-level surgeries? Ordinary chief physicians'' surgeries don''t qualify as such. Only surgeries performed by expert-level or even world-leading surgeons align with these terms. These surgeries vary in scale. Large ones require the coordinated effort of many elite surgical teams. Such as the world-famous head transplant or heart transplant surgeries. Right now, Zhou Can is like a toddler learning to walk on the path of medicine, just starting to learn to walk. His path of growth is virtually endless, and how far he can go depends on his own efforts and opportunities. "It''s time to properly plan my daily practice tasks." He actually had this idea yesterday. After Dr. Xu outlined their future prospects, his desire to quickly improve his overall medical skills became even more urgent. Currently, in the operating room, he can gain Experience Points in suturing, ligation, hemostasis, injection, anastomosis, and debridement. The harder ones to obtain are implantation, incision, and separation. He is not very worried about pathological diagnosis because after familiarizing himself, he can voluntarily stay for unpaid overtime following the attending physicians and seeing patients. With the frightening volume of patients in the Emergency Department, earning 30 to 40 points in pathological diagnostic Experience Points a day is not unusual. He will soon be able to advance steadily. The attending doctor in the Emergency Department, Dr. Luo, was quite friendly to him, greeting him and likely to agree to have him sit in the clinic after privately inviting him for a meal. As for the other doctors, he could only slowly get to know them before making any requests. After some consideration, he only needed to focus on practicing insertion, incision, and separation techniques after work. Practicing insertion on rats, he would earn 0.2 Experience Points per attempt. Inserting a catheter in a patient, he could earn 1 Experience Point per attempt. If he was thick-skinned enough and had enough connections in the hospital, going specifically to the intensive care to take on catheter insertion tasks would be the fastest way to accumulate insertion Experience Points. However, on the one hand, he was not familiar with the staff in the intensive care unit. On the other hand, there was a risk of being misunderstood by colleagues as having a psychological disorder, so this idea had to be prematurely abandoned. At least for now, it was completely out of the question. Fortunately, in the Emergency Department, he often encountered patients who needed catheter insertion, which allowed him to earn some points. After work, Zhou Can first went to the Logistics and Security Department to process his room card. Then, he bought a biomechanical model specifically for practicing insertion, as well as a pound of soybeans and ten rats. He planned to return home and practice thoroughly. Now, as a resident doctor learning under Dr. Xu, it was quite good. He only needed to work eight hours a day. Compared to the hardships of an intern, it was simply paradise. Since he was in the Emergency Department''s operating room, besides surgery overtime, there was almost no other miscellaneous tasks. Previously, as an intern in the inpatient department, life was truly miserable. Managing beds, writing medical records, learning set medical orders, writing histories, assisting in surgeries...almost as busy as a spinning top. Sometimes, working one day felt as tiring as working for a month. Now, having a lot of free time was actually beneficial for Zhou Can. He could go home and practice various medical skills that were hard to practice in the operating room or join the attending and surgical doctors for overtime. He could flexibly choose according to his own growth needs. ... Returning to the shared dormitory where he had lived for a year, it was already empty. All his roommates had left. On the desk was a heartwarming note. "Zhou Can, keep going! We believe you can definitely become a renowned doctor!" It was signed by seven roommates. Zhou Can felt warm inside, but his nose tingled slightly. He carefully stored the precious note filled with roommate''s camaraderie, and began to quickly pack up his personal belongings. Then he moved to the double apartment upstairs. Finding room 315, he tried using the room card to swipe the electronic lock on the door and pushed it open, revealing an extremely surprised expression. "Dr. Jin!" "Haha, what a fate! I didn''t expect my other roommate to be Dr. Zhou." Jin Mingxi also laughed happily. He was seriously writing a surgical summary at the moment. Seeing his roommate was Zhou Can, he hurriedly closed his notebook, got up, and helped him move his belongings. The d¨¦cor here was much better than the shared dormitory downstairs. It was fully furnished, with single beds replacing the bunk beds, and two independent spring mattresses. It was somewhat similar to a hotel double room. Moreover, it also had air conditioning and a private bathroom. From now on, there would be no need to use the shared bathroom for showers or toilet visits. The treatment for resident doctors was significantly better than that of interns. Indeed, it pays to work hard, as the future only becomes brighter. With Jin Mingxi''s help, he quickly moved all his belongings into the new residence and settled in. "Wow, Dr. Zhou, your tools for practicing medical techniques are really comprehensive!" Microscope, electrocautery knife, wax table... he could open a private clinic. "Hehe, the competition is fierce, I had no choice!" Zhou Can never stinted in his medical investments. Being able to emerge from thousands of applicants and securing the first place was certainly aided by the Experience Points system. But his own efforts and financial investments were also crucial factors in his success. Chapter 63 - 57 The Fifth Advanced Medical Skill "I finally understand why the interns at Tuya Hospital seem so unbelievably skilled! You reap what you sow. Your performance indeed reflects how dedicated Tuya''s interns are! No wonder it took me six years of hard work to finally earn the qualification for Tuya''s residency program. My competitors were not only seasoned medical practitioners but also a group of freakishly talented interns!" After witnessing Zhou Can''s surgical practice, Jin Mingxi gained a deeper understanding of Tuya Hospital. Even the interns are so strong. The skill level of the attending and chief physicians must be absolutely terrifying. In such an environment full of strong contenders, it''s even more conducive to his growth. As long as he can survive, he will definitely be able to rapidly enhance his medical skills across the board. After a brief exchange of pleasantries, they went back to their work. Jin Mingxi continued to write his surgical summary, while Zhou Can simply recorded some key issues encountered during the surgery, such as mistakes made during vascular anastomosis and areas for improvement that could be made during the procedure. He then briefly recorded the Scarless Suturing Method taught by Dr. Xu, using his own words and diagrams to explain it. For now, he had just learned the technique. To truly master this suturing skill, he still has a long way to go. sea??h th§× n?velFire.net website on Google to access chapters of novels early and in the highest quality. Even to practice, he would have to wait until his Suturing Skill was at the level of a resident doctor. After completing the necessary surgical summaries, he took out the soybeans he bought and set up the molds to begin practicing the implantation technique. These biomimetic molds were specifically designed for doctors to practice implantation techniques. The path to the implantation site was filled with all sorts of inhuman obstacles. Also, there were nearly forty implantation sites on the mold, with varying degrees of difficulty. Facing the two most challenging implantation sites, even with a Level 3 implantation technique, Zhou Can felt his legs shaking and his heart trembling. He estimated that at least a Level 4 implantation technique would be required to attempt those challenges. He picked up the long-arm forceps commonly used in surgeries. Implantation is challenging precisely because it often involves long-arm manipulation. Sometimes, the difficulty of the operation is imaginable when it relies solely on a guide wire for traction. To practice implantation techniques, one usually starts with tweezers or a toothpick. It is common to see doctors using two toothpicks to eat in the hospital cafeteria. What they are practicing are the basic skills of surgical medicine. Zhou Can''s implantation technique had already reached the level of a resident doctor, so he no longer needed to practice with toothpicks or tweezers. Instead, he was tackling the more challenging long-arm forceps. Mastering this technique lays a solid foundation for future minimally invasive surgeries. Instruments such as bone-cutting forceps, rotary scalpels, needle holders, and curettes used in minimally invasive surgeries all involve long-arm manipulation. He gripped the long-arm forceps and picked up a bean from the bowl. These were dry soybeans. Hard in texture, and with a slippery surface. The difficulty of grasping them was quite high. After over ten attempts, he finally managed to successfully extract a bean. The primary challenge was that the forceps had a length of almost thirty centimeters, which was especially hard to control. Coupled with the round and smooth beans, this caused multiple failures. If he used toothpicks or shorter tweezers, Zhou Can was confident that he could securely grasp a bean on the first try. [Congratulations, you have obtained the Grasping Technique! An Advanced Medical Skill that allows manipulation of surgical instruments such as forceps and tweezers to clamp and grasp objects or body tissues.] Zhou Can looked at this new medical skill with excitement. This was the fifth advanced medical skill he had acquired. [Grasping Technique, Level 3, Current Experience Points 0/1000. Lower level of a resident doctor.] Not bad, starting directly at Level 3. This medical skill has a very broad application. Nearly all high-end surgeries require it. It''s an essential skill for advanced surgeries. He carefully inserted the firmly grasped soybean into the first practice point of the biomimetic mold. He succeeded on the first try! [You''ve gained 0.001 Experience Points.] Upon seeing such a small amount of experience points, Zhou Can''s forehead creased with frustration. By now, he had completely figured out the experience points system''s pattern. If the practice was too simple, it would issue such a trifling amount of experience points as a way to correct Zhou Can''s ''laziness.'' The first five implantation points on the biomimetic mold indeed presented a very low difficulty. Suitable for novices like interns to practice. Now that he was at the level of a resident doctor, practicing implantation at only an intern''s level was practically a competition of ineptitude. No wonder the system penalized him with such a minuscule amount of experience points. He attempted another grasp. A bit better than the first time, it only took eight tries to successfully grab a soybean. [Grasping Technique Experience Points +0.1.]This time, he directly chose to place it into a medium-difficulty implantation point. After considerable effort, he finally succeeded in placing it into the target slot. [Implantation Technique Experience Points +0.1.] He couldn''t help but sigh deeply, earning that 0.1 implantation experience was truly not easy. The beginning is always the hardest. Hopefully, with more practice, efficiency will improve! Each implantation point on this bionic mold actually simulates the real structure of the human body. For example, the seventh implantation point is a pathway that must be navigated during a gastroscopy. The fourteenth is akin to the structure of the left coronary artery. He will almost certainly encounter them in future surgeries on patients. In reality, the surgery would undoubtedly be more challenging than practicing on the mold. Therefore, he must practice diligently now, so that he can handle the real surgery with ease when the time comes. He repeated the exercises of grasping and implanting over and over. Practice makes perfect. Gradually, his movements became smoother, and his efficiency quietly improved. The failure rate of using the long-arm clamp to grasp the soybean dropped from about 8 times to around 6, and the success rate of implantation neared 80%. After nearly two hours of practice, his grasping experience had increased by 7.8, and his implantation experience by 6 points. Compared to the experience gained from real surgeries, this was quite slow. However, for such medical skills that are difficult to practice at this stage, gradually improving through day-to-day practice is also a good option. Checking the time, he stopped both the grasping and implantation exercises. There were still ten white mice beside him. At 200 yuan each, he had spent a total of 2000 yuan¡ªa sum he couldn''t afford to waste. These white mice were mainly used to practice the three medical skills of hemostasis, cutting, and separation. As for suturing and ligation, there were plenty of opportunities to practice those daily in the operating room; there was no need to spend five times as much time on white mice. After administering group anesthesia to the ten white mice, he casually grabbed one. He placed it on its back on a wax table, secured its limbs, and began practicing the three medical skills. Dissection! [Cutting Experience Points +0.2.] After successfully cutting open a surgical incision, blood immediately gushed out from several parts of the wound. He quickly cauterized it with an electrosurgical knife. [Hemostasis Experience Points +0.2.+0.2.+0.2...] The speed of earning hemostasis experience points ranked first, with no other medical skill daring to claim second. After cutting an opening in its abdomen for a surgical window, he used hooks to pull the wound apart, revealing the abdominal cavity for surgery. He then targeted the heap of intestines and began practicing the separation technique. Under his control, the scalpel deftly separated the cecum from the colon. [Separation Experience Points +0.2.] His hand slipped, he failed to control the force properly and accidentally cut through the intestine. The contents within the intestine sprayed out. Frightened, he hurriedly performed ligation in a flustered manner. Nevertheless, the excrement still contaminated the mouse''s peritoneal cavity. Thankfully, this was just a white mouse. If this had happened during an appendectomy on a patient, it was unimaginable. This would definitely be a serious medical incident. Intestinal contamination with fecal matter in the peritoneal cavity has extremely serious consequences. Because the contents of the bowel are highly irritating, they can cause the patient to dehydrate, develop a fever, and even go into toxic shock¡ªpotentially leading to the patient''s death. Besides, the peritonitis and various complications that it could cause would be life-threatening. After ligating the intestinal end, he finally managed to control the situation. [Ligation Experience Points +0.2.] Figuring that since the intestine was already cut and ligated, he might as well cut the end that connects to the rectum. Knife in hand, he swiftly cut through the intestine of the white mouse. This way, he could easily remove most of the intestines from the abdominal cavity for surgery. [Cutting Experience Points +0.2.] Zhou Can was a bit stunned. He could also gain 0.2 cutting experience points for this? It felt as though a bug in the experience point system had been discovered. Chapter 64 - 58 Finally Have Chief Level Medical Skills He attempted to separate a small segment of the intestines and then tied it off before cutting it. [Separation Experience Points +0.2. Ligation Experience Points +0.2. Cutting Experience +0.2.] Good heavens, this is incredible. It seems like the system bug he found was even bigger. Previously, earning 0.2 Separation Experience required him to completely separate the targeted intestinal segment. Now, by skimping and only separating less than 1.5 cm, he could immediately gain 0.2 Separation Experience Points and 0.2 Cutting Experience Points after cutting the separated intestines. It turns out, the most valuable part was the rat''s intestines. He was extremely thrilled and began to repeatedly perform three motions: separating, ligating, and cutting, then reaping the experience points of these three medical skills. The rat''s large intestine, small intestine, and cecum together totaled around 100 cm in length. A single separation and ligation required about 2 cm. That is to say, a single rat''s intestines alone could provide him fifty practices of separation, ligation, and cutting. Zhou Can thoroughly experienced the joy of all three medical skills'' experience points soaring simultaneously. The value of a single rat was even more than that. After cutting the intestines, it would not die. He could continue to practice dissection and hemostasis. Finally, until its value was completely exhausted, and its life ended. After death, he could still practice dissection and separation skills, but the added experience points were halved, gaining only 0.1 each time. He estimated that since discovering the system bug, a single rat could bring him about 10 points of Ligation Experience, 12 points of Separation Experience, 16 points of Cutting Experience, and 41 points of Hemostasis Experience. This was undoubtedly a substantial harvest. Especially dissection. Previously, a single rat could provide him with a maximum of 6 points of Cutting Experience. Now, that amount had nearly tripled. Sear?h the N??elFir§×.net website on Google to access chapters of novels early and in the highest quality. Not at all less than what he earned in the operating rooms. Feeling the rapid surge of experience points, he was as if injected with adrenaline, tirelessly practicing. One rat after another was consumed by him. Around eleven, Jin Mingxi, who was practicing knots on cotton, couldn''t stay awake and fell asleep first. Zhou Can was still hard at work. When he was practicing on the eighth rat, the electrosurgical unit was just aimed at a bleeding point. [Hemostasis Experience +0.2.] [Congratulations, your Hemostasis Skill has advanced to Level 4! Current Experience Points 0/10000. Hemostasis capability at the lower level of a Chief Doctor.] Goodness, this was his first Level 4 medical skill. Hemostasis, though seemingly simple, is a skill that is easy to learn but hard to master. In the resuscitation rooms of major hospitals, patients often die from unsuccessful resuscitations. The primary cause is usually excessive bleeding or conditions like brain hemorrhage or a ruptured aortic dissection, etc. Patients dying from bleeding amounted to at least fifty percent. If Zhou Can could advance his Hemostasis Skill to an expert level, the rescue success rate in the emergency department of Tuya Hospital would absolutely increase significantly. Various departments would vie to have him visit for consultations. Even now, being just Level 4 in Hemostasis was enough to make him stand out among the many regulated trainees and resident doctors. Despite the advancement in his Hemostasis Skill, Zhou Can didn''t stop practicing. He kept going, continuing to implement hemostasis on the rat''s wounds. This rat had already been cut twenty-one times; it was a complete mess, and its body was devastated. The speed of bleeding from its wounds was several times slower than at the beginning. Based on experience, this was a sign of excessive blood loss, indicating imminent death. At this stage, finding the precise bleeding point on Zhou Can''s part became extremely challenging. He often needed to search carefully for a long time to locate a single bleeding spot. Because of the slow bleeding, somewhat similar to diffuse bleeding, it significantly increased the difficulty in locating the source of bleeding. At this moment, his eyes focused on a small pool of blood on a wound and he was amazed to be able to spot the center of the blood pool in one glance. The electrosurgical unit in his hand targeted precisely that point. Sizzle! [Hemostasis Experience +0.2.] "Wow, is this the Level 4 Hemostasis capability? It''s miraculous." After experiencing the ability of Level 4 Hemostasis Skill, he couldn''t help but exclaim. Compared to Level 3 Hemostasis Skill, the improvement is not just a little bit. Merely in the aspect of locating the bleeding point, it surpasses the past by ten times. It''s not an exaggeration, but a true capability. For instance, the pool of blood just now, which appeared smeared over by a swath of ink previously. To locate the source of bleeding, one had to clear the blood pool first, then observe carefully to possibly find it. Even if it was found, by the time he prepared for electric coagulation hemostasis, the sadly discovered fresh blood would cover the bleeding source once again. The blood vessels of this white mouse are scarcely thicker than a strand of hair. Even if the shed blood only covered an area as big as a soybean, how could one perform electric coagulation hemostasis? To burn the entire area? That would cause serious damage to other tissues. It would likely result in necrosis and suppuration, increasing the risk of internal infection in the wound. Moreover, if a nerve were damaged, that would be even more disastrous. A medical malpractice accusation would be inevitable. Therefore, electric coagulation hemostasis seems simple, but its difficulty is much higher than one might imagine. After Zhou Can''s hemostasis level reached Level 4, he could instantly discern the routes of blood flow in the blood pool, eventually successfully locating the central diversion point. It was like a spring, continuously spurting blood and dispersing to the surroundings. Finding it meant locating the source of bleeding. Level 4 Hemostasis Skill, besides the enhancement in visual capability, the application of hemostasis methods became more flexible and precise, with a purer technique. He had even gradually mastered the comprehensive skill of using various hemostasis methods combined. And he had already preliminarily acquired the ability to analyze the reasons for bleeding. This ability essentially amounts to diagnostic capability. It is specifically used for diagnosing the causes of bleeding. "The feeling of medical skills improving is really great! I''ve become a bit stronger!" Zhou Can felt many tangible benefits after his Hemostasis Skill rose to Level 4. It even facilitated insights into other medical skills. He continued practicing. ... When the clock pointed to 1:14 a.m., Zhou Can finally used up all the white mice. The gains were even far greater than working for two days in the surgery room. He checked and found that ten white mice brought him a total of 102 ligation Experience Points, 120 Separation Experience Points, 162 Cutting Experience, and 410 Hemostasis Experience Points. Merely practicing on white mice for one night brought him so many Experience Points, which even he found unbelievable. However, this type of practice was also very expensive. Ten white mice cost 2000 yuan. Ordinary people simply couldn''t afford it. Zhou Can''s family was considered moderately wealthy; his mother roughly gave him twenty thousand yuan as pocket money a month. Plus, he had three rental properties, bringing in about 6000 yuan in total monthly rent. Now having become an official resident doctor, between the state subsidy and the basic hospital salary, he should take home about 5000 yuan. Buying a hundred white mice a month to practice medical skills wasn''t a problem. Thus calculated, he could spend about ten days a month using white mice for intense practice of the aforementioned four medical skills after work. The remaining twenty days, he could opt to stay in the hospital for overtime to gain Experience Points. Like scrubbing in surgery or following a consulting doctor for an eight-hour session, the gains could be substantial. Filled with anticipation, he checked all his medical skill attributes. [Zhou Can, Resident Doctor [Pathological Diagnosis, Level 3, Current Experience Points 102/1000. Level of lower-tier Resident Doctor.] [Cutting, Level 3, Current Experience Points 167.7/1000. Level of lower-tier Resident Doctor.] [Suturing, Level 3, Current Experience Points 248/1000. Level of lower-tier Resident Doctor.] [Ligation, Level 3, Current Experience Points 335/1000. Level of lower-tier Resident Doctor.] [Hemostasis, Level 4, Current Experience Points 82/10000. Hemostasis ability at Chief Level Doctor lower-tier.] [Injection Skill upgraded to Level 2, Current Experience Points 52/100. Level of lower-tier Resident Doctor.] Advanced Medical Skill [Separation, Level 3, Current Experience Points 120.2/1000. Level of lower-tier Resident Doctor.] [Anastomosis, Level 3, Current Experience Points 16.8/1000. Level of lower-tier Resident Doctor.] [Implantation Technique, Level 3, Current Experience Points 13/1000. Level of lower-tier Resident Doctor] [Wound Cleaning Skill, Level 2, Current Experience Points 8/100. Level of lower-tier Resident Doctor.] [Grasping Technique, Level 3, Current Experience Points 7.8/1000. Level of lower-tier Resident Doctor.] Chapter 65 - 59 The Hush Money is in Place Overall, it''s quite good. Apart from the Injection Skill and Wound Cleaning Skill being slightly subpar, the rest are up to Resident Doctor standards, with the Hemostasis Skill shining the brightest, soaring directly to Chief Level. A training doctor possessing Chief Level hemostasis ability would be frightening if word got out. Even for doctors who are nearly three years into their training, reaching a moderate level of hemostasis among Resident Doctors is considered particularly excellent. In fact, the vast majority of training doctors still maintain training level surgical abilities upon completion of their program. It''s common to see Resident Doctors needing to ask for help from their superiors over trivial matters in the hospital. Don''t laugh at them, because that''s the level of most new Resident Doctors. They have pitifully little experience, and their medical skills are still immature. Facing a slightly more serious patient can truly unsettle them. What if they misdiagnose or mess up and harm or kill the patient? Wouldn''t that ruin their future prospects? So, they''d rather be scolded by their superiors than act like a grown baby. This asking a chief physician for guidance, that needing the department head to take a look. At least after a superior doctor checks it, it feels safe. "A promising future, keep it up!" Dr. Zhou, after reviewing the progress of medical skills over the past few days, felt a surge of brightness in his heart. He estimated that in at most a month or two, he could elevate several medical skills to Chief Level. By then, he would arguably become the most ''capable'' training doctor in the Emergency Department. He could be like a drill bit, taking on tasks everywhere. sea??h th§× novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. The time was already late, so after dealing with surgical waste, taking a shower, he went to bed. Jin Mingxi was already snoring thunderously, sleeping soundly. After reaching thirty-five years old, a man''s body begins on a downward slope. No longer as energetic as young men. Women begin to age earlier, starting to decline noticeably after thirty. For instance, the appearance of a little belly, weight gain, the emergence of age spots, and a decrease in energy, etc. This is why many large companies, aside from requiring education levels, also limit their recruitment age to under 35. Businesses seek efficiency, not charity work. Employees over 35 are brought in, trained for a few years, and by forty, they can''t work as well nor learn as quickly as younger people. Naturally, they prefer twenty-somethings fresh out of school. Being designated as middle-aged at 35 by the internet has its reasons. ... The next morning, Dr. Zhou got up and found he still had a bit of time, so he took out a medical book to read. A rich volume of reading can help him as if divinely inspired when diagnosing various diseases. Jin Mingxi, after getting up, went out to run. Dr. Zhou also had the habit of exercising, but recently he has been busy with his training exams and improving his medical skills, truly having no spare time. Jin Mingxi returned around 7:40. Dr. Zhou finished reading two case studies. The Experience Points for diagnosis increased by 0.2. Not much. But the purpose of reading medical books isn''t just to increase Experience Points; its main role is to strengthen his medical knowledge. Undeniably, compared to people like Gao Jian and Du Leng, his medical knowledge still has a considerable gap. Improving medical skills mainly relies on practice, while accumulating medical knowledge comes from reading, learning, and diligent thinking. "Hey, good morning!" Jin Mingxi greeted him with a smile. "Morning! I didn''t expect you to have the habit of morning exercise. Let''s do it together from now on!" Dr. Zhou replied with a smile. Now that he had obtained his training qualification, he could surely take some time in the morning to exercise. Being a doctor is a high-risk profession, and it''s very necessary to keep up with daily exercise. "That would be great; I''ve been looking for a partner!" Jin Mingxi was precisely looking for opportunities to get closer to Dr. Zhou, and joining him for a run was exactly what he desired. Observing that it was getting late, the two set off to the hospital for work. On the way, they engaged in casual chatter about various topics. Jin Mingxi talked about the healthcare situation in his home county. The quality of doctors was mixed, and even the highest-level People''s Hospital couldn''t handle slightly more complex cases. They could only offer conservative treatment or refer to a higher-level hospital. When he mentioned these things, he felt quite helpless. The medical profession might seem like everyone can treat illnesses, and the education received in school seems similar, but in reality, there are invisible technical barriers. Each hospital has its specialty areas, which are equivalent to its secret techniques. """ That''s also its ''signature dish''. These unique secret techniques are generally not shared lightly. To learn these techniques, one must join the hospital and work in the relevant department in order to have a chance to learn them. For example, a stage II gastric cancer patient seeking treatment. The doctors at the county People''s Hospital took a look and sighed, alas, the cancer cells have already spread around, there''s no hope. Then they provided the patient with routine chemotherapy to try and alleviate the suffering as much as possible. In other words, it''s up to fate. But this gastric cancer patient had parents in their seventies to support and two minors to raise; he didn''t want to die! After inquiring around, he went to Tuya Hospital''s gastroenterology tumor specialty department. Hey, this time he actually came to the right place. The doctors in this department specialize in research on gastrointestinal tumors, including causes, pathological mechanisms, treatment, prognosis, and so on. The head of the department did a gastroscopy for him and told him that the tumor had only spread to the stomach wall and there was still hope. Then they presented a comprehensive combination treatment plan. Eradicating the tumor, chemotherapy, nutritional support, and special drugs to reinforce the effectiveness of the treatment. After the entire treatment plan, the patient was ultimately cured. It turns out that cancer is not scary; what''s scary is not finding the right doctor who can treat cancer. From this little story, one can see that the gap in treatment levels between different hospitals is not just a little bit. Jin Mingxi''s efforts to work at Tuya Hospital are definitely a wise choice. Just learning a few techniques and bringing them back could become the most advanced treatment plans for the county People''s Hospital. After the two finished breakfast, Jin Mingxi walked down to the milk tea shop downstairs. "I''m going to buy two cups of milk tea!" Zhou Can was taken aback. "What are you thinking? I''m buying these for those two young nurses." Jin Mingxi''s face was full of distress, as he was swindled by those two young nurses yesterday because of a careless joke he made with Zhou Can. Zhou Can then remembered he promised to treat Qiao Yu to milk tea. "Haha, I''ll also buy a cup!" If he didn''t buy it, the young lady might grumble again. Remembering the matter of Jin Mingxi being swindled for milk tea by the two young nurses, he couldn''t help but chuckle. "Give me one cup of strawberry-flavored and one cup of Pu''er rose milk tea." Jin Mingxi ordered according to the two young nurses'' instructions. Zhou Can looked at the numerous milk tea flavors and was at a loss. Qiao Yu didn''t say which flavor she liked! "Madam Boss, may I ask, which flavor do girls in their twenties generally like?" The charming Madam Boss glanced at Zhou Can. With a slightly odd smile, she said, "Is this the first time you''re treating her to milk tea?" "Yes!" "What''s her style like? Does she like heavy makeup or light makeup?" "More on the elegant side!" Zhou Can tried hard to recall Qiao Yu''s face, hardly seeing any makeup. "Then give her a cup of coconut-flavored milk tea, she''ll definitely like it." "Okay!" Zhou Can nodded indifferently. Carrying the milk tea, he arrived at the Emergency Department. He just saw Qiao Yu coming out after changing out of her nurse''s uniform. "Beauty Qiao, here''s your hush money!" Zhou Can smiled and handed the milk tea over to her. "Hehe, you really bought it! Thanks!" Her expression carried a hint of pleasant surprise. "Wow! Qiao Yu is the most difficult girl to ask out in our Emergency Department''s nursing station! Quite a few male doctors have been rejected by her. Dr. Zhou, you''re really something, you''ve only worked in the Emergency Department for three days and you''ve already succeeded! You rock!" Ye Tingting rushed up to take a closer look as soon as she noticed the situation, laughing. Her relationship with Zhou Can was good, so she had no qualms about joking around. "What are you talking about! This is the hush money Dr. Zhou is giving me. Sister Ting, don''t set us up!" Qiao Yu''s cheeks blushed with embarrassment as she quickly explained. Ye Tingting''s almond eyes immediately shone. Being gossipy is a woman''s nature. "Is that so? What hush money? Tell me about it." """ Chapter 66 - 60: The Best Partners Just when Zhou Can thought Qiao Yu was going to sell him out, she chuckled, "It''s a secret! Otherwise, I''d be too embarrassed to take this hush money! You know what I mean?" This answer was absolutely brilliant. I took Zhou Can''s hush money, so I definitely have to keep it a secret. It proves that Qiao Yu is really extraordinary, with both high IQ and EQ. "Don''t have to say anything. Dr. Zhou, you can''t favor one over the other. If you''re treating, you should treat all the nurses in the Emergency Department, not just Qiao Yu. We''ve accepted your kindness, so chasing after Qiao Yu will be on us from now on!" Ye Tingting really dares to say anything. Zhou Can finds these married nurses the most troublesome. He hasn''t even dated before and knows he''s no match for Ye Tingting. Treating the nurses to milk tea and maintaining a good relationship will benefit him in work too. It''s a deal that makes sense any way you look at it. "Alright, alright, tally up the numbers for me, and it would be great to know their preferred flavors too. I''ll have it arranged by tomorrow. Nurses from all three shifts will be included." He''s really not petty at all. Generously treating all nurses to milk tea. "Ha ha, Dr. Zhou is so generous! No wonder the high-standard Qiao Yu has taken an interest! I''ll tell you the number once we''ve tallied it up!" Ye Tingting smiled brilliantly. To them, the joy of scoring a cup of milk tea far exceeds its economic value. She swayed away. Qiao Yu, holding a milk tea, looked at Zhou Can somewhat apologetically. "Hey, there are over fifty nurses in our Emergency Department''s station, a cup of milk tea costs at least ten yuan each, don''t agree to it so rashly next time. When we get the total cost, I''ll cover half of it for you." After saying that, she turned and left. Zhou Can, this rich second generation, wouldn''t care about a few hundred bucks. But Qiao Yu being able to put herself in his shoes and even offering to cover half of the costs, made him think highly of her many shining traits. "Xiao Zhou, what are you standing around for? Hurry to the operating room!" Dr. Xu just came out of the office. His work ethic is meticulous, always arriving at the hospital about ten minutes early daily. "Good morning, teacher!" Zhou Can immediately scurried after him. "No need to follow me, you head straight to the operating room. I''m going to greet the consulting doctors and ask them to take on more major surgery cases." Dr. Xu really cares about his student''s matters. Zhou Can was genuinely touched. He would remember these kindnesses, and repay his teacher double when he''s capable. After agreeing, he went straight to the operating room. There were only Jin Mingxi and Tang Ling in the operating room. The night shift doctor had clearly already left. "Dr. Zhou is here! I heard you''re treating all of us nurses to milk tea, is it true?" Tang Ling, who had scored a milk tea from Jin Mingxi, had a smile that was about to overflow. Upon seeing Zhou Can enter, she greeted him with a smile. "Indeed, I''ll have it arranged by tomorrow!" Zhou Can nodded in confirmation. "Wow, that''s great! I can save on my milk tea money tomorrow! Thanks, Dr. Zhou!" Tang Ling was as happy as a little girl. Sometimes she seemed like a little girl who never grew up. Rather eat instant noodles to chase after stars. Scoring a free cup of milk tea made her this happy. Zhou Can found her simple-minded and very straightforward. She never beat around the bush, laughed when happy, pouted, and drooped her head when scolded. Her emotions were always written all over her face. "Dr. Lu hasn''t arrived yet?" Zhou Can asked casually. He wasn''t very fond of Dr. Lu, but he was more than willing to do shifts with him. Not for anything else. Because Dr. Lu is incredibly lazy. Working shifts with someone like that, he would have the chance to get lots of surgical practice. "He might arrive soon! He usually likes to arrive right on time! Occasionally he''s a few minutes late." Tang Ling glanced at the electronic clock on the wall. The operating room always has a clock hanging on the wall. This allows doctors to easily check the duration of the surgery or other timings. For example, the duration of cardiopulmonary resuscitation. S~ea??h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. If there is no improvement after thirty minutes, it is generally declared ineffective, and the patient is pronounced dead. At this moment, the doors of the operating room opened, and Doctor Lin walked in. "Hi, good to see the three of you!" Doctor Lin''s smile was particularly bright, easily infectious, making everyone feel cheerful. "Is Doctor Lin taking the morning shift today?" Zhou Can asked in surprise. "Yes! The three resident doctors in the operating room take turns, each of us must take a night shift every three days." Taking night shifts is the most exhausting; in a three-shift rotation, it''s usually two day shifts followed by one night shift. This arrangement generally ensures that each doctor can be fully energetic. While they were talking, Dr. Xu came in. His arrival immediately made the atmosphere much more serious. Everyone became well-behaved, and no one dared to fool around anymore. "I''ve already spoken with the attending doctor, and based on your surgical abilities, we will appropriately divert some surgical patients to you for training. I have only one condition, even if it''s a low-risk level one surgery, you must be extremely cautious. If there''s an accident, then you can forget about getting such training opportunities easily in the future." Dr. Xu said this very sternly to the two. "Understood." Any surgery comes with risks, and if something goes wrong, the supervising doctors are the most unlucky. It''s a great favor for Dr. Xu to provide them with training opportunities. If they are not cautious, it would be equivalent to severely letting down Dr. Xu. Such ingratitude would definitely be stopped. In the future, earning Dr. Xu''s trust again would be difficult. "Call in the backup nurses, Qiao Yu and Li Shuangshuang, to help!" Dr. Xu told Tang Ling. Performing surgery requires at least one nurse to pass instruments, record the procedure, and provide various types of assistance. "Doctor Lin will assist me, Zhou Can and Jin Mingxi will perform level one surgeries independently, just like yesterday." Dr. Xu made a series of arrangements. Soon, Qiao Yu and Li Shuangshuang came in. "Shuangshuang, I''ll assist Dr. Zhou, okay?" Qiao Yu discussed quietly with her. "Relax! I know you are Dr. Zhou''s regular partner, no one will steal your role," Li Shuangshuang teased her with a smile. "Regular partner sounds so harsh, better to call us the best partners! Hehe!" Qiao Yu quickly walked over to Zhou Can''s side. "Dr. Zhou, you don''t mind me assisting you, right?" Her hands were clasped together tightly, hanging in front of her. Observing her slightly nervous expression, it was clear she felt uneasy, fearing rejection. "You''re most welcome!" After Zhou Can said these four words, a happy smile immediately bloomed on her face. It couldn''t be hidden. "You cooperated very well yesterday, your instrument passing was timely, and your assistance in surgery was very professional. Consoling the patient, providing explanations, it was all excellent. I couldn''t ask for a better partner." This wave of enthusiastic praises delighted her immensely. "Hehe, you''re nearly praising me to the skies! If there are any shortcomings in my work, feel free to point them out, Dr. Zhou!" Girls indeed need lots of praise. Her face beamed with a confident smile, radiating a positive charm. Soon, surgical patients began to be transferred in like an assembly line. Zhou Can was fully engaged, performing surgery on the patients. Whenever unsure, he honestly consulted Dr. Xu. Dr. Xu answered all questions, even providing patient guidance on numerous occasions. Whenever this happened, the patients'' expressions turned strange. Their eyes filled with the worry and fear of being treated like guinea pigs, yet they dared not complain. After all, if they annoyed Zhou Can, the novice doctor might slip and make an extra cut, and the patient would be the one to suffer. Chapter 67 - 61: Tu Yas Three Famous Swords Luckily, Zhou Can has been quite impressive thus far and has not made any mistakes on Dr. Xu''s watch. With the continuous accumulation of various surgical experiences, he has been performing increasingly well. In contrast, Jin Mingxi, despite relying on over a decade of extensive clinical experience, seldom consults Dr. Xu. However, he is essentially resting on his laurels, and his progress is far less than that of Zhou Can. Moreover, Zhou Can''s surgical speed is much faster than Jin Mingxi''s, which is a significant advantage. He can perform three surgeries while Jin Mingxi can only manage two at most. And as Zhou Can''s skills became more proficient, the gap between them continued to widen. The more surgeries one performs, the more exposure one gains, and the experience continues to accumulate, only becoming more formidable. Jin Mingxi seemed to feel this disparity too. He tried his best to catch up, but age-wise, he was over a decade older than Zhou Can, which affected his physical and mental stamina. Despite working up a sweat, he achieved little. ¡­ By four o''clock in the afternoon, Zhou Can had performed eighteen surgeries. The experience points he gained were mostly from suturing and ligation techniques. Even if calculating an average of 5 stitches per surgery, eighteen surgeries would add up to 90 points of suturing experience and about 80 points of ligation experience. The reason for fewer ligation experience points is that some stitches did not require one ligation per stitch. For instance, in continuous suturing. Only two knots are needed at the start, and one final knot at the end. Therefore, suturing experience points are more than ligation experience points. He also gained a good amount of Wound Cleaning Skill experience, a total of 11 points. At this rate, it would only take eight to nine days to elevate his Wound Cleaning Skill to Resident Doctor level. Wound Cleaning Skill is extensively used in surgery. Proper Wound Cleaning not only significantly reduces the risk of wound infection and pus formation but also makes suturing much easier and more precise. Wound healing will also be faster and better, reducing the likelihood of scar proliferation. In emergency rescue work, the importance of Wound Cleaning goes without saying. Good vs. poor vascular Wound Cleaning directly affects the success rate of rescues. Furthermore, Wound Cleaning is also crucial in debridement of necrotic tissue and cleaning of infected purulent lesions. Although Wound Cleaning seems like a simple procedure, it ranks among the Advanced Medical Skills for a reason. Its importance is comparable to anastomosis, implant placement, and separation. Besides the aforementioned gains, he had one ''small'' gain. One patient receives four injections of anesthesia; eighteen patients mean 72 injections. He had accumulated a total of 72 injection experience points. His initial injection experience was Level 2, 48/100. After adding 72 points, it directly progressed to Level 3 with 20/1000 points. Although this skill may not seem very useful in surgical operations, adhering to the principle of ''the more skills, the better'', Mastering another skill is certainly beneficial. At least now, when it''s time to give a child an injection or establish an intravenous access, he no longer has to worry about getting scolded. He is completely capable of doing it right on the first try. His current injection skills should be at the nurse practitioner level. This is much more impressive than an ordinary nurse. "Xiao Zhou, how do you feel?" Dr. Xu, removing his gloves, looked at him. "It feels great; the progress made in one day is more than what I gained in a month during my internship." Thanks to Dr. Xu speaking with the consulting physicians, they had admitted several cases that should have been operated on in speciality outpatient clinics. Among the eighteen surgeries performed, only four were Wound Cleaning and suturing surgeries for cuts and bruises. There were other types of surgeries as well. He even performed a thrombosed external hemorrhoid surgery. Typically, hemorrhoid surgeries are classified as Level 2 or Level 3 surgeries. Not only Zhou Can, but even his mentor Dr. Xu isn''t qualified to lead a Level 3 surgery. However, there are exceptions. Thrombosed external hemorrhoid surgery is classified as a Level 1 surgery. This is also an important reason why Zhou Can was able to succeed. Through this surgery, he learned many valuable experiences in dealing with hemorrhoids, such as how to make radial incisions, how to identify thrombosis, and how to manage thrombosis, etc. He had six or seven such surgeries that he had never experienced before. This is also why he always sought advice from Dr. Xu. Today''s gains were really huge. "Hehe, it seems the effect is not bad! We can continue tomorrow." Dr. Xu said with a relieved smile. His gaze turned to Jin Mingxi. "Dr. Jin, how about you?" "There are definitely gains, but I can''t compare with Zhou Can, the freak. For the same wound cleaning and suturing surgery, his surgery time is almost half of mine. And the quality is very high; I really admire him." Jin Mingxi looked helpless. Ability varies from person to person. Zhou Can''s surgical skills improved too fast. During the standardized training exam, he might have been slightly weaker than Jin Mingxi. Now, he has started to surpass and achieve overtaking. "You don''t need to compare yourself with anyone; surpassing yourself is good enough." Dr. Xu is actually quite suitable to be a teacher. He basically practices personalized teaching for every junior doctor. For example, for Doctor Lin whose talents are average, he only requires him to slowly improve his basic surgical skills. For Dr. Lu, who is lazy and irresponsible, he keeps him by his side as an assistant, trying to urge Dr. Lu to work diligently. For Zhou Can, a rare talent, he gradually delegates authority. He tries his best to provide the training opportunities that should be given. He never lets Zhou Can perform parts of surgeries that are uncontrollable in terms of risk. He truly embodies the principle of ''strict yet lenient.'' Neither letting the apprentice cause trouble nor hindering the apprentice''s growth. Dr. Xu''s gaze once again fell on Zhou Can, filled with a hint of kindness and reminiscence of the past. His eyes were quite complex. "Xiao Zhou, being fast in surgery is a good thing, but also a bad thing; do you understand?" Zhou Can shook his head, puzzled. "All I know is that saving a patient''s life is a race against time. The faster the surgery is completed, the less harm it does to the patient''s body. In rescuing critically ill patients, even being one second faster can potentially save a life." For instance, patients with severe bleeding. The sooner the cause of bleeding is found and surgery performed, the better. If delayed, the patient might not make it off the operating table. "Pursuing speed is not wrong in itself. However, once you pursue speed, your mindset can easily become anxious. Especially when you have the skills to perform Level 4 major surgeries in the future, many critical parts of the surgery have strict requirements and must be completed within two to three minutes, or even a few seconds. At that time, your brain definitely can''t keep up with your hands. Just one small mistake could lead to lifelong regret." A thoughtful glimmer flashed through Zhou Can''s eyes. Without personal experience, it would be hard to express such profound insights. "Teacher, are you known as ''Xu Yidao'' because you were also a swift surgeon?" Zhou Can asked this question only after much deliberation. He was extremely curious about Dr. Xu''s past. "Although the story has been sealed for years, it''s no secret. In my early days, I was a famous surgeon in General Surgery, known along with Director Wu Baihe of Neurosurgery and Director Hu Kan of Cardiothoracic Surgery as the three famous surgeons of Tu Ya Hospital. Wu Baihe was renowned for his meticulous surgeries, capable of making cuts as precise as 0.1 millimeters." Dr. Xu''s tone was full of beautiful memories of the past. S§×ar?h the N?vel?ire.net website on Google to access chapters of novels early and in the highest quality. That was also the highlight of his life. Wu Baihe''s surgical skills were truly astonishing. In surgical cutting, achieving a precision of 0.1 millimeters¡ªwhat does that mean? A surgical director can cut as many pages of paper as they want. This is enough to make countless surgeons admire and look up to. The thickness of a sheet of paper is about one millimeter. 0.1 millimeters is only one-tenth of the thickness of a sheet of paper. Wu Baihe improved the precision of a surgical director''s skills by tenfold at this level. No wonder he could secure half of the territory for Tu Ya Hospital''s Neurosurgery. Such surgical skills are something many surgical directors will admire for a lifetime. This is a height hard to reach no matter how much they practice. It must be said that aside from diligence, talent and opportunity are also extremely important. Chapter 68 - 62: The Chosen Successor of the Swift Blade "Hu Kan is known for the stability of his surgeries. To date, his surgery success rate is 100%." This is yet another surgeon of repute that one can only look up to in admiration. Cardiothoracic surgery is basically all major operations, with a risk factor that is nearly the highest among all surgical departments. S~ea??h the nov§×lF~ire.net website on Google to access chapters of novels early and in the highest quality. Director Hu Kan has performed cardiothoracic surgeries for so many years without a single failure; this is incredibly frightening. Any surgery carries the risk of failure. Otherwise, there wouldn''t be a need to insist that patients and their families sign various consent and informed consent forms. Most renowned doctors love to talk about the high-difficulty surgeries they have performed, but tend to be elusive about their success rates. A surgeon who can maintain a zero-failure rate is truly one in a million. This also shows that Director Hu Kan''s abilities must be terrifyingly strong. "I am known for speed, having set several national records for the fastest surgery times, including two major operations where I even broke the world records. To this day, I still hold the world first place." When Dr. Xu talked about his past glories, there was an air of unconstrained heroism, as if laughing at the vicissitudes of life. So, his strongest skill was his quick scalpel. "Teacher, when you operate on patients, it seems that your pace is quite normal!" Zhou Can was not doubting, but purely curious. "Um, ever since I had a medical accident during surgery six years ago, I have reformed myself and constantly reminded myself not to blindly pursue speed." Dr. Xu indeed had an incident. Even after six years, whenever he mentioned this incident, Dr. Xu was still filled with self-reproach and could not let go. "Xiao Zhou, you are the most talented young doctor I''ve seen. My almost pathological severity with every junior doctor is not because I am mentally ill, but because I do not want you to make the same mistakes. Back then, I was always competing with Hu Kan, striving in the field of medicine. He pursued stability, while I pursued speed, and in the end, I was thoroughly defeated." At this point, Dr. Xu''s voice seemed to choke up a bit. Zhou Can quickly stepped forward to pat his teacher''s back. He finally understood Dr. Xu''s good intentions. "Six years ago, I fell from being a top doctor at Tuya Hospital to being ridiculed overnight, bearing the eternal infamy, and becoming the laughingstock of everyone. I was even close to facing a lifetime ban from practicing medicine. Fortunately, the hospital leadership, bearing great pressure and holding on to past kindness, negotiated vigorously with many parties to preserve my position. However, my title was demoted from Director to Chief Level, and I would never be eligible for a Vice-Senior title for the rest of my life. I was only allowed to conduct Level 2 surgeries or below." The price was too ghastly. From being a top director to being downgraded to a chief doctor, and furthermore, being transferred to the ''cold palace'' of the Emergency Department. The huge gap in status would slice through Dr. Xu''s self-esteem and pride like a knife. If this wasn''t enough to be fatal, the fact that he could never perform Level 2 surgeries or above for the rest of his life would certainly extinguish his last glimmers of hope. Despite such multiple severe blows, Dr. Xu not only survived, but he still loves this profession. This means that he has successfully undergone a nirvana-like transformation. One can believe that the phoenix reborn from the ashes, Dr. Xu, will only be stronger than before. No longer the Xu Yidao who was solely obsessed with speed. His newfound stability and the humility that came after a huge rise and fall became evident. "Teacher, I''m sorry for bringing up your painful past." Zhou Can did not expect his teacher to have suffered so much. He hurriedly apologized. "It''s okay!" Dr. Xu waved his hand, his face calm. "In the first two years, I had given up on myself. But now, I have long walked out of the trough." He looked at Zhou Can with hopeful eyes. "Over the years, I''ve been pondering whether it''s really wrong to have fast surgery speeds? I believe that speedy surgery is not wrong, but it requires a sufficiently stable heart to control it. In you, I see a calmness that is rare in the young. Therefore, I think you can try walking down this path that I have not completed." Dr. Xu had taken a great fall on the path of rapid surgery. After reflecting deeply, he finally understood the reason for his failure. But now, having been demoted to a Resident Doctor and unable to ever obtain a Vice-Senior title, he had lost any chance to lead major surgeries. He would never have the opportunity to fulfill the aspirations he held dearly in his heart. Cultivating a successor to complete his unrealized dreams was the only way. Zhou Can is exactly the promising talent he has been tirelessly searching for. And he is the one most likely to fulfill his wishes. Concerning his future specialization, Zhou Can was extremely cautious. "Teacher, may I take some time to consider this before giving you an answer?" Nearly all resident doctors choose a specialization in their third year. For instance, some might specialize in orthopedic rheumatology, others in pediatric hematology, and some in surgical heart and cardiovascular diseases, etc. A person''s energy and time are limited. Greedy eaters can''t chew. Mediocre doctors often choose an easier specialization. Those with greater talent may attempt the more challenging fields of oncology and neurology. There are also a very few prodigious doctors who opt for two to three specializations. But generally, they do not exceed three research fields. Otherwise, it is easy to spread oneself too thin, and one might not even qualify for a senior professional title, let alone aspire for the title of chief physician. By then, the situation would be quite embarrassing. Time cannot be reversed, and one can only watch as doctors, once inferior, make strides in their specializations and leave them far behind. Zhou Can is currently still in the regularization training phase, which is several years away from being a resident doctor. Without clarifying which areas he excels in and which diseases he is interested in researching, he will not rashly make a choice. When really choosing a specialization, he must also consider his own development, the hospital''s needs, and the country''s medical achievements in that field, among other things. "It''s right for you to consider it carefully. I am just giving you a suggestion because I think you have the talent to become a fast surgeon. Coupled with the unusual composure you possess at such a young age, you might want to give it a try. If you perform well, you can plan for the long term during your residency." Dr. Xu did not intend to force him. It was merely the guidance of a teacher to a student. The teacher, as someone experienced, provides the most beneficial guidance for the student''s growth based on their strengths and weaknesses. "I will consider it seriously. Right now, my surgical fundamentals are quite weak, and I do not have enough experience. It would be more prudent to try fast surgery once I have a solid foundation." Zhou Can was always assertive from a young age. He has a clear understanding and position regarding his career planning. His words not only earned Dr. Xu''s appreciation and affirmation. Even Qiao Yu silently cheered for him. When she looked at him, her bright eyes shone with an unusual light. "Wow! To have such maturity and clarity at a young age is really rare. My esteem for you is growing." After being refused, Dr. Xu was not disappointed; instead, he was even more optimistic about this young man. "Alright, let''s clean up the operating room and finish for the day!" "Teacher, I want to stay late to do overtime and continue with surgeries, is that okay?" Zhou Can was eager to upgrade his remaining three basic surgical skills to the chief level in the shortest possible time. He would then be capable of seizing opportunities to practice Level 2 surgeries. Dr. Xu looked at him deeply. "Dr. Fu and Dr. Lu are on duty for the evening shift. I can speak to Dr. Fu and it should be fine, but to gain practical experience in surgery, you must procure the opportunities yourself." Dr. Xu dares to empower Zhou Can to lead a Level 1 surgery because of admiration and trust. The same cannot be said for other senior doctors. When involving junior doctors in surgeries, most senior doctors are especially careful. Because if anything goes wrong, the responsibility falls on the seniors. How many senior doctors dare to gamble their future and career? Many trainee doctors complain that after three years of regularization, they do nothing in the operating room but suture and assist, never even touching a scalpel. But this is really not the fault of the senior doctors. It''s just that the trainee doctor has failed to gain the trust of the seniors over three full years. Being a novice and not humble enough to learn, they waste time or are arrogant with limited skills; which senior doctors would dare to let such regularization trainees operate on patients? While they were talking, the doctors for the next shift had already arrived. Chapter 69 - 63 The Free Nice Guy Card The first to come in was a female nurse around thirty-five or thirty-six years old. With a round face and a stout figure, she appeared quite sturdy. "Dr. Xu hasn''t gotten off work yet!" The female nurse greeted with a smile. "I was chatting a bit more with these two doctors under my wing, so I''m a little later than usual." After explaining, Dr. Xu''s gaze shifted to the two who entered afterward. One was Dr. Lu, and the other had an average height, Shou-character eyebrows, and was about forty-five years old, with a rather amiable face. "Doctor Fu arrives right on time!" "Haha, Dr. Xu is my senior after all, it would be impolite to be late! Are these two the new trainees joining the Emergency Department?" Doctor Fu chuckled, sizing up Zhou Can and Jin Mingxi. "This is Dr. Jin Mingxi and this is Dr. Zhou Can!" Dr. Xu said as he introduced them. "Nice to meet you, Doctor Fu!" Jin Mingxi and Zhou Can greeted in unison. This was also a sign of respect from the juniors to their seniors. "Haha, nice to meet you guys! I''ve heard our Emergency Department has recruited two strong new members. It''s better to see once than hear a hundred times; today, I finally witness your elegance!" Doctor Fu was easier to get along with than anticipated. And quite cheerful. "Doctor Fu, I have a favor to ask. Zhou Can wants to stay and learn more and insisted that I greet you on his behalf. Do you think you could let him train in the operating room with you?" When Dr. Xu made a promise, it was two words¡ªreliable. Whenever Zhou Can asked him for anything, as long as he agreed, he would definitely take it to heart. Having such a down-to-earth superior was definitely Zhou Can''s good fortune. Many superiors act high and mighty in front of newcomers, utterly aloof. Not to mention asking them for favors, even consulting them on medical questions depends on their mood. "No problem at all! Having an extra helper is a good thing." It was Dr. Xu''s influence that won Doctor Fu over without hesitation. "Since Dr. Xu has suggested that he should be trained, he must have faith in his surgical skills. I also heard that Dr. Zhou achieved significant accomplishments just two days after joining the Emergency Department. Give me a rundown, so I know what to expect." Doctor Fu''s smile faded from his face. His tone became much more serious. This attitude clearly signaled to Dr. Xu that the introduction needed to be objective, without any exaggeration. "He''s reliable in his work, with suture skills comparable to a resident doctor with two to three years of experience. His surgical experience is lacking, but his diagnostic ability is exceptional. That''s about it. In short, seeing is believing¡ªyou can judge his abilities yourself before you arrange more training opportunities for him. If it doesn''t work out, feel free to stop anytime." Dr. Xu''s assessment of Zhou Can was fairly reserved. This was for the betterment of both parties. If anything went wrong, he, as the referrer, would be somewhat responsible. "Good!" Doctor Fu felt reassured. Dr. Xu, along with Jin Mingxi and the others, started to leave the operating room. "Goodbye, Dr. Zhou!" Qiao Yu waved goodbye to Zhou Can. After getting to know more about Zhou Can, she seemed to admire this peer even more. Their relationship also grew a lot through two days of collaboration. "Bye!" Zhou Can waved and gave her a grin showing his teeth. "By the way, I''m on the night shift tomorrow. After we calculate the milk tea payment, you can send it to my mobile!" Saying so, she took out her phone and tapped on the screen a few times. "Scan this, let''s be friends." As soon as Dr. Lu entered the operating room, his eyes had been spinning around Qiao Yu. Now, seeing Qiao Yu actively asking Zhou Can to add her on WeChat, his effeminate face turned green on the spot. But this man was quite scheming. His heart was full of jealousy, yet he didn''t rush forward in a fit of rage to stop them. Instead, he took a deep breath, as if changing faces in a Sichuan opera, suppressing his anger. He squeezed out a slightly unnatural smile. Similarly, he took out his phone and moved closer. "Qiao Yu, aren''t you writing a thesis? How about we add each other as friends too, and you can message me with any surgical questions. With me, a senior resident doctor, personally teaching you, your thesis will surely pass." Dr. Lu had a very thick skin when pursuing girls. But the reason he cited was quite good. At least there''s a legitimate reason, so people won''t look down on me. "Thanks, Dr. Lu, for your enthusiastic help. I see you''re quite busy usually; I really don''t want to disturb you. Now that I''ve added Dr. Zhou as a friend, I can consult him about surgical questions in the future, too!" sea??h th§× n?velFire.net website on Google to access chapters of novels early and in the highest quality. Qiao Yu smiled her thanks to Dr. Lu while her phone screen naturally went dark. "This, this..." Dr. Lu wanted to say something more to save the situation. "Goodbye, Dr. Lu!" She already waved goodbye with a smile. Leaving Dr. Lu with only a pretty back view. Dr. Lu''s expression was like that of a student confident on results day, thinking he aced it. Then, checking the score, "What the heck, only 200 points?" All his joy doused with a bucket of cold water. You can imagine how that felt. Zhou Can almost burst out laughing at his crappy expression. These days, every girl is a master at giving out friend-zoned cards. When encountering unwanted suitors, they don''t offend but politely hand out a friend-zoned card with a smile. Or like Yang Chan, adept at feeding soft nails. Dr. Lu couldn''t add Qiao Yu as a WeChat friend but didn''t give up. His mind was particularly bright when it came to things like this. He turned to look at Zhou Can. "Dr. Zhou, since you''ve added Qiao Yu on WeChat, can you share her contact card with me?" Such a request; can''t believe he had the nerve to ask. Does he see Zhou Can as Wudalang? Everyone here''s a single, unmarried man. Why would he think Zhou Can would just hand over the girl to him? Really, I don''t know where he gets his sense of superiority and confidence. "Don''t you want to improve your medical skills? Later on, I can give you some guidance." Seeing that he got no response, Dr. Lu immediately offered some incentives. Zhou Can almost laughed out loud like a pig. He knew exactly what Dr. Lu''s level was. It was more likely a question of who could teach whom. "Sorry, out of respect and protection for women, I''m afraid I can''t comply with Dr. Lu''s request. If Dr. Lu really wants to add her as a friend, I can pass on the message for you. With your handsome looks and being a high-year resident at Tuya Hospital at such a young age, I believe she will definitely give it serious consideration." Friend-zoned cards cost nothing; Zhou Can also handed one out to him. Better to offend a gentleman than a petty person. Better to avoid offending such people as much as possible. But asking Zhou Can to share Qiao Yu''s WeChat contact card with Dr. Lu, such a scoundrel act, he would never do it. "Mm, then please speak highly of me, Dr. Zhou. If it works out, I''ll have your back in the future." Dr. Lu put on airs like a senior. Painting a big pie for Zhou Can, the workplace newbie. But he didn''t consider that with Dr. Xu as a mentor, did Zhou Can really need the protection of a half-baked resident like him? Speak human with humans, ghost-talk with ghosts. Zhou Can, of course, readily agreed. "Liu Xia, get ready for surgery! Dr. Lu, you''ll be my first assistant, and Dr. Zhou, you stand by and learn. If there''s anything unclear, you can ask me anytime." Doctor Fu made a series of surgical arrangements. Despite hearing about Zhou Can''s exceptional performance, without having witnessed his skills firsthand, he was still very cautious when assigning surgical duties. Zhou Can understood. Such things can''t be rushed. Trust has to be built step by step. Doctor Fu agreed to let him observe and allowed him to ask questions at any time. This was already a great privilege. Soon, surgery patients began to come in one after the other. Almost all of them were Level 1 minor surgeries. An occasional Level 2 hemorrhoidectomy was considered a pretty advanced surgery. Zhou Can humbly learned, carefully observing Doctor Fu''s surgical steps and methods. Different doctors have different surgical styles. Doctor Fu''s surgeries felt on the rough side. Dr. Xu''s surgical style was more delicate. Perhaps due to past incidents, he deliberately maintained a refined style to constantly remind himself. After watching four surgeries in a row, Zhou Can basically figured out Doctor Fu''s surgical capabilities. Compared to Dr. Xu, there was a big gap. At over forty years old, his surgical level barely reached the Chief Level. The staffing situation in the Emergency Department is really something. It feels like the whole Emergency Department is a ''garbage'' shelter, where all the ''old, weak, sick, and disabled'' from various departments are stuffed. Chapter 70 - 64: Preventing Others from Shining The fifth surgery was an emergency patient with an external injury. There was a cut on the chin, which had been imaged, and no bone damage was found. Sear?h the ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. All it needed was debridement and suturing. Zhou Can saw this as a great opportunity. Suturing this patient came with basically no risk. He decided to strive for the chance to suture, to perform exceptionally well. Otherwise, just standing by like this, not to mention today, even tomorrow and the day after, he wouldn''t expect to snatch any real training opportunities from Doctor Fu. "Doctor Fu, may I do the suturing?" Zhou Can gathered his courage to fight for the opportunity. Doctor Fu looked at him, his expression somewhat relaxed. Because the risk of this surgery was extremely low, completely manageable. It would be a good chance to assess Zhou Can''s surgical skills. Who knew that before Doctor Fu could speak, Dr. Lu interjected, "I have worked with Dr. Zhou for two days, and while his skills are not bad, after all, he''s only been in standardized training for two days. This surgery involves the facial area, which carries some risks. If not done well, it might leave behind unsightly scars. How about I demonstrate for him, Doctor Fu, would that be alright?" In front of the patient, he disclosed that Zhou Can was a novice. The patient''s look towards Zhou Can immediately filled with disdain and contempt. Who would dare to let a novice who''s only been trained for two days do their suturing? Doctor Fu and Dr. Lu had a much closer relationship. Colleagues for many years. Of course, he wouldn''t embarrass Dr. Lu. Moreover, what Dr. Lu said was indeed reasonable. "Haha, Dr. Lu is more thorough after all, let Dr. Lu do the suturing then." Doctor Fu readily agreed. The patient breathed a sigh of relief, swallowing back all the words of refusing Zhou Can''s suturing. Zhou Can was cursing inwardly, this Dr. Lu really was too despicable. Knowing full well that he had independently completed even more difficult surgeries. Yet at this critical moment, he jumped out to obstruct him from performing. It was nothing but jealousy. Not wanting him to gain Doctor Fu''s recognition. This way, Zhou Can would have a hard time getting opportunities to practice surgery. "Xiao Zhou, watch closely! If it were anyone else, I definitely wouldn''t teach so patiently. First check the patient''s injuries..." The more he listened, the more nauseating it became. Such mediocre surgical skills, and yet here he was, acting as the teacher, self-righteously instructing Zhou Can on how to debride and how to suture wounds. Zhou Can felt as if he were being force-fed crap. Such talent not becoming an actor is simply a waste. Actually, from yesterday on, he noticed that Dr. Lu was afraid of being surpassed by him and had already grown jealous. He didn''t expect to be tripped up directly today. This surgery was definitely out of the question now. If he encountered a suitable surgery next time, Dr. Lu would probably continue to hinder his progress. That would be somewhat troublesome. Zhou Can''s status and connections were not as good as the seasoned Dr. Lu''s. Being constantly held back by this idiot was hard to break through. The patient with the chin injury left the operating room shortly after the suturing was completed. As for the suturing quality, well, it just barely reached the lower standard of a Resident Doctor. This was Dr. Lu''s true skill without any reservations. I really suspected whether his senior resident''s position was bought. Normally, senior residents, especially the outstanding ones, have already achieved an excellent resident''s suturing level. The slightly lesser ones, at least the average resident''s suturing level. In the path of surgery, there are no shortcuts. You reap what you sow. Dr. Lu is usually so lazy, he must rarely practice in private. It''s normal that his medical skills are not as good as other doctors with equal seniority. "Xiao Zhou, how much have you learned? The technique of putting in stitches, and the way to tie knots, there''s a lot to them." Dr. Lu assumed the seniority, ''advising'' Zhou Can. "Quite a lot!" Zhou Can said with a smile. Force-fed crap, and still have to say it tastes good? Seems like Mr. Ma does not know Zhou Can has a third eye. "Oh, tell me and Doctor Fu about your gains," Dr. Lu''s smile grew even thicker. "For instance, if the second stitch is not tied well, it can be undone and re-stitched. Or if the needle is slightly off when catching, the suture can be tightened appropriately, and three knots can be tied to reinforce it," Zhou Can answered seriously. Pfft! Nurse Liu Xia almost burst out laughing. She quickly turned her head away, but her shoulders couldn''t stop shaking. Doctor Fu also couldn''t hold back a laugh, but out of consideration for Dr. Lu''s face, he quickly pressed it back down. His eyes were wide open, and his mouth was tightly pursed as if glued shut. That expression itself was pretty funny. Following a brief moment of astonishment, Dr. Lu''s smile froze on his face and slowly faded away, his complexion turning iron-blue, fists clenched tight. He took several deep breaths before he managed to suppress the anger in his chest. What did Dr. Zhou do wrong? He just answered truthfully. It was Dr. Lu''s own surgical skills that were terrible, his work careless, and yet he demanded that Zhou Can, his subordinate, lavish him with praise. Zhou Can wasn''t play-dough to be shaped and manipulated at will. He was bringing humiliation upon himself. "Bring in the next surgical patient!" Doctor Fu timely diffused the awkward situation for Dr. Lu. After this incident, Dr. Lu should be more restrained, not daring to take Zhou Can for a fool again. Some rookies are easy to bully, but some come with thorns. "Ow...owww..." A young man in his twenties was wheeled into the operating room, his right trouser leg torn, a large area of his jeans soaked with blood. From experience, it should be a deep cut in the thigh from a sharp object. Judging by the young man''s clothes, he looked like a construction worker or a mechanic. "What happened to him?" "He had an accident with another worker while operating a grinding wheel. The wheel exploded, and a fragment pierced through his trousers into his flesh. We need to do a subcutaneous foreign body extraction surgery!" "Did you conduct a check-up?" "We did an X-ray, it didn''t damage the bone." "Okay, you go ahead and get busy!" Doctor Fu took the patient''s CT scans and examined them carefully. Dr. Lu also leaned in to watch. But Zhou Can was frowning, fixated on the patient who kept moaning. Just at first glance, he felt something was off with this patient. He couldn''t quite put his finger on it. The patient''s complexion seemed much paler than normal, including his lips. Plus, the blood flowing from his right leg was an exceptionally bright red. Driven by a physician''s instinct, he felt there was something abnormal about this patient. This was because his medical skills had reached a certain level, and his diagnostic ability had improved, giving him for the first time a sharp intuition for sniffing out hidden illnesses. To get a clearer diagnosis, Zhou Can approached the patient to take a closer look. Seeing him constantly examining the patient, Dr. Lu tensed up. He didn''t stand a chance to grab this learning opportunity. "The foreign object isn''t embedded too deeply, so the difficulty of extraction won''t be too great. Doctor Fu, why don''t you let me do it?" Usually, Dr. Lu was exceptionally lazy. But today, he suddenly became so diligent. Abnormal activity surely signaled a trick. He knew exactly what Dr. Lu was up to, Zhou Can could guess even with his toes. It was nothing more than seeing Zhou Can take an interest in this patient and worrying that Zhou Can would compete for this learning opportunity. So, he decided to act without hesitation, aggressively seizing the opportunity before Zhou Can could speak. "Sure! A subcutaneous foreign body extraction is just a minor level-one surgery. With the object located in the lower limb, the risk isn''t high. You can definitely perform the surgery for the patient." Doctor Fu confidently assigned the surgery to Dr. Lu. He was secretly puzzled by Dr. Lu''s proactive behavior today. It seems a bit of competition is indeed good! The old Dr. Lu was someone who had to be pushed to move. There wasn''t a senior doctor who didn''t call him lazy. Seeing Dr. Lu become more diligent, Doctor Fu was actually quite pleased. "You''ve done several surgeries this morning and must be tired. Leave this surgery to me and Xiao Zhou; you just sit down and rest a bit, and just keep an eye on us." Dr. Lu had many flaws, but he was exceptionally proficient at sucking up to his superiors. At least he got along well with several senior doctors. To sum it up, he tended to be the type who bullied the weak but fawned over the strong. "Xiao Zhou, cut the patient''s pants and clean the surgical area." He unceremoniously ordered Zhou Can to assist. Chapter 71 - 65: To Vanquish Him, First Drive Him Mad Zhou Can hesitated. This patient definitely had an issue, but the specifics of the problem had not yet been identified. According to surgical safety regulations, surgery should be postponed when encountering a problematic patient. But how should he discuss this with the two senior doctors? "What''s the matter? Do you disdain my lower title? Is Dr. Fu the only one who can give you orders?" Seeing him not respond promptly, Dr. Lu became somewhat displeased. "There seems to be something unusual about this patient''s condition. I suggest Dr. Lu postpone the surgery." Zhou Can earnestly advised. Even a routine, minor surgery could still potentially conceal unseen risks. He was very aware that Dr. Lu already harbored a grudge. Advising Dr. Lu to postpone surgery at this time would likely not be agreed upon easily. All he could hope for was that Dr. Fu would trust him this once. "What do you mean?" Dr. Lu glared at him with a displeased expression. Petty people not only harbor darkness within themselves but often also like to judge others by their own low standards. Assuming others to be as despicable and shameless as themselves. He took for granted that Zhou Can was obstructing his surgery out of jealousy that he had snatched the opportunity to practice surgery from him twice in a row. Dr. Fu''s gaze also turned towards Zhou Can. "Uh... I can''t quite put my finger on it, I just sense that there might be something unusual about the patient based on medical intuition," Zhou Can said helplessly. His clinical experience was still not rich enough. Although he could sense something was wrong with the patient, he couldn''t pinpoint the exact reason. It felt as though he had plainly seen a thief entering that house but couldn''t find where the thief was hidden. Let alone know what the thief intended to steal. If Dr. Xu was here, perhaps she would have spotted the problem immediately. "Not sure? Do you know where you are? This is an operating room! An operating room, understand?" Dr. Lu, influenced by his preconceptions, thought that Zhou Can was simply making a fuss over nothing, deliberately obstructing his surgery. In order to seize the surgical opportunity himself, or to create an embarrassing situation for him. His tone was now quite unfriendly. It was just short of pointing at Zhou Can''s nose and cursing him. "Dr. Fu, I think Zhou Can is purely jealous that I took his chance to practice surgery, and that''s why he is causing trouble for no reason. Such behavior is not only immature but can also cause a negative impact, and it should be firmly stopped." Dr. Lu impliedly looked over at the patient. Think about it. The patient was currently conscious, what would they think if the doctors were saying such irresponsible things here? "Xiao Zhou, as a newcomer, you should watch more, learn more, think more, and be cautious in your speech and actions. Let''s put an end to this matter; there will be no next time." Dr. Fu''s tone and expression had already become very serious. It was almost a severe warning. If Zhou Can dared to make any more alarmist talk, disturbing the normal order of the operating room, Dr. Fu would have no mercy in sending him away. He might even go so far as to complain to Dr. Xu or Director Lou. "Alright! I will definitely pay attention in the future." At this point, Zhou Can had to sincerely acknowledge his mistake, otherwise, the next time he wanted to assist in surgery with Dr. Fu, there was a high likelihood of being rejected. Dr. Lu successfully put him in his place, the corner of his mouth lifting in a hint of smugness. A newbie dared to compete with him, an old colleague, for this and that, it was simply ignorant. Without teaching the newbie a lesson, he might not recognize who his own parents were. "Xiao Zhou, you must eat your rice one bite at a time. You''ve only been here two days, and I''ve been working for nearly eight years. Don''t think that with a little talent, you can just surpass anyone. Get back to work!" After giving him a couple pieces of advice, Dr. Lu stopped there. They had to focus on getting the surgery done. Zhou Can cautiously cut open the patient''s jeans, and the wound was clearly exposed. It was a rather regular, long, linear wound surrounded by blood. But the wound wasn''t bleeding heavily. It was just slowly oozing blood. He was startled¡ªthe color of the blood remained bright red. According to medical logic, blood should quickly coagulate and turn dark red after flowing out of the body. "Xiao Zhou, what are you thinking about? Hurry up!" Dr. Lu called out to urge him. Senior doctors have that authority. After being scolded, the newcomer had no choice but to listen obediently and follow the recommendations of the senior doctor. Zhou Can didn''t want to think too much anymore. He cut the blood-soaked jeans all the way to the end of the leg, then threw it into the trash can. Liu Xia was about to clean the patient''s surgical site. Dr. Lu stopped them. "Let Xiao Zhou do it! Newcomers should start from the smallest tasks to train; otherwise, they can easily become overambitious." Liu Xia cast a sympathetic glance at Zhou Can. She was an experienced nurse with rich social experience. She had already sensed Dr. Lu''s various attitudes towards Zhou Can, seeming to have quite an opinion on the newcomer. It''s normal procedure for older comrades to teach the new ones and to show newcomers a little tough love to keep them in line. S§×arch* The novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. So, she just stood by silently with the tray in hand. Zhou Can took the forceps, gripped the sterilized cotton, and began cleaning the blood around the patient''s wound. "Ow... it hurts, it hurts..." The patient cried out in pain as the disinfectant seeped into the wound. "Be careful when disinfecting. First, clean around the wound; after I administer the anesthesia, then clean the blood above it." Dr. Lu chided him. Soon, the cleaning was done. Dr. Lu injected the patient with anesthetic. The wound was 8cm above the knee on the inner thigh. The high-speed grinding wheel had shattered suddenly, its force not much less than that of a bullet. It was quite fortunate for the patient to have only been wounded in the leg. Had it hit the head, eyes, or heart, the consequences would have been much graver. For such a superficial wound, local anesthesia should suffice. "Do you still feel pain?" Dr. Lu pressed around the wound to test. "No more pain. Please start the surgery soon!" The patient seemed to trust Dr. Lu''s medical skill¡ªafter all, a doctor with eight years of work experience. That''s why sometimes doctors need to know how to market themselves. "Doctor, will my leg have any issues in the future?" "Based on the X-rays taken, the situation seems relatively good. Whether there will be any issues, we can only know after we remove the foreign object and the wound has healed." Dr. Lu answered flawlessly. This point was something worth learning for newcomers like Zhou Can. When answering patients'' questions, it''s better to be conservative. Never use definite terms. Definitely, absolutely, completely... Experienced senior doctors never use these definitive words to reply to patients. Instead, they use words with high flexibility. Perhaps, maybe, generally speaking, probably... "All right, we''ll operate to remove the foreign object now. Based on my eight years of surgical experience, if the wound is not complicated and the foreign object is relatively flat, the surgery shouldn''t take too long." Dr. Lu referred to his eight years of experience once again. That probably meant three years of standardized training plus five years as a resident doctor. In fact, this is the standard process for all bachelor''s degree holding resident doctors. Those who perform well get promoted to chief level after five years; those who don''t might not reach that level even after ten years. Especially in a provincial key third-tier hospital like Tu Ya''s. Everyone there is elite, and with each promotion, the competition increases exponentially. There are not just one or two people nearing forty who are still serving as resident doctors. Under the normal promotion process, after completing three years as a resident doctor, if their performance is outstanding, they could compete for a further study opportunity. After returning from training, work another year as a resident head, and then, if everything goes smoothly, meet the department''s criteria for years of service, pass the examination, they could be smoothly promoted to chief level. Getting promoted to chief is not too hard, but getting a senior title is where it''s truly difficult. Many have been stopped dead in their tracks by this challenge. Dr. Fu is a prime example. Over 45 years old and still far from having a senior title. There''s a very high chance that he''ll retire still just a chief. "Xiao Zhou, don''t just stand there; hold up the X-ray for me to keep track of the foreign object''s depth and position." Dr. Lu loved to order around the junior doctors like servants. Just yesterday, Jin Mingxi had the misfortune of being bossed around by Dr. Lu for nearly a whole morning. Now it was Zhou Can''s turn for bad luck. However, Zhou Can was different from Jin Mingxi. With Zhou Can''s capabilities, he would sooner or later earn Dr. Fu''s appreciation and trust. At that point, Dr. Lu''s days of throwing his weight around would be over. If it were Dr. Xu here, would he dare to order Zhou Can around like this? Suppressing his anger, Zhou Can held up the X-ray for Dr. Lu to consult at any time. "Hold it higher, against the light! You can''t even hold up an X-ray properly, so stupid!" Dr. Lu scolded. It wasn''t enough to give Zhou Can just a warning blow; he had to add a few more. Zhou Can obediently did as instructed. To doom him, one must first let him be arrogant. Let Dr. Lu be arrogant for a while longer. There''s absolutely something wrong with this patient; not to mention a charlatan like Dr. Lu who''s all talk but no skill doing the surgery. Even if Dr. Fu personally conducted it, there could be a setback. Chapter 72 - 66: Disaster Happens in an Instant Dr. Lu, with the finesse of a master, took the scalpel and widened the wound. "Xiao Zhou, hurry and help with the retractor!" Dr. Lu called out. Zhou Can had no choice but to put down the film, pick up the retractor, and open up the wound. It''s worth mentioning that different retractors are used for different parts or tissues. For instance, L-shaped retractors are often used in mastectomy, abdominal wall surgery uses a large abdominal retractor, and a double-headed retractor is used for appendectomy. When Zhou Can was an intern, he was scolded quite often by Director Liu or other doctors while assisting with retractors. Later, as he assisted with more surgeries, he learned which retractor to use for which part and how to properly use it, and he was scolded much less frequently. A great teacher produces outstanding students. Director Liu''s surgical skills are highly proficient, and Zhou Can has trained well in his retractor skills. At least above standard. After Dr. Lu enlarged the wound with his scalpel, blood gushed out even more severely. However, with his ample surgical experience, he didn''t panic. Instead, he had Zhou Can suction the blood and then calmly continued to enlarge and further cut into the wound. This area mainly consists of muscle and dermis. There are only two major blood vessels. Normally, they wouldn''t be damaged if handled carefully. At this moment, the black grinding wheel fragment became visible. It was surprisingly a metallic grinding wheel. The fragment was deeply embedded in the dermis and muscle layers. "Xiao Zhou, learn from this. According to the X-rays taken of the patient, this fragment is triangular. The larger part is exposed, and there''s probably just a sharp point beneath. Just clamp the end of the fragment and pull it out swiftly and stylishly." Dr. Lu was quite exhilarated with how smoothly the surgery was going, and he became overly confident. He clamped the fragment with forceps and pulled it out. The motion was sleek. "Hiss hiss!" Fine sprays of blood gushed out. This sudden turn of events even startled Dr. Lu. "Did the blood vessel break?" Doctor Fu''s face changed slightly, and he quickly approached to inspect. "It shouldn''t be serious. It''s possible that the fragment had already damaged the blood vessel, and pulling it out caused a small cut. It should be simple to repair." Dr. Lu feigned calm. At this moment, he had yet to realize the severity of the situation. Zhou Can''s expression had become exceedingly grim. He hadn''t pinpointed exactly what was abnormal with the patient all along. Just as he was beginning to get an idea while cleaning the wound, he was abruptly interrupted by Dr. Lu''s rough handling. It was now clear that the patient likely had a coagulation disorder. No wonder the blood wouldn''t clot and continued to be bright red even after being outside the body for a while. [Pathological Diagnosis Experience Points +1.] The experience points confirmed¡ªit was indeed a coagulation disorder. Regrettably, the diagnosis came a bit too late. The tragedy had already occurred. Dr. Lu''s action of enlarging the wound had already exacerbated the bleeding. Now that the fragment was removed and the damaged blood vessel was no longer compressed, it started bleeding profusely. The trouble had greatly escalated. Ironically, Dr. Lu still thought it was just ordinary bleeding and not a big deal. He would soon regret not having time to even cry. Of course, the first person to cry would definitely be Doctor Fu. When something goes wrong, the first to be held accountable is the highest-ranking doctor. This is somewhat similar to the military, where it is the general who is punished for a defeat, not the soldiers. "Quickly stop the bleeding!" Doctor Fu was immensely regretful. Had he known Dr. Lu was this reckless, he never would have let Dr. Lu lead this surgery. "This blood is going to be hard to stop." Zhou Can had already moved to the cabinet where emergency supplies were stored, searching for hemostatic gauze. The patient has a coagulation disorder, electrocoagulation hemostasis may hardly be effective. First, tightly bind the proximal end of the thigh, as this is the only effective and rapid way to stop the bleeding. Zhou Can''s approach is simple, first control the bleeding, and then figure out a way to stop it. sea??h th§× N?vel?ire.net website on Google to access chapters of novels early and in the highest quality. Otherwise, at this rate of bleeding, it won''t be long before the patient''s life is in danger due to excessive blood loss. "Xiao Zhou, shut your damn mouth!" Dr. Lu''s expression is somewhat fierce. When accidents happen, no one''s in a good mood. He grabbed the electrocautery knife and went directly to those points of bleeding. Sizzling! The fresh blood was immediately stopped. However, not long after it stopped, it quickly began to ooze blood again. At this point, Dr. Lu realized how bad the situation was. Zhou Can didn''t bother arguing with this fool and just focused on doing his job. He tightly bandaged the proximal position of the patient''s thigh with a gauze bandage. The bleeding finally stopped temporarily. "Dr. Lu, if you keep cauterizing, you''ll just char it. Then debridement will be a hassle." Zhou Can couldn''t stand it any longer. Dr. Lu''s hemostasis skills were subpar, and yet he persistently recklessly continued. This was not stopping the bleeding but causing more harm to the patient. Whoever has to clean up this mess later will have a headache. "Shut up!" Dr. Lu''s eyes were red, his expression ferocious and frightening. One could feel a terrifying murderous aura emanating. "Dr. Zhou is right! You step down from the platform first." Doctor Fu, with a stern face, directly sent Dr. Lu off the operating table. The most panicked was probably the patient. "Doctor, is my leg okay? What exactly is going on?" Although the patient was just a young man in his early twenties, inexperienced, he sensed the danger from the doctors'' conversation. Fear rapidly spread in his heart. "Don''t worry, that fragment might have slightly punctured your blood vessel wall. We''re figuring it out." After calming the patient, Doctor Fu looked towards Zhou Can. After the crisis arose, Zhou Can reacted swiftly, and his management plan was very commendable. Judging accurately, his hemostasis strategy was scientifically sound. One could tell he was really skilled. "Dr. Zhou, why did you think earlier that it would be hard to stop the patient''s bleeding?" Doctor Fu thought back to before the surgery when Zhou Can suggested to postpone the procedure. Instead, he listened to Dr. Lu, this pig-headed fool, and even criticized Zhou Can. Now that an accident had occurred, it was too late for regrets. "The patient likely has a coagulation disorder, and normal hemostasis might hardly be effective." Zhou Can reiterated his diagnostic opinion. It would have been better if Doctor Fu had listened to him earlier. Now it had already turned into a disaster, and it was too late. "Explain your diagnostic basis!" Doctor Fu''s face became as pale as the patient''s, with sweat breaking out on his forehead. He also had a bad premonition. Now that Zhou Can suspected the patient had a coagulation disorder, his last bit of hopeful thinking disappeared. "When the patient was brought in, I felt that his complexion was paler than normal. Also, the blood around the wound looked very fresh. Logically, blood should coagulate into dark, reddish-black clumps soon after leaving the body. However, at the time, with only these two observations, I wasn''t completely certain about the coagulation disorder." Zhou Can paused, glancing at the flustered Dr. Lu. "Only when Dr. Lu enlarged the surgical incision on the patient did I understand that the patient likely has a coagulation disorder. His use of electrocoagulation proved almost ineffective; the diagnosis became practically certain." The most dreaded situation for a surgeon is encountering a patient with a coagulation disorder. This patient was rushed into emergency surgery due to trauma and as it was a minor surgery, the attending doctor might not have conducted routine blood tests. After a brief inquiry and a CT scan, the patient was directly taken for surgery. The attending doctor had good intentions, aiming to relieve the patient''s pain through quick surgery. Unfortunately, an accident occurred. Chapter 73 - 67: The Resident Training Saved the Attending Doctor "Immediately collect a blood sample for testing! Also, administer intramuscular Vitamin K1 to control the bleeding!" Doctor Fu is still quite skillful. Decisively, he made a solid emergency treatment plan. The patient''s leg cannot be tied up indefinitely, if the distal limbs aren''t passed through by blood for a long time, they will quickly undergo necrosis. Moreover, this ischemic necrosis is irreversible. Approximately every 15 minutes, it needs to be untied to allow blood flow. "Doctor Fu, the patient''s bleeding is quite severe, would IV drip be safer?" Zhou Can reminded from the side. His Hemostasis Skill has now reached the level of an attending physician. His hemostatic ability is not inferior to Doctor Fu''s. Doctor Fu, possibly due to his inner anxiety, was slightly flustered. Thus, he paid less attention to some minor details. In severe bleeding situations, intramuscular injection can easily cause muscle bleeding. IV drip is slower in taking effect but is safer. "Good thing you reminded me. Let''s not do intramuscular injection; administer it intravenously to the patient, safety is the most important." Doctor Fu looked at Zhou Can gratefully. This young man is indeed exceptional. If only he had listened to his earlier advice and delayed the surgery. Now, it''s uncertain whether we can get over this hurdle. Nurse Liu Xia seemed somewhat nervous while setting up the IV catheter for the patient. She''s an experienced nurse; her skills are definitely up to the mark. But given that this patient has a coagulation disorder and there''s a slight panic in the operating room atmosphere, it''s natural for her to feel nervous. "I''ll do it!" Zhou Can took over the IV catheter. "This injection requires high precision, can you¡­ handle it?" Liu Xia understood Zhou Can meant well. But Zhou Can''s work experience was indeed scant. Including his internship, he has been working for approximately a year. Doctors rarely practice injections, and many resident doctors'' skills aren''t as good as a nurse''s. A regular training doctor couldn''t be much better. This patient had already experienced complications during surgery; if establishing an IV line brought more issues, Doctor Fu''s good temper might explode. "Isn''t this better?" Zhou Can''s injection technique was skilled and precise. Setting up the IV catheter took him about two seconds. "My goodness¡­ Dr. Zhou''s injection technique is amazing!" Liu Xia''s mouth hung wide open, her pancake face even larger from astonishment. Dr. Lu stood below the surgical table, looking frustrated. Things were progressing in the direction he least wanted. Zhou Can had not only gained Doctor Fu''s attention, but even Nurse Liu Xia had started admiring Zhou Can''s skills. Looking back at himself, a more senior resident doctor, he feels utterly defeated. This mishap will surely make Doctor Fu cautious about him in the future. There might even be a deduction in his bonus. After successfully establishing the IV line, the patient began to receive a drip of Vitamin K1. Doctor Fu quickly made a phone call to report to Director Lou. The complications in surgery didn''t just trouble him as the attending; even Director Lou was impacted. Everyone was in the same boat. After hanging up the phone, Doctor Fu''s expression was very grim. "Director Lou will only be able to reach the hospital in half an hour, let''s try hemostasis and see how it goes, otherwise, we might have to call in a specialist for consultation." A few minutes later, they tried to loosen the bandage on the patient''s leg. As soon as it was untied, blood burst out again. Everyone''s heart sank, the worst outcome occurred. The injection of Vitamin K1 seemed to have no effect. Doctor Fu even felt like crying. Who would have thought that a primary-level surgery could turn into such a big mess. His ability in hemostasis was just this, it seems he could only seek help from a specialist now. Sear?h the N??elFir§×.net website on Google to access chapters of novels early and in the highest quality. The specialist doctors would probably mock and scoff. Zhou Can kept frowning and observing the patient''s bleeding condition. At this moment, Doctor Fu was out of options; he decided to suggest his own hemostasis plan to try. "Doctor Fu, the patient is experiencing uncontrollable bleeding, and conventional hemostatic drugs have been minimally effective. Could we try a combined treatment plan?" Zhou Can suggested. "Dr. Zhou, please explain!" At this moment, if anyone can stop the bleeding for this patient and get him through this crisis, he would call that person a lifesaver. Zhou Can''s consecutive outstanding performances made Doctor Fu no longer dare to treat him as just an ordinary trainee. "Administer oxygen intravenously, apply ice, and it would be best to lower the temperature of the operating room below 15 degrees Celsius." Zhou Can proposed a combined hemostasis plan. This advanced treatment plan, when flexibly applied in surgery, is something Dr. Lu wouldn''t even dream of. He was left utterly perplexed. "There is no danger to the patient, nor will there be any sequelae." Zhou Can added. These two methods of stopping blood loss are safer than using drugs. Icing needs no explanation; it is a common emergency hemostasis technique. Intravenous oxygen is used in the treatment of various acute and chronic hypoxic, ischemic diseases, various shocks, acute and chronic cardiac and pulmonary failures, drug poisoning, carbon monoxide poisoning, etc. It is not a conventional hemostasis technique. But it is very applicable for the emergency hemostasis of this patient. It can help lower blood pressure and help the patient''s clotting factors become more active. Anyone who can propose such an innovative hemostasis plan clearly understands hemostasis at least at the attending physician level. Doctor Fu once again looked at Zhou Can with amazement. A great reputation is well-deserved. This Dr. Zhou truly lives up to his reputation. "Immediately lower the operating room temperature, bring ice packs to apply on the patient''s wound, and I will personally handle the high-oxygen intravenous infusion." Doctor Fu, like a drowning person grasping at the last straw, strictly followed Zhou Can''s treatment plan. "Dr. Lu, hurry and fetch the ice packs." Doctor Fu ordered Dr. Lu. "Ah..." Dr. Lu, being a senior resident doctor with a prestigious status, thought that such menial tasks should be delegated to Zhou Can, the junior trainee. "Ah what? If I don''t ask you, should I ask Dr. Zhou? You don''t even have half the ability of Dr. Zhou..." Doctor Fu stopped mid-sentence. The patient was listening; though Dr. Lu was detestable, appearances still needed to be maintained. Shortly after implementing Zhou Can''s series of hemostasis plans, the patient''s bleeding visibly slowed down. Eventually, even some of the capillary bleedings stopped automatically. Everyone sighed in relief. Doctor Fu''s furrowed brow also relaxed significantly. His face showed an expression of relief as if he had survived a great disaster. "Doctor Fu, the bleeding is now under control. Judging by the level of bleeding after Dr. Lu removed the metal fragments, an artery must be torn, but it''s unlikely to be the femoral artery. It''s probably just a branch." Zhou Can finally got his chance to shine. "Ah, your analysis makes a lot of sense." Doctor Fu nodded in agreement. Unconsciously, he, a distinguished attending physician, discussing the patient''s condition with Zhou Can, sounded completely like equals. And it seemed he was even somewhat at a disadvantage. This is the direct impact of capabilities. This sudden shift in status, even Doctor Fu found somewhat absurd. If not for Zhou Can''s age being clearly 24 years old. He would almost suspect Zhou Can was an attending physician in disguise. "Can I handle the debridement? It would also help quickly assess the bleeding!" Zhou Can, now making a request, was confident and assertive. "Alright! But be very careful." Doctor Fu hesitated for about two seconds before agreeing. Doctors are humans too, with emotions and feelings. Zhou Can had just saved them once; how could he refuse him a chance to practice debridement? Dr. Lu''s glance flickered, but he dared not say anything. He wanted to prevent Zhou Can from demonstrating his surgical skills again, but it was beyond his power. Doctor Fu''s gaze towards him was cold as ice, probably even holding murderous thoughts. At this moment, it was wisest to lower his presence. Chapter 74 - 68 This is No Joking Matter Zhou Can''s Wound Cleaning Skill is currently Level 2, the lowest level of standardized training, not very advanced. Handling this wound is more than sufficient for him. If it weren''t for Dr. Lu, that blockhead, using an electrosurgical knife to char both of the patient''s bleeding points. The difficulty of cleaning the wound would have been even smaller. As for when the fragments were removed, there was minor arterial spraying. It''s possible that when Dr. Lu was removing the fragments, the sharp edges of the fragments cut the blood vessel. It''s also possible that the fragment had initially punctured the blood vessel. Before removal, because it was embedded in the muscle, it was tightly compressed. So there was no bleeding. After removal, the blockage at the rupture in the blood vessel was gone, causing blood to spurt directly. This is why when someone is stabbed by a sharp object, and the object is stuck in the body, it must not be pulled out. If not removed, there might only be slow bleeding. There''s still hope if one can get to the hospital in time. Once removed, with the pressure gone, severe bleeding is likely to occur. The injured would quickly die. "This branch artery has been punctured by the fragment. How do you suggest we handle it?" Zhou Can pointed to the ruptured blood vessel, asking Doctor Fu to inspect it. This demonstrates basic respect towards a senior doctor. Even if his skills are strong, without respect for senior doctors, he wouldn''t get far. He also handled another point well. Zhou Can didn''t blame Dr. Lu for cutting the blood vessel, instead, he stated the fragment had punctured it. Competition, even intense competition, is acceptable, but undermining each other in front of patients is not. "Hmm, the damage to the blood vessel isn''t too severe. A vascular anastomosis surgery should repair it." Doctor Fu was most worried about damage to the Femoral Artery. The current situation is much better than expected. "May I perform the anastomosis? I have done several under Dr. Xu and so far, there have been no failures." Zhou Can quickly pitched himself. After all the effort spent to only gain 1 Experience Point in Wound Cleaning Skill, he was not easily satisfied. Staying voluntarily overtime. Just to quickly accumulate a large amount of surgical experience points. Whenever there''s an opportunity, he would seize it like a hungry wolf. "I''ll handle the vascular repair, and you can do the suturing of the skin!" Doctor Fu, having seen Dr. Lu''s poor skills, was rather apprehensive. Such a crucial task as vascular anastomosis, he absolutely dared not entrust to a junior doctor lightly. "Okay! Thank you, Doctor Fu." Zhou Can successfully securing a suturing opportunity was quite good. Any opportunity to perform would gradually build Doctor Fu''s trust. How could he lack training opportunities in the future? Doctor Fu''s suturing ability had reached the level of attending physician, watching him perform vascular anastomosis was truly enjoyable. There was much to learn about anastomosis techniques. Once he finished, a patency test. Blood flow was smooth, the vascular anastomosis very successful. Even a weaker attending physician is still an attending, the level of proficiency is evident. Not something a resident can compare to. "Dr. Zhou, I''ll leave the rest to you!" Doctor Fu gave up his position. However, learning from Dr. Lu''s mishap, he didn''t go off to rest but stood by to observe and give guidance at any moment. Zhou Can had just finished the first stitch when Doctor Fu''s expression brightened. His eyes revealed admiration, and a smile appeared on his face. It seems that Dr. Xu did not exaggerate this young man''s skills! S§×ar?h the nov§×lF~ire.net website on Google to access chapters of novels early and in the highest quality. Next, Zhou Can proceeded with unstoppable momentum, stitching both quickly and well. His performance nearly startled Doctor Fu''s eyes out. Nurse Liu Xia was equally shocked. Is this really just a resident doctor who started working three days ago? How can he seem even stronger than Dr. Lu? "The suturing is complete, please inspect, Doctor Fu!" Zhou Can had properly treated the patient''s wound, and this perilous surgery finally drew to a successful close. He also successfully overcame Dr. Lu''s blockade and showcased his surgical prowess. "Ha ha, very nicely stitched! From now on, you can take care of suturing the skin in my surgeries." Doctor Fu laughed heartily. A crisis successfully averted, it felt like surviving a massive life-and-death ordeal for him. "Take the patient out! Because he has a coagulation disorder, first give him a bed in the observation area for a day to prevent any mishap." Such minor surgeries at Tuya Hospital are usually treated on the fly. For those with postoperative risks, the conventional treatment is to keep the patient in the observation area for a day or two. After sending the patient out, Doctor Fu sighed in relief. Just as he was about to call Director Lou to report, Director Lou had already arrived. He rushed directly into the surgery room. "Where is the patient with the unstoppable bleeding?" Director Lou asked with a serious face. As the director of the Emergency Department, his job might look glorious, but the pressure was greater than anyone''s. He had to constantly find ways to improve the rescue rate of the Emergency Department, all while trying to generate revenue and enhance the diagnostic and treatment standards. He spent his days in constant fear, praying the doctors under him wouldn''t make grave mistakes. If a Level 2 surgery patient died on the operating table, the entire Emergency Department would become a laughing stock. The dean and the vice dean in charge of operations would definitely point their fingers and curse. "The surgery is done and he''s cured!" Doctor Fu reported truthfully. He was genuinely frustrated. If they had identified the patient''s coagulation disorder before the surgery and managed to stop his bleeding through a series of procedures, it would have been a commendable achievement. But now, after what Dr. Lu did, it would be good enough if they escaped without being rebuked. "Cured? Doctor Fu, this is no joke, and there''s no room for falsification. If you made a blunder out of fear of criticism, and hastily managed the patient leading to fatal consequences, no one could bear that responsibility." Director Lou, upon hearing this, not only showed no joy but his face darkened even more. "Rest assured, I, Fu Chachun, may not be outstanding in my skills or achievements, but I do not shirk responsibility where I should not. I would never joke about a patient''s life. That is the basic morality of a doctor. I guarantee with my character, that the patient is indeed cured." Doctor Fu was dead serious, his tone sincere. Director Lou stared into his eyes for a full twenty seconds, seeing that Doctor Fu''s gaze was calm, he then somewhat believed him. He would still need to personally check on that patient later to be assured. "Dealing with a patient who has coagulation dysfunction is already difficult to stop bleeding. Adding to that, a ruptured femoral artery, even I might not be able to stop the bleeding, yet Doctor Fu managed to successfully stop the bleeding in such a short time and complete the surgery, which indeed surprises me. It seems your medical skills have improved a lot!" Director Lou''s tone softened a bit. Doctor Fu felt a flush of shame. It wasn''t his skills that had greatly improved, but the arrival of an exceptionally skilled resident had saved him this time. "Describe the entire treatment process! Also, the patient has a coagulation dysfunction, wasn''t there any pre-surgery examination?" Director Lou''s voice turned harsh again. Insufficient pre-surgery examination was a serious oversight. Surgery is no child''s play, such basic errors are absolutely unacceptable. "The surgery was performed before the results of the blood routine were out, it was indeed my oversight." Doctor Fu, being a bold man, took the responsibility upon himself. Originally, the person most accountable for this issue was Dr. Lu. Chapter 75 - 69: The Shifts of Peoples Willingness "What should I say about you? At 46 years old, with over 20 years of medical practice, and still, you commit such a rookie mistake. If these newcomers don''t get it, don''t you understand? Operation safety comes before everything else. How many more times do I need to stress this?" Director Lou''s voice thundered through the operating room. He was truly furious. The lack of safety awareness in his medical staff had to be strictly controlled. "Director Lou, please calm down. If I had known earlier, I should have reminded Doctor Fu. If you have to lash out, lash out at me." At this moment Dr. Lu stepped forward, playing the good guy. He was absolutely a schemer. With a simple sentence, he used all his wits. Seemingly, he was gallantly stepping forward to share the blame with Doctor Fu. At the same time, he subtly informed Director Lou that the mistake of performing surgery without blood tests was already discovered by him. It was just that, due to his lower status, he did not remind Doctor Fu. Director Lou gave him a look, his gaze rather gentle. "Next time you notice a problem, speak out boldly." He didn''t openly praise Dr. Lu, yet there was a hint of commendation in his words. "Yes!" Dr. Lu was all meek and submissive, docile like a little wife. "Right, quickly talk about the full process of treating the patient, especially the hemostasis plan." After scolding them, what Director Lou was most concerned about was whether the patient had indeed received effective treatment. After Doctor Fu reported the situation, he realized that the patient''s hemostasis was going to be very tricky. On the way back to the hospital, he pondered over and over again about the hemostasis plan. "Liu Xia, tell us, just state the truth." Doctor Fu first coldly glanced at Dr. Lu before turning to Nurse Liu Xia. Nobody is a fool. Naturally kind people are late bloomers. They are ripened by scoundrels like Dr. Lu. When others are clever and quick-witted, they are foolish and slow. When others are considering pros and cons, they are honest to a fault. When others have exhausted their scheming, they have their awakening. Doctor Fu stepped out to take full responsibility. But Dr. Lu, the real ''culprit'', not only showed no gratitude but instead stood forward pretending to be the good guy, deliberately twisting the facts to curry favor with Director Lou. Anyone would be enraged in such a situation. Doctor Fu was amiable to others, but it didn''t mean he was easily bullied, nor did it mean he was a fool. The way he didn''t hesitate to remove Dr. Lu from the operation table during the patient''s severe bleeding showed that his role as a leading doctor was not undeserved. He could be ruthless when necessary. Dr. Lu was too smart for his own good, playing such tricks in front of him. In normal times, Doctor Fu might not bother to care. But now, with a bellyful of anger and considerable disdain for Dr. Lu, a culprit who had stirred up trouble was now shamelessly acting innocent and playing the good guy in front of Director Lou. Ambition has no such tactics. The hearts of the people have turned. Liu Xia seemed to disdain Dr. Lu''s double-faced act as well. With a sign from Doctor Fu, she no longer held back. "The patient was screaming in agony as he was pushed into the operating room. On the inner side of his right thigh, near the knee, there was a wound, and the blood had stained a large area of his jeans red. After inquiry, we learned that during the operation of a grinding wheel, the wheel exploded, and a fragment penetrated the patient''s jeans and embedded itself in the flesh. Doctor Fu immediately picked up the CT scan to check, and the injury was not serious." She spoke calmly. Describing the entire surgical process. "At that time, Dr. Lu followed Doctor Fu to review the CT scans, while Dr. Zhou was frowning as he examined the patient''s wound and face. Dr. Lu volunteered to let Doctor Fu hand over the surgery to him. Doctor Fu agreed." Director Lou nodded repeatedly, his gaze towards Dr. Lu became even more gentle. It seems that young Dr. Lu has become diligent. That is a good thing. "Dr. Lu called Dr. Zhou to assist, allowing Doctor Fu to rest on the side. Before surgery, Dr. Zhou had..." When Liu Xia reached this point, Dr. Lu desperately gestured to her. He indicated to her to bring over the part where Zhou Can stopped him from operating. Liu Xia pretended not to see it. She continued to state the facts. "Preoperatively, Dr. Zhou suggested to Dr. Lu to postpone the surgery. Unfortunately, Dr. Lu mistook Dr. Zhou''s intentions as jealousy, so he didn''t heed Dr. Zhou''s advice. He even went and complained to Doctor Fu, giving Dr. Zhou a good scolding." Liu Xia felt that Zhou Can had really been wronged quite a bit. Now that she had this opportunity, it was her duty to speak out the truth and vindicate Zhou Can. Of course, doing so would undoubtedly offend Dr. Lu. Not everyone is a selfish perfectionist. Nurses also have justice and conscience in their hearts. "Liu Xia, can you stop spouting nonsense? I only scolded Dr. Zhou because I thought he shouldn''t speak recklessly in front of the patient," said Dr. Lu, his eyes were so fierce, they looked like they could eat someone. S~ea??h the Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. Doesn''t this nurse understand what should be said and what should not? "What she''s saying is just the truth. What''s true cannot be fake, and what''s false cannot become true. Nor can the world turn the black into white in reality." Doctor Fu, the honest man, exploded. There are two types of people in this world you cannot provoke. The first kind is the silent person. He''s not afraid of you; you just haven''t crossed his bottom line yet. The second kind is the person who''s always smiling and seemingly carefree. Don''t think he doesn''t care about anything; if you provoke someone he cares about, he''ll turn on you before you can even start to cry. Dr. Lu had crossed Doctor Fu''s line, and he wasn''t going to let him off easily this time. From now on, he wouldn''t give Dr. Lu any good looks either. Director Lou, being able to become the department head, must be exceptional in medical skills, personal abilities, and management capabilities. He immediately picked up some clues from Doctor Fu''s words. Narrowing his eyes meaningfully, he took a good look at Dr. Lu. That one look made Dr. Lu feel like he was in a freezer. "Liu Xia, continue speaking. The courage to tell the truth is highly commendable." Director Lou personally supported her. Dr. Lu probably didn''t know that Zhou Can had already been chosen by Director Lou as the pillar of the Emergency Department. He was the one destined to carry great responsibilities in the future. When Director Lou heard about the great injustice suffered by Zhou Can, he was already extremely angry. And he had made up his mind to properly appease Zhou Can. Such talent, if driven away by Dr. Lu, whose medical skills were mediocre, would surely be a loss for the entire Emergency Department. "After scolding Dr. Zhou, Dr. Lu bossed him around to do various tasks. During this period, he scolded Dr. Zhou several more times. He also lectured Dr. Zhou not to think about surpassing anyone just because he was somewhat talented. Throughout it all, Dr. Zhou didn''t argue back and took his duty as an assistant seriously." Liu Xia felt extremely relieved when she spoke out about Dr. Lu''s suppression of the newcomer. Despite the possibility of retaliation from Dr. Lu. She no longer cared. One must live up to their conscience. "During the surgery, once Dr. Lu had removed the fragments from the patient''s body, blood immediately spurted out. Then Dr. Zhou said that it would likely be very difficult to stop the patient''s bleeding. Doctor Fu also realized the seriousness of the issue and removed Dr. Lu from the operating table. Next, Dr. Zhou suggested the patient probably had a coagulation disorder. Doctor Fu agreed with Dr. Zhou''s diagnostic opinion." At this point, Dr. Lu was thoroughly exposed. No matter how cunning one is, they eventually fall short in the face of reality, all efforts wasted in vain. His face had already turned ashen. "Xiao Zhou''s diagnostic ability is indeed abnormal; his diagnostic thinking, flexible application of medical knowledge, and comprehensive judgment of various patient information are all exceptionally outstanding. It is a pity, though, that no one listened to his advice." Director Lou directly praised Zhou Can''s diagnostic skills to the sky. This was also a high affirmation of Zhou Can''s behavior during the surgery. Doctor Fu said with great shame, "This was my first time dealing with Dr. Zhou, and indeed I should not have taken his suggestion lightly. Nor should I have so readily believed Dr. Lu''s slander against him. Fortunately, the patient was saved from danger, otherwise, I am afraid I would be filled with regret." By now, if Doctor Fu still didn''t understand that it was Dr. Lu who was the real despicable villain, then he would be too naive. Dr. Lu had become a rat crossing the street, chased by everyone. Chapter 76 - 70: You Cant Cover Anyones Shine "Ha ha, not just you, even I almost made the same mistake. Who could imagine that a resident doctor like him could be so incredible?" Director Lou reflected on Zhou Can''s two meritorious deeds in the rescue room, feeling overwhelmed by emotions. People are not saints; underestimating those with less experience is the most common mistake to make. "Tell me how you managed to stop the patient''s bleeding!" This intrigued Director Lou even more. Such difficult bleeding control, considering his knowledge of Doctor Fu, he shouldn''t have had the capacity to deal with it. "After suspecting that the patient had a coagulation dysfunction, our first thought was to administer intramuscular Vitamin K1. Zhou Can pointed out that intramuscular injections could lead to local muscular hemorrhage. So, following his advice, we switched to intravenous infusion. The medication didn''t work as well as we hoped. I was about to call a specialist for consultation when Doctor Zhou provided a set of combined hemostasis strategies..." Doctor Fu recounted the events truthfully. He didn''t discredit Zhou Can''s contribution to save face. At least from this, it''s clear that Doctor Fu is a straightforward and honest person. "Zhou Can''s contribution again?" Director Lou turned to look at Zhou Can, his face wearing a warm, affectionate smile. "Good lad, can''t you be a little more humble? Three days in the Emergency Department, and you''ve made major contributions each day." Such complicated hemostasis, coming from this resident no less. Director Lou was not only shocked but thrilled. "Heh heh, that''s also thanks to your and the senior doctors'' good training, giving me the opportunity to practice!" Zhou Can''s response, if not perfect, was at least above 90. Seeing the brighter smiles on Doctor Fu and Director Lou''s faces, it was easy to tell they were very pleased with Zhou Can''s diplomatic reply. Director Lou then turned to look at Dr. Lu, who was hanging his head, his face a mix of shades. If there were a large enough crack in the ground, Dr. Lu would surely dive in right away. His little schemes, once brought out into the ''sun'', disastrously collapsed. Now he is just like a clown, worthy of disdain. "Dr. Lu, you''ve been working at our Emergency Department for quite a few years, haven''t you?" Note, Director Lou used ''our Emergency Department''. It sounds like he doesn''t really consider Dr. Lu one of his own. It shows he has quite a high opinion of Dr. Lu. "It''s been four years already!" Dr. Lu had his shoulders slightly slumped, and his back was a bit bent. He knew his reprimand was almost at hand. With a sincere attitude, at least he wouldn''t be hit too lightly. "Initially, when I transferred you to the operating room and trained you step by step, I hoped you would excel and contribute to the Emergency Department. Not to engage in petty internal competition, nor use tactics to suppress newcomers." Director Lou''s tone became increasingly intense, his face devoid of any smile. His gaze was as sharp and cold as the intense cold of late autumn. "Remember, this era won''t stop you from shining, but you also can''t overshadow anyone else''s light." Dr. Lu''s head bobbed like a pecking chicken. "I won''t dare to do it again!" He dared not even lift his head. He had intended to hinder Zhou Can''s progress. However, Zhou Can was just too outstanding, not only failing to be suppressed but also rising prominently, becoming even more dazzling. Whereas, he ended up tarnished, becoming a negative example. All his devious methods to suppress Zhou Can had been exposed. He turned into a complete clown. "If there''s a next time, we won''t keep you in the Emergency Department. General Surgery kicked you out initially, and you weren''t supposed to continue working at Tuya Hospital. It was Dr. Xu who pulled some strings for you, asking me to speak well of you to hospital leadership, letting you stay in the Emergency Department. Over these years, Dr. Xu, Doctor Fu, and I have all been trying to teach you, hoping you''d soon become a chief resident, to help us bear more responsibilities. But what about you? You engaged in plenty of superficial activities, yet your medical skills haven''t improved much." Director Lou enumerated one by one Dr. Lu''s faults. They were so earnestly hoping he would achieve something. Because the medical team in the Emergency Department was originally weak, striving to nurture new talents was the best way forward. Dr. Lu''s talent is not lacking, but his attitude towards work is quite improper. And he fails to cherish his opportunities. This has led to the current situation. Director Lou, Dr. Xu, and others have been tolerant of him, hoping he would improve. Unexpectedly, not only did he not improve, but he also sabotaged a top genius recently recruited by the Emergency Department. Director Lou did not kill him with a single slap, which counts as polite. But he has made it clear now, giving him one last chance. If there is a next time, he will be directly ejected from the Emergency Department. "I will definitely change for the better, please believe me, Director Lou and Doctor Fu, I will change. If I can be promoted to the main doctor next year, I can handle shifts independently, so you, Doctor Fu, and Dr. Xu won''t have to work so hard." Dr. Lu talked about changing. But old habits die hard. He still couldn''t help flattering Director Lou and the others. "Humph, your promotion next year as a main doctor seems quite challenging! Make an effort to improve your surgical skills and medical diagnostic level, that''s the way to go, work hard!" Director Lou said expressionlessly. Perhaps thinking, this young Lu, his surgical skills are on par with that of a Resident Doctor who has worked a year or two, far from being a main doctor level. Dreaming of a promotion next year seems unrealistic. S~ea??h the ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. Of course, as a senior leader of the Emergency Department, he wouldn''t say such hurtful words. He just subtly indicated to Dr. Lu that hoping for a promotion next year was almost hopeless. "Alright, I''m going to check on that patient. You all continue working!" Director Lou left in a hurry. Walking to the door of the operating room, he still turned back to instruct, "Doctor Fu, it''s not easy for our Emergency Department to find a talent like Zhou Can, we must train him well." "Understood! Even if you didn''t mention it, I was already prepared to train him thoroughly." Doctor Fu nodded with a smile. Clearly, Zhou Can''s previous outstanding performances had completely won over Doctor Fu. Which senior doctor wouldn''t like such an excellent newcomer? With a bit of training, when Zhou Can becomes well-known in the future, Doctor Fu could also benefit. If Zhou Can is grateful for his support and returns the favor later, that would be even better. After Director Lou left, a new surgical patient was wheeled into the operating room. This patient had a fish bone stuck in his throat. It might have been there for several days, as the throat was significantly swollen. The patient was also experiencing difficulty breathing. "According to the family members of the patient, three days ago he attended a relative''s sixtieth birthday celebration, and accidentally swallowed a fish bone during the meal. At that time, someone at the table said drinking vinegar could remove the fish bone. However, drinking vinegar proved ineffective. Later, he heard swallowing food forcefully could push the fish bone down. After trying, it was still ineffective, and the fish bone got stuck even deeper." Hearing these folk remedies, Zhou Can shook his head. Such folk methods can be harmful! If the fish bone is stuck backward in the throat, it might indeed be possible to expel it by swallowing food. But this method is highly risky. It could easily lead the fish bone to puncture the esophagus causing bleeding, abscess, and could even be life-threatening. As for drinking vinegar, fish bones can soften in vinegar. But the process of drinking vinegar is very brief, and the fish bone cannot be soaked. The part stuck in the flesh is even less likely to soften. Consuming a large amount of highly acidic vinegar could also easily cause burns in the esophagus. Therefore, both folk remedies are ill-advised. If one cannot remove the fish bone by themselves, they must seek medical help immediately. Sometimes delays can result in very severe consequences, and by the time they reach the hospital, it might be too late to save them. "Here, open your mouth and let me take a look!" Doctor Fu asked the patient to open his mouth. When the patient lifted his head, a pained expression immediately appeared on his face. Breathing also became more difficult. The patient''s throat was so swollen that it squeezed the air passage to less than 0.5cm wide. Several medical staff involuntarily gasped. If the airway is completely blocked, it can be fatal within minutes. Chapter 77 - 71 Can I give it a try? "Why didn''t you seek medical help until now? Your condition is extremely dangerous; you could lose your life at any moment." Doctor Fu was quite angry. Every time they encountered a patient whose delay in seeking treatment led to a fatal outcome, the doctors felt deeply distressed. "Dr. Lu, bring over the laryngoscope." Doctor Fu commanded with an expressionless face. It was clear that Dr. Lu''s status in the operating room was no longer on par with Zhou Can. Everywhere, it''s the actual ability that speaks. Especially in the operating room. No matter how well you suck up, if you go limp on the operating table, you''re just a wimp. Dr. Lu, like a bullied little wife, gave Zhou Can a resentful glance, and after getting the laryngoscope ready, she pushed it over obediently. "We are going to perform a laryngoscopic examination on you now, to see the specific location where the fishbone has lodged, how deep it is, and whether there is any pus formation. You must cooperate, understand?" "Mmhm!" The patient nodded repeatedly. After getting the patient to lie down properly on the operating table, they taught him to open his mouth wide and inserted the laryngoscope for examination. Stimulating the throat area can easily induce swallowing and vomiting. This requires the patient''s cooperation. Fortunately, this was an adult male with a decent tolerance level. Doctor Fu told him to relax, and he did relax, cooperating with the entire examination process. "Oh no, this fishbone is quite thick! And it''s lodged in very deep, only a small piece is visible on the outside." After the examination with the laryngoscope, Doctor Fu''s face became very grim. "We can only try to use the grasping technique to see if it works, if we can''t pull it out, then we will have to send you to surgery for removal." The surgical capabilities of the Emergency Department are limited. If this patient required invasive surgery for fishbone removal, it would certainly have to be assessed and done by a specialist surgeon from the surgical department. Since an incision in the neck area is involved, the risks of surgery are extremely high. If the surgeons, after evaluating, feel that the surgical risks are too high and the patient might not make it through the procedure. Then surgery is not an option. The patient is very likely to die. It''s not that doctors are unwilling to save lives; it''s that they can''t. Using their professional knowledge and experience, doctors can predict that even with surgery, the patient may still die on the operating table. So it might be better to let the patient try some conservative treatments, perhaps that would provide a glimmer of hope. "Uh uh¡­" The patient seemed to realize the severity of his condition, continuously bowing and gesturing with his hands to Doctor Fu and Zhou Can, pleading for them to save him. In his urgency, and with his throat severely swollen, he couldn''t even speak. "Don''t worry, we will definitely do our best." Doctor Fu gently comforted the patient, stabilizing his emotions. This is also why experienced doctors, upon discovering that a patient has a terminal illness, usually do not want to directly inform the patient but rather discreetly tell their family members. Because once a patient''s emotions collapse, it''s very detrimental to the treatment. Let me tell you a little story. Once there were two patients, A and B, who went for medical check-ups at the hospital at the same time. However, the doctor responsible for recording the results into the computer was a careless intern who mixed up the two patients'' results. Patient A thought he was quite likely to have a serious illness since he occasionally coughed up blood. But then he saw his medical results indicating only mild gastritis. No big deal then. Some medication would fix it. S§×ar?h the novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. Patient A lived every day cheerfully, and after that scare, he started to pay much more attention to his health. Patient B, who didn''t have any major issues, just felt a bit of stomach bloating. When he saw his medical results. He nearly fainted on the spot. He was actually diagnosed with a terminal illness¡ªadvanced-stage gastric cancer. Patient B staggered back home and cried alone in his room for a long time. The doctor told him he had at most three months left to live. After grieving, he started to arrange his affairs, and then waited for death to arrive. He lived each day in extreme repression, his heart filled with fear. He felt his body deteriorating day by day, death seemed closer and closer. Until one day, the hospital discovered that the results for patients A and B were input into the computer incorrectly. They immediately notified both patients to redo their examinations. To the doctors'' surprise, patient A, who was originally diagnosed with cancer, miraculously showed significant improvement, even signs of recovery. Patient B, originally suffering only from gastritis, had his condition transform into gastric cancer due to living every day in oppression, fear, and sorrow. Half a year later, patient B died of cancer. Patient A''s gastric cancer had miraculously healed. This is a true story that happened in France. Later, after following up and investigating multiple cases, doctors found that patients in good spirits are more likely to recover, while those in low spirits are more prone to worsening conditions. To this day, doctors have placed great emphasis on the psychological state of their patients as an influencing factor. After comforting the patient, Doctor Fu began to use the laryngoscope and tweezers to extract the fishbone stuck in the patient''s throat. Once, twice... After several attempts, Doctor Fu was drenched in sweat from the effort but ultimately failed. "It''s no good, the fishbone is lodged too deep. The part protruding on the outside is too short, and it''s difficult to apply force deep in the throat to pull it out," Doctor Fu said helplessly. Zhou Can had been acting as an assistant the whole time. The laryngoscope provided a clear view of the fishbone situation on the screen. Including the process of Doctor Fu trying to remove it. "Doctor Fu''s long instrument control seems a bit off!" He dared to entertain this thought only internally. He wouldn''t dare let the slightest hint show on his face. Removing a fishbone stuck deep in the throat should require the grasping technique. Zhou Can instinctively felt that his Level 3 grasping technique might be able to extract the fishbone. "Doctor Fu, could I have a try?" he asked. Extracting this fishbone carried certain risks. Zhou Can could only do his best to seek permission. Doctor Fu gave him a look, hesitating, not daring to agree immediately. "This long-arm tweezers maneuver is very difficult. Try using it to pick up that surgical hook needle!" he challenged. Due to his trust in Zhou Can''s previous excellent performances, Doctor Fu did not immediately refuse but decided to first observe Zhou Can''s grasping technique. Dr. Lu''s mouth twitched faintly, revealing a barely perceptible sneer. As a senior doctor, although his medical skills were not remarkable, he was clear about the difficulty of certain procedures and what was easier to handle. The grasping technique has always been regarded as a Director Level surgical skill. It''s commonly used in various advanced minimally invasive surgeries or procedures above Level 3. Performing advanced minimally invasive surgeries, an attending doctor at that level might just be a novice, barely qualified to assist. At minimum, a deputy chief physician would be the chief surgeon. Moreover, the grasping technique was both a fundamental skill for minimally invasive surgery and one of the most difficult skills to improve. Zhou Can, just a junior resident, dared to challenge the Director Level grasping technique, which was incredibly presumptuous. Dr. Lu waited to see how he would embarrass himself. Nurse Liu Xia had already cleverly passed a long pair of tweezers to Zhou Can. This type of tweezers, with an arm length exceeding 25 cm, was more than twice the length of ordinary straight tweezers. You could imagine the difficulty of manipulating it to pick up a fine suture needle. But Zhou Can calmly held the long tweezers and picked up the hook needle from the dish. His movements were smooth and effortless, securely clamping the hook needle. Such was the capability of a Resident Doctor''s grasping ability. Chapter 78 - 72 Sudden Enlightenment During Surgery "Goodness, just for that calm demeanor and effortless grasping technique of yours, we have to let you give it a try! Make sure to pay attention to safety during the operation, and not to harm the patient''s esophagus." Doctor Fu was truly in awe of this resident doctor. Mastery in all eighteen martial arts skills, truly proficient in each one. Did this kid start practicing surgical techniques in his mother''s womb? Just how difficult it is to practice and improve at the grasping technique, he knows all too well. When Doctor Fu was young, he too was an ambitious doctor full of ideals. From his third year as a resident doctor, he aimed to learn from the attending physicians. One day, he hoped to stand at the operating table to manipulate minimally invasive surgical tools and instruments, and with effortless skill, resolve the patient''s lesions. It was not until he was 38 that he luckily passed the attending physician exam, and Tuya Hospital employed him as an attending physician. After that, he began striving for the senior professional title. The grasping technique became the Advanced Medical Skill he practiced the most. However, time is limited, talent is limited, conditions are limited. Having practiced up to now, at the age of 46, his grasping technique just barely reaches the lower level of a Resident Doctor. The difficulty of improving in this medical skill is not especially high for doctors with talent, but for someone like him without this particular talent, it''s a nightmare. Harder than reaching the heavens. Doctor Fu could determine with one glance that Zhou Can''s grasp technique prowess, revealed just now, was stronger than his own. With such an exceptional junior around, besides being envious, Doctor Fu is even happier. Having such a powerful assistant during surgeries is an incredible fortune. "You can start the operation now, I''ll hold down the patient''s tongue for you, and grab the laryngoscope." Doctor Fu personally turned into his assistant. Zhou Can carefully maneuvered the long forceps into the patient''s throat, utilizing the laryngoscope and inching closer to the position of the fish bone. Then, within the limited and narrow space of the throat, he operated the long forceps to grasp the tail of the fish bone. The first attempt at extraction failed. The second time¡­ until on the fourth attempt, he finally secured the tail end of the fish bone. At that moment, his heart was extremely tense. His hand began to disobey, shaking. After several deep breaths, he endeavored to maintain a calm heart, and applied force bit by bit with the long forceps, pulling upwards. Regrettably, the fish bone was lodged too deep. Moreover, the surrounding tissues had swollen, causing the fish bone to be firmly embedded in the flesh, immovable. The slightest force would cause the tail of the fish bone to slip out from the forceps'' grip. Zhou Can tried several times, only to end in failure each time. Sweat poured non-stop from his forehead. Liu Xia carefully wiped the sweat for him. So much time had passed, and the patient was becoming intolerable. Moreover, the prolonged stimulation of the patient''s throat led to severe vomiting reactions. Zhou Can''s opportunities were dwindling. "If only sharp forceps could be used. Although these rounded, flat forceps are much safer and less likely to injure the throat tissues, when grasping the fish bone, it means that only a very short segment of the fish bone tail can be grasped." Zhou Can was very clear that Doctor Fu would definitely not agree to let him use sharp forceps. There was only one last method left. Not to use the tip of the forceps to grasp the fish bone, but to use a position slightly behind the tip to clamp the fish bone. This would ensure as much of the exposed base of the fish bone was grasped as possible. When pulling back, the tail end of the fish bone was less likely to detach from the tip of the forceps. Taking a deep breath, Zhou Can tried to operate according to his previous thought process. After a few persistent attempts, he finally clamped it again. He closed his eyes, carefully feeling the clamping force at the tip of the forceps. He struggled to find the right feel. It seemed that the base had not been clamped. If he attempted to extract upwards, the fish bone would mostly slip out from the tip of the forceps again. "Ugh..." The patient began to retch violently. The unexpected movement in the throat accidentally helped Zhou Can''s forceps to successfully grasp more of the fish bone. He could feel that he probably clamped the exposed base of the fish bone. Like fishing, if it''s a small fish, lifting it feels very light. If it were a big fish, the force required would be much greater, making it seem particularly heavy. "Success or failure hinges on this moment!" He still had his eyes closed, slowly lifting the forceps upwards by feel. Tss! A faint sound traveled from the tip of the forceps to his fingers. "Uh!" The patient let out a pained groan of relief. A slight smile appeared on Zhou Can''s face as he opened his eyes and slowly withdrew the forceps from the patient''s throat. It was finally safely removed. Clamped by the forceps was a rather thick fishbone, over 2cm in length. Seeing this fishbone, which nearly claimed a life, successfully extracted filled everyone with joy. [Grasping Experience Points +1.] S§×arch* The n?vel_Fire.¦Çet website on Google to access chapters of novels early and in the highest quality. [Congratulations on mastering an advanced technique in the process of extracting a fishbone as if it were an extension of your own arm. Reward: 100 Experience Points for your grasping technique.] Zhou Can was momentarily stunned, then overwhelmed with joy. In addition to the pleasure of curing the patient, he had unexpectedly received a reward of as much as 100 Experience Points. The grasping technique is very hard to practice. This reward of 100 Experience Points was equivalent to half a month of hard practice in the dormitory. Up to now, he had received several Experience Points rewards. The highest was a reward of 100 Experience Points. Once for diagnosing a super-difficult case, and another time just now, during the fishbone extraction for the patient, when he had a major insight into the use of the long forceps. With eyes closed, he could clearly feel the grip strength and the length to which the forceps clamped the fishbone. The feeling was quite magical. It was as if he was pinching the fishbone with his fingertips. So this is what it means to handle it as if it were an extension of your own arm. Zhou Can couldn''t help thinking of martial arts experts in sword and saber techniques from wuxia novels, who, only when they practiced their sword or saber to be as agile as their own fingers, could be considered to have made minor achievements. Then, was his recent epiphany also considered to have made minor achievements? Only his weapons were surgical instruments like long forceps and bone-holding clamps. After the surge in Experience Points, his grasping technique had obviously improved a lot. If he were to extract that fishbone again, he was confident he could remove it successfully in one try. "It''s out, finally out!" Doctor Fu laughed, his eyes crinkling with wrinkles, although his hair was already quite white. Doctors generally age prematurely. Due to high stress and excessive mental strain. Many doctors already have gray hair at the age of forty. "Thank you, thank you all!" The patient expressed his gratitude repeatedly, deeply moved. "You can''t leave the operating room yet. We need to observe the bleeding at the site where the fishbone punctured." Doctor Fu was very steady in his work. He did not let his guard down simply because the fishbone was extracted. Upon examination with the laryngoscope, the site where the fishbone punctured was bleeding, but the situation was still ideal. If it had punctured a blood vessel, that would have been troublesome. Finally, with heartfelt thanks, the patient left the operation room with a smile, his life spared. After this lesson, he was probably too frightened to eat fish for a long time. Doctor Fu heaved a great sigh of relief, having successfully treated another patient. For him, who was mediocre in medical skills, he feared encountering two types of surgeries the most. The first type had potential risks. The second type seemed simple but required extremely high technical proficiency. The latter was somewhat better; at worst, it would be a loss of face, and he could ask for a specialist to consult. The first type, however, was truly frightening. A slight misstep could lead to a medical accident. Ever since Doctor Fu was promoted to attending physician, every shift was like treading on thin ice. But no matter how cautious, he had still encountered several critical situations. Chapter 79 - 73: Su Qianqians Gift So it goes without saying that the medical profession is definitely a high-risk industry. It''s not as glamorous as outsiders might perceive. S§×arch* The n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. Speaking of salary, incomes for those at the Associate Director level and above are indeed not low. But the salaries for residents and standardized trainees are genuinely not high. Even the salaries for chief physicians aren''t considered very high. However, since physicians have prescription rights, chief physicians can have some gray income. Additionally, once at the chief level, they can sometimes do private work in smaller hospitals. When chief physicians from Tu Ya go to rural health centers, they generally earn extra income as experts. Even when going to some county-level top-tier hospitals, they serve as renowned experts in specific fields. So it''s safe to say, the professional titles of doctors at Tu Ya really carry significant weight. Of course, their medical skills are also far superior to those at smaller hospitals. Doctor Fu''s gaze towards the biggest hero of this highly challenging surgery was filled with smiles. "Dr. Zhou, honestly, how many more skills do you have up your sleeve? Suturing, injecting, diagnosing diseases, you excel in all these areas already. And now you''ve also achieved quite a mastery in advanced surgical techniques like the grasping technique. The surprises you''ve given me today just keep coming!" Doctor Fu really had his eyes opened today. He had never thought that a standardized trainee could be so outstanding. This kid is like Sun Wukong, capable of causing uproars everywhere. From now on, the Emergency Department''s operating room will have a strong new member. "Actually, I don''t know much, just these things!" Zhou Can said modestly with a smile. Skills should not be fully disclosed; it''s wise to keep some in reserve. He will keep surprising Doctor Fu. "Just these still count as few? I''m thinking about consulting with Dr. Xu to let you join me in surgeries from now on." What senior doctor wouldn''t like such a prodigy? Having Zhou Can assist in surgeries not only share the workload but also helps in making diagnoses, avoiding potential pitfalls. "As long as you don''t find me a bother, I can often work overtime. I want to learn from you." Although Zhou Can knew Doctor Fu was joking, he was still worried he might really talk to Dr. Xu. Following Dr. Xu would definitely hold more promise. In terms of mentorship, Dr. Xu is the only one Zhou Can truly acknowledges at the moment. "You said it, from now on whenever I''m on duty, you can come and help in the operating room anytime," Doctor Fu said happily after hearing this. He openly expressed that he could give Zhou Can the greatest freedom. Whenever to come and help in the operating room or when to leave, Zhou Can could decide freely. Dr. Lu felt quite jealous. He had always known that as soon as Zhou Can showed his capabilities, he would immediately win the high praise of senior doctors. Now that it''s a done deal, he no longer has the power to stop Zhou Can''s progression. He could only feel sour on the side. Soon, the next surgical patient was brought into the operating room. Having gained Doctor Fu''s trust and recognition, Zhou Can found it much easier to seek more training opportunities. He easily got chances to do debridement and suturing. Even got the opportunity to anastomose a small blood vessel. It was only because Doctor Fu didn''t know his full capability that he was so cautious. Under Dr. Xu, he had already anastomosed several blood vessels. He had even successfully conducted nerve anastomosis. Zhou Can couldn''t afford to be negligent with the rare opportunity for blood vessel anastomosis that he had fought so hard for. With his best efforts, the blood vessel anastomosis was very successful. After seeing this, Doctor Fu nodded continuously in satisfaction. He gained a new understanding of Zhou Can''s surgical abilities. It would likely be Zhou Can taking on general blood vessel anastomosis surgeries in the future. ... Busy until around ten o''clock at night, there were hardly any more patients needing surgery coming in. The volume of surgeries during the night shift was much less than during the day shift. However, it''s said that the night shift is likely to encounter some severely ill emergency patients. Such as accident victims, patients injured in fights, and so on. Overall, tonight was relatively quiet, and no such patients were brought to the emergency surgery room. "Doctor Fu, I''m on the morning shift tomorrow, and there are no patients requiring surgery now. I''ll clock out, is that okay with you?" "Sure, go home. Please be careful on your way!" Doctor Fu gladly agreed. Zhou Can was voluntarily working overtime, with the intent to learn. He could leave whenever he wanted. Exiting the operating room, as he passed by the nurse''s station, a young short-haired nurse called him over. "Hey, hey, Dr. Zhou, wait a moment." Two nurses who are on the night shift are sitting behind the nurse station. "Are you asking me to insert a catheter for a patient in the middle of the night?" Zhou Can leaned on the nurse station and asked with a smile. "Hehe! Dr. Zhou is so enthusiastic, next time we need to insert a catheter, we will definitely ask for your help." The female nurse covered her mouth and chuckled lightly. "A Ms. Su asked us to pass this to you." As she spoke, the nurse took out a very delicate tote bag from under the table. Ms. Su? Zhou Can quickly went through his mind, and it didn''t seem like he had any female friends with the surname Su. There are quite a few scammers these days. Fraudulent tricks are also endless. He couldn''t help but be wary as he took out the item from the bag to check. It turned out to be a beautifully packaged CD. It was even signed. Su Qianqian. "So it''s her!" Zhou Can suddenly realized. She was quite thoughtful, actually sending a CD to Zhou Can. "Oh, is it from a girlfriend?" The two female nurses looked gossipy. "I wish I could find such a high-level girlfriend, but unfortunately she wouldn''t consider me! Goodbye, I''m off!" Zhou Can quickly left with the bag. Once back in the dormitory, Jin Mingxi was practicing his knot tying skills. Tying knots on a block of tofu. Several broken pieces of tofu had already been discarded in a nearby basin. The piece he was practicing on was already riddled with holes. "You''re back!" Jin Mingxi looked up at him. "Yeah!" Zhou Can walked over, stared at the knots on the tofu, and laughed, "Tying knots on a tofu to ensure it doesn''t break and the knots are secure, I heard that''s a Director Level knot tying skill." Jin Mingxi grinned bitterly, "Exactly! I''ve been practicing for hours, ruined a whole basin of tofu, but still haven''t made much progress in my tying skills! Ah, forget about reaching a Director Level, I''d be happy if I could achieve a Chief Level!" He said that, but you could tell that Jin Mingxi''s knot tying skills were already very impressive. At least at a competent Resident Doctor level, and possibly even an excellent Resident Doctor standard. "Weren''t you just about to be promoted to an associate senior position at the People''s Hospital? Surely your knot tying skills are at least at a Chief Level!" "Sigh! The qualification evaluation at local hospitals is inflated, you know as well as I do. In our kind of small sixth or seventh-tier towns, the skill level of a Director Physician might not even compare to a Chief Physician at Tuya Hospital." That''s a stark truth. District hospitals allow Resident Doctors to test for Chief Physician after four full years. Once passing, they''re automatically promoted to Chief Physician. But in a provincial-level top-tier hospital like Tuya Hospital, the competition is just too fierce. Even if a Resident Doctor takes the Chief exam and qualifies, they still have to wait for an opportunity. Because each department in the hospital has only so many slots for Chief Physicians, those with higher medical skills are obviously prioritized. As for the others, they have to either wait for an opportunity or transfer to another hospital. But generally, few doctors want to voluntarily leave Tuya Hospital. They''d rather continually wait for an opportunity. Because once they leave, it''s almost impossible to come back. In terms of development, staying at Tuya Hospital obviously offers much greater opportunities. Zhou Can chatted with Jin Mingxi for a few moments and then did not disturb him as he continued practicing his knot tying. After taking a bath, he lay in bed planning to write down his surgical reflections and read a bit before going to sleep. Having performed surgeries all day, he definitely needed to balance work and rest. His gaze inadvertently fell on the CD sent by Su Qianqian. Tang Ling said that Su Qianqian''s songs were very healing to the soul. Out of curiosity, he thought of giving it a listen. After all, it was a CD personally sent by the female star. Not to mention anything else, just the CD signed personally by her is worth quite a bit. As he opened the CD case, a slip of paper fell out. The handwriting on it was flowing, vibrant, and neat, pleasing to the eye. Chapter 80 - 74 The Sounds of Nature "Dr. Zhou, thank you for diagnosing my kidney disease. I will actively pursue treatment. As a token of my gratitude, please accept my latest album and don''t laugh! Su Qianqian!" This third-tier actress really knows how to express her gratitude. Looking at her handwritten thank-you note, Zhou Can smiled knowingly. An actress who is both beautiful and talented, with good moral character, is unlikely to be a bad singer. He took out the CD from its case, which looked very high-end. It was nothing like those pirated discs on the market. He placed the CD into his laptop''s drive, donned headphones made by Beyerdynamic from Germany, and opened the music player. A beautiful seascape appeared on the screen, and the melodious background music started, with Su Qianqian appearing in the video wearing a floral dress and a sun hat, pure and innocent like the girl next door. Then, her enchanting voice seemed to fall from the sky. Pouring down like a waterfall. Sear?h the n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. Zhou Can involuntarily closed his eyes, enjoying the spiritual pleasure that the music brought. The fatigue from a day''s work, the various pressures of real life, all worries were washed away by her heavenly voice at that moment. Her soft, sweet singing seemed to seep deep into Zhou Can''s heart. And bit by bit, it cleansed his soul. Giving him a sense of inner purity and a wondrous experience of oneness that he had never felt before. After the song ended, he remained immersed in the beautiful voice, unable to extricate himself for a long time. Finally, he opened his eyes with a faintly pleasant smile on his face. His heart had never felt as calm and comfortable as it did at that moment. It was as if his whole being was filled with joy. "No wonder Tang Ling said Su Qianqian''s singing could heal the soul, it really does seem to have that magic!" After listening to Su Qianqian''s songs, Zhou Can completely changed his prejudice against female stars. He used to think many female and male singers just whined without any sense of artistic beauty. Especially in this capital-driven era. Many actresses and young male celebrities quickly rise to stardom through capital''s packaging, promotion, planning, and marketing. But the level of their artistic skill is very mixed, and generally superficially attractive but of poor quality. Some songs are genuinely unbearable to listen to. An actress like Su Qianqian who possesses looks, talent, virtue, and art is extremely rare. "With such beautiful singing and looks, why is she only a third-tier singer?" Zhou Can felt her abilities should qualify her as an A-list star. Or even a queen of singers. He didn''t quite understand the workings of the celebrity world. Perhaps in the future, he could buy a few more of Su Qianqian''s albums to support her. Half reclining on the bed, listening to music and reading a book, he found it to be a very enjoyable experience. ... The next morning as soon as Zhou Can got up, Jin Mingxi was already waiting, having changed into his shoes. "Zhou Can, didn''t we agree to go for a run together? Hurry up!" He had taken yesterday''s casual mention to heart. Jin Mingxi was really reliable. "Wait for me for five minutes!" Zhou Can quickly went to the bathroom, brushed his teeth, drank a glass of warm water, then put on his sneakers and headed out the door with Jin Mingxi. They lived very close to a park. Jin Mingxi was unfamiliar with the surrounding area, so Zhou Can took him for a run in the park. The park was full of greenery, with a tranquil environment free of passing cars, making it very suitable for morning exercises. "Hey, this place is really nice! It''s so much better than my run on the road yesterday." Jin Mingxi said with a laugh. "When I was studying at Tuya Medical College, I came here every day to exercise. So, was waiting for me this morning worth it?" Zhou Can, when meeting people he got along with, was actually quite cheerful. We often crack a joke or two. The two started running laps around the park. As it was early, there weren''t many people in the park. There were only a few scattered elderly men and women practicing Tai Chi or kicking shuttlecocks and the like. Unintentionally, they had already run for nearly half an hour. More people started showing up in the park. A young woman with an eye-catching figure, wearing a cap and a sporty Bluetooth headset around her neck, jogged over from the opposite direction at an easy pace. By now, there were quite a few people running in the park. As people''s living standards improved, many started to value their health. It might not be a national fitness movement, but at least in big cities, you could see people exercising and working out both morning and evening. When they were only seven or eight meters apart, the woman glanced at Jin Mingxi and then broke into a surprised smile. "Hey, Jin Mingxi, is that really you?" The woman greeted him with a smile. Jin Mingxi looked her over for a moment and then also displayed a happy smile. "Haha, old classmate, Yezi." It turned out that the two were old classmates. Naturally, Zhou Can wouldn''t want to stick around like a third wheel. "You guys go ahead and talk, I''ll run a few more laps!" "This is my colleague Zhou Can, we live in the same dormitory," Jin Mingxi quickly introduced him. "Hello there, Mr. Zhou!" This woman named Yezi was quite outgoing and friendly, greeting Zhou Can with a smile. "Hello, hello! See you later!" Zhou Can waved back at her with a smile and left Jin Mingxi behind to run. Considering Yezi and Jin Mingxi were old classmates, they should be around the same age. Yet in terms of figure and skin condition, she looked like a young woman in her mid-twenties. Maintaining such a good figure and tight skin must be related to her consistent fitness routine. It goes to show that a woman, if not under too much life stress, can indeed become younger as she lives if she has self-discipline, sticks to a workout regimen, and strictly controls her diet. After completing three laps, Zhou Can was caught up by Jin Mingxi. That woman was nowhere to be seen. "Sorry about just now! I didn''t expect to run into a high school classmate here." Jin Mingxi offered an explanation proactively. "It''s fine, running alone isn''t much different from running with someone. I was just wondering if there was some story between you two? Hehehe!" Zhou Can was just joking. To his surprise, Jin Mingxi''s face turned red as he chuckled awkwardly, "There''s no story to tell, we just shared a desk for a while in high school, and we got along okay. Back then, I was determined to major in medicine, while she chose financial management. We lost contact after graduating from high school." After saying that, he added with a sigh, "Over a decade has passed, and now she''s a high-level executive of a listed company. While I''m just a resident doctor at Tuya Hospital. Life is really unpredictable!" Everyone''s path in life comes with its own set of opportunities and encounters. There are countless examples of students who were mediocre in school or even branded as the worst in class, who eventually became entrepreneurs, celebrities, or big bosses. "We all choose our own paths. If you hadn''t insisted on getting a spot at Tuya Hospital, you probably would have been the deputy chief physician at the county People''s Hospital by now. Isn''t your status not much less than hers?" Zhou Can''s life path was also one of his own choosing. He didn''t need to push himself so hard; he could have comfortably lived as a second-generation wealthy individual or even taken over his parents'' business like most people. Yet, he chose without hesitation to become a doctor. Since he was young, he thought doctors who save lives and heal the wounded were incredibly noble. Thus, he aspired to be a doctor when he grew up. Choosing to pursue medicine was both a passion and an ambition for him. After listening, Jin Mingxi smiled sheepishly. "Hehe, that''s true! Dr. Zhou, you''re so much younger, yet you have such deep insight into life. I am truly ashamed." "Are you trying to flatter me? I was just saying it off the cuff. But I noticed your female classmate looked at you in quite a special way, hehe, are you sure you have no feelings for her?" Zhou Can teased with a mischievous grin. Chapter 81 - 75: The National Context of Minimally Invasive Fields "Get lost! Don''t be so gross, okay? I am a married man with children." Jin Mingxi firmly denied having any thoughts about his female classmate. However, his classmate was fair-skinned, beautiful, and possessed an elegant demeanor; her figure maintained the curves of a young girl. To claim Jin Mingxi had no thoughts about her at all, Zhou Can wouldn''t believe it. But for married men and women, being able to restrain their desires and not crossing the line, being responsible to their families, that was already very commendable. ... When the two arrived at the hospital for work, Zhou Can had just passed the nurse station when Ye Tingting sashayed over. "Good morning, Dr. Zhou!" "Good morning, Sister Ting! You seem to have gotten prettier!" She had to be a bit older than Zhou Can. "Hehe, are you buttering me up?" She giggled, giving Zhou Can a coquettish glance with her peachy, teary eyes. "Here, this is the tally of milk tea orders and flavors you asked me to count. The girls said, they won''t let you treat them for nothing." Rows of flamboyant tally figures were written on a medical sticky note. "Just inviting you for a milk tea, what else could anyone expect in return?" Zhou Can took the note and pocketed it. He threw in a joke for good measure with Ye Tingting. Pfft~! "Is Dr. Zhou confessing to Qiao Yu? Unfortunately, she''s on night shift and not here today. But don''t worry, you can''t fight fate; I''ll be sure to relay the message, brother!" Ye Tingting laughed until she was shaking like a flowering branch. Sometimes, a good-natured joke here and there is a great way to lift spirits and bridge interpersonal relationships. Almost always works like a charm. But it''s important to be mindful of the timing and the measure. If you crack jokes in the operating room while the lead surgeon is all grim-faced, you''re just asking to be scolded. Make a joke during a life-saving emergency, you''re likely to get pummeled by the patient''s relatives. And if the jokes go too far, it''s even worse - you might crash and burn right there and then. Zhou Can''s joke was undoubtedly a success. His interaction with Ye Tingting had become more harmonious, and their relationship had grown closer. "No, please don''t! It''s nothing to me, but that young lady has delicate feelings. After all this teasing, she might start avoiding me." Zhou Can could never have imagined that his offhand joke might lead her to bring up Qiao Yu. Married women are indeed not something a young, inexperienced man like him could outwit. Fortunately, he saw Dr. Xu getting out of the office, already dressed. "Alright, enough chatting! I''m off to the surgery room." He headed swiftly towards Dr. Xu. "Good morning, teacher!" Dr. Xu turned around and stared at him with a stern face. Staring so intently, Zhou Can felt chills run down his spine. "Heard you pulled off a big one yesterday?" Zhou Can was taken aback for two seconds, then caught on. Trying not to grin, he said, "Teacher, the way you put it, one might think the ancient bandits have kidnapped a rich man''s daughter again." In ancient times, bandits who wanted to rob the wealthy wouldn''t just storm into a village, as it was difficult to succeed. Because the rich families'' estates were usually fortified and protected by hired guards and house servants. For bandits, breaking in within a short time was almost impossible. If it took too long, the arrival of the government troops meant game over. So, cunning bandits would find out when the daughter of a well-off family was to be married off and would opt to hijack the bridal sedan on the wedding day, kidnapping the bride to take to the mountains. After they captured someone, they would issue a ransom note. If the ransom was paid obediently, the bandits, often priding themselves on their honor, would ensure the bride''s virtue and return her safely. But if anyone dared to involve the authorities or failed to pay the ransom, the young bride would be doomed. Both the bride''s and groom''s families would typically put together the ransom on the same day to get her back. If it took all night, the groom''s family would usually be unwilling to pay the ransom. Even if the bride was redeemed, she would likely end up taking her own life. Dr. Xu is particularly strict, but this morning he indulged in a bit of cold humor. It seems he''s in a very good mood! "The patient whose bleeding you successfully stopped yesterday, after Director Lou reviewed the case, suggested further examination. Eventually, the patient was diagnosed with liver disease." This is grave news. The patient is only in their twenties. Generally speaking, liver diseases that can cause coagulation dysfunction are extremely serious. When liver diseases progress to a severe stage, the prognosis is often poor. Every organ in the human body has its own personality. The liver is the only organ without pain sensation. This also leads to liver diseases being difficult to detect, and when they are detected, it''s usually advanced-stage. "I heard you have achieved quite an expertise in grasping technique?" It seems someone told Dr. Xu all about Zhou Can''s excellent performance in the operating room last night. No wonder he''s in such a good mood. If a teacher''s apprentice is praised by other doctors, the teacher feels honored, naturally happy. "Did Dr. Fu tell you?" S~ea??h the N?vel?ire.net website on Google to access chapters of novels early and in the highest quality. Zhou Can tentatively asked. Dr. Xu neither confirmed nor denied, offering no response. Zhou Can didn''t dare to ask further, and honestly admitted, "I''m actually just of average level, it just happened that I managed to catch the fishbone yesterday, and that''s why I was able to successfully remove it." He considered his skill in the grasping technique to be Level 3, not very remarkable. Dr. Xu knows his apprentice too well. Other young people all like to vie for the limelight and can''t wait to show off even their underpants. But Zhou Can prefers to work loudly and live quietly. He has never been seen deliberately showing off. As someone who has experienced major setbacks, Dr. Xu actually envies Zhou Can''s modesty at such a young age, a trait many middle-aged and elderly people may not possess. Most people have the character of a nouveau riche, showing off with ten coins jingling in their belt. Only those who have experienced great ups and downs and have been battered by society understand the value of being low-profile and restrained. For Zhou Can to have such awareness at a young age is especially commendable. "Hmph, there''s no need to hide or be reserved in front of me! Do you understand the importance of the grasping technique?" Dr. Xu snorted. "A little. It''s mainly used in minimally invasive surgery." Zhou Can followed his teacher towards the operating room. "If suturing, dissection, ligation, and hemostasis are the foundations of traditional surgery, then the grasping technique is the foundation of sophisticated surgery. With the rapid development of medical technology, minimally invasive surgeries that cause less trauma, have faster recovery, and carry fewer risks are gradually replacing traditional surgeries. You have an extraordinary talent in the grasping technique, which is a huge advantage. Renowned surgeons from developed countries like Japan, the United States, and Germany have almost all transitioned into the field of minimally invasive surgery." Although Dr. Xu is stationed in the neglected Emergency Department, he has not been ignorant. Nor has he given up on himself. On one hand, he has been reflecting and trying to learn from his failures, finding ways to eliminate major flaws of acting hastily but not securely. On the other hand, he pays attention to medical trends and advancements globally. Zhou Can feels that if his teacher ever makes a comeback, his skills will undoubtedly reach a higher level. He might well become a true master surgeon. Zhou Can wonders what kind of incident Dr. Xu had been involved in the past. When his abilities become strong enough, he is determined to inquire carefully and strive to remove the ''shackles'' from his teacher. If that day comes, he believes it would be the best way to repay Dr. Xu. "Did you know? In Japan, patients who undergo pancreatic cancer surgery can work the next day and basically recover in three days. In our country, patients need to stay in the hospital for at least half a month or even longer after surgery. Moreover, in China, abdominal surgery is basically used, which is much riskier than minimally invasive surgery. The risk is even greater if a Pancreaticoduodenectomy is performed." Zhou Can knows that Japan''s medical technology is much more advanced than China''s. But he didn''t realize the gap was so vast. And that''s just in the field of pancreatic surgery. In the fields of medicine, medical equipment, and instruments, our country also lags behind developed countries. However, our country is in a fast-developing phase, catching up quickly, and perhaps soon we will be able to overtake them in many technological fields. Chapter 82 - 76: Extremely Scarce Dual-Talented Individuals Talking about how Chinese medicine lags behind developed Western countries is actually quite frustrating. Despite China''s medical history spanning several thousand years, it has been overshadowed by Western medicine, which has a mere two hundred years of history. Fortunately, in recent years, Chinese medicine has cleverly adopted the approach of integrating traditional Chinese and Western medicine, allowing it to survive. And it is slowly rising. The Chinese consensus is that while Chinese medicine treats the root, Western medicine treats the symptoms. Furthermore, the international standing of Chinese medicine is also gradually improving. Even many of Chinese medicine''s therapeutic concepts are being studied abroad. For instance, the latest cancer drugs developed are designed to release the seals on human immune T cells, relying on the body''s own immunity to kill cancer cells. This concept is actually based on traditional Chinese medical philosophy. I believe that with China''s great revival, there will come a day when Chinese medicine will shine brightly again. At least, many people have come to realize that Chinese medicine has fewer side effects, unlike Western medicine, which can have various serious side effects. Chinese medicine is milder and safer. Its only drawback is the slower rate of healing. "Developed countries have already achieved considerable success in the field of micro-invasive surgery, mastering surgical pre-assessment, minimally invasive surgical plans, postoperative care, medication, and surgical techniques. They have accumulated a wealth of experience. In contrast, our country is still merely getting a glimpse into this field, lagging behind in all aspects. We can learn theoretical knowledge from them and catch up quickly. But it''s not that easy to improve surgical skills. It requires accumulative practice and diligent training." Dr. Xu finished speaking and turned to look at Zhou Can. "Our hospital has many doctors capable of performing traditional surgeries, each with good skills. However, there are very few who can perform micro-invasive surgeries well. Observations and comparisons show that some people have a natural talent when practicing the basics of traditional surgery, but those with a talent for practicing the basics of micro-invasive techniques, such as grasping and implantation techniques, are even rarer." To put it in more vivid terms. The basic skills of traditional medicine are akin to martial arts. The basic skills for micro-invasive surgery, on the other hand, are comparable to magical arts. Practicing martial arts requires talent and hard work to achieve results. But to master magical arts, one needs a magical aptitude, a rarity even among ten thousand martial arts experts. "If it were only this, the problem wouldn''t be so severe. After all, our country has a large population, and it is always possible to find medical talents with a gift for advanced surgery." Zhou Can looked puzzled after hearing this. Is there an even greater challenge? "Micro-invasive surgery is an advanced medical skill that evolved based on traditional medical techniques. To train a doctor proficient in micro-invasive surgery, one must have both the talents for traditional and advanced medical skills. But such people are extremely rare." The medical profession is unique. Talent is scarce, and the training takes a long time. This makes the scarcity of doctors with both traditional and minimally invasive surgical talents all the more acute. "In order to change this situation, our country''s doctors have tried many approaches. For example, internal medicine doctors have started to learn various interventional surgeries with the knife. Even so, the reserve of minimally invasive surgical talent in our country is still seriously insufficient. Those who are truly elite are as rare as phoenix feathers and unicorn horns." In recent years, internal medicine has indeed inaugurated many minimally invasive surgical projects. That is, the so-called interventional techniques. But to perform an excellent minimally invasive surgery, one must first possess the basic skills of traditional surgical procedures, as well as have a certain level of advanced medical skills. Both are indispensable. S§×ar?h the n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. Otherwise, even a minor appendicitis surgery could go wrong. As for some of the more challenging minimally invasive surgeries, currently, many in our country cannot be performed. Because to conduct such surgeries, one must have both the basic skills of traditional surgery and the operational ability of advanced medical skills, both at the director level. Dr. Xu looked at Zhou Can with an earnest gaze. "You possess talents for both traditional and advanced surgery, which is exceptionally rare. Our country is still very behind in the field of micro-invasive surgery, and the top tier of this field is almost entirely uncharted. If you are willing, I hope you can set the top-level micro-invasive surgical ability as a lofty goal." As a teacher, he is like a guide. Dr. Xu merely analyzed the domestic situation to him. Then guided him to specialize in micro-invasive surgery. "I will work twice as hard." Zhou Can is very down-to-earth and did not speak grandiosely about definitely surpassing foreign countries and triumphing over famous foreign doctors. Shouting slogans is something he has always disdained. He prefers to demonstrate his determination through actual actions. "Let''s go to the operating room! I''ll do my best to first train your traditional surgical ability. Today, Level 1 surgeries should suffice." Hearing Dr. Xu say this, Zhou Can was overjoyed. Today, he will undoubtedly earn a large amount of surgical Experience Points. And gain a lot of valuable surgical experience. ... Upon entering the operating room, nurses Tang Ling and Jin Mingxi were already there. Tang Ling''s eyes lit up immediately upon seeing him, and her face was all smiles. "Dr. Zhou, Dr. Zhou, I heard that Su Qianqian gave you a box of her album yesterday, is it true?" She''s very interested in Su Qianqian''s affairs. "That''s true!" Zhou Can nodded in acknowledgment. "Wow, I''m so jealous!" Tang Ling, getting a confirmation, was envious. "Can I borrow it for a couple of days? When I left work yesterday, I saw that box and knew it must be her latest album. The concert stage collapse has had a big impact on her. The release of her new album will definitely be postponed. I heard she''s selling her house and car online to compensate those injured fans." Zhou Can was very surprised to hear about Su Qianqian selling her house to compensate her injured fans. His first thought, it must be a publicity stunt. After all, those celebrity management companies can do anything to earn traffic. "If her new album hasn''t been released yet, I''m afraid I can''t lend it to you. You know, if the content of the new album gets out, and the genuine release hasn''t hit the shelves, pirated copies will be everywhere." Zhou Can rejected her request. Su Qianqian gave him the album out of gratitude and trust. Right now, during her most difficult times, if Zhou Can were to leak the content of her new album leading to widespread piracy, it would add insult to injury for her. "That''s okay, then!" Tang Ling was obviously a bit unhappy and pouted slightly. "The concert organizers usually cooperate with insurance companies and the tickets include insurance fees. With the incident, shouldn''t the insurance company pay out? And even if the insurance company doesn''t pay out, it should be her management company that assumes the liability for compensation. Her selling property to pay fans might just be a publicity stunt. Deliberately seeking fan sympathy to get some free promotion." Zhou Can offered his views. "This... that can''t be possible! I heard in the Qianqian fan group that the insurance company only covers part of it, and it might not even be enough for medical expenses. Plus, her agency is Beihai Langxing Media Co., Ltd., a notorious rogue company with a lot of scandals. It''s possible they''re shirking responsibility." Tang clearly tried her best to defend Su Qianqian. Zhou Can pays little attention to celebrities and media companies, so he wouldn''t rashly express opinions about things he''s not familiar with. Dr. Xu also came in at this point, having changed into his surgical protective gear. The atmosphere became much more serious. He glanced over the three of them, frowning. "Which Resident Doctor is on duty in the operating room today?" "It seems like it''s Dr. Lu''s morning shift!" Tang flipped through the duty roster. "This Dr. Lu making tardiness a habit is really out of line," Dr. Xu was quite troubled by this subordinate doctor. "Never mind him, with Xiao Zhou and Jin Mingxi here to assist, performing Level 1 and 2 surgeries is not a problem at all. Bring in the first surgical patient!" As soon as he finished speaking, the door to the operating room was pushed open. Dr. Lu ran in with his hair a mess. He then rushed into the changing room to hurriedly put on his surgical garb. "Sorry, sorry, I had a bit of diarrhea this morning. I''m not late, am I?" Dr. Lu started apologizing as soon as he came in. "You''re only two minutes late, it will be noted in the attendance, don''t worry. Having diarrhea five or six times a month, I suggest you get treated at the gastroenterology department." Dr. Xu, with a stern face, didn''t outright expose his lie. Chapter 83 - 77 Escorting Safely "Dr. Xu, I was only two minutes late, it wasn''t intentional. Please can you let it go... My salary is already so low, and I''m trying to save up for a down payment on a house and to find a wife! I''m already thirty-four, without a house, no girl would be willing to marry me..." Dr. Lu pleaded with a chubby face. According to the hospital''s regulations, doctors who clock in late or leave early are penalized 100 yuan each time. This also includes taking meal breaks during work hours, which incurs a 100 yuan penalty. A resident doctor in the Emergency Department''s operating room takes home about 7,000 yuan a month. Dr. Lu is a senior resident doctor. However, the Emergency Department''s operating room doesn''t generate much income, and he''s quite lazy, performing not many surgeries. At most he doesn''t earn over 8,000 yuan a month. Losing 100 yuan seems very significant to him, which suggests that his financial situation probably isn''t great. His salary income is likely around 7,000 yuan. After deducting social insurance, housing fund, and income tax when disbursing the salary, taking home 6,000 yuan is considered good. If he''s late ten times a month, that''s a loss of 1,000 yuan. Moreover, according to the department''s assessment regulations, those who are late, leave early, or abandon their post more than three times in a month will not receive any bonus. Then, departmental commendations, promotions, and advanced training will also be affected. Knowing full well the severe consequences of being late, still daring to be late frequently. It''s nothing but betting that the senior doctors are soft-hearted. As long as he isn''t caught by the Medical Department or the HR Department, pleading with his departmental seniors usually means he gets off the hook. "Today, I must mark it down, so you learn a lesson!" Dr. Xu changed from his usual King Yan-like sternness to a softer heart. "Ah! Had I known, I would''ve woken up five minutes earlier! I know you''re doing this for my own good, I accept it." Seeing that he couldn''t plead for mercy, Dr. Lu admitted defeat. "It''s good that you think this way. Get ready for work. You''ll still be my assistant, while Jin Mingxi and Xiao Zhou perform surgeries independently." Dr. Xu made the operation arrangement. "I want to improve too. How about I switch with Xiao Zhou? Can I?" Dr. Lu, possibly having faced quite a sting last night, must feel uncomfortable watching a newcomer surpassing him by a wide margin. Furthermore, the words Director Lou said to him also triggered a sense of crisis. So he became much more proactive and eager. "No!" Dr. Xu refused straightforwardly. When it comes to surgical safety, he''s much stricter than Doctor Fu. He won''t agree if he senses any risk. "If you want to improve, I will give you some opportunities for training." He added afterward. Dr. Lu''s misdeeds from last night have ruined his reputation. It''s likely that no senior doctor will dare to easily delegate authority to him again. Soon, two surgical nurses were called in. Since Qiao Yu was on the night shift today, the nurse helping Zhou Can was changed to someone else. Without comparison, there would be no harm done. This nurse named Tian Tian is quite pretty and speaks pleasantly, but her performance is clearly inferior to Qiao Yu''s. Sometimes she even gets the surgical sutures mixed up. When passing instruments, she does it in a very stiff manner. Occasionally, Zhou Can has to remind her to pass the corresponding instrument. For example, after an initial wound debridement and it is bleeding, she would just stare blankly. Only when Zhou Can says ''electrosurgical unit'' does she hurry to pass it over. Qiao Yu''s cooperation with Zhou Can is much more in sync. Often, they seem to read each other''s minds. Before Zhou Can could speak, she already has the corresponding instruments or surgical supplies ready and passes them in advance. If only he could be promoted to Chief Level one day. Then he could choose a fixed instrument nurse. For now, with his low status, he has to make do. ... Busy working until the end of the shift, Zhou Can completed a total of sixteen operations today. Two less than yesterday. Jin Mingxi performed thirteen operations, actually one more than yesterday. It should be noted that yesterday, Zhou Can performed six more operations than Jin Mingxi. The main reason for fewer operations today was the lack of coordination with nurse Tian Tian, which significantly affected surgical efficiency. Fortunately, his gains were decent, earning a considerable amount of Experience Points. The ligation and suturing skills should be able to advance to the intermediate level among resident doctors in a day or two. His Experience Points for injections and hemostasis also increased significantly. The only skill that didn''t increase much was the incision technique. However, since he discovered the Experience Point system''s bug, as long as he''s willing to spend money, he could still rapidly advance his incision skill to Level 4 by practicing on rats after work. With a Level 4 incision skill, that''s the Chief Level. Just take the opportunity to showcase his skills in front of Dr. Xu; there''s no reason why he wouldn''t be given Level 2 surgery opportunities. Another thing worth mentioning is this. After his epiphany with the grasping technique, he made huge progress. This benefit is also reflected in the ligation and suturing process. When using the needle holder to clamp the surgical needle, it was more handleable and flexible than before. Not to mention tying knots. When using forceps to pick up the suture thread, each pick was accurate; circling and knotting were as if aided by divine power. The knots made were sturdier and neater. Moreover, the force exerted on the wound during the knotting process was significantly lessened. This was, undoubtedly, a tremendous improvement. The highest realm of knotting is to tie various knots steadily on a puff of cotton without moving it an inch. He certainly couldn''t do that right now. But this was a big step forward in that direction. "Alright, clean up and get ready to go off work! Doctor Fu should be arriving soon." Dr. Xu had already taken the lead in removing his gloves and tossing his mask into the trash can. His gaze turned to Zhou Can. "Xiao Zhou, are you going to work overtime tonight?" "I really hope that Dr. Zhou can stay and work overtime!" Doctor Fu just happened to walk into the operating room at this moment, and he eagerly answered for Zhou Can. "Ha ha, Doctor Fu''s attitude towards Xiao Zhou has changed quite a bit!" Dr. Xu joked with a laugh. He was strict in front of junior doctors but jovial with his peers; sometimes, he was quite cheerful. "Heh, if anyone is to blame, it''s only because Dr. Zhou is too outstanding! It was fortunate he was here last night, otherwise there would have been big trouble." Doctor Fu still had a lingering fear when mentioning the events of the previous night. Jin Mingxi and Tang Ling immediately pricked up their ears. From Doctor Fu''s words, it seemed that Zhou Can had made significant contributions last night. Tang Ling was alright; she just admired Zhou Can a lot and thought he was exceptionally outstanding. S§×ar?h the N?velFire.n§×t website on Google to access chapters of novels early and in the highest quality. But Jin Mingxi felt a real sense of pressure. The gap between him and Zhou Can seemed to be widening again. "Dr. Zhou, will you stay and work overtime? Don''t worry, it won''t be voluntary overtime, I will apply for overtime pay for you." Doctor Fu''s gaze landed on Zhou Can''s face. Whether to stay for overtime, he still had to ask Zhou Can himself. "Of course, I am willing! As long as you don''t mind me causing you trouble!" Zhou Can had planned it all out. He could probably work about twenty days of overtime a month. For the remaining ten days, he would practice dissecting mice in the dormitory. Those medical skills that couldn''t be improved in the operating room certainly couldn''t be neglected. He had to find a way to keep up with them. "Don''t worry at all. You are reliable and dedicated, with strong surgical and diagnostic abilities; staying would not only cause no trouble but also be a great help to me. Today, in front of Dr. Xu, I''ll say it again, whenever I''m on duty, as long as you want to work overtime, you are welcome to come. You can leave whenever you want to." Doctor Fu repeated these words for the second time. It showed that inviting Zhou Can to help was not mere superficial courtesy but sincere. Zhou Can had made achievements yesterday, gaining preliminary trust from Doctor Fu. Today was a good opportunity to stay and extend that trust. "Hello, Dr. Xu!" Doctor Lin had followed Doctor Fu in. He just hadn''t had the chance to speak. Now that the opportunity had come, he hurried to greet Dr. Xu. "Uh-huh!" Dr. Xu just nodded authoritatively. "Xiao Zhou, work hard. Keep my phone number; I rarely turn off my phone; it''s on 24/7. Call me anytime if there''s a problem." Dr. Xu was probably worried about Zhou Can making mistakes. Leaving his phone number, in case of an emergency, he could rush over to help Zhou Can clean up the mess. "Thank you, Teacher!" Zhou Can hurriedly saved Dr. Xu''s phone number. "Do you use WeChat, Teacher? Could we add each other?" "Sure, search by my phone number." Dr. Xu was very kind towards him. Everyone watching as the two senior doctors showed such care for the newcomer Zhou Can, felt genuinely envious. After adding each other as WeChat friends, just before leaving, Dr. Xu advised, "Call in case of emergency. I might not see messages on WeChat in time, which could delay the rescue." By now, even a fool could see Dr. Xu''s care for Zhou Can. For a resident doctor in training to receive such attention and protection from this Chief Level doctor with special status was indeed an incredibly fortunate thing. Chapter 84 - 78: The Young Landlord Zhou Can was operating with Doctor Fu today and had a much more enjoyable time. Many level-one minor surgeries were directly handed to Zhou Can. However, since Doctor Fu''s skills were mediocre and coupled with the psychological trauma from the incident with Dr. Lu last night, even though he let Zhou Can practice, he still stood by and watched. He ultimately didn''t dare to delegate fully like Dr. Xu, letting Zhou Can lead with just a nurse. Additionally, Doctor Lin is quite ambitious. He would compete with Zhou Can for surgeries that are slightly more challenging. After all, with his seniority, Zhou Can had basically no chance in competing with him for surgeries that were of higher difficulty. In the face of interests, no matter how fond Doctor Lin was of Zhou Can, he would prioritize himself. Around 6 PM, Zhou Can''s phone continuously vibrated. Inside the operating room, setting the ringtone to silent was a necessary detail to be minded. Otherwise, the sound of a ringtone or message notification could provoke the operating surgeon to scold people. Even without scolding, just the piercing cold gaze from the surgeon could send chills down one''s spine. "Excuse me, I need to take a call!" Zhou Can excused himself and then stepped outside the operating room to answer the call. Note, there are typically at least two doors to an operating room. After entering the first door, there is usually a changing room and duty room on the left, followed by a rather spacious hallway. Only then would one enter the second door into the operating room. Their operating room was considered the most basic kind. Just an ordinary operating room. Specialty operating rooms, the best ones being class 100 operating rooms, and the slightly lesser ones are at least class 100,000. Performing surgeries in those operating rooms significantly reduces the chance of infections for both patients and doctors. Some surgeries that require high antibacterial standards, such as valve replacements, heart surgeries, organ transplants, and other sophisticated operations, which also have high-risk factors and stringent antibacterial demands, must be conducted in class 100 laminar flow operating rooms. "Hello Mr. Zhou, this is your tenant, Mr. He!" "Hello Mr. He!" Zhou Can had rented out three properties, and typically his tenants rarely disturbed him. They were quite conscientious about paying rent. "My lease on your property is about to end. My wife and I purchased a house and received it last month. After discussing it together, we decided to move into our own house. We won''t be renewing the lease." Mr. He and his wife, approaching forty, had struggled in the city for over a decade before finally purchasing their own home. It had not been easy. "Haha, that''s great news! Living in your own home is certainly more reassuring than renting. Congratulations!" Zhou Can laughed and congratulated him. "Thank you, thank you! If it''s convenient for you, could we meet to hand over the keys?" "Sure! When would be a good time for you?" "Uh... We are almost done moving our personal belongings, and my wife and I will clean up the house a bit more. I estimate we''ll be done by around 8 PM. If you confirm you''ll come, I''ll wait here for you. If it''s inconvenient, we can schedule a time tomorrow." The quality of Mr. He and his wife was indeed quite high. Tenants who would proactively clean up the house before leaving were rare. "Then I''ll come over around 8 PM." After ending the call, Zhou Can returned to the operating room and waited until the surgery was finished. Then, he said to Doctor Fu, "Doctor Fu, I''m afraid I can only work until now this evening. I have some urgent matters to attend to at home." "Go ahead!" Doctor Fu readily agreed. Having worked together for some time, Zhou Can felt that among the three supervising doctors, Director Lou, Dr. Xu, and Doctor Fu, Doctor Fu was the easiest to talk to. After leaving the operating room, he didn''t forget the promise he made to the nurses. First, he popped into a bubble tea shop to take care of that. Then, while the shift doctor at the scientific research and teaching building was still on duty, he bought five mice. If they had finished their shift, he wouldn''t have been able to purchase any. These experimental mice were not ordinary pet market hamsters. Their breeding had strict requirements, including the pathogens they carried, the mice''s vitality, weight, and other indicators. Though expensive, laboratories would purchase them for experiments, or surgeons for practice such as anastomosis on mice''s tails, dissection, and more. Actually, mice were the cheapest options. Monkeys, on the other hand, were more expensive. The cheapest would cost around twenty thousand, and the recently scarce crab-eating monkey was incredibly difficult to acquire even at a price of one hundred sixty thousand per animal. Looked at the time, it was not even seven o''clock yet, so he simply had dinner at the restaurant. Then he returned the white rat to the dorm. To his surprise, Jin Mingxi was not in the dorm. Had he gone out to enjoy himself? After work, as long as there were no emergency patients, doctors generally had a lot of freedom. They were not like programmers, who were so busy that they didn''t even have time for dating. After putting away the white rat, he went downstairs, hailed a taxi, and headed directly to phase 1 of Xiangshan Garden in Bajing Lake. About forty minutes later, he arrived smoothly at the entrance of the community. It was quite a distance from the hospital. If it was during the rush hours, the taxi ride would take even longer due to severe traffic. Fortunately, Metro Line 6 leads directly to his doorstep; commuting by subway to work was much more convenient than taking a taxi ¡ª about 15 minutes to the hospital. Not only is it immune to traffic jams, but the commuting costs are also much lower. This was also one of the reasons why the real estate prices in Xiangshan Garden at Bajing Lake rose from about 6000 to 17,000 yuan per square meter. After paying the taxi fare, Zhou Can walked towards the community. The infrastructure here was already very well developed, everywhere filled with the ambiance of a high-end neighborhood. Especially the previously filthy and polluted, Bajing Lake. After renovation, the water became clear. Scenic walking paths were built along the lake, with rows of willow trees draping down, presenting the grace and beauty of a gentle lady. In the lake, there was a gallery built over the water, accessible to an anciently styled octagonal pavilion at the lake''s center. Lotuses were planted in the shallow water area. After being managed, the purple bamboo forest on the opposite shore had also become scenic. Bajing Lake truly became the "Eight Scenic Spots" ¡ª breathtaking lake and springtime scenery. Developers are typically early risers only when there''s profit. When Zhou Can bought his house, the lake still had a dirty and smelly image. Later, when Metro Line 6 was planned here and property prices rose, the developers saw profit and decided to invest money to renovate the lake. Then, Bajing Lake Xiangshan Garden phases two and three, Bajing Lake Villas, Bajing Lake Booming Era, among many other new properties, were built. Of course, the prices of the later constructed properties were never below 10,000 yuan. The earliest buyers of phase 1 of Xiangshan Garden at Bajing Lake made a fortune. Zhou Can heard that there were some flats left in phase 1 with bad floors or poor lighting and interior structure, but they were eventually sold at over 8000 yuan per square meter. He bought four units in one go; it was indeed a very successful investment. He swiped his access card and entered the community. As it''s a high-end community, there''s a specific design to separate vehicle and pedestrian traffic. You can see quite a few residents coming and going inside. He bought four units, all in building 2A. The layout was one elevator serving two units. Compared to those with one elevator for four units, it offered much better privacy protection and better lighting. Both units on the fifth floor were his. He remembered Mr. He rented No. 2501. At the moment, the door was open. Zhou Can knocked on the door. Mr. He, who was cleaning the kitchen inside, immediately came out upon hearing the knock. "Mr. Zhou is here! I''ve almost finished cleaning, only the cabinet doors in the kitchen are left." Mr. He held a rag in his hand and wore an apron. Sounds were still coming from the kitchen. Presumably, his wife was busy. A little girl, about five or six years old, timidly peered out half her head from the kitchen, her bright eyes secretly sizing up Zhou Can. Zhou Can casually glanced around the room, the furniture, walls, and appliances were all well cared for. Generally, in households with children, kids like to randomly scribble on walls, sofas, and other places. Keeping the house in such good condition was already very commendable. "You moved in right after getting the house, aren''t you worried about the pollution from renovations affecting your health? Especially since your child is so young," Zhou Can just kindly reminded. He had no intention of letting them continue renting. S~ea??h the nov§×lF~ire.net website on Google to access chapters of novels early and in the highest quality. Some owners, desperate to move into their newly renovated houses, neglect the pollution from harmful gases like formaldehyde and benzene. Children''s resistance is much weaker than adults. There were even children who, living in new houses, were diagnosed with leukemia in less than four months. Such tragedies are heartbreaking. Chapter 85 - 79 Intermediate Level Ligation Skill during Hospitalization "Thank you, Mr. Zhou for the reminder. To tell the truth and not to sound like a joke, my wife and I discussed and decided to move in without renovating. Our combined income isn''t high, and every month the mortgage, children''s educational expenses, and living expenses are quite burdensome. By moving in right away, at least we can save 2100 yuan in rent each month. We can always renovate later when our financial situation improves." Mr. He is not yet 40, but the corners of his eyes and his forehead are already densely wrinkled, and his hair, though shaved very short, cannot conceal the white roots. Not everyone is born into a rich family. More often, they are ordinary workers, struggling from the countryside to the city. They rely on their courage to struggle in the big city, all for the hope of one day settling down here, so their children won''t have to start at a disadvantage like they did. "Hehe, you and your wife are quite trendy! I''ve seen quite a few people online who choose to move in without renovations. They just arrange it simply, and it has a flavor of its own. The living experience isn''t inferior to that of a luxuriously renovated house." Zhou Can is actually quite good at making conversation. With this said, he fully preserved Mr. He''s dignity. Just look at the smile that bloomed on Mr. He''s face. "Haha, poor people have their own way of living. Mr. Zhou, please check the house to see if there are any damages." Mr. He laughed heartily. His wife also leaned halfway out of the kitchen. "When I suggested moving in without renovations, Mr. He was worried about others laughing at us and didn''t agree!" Mr. He chuckled sheepishly. "That was only because I didn''t want you and the kids to suffer." You can tell that the couple has a very good relationship. "Nowadays, it''s rare to find young women as practical and wise as your wife! Many young girls are quite materialistic, love vanity, take loans to drive luxury cars, and carry designer bags. They don''t care about their men''s wellbeing. Mr. He, you should be content that you married such a good wife!" Zhou Can smiled and complimented Mr. He''s wife. Although Mrs. He''s looks are ordinary, she manages the household well. These days, finding a woman who is willing to go through hardships with her husband, striving together to buy a house, and always considering the family, is truly rare. Marrying such a wife is definitely a man''s good fortune. Zhou Can checked the house thoroughly, it was well cared for. And very clean. "I''ve checked the house and there are no issues. I''ll return your deposit now," Zhou Can said as he returned the deposit to Mr. He. "Eh, why have you returned an extra 500 yuan? Did you make a mistake, Mr. Zhou?" Mr. He asked in surprise. "The additional 500 is a small gesture for your child. Buy some snacks, some stationery, etc." In fact, many tenants don''t clean up when they move out. Hiring a housekeeper would cost at least 200. Zhou Can always disliked taking advantage of people. Besides, Mr. He''s family really needs the money right now, living in tight circumstances. 500 yuan might not be much for Zhou Can. But with these 500 yuan, Mr. He could buy his wife and child a few more meals with meat, eat a little better. "I really shouldn''t accept this!" Mr. He quickly tried to refuse. "Keep it! It''s fate that we met in this vast sea of people." sea??h th§× Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. "How could I possibly accept this!" After several refusals, Mr. He accepted the 500 yuan. Taking back the keys, watching Mr. He and his family move out their last few personal belongings, Zhou Can sincerely wished this family all the best. He took a few photos of the interior and then posted them online for rent. With the internet so advanced today, renting out a house doesn''t require putting up small ads around or finding an agent. Just a few posts online can easily handle it. After posting, he didn''t worry about it anymore. Whoever is interested in viewing the house will naturally call. According to the market situation, he raised the rent to 2200 yuan/month. He even saw others renting similarly sized, simply renovated places for 2500 yuan/month. ¡­ Returning to the apartment, Jin Mingxi still hadn''t come back. This guy wouldn''t have gone on a date with that female classmate, right? Well, that''s his personal business, Zhou Can didn''t interfere. He just focused on his own tasks. After anesthetizing five white mice, he resumed his tireless surgical practice. His separation, ligation, hemostasis, and cutting skills'' experience points began soaring. Around eleven o''clock at night, Jin Mingxi came back. Zhou Can looked back at him. His face was flushed with success, and his eyes were smiling. He definitely went on a date with a girl. "A few classmates insisted on hanging out, I couldn''t refuse. Ugh..." He quickly rushed to the bathroom. After a burst of vomiting, he staggered out. "Are you okay?" Zhou Can quickly put down the scalpel and went forward to support him. "No...problem, just drank a few too many." Jin Mingxi collapsed on the bed and soon fell into a deep sleep. Zhou Can shook his head, helped him take off his shoes, and covered him with a blanket. If you can''t hold your liquor, drink less. He continued to practice his medical skills at the operating table. When he used up the last mouse, the clock was close to midnight. The timing was just perfect. Staying up every night definitely wouldn''t work, the body would collapse quickly. The five mice altogether increased his ligation experience by 51 points, separation experience by 60 points, cutting experience by 82 points, and hemostasis experience by 208 points. This harvest was quite good. The most satisfying was the hemostasis skill, it was almost like picking up experience points. But his hemostasis skill had now reached level 4, requiring 10,000 experience points to upgrade to director level. The difficulty was quite substantial. There was also a small surprise. His current ligation skill experience had reached level 3, 612/1000. This meant he had advanced from a lower level resident doctor to a medium level. This also meant that his suturing speed would be faster. His ligation of blood vessels and intestines would be better. Especially for anastomosing fragile blood vessels, the requirements for ligation skill were very high. A slightly stronger pull during knotting could rupture the vessel walls. Now he could also try his hand at deep knotting which he had been looking forward to. However, to suture more difficult tissues, such as the peritoneum or special organs, he likely needed to upgrade his suturing and ligation skills at least to an excellent level of a resident doctor. ... The next day Zhou Can went to work at the hospital, and the nurses drank the milk tea he treated them to, showing a much more enthusiastic attitude towards him. Upon seeing him, they all proactively greeted him with smiles. His status in the big family of the Emergency Department had also become much more solid. Money disperses; people gather. This is an eternal, unchanging rule. Spending a few hundred yuan to improve relationships with all the nurses in the Emergency Department was a very cost-effective deal. For example, if there was an issue with a prescription he wrote after practicing, the experienced nurses could easily spot it and promptly advise him to change it. Or, during night shifts when it was exhausting and sleepy, if there were no patients, he could let the duty nurses know to keep an eye on the patients he was responsible for. Then he could catch up on much-needed sleep in the duty room. There were many such benefits. He entered the operating room following Dr. Xu. Dr. Lu arrived quite early today; he was already in the operating room. The doctor on night duty was a fairly robust man, nearly forty years old, and looked mature and steady. The surgical nurse was Qiao Yu. No wonder Dr. Lu came so early. At this moment, the on-duty doctor and Qiao Yu were performing surgery on a middle-aged woman. There was a clear wound on her palm. Zhou Can had also worked several days in the Emergency Department operating room. This was the first time he had seen this male doctor. Dr. Lu seemed to be pestering Qiao Yu, but she didn''t pay much attention to him. Seeing Zhou Can enter, Qiao Yu smiled broadly, and the frost on her face melted away. However, because she was wearing a mask, most of her radiant smile was hidden. Zhou Can also nodded in response to her. Chapter 86 - 80: One in a Thousand Interesting Souls "Dr. Xu is quite early!" The male doctor took a moment to greet him. "How was the situation in the operating room last night?" Dr. Xu asked casually. "It went smoothly, didn''t encounter any troublesome cases." The person answered verbally while focusing on suturing the surgical site, his hands steady and expression concentrated. After observing carefully, Zhou Can roughly deduced that this person''s suturing ability was at least above the outstanding level of a Resident Doctor. Very strong. It seems that not everyone in the Emergency Department is of mediocre caliber like Dr. Lu and Doctor Lin. There are indeed some doctors with real skills. "This is Dr. Cui, the highest skilled Resident Doctor in our Emergency Department''s operating room. He is basically in charge of the night shifts, with Doctor Fu occasionally rotating with him." Dr. Xu had a high opinion of this person. Senior doctors feel confident letting him manage alone, indicating trust in his surgical capabilities and work attitude. Just then, Dr. Cui had just finished suturing. "Hello, Dr. Cui! My name is Zhou Can, please take good care of me in the future." Zhou Can humbled himself. "I''ve heard of your great reputation. The future star of our Emergency Department, I look forward to working with you." Dr. Cui spoke with the steadiness of a middle-aged man. His gaze was sincere, and his presence was strong. This is a pragmatic doctor. "Heh, I dare not accept the title of ''future star'' you give me. But, it''s my fortune to work with Dr. Cui." Zhou Can dared not act high and mighty in front of these senior doctors. He behaved very modestly. "Hello Dr. Cui, my name is Jin Mingxi, nice to meet you." Jin Mingxi, after all, was experienced in workplace. He took initiative to familiarize himself. "Hello! I''ve also heard of Dr. Jin''s name, one of the two key recruits personally brought into the Emergency Department by Director Lou." Dr. Cui responded with a smile. Compared to Zhou Can, Jin Mingxi clearly seemed less impressive. Possesses some skills, but lacks any standout achievements. It appears that both he and Zhou Can were key trainees recruited, yet there was a clear gap in their status. As time goes on, this gap will only widen. Of course, having just joined the Emergency Department for a few days now, if he works hard, there still lies a chance to surpass Zhou Can. While they were speaking, the patient in surgery had been taken out of the operating room by Qiao Yu. "Dr. Xu, Qiao Yu and I will take our leave first." Dr. Cui removed his gloves and mask, then waved to them. "Sure!" Dr. Xu nodded slightly. "Goodbye, Qiao Yu!" Dr. Lu waved to Qiao Yu. Qiao Yu just politely hummed in response. Then she walked towards Zhou Can, smiling sweetly, "Thank you for the second cup of milk tea you treated me to." "Not at all!" This small gesture really wasn''t a big deal to Zhou Can. "How much did the treat cost yesterday? Didn''t you say you would send me the total? Why haven''t you sent it?" She inquired. "It wasn''t a lot of money. Besides, it was my treat, how could I ask you to chip in!" Zhou Can had never intended to have her pay. Her remembering this, signifies her integrity. Volunteering to cover half the costs shows her kindness. This girl is indeed quite charming. Attractive faces are common, but interesting souls are rare. Her pure, kind heart, along with her assertiveness and slight stubbornness, adds a unique charm to her beauty. Dr. Lu has good taste to have taken a liking to her. "People say Zhou doesn''t care about such small amounts of money, yet you insist on desperately handing it over to him. Isn''t that silly? Let''s hurry up; we need to get a patient in for surgery." Dr. Lu felt especially annoyed watching Qiao Yu being kind to Zhou Can. He directly drove her out. As Qiao Yu walked out, she said to Zhou Can, "Without specifying the amount, I can only make a blind guess! Don''t mind if it''s too little!" "Really, there''s no need." Zhou Can had no way to deal with this stubborn girl. Soon, another tense day of surgeries began. As usual, he and Jin Mingxi each led a nurse to perform surgeries separately. Today, the instrument nurse for Dr. Xu was not Tang Ling, but Liu Xia. The nurse for Zhou Can was still Tian Tian from yesterday. He really felt helpless. If possible, he really wished Qiao Yu could assist him. ... Around 12 o''clock noon. Zhou Can''s phone kept vibrating. There was a call coming in. At this moment, Dr. Xu and Liu Xia had already gone to eat. Only Dr. Lu was left to watch over Zhou Can and Jin Mingxi. S~ea??h the NovelFire.net* website on Google to access chapters of novels early and in the highest quality. During lunch, the operating room can''t be left unmanned. It''s usually taken in turns to eat. However, sometimes there are so many emergency surgeries needed that the doctors often don''t have time to eat. Instead, they endure hunger and continue performing surgeries on patients. Just like a public incident that occurred the day before yesterday, Dr. Xu and Zhou Can didn''t go for lunch. Most doctors appear aloof, but actually, they always put patients first. "I need to take a call!" Zhou Can greeted and walked outside the operating room to answer the call. "Hello, is there a house available for rent?" "Yes, yes, yes!" It turned out to be about renting a house. The voice was a young woman''s, with rounded tones and very standard Mandarin. Also, her voice was very sweet. "Is your house in Bajing Lake Xiangshan Garden Phase I?" "Yes, yes, yes!" "Can the rent be discounted any further?" "I''m afraid not. It''s already the lowest, you can compare the prices." Zhou Can set the rent at 2200 yuan/month, genuinely not expensive. He has money, but he never hesitates to earn what he can. His parents taught him from a young age that even if you have a lot of money, you should never scorn a penny. Gathering sand can build a tower, gathering water can form seas and rivers. Indeed, his parents'' education on money view from childhood turned out to be quite successful. He now possesses millions in wealth, which certainly involved his parents'' help, but also his own wisdom and effort. The person on the other end of the call hesitated for five or six seconds, eventually agreeing. "Alright! When is it convenient to view the house?" "Probably after five o''clock in the afternoon." "I''ll wait for you around ten past five at the gate of Xiangshan Garden Phase I community, is that okay?" "That''s fine!" The two agreed on the time and ended the call. It looks like he won''t be able to do overtime tonight. Buying ten white mice later to practice would do the same. What he really wants to do now is to elevate his Incision Skill to Chief Level as soon as possible. Then he would have the strength to compete for Level 2 surgery opportunities. Compared to Level 1 surgeries, Level 2 surgeries would bring him bigger gains. Zhou Can returned to the operating room, Dr. Lu''s gaze turned towards him. "Dr. Zhou really is young and promising! Not only can you be a doctor, but you can also do business! I admire that!" Clearly, Dr. Lu had been eavesdropping while Zhou Can was making the call. Fortunately, it wasn''t anything confidential. Probably only heard what Zhou Can said and did not hear what the tenant said. So he could only make a blind guess here. Chapter 87 - 81 Became an Intermediary "Hospitals don''t forbid doctors from doing business, do they?" Zhou Can carefully responded. It seemed that his relationship with Dr. Lu was getting worse. Just the night before last, when he suppressed Zhou Can, he was severely scolded by Director Lou. Probably held a grudge since. Moreover, as Qiao Yu got closer with Zhou Can, Dr. Lu grew even more jealous. But so what? Let alone Dr. Lu, such a useless resident doctor, even someone like Director Xie, a hospital big shot, Zhou Can would still retort when his temper flared. He''s not currency; he can''t be liked by everyone. "Haha, that isn''t prohibited indeed. I just think Dr. Zhou is quite capable, that''s all. May I know what kind of business you do?" Dr. Lu chuckled dryly as he continued to probe. "Just a small side business." Zhou Can casually responded. "E-commerce?" "Uh-huh! Something like that!" "Maybe you can also include me sometime. My monthly salary is hardly enough for food." "When I make a fortune one day, I definitely will take you along. For now, forget it, I''m only losing money. Of course, if you don''t fear losses, consider I never said this." Zhou Can was just spouting nonsense. Upon hearing it''s a losing business, Dr. Lu immediately withdrew. No further pressing on this topic. ¡­ After surviving till the end of the shift, Zhou Can headed straight for Xiangshan Garden at Bajing Lake. Throughout the afternoon, he received several calls from tenants. It seems properties near Bajing Lake are quite popular. Many are attracted by the convenience of Metro Line 6 passing through there, and of course, because he set the rent three to four hundred yuan cheaper than others. Upon reaching the entrance of the community, he dialed the first tenant''s number. "Hello, I''m at the entrance of the community now. When can you arrive?" "I''ll be right there!" Not long after, a young woman wearing sunglasses and carrying a shoulder bag, holding a light blue parasol, approached. She seemed quite curvy. Even loose Korean-style clothing could barely mask her good figure. "Are you the one renting the house?" Zhou Can asked from a distance. The woman looked up at him. This lady looks somewhat familiar. Zhou Can wondered. "Dr. Zhou?" The other party recognized Zhou Can first. "Who are you?" Zhou Can, recognizing the voice as familiar too, could not figure out who it was since she wore oversized sunglasses and deliberately covered half of her face with her bangs and hair. "I''m Su Qianqian! You treated me just a couple of days ago, remember?" After taking off her sunglasses, she revealed a charming and pretty face. Zhou Can then recognized her. No wonder. He thought it''s rare for ordinary women to have such a hot figure and walk so elegantly. "Haha! Every time you celebrities go out, why do you dress like you''re about to rob a bank?" Zhou Can laughed at her. Su Qianqian wasn''t offended and giggled instead. "Paparazzi are everywhere, and some fans are particularly enthusiastic. To avoid trouble, we must take some precautions when going out. Hey, aren''t you a doctor? How come you''re doing real estate now?" She naturally didn''t think Zhou Can, so young, could afford to buy houses. Zhou Can was startled for a moment. Then he smiled and said, "No way, our doctor''s salary is low, have to figure out a way to increase the income, otherwise can''t even afford food." She nodded understandingly. "I heard interns even have to pay the hospital, you guys really have it tough. Where''s the house?" "Come on, I''ll show you." Zhou Can led her to apartment 2501. While opening the door, he took out a bunch of keys, fumbled for a while, and finally found the key to apartment 2501. Su Qianqian said with a laugh next to him, "You seem to have quite a lot of properties on hand!" "Hehe, relying on this for living, naturally, I need to gather more properties." Upon opening the door, Zhou Can invited her inside to see if she was satisfied. She had already seen photos of the inside of the house online and, after looking all around, nodded in satisfaction. "I am quite satisfied with the house, the layout is reasonable, and the lighting is also very good. The decoration is a bit simple, but the house is very clean." After speaking, she paused and her clear and bright eyes stared at Zhou Can. "Is the rent 2200 yuan/month?" "Yes!" "Are there any other fees? Like your agency fee, if it''s too much, I can''t afford it." "No, no, rest assured. If you are satisfied, we can sign the rental agreement now. You can choose to pay the rent annually in advance or quarterly. If you pay for one full year in advance, you can get a discount of 1000 yuan. The deposit is 2000 yuan." Knowing someone as they are. Even if the other party is a celebrity, everything must be made clear. Lest there be disputes later. "I''ll choose to pay quarterly!" She chose the payment option with the lowest amount, paying quarterly, not choosing the discounted full-year payment. This implies her funds are very tight. This made Zhou Can believe somewhat in what Tang Ling had said. "I''ll get the contract! Did you bring your ID card?" "Yeah!" She took out her ID card. Zhou Can walked to the curio shelf in the living room and took out a box from inside. Inside was a stack of blank contracts. After signing the contract, she promptly paid Zhou Can 8600 yuan, Which included three months of rent and a 2000 yuan deposit. "This is the house key, and the utility bill account numbers are all written on it. Currently, there''s a balance in each, you can check. The broadband is free to use, but it''s only 1M." Zhou Can''s service was quite considerate. She checked the utility balances, and there were no issues. "Alright, you can move in anytime now. Before I leave, I want to thank you for the album you sent, it''s very good, you sing really well!" Zhou Can thanked her. "Hehe, thank you for the compliment, glad you liked it!" She was quite happy that he praised her singing. "One last gossipy question. Did you really sell your house and car to compensate your fans'' losses?" She now needs to rent a place to live and can only afford to pay rent quarterly, indicating she is short on money. Sear?h the N??eFire.¦Çet website on Google to access chapters of novels early and in the highest quality. "Can I refuse to answer that?" "Of course! I just think that it shouldn''t be your company bearing the responsibility for the incident? Making you compensate is too harsh." "Thank you, Dr. Zhou, for your concern, I cannot disclose anything about these matters! I should go and move my stuff now, goodbye." She clearly didn''t want to discuss these private matters. And seemed somewhat guarded towards Zhou Can. Being a celebrity is actually quite exhausting. "Goodbye!" Zhou Can was just feeling indignant about her plight, which led him to ask an extra question. Since she didn''t want to talk, he naturally wouldn''t ask further. After leaving the residential area, he checked the time, 17:47. It was the peak of the rush hour and the roads must be very congested, obviously, taking a taxi was not a wise choice. He decided to take the subway back to the hospital. For meals, he still felt more confident in the hospital''s staff canteen. He also needed to go back to the hospital to buy ten mice. He could take care of both tasks together. At this moment, the subway car was quite full, all seats were already taken. In this big city of nearly eight million people, what is never lacking is people. Zhou Can had no choice but to move towards the end of this car and eventually found a relatively empty spot to stand. He didn''t like to be crowded with too many people, mainly afraid of being pickpocketed. He had his phone stolen once before. In front of him, sitting on the seats were two young girls and a man in his late thirties. The three seemed to know each other as they chatted intermittently. Zhou Can listened for a bit and realized that the two women and one man were colleagues. They probably all worked in the same hospital. Chapter 88 - 82: The Great Flood Hits the Dragon King Temple The youngest one is a female nurse; it''s hard to tell whether she is a trainee or a certified nurse. One thing for sure is she hasn''t been working long. Another woman, around thirty years old, seems to be a Resident Doctor. It appears she is attempting to become an attending doctor. As for the man, his identity is unclear, only that he is a doctor with a seemingly high status. Both the female nurse and the female doctor were flattering and ingratiating themselves to him. The subway was speeding along. Compared to buses and taxis, it boasts advantages like faster speeds, no traffic jams, and taking fewer detours. Just like that, it passed one station after another. Passengers continually boarded or alighted. Suddenly, a plea for help came from the broadcast. "Dear passengers, a child has suddenly fainted and is convulsing in Car 3, immediate assistance is needed. Medical staff or passengers with rescue knowledge, please hurry to Car 3 to help. Other passengers, please cooperate by clearing the way for a life passage, thank you!" It''s common for passengers on trains, planes, and subways to experience emergencies. Zhou Can did not expect to encounter one this time. Upon hearing the broadcast, the three medical personnel in front of him immediately stood up and ran towards Car 3. Zhou Can highly praised their actions. He is just a junior resident doctor; there was no need for him to rush ahead of these people. He followed them to Car 3. Before reaching Car 3, he could hear a cry filled with sobs. "Please, save my grandson, I beg you to save him!" The old woman was crying in desperation. "I am a doctor from Tuya Second Hospital, let me see your grandson!" That male doctor turned out to be from Tuya Second Hospital. This was quite surprising to Zhou Can. No wonder these three were on the same subway ride; they likely got off work together. The establishment of Tuya Second Hospital was partly to relieve the treatment pressure at Tuya Hospital. Additionally, there were other beneficial considerations. For instance, placing some old colleagues whose medical skills were not outstanding. Only by moving those old colleagues, who occupied positions without significant contributions in medicine or academics, could newer blood be brought in to maintain better competitiveness for Tu Ya. Besides, constructing Tuya Second Hospital would also expand Tu Ya''s reputation. Some experimental projects that were not feasible at the main hospital could be piloted at Tuya Second Hospital. In case things didn''t turn out well, it would have a minimal effect on the reputation of Tuya General Hospital. In recent years, the oncology department of Tuya Second Hospital had developed quite well. The child, only about four or five years old, was lying on the floor of the carriage, his face turning blue, and he was nearly unconscious. Calls and shoulder pats elicited no response. "Everyone, please don''t crowd around, step back. Keep the air around the child clear." That female nurse immediately dispersed the onlookers, appearing quite professional. She noticed Zhou Can standing still and frowned. She seemed to recognize that Zhou Can was from the same carriage. "Sir, please step back a bit. It''s best if you return to your original carriage; you don''t need to stand and watch." Zhou Can''s lips moved, but he swallowed back his words of explanation. He cooperatively moved aside. Because the female nurse didn''t seem to want to hear his explanation. At that time, a crew member also came to maintain the order at the scene. After examining the child, the male doctor had a grave expression. "Madam, please don''t cry. Tell me, how did your grandson faint?" "I, I don''t know... He was playing just fine, suddenly he clutched the area below his neck and then fell to the ground. I quickly went to pull him up, asked him what was wrong? He just kept shaking his head, his expression very painful, as if he was extremely terrified." The old lady recounted the incident. Just below the neck, isn''t that the heart area? The child''s symptoms, such as food choking, heart disease, and even epilepsy, could be possible. "Does he have a history of heart disease? Like congenital heart disease?" The male doctor again checked the child''s condition, including his mouth. Estimated from a second exclusion if it was food stuck or something. Still no significant findings. He has begun to suspect it might be a heart disease. "The child''s grandfather had heart disease, the child is so young, he shouldn''t have it! Doctor, please save my grandson! Please..." The old lady, seeing her grandson''s condition worsening, knelt down in desperation and kowtowed to the male doctor. "Grandma, don''t panic, Dr. Shangguan is meticulously asking about the illness, just to diagnose the cause quickly and save your grandson more effectively," said the female doctor as she helped the elderly lady up and gently comforted her. "Does the child''s father have heart disease?" The male doctor asked further. "Does coronary heart disease count?" The old lady slumped on the ground, not willing to get up, and then responded after some thought. "Hmm!" The male doctor''s eyes brightened and his expression firmed a lot. Both grandfather and father have a history of heart disease. This kind of family history is a very important reference in diagnosis. "I just examined the child, there''s almost no heartbeat, no breathing either, I''m immediately attempting CPR. I suspect your child has a hereditary heart disease. Sun Qian, call 120 and prepare for the nearest Emergency Department doctor to take over." Having said that, the male doctor laid the child down and then started to perform CPR urgently. This is also the most common lifesaving method. Used often when a patient suddenly faints and both heartbeat and breathing stop. The rescue time is very short, within 4 minutes is the best. If not revived within thirty minutes, it can generally be declared dead. Generally speaking, if both heartbeat and breathing suddenly stop, after 4 minutes, irreversible damage due to lack of oxygen will occur to the brain. The longer the delay, the worse it is. Resuscitated victims may end up with intellectual disabilities or even become vegetative. In medical terms, this is called the "golden 4 minutes" of rescue. Dr. Shangguan''s CPR actions are very professional. Thirty chest compressions and artificial respiration alternated. But after two rounds of compressions and artificial respiration, the child still showed no response. The child''s grandmother started wailing loudly. Dr. Shangguan''s expression became tense, and he involuntarily increased the force of his compressions. Zhou Can watched from not far away. The child''s face turned cyanotic, now turning a scary purplish black. S§×arch* The ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. He stepped forward again to further inspect. Like fingertips, toes, tongue, etc. "What''s wrong with you? Don''t you see that we are trying to save a life? Why are you watching the excitement here!" The female nurse noticed Zhou Can approaching the child again, and she was really angry. The rescue was not going smoothly, and this person kept causing trouble. "I''m also a doctor. Seeing no progress in your rescue, I wanted to step forward to see if I could help. I meant no harm," Zhou Can explained. "Which hospital are you from?" The female nurse asked with her chest out. Not to show off her impressive cleavage, but from a genuine pride in her identity as a nurse at Tuya Second Hospital. Tuya is currently the leader in the medical field within the province. Personnel from the Second Hospital do not consider themselves a branch of Tuya, but as part of Tuya. Pride and confidence are deeply engraved in their bones. "Tuya Hospital." Zhou Can answered calmly. Yet his gaze was fixed on observing the child''s fingertips closely. The fingertips were purplish, especially the nails were severely purple. "You are a doctor from Tuya Hospital too?" The female nurse was extremely surprised. Even Dr. Shangguan and the female doctor named Sun Qian turned their eyes towards Zhou Can in unison. Because the name "Tuya" is a gold label in the medical field within the province. Chapter 89 - 83: Leave After the Deed Jin Mingxi left his position as a chief doctor at the county People''s Hospital and fought hard to become a resident at Tuya Hospital, purely because Tuya Hospital was too powerful. Even Provincial People''s Hospital, Provincial Children''s Hospital, and 701 Hospital were far behind it. Only in such an environment could one learn truly formidable medical skills. "Yes!" Zhou Can''s reply still came with an indifferent expression. "Affiliated Second or General Hospital?" The female nurse was now determined to probe thoroughly. "General Hospital!" Zhou Can''s response once again caused the three people to change their expressions in unison. Doctors from the Affiliated Second Hospital, when faced with doctors from the General Hospital, felt somewhat inferior. Although no one ever stated it outright, everyone was very clear about it. Most doctors at the Affiliated Second Hospital were those who had failed the academic competition at the General Hospital and had been eliminated. For many older doctors, being outperformed by younger doctors in their thirties and forties was an unspoken pain. Academics, medical skills, they were defeated in both arenas. The only thing that might remain a source of pride was the abundant diagnostic and treatment experience accumulated over a lifetime. The era was developing rapidly; older doctors generally had lower education levels, and only a very small fraction managed to not be eliminated by the times. These individuals, through continuous learning and keeping up-to-date, eventually became the leading figures in various medical fields in contemporary China. Such as Elder Huang in the field of breast cancer. In the field of Orthopedics, heirs of the Jiang family and Elder Wu, and so forth. All are towering figures in their respective medical fields. Only those capable of imposing strict demands on themselves and who continued learning were exceedingly rare among medical predecessors. Most of them enjoyed the benefits of fame, life, and honor after becoming well-known. Tuya Affiliated Second had many such old doctors. The female nurse questioning Zhou Can heard that he was actually from Tuya General Hospital, and her previously arrogant demeanor diminished significantly. To put it bluntly, she now felt a bit oppressed due to her own inferiority. "Which department are you from at General Hospital?" She tried to regain some confidence, especially since this absurdly young doctor hadn''t even looked her straight in the eye up till now. She initially thought this was because he was too shy to look at her. But now, knowing Zhou Can was from Tuya General Hospital, she realized he probably never took her seriously from the start. This sense of being belittled caused her anger. "Emergency Department!" "Oh¡ªso you''re a doctor from the Emergency Department! You look so young, an intern perhaps?" Her confidence was returning. Doesn''t everyone at Tuya know that the General Hospital''s Emergency Department is trash? "Yeah, more or less. Resident." Zhou Can casually responded while quickly diagnosing the boy''s condition in his mind. His face was purplish, and so were his fingertips. His breathing had suddenly stopped; what about his heartbeat? His gaze turned to Dr. Shangguan, who was still fervently performing cardiopulmonary resuscitation. Suggesting to check the heartbeat again at this time would likely not be agreed upon. If the child died, they might even blame Zhou Can for it. When Dr. Shangguan described the child''s symptoms, he mentioned the complete absence of breath and barely any heartbeat. That means there was still a faint heartbeat. At that moment, he inadvertently caught a glimpse of something green in the child''s pocket. He immediately pulled it out¡ªit was a pack of Green Arrow gum. Only three pieces left. "Did your grandson have gum before the incident?" Zhou Can asked the old lady. But the old lady was crying hysterically and was somewhat unclear minded. After about ten seconds, she nodded and said, "Yes! He likes chewing gum. I bought him a pack before we boarded the vehicle." "Dr. Shangguan, stop pressing. This child is likely suffering from an airway obstruction due to a foreign object." Zhou Can said loudly. [Diagnostic Experience Points +1.] Everyone was shocked. After all this time, it turned out to not be a heart problem, but a foreign object causing asphyxiation. Sear?h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. However, as Zhou Can had just declared his identity as a doctor from Tuya General Hospital, this somewhat instilled trust amongst the onlookers. Dr. Shangguan was stunned. His face felt feverish, "It shouldn''t be possible, I''ve checked the child''s mouth twice." "It might be lodged deeper, hard to see without a laryngoscope. Let me try." Zhou Can, without further explanation, picked up the child, pressing his stomach against the child''s back, tilting the child''s head downwards. He clasped his hands around the child''s abdomen, approximately three fingers above the navel. Then he forcefully thrust his hands backwards. Bang! Once! Bang! Twice! Everyone watched, hoping for a miracle. The child''s hands hung limply, his complexion was purple, indistinguishable from being dead. ... It wasn''t until the sixth time that a chunk of chewing gum shot out of the child''s mouth. It fell to the ground. "It''s out, it''s out! After all, doctors from Tuya General Hospital are more skilled!" The onlookers cheered. The Heimlich maneuver is one of the best methods to rescue a child from choking. Using fingers to probe or giving water are completely wrong methods. They would only lead to the child dying faster. Hugging the child''s abdomen from behind and using the strong abdominal pressure wave to propel the lodged object out of the throat is the correct method. Zhou Can laid the child flat on the ground and checked him carefully again. He found that the child was breathing. He breathed a slight sigh of relief. Dr. Shangguan, on the other hand, was blushing with shame. From the beginning, he was misled by the child''s grandmother, thinking the child had a hereditary heart condition and it was surely a heart attack, which then led to using the wrong methods for rescue. That female nurse, rather than being haughty, now didn''t even dare to speak to Zhou Can. Still afraid of being ridiculed by Zhou Can. However, Zhou Can still didn''t even glance at her. Female doctor Sun Qian hadn''t been much help all along, she deeply looked at Zhou Can, seemingly wanting to remember this exceptionally skilled young doctor. "Wow..." After a moment, the child started crying. His eyes also opened. The elderly lady was overjoyed. "He''s alive, he''s alive! My grandson is alive!" She hugged the child excitedly. Then, remembering something, she set the child down and bowed her head to Zhou Can. Had it not been for Zhou Can saving her grandson, it would have been disastrous for her family. She had no idea how to face her son and daughter-in-law otherwise. "Don''t do that, don''t do that. Although the child is awake, he still needs to be taken to a hospital for a check-up. Also, if the child is too young, it''s best not to let him have chewing gum, jellies, peanuts, and such. Children are naturally active and accidents can easily happen." Zhou Can helped the elderly woman to stand. Saving lives is inherently a doctor''s duty. Successfully rescuing this little boy from the hands of death was the most gratifying thing for Zhou Can. After the rescue, he didn''t stay any longer. He quietly left. Having accomplished the task, he modestly concealed his abilities and identity; this is truly being free-spirited. ... Back at Tuya Hospital, he acted as if the rescue never happened. He went on with his usual activities without mentioning the incident to anyone. After dinner, he bought eight white mice and returned to his dormitory to continue earning surgery Experience Points. Every day, he silently improved his medical skills. Describing his progress as rapid might be an understatement. But his rate of improvement was unmatched. Even the most prodigious talents would seem lesser in front of him. Chapter 90 - 84: The Agreement with Qiao Yu The next day at work, he was cornered by Qiao Yu. "Hey, I transferred you half the money for the milk tea, why didn''t you accept it?" "Really, it''s not necessary." Zhou Can was somewhat speechless with her. He had never seen such a stubborn girl. Once she set her mind on something, not even nine bulls could pull her back. "Are you saying it''s too little?" she asked, tilting her beautiful and unconventional face. S§×ar?h the NovelFire.net* website on Google to access chapters of novels early and in the highest quality. "I give up, okay, I''ll take it!" Zhou Can opened WeChat and accepted the money in front of her. Then he sent a thank-you expression with ''Thanks, boss lady.'' Pfft! She chuckled, "Who''s the boss lady, you''re sending it to the wrong person!" "Hey, I want to discuss something with you!" Zhou Can took this opportunity to make a small request. "Go ahead!" Her pure and large eyes gazed at Zhou Can. "I really enjoy doing surgeries with you. Could you arrange for more morning shifts?" Zhou Can had teamed up with Tian Tian for two days and it was really unbearable. Doing surgeries with Tian Tian was sheer torture. If it went on like this, his life would be several years shorter. Compared to that, doing surgeries with Qiao Yu was truly a pleasure. The whole process was a joy, saving lots of trouble. And the surgical efficiency was top-notch. "I''m on the morning shift today! After work, I''ll talk to the head nurse to see if she can schedule me for more morning shifts. But I''m not too hopeful. Although nurses are not as understaffed as doctors, I usually spend more time in the infusion room, and constantly assigning me to the operating room as an assistant would make the other nurses unhappy." Qiao Yu''s face bloomed with a happy smile when she heard how much Zhou Can enjoyed doing surgeries with her. But the nursing shift arrangements were much more complicated than imagined. Especially in the Emergency Department. Many nurses hold multiple roles, and fixed positions are generally assigned to nurses with strong professional skills or seniority. Qiao Yu was just a newcomer and unlikely to enjoy such treatment. Of course, if one had a powerful backing, all rules could be broken. "You just try it, and if it doesn''t work, forget about it. Once I gain some standing in the Emergency Department, if you''re willing, I''ll talk directly to Director Lou," Zhou Can thought for a moment and said seriously. "Mhm!" She nodded in agreement, slightly embarrassed. Zhou Can didn''t say anything more, but he set a small goal for himself. To achieve success as soon as possible. Getting results wasn''t that hard to speak of. As long as he elevated most of his medical skills to the Chief Level or above, he would be able to wield some influence in the Emergency Department. After all, he still had Dr. Xu as his support. Even a lean camel is bigger than a horse. Although Dr. Xu had been demoted and transferred to the Emergency Department after an incident, his status there was not low. This could be seen from Director Lou''s attitude towards him. ... In the operating room, Zhou Can got his wish to work on surgeries with Qiao Yu today. Having her as his assistant was awesome. Plus, Zhou Can had improved his medical skills in the past two days, and the speed of surgeries increased significantly. Jin Mingxi was once again outperformed by him. Today, Zhou Can performed five surgeries, while Jin Mingxi only completed three. Zhou Can was exceptionally powerful today, and Dr. Xu noticed. A smile appeared in his eyes. But he said nothing. Jin Mingxi felt a sense of despair. Zhou Can must have been cheating today. Yesterday, Zhou Can did five surgeries, and Jin Mingxi could at least do four. Why had the gap widened so much today? Jin Mingxi instinctively looked at Qiao Yu, seeming to understand a bit. A weird smile appeared on his face. A good horse indeed needs a good saddle! And adding a bit of youthful hormones, that made it even more formidable. Around eleven in the morning, Dr. Xu received a phone call. "Zhou Can, the Medical Department is asking for you to come over immediately." "Alright." Zhou Can had just finished a surgery and hadn''t called in a new patient yet. "Did you work overtime yesterday?" Dr. Xu asked with some concern. "Nope!" Zhou Can left work as soon as his shift ended yesterday, first rented out his house, then went back to his apartment and earnestly practiced surgery until midnight. "Didn''t stir up any trouble, did you?" Dr. Xu, with much more experience, knew that the Medical Department wouldn''t invite a resident doctor over for tea without reason. Usually, it meant trouble had occurred. They would first summon the person to inquire about the situation. And then proceed with further actions. "I shouldn''t have." Zhou Can carefully recalled the events, he neither had any disputes with patients nor made any major mistakes in diagnosis and treatment. However, he indeed performed many surgeries these past few days. It''s hard to guarantee that nothing unexpected happened. At this moment, his thought shifted as if he had realized something. "Teacher, don''t worry, perhaps it''s because I saved a child choking on a foreign object on the subway yesterday. It might be a good thing." The only thing Zhou Can could think of was this incident. Although he didn''t leave his name at the time, the nurse from the Tuya Second Hospital kept asking questions, and he answered them all. It wouldn''t be difficult to find him if necessary. "I don''t think that''s the tone. You better go and check it out." Dr. Xu''s eyebrows were still furrowed. He had finally taken on a very talented apprentice and was worried that something might go wrong. "Qiao Yu, sorry, go ahead and take care of other things!" Zhou Can looked at his partner. "It''s okay. You... be smart!" She finally squeezed out three words. But her eyes conveyed concern and anxiety. "Heh, am I not smart enough?" Zhou Can was amused by her. Yet he felt quite warm inside. "You''re just a bit better than the second senior brother! Giggle¡­" She laughed along, and the tense atmosphere seemed to have relaxed quite a bit. "Zhou Can, sometimes the Medical Department can be quite deceptive. It''s always good to be cautious." Jin Mingxi had worked in People''s Hospital for over a decade and was very familiar with every department of the hospital. The Medical Department''s main responsibility is medical business, always prioritizing the hospital''s interests. One could say, all administrative departments are heartless machines. "I will." Zhou Can agreed and left the operating room, heading to the office of the Medical Department. He knocked on the door. "Who are you looking for?" The female clerk sitting closest to the door looked up at him. "I''m Zhou Can from the Emergency Department, the Medical Department informed me to come over." "Oh, it''s Dr. Zhou. Vice Director Yin is already waiting for you in Conference Room No. 2. Go quickly, it''s right next door." She pointed to the right. "Okay, thank you." As Zhou Can entered Conference Room No. 2, he faintly heard someone yelling in the nearby medical dispute resolution room. "The child''s ribs are broken in three places, you must give us an explanation..." He didn''t know which doctor had caused trouble this time, breaking a child''s ribs. However, some family members are unreasonable, insisting it''s the doctor''s fault when it clearly isn''t. Zhou Can had encountered several unreasonable family members or patients during his internship. Some would make a scene just to get a reduction in their medical bills. Or they believed they were right, just by briefly searching on Baidu or hearing things through the grapevine, and questioned whether the doctor''s procedure was incorrect. Dealing with such patients or family members was a huge headache for the doctors. After working hard all day saving lives, they still needed to communicate patiently with families. Sometimes, it could lead to a few punches from the family members or even getting hit with a stool. That''s why the chairs provided for family members now are of only two types. Either immovable benches or light plastic stools. In case a family member or patient goes berserk, throwing a chair wouldn''t cause too serious an injury to the doctors. Zhou Can walked into Conference Room No. 2 and found that there was only one middle-aged woman with a hint of authority on her face. What matter could be so important as to have a vice director personally meet with him, a mere resident? Chapter 91 - 85: Swear Not to Bow Down. Support from All Sides (Please Subscribe) Knock, knock, knock! Although the door was open, knocking is the bare minimum of courtesy. "Is that Zhou Can?" Vice Director Yin''s phoenix eyes held a piercing sharpness. "Um!" Zhou Can nodded. "Come in! Please, take a seat!" Her tone was relatively gentle. Zhou Can walked into the conference room and sat down opposite her. "Dr. Zhou, no need to be nervous. I wanted to discuss something with you." "Please speak!" Zhou Can, remembering Qiao Yu''s advice to be clever, braced himself. "Did you save a child who had a foreign object stuck in their throat on the subway yesterday?" "That did happen." Zhou Can readily admitted. "Well... such an act of saving the child is commendable and praiseworthy. However, after an examination, the child was found to have three broken ribs, and the family has come to the hospital causing trouble, demanding an explanation." Vice Director Yin''s tone grew heavier by degrees. Upon hearing this, Zhou Can actually breathed a sigh of relief. So, it was about this. He had only performed the Heimlich maneuver, and the possibility of causing the child''s rib fractures was extremely low. Instead, it was Dr. Shangguan from Tuya Second Hospital, who, after two unsuccessful attempts of CPR, had increased the force of the compressions. That is most likely what caused the broken ribs. There have been similar reports in the news, where some medical personnel or laypersons overexerted during CPR resulting in the patient''s rib fractures. This constitutes a severe secondary injury. It''s a result of improper practice. "At the time, the child was unconscious and the first to administer aid were three medical staff from Tuya Second Hospital. Among them, Dr. Shangguan performed CPR on the child. I only performed the Heimlich maneuver. It should have been him who broke the child''s ribs." Zhou Can endeavored to state the facts of the situation. "No, no, no, you are the one who did it." Vice Director Yin immediately denied it. Zhou Can sensed something wasn''t right. Although Tuya General Hospital and Second Hospital are affiliated, there is definitely a difference when it comes to direct interests. It''s like two brothers who have split the family assets; they would certainly act independently. The likelihood of the older brother earning money and giving it to the younger for spending is very small. Likewise, the younger brother losing money and the older one filling the gap is equally unlikely. If Zhou Can hadn''t stated the facts, Vice Director Yin might think the broken ribs were his doing. This could be understood. Now that he had made the situation very clear¡ªshe might be an administrator, yet she also knew medical knowledge¡ª Which method of resuscitation is more likely to break ribs, surely she would not be unaware? Moreover, her insisting that Zhou Can was responsible was blatantly biased. This was very inappropriate. "If you really want to find out who is responsible, it''s very simple, look at where on the child''s ribs the fractures are. If it''s near the heart, then there''s no need for me to say. If it''s near the abdomen, I''ll acknowledge it." Zhou Can, holding back his anger, spoke calmly. Vice Director Yin seemed to have anticipated that Zhou Can would not readily agree. She changed her domineering tone and earnestly advised, "Saving a child who could have died is a marvelous deed. The hospital highly commends and affirms your proactive lifesaving behavior. Dr. Zhou, you are still young. Even if you admit that you are the one who broke the child''s ribs, you won''t receive any substantial punishment." She had begun trying to work on Zhou Can''s thoughts. "Nowadays, the relationship between doctors and patients is generally tense. The family has come to the hospital demanding an explanation. For you, it would just be a formality, a mistake to admit and be done with it. All subsequent compensations and settlements will be handled by the hospital. How does that sound?" Vice Director Yin presented a series of promises. At first glance, such protection from the hospital for its own doctor is indeed touching. But unfortunately for Zhou Can, who was born into a wealthy family and learned from his parents, his ability to interact with others and judge various interests is far beyond that of ordinary people. An average newbie in the workplace might actually naively agree. After all, he is facing the Vice Director of the Medical Department. Yet Zhou Can was not so easily fooled. "No! I clearly didn''t do this, why should I admit to it?" Zhou Can pointed out the crux of the problem. He was not at fault in the first place, thus there was no need to admit guilt, nor any need for the hospital''s so-called protection. Vice Director Yin''s face turned a shade uglier. This young resident was not easy to sway! S~ea??h the novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. "Zhou Can, whether it was you who did this or not, you should think of the bigger picture, the hospital''s reputation. Allowing the family to continue causing such a fuss will only damage the hospital''s reputation. If you feel wronged, the hospital can offer you a reasonable compensation." Seeing that persuasion was futile, she directly proposed to buy Zhou Can off. To have him accept the blame. "Sorry, I need no compensation, just my innocence." Zhou Can refused again. He was not in need of money, and he wasn''t even willing to hear the compensation terms offered by Vice Director Yin. He didn''t consider it at all. "Zhou Can, this decision was reached after discussion among several leaders of the Medical Department. We understand your feelings and hope that you will uphold the hospital''s reputation and accept this decision for the greater good." She emphasized her words, her expression becoming more severe. This was straightforward power play. "With all due respect, to uphold the hospital''s reputation, proving my innocence and letting the family know that I did not do this¡ªthat''s what truly upholds the hospital''s reputation. What I don''t understand is why you''re so bent on forcing me to take the fall. What are you aiming for?" Chapter 92 - 85 Never Bow Down. Support From All Quarters (Subscribe Please)_2 Zhou Can didn''t bother with niceties anymore. He understood that the hospital leaders couldn''t be easily offended, as he was just a minor figure. But even minor figures have their dignity and bottom lines. He wouldn''t admit to something he hadn''t done, no matter who tried to force him. Deep down, he realized that there was more to this situation than met the eye. "So, you disagree? By refusing to comply with the hospital''s decision, according to the staff management regulations, we will suspend all your duties and work. Go home and cool off, reflect on this. Whenever you come around, feel free to come to me." Vice Director Yin spoke with great conviction and an imposing presence. This issue wasn''t big, but it wasn''t small either. sea??h th§× Nov§×l?ire.n(e)t website on Google to access chapters of novels early and in the highest quality. It seemed that she wasn''t afraid of Zhou Can making a fuss at all. This implied that she had backing. Who could be behind Vice Director Yin of the Medical Department, pushing her to this extent? It was probably someone on the hospital''s executive level, at least. This thought sent shivers down Zhou Can''s spine. The bigger the unit, the deeper the waters and the more complex the personnel issues. Forget about him being a minor resident doctor; even those at the Chief Level couldn''t stir up much. The hospital would hardly be affected by the absence of one or two resident doctors. By putting it this way, Vice Director Yin had really left him no room to maneuver. Zhou Can stood up, his gaze cold and fixed on Vice Director Yin. Not until she started to feel unnerved and showed a slight tremor deep in her eyes did he reply with neither servility nor overbearance, "You have your decisions, and I have my stance. I won''t carry this black cauldron; no compromise. Moreover, if this decision was made by a single hospital executive, you can tell them they might not be able to overpower me. It might even backfire on them. If it''s a decision made by several executives, then it means Tu Ya is thoroughly corrupt, and if that''s the case, where I''m not welcome, I''ll find my place elsewhere." Zhou Can was being completely straightforward. Vice Director Yin''s face changed dramatically, her eyes not just showing anger, but also panic. She must have realized this resident doctor was stronger and harder to manipulate than she had imagined. "One last word of sincere advice, ''As man sows, so shall he reap; only those who walk uprightly need not fear a skewed shadow.''" With that said, Zhou Can didn''t dawdle. He left Vice Director Yin, her face ashen, and walked away. He wanted to see just how dark this world could get. His reasonably good fortune and the significant financial support from his parents gave him a strong foundation. Additionally, bringing this matter to light would reveal the truth and bolstered his confidence greatly. Some injustices he could bear. But there were some losses he would not accept, no compromise. A true man would rather stand tall and die than live on his knees in humiliation. After leaving the Medical Department, Zhou Can did not return to the Emergency Department. Instead, he directly bought ten white mice and went back to his apartment. To forge iron, one must be strong themselves. Only by honing his medical skills could he gain a voice and influence. Perhaps one day, when powerful enough, he could utterly disregard any oppressive or interfering forces. In ancient times, social classes were strictly divided¡ªemperors, literati, officials, doctors, monks, soldiers, peasants, craftsmen, merchants. Merchants occupied the lowest echelons. Modern society is governed by law. Those with true abilities can genuinely stand up to ordinary power. Today, having been subjected to injustice, an idea began to take root in Zhou Can''s heart. One day, he aspired to build his own medical team and elevate his medical skills to the utmost. To step outside of hospital politics and constraints. If he was unwilling, even the hospital president would be ineffective. Back at his apartment, he calmed his mind and began practicing medicine. His movements were steady, his expression focused, seemingly unaffected by any external issues. No wonder Dr. Xu said he possessed a calmness that others lacked. If it were someone else, even someone in their forties or fifties, they might be too upset to accomplish anything. Around 4 p.m., his apartment door was opened. "Please, come in!" Jin Mingxi opened the door and gestured for someone to enter. A figure, not particularly tall, walked in. "Teacher!" Zhou Can turned his head and saw it was Dr. Xu. He quickly put down the electrocautery in his hand and stood up to greet him. Dr. Xu was as serious as ever. His gaze fixed on Zhou Can. "Dr. Xu noticed you didn''t return to the operating room and was worried, so he asked me to bring him to you," explained Jin Mingxi. Zhou Can felt a knot in his stomach. Having just experienced the hospital leadership''s coldness and ruthlessness, the care from Dr. Xu seemed exceptionally heartwarming. True affection does exist in this world. This teacher had indeed treated him very well. "Kid, didn''t we add each other on WeChat? I thought at least you would message me there. But in the end, you said nothing, just stayed in your apartment without a word. Do you still consider me your teacher?" Dr. Xu spoke with a reproachful tone. Zhou Can asked him to sit down, "This matter is quite troublesome, beyond what you could resolve, which is why I didn''t tell you." If Dr. Xu were still one of Tu Ya''s Three Famous Surgeons, still a chief physician, he might have been able to speak up for Zhou Can. But now, Dr. Xu was more like a beached dragon, barely able to protect himself. "What exactly happened?" Dr. Xu''s stern gaze bore into him. Jin Mingxi looked at him with the same concern. People are emotional beings. Seeing someone they care about in trouble, sympathy and concern are natural reactions. "Yesterday on the subway, didn''t I save a child who was choking on a foreign object? Now the family has come to the hospital causing trouble..." Zhou Can recounted the whole incident. Chapter 93 - 85: Never Bow Down. Support from All Directions (Subscribe Please)_3 After listening, Dr. Xu''s hands were tightly gripping the armrests of the chair, his lean arms veined with popping sinews. His face was filled with rage. "This is too much of a bullying. Don''t panic just yet; let me make some inquiries and then see if I can come up with a solution." Dr. Xu, after all, is an old hand versed in the ways of the world, extremely angry, yet he had not lost his reason. Nor had he acted rashly. "I think the hospital leadership is clearly trying to protect Dr. Shangguan from Tuya Second Hospital. They let the real lifesaver take the fall, which is just too unfair." Jin Mingxi spoke indignantly. S~ea??h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. "As long as Xiao Zhou doesn''t agree, they can''t necessarily succeed in pinning this shit bowl on his head. It could well backfire on them. Dr. Shangguan has a rare name, and is around thirty-eight or thirty-nine years old. If I''m not mistaken, he is very likely a trump card that Tuya Second Hospital is grooming." Dr. Xu has been with Tuya Hospital for quite some time and knows quite a bit about the main hospital and Second Hospital. Zhou Can had guessed some of it in the Medical Department. Vice Director Yin was trying hard to make him take the fall to protect Dr. Shangguan, the real troublemaker. As for the background of Dr. Shangguan, Zhou Can knew nothing. That''s why he tried to press Vice Director Yin. Regrettably, leaders have strong determination. From beginning to end, not a shred of truth was revealed. "What kind of background does Dr. Shangguan have?" Zhou Can asked curiously. "The Tumor Medical Science department at Tuya Second Hospital has been the only one developing well in recent years. This Dr. Shangguan''s name is Shangguan Yan, with a graduate degree, specializing in stomach and intestinal tumors. He has published an academic paper on gastric cancer ablation surgery in the SCI journal and caused quite a stir. He is quite famous in the domestic tumor medical field and also has a certain reputation abroad. He is a young famous doctor who Tuya Second Hospital is focusing on promoting." The most prestigious medical journals recognized currently are the SCI journals. Although SCI is divided into several categories, the overall academic standard of doctors in China is rather low. Especially when compared to the United States, there''s a considerable gap. There''s no helping it, for they are a gathering place for the world''s top talents, and there are many remarkable experts indeed. For evaluating a Full Professor in China, an important indicator is how many papers have been published in SCI journals? As for the assessment of the impact factor score, in many cases, it is overlooked. Only very few remarkable individuals have an impact factor score over 5 points for their SCI journal publications. Dr. Shangguan''s published SCI paper was able to make a stir; the score must not be low. Moreover, with Tuya Second Hospital willing to promote him as a key famous doctor, his strength must not be weak. "Shangguan Yan''s surgical skills are excellent, too. It''s said that in minimally invasive surgery for gastrointestinal tumors, his ability is already comparable to an associate chief physician. Presently, there is no obstacle for him to advance to the level of associate senior. With his academic and surgical skills, he''ll certainly become the leader of the gastrointestinal tumor department at Second Hospital." Dr. Xu revealed the general information about Dr. Shangguan. Such a distinguished doctor naturally cannot have the slightest blemish. Therefore, Zhou Can, as a small standardized trainee, had become the unfortunate scapegoat. The adult world prioritizes interest. Making Zhou Can make certain sacrifices to preserve Dr. Shangguan''s perfect image as a famous doctor is beneficial for the hospital and for Shangguan Yan himself. As for Zhou Can, since he is just a standardized trainee, a mistake in his operation while saving someone is something the public can accept and understand. This matter could be perfectly resolved. But had they considered Zhou Can''s feelings? It''s like letting another man sleep with your wife on the wedding night. It seems like a small loss, but no man could easily accept it. "Xiao Zhou, when I came in and saw you calmly practicing surgery, it shows that your state of mind is very stable. I''ll go and make inquiries at the hospital and notify you when there is progress." After understanding the whole situation, Dr. Xu stood up and left. ... A day went by with no news. Zhou Can remained calm. Even if he left Tuya, he would make a grand exit, not letting those despicable people feel at ease. He had already thought of some countermeasures. If really forced to leave Tuya, he would spend money to push the truth onto hot search, putting all the involved hospital leaders on the grill. To make Dr.Shangguan''s reputation fall apart. The situation hadn''t reached the worst step yet. So he stayed calm, waiting patiently for the outcome. Moreover, he had an ace up his sleeve. Cao Zhengguo. With his ability to assess people, he felt there was at least a 50% chance that Cao Zhengguo would stand up for him. But an ace played is an ace gone. So unless it was a critical moment, he was unwilling to use it lightly. At this moment, his phone buzzed once. A WeChat message. Those who could add him on WeChat were acquaintances, friends, relatives. His heart stirred; was it sent by Dr. Xu? Upon opening it, to his surprise, it was sent by Nurse Qiao Yu. "Heard you had some trouble, are you okay?" Even she knew about the incident with Zhou Can. This meant that the news about Zhou Can had spread through the Emergency Department. He didn''t expect that the third person to care about him after the incident would be her. "I''m fine! It''s just the poor mice that suffered!" Zhou Can replied to the message. "What, are you taking it out on the mice?" She must have finished her shift by now, otherwise, she wouldn''t be replying instantly. "Violence doesn''t solve anything. How about I treat you to a milk tea, to help you unwind?" Chapter 94 - 85: Never Bow Down. Support from All Sides (Subscribe Please)_4 "Practice your surgical skills, you dummy!" Zhou Can types slower than her, so her second message managed to arrive first. She took the initiative to invite Zhou Can out to relax and have bubble tea, something that Dr. Lu had mentioned many times but she had never agreed to. She seemed somewhat embarrassed after receiving the message. She sent a row of hammering head emojis. "Still in the mood to joke, it seems my worries are unnecessary." Another spitting emoji. Zhou Can couldn''t help but smile knowingly. Chatting with her was quite interesting. "Haha, thanks for your concern, beautiful! Your worries aren''t unnecessary; for someone down on their luck like me, it''s a ray of heartwarming light." Zhou Can certainly didn''t want to disappoint those who cared about him. Her kindness must be affirmed. "Smooth talker! Since you''re in good spirits, I''m off to write my thesis!" After sending this message, there was no further response. It seemed she was indeed busy writing her thesis. Doctors and nurses alike, academic achievements are a very important boost. Theses are indeed the best evidence of academic accomplishment. After chatting with her for a bit, Zhou Can felt much better. Sometimes, having a few true friends is a very blissful thing. Around 5:30, Jin Mingxi got off work. They usually had the morning shift, which should end at four. Jin Mingxi was over an hour late today, probably due to a difficult surgery. "Dr. Zhou, do you know what happened just now?" "Don''t beat around the bush. I''m not in the mood for guessing games right now." Suspended for a day, Zhou Can was definitely under pressure while staying at his apartment. But he was someone with a strong ability to withstand pressure, which kept him calm inside. Vice Director Yin probably intentionally applied pressure in this way. Waiting for him to compromise. Right now, both sides were competing in patience to see who would lose their composure first. Zhou Can, being well-off with a secure financial background, housing, and savings, could really afford to wait. "Dr. Xu made a big scene in the Medical Department over your issue, then even went to the hospital administration to seek leadership support. Honestly, I was shocked. This isn''t the treatment of an apprentice; it''s like you are his own son!" Jin Mingxi said enviously. Zhou Can was internally shaken. He truly hadn''t expected Dr. Xu to storm into the Medical Department and even go to the hospital administration to defend him while allegedly under accusation. This care definitely lived up to the title of ''master''. sea??h th§× n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. There has always been a saying, "Once a teacher, always a father." Today''s efforts by Dr. Xu on behalf of Zhou Can would certainly be etched in his memory. In the future, he would repay this profound kindness tenfold, a hundredfold. At around seven in the evening, Zhou Can''s phone rang. He thought it was Dr. Xu, but it turned out to be Yang Chan. Why is the class president calling him at this hour? "Hello, class president!" "Why didn''t you say anything about the trouble? If I hadn''t heard from Director Zhang that Dr. Xu from your Emergency Department made a scene in the Medical Department, I wouldn''t even have known you were suspended." The class president was always so authoritative and incisive. She didn''t beat around the bush with Zhou Can. As soon as the call connected, she gave him an earful. "If you can''t handle it, why burden you with it?" Zhou Can wasn''t afraid of her. But he genuinely felt her concern. "What exactly happened? You''re usually so prudent. I''ve been hearing great things about your performance in the Emergency Department these last few days, so how did things go south so quickly?" It seemed she had been quietly paying attention to Zhou Can all this time. This was somewhat surprising to Zhou Can. "Can we not talk about it?" Zhou Can asked. "No way!" Her tone was decisive. "If you don''t tell me over the phone, I''ll come to where you live." "Are all you women so curious?" Zhou Can teased her. "Spill it!" Her impatience was pressing. If Zhou Can didn''t speak soon, she would really come over. "Alright, alright, I''ll satisfy your curiosity. But let me say beforehand, don''t get involved." Zhou Can briefly explained the situation. "It''s not your fault that the rib was broken, why should you take the blame? What they are doing is simply despicable. I will try to talk to Director Zhang later, see if I can speak a few words for you. But this mainly depends on Director Lou from your Emergency Department. If he doesn''t agree, the hospital leadership will likely be hesitant." No sooner had she finished speaking than Zhou Can heard the sound of a busy line. She had already hung up. The class president really was fiery and decisive. But she made some valid points. Dr. Xu might not have enough influence, but if Director Lou could be persuaded to speak for Zhou Can, it would make a significant difference. In terms of ranking, the head of a big department was second only to a deputy hospital director. Though the Emergency Department was quite modest, it was administratively equivalent to other departments. Whether Director Lou would stand up for him or not was still very uncertain. After all, doing so would mean offending many people, including at least one hospital director and Shangguan Yan from the secondary hospital. Shangguan Yan was likely to become a future leader in his field due to his education, scholarly work, and surgical skills, definitely a strong candidate for hospital leadership. Director Lou couldn''t ignore the pros and cons. ¡­ Until seven the next morning, when Zhou Can went out for his morning run, he had still not received any message from Dr. Xu. As if Dr. Xu had forgotten all about his situation. If he hadn''t learned from Jin Mingxi about everything Dr. Xu had done for him, he might really have thought so. Chapter 95 - 85: Never Bow Down. Support from All Sides (Subscribe Please)_5 Now, he understood. Dr. Xu was probably in a weak position, and even at great risk, fought with all her might for justice on his behalf. In the end, she failed. Power crushes all beneath it. He, a physician cast into disfavor, simply had no means to shake the decisions made by the hospital leadership behind the scenes. Such was the harsh reality. He thought today would be another day of frantically practicing medicine on lab mice. Unexpectedly, as it approached eight o''clock, Zhou Can received a message. It wasn''t from Dr. Xu. It was from Director Xin of the Medical Department. "Dr. Zhou Can, hello. Please come to the small conference room No. 2 of the Medical Department around 8 o''clock today. Medical Department Head: Xin Wanshan." Worth noting is that being personally messaged by the director implied that Dr. Xu''s commotion in the Medical Department yesterday had some effect. Usually, only when there is a solid solution to the problem would the top leader personally intervene. Otherwise, it would often be the second in command or ''temporary workers'' who would step in to feel out the situation first. If they could resolve it, great; if not, they would still have room to maneuver. Zhou Can''s shortcoming was his lower educational level; otherwise, with his multiple excellent performances in standardized training exams and in the Emergency Department, he would have ensured that the hospital leaders would approach such matters with extreme caution. They would never have made a scapegoat of him as easily as they did the day before yesterday. A lower education usually means limited potential for growth. That''s why they dare not take him seriously, not worrying about future repercussions. Had he held a master''s or doctoral degree, it surely would not have been the same condescending demeanor from Vice Director Yin. They wouldn''t have possibly suspended Zhou Can''s duties or subjected him to such intense pressure. Zhou Can first went to the hospital cafeteria and finished his breakfast. Truth be told, his attitude might be a lot more stable than Vice Director Yin''s. After all, he could afford to wait, but Vice Director Yin could not. The longer the delay, the more built-up anger from the family members, and in the end, the more violent they would become. He walked to the small conference room No. 2 of the Medical Department at an unhurried pace. "Ha, Dr. Zhou, good morning!" Dr. Lu was originally sprinting towards the Emergency Department at a hundred-meter dash pace but upon seeing Zhou Can, he came to an abrupt halt. "Morning!" Zhou Can responded flatly. "I heard you were suspended? Is there a chance for you to come back to work?" Dr. Lu''s eyes held a smirk of petty schadenfreude. Yet his face wore a hypocritically compassionate expression as though mourning for a mouse. "So do you hope I can return, or can''t?" Zhou Can countered. "Ahahaha... I, of course, hope you can come back! But I hear the trouble you caused is pretty big. Even Dr. Xu personally making a fuss didn''t help, so I think your chances are slim." People like Dr. Lu care the most about various gossips and rumors. "Heh, I don''t know about my situation being precarious. But you being late for work today, that''s for certain." Zhou Can flashed his phone screen. It was already 7:59 AM, and even if Dr. Lu could fly, he wouldn''t make it to the operating room by 8 o''clock. "Ah... I can''t talk anymore, there goes my 100 yuan..." Only at this point did Dr. Lu realize that, in his eagerness to mock Zhou Can, he was now late for work. He sprinted back towards the Emergency Department once again. Zhou Can watched his retreating figure with amusement. So many people, each with their own characteristics. Dr. Lu was dying with jealousy when he was outperformed by Zhou Can. Now that Zhou Can was in trouble, he was gleeful with schadenfreude. But he might be disappointed. The personal message from Director Xin of the Medical Department had already indicated a significant turn in events. In any case, Zhou Can was determined not to compromise. S~ea??h the ¦Çov§×lFire .net website on Google to access chapters of novels early and in the highest quality. He refused to take the fall for anything. The standardized training doctors signed an official contract, working a year and passing the medical practitioner''s exam, even entitled to be called a physician. Second only to a Resident Doctor. Without clear wrongdoing on his part, the hospital''s decision to fire him was not something a leader could determine on a whim. After Zhou Can arrived at the Medical Department''s conference room No. 2, he knocked on the door. "Dr. Zhou is here, come in!" Medical Department Head Xin Wanshan gestured for him to come in. At the moment, several people were already seated in the small conference room. Among those Zhou Can recognized were Director Lou, Director Xin, and Vice Director Yin. It seemed, in the end, Director Lou had taken a stand. "Xiao Zhou, sit here!" Director Lou gestured for Zhou Can to sit beside him. Before Zhou Can arrived, these people had likely been discussing for a while, as the teacups in front of them were already emptied, leaving only some leaves settled at the bottom. "Everyone''s time is precious, so I''ll make it brief." The speaker was a middle-aged man with a big face, big ears, and fair, ruddy skin. His hair was well-maintained. Black and shiny, smooth as silk. Dressed quite meticulously as well. Clearly a person of high living standards. With Director Lou, Director Xin, and others present, yet this man was sitting in the chairman''s position, it was obvious what his status was. He was likely one of the hospital leaders behind the scenes. There''s only one Dean, Dean Zhu Xueyang. Zhou Can had seen Dean Zhu in the Emergency Department before; this person was definitely not the Dean. Thus, he deduced that this person was either a deputy dean or another key hospital leader. Such as the head of the administration office, party office, labor union, etc., all are hospital leaders. There are several deputy deans, responsible for administration, medical care, logistics, and research teaching... "Zhou Can, first of all, I need to criticize you. Because of your disregard for the bigger picture, you have caused so many hospital leaders to waste a significant amount of time and energy on you alone. This is a severe waste of hospital administrative resources." Well, this was quite the counter-accusation. Chapter 96 - 85: Never Bow Down. Support from All Sides (Subscribe Please)_6 "I heard that leaders like to show their power to those subordinates who are thorns in their side, either by putting them in their place or by issuing a warning blow to reduce their arrogance before talking business." Zhou Can''s expression turned cold, just as he was about to retort. Beside him, Director Lou quietly tugged on his clothes and shook his head slightly. Signaling him not to confront the other party. "This is Vice Dean Bai Ziran; let''s hear what he has to say first." Director Lou whispered a hint to Zhou Can. "Now that things have come to this, I won''t hide anything anymore. Dr. Shangguan Yan has been selected as the lead of the gastroenterology oncology department at the affiliated secondary hospital. If this department is well established, it will not only enhance the reputation of the affiliated secondary hospital, making its oncology department more competitive, but it will also greatly benefit the head hospital." Vice Dean Bai Ziran laid his cards on the table. "If a minor resuscitation incident impacts his reputation and tarnishes his image as a renowned doctor, the consequences could be disastrous. Zhou Can is just a resident doctor; by taking on this matter, he would greatly contribute to the hospital. Of course, no one wants to take the blame for someone else for no reason, but Tuya is a big family. As part of the Tuya family, we should prioritize the greater good." His gaze swept across the room and landed once again on Zhou Can''s face. "Only by expanding our base can Tuya''s employees live better and have broader development opportunities. The hospital will not forget the sacrifices made by Zhou Can for the hospital. Favorable consideration for excellence, advanced studies, promotion, and choice of vital departments, all these are possible perks for him." The authority of a vice dean is quite significant. The promises made publicly should be honored. Giving Zhou Can a green light once or twice is entirely possible. "Zhou Can, I ask you one last time, are you willing to make a small sacrifice for the development of the hospital?" Vice Dean Bai''s methods were much more formidable than those of Vice Director Yin. First, he issued a warning blow to Zhou Can. Then he moved him with emotions and guided him with reason, pressuring him with righteousness. Finally, he dangled a series of rewards as temptations. sea??h th§× NovelFire.net* website on Google to access chapters of novels early and in the highest quality. Under such circumstances, even the most stubborn and principled troublemakers have to give in. Moreover, he is using an open strategy, all actions are public, nothing underhanded. Everyone''s eyes turned to Zhou Can. "I disagree." Zhou Can, without a second thought, outright refused. Such an incorruptible stance made Vice Dean Bai''s expression grow extremely ugly, his brows filled with a rapidly contensing cluster of frightening anger. Like the clouds in the sky, growing thicker and heavier. "Without the skin, what can the hair adhere to? Are you really willing to watch the affiliated secondary hospital lose a renowned doctor, lose a department that is about to flourish?" Dean Bai''s voice thundered like roaring thunder. Filled with towering fury. That intangible pressure weighed down on Zhou Can like a mountain. Not just him, even Director Lou beside him showed understanding sympathy. "I have a different opinion on this matter. To forge iron, one must be strong oneself. This time, Dr. Shangguan faced an issue, and you wanted me to take the fall for him. His reputation would be preserved. But what about next time? And the time after next?" Zhou Can publicly questioned Vice Dean Bai. "This..." Vice Dean Bai, usually eloquent, was rendered speechless by the question. No one could guarantee that Dr. Shangguan wouldn''t make another blunder next time. "If he truly has the potential to become a leader in his field, then he should be able to handle such minor crises. Otherwise, if the hospital places high hopes on him and invests countless resources in him, yet he ultimately fails to uphold a department, the loss would be even greater. Trees that are not exposed to the elements never grow tall, and without weathering storms, one cannot see rainbows. The more you try to protect him, the more harm you do to him." Zhou Can''s rebuttal was thoughtful. And it possessed sound reasoning. Director Xin, Director Lou, and others nodded incessantly after hearing it. Vice Dean Bai fell into deep thought, his expression fluctuating. He finally seemed to make a decision. "Bring Dr. Shangguan in immediately!" He looked up and instructed the young girl who was serving tea and water to everyone. From the sound of it, Dr. Shangguan Yan was nearby. Soon after, a nervous Dr. Shangguan entered the conference room. His eyes, upon seeing Zhou Can, noticeably dodged. Having done something wrong, the psychological burden won''t be small. "Dean Bai, have the matters been resolved?" He looked towards Vice Dean Bai, whose expression was grave. "After discussing with Dr. Zhou, we''ve ultimately decided that you should honestly admit your mistakes to the family," Vice Dean Bai informed him of the tough decision. "Ah¡­" Dr. Shangguan''s figure paused, nearly collapsing to the ground. His expression was anxious and fearful, "I am at a critical juncture aiming for the senior title, affected by this incident, my evaluation for the senior title will be delayed by at least a year. Also, my reputation as a distinguished doctor will be tarnished. I had planned that after my evaluation this year, I could lead the gastroenterological oncology department to great developments next year. Now all plans are spoiled." Dr. Shangguan Yan never expected that saving a child would have such severe consequences. The loss was too great. Doing good deeds, how could it end up in such a mess? "Don''t panic yet, sit down and listen to us slowly. What Dr. Zhou just said made a lot of sense. From the moment the incident occurred, when you came to me for help, my initial thoughts were how to protect you and sustain the new brand being set up by our secondary hospital. Zhou Can said, the strength of your own self is crucial; this minor crisis is in fact a good test for you." Vice Dean Bai truly is a hospital-level leader. Upon realizing mistakes, he immediately corrected them, readily accepting the wise advice from Zhou Can. Letting Dr. Shangguan Yan deal with this crisis by himself. If he can''t even handle such a minor crisis, even if we forcefully promote Dr. Shangguan Yan, any future incidents would only cause greater damage to the hospital. "But the family has already brought media reporters here. If I admit my mistakes, it will immediately hit the news headlines, completely ruining my reputation as a distinguished doctor!" Dr. Shangguan Yan, nearly forty years old, was so anxious that his forehead was covered with sweat, his face pale. His hands were trembling slightly. It was not that his mental fortitude was lacking, but it concerned his future and fate; one wrong step could mean a deep abyss. "It''s my fault for delaying. The family thought we weren''t giving them an explanation, that''s why they brought the media to expose it," Vice Director Yin, quite skilled in handling relations, took the initiative to take the blame. Actually, Vice Dean Bai was the one orchestrating things behind the scenes. However, as a subordinate, stepping forward to take the ''bullet'' and bear the brunt at a crucial moment is an advanced survival skill in high-level workplaces. It easily gains the favor and trust of superiors. In case of any important position vacancy, the superior would consider them first. Vice Dean Bai looked at Vice Director Yin appreciatively, then his gaze somberly swept over Zhou Can. His original plan was to exert extreme pressure on Zhou Can, forcing him to agree. He really did not expect to encounter such a tough nut. What was more frightening, after Dr. Xu stood up to seek justice for Zhou Can, multiple department heads, chief physicians, and deputy chief physicians spoke up for Zhou Can. Facing the surging public opinion, Vice Dean Bai felt immense pressure. Although Dean Zhu did not make a statement, knowing him well, Vice Dean Bai knew he had to resolve the issue properly soon or else Dean Zhu would be inviting him for a serious talk. Tuya Hospital was not a place governed by one individual''s dictation. Nor could it act recklessly. It operates under government leadership with internal democratic governance. In this confrontation with Zhou Can, Vice Dean Bai was the first to succumb to the pressure. Hence, there was the move where Director Xin personally sent a text message to Zhou Can. Speaking of which, Xin Wanshan and Zhou Can ultimately shared some fate. Initially, during the rules training, Director Xin personally stepped forward to clarify the issue of Zhou Can being late. This was a kind gesture. Vice Dean Bai asking Director Xin to personally send a text message also carried a deep intention of playing on personal feelings. Unfortunately, Zhou Can was too stubborn and resolute. Now that the matter has been dragged on, it has led to quite serious consequences. Vice Dean Bai was out of options. Dr. Shangguan Yan''s reputation was definitely beyond saving. Moreover, this issue also negatively impacted Vice Dean Bai personally. In future elections for Dean, his approval rating would surely decline. Thus, high places are cold. Leaders sitting in high positions seem comfortable, but in reality, the pressure is immense. Because of their high status and significant power, any decision made could result in extremely serious consequences. Vice Dean Bai must be regretting deeply by now. He couldn''t have dreamed that a three-year-old child knocking over an eighty-year-old grandmother, a junior trainee doctor could cause him such a massive fall. Chapter 97 - 86: Must Be a Game, Must Win-Win. Return Shangguan Yan realized that even his biggest backer could no longer protect him. After remaining silent for a good three or four minutes, he also knew that the matter was settled. Standing up, his gaze first turned to Vice Dean Bai, "Thank you Dean Bai for everything you''ve done for me, for the trouble I''ve caused you." S§×ar?h the N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. After saying this, he bowed deeply. Then, his gaze shifted to a middle-aged man sitting to the right of Vice Dean Bai. This person had not spoken at all from the beginning to the end. But the awe-inspiring authority he emanated made it seem as though he was on an equal footing with Vice Dean Bai. Others looked at him with considerable respect as well. "Director Chai, thank you for your continuous cultivation and care for me, and thank you for taking precious time to accompany me to the headquarters to deal with this matter. I have disappointed you and failed to meet your expectations. Please find someone else to lead the gastroenterology department! I''m sorry!" He bowed deeply to the ground. It took him two or three seconds before he straightened up again. A man at the brink of death speaks kind words. Seeing this scene, many in the audience were somewhat moved. Shangguan Yan had prepared himself for complete disgrace. First, there was the misdiagnosis during the emergency rescue. Second, not only was there a misdiagnosis, but he also broke the child''s ribs in three places. Third, after causing trouble, he failed to come forward to apologize and bravely admit his mistakes in a timely manner. After the incident was exposed by the media, industry insiders wouldn''t think much of it. But the ordinary public, not understanding medicine, would only think that this doctor was unreliable, morally questionable, and lacking responsibility. Such a person, standing as the figurehead of a hospital department, would definitely receive a barrage of criticism. The number of patients seeking his services would certainly be very few. "Sigh, to see a key talent fall because of a small accident, it really pains the heart. Had I made you stand up and take responsibility right after the incident, it would not have escalated to this point. This is a painful lesson." Director Chai''s status was definitely not low. He looked at Shangguan Yan and sighed deeply. "The family backgrounds of the parties involved are not insignificant, and our Public Relations Crisis Department has done our utmost, but to little effect. We''ve even achieved the opposite result; offering a proactive apology and calming the family''s anger seems to be the best choice now for settling the situation." The woman sitting next to Director Chai was in her thirties; she wore delicate makeup, was tall, and very beautiful. Bigger hospitals experience various kinds of crises. Such as patient disputes, sudden accidents, exposure of a doctor taking kickbacks from pharmaceutical representatives, or leaders and chief physicians engaging in unspoken rules with female subordinates, and so on. Any one of these incidents making the news could cause extremely adverse effects. At such times, the Public Relations Crisis Department is required to step in and ''put out the fire''. Large hospitals are generally not afraid of commotions caused by the ordinary people, but when faced with strongly-backed families or patients, even hospitals have times when they cannot tough it out. In situations where they are in the wrong, they often choose to compromise. Shangguan Yan nodded to the woman, "Thank you all for everything you''ve done for me, from now on I will bear the burden myself!" When there was no turning back, he actually let go. He took up the responsibility he ought to have. His honor and reputation could be ruined in an instant, and he put aside all the worries about his future, all the concerns that had been plaguing his mind. His gaze slowly moved to Zhou Can, his expression very complex. Who could have imagined that the inconspicuous young man standing in front of him on the subway would be so capable? Not only did he make the correct diagnosis during the child''s rescue and successfully save the child. But he also withstood the pressure from Vice Dean Bai and the hospital leaders, ultimately forcing Vice Dean Bai to make concessions. "Dr. Zhou, for causing you, a true lifesaving hero, such wrong and even forcing you to take the blame for me, it was because I overthought things and was swayed by selfish motives, wanting a vain reputation, that I took a series of actions that harmed you. I sincerely apologize. I''m sorry." He walked in front of Zhou Can and bowed deeply to show his utmost sincerity in his apology. At this point, Zhou Can felt completely vindicated. He was satisfied with the outcome. Zhou Can helped Shangguan Yan upright, showing a magnanimous spirit. "Nobody is perfect; we all make mistakes. For Dr. Shangguan to fully recognize his own and bravely take responsibility is commendable indeed. Frankly speaking, if it were me, I might not have had the courage!" Zhou Can''s last self-deprecating remark eased the atmosphere a lot. Many people even revealed knowing smiles. His status as the party involved was not high, but his attitude could determine whether the resolution of this dispute would be satisfactory. "Thank you! Thank you for forgiving me! Thank you for leaving me with my last shred of dignity!" Shangguan Yan shook his hand, his gratitude overflowing. A conflict resolved. First, it was the resolution of the interest conflict. Then both parties had the possibility of shaking hands and making peace. Zhou Can''s magnanimity and Shangguan Yan''s sudden repentance turned hostility into peace. "I''m going to find the family now, goodbye to you all! Hoping for a better outcome!" Having unburdened himself, Shangguan Yan''s mindset became much more optimistic. "Wait!" Zhou Can called out to him. Everyone''s gaze once again turned to Zhou Can, wondering what he was going to do. "Is there something else, Dr. Zhou?" Shangguan Yan turned back to look at him. "I might have a slightly better solution. My ideas may not be mature, but let me share them and ask the leaders to help deliberate together." At Zhou Can''s words, everyone showed surprised expressions. Chapter 98 - 86: Must Be a Game, Must Win-Win. Return_2 Even the crisis management department exhausted all their resources without success. What good solution could Zhou Can, a trainee, possibly have? "People are emotional. I believe the child''s family is not unreasonable. I saved their child, and they are well aware of the kindness. The reason they come to the hospital asking for an explanation is partly because they are upset about the wrong resuscitation method, which caused suffering to the child. On the other hand, they don''t want to suffer silently and expect the responsible doctor to explain." Zhou Can analyzed the family''s mentality calmly. Many people nodded again and again after hearing this. That''s reasonable. "The family is even angrier because the hospital hesitates to provide an explanation. The doctor involved has not come forward to apologize. Previously, your idea was to make me take the blame. But this also leads to overlooking the identity of the lifesaver." Everyone present was astute, experienced, and highly educated with high IQs. Reminded by Zhou Can, their eyes suddenly lit up. A leaf before the eye obstructs the view. Changing the perspective could lead to different strategies. "I mean, let me meet with the family first as the lifesaver. Then, using this relationship, I''ll dispel their anger. Finally, when the time is right, Dr. Shangguan can come forward to apologize to the family, and compensate them as necessary for the child. This may turn a big issue into a small one, and solve the whole matter." As soon as Zhou Can finished speaking, Vice Dean Bai actually applauded him. "Brilliant, brilliant!" Vice Dean Bai was excited and found Zhou Can''s proposal highly feasible. High success rate. "Ah, the youth are indeed powerful! Like new waves replacing old ones on the Yangtze River, we are old now!" Director Chai also showed a smile. They thought this situation had no turnaround. But Zhou Can brought a fresh perspective, presenting an opportunity to resolve the crisis successfully. "Dr. Zhou, if this matter is successfully resolved and helps me through this crisis, I owe you a lifetime of gratitude." These words were quite heavy. Nothing is more expensive than human gratitude. Shangguan Yan would owe Zhou Can a lifetime of gratitude, implying that Zhou Can could always count on his help, not just once but for a lifetime. However, if Zhou Can genuinely resolved this crisis and helped him avert this calamity, it was clear it also saved Shangguan Yan''s career. Owing a lifetime of gratitude was indeed not too much. "Everyone, what do you think of Dr. Zhou''s proposal?" This time Vice Dean Bai did not act alone, but listened to everyone''s opinions. "I think it will work!" "High success rate!" "Worth a try!" ... Everyone expressed their opinions, unanimously approving. "Good, then let''s proceed with Dr. Zhou''s plan! Dr. Zhou, we entrust you with this matter." Vice Dean Bai awaited eagerly. S~ea??h the NovelFire.net* website on Google to access chapters of novels early and in the highest quality. "I will do my best." Zhou Can nodded solemnly. His gaze turned to the woman from the crisis management department. "Before I meet them, you need to inform the family of the situation. Tell them it has been investigated: the first doctor might have pressed too hard in his eagerness to save the child, potentially causing rib fractures. The second doctor, after careful observation, realized the child might have choked on a foreign object, and performed the correct rescue method successfully to save the child. It might be necessary to highlight my contribution, so that the family will be grateful to me." The woman from public relations nodded. "Understood! I will also inform the family that you have been under investigation due to this incident, and have suffered unfairly. This way, the family will feel guilty when you meet them, making it easier to close the gap." Professional crisis public relations indeed. This would enhance the effect. "My name is Dou Qiongqiong, I am the chief of the crisis public relations department. Dr. Zhou, you can call me Chief Du or my name." Her initiative to introduce herself to Zhou Can shows he''s significantly appreciated. Considering the potential future prospects of this young man. "A very peculiar name." Zhou Can knew that saying less is more. A simple compliment would be more effective. "Haha, indeed, it''s rare to meet people with the surname Dou! Alright, I''m going now, the family must be anxious." She adjusted her clothes and hair and left the meeting room. Vice Dean Bai and others did not leave. They were all looking forward to a positive outcome. Shangguan Yan was the most nervous of all. He was truly on edge. After about fifteen minutes, Vice Dean Bai received a message, a smile appearing on his face. "Chief Du sent a message. The progress is good, the family''s attitude has softened." Everyone in the Medical Department, including Director Xin, showed a smile. They realized that if they had admitted their mistake at the beginning, perhaps the family wouldn''t have reacted so severely. The more they covered up and insincere they were, the more likely it would backfire. Was it right to treat the family like fools? After a while, Vice Dean Bai received another message. "Dr. Zhou, it''s your turn now. You can go directly to the patient-doctor dispute mediation room; the family has agreed to meet you alone." Vice Dean Bai was both excited and slightly ashamed. The situation was gradually improving. The person contributing the most to this improvement was Zhou Can, who almost became a scapegoat. Now they had to rely on Zhou Can to appease the family''s anger. Chapter 99 - 86: The Game Must Result in a Win-Win for Both Parties. Return_3 "Wait for my good news." Zhou Can walked out of the conference room. The medical dispute mediation room is divided into an inner and outer room. The inner room has a long table with chairs on both sides, having a certain seriousness. The outside is arranged like a tea room, more casual and inviting. Several family members were sitting outside. The hospital was at fault in this matter, and naturally made good tea politely, hosting these people. Dou Qiongqiong was talking with the family members. Perhaps worried about causing resentment among the family members, only Dou Qiongqiong was seen accompanying them for the time being. As for the reporters invited by the family, they seemed to have been ''politely'' invited by several hospital security guards to the adjacent reception room for tea. Zhou Can directly walked in. "It''s him, it''s him!" The old lady suddenly stood up excitedly. The family members'' eyes turned angry the moment they saw Zhou Can. A middle-aged man clenched his fists and stood up, glaring at Zhou Can. This man looked around forty-five or six, quite fat. His beer belly looked like that of a pregnant woman about to give birth. "I appreciate that you tried to save my child, but as a professional doctor, how could you break three of my child''s ribs? What were you doing?" The man''s eyes were bloodshot as he asked angrily. "You''ve got it wrong, got it wrong! He is the doctor who saved my grandson!" The old lady hurriedly explained. Dou Qiongqiong must have already revealed some information to the family. The family already knew that there were two doctors who saved the child, one of whom played a major role. The diagnosis was correct, and the rescue method was effective, which ultimately saved their child. The other doctor, due to a misdiagnosis, was the one who broke the child''s ribs. Others might not recognize Zhou Can, but the old lady had a deep memory of him. That day, it was this young doctor who saved her grandson when she was most desperate. "This is Dr. Zhou Can, and it''s precisely because he promptly and decisively used the Heimlich maneuver that day that your child was snatched back from the hands of death." At the right moment, Dou Qiongqiong stood up and introduced him to the family. The child''s father slapped himself. "I''m sorry, I''m sorry, I was too impulsive just now. I heard that due to our demands for justice, Dr. Zhou also suffered a lot of grievances, I''m really sorry." Hearing that he had mistaken the person, the child''s father felt even deeper remorse. "That''s alright! I can understand your feelings." Zhou Can sincerely said. There were five family members in total, three men and two women. The main figure was definitely this man. Zhou Can targeted him directly, preparing to openly and honestly work on persuading him. "May I ask for your surname?" "Spare the formality, my surname is Wu!" No wonder he was clenching his fists, looking ready to fight. With a surname like Wu, could he not be forceful? "Mr. Wu, hello, I''m actually just a junior resident doctor at Tu Ya Hospital." "What''s wrong with being a resident doctor? I think you are much more capable than some incompetent doctors. Without your intervention, my son might no longer be in this world," Mr. Wu didn''t care about Zhou Can''s professional rank at all. He only knew that it was Zhou Can who revived his son. "I was present the whole time during the rescue. There''s some misunderstanding, and I would like to have a private conversation with you about it, is that alright?" Zhou Can got straight to the point. Mr. Wu hesitated for two seconds, but ultimately nodded and said, "Fine." "Let''s talk in the inner room for a bit." Zhou Can led Mr. Wu towards the inner room. Dou Qiongqiong continued to accompany the other family members outside. Mr. Wu voluntarily closed the door. "Dr. Zhou, did your hospital force you to come to plead with me?" The man didn''t ask this in front of Dou Qiongqiong outside but waited until they were inside the room and had closed the door to ask it. Obviously, he already regarded Zhou Can as one of his own. He must be very familiar with the many unofficial rules at his workplace. "Thank you for your concern. There''s nothing that anyone can force me to do if I don''t want to. Even if it''s the hospital''s senior management." Zhou Can stated proudly. sea??h th§× Nov§×l?ire.n(e)t website on Google to access chapters of novels early and in the highest quality. He really did function this way. Thus, when he said this, his expression was very natural, his pride and confidence clear on his face. "Hehe, I didn''t expect Dr. Zhou to have such a personality! When I was young, I was also like this!" Mr. Wu laughed. The two having similar traits made him feel even more fondly towards Zhou Can. "You can tell! Ordinary people wouldn''t dare to make a scene at a hospital." Zhou Can''s comment once again made him burst into laughter. Having finished the pleasantries, Zhou Can straightened his expression and started to discuss serious matters. "I know that what I''m about to say may sound like I''m making excuses for that responsible doctor, but I still need to say it. Working in our profession as doctors is very tough. Most people have a passionate commitment to fully treat patients. That day, sitting on the subway, the announcement called for medical staff to proceed to carriage three to assist a fainted child. Dr. Shangguan and two other colleagues, a female nurse and a female doctor, went without any hesitation." Zhou Can first recounted Dr. Shangguan''s eagerness to help. "I also learned this from my mother. Those three were indeed the first doctors to arrive to save my son." Mr. Wu nodded affirming this. "At that time, Dr. Shangguan asked how the child had fainted. The child''s grandmother said that he suddenly clutched the lower part of his neck and fell to the ground. Based on our professional judgment as doctors and your child''s symptoms at that time, a cardiac ailment seemed most likely. In addition, the sudden stopping of the heartbeat and breathing means there is only about four minutes of crucial resuscitation time. Dr. Shangguan had no time to think too much. He immediately performed CPR, medically speaking, this was the right decision. After pressing twice and seeing the child still unresponsive, he probably panicked and so increased the pressure..." Chapter 100 - 86: The Game Must Result in a Win-Win for Both Parties. Return_4 He did his best to speak well of Shangguan Yan. But not too obviously. Otherwise, it would have the opposite effect. In that situation, at least nine out of ten doctors would misdiagnose it as a heart disease. A misdiagnosis itself isn''t much, because the situation was urgent and there were no testing instruments available, a misjudgment is inevitable. The problem lies in the fact that after the misdiagnosis, the child''s ribs were also broken. Together, it''s like a clump of mud that has fallen onto the crotch of pants. It''s not feces, but people take it as such. If Shangguan Yan admitted to this, he would have to carry the stigma of being an incompetent doctor. "Relatives went to the hospital and he did not come forward immediately which was indeed wrong. However, we should also understand his difficulties. He is a renowned oncologist with a reputation to uphold. Unlike someone like me, who is just a junior resident, reputation doesn''t really matter." The words Zhou Can said were quite fair. He did not use official jargon like other mediators. Instead, he was as sincere, frank, objective, and fair as possible. "Mr. Wu, if possible, I would like to request that you give Dr. Shangguan a chance to rectify his mistake. At least his initial intent to save someone was very noble, and he did his utmost in the rescue process. If a doctor''s career is ruined over a rescue error, who would dare to easily save someone in the future? In the past, many people would help an elderly person who fell, but now, who dares to do so easily?" Zhou Can was not being alarmist. The issue concerns the vested interests of the medical community, and he must return kindness for the wrong done, using his beneficial status to speak a few words of justice for Dr. Shangguan. Mr. Wu was deep in thought. After a moment, he looked up at Zhou Can, his face showing a trace of admiration. "Mr. Zhou made me comprehend the nobility of a doctor with my soul today. To tell the truth, I didn''t plan to make a fuss about this matter. I just didn''t want to swallow the loss in silence and wanted the hospital to give an explanation. Even if the doctor involved came out to apologize to me, that would have been enough. After all, it''s you who saved my son. Compared to my son''s life, what''s a few broken ribs?" Mr. Wu''s thoughts were indeed almost exactly what Zhou Can had guessed. He just wanted an apology. Only to blame Vice Dean Bai, Vice Director Yin, and others were overly optimistic, thinking that power and influence could handle everything. In the end, a small incident was dragged into a very serious matter. "Thank you for your understanding and forgiveness. I will now call the doctor involved to come and apologize. What do you think? He actually already regrets it. It is just that I felt he should not be disheartened, that we cannot allow him to shy away from rescuing patients in the future. That''s why I took the initiative to come and mediate." Zhou Can spoke frankly. "Ha ha, you are very straightforward! Clearly cunning, but you deploy it openly, which makes it comfortable and acceptable. Not like those mediators from your hospital, each one talking big and being so hypocritical." Mr. Wu grew even fonder of him. "It is not their fault. After all, that''s the bowl of rice they eat! Oh, right, regarding the media journalists, could you possibly do Dr. Shangguan a favor and maintain his dignity, not ruining his future?" Zhou Can seized the moment to make one last request. "Brother has spoken, what more is there to say? Don''t worry about the media, I''ll handle it myself." Mr. Wu went from addressing him as Dr. Zhou to brother directly. Who knows what this man actually does? He always seems to carry a certain unrefined righteousness typical of the streets. Zhou Can immediately called Director Lou, asking him to send Dr. Shangguan over. He did not call Director Xin but Director Lou, showing his judgment in dealing with people. This was a matter of attitude. Calling Director Lou showed appreciation for the rescue. Had he called Director Xin, Director Lou would have felt like an outsider. It''s like bypassing the middleman after a successful collaboration, which is clearly against the rules. Being versed in human emotions and relationships is a profound study. If one doesn''t learn it well, they''ll struggle at the bottom for life. If mastered, beneficial connections are everywhere, friends in every direction. Before long, Dr. Shangguan arrived. He walked in and without saying another word, bowed to Mr. Wu. "I''m sorry, I''m sorry, it was my fault! I was the one who pressed and broke the child''s ribs, and I''m willing to take full responsibility and cover all treatment costs." Dr. Shangguan had already braced himself for the worst. Now, with Zhou Can mediating, there had been a significant turn of events, and he truly felt a renewed lease on life. "One apology is enough. My family is not short of money. After listening to Dr. Zhou''s words, I now understand the difficulties doctors face. There''s no need to mention the treatment costs anymore. I am incredibly grateful that you saved my son''s life." Mr. Wu was not an unreasonable person. What he wanted was nothing more than fair treatment. He did not want to be treated like a fool. At this point, the matter was essentially resolved satisfactorily. Director Xin personally represented the hospital in expressing the sincerest apologies to Mr. Wu and his family. Although Mr. Wu did not require Dr. Shangguan to compensate, nor did he insist on the hospital giving further explanation. The hospital was very sensible, waiving the treatment fees for Mr. Wu''s child. sea??h th§× N?velFire.n§×t website on Google to access chapters of novels early and in the highest quality. Mr. Wu''s family was very satisfied with this outcome. In front of the media journalists, he told them that after a deep understanding, he realized it was a beautiful misunderstanding. The incident occurred because of the doctor''s eagerness to save the patient, coupled with the child''s fragile ribs, which led to minor fractures during the cardiopulmonary resuscitation. He not only declined to hold the doctor responsible but also used the media to express his gratitude to the doctor for his bravery in saving lives. Chapter 101 - 86: The Game Must Result in a Win-Win for Both Parties. Return_5 This incident came to a perfect conclusion. Zhou Can became a hero recognized for his contributions from multiple fronts. Relatives, the hospital, and Dr. Shangguan were all full of gratitude towards him. Especially Dr. Shangguan, who before returning to the affiliated second hospital, held Zhou Can''s hand for a long time, unwilling to let go. He even sheepishly asked for Zhou Can''s phone number, added him on WeChat, and insisted on staying in touch for any future inquiries regarding oncology. ... On the way back to the Emergency Department, Director Lou''s eyebrows were raised. It would be no exaggeration to describe him as beaming with joy. For the first time, he felt the Emergency Department''s status in the hospital was very high. Vice Dean Bai usually barely gave him a passing glance. Even though Director Lou was also the head of a major department, only ranking below a vice dean in terms of position. But with the Emergency Department lacking in power, not only in front of vice deans but even in front of Director Xin of the Medical Department, he was very much at a disadvantage. However, yesterday, when he stood up for Zhou Can, several directors and senior physicians from departments of significant influence spoke up for the Emergency Department, forcing Vice Dean Bai to back down. Today, the situation was even more remarkable. Vice Dean Bai shook his hand and kept thanking him. "Xiao Zhou, Dean Bai just said you''ve made a great contribution and asked you to make a request as compensation. Why didn''t you ask?" "I will ask, I never said I wouldn''t. I just haven''t figured it out yet." Zhou Can blinked. Director Lou was stunned for a moment, then suddenly realized. "Ha, you little clever devil! You plan to save your big move for the right time!" Zhou Can smiled knowingly. "After such a grievance, of course, I have to aim for something big. I''m not interested in just any training or promotion opportunities." Zhou Can was incredibly smart. Vice Dean Bai had been exceptionally hard on him, even using him as cannon fodder, yet Zhou Can never fell out with Vice Dean Bai. Later on, he even kept giving face to Dean Bai. The benefits were substantial. Not only did Vice Dean Bai apologize to him and proactively repair their relationship. He also promised to let Zhou Can make a request as compensation. Ultimately, it was almost like owing Zhou Can a favor. Basically, as long as it was within the capabilities of Vice Dean Bai, Zhou Can could request it. How much power does an executive vice dean hold? Equivalent to the hospital''s second-in-command, the resources at their disposal are unimaginably vast. Even if Zhou Can wants to vie for a director position in the future, with such a heavyweight on his side, his chances of success would increase by at least sixty percent. Besides, just having a good relationship with Vice Dean Bai was more than enough to benefit him for a long time. "Director Lou, the fact that I could turn danger into safety this time, I also have you to thank for speaking up for me." Zhou Can did not become arrogant with his success. He remembered the kindness others showed to him. Understanding gratitude meant more people were willing to offer help continuously. If one were an ingrate or didn''t understand social norms, after being helped once, there would be no next time. "Ah, my contribution actually wasn''t that significant. The person you should be most grateful to is Dr. Xu, who was the first to speak up. If it weren''t for him, I probably wouldn''t have stepped forward." Director Lou waved his hand. The first to speak up often attracts the most hatred¡ªa case of shooting the bird that sticks its head out. Dr. Xu''s willingness to take this stand for him was almost indistinguishable from risking his own life. Sear?h the Nov§×l?ire.n(e)t website on Google to access chapters of novels early and in the highest quality. This favor was higher than the sky and deeper than the sea. Zhou Can already had a way to repay Dr. Xu, so he was not in a hurry to repay this debt of gratitude. He would keep it in mind until his influence increased, and then it would be time to return the significant favor. "No matter what, you willing to face the pressure and stand up for me, a mere resident, is a kindness that cannot be erased." "All you need to do is hone your medical skills and make more contributions to the Emergency Department in the future. That would be the best repayment to me." Director Lou''s expectation of him was quite modest. "Also, in addition to me and Dr. Xu, Director Zhang Bihua from obstetrics, Director Tan from Internal Medicine, Director Yin from neurology, and Deputy Director Liu from general surgery also stood up for you." Zhou Can was stunned. He never expected that he, a lowly figure, could receive help from so many important figures. The likelihood of Director Zhang Bihua helping him was probably due to her beloved student, Yang Chan''s entreaty. With both Director Tan from Internal Medicine and Director Yin from neurology standing up for him, it seems his connection with Internal Medicine had grown even deeper. Deputy Director Liu, advanced in years, surprisingly also stepped into the fray to support him, which caught Zhou Can off guard. His relationship with Deputy Director Liu wasn''t particularly deep. As for the fact that Deputy Director Liu was his clinical instructor during his internship, that really didn''t count for much. Tu Ya is a comprehensive medical college integrating teaching and practice, with the majority of attending physicians and above having teaching responsibilities. Deputy Director Liu takes on a large number of students every year. If Zhou Can hadn''t made a particularly outstanding impression on the last day, Deputy Director Liu probably wouldn''t even remember his name. Now he finally understood why tough characters like Vice Director Yin and Vice Dean Bai chose to bow to him, a mere resident, in such a short span of time. With so many heavyweights voicing their support behind him, Vice Dean Bai simply couldn''t withstand the pressure! And that wasn''t even the full extent of Zhou Can''s influence. It was lucky that Vice Dean Bai quickly backed down. Otherwise, if Zhou Can appealed to Cao Zhengguo, Dean Zhu would have had to step in. If it got to that point, it wouldn''t just be a matter of Vice Dean Bai losing some face and getting a little scared. The position of vice dean might not have been secured. Those eyeing his position as executive vice dean definitely weren''t limited to just one or two people. Chapter 102 - 86: The Game Must Result in a Win-Win for Both Parties. Return_6 There are plenty. They''re all waiting for their chance to climb up. Zhou Can followed Director Lou back to the Emergency Department, where Director Lou simply said, "Go back to work with peace of mind!" and then left Zhou Can to his own devices. The doctors and nurses in the Emergency Department were relieved to see Zhou Can come back safe and sound, with many offering him encouraging smiles. Ye Tingting, carrying two bottles of saline solution, walked quickly over. "Hey, are you okay?" "Should be fine." Zhou Can blinked and said with a smile. "Look at you, so smug. You''ve had everyone worried about you!" Ye Tingting rolled her eyes at him. "I''ve got work to do." She must have been genuinely worried about Zhou Can. But compared to the concern shown by Yang Chan and Qiao Yu, it was much less. Zhou Can dared not take the words of a married woman too seriously. All of them are tricky creatures. Zhou Can quickly headed for the operating room; the person he most wanted to see now was Dr. Xu. To tell him, he''s all right. Besides Dr. Xu, Zhou Can also wanted to share the good news with Yang Chan and Qiao Yu as soon as possible. After all, both of them had shown concern for Zhou Can. "I''m fine." While walking, he sent out two identical messages with his phone. "Disturbing my dreams, how annoying!" Qiao Yu always replied to messages so quickly. It was now past ten in the morning, and she was still sleeping. She must have worked the night shift the day before. "Still, I''m pretty happy to hear you''re okay. I forgive you! (smiley face)" Her second message came bombing in. Zhou Can couldn''t help but grin after reading it. He could feel Qiao Yu''s genuine concern for him. But there was no response from Yang Chan. The team leader has always been cool and it''s normal for her not to reply to messages. Zhou Can walked directly into the operating room. After changing into surgical protective clothing, he pushed the door open and entered the surgical room inside. Dr. Lu, Jin Mingxi, Dr. Xu, and two nurses, Tang Ling and Tian Tian, were there. Tian Tian was assisting Jin Mingxi. It was finally Tian Tian''s turn to trouble Jin Mingxi. Dr. Xu was somewhat distractedly instructing Dr. Lu and Tang Ling in their surgery. Something seems off here. Dr. Xu seldom delegated responsibilities to Dr. Lu, but today he let Dr. Lu take the surgeon''s position while he merely observed. "Teacher, I''m back!" Zhou Can''s call pulled Dr. Xu back from his wandering thoughts. He turned his head and looked over; upon seeing Zhou Can, his face lit up with immense joy. Even with the mask on, the profound surprise and happiness emanating from within could not be concealed. The joyful surprise on his face was as fleeting as a blooming epiphyllum and quickly vanished. "Good to have you back, get ready to work!" Dr. Xu spoke calmly, just as seriously as ever. That''s it? Zhou Can was stunned. He had thought that the teacher would be greatly surprised, maybe even behave a little out of character. But Dr. Xu''s surprise lasted only for a second before he became serious again. Forget about displays of ecstatic jubilation. "Dr. Zhou, congratulations!" Jin Mingxi congratulated him with a smile. Tang Ling also showed him a delighted smile. Tian Tian said with a smile, "I knew Dr. Zhou would be alright." Dr. Lu''s expression was quite interesting. Seeing Zhou Can return unharmed, his hand shook, and he nearly caused a serious mishap. "Alright, let me do it!" Dr. Xu, frightened to paleness, immediately dismissed Dr. Lu from his position and personally performed the surgery for the patient. "Xiao Zhou, don''t just stand there, come over and help." Dr. Xu was not even giving Dr. Lu the chance to assist anymore. It''s understandable, really. With his beloved disciple returning, why would he give the training opportunity to a ''useless Mr. A Dou'' instead? "Alright!" Zhou Can disregarded Dr. Lu''s resentful gaze and unapologetically stood in the first assistant''s position. Dr. Lu felt truly aggrieved, how come as soon as Zhou Can arrived, he was demoted? The rumor mill suggested that Zhou Can had been in quite a serious situation, hadn''t he? Suspended for just one day and then everything is back to normal? Dr. Lu certainly wished Zhou Can would never come back. Unfortunately, things didn''t go his way. If he knew that not only did Zhou Can come back safe and sound, but he also gained a favor from Vice Dean Bai because of this crisis, he would likely suffer a heart attack on the spot. When Zhou Can was not around, Dr. Xu was distracted. Now, Dr. Xu was rejuvenated, performing the surgery with precision and stability, advancing like flowing clouds and water. "Alright, I''ll leave the suturing to you!" After completing the high-risk key parts of the surgery, Dr. Xu passed the suturing task directly to Zhou Can. With just a single stitch, Dr. Xu''s eyes suddenly bulged significantly. "Your tying has improved greatly!" With his sharp eyesight, Dr. Xu immediately noticed Zhou Can''s skill level had even surpassed Dr. Lu. Now on par with Doctor Lin. Zhou Can revealed a slight smile, merely having reached a medium level of ligation ability amongst resident doctors, and he had already surprised his teacher this much. Hehe, if a few more days passed and he advanced to the chief level, his teacher''s eyeballs might just fall out. He had used up more than twenty white mice in his apartment over the past couple of days. His ligation skill Experience Points had increased by over 200. His current Experience Points had reached Level 3: 812/1000. Less than 200 points away from advancing to Level 4. In addition, his Incision Skill Experience Points had also increased significantly, currently reaching Level 3 549.7/1000. Only a few points away from advancing to a medium level amongst resident doctors. You know, incision skills essentially mean dissection skills, which are the hardest to practice among all medical skills. Many novice resident doctors, if they get the chance to perform twenty dissections in a year, that would be considered very good. It''s imaginable, then, how difficult it is to improve this medical skill. Dr. Lu, a senior resident doctor, only has a lower-level incision skill. This was after the full training of three senior physicians from the Emergency Department and his own decent talent. Once Zhou Can''s incision skills reached a medium level amongst resident doctors, his strength would catch up with the strongest, Dr. Cui. He would gradually be able to handle some of the more risky procedures. Zhou Can quickly finished the suturing. Sear?h the Nov§×l?ire.n(e)t website on Google to access chapters of novels early and in the highest quality. "Very good! Your suturing and tying have both improved significantly, make sure you keep it up." Dr. Xu watched the entire process from the side. He was growing fonder and fonder of this disciple by the moment. He thought that Zhou Can''s one-day suspension would have a significant impact, but he hadn''t expected him to become more resilient and make rapid progress in his medical skills. ... Around four in the afternoon, Doctor Fu and Doctor Lin arrived on time to take over the shift. Seeing Zhou Can in the operating room, Doctor Fu was slightly taken aback. Then he congratulated Zhou Can with a smile for his safe return. Doctor Lin also nodded to him with a smile. However, Zhou Can clearly sensed that Doctor Fu was not as warm towards him as before. If it had been in the past, Doctor Fu would likely have asked him to work overtime. But not today. Not even a mention of it. After congratulating Zhou Can, he did not speak a second sentence to him. It wasn''t that he had any issues with Zhou Can. It was a prudent decision to protect himself. Although Zhou Can had returned, the situation was unclear. He dared not get too close to Zhou Can rashly to avoid getting involved. Zhou Can understood Doctor Fu''s approach. No doctor would dare to risk their future for an unrelated person. Zhou Can followed Dr. Xu towards the changing room. "Teacher, thank you for everything you''ve done for me." He finally found an opportunity to thank Dr. Xu in person. Without comparison, there is no harm. Compared to Doctor Fu, Dr. Xu was like family. Dr. Xu just glanced at him indifferently. "There''s nothing to thank me for, I just didn''t want to see talent buried, that''s all." With those words, he walked into a small compartment of the changing room. Leaving only a somewhat lean figure for Zhou Can. But to Zhou Can, that figure was towering and mountainous. Chapter 103 - 87: From adversity comes prosperity, cutting and separating both advance When Zhou Can emerged in his changed clothes, Dr. Xu had already left. Walking out of the operating room, Zhou Can contemplated buying ten more mice to practice his surgical skills at home. He aimed to elevate his Incision Skill to the medium level of a resident doctor. In fact, his Experience Points in the Separation Skill had also reached 520.2/1000 at Level 3. He was merely about 80 points away from reaching the medium level. This medical skill was even more important than the Incision Skill. It was necessary for separating various diseased tissues and tumors. Jin Mingxi caught up with him from behind. "Dr. Zhou, we''ve known each other for so long, and I''ve never treated you to a meal. How about I take you out tonight?" Zhou Can turned to look at him. "Why the sudden thought of having dinner? Afraid I''ll leave in a couple of days?" Living together with Jin Mingxi, joking around was not an issue. "Haha, your thought process is indeed quite unique. I wanted to celebrate your safe return, and here you are... I''m speechless! Still haven''t lost it yet, have you?" Jin Mingxi laughed heartily. "I think there are quite a few who have a unique thought process, not just me. What does my virginity have to do with this?" Zhou Can racked his brain but couldn''t figure out the connection between the two. "If you''re a virgin, that means you are innocent. Obviously, innocent remarks!" Upon hearing this from Jin Mingxi, Zhou Can suddenly understood. He also laughed heartily, "Haha, what era is this? Still following those feudal superstitions! Don''t worry, that''s already in the past, there''s no way I''m leaving in two days!" He found that Jin Mingxi, despite seeming quite reserved, was quite humorous in conversation. Zhou Can glanced at his phone. "It''s still a bit early, how about I buy a few mice and practice some surgeries back at the apartment, and we can have dinner around six?" "Can you not push yourself so hard? Us resident doctors from your same period really feel the pressure!" Jin Mingxi considered himself competent, but compared to the extraordinary Zhou Can, he could only watch as he was left behind. "I have to push myself! Either you have a wealth of work experience, or high educational qualifications. I have none of that, if I don''t strive harder, I''ll definitely be eliminated." These words were indeed not an exaggeration. Tu Ya''s residency recruitment has become more stringent each year, particularly this year due to various influences¡ªit has been extremely competitive. Many talents with over a decade of experience or even a master''s degree have failed to make it into the top twenty. There were even three or four doctoral graduates in medical science who were eliminated. Zhou Can had the lowest qualification with just a bachelor''s degree. Almost no work experience. To stand out among so many strong candidates, mere effort wouldn''t suffice even with the system of medical Experience Points. "Dr. Zhou, Dr. Zhou, there''s a patient and his family who have specifically come to see you. They''ve been waiting for almost two hours," a nurse ran over to inform Zhou Can, pointing towards the resting area. Zhou Can turned to look and saw a middle-aged couple sitting on the seats designated for patient rest. He didn''t recognize the elegantly dressed middle-aged woman. But the man in the patient''s attire, he recognized immediately. It was the acute myocardial infarction patient he encountered during the last residency exam. Seeing this patient recovered filled him with gratification. He immediately walked over quickly. The middle-aged man also recognized him, and immediately stood up with the help of the middle-aged woman, his face wearing a grateful smile. "Dr. Zhou, do you remember me?" "Of course! You were the one with acute myocardial infarction! How have you been?" Zhou Can asked with concern. "I had surgery, and because it was timely, the attending doctor said my recovery has been quite good. Today, I was discharged and ready to go home to recuperate." Generally, if someone is discharged three to five days after a myocardial infarction surgery, it indicates a good prognosis and that severe myocardial necrosis didn''t occur. More severe cases usually require a hospital stay of about two weeks. If post-surgery the heart''s conduction doesn''t restore, a pacemaker implantation might be necessary, extending the hospital stay even further. "You''re able to be discharged so quickly, it''s a very good sign. Make sure to follow the doctor''s advice closely and rest well at home," Zhou Can responded, genuinely pleased for the patient. "I owe my life and this good recovery to your help! Right after being discharged, my wife and I immediately thought of coming here to personally thank you." The middle-aged man finished speaking, and his wife also smiled kindly at Zhou Can, nodding in agreement. "The chief surgeon told me that if it had been three minutes later, I might not have survived. Even if resuscitated, the prognosis would have been very poor. Old Cui isn''t familiar with the hospital''s process; he''s a stubborn man. Without your help getting him quickly to the Emergency Department, he would have foolishly queued in the outpatient lobby which could have been disastrous." The middle-aged woman spoke unhurriedly, exuding grace and elegance. That smile on her face, it was as refreshing as a spring breeze. "Dr. Zhou, on behalf of Old Cui and our entire family, thank you!" She placed one hand over her collar and bowed to Zhou Can on behalf of her husband. "I was merely doing a doctor''s duties, no need for thanks! Speaking of gratitude, I must thank you for promptly informing the hospital management and helping clarify the issue with my lateness! Without your timely vindication, I would have lost the opportunity for this year''s residency recruitment." S§×ar?h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. Zhou Can equally appreciated their kindness and gratitude. Kindness given to the right person is indeed kindness. Chapter 104 - 87: From adversity comes prosperity, cutting and separating both advance_2 Giving the wrong person, called hurt. "Speaking of which, at the beginning I had no idea. Old Cui instructed the nurse before the surgery to definitely inform me about this matter, and then let me find hospital leadership to clarify it in time." She explained. "At that time, I thought I shouldn''t delay the young man''s future!" Mr. Cui looked at Zhou Can. "Because you were late for the exam for saving me, it didn''t have much impact, did it?" "At first, the examiner blocked me from entering the exam room. Later, the Medical Department stepped in to clarify for me, and the examiner let me enter. The hospital also gave me an extra ten points for medical ethics." Zhou Can spoke of that day, with great emotion. Good people eventually get their rewards. "Those ten points were well added. As an intern daring to risk being late for the exam to save an unrelated person, such golden character should be highly praised." Mr. Cui, hearing the outcome was satisfactory, was also quite pleased. "Oh, right! Dr. Zhou, could you give us your personal phone number? It must be fate that we met, and you are my lifesaver. I''m a few years older than you but I hope we can keep in touch regularly." Mr. Cui and his wife were clearly cultured, classy people. Zhou Can was very willing to make friends with such people. He gladly gave his phone number to them and they saved each other''s contact. "If you don''t mind me bothering you, we could add each other on WeChat for more convenient chatting in the future," Mr. Cui said with a smile. Phone conversations are more direct, while chatting on WeChat provides a certain buffering space. A phone call is generally for urgent, important matters, or work needs, business interactions¡ªappearing more serious and formal. The chat via WeChat seems more casual. "Sure!" Zhou Can readily agreed. The other party willingly initiating friendship was a sign of respect. After adding each other on WeChat and saving phone numbers, it meant their relationship had taken a big step closer. "Originally, I should have treated Dr. Zhou to a meal. My health hasn''t fully recovered, I can''t drink alcohol, and there are many foods I must avoid; it would surely be less enjoyable. Let me treat you after I''ve fully recovered." Mr. Cui asked for his phone number probably for the purpose of inviting him to a meal later. "Alright, I won''t take up more of your time now. I own a foreign trade company, and now that I am ill and my son is abroad, all the matters are solely handled by my wife." Running a foreign trade company, if done well, can be quite lucrative. And it''s earning foreign money. "So sister-in-law is so capable! No wonder she looks like a strong woman!" Zhou Can said with a smile. Giving roses hand leaves a lingering fragrance. Praising others appropriately can bring many benefits and more easily gain others'' favor. "Hehe, are you complimenting me or teasing me? A strong woman is now a double-edged term." She covered her mouth and chuckled. "Of course I''m complimenting! Sister-in-law is such a gentle, considerate, and capable woman, I doubt any derogatory term dare suits you." Chatting sometimes requires improvisation. Otherwise, it could turn cold and awkward in minutes, even capsize. "Haha, Dr. Zhou not only has a benevolent heart and skills, but also your praise skills are top-notch! We are leaving now, goodbye!" She laughed happily, waving her hands and helping Mr. Cui away along with her. ... Carrying 8 little white mice on the way back to the apartment, Zhou Can''s mood was especially bright. The gloom had cleared, after adversity comes prosperity. His life, having experienced this storm, became even more dazzling. Considering Jin Mingxi had invited him for dinner, which would definitely take up some time, he purposefully bought two fewer white mice. In the apartment, Zhou Can greedily earned a continuous flow of medical experience points from the little white mice. Jin Mingxi was still persistently practicing knots. Bean curds were ruined one after another. Even as a surgeon, everyone''s main focus in surgery could vary. If Zhou Can didn''t have the experience points system, he might also, like Jin Mingxi, just master the most basic medical skills and then choose one or two surgical areas to specialize in. Don''t look down on knot tying, mastering it could also make one a famous surgeon. Around 6:40 PM, after Zhou Can had used up the third little white mouse, Jin Mingxi invited him for a meal at a small restaurant. During which, they downed seven or eight bottles of beer. He initially thought Jin Mingxi couldn''t hold his liquor when he saw him come back completely drunk from a class reunion. Hey, it turns out he really underestimated him. After five bottles of beer, Jin Mingxi was still like nothing was wrong. Zhou Can only found out then. At the last class reunion, because he blocked a lot of drinks for a female classmate called Yez(URL HIDDEN)three male classmates were displeased, and they joined hands to mess with him, insisting on mixing white and red alcohol to show real meaning. The so-called mixing of white and red, were mixed drinks. Ultimately, Jin Mingxi, facing three alone, nearly didn''t end up with a bleeding stomach. All three of them were put down by him, and he also ended up being drunk like a mess after Yez(URL HIDDEN) sent him back to the apartment. From this point, it can be seen that under Jin Mingxi''s gentle appearance, there''s also a spirited side. Through this meal and drink, Zhou Can''s relationship with him subconsciously became closer. After returning to the dormitory, Zhou Can once again immersed himself in practicing medical skills. Close to 8:20 PM, he received a message. S§×ar?h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. He opened to check. It was sent by Yang Chan. "Just finished surgery, glad you''re fine!" He thought she was rather cold and wouldn''t reply to the message. But even though she replied, the content still carried a hint of aloofness. Chapter 105 - 87: From adversity comes prosperity, cutting and separating both advance_3 "Thank you for everything you''ve done for me! (Rose)" Zhou Can was well aware that she had made a great effort in this matter. sea??h th§× Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. Director Zhang Bihua was willing to stand up and speak for Zhou Can, all because of her face. In terms of speaking weight, two Director Lous might not even match one Zhang Bihua. As for why such a prominent director of gynecology would value an intern with only an undergraduate degree, Yang Chan, no one knew the reason. Only by asking the parties involved could one find out. "Don''t mention it!" She just replied with three words. That was really sparing with words. According to what Zhou Can knew of her, the conversation should end here. He once again immersed himself tirelessly into his medical practice. When all eight white mice were used up, his incision and separation skills had all risen to the level of a resident doctor. Ligation Skill experience points at Level 3 894/1000. It was already far ahead of the Suturing Skill. As long as he buys ten more white mice tomorrow night to practice, his Ligation Skill would definitely rise to Level 4, becoming his second major medical skill. This speed of progress was truly frightening. Keep in mind that he had only just begun his standardized training a few days ago. Now that his Incision Skill had finally risen to the level of a resident doctor, if he had the opportunity tomorrow, he should be able to ask Dr. Xu for a chance to perform a level 1 surgery to showcase his ability. But such opportunities were rare in the Emergency Department. General Surgery had the most opportunities for practicing incisions. Such as removing lipomas, hemorrhoids, and countless others. ... The next day at work, Zhou Can deeply felt what it meant for society to be indifferent. Only a few people, such as Ye Tingting and Dr. Luo, were still enthusiastically greeting him. Many other colleagues in the Emergency Department were purposefully keeping their distance. The alienation was invisible and intangible, but genuinely felt. This was the real world of adults. He wasn''t really affected, as they were just colleagues in the same department. It was unrealistic to expect everyone to revolve around him, unconditionally catering to him. A few days ago, when he was a rising star in the Emergency Department, everyone was amazed by his potential and naturally wanted to maintain a good relationship. In the future, they might be able to ask for favors. Many doctors and nurses who have been in the system for a long time are actually very clear about which individuals can rise step by step and ultimately be looked up to, and which are just getting by, leading an ordinary life. The fact that Zhou Can was suddenly suspended by the Medical Department this time, coupled with Dr. Lu''s gossip that a little tidbit of information would be spread around. Eventually led many colleagues to believe that Zhou Can had offended some big leader in the hospital and had committed a serious offense. It was only natural for them to avoid him. But little did these people imagine that Vice Dean Bai, who had put Zhou Can under extreme pressure, now owed Zhou Can a favor. As for the relationship with Zhou Can, it was not exactly close. At least it wasn''t bad. The idea of them being enemies was even more nonsensical. Vice Dean Bai would not only stop suppressing him but would also provide some support and care within his power. If these people knew the truth, they would probably come crawling back to him. However, Zhou Can had long seen through and grown indifferent to such flattery. He didn''t need it. Growing silently, becoming stronger rapidly was more in line with his intentions. Entering the operating room, today Doctor Lin and Dr. Xu were on duty together. "Good morning, Doctor Lin!" "Morning!" Doctor Lin nodded, her attitude neither cold nor warm. A bit better than those who deliberately distanced themselves from Zhou Can. Zhou Can naturally did not go out of his way to fawn over them. He just needed to stick with Dr. Xu. Doctors like Doctor Lin and Dr. Lu would probably still just be resident doctors by the time they were forty. With a bit of luck, they might be weeded out to a secondary hospital. If not so lucky, they would probably have to switch to a city-level hospital to get by. "Xiao Zhou, are you going to perform surgery on your own today or assist me?" Dr. Xu asked. Zhou Can was probably the first trainee to receive this kind of treatment. Other trainees would be thrilled if they could get one or two chances to practice something simple as skin suturing from their senior doctors. "I''ll perform on my own!" Right now, what Zhou Can needed to do was to quickly elevate all four basic medical skills to the Chief Level. Then he would have the ability to take part in important parts of Level 2 surgeries as Dr. Xu''s assistant. "Call in two more instrument nurses to help, and let''s start the surgery!" Dr. Xu''s status in the Emergency Department operating room was second only to Director Lou. In reality, Director Lou rarely took charge of the operating room. So, it was basically like Dr. Xu was the boss around here. Calling in two instrument nurses into the operating room to assist for a whole day was something Doctor Fu definitely couldn''t do. For Dr. Xu, it was just a matter of speaking up. That was the difference. From this point, one could see that even though everyone was a chief physician in the same department, their status varied significantly. Soon, two instrument nurses walked in. One was Tian Tian, and the other was Qiao Yu, Zhou Can''s favorite partner. Tian Tian exchanged a look with Zhou Can and then quickly moved towards Jin Mingxi. In her work, she came across as stiff and clumsy. However, in dealing with people, she was quite astute, whether interacting with colleagues or with patients'' families. Now, quickly moving towards Jin Mingxi was just for fear of assisting Zhou Can and getting into unnecessary trouble. This was exactly what Zhou Can wanted. Jin Mingxi''s face turned a bitter shade, having worked with Tian Tian just yesterday, he had experienced misery. He deeply understood what it meant to have a teammate like a pig. Chapter 106 - 87: From Adversity to Prosperity, Cutting and Separating Double Promotion_4 Finally, I understand why every time Zhou Can collaborates with Tian Tian in surgeries, the number of surgeries completed decreases significantly. But when he collaborates with Qiao Yu, it''s like having divine assistance. There really is a difference between people. Both are instrument nurses, but their work abilities are worlds apart. "Dr. Zhou, congratulations!" Qiao Yu said with a light smile. "Thank you!" Zhou Can was genuinely grateful. As she approached, Zhou Can whispered, "Aren''t you afraid of getting into trouble helping me?" Qiao Yu playfully rolled her eyes. "Can you not say such saddening things? I specifically begged the head nurse for a long time yesterday to let me work the morning shift today, just so I could assist you!" Morning shift is also known as day shift. If it''s in the inpatient department, only the morning shift nurses are truly in charge. Their shift is fixed, always in the mornings. The evening and night shift nurses work on rotation. They are called on-duty nurses, and there is quite a difference between them and the day shift nurses. Their position is not as esteemed, and they are not as specialized in their professions. Due to the unique nature of the Emergency Department, most of the nursing positions are rotating. Everyone wants to work the day shift, but as a newcomer, Qiao Yu almost had no competitive edge. It was truly not easy for her to ask the head nurse to arrange a day shift for her. She must have said a lot of good things and pleaded for a long time. "Don''t be angry, okay? It was just a joke. How about I treat you to ten cups of milk tea as an apology?" Zhou Can quickly apologized. "That''s more like it!" She turned her pout into a smile. Not far away, Tian Tian had been avoiding Zhou Can, keeping her distance from him. Now hearing that Zhou Can would treat Qiao Yu to ten milk teas, she immediately perked up. "Dr. Zhou, being so generous, you can''t just treat Qiao Yu!" Most women love to take small advantages. Tian Tian also wanted to latch onto those ten cups of milk tea from Zhou Can. "Dr. Zhou only earns so much salary a month. He just treated all the nurses at the Emergency Department to milk tea. Don''t extort him anymore! I was just joking and didn''t actually expect him to treat me." Qiao Yu quickly spoke up for Zhou Can. She was worried that Zhou Can, out of concern for his image, would agree to Tian Tian''s request. "No, no, no, a man must keep his word. I said I''d treat you, so I''ll treat you. As for Tian Tian and others, well, I''ll treat them too when I have more money," Zhou Can wasn''t foolish and loaded with money. Last time he agreed to treat all the nurses to milk tea to foster good relations and familiarize himself with them. Tian Tian was too calculating and really mistook him for an easy mark. She even ambitiously hoped to enjoy the same treatment as Qiao Yu, which was pure wishful thinking. Zhou Can spoke beautifully on the surface, but inwardly he thought, does she even qualify? "Well then, I just wish Dr. Zhou becomes a wealthy man soon!" Seeing she couldn''t get more, Tian Tian gave up. Qiao Yu, enjoying such special treatment, felt sweet inside. The smile on her face grew even brighter. "What flavor do you like?" S§×arch* The N?velFire.n§×t website on Google to access chapters of novels early and in the highest quality. Zhou Can asked her. "Are you really treating me? Then I''d like a cup of Jasmine-flavored milk tea." She thought for a moment and said. Sometimes, people are just strange. People like Tian Tian, who sparing no effort in trying to take advantage, end up with nothing. Those like Qiao Yu, who aren''t greedy, tend to receive more. "No problem!" How could Zhou Can only treat her to one cup? He was definitely going to treat her to ten. As they were talking, patients needing surgery were being continuously brought into the operating room. A busy day had started again. With Qiao Yu as his ''golden partner,'' performing surgeries felt divinely assisted, quick and efficient, truly exhilarating. Looking over at Jin Mingxi, even his face mask couldn''t hide his despondent expression. His heart must be pretty crushed. Zhou Can had already completed three surgeries, while he had just finished one. The difference was just too big. "Qiao Yu, keep an eye on Dr. Xu''s side. If you see any simple excision surgeries coming up, call me." Zhou Can''s Incision Skill had just barely reached a middle level among resident doctors, and he really wanted to find a chance to practice. If one must describe it, he was itching to try. He had lost count of how many dissections on mice he had performed. But he had yet to try it on a patient. Actually, once the Incision Skill reaches a lower level among resident doctors, one can participate in some simple excision surgeries. Such as removing foreign objects beneath the skin, cutting some simple external hemorrhoids, etc. One patient after another was brought into the surgery room, and each was wheeled out after their surgery was completed. The opportunity Zhou Can was waiting for never appeared. As it neared the end of the shift, a middle-aged woman with her face swollen like a bull terrier was wheeled into the surgery room. At this moment, Zhou Can had no more surgeries in his hands. Jin Mingxi''s surgery was wrapping up. Since Doctor Fu was about to come over for the shift change, and considering that Doctor Fu currently didn''t want to get too close to him, fearing complications, Zhou Can didn''t want to make the situation awkward by calling in new surgical patients.BOLD It''s better to finish work early and go home to practice medicine on mice. "Hey, here''s the surgical opportunity you wanted!" Qiao Yu whispered to him. Zhou Can looked at the woman with a giant swelling on her face, and his spirits lifted. Based on his feeling, the swelling on the woman''s face seemed to be something like a lipoma. "What happened to her? Have all the tests been done?" Dr. Xu asked. "All the tests are in place. This is the result of the relevant tests. It happened because she had acne on her face, and after using an acne needle to poke it, it turned into this. Dr. Luo has examined her and said that there is an abscess inside." Chapter 108 - 87: From Adversity Comes Prosperity, Cut and Separate for Dual Promotion_6 Since the area requiring surgery was large, Zhou Can decided to perform an anesthesia injection from six different points. "Can you still feel any pain?" He waited a moment, estimating that the anesthetic had taken effect, then started a small test. "No pain!" The patient''s speech had already become somewhat slurred. This was a consequence of widespread facial anesthesia. A sharp scalpel was handed to Zhou Can. Her cooperation was always so in sync. The two began to operate on the patient together. Zhou Can took the scalpel, his gaze fierce, his expression focused, and his movements steady. The blade passed precisely along the pre-marked incision line. A little fresh blood appeared, but more of it was foul-smelling pus. Zhou Can quickly took the pus suction device to clean it up. He ignored the minor bleeding from the surgical wound. For purulent areas, a little bleeding was actually beneficial. It could help clear out potential toxins and pus from the blood. After the pus was removed, the swelling on the patient''s face did not subside much. This indicated that the size of the swelling inside was not small. "This swelling is quite large! Dr. Xu, may I have the honor of removing it?" Doctor Lin made his move. In the face of interests, no one holds back. He first emphasized the size of the swelling, implying subtextually that Zhou Can, the newcomer, was definitely not up to the task. Then he naturally requested Dr. Xu to hand over the surgery to him. Compared to Dr. Lu, Doctor Lin spoke more politely and was more considerate of Zhou Can''s feelings. sea??h th§× N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. He wouldn''t directly say words that attacked or suppressed Zhou Can. The competition between the two could arguably be considered fair. But of course, from another perspective, Doctor Lin was definitely taking advantage of his seniority. After all, he was a Resident Doctor with four years of experience. Zhou Can was merely a newcomer in residency training. There was an inequality in status and work experience between them. However, if a newcomer wanted to forge ahead, the process was that harsh. It was akin to a wolf snatching meat from the mouth of a lion. "You just observe!" Dr. Xu cast a cold glance at him, which intimidated Doctor Lin from proceeding further. It was likely that Doctor Lin had, to some extent, come to understand reality after this incident. "Xiao Zhou, continue!" In the presence of the patient, many things couldn''t be said. Thus, only subtle hints could be provided. "Okay!" Zhou Can was ecstatic. It seemed that the initial incision had already preliminarily earned Dr. Xu''s approval. Qiao Yu had already passed the surgical scalpel to him. After receiving the scalpel, he carefully expanded the incision to about 4.5cm, then looked up at Doctor Lin. "Doctor Lin, may I have your assistance with the retractor!" "Okay!" Doctor Lin agreed readily and expanded the incision with a flat retractor. The situation inside was revealed to everyone present. The suppuration was actually not severe, it was merely superficial and mild. What really caused the patient''s facial swelling was a tumor with a conservative estimate of over 3cm in diameter. It didn''t look much like a sebaceous cyst. It was light yellow in color, somewhat resembling chicken fat. As for the specific nature, it might require pathological examination after being excised to determine. "Picking at blackheads might only be an inducement. The tumor could have already been present. Stimulated and further coupled with an infection, it rapidly grew in size." Dr. Xu examined it and his expression became slightly solemn. Whenever he encountered a slightly more complicated condition, he would typically have this expression. "Xiao Zhou, share your surgical plan." He had to ensure Zhou Can''s approach was sound. Only when he was certain that the surgical plan was reliable and safe would he agree to let Zhou Can continue with the surgery. "First, I will perform simple wound debridement, then find the blood vessels at the base of the tumor, clamp them with hemostatic forceps, and then gradually separate the tumor from the surrounding tissue. Finally, proceed with the excision." "Hmm, I''ll help you clamp the blood vessel." The incision was originally small, and having three people operating was somewhat crowded. It was probably because Dr. Xu was not fully confident that he decided to personally help Zhou Can with clamping the vessels, ready to intervene or give instructions at any moment. Zhou Can''s Hemostasis Skill was at the Chief Level, which greatly assisted him in finding the blood vessels. After debridement, he turned the tumor over, quickly locating the blood vessels at the base. Typically, any tumor that can continue to grow has a blood supply. This tumor was just situated on the face, otherwise it would be considered an insignificant small tumor. Compared to those massive liver tumors often exceeding 20cm in diameter, it was nothing. For benign tumors growing on the liver, if their diameter is smaller than 5cm and they are confirmed to be benign, doctors usually tell the patients that treatment is unnecessary. They just need to get regular checks. "Teacher, please help me clamp this blood vessel." Zhou Can exposed the vessel directly. "Wow! Being able to accurately find the root blood vessel of the tumor so quickly is impressive!" Doctor Lin, who was nearby, couldn''t help but praise. At least he did not have this skill. "Too kind!" Zhou Can modestly smiled. In terms of Hemostasis Skill, even Doctor Fu couldn''t match him. Doctor Lin''s skill in hemostasis was at best median among Resident Doctors, far behind Zhou Can. "Indeed skillful." Dr. Xu also nodded in approval. After clamping the root blood vessel with the hemostatic forceps, he did not forget to instruct the junior doctors. "If you need to preserve a blood vessel, be careful when clamping not to apply too much force to prevent damaging the vessel." Many newcomers are prone to this mistake. When clamping a blood vessel, they often use excessive force due to nervousness, fearing they won''t be able to stop the bleeding. For parts of blood vessels to be excised, naturally, it is not an issue. But a blood vessel that needs to be preserved can easily be ruined if clamped so forcefully. Doctor Lin quietly waited. Chapter 108 - 87: From Adversity Comes Prosperity, Cut and Separate for Dual Promotion_6 Since the area requiring surgery was large, Zhou Can decided to perform an anesthesia injection from six different points. "Can you still feel any pain?" He waited a moment, estimating that the anesthetic had taken effect, then started a small test. "No pain!" The patient''s speech had already become somewhat slurred. This was a consequence of widespread facial anesthesia. A sharp scalpel was handed to Zhou Can. Her cooperation was always so in sync. The two began to operate on the patient together. Zhou Can took the scalpel, his gaze fierce, his expression focused, and his movements steady. The blade passed precisely along the pre-marked incision line. A little fresh blood appeared, but more of it was foul-smelling pus. Zhou Can quickly took the pus suction device to clean it up. He ignored the minor bleeding from the surgical wound. For purulent areas, a little bleeding was actually beneficial. It could help clear out potential toxins and pus from the blood. After the pus was removed, the swelling on the patient''s face did not subside much. This indicated that the size of the swelling inside was not small. "This swelling is quite large! Dr. Xu, may I have the honor of removing it?" Doctor Lin made his move. In the face of interests, no one holds back. He first emphasized the size of the swelling, implying subtextually that Zhou Can, the newcomer, was definitely not up to the task. Then he naturally requested Dr. Xu to hand over the surgery to him. Compared to Dr. Lu, Doctor Lin spoke more politely and was more considerate of Zhou Can''s feelings. sea??h th§× N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. He wouldn''t directly say words that attacked or suppressed Zhou Can. The competition between the two could arguably be considered fair. But of course, from another perspective, Doctor Lin was definitely taking advantage of his seniority. After all, he was a Resident Doctor with four years of experience. Zhou Can was merely a newcomer in residency training. There was an inequality in status and work experience between them. However, if a newcomer wanted to forge ahead, the process was that harsh. It was akin to a wolf snatching meat from the mouth of a lion. "You just observe!" Dr. Xu cast a cold glance at him, which intimidated Doctor Lin from proceeding further. It was likely that Doctor Lin had, to some extent, come to understand reality after this incident. "Xiao Zhou, continue!" In the presence of the patient, many things couldn''t be said. Thus, only subtle hints could be provided. "Okay!" Zhou Can was ecstatic. It seemed that the initial incision had already preliminarily earned Dr. Xu''s approval. Qiao Yu had already passed the surgical scalpel to him. After receiving the scalpel, he carefully expanded the incision to about 4.5cm, then looked up at Doctor Lin. "Doctor Lin, may I have your assistance with the retractor!" "Okay!" Doctor Lin agreed readily and expanded the incision with a flat retractor. The situation inside was revealed to everyone present. The suppuration was actually not severe, it was merely superficial and mild. What really caused the patient''s facial swelling was a tumor with a conservative estimate of over 3cm in diameter. It didn''t look much like a sebaceous cyst. It was light yellow in color, somewhat resembling chicken fat. As for the specific nature, it might require pathological examination after being excised to determine. "Picking at blackheads might only be an inducement. The tumor could have already been present. Stimulated and further coupled with an infection, it rapidly grew in size." Dr. Xu examined it and his expression became slightly solemn. Whenever he encountered a slightly more complicated condition, he would typically have this expression. "Xiao Zhou, share your surgical plan." He had to ensure Zhou Can''s approach was sound. Only when he was certain that the surgical plan was reliable and safe would he agree to let Zhou Can continue with the surgery. "First, I will perform simple wound debridement, then find the blood vessels at the base of the tumor, clamp them with hemostatic forceps, and then gradually separate the tumor from the surrounding tissue. Finally, proceed with the excision." "Hmm, I''ll help you clamp the blood vessel." The incision was originally small, and having three people operating was somewhat crowded. It was probably because Dr. Xu was not fully confident that he decided to personally help Zhou Can with clamping the vessels, ready to intervene or give instructions at any moment. Zhou Can''s Hemostasis Skill was at the Chief Level, which greatly assisted him in finding the blood vessels. After debridement, he turned the tumor over, quickly locating the blood vessels at the base. Typically, any tumor that can continue to grow has a blood supply. This tumor was just situated on the face, otherwise it would be considered an insignificant small tumor. Compared to those massive liver tumors often exceeding 20cm in diameter, it was nothing. For benign tumors growing on the liver, if their diameter is smaller than 5cm and they are confirmed to be benign, doctors usually tell the patients that treatment is unnecessary. They just need to get regular checks. "Teacher, please help me clamp this blood vessel." Zhou Can exposed the vessel directly. "Wow! Being able to accurately find the root blood vessel of the tumor so quickly is impressive!" Doctor Lin, who was nearby, couldn''t help but praise. At least he did not have this skill. "Too kind!" Zhou Can modestly smiled. In terms of Hemostasis Skill, even Doctor Fu couldn''t match him. Doctor Lin''s skill in hemostasis was at best median among Resident Doctors, far behind Zhou Can. "Indeed skillful." Dr. Xu also nodded in approval. After clamping the root blood vessel with the hemostatic forceps, he did not forget to instruct the junior doctors. "If you need to preserve a blood vessel, be careful when clamping not to apply too much force to prevent damaging the vessel." Many newcomers are prone to this mistake. When clamping a blood vessel, they often use excessive force due to nervousness, fearing they won''t be able to stop the bleeding. For parts of blood vessels to be excised, naturally, it is not an issue. But a blood vessel that needs to be preserved can easily be ruined if clamped so forcefully. Doctor Lin quietly waited. Chapter 109 - 87: From Despair to Hope, Thoroughly Separating and Advancing Double Promotion_7 Finding the root blood vessels of the tumor is only the first step. This surgery is far more complex and difficult than a Level 1 surgery. In fact, it is already at the Level 2 surgery standard. He doesn''t believe that Zhou Can, the newbie, can handle the following tumor separation. Even he, a senior resident doctor, is not fully confident. At most, he only dares to attempt it. That is also why he fought so hard for the opportunity to perform this surgery. In the past, Dr. Xu might not have allowed Zhou Can to participate in such high-risk surgeries. Perhaps it was the incident from yesterday that stimulated him. If it weren''t for several department heads speaking up for Zhou Can, he would likely still be on suspension now, or even facing worse consequences. Dr. Xu, with little sway and light words, could only watch helplessly, without any means to intervene. Therefore, he accelerated the training of Zhou Can. Hoping to make Zhou Can grow stronger more quickly, to elevate his status and influence. Zhou Can grabbed the scalpel and began to cautiously separate the tumor from the surrounding tissues. Each cut was precise and steady, hitting the mark every time. His movements were swift and efficient when separating from the normal surrounding tissue; when separating from blood vessels, he pushed forward slowly, the force, angle, and progress all handled just perfectly. "Good lad, really impressive! This separation skill is at least at the resident doctor level, and even above average among them." Dr. Xu watched Zhou Can handle the scalpel with ease, controlling the nuances perfectly, he was happier than anyone else. This kid is truly extraordinary. Originally, he thought Zhou Can''s incision skill was decent, so he wanted to see how good Zhou Can''s separation aptitude was. He was prepared to call a halt at any time and take over the mess. But Zhou Can never even gave him the chance to call a halt, instead giving him a huge surprise. To have such a talent for an apprentice, it''s a fortune he was saved. He felt that risking his neck to stand up for Zhou Can, everything he did was completely worth it. Doctor Lin, who had been waiting for an opportunity by the side, was dumbfounded. His heart went cold. With Zhou Can''s separation skill being so formidable, easily handling the separation and removal of the tumor, Doctor Lin would not have any more chances. Jin Mingxi had also finished his surgery by then, craning his neck to watch from the sidelines. His expression was even more interesting. It was as if he had seen a ghost. He, a doctor with over a decade of experience, prided himself on his extensive surgical experience and solid skills. Yet, the separation capability that Zhou Can showcased stirred a deep sense of defeat in him. This newcomer was too demonic. It was an advanced medical skill, separation skill, far more difficult than incision. How on earth did Zhou Can practice? Jin Mingxi lived with Zhou Can every day and, apart from seeing Zhou Can frequently dissecting a large number of mice, hadn''t seen him practicing anything else! At this point, it was time for the shift change. Doctor Fu, Doctor Lu, and Nurse Liu Xia came over to take over the shift. As soon as they entered the operating room, they saw several doctors gathered around the operating table, performing surgery on a patient. Taking a closer look, they were taken aback; Dr. Xu was actually acting as the assistant. "Damn, how is he standing at the primary surgeon''s position? The attending and senior resident doctors are all assisting him, this kid''s treatment is pretty special!" Doctor Lu''s cheeks twitched with envy. His eyes were fixed on Zhou Can, who was focused on performing the surgery. Such treatment, he had never experienced before. Then, he made another discovery. Qiao Yu, whom he had been pursuing for a long time, was actually assisting Zhou Can as an instrument nurse. Their interaction was close and seamless. Doctor Lu felt as if a million ants were gnawing at his heart, making him especially uncomfortable. If only he were the one standing in the primary surgeon''s position! Of course, such things were just wishful thinking for him. Qiao Yu had also served as his instrument nurse a few times, but it was always strictly business, never as close as with Zhou Can. This made Doctor Lu feel even more uncomfortable. A pang of agony resided in his heart. Curious, Doctor Fu wondered, with the shift change time arrived, what kind of surgery was still not finished? Stepping forward, he first greeted Dr. Xu with a smile, "It''s rare to see Dr. Xu working overtime on a surgery!" Sear?h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. "A superficial subcutaneous tumor excision surgery." Dr. Xu gave a brief introduction and then his gaze once again locked onto Zhou Can''s movements. He dared not be careless. He had to keep a close watch. Initially, Doctor Fu didn''t take it too seriously, but upon seeing what Zhou Can was doing, his eyes widened as if by magic. This was terrifying! A trainee was actually separating a facial tumor; not only were the movements steady and smooth, but the separation effect was surprisingly good. For such a skill to appear in a trainee who had just started training, it was truly shocking. Zhou Can had almost completed separating the entire tumor from the surrounding tissue. He was working on separating the most critical part, the blood vessels. We could say that every cut was a dance upon the knife''s edge; a slight misstep would cut the vessel. Yet, he ensured no mistakes; every cut was precise¡ªyou could say it was infuriatingly good. Seeing Doctor Fu''s reaction after watching Zhou Can''s surgery, Doctor Lu also grew curious. He leaned in to take a closer look. "This, this... is this kid a demon in disguise? He''s playing with the separation skill so smoothly!" Doctor Lu''s expression was not any better than Doctor Fu''s, if not more exaggerated. Not only were his eyes bulging, but his mouth was also agape forming an O shape. Though Doctor Lu was lazy, he had a sharp eye. He could tell at a glance that Zhou Can''s separation skill was streets ahead of his own. One can imagine his inner shock. Chapter 110 - 88: Jade Must Be Carved to Make a Tool, Many Sect Leaders are Chief Level in Medicine Everyone was watching Zhou Can perform the advanced medical techniques that weren''t supposed to belong to a rule-based training doctor. The blood vessels on that tumor were being successfully peeled away by him bit by bit. Finally, the separation was almost complete. "Teacher, I''m ready to sever these capillaries growing inside the tumor, then perform electrocoagulation for hemostasis. Finally, I will completely separate and excise the tumor from the muscle tissue. What do you think?" Out of respect and caution, Zhou Can did not rush to finish up. Instead, he consulted Dr. Xu first. "This plan is very good!" In front of the patient, Dr. Xu was never stingy with his praise. With his teacher''s affirmation, Zhou Can felt reassured. Step by step, he completed the remaining surgical work. Severing the tiny blood vessels growing inside the tumor, then performing electrocoagulation for hemostasis. Actually, the root of that main blood vessel had been clamped by Dr. Xu; when severing these capillary vessels, the bleeding amount was minuscule. During surgery, it is crucial to minimize blood loss. Not just due to the psychological pressure the bloodiness brings. The blood can obscure the surgical field, causing considerable trouble. The correct procedure for excising a tumor generally involves cutting off the blood supply first, then proceeding with subsequent steps. Doctor Fu had witnessed Zhou Can''s Hemostasis Skill before, and upon seeing it again, he was still amazed. Not to mention Dr. Lu, Doctor Lin, and Jin Mingxi. Seeing how exquisite Zhou Can''s Hemostasis Skill was, besides feeling envious, they also felt a significant pressure. But this was also a good thing. Pressure brings motivation after all! Walking with tigers mostly results in fierce beasts, flying with phoenixes certainly makes you a fine bird. S~ea??h the N??elFir§×.net website on Google to access chapters of novels early and in the highest quality. Only by keeping company with the strong can one become stronger. Zhou Can had finished handling the blood vessels and successfully separated the tumor from the surrounding tissue; now, only the final step remained. That was to excise. He did not hesitate, swiftly and decisively cutting off the tumor entirely. "Xiao Zhou, you excised this tumor very well. Remember, whether benign or malignant, it is okay to excise a bit more normal tissue during removal. This ensures a clean removal in one go, preventing recurrence." "Understood!" Zhou Can nodded and noted it down. If malignant tumors are not completely removed, the consequences can be very severe. It can cause cancer cells to spread, ultimately losing any chance for surgery. This is quite common. For instance, in cases like breast cancer, uterine fibroids, stomach cancer... it''s often the case that less skilled doctors do not cut completely clean. Tumors have one major characteristic. If you don''t provoke them, they might just grow normally. But once stimulated, it truly becomes like fighting fire with fire. To survive, it will enter a frantic ''population explosion'' mode. Not only does it replicate at twice the speed, but it also quickly metastasizes to surrounding tissues. At that point, for the patient, it is definitely a catastrophe. "Teacher, do you think it''s okay to proceed with wound cleaning and suturing now?" The tumor was successfully excised, and the patient''s previously swollen cheek had essentially subsided. Dr. Xu carefully checked once more and found no issues. He signaled that it was okay to proceed with cleaning and suturing. Twenty minutes later, Zhou Can smoothly completed cleaning and skin suturing. The patient''s right cheek now appeared smooth. "Alright, the surgery went very well, and the subcutaneous tumor in your facial area has been successfully removed. If there is anything abnormal with the wound, be sure to report to our medical staff in time." Dr. Xu instructed the patient. While Zhou Can was suturing, he had already prepared the medical orders. He asked Qiao Yu to take the patient to the infusion area for an IV drip. After the patient left, Dr. Xu turned to Zhou Can, and then his gaze swept over Dr. Lu, Jin Mingxi, and Doctor Lin. "Postoperative care for this type of surgery must be taken seriously. If the wound shows signs of infection or puss, it must be handled promptly and decisively. Ideally, antibiotics should be administrated via IV infusion, and oral anti-inflammatory medications should be prescribed. For the first three days, you can ask the patient to come for an infusion daily for easy monitoring of the wound condition." Dr. Xu shared his experience in postoperative care with them. "Xiao Zhou, when you practice independently in the future, for patients with significant postoperative risks, make sure to instruct the nurses in the infusion area carefully to keep a close eye on the patient''s condition. Thus, occasionally treating them to a cup of milk tea is actually quite a good idea. They will pay more attention to the tasks you assign." Doctors and nurses are two separate systems. They are interdependent. A doctor''s position is higher than a nurse''s, but if relationships aren''t managed well, it can be disadvantageous for doctors. They are only responsible for their regular duties, and no one can criticize them. If something goes wrong, the unfortunate one will definitely be the doctor involved. Among the doctors here, only Zhou Can is a newcomer; Dr. Xu taught him these unwritten rules fearing he might not know them. "Overall, you performed this surgery quite well. However, you should also be aware of some shortcomings. For example, when peeling off the tumor, the cutting edge was not neat. Also, the wound cleaning wasn''t particularly thorough. The suturing was not exceptional either, just above average. These are areas that need improvement." In front of everyone, Dr. Xu pointed out several of Zhou Can''s shortcomings. The Wound Cleaning Skill had now become one of Zhou Can''s weak points. Because it was only at the lower level of standardized training. There was no helping it; his working time was too short. His foundation was still considerably weak. You can''t eat yourself into being overweight in one go. Improving in every medical field requires time and opportunities for practice; things must progress slowly. Being able to independently excise the tumor smoothly without causing any severe problems was already significant progress for him. Chapter 116 - 90: Throwing Away Ones Helmet and Armor, Mastering the Basic Skills of Complex Surgery Director Xie was furious over this matter, and it was probably not just because the chances to train newcomers in surgeries had decreased. Even mosquitoes are meat. Level 2 surgeries can actually bring in quite substantial revenue for the department. The weight of each department can be divided into several key factors: academia, top talent, revenue generation, ranking in specialized fields, and medical examination capabilities. Among these, revenue generation is the most core element. No matter which department, as long as your ability to generate revenue is strong, you can stand tall, and your words will carry weight. "Director Lou, is this the case?" Vice Director Ye''s gaze turned to Director Lou, who was sitting in the last row. Zhou Can turned his head to look, and found that both Dr. Xu and Director Lou remained calm. He immediately felt relieved. It seemed that the two were well-prepared and were not caught off guard by Director Xie. "It is the case." Director Lou boldly admitted in front of everyone. "Speaking of which, our Emergency Department also did this out of goodwill." Look at the way the directors speak; they do have a way with words. They had taken away surgeries from the surgery department, yet they proudly and confidently told Director Xie and Vice Director Ye in front of everyone that this was done with good intentions. It felt like they had snatched the meat from someone''s bowl, eaten it all up, and then told the person that they did it because eating too much meat isn''t good for health. That was why they helped them finish it. "Nonsense! Explain how exactly this is done out of goodwill?" Director Xie was so angry his face turned red. But he was from a surgery background, and his temper was naturally a bit rough. Of all the senior directors, he had the worst temper. Perhaps because the surgery department held a high position, he felt he could stand tall, which sometimes made his voice uncontrollable. "I''ve heard from many doctors and nurses in the Emergency Department that a lot of doctors in the surgery department are complaining, saying that all sorts of patients are being pushed onto them. I understand the hardships of the surgical doctors because they are busy! Sometimes when we ask them to handle an emergency, it would be considered fast if they could show up within half an hour. Waiting one or two hours, or even longer, is also quite common." Director Lou calmly stated the facts. He took this opportunity to call out the arrogance of some people in the surgery department. Many of the surgeons present felt their faces burning. "Previously, our Emergency Department operating rooms were short-staffed, and we had no way to share the workload of the surgery department. Until over half a month ago, Dean Ye, out of his understanding, allocated two general residency spots to our Emergency Department. Finally, our operating rooms had enough staff. After we got the two additional residents, Dr. Xu and I discussed it and felt that we had a duty to help the surgery department with whatever workload we could handle." "Just in time, the two new residents were eager to prove themselves, taking on a huge amount of junior work in the operating room." Director Lou made a beautiful scene of his speech. He looked at Director Xie, "With just two residents, how many surgeries could they have taken from your department? The words you spoke earlier, Director Xie, they came across as petty. You also misconstrued the good intentions of our Emergency Department." Zhou Can mentally gave a thumbs up. The old are indeed tougher. The argument prepared by Director Lou and Dr. Xu was all about turning the table on Director Xie. And they were doing so with reason on their side. S§×ar?h the n?velFire.net website on Google to access chapters of novels early and in the highest quality. "You, your logic is twisted, like making noise with an unsharpened axe." Director Xie was good at wielding a scalpel and not bad at taking credit with sly tricks. But in this kind of face-to-face, drum-and-gong debate, that was not his strong suit. After a few exchanges, he was thoroughly routed by Director Lou. "I can''t argue with you. But it''s just not right for the Emergency Department to snatch patients from the surgery department." Unable to reason with them, he resorted to being obstinate. The surgery department''s influence and status were far above that of the Emergency Department, so he used his power to pressure them. "Since Director Xie has said so, it doesn''t matter to us in the Emergency Department, we''ll just have fewer surgical patients. We''d even be happy to take it easy." Director Lou shrugged nonchalantly with a smile. Vice Director Ye had been silent the whole time, but now that the two department heads seemed to have more or less sorted things out, he found the right moment to chime in. "Old Lou, from what I see, your Emergency Department also means well, it''s just that you didn''t coordinate with Old Xie in advance, which has led to a misunderstanding. It''s good for your Emergency Department to appropriately treat some surgical patients that you can handle, to ease the pressure on other departments. But just seeking an easy job, that won''t do!" He was definitely willing to encourage and support the proactive attitude of the Emergency Department. But he also needed to take into account the feelings of Director Xie. "Old Xie, how many surgical doctors does the Emergency Department have after all? Only eight. How many operations can two residents snag from your surgery department? This kind of thing, you should just turn a blind eye in the future." Vice Director Ye had already made his point so clear, what else could Director Xie say? He could only nod his head in agreement, with tears in his eyes. He originally came to the Emergency Department to seek justice, and the evidence was solid. But Director Lou was well-prepared, and although he was the one who did wrong, he turned into the one who seemed right. Meanwhile, Director Xie, the one at a disadvantage, ended up leaving the impression of being petty-minded in everyone else''s eyes, even with Vice Director Ye speaking for the Emergency Department. He felt incredibly frustrated about that! "Meeting adjourned!" Vice Director Ye was the first to leave the meeting room after declaring the meeting over. Director Lou stood up, smiling and greeting Director Tan and the others. It''s always good to maintain relationships, so it''s easier to ask for favors when needed. Zhou Can, remembering how Director Tan and Director Yin had spoken up for him recently, also went over to join them. Chapter 117 - 90: Abandoning Helmet and Armor, Fundamental Skills of Advanced Surgery_2 "Director Tan, Director Yin, thank you for standing up for me last time. This favor, I will keep it etched in my heart forever." The risk they took was offending a vice dean for his sake. Zhou Can definitely had to respond in some way. Even if he was not able to repay them now, verbal thanks were a must. That''s the least one can do to be a decent person. If others went out of their way to help him in a big way, and he showed no gratitude, surely it would make the helpers feel disheartened. Next time something happens, others wouldn''t come to his aid. "It''s a trivial matter, not worth mentioning." Director Tan waved his hand. "I just don''t want to see a talented kid''s potential get wasted, that''s all!" Director Yin Hua stated his position with a neutral tone. Both of them were not the sort to help others expecting something in return. On one hand, they genuinely appreciated Zhou Can, both his humanity and his medical talent. On the other hand, human nature is such that the majority of people are inherently upright and kind. Within their abilities, they were willing to lend Zhou Can a hand. "Xiao Zhou, it''s been a while since that incident. I hope it hasn''t affected you much?" Director Tan asked with concern. "It''s been fine, I''ve moved on from it a long time ago." Zhou Can''s personality was fairly optimistic. To say he harbored no resentment at the start would be a lie. But Vice Dean Bai had apologized to him and offered compensation, and Dr. Shangguan had a change of heart, becoming good friends with Zhou Can. By now, Zhou Can had long let it go. S~ea??h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. "Moving on is good! You also shouldn''t hold any grudges. One day, if you are in a high position and need to consider the future and destiny of the entire hospital, you might make the same decision. To the hospital, inconveniencing a resident is almost negligible. But the loss of a leading figure in a discipline is too great. It''s like walking down the road, encountering a fifty-pound iron block and a fifty-pound gold block, and you can only carry one with your strength. Naturally, you''ll forsake the iron and do everything possible to take the gold." Director Tan wasn''t entirely sure if Zhou Can had really let it go. He patiently explained the reasoning. "I understand." Zhou Can nodded again. Everyone knows the truism, but when such unfairness befalls oneself, there are probably very few who would willingly accept it. Gao Jian also came over to greet him. "Zhou Can, long time no see!" "It''s been quite a few weeks since we''ve seen each other. You look so confident, your medical skills must have improved significantly, right?" Zhou Can responded with a smile. "Ah, don''t mention it." Gao Jian sighed deeply. "What''s wrong?" Zhou Can wasn''t sure if Gao Jian was just putting on an act of misery. "My traditional surgery skills are not bad, and I have some talent. But when it comes to practicing interventional procedures, my hands are as clumsy as pig trotters." Gao Jian looked disdainfully at his own hands. "Haha, your analogy really does not hold back! Interventional surgery is more complex, you''ve only been practicing for a dozen days, do you expect to reach a director-level proficiency? Calm down, take it slow!" Zhou Can laughed and consoled him. However, Dr. Xu had once said that having a talent for traditional surgery doesn''t necessarily mean one has a talent for minimally invasive surgery. Gao Jian might only have a talent for traditional surgery. If that''s true, it would be such a pity. "Maybe I''m just too eager for quick success. I''ll take your advice, calm down and give it another try." Gao Jian nodded in agreement. "Alright, I have to go work with Dr. Xu now, see you!" Zhou Can saw that Dr. Xu was almost at the door of the conference room and quickly followed. Dr. Xu seemed to have some social aloofness. Other doctors, even those with a little status, were constantly trying to expand or maintain their social circles. Dr. Xu, however, did not interact with anyone. He could understand his feelings. Falling from a high position will undoubtedly create some social barriers. It''s awkward to call those who used to be of lower status than him brothers. Interacting with peers, they might not play along, and it''s easy to find himself unwelcome. Thus, aloofness becomes his best self-protection. "Teacher, can you tell me now what Director Hu meant by holding onto hair?" Zhou Can caught up and asked. "Check if the hair in your hand is still there." Dr. Xu said without turning back. Zhou Can raised his hand to his eyes, carefully examining. "How could it be gone?" He was surprised to find that the hair he had been holding was no longer there. "Mine''s gone too!" Jin Mingxi, after checking, found himself in the same situation. "Do you know why it''s gone?" Dr. Xu looked back at them meaningfully. Zhou Can thought back carefully. "It must have been when I went to thank Director Tan and Director Yin. At that time, my attention was on the conversation with them, and I didn''t notice the hair in my hand." Jin Mingxi sounded somewhat disheartened. "I don''t even know when it fell. After holding it for a long time, I just forgot about it." Dr. Xu seemed to have anticipated this outcome. He indifferently said, "Would you lose it if you were holding a gold necklace or a priceless diamond?" "Definitely not." Both shook their heads in unison. Such valuable items, anyone would take seriously. "That''s right! Hair is insignificant and worthless, so from the moment you held it, you wouldn''t take it seriously. Whether it''s lost is of no concern. Also, due to its fine size, the probability of loss is higher." Now that Dr. Xu mentioned it, it really was true. Because it was never considered important, losing it was just a matter of time. "Director Hu held a strand of hair in each hand specifically to train concentration. You must always maintain a high level of attention to ensure the hair isn''t lost. When performing surgery, you need to stay highly focused, or it''s very easy to fail. A minor surgery might take just ten or fifteen minutes, half an hour to complete." "If it''s a complicated major surgery, it may take more than ten hours, perhaps even longer. Not many can maintain such a high level of mental focus for that long. Most people begin to lose concentration after about thirty minutes. They start feeling fatigued and want to relax for a while, to take a break." Having heard this, Zhou Can and Jin Mingxi finally had an epiphany. Their respect for Director Hu Kan only grew. Who would have thought that simply holding still and clutching a strand of hair could simultaneously train two fundamental surgical skills? Is this the legendary simplification to original purity? In martial arts novels, true masters can often simplify complexity, winning without moves, returning to simplicity. It seems the practice of surgical abilities for doctors follows the same pattern. Yet, many surgeons spend their entire career within the level of chief physician, never exploring the higher realms of surgical capability. "Do you now understand the purpose behind Director Hu holding two strands of hair?" "We understand!" Both nodded in unison, feeling greatly enlightened. However, Director Hu''s special training method is already a profound basic surgical skill. One aspect is to practice hand steadiness, and the other is to train long-term concentration. "Teacher, then how long can Director Hu maintain holding two strands of hair without dropping them?" Zhou Can was very eager to know how strong Director Hu was. "I''m not quite sure about that. But there was a major surgery where we had several teams working together for over eighteen hours. The part that Director Hu was responsible for took around thirteen hours. He maintained full concentration the whole time, and I never saw him rest. Both his stamina and attention were astonishing." Dr. Xu recalled before speaking. That''s terrifying. To persist for thirteen hours straight, who among ordinary people can achieve that? Zhou Can admitted to himself that he could concentrate for at most forty to fifty minutes before his attention would scatter. If a surgery lasted more than three hours, he would feel mentally exhausted and his mind would grow foggy. It seems he must learn from Director Hu Kan and consciously practice these advanced foundational surgical skills. "Teacher, how did you develop your swift surgical technique? Share with us!" Zhou Can really dared to ask anything. Dr. Xu sustained the world''s fastest surgery time for the same type of operation, which was certainly not a simple feat. And the so-called "Summit of Surgical Scalpel," Wu Baihe, would probably have his own unique tricks too. Chapter 113 - 89: The Consequence of Moving Someone Elses Cake with the Steadiest Scalpel Dr. Xu turned his head and glanced at him. "Look down on simple Level 1 surgeries?" "Not at all! I just want to gradually take on more challenging surgeries to greatly improve my surgical skills!" Zhou Can really wasn''t aiming too high. For him, even simple surgeries like suturing and debridement could earn Experience Points. However, surgical skills definitely need to be evenly developed. The more difficult the surgery, the more it can train a person. Facing challenging surgeries naturally makes one feel nervous, forcing him to think of ways to overcome difficulties and meet various challenges. When problems arise, it also tests his adaptability and comprehensive judgment abilities, etc. It can comprehensively improve one''s psychological quality, medical techniques, and the application of medical knowledge. "I will keep an eye out for more suitable, high-difficulty surgeries for you to perform," Dr. Xu essentially agreed. He had seen all of the rapid progress Zhou Can had made during this period. With Zhou Can''s current abilities, he indeed can handle some more difficult surgeries. However, the difficulty of Level 1 surgeries is ultimately limited. If he really wants a challenge, Level 2 surgeries offer a bit more variety. The three of them soon arrived at the large conference room in the surgical building. The room was already filled with doctors. It was Zhou Can''s first time attending this kind of formal medical meeting. The chairs inside were all high-end. Two female staff members were handing out water to each doctor. This treatment is much better than that of a trainee doctor. Many trainees say that the hospital doesn''t treat trainees as humans, and it really isn''t an exaggeration. "Dr. Xu, over here!" Someone waved at Dr. Xu. Zhou Can looked in the direction of the voice and saw Director Lou with the Emergency Department surgeons seated in the last row of the conference room. The one waving was Doctor Fu. Sitting in the front row of the conference room were the heads of departments like Director Xie of surgery, Wu Baihe and Du Leng from Neurosurgery, and several other surgeons he didn''t recognize. Each of them looked distinguished, their faces exuding pride and strong confidence. These were all surgeons from Neurosurgery. Currently, among all the departments at Tuya Hospital, Neurosurgery holds the top spot in surgical expertise. Zhou Can noticed that Dr. Xu''s gaze was fixed on a middle-aged doctor seated in the second row, first from the left. The man was about fifty-something, with an ordinary appearance, no different from an ordinary next-door uncle. At first glance, he seemed different from those around him, appearing rigid and static like a stone statue. Upon closer observation, Zhou Can was shocked to find that the man''s left and right index fingers and thumbs were pinched together, and both hands were slightly raised and suspended in the air. Was he trying to mimic The Bodhisattva Guanyin with a lotus gesture? "That is Director Hu Kan from thoracic and cardiovascular surgery! Did you see his hands?" Dr. Xu seemed to have also noticed Zhou Can observing that person. This man, stiff as a wood carving, was Director Hu who, to this day, has maintained a record of zero surgical failures. Gui Guzi once said, judging character by physical form is like peering at a leopard through a tube. You truly can''t judge a book by its cover. Who would have thought that he would be the steadiest surgical doctor in the department? "I saw it. Why does he hold his hands up?" Zhou Can asked curiously. Holding the arms up for a short time is fine, but holding them semi-raised for a long time can be very tiring. The muscles would be sore, and the tendons and bones would find it unbearable. Does this person have a masochistic tendency? "Let me tell you, Director Hu Kan has been pinching a strand of hair between his index finger and thumb for over twenty years. He has practiced this arm raising posture for over twenty years. If you place a cup of water in his hand, there would be no tremors in the water, not a single ripple. That was his skill six years ago; now, he is probably even stronger." Dr. Xu mentioned this former competitor, his expression complex. In the past, he too was a renowned surgeon, who could sit in the front row like Director Hu Kan, enjoying the glory. Unfortunately, he fell from grace due to a medical accident. Director Hu Kan, on the other hand, has always been evergreen. Practicing the arm-raising posture for over twenty years, this man''s perseverance and persistence is truly terrifying. Being able to persist in doing the same thing every day for twenty years, there are honestly not many who can do that. No wonder he is known for his steady hand in surgeries. Unlike machines, the most common issue during surgery is trembling of the hand holding the scalpel. In ordinary surgeries, slight tremblings won''t have serious consequences. But in high-precision, advanced, difficult surgeries, even a slight discrepancy could lead to surgical failure. Thus, the requirements for the operator are extremely strict. Director Hu even practices surgical abilities during meetings, truly admirable. "Director Hu maintains the arm-raising position to train the stability of his hands. What''s the purpose of him pinching a hair between his index finger and thumb?" Zhou Can asked, puzzled. Jin Mingxi was also extremely shocked at this moment. The renowned doctors in large hospitals were indeed extraordinary. Their attitude of integrating surgery into their lives and even their existences is worth learning for every doctor. sea??h th§× Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. "You want to know the purpose of pinching a hair strand? It''s simple. Stay still." Dr. Xu reached out and plucked a hair from Zhou Can''s head. "Hold onto it, and I will tell you the answer after the morning meeting is over." Jin Mingxi watched, humorously plucked a hair from his own head and held onto it as well. Wanting to experience the feeling of holding onto a hair for a long time. The three of them walked to the last row, Dr. Xu pointed at the empty seats on the right. "Sit next to Doctor Lin!" And he himself sat down next to Director Lou. Chapter 119 - 91: Shop Around, the Suitable One Is the Best_2 Precise surgical skills should be considered the most powerful among the three styles: stability, speed, and precision. Especially for building a reputation, it is an unparalleled tool. For instance, consider a tumor growing next to the brainstem. No one dares to treat it. Other hospitals have declared a death sentence for the patient, recommending conservative treatment. With his precise surgical skills, Wu Baihe removed the tumor. The patient survived and was able to recover. Tuya Hospital can then heavily promote how their chief neurosurgery physician, Wu Baihe, with his elite surgical team, successfully treated a high-risk patient with a tumor in a critical zone of life. The critical zone of life is the central hub of human life, recognized in the medical community as an untouchable area where having a tumor is almost the same as being sentenced to death... With such promotion, how can the average bystander resist? It''s only natural to assume that the neurosurgical skill at Tu Ya is the best in the world. If one has such a disease in the future, it would be right to seek medical advice there because they have the most authoritative doctors. This is the effect of a famous doctor. Just Wu Baihe alone can attract countless patients seeking his reputation. Even other hospitals'' doctors, when encountering patients in need of surgery near the brainstem and unable to handle it themselves, will advise the patient and their family, if they are sensible enough, to seek treatment at Tu Ya Neurosurgery. "To talk about the drawbacks of precision. Personally, I believe that as humans, we all have emotions and desires, and hence, are bound to be fixated, which means those who follow the path of precise surgical style will never reach the pinnacle in their lifetime. Besides, humans can''t even control their own arms to an extreme precision, let alone holding a scalpel or other instruments." The human body is extremely complex, and achieving 95% of what the cerebellum commands in terms of movement is already quite impressive. In reality, if the motion command is unfamiliar, the execution rate might only be around 60%. Take the simplest example, when we watch someone else ride a bicycle, they are just sitting on the seat, pedaling hard, and holding the handlebars to steer. When we try it, we follow the cerebellum''s command. Resulting in falling and knocking out two teeth, with a bruised nose and a swollen face as we get up from the ground. Damn it, other people ride just like this! Why do I fall as soon as I get on? This is just an example of the body not fully executing the cerebellum''s commands. The brain only gathers the visual of someone cycling, analyzes it, and then passes the command to the cerebellum. Finally, the cerebellum issues the movement command. It ignores the sense of balance. only after countless falls do we finally grasp the balance needed to ride a bicycle smoothly. The same principle applies when performing surgery with a scalpel or other instruments. It can be affected by mood, thoughts, balance, sense of force, among other factors, resulting in failing to achieve the precision desired by the brain. After Zhou Can heard about the three most common surgical styles, he couldn''t help but immerse himself in deep thought. Each surgical style has its pros and cons. It''s difficult for him to decide which style is better. "Teacher, can these surgical styles be chosen simultaneously?" Zhou Can asked. "It''s probably not possible, at least countless predecessors have tried without success. At the beginning of training, the conflict between the three styles is not very noticeable. The higher the level, the more severe the conflict becomes. In the end, they are like water and fire, incompatible, and you have to abandon the other styles, retaining only one." Dr. Xu is experienced, and his advice naturally has its reason. You can''t have the best of both worlds. "Of course, you are still just building the foundation, and you can practice the basics of all three styles. Although they can''t be merged, they do have interconnections. For instance, my fast surgery style, both precision and stability are needed. The exercises like Director Hu''s hair-pinching, arm-raising can also be practiced. They are very beneficial." Dr. Xu didn''t rush Zhou Can to pick a style. Instead, he let him practice the basics of all three styles. "What about the basics of fast surgery? How is it practiced?" Zhou Can humbly asked. It seems that after work, besides practicing surgeries on lab rats, he has much more to do. These advanced surgical practice methods can only be learned in a leading hospital like Tu Ya. Jin Mingxi''s ears perked up. He wouldn''t miss a single word said by Dr. Xu. This learning opportunity, he also owes to Zhou Can. Normally, Dr. Xu would likely not teach others. "The basics of fast surgery involve multiple practice steps. To start, you can practice cutting carrots. There are just two requirements: the faster, the better, and ensure every slice of carrot has consistent thickness. This essentially trains the basics of both fast and precise styles." It turns out carrots aren''t only used for practicing suturing and carving, but also this. Listening to this, Zhou Can felt somewhat like he was training to be a chef, starting with knife skills. "When you practice cutting carrots, it''s best to practice with both hands. Many surgeries are better performed with the left hand. Plus, the flexibility of the left hand should be greater than the right." Dr. Xu added another requirement. Regarding the left hand being more flexible than the right, Zhou Can did know something about that. Sear?h the Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. This secret is only known to those in the medical field. Many people think that not only is the right hand stronger than the left, but it is also more agile, which actually is a misconception. Chapter 120 - 91: Shop Around, the Suitable One Is the Best_3 The strength of the right hand is greater because in our human habits, the right hand has more opportunities to exercise by lifting heavy objects. The right hand is more flexible than the left hand because it is used more often in everyday life. For example, we write with our right hand, use chopsticks with our right hand, and play sports with our right hand... The more often the right hand is used, the higher the body''s dependency on it. Eventually, this forms a vicious cycle. The right hand is dominant, and the left hand is secondary. However, this is not the case in medicine. The left hand actually corresponds to the right brain, while the right hand corresponds to the left brain. The two hemispheres of the brain have clear functional differences. The left brain determines a person''s logical thinking, i.e., the rational side. Meanwhile, the right brain tends towards artistic thinking, i.e., the emotional side. The two hemispheres of the brain have a cooperative relationship. The left brain is responsible for language and logical thinking, while the right brain does work that is hard to convert into words, replacing language thinking with representations. Scientific research has found that the right brain encompasses essential instincts and autonomic nervous system functions necessary for human life, as well as morals, ethical views, and all information about universal laws that humans have acquired. The left brain stores information that a person acquires throughout their life, The right brain is more creative, while the left brain is like a strictly programmed computer, mechanically processing various instruction information. Thus, the left hand controlled by the right brain is more flexible than the right hand controlled by the left brain. It''s just that we ordinary people rarely exercise it. "After work today, I''m going to the vegetable market to buy radishes to practice fast cutting." Zhou Can was somewhat eager to practice fast cutting. This type of operation basic skill with a strong style cannot be helped by the Experience Points system. It can only be acquired through repeated practice. "I''ll go too! Let''s go together after work!" Jin Mingxi followed and said. He now seems to have set his sights on Zhou Can. He wants to make progress alongside Zhou Can. "Jin Mingxi, I have observed your surgical skills during this period and have made a comprehensive assessment of your talent and temperament. I think you are now capable of practicing the basics of fast cutting, but it''s not suited to the fast cutting style." Dr. Xu''s words doused Jin Mingxi with a bucket of cold water. "Why not? Zhou Can can also practice fast cutting, right?" Jin Mingxi was already under pressure from the huge gap created by Zhou Can. Hearing Dr. Xu say that he was not suitable for the fast cutting style really hit him hard. "First of all, you don''t have Xiao Zhou''s calmness. Secondly, you are mature and prudent, appearing very cautious and steady during surgeries. Therefore, I suggest you can choose either a steady or a precise style." No two leaves in the world are identical, and the same goes for people. Every individual is unique, with differences in temperament, thinking patterns, personality, physical preferences, and so forth. As for differences in appearance, that is secondary. "Mingxi, I think our teacher makes a lot of sense, whatever suits you is the best." Zhou Can also persuaded him. Having worked with Jin Mingxi for so long, the two had grown closer and developed a friendship. Zhou Can''s way of addressing him had also subtly changed. It became more affectionate. "Well then! I''ll listen to you guys." Jin Mingxi, a 35-year-old man, already has considerable life experience. He naturally sees that Zhou Can and Dr. Xu genuinely have his best interests at heart. "Dr. Xu, do you think the precise or steady style suits me better?" Concerning his future and main focus, Jin Mingxi is also afraid of taking a wrong path. He is not young anymore, and cannot afford delays. S§×arch* The N??eFire.¦Çet website on Google to access chapters of novels early and in the highest quality. In middle age, the most precious things besides kinship, love, and friendship are probably time and energy. "As to which style suits you better, I am not in a position to judge. You can practice cutting radishes with Zhou Can first, and once you develop a certain skill level, I will observe further and then give you a more fair assessment. Perhaps by that time, you might be able to make the right choice yourself." Dr. Xu thought for a moment and spoke earnestly. "Alright! Thank you!" Jin Mingxi was no longer panicked this time. The three of them returned to the Emergency Department, and Dr. Xu asked Zhou Can and Jin Mingxi to go to the operating room first. He, however, ran to greet the clinicians, asking them to admit surgical patients who could handle some challenging Level 1 and Level 2 surgeries. This morning in the conference, Director Xie fiercely questioned in the surgery department, but Director Lou dismissed his concerns with just a few words. Dr. Xu certainly wanted to seize this advantageous moment to arrange more surgical practice opportunities for his prot¨¦g¨¦. He had been witnessing Zhou Can''s progress. Suturing, ligation, incision, hemostasis, separation, he had already preliminarily reached the Chief Level. His skills surpassed even those of higher-tenure resident doctors in specialties. It was very necessary to appropriately increase the difficulty of the surgeries. However, speaking of this matter, Dr. Xu felt it was somewhat bizarre. Because the speed of Zhou Can''s progress was terrifying. Ultimately, he attributed it to Zhou Can''s exceptional comprehension, coupled with his meticulous guidance, and the daily volume of up to twenty or thirty surgeries. Multiple factors had contributed to Zhou Can''s frightening pace of progress. ... Inside the operating room, Zhou Can changed into his surgical protective gear and waited for the assisting instrument nurse to come in. He felt a bit nervous. His biggest fear was seeing Tian Tian. However, there were only a few preparatory instrument nurses in the Emergency Department, and he really had no room to choose. Ideally, it would be Tian Tian and Qiao Yu appearing together. Because Qiao Yu always actively chose to work with Zhou Can. That way, no one could compete with him. The person assisting Dr. Xu as the instrument nurse was Liu Xia, who was already preparing early in the operating room. At that moment, a charming figure walked into the operating room. Zhou Can''s eyes lit up, and a happy smile appeared on his face. He was in luck, today it was finally Qiao Yu''s morning shift. It had been at least a week since he last performed surgery with Qiao Yu. Either she was on the night shift or the evening shift. After finishing work yesterday, Zhou Can even sent her a message on WeChat. "Qiao Yu, do you have any complaints against me? It''s been a long time since I''ve seen you as my instrument nurse." She first replied with a sad face emoji. Then she told Zhou Can that the nurse''s schedule was not up to her. Many sisters wanted the morning shift, and she, being junior and a newcomer, simply couldn''t compete with them. Unexpectedly, just after sending the message yesterday, she came today. For Zhou Can, it was quite an unexpected delight. Now that all four of his basic medical skills had been elevated to the Chief Level, as long as he accumulated some more Level 1 and Level 2 surgical experiences with real difficulty, his position in the operating room would be secured. If he could gain Dr. Xu''s trust and independently perform more than fifteen Level 1 and 2 surgeries per day, or even more, he could timely request from Director Lou for a more permanent surgical nurse. As long as he truly generated revenue for the Emergency Department, Director Lou should agree. When it came to selecting a permanent surgical nurse, he would definitely try every means to choose Qiao Yu. Seeing Dr. Xu''s attitude, as long as it benefited the development of Zhou Can''s surgery skills, Dr. Xu would fully support. Thus, the possibility of making this happen was quite high. However, haste makes waste. What needed to be done now was to perform a large number of challenging Level 1 surgeries and attempt some lower-difficulty Level 2 surgeries. Steady progress, striving to independently handle Level 1 and 2 surgeries soon. With his learning capability and medical skill level, he could achieve this in just three or four months. Securing Qiao Yu as the fixed surgical nurse was only his first step. He had even bigger development plans. Strive to produce some dazzling achievements. To make Director Lou realize that he didn''t choose the wrong person initially. Chapter 116 - 90: Throwing Away Ones Helmet and Armor, Mastering the Basic Skills of Complex Surgery Director Xie was furious over this matter, and it was probably not just because the chances to train newcomers in surgeries had decreased. Even mosquitoes are meat. Level 2 surgeries can actually bring in quite substantial revenue for the department. The weight of each department can be divided into several key factors: academia, top talent, revenue generation, ranking in specialized fields, and medical examination capabilities. Among these, revenue generation is the most core element. No matter which department, as long as your ability to generate revenue is strong, you can stand tall, and your words will carry weight. "Director Lou, is this the case?" Vice Director Ye''s gaze turned to Director Lou, who was sitting in the last row. Zhou Can turned his head to look, and found that both Dr. Xu and Director Lou remained calm. He immediately felt relieved. It seemed that the two were well-prepared and were not caught off guard by Director Xie. "It is the case." Director Lou boldly admitted in front of everyone. "Speaking of which, our Emergency Department also did this out of goodwill." Look at the way the directors speak; they do have a way with words. They had taken away surgeries from the surgery department, yet they proudly and confidently told Director Xie and Vice Director Ye in front of everyone that this was done with good intentions. It felt like they had snatched the meat from someone''s bowl, eaten it all up, and then told the person that they did it because eating too much meat isn''t good for health. That was why they helped them finish it. "Nonsense! Explain how exactly this is done out of goodwill?" Director Xie was so angry his face turned red. But he was from a surgery background, and his temper was naturally a bit rough. Of all the senior directors, he had the worst temper. Perhaps because the surgery department held a high position, he felt he could stand tall, which sometimes made his voice uncontrollable. "I''ve heard from many doctors and nurses in the Emergency Department that a lot of doctors in the surgery department are complaining, saying that all sorts of patients are being pushed onto them. I understand the hardships of the surgical doctors because they are busy! Sometimes when we ask them to handle an emergency, it would be considered fast if they could show up within half an hour. Waiting one or two hours, or even longer, is also quite common." Director Lou calmly stated the facts. He took this opportunity to call out the arrogance of some people in the surgery department. Many of the surgeons present felt their faces burning. "Previously, our Emergency Department operating rooms were short-staffed, and we had no way to share the workload of the surgery department. Until over half a month ago, Dean Ye, out of his understanding, allocated two general residency spots to our Emergency Department. Finally, our operating rooms had enough staff. After we got the two additional residents, Dr. Xu and I discussed it and felt that we had a duty to help the surgery department with whatever workload we could handle." "Just in time, the two new residents were eager to prove themselves, taking on a huge amount of junior work in the operating room." Director Lou made a beautiful scene of his speech. He looked at Director Xie, "With just two residents, how many surgeries could they have taken from your department? The words you spoke earlier, Director Xie, they came across as petty. You also misconstrued the good intentions of our Emergency Department." Zhou Can mentally gave a thumbs up. The old are indeed tougher. The argument prepared by Director Lou and Dr. Xu was all about turning the table on Director Xie. And they were doing so with reason on their side. S§×ar?h the n?velFire.net website on Google to access chapters of novels early and in the highest quality. "You, your logic is twisted, like making noise with an unsharpened axe." Director Xie was good at wielding a scalpel and not bad at taking credit with sly tricks. But in this kind of face-to-face, drum-and-gong debate, that was not his strong suit. After a few exchanges, he was thoroughly routed by Director Lou. "I can''t argue with you. But it''s just not right for the Emergency Department to snatch patients from the surgery department." Unable to reason with them, he resorted to being obstinate. The surgery department''s influence and status were far above that of the Emergency Department, so he used his power to pressure them. "Since Director Xie has said so, it doesn''t matter to us in the Emergency Department, we''ll just have fewer surgical patients. We''d even be happy to take it easy." Director Lou shrugged nonchalantly with a smile. Vice Director Ye had been silent the whole time, but now that the two department heads seemed to have more or less sorted things out, he found the right moment to chime in. "Old Lou, from what I see, your Emergency Department also means well, it''s just that you didn''t coordinate with Old Xie in advance, which has led to a misunderstanding. It''s good for your Emergency Department to appropriately treat some surgical patients that you can handle, to ease the pressure on other departments. But just seeking an easy job, that won''t do!" He was definitely willing to encourage and support the proactive attitude of the Emergency Department. But he also needed to take into account the feelings of Director Xie. "Old Xie, how many surgical doctors does the Emergency Department have after all? Only eight. How many operations can two residents snag from your surgery department? This kind of thing, you should just turn a blind eye in the future." Vice Director Ye had already made his point so clear, what else could Director Xie say? He could only nod his head in agreement, with tears in his eyes. He originally came to the Emergency Department to seek justice, and the evidence was solid. But Director Lou was well-prepared, and although he was the one who did wrong, he turned into the one who seemed right. Meanwhile, Director Xie, the one at a disadvantage, ended up leaving the impression of being petty-minded in everyone else''s eyes, even with Vice Director Ye speaking for the Emergency Department. He felt incredibly frustrated about that! "Meeting adjourned!" Vice Director Ye was the first to leave the meeting room after declaring the meeting over. Director Lou stood up, smiling and greeting Director Tan and the others. It''s always good to maintain relationships, so it''s easier to ask for favors when needed. Zhou Can, remembering how Director Tan and Director Yin had spoken up for him recently, also went over to join them. Chapter 117 - 90: Abandoning Helmet and Armor, Fundamental Skills of Advanced Surgery_2 "Director Tan, Director Yin, thank you for standing up for me last time. This favor, I will keep it etched in my heart forever." The risk they took was offending a vice dean for his sake. Zhou Can definitely had to respond in some way. Even if he was not able to repay them now, verbal thanks were a must. That''s the least one can do to be a decent person. If others went out of their way to help him in a big way, and he showed no gratitude, surely it would make the helpers feel disheartened. Next time something happens, others wouldn''t come to his aid. "It''s a trivial matter, not worth mentioning." Director Tan waved his hand. "I just don''t want to see a talented kid''s potential get wasted, that''s all!" Director Yin Hua stated his position with a neutral tone. Both of them were not the sort to help others expecting something in return. On one hand, they genuinely appreciated Zhou Can, both his humanity and his medical talent. On the other hand, human nature is such that the majority of people are inherently upright and kind. Within their abilities, they were willing to lend Zhou Can a hand. "Xiao Zhou, it''s been a while since that incident. I hope it hasn''t affected you much?" Director Tan asked with concern. "It''s been fine, I''ve moved on from it a long time ago." Zhou Can''s personality was fairly optimistic. To say he harbored no resentment at the start would be a lie. But Vice Dean Bai had apologized to him and offered compensation, and Dr. Shangguan had a change of heart, becoming good friends with Zhou Can. By now, Zhou Can had long let it go. S~ea??h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. "Moving on is good! You also shouldn''t hold any grudges. One day, if you are in a high position and need to consider the future and destiny of the entire hospital, you might make the same decision. To the hospital, inconveniencing a resident is almost negligible. But the loss of a leading figure in a discipline is too great. It''s like walking down the road, encountering a fifty-pound iron block and a fifty-pound gold block, and you can only carry one with your strength. Naturally, you''ll forsake the iron and do everything possible to take the gold." Director Tan wasn''t entirely sure if Zhou Can had really let it go. He patiently explained the reasoning. "I understand." Zhou Can nodded again. Everyone knows the truism, but when such unfairness befalls oneself, there are probably very few who would willingly accept it. Gao Jian also came over to greet him. "Zhou Can, long time no see!" "It''s been quite a few weeks since we''ve seen each other. You look so confident, your medical skills must have improved significantly, right?" Zhou Can responded with a smile. "Ah, don''t mention it." Gao Jian sighed deeply. "What''s wrong?" Zhou Can wasn''t sure if Gao Jian was just putting on an act of misery. "My traditional surgery skills are not bad, and I have some talent. But when it comes to practicing interventional procedures, my hands are as clumsy as pig trotters." Gao Jian looked disdainfully at his own hands. "Haha, your analogy really does not hold back! Interventional surgery is more complex, you''ve only been practicing for a dozen days, do you expect to reach a director-level proficiency? Calm down, take it slow!" Zhou Can laughed and consoled him. However, Dr. Xu had once said that having a talent for traditional surgery doesn''t necessarily mean one has a talent for minimally invasive surgery. Gao Jian might only have a talent for traditional surgery. If that''s true, it would be such a pity. "Maybe I''m just too eager for quick success. I''ll take your advice, calm down and give it another try." Gao Jian nodded in agreement. "Alright, I have to go work with Dr. Xu now, see you!" Zhou Can saw that Dr. Xu was almost at the door of the conference room and quickly followed. Dr. Xu seemed to have some social aloofness. Other doctors, even those with a little status, were constantly trying to expand or maintain their social circles. Dr. Xu, however, did not interact with anyone. He could understand his feelings. Falling from a high position will undoubtedly create some social barriers. It''s awkward to call those who used to be of lower status than him brothers. Interacting with peers, they might not play along, and it''s easy to find himself unwelcome. Thus, aloofness becomes his best self-protection. "Teacher, can you tell me now what Director Hu meant by holding onto hair?" Zhou Can caught up and asked. "Check if the hair in your hand is still there." Dr. Xu said without turning back. Zhou Can raised his hand to his eyes, carefully examining. "How could it be gone?" He was surprised to find that the hair he had been holding was no longer there. "Mine''s gone too!" Jin Mingxi, after checking, found himself in the same situation. "Do you know why it''s gone?" Dr. Xu looked back at them meaningfully. Zhou Can thought back carefully. "It must have been when I went to thank Director Tan and Director Yin. At that time, my attention was on the conversation with them, and I didn''t notice the hair in my hand." Jin Mingxi sounded somewhat disheartened. "I don''t even know when it fell. After holding it for a long time, I just forgot about it." Dr. Xu seemed to have anticipated this outcome. He indifferently said, "Would you lose it if you were holding a gold necklace or a priceless diamond?" "Definitely not." Both shook their heads in unison. Such valuable items, anyone would take seriously. "That''s right! Hair is insignificant and worthless, so from the moment you held it, you wouldn''t take it seriously. Whether it''s lost is of no concern. Also, due to its fine size, the probability of loss is higher." Now that Dr. Xu mentioned it, it really was true. Because it was never considered important, losing it was just a matter of time. "Director Hu held a strand of hair in each hand specifically to train concentration. You must always maintain a high level of attention to ensure the hair isn''t lost. When performing surgery, you need to stay highly focused, or it''s very easy to fail. A minor surgery might take just ten or fifteen minutes, half an hour to complete." "If it''s a complicated major surgery, it may take more than ten hours, perhaps even longer. Not many can maintain such a high level of mental focus for that long. Most people begin to lose concentration after about thirty minutes. They start feeling fatigued and want to relax for a while, to take a break." Having heard this, Zhou Can and Jin Mingxi finally had an epiphany. Their respect for Director Hu Kan only grew. Who would have thought that simply holding still and clutching a strand of hair could simultaneously train two fundamental surgical skills? Is this the legendary simplification to original purity? In martial arts novels, true masters can often simplify complexity, winning without moves, returning to simplicity. It seems the practice of surgical abilities for doctors follows the same pattern. Yet, many surgeons spend their entire career within the level of chief physician, never exploring the higher realms of surgical capability. "Do you now understand the purpose behind Director Hu holding two strands of hair?" "We understand!" Both nodded in unison, feeling greatly enlightened. However, Director Hu''s special training method is already a profound basic surgical skill. One aspect is to practice hand steadiness, and the other is to train long-term concentration. "Teacher, then how long can Director Hu maintain holding two strands of hair without dropping them?" Zhou Can was very eager to know how strong Director Hu was. "I''m not quite sure about that. But there was a major surgery where we had several teams working together for over eighteen hours. The part that Director Hu was responsible for took around thirteen hours. He maintained full concentration the whole time, and I never saw him rest. Both his stamina and attention were astonishing." Dr. Xu recalled before speaking. That''s terrifying. To persist for thirteen hours straight, who among ordinary people can achieve that? Zhou Can admitted to himself that he could concentrate for at most forty to fifty minutes before his attention would scatter. If a surgery lasted more than three hours, he would feel mentally exhausted and his mind would grow foggy. It seems he must learn from Director Hu Kan and consciously practice these advanced foundational surgical skills. "Teacher, how did you develop your swift surgical technique? Share with us!" Zhou Can really dared to ask anything. Dr. Xu sustained the world''s fastest surgery time for the same type of operation, which was certainly not a simple feat. And the so-called "Summit of Surgical Scalpel," Wu Baihe, would probably have his own unique tricks too. Chapter 118 - 91: Shop Around, the Suitable One Is the Best "Are you planning to choose the fast-knife approach as your surgical development path?" Dr. Xu turned his head and stared at him. Last time when he asked Zhou Can, Zhou Can had not made up his mind. This time, he actively inquired about the training method of fast-knife surgery, reigniting Dr. Xu''s hope. He was so eager for Zhou Can to become his fast-knife successor. "Uh... I haven''t really made up my mind! But that doesn''t stop me from wanting to understand the advantages and disadvantages of your fast-knife technique compared to Director Hu''s ''Most Stable Scalpel''." Zhou Can said with a sheepish smile. "You little rascal, you''re comparing options from different sources! Fine, it''s a good time to tell you about the different styles of surgery and their respective pros and cons." Dr. Xu couldn''t help but shake his head and laugh scoldingly. "The three most common surgical styles are stability, precision, and speed. Director Hu''s surgical feature is stability, which can cope with almost all surgeries and guarantees that the surgical process goes exceptionally smoothly, as steady as an old dog. However, because of his obsession with stability, it''s inevitable that the surgery cannot be done quickly. It can reach a certain level of precision, but it can never be to the most exquisite detail." The greatest feature of stability is safety and the guarantee of successful surgery completion. However, because it can''t be fast and can''t achieve ultimate precision, it''s doomed that some surgeries that require a short completion time or extremely meticulous excisions and separations cannot be performed. This is also an important reason why Director Hu Kan is less famous than Wu Baihe. Many highly complex surgeries are simply beyond his capacity to lead. Either give up or have someone else take the lead. Just participating in the surgery, one is merely akin to a supporting actor in a movie. Naturally, you won''t be as famous as the lead. People often only remember the lead. Of course, supporting actors sometimes have the opportunity to stand out, even to surpass the lead, but those are rare exceptions. In the medical profession, because there''s a strict hierarchy and professional code, a ''supporting actor'' who just participates in surgeries can hardly ever surpass the fame of the lead surgeon. I guess that''s an unspeakable pain in Director Hu Kan''s heart. When he chose stability as his style, it was certain that he could only continue in that manner, unable to shine as brilliantly or become as widely known as Wu Baihe or Dr. Xu. "Let''s talk about my ''fast'' style next. There''s a saying in martial arts: in all skills in the world, nothing surpasses speed. This is mostly true for surgery as well. When your speed reaches the extreme, it seems that stability is sacrificed, but the process of being fast can bring with it the effect of stability. For example, if you make a quick incision, at worst you may cut off target or too deep, but you hardly need to worry about hand tremors or hang-ups." That''s actually true. According to physics, kinetic and potential energy, a cut made at extreme speed must be in a straight line. It cannot be a wavy line. The surgery time is significantly reduced, so there''s no need to maintain high mental focus for a dozen hours or more. It might be over in just half an hour or an hour or two. Every surgical style has its own advantages and disadvantages. Just like people, nobody''s perfect. "The downside of speed is that you can''t fully control it, and it''s easy for your hands to move faster than your brain. Also, if you have any hesitation, you can''t achieve the ultimate speed. This requires a lot of practice to be able to exercise control freely. However, even when you can control it well, it is still not foolproof. Over the past few years, I''ve pondered countless times the reasons for accidents, and I believe that as long as you have inner calm, you can restrain the impatience and restlessness that come with pursuing extreme speed. It''s like putting a double safety barrier on speed, and the chance of an accident should be controllable to zero." As Dr. Xu spoke, a near-maniacal confidence shone on his face and in his eyes. Hands moving faster than the brain, cutting the wrong organ, or cutting too much, these things happen in the operating room. Dr. Xu is an absolute expert in this area and has the most say. "I believe in the teacher''s philosophy." Others might not believe him, but Zhou Can deeply does. It''s not blind admiration, but a comprehensive judgment made from some traces revealed by Dr. Xu''s behavior and demeanor. S§×ar?h the N??elFir§×.net website on Google to access chapters of novels early and in the highest quality. "Thank you!" Dr. Xu looked deeply into Zhou Can''s eyes, and as their gazes met, he felt as if he had found a kindred spirit. Perhaps it was because after the incident, his status plummeted, and he might never be able to recover in his lifetime, making any of his ideas seem like the ramblings of a failed man to outsiders. Not being recognized or valued. So when someone suddenly showed heartfelt agreement with his ideas, Dr. Xu was so moved that he even thanked his apprentice. It was the first time the teacher was so polite to him. This made Zhou Can a bit uncomfortable. Because too much politeness indicates distance. He actually preferred the very strict Mr. Xu. "Now let''s talk about the third style of surgery, precision. Wu Baihe of Neurosurgery has almost reached the pinnacle in this field." Zhou Can noticed that his teacher used the word ''almost.'' This suggested that Wu Baihe hasn''t reached the ultimate level in precision, but has achieved very high proficiency. "Precision can be understood as accuracy, meticulousness. During surgery, whether operating near the Brainstem, dissecting a tumor off the coronary artery, or suturing nerves, special blood vessels, etc., it can be done precisely as intended. Other doctors may not dare to undertake dangerous surgeries he is willing to, which is an advantage. Over the years, Wu Baihe has successfully completed at least a hundred surgeries with extreme difficulty." "Although there is also a certain failure rate, he indeed has completed many surgeries that other chief surgeons consider taboo." Chapter 119 - 91: Shop Around, the Suitable One Is the Best_2 Precise surgical skills should be considered the most powerful among the three styles: stability, speed, and precision. Especially for building a reputation, it is an unparalleled tool. For instance, consider a tumor growing next to the brainstem. No one dares to treat it. Other hospitals have declared a death sentence for the patient, recommending conservative treatment. With his precise surgical skills, Wu Baihe removed the tumor. The patient survived and was able to recover. Tuya Hospital can then heavily promote how their chief neurosurgery physician, Wu Baihe, with his elite surgical team, successfully treated a high-risk patient with a tumor in a critical zone of life. The critical zone of life is the central hub of human life, recognized in the medical community as an untouchable area where having a tumor is almost the same as being sentenced to death... With such promotion, how can the average bystander resist? It''s only natural to assume that the neurosurgical skill at Tu Ya is the best in the world. If one has such a disease in the future, it would be right to seek medical advice there because they have the most authoritative doctors. This is the effect of a famous doctor. Just Wu Baihe alone can attract countless patients seeking his reputation. Even other hospitals'' doctors, when encountering patients in need of surgery near the brainstem and unable to handle it themselves, will advise the patient and their family, if they are sensible enough, to seek treatment at Tu Ya Neurosurgery. "To talk about the drawbacks of precision. Personally, I believe that as humans, we all have emotions and desires, and hence, are bound to be fixated, which means those who follow the path of precise surgical style will never reach the pinnacle in their lifetime. Besides, humans can''t even control their own arms to an extreme precision, let alone holding a scalpel or other instruments." The human body is extremely complex, and achieving 95% of what the cerebellum commands in terms of movement is already quite impressive. In reality, if the motion command is unfamiliar, the execution rate might only be around 60%. Take the simplest example, when we watch someone else ride a bicycle, they are just sitting on the seat, pedaling hard, and holding the handlebars to steer. When we try it, we follow the cerebellum''s command. Resulting in falling and knocking out two teeth, with a bruised nose and a swollen face as we get up from the ground. Damn it, other people ride just like this! Why do I fall as soon as I get on? This is just an example of the body not fully executing the cerebellum''s commands. The brain only gathers the visual of someone cycling, analyzes it, and then passes the command to the cerebellum. Finally, the cerebellum issues the movement command. It ignores the sense of balance. only after countless falls do we finally grasp the balance needed to ride a bicycle smoothly. The same principle applies when performing surgery with a scalpel or other instruments. It can be affected by mood, thoughts, balance, sense of force, among other factors, resulting in failing to achieve the precision desired by the brain. After Zhou Can heard about the three most common surgical styles, he couldn''t help but immerse himself in deep thought. Each surgical style has its pros and cons. It''s difficult for him to decide which style is better. "Teacher, can these surgical styles be chosen simultaneously?" Zhou Can asked. "It''s probably not possible, at least countless predecessors have tried without success. At the beginning of training, the conflict between the three styles is not very noticeable. The higher the level, the more severe the conflict becomes. In the end, they are like water and fire, incompatible, and you have to abandon the other styles, retaining only one." Dr. Xu is experienced, and his advice naturally has its reason. You can''t have the best of both worlds. "Of course, you are still just building the foundation, and you can practice the basics of all three styles. Although they can''t be merged, they do have interconnections. For instance, my fast surgery style, both precision and stability are needed. The exercises like Director Hu''s hair-pinching, arm-raising can also be practiced. They are very beneficial." Dr. Xu didn''t rush Zhou Can to pick a style. Instead, he let him practice the basics of all three styles. "What about the basics of fast surgery? How is it practiced?" Zhou Can humbly asked. It seems that after work, besides practicing surgeries on lab rats, he has much more to do. These advanced surgical practice methods can only be learned in a leading hospital like Tu Ya. Jin Mingxi''s ears perked up. He wouldn''t miss a single word said by Dr. Xu. This learning opportunity, he also owes to Zhou Can. Normally, Dr. Xu would likely not teach others. "The basics of fast surgery involve multiple practice steps. To start, you can practice cutting carrots. There are just two requirements: the faster, the better, and ensure every slice of carrot has consistent thickness. This essentially trains the basics of both fast and precise styles." It turns out carrots aren''t only used for practicing suturing and carving, but also this. Listening to this, Zhou Can felt somewhat like he was training to be a chef, starting with knife skills. "When you practice cutting carrots, it''s best to practice with both hands. Many surgeries are better performed with the left hand. Plus, the flexibility of the left hand should be greater than the right." Dr. Xu added another requirement. Regarding the left hand being more flexible than the right, Zhou Can did know something about that. Sear?h the Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. This secret is only known to those in the medical field. Many people think that not only is the right hand stronger than the left, but it is also more agile, which actually is a misconception. Chapter 120 - 91: Shop Around, the Suitable One Is the Best_3 The strength of the right hand is greater because in our human habits, the right hand has more opportunities to exercise by lifting heavy objects. The right hand is more flexible than the left hand because it is used more often in everyday life. For example, we write with our right hand, use chopsticks with our right hand, and play sports with our right hand... The more often the right hand is used, the higher the body''s dependency on it. Eventually, this forms a vicious cycle. The right hand is dominant, and the left hand is secondary. However, this is not the case in medicine. The left hand actually corresponds to the right brain, while the right hand corresponds to the left brain. The two hemispheres of the brain have clear functional differences. The left brain determines a person''s logical thinking, i.e., the rational side. Meanwhile, the right brain tends towards artistic thinking, i.e., the emotional side. The two hemispheres of the brain have a cooperative relationship. The left brain is responsible for language and logical thinking, while the right brain does work that is hard to convert into words, replacing language thinking with representations. Scientific research has found that the right brain encompasses essential instincts and autonomic nervous system functions necessary for human life, as well as morals, ethical views, and all information about universal laws that humans have acquired. The left brain stores information that a person acquires throughout their life, The right brain is more creative, while the left brain is like a strictly programmed computer, mechanically processing various instruction information. Thus, the left hand controlled by the right brain is more flexible than the right hand controlled by the left brain. It''s just that we ordinary people rarely exercise it. "After work today, I''m going to the vegetable market to buy radishes to practice fast cutting." Zhou Can was somewhat eager to practice fast cutting. This type of operation basic skill with a strong style cannot be helped by the Experience Points system. It can only be acquired through repeated practice. "I''ll go too! Let''s go together after work!" Jin Mingxi followed and said. He now seems to have set his sights on Zhou Can. He wants to make progress alongside Zhou Can. "Jin Mingxi, I have observed your surgical skills during this period and have made a comprehensive assessment of your talent and temperament. I think you are now capable of practicing the basics of fast cutting, but it''s not suited to the fast cutting style." Dr. Xu''s words doused Jin Mingxi with a bucket of cold water. "Why not? Zhou Can can also practice fast cutting, right?" Jin Mingxi was already under pressure from the huge gap created by Zhou Can. Hearing Dr. Xu say that he was not suitable for the fast cutting style really hit him hard. "First of all, you don''t have Xiao Zhou''s calmness. Secondly, you are mature and prudent, appearing very cautious and steady during surgeries. Therefore, I suggest you can choose either a steady or a precise style." No two leaves in the world are identical, and the same goes for people. Every individual is unique, with differences in temperament, thinking patterns, personality, physical preferences, and so forth. As for differences in appearance, that is secondary. "Mingxi, I think our teacher makes a lot of sense, whatever suits you is the best." Zhou Can also persuaded him. Having worked with Jin Mingxi for so long, the two had grown closer and developed a friendship. Zhou Can''s way of addressing him had also subtly changed. It became more affectionate. "Well then! I''ll listen to you guys." Jin Mingxi, a 35-year-old man, already has considerable life experience. He naturally sees that Zhou Can and Dr. Xu genuinely have his best interests at heart. "Dr. Xu, do you think the precise or steady style suits me better?" Concerning his future and main focus, Jin Mingxi is also afraid of taking a wrong path. He is not young anymore, and cannot afford delays. S§×arch* The N??eFire.¦Çet website on Google to access chapters of novels early and in the highest quality. In middle age, the most precious things besides kinship, love, and friendship are probably time and energy. "As to which style suits you better, I am not in a position to judge. You can practice cutting radishes with Zhou Can first, and once you develop a certain skill level, I will observe further and then give you a more fair assessment. Perhaps by that time, you might be able to make the right choice yourself." Dr. Xu thought for a moment and spoke earnestly. "Alright! Thank you!" Jin Mingxi was no longer panicked this time. The three of them returned to the Emergency Department, and Dr. Xu asked Zhou Can and Jin Mingxi to go to the operating room first. He, however, ran to greet the clinicians, asking them to admit surgical patients who could handle some challenging Level 1 and Level 2 surgeries. This morning in the conference, Director Xie fiercely questioned in the surgery department, but Director Lou dismissed his concerns with just a few words. Dr. Xu certainly wanted to seize this advantageous moment to arrange more surgical practice opportunities for his prot¨¦g¨¦. He had been witnessing Zhou Can''s progress. Suturing, ligation, incision, hemostasis, separation, he had already preliminarily reached the Chief Level. His skills surpassed even those of higher-tenure resident doctors in specialties. It was very necessary to appropriately increase the difficulty of the surgeries. However, speaking of this matter, Dr. Xu felt it was somewhat bizarre. Because the speed of Zhou Can''s progress was terrifying. Ultimately, he attributed it to Zhou Can''s exceptional comprehension, coupled with his meticulous guidance, and the daily volume of up to twenty or thirty surgeries. Multiple factors had contributed to Zhou Can''s frightening pace of progress. ... Inside the operating room, Zhou Can changed into his surgical protective gear and waited for the assisting instrument nurse to come in. He felt a bit nervous. His biggest fear was seeing Tian Tian. However, there were only a few preparatory instrument nurses in the Emergency Department, and he really had no room to choose. Ideally, it would be Tian Tian and Qiao Yu appearing together. Because Qiao Yu always actively chose to work with Zhou Can. That way, no one could compete with him. The person assisting Dr. Xu as the instrument nurse was Liu Xia, who was already preparing early in the operating room. At that moment, a charming figure walked into the operating room. Zhou Can''s eyes lit up, and a happy smile appeared on his face. He was in luck, today it was finally Qiao Yu''s morning shift. It had been at least a week since he last performed surgery with Qiao Yu. Either she was on the night shift or the evening shift. After finishing work yesterday, Zhou Can even sent her a message on WeChat. "Qiao Yu, do you have any complaints against me? It''s been a long time since I''ve seen you as my instrument nurse." She first replied with a sad face emoji. Then she told Zhou Can that the nurse''s schedule was not up to her. Many sisters wanted the morning shift, and she, being junior and a newcomer, simply couldn''t compete with them. Unexpectedly, just after sending the message yesterday, she came today. For Zhou Can, it was quite an unexpected delight. Now that all four of his basic medical skills had been elevated to the Chief Level, as long as he accumulated some more Level 1 and Level 2 surgical experiences with real difficulty, his position in the operating room would be secured. If he could gain Dr. Xu''s trust and independently perform more than fifteen Level 1 and 2 surgeries per day, or even more, he could timely request from Director Lou for a more permanent surgical nurse. As long as he truly generated revenue for the Emergency Department, Director Lou should agree. When it came to selecting a permanent surgical nurse, he would definitely try every means to choose Qiao Yu. Seeing Dr. Xu''s attitude, as long as it benefited the development of Zhou Can''s surgery skills, Dr. Xu would fully support. Thus, the possibility of making this happen was quite high. However, haste makes waste. What needed to be done now was to perform a large number of challenging Level 1 surgeries and attempt some lower-difficulty Level 2 surgeries. Steady progress, striving to independently handle Level 1 and 2 surgeries soon. With his learning capability and medical skill level, he could achieve this in just three or four months. Securing Qiao Yu as the fixed surgical nurse was only his first step. He had even bigger development plans. Strive to produce some dazzling achievements. To make Director Lou realize that he didn''t choose the wrong person initially. Chapter 121 - 92: The Scheming Woman, The Difficult Patient "Sigh~!" A sorrowful sigh came from not far away. Zhou Can turned his head and saw that Jin Mingxi''s face had turned into a bitter gourd. The two exchanged a glance, and Zhou Can instantly got it. Qiao Yu always assisted Zhou Can, and today would certainly be no exception. That meant the remaining OR prep nurse would inevitably be assigned to Jin Mingxi. The probability of Tian Tian appearing was very high. It''s unclear whether Tian Tian managed to charm her superiors with her clever words, or if she had some background connections. A week, she had at least four to five morning shifts. It didn''t matter to her. But Zhou Can and Jin Mingxi were the ones who suffered. Whoever got stuck with her was doomed. Just when you''re afraid of something, it comes; it wasn''t long before Tian Tian, with her mincing steps, walked into the operating room. Jin Mingxi let out another lament, his face resembling someone who had just swallowed a mouthful of Coptis. After changing into the blue nurse''s scrubs, Qiao Yu was the first to enter the operating room. "Hello, Dr. Xu!" "Mm!" Dr. Xu hummed solemnly in response. "Qiao Yu, you look especially beautiful today!" Dr. Lu''s eyes clung to her as if magnetized, following Qiao Yu as she moved. Even after being rejected by Qiao Yu a thousand times, he still treated her as if she were his first love. "Thank you for the compliment!" Qiao Yu replied lukewarmly and swiftly walked towards Zhou Can. "Hey, I''m here!" She waved at Zhou Can with a charming smile. "Finally got a morning shift, huh?" Zhou Can was pretty happy to see her. Having surgery with her was simply a pleasure. "Not really! Didn''t you text me yesterday? I swapped a shift with Li Shuangshuang, had to treat her to grilled lamb skewers," she explained softly. The "Shuangshuang" she referred to was Li Shuangshuang. Usually, Li Shuangshuang would assist Jin Mingxi. Had it not been for Qiao Yu swapping shifts, Tian Tian would certainly have been assigned to Zhou Can today. Today was the first day he had asked the teacher for a more challenging surgical case. If he messed up, earning Dr. Xu''s trust would become doubly difficult in the future. And it would take ages. So, having Qiao Yu assisting him today, he was truly lucky. "Hey, it should have been you treating to that lamb skewers meal." She teased him a bit petulantly. Probably worried that Zhou Can might misunderstand, she had specifically swapped shifts with Li Shuangshuang. "Haha, no problem at all! As long as you''re my OR nurse every day, let alone one meal, I don''t mind treating you daily," Zhou Can replied, not caring about the minor expense at all. A meal''s worth of lamb skewers for the best partner and avoiding Tian Tian as a crappy teammate was too good a deal. "Dream on! Me, your OR nurse every day? I checked the duty roster this morning, and I don''t have a single morning shift next week," Qiao Yu said somewhat aggrievedly. "You head nurses really are..." Zhou Can cut himself off mid-sentence and quickly held his tongue. That''s because he saw Tian Tian approaching. This female nurse always had a smiley face, said all the right things, but in Zhou Can''s eyes, she was nothing but a schemer. Those who promise easily are rarely trustworthy. People who frequently praise to your face are often those to be most wary of ¨C they love to backbite. The position of head nurse was no small matter. Comparable to a department head, except she was in charge of nurses. If Tian Tian heard Zhou Can bad-mouthing the head nurse and then went off to tattle, Zhou Can would end up making a powerful enemy for no reason. "Dr. Zhou, were you just talking about our head nurse? Are you upset that Qiao Yu doesn''t get scheduled for enough day shifts?" Tian Tian asked with a smile. See, I told you she''s a schemer. She knew full well that Zhou Can preferred doing surgery with Qiao Yu, but whenever she was his assistant, she wouldn''t bring this up. Instead, she''d be busy promoting herself. "Ah, no, I was saying our head nurse is kind and majestic, deftly managing you nurses so well. If I had to make the schedule, I''d definitely be overwhelmed." Zhou Can knew how to speak to each person accordingly. The first few days he encountered Tian Tian, he wasn''t so cautious in his speech. But after realizing how crafty she was, he became very careful around her. "Hehe, is that so! Our head nurse really is formidable; she is my idol! Dr. Zhou, you just don''t like administrative work, you focus all your energy on surgery, that''s why you do it so well. I''ve heard plenty of nurses and doctors praise you behind your back!" Tian Tian, with her clever mouth, knew how to make everyone happy. Actually, she and Dr. Lu were quite a match. Both had a gift for gab. Too bad Dr. Lu wasn''t interested in her. Otherwise, the two of them would be the perfect pair, a match made in heaven. "Haha, really?" Zhou Can laughed heartily. "Of course, it''s true! Everyone says Dr. Zhou is young and promising, and that you''ll definitely become a renowned doctor in the future!" Tian Tian lavished praise without taking a breath. A flow of eloquence. If it had been some other rookie just starting out in their career, they might have been completely disoriented by her flattery. sea??h th§× N??elFir§×.net website on Google to access chapters of novels early and in the highest quality. On the surface, Zhou Can laughed, but deep in his eyes was the amusement of watching a clown perform. "Alright, let''s get ready." Dr. Xu swept a stern gaze over here. Having been through it himself, he didn''t want his disciple to be taken in by Tian Tian''s nonsense. Any behavior that might hinder Zhou Can''s progress, Dr. Xu would resolutely stop. Tian Tian was afraid of no one, except Dr. Xu. Chapter 122 - 92: The Scheming Woman, A Difficult Patient_2 She shrank her neck in fear and obediently walked over to Jin Mingxi, bringing the calamity upon him instead. The first surgery patient was brought in. It was a patient with a laceration that needed stitching. "Jin Mingxi, this patient is under your charge." "Okay!" Jin Mingxi''s response was terse yet substantial. After taking over the patient and conducting an examination and brief questioning, he immediately began to administer local anesthesia, debride, and suture the patient. The second patient wheeled in was a man in his sixties. He was brought in a wheelchair. The man was no longer able to walk. Clutching his chest, the old man occasionally let out painful groans and showed signs of vomiting. The situation looked a bit alarming. Surgery scheduling in the Emergency Department typically prioritizes critically ill patients, followed by those whose lives may be at risk, and finally, those with less severe conditions. Most of those seeking help here are emergency cases. Fall injuries, cuts, assaults, animal bites... these are the most common surgeries in the Emergency Department. The cases taken in the resuscitation room are somewhat more complex. Poisonings from pesticides, mushroom poisoning, sudden hematemesis... all kinds of patients may be received. If surgery is needed in the resuscitation room, after proper examinations and discussions with the family, the patient will be transferred to the Emergency Department''s operating room. If it exceeds the operating capacity of the Emergency Department, the patient must be referred to a specialty department. "What''s the situation with him?" Dr. Xu inquired from the nurse who brought in the patient. "Acute cholecystitis, abdominal flat plate CT has been done, and the situation is not good." The nurse handed the report to Dr. Xu for inspection. "Urine test has been done, but no blood test?" Dr. Xu browsed it briefly and asked with a frown. "It''s been done, just that we''re tight on time, and the lab hasn''t got the results yet. Because the patient''s condition looked urgent, we thought we''d bring him here first for you to see." The competency of the doctors on duty in the Emergency Department definitely couldn''t match Dr. Xu''s. The medical staff in the Emergency Department, most of whom know that Dr. Xu was once a Director Level physician, would always rely on Dr. Xu''s diagnosis for serious surgical cases. "This ultrasound image shows gallstones inside the cyst!" Dr. Xu''s frown deepened. Acute cholecystitis, a traditional open surgery, is considered a Level 2 procedure. If it were a minimally invasive laparoscopic surgery, it would be Level 3. The patient wishing to undergo this surgery in the Emergency Department would definitely only be eligible for traditional open surgery. Because of the patient''s advanced age and seemingly less than ideal physical condition, open surgery definitely carries certain risks. Sear?h the ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. This kind of surgery is often scheduled and not done immediately. "Was he just admitted today?" "Yes, I heard he was brought in around five in the morning." "Has he been fasted?" "After he was brought in, the night shift doctor suspected cholecystitis or gallstones and has already instructed the patient to fast." The nurses actually have a tough job. Even a simple task like transferring surgery patients to the operating room requires remembering a plethora of basic information about them so that they can respond promptly to the surgeon''s inquiries. Their role is more like a bridge between the surgeons and the attending doctors. "This patient also has a fever, and at his age, the surgery is very risky." After reviewing all the reports, Dr. Xu locked his eyebrows together, reflecting a pensive look. "Xiao Zhou, come over for a consultation!" Dr. Xu called Zhou Can over. Dr. Lu stood by, feeling ruffled. Even if Dr. Xu was unsure, he should have asked him, a senior Resident Doctor, for a joint consultation. Asking an intern for a consultation was simply an affront to him. "May I have a look?" Dr. Lu couldn''t stand back any longer. With Qiao Yu present, he didn''t want Zhou Can to be the only one in the spotlight. "Of course." Dr. Xu handed over the documents to Dr. Lu. The patient uttered weakly, "Doctor... cough cough... please operate on me quickly..." Acute cholecystitis causes tremendous pain for the patient. Before entering the operating room, the old man thought that everything would be fine as long as he entered the OR. The doctors would quickly relieve his pain. He hadn''t expected that upon being wheeled in, the doctors would not rush to operate, but instead, research his condition together. "Don''t worry, the surgeons need to ensure the operation is safe before proceeding! The anesthetist is also on the way." For abdominal surgery, a professional anesthetist is required. It''s not as simple as just administering local anesthesia. In fact, even for epidural anesthesia, it requires the presence of a professional anesthetist. Each profession has its expertise, and while a doctor might understand anesthesia, they could not match their proficiency. A top-tier surgical team requires at a minimum, a lead surgeon, two to three assisting doctors, an anesthetist, and one scrub nurse. If the standards are higher, a circulating nurse is also indispensable and should be as professional as possible. In surgery, everyone has a different role. The importance of the anesthetist is not less than that of the lead surgeon. Dr. Lu checked the inspection materials one by one. After a moment, with a solemn expression, he forced out a sentence. "This gallbladder must be surgically removed!" A statement that essentially was self-evident. The patient was already in the operating room, obviously prepared for surgery. Were they to keep the gallbladder as a souvenir? "Let''s hear your specific thoughts!" Dr. Xu seemed to have reservations about the patient''s condition and wanted to hear more professional opinions from the doctors. Chapter 123 - 92: The Scheming Woman, A Difficult Patient_3 He truly listened humbly to Dr. Lu''s surgical recommendations. "The condition of the stones is severe, and acute inflammation has occurred; surgical removal is the only definitive treatment," Dr. Lu provided his diagnostic opinion. "Hmm, that makes some sense." Dr. Xu merely nodded slightly, with no great fluctuation in facial expression. "Xiao Zhou, you have always had excellent diagnostic skills, help us contribute some ideas!" "Alright!" After carefully reviewing all the data, Zhou Can also examined the patient''s actual condition. "I don''t think we should perform surgery right now!" Zhou Can had been following Dr. Xu these days, learning various surgical knowledges, and had made significant progress. His breadth of vision, predictive ability, and control of risks all saw great improvement. The patient became anxious upon hearing this. "Doctors, please, perform the surgery on me quickly! The pain is unbearable. If there is no surgery, I... oh, wow..." Splashing! The patient vomited, but fortunately, Nurse Liu Xia, with her extensive experience, was quick and caught it for the patient. The 12-hour fasting before surgery was actually to prevent anesthesia-induced vomiting, which could lead to asphyxiation death. In a situation like just now, if it had occurred under anesthesia, it would have been very dangerous for the patient. "Do you think the patient shouldn''t have surgery right now because he hasn''t fasted preoperatively?" Dr. Xu asked. The content of the patient''s vomit was not insignificant, and it was quite concerning. "That''s actually something for the anesthesiologist to consider. My opinion against immediate surgery is twofold. First, based on the examination reports, I believe the patient''s intra-cholecystic stones injured the mucosa, leading to bile stagnation in the gallbladder and eventually causing a bacterial infection. The acute pain, nausea, and vomiting he is experiencing are likely due to the inability to expel bile, resulting in excessive internal pressure." sea??h th§× N??eFire.¦Çet website on Google to access chapters of novels early and in the highest quality. Zhou Can presented his diagnostic points calmly and unhurriedly. His explanation was much more detailed than Dr. Lu''s hastily made remarks. Diagnosing a patient has a lot to do with personal work style. Lazy people tend to take shortcuts in diagnostics too; even the surgical plans they provide are more geared towards quick and simple treatments, reluctant to think too much about post-surgical outcomes and the various potential risks during surgery. It''s not that they aren''t professional; it''s just their reluctance to delve deep into thought. Such doctors exist and make up at least about ten percent of the medical workforce. Many are just coasting through the days. However, they hardly ever cause problems because their superiors keep a watchful eye on them, vetting their decisions. Also, because their superiors and department leaders are aware of their work style, these doctors are never in charge of making decisions for crucial diagnostic and treatment activities. They are basically assigned tasks with lower risks. "Secondly, the patient''s physical weakness and advanced age inherently increase the surgical risk. Moreover, upon analysis of the examination reports, I suspect there is purulence around the gallbladder. It''s necessary to first drain the pus, control the inflammation, and then schedule a surgery at a later date." These surgical opinions were things Zhou Can would never have been able to express before. So, it goes to show that the fastest growth for a doctor comes through practice. He''s been immersed in the operating suite for half a month, receiving plenty of surgical training opportunities each day, along with careful guidance from Dr. Xu. His insights and practical surgical knowledge have improved too greatly compared to before. Just like the time he mocked Du Leng for being all theory and no practice. Books can only teach theory; the flexible application of knowledge in practice, combined with various practical experiences, is something that can''t be learned by just reading books or watching videos. It''s only by being on the spot, in the operating room, that one can learn the real surgical knowledge. "You''ve seen the patient''s condition; the mortality risk of acute cholecystitis is not low, let''s hear your treatment plan. We must ensure the patient''s safety." The mortality rate of acute cholecystitis exceeds 10%, which really isn''t low. And this disease often arises as a postoperative complication or from someone weak with multiple underlying conditions. After onset, the patient''s physical condition is simply not resilient enough to withstand gallbladder removal surgery. Under such circumstances, symptomatic treatment is basically the only option. First stabilize the patient''s condition, waiting until they meet the surgical indications, then proceed with the operation. "My therapeutic opinion is to perform an ultrasound-guided puncture first, to drain part of the bile to the outside and reduce the internal pressure in the gallbladder. Meanwhile, carry out an interventional radiography to position the puncture and drain the pus around the gallbladder. Surgery will be performed when the patient meets the surgical indications." Zhou Can gave two treatment suggestions. "Just operate on me quickly, if I don''t get the operation today, I won''t leave; I''d rather die here..." The patient was in such pain that his face was contorted. As a general rule, when patients suffer from severe pain and physical discomfort, their temper can turn particularly foul. Patients don''t understand medicine; hearing the doctors discussing and not proceeding with surgery, he would disagree with whatever they said. "Please get the Gallbladder Surgery and Internal Medicine doctors to come for a joint consultation!" Dr. Xu felt quite helpless in the face of the patient''s threats. Bringing in doctors from two authoritative departments for a consultation can lessen the pressure they need to bear, distribute the risks. It also convices the patient and their family. Chapter 124 - 93: Advanced Bootlicking, The First Time Opening the Abdomen Emergency Department, though underrated and less influential than other departments, possesses unique privileges not available to others. When encountering an unresolved case, doctors can summon specialists from any department for consultation. These requests cannot be refused. There are strict time limits for responding to emergency cases as mandated by the hospital. Specialists responding to emergencies cannot simply give up if they can''t manage the situation; they must call for higher-ranking doctors if necessary. If in the end, despite all hospital efforts, the patient cannot be saved, then there''s nothing that can be done. The matter would be reported following protocol. While other departments can also request consultations for challenging cases, the nature of these requests is significantly different. For instance, when Orthopedics receives a patient with a fracture suspected of internal bleeding or other severe diseases, if the department feels it''s beyond their capabilities and potentially dangerous, they would invite a doctor from Internal Medicine for consultation. The Internal Medicine doctor, upon receiving such a request, might be reluctant since every doctor has a load of tasks, and doesn''t really have time to take care of other department''s issues! However, these consultations are obligatory. Everyone belongs to the same hospital, so if you help me today, I''ll help you when you''re in trouble. Cooperation is essential. The Internal Medicine doctor checks the patient. Upon reviewing, they say, "My, the internal bleeding is severe, the patient is already in shock." After a thorough review of the medical report, they feel the patient is unlikely to survive surgery. While informing the Orthopedic doctor about the diagnosis, they also report to their superior unless they are the head physician, in which case no report is necessary. They might directly express a certain attitude. "It''s tough to save this patient, unlikely to survive surgery, please handle subsequent decisions." After saying this, they can leave. This is the difference between responding to an emergency and a standard consultation. ... Shortly after, the patient''s blood test report came back showing abnormal white blood cells, indeed there''s pyosis. Doctors from Emergency Department also arrived in succession. Digestive Internal Medicine and Liver and Gallbladder Surgery each sent a senior doctor. These rankings are quite high. Their diagnostic experience, personal capability, and expertise are certainly not lacking. "What disease is it?" "Acute cholecystitis!" "This isn''t too difficult to handle! Wasn''t Dr. Xu previously our chief surgeon? He should be able to handle it!" The Liver and Gallbladder Surgery doctor sounded relaxed upon hearing this. He might not have meant to mock Dr. Xu. But it sounded somewhat disparaging towards Dr. Xu regardless. Considering his age, he seems to be a newly promoted senior surgeon from recent years. He still retains a bit of young people''s striving spirit. Being young and promising, some arrogance is inevitable. Only time and harsh realities of life will gradually temper this. "Doctor Ruan should first examine the patient''s condition," Zhou Can said, standing aside and speaking up for his mentor. The Gastroenterology doctor had already reviewed the medical records and was examining the patient. Internal Medicine doctors conduct very thorough examinations, checking pupils, tongue coating, hands, complexion, etc., carefully looking at each. They also inquire about specific details like diet, bowel movements, and exact locations of abdominal pain. Many details are not written in the medical record. sea??h th§× Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. These typically just briefly record the patient''s symptoms, condition, time of acceptance, etc. Doctors in China still carry traces of traditional Chinese medicine. Experienced Internal Medicine doctors would know a bit about traditional diagnostic methods like visual examination, smelling, questioning, and pulse-taking. Zhou Can silently learned the diagnostic methods while observing the Internal Medicine doctor examining and diagnosing the patient. After completing the diagnostic process, the Internal Medicine doctor didn''t hurry to express an opinion. He just stood by with a slightly serious expression, calmly waiting for Doctor Ruan from Liver and Gallbladder Surgery to give his diagnostic output. Five minutes passed, then eight¡­ Doctor Ruan furrowed his brows, checking the medical information and examining the patient, yet hesitating to provide a diagnostic opinion. "Doctor Ruan, surely you must have treated many cases like this. You''ve seen the reports and examined the patient, what do you think should be the treatment?" Zhou Can deliberately praised the doctor, seeing his difficulty, which was kind of... ''naughty''. "Uh¡­ I need to study this further!" Doctor Ruan''s face showed a hint of embarrassment. "Weren''t you just saying this disease isn''t hard to handle?" Zhou Can cornered him. Having caused embarrassment to Dr. Xu upon arrival, Zhou Can of course had to administer a light punishment. To make him think twice before speaking next time. "This disease is usually treatable, but this patient is a bit challenging. By the way, what is the Emergency Department''s treatment suggestion?" Doctor Ruan''s quick-wittedness was impressive. He swiftly shifted the topic and focus. Earning the role of a senior doctor comes from countless interactions with patients. Without the ability to adapt quickly, he would''ve faced numerous difficulties from patients and their families. Zhou Can looked towards his mentor. This question should be answered by the most senior doctor present. As a junior training doctor, he kept his position clear, never speaking out of turn when it was not his place. "Our suggestion is first to perform a puncture to draw some bile for imaging and localization, followed by a puncture to drain the pericholecystic abscess, providing the patient with anti-inflammatory treatment. Once the inflammation subsides, surgery can be scheduled." Dr. Xu had adopted Zhou Can''s treatment suggestion. Chapter 125 - 93: Advanced Bootlicking, The First Time Opening the Abdomen_2 Just at this moment, the anesthetist arrived. After greetings, the anesthetist inquired about the situation and patiently waited on the side for the surgical doctors to conclude their consultation. "Dr. Chi, what''s your opinion?" Doctor Ruan looked towards the attending physician from Digestive Internal Medicine. "I support the approach of the Emergency Department. This patient has underlying conditions, is of advanced age, and is exceptionally weak, compounded by pus around the gallbladder, which makes the surgery extremely risky. Moreover, the remnants of vomit at the corners of the patient''s mouth suggest that there hasn''t been a long period of fasting before surgery. I propose first to drain the biliary sweat, evacuate the pus and reduce inflammation, then provide IV nutritional support and fasting. It''s not too late to perform surgery once the criteria are met." Dr. Chi''s observation was meticulous, truly admirable. "If possible, I would prefer laparoscopic surgery. It''s much less invasive and could reduce some of the risk." The reason why minimally invasive surgery has become a new trend is precisely because it is less traumatizing, greatly reducing harm to the patient and allowing for quicker postoperative recovery. Some patients who are frail and suffer from multiple illnesses may not meet the criteria for traditional surgery, but minimally invasive surgery could be viable for them. The only downside is that minimally invasive surgery is much more expensive. Moreover, there are very few physicians in the country skilled in performing minimally invasive surgeries. S§×arch* The N?velFire.n§×t website on Google to access chapters of novels early and in the highest quality. "The patient hasn''t fasted for long enough preoperatively and has shown vomiting, which probably makes anesthesia impossible!" Hearing about the recent vomiting, the complexion of the anesthetist immediately changed. The hospital was currently stringent on surgical safety, and they dared not take this risk. Everyone''s gaze was fixed on Doctor Ruan, waiting for his statement. "Alright, let''s transfer the patient to the Liver and Gallbladder inpatient specialty. I''ll report to the department head on my end, and after you in the Emergency Department communicate with the family, you can transfer the patient over." Doctor Ruan had taken this ''hot potato'' back to the Liver and Gallbladder specialty. That temporarily concluded the matter. Before departing, Doctor Ruan looked at Zhou Can and said with a chuckle, "Young man, you really stand by Dr. Xu, even snatching my salute!" In saying this, he somewhat gave himself a face-saving way out. If he knew that the treatment proposal from the Emergency Department came from Zhou Can, a resident in training, he would have regarded Zhou Can even more highly. "Hehe, I wouldn''t dare!" Zhou Can was not at all embarrassed to have his ulterior motives exposed. Dr. Xu was so protective of him, and humans are not heartless creatures. Naturally, he also wanted to reciprocate the kindness of his mentor and defend his teacher. Dr. Xu, though speaking not a word on the side, revealed a trace of undeniable gratification on his stern face. Clearly, Zhou Can''s act of defense was very much appreciated by him. This had tenfold, even a hundredfold the effect of Dr. Lu blatantly flattering him a thousand times. Flattery from Dr. Lu might please Dr. Xu momentarily, but it would be forgotten later. However, Zhou Can''s ''sophisticated flattery,'' which was about affection, could make Dr. Xu treat him directly as his own child. "I''ll be taking my leave then, and don''t delay with this patient, it could lead to complications!" Doctor Ruan cautioned once more. Given the severity of the patient''s condition, no one dared to delay. Dr. Xu personally communicated with the family, and the discussions were settled swiftly. The family''s request was actually quite simple; they just wanted the hospital to cure their loved one. "Dr. Lu, you and the nurse outside immediately transfer the patient to Liver and Gallbladder Surgery!" Dr. Lu''s face showed bitterness. "Can''t you send Xiao Zhou instead?" After all, he was a senior resident doctor. Running errands like this is usually assigned to the lowest-ranked individuals. Jin Mingxi was in surgery, so it was understandable not to send him. But Zhou Can wasn''t in surgery either. "You can be quite eloquent, but Xiao Zhou just isn''t articulate enough; he''s only good for surgery. Hurry on now!" Dr. Xu''s words made Dr. Lu wish he could just bang his head against tofu and die. If Zhou Can''s mouth was considered clumsy, then probably no one in the world could be considered articulate. Dr. Xu had made his intentions clear, openly protecting Zhou Can. Dr. Lu was clever enough not to engage in any foolish acts that might displease his superiors or leaders. He went on to obediently escort the patient. "Bring in the next patient!" Soon, a new surgical patient was wheeled in, his face pale with pain, with cold sweat continuously breaking out on his forehead. This was a patient for acute appendicitis surgery. While the anesthetist was still there. After reviewing the medical reports, Dr. Xu asked about the patient''s condition. The surgery could proceed. "How long has the patient fasted?" the anesthetist asked the nurse who brought in the patient. He had been frightened by the audacious procedures of the Emergency Department''s attending physician. The previous surgical patient''s stomach clearly hadn''t emptied its contents. How could they bring such a patient into the operating room without fear of complications? "It''s been over six hours." The nurse answered honestly. Acute appendicitis often occurs at night. Presumably, the patient was brought in during the evening. "I, I last ate a late-night snack around 22:00 and haven''t... eaten anything since!" The patient spoke with evident shortness of breath. That was due to severe pain. Acute appendicitis can truly be excruciating. "What''s the patient''s name?" "Huang Weiyuan!" "Was it an admission from last night?" "Yes!" The anesthetist took out about a dozen consent forms from his box, flipped through them quickly, and found the right one. "I''ll go get the anesthetic consent form signed by the family!" The anesthetist left. It wasn''t long before he returned. After the usual preoperative checks without issues, the patient was hooked up to life-monitoring equipment, a non-invasive ventilator, and given inhalational anesthesia. Chapter 126 - 93: Advanced Bootlicking, The First Time Opening the Abdomen_3 The patient quickly fell asleep. "Huang Weiyuan, Huang Weiyuan!" No response to the call. The patient''s vital signs are stable. "Surgery can be performed now!" After speaking, the anesthesiologist moved a small black stool from the side of the wall and sat down, eyes fixed on the life monitoring equipment. Throughout the perioperative period, the anesthesiologist is responsible for safeguarding the patient''s life safety. However, this is just a Level 2 minor surgery and doesn''t require the caution of a major surgery. "Xiao Zhou, are you confident about performing the laparotomy on the patient?" "Yes!" Zhou Can was overjoyed. This was the first time his mentor proactively let him perform a laparotomy on a patient. Although the risk of a laparotomy is much lower than that of a thoracotomy, it still excited him tremendously. "Go ahead! Always remember to be bold but cautious, safety comes first. Do not blindly operate if you''re unsure." "Understood!" Zhou Can was not an imprudent person. In every surgery he performed, he fought hard as if tackling a formidable challenge. sea??h th§× N?vel?ire.net website on Google to access chapters of novels early and in the highest quality. "Could Qiao Yu be my instrument nurse?" Zhou Can was very protective of Qiao Yu. "Are you planning on training a dedicated nurse?" Dr. Xu jested. "Liu Xia, help guide the newcomers." This indicated his agreement. Liu Xia was a veteran nurse with rich experience. She had much seniority over Tang Ling and Tian Tian. "No problem!" Liu Xia readily agreed. She was astute enough to notice Dr. Xu''s special attention towards Zhou Can. Moreover, Zhou Can''s surgical potential was incredibly impressive. In just less than a month, Zhou Can was able to independently perform various Level 1 surgeries. Now, he even had the capability to perform laparotomies and appendectomies. This was truly terrifying. She couldn''t imagine how exceptional Zhou Can would become if he continued to progress smoothly. Such a promising doctor was definitely someone she wanted to maintain good relations with. Previously, Dr. Lu had been spreading rumors saying Zhou Can had offended the hospital''s top brass and was going to face downfall. Now that matter had passed. Everyone was smart and naturally thought to mend their relationship with Zhou Can proactively. Seeing how more colleagues warmly greeted Zhou Can in recent days made it clear. It was the trend of the times. Zhou Can took care of Qiao Yu very well. Love me, love my dog. Liu Xia now extended kindness to Qiao Yu, not only earning Qiao Yu''s gratitude but also gaining Zhou Can''s favor. Why wouldn''t she want this? The surgery officially started. Liu Xia spared no effort in teaching Qiao Yu the instrument preparation experience, which differs for each surgery. Qiao Yu had some foundation as an instrument nurse and was also quick-witted, often understanding things at one point and learning quickly. This made Liu Xia grow even fonder of her. Teachers generally prefer students who perform well. Not for anything else, but because it''s easier to achieve good results with such students, and it''s much less stressful than teaching those with weaker comprehension abilities. After disinfecting the surgical area, Zhou Can marked the location for the incision. Dr. Xu supervised beside him. After confirming there were no issues, he gripped the scalpel, his eyes as sharp as a hawk, his focus fierce as a wolf. He carefully searched for the right feeling and gradually made the first incision into the abdominal surface layer. This layer of skin includes the epidermis and dermis. Blood gushed out, and Dr. Xu suctioned it in time. For Zhou Can''s first cut, he should be satisfied. Next, Zhou Can sequentially cut through the thicker subcutaneous tissue, the fascia layer, the rectus abdominis until at this step, the peritoneum was exposed. This is also the last barrier to enter the abdominal cavity. Cutting a jadeite raw stone, there is a saying, one cut poor, one cut rich. Messing up the peritoneal layer could lead to big trouble. Dr. Xu daring to entrust such a surgical task to him, a training resident, shows immense trust. Zhou Can took a deep breath, striving to maintain a calm mindset. Then, finding the right feel, he slowly cut through the final layer of barrier. Fortunately, he didn''t cause any trouble. Though not exceptionally perfect, at least it was above standard. Much better than a Resident Doctor. [Cutting Experience +1.] [First successful abdominal opening, reward Cutting Experience +100.] The system is quite generous. A direct reward of one hundred. But, it''s only this one time. Any further abdominal openings will definitely not have additional rewards. For Zhou Can, this counts as a significant step forward in the surgical field. A successful abdominal opening, in psychological, technical, experience, and courage aspects, all will remarkably progress. Usually, only a few senior Resident Doctors strong in surgical skills, while aiming for attending physician status, through persistent pleading, might get a chance or two to perform an abdominal opening from their senior doctors. Zhou Can''s Incision Skill is now Level 4, attending lower level. To upgrade, he needs to earn 10,000 Experience Points. He instantly earned 101 Cutting Experience, this progress is countless times faster compared to dissecting rats. It''s definitely more satisfying to earn surgical experience from actual patients. While he was cutting through the peritoneal layer, Dr. Xu was actually very nervous. Now, seeing Zhou Can successfully complete it, Dr. Xu too breathed a sigh of relief. "Do you know how to find the appendix?" "Yes!" Zhou Can answered decisively. At this moment, Jin Mingxi finished the surgery in his hands. Dr. Lu likely won''t return anytime soon. After all, for a lazy person, this is a legitimate opportunity to slack off. Resting for half an hour on the way back, nobody would say anything. "Jin Mingxi, come over to help retract!" Jin Mingxi walked over, seeing Zhou Can already leading an appendectomy surgery, he was truly envious. He had performed such surgeries in County People''s Hospital. But the hospital''s level difference, also brings an entirely different attitude towards surgery. Performing an appendectomy in County People''s Hospital''s operating room seems like a festive occasion with a multitude of doctors involved. An Associate Director level surgeon personally leading. Then looking at Tu Ya, the least skilled in the Emergency Department treating such surgeries as if playing. An attending physician supervising from the side, directly allowing a training resident to lead the surgery. It''s terrifying. Of course, it cannot be denied, Zhou Can''s skills far surpass a training resident. Exactly how strong Zhou Can is now, Jin Mingxi is not quite sure. He only knows Zhou Can''s surgical abilities are like skyrocketing. Almost changing day by day. Both undergoing the same surgery, the same practice, why is there such a big difference? Jin Mingxi gives Zhou Can a thumbs up, "You''re awesome!" Then he helped with the retraction. Qiao Yu, seeing Zhou Can perform so well, and benefiting greatly by following Zhou Can, felt as if she had drunk honey. Looking at Zhou Can, her eyes full of admiration, the rest all smiles. Chapter 127 - 94: Nurses Are Actually No Weaker Than Doctors, Dr. Lu Has Invested Heavily The growth of a nurse can sometimes be even more difficult than that of a doctor. To outsiders, isn''t it just about taking care of patients? Giving injections, infusing fluids, what''s so difficult about that? This is a case of being separated by a whole different profession. Only insiders can appreciate the intricacies, while outsiders only see the spectacle. Firstly, there are many types of nurses. Their divisions of labor also vary greatly. Such as ward nurses, operating room nurses, outpatient nurses, and so on. The well-known tasks of nurses include dispensing medications, administering injections, infusions, and drawing blood. In reality, more advanced nurse practitioners provide the most professional nutritional and recovery advice to patients after surgery. In many developed countries abroad, the status of advanced nurses is even comparable to doctors. For example, a patient who has just undergone a major surgery, survives the operation but is extremely weak. The doctor is very worried about postoperative complications and believes that even if the patient recovers, the period of recovery will be extremely long, at least over half a year. Then this patient''s family being wealthy, spends $1 million to hire an advanced nurse to take care of him. This nursing fee even far surpasses the medical costs by ten times. This advanced nurse first understands all aspects of the patient''s condition, including physical health, surgeries undergone, underlying diseases, serious medical history, personal preferences, etc. Then, she develops a highly professional postoperative recovery plan for the patient. It includes nutrition, daily activities, professional rehabilitation training, and psychological counseling. Two months later, not only did the patient survive, but he also recovered his health, and his physical condition was even better than before he fell ill. When he went for a follow-up visit, the attending physician was so amazed, he exclaimed "Oh my god!" three times. This is the capability of advanced nurses abroad. Doctors treat illnesses; nurses are responsible for helping patients recover. Operating room nurses focus their advanced studies around surgeries. For beginners, they generally start as circulating nurses, or nurses observing from beneath the operating table. Then, as they progress, they become scrub nurses. The highest level is the surgical instrument nurse. Many director-level surgeons have a dedicated surgical team. The instrument nurses are fixed. And for one complex major surgery, there might be more than one instrument nurse. Zhou Can chose to train Qiao Yu partially because they work in great harmony, and also because he liked her personally. Her integrity, ambition, and diligence are all excellent qualities. Zhou Can finds it worthwhile to train her over the long term. ¡­ After Jin Mingxi opened the surgical wound, Zhou Can could already see the cecum. Having located the cecum, he could continue along the mesocolon to find the appendix. Everything was still going smoothly. "Teacher, I found the appendix, it''s quite swollen. However, it''s not abscessed." If it were abscessed, it would generally require draining pus first, and surgery to remove the appendix could only be carried out about three months later. Today''s appendectomy, Dr. Xu had already approved him for. The difficulty was ordinary, with no particularly complex complications, which is why he dared to let Zhou Can perform it. "Good, next carefully separate the appendix from the surrounding omental intestines, sequentially freeing the appendicular artery and the base of the appendix, ligation of both the appendicular artery and the appendiceal remnant, cutting the mesoappendix, then removing the appendix." If it were a laparoscopic surgery, typically a ligation clip would be used to secure the artery and the appendiceal remnant. However, many doctors still prefer suture ligation. Modern methods might be more convenient, but traditional surgical methods are safer and more reliable. S§×ar?h the n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. Traditional surgical methods have undergone many years of clinical practice and are confirmed safe before being handed down from generation to generation. Zhou Can had watched Dr. Xu perform appendectomy surgeries. More than just one. Now, doing it himself for the first time, he realized that watching and doing were two different things. Finding the appendix had gone smoothly. But the subsequent steps proved very challenging for him. His skill level was fine, and he clearly knew the surgical methods, but when he actually performed the operation, he found himself making missteps and felt incredibly tense throughout the process. While separating the appendix from the surrounding omental intestines, his palms were all sweaty. There were even a couple times when his hands trembled. He had to immediately stop, then take a deep breath, regain composure, and only after easing his inner tension did he dare to continue. ¡­ The duration of this surgery far exceeded the normal time for an appendectomy. However, no one rushed him. During the training of new doctors, the vast majority of veteran colleagues are extraordinarily tolerant toward newcomers as everyone understands the challenges newcomers face. As long as the newcomers don''t cause medical incidents by their own mistakes, whether they are slower or their work isn''t as neat, senior doctors generally won''t say much. They might just help point out shortcomings and ways for improvement. After struggling, it took nearly forty minutes for Zhou Can to completely separate the appendix from the surrounding omental intestines. [Separation Experience Points +1.] [First successful separation of intestinal tissue, reward: Separation Experience Points +100.] Another huge surprise. After strenuous efforts, the rewards were quite substantial. This time separating intestinal tissue, compared to separating a rat''s intestines, was completely different. If you accidentally damage a rat''s intestines, it''s not a big deal. Just be more careful next time. However, the psychological cost of separating a patient''s intestinal tissue is too high. The pressure is like two mountains bearing down simultaneously. There can''t be the slightest mistake. If you accidentally rupture the patient''s normal intestines or damage other abdominal organs, the consequences could be catastrophic. Chapter 128 - 94: Nurses Are Actually No Weaker Than Doctors, Dr. Lu Has Invested Heavily_2 Every incision he made was as if walking on thin ice, extremely careful and prudent. After successfully separating the appendix from the surrounding omentum and intestinal tract, the next steps of the surgery were slightly easier. But just slightly. The pressure was still immense. Whether it was ligating the appendiceal stump or the artery, both required a very high level of ligation skill. After everything was dealt with, the mesoappendix was cut. Then the severed appendix was successfully removed. Zhou Can let out a long sigh of relief. During this process, Liu Xia had already wiped the sweat off his brow countless times. Next was the cleaning of the abdominal cavity, checking the gauzes used for padding, and making sure all the instruments were retrieved. This was a mandatory process outlined by surgical safety regulations. "Teacher, do you think I can close the abdominal cavity now?" After checking twice and confident that everything was in order, Zhou Can asked Dr. Xu for his final review. "It''s fine, close the cavity!" S§×arch* The n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. Dr. Xu nodded in approval. He was, on the whole, satisfied with the entire procedure. Dr. Lu had come back about ten minutes earlier. Sending the patient to the Liver and Gallbladder Surgery department and completing the handover shouldn''t take that long, even with a quarrel with the family. He certainly took this opportunity to sneak off and relax somewhere. But when he returned to the operating room and found that Zhou Can was actually conducting the appendectomy as the lead surgeon, he was sour with envy. Until now, Dr. Xu had never once allowed him to perform an abdominal surgery. Dr. Lu watched as Zhou Can skillfully closed the abdominal cavity, his suturing skill already far surpassing his own. His expression fluctuated unpredictably. If Zhou Can''s previous performance had only put pressure on him, Now, Dr. Lu truly felt an intense sense of crisis. A crisis of being eliminated. He knew about the life of some doctors who failed in the competition and were eliminated from Tuya Hospital. If a Resident Doctor was eliminated, the better ones could go to work at Level 2 Hospital. But they were still just getting by. Moreover, he heard that Level 2 Hospital, in order to ensure the overall medical standards, implemented a dual promotion system. For new doctors, promotion follows the regular process. For doctors eliminated from the main hospital, promotional opportunities are extremely scarce. The difficulty for a Resident Doctor to be promoted to an attending in Level 2 is even higher than in the main hospital. The most ideal scenario is to be promoted to an attending in the main hospital. Even if one is eliminated, reaching Level 2 in Tuya, one can still see patients in the clinic, mentor newcomers, and perform a few surgeries every day. Life is quite comfortable, and the status would not be too inferior. Dr. Lu''s gaze unconsciously shifted away from Zhou Can and settled on Jin Mingxi''s face. Now, Zhou Can had surpassed him. If he did not work hard, Jin Mingxi would probably soon overtake him too. Dr. Lu then looked towards Qiao Yu who was assisting Zhou Can. She seemed even more beautiful to him now. That which one cannot have always seems the best. "I need to start working hard!" Dr. Lu clenched his fists, his eyes slowly filling with determination. But... he had made this kind of resolution countless times before. Each time, he couldn''t persist for more than three days before indulging in self-pity and choosing to slack again. "The suturing is complete, teacher, does it look okay?" This was Zhou Can asking for Dr. Xu''s review, seeking to identify any deficiencies. He had already completed suturing and closing many times before. There was no need for a senior doctor to worry about it. "We can wake the patient from anesthesia now." Dr. Xu first spoke to the anesthesia doctor, and then he began to review Zhou Can''s work. "Overall, you did well. You were very careful about safety, and I noticed that you paid attention to most of the details. It''s not perfect, but for your first time, it''s commendable. There are many areas that need improvement. For example, during the initial incision, you should have only cut through the abdominal wall, but you went into some subcutaneous tissue. Also, when you were separating the omentum, why were your hands trembling so much?" Dr. Xu pointed out multiple deficiencies. All these were areas where improvement and refinement were needed. After all, the technique of a lower-level attending doctor was still a bit weak. During the incision of the abdominal wall, Zhou Can was actually very careful. Still, he ended up cutting into the subcutaneous tissue. Psychological tension may have been a factor, but it wasn''t the main reason. Insufficient practice of the Incision Skill was a significant reason as well. Fortunately, the surgery was still completed smoothly and safely. "There are no issues with the patient''s vital signs, right?" Dr. Xu asked the anesthesia doctor. "Everything is normal." The anesthesia doctor replied. "Thank you for your hard work. Help to move the patient outside to the recovery room, and after the patient wakes up and there are no problems, send them to the ward." The patient was quickly wheeled out of the operating room. The recovery room was outside, staffed by specialists. Normally, the anesthesiologist would have to wait for the patient to wake up before leaving. It''s slightly better for patients who underwent local anesthesia. For those who underwent general anesthesia, complications could arise at any time. "You two continue with the surgeries on your own! There are probably a lot of patients waiting outside." Dr. Xu said to Zhou Can and Jin Mingxi. Zhou Can was still immersed in the recent surgical experience. Having completed a difficult Level 2 surgery today, he was already quite content. The significant gains from the surgery needed time to be digested. It was a process of reflection. Upon receiving Dr. Xu''s order, Zhou Can and Jin Mingxi, these two formidable doctors, once again entered a state of high-output mode. One by one, Level 1 surgery patients were brought in. Both worked at full throttle, easing the pain of various surgical patients. Dr. Lu, following Dr. Xu in surgery, also started to show unexpected enthusiasm. He actively asked questions when he encountered something he didn''t understand and started volunteering for suturing tasks that he previously scorned. Chapter 129 - 94: Nurses are Actually Not Inferior to Doctors, Dr. Lu Has Invested Heavily_3 His proactive performance was like a different person compared to his previous lazy self. However, how long this enthusiasm for progress can last remains unknown. By 4 p.m. shift change, Zhou Can had performed a total of fourteen surgeries today. Including simple skin sewing and wound cleaning, he did eight surgeries, the remaining six surgeries, besides that Level 2 appendectomy, each included some Level 1 surgeries that had certain risks and difficulties. This was a special treatment facilitated by Dr. Xu and the consulting doctors. Jin Mingxi completed a total of eleven surgeries. Seemingly only three less than Zhou Can, but he performed eight simple surgeries like skin sewing and wound cleaning. Only three were somewhat challenging. Compared to Zhou Can, the gap was quite large. Zhou Can was quite satisfied with the Experience Points he gained today. Cutting Experience, which is usually hard to come by, increased by 112 points, including that 100-point bonus. Separation Experience Points also increased by 116 points. This is advanced medical technique. Being able to gain over one hundred Experience Points in one go certainly made him overjoyed. Especially since his Separation Skill had advanced to Level 4 1000/10000, he could no longer rely on practicing on rats to gain Experience Points. "Some difficult and risky parts of surgeries, as long as they are successfully performed on patients for the first time, can reward 100 Experience Points. It''s really cool." Zhou Can discovered another quick way to earn Experience Points through this summary. Additionally, his Anastomosis and Wound Cleaning Skills also increased by a few points. As for suturing, ligation, hemostasis, injections, each of these medical skills increased by several dozen points. Within the basic medical skills, except for cutting, which is hard to increase, others are relatively easier. He was not in a rush, anyway, there was plenty of time. There were three years of standardized training. Even if he only stayed in the Emergency Department for one year, the gains would be immensely great. These medical skills could at least be promoted to a significant level above attending physician. Some skills could even rise to associate director level. Currently, the medical skills Experience Points that he found hard to come by were two. One was the implantation technique, which currently, the only way he could practise on patients was by inserting catheters. However, such opportunities were quite rare. It might be possible to have more opportunities like this working in the resuscitation room or ICU. Another one was grasping technique. Patients with fishbone stuck were after all very rare, making the opportunities to practice on patients equally scarce. These two medical skills seemed only practicable at home for more practice. Once he changed his clothes and exited the operating room, he saw Dr. Lu still pestering Qiao Yu. This fool, doesn''t he know that a forcefully twisted melon isn''t sweet? "Seeing you squeeze in the bus and walk to work every day seems really tough. I specifically bought a car, since we are on the same route, you can ride with me from now on!" Dr. Lu said to her with a smile. My goodness, so he bought a car to increase his chips in pursuing Qiao Yu. Dr. Lu cried poor and acted pitiful when he was late last time, but it seems he wasn''t that poor after all. These days, there are second-hand cars priced at just a few thousand yuan, extremely cheap. There are also various zero or low down payment options, which have allowed many people to enjoy life ahead of time. The salary of a high-year resident isn''t too high. For someone like Dr. Lu, having a yearly income of eighty to ninety thousand should be possible, plus year-end bonuses and various subsidies, reaching over one hundred thousand isn''t a big problem. After all, this is a provincial Triple-A hospital, the treatment isn''t bad. If Dr. Lu doesn''t squander his money, he should be able to afford a car. In the eyes of Zhou Can, a rich second generation, a car is just a commuting tool. If he wanted to buy, not to mention a luxurious car worth ten million, he could definitely afford at least a million-yuan car. But he felt there was no need for a car right now, so he had no plans to buy one. Instead, he invested money where needed. He didn''t rush forward to help Qiao Yu fend off Dr. Lu. Everyone was a colleague, and Dr. Lu hadn''t done anything illegal, just normally pursuing Qiao Yu. Whether she rejects or accepts, it was her freedom. If Dr. Lu resorted to threats or coercion against her, Zhou Can would have stepped in. After all, she was his surgical nurse, and he naturally couldn''t tolerate others bullying her. "Thank you, Dr. Lu. Walking is healthier." Qiao Yu lightly declined. "You want to walk, that''s also fine! I can give you a ride, and drop you off near the hospital!" Dr. Lu still didn''t give up. Zhou Can secretly wondered, it was normal for Dr. Lu not to live in the dormitory provided by the hospital. After all, he was a high-year resident doctor. For someone in their mid-thirties, living in a dorm was very inconvenient. S§×arch* The N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. Starting a romantic relationship would only involve taking a girlfriend to a hotel or motel. Isn''t Qiao Yu a standardized training nurse? Why didn''t she live in the dormitory provided by the hospital? For example, the dorm Zhou Can stayed in was very close to the hospital. It was at most a ten-minute walk. And according to Dr. Lu, Qiao Yu''s commuting route seemed to be the same as his. Chapter 130 - 95: Never Look Down on Anyone, Another Advanced Medical Skill "I''ve got an appointment, see you later, Dr. Lu!" Qiao Yu didn''t want to entangle with Dr. Lu anymore and waved goodbye, leaving behind a charming silhouette as she walked away. "Ah..." Dr. Lu shook his head helplessly and sighed. Seems like even if he bought a car, winning over Qiao Yu would still be hard! "What are you looking at?" Jin Mingxi walked up from behind and asked Zhou Can. "Look!" Zhou Can gestured with his mouth toward Dr. Lu ahead. Jin Mingxi glanced over and laughed, "Looks like Dr. Lu got rejected by Qiao Yu again. The thing between men and women is fate, I think he shouldn''t hang himself on one tree." At thirty-four years old, he''s considered quite an old bachelor. Of course, it''s possible that Dr. Lu was already married and just wanted to be a bit naughty, to flirt with the young girl. Or perhaps he was divorced already. If they weren''t particularly close colleagues, they generally wouldn''t pry too much into each other''s privacy. "Didn''t we say we are going to practice knife skills by buying radishes? Shall we go now?" "Let''s go!" They both headed toward the vegetable market. Today, Zhou Can felt his surgical speed was too slow when performing an appendectomy. He was very quick with simple cleaning and suturing. But when it came to slightly more difficult surgeries, his inadequacies became obvious. Dr. Xu said he had a talent for swift surgery; it might be worth a try. At the very least, he may practice the fundamentals of swift knife skills and speed up his operating pace. He found that the Experience Points system could help push his medical skills to a certain extent, but aspects like surgical techniques, surgery experience, insights during operations, and mental training, among others, were not things the system could provide. Its greatest function seemed to be rapidly advancing Zhou Can''s medical skills to a higher level. This reminded him somewhat of cultivation novels, where a Qi Refinement disciple working as a servant suddenly learned the art of alchemy and doped on elixirs daily. Some would only dare to consume one pill a month, but he ate them like snacks. His magical prowess skyrocketed with elixirs, reaching Core Formation Stage. But his actual combat ability was much weaker than those cultivators who reached the Core Formation Stage through countless trials and life-or-death battles. Of course, using magic to bully Qi Refinement cultivators of the same realm was a piece of cake. Occasionally bullying those at the Foundation Establishment Stage wouldn''t be a problem either. Gaining magical power was useful, but since other areas didn''t improve along with it, there was a great gap between him and the true masters of the Core Formation Stage. That was the natural law of development. Zhou Can''s situation was that his medical skills were upgrading rapidly, but his other abilities couldn''t keep up in time. Fortunately, he was aware of this issue and was thinking of various ways to address it. Such as taking on challenging surgeries in the operating room, humbly seeking advice from mentors, buying carrots to practice fundamental knife skills, and so on. In short, he was much better than doctors without the Experience Points system. His growth rate was more than ten times faster. Other residency doctors wanting to try an appendectomy would need to wait years for a slight chance. Resident Doctors need over three years to be considered as senior residents. And that''s only if they were exceptionally good. For ordinary Resident Doctors like Dr. Lu and Doctor Lin, even longer wait might not guarantee an opportunity. Zhou Can could complete in one year what took others several years. This was his advantage. ... "Why are we taking the back door?" Jin Mingxi asked curiously. Usually, for work, they would enter through the main front entrance. But at the moment, Zhou Can was leading him towards the hospital''s back exit. "Aren''t we going to the market? I remember there''s one not more than two hundred meters away from the back door." Zhou Can, who had done his undergraduate and internship at Tuya Medical College, was quite familiar with the surroundings. The parking lot entrance was set at the back door, which from as early as four or five in the morning had private cars lined up waiting to enter the hospital. Parking spaces at the hospital were very tight, typically when one car left, another could enter from the back. However, hospital staff had privileges. One floor of the underground garage was specifically for hospital employees'' parking. Zhou Can hadn''t been there before and only heard colleagues mention it. S§×arch* The N?velFire.n§×t website on Google to access chapters of novels early and in the highest quality. The hospital''s official cars and the majority of the staff''s vehicles for commuting were parked there. If there was no particular reason, doctors and nurses seldom used the back door. Because of the numerous vehicles, it was very unsafe. "Look over there!" Jin Mingxi pointed to a black sedan not far away, queuing up to exit the hospital. The front window was down, clearly revealing the driver''s seat inside. "Damn, isn''t that Dr. Lu?" Zhou Can''s eyes gleamed. "Surprising to see Dr. Lu is quite wealthy, driving the latest Volkswagen Passat worth over two hundred thousand." Jin Mingxi seemed a little surprised. For some low-income grassroots doctors, buying a car worth over two hundred thousand would take several years. Especially in Tu Ya''s Emergency Department, where the income-generating ability is quite weak, the income of consultants and chiefs might be decent. But for an ordinary Resident Doctor like Dr. Lu, the income was far from those of specialists. Many specialists with strong revenue generation would often make fun of Emergency Department doctors, calling them beggars. Though harsh, it was an undeniable fact. Their monthly performance might be at least 8000+, with the pharmaceutical revenue also weighing in. The lesser ones were basically at least 6000+. We won''t even discuss other potential grey incomes. Just one of these major items was enough to suppress the Emergency Department thoroughly. This was also a key reason why the Emergency Department couldn''t retain excellent doctors. With fewer patients to attend to, and poor earning potential from surgeries and medications, naturally, the income of doctors and nurses didn''t go up. Chapter 131 - 95: Cant Look Down on Anyone, Another Advanced Medical Skill_2 The income is low, but the Emergency Department is never short on things to do. Busy to death all day long. Patients come and go in waves, one after another, in a constant cycle. "You reckon how much Dr. Lu makes in a month?" Zhou Can asked curiously. Trainees are like half-student, half-worker, it''s good enough to have a basic income. So he had no clue about the incomes of other formal doctors. But you could roughly calculate the basic salary. "It''s hard to say. The income fluctuates monthly, and the hidden income is tricky to estimate as well. But looking at our Emergency Department, I''d say he definitely doesn''t make more than ten thousand a month." Jin Mingxi''s income estimate should be quite accurate. After all, he had been an attending physician at People''s Hospital for several years, almost qualified for senior consultant. He surely knew most of the ways to make extra money. "That day, Dr. Lu was late and played poor, begging Dr. Xu for leniency¡ªyou were also there. Do you think he really bought a house?" Zhou Can was even more curious about this. "Nowadays, the cheapest housing prices in this provincial capital city are close to nine thousand per square meter, and the higher-end ones are close to twenty-one thousand. He''s a senior resident doctor, so it''s unlikely he paid in full for a house. But since he was willing to buy such an expensive car, it''s very likely he made a down payment for a house. A mortgage of six to seven hundred thousand, with a thirty-year loan, monthly payment would be just over three thousand, not exceeding four thousand. At least 500 thousand could be borrowed from the housing provident fund, so his payment pressure isn''t too big." Jin Mingxi did the math. It''s pretty certain that Dr. Lu has bought a house. Never judge a book by its cover, he had indeed underestimated Dr. Lu before. Zhou Can thought Dr. Lu''s financial situation wouldn''t be that good. But the guy''s got both a car and a house. Even if it''s on a mortgage, that''s quite impressive. These days, if your credit isn''t good, banks won''t lend you a cent. Since Dr. Lu wasn''t that poor, yet resorted to exaggeratedly begging Dr. Xu to let off his late penalty fee, it showed that the man was very hypocritical. Zhou Can gained a deeper understanding of this person. As they talked, Dr. Lu waved to a rather pretty young woman. The woman ran over, chatted with Dr. Lu for a bit, then hopped directly into the car. "What a scumbag!" Zhou Can couldn''t help cursing. "Aren''t men supposed to be a bit fickle? You''re taking it too seriously," Jin Mingxi commented from the side. Zhou Can turned to look at him, a meaningful scrutiny on his face. "Hey, why that look?" Jin Mingxi felt a bit uncomfortable. "Dr. Jin, you''re so eager to defend a playboy. Don''t tell me it''s because you''ve got something going on with that girl, Ye?" Zhou Can teased him, digging for secrets. "Off you go! What kind of logic is that? In today''s society, material desires are rampant, there are plenty of jerks and jerkettes, but also many who are faithful to love, okay?" Jin Mingxi''s face turned slightly red, his eyes somewhat evasive, seemingly trying to hide something. Moreover, he was vigorously trying to declare his innocence, which inevitably made one wonder. sea??h th§× N?velFire.n§×t website on Google to access chapters of novels early and in the highest quality. Zhou Can could only pray for that sister-in-law he had yet to meet, hoping that Jin Mingxi would stay true to love in this flamboyant world. "You''re married, do you think Dr. Lu is married?" Zhou Can changed the subject. It''s best not to delve into matters the other person is trying to conceal. Even if they got on well. "It''s hard to say. But he seems like a pro at chasing women. Many men and women today are in it for fun and not rushing into marriage. That woman who got into his car, she must be either a nurse or a doctor from our hospital, definitely not a patient. And did you notice? She sat in the passenger seat and had a rather explicit smile on her face. She and Dr. Lu must''ve known each other for quite a while and probably are in some kind of boyfriend-girlfriend relationship." Jin Mingxi shared his opinion. "Ha, it''s you married folks who have a keen eye. Can tell if it''s a boyfriend-girlfriend deal with just one glance." Zhou Can gave him a thumbs up. At least he, a virgin who hadn''t even properly dated yet, couldn''t tell just from a girl''s look unless he saw Dr. Lu hugging the girl, or holding hands, arm in arm, that he could confirm their relationship. They didn''t bother with Dr. Lu''s private matters anymore and went to the market, buying fifty pounds of carrots each. The vegetable seller thought they were running a restaurant, seeing them buy so many carrots. Left them a business card, said they could deliver next time if they wanted more. That really left them both crying and laughing. They took a cab and carried the carrots back to their apartment. "Wow, you guys planning to have a carrot-cutting competition or something?" The doctors living in the same apartment building were stunned by their grand setup. A big bag of carrots like that, a regular surgeon could practice for at least ten days to half a month. Back at the apartment, Zhou Can couldn''t wait to start cutting the carrots with a scalpel. But he quickly realized it wasn''t easy to swiftly cut the thick carrots with a narrow blade. Moreover, there are multiple types of mechanical traditional scalpels. It''s impossible to practice just one type of cutting technique. There''s also the reverse hook, horizontal cut, slash and drag, and so on. The problem is, he can''t even do the simplest and most brute-force straight cut well yet. It''s not that his skills are poor, but that the carrots are too thick and quite tough. Cutting them is much harder than imagined. They don''t have the same resilience as human tissues, they''re brittle, and the difference in hand feel is immense Chapter 132 - 95: Cant Look Down on Anyone, Another Advanced Medical Skill_3 He turned his head to check on Jin Mingxi''s progress. Much better than his. The cutting speed wasn''t fast, but it was very steady. "Wow! Your cutting skills are impressive, each slice is almost the same thickness." Zhou Can walked over and picked up the carrot slices cut by Jin Mingxi, finding that Jin Mingxi''s knife skills were comparable to a chef''s. "Hehe, I used to chop pig feed for my family every day when I was a kid, so I guess that''s some accumulation!" Jin Mingxi said with a laugh. Every step in life counts. The knife skills he had accumulated from chopping pig feed as a child now greatly helped him. "If you''re not cutting smoothly, you can try cutting a carrot into quarters first; it might be easier to practice that way," Jin Mingxi suggested. Zhou Can tried finding a fruit knife and cut the carrot into quarters from the middle, then practiced with a surgical knife. Indeed, it went much smoother. [Cutting Experience +0.0001. +0.0001...] Each cut, the experience increased by 0.0001. Luckily, he didn''t need to rely on this to earn experience points to level up, otherwise, Zhou Can would have cried. His Incision Skill was now Level 4, needing 10,000 experience points to level up. With each addition being only 0.0001, he''d need to cut a hundred million times to reach Level 5. He probably wouldn''t level up even by the day he''s put in a coffin. S§×arch* The N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. As Zhou Can repeatedly practiced, his carrot cutting motions became more and more skilled, and the speed also increased. After all, he did have a Level 4 Incision Skill as a foundation. He kept getting better at it. Jin Mingxi heard a flurry of cutting sounds coming from nearby, stopped practicing, and turned to look at Zhou Can. "Monster!" He couldn''t help but curse. Zhou Can''s rate of improvement made him feel desperate. Competing with such a demon, he couldn''t hope to surpass him in this lifetime. He could only watch helplessly as Zhou Can started behind yet ended up far ahead, leaving him far behind. Eventually disappearing at the end of his level. Four hours later, Zhou Can had four large bags of cut carrots around him. He stopped the rapid cutting practice. Mainly because his arms couldn''t take it anymore. Despite his excellent physical fitness, cutting carrots at high speed for a long time was still challenging. His arms were both sore and aching. Both left and right. It''s worth mentioning that this was the first time he trained his left and right hands equally. Although he would consciously train his left hand''s coordination and arm muscles before, it could never compare with his right hand. Dr. Xu had insisted they practice with both hands, and he took that advice. This was also laying a good foundation for becoming a famous surgeon in the future. Zhou Can squatted down to check the carrot slices in the four bags. The first bag was the worst. Being the initial attempt, there were some mishandlings. The thickness of the carrot slices wasn''t uniform, and some even needed two cuts to be completely sliced. The second bag was much better, and the third bag showed even more improvement. By the last bag, the cutting was quite good. The thickness varied only slightly, quite uniform. And the cuts were even, relatively smooth. His improvement was truly visible. Jin Mingxi also came over to check his practice results, and was amazed. "You''re a freak, living with you really undermines one''s confidence." He said quite discouraged. "Don''t put me on a pedestal! There''s still a significant difference between my carrot slices and yours, don''t think I don''t know." Zhou Can trying to surpass Jin Mingxi''s many years of knife practice in just one day was unrealistic. He had a clear awareness of this. "From now on, I can''t call you Mingxi anymore, I have to call you Old Jin." "Why?" Jin Mingxi didn''t understand and looked at him. "Really want to know?" Zhou Can grabbed a handful of radish slices he had cut, comparing them with Jin Mingxi''s to find the differences and improve. "Nonsense! Just say it!" Jin Mingxi hated it when he beat around the bush. "In the TV shows, isn''t there a swindler named Jin? It''s from that old TV drama from the 90s. The guy riding a bicycle with a golden front tooth." "I''m not that swindler! I protest being called Old Jin!" Jin Mingxi couldn''t accept being tagged as a swindler, protesting with a darkened face. "Protest invalid. Comrade Old Jin, it''s almost nine in the evening now, let''s go solve our dinner problem." Zhou Can picked up two big bags of carrots and headed out the door. The path of growth in surgery is a tough one, the sweat and hardship are hard for outsiders to see. But it is also joyful. Every advancement in medical skill means more confidence when handling various difficult surgeries on the operating table. Ten years of practice for just one minute of performance! The two practiced rapid knife skills, so engrossed that they forgot to eat, and it was almost nine o''clock and they hadn''t had dinner yet. ... After throwing away the trash, the hospital cafeteria was definitely closed by now. Zhou Can invited Jin Mingxi to a tasty restaurant, spending over a hundred yuan, much more expensive than the hospital. Fortunately, the taste was decent. After eating, they returned to their dormitory, Zhou Can practiced the grasping technique and implantation technique. Jin Mingxi, however, was reading a medical book. Between the two, the younger Zhou Can definitely had more drive. While practicing the grasping and implantation technique, Zhou Can also remembered Dr. Xu''s advice about practicing with both hands. He tried to grasp the forceps with his left hand. First, he picked up a dry soybean with the right hand, then the left hand took over using the forceps. Once, he failed. Twice, still failed. ... On the twenty-first try, he finally succeeded. The left hand holding the forceps successfully grabbed and held the soybean without dropping it. [Congratulations, you have acquired Advanced Medical Skill: Transfer Technique. During surgery, this allows the transfer of vascular stents, metal rings, bite screws, and bone pins among surgical materials, as well as human tissue, accomplishing left and right hand switches or opposite direction retraction.] [Transfer Technique Experience Points +0.1.] Zhou Can burst into joy. Originally, he was just preparing to practice the agility and grasping capability of his left hand but unexpectedly acquired a new advanced medical skill. During minimally invasive surgery, transferring is a frequently used medical skill. However, very few doctors are good at it. Just like Zhou Can transferring a soybean earlier, it took him twenty-one tries to succeed. He checked his medical skill properties. [Transfer Technique, Level 1, current Experience Points 0.1/10. Below par for an intern.] Unlike other medical skills that start at the resident doctor level once acquired, this is a brand new Level 1 medical skill. Zhou Can needs to improve it bit by bit. Transferring a soybean successfully adds 0.1 Experience Points, which is actually not a slow improvement rate. Mainly, the initial phase, due to a low success rate, takes more than twenty tries to succeed once. This leads to a slow leveling-up speed. Zhou Can decided to start by leveling it up a bit. 0.1 per transfer, 100 transfers would reach 10 Experience Points. Certainly, reaching Level 2 tonight would not be a problem. Chapter 133 - 96: Jin Mingxi has an accident, uncooperative foreign victim He began the game of passing the soybean from his left hand to his right hand, and then back again. The soybean was being transferred between the two long-arm forceps. The transfer of Experience Points was also continuously increasing. As his movements gradually became more proficient, so did his control over the technique of transferring the soybean. The frequency of failure decreased from an average of 25 times needed for one success to around 18 times. He practiced until 11:42 PM and finally accumulated 10 Experience Points in transferring. [Congratulations, your transfer technique has advanced to Level 2! Current Experience Points 0/100. Transfer ability is at the lower level of standardized training.] He had leveled up. He had finally reached the level of standardized training. He was surprised to find that the knowledge about surgical transfer techniques he had learned from books and lectures was now flooding back to him. His application and understanding of it compared to before was like being truly awake. This feeling was particularly wonderful, resembling the sensation of reviewing the old to understand the new. Apart from his theoretical knowledge, his surgical technique had also undergone a qualitative improvement. He tried picking up a soybean and then passed it to the long-arm forceps held in his left hand. The left hand naturally controlled the forceps to open just enough to catch the soybean passed by the right hand. The coordination between the two hands was seamless. The moment the right-hand forceps let go, it pushed the soybean forward slightly. This was an underhand force. The left-hand forceps moved forward slightly to meet it, tightened its grip, and clamped down on the bean. What seemed like a simple transfer required a highly synchronized operation of both hands wielding the forceps. The angle, force, timing, and distance all had to be just right. This progress was tangible. He had spent most of the evening leveling up his transfer technique, and he was very happy about it. Although this medical skill might not be used much now, having multiple skills is never a bad thing. Having an additional skill certainly can''t hurt. After all, he was definitely planning to take the route of minimally invasive procedures in the future. Having mastered the Advanced Medical Skill in advance, he would be able to build a strong foundation and make rapid progress when the time came. ¡­ Days passed by one after another. Zhou Can never mentioned working overtime with Doctor Fu again. A person must have some pride. He appeared humble and gentle, but in his bones, he was very resolute, full of steely pride. Doctor Fu was an honest guy with a good heart. But because of a few rumors, he was quick to distance himself from Zhou Can. Such a person, at heart, is very selfish and not worth befriending. Someone like Dr. Xu, on the other hand, who dared to go to the Medical Department silently and to the hospital office to seek justice for Zhou Can, seemed a bit simple and foolish, but he was truly sincere and a man of passion. He, in contrast, was worth making friends with. Zhou Can did not blame Doctor Fu; everyone has the right to choose how to live their own life. It''s unrealistic to expect everyone to center around him and make sacrifices for him. That''s just not how the world works. Avoiding harm and seeking benefit is a survival instinct ingrained in humans through millions of years of evolution. However, if Doctor Fu ever finds himself in trouble in the future, Zhou Can wouldn''t stand up for him. But if Dr. Xu were in trouble, Zhou Can would help him out, even if it meant ruining his own future. It''s reciprocal. If others are good to him, he will reciprocate. If they aren''t, he won''t interfere in their affairs. These days, Zhou Can spent his life simply, commuting between the operating room and his apartment. His medical skills were steadily improving in all aspects. It''s a pity that he must have a full year of work experience before he can take the licensing exam. Otherwise, if he got his license and became a practicing physician, his status would change from Medical Officer to Physician. He would be able to do more and advance faster. For now, he was silently improving his surgical abilities. He was also deliberately getting closer to a few more approachable doctors in the Emergency Department. Laying the groundwork to earn Pathological Diagnosis Experience Points. At present, he had the ability to perform most Level 1 surgeries and some Level 2 surgeries on his own. Dr. Xu was also consciously increasing the number of Level 2 surgeries for him and reducing Level 1 surgeries. Compared with Zhou Can, Jin Mingxi seemed quite inferior. Yesterday, perhaps on a whim and unable to resist Jin Mingxi''s repeated requests, Dr. Xu arranged for Jin Mingxi to separate the mesentery from the intestines in a Level 2 appendectomy. Maybe because Zhou Can had recently successfully completed more than a dozen appendectomy surgeries. He had always done well. Dr. Xu thought that with Jin Mingxi''s over ten years of work experience and being a very steady person, his performance should not be too far off from Zhou Can''s. S~ea??h the n?velFire.net website on Google to access chapters of novels early and in the highest quality. That was why he agreed to give Jin Mingxi a chance to practice. But somehow, Jin Mingxi messed up. During the separation, he accidentally made a small cut in the patient''s intestine. Fortunately, the cut wasn''t deep and did not cause perforation of the intestines. However, it frightened Dr. Xu into a cold sweat. His face turned pale on the spot. He quickly called a halt to the procedure and gave Jin Mingxi a severe scolding. His roar was as loud as thunder. This was the angriest Zhou Can had seen Dr. Xu since he started following him. He was like an enraged lion, scolding everyone until no one dared to breathe. At 35 years old, Jin Mingxi simply hung his head, not daring to utter a word. That day, the atmosphere in the operating room remained particularly oppressive until work ended. In any operating room, the mood of the chief surgeon is the barometer of the room''s atmosphere. If the chief surgeon is in a bad mood, no matter how favored you are, it''s best to keep quiet. Just do your job, and be even more careful than usual. Otherwise, you can easily end up being scolded by the chief surgeon, your dignity shattered. Chapter 134 - 96: Jin Mingxi in an Accident, Uncooperative Foreign Victim_2 Moreover, this will seriously decrease the favorable impression your lead surgeon has of you. Later on, it will become more difficult than before to ask questions and fish for opportunities to practice surgery. Yesterday, Zhou Can had his share of bad luck following Jin Mingxi. Until the end of the shift, Dr. Xu didn''t arrange any Level 2 surgical opportunities for him. He only got to perform a few Level 1 surgeries. Jin Mingxi had it even worse; he didn''t get to do any independent Level 1 surgeries. He sat on the cold bench for almost four hours. Afterwards, back at the apartment, Zhou Can comforted Jin Mingxi. Perhaps after one night, Dr. Xu''s anger would have subsided. ... Early in the morning, Zhou Can and Jin Mingxi resolutely persisted with their morning runs. "Old Jin, you usually perform surgeries so steadily, how did you suddenly make a mistake yesterday?" Zhou Can didn''t dare to ask yesterday because Jin Mingxi was in a very low mood. To ask about it again would surely make Jin Mingxi feel even worse. "Alas, it''s all because I overestimated myself. I''ve done appendectomies before in the county People''s Hospital, and I thought I had some experience. Separating the omentum from the intestine was absolutely no problem. At first, it was indeed going smoothly. But then, when I got to the middle part, there was a small section that was particularly difficult to separate. At that time, if I had just stopped in time and let Dr. Xu take over, there wouldn''t have been any issue." Jin Mingxi almost wanted to slap himself as he spoke of the incident. "At that moment, it''s like I was blinded by greed, hoping to prove my capability in front of everyone. Thinking this would give me face, and it''d be easier to get Level 2 surgical tasks in the future. But then, during the separation, my hand slipped and the scalpel cut into the normal section of the intestine. Thankfully, I''ve been practicing basic surgical skills with you recently, which greatly improved my control over the scalpel. In a critical moment, I quickly lifted the blade, preventing a disaster and only causing a superficial cut to the intestine." How dangerous that situation was, only Jin Mingxi himself knew. Zhou Can, who was standing by his side at the time, actually didn''t feel much. He only heard Jin Mingxi cry out, then watched him stand there with a knife, not knowing what to do, his expression panicked. Accidents often happen in an instant. "Zhou Can, when you perform surgeries in the future, you must learn from my lesson. Don''t overreach when you are uncertain." "I will!" Zhou Can nodded. After the run, the two went to work at the hospital together. After breakfast, they arrived at the Emergency Department. Jin Mingxi was still somewhat apprehensive. Dr. Xu, as usual, came out of the office with a serious face. "Good morning, Teacher!" "Good morning, Dr. Xu!" Jin Mingxi followed Zhou Can to greet him together. S§×ar?h the novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. Knowing he had made a mistake yesterday, he hoped Zhou Can''s special status could help smooth things over a bit and at least cool down Dr. Xu''s temper faster. "Go to the operating room!" Dr. Xu said emotionlessly. After the two entered the operating room, Nurse Tang Ling was already there. It was around 7:55 when Dr. Lu unusually arrived early this one time. He usually arrived just on time, if not late. Probably also worried about getting scolded for being late. After all, no one knew whether Dr. Xu had calmed down yet. Around 8 o''clock, Dr. Xu came in after inspecting the duty room. His face devoid of any expression. "Zhou Can, today you can independently perform Level 1 surgeries, and I''ll oversee you for Level 2 surgeries. But let me make it clear upfront, if you make a mistake like Jin Mingxi did, I will revoke your privilege of doing that." Dr. Xu said coldly. "Understood!" Zhou Can was extremely cautious. Jin Mingxi''s qualification for independent surgeries had been suspended. He couldn''t afford to follow in those footsteps. Most of his medical skills had already advanced to Level 4, and he could no longer increase his Experience Points through practice tools. It had to be earned in the operating room. If his privilege for independent surgery was suspended, his medical skills would stall. To avoid accidents, one must not overreach, and two, must be cautious and careful. "Jin Mingxi, for the time being, you will be my assistant." "Okay!" Jin Mingxi hurriedly agreed. "Dr. Lu, you have been performing well recently, with a positive attitude and serious work. I can arrange some Level 1 surgery tasks for you, for you to take the lead in them." Dr. Xu seemed to be setting up a competitive mechanism within the department, to tighten up on surgical safety. Whoever is not careful will end up on the cold bench. "Thank you, Dr. Xu!" Dr. Lu was overjoyed upon hearing this. Since the last incident, it had been a long time since Dr. Xu let him operate alone. This time it was thanks to Jin Mingxi''s mishap, that he got his chance to step up. "Call two instrument nurses in to help, let''s prepare for the surgery!" Soon, Tian Tian and Qiao Yu walked into the operating room together. Dr. Lu was over the moon when he saw Qiao Yu. It seemed like today he''d stepped in dog poop on his way out, lucky streaks all day! "Qiao Yu, today I can also operate independently, be my instrument nurse!" Dr. Lu didn''t hesitate to lay claim. In this day and age, the timid starve while the bold and thick-skinned thrive. "Qiao Yu will be Dr. Lu''s instrument nurse, then I will help Dr. Zhou." Tian Tian liked to stick close to Zhou Can; no one knows if she had a thing for young handsome men. Unfortunately, Zhou Can really disliked this woman. "Don''t, Qiao Yu has always been my assistant, and we''re used to each other. I think Tian Tian and Dr. Lu are a match made in heaven; certainly, you two will have a more in-sync partnership. It''d be better if you two paired up." Zhou Can was usually easygoing, but that didn''t mean he was all the time. Qiao Yu went as far as to come in early to be his instrument nurse purposely. Chapter 135 - 96: Jin Mingxi in an Accident, Uncooperative Foreign Victim_3 He definitely couldn''t just watch Dr. Lu snatch the person away by force. Dr. Lu is a hypocrite, and Tian Tian is a scheming woman; the two are truly a match made in heaven. Having these two as partners is indeed a deed of merit! "Hehe, Dr. Zhou, you think so highly of me, I have no choice but to be your assistant!" Qiao Yu smiled happily, hurrying to Zhou Can''s side. This annoyed Tian Tian, who rolled her eyes and looked rather displeased. Dr. Lu had failed to win over Qiao Yu, so his mood was certainly less than happy. "Qiao Yu, be my assistant next time!" His little scheme was well-thought, planning to book in advance and strike before anyone else. "Sorry, my schedule is a bit uncertain. Tian Tian and Shi Shi are much more professional than I am; it''s better for them to assist you!" Qiao Yu cleverly declined his request. A woman with high EQ and IQ often employs various tactful ways to reject a man she doesn''t like. But they aren''t the types who speak harshly and infuriate the other party. Some men are extreme and mentally unwell. In a fit of embarrassed rage, they are capable of anything. Qiao Yu and Dr. Lu work in the same department, so besides worrying about personal injury, she has to be concerned about all sorts of difficulties and retaliation at work. Dr. Lu''s little scheme fell through once again, and he laughed sheepishly. "I admit I was a bit lazy before. But I''m changing now, and I''ll show you that my surgical skills and talent are not inferior to Dr. Zhou''s." Dr. Lu wasn''t boasting; he had indeed changed recently. He arrived late less often, was proactive at work, and had a serious approach to surgery. Everyone could feel these changes. Everyone thought he wouldn''t keep it up for more than three days, but he has persisted until now. Indeed, quite surprising. At this time, the surgical patient was being brought into the operating room. Another tense day of work began. Dr. Lu and Zhou Can both went all out, performing frantic surgeries. One after another, patients were cured. In terms of surgery speed, Zhou Can, who had practiced rapid surgery, was more demonically skilled than before. In less than three hours, Zhou Can had already completed seven Level 1 surgeries. Dr. Lu had only completed four. The gap was nearly double. S§×ar?h the n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. Moreover, the Level 1 surgeries Dr. Lu completed were those with extremely low risk, very simple ones. Out of the seven Level 1 surgeries Zhou Can performed, three were quite challenging. Due to the incident with Jin Mingxi, Dr. Xu hadn''t scheduled any Level 2 surgeries for him today. Not long ago, Dr. Lu proclaimed in front of everyone to Qiao Yu that he would prove his surgical abilities and talent were no less than Zhou Can''s. Now being left far behind by Zhou Can, his pressure was truly great. Of course, some of the credit also went to Tian Tian. Whoever worked with Tian Tian would be unlucky. At this moment, a blond, blue-eyed foreign man was brought into the operating room. Tuya Medical College was famous nationwide and led in multiple disciplines within the province, with a comprehensive strength that ranked first in the province. Occasionally treating some foreign friends, many doctors and nurses were already used to it. As China gradually moved towards rejuvenation and developed better, there were actually quite a few foreigners working in China, especially in some provincial capital cities where one could see foreigners of various skin colors. "What happened to him?" Dr. Xu stopped the surgery and looked up to ask. "He injured his arm and knee. According to his colleague, he is a bilingual school''s foreign teacher who fell off his bike." A bicycle fall shouldn''t be too serious. Dr. Xu personally examined the patient''s injuries and looked at the X-ray images; the bones were not affected. The Emergency Department could handle it. "Xiao Zhou, you take care of this patient." Considering that Zhou Can was steady and meticulous in his work, Dr. Xu entrusted the foreigner to him. When dealing with foreigners, everyone still took great care. On the one hand, they were worried about projecting a poor international image, and on the other, most official departments provided certain privileges to foreigners. It wasn''t about worshipping foreigners but rather to attract more foreign investors and talents to China. "Okay!" Zhou Can took over the care of the foreign patient. Dr. Lu watched with envy, treating a foreign patient was, in his eyes, a very honorable thing. If cured, the merit was significant. There was even a chance to make connections with foreigners, providing convenience for going abroad in the future. Zhou Can didn''t really feel any different; he just treated it with a normal heart. "Hello, do you speak Chinese?" Since he was a foreign teacher, many of them have a decent level of Chinese. "Yes, yes!" The man nodded repeatedly. Zhou Can found that the man''s body was shivering continuously, and his eyes revealed deep fear. He couldn''t help but chuckle inwardly; foreigners sure are timid. It''s just a bike accident; is there a need to be this scared? "Mr. Chloe, there''s no need to be nervous. You did not fracture any bones, just a simple cleaning and stitching, and you''ll be ready to leave," Zhou Can comforted him. "Okay! Thank you!" His body continued to tremble. Zhou Can found that his arm had a large patch of skin scraped off, and the deepest area had reached the dermal layer. This didn''t require sutures; just cleaning the wound and bandaging would suffice. The injury on his right knee might be more serious. He was wearing sports shorts, which clearly showed a bloody wound at the knee, still oozing fresh blood. "Let''s treat his knee wound first!" This was said to Qiao Yu. But when she brought the disinfectant for cleaning the wound to the side, the foreign man seemed very resistant. "Mr. Chloe, don''t be afraid, don''t be afraid! Cleaning the wound is a necessary procedure to prevent infection and can clean out any potential debris from the wound," Zhou Can quickly reassured the man. "NO! NO!" When he administered a local anesthetic to prepare for cleaning the wound on the knee, the man yelled. He recoiled backwards. This abnormal reaction made Zhou Can a bit surprised. Is he scared of the pain from cleaning the wound? "Don''t worry, it won''t hurt after the anesthesia." Zhou Can patiently comforted the man. He seemed to calm down a bit. But when Zhou Can was ready to clean his wound, he resisted again and almost knocked over the tray Qiao Yu was holding. Chapter 136 - 97 Cup, Bow, Snake Shadow: Toward Unity Zhou Can noticed some subtle movements and expressions of Chloe. Just now, Chloe stared at the bottle of hydrogen peroxide used for cleaning the wound with a horrified look. Her hands waved frantically, and she kept retreating backwards. Even saliva was flowing from the corners of her mouth. For patients who do not cooperate with treatment, the hospital actually has a method after obtaining the family''s consent. They can directly tie up the patient''s hands and feet. If it''s a patient undergoing major surgery, then it''s even simpler; two or three people hold them down, forcefully put on a breathing mask for the patient. Anesthetic is administered through a ventilator for inhalation by the patient. The patient will soon lose consciousness. Tying up a foreign patient like this, I guess even if they''re healed, they''ll definitely spread the word when they get back to their country. Never go into a hospital in China; their treatments are too terrifying. Just like the Cannibal Tribe, they brutally tie people up, leaving them at their mercy. "Mr. Chloe, are you afraid of this?" Zhou Can shook that bottle of hydrogen peroxide. Chloe immediately waved her hands in horror and kept retreating, staring at the hydrogen peroxide in Zhou Can''s hands with fear. "Take it away first!" Zhou Can handed the hydrogen peroxide to Qiao Yu. When he turned his head, he whispered in a low voice, "Make sure to wear protective gloves and don''t get too close to him!" "Huh?" Qiao Yu hummed in reply, her eyes filled with confusion. Still, she did as Zhou Can had instructed. This was a trust that had been built up gradually. "Mr. Chloe, do you have any family here?" Zhou Can asked. Seeing that the other party hesitated and did not answer, he asked again in English. "No!" Chloe shook her head. "You don''t have to be nervous. Can we sit down and talk about your injury process first?" Zhou Can was actually not in a hurry to operate on him but was pulling the patient aside in the operating room to chat. This unconventional act, although there was a reason for it, still caught the attention of Dr. Lu and Dr. Xu. The operating room is a very serious place, where typically the main atmosphere is cold, serious, and quiet. Speaking to a patient and getting them to relax is not unheard of. But it''s usually rare in an emergency operating room. Those who come here for surgery are all emergency cases. Injuries, sudden diseases, and such - patients are bleeding or screaming in pain. Is it appropriate for a surgeon to pull them aside for a chat? So, the current situation was quite strange. "Did you get injured from falling off a bicycle?" "Yes!" "Did the process of falling make you very frightened?" "A bit scared, but okay!" "Why is your body trembling? Is it because of panic?" "A little bit, yes!" After they had talked for a bit, Dr. Lu couldn''t stand it anymore. "Dr. Zhou, if you keep chatting like this, you won''t be able to finish this surgery all day. Let me handle it, isn''t he just afraid of hydrogen peroxide for cleaning the wound? There are ways to deal with that." Dr. Lu volunteered. "This patient is a bit abnormal. It may not be as simple as being afraid of hydrogen peroxide cleaning his wounds," Zhou Can said seriously. In front of the patient, even if you suspect that the patient has some kind of illness, you definitely can''t talk nonsense without a confirmed diagnosis. At the least, you could be cursed by the patient, and at worst, they might file a complaint against you. The worst-case scenario is getting hit by the patient. Zhou Can was currently just suspecting that this patient might have other diseases, but he lacked solid evidence. "I''m telling you, when foreigners get injured, they like to treat themselves. He might have tried cleaning his wounds with alcohol or hydrogen peroxide and experienced the pain; now with such a large wound, that''s why he feels fear. Leave it to me to deal with." Dr. Lu didn''t care about Zhou Can''s warning. "Mr. Chloe, I am a senior doctor at Tuya Hospital with extensive experience in diagnosis and treatment. Don''t worry, I will ensure you experience excellent treatment." Dr. Lu introduced himself with a smile to the patient, boasting about himself unabashedly. Doctors need to be able to boast. The more boastful the doctor, the more they earn. Often, some charlatans would create a bunch of titles and honors for themselves, hang banners all over their rooms. Then they would hire some actors to cooperate and build their reputation. After becoming so-called Divine Doctors, naturally, some patients eagerly seeking treatment would travel long distances to seek their help. The most common instance was toothache; they would fumigate you with medicine and then have bugs fall out of your eyes and ears. Purportedly treating "tooth worms." Anyone with basic medical knowledge would know this was a deceptive trick. But there are people who firmly believe and keep giving money to these swindlers. Chloe looked at Dr. Lu differently. "Thank you! Are you his senior doctor?" In the eyes of the patient, a senior doctor represents superior medical skills, more professional and safer treatment methods. Even for a minor cold, patients would wish that a chief physician could personally treat them. In fact, it''s not really necessary. S§×arch* The N?velFire(.)net website on Google to access chapters of novels early and in the highest quality. For the treatment of common diseases, there isn''t much difference between a resident doctor and attending or chief physicians. It''s all about the same operation. Seeing a regular doctor is cheaper and doesn''t require a long wait. Sadly, most patients are superstitious about chiefs, specialists, and professors. The fee for a top specialist consultation at Tuya could be as much as 2000 yuan. The registration fee for a regular doctor is usually 6 to 8 yuan. Why spend that unnecessary money? But then again, if you really get a complex and difficult-to-treat disease. Regular doctors might not be able to cure it, but these specialists are likely effective. Although the registration fee for such top specialists is expensive, the treatment process is very honest. They won''t deliberately prescribe expensive or have you undergo impractical, money-burning treatments. Chapter 137 - 97 Cup, Bow, Snake Shadow: Toward Unity_2 They often like to prescribe medicines that cost a few cents or one or two yuan per box. And the effects are quite good. "Right, right, right, I am his senior doctor." Dr. Lu nodded vigorously. "OK! Then please treat me!" Chloe clearly preferred to trust Zhou Can''s senior doctor. Foreigners usually speak very directly and don''t like to beat around the bush. He wouldn''t consider Zhou Can''s feelings but would directly make a choice that''s more beneficial for himself. "Thank you, Mr. Clooney, for your trust. Now I''m going to put a blindfold on you to reduce your fear during the treatment process." Dr. Lu is indeed a resident doctor with seniority; he really does have some methods. At least when facing patients with such special reactions, he can immediately think of solutions. After Chloe''s eyes were covered, he indeed became more compliant. Obediently cooperating with the doctor for treatment. "Xiao Zhou, learn from this. When treating patients, you''ll often encounter special situations, and you can''t be reckless." Dr. Lu really can''t change his bad habits. Again, he started to show off in front of Zhou Can. Since the last time he followed Doctor Fu and messed up during surgery, it had been a long time since he showed off in front of Zhou Can. I thought he had changed. However, it''s understandable; some people are flamboyant, while others are low-key and reserved. Today, Dr. Xu regained his qualifications for independent surgery, and when treating this foreign friend, he indeed performed better than Zhou Can. Multiple reasons piled up, making Dr. Lu uncontrollably inflated with pride. The most crucial point is that he wanted Qiao Yu to understand that his medical skills were not inferior to Zhou Can''s. "I''m learning! Just a warm reminder to Dr. Lu to be sure to take precautions. If possible, it''s best to have the patient get a blood test or urine test before performing debridement and suturing." Zhou Can gave him advice in return. Dr. Lu''s heart skipped a beat when he heard these words. Because it reminded him of that patient who had unstoppable bleeding last time. At that time, Zhou Can was also nagging him not to rush into surgery. He didn''t believe in superstitions, and in the end, he suffered a lot. Once bitten, twice shy. Dr. Lu immediately hesitated a bit. "Has this patient only had an X-ray examination?" He was obviously asking Tian Tian. "I think so! I''ll go ask!" Tian Tian hurriedly ran out to inquire with the nurse in charge of the patient. She came back soon. "The attending doctor considered that the patient only had an external injury, and a simple debridement and suturing were sufficient, so no blood test was performed. Only an X-ray was done to confirm that there was no damage to the bones." This is what large hospitals are like. If it were a clinic or a township health center, they wouldn''t even bother with an X-ray. They''d just clean the wound and suture it up. "Does Dr. Zhou think a blood test is necessary before the surgery?" Dr. Lu started to see shadows everywhere and solemnly asked for Zhou Can''s opinion. "Debridement and suturing can be done now, but good personal protection needs to be practiced. Then I think, out of responsibility for the patient, it is very necessary to do a blood test or a urine test." In such matters, no matter how much Zhou Can disliked Dr. Lu, he still gave his full care. "Go get a blood sample and do an urgent test!" Dr. Lu unexpectedly took Zhou Can''s advice. This surprised Dr. Xu and Jin Mingxi and others. Then, Dr. Lu methodically cleaned the patient''s wounds and sutured them. Being especially careful throughout the process. Dr. Lu might also be suspecting from Zhou Can''s words that the patient could have an infectious disease. The most serious infectious disease for foreigners should be AIDS. In the current situation, if doctors don''t practice good personal protection, the risk of infection is quite high. "Hey, it seems that Dr. Lu takes your opinion pretty seriously!" Qiao Yu winked at Zhou Can. "He listened, which surprises me, too." Zhou Can smiled and continued to call the next patient in for surgery. ... Twenty minutes later, Dr. Lu finished treating Mr. Chloe''s two wounds. Chloe''s mood also seemed to stabilize a lot. At this time, Chloe''s blood test report was delivered. sea??h th§× n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. "The laboratory''s opinion is that the blood test is abnormal, suggesting for further viral screening." Tian Tian handed the blood test report to Dr. Lu. "Let me see!" Dr. Lu took it and examined it closely. Then his face changed on the spot. "Dr. Xu, this patient''s blood test report shows severe abnormalities. His peripheral white blood cell count is uneven, with neutrophils accounting for as high as 81%." After all, he is a senior resident doctor, even if not the best, but he is still Tu Ya''s resident doctor. His skills can''t be lacking by much. Upon hearing the abnormal data from the blood test results, Zhou Can''s expression became even more certain. Dr. Xu paused his surgery in his hands, took over the blood test report to look carefully. His expression turned very serious, with a hint of solemnity. "First, bring Mr. Chloe to the anesthesia recovery room to rest, ask him not to leave, and instruct the on-duty medical staff to be cautious in contacting him and to take good care of themselves." Chloe seemed to realize the situation was a bit grim. His emotions, which had been gradually stabilizing, became agitated again. "Doctor, did I get some other disease?" Being in a foreign country and facing an unknown illness made him panic. His body started trembling again. "For now, it''s hard to say, it''s just that your blood test results are abnormal. Please rest for a while in the anesthesia recovery room outside; we will conduct further checks for you." Dr. Xu reassured him with his words, and after Tian Tian escorted him out, he then looked at Zhou Can. Chapter 138 - 97: Cup, Bow, Snake Shadow, Towards Unity_3 "Xiao Zhou, now you can share your diagnostic opinion." Everyone knew that Zhou Can was the first to detect the patient''s abnormality. His opinion is one that even Dr. Xu must take seriously. Moreover, he has made multiple accurate diagnoses and has indeed demonstrated exceptional talent in this area. "I observed that the patient was afraid of hydrogen peroxide and salivated more when nervous, so I suspect rabies!" The patient was here earlier, so he didn''t dare to speak carelessly. Now, however, he had no such concerns. It was equivalent to a joint consultation by several doctors. Furthermore, the blood test report further corroborated his diagnosis. There was some evidence to support it. When rabies progresses to a certain stage, symptoms like hydrophobia and photophobia appear. "Ah..." Dr. Lu''s face turned pale instantly, and he quickly checked his body. Thankfully, his gloves and protective suit had shielded him well. He hurriedly removed his gloves and tossed them into the trash can. Tian Tian was even more nervous than him, her face full of fear and panic. She had been assisting by the side and had come into contact with the patient''s blood. With a one hundred percent fatality rate for rabies, their fear was justifiable. "Notify the infection control nurses to come immediately to collect the patient''s oral saliva for further testing. There are many people in the hospital; they must control the patient to prevent innocent harm." Fortunately, the patient had not yet fallen into a frenzied state. The infectious disease doctors and nurses have very professional methods for dealing with various infectious patients. Leaving them to handle the situation was the right choice. "Dr. Zhou, thank you for your kind reminder just now!" Dr. Lu was the first to thank him, to everyone''s surprise. This incident seemed to have greatly eased the tension between the two of them. "Don''t mention it. I''m glad you took my suggestion seriously," Zhou Can did not take any personal credit. A rare smile appeared on Dr. Xu''s normally stern face. It was also the first time Dr. Xu had smiled since Jin Mingxi''s close call the day before. "I''m particularly pleased to see you all working together. I hope you will continue to do so." He was more like a patriarch of the operating room. He preferred to see his doctors united rather than undermining each other or suppressing newcomers. A hospital is not like other administrative units. Senior staff mentoring newcomers is a cherished tradition. Only such a practice can ensure the transmission of medical skills from generation to generation, training successors. At Tuya Hospital, attending physicians and above are required to teach every year, a policy designed to nurture new talent. "I also want to thank Dr. Zhou for protecting me!" Qiao Yu''s eyes were full of laughter. Zhou Can guessed that beneath her mask, her nose must be slightly wrinkled. "Isn''t it my duty to protect you?" Zhou Can winked at her. "Heh, such a sweet talker!" Her laughter grew even happier. S§×ar?h the N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. "Alright, back to work!" Zhou Can continued the operation on the patient. "At first, seeing how young you are, I was a bit worried. But you are so impressive; now I''m relieved! Please take care, Dr. Zhou." The patient had been listening to the physicians'' discussions and was surprised to find that this young doctor performing the surgery seemed more skilled than the senior ones. Having such a brilliant doctor operate on him made him secretly delighted. The last thing patients want is to be practice material for inexperienced doctors. What this patient didn''t know was that Zhou Can''s surgical skills were much more advanced than Dr. Lu''s. ... At lunch break, the news from the infection control department arrived¡ªChloe was confirmed to have rabies. It was a painfully sad piece of news. This disease is preventable, not curable. Confirmation is essentially equivalent to a death sentence. It was such a pity for such a young life. In the afternoon, Dr. Xu assigned Zhou Can two Level 2 surgeries. Yet he oversaw and guided them throughout. Zhou Can did well, completing both surgeries smoothly without any mistakes. This made Dr. Xu very gratified. "Xiao Zhou, it seems that you''ve made significant progress in practicing the fast knife basics lately! I can sense a hint of the art in your surgery," Dr. Xu complimented him as he smiled. "Really?" Zhou Can was surprised. "I''ve been practicing diligently every day at home, but I didn''t expect to achieve even a small breakthrough so soon." During the surgeries, he also felt that the techniques of cutting and separation had changed. He couldn''t quite describe it; it just felt easier and faster than before. He had thought it was the result of his advancing medical skills. Only now did he realize that it could be the gains from practicing the fast knife basics. "Keep practicing, and your benefits will be greater. At best, you''re just getting a glimpse of the method. When you reach a certain level, I''ll teach you the next way to practice." Dr. Xu was pleasantly surprised to see such rapid progress and was filled with anticipation. Normally, it would take at least a year or two of practice to reach the initial understanding of the fast knife technique. For Zhou Can to achieve this level in less than a month showed exceptional talent. With such a talented individual inheriting his fast knife technique, he would undoubtedly exceed him. His accomplishments would surely surpass those of his mentor. "Okay, thank you, teacher!" Zhou Can was very happy and even more motivated. Today, after getting off work, he planned to increase his practice time for the fast knife basics from four hours to five. He aimed to reach higher levels sooner. Seeing Zhou Can receive praise and acknowledgment from Dr. Xu for his fast knife technique made Jin Mingxi feel an itch to practice as well. These days, he had been practicing the fast knife basics with Zhou Can and had never slacked off. However, since he was currently "awaiting punishment," he didn''t dare to ask Dr. Xu directly. He could only look to his good buddy Zhou Can for help. Receiving Jin Mingxi''s pleading gaze, Zhou Can decided to take advantage of Dr. Xu''s good mood and ask on his behalf. "Teacher, Jin Mingxi has been practicing the fast knife basics with me these days. How do you think he''s progressing?" Dr. Xu turned to look at Jin Mingxi. "You should stop practicing the fast knife basics!" With that one statement, Jin Mingxi was struck as by lightning, his face ashen. Chapter 139 - 98: Doctor Fus Goodwill, Late Night Request for Help Based on Zhou Can''s understanding of Dr. Xu, it''s impossible he would completely write off Jin Mingxi just because he caused trouble in the surgery yesterday. S~ea??h the Nov§×l?ire.n(e)t website on Google to access chapters of novels early and in the highest quality. Dr. Xu always leaves some margin when he provides training opportunities. Even if a surgical accident occurs, he has the capability to cover for them. Many times, when faced with high-risk Level 2 surgeries, despite Zhou Can''s eager requests for training opportunities, Dr. Xu has refused. This clearly shows that Dr. Xu only gives them surgical opportunities when the risks are controllable. "Dr. Xu, please give me one more chance. I will be extra careful in the future and not overestimate my abilities." Jin Mingxi pleaded desperately. He deeply regretted his actions. Had he known the consequences would be so severe, he would have never taken that risk. "You misunderstood! The reason you should not continue practicing basic fast-surgery skills is that you''re not suited for this path. To put it inappropriately, men naturally have stronger physical strength and are suitable for heavy physical tasks. Women have dexterous hands, better suited for needlework. Have you thought about why you caused trouble yesterday?" Dr. Xu asked, staring at him. "The patient''s omentum was a bit special during the separation, and I felt overwhelmed. But I continued anyway and that''s where I made the mistake. I will definitely learn from this profound lesson." Jin Mingxi had contemplated this over and over. So, his response came instantly. "That''s only part of the reason. I can assure you, even if you didn''t make a mistake yesterday, you would have eventually made one in the future." Dr. Xu said confidently. Such prophecy-like words left Jin Mingxi looking utterly dejected. "I''ve said before, to pursue the path of fast surgery, one must have tranquility in their heart. You are mature and stable, but you lack Zhou Can''s focus and tranquility. These traits, theoretically, can be acquired through nurturing, various training, and personal cultivation and insight. However, there is a significant trait in human nature; it''s almost impossible to change after the age of eleven." Human personality is mostly shaped at birth. Some believe personality can be inherited from parents, but scientists have been surprised to find that it''s not the case. For instance, careless parents might have meticulous children. What is perceived as inherited is actually the influence of parental behavior and teaching. Many people think that it is only after a child is born that parental behavior and teaching will impact the child. In fact, from the moment the mother is pregnant, influences from parents and external environments start affecting the child. Before the age of eleven, there is a chance to change a child''s personality. Theoretically, younger children are more malleable. It''s possible to shape a child''s personality towards a better direction through parental influence, education, guidance, and conscious nurturing. After eleven, the child''s personality traits are generally set; they have formed strong opinions and their own ways of thinking, making parental education less effective. Jin Mingxi, already 35 years old, has well-established personality traits. It''s difficult to change inherent nature. "You lack tranquility. If you continue practicing basic fast surgery skills, it will only exacerbate the restlessness and resentment in your heart. During surgeries, you would uncontrollably be competitive, seeking immediate success. That''s why I said, even if nothing happened yesterday, it would still happen in the future." Dr. Xu is experienced, knowledgeable, and broad-minded. His analysis has its virtues. Jin Mingxi pondered for a moment, then sighed deeply, "It seems to be just that. What should I do then?" He was somewhat panicked. He didn''t expect that practicing the basic skills of fast surgery would bring harm. Frequent accidents are frightening. "The last time you asked me whether you were more suited for steady or precise surgical styles, I can now answer you. You are suited for steady. Whether it''s your personality, innate talent, or temperament, you are better off pursuing steadiness. Thus, you can learn from Director Hu Kan''s practice methods. Maintaining the arms raised, holding two strands of hair without moving. This practice shares a mysterious similarity with Buddhist meditation and Taoist sitting meditation." "It not only stabilizes your hands but also trains your tranquility and focus." Dr. Xu showed him a clear path. Choosing the path best suited for oneself is the best approach. "I understand, thank you for your guidance." At this moment, Jin Mingxi finally understood that Dr. Xu wasn''t trying to condemn him to hell for his mishap. Instead, it was because he was truly not suitable for the path of fast surgery. He decided to try changing to a more steady surgical style. Dr. Lu had been all ears on the sideline. Including three female nurses, they were all quietly listening to Dr. Xu''s profound discussion. Such deep medical knowledge cannot be learned from books. Listening more could expand their thinking and horizons. It was very beneficial for them. "Dr. Xu, am I suited to learn fast surgery?" Dr. Lu felt somewhat envious of Zhou Can and Jin Mingxi. Both of them had learned sophisticated surgical practice methods from Dr. Xu. Especially Zhou Can, no wonder he was so impressive. It turns out he had received the legacy of fast surgery from Dr. Xu. Dr. Xu looked at Dr. Lu for a few moments. Dr. Lu cooperatively stood straight, like a well-disciplined student. "If you can get rid of your laziness, that would be your biggest victory." His comment made everyone burst into laughter. Fortunately, there were no patients in the operating room. Chapter 140 - 98: Doctor Fus Goodwill, Late Night Request for Help_2 Only a few medical staff were present, all insiders, so there were no issues. During their conversation, Doctor Fu and Doctor Lin came over to hand over the shift. "Wow, it''s rare for the surgeries to end so early like today!" Doctor Fu greeted with a smile. "Well, it''s almost time to get off work, and there''s no emergency surgery patients outside, so I didn''t call the nurses to bring any more patients in." Dr. Xu''s mood seemed alright at the moment. It was a lot better than yesterday when he stormed out with an angry face. "I heard Dr. Zhou made quite an accomplishment today!" Doctor Fu glanced at Zhou Can with a hint of extending an olive branch. A while back, their relationship had become quite distant, and Doctor Fu surely was aware of it. Now that the storm had passed, Zhou Can was fine. Adding to that Zhou Can''s increasingly impressive performance, this motivated Doctor Fu to actively seek to mend their relationship with Zhou Can. For a senior doctor to take the initiative to humble himself before a junior is no easy feat. In the entire Emergency Department, Zhou Can was probably the first to receive such special treatment. "Doctor Fu is well-informed! How did you learn about this?" Dr. Xu chimed in with a laugh. "As soon as I got to the Emergency Department''s office, Director Lou was talking about it, how could I not know? I heard the foreigner was invited half a month ago to tutor English at a student''s home. During the visit, he found the student''s little white dog very cute and clingy. He reached out to let it lick his hand. There might have been a tiny wound on his hand, but he didn''t pay much attention to it at the time." "Only in the past few days, he developed a low fever and trembling in his body. He thought it was just a cold. Today, while cycling to exercise, he inexplicably took a nasty fall. It was quite severe. Only then he was brought to Tuya Hospital by his colleagues to treat his injuries." Doctor Fu recounted what he heard at the office. Chloe fell off the bike probably because rabies had struck, causing loss of balance in the cerebellum. In the middle stage of rabies, the virus proliferates massively in the central nervous system and then invades the spinal cord and the entire central nervous system, mainly targeting neurons in areas such as the brain and cerebellum. Therefore, patients in the middle stage of rabies might fall inexplicably, or during the process of holding cups or bowls, they might suddenly let go and break them. This is a result of the cerebellum, attacked by the rabies virus, no longer being able to fully control the body. "That dog carries the rabies virus; we must inform the student''s family to have the dog put down and ensure every family member receives a rabies vaccine and undergoes nucleic acid testing." After listening, Dr. Xu felt sorry for the foreigner but also realized the dog might still pose a threat to others. This is the instinctual response of a doctor. A doctor''s heart is like that of a parent''s. They naturally consider the well-being of others. "The Infectious Disease Control Department is already on it. I guess the hospital will definitely commend our department, Dr. Zhou is really a savior to our Emergency Department!" Doctor Fu again offered goodwill to Zhou Can. "You flatter me! I simply stumbled upon it by blind luck, a chance discovery. Mr. Chloe''s wound care was handled by Dr. Lu and Tian Tian. The decisive follow-up was entirely managed by Dr. Xu, my contribution was actually very small." Zhou Can was remarkably modest. Whether it was Dr. Lu, Tian Tian, or Dr. Xu, all felt quite pleased upon hearing this. Especially Dr. Lu, who no longer had the hostility in his eyes when looking at Zhou Can as he did before. "Ha ha, it seems we''re very united in our emergency surgery room! Dr. Zhou, are you staying for overtime today?" Doctor Fu once again reached out with kindness. "I need to go home today and practice the basics that my teacher taught me, so I won''t work overtime." By now, Zhou Can had devised a complete method to enhance his medical skills comprehensively. Operating in the surgery room and practicing medicine at home are equally important. Besides, the opportunities to practice surgeries gained by working overtime with Doctor Fu were far fewer than those under Dr. Xu. It felt like a waste of time. So he decisively declined. "Alright then! If you ever want to work overtime, feel free to look for me. If there''s a chance for first-level surgery practice, I''ll take care of you." "Sure, thank you for your nurturing and care!" Zhou Can nodded and proceeded to walk outside with Dr. Xu and the others. After changing out of work clothes, surprisingly, Dr. Lu was waiting for him outside. He didn''t pester Qiao Yu today, which was rare. "Dr. Zhou, thank you for today." "It was just a trifle, no need to mention it!" Zhou Can waved it off with a smile. "Would you do me the honor of joining me for a simple meal? There have been quite a few misunderstandings between us in the past, and I did some things wrong. I would like to take this opportunity to express my apologies." It seemed this was the true reason Dr. Lu was waiting for him. Dr. Lu had many faults, but he also had his virtues. For instance, in dealing with people¡ªnot to say he was exceptionally smooth¡ªbut at least he maintained good relations with most. "Thanks for the kind offer, but I''ll pass on the meal. As for past unhappiness, let it blow away with the wind!" Zhou Can showed the magnanimity and demeanor one would expect, given the other party''s initiative to apologize. "You''re really not going to hold a grudge for the way I targeted you before?" Dr. Lu still seemed worried. "Really, no hard feelings!" Zhou Can''s gaze was open and sincere. "Thanks! When you''re free, I must treat you to a meal and raise a glass to you. See you tomorrow!" Dr. Lu waved and left with a smile. Human hearts are indeed complex. Who would have thought that the appearance of a rabies patient could break the ice between two people? Sear?h the ¦Çov§×lFire .net website on Google to access chapters of novels early and in the highest quality. Chapter 141 - 98: Doctor Fus Goodwill, Late-Night Call for Help_3 This Dr. Lu is indeed a flexible and adaptable man, truly a character. Zhou Can couldn''t help but think of a phrase rich in philosophy, "What exists is reasonable." Dr. Lu''s ability to survive in Tuya Hospital certainly meant he had his exceptional qualities. Such a person, Zhou Can could not be deeply associated with. Keeping a superficial cordiality and unity at work was enough. ¡­ Around 5:00 PM, while he was practicing his knife skills in his apartment, his phone rang. A glance at the screen showed it was Mr. Cui, the acute myocardial infarction patient he had saved before, calling. "Hello, Dr. Zhou! I''m the Mr. Cui with the heart attack you saved, remember?" "Of course, I have your number saved!" Zhou Can replied with a smile. S~ea??h the ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. "Well, I have fully recovered now. I''d like to invite you to a casual meal to thank you for saving my life. Are you free sometime soon?" "No need for a meal!" Zhou Can declined politely. Is today a lucky day? Both Dr. Lu and Mr. Cui are inviting him to dine, what a coincidence. "It''s a must. I like making friends, and our acquaintance is also a kind of fate. Let''s have a meal together, gather and bond. What day would be convenient for you? The venue will be at my house, cooked by my wife and me. You can tell me what dishes you prefer right now." Mr. Cui showed great sincerity. Now that he mentioned it this way, further refusal would seem pretentious. Having the chance to chat with a successful man like Mr. Cui was indeed good. It''s always beneficial to have more friends. "Hehe, your kindness is hard to decline! How about this Saturday evening, would that be okay?" Zhou Can agreed with a smile. There is a saying in dining circles, a last-minute invitation means you''re there either to fill numbers or pay the bill. An advance invitation is both a courtesy and a mark of respect. Mr. Cui''s respect for Zhou Can was evident in his invitation. "Saturday is great, plenty of time. What dishes would you like? I can prepare them in advance," Mr. Cui asked. "I''m not picky at all, I like everything. It''s just a little trouble for Brother Cui and your wife." Zhou Can''s address for Mr. Cui had changed. Since he had agreed to dine at Mr. Cui''s house, it means he had the intention to build a relationship. Mr. Cui is at least twice his age. Normally, he should call him "Uncle." But these days, people prefer to be addressed younger. Calling him "Brother" makes the relationship closer. "Not troublesome at all. It''s our pleasure to have you over! So, it''s settled then, this Saturday evening. Do you need me to drive over to pick you up?" "No need, just give me the location, I can get there myself. Don''t worry, I''m grown up, won''t get lost." "Haha! Sure!" Mr. Cui was amused by him. After finishing the call, he sent Zhou Can a location via WeChat. Zhou Can checked it. Wow, it''s in Jiangxin Garden Villas. This is the city''s most upscale riverside housing. The houses are all built on an island in the middle of the river. Surrounded by water on three sides, with only one road leading to the island. In early years, it was said that the island was inhabited by scavengers and a few local fishermen. Due to inconvenient transport, few people wanted to live on the island. Until later, a genius developer took over the whole Jiangxin Island and then built the most upscale villas in the city. The island''s limited area, it was said, only had little more than thirty villas built. With only one access road, it naturally has advantages in security and privacy. The limited number of villas and unique environment. You can enjoy the endless river view and take walks in the private gardens¡ªit''s truly a luxurious pleasure. This also made the thirty-some villas on the island highly sought after. The residents on the island are either wealthy or noble. Years ago, even the least pricey villa on the island cost over a hundred million. Now it would probably be even more expensive. Mr. Cui living in such an upscale place must belong to a very wealthy family. Making friends with such a capable person would definitely benefit Zhou Can tremendously. But he himself came from a wealthy family, so he didn''t feel too excited, but rather took it with a normal heart. Soon, he was immersed in his knife practice again. Around 11:00 PM, after taking a bath, Zhou Can was lying in bed reading a book while listening to a record sent by Su Qianqian, when his phone rang again. His call volume was actually very low. Rarely did he receive more than two calls a day. His social circle was also very simple, without many troublesome friends. This late, the call could either be an emergency, a family member, or a spam call. Seeing that it was an unknown number. Zhou Can hesitated for a moment, but still answered. "Hello, who is this?" "May I speak to Dr. Zhou?" A young girl''s voice came from the other end. "Su Qianqian?" Zhou Can recognized her voice. Her voice was very special, very soft and sweet. Not unique, but it would be hard to find another girl with such a voice. Having listened to her songs often, he was familiar with her voice. "I didn''t expect Dr. Zhou to remember me." Su Qianqian was silent for about two seconds. "Could you do me a favor?" "Sure!" Zhou Can didn''t know what she needed so late. A leaky house? Or a power outage? Only these issues would make Su Qianqian contact him. "I, I accidentally locked my keys inside. I just went downstairs to buy something and realized I didn''t bring my access card and keys when I returned. I don''t know the landlord''s phone number, can you provide it so I can ask him to bring the keys? I know it''s very late to ask this..." "I''ll come and open the door for you, wait at the gate of the complex." Zhou Can was speechless. Girls'' brains are quite simple, prone to these basic mistakes. It''s very unsafe for such a beautiful girl to be locked out of the complex late at night. No choice but to go and deliver it to her. Being a landlord and collecting rent is truly not easy. Zhou Can took the spare keys and access card and left the house. This late, only a taxi was an option. Luckily, the city streets were very quiet at night, and the taxi sped along without any obstruction. Chapter 142 - 99: Those Who Show Off Their Muscles Are Just for Show, Attitude is Mutual He arrived at the entrance of Phase 1, Xiangshan Garden, Bajing Lake, at midnight, 12 o''clock. From a distance, he saw a thinly dressed girl squatting under the street lamp at the entrance of the residential area. There was also a man wearing a black short-sleeve T-shirt and floral shorts talking to her. As he approached, he noticed that the man in the black short-sleeve had blue tattoos on his arms and chest. His face was oily, not handsome at all, but rather ferocious and sinister. His gaze was fierce. Zhou Can walked over, and the man just gave him a cold stare. The girl squatting on the ground had a perfect figure, which was not so eye-catching because she was squatting down. Her pale skin under the light made her look even more beautiful. Her delicate face was slightly lowered. Zhou Can was unsure about the relationship between Su Qianqian and this man. It could be her boyfriend or something. He thought to himself, Su Qianqian is so beautiful and talented. How did she end up with a boyfriend who looks like a petty thug from society? But some artists like to dress up as gangsters, engaging in so-called performance art. Especially some young directors who like to keep long hair and dense beards, dressing up differently from ordinary people. They do so to show that their aesthetic is unique. "Miss Su!" Zhou Can called out to her. She slowly lifted her head then her face lit up with joy, she quickly stood up and walked towards Zhou Can. "Here you are!" Her expression was one of sheer relief as if a savior had arrived. "Who is this?" Zhou Can detected something odd in her tone and immediately became cautious towards the strange man. "I don''t know him! I told him my boyfriend would be here soon, but he didn''t believe me. He kept asking me to go to the bar in front to have some drinks. I ignored him." Su Qianqian, having struggled in society to become a third-tier actress, certainly had seen all sorts of things. She had her ways of dealing with harassers, such as claiming her boyfriend was about to arrive. To scare off these malicious men from society. At midnight, there were very few pedestrians on the road. A beautiful young girl like her, dressed lightly and alone outside, could easily become prey for some people. That was actually very dangerous. She was very smart. First, she chose to squat near the security booth, and second, she claimed that her boyfriend was coming soon. These actions successfully intimidated the tattooed man, preventing him from making any excessive moves, such as forcefully dragging her away. The thuggish man, glancing at Zhou Can, did not take him seriously. Zhou Can looked refined and scholarly, appearing as if he belonged to the literate class, which in the eyes of the society thugs was akin to the physically weak scholars of ancient times. Looking at the muscular man with robust triceps, one punch from him could potentially knock down several men like Zhou Can who appeared physically weaker. "Buddy, your girlfriend is pretty good-looking! I like chicks like her. No other meaning, just want to be friends with her." the thuggish man wasn''t afraid of him at all, instead, he stared down Zhou Can with a menacing look like an eagle eyeing a chick. Attempting to impose immense psychological pressure on Zhou Can. If it were an ordinary young man fresh into society, perhaps they would really be scared. But Zhou Can started practicing Taekwondo at the age of five and Sanda at eleven. To him, this societal thug was nothing more than a mobile punching bag. Of course, those who practiced martial arts knew restraint and would not strike without reason. This is called martial virtue. Just because someone throws a menacing glance, it doesn''t mean he would knock them down with a punch. "Anything else?" Zhou Can asked indifferently. The thug, seeing his submissive demeanor, thought Zhou Can was intimidated by his "bully''s air" and his audacity grew stronger. "When you met her just now, you called her Miss Su. Are you really her boyfriend?" The thug stared into his eyes as he asked. Who says thugs necessarily have simple minds and only know how to fight with knives? Look at this one, from just a single title Zhou Can used for Su Qianqian, he picked up on a discrepancy. These thugs are much cleverer and astute than one would expect. They are adept at reading people and changing their strategies accordingly. Facing weak and bully-able common folks, they intimidate and extort for benefits. When encountering influential people or police action, they immediately turn all smiles and flattery, playing it cool. "My boyfriend likes to call me that, is there a problem?" Su Qianqian, clinging to Zhou Can like a bird to a person, held onto his arm. You could feel her grasp was strong and slightly trembling. She must have been quite scared by this man during the time she waited for Zhou Can to bring the keys. "Is there anything else?" Zhou Can''s voice got a bit heavier. "Damn, don''t appreciate the face given, huh?" Sear?h the Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. The societal man flipped his attitude on a dime. His complexion darkened, his expression turned even more ferocious and sinister, embodied with the mercilessness and readiness to physically assault. "You, don''t mess around! Otherwise, I''ll call the police!" Su Qianqian, still a young girl at heart, was filled with infinite fear facing such a fierce criminal. She isn''t afraid of the suave rascals. Various directors, producers, sponsors thinking of taking advantage of her, she could always find a way to deal with and escape them. Facing this kind of mindless societal rude boy, she could not help but be scared. "Haha, call the cops? Don''t you know I am well acquainted with both the black and white in this area? Little sister, just keep me company for a couple of drinks at the bar ahead, and there''ll be no issue. Otherwise, I know where you live. Just a few calls and I can bring my brothers over and make your life worse than death." Chapter 143 - 99: Those Who Show Off Their Muscles Are Just for Show, Attitude is Mutual_2 The street thug was laughing unbridled, full of arrogance. His gaze turned to Zhou Can again, threatening viciously "Kid, wherever you came from, just die there. Pretending to be her fake boyfriend here, believe it or not, I can cripple you?" While speaking, he deliberately flaunted his strong arm muscles. This almost made Zhou Can laugh until his stomach hurt. Which real martial artist would show off their muscles? They observe the opponent''s footsteps, body shape, eyes, and feel whether the opponent''s aura is stable and strong. Those who show off their muscles like this, nine out of ten are just puttering around. In barehanded conditions, even an ordinary person, with moves like "monkey steals the peach" or a deadly low kick, can knock them to the ground. "Scram!" Zhou Can spat out just one word. The weight and force was not inferior to the adversary. "Seeking death!" The thug was completely infuriated. He threw a punch directly at Zhou Can''s left face. He wanted to teach this na?ve youngster what the society is, how he shouldn''t mess with the big brothers. Zhou Can tilted his head, dodging the nearly sneak-attack punch. He had been chatting with this street thug, just waiting for him to throw the first punch. Now that the timing was ripe, there''s no need for courtesy. He punched out as fast as lightning. Bam! He hit right below the opponent''s ear. This area, when heavily struck, not only causes severe pain, but also has an important acupoint behind the ear, crowded with nerves and blood vessels. A strong hit here can knock a person unconscious instantaneously. Normally, skilled fighters do not hit the temples of others easily, fearing accidents. Hitting the side of the face, near the ear, generally wouldn''t result in severe consequences, but it could effectively incapacitate an opponent. This street thug truly had some mettle, not even grunting, he just fell straight to the ground. "Ah..." Su Qianqian screamed in fright. "Don''t be scared, he won''t die." Zhou Can quickly comforted her, softly patting her jade back. Near the waist at the back, there is an important acupoint called the Triple Jiao. When a person is highly tense, patting this acupoint can have a calming effect. Traditional Chinese medicine believes that the moist energy of the Triple Jiao is transmitted outward to the bladder through this point. When patting this acupoint, it can effectively ease the bladder pressure and adrenaline secretion. Hence, patting someone''s back to comfort them has a certain scientific basis. In the middle of the night, if she continued to scream, others might think there was a murder happening here. Zhou Can was just here to deliver a key, and didn''t want to be on the news headlines the next day. Now, the street thug had woken up from his brief unconsciousness. He slowly got up from the ground. Not far away, someone seems to be preparing to call the police, "There''s a fight at the gate of Bajing Lake Xiangshan Garden Phase 1..." "Fuck your mom! Say one more word, and I''ll kill you." The thug got up and instead of seeking revenge on Zhou Can, he yelled at the couple who were calling the police. The young man was so scared that his phone almost dropped on the ground. He quickly escaped into the residential area with his girlfriend. Sear?h the n?vel_Fire.¦Çet website on Google to access chapters of novels early and in the highest quality. After threatening the ones calling the police, the street thug looked at Zhou Can. "Boy..." "Scram!" Zhou Can didn''t even give him a chance to speak, spitting out another word again. To deal with such people, according to Zhou Can''s experience, just two words: ruthless and cold. Be more ruthless than him, then be completely cold throughout, it can leave the opponent with a very deep terrifying impression. This is what Zhou Can''s father taught him. Their family runs a company, and occasionally, they encounter hoodlums causing trouble. His father has rich experience in dealing with this type of people. When he was very young, his father taught this to Zhou Can. Sadly, as Zhou Can grew up, father and son have rarely sat down to have a good chat, as if both were deliberately keeping their distance. The street thug didn''t dare to utter another half a word, scuttling away dejectedly. "Don''t be afraid, if he dares to come again next time, I''ll beat him every time I see him." Zhou Can''s words seemed to comfort Su Qianqian, but they were also directed at the street thug. The thug stumbled, almost falling. Running faster from his embarrassment. Having been defeated in the fight was embarrassing enough. Then Zhou Can, like a cold and ruthless reaper from the legends, truly terrified the street thug. "Let''s go, let''s go inside!" Zhou Can led her toward the entrance of the residential area. The security guard looked at him, filled with reverence. Having seen Zhou Can knock out the street thug with a single punch earlier, the security guard watched the whole scene. Zhou Can used his access card to swipe open the first barrier gate and led her into the residential area. It was only then that Su Qianqian dared to release his arm. Before entering the residential area, she must have been afraid that the thug would discover that Zhou Can was not her boyfriend, so she kept holding on to his arm. "Dr. Zhou, thank you just now. If it weren''t for you, I would probably have had to call the police." She expressed her gratitude. "Don''t mention it, it was just a small effort. But you are so beautiful, it''s really unsafe for you to go out alone at night. If you really need to go out, you could ask your boyfriend, or have your agent or assistant accompany you." Zhou Can gave her some advice. He hopes every tenant can be safe and sound. Hearing him mention the word ''boyfriend'', Su Qianqian''s cheeks flushed slightly, showing a bit of an embarrassed expression. In a moment of urgency earlier, she had grabbed Zhou Can to pretend to be her boyfriend, which was somewhat embarrassing. "I don''t have a boyfriend! I just pretended you were my boyfriend earlier to get rid of that guy, sorry!" She tidied her hair, tucking some loose strands behind her ear. Chapter 144 - 99: Those Who Show Off Their Muscles Are Just for Show, Attitude is Mutual_3 That exquisite beauty''s face became even clearer in Zhou Can''s sight. "No way! You''re so beautiful, so outstanding, how is it possible that you don''t have a boyfriend? I wouldn''t be surprised if a line of men wanting to pursue you could wrap around the city three times." Zhou Can found this hard to believe. "Goose, goose, goose!" She covered her mouth, laughing until she bent over. "It''s not as exaggerated as you say! Wrapping around the city three times, what, do you think I''m currency?" "Hehe, I think you''re even more popular with the gentlemen than currency." Zhou Can noticed that her attitude was much warmer than last time. It''s often said that playing the hero to save the beauty is the fastest way to close the gap with a beautiful woman. He used to think it was just a necessity for TV drama plots. But now, after experiencing it himself, it seems to be true. "Seriously, next time you go shopping late at night, it''s better to have your assistant or agent help you. You''re too beautiful, a disaster wherever you go." Su Qianqian slightly furrowed her delicate nose and scolded, "Hmph! Do you always slander a lady like this?" After her attitude warmed up a bit, Zhou Can''s conversation with her became decidedly more humorous. That''s how people are, if you''re too aloof, then everything is strictly business. If you''re a bit more approachable, the other person will become more amiable too. When Tu Ya was an intern, Zhou Can had rotated through almost all the departments. At first, he didn''t understand anything, had the best intentions for patients, but ended up in a thankless position. Scolded by senior doctors, groused at by patients. Later, he learned to be smarter. Patients who greeted him with smiles and were polite, he would take special care of. He couldn''t be bothered to track some insignificant medical supplies. But for those who''d question every single cotton swab or gauze, fearing they''d be fleeced, then sorry, even if it was just a piece of film or a few pieces of gauze, he would note down every material used. Anyway, the cost list would come out the next morning, you just have to pay the bill. Su Qianqian treated him like a potential thief last time, he didn''t say it, but he took it to heart. This time, when he came to return the keys, he kept the taxi receipt. He was thinking of asking for a reimbursement after opening the door for her. But with all this fuss, Zhou Can suddenly felt embarrassed to mention it. Zhou Can took out the keys and unlocked the front door. It was pitch-dark inside. Late at night, he didn''t dare to enter a female tenant''s room rashly. Instead, he stood gentlemanly outside the door, waiting for her to go in and turn on the lights. "The inside is a bit messy, care to come in and sit for a bit?" Her invitation was merely out of politeness. "No need, no need. I have to work tomorrow, and it''s not early, I need to hurry back and sleep." Zhou Can shook his head and declined. "Can you check where you put the keys? I need to take this set of spare keys back with me." He pulled out the keys, standing outside and waiting. It seemed like she was the only one living in this apartment. The inside really was a bit messy, two stuffed bear dolls casually slumped on the living room sofa. The coffee table was scattered with snack wrappers and bottles. She quickly walked into the inner room and soon walked back out. "Hehe, found them, they were right on top of the nightstand. Maybe after taking a shower, I spontaneously wanted to go out and buy something, then forgot to bring them with me." The stuff she went out to buy late at night, carried in a black plastic bag, seemed light. Not very large in volume. Zhou Can had a glance and had already guessed somewhat. Female comrades always have those few uncomfortable days; sometimes ''relatives'' arrive unexpectedly, and if there''s no backup at home, it can catch one off guard. One would have to make an emergency outing to purchase. "Would it be okay to offer you a bottle of yogurt to drink? I don''t have any other beverages at home." She took out a bottle of Ambrosial yogurt from the fridge''s safe layer and handed it to Zhou Can. "Also, you coming in the middle of the night to deliver the keys to me by taxi, I''m really grateful. How much was the taxi fare? I''ll transfer it to you." She did know the courtesy of dealing with people. She took the initiative to offer the money for Zhou Can. From this point, you can at least tell that she is not the type to covet small advantages. "Taxi fare one-way is 51 yuan, give me 100!" Zhou Can isn''t short on money, but what should be collected must be collected. In the middle of the night, he came to deliver the keys to her, which was already a huge favor. Not being related in any way, it''s impossible to also ask him to cover her taxi fare. He wouldn''t slobbery over her like a fawning dog just because she''s a beautiful female celebrity. His attitude towards her was no different from how he would treat any ordinary tenant. "I sent you a red packet, please accept it! I''m really grateful for your help today." She pressed her hands together, thanking Zhou Can with a bow. Usually, people with some status like to use this gesture to express their gratitude. Ordinary folks prefer to say thanks directly, or give some food, small gifts or the like. Zhou Can opened the red packet, it was actually 150 yuan. "You gave too much! Round trip would at most be 102 yuan." Sear?h the N?vel?ire.net website on Google to access chapters of novels early and in the highest quality. No matter how you look at it, this female celebrity doesn''t seem to be bad at math. "The extra 48 yuan is my little token of appreciation, please have some fruit," she said with a smile. This generous behavior increased Zhou Can''s good impression of her a little more. It''s not a large amount of money, but it reveals a person''s attitude towards money. "100 is enough! I sent back the extra 50 to you, please check. Next time remember to bring your keys. Coming here from the hospital dormitory is really far. You would have been in trouble if it had been my night shift today." Zhou Can is now following Dr. Xu; he does not have to work overtime, and he only does day shifts. He is simply too fortunate. Back when he was an intern, especially during his time in General Surgery, he once had continuous shifts that lasted a total of 36 hours. The majority of the residents had it tougher than him. But his good days probably won''t last long. Because the hospital requires residents to rotate through various departments relevant to their specialties. Some key departments require at least three months of rotation. If the attendance is insufficient, failing to graduate from the residency would be foolish. Zhou Can had witnessed the consequences of not following protocol during his internship in General Surgery. There was a resident who reportedly arrived late and left early 18 times in a month. After being reported by the chief resident of the hospital, the director of General Surgery took that resident to the residency office for discharge on the same day. After that, Zhou Can never saw him again. That incident left a profound impression on him. Even today, he is regarded as one of the more successful among the residents. Dean Zhu and Vice Dean Bai both have a good impression of him, and in crucial moments, he could even ask Vice Dean Bai for a favor. Director Lou and Dr. Xu also take special care of him. Moreover, Director Tan and Director Yin from Internal Medicine hold him in high regard. For a resident to have so many high-level resources, an ordinary person might swagger around with their tail in the air. But Zhou Can has never been arrogant. He keeps a very low profile when interacting with others. He firmly believes that only by keeping a low profile can one last long. There have been too many talented people who were arrogant and offended important leaders, and as a result, ended up benched, frustrated and unsuccessful for a lifetime. First be a good person before doing a good job. This is a principle his parents taught him since he was a child. After leaving Su Qianqian''s place, he sat in the taxi, but his mind was curious about something. Not only does Su Qianqian now need to rent a place to live, but she also avoids mentioning issues of agents and assistants. It feels like her career has likely been affected by that stage collapse incident and has slid into a slump. Life is not easy for celebrities! He really hopes she can get back on her feet soon. He has listened to the album she gave many times. He looks forward to when she can release a few new albums. He''s eager for a change of pace. Chapter 145 - 100 Qiao Yu Bullied, Bone Set Once More Letting Su Qianqian in in the middle of the night didn''t cause any ripples in Zhou Can''s life. The legendary heroic rescue followed by the beauty''s gratitude didn''t occur either. He remained a regular resident doctor of the Emergency Department. Every day, besides diligently enhancing his medical skills, he would be reading and learning. Compared to those rich second-generations who only knew how to indulge in pleasure or were only thinking about making quick money, he was truly an outlier. He liked money, but he loved medicine even more. Nearly all his thoughts were invested in the study of medicine. The improvement in his skills was also plainly visible. Jin Mingxi, who once had a stronger surgical ability during the resident examination, had been left far behind by him now. Zhou Can''s fundamental skills in swift surgery had just begun to see the dawn of mastery. Jin Mingxi, however, was still sitting motionlessly every day, pinching a strand of hair between his fingers and slightly lifting his arms like an old monk in deep meditation. This type of training in stillness is extremely torturous. And the progression is exceptionally slow. At least a year or two of practice is needed to gain a glimpse into its essence. Three to five years to achieve modest proficiency. But Jin Mingxi himself liked this training method very much. Every day after work, he would sit down there motionlessly. Engaged in practice for several hours at a stretch. He looked as if he were possessed. It seems that Dr. Xu was right; he is indeed more suited to the ''steady'' approach. Besides leading Jin Mingxi in the foundational training of surgical styles, Zhou Can had also advanced beyond him in performing surgeries in the operating room, leaving Jin Mingxi far behind. Currently, due to that incident causing trouble, Jin Mingxi was still being punished by having his qualifications for independent surgeries suspended. He could only assist Dr. Xu every day. Aside from the tasks like hand-retraction and skin suturing, Dr. Xu wouldn''t give him any surgical tasks that were even slightly risky. No one knew how long this punishment would last. Obviously, how much could one improve in surgery just by retraction and suturing? At most, it could broaden one''s horizon. Now, look at Zhou Can, who would get opportunities for two or three Level 2 surgeries a day, and a few up to a dozen Level 1 surgeries. With such a volume of surgeries, he was already doing no less than the common attending physicians. Zhou Can''s improvement in surgical skills could be described as rapid as a leap. Furthermore, with the support of the medical experience points system, his rate of progress was even more terrifying. Under such circumstances, it was not surprising that he had left Jin Mingxi far behind and fully surpassed him in all aspects. Not just Jin Mingxi, but even Dr. Lu and Doctor Lin, two higher-year resident doctors, could not escape this fate. They were also surpassed by Zhou Can. Perhaps only Dr. Cui, whose skills were close to attending level, could still compete with Zhou Can. ... Today was Friday, and another week was about to pass. Time flies so quickly. Zhou Can followed Dr. Xu. If Dr. Xu didn''t take a day off, he couldn''t either. Interns and resident doctors in the hospital had virtually no rights regarding taking days off. If their teaching doctors did not take a day off, the interns and residents they supervised were not allowed to take days off either. Dr. Xu usually took only about one day off per month, sometimes not even a single day. Thus, Zhou Can and Jin Mingxi had no choice but to go to work as well. This was related to the shortage of staff in the operation rooms of the Emergency Department. There were only two attending surgeons for the operation rooms. If anyone took a day off, the other attending surgeon might need to cover for two shifts in a row. Moreover, Dr. Xu worked the morning shift, which was the busiest time for the emergency operation room. Many emergent surgeries were beyond what Doctor Fu could handle. To ensure the normal operation of the emergency surgery room, Dr. Xu had to minimize his days off as much as possible. As usual, Zhou Can quickly stepped into the Emergency Department. "Dr. Zhou, good morning!" "Morning!" "Dr. Zhou, you look especially handsome today!" "Haha, I would have to compliment your beauty in return!" Along the way, doctors and nurses warmly greeted Zhou Can. Now, almost the entire department''s staff knew of Zhou Can''s exceptional performances in the operating room. They wanted to curry favor with him while he was still a resident because it would be difficult to do so later. Ye Tingting swung her slender waist as she walked over. "Sister Ye, good morning!" Zhou Can greeted her with a smile, taking the initiative. One could feel that Zhou Can''s attitude toward her was clearly much warmer than towards other nurses. The reason was simple. Zhou Can was already closer to her. Moreover, when he last got into trouble, while other nurses avoided him, Ye Tingting did not stay away. So, it was natural for Zhou Can to reciprocate her kindness. This was a basic principle of human emotion. If you are good to me, I will naturally be good to you. "I have something to tell you," Ye Tingting whispered. "Go ahead!" Zhou Can had no idea what it was about, but it sounded very secretive. Ye Tingting glanced around; there was no one nearby. She then said in a low voice, "Qiao Yu was bullied yesterday!" sea??h th§× N?velFire.n§×t website on Google to access chapters of novels early and in the highest quality. "Who did it?" Zhou Can''s anger burst forth in an instant. Qiao Yu was such a kind person; whoever bullied her really had no decency. "She wanted to get the head nurse to schedule her for a morning shift every week, which really isn''t an unreasonable request. But Tian Tian and Pan Xinyao strongly opposed it. In the end, the head nurse had no choice but not to grant Qiao Yu''s shift request. I''m telling you this, not to cause trouble for anyone but to speculate that Qiao Yu might have wanted a morning shift to be your surgery nurse." "Yesterday, I saw her leaving the nursing office with red eyes. You should comfort her." Chapter 146 - 100 Qiao Yu Bullied, Bone Set Once More_2 Ye Tingting wouldn''t have told him about this if she weren''t on good terms with Zhou Can. "Okay, thank you for telling me something so important." Zhou Can had been annoyed by Tian Tian for quite some time now. Knowing now that Tian Tian, together with another nurse named Pan Xinyao, was bullying Qiao Yu, he was filled with anger. Not everyone has the good fortune to have a great mentor like Dr. Xu to protect and support them. Not everyone is as lucky as he is to obtain a system for medical Experience Points. Qiao Yu is indeed excellent. However, she is currently just a resident nurse in training and has no way to stand up against two experienced senior nurses. To be realistic, if Zhou Can had not met a benefactor like Dr. Xu, if he hadn''t gained the appreciation of people like Director Lou and Dean Zhu, even the least competent Resident Doctor could easily trample him, no matter how talented he was. The hierarchy in the hospital is much more rigid than that of ordinary companies and enterprises. Zhou Can didn''t call or message Qiao Yu. To message or call her at this time would be quite inappropriate. She is a proud girl. Being bullied is a blow to one''s face and self-esteem. The best approach is to pretend not to know about it. Give her enough face. But don''t think that Zhou Can will just let it go. He will find a way to help her resolve the issue as soon as possible. Nurses, like doctors, can elevate their status by excelling academically or in medical skills. Zhou Can''s plan is simple: help lift her status. Then, she will be able to recover her reputation on her own. This is a hundred times better than consoling her with a phone call right now. Zhou Can walked into the operating room. Dr. Xu, Dr. Lu, and Jin Mingxi had all arrived. Speaking of Dr. Lu, he had changed a lot recently. Regardless of the quality of his surgeries, at least his attitude was very professional. He went full throttle every day, performing one surgery after another. He was also late less often. It was hard to see any trace of laziness in him now. "Alright, everyone is here, same old rules, Xiao Zhou and Dr. Lu will each operate independently. Jin Mingxi will be my assistant. Call two instrument nurses in." Dr. Xu quickly made the arrangements. The most miserable one was Jin Mingxi, who could only look on with envy every day as Zhou Can and Dr. Lu performed surgeries on their own. Soon, two instrument nurses walked in. Li Shishi and Tian Tian. "Good morning, Dr. Zhou! You look quite special today! Heehee!" Tian Tian approached him with a big smile. "Shishi, I''ve paired with Dr. Zhou for a long time now, don''t fight with me for him!" This schemer still thinks highly of herself. Little does she know that Zhou Can has reached the peak of his dislike for her. For now, though, he has to tolerate her a bit longer, until the right moment to set things straight. At this point, Zhou Can showed remarkable restraint. "Let''s begin the surgery!" Zhou Can, with a poker face, emulated Dr. Xu and played it cool. Soon, the patient in need of surgery was brought into the operating room. Zhou Can''s first solo surgery was a finger reattachment. Tuya Hospital, with its fame and a population of over eight million. The Emergency Department had surgeries around the clock that never seemed to end. S§×arch* The n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. Operating solo on a finger reattachment was a first for Zhou Can. He had previously participated in most such surgeries under the guidance of his teacher, and so far, there had been no failures. Dr. Xu probably assigned this patient to him to train his bone connection capability. It was the only type of surgery Zhou Can hadn''t yet performed hands-on. "How long has it been since the finger was severed?" "About an hour, doctor. Can my finger still be saved?" The patient was in so much pain that cold sweat dripped from his forehead. The severed finger had already been treated by the receiving doctor and nurse at the Emergency Department. No further treatment had been provided other than refrigeration. This helps to slow down the death rate of the amputated part. Typically, the shorter the time since amputation, the better the chances for reattachment. Theoretically, it becomes difficult to revive after six to eight hours. If the preservation conditions are poor, this window of time shortens. "Don''t worry too much. We''ll do our best to perform your finger reattachment surgery. Whether it can be saved depends on several factors, including the smoothness of the entire surgical procedure, the circulation of blood, postoperative care, and so on. We often perform finger reattachment surgeries here, and the success rate is very high. If you actively cooperate with the treatment, the results will definitely be better." After more than a month in the operating room, Zhou Can also learned the basic survival skill of doctors: reassurance. This is one of the essential techniques when dealing with patients. "Rest assured, I will definitely cooperate." The patient was reassured by him and cooperated with the surgery just like an obedient child. Tian Tian, nearby, was chatting nonchalantly with Li Shishi and Dr. Lu, who weren''t far away. "Anesthetic!" Zhou Can was forced to remind her. She then began to prepare the local anesthetic. Generally, lidocaine is the preferred local anesthetic drug for common use, with a single dose not exceeding 3mg/kg, even for a patient weighing over 500 pounds, the maximum limit of 200mg must not be exceeded. When used, it needs to be diluted with saline. These tasks are normally prepared by the instrument nurse. If it''s a major surgery, the circulating nurse prepares it and the instrument nurse checks. However, major surgeries typically use spinal or general anesthesia and rarely rely on local anesthetic agents. For this patient, Zhou Can planned to implement brachial plexus nerve block anesthesia. Usually, the effects are quite good. Chapter 147 - 100 Qiao Yu Bullied, Bone Set Once More_3 The anesthesia can last over four hours. With such a lengthy duration and given his surgical speed, it was entirely sufficient to reattach a severed finger. Tian Tian finally prepared the anesthetic and handed it to Zhou Can. After successfully administering anesthesia to the patient''s left hand, he could now proceed to the next step. Wound cleaning. This medical skill was currently at a lower level for a resident doctor. The progress was a bit slow, but there was no helping it. A patient could bring him only one to two Experience Points for the Wound Cleaning Skill. And not every patient required wound cleaning. The patient''s severed finger was likely a cut from a sharp instrument, the wound edges were neat. This was advantageous for the surgery. It''s worth mentioning that cleaning a severed finger is not as casual as one might imagine. In formal hospitals like theirs, they often choose to do it under a microscope. This is to prevent cutting away blood vessels and nerves retracted into the subcutaneous tissues. Wound cleaning not only involves cleaning the residual stump of the severed finger, but also the detached part. The most troublesome task is cleaning the bone. Even with wounds like these that are fairly neat, about 0.5cm of the bone ends must be cleaned off to ensure successful bone joining. After cleaning was done, it was time to test his skills. Bone connection. Zhou Can was preparing to use a stainless steel pin to connect the marrow cavity of the severed finger, taking into account the patient''s situation. Dr. Xu came over, standing by to supervise and instruct. This was because he feared Zhou Can would mess it up. "Steel pin for reattaching the phalanges of the severed finger!" sea??h th§× novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. Zhou Can was nearly frantic. Tian Tian was as dense as a pig¡ªexcept for the standard surgical instruments and consumables that didn''t need much reminding, for everything else she was as unresponsive as wood. She needed reminders to prepare things on the spot. This seriously affected the progress of the surgery. In the operating room, probably only Dr. Xu had the right to scold her. Zhou Can had no such authority. In terms of seniority, she had been there longer than Zhou Can. "What size of pin?" Tian Tian asked. "1mm." Zhou Can really wanted to call her an idiot. Such a question should not even need to be asked. If Qiao Yu were assisting him as the surgical nurse, everything would have been ready a long time ago. He really didn''t understand where Tian Tian''s mind was. If she wasn''t interested in surgeries, she could step down from being a standby surgical nurse. By the time she finally had the pin ready, Zhou Can was already very impatient. Even Dr. Xu standing beside could hardly bear to watch. "Tian Tian, you need to prepare in advance next time; otherwise, it seriously delays the surgery," Dr. Xu said. Given the patient was present, this was already keeping face for her. "Alright, alright! The main issue was that this patient was the first to enter the operating room, so the preparation wasn''t sufficient," she replied, promising improvement while likely to repeat the same mistake next time. Zhou Can took the steel pin and began the delicate task of fixing the medullary cavities of both ends of the severed finger. He had watched Dr. Xu perform this operation many times, and Dr. Xu had shared all the tricks of the trade, skills, and precautions with him. Ordinarily, such an orthopedic skill would only be learned during a rotation in orthopedics. Thus, having a great and capable teacher truly could increase the efficiency of training manifold. He proceeded with caution, step by step, finally managing to secure the severed finger to the residual part of the digit. After checking to confirm everything was in order. [Congratulations, you have acquired the Bone Joining Skill. Applicable for connecting bones after a fracture.] [Bone Joining Skill, current Experience Points, level 1/10. Internship failing grade level.] He felt a wave of frustration¡ªwhy so low? Fortunately, the patient''s reconnected phalangeal bone of the finger was a success. Chapter 148 - 101: Almost Killed, Opportunity to Kick Someone When Theyre Down Comes The low level of his first Orthopedics medical skill is probably due to his lack of any foundation in Thoracic Surgery. Separation Skill and Anastomosis, he obtained Level 3 right from the start, because these are Advanced Medical Skills derived from the basic surgical skills like cutting, suturing, and ligation. For bone setting, he had no surgical foundation at all. The fact that he could successfully set a bone on his first try was partly because he was highly talented, and also because all things in the world share common principles. His four basic surgical skills had all reached the Chief Level, which enabled him to draw analogies from one case to another. When setting bones, he was definitely much stronger than a real novice. "Orthopedic surgery is an inevitable obstacle in surgical skills with many applications. Now that I''ve acquired this skill, it would be nice to take the opportunity to improve it gradually." Zhou Can has always liked to plan ahead. Instead of asking for help during surgeries in the future, it''s better to find ways to learn more medical skills. The fields of surgical operations are highly specialized, and there are hardly any all-around doctors. In the face of complex surgeries, it''s often a multi-disciplinary joint operation. For instance, if the rib is completely fractured and poses a risk of puncturing the heart or other vital organs, it might require open chest fixation surgery. S~ea??h the ¦Çov§×lFire .net website on Google to access chapters of novels early and in the highest quality. At that time, it''s usually a joint operation between Cardiothoracic Surgery and Orthopedics physicians. With each new medical skill Zhou Can acquires, there will be fewer times in the future he will need to ask for help during surgeries. Moreover, all kinds of medical skills are interconnected and complement each other. Learning multiple skills is of great benefit to the improvement of his overall medical proficiency. ... "Teacher, do you think the phalangeal joint connection is okay?" "Mhm, it''s very well done, hurry up and complete the subsequent part of the surgery!" Dr. Xu nodded in satisfaction. To achieve such a good result on the first attempt was already quite exceptional. In replantation surgery, reattaching the patient''s phalange is just the first step of the surgery. What follows are tendon suturing, vascular anastomosis, nerve anastomosis, each step posing a challenge. Failing at any one step could lead to the failure of finger replantation surgery. Fortunately, Zhou Can was already fully capable of performing them successfully. Tendon suturing mainly tests skills in suturing, ligation, and relevant knowledge in tendon repair. A Resident Doctor of intermediate level can fully manage this task. Zhou Can''s suturing and ligation skills were both at the Chief Level, more than adequate to suture the severed tendon perfectly. Almost forty minutes later, the tendons and blood vessels were all completely anastomosed. During the blood flow test, in less than thirty seconds, the tip of the amputated finger showed a tinge of redness. Perfect. Seeing this, Dr. Xu was very reassured. He smiled and went back to his own work. Zhou Can continued to perform nerve anastomosis and skin suturing for the patient. After more than an hour of effort, the finger replantation surgery was successfully completed. He also earned some extra surgery Experience Points. And acquired an Orthopedic surgical skill. The feeling of steady improvement was especially great. The growth of a prominent physician is just like this, step by step, through countless surgeries and life-saving experiences, and constant learning, piling up. The surgery continues one after the other. Tian Tian still chatted with Dr. Lu and nurse practitioner Li Shishi from time to time. She wanted to chat with Zhou Can, but unfortunately, he was all business and barely paid any attention to her. After being ignored several times, she shifted her target for conversation. Around three in the afternoon, a patient came in for suture surgery due to external trauma. He fell and had a gash on his chin, only nine and a half years old, a boy. Tear stains were still visible on his face. Kids of this age were prone to mischief like climbing on roofs and playing in the mud. Frolicking accidents, like falls and injuries, were common occurrences. Considering the suture was on the face, and it was a child, the suture requirements were relatively high. Dr. Xu thus entrusted the patient to Zhou Can. Dr. Lu''s suturing was too careless, and leaving an unsightly scar on the child''s chin could affect the child''s life. Zhou Can had learned the Scarless Suturing Method from Dr. Xu early on. Previously, because his suturing level was low, he was unable to try it. Since his suturing skills were elevated to the Chief Level, he began to look for opportunities to try the Scarless Suturing Method. After practice, and after consulting with Dr. Xu many times, he was able to perform quite well. After taking on the surgery, Zhou Can first examined the child''s injury report. No bones were injured; it was just a superficial skin wound. Not bad. The amount of bleeding wasn''t significant, indicating that no major arteries were involved. This surgery could be considered a very minor debridement and suturing operation. Tian Tian and nurse practitioner Li Shishi were chatting merrily. Who knew why she was so happy today? She said she could take the intermediate nurse practitioner exam this year and was very hopeful. Generally, the promotion of nurses is different from that of physicians. After working for a year after graduation, one can take the initial nurse practitioner exam, and after obtaining the initial certificate, one can take the intermediate nurse practitioner exam after four more years of work. She said she could take the intermediate exam next year, implying she had been working for at least five years. No wonder Qiao Yu was bullied so mercilessly by her. "Local anesthetic." Zhou Can had to remind her. "Right away!" Tian Tian replied with a smile, quickly prepared the anesthetic, and then passed it to Zhou Can, who was carefully inspecting the child''s wound. As there was a lot of blood at the site of the wound, some of it clotted, it was impossible to see the exact state of the wound clearly. They could only wait until after anesthesia to clean and disinfect the wound before determining the best suturing strategy. Zhou Can casually took the prepared anesthetic and injected it around the child''s chin wound. Chapter 149 - 101: Almost Killed, Opportunity to Kick Someone When Theyre Down Comes_2 With his Chief Level injection skills, he probably performs local anesthesia even better than the majority of chief doctors. Shortly after the injection, the child''s wound began to bleed more heavily. The child complained of a headache, discomfort in the chest, and his breathing became rapid. This really frightened Zhou Can. Jin Mingxi had an accident last time and is still being punished for it. "Teacher, after the local anesthesia, the child showed multiple abnormal symptoms. Could it be an allergic reaction to the anesthesia?" This was the first time Zhou Can had encountered such a situation and he was somewhat panicked. He quickly sought help from Dr. Xu nearby. "What was the dosage of the medication?" "About 20mg!" Zhou Can administered a local anesthetic to the child, using at least half the usual dosage. "What kind of anesthetic was used?" Dr. Xu looked towards Tian Tian. At this moment, Tian Tian was very calm. If something goes wrong, nurses generally don''t bear much responsibility, as doctors are on the front line. Unless it is determined to be negligence or error on the part of the nurse, then the nurse would bear the primary responsibility. The greatest risk for a surgical nurse is failing to count the materials during major surgeries, causing things like gauze and vascular clamps to be left inside the patient''s body. In such minor surgeries, the likelihood of a nurse making a mistake is very small. Thus, Tian Tian appeared unconcerned and was quite calm. "It was Dikain! Diluted strictly according to proportion with saline." She responded. Just as they were speaking, the child''s condition took a sharp turn for the worse. Every surgery carries risks. Sometimes doctors and nurses don''t even have time to react when danger occurs. The situation was extremely perilous at the moment. "Dikain is unlikely to cause severe allergic reactions. Prilocaine requires an allergy test before use," Dr. Xu''s brows furrowed deeply. Allowing Zhou Can to perform the surgery independently was actually against hospital regulations. But as long as his mentor was willing to take this risk, it could be somewhat justified procedurally. At least there was no legal risk. No problems mean no issues. "People do not sue without cause, officials do not investigate without complaint." But now that the child''s condition was so dire, even the experienced Dr. Xu couldn''t identify the problem right away. That meant they couldn''t provide targeted resuscitation. Time is life. Every second delayed increases the risk of death for the surgical patient exponentially. Fine beads of sweat emerged on Dr. Xu''s forehead, his gaze sharp, constantly observing the child''s symptoms. "Sudden increase in bleeding from the wound? This indicates that the patient''s heart contraction has strengthened and blood pressure might have risen. Measure his blood pressure immediately." After measuring, 190/110mmHg, the systolic pressure was alarmingly high. Such a sudden increase in systolic pressure suggests the heart is contracting sharply, pumping ability far exceeding normal levels. "Teacher, could it be a problem with the anesthetic?" Zhou Can had quickly calmed down from his initial panic. At the moment, the most important thing was not thinking about suspension or even imprisonment after an accident. Instead, it was about finding the cause as quickly as possible to save the child. Zhou Can''s diagnostic ability was extremely strong; after testing the blood pressure and considering the sequence of events, it was clear that the abnormalities occurred after the anesthetic was administered. It must be a problem with the anesthetic. "Bring me the vial of the anesthetic." Dr. Xu''s competence was unquestionable, and he also realized the issue might be with the anesthetic. sea??h th§× nov§×lF~ire.net website on Google to access chapters of novels early and in the highest quality. Tian Tian immediately crouched down to search for the vial of the anesthetic. Her complexion slightly changed. Then she took out a vial. "Here, this is the vial." Her eyes dodged, and her complexion was somewhat abnormal. Having dealt with her for so long, Zhou Can knew she was a schemer. He didn''t quite trust her words. He bypassed the operating table and went directly to the small trash bin, crouching down. Inside, many vials had been thrown away. Most of them were local anesthetics. Among them, one vial was buried under the others, but it was still possible to notice it was slightly different from the other anesthetic vials. Zhou Can sensed something fishy and was about to dig it out. Tian Tian with a concerned look said, "Dr. Zhou, those glass vials are broken, be careful of cutting your hand." Zhou Can didn''t speak but used another vial to move the ones on top and then dug out the one that was pressed underneath. At this moment, Tian Tian''s complexion turned somewhat pale. Still, she tried to maintain her composure. "Isoprenaline!" Upon seeing the name of the medication on the vial, Zhou Can had an epiphany, and he almost cursed Tian Tian''s ancestors. What does a venomous woman look like? Tian Tian was one. "I didn''t use isoprenaline in today''s surgery, where did this vial come from?" Zhou Can coldly interrogated Tian Tian. Dr. Xu, with his rich experience, had seen all kinds of tricks and deceptions. His gaze was also ice cold as he stared at Tian Tian. "This, I am not sure either! It might have been left by the doctor who worked the night shift yesterday!" Tian Tian was still desperately making excuses. If it weren''t for her being a woman, Zhou Can really wished he could slap her to death. Even now, she was still lying. She only worried about being punished after admitting the mistake, yet she ignored the dire situation of the patient, ignoring the possibility that the patient could die at any moment. It was hard to imagine such a malicious and foolish woman existed in the world. That beautiful face, now, just made one nauseous. "Isoprenaline can enhance myocardial contraction, accelerate heart rate, and dilate peripheral blood vessels and smooth muscles. It is commonly used in the OR as an emergency medication for treating bronchial asthma, cardiac arrest, and shock." Chapter 150 - 101: Almost Killed, Opportunity to Kick Someone When Theyre Down Comes_3 Zhou Can was explaining the use of the drug with an icy face. Actually, there was no need for an explanation, she was a professional and certainly knew the use of the drug. Otherwise, when she crouched down to look for the medicine bottle in the trash can earlier, she wouldn''t have deliberately buried it under many other bottles. Dr. Xu had almost understood the cause of the incident. There are many things that can''t be said in front of the patient. He hurriedly took Zhou Can and Tian Tian into the changing room outside. "Tian Tian, human life is at stake, did you mistake this drug for an anesthetic?" Dr. Xu''s face was so grim it looked like it could drip with water. His gaze was also extremely terrifying. "I, I don''t know, it''s possible." Even at this point, she was still being evasive. This woman was both stupid and bad. For people studying medicine, if they have moral issues, it''s a disaster for both patients and the hospital. They are like a ticking time bomb, ready to explode at any moment. "I''ll ask you one last time, did you or did you not?" Dr. Xu rarely roars at female nurses. Now he was truly at the peak of his rage. This foolish woman, she has no idea how serious the consequences of this matter could be. She might ruin both Dr. Xu and Zhou Can. And it could cost this child his life. Of course, the child might not die, but how would you explain it to the parents? You were supposed to suture a superficial wound and you''ve done this to the child. Probably no parent would accept that. Since Tian Tian couldn''t confirm whether the wrong drug was taken, they could only draw blood for a test and then determine a rescue plan. By then, it would be too late. "Yes! It was my fault, I was chatting with Li Shishi and the others, Zhou Can suddenly urged me, and in a moment of negligence, I took the wrong one." Facing Dr. Xu''s fierce gaze, she finally didn''t dare to trivialize the matter any longer. "What should I say about you?" Emergency rescue drugs and anesthetics are stored separately. I really don''t understand where her mind was, to make such a serious low-level mistake. "Immediately use a 100 mg ¦Á-blocker to mitigate the drug harm!" After identifying the reason for the child''s peril, Dr. Xu immediately sought to find a remedy. ¦Á-blockers have a specific effect against Isoprenaline. Some patients are born with these blockers in their system, rendering Isoprenaline ineffective. After a series of rescue measures, the child''s condition finally began to improve. Dr. Xu too let out a long sigh of relief. This matter definitely couldn''t be concealed, it had to be reported to the superiors in accordance with regulations. "Xiao Zhou, you continue to suture his wound, I''ll go report." Dr. Xu was just a Level 2; this matter needed to be reported to Director Lou first, then Director Lou would report it to the relevant departments of the hospital. Fortunately, it didn''t result in serious consequences, and likely the issue would be settled when it reached the Medical Department. There will naturally be experienced doctors to explain things to the child''s family. Sometimes, it''s a good thing that family members and patients don''t understand medical science. For sudden situations like the child''s, as long as the explanation is reasonable and the child is not seriously harmed, the parents generally can accept it. Of course, they wouldn''t foolishly reveal that the wrong drug was administered or anything like that during the explanation. Tian Tian was directly suspended from surgery. Li Shishi was temporarily called over to assist Zhou Can as the nurse, and Dr. Lu was stopped from performing surgery independently. ¡­ The child, after the suture, had the wound handled very well. The misuse of the drug was resolved after rescue, and there were no serious problems. The final outcome was still acceptable. This was the only relief and cause for consolation. This matter is not over yet. Someone specialized stepped forward to explain and communicate with the family members, who accepted the hospital''s explanation and took the child home. In the Emergency Department office, Director Lou''s face was as dark as water, and Dr. Xu looked equally displeased. Zhou Can was extremely cautious. Tian Tian bowed her head and fidgeted with the hem of her clothes. Soon, the nurse practitioner in charge of Tian Tian and the Nurse Chief of the Emergency Department''s nursing station also walked in. "Today''s medical accident was utterly preventable. Due to the dereliction of duty and careless negligence of the instrument nurse, Tian Tian, we almost faced irreversible severe consequences. Our Emergency Department''s operating room had hopes of competing for excellence this month. Now that this has happened, not to mention receiving commendation, we will surely face criticism and punishment from superior leaders." Director Lou was naturally rather impatient. With such a serious incident occurring, he slammed the table in anger. "Director Lou, please calm down. It''s truly unacceptable for Tian Tian to have made such a grave mistake. I will definitely reinforce her education," the nurse practitioner still very much protected her subordinate nurse. Doctors do the same. This protective behavior is common among many people. The professions of doctors and nurses have a high chance of making mistakes. Without the protection of senior doctors and nurses, probably less than one in ten could survive. Whether it''s Director Lou, Director Tan from Internal Medicine, Dr. Xu...every major figure in the hospital departments has made mistakes. No one remembers exactly how many times they have erred. Because they''re too numerous. For intern and residency trainee doctors, sometimes getting scolded is a good thing. Only by being scolded can one learn a lesson. "This incident should serve as a wake-up call for every nurse. I''ll promptly convene a nurses'' safety meeting for our station. This matter will be taken as a case study to educate all nurses that in their practice, they must strictly follow relevant regulations and place safety first." The Nurse Chief spoke while sitting. This also indicated her high status. Basically, to become a Nurse Chief, you already have to be at the level of a head nurse practitioner. They possess a high level of expertise in nursing and management. Director Lou''s complexion softened a bit. "Niu Lan, what do you think we should do about Tian Tian?" Director Lou was giving face to the Nurse Chief, as well as showing her respect. "Deduct her bonus for the month, revoke her annual commendation eligibility, and have her write a profound self-reflection report. What do you think?" Nurse Chief Niu''s name was indeed quite characteristic. Ordinary parents would never come up with such a name. After all, it sounds phonetically similar to "cowshed," which can easily be misunderstood. She spoke with great steadiness, unhurriedly and calmly, modest yet not lacking independence. "Mm, I think these punishments are enough for her to remember the lesson profoundly." sea??h th§× ¦Çov§×lFire .net website on Google to access chapters of novels early and in the highest quality. Director Lou affirmed her decision. With this, the matter was largely resolved and could be closed. The person responsible had been identified, and Tian Tian alone would bear the burden. "If there''s nothing else, you may go back to your duties!" Director Lou told everyone. Zhou Can deeply sensed the art of leadership. Just a moment ago, there was thunderous banging on the table with an explosive fury. Now, it had eased into a gentle resolution, like clouds dispersing after a storm. Perhaps it was just a warning to the nursing part of the Emergency Department. To prevent another misstep in the future. "Nurse Chief Niu, please stay for a moment. There''s something I would like to discuss with you, in front of Director Lou and Dr. Xu." Zhou Can had waited so long, and finally, his opportunity had arrived. Originally, he thought it might take another two or three months before he could bring it up, once he had learned most of the Level 1 and Level 2 surgeries. Unexpectedly, Tian Tian had caused her own downfall by committing such a big blunder. It really validated the saying, when heaven wants to destroy you, it first makes you mad. Perhaps Tian Tian got carried away because she dealt with Qiao Yu yesterday, establishing her status and was particularly elated. In her high spirits, she then chatted with Li Shishi, Dr. Lu, and the others. Just then, they happened to talk about the possibility of her qualifying as an Intermediate nurse practitioner this year. She felt that her future was bright and that every aspect of her life was going exceptionally smoothly. In a moment of excessive pride. She ended up making a basic mistake that could easily be overlooked. Zhou Can was still a bit anxious about her returning to the operating room and having her as an assistant again, which would mean more torment for him. It would be better to seize this opportunity to support Qiao Yu''s advancement. Despite the risk of being accused of kicking someone when they''re down, he was utterly unconcerned. Chapter 151 - 102: Restoring Order, The Medical Quality Control Teams Investigation Nurse Chief Niu looked towards Zhou Can with a slight surprise in her eyes. Her gaze was still rather gentle. Though she had not interacted with Zhou Can directly, as the head nurse, she was definitely clear about the personnel of the Emergency Department. She had heard more than once of Zhou Can''s various commendable performances. And when Zhou Can generously treated everyone at the nurse station to milk tea, the nurse chief also received a cup. It wasn''t much money, but as the saying goes, taking someone''s food makes it difficult to speak against them. In her heart, her impression of Zhou Can had definitely improved. "You say!" Nurse Chief Niu didn''t know what Zhou Can wanted to talk about? Director Lou was equally curious. This matter did not result in any punishment for Zhou Can, it only dealt with the involved nurse, Tian Tian. Did he feel at a loss and wanted to get some benefits? "Through today''s incident, I''ve deeply realized an issue. In order to ensure the safe completion of a surgery, besides needing the doctors to be careful and rigorously train their skills, there is also a need for a responsible and sufficiently professional instrument nurse to assist." It was like a fatal blow. These words didn''t name anyone or single out anyone by name, but they were a severe critique of Tian Tian''s actions today. Irresponsible, unprofessional, these two judgments were basically equivalent to ending Tian Tian''s path as an instrument nurse. Tian Tian, who had been looking down, lifted her head to look towards Zhou Can. Her gaze was cold and filled with intense dissatisfaction. Did she think she could threaten Zhou Can? How overconfident. "I am extremely thankful to Dr. Xu and Director Lou for giving me numerous chances to train in surgery, allowing me to grow rapidly. During surgeries, I had the opportunity to cooperate with many nurses. Although Qiao Yu is a newcomer, she has been very professional and extremely serious and dedicated in her work. When cooperating with her, our coordination was perfect, and the surgery efficiency greatly improved. It truly was a joy." Zhou Can initially took this opportunity to thank Director Lou and Dr. Xu. Without Director Lou''s support, even if Dr. Xu took great care of him, it would have been difficult to obtain many independent surgery opportunities. Gratitude shouldn''t always be buried in the heart; expressing thanks to others when there''s a chance makes the leaders feel that you are a grateful person. The benefits are self-evident. On the contrary, those ''silent-types'' in the workplace, either due to shyness or aloof pride think it''s unnecessary to express their gratitude. Such people often live in frustration. Laid off still complaining that life isn''t fair. Constantly cursing in their hearts, this leader is blind, that leader can''t recognize talent, ignoring an employee as talented as me and instead promoting a bunch of sycophants. Unfair, so unfair. Director Lou''s smile deepened a bit after listening to Zhou Can''s words. His look towards Zhou Can also became gentler. "Qiao Yu indeed performs very well in the operating room. When she assists Xiao Zhou in surgery, the number of surgeries Xiao Zhou completes is clearly three or four more." Dr. Xu was somewhat aware of his apprentice''s thoughts. At this critical moment, his verification as the main surgeon in the operating room convinced everyone of Qiao Yu''s abilities. "No wonder she''s always wanting to swap shifts with me, turns out she''s naturally talented in the operating room. It seems that we should consider giving her more day shifts in the future, to give her the chance to learn and train in the operating room." Niu Lan''s stance was exactly the result Zhou Can wanted to achieve. "It''s good to promote talented and hardworking newcomers. Our Emergency Department operating room is in a stage of development, and we really need the support and cooperation of the nursing department!" Director Lou lends his support to Zhou Can and Dr. Xu. Having the head of the department speak made a big difference. This was something Zhou Can hadn''t expected. Originally, with Nurse Chief Niu''s stance, he was already quite content. Qiao Yu''s chances to swap for day shifts in the future would be much less resisted. Now that Director Lou has spoken, this matter became a certainty. "No problem. Jointly making the Emergency Department bigger and stronger is our common wish. The nursing department will definitely provide full support and cooperation." Nurse Chief Niu happily agreed. ... It was just over six in the evening, Zhou Can had just finished dinner and returned to the apartment to practice his basic surgical skills. His phone received two text messages. Upon swiping the screen, they were from Qiao Yu. "Let me tell you some good news, the nurse chief notified me just now, I''ll be on the morning shift tomorrow." "It''s the morning shift! And for a whole week." (Smiley face! Smiley face...) She sent multiple smiley face emojis at the end, indicating that any feelings of disappointment were gone. Zhou Can showed a knowing smile. Helping her made Zhou Can very happy. For now, it seems she doesn''t know that Zhou Can helped her in the background to get her this significant shift change. And Zhou Can certainly wasn''t going to claim credit for it. He was just wholeheartedly helping her, without expecting anything in return. Whether it''s called being righteous or self-serving, it doesn''t matter. As long as it turns her tears into laughter, that''s enough. "Haha, congratulations! For the next week, you belong to me!" Zhou Can couldn''t help but tease her a little. Unexpectedly, after sending the message, there was no reply from her. Several minutes passed, still no response. "Did I joke too much and make her angry?" That was a possibility. "Angry?" He tried sending a somewhat cute emoji. "Mm!" S§×arch* The N?velFire.n§×t website on Google to access chapters of novels early and in the highest quality. She finally responded. "Sorry, my words were too flippant. No other meaning, just a joke." Zhou Can quickly apologized to her. "Forgiven!" She replied with a cute emoji. "See you tomorrow!" Chapter 152 - 102: Restoring Order, The Investigation of the Medical Quality Control Group_2 Zhou Can heaved a sigh of relief. He decided to avoid making casual jokes with girls in the future. ... The next day at work, just as he entered the operating room, he saw Qiao Yu. "Hi!" She greeted Zhou Can with a radiant smile and a wave. "I''m finally able to work with you on a surgery again! It''s a pleasure to collaborate!" Zhou Can walked over with a smile and extended his hand. She cooperated and shook hands with Zhou Can. "Hehe, looking forward to working together!" They shook hands in a courteous manner. Zhou Can noticed her hand was meatier than most girls'', soft yet firm. It is said that a powerful figure could easily glimpse another person''s general character through a handshake. Those with a weak handshake are often seen as lazy and lacking responsibility. A firm handshake indicates a pragmatic approach. There are many other details, too numerous to mention. A person''s character, no matter how well disguised, always seeps through in their words and actions. That cunning and manipulative Tian Tian was finally gone. This was what Zhou Can was most pleased about. Whoever encountered her was unlucky. Yesterday, he took the opportunity to clear this troublemaker out of the operating room, and now he wouldn''t have to worry about being paired with her ever again. The nursing department must have made some adjustments overnight. A new operating room nurse arrived, slim and pretty, named Song Chunyan. A rather vulgar name. She was assisting Dr. Song, so Zhou Can had no way to assess her professional level just yet. But she seemed especially shy when speaking, with a very soft voice, and her face would easily turn red. She seemed like a young woman fresh into society. Dr. Lu seemed quite fond of this assistant, often making flattering or witty remarks that kept her laughing. Zhou Can couldn''t help but worry a bit about this naive young woman. He had seen Dr. Lu''s despicable side at the back door of the hospital. Given that Dr. Lu is an old hand like a cunning and experienced wolf, this girl was like a simple lamb, easily misled by Dr. Lu''s smooth talk. Of course, this wasn''t Zhou Can''s business to interfere with. Everyone needs to grow on their own. He wasn''t a savior, and he couldn''t save everyone. Let alone this Song Chunyan, with whom he had no relationship, even when Qiao Yu was being pursued by Dr. Lu, it was entirely up to her to decide. The surgery started quickly. Zhou Can''s surgical skills had already improved significantly, and now, with Qiao Yu as his best partner, it felt like he was performing with a cheat code. In less than an hour, he completed three level-1 surgeries. This speed, if known, would truly be alarming. Dr. Lu had only completed one operation so far. And that was with no slacking off. In the past, it might have taken him two hours just to perform a minor surgery. "Next!" Zhou Can forged ahead, pressing towards his personal goals. He hoped to master all level-1 and level-2 surgeries in the remaining month, as he wouldn''t have the same opportunities when it was time to rotate departments. He might not get the chance to participate in surgeries even once in ten to fifteen days. During his internship in general surgery, he had heard a senior complain. They had spent three months in orthopedic surgery, doing tasks like writing patient records and assisting in surgery with chores like pulling hooks. They hadn''t even had the chance to suture once. Let alone more substantial surgical procedures. The operating room door opened, and a woman groaning with her hand over her stomach was wheeled in. Judging by her condition, the probability of acute appendicitis was very high. After performing many surgeries, Zhou Can could now roughly guess the illness based on the patient''s pain location or certain symptoms. Sear?h the novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. Just as expected. It was acute appendicitis. Dr. Xu examined the medical reports and inquired into the patient''s condition in detail. After confirming the patient had been fasting for over six hours and met the surgical conditions, he called for the anesthesiologist. For such emergency cases with short fasting periods posing anesthetic risks, yet urgently needing surgery, it''s usually the attending physician who handles the initial treatment. First, they would conduct examinations according to protocol to determine the cause of the ailment, then administer pain relief and anti-inflammatory drugs to the patient. They would wait until the stomach contents were emptied before proceeding with surgery in the operating room. Emergency departments differ from specialized hospital wards where patients are often hospitalized and managed for two to three days before scheduling surgery. Sometimes, out of a desire for swift surgery, patients unaware of the consequences of residual stomach content may conceal the actual timing of their last meal from medical staff. Like the last vomiting elder, there were such suspicions. In these cases, the emergency doctors really feel helpless. The patient needs urgent surgery, and the doctors are focused on rescuing them, hardly expecting that the patients and their families might deceive them. Of course, if anything goes wrong, there''s a consent form for surgery. It clearly states the terms, and if it comes to a lawsuit, it''s often the patient and their relatives who lose. The anesthesiologist arrived quickly. After Dr. Xu finished the surgery at hand, he didn''t call the next patient in. Instead, he allowed Zhou Can to perform the surgery on this patient, watching and instructing from the side. Facing level-2 surgery, Dr. Xu dared not take any chances. Zhou Can had already performed several appendectomy surgeries, and now he worked so fluently that he didn''t even need any guidance from Dr. Xu. Incising the abdomen, locating the appendix, separating the omentum and intestines, ligating the base of the appendix and blood vessels¡­ every action was skilled and precise. Chapter 153 - 102: Restoring Order, Medical Quality Control Team Investigation_3 At this moment, two people were standing outside the operating room, observing; the woman seemed to be filming inside. A man and a woman. The man, around forty years old, exuded an aura of authority. He likely held some minor managerial power, like a cadre. The woman was quite young, only in her twenties. "What are you doing?" Tang Ling quickly went over to stop them. The operating room does not allow random filming. Outsiders are not permitted to enter. The fact that these two were dressed in surgical protective gear suggested that they were likely hospital staff. "We are Mr. Zhong Hui, the leader of the Quality Control group." The man introduced his identity with a stern face. Though just a group leader, he was a genuine administrative cadre responsible for overseeing the medical quality of hospital clinical departments. "Please try not to disturb the operating doctors and nurses. If there is anything, please wait until the surgery is finished," Dr. Xu said gravely. The sudden inspection of the Emergency Department''s operating room by a Quality Control group leader likely had something to do with the medication error for the child yesterday. The matter was reported by Director Lou, who didn''t know the results from the higher-ups. He thought it wouldn''t attract much attention from above, but now it seemed that there might be trouble. "Xiao Zhou, Dr. Lu, continue with the surgery. Don''t get distracted." Dr. Xu reassured them. In the operating room, he was the boss. Even if kings came, they had to follow his arrangements. ... Half an hour later, Zhou Can finally completed the surgery. The patient''s abdomen was closed, and there were no mistakes. "Teacher, do you think it''s okay now?" "Yes, it''s done very well." Dr. Xu nodded, then turned to the anesthesiologist. "If there''s no problem, let''s move the patient to the recovery room so they can wake up from the anesthesia!" After saying this, he quickly wrote medical orders for the patient and wrapped up. At this point, they stopped calling for other surgery patients. Because the Quality Control department''s two ''big shots'' clearly had ill-intentions, it was necessary to ask them what their business was first. "Mr. Zhong, you can speak now!" Dr. Xu''s tone was still polite. After all, he was an official. "Is this Zhou Can?" Zhong Hui pointed at Zhou Can. "I am!" Zhou Can vaguely sensed something ominous. Wasn''t yesterday''s incident already clarified? It was nurse Tian Tian''s fault, why the trouble with him? "The Medical Department received a report from your Emergency Department yesterday about a medical accident. After careful investigation, you were among the involved doctors. Our Quality Control department received the report and came today to gather evidence and to investigate and inspect the medical quality of your Emergency Department''s operating room. We hope everyone actively cooperates." It truly was an inquisition. It seemed big troubles awaited today. This is why departments prefer to handle minor issues internally as much as possible and conceal them from the higher-ups, out of a difficult necessity. Reporting them would severely affect department evaluations, result in fines, and attract attention and investigations from higher authorities. Troubles would be never-ending. S§×ar?h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. There''s a saying, "It''s not the management but the investigation that is feared." Everyone makes careless mistakes from time to time. Being closely investigated by higher-ups can easily lead to multiple failures and problems being found everywhere. Eventually, the whole department would suffer. In fact, some minor issues or procedural oversights are not really problems. At least, they wouldn''t cause any adverse consequences. Chapter 154 - 103: United Emergency Department, Mr. Zhong is Anxious "Who is in charge of the Emergency Department operating room?" Zhong Hui asked coldly. "I am!" Dr. Xu responded calmly. "Submit all the surgical records, medical cases, and progress notes from the Emergency Operating Room for the past month to us. Our quality control department needs to conduct a comprehensive investigation of the doctors, nurse practitioners, and admitting physicians involved in yesterday''s incident." It was evident that the purpose of the Quality Control Department was to address the medical incident that occurred yesterday. It seemed they were prepared to delve deeper. This was Zhou Can''s first profound experience of the severe consequences brought about by a medical incident. Surgical records are generally documented and kept by nurses. Liu Xia, the head nurse practitioner of the operating room, was notified and arrived promptly. She then took out the relevant records for the quality control team to review. Since Zhou Can, Dr. Xu, and the nurse on duty yesterday were all under investigation, they could only call Doctor Fu to temporarily cover. Otherwise, the Emergency Operating Room would be unable to function. ... Inside a small office, after Dr. Xu was called in for questioning and came out, "Zhou Can, come in!" The young woman from the quality control department did not give Dr. Xu and Zhou Can a chance to communicate. Certainly, to prevent collusion. Zhou Can entered, and Zhong Hui, the team leader of the quality control department, sat there with a stern face. This woman from the quality control department closed the door and sat down in front of a computer next to Zhong Hui, acting as the recorder. A camera was aimed at Zhou Can. The atmosphere of the interrogation felt particularly serious. "Zhou Can, when did you transfer to be a resident doctor?" "May 7th of this year." "When did you enter the Emergency Department operating room for standardized training?" "May 7th of this year." The day he passed the program, he was assigned to the Emergency Department and has been performing surgeries in the operating room under Dr. Xu since then. Originally, he had wanted to apply for general surgery. However, qualifying as a resident doctor at Tuya Hospital was definitely much better than directly specializing in general surgery, both in terms of prestige and actual status. His future prospects were also greater. "When did you start participating in surgeries?" "May 7th." "When did you start involving in Level 2 surgeries?" "I really don''t remember. It should have been about half a month after I started in the operating room." "When did you start leading Level 1 surgeries independently?" "Never. I have always performed surgeries under the guidance of senior doctors." Zhou Can wasn''t foolish; accolades of this nature were impossible to admit. sea??h th§× N?velFire(.)net website on Google to access chapters of novels early and in the highest quality. He understood the basic surgical admission rules. "Zhou Can, this is a serious inquiry by the authorities, and you must answer honestly. If you intentionally conceal anything, the hospital has the right to impose a series of penalties, including expulsion from the residency program, inclusion in the industry blacklist, and negative remarks in your personnel records." Zhong Hui''s voice was steady and powerful, his threatening words felt like mountains pressing down. The psychological pressure Zhou Can felt was unimaginable. Yet he ultimately withstood this invisible pressure, his face calmed down, and his eyes cleared. "Every word I''ve said is true without any deception." He calmly replied. "We have investigated and found out that you have independently led numerous Level 1 surgeries, even including Level 2 surgeries. Do you still want to argue?" Zhong Hui''s tone intensified, his expression turning even more severe. Zhou Can''s heart sank. He kept tight-lipped, but others might not have. Nurses and other doctors could potentially be the breakthrough that reveals the real situation. Zhong Hui''s gaze was tightly fixed on him, the invisible suppression making it hard to breathe. "It''s done, just admit it. Right now, it''s just an internal matter within our hospital, no need to worry too much." The young female official chimed in from the side. The two of them, one after another, tried every means to break down Zhou Can''s defense. She should not have spoken, as her words made Zhou Can immediately realize that they were fishing for information. If they truly had solid evidence, would they need to induce him with such effort? "I indeed never performed any surgery alone; all were completed under the guidance of Dr. Xu. If you don''t believe it, feel free to investigate." Zhou Can''s tone and attitude became resolute. Disappointment flickered in Zhong Hui''s eyes. But he was still not resigned. "We were standing outside the operating room and saw with our own eyes as you performed an appendectomy on a patient. We even recorded it; do you still want to argue?" This was the final pressure exerted. "Didn''t you also capture my senior doctor standing right beside me on camera?" Zhou Can smirked, internally exclaiming that was close. Just now, under the two people''s questioning, fortunately, he didn''t admit anything. Rules are rigid, but people are flexible. There''s a lot of leeway regarding the operating room''s authority. As long as he doesn''t admit it, no one can do anything to him. "Watch your language and just answer our questions directly!" The young female official sternly scolded. Then, they continued to question Zhou Can for a series of inquiries, to which Zhou Can cautiously responded. "Alright, you can return to work now! If needed later, we will contact you again. Thank you for your cooperation." She stood up to see him out. Zhou Can was ''invited'' out of the small office. The questioning was not over yet, as Dr. Lu was still waiting outside. The doctors involved were all under investigation. Upon seeing Zhou Can coming out, Dr. Lu stood up and inquired, "Are you okay?" He was very astute, probing the results of the questioning. Chapter 155 - 103: United Emergency Department, Mr. Zhong is Anxious_2 "Pretty good." Zhou Can blinked. "No exchanges until the investigation is over. It''s your turn, Dr. Lu! Please go in!" The female officer from Quality Control immediately stopped them from continuing their conversation. The two exchanged a look and both cracked a subtle smile. This scene visibly irritated the female officer next to them. Her face was so cold it could almost drop icicles. Dr. Lu quickly entered the office, and with his hands behind his back, he made an ''OK'' gesture to Zhou Can. It meant there was no need to worry; he knew how to answer. Zhou Can nearly burst out laughing. Everyone has their strengths and weaknesses. Dr. Lu had many faults, but when it came to significant events like this, he was crystal clear. The team of doctors in the Emergency Department may not be as skilled in terms of medical expertise and the department might lack facilities, but they showed exceptional unity when facing external challenges. That was the case the last time in the resuscitation room with the directors. And now, the same held for those of them who were rank-and-file doctors. ... Zhou Can returned to the operating room where Dr. Xu continued the surgery with his usual calm. Seeing Zhou Can''s return, Dr. Xu threw him a questioning glance. "Pretty good!" Zhou Can replied succinctly. Dr. Xu must have been somewhat worried. Now, knowing Zhou Can hadn''t fumbled, he visibly relaxed. His biggest concern had been that Zhou Can might slip up during the investigation. After all, Zhou Can was the youngest and had no experience with this kind of situation. "Let''s hurry up with the surgery! We need to deal with all the backlog of surgical patients outside; I estimate there will be more issues later." Dr. Xu said to him. "Alright!" Zhou Can headed to the assistant surgery table inside, and Qiao Yu followed. She whispered, "Everything ok?" "If anything was wrong, I certainly wouldn''t be back in the OR." Zhou Can appeared very relaxed. "Hey, thanks for speaking up for me yesterday. If Tian Tian hadn''t sent me a nasty private message, I wouldn''t even have known you did that for me." Her eyes were watery as she looked at Zhou Can. Were those tears of gratitude, or was it affection that made her eyes shimmer? Zhou Can had gone to great lengths to help her without saying a word about it. This kind of silent support, asking for nothing in return, deeply touched her. "I just spoke a few truths, nothing to thank me for. And as for that woman Tian Tian, she made the mistake herself, how dare she scold you?" Zhou Can rarely disliked someone this much. He used to find Dr. Lu unpleasant. But compared to Tian Tian, Dr. Lu seemed like a ''good person.'' "Let''s do the surgery first, we can talk later." Her evasion implied that Tian Tian''s words must have been particularly nasty. ... They didn''t finish dealing with all the surgical patients in line until after five in the afternoon. When it came time for the shift change, Dr. Cui, who seldom worked the night shift, came to take over. The whole rhythm of the Emergency Department operating room was disrupted. "Xiao Zhou, Dr. Lu, don''t leave after your shift ends; go to the office of the Emergency Department," Dr. Xu reminded them both. Dr. Cui must have learned about the incident in the Emergency Department through some channels. He said with a bit of concern, "That Tian Tian really caused trouble for the whole department. I heard that even the Quality Control sent someone over. There''s no problem, right?" "If Xiao Zhou''s answers were flawless, then there should be no problem. Otherwise, it''s uncertain if I can come to work tomorrow. If I can''t make it, you young ones need to work harder and try to fill the gap." Dr. Xu was already in trouble and knew the hospital would handle it seriously if anything else happened. S§×arch* The N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. "Teacher, you don''t trust me?" Zhou Can said with a bitter smile. "No, no, no, I have great trust in you. It''s just that you are young, and when facing inquiries from the Medical Department, lack of experience might lead to slips. If anything really happens, I won''t blame you. With my surgical skills, I could live comfortably in any hospital. The reasons I stayed at Tuya all these years are: one, I''m not satisfied, hoping one day I will rise again. And two, I was raised by Tuya, some hospital leaders have been very kind to me, and I wanted to use my own abilities to help Tuya Hospital improve the surgical capabilities and emergency response level of its Emergency Department." Dr. Xu usually wouldn''t say these things in front of so many people. But now, if he didn''t, he was afraid he might not have another chance. "Alas! But my abilities are ultimately limited. While the surgical room of the Emergency Department has improved, it is far from being robust. Originally, if nothing unexpected happened with Xiao Zhou, in no more than three years, as soon as his residency ended, the Emergency Department''s operating room would have had another high-level surgeon." Dr. Xu held Zhou Can in high regard. And had high hopes for him. "I went from being a surgical novice who couldn''t even stitch properly, to where I am now, thanks to your guidance above all. I believe you and Dr. Zhou certainly won''t have any problems. This was the surgical nurse Tian Tian''s responsibility from the start; the hospital leadership will surely see that." Dr. Cui said, somewhat emotionally. When parting, true feelings are easily revealed. Words held deep in the heart are feared never to be spoken to the other person if not now. "Work hard, that''s the best way to repay me and Director Lou." Dr. Xu patted Dr. Cui on the shoulder and was the first to leave the operation room. Two nurses'' eyes were red. The farewell words of the doctors were indeed moving. The determination to strengthen the Emergency Department, along with the care and mentoring for the younger generation. This was a department with heart. ... After changing clothes, Zhou Can, together with Dr. Lu and Jin Mingxi, went to the Emergency Department''s office. Chapter 156 - 103: United Emergency Department, Mr. Zhong is Anxious_3 Director Lou and Deputy Director Han Changqing were both present. The atmosphere was somewhat oppressive. "Everyone''s here, right? Close the office door!" Director Lou''s gaze swept over everyone. "In the past month, our Emergency Department has seen an increase of more than nine hundred surgeries. This is a very gratifying achievement." Director Lou began by summarizing the achievements of the past month. Zhou Can alone could complete 14 to 20 surgeries a day. Jin Mingxi was also competent, capable of performing a dozen or more first-level surgeries in a day. Dr. Lu''s surgery speed was slightly slower than Jin Mingxi''s, but not by much. An increase of more than nine hundred surgeries over a month was not surprising. "The medical incident that occurred yesterday did not result in serious consequences, and the mistake was not the doctor''s, but the surgical nurse''s. Normally, the higher-ups wouldn''t make such a fuss over our Emergency Department for this matter." A trace of helplessness appeared on Director Lou''s face. "During the last morning meeting, Director Xie from surgery had already expressed dissatisfaction with us for taking away some of their surgeries. After all, he felt that it reduced the overall revenue of the surgical department, which is understandable." An appendectomy, if open surgery, costs around 8,000 yuan. Laparoscopic surgery is more expensive, costing over 12,000 yuan. A simple first-level surgery could be a few hundred yuan on the lower end, or around two or three thousand on the higher end. The average price would not be less than 1,500 yuan. If we only took over a dozen surgeries from surgery, at most their revenue would decrease by about twenty or thirty thousand yuan. This sum, spread over the many departments within surgery, is a drop in the bucket. Now that we have performed nine hundred more surgeries in a month than usual, it''s quite alarming. The Emergency Department could increase its revenue by two or three million yuan at least. Enough to provoke jealousy from surgery. In reality, this revenue, divided among the many surgical departments, still wouldn''t amount to much. But for the Emergency Department, which has always been weak and poor, it''s undoubtedly a timely rain. Not only can the surgeons and nurses in the operating room and medical technical departments see a significant increase in their income, but the Emergency Department can also obtain some funds for departmental development and secure some medical resources. Sear?h the N??eFire.¦Çet website on Google to access chapters of novels early and in the highest quality. If we can maintain this for a year or two, the Emergency Department will gradually become stronger and see a leap in improvement. It must be said, this is a good opportunity for the Emergency Department to extricate itself from its plight and break the deadlock. "Director Han, why don''t you tell everyone the rest!" Director Lou took a sip of water and stopped in the middle of his talk. As the head of the department, even when speaking behind closed doors, one must sometimes be cautious of the impact. The second-in-command must take the lead at critical moments, expressing what the head of the department cannot. "Why is the Medical Quality Control Office doing this to us? Simple. The group leader of Medical Quality Control, Zhong Hui, was once a commonplace doctor in surgery. He has always been mediocre in medical affairs but showed a great talent in administrative management. Later, with the help of Director Xie and several other heads of surgery, he successfully became the leader of the Quality Control group step by step." So, there was this connection between Zhong Hui and Director Xie. No wonder he was so forceful in investigating a medical incident that could be big or small. "Surgery is envious of us for taking some of their surgeries. Director Lou smoothly resolved it in the last morning meeting, but they must be unwilling to let it go. However, they could only wait quietly for an opportunity. This medical incident just gave them an excuse to target the operating room of the Emergency Department." A hospital is not a place where a single person can dictate everything. Under a complex web of relationships, everyone must follow the rules. Each department prioritizes its interests. This is the same in any hospital. Because it relates to the status and income of every member of the department. "Now we can basically confirm that surgery has gotten group leader Zhong Hui to thoroughly investigate this medical incident to reduce the Emergency Department''s volume of surgeries. The Medical Department has already notified us to attend a meeting; we''re going now. Telling you all this is just so that you''re prepared." Deputy Director Han''s gaze swept over Zhou Can and others. In plain terms, the in-depth analysis of interests he just conducted was intended for the younger doctors like Zhou Can, Dr. Lu, and Jin Mingxi. "Director Han, let''s go together!" Director Lou looked at Deputy Director Han. "Me? They only notified you and the doctors involved in the operating room to go; I don''t need to attend, do I?" "Our Emergency Department''s operating room has made significant progress and development, don''t you want to take this opportunity to fight for Internal Medicine within the Emergency Department?" Director Lou asked with a smile. "Internal Medicine doesn''t have talents like Zhou Can or Jin Mingxi. No matter how many patients I take, it''s useless if we can''t handle them," Deputy Director Han shook his head worriedly. Cultivating talent in Internal Medicine is even more difficult than in surgery. Really talented Internal Medicine practitioners would never end up in the Emergency Department. Director Han wanted to strengthen Emergency Internal Medicine, but his hands were tied. "Fair point, then you stay here and take command. But make sure nothing else goes wrong," Director Lou, along with Dr. Xu, Zhou Can, and others, headed for the Medical Department. They entered the number 2 small conference room. It seemed that every internal discussion took place here! Zhou Can couldn''t help but bitterly smile; he had become a regular here. Soon after sitting down, Medical Department''s Director Xin, Medical Quality Control''s group leader Zhong Hui, and that female scribe entered the conference room one after another. Then, Vice Director Ye appeared. The hospital leaders were quite in sync. Today was supposed to be a Saturday, when many in the administrative departments wouldn''t be working. Director Xie''s influence was indeed significant. To reduce the Emergency Department''s volume of surgeries, he even got a Quality Control group leader to work overtime and beyond. Chapter 157 - 103: United Emergency Department, Mr. Zhong is Anxious_4 It seems that there was concern that in a couple of days, when everything had settled down, it wouldn''t be good to bring up the matter again. This is why they''re striking while the iron is hot, seizing the opportunity to take action against the Emergency Department. "I was actually off today. I just got back from a training session." After greeting Director Lou and Director Xin, Vice Director Ye immediately got down to business. "We''ve specifically held a meeting on surgical safety just recently, yet our Emergency Department Operating Room is really testing me!" Without pounding the table or flying into a rage, but merely saying he''s being tested indicates that the issue isn''t too serious. "Mr. Zhong, has the investigation into the incident been completed?" Vice Director Ye looked towards Zhong Hui. "It has been thoroughly investigated. The cause of the accident in the Emergency Department Operating Room yesterday was due to surgical nurse Tian Tian chatting casually with others during the surgery, neglecting her duties, and mistaking Isoprenaline for the anesthetic Dikain while preparing the topical anesthetic, ultimately leading to the patient experiencing dangerous symptoms such as increased bleeding from the wound, headaches, chest pains, and shortness of breath." Zhong Hui''s work was quite detailed. "This incident reveals multiple oversights in the safety management procedures of the Emergency Department Operating Room. Casual chatting during surgery and senior doctors not stopping it on time is one of them. The error in anesthetic preparation by the nurse going unnoticed and lacking supervision is another. The investigation also revealed a more serious issue. The attending surgeon of the operating room, Xu Chen, had privately allowed the standardized training resident Zhou Can to be involved in the important steps of a Level 2 surgery." This was listing the charges against them. Sear?h the ¦Çov§×lFire .net website on Google to access chapters of novels early and in the highest quality. After hearing this, Vice Director Ye looked at Zhou Can with some surprise. If he remembered correctly, this young man named Zhou Can had just become a resident in standardized training this year, right? He was only trained for a little over a month, and he could already complete important steps of a Level 2 surgery? He found it a bit hard to believe. As for the first two charges listed by Zhong Hui, they were minor issues; a few words of caution and future attentiveness would suffice. As a medical Vice Director, he was also aware of the challenges in the Emergency Department. Being a senior leader usually entails leniency towards subordinates. Being too stringent can only lead to discontent and disloyalty. Proper guidance is sufficient. "Dr. Xu, you are essentially in charge of managing the Emergency Department Operating Room. Regarding chatting among nurses and doctors during surgery, you need to regulate that; this can''t be allowed to continue. When nurses are preparing medications, if possible, doctors should still supervise appropriately; some nurses are quite irresponsible. I will also bring this up with the nursing department, asking them to strengthen training for all nurses in our hospital, ensuring standard operations." Vice Director Ye seemed to have a deep understanding of the Emergency Department''s situation. He was even aware of the fact that Dr. Xu oversaw the operating room. And his attitude towards Dr. Xu was very polite. Mr. Zhong, standing aside, was getting anxious. He had gone to great lengths believing that he would at least give the Emergency Department Operating Room a good shake-up, yet now with Vice Director Ye''s amiable demeanor, how could they proceed with further discussions! He was here on a mission. If unaccomplished, it wouldn''t be easy to explain to Director Xie. "Please rest assured, I will strengthen management." Dr. Xu made a solemn commitment. "Tell me, what important steps of a Level 2 surgery did you let Zhou Can be involved in?" Vice Director Ye seemed even more interested in this matter. "Nothing much, just some skin stitching and the like." Dr. Xu was an old hand and wouldn''t let his guard down just because of Vice Director Ye''s friendly demeanor. He spoke with extreme caution. Chapter 158 - 104: Making Another Move. The Most Helpless Thing in the World is called Accommodation "Mr. Zhong, isn''t that an exaggeration? It was merely a skin suture." Vice Director Ye looked towards Zhong Hui. "Dr. Xu, do you think Zhou Can was just suturing skin?" Zhong Hui showed Dr. Xu the captured images. "Oh¡ª you mean this? At that time, I was beside Xiao Zhou teaching him how to perform an appendectomy. What''s the problem with that?" Dr. Xu''s face remained calm, completely dismissing the concern. He is definitely a seasoned veteran. Seems like he''s never been afraid of anyone. Whether it''s facing Director Xie or Mr. Zhong, Dr. Xu always maintained this defiant, fearless attitude. It''s only when a patient is in danger that he shows signs of anxiety. "A trainee taking on high-risk steps in a Level 2 surgery, and you ask if there''s a problem? What kind of attending physician are you? Haven''t you learned about the surgical grading and access system? Haven''t you memorized the surgical safety regulations?" Zhong Hui indeed had the knack for leadership. The skill of imposing blame was unmatched. "Mr. Zhong, you were a surgeon before, right? If senior doctors didn''t allow you to participate, only to stand and watch, you probably wouldn''t be able to perform a Level 1 surgery until retirement." Dr. Xu retorted sharply. Turning Zhong Hui green with anger. He was actually mediocre in medical practice, which led him to administrative departments. Dr. Xu just casually made an example. But it struck a nerve in Mr. Zhong. "Newcomers definitely need proper training. Dr. Xu boldly training newcomers is commendable. However, safety must be considered during their training. High-risk procedures must follow protocols; haste makes waste." Vice Director Ye provided guidance. Although tactfully said, it basically told Dr. Xu that Zhou Can is not yet ready to take on the high-risk parts of Level 2 surgeries. "I won''t let him perform the medium and high-risk parts of a Level 2 surgery next time." Dr. Xu could only express his stance publicly. This issue was already edging on violation, and since Mr. Zhong had brought it up, and Vice Director Ye had given his advice, Dr. Xu couldn''t afford not to respond. "Right, that''s much better!" Vice Director Ye nodded with satisfaction. At this point, the meeting could essentially be concluded. But Mr. Zhong, having not yet achieved his goal, was not about to give up. "Dean Ye, there''s one more issue to report. We''ve recently found a significant drop in the surgical satisfaction in the Emergency Department. After in-depth investigations, we initially suspect it''s related to the fact that two trainee doctors have performed numerous Level 1 surgeries. With their limited capabilities and experience, you can imagine the quality of surgeries they completed." He had done his homework in an effort to reclaim surgeries for the department. For a top-tier hospital like Tu Ya, medical quality is synonymous with its lifeline, so it''s tightly controlled. Surgery satisfaction levels are barely managed in many small hospitals. S§×arch* The novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. They can''t handle it. Complicating matters, if surgeons have their pay docked or are over-demanded, they might simply switch jobs. After all, training skilled surgeons is difficult and time-consuming. This causes a significant shortage of surgeons in smaller hospitals. They must be treated with utmost respect. Even many ophthalmologists and orthopedists in small hospitals have annual pre-tax incomes over 300,000 yuan. That''s a high income. Many department heads in county hospitals earn about 20,000 yuan as official income. Exceptional specialists in certain departments are excluded. Small hospitals have only one requirement for surgeons: avoid accidents. Big hospitals, however, demand post-surgery recovery to meet high standards. For example, suturing a patient''s face demands good healing with no unsightly scars left behind. Or when removing an appendix, it must solve the problem thoroughly without introducing other complications. "Do you have relevant statistics?" Dean Ye, upon hearing this, frowned slightly, his expression turning serious. Tu Ya''s growth and strength rely on its reputation and illustrious doctors. A severe decline in surgery quality is a grave issue. "Yes!" Mr. Zhong signaled his female assistant slightly. She immediately brought out several statistical reports already printed, respectfully handing them to Dean Ye. "These are the surgical volumes and follow-up surveys of the Emergency Department from the last three months. Please have a look." Dean Ye took them and carefully compared the data from the past three months. "The volume of surgeries has indeed increased quite a bit, but the satisfaction has indeed dropped considerably!" After reviewing, Dean Ye handed the reports to Director Lou. "I''ve seen Xiao Zhou and Jin Mingxi''s surgical capabilities, they shouldn''t be this way!" Dr. Xu frowned deeply, puzzled. Jin Mingxi had his independent surgery privileges suspended recently, but his surgical skills are quite good. The quality of his work is high. Not to mention Zhou Can, Dr. Xu even felt that the quality of Zhou Can''s surgeries could rank in the top three in the Emergency Department surgery room. "Dean Ye, I suggest revoking the surgical privileges of trainee doctors Zhou Can and Jin Mingxi in the Emergency Department. The Emergency Department should not encroach on surgeries that should be performed by specialized clinics. Each to their own specialty, the Emergency Department is only suited for emergency surgeries." Zhong Hui had made so much preparation, even involving Dean Ye, to stop the Emergency Department from snatching surgeries intended for specialized clinics. Chapter 166 - 106: The Story of the Devoted and Faithful Man, Mr. and Mrs. Li Lao_2 He was explaining to his wife. Zhou Can looked outside following the sound. He saw a gentle-looking woman sitting in a wheelchair. Li Lao was pushing the wheelchair, looking at the woman with a face full of tender affection. It turned out his wife had a physical illness and couldn''t walk normally. She needed the wheelchair to get around. No wonder he had heard his wife''s voice and immediately ran out. Seeing how anxious he was about his wife suggested they must share a deep bond. Zhou Can had never been in love and was naive, curious, and full of longing for love. He had seen the ''beautiful'' side of love in the hospital, where a twenty-three-year-old boy kept vigil at the bedside of his severely burned girlfriend. The girl''s family was very poor, and so was the boy. Then, a charity platform and the media launched a fundraising campaign for the girl, successfully raising a significant amount of money. Even if it wasn''t enough for later cosmetic surgery, it was at least enough for the initial treatment. Zhou Can often saw that boy guarding the girl''s bedside. When interviewed by media reporters, the boy confidently said he would treat the girl well and marry her once she was discharged. Then, one morning during rounds, Zhou Can found the girl crying in bed. After asking several nurses on duty, he learned that the boy had run off with the money. The phone was now disconnected, and he could no longer be reached. That incident left a deep psychological shadow on Zhou Can. He became very wary of love. He feared meeting a female con artist who would deceive him of money and affection. At this moment, seeing Mr. Li''s affectionate relationship with his wife, he seemed to believe again in the beauty of love. "Qiu Jie, today we have invited Dr. Zhou to have dinner at our place. We haven''t started eating yet. Just now you and your husband were also having a good chat with Dr. Zhou. If you don''t mind, you could join us for a simple meal. With two more people, it''ll be livelier." Mr. Cui''s wife warmly extended the invitation to Mr. Li and his wife. "This... that might not be very appropriate!" Qiu Jie, sitting in the wheelchair, glanced into the room and her eyes landed on Zhou Can. "It''s no trouble at all. Old Cui and I often drop by your place for food and drinks, don''t we? If you refuse, that would make things awkward!" Since Mr. Cui''s wife said so, The Li couple didn''t hesitate any further. "Mrs. Li, hello!" Zhou Can took the initiative to greet her. "Anyone that Brother Cui invites to his home for a meal must be remarkable. My husband rarely compliments anyone. I believe Dr. Zhou must be a very special, outstanding young man." She smiled and shook hands with Zhou Can, lavishing praise on him. However, when Zhou Can shook her hand, he found it somewhat cold. This indicated poor blood circulation in her upper limbs. Her legs had not been amputated. What disease could she be suffering from? Being their first meeting, Zhou Can naturally wouldn''t ask some inappropriate questions. He was just curiously guessing the cause and condition of her illness out of a doctor''s instinct. "Mrs. Li, you flatter me! But the love between you and Mr. Li is particularly enviable! It lets me see what beautiful love looks like." "Giggle! From what Dr. Zhou says, I guess you''ve never been in love." She laughed and then sighed softly. "Sometimes, love may seem beautiful, yet it can bring pressure and burdens to the other person. If I hadn''t fallen ill, Li Lao wouldn''t have given up all his work to come home and care for me." "Wife, why bring this up again? Giving up all my work to be by your side, I feel secure and comfortable. Compared to you, my career means nothing." Li Lao took his wife''s hand, with a slight reproach but also with a look of heartache. "But¡­ with your talent, if it weren''t for staying by my side, I believe you would already be the president of Tianyu Interactive. Every time I see you sitting quietly by the window, I know you must be thinking about your career." She didn''t shy away from speaking her mind in front of others. Indeed, these matters should be secrets between husband and wife. But now, talking about it in front of Mr. and Mrs. Cui and Zhou Can showed that she preferred to be forthright and sincere in front of friends. She wasn''t one to play any schemes. "No matter what you say, I''ve made up my mind to stay by your side for life, until we are old." He refused to discuss the matter any further. His attitude was also exceptionally firm. Zhou Can keenly detected a trace of guilt towards his wife in his tone and eyes. There must have been some stories between them as a couple. Li Lao could have potentially become the president of Tianyu Interactive, which finally made Zhou Can understand why Mr. Cui and his wife valued Li Lao''s opinion so highly. Tianyu Interactive seems to be one of the top entertainment companies in the industry. Many stars and singers are signed under Tianyu Interactive. In the entertainment circle, the company is absolutely a benchmark. "Hehe, you two, showing off your affection in front of so many people, you''re really trying to make us feel jealous! The food is almost ready, please everyone, take a seat!" Mr. Cui''s wife deftly defused the tension between the two with a laugh. "That''s right, let''s eat first! I was so wrapped up in discussing the living room decor that I was neglecting our guests, how rude of me!" Mr. Cui also welcomed the guests along with his wife. The dining room is very spacious, and it can comfortably accommodate twenty people for a meal. The floor-to-ceiling curtains along the wall are drawn open, allowing a full view of the beautiful garden outside. Lawns, pebble-strewn pathways, and a variety of trees and plants adorn the surroundings. They even put in a rockery with flowing water and a fish pond to create a high mountain stream ambiance. Mr. Cui and his wife have really high standards when it comes to quality of life. On another side of the dining room, there is a wine cabinet and a large beverage refrigerator. The wine cabinet''s compartments are filled with a variety of red and white wines. Some compartments might be empty because the bottles were drunk and not yet replenished. "What kind of drink does Dr. Zhou like? You are my honored guest and lifesaver, I must take out the best wine from my cellar to entertain you." Many wealthy people build wine cellars on the underground level of their villas, specifically to store a variety of fine wines. Mr. Cui''s wine cellar must indeed be rich in collections. "I''m not picky, and I don''t know much about wine! The fact that Brother Cui and his wife personally prepared such a meal to treat me, that''s the greatest sincerity. Those fine wines of yours should be left for guests who appreciate them. Don''t waste such treasures!" Zhou Can''s words brought smiles to the faces of the others. "Then let''s just have a bottle of aged red wine to liven things up." He got up, went to the wine cabinet, took the top shelf''s bottle of red wine, and opened it with a corkscrew, pouring half a glass for everyone. "Here''s to us being able to gather, cheers!" As the host, Mr. Cui was the first to raise his glass in toast. "Fate has brought us together around the same table; life is so wonderful. May our friendship be like this wine, getting better with time." Li Lao, who is in the arts, spoke impressively and poetically. S§×ar?h the N?velFire(.)net website on Google to access chapters of novels early and in the highest quality. "To meet and share a drink at the same table among billions of people is my fortune." Zhou Can was just as adept with words. "Cheers!" The two ladies were more succinct, simply echoing the toast. The five toasted together, then while enjoying the delicious offerings on the table, they began various casual conversations. Mr. Cui, his wife Yin Qin, and Li Lao were all very knowledgeable. They talked about many things that gave Zhou Can fresh insights. Especially conversing with Li Lao, it felt as if he had opened a window to a different world. Their chat was particularly harmonious, with a sense that kindred spirits were appreciating each other''s company. Li Lao''s wife was relatively quiet, only occasionally adding a comment or joining in with laughter. Perhaps due to her disability that confined her to a wheelchair, she might be under a great deal of internal pressure. It felt like her spirit was not cheerful, lacking happiness. Zhou Can seemed to understand why Li Lao wanted to stay by his wife''s side. When a person''s mood is very low, they are prone to doing foolish things. As they raised their glasses, Zhou Can inadvertently caught sight of two scarred marks on her left wrist. With his clinical experience, those two scars did not occur at the same time. The span was at least over half a year. Others may not understand the origin of those two marks, but Zhou Can inferred something. If he wasn''t mistaken, those were scars left from a suicide attempt by cutting her wrists. Chapter 171 - 108: Muscle Electrical Attenuation, A Breakthrough Diagnosis Because Dr. Gao of the Neurology Department, the most promising young doctor, when he saw this resident of the Emergency Department, his expression showed not only pleasant surprise but also respect. The hospital is also a small society, if you have a future or strength, others will respect you. Otherwise, you''d be like dust in the corner. Tuya Hospital has several thousand employees, the vast majority of whom are just ordinary people. "I must tell you, Dr. Zhou is the most promising doctor in the Emergency Department. Having a good relationship with him is all benefits, no drawbacks," said Gao Jian to the nurse, then once more he looked at Zhou Can. "Dr. Zhou wouldn''t have come to see me, would he? Haha! I''m a bit narcissistic haha!" Although Gao Jian and Zhou Can were competitors, when they met, he was very enthusiastic. That nurse was surprised again as she looked over Zhou Can. No scorn remained in her eyes. Her face, however, held a somewhat ingratiating smile. Unfortunately, Zhou Can did not look at her again. "I''m here to ask Director Yin some questions, do you know where he is?" "Director Yin is my teacher, wouldn''t I know where he is? Come on, I''ll take you to him. Teacher just mentioned you two days ago. You''re in luck today, Teacher just happens to be doing overtime. Normally, on weekends, Director Yin doesn''t come in. Recently, there are quite a few patients seeking consultation; the teacher is worried his specialist slots might get snapped up by scalpers, that''s why he chose to work overtime." By the time one reaches Director Yin''s level, a lot of basic work no longer needs to be undertaken. Main responsibilities include mentoring students, holding appointments, attending meetings, etc. If it were a surgical department director, aside from holding appointments, they would also need to perform surgeries. From this perspective, internal medicine doctors naturally have an advantage in academia. For surgeons at the chief level or above, it''s basically half a day of appointments, half a day of surgery. They also need to make rounds, mentor students, lead groups, manage projects... there''s genuinely not much time left for learning. Many people think that surgeons earn more than internal physicians. That''s very one-sided. While surgeons certainly earn from performing surgeries and overtime fees, internists also get a good share from pharmaceutical commissions. When it comes to hospital admissions, internal medicine can outperform surgery. An ICU that costs ten to twenty thousand per day is like a gold-swallowing behemoth. Even so, many hospital administrators often complain that the ICU is a loss-making department. Under Gao Jian''s lead, Zhou Can walked straight to the outpatient clinic of the Neurology Department. There were still quite a few patients sitting in the hallway outside. Tuya Hospital actually has many specialist outpatient clinics. The cheapest specialist slot costs 50 yuan, with the most expensive ones for specialized specialist outpatient services costing over 1000. In this strange world, the cheaper specialist appointments seemed unwanted, while those costing several hundred or over a thousand get sold out in seconds. Nowadays it''s a bit better, as registration requires a personal ID. Scalpers have much less room to maneuver. Before the advent of self-service registration machines, when it was all manually operated, the better specialist appointments were all monopolized by scalpers. If you wanted to see a doctor, you had to buy from them. If you didn''t buy, no problem, there are plenty of patients willing to pay extra. Because patients simply can''t afford to wait. "Liu Yan, how many more patients does Director Yin still have left to see?" Gao Jian asked the guide nurse. These nurses'' role is to guide patients to queue up, maintain order, and call out numbers. S~ea??h the N?velFire(.)net website on Google to access chapters of novels early and in the highest quality. Patients just need to hand over their medical history book and registration slip to her, and she will call out the numbers one by one according to the sequence. This can prevent people from jumping the queue. Patients and their families just need to sit on the benches in the hallway and wait. "There are still three patients left." "Alright!" Gao Jian nodded and looked at Zhou Can. "There are three more patients; you might have to wait about half an hour. I need to go to the inpatient department to work, so I can''t stay with you." Residents of specialty training programs are all quite miserable. Managing patients, writing medical records, working night shifts, doing various miscellaneous tasks¡­ they can be so tired each day that they fall asleep as soon as they hit the pillow. "Go ahead and do your work! Thanks!" Zhou Can waved his hand at him. Luckily, he encountered Gao Jian today; otherwise, it wouldn''t have been easy to find Director Yin. After watching Gao Jian leave, Zhou Can found an empty seat and sat down. He noticed that many patients came with various test reports done at other hospitals, seeking a consultation. They couldn''t find out their conditions or had ineffective treatments at local hospitals, which is why they came to Tuya Hospital looking for a specialist diagnosis. Zhou Can casually glanced over, and most of those outpatient rooms were specialist clinics. The room for Director Yin Hua had a sign marked "Specialist Outpatient Service No. 1". Such specialist outpatient clinics usually have six or seven rooms. Those able to hold the title "specialist" generally have made significant achievements in a specific sub-discipline. After rigorous review, they were qualified to add "special" to their title. Tuya''s strength really was strong. After all, just a sub-discipline of neurology already had so many top experts. Adding up all the departments of key importance in Tuya, the number of top experts probably exceeded a hundred. Many doctors dream their whole lives of becoming top experts. In reality, if three or four out of a hundred doctors can become top experts, it''s quite remarkable. As long as Zhou Can keeps striving like this, someday he will also sit in a specialist outpatient clinic as a top expert, diagnosing patients. While waiting here, he took out his phone again to look through Qiu Jie''s test reports. One by one, he scrutinized carefully. Some reports, he even reviewed more than ten times. But he still couldn''t find anything significant. Chapter 161 - 105: The Courtesy of a Distinguished Guest, Not Just Limited to Scalpels Director Lou led them back to the Emergency Department, his smile never faded along the way. The atmosphere felt like the New Year celebration. Only Dr. Lu kept his head down and remained silent. In the meeting room, he deeply experienced what it meant to be utterly humiliated. At that time, Mr. Zhong publicly criticized the declining quality of surgeries in the Emergency Department, mentioning many cases with extremely low surgery scores. Dr. Lu didn''t take it seriously. He really thought it was caused by the newbies, Zhou Can and Jin Mingxi. However, after a thorough investigation, it turned out that Zhou Can had performed many surgeries, each scoring over 9.5. Jin Mingxi scored slightly lower, but still above 8.5, which was considered excellent. He never expected that the surgery scores of him and Doctor Lin would be so low. Especially him, he was even specifically criticized by Vice Director Ye. Dr. Lu really wished he could crawl under the desk. "Old Xu, you did a great job today! Director Xie is also a prominent figure, I think he won''t be using Emergency Department surgeries to compete with specialized outpatient surgeries for a while. However, this also serves as a wake-up call for us, it''s time to seriously focus on improving the quality of medical services." Director Lou always had ambitions, but without competent personnel, he could only endure and wait. After recruiting Zhou Can and Jin Mingxi, there was an unexpected breakthrough in surgical operations. And facing Director Xie''s suppression twice, the Emergency Department stood firm. Sear?h the Nov§×l?ire.n(e)t website on Google to access chapters of novels early and in the highest quality. This made Director Lou realize that talent is the most critical foundation for department development. It also made him resolutely decide to be tough on those who were just coasting along. Any department or company wanting to be strong must have a cruel competitive mechanism. Otherwise, with many mediocre people occupying positions, that department will never become strong. Dr. Xu turned his head to look at the disheveled Dr. Lu. "Dr. Lu has talent and has been much more diligent recently. I believe that once he realizes his level, he will feel ashamed and strive harder, rigorously practice surgical skills, and correct his attitude toward surgeries." This was already speaking up for Dr. Lu. "Absolutely, I will definitely work harder, please give me another chance, Director Lou." Dr. Lu was full of a desire to survive. He had realized that Director Lou might be considering eliminating him. Although Dr. Xu is usually strict and spares no one''s feelings when scolding, he has a sharp tongue but a soft heart, being extremely lenient towards his doctors and nurses. Director Lou is different. As the helmsman of the Emergency Department, he must be tough when it''s necessary. Like yesterday when Tian Tian caused trouble, regardless of her pitiful appearance, Director Lou simply did not entertain any thoughts of pity. He would impose whatever punishment was necessary. "Lu, you are also a veteran in the Emergency Department. I''ll speak frankly. Opportunities have been given to you countless times, but you''ve never cherished them. You agree verbally but your actions don''t match. This should be your last chance, and I sincerely hope you can become a qualified surgeon." Director Lou made these remarks in front of Zhou Can and Jin Mingxi. A warning to Dr. Lu, while also a caution for the two newcomers. Zhou Can had long witnessed the cruelty of the workplace. He remained calm internally. He had always been hardworking and never feared competition. Currently, his position in the Emergency Department was becoming more stable. The competition allowed him to excel. ... After work, he and Jin Mingxi left the Emergency Department building together. "It''s dinner time, let''s go to the cafeteria and solve the sustenance issue!" Jin Mingxi said with a smile. "Look at you, smiling so happily, you must have calculated that Dr. Xu will restore your independent surgery qualification tomorrow!" Zhou Can joked. The Emergency Department''s operation room is staffed by few people, and with Dr. Lu''s low surgery scores, he would definitely be suspended. Considering the interests of the Emergency Department, it was almost certain that Jin Mingxi''s independent surgery qualification would be restored. "Hehe, you guessed right, impressive! I''ll add a chicken leg for you tonight!" Jin Mingxi was in a very good mood. His independent surgery qualification had been suspended for about two weeks, and he was nearly depressed. Now that things were looking up, how could he not be happy? "You can have the chicken leg, just remember it, and treat me tomorrow. A recovering patient has invited me to his house for dinner tonight, so I won''t join you." Zhou Can is extremely honest. Mr. Cui had arranged with him a few days in advance to have dinner at Mr. Cui''s house tonight. Normally, if he got off work early, he should have headed there around five o''clock. There were some delays today, hopefully, Mr. Cui and his wife hadn''t waited too long. "You got such a good deal? Why don''t I ever come across such offers? Go ahead, bring some good food back for me!" Jin Mingxi said enviously. He felt that Zhou Can was extremely lucky. He always seemed to encounter good opportunities. But he didn''t consider that the dinner Zhou Can earned was not easy. At the risk of losing his residency exam qualifications, he saved a life and garnered this meal. Good deeds bring good rewards; probably refers to this. Taxis are never lacking at the hospital entrance. Even during the rush hour, those savvy taxi drivers still come to pick up passengers. Zhou Can casually hailed a cab and got in. "Master, to Jiangxin Garden!" "Wow, that place is a famously affluent area, security is very strict! Outside vehicles can''t enter without the accompaniment of an island resident." Chapter 162 - 105: The Courtesy of a Distinguished Guest, Not Just Limited to Scalpels_2 The taxi driver glanced at Zhou Can twice, looking like a rich young master. But he was also somewhat uncertain. Because only the rich or prestigious can live in Jiangxin Garden, and they are all tycoons with assets of at least several hundred million. In this city, thanks to the soaring housing prices, many local residents have made a fortune during the demolition wave by owning two or three apartments, in addition to receiving various compensations and resettlement fees. Millionaires are quite common; you can find a lot of them with just a random pick. But billionaires are very rare. "It''s okay, just drop me off at the entrance." Zhou Can didn''t mind. He had heard about the strict security in Jiangxin Garden. He took this opportunity to experience the lifestyle of the super-rich. After the car started moving, he checked the time, which was approaching six o''clock, and decided to call Mr. Cui first. It is said that the rich have very regular routines. According to Traditional Chinese Medicine theory, one should finish dinner around five o''clock and then refrain from eating until the next morning. There''s even something more extreme called "no food after noon." After noon, no more food is consumed until the next day. It is said to be beneficial for cardiovascular health, but there''s a lack of real investigation data to confirm whether it is true. As Zhou Can knew, many tycoons choose to eat dinner around four-thirty in the afternoon when they are not discussing business, and then quietly read or enjoy life. The phone rang twice, and then connected. Generally speaking, someone who answers the phone within three rings is considered very sincere and polite. "Dr. Zhou, are you off work?" "Brother Cui, I''m sorry for today, there was an issue in the operating room, and the meeting just ended. I''m on my way to your mansion now, the taxi driver told me that I can''t enter Jiangxin Garden without an owner leading the way." "I''ll meet you at the entrance of the community, do you remember what I look like?" Mr. Cui said with a laugh. "Of course, I remember, otherwise I wouldn''t dare to mooch a meal at your house!" Zhou Can faced this billionaire without feeling any psychological pressure. On one hand, he had some family background, and on the other, Mr. Cui was very approachable and didn''t put on airs. If he was pretentious, Zhou Can wouldn''t even go. "Haha, Dr. Zhou, you''re always witty! I''m wearing an apron and standing at the entrance of the community waiting for you." Mr. Cui should be cooking at the moment. Wearing an apron to meet someone is really special. It shows that Mr. Cui is a free spirit who can disregard societal views. It also indicates that he considers Zhou Can a true friend, which is why he is so casual. Otherwise, someone influential like him would definitely pay attention to his appearance when going out. "I still need at least half an hour to get there, I''ll call you once I arrive!" Zhou Can wouldn''t dare to make someone wait for him at the gate for so long. "It''s alright, it''s alright, I''m very happy that you can come. The ingredients here are already prepared, my wife is cooking, and I''ll go to alert security a bit earlier. Next time you visit, it''ll be more convenient." Mr. Cui was truly enthusiastic towards him. 36 minutes later, Zhou Can finally reached Jiangxin Garden. At the entrance stood a stone monument over two meters high, engraved with the words "Jiangxin Garden." Nothing else was remarkable. It was just an asphalt road leading to Jiangxin Island, with pedestrian paths built on both sides. Zhou Can paid the fare and got out of the car. Mr. Cui, wearing a dark apron, quickly came out from the security booth to greet him. At that moment, a black Audi stopped at the entrance barrier. "Mr. Cui, are you picking up a friend?" A woman in her forties poked her head out of the window and greeted Mr. Cui with a smile. Her attire was quite classy. Her demeanor was also quite impressive. "Yes, yes! This is a valuable guest that I''ve managed to invite." Mr. Cui spoke very respectfully toward Zhou Can. "Hello!" The woman smiled and greeted Zhou Can. "Hello!" Zhou Can politely nodded in response. "I''m leaving now, I need to hurry back to cook for Mrs. Huang!" The woman waved with a smile, then drove into the community. "This is a nanny hired by my next-door neighbor. My neighbor is an elderly person living alone, and their children are very busy with work, so they hired a nanny to take care of them." Mr. Cui explained the woman''s identity to Zhou Can. Zhou Can''s eyes nearly popped out of his head. My goodness! Driving an Audi, dressed more upscale than the average office worker, and she''s just a nanny. This really refreshed Zhou Can''s understanding. "Haha, don''t be surprised. Nannies in this high-end community earn at least thirty thousand per month, with thirteen months'' salary a year. But the recruitment requirements are also very high." Mr. Cui explained while laughing. "Gosh, thirty thousand a month, that''s higher than the salary of most attending physicians at our hospital. Today has indeed been an eye-opener." The attending physicians at Tuya Hospital generally have a regular income of around twenty thousand. Who would have thought that a nanny''s salary could be so high. No wonder she drives an Audi and wears upscale clothes. "Haha, doctors aren''t really in it for the money anyway. And those doctors with high incomes are all at least associate senior level. I understand that in southern coastal cities, major hospitals even have associate directors earning over 1.2 million annually." S~ea??h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. Mr. Cui laughed heartily. Don''t believe those keyboard warriors online, claiming to earn millions or even tens of millions a year, but in China, even in the top three first-tier cities, earning over fifty thousand a month is already considered high income. Chapter 163 - 105: The Courtesy of a Distinguished Guest, Not Just Limited to Scalpels_3 The realistic salary for the general public is usually a few thousand yuan a month. In some impoverished areas, remote mountain regions, the average annual income is even just a few hundred yuan. The medical profession is considered a stable growth industry. After obtaining the title of associate senior professional, the income can be more than double that of a primary doctor. Mr. Cui led Zhou Can into the security booth. "This is my friend, please help him register for the access control." There were two security guards inside the booth. Both stood upright, with a steady posture and sharp eyes. They carried the faint air of soldiers. Possibly ex-military of some sort. "Mr. Zhou Can, please face the camera to collect your facial and iris data. For security reasons, if you agree, you can press your palm on it to leave your fingerprint data." The security guard guided Zhou Can to register his facial recognition information. In such high-end communities, access cards aren''t usually required, and facial and iris recognition are used instead. Fingerprint identification is available in case verification fails. The fact that the security guard could call out his name meant Mr. Cui had already communicated with them. "It''s all set! From now on, when Mr. Zhou enters Jiangxin Garden, just let the camera see your face." The security guard indicated to him. "Thank you!" Zhou Can actually felt that there was no need to register. However, Mr. Cui was so hospitable that it was really difficult for him to decline. It would be nice to visit more often when he had time. His friends were few to begin with. A high-quality friend like Mr. Cui is certainly worth the time and effort to maintain. "Mr. Cui has been waiting here for you for nearly half an hour, we have never seen him take such an interest in any guest before. You must be a dear friend of his, right?" The security guards were particularly curious about Zhou Can''s status. So young, yet Mr. Cui regarded him so highly, they couldn''t think of many reasons. "Hehe, Brother Cui and I indeed get along well." Zhou Can didn''t deny this. Especially after knowing that Mr. Cui had been waiting for him for more than half an hour, he felt even more that this friend was worth making. Details can reveal a lot. Mr. Cui''s sincerity was reflected in all the little things. "I didn''t drive here, it''s not far anyway, let''s walk together!" "Sure!" Zhou Can guessed privately that Mr. Cui had arranged it this way to chat more with him on the way. The two chatted as they walked, with beautiful scenery on the island, waves of the river, rows of exquisite villas on the island, revealing their private gardens. Many of them were well maintained. Some villas may even have underground swimming pools. Rich people really enjoy an extreme level of luxury. The two had a lively conversation along the way. At first, they consciously avoided private topics. But as they talked more and more congenially, they eventually touched upon family, life, and others. "This is my house up ahead." Mr. Cui pointed to the house number on the gatepost. S§×ar?h the N??elFir§×.net website on Google to access chapters of novels early and in the highest quality. "Just remember number 9. If you forget, look for the dragon in front of my garage." Zhou Can looked up and saw a golden dragon lying on the porch of the villa. It was domineering and powerful, yet also quite showy. "This isn''t really like Brother Cui''s personality, and your wife seems to be a very low-key person too. How come you thought of getting such an ostentatious golden dragon?" Zhou Can, having chatted with him for so long and gotten familiar, dared to say this. Otherwise, he would have definitely said something flattering, rather than commenting that the dragon seemed very showy. "That year my son was born, I was also young, and had some small achievements in business, and it just so happened that I bought this villa. So, in a fit of joy, I got a bit carried away and had this golden dragon made. As I got older, I''m not so showy anymore. But after my son went abroad and seldom came back, I would think of my son whenever I see this dragon. So, I never had the heart to change it." Mr. Cui explained the origin of the golden dragon. Zhou Can could understand him. Although he himself did not have a son yet, he had also experienced the separation of family affection. His parents were in a distant county, and he was studying in the provincial capital city, hardly able to return home once a year. The longing for his parents, only he could understand. Sometimes, when missing home and family, looking at some special gifts could alleviate the longing in his heart to some extent. "Yiqin, I''ve brought Dr. Zhou here," Mr. Cui called into the house. Upon hearing this, a woman in an apron, graceful and luxurious, hurried out from the house¡ªit was Yiqin, whom he had met once before. "Dr. Zhou, please come in!" Yiqin was truly a role model among women, dignified and grand, able to be both in the drawing room and the kitchen. "No need to take off your shoes, just come on in!" The couple welcomed Zhou Can into the house with great enthusiasm, giving him the experience of being an honored guest. The first thing he entered was an extra-large living room with a high ceiling. The room''s decoration was classical, with a Chinese theme. The furniture was traditional Chinese rosewood. Armchairs, horseshoe-back chairs, six-paneled screens, long tables, and Eight Immortals tables¡ªthese were all high-end old furniture that could only be seen in period dramas. "Dr. Zhou, how do you feel about the interior decor? The fact that you could outright say the dragon outside is too ostentatious shows your aesthetic taste is refined. I''d like to hear your opinion." It was clear Mr. Cui had put a lot of effort into the interior design. Yiqin made tea for Zhou Can. "Dr. Zhou, please enjoy the tea!" She used a vintage Sancai lidded cup heavy with retro charm. The tea leaves inside gave off a refreshing fragrance, surely a precious high-grade tea. Chapter 164 - 105: The Courtesy of a Distinguished Guest, Not Just Limited to Scalpels_4 "Alright, thank you!" Zhou Can took the tea with both hands and placed it on the coffee table. He then looked around, surveying the overall interior design of the living room twice. Yiqin didn''t rush to the kitchen. Wiping her hands on her apron with a smile on her face, she too wanted to hear what kind of critique Zhou Can would offer. "Brother Cui, sister-in-law, I''m not very knowledgeable about aesthetics, so please don''t take it to heart if I misspeak." "Not at all, not at all, we just want to hear your truthful thoughts. You can''t expect those business friends of mine to be honest; they just flatter incessantly," Mr. Cui waved his hand and said. "Your Brother Cui always says the decoration lacks a certain flavor, but can''t pinpoint the reason. He''s genuinely seeking advice!" Yiqin explained timely at the side. "Then I''ll speak my mind. When stepping into the living room, one doesn''t feel classical elegance, but rather opulence and an overwhelming sense of luxury. Look at these floor tiles, aren''t they beautiful? But their modern vibe is too strong. Then there''s that large crystal chandelier, which, in conjunction with the floor tiles, gives off a sense of grandeur. But then you look at the furniture, the calligraphy and paintings on the walls, the retro window lattices, the carved dragon and phoenix columns ¨C they all have a rich classical aura." "Their combination seems more like a hodgepodge." Zhou Can expressed some of his insights. From a young age, he learned many specialties, including music, chess, calligraphy, painting ¨C nearly excelling in all. He could provide some basic aesthetic critique. "Please, continue," Mr. Cui''s expression was amusing, a mix of nervousness and that of a student attentively listening. "Judging from the intense traditional character of the furniture, as well as the style of the walls and columns, I feel you''re trying to create an atmosphere that is classic, impressive, and luxurious." As soon as Zhou Can finished speaking, Mr. Cui nodded repeatedly. "That''s right, that''s exactly what I''ve been thinking. Dr. Zhou really is an expert." Mr. Cui initially did not hold much hope. But after Zhou Can''s series of critiques and even articulating his thoughts, Mr. Cui gained newfound respect for Zhou Can''s aesthetic sense. He looked forward to hearing more. Yiqin also looked at Zhou Can with some surprise. She hadn''t expected this young man to not only possess high medical ethics but also an extremely high level of aesthetic appreciation. "If Brother Cui truly wants to create such an environment, it would likely require a major renovation. The floor would need to be covered with retro-style blue bricks, and that splendid crystal chandelier would need to be replaced. Perhaps with a classical, strongly atmospheric eight-scene lamp. Even the carvings should be changed to a more understated style of adornment. Using dragons and phoenixes too much can come off as overly deliberate and vulgar. Perhaps engraving flowers and plants would add a touch of scholarly fragrance and elegance." In ancient times, all were considered inferior, only scholarship was held high. Status and prestige were not shown by how much money one had, but by one''s achievements, learning, and rank. "To summarize in two phrases, it''s ''prizing refinement over ostentation, valuing novelty and elegance over intricate but excessive ornamentation.''" After giving his critique, Zhou Can offered a conclusive summary. Clap, clap, clap! Sear?h the ¦Çov§×lFire .net website on Google to access chapters of novels early and in the highest quality. The sound of clapping came from outside the door. A man in his forties, with stubble on his face and dressed very casually. He wore a pair of faded dark sports trousers and a white tank top over a sweatshirt. His hair was messy and long. His eyes carried that unique confusion of a disenchanted youth. Someone who could enter Mr. Cui''s home so freely must be no ordinary person. "Mr. Li!" Both Mr. and Mrs. Cui were very friendly and enthusiastic towards this man. Clearly, they were well-acquainted. "I ran out of soy sauce at home and came here to borrow some. I didn''t expect to overhear this young man''s brilliant critique. I am truly astonished. Before entering, I thought Brother Cui had invited some master in his sixties or seventies to come over for design consultation." Mr. Li highly praised Zhou Can''s previous critique. When looking at Zhou Can, it was with curiosity and, even more so, admiration. The kind of admiration one has when meeting a kindred spirit in an art or a companion in a drink. "You flatter me!" Zhou Can, unaware of the man''s identity, dared not to speak out of turn and simply responded with humble courtesy. Chapter 165 - 106: The Story of the Devoted and Faithful Man, Mr. and Mrs. Li Lao "This is my neighbor, Mr. Li Lao. A man who is especially devoted and faithful," Mr. Cui hurriedly introduced the two. "This is Mr. Zhou Can, who works at Tuya Hospital, highly virtuous in his medical practice." Mr. Cui found it particularly amusing to introduce the two, emphasizing a virtue in each person. Perhaps at their level, character is the primary attribute they look for when interacting with others. By highlighting each other''s moral strengths, they could then decide how to proceed in their interactions. "Nice to meet you, Mr. Li!" Zhou Can did not look down on the other party just because of his poor clothing or appearance. On the contrary, after hearing that the man was devoted and faithful, he felt a bit of admiration for Mr. Li. These days, while many men can display devotion, finding one who is both devoted and faithful is like looking for a needle in a haystack. A woman''s upper body is temptation, her lower body a trap. A man''s upper body represents cultivation, his lower body instinct. Faithful men are too rare. This has nothing to do with character, it''s purely driven by instinct. "I am somewhat informed about your situation. I heard that you risked losing your eligibility for the standardized training exam, opting decisively to save Brother Cui first. Someone who can make such self-deterring choices in the face of major interests is a true gentleman." Mr. Li Lao, looking shabby, spoke straight to the heart with deeply insightful comments. This made Zhou Can even more curious about him. Who exactly is this Mr. Li Lao? "Just now, I was genuinely impressed by your commentary on the renovation of this house. Only someone who truly understands aesthetics could speak so incisively. Brother Cui had asked me before, and though I too pointed out that the flooring and crystal chandelier clashed with the overall style, inflicting disharmony, my insights weren''t as unique as yours." In his words, Mr. Li Lao held Zhou Can''s aesthetic abilities in high esteem. "Dr. Zhou''s comments are really that good?" Mr. Cui''s question was clearly directed at Mr. Li Lao. "It''s not just good, it''s excellent. His level of aesthetic judgment is superior to several master teachers I''ve encountered. His critique not only pinpointed the ambiance you want to create but also integrated his unique understanding of classical art. If Brother Cui follows his plan and even invites him to participate in some detail design, your living room will ultimately embody the true charm of antiquity." Mr. Li Lao''s praise made Zhou Can a bit embarrassed. In truth, he was merely offering a relatively prudent suggestion based on his own understanding of beauty and classical art. "To receive such high praise from Mr. Li Lao, and with such confidence. I think Dr. Zhou''s proposals are worth a try. Dr. Zhou, may I be so bold as to ask a favor of you?" Mr. Cui looked towards Zhou Can. "Go ahead!" Zhou Can did not readily agree. He wanted first to understand if it was feasible and what effort it would require before considering his response. "I would like to renovate the living room according to the plan you just mentioned. Could you please provide some more guidance and, if possible, help draw up a blueprint for the construction?" "That''s no problem, give me a couple of days, and I can come up with the drawings. But let me say this upfront, if it doesn''t align with Brother Cui and his wife''s taste after the renovation, you can''t blame me." To Zhou Can, this was a minor matter. A bit of time carved out from his schedule would suffice. "Why would we blame you? We are too grateful!" Mr. Cui''s wife promptly voiced her approval. After hearing Zhou Can''s assessment, she seemed already convinced, and with Mr. Li Lao''s affirmation, she was even more certain that Zhou Can''s suggestions for renovation were sound. "So, Dr. Zhou, you agree?" Mr. Cui didn''t even bother to state his stance again. To him, the money spent on renovation was negligible. "No problem! Once I have the drawings ready, I''ll bring them over, which might take about three to four days. The main issue is that I''m incredibly busy with work and can only attend to this after hours." Zhou Can needed to improve his medical skills considerably. Busy at work, busy after hours too. "Ha ha, three to four days is completely fine, let''s settle on that!" Mr. Cui was extremely pleased with Zhou Can''s agreement. "I''m quite curious, Brother Cui, why do you want to renovate the living room into an ancient style?" Zhou Can genuinely couldn''t understand. Do wealthy people all like to fuss over such things? "Our family runs a foreign trade company, often needing to negotiate with foreign merchants. I''ve noticed that negotiating in hotels isn''t very effective. If we could create a living room at home with a classic ambiance, we could directly bring clients here for negotiations. I believe that when foreign businessmen are in an environment filled with classical charm, their willingness to cooperate will be stronger. It would also showcase our company''s strength and heritage, saving a considerable amount on renting business hotel conference rooms." "So many benefits, why wouldn''t I?" A businessman''s mind always revolves around business. Mr. Cui''s innovative idea does have a viability to it. "Since Brother Cui intends it for business discussions, I will do my utmost in the design." Zhou Can readily agreed. At this moment, a woman''s voice came from outside. S~ea??h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. "Li Lao, did you get the soy sauce you borrowed?" "My wife is here!" Mr. Li Lao immediately ran out. "I was just chatting with a very unique young man, so I spent a bit more time talking." Chapter 166 - 106: The Story of the Devoted and Faithful Man, Mr. and Mrs. Li Lao_2 He was explaining to his wife. Zhou Can looked outside following the sound. He saw a gentle-looking woman sitting in a wheelchair. Li Lao was pushing the wheelchair, looking at the woman with a face full of tender affection. It turned out his wife had a physical illness and couldn''t walk normally. She needed the wheelchair to get around. No wonder he had heard his wife''s voice and immediately ran out. Seeing how anxious he was about his wife suggested they must share a deep bond. Zhou Can had never been in love and was naive, curious, and full of longing for love. He had seen the ''beautiful'' side of love in the hospital, where a twenty-three-year-old boy kept vigil at the bedside of his severely burned girlfriend. The girl''s family was very poor, and so was the boy. Then, a charity platform and the media launched a fundraising campaign for the girl, successfully raising a significant amount of money. Even if it wasn''t enough for later cosmetic surgery, it was at least enough for the initial treatment. Zhou Can often saw that boy guarding the girl''s bedside. When interviewed by media reporters, the boy confidently said he would treat the girl well and marry her once she was discharged. Then, one morning during rounds, Zhou Can found the girl crying in bed. After asking several nurses on duty, he learned that the boy had run off with the money. The phone was now disconnected, and he could no longer be reached. That incident left a deep psychological shadow on Zhou Can. He became very wary of love. He feared meeting a female con artist who would deceive him of money and affection. At this moment, seeing Mr. Li''s affectionate relationship with his wife, he seemed to believe again in the beauty of love. "Qiu Jie, today we have invited Dr. Zhou to have dinner at our place. We haven''t started eating yet. Just now you and your husband were also having a good chat with Dr. Zhou. If you don''t mind, you could join us for a simple meal. With two more people, it''ll be livelier." Mr. Cui''s wife warmly extended the invitation to Mr. Li and his wife. "This... that might not be very appropriate!" Qiu Jie, sitting in the wheelchair, glanced into the room and her eyes landed on Zhou Can. "It''s no trouble at all. Old Cui and I often drop by your place for food and drinks, don''t we? If you refuse, that would make things awkward!" Since Mr. Cui''s wife said so, The Li couple didn''t hesitate any further. "Mrs. Li, hello!" Zhou Can took the initiative to greet her. "Anyone that Brother Cui invites to his home for a meal must be remarkable. My husband rarely compliments anyone. I believe Dr. Zhou must be a very special, outstanding young man." She smiled and shook hands with Zhou Can, lavishing praise on him. However, when Zhou Can shook her hand, he found it somewhat cold. This indicated poor blood circulation in her upper limbs. Her legs had not been amputated. What disease could she be suffering from? Being their first meeting, Zhou Can naturally wouldn''t ask some inappropriate questions. He was just curiously guessing the cause and condition of her illness out of a doctor''s instinct. "Mrs. Li, you flatter me! But the love between you and Mr. Li is particularly enviable! It lets me see what beautiful love looks like." "Giggle! From what Dr. Zhou says, I guess you''ve never been in love." She laughed and then sighed softly. "Sometimes, love may seem beautiful, yet it can bring pressure and burdens to the other person. If I hadn''t fallen ill, Li Lao wouldn''t have given up all his work to come home and care for me." "Wife, why bring this up again? Giving up all my work to be by your side, I feel secure and comfortable. Compared to you, my career means nothing." Li Lao took his wife''s hand, with a slight reproach but also with a look of heartache. "But¡­ with your talent, if it weren''t for staying by my side, I believe you would already be the president of Tianyu Interactive. Every time I see you sitting quietly by the window, I know you must be thinking about your career." She didn''t shy away from speaking her mind in front of others. Indeed, these matters should be secrets between husband and wife. But now, talking about it in front of Mr. and Mrs. Cui and Zhou Can showed that she preferred to be forthright and sincere in front of friends. She wasn''t one to play any schemes. "No matter what you say, I''ve made up my mind to stay by your side for life, until we are old." He refused to discuss the matter any further. His attitude was also exceptionally firm. Zhou Can keenly detected a trace of guilt towards his wife in his tone and eyes. There must have been some stories between them as a couple. Li Lao could have potentially become the president of Tianyu Interactive, which finally made Zhou Can understand why Mr. Cui and his wife valued Li Lao''s opinion so highly. Tianyu Interactive seems to be one of the top entertainment companies in the industry. Many stars and singers are signed under Tianyu Interactive. In the entertainment circle, the company is absolutely a benchmark. "Hehe, you two, showing off your affection in front of so many people, you''re really trying to make us feel jealous! The food is almost ready, please everyone, take a seat!" Mr. Cui''s wife deftly defused the tension between the two with a laugh. "That''s right, let''s eat first! I was so wrapped up in discussing the living room decor that I was neglecting our guests, how rude of me!" Mr. Cui also welcomed the guests along with his wife. The dining room is very spacious, and it can comfortably accommodate twenty people for a meal. The floor-to-ceiling curtains along the wall are drawn open, allowing a full view of the beautiful garden outside. Lawns, pebble-strewn pathways, and a variety of trees and plants adorn the surroundings. They even put in a rockery with flowing water and a fish pond to create a high mountain stream ambiance. Mr. Cui and his wife have really high standards when it comes to quality of life. On another side of the dining room, there is a wine cabinet and a large beverage refrigerator. The wine cabinet''s compartments are filled with a variety of red and white wines. Some compartments might be empty because the bottles were drunk and not yet replenished. "What kind of drink does Dr. Zhou like? You are my honored guest and lifesaver, I must take out the best wine from my cellar to entertain you." Many wealthy people build wine cellars on the underground level of their villas, specifically to store a variety of fine wines. Mr. Cui''s wine cellar must indeed be rich in collections. "I''m not picky, and I don''t know much about wine! The fact that Brother Cui and his wife personally prepared such a meal to treat me, that''s the greatest sincerity. Those fine wines of yours should be left for guests who appreciate them. Don''t waste such treasures!" Zhou Can''s words brought smiles to the faces of the others. "Then let''s just have a bottle of aged red wine to liven things up." He got up, went to the wine cabinet, took the top shelf''s bottle of red wine, and opened it with a corkscrew, pouring half a glass for everyone. "Here''s to us being able to gather, cheers!" As the host, Mr. Cui was the first to raise his glass in toast. "Fate has brought us together around the same table; life is so wonderful. May our friendship be like this wine, getting better with time." Li Lao, who is in the arts, spoke impressively and poetically. S§×ar?h the N?velFire(.)net website on Google to access chapters of novels early and in the highest quality. "To meet and share a drink at the same table among billions of people is my fortune." Zhou Can was just as adept with words. "Cheers!" The two ladies were more succinct, simply echoing the toast. The five toasted together, then while enjoying the delicious offerings on the table, they began various casual conversations. Mr. Cui, his wife Yin Qin, and Li Lao were all very knowledgeable. They talked about many things that gave Zhou Can fresh insights. Especially conversing with Li Lao, it felt as if he had opened a window to a different world. Their chat was particularly harmonious, with a sense that kindred spirits were appreciating each other''s company. Li Lao''s wife was relatively quiet, only occasionally adding a comment or joining in with laughter. Perhaps due to her disability that confined her to a wheelchair, she might be under a great deal of internal pressure. It felt like her spirit was not cheerful, lacking happiness. Zhou Can seemed to understand why Li Lao wanted to stay by his wife''s side. When a person''s mood is very low, they are prone to doing foolish things. As they raised their glasses, Zhou Can inadvertently caught sight of two scarred marks on her left wrist. With his clinical experience, those two scars did not occur at the same time. The span was at least over half a year. Others may not understand the origin of those two marks, but Zhou Can inferred something. If he wasn''t mistaken, those were scars left from a suicide attempt by cutting her wrists. Chapter 178 - 110: The Harsh Reality, Crashing the Drinking Party_3 Zhou Can is a person who sympathizes with the weak and is very just at heart. But he is definitely not a pushover or a weakling. After hesitating for a moment, he finally decided to make a trip there. He went downstairs and took a cab, heading straight to Jiangnan Flavour Restaurant. It wasn''t too far, located right by the riverbank. About ten minutes later, Zhou Can arrived at the grand hall of the restaurant. "Welcome! Are you here for an appointment, or¡­" Sear?h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. "Where is room 2018? Someone called me over!" Zhou Can certainly would not foolishly say that he was here to meddle in other people''s business. "It''s on the second floor, near the end of the corridor. Do you need me to take you there?" This restaurant does good business, not to mention anything else, its enthusiastic service alone can win over a lot of repeat customers. "I can find my way; you can go about your work!" Zhou Can went straight to the second floor. Room 2018 was easy to find, indeed located at the end of the corridor. At that moment, one could still hear the sounds of persuading someone to drink from inside. It seemed there were quite a few people. Zhou Can was unapologetic; since he was here to rescue someone, he naturally would not knock on the door politely. He directly opened the door of the private room and looked inside. Already, the table was a mess with dishes and cups scattered all around, and there were three men and two women, among them was Su Qianqian. Among the men was one in particular whom Zhou Can did not recognize. At this moment, Su Qianqian''s face was flushed red, her beauty enhanced, looking particularly charming as she propped up her head. It appeared she had already drunk quite a lot. The three men and one woman were still persistently urging her to drink more. Zhou Can could see right through the trickery of such a banquet at a glance. It was all about targeting Su Qianqian''s body. Many powerful bosses and influential figures, if they took a liking to a female subordinate, couldn''t just overpower her directly. They wouldn''t get past the legal aspect. But whatever these people covet, they would do everything possible to attain. The most common method was exactly this. Setting up a drinking session, getting the woman drunk, and then assisting her to a hotel room to "rest." The door to the private room was opened, and the group inside looked up at Zhou Can. Realizing that Zhou Can was not dressed as a waiter, they thought he was a guest who had walked into the wrong room and paid him no further mind. Unexpectedly, Zhou Can walked right over to them. "Who are you?" The middle-aged man with a pockmarked face, a pudgy figure in fancy clothes, was wearing a Rolex watch, clearly a person of some wealth. His demeanor also very imposing. The other two men, one was fairly thin, under thirty years old and looked quite shrewd. He sat next to the speaking man, appearing to be an assistant or subordinate. On the other side of Su Qianqian was another man and a woman, the woman dressed seductively with heavy makeup. She was quite beautiful and well-figured but exuded the aura of a woman of questionable character. The man beside her was dressed neatly, but his gaze was as terrifying as a wolf''s. "They are no good people!" Zhou Can made mental notes of these individuals. "I am Su Qianqian''s boyfriend, and I''ve come to take her home," Zhou Can said indifferently. The woman and the thinner man were obviously accompanying the guests. Only the speaking man and the scholarly-looking man appeared to be the bosses. "I''ve never heard that Su Qianqian had a boyfriend! What''s your name?" The scholarly man said, seemingly familiar with Su Qianqian. "Zhou Can!" Zhou Can''s gaze fixed on this man. "I am Qianqian''s manager, and this is Mr. Zhao, the investor. We were only halfway through our drinks when you barged in. If you upset Mr. Zhao, his investment in Qianqian might be withdrawn." The scholarly man''s words carried both a warning and a threat. "Since you''re Qianqian''s boyfriend, you should be aware of her current situation. Her album release has faced significant challenges, and without Mr. Zhao''s investment, she might even struggle to make a living. If she secures this investment from Mr. Zhao, along with his substantial resources, her album could be quickly launched and heavily promoted. By then, she''ll make money, and you, her boyfriend, would also benefit, right?" The scholarly man did not further question Zhou Can''s identity as Su Qianqian''s boyfriend. He directly tried to persuade Zhou Can. The implication was for him to know his place and not mess up this drinking session. Otherwise, it wouldn''t be good for him or Su Qianqian. Chapter 179 - 111: Human, I Took Away. The Bitter History of a Third-tier Actress The man named Mr. Zhao with the square face and big ears, also known as the pockmarked man, cooperated by putting on an annoyed expression and sat there with a grimace. "It''s fine, I won''t disturb your work discussion, you guys just keep drinking!" Zhou Can directly pulled out a chair and sat down. The purpose of these people was to get Su Qianqian drunk and then take her away. Now Su Qianqian was already severely intoxicated. If Zhou Can had arrived a bit later, they would have had their way. "Buzzkill!" Mr. Zhao slammed his chopsticks down on the table. He picked up his bag and stood up to leave. S§×ar?h the N?velFire(.)net website on Google to access chapters of novels early and in the highest quality. Anyone would understand, with her boyfriend right there waiting, Mr. Zhao wouldn''t have the opportunity to take advantage. Most of these business owners had clawed their way up from being nobodies. Their means and abilities were naturally not lacking. Seeing that Zhou Can was clueless about the situation, Mr. Zhao''s face turned sour immediately. "Mr. Zhao, Mr. Zhao, don''t be mad! Leave it to me, leave it to me!" The refined-looking man hurriedly stood up to pull Mr. Zhao back. The woman also pulled at him from the other side, cooing, "Mr. Zhao! Don''t you trust Mr. Qian''s abilities? He''ll definitely make things satisfactory for you!" She leaned most of her body onto Mr. Zhao. "Hmph, we were drinking just fine, and then this irrelevant person shows up; what''s the meaning of this? Have the kid leave first, we finish our drinks, conclude our business, and then you can send his girlfriend back." Mr. Zhao glanced coldly at Zhou Can. Then, with a cold face, he sat back down. "That... you''re Zhou Can, right? Xiao Zhou, you''ve seen Mr. Zhao''s attitude just now. Let me tell you, he''s a big investor. With his support, your girlfriend could make a living and might even have the chance to become a top actress. By then, all you, her boyfriend, would need to do is count the money. Without Mr. Zhao''s support, she''ll be reduced to begging on the streets." The man known as Mr. Qian tried to work on Zhou Can''s thoughts again. "Don''t worry, I''m the vice president of Beihai Langxing Media Co., Ltd. I mean what I say. With me and her colleague Wu Jialin here, your girlfriend is very safe. After we''ve finalized the cooperation, we will send Su Qianqian back." "Don''t worry, we''re here!" The woman chimed in, trying to reassure him. Naturally, Zhou Can did not believe their deceitful words. "I, I want to go back!" Su Qianqian staggered to her feet, her mind probably still clear. "I''ve never heard of having to rely on a woman to accompany drinking to discuss a proper cooperation. You discuss it yourselves. If you can agree, that''s your skill; if not, I think we might as well forget about this cooperation. I''ll take her with me now." Zhou Can walked over and steadied the severely uncoordinated Su Qianqian. Only then did he realize that her body was not only soft but also very light. Actresses love to control their weight to maintain a good figure. But at her height of over 1.7 meters, her weight was so light that, from Zhou Can''s medical perspective, it was considered malnourished. "You should think carefully about the consequences!" Mr. Qian''s smile faded, replaced by a cold tone. "The consequence is that Mr. Zhao and the two of you are avoiding the risk of going to jail. Goodbye." Zhou Can ignored the unpleasantries on the faces of the three people, supporting Su Qianqian as they left the private room. Mr. Qian watched his retreating figure, his gaze fierce as if he wanted to devour him. Zhou Can had put it plainly, as a reminder to the three that he knew exactly what they were scheming. "I never thought... you would come... thank you!" Her voice was somewhat slurred and her tongue was tied. However, the moment Zhou Can barged into the private room, she knew she was safe. "I thought you were completely drunk!" This was the first time Zhou Can had held a girl so closely. Moreover, it was a girl whose looks and figure were both top-notch. To say he felt nothing unusual would be self-deceit. Not to mention, the faint scent of her perfume and the smell of her hair continuously stimulated Zhou Can''s brain as they wafted into his nostrils. "I''m not drunk... how else would I leave?" She showed a sly smile. This too, was the vulnerability and bitterness of a third-tier actress. Could she refuse when the vice president of the company asked her to attend a dinner? Absolutely not. Mr. Zhao was an investor; dare she offend him? No way. Calling over Zhou Can, her pretend boyfriend, the smartest thing she could do was to pretend to be ''passed out.'' That way, when Zhou Can took her away, Mr. Qian and Mr. Zhao, even if unhappy, would at least not completely fall out with them. Zhou Can stopped a taxi, deciding to send her home. Seeing her completely drunk, he also didn''t feel at ease letting her go back alone. "Driver, to the gate of Bajing Lake Xiangshan Garden Phase 1 community." "All right!" The driver saw the woman was too drunk to be presentable, fearing she would vomit in the car. "There are plastic bags in the seat pocket, in case she wants to vomit, please use a bag to catch it." "Okay!" Zhou Can took out a plastic bag. Her body swayed back and forth, eventually leaning on Zhou Can''s shoulder. "Let me rest on your shoulder... I''m really tired..." Just as she finished speaking, she fell asleep. Fortunately, she did not vomit while sitting in the car. Zhou Can held her the entire time to prevent her from falling. Half an hour later, the taxi stopped. "We''ve arrived at Bajing Lake Xiangshan Garden Phase 1!" After paying the fare, Zhou Can tried to wake Su Qianqian to get out of the car, but she wouldn''t wake up no matter how much he called. No choice left. He could only smile wryly and carry her out of the car. "Young man, tell your girlfriend to drink less! She''s so beautiful, and there are so many bad people in today''s society." Chapter 180 - 111: The Person, I Have Taken Away. The Bitter History of a Third-tier Actress_2 "I will be careful in the future! Thank you!" Zhou Can, looking at Su Qianqian in his arms, let out a wry smile. Aside from truly being beautiful, the girlfriend part was fake. Given her looks and talents, it''s unlikely she would fancy an ordinary little doctor like Zhou Can. Female stars like to marry rich businessmen, tycoons. It took Zhou Can quite some effort to carry her into the house she rented. He turned on the light and shut the front door. Zhou Can carried her straight to the bedroom. Considering her current state, she probably won''t wake up until tomorrow. The bedroom is decorated with the sweet scent of a young woman''s life. Predominantly in shades of pink. He placed her on the bed, took off her high heels, and covered her with a blanket. Zhou Can stared at her devastatingly beautiful face for a few seconds, then walked out of the room, only to return soon after. He brought a glass of water and set it on the bedside table. "Ugh..." Suddenly, she had a severe vomiting reaction. Zhou Can hurriedly found a plastic basin, helped her sit up, then gently patted her back. "Ugh... Wow... Splash..." A large amount of sour-smelling filth was vomited out, luckily caught by the basin. After she finished throwing up, Zhou Can helped her wipe her mouth with a tissue. Then he gave her a couple of sips of water. After taking care of her, he quickly took the waste to the bathroom to dispose of it. Returning to the room, he opened the window to air out the space. For a drunk person, vomiting can be very dangerous. It can easily cause vomitus to block the airway or be aspirated into the airway, eventually leading to asphyxiation and death. Zhou Can stayed by the bedside for over an hour, making sure she wouldn''t vomit again before he finally got up to leave. Before leaving, he closed the window for her and brought the door to her room with him. Lying in bed, Su Qianqian, hearing the sound of the front door closing from outside, slightly opened her eyes and saw the glass of water on the nightstand. A faint smile appeared on her lips. A gentleman does not take advantage of someone''s vulnerability. Facing such a beautiful drunk woman, and being alone with her in a room, Zhou Can didn''t make any disrespectful moves. That must be why she''s smiling so smugly. sea??h th§× N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. At least, it shows she''s good at reading people. Besides, Zhou Can was especially thoughtful when taking care of her. He''s a total sweetheart! If his late-night rush to unlock her door was just the beginning of a better understanding and trust between them, then after this incident, their relationship surely was no longer just that of a tenant and a landlord. The connection between people is so wonderful and magical. From meeting to getting to know each other, to slowly understanding and further interacting. Every phase is a gentle progression. Love at first sight is more common in idol dramas. In real life, it''s extremely rare. Especially in today''s materialistic world, interactions between men and women have become increasingly cautious. Those who weren''t careful, ended up being conned into marriage, swindled out of money or love... After society''s harsh lessons, they, too, learned to be cautious. ... The next day, as Zhou Can was preparing to go to work, he received a message from Su Qianqian. "Thank you for your thoughtful care! Thank you for your respect!" After reading the message, Zhou Can revealed a knowing smile. Do celebrities even send thank-you texts in such a special way? Thinking back to last night, holding the soft and fragrant figure in his arms, and the various scenes of being alone together, he was able to suppress his fantasies and restrain his impulses and desires, which was not something any ordinary man could do. Zhou Can had no intention of replying to the message. He was very clear-headed; what happened yesterday was just emergency aid. If he thought that Su Qianqian was interested in him, that would be pure wishful thinking. He went to work at the hospital as usual, his mindset unaffected. But when he finished work, he discovered a WeChat friend request. He clicked on it. "Dr. Zhou, please accept, I''m Su Qianqian!" The friend request must have been sent a long time ago. But he was working at the time and couldn''t use his phone, so he hadn''t noticed it. After he accepted her friend request, She immediately sent over a pouty emoticon. "I thought you just couldn''t be bothered with me!" "Just busy at work and didn''t look at my phone! Are you sober now?" If he didn''t reply now, Su Qianqian might really take him for a cold-hearted man. "Got it. (Giggles)" "I''ve been awake for ages~! But now I feel like getting drunk again!" She seems to be finally letting down her guard when talking with Zhou Can. Maybe Zhou Can''s repeated acts of chivalry, including a time when he didn''t take advantage of her vulnerability, won her trust and favor. "(Question mark)" Zhou Can sent a questioning emoticon. In online chatting, emoticons convey more warmth than mere punctuation. "Come over for a couple of drinks with me, then I''ll tell you!" She took a photo that seemed to be of a coffee table in the living room. On it, there''s a large spread of canned beer. Seems like she''s dealing with some troubling matters. But her recent circumstances have indeed been somewhat unlucky. "Chatting isn''t part of the real estate agent''s job description, ha!" Zhou Can was tacitly declining. "I don''t have many genuine friends in this city, just wanted to find someone to talk to. Maybe, I''ll be leaving this city soon." Was she trying to garner sympathy? "So, just the two of us drinking in your rental place?" Zhou Can asked. "Are you coming?" She almost gave consent. "Aren''t you afraid I''ll get bold with a few drinks in me and do something to you?" He felt that Su Qianqian''s attitude towards him had changed drastically. "If you were that kind of person, would you have waited until today?" Her words were laced with deep implications. Chapter 181 - 111: The Person, I Have Taken Away. The Bitter History of a Third-tier Actress_3 "......." Zhou Can was speechless. "Am I not right?" she asked. ".......!" Zhou Can didn''t want to respond to such a silly question. "Are you laying eggs or something?" She was really getting more and more unrestrained with her words. A vein popped on Zhou Can''s forehead. "I don''t mind coming over to keep you company. Let''s get this straight first, I can resist anything except temptation." "Not enthusiastic at all! If you''re coming, hurry up!" Since she put it that way, Zhou Can naturally had no reservations. Being alone with a beautiful female star, he was naturally willing. And seeing her current state, without someone to talk some sense into her, if she did something foolish in her rented house, wouldn''t he, as the landlord, be the unlucky one? He quickly hailed a cab and went over. Nearly fifty minutes later, he arrived at Su Qianqian''s rental. He still found it somewhat unbelievable. She had actually taken the initiative to invite Zhou Can, a big guy, to drink with her at home. It was too abnormal. Things like being seduced, Zhou Can, with his martial skills, wasn''t worried about that. And no matter how you looked at it, she didn''t seem like that kind of woman. He rang the doorbell. After a moment, the entry security door opened. Su Qianqian wore slippers, her pretty face flushed red, already showing signs of drunkenness. On her face, there seemed to be traces of dried tears. What on earth had happened to her? "I thought you wouldn''t dare to come! Please, come in!" Zhou Can raised the food he was carrying in his hand. "Drinking on an empty stomach is too harmful; I bought some soy sauce duck, some marinated dishes, and peanuts." After entering the house, Su Qianqian took the initiative to close the door. She really wasn''t being cautious with him at all. His gaze swept over the living room, and he didn''t see anyone else. There were already several empty beer cans on the coffee table. Just like in the picture she sent to Zhou Can, there were only cans of beer, nothing else. "Please have a seat!" She asked Zhou Can to sit on the sofa and herself took a small stool across from him by the coffee table. "Do you think I''m particularly despicable? Inviting a man over to drink at my place." Her smile had a touch of desolation. "No way, when you first rented this place from me, you were very cautious around me. Now we have a foundation of trust, so you dared to invite me over to join you. Of course, it might also be because I''m too handsome and you''ve taken a liking to me." Zhou Can tried to crack a joke to lighten the mood. The curtains in the living room were drawn, the lights dim. That also reflected her current state of mind, she probably wanted to put herself in a closed space, undisturbed, not vulnerable to harm. Most likely she had suffered a severe blow at work. According to psychology, this is a manifestation of withdrawal. Pfft~! "Just keep flattering yourself!" She gave Zhou Can a playfully annoyed look, but he successfully made her laugh. "Why did you think to pour your heart out to this man? You could have gone to a girlfriend you get along well with!" Zhou Can quietly tidied up the empty beer cans on the coffee table. Then, he spread out the snacks he''d bought for their drinking session. "The entertainment industry is the dirtiest place. As a helpless little woman, who would dare to get deeply involved with them? There are some things that you simply can''t imagine. I still remember the first time I worked at the film base, shooting a short TV drama. A female classmate, who got along well with me, slipped into the director''s room quietly after her shower that night. The next day, she landed the role of the second female lead." She shared her work experiences. "Back then, I had just graduated. I believed that as long as you had talent and real skills, you could definitely stand out. I held nothing but disdain for the various unwritten rules and under-the-table dealings of the entertainment circle. Once, a producer sitting next to me secretly touched my thigh; I lost it on the spot. I stood up fiercely, poured a drink over his greasy face while scolding him loudly. After that, as you might guess, I faced all sorts of suppression and even small roles were hard to come by." Talking about her bitter experiences from the past, her expression grew even more desolate. Zhou Can was there to be a qualified listener, just listening intently without interrupting. "Later on, Director Xu heard about my situation, admired my integrity, and gave me some encouragement. He also helped me find some work regularly, allowing me to survive. But after three years in the industry, I realized that if you want to make it big, you need the backing of a financier, or you have to be willing to give in to the advances of directors and producers. Otherwise, it''s just too hard to achieve success." "Director Xu has been my benefactor, but many things are beyond his control. The most he could do for me was provide some ordinary jobs to keep me surviving." There are hierarchies among directors. Big-name directors have various resources, a track record of success, and the trust of financiers, granting them significant influence. Some lesser-known directors live worse than dogs, constantly acting like lackeys, begging for investment here and there. And even big-name directors won''t go out of their way to heavily support a newbie. Either the newbie really has impressive talent and with a little support can become an overnight sensation, or they are connected, a favor owed to someone, requiring some care. "Later, I thought maybe singing would involve fewer issues. So, I chose to sign with Beihai Langxing Media Co., Ltd. to develop my career. But once I entered the industry, I found the difficulties were no less than those in acting. Yesterday, just as you saw, Vice President Qian took me to accompany President Zhao for drinks. I know they have ulterior motives, but what can I do? If you don''t go, it''s like you''re not giving them face; then the company will sideline you, and financiers won''t invest in you." She had jumped out of one fire pit and into another. Before hearing her personal experiences, Zhou Can really didn''t know the entertainment industry was so tough. "During my last concert, because I refused to sell my body, I couldn''t pull in big investors. So, I thought of gaining popularity and promoting myself through live shows. Then disaster struck out of the blue, and the stage suddenly collapsed. Beihai Langxing Media Company is also at a loss for words. They don''t want to take responsibility for this, leaving me to deal with it myself. I was so angry that I asked to resign and terminate my contract. They agreed, but with one condition: I had to buy out the album I recorded, with an asking price of five million." "They said, that money can''t be lost for nothing." This thuggish company is truly shameless. Profits go straight into their pockets. And when there''s trouble, all the losses fall onto the signed artist. "I sold my house and car, compensated the fans for various losses, and I still owe a lot of money. I simply can''t afford the five million to buy out the album. I''ve never felt so desperate in my life." Saying this, she picked up a bottle of beer, opened it, and started chugging. A vulnerable woman, at her wits'' end, trapped in a hopeless situation. Zhou Can could faintly sense that she might be harboring thoughts of suicide. It was the only way out. "All right, I feel much better after talking to someone. Come take back this house in a few days; I''m planning to develop my career in another city." She wiped the tears from her face and forced a smile. "Your lease isn''t up yet. When you move out, I''ll return the remaining rent and the deposit to you." She''s already having such a hard time. Naturally, Zhou Can wouldn''t take advantage of her. "No need. Just consider it a gift for helping me out twice!" She shook her head faintly and reached for another can of beer. Hearing her say this, Zhou Can became even more convinced that she was entertaining suicidal thoughts. In fact, he had sensed it the moment he walked in. She was particularly dejected, her eyes lacking their usual vitality. A look of utter despair. "You can''t drink any more! Too much alcohol is harmful to your health and your liver." Sear?h the ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. He reached out to grab the can of beer, trying to dissuade her from drinking more. "Also, didn''t you say that your company is making you buy out the album before allowing you to terminate the contract? If you go to another city, don''t you need to settle the termination first?" Zhou Can asked this as a way to probe. He wanted to re-confirm whether she was really having thoughts of taking her own life. Chapter 171 - 108: Muscle Electrical Attenuation, A Breakthrough Diagnosis Because Dr. Gao of the Neurology Department, the most promising young doctor, when he saw this resident of the Emergency Department, his expression showed not only pleasant surprise but also respect. The hospital is also a small society, if you have a future or strength, others will respect you. Otherwise, you''d be like dust in the corner. Tuya Hospital has several thousand employees, the vast majority of whom are just ordinary people. "I must tell you, Dr. Zhou is the most promising doctor in the Emergency Department. Having a good relationship with him is all benefits, no drawbacks," said Gao Jian to the nurse, then once more he looked at Zhou Can. "Dr. Zhou wouldn''t have come to see me, would he? Haha! I''m a bit narcissistic haha!" Although Gao Jian and Zhou Can were competitors, when they met, he was very enthusiastic. That nurse was surprised again as she looked over Zhou Can. No scorn remained in her eyes. Her face, however, held a somewhat ingratiating smile. Unfortunately, Zhou Can did not look at her again. "I''m here to ask Director Yin some questions, do you know where he is?" "Director Yin is my teacher, wouldn''t I know where he is? Come on, I''ll take you to him. Teacher just mentioned you two days ago. You''re in luck today, Teacher just happens to be doing overtime. Normally, on weekends, Director Yin doesn''t come in. Recently, there are quite a few patients seeking consultation; the teacher is worried his specialist slots might get snapped up by scalpers, that''s why he chose to work overtime." By the time one reaches Director Yin''s level, a lot of basic work no longer needs to be undertaken. Main responsibilities include mentoring students, holding appointments, attending meetings, etc. If it were a surgical department director, aside from holding appointments, they would also need to perform surgeries. From this perspective, internal medicine doctors naturally have an advantage in academia. For surgeons at the chief level or above, it''s basically half a day of appointments, half a day of surgery. They also need to make rounds, mentor students, lead groups, manage projects... there''s genuinely not much time left for learning. Many people think that surgeons earn more than internal physicians. That''s very one-sided. While surgeons certainly earn from performing surgeries and overtime fees, internists also get a good share from pharmaceutical commissions. When it comes to hospital admissions, internal medicine can outperform surgery. An ICU that costs ten to twenty thousand per day is like a gold-swallowing behemoth. Even so, many hospital administrators often complain that the ICU is a loss-making department. Under Gao Jian''s lead, Zhou Can walked straight to the outpatient clinic of the Neurology Department. There were still quite a few patients sitting in the hallway outside. Tuya Hospital actually has many specialist outpatient clinics. The cheapest specialist slot costs 50 yuan, with the most expensive ones for specialized specialist outpatient services costing over 1000. In this strange world, the cheaper specialist appointments seemed unwanted, while those costing several hundred or over a thousand get sold out in seconds. Nowadays it''s a bit better, as registration requires a personal ID. Scalpers have much less room to maneuver. Before the advent of self-service registration machines, when it was all manually operated, the better specialist appointments were all monopolized by scalpers. If you wanted to see a doctor, you had to buy from them. If you didn''t buy, no problem, there are plenty of patients willing to pay extra. Because patients simply can''t afford to wait. "Liu Yan, how many more patients does Director Yin still have left to see?" Gao Jian asked the guide nurse. These nurses'' role is to guide patients to queue up, maintain order, and call out numbers. S~ea??h the N?velFire(.)net website on Google to access chapters of novels early and in the highest quality. Patients just need to hand over their medical history book and registration slip to her, and she will call out the numbers one by one according to the sequence. This can prevent people from jumping the queue. Patients and their families just need to sit on the benches in the hallway and wait. "There are still three patients left." "Alright!" Gao Jian nodded and looked at Zhou Can. "There are three more patients; you might have to wait about half an hour. I need to go to the inpatient department to work, so I can''t stay with you." Residents of specialty training programs are all quite miserable. Managing patients, writing medical records, working night shifts, doing various miscellaneous tasks¡­ they can be so tired each day that they fall asleep as soon as they hit the pillow. "Go ahead and do your work! Thanks!" Zhou Can waved his hand at him. Luckily, he encountered Gao Jian today; otherwise, it wouldn''t have been easy to find Director Yin. After watching Gao Jian leave, Zhou Can found an empty seat and sat down. He noticed that many patients came with various test reports done at other hospitals, seeking a consultation. They couldn''t find out their conditions or had ineffective treatments at local hospitals, which is why they came to Tuya Hospital looking for a specialist diagnosis. Zhou Can casually glanced over, and most of those outpatient rooms were specialist clinics. The room for Director Yin Hua had a sign marked "Specialist Outpatient Service No. 1". Such specialist outpatient clinics usually have six or seven rooms. Those able to hold the title "specialist" generally have made significant achievements in a specific sub-discipline. After rigorous review, they were qualified to add "special" to their title. Tuya''s strength really was strong. After all, just a sub-discipline of neurology already had so many top experts. Adding up all the departments of key importance in Tuya, the number of top experts probably exceeded a hundred. Many doctors dream their whole lives of becoming top experts. In reality, if three or four out of a hundred doctors can become top experts, it''s quite remarkable. As long as Zhou Can keeps striving like this, someday he will also sit in a specialist outpatient clinic as a top expert, diagnosing patients. While waiting here, he took out his phone again to look through Qiu Jie''s test reports. One by one, he scrutinized carefully. Some reports, he even reviewed more than ten times. But he still couldn''t find anything significant. Chapter 172 - 108: Muscle Electrical Attenuation, A Breakthrough Diagnosis_2 Nearly five o''clock, Director Yin finally finished the outpatient clinic. Zhou Can hurried to the door and knocked. When Yin Hua looked up and saw Zhou Can, he was slightly startled. "Xiao Zhou!" "Director Yin, you mentioned last time that I could consult you anytime if I had questions. I really did come with a thick skin to bother you." Zhou Can walked in with a smile. "Welcome! Have you been waiting outside for a long time?" Director Yin''s attitude was very enthusiastic. Looking at his expression, he genuinely welcomed Zhou Can to come and consult. "I didn''t wait too long, just about half an hour. But it''s really not easy to find you. I''m not familiar with the Neurology Department, and I had to ask around to find your office. Fortunately, I met Gao Jian, and he brought me here." Zhou Can didn''t act like an outsider at all. He walked over, picked up Director Yin Hua''s empty tea cup, and actively refilled it with water. A small gesture like this instantly narrowed the distance between him and Yin Hua. Usually, only students would refill their teacher''s tea cup promptly. It is a sign of respect. And it also implied eagerness to please. "Next time you come to find me, on Mondays, Wednesdays, and Fridays, I''m in the clinic here. On Tuesdays and Thursdays during the day shift, I''m mostly in the inpatient department office, or the minimally invasive surgery room. You can definitely find me in these three places. If you really can''t find me, just call my phone, do you have my number?" Eager to please, but it was effective. Director Yin Hua took the initiative to give him his phone number. This treatment is not something everyone gets. "I don''t have your number, could you give it to me so I can note it down?" Zhou Can took out his mobile phone, ready. Director Yin gave him his personal mobile number, and Zhou Can noted it down. Contacting him would be much more convenient in the future. Doctors of their caliber, to avoid unnecessary trouble, generally do not give their mobile number to irrelevant people. "What issue did you want to consult about? I still need to go to the inpatient department for rounds soon, so let''s make it quick!" Director Yin is really very busy. Others seeking medical treatment from him not only have to pay an 800 yuan registration fee but also wait in line. Zhou Can, because of earning his appreciation, managed to avoid these troubles. "I encountered a patient who has been paralyzed for several years due to a miscarriage. However, despite visiting various renowned doctors, the cause has not been diagnosed. You are a top expert in neurology and have vast experience, so I wanted to ask for your help." Zhou Can opened Qiu Jie''s medical report and then placed his phone in front of Director Yin. "Her medical reports are all here." Director Yin looked at them and immediately showed a slightly peculiar expression on his face. Zhou Can also noticed the change in Director Yin''s expression. "This patient consulted me three years ago. As soon as you mentioned that her paralysis was due to a miscarriage, I had some ideas. Such patients are indeed rare, it''s hard to find one in a hundred thousand miscarriage cases." Thinking about it, Li Lao and his wife live in this city, how could they possibly not come to Tuya Hospital for treatment? Once at Tuya Hospital, such neurological difficult cases would definitely end up consulting Director Yin. Although he had diagnosed Qiu Jie three years ago, he still carefully opened and enlarged each of her medical reports for review. He examined them very carefully. "This patient named Qiu Jie left a deep impression on me. She attempted suicide on the second day of her hospitalization, fortunately, the nurse discovered it in time. I didn''t expect that three years have passed and her condition still hasn''t been diagnosed." Director Yin sighed. Hospitals actually quite fear patient deaths. Even if it is a normal death, it would raise the hospital''s mortality rate. Not to mention a patient who commits suicide. It would create a certain negative impact on the hospital and they would have to bear responsibility for inadequate management. "When I diagnosed this patient, she had just had a miscarriage. At that time, my diagnostic skills and experience were inferior to what they are now. Reflecting on it, I realized I''d fallen into a misconception. I believed her paralysis was caused by a prolonged shock leading to extensive lesions, compounded by concurrent infections and other complications." "During the examination, I noticed her muscle spindles were more sensitive to stretch reflex than normal, especially the flexor muscles of the upper limbs and the extensor muscles of the lower limbs. The initial resistance was high, followed by a rapid decrease, a cliff-like decline. Based on these subtle findings, I diagnosed her with natural paralysis caused by lesions and concurrent infections, and thought it was untreatable." Three years have passed, and Director Yin still remembers the incident clearly. That''s how it is with doctors; when they encounter challenging cases, they tend to remember them for a lifetime. One reason is that such cases rarely repeat themselves, and another is the immense effort expended during the diagnosis process, making the memory especially vivid. "Do you have any new findings now?" Zhou Can asked. Three years had passed, and Director Yin''s diagnostic skills and experience had improved significantly. Perhaps there could be new findings. "Still no major findings. However, this report from Imperial Hospital gave me some ideas. They conducted electromyography on this female patient, Qiu Jie. We at Tu Ya can also do electromyography, but our equipment isn''t advanced enough to be as precise as theirs. Look, the electromyographic test shows that the conductivity gradually starts to decay from here. There is still a faint signal at the root of the thigh, and I believe if the lesion in this patient can be identified, there could be a chance for improvement." Zhou Can understood the basic issues from the electromyogram. But for the more profound issues, or those requiring a combination of extensive experience and medical knowledge, it was difficult for him to discern. It''s somewhat like a picture; some people can see two faces while others see seven or even more. Based on some subtle clues from the medical report and the patient''s symptoms, being able to identify anomalies that other doctors miss is what defines a true expert. Zhou Can already had remarkable diagnostic talent, and with Director Yin Hua''s hint, his eyes brightened slightly. "You mean, if the electromyographic signal can reach the root of the thigh, it implies that the patient''s nerves have not entirely degenerated. Only the nerve signals have significantly weakened, failing to reach the further end of the lower limbs. Also, because the signal is very weak when it reaches the root of the thigh, it can''t possibly trigger any motor response." As long as the nerves aren''t dead, there''s still a chance. Since nerve cells are the only cells that cannot regenerate and are difficult to treat once dead. "Smart!" Director Yin gave him a thumbs up. This kid''s talent and comprehension were indeed very high. Sear?h the N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. He got it immediately. "The gradual decay of the patient''s electromyographic signals, instead of a cliff-like fall, based on my experience, isn''t much different from the result of nerve death. It''s like an aging wire, whose conductivity is severely compromised. Unless you replace it with a new wire, there''s no solution." Director Yin shook his head in resignation. This patient was simply untreatable. The nerves in the lower limbs are considerably complex, and it''s doubtful any doctor could replace them with new ones. Yet, Zhou Can looked as if bewitched, frowning and staring vacantly at a corner without speaking. Noticing Zhou Can''s lack of response, Director Yin looked up and couldn''t help but chuckle silently. This youngster truly had some of his old style. In his early days, he would delve deeply into medical problems, sometimes to the point of obsession. Through relentless effort, he achieved his current status. Director Yin didn''t interrupt Zhou Can''s pondering. Instead, he continued to review the patient''s information, looking for more insights. After about fifteen minutes, Director Yin had to check on other patients. He was about to get up, leaving Zhou Can to continue his contemplation. At that moment, Zhou Can seemed to have a breakthrough. "That''s it, yes, it might very well be." He muttered to himself, his eyes shining, his face flush with excitement. "Did you make a new discovery?" Having seen Zhou Can''s unique diagnostic approach, Director Yin didn''t underestimate him just because he was a resident in training. Indeed, Director Yin so admired Zhou Can that he was willing to facilitate his learning. It was also because Zhou Can demonstrated a unique way of thinking in diagnostics. "I think this patient can still be treated. Her electromyographic signals are gradually weakening¡ªdo you think it could be related to the blood supply?" Zhou Can asked, clearly having made a significant diagnostic discovery. Why would one examine an electrocardiogram for a paralyzed patient? It''s actually to check the blood supply. Chapter 173 - 109: Director Yins Excitement, Entrusted by Others, Loyal to the Task Blood''s relationship to the body is very much like gasoline to a car. Without gasoline, cars lose their power source. When blood circulation in the body is compromised, nutrients and oxygen can''t reach the body''s cells. Paralysis often accompanies issues with blood supply. For instance, patients with hemiplegia feel especially cold on the paralyzed side, experience poor blood circulation, numbness, and so on. "Her lower limbs'' blood supply hasn''t been severely affected!" Director Yin stated confidently. If so many renowned doctors have examined her and couldn''t identify such a simple issue, wouldn''t that discredit those renowned doctors? S§×ar?h the N?velFire(.)net website on Google to access chapters of novels early and in the highest quality. "No, no, no, I''m referring not to the circulation in the lower limbs, but in the upper limbs." Zhou Can''s eyes were resolute, emitting a light of excitement for seeking the truth. "Upper limb blood supply has issues?" Director Yin frowned. If he hadn''t witnessed Zhou Can''s capabilities, he would likely have scolded, "You need a few more years of study!" and then turned and left. At this moment, however, he maintained great patience and even harbored a hint of anticipation. This challenging case was one he couldn''t solve three years ago, and to this day, he still couldn''t make a definitive diagnosis. The more challenging it was, the more it intrigued him. Because at his level, cases of ordinary difficulty no longer posed any challenge. "Patients with paralysis naturally experience insufficient blood supply due to muscle atrophy, especially at the extremities. Frankly, I''ve shaken hands with the patient, and her hand was very cold, which indicates definitely there''s an issue with her upper limbs'' blood supply. Initially, I was merely curious. After hearing your point just now, I gained some inspiration." "Since her electrocardiogram showed no major abnormalities, it indicates that her overall blood supply should be relatively balanced. So I suspect she developed a systemic insufficiency in blood supply after damage to her motor neurons." Zhou Can boldly made a series of inferences and diagnoses. "Indeed, there''s such a possibility. However, this doesn''t explain much as paralysis patients commonly exhibit a weaker-than-normal blood supply." Director Yin Hua wasn''t very impressed with Zhou Can''s discovery. Even a bit disappointed. Weaker overall blood supply is a common phenomenon among most paralysis patients. In terms of traditional Chinese medicine, this would be discussed as a deficiency in qi and blood. "I''ve reviewed the patient''s causes of miscarriage from that year. According to her statement, she first lifted a heavy object upstairs, then felt unwell, and finally fainted at home. However, the hospital''s diagnostic opinion at admission was a viral infection? Neurological abnormality?" Zhou Can opened a diagnostic report from her first hospital admission. This was a very basic medical record. At that time, after she fainted, she was taken by the 120 ambulance to the city''s Third Hospital following the nearest emergency care principle. After the miscarriage led to lower limb paralysis, the Third Hospital couldn''t identify the cause, prompting her family to transfer her to the higher-caliber Provincial People''s Hospital. Later, when the Provincial People''s Hospital also failed to diagnose her, the patient fell into severe depression. Her family then transferred her to Tuya Hospital for further diagnosis. Many patients undergo such experiences, initially thinking it''s a minor illness, becoming ineffective after treatment in a general hospital, and ultimately having to be transferred step-by-step to higher-level hospitals. Three years ago, the Provincial People''s Hospital was almost on par with Tuya, even slightly better. Now, Tuya Hospital has left it behind. Becoming the leading hospital in the province in terms of medical standards and diagnostic capabilities. "Do you think the patient might have already shown symptoms of lower limb paralysis before admission?" Zhou Can made another bold speculation. "It''s not very likely. Before admission, the examining doctor would surely have conducted a series of tests. The Third Hospital''s medical standards and diagnostic capabilities are not poor, and their medical quality control is always very strict. If the patient had shown signs of lower limb paralysis then, it would definitely be mentioned in the admission records. Yet, they explicitly wrote ''post-miscarriage paralysis'' in the medical records." Director Yin was well aware of the strengths and medical ethics of hospitals in the city. At his level, he would often be invited to various hospitals for exchanges, guidance, or lectures. After interactions with doctors at those hospitals, he naturally had the opportunity to understand each hospital. "Could it be that the symptoms of lower limb paralysis were not prominent upon admission, thus overlooked? The 120 emergency reception record mentioned that the pregnant woman fainted in the bathroom at home." Zhou Can persistently upheld this determination. "This scenario is possible." Director Yin agreed with Zhou Can''s view this time. "It''s a pity that the Third Hospital lacked high-level doctors who could handle the situation; it would have been good to perform an electromyography test on this patient at that time." If an electromyography test had been done when the pregnant woman was admitted, it could have provided solid evidence for later diagnostics. Now, more than three years later, performing a test that wasn''t done initially means the significance is profoundly different. "Director Yin, please look at these few examination reports. These are the electromyography tests done by Imperial Renhe Hospital, and just yesterday I specifically compared it to many normal people''s electromyography reports. Qiu Jie''s nerve conduction speed is not slow, only the signal strength of the electromyography from the neck down keeps decreasing. It''s like climbing a slope; the closer it gets to the limbs, the weaker it becomes." "Then her evoked potential electromyography and motor unit count tests also showed no significant abnormalities." Zhou Can pointed these out, but Director Yin had already noticed. Chapter 174 - 109: Director Yins Excitement, Entrusted by Others, Loyal to the Task (Part 2) "What do you want to say?" Director Yin did not know what he was assisting in diagnosis so much for; What exactly was he trying to diagnose? Pathological diagnosis is already extremely complex, especially for such difficult cases, the challenge of differential diagnosis is frightfully high. Everyone can look at medical records and data. To find one clue from thousands and then clarify it, this is the level of diagnostic ability. "I think the cause of the patient''s illness is a problem originating from the motor neurons of the lower extremities. Her lesion is above the neck, and the postpartum infection should only be an illusion of the cause." What Zhou Can is doing now is clearing the clouds to see the sun, locking onto the real lesion. "It could be a problem with the spinal nerves, or it could be an issue with the central nervous system, in the brainstem area." Zhou Can further supplemented. [Pathological Diagnosis Experience Points +0.9.] Seeing the sudden increase in Experience Points, his heartbeat accelerated, even more convinced that his diagnosis was correct. This near-blind guessing method of diagnosis, let alone famous doctors, even highly experienced resident doctors who have undergone standardized training would not approve. But sometimes, pathological diagnosis must dare to break free from the rigid framework, cannot stick to old rules. Western medicine has a major flaw, it is not flexible enough. It relies entirely on test data to speak. Even with test data, a question mark still has to be put behind the diagnosis result. Why? Because they are afraid of being overturned, afraid of facing embarrassment! Under China''s current medical system, what doctors fear most are misdiagnoses and medical accidents. Putting a question mark behind the diagnosis result reflects many real issues. In the end, it is also a kind of lack of confidence in Western medicine. Look at the old Traditional Chinese Medicine doctors before, who rarely had ambiguous situations. Either they would admit they could not diagnose your disease and suggest seeking more skilled help, or they would clearly determine the lesion, write out the pathology, and then prescribe treatment. "Why did I only gain 0.9 in diagnosis experience points?" This was the first time Zhou Can encountered this situation. He had encountered gaining 0.2 experience points before. That was because the patient had multiple lesions, and he only diagnosed one. This time, the experience points obtained were already very close to 1, the missing 0.1 could likely be due to not yet specifying the exact location of the lesion. After hearing Zhou Can''s diagnostic suggestions, Director Yin fell into deep thought. One minute passed, two minutes, three minutes¡­ Now it was his turn to fall into a trance like Zhou Can. In fact, many famous doctors have this trait. In order to conquer a certain disease, they could neglect sleep and meals, constantly thinking about diagnosis and treatment even when eating, using the restroom, or even sleeping. After nearly six minutes, Director Yin finally refocused following Zhou Can''s diagnostic suggestions. His eyes were filled with an excited glow. That was the excitement and agitation that only surfaced after a significant breakthrough in diagnosis. "Xiao Zhou, the situation you mentioned is entirely possible. After repeated arguments, I think this female patient''s paralysis could likely be due to changes in the cranial cavity environment, or compression of the cranial nerves. Conditions like hemangiomas, neuromas, osteomas, can be basically ruled out." After all, many tests had already been conducted. If there was a tumor in the brain, it would definitely have been detected. S§×arch* The N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. "If the patient is willing, you can invite her to come to the hospital to see me for another diagnosis. My advice is to give her another head MRI. There''s a very high chance it can pinpoint the exact location of the lesion." Director Yin said to Zhou Can. If the patient does not trust Director Yin, or has lost hope in Tuya Hospital and refuses to come, then there''s nothing that can be done. "Okay, I''ll inform her right now." "If she is willing to come, she does not need to register again, I will explain to the hospital at that time." Director Yin provided some convenience. It is important to know that his specialist appointments are very difficult to obtain. 800 yuan is also a substantial amount of money for ordinary people. "Alright, thank you! I''ve taken up your time today, you can go back to your work!" Zhou Can stood up to leave. "Absolutely don''t say that. If you have any questions in the future, you can consult me at any time. Today''s diagnosis of this patient had a major breakthrough, your contribution is no less than mine. The talent you have shown in pathological diagnosis truly is the only one in my lifetime. This unconventional diagnostic approach is truly unique in the world." Director Yin''s attitude towards Zhou Can became even more polite. This young man is indeed a rare talent. "Xiao Zhou, if you are willing to transfer to our Neurology Department, I can facilitate your move. Although the Emergency Department can indeed train people, staying there for three months is enough. Many profound medical knowledge are hard to learn there. Human lives are very short, and it is difficult to work for more than fifty years." "In the current medical field, it is becoming more and more specialized. To master one field thoroughly in one''s lifetime is not easy. Someone talented like you, moving to Internal Medicine, will definitely not achieve less in the future. Moreover, upgrading your academic credentials in Internal Medicine is also easier. Director Tan is a level-one professor, academician-level, you can choose his subjects when applying." Although he didn''t specify completely, he was essentially hinting to Zhou Can. Once inside Internal Medicine, moving up academically was assured on their part. The criteria for a level-one professor are extremely strict, usually only achievable by academicians. Never thought that Director Tan of Internal Medicine was so impressive. However, Internal Medicine is indeed more likely to achieve scholarly success. Chapter 175 - 109: Director Yins Excitement, Entrusted by Others, Loyal to the Task (Part 3) Director Yin now invites Zhou Can to develop in the Neurology Department, and the many benefits he has promised are evidence of his high regard for Zhou Can. "Thank you for considering so much for me. I''d still rather stick with the Emergency Department." Zhou Can had made up his mind from the outset to carve out a place for himself in the Emergency Department. He wanted those department heads who did not choose him to understand that academic qualifications are not everything. "Mhm, if you change your mind, you can find me anytime. You can even go directly to Director Tan. He also holds you in high esteem." Director Yin nodded helplessly. The man was unwilling to develop in Internal Medicine, and there was nothing he could do. "By the way, have you decided on your specialty training direction?" Even general practice trainees need to select a specialty direction once they are assigned to a department. "I was originally considering general surgery, but now it seems I can only choose emergency, right?" Zhou Can was not very clear about the hospital''s arrangements for their general practice trainees. He and Jin Mingxi were both assigned to the Emergency Department. Choosing a specialty direction, he presumed, would certainly be emergency. "Choosing the Emergency Department for your specialty training isn''t a bad decision, as you could switch departments in the future. As for general surgery, I suggest you not consider it; the path is too narrow. The prospects for general surgery are far less promising than for Neurosurgery or Cardiothoracic Surgery. As for Internal Medicine, Neurology and Cardiovascular Department offer the best prospects." Director Yin actually guided him in selecting his specialty training direction. He must think highly of him to go to such lengths. "Thank you for such thoughtful guidance. I''m particularly touched." Zhou Can and Director Yin Hua also got to know each other through a conflict. At their first encounter, Director Yin Hua even scolded him in public. At that time, his impression of Zhou Can was extremely poor. Later, as Zhou Can demonstrated his excellence and humility, he gradually improved Director Yin Hua''s impression of him. ... After leaving the Neurology Department, Zhou Can immediately called Li Lao. "Brother Lao, it''s me, about yesterday..." "I know, it''s Zhou Can! Are you coming to my house today?" Li Lao got along very well with Zhou Can during their chat yesterday. He readily invited Zhou Can over. He was probably bored staying at home with his wife. "I won''t be coming today. I''m still in the training phase and need to hone my surgical skills. Alas, the pursuit of medicine is really tough!" Zhou Can sighed. "Haha, who told you to choose this profession in the first place? Regretting it now?" Li Lao laughed heartily. "I wouldn''t say I regret it; after all, I love this profession. Brother Lao, I have something to tell you, regarding the medical records of your wife that you sent me yesterday? I consulted a few mentors today, and after Director Yin of Neurology looked at them, he made a significant diagnostic discovery. He suggested that if you and your wife are willing, you could visit him again for a diagnosis, and she might need to do a brain MRI." Zhou Can didn''t dare to continue rambling with Li Lao, the chatterbox. Instead, he immediately got to the point. Otherwise, they could slip into a shared topic of interest, and the talk would last hours. Zhou Can also enjoyed chatting with him, which broadened his horizons and taught him a lot. But for now, the priority was to rigorously practice medical skills. There would be plenty of time in the future for enjoyable conversations over a drink. "Really? That''s fantastic!" Sear?h the N??eFire.¦Çet website on Google to access chapters of novels early and in the highest quality. Li Lao was thrilled to hear the good news. Zhou Can even suspected that he was so happy he might be jumping around like a child. "You''re someone with a loyal heart. I just didn''t expect you to take my wife''s illness so seriously. Brother, no more words needed, this kindness, I''ll remember it in my heart. Even if my wife goes for more checks tomorrow and the cause of the illness remains undiagnosed, I still thank you for your kindness." Li Lao, who once nearly became the CEO of Tianyu Interactive, has an exceptional talent for judging people. Despite his seemingly carefree nature, his talent and abilities are quite extraordinary. When interacting with others, he prefers to be straightforward. You could tell from their conversations. When chatting with Zhou Can, he never played any tricks. "Hey, is that Director Yin''s name Yin Hua?" It seemed to occur to Li Lao to ask. "Yeah, that''s right! Seems like you remember him! Today, when I showed your wife''s records to him, he was also quite struck by them. He said it was a regret that he couldn''t diagnose your wife''s illness three years ago." "That''s really him. I''ll take my wife to see him tomorrow." Li Lao was very concerned about his wife''s illness. Hearing there was a new discovery in the diagnosis made him exceptionally happy. Even though he returned in disappointment each time he sought medical advice, he never gave up as long as there was a glimmer of hope. Perseverance was his approach. "Director Yin did say to come without an appointment. But out of respect, I still think it''s better to register." Zhou Can had his own principles for conduct. He believed Li Lao wouldn''t mind the 800 yuan registration fee. "Definitely, I''ll register. I understand that, don''t worry. It''s just that Director Yin''s slots are hard to get, and I''m afraid we''ll have to resort to those damnable scalpers again." Over the past few years, Li Lao frequently accompanied his wife in seeking medical treatments. He must have suffered at the hands of scalpers. So he held particular contempt for them. "There''s no need to buy from scalpers. Since it''s already arranged, when you go there, just ask Director Yin to add an appointment," Zhou Can suggested. He had a strong sense of justice. Unless absolutely necessary, he would never contribute to unhealthy practices. If patients stopped buying from scalpers, the scalping profession would naturally disappear. After ending the call, Zhou Can was very happy. Fulfilling a friend''s trust demonstrated his credibility. If nothing unexpected happened, this matter would soon yield a positive outcome. He was also curious to see where Qiu Jie''s lesion was and what the specific cause of the disease was. He believed that after tomorrow''s examination, Director Yin would surely be able to diagnose the specific cause. Chapter 176 - 110 Cruel Reality, Gatecrashing a Drinking Party The next day, around five in the afternoon, Zhou Can had just finished work and was practicing his basic knife skills in his apartment. His phone rang. It was Li Lao who was calling. Zhou Can felt a surge of excitement, it seemed likely that Director Yin''s diagnosis was ready. "Zhou Can, today I took my wife to see Director Yin for an examination. The cause of her illness has been identified." S§×arch* The Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. "That''s good news, isn''t it? Why do you sound unhappy?" It was not surprising to Zhou Can that the cause was identified. Because he had already determined from the breakthrough point of poor upper limb blood flow through a series of diagnostics, that it was most likely an issue with the central nervous system. Once the cause was identified, treatment targeted at the symptoms could be administered. "After the examination, Director Yin concluded that my wife has a rare degenerative condition in the central nervous system due to a viral infection. Currently, he prescribed some medication, but he made it clear that there is no cure for her condition yet. The medication can only improve symptoms and it comes with some side effects." No wonder Li Lao wasn''t feeling cheerful. The cause was clear, but it wasn''t curable. [You have successfully diagnosed a highly challenging case, rewarded with 100 Diagnostic Experience Points.] Unexpectedly, the system was so generous, awarding him 100 experience points. Qiu Jie''s diagnosis was indeed difficult. It can be considered a reward for him. "Isn''t there any other way?" Zhou Can asked. As a resident doctor with no high qualifications, he knew very little about the treatment of neurological disorders. Based on his understanding, Qiu Jie must have suffered a lesion in the brainstem causing impairment of some functions, which reduced the motor nerve discharge signals rather than issues with spinal or peripheral nerves. Neurological diseases are notoriously difficult to treat. When the central nervous system malfunctions, the medical field is still immature in terms of treatments. Whether it''s medication or surgery, the life-sustaining regions are considered off-limits, and hardly anyone dares to intervene. Director Yin, in the realm of Neurology, is absolutely the top authority in the province. Even he said there is nothing to be done, seeking other famous doctors would likely be in vain. "Alas! There are other methods, but the current technology simply isn''t sufficient." Li Lao''s voice was filled with helplessness. "No matter what, I''m particularly grateful for you this time. Director Yin knew we are your friends, and not only did he provide special care in our treatment and facilitated everything for us, but he also went out of his way to explain extra details. He told us that diagnosing my wife''s condition was largely your achievement. You determined the approximate location of the lesion, which allowed for the specific identification of the lesion site and the extent of deterioration." Zhou Can was somewhat surprised. He did not expect Director Yin to share this with the patient and her family. "Aren''t we friends? No need to be so formal." Zhou Can is actually quite righteous. He always helps his friends in trouble when he can. However, he is very cautious about who he becomes friends with, never associating with those of questionable character. Those who are only friends for public relations or superficial contact, he avoids entirely. If one passes his test and becomes his friend, then he is incredibly reliable and principled. "You''re right, we are friends. Thank you for treating my wife and me with sincerity from the moment we became friends, selflessly helping us. It''s great to know you!" Li Lao was genuinely moved. Previously as the Vice President of Tianyu Interactive, when others helped him, it might have just been out of sycophancy. Now, he''s just a washed-up man, and many people avoid him. What could Zhou Can possibly want from helping them? Absolutely nothing. This made their friendship even more valuable. Li Lao is no rookie straight out of society. Zhou Can, just a resident doctor, yet can maintain good relations with top experts like Director Yin, which shows he holds a significant status in the hospital. Furthermore, many famous doctors had diagnosed Qiu Jie without identifying the specific cause. Zhou Can, a resident doctor, helped Director Yin to pinpoint the cause. This sufficiently proves Zhou Can''s extraordinary talent in medicine, promising a brilliant future. Such a gifted young doctor with a bright prospects, who interacts without pretense and treats them genuinely as friends. Where else could one find such a good friend? "Alright, let''s not get sentimental! You haven''t told me yet, what are the methods to cure my sister-in-law!" Zhou Can is more interested in curing illnesses. The last thing he''s skilled at is exchanging pleasantries. "Director Yin told us that a team abroad researching ALS medication, if supported with sufficient funding, might eventually develop a medication for treating these degenerative diseases of the central nervous system. The second option he mentioned was that surgery might also potentially cure my wife. However, currently, whether domestically or internationally, no surgeon dares to operate in the area of the brainstem." Both treatment options seemed like distant clouds, unreachable. No wonder Li Lao felt so heavy-hearted. "Brother Lao, as long as there''s hope, it''s a good thing. The development of medication is uncertain; it could happen at any time. Additionally, although the surgery is very challenging, if we can find a surgeon willing to operate on the brainstem, there''s a chance. Just make sure to keep massaging your sister-in-law''s lower limb muscles daily to prevent severe atrophy." Zhou Can wasn''t just trying to comfort the couple. It was actually a possibility. When the medication will be developed is hard to say. Chapter 177 - 110: The Harsh Reality, Crashing the Drinking Party_2 His own surgical skills, with the help of the Experience Points system, were improving by leaps and bounds. Perhaps in three to five years, he could reach a very high level. By then, it wouldn''t be impossible for him to personally perform surgery on Qiu Jie. After hanging up the phone, he practiced the basic skills of swift surgery with even more zeal. Jin Mingxi, on the other hand, had become fascinated with the meditation of an old monk, always practicing the fundamentals of steady surgery whenever he had the time. ... Days passed by like this, one after another. In the blink of an eye, another month had gone by. Zhou Can''s speed in surgery was getting faster and faster; he could now complete more than 35 Level 1 surgeries every day. This speed was truly terrifying. It was more than double that of Jin Mingxi. His experience in various medical skills had seen a tremendous increase. Especially in skills like suturing, ligation, hemostasis, injections, and debridement. He could reap a good amount every day. He could also occasionally earn a bit of experience in other medical skills. So, his medical skills were steadily improving. It seems that doing only Level 1 surgeries was not bad. A Level 2 surgery takes at least an hour or two, and with an eight-hour day shift, the surgery volume is only about three to five surgeries per day. Where could the speed of Level 1 surgeries come from? He can now complete a simple debridement and suturing surgery in just about ten minutes. A steady completion of about 35 Level 1 surgeries every day also significantly raised Zhou Can''s status in the Emergency Department. In the operating room, his status was second only to Dr. Cui. He estimated that in a little while, once his multiple basic surgical skills reached the level of intermediate attending doctor, his actual status might surpass that of Dr. Cui. Currently, there was no overwhelming advantage to speak of. As for Dr. Lu, Doctor Lin, and Jin Mingxi, they had been left far behind by Zhou Can. Jin Mingxi was better off, with a solid foundation to start with. After practicing steady surgery, he performed very stable operations and had not caused any accidents. Moreover, with his outstanding surgical capabilities and a decent volume of surgeries completed each day, his status also rose rapidly. And he had an advantage over Zhou Can. He was certified for standard training and became a physician upon entering Tuya Hospital. Zhou Can had to complete one year of standard training before he could take the medical practitioner license exam. He is only a Bachelor of Medicine right now, and the difference between the two is significant. Recently, over the past month, Dr. Lu had really started taking risks. To be able to stay, he seemed to have become a different person. When assisting Dr. Xu, he became humble and eager to learn. He was desperately making up for his skills in basic surgical techniques. His suturing and debridement skills improved quite rapidly. As for his other surgical capabilities, Dr. Xu wouldn''t let him try, so there was no way to test. Finally, let''s talk about Doctor Lin. This person''s character is quite upright, and he is very diligent. Unfortunately, he is not very gifted, and no matter how hard he tries, his surgical skills improve extremely slowly. Most likely, he will be eliminated. It''s possible that Director Lou or Dr. Xu has already spoken to him in private. In the past month, Doctor Lin always appeared to be heavily burdened at work. He operated with extra care. As a senior resident doctor, he even fought to help nurses clean up the operating room. Not long ago, Dr. Lu jokingly asked him why he came to work with dark circles under his eyes every day recently, asking if he was up to no good at night? He laughed bitterly and said that every day after work, he practiced basic surgical skills like suturing and anatomy. And that he practiced until two or three in the morning every day. This was really going all out. Their anxiety is understandable; their superiors have already talked to them, making it clear that without improvement, they would be eliminated, and anyone would feel anxious and work desperately hard under those circumstances. There was also good news. The leg paralysis symptoms of Li Lao''s wife had been greatly relieved after medication treatment. She could even walk a few steps with the help of crutches. The couple shared the good news with Zhou Can as soon as possible. Their relationship with Zhou Can had also risen to that of close friends. They often invited Zhou Can over to their house. Zhou Can was very busy and only went there twice. Once was to help Mr. Cui solve some problems encountered during renovation, and the second time was an invitation he couldn''t decline. Qiu Jie was able to stand up successfully, and they insisted on inviting him, the greatest contributor, to have a drink. He couldn''t let them down. Zhou Can went. He even got into a drinking contest with Li Lao and returned completely drunk. That day, Zhou Can was practicing the insertion and grasping, two Advanced Medical Skills, in his apartment. Suddenly, his cell phone vibrated twice. He glanced at it and received a message from an unfamiliar number. It was already 10 pm and from an unknown number; he guessed it was probably spam. Sear?h the n?velFire.net website on Google to access chapters of novels early and in the highest quality. However, he still swiped open the screen to check. "Jiangnan Flavour Restaurant, Private Room 2018, save me." A simple few words, without even punctuation at the end. Zhou Can realized something was not right. At this late hour, unless faced with great danger, it would be unlikely for someone to seek his help. This number seemed somewhat familiar. But it wasn''t saved in his contacts. This meant the person seeking his help had interacted with him before. Suddenly, he remembered something. He opened his call log to search. He immediately found the number that had sent the message. Looking at the time of the call, he instantly knew who it was. Wasn''t this the mobile number of the third-tier actress, Su Qianqian? She hadn''t troubled Zhou Can except for calling him in the middle of the night to help open a door a while ago. "She''s asking for my help so late at night? The location is in a restaurant private room." Zhou Can frowned. Their relationship was that of landlord and tenant. Chapter 178 - 110: The Harsh Reality, Crashing the Drinking Party_3 Zhou Can is a person who sympathizes with the weak and is very just at heart. But he is definitely not a pushover or a weakling. After hesitating for a moment, he finally decided to make a trip there. He went downstairs and took a cab, heading straight to Jiangnan Flavour Restaurant. It wasn''t too far, located right by the riverbank. About ten minutes later, Zhou Can arrived at the grand hall of the restaurant. "Welcome! Are you here for an appointment, or¡­" Sear?h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. "Where is room 2018? Someone called me over!" Zhou Can certainly would not foolishly say that he was here to meddle in other people''s business. "It''s on the second floor, near the end of the corridor. Do you need me to take you there?" This restaurant does good business, not to mention anything else, its enthusiastic service alone can win over a lot of repeat customers. "I can find my way; you can go about your work!" Zhou Can went straight to the second floor. Room 2018 was easy to find, indeed located at the end of the corridor. At that moment, one could still hear the sounds of persuading someone to drink from inside. It seemed there were quite a few people. Zhou Can was unapologetic; since he was here to rescue someone, he naturally would not knock on the door politely. He directly opened the door of the private room and looked inside. Already, the table was a mess with dishes and cups scattered all around, and there were three men and two women, among them was Su Qianqian. Among the men was one in particular whom Zhou Can did not recognize. At this moment, Su Qianqian''s face was flushed red, her beauty enhanced, looking particularly charming as she propped up her head. It appeared she had already drunk quite a lot. The three men and one woman were still persistently urging her to drink more. Zhou Can could see right through the trickery of such a banquet at a glance. It was all about targeting Su Qianqian''s body. Many powerful bosses and influential figures, if they took a liking to a female subordinate, couldn''t just overpower her directly. They wouldn''t get past the legal aspect. But whatever these people covet, they would do everything possible to attain. The most common method was exactly this. Setting up a drinking session, getting the woman drunk, and then assisting her to a hotel room to "rest." The door to the private room was opened, and the group inside looked up at Zhou Can. Realizing that Zhou Can was not dressed as a waiter, they thought he was a guest who had walked into the wrong room and paid him no further mind. Unexpectedly, Zhou Can walked right over to them. "Who are you?" The middle-aged man with a pockmarked face, a pudgy figure in fancy clothes, was wearing a Rolex watch, clearly a person of some wealth. His demeanor also very imposing. The other two men, one was fairly thin, under thirty years old and looked quite shrewd. He sat next to the speaking man, appearing to be an assistant or subordinate. On the other side of Su Qianqian was another man and a woman, the woman dressed seductively with heavy makeup. She was quite beautiful and well-figured but exuded the aura of a woman of questionable character. The man beside her was dressed neatly, but his gaze was as terrifying as a wolf''s. "They are no good people!" Zhou Can made mental notes of these individuals. "I am Su Qianqian''s boyfriend, and I''ve come to take her home," Zhou Can said indifferently. The woman and the thinner man were obviously accompanying the guests. Only the speaking man and the scholarly-looking man appeared to be the bosses. "I''ve never heard that Su Qianqian had a boyfriend! What''s your name?" The scholarly man said, seemingly familiar with Su Qianqian. "Zhou Can!" Zhou Can''s gaze fixed on this man. "I am Qianqian''s manager, and this is Mr. Zhao, the investor. We were only halfway through our drinks when you barged in. If you upset Mr. Zhao, his investment in Qianqian might be withdrawn." The scholarly man''s words carried both a warning and a threat. "Since you''re Qianqian''s boyfriend, you should be aware of her current situation. Her album release has faced significant challenges, and without Mr. Zhao''s investment, she might even struggle to make a living. If she secures this investment from Mr. Zhao, along with his substantial resources, her album could be quickly launched and heavily promoted. By then, she''ll make money, and you, her boyfriend, would also benefit, right?" The scholarly man did not further question Zhou Can''s identity as Su Qianqian''s boyfriend. He directly tried to persuade Zhou Can. The implication was for him to know his place and not mess up this drinking session. Otherwise, it wouldn''t be good for him or Su Qianqian. Chapter 179 - 111: Human, I Took Away. The Bitter History of a Third-tier Actress The man named Mr. Zhao with the square face and big ears, also known as the pockmarked man, cooperated by putting on an annoyed expression and sat there with a grimace. "It''s fine, I won''t disturb your work discussion, you guys just keep drinking!" Zhou Can directly pulled out a chair and sat down. The purpose of these people was to get Su Qianqian drunk and then take her away. Now Su Qianqian was already severely intoxicated. If Zhou Can had arrived a bit later, they would have had their way. "Buzzkill!" Mr. Zhao slammed his chopsticks down on the table. He picked up his bag and stood up to leave. S§×ar?h the N?velFire(.)net website on Google to access chapters of novels early and in the highest quality. Anyone would understand, with her boyfriend right there waiting, Mr. Zhao wouldn''t have the opportunity to take advantage. Most of these business owners had clawed their way up from being nobodies. Their means and abilities were naturally not lacking. Seeing that Zhou Can was clueless about the situation, Mr. Zhao''s face turned sour immediately. "Mr. Zhao, Mr. Zhao, don''t be mad! Leave it to me, leave it to me!" The refined-looking man hurriedly stood up to pull Mr. Zhao back. The woman also pulled at him from the other side, cooing, "Mr. Zhao! Don''t you trust Mr. Qian''s abilities? He''ll definitely make things satisfactory for you!" She leaned most of her body onto Mr. Zhao. "Hmph, we were drinking just fine, and then this irrelevant person shows up; what''s the meaning of this? Have the kid leave first, we finish our drinks, conclude our business, and then you can send his girlfriend back." Mr. Zhao glanced coldly at Zhou Can. Then, with a cold face, he sat back down. "That... you''re Zhou Can, right? Xiao Zhou, you''ve seen Mr. Zhao''s attitude just now. Let me tell you, he''s a big investor. With his support, your girlfriend could make a living and might even have the chance to become a top actress. By then, all you, her boyfriend, would need to do is count the money. Without Mr. Zhao''s support, she''ll be reduced to begging on the streets." The man known as Mr. Qian tried to work on Zhou Can''s thoughts again. "Don''t worry, I''m the vice president of Beihai Langxing Media Co., Ltd. I mean what I say. With me and her colleague Wu Jialin here, your girlfriend is very safe. After we''ve finalized the cooperation, we will send Su Qianqian back." "Don''t worry, we''re here!" The woman chimed in, trying to reassure him. Naturally, Zhou Can did not believe their deceitful words. "I, I want to go back!" Su Qianqian staggered to her feet, her mind probably still clear. "I''ve never heard of having to rely on a woman to accompany drinking to discuss a proper cooperation. You discuss it yourselves. If you can agree, that''s your skill; if not, I think we might as well forget about this cooperation. I''ll take her with me now." Zhou Can walked over and steadied the severely uncoordinated Su Qianqian. Only then did he realize that her body was not only soft but also very light. Actresses love to control their weight to maintain a good figure. But at her height of over 1.7 meters, her weight was so light that, from Zhou Can''s medical perspective, it was considered malnourished. "You should think carefully about the consequences!" Mr. Qian''s smile faded, replaced by a cold tone. "The consequence is that Mr. Zhao and the two of you are avoiding the risk of going to jail. Goodbye." Zhou Can ignored the unpleasantries on the faces of the three people, supporting Su Qianqian as they left the private room. Mr. Qian watched his retreating figure, his gaze fierce as if he wanted to devour him. Zhou Can had put it plainly, as a reminder to the three that he knew exactly what they were scheming. "I never thought... you would come... thank you!" Her voice was somewhat slurred and her tongue was tied. However, the moment Zhou Can barged into the private room, she knew she was safe. "I thought you were completely drunk!" This was the first time Zhou Can had held a girl so closely. Moreover, it was a girl whose looks and figure were both top-notch. To say he felt nothing unusual would be self-deceit. Not to mention, the faint scent of her perfume and the smell of her hair continuously stimulated Zhou Can''s brain as they wafted into his nostrils. "I''m not drunk... how else would I leave?" She showed a sly smile. This too, was the vulnerability and bitterness of a third-tier actress. Could she refuse when the vice president of the company asked her to attend a dinner? Absolutely not. Mr. Zhao was an investor; dare she offend him? No way. Calling over Zhou Can, her pretend boyfriend, the smartest thing she could do was to pretend to be ''passed out.'' That way, when Zhou Can took her away, Mr. Qian and Mr. Zhao, even if unhappy, would at least not completely fall out with them. Zhou Can stopped a taxi, deciding to send her home. Seeing her completely drunk, he also didn''t feel at ease letting her go back alone. "Driver, to the gate of Bajing Lake Xiangshan Garden Phase 1 community." "All right!" The driver saw the woman was too drunk to be presentable, fearing she would vomit in the car. "There are plastic bags in the seat pocket, in case she wants to vomit, please use a bag to catch it." "Okay!" Zhou Can took out a plastic bag. Her body swayed back and forth, eventually leaning on Zhou Can''s shoulder. "Let me rest on your shoulder... I''m really tired..." Just as she finished speaking, she fell asleep. Fortunately, she did not vomit while sitting in the car. Zhou Can held her the entire time to prevent her from falling. Half an hour later, the taxi stopped. "We''ve arrived at Bajing Lake Xiangshan Garden Phase 1!" After paying the fare, Zhou Can tried to wake Su Qianqian to get out of the car, but she wouldn''t wake up no matter how much he called. No choice left. He could only smile wryly and carry her out of the car. "Young man, tell your girlfriend to drink less! She''s so beautiful, and there are so many bad people in today''s society." Chapter 180 - 111: The Person, I Have Taken Away. The Bitter History of a Third-tier Actress_2 "I will be careful in the future! Thank you!" Zhou Can, looking at Su Qianqian in his arms, let out a wry smile. Aside from truly being beautiful, the girlfriend part was fake. Given her looks and talents, it''s unlikely she would fancy an ordinary little doctor like Zhou Can. Female stars like to marry rich businessmen, tycoons. It took Zhou Can quite some effort to carry her into the house she rented. He turned on the light and shut the front door. Zhou Can carried her straight to the bedroom. Considering her current state, she probably won''t wake up until tomorrow. The bedroom is decorated with the sweet scent of a young woman''s life. Predominantly in shades of pink. He placed her on the bed, took off her high heels, and covered her with a blanket. Zhou Can stared at her devastatingly beautiful face for a few seconds, then walked out of the room, only to return soon after. He brought a glass of water and set it on the bedside table. "Ugh..." Suddenly, she had a severe vomiting reaction. Zhou Can hurriedly found a plastic basin, helped her sit up, then gently patted her back. "Ugh... Wow... Splash..." A large amount of sour-smelling filth was vomited out, luckily caught by the basin. After she finished throwing up, Zhou Can helped her wipe her mouth with a tissue. Then he gave her a couple of sips of water. After taking care of her, he quickly took the waste to the bathroom to dispose of it. Returning to the room, he opened the window to air out the space. For a drunk person, vomiting can be very dangerous. It can easily cause vomitus to block the airway or be aspirated into the airway, eventually leading to asphyxiation and death. Zhou Can stayed by the bedside for over an hour, making sure she wouldn''t vomit again before he finally got up to leave. Before leaving, he closed the window for her and brought the door to her room with him. Lying in bed, Su Qianqian, hearing the sound of the front door closing from outside, slightly opened her eyes and saw the glass of water on the nightstand. A faint smile appeared on her lips. A gentleman does not take advantage of someone''s vulnerability. Facing such a beautiful drunk woman, and being alone with her in a room, Zhou Can didn''t make any disrespectful moves. That must be why she''s smiling so smugly. sea??h th§× N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. At least, it shows she''s good at reading people. Besides, Zhou Can was especially thoughtful when taking care of her. He''s a total sweetheart! If his late-night rush to unlock her door was just the beginning of a better understanding and trust between them, then after this incident, their relationship surely was no longer just that of a tenant and a landlord. The connection between people is so wonderful and magical. From meeting to getting to know each other, to slowly understanding and further interacting. Every phase is a gentle progression. Love at first sight is more common in idol dramas. In real life, it''s extremely rare. Especially in today''s materialistic world, interactions between men and women have become increasingly cautious. Those who weren''t careful, ended up being conned into marriage, swindled out of money or love... After society''s harsh lessons, they, too, learned to be cautious. ... The next day, as Zhou Can was preparing to go to work, he received a message from Su Qianqian. "Thank you for your thoughtful care! Thank you for your respect!" After reading the message, Zhou Can revealed a knowing smile. Do celebrities even send thank-you texts in such a special way? Thinking back to last night, holding the soft and fragrant figure in his arms, and the various scenes of being alone together, he was able to suppress his fantasies and restrain his impulses and desires, which was not something any ordinary man could do. Zhou Can had no intention of replying to the message. He was very clear-headed; what happened yesterday was just emergency aid. If he thought that Su Qianqian was interested in him, that would be pure wishful thinking. He went to work at the hospital as usual, his mindset unaffected. But when he finished work, he discovered a WeChat friend request. He clicked on it. "Dr. Zhou, please accept, I''m Su Qianqian!" The friend request must have been sent a long time ago. But he was working at the time and couldn''t use his phone, so he hadn''t noticed it. After he accepted her friend request, She immediately sent over a pouty emoticon. "I thought you just couldn''t be bothered with me!" "Just busy at work and didn''t look at my phone! Are you sober now?" If he didn''t reply now, Su Qianqian might really take him for a cold-hearted man. "Got it. (Giggles)" "I''ve been awake for ages~! But now I feel like getting drunk again!" She seems to be finally letting down her guard when talking with Zhou Can. Maybe Zhou Can''s repeated acts of chivalry, including a time when he didn''t take advantage of her vulnerability, won her trust and favor. "(Question mark)" Zhou Can sent a questioning emoticon. In online chatting, emoticons convey more warmth than mere punctuation. "Come over for a couple of drinks with me, then I''ll tell you!" She took a photo that seemed to be of a coffee table in the living room. On it, there''s a large spread of canned beer. Seems like she''s dealing with some troubling matters. But her recent circumstances have indeed been somewhat unlucky. "Chatting isn''t part of the real estate agent''s job description, ha!" Zhou Can was tacitly declining. "I don''t have many genuine friends in this city, just wanted to find someone to talk to. Maybe, I''ll be leaving this city soon." Was she trying to garner sympathy? "So, just the two of us drinking in your rental place?" Zhou Can asked. "Are you coming?" She almost gave consent. "Aren''t you afraid I''ll get bold with a few drinks in me and do something to you?" He felt that Su Qianqian''s attitude towards him had changed drastically. "If you were that kind of person, would you have waited until today?" Her words were laced with deep implications. Chapter 181 - 111: The Person, I Have Taken Away. The Bitter History of a Third-tier Actress_3 "......." Zhou Can was speechless. "Am I not right?" she asked. ".......!" Zhou Can didn''t want to respond to such a silly question. "Are you laying eggs or something?" She was really getting more and more unrestrained with her words. A vein popped on Zhou Can''s forehead. "I don''t mind coming over to keep you company. Let''s get this straight first, I can resist anything except temptation." "Not enthusiastic at all! If you''re coming, hurry up!" Since she put it that way, Zhou Can naturally had no reservations. Being alone with a beautiful female star, he was naturally willing. And seeing her current state, without someone to talk some sense into her, if she did something foolish in her rented house, wouldn''t he, as the landlord, be the unlucky one? He quickly hailed a cab and went over. Nearly fifty minutes later, he arrived at Su Qianqian''s rental. He still found it somewhat unbelievable. She had actually taken the initiative to invite Zhou Can, a big guy, to drink with her at home. It was too abnormal. Things like being seduced, Zhou Can, with his martial skills, wasn''t worried about that. And no matter how you looked at it, she didn''t seem like that kind of woman. He rang the doorbell. After a moment, the entry security door opened. Su Qianqian wore slippers, her pretty face flushed red, already showing signs of drunkenness. On her face, there seemed to be traces of dried tears. What on earth had happened to her? "I thought you wouldn''t dare to come! Please, come in!" Zhou Can raised the food he was carrying in his hand. "Drinking on an empty stomach is too harmful; I bought some soy sauce duck, some marinated dishes, and peanuts." After entering the house, Su Qianqian took the initiative to close the door. She really wasn''t being cautious with him at all. His gaze swept over the living room, and he didn''t see anyone else. There were already several empty beer cans on the coffee table. Just like in the picture she sent to Zhou Can, there were only cans of beer, nothing else. "Please have a seat!" She asked Zhou Can to sit on the sofa and herself took a small stool across from him by the coffee table. "Do you think I''m particularly despicable? Inviting a man over to drink at my place." Her smile had a touch of desolation. "No way, when you first rented this place from me, you were very cautious around me. Now we have a foundation of trust, so you dared to invite me over to join you. Of course, it might also be because I''m too handsome and you''ve taken a liking to me." Zhou Can tried to crack a joke to lighten the mood. The curtains in the living room were drawn, the lights dim. That also reflected her current state of mind, she probably wanted to put herself in a closed space, undisturbed, not vulnerable to harm. Most likely she had suffered a severe blow at work. According to psychology, this is a manifestation of withdrawal. Pfft~! "Just keep flattering yourself!" She gave Zhou Can a playfully annoyed look, but he successfully made her laugh. "Why did you think to pour your heart out to this man? You could have gone to a girlfriend you get along well with!" Zhou Can quietly tidied up the empty beer cans on the coffee table. Then, he spread out the snacks he''d bought for their drinking session. "The entertainment industry is the dirtiest place. As a helpless little woman, who would dare to get deeply involved with them? There are some things that you simply can''t imagine. I still remember the first time I worked at the film base, shooting a short TV drama. A female classmate, who got along well with me, slipped into the director''s room quietly after her shower that night. The next day, she landed the role of the second female lead." She shared her work experiences. "Back then, I had just graduated. I believed that as long as you had talent and real skills, you could definitely stand out. I held nothing but disdain for the various unwritten rules and under-the-table dealings of the entertainment circle. Once, a producer sitting next to me secretly touched my thigh; I lost it on the spot. I stood up fiercely, poured a drink over his greasy face while scolding him loudly. After that, as you might guess, I faced all sorts of suppression and even small roles were hard to come by." Talking about her bitter experiences from the past, her expression grew even more desolate. Zhou Can was there to be a qualified listener, just listening intently without interrupting. "Later on, Director Xu heard about my situation, admired my integrity, and gave me some encouragement. He also helped me find some work regularly, allowing me to survive. But after three years in the industry, I realized that if you want to make it big, you need the backing of a financier, or you have to be willing to give in to the advances of directors and producers. Otherwise, it''s just too hard to achieve success." "Director Xu has been my benefactor, but many things are beyond his control. The most he could do for me was provide some ordinary jobs to keep me surviving." There are hierarchies among directors. Big-name directors have various resources, a track record of success, and the trust of financiers, granting them significant influence. Some lesser-known directors live worse than dogs, constantly acting like lackeys, begging for investment here and there. And even big-name directors won''t go out of their way to heavily support a newbie. Either the newbie really has impressive talent and with a little support can become an overnight sensation, or they are connected, a favor owed to someone, requiring some care. "Later, I thought maybe singing would involve fewer issues. So, I chose to sign with Beihai Langxing Media Co., Ltd. to develop my career. But once I entered the industry, I found the difficulties were no less than those in acting. Yesterday, just as you saw, Vice President Qian took me to accompany President Zhao for drinks. I know they have ulterior motives, but what can I do? If you don''t go, it''s like you''re not giving them face; then the company will sideline you, and financiers won''t invest in you." She had jumped out of one fire pit and into another. Before hearing her personal experiences, Zhou Can really didn''t know the entertainment industry was so tough. "During my last concert, because I refused to sell my body, I couldn''t pull in big investors. So, I thought of gaining popularity and promoting myself through live shows. Then disaster struck out of the blue, and the stage suddenly collapsed. Beihai Langxing Media Company is also at a loss for words. They don''t want to take responsibility for this, leaving me to deal with it myself. I was so angry that I asked to resign and terminate my contract. They agreed, but with one condition: I had to buy out the album I recorded, with an asking price of five million." "They said, that money can''t be lost for nothing." This thuggish company is truly shameless. Profits go straight into their pockets. And when there''s trouble, all the losses fall onto the signed artist. "I sold my house and car, compensated the fans for various losses, and I still owe a lot of money. I simply can''t afford the five million to buy out the album. I''ve never felt so desperate in my life." Saying this, she picked up a bottle of beer, opened it, and started chugging. A vulnerable woman, at her wits'' end, trapped in a hopeless situation. Zhou Can could faintly sense that she might be harboring thoughts of suicide. It was the only way out. "All right, I feel much better after talking to someone. Come take back this house in a few days; I''m planning to develop my career in another city." She wiped the tears from her face and forced a smile. "Your lease isn''t up yet. When you move out, I''ll return the remaining rent and the deposit to you." She''s already having such a hard time. Naturally, Zhou Can wouldn''t take advantage of her. "No need. Just consider it a gift for helping me out twice!" She shook her head faintly and reached for another can of beer. Hearing her say this, Zhou Can became even more convinced that she was entertaining suicidal thoughts. In fact, he had sensed it the moment he walked in. She was particularly dejected, her eyes lacking their usual vitality. A look of utter despair. "You can''t drink any more! Too much alcohol is harmful to your health and your liver." Sear?h the ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. He reached out to grab the can of beer, trying to dissuade her from drinking more. "Also, didn''t you say that your company is making you buy out the album before allowing you to terminate the contract? If you go to another city, don''t you need to settle the termination first?" Zhou Can asked this as a way to probe. He wanted to re-confirm whether she was really having thoughts of taking her own life. Chapter 182 - 112: Falling in Love, Brother Lao Steps In "Heh..." She let out a desolate smile. "I don''t have the means to break the contract, let this bloodsucking company just wait! I will show them in my own way that a frail woman cannot be bullied and exploited without end." What could she possibly do to fight against the company? Zhou Can could only think of one possibility. After she committed suicide, the value of that album would be virtually gone. By then, Beihai Langxing Company''s investment in the album would essentially be wasted. And if she wrote a suicide note accusing Beihai Langxing Company of its crimes, he believed the loss to this thuggish company would be even greater. "Let me drink!" She forcefully tried to grab the can of beer. "Don''t drink anymore, it''s bad for your health!" Zhou Can held on firmly, her strength definitely no match for a man. Especially since Zhou Can had trained, his wrist strength was much greater than that of an average person. "Why are you controlling me?" With the help of the alcohol, she glared at Zhou Can with her eyes. "You yourself said that I am your boyfriend. With this identity, may I control you?" Zhou Can looked at this stubborn yet frail and pitifully beautiful girl, and for the first time, he felt pity. He didn''t want to watch a fresh flower wither away before him. She was talented and beautiful; what she lacked was an opportunity for development. At least from the perspective of Zhou Can the doctor, life is extremely precious and everyone only gets one chance. No matter how difficult, it''s not worth throwing life away. There''s a saying that''s quite right, one will prevail if they don''t succumb to death. Only by living can there be opportunities. Su Qianqian stared at Zhou Can, dumbstruck. "Heh... If it were before, maybe I really could try to have a romance with you. But now, forget it!" She let out another desolate smile, but her hand trying to snatch the beer was withdrawn. "Afraid of dragging me down?" Zhou Can raised his eyebrows. He could see through some of her thoughts. "My situation is worse than you think! I''m not in the mood for a relationship right now. I''m very grateful that you could come over tonight to accompany me and listen to my complaints. You''re a good person, kind-hearted, righteous, working as a doctor in a big hospital like Tu Ya, with a bright future ahead of you. I believe you will definitely find a destination that matches you in the future." She looked at Zhou Can with genuine sincerity. "Is this you giving me a ''nice guy card''?" Zhou Can tugged at the corner of his mouth. "Come sit over here!" He gestured for Su Qianqian to come over. "What for?" She asked with a soft voice. "Are you afraid I have ulterior motives?" Zhou Can looked at her. Eventually, she was pulled by Zhou Can to sit beside him. She seemed a bit nervous. Perhaps she has never been this intimate with a man before. "Sitting in the taxi last night, didn''t you lean on my shoulder? Was it comfortable?" Zhou Can asked her. "Mhm! An unprecedented sense of security." A hint of sweet and shy smile appeared on her face. The innocent love between a man and a woman is something to be yearned for. S§×arch* The n?velFire.net website on Google to access chapters of novels early and in the highest quality. Leaving both parties with a profound and beautiful impression. "Come, my shoulder is here for you to lean on. In the future, whenever you need it, this shoulder can be lent to you for a lifetime." Zhou Can wrapped his arm around her shoulder. To his surprise, she didn''t struggle or resist, but instead leaned naturally on his shoulder. Then she closed her eyes, quietly feeling the support this man provided her. Even the strongest women have times of vulnerability. She was besieged on all sides, facing adversity alone; it was really too tiring, too bitter. Zhou Can''s shoulder gave her unprecedented peace and respite from all her worries. "Qianqian!" "Mhm!" She murmured like a kitten. At this moment, they truly resembled an intimate couple. Even Zhou Can felt an unprecedented peculiar sensation and a sudden pounding heart. "How much debt do you owe?" "Over three hundred thousand!" "I''ll pay it for you! If you agree to be my girlfriend, that is." Zhou Can added a condition. His mother often urged him to bring a girlfriend home. Su Qianqian, whether in terms of appearance, figure, or inner qualities and temperament, all stirred romantic feelings in Zhou Can. Right now, holding this beautiful woman in his arms, he particularly wanted to just quietly stay together like this for a lifetime. He didn''t know what love was, nor had he ever tried to feel it. He only knew that holding her now, being relied on by her, made him very comfortable. His heart raced faster, his blood circulation accelerated. "It''s useless." She gently shook her head. Leaning on Zhou Can''s shoulder, yet refusing to move away. Her hair brushed against Zhou Can''s face, her fragrance filling his nostrils. That exquisitely charming face was so close. Providing Zhou Can with an extremely comfortable visual enjoyment. "I''ll buy out the album and think of a way for you to break the contract. In the future, if you want to work, find a regular job. If you don''t want to, I''ll take care of you." Zhou Can''s voice was calm, but to her, it caused a tremendous uproar. "You think it''s just a little bit of money? Five million! Don''t be foolish." This time she opened her eyes, slightly lifting her head to look at him. When Zhou Can proposed to help her pay the three hundred thousand in debt, she didn''t react much. Because for her, as long as she could get past the current hurdle, earning three to four hundred thousand wasn''t hard. It was even possible to earn that amount in a year. "I know, what about five million? You worried I can''t come up with it?" Zhou Can held her even tighter. He didn''t plan to ask for the money from his family. Instead, he planned to sell two of his properties. Think of it as an investment in Su Qianqian. Besides, before putting the plan into action, he intended to ask for advice from Li Lao. Chapter 183 - 112: In Love, Brother Lao Steps In_2 He used to be the vice president of Tianyu Interactive, a genius who almost became the president himself. I believe he would be very professional in handling music album rights. "You''re so rich, yet you work as a real estate intermediary?" She found that Zhou Can wasn''t joking and looked at him in surprise. It''s truly rare for someone to take out five million. Many families would find it extremely difficult to take out even five hundred thousand. Zhou Can, so young, spoke of spending five million to buy her album with such a calm tone and confident expression. This really shocked her. "When did I ever say I was a real estate intermediary? It was clearly you who said that!" Zhou Can said to her with a smile. Su Qianqian was taken aback and tried hard to recall, and it seemed to be true. "Then what do you do?" She stared at Zhou Can and asked. "A doctor!" Zhou Can blinked. "Humph, I don''t believe that! But leaning on your shoulder really is especially comfortable, I really want to lean like this for a lifetime!" She closed her eyes, stopped talking, and enjoyed Zhou Can''s broad shoulders. It wasn''t long before she actually fell asleep. Zhou Can couldn''t help but chuckle. She must have drank quite a bit of dull liquor, and combined with sorrow, despair, and other emotions, it depleted her energy significantly, causing her to fall asleep so quickly. After holding her still for a while, Zhou Can carefully laid her down on the sofa. Then he went to the bedroom to get a blanket to cover her. However, when he went into the bedroom, turned on the light, he unexpectedly saw a folded note pressed on the nightstand. "Dear real estate agent, I''ve left, forever departed this world. The remaining rent and deposit are a token of my gratitude to you. Thank you for helping me, thank you for your kindness." It turned out to be a potential suicide note Su Qianqian left for him. "This silly girl!" Zhou Can was secretly grateful that he came. Now, Su Qianqian''s thoughts of suicide probably hadn''t been dispelled yet. Because she hadn''t discussed Zhou Can buying her album again. Holding the blanket, he went to the living room sofa and carefully covered her. To prevent her from catching a cold. He must help her terminate the contract with that rogue company, which is the best way to dispel her suicidal thoughts. Zhou Can was worried that calling would disturb her. He went straight to the back room for elderly, closed the door, then walked out to the balcony. He dialed Li Lao''s number. "Zhou Can, thinking of calling me up for a chat, huh?" S§×ar?h the nov§×lF~ire.net website on Google to access chapters of novels early and in the highest quality. Li Lao was happy to receive his call. "It''s so late, hope I''m not disturbing you and your wife''s rest?" Zhou Can had arrived at Su Qianqian''s place around five o''clock. Unknowingly, he had been with her for more than three hours, now it was nearly eight-thirty in the evening. "We don''t go to bed that early. I can tell from your tone that there''s something up, not just chit-chat. Spit it out, what''s going on?" Li Lao was truly sharp; he could detect that something was off with just a hint. "Indeed, there is something. I have a friend, she recorded a music album with a signing company..." Zhou Can narrated the situation to hear the opinion of Li Lao, the professional. "What''s your relationship with this starlet? Five million is no small sum. You must have a special relationship with her to spend such a large sum to help her. I always thought you were just a doctor, turns out you''re also a rich man. Deeply hidden." Li Lao was genuinely surprised after hearing Zhou Can''s story. Because Zhou Can always appeared very low-key, not even owning a car for commuting. Not to mention him, even Mr. Cui thought he was just an ordinary doctor. It was absolutely unexpected that he was a genuine second-generation rich kid. "I''m thinking of developing her into a girlfriend, but she''s afraid of dragging me down and hasn''t agreed yet. She currently has thoughts of suicide, so I really want to help her." Zhou Can didn''t hide anything, frankly telling everything to Li Lao. "If she''s your girlfriend, or if your relationship is very stable, then there''s another set of tactics to handle this situation. If I''m not mistaken, her agency is Beihai Langxing, right?" Li Lao, who had been looking like a useless man always cooped up at home with his wife, was surprisingly well-informed about the entertainment industry. "Hey, you''re like a god. Her agency is indeed Beihai Langxing." "Heh, this kind of thing, as long as you mention it to those senior in the industry, basically everyone can guess it. Beihai Langxing can definitely be described by their notorious reputation. Your girlfriend really is unlucky to be signed with this company. However, this company can only deceive those newbies with insufficient work experience. The founder of this company, President Gui, was a department manager at Tianyu Interactive. He was expelled due to serious violations of company regulations." Li Lao knew the ins and outs of this rogue company. The founder of this company had a history; after being expelled by Tianyu Interactive, instead of repenting, he became even more unscrupulous in harming new artists from art schools. Truly despicable. "So what''s the actual deal with you and that starlet?" Li Lao asked again. "She has a good character; managing to maintain her innocence over the years is not easy. I also have confidence in developing her into a girlfriend, possibly even a future wife. However, since it''s not a done deal yet, I cannot guarantee anything." Zhou Can provided an objective answer. "Well, since there''s uncertainty in your relationship, let''s implement the safe plan. First of all, the production cost of a song album ranges from about one million to tens of millions. I''ve seen the most economical singers who write their own lyrics, compose their own music, sing themselves, and the total cost doesn''t exceed two hundred thousand. The higher cost within this is typically MV production." Chapter 184 - 112: In Love, Brother Lao Steps In_3 Li Lao is truly a professional. He''s very clear about pricing, production process, and so on. Finding him was the right decision. "Music video production is essentially a money pit; high-end ones involve hiring famous directors, selecting professional bands and dance groups, and shooting at renowned scenic spots. All these, plus special effects and more. The music videos for an album can cost tens of millions. It''s no less expensive than making a short film." "I haven''t seen the specific result of that album yet, so I can''t assess its pricing. But knowing Beihai Langxing, if they quote five million, there''s definitely room to negotiate further. The bargaining space should be substantial." Zhou Can''s interest piqued; he owned that album. As he enjoyed listening to it, he had transferred some of the songs to his phone. "Brother Lao, I have some songs from that album on my phone; I could send them to you for a look." "Sure, send them over!" Li Lao agreed readily. That''s why sometimes, having a few reliable friends can come in handy at critical moments. Zhou Can sent the songs over. Not long after, Li Lao called him back. "I''ve watched the songs and listened to them; you have good taste, my boy. This female singer''s voice is extremely rare. And her musical foundation is pretty solid too. She''s really talented. With proper guidance and fitting promotion, I dare say she has the potential to become a popular star. Even, as long as she keeps growing and striving, becoming a diva in the future is not impossible." Li Lao had high praise for Su Qianqian. Zhou Can wasn''t surprised. He didn''t understand music, but listening to Su Qianqian''s songs felt incredibly soothing. That kind of soul-cleansing isn''t something ordinary songs can offer. "Brother Lao, I plan to approach Beihai Langxing Company soon to purchase the album''s master tapes and rights. How much do you think is appropriate to offer?" Zhou Can was completely out of his depth here. Sear?h the novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. He had no idea at all. "Go as high as two million. Isn''t your girlfriend threatening suicide? Actually, this is a good bargaining chip, depending on whether you''re comfortable using it." Li Lao made a point Zhou Can had already considered. "Brother Lao, great minds think alike! Even if you hadn''t mentioned it, I planned to talk to Qianqian before making the purchase. Using her suicide threat to pressure the company, slashing the price hard. I won''t let a thuggish company like Beihai Langxing take advantage of us, and even selling at a loss, I feel it''s my responsibility." Zhou Can never cared about so-called face or morals. As long as it put his opponents at a significant disadvantage, damaging his own reputation or losing face didn''t really matter. "Since you have no qualms about it, then it''s easy. That female star would probably agree; she''s pushed to the brink of suicide, she''d love to bite off a chunk of Beihai Langxing''s flesh. There''s no reason she would refuse a chance to make the company take a loss." Li Lao and Zhou Can truly saw eye to eye in many respects. Like playing unconventional hands, not caring about conventional views and so-called ethical restrictions. "Now let''s talk about my whole idea. I want to get involved in this too. After being idle at home for over three years, I''m almost going moldy. Previously, my sister-in-law was emotionally down, and I feared she might do something drastic, I wanted to make it up to her, so I stuck by her side at home. Now she''s getting better day by day, I want to make a comeback and earn more money." "That way, when a new drug that can cure her disease is released, I''ll have the means to buy it immediately. Besides, I have an even bigger ambition. I can''t just wait for foreign pharmaceutical companies; I need to work harder to earn more money and aim to start my own pharmaceutical company or invest in the development of such drugs." Li Lao''s words delighted Zhou Can. Honestly, the main reason he was spending a lot on that album was just to save Su Qianqian. As for how to monetize it, he had no clue. Having Li Lao, a bigshot from Tianyu Interactive, involved, was a tremendous good fortune. Besides, the two shared deep ties. Zhou Can trusted him completely. Chapter 185 - 113: Life as summer flowers, teaming up to lay a trap "Sure thing, Brother Lao, we''ll do it your way. To partner with you, heh, that means I''m the one getting the great deal." Zhou Can was a man who preferred straight talk. He made it clear. Had it not been for their deep friendship, plus the favor Zhou Can had done for his wife, Li Lao wouldn''t have offered to partner with him. Simply put, it meant taking Zhou Can along for the ride to wealth. "Don''t say that. This opportunity was provided by you. Another thing I must make clear is that all investments carry risks. While I am quite adept at various operations in the entertainment field, it doesn''t guarantee making money. All I can say is, purchasing this album almost certainly won''t result in a loss." Li Lao didn''t want to risk affecting their friendship if it led to losses later on. In this world, finding a compatible and likeminded partner is incredibly difficult. He valued their fate and friendship highly. "May I inquire about the source of your funds?" Each of Li Lao''s questions was deliberate. S~ea??h the Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. "I won''t hide it from you; I need to sell two houses to come up with the money," Zhou Can stated truthfully. "Selling two houses to help a starlet you''re not even sure you can win over¡ªbrother, I think the title of ''Love Saint'' really fits you," Li Lao teased him with a laugh. "Well, I like money, but I also feel it''s not that important. Using money to save a woman I like seems quite worthwhile to me." Zhou Can didn''t hesitate when he offered to help her pay off over three hundred thousand in debt. The decision to buy the album was made after careful consideration. He felt the music album was worth the price and a nice listen. Purchasing it would be an investment. "Haha, I admire you more and more. So young, yet you understand money so clearly¡ªtruly rare." Li Lao genuinely admired him. Many people never grasp the true meaning of money in their whole life; they only know it''s important for food, clothing, shelter, marriage, childbirth, and healthcare¡ªit''s indispensable for everything. Only a few can see beyond the value of money. These are usually the wise ones. Take, for example, some scientists who have considerable incomes, enjoy national stipends, and receive various bonuses. Yet, they live in old houses of twenty or thirty square meters, eating steamed buns, porridge, and pickles, not buying new clothes for decades. In terms of life, he''s as stingy as can be. But he donates the savings to where the country needs it. Donating tens or even hundreds of thousands at a time. And he keeps on donating. The average person can''t understand this ''foolish'' behavior. Just as summer insects cannot comprehend ice. If the philosophical level is not there, it''s impossible to understand. "Little brother, since you''re preparing to sell the house, I suggest you mortgage it to the bank for a loan. A preliminary estimate, a loan of around four million should suffice. I''ll also invest four million, and then we set up an entertainment company together. This amount of money isn''t much for starting an entertainment company, but I have confidence that after purchasing the song album, we can create a brand, promote, and then monetize it in various ways to earn our first batch of capital." "There''s a prerequisite for this plan¡ªwe need to sign your girlfriend to the new company we establish. Once we make her famous, it will attract more talented individuals to join and create more quality content. By then, the company will essentially be on the right track. Don''t you like being a doctor? You basically won''t need to handle anything, and I''ve been quite idle lately anyway, I can manage everything." "Let''s talk about profit sharing; we''ll each own 50% of the company, and profits will be split equally. When we need to reinvest some profits to expand the company, I''ll discuss it with you. If you''re willing to continue investing, we''ll still share equally. If you decide not to follow, the shareholding will be diluted accordingly." Clear accounts make for good brothers. Li Lao laid out all the potential financial distributions in advance to prevent future disputes. Money can turn brothers against each other, or cause conflict between fathers and sons or between spouses. Only by setting the rules in advance can one avoid harm. "Thanks for looking out for me, Brother Lao! Let''s do as you suggested, I''ll go to the bank to get a mortgage loan tomorrow." Zhou Can was very aware that he was benefiting a lot from Li Lao''s proposal. "Now let''s talk about acquiring that album. Your girlfriend doesn''t have to go to work tomorrow, just have her feign a suicide attempt and get hospitalized. Make it convincing. As a doctor, that shouldn''t be hard for you. Then, make Beihai Langxing Company''s higher-ups sweat for a few days before you step in to negotiate the acquisition. If I get involved, it''d be hard to get a low price¡ªPresident Gui knows too much about me, seeing me act, he will jerk up the price. So you need to be careful with your words, don''t reveal our relationship until the deal is sealed." "Present yourself as her boyfriend, saying you''re selling the house to save her. All these are true facts, and even if Beihai Langxing Company investigates, it will only further convince them of the reality. We''ll make sure they fall for it." Li Lao was instructing Zhou Can on how to acquire the album at a low price. No wonder he succeeded in becoming the president of Tianyu Interactive; aside from his talent, his personal capabilities and methods were extraordinary. "Got it!" Zhou Can understood perfectly. "After negotiating the purchase, send me the contract before signing it. We must beware of any tricks Beihai Langxing Company might play; after all, President Gui isn''t known for his fairness. He is solely profit-driven and will not hesitate to cheat you twice if given the chance." Chapter 186 - 113: Live Like Summer Flowers, Join Forces to Set a Trap_2 Li Lao instructed Zhou Can. His assessment of President Gui was extremely negative. "If you have any questions, feel free to ask me." "Okay! Let''s leave it at that and await my good news!" With Li Lao''s full support, Zhou Can felt even more confident. He called Jin Mingxi to tell him he wouldn''t be returning to the apartment tonight, so Jin wouldn''t worry something had happened to Zhou. Jin Mingxi, having been through similar situations, did not pry with lots of questions. He only chuckled, urging Zhou Can to exercise some control. Obviously, he had misunderstood. At around 3 in the morning, Su Qianqian woke up, having drunk so much beer that she was awakened by her full bladder. As soon as she opened her eyes, she found Zhou Can keeping vigil at her side. At that moment, Zhou Can was sitting beside her, sleeping in his clothes. After she returned from the bathroom, she actually laid her head on Zhou Can''s thigh voluntarily. It was a comfortable position to sleep in. Maybe, before contemplating suicide, she wanted to savor this last bit of warmth. Being spoiled and protected by a man was addictive to her. Zhou Can subconsciously wrapped his arm around her, tucking her in with a blanket and covering her perfect figure. The two stayed together on the couch in a position intimate only between partners. "How wonderful would it be to stay like this forever!" She murmured. "We can stay like this for a lifetime if you wish. Through thick and thin, till the end of time, I will guard you like this forever." Zhou Can gently stroked her hair. Their feelings for each other heated up very quickly. Especially given that she harbored thoughts of death and had never relished the taste of romance, she boldly opened her heart, savoring the delicious wine of love. "Mhm, I believe you can do it." She nodded, feeling blissful. S~ea??h the Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. After a while, she asked, "Can, do you know what my favorite flower is?" The way she addressed Zhou Can had become intimate, signaling a rapid warming of their relationship. Zhou Can thought for a moment and then replied, "You are a girl who is clean and self-respecting, with depth and talent, so you definitely wouldn''t favor overly flamboyant flowers. I guess, you like the elegant orchids or the pure and fragrant jasmine flowers." "Hehehe! You guessed wrong! I like summer flowers," she said with a laugh. "Summer flowers are too flamboyant, don''t they clash with you?" Zhou Can was taken aback. He hadn''t expected that her favorite would be summer flowers. "I just like their flamboyance. I wish to live as brilliant as summer flowers, to die as beautifully serene as autumn leaves." Her words made Zhou Can realize, her suicidal thoughts were not yet dispelled. It seemed it was time to have a serious talk with her. Now, Zhou Can had already discussed a comprehensive and feasible plan with Li Lao, which made him even more confident. She, a frail woman, was powerless against the rogue company Beihai Langxing; Zhou Can would help her fight them. "Qianqian, I found the suicide note you left in the bedroom." Zhou Can candidly confronted her. Her body trembled slightly, and her originally supple body stiffened. Her expression grew gradually more heart-wrenching. The warm and beautiful atmosphere of romance was shattered, pulling her back to reality. "I..." She tried to speak, her voice bitter, but Zhou Can pressed his hand to her tempting red lips. "There''s no need to say anything, I understand your plight and the heartache and helplessness you feel. What I want to tell you is that death is not to be feared. The truly brave are those who can confront life and death, who know they are not living well and that fate is unjust, yet still live tenaciously. I think you shouldn''t be like a summer flower, but rather a noble and beautiful phoenix." Zhou Can looked into her eyes, as dark and lustrous as black gems. His gaze was incredibly sincere. Eyes are the windows to the soul; this was an honest exchange of souls between them. "Do you know why the phoenix is beautiful and noble? Do you know why the phoenix can become the king of birds? Because every phoenix, from its birth to adulthood, must undergo nine nirvanas, struggle painfully through the fires of hell over and over, brush against life and death, to finally be reborn from ashes. Only after such rebirth can the phoenix stand proud above all birds and soar with strength and confidence." "This is growth, as well as the accumulation of depth." Zhou Can was metaphorically referring to her as a phoenix. It was a form of spiritual encouragement. It could help her elevate her perspective and establish new life goals. "You should not merely dazzle like a summer flower, but rather be indomitable like the phoenix, proud and brave like it. In the end, you will achieve all your dreams, shatter all the injustices you face, leaving the world in awe, creating an immortal legend." After speaking, Zhou Can simply watched her quietly. Their gazes met. Such an exchange between a man and a woman is beyond words, understood by the heart. "I don''t want to be weak, but how can a frail woman like me break the bonds of an unjust fate?" She spoke faintly, her tone tinged with reluctance. Zhou Can''s blueprint had indeed sparked a flicker of determination in her. Seeing the persuasion making headway, he continued to impart guidance gradually and systematically. "Before, you were only a frail woman. But with me now, no matter how terrifying the obstacles ahead, I''ll stay by your side and push forward resolutely. I will always be your strong support." Zhou Can held her hand. Their fingers intertwined, palms touching, feeling each other''s hearts. Why is holding hands the first step for a pair of lovers? Because fingers are connected to the heart, through the touch of hands, the love can be felt. "Aren''t you curious about who I am? I won''t hide it from you; I''m not very rich, but I can afford the life I want. This apartment you''re renting is mine, and I''m not some real estate agent, but the landlord." Chapter 187 - 113: Live Like Summer Flowers, Join Forces to Set a Trap_3 Zhou Can laid it all out for her. "Ah..." This piece of news indeed left her utterly shocked. Watching her surprised expression with wide eyes and an agape mouth, Zhou Can rather enjoyed it. "I''m planning to mortgage my house to take out a loan to buy your album, then help you terminate the contract." What Zhou Can said next both moved and surprised her. "No, the risk is too high. Besides, you don''t understand the ins and outs of the entertainment industry. Buying it would only result in a huge loss. If it ends up causing you to lose your house, I would live in endless guilt and self-reproach." She firmly disagreed with Zhou Can helping her. Only those who''ve been in the entertainment circle know how deep the waters can be. A newbie like Zhou Can, not to mention one house, even ten houses wouldn''t be enough to cover the losses. "Looking down on your boyfriend, aren''t you?" Zhou Can teased her refined and delicate nose. Causing her to pout in discontent. "Don''t worry, if I dare to buy it, naturally I have a fallback plan. Even if I do lose it all, I won''t regret it. Compared to you, what''s a house?" Zhou Can really was prepared for the worst. He could certainly afford the loss of one or two houses. Even without relying on his parents, his doctor''s salary was enough for a comfortable life. Not to mention that he''s a second-generation rich kid. "Thank you! Meeting you is the greatest fortune of my life." She was extremely moved. After struggling in society for six or seven years, although she wasn''t old, she was very clear about men''s true colors. Those lusting after her beauty would instantly become selfish and hypocritical as soon as money was involved. After she fell into hardship and tried to borrow money from acquainted bosses, Be it those bosses or rich heirs, once they knew she was in trouble, they all showed their fangs. Lending her ten or twenty thousand without the need for repayment, but expecting her to sleep with them. That was something Su Qianqian could never accept. Compared to those men, Zhou Can was simply a breath of fresh air. And because of that, she could see who was sincere and who was faking it. Subconsciously, Su Qianqian wrapped her arms around Zhou Can''s waist. "Can, thank you for treating me as so important. But I don''t want to burden you, and I''m not worth you doing all this for me, my..." Her words were once again stopped by Zhou Can. Preventing her from continuing. S§×arch* The nov§×lF~ire.net website on Google to access chapters of novels early and in the highest quality. "I''ve made up my mind. As a husband leads, a wife follows; just listen to me. Just wait and see, wait for me to get revenge for you. Moreover, once the album has been successfully acquired, I will give you an even bigger surprise." Zhou Can didn''t tell her the specifics of his plan. Success comes from secrecy; loose lips can cause failure. Nothing must be revealed before things are set in stone; successful deeds require tight-lipped discretion. To acquire that album at a low price, they need her to play the leading role. "Didn''t Beihai Langxing Company quote a price of five million? I specifically consulted with professionals, it can be secured for no more than two million. But this rogue company is counting on your desperation to cancel the contract, regardless of the expense. So we might as well plot our retribution..." Zhou Can repeated the plan, involving her staging a suicide drama, followed by him stepping in to aggressively haggle the price. After hearing it, Su Qianqian realized that this young master, who had a bit of money, wasn''t just messing about. On the contrary, he demonstrated considerable strategic depth. "Do you really have a high opinion of my album?" She looked up and asked. "I have a high opinion of you as a person!" Zhou Can stared at her enchantingly seductive face, finding it irresistible no matter the angle. Humans indeed are visual creatures. Men seeing beautiful women or women seeing handsome men, the first sight is often colored by attraction. "You''re so bad!" She protested. "Believe it or not, I''ll show you how bad I can be?" Zhou Can fixated on her thin red lips. "And here I thought you were such a gentleman, but now your true colors are showing, aren''t they?" She said, rejecting yet inviting with an expression that seemed more like a challenge. "I never said I was a saint, alright!" Zhou Can leaned in closer so they could feel each other''s breath. He could sense she was particularly nervous, her body tensely clenched. Zhou Can stealthily planted a kiss on her smooth forehead and quickly pulled back. Love is like laying siege; winning the heart is paramount. Capturing the beauty''s heart is pure joy. "Rest easy." He didn''t take any further action. Just a kiss on the forehead was probably the limit of what she was comfortable with. This sort of cozy affection between lovers, he enjoyed even more. Her charming face flushed with shyness, and after a moment, she wrapped her arms tighter around Zhou Can''s waist, her face carrying a sweet, soft smile. The next morning, an ambulance arrived with its siren blaring. It stopped below the building where Zhou Can lived. Su Qianqian was taken away by the ambulance for ingesting a ''large'' amount of sleeping pills. The incident made quite a stir, Zhou Can first called the police. Then, he phoned Beihai Langxing Company to inform them that their employee Su Qianqian had attempted suicide and was now being rushed to the hospital. He asked them to send someone over to handle the situation. The police, being the fastest to respond, arrived first. Concerned about a potential loss of life, Vice President Qian from Beihai Langxing Company, who had previously interacted with them, personally led a team to the scene. After completing the formalities and statements, the police, learning about Su Qianqian''s contract dispute with the company, suggested she could resolve it through legal procedures or labor arbitration. Naturally, to uphold justice and conscience, the police also gave Vice President Qian from Beihai Langxing a stern lecture. Chapter 188 - 113: Live Like Summer Flowers, Join Forces to Set a Trap_4 It also counts as helping mediate between both parties, working on the mentality at Beihai Langxing Company. Vice President Qian''s attitude was ''sincere'', stating that he would definitely resolve the issue well. Afterwards, he personally went to visit Su Qianqian. She was still in a ''comatose'' state. Zhou Can was infuriated, vehemently cursing Vice President Qian and others. He also threatened them, saying if his girlfriend lost her life, he would sue them relentlessly, making their thuggish company infamous and subject to legal punishment. Vice President Qian endured the scolding, suppressing his frustration, but dared not further provoke Zhou Can. He still had to placate Zhou Can with promises that the matter would be reported to the company. Three days passed, and Su Qianqian remained in the hospital. Of course, she was not at Tuya Hospital, but rather at the Traditional Chinese Medicine Hospital closest to Bajing Lake. This hospital''s medical services were quite poor, with few visitors. In Su Qianqian''s case, as her family did not demand her discharge, the hospital did not urge her to leave. After all, staying here for a day cost much more than staying at a regular hotel. The hospital needed to generate revenue too. Beihai Langxing Company was somewhat worried that they would escalate the matter and tried its best to employ calming measures. They not only covered the medical expenses but also sent people to visit her twice. Su Qianqian, truly coming from an acting background, was incredibly convincing. S§×ar?h the Nov§×l?ire.n(e)t website on Google to access chapters of novels early and in the highest quality. Aside from Zhou Can, even other patients'' family members, nurses, and doctors believed she genuinely had suicidal tendencies. They watched her closely. Fearful something might happen in the hospital. On the third night of her hospital stay, the nurse discovered Su Qianqian trying to slit her wrists again, frantically calling for help. While notifying her family members. In this city, she had no family members, only leaving behind Zhou Can and Beihai Langxing Company''s contact numbers. That night, Zhou Can and people from Beihai Company arrived at the hospital one after another. Zhou Can acted even angrier than before, causing a bigger scene. Vice President Qian looked at Su Qianqian on the hospital bed and Zhou Can causing incessant commotion, feeling overwhelmed. Beihai Langxing Company had committed too many nefarious deeds. If her suicide attempt escalated, eventually attracting those relentless media reporters for interviews and reports. Beihai Langxing Company would immediately be thrust into the spotlight for scandal. Although the previous stage collapse was blamed on Su Qianqian, the insurance company, and the event organizers, such dark matters are most feared when exposed and extensively probed. If the media truly investigated, it couldn''t hide anything. "How exactly is Beihai Langxing Company going to solve this? My girlfriend''s demands are simple, just to terminate her contract. This is a suicide note she wrote, condemning some of the sinister practices of your company, Beihai Langxing. If we cannot get a reasonable solution today, then I will call all the reporters over and see if there is still any justice in this world!" Zhou Can''s roar echoed through the hospital corridor. Hearing this, the duty doctors and nurses quickly came to mediate, suggesting they should negotiate elsewhere if there were issues. Not to cause disturbance in the hospital. Vice President Qian, having seen a lot in the world, needless to say about his methods, had been carefully following up on this matter as instructed by President Gui these past few days. Seeing that this actress could soon be discharged, it seemed there would be no further trouble. Who knew that Su Qianqian was so stubborn, secretly attempting suicide again. Facing someone unafraid of death, he felt utterly helpless. Zhou Can was holding a suicide note stained with blood fingerprints. Although he couldn''t see the contents clearly, Vice President Qian was certain it contained accusations against the misconducts and scandals of Beihai Langxing Company. Such material, once exposed, would be like a massive bomb! Chapter 189 - 114: Great Achievement, Eliminating Harm for the People "Mr. Zhou, I can understand your feelings. When something like this happens to a company employee, we too feel guilty and distressed. For such matters, we need to sit down and discuss them properly to find a solution. This isn''t the right place for such discussions. Let''s find a nearby hotel, have a good talk, and try to resolve this issue. What do you think?" Mr. Qian is quite competent in speaking and handling affairs. Even when Zhou Can made a scene and cursed, he still spoke courteously. "There''s nothing to discuss! We have only one demand¡ªtermination of the contract." Zhou Can''s attitude was extremely firm. "Terminating the contract is fine, but you need to follow the contract! The company has invested astronomical figures in Qianqian''s training, packaging, promotion, and other fees over the years. To terminate the contract, this amount would normally be partly compensated by the artist. Considering her special circumstances, after consulting with the company''s senior management and speaking highly of Qianqian, the company agreed not to pursue that portion of the breach of contract fee." Mr. Qian''s eloquence is truly remarkable. He could even make a dead person seem alive. Zhou Can didn''t point it out; he just sneered inwardly. sea??h th§× N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. "Mr. Zhou, I believe you are also a reasonable person. Our company recently spent a huge sum and mobilized a lot of staff to produce a music album for Qianqian, which hasn''t made a penny back yet! Originally, if you hadn''t offended Mr. Zhao that night, the album might have been sold... Alas! Never mind, let''s not bring up the past." Mr. Qian sighed and shook his head repeatedly. He was playing the sympathy card in front of Zhou Can. Unfortunately, Zhou Can was not swayed. "The company''s request is not high; just have Qianqian buy out that album. Then we can part on good terms." Circling back, the Beihai Langxing Company insists on this matter unfailingly. "Five million is too expensive, we can''t afford it." Zhou Can had Zhou Qianqian perform an act for days, waiting for this negotiation. He wasn''t in a hurry. Now that Qianqian threatens suicide every day, Beihai Langxing Company must be the anxious one. Seeing Mr. Qian''s earnest and pleading manner tells it all. "From your tone, it sounds like you agree to buy the album! This shows you are an understanding person. Let''s find a place to discuss this properly, shall we?" Mr. Qian glanced around, as there were too many people around; he didn''t want to discuss it here. Zhou Can was half-pushed, half-pulled by Mr. Qian and a woman named Wu Jialin to a nearby hotel where a room was booked. Both parties sat down to properly discuss the matter. "Mr. Zhou, please have some water!" Wu Jialin brought some water and handed a bottle to Zhou Can. The woman was dressed in a low-cut top and mini skirt, which made Zhou Can dare not look too much. It was too eye-catching. "Mr. Qian, to be frank, are you the final decision maker on this matter?" Zhou Can looked at Mr. Qian. "First, tell us what your psychological price is." Mr. Qian''s eyes narrowed slightly. "100,000!" Zhou Can stated a price without blinking. "Are you joking internationally!? These days, which company doesn''t spend at least ten million to produce a music album? Mr. Zhou, if you really want to resolve this, you need to show some sincerity." Mr. Qian almost vomited blood when he heard the offer. But he still didn''t lose his temper. This man was highly shrewd. Polite and smiling on the face, courteous in speech. For the sake of profit, he could be unscrupulous. Just like that night, getting Su Qianqian drunk and sending her to Mr. Zhao, just to strike a deal with him. "Don''t even mention ten million; even the five million you suggested is impossible for me. Not only do I need to show sincerity, but your side also needs to make concessions. You''ve seen my girlfriend''s situation; who knows when she might be gone. By then, you wouldn''t be able to sell that album for a penny." Zhou Can''s meaning was clear. He was willing to spend money to buy the album for Qianqian''s sake. If she''s gone, he wouldn''t be the big loser. Indeed, this was a weak point for Beihai Langxing Company. The desperate are feared by the ruthless. Su Qianqian cared nothing for her own life, and the company''s tactics were useless against her. "Mr. Zhou does make some valid points. Alright, our company will make a concession. Let''s settle at 4.5 million to buy out the album in one payment. That''s the lowest price we can accept." Mr. Qian gritted his teeth, making a bold decision with a pained expression. Zhou Can had already learned from Li Lao about the cost of the album; how could he believe Mr. Qian''s bluff? After much back-and-forth haggling and tussling. They finally negotiated the price down to 1.6 million. They really couldn''t lower it anymore. This price was the limit given by President Gui, who wasn''t present, after talking on the phone. Eventually, Zhou Can indicated he would sell his house to raise the money to buy the album. Mr. Qian agreed. With this, the negotiations were essentially concluded. Both parties should be satisfied with the result. Beihai Langxing would lose two to three hundred thousand, but that was unavoidable. On one hand, Su Qianqian''s resolute suicide threats scared the upper management of Beihai Langxing Company. If someone died, the consequences would be severe. On the other hand, they feared making no return at all from their investment. If Su Qianqian indeed committed suicide, the album would be hardtosell even for ten thousand. Better to cash in now while this ''foolishly in love'' young man was willing to pay. ... The next day, Beihai Langxing proactively called to inquire about Zhou Can''s fundraising progress. They seemed really anxious. Zhou Can went to the bank to process the mortgage. Chapter 190 - 114: Great Achievement, Eradicating harm for the people_2 After passing through rigorous audits, Beihai Langxing Company, in urgency, finally managed to purchase the album. At the time of signing the contract, Zhou Can said he needed a lawyer friend to review it. The other party naturally had no objections. In fact, he was seeking Li Lao''s help to check if there were any traps in the contract. Indeed, they found multiple tricky issues. After making the modifications, there were no problems. Only then did Zhou Can sign the contract and make the payment. He obtained the master tape of the album, as well as all the rights. With this, the acquisition of the music album was successfully completed. Beihai Langxing Company took a small hit. Zhou Can had indeed avenged Su Qianqian. They estimated that in the future, once the album became popular, Beihai Langxing Company would regret and curse their decision in frustration. After successfully purchasing it, Zhou Can handed over the remaining tasks to Li Lao. "Brother, please take a leave from the hospital tomorrow, or switch to the night shift. In the morning, let''s go register a company together!" Li Lao happily said to him. This matter, Li Lao had been advising behind the scenes. Now that the album was successfully acquired, he had no more concerns. From now on, he would be in charge of managing all the affairs of the company while Zhou Can would continue being a doctor. If the company made money, they would split it equally. "Alright! I''m off then!" Zhou Can waved goodbye to Li Lao and his wife. It was apparent that Qiu Jie was supportive of her husband starting a company. As his wife, who spent her days and nights with him, how could she not understand her husband''s aspirations? Perhaps they had already achieved financial freedom. But at their level, they definitely had higher ambitions, not just simply living a carefree life. "Zhou Can, be careful on the road! You really are our family''s lucky star. My illness has significantly improved, and I''ve regained the courage to live. Li Lao, too, has seized this rare opportunity and can finally pursue the career he loves. Thank you!" Qiu Jie was filled with gratitude towards Zhou Can. Li Lao also showed a smile that had been absent for a long time. "Sister-in-law, please don''t put it like that. That we could become close friends, that''s fate. If anyone should be thankful, it should be me thanking Brother Lao for straightforwardly giving me 50% of the shares. That''s a huge favor." Zhou Can directly addressed this matter to express his deep gratitude to Li Lao and his wife. Otherwise, if someone offers you a tremendous favor and you silently accept it without even thanking them? That would be treating them like a fool, wouldn''t it? With Li Lao''s capabilities, he neither lacked network resources nor skills or funds. He could have started his company alone. There was absolutely no need to give half of the shares to Zhou Can, an outsider. "Hehe, that''s because you don''t understand Li Lao. In his heart, friendship is much more important than money," Qiu Jie smiled and said. "You thought you were the only one who doesn''t value money much?" Li Lao looked at Zhou Can somewhat discontentedly. "Besides, you played no small part! Providing all the information, purchasing this album, it was all handled by you and your girlfriend. The investment was also split equally between the two of you. I really don''t think giving you 50% of the shares is too much." "Alright, alright, alright, I can''t argue with you. See you tomorrow." Zhou Can waved his hand and strode away. Now that he was in a romantic relationship, especially in the passionate phase, he naturally wouldn''t be returning to his dorm at the workplace. S~ea??h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. Instead, he planned to go to the Xiangshan Garden residential complex at Bajing Lake to celebrate with Su Qianqian. Then, he would share the good news about setting up the new company in her name and promoting her. Sitting in the taxi, he still couldn''t hide his excitement and exhilaration. This was the first company he started with a partner. He hoped for a good outcome. When the day came that the company made money, he would proudly tell his parents that their son had finally grown up. No longer needing their support, he could earn his money. "Can, can you come over to Beihai Langxing Company?" "I''ll be right there! What happened?" Zhou Can and Su Qianqian went to Beihai Langxing Company together. Originally, Zhou Can was planning to leave with Su Qianqian after she finished her resignation procedures. Later, Su Qianqian told him that the financial settlement and HR procedures were quite complicated, and she did not know how long it would take. She asked Zhou Can to go ahead while she completed the resignation procedures before returning. Could this thuggish company still be planning something? Her album had already been bought, and legally, the company no longer had any means to use the contract to bound Su Qianqian. "In HR, when filing the documents, they asked me to go to the general manager''s office to get the signature of President Gui. Previously, a departing colleague was also called into the general manager''s office and it took a long time for her to come out. She told me later that I should never go into the general manager''s office alone." Su Qianqian had been cautious during her many years in the entertainment industry. That President Gui was a wolf in his essence. Why would one not eat meat that''s at their mouth? Previously, Su Qianqian held value, and she continuously worked in his company. He naturally was not in a rush to make a move. Now that Su Qianqian was about to leave, this was President Gui''s last chance to strike. "Wait for me!" Zhou Can replied with just two words. Then he immediately asked the taxi driver to turn around, heading towards Beihai Langxing Media Company. Twenty minutes later, the taxi finally arrived at the lower floors of Beihai Langxing Company''s building. "No need for change!" Zhou Can threw down a hundred yuan bill and dashed into Beihai Langxing Company. The security guard stopped him. "What are you looking at? I just came to your company not long ago to discuss a big deal! You''re stopping me from entering?" "Sorry, sorry!" The security guard was typically bullying the weak and fearing the strong. Chapter 191 - 114: Great Achievement, Eliminating Harm for the People_3 He kept apologizing to him. Zhou Can rushed straight into the company building; the elevator was too slow. He took the stairs and quickly climbed to the third floor. "Who are you looking for?" A female employee asked him. "Su Qianqian!" "She''s in the general manager''s office!" Zhou Can stormed towards the general manager''s office. "Hey, you can''t go in there!" Zhou Can completely ignored her and kicked the door open with a bang. Inside were three people, one was a beautiful woman dressed in a professional suit with black stockings, presumably some sort of secretary. She was standing. The person sitting in the general manager''s throne was a sleazy-looking fat man, aged at least fifty years old, with heavy bags under his eyes. He exuded a faint aura of authority, and a trace of a street-smart ruffian. His gaze was far more terrifying than that of the polite Mr. Qian, the vice president. Like a tiger lurking deep in the mountains, cunning and meticulous. Comparable to Sima Yi from history. The legendary Sima Yi during the Three Kingdoms period was extremely cunning. He was both a tiger and a wolf, a strategist adept at lying in wait. He possessed an unusual brooding beauty and meticulousness not found in ordinary men. "Who are you?" The female secretary shouted angrily. Su Qianqian turned her head and saw Zhou Can burst into the general manager''s office recklessly, and her eyes instantly reddened. This man, for her sake, truly dared to risk everything. Really dared to disregard all consequences. "He is Qianqian''s boyfriend!" The man, faced with this unexpected situation, was initially stunned but quickly regained his composure. He looked towards Zhou Can calmly, his face even showing a hint of a friendly smile. "Qianqian is lucky to have such a protective boyfriend, I believe she will be very happy." Zhou Can also did not expect the scene inside the office to be like this. S§×arch* The ¦Çov§×lFire .net website on Google to access chapters of novels early and in the highest quality. Completely different from what he thought. When he rushed in recklessly, he thought President Gui was behaving inappropriately towards Su Qianqian. But upon bursting into the office, he realized that besides Su Qianqian, there was also a female secretary present. "I''m sorry, I was reckless just now. I''ll compensate for the lock at market price." Even when Zhou Can came to this company to sign a contract, President Gui had never shown his face. This was their first interaction. The other party was polite, and he really felt embarrassed to make a scene. "I understand." President Gui picked up a pen and quickly signed and stamped on Su Qianqian''s file. More valuable employees hope to leave a good evaluation on their personal record when resigning, as it affects their search for the next job. But isn''t this a matter for the human resources department? It''s rare for the general manager to handle it personally. "All set. I wish you a bright future, and may you find a better employer. If things don''t work out, the doors of Beihai Langxing will always be open for you," President Gui told Su Qianqian. Taking her personal file, Su Qianqian stood up. "Thank you for your care and training, President Gui, farewell!" She turned to look at Zhou Can. At that moment, Zhou Can unexpectedly noticed a small detail. Why did the female secretary''s eyes keep looking at the glass of water in front of Su Qianqian? Not everything dressed in clothes is human, not everything with wings is an angel; it could be a bird person. The woman looked pretty and had an outstanding aura. But her eyes were shifty, moving faster than a rat''s. Clearly a crafty and weather-vane type of person. Could there be something wrong with the glass of water? Zhou Can was worried about Su Qianqian having an accident; it was somewhat too hasty. The glass was still full. She probably hadn''t drunk from it yet. It''s possible she was already wary. "Qianqian, sit for a while; I still have something I''d like to discuss with President Gui!" Zhou Can was thinking whether or not to call the police. What if there was nothing wrong with the glass of water? The rational action would be to take Su Qianqian and leave. After all, she hadn''t been harmed. But Zhou Can''s conscience and sense of justice told him that if there really was something wrong with the water. If he didn''t send President Gui to prison this time, more girls would suffer in the future. The younger sister mentioned by Su Qianqian might already be a victim. "Mr. Zhou, are you talking about the compensation for the lock? It''s not much money, and I understand you were protecting your girlfriend. No need for compensation, you can go." President Gui said magnanimously. His eagerness to dismiss Zhou Can only intensified Zhou Can''s suspicions. "Thank you, President Gui. But I want to discuss a different matter." While speaking, Zhou Can took out his phone and rapidly sent a message to Li Lao. "Call the police for me, address, Beihai Langxing Company third floor general manager''s office. Must be fast." "Received." Li Lao replied instantly. Zhou Can, having made arrangements, intentionally chatted nonsense with President Gui. To avoid raising suspicion, he deliberately sought advice on how to monetize the album he bought. President Gui seemed to know something about his situation. An outsider, who bought an album but didn''t know how to monetize it, was understandable. He patiently taught Zhou Can some ways to monetize. While they were talking, the office door was pushed open. "Who called the cops?" Two policemen walked into the office. "I did!" Seeing the police arrive, Zhou Can breathed a sigh of relief. President Gui''s face drastically changed, but he still maintained his composure. The female secretary''s face paled, her eyes filled with panic. "What''s the matter?" The police asked Zhou Can. The scene was peaceful, not appearing like a dispute had occurred. The only conspicuous thing was the obviously broken door lock. Following a signal from President Gui, the female secretary more naturally reached out to take the glass of water in front of Zhou Can. "Don''t move!" Zhou Can shouted sharply, startling her greatly. The female secretary quickly explained, "This glass of water was poured for Su Qianqian earlier. I was getting ready to replace it with a fresh one for you." Chapter 192 - 115: Being Her Strongest Dependence, Reaping Double Harvest in Love and Career "Hmph, before the police arrived, you didn''t offer to change my water. As soon as they got here, you wanted to switch it out. Feeling guilty, are we?" S~ea??h the novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. Zhou Can sneered. He secretly had Brother Lao call the police to catch the thief red-handed and to seize these people with the physical evidence of their crimes. The secretary''s and President Gui''s guilty actions only reassured Zhou Can. This water is definitely problematic. "Officer, here''s what happened: my girlfriend resigned, but they insisted on calling her to the general manager''s office to sign some papers. Worried about her safety, I rushed over and broke into the office. Fortunately, she hadn''t had a chance to drink this water yet. Now, I suspect that this water has been drugged." Zhou Can briefly described the situation. "Nonsense!" President Gui, previously calm, couldn''t help but angrily chastise Zhou Can. "Isn''t it clear if we test it?" Zhou Can sneered again. After understanding the situation, the two police officers said they would take the water back for testing. President Gui had no choice but to reluctantly agree. Zhou Can thought of something and ran over to check the trash can. Sure enough, there was a new discovery. "Officer, this seems to be a packaging bag for drugs." He directly brought the trash can over, avoiding touching it directly to prevent leaving fingerprints. The female secretary''s psychological resilience was obviously not as strong as President Gui''s. Her face was pale, and her body was shaking severely. "Old Song, should we call in criminal investigation?" "I''ll go get something from the police car first to collect evidence. After testing this water, if there really is a problem, they won''t be able to escape." The two police officers quickly came up with a plan. They collected and sealed the evidence. And took photographs on the scene as proof. Then they had the female secretary and President Gui record their ID cards. The female secretary spoke with a trembling voice, a clear sign of extreme fear and guilt. "Why did you drug the water?" An older police officer sternly questioned her. "No, it''s not my fault at all, it was all President Gui''s orders! Please don''t arrest me..." This woman likely landed her secretarial job through her figure and looks alone; her psychological quality was too poor. They weren''t even formally interrogating her yet, just a probing question, and she confessed everything. President Gui''s face was as dark as a rag. "Now we suspect that you have committed crimes. Please come with us to the station for further investigation." The police directly took all four people back to the station. This completely dumbfounded the other employees of Beihai Langxing Company. "Officer, I have another piece of information to report." "Go ahead!" "President Gui has used the same method possibly on multiple people. If possible, I suggest searching his office and safe." Zhou Can was just reporting this situation. The rest would naturally be handled by the police. President Gui''s attempt to drug Su Qianqian represented an attempted crime, which might not even qualify as a felony. If they could dig out all of President Gui''s secrets, that would be great. He''d likely end up behind bars for a long time, serving as a warning to others and justifying justice for the victimized girls. President Gui''s face was ashen, he resentfully glanced at Zhou Can, but said nothing. Perhaps, he hadn''t expected to be brought down by such a young man. ¡­ After Zhou Can and Su Qianqian finished their statements, they could go straight home. As they left, he heard the police discussing that they found videos and photos in President Gui''s office that implicated multiple women, along with some harmful drugs. They cursed President Gui as a beast. Good will triumph over evil. President Gui finally fell hard this time. "Brother Lao, I have good news. That President Gui is probably finished. He victimized multiple women, and the evidence is conclusive." Zhou Can, walking out of the station with Su Qianqian, told Li Lao the good news right away. "Nicely done! Pure joy!" Li Lao replied with just eight characters, followed by a firecracker emoji in celebration. Zhou Can smiled knowingly. He held Su Qianqian''s hand. "What''s for dinner?" "Let''s buy some groceries and cook at home! What would you like to eat?" She saw President Gui being arrested, and she was especially happy. Even happier to finally be free. Free from the clutches of that rogue company. "You can cook?" Zhou Can was extremely surprised. In his impression, female celebrities were the types who had everything handed to them, never lifting a finger, surrounded by several maids. "Hmph! What is that expression? Am I that bad? What dish do you like? I''ll cook it for you." She fell deeply in love with Zhou Can, like most girls, she was completely devoted. "I like braised fish, can you make that?" Zhou Can cherished his angel-faced and kind-hearted girlfriend even more. "Yes! I''ll decide on the other dishes. Lots of people say to win a man''s heart, you must capture his stomach first, and with such an outstanding boyfriend, I have to hold on tight. Seeing how desperately you rushed into the general manager''s office today, I really wanted to cry, I was so moved!" As she spoke, she squeezed Zhou Can''s hand tighter. Looking at Zhou Can, her eyes filled with deep affection. "To show my gratitude, I''m going to make a delicious meal to reward you." True heart for true love. Zhou Can was so good to her, put in so much effort, and finally won her heart. "There are many ways to repay, like offering yourself!" Zhou Can teased her with a laugh. Chapter 193 - 115 Be Her Strongest Support, Reap the Double Harvest of Love and Career_2 "You''re so naughty!" She pouted playfully. "Men need to be a bit bad for women to love them!" Zhou Can shamelessly retorted. No one needs to teach you how to chase after girls; it comes naturally when you grow up. "Hehe, you''re wrong! What women like are not rotten men, but capable ones with a bit of a rogue charm," she giggled and rebutted. "Sis, how about being my fortress queen tonight?" Zhou Can asked with a roguish tone. "Giggle giggle~!" She laughed so hard she doubled over. "Disgusting!" Zhou Can''s heart was moved, and he suddenly swept her into his arms. "Ah... Put me down! Everyone is watching!" A sudden ambush left her blushing furiously, and she pummeled Zhou Can''s chest with her little fists. It was obvious that she was a very traditional girl. After Zhou Can put her down, her pretty face was flushed all the way to the roots of her ears. "Don''t you ever do that again, understood?" She stared at Zhou Can fiercely with her eyes. "Got it! Fortress queen!" Zhou Can didn''t expect her to be so thin-skinned. She often had to perform on stage, so he thought she''d have a bigger nerve. "Understood what?" She pressed on. "That this isn''t something to do in public, but at home, anytime is fine." As soon as he finished speaking, Zhou Can received a flurry of playful punches. "How did I end up with a bad guy like you! You can''t even speak a single serious word." ... The two of them bought some groceries; Zhou Can specifically picked up a beer to properly celebrate for her. When they got home, Zhou Can assisted her with the kitchen work. Washing vegetables, rinsing rice, and so on. It was the blissful everyday life of a sweet couple. "Can, you''ve mortgaged this apartment. What if we can''t pay back the loan, won''t we lose the apartment?" She asked with some concern. "I''ve mortgaged not just this one, but two others as well!" Zhou Can had taken out loans totaling four and a half million. The banks were really cutthroat. The market value for an apartment that could sell for around 2.2 million each, but when mortgaged for a loan, you could only get a little over 70% of that value. This was only due to the good location of the apartments and their high potential for appreciation. He had no choice but to mortgage all three of his rented apartments. The monthly loan interest alone was a significant amount. Originally, he intended to sell the apartments for cash. Li Lao advised him not to sell, saying that selling and then buying back later would not only waste time but also incur a considerable amount of taxes and agency fees. Selling an apartment in a hurry was definitely at a loss. Buyers would surely drive a hard bargain. "Ah... where did you get so many apartments? Isn''t buying the album just 1.6 million? A single apartment here costs more than that, and you''ve mortgaged three, are you silly?" Su Qianqian was shocked. "That''s exactly what I was going to talk to you about next. I''ve mortgaged the three apartments not only to buy your album but also to start an entertainment company in partnership with others. Then I''ll sign a contract with you for packaging and promotion, to help you fulfill your dream," Zhou Can earnestly explained. She covered her mouth with her hand, a mix of excitement and astonishment on her face. But most of all, she was touched. Zhou Can was adamant about buying the album to help her get out of her contract; she had thought he was just being frivolous. Now she realized her boyfriend was much more capable than she had imagined. Not to mention his financial capacity was staggering. In this place, owning three apartments at such a young age meant he was much wealthier than 99.9% of his peers. "You are so good to me!" She suddenly hugged Zhou Can, burying her head in his chest, sobbing. "Don''t cry, don''t cry! You should be happy. Then, work hard and achieve your dreams as soon as possible," Zhou Can quickly comforted her. "Mhm!" She nodded vigorously. "By the way, I asked you to get your kidneys checked last time. What came of it? I haven''t seen you taking any medications!" Zhou Can was a doctor. Based on his knowledge of kidney diseases, for slightly more serious cases, medication would be needed for a long cycle. "I... had no money and was in debt of more than 300,000, so I stopped taking my medication," she hesitated before revealing her situation. "That''s just reckless! Show me your medical report. I''ll help you pay off your external debts, so don''t feel any pressure. How can you not treat a kidney disease? Letting it develop into uremia would be trouble." Zhou Can was full of reproach, both heartbroken and angry. She was far too neglectful of her own health. After seeing her medical report, Zhou Can felt like he''d been struck by lightning. Her condition had progressed to the compensated stage of chronic kidney failure. S~ea??h the ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. As a professional, he knew all too well that this had evolved from chronic kidney disease into uremia. Fortunately, it was still early-stage uremia; while a complete cure was unlikely, medication could control the disease and prevent further deterioration. It was relatively ideal. "The doctor said it''s incurable, the only solution is a kidney transplant. Originally, I didn''t want to burden anyone. But the feeling of love you gave me that night was so bewitching. I''ve never been in love before, and I never knew it could be so wonderful. Can, rest assured, I won''t be a burden to you. I''ve already thought it through; I will earn enough money to repay you before death comes. Then, I''ll leave this world quietly. I hope to remain an everlasting summer flower in your heart." No wonder she considered taking her own life. On one hand, she was oppressed by a thuggish company, and the heavy debt left her gasping for air. On the other hand, she faced significant health issues. This girl had suffered too much injustice from fate. Zhou Can wrapped her in his arms. "What silly things are you saying? As long as I''m here, such a tragedy will not happen. Starting from today, you need to actively cooperate with the treatment. There are quite a few people with compensated kidney function who have fully recovered through treatment. Even if recovery isn''t possible, when my position in the hospital gets higher, I will find you a matching kidney, and then perform a transplant surgery on you. After that, you''ll be able to recover completely." Chapter 194 - 115 Be Her Strongest Support, Reap the Double Harvest of Love and Career_3 The current outcome isn''t the worst. At least there''s still ample time left for Zhou Can. As long as the financing is sufficient and his position in the hospital high enough, a kidney transplant won''t be a problem. "Meeting you has been wonderful!" She hugged Zhou Can tightly, but her tears couldn''t stop flowing. "You''ve saved me from the abyss time and again, giving me hope amidst despair." With Zhou Can''s help, the difficulties that had left her feeling hopeless and powerless to confront were one by one resolved. sea??h th§× N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. It seemed as if nothing was too difficult in his presence. ... The next day, Zhou Can asked for leave from the hospital and completed the registration for a new company. He and Li Lao co-founded a media company called Golden Entertainment Interactive Company. The name was chosen by Li Lao; he said that in the entertainment business, packaging is extremely important. The name had to be powerful and impressive. After the company was established, the first artist they signed was Zhou Can''s girlfriend, Su Qianqian. Her album was the company''s primary focus for promotion in the early stages. Zhou Can was only responsible for the investment, while all the other matters such as staff recruitment, company planning, and artist promotion were managed by Li Lao. Additionally, Zhou Can intended to help Su Qianqian repay her debts of over three hundred thousand, but she adamantly refused to agree. Faced with such a self-reliant, dignified girl, Zhou Can was out of options and could only let her be. Worried that she might delay treatment due to financial strain, Zhou Can directly took her to the hospital to buy medication and urged her to take it regularly. She promised Zhou Can that for their beautiful future together, she would definitely cooperate with the treatment. The days that followed passed by, one after the other. Zhou Can would occasionally visit her residence to see her. But the two did not cross any lines. She was a very traditional girl. Insisting on saving her first time for the wedding night to give to Zhou Can. She said that if a girl was too casual, she might be looked down upon by her husband. Zhou Can chose to respect her view. He valued even more this principled girl. Since they were still in the honeymoon phase, either Zhou Can would visit her, or she would come to see him. This helped alleviate their longing for each other. Holding hands while shopping, or sitting together snuggled up, chatting, watching TV, cooking together... life was indeed happy and sweet. The company that Zhou Can co-founded with Li Lao, under the guidance of this seasoned entertainment industry heavyweight, was showing impressive progress day by day. In less than a month, the company had successfully promoted a song from the album to the top of platforms such as Kuwo Music, TikTok, and Baidu Music. Though it later dropped in ranking, it always remained in the top five. Su Qianqian''s work became increasingly busy. Li Lao told Zhou Can that Su Qianqian was particularly hardworking and had a strong ability to learn. Her singing skills, expressions, control of the music, and understanding had all improved significantly. The company was planning to record new songs for her soon. He candidly expressed that, having been in the entertainment industry for many years, he rarely saw such a hardworking and talented female artist. He was very optimistic about Su Qianqian''s future prospects. Besides her naturally sweet and tender singing voice, her basic skills were also very solid. Both her singing and dancing were of a high standard. Furthermore, her figure and looks were top-notch. Her temperament was also very fetching. With all these excellent qualities combined in one person, and now that she was receiving resources and promotion she previously did not have access to, it would be difficult for her not to become famous. Her current fame had already far surpassed her peak at Beihai Langxing Company. And she was in a rapid phase of rising. Li Lao also told Zhou Can that, barring any accidents, within a maximum of three months, Zhou Can would be able to pay off the bank loan and release the mortgage on his house. Zhou Can was aware that the entertainment industry was profitable, but he had never thought it could be this lucrative. Of course, every industry has its standout achievers. It''s always those top players who are good at what they do who earn the most. Chapter 195 - 116: Different Treatment, Agreement In the operating room, Zhou Can entered about ten minutes early as usual, getting ready for the surgery. "Hi, Dr. Zhou, good morning!" S~ea??h the Nov§×l?ire.n(e)t website on Google to access chapters of novels early and in the highest quality. Tang Ling always seems to be the first person to enter the operating room. But that''s understandable, after all, there''s a lot of pre-surgery preparation work for nurses to do. Preparations for various instruments, medications, and consumables all take time. "Seeing you smile so happily, are you in love?" Zhou Can asked with a smile. "I wish I was, but no handsome guys are asking me out!" Tang Ling''s remark must be a self-deprecating joke. She''s pretty good-looking, and in these days of more men than women, even ''dinosaurs'' have their admirers. Surely she would have even more. "Do you know why I''m smiling so happily? It''s because my favorite female singer Su Qianqian, who went silent for a while, is back! Her new song has topped the charts! Seeing her return means she''s recovered from the impact of the last stage collapse incident. I''m really so happy." Tang Ling is an absolute die-hard fan of Su Qianqian. She''s happier to see Su Qianqian overcome the hurdle than if she had won a big prize herself. "I''ve noticed it recently too. Hey, no kidding, Su Qianqian''s songs are really nice to listen to." Dr. Lu just walked into the operating room and heard their discussion about Su Qianqian, so he joined the conversation. Dr. Lu has really changed a lot lately. Although he''s still unreliable, flirting with this girl or that nurse from time to time, he hasn''t been late to work anymore and arrives a few minutes early. He''s also become much more serious about performing surgeries. His surgical skills, such as suturing, hemostasis, and debridement, have improved significantly. Dr. Xu never used to praise him. Now he occasionally gives him a compliment every once in a while. Even Doctor Fu said that Dr. Lu''s surgical skills had greatly improved. Competition has pushed him to progress. A strong will to succeed has given him a completely different attitude towards his work. "Hmph, now you know it''s good! When I recommended her to you before, you didn''t believe me." Tang Ling said proudly. "Not only do her songs sound good, but the real person in the MV looks super pretty. A goddess of that caliber, sigh... If only I had tens of millions, assets over a hundred million, perhaps I could try pursuing her." Dr. Lu is really like a toad lusting after swan meat. Like he could stand a chance with Su Qianqian, it''s just daydreaming. "Dr. Zhou, didn''t she once send you a box-set of her albums? Is that new song from the Internet one of the songs from her new album?" Tang Ling has a really good memory. She even remembers that. "Should be, I''m not too sure." Zhou Can replied vaguely. "Su Qianqian gave Dr. Zhou an album? How come I don''t know about this?" Dr. Lu''s ears perked up instantly. "Dr. Zhou, did she leave her contact info? I''d be willing to trade five big meals for it." Dr. Lu stretched out five fingers. He really dares to dream. "No." How could Zhou Can possibly give his future wife''s contact information to this kind of man? Without a second thought, he flatly refused. "Ah, what a pity! If she comes back for a visit next time, none of you should compete with me!" Dr. Lu is looking forward to such a good thing happening to him next time. He believes that if he gets such a good opportunity, he could definitely get Su Qianqian''s contact information. "Hehe! Dr. Lu, are you no longer pursuing Qiao Yu?" Tang Ling teased him with a laugh. "She completely ignores me, I can''t catch up if I tried! I think a nice girl like Qiao Yu will end up going cheap to Dr. Zhou in the end." Dr. Lu said this with some frustration. Qiao Yu is not like other easy-to-fooled young girls. She really doesn''t give him a chance at all. "The new surgery nurse Song Chunyan is not bad either! I''ve seen you two chatting and laughing." Tang Ling, who seemed quite sincere, never made a peep when Dr. Lu scolded her before. Unexpectedly, she could gossip just as much as Ye Tingting when it came to it. It seems that all women have a gossiping heart. "Don''t mention it, I''ve already invited her to western dinners so many times and haven''t even held hands." Dr. Lu wore a bitter gourd face. Hearing this, Zhou Can almost laughed out loud. Such girls should indeed be around to put Dr. Lu in his place. That Song Chunyan appeared shy and easily embarrassed, Zhou Can had been worried that she would be deceived by the rotten Dr. Lu. Now it seems like it''s hard to say who would deceive whom. Soon after, Qiao Yu and Song Chunyan entered the operating room. Since Tian Tian was dismissed by Zhou Can, Song Chunyan became the backup surgery nurse. "Hi, everyone, good morning! I heard you guys laughing so happily just now, what were you talking about?" Qiao Yu greeted everyone with a smile. Her gaze was especially different when she looked at Zhou Can. "Dr. Lu says it''s too hard to chase after you, not giving him a single chance. He also said that in the end, it''s most likely going to be a bargain for Dr. Zhou." Tang Ling really knows how to speak out. She even told this to Qiao Yu. Really admire her ''emotional intelligence.'' Sometimes, it feels like she''s just a little girl who never grew up. Besides being serious at work and having good professional skills, she''s really quite direct when it comes to speaking. Of course, she''s never said anything hurtful or abusive. "Dr. Zhou doesn''t fancy me at all!" Qiao Yu looked at Zhou Can with a bit of grievance. The women''s sixth sense is the most powerful. She could feel that Zhou Can and her were just close ordinary colleagues. Even though it''s something that nobody has explicitly stated. Chapter 196 - 116: Different Treatment, Agreement_2 But Zhou Can''s behavior towards her was indicative. For instance, they added each other on WeChat, but he never talked about love. Zhou Can had never actively asked her out. Moreover, the way Zhou Can looked at her was filled with fondness, but not the kind brimming with romantic sentiment. Instead, it was a clear, friendly gaze. "I wouldn''t dare two-time when I have a girlfriend!" Zhou Can quickly explained. This was also the first time he told Qiao Yu that he had a girlfriend. "Heh... Really! No wonder you never make inappropriate jokes with female colleagues! These days, men who are loyal in relationships are really rare." Qiao Yu''s expression slightly changed, her smile somewhat forced. However, her reaction was still reasonable. It showed that she had also somewhat prepared mentally for this. S§×arch* The N??elFir§×.net website on Google to access chapters of novels early and in the highest quality. Zhou Can himself was a rookie who had never been in a relationship, and between him and Qiao Yu, he found her likable and enjoyed working with her. However, there was never the kind of heart-stirring feeling he had when he first met Su Qianqian, one that persisted even after spending time together. "Hey, Qiao Yu, are you praising me or mocking me here! Men who are loyal in relationships are those without capability, afraid their girlfriends might leave them, so they dare not mess around." Zhou Can could tell she was a bit unhappy. So he purposefully made a self-deprecating comment to cheer her up. "Haha! Well, I didn''t know being loyal in relationships could be interpreted in two ways. That was a total misunderstanding, sorry!" She was indeed amused by Zhou Can. "You mentioned earlier ''girlfriend'', not ''wife'', so you''re not married yet, right? I guessed correctly, didn''t I?" When conversing with such smart girls, one needs to be extremely careful. A single word, or even a different tone, could make them discover many secrets. "Impressive!" Zhou Can gave her a thumbs up. "Being your girlfriend must be very blissful! I really envy that girl!" When she said this, her tone, gaze, and expressions all conveyed envy. It was clear, she was genuinely envious of Su Qianqian. Additionally, upon hearing that Zhou Can wasn''t married, her previously forced smile seemed to become more natural. "Everyone''s here quite early huh! Not bad!" Dr. Xu, the lead surgeon, was the last to enter the operating room. Scanning everyone, he showed a satisfied expression. After his arrival, everyone dared not continue chattering. "Xiao Zhou, Jin Mingxi, I just received a notice from upstairs. Your three-month training period in the Emergency Department is up, you guys are to rotate to other departments. You can check this chart to see which departments you will rotate to." Dr. Xu entered the operating room a few minutes earlier just to inform the two about this. The Emergency Department definitely didn''t want to let them go. But unfortunately, the purpose of structured training is to let doctors quickly learn standardized clinical operations and be competent in handling different patients. "Dr. Xu, can I choose to specialize in Internal Medicine in the Emergency Department?" Despite his strong surgical skills, Jin Mingxi expressed his wish to choose Internal Medicine as his specialization. "You can ask the Internal Medicine department, if they agree to take you in, then you can." Dr. Xu responded. Originally, when department directors selected people, these trainees had no say. Basically, they had two choices: accept the assignments from the hospital or, after working for a while and showing excellent performance, see if they could gain favor from senior doctors in other important departments. It''s possible to transfer if someone accepts them. This senior doctor must at least be at the chief level. Even senior resident doctors wouldn''t suffice. Only chiefs have that bit of power. If able to gain appreciation from director-level senior doctors, that would be great. Transferring is mostly a matter of one word then. They would also receive focused cultivation. Like Zhou Can, if he were willing to move to Internal Medicine, Director Yin of divine Internal Medicine would give him the best training. However, in reality, residents like Zhou Can with extraordinary abilities in all areas are a minority. Most of them are just ordinary structured trainees, which tests their ability in aspects like relationships, ingratiating themselves, making a mark, etc. Jin Mingxi is quite excellent. But due to his older age and just having a bachelor''s degree, his skills are only notable in surgery. Those important departments generally wouldn''t take him. Because resources in the departments are limited, so are the training slots. For the development of the department, they must choose the best among the best. They often consider overall factors. Jin Mingxi''s structured training chart involved about nine departments including three months in the Emergency Department, one month in Intensive Care Medicine, three months in Orthopedics, three months in Urology, two months in Anesthesiology, and five months in General Surgery etc. Looking at this training path, he was assigned to the Emergency Surgery. Jin Mingxi peeked at Zhou Can''s training chart and immediately showed a face full of envy. "Hey, you have more departments in your rotation than I do!" Indeed, Zhou Can had quite a few more departments in his rotation. "Director Tan of Internal Medicine and Director Zhang of Obstetrics personally greeted for you, and Vice Director Ye nodded in approval. If you had the capability, you could also join those top-priority departments." Dr. Xu curled his lips. This world has never had something called fairness. One can only say, everyone has the same opportunity. Whoever can fight for more opportunities under the same conditions has a better impression from hospital leaders. Naturally, they are more willing to allocate more resources to such individuals. After hearing Dr. Xu''s explanation, Jin Mingxi shrugged. "Never mind, I''ll just obediently go to Orthopedics to report tomorrow!" Chapter 197 - 116: Different Treatment, Agreement_3 Family affairs are well known by family members. Asking Director Tan or Director Zhang for help would most likely end in disappointment, possibly without even seeing their faces. And as for approaching Vice Director Ye, that''s not even something to be contemplated. "Let''s start the surgery! Take your final post!" Dr. Xu''s last words were addressed to Zhou Can and Jin Mingxi. Once they complete all their standardized training and have achieved success, they will return to work in the Emergency Department. By then, they will no longer be trainees, but Resident Doctors. ... One surgical patient after another was brought into the operating room. Zhou Can seized this last chance to perform at his utmost, conducting surgeries swiftly and skillfully. Qiao Yu was also more active than usual, cooperating in various ways with high synergy. Busy until the end of the shift, Zhou Can finished treating the last surgical patient''s wounds and put down the needle holder and tweezers. "How many surgeries have we carried out in total?" Zhou Can asked Qiao Yu. "39!" She replied while quietly cleaning the instruments and dealing with the surgery waste. "You''ve supported me with such intense cooperation; you must be exhausted, right?" He truly didn''t expect to break the record once again. "Working with you is a pleasure, something I can''t experience with other surgeons. I''ve always hoped for the day I could become your dedicated scrub nurse." She looked up at Zhou Can. "Thank you for your high regard and your support! Once I return from my training, I believe I''ll have the ability to apply to Director Lou and Nurse Chief Niu." Zhou Can said earnestly. "Ha! I didn''t expect that you''d remember the promise you made to me. I''ll wait for you!" She smiled happily. Zhou Can had previously promised to make her his dedicated scrub nurse. He hadn''t forgotten about it. S~ea??h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. Once his training was complete and he returned, he should be capable of gradually forming his own surgical team. Qiao Yu would be his first choice for a scrub nurse. "I might need to wait almost three years before I can return to the Emergency Department. What are your plans in the meantime?" "After I finish writing my thesis, I plan to apply for a transfer to the inpatient department to learn for about a year. If I pass the evaluation, I''ll then work and learn in the intensive care unit. My main focus has always been nursing. Now, whenever I have time, I will catch up on various surgical nursing knowledge, making the role of surgical assistant another focus of mine, striving not to be left behind by you in the future." Her career planning was clearly well thought out. The focus on surgical assistance was a change made for Zhou Can. "I''m touched! Let''s both work hard together!" Zhou Can clenched his fist and raised his arm in a gesture of encouragement. However, she just smiled and gave Zhou Can a high-five. "Even if we''re not working together, can I still frequently consult you about medical problems?" She asked this while looking straight into Zhou Can''s eyes. It was apparent she was nervous, Perhaps fearing rejection. "Of course, you''re always welcome!" The topic most frequently discussed between them on WeChat was medical. More precisely, it was her often consulting Zhou Can on some medical knowledge. After saying goodbye to her, Zhou Can turned to Dr. Xu. "Teacher, I''m afraid it will be a long time before I can return to continue with surgeries under your guidance." Zhou Can felt incredibly lucky. Joining the Emergency Department, he met Dr. Xu, a great mentor. It wouldn''t be an overstatement to describe the gratitude as mountainous. "Don''t make it seem like a life-and-death parting! We are all still working in the same hospital. If there''s anything unclear, you can always ask me. After work hours, if you want to take up opportunities to practice surgery, you are always welcome to come here. If you are wronged, you can find Director Lou or me; this place is your maternal home." Dr. Xu was always so serious, yet so heartwarming. "Okay!" Zhou Can nodded vigorously. "Jin Mingxi, the same goes for you!" Dr. Xu looked toward Jin Mingxi who was not far away. "Thank you!" Jin Mingxi nodded firmly. Upon leaving the Emergency Department operating room, Dr. Lu caught up from behind. "Dr. Zhou, there were some things that weren''t convenient to say earlier. You''ve seen the situation in the Emergency Department; it''s really bad. With your skills, if you have a chance to work in those influential departments, don''t foolishly hang yourself on the Emergency Department tree. You understand what I mean, right?" Dr. Lu whispered the ''hint'' to him. "Yes, I understand. Thank you for the reminder; I''ll consider it seriously." Zhou Can agreed verbally, but his mind was clear as a mirror. Dr. Lu offering such kind advice to Zhou Can? It was nothing short of fear that once Zhou Can had completed his training and returned, he might threaten his position. When it came to surgical skills, Dr. Lu wasn''t even close to Zhou Can''s level. By the time Zhou Can came back to the Emergency Department, his position would probably be stuck in a corner. Chapter 198 - 117: First Experience in Orthopedics, External Fracture Fixation Technique Zhou Can checked the standardized training schedule, and the second department for standardized training was Orthopedics, lasting three months. Orthopedics carries great weight in the field of surgery, ranging from thoracic and cranial procedures to the reattachment of a single finger, all of which rely on Orthopedics. S§×arch* The Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. It is a compulsory course in surgery. Zhou Can was full of expectations for this new department. During the three months of standardized training in the Emergency Department, he mainly stayed in the operating room. He learned surgical-related knowledge. The surgical experience he gained in three months in the Emergency Department was even more than what others achieved in five years of work. He has reached the intermediate attending level in several basic surgical skills. With this ability entering the standardized training in Orthopedics, he expected to stand out quite quickly. The next day, he and Jin Mingxi arrived early to register at the Orthopedics Department. Both their second stops for the standardized training were in Orthopedics. As they entered Orthopedics, they saw long queues at the clinic already formed. There were those in wheelchairs, with crutches, with arms in slings, and even patients lying on stretchers. Most patients seeking treatment here suffered accidental injuries. "Wow, the number of patients seeking treatment here is no less than in the Emergency Department!" Jin Mingxi exclaimed. "Orthopedics and General Surgery should be the two busiest departments in surgery. Let''s head to the doctors'' office first." Zhou Can looked at these patients, his eyes shining, seeing them all as Experience Points! "Hello, may I ask who should the standardized trainee doctor report to?" This time, Zhou Can did not ask the nurse for information. Seeing a middle-aged male doctor in his forties passing by, he quickly approached to inquire. "Which department are you guys from?" "Emergency Department!" "Follow me!" "Thank you!" Zhou Can remembered that the doctors in Orthopedics were generally quite aloof. This middle-aged male doctor was very approachable, wasn''t he? He was asked for directions and personally led them to register. Along the way, doctors and nurses actively greeted the man, calling him Doctor Yang. "Come on in! Take a form each and sign up." Doctor Yang led the two into a fairly spacious office. At this moment, several young doctors were already filling out forms similar to theirs. "Xiao He, how many people has the hospital arranged for Orthopedics standardized training this time?" Doctor Yang asked the young doctor who was handling the forms in the office. "From all departments combined, there are thirteen people, plus the five recruited specifically by us, making a total of eighteen standardized trainee doctors." Standardized trainees are generally coordinated by the hospital to arrange their training departments. For example, as Zhou Can and others rotate from the Emergency Department to Orthopedics, other departments'' trainees would be transferred into the Emergency Department. Only in this way can the stable operation of the entire hospital be ensured. "That''s quite a number of people! But that''s also a good thing; having one more person to work can lighten everyone''s load." Doctor Yang sat in the main seat of the office. It seemed these resident doctors were under his management. Zhou Can had wondered why the doctors in Orthopedics had become so friendly? It turns out he had asked the right person. While they were filling out their forms, people continued to arrive for registration. "Hurry up and complete the forms. For your skills, just write one or two that you consider to be your strongest. If you really don''t know what to write, just write down your previous department." Doctor Yang checked the time on his wristwatch, possibly thinking that these trainees were dilly-dallying too much, and so he urged them to hurry. Zhou Can had already finished his form. In the skills section, he wrote suturing and ligation. Because these two basic surgical skills had the highest Experience Points and were almost reaching the advanced attending level. Soon, all eighteen trainees had completed their forms. "Let me introduce myself, my last name is Yang, and I am responsible for your initial arrangement and the overall management of the standard training period in Orthopedics. First of all, on behalf of Orthopedics, I welcome your arrival," Doctor Yang scanned the eighteen people. "Since the restructuring, Tu Ya has implemented a merit-based system, where the competent rise, and the incompetent fall, a mechanism of survival of the fittest. I don''t care which department you come from or what background you have; the competition for training opportunities will be fair for everyone." This was a preemptive warning. It was to reign in the pride of those from significant departments and cut off any wishful thinking from those with connections. Not to rely on pulling strings or giving gifts. Clinical departments have always been a place where those with connections falter. If someone doesn''t possess real skills, even if they are the child of the dean, no doctor would dare let them operate on a patient. What if a mistake during an operation leaves the patient incapacitated? In case of an incident, the dean wouldn''t be grateful but would rather wish he could smite that senior doctor. Are you trying to kill my child? Knowing his surgical skills are weak, yet you still let him perform the operation. "Let me talk about the department''s needs for standardized trainees. The operating room has two 100,000-level operation rooms needing the assistance of six trainees. The outpatient department''s manual reduction room needs one person. The more, the better for our inpatient department." A fool would know that being a trainee in the operating room is definitely the best. Outpatient manual reduction is not bad either. The worst is being a trainee in the inpatient department, with lots of work and exhaustion, and it''s easy to be scolded by patients'' families. It''s enough to exhaust someone with various tasks such as bed management, duty shifts, writing case reports, and doing miscellaneous chores. "Of course, you don''t need to worry too much. The hospital''s standardized training for you will be comprehensive. It''s not that if you are assigned to the inpatient department, you won''t have the opportunity to enter the operating room for learning. It''s just that the focus of learning varies." Seeing everyone''s nervous expressions, Doctor Yang gently smiled and comforted everyone. Since he was appointed to manage the standardized trainees in Orthopedics, he naturally possessed strong management and coordination skills. Chapter 199 - 117: First Experience in Orthopedics, External Fracture Fixation Technique_2 "To ensure fairness, for the first three days, you will take turns entering the operating room in batches. Those who perform well will be kept by the lead surgeon in the operating room. Don''t be discouraged if you get eliminated. Surgery is not the only way out. Even if you are assigned to manage patients in the inpatient department, as long as you perform well, there is still a chance to compete for surgical training opportunities." For a surgeon who can''t perform surgeries, the only other option is to choose the more difficult academic research path. However, very few people have made a name for themselves in this field. A close observation of the renowned doctors in each surgical department will reveal that each of them excels in performing surgeries. Their academic achievements are also closely related to their surgical skills. After all, research stems from practice. "Anyway, everyone has the same opportunity, so I''ve just randomly assigned your tasks for the first three days." Doctor Yang directly divided the eighteen data sheets into three parts. "Xiao He, read out the names of the six people who will work in the operating room today." He handed the first part of the data sheets to the young doctor. "Fan Wen, Wang Bin, Jin Mingxi..." He read out a total of six names. Zhou Can probably did not make the list for the first batch because he handed in his form relatively late. This was also good, giving him an additional day or two to familiarize himself with the Orthopedics environment. He was very clear that not being selected for the operating room would definitely impact his professional growth. Although his surgical skills were very strong, capable of overshadowing everyone else, he knew that even when a lion fights a rabbit, it needs to utilize its full strength to ensure a secure victory. "Those who had their names called just now, proceed to the operating room for work. The remaining twelve, stay here in the inpatient department. Your main task for the first three days is to familiarize yourselves with the entire process of a patient''s admission to discharge. Bed management, writing medical records, assisting in surgeries, rounding, and such tasks shouldn''t need further explanation, you''ve already learned them during your internship phase." The tasks performed during internship and residency stages are different. It''s like nursery school is mainly about learning to adhere to the school''s regulations and the basics of phonics and numbers from 1 to 10. But in the first grade of elementary school, children are expected to not only recognize but also write phonics, combine sounds to read, and start learning how to write simple Chinese characters. In math, they begin learning addition and subtraction within 10 and understand larger numbers. It''s the same for doctors. Progressing step by step, enhancing professional capabilities gradually. Resident Doctors need to learn to independently handle certain risky tasks. For example, bed management. If an intern finds a patient coughing violently or complaining of severe stomach pain, what to do? Definitely call for a senior doctor to handle it! If a Resident Doctor encounters the same situation, they must learn to diagnose by themselves. Calling a senior doctor for every little issue would surely earn a scolding. "Xiao He, please ask Mr. Xiang to come over!" Doctor Yang instructed. Mr. Xiang is not some company CEO but the Chief Resident. That''s the general term used in hospitals. Many newcomers believe the Chief Resident holds a high position, but that''s not the case. Although the Chief Resident often scolds the residents and interns, directing them in various tasks, their position is actually much lower than that of an attending physician. Typically, the role is rotated annually and is considered a tough job. You have to stay in the hospital on duty. Those who become Chief Resident share some common traits: over three years of experience as a Resident Doctor and having undertaken further training. Indeed, this is also a necessary step to becoming an attending physician. Usually, one would go for further training for half a year to a year, return to serve as Chief Resident for one year, and then take the exam for promotion to attending physician. Upon passing, one will receive the attending physician''s certificate. If the hospital has available positions, you will be hired as an attending physician. However, given that there are limited hiring positions, if not appointed within a year, there''s no need to worry. At this stage, as long as you don''t cause major problems, becoming an attending physician is almost guaranteed. You may just have to wait in line. It''s worth mentioning that the difficulty of the attending physician exam is not very high, and many can pass on their first attempt. What is truly challenging is taking the medical licensing exam after one year of graduation. The pass rate for that is quite low, with typically one in five passing. If you don''t pass on the first year, there''s an opportunity to retake it the next year. It''s not meant to discourage those who didn''t pass, but the probability is that if you failed the first time, you''d likely fail the second, or the third time as well... The smart move would be a prompt shift to administration or a change of profession. After all, age is a factor that cannot be ignored. While some may graduate at 24 and get certified around 26, those with less aptitude failing to pass continue to age and can quickly approach their 30s. The pressure at that age is immense. For those who are not cut out for it, cutting losses decisively is the smartest move. Soon after, a man in his early thirties hurriedly walked in. This man was of medium height, with thick and bushy eyebrows like two black brooms above his eyes. From the standpoint of facial physiognomy, such a person tends to be impatient and rough in character. "Mr. Xiang, these twelve individuals are now under your arrangement. After three days, once the operating room side has made their selections, you can then make long-term residency arrangements for them." sea??h th§× N??elFir§×.net website on Google to access chapters of novels early and in the highest quality. Doctor Yang said to the man. "No problem!" Dr. Xiang''s gaze swept over Zhou Can and the others, and with a grand wave of his hand, "Follow me!" His style of work was truly decisive and swift, without any dragging or delay. Zhou Can and the others followed him to the wards. There are nine wards in the Orthopedics inpatient section, and the rest are open bed areas. In total, there are at least over three hundred beds by a conservative estimate. This scale is quite daunting. Many smaller third-tier hospitals only have a total of around 500 beds. Some even have to inflate the number of beds to qualify for third-tier status. Chapter 200 - 117: First Experience in Orthopedics, External Fracture Fixation Technique_3 Tuya Hospital''s Orthopedics alone has more than three hundred beds. With so many departments combined, the total number of beds must be an astonishing figure. It would be hard to find three such hospitals in a province. Not to mention the beds in its first and second affiliated branches have not been added yet. "I don''t know your names, and to save time, I''ll directly assign beds according to the list. For the next three days, you are only to assist and not in charge of these beds." Dr. Xiang read from the list and allocated batches of beds to each person. The number of beds each person is responsible for ranges from about 8 to 12, varying in quantity. The number of beds managed is mainly based on the in-charge doctor''s ability. Zhou Can was assigned beds 115 to 124. In total, managing ten beds. Just as Dr. Xiang said, he was only to assist in management. These ten beds were all under the care of a doctor named Hee Zhang. Under this doctor, there definitely would be trainees and intern doctors co-managing. "Hey you, stop dazing around, come over quickly and help with the plaster casting." A busy doctor waved at Zhou Can. "That means you, hurry over here." Zhou Can quickly walked over. He took a surgical knife but had never applied a plaster cast to a patient before. "The patient fell from a height, suffering a severe fracture in the right leg and has undergone surgery. The navicular bone in the arch of the left foot has a minor fracture. The attending physician wants us to apply a plaster cast to stabilize it." sea??h th§× n?vel_Fire.¦Çet website on Google to access chapters of novels early and in the highest quality. You could see the patient''s right leg already wrapped like a mummy. It''s unclear what specific surgery was performed. In case of a fracture, even after surgery, external fixation is needed to let the bone heal. This period is relatively long. There''s a principle in treating patients'' conditions: life-threatening injuries are handled first, followed by severe injuries, and minor injuries last. High falls come in various forms, such as falling from a building, slipping off a cliff, or tree branches breaking while climbing, with the unlucky falling to the ground. High falls are often accompanied by serious internal injuries. The patient at hand is fortunate to have only broken his legs. "You look clueless; have you never applied a plaster cast to a patient before?" "Indeed, I haven''t!" Zhou Can squatted down, unsure of how to assist. "I''ll teach you once, and you''ll learn! First, measure the length from the patient''s footbed to the ankle area. Then measure the width of the footbed." The doctor was not very tall, probably around 1.65 meters. About twenty-eight or twenty-nine years old. Zhou Can didn''t recognize him, but when Dr. Xiang was assigning trainees earlier, this person must have been watching nearby. "Alright, I got it. Are you Doctor Hee Zhang?" The other spoke quite politely, at least not as fierce as imagined. Zhou Can then dared to actively inquire about his name. "Hmm! I''m the resident doctor here, managing beds 115 to 124. Besides you, there are three interns. There was another trainee, who has already been transferred today." It was indeed Doctor Hee Zhang. Even in a large hospital like Tuya, the workload for a trainee doctor is very heavy, almost being utilized as a resident doctor. The handover trainee doctor has yet to be arranged in place, and the person was directly transferred. This indicates that the hospital''s doctor staffing is quite tight. "After measuring, remember the length, and then make the plaster strip into an appropriate length. The width generally doesn''t matter. For limbs that are too wide, you can directly apply a splint. For something like this, a plaster cast is enough." Doctor Hee Zhang was quite adept with his hands. The patient, like the vast majority of patients, remained silent. Quietly watching the doctor busy himself. "These are the essential materials for applying a plaster cast. Plaster, plaster gauze, and bandages." He pointed them out to Zhou Can one by one. Three things are easy to distinguish, Zhou Can nodded, indicating he remembered. "Once you''ve made the plaster strips of appropriate length, next is to prepare the plaster padding. Remember, you need to get the right size and width." It is essentially custom-made for the patient''s left foot. "You go and fetch half a bucket of hot water, at about 50 degrees Celsius. You can get the hot water from the water room over there." Hee Zhang did this intentionally to let Zhou Can quickly familiarize himself with the environment. Soon, Zhou Can brought the hot water. Without a way to measure the temperature accurately, they used the hand test method. The human body''s temperature is roughly between 36¨C37 degrees, if it feels slightly scalding, then the water is around forty to fifty degrees. Doctor He was quite satisfied when he saw how quickly he had fetched the water. He tested the water temperature with his hand and a smile appeared on his face. "You''re doing well! What''s your name?" "My name is Zhou Can! You can call me Xiao Zhou." As a newcomer, Zhou Can kept a very low profile. "Dr. Zhou, next is to soak the plaster strips in water." Once the plaster strips were immersed, they immediately began bubbling vigorously. "Remember, you must wait until the bubbling stops before taking them out." After a while, the bubbling ceased. Doctor He took out the soaked plaster strips and quickly squeezed them with his hands. "Squeeze out as much water as possible, then spread them out on the plaster padding. You have to be quick, don''t take too long, otherwise it will harden very fast." After that was done, Doctor He instructed Zhou Can to raise the patient''s left leg. "If the patient is able to, you can have them directly step on it." Having said that, Doctor He looked towards the patient. "Uncle, it''s going to hurt a bit, just bear with it for a moment." Nearby, two family members of patients were watching. It''s essential to explain clearly to prevent any unnecessary misunderstandings. Doctor He held down the patient''s foot with one hand, and with the other, he placed the plaster against the patient''s sole and quickly wrapped it according to the shape of the patient''s foot. "Dr. Zhou, hold it in place, don''t let the plaster come loose." Doctor He waited until Zhou Can was holding it, then unwrapped the bandage and began to wrap around the patient. Once one roll of bandage was used up, he opened another. A few minutes later, the plaster was firmly secured to the patient''s foot with bandages, all the way to the heel. "Remember, the bandages can''t be wrapped too tight nor too loose. Especially these areas, wrapping too tightly can cause ischemic necrosis. After wrapping, you can adjust the shape of the plaster with your hands to make it fit the patient''s foot more snugly." Zhou Can was only assisting throughout the process. When the patient''s cast was completed. [Congratulations, you''ve acquired the External Fracture Fixation Technique, which allows you to carry out external fixation for fracture patients and helps the fracture site heal quickly.] [External Fracture Fixation Technique, current Experience Points: Level 1, 1/10, intern failing grade.] Having acquired another orthopedic skill, Zhou Can couldn''t contain his joy. Although it''s just one of the most basic techniques in orthopedics, its usage rate is very high in surgical operations. Especially in the Department of Orthopedics, many minor fractures just require a cast. "There''s another patient over there who needs a cast, and this time you''re going to do it while I guide you." "Sure!" Zhou Can readily agreed. Doctor He certainly hoped he could pick it up quickly so that next time there was a need for casting, Zhou Can could do it on his own. This was a patient with a hand fracture, who needed to have a cast applied and then suspended from the neck. "The main severe fracture site is the hip joint, and the surgical plan is not yet finalized. First, we need to secure the fractured arm." It was a very thin middle-aged woman lying on the hospital bed, groaning continuously. She kept yelling that she was going to die. When encountering such patients, Zhou Can would always be particularly careful. The family member accompanying her was a young man around twenty, probably her son. This unfilial son was engrossed in playing games on his phone beside her. Chapter 201 - 118: The Growth History of a Qualified Doctor, Abnormalities in Surgical Patients Zhou Can was only tasked with plastering this woman''s cast; as for her son, no matter how unfilial, it wasn''t for the doctor to intervene. On Tu Ya''s first day of internship, the mentoring physicians warned them that a doctor should only do what is required. Don''t overindulge in a sense of justice and meddle in the patient''s family or personal affairs. They were also told that while saving lives, doctors must learn how to protect themselves. Zhou Can did not understand this advice from the mentors at that time. He even wondered how such selfish people could become mentors. Only after his personal experience did he realize that the mentors'' words were pure gold. Zhou Can still remembered his first experience of meddling, when a young woman about twenty-six or twenty-seven years old was hospitalized due to injury. It was obvious that she had been beaten. But she claimed it was from a fall, and the treating physicians, nurses, and doctors did not pry further. Zhou Can just didn''t understand why she had to lie. Similarly, he did not dig into the patient''s privacy. Until that evening, when he was on the night shift. He accidentally discovered the woman''s husband in the hospital room, who had slapped her twice and punched her in the head. She sat on the hospital bed crying. Seeing this kindled a fire within Zhou Can. And he finally understood how the woman got her injuries. He rushed into the room to stop the man''s violence. The man was very arrogant, warning Zhou Can to mind his own business, claiming it was a domestic matter. Zhou Can did not indulge him and scolded that domestic violence was illegal. Annoyed and embarrassed, the man pushed Zhou Can. Zhou Can, who had trained in Sanda, did not indulge the man and quickly threw the domestic abuser to the ground with a move. This situation escalated quickly. The woman cried out, begging Zhou Can not to hurt her husband. The man called the police. The attending physicians and hospital department leaders were all alerted. Originally, the facts were clear. But when the police inquired, the woman sided with her husband, saying it was Zhou Can who started the altercation by hitting her husband first. The man even threatened to have Zhou Can jailed. In that moment, Zhou Can''s heart bled. He had done good, upheld justice, helped someone weaker. Yet, the woman not only was ungrateful, but she also turned against him with her husband, framing Zhou Can. Doctors fighting with family members sets a very bad precedent. Paying damages was a minor issue; he would surely face disciplinary action from the hospital. Fortunately, a family member had recorded the incident covertly and later handed the evidence to the police, which led to the truth being revealed. Zhou Can was not punished nor did he have to pay damages. But he received no commendations either. Instead, the department head and mentoring physician each had a conversation with him, following with their criticism. This incident left Zhou Can with an unforgettable memory. From then on, he never meddled again. During patient admissions, he gradually learned how to protect himself. Always have the family members sign off where necessary. He would never agree to requests out of excessive sympathy for patients or their families. That is what makes a qualified doctor. ... Under the guidance of Dr. Hee Zhang, Zhou Can successfully plastered the female patient''s left arm. It was his first time completing a plaster job independently. It wasn''t particularly well done. But it was successfully completed nonetheless. He also earned 1 Experience Point. According to Doctor He''s instructions, after plastering the patient, one should observe for about twenty minutes to confirm there were no anomalies before leaving. During this waiting period, Zhou Can couldn''t help but observe the neighboring patients. There were both male and female patients, and many of them were young. Some had already undergone surgery and needed a hospital stay; others were waiting for surgery or enduring pain on their beds with traction devices. Zhou Can''s gaze eventually rested on a bed next to him. The patient was a middle-aged man around forty, sleeping with his eyes closed. Compared to other patients, he appeared exceptionally peaceful. A middle-aged woman with a haggard face lay by the bedside, sorrowfully watching her sleeping husband. When disaster strikes, spouses, parents, children, these are the three most reliable kinds of relatives. This middle-aged couple were at the age of having to provide for both elderly and children. They were the pillars of the household. The sudden collapse of the middle-aged man was nearly a disaster for their family. The woman must be worried about what to do if her husband couldn''t recover. Not only could he not earn money during hospitalization, but they also had to spend a lot, adding insult to injury for the family. "He was hospitalized due to a car accident, with a crushing fracture in his lower leg. I heard it was an avulsion fracture of the tibia plus partial comminuted fracture. The surgery took a whole eleven hours; presumably, bones, blood vessels, and nerves all needed anastomosis and repair. It was only after five this morning that the surgery was completed." Dr. Zhang thoroughly briefed Zhou Can on the patient''s condition. "Dr. Zhou, there''s nothing else you need to help with right now. So how about this: get familiar with the conditions of the patients in these ten beds; you might have to take a night shift later." The exploitation between doctors is as practiced by Doctor He. Senior physicians tend to dump the miscellaneous, dirty, and tiring work on junior physicians. Night shifts are tough, and usually, the job falls to resident trainees and interns. It''s good enough to have one chief-level physician for night duty in a large department. Critical care does not apply here. In those cases, if the correct emergency response cannot be given within seconds of an incident, it could lead to loss of life. S§×ar?h the n?vel_Fire.¦Çet website on Google to access chapters of novels early and in the highest quality. For instance, if a patient suddenly experiences a dramatic drop in blood oxygen or their heartbeat stops abruptly, etc. Chapter 202 - 118 The Growth History of a Qualified Doctor, Anomalies in Surgical Patients_2 This is precisely why novice nurses and doctors simply don''t qualify to be on duty in the intensive care unit (ICU). Because it truly tests the abilities of doctors and nurses to handle various emergency situations. This requires extensive experience, solid medical knowledge, and proficient resuscitation skills. Nearly all of the ICUs in hospitals are staffed with the elite medical teams of the hospital. Facing the exploitation by Doctor He, Zhou Can actually had no room to bargain. He could only comply. Zhou Can familiarized himself with the conditions of the patients in each bed. The patients and their families generally had a cold attitude towards such a young doctor. These days, patients and their families are very shrewd. During morning rounds when the heads and attending physicians visited, they were surrounded by a clamorous crowd; they knew that those who were in charge had arrived. One by one, they showed ingratiating smiles and were very enthusiastic in their attitudes. They answered whatever was asked. After Zhou Can had visited the patients in ten beds, Doctor He, who was in charge of the beds, had already left. The doctor in charge of the beds needed to prescribe orders for the patients, review the medical records written by interns and resident trainees, write their own summaries, and promptly report any abnormal patient conditions to the senior doctors, and so on. They had a lot of tasks. Sometimes, if a patient had some kind of emergency, the nurse or intern doctor would call for him, and he would have to rush over to check and properly manage it. Zhou Can returned to the bed of the woman who had just had her cast, and checked the cast. The plaster had set. It was relatively hard to the touch. The woman was still there groaning, screaming that she was going to die. Her son was only concerned with the game on his phone, neither urging the doctors about when the surgery would be scheduled, nor seeking a doctor to give his mother a painkiller shot. Zhou Can shook his head and looked at the middle-aged man in the bed next to him who had just undergone surgery. At this moment, the middle-aged man was still closing his eyes, sleeping. From his blinking eyelids and the occasional movement of his head, he seemed to be not really asleep. "How are you feeling? Are you experiencing any discomfort after the surgery?" Zhou Can just asked out of habit. When he was an intern in charge of beds before, he was also responsible in the same way. He would check on his assigned beds from time to time and take the initiative to inquire about the patients'' conditions. "Everything else is fine, but my husband keeps complaining about some swelling and pain in his left leg." She reported to Zhou Can. "Generally, experiencing swelling, soreness, or numbness after surgery is normal. There''s no need to be too worried." Zhou Can reassured the family. "Doctor, it feels like there''s a big bug wriggling around inside my leg. It''s particularly unbearable." The man opened his eyes. Potentially due to poor sleep over a long period of time, in addition to his injuries, his vitality was greatly depleted, and his eyes were bloodshot. His overall spirit also appeared to be quite poor. "Let me check it for you." Zhou Can lifted the cover to examine the man''s leg. The area that had been crushed had undergone surgery and was wrapped in gauze. This was to prevent the wound from being infected. The specifics of the surgical procedure were unclear, but it was certain that the bone fractures had to be aligned. Use of steel plates and screws was possible. Blood vessels, nerves, and tendons all needed anastomosis and repair. The damaged muscles needed to be removed. You could imagine how complex this surgery was. Below the site of the patient''s surgery, the ankle and foot, had more wrinkles in the skin than usual. The color was significantly paler than that of the upper part of the surgical site, such as the knee and thigh. However, there was some blood color. This indicated that the blood circulation should be fine. At worst, it was simply a bit poor post-surgery. Zhou Can touched the patient''s right foot, and the temperature was alright. Slightly below the normal body temperature. It seemed that the surgery was very successful. After the surgery, if the blood circulation was not problematic and the temperature of the amputated part could recover, it was almost certain to heal. "Can you feel anything when I touch the top of your foot?" Zhou Can asked the patient. "Yes! It''s just slightly numb." The patient replied. Zhou Can nodded, focusing on observing the patient''s ankle and other areas. There were some purple discolorations, hidden under the skin. They looked a bit like subcutaneous veins. Zhou Can initially thought so. But when he tried to touch the area just above the patient''s ankle, he clearly felt a firmer, stiffer sensation. Based on experience, this was the feel of swelling. "Overall, your condition seems quite good. There seems to be some swelling at the ankle, and I will come to check on you every two hours. Please rest assured." Zhou Can said to the patient. Postoperative swelling is related to various factors. It is both normal and potentially abnormal. Further observation is needed, depending on how long the swelling persists. Zhou Can thought it would be best to report this patient''s condition to the doctor in charge of the bed. He walked toward the doctor''s office. On the way, he pondered the situation of the middle-aged man''s left leg near the surgical site, where there was swelling and faint purple discoloration on the inside of the ankle. What did this indicate? The surgery had clearly been successful. The blood circulation was flowing well, and the temperature of the foot was also acceptable. S~ea??h the novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. You can''t learn this kind of situation from medical texts. You must diagnose and consider it for yourself. During these three months in the emergency surgery room, Dr. Xu had given him a lot of guidance. Coupled with the accumulation of surgical experience. Zhou Can''s diagnostic ability had significantly improved from the past. "Could it be necrosis due to prolonged ischemia at the distal part of the limb?" That was a possibility. The phenomena of post-mortem lividity and hypostasis, as seen in corpses, matched up with the swelling and purple discoloration at the distal end of the patient''s left limb. Moreover, ischemic necrosis is difficult for doctors to detect in a short period of time. Chapter 203 - 118 The Growth History of a Qualified Doctor, Anomalies in Surgical Patients_3 Doctor He was examining the patient records written by an intern. Every time a problem was found, he would immediately point it out. The intern humbly nodded, noting down the areas needing correction. Initially, when Zhou Can wrote patient records, he had his fair share of scolding. Patiently waiting until Doctor He finished guiding the intern, Zhou Can then said, "Doctor He, I''ve noticed some postoperative complications in patient in bed 120." "What happened?" Doctor He was startled, his face filled with tension. "During the questioning, the patient kept complaining about leg swelling and pain, as if a huge bug was wriggling inside!" Hearing Zhou Can''s report, Doctor He''s expression steadied, and he let out a sigh of relief. This new trainee doctor had him scared half to death. S§×ar?h the Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. "His leg was crushed by a car, the damage was severe. It''s normal to experience swelling and pain after surgery. Tell the patient that it should gradually improve over the next few days." Doctor He explained. "When I checked the patient, I found edema and slight purpura near the proximal end of the surgery site." Zhou Can continued to report his findings. With his diagnostic skills, he could be sure that there was something abnormal with the patient. "Let me have a look! Is the edema severe?" Doctor He didn''t dare to take it lightly and decided to check personally. "The edema is slight, but I predict this is just the initial stage. It''s likely to swell much more later on." Zhou Can had performed two replantations of severed fingers. Although not directly comparable to the patient in bed 120, the principles were the same. Swelling in the amputated area is a very bad sign. It often indicates surgical failure. Two interns, out of a learning and curious mindset, also followed to check. The improvement of a doctor''s skills depends not only on reading more and practicing technical abilities but also on accumulating experiences dealing with such abnormal conditions. The four arrived at bed 120, and the patient and his wife, seeing four doctors coming over, nodded gratefully at Zhou Can. It showed that the young doctor had reported the situation to his superiors. Patients and their families appreciate this kind of responsible doctor. "Are you feeling okay? I heard you''ve been experiencing swelling and pain in your leg?" Doctor He asked the man in the bed. "It comes and goes, with a bit of a sour feeling, it''s quite uncomfortable." The man reported truthfully. Doctor He nodded, pulled back the covers, and carefully examined the man''s operated leg. The safety and accountability mechanisms of Tuya were in place; no doctor dared to shirk their duties and take them lightly. After all, a job at Tuya Hospital was highly coveted; messing up meant ruining one''s bright future. "There doesn''t seem to be any major problem. The upper end of the surgery looks normal, with slight edema near the lower end of the surgery site. As for the subcutaneous purpura, it''s quite common. Usually, it''s minor subcutaneous hemorrhage. Judging from the flesh color and foot temperature, the possibility of muscle necrosis seems small." Although Doctor He was only a resident doctor in charge of beds, his skill level was genuinely not lacking. His experience and diagnostic capability were even stronger than the attending physicians at city-level hospitals. The larger the reputation of a hospital, the greater the volume of diagnostic and therapeutic services, and the richer the experience and insight of the doctors. One surgeon from a city-level hospital admitted, He had mastered liver surgery and was fully capable of performing such operations, but there were barely a few liver surgery patients each year. Some patients, upon hearing they needed liver surgery, would even leave their hospital. As for slightly more serious illnesses, all the patients would rush to the big hospitals. They wouldn''t even enter their hospital. City-level hospitals are actually quite large, belonging to major hospitals. Even hospitals of this caliber find it challenging to receive patients, let alone county-level hospitals and district hospitals. Not receiving patients means no opportunity to practice. Without the chance to improve surgery and diagnostic abilities or accumulate experience. This vicious cycle eventually results in super-large hospitals becoming stronger and stronger, And medium and small-sized hospitals growing weaker and weaker. After listening to Doctor He''s observations, Zhou Can still felt there was more to it. He furrowed his brows, deep in thought. Book knowledge is never appreciated until it''s needed. He only wished his medical knowledge was more profound, his diagnostic level stronger. He clearly knew something was wrong with the patient, but couldn''t figure out where the problem lay. Chapter 204 - 119: Director Rounds, This Resident Has a Real Iron Head This matter will have to be temporarily set aside. However, Zhou Can still kept a close eye on the man. Patients who have just undergone surgery should be closely monitored within 12 hours to prevent accidents. Sometimes, some oversights occur during surgery, or the surgery is unsuccessful. The sooner it is discovered, the greater the chance of saving the patient. "Everyone put aside your current tasks, Director Shen will soon bring staff over for rounds, everyone prepare." The Level 3 Resident Doctor shouted to inform doctors in the ward. A duty Resident Doctor is required to check the wards at least twice a day. The times are in the morning and before leaving work in the evening. In fact, the more responsible junior doctors often check on critically cared patients every two hours. Even at night, they ensure to check three to four times. Although inpatients have family members accompanying them, their understanding of medical knowledge is very limited. It is difficult for family members to detect danger in time. Not to mention being able to take effective treatment measures. Mainly, it depends on doctors and nurses. Speaking of nurses, their responsibilities are quite distinct from doctors. They are responsible for injections, changing dressings, and giving professional advice on pre and post-operative nutrition to patients. And then, they relay medical orders. Only doctors possess true diagnostic capabilities. Ward rounds are the most effective way to prevent accidents. Junior doctors are diligent in ward rounds, but their expertise is limited, often incapable of promptly detecting certain patient doubts and potential issues, nor can they provide answers. This necessitates the involvement of attending and supervising doctors in the rounds. Currently, most major hospitals implement a three-level ward round system. Resident Doctors check the wards two to three times a day, Attending Doctors check once a day, and Directors check once or twice a week. Doctor He heard that Director Shen was coming and seemed quite nervous. "Hey, you three, help sort out the inspection reports and medical records of the ten beds. Then understand some key patients'' diet, bowel movements, etc." S§×ar?h the ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. As required, these interns must follow the attending and supervising doctors during rounds, introducing the patient''s condition and providing relevant inspection reports and medical records in a timely manner. Dr. He Zhang seemed to be quite nervous. He frantically and swiftly organized various patient materials. Zhou Can watched with a silent chuckle. It''s just a director making rounds, what''s there to be so scared of? "Does Director Shen have many patients under care? I see a lot of doctors rushing to prepare!" Zhou Can inquired to two interns. "Senior brother, you may have just arrived and don''t know how impressive Director Shen is. He is a group-leading professor, adept in various treatments and research in bone trauma. Most of the orthopedic patients are under his care. Cases of bone traumas with slight complexity are basically personally overseen by him." The two young interns spoke of Director Shen with faces full of admiration. In the eyes of interns, group-leading professors are giants. They are regarded as figures to look up to. After preparing all the documents, Doctor He personally placed them at the bedside of the patients and communicated clearly to the family members and patients. At this moment, Director Shen was still nowhere to be seen. However, the duty doctors had already gathered by their respective bedsides. Quietly waiting. It must be mentioned here, in this type of open ward area, standing by the bedside in advance is a form of respect. If it were a private room, you would need to wait outside in the hallway. If the director hasn''t arrived yet, running foolishly into the ward would not be considered respectful. Rather, it would seem like trying to steal the director''s thunder. Especially since sometimes when hospital administration comes for rounds, interns barely qualify to enter. Because there are too many people. Finally, a ward round team of seven or eight people appeared in view. Walking at the very front, in the center, was a male doctor approaching his sixties with an immensely powerful aura, carrying himself with an air of authority. This must be Director Shen. At his side were probably departmental attending doctors and the head nurse. Doctor Yang, in charge of standardized training for residents, could only stand behind. Zhou Can noticed that a female doctor with particularly fair skin and wavy hair was closely following behind Director Shen. Her face wore a confident yet proud smile. Her presence was also very commanding. The surrounding doctors also treated her with considerable respect. Just by observing these individuals'' positions, one could understand who held higher or lower statuses. "Who is that woman behind Director Shen? She looks quite young, but her position seems very high!" Zhou Can quietly asked Doctor He in front. Only then did he notice Doctor He''s expression remained tense, his forehead even breaking out in a fine sweat. His hands holding the documents tightly, slightly trembling at the edges. "That is Doctor Shan, the youngest attending doctor in orthopedics, only 31 this year. Known for her strong surgical skills and precision, she also holds high academic qualifications. She published a paper in the Lancet, that famous British medical journal, you know?" "I know. It''s one of the core journals in medicine!" Zhou Can had even referenced some knowledge and views from the Lancet during his thesis writing. Being appointed as an attending doctor at Tuya Hospital at 31, this woman is definitely a genius. No wonder her position is so forefront. Director Shen led his team through from bed to bed. Some patients with clear and straightforward conditions, he merely listened briefly to the reports, then moved on to the next bed. Chapter 205 - 119: Director Rounds, This Resident Has a Real Iron Head_2 After more than twenty minutes, they finally found the area Zhou Can was responsible for, beds 115 to 124. "Director Shen, hello! I am Hee Zhang, the attending doctor for beds 115 to 124." Doctor He is really funny. With a slouching shoulder, slightly bent waist, he greeted Director Shen with a beaming smile. Perhaps too nervous, he stammered a little and his hands trembled quite severely. Don''t mock him for being so obsequious. Everyone wants to climb up the ladder. As a low-level resident doctor, if he could get Director Shen''s recognition, his fate could immediately change. Even just leaving a good impression in Director Shen''s mind would be great. "You''ve worked hard! The attending doctor knows the patients'' conditions the best, please briefly introduce each patient''s situation to us!" Director Shen said kindly, smiling. "No problem!" Doctor He immediately stood up straight and began to introduce the condition of each patient using the simplest language. The first few patients didn''t have major issues, and Director Shen only asked a few simple questions. When introducing the woman who kept screaming "I''m going to die," Director Shen listened intently. And then he carefully reviewed her medical reports one by one. Especially the images taken. "This hip joint is cracked, and not just in one place; the surgical plan is a bit complicated!" After reviewing it, Director Shen handed the medical report to the exceptionally fair-skinned Doctor Shan. Taking it, she examined the patient''s images carefully against the light. S§×arch* The N?vel?ire.net website on Google to access chapters of novels early and in the highest quality. "Indeed, it is complicated, and she also has symptoms of osteoporosis; the outcome of the repair is yet to be assessed." After viewing, Doctor Shan gave her opinion. "We might need to consult Director Luo, who specializes in bones and joints, to discuss comprehensively about patient''s nutrition, surgery repair or replacing the entire hip joint to evaluate the best surgical plan." Treatment for hip joint fractures is inherently difficult. Because it''s a stress point between the lower limbs and upper body and is also a movable part. "Who is the family member?" Director Shen asked. "This is the patient''s son. Single-parent family, the patient was injured in a car accident, it''s entirely the driver''s fault, and the insurance company is already handling it." Doctor He quickly introduced. The thorough preparation done before welcoming Director Shen now proved useful. At least the answers pleased all the senior doctors present. "Young man, since your mother''s injury is on the hip joint and involves multiple fractures, we must discuss thoroughly before finalizing the best treatment plan. It might take two to three days, and we will contact you for a discussion once a decision is made." Director Shen proactively explained to the family member. "Okay." The young man just nodded indifferently, then realized there was nothing else, and continued to focus on his gaming. Thus goes the saying, sparing the rod spoils the child, and there is reason in it. This young man, not inherently bad, but his utter indifference to his mother''s pain and focusing only on his game must be the result of being overly pampered and spoiled by his mother from a young age. Director Shen just looked at the young man with a smile and then moved on to the next bed. Doctor He was about to introduce, but Director Shen gestured to stop. "I know this patient. I performed the surgery myself." He looked at the man on the bed. "Have you had any water or food after the surgery?" "Had a bowl of porridge." "Have you urinated?" "Once!" "Is the urine color still normal?" "Bright yellow!" "Hmm, seems not bad. To save your leg, our entire medical team performed a surgery for a whole eleven hours. If there is no rejection in the first seven days post-surgery, then essentially, we can consider the leg saved." Director Shen lifted the covers to check the patient''s leg. "The color and temperature of the foot look good. It seems that Doctor Shan''s technique in connecting blood vessels and nerves has reached a high level!" "It''s all thanks to your guidance that I was able to progress so quickly." Doctor Shan''s emotional intelligence is quite high. In front of her superior, she did not flaunt her competence. Zhou Can looked at Doctor He, hoping he would seize this opportunity to report the slight swelling and bruising of the patient. But Doctor He pretended not to have seen it. Understandable. He thought the patient''s swelling was just a normal post-operative reaction. Raising an objection in public might upset Director Shen and Doctor Shan who personally performed the surgery. Offending people sometimes truly happens in the blink of an eye. Especially now when the atmosphere is good, and Director Shen is very satisfied with the surgery he performed. Director Shan feels even prouder. Raising an objection now, if the issue was severe, would be one thing. But merely slight swelling, when two senior doctors are in high spirits and proud, questioning their surgical skills might not end well. One could guess the possible outcome with their toes. Seeing Doctor He being so timid, Zhou Can felt it necessary to seize this rare opportunity to report to Director Shen. Seeing that Director Shen was about to move to the next bed after asking a few questions, Zhou Can plucked up the courage and said, "Director Shen..." As he started to speak, Doctor He suddenly pulled on his clothes forcefully. And shook his head slightly. Signaling him not to speak at this moment. "Do you have something to say?" Director Shen looked at Zhou Can in surprise. Many resident doctors he couldn''t name, let alone new trainees. "The patient reports leg swelling and pain!" Zhou Can was determined to speak; now was not the time to consider personal gains or losses, but to strive to save the patient''s leg. If there really was an issue with the surgery, it needed to be corrected timely. Chapter 206 - 119: Director Rounds, This Resident Has a Real Iron Head_3 If there''s no problem, that would be best. "Uh-huh, I''m aware. The patient had a reaction earlier, which is a normal postoperative occurrence." Director Shen''s tone was still gentle. His expression was fairly amiable. "I''ve carefully examined the patient''s leg. The swelling near the surgical area is quite severe, accompanied by subcutaneous purpura." Zhou Can was somber as he spoke. His way of speaking wasn''t as ingratiating or flattering as Doctor He. It was a straightforward reporting of issues to his superior, without being either servile or overbearing. From this, one could also see that a capable person, when facing superiors, generally has much more confidence. This is the self-assurance that comes with ability. "Because the patient''s leg was run over by a car, there is minor subcutaneous purpura around the ankle area, which usually isn''t a big problem." Director Shen''s smile had diminished slightly. This young doctor''s words were a bit unpleasant to hear. Even if one desires to stand out, it''s important to consider the appropriate context. Hadn''t he personally checked the patient''s leg a moment ago? Did Zhou Can really think he wouldn''t have noticed these symptoms? "Swelling near the surgical site is also a normal post-operative reaction. It should subside within a day or two. These issues are things you should humbly ask your supervising teachers about in the future." Though there was no outright insult, his words already contained a hint of dissatisfaction and criticism. "The new residents still don''t understand how things work. After work, I''ll hold a meeting and train them." Doctor Yang quickly stepped forward to show his stance. With so many patients and family members watching, his words were chosen carefully. Otherwise, he might have directly berated Zhou Can. Technically, with just a bit of sense, Zhou Can should admit his mistake at this stage, and then quietly stand back without making another peep. But he was particularly stubborn. "Director Shen, I''m just making a bold assumption here, but could there be underlying issues such as vascular damage or blood clots in the patient''s leg? The swelling and subcutaneous purpura seem a bit different from normal post-operative reactions to me. I''ve seen post-operative swelling in the Emergency Department too, and it usually isn''t this hard. As for purpura caused by skin injuries, the color would be darker. Moreover, it wouldn''t continue to spread and enlarge." Zhou Can''s boldness stemmed from his rich surgical experience. There was definitely something abnormal with this patient. When Director Shen had examined the patient''s leg earlier, Zhou Can clearly saw that the area of purpura had enlarged. It had spread to the ankle bone. Director Shen''s expression changed slightly, but this time he didn''t say much more. It seemed like he was pondering Zhou Can''s words. Doctor Shan was not going to take this sitting down. She was the one who had repaired and anastomosed the blood vessels and nerves in the patient''s leg. Zhou Can questioning the possibility of vascular damage, or even a more serious blood clot, was essentially publicly doubting the success of her surgery. Being promoted to attending at a young age, and possessing a high innate talent for surgery, her pride was understandably immense. If Director Shen had questioned the quality of her surgery, she would have had no objections. But it was unbearable for her to accept that a resident, and one from the least accomplished Emergency Department no less, dared to publicly question her. "Doctor Yang, it seems that you need to intensify tonight''s training for these residents! Their ''adorable'' spirit of obstinately sticking to a single line of inquiry to the bitter end is quite something." A highly educated woman will never stand with her hands on her hips, cursing like a shrew. Even though Doctor Shan was so agitated by Zhou Can that her face turned pale and her chest heaved violently, she still maintained the art of speaking. How could Doctor Yang fail to detect the dissatisfaction in Doctor Shan''s words? His gaze towards Zhou Can was icy. sea??h th§× N??eFire.¦Çet website on Google to access chapters of novels early and in the highest quality. He probably had the urge to throttle Zhou Can. "Xiao He, take him to the office first, and explain things to him, so we avoid any further embarrassment next time." Doctor Yang was too busy to handle the situation himself. He had no choice but to have Doctor He take this clueless doctor away. He was at a loss with Zhou Can; other junior doctors were all trying to make a good impression in front of Director Shen. But this guy managed to offend the two most prestigious doctors in the orthopedic trauma department in one go. What''s worse, he dragged Doctor Yang, the attending doctor responsible for residents, into this mess. It was as if trouble had come out of nowhere for him. During the patient rounds, nothing wrong had happened on the patient''s side, and yet this guy had caused a blunder. Doctor He was almost in tears. How could he have anticipated Zhou Can being so rigid! Just single-minded to the point of not being able to see reason. "Dr. Zhou, come with me to the office, where I''ll clarify all your doubts. Don''t interrupt Director Shen and the others during their rounds here," Dr. Zhang pulled on Zhou Can, nearly dragging him toward the office. "Wait!" To everyone''s surprise, Director Shen took the initiative to stop Zhou Can from being forcibly taken away. "He''s not without reason in his analysis, and he''s observed very carefully. Out of responsibility for the patient, I believe this matter should be treated with caution." Chapter 207 - 120: His Opinion Is Actually Right, The Situation Is Not Good Everyone was bewildered. Director Shen was clearly angry just a moment ago; how come he suddenly agreed with this resident''s opinion? This change in attitude happened so fast! "What''s your name?" For the first time, Director Shen took a careful look at Zhou Can, and his gaze was no longer cold but rather gentle. There was even a hint of barely detectable admiration. "My name is Zhou Can!" Facing this heavyweight director, Zhou Can remained quite calm. Compared to other lower-ranking doctors who tried all means to flatter and fawn, he was truly a breath of fresh air. "From the Emergency Department, named Zhou Can... So, you are Zhou Can! No wonder you performed so well!" Instead of criticizing Zhou Can, Director Shen actually praised him greatly. Everyone''s minds were struggling to keep up. What exactly was going on here? And, from Director Shen''s words, it seemed this resident had quite a reputation. S§×arch* The novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. "Who is he?" A doctor whispered to the person next to them, asking. "I know him, he''s the top scorer in this year''s hospital residency recruitment exam. But his academic qualifications are a bit low, only a bachelor''s degree." A fellow resident recognized Zhou Can. In today''s Tu Ya, many master''s degree students might not be accepted. To be able to get into Tu Ya with just a bachelor''s degree, one must possess absolutely formidable abilities. "To be able to score top in the residency recruitment exam is indeed impressive, especially considering the fierce competition this year. No wonder even Director Shen has heard of his great reputation." These people obviously did not know of Zhou Can''s brilliant achievements in the Emergency Department. Their understanding of him was extremely one-sided. Director Shen held a high position, at a level where he could be promptly informed about major affairs in the hospital. He knew Zhou Can had made significant achievements multiple times in the Emergency Department. Moreover, many department heads admired this young fellow. The ''substitution case'' that made a splash among the hospital''s senior staff a while ago had made everyone recognize Zhou Can''s influence. So many department heads and directors came forward to speak for Zhou Can. In the end, they even pressured Vice Dean Bai to compromise. What a tremendous amount of influence that was? "Teacher, are you really going to adopt this resident''s viewpoint?" Doctor Shan did not understand why Director Shen''s attitude had suddenly made a 180-degree turn? "This Dr. Zhou insists that there is something abnormal with the patient''s leg. We shouldn''t disregard his opinion just because he is junior in rank. It is at least worth taking seriously." Director Shen''s remark sounded as though he was looking for a way to save face. If not mistaken, he probably realized there was something wrong with the patient''s leg after being reminded by Zhou Can. His status was so esteemed, and his reputation was so revered that he couldn''t immediately admit Zhou Can was right. Otherwise, wouldn''t that be like slapping himself in the face? That''s to say, those who become leaders are all experts in adapting to circumstances. Realizing one''s own mistake and still stubbornly defending it is foolish. Such people, even if they become leaders, won''t last long. "Xiao Zhou, carefully explain your diagnostic thought process!" Director Shen also took the opportunity to bend down and re-examine the patient. It was evident that he was inspecting very carefully this time. He focused on the patient''s subcutaneous purpura on the foot and even pressed the swollen area with his hand. "Around eight o''clock or so, when I examined the patient, his subcutaneous purpura only reached this place. Now, just about an hour later, it has spread to the position at the ankle. It indicates that the patient''s purpura on the leg is worsening. This is certainly not normal. If the subcutaneous hematoma was caused by being scraped by a wheel before surgery, it should remain the same, not expand rapidly." Zhou Can narrated his observations and judgments clearly and logically. "Also, the swelling seems to be worsening. It''s very firm when pressed, indicating that the accumulation of lymph or fluid is intensifying. Forgive my directness, but if we can''t find the specific cause, the risk of surgical failure is high." By saying this, Zhou Can had already given enough respect to Director Shen and Doctor Shan. If the root cause is not promptly identified and resolved, the surgery is guaranteed to fail. It could even potentially endanger the patient''s life. The lightest consequence would be amputation. And it wouldn''t be an amputation from the surgical site. If not handled in time, there is a high probability that a high-level amputation is needed, from the base of the thigh. At that point, saving the patient''s life would be the only concern. There''s no room left to consider what to do about a lost leg? "You''ve analyzed it very well, and your observation is very detailed. What do you think is the specific cause?" Director Shen was more like testing him. "If vascular injury is unlikely, that only leaves thrombosis." Zhou Can glanced at Doctor Shan, whether intentionally or not, as he said this. It is rare to see a female doctor in orthopedics. For her to stay and stand out amidst the fierce competition in orthopedics. That''s not easy. Female doctors have their advantages and disadvantages in surgery. They do not have the physical strength of male doctors and their logical thinking is somewhat inferior. When faced with various emergencies, their psychological quality is usually not as good as that of male doctors. However, there are also exceptionally calm female doctors who outperform male doctors in patient resuscitation. Furthermore, female doctors have a natural advantage in performing delicate surgeries due to their dexterous hands. Doctor Shan''s face was expressionless. Maybe she was deliberately maintaining a poker face to conceal her inner awkwardness. Because Zhou Can''s diagnostic result pointed directly to a problem with vascular anastomosis. That was her most proud field. Chapter 208 - 120: His Opinion Is Actually Right, The Situation Is Not Good - Part 2 She still harbored a bit of hope, after all, the final results were not out yet. "You as a standardized training resident being able to diagnose to this extent is quite commendable. Remember, the simultaneous appearance of edema and purpura does not necessarily indicate a thrombus; it could also be due to limb rejection. The patient''s limb was almost severed, with only a layer of skin connecting it when he was brought in for surgery. The surgery performed was not much different from limb reattachment and was even more challenging." Director Shen made a conclusive statement. It seemed like he was guiding Zhou Can, but it was more about saving his own face. "Send the patient for a color Doppler ultrasound, just check below the knee." Zhou Can''s lips curled up slightly, revealing a barely noticeable smile. Director Shen said it wasn''t a thrombus, but the tests he ordered for the patient betrayed his true thoughts. A color Doppler ultrasound is the most commonly used non-invasive tool in clinics to check for thrombosis in the vessels. It can effectively assess whether there are thrombi in the limbs'' arteries, veins, or the vessels of organs. Everyone present, whether attending physicians or resident doctors, were well aware of this. It seems this standardized training resident really has some skills! No one dared to underestimate Zhou Can anymore. ... Director Shen quickly finished his rounds. Right after he left, Doctor He pulled Zhou Can into his office. "Dr. Zhou, you were too reckless earlier. Even if you truly felt there was an issue with the patient''s post-operative condition, you could have waited until after Director Shen and others finished their rounds to raise it. That surgery, which was proudly performed by Director Shen, Dr. Shan, and others for over 11 hours, you blatantly pointed out issues in front of the patients and so many doctors, aren''t you essentially sabotaging them?" Doctor He was nearly scared to death. Because upsetting Director Shen would definitely implicate him too. "I understand all that. But did you consider that if I didn''t raise the issue while Director Shen was making rounds, any delay could compromise the treatment of the patient? The sooner the leg is dealt with, the better for the patient. If delayed, it could be too late." Zhou Can''s intelligence and emotional intelligence were both without question. If it wasn''t urgent, why would he risk offending his superiors? "No matter what, please be more careful in the future. Otherwise, it''s hard for me as your superior." Doctor He reluctantly set a strict rule for him. Not every doctor is willing to risk their career for the benefit of their patients. Because that would be foolish. This incident during the rounds did not impact Zhou Can too much. It was business as usual. Besides being a bit timid and overly concerned with his career and benefits, Doctor He was quite excellent in other aspects. He patiently taught Zhou Can how to manage patient beds, handle emergencies, and he even used patient scans to teach him how to interpret them. Viewing ultrasounds, X-rays, CT scans, and MRI scans. In Orthopedics, X-ray usage was more frequent. During his internship, Zhou Can had learned to interpret scans, but only superficially. Later, after shadowing Dr. Xu for three months, his ability to read scans improved, though not exceptionally. He could only understand the basics. He couldn''t like those experienced attending physicians or directors who could immediately discern deeper information from the films. Like one time, Dr. Xu instantly diagnosed cardiovascular disease from a patient''s sonogram. And it turned out to be true. The patient had severe coronary arteriosclerosis. How Dr. Xu figured it out is still a mystery to Zhou Can. This is what skill is. Currently, with Doctor He''s guidance on how to read X-rays of patients, he was learning quite a lot. Especially some subtle signs of fractures, heavily testing a doctor''s visual acuity and experience. Sometimes, doctors in medical imaging could only label part of it, as their ability to read films is also limited. This requires the diagnostic and surgical doctors to have eagle eyes. ... When it was time to get off work, though it was initially decided that Zhou Can would take the night shift, Doctor He eventually did not assign this tough job to him. Maybe seeing Zhou Can''s impressive potential, he thought of building good karma for future needs. Exploitation can only be satisfying momentarily. If Zhou Can harbored resentment because of this, it would be a losing deal. After work, Su Qianqian, wearing large sunglasses, was already waiting for him in the outpatient hall of the hospital. "When did you arrive? Have you been waiting long?" Zhou Can quickly walked over, his gaze fixed intensely on the girl he deeply loved. By now, he and Su Qianqian had been in a relationship for nearly a month. It still felt somewhat surreal. Others might rush into marriage, but theirs was almost a lightning-speed romance. Their love had almost no warning. It seemed to happen overnight the evening he accompanied her for drinks, plunging straight into love. Of course, for Su Qianqian, there might have been a bit of a romantic buildup. Specifically, it might have started when Zhou Can delivered her keys late at night and heroically scared off some hoodlums. After all, any girl would hope to have a strong boyfriend to protect her. No girl likes a cowardly man. S~ea??h the novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. The strength and dominance Zhou Can showed were greatly admired by girls. And later, when Zhou Can intervened in the social gathering to rescue her, and he did not take advantage of her while she was drunk, her impression of him reached an exceptionally good point. Chapter 209 - 120: His Opinion Is Actually Right, The Situation Is Not Good - Part 3 The true reason that brought the two of them together was a night during the darkest moment of their lives. That day, she experienced a major career setback, her body was stricken with uremia, and she was even burdened with personal debts of over three hundred thousand. The multiple pressures left her cornered. Even to the extent of having strong suicidal thoughts. In her moment of utmost despair, it was Zhou Can who stayed with her through a memorable night. The warmth he offered her, and the sweet blur of romance, made it an experience she could never forget for the rest of her life. And what happened after that goes without saying. Zhou Can generously spent 1.6 million to buy her solo album, helping her to successfully terminate her contract. Even more, he invested 4 million to partner with others in establishing an entertainment company specifically to promote her. Really, what girl could withstand such a romantic onslaught? The moment Su Qianqian saw Zhou Can, her face broke into an extremely happy smile. "I knew you were at work, so I just sent you a WeChat message. How about it, did you miss me?" "Miss you! Every inch of me misses you!" "Jerk!" She spat out in mock anger. "Heh heh, didn''t you say that women like bad-boy charm?" "Lil'' ol'' me can''t argue with you! As for what comes next, I''ll follow the lead of you, the head of the household." She said with a laugh. "Didn''t you say last time you wanted me to take you to the amusement park for a wild time? It''s about five forty in the afternoon now, we can play till around nine with no problem." S~ea??h the Novel?ire(.)ne*t website on Google to access chapters of novels early and in the highest quality. Zhou Can wrapped his arm around her and walked outside. "Yeah! But you have to protect me, okay? I''m the most cowardly, I get weak in the knees just seeing the Ferris wheel." Like most girls, she still harbored the innocence of childhood. Hearing that Zhou Can would take her to the amusement park, she was ecstatic. Just as the pair had walked only a short distance, Zhou Can sensed someone secretly taking photos and tailing them from behind. He couldn''t help but frown slightly. "Qianqian, don''t look back. It seems we''ve been targeted by the paparazzi." Her fame was on the rise now, even surpassing her previous peak. The paparazzi were relentless. They would do anything for traffic to snap various private moments of celebrities, truly disgusting. "Ah... what should we do? Even dressed like this, we still got noticed. These paparazzi have really sharp noses." She said somewhat disheartened. "Don''t worry, I''ve got this. The hospital is my turf, not one paparazzo, even ten of them would only get a bloody nose." Zhou Can walked with Su Qianqian towards two hospital security guards. "Hello, I''m a doctor at this hospital." Zhou Can showed his work ID to the security. Doctors held a rather high status. At least the hospital security, cleaning staff, nursing staff, and others who depended on the hospital for livelihood, all would generally want to please the doctors. "Dr. Zhou, what can I do for you?" The security was very cooperative. "We have someone behind us with ill-intentions who''s been following us, not sure what they are up to. Could you help me stop him, and it would be best to question him. Check his ID." Zhou Can instructed. "No problem! You two go ahead, and we won''t let that person continue following you." The security guards exchanged a look and started eyeing the stalker with the corner of their eyes, slowly approaching him. As Zhou Can and Su Qianqian walked faster, the stalker also sped up. But just after he had followed for about ten meters, he was directly grabbed by the two security guards, pinned firmly to the ground. "What are you doing? Why are you following a doctor from our hospital?" "Let go of me, let me go!" The paparazzo was struggling frantically. Meanwhile, Zhou Can took advantage of the situation to quickly leave with Su Qianqian. "Heh, you really have a way. If I encountered these paparazzi, I''d have no recourse other than to hide from them." Su Qianqian felt particularly safe with Zhou Can. With just a little trick, he had dealt with the troublesome paparazzi. "The other day, a really bad paparazzo directly tossed a photo of the two of us on a date to me, asking for twenty thousand yuan." When Su Qianqian mentioned this, her voice was filled with anger. "You didn''t give it to him, right?" "Where would I get the money to give him? Might as well give him my life." Su Qianqian still owed hundreds of thousands in debt, not even having enough money to buy medicine. And here was this paparazzo trying to extort money from her, truly despicable. "Besides, what''s wrong with falling in love? It''s not as if it''s something shameful." "Now is the prime time of your career, it''s better to be cautious about making your relationship public. Have you talked to Li Lao about this?" Zhou Can asked. "I haven''t spoken to him." She shook her head. "You should let him know. He can provide you with professional advice." Zhou Can realized that fame comes with many troubles. When the time comes, perhaps he should get a reliable female bodyguard for her. His woman, he would not allow anyone to harm. ... The next day, Zhou Can and Jin Mingxi rushed to work at the Department of Orthopedics and Traumatology. Today was finally his turn to enter the operating theater. Jin Mingxi said that among the batch of resident trainees from yesterday, there were two abnormally strong performers. Only six people in total could continue working in the operating theater. This put a bit of pressure on Zhou Can. Under Dr. Yang''s leadership, Zhou Can and five other resident trainees entered the operating theater. This hundred-thousand-level laminar flow operating theater was obviously much more advanced than the regular operating rooms of the Emergency Department. "Remember, your task is to assist in surgeries. When your shift ends, the primary surgeon will score you based on your performance. If you perform well, you have the chance to stay." Dr. Yang gave a few instructions and hurried away. Not long after, Dr. Shan, who had interacted with them once the day before, along with two nurses and two assisting doctors, walked into the operating theater. Perhaps considering the larger number of resident trainees entering the operating theater, they did not bring along any interns. "Yo, everyone''s here quite early!" Dr. Shan''s gaze swept over the six of them. When she noticed Zhou Can among them, she seemed surprised. Her gaze towards Zhou Can was also rather cold. Zhou Can inwardly felt a sense of foreboding. Judging by the situation, Dr. Shan might very well be the primary surgeon. Having offended her yesterday, if she made things difficult for him today, he could be directly eliminated. Chapter 210 - 121: Desperate Opponents, Doctor Shan, Let Me Give It a Try I wonder how the patient from yesterday was handled? They didn''t even return to their original bed. Instinctively, it seems the situation might be quite serious. "Today, three of you were originally scheduled to go to another operating room to assist. They need teaching for two major surgeries, so I''m taking you for the day. My name is Shan. I am currently capable of independently leading Level 2 Orthopedic surgeries and have participated in multiple Level 3 surgeries, completing the high-difficulty portions." Competent doctors seem to all share a common skill. That is ''bragging''. These days, you''ve got to brag. Only when patients hear about how impressive you are, how many complicated surgeries you''ve done, will they trust you. They''ll let you operate confidently. "The principle I adhere to is the capable lead and the mediocre step down. If you have the ability, you can always strive for training opportunities. Perform well, and I''ll give you high marks. I''ll say the ugly part upfront: do what you''re capable of. If you''re not fit, don''t rush to practice on patients. If you perform too poorly, I won''t give you another chance." Doctor Shan first explained the rules of competition to the six individuals. It sounded fair and just. "Next, please look at the X-rays of our first patient today. I''ll give you five minutes to observe, and then you can give your diagnosis and treatment plan. Learning to read X-rays is the first thing you need to do. Answers can be snatched quickly." As she finished speaking, the assistant switched on the light box for viewing X-rays. A light screen appeared on the wall. It displayed four X-ray images. It seemed to be the right foot skeleton. Taken from multiple angles. The patient''s big toe phalanx was clearly deformed. While Zhou Can admired the advanced hardware of the orthopedic surgery room, he also carefully observed the patient''s foot X-rays. The big toe phalanx was severely deformed internally, likely congenital or caused by some specific factors after birth. There were no signs of a healing fracture line. It could almost be confirmed as a congenital deformity. Therefore, the treatment required might not be here. Zhou Can continued to observe closely. At this point, some had already started to answer eagerly. "These four X-ray images should be of the patient''s right foot. You can clearly see that the phalanx of the big toe has a severe deformity. This affects the patient''s walking, and I think surgery could correct it." The person was excited as they snatched the chance to answer. Thinking they had taken the lead. However, after they spoke, Doctor Shan showed no sign of response. Yesterday, Zhou Can received a lot of guidance from Doctor Hee, and his ability to read X-rays had improved greatly. He noticed a minor fracture in the first cuneiform of the patient''s right foot, close to the navicular bone. "It should be..." "I think..." Zhou Can and another resident doctor spoke at the same time. In the end, Zhou Can generously gestured "You go ahead and answer!" to which the resident doctor did not hold back. After all, it concerns staying in the Orthopedics residency for the next three months; it has a significant impact on future career development. "I think it''s a mild fracture of the right foot''s first cuneiform! No surgery is needed, just a plaster cast for about 42 days of rest." S§×ar?h the ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. Minimal fractures have the full capability to heal independently. The younger the patient, the shorter the healing time. Children''s bones heal the fastest, and the stability after healing is also high. The elderly heal the slowest. Judging from the images, these are the foot bones of an adult. A 42-day rest with a plaster cast is a very reasonable treatment suggestion. "Zhou Can, now you can speak." Doctor Shan surprisingly remembered his name. And was fair to him, with no suppression. This was a bit unexpected for Zhou Can. Many women are petty. He didn''t mean to offend her so much yesterday, but she didn''t hold it against him. "The previous opinions and treatment suggestions are the same as his, plus an added note: the big toe bone is congenitally deformed, the patient has already reached adulthood, and the willingness for treatment is probably low. Plus, while walking, the patient has likely adapted to this deformity. I don''t recommend surgical correction." The advice given by Zhou Can was obviously more thoughtful than that of the former gentleman. And more comprehensive, more in-depth. "Okay, both of your answers are correct. Zhou Can''s answer is a bit more comprehensive, and he has considered the patient''s point of view in the treatment plan, which is very good." Doctor Shan probably did not want to compliment him. But his exemplary performance made it unavoidable. "Who here knows how to apply a plaster cast?" "I do!" "I do!" All six people knew. Applying a cast is relatively simple and easy to learn; even if they hadn''t learned it before entering Orthopedics, having spent a day in the Orthopedic ward yesterday, they certainly would have learned. However, with only one day''s time, they only learned the most basic methods. They could only perform simple operations. "You were the first to answer correctly; you go do it! Dr. Hee, you take him, make sure to check thoroughly." Doctor Shan told one of the assistant doctors. Dr. Hee, Zhou Can knew him. He was the doctor who taught the eighteen of them to fill in registration forms in the office yesterday. "Let''s move on to the second patient''s data!" As Doctor Shan''s voice fell, the resident who had seized the task of applying the cast froze with the smile on his face. He''d certainly miss out on a lot of opportunities while out casting the patient. Indeed, as Doctor Shan said, everyone''s opportunities are equal. Two new images appeared on the light screen. Chapter 211 - 121: Desperate Opponents, Doctor Shan, Let Me Give It a Try - Part 2 This time, it wasn''t an X-ray film, but a B-ultrasound. From the looks of it, it seems to be the knee. Viewing the B-ultrasound image, Zhou Can had been greatly exercised in the Emergency Department. His tutor was a master like Dr. Xu. The skills of his direct disciple were naturally not lacking. He spotted the problem at a glance. "The patient appears to have right knee joint effusion, and it''s quite severe. It is recommended to aspirate the effusion first, then inject medication for treatment. The preferred medication is hyaluronic acid, such as sodium hyaluronate." At this moment, Zhou Can finally understood the meaning of accumulating knowledge over time. The practical experience in the Emergency Department, coupled with the medical knowledge he learned from studying medical books, became the weight that put him ahead of other trainees. The other four trainees looked at him, all dumbfounded. Damn! Is this really just a trainee? Why does it feel like his ability to read films is even stronger than that of an attending physician? In this group, encountering such a ''monster'' really is bad luck. In today''s OR competition, they are most likely to be outperformed by Zhou Can. "Correct answer." Doctor Shan''s eyes showed surprise when she looked at Zhou Can, a surprise not even her black-rimmed glasses could hide. This trainee from the Emergency Department truly lived up to his reputation. She now seemed to understand why Director Shen had that expression when he heard Zhou Can''s name. Director Shen must have known about Zhou Can''s abilities. "This patient''s treatment is a bit special; a bone cavity puncture is required, and the operation is extremely difficult. Not to mention you guys, even I need to be very careful to achieve a successful puncture. You all just watch and learn the steps carefully." The patient was quickly brought in. It was an elderly lady with white hair, her left knee swollen as thick as her thigh. Sear?h the N?vel?ire.net website on Google to access chapters of novels early and in the highest quality. It looked rather scary. When she was wheeled in, she kept moaning in pain. Such joint pain is very torturous. It''s not the kind that can kill a person with immediate pain. Instead, it''s like a dull knife cutting the flesh, slowly tormenting a person until their will collapses. "Grandma, we will start treating you right away, please sit properly and keep still in this position." For knee joint cavity puncture, it''s best for patients to be seated during treatment. This makes it easier to choose the puncture point. "Alright, you all come over here and take a look. The puncture point is chosen at this spot." Doctor Shan marked the puncture point with a pen. "This puncture point is not the only one. Based on the patient''s actual condition, you can choose to puncture from the inside or outside just below the patella. If puncturing from the outside, it should be at this position." She taught very meticulously. The first assistant, who looked to be in his late twenties, must be a Resident Doctor. He seemed to have mastered the task of puncturing the knee joint cavity and was just watching from a distance. He didn''t come closer. "After finding the puncture point, first use a 5mL syringe to pierce into the joint cavity from this part. When you feel a breakthrough, it means... uh, you have to feel the breakthrough to indicate that it has been successfully inserted." Her expression froze for a moment, as the syringe puncture seemed to encounter resistance. "Ow... young lady, be gentle, be gentle..." The patient cried out in pain. Doctor Shan couldn''t help but blush. When did it go wrong? It had to be during her teaching moment with the trainees. Isn''t this just making her lose face on purpose? The Resident Doctor seemed to notice Doctor Shan''s predicament and quickly came forward to help. "Doctor Shan, we men have a bit more strength, let me give it a try!" He said this, obviously taking care of Doctor Shan''s face. Helping her out of the awkward situation. "Puncturing the knee joint cavity is not easy to succeed, it''s a Level 2 operation. Be careful and do not use brute force." She appreciated the male doctor''s help and took the opportunity to step aside. The male doctor took the syringe, changed the needle, and tried to puncture again. "Hmm..." The veins on the male doctor''s hand were showing, he definitely had quite a bit of strength. The old lady screamed in pain, even her voice changing. "Pain, pain..." She kept slapping the armrest of the wheelchair. It might have really pierced her painfully. If it didn''t hit the mark, and hit the bone membrane instead, that kind of pain is undoubtedly deep in the bones. No one could stand it. "Doctor Tang, take a break, let me do it!" Doctor Shan didn''t dare to let the Resident Doctor continue. She looked at the patient''s films again, saying with some embarrassment, "It''s possible that the patient''s joint degeneration is quite severe, and the difficulty of puncture has increased exponentially. But that''s okay, we can also try puncturing from the outside just below the patella." She switched to a new needle, while pacifying the patient, she located the puncture point on the outside and then carried out the puncture. "Hmm..." From her expression, she was definitely cursing the situation; what the hell, it''s stuck again. Zhou Can had been watching from the side the whole time. He had also seen the patient''s films. Just as Doctor Shan mentioned, only B-ultrasound was performed which cannot clearly show the bones of the knee. Possibly due to severe joint degeneration, the normal puncture points became ineffective for the puncture. After Doctor Shan attempted two more times, her face turned red, and sweat started to appear. During teaching, one mistake was embarrassing enough. Who would have thought, after switching to the outside for puncture, it still wasn''t successful. And this was only the initial puncture. It was truly embarrassing. "Doctor Shan, as it happens, I''ve also practiced puncture, let me try!" Zhou Can''s Injection Skill level was as high as Level 4, the medium level for an attending physician. Previously when he obtained his Injection Skill, he felt that this medical skill might not be of much use. Now he understood. Its use, apart from giving injections, could also be applied to punctures. Chapter 212 - 121: Desperate Opponents, Doctor Shan, Let Me Give It a Try - Part 3 Lumbar puncture, thoracic puncture, spinal puncture... all kinds of puncture techniques should be mastered by operating room trainees. In school, teachers often entice students by saying, mastering physics and chemistry and you can go anywhere without fear. sea??h th§× N??elFir§×.net website on Google to access chapters of novels early and in the highest quality. Now, Zhou Can wants to tell all doctors, perfect your injection skill, and any puncture will be done in one go. Doctors who need two, three, or even more attempts to succeed in puncturing are those who haven''t practiced their injection skill well. Doctor Shan doesn''t even know how to step back gracefully now. It may succeed with a hard-headed attempt after multiple failures. But it''s more likely to fail again. That will be even more embarrassing. She''s considering whether to ask someone to help. Zhou Can volunteered; although she wasn''t too hopeful, having someone to resolve the situation was still a good thing. Otherwise, how could she continue to teach these trainees if she lost face with the first surgical patient? They wouldn''t dare to laugh at her face-to-face. But who knows what they would say behind her back. "Be careful with the procedure, and if I call stop, you must immediately halt." She advised with some concerns. "Got it!" Zhou Can took the syringe and changed to a new needle. It must be said that after a failed needle puncture, it is best to change to a new one. Mainly to prevent bacterial entry and causing infection in the originally sterile joint cavity. Consequences of infection caused by puncture are serious. A needle doesn''t cost much anyway. It all counts as part of the consumables. Zhou Can then felt the patient''s joint area and inserted the needle with one shot. "Ssst!" After the needle of the syringe penetrated the skin layer, it met resistance and then quickly punctured through. A successful puncture on the first attempt. "Is, is that a successful puncture?" The several trainees around, including the nurse, resident doctor Doctor Tang, were all utterly silent. Holding their breath. Waiting to see the outcome. Doctor Shan''s eyes widened in shock, not until she saw the needle deeply embedded in the skin did she confirm Zhou Can got it right with one shot. He easily accomplished the knee joint cavity puncture. "Damn impressive!" Someone whispered in admiration. Several trainees felt despair in their hearts. How could they compete when their competitor was so intimidatingly strong? Fortunately, there were six spots in the operating room. What they hoped most was that among the eighteen trainees, Zhou Can was the only monster. "Don''t move, I''ll check!" She squatted down and after a careful inspection, her expression showed disbelief. Indeed, an accurate one-shot puncture, it was a success. "Good, you''ve done well. After puncturing into the knee joint cavity, you need to first extract the synovial fluid inside." She demonstrated the procedure herself. "After the synovial fluid is extracted, inject approximately 10ml of 0.25% lidocaine." The purpose of injecting the anesthetic is to facilitate subsequent treatment. "This solution contains about 5mg of triamcinolone. It''s mainly injected at the patient''s painful spots. Then help the patient move the knee joint to allow the medication to take full effect." Doctor Shan continued to observe the patient''s reactions. The medication seemed to be working; the patient was no longer crying out in pain. "Grandma, this treatment needs to be done in five sessions. Come back to the hospital in a week for the second round of treatment," She told the elderly woman. The old lady no longer felt the pain in her knee and seemed very pleased. "Thank you, thank you all!" The old grandma thanked Doctor Shan and Zhou Can repeatedly. Although she was old, she was clear on who had healed her. "Miss, I am old and my memory is not good. Can you please tell this to my son again later?" "Alright! We''ll remind your son later!" After the treatment, the patient was wheeled out of the operation room. Doctor Shan glanced at Zhou Can, then swept her gaze over the other resident doctors. "This treatment typically takes place over five sessions. The first two involve the injection of the liquid we just used. Starting with the third session, sodium hyaluronate, which Dr. Zhou mentioned, will be injected. The difficulty in treatment is usually the joint puncture. You need to watch closely, reflect, and practice more." She still felt somewhat embarrassed when recalling the recent joint puncture. Up to now, she didn''t know why her punctures kept failing. This kind of issue seldom happened. She was too embarrassed to ask Zhou Can directly; she would die before she could muster the courage to pose such a question. But this wouldn''t stump the clever her. "Dr. Zhou, please share with everyone your experience with the successful puncture." "Sure!" Zhou Can looked meaningfully at Doctor Shan. He was well aware of her little schemes. And he couldn''t help but admire Doctor Shan''s oratory skills. As Director Shen had eloquently spoken yesterday, a disciple mentored by him certainly wouldn''t be any less adept. "I was able to puncture successfully, which is mostly attributed to luck. Besides, as Doctor Shan mentioned, changes like bone deformation even severe malformation can occur when the joint is affected by disease. So I felt around and indeed found her joint space had narrowed. During the puncture, I deliberately chose a location slightly above the medial line." Zhou Can rolled up his trouser leg and demonstrated to everyone. After listening, Doctor Shan suddenly understood. So that was it. No wonder there had been several failed punctures with patients having severe joint abnormalities. Each patient''s joint condition is different. The elderly lady just now probably belonged to one of the more rare types. Zhou Can''s words were modest, attributing most of it to luck. In reality, she knew that he was subtly protecting her dignity. And for that, her affection for Zhou Can had greatly increased. "Great! Thank you, Dr. Zhou, for sharing. Let''s move on to the third patient''s examination reports." The patient''s examination images displayed on the screen were of the hand, using both MRI and X-ray inspections. Generally speaking, MRI is quite expensive, and doctors with any professional ethics wouldn''t just recklessly prescribe such a test to patients. It is only prescribed when the cause of the disease is unclear, or the doctor deems it necessary for a more thorough examination. The doctor would discuss it with the patient and ask for their opinion. The examination report was shown for a full four or five minutes, and yet, nobody was quick to answer. It was because this patient''s condition was complex. After two rounds of quick-response sessions, everyone understood that it was better to answer correctly than to answer quickly. "Nobody understands it?" Doctor Shan seemed quite pleased. Finally, a chance to reestablish her authority and her status as the main surgeon. This group of resident doctors couldn''t understand it, and her explanation would show off her high level of expertise more. She had been embarrassed during the puncture attempt earlier and was somewhat eager to save face. "All I can tell is that the patient''s extensor tendon has ruptured, and it seems that the joints also have Rheumatoid Arthritis?" Zhou Can was also uncertain. This involved knowledge related to orthopedics, which was quite a challenge to answer for a junior resident doctor like him. "I also think it''s the extensor tendon rupture caused by Rheumatoid Arthritis." Another resident doctor agreed with Zhou Can''s opinion. He probably, like Zhou Can, wasn''t too certain either. The havoc caused by Rheumatoid Arthritis in the hands is significant, as it easily leads to extensor tendon ruptures. Many patients do not engage in heavy lifting or forceful actions in their daily lives, Yet they hear a "ripping" sound, like the tearing of cloth. Then comes the severe pain in the hand, and the loss of grasping ability. How severe is this pain? It''s like taking too big a step and straining one''s groin, the tearing kind of intense pain that''s persistent and unbearable. In such cases, a tendon tear is mostly to blame. Chapter 213 - 122: Conspicuous Hemostasis and Suture, Status Soars Rapidly "You two can actually be more confident, because your diagnosis is correct; the patient has indeed suffered a rupture of the extensor tendons. As for the Rheumatoid Arthritis you mentioned, it is still in the early stages, showing unique symptoms of synovitis with minor cartilage damage. Who can suggest a treatment plan?" Dr. Shan already had a general understanding of the diagnostic abilities of these interns. Zhou Can and another trainee performed excellently, while the others were average. Both the pathology and the etiology had been diagnosed. Next comes treatment. Diagnosis and treatment are equally important. The clearer the therapeutic approach, the better the treatment plan, the greater the potential of that trainee. "I think the patient should be directly operated on, and the ruptured tendon should be sutured." "In addition to suturing the tendon, I believe Rheumatoid Arthritis should also be treated." Several interns expressed their treatment opinions in turn. Zhou Can, however, remained silent. His several competitors sighed in relief. Thankfully, this prodigy finally had a weakness. It seemed that he was not very skilled in treatment. Dr. Shan was a bit puzzled, looking at him and asking, "Everyone has given their treatment opinions, why aren''t you speaking? Are you unfamiliar with the treatment of this disease?" Everyone has their areas of expertise. However, providing some basic treatment plans should not be difficult. "I can''t provide a treatment plan because the patient information is too limited. Only by considering the patient''s age, physical condition, underlying diseases, the patient''s tolerance, and the patient''s own willingness can an optimal treatment plan be formulated. Creating treatment plans based solely on a few test reports is too one-sided." Zhou Can had his personal opinions. Medicine must be rigorous and cautious. It is highly irresponsible to rush into creating treatment plans without thoroughly understanding the patient''s condition. After listening, Dr. Shan''s facial expression became somewhat stiff. She had indeed overlooked this aspect. Being publicly lectured on safety issues by a trainee slightly irritated her. "Dr. Zhou has a point, indeed we should incorporate all the patient''s information to design the most appropriate treatment plan. However, Dr. Shan only intended to test your therapeutic thinking by purposely letting you provide treatment plans based solely on the diagnostic results." Dr. Tang made excuses for Dr. Shan. Such a personable young man, he certainly has a promising future. "Bring the patient to the operating room and prepare for the surgery!" Dr. Shan no longer wanted to continue this conversation. The patient was quickly taken into the operating room. She was a woman in her fifties, with weather-beaten, dark skin and a face covered with wrinkles. Both of her hands showed signs of bending due to Rheumatoid Arthritis. Ordinary people''s fingers can bend or straighten freely. Her fingers, however, could only remain bent and could no longer be straightened. Her right hand was even suspended by a bandage hanging around her neck. Judging by her dress and demeanor, she appeared to be a rural woman. After the tendon rupture, she likely had an initial consultation at a local township health center. Township health centers certainly have no capacity to treat such conditions, forcing patients to seek treatment at county-level hospitals or major hospitals like Tu Ya. Sear?h the N??eFire.¦Çet website on Google to access chapters of novels early and in the highest quality. For doctors at Tu Ya Hospital, this was just a minor surgery. The difficulty was not high. "In this situation, general anesthesia is generally not needed, only brachial plexus anesthesia suffices." Dr. Shan explained to the interns while instructing Dr. Tang to administer the anesthesia to the patient. Zhou Can looked envious; it was a pity to lose four points of Injection Experience Points. If he administered the anesthetic, he would give the patient at least four injections. At this moment, the trainee who had gone outside to cast plaster returned with Dr. Hee. Dr. Shan had already directed Dr. Tang to clean the patient''s surgical site again. Then they marked the position of the incision and identified the location of the ruptured tendon with a red line before carefully cutting the skin on the hand. Blood immediately gushed out. "Stop the bleeding!" she shouted to Dr. Tang. Zhou Can stood by, rubbing his hands eagerly as he watched the surgery. Stopping bleeding was his forte. Dr. Tang''s hemostasis skills really left much to be desired, barely at the level of a lower-ranking Resident Doctor. Far below his own supervisory lower level. On the other hand, Dr. Shan''s surgical skills were quite impressive. When incising the patient''s hand skin, she was methodical, steady, and precise. She skillfully avoided larger blood vessels and nerves. It was like peeling the bark off a large tree. Her Incision Skill had definitely reached the supervisory lower level. No wonder the orthopedic department confidently allowed her to lead Level 1 and Level 2 surgeries. She really was up to the task. Dr. Tang''s speed in stopping the blood was indeed slow. The patient''s wound bleeding had already blocked the subcutaneous tissue. Zhou Can took the suction device and cleared the accumulated blood. Dr. Tang looked at him gratefully, and Dr. Shan showed a look of appreciation. The operating room needed proactive people like Zhou Can. The other trainees could only watch foolishly. "This bleeding point is tricky! Why can''t it be stopped?" Dr. Tang used electrocoagulation on one of the bleeding points several times, but it was very ineffective. "It might be that the blood vessel has retracted; coincidentally, I have experience in this area. May I perform the operation?" Zhou Can had been eager to volunteer. Seizing the opportunity, he immediately spoke up. "Can you... handle it?" Dr. Tang was hesitant. The difficulty of this bleeding point was quite high. Even he couldn''t handle it; could Zhou Can, a trainee, manage it? Thinking of Zhou Can''s previous excellent performance in knee joint cavity puncture, he finally decided to trust Zhou Can once. Chapter 214 - 122: Eye-Catching Hemostasis and Suturing, Status Skyrockets_2 Taking the electrosurgical knife, Zhou Can picked up the pointed tweezers, separated the fat around the bleeding point, and then precisely touched down with the knife. Zzzt! The entire process was smooth and clean-cut. Bleeding was finally successfully stopped. This master-level control left everyone watching in a stunned silence. And this was just one of the bleeding points. At least five or six more bleeding points had not been dealt with. Mainly because Doctor Tang''s efficiency in stopping bleeding was too low. Zhou Can held the electrosurgical knife in hand like a legendary master of pressure-point strikes. Every touch was spot-on. S§×arch* The N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. It took just five or six seconds to finish them all. Truly both quick and effective. "When did a trainee from the Emergency Department become so strong? Aren''t all doctors from the Emergency Department considered weak?" Amid their shock, the crowd couldn''t help but think of Zhou Can''s background. He came from the Emergency Department. And he was only trained in the Emergency Department so far. Yet he''s already freakishly strong. "Okay!" Zhou Can returned the electrosurgical knife to Doctor Tang. This time, Doctor Shan wouldn''t stand for it. Her eyes weren''t blind; seeing Zhou Can''s excellent hemostasis ability, she naturally chose to let him continue to stop the bleeding. To ensure higher surgical efficiency and shorter operation time. Moreover, good hemostasis has a positive effect on the surgery outcome. It can accelerate wound healing for the patient and reduce other tissue damage during the electrosurgical process. "Zhou Can, you take over as the assistant. Doctor Tang, take a break." She made an immediate substitution. "Sure!" Doctor Tang had no objections, only a hint of dejection. Being surpassed by a new trainee must have hurt his pride. Standing under the operating table, Dr. Hee looked at Zhou Can with a mix of surprise and envy. If Zhou Can''s merit in front of Director Shen yesterday was due to his keen observation, then today''s performance in the operating room was a testament to his true strength. He couldn''t help exclaiming that this trainee was incredibly strong. Likely the strongest among the eighteen trainees of this period. Zhou Can wasn''t prissy; he nodded at Doctor Tang and took the first assistant position that Tang had vacated. Doctor Shan continued to cut through the subcutaneous tissue to look for the torn tendon. Blood surged again, and this time it was Zhou Can''s turn to stop the bleeding; compared with Doctor Tang, it was a completely different level. Zhou Can''s precise and efficient electrosurgical hemostasis was quick and effective. The total blood loss was minimal. Even the aspirator wasn''t needed because there was no pooled blood to aspirate. "The torn tendon seems to be emerging!" Zhou Can, with sharp eyes, spotted the ruptured tendon. The situation was relatively ideal. Without needing Doctor Shan''s instruction, he had already proactively taken a retractor from the nurse and opened up the surgical wound. To provide Doctor Shan with ample visibility for the subsequent tendon repair surgery. "Can everyone see? This is the patient''s ruptured tendon." Doctor Shan, worried that the other trainees couldn''t recognize it, intentionally pointed it out for them to identify. "What we need to do is locate the proximal and distal ends of the torn tendon. Under this circumstance, we can use the hub of a 5ml syringe to fix them in place." Once fixed, Doctor Shan began suturing the tendon. "This usually requires a size 4 absorbable suture using the cross-stitching method for added stability." For subcutaneous suturing, absorbable sutures are now commonly used. The advantage is that they don''t require a second surgery for suture removal. Her suturing skill was at the level of an attending physician, not as high as Zhou Can''s suture proficiency. She quickly finished suturing the ruptured tendon. "After suturing, the tendon ends must be continuously reinforced." While suturing, she also taught the other junior doctors. Once suturing was thoroughly completed, the tendon repair was finished. No issues found, time to wrap up the surgery. "Doctor Shan, could you let me do the skin suturing?" Zhou Can wasn''t simply craving the chance to suture the skin. For him, to suture skin, all he needed to do was stay after work at the Emergency Department operating room ¨C plenty of opportunities for practice were available to him. By actively seeking this skin suturing opportunity, his aim was to showcase his suturing strength. So that next time there was tendon or vascular anastomosis, he would have a chance to vie for it. Hand suturing carries a very low risk. Doctor Shan readily agreed to Zhou Can''s request. However, she was still somewhat concerned and watched Zhou Can''s movements closely. Zhou Can took over the needle holder and pre-threaded needle and began to suture the skin wound on the patient''s hand. Just after two stitches, Doctor Shan''s eyes nearly popped out. Initially worried that Zhou Can wouldn''t do well. Yet, Zhou Can was far more skilled than she had imagined, even better than her, an attending physician. "Amazing!" Both Doctor Tang and Dr. Hee, the two Resident Doctors, felt a flush of embarrassment on their faces. Because in comparison to Zhou Can, they were nowhere near his level of suturing. "Why is a trainee doctor so strong? Could it be that this kid started practising sutures since his freshman year?" Even the attending and resident doctors were already so astounded. Not to mention the other five trainees. While feeling hopeless inside, the only term they could think of was "monster." Zhou Can quickly finished the suturing neatly. "Doctor Shan, please check my work!" "It''s very well done." Doctor Shan was generous in her praise. "You flatter me! Should we administer anti-inflammatory and anti-rheumatic medication for her Rheumatoid Arthritis?" Zhou Can was well aware that lifting heavy objects was only a trigger for the patient''s tendon rupture. The real cause was the Rheumatoid Arthritis in her hands. Suturing a tendon was just a temporary fix. Proper medication was needed to treat her Rheumatoid Arthritis for comprehensive management. Chapter 215 - 122: Eye-Catching Hemostasis and Suturing, Status Skyrockets_3 "I will prescribe the medication and move the patient out of the operating room, getting ready for the next surgery!" Her attitude towards Zhou Can has significantly changed. She spoke with extraordinary politeness. Almost as if they were peers. Strength is always the easiest and most solid condition to earn respect. Zhou Can not only has strong surgical skills, but he can also provide accurate medical treatment plans, showing that he has no weaknesses in treatment. Currently, he is far ahead of the other five resident doctors. But this is just the beginning. Although this operating room is the worst one in orthopedics, the volume of surgeries done in a day is still quite astonishing. The examination report of the fourth patient appeared again on the screen. It was an image of a patient''s knee joint. sea??h th§× n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. Both X-ray and ultrasound scans were performed. "This is a classic case of knee joint pyogenic infection!" The resident doctor who excelled at reading images answered first. "I agree with his diagnosis. A surgical incision for pus drainage and irrigation might be needed." Zhou Can had handled similar infections in emergencies before, and his treatment experience was quite rich. "All very impressive! The patient indeed has a knee joint pyogenic infection, and the surgical plan is as Dr. Zhou mentioned, requiring an incision for irrigation." Doctor Shan noticed that two resident doctors stood out, a smile of pleasure appearing on her face. Most senior doctors actually hope to see their successors thrive. People like Dr. Lu from the Emergency Department who are selfish to the extreme are, after all, the minority. The patient was soon wheeled in. Zhou Can was thrilled. Another opportunity to showcase his skills had arrived. And it also allowed him to earn a significant amount of experience points. Since it was a competition, he was not in the mood for niceties. He directly asked Doctor Shan for surgical permissions, including making incisions. With previous excellent performances in hemostasis, suturing, and puncturing, he had already begun to establish a foundation of trust in Doctor Shan''s eyes. At this point, requesting permission for a moderately risky surgery, she was unlikely to refuse. "I''ll handle the incision! You can take care of the rest!" She didn''t dare let Zhou Can perform the incision. Almost all senior doctors are the same. They rarely delegate the highest-risk part of the procedure, the incision, to a subordinate. Zhou Can was not discouraged. Being able to snatch the remaining opportunities to practice was still great. As for chances to perform surgeries that were riskier and more difficult, as long as he secured his resident doctor position in the operating room, he would have plenty of opportunities to strive for in the future. ... In this way, they performed around twelve Level 1 and Level 2 surgeries in the morning. By lunchtime, Zhou Can once again deeply felt the busyness of the operating room. Everyone took turns eating in shifts. There was no time to rest. "Zhou Can, Dr. Hee, and nurse Wang Xiaohong will stay with me to continue with the surgeries. The rest of you grab your lunch quickly and return to the operating room as soon as possible." Doctor Shan made the arrangements. She surprisingly didn''t keep Doctor Tang, instead, she chose Zhou Can. It seemed she was planning to let Zhou Can assist her all along. But it''s understandable. Having a strong assistant for the surgery not only lightens the main surgeon''s load significantly but also increases operational efficiency tremendously. Just like Zhou Can particularly enjoyed operating with Qiao Yu. No other reason, just because she was in sync with him and the work of the surgical nurse was extremely professional. Doctor Shan didn''t keep Dr. Hee, the resident doctor, to assist her directly. Instead, she assigned him to specifically handle casting for the patients, just helping out in the operating room. She definitely wouldn''t trust other resident doctors to cast alone. Such tasks, when assigned to Dr. Hee, made her feel very secure. Zhou Can''s status in the operating room was also rapidly ascending. The number of surgical tasks he could handle was continuously increasing. Chapter 216 - 123 Bone Setting Skill, Enemies on a Narrow Road Before long, a new surgical patient was wheeled into the operating room. This time only Zhou Can, a standardized training resident, was left, so there was no need to test him anymore. Dr. Hee took the initiative to display the patient''s examination report on the light screen. "The patient underwent arm bone fracture surgery at the beginning of last year, and at that time, two steel pins were used to fixate the bone. Looking at the patient''s recovery, the fracture has healed well, and now the steel pins need to be surgically removed." Doctor Shan took the initiative to introduce the patient''s condition. S§×ar?h the n?velFire.net website on Google to access chapters of novels early and in the highest quality. Generally speaking, the surgeries in the operating room are scheduled in advance. Which surgeries to perform at what time today, the surgeon, assistants, and nurses all know in their minds. Removal of the internal fixation device is not particularly difficult. But it carries a great risk. Improper operation or premature removal may cause the patient to refracture or get an infection, which is also quite possible. The patient was soon brought in. The steel pin at the location of the right elbow joint needed to be removed. Doctor Shan performed the surgery very cautiously. Even though the procedure had been checked at several levels, she still conducted a series of examinations and inquiries on the patient, and only after assessing that the steel pin could be removed, she began the surgery. Zhou Can naturally took the anesthetic needle prepared by the nurse and gave the patient four injections in the armpit of the right arm. The puncture site for brachial plexus anesthesia is not fixed. The actual location is chosen based on the surgical needs. Sometimes, above or below the clavicle, or in the deltopectoral groove, are also areas where anesthetic injections are administered. The goal is one and the same, to block nerve conduction in the arm. In fact, the principle of painkillers is very similar to that of anesthetics; it also blocks nerve conduction. Many people can''t stand the pain but are reluctant to use painkillers. They believe the ''pseudo-science'' on the internet that claims painkillers can harm the body and leave sequelae. That it can make people become dull and stupid. In fact, these talks are unfounded. As long as the dosage is properly managed, there is almost no so-called ''negative effect'' on the body. In ancient times, Guan Yu had his bone scraped to treat poison without using anesthesia, and yet he was able to chat and laugh, playing chess while undergoing Hua Tuo''s surgery. Perhaps such tough guys really existed, but more likely, it was because the anesthesia at the time was not well developed. He didn''t dare to use it. Modern people really do not need to emulate Guan Yu and endure such suffering. Some pains can truly knock a person out cold. Zhou Can''s Injection Skill is at the Chief Level; his local anesthesia sets in faster and is more effective. "Doctor Shan! Anesthesia is successful; you can start the surgery now." "Mm!" She nodded slightly. The nurse professionally disinfected the surgical site again. The incision site and the position of the steel pin had already been marked on the patient''s arm. Doctor Shan made an incision skillfully and delicately, and Zhou Can cooperated tacitly in stopping the bleeding. This part was actually just a layer of skin; the bone was directly exposed. The metal steel pins were also visible. Throughout the entire extraction process, she was very careful. Zhou Can stood by and helped out, and he also learned quite a bit. There were a total of two steel pins. First, this one was removed, and after checking and confirming that the bone had healed quite solidly, and that removal would not pose any risk, the other one was removed. Sometimes, for safety, doctors often choose to remove orthopedic internal fixation devices over multiple sessions. "The suturing is up to you!" After successfully removing the two steel pins, Doctor Shan was fairly exhausted. It was also thanks to Zhou Can''s help that the surgery went so smoothly. "No problem." Zhou Can agreed cheerfully. He did not pass up on any opportunities to earn Experience Points in medical skills. Such a small wound, he completed the debridement and suturing in just a few minutes. Having performed so many Level 1 surgeries in the Emergency Department was not for nothing. In terms of surgery speed, there were probably few who could be faster than him. "Wow, Dr. Zhou''s suturing technique is really quite impressive! Quick and good!" She couldn''t help but praise. "Actually, my dissection technique is also pretty decent, how about giving me a chance to practice?" Zhou Can was already being very modest. Because he had already reached Level 3 or above in many medical skills. "I''ll give you a chance when it''s appropriate!" She didn''t make a full commitment. After all, according to the operating room''s safety rules, interns are generally required to stand back from procedures, meaning operations that would pose safety risks to patients; interns are only permitted to observe. They can just stand to the side to learn. Standardized training residents can handle some injectables, stitching up skin, and other such tasks. Getting hands-on with surgical procedures on a patient, one must at least endure till the higher years as a Resident Doctor to possibly snatch the very few training opportunities. Doctor Shan loosening up a bit was already a great act of trust toward Zhou Can. After the patient with the steel pin extraction was sent out, a nurse stood behind the second door and asked, "Doctor Shan, a child with a dislocated arm has come in. Can we make a slot for him to get some help?" In any hospital, there are various types of favoritism. For example, the nurse pushing the child up in the queue could be because they are acquaintances, or the child has some significant background connections. "Dislocated arm, you should have sent him to the manual reduction room!" Doctor Shan did not overtly refuse. Dislocation, unless in the rare cases that require surgery, can mostly be managed with manual reduction. This is also an essential skill for an orthopedic surgeon. "That place is closed now, won''t be staffed until two in the afternoon. The child''s grandfather works at the Health Bureau and personally brought the kid over, what do you think..." Although the nurse didn''t say it explicitly, the meaning was quite clear in her words. This was the grandson of a leading official in the regulatory department. For Tuya Hospital, the directors and such aren''t at a low level. Ordinary leaders from the Health Bureau, even if they did come, wouldn''t even warrant the personal reception of the hospital director. Chapter 217 - 123 Bone Setting Skill, Enemies on a Narrow Road_2 But for a low-ranking nurse, even if someone is just an ordinary clerk at the Health Bureau, that still counts as a leader. In fact, if they can last until they are grandparents'' age, no matter what, at the very least they can work their way up to a section-level official. "Since it''s a superior''s grandson, it''s only right to take care of him. How can we let him wait until after 2 pm with such a busy leader? Fortunately, I''m not too busy right now, you can bring the child in!" Doctor Shan quickly changed her tone. Zhou Can couldn''t help but be eye-opening; today was certainly a learning experience. Even the proudest of doctors are more or less the same in the face of leaders. At most, it''s just a matter of how subservient they are. The child was soon brought into the operating room, and his grandfather followed into the first door outside. This was a white-haired old man, still appearing quite vigorous. "May I ask which one of you is Doctor Shan?" "I am! Hello!" Doctor Shan lowered her posture. "My name is Qiu Jianye, I work in the Health Bureau of the West District, if you ever have matters there, feel free to visit my office for tea," the old man said, having surely learned which doctor held the highest status in the operating room from the nurses beforehand. This old man didn''t mention his own position, he didn''t even say which department he worked in. Others might not catch it, but Zhou Can felt that this person was putting on airs. At most, he was probably a deputy section-level official, or even lower. And the department he worked in was likely one without much real power. "Alright, thank you! I will treat your grandson now, you can sit and rest on the chairs outside the operation room." She spoke very tactfully. It was clear she was asking him to leave, but she couldn''t just directly say something like, ''please, go out.'' Instead, she used a caring tone, inviting the other party to rest on the chairs outside the operating room. This way, not only wouldn''t the person feel offended, but they would also think the doctor was quite warm. After the old man left the operating room, Doctor Shan examined the X-rays the child had taken. "The situation is quite good, it''s just a shoulder dislocation, and it will be fine after repositioning and suspending it in a sling around the neck for three to four weeks." She made a diagnostic conclusion after looking at the X-rays. "Little friend, how old are you?" "Six!" The child spoke up, revealing the gap of a missing front tooth. Looking at his teeth all black, he had serious dental caries. He definitely hadn''t been short of sweets normally. Eating too many sweets can cause osteoporosis and a weak constitution. This can lead to a higher risk of fractures and dislocations in children. "Does this arm hurt a lot?" "Uh-huh! It hurts!" He bit his lip, eyes brimming with tears. "In a moment, when I reposition your arm, it will hurt a little bit. But once the pain passes, your illness will be cured, and it won''t hurt anymore. You''re a brave little man, aren''t you? Can you tolerate it?" Doctor Shan was doing some mental preparation with the little boy. "I can!" Kids are the most innocent and pure. Praise them for being brave, and they''ll really show you their bravery. "Dr. Zhou, could you please come behind the child, hold his shoulders." "Alright!" Zhou Can embraced the little boy from behind, supporting his right shoulder. This little boy''s body was thinner and more fragile than expected, very light. Modern parents can be too indulgent with their kids. All kinds of junk food to fill them up. Actually, it''s harming the children. Doctor Shan grabbed the child''s arm with one hand and his elbow with the other, first helping him relax his muscles. sea??h th§× N??eFire.¦Çet website on Google to access chapters of novels early and in the highest quality. Then she slowly rotated. "Little friend, have you started school?" "Kindergarten, senior class!" "Wow, turns out you''re a big kid at school already, no wonder you''re so brave! What does your granddad do?" "The teachers often praise me too! My granddad... uh, seems to be in AIDS prevention and... ouch... wuwu, it hurts so much!" The little boy had just started answering when Doctor Shan found the right spot and, with a swift push and press, used a clever move. Zhou Can heard a "crack" - the sound of the shoulder joint being repositioned successfully. The intense pain of the repositioning made this ''brave'' little boy cry. Tears streaming down his face. If not mistaken, his grandfather works at the AIDS prevention department of the Health Bureau. No wonder he sought out Doctor Shan, an attending physician, to cut in line and had to personally greet her in the operating room. If it were a leader with real power, a single phone call would have sufficed. [Congratulations, you''ve acquired the Bone Setting Skill, which enables the proper repositioning of displaced fracture ends and the treatment of soft tissue injuries, repositioning dislocated joints to restore motor function.] Zhou Can just assisted a bit and, unexpectedly, gained a medical skill. However, during the assistance, he truly learned the method of repositioning the shoulder joint. At least in his mind, he had a clear and complete idea of what to do. Having learned the Bone Setting Skill is quite valuable in Orthopedics. Even if you don''t know anything else, just by doing manual repositioning in the clinic, you could make a living for a lifetime. "Bring the bandage roll over!" After successfully repositioning the child''s dislocated shoulder, Doctor Shan then suspended it around his neck with a bandage. After dislocating a shoulder, it needs careful treatment afterward. For a short time, one should not lift heavy objects, make vigorous swinging movements, etc. Otherwise, it might dislocate again. Those itinerant performers you see can simply hang their arm and swing it a couple of times to dislocate it. In reality, that''s because frequent dislocations have led to habitual shoulder dislocations. Many, to achieve the effects needed for performances, have been practicing since childhood. Because dislocating an arm is extremely painful, a child of a few years would definitely not practice voluntarily. It''s the troupe leaders and acrobat masters who forcibly dislocate the child''s arm. The goal is to win the audience''s sympathy and earn more tips. Chapter 218 - 123 Bone Setting Skill, Enemies on a Narrow Road_3 This is actually a very cruel act. It should be resisted. Just like encountering children with disabilities begging for money on the street, it is likely that human traffickers capture the public''s kindness and sympathy, deliberately crippling the abducted children to beg for money. Similarly, it should be resisted and not be fooled by those conscienceless human traffickers. "Alright, remember this hand cannot be taken off for a month!" Doctor Shan patted the little boy''s head. "Wuu... okay!" He was still sobbing. Probably feeling a bit embarrassed, he forcibly held it in and didn''t burst into loud crying. This little boy was too adorable. It made everyone smile involuntarily. Doctor Shan didn''t personally escort him out but had a nurse handle all these tasks and explain the precautions to the child''s grandfather. It was enough to show that she was only willing to go so far once she understood the grandfather''s identity. The man''s identity was not worth her demeaning herself too much. One, the man was old with no upward mobility. Second, the man''s department couldn''t offer her any help. In matters without benefits, everyone is quite pragmatic. Besides, the status of chief doctors at Tuya Hospital isn''t as low as one might think. For a promising chief doctor like her, the status is even higher. Soon, Doctor Tang and the others came back from their meal. It was Zhou Can and his colleagues'' turn to eat. Being a surgeon is actually rather taxing. Normally, the only break is during meal times for a quick restroom visit. Zhou Can had spent the whole morning in the orthopedic surgery room and gained a lot. He not only earned Doctor Shan''s trust preliminarily but also learned a new surgical skill. Doctor Shan brought the three of them to the cafeteria for a meal. Once out of the surgery room, Doctor Shan dropped all pretense. "Doctor Zhou looks quite young. Did you get employed at Tuya right after your internship?" She asked curiously. Dr. Hee and the nurse named Wang Xiaohong listened by the side. "I attended Tuya Medical University, and my internship was also at Tuya Hospital. After graduating, I sat for Tuya''s residency recruitment exam and, by great luck, passed it on my first try." Zhou Can recalled the experience of sitting for the residency exam and still found it challenging. Without the Experience Points system, all eight of them from his dormitory would have failed. Getting into Tuya''s comprehensive residency is genuinely tough. "Passed on the first attempt and became the top scorer in residency? And you call that luck?" Dr. Hee''s cheek twitched. "Hehe!" Wang Xiaohong giggled stealthily. She seemed quite introverted. During the entire morning in the surgery room, apart from necessary job communications, she barely spoke a word. But her professional skills were outstanding, meticulous and conscientious in her duties. She was significantly better than all the surgical nurses from the Emergency Department. Whether it''s the senior nurse practitioner Liu Xia, Tang Ling, or Qiao Yu, they all fell short of her. Qiao Yu mostly lacked the years of experience; with another two or three years, she could probably surpass Wang Xiaohong. From this, one could perceive that a strong department isn''t just composed of skilled doctors; the level of the nurses is equally high. "You managed to pass the residency at your own hospital right after your internship, so you''ve only worked in the Emergency Department for about three months, right? How did you train your skills in hemostasis, suturing, and puncturing? It''s impressive." After hearing about Zhou Can''s experience, Doctor Shan was extremely shocked. "I actually enjoy this profession, so I practiced a bit more. Then, in the three months of emergency residency, I met a good teacher who gave me plenty of opportunities to train, which helped improve my skills." Zhou Can naturally didn''t mention anything about the Experience Points system. His rapid skills improvement truly owed a lot to Dr. Xu. Plenty of opportunities for surgical practice made Zhou Can who he is. "I also had my emergency residency training. The surgery rooms in the emergency are underwhelming and don''t offer a large volume of surgeries. To achieve such significant progress in three months is truly remarkable." Doctor Shan, who is quite proud, deeply admired Zhou Can from the bottom of her heart. She might not yet know that due to Zhou Can and Jin Mingxi, two capable individuals, the number of surgeries performed in the Emergency Department surged by over a thousand per month. Even Director Xie was envious of such figures. They quickly arrived at the second-floor cafeteria. As they met a few people who had finished their meals and were walking out, both groups encountered each other face to face. "Yo, Dr. Du is eating quite late today too!" Doctor Shan greeted the young doctor leading the other group with a smile. S§×arch* The N?velFire(.)net website on Google to access chapters of novels early and in the highest quality. Zhou Can bowed his head slightly, truly a narrow path for enemies. Unexpectedly, he encountered Du Leng here. Seeing Du Leng being surrounded and flattered by several doctors and nurses, it appeared that his career in surgery was quite successful. Thinking about it, it made sense; he was a doctoral returnee from overseas. Even if not a postdoctoral fellow, his credentials were still remarkably impressive. Doctor Shan is a very promising orthopedic chief doctor, and yet she greeted him with a smile, showing how high Du Leng''s status in surgery must be. "Today, Cardiothoracic Surgery had a highly complicated major consultation surgery, and I was insisted on participating. After discussing with several directors and associate directors for a long time, we finally set the surgical plan, so I''m a bit late." Du Leng''s remarks, through and through, were a boast. What resident could qualify to participate in such a high-level major consultation? Even if involved, it would be in a student''s capacity. But Du Leng was participating in the discussions as a member of the consultation team. This was truly impressive. Zhou Can''s lips curled slightly, recalling Du Leng''s theoretical discussion in the Emergency Department. Although his medical theory was at a high level, he ultimately faced embarrassment due to lack of practical experience. This subtle expression was noticed by Du Leng. In fact, as soon as the two groups came face to face, Du Leng had already spotted Zhou Can following Doctor Shan. Right after he boasted a few words in front of Doctor Shan and others, who all showed admiration, only Zhou Can, the bastard, revealed an almost imperceptible sneer. Du Leng naturally knew what Zhou Can was mocking. Recalling that consultation session in the Emergency Department''s resuscitation room, he felt almost frantic. That was a shameful moment in his life. Chapter 219 - 124: Wasted Effort, Director Shen Arrives Late Although Du Leng was very annoyed in his heart, his face still wore a smile. After all, he was a doctor with an overseas PhD, and it would be unseemly to quarrel with Zhou Can over such a trivial and baseless matter. "Is Doctor Shan bringing a new student?" Du Leng''s gaze seemed to casually fall on Zhou Can''s face. Doctor Shan turned to look at Zhou Can and introduced him with a smile. "He has just started his residency in orthopedic surgery. It''s not yet decided if he''ll be under my tutelage!" Zhou Can is so outstanding that even the department head might personally take him on. She had only just been promoted to a chief level physician; it might be possible for her to teach average residents. For a prodigy like Zhou Can, it might not be her turn. "Oh, I see! I''m acquainted with Dr. Zhou; we applied for the residency recruitment in the same session. To be honest, I really admire him. He risked being late for the exam to save a patient with acute myocardial infarction. The hospital awarded him 10 moral character points, and as a result, he secured the top spot in this year''s residency exam." Du Leng spoke admirably, yet his face showed no sign of genuine respect. His intentions were particularly malicious. In reality, he was trying to convey to Doctor Shan that Zhou Can earned the top spot in the residency exam because of moral character points, not through real skill. "Regardless, for an undergraduate to take the top overall score is truly no easy feat." Du Leng indeed harbored ill intentions. After beating around the bush, he implicitly belittled Zhou Can. After mentioning the moral character points, he specifically highlighted Zhou Can''s lower academic qualifications. "Alas, these days, the growth potential of undergraduates generally seems a bit low! What a pity..." Du Leng shook his head with a sigh, his face showing mock sympathy like a cat crying over a dead mouse. "Doctor Shan, I have something else to attend to, so I''ll be taking my leave." Through his machinations, Du Leng had only one goal in mind: to somehow lower Zhou Can''s impression in Doctor Shan''s eyes. A resident with no potential and no real skill wouldn''t have much presence in front of their supervising doctor. Sear?h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. The treatment they receive would be worlds apart from those at the elite level of residency. When Du Leng walked past Zhou Can, he smiled at him and said, "Dr. Zhou, you don''t need to worry too much. Even if you didn''t learn much from other departments during your residency, it won''t affect your future work. After all, you''re ultimately returning to work in the Emergency Department, where the demands on a doctor are quite low." Zhou Can''s face was expressionless, barely grunting through his nose. This was already giving Du Leng quite a bit of face. In his eyes, what did it matter if someone was an overseas-educated PhD? If they had real skill, they could be a worthy opponent. But if one was only good at scheming and empty at the core, they didn''t even qualify to be his opponent. He''d rather deal with those vulgar brutes who spouted obscenities. Than waste time with such hypocrites pretending to be virtuous. Yet Du Leng considered himself clever, leaving with a trace of a smug smile on his face. He simply underestimated Zhou Can''s abilities. Zhou Can had been in orthopedics for less than two days, but he had already started making his mark. With pure skill, he earned the initial admiration of Doctor Shan and Director Shen. The chances of being benched were very slim. ... After the four of them finished their meal, they quickly returned to the operating room to continue the battle. Du Leng''s words didn''t affect Zhou Can in the slightest. Doctor Shan still had Zhou Can assist as first-operator. In the following surgeries, Zhou Can continuously performed exceptionally well. The other residents realized they couldn''t go on like this; if they didn''t strive for a chance to show themselves, they feared being eliminated. So, they all tried to seize some opportunities to perform during surgeries. At most, Doctor Shan allowed them to stop bleeding or suture skin. After several rounds, Doctor Shan stopped giving them chances. The reason was nothing else but that the other five residents were far inferior to Zhou Can. It would be almost crazy to ignore a chief level first-operator and let some rookie-level residents fumble around instead. Close to five in the afternoon, Doctor Shan, pointing to the examination report on the screen, said to a few residents, "Here we have a patient with necrosis of the femoral head. You can clearly see that it has lost its blood supply, and like withered trees, it will soon dry up and collapse." Zhou Can listened intently. He admitted his knowledge of orthopedics was quite superficial. Three months of orthopedic residency should help him significantly fill this gap. To familiarize himself with the treatment of most orthopedic diseases, as well as their pathology and mechanisms of disease. He hoped that by the end of the remaining 33 months of his residency, when he returned to the Emergency Department, he would be capable of helping it rapidly expand. This was also a promise he made to Director Lou and Dr. Xu. "Femoral head necrosis, how should it be treated? Does anyone know?" Doctor Shan asked the six residents. "Replace the entire hip joint!" "The bone is necrotic; it should only be replaced. There''s no other alternative, right?" After listening to the residents'' answers, she gently shook her head. "I''ve read about a method in medical texts. I know the basic principle, but I''m not clear on the specific surgery," Zhou Can replied. "Oh? Tell us, what is the method?" Doctor Shan was also curious to see if Zhou Can''s knowledge was profound enough. "Replacing the artificial hip joint is a last resort. There''s also a less expensive salvaging method called bone grafting. This grafting comes in two types. One, transplanting a bone flap with a vascular pedicle into the necrotic femoral head, which is difficult to perform. Two, if the bone necrosis is not particularly severe, one can drill holes and fill them with bone chips, which reduces the intrabony pressure and can also induce blood supply recovery in the necrotic femoral area." Chapter 220 - 124: Wasted Effort, Director Shen Arrives Late_2 Zhou Can realized that reading more books usually has many benefits, especially when you can apply what you''ve learned during critical moments. Reading books is beneficial, a golden and jade-worthy saying left by the ancients. "Um, very good answer. The surgery we are going to perform on this patient today is to use a vascularized bone flap transplant, aiming to save the patient''s necrotic femoral head." Doctor Shan announced this surgical plan with a strong sense of pride on her face. Just by hearing the name, you know the surgery is highly technical. For a newly promoted attending physician to be able to complete such a difficult surgery, pride and honor are indeed appropriate. The patient was quickly wheeled into the operating room. The anesthesiologist also hurried over. In orthopedics, the frequency of using anesthesiologists is very high. No choice, many of their surgeries are major ones. Both spinal and general anesthesia must be conducted by professional anesthesiologists. At this level of surgery, the risk is also very high. The patient isn''t particularly old, only about thirty-five or thirty-six years old. She is a rather petite woman. Her lower body is covered with a blanket. In the eyes of doctors, patients have no gender distinction. For this patient, even underwear can''t be retained during surgery, she must be feeling somewhat embarrassed. But when compared to relieving her pain, such minor discomforts seem less important. The anesthesiologist proficiently examined the patient and then performed general anesthesia directly on her. Perhaps also considering the feelings of the patient, they decided to use general anesthesia. Normally speaking, it''d also be feasible to perform this surgery under epidural anesthesia. S~ea??h the N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. "Anesthesia successful, patient''s vital signs are stable, surgery can proceed." The anesthesiologist reported routinely. Doctor Shan, having performed many surgeries, usually seemed quite relaxed. At this moment, however, her expression was very solemn. "This surgery is divided into two major steps. First is to assess the extent of necrosis in the recipient area''s femoral head. If the necrosis is mild, direct bone drilling and grafting can be done. But for this patient, the necrosis of the femoral head is severe, relying solely on reducing intraosseous pressure by grafting is unlikely to be effective. We need to help establish a new blood supply." She taught while operating. This complex surgery not only attracted the six resident trainees, but even Tang and another resident doctor were seriously watching and learning. Being the first assistant, Zhou Can had a clear advantage and could learn conveniently. He could understand every surgical step more clearly. "First, determine the size of the femoral head needed for implantation. Then separate out one to two sets of blood vessels." She picked up the scalpel and directly cut through the patient''s skin and fat layer. Zhou Can quickly acted to stop the bleeding beside her. After revealing the somewhat collapsed femoral head, Doctor Tang stepped forward to help by pulling retractors, providing a better view for the surgery. This step, the trickiest part was freeing the two sets of blood vessels. She operated very cautiously. When freeing the first arterial blood vessel, it went relatively smoothly. However, Zhou Can, who was helping with retraction, noticed that her separation technique was somewhat weak. It was only at the level of resident doctor, not quite at the attending level. The Separation Skill, after all, is an Advanced Medical Skill, difficult to practice and slow to progress. Her current level was actually pretty remarkable. Probably even many attending physicians'' separation skill couldn''t match hers. When she moved on to separate the second venous vessel, due to the complex situation and femoral collapse, greatly increased the difficulty of freeing the venous blood vessels. Time was passing by the minute and second. Her sweat continually flowed from her forehead. The circulating nurse kept wiping it off for her. It was noticeable, despite Doctor Shan wearing a head cover, that the hair at her temples was soaked with sweat. "It''s no good, this blood vessel is too difficult to free. I''m afraid we need to have Director Shen personally come and take over the surgery." After trying multiple times and making slow progress, and the freed blood vessels were quite rough, even nearly rupturing the vessel wall a few times. "Please contact Director Shen for me!" She said this to the circulating nurse. She temporarily halted the surgery. The call was promptly made. "Teacher, I''ve encountered a tough situation. The necrosis of the patient''s femoral head is unimaginably severe, and the difficulty of freeing the recipient blood vessels is too high for my skills. I may need you to personally take over." This highlighted the importance of having a highly competent mentor. In critical moments, seeking help from your own mentor costs the least and is most reliable. Asking other senior doctors for help might embarrass you due to hospital rules. You''re likely to get scolded, and even possibly demoted, restricting your future surgery privileges. Like Zhou Can, his teacher is Dr. Xu. He gave him his direct phone number and even told him that he can call him at three in the morning to help him out in a crisis. Try calling another director in the middle of the night and see? "Alright, I''ll wait for you!" She ended the call somewhat helplessly. Zhou Can, who was listening on the side, heard clearly that Director Shen seemed to be conducting an important major surgery and couldn''t get away. This made things difficult. If Director Shen couldn''t make it soon, the patient lay bare-bottomed, with an open incision. The surgery was stuck due to the lead surgeon, Doctor Shan, having limited skills and unable to proceed, forcing the patient to just wait. Time continued to pass by the minute and second. It was still unknown when Director Shen would be able to arrive, and Director Shan''s face was filled with worry. She truly hadn''t expected the surgery would be so challenging. Chapter 221 - 124: Wasted Effort, Director Shen Arrives Late_3 Now she was caught between a rock and a hard place, which worried her sick. "Doctor Shan, could you let me give it a try?" Zhou Can mustered his courage to make the request. He was keenly aware that Doctor Shan wouldn''t even give him the chance to make an incision on the skin. How could she possibly let him take on such an important task as freeing a blood vessel? Doctor Shan stared at Zhou Can, her gaze sharp. "What did you say?" "I asked if I could try to free this blood vessel. I''ve done it with intestines in the Emergency Department." Zhou Can quickly brought up his successful experience. "What kind of surgery involves freeing the intestines?" She asked, looking into Zhou Can''s eyes. "Appendectomy!" She hadn''t performed this surgery herself but knew the general steps. It indeed required separating the omentum and the intestinal tract. And it was not of low difficulty. "Are you confident?" "I wouldn''t dare claim to be 100% sure, but over 90%, yes!" Doctor Shan was in a fierce internal struggle, debating whether to let this eager trainee try his hand. After all, Zhou Can had always performed exceptionally well. In the end, she decided to take the risk and let Zhou Can try. This was somewhat risky, but still within an acceptable range. If Zhou Can performed poorly, she could immediately call a stop to it. "Give it a try! But be very careful, and stop immediately if you''re unsure. If you dare to be reckless and mess around, I''ll cancel your residency training right away." This was more of a scare tactic. She probably didn''t have the authority to cancel Zhou Can''s residency training. At most, she could administer some punishment. After all, Zhou Can hadn''t committed any unforgivable or heinous act. "Doctor Shan, are you really deciding to let him try? He is just a trainee, after all!" Doctor Tang made a concerted effort to dissuade her. After all, if something went wrong, he would also be implicated to some extent. "We don''t have a better option now. A person''s eyes do not lie, his eyes show strong confidence, let him try!" Doctor Shan explained. Zhou Can stepped into Doctor Shan''s position, took the scalpel from the instrument nurse, and began to free the vein. A master is known by his first move. Everyone could tell from Zhou Can''s calm and composed manner that he might really be capable. One cut! The vessel was intact, and he had successfully freed a small section. Doctor Shan''s heart, which had been in her throat, promptly fell back into place. But as Zhou Can made the second cut, her heart was raised again. She was extremely tense, her eyes fixed intently on the knife in Zhou Can''s hands. She would call a stop immediately at the slightest sign of trouble. "Uh... is this really freeing a blood vessel? It feels more like peeling sugarcane." She noticed that Zhou Can''s cuts were always crisp and decisive. Nothing like her careful and cautious approach, like walking on thin ice. sea??h th§× NovelFire.net* website on Google to access chapters of novels early and in the highest quality. Her heart was on a rollercoaster, fluctuating with the rise and fall of Zhou Can''s scalpel. She couldn''t help but be nervous. Because if something went wrong, she would be responsible. Zhou Can''s movements became faster and faster. The vein that was difficult to free now seemed like child''s play in his hands. In about five minutes, he successfully separated it. It should be noted that Doctor Shan took nearly half an hour to free the first artery which wasn''t as difficult. The disparity between the two parties is too great. She is the chief surgeon and attending physician after all! Moreover, the dissection of free blood vessels is a real test of the practitioner''s Separation Skill. "Doctor Shan, this blood vessel has been dissected successfully!" Zhou Can was ready to give up the position, returning the scalpel to the nurse. "Well done! We''re not finished yet, Dr. Zhou keep on going," Doctor Shan said with a smile. It was then that everyone recovered from their extreme shock. Looking at Zhou Can, it was as though they were staring at a monster. "Goodness gracious, I''ve been in the operating room for four years and I''ve never seen a resident doctor as formidable as this. Tell us the truth, Dr. Zhou, are you really a resident doctor?" Doctor Tang is also a senior resident doctor. At this moment, after witnessing Zhou Can dissect that difficult vein, he was incredibly astonished. Even if Director Shen came to take over the surgery personally, he would probably be at this level of proficiency. And he might not be as fast as Zhou Can. "Our batch of resident doctors is finished! How can we compete with such a ''monster''?" This person voiced the mutual feelings of all the resident doctors. "We''re not competing with a resident doctor but with an attending physician." Another resident doctor said in a dejected and helpless manner. "It''s not as exaggerated as you all make it out to be! I just happen to be particularly adept at dissection," Zhou Can modestly argued with a smile. "Dr. Zhou seems to be proficient in many areas ¨C puncturing, hemostasis, suturing, dissecting... and that''s just from one day of interaction. Who knows how many more strengths will be revealed later on? Comrades, I give up. It''s not that I''m weak, but that the opponent is too strong," said the resident doctor skilled in reviewing diagnostic films with a look of dejection. "Alright, alright, if you all want to praise Dr. Zhou, do it after we finish this surgery. No more chitchat, lest you distract Dr. Zhou from operating." Doctor Shan forcibly silenced everyone. Otherwise, these people would sing Zhou Can''s praises for half an hour non-stop. Would we then still be able to continue with the surgery? The dissection of blood vessels is extremely risky. If Zhou Can gets distracted and an accident occurs, she would have to bear the responsibility. Zhou Can continued dissecting blood vessels. One, two... Just as he was about to finish with the last one, Director Shen hurriedly came to assist his disciple ¨C Doctor Shan. Upon entering the operating room, he took a look and was nearly scared out of his wits. How had a young, unfamiliar male doctor taken over as chief surgeon? "Shan Dan, what''s going on?" "Teacher, you''re here!" Doctor Shan hurriedly greeted her teacher when she saw him coming. "Dr. Zhou''s dissection skills are very high. I wasn''t sure when you''d finish with your surgery, so I let him have a try. And as you can see, he has done very well." Doctor Shan explained. Director Shen''s gaze fixed on Zhou Can''s scalpel, his shock no less than that of the others. "I hadn''t finished my own surgery; I only took care of the most critical part before handing it over to an assistant. I thought to come over and help you with the blood vessel dissection first. But what I found was a pleasant surprise. Dr. Zhou indeed lives up to his reputation, no wonder even Director Xie of the General Surgery Department has mentioned him more than once." When he said the word "mentioned," he stressed the syllable a bit. It felt like Director Xie wasn''t praising Zhou Can, but rather annoyed by how capable Zhou Can was in the Emergency Department and the high volume of surgeries he performed. Then he might have discussed strategies with the other attending physicians of the surgery department. Of course, such discussions would definitely be behind closed doors. Not allowed to be disclosed. "His reputation is so big that even Director Xie knows of him?" Doctor Shan asked in surprise. "In the Emergency Department alone, his surgical volume surpasses a thousand in one month, and last month it even reached over 1200 surgeries. Do you think his reputation is big?" Director Shen looked at Zhou Can with eyes that measured a monster. Previously he had thought Director Xie''s investigation was inflated, how could a resident doctor who had only been in the program for three months be so strong? But now, seeing is believing. He was completely convinced. Chapter 222 - 125: Dust Settles, Replanting the Failed Severed Finger "Can he, he really performs that many surgeries each month all by himself?" Doctor Shan was struggling to even articulate properly. With two assistants and two nurses, it was already quite impressive that she could complete five hundred surgeries a month. In reality, her monthly average number of surgeries hovered around four hundred. Everyone else was also shocked by this figure. Now they finally understood why Zhou Can was so extraordinary. Because the number of surgeries he actually practiced in a month was more than many resident doctors would in a year. As for these Level 2 medical students, many had not even touched a scalpel, let alone had the chance to stitch up skin more than two or three times. To perform a surgery independently was something they didn''t even dare to dream of. Compared with Zhou Can''s practical experience, they could only look up to him as a lowly reptile gazing at the stars in the sky. "As far as I know, it should be the case." Director Shen''s gaze turned to Zhou Can, hoping he himself would confirm it. With his true capabilities laid bare by Director Shen, Zhou Can gave a somewhat shy and awkward chuckle and said, "Actually, it''s not as exaggerated as everyone thinks! They''re just some simple Level 1 surgeries." In fact, if Director Xie did not suppress him, he might already be overwrought with Level 2 surgeries. "You really did more than twelve hundred surgeries a month! You''re amazing!" Doctor Shan couldn''t help but give him a thumbs-up. That number was truly impressive. "Doctor Shan, since the difficult issue here is resolved, I will head back to Operating Room 2. That sternotomy is highly risky, and I can''t put my mind at ease if I don''t keep an eye on it." Director Shen came in a rush and left in a rush as well. Before leaving, he gave Zhou Can a profound look, his eyes brimming with affection. Cherishing talent is a trait many leaders share. Director Shen is a Director Level orthopedic surgeon, and upon encountering a young doctor with exceptional talent, he took a genuine liking to him. He couldn''t help but feel the desire to mentor such talent. Though he didn''t say much when leaving, his look indicated that he would likely take it upon himself to train Zhou Can in the future. ... After Director Shen left, the surgeries still had to continue. One could sense that Doctor Shan''s trust in Zhou Can had clearly risen to new heights. Not only did he entrust him with the task of isolating the blood vessels. Zhou Can was also involved in several important steps of the subsequent surgeries. He even performed an anastomosis on a blood vessel. However, Zhou Can''s anastomosis was somewhat inferior compared to Doctor Shan''s. It is an Advanced Medical Skill. She hadn''t reached the Chief Level yet either. She was currently performing at an excellent Resident Doctor level. Zhou Can felt a bit ashamed; he only reached a lower tier of Resident Doctor level. Mainly because in Level 1 surgeries, there''s almost no blood vessel or nerve anastomosis. This Advanced Medical Skill had come to a standstill for him. He wasn''t in a hurry, himself. As long as he got his medical practice license, he would be able to participate in Level 2 surgeries. By the time they finished the femur bone graft surgery, it was already past seven in the evening. That''s how it is in the operating room, the closing time is flexible. You can''t leave until the day''s surgical tasks are completed. "Hard work today, everyone. All six of you performed very well, and I will give fair assessment based on your actual performances. You may all leave for the day." Doctor Shan''s comment was pleasing to hear, but the Level 2 medical students knew that the only one with a stable promotion was Zhou Can. As for the others, it depended on the performance of the other two groups of Level 2 students. The next day, Zhou Can was still tagging along with Doctor He in the hospital ward. Different from when he was an intern, now he had to learn to handle many things independently. Doctor He was extremely attentive to this promising prospect, eager to teach him everything he knew without reservation. Speaking of teaching without reservation, a bit of explanation is necessary. Ordinary medical knowledge, surgical skills, and techniques and strategies for solving common diseases are typically taught without reservation to junior doctors by their senior counterparts. But some unique, secret techniques, the core skills to treat various complicated diseases, are almost always passed only to ''clothed disciples'' and ''direct disciples.'' S§×arch* The n?velFire.net website on Google to access chapters of novels early and in the highest quality. This is the norm in almost all hospitals at home. For many young doctors, from day one of their internship, the goal is to ingratiate themselves with a deputy director-or a director-level physician that matches their specialty. Although the success rate is not very high, being noticed by a physician of such rank can light up one''s future, even if not as a ''clothed disciple'' but merely included within their circle. At least in that director''s specialty area, you would gain valuable teachings. How much one can grasp and learn is then up to individual fate. Some interns or Level 2 students, with little ambition and timid by nature, seek to please only those senior resident doctors upon working in a large hospital. These individuals, without exceptional talent, are very likely to become just another member of the ordinary medical workforce. It''s tough for them to achieve any significant accomplishments in their lifetime. Zhou Can realized this very early on. So during his internship, he maintained a balanced approach towards Doctor Fang, the chief resident doctor¡ªneither offending nor fawning. Later, when participating in that Level 3 surgery with Deputy Director Liu, once he spotted a chance to gain his favor, he didn''t hesitate to make his move. Even at the risk of offending the chief resident doctor Doctor Fang, he didn''t care. This was his strategy for growth. As the saying goes, a general doesn''t bother to swat flies with his sword. If you seek to grow tall, don''t compete with the grass. Chapter 223 - 125: Dust Settles, Replanting the Failed Severed Finger_2 Sometimes, one''s vision and scope also determine the upper limit of personal growth. Imagine, constantly competing with a few residency trainees, trying to curry favor with resident doctors who are just one level above yourself. How impressive can that be? Zhou Can was busy in the ward area until around six in the evening, which was the time he was supposed to get off work. Doctor He, however, came over with a smile and took over his work. "Go to the doctor''s office! Doctor Yang will give you new work assignments. From now on, you will be working in the operating room. If you have any questions about inpatient care, or any patients who need special monitoring, you can come to me anytime." Doctor He''s friendly attitude towards him likely indicated that he knew Zhou Can would be working in the operating room. With a nervous heart, Zhou Can hurried into the doctor''s office. Before the results were announced, he still felt some insecurity despite his strong abilities. All eighteen residency trainees had gathered in the office. Many of them looked incredibly nervous. Doctor Yang was still presiding, with the young Dr. Hee assisting by his side. Zhou Can and Dr. Hee had worked together in the operating room for a day. He realized that Dr. Hee''s surgical skills were quite weak, whereas Doctor Tang was much stronger. It was clear from this point. Those with inferior surgical skills are often saddled with various chores. "Everyone is here! You eighteen have all been striving for excellence over these three days, and you all performed well." Doctor Yang started with some standard remarks. Then he got to the main point. "Unfortunately, there are limited spots for residency training in the operating room, so not all of you can work there. After preliminary screening by the attending surgeons and the final discussion by several department chiefs, we have decided that the following six people will participate in the usual residency training in the operating room. The other twelve will have the opportunity to join the operating room residency when they assist in surgeries." This is the normal practice of most departments. With limited resources, they can only focus on training a small group while providing wider training to a larger group. S~ea??h the novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. "Zhou Can, Lu Bubi, Cheng Daile..." Zhou Can was actually ranked first. It seemed that the senior doctors held him in high regard. But on second thought, it made sense. If even slightly fair, his being ranked first was an uncontroversial matter. Five names had been read, and Jin Mingxi''s name still had not appeared. With a turn of his head, Zhou Can noticed Jin Mingxi clutching the corner of his clothes, with his face full of last hopes, staring intently at the list in Doctor Yang''s hand. If he''s not selected, Jin Mingxi would lose his early advantage and be a step behind others from the start. Residency training in Orthopedics is incredibly important. It determines whether the foundation for future surgeries is solidly built. If one does not learn enough surgical knowledge and skills during the three months of orthopedic residency, it can''t be made up by reading books or watching teaching videos. It will undoubtedly affect the competition for rotations in other departments later on. One step behind, always a step behind. And after becoming a resident doctor, the gap will widen even further, which is very unfavorable for later promotion to an attending physician. This was also the reason for Jin Mingxi''s immense nervousness. He was already not young, at 35 years old starting his residency with only an undergraduate degree. If he wasted another two years, at best he''d become an attending doctor before retirement. In the end, his great dream to go back to the county People''s Hospital in his hometown and improve the overall medical standard of the hospital would definitely be heavily discounted. "Don''t worry, if you''re not selected, I''ll find a way to help you later." Zhou Can patted his hand, comforting him softly. "Yeah!" Jin Mingxi nodded gratefully. "The last name, Jin Mingxi." Doctor Yang deliberately left everyone in suspense, keeping the mystery until finally revealing the sixth name. "Yeah!" Jin Mingxi clenched his fist tightly, overwhelmed with excitement. Those few seconds of torment felt to him as if they lasted a century. The twelve residency trainees who were not selected showed their utmost disappointment. Their spirits were down, and they surely felt terrible. But competition is this cruel. The capable ones rise, the mediocre ones fall. "Those who weren''t selected shouldn''t lose heart. The path of medicine is long and arduous; as long as we keep learning diligently and constantly improve our diagnostic and treatment levels, we will achieve success. To be honest, I was also one of the residency trainees who wasn''t selected in my time. But I persevered with determination and persistence, and eventually succeeded in becoming an attending physician in Orthopedics. I share this with you to encourage you." Doctor Yang, seeing the low spirits of many, generously revealed his own dark history to motivate them. Some trainees, whose confidence had been severely shattered, lifted their heads after hearing this. A firm light sparkled in their eyes. This Doctor Yang was really quite a decent person. "Those six who were successfully promoted, go directly to the operating room to report tomorrow. Zhou Can, Lu Bubi, and Cheng Daile, report directly to Doctor Shan. Wang Bin, Fan Wen, and Jin Mingxi, report directly to me." He directly made arrangements for the six individuals. By feeling, Doctor Yang''s surgical abilities seemed weaker than Doctor Shan''s. Zhou Can wondered if being assigned to Doctor Shan meant those three were more outstanding? Now that the dust had settled, he had successfully entered the Orthopedics operating room, and his hanging heart finally settled. Over the next three months, it was time to learn diligently, trying to acquire as much orthopedic surgical skill and knowledge of surgical treatment for various orthopedic diseases as possible. ... The next day, Zhou Can arrived early to report to Doctor Shan in Orthopedics. The working hours in the operating room here differed from those in the emergency department. Chapter 224 - 125: Dust Settles, Replanting the Failed Severed Finger_3 The emergency department operates non-stop, 24 hours a day. The specialized operating rooms, in addition to overtime for various major surgeries, normally start at around 7:30 a.m. The end of the workday is after 5:30 p.m. If all surgeries are completed, one can occasionally leave work early. However, even if there is nothing left to do in the operating room, doctors and nurses still worry that leaving early will be seen as clocking out early. They usually spend time in the office writing up case reports, surgical records, reflections, or checking medical orders. They wait until the exact time to leave. In reality, leaving work late is the norm. "Good morning, Doctor Shan!" As soon as Zhou Can arrived at the orthopedic surgery corridor, he saw Doctor Shan. She had already changed into her white coat, holding and reviewing several examination reports in her hand. "Good morning!" She glanced up at Zhou Can and then continued to read the examination reports. Zhou Can quickly changed into his work clothes and followed her. Out of the three resident trainees, he hadn''t expected to be the earliest arriver. "Once everyone is gathered, we''ll prepare for the ward rounds. This case has great educational value; you might want to take a look," she handed Zhou Can a case file that included the examination reports. Arriving early, it seemed, still had its perks. Zhou Can took it and studied it carefully. Before long, Dr. Hee, Doctor Tang, and the other two resident trainees arrived one after another. "Let''s start the ward rounds!" She led them towards the patient ward area. "Dr. Hee, do you know which beds our group''s surgical patients are in?" she asked. "I''ve already tallied them up! Beds 46 to 145, plus rooms 5 and 6." These many beds surely couldn''t all belong to Doctor Shan alone. Her mention of "our group" likely referred to the entire orthopedic trauma surgery group led by Director Shen. A chief physician generally only conducts rounds once a week. sea??h th§× novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. This requires the attending physicians under them to be more diligent and take good care of the patients who underwent surgery in their group. They went bed by bed for the rounds. Zhou Can followed quietly, just watching and listening to their conversations. By this time, he needed to start learning how to conduct ward rounds independently. Doctor Shan would ask about certain conditions for different patients, then based on the reports from the ward physicians and interns, as well as the patients'' responses, she laid out the treatment plans. This involved a great deal of knowledge. He greedily absorbed the knowledge and experience from it. Following a senior doctor on ward rounds now was completely different from his rounds as an intern. Interns couldn''t prescribe medical orders, let alone prescriptions. But Doctor Shan was able to flexibly adjust for each patient''s condition. For instance, if someone reported unbearable pain after surgery, she would prescribe pain medication. "Doctor Shan, could you please check how my husband''s hand is doing? It''s been almost 24 hours since the surgery was completed, but his four fingers still have no sensation at all." The male patient on the bed, about fifty years old. All four fingers of his right hand had been severed and had undergone replantation surgery. Now, they appeared to be pale, indicating an obvious issue with blood supply. Zhou Can wondered to himself; it was unlikely that the lack of blood supply in all four fingers was due to the surgeon''s poor vascular anastomosis, but rather there must''ve been some other issue. Coincidentally, he had the fortune of having performed two replantation surgeries himself. Originally, he could have conducted even more surgeries. However, afterwards, Director Xie had instructed a team leader from the quality control department to suppress him, restricting him from performing any level one or higher surgeries in front of Vice Director Ye. Since then, Zhou Can had not conducted another finger replantation. He focused on the patient''s four fingers¡ªcould these four severed fingers have missed the golden six-hour window for replantation? Chapter 225 - 126: Consequences of Damaged Nerve Branches, Thumb Reconstruction The limbs that are severed generally have a good survival rate if the surgery is conducted within six hours. If the preservation conditions are decent and the temperature is low, there is still hope within eight hours. There have even been cases where successful reattachment was achieved after 12 hours. The four fingers of this man, even after more than twenty-four hours post-replantation, are still pale and wrinkled, which is a very bad sign. Only fingers that have lost their vitality look like this. Doctor Shan carefully examined the patient and then asked about some postoperative symptoms. Such as whether the fingers are in pain? Did he pay attention to keeping them warm? Did he follow the doctor''s orders post-surgery, etc. Zhou Can just stood at the end of the bed listening. When doctors do their rounds, the order of entry and position are all particular. The right side of the patient is generally left for the director and attending physicians, the left side for resident doctors. When the director does rounds, there are usually several resident doctors present, and their positions are determined by seniority. Those with higher seniority stand at the front, those with lower at the back. The head nurse usually stands in front of the bed to easily ''care for'' the patient. The remaining position at the end of the bed is for those who are not so important. Such as trainees, interns, post-graduate students, and visiting scholars. All of these only have the place at the end of the bed. After Doctor Shan finished examining the patient, her expression was quite grave. Others also felt this oppressive atmosphere. A failed surgery is a bad outcome for the patient and their family, as well as all doctors and nurses. "Could you show me the medical records?" Zhou Can wasn''t trying to stand out, but remembered a situation his teacher had mentioned. He wanted to confirm the patient''s basic situation before making further analysis. The bed-managing doctor was a somewhat greasy young doctor, around thirty years old. Perhaps due to an excess of adolescence, his face bore the deep marks of past acne. He just glanced at Zhou Can indifferently and didn''t respond. S~ea??h the N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. He probably thought, this silly trainee, didn''t see that the attending physician is doing rounds? Who does he think he is? "Bring the medical records over!" Doctor Shan, seeing the greasy man not reacting, spoke with an especially cold tone. Many doctors actually despise bureaucracy and the bureaucratic style. Because patients can''t wait, delays are unacceptable, and the medical condition cannot be treated with anything but the utmost seriousness. Physicians and nurses normally try to please their superiors and higher-level doctors, which everyone can understand. Everyone wants to advance and gain more support and resources. But no doctor likes bureaucracy. Because it implies a high mortality rate, high accident rate. The greasy doctor was so frightened that he shivered, not understanding why Doctor Shan was so angry? He respectfully handed over the medical record with both hands. "Please take a look!" Doctor Shan took it and immediately handed it to Zhou Can. "Doctor Zhou, if there''s any information you want to know that''s not recorded in the medical record, feel free to ask." By doing this, she was essentially publicly supporting and encouraging Zhou Can. "Thank you!" Zhou Can took the medical record and read it carefully. The patient was operating a chisel with a coworker when the coworker mishandled it, severing his four fingers. After the accident, he was immediately taken to the local community hospital. The doctors there did a simple bandage on the victim''s wound and provided an ice pack for the severed fingers, recommending that they immediately go to a major hospital for finger replantation surgery. Consequently, they rushed to Tuya Hospital. After receiving them, Director Shen led the team to perform the replantation surgery on the patient. To shorten the surgery time, Doctor Shan and Director Shen both worked on the replantion simultaneously, each attaching two fingers. Director Shen completed all the bone reattachment for the four fingers. She primarily conducted tendon anastomosis, vascular anastomosis, and nerve anastomosis for the patient''s two fingers, as well as the severed finger dermis suturing. The entire surgery was very smooth. At that time, the blood supply for all four fingers was also unobstructed. After reviewing the medical record, Zhou Can went to carefully examine the patient''s palm and back of his hand. There, near the wrist and near the base of the thumb, were several dark purple bruises. "You mentioned to Doctor Shan earlier that your thumb had numbness, correct?" "Yes! Initially, I thought the pain made it numb. After the surgery, I thought it would be fine once the anesthesia wore off. But even now, my thumb still feels numb." The patient honestly described his genuine sensations. Zhou Can nodded, picked up a straw from the bedside metal cabinet, and touched the near-palm end of the patient''s index finger. "Do you feel this?" "A little bit, but it seems like it''s through a layer of clothing." The patient''s limited education made his description less specific. But the metaphor was quite vivid. Zhou Can then tested his other three fingers in turn, and they were almost the same. The sensation was very dull, and the tactility was extremely poor. By this stage, Zhou Can roughly had a conclusion in his mind. He then picked up the patient''s imaging and studied it closely. Doctor Shan waited patiently, and although other doctors were somewhat dissatisfied with Zhou Can, they had to endure. "Doctor Shan, the injury on the patient''s hand, is it right where the median nerve branches back?" "Yes! The branch of the median nerve is approximately in this position." She nodded. Then, her eyes gradually brightened. Her face also showed a hint of sudden realization. "Are you suggesting that damage to the median nerve has affected the blood flow?" Doctor Shan''s expression at this moment lacked the usual aloof and serious demeanor of an attending physician. Chapter 226 - 126: Consequences of Damaged Nerve Branches, Thumb Reconstruction_2 He looked like a happy little kid who had just found the answer. The solemn expression from before had long since been swept away. "I never said that, you were the one who said it," Zhou Can blinked. "Hehe, being able to identify the cause of the poor blood circulation in the amputated finger, you deserve a lot of credit." Doctor Shan rarely smiled. At this moment, Zhou Can''s thoughtfulness had given her complete face, ceding all the credit to her willingly. It made her very happy and appreciated. "Mr. Gao, we suspect that this injured area may have affected a nerve. Nerve cells are the only cells that cannot regenerate. So, if the nerve damage is severe, I''m afraid there''s not much we can do. We will start by ordering two tests for you to check for any nerve disruptions and to assess the hematoma in this area." "After the tests are conclusive, we will devise a new treatment plan for you, doing our utmost to save the fingers on this hand, as well as its functionality." Her communication with the patient always left room for uncertainty. And it allowed patients to make their own choices. Zhou Can quietly learned and absorbed the communication skills on display. In addition to striving to improve diagnostic and treatment levels, communication with patients is also a compulsory course for doctors. "Doctor Shan, may I ask, what is the connection between nerve damage and the poor blood circulation in the reattached amputated fingers?" The greasy male doctor''s medical expertise seemed not to be very high. He wasn''t even clear about the relationship between the two. This relationship is seldom recorded in textbooks. It is precious experience summed up by doctors in practice. Zhou Can only hinted at it, and Doctor Shan immediately knew the reason. She clearly understood the relationship between nerves and blood circulation. This also shows how important it is to have a mentor at the Director Level. It can save one from a lot of detours. S§×ar?h the N??elFir§×.net website on Google to access chapters of novels early and in the highest quality. "You can ask Dr. Zhou for advice!" She was probably using this opportunity to teach the greasy male doctor a lesson for his previous arrogance and bureaucratic behavior towards Zhou Can. The greasy male doctor awkwardly looked at Zhou Can. Having a senior Resident Doctor ask a trainee for advice was somewhat embarrassing. Especially considering that shortly before, he had been acting superior in front of Zhou Can. How embarrassing it must be to ask for advice now! If he didn''t ask, it would only be more awkward. Everyone knew the situation, and they would certainly laugh at him behind his back. "Dr. Zhou... may I ask for your guidance?" The greasy male doctor had no choice but to swallow his pride and ask Zhou Can. "Nerve damage can affect blood circulation. Didn''t your teacher teach you this?" Zhou Can responded with a question. "Cough cough... Maybe it was taught, I might have forgotten." The greasy male doctor''s teacher was at most at the Chief Level. If the mentoring doctor didn''t like him as a person, it''s likely that the teaching was just going through the motions. So, if his skills were lacking, he had to look for the reasons within himself. Arrogance, rudeness, bureaucracy¡ªthese personality flaws could all potentially make one unpopular with senior doctors. "Dr. Hee, please follow up with the patient in bed one. After his examination is finished, he can show me the results or go to Director Shen. It has been over a day since his finger reattachment; we must not delay." Doctor Shan assigned the follow-up of this patient to Dr. Hee. She continued the ward rounds with several others. With over a hundred beds to cover, even if each took an average of one minute, it would require nearly two hours. Therefore, ward rounds typically focus on the key patients. Those who had just undergone surgery, those potentially in life-threatening conditions, and patients specifically instructed by the director to pay attention to¡ªall these required careful examination to understand their conditions. The rest of the general patients could only be left to the Resident Doctors, trainees, and interns to examine slowly. About half an hour later, they finished checking all the open beds in their group. Doctor Shan led them into two wards within their group to continue the rounds. Patients who needed to be admitted generally required special care, or had higher environmental needs. Nurses and doctors took extra care with patients in the wards. Everyone was afraid of incidents. Zhou Can immediately spotted the male patient who had been transferred from bed 120. "Dr. Zhou, hello there!" Upon seeing Zhou Can, the male patient greeted him enthusiastically. If Zhou Can hadn''t risked reprimand from his superiors to report this patient''s issue a couple of days ago, it would have been uncertain whether this leg could be saved. The male patient didn''t voice it, but his gratitude was firmly etched in his heart. Seeing Zhou Can now, he was very excited and happy. "Hello! You''ve been moved here?" Zhou Can walked up and chatted with a smile. The male patient''s wife, knowing right from wrong, recognized the young doctor as a benefactor. She handed Zhou Can a bottle of eight-treasure porridge that was intended for the patient''s breakfast. "We haven''t had the chance to thank you before. We country folks don''t have much to offer. Please have this bottle of porridge, don''t disdain it." "Thank you, but our hospital has rules against accepting gifts from patients and their families. Please keep this bottle of porridge for uncle to have!" Zhou Can was especially gratified and happy. Every time they cured a patient''s illness or saved a patient''s life, they were sincerely grateful. Like Mr. Cui, or Mr. Wu''s child, or the simple middle-aged couple in front of him. Their acts of gratitude all made Zhou Can very happy. "How''s your leg? Feeling better?" "After undergoing another surgery, it''s much better. My leg doesn''t swell or hurt anymore." The middle-aged uncle said with a smile. Judging from his looks, the middle-aged uncle''s spirits were much better than the other day. Chapter 227 - 126: Consequences of Damaged Nerve Branches, Thumb Reconstruction_3 Zhou Can smoothly pulled back the bedding to check the middle-aged uncle''s foot. The swelling had subsided, and the subcutaneous purpura was gone too. The color of the foot looked alright. But the skin of the foot was still a bit wrinkled. This was normal. The patient would need to do some rehabilitation exercises on the foot after he could stand and walk. It would naturally return to normal by then. "After his first operation, a blood clot formed in the blood vessel, possibly related to damage in that segment of the vessel. Later Director Shen took a section of a vein and replaced it, thus completely resolving the issue." Doctor Shan explained from behind. Perhaps she also wanted to tell Zhou Can that the blood clot was not because she had not sutured properly but rather due to damage in the patient''s vessel. In fact, it all came down to a lack of experience and expertise. If it had been Dr. Xu performing the vascular anastomosis in that surgery, this kind of issue would not have occurred. Soon, they finished checking all the beds in the two wards. The patients here all had various issues, requiring careful nursing or focused monitoring, and many had undergone major surgery. For example, Director Shen''s sternectomy from yesterday, Zhou Can was fortunate to see it in the inpatient ward. The ultimate goal of this surgery is usually to remove a thymic tumor. It belongs to major thoracic surgery. The minimum level is Level 3, with a very high-risk factor. Sometimes Orthopedics alone cannot complete such a surgery, and needs to join with Cardiothoracic Surgery doctors. If the hospital has a specialized department for thymus surgery, they might also directly ask doctors from that department to join the operation. In today''s increasingly subdivided field of medicine, excelling in a particular specialty is indeed impressive. Speaking of which, one cannot help but mention the craftsmanship spirit of Japan. Their craftsmen, who pursue one thing their entire lives, are truly worthy of our study. Even in making a single piece of sushi, there are those who have perfected this craft. Who could imagine that something as simple as making sushi, someone could become a master through continuous improvement? And after refining the sushi-making process, several schools of thought have emerged. This is another subdivision. Micro insights reveal major truths. One can imagine why Japan has been successful in multiple fields; there are reasons for it. "Let''s head to the operating room! You three newcomers, after work each day, you need to be fully aware of all the surgical patients in our group. Information on patients and surgery schedules can be checked over the intranet. Additionally, you''re also expected to keep up-to-date on newly admitted surgical patients and those post-op who have not been discharged." Doctor Shan taught the three how to log into the intranet. First, they need to verify their login identity. Once the hospital information center receives the verification request, it will contact the department where the trainee is located. After getting the department director''s approval, the viewing permissions will be granted. This is actually quite convenient. Zhou Can logged in to check, and found that the surgical patients in his group were categorized into three groups: pre-surgery, upcoming surgery, and post-surgery. For upcoming surgeries, the time, which operating room, and who is the leading surgeon were all clearly listed. The Emergency Department doesn''t have this condition. Basically, they treat whatever patient comes in. If they can''t perform surgery on the same day, the emergency must be transferred to a specialist. It was now past eight in the morning; surely there would be no more time left for them to check the patient information of their group. Doctor Shan directly led them into the operating room. Today, they were entering a Level 100 operating room. It seems they were preparing to participate in a major surgery. Upon entering, there was already an unfamiliar male doctor who had arrived early with two Resident Doctors. The male doctor appeared to be in his mid-to-late thirties, with a tall and burly figure, emanating a strong presence. He was intently studying a dozen images displayed on the light screen. "Good morning, Doctor Chi! As expected of our team''s strongest attending doctor, you came early to study the patient''s films." Doctor Shan greeted him with a smile. "Don''t flatter me! If you weren''t taking care of the ward rounds, would I be able to come into the operating room so leisurely to look at the materials?" After Doctor Chi responded, he continued to focus on reviewing the patient''s films. To become the team''s strongest attending doctor surely had its reasons. Not to mention others, his focus alone was not something ordinary people possess. Doctor Shan also went over to look at the films. The films are not complicated, displaying an X-ray image of a patient''s right hand. It was evident that the patient''s thumb bone was missing. The base and the entire thumb was absent. Uncertain whether it was a congenital deformity or an accidental disability acquired later in life. What kind of surgery are they preparing for? Zhou Can was inwardly curious. His status was very low, so he could only stand behind Doctor Tang and Doctor Hee, watching from a distance. Soon after, Director Shen strode into the operating room. A Director, two very competent attending doctors, several Resident Doctors, and trainees, along with three surgical nurses. S§×ar?h the n??el Fire.n§×t website on Google to access chapters of novels early and in the highest quality. Just from the arrangement, it was evident this was a major surgery. Replantation of a severed finger was just a Level 2 surgery. There was no need for so many doctors to be mobilized. "Everyone is here! Good, everyone''s working attitude is quite proactive." When Director Shen looked towards Doctor Shan and Doctor Chi, it was as if he was looking at two of his most trusted generals. Zhou Can had just joined Orthopedics a few days ago and didn''t know how many teams there were in Orthopedics? Nor did he know who the doctors in his team were. Director Shen was the team leader; Doctor Shan and Doctor Chi were two attending doctors. There were also Doctor Tang, Doctor Hee, and four other Resident Doctors. These were the people he knew so far. "This screen displays the patient''s missing right hand. It''s a congenital malformation. The thumb accounts for over 50% of the hand''s functionality; it''s very important! The patient is a twenty-one-year-old young man who has saved up some money from his job. When I was seeing patients, he happened to get my number. He said over the years, the absence of his right thumb has caused him much trouble." "Writing is inconvenient, grasping objects is difficult, he can only use his left hand even to wipe his backside. When looking for a partner, girls run away as soon as they see his hand is disabled. He asked if our doctors could think of a way to help him make a thumb." Director Shen briefly introduced the patient''s circumstances. Encountering such persevering disabled patients, doctors not only sympathize but are also deeply moved. They are willing to think inventively to help them. To recreate a thumb? How could that be done? With today''s advancing medical technology, I''ve heard of artificial hip joints, artificial blood vessels, but never of an artificial thumb. Lower limb amputations can be equipped with prosthetics, restoring most of the patient''s leg movement functions. But what about the thumb on the hand? Director Shen laughed and swiped on the light screen''s display. "Take a look, this is the patient''s foot X-ray." Zhou Can took a close look, and the patient''s right foot bones were clearly complete. Chapter 228 - 127: Diverting Attention, Dr. Chi Wants to Poach The mutilated right thumb, paired with an intact X-ray of the right foot skeleton. He couldn''t help but be horrified. Could it be... did Director Shen mean to recreate a thumb for the patient by taking the big toe from the right foot and transplanting it to the position of the patient''s right thumb? This ingenious idea of grafting is truly mind-blowing. It''s not something an ordinary person could think of. In ancient times, those who built palaces for emperors were known as skilled craftsmen, and modern doctors indeed deserve this title. Although this concept is very bold and ingenious, the difficulty of transplantation is extremely high. At least that''s how Zhou Can understands it. The difficulty of replanting a severed finger is lower because the severed finger and the docking site are consistent in size, tissue location, and distribution. Blood vessels, tendons, nerves, phalanges, and even skin can be perfectly aligned. But the big toe of the right foot is quite different from the thumb of the hand. How to connect them? If the surgery fails, the patient''s loss would be too significant. Not only would they lose the right toe, making the originally healthy right foot disabled, but they would also have to bear high medical costs and the pain from the surgery. That would truly be paying for suffering. "Transplanting toes to the hand, the difficulty and risk are immense. I''ve never seen such a surgery in my life!" said Dr. Hee, rubbing his hands excitedly. "Toe-to-thumb surgery is genuinely a Level 4 surgery, how could the difficulty not be high?" Doctor Shan is not much older than him. Being the attending physician means he has much more experience. "We as medical professionals need to be bold in taking challenges and daring to innovate. Toe-to-thumb surgery has already had two successful cases in Shanghai''s top hospital. As long as we are careful, meticulous, and rigorous during the surgery, the success rate should not be too low. I have already discussed with the patient the risks if the surgery fails, and he is willing to take the chance." Director Shen subtly guided the thinking of his team of doctors. Establishing a good medical ethos and philosophy for them. An excellent chief physician can lead an excellent team. In addition to superb technical skills, this noble medical spirit can also impact generation after generation. "This surgery has several difficult points to overcome, and I alone cannot accomplish it. Doctor Shan is skilled in vascular and nerve anastomosis and micro-delicate surgeries. We''ll leave the vascular and nerve anastomosis to you. Dr. Chi excels in tendon reconstruction and repair; you will handle that. I will be responsible for excising the patient''s toe and then making an incision at the remaining part of the patient''s right thumb to perform the toe bone and thumb bone alignment, as well as subsequent flap repair." Director Shen made the surgery assignments. "During the toe excision, the patient''s hemostasis, foot incision repair, and suturing need to be handled by a resident doctor. Which of your residents can take on this task?" Even within the same group, there is competition among doctors. Doctor Shan and Dr. Chi are both excellent, but just being excellent themselves is not enough. If the resident doctors they supervise are also excellent, that scores a significant bonus. "My resident Yang Fuhai is very good at hemostasis, and Dr. Gandhi is excellent in wound repair. Having both of them take on this task should be very reliable." Dr. Chi was quick to act. He immediately secured the training opportunity for his two residents. "My following Dr. Tang, Dr. Hee, and equally capable resident Dr. Zhou," Doctor Shan, both in seniority and skill, is behind Dr. Chi. She had no way to compete with the other in securing surgical training opportunities. She could only weakly advocate for her doctors. "The post-excision wound treatment is quite complex; the two residents under Dr. Chi, with their richer surgical experience, will handle it this time. Doctor Shan''s doctors will have other opportunities for training later." Director Shen eventually chose the two residents with more extensive surgical experience. Doctors Yang and Dr. Gandhi exchanged a glance and smiled. S§×arch* The ¦Çov§×lFire .net website on Google to access chapters of novels early and in the highest quality. Dr. Tang and Dr. Hee looked disheartened. The patient was soon brought into the operating room, and for safety, inhalation anesthesia was administered. The anesthetist monitored the patient''s vital signs throughout the procedure. The surgery started quickly. As planned. Director Shen processed the patient''s excised toe first by treating it and then refrigerating it. He then started the surgery for the upcoming transplantation at the position of the patient''s right thumb. Doctors Yang and Dr. Gandhi got busy right away. They performed multiple procedures on the patient''s foot incision, including hemostasis, bone grinding, and nerve loop. Both being high-seniority residents, they had gained a lot of experience in the operating room, with substantial surgical capabilities. Doctor Yang''s skill in hemostasis should reach a medium level among resident doctors. Very close to an excellent level. But still falling short a bit. Dr. Gandhi''s debridement skills are also excellent, barely reaching an excellent level among resident doctors. No wonder Dr. Chi is so confident in these two. Compared to them, Dr. Tang under Doctor Shan has a significant gap. As for Dr. Hee, even more so. At the beginning, Doctor Yang''s hemostasis was quite good, and Dr. Gandhi''s debridement was also well done. Chapter 229 - 127: Diverting Attention, Dr. Chi Wants to Poach_2 Trouble arose quickly though. Dr. Gan, while debriding, accidentally reopened a blood vessel that had been ligated. Then it was discovered that the nerve repair was not going to be easy either. Even worse was the suturing. The depth of the wound treatment was insufficient, the wound was too wide, and the skin on both sides could not be brought together at all. One mistake led to another. The two doctors were in such a chaotic rush that they almost fought each other. The patient''s severed thumb had an arterial blood vessel. Blood spurted everywhere. Both Dr. Yang and Dr. Gan ended up with a lot of blood on their clothes. Even Dr. Gan''s face had specks of blood on it. Director Shen frowned heavily at the scene. Dr. Chi spoke up in defense of his junior doctors. "They might be handling this kind of traumatic limb injury independently for the first time, so their experience is somewhat lacking." "Teacher, could I let my subordinates, Doctor Tang and Zhou Can, take over and try? I see that Dr. Yang and Dr. Gan are indeed inexperienced. Their surgical gowns are nearly stained into a new pattern!" Doctor Shan took the opportunity to step in again. A humorous metaphor vividly pointed out the two doctors'' embarrassing situation. Dr. Yang and Dr. Gan couldn''t help but blush. As experienced senior resident doctors, their lack of coordination and inadequate anticipation had created a mess. "Opportunities should be equal for all, let Tang and Zhou give it a try! Otherwise, Doctor Shan might say I''m playing favorites!" Director Shen also felt uncomfortable watching and agreed to Doctor Shan''s request. He also wanted to take this opportunity to see Zhou Can''s surgical ability. Rumors are just rumors, after all. He needed to see for himself to be certain. Just yesterday, he had personally witnessed Zhou Can''s performance in tissue separation, and it was stunning. "Doctor Shan has arranged for a resident doctor and an intern to take over, such an interesting arrangement!" Dr. Chi''s gaze shifted towards the stepping-out Zhou Can. He was fairly familiar with Doctor Tang''s abilities. What made him curious was that Doctor Shan did not let the less skilled Dr. Hee to operate but chose an intern instead. This arrangement must have a deeper meaning. It showed her confidence in the intern with the surname Zhou. Dr. Chi had also heard these past two days that the orthopedic department had received a very strong intern. But in his opinion, how strong could an intern possibly be? Soon, Zhou Can showed him exactly how capable an intern could be in surgery. Zhou Can took over and immediately ligated the patient''s tarsal area. The bleeding stopped at once. Then, unhurriedly, with forceps he held onto one of the more severely contracted blood vessels, stretched it out, and performed ligation on the deeper part of the root by one hand. The entire process was skilled and confident. S§×ar?h the nov§×lF~ire.net website on Google to access chapters of novels early and in the highest quality. After handling that blood vessel, he moved on to the second one. "Dr. Zhou, why did Dr. Yang manage to ligate these blood vessels quite smoothly at first, but later during the debridement the ligatures came loose, making it very difficult to ligate them again?" Doctor Tang truly had no reservations about asking questions. He was stunned by Zhou Can''s operation. All under Doctor Shan''s guidance, with Zhou Can performing excellently, he also felt proud. Although Dr. Yang blushed with embarrassment, he was very eager to know the answer to the question. "The human body''s blood system has a self-protective mechanism. For example, this blood vessel, if it breaks or is damaged, will begin to bleed. At this time, in order to stop the bleeding, the body will control the blood vessel to continue to contract and become smaller. Not to mention these small blood vessels, even larger arterial blood vessels, if too much time has passed, are very unfavorable for treatment." Zhou Can explained the reasoning in detail. Dr. Yang''s blood-stopping and ligation capabilities could be considered relatively strong. Handling fresh wound vessels may not pose a problem. But when Dr. Gan debrided later, it led to the loosening of the ligature on the vessel, or directly breaking the vessel again. The difficulty of ligating them again increased significantly. Because by that time, the vessels had already retracted and become smaller. Dr. Yang learned a lot after hearing this explanation. At the same time, he saw that the blood vessels he had found very difficult to handle were like playthings in Zhou Can''s hands. The level of his hemostasis and ligation skills was clearly a cut above his own. This skill level was even comparable to Dr. Chi''s. An intern stronger than an attending? He subconsciously turned to look at Dr. Chi beside him. Then he saw Dr. Chi''s eyes wide open. If it weren''t for the mask, his mouth would probably be gaping. Dr. Chi was probably shocked by Zhou Can''s display of surgical competence. Gulp! He swallowed hard. "Doctor Shan, where did you find such an amazing intern? No wonder you asked him to work on the patient''s wound with Doctor Tang." "Hehe, now you know how amazing he is, right? It serves you right for not taking on interns; now I''ve picked up a great bargain." Doctor Shan''s two resident doctors simply couldn''t compare with those under Dr. Chi. Now with Zhou Can, it was a different story. One intern was worth two. Zhou Can quickly managed the blood vessels and nerves and looked at Doctor Tang. "I''ll handle the debridement, can you do the bone shaving?" "No problem." Doctor Tang was known for being uncompetitive and happy to let newcomers shine. Zhou Can performed the debridement on the patient''s foot wound. It was ruthlessly efficient, excess flesh, tendons, and other tissues that should be cut away were not spared. Eventually, a concave wound shape was formed, with the skin preserved around the edges. [Debridement Experience Points +1.] These experience points were hard-earned. Chapter 230 - 127: Diverting Attention, Dr. Chi Wants to Poach_3 [Congratulations on your Wound Cleaning Skill reaching Level 4, current Experience Points 1/10000, at the lower level of a Chief Physician.] Finally, this medical technique has been elevated to a Chief level. It''s truly not easy. In comparison, there are quite a few opportunities to perform Wound Cleaning. Out of 1000 level 1 surgeries, there are about 350 chances for wound cleaning. Unfortunately, each cleaning only grants 1 Experience Point. Unlike injections, hemostasis, suturing, and ligation, these techniques can earn multiple points from a single surgery. After leveling up this technique, he surprisingly finds that his ability to clean wounds has greatly improved. For example, when treating the same wound, he can now predict how to clean it in a way that is better for suturing and healing. He can even anticipate whether the wound will be prone to infection after or seriously impact the patient''s life. He could make a clear prediction. Additionally, when performing wound cleaning on nerves, blood vessels, vital organ tissues, and tumors, his understanding has significantly broadened. His method of treatment has also become more perfect. Take, for instance, this wound that was supposedly already taken care of¡ªafter his Wound Cleaning Skill reached Level 4, his understanding improved. He easily found some inadequacies. And made some further repairs to the wound. For that nerve, originally, he only considered how to seal it off, with almost no knowledge of how the wound healing would affect it later on. Now when he looks again, he can clearly see that walking in shoes would continually put pressure on and irritate the nerve. It would certainly impact the patient. So he improved it, moving it to a proper location, with the protection of a fat layer as cushioning, ensuring no issues would occur. This is just one detail in his treatment. But it fully demonstrates a significant leap in his level of wound cleaning. Sometimes, the difference between a Director and a Chief can be minor. Yet in surgery, this slight discrepancy may lead to vastly different outcomes. Take, for example, a tumor removal surgery. A Chief Physician might clean the area of the tumor well, but leave a tiny risk next to a nerve. Limited by their abilities, they dare not cut any further. A Director, on the other hand, would thoroughly eliminate that risk. The difference between the two may seem minor, but their prognoses are worlds apart. The Chief didn''t clean thoroughly, causing the tumor cells to metastasize, which could lead to rapid recurrence in the patient. The Director''s surgery, having cleaned thoroughly, ensures the patient will not relapse and can live a healthy life. The higher the medical skill, the smaller the disparities become. They are often found in the subtleties and are just a whisker''s difference. Dr. Zhou is genuinely delighted with the advancement of his Wound Cleaning Skill to Level 4. "Dr. Tang, the bone shaving is up to you! About this much ought to be shaved down, and it''d be best if you could slightly round off the tip of the toe bone." This is to ensure that after the patient''s wound heals, the sharp edges of the bone do not pierce the skin. "Sure!" Dr. Tang, after all, is a senior Resident Doctor in orthopedics, capable of shaving a bone without issues. The task is quickly completed. "Dr. Zhou, how about it? Any place that needs more adjustment?" "Fantastic job!" Dr. Zhou gives a thumbs up, thoroughly checks the wound, and starts suturing the patient. He sutures the patient''s wound into the shape of a duckbill. This is a common suturing method for amputation wounds. Chief Physician level medium suturing, medium ligation, coupled with lower level wound cleaning¡ªthe treated wound has earned a high score. After finishing the suturing, he doesn''t overstep by reporting to Dr. Shan or Director Shen. Instead, he shows humble respect towards Dr. Tang. "Dr. Tang, what do you think? Is it acceptable?" He performed the majority of the surgical work, but in the end, he consults with Dr. Tang, whose capabilities are not as strong as his own. This deeply wins over Dr. Tang. No one refuses to deal with someone as refreshing as the spring breeze. "I think the suturing is excellent." sea??h th§× ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. Dr. Tang''s face is full of smiles. "Dr. Shan, could you please help us check if there''s anything that needs to be improved with the suturing of the patient''s foot wound?" Dr. Shan was currently watching Director Shen create the transplantation interface. Upon hearing the request, she comes over and thoroughly inspects it. "You two did a great job suturing! After the surgery, I''ll ask Director Shen to have a look." She''s extremely pleased with the performance of Dr. Zhou and Dr. Tang. She''s earned much face. When have her subordinates ever outperformed those under Dr. Chi? Today is the only time. And a first. "Damn, such perfect suturing, I refuse to believe he''s just a training resident." Dr. Yang and Dr. Gan are deeply impressed after observing. They are indeed enlightened today. Truly, there are heavens beyond heavens, and people beyond people. Zhou Can is not only surpassing them in a single area of medical proficiency but nearly in all aspects. This makes both of them feel quite defeated. "Dr. Shan, let''s talk! I have plenty of surgeries usually, so how about letting Dr. Zhou practice with me?" Seeing Zhou Can''s excellence, Dr. Chi directly entices him. Once at the Chief level, many times, one would conduct surgeries with their own assistants. Their income is also tied to surgical commissions. Moreover, when evaluating for Associate Director positions, research is an important aspect; the volume and quality of surgeries performed, as well as the high-difficulty surgeries completed, are crucial evaluation criteria. Dr. Chi should be a senior Chief Physician, already striving for the sub-senior professional title. Gaining a powerful assistant would be of considerable help to his sub-senior evaluation. Chapter 231 - 128 Director Shens Advice, Growth in Orthopedics "This is beyond me, you need to listen to Dr. Zhou''s own opinion, as well as Director Shen''s." Doctor Shan definitely did not want to let go of a talent like Zhou Can. Declining outright would offend Dr. Chi. She smartly passed the decision to Zhou Can and Director Shen. Generally, training students have little say in whose guidance they are under. Less capable trainees might have to resort to giving gifts or finding a backdoor to be assigned to a slightly better mentor. The real decision-makers are the department heads and the deputy directors or chief physicians within the department. Some departments, for convenience, appoint a designated teaching leader. That person also holds considerable authority. "Thank you, Dr. Chi, for your generous affection. One should not forget their roots, nor where they come from. If I have to choose, I''d still prefer to stay with Doctor Shan." Zhou Can has never been someone to forget his roots. Doctor Shan takes good care of him, and he feels the kindness. For him, three months of orthopedic training isn''t long. Following a trusted attending physician provides more training opportunities. At this moment, choosing Doctor Shan over the more powerful Dr. Chi would surely deepen this trust. "Ha-ha, just kidding, Dr. Zhou, don''t take it seriously. I did not expect you to be so appreciative." After testing the waters, Dr. Chi sees it''s futile. He just laughs it off. S§×arch* The n?vel_Fire.¦Çet website on Google to access chapters of novels early and in the highest quality. It''s evident that while there is competition within the team, overall, there is unity. Director Shen has at this point preliminarily completed the construction of the skeletal interface at the implant site. "Come, watch and learn attentively! For the bone junction, I chose this location. It maximally preserves the original thumb joint of the hand, which benefits greatly in restoring finger functions after the surgery." Zhou Can also moved closer to keenly observe and learn. This microscopic Level 4 surgery demands extremely high technical skills. There is a lot to learn. "Having resolved the bone junction issue, we must also address the challenges of skin flap coverage, tendon, nerve, and arteriovenous connections, especially since the patient has a congenital deformity with a missing thumb. Years after, there might be contractions or absences of tendons, nerves, and blood vessels." Such surgeries bear greater unknown intraoperative risks. The surgical difficulty multiplies. It is an immense test for physicians. "For bone connection, we can refer to digit replantation. Usually, internal fixation of bones is applied." Director Shen skillfully aligns the toe bone with the patient''s right thumb phalanx. "In future similar surgeries, you can assess based on the patient''s phalanges. For instance, if the first phalanx of the thumb is intact, the right big toe can be harvested. If the phalanx is severely missing, consider taking the second toe (ring finger?)." Director Shen, while joining bones, patiently explains. Different scenarios require different transplant methods. "Dr. Chi, why don''t you take over the tendon reconstruction? Feel free to ask me anything." After completing the bone grafting and ensuring everything is correct, Director Shen steps aside from the main surgery role. Most lead surgeons only perform the key aspects of surgeries. The rest of the surgical tasks are delegated to other team members. That''s why directors prefer to mentor highly gifted junior doctors. Generally speaking, the higher the talent, the higher the rate of success. After mentoring disciples, life becomes much easier for the master. Especially in major surgeries that require a single person to complete, it''s almost unthinkable. A physician qualified to lead surgeries above Level 3 must at least have a deputy director''s level. They are generally older. Their energy and physical strength are no longer like those of younger men, lacking the stamina to complete all steps of a surgery. Entrusting tasks to disciples is the most ideal method. Director Shen specifically entrusts this tendon reconstruction practice to Dr. Chi. This is also to cultivate Dr. Chi''s surgical skills in this area. After taking over, Dr. Chi begins searching for the tendon, then figuring out how to attach it. Wherever he is unsure, he promptly consults Director Shen. Even with Director Shen performing the surgery personally. Zhou Can stands by and silently learns valuable core surgical techniques and methods of handling various problems. It''s a great opportunity for him to learn. Jin Mingxi desperately worked to become a trainee at Tu Ya to seize these opportunities to learn core techniques. ... This surgery continued for nearly four hours. Its difficulty is beyond imagination. Searching and rebuilding the tendons were exceedingly challenging, especially the absence of flexor tendons which nearly halted the surgery. The subsequent neural anastomosis was also extremely tough. In precision surgeries, Doctor Shan excels, yet connecting those nerves almost overwhelmed her. Ultimately, the final two nerves succeeded through the hands of Zhou Can, thanks to his gift for neural anastomosis. Otherwise, it might have required Director Shen''s direct intervention. The subsequent vascular anastomosis was equally challenging. Suturing a one-millimeter blood vessel under a microscope is incredibly difficult. Moreover, there were instances where the blood vessels needing anastomosis were not the same size. These issues all had to be resolved. The final skin flap coverage was also full of difficulties. Fortunately, with the entire team''s concerted effort, they managed to stumble through and complete the surgery. Chapter 232 - 128 Director Shens Advice, Growth in Orthopedics_2 The next step is bandaging and observing the blood circulation in the transplanted finger. The finger, after perfusion, showed a hint of color in the nail cap. However, overall, it still looked somewhat shriveled. This is a normal phenomenon. In a day or two, if the initial transplantation is successful, the color of the finger will become rosy, it will turn pale when pressed, rebound upon release, and quickly restore its color. S~ea??h the nov§×lF~ire.net website on Google to access chapters of novels early and in the highest quality. This indicates that the capillaries are filled with fresh blood. Otherwise, there is a problem with the circulation. Just like this morning during rounds, I encountered a patient with four re-implanted fingers, whose fingers were pale and obviously problematic. To determine whether the transplanted finger has survived, it usually takes about a week. If after a week, the finger is rosy, warm, plump, and the capillary response to pressure is good, it signifies successful attachment. If it turns black, shrivels, or even becomes infected, then the transplantation has failed. Immediate action must be taken. It must be mentioned that the sooner a necrotic limb is amputated, the better. Otherwise, necrotic limbs or body tissues will produce large amounts of toxins, harmful substances, bacteria, which invade the body through the bloodstream. At that point, whether one can survive is questionable. There was a city-level hospital, which performed a lower limb vascular bypass surgery on a patient. During that period, the lead surgeon was traveling and being irresponsible. All patient complaints and responses were ignored, and eventually, the patient couldn''t even have their life saved by a high-level amputation. Such negligence and regard for patient''s life as trivial should result in a lifetime ban from practicing. But unfortunately, when such situations arise, the patient''s family suing the hospital often just ends with a settlement. That doctor continues to cause harm in the world. "Okay, you can wake the patient from anesthesia now!" Director Shen told the anesthesiologist. "I am going to the clinic this afternoon and also have to teach at the school. You two continue with the surgeries. This class 100 surgery room will have other arrangements this afternoon, let''s pack up! Let''s go have lunch and take a break." Watching his two talented subordinates, Director Shen made arrangements for them. Leading a team as a professor must be one of the busiest roles for doctors. Meetings, leading surgeries, making rounds, mentoring, conducting research, teaching, consulting... their time is often fully scheduled. At Director Shen''s level, each one is a treasure in China''s medical community. "Xiao Zhou, you did well today. I specifically looked at how you handled and sutured the patient''s foot wound. This fish-mouth type of suture is a very good choice. Your suturing technique and knot tying are impeccable. Who is your mentoring teacher in the Emergency Department?" Director Shen''s gaze fell on Zhou Can. "Dr. Xu!" In Zhou Can''s view, Dr. Xu is his only mentor. Director Shen nodded, "I guessed as much. Dr. Xu was once one of the top three surgeons in our department. With him teaching you, no wonder your surgical skills are outstanding. To exaggerate a bit, you are now at a level where, except for experience, you are not inferior in skills compared to chief level doctors. Even some less skilled chief level doctors are far inferior to you." This evaluation might be a bit high. But still fair and true. Zhou Can really has that ability now. "Xiao Zhou, I have something frank to say, don''t take it wrong." Director Shen looked at him, his eyes and tone very sincere. "Please speak, I''m all ears!" Zhou Can knew, at Director Shen''s level, these words come from genuine experience and concern. It''s because he sees Zhou Can as incredibly gifted and performing exceptionally well that he''s willing to share these words. "Yesterday, when I saw you separating blood vessels, you reminded me of Dr. Xu back in the day, and your style is very similar. Do you know how Dr. Xu fell from being one of the top three surgeons to his current chief level?" "I know a little. Back then, Dr. Xu was penalized because of a medical accident during a surgery." Zhou Can didn''t know much more. "Back then, Dr. Xu was operating too quickly, injecting, and almost killed the patient. It was only after top chief level doctors from various departments intervened and worked hard that the patient''s life was saved. But the patient was left permanently paralyzed, unable to care for themselves, essentially a vegetative state." "The identity of that patient was not simple. At that time, the incident was highly publicized, and the higher authorities initially wanted to impose the maximum penalty on Dr. Xu, a lifetime ban from practicing medicine, revocation of his medical license, entry onto the industry blacklist. Later, it was only due to the hospital''s leaders and a prominent figure Dr. Xu had once saved, that he was able to keep his position." "The speed of your surgical cuts concerns me greatly. I am truly afraid that you might one day follow in his footsteps." Director Shen spoke earnestly. "Your talent surpasses any prodigy I have ever seen. With the right training and relentless improvement, you definitely have the potential to become a cornerstone for Tu Ya. As for the lower education, it is not a problem at all¡ªit can be resolved in many ways. You might want to consider curtailing fast surgery style you just began practicing, as its influence isn''t significant yet, and stop blindly pursuing speed." Director Shen was earnestly advising him, truly pouring his heart out. And he indeed harbored genuine appreciation of talent, not wanting to see a rare genius go astray. "Thank you for your earnest and valuable words today. I haven''t yet decided to focus on fast surgery as my main direction; I''m just practicing it preliminarily. When I need to choose my specialization a year into my residency, I will definitely weigh the pros and cons carefully before making a decision." Chapter 233 - 128 Director Shens Advice, Growth in Orthopedics_3 Zhou Can''s current level of expertise with the quick knife technique is merely at the threshold. Far from achieving even a small success. He also made an agreement with Dr. Xu that he would first practice and give it a try. If Zhou Can found it unsuitable, or the risks were too high, he could always give up when faced with choosing a main focus. "You just need to take it in. Through understanding and observing over the past two days, I have gained a preliminary understanding of your ability. From now on, as long as I have a surgery scheduled, you can join Dr. Shan in participating. If you encounter any medical problems you do not understand, as long as it is within orthopedics, feel free to ask me anytime. However, let me be clear upfront, my expertise is more in bone trauma and some microsurgery. I''m not as proficient in joint surgery, spinal surgery, bone disease specialty, and foot and ankle surgery." Each doctor has their own specialty. Director Shen''s specialty is in bone trauma. "Thank you for nurturing me!" Zhou Can bowed deeply. Director Shen waved his hand, "I''m pragmatic; unnecessary formalities should be avoided. Let''s all make time to eat." With today''s surgery, Zhou Can''s status in this group has essentially been established. In name, he is a rotational trainee, but his actual status is nearly equivalent to that of an attending physician. This is obvious from the two special considerations Director Shen just offered him. As long as Director Shen has a surgery, Zhou Can is allowed to participate. He can consult with him on any medical difficulties at any time. These privileges are typically enjoyed only by two outstanding attending physicians. In the following days, Zhou Can started to mix in with Dr. Shan day by day. Director Shen does not have a set surgery schedule. He only takes time out for the operating room when there are Level 3 or Level 4 bone trauma surgeries. Whenever he leads a surgery, Dr. Shan will certainly bring Zhou Can along to participate. Zhou Can especially enjoyed participating in surgeries with Director Shen. Because he was indeed able to learn a great deal of advanced surgical knowledge and skills ¡ª core techniques that are difficult for ordinary people to learn. sea??h th§× N??elFir§×.net website on Google to access chapters of novels early and in the highest quality. Also, there were plenty of opportunities for hands-on experience during Director Shen''s surgeries. Zhou Can would occasionally get a chance. His orthopedic surgical skills improved daily. He gradually gained a more systematic and comprehensive understanding of orthopedic diseases. Today, Dr. Shan performed another femoral head bone grafting surgery on a patient. But it was simpler than last time. This time, there was no need to take a bone flap with a blood pedicle. It only required drilling holes directly in the femoral head, filling in with bone chips, reducing the intraosseous pressure, and promoting the recovery of blood flow to the necrotic femoral head. "Dr. Shan, could I try my hand at filling in the bone?" Zhou Can was now very familiar with Dr. Shan, Dr. Tang, and others. Inside their small team, he held a rather good status. He managed to take on many important surgical tasks. He was also gradually breaking the Quality Control Department''s ban, which only allowed him to perform Level 1 surgeries. These matters generally fall under the principle of "if the people do not report, officials do not investigate." Zhou Can truly had the surgical capability, and the senior physicians trusted him enough. Scoring training opportunities was his own skill. Theoretically speaking, even if he participated in Level 4 surgeries, he wouldn''t be breaking any laws. The Quality Control Department making a big deal out of it, insisting on discussing surgery quality and safety, and not allowing him to partake in surgeries above Level 1 was purely malicious suppression. But there were no other options; the Emergency Department had limited influence, and he himself lacked the power to contend against someone as formidable as Director Xie. "This bone grafting procedure has lower risks and less technical demand, you can operate! I will guide you at your side." She yielded her position. Zhou Can was overjoyed; his decision to stick with Dr. Shan had paid off. In her surgeries, he often managed to get tasks involving surgeries with higher risk factors. Such tasks included the separation of vessels and nerves, the rejoining of broken bones, internal fracture fixation, and more. As he filled in the bone chips. Just finished. [Congratulations, you have acquired the Bone Grafting Technique. You can transplant bone flaps and skeleton to specified locations. This technique can repair incomplete bones and also save necrotic bones, helping them to regain blood supply.] [Bone Grafting Technique, current experience points Level 1, 1/10, failing intern level.] Looking at this newly acquired orthopedic technique, Zhou Can felt very satisfied. Now, he has learned all four basic orthopedic techniques of the bone trauma department. By continuously improving them, he could become a qualified orthopedic surgeon. As for other more advanced orthopedic techniques, he could only wait patiently for the right opportunity. ... Time flew quickly, and without realizing it, he had been interning in orthopedics for over two months. His understanding of orthopedic treatment deepened further. He discovered that orthopedics and neurosurgery are like twins. Many orthopedic diseases are like siblings to neurological diseases. In major surgeries, Director Shen couldn''t complete them alone; he had to invite neurosurgeons for joint operations. Zhou Can''s development in orthopedics was quite impressive. All four basic orthopedic techniques had seen a leap in improvement. Including the difficult-to-improve Bone Grafting Technique, which he had now upgraded to Level 2, below-average rotational training level. In over two months, he participated in approximately forty bone grafting surgeries in total. It''s a reasonable amount. However, about one-third of these surgeries required bone flaps with a blood pedicle. These higher difficulty surgeries were generally personally performed by Dr. Shan. The chance for Zhou Can to practice was with the bone grafting surgeries that did not involve blood pedicles. Then there were also two other resident doctors and two rotational trainees under Dr. Shan¡ª it was impossible to give all the training opportunities to Zhou Can. On average, it was quite excellent for him to have gotten sixteen chances at bone grafting surgeries in over two months. From initially filling in bone chips, to later learning to take points, drilling holes, and completing the whole bone grafting procedure. For him, this was a period of very rapid growth. Currently, of the four basic orthopedic techniques, the Bone Grafting Technique had the lowest experience points. The External Fracture Fixation Technique was now at Level 3, lower resident doctor level. This was thanks to his diligence. After shifts, he would rush to the inpatient wards to drum up business. If someone needed a plaster cast, he would enthusiastically volunteer. Over more than two months, he completed external fracture fixation treatment for over one hundred and seventy patients. Chapter 234 - 129: The Patient Who Lied, Aseptic Necrosis Now, Zhou Can''s plaster-casting level is already not inferior to Doctor He. If he were to stay in the orthopedic department for a year, his plaster-casting level could definitely surpass that of most attending physicians. In terms of bone fracture surgery, the improvement of this medical skill is also very gratifying. It has likewise reached the lower level of resident doctors. After all, this is a specialized orthopedic department, and there are so many opportunities to join fractured bones. Over the past two plus months, Zhou Can followed Doctor Shan and Director Shen, accumulating a total of 117 opportunities to join fractured bones. He could feel the significant improvement in his bone joining ability. In the past, the most he handled were broken fingers, and senior doctors would basically only let him perform such low-risk, low-difficulty bone joining. Now with the bone joining level of a resident doctor, he can also handle fractured bones like humeri and tibiae. It''s just that the results aren''t as good as those by Doctor Shan or Dr. Chi. The improvement of the aforementioned three orthopedic skills are all quite satisfactory. Only the Bone Setting Skill, learned but still at an intern''s failing level, has experienced no improvement at all. The main reason is the lack of opportunities to practice. Patients requiring bone setting are treated directly in the manual reduction room, and would never enter the operating room. On rare occasions, when a dislocated or displaced joint is too complex for surgical reduction, an operative reduction is needed through invasive surgery. Such surgeries are generally handled by the Bone and Joint Group, and the Bone Trauma Group where he is has never performed such surgeries. Unable to improve his Bone Setting Skill, there''s nothing he can do. He can only wait for opportunities for further training in the future. The main purpose of standardized training is to provide standardized training for diagnostic and treatment operations. During this period, it is sufficient to learn basic operation methods, patient reception, and treatment procedures. There is no need to master every medical skill to perfection. No one can master all the medical skills covered in the three-year standardized training program. It''s about entering the door, learning the method, and then slowly refining and improving one''s medical skills in the process of practicing medicine as a resident doctor. In addition to enhancing his orthopedic skills during the two plus months in the orthopedics department, many of his other medical skills such as suturing, ligation, hemostasis, debridement, and separation have also seen significant improvement. His Hemostasis Skill has now nearly reached the mid-level of attending physicians. Suturing and ligation, due to more opportunities to practice, have increased his Experience Points quickly. Plus, they were already close to the excellent level of attending physicians. Already last month, he had reached the excellent level of attending physicians, and was on the verge of reaching the level of associate director physicians. He is especially looking forward to this. What would it feel like to have Director Level medical skills? On this day, like usual, Zhou Can arrived early at the orthopedic department to start his shift. At least half an hour early to the office of the doctors in their group, not for anything else, but to check on the surgery cases in the group. Getting to know the information about the patients scheduled for surgery in advance would allow him to be more prepared during the operation. Additionally, by following up on the postoperative cases and operation plans, he could clearly understand the effects of the treatment. This would accumulate a wealth of experience for his future practice. Upon checking the case of a calcaneal fracture scheduled for surgery today, Zhou Can was reading through the person''s test reports and X-rays, while the details he had witnessed during ward rounds about the patient appeared in his mind. According to the X-rays taken by the patient, the calcaneus had a severe fracture. Surgery was needed to make an incision at the ankle joint, reposition the fractured calcaneus, and after drilling, use screws for internal fixation. Although the site of the operation is just on the limb and seems uncomplicated, the level of this surgery is Level 4. Even associate directors could not lead the surgery. Only a Director Level physician could personally perform the surgery. The classification of surgeries has a strict standard. It is graded based on difficulty, risk, and other factors. A surgery that reaches Level 4 will not be an easy one to perform. Director Shen will personally conduct this surgery at nine o''clock this morning. Reports and X-rays had surely been reviewed by Director Shen already. The preoperative discussion might be conducted by him personally, or he might let his attending physicians do it. Zhou Can repeatedly enlarged the patient''s X-rays for a closer examination. This patient''s injured left foot, he had seen, and it was swollen and shiny. He had been admitted for two days already, with the surgical plan determined just yesterday. "Doctor Zhou, what are you looking at?" Doctor He entered the office and found Zhou Can to be the first one there; he greeted him with a smile. "I''m just checking the patient data within the group. Could you help me take a look to see if there''s anything wrong with this patient''s X-ray?" Zhou Can''s intuition had always been more sensitive than a woman''s sixth sense. When checking the patient''s data, he always felt something was not quite right. Doctor Hee Zhang came over and examined the patient''s X-ray closely. "There''s nothing wrong, it''s indeed a severe fracture of the calcaneus." After looking, he didn''t find any problems. "Maybe I''m just overthinking it! I''ll go to the ward again to check on the patient." Zhou Can got up and headed towards the ward. Here were rows of open hospital beds. The big hospitals have too many patients seeking treatment, so in order to save management costs and space as much as possible, they prefer to use this type of open bed arrangement. Along the way, patients and their family members continually greeted him. Some of the smarter patients or family members basically knew that Zhou Can held a rather high status. Although Zhou Can walked in the fourth place during the attending physician rounds in the morning, for some important cases, Doctor Shan would actively discuss with him. This was a privilege not available to Doctor Tang and Dr. Hee. The reason, of course, was simple. Zhou Can''s diagnostic level in pathology was fairly decent, and his knowledge in medical cases was quite profound. Sear?h the N?vel?ire.net website on Google to access chapters of novels early and in the highest quality. Chapter 235 - 129: The Lying Patient, Aseptic Necrosis_2 Often able to provide extremely constructive diagnostic opinions. Sometimes, Zhou Can can timely discover problems that others fail to notice. Sear?h the N?velFire.n§×t website on Google to access chapters of novels early and in the highest quality. This is a kind of dependence and trust. Doctor Shan turns to him for consultation, feeling reassured. Patients and their families are very shrewd. Knowing Zhou Can holds a significant position in orthopedics, naturally, they vie to ingratiate themselves, hoping to receive more attention during surgery and hospitalization. Zhou Can heads straight to bed 77. "Mr. Zhao, we''re planning to arrange surgery for you today, are you aware of that?" "Nurse informed me yesterday evening, also told me to abstain from food and water." The patient responds enthusiastically. As Zhou Can''s implicit status in orthopedics keeps rising, visits to check on patients have become rarely met with coldness by families and patients. Like now, as he personally comes to ask about Mr. Zhao''s condition, both the family and the patient seem pleasantly surprised. "How many days has it been since your foot was injured?" Zhou Can asked. The patient''s eyes flicker twice, he thinks for a moment, then says, "It seems like three days, I think!" The family member next to him should be his father, who doesn''t seem very clear about his son''s injury. He hastened over only when his son needed an attendant for hospital admission procedures. Hospitals generally have an implicit requirement when admitting patients. If you don''t have an attendant, the hospital won''t take you in. Once admitted to the hospital, the hospital is responsible for the patient. Mobility issues, going to the bathroom, eating, pre-surgery preparation, and post-surgery care are all very real issues. The hospital can''t possibly assign a nurse to attend to you specifically. Many people think that once they''re hospitalized, spending hundreds or thousands a day on hospital fees, it''s only right for the nurse to attend to them. Heh, can only say such people are too ''young.'' Nurses'' responsibilities are changing dressings, administering IV drips, giving injections, monitoring blood pressure, etc. Expecting them to cater to your eating and toileting needs¡ªwell, that''s asking too much. Some self-important male patients, thinking about the sweet smiles of the nurse sisters, their gentle attitudes, wonder if they could take this chance to get close, perhaps a romantic encounter? Patients with superior personal circumstances, such as second-generation rich, second-generation officials, young company executives, might indeed succeed. For the general public, it''s better to behave properly. Otherwise, fantasizing too much just causes agitation. Zhou Can carefully observes the patient''s left foot, the ankle, the top of the foot, all swollen. However, the surface of the skin is somewhat gray, the wrinkles apparent. "Are you sure the injury happened three days ago?" Zhou Can''s tone became slightly more serious. Doctors really have it tough these days. If you speak to a patient with a slightly wrong tone, they may become antagonistic or even complain about you. Zhou Can suspects the patient isn''t telling the truth, but he can''t directly accuse him. He can only ask again with a reminding tone. Some patients lie to the doctor or nurse for all sorts of reasons. It''s a very helpless situation. Patients have many reasons to lie, some are to hide embarrassment. Like the time Zhou Can, in the Emergency Department, encountered a patient with an object embedded in their anus, whom claimed it was an accident from sitting down. Would you feel comfortable pressing for more details? Such lies don''t affect treatment. The doctor knows the truth and won''t point it out. But some patients'' lies can lead to misdiagnosis and severe consequences. If something goes wrong, it''s not just the patient that''s unlucky, the doctor also suffers unfairly. This Mr. Zhao, upon being asked a second time by Zhou Can, still had a shifting gaze. "If you got the time of injury wrong and it''s only off by a few hours, it''s not a big deal. But if it''s several days or even longer, it''s very detrimental to your surgery." Zhou Can isn''t just trying to scare the patient. The risks associated with this surgery are inherently high. Great differences in pre-operative information can lead to a significant increase in surgical risks. "It should be three days, I''d been drinking at the time, so I really can''t remember clearly." The patient insists on lying, which is perplexing. Injury timing, logically speaking, shouldn''t necessitate any lies. Why is this person deliberately hiding the truth? What could his purpose be? Seeing that he can''t get any more information, Zhou Can closely observes the patient''s foot for a while longer, and then heads back to the doctors'' office. Just then, Doctor Shan arrives. "Doctor Shan, there''s a rather strange patient in our group." Zhou Can initially didn''t want to meddle in this matter. But it concerns surgical safety, so he has to bring it up. "Which patient is that?" Doctor Shan is now quite familiar with him, speaking in a very relaxed tone. "Mr. Zhao from bed 77." "Director Shen was planning to operate on him this morning! What''s the issue?" Doctor Shan knows Zhou Can never speaks without reason. She always takes his opinions very seriously. She immediately starts to inquire about the situation. "When I reviewed the patient''s file this morning, something felt off, but I couldn''t pinpoint the reason. So, I went to the patient area to check his actual condition. From the bruising on his foot and the gray folds in the skin, I believe his injury may be more than three days old." Zhou Can spoke earnestly. "Sometimes a patient''s memory isn''t that precise, being off by a few hours isn''t a big issue. After all, it''s not a limb reattachment surgery." Doctor Shan didn''t consider it a big deal after listening. "But I asked the patient twice, and he insists he''s remembered the timing correctly. However, his eyes are clearly lying. I''m really puzzled why he would purposely lie about the timing of the injury?" Chapter 236 - 129: The Lying Patient, Aseptic Necrosis_3 Zhou Can asked. Dr. Shan thought for a moment and blurted out, "Could it be like the forensic drama I''ve been watching recently, where the patient is hiding a crime?" Unexpectedly, she had this interest. Most young women like to watch romance and soap operas. Perhaps related to her profession, the type of drama she enjoyed was forensic deduction. "By intentionally delaying the time of injury, one could escape criminal suspicion!" Seeing Zhou Can puzzled, Dr. Shan added another sentence. It was an eye-opener. Zhou Can thought about it, and it indeed seemed possible. Otherwise, why would the patient lie? "Should we report the patient''s information to the police for investigation?" Zhou Can asked her for guidance. The hospital had this obligation. In cases of drug use, gunshot wounds, knife attacks, or beatings, it was necessary to call the police promptly to help maintain public order. Some criminals, injured, dare not go to major hospitals but instead go to small clinics to buy some medicine and treat their wounds on their own. Because they feared the doctors, noticing anything unusual, would secretly inform the police. "Reporting to the police for an investigation is always the right choice. You should directly call the police, no need to dial 110, here is the phone number for the local police station." S~ea??h the N??elFir§×.net website on Google to access chapters of novels early and in the highest quality. She pointed to a business card, inconspicuously placed on the office desk. Zhou Can immediately dialed the police, to report the situation of the patient. The rest would naturally be handled by the police. He continued to ponder the patient''s surgical concerns. While deep in thought, he noticed the date on the X-ray films which brightened his eyes. These films were from two days ago. Two days had passed; had the patient''s bones changed? "Dr. Shan, do you think the patient needs another X-ray examination before the surgery?" "The hospital considers the treatment costs of the patients, typically conducting exams when admitted and not repeating the same test within three days. After the surgery, an X-ray is needed at discharge to review the healing of the fracture site." She was looking down at today''s surgical patient''s medical records and reports. Zhou Can could only review the X-ray films taken two days ago of the patient. As he looked, a thought suddenly struck him. He immediately brought up an X-ray film of another patient with femoral head necrosis for comparison. This comparison revealed a slight discovery. Mr. Zhao''s talus seemed to already show signs of avascular necrosis. Without careful comparison with other necrotic bone films, this subtle abnormality was hard to notice. Several contraindications exist for talar bone fracture internal fixation surgeries, any presenting feature making surgery unsuitable. The first type, unsuitable local skin conditions for surgery. Second type, old fractures deformed healing. Third type, already presenting avascular necrosis of the talus. Fourth type, severe comminuted fractures. Zhou Can seriously suspected the onset of avascular necrosis in the patient''s talus. This was a significant discovery. It must be reported immediately. Discovering before surgery, as opposed to after, held entirely different implications. "Dr. Shan, do you see signs of avascular necrosis in this patient''s talus?" Zhou Can was just an intern, technically supposed to report to Dr. Tang or Dr. Hee. But his status was somewhat special, given his proven ability. Moreover, with Dr. Shan present, he directly went over the normal reporting hierarchy. This wasn''t the first time he had done such a thing. "No way? The teachers and I, even Dr. Chi, have looked at the films and didn''t spot any issues." Dr. Shan was somewhat skeptical. She walked over to Zhou Can''s computer to take a closer look. "I''m limited in my ability to tell; however, this matter is serious, I''ll call Director Shen." She called Director Shen on the spot. "Teacher, it''s Shan Dan, I''m sorry for the disturbance." "Our Zhou Can from the team, upon reviewing the patient''s information, suspects avascular necrosis in the talus for a patient scheduled for internal fixation surgery this morning. I carefully looked at the films and couldn''t be sure, so we need your further evaluation." Not long after hanging up, Director Shen arrived at the hospital. He went straight into the office. "Xiao Zhou has sharp eyes indeed. So many of us didn''t spot the problem, and you discovered it. Regardless of the result, this meticulousness and caution are commendable." Director Shen praised him as soon as he entered. Then he carefully examined the patient''s films. Minutes later, his expression grew more solemn. "There indeed are signs of avascular necrosis, although very mild. Let''s take another X-ray of the patient and I''ll make a final determination." Since the patient was scheduled for the operating room at 9 AM. The examination had to be expedited. Director Shen personally issued the urgent test request, and the medical technology department dared not delay. Soon enough, the patient''s film emerged, showing more apparent signs of avascular necrosis. "My goodness, it really is avascular necrosis. Lucky it was discovered in time, otherwise, even if the surgery had been completed, it would have failed." Director Shen broke into a cold sweat. "Xiao Zhou, very well done." Director Shen praised him and then provided a treatment plan. "First, inform the patient and prepare him and his family mentally. From the current situation, the necrosis of the talus has just occurred recently and is still in the early stages; the surgery can be adjusted based on the actual condition. Possibly just fixing the ankle with plaster after the surgery might solve it. If more severe, transplanting bone marrow stem cells could also cure it." Director Shen said, frowning, pondering deeply. "It''s strange, theoretically, with only three days after the injury, it shouldn''t have necrosed so quickly!" Dr. Shan, listening by the side, laughed, "Dr. Zhou really is incredible. He mentioned early in the morning that the patient might have lied about the timing of the injury. I suspected the patient was covering a criminal suspicion, so I let Zhou Can report the situation to the local police station." Director Shen suddenly realized. He slapped his forehead. "No wonder, I was saying how could the talus necrose so quickly without even three days passing? Nowadays, being a doctor is really exhausting! In addition to treating, we also need to have some detective skills. Who would have thought, over such a trivial matter, the patient would indeed lie!" Her comment made everyone smile. Chapter 252 - 135: A Move to Dislocate the Arm, Her Yearning_2 This outfit, far from looking like a boss, you''d be mistaken for a bodyguard or some big shot mobster. And there''s another thing that''s particularly hilarious. Driving a car worth around 400k, complete with a driver and assistant, seems more like you''re trying to pass for a wealthy tycoon, but because the gear doesn''t live up, the effect falls flat. "Does Miss Su often come to Tuya Hospital just to see this doctor?" The man with sunglasses walked straight over, fixing his gaze on Su Qianqian. "Can I help you gentlemen?" Zhou Can utterly ignored the man''s muscular build. After all, truly skilled fighters are never muscle-bound brutes. But well-developed muscles can significantly enhance one''s ability to take a hit. A normal person might break ribs with a kick to the waist. But a muscle-bound hulk, even without using arms to guard it, could take a kick without much damage. Su Qianqian was half-hiding behind Zhou Can, a natural instinct when facing danger. In her eyes, Zhou Can was like the sky itself. He could provide her the greatest sense of security. "Heh, nothing serious, just that we brothers are worried. Miss Su''s career is soaring, trending on all the major networks. If someone finds out Miss Su''s got a boyfriend, heh heh, that''d be some juicy gossip!" The middle-aged man slicked back his greasy, shiny hair. "Is there anything else?" Zhou Can immediately understood - they were just some societal scum looking to extort easy money. He never wasted words on such people. Nor showed any weakness. If you do, these types will suck you dry like bloodsucking flies, relentlessly. Facing any criminal activity, never compromise if you can help it. Otherwise, if they can bully you once, they''ll do it again and again. In schools, some well-behaved kids get extorted by bullies, give money once, and then countless times thereafter. Girls who are harassed by hoodlums, keeping silent out of shame or fear of retaliation, fail to call the police immediately. Later, they get bullied time and again until they ultimately become toys for the thugs. "Kid, who do you think you''re talking to?" snarled the flunky who pulled the car door, pointing a finger at Zhou Can. "Scram!" Zhou Can didn''t bother with any further words. "Cussing at whom, eh? Believe it or not, we brothers can cripple you!" This punk, just like a fierce dog, face ablaze with belligerence. His finger almost poking Zhou Can''s nose. But luckily for him, he never made contact - otherwise Zhou Can would have taught him how to behave, on all fours, in the very next second. "Qiangzi, don''t scare them. Miss Su here is a superstar, timid by nature. And the boyfriend she found, all tender and soft, looks just like a little lamb in society." After pulling Qiangzi back, the middle-aged man looked towards Su Qianqian, hiding behind Zhou Can. "Miss Su, we don''t ask for much. Seeing that a big star like you doesn''t even have a bodyguard, us brothers would like to join your ranks for a living. Whenever you go out, we''ll escort you, ensuring your safety. We''ll take care of all the punks and societal men who have designs on you." That was the middle-aged man''s scheme. Zhou Can''s parents ran a factory and had dealt with such people before. A bunch of local idlers claimed they''d work as security for the factory. After his father refused, they started creating all kinds of lowlife trouble. Zhou Can''s father had some influence locally. He invited a reputed local tough guy and the head of the county police station for a meal¡ªto which those jobless youths were ''invited'' as well. The purpose was clear¡ªto let the troublemakers weigh their own clout. During the meal, both the tough guy and the police head made their stance clear: anyone causing trouble would be dealt with. Since then, no idlers dared to trouble Zhou Can''s family factory, which has operated smoothly to this day. Zhou Can didn''t care where these three came from. He was a small-time doctor in the provincial city, with limited influence. He couldn''t use his father''s tactic¡ªhe didn''t have the power. For now, he could only take one step at a time, starting with a firm rejection. After all, it is a society ruled by law; with cautious handling, he was confident to eventually make these people drop their sinister schemes. "We don''t need any security guards, goodbye!" Zhou Can, wrapping his arm around Su Qianqian, turned to leave. "Wait a minute!" The middle-aged man''s hand landed heavily on Zhou Can''s shoulder. Zhou Can had been looking for an excuse to act. With this assault, the opportunity to establish his authority had finally arrived. Pushing Su Qianqian slightly forward, Zhou Can quickly turned around, grabbing the middle-aged man''s arm and forcefully twisting and pulling. Crack! The sound of a shoulder joint dislocating resounded. "Ugh... ah, ouch!" The middle-aged man, in shock, held onto his right arm and quickly retreated, putting distance between himself and Zhou Can. "Brother Kun, what''s wrong with you?" Qiangzi hadn''t even seen clearly how Zhou Can had made his move. Just at the first encounter, his boss had become a disabled person. S~ea??h the ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. "This kid knows kung fu!" The middle-aged man, his face ashen with pain, looked at Zhou Can with eyes full of fright. Zhou Can usually fought with hard, solid punches. Recently, he had been learning the Bone Setting Skill in the manual therapy room and had gained a few insights. He now had a deep understanding of the human arm''s joints. Coupled with his martial arts foundation, when the two were combined, he hadn''t expected the strike to be so effective. With just one move, he''d easily dislocated the man''s arm. Qiangzi, recalling how he had been pointing his finger at Zhou Can''s nose, felt a chill of fear. Dogs that bite don''t bark. Chapter 253 - 135: A Move to Dislocate the Arm, Her Desire_3 Zhou Can''s strength was unexpectedly terrifying. At this moment, after Zhou Can took down Brother Kun with a single move, his gaze swept over the three people, including the young driver who had just gotten out of the car, wanting to come over and help. "Each one of you, stop thinking about getting rich quick every day. Find a proper job, or sooner or later you''ll end up in prison eating jailhouse grub." After warning the three social scums, Zhou Can directly took Su Qianqian and left. They had gone a long way before Su Qianqian, clinging tightly to his arm, said, "You were so cool just now! Those three have been following me since I left the company. And they''ve been staking out for many days. I was really scared. I didn''t expect them to cower so quickly in front of my husband, haha..." Her long-standing fear was finally relieved, and she was particularly happy. She also grew more dependent on Zhou Can in her heart. "Heh, just a few idle social outcasts, they only had muscles and nothing else," Zhou Can said, not thinking much of defeating his opponent with just one move. There are many real masters out there; when he learned free combat, he met many he couldn''t defeat. However, those people rarely choose the wrong path. They all have proper careers. Just fighting in one tournament, the prize and appearance money is enough to support them for several years. "It''s actually you who used a word very cleverly just now!" "Which word?" She looked up at Zhou Can. "The word ''husband'' was used very well!" Zhou Can said with a smile. "In ancient times, even if a marriage was arranged, one could only be called the fianc¨¦. You''re only considered husband and wife after getting married, only then would one use the terms ''husband'' or ''my lord.'' My lady, are you thinking of getting married?" Zhou Can and she had been in a relationship for some time now. Their feelings for each other had deepened day by day. Zhou Can was open to getting a marriage license. But this matter definitely needed to be discussed with both parents beforehand. Currently, Zhou Can had not told his parents. "Hmph! Not at all!" Her aquiline nose wrinkled slightly, obviously her words not matching her heart. "Dear, I have good news to tell you, I got my salary today, and finally paid off all my debts!" It looks like Zhou Can didn''t guess wrong; she really was considering marriage. Hearing that her debts had all been paid off, Zhou Can was a bit surprised. "An external debt of more than three hundred thousand, and it''s only been a few months? Paid off in less than three months?" By that calculation, doesn''t she make over a hundred thousand a month? Zhou Can''s current salary, including various subsidies, is only a little over three thousand. The wage disparity between them is too large. "This month I got nearly two hundred thousand, and next month it will probably be more. What do you think, impressive for your wife, huh?" She happily switched the term from girlfriend to wife. Zhou Can laughed; it seems this girl really is eager to get married after paying off her debts. "Tsk tsk, two hundred thousand a month, even the least successful chief physician in our hospital has an annual income of just about one hundred fifty to sixty thousand. You are indeed outstanding!" Hearing that his girlfriend had such a high income, he was genuinely happy. "Qianqian, do you want to get married?" Zhou Can looked at her seriously. "Yes! Now that my debts are paid off, and I''m pressure-free, I indeed want a real home. Then, I can give myself entirely to you. I''ve heard that you men, when suppressed too long, tend to cheat." She admitted frankly. Actually, in front of Zhou Can, her thoughts were not at all concealable. Because Zhou Can''s IQ is too high, and his insight is extremely strong. S§×ar?h the ¦Çov§×lFire .net website on Google to access chapters of novels early and in the highest quality. "I only have a monthly salary of three thousand right now, and you have a monthly income of two hundred thousand, even higher; don''t you think marrying me is a loss?" Zhou Can teased her with a smile. "Don''t say you earn three thousand a month, even if you are overwhelmed with debt, I am willing to stay with you till we''re old and grey. In my hardest times, it was you who saved me from the darkness. In this lifetime, I recognize only you as my man and will only have you." She gazed at Zhou Can affectionately and spoke with great emotion. "Thank you for loving me so deeply!" Zhou Can embraced her, and the two kissed passionately. After a while, they separated, and her pretty face was full of blushes. "Can, although I can''t wait to marry you right away, my health... I''m afraid of being a burden to you. Let''s get married after my kidney disease is cured, okay?" She must have thought deeply about this for a long time. The enchantment of love lies in its grandeur and selflessness. This kind of wholehearted consideration for the other person is something even parents find hard to achieve. It''s not too much to say that spouses are the closest people to each other in this world. She really wants to marry Zhou Can, to have a real home, but she also worries about being a burden on him. "I don''t mind it. Isn''t there a line in the marriage vows that no matter poverty or illness, we''ll always take care of each other for life?" Zhou Can''s love is for her as a person. He will try every means to cure her kidney disease. Currently, her kidney disease is still in the compensatory stage, and kidney function has not shown significant damage. If medication can cure her, that would be the best. If the condition gradually worsens, then it is necessary to consider a kidney transplant. With today''s medical technology, as long as there are suitable kidney donors and sufficient financial support, a transplant is not difficult. So, her concerns are completely unnecessary. Chapter 239 - 131: Dimensional Reduction Strike, The Woman with a Broken Bone Director Xie had his eye on him strategically to prevent the Emergency Department from becoming too powerful. It''s likely that no specialty department sincerely wants to see the Emergency Department grow. Because the Emergency Department is the first choice for registration for most patients. If it''s powerful, many cases can be directly handled, effectively snatching patients from the specialty departments. Transferring Zhou Can to surgery would not only curb the growth of the Emergency Department but also bring a super genius to the surgery team. Killing two birds with one stone, the benefits are plentiful. That''s why Director Xie didn''t hesitate to lower his stance and put in so much effort to headhunt him. "I haven''t considered that at this time!" Zhou Can tactfully declined Director Xie''s invitation. A good horse doesn''t graze on a patch of grass twice. Moreover, the variety of traits exhibited by Director Xie have made Zhou Can extremely distrustful. There''s even less possibility that he would entrust his future to such a person. "What if I tell you that, considering your excellent performance, you could work in promising top surgical departments such as Neurosurgery or Cardiothoracic Surgery?" His gaze was fixed on Zhou Can. He believed the bait he cast would tempt any resident doctor. The thresholds for these two departments are extremely high. Even graduate and doctoral degrees may not guarantee entry. "Thank you for your guidance and favor, but I still prefer working in the Emergency Department." Zhou Can''s refusal was more explicit this time. Otherwise, even if Director Xie were to offer several more attractive conditions, he still wouldn''t be swayed, which could potentially lead to frustration and anger. "Are you sure you don''t want to reconsider?" Director Xie''s tone became slightly colder. "I''ve thought it through very clearly." Zhou Can once again resolutely declined Director Xie''s recruitment. "Having talent and gifts is good. But without a favorable growth environment, your final achievements surely won''t be that significant. You must recognize your disadvantages ¨C with a lower educational level, it is almost impossible to have great development in Internal Medicine. Surgery is your only chance and path for development. If you are determined to stay in the Emergency Department, then I will make sure that during your residency in surgery, you will receive training suited to Emergency Medicine." Director Xie, seeing that his recruitment was unsuccessful, started to threaten directly. We''re all civilized people and won''t openly threaten. Instead, we state the advantages and disadvantages, forcing the other party to make a choice. Like those despicable male professors, with plenty of years behind them. If they fancy a female student, they wouldn''t resort to violence to get what they want. Instead, they would deliberately fail her paper, or have her work on some dead-end research project. In an indirect way, making the student agree to unreasonable demands. Zhou Can was facing such unwritten rules at this moment. If he doesn''t agree, he''ll be left out in the cold in all subsequent surgery residency programs. There''s no need to doubt the power of a major director. With just a message from Director Xie to the heads of the departments below, Zhou Can would find himself thrown into a cold cellar. "A General''s belly can hold a boat. I believe, with your capability of potentially becoming a head of major surgery departments, you wouldn''t go after a small resident doctor like me over such a trivial matter." Zhou Can''s face showed a slight change. Flipping the table and cursing definitely wouldn''t work; it''s equivalent to signing his own death warrant. Unless he no longer wished to stay at Tu Ya. The only hope was that Director Xie, with his status, wouldn''t stoop so low to hit someone beneath him. "Heh, putting a tall hat on me won''t work. Even if you take this matter to Dean Zhu, my stance remains the same." Director Xie also knew about Zhou Can''s connection with Dean Zhu. But he dared to threaten Zhou Can because he wasn''t afraid of any fuss Zhou Can might cause. On such a trivial matter, a big shot can indeed act on a whim. Don''t be naive thinking of making appeals. Bringing Dean Zhu into it would most likely result in Zhou Can being criticized. Such phenomena are not unique to hospitals; they''re the same in other businesses and units too. Leaders are leaders, and the lower ranks are the lower ranks. For those at the bottom to challenge the leadership is a big taboo. "Can''t you just spare a small resident doctor like me?" Zhou Can made a last effort. Was it because he talked back to Director Xie last time in the Emergency Department? And Director Xie held a grudge? Now, taking this opportunity for suppression and revenge? This was less likely. Because if Director Xie really bore such a grudge, he wouldn''t have waited until now to act. From his first day in the surgery department, he could have already faced suppression from Director Xie. "I''ll give you an example. If a mosquito is flying around you, would you reach out to swat it?" Director Xie didn''t answer directly. Instead, he used this analogy for Zhou Can to reflect on it. In this situation, nine out of ten people would kill the mosquito. Zhou Can bitterly smiled to himself. S§×arch* The n?vel_Fire.¦Çet website on Google to access chapters of novels early and in the highest quality. He was being likened to a mosquito by Director Xie, that annoying? After two seconds of thought, he tactfully responded, "Swatting mosquitos with your hands is not good, it''s easy to get infected with viruses and bacteria they carry. I usually shoo them away." This was a clever response. Subtly hinting Director Xie that the ''mosquito'' is poisonous, don''t hit it. "Why do you shoo it away?" Director Xie continued to question. "Because I''m afraid of being bitten." Zhou Can was compelled to answer. "Since you''re sensible, why then do you need to ask me? Young man, the workplace is as deep as the ocean, some truths you will eventually understand. Go on with your work, the doors of the surgery department will always be open for you. When you''ve thought it through, you can come and find me again." With these words, Director Xie effectively issued a dismissal. Still, he left Zhou Can an out. After leaving the director''s office, Zhou Can felt somewhat heavy-hearted. Chapter 240 - 131: Dimensional Reduction Strike, The Woman with a Broken Bone_2 The tree that stands out in the forest is the one most likely to be blown down. He was downhearted because his excellence had led to this disaster. Director Xie suppressed him, probably because he was worried Zhou Can would learn too much in surgery and become a major player in the Emergency Department. It had nothing to do with personal grudges. It was simply a matter of departmental interests and competition. For now, he could only take one step at a time. The next day, Zhou Can went to work at the orthopedic department of the hospital as usual. He turned on the computer to check the surgical cases of his group. "Login failed!" A four-character dialog box popped up. He thought he had entered the wrong password or identity information and tried again, but the result was the same. "Director Xie moves fast!" Zhou Can immediately understood what had happened. Since he could no longer check the cases of his group, he could only pick up the surgical records and case histories he had written before. These were his own things, available for him to look at anytime. No permission needed. "Dr. Zhou, you''re here early!" Doctor He must have been on night duty yesterday, his hair disheveled and with dark circles under his eyes. "Morning!" Zhou Can forced a smile. The other doctors in the group arrived one after another, including Doctor Shan. Their attitude towards Zhou Can was the same as before, with no change. This suggested they were of lower rank and unaware of what had happened. After experiencing the fickleness of colleagues in the Emergency Department, Zhou Can didn''t believe these colleagues would firmly stand by his side and confront the superiors. When the time came, they would all avoid him like avoiding the plague. This is the reality. "Hey, Dr. Zhou, how come you''re not checking the cases in our group today?" Doctor Shan had been working with him for over two months and had come to depend greatly on this capable assistant. Take the thief yesterday, only Zhou Can could have detected the issue. "My... login permissions must have been revoked." Zhou Can said bitterly. "Revoked? That shouldn''t be, there are still sixteen days left in your orthopedic training period, I''ll ask for you." Doctor Shan thought it unlikely. He was ready to call the information department right away. But then he checked the time, and it was only 7:35 am, they definitely hadn''t started work yet. "Don''t worry, when the information management department starts work, I''ll ask for you. For now, use my computer to check out today''s surgical cases. There''s one that requires separation of nerves before osteosynthesis, and I''ll assign you to handle the nerve separation." Ever since Zhou Can had skillfully performed that blood vessel separation. She always assigned Zhou Can to handle more complex tissue separations and free dissections during surgery. Zhou Can had always performed excellently without any mistakes. This made Doctor Shan value and trust him even more. Around eight o''clock, Doctor Yang entered the office. "Doctor Shan, there''s something I need to discuss with you. Your trainee, Zhou Can, might need to be transferred to the outpatient department for training." Doctor Yang spoke very diplomatically. Sure enough, what was to come had come. Fortunately, Zhou Can had already learned almost all he needed to know about orthopedic surgery and the complete perioperative management of patients in the orthopedics department. He was far from expert, but his foundation was solid. "Why is that?" Doctor Shan was extremely surprised by this decision. "This is a departmental arrangement. Dr. Zhou will need to return to work in the Emergency Department in the future, so his training is mainly to prepare him for work in that department." Doctor Yang''s words were very clear. As decisions made by the department heads, they had no right to question, only to comply. "Wait a minute, I''ll call my teacher about this." Director Shan clearly didn''t want to let Zhou Can be transferred. What could a trainee learn in the outpatient department? Without a practicing physician''s license, Zhou Can wouldn''t even qualify to shadow doctors in the outpatient department. He could only work as a guided receptionist or errand runner. This arrangement was clearly targeted at Zhou Can. Doctor Shan''s first thought was that someone was jealous of Zhou Can''s capabilities and was intentionally sabotaging him. Her teacher was no pushover. Even the other senior physicians in the same department, including the head of orthopedics, had to give some respect to her teacher. "Doctor Shan, even if you talk to Director Shen, it won''t help. You should just comply with the department''s arrangement." Doctor Yang''s gaze flickered. "What do you mean?" Doctor Shan was not naive, nor foolish. She was aware of various insides and unspoken rules within the hospital. Sear?h the N?velFire.n§×t website on Google to access chapters of novels early and in the highest quality. "This matter might be out of even our Director You of orthopedics or Director Shen''s hands. Better not trouble Director Shen." He spoke with a very certain tone. At this point, the other doctors present began to understand a bit. Linking Zhou Can''s suddenly revoked login permissions to the new orders for him to work in the outpatient department, it seemed that Zhou Can had offended some influential figures. In the entire surgery department, there were very few with higher status than Directors You and Shen of orthopedics. Zhou Can must have offended a major figure in surgery. "Doctor Shan, thank you for your care and nurturing during this period. ''As the green mountains remain unchanged, and the clear water flows long, we shall meet again.'' I regret that I cannot join you in today''s nerve-separation surgery." After Zhou Can got home yesterday, he thought it through all night. He had considered various possible outcomes. The current result was not yet the worst. Doctor Shan was just a physician; he didn''t want her to be labeled poorly by Director Xie because of this. Her ability was limited; she could not change anything. Chapter 241 - 131: Dimensional Reduction Strike, The Woman with a Broken Bone_3 "Doctor He, thank you for all the help and guidance you''ve given me these past days." Zhou Can had three people in mind that he owed thanks to before his departure. Dr. Hee Zhang from the inpatient department, Doctor Shan from the operating room, and Director Shen. "Brother, every difficulty will pass, hang in there." Dr. Hee Zhang nodded to him. He sympathized with Zhou Can''s situation, but he was powerless to help. And he wouldn''t get involved in this mess. "Doctor Shan, please convey my heartfelt thanks to Director Shen for his guidance and care these past days." After saying this, Zhou Can glanced over the others. He noticed a hint of schadenfreude on the faces of two resident trainees and Dr. Hee. During Zhou Can''s presence, his superiority overshadowed them, but now that he was being transferred, the three saw an opportunity to stand out, hence their joy. "Farewell, my colleagues!" Zhou Can was not too upset by their reveling in his misfortune. Every man for himself, as the saying goes. He could understand their thoughts. Still, iron must be made by one''s own strength. At Tuya Hospital, every new batch of talent was better than the last. If they weren''t hardworking or excellent enough, even with Zhou Can gone, an endless stream of new geniuses would flood in. "Doctor Yang, who should I report to at the outpatient clinic?" Zhou Can looked toward Doctor Yang. "I''ll take you there! You only have to be there before 8 AM to start your shift, and you can leave at 5:30 PM. No need to report to anyone else." This arrangement was nonsensical. It meant that he wouldn''t have a supervising doctor to teach him. Leaving Zhou Can to do odd jobs at the orthopedics outpatient clinic. It was almost like letting him drift aimlessly. "So, what will my duties be at the clinic?" Zhou Can followed Doctor Yang, asking as they walked. "Do what you see needs to be done. For example, if a patient doesn''t know the way to the lab, you show them. Or if patients do not follow the order while waiting, you help maintain it..." These tasks should be the responsibility of guide nurses and security. For him, a doctor, to do this was a waste of talent. Zhou Can was very angry inside. But he didn''t lash out at Doctor Yang; it wasn''t his fault. It was an arrangement made by Director Xie. Soon, Zhou Can was led to the corridor of the orthopedics outpatient clinic. Doctor Yang greeted the responsible doctors and head nurse, informing them that the clinic had a new special resident trainee. The arrival of a new person, especially a doctor, quickly spread throughout the clinic. Mainly because the nurses couldn''t keep their mouths shut¡ªit was truly frightening. Especially the guide nurses, many of whom were hired through social recruitment and not formal nurses. Their work was relatively simple: guiding patients to their consultation. These people varied in quality. Gossip was a common trait among many women. They whispered among themselves, and soon the news of Zhou Can being transferred to the clinic for menial tasks spread throughout the entire orthopedics outpatient department. Some nurses and doctors eyed Zhou Can as if he were a rare species from a zoo. Zhou Can was initially a bit intimidated. With time, he gradually adapted. Mainly because walking through the clinic hallways in a white coat like an idiot was very uncomfortable. Not only was he viewed as a rare animal by nurses and doctors, but also the visiting patient families, and even the scalpers mingled among them, gave him unusual looks. Two hours passed, and Zhou Can remained idle. No one managed him. Utterly free. But also without any tasks assigned to him. Occasionally, patients would ask him for directions or inquire which department to register with, and Zhou Can patiently pointed them in the right direction. Orthopedics was divided into trauma, joint surgery, microsurgery, and more. Different bone diseases required registration at different departments. Wrong registration could have a significant impact. For instance, a broken arm was mistakenly registered under a joint surgery specialist. This doctor might specialize in the diagnosis and treatment of joint-related bone injuries. The treatment plan he offered might differ greatly. Whereas the proper procedure might involve traction before surgery, leading to better results, his lack of specialization could lead to immediate surgery recommendations. Of course, before moving to surgery, the principal surgeon would review the case. But there might be instances where the review was inadequate, leading directly to surgery. Resulting in potential deformities in healing or less than expected functional recovery. Why are appointments with high-demand specialists so expensive? That''s because, besides diagnosing and providing a treatment plan, these experts might also perform the surgeries themselves. Some operations are doable by other doctors but not as impeccably or thoroughly. A surgery done by a specialist could resolve the issue perfectly. So the hundreds or thousands of Yuan for an appointment fee are well-spent. Therefore, for minor diseases, regular diseases, it''s okay to register with a general doctor. That''s because, regardless of the doctor, the treatment methods are quite similar. But with diseases that have been unsuccessfully treated at several hospitals, don''t skimp on the few hundred Yuan for a specialist appointment. Go straight for an appointment with an expert skilled in treating that particular ailment. Being a doctor himself, Zhou Can guiding patients through registration was a stroke of luck for them. "Someone fainted over here¡­ Doctor, doctor..." S§×arch* The N?velFire(.)net website on Google to access chapters of novels early and in the highest quality. Zhou Can followed the sound and saw, in the outpatient hall''s waiting area, a shabbily dressed woman collapsed on the ground. Chapter 242 - 131: Dimensional Reduction Strike, The Woman with a Broken Bone_4 He hurried over to check. He found that the woman''s heart rate and breathing were still present. He was slightly relieved. It was only now that he had the chance to examine the woman. She appeared to be around thirty years old, with a particularly sturdy frame but looked very thin. Her complexion was yellowish, clearly malnourished. Her forehead was covered with cold sweat, her lips pale and somewhat dry. The clothes she wore were obviously cheap, from street stalls. Many areas were faded from washing, and there were even visible mends. On her hands, neck, and ears, there was not a single piece of jewelry. Patients at Tuya Hospital varied widely because of its fame, attracting people from all over the province and even from other provinces around the country. This woman likely came from a rural area. She wore sports shoes that were almost worn through at the soles. What truly moved Zhou Can was her twisted right hand. With his professional medical eye, he could tell immediately that her right hand was severely fractured. S§×ar?h the n?velFire.net website on Google to access chapters of novels early and in the highest quality. As for other injuries, it was hard to say. "Is there any family member present?" After checking that she was not in life-threatening danger, Zhou Can stood up and loudly inquired for any family members so he could further understand the woman''s medical condition. No one stepped forward. "Is this lady''s family member here?" Zhou Can raised his voice. However, the outpatient hall was very noisy, and his voice did not carry far. "It seems she came alone." A woman around fifty years old said. This older woman''s right foot was wrapped in white gauze, and there was a crutch next to her. If Zhou Can was not mistaken, her foot had been cast, possibly due to a fracture or similar treatment. The white gauze had turned slightly black and yellow in places, suggesting it had been a while. She was probably here for a follow-up. The older woman had two people accompanying her, likely sitting here waiting the whole time. Therefore, she knew a little more about this suddenly unconscious woman. "Her arm seems to be completely broken. No family members?" Zhou Can felt that, in times of illness, family should be the most reliable support. "I saw her come in alone to buy a medical record book, fill it out, and register in line. She was alone without any family." The older woman said sympathetically. Zhou Can had no choice but to first get the woman to wake up and ask about her situation. If all else fails, he might need to send her to the Emergency Department. There, they have specific mechanisms to deal with cases where patients come in alone and urgently need resuscitation. Normally, surgery departments do not agree to operate without family consent. But in emergencies where the patient urgently needs life-saving surgery, the department can proceed without family consent, reporting directly to the Medical Department, where department leaders can sign on behalf, and then proceed with the surgery. If it occurs outside of regular hours, they can directly report to the hospital''s deputy director who oversees this, and the department leaders can sign the surgery consent form on behalf. "What happened to this woman?" A nurse walked over. "She suddenly fainted." While responding, Zhou Can began to pinch the woman''s philtrum. This method is fairly effective in awakening patients who are only lightly unconscious and have normal heart rate and breathing. Shortly after, she slowly opened her eyes. "Young lady, what''s wrong?" Zhou Can asked with concern. "I, I feel dizzy, I haven''t eaten anything since last night¡­" she sounded weak and breathless. Not eating for a long time, combined with injuries, can lead to symptoms like hypoglycemia. Fainting from hunger is no joking matter. It really can happen. Zhou Can looked at the nurse, "Could you help me get a boxed meal from the cafeteria? No spicy or stimulating foods like chili and leeks. Her right hand seems to have a severe fracture." Zhou Can pulled out a hundred yuan bill. Fortunately, he had cash on hand. As mobile payments become more convenient, he had been using cash less and less. In everyday life, he mostly chose mobile payments. The nurse looked at Zhou Can a bit surprised, took the money, and went to buy the meal. "Young lady, did you come to the hospital alone?" Zhou Can quickly asked the important question. Mainly because he was afraid she might faint again. Moreover, he did not yet know if she had other fractures, and he dared not help her up. She could only lie on the ground. "Yes!" She softly murmured. Perhaps seeing Zhou Can''s gesture of paying for her meal engendered more gratitude and trust in him. Without waiting for Zhou Can to ask further, she continued, "I was collecting wild mushrooms and herbs on the mountain when I was suddenly attacked by a wild boar, and my arm broke. I think a rib or two also broke. At home, there is only my grandmother, who is over eighty. After getting injured, I didn''t want to worry her, so I just told her I''d be gone for a few days and then came to Tuya Hospital for treatment." "I heard the medical skills here are good, and my injuries would heal faster." Her plight was distressing. The filial piety she displayed further impressed Zhou Can. Chapter 243 - 132: Camaraderie within the Group, Planning a Job in the Manipulation Room From her description, one could basically deduce that this plainly-appearing, sturdy-framed woman must rely on her grandmother for survival. If there were other family members at home, she wouldn''t have come to Tuya Hospital alone with her broken arm. "Did you register?" Zhou Can felt sympathy for this woman. In the hospital, it''s actually common to see members of weaker social groups from society''s lower strata. Within the scope of their abilities, most doctors and nurses would offer some care to these people. "I''ve registered already and am waiting for my number to be called! I don''t know why I just fainted!" As she spoke, she tried to sit up. "Don''t move, don''t move! Rib fractures can easily damage vital organs like the heart and lungs if you move recklessly, and can also worsen the breaks," Zhou Can quickly pressed down on her shoulders. Signaling her to lie down for now. As for why she fainted, it was due to the injury, a significant loss of vitality, compounded with not eating for a long time, leading to symptoms like low blood sugar, which then caused her to pass out. "Which side are the ribs injured? Is it very painful now?" "Right here. I was hit by a wild boar at this spot." She raised her left hand with effort and pointed to the upper left side of her abdomen. Hearing this, Zhou Can had a better idea. "How long have you been injured?" "I got injured yesterday morning. After I escaped home, I first went to a clinic in town. Seeing that I was seriously injured, they immediately suggested that I seek treatment at a major hospital. So, I took nearly a day''s ride to get treated at Tuya Hospital." The injury was still relatively recent. If more than half a month had passed, calluses would have started to form on the broken bone, which would be very detrimental to surgery. Basically, if the fracture is over a month old, many doctors are unwilling to perform surgery. The surgery is difficult and the outcome is often poor. She was so seriously injured yet traveled alone to the provincial city. Judging by her attire, the likelihood of her taking a taxi was almost zero. The probability of her taking long-distance buses and squeezing onto public transport was the highest. His admiration for her perseverance grew. If it had been a more delicate woman, with a broken arm and potentially two broken ribs, she probably would have been lying on the ground groaning by now. "I think I can sit up, it should be okay!" She tried to exert force with her waist again. Zhou Can had no choice but to carefully help her up from the ground and then sit her on a chair. At this point, the nurse came with the food. "It''s a takeout meal, 15 yuan!" She returned the remaining money to Zhou Can. "Thanks for the trouble!" Zhou Can took the meal, opened it, and looked at the nurse. "Her arm is fractured, she must have difficulty eating. Can you feed her?" The nurse slightly furrowed her brows, her face expressing a touch of difficulty. Feeding patients isn''t really part of the nurse''s job description. Those scenes where nurses hold food and carefully feed patients are usually found in TV dramas. S§×arch* The N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. In reality, if a nurse can speak gently to patients and their families, that''s already quite good. Many times, nurses can actually be quite harsh and are very strong in rebuking others. Especially outpatient nurses, very few are meek and easily bullied. "I''m sorry, I have other things to do!" The female nurse found an excuse and left. Zhou Can had no choice but to personally feed the female patient. "I can eat by myself." She picked up the chopsticks with her left hand. Zhou Can held the food container for her, bringing it as close to her mouth as possible. Maybe she was indeed starving. The woman quickly finished the box of food. Zhou Can went to get her a cup of water. After eating, her condition obviously improved a lot. "Give me your registration slip to take a look." Seeing she was without family, Zhou Can decided to help this pitiable woman. After all, he wasn''t busy with anything else right now. It would be better to do a good deed. "It turns out the consulting doctor is Dr. Chi." Zhou Can touched his nose. Outpatient and inpatient departments are two different concepts. Many people think that any doctor has the opportunity to consult, but that''s a big mistake. Not to mention Tuya Hospital, even moderately stronger hospitals have very high requirements for outpatient doctors. To apply for outpatient consultation qualifications at Tuya, one generally needs to be at least at the level of attending physician. Deputy directors and above have a higher chance of getting approved. As for a resident doctor consulting, it''s very rare. Only a very few exceptional individuals, either with high academic achievements or excellent surgical skills, after being evaluated by department heads and reported to the hospital, might not necessarily be approved but at least have the chance to obtain the hospital''s permission to open a personal outpatient clinic number. From this point of view, the path of a doctor''s growth is indeed long and winding. And the income disparities are startlingly large. In the same hospital, a weaker director-level doctor might have an annual income of only around 150,000 yuan. The more capable ones can earn over 600,000 yuan. The salary of Tuya Hospital doctors mainly includes several aspects: rank salary, quarterly bonus, holiday subsidy, annual performance, research awards, workload - these are all openly legitimate income. When added up, there are quite a few doctors with pre-tax incomes exceeding one million yuan, mostly deputy directors and director-level big shots. Right now, Zhou Can only has a pitiful base salary and a little overtime pay. Once he gets his postgraduate training completion certificate, medical practice license, and is employed as a resident doctor by the hospital, he''ll be eligible for bonuses, performance and other income. "Wait here for a while, I''ll go ask if you can be checked out as a priority." Zhou Can told the woman to wait. With such severe injuries and unfamiliarity with the diagnostic process, it would be lucky if she could get her X-rays taken before tomorrow. Chapter 244 - 132: Camaraderie within the Group, Planning a Job in the Manipulation Room_2 Help her out, consider it accumulating good deeds. Zhou Can, holding her registration form and medical record book, headed straight to Clinic Room 2014. The door was closed. Inside, a patient was being diagnosed, while outside, about a dozen patients were waiting for consultation. It seemed these people had relatively early numbers. Zhou Can waited until the patient inside had finished and hurried in. The other patients saw him wearing a white coat, recognized he was a doctor, and didn''t object. "Dr. Chi, sorry to disturb you." Zhou Can prepared himself to be rejected. After all, he was currently being suppressed by Director Xie, and other doctors might very likely show a cold face. They would avoid him if they could, let alone help him. "Dr. Zhou! What is it, tell me!" sea??h th§× N?vel(F)ire.¦Çet website on Google to access chapters of novels early and in the highest quality. Dr. Chi''s attitude towards him had not changed much. This made Zhou Can feel a bit more favorably towards him. Actually, the two of them usually only became familiar in the operating room or during case discussions. "This patient just fainted outside. She has fractures in her arm and ribs, and is a woman from the mountains without any accompanying family members. Could you possibly let her skip the line for priority diagnosis?" As Zhou Can said this, he was actually quite nervous. Asking for help is like swallowing a three-foot sword. He was barely able to protect himself, let alone ask for special treatment for a patient here; Dr. Chi could have easily refused. "Let her come in, no need to wait for her number to be called, she can come in right now." Dr. Chi readily agreed after hearing this. This made Zhou Can very grateful. "Hurry up! Your time in the clinic also presents many learning opportunities, like in the manual reduction room." At this moment, in the room besides Zhou Can and Dr. Chi, there was one patient and two family members. Dr. Chi spoke somewhat cryptically. But he must have already known about Zhou Can''s predicament. "I''m not familiar with the doctors in the manual reduction room!" Zhou Can had also considered this path. His Bone Setting Skill could certainly use some practice during this opportunity. But the world can be cold; why would the doctors in manual reduction room give him a learning opportunity? "You''ll understand once you go. The doctor on duty today is Dr. Fu Zhi''an, he was previously a student of Director Shen. He''s considered half a doctor in our group." While Dr. Chi said this, he winked at Zhou Can. The expression was quite mysterious. Zhou Can wasn''t foolish, he quickly grasped much from his words. Director Xie required the departments below to cooperate to suppress Zhou Can, to curb this monster and prevent his rise. However, people are emotional and have a conscience. Officially acting according to Director Xie''s instructions, providing Zhou Can a small convenience within reasonable bounds and forming a good connection was actually quite a nice idea. It would let them feel at ease with their conscience, and should they fall on hard times or need help later, they might receive Zhou Can''s reciprocation. This willingness to take a small risk was mainly because of Zhou Can''s extremely astonishing potential. Potential, invisible and intangible, yet a major weapon in interpersonal relationships. Imagine your neighbor is an orphan, only eight years old, his parents died in an accident. This child is very sensible, always ranking first in his school. Would you be willing to help this child? The answer is definitely yes. Conversely, if the child is unruly, a Demon Lord of Mayhem, causing trouble daily, stealing and performing poorly in school. You would undoubtedly avoid him at all costs. In the two months of his orthopedic training, Zhou Can showed extremely stunning potential and was impeccable in his personal conduct. Director Shen liked him, so did Dr. Shan and Dr. Chi. Fellow attending doctors in their group should have no reason to dislike him. Doctors in the manual reduction room should specialize in bones and joints, which is why Dr. Chi said Dr. Fu Zhi''an is only half a doctor in their group. Zhou Can brought the woman into Dr. Chi''s clinic room. Dr. Chi performed a simple physical examination on her and issued a request for tests. Blood routine and X-ray, which are also the most basic routine tests. Some hospitals might have revenue targets or test indicators to meet. Doctors might prescribe more tests. Regardless of whether it''s a major or minor illness, they would follow the routine testing protocol. Patients aren''t foolish, despite being vulnerable, might avoid this hospital next time. Overtreatment is a global phenomenon. In developed countries, patients without health insurance basically dare not go to the hospital if they fall ill. Treating an illness could lead to bankruptcy. This isn''t an exaggeration. The consumer mindset in foreign countries is inherently different from China, they tend to spend in advance. Ordinary families basically have no savings. A slightly serious illness can bankrupt them. However, developed countries have fairly robust health insurance systems. The reimbursement rates are quite high. This is also why people in developed countries especially fear unemployment. Because unemployment means possibly starving the next month, and various insurances also getting discontinued. This is a very terrifying situation. Zhou Can led the woman to pay the test fees first, then took her to get a blood test and queued for the X-ray. He was just a trainee now; being able to pull strings in the clinic room and ask for a favor was already not easy. Then to go to the overly patronized medical tech department to pull strings for special treatment, that was unrealistic. Just wait honestly. "Miss Wei, is it just you and your grandmother at home?" Zhou Can chatted with her. "Yes! My parents divorced when I was very little, and my dad died from a fall off a cliff while chopping wood in the mountains when I was five. We were poor and couldn''t afford treatment, so he died the day after being brought home. It was my grandmother who raised me by herself." Chapter 245 - 132 Camaraderie in the Same Group, Scheming for a Job in the Manipulation Room_3 No wonder she had such deep feelings for her grandmother. The string always breaks at its weakest, and misfortune always seeks out those with hard lives. This female patient is named Wei Fang, who lost her parents'' love from a young age and is a child with a tough fate. "What do you usually do at home to make money? Digging wild mushrooms and medicinal herbs?" "Um!" She doesn''t seem to like talking much. It might also be related to her broken ribs. Generally speaking, when ribs are fractured or injured, coughing or speaking can aggravate the injury and cause pain. But so far, she hasn''t made a single grunt of pain or cried out. I feel that her right arm fracture must be quite severe. The situation of her ribs will need to wait for the results of the X-ray to become clear. "Digging wild mushrooms and herbs probably doesn''t make much money, right?" Zhou Can asked again. "If I''m lucky, I can make two to three thousand yuan a year." She reported an income figure embarrassingly low, that it was almost shocking. On average, that''s less than three hundred yuan a month. And that''s when luck is on her side. Otherwise, the income would even be lower. "Have you thought about going to the city to work? Even if you work in a factory, you would make at least three to four thousand yuan a month." "My grandmother is old and needs someone to take care of. I''m not at ease going out to work." The reason she gave was somewhat expected by Zhou Can. People in the mountains are often particularly simple and honest. They place a lot of importance on kinship. Especially when it comes to the grace of their parents'' upbringing, they regard it higher than the sky and deeper than the ocean. Wei Fang was almost entirely raised by her grandmother, the two of them depending on each other, so her feelings for her grandmother are deeper than anyone else''s. Her reluctance to leave her grandmother and work in the city was therefore understandable. "Now that you''re so seriously injured, you''ll need at least two to three months to recover. What do you plan to do during this time?" "I... I don''t know. First, I''ll get surgery at the hospital, stay for a while, and once my injury stabilizes a bit, I''ll go home to recuperate." She thought for a moment before answering. Zhou Can nodded and said no more. Nearly an hour later, her test results came out. Four of her ribs were broken, two of them completely detached. This was a very frightening injury. According to Zhou Can''s professional medical knowledge, she not only needs hospitalization but is also likely to need thoracic surgery to reattach the broken ribs and provide internal fixation. If surgery is not performed, the detached ribs could easily puncture her internal organs. Even just affecting her lungs, it could lead to severe symptoms like intense coughing, lung inflammation, and fluid accumulation. Moreover, without surgery to properly reattach the fully detached ribs, there could be deformed healing. The impact on her later life would be tremendous. Then looking at the X-ray of her right arm. The ulna fracture is also very serious. The fracture line is clearly visible, and this likewise requires surgery. Merely applying a cast for external fixation would lead to poor treatment outcomes. And might even result in disability of her right hand. "Dr. Zhou, is my condition serious?" The woman is not stupid. When Zhou Can took her ID card to help her print the X-rays from the self-service machine, she saw Zhou Can''s expression turn very grave. S§×arch* The N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. "Your injuries are very serious. Four of your ribs are broken, and two are completely detached. The ulna and radius in your right arm are completely fractured. Dr. Chi will discuss the specific treatment plan with you. Although this outcome is a bit bad, you''re very lucky to have survived the attack from that big wild boar." Zhou Can could only comfort her in this way. Mountain folk have an old saying: a boar, then a bear, then a tiger. The fighting power of an adult wild boar is extremely frightening. With long tusks, like two daggers. It''s snout could throw a person meters away. A direct charge could break trees as thick as a bowl. Zhou Can led her to Dr. Chi''s outpatient office before leaving. That''s about all he could help her with. He unconsciously walked towards the manual reduction room. Thinking that if it really was as Dr. Chi said, getting a learning opportunity in the manual reduction room would be great. The manual reduction room is located within the orthopedic outpatient waiting area. Outside, a sparse group of a dozen or so patients and their families were gathered. From the reduction room came the loud crying and screaming of a child. During manual reduction, no anesthetics are used, and the pain during the process often overwhelms many patients. Zhou Can squeezed in and saw an eleven or twelve-year-old chubby boy, almost 1.6 meters tall. In these days, children have generally good nutrition and mature early. A female nurse, the boy''s mother, and a young male doctor, none of the three could hold him down. And there was a middle-aged male doctor with graying temples, probably in his forties. He was performing a shoulder joint manual reduction on the boy. For many boys, dislocating a shoulder once or twice is simply part of boisterous childhoods. Zhou Can saw an opportunity. He hurried forward to help hold the boy down. Being a practitioner, his strength was greater than the combined efforts of the female nurse and the boy''s mother. The young male doctor was also far behind him in strength. With his strong intervention, the crying and struggling boy was immediately secured. The middle-aged male doctor, who was performing the manual reduction but was unable to continue due to the boy''s intense struggles, turned and looked at Zhou Can. "You''ve got some strength! Finally held this calf down!" The middle-aged male doctor should know who he is. He smiled at him and gave a compliment. "Excuse me, are you Doctor Fu?" Zhou Can took the opportunity to ask. "Ah, I am Fu Zhi''an! I''m basically in charge of the manual reduction room." The middle-aged male doctor nodded slightly. His tone and attitude were friendly. "I''m Zhou Can, just transferred to outpatient residency. I''ll be counting on Dr. Fu''s guidance in the future." Zhou Can fully demonstrated his thick-skinned approach. Opportunities, after all, should be actively sought after. "No problem! Whenever you have time, you can come here and help out. We often have some underage patients who don''t cooperate with the treatment, and we need a strong assistant like you to help secure the patients." Dr. Fu readily agreed. Without even hesitating. Indeed, just as Dr. Chi said, as long as Zhou Can came over, he would be looked after. Chapter 246 - 133: Silently Leveling Up and Earning Experience, Hired a Bodyguard Zhou Can firmly controlled the upper body of the boy. This little boy was particularly fierce, besides shouting and struggling desperately, as soon as Doctor Fu moved his dislocated arm, he would crazily bite people. These days, uncontrollable brats are all spoiled by their parents! "Doctor Zhang, hold down his head so he doesn''t bite anyone." The young doctor was not as strong as Zhou Can, so it was a good arrangement to have him control the child''s head. "You two each grab one of the child''s legs to prevent him from kicking." The female nurse and the boy''s mother each grabbed one of the boy''s legs. Currently, the child was sitting up for the treatment. It was also an ideal position for shoulder joint reduction. With the boy fully under control, Doctor Fu could finally properly perform the reduction technique. He grabbed the boy''s arm and slightly rotated it to help relax the shoulder muscles. Zhou Can closely observed Doctor Fu''s reduction technique. It was exactly the same as the shoulder joint reduction technique performed by Doctor Shan in the operating room that day. After finding the right bone position, he suddenly exerted force and pushed the arm upward. "Crack!" The joint was successfully reset. "Ah... it hurts..." The boy struggled violently, his eyes fiercely menacing. The mother holding his legs, whether lacking strength or overwhelmed by pity for her son, was overpowered by the boy''s struggle and fell backwards to the ground. The female nurse didn''t fare much better. After breaking free, the boy kicked squarely at the unguarded Doctor Fu. Bang! Fortunately, Doctor Fu reacted quickly, using his hand to protect his groin. Otherwise, that kick could have ended his chances of fathering children. "Ugh!" Doctor Fu let out a pained grunt. "Hey, what are you doing?" Zhou Can scolded the boy angrily. Such a fierce child was really rare. A doctor was treating him and he still struck with lethal force. The kick could have targeted Doctor Fu''s knee or other parts, but he targeted the most critical area for a man. So malicious. If the parents continue to indulge him, this child will surely become unusable in the future. "Sorry, the child is ignorant, I''m so sorry!" The boy''s mother immediately protected her child. "Did he injure you?" Only after protecting her child did she inquire about Doctor Fu''s injury. As she feared that Doctor Fu would hit the child in his irritation. "This little guy kicked quite hard!" Doctor Fu rolled up his sleeve, only to see a large bruise forming on the back of his right hand. He estimated he was sweating from shock. Luckily, he managed to block with his hand, otherwise his lower body''s future happiness might have been compromised by that kick. "I''ll definitely educate my son properly at home. He is usually very obedient and sensible, just now he probably went crazy from the pain. Why don''t you go get checked first! I''ll cover all the treatment costs." The fact that the boy''s mother proactively offered to cover the treatment costs showed she was still a person of propriety. Her attitude was quite sincere. It''s really confusing, how could educating a child turn into limitless indulgence and pampering? Doctor Fu, being an orthopedic surgeon himself, felt his injured hand and thought the problem wasn''t serious. He suggested letting the matter go. The boy, having kicked someone, might have been a bit frightened himself, hiding behind his mother. Doctor Fu worried that the boy''s just-relocated shoulder joint might dislocate again. He asked Zhou Can and Doctor Zhang to make a sling for the boy''s arm, suspending it around his neck. They also prescribed some medicine. When leaving, the boy''s mother forcibly handed over two hundred yuan as some compensation. This little incident was thus over. A new patient entered the bone setting room. She was a younger woman who had sprained her right foot. After an X-ray, it was found to be only a minor fracture. The doctor advised her to come to the bone setting room for on-the-spot treatment. Doctor Fu looked over the X-ray. He provided the bone setting recommendation and then suggested a plaster cast for recuperation. The woman agreed. But when he began the bone setting on her, his face showed a hint of pain. "Your right hand must have been injured by that boy''s kick. Using it forcefully will exacerbate the bruising. Why don''t you instruct from the side, and I will do the bone setting and plastering?" Zhou Can volunteered to share the treatment task. "Okay!" Doctor Fu gave up his position. The woman''s expression was somewhat reluctant. S§×arch* The N?vel(F)ire.n§×t website on Google to access chapters of novels early and in the highest quality. But in the hospital, patients really dare not say anything to offend the doctors. Seeming to notice the woman''s concerns. Doctor Fu reassured her with a smile, "Don''t worry, although Doctor Zhou looks young, he is one of our orthopedics department''s most outstanding young doctors. Your reduction is quite simple, there''s no difference between his work and mine." In front of the patients, doctors and nurses are a united front. They always speak well of their colleagues at any time. This is also fundamental professional ethics. Disparaging each other in front of patients is unimaginable. Department heads and hospital management would never allow such things to happen. The female patient dispelled her doubts and comfortably accepted the treatment. Under Doctor Fu''s guidance, Zhou Can held the woman''s foot, gently massaged it, and then forcefully twisted it back in place. "Ouch... it hurts, it really hurts..." The woman was in so much pain that she almost cried tears. [Bone Setting Skill Experience Points +1.] Zhou Can was secretly pleased, perfectly executed in one go. "Good, the reduction was well done. Doctor Zhang, come help with plastering and secure her foot." The young Doctor Zhang''s plastering technique was not as good as Zhou Can''s. At best, he was at an outstanding intern level. Zhou Can was now at the level of a lower resident doctor. Chapter 247 - 133: Quietly Leveling Up and Earning Experience, Hired a Bodyguard_2 Among the two, the superior and the inferior were quickly determined. Doctor Fu was pleased to see how adept Zhou Can was at casting, following standard procedures to the letter. It was a good thing to have such a capable assistant. Soon after the patient was treated and left. Another patient arrived. A dislocated wrist. Caused by a fall while riding an electric scooter. Zhou Can once again asked to take on the task and, under the guidance of Doctor Fu, took three tries to successfully relocate it. The wrist joint and skeletal structure are extremely complex, and the difficulty of repositioning this area is on par with that of the ankle. For a novice like Zhou Can, managing to successfully relocate it in just three tries was quite impressive. [Bone Setting Skill Experience Points +1.] [First-time high-difficulty wrist joint relocation, experience points reward +10.] [Congratulations on advancing your Bone Setting Skill to Level 2.] Zhou Can hadn''t expected to reach Level 2 so quickly. Being demoted by Director Xie and sneaking into the surgical relocation room turned out to be a blessing in disguise. It was a perfect chance to advance the Bone Setting Skill to above Level 3. Any medical skill requires at least Level 3 to begin to grasp the nuances. And only at this level does one truly qualify to practice on patients. From the perspective of safety, interns and standardized training residents shouldn''t really be qualified to perform procedures on patients. Generally, at these two levels, senior doctors would suggest observing more and practicing at home with tools. For example, with the Bone Setting Skill, there are specialized skeletal models for purchase. These models can be used to practice the bone setting reposition technique. After advancing his Bone Setting Skill to Level 2, Zhou Can had made significant progress. Both theoretical knowledge and practical operation had greatly improved. If he were to perform the wrist joint setting again, he was confident that he could succeed on the first attempt. Reflecting on the previous operation, the areas that were lacking became clear. "Doctor Fu, does he need external fixation?" "For just a joint dislocation, no external fixation is needed after successful relocation." Doctor Fu was quite satisfied with Zhou Can''s operation. "I''ll prescribe some medicine to strengthen the tendons and bones. Follow the doctor''s orders when taking it. This hand, you should not lift heavy objects or do any violent movements for the next one or two months, or it could easily dislocate again." He instructed the patient. The patient dutifully committed every word to heart, nodding in agreement. Tuya Hospital saw an enormous patient volume each day. sea??h th§× n?vel_Fire.¦Çet website on Google to access chapters of novels early and in the highest quality. Patients were ceaseless, coming in droves. Zhou Can, working in the repositioning room with Doctor Fu, was overjoyed. Sometimes, when they encountered a more difficult operation, or after treating two or three patients in succession, Zhou Can would proactively let Doctor Zhang take over. He couldn''t let himself reap all the benefits alone. Because of his humility, willingness to learn, and tact in his actions and speech, he managed to get along reasonably well with Doctor Fu and Doctor Zhang. Especially Doctor Fu, who watched Zhou Can''s rapid progress with great fondness. He took a liking to this young standardized training resident. When explaining the key points of repositioning techniques, Zhou Can often grasped them immediately. In comparison, Doctor Zhang clearly had much less innate understanding. However, Doctor Zhang had a graduate degree and a deep research background in human osteology. His explanations of theoretical knowledge were immensely helpful to Zhou Can. Zhou Can held a great deal of respect for Doctor Zhang. ... Unknowingly, it was already past twelve noon. Patients were endless. The repositioning room''s hours aligned with the outpatient clinic''s. From twelve to one-thirty in the afternoon was rest time. "Everyone go have lunch and take a break!" Doctor Fu Zhi''an''s hand had a swollen bruise, which prevented him from performing repositioning on the patients afterwards. "I need to buy some medicinal lotion and rub it in. That kid''s kick almost did me in. Nowadays, kids are just too spoiled by their parents." He shook his head and left first. The nurses were the last to leave. Zhou Can initially planned to go to the cafeteria with Doctor Zhang. But it seemed the latter was avoiding him. Claiming to need the restroom, Doctor Zhang disappeared in the blink of an eye. It is human nature to seek fortune and avoid disaster. Zhou Can didn''t blame him. The orthopedics department moved him to outpatient training without assigning specific tasks. Anyone with a bit of sense could see what was going on. Everyone feared bringing trouble upon themselves, distancing themselves from him when it wasn''t work-related. It''s a move to protect oneself. After eating, Zhou Can had no place to go. He simply returned to the orthopedic outpatient clinic, planning to read medical books on his phone. Given his sensitive status, staying in the doctor''s office would only make the atmosphere awkward. This is why you do not want to offend the leadership. The leaders don''t even need to oppress you actively; they just need to make their disdain for you public. Then, other colleagues will immediately distance themselves from you. "Hmm? Why hasn''t that woman completed her hospital admission for treatment?" Right when Zhou Can arrived at the orthopedics outpatient waiting hall, he saw the woman from the mountains sitting alone in the resting area. "Wei Fang, have you had lunch?" Zhou Can asked. She looked like a thirty-year-old woman, but she was only twenty-one. Quite young, actually. Women from mountainous areas lived in harsh conditions, often exposed to the sun and engaging in heavy labor, so appearing older was normal. Their skin, aura, and style were far below those of women from big cities. Women living in big cities, some without a care for food and clothing, take good care of themselves, appearing twenty-five or six at the age of fifty. Chapter 248 - 133: Quietly Leveling Up and Earning Experience, Hired a Bodyguard_3 Wei Fang''s appearance was decidedly ordinary. She definitely couldn''t be described as beautiful. "No!" She shook her head at Zhou Can. "Right, I haven''t given you the money for the meal I bought for you earlier." She was holding two crumpled banknotes in her left hand. It was clear that she had prepared them in advance and had been holding onto them all this time. Was she sitting here the whole time just to return the meal money to Zhou Can? "It''s just the cost of a meal, don''t worry about it. Consider it my treat." Zhou Can refused to take her money. He did not lack money, rather it was this poor woman who seemed to be in financial difficulty. "You''re a good person, thank you. If you ever come to my hometown one day, I will treat you with the best food from my home." Since Zhou Can was resolute in not accepting, she did not insist further. It was visibly painful for her to move; raising her arm seemed to have strained her broken ribs, a pained expression appearing on her face. "Have you completed the hospital admission procedures?" asked Zhou Can. "No. My surgery costs over two hundred thousand, which is too expensive. I''m planning to go home and recover. I was about to leave, but I wanted to return your meal money first. I didn''t know where to find you, so I had to wait here." For her, over two hundred thousand yuan was certainly an astronomical amount. "Your injury is so severe, how can you not treat it? There''s a chance you could end up disabled, you know?" Zhou Can saw such cases almost every day at the hospital. People didn''t have money for treatment or found the medical costs too expensive and their families gave up on treatment. Some children, upon hearing that the treatment costs hundreds of thousands and might not even save their parent, would directly ask the doctor to stop the treatment. It was both desperation and selfishness. A mother raises seven children, but seven children can hardly support a mother. This is a realistic situation often seen in today''s society. "Dr. Zhou, thank you for your concern. I really can''t afford that much money. Dr. Chi said that as long as I take care of myself, my bone injury should not be life-threatening even without treatment." She struggled to stand up. "Goodbye!" She walked towards the exit, dragging her seriously injured body. Zhou Can watched this scene, feeling quite distressed. He could afford the two hundred thousand. But he was no relation to this woman, nor was he a savior. There were too many people needing help in the hospital; he couldn''t save them all. Just then, he thought of something. "Wei Fang, wait a moment!" She turned around with difficulty and looked at Zhou Can. "Do you have something else?" "I want to ask if I were to front the money for your treatment, and then after your injury is healed, you would work as a bodyguard for my girlfriend¡ªwould you agree? Of course, the treatment cost would be gradually deducted from your monthly salary." Zhou Can had a knack for martial arts and could sense that even though this woman hadn''t trained, she had good physical quality. She had survived an attack from a wild boar, which clearly showed how excellent her skills were. A mature wild boar in a frenzy would scare away even the largest Siberian tiger. The world''s top boxer might be formidable? In front of a tiger, he''s just a snack. So, never assume humans can outfight wild beasts. Normally, a single gray wolf can easily kill a grown man. Zhou Can had been considering finding a bodyguard for his girlfriend for a long time. Hiring a male bodyguard wouldn''t pose concerns about strength, but he feared being cuckolded accidentally. It is necessary to nip possible issues in the bud. A female bodyguard would be ideal. There are specifically trained female bodyguards in security companies, but their prices aren''t affordable for ordinary people. This girl from the mountains seemed like a good candidate. Judging from some of her actions, she was simple-hearted and kind; generally, filial people, whether male or female, tend to have good character. And, her martial skills appeared to be quite good. Hiring her to protect Su Qianqian would be a very good choice. "I, I need to take care of my grandmother at home and can''t afford to be too far away." She appeared somewhat tempted by Zhou Can''s proposal. Only in her twenties, who would willingly choose to become disabled if there were options? "Don''t worry, when the time comes, we''ll bring your grandmother to the city to live. This way, you can both earn money and take care of your grandmother." Zhou Can waited for her to make a decision. She lowered her head to think and finally made up her mind. "Can you... give me a salary of 3000 yuan a month? The cost of living in the city is too high, I''m afraid I can''t support my grandma." "As long as you work diligently, I''ll give you a basic salary of 5000 yuan a month, bonuses will be calculated separately." Zhou Can said with a smile. Growing up with his parents, he learned some techniques and arts of employing people. For example, when planning to give a salary of 10,000 yuan, the basic salary can only be set at 5,000 yuan maximum. The remaining 5,000 yuan would be set as a bonus. Only by performing well could one receive it. In doing so, it can fully motivate employees'' enthusiasm for work. "That''s great! I agree." She seemed especially happy to hear she could get 5,000 yuan a month. Money is indeed a good thing. Money can make the devil turn the millstone. Very few people could resist its temptation. "But... I''ve never been a bodyguard before, what if I can''t do it well, how will I repay your money?" She was somewhat worried. "That you thought of this demonstrates you''re a sincere, kind-hearted young woman. Don''t worry, I see you have good physical condition, and we can teach you when necessary. Just learn diligently and work hard, you will definitely do well." Zhou Can saw her agreement, taking the opportunity before she started the job. He drafted an agreement on the spot, asking her to sign and provide a fingerprint. Then he provided her with advance medical treatment fees, hired a carer, and thus she was admitted to the hospital. ... Days passed by one after another. S§×arch* The ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. After Wei Fang''s hospitalization, Zhou Can talked to Director Shen who promptly arranged her surgery. The operation was carried out the next day, personally performed by Director Shen. It was heard that a doctor from Cardiothoracic Surgery was also involved in the surgery. Fortunately, the operation was very successful. Her body was also recovering quickly. Zhou Can, in the Orthopedics clinic, had also quite fruitful days. His Bone Setting Skill''s Experience Points were rapidly increasing. He learned quite a bit about various fractures, joints, and spine repositions. Originally, he thought if he could advance his Bone Setting Skill to Level 3 in sixteen days, he would be fully satisfied. But to his surprise, within just five days, his Bone Setting Skill successfully advanced to Level 3, truly reaching Resident Doctor level. Doctor Fu Zhi''an noticed his excellent aptitude, and his bone resetting technique improved by the day. Even surpassing Doctor Zhang in skills. As a result, Doctor Fu gave Zhou Can more hands-on training opportunities. Thus, Zhou Can''s Bone Setting Skill''s Experience Points increased even more terrifyingly. Today is the eighth day, by the end of the shift, he successfully performed bone repositioning for total twenty-three patients. Sometimes, after bone repositioning, some patients also needed plaster for fixation. He could thereby also earn 1 point of Experience in External Fracture Fixation Technique. The suppression from Dr. Xie had, instead, become a sort of completion. "Dr. Zhou, at your rate of progress, you might just need a month to independently complete most of the bone repositions. You are the most talented doctor I''ve seen." Doctor Fu had sustained a hand injury a few days ago and could not exert too much force. Many bone repositions were completed by Zhou Can or Doctor Zhang. These days, Zhou Can''s improvement was clearly visible to him. Having such a strong assistant to share the burden, he couldn''t be happier. At that moment, Zhou Can''s phone rang. He looked down and was surprised to see that Director Lou from the Emergency Department was calling. "Hello, Director Lou!" Zhou Can had great respect for Director Lou. "Come to the hospital office immediately." From the tone of Director Lou, it sounded urgent. But his personality had always been rather hasty. "Okay, I''ll be right there." Zhou Can was privately puzzled, wondering why he was suddenly being called to the hospital office? In his memory, the hospital office was a high-level place. Let alone a junior trainee; even Chief Level doctors rarely went there. Not to mention, merely encountering a hospital-level leader was enough to make one feel weak and anxious. The Medical Department, more like a local government office. The hospital office was one of the central government offices. Though both led by the hospital director, the difference was quite significant, with completely different functions. Be it fortune or misfortune, can''t be avoided; arriving there, he would naturally find out what it was about. Chapter 251 - 135: Disarming with a Single Move, Her Longing Director You suffered a severe blow this time, truly falling into a terrible misfortune. Because Director Xie''s rank and status were very high, Director Fang could not directly criticize Director Xie. He could only implicitly express the hospital office''s opinions through a show of force, as in killing the chicken to scare the monkey, or making a calculated demonstration to intimidate others. After Zhou Can left the hospital office, he looked at Director Lou with immense gratitude. "Director, thank you for standing up for a nobody like me." He did not address Director Lou by name but used the more affectionate title of ''Director.'' It was also to show his heart, that he belonged to the Emergency Department. "Do you still know I''m your director? What did Dr. Xu tell you before you left? If you are wronged outside, you can always return to the Emergency Department, your maternal home, to find support. Do you not think of the Emergency Department as your maternal home? Or are you worried that the Emergency Department is too weak to have your back?" Director Lou was quite angry. Yet, the words spoken only moved Zhou Can so much that his nose became sour. It was a fact that the maternal home was weak. But today, Director Lou showed him the maternal home''s stance. Even in the face of a formidable adversary like Director Xie, Director Lou was willing to ''come out fighting from the coffin,'' straightforwardly bringing a resignation letter to confront Director Xie. How firm was this determination? Director Lou could actually choose to ''lie low,'' because after all, as a head of a major department, with status and income not as good as most, he still had a more comfortable life than the vast majority of doctors. He resolutely stood up in order to tell Zhou Can "even if the maternal home is weak, it will protect you with all its might." "Study hard and work hard in surgery. Director Xie places interests above everything. Although he has promised under pressure to stop making things difficult for you, there will definitely be small moves, and they will be more concealed. If you suffer any unfair treatment, feel free to report to either me or Dr. Xu at any time." Director Lou also knew that Zhou Can was closer to Dr. Xu. "Off work then!" Director Lou patted his shoulder and walked away. Zhou Can watched Director Lou leave until he turned around. This was respect from the heart. One had to admit, Director Lou''s actions today genuinely touched Zhou Can. Some people like to use sweet words to express sincerity, others prefer to prove their feelings through actions. Only today did he discover that Director Lou was actually a man of few words. Zhou Can took out his phone to check. He felt it vibrate several times while sitting inside in the meeting. Someone must have been sending him messages frequently. "Dear, it seems like a man with a duckbill cap is stalking me!" "I''ll be at your hospital entrance in about seven or eight minutes." "That person is driving a black Volkswagen car, following the taxi I took. I''m a bit scared." "Off work yet? Can you meet me at the main entrance of your hospital?" He received a total of four messages from Su Qianqian. The earliest one was sent half an hour ago. She must have just got off work and took a taxi to have a private meeting with Zhou Can. Su Qianqian had quite a wealth of social experience. If she didn''t feel danger, she wouldn''t send messages to Zhou Can asking for help so frequently. She''s never been a delicate girl. On several occasions, she was followed by gangsters and even blackmailed, but she only told Zhou Can after the fact. That''s also why Zhou Can was eager to find a female bodyguard for her. "Send me your location, I''ll be right there." S~ea??h the nov§×lF~ire.net website on Google to access chapters of novels early and in the highest quality. A surge of anger rose in Zhou Can''s heart. There are always some social scum who think about doing evil all day. Su Qianqian is now quickly becoming popular on various entertainment platforms; she opened a personal TikTok account at the end of last month. She had a total of six live sessions, breaking through two million followers, and the peak viewer count during lives is consistently around 180,000. According to her own description, she can gain three to four hundred thousand followers every day on TikTok. Especially when doing live broadcasts, that''s when the followers increase the fastest. Zhou Can doesn''t know much about these things, so he doesn''t have much of an idea. He''s just happy to hear that his girlfriend''s career is getting better and better, and she''s becoming more confident, which makes Zhou Can very happy for her. Su Qianqian quickly sent a location coordinate over. It was very close to the hospital. Zhou Can was already running towards the main entrance of the hospital. "Just turn on location sharing!" Zhou Can directly requested to share location with her. Both rushed towards each other. Soon after, a taxi stopped steadily at the hospital entrance. Su Qianqian opened the door and stepped out of the car. Loose Korean-style clothes and sunglasses were her standard wear when she went out to meet Zhou Can privately. Being a celebrity is actually quite tough. You must guard against omnipresent paparazzi, sneaky photography, and unpredictable danger. Many people think that celebrities are particularly wealthy, like a mobile ATM, and various criminals are endless and hard to guard against. "Can!" Su Qianqian, seeing Zhou Can running over, happily waved at him. She was paying the taxi fare, asking for a receipt. A black Volkswagen car sped over, then after a sudden brake, steadied and stopped behind the taxi. Zhou Can''s eyes narrowed as he focused on the car. A Volkswagen Phideon, priced at around 400,000 yuan. Indicating the person was not poor. There were three men in the car, both the driver and the passenger seemed very young, not over thirty years old. No wonder Su Qianqian felt scared. Three strong men, fully capable of forcibly putting her, a frail woman, into the car and taking her away. The young man on the passenger seat got out of the car quickly, and then respectfully opened the rear door. A man emerged from the back seat, wearing sunglasses, his hair slicked back with gel in a very ''wow'' style, dressed in a black suit, with shiny leather shoes. Chapter 252 - 135: A Move to Dislocate the Arm, Her Yearning_2 This outfit, far from looking like a boss, you''d be mistaken for a bodyguard or some big shot mobster. And there''s another thing that''s particularly hilarious. Driving a car worth around 400k, complete with a driver and assistant, seems more like you''re trying to pass for a wealthy tycoon, but because the gear doesn''t live up, the effect falls flat. "Does Miss Su often come to Tuya Hospital just to see this doctor?" The man with sunglasses walked straight over, fixing his gaze on Su Qianqian. "Can I help you gentlemen?" Zhou Can utterly ignored the man''s muscular build. After all, truly skilled fighters are never muscle-bound brutes. But well-developed muscles can significantly enhance one''s ability to take a hit. A normal person might break ribs with a kick to the waist. But a muscle-bound hulk, even without using arms to guard it, could take a kick without much damage. Su Qianqian was half-hiding behind Zhou Can, a natural instinct when facing danger. In her eyes, Zhou Can was like the sky itself. He could provide her the greatest sense of security. "Heh, nothing serious, just that we brothers are worried. Miss Su''s career is soaring, trending on all the major networks. If someone finds out Miss Su''s got a boyfriend, heh heh, that''d be some juicy gossip!" The middle-aged man slicked back his greasy, shiny hair. "Is there anything else?" Zhou Can immediately understood - they were just some societal scum looking to extort easy money. He never wasted words on such people. Nor showed any weakness. If you do, these types will suck you dry like bloodsucking flies, relentlessly. Facing any criminal activity, never compromise if you can help it. Otherwise, if they can bully you once, they''ll do it again and again. In schools, some well-behaved kids get extorted by bullies, give money once, and then countless times thereafter. Girls who are harassed by hoodlums, keeping silent out of shame or fear of retaliation, fail to call the police immediately. Later, they get bullied time and again until they ultimately become toys for the thugs. "Kid, who do you think you''re talking to?" snarled the flunky who pulled the car door, pointing a finger at Zhou Can. "Scram!" Zhou Can didn''t bother with any further words. "Cussing at whom, eh? Believe it or not, we brothers can cripple you!" This punk, just like a fierce dog, face ablaze with belligerence. His finger almost poking Zhou Can''s nose. But luckily for him, he never made contact - otherwise Zhou Can would have taught him how to behave, on all fours, in the very next second. "Qiangzi, don''t scare them. Miss Su here is a superstar, timid by nature. And the boyfriend she found, all tender and soft, looks just like a little lamb in society." After pulling Qiangzi back, the middle-aged man looked towards Su Qianqian, hiding behind Zhou Can. "Miss Su, we don''t ask for much. Seeing that a big star like you doesn''t even have a bodyguard, us brothers would like to join your ranks for a living. Whenever you go out, we''ll escort you, ensuring your safety. We''ll take care of all the punks and societal men who have designs on you." That was the middle-aged man''s scheme. Zhou Can''s parents ran a factory and had dealt with such people before. A bunch of local idlers claimed they''d work as security for the factory. After his father refused, they started creating all kinds of lowlife trouble. Zhou Can''s father had some influence locally. He invited a reputed local tough guy and the head of the county police station for a meal¡ªto which those jobless youths were ''invited'' as well. The purpose was clear¡ªto let the troublemakers weigh their own clout. During the meal, both the tough guy and the police head made their stance clear: anyone causing trouble would be dealt with. Since then, no idlers dared to trouble Zhou Can''s family factory, which has operated smoothly to this day. Zhou Can didn''t care where these three came from. He was a small-time doctor in the provincial city, with limited influence. He couldn''t use his father''s tactic¡ªhe didn''t have the power. For now, he could only take one step at a time, starting with a firm rejection. After all, it is a society ruled by law; with cautious handling, he was confident to eventually make these people drop their sinister schemes. "We don''t need any security guards, goodbye!" Zhou Can, wrapping his arm around Su Qianqian, turned to leave. "Wait a minute!" The middle-aged man''s hand landed heavily on Zhou Can''s shoulder. Zhou Can had been looking for an excuse to act. With this assault, the opportunity to establish his authority had finally arrived. Pushing Su Qianqian slightly forward, Zhou Can quickly turned around, grabbing the middle-aged man''s arm and forcefully twisting and pulling. Crack! The sound of a shoulder joint dislocating resounded. "Ugh... ah, ouch!" The middle-aged man, in shock, held onto his right arm and quickly retreated, putting distance between himself and Zhou Can. "Brother Kun, what''s wrong with you?" Qiangzi hadn''t even seen clearly how Zhou Can had made his move. Just at the first encounter, his boss had become a disabled person. S~ea??h the ¦ÇovelFire.¦Çet website on Google to access chapters of novels early and in the highest quality. "This kid knows kung fu!" The middle-aged man, his face ashen with pain, looked at Zhou Can with eyes full of fright. Zhou Can usually fought with hard, solid punches. Recently, he had been learning the Bone Setting Skill in the manual therapy room and had gained a few insights. He now had a deep understanding of the human arm''s joints. Coupled with his martial arts foundation, when the two were combined, he hadn''t expected the strike to be so effective. With just one move, he''d easily dislocated the man''s arm. Qiangzi, recalling how he had been pointing his finger at Zhou Can''s nose, felt a chill of fear. Dogs that bite don''t bark. Chapter 253 - 135: A Move to Dislocate the Arm, Her Desire_3 Zhou Can''s strength was unexpectedly terrifying. At this moment, after Zhou Can took down Brother Kun with a single move, his gaze swept over the three people, including the young driver who had just gotten out of the car, wanting to come over and help. "Each one of you, stop thinking about getting rich quick every day. Find a proper job, or sooner or later you''ll end up in prison eating jailhouse grub." After warning the three social scums, Zhou Can directly took Su Qianqian and left. They had gone a long way before Su Qianqian, clinging tightly to his arm, said, "You were so cool just now! Those three have been following me since I left the company. And they''ve been staking out for many days. I was really scared. I didn''t expect them to cower so quickly in front of my husband, haha..." Her long-standing fear was finally relieved, and she was particularly happy. She also grew more dependent on Zhou Can in her heart. "Heh, just a few idle social outcasts, they only had muscles and nothing else," Zhou Can said, not thinking much of defeating his opponent with just one move. There are many real masters out there; when he learned free combat, he met many he couldn''t defeat. However, those people rarely choose the wrong path. They all have proper careers. Just fighting in one tournament, the prize and appearance money is enough to support them for several years. "It''s actually you who used a word very cleverly just now!" "Which word?" She looked up at Zhou Can. "The word ''husband'' was used very well!" Zhou Can said with a smile. "In ancient times, even if a marriage was arranged, one could only be called the fianc¨¦. You''re only considered husband and wife after getting married, only then would one use the terms ''husband'' or ''my lord.'' My lady, are you thinking of getting married?" Zhou Can and she had been in a relationship for some time now. Their feelings for each other had deepened day by day. Zhou Can was open to getting a marriage license. But this matter definitely needed to be discussed with both parents beforehand. Currently, Zhou Can had not told his parents. "Hmph! Not at all!" Her aquiline nose wrinkled slightly, obviously her words not matching her heart. "Dear, I have good news to tell you, I got my salary today, and finally paid off all my debts!" It looks like Zhou Can didn''t guess wrong; she really was considering marriage. Hearing that her debts had all been paid off, Zhou Can was a bit surprised. "An external debt of more than three hundred thousand, and it''s only been a few months? Paid off in less than three months?" By that calculation, doesn''t she make over a hundred thousand a month? Zhou Can''s current salary, including various subsidies, is only a little over three thousand. The wage disparity between them is too large. "This month I got nearly two hundred thousand, and next month it will probably be more. What do you think, impressive for your wife, huh?" She happily switched the term from girlfriend to wife. Zhou Can laughed; it seems this girl really is eager to get married after paying off her debts. "Tsk tsk, two hundred thousand a month, even the least successful chief physician in our hospital has an annual income of just about one hundred fifty to sixty thousand. You are indeed outstanding!" Hearing that his girlfriend had such a high income, he was genuinely happy. "Qianqian, do you want to get married?" Zhou Can looked at her seriously. "Yes! Now that my debts are paid off, and I''m pressure-free, I indeed want a real home. Then, I can give myself entirely to you. I''ve heard that you men, when suppressed too long, tend to cheat." She admitted frankly. Actually, in front of Zhou Can, her thoughts were not at all concealable. Because Zhou Can''s IQ is too high, and his insight is extremely strong. S§×ar?h the ¦Çov§×lFire .net website on Google to access chapters of novels early and in the highest quality. "I only have a monthly salary of three thousand right now, and you have a monthly income of two hundred thousand, even higher; don''t you think marrying me is a loss?" Zhou Can teased her with a smile. "Don''t say you earn three thousand a month, even if you are overwhelmed with debt, I am willing to stay with you till we''re old and grey. In my hardest times, it was you who saved me from the darkness. In this lifetime, I recognize only you as my man and will only have you." She gazed at Zhou Can affectionately and spoke with great emotion. "Thank you for loving me so deeply!" Zhou Can embraced her, and the two kissed passionately. After a while, they separated, and her pretty face was full of blushes. "Can, although I can''t wait to marry you right away, my health... I''m afraid of being a burden to you. Let''s get married after my kidney disease is cured, okay?" She must have thought deeply about this for a long time. The enchantment of love lies in its grandeur and selflessness. This kind of wholehearted consideration for the other person is something even parents find hard to achieve. It''s not too much to say that spouses are the closest people to each other in this world. She really wants to marry Zhou Can, to have a real home, but she also worries about being a burden on him. "I don''t mind it. Isn''t there a line in the marriage vows that no matter poverty or illness, we''ll always take care of each other for life?" Zhou Can''s love is for her as a person. He will try every means to cure her kidney disease. Currently, her kidney disease is still in the compensatory stage, and kidney function has not shown significant damage. If medication can cure her, that would be the best. If the condition gradually worsens, then it is necessary to consider a kidney transplant. With today''s medical technology, as long as there are suitable kidney donors and sufficient financial support, a transplant is not difficult. So, her concerns are completely unnecessary. Chapter 254 - 136: Astonishing Dividend Income, Patient Who Laughed Their Jaw Off "I understand that with this illness, you can''t have children. I know you''re someone who values relationships deeply, and without marrying me, you would have more choices. Once married, I''m afraid I''ll be a burden to you. I believe your parents would not agree either." She had many layers of concerns. "Give me a little more time; once my illness is cured, we can hold the wedding, okay?" Su Qianqian looked up, her eyes pleading as she spoke to him. "Okay!" Zhou Can nodded in agreement. But in his heart, he made a firm decision to diligently search for a suitable kidney source for her. It''s best to prepare for the worst in any situation. Actually, Tu Ya deals with patients dying from unsuccessful resuscitations every day. Especially those who died from injuries like car accidents¡ªtheir organs are often suitable for transplants. They could save the lives of other patients. But there are far too few people willing to donate their organs. Not even one in a thousand. Some of the most urgently needed transplant organs in the country right now include kidneys, hearts, corneas, and bone marrow, ranking at the top of the list. The demand is huge. Many patients die without ever receiving a transplantable organ. Lungs are particularly worth mentioning. They are one of the most important organs in the body. Their demand even far exceeds that of the heart and kidneys. The reason they aren''t listed is that the prognosis for lung transplants is generally poor. Some large hospitals claim that the success rate of lung transplants is over 80%. The success rate of lung transplant surgery is indeed very high. However, after the transplant, many hospitals gloss over the life expectancy of the patients. Let''s put it this way, surviving more than five years after the transplant is a blessing. For kidney and heart transplants, the lifespan of the patient is almost unaffected. Many people are curious why the survival period after lung transplants is so short? Because the lung is currently recognized as the organ with the most severe rejection reaction post-transplant. Without a doubt. There are many reasons for this. For example, lung transplants have very low requirements for HLA typing, it''s sufficient if the blood type matches. Kidney transplants, at the very least, need blood typing, tissue typing, and cross-matching. S~ea??h the novel(F~)ire.net website on Google to access chapters of novels early and in the highest quality. The best-case scenario involves six matching item checks. So, don''t think you can mess with your lungs just because you have money. Once you run into serious problems, money cannot buy you another healthy lung. "Can, let''s not talk about these unhappy things. Today I finally paid off all my debts, and it''s a relief. I bought groceries to cook for you at home, how does that sound?" That apartment had now become their love nest. Zhou Can did not live there. However, the two of them often had trysts at home, watched television together, cooked together, and enjoyed the blissful life of lovers. They bought some vegetables and a bottle of beer to go home and celebrate properly. However, when Zhou Can was halfway through washing the vegetables, Li Lao called. "Brother Lao, are you missing me?" Zhou Can joked as he spoke. Since the company he co-founded with Li Lao began to get on track, Li Lao had become increasingly busy. They only occasionally met up for meals. Or Li Lao would take the initiative to call Zhou Can and update him on the company''s status. Zhou Can himself did not prioritize wealth and, being a person of deep loyalty, he trusted Li Lao completely. He almost never interfered with the company''s affairs. Even when Li Lao reported important financial data to him, Zhou Can simply said to him, "I trust you to handle things, so in the future, don''t bother telling me these things. Just split the profits with me." Zhou Can really had no interest in doing business. Instead of listening to those headache-inducing financial statements, he''d rather practice his medical skills. "We haven''t had a drink together for a while now; I kind of miss the old days when we used to have deep conversations often. The company is in a rapid development phase, and I just can''t leave! I hired a business manager who turned out to be no good at all, I have to teach everything from scratch." Li Lao vented to him. "Well, it''ll be fine once you''ve taught him! Just be patient!" Such matters, Zhou Can could not help with. "Haha, you''re just painting me a pretty picture! Looks like I need to work harder to train this business manager, and then things will get a lot easier." Li Lao''s laughter seemed cheerful, he must be in a good mood. "The accountant the company hired has calculated all the financial revenues and expenses for the past three months. After deducting taxes, venue rent, staff salaries, costs for recording new songs, various marketing expenses, the net profit for the company is 10.6432 million yuan." Golden Entertainment Company had now nearly twenty employees, making it somewhat substantial. Zhou Can was taken aback. "The profit is that high? Brother Lao, am I dreaming?" In just three months, including the initial development phase, they had made more than ten million in earnings. "When I first pulled you into starting the company with me, I told you how profitable the entertainment business can be. But the industry can also lose money fast. We''ll split the net profit; your share is 5.3216 million yuan. This sum will be transferred to your account following the company''s dividend policy. Currently, the tax on dividends is quite heavy, about 20%. Would you prefer the company to handle the tax declaration and payment for you, or do you want to manage it yourself? Corporate dividend tax has always been a sore point for many business owners. Earn a million, pay two hundred thousand in taxes. Who wouldn''t feel the pain? Many bosses can''t accept it. "You should let the company take care of it, I don''t understand all that paperwork." Just a while ago, Zhou Can was still marveling at Su Qianqian''s high income. Now it seems, where can an employee earn more than the boss! "Speaking of dividend tax, there are some legal ways to circumvent it. If you''re willing, bring your ID to the company on a weekday. I''ll teach you how to avoid taxes efficiently."