The Enhanced Doctor

Chapter 1235: Chapter 1235: A Casual Chat and the Surgery Is Done

(Thanks to Qinglian Suifengpiao, kenny75, Bentime Bear, Zilian Shijiu Shou, Anlin Xiaoxiaoyue for encouraging with votes)

"Teacher Liu, the patient’s information has been verified."

After Liu Banxia walked into the operating room, Su Wenhao said.

"Let’s start then." Liu Banxia nodded.

The anesthesiologist Li Liwei also directly started the anesthesia.

"OK, today’s surgery is just slightly more complicated compared to our routine surgeries." After anesthesia was successful, Liu Banxia said.

"Because the infiltration of the base is slightly larger, we need to carefully choose our incision margin. But it is still within a controllable range. Su Wenhao, dilate the anus and inflate, and everyone keep an eye on it. Next time, who knows who might be up."

The last sentence was said to the observing interns, giving them absolute confidence.

Although they may not have the opportunity to perform hands-on operations during the entire internship, they can still participate in these smaller tasks ahead.

It’s mainly because operating these instruments requires a high level of skill, and some of the rectal cancer incision margins are quite close to the anus, making it risky to let others handle it easily.

"Now, is it that NOSES surgery for colorectal cancer has no issues?" Li Liwei asked.

"Routine ones are fine, but currently, I still need to study further for colorectal cancer cases with metastasis." Liu Banxia said.

"It’s essentially a regular operation method, just requiring the use of a laparoscope for assistance. As long as the specimen size is suitable, we can extract it through natural cavities."

"Another point to note is to be more careful during the extraction process and require close cooperation from assistants. I still don’t know if they can manage it, anyway, no one has pledged allegiance to me or anything."

The people in the operating room were amused, especially since Xu Yino wasn’t here; otherwise, she would have a lively debate with Liu Banxia.

"But Su Wenhao and Miao Rui, you guys need to work hard. Yesterday, Liu Yiqing did a beautiful job with the right half liver resection, and many people are still talking about it today." Li Liwei continued.

"Teacher Li, we must work hard, just not having suitable cases at the moment." Su Wenhao said.

"Oh, it seems you’re very confident and want to challenge, huh? No problem, are you ready? If not, I can get you one and return it later, it’s not a big deal." Liu Banxia didn’t mind causing trouble.

Su Wenhao gave him a helpless look; Teacher Liu’s mischief is hard for ordinary people to handle.

For such a major surgery, it’s not just about wanting it, the patient must agree, and you need to prepare well yourself.

"Actually, the skill level of these six is varied, whoever has the guts can grit their teeth and almost make it." Liu Banxia continued.

"I’ve just spent more time on the NOSES system lately, before this I’ve done so many liver surgeries."

"Many times, it’s just that we think it’s tricky, but when actually performing, it’s just as it is. But I’m not saying you should blindly try anything without enough anatomical knowledge, otherwise, it won’t work."

"This is a long-discussed issue. For us surgeons, anatomical knowledge is crucial, almost the foundation of what it means to be a surgeon."

"However, due to certain limitations, we encounter too few specimens during learning. We accumulate anatomical knowledge by observing each surgery we intern on."

"I don’t know if you feel it, but when watching someone operate, it feels clear. Once you try yourself, your brain goes blank."

"Then you motivate yourself, ’Next time, I’ll make it, I must succeed. This time was lost due to lack of experience, next time I’ll be experienced.’

"But truly, when it comes to next time? Only a few manage, many still don’t. Where’s the gap? Miao Rui, explain."

"The gap is that I’m not as dedicated as Liu Yiqing, need to work harder regularly. Even with fewer specimens, hand-drawing anatomy diagrams helps deepen impressions."

"Oh, you’ve praised yourself, huh, but you were right. With fewer practical specimens, imagination is what we rely on." Liu Banxia chuckled.

"Everyone has their method of learning, just thoroughly understand the anatomical knowledge related to the surgery you’re tasked with. Even if unexpected situations arise during surgery, you can handle them smoothly."

Liu Banxia had mentioned this before, and it wouldn’t be the last time he said it.

In his understanding, anatomical knowledge is incredibly important. But for these interns, their attention to it is significantly lacking.

Even those with some focus, face certain limitations.

Because the current hospital internship is quite busy, if they have a little time, they prefer to rest more. Studying at school is a different kind of fatigue compared to hospital internships.

They need time to adapt; some take longer and are slower to adjust. Others adapt quicker and faster.

It’s this difference that gradually creates a gap.

Performing surgery is not like other tasks where failure once means simply trying harder next time. Even with Liu Banxia’s boldness, he prioritizes students with good performance and solid foundations.

But he still needs to say these things repeatedly, as teaching resources can’t be distributed completely fairly. Those who learn quickly naturally take up more.

But we can’t forget about others. Giving them a reminder, garnering a bit more attention, could make them put in a bit more effort, which might create an opportunity.

It’s also fulfilling a part of our responsibility. In this line of work, if you really don’t have any skills, life will turn out to be quite frustrating.

You’ll just watch others play, watch them get promotions and raises, while you simply drift along during your abundant free time.

Otherwise, with so many medical schools across the country and the countless graduates each year, why is there still such a big gap in frontline personnel?

"Director Liu, a call from Liu Yiqing. The gastroscopy result of the patient you consulted this morning indicates a gastric ulcer," the circulating nurse said after taking the call.

"Alright, just tell her to transfer them to the internal medicine department," Liu Banxia replied.

"Director Liu, Liu Yiqing also asked if the surgery went smoothly," the circulating nurse asked further.

"Tell her to rest easy, it went very smoothly. There’s less than an hour left to go," Liu Banxia said with a hint of helplessness.

This girl, always says she doesn’t care, but in her heart, she’s concerned. I wonder if her brother has swindled her money again; she has such a kind heart.

"Teacher Liu, looking at this, it’s at least stage 3A, right?" Miao Rui asked.

"Exactly, there are four lymph node metastases. We need to be extra careful during our sampling," Liu Banxia replied.

"For them, having an option to preserve the anus might not necessarily be a good thing or a bad thing. Let’s see how the chemotherapy goes."

Sometimes, having one more option is not necessarily the best choice.

In any case, Liu Banxia judges that this patient has a high chance of recurrence in the future, even if the chemotherapy is highly effective.

So how effective is chemotherapy? Very few people achieve excellent results.

Especially in the later stages of chemotherapy, once resistance sets in, it’s all about luck.

If Liu Yiqing’s sister-in-law were decisive and chose direct excision of the anus, it would provide some guarantee for her future life.

But this situation is not something Liu Banxia can decide, everything has been explained clearly, and the choice is up to the patient.

He cannot guarantee with 100% certainty that preserving the anus won’t lead to recurrence within five or ten years; nobody can guarantee that.

"OK, the specimen is out. Show it to the family, then send it for examination," Liu Banxia said after taking out the specimen.

"We still need to suture, which takes some time. If it weren’t to save them some money, I wouldn’t put myself through this. Using a stapler would have been so much easier."

No one responded to him; this time, the suturing is indeed high-risk, given the proximity to the anal rim, requiring extra caution during the procedure.

The retention of anal function is also a very important indicator. Even if you successfully preserve the anus, but lose much of its basic function, it’s still a failed surgery.

"Miao Rui, keep an eye on things upstairs, Liu Yiqing is stationed downstairs," Liu Banxia said.

"Yes, we agreed. Honestly, our department has fewer patients. The workload upstairs is quite light," Miao Rui replied.

"It’s easy now, but after the new year, it’ll get busy," Liu Banxia said.

"I’ve already received several calls for post-new year surgeries and checkups. Plus, there will be walk-in patients, making it very busy."

"Be prepared, aim to hold yourselves to the standards of an attending physician. Alright, suturing is complete. Count the instruments, prepare to wake the patient."

Ding! Surgery task completed

Gained 200 points of experience, 200 points of intestinal surgery proficiency, Glory Points +20 points

This task is rated as perfect, gaining 300 points of experience, 300 points of intestinal surgery proficiency, Glory Points 10 points +30 points, solidification stone 1 piece

Li Liwei nodded with a smile.

He felt quite emotional. A little chatting and the surgery is done. This is Liu Banxia; others couldn’t do it this way.

After the circulating nurse helped count the instruments and materials, Li Liwei directly woke the patient.

"The surgery was very successful, you’ll be sent back to the ward shortly, and further instructions will be given," Liu Banxia advised.

Even if he’s not fond of Liu Yiqing’s sister-in-law, now that she is his patient, he must do things properly.

This is professional ethics; you mustn’t let personal feelings come into play during consultations. You need to remain "clear-headed" at all times, whether opinions are positive or negative.

And regarding the situation between Liu Yiqing and her brother and sister-in-law, he won’t involve himself further. The current level of involvement is sufficient; more involvement would be excessive.

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