My Medical Skills Give Me Experience Points

Chapter 197: Considering the Living, High Risk and Rich Rewards Coexist



"Director Mu should take over! You all watch and learn for now, there will be more opportunities in the future."

Director Jia entrusted the opportunity for the surgery to an assisting doctor.

This person was also the only deputy director under Director Jia. Perhaps there were others who had completed their training and had the capability to independently manage Level 4 surgeries, no longer needing to learn from Director Jia.

Deputy Director Mu successfully grabbed the opportunity to perform the surgery and seemed quite pleased.

Zhou Can's mouth curled into a small smirk, thinking how capable this deputy director must be. Snatching an opportunity for surgery and being so delighted about it, his surgical skills must be limited.

Imagine, would a multimillionaire burst into laughter if he found ten yuan on the street?

Similarly, if Deputy Director Mu's surgical skills were truly strong, he wouldn't regard a single opportunity for surgery as a treasure.

At least with Zhou Can's current skills, he didn't think much of such opportunities.

After Deputy Director Mu positioned himself as the lead surgeon, everything was ready, and he couldn't wait to make the incision.

Director Jia seemed very confident in him.

Standing aside, watching with a relaxed demeanor.

Completely unlike the nervousness shown when watching Zhou Can perform surgeries.

Deputy Director Mu cut through the layers of the abdomen one by one— the skin, subcutaneous tissue, which in medical terms refers to the fascial, muscle, and peritoneal layers.

The muscle layer involves muscles and tendons.

The incision requires certain finesse.

Theoretically, the more skilled the doctor, the less blood lost during the opening of the abdominal cavity, and almost zero chance of injuring major blood vessels or nerves.

But it's a different case for rookies.

Under normal circumstances, the muscle layer should be sliced open with one cut. A nervous novice might need two or three tries to get it right.

This results in uneven incisions.

Which is highly detrimental to wound healing.

Deputy Director Mu's incision skills were decent, probably at the level of a competent attending physician.

However, both the neatness of the incision and the time taken to open the abdominal cavity were inferior to Zhou Can's.

Especially regarding the surgery time, Zhou Can took less than five minutes to open the abdominal cavity, which included time to ligate a blood vessel.

From starting the incision to opening the abdominal cavity, Deputy Director Mu took nearly seventeen minutes.

This pace could compete with the doctors in Cardiothoracic Surgery.

Watching it was anxiety-inducing.

Apart from the slow speed, other aspects were not bad.

Blood loss during the surgery was minimal, and there were no incidents of cutting through extra layers while slicing through the four layers of abdominal tissue.

Overall, Deputy Director Mu's Incision Skill was above standard. It was entirely sufficient for opening the abdominal cavity.

No wonder Director Jia had special confidence in him.

After opening the abdominal cavity, the next step, the removal of the colon segment, was still personally performed by Director Jia.

The excision and separation of the intestines carry significant risks.

A poor cut can affect intestinal anastomosis.

If too much is cut, the situation worsens. These are minor accidents caused by the surgeries involving highly specialized knowledge and enormous power held by doctors during surgeries, leading to no strict supervision over the doctors' treatments.

Sometimes, more than cutting a bit of intestine, accidentally removing a patient's kidney could even be concealed.

As long as the patient does not find out, no one will ever hold them accountable.

Of course, such actions are considered severe violations of surgical regulations and medical ethics. If discovered, the doctors involved would face severe penalties.

Possibly even revocation of their Medical Practitioner Certificate.

Thus, under normal circumstances, no doctor would dare to recklessly act.

Occasionally, a rookie makes a mistake, and the hospital might conceal the issue to suppress the matter.

Concerning surgery records and doctor's signatures, these elements have too much leeway.

No further explanations.

"You all remember, once an intestinal cancer is found, if it's at an intermediate stage, it's usually already difficult to completely remove. The possibility of metastasis is very high. Theoretically, an early stage is the best. But in surgeries, I've encountered cases of late-stage rectal cancer where after removal, the patient's post-surgery survival period surprisingly exceeded ten years."

Director Jia has performed several thousands of surgeries.

Extremely experienced.

"When receiving a patient or establishing a surgical plan, if a malignant tumor is discovered even in the intermediate or late stage, as long as there is no clear sign of metastasis, it's still worth a try. Explain the risks and potential benefits of the surgery clearly to the patients, and let them decide. In my medical practice, I usually have a principle, save the young and not the old."

"Patients under forty years old should be considered young; if there is a slight chance, we should fully persuade them to actively seek treatment. If the patient is over sixty years and their family situation is not great, then do not persuade them. As doctors, besides considering the patient, we should also consider their family. Saying someone is old means their chances of recovering are slim, and encouraging them to spend all their money on treatment just to end up with nothing, what about the living?"

Director Jia's soul-stirring question left every doctor silent.

Considering the living, this was Zhou Can's first time receiving such ideological education.

It contradicts human relationships but is very close to reality.

The mercilessness behind it reveals true compassion.

"Do you feel uneasy accepting my view? It's alright; if you think my values are incorrect, you can disagree. It's just a personal opinion."

Director Jia continued the surgery after finishing his statement.


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