The Enhanced Doctor

Chapter 1203: Chapter 1203: You Don’t Know Until You See It—What a Shocker

(Thanks to that always-can, Peng a Si, Lone Shadow Hao, Little Xian, Qian Mo 147, Reader 20170517165930540, Lu Hongzhang for the monthly ticket encouragement)

Chief Director Ning had a very good impression of Liu Banxia.

Young and promising, yet he didn’t look down on people, and he was very respectful toward him. Plus, even though they hadn’t met years ago, there had still been a bit of fated connection, so once they started chatting they hit it off even more.

Dinner and lodging had all been arranged in advance, and the standards were very high.

Liu Banxia and his group didn’t bother with what being polite meant—since it was arranged, they just accepted it, end of story.

Early the next morning, sticking to his good routine, he got up very early. He met up with his dad who had rushed over, had breakfast together at the hotel, and then headed to the hospital.

"Dad, I guess when the time comes they might ask about slipping red envelopes and all that. When that happens, you help block it a bit." Liu Banxia said.

"Banxia, is that really still a thing?" Liu Qingdong asked curiously.

"You can’t really say for sure about this." Liu Banxia said with a smile.

"Anyway, except for emergency surgeries we take on at admission without much prep, for other surgeries we’ll privately ask them a bit, see how much money they think they need to spend to get things arranged."

"I thought stuff like that had long been gone." Liu Qingdong sighed.

"There are people who aren’t afraid of dying, they really dare to accept. Not only dare to accept, they even dare to ask for it." Liu Banxia said.

"Actually this all comes from a lot of people misunderstanding how surgery works. In public hospitals, nobody doing surgery dares to joke around. Things like not giving enough anesthetic, or not cutting you properly—those just don’t exist."

"Whether you give a red envelope or not, the outcome is the same. The people on the table are all worried something might go wrong. If they take a red envelope and something still happens, then it becomes a huge problem."

"But with rumors like this going around, lots of people think that if they don’t give a red envelope as a token, it’s disrespectful to the doctor, and the doctor won’t do the surgery properly."

"So what do you do if they insist on giving it?" Liu Qingdong asked curiously.

He was still very confident in his son. They weren’t short of money now, and it wasn’t worth making a mistake over a few bucks that weren’t even enough for a mouthful of meat.

"Some patients just have to give. If they don’t, they feel uneasy and start overthinking. Especially patients introduced by acquaintances—we pretend to accept it, then deposit it into their hospital account for them." Liu Banxia said.

"Sometimes it’s a bit awkward too. If we don’t take it, the person in the middle is stuck. If we really pocket it, then we’re in the wrong, so we can only come up with this trick."

"This time we’re playing an away game. If they have this kind of idea, you just spell it out clearly for them. Otherwise, if I refuse, they might still worry."

"Alright, leave this to me. They really did call me this morning, asking what time you’d be going up to the ward." Liu Qingdong nodded.

This line had to be guarded properly, otherwise if it spread, it’d sound bad. He didn’t want their worries adding trouble to his own son.

When they got to the hospital, Liu Qingdong directly contacted the Tong Family, and then went to the ward.

"Banxia has really made something of himself now. Your Second Brother’s surgery is in your hands." Uncle Tong said.

"No problem." Liu Banxia nodded with a smile.

"I went over the latest tests again last night at the hotel, and the numbers look very good. The surgery isn’t complicated either; we’ll aim to finish within two hours."

"You can finish in two hours? The doctor last time said it’d take four or five hours." Second Brother Tong froze for a moment.

"Haha, different surgical methods, so the time needed is different." Liu Banxia said with a smile.

"Second Brother Tong, keep your spirits up, this is a minor surgery. I can’t guarantee too much, but getting you discharged in seven days is absolutely no problem, and you’ll be able to get out of bed and move around tomorrow morning."

"Banxia, Second Brother won’t say a lot of polite words." the second son of the Tong Family said.

"You just wait here at ease for the nurse to come and do the pre-op prep in a bit." Liu Banxia said.

"It’s also because my schedule is a bit tight, so our surgery today will be moved up a little. But it won’t affect the surgical result, just an hour earlier."

The second son of the Tong Family nodded.

This really didn’t matter. They had come all this way to do this surgery for him, and the hospital here had also waived a lot of surgical fees because of it—the favor he owed was huge.

"Director Liu, I thought I’d come early enough." At this moment Chief Director Ning also walked over.

"Dad, let me introduce you. This is Chief Director Ning from our city hospital. We chatted for a long time yesterday and really hit it off." Liu Banxia said with a smile.

"Hello, Chief Director Ning."

Liu Qingdong greeted him warmly, in a very good mood.

"Hello, hello, today all of us have to learn from Director Liu." Chief Director Ning flattered him.

"Chief Director Ning, don’t embarrass me. Let’s get ready now, and then we’ll start?" Liu Banxia asked.

Chief Director Ning nodded, "Let’s do that. Can those two free up time today? There are two appendectomies."

"No problem," Liu Banxia said.

"If the operating rooms can be arranged, can they do them at the same time? Their operating times are about the same, basically all done in forty minutes."

"Alright, I’ll take care of that," Chief Director Ning agreed readily.

Inwardly he was still a bit surprised. Was Liu Banxia being a little too confident in these two students of his?

But this was something he had already promised Liu Banxia, and he could also take the opportunity to see what these two girls were really capable of. It was also a way of assessing Liu Banxia himself—through the students’ skill you can roughly gauge the mentor’s level.

The city hospital was also taking this surgery very seriously, or you could say they were curious. They really didn’t have the capability to carry out this kind of operation here. Now they could at least see one, and there were quite a few people in the observation room.

Everything was ready, and Second Brother Tong from the Tong Family was wheeled in.

Liu Banxia personally handled the identity verification, since he knew the patient; he couldn’t just let Xu Yino and the others do it for him.

"Thank you all for coming to watch this surgery," Liu Banxia said after anesthesia was successfully induced.

"This TaTME procedure is performed on the basis of the TEM platform. For this kind of specimen extraction through natural orifice, the most fundamental principle is ’no bacteria, no tumor seeding.’"

"In other words, when we extract the specimen we must be extremely careful and thorough in our protection. I’ll be doing the operation, and the detailed points will be explained by these two."

"Liu Yiqing, let’s begin."

Hearing Liu Banxia’s order, Liu Yiqing started anal dilation and set up the transanal endoscopic system.

For the Liu Banxia of today, this sort of routine operation really posed no difficulty.

Although each patient’s situation is a little different, the general operative strategy doesn’t change.

It’s nothing more than variations in the tumor’s location and size, and the quality of the bowel.

Second Brother Tong’s lesion had been detected relatively early, his bowel quality was good, and the tumor itself wasn’t very large. Liu Banxia was completely at ease as he operated.

It was Liu Yiqing and Xu Yino who were kept busy, because they were responsible for the commentary.

They hadn’t actually performed the operation themselves yet, but they had watched Liu Banxia do it many times and were very familiar with every step of his technique.

This was also a task Liu Banxia had assigned them temporarily last night, and counted as a test for them. If they couldn’t even master this much, how could he possibly let them get on the table to operate?

And to make it easier for people to follow, Liu Banxia also slightly slowed down his pace; otherwise he was very confident he could finish this surgery within an hour and a half.

But even so, the people watching could not stay calm.

You really don’t know until you see it; once you do, it’s shocking.

The relevant materials can be found in books, but the feeling of actually performing the procedure is nothing like reading, especially when Liu Banxia’s operating speed was still so fast.

He absolutely did not look like a lead surgeon who had only done a bit more than twenty of these cases; at the very least you’d think he had done over a hundred to reach this level of ease.

It was that kind of unhurried, strolling-through-a-garden fluency; every move was extremely precise, not a single bit wasted.

This not only tests surgical technique, it also requires a thorough understanding of the lesion area.

This wasn’t colon cancer; this was rectal cancer, and a rectal cancer located so close to the anus. During resection, they also had to minimize damage to the anal nerves to avoid affecting anal function.

"There’s no denying age catches up with you; young people these days really are something," Chief Director Ning remarked to the person next to him.

"Yesterday I discussed this year’s training slots with Director Liu. The competition is likely to be fierce, but when I mentioned three spots, he didn’t say no."

"Chief Director, are we really going to invest heavily in the Emergency Department?" the vice chief director, Hu Zhi, asked.

"Old Hu, you’re a general surgeon. Tell me, how does Director Liu’s technique look to you?" Chief Director Ning shot back.

"Can’t compare; we have to admit that," Hu Zhi said with a wry smile.

"There are still a few months before standardized training recruitment. Over this period, Director Liu’s reputation will only grow, and by then every hospital will be thinking about this," Chief Director Ning said.

"Every hospital is short of emergency surgeons. Now that someone this strong has suddenly appeared, won’t they all be scrambling for him?"

"Each training center only has a limited number of slots. We really have to prepare early. In a bit we’ll watch those two students of his do the small-incision appendectomies as well. That’s not so easy either, is it?"

Hu Zhi nodded. "The key is to look at how they deliver the appendix. If that step takes too long, it kind of defeats the purpose of a small incision."

"Sigh... So young and already a deputy director at such a large hospital, and independently running a department—he really has the goods," Chief Director Ning sighed again.

He wasn’t the only one feeling this way. Quite a few older surgeons, after watching Liu Banxia operate, had similar thoughts.

There was always that sense of "the old general is fading," and inevitably it made them think back on their own younger days.

This could be considered one of the side effects of Liu Banxia’s teaching surgeries—it did knock people down a peg or two.

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