My Medical Skills Give Me Experience Points Chapter 1218: 481: Earning a Wave of Orthopedic Experience Points, Level 6 Incision Skill

~4 minute read · 966 words
Previously on My Medical Skills Give Me Experience Points...
Zhou Can reflects on the challenges of difficult medical cases, which demand immense effort and sometimes require departmental consultations, while offering valuable experience and potential rewards. Urged by a nurse, he rushes to the operating room for the first surgery of the day on a patient transferred from Xinxiang Hospital, suffering from an infected chest wound and sternal osteomyelitis. As chief surgeon, he begins by incising the previous stitching, noting its shortcomings, to remove infected material and perform debridement and chest wall reconstruction.

Once the chest incision was made, the leftover sternum showed clear signs of discoloration due to the infection.

Osteomyelitis advances to the point where the bone eventually dies off.

The occurrence rate of this illness is incredibly rare.

Osteomyelitis spread through the blood is especially uncommon and ranks as one of the toughest conditions to handle in orthopedics.

A frequent trigger for this condition is infection following sternum surgery.

Having fully removed the sternum and cleaned the site, Zhou Can then borrowed one rib from either side to rebuild the chest wall.

This involves laying two ribs flat over the chest area.

[Bone Fracture Reconnection Skill Experience Points +1, Bonus Bone Fracture Reconnection Skill Experience Points +100.]

Collecting a hundred experience points from such a tough bone fracture reconnection doesn't feel like a big haul.

Yet, when stacked against the usual single point per bone fracture reconnection, this marks a skyrocketing boost in progress.

Right now, his bone fracture reconnection skill sits at Level 4, matching the standard of an attending physician.

To advance to Vice Director, he has to put in even more effort.

The core problem lies in how regular operations rarely involve orthopedic cases; the complex ones are beyond his reach, while the simple ones yield minimal experience points.

No quick paths exist, so he must build up slowly toward that big leap ahead.

For nearly every surgical technique, the jump from Level 4 to Level 5 stands as a crucial turning point. Up to Level 5, it's all about steady, painstaking accumulation.

Pretty much every surgeon pushes through this phase the same, one step at a time.

Hitting Level 5, akin to Vice Chief Surgeon status, means you've broken through successfully. Now, you can join in on big operations and tackle sections of challenging orthopedic procedures.

Though orthopedics focuses on mere bones, it's famed as the highest-earning surgical field, and its value speaks for itself.

Even specializing in hand surgery alone can lead to great success.

Truthfully, mastering any area within orthopedics—be it hand, foot, joint, spinal, or trauma surgery—turns you into a sought-after expert at top hospitals.

Both earnings and prestige would soar impressively.

In China, thanks to the deep roots of traditional Chinese medicine, old-school healing and martial practices were never truly divided. Injuries such as bruises, internal damage, and surface wounds tied directly to fighters.

While everyday folks mostly caught illnesses, warriors frequently battled, leading to frequent injuries.

Broken limbs or cracked ribs all demanded traditional Chinese medicine care.

As a result, handling bone damage via traditional Chinese medicine stays distinctive and superior amid the rise of western medicine today.

What's the top spot for bone work and realignment?

Without doubt, it's traditional Chinese medicine!

For twists and breaks, traditional Chinese medicine remains essential.

Western medicine's go-to for fractures often means driving in metal rods; a brace might need ten to twenty of them. It's not just hugely expensive, but it also riddles the bone with perforations.

Sure, in modern times, be it traditional Chinese or western medicine, the mark of a skilled doctor is restoring patient wellness.

Western medicine isn't without strengths in orthopedics entirely.

When it comes to fixing deformities, traditional Chinese medicine's pulling techniques offer some help, yet they lag way behind western approaches.

Take serious scoliosis, for instance—traditional Chinese medicine lacks real fixes. Western medicine steps in with direct ops, excising a couple of spine pieces, plus required therapy, letting the patient walk upright like anyone else.

Moreover, bone cancer treatment falls squarely under western medicine's domain.

With the sternum rebuild done for this case, Zhou Can quickly moved to releasing the pectoralis major flaps from both flanks.

Why do that?

To slot those flaps into the sternum-void space, then join the pectoralis major sides and stitch them up for soft tissue repair.

Once finished, he inserted a drain into the chest wall cut, closed up the space with sutures, and wrapped up the procedure.

Zhou Can exhaled a deep sigh of ease.

This operation delivered a solid chunk of experience points to his medical abilities. Besides bone fracture reconnection, he picked up points in incision, suturing, hemostasis, and anastomosis too.

From slicing out the sternum to plugging the pectoral gap with muscle flaps, these steps demand pure skill.

The gains for his own surgical development are enormous.

“Alright, provided we ramp up antibiotics after the op, the patient ought to bounce back fast. Should infection strike again, it'd get complicated, nearly impossible to fix.”

Zhou Can's follow-up comment served as a heads-up to Director Xue Yan about thorough post-op management for the patient.

For repeat cases, each chance at surgery is vital and scarce.

Cracking open the chest takes a heavy toll on the patient.

Having yanked the entire sternum and snagged two ribs for the chest wall remake, it's like draining the patient's final reserves. Another infection would spell doom, with sky-high death risks.

Curing this patient would carry huge value for promotions.

Director Xue Yan gets the weight of this fully.

The next procedure targeted a lung cancer sufferer.

This person had a lobe removed three months back, over at Fangxin Tumor Hospital.

Now, it's a comeback after the op, with blood-spread distant spread.

Known spread spots include the lung hilum and mediastinal lymph nodes.

With spread this widespread, surgery struggles to tackle it. Honestly, another op offers slim real benefits.

Even so, the patient is at a peak life stage, with spouse, kids, and folks all craving healing. They're ready to drain family funds and grasp at any shot.

Touched by the family's fierce will to heal, Vice Director Hee at last agreed to handle the surgery.