Chapter 114: Special Effect Card (Please Subscribe First )
Jin Qingzhi insisted on giving him a ride.
Unable to decline his persistent hospitality, Chen Cang had no choice but to accept.
The car, which had come from the capital, bore a Beijing license plate.
Chen Cang sat in the back seat, somewhat impatient to examine the items he had just acquired.
Chen Cang faintly saw a blue item emerge.
[Ding! Successful IV38 rare suturing of a duodenal fistula yields: 1. Special Training xi; 2. Intestinal Anastomosis Experience +300; 3. Clinical Experience +150; RMB +300.]
[Ding! Successful IV35 rare excision of cholecystitis with gallstones yields: 1. Emergency Abdominal Condition Training xi; 2. Cholecystectomy Experience +300; 3. Clinical Experience +150; RMB +300.]
The Skill Book radiated a blue glow, while the Emergency Abdominal Condition Training shone in green.
Basing on Chen Gang’s experience these past few days, he inferred that blue items were definitely better than green, and green items were better than white.
Eagerly, he opened the Skill Book.
[Ding! Special Training: Limited to Intestinal Anastomosis, upon use, randomly acquires a kind of special effect training, which, after completion and passing the assessment, will endow your Intestinal Anastomosis technique with this special effect.]
Overjoyed, Chen Cang immediately chose to activate it!
[Ding! Congratulations on acquiring: Adhesion Reduction Special Effect Training. Would you like to begin training?]
Chen Cang was dumbfounded!
The system…
What happened to getting results without effort?
What happened to instantly gaining skills?
Why has it turned into training and exams now?
Chen Cang felt an overwhelming urge to cry without tears.
For medical students, there are two inescapable things in this lifetime:
One is the annual academic credits required!
The other is the occasional tests they have to take.
Why is it often advised against pursuing a career in medicine?
Because not only is the five years in university exhausting, the three years as a graduate student are even more so, and three years of doctoral studies are dog- tired exhausting. After graduation, entering the workforce adds exhaustion upon exhaustion, right?
High school seniors?
In your senior year of high school, you just study from books; at least, you are not expected to create anything.
But what about studying medicine?
You have to conduct research projects, experiments, and write papers.
If you say you’re too exhausted to do it, that’s fine too; at worst, you just won’t get a promotion. You could be a senior attending physician forever, or if you’re really unlucky, even a senior resident physician isn’t out of the question.
The system, oh the system, is undoubtedly born of the medical field itself.
How nice would it be to have effortless enlightenment?
Now it has all turned into training and more training.
Chen Cang felt an urge to cry without tears…
Having obtained two great items today, Chen Cang hadn’t expected both to involve training.
One was special effect training.
The other was training for the diagnosis and treatment of acute abdominal conditions.
Thinking of this, Chen Cang took a deep breath.
Since it was boring just sitting in the car, and he had nothing to talk about with Jin Qingzhi, the big boss, it would be better to go into training.
With this thought, he casually chose to activate it, and the scene in front of Chen Cang changed.
He reappeared at the operating table.
[Ding! Intestinal Anastomosis Special Effect Adhesion Reduction Training: Each time suturing is completed, a score will be given, and reasons will be analyzed. Please begin… Countdown: 100 hours.]
Another hundred hours.
Training it is…
Intestinal adhesion occurs due to various reasons causing abnormal attachments between intestines, between intestines and the peritoneum, or between intestines and other organs within the abdominal cavity.
In clinical practice, intestinal surgery is the most common cause of such adhesions, with many abdominal surgeries resulting in at least some degree of adhesion.
Severe intestinal adhesions can even cause serious acute abdominal conditions like adhesive intestinal obstruction, which may endanger life!
Therefore, this training is quite necessary, though the patients may not necessarily notice any difference. Yet, for something that benefits the patients, Chen Cang didn’t mind learning more.
After all… the highest calling of medicine is to serve the country and the people!
Yes, that’s quite fitting.
Actually, many times, the differences between doctors might not be noticeable to the patients. Some doctors, seeking short-term results, indeed manage to win over a large number of patients, but in the long run, such treatment may not be in the patients’ best interests.
While other doctors do a lot of work during surgery, the patients may not necessarily be able to see it, just like Chen Gang’s adhesion reduction work. Perhaps patients won’t feel any difference in a short time, within a few years, and might even take it for granted.
Training began, and Chen Cang started his first suture.
Ding! Suturing complete, score -20 points, intraoperative bleeding and effusion occurred, increasing adhesion.
Chen Cang almost vomited blood!
There were negative scores?
He continued…
Ding! Suturing complete, score -10 points, intraoperative congestive edema occurred, increasing adhesion…
Chen Cang realized how mediocre he was, absolutely terrible.
In fact, it was not Chen Gang’s fault; intestinal anastomosis was different from the skin. As an internal environment, once damaged, it affected both sides: the interior of the intestine and the exterior. Moreover, the intestine had various neurovascular pathways, which were not as straightforward as skin, muscle, or tendons.
As time ticked away, Chen Gang’s suturing score was getting higher and higher, and his speed increased as well.
The scores were continuously improving.
Yet the operating environment was too peculiar, and Chen Cang had seen too many different scenes, with plenty of instances where feces filled the abdominal cavity…
Chen Cang had to learn how to handle these various settings and complete the intestinal anastomosis, ultimately finishing the surgery.
A hundred hours flew by in the blink of an eye.
Chen Cang was quite gifted, and he finally scored 80 points!
Ding! Assessment passed, your intestinal anastomosis technique has gained a special effect +1: Reduce adhesions.
Intestinal Anastomosis Technique: Advanced; Special Effects: 1. Durability; 2. Reduce Adhesions;
Pleased with the two special effects, Chen Cang let out a sigh of relief, his hard work had not been in vain!
Seeing this, Jin Qingzhi thought Chen Cang was tired and said with gratitude, “Dr. Chen, you’ve worked hard.”
Chen Cang smiled and said, “It’s nothing, nothing at all, but I’m going to have to trouble Mr. Jin to give me a ride.”
Jin Qingzhi quickly shook his head, “That’s the least I can do. Dr. Chen, you performed surgery on my father; frankly, you saved my father’s life. Driving you to work is nothing, even giving you a car wouldn’t be too much.”
Chen Cang joked, “If you gave me a car, I wouldn’t dare to accept it!”
They both laughed heartily, lightening the mood significantly.
Suddenly, Jin Qingzhi pulled out a business card from his pocket, “Mr. Chen, here’s my card. If you ever need anything, make sure to give me a call.”
Chen Cang took it and looked; it was a very exquisite card that read, “Qingyun Culture and Media – Jin Qingzhi.”
So he was in cultural media?
Upon seeing this, Chen Cang felt that it was quite possible they could be in touch in the future…
His younger brother, Chen Luo, was still working as an extra in Hengdian.
At this thought, Chen Cang couldn’t help but sigh.
Chen Luo had always been the one his parents couldn’t stop worrying about. Eight years younger than Chen Cang, he was nineteen this year and had just gotten into university.
Unlike Chen Cang, Chen Luo had always been a handful, never fond of studying. Influenced by Hong Kong and Taiwanese gangster films, he often got into trouble at school and, upon hearing that poor grades could lead to an art student exception, suddenly took up acting with gusto. He would watch TV performances all day and, during vacations, work as an extra in places like Hengdian.
Aspiring to be a movie star was something that would be laughed at if mentioned in a rural area.
But Chen Luo was more stubborn than Chen Cang; when he set his mind on something, it was hard to back down.
In any family, there’s always one who is obedient and one who is not.
Chen Cang was the obedient child, while Chen Luo was somewhat rebellious.
After struggling on his own for a while, Chen Luo realized that getting into prestigious drama schools like Zhongxi or Shanghai Theater Academy was impossible. However, he did apply to Dongyang Media College, an institution somewhere between a junior and a four-year college.
That was considered university too.
After finishing the college entrance examination, he packed his bags and went straight to Hengdian, infuriating Chen Dahai.
After the results were announced, Chen Luo scored 300 points. With an admission requirement of only 250 for the cultural score in the acting department, he was indeed accepted.
School started on September 10, and whether the family had enough money for the tuition was another worry.
With this on his mind, Chen Cang decided to call Chen Luo that evening; it had been a while since the young man had called him, hadn’t it?
Taking advantage of some free time, Chen Cang covered all the training for acute abdomen in one go.
Compared to surgical training,
the training for acute abdomen was essentially differential diagnosis, allowing one to classify acute abdominal conditions based on various signs, physiological and biochemical indices, imaging data, etc., and to provide a diagnostic and treatment plan.
Diagnosing acute abdomen is a critical skill for emergency physicians and is very challenging.
Because it’s hard to make a diagnosis based on the patient’s symptoms alone, various tests are necessary.
When facing such diseases, the most important thing is to make a quick diagnosis, treat the cause, and, if necessary, undertake exploratory surgery. This greatly tests the skill level of emergency physicians!
This time, it wasn’t 100 hours; an instructor provided explanations and helped Chen Cang with the differential diagnosis.
Ding! Acquired Diagnostics and Treatment of Acute Abdomen: Advanced; (Passive Skill)