My Medical Skills Give Me Experience Points Chapter 1326: 523: Level 6 Ligation Skill, Why Didn't You Step In Earlier! (Part 2)

Vascular repair commenced. Director Gou, from Thoracic Surgery, demonstrated unparalleled focus, proceeding with deliberate precision. The vessel repair was agonizingly slow, testing everyone’s patience. “Director Gou, could you perhaps expedite the process? I fear the patient's condition might deteriorate further. If this surgery drags on, we might be limited to laparoscopic procedures alone,” Anesthesiologist Ming Xin voiced her concern, having exhausted her options. Under normal circumstances, anesthesiologists maintain a professional distance, rarely interjecting in a surgeon's meticulous work. The lead surgeon typically holds a paramount position in the operating theater, with the anesthesiologist deferring to their needs and directives. If one were to draw a parallel, the anesthesiologist acts as the devoted partner, supporting the lead surgeon's endeavors. “I would gladly increase my pace, but the severe vascular sclerosis presents considerable difficulty for anastomosis,” Director Gou explained, clearly troubled. Given the subpar condition of the vessels, his current speed was already commendable. For lesser surgeries, he would have been even more deliberate. “May I assist with a portion of the anastomosis?” Zhou Can, unwilling to let his prior efforts be in vain, stepped forward. In terms of surgical velocity, he and Dr. Xu at Tuya Hospital were in a league of their own. “Dr. Zhou, are you capable of performing endoscopic vascular anastomosis?” Director Gou inquired, surprised. “I have performed a few anastomoses previously,” Zhou Can replied modestly. His proficiency in vascular anastomosis was currently on par with that of top-tier attending physicians. “Director Tang, allow him to proceed,” Director Gou suggested. Director Tang readily agreed, making space for Zhou Can. Upon switching auxiliary arms, Zhou Can joined Director Gou in anastomosing the severed blood vessels. Zhou Can’s swift debridement of the damaged vessel ends was astonishing. If their performance were likened to a race between the tortoise and the hare, Zhou Can was undoubtedly the swift hare. However, when it came to tying knots, his speed decreased. The fragility of the vessels demanded exceptional skill; excessive force could tear the vessel, while insufficient tension would result in a failed anastomosis. Even at Level 5 of the Anastomosis Skill, the proficiency was only slightly below that of an excellent deputy director physician. After considerable effort, he successfully tied the first knot. [Ligation Skill experience points +1, achieved high-difficulty knot tying in vascular areas, rewarded with +100 experience points.] [Congratulations, your Ligation Skill has successfully upgraded to Level 6, current experience 1/1000000, entry-level attending physician level. You can perform knot tying in extremely fragile tissues or high-difficulty narrow spaces, complex environments. You can achieve precise vascular ligation…] At this critical juncture, the Ligation Skill advancing to Level 6 was akin to a life-saving downpour. A Level 6 Ligation Skill allowed for knot tying on even the most delicate tofu, preserving its structure while ensuring a secure and tight knot. Deputy Director Lu’s vessels were in extremely poor condition, and the knot tying required for the anastomosis presented a significant hurdle for Zhou Can. Now, with the timely surge to Level 6, his knot-tying abilities were greatly enhanced, making the task of securing knots in vascular anastomosis considerably easier. He commenced another anastomosis and then proceeded to tie a knot. He immediately noticed a seamless and wonderful sensation; the previous difficulties had vanished. Subsequently, his surgical speed continued to escalate. When tying knots on the fragile vessels, he could discern with remarkable clarity the vessels' resilience and susceptibility to damage. “Ahem… you young folks possess nimble fingers; you should continue with the anastomosis! Allow me to assist you,” Director Gou exclaimed, observing that Zhou Can had already finished anastomosing the most challenging segments of the vessels. Furthermore, the quality of his work was exceptional, surpassing even that of an experienced attending physician like himself. Director Gou felt a blush creep onto his face, akin to the powerful, new waves of the Yangtze River relentlessly overtaking the older ones, leaving them stranded on the shore. In comparison to Zhou Can, he felt rather obsolete. Entrusting Zhou Can with the completion of all vascular anastomoses was undoubtedly the most prudent course of action. After all, they shared a common objective: saving the patient's life. Laparoscopic surgery was merely the initial phase; the true test would likely lie in the subsequent intracranial endoscopic surgery. “Tsk tsk, this caliber of anastomosis and speed—I’ve never witnessed anything like it in my entire career. I wonder which esteemed doctor at Tuya has nurtured such a prodigious successor? Tuya’s ascent to prominence is now truly unstoppable.”

Wu Yongming, a brain surgeon who once prided himself on possessing formidable surgical prowess.

However, observing Zhou Can's flawless sequence of operations left him not only utterly astounded but, more significantly, feeling profoundly inadequate.

Witnessing the caliber of Tuya Hospital's emerging medical talent firsthand, he acutely realized his own limitations; even if he were to scrutinize every young doctor at Provincial People’s Hospital, he couldn't find anyone who could stand shoulder-to-shoulder with Zhou Can.

Even when widening the net to include physicians in their forties, no one emerged who could truly rival Zhou Can's capabilities.

As for the more seasoned doctors in their fifties and sixties, it was simply out of the question.

Their potential for growth, physical endurance, and overall capacity simply could not measure up to that of the younger generation.

“Today, I have truly grasped the meaning of ‘there will always be someone better’ and ‘beyond the heavens, there are more heavens.’ The skills I once considered a source of pride are utterly insignificant when compared to him,” Ru Yaji remarked, her gaze fixed on Zhou Can's operation as if he were a divine being, utterly captivated.

Her internal sense of accomplishment crumbled into dust.

In stark contrast to Zhou Can, she now understood the true depth of disparity.

Beside her, Pang Houzhong also wore a look of utter defeat, resembling a rooster that had been soundly beaten in a fight.

“Back in the ICU, I foolishly believed I could contend with him. There’s no point in competing now; he could effortlessly overwhelm me with a single gesture,” Pang Houzhong lamented, his voice laced with bitterness.

Despite his specialization in Intensive Care Medicine, focusing on different medical domains, he was acutely aware that surgical excellence carried a far greater prestige than emergency critical care and diagnostics.

And it was far more desirable.

Should Zhou Can have chosen to practice at Provincial People’s Hospital, his standing and prospects for advancement would have vastly overshadowed Pang Houzhong’s.

“Recognizing the gap between yourself and others signifies that today’s surgical demonstration was not witnessed in vain. Continue observing; experiencing a deficit is not the true tragedy. What is truly regrettable is a narrow-minded outlook, achieving minor successes and succumbing to complacency.”

Director Xiang Fei, observing the dejected expressions of his two disciples, felt a sense of satisfaction.

The most pervasive failing among youthful individuals is often arrogance and self-satisfaction, preventing them from accurately assessing their own abilities.

With limited proficiency, they mistakenly believe they hold dominion over the world.

This particular opportunity served as an invaluable chance for them to confront their true standing.

Humility, he knew, was the cornerstone of advancement.

Mere talent and a basic foundation were insufficient on their own.

At this precise juncture, Zhou Can had successfully completed the anastomosis of the entire vessel. This included meticulous management during the procedure, such as venting and clearing blood clots, with every minute detail executed flawlessly.

The palpable level of concentration and the exceptionally high standards he upheld even elicited silent admiration from several attending physicians present.

As for the other doctors and nurses, anyone possessing even a modicum of discernment was sincerely captivated by Zhou Can’s exceptional surgical technique.

“Director Gou, the vessel anastomosis is finalized. Kindly conduct your examination. If no discrepancies are found, I shall proceed with initiating the circulatory test,” Zhou Can reported.

Having concluded the critical phase of the operation, Zhou Can addressed Director Gou, demonstrating both deference and granting Director Gou considerable respect.

Even without his report, Director Gou would not have objected to Zhou Can proceeding directly.

Nevertheless, his formal report brought a distinct sense of pleasure and appreciation to Director Gou.

“The anastomosis appears exemplary; proceed with releasing the ligated vessels to ascertain the blood flow!” Director Gou advised.

His voice carried a gentle tone, and his gaze towards Zhou Can was filled with warmth.

No attending physician would ever find fault with a young doctor who was both highly skilled and courteous.

Zhou Can then began the process of untying the ligation thread.

Although the knot employed was a slipknot, its removal still demanded a considerable degree of dexterity. He hesitated to allow Director Tang or others to perform this task, fearing that any accidental damage to the vessel once more would significantly impede the patient's recovery.

Upon releasing the knot, a robust flow of fresh blood coursed into the newly joined vessel, rapidly reaching the far end and successfully reestablishing circulation.

“Outstanding, there is no leakage, no rupture; the test has been passed.”

Successfully anastomosing a vessel of ‘inferior quality’ was already a remarkable achievement in itself.

Passing the circulation test without any signs of breakage was comparable to a structurally compromised building miraculously withstanding a powerful earthquake.

Deputy Director Lu's vascular system was in a generally poor state, and even the most advanced surgical techniques could only achieve a temporary fix. A complete replacement of all his compromised vessels was simply not feasible.

Should Deputy Director Lu manage to survive this ordeal, Zhou Can would undoubtedly emphasize the critical importance of his health and strongly discourage any further reckless endangerment of his life.

“With such profound skills, why be so hesitant? You ought to have demonstrated this level of proficiency much earlier. When performing life-saving procedures, there is no need for such excessive restraint,” Director Ming Xin admonished Zhou Can with a dissatisfied glare.

Her own anxiety and unease stemmed from the fact that this young prodigy had only intervened at the most perilous final moment. It was truly exasperating.