My Medical Skills Give Me Experience Points Chapter 1239: 488: Level 6 Separation Skill, All Surgical Nurses Are High-Energy Beauties_2

~4 minute read · 1,074 words
Previously on My Medical Skills Give Me Experience Points...
Zhou Can faces a complex challenge as he takes on a delicate tendon transplantation surgery for a patient with a severely injured hand. Deeply moved by the dedication of the patient and his father, Zhou Can consults with Dr. Xu to finalize an autologous transplant plan to avoid rejection risks. Despite the significant difficulty and potential for complications, he begins the precise operation and uses the opportunity to teach advanced surgical techniques to his assistants. The successful completion of the arduous tendon separation earns Zhou Can a substantial boost in experience points, fueling his ambition to reach the next level of surgical expertise.

Chapter 488: Level 6 Separation Skill, All Surgical Nurses Are High-Energy Beauties

Even within the realm of Level 1 surgeries, certain procedures present extreme challenges. While a Level 4 surgery might encompass various routine tasks, any operation exceeding Level 3 is inherently complex.

Upon finalizing the tendon separation within the finger, Zhou Can was rewarded with a significant boost in Separation Skill points. The adhesions were severe, requiring immense effort for him to successfully preserve the patient’s flexor digitorum superficialis tendon. This task proved even more demanding than his previous extraction of the plantar tendon.

Following the plantar tendon's successful separation, he moved on to an adjacent, fragile blood vessel. Though minuscule, it could not be severed, as it provided vital circulation to a section of the foot. There is a common proverb: “People thrive by moving, trees die by moving.” Trees struggle upon transplantation primarily because their roots are easily damaged. This principle holds true in surgical practice; one must preserve blood vessels, nerves, tendons, and even subcutaneous tissue whenever possible to mitigate bodily harm to the patient. It is truly unethical for irresponsible doctors to simply cut everything away for the sake of convenience, as this often leads to lifelong disability or chronic pain for the patient.

[Separation Experience Points +1, +1… Bonus Separation Experience Points +100.]

[Congratulations, your Separation Skill has advanced to Level 6. Current Experience: 1/1000000. Status: Entry-level Director.]

Through his tireless dedication, Zhou Can’s highly-coveted Separation Skill finally achieved Level 6 status. With this advancement, he immediately perceived a newfound clarity in how to isolate organs and tissues. At that moment, he had almost finished detaching the vessel’s main trunk, leaving only a few minor branches.

These were essentially end vessels—slightly larger than mere capillaries. Previously, performing such delicate work would have been an exhausting struggle, with no guarantee of success, regardless of any magnification aid. The challenge lies in the vessel wall's extreme thinness, which makes it prone to rupture. Even the renowned neurosurgeon Wu Baihe would typically opt to sever such minute vessels, focusing only on one or two major branches.

With his newly upgraded skill, Zhou Can viewed this as the perfect chance to push his limits and test the capabilities of a Level 6 Mastery. He wouldn't go as far as calling it ‘impressive,’ as Level 6 only marks the start of the Director tier; only Level 7 could be truly considered ‘formidable.’

“Could you pass me the No. 27 blade?” Zhou Can asked Qiao Yu.

“Oh? I didn't realize you required such a small blade. Xiaolan, would you mind grabbing one from the equipment supply closet?”

“On it!” Ma Xiaolan hurried off to retrieve the supplies. The operating room contains a specialized area for stocked, frequently used consumables. In the past, Dr. Xu had been quite vocal when someone would carelessly unwrap a package that ended up unused.

“Are you planning to separate peripheral nerves with such a tiny blade?” Qiao Yu inquired, curious as to why Zhou Can needed this specific tool while nearly finished with the plantar tendon. Usually, a No. 11 blade is sufficient for vessels, while a No. 10 is standard for skin.

“I intend to save as many small blood vessels as possible to minimize trauma to the foot,” Zhou Can replied with a smile.

Ma Xiaolan quickly returned with the blade. While No. 34 or No. 36 blades also exist, the No. 27 was perfectly adequate. Once it was in his hand, Zhou Can expected some awkwardness; instead, thanks to his Level 6 skill, it felt completely intuitive—almost like reuniting with an old friend. It felt as if he had performed such precise nerve and vessel separations thousands of times before.

As he targeted the first tiny branch, his hand moved with divine precision—steady as a mountain yet swift as lightning. His Fast Knife Skill and Stable Knife Technique had seemingly merged and evolved alongside his Separation Skill. The sensation was extraordinary—entirely unique in his experience.

With great focus, he successfully isolated the initial tiny branch vessel. Though he had prepared for a possible rupture, he emerged successful. While not absolute perfection, the goal of surgery is functional recovery, not an artistic display—though having a high technical baseline allows for such precision. Zhou Can maintained a realistic perspective; as an entry-level Director, obsessing over perfection could needlessly increase operative time or lead to complications. As the elders say, one must work within their own limits. Without the necessary mastery, aspiring to operate with the complexity of a Grand Imperial Feast is simply foolish.

[Separation Experience Points +1. You have successfully separated a tiny vessel. Bonus Experience Points +100.]

Zhou Can’s eyes brightened. He had discovered an efficient way to accumulate experience! By taking the time to isolate these tiny branches, he not only earned a bounty of experience points but also significantly reduced surgical trauma for the patient—a win-win.

Following the successful extraction of the plantar tendon, the next phase involved transplanting it into the patient’s finger. This stage required extreme meticulousness and tested a surgeon's foresight.

“Dr. Zhou, why did you opt to retain some of the surrounding tissue during the tendon removal?” Pu Dingdong asked, seeking clarification. Typically, assistants avoid interrupting a lead surgeon, especially during complex cases where tension is high. A surgeon under pressure can be as volatile as a powder keg; in such environments, even a minor question can trigger a sharp reprimand.

Zhou Can recalled an internship experience where a bad-tempered associate chief physician reduced the surgical nurse to tears for the entire duration of the procedure. Such is the price of high-stress surgery. Having a calm lead surgeon is truly a luxury. Interestingly, it is a well-noted phenomenon that operating room nurses tend to be remarkably attractive. This is partly because high-status lead surgeons—who serve as the hospital's primary revenue drivers—often wield significant influence. Furthermore, given that the vast majority of lead surgeons are men, there is an innate preference for working alongside pleasing company. Surgery is an exhausting, visually draining task; having a beautiful nurse present provides a necessary boost to morale after hours of staring at blood and tissue. Those who believe doctors should be detached, moral saints are simply being naive. Like anyone else, men in positions of power appreciate beauty; even business owners displaying 'insecurity' by hiring only male staff proves that personal preference remains a constant factor in the professional world.