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(WWW - Asianovel.com) - Great Doctor Ling Ran Chapter 201 - Chapter 250
(WWW - Asianovel.com) - Great Doctor Ling Ran Chapter 201 - Chapter 250
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Ling Ran, a med school senior, begins to see the world like a game
UI. He uses it to pave his way towards graduation, a residency,
becoming the greatest doctor in the world… And finally getting a
Transformer from his newbie packs? Maybe. We don’t know yet.
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Zhao Leyi felt his heart ache when he thought of the price he had
to pay. But aside from Doctor Zhou, the other attending physicians of
the Emergency Department were similarly unwilling to let go of the
amazing opportunity.
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Doctors—especially attending physicians—were very busy
creatures. If they had not adjusted their shifts, a lot of them would
need to go back and forth due to time constraints.
At that moment, Zhao Leyi began to feel that he paid too small a
price to exchange shifts with the lazy Doctor Zhou. If he could seize
an opportunity this time, he would give even give Doctor Zhou some
corn.
Yun Hua Hospital was the top hospital in both Changxi province
and Yun Hua City. It was very hard to get into Yun Hua Hospital
purely through one's educational background and skills. That was
especially true for Yun Hua Hospital's Orthopedics Department and a
few other related departments. A master's degree would barely be
enough, and the hospital was still picky when it came to those with a
PhD. The number of overseas PhD holders who sent in their resumes
increased by the year, and for the past four or five years, a PhD
holder from overseas could probably not get into Yun Hua Hospital
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anymore.
From that aspect, Mayo Clinic was pretty much the best choice. It
was especially true for the Orthopedics Department because Mayo
Clinic's Orthopedics Department had dominated the world's number
one position for a long time. If he got to train there for two years, he
would be so happy he could die.
Zhao Leyi immediately adjusted his clothes, raised his head, and
straightened his body.
Similarly, Academician Zhu Tongyi had his head raised and body
straightened.
Zhu Tongyi, who was almost seventy years old, had gray hair and
impeccable posture. He still went to work four days a week, made
didactic ward rounds and provided guidance to surgeons at least
once a week. In addition, he regularly lectured in Fudan.
Apart from that, Zhu Tongyi compiled a new book every year and
acted as the editor as well as reviewer of various Chinese medical
journals.
The most amazing thing about him was, of course, his Orthopedic
and Sports Medicine Center. It had built quite a name for itself, even
internationally. That allowed Zhu Tongyi's apprentices to have a base
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to launch their career, which also became an important factor when
the government selected academicians for the Academy of
Engineering.
Zhu Tongyi nodded with a smile and said, "I heard that your
department started carrying out finger replantation
surgeries. I'm very curious. Is it all right if we take a look?"
Zhu Tongyi walked past Zhao Leyi with his back straight and head
full of white hair, showing Zhao Leyi the impeccable side profile of an
almost seventy-year-old man.
Huo Congjun followed closely behind him with his back straight and
head full of black hair as well. Anyone could see how pleased he was
with himself even from the way he breathed.
Zhao Leyi and the others could only wait until all members of the
delegation left to follow them.
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"The excellence rate of the finger replantation surgeries
performed by Ling Ran seems to be extraordinary," the
attending physician beside him said and clucked his tongue a few
times. "Young people nowadays are extraordinary indeed."
Zhao Leyi pursed his lips and thought, 'There are just no suitable
patients today. The orthopedic surgeries I carry out in the Emergency
Department aren't bad either. Damn it, I feel like breaking someone's
bones right now.'
When he looked at his credit card bill every month, Zhao Leyi
would think to himself, 'If only I were an orthopedist.'
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Having several dozens of hospital beds in one single department
was not considered a few, but one or two hundred hospital beds were
considered a lot.
Zhu Tongyi's Orthopedic and Sports Medicine Center only had one
hundred and eighty hospital beds, and there were rarely any
situations where they needed to add extra beds.
Huo Congjun smiled without trying to gloss over things. "As this
project has just begun, I can't tell you the exact time. Based
on the statistics we've accumulated so far, the patients stay
around forty to forty-five days."
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Since the Emergency Department was the only department in the
hospital where the patient turnover rate was not inspected, a lot of
patients got to stay there long-term. You could say that they were
truly "lazing around in bed."
Xue Haochu took the brief opportunity to step forward and say,
pointing at Yuan Wei's room, "Why don't we take a look at this
one?"
Before Huo Congjun could say anything, Xue Haochu took the lead
and entered the room.
Xue Haochu went straight to Yuan Wei the moment he entered the
room. He smiled in his heart when he saw Yuan Wei and He Jinxiu. He
then said with a smile to the doctors who came after him, "Can you
let us take a look at this patient's medical record?"
"Go and get it," Huo Congjun added and looked at Xue Haochu
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again.
Xue Haochu told a half-truth, "I strolled past before this and
was quite interested in this patient's surgery and recovery.
That's why I want to take a look at his medical record."
Soon, Yuan Wei's medical record was sent into the ward.
Xue Haochu first flipped to the page that stated the date on which
the surgery was carried out. He smiled, pleased with himself as he
counted with his fingers.
'Sh*t, the surgery was seriously carried out seven days ago?"
Yuan Wei nodded, not knowing what was going on. "I told you
about it already."
Zhu Tongyi walked over with a wide smile. He then craned his neck
and took a casual glance at Yuan Wei's replanted finger.
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"Can you guys take some scans for us to look at?" Zhu
Tongyi massaged his waist and straightened his body again as he
raised the request.
The gap between anxiety and happiness was only the size of a free
checkup.
After staying in the hospital for quite a while, Yuan Wei and He
Jinxiu knew that none of the checkups were cheap. As a nurse
pushed Yuan Wei for his check-up on a wheelchair, he felt less
annoyed about Xue Haochu removing his dressing earlier.
X-ray...
MRI scan...
Doppler ultrasonography...
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CT scan...
Since Zhu Tongyi was tired of walking, he sat down inside the
Emergency Department's office and waited for someone to serve him
a cup of tea. He sipped the tea slowly as he chatted, and he looked
like one of those old men who stood by the roadside to watch other
people play chess.
After chatting for a while, Zhu Tongyi reckoned that it was almost
time for those scans to be completed. He curiously asked, "Where's
the doctor who operated on this patient? Why isn't he here?"
Zhao Leyi felt happy for some unknown reason. Even though the
huge price he paid in exchange for a chance to show his face did not
seem to be paying off, the situation was far worse for doctors who
did not pay any sort of price and were stuck in the operating theater.
Ling Ran could have had the opportunity to show his face, but that
did not happen because he did not exchange shifts with another
doctor. This was a rare opportunity, and Ling Ran missed it just
because he did not pay a huge price...
"Go and get Ling Ran. See how's the progress of the
surgery he's performing." Huo Congjun glanced at his watch
before he explained to Zhu Tongyi, "Ling Ran has always been
quick when he performs his surgeries. I reckon that he's
almost done."
"I can only stay a bit longer." The academician did not have a
fixed schedule. He was an orthopedist himself, and knew that finger
replantation surgeries always took a long time. It would take an even
longer time if an accident happened during the surgery. He definitely
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could not wait indefinitely for Ling Ran.
Huo Congjun did not expect that Zhu Tongyi would want to meet
Ling Ran. Deep down, he was rather reluctant for them to meet.
Hence, he was not proactive when it came to the matter, and just
went with the flow. "The patient Ling Ran's operating on today
has two severed fingers. I have a feeling he's probably
coming out soon," he said.
"Ling Ran's already done with the patient with two severed
fingers. But then a patient with three severed fingers
arrived, and…" Lu Wenbin gave Huo Congjun a look, knowing that
Huo Congjun would understand what he meant.
Huo Congjun did not even have to think with his brain to know that
Ling Ran definitely could not hold back his excitement and went into
the operating theater again.
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one must take a look at the hen that laid the egg."
The test reports were sent over the moment they were out.
However, he swallowed his words and bent his waist, which could
carry a one-hundred-and-eighty pound weight in a deadlift [1].
Following that, he moved next to Huo Congjun in an obedient and
submissive manner.
"Did you carry out Yuan Wei's surgery together with Ling
Ran?" Huo Congjun asked.
Since Zhu Tongyi did not gather anything useful after he listened
closely for a while, he proceeded to read the scans, one by one.
After he read the scans for some time, Zhu Tongyi rose abruptly
and laid them out on a table. Xue Haochu immediately went forward
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and helped him with it.
Lu Wenbin rubbed his heels against the floor and said, "Probably
a little over an hour."
"That's all right. We'll take a rest first, then." Zhu Tongyi
flashed a wide smile, his white hair swaying along with his head. He
then asked Xue Haochu to keep the scans.
Zhu Tongyi's words from before flashed in Huo Congjun's mind. 'No
matter how good an egg tastes, it doesn't mean one must take a look
at the hen that laid the egg…'
All the young doctors were very happy, though. They took the
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opportunity to go forward and ask all kinds of questions, regardless
of whether they were relevant or not.
Zhao Leyi was the most excited among them all. He trembled
violently and said, "Academician Zhu, I've been carrying out a
lot of surgeries on elbow joints lately, and I encountered a
few problems regarding the medial approach…"
After Xue Haochu was called, he pondered calmly for more than
ten seconds before he answered Zhao Leyi's question.
As Zhao Leyi gazed at Xue Haochu, who was around his age, he
could not help but feel dejected.
All the PhD students under Zhu Tongyi were carefully selected by
the academician. Right then, Xue Haochu demonstrated profound
theoretical knowledge.
Zhao Leyi retreated silently. He then took a few more steps back,
stood at the corner of the meeting room, and spoke no more.
Zhu Tongyi leaned against the backrest of his chair and rested his
chin on his hand. His gaze was empty while he looked forward. Even
though he looked like he was listening to what everyone was saying,
in reality, he had other things on his mind.
After a long time, Zhu Tongyi sat up and spoke again in an urging
tone, "How's Ling Ran progressing with the surgery?"
Huo Congjun furrowed his eyebrows, but there was nothing that he
could do.
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Zhu Tongyi only got to see Ling Ran in his white coat after he
waited roughly another hour.
Since Ling Ran had to meet the academician, once he was outside
the door, the hospital's administrative staff asked him to change into
a new, large, white coat.
The brand-new, large, white coat even had marks on it, indicating
that it had just been ironed. It fit Ling Ran perfectly and was of just
the right length, making him look radiant and dashing.
He received praises all the time, and people praised him in various
ways every day. It was not something rare for him at all.
As a result, Zhu Tongyi had even more admiration for Ling Ran. He
had praised a lot of young people before, and all of them reacted
with reverence and awe. He rarely met young people who were
neither obsequious nor arrogant like Ling Ran.
"Yes, very well!" Zhu Tongyi started laughing. "Can you tell us
how you carried out the surgery?"
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Ling Ran immediately realized that the patient Zhu Tongyi saw was
definitely the one he operated on when trying to complete the
[Perfect Suture] mission.
In truth, surgeons with good skills would carry out surgeries well,
while surgeons with lackluster skills would carry out surgeries
horribly. It had nothing to do with their character, personality, or
whether they were a slave to money, or anything else.
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Yet, some of the steps in the surgical methods used for current
finger replantation surgeries in China were actually influenced by Zhu
Tongyi. It was not an overstatement to say that Zhu Tongyi had
suggested improvements to those steps.
Nevertheless, Zhu Tongyi listened to Ling Ran for more than ten
minutes. He only drew a long breath after Ling Ran finished speaking
and came to a conclusion. "It was just an ordinary finger
replantation surgery."
Huo Congjun was livid at the side. No one was allowed to comment
on Ling Ran's skills, not even someone as great as Zhu Tongyi. "Ling
Ran is a core member of Yun Hua Hospital's Emergency
Department. Of course his skills are superb!"
"Is that a problem?" Huo Congjun fixed his gaze on Zhu Tongyi,
ignoring the look on the faces of the hospital's leaders.
Zhu Tongyi waved his hand in dismissal. He then rose and said
with a smile, "Why would the fact that his skills are superb be
a problem? He can solve problems with his superb skills."
The smiling Zhu Tongyi looked at Ling Ran and said, "Doctor Ling,
I have a case where an athlete has suffered a sports injury.
Even though we already have a relatively complete plan, we
have not been able to settle on a chief surgeon because it
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would require someone very highly-skilled. Would you like to
give it a try?"
Before Ling Ran had the time to reply, a prompt appeared in his
mind.
Translator's notes:
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Zhu Tongyi nodded and said, "The surgery plan is ready. All we
need is a suitable surgeon."
Huo Congjun was slightly relieved. As long as Zhu Tongyi did not
intend to take Ling Ran away, there would still be room for
negotiations.
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doesn't have many chances to become an assistant. I'm not
sure if he's suitable for guided surgeries…"
Ling Ran looked at Zhu Tongyi and said, "I've only performed
tendon repair surgeries for hands before this."
He looked at Ling Ran nervously and heard Ling Ran say, "I would
like to practice in Yun Hua Hospital."
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Besides, Ling Ran was also familiar with the hospital's
environment. He knew how difficult it was for an intern to work like a
chief surgeon. Hence, Ling Ran could forget about getting three
assistants in rotation while performing surgeries if he went to Zhu
Tongyi's research institute. He would be considered highly valued
even if he had one assistant. Zhu Tongyi may even possibly reduce
him to the role of an assistant.
Zhu Tongyi still showed a smile on his face. He advised Ling Ran,
"Doctors always need training. Our Orthopedic and Sports
Medicine Center has one of the most advanced technologies
for orthopedic surgery in the country. Our tendon repair
surgery is even world-renowned. Otherwise, famous athletes
would not deliberately come to us. Ling Ran, if you come to
our research institute for a few months, you' ll know that
even if Yun Hua Hospital encounters patients of the same
syndrome, our diagnosis and way of handling the course of
injury are completely different…"
The students and doctors who followed him to Yun Hua Hospital
also nodded proudly.
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They had finally understood how the Orthopedics Department of
Yun Hua Hospital operated. They could only say that while the
hospital was good, it was still a distance away from being the top.
The doctors from Yun Hua Hospital were confused. They were
curious about Zhu Tongyi's research institute, but at the same time,
they did not believe in his boasts.
In the world that no one could see but him, a big brown book
jumped out and landed in front of Ling Ran.
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tendon…" Ling Ran offered several conditions straight away, and it
shocked the students, including Xue Haochu, when they heard what
he said.
At that moment, Zhu Tongyi knew that Ling Ran was determined to
stay in Yun Hua. He thought for a while and said, "Why don't you
follow me to my research institute to have a look at our
surgical and operating conditions first? Then, you can decide
whether to practice in Yun Hua or in our research institute.
What do you think?"
Ling Ran looked at Huo Congjun; he did not take up the offer
directly.
Huo Congjun felt very touched. The doctors in his department had
even brought up mathematical questions to Zhu Tongyi just to show
their faces before the academician. But despite showing his face,
Ling Ran still thought about Huo Congjun. That was why people said,
"Those who looked handsome also handled things
beautifully…"
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"In that case, Ling Ran you better don't go alone. It will be
better if you bring someone along with you." Huo Congjun
glanced across the crowd and said, "Lu Wenbin, follow Ling Ran
to Shanghai. Coordinate with him and handle everything."
"Yes, Ling Ran. Just go. You don't have to worry about your
family here," Huo Congjun advised him earnestly.
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Tao Ping shoved a pack of tissues into the small pocket of a stuffed
bag. "Young Ran, it's totally different staying outside than
staying at home. You need to take care of your safety. Don't
just eat anything out there. Don't work until it's too late in
the night. Also, consult a doctor if you're not feeling well…"
she reminded earnestly.
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Ling Jiezhou was terrified when he heard what his wife just said. He
immediately replied, "Why do we need to drive his small and
broken car to Shanghai? He doesn't have a Shanghai driving
license, he won't know where he can park his car. It's very
inconvenient for him."
"Then what should we do?" Tao Ping stood on tiptoe, patted her
son's head, and said, "Look at your son. It's fine during the day,
but at night, people's moral values will be reduced to
nothing. It's dangerous for him regardless of whether the taxi
driver is a male or female…"
"What are you talking about?" Ling Jiezhou could not stand it
anymore.
Tao Ping snorted and said, "I can't let this happen. Ling Ran,
why don't you just stay in the hostel inside their hospital?"
Tao Ping did not want to discuss that problem with Ling Ran. She
turned around and said, "Old Ling?"
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Every time his wife called him Old Ling, it meant that Madam Tao
Ping was in a bad mood. Ling Jiezhou was very sensitive about that.
Ling Jiezhou really could not handle his wife when Madam Tao Ping
was angry over family matters. She was an impetus for him in
moments like that…
Ling Jiezhou racked his brains and said, "Okay, let me contact
my friend in Shanghai and see if I can borrow a car from
him?"
"Borrowing a car isn't really good." Tao Ping shook her head.
She was not satisfied with his suggestion.
"We can't afford to buy a new car there, can we? We don't
have the money for that. Even if we do, we can't do that.
Business in our clinic has just become slightly better, but it
doesn't mean we can buy a car whenever we want."
Ling Jiezhou took a deep breath and said, "Car rental is also
expensive. We can actually afford to rent a car, but we aren't
just renting for a day or two. It's for at least one or two
weeks and it's too costly… Didn't you say you want to visit
Europe? Something about the British Museum and the Louvre
Museum… When I was young, I used to say that I would bring
you there, but I never managed to earn much money. Neither
you nor I were willing to spend money for the trip. Now that
we finally have some money, are we supposed to spend it on
car rental?"
"I didn't… Ahem. Boys will be quite safe. Just don't grab a
car at midnight. If you really need to stay until midnight, you
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can just stay in the hospital. The hospital normally provides a
place to rest for the doctors who are on-call, right?" Ling
Jiezhou had quite the understanding of hospitals.
Bed sheets, towels, and other personal items that he was used to
had to be brought along. Besides, he also brought the small gifts
given by his colleagues to show his respect. It seemed like his female
colleagues had a discussion before they gave him their gifts. The
items they bought for Ling Ran, like the toothbrush, toothpaste,
socks, and eye masks did not overlap at all. They bought him so
many gifts that Ling Ran had to return their gifts twice before he
could pay back the favor.
After Tao Ping watched her son leave, she walked up to the first
floor and observed her son from a farther distance. She then took out
a pack of tissue papers and used one to wipe off her tears and blow
her nose. Once she was done, she pushed Ling Jiezhou away slightly
when he came to comfort her, and said while she sobbed, "Go and
buy the flight tickets."
…..
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Fuyuan Stadium. It consisted of four levels and was shaped like an L.
There was a small gym at the center of the stadium.
Ling Ran was brought to the stadium by Xue Haochu once he got
off the plane.
Xue Haochu had read through Ling Ran's surgical records. He also
read Yuan Wei's X-ray scan and medical record. All of this made him
admire Ling Ran a little, emphasis on "a little".
Xue Haochu felt very proud in his heart once he returned to the
Orthopedic and Sports Medicine Center in Shanghai. Xue Haochu had
followed his teacher, Academician Zhu Tongyi, on many projects in
one of the strongest orthopedic research institutes in the country. He
had also published many research papers, and was slightly famous
now. His insufficient clinical experience caused him to focus more on
research, but in the medical world, research had always been more
important than clinical practice.
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"Not anyone in particular." Ling Ran understood very well how
it felt to have someone flatter him. As the saying went, "Do not do
unto others what you would not do to yourself." He did not like
to flatter others and cause any disturbance.
Xue Haochu just assumed that Ling Ran was shy. He smiled and
said, "Once you stay longer, you'll see that star athletes are
also human beings like us. When they're not very busy,
they'll be willing to give us a signature. If you perform well in
providing sports health care, there will be star athletes who
will offer you a high price to hire you."
It was hard for him to be fond of a stadium, which was hot and
sweat-inducing.
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He casually looked around, and very soon, he found a person he
was familiar with. He pulled Ling Ran over, smiled, and said, "You
see, that's the main player of our Shanghai badminton team."
Xue Haochu glanced at him and said, "He has always been
healthy. Don't just casually throw those words around. It's a
taboo among athletes."
Xue Haochu was speechless for some time before he replied, "You
look at athletes because they are healthy of course. What
else would you be looking at?"
"Are you sure that you don't want a signature? If you don't
want one, I'm going to get one for myself." Xue Haochu happily
took out a box of playing cards. He was very experienced at getting
signatures.
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Ling Ran shook his head and sat on the long bench. He moved his
fingers while he thought of something.
All of a sudden, Xue Haochu did not want to leave. He held his
playing cards and stood next to Ling Ran, trying to pose as
handsomely as he could.
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Lu Wenbin wore a pair of new red Air Jordan sneakers and ran
slowly across the synthetic race tracks around Fuyuan Stadium.
The Air Jordans were the latest design of the brand that year. The
day before, when Lu Wenbin passed by a Nike store, he immediately
bought the shoes upon falling in love with them at first sight. As a
fitness freak, Lu Wenbin had an obsession with sneakers. He did not
purchase them in Yun Hua simply because he was poor.
At that moment, Lu Wenbin ran on the track with his pair of full-
priced Air Jordans, and he felt like he had drawn the attention of
every person in the stadium.
After all, he was wearing a big pair of red sneakers. The shoes
were so obvious and cool that there was no way no one could not
admire them.
The spacious area around him was very beautiful, and the seats
were grouped in three different colors. They were arranged closely
together, resembling an uncountable number of leaves that spread
out from a tree.
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The color of the sky was nice. It was the typical color of haze,
where a hint of blue could be found in the sea of gray. The blue color
was not a faint shade of blue but a rather deep one. It was a blue
that brought some hope to the people.
A haze with depth and no vitality was like the strongest pandemic.
Although hazes seemed to have the ability to wipe off everything on
Earth, they still left behind some holes and gaps in their attack so
that they would not kill the host immediately. This gave the host a
chance to continue reproducing.
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sweating slightly while running together with him on the outer lane of
the track.
"How long have you been training?" The muscular man with
the gold-rimmed belt poked Lu Wenbin in the arm.
"Is that so?" Lu Wenbin instantly felt like he had found a bosom
buddy, but he also felt defeated.
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was equipped with an almost complete set of facilities. Even the
devices for endurance training alone took up about five thousand
square feet of the area. The number of weight plates was more than
the biscuits sold in the vending machine.
A while later, men and women with athletic figures came in one
after another. Lu Wenbin felt inexplicably nervous, and he began to
move out of form.
"Clamp your back." A tall and built man patted Lu Wenbin on the
back when he passed by.
"From which hospital?" The tall man turned back and looked at
Lu Wenbin.
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still exercise?" The tall man suddenly turned his back and showed
Lu Wenbin his shoulder.
"I always go for check-ups." The guy gave him a sly smile and
said, "The doctors under your academician are the most
skilled. I will always ask a couple of questions whenever I
meet any one of them."
Muscle aches were very common among people who went to the
gym throughout the year. It was normal for them to receive
consultations from a doctor. However, it would be weird for them to
continuously ask questions about their health.
"Hey, look, doctors like you can always come to the gym to
exercise, but why can't people like us go and consult doctors
after we're tired from our training?" the tall man said
presumptuously. He sounded very reasonable.
Lu Wenbin could not help but laugh. "Aren't all of you athletes?
Don't you have your own doctor?"
"I think you're quite suitable. You can just help conduct a
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simple check-up on me. It won't cost you anything," said the
man. He then made Lu Wenbin sit down on the long bench before he
observed how Lu Wenbin lifted the dumbbell.
Ling Ran had also rested for two days, which was something rare
for him. When he went back to the hotel, he saw Lu Wenbin looking
as if he was an inch away from death. Ling Ran felt sorry for him and
asked, "Have you showered?"
"Call me once you get the hand sanitizer ready," Ling Ran
said before he went back to his room.
Lu Wenbin could not help but grunt when Ling Ran massaged his
neck.
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"I…"
"You should try this in the gym." Lu Wenbin could not help but
say, "With your massage skills, those muscle men in the gym
who suffer from muscle aches will definitely call you 'dad' if
you help them out."
"Hmm?"
"Hmm?"
"Hmm?"
"I'm sure you can find some strange ailment among them."
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When Ling Ran saw the athletes bouncing on their feet even when
they walked, he felt the urge to exercise as well. He then said to Lu
Wenbin, "Let's go and jog on the track."
Ling Ran never did like sprints. He preferred to run long distances
at a fixed pace, compared to sprints. During the process, he always
got inspired, and his mind would become clear.
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Lu Wenbin could only jog along.
"Doctor Ling, can we run faster?" Lu Wenbin could not help but
tease Ling Ran. He felt so amazing that it was as if he had just
shoved winter into an incinerator and watched it burn.
"You can continue on your own." Ling Ran was not one bit
bothered.
When he was about to answer Ling Ran and increase his speed, a
voice traveled into his ears from behind him. "You should make
sure that the center of your feet lands on the ground first."
What made Lu Wenbin the saddest was that the muscular man
with the gold-rimmed belt was no longer around. Could it be that he
did not fancy Ling Ran's type?
After Ling Ran ran over 3,280 feet—which was three rounds on the
synthetic racetrack—he slowed down and gasped for breath. A towel
and a bottle of mineral water were immediately passed to him.
"You can have mine." The first young female athlete who ran
together with Ling Ran took out her own cup from the water box. She
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said, "I haven't used it before. The water contains amino acids
which are meant for recovery."
Ling Ran gasped and said, "I came for in-service training in
the research institute next door. I'm Ling Ran."
A few young ladies who ran together just now came and greeted
Ling Ran.
Lu Wenbin was familiar with this flow. He slowly took out the
alcohol-based hand sanitizer from his pocket and put it by the side.
Then, he found some white towels in the stadium. He had requested
these towels yesterday. They were only provided to the really famous
athletes, but some of the muscular hunks in the gym had great
prestige. With just one phone call, they could make the stadium staff
send the things they requested with a smile.
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had already begun massaging the athletes using the white towels
they brought to the place themselves.
The group of female athletes kept howling like cats as Ling Ran
massaged them. Lu Wenbin could only smile wrly while he handed
the towels to Ling Ran by the side.
Besides, Ling Ran not only massaged the athletes, but he also
performed a check-up for every athlete on their feet and Achilles
tendons.
"Lu Wenbin." Ling Ran did a check-up for a female athlete from
her head to her Achilles tendons. He said, "Get a notebook and
make a record."
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athlete by the side could not hear him.
The female athletes were also very happy to help Ling Ran gain
more knowledge.
Ling Ran still worked at his own pace even when he was the center
of attention.
"Contusion."
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"Tendon injury…"
Ling Ran was getting familiar with the conditions of the feet and
Achilles tendons, especially while he felt the athletes' bodies with his
hands.
Athletes had been training for long periods of time, and because of
it, many of their physical indices were different from normal people.
Even their muscle tissue conditions were also different.
Ling Ran held the heel of a female athlete while thinking about the
procedures of the Achilles tendon repair technique in his mind. He
slowly started gesturing on her Achilles tendon with his finger.
"Of course."
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Ling Ran glanced at Lu Wenbin and said, "I haven't been
performing any surgery for a few days. I can't stand it
anymore."
Ling Ran spoke so honestly that Lu Wenbin did not know how to
answer him.
"Just make a call now." Ling Ran had been performing physical
examinations for some time. He could barely suppress his urge to
perform surgeries now.
Lu Wenbin frowned, took out his phone, and made a phone call to
Xue Haochu.
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From his own perspective, Xue Haochu felt that his arrangement to
have Ling Ran rest for many days was a perfect plan, and this was
also a means of conveying goodwill towards Ling Ran.
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by his pride as a Ph.D. student that he heard the threat in Lu
Wenbin's voice.
With his phone in hand, Xue Haochu thought long and hard before
he reopened his WeChat and sent some messages.
This was one of the reasons why the research institute had invited
Ling Ran over the past few days to work.
Xue Haochu himself was not sure when Ling Ran should be
permitted to come into contact with the patients.
Xue Haochu's hard bottom leather shoes made clear, loud clops
when he walked along the corridor in the hospital, and it sounded
just like Xue Haochu's biography.
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glance.
Zhu Tongyi was an academician. At the same time, he was also the
director of the research institute. But Doctor Qu always preferred
using the second title to greet him.
Xue Haochu shook his head and said, "I didn't come to you
because of the director today. Do you still remember Doctor
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Ling from Yun Hua Hospital, the one brought here by the
director?"
Xue Haochu had seen Ling Ran operate before. He smiled and said,
"Doctor Qu, have you checked on the video we brought
back?"
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position made him do so.
Doctor Qu groaned and shook his head. He said, "I admit that the
technique he showed in the video is quite good. But that's
just a hand surgery. Has Ling Ran performed any foot
surgeries before? It's a no, right?"
"Since you have seen it, you should know of his success
rate, right? The finger replantation surgery is the top of all
microsurgeries. It will only be much easier for him to perform
a foot surgery." Xue Haochu was Academician Zhu Tongyi's
secretary. He always needed to communicate with all the medical
staff in the institute, and he could easily grasp the doctors'
weaknesses.
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discussion tomorrow." Xue Haochu provided an acceptable
suggestion.
Although Xue Haochu was extremely happy, he still left the room
with a calm look on his face.
"No matter how difficult you are, aren't you still…" Xue
Haochu kept mumbling under his breath until he could no longer
think of anything else to say. Then, he started to sing.
…..
Second day.
Xue Haochu went to pick Ling Ran up and brought him to the
Orthopedic and Sports Medicine Center.
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For Ling Ran, he had just obtained the Perfect Level Achilles
Tendon Repair Technique. If he was in Yun Hua Hospital now, he
would have long since asked Department Director Huo to get him
patients.
But in Rome, or this case Shanghai, Ling Ran could only do as the
Romans do.
But Doctor Qu did not intend to stop Ling Ran. He randomly threw
out around ten medical cases to Ling Ran and said, "Just have a
look at which medical cases you would like to try, then we'll
do that…"
Just like what Doctor Qu hoped, Ling Ran was indeed a little
surprised.
"Are all of them ready for surgery?" Ling Ran pointed at the
medical cases in his hand before he pointed at Doctor Qu's document
cabinet.
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Ling Ran was not sure whether he had any solutions. He was not a
person who loved to boast about himself.
In most of Ling Ran's life, when a male student or a man saw him,
the first thing they wanted to do was to boast about themselves.
For Ling Ran, boasting was just a process that wasted his time.
"We'll do a simple medical case then." Ling Ran picked out the
simplest, most common, and highly typical case of Achilles tendon
rupture among the pile.
According to his plan, he would only allow this young man stay in
the Orthopedic and Sports Medicine Center for some time, let him
obtain a cert to prove that he had gone through training, and let him
go home.
But no matter what, Ling Ran chose a simple and standard medical
case, and Doctor Qu was relieved with his choice. So, most of his
qualms were alleviated. He smiled and said, "Please prepare
yourself for it, we will perform surgery latest by tomorrow
afternoon."
Deep down in his mind, Doctor Qu thought, 'This will be your last
surgery in the research institute.'
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Xue Haochu saw the sincere smile that appeared on both their
faces, and he trembled in fear.
Because Xue Haochu knew that both of them were sincere. Yet,
only one sincere smile could remain until the end.
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this caliber.
Xue Haochu looked towards Ling Ran with a strange gaze multiple
times. Even if he was a colleague of Doctor Qu in the same research
center, Xue Haochu found himself not quite able to withstand Doctor
Qu's nonsensical rambling anymore.
Ling Ran only watched the scans. He did not make a sound.
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to understand Ling Ran. He looked at Lu Wenbin, then at Ling Ran.
He could not believe that the duo had failed to see Doctor Qu's
deliberate attempt at making things hard for them.
"In short, Doctor Ling, you do not need to worry too much.
Whatever Doctor Qu said can only be treated as a reference.
Once my mentor returns, we will still do things as per usual."
Ling Ran nodded and let out a little hum before he said, "I don't
really care about the internal environment of your
organization. I'm here to perform surgeries. If I can't perform
surgeries in your research center, then I'll go back."
Xue Haochu cast a glance at Ling Ran's expression and found that
Ling Ran had meant every word. His mood plummeted further. At the
end of the day, he was just Academician Zhu Tongyi's student. Ling
Ran would not listen to him, and neither would Doctor Qu. However,
they still had to perform the surgery.
Ling Ran and Lu Wenbin did not give any remarks. They went off to
make their preparations.
…..
After all, the medical science of the present day and age was built
on the foundation of providing popular medical treatment methods to
others. High-quality treatment methods were also built on the hopes
of providing high-quality treatment to many people, rather than a
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select few.
As a surgeon who was over forty-years old, bald, and had just
accumulated a vast pool of medical knowledge, Doctor Qu was willing
to perform Achilles tendon repair surgeries for life, but he must first
be able to become someone of authority in this field first.
Ling Ran changed into scrubs and arrived in the operating theater
seven minutes before the appointed surgery time.
Ling Ran raised his head and looked at the clock. He did not say a
word.
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There were few doctors who would say such things in an operating
theater.
But Ling Ran could adapt to this very well. He liked people who
made things clear.
He might be young and he had a lot of hair on his head, but he had
the correct attitude. In Doctor Qu's eyes, he was quite the good
fellow.
"Retraction…"
"Tissue forceps."
The scrub nurse immediately slapped the tissue forceps into Ling
Ran's hand.
"Gauze." Ling Ran called out again. He used the gauze to protect
the skin, used the tissue forceps to clamp down on the skin, and
widened the area.
And in all of Doctor Qu's life as a surgeon, there were few doctors
who could work so well and so skillfully with Doctor Qu.
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Doctor Qu lowered his head without another word. He felt a little
strange. His mood was stuck between pleased and displeased.
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Doctor Qu did not say anything, but Ling Ran had already coiled
the thread and placed it by the side.
"Make it moist."
Doctor Qu did not finish his sentence, but Ling Ran had already
drawn out the fluid.
Doctor Qu had just cut open the skin, treated the subcutaneous
tissue, and then did the necessary protection needed for the
mesentery, small blind vein, the sural nerve, and the other parts. He
felt… extremely comfortable, but also awkward. His body was
comfortable, but he felt awkward in his heart.
The operation was done too smoothly, to the point that Doctor Qu
did not even think about scolding anyone.
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Such a surgery could only be said to be extremely comfortable.
This was exactly like a person delivering the food you wanted to
eat to your lips when you wanted to grab some food.
Although the surgery was done smoothly, Doctor Qu did not feel
happy.
Doctor Qu was only forty years old this year, was bald, and
ambitious. He was different from Wang Haiyang.
Wang Haiyang was old and frail, and his favorite thing was being
spoon fed. Wang Haiyang could always keep on performing surgeries
and enjoy being endlessly spoon fed.
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doctor who wanted to scold others must find a suitable opportunity to
do so.
But what if the junior doctor did not make a mistake throughout
the whole operation? That meant that the authority of the senior
doctor was non-existent. Perhaps, both of them were already on the
same level. Their skill levels might even be reversed.
If there were no gap between their skill levels, and the surgeon did
not have control over the surgery and the operating theater, how
could the senior doctor show his seniority?
"Okay." Ling Ran's eyes never left the lens of the two-head
microscope. He held the forceps in his hand with a posture that
suggested he was ready to grab the Achilles tendon at any moment.
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the stitches?
There were many ways to repair the Achilles tendon. None of them
were too complicated to describe in words, but it was not so simple
to implement and execute any of them on a living person, even
though they were certain whether he or she was alive.
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The Achilles tendon was still a tendon, and the Achilles tendon was
the sturdiest of all tendons in the human body. Therefore, it was
enough to use the more common tendon suture method on the
Achilles tendon. Meanwhile, the M-Tang technique which Ling Ran
was familiar with would not show any of its advantages on this super-
thick and super-strong tendon.
Ling Ran silently watched Doctor Qu's operation and gave real-time
assistance according to his speed and progress.
It was even easier for him now because he did not need to use the
technique as the chief surgeon.
Doctor Qu did not raise his head to look at Ling Ran, but he could
feel how relaxed Ling Ran was.
He was relaxed.
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He did it effortlessly.
For a chief surgeon, it was simply a sin to fail to make full use of
his or her first assistant.
"I do."
If the chief surgeon wanted to gain the initiative, he had to let the
first assistant perform the surgery. If the first assistant did not
perform well, then the chief surgeon could seize the chance to give a
scolding and recover his authority.
If the first assistant managed it well... it was still expected for him
to do so. Regardless of whether the chief surgeon praised him or not,
the chief surgeon was still the in-charge of the operating theater...
Ling Ran reached out and took the tendon stripper. Under Doctor
Qu's expectant gaze, with two clips, he divided the plantaris muscle.
Then after some epic maneuvers, he cut off the proximal end of the
plantaris muscle, and stored it into a wet gauze to preserve it.
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"4-0 nylon thread." Ling Ran took the thread from the nurse and
began to stitch the tendon bundle of the Achilles tendon.
Ling Ran threw the instrument on the plate and looked at Doctor
Qu.
"Mmm... it's done well," Doctor Qu was silent for a few seconds
before he reached out and said, "2-0 thread."
The scrub nurse took the needle holder with the 2-0 thread and
passed it to Doctor Qu.
Doctor Qu began to truly suture the Achilles tendon. The aim was
to suture the distal plantaris muscle to the torn Achilles tendon, and
finally spread the ponytail-like tendon bundle to form a smooth
membrane surface...
For Doctor Qu, this was a relatively familiar operation, and there
were not many fancy aspects in this operation. He just needed to
suture the tendon according to conventions and thereby ensure the
strength of the patient's Achilles tendon.
However, he still could not make a rash decision and stop. While he
could still make changes when they were halfway through the
surgery, now, there was no room for change. At least, with Doctor
Qu's ability, there was nothing else he could change in the surgery.
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For the same reason, Ling Ran's judgment on Doctor Qu's
operation was even timelier than before.
When someone prepared every step of the surgery ahead for you,
handled the aftermath, and paid attention to the details, any chief
surgeon would gradually fall in love with this feeling.
Doctor Qu sutured with all his might and completed the suture of
the Achilles tendon at an ultra-fast speed.
Then, he asked for a 3-0 absorbable thread and sutured the skin to
close the skin.
After the last suture was finished, Doctor Qu cast aside the needle
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holder and looked at the thin thread at the wound. He did not speak
for a long time.
In his heart was a wonderful feeling. He felt that his technique had
leveled up, that his technique had become stronger, and that his
technique had changed in terms of quality.
Xue Haochu looked at Ling Ran, the resident doctor, and several
other nurses in the operating theater. He gave them a cordial smile
before he turned to Ling Ran and said, "Doctor Ling, the surgery
was just recorded into a video, I sent a copy to Academician
Zhu and one copy to your email address."
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Ling Ran woke up early in the morning to jog around the stadium's
synthetic racetrack.
Even though he did not have the habit of jogging in the morning,
being in Fuyuan Stadium stirred some of his interest.
Fuyuan Stadium was a standard track and field stadium. Its oval
synthetic race track had a flat and even surface. The space in the
middle was disorderly but picturesque, with clear and tidy lines.
Those were basically in line with Ling Ran's aesthetics.
The morning jog itself made Ling Ran feel good. He employed the
simplest strategy of exhaling after taking three steps and inhaling
after taking another three steps. This allowed him to run continuously
for quite a long time at a uniform speed. The act of jogging at a
uniform speed was what made Ling Ran feel the most amazing.
There were a lot of guys and girls jogging alongside Ling Ran, and
many of them had the ability to chat as they ran or talk dirty as they
ran.
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After Ling Ran jogged for four rounds, he stopped. His entire body
was drenched in sweat. A few girls who ran beside him also stopped.
However, more girls who waved at Ling Ran with a smile and
continued jogging. For people who trained throughout the year,
jogging for four rounds was only considered a warm-up.
Ling Ran panted quietly and drank half a bottle of water in one go.
When he was about to go and take another bottle of water, someone
passed him a bottle of mineral water.
"Oh, thank you very much." Ling Ran recognized Hui Manshan,
and he nodded at her with a smile while she remained in front of her.
He then took the bottle of water and placed it beside him, very much
showing his indifference towards the gift.
Hui Manshan was extremely happy to see that Ling Ran recognized
her.
When she thought about this, Hui Manshan had an idea and said,
"Ling Ran, do you know how to swim? Swimming is actually a
more effective training method compared to jogging."
As Hui Manshan spoke, she stood up straight and raised her chin
confidently.
Swimming was the best exercise for body toning, and swimmers
were chosen on the basis of being relatively tall and having long
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limbs. Hui Manshan had been a swimmer for a few years, and was
tall, slim, and had a good posture. When she trained with the
swimming team, she always talked about how she only wanted to
focus on her career and did not want to go into a relationship so early
in her life.
Ling Ran opened another bottle of water and took small sips to
replenish his body's water content. "I know the breaststroke…
But I rarely swim."
"Whatever it is, swimming pools are dirty…" The girl who was
speaking had a very delicate look, and she also had a sharp chin and
large eyes. She had probably spent a long time carefully putting on
makeup. The thought of being in a swimming pool filled with water
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made her unhappy.
Hui Manshan thought earnestly and said, "We can go there next
Monday. The swimming pool is drained and refilled every
Monday."
The moment she said that, before Ling Ran got to react, the few
girls beside them started becoming anxious.
Ling Ran shook his head regretfully. "I'll probably need to carry
out surgeries next Monday."
"Huh, are you a doctor? You're a surgeon?" This was the first
time one of the girls saw Ling Ran. When she heard that he was a
doctor, she became much livelier.
"Of course."
The girl who was asking Ling Ran those questions immediately
breathed a sigh of relief. "Yun Hua City is also large and
beautiful. I like Yun Hua quite a lot."
"There are so many people and cars here. I'm bored of it."
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though it was a little noisy, Ling Ran was rather used to it.
Ling Ran sat on the bench beside the synthetic racetrack and
carefully recalled the surgery yesterday.
The similarity was that both involved the repairing of tendons, and
even though the steps were different, the essence of the surgery was
the same.
The difference was that flexor tendons were a lot thinner compared
to the Achilles tendon.
The suturing of flexor tendons was very difficult due to its thinness.
Long-term practice was required to suture flexor tendons, because
when you perform real flexor tendons under the microscope, you
would find that the flexor tendon's width was so small that the
stitches might even overlap if you were not careful.
The core challenge of Achilles tendon repair was that the Achilles
tendon had to bear a lot of weight, and might split.
The Achilles tendon was the tendon which was put under the most
force in the human body, especially when one stretched his Achilles
tendon tight when running.
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The woman from yesterday ruptured her Achilles tendon because
she carried out strenuous exercises after not exercising for a long
time. At first, she thought she had only sprained her leg. In reality, it
was far more serious than that.
The success rate of Achilles tendon repair surgeries was quite high,
especially for ordinary people. As long as they obeyed the doctors'
orders, they could lead a normal life under most situations. The
Achilles tendon repair surgery was a lot more effective compared to
flexor tendon repair surgery.
Ling Ran gauged the force exerted on his own Achilles tendon as
he pondered over a surgery plan for Achilles tendon repairs. He also
ran through the process of the surgery in his mind.
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Ling Ran took a bath and changed his clothes before he slowly
walked to the research institute. He just made it on time.
Ling Ran glared at Lu Wenbin once and said, "Since when have
we gone through any sort of hardship?"
"We traveled a thousand miles, all the way from Yun Hua to
Shanghai. Throughout the entire process, we had to put up
with all kinds of difficulties caused by unknown doctors.
There's no kettle for us to boil water in our kitchen, and I
haven't cooked the stew in my house for several days. I
heard from our colleagues in Yun Hua Hospital that they've
finished all the edamame that I cooked…" Lu Wenbin kept
grumbling, and he sounded like he had suffered a lot.
Ling Ran chuckled and continued on his way into research institute.
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"Yes?"
Ling Ran waved his hand. He did not have the energy to listen to
Lu Wenbin's complaints. He looked around while he walked. When
they passed by an office, he stopped and asked, "Hi, do you have
any extra white coats here?"
There were doctors who recognized Ling Ran after they heard his
voice, and they turned around.
"Yes, it's me." Ling Ran smiled and said, "My colleague didn't
bring his white coat along, so I want to borrow one for him."
The female doctor pursed her lips and said, "You don't have to
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return it."
The female doctor did not really pay much attention to him. She
took out her phone and talked to Ling Ran. "Doctor Ling, let's add
each other on WeChat. I'm Li Shan, and I'm in charge of
rehabilitation therapy. We may work together in the future."
So, Ling Ran took out his phone and added her on WeChat before
he expressed his gratitude to all the doctors there, including Li Shan.
He then took his leave.
Zhu Tongyi walked around in his room like a big, starving goose.
However, Zhu Tongyi knew what his foundation was for his
success.
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from his career once he was given the title.
Liu Weichen was a champion in the National Games for the 100-
meter as well as 200-meter race. He was also the champion for the
IAAF World Indoor Games. Besides, he also performed quite well in
the Asian Games and Olympic Games, but naturally, he did not win
the gold medal in those two sporting events.
Even so, Liu Weichen was considered one of the top in the
country's track-and-field. In addition, he was quite good-looking, and
he had good luck, so his fame slowly increased day by day. Right
then, he was one of the most popular among the new athletes.
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Sports Medicine Center. Then Zhu Tongyi or another doctor would
help Liu Weichen with a basic preliminary diagnosis before they
either directed him to the suitable department for treatment, or
arranged a doctor to treat him.
In truth, there were only several major surgery plans that could be
chosen for ruptured Achilles tendons. They could only cut the skin
and perform end-to-end sutures, or increase the tensile strength of
the sutures, or perform a replantation, or they could even just play it
safe by putting the affected leg in a plaster and waiting for the
ruptured tendon to heal on its own.
Both Zhu Tongyi and Liu Weichen had to ceaselessly ponder over
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the pros and cons of lowering the difficulty level of the surgery or
taking the risk and pushing their luck.
Naturally, the best plan was to get a doctor who was extremely
skilled. Then, once the surgery plan had a guaranteed success, they
would do their best to further minimize the risk of the surgery. If a
person like Zhu Tongyi requested for a highly-skilled surgeon, the
surgeon had to be truly skilled.
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Liu Weichen forced a smile and asked, "My natural talent isn't
good enough."
Unlike many other doctors who only saw Ling Ran's speed, the
stability of his hands, or how skillful Ling Ran was when he operated,
Zhu Tongyi looked beyond that. Ling Ran's ability in analyzing MRI
scans alone already added countless marks for Ling Ran in Zhu
Tongyi's eyes. Not forgetting, his confidence and skill when he
performed the finger replantation surgery the other day.
Lastly, the speedy recovery of his patient was the most striking
aspect of Ling Ran's surgery. Humans had different mindsets and
understandings towards the control over the progress of surgeries,
but in the end, everything was reflected in the patient's recovery.
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Zhu Tongyi then thought of the video that Xue Haochu showed
him. He coughed and said, "Weichen, is it okay if we watch how
he actually performs in surgery? Before that, we don't have
to make any decisions yet, but we have to be polite to him,
okay?"
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Although he heard that some big shot patients would join the
consultation between doctors, he had not met them in Yun Hua
Hospital.
Naturally, this was a special case. When he was in Yun Hua, these
big shots' hands would never be severed. While in Zhu Tongyi's
research institute, Liu Weichen was the most important patient
recently who had his tendon ruptured.
There were other star athletes who were even more influential
than him. Unfortunately, they did not have a chance to sigh in regret
as they did not have their tendons ruptured in time.
Liu Weichen observed Ling Ran carefully and was secretly amazed.
Sports was the root that started his career, while the
entertainment industry was what let him earn money.
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sincerely.
As Liu Weichen thought about it, he, at the same time, also had to
flatter this wilful donkey. So, he just said it easily with an expression
full of praise.
Ling Ran smiled at Liu Weichen again and asked, "Why didn't you
get a doctor from overseas for your surgery?"
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challenge of such a high-risk surgery. However, that surgeon might
not want to be the chief surgeon of that surgery, but would rather
have someone else take his place. That was the same for both
famous overseas doctors and the doctors in China. Besides,
Academician Zhu Tongyi had yet to get any surgeon who was
talented and willing to spend time on this plan.
Ling Ran nodded, even though he did not seem to understand the
situation.
Liu Weichen said, "I would rather the surgery fail than play
with the risk of having my Achilles tendon rupture again."
"If the surgery fails, you won't be able to run again," Ling
Ran reminded him.
"I know, but I can still walk like a normal person, right? A
failed surgery and a surgery with a high success rate are the
same to me." It was quite obvious that Liu Weichen had thought
carefully about it. Ling Ran did not have to explain the complications
and the sequela; he believed that Liu Weichen already understood
them very well.
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occupation is traffic police. He was injured four hours ago.
His right heel is in pain, is swollen, and it cannot move. He
does not seem to be unconscious or suffer from any loss of
normal brain function. He is not nauseous, has no urge of
vomiting, no shortness of breath, no heart palpitations, and
no urinary or fecal incontinence. He's now conscious, and is
being sent to our Emergency Department," the resident doctor
said while reading from the slideshow, though the slideshow was
mainly for Ling Ran's benefit.
Ling Ran nodded discreetly. If the injury happened four hours ago
due to an accident, it showed that Zhu Tongyi had simply chosen a
patient for Ling Ran to test waters. It was quite fitting for Ling Ran's
tastes.
Before Zhu Tongyi was able to introduce this doctor, Ling Ran
already matched him with the information provided in the brochure
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of the research institute. Ji Tianlu, a famous orthopedist who
graduated from Shanghai Medical College of Fudan University. His
skill in joint replacement surgery was the best in the country. It could
be seen that he had moved forward to specialize in sports medicine.
"I can read it on my own." Ling Ran thought his answer was
very polite.
In truth, the explanation on the MRI scans did not mean anything
to him. When normal specialists dealt with MRI scans, they needed a
lot of help from the Medical Imaging Department. Sometimes, they
were completely dependent on the explanation from the Medical
Imaging Department.
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Medical Imaging Department before they read it on their own so that
they would not misinterpret it if they encountered undiscovered
problems. Specialists who managed to reach this extent could score
eighty-five marks on reading MRI scans.
The Master Level MRI Analysis Ling Ran obtained was limited to the
four limbs. This kind of limitation was because different parts of the
body would have different MRI images.
The Orthopedic and Sports Medicine Center was still one of the top
specialized departments for sports medicine in the country. However,
if Academician Zhu Tongyi's support for the center was taken out of
the picture, there were only three to four top specialists in the
country located in the center. The remaining would be the young
doctors who were still in on their way to the top of their field. How
were they able to learn about analyzing MRI scans in such a short
time?
However, the resident doctor was still in the room, so he could only
take out the MRI scan and wait for Ling Ran to speak. Ji Tianlu who
sat in the corner was somewhat excited. He raised his head and
looked at Ling Ran.
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However, he still needed some specialists from the Medical
Imaging Department to analyze the MRI scan beforehand. Thus, he
understood the uniqueness of Ling Ran's request.
Reading MRI scans always took a lot of time. It took an even longer
time because Ling Ran read the scans so carefully.
It was very rare to see someone like Ling Ran who was able to
patiently analyze the MRI scans from start to end in front of an
academician, an expert, a star athlete, and a resident doctor.
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made a few gestures and started to explain his own plan.
When Ling Ran finished, Zhu Tongyi did not make any conclusion
but said, "Doctor Ji is the one who will be your first assistant
today. He is a chief physician in our Orthopedic and Sports
Medicine Center. He is young and capable…" Zhu Tongyi
explained a bit before he purposely said, "Doctor Ji reserves the
right to stop the surgery."
Ling Ran nodded and agreed. He called for Lu Wenbin and together
they left for the operating theater to change their attire.
Zhu Tongyi and Liu Weichen left the consultation room with
expectations and worries. Then, they went towards the
demonstration room where there were more screens connected to
the high-resolution mounted video camera and the panoramic
camera, which allowed the audience to observe most of the things
going on in the operating theater.
Only the resident doctor stayed in the consultation room to tidy up.
But first, he took out his phone and started to type a stream of
sarcastic comments to his small group…
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resident doctor suggested in the small group.
Because Zhu Tongyi was in the front row, everyone did not talk
and chatter. They each found a seat to sit on, and waited for the
surgery to begin.
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It was obviously not proper to ask the patient's family to enter the
operating theater; it was easy to interfere with the operation of the
surgeon. However, it would be relatively easier for the surgeon to
continue controlling the surgeon if they used the demonstration
room.
Doctor Qu gently pushed the door open, silently went to the corner
of the demonstration room, touched the bald spot in the middle of his
head, and sighed gently.
Doctor Qu nodded to several doctors who saw him, and sat down in
one of the chairs at the last row in the room. He stared blankly at the
pitch black screen.
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water during the surgery?"
The first thing that came were the voices of circulating nurses and
scrub nurses.
…..
It was his first time seeing this foot, but through the MRI scan, his
familiarity with this foot was far beyond the understanding of the
person himself.
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Ji Tianlu looked at Ling Ran with great interest and asked, "Doctor
Ling, what shall we do now?"
"Oh... I'm going to draw the surgical line." Ling Ran came
back to his senses, reached for the rollerball pen, and drew a few
lines on the patient's injured foot. Then, he asked for a pen of
another color and drew another line.
"Oh, the black is the incision line, the white one... the
tendons here are ruptured." Ling Ran pointed to the surgical line
and twisted his body a little so that Lu Wenbin can see clearly.
Ji Tianlu, who initially did not have much care, was also stunned.
He instantly realized that he did not read the instructions of the
Medical Imaging Department, so he forgot to confirm the position of
the Achilles tendon rupture. He now only recalled it. Ling Ran really
did not rely on the Medical Imaging Department and was actually
able to read the film himself.
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When an MRI scan was used for the diagnosis of the Achilles
tendon rupture, it could not only distinguish the severity of the
rupture, but also the condition of the two fractured ends, and the
distance between the fractures.
Ji Tianlu could not help but feel extremely jealous. Ling Ran had
such capability in his twenties. He was extremely talented.
Ji Tianlu examined himself and found that even if he was given half
a year of free time, he still could not raise his magnetic resonance
reading ability from eighty-five marks to a hundred marks. Never
mind half a year, he might still not be able to improve even after two
years, unless he did not do anything and devote everything towards
just reading MRI films. In that case, he might just be able to within
half a year's time.
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requested for the scalpel to begin the surgery.
This time, Ling Ran's speed was much faster. After the incision was
made, Ling Ran ordered for the skin to be "pulled open" as he
placed the scalpel in the tray. Ji Tianlu hesitated for a few more
seconds before he realized that the surgery had begun.
After a slight rinse with saline, the ruptured tendon was indeed
exposed at the center. Ji Tianlu raised his head slightly and
somewhat regretted that he did not listen to the descriptions from
the Medical Imaging Department. Otherwise, he could also judge the
correct position and would not be controlled by Ling Ran.
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"End-to-end suturing," Ling Ran reminded. There was nothing
much to say; they only had to use the modified Kessler method used
by Doctor Qu the previous day to quickly stitch it up.
The mesentery, small blind nerve, and sural nerve, which Doctor
Qu had spent a long time to smooth out in the previous surgery, was
easily dealt with by Ling Ran before they were cast to the side.
Since the Achilles tendon was strong and thick enough, there was
no room to perform delicate sutures like the M-Tang technique. The
modified Kessler method or the ordinary Kessler suture technique
were used by novice doctors, attending physicians, and experts alike,
but the effects were different.
Ling Ran changed his posture and sutured quickly. Ji Tianlu did his
best to cooperate with Ling Ran. His speed was barely enough to
keep up with Ling Ran.
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The pulling force of a fine thread was not high. If all fine threads
were added into one of the severed ends densely, the total pulling
force would be increased. However, if the fine threads were scattered
in groups of two or three threads, the pulling force would be much
lower than a single 10-0 surgical silk thread.
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Meanwhile, while tendons were elastic, the Achilles tendon was
even more elastic. This flexibility would cause a problem in the
surgery. When a surgeon tried to pull the ruptured Achilles tendon
together, it would go along the flow and allow itself to be pulled.
However, once the surgery is finished, the Achilles tendon could
return to how elastic it was. Therefore, it would pull back in a
stronger and more powerful manner.
If the length of the two ruptured ends of the Achilles tendon were
the same, the pull-back force would be similar. Thus, the functionality
of the Achilles tendon would still be maintained. But if the structure
of the two ruptured ends of the Achilles tendon was irregular, then
the length of the Achilles tendon when pulled back would be
different… The longer Achilles tendon would be pulled back with less
force compared to the shorter Achilles tendon. The difference would
make the Achilles tendon be exposed to an even higher risk of
rupturing again.
This was just like suturing five rubber bands of the same length
compared to suturing five rubber bands of different lengths together,
the former option would lead to a better suturing effect and stronger
endurance.
The solution was quite simple. With the use of different threads of
varying strengths, the strength of the threads could complement the
weakness of the tendon's strength in order to ensure that the
postoperative tension of the tendon would be comparable.
A resident doctor could not hold his curiosity and asked, "Did you
all see uneven ends?"
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At most, you can only see the tips of some of the hair on the
skin."
"Maybe he made his judgment from the MRI scans," said Zhu
Tongyi. He thought for a second and explained again, "If we
consider the vascular distribution, there is a possibility... but
it'll be more complicated."
He did not want to talk at first, that was the reason why he stood
at the back of demonstration room. He planned to observe the
situation and leave the room quietly. Still, Doctor Qu did not expect
Ling Ran to be able to operate at such a speedy rate and came to the
peak of the operation in such a short time, making the doctors
unable to take their eyes off him.
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In certain aspects, Doctor Qu was slightly impressed by Ling Ran's
surgical techniques. However, the operation of changing threads was
something that Doctor Qu could not understand, and it was not one
he would acknowledge.
But just like how Doctor Qu thought Ling Ran's judgment in the
operating theater was unreliable—even though he did not say it
because he forced himself to not say them—Zhu Tongyi's
explanation was also unreliable.
Currently, Ling Ran had changed the 10-0 thread to a 4-0 thread,
which meant that he knew the Achilles tendon that would be sutured
by the 10-0 thread was much shorter, and therefore needed a
greater pulling force. But neither the vascular distribution nor the MRI
scan could possibly provide information like this.
At the very least, Doctor Qu himself did not know the ways to
gauge information like this, and neither had he ever heard of any
medical imaging expert who could do this.
Zhu Tongyi pressed on the call button without any hesitation right
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after he finished talking. He said, "Ling Ran, how did you
determine the uniformity of the rupture ends and what sort
of tensile strength in the thread was required?"
Therefore, how did Ling Ran judge the amount of strength needed
in a thread? If Ling Ran had just made the judgment that the
ruptured ends were frayed without any corresponding proof, it would
not mean anything.
In fact, when general doctors performed surgery like this, they did
not care about the pulling force of the thread; they would just
complete the suturing. When they encountered problems of frayed
ends, most of them would just solve it with replantation, such as the
case in free gracilis muscle transplantation and the autogenous bone
grafts from the ilium. The shorter Achilles tendon could be sutured
with a fragment of the tendon to make the length of both tendons
the same. A longer tendon could also be used in the replantation to
reduce the possibility of ruptures.
Ji Tianlu's standard was slightly higher than Doctor Qu's, but he,
too, could not understand Ling Ran's surgical procedure, so he
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watched Ling Ran doubtfully as well.
Ling Ran did not answer immediately. Only when the 10-0 suture
he had just obtained was strung up did he reply slowly, "I felt it
with my hand when I pulled it."
Ling Ran hummed and said, "I always massage other people's
tendons, fascia, and muscles. I can roughly estimate the
strength of the pulling force with my hands. It shouldn't
differ much."
But the Achilles tendon in the foot could not be repaired this way.
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The Achilles tendon was the thickest tendon, and its length could
greatly affect athletic ability. Furthermore, the rupture degree was
not the same. If the shorter Achilles tendon was used as the standard
and both ends were cut to the same length as the shorter Achilles
tendon, the Achilles tendon could basically no longer be used.
Another tendon would need to be transplanted.
But the muscles held by Ling Ran were not that much thicker than
the Achilles tendon, they were a close correspond to each other. The
Achilles tendon was the thickest tendon in the human body,
therefore, if he could understand the other tendons by pushing and
poking at them, he could also confirm the pulling force of the Achilles
tendon.
Ji Tianlu looked up and glanced at Ling Ran. "Did you really feel
it?"
Ling Ran replied again, "Yes." His hand reached out and he said,
"3-0."
Ji Tianlu stared at Ling Ran's confident expression and said, "If you
can really feel it, that's really amazing."
When Ling Ran stopped the bleeding with his bare hands during
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the liver surgery, it was completely based on his feeling. Naturally,
that feeling was backed by his experience in the study of human
anatomy, but at the end of the day, they were not something that
could be seen or calculated.
Similarly, a heart surgery was always filled with the surgeon doing
things based on an extraordinary "feeling", and that was why it led
to the birth of so many miracles. In neurosurgery, the brain functions
categorized by humans were not always correct, but when it came to
surgery, there was no hesitation in surgeons.
In the end, the talented internists were doctors who always had
better intuition.
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would not spell it out deliberately. Not that anyone had asked him
about it before, anyway. At that moment, Ji Tianlu admired Ling Ran
a little for his straightforwardness.
Right now, Doctor Qu, who never "felt" anything during surgery,
was fuming. He huffed angrily as he pressed on the call button, and
said, "Doctor Ji, shouldn't we stop the surgery now?"
Ji Tianlu did not even pay any attention to Doctor Qu. He spoke
bluntly, "You can just follow and learn."
Both of them were similar in age, but their statuses were totally
different. If the senior doctor Ji Tianlu chose not to be good to Doctor
Qu, Doctor Qu would definitely be humiliated.
"4-0 surgical silk thread," Ling Ran suddenly asked for a thinner
suture. He did not even raise his head and continued to suture. In
this simple Achilles tendon repair suture, he only cared about how
good the suture can be without considering the failure rate.
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There were two junior nurses in the theater. One of the nurses
wore a gray rabbit-ear surgical cap and another nurse wore a yellow
surgical cap with the shape of a tomato. They walked around the
operating table like two cute little butterflies flitting left and right,
showing some warmth belonging uniquely to humans.
"So, Doctor Ling Ran still didn't have time to buy a surgical
cap. Department Director Ji's surgical cap is a red-blue floral
patterned cap, did you buy it yourself? It's quite interesting,"
Liu Weichen subconsciously ignored Lu Wenbin, who was operating
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the retractor.
"Ling Ran also provides good treatment." Zhu Tongyi did not
directly agree with Liu Weichen's words. After being a doctor for a
long time, he knew that Liu Weichen's request was not the voice of
all patients, what he said was just the sentiments of old patients.
Many patients only had a few minor illnesses, and those who had
never had a serious illness would request treatment as if they were
ordering food from a chef in a five-star restaurant.
In fact, a few years ago, Liu Weichen's request for doctors had not
been the same as what he said now. At that time, Liu Weichen was
rising up the ranks. He had some injuries, but they were not injuries
that affected his tendons or bones. Therefore, every time he came to
the Orthopedic and Sports Medicine Center, he would be picky about
the environment, and asked for better medical treatment, to receive
treatment that would save up on time, and a good-tempered
doctor…
However, in the last two years, especially after his recent Achilles
tendon rupture, Liu Weichen's requests started changing.
No one made a comparison with how he acted in the past, but Liu
Weichen turned his wheelchair around, and changed the topic with a
smile. "But you have to admit, when the nurses wear cartoon
caps, they make others feel much more relaxed. The one who
wore the gray rabbit-ear cap is a scrub nurse, is it? Or do you
call them surgical nurses?"
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The two-hundred-pound resident doctor stared at the nurse who
was shaking her head and suddenly muttered to himself, 'That is a
mini lop.'
"That is the French Lop, Xiao Yun's favorite pet," the 220-
pound resident doctor said a little louder. He then grabbed the
mineral water before him, drank half of the water in the bottle, and
became 221 pounds.
…..
Ji Tianlu followed Ling Ran and hurriedly bent the patient's knees
and flexed the patient's ankles to relax the tendon, and Lu Wenbin
helped Ling Ran tighten the suture knot. Logically speaking, Ji Tianlu
and Lu Wenbin's positions should be changed, but the problem was:
Lu Wenbin rarely participated in Achilles tendon surgeries. It was
very difficult for him to get the feeling that he was doing things right
when he bent the patient's knee and flexed the ankle. However, he
had no problem when it came to being a suture assistant, so Lu
Wenbin was quietly promoted. He was so happy that his eyebrows
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were raised so high until they were vertical.
"Rinse it." Ling Ran fixed the tendon sheath as much as possible
to make the area that was sutured be smooth.
Even though Ji Tianlu's suturing skills were much higher than his
peers', his skills were not at Master Level. Not only had he not
reached it, but he also was not even at Specialist Level yet.
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Center. His skill points had been allocated to changing bones, how
many could be used for suturing?
"I usually do this." Ling Ran was neither modest nor hid the fact
that he usually did this.
Ling Ran just made a sound and nodded in agreement. He had the
Master Level in Suturing, Master Level MRI Analysis, and Perfect
Level Achilles Tendon Repair Technique. If his patient did not manage
to live a normal life after this, it would be ludicrous.
Ling Ran thought for a while before he said, "I sutured bananas."
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"Oh…" Ji Tianlu thought it sounded very normal. He then looked up
and saw that Lu Wenbin had the ghost of a smile on his face. Then,
he could not help but feel his heart grow tense, even though he did
not know the reason for it.
"You cast the plaster," Ling Ran completed the final suture, and
after he checked everything once, he habitually let his assistant do
the menial tasks.
For Doctor Qu, who was almost twice Ling Ran's age, had doubled
the strange feeling in his heart.
Liu Weichen's heart melted with pity, but he chose to wisely keep
quiet.
Zhu Tongyi smiled again and said, "As Barton said, 'there are
many ways to win a war, just as there are many ways to skin
a cat… We are so keen to seek unique medicine that will
provide miraculous effects, but we forget that the method of
skinning a cat is to just remove its skin…"
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For Liu Weichen, the money he could earn in a year, the reputation
he gained, and the honor he obtained was an accumulation of
everything he has done up to this moment. So when he needed to
leave the field at his peak, not only was Liu Weichen unhappy, his
manager, advertisers, and the leader of the Sports Bureau were
unwilling to let him go.
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to the meeting table.
"Yes," Ling Ran still replied in the same manner before he looked
at Doctor Qu.
"Alright." Ling Ran sat slightly straight and showed the respectful
expression he had practiced for many years. He looked straight
ahead and opened his eyes a bit more. There was a faint smile on his
lips, and his back was straight. He looked like he was about to stand
up to ask a question at any moment.
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Doctor Qu's expression became better, and he said, "I know that
Academician Zhu, who is also our Director Zhu, invited you to
our research center to become the chief surgeon in Liu
Weichen's surgery. Based on your performance today, we can
see that our director has a keen eye when it comes to
choosing talented people. He did not make a wrong choice."
"We hope that you can perform a few more surgeries which
are similar to the Achilles tendon repair surgery so that we
can grade you according to your performance. If you're up to
the standard, you'll probably be in charge of Liu Weichen's
surgery. If you're not up to the standard, I'm sorry, but we'll
have to consider our options again." Doctor Qu stared at Ling
Ran and asked, "Are you willing to accept this request?"
Doctor Qu was slightly worried. He was afraid that Ling Ran would
fly off in a rage.
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stationed, if a doctor reached this degree of fame, he would probably
easily gain the title of specialist, department director, or even receive
all kinds of positions in a medical committee.
Even if the surgery failed, there was not much for the doctor to
worry about. Failed surgeries were common. As long as it was not
due to medical negligence, it would not deliver a fatal blow to the
doctor's career. At most, it would just affect his reputation slightly.
But from Doctor Qu's point of view, a doctor like Ling Ran did not
have any reputation at all, so how much could a failed surgery affect
his reputation?
Based on this alone, Doctor Qu even felt that he was the one
blocking Ling Ran's path to fame.
"Ten cases are good." Ling Ran immediately seized the greatest
number and asked, "When will the patients arrive?"
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It was only at that moment that Doctor Qu noticed that the
situation had changed. He frowned and said hesitantly, "If you need
patients, we can transfer the patients at any time…"
"Now… Hmm, not now. I need to go for lunch. Can you send
in the first patient after one and a half hours? Then, could
you send in the subsequent patients?" Ling Ran asked seriously.
"I know." Ling Ran interrupted Doctor Qu. He then asked again,
"I'm going for lunch now. After that, should I go back to the
hotel or come back to the operating theater for surgery?"
"Wait a minute." Ling Ran was stopped by a man who sat not too
far away from the table. He had a big teacup in front of him. He
showed a faint smile deserving of contemplation and said, "Don't
you want to ask the exact requirements needed to perform
Liu Weichen's surgery?"
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Ling Ran was stunned before he replied honestly, "Don't feel like
asking."
An answer like this was totally unexpected for both the big teacup
man and Academician Zhu Tongyi.
Surprise had even shown up on Liu Weichen's face. Since his leg
was injured, there were many doctors who were willing to perform
the surgery for him, but none of the surgeons behaved in such an
indifferent manner.
Doctor Qu only thought that Ling Ran was just retreating in order
to make an advance. He chuckled, "Are you kidding me? So does
it mean that you just came to the research institute to
perform ten Achilles tendon repair surgeries?"
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operating on Liu Weichen was out, the number of people who
want to hire you to perform their surgeries will instantly fill a
hospital? If you really want to perform the surgery, you
should think about performing a successful surgery for Liu
Weichen…"
Ling Ran shook his head and said in the tone of an experienced
person, "It's useless, the number of hospital beds is not
enough."
"In Yun Hua Hospital, Ling Ran can perform ten to twelve
finger replantations on average every day," Zhu Tongyi spoke
in a stable tone.
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Even if the doctor died by exhaustion, he still would not be able to
finish performing ten finger replantations in one go.
"I didn't come here simply to save up on beds," Ling Ran said
modestly, which was rare of him. "I also want to see the
development of the Orthopedic and Sports Medicine Center
and understand the way you perform the surgeries."
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He could see Ling Ran's face even in his dreams, especially how
Ling Ran looked like when he said, "It doesn't really matter to
me."
There was once when Liu Weichen requested for a ward with the
standards of a presidential suite. In the end, the Orthopedic and
Sports Medicine Center went all out renovating a ward into a
luxurious suite for him. Even though it was not on par with the
presidential suites in the hotels of Las Vegas, it was a large suite with
four bedrooms, a balcony, and a kitchen. It was quite decent.
Even though the presidential ward was still around right now, Liu
Weichen did not care about it anymore.
But what he really wanted was a doctor who could not only treat
his injury but also make sure that he was able to compete for another
two years without becoming handicapped. Yet in the end, none had
shown up.
Even in his dreams, Liu Weichen kept recalling Ling Ran's words.
He shifted his leg with his hands and tried his best to shift to his
wheelchair.
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Back when he was healthy, he would not need to use much energy
to do this. But today, it broke him out in sweat.
Liu Weichen drew the curtains back. As he gazed at the rosy clouds
of dawn, he felt as though his entire being was being sucked into it.
He had already been injured for more than a week. Liu Weichen
was already privy to the fact that when it came to Achilles tendon
repairs, only ruptures that happened within two weeks were still
known as fresh Achilles tendon ruptures. Compared to chronic
Achilles tendon ruptures, the success rate of the repair of fresh
Achilles tendon ruptures was higher. It was also more effective, and it
also had a shorter recovery time.
It was definitely better to treat the injury slightly earlier rather than
wait until it was too late when there were no choices left at all.
When he was done gazing at the rosy clouds of dawn, Liu Weichen
picked up his mobile phone and was about to call someone before he
changed his mind and sent a text message instead. [Is there any
news from Mayo?]
Mayo Clinic was the top in the world when it came to the field of
orthopedics, and was very welcoming to patients from all over the
world. No matter how much Liu Weichen trusted Zhu Tongyi and his
research center, it was impossible for him to sit there and wait
blindly.
In the past week, Liu Weichen had been trying his best to contact
specialists and hospitals all over the world through his connections.
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However, no one was able to come up with his ideal rehabilitation
plan.
Zhu Tongyi, being the one who understood him the most, came up
with a plan. But no one was capable of executing that plan.
The palliative plan meant that he had to recuperate for one year in
exchange for an Achilles tendon that might be able to provide him
with great athletic abilities for three months or maybe half a year
before he had to leave everything to God.
He wanted to compete for two more years, or at least for one more
year before he even had to consider retirement.
Liu Weichen tightened his grip on his mobile phone. He then sent a
WeChat message to his assistant. [Wake up, we're heading to the
research center.]
…..
Doctor Qu had an even more restless night. His mood did not
become better even after he woke up early to go to his workplace.
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The food provided by the center's cafeteria was lackluster. Only
the yogurt and milk could stimulate Doctor Qu's appetite. He asked
for a bowl of porridge while he was at it and carried his tray to his
seat.
"Have you heard about it?" Before Doctor Qu could even put a
spoonful of porridge into his mouth, a resident doctor sat down
across him with the kind of expression one put on when they
possessed secret information.
As expected, there were quite a few people in the room who were
watching the live stream of a surgery Ling Ran was carrying out.
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his degree of love and hatred towards those operating theaters.
Even though ordinary doctors did not care about which operating
theater they were in, there were some doctors who cared very much
about whether there were cameras in the operating theaters they
were in. Of course, most of the doctors in the research center
secretly favored the existence of the demonstration room.
Those doctors who liked to brag in the operating theater and fool
around with young doctors and nurses wished that all the surgeries
they carried out could be recorded and viewed by others.
The surgery was being filmed with a panoramic camera, and Ling
Ran's face itself took up one screen. His nose bridge was tall and
straight, while his gaze was firm and deep. His skin was in such a
good condition that one could write an entire thesis about it.
He had also changed into another cap. There were two small
yellow bunnies with droopy ears on it which swayed along with Ling
Ran's movements.
Another screen showed the surgical field. Ling Ran had already
started suturing the patient. He combed the Achilles tendon, which
looked like a horse's tail, while making neat stitches on it. The
stitches were even and closely woven…
"I heard that he slept for four hours in between and woke
up to continue at three or four o'clock in the morning." A
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resident doctor flashed a slight smile when he saw Doctor Qu, and he
said, "I asked about it, and heard that Ling Ran had always
been like this even when he was in Yun Hua Hospital.
Apparently, it was very normal for him to operate on patients
at three in the morning."
"Do you know what time Ling Ran plans to stop?" Doctor Qu
looked around.
"Four."
Just like how warriors felt when they heard about a fierce battle, or
how athletes felt after they watched an exciting and intense
competition.
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"The assistant he brought with him was so tired that he
couldn't move anymore."
Doctor Qu did not know what to say when he heard all of that.
But he knew that such words would only earn unneeded ire.
Even though resident doctors always sounded very tired when they
talked about surgeries, if there were really an opportunity to carry
out a surgery before their eyes, all of them would jump at it.
There were many tiring things in the hospital, and surgery was only
one of them.
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Apart from becoming punching bags, some resident doctors even
had to volunteer themselves as punching bags just for some time to
shine. Doctor Qu was once a young man as well, and knew that
young people had to go through a lot of hardships to gain knowledge.
You could say that aside from it being a little tiring, there were
almost no cons to being Ling Ran's assistant.
Most importantly, Ling Ran was truly skilled. And his skills were as
attractive to resident doctors as his face were to the nurses.
"Doctor Qu…" Another resident doctor pushed the door open and
entered the demonstration room.
Doctor Qu felt a chill run down his spine. This was not normal.
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"10-0 thread."
"Forceps."
"Gauze."
"7-0 thread."
"Rinse it."
Ling Ran stood in the operating theater with his kidney secreting
epinephrine madly. He did not hold back in his movements, and he
performed the surgeries to his heart's content.
Only similar surgery maniacs could understand how Ling Ran felt at
the moment. 'Happy! Extremely happy! It's like feeling the cool
breeze in autumn!'
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vegetables and make your own meal. Then, you needed to do your
chores like dishwashing, throwing away the trash, and room cleaning
after the meal.
If he had his meal at home, he would probably just eat until his
stomach was 70% or 80% full. Sometimes, he would even leave
behind some leftovers. Naturally, when he prepared a meal, he would
definitely cook at a relaxed pace. Even when he felt very hungry, he
would just finish all the dishes available, no matter how delicious
they were. He would not add any extra food to his plate.
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Six surgeries was considered as profiting slightly more than the
baseline.
When he just arrived in Shanghai, Ling Ran felt that he would not
lose anything if he managed to perform five surgeries.
Therefore, when he finished five surgeries last night, Ling Ran just
went back to sleep.
Before he came, Ling Ran could only perform one to two surgeries
in Yun Hua Hospital every day. Five surgeries was considered the
total number of surgeries for at least three days. But during his stay
in Shanghai, Yun Hua Hospital could even free six to seven beds.
It was just like how workers were not paid during their free time. A
surgery maniac was always happy if he could perform surgeries for
longer stretches of time.
What kept Ling Ran constantly happy was the number of hospital
beds.
Hospital beds could not be added without end. Huo Congjun had
used up all his authority in the Emergency Department to add
hospital beds. Even if they wanted to add more, they could only have
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one hundred hospital beds in the department at the very most.
Hundreds of wards were not allowed by both the hospital and even
the Health Department.
The number of hospital beds was highly associated with the grade
of the hospital. It was also a big challenge for the hospital
management and the other departments in the hospital.
When Ling Ran was in the operating theater of the Orthopedic and
Sports Medicine Center, he was not worried about this at all.
He did not even bother speaking. He just rolled up his sleeves and
worked as hard as he could.
Before this group of people realized what was going on, he must
work as much as possible.
Yet, Zhu Tongyi and Ji Tianlu looked at each other. They saw slight
envy, slight admiration, and slight amusement from each other's
eyes.
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afford to conduct researches in the medical field, then it was even
more so for China during the time Zhu Tongyi and Ji Tianlu were
young. At that time, China was very poor.
During that time, the only way for doctors to improve their medical
skills was to practice more. That was the state of the medical world in
China.
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Even the slightest increase in calcification at a certain part of the
body must be reduced bit by bit.
It was even more so for sutures. Smooth, flat, yet strong sutures
was a must.
What Zhu Tongyi cared the most was Ling Ran's control over the
operation. The surgeon needed in his surgical plan was basically an
expert in microsurgery. Otherwise, there was just no way they could
produce results that would far exceed the results of normal surgeries.
"Is this the sixth surgery done by Ling Ran?" asked Zhu
Tongyi.
Zhu Tongyi touched his forehead and said, "It's the sixth
surgery, and he can still maintain his performance. He's
really good."
He was the one who invited Ling Ran over, and it was a need for
him to boast for a while.
To be honest, what Ling Ran said yesterday had also reminded Zhu
Tongyi of something.
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But eventually, it was Liu Weichen who needed to make the decision
on whether he wanted to receive the surgery and what sort of
surgical plan he wanted to use.
Zhu Tongyi could not do it for Liu Weichen, and he would never
care about Liu Weichen's injury more than himself.
At that moment, Ling Ran was the surgeon who performed the
best. However, if Liu Weichen was not willing to choose Ling Ran but
insisted on choosing other surgeons, Zhu Tongyi would not stop him.
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anesthetic plan. If it's possible, please perform general
anesthesia."
"Do you know how to give medical advice?" Ling Ran asked a
resident doctor.
When Ling Ran saw this, he habitually said, "We have to provide
secondary nursing care for the first three days. Lift up the
patient's leg before you check the medication the patient
used before the surgery. Do a cold compress and perform
detumescence, and do a full set of biochemical tests
tomorrow. Be careful of blood clotting and his immune
response. Get his electrocardiogram, chest scans… hmm, do
one MRI scan as well and see how the results are."
"Alright, I got it." The resident doctor regretted the fact that he
did not admit that he knew how to do the medical advice just now,
and now, he had lost an opportunity to show his capability.
" surgery. How long do we have to wait?" Ling Ran rubbed his
hands, and he became excited again.
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The development of microsurgeries was incredibly quick in the
country. There were many kinds of microsurgeries, and all of them
placed a great emphasis on techniques and skills. Ji Tianlu was
considered a part of the main force at the prime of his life in this
field, while Zhu Tongyi was a highly experienced, old doctor. They
both had different advantages, and they had unlimited topics to
discuss when it came to Ling Ran's surgery.
After all, Ji Tianlu's mind was already filled with all sorts of thoughts
when he watched Ling Ran's skills as he sutured.
Ling Ran stopped for a while on the display screen. His face was
full of hesitation and pity, and it made Liu Weichen feel uneasy.
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Apart from that, it was also possible that the paparazzi had either
lied in wait or had found informants beforehand.
The media also had Liu Weichen's sponsors adding fuel to the fire.
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Ever since Liu Weichen got injured, his media exposure
plummeted. All his sponsors had spent a large sum of money on him
and wanted to take the opportunity to get some exposure as they
might suffer huge losses if Liu Weichen's surgery were to fail.
After a while, the manager consoled Liu Weichen and himself, "It's
okay, worst comes to worst, we'll just give a few interviews,
and we'll still be able to use the situation to our advantage."
Liu Weichen did not pay any attention to his manager. Why would
he care whether they could use the situation to their advantage right
now? Giving interviews was totally out of the question for him, as
well.
"Sigh… that's why I said that this was all decided too
hastily," the manager heaved a long sigh and said, "We should
have informed the leaders of the Sports Bureau first."
Liu Weichen asked, "Don't they know that I'm being treated in
Academician Zhu Tongyi's center?"
Liu Weichen snorted a few times and thought, 'Indeed, I was the
one who supported the roof and shielded them from wind and rain, to
the point that I got injured.'
He would not say this out loud. In truth, ever since he got injured,
Liu Weichen had gotten a lot mellower. He did not intend to argue at
all. He turned and said to Doctor Qu, "Receiving a surgery is my
personal choice, and I don't need other people's permission
for that. Doctor Qu, when can Doctor Ling come over?"
Doctor Qu pursed his lips and said, "Ling Ran is still in the
operating theater right now. I informed him twice already."
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However, Liu Weichen realized in disappointment that Ling Ran
was not there yet. He could not help but look at Doctor Qu, who was
beside him.
Before Liu Weichen could reply, Zhu Tongyi continued, "If you're
willing to retire, we'll use a conservative plan. We can
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guarantee that the risk of your Achilles tendon rupturing
again will be below 30%, regardless of whether Ling Ran or
someone else operates on you. After the critical stage, you'll
basically be able to function like a normal person. But if you
want to continue competing in the track and field team, the
conservative plan won't be useful. Due to the great force
exerted on the Achilles tendon during training and
competitions, the risk of it rupturing again is very high…"
"I understand." Liu Weichen shook his head and flashed a self-
deprecating smile. "I was just trying to put my heart at ease."
Academician Zhu Tong patted Liu Weichen's thigh and said, "Ling
Ran will come over after he's done with this surgery. His
condition is perfect right now, just like how you athletes are
after you finish warming up. He must finish a surgery before
he can settle down and look at a new case."
"Liu Weichen!"
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down.
Almost one hundred people had gathered opposite the sign of the
Orthopedic and Sports Medicine Center. All of them held up placards
and banners, and some even had bouquets of flowers and flower
baskets with them. They stood on the lawn and shouted in unison.
"Weichen, don't get too emotional. Come and sit down." The
manager was also a little touched. He quickly supported Liu Weichen
and asked for a wheelchair.
Liu Weichen sat on the wheelchair and let out a soft sigh. He then
flashed an awkward smile at Zhu Tongyi and the others. "I made a
fool of myself, sorry."
Knock, knock.
There were a few knocks on the door. The door was then pushed
open.
Ling Ran strode inside with his long legs. He was in scrubs, and he
still wore the cap with the two small bunnies attached to it. He went
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into the room just like that.
When Liu Weichen saw the bunnies on top of Ling Ran's head, he
snickered for some reason.
"Yes"
"You know the risks involved in this plan, right?" As Ling Ran
spoke, he looked towards Doctor Qu.
Academician Zhu Tongyi and the others took the initiative to get
out of the way and moved their seats further. They listened as Ling
Ran asked Liu Weichen some common questions.
"Not yet."
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"Before… noon."
"About this… The bureau's leaders are not here yet… And
there're so many fans outside, he should meet them first,
right…? Weichen's family members just left to fetch some
clean clothes and toiletries for him…" The manager came out
with plenty of excuses in one breath.
Ling Ran rarely dealt with his patients' family. He had even less
contact with people like managers. When he heard the manager's
words, he furrowed his eyebrows.
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impossible for him to last until the tenth patient.
Right now, Ling Ran was basically at his personal peak. He felt that
it was just the right time to carry out the complicated and difficult
surgical plan that Academician Zhu Tongyi designed.
"I'll get operated now." Liu Weichen did not want any further
delays, either. What was the point in waiting for the bureau's leaders,
meeting his fans, or having his family members around to worry
about him? His heart was flooded with emotions right now, and he
wanted this whole ordeal to end right now no matter what.
Ling Ran waved his hand. "Push the patient into the operating
theater."
Two patient care assistants were already waiting beside the door.
After Academician Zhu nodded in approval, they pushed Liu Weichen
away together with his hospital bed.
"I'll send him back in two hours. It'll be fine, see you later."
Ling Ran emulated the other doctors in consoling the 'patient's
family.'
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More than thirty permanent doctors in the center, more than ten
doctors receiving in-service training, more than ten interns, and a
considerable number of nurses as well as office clerks not only filled
the seats, but blocked the aisles until the back of the room. There
were even some people who stood on the tables later on.
They were not curious about the surgery itself, but curious about
the patient who was about to undergo the surgery.
That was especially the case for domestic star athletes. Since the
millennium, more and more people had gone to medical institutions
overseas to receive treatment. It was fair to say that the wave of
globalization affected hospitals and associated medical communities
alike.
Basic medical care, which was not profitable, was taken over by
imported drugs. However, in the most profitable medical service
industries, competition came from everywhere like Japan, the United
States, South Korea, and even Hong Kong. The competition was
between world-renowned specialists and well-known doctors in
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China; the head of [New England Journal of Medicine] against the
head of journals in China; the names on the textbooks of Johns
Hopkins University against the editors of the textbooks from the
Chinese Ministry of Education; and the Great Devil that was Mayo
Clinic School of Medicine looking down at the little magic fairy that
was Beijing Jishuitan Hospital...
Top athletes were far and few to begin with, plus they had a
plethora of choices available in terms of medical treatment. When
they were injured, only the few elite of the elite among the medical
institutions and doctors could fight for a spot to treat the athletes.
Liu Weichen would not have received his treatment after so long if
his injury had not been so serious, and his requirements had not
been so high.
It was not terrible for ordinary people to suffer from Achilles tendon
ruptures. One could get a slightly better postoperative result if he
either chose to receive a minimally invasive procedure or an open
surgery. If a person wore high-heels a few months after surgery, that
person would just need to pay attention to her actions and activities
before complete recovery. At most, she could no longer participate in
badminton, basketball, and other sports that required more running
or jumping.
However, if athletes could not run and jump, if they could not
perform an emergency stop, and if they could not do a quick jump,
how could they compete?
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ruptures. The more famous Achilles tendon rupture patients such as
Kobe, Beckham, and Serena Williams could not only run and jump
after surgery, but they also had no signs of chronic Achilles tendon
ruptures.
That was also his minimum requirement. If one could not meet
such a requirement, what point was there to continue running with
the risk of chronic Achilles tendon rupture?
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Even the advertisers and fans expected a certain level of
performance from the athletes.
Liu Weichen knew this well. Everyone may have been shouting
"being healthy is the most important thing" to him, but if he
could not reach the crowd's minimum expectation after his recovery,
his popularity would decline instantly. Once that happened two or
three times continuously, it would turn into what Cao Gui said,
"When the drums first beat, the spirit is excited. A second
advance occasions a diminution of the spirit, and with a third,
it is exhausted." It would not take long for him to be replaced by
other star athletes who had more exposure, were more attractive,
and produced better results.
All of China's star athletes believed in a similar logic, and they had
the same requirements placed on their shoulders.
…..
Liu Weichen changed his clothes and lay on the operating bed. He
had a hoop on his arm. His whole body was cold, and there was a
gloomy expression on his face.
His gaze was fixed on the floor of the operating room. It was blue
as per what he saw on the screen.
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Advertisers had an exceptional liking towards Liu Weichen. Often
because of one joke from him, they would accommodate Liu
Weichen's ideas when they came up with the advertisements.
Needless to say, when he was with his teammates, every time he
traveled in the bus with them, Liu Weichen would not act all bossy,
but always start the conversation with a joke...
Right then, his father was in his hometown, raising the child of his
older brother who was a civil servant. His mother was likely on the
way home to help with laundry.
When he thought of this, Liu Weichen began to feel that Ling Ran
was not compassionate or warm. He was unlike Doctor Qu, who was
good in getting along with people. He was able to take necessary
measures before and after surgery, such as comfort his mother and
also reassure Liu Weichen. He was just lacking in standards when it
came to performing surgeries, and he did not have any specialties…
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young nurse looked very lively.
Liu Weichen thought that the joke was good, but he did not want to
laugh. He just raised his head, wanting to say hello to Ling Ran.
Liu Weichen was stunned for a bit before he heard the footsteps of
the anesthetist, and shortly after, he heard the anesthetist say,
"Dalang, time to get up and take your medication [1]..."
Liu Weichen cursed and raised his head. After a few seconds, he
lost consciousness.
It was unclear whether the two young nurses found the mention of
"Dalang" funny or they were humored by Liu Weichen's sudden
curse. They all giggled and smiled until Academician Zhu Tongyi
entered. Only then did they stop laughing. They were still grinning,
though.
Ji Tianlu and Lu Wenbin stood to the left and right of the operating
theater as Ling Ran's first and second assistants, as usual. If anyone
judged the current situation based on the internal environment of the
research institute, one could say that Academician Zhu Tongyi pretty
much abandoned the system that allowed them to run the institute
based on its members' qualifications and hierarchical relationships,
and he did it perfectly.
After making a few confirmations with a few people, Ling Ran said,
"We're ready."
"Well, you're all familiar with the surgery plan. The key now
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is to choose the right path, reduce the damage to the nerves
and other muscle tissues, then strengthen the suture as
much as possible..." Academician Zhu Tongyi emphasized once
again. He mentioned each requirement as if it was a very simple
task, but in truth, every requirement was extremely difficult to
achieve.
Ling Ran nodded silently. He did his best every time he performed
an operation, but if he wanted to perform a surgery beyond
perfection like the one before him, which they intentionally chose, it
would require them to spend a lot of money on consumables as well
as equipment, and they would also inevitably require a stroke of luck.
Ling Ran made an S-shaped incision on the back of the calf; it was
0.55 inches long.
Ji Tianlu coughed hard and thought, 'What do you think this is? The
start of a race?'
Only Lu Wenbin was calm. He had a look that said everything was
under control.
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The average surgery time for an Achilles tendon repair surgery was
very short. For example, the five surgeries that he performed the
night before and the other two surgeries he performed early in the
morning amounted to a total of seven surgeries. That did not even
take seven hours to complete.
"Retract the skin." Ling Ran threw away the scalpel. Then, he
along with Ji Tianlu retracted Liu Weichen's epidermis.
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tendons are quite long."
At that moment, Ling Ran used a pair of forceps to bring out the
exposed Achilles tendon.
"Shall I cut it?" Ling Ran hung a part of the ruptured, horsetail-
like bundle out and flipped it around a little to observe it. Then, he
trimmed it using a pair of scissors to make the ends smooth.
"Cut it then." Zhu Tongyi crossed his arms over his chest and
looked at Ling Ran's operation.
Lu Wenbin rotated the plate and said, "It's about that length, or
maybe more than that."
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"If the suture is performed well, it shouldn't be a problem,"
Zhu Tongyi replied very confidently, but his answer was still full of
uncertainty.
The last question was not just a concern for the people in the
operating theater, it was also a concern for the audience in the
demonstration room.
Zhu Tongyi's plan was not really a secret in the Orthopedic and
Sports Medicine Center, as many resident doctors had come across it
before. Therefore, when Zhu Tongyi said that Liu Weichen would be
able to run if the suture was performed well, many people's
expressions turned pale.
"Can it work?"
The request from a young and energetic girl was often irresistible
to a thirty-year-old man. The attending physician wore the smile of a
man who had been single for thirty years and said, "Academician
Zhu's Plan A aims to ensure sufficient blood supply
guarantees the strength of the tendon after it's stretched
taut."
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"Why?"
The resident doctor who weighed 222 pounds was still drinking a
bottle of mineral water. He said sadly, "Being ambitious is always
positive! When Academician Zhu came up with this plan, he
knew that it wouldn't be easy to accomplish. That's why he
delayed it until now."
"It won't be possible even after ten years. How can you
believe that you can bypass all the blood vessels in the
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vascular network? It's impossible. Even if you use a device
like the da Vinci Surgical System [1] to mark all the vascular
networks, what should be cut will still be cut off. Besides, the
locations of the vessels in every individual are different. It's
not easy to avoid them."
The location of the Achilles Heel was the spot with the poorest
blood supply in the human body. It was impossible to hope for high-
quality recovery if a damaging open surgery was carried out there
and speedy recovery was needed.
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effects of high-strength sutures on the Achilles tendon. Therefore,
Academician Zhu Tongyi's plan was actually equivalent to an open
minimally invasive surgery.
The surgeons in the research center were like students who usually
excelled in their academics participating in a placement test with the
standards of the Mathematical Olympiad tests. However, after they
failed to score well in the examination, they found that there was a
transfer student who worked very hard to score in the Mathematical
Olympiad tests.
Even the resident doctor who weighed 222 pounds was also a man
who was both capable and resolute. He did not have any weaknesses
except for the fact that he could get fatter just by drinking water.
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It could be said that there was no weakling in the Orthopedic and
Sports Medicine Center, but there was also not a single surgeon there
who could create miracles.
Meanwhile, most of the doctors had not thought about this before.
This was a task that required utter seriousness and delicate work,
and no one knew whether it would be effective.
The tedious step seemed endless, and it made the audience bored.
But Ling Ran remained silent while he continued with his operation.
When Ling Ran started to suture the Achilles tendon, many doctors
who watched the surgery did not even realize that he had truly
begun suturing the Achilles tendon.
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the suturing of the Achilles tendon, the difficulty was on the
rebuilding of the vascular network.
Blood vessels that were injured due to the rupture of the Achilles
tendon, the open wound, the pulling of the Achilles tendon, and other
factors had caused blood to spread all over the surgical field. They
were like a group of complicated dominoes which were accidentally
destroyed at once.
The recovery of the vascular network was a plan where they hoped
to reconstruct a set of usable dominoes with the smallest amount of
effort possible.
The workload in this task was even greater than the workload in a
finger replantation surgery. Besides, the success rate still remained
unknown.
"Let's start." Ling Ran still did not talk much. He adjusted the
microscope to the correct position before he started with his task.
Ji Tianlu raised his head and looked at the time. Then, he slowly
lowered down his head. He decided to cooperate with Ling Ran and
do well as his first assistant.
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immediately, and at the same time, provide a space for it to recover
on itself and to expand as well.
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Suturing the blood vessels was a very familiar job for Ling Ran.
The blood vessels in the feet were thicker than the blood vessels in
the hands, but those blood vessels were the main arteriovenous
fistula. The perforating arteries that divided the posterior tibial artery
or the peroneal artery were not so thick. Many of them were thinner
than the arteries of the fingers.
Such high requirements were not required for the vascular network
around the Achilles tendon. Academician Zhu Tongyi's Plan A was
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just the reconstruction of the vascular network. There were three or
four perforating arteries on the medial side of the Achilles tendon
and three or four perforating arteries on the lateral side of the
Achilles tendon. Academician Zhu Tongyi hoped to reconstruct two
perforating arteries on each side, and at the very least, one
perforating artery. Then, he wanted to ensure that a certain number
of small blood vessels were reconstructed. That was the basic
requirement for Plan A.
And if the plan they chose failed? While there were plenty of things
to say if an experimental surgery like this worked, if it failed, they
would have no way of explaining themselves.
His wrist moved gently. His fingers slid up and down the
microscope nimbly. With a few movements, he was done suturing a
blood vessel. He then pulled out another blood vessel, and with a few
moves, he stitched it up again.
Ji Tianlu was busy cooperating with Ling Ran. Even Lu Wenbin, the
second assistant, was also busy moving about the operating table.
He would pour the saline solution to moisturize the blood vessels at
one moment, then after a while, he would dab the surgical area using
gauze. After some time, he would drain the area of excess fluid, and
he would also use a retractor sometimes. The level of work was
comparable to someone in charge of roasting his own food in a
barbeque buffet.
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Everyone had a frown on their face. They had the look of agony of
someone who fought in a bloody battlefield or stayed up late the
previous night to do their homework.
It was the equivalent of Zhu Tongyi giving the most essential part
in a finger replantation surgery to Ling Ran to play with.
This was not the rat tail in the simulation training space. Perhaps a
rookie doctor would be very happy to be able to suture a rat's tail
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once, but Ling Ran had long since passed the stage of a rookie
doctor.
There was a living human who he could suture, and even had two
assistants working with him. He had a scrub nurse handing him the
equipment he needed, had a circulating nurse to help him as he
performed the suture. This was more comfortable than practicing
alone in the training space.
The implication was that it was impossible for him to re-suture the
entire vascular network. He could only choose the important blood
vessels to form a barely functioning vascular network.
This was just like how originally exquisite and orderly supply routes
would mostly be destroyed after a war. The general responsible for
the reconstruction was not to restore every single one of the supply
routes bit by bit, but to restore a supply chain to ensure that the
most important supplies were delivered. The rest of the supply chain
could be restored by the others, and they could do so over a long
period of time.
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"Do we still have time for that?" Zhu Tongyi looked at his
watch, and his expression eased up a little.
Zhu Tongyi's Plan A was much more complicated. In his plan, the
chief surgeon would take about four hours to complete the surgery.
The allocated time was not simply decided, it was a 'dynamic
equilibrium' he found according to the degree of exposure of the
Achilles tendon and other factors.
If the time was too short, the chief surgeon could not complete the
surgery. If the time was too long, the outcome of the surgery might
be compromised.
Now, once Zhu Tongyi saw that the surgery was going well, he
hoped to finish the surgery within three hours, which would thereby
ensure a more efficient recovery.
After he considered that ending the surgery way too early provided
no additional benefits, Zhu Tongyi agreed to Ling Ran's idea of
suturing several more blood vessels.
Ling Ran was also very familiar with Zhu Tongyi's plan. His eyes
were fixed on the microscope. He was so happy he did not want to
leave at all. He said, "We did not cut off many small blood
vessels. We have hope to restore 30 to 40% of the vascular
network. There are benefits to restore more of the vascular
network, right?"
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"Of course, but you must try to ensure quality as much as
possible." Zhu Tongyi reminded. "The danger of vascular spasm
is still there, and the only useful blood vessel is an unclogged
blood vessel."
The quality did not have to be as high as the quality in the blood
vessels of finger replantation, but it still needed to be of a certain
quality.
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Zhu Tongyi looked at the young Ling Ran and feared that he lose
his patience or his concentration.
Ling Ran did not pay any attention to Zhu Tongyi's repeated
urgings. He sutured the blood vessels with a steady hand and said,
"I'll guarantee the quality."
Ji Tianlu could not help but look up and said, "Doctor Ling will be
fine."
Zhu Tongyi came back to his senses and quickly said, "I'm far too
concerned about our plan, so much so that my judgment has
been impaired."
All the doctors were in an uproar when they heard these words
from Academician Zhu Tongyi, who was the leader of the research
institute, and the absolute front of the medical center.
Doctor Qu could not hold back his feelings any longer and said
angrily, "Truly, people would rather believe in outside help
than believe in those beside them. The director is too easy-
going."
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Ling Ran is just a chief surgeon."
The doctors who were very impassioned just now wisely shut their
mouths.
It could be said that the research institute gave Ling Ran the
chance to be the chief surgeon for this surgery, but it could also be
said that Ling Ran came over to help because the research institute
could not find anyone qualified enough among them.
But no matter how they looked at this, Ling Ran currently occupied
the strongest position in their institute.
The 223-pound resident doctor had set a detailed goal for himself.
Once he was finished with his tasks at hand, he would enter isolated
training and catch up to Ling Ran's skills in the shortest possible
time.
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to Xiao Yun.
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Ling Ran felt very excited, yet he still looked calm while he pulled
the blood vessels together and sutured them. In his mind, he
imagined the structure of the vascular network while he built it with
his hands.
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If it failed, there would not be a need to talk about it.
Before this, Ji Tianlu went out of his way to look around for
surgeons. Those who could meet their requirements were practically
all very famous, but it was not a surprise, because their surgery,
which required a fast working pace, sharp judgment, and high
accuracy, could not be performed by the surgeons from the local
hospitals who claimed themselves to be the best. The plan needed
the best doctors from the top hospitals.
Among the doctors who were around forty years old, those who
worked at a fast pace, had sharp judgment, and high accuracy, were
normally quite famous.
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Ji Tianlu was able to meet talented surgeons in internationally well-
known hospitals using the opportunity provided by international
meetings. However, when he faced successful surgeons,
Academician Zhu Tongyi's plan was not able to draw their attention.
The surgeon did not even need to think about the limitations of the
current medical world, he only needed to care if he could fulfill the
patient's demands. If he could not fulfill those demands and forced
himself to perform the surgery, the surgery itself would be
meaningless.
They also prepared plans B and C, but the value of plan A was still
the highest.
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Ji Tianlu stared at Ling Ran's operation, and he suddenly felt a little
envious. Although medical research was the most important part in
the development of medicine, in reality, regardless of whether it was
the results of medical research or the discoveries in clinical medicine,
all of this was nothing if the implementer could not bring the results
and discoveries to fruition.
The first requirement was to clamp down on the blood vessel with
a stable hand because it was a must to not damage the blood
vessels. The surgeon needed to judge the strength needed to clamp
the blood vessels when they faced blood vessels that were of
different lengths in different people, and they could only rely on their
gut feelings, just like what Ling Ran did earlier.
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A part of this gut feeling was from experience, while the other part
was from theoretical knowledge. For example, blood vessels
appeared all the same under the naked eye, but if someone had
arteriosclerosis, it was clear that greater strength will be needed to
clamp down on his blood vessels. In fact, the surgeon would even
need to put forth a lot of strength to clamp down on the blood vessel.
Otherwise, the needle might not be able to penetrate the blood
vessel.
After he finished this step, Ling Ran set aside the instrument and
stood up.
Ji Tianlu had not worked as the first assistant for quite some time,
and he was baffled by how naturally Ling Ran acted when he ordered
people around. When he looked down to check on the blood vessels,
he suddenly came up with a thought. 'Don't I need to rest as well?'
Ling Ran removed his scrub and gloves while he massaged his
neck. Then, he turned around and went out to wash his hands again.
Surgery gloves were not durable goods, and there would usually be
some changes in the physical properties of the gloves after a surgeon
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performed surgery with them on for more than three hours. In
layman terms, it would not stick tightly to the hands, and it would run
the risks of being damaged. Research showed that when heart
surgeries were performed up to the third hour, the perforation rate of
the gloves was at 30%. And when heart surgeries were performed up
to the fifth hour, the perforation rate of the gloves went up to 65%.
Ling Ran did not pay attention to this kind of information in the
past. In other words, he did not know about this at all. It was only
because he had more free time recently that he had time to read
more research papers. It was only then that he noticed this
information.
When he thought about the total length for today's surgery, Ling
Ran decided to change his gloves now. He could also take the time to
rest a little.
Although it felt good to suture the blood vessels, he did indeed use
up a lot of his stamina and concentration.
First assistants were meant to check and cover up the holes left
behind by the chief surgeon. In other words, a first assistant who was
qualified to check and cover up the holes left by the chief surgeon
was a first assistant that was highly valued, so Ji Tianlu should feel
happy.
But Ji Tianlu was not happy at all. However, he did feel a degree of
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admiration towards Ling Ran.
It was already very tiring to check the blood vessels, how tiring
would it be to suture the vessels?
The vascular channel built by Ling Ran was not a simple loop.
Instead, he built the vascular channel after he considered the
probability of not suturing some blood vessels perfectly. Although the
probability for that was very low, if there was only one loop and a
complication happened in one of the breakpoints among the many
breakpoints formed by the sutures, the entire vascular channel
formed would be meaningless. This just meant that the difficulty of
the surgery had just been increased to that of a finger replantation
surgery.
Ling Ran, who had performed many finger replantations, knew the
limitations of a vascular channel clearly. Therefore, the vascular
channel he built was more like an interchange system. It was useless
to merely build backup blood vessels because it could be damaging
at the systemic level. For example, any falls, crashes, or sprains
during the recovery period would cause damage to the backup
system.
This made the suture become more difficult, but it also provided a
safety net that the plan did not offer.
When Ling Ran came back, Ji Tianlu's neck ached from the check.
He said, "There's no problem on the suture of the blood
vessels. I think the safety level of this vascular channel is
quite sufficient."
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What he meant was that they did not have to do the alternate
vascular channel.
Ling Ran neither agreed nor disagreed. He put on his scrubs again
and changed into a pair of new gloves before he said, "Let go the
clamp and let me take a look."
Both of them sat back in front of the microscope. Ling Ran slowly
released the clamp that held the posterior tibial artery.
Blood flowed through smoothly. No blood oozed out from the blood
vessels.
It could only be said that while the current surgery was not bad,
Ling Ran had not performed a miracle yet.
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If they ended the surgery now, it could be said that the surgery
time was short and ended with a good result. If they analyzed this
from the benefits the patient would receive, this would be the perfect
time to end the surgery. As for the alternate vascular channel by Ling
Ran mentioned? To Ji Tianlu, that was already overtreatment.
If Ling Ran did not get the notification of the completion rate from
the system, he would probably hesitate as well.
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However, this plan was not meant for a normal person. It was
meant for an athlete who had high demands on the recovery time
and strength of his Achilles tendon. Similar demands would usually
only be made by professionals like soldiers. So, even if they wanted
to add chief sources, it would take time.
By that time, if the value of this plan was really proven, it would
probably benefit blue-collared workers and sports lovers. But at the
current stage, these people could still not bear with the high risk on
their health and financial status. After all, an experimental surgery
plan was not covered by local and foreign medical insurance
companies. Subsequent risks on their health in the future was also a
problem. At the moment, Liu Weichen was willing to bear the high
risk of not being able to run or jump again after few years time, but it
would actually be better for a normal person to wait for another few
years before they tried the surgery.
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He agreed with Academician Zhu Tongyi's plan. And with the plan
as his basis, he was certain that the blood supply chain network[1]
he connected with the vascular channel he sutured just now could
not provide sufficient nutrients to the Achilles tendon. It was more
than enough for normal recovery, but it would not be sufficient for a
miraculous recovery.
"Hmm… it's possible." Ji Tianlu had to admit that there was logic
in this question. But he then said, "However, if you continue to
suture it, you'll still need at least ninety minutes, right? Is it
really beneficial for the patient? If the wound is exposed for
three to four hours, it is no longer a small surgery."
The longer the wound was exposed, the greater the chances for
complications to arise. A surgery that lasted for more than four hours
would usually have complications arise. For a short-distance runner,
edema or inflammation would cause a huge problem to him.
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Ji Tianlu was also worried that they had placed too much of an
emphasis on the unimportant stuff and neglected what was
important.
The scrub nurse who wore small a gray rabbit surgery cap used
forceps to hold the gauze and dabbed gently at Ling Ran's forehead.
She whispered, "There isn't any sweat, but you do have a
strand of hair on your forehead. That's why you felt itchy,
wait for a while…"
The scrub nurse with the small gray rabbit surgery cap put down
the gauze and changed to another pair of forceps. She came closer
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to Ling Ran and stood on her tiptoes to take the hair off Ling Ran's
forehead. She said, "Let me check for you again."
Hair was a very tedious existence for a surgeon. Ling Ran stood
still obediently to let the young nurse wipe his face.
As the young nurse wiped his face, her face started to turn red. If
she had not been not educated with the aseptic principles in the
operating theater, she would stick her body closer to Ling Ran.
…..
Many doctors became excited when the topic shifted to the specific
skill used in the surgery. However, none of them said anything for
the time being.
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doctor started the conversation by teasing himself.
"Wipe sweat." Ling Ran's voice was heard from the display
screen. It could be seen that he had used up a lot of his stamina.
Sweat beaded on his forehead.
The young nurse who wore the small gray rabbit cap used the
gauze to wipe the sweat underneath Ling Ran's small yellow rabbit
cap.
The fat resident doctor who weighed 225 pounds held tightly on to
the mineral water which was half-empty. Right at the moment, he
was about to finish the water, his phone rang. "I didn't have a life
like that, it will never be my turn…"
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In normal surgery, it was normal for the chief surgeon to ask for
the anesthetist's opinion. But clearly, Ling Ran was not a normal chief
surgeon. In previous surgeries, Ling Ran always judged the situation
based on what he saw from the display screen.
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when Ling Ran suddenly asked him about the physical signs, and the
shock was amplified since Academician Zhu Tongyi was beside him.
Luckily, the data showed on the display screen was normal, so the
anesthetist calmed down. He stared at Ling Ran with his hand over
his chest, as though Ling Ran had wronged him. Then, he used his
hand to touch Liu Weichen's head and whispered, "Dalang is all
right. He's fine."
Ji Tianlu settled the work on his hands. Still seated, he turned his
head and asked, "What now?"
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He did not ask Ling Ran if they should end the surgery right then
as well, but his stance was clear from his attitude.
Ling Ran could stop the surgery at that point to maintain a higher
recovery level of the Achilles tendon. An Achilles tendon with 70%
functionality would not allow Liu Weichen to perform high-intensity
training, but it would be good enough for his daily needs.
Ling Ran could also change the plan. Plans B and C, which were
designed by Zhu Tongyi, had different focuses.
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The number meant that Liu Weichen could only restore his Achilles
tendon functionality to 55%. Forget participating in high-intensity
training and competitions, he would even have trouble in his daily
life. He even had to be careful when he ran or jumped.
Ling Ran craned his neck and exercised it for a while. He said,
"Let's check again."
Ling Ran nodded and proceeded to suture the blood vessels again.
A delay of one to two hours of surgery time should not affect the
level of completion too much. The only possible setback could be that
the alternate vascular channel he was building imposed negative
effects on the patient.
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microsurgery under pressure.
They all acknowledged Ling Ran. Since Ling Ran took the matter
seriously, they knew that there were some changes to the situation.
Although no change could be observed from the monitors and the
patient's physical appearance, they knew that certain bad changes
could not be detected by the monitors and devices immediately.
Alas, Ling Ran was still affected by the mission completion status
in the system. He increased his suturing speed silently.
All the surgeons in the demonstration room could not feel the
tension in the operation theater, but they saw the changes in the
surgery.
Ling Ran's suturing speed was already fast from the beginning, and
his stability, as well as his efficiency in suturing, were very high.
No one thought that Ling Ran could still do it much faster and with
an even steadier hand.
"This speed is already insane for suturing the skin, and it's
too much for blood vessels."
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"Well, he has made enough allowances."
"Are you able to reach even half his standard if I give you
so much allowance for mistakes? Let's not talk about his
speed first. If we do, I'd just be bullying you…"
Ling Ran's voice in the video was not loud, but his long exhale
could be heard.
This time, Ling Ran did not say anything. He did the check-up on
his own, and he released the artery directly.
In Ling Ran's vision, the mission completion status for Rise Into
Prominence increased slowly from 45%...
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55%, 65%, 75%, 85%...
Liu Weichen's Achilles tendon rupture was serious. The part he cut
off was already the size of a thumb. For a severely injured Achilles
tendon, it could be considered a success if its functionality was
restored to 85%.
"My gut tells me things are okay now." Ling Ran did not want
to give up his position as the chief surgeon. He even did the skin
suturing on his own.
During the dressing, Ling Ran could see that Liu Weichen's Achilles
tendon had recovered up to 90%.
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Zhu Tongyi nodded slightly and started to mutter under his breath.
Ji Tianlu glanced at Ling Ran. When he noticed that Ling Ran had
become even more relaxed, he asked Ling Ran out of curiosity, "How
do you feel now?"
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Liu Weichen slowly opened his eyes. They shone like stars from
another constellation, so far away, but so deep that other people
could not help but want to go near them.
Liu Weichen exhaled softly and opened his mouth with great
difficulty, "I don't want to take medication…"
Sounds came out of Liu Weichen's mouth, but they were only
sounds of inhalation. He was not exhaling any air at all. At the same
time, he flashed a strange smile, "Doctor Pan, your drug wore off
so quickly. Has the surgery started yet?"
Liu Weichen suddenly fixed his gaze on the anesthetist's face for a
few seconds without breathing. He asked vigilantly, "Is your family
name really Pan?"
Liu Weichen fixed his gaze on the other party. "Is your family
name really Pan?"
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now? If you don't, we'll be in quite a fix here."
Liu Weichen did not see the anesthetist again, even up until he
was pushed back to his room. He even had suspicions that there was
something wrong with his memory...
.....
There were indeed very few famous track and field athletes in
China. Liu Weichen was already popular to begin with, and coupled
with the pity he received due to his injury, he was getting a lot of
attention.
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their cameras, anyway.
Inside the center, Doctor Qu, the vice director, and the others who
received news about this were already waiting downstairs. Very soon
after they were opened, the automatic gates snapped shut again, not
giving the reporters much chance to gather anything.
The bureau's leader glanced at the gate that separated them from
the reporters outside before he let out a soft cough and adjusted his
collar. He then slowly exited the car.
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that time, they would need to rely on doctors for support,
right?"
Doctor Qu did not even dare to reply to this. He saw now that
Director-General Wang was obviously here to interrogate them.
Chief Ma who was in charge of the track and field team asked,
"Where is Liu Weichen?"
"He is inside." Doctor Qu did not bother to stop them from going
in. Liu Weichen refused to listen to him anyway, and turned to rely on
Ling Ran instead. It would be meaningless for Doctor Qu to stop the
bureau's leaders now.
Doctor Qu led the way as the leaders of the bureau walked behind
him. The leaders of the bureau did not even pay much attention to
the vice director of the research center who was walking beside
Doctor Qu.
The vice director could not care less. When he saw that they had
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walked away, he pulled out his mobile phone and called Zhu Tongyi.
Liu Weichen was leaning against the elevated hospital bed. There
was a cast on his injured leg, and it was hung at an elevated position.
He was sleeping in a daze.
Chief Ma ignored Zhu Tongyi and pushed Liu Weichen hard twice.
But no matter how hard one pushed, one would not be able to wake
a person who was only pretending to be asleep.
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"Let's get out of here." Even though Director-General Wang did
not really feel like respecting the field of science anymore, he did not
express that in front of Academician Zhu.
Zhu Tongyi smiled and said nothing, letting the other party vent to
his heart's content.
"Sure, please wait for a while, let me ask him." Zhu Tongyi
looked towards Ji Tianlu.
"Another surgery?"
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"We can't help it, then. Should we wait for a while?" Zhu
Tongyi said to the bureau's leaders. He looked a little apologetic.
They waited for a little longer before Ling Ran walked into the
reception hall in scrubs.
When the rehabilitation specialist saw this, he could not help but
adjust his collar. There was a hint of contempt in the corners of his
lips, and it was the type of contempt a person had when he stood
superior to someone else, like a king to his subjects.
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Ling Ran looked at the other person strangely, and then looked at
Zhu Tongyi and Ji Tianlu.
He was never a person who liked to talk, and was even less likely
to talk to unfamiliar people. He was even less interested in answering
such a sudden and strange question.
If Ling Ran had to answer all the questions posed at him by all
individuals, he would not be able to answer all of the questions
others threw at him since third grade. If you add the questions that
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was written to him, he would not need to do anything else in his life.
Zhu Tongyi chuckled and made the introductions. "These are the
leaders of our Sports Bureau: Director-General Wang,
Director Su, Director Ma, and Han Wenlin, as well as reporter
Wei and reporter Li..."
Ling Ran smiled and nodded. He gave the officials and specialist a
disinterested look.
Ling Ran was not like the doctors that Han Wenlin was familiar
with. He did not give a swift, steady, and thorough explanation like
the ones provided to the patient's family.
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we have to fully evaluate the circumstances of your surgery.
You must know that Liu Weichen is one of the most important
athletes in our Sports Bureau. He is a star athlete that the
country cares about. Information regarding his physical
condition must be in our hands at all times..."
Zhu Tongyi smiled and nodded, implying that he had accepted the
task. He was different from ordinary doctors, and was not someone
whom Han Wenlin could attack with his kingly contempt.
"Is it appropriate?" Ling Ran did not answer Han Wenlin, but
looked at Zhu Tongyi.
Zhu Tongyi cooperated with the Sports Bureau a lot. He might find
this to be a little annoying, but he did not want the situation to be too
tense. He laughed and said, "Specialist Han wants to know the
circumstances, can you brief him?"
After taking a deep breath, Han Wenlin, knowing what the leaders
wanted to know, asked first, "Why did Liu Weichen suddenly
decide to have the surgery?"
Puzzled, Ling Ran asked back, "Why are you asking me this
question?"
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"You are the chief surgeon. Wouldn't you know why Liu
Weichen decided to receive the surgery?" Han Wenlin was a
little annoyed now.
Ling Ran was even more annoyed. If he was asked to say which
kind of people he hated, an unreasonable person would undoubtedly
be listed among them.
Both reporters heard the underlying meaning and could not help
but chuckle.
Medical groups of this current day and age were very profitable,
and reputation, among other things, were important for a doctor to
enter a medical group or to be a freelance surgeon.
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and even when he was in his local area, he was not interested in
working with the Sports Bureau.
For an organization that did not provide a full patients load, it was
hard for Ling Ran to imagine the meaning behind cooperating with
them.
If the Achilles tendon was stronger, could recover faster, and could
adapt to high-intensity exercises after using the new Achilles tendon
repair technique, there would be nothing bad about it if the surgery
was performed on ordinary people. All surgical techniques was slowly
developed this way. In the beginning, there were many complications
in the surgery, so it was often only suitable for some people. With
slow and continuous improvement on the surgical technique, the
surgery could then be performed on a wider range of people.
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Han Wenlin became even more sensitive. He changed his tone and
said, "So, let's talk about the surgery's circumstances. Doctor
Ling, how did you perform it?"
Han Wenlin was stunned for a bit and asked, "What is the
specific contents of Surgical Plan A?"
Han Wenlin already felt dizzy just by looking at it. He felt his head
pound as he listened to the explanation. To be honest, he had
reviewed Academician Zhu Tongyi's plan, but did not expect this
radical plan to be finally implemented.
"It's too risky!" Han Wenlin could not stand it anymore, "How
can you adopt such a risky plan?"
When they heard the specialist get angry, the leaders of the Sports
Bureau also grew nervous.
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"What is the situation now?"
"These athletes are not sensible, and they don't even know
how to cherish their bodies..."
Han Wenlin did not listen at all and only gave a look with his Kingly
Contempt. "Even if the operation is successful, all of you can't
guarantee that Liu Weichen will be better. First of all, from
my perspective, you should not use such a risky surgery—"
"It is indeed a very risky surgery for you, but from our
perspective, the risk is acceptable." Ling Ran interrupted Han
Wenlin's speech and gave him a look. During the operation, he did
worry many times due to the system prompts. However, as a
necessary experimental surgery, it was normal to constantly worry
about it.
Most importantly, during the entire operation, Ling Ran actually did
not encounter any substantial challenges. The operation itself was
very smooth all the way. Liu Weichen's vital signs were stable, the
sutures on the Achilles tendon were smooth, the vascular network
was successfully constructed, and he even built two of them—each
set provided a sufficient allowance for mistakes. It could be said that
the whole surgery was done in a safe parameter. If it were not an
experimental operation, but the tenth or twentieth time he
performed such a surgery, it could be described as a surgery without
any surprises.
In fact, for Ji Tianlu, Zhu Tongyi, and the others, besides having
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doubts over a few of his judgments in the operation, the whole
surgery was not shocking to them as well.
They could not see the system prompts and the mission
completion rate.
Han Wenlin absolutely did not believe what Ling Ran had said.
"What do you mean by the operation risk was acceptable?
Your entire surgery plan itself is full of risks."
Ling Ran twitched his mouth. "If you are a specialist in the
Achilles tendon repair technique, you should find it
interesting."
When Ling Ran said the last part, his tone was very relaxed. After
all, he was comforting the other person.
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"Actually, it doesn't really matter." Ling Ran did not like how
the people of the Sports Bureau just speaking whatever they felt like,
and he did not want Han Wenlin to continue speaking. So, he gently
interrupted Han Wenlin and said, "I know there are a lot of
people who are not suitable to become clinicians, especially
to become surgeons. You're not good at performing surgery,
so you changed to offer medical advice. That's actually good
career planning. So, you don't have to feel… embarrassed."
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It was so rare to see Ling Ran speak in a considerate tone. He then
comforted Han Wenlin. "To become a surgeon, you need some
luck. To become a good surgeon, you need even more luck. I
know that there are some famous medical scientists who
realized that they can't work as a surgeon, or met with
difficulty in improving their skills. They changed their careers
to be forensic doctors, internists, medical researchers, or
rehabilitation... specialists. Well, it's also an option."
"I…" The anger in Han Wenlin could ignite the contempt he felt in
his heart.
The director of the Sports Bureau, who was well-known for his
straightforward, simple, and harsh attitude, suddenly shed his
disguise and revealed the brilliant mind that lay within himself.
Director-General Wang went past Han Wenlin and spoke directly to
Zhu Tongyi. "Academician Zhu, will Liu Weichen recover fully?
To what extent will he recover to?"
This was the main problem that they were concerned with. It also
reflected Liu Weichen's value at the current stage. After they settle
this question, then the internal management of the Sports Bureau
could make a decision that would help the development of Liu
Weichen's sports career.
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Liu Weichen chose to perform an experimental surgery because he
hoped to be fully recovered as well. Only with a full recovery could
Liu Weichen continue competing, especially in international
competitions—he was almost considered the top in the country.
In the opinion of the directors from the Sports Bureau, Liu Weichen
was only important to them if he was fully recovered. In others
words, if he only recovered partially, he would no longer be
considered an important athlete to the Sports Bureau.
Ling Ran saw that his mission completion status had achieved
91%. From a medical student's perspective, it could be considered a
complete recovery. However, considering the changes that happened
in the mission completion status during the surgery, Ling Ran
carefully answered, "We can hope for good results, but I can't
say for sure."
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Academician Zhu Tongyi and said, "I still have two more
surgeries, can I get to those first?"
Of the ten patients admitted that day, Ling Ran had operated on
five of them last night. Then, he started performing another two
surgeries at midnight, and another one just now. So, only two
patients were left.
For Ling Ran, the trip to Shanghai was worth it because he got the
chance to perform ten normal Achilles tendon repair surgeries, and
one experimental Achilles tendon repair surgery.
Right when Zhu Tongyi was about to approve Ling Ran's request,
the rehabilitation specialist Han Wenlin spoke in dissatisfaction, "We
need to know on what's going on in Liu Weichen's surgery,
right?"
Even though the chain of contempt had shifted more and more
against his favor, Han Wenlin did not want to let go of this matter.
At this moment, Zhu Tongyi was slightly relieved. He called for the
leaders of the Sports Bureau to have their seats, and he invited the
reporters to sit down as well. He smiled and said, "Since the
surgery was just completed, it's not accurate to evaluate any
of the impact right now. The exact details on what we did
during the surgery can also be seen on the video."
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Nowadays, the major surgeries in hospitals were usually recorded
on video. In small hospitals back then, when the operating
procedures were not standardized, a recorded video could probably
expose the doctor's flaws and weaknesses. Therefore, every doctor
was reluctant to operate this way.
After a while, three display screens in the reception hall played the
video at the same time.
The leaders of the Sports Bureau along with the reporters were a
little scared to look at the screen at first. They covered their eyes,
just like a child watching a scary film for the first time. Soon, they
forgot about the scary feeling and started to get curious.
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those parts cannot be used anymore. Even if it was
preserved, it will delay recovery time and may even cause
inflammation in the future."
…..
Han Wenlin watched Ling Ran's movements. He could not help but
think, 'To a surgeon like this, plan A really sounds interesting...'
The only thing they could discuss right now was about whether
their efforts to ensure blood supply worked, because there was no
direct evidence to show it could aid athletes in recovery by
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performing surgery such as this one.
After he heard the friendly tone in Han Wenlin, Ji Tianlu smiled and
said, "The blood supply was pretty good. The index we
measured just now, such as temperature and so on, met the
expected standards."
The leader of the Sports Bureau asked the question that he was
most concerned about, "So, do you mean that Weichen can have
a full recovery?"
Ling Ran could no longer resist the urge. He stood up quietly and
left the reception hall. Then, he ran towards the operating theater.
He looked for the young nurse whom he had just met and asked
her to send the patient into the operating theater. Then, he started a
new surgery with the appointed anesthetist and nurse, with Lu
Wenbin as his assistant.
Ling Ran bathed and washed his hands, changed into a fresh pair
of underwear, and put on his scrubs before he entered the operating
theater. He could not help but take a deep breath, and showed a
happy smile. "Anesthetize the patient."
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The notes from the classical piece lingered in the air, showing how
extraordinarily elegant the piano was as an instrument. The
atmosphere was so classy that Lu Wenbin dropped the surgical
drape.
The circulating nurse smiled with her usual expression. She then
turned to the left, revealing the left side of her face—it looked better
than her right—and asked, "Doctor Ling, what type of music do
you like?"
"I'm fine with anything." Ling Ran swayed his body slowly. He
tapped the patient's calf with his hand and pushed it with his fingers.
Even though he looked a bit like an old practitioner of traditional
Chinese medicine when he did that, he was actually doing a physical
examination.
Ling Ran examined the calf quite meticulously. Even though his
Specialist Level Physical Examination Skill was enough for him to do
it well, it was not perfect. To be confident of the results, he still
needed to carry out the physical examination earnestly, and perform
a few more auxiliary tests while he was at it.
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Of course, different doctors had different definitions when it came
to being confident in something. There were weirdos in local
hospitals who performed appendectomies without even checking the
patients' blood sugar levels. In tertiary grade A hospitals, there were
also chief surgeons who made incisions in the wrong places.
However, as the old saying went: "The more you know, the less
you understand." The more countermeasures he knew, the more
considerations he had to make.
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revealing the operating field.
There was a smile on his face. He, too, had been craving to
perform surgery for a while.
It was really too tiring to converse with people like the leaders of
the bureau, and the rehabilitation specialist. That was practically dirt
compared to the joy of being in the operating theater.
Although Ling Ran rocked back and forth to the music, when it was
time for him to pull the Achilles tendon out, his hand was as steady
as that of a fat person who took out mutton slices from a hot-pot.
The Achilles tendon hung in the air and had blood on it. It was
pinkish and looked a little cute. After Ling Ran yanked the Achilles
tendon twice, he could see the patient's calf muscles move along
with it. Ling Ran held the needle holder and gestured in the air for a
while before he found a spot that was relatively suitable for him to
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begin suturing.
When a surgeon was pressed for time, he could just find a roughly
suitable position before he started suturing. This was because during
the recovery process, Achilles tendons did not grow according to the
positions the doctors want them to. This was why adhesion of the
Achilles tendon happened.
So, Ling Ran's act of trying his utmost to find the best position to
start suturing was a waste of time in the eyes of some surgeons.
Even though it took a lot of time, the patient would not benefit much.
However, each surgeon had their own personalities, and Ling Ran
was the kind of person who wanted to try his best to find the perfect
position before he began the suturing. Even the assistants and
nurses in the operating theater could not interfere with it, let alone
the senior doctors in the demonstration room.
It was the Orthopedic and Sports Medicine Center's rule that all
surgeons could be subjected to a spot-check if they performed
surgery in operating theaters that had camera systems in it. Hence,
they requested all their surgeons to follow standard operating
procedures so that they could always be ready for a spot-check.
The rule was executed in such a manner: any doctor who was an
associate chief physician or higher than that had the right to turn on
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the demonstration room and the camera systems.
Since they were in this kind of environment, all the surgeons in the
Orthopedic and Sports Medicine Center tried their best to avoid the
four operating theaters with camera systems in them while
meticulously operating on their patients. As long as there were other
empty operating theaters, ordinary doctors would avoid the four
operating theaters which can be connected to the demonstration
room.
Ling Ran did not care if anyone observed him while he performed
surgery. He was already quite happy if he got to use an operating
theater whenever he wanted to. Thus, all his surgeries were pretty
much done in operating theaters with camera systems inside.
Even though they did not talk about it, some of the surgeons liked
to watch Ling Ran's surgeries. Surgeons were able to enrich their
experience or learn lessons as they watched the surgeries carried out
by other people. Surgeons were always able to garner inspiration by
observing how other surgeons operate when it came to surgical
methods that they were familiar with.
There were many Achilles tendon repair methods, and the number
of improvised methods, and improvised methods of improved
methods, was even greater.
Surgeons usually only learn a few of them, and there were even
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many doctors who only learned one Achilles tendon repair method so
that they could use it when the need arose. But when the surgeons
who specialized in practicing the Achilles tendon repair surgery saw
Ling Ran's variety of surgical methods, the sort of burning itch they
felt to try out those surgical methods was indescribable.
It was just like when a primary school student had to do four tests
that involved the chicken-rabbit math problem[2] in one day. For the
first test, they could solve the problem by treating it as if all the
chickens stood on one leg, while the rabbits stood on two legs[3]. For
the second test, they could solve it using the 'whistle method'[4].
When they encountered the same problem again in the third test,
they could only use the 'leg-severing method'[5]. If they were to
encounter a strange variation of the chicken-rabbit math problem in
the fourth test, where each animal had nine heads, they would have
no choice but to solve it by chopping off all their heads!
All the doctors who had the chance to work in the Orthopedic and
Sports Medicine Center—even those who were not as highly-
skilled—all shared a thirst for knowledge.
It was very hard for those who made no effort to seek progress to
survive here, for the research center was even more demanding than
tertiary grade A hospitals, and it had lower pay and burdened its staff
with great responsibilities. Aside from that, career advancement was
also very difficult here. Even Doctor Qu who sat beside the few
leaders from the Sports Bureau right now, stared at the screen with
unblinking eyes.
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"Doctor Ling has quite the character," Chief Ma commented.
Internally, he was actually quite fed up with Ling Ran.
This type of person who relied solely on skills and did not know
how to handle politics was the type he hated the most.
Before Ji Tianlu and the others could answer, a female doctor who
watched the livestream in the demonstration room said, "Doctor
Ling is a doctor with extremely good mannerisms. He always
finishes what he starts, and is earnest and meticulous. You
should be happy for the patient that he has the chance to be
treated by such a doctor."
Reporter Wei was stunned when he heard that. 'Why do I feel like
I'm interviewing a multi-level marketing organization?' He gingerly
asked, "What is the basis of your judgment?"
Reporter Wei did not know how to react anymore. "Were those
baseless statements?"
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surgeries."
"Doctor Han, if you have any questions, you can press that
red and round button to ask Ling Ran whatever you like."
Even though Zhu Tongyi wanted to be polite when it came to
handling the relationship between the research center and the
bureau, he was getting rather impatient.
Han Wenlin the rehabilitation specialist did have a lot of things that
he wanted to say. He even thought of what he would say to refute
Ling Ran. This was why he took the initiative to come to the
demonstration room to watch the livestream of Ling Ran's surgery.
But when he saw Ling Ran through the screen, Han Wenlin felt
rather diffident, because Ling Ran was as handsome as a celebrity-
no, he was even MORE handsome than a celebrity.
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Ling Ran paused for a while. He then asked, "And we will be done
after that?"
"Yes."
"Young Lu."
"Yeah?"
"That's true." Ling Ran agreed with Lu Wenbin, which was rare of
him in such a scenario. He then said, "Then, can you contact
Department Director Huo? Notify him that we are preparing to head
back to Yun Hua, and that he can start getting the operating theaters
ready, and line up the finger replantation surgery cases.
"Aside from that, ask him how many vacant beds there are.
After all, a few dozen beds in the research center have been
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vacated…"
'Forget about it. Why should I bother myself with this kind
of young doctor?'
Translator's Notes:
By assuming that each chicken is only standing with one leg, and
that each rabbit is only standing on their two hind legs, the total
number of legs on the ground would only be half the total amount.
The number of chickens will then be the same as the number of
chicken legs on the ground, while the number of rabbits will be half
the number of rabbit legs on the ground. And thus, we can deduce
the number of chickens and rabbits from there.
Assume that all the chickens and rabbits have undergone special
training. On the first whistle, each of them would lift one leg. On the
second whistle, they would lift another leg. At this time, all the
chickens would be sitting on the ground, while the rabbits would still
be standing on two legs. We can then deduce the number of rabbits
based on the number of remaining legs by dividing the number in
two.
If one leg was severed from each chicken, and two legs severed
from each rabbit, the total amount of legs would be halved. Hence,
the number of rabbits could be calculated by deducting the total
number of animals from the number of legs.
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His plan A was designed for Liu Weichen. But Zhu Tongyi had not
expected his plan to work this well. Based on the results from the
checkups over the past few days, Liu Weichen's Achilles tendon
rupture recovered far better than what they expected.
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Because of this, Zhu Tongyi also grew more interested in plan A.
He wanted to take the time to do more surgery cases so that he
could research the plan more thoroughly.
The situation for Zhu Tongyi was still a little better, since he was in
the field of sports medicine. If he waited a little while, he would find
that there would always be athletes who would have their Achilles'
tendons ruptured, and this was especially so for badminton and
basketball players. The number of athletes who had their Achilles
tendons ruptured because they played these sports was quite high.
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long time if they wanted to wait for them to have their Achilles'
tendons ruptured.
Zhu Tongyi looked at Ji Tianlu and said, "I am going out. I guess
I can find at least two patients with these symptoms. So,
keep your eye on Ling Ran in the near future and make sure
he stays here. Don't let him get back to Yun Hua too easily.
Also, make sure he maintains in this condition. Give him
surgeries to do, but don't let him do too much. Young doctors
don't know how to do things in moderation, you must make
sure to keep him in check."
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better development prospect for Achilles tendon repair
surgeries?"
However, hard work was not the only thing needed for a doctor to
achieve global fame.
Ji Tianlu did not want to make empty promises to Ling Ran, that
would make him sound too insincere.
Ji Tianlu did not respond directly to Zhu Tongyi's words and said,
"There are still some reporters who want to interview Ling
Ran. Some of them are from media companies that have
cooperated with us for many years. After seeing the two
reporters, Ling Ran doesn't want to meet more of them…"
"He said that too much exposure will affect his life," Ji Tianlu
then whispered, "Youngsters nowadays usually play TikTok."
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"He has to have more exposure to the media, and he has to
meet them while the iron is hot," Zhu Tongyi said this with the
tone of an experienced person, "Didn't he want surgeries? You
talk to him about this. Hmm… tell him that if the media
publicized us, isn't it easier for us to find the right patients?"
…..
Ji Tianlu did not even carefully consider how many surgeries Ling
Ran could get in exchange for one interview. But of course, normal
people would have not thought about such a problem.
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Of course, the department directors of large general hospitals had
to do this. They often had to sign other people's surgery completion
forms, especially the department directors of hospitals that often
invited freelance surgeons over. Someone had to sign the surgery
completion form, so it had to be them. As Yun Hua's doctor, Ling Ran,
regardless of whether or not he had a medical license, needed to be
paid by the research institute.
If Ji Tianlu was willing to sign his forms for him, that in itself
showed that he trusted him to a certain extent.
Ling Ran did not think much about it before. After he heard this, he
immediately expressed his gratitude and said, "I'll let them
interview me one extra time as well. With every interview I
receive, I will do four surgeries…"
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"Well, in this case, shall I schedule the eight surgeries over
a period of two days?" Ji Tianlu felt that it was reasonable to have
four surgeries a day if two teams of specialty nurses were to be
arranged.
Ji Tianlu looked at Ling Ran seriously and said, "Even if you are
not tired, I can't arrange eight surgeries in one day. This is a
dereliction of my duty towards the patients, towards you,
and the research center."
Ling Ran had to admit that Ji Tianlu's words were very logical, and
Ling Ran always showed basic respect to logical people.
Ji Tianlu automatically stood up. He sent Ling Ran out of his office
and called Xue Haochu to let him inform the media to arrange
interviews with Ling Ran. He then casually opened his WeChat to
procure patients with Achilles tendon ruptures from his group.
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In general, Ji Tianlu was quite satisfied with his work in the first half
of the day. He finished many tasks, his efficiency was very high, and
his work went smoothly. Ji Tianlu had already begun to consider
getting off work earlier to have fun.
Doctors were busy the whole day. It was only when they were
promoted to chief physicians would they enjoy some me-time.
"Chief Physician Ji," Ling Ran appeared outside his office with a
warm smile.
Ji Tianlu looked at Ling Ran's face and said very gingerly, "So,
you…"
"I'll prove it to you," Ling Ran took out a stack of papers and
unfolded them. It was a set of Sudoku questions.
Ling Ran chose a random page and completed the Sudoko question
in front of Ji Tianlu. Then, he said, "I can do five more surgeries
without any problems."
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Ling Ran politely retreated a step to avoid eavesdropping on Ji
Tianlu's conversation on the phone.
Ji Tianlu made a few phone calls before he looked at Ling Ran and
said, "I guess we'll have to wait a while. Why don't I treat you
to a meal."
"I'll treat you," Ling Ran said as he pulled out his cell phone.
"Doctor Lu had his stew from Yun Hua Hospital delivered
here. There're stewed pork trotters, elbows, mushrooms, and
corn, and a piece of beef shank."
Translator's note:
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Ling Ran also liked their spacious Operating Area, which had a very
large surface area. If he did not include the remaining half of the
building that was intentionally reserved for other purposes, the other
half of the building was being severely underutilized. When Ling Ran
looked over, he found that the long corridor was empty and clean. It
had a disinfectant wareroom, anesthetic wareroom, surgical
instrument storeroom, and other rooms. They were scattered all over
the corridor, but the layout still proved to be interesting. Because of
it, when they took something out of those rooms at night while on
duty, they could terrify a young nurse out of her wits.
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crowded today.
It was not to the extent of being filled with noise, but it was still
quite crowded.
Ji Tianlu followed Ling Ran into the cafeteria. For a moment, he was
not able to recognize the once-familiar cafeteria.
Some doctors walked to one of the stainless steel pots and opened
up its lid. Then, they had their spectacles moisturized by the steam
that came out of the pot. When they could finally see clearly, they
would take out a pork trotter, or a piece of pork shank, or an ear of
corn, or even a long piece of pork ribs…
Lu Wenbin wore his white coat and stood at the end of the row of
tables. In front of him was a chopping board, and he held a kitchen
knife in his hand. Just like a buffet, doctors could just pick the meat
they liked and have Lu Wenbin cut their meat into pieces. The pork
trotter would be cut in the middle, the pork shank would be cut
longitudinally, the corn would be chopped into two, and the pork ribs
would be cut into pieces…
Some of them used the table knife provided with their plates to cut
the meat, while some of them only ate tendered pork trotters. But
the most common sight would be surgeons deboning the pork
trotters using highly accurate incision skills.
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fun of eating the meat in large mouthfuls.
Ling Ran said, "Doctor Lu had some stew delivered from Yun
Hua…"
Lu Wenbin saw Ling Ran and Ji Tianlu come in. He quickly stopped
his work and passed them the QR code. Then, he smiled and said,
"You came at the right time, another pot of pork trotters will
be ready soon."
"Another pot?" Ji Tianlu did not know what to say when he looked
at Lu Wenbin. He did not have any special impression of this young
resident doctor from Yun Hua. All that he remembered was that Lu
Wenbin was rather experienced as an assistant, had a quick mind,
and he seemed to have quite the bright future. But what Ji Tianlu did
not expect was that Lu Wenbin did not become famous in the
operating theater, instead, he created such a huge commotion in the
cafeteria.
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"You even have the butcher's phone number?"
"Please cut us some pork shanks, we'll have the part with
the skin and fat. Also, give me a pork rib, pour some stew on
the rice, add some broccoli and mushrooms with it, and I'd
like fruit salad as well." Ling Ran ordered the dishes with
practiced ease. He then asked Ji Tianlu, "Do you want pork trotters
only? Or would you like some corn as well?
Ji Tianlu only grew more confused. He scratched his head and said
tiredly, "The cafeteria in the Operating Area is so that we can
make things easy for our medical staff to eat, and that leads
to them being able to perform surgeries better."
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"It is indeed very convenient."
"Let's eat." Ling Ran started to eat swiftly after he said this. He
would only have enough energy to perform surgeries after he was
full.
The pork shank braised with stew gave off a salty and savory flavor
when it first touched his taste buds. It was then followed by a brothy
taste and the greasy taste from the pork shank itself. The slightly
tough skin, the soft, fat meat, and the small amount of lean meat
formed a delicious taste…
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considered as a food expert. At that moment, he could not help but
applaud the dish.
"Thank you." Ling Ran pushed the plate slightly forward and
grabbed something from under the table. He then said, "Take a
bottle of yogurt."
"Thank you, Doctor Ling." The young nurse took the yogurt from
Ling Ran happily.
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"Doctor Ling, stir-fried wild rice with meat…"
Ji Tianlu, who sat beside Ling Ran, watched the young nurses of the
research institute come to Ling Ran before they left with the yogurt
they received from Ling Ran. The yogurt box underneath their table
turned empty in a short while.
There was also a lot of food in front of Ling Ran, but the portion
was not big. After a while, Ling Ran ate half of it.
"Chief Physician Ji." Ling Ran wiped his mouth before he talked
to Ji Tianlu, who could not really taste the food he ate because he
was too stunned to focus on eating. "I'll be off performing
surgeries now. The patient should be here already, right?"
In a short while, the light in Operating Theater 3 also lit up. Within
twenty minutes, a nurse ran out and said, "Doctor Ling is
performing his third surgery. It's a fresh Achilles tendon
rupture. He lacks an assistant. Is there anyone who wants to
join?"
"I'm in." A few resident doctors who had free time raised their
hands.
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The lights in the operating theater lit up before it was turned off.
Then, it was lit up again.
'Open all twenty chests.' Ling Ran stood in the operating theater as
he gave the command in his heart while he observed the open
wound beneath the microscope.
He knew that opening all of them at once would not increase the
chances of him getting rare items, but the feeling of opening the
chests would still be different.
Brilliant colors shone in Ling Ran's vision, yet it did not affect his
sight.
In between the green Energy Serums was a silver book that moved
on its own…
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"Let's stop for a while." Ling Ran completed the work on his
hands quickly. He stood up and shook his head. Then, he shifted his
attention to the silver book.
The book opened on its own, and on the cover page was a familiar
phrase.
"Yes."
Lu Wenbin could not help but yawn. He turned around to the nurse
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and said bashfully, "Excuse me, please help me wipe off my
tears."
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It was very normal for a resident doctor to not sleep for a night.
Even the resident doctors in America also had to spend eight years of
not having enough rest. After this period of time, they could finally
choose to either earn more money or "do the right thing".
However, normal doctors could only work for one day shift and one
night shift when they worked overtime. If they worked more than
that… there would be repercussions. Most of the resident doctors
would just massage their own bodies, and they would then be able to
work for up to thirty-four hours. For doctors, a two-day shift with a
night shift was considered an acceptable overtime period. It was only
when their overtime period exceeded thirty-six hours would they
consider it worthy of posting about it in their Circle of Friends.
Otherwise, they would be considered as simply being whiny by other
doctors.
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The fact that he only had 143 bottles of Energy Serum left was
secondary, the main problem was that Lu Wenbin and the resident
doctors on night shift were exhausted. The young nurses on shift
duty should also go back and rest. If he wanted to continue
performing surgeries, Ling Ran would need to ask the nurse-on-duty
in charge of the operating theater to rearrange their shifts when she
came to work early in the morning.
After all, the number of normal people who ruptured their Achilles
tendons would usually only increase in the afternoon. The sports fans
who played badminton and basketball in their spare time would only
be active after lunch. During normal working days, most people
would only get their Achilles' tendons ruptured after dinner.
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Therefore, Ling Ran only stayed for an hour. He checked through
the medical records of the patients from yesterday. After he made
sure that there was no problem, he felt relieved, and he grabbed a
car back to the hotel. He had received a lot of surgery fees
yesterday. He would have chosen to a sit in a luxurious car back to
the hotel if he had not planned to save some money to buy yogurt.
Ling Ran slept until the afternoon. He felt that he had fully
recovered from his fatigue from the previous day. He packed his
belongings and grabbed a car to the hospital. He then rushed to Ji
Tianlu's office.
"Chief Physician Ji." Ling Ran showed a faint smile on his face.
He sat up straight in a chair; it was the standard position to show
obedience.
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of times. But we do not have any choice except to use this
present system. The nine cases of Achilles tendon repairs you
performed yesterday night is about 1,000 RMB. Actually, it's
quite a lot…" Ji Tianlu felt that he was trapped, so he
subconsciously started to mutter under his breath.
"That's not…"
"I don't have any more surgeries?" Ling Ran's obedient sitting
posture collapsed immediately, but his smile remained. It was hard
for Tao Ping to train him in showing a smile that was accepted by
society, he could not let it go to waste.
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"Yes," Ji Tianlu replied. He pretended to be serious and said,
"Unless we run into them coincidentally…"
"Alright." Ling Ran did not want to listen to his explanation. When
he saw that Ji Tianlu was serious in expressing his own opinion, he
could only nod and say, "Let me contact the flight back to Yun
Hua. I'll go back at night. By the way, I should be able to
perform a ward round, right? I don't need any titles to do so.
I just want to observe the patients…"
Ling Ran looked ahead calmly while he let his mind wander. In his
mind, he started to miss the operating theaters in Yun Hua Hospital.
Although there were fewer beds in Yun Hua Hospital, they had more
extra beds! Furthermore, there were more finger replantations in Yun
Hua Hospital. If he ran into a patient with three or four severed
fingers, he could easily operate on him for five to six hours.
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softened his voice.
Ji Tianlu had never met any doctor like this. The doctors who made
many requests were usually older or in their middle ages. Their
requests were usually very reasonable, such as requesting for an
increase in their salary, wanting to go to karaoke, wanting some
good food, good drinks, and good service. Some even requested for
some rewards or to publish a paper. Even if Ji Tianlu could not make
them satisfied himself, he could always send someone to fulfill their
needs.
Ji Tianlu had to try very hard before he had finally understood what
Ling Ran meant. He scrunched up his face.
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"If there are no patients with Achilles tendon ruptures, you
can look for some with severed fingers or flexor tendon
ruptures. You don't have to so rigid in your search." Ling Ran
comforted Ji Tianlu, just like how he comforted Huo Congjun when he
was at Yun Hua Hospital.
"I can prove it." Ling Ran said, and he looked for something in his
bag. He had made preparations before he left the hotel.
"I know. The conditions were not right for me to do this last
time, and I only had some Sudoku questions with me."
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Ling Ran said while he pushed away Ji Tianlu's hands. He took out
an insulated bag the size of an arm. When he unzipped it, they saw
cold air rise from it.
Ling Ran shook his head. He first took out two ice packs before he
took out a surgery towel and unfolded it in front of Ji Tianlu. Then, he
took out one pig hoof with its knee still attached, and he also brought
out a set of surgical tools.
Without waiting for Ji Tianlu to say anything, Ling Ran set aside the
insulated bag. He took out the scalpel and cut into the knee. Then, he
used forceps to take out the pig's Achilles tendon of the pig with
ease.
"So?" Ling Ran showed the white and fresh Achilles tendon to Ji
Tianlu.
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The resident doctors had seen Ling Ran's surgery skills in the
Demonstration Room before. They were still willing to follow him and
learn a trick or two from him, even though they did not voice it out
and kept the thought in their hearts. The resident doctors highly
praised Ling Ran for his calm and gentle attitude; he never scolded
anyone, and did not even talk in the operating theater.
After sleeping for half a day, Lu Wenbin, who had cooked two pots
of pig hooves, was full of spirits. He followed Ling Ran to perform an
Achilles tendon repair surgery and another finger replantation. He
felt refreshed and looked at Ling Ran, who was also energetic and in
high spirits. Lu Wenbin felt a chill down his spine. 'Am I possessed by
some evil spirit?'
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Lu Wenbin was only about 30% full. He frowned and said, "It's
only the morning, why are there no patients left? Specialist
hospitals are really not as great as I thought they were."
The circulating nurse said in disdain, "Do you have any money?"
"Do you know how many pork trotters priced at 39.90 RMB I
have sold?" Lu Wenbin straightened his back and held his head
high.
The circulating nurse was hesitant. "How much can one make
by selling pork trotters…?"
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"Wage? Wages are nothing..." Lu Wenbin arrogantly looked at
her.
"Let's do some ward rounds." Ling Ran took off his gloves and
scrubs. He massaged his cervical spine with one hand and massaged
Lu Wenbin's cervical spine with his other hand.
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descendants, without having a wife…"
...
The resident doctor was the one who weighed 226 pounds. He held
a notebook in his hand, and he had a row of six pens in his pocket.
He did not say hello to Ling Ran and Lu Wenbin. He led them away,
and the room he chose was one where he remembered had housed a
bad-tempered patient and his equally bad-tempered family.
"Let's take a look." The resident doctor who weighed 226 pounds
greeted the patient and his family in a friendly manner, but did not
have the intention of introducing Ling Ran to them.
He was willing to fight against Ling Ran fair and square. Of course,
that would be a few years later, but this did not mean that he was
willing to help and defend Ling Ran, his enemy for life. He would also
not willing to make things easier for his enemy for life.
The resident doctor who weighed 226 pounds stood at the corner
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of the room, took out the mineral water that he carried with him,
opened it, and took small sips from it. He looked at Ling Ran while he
thought wickedly, and that was a slightly bad habit of his. 'Don't think
that you can have it easy in our hospital just because you're a
genius. The hospital is far more complicated than you think, and it is
more complicated than the operating theater environment,
youngster!
"Hello, does your wound hurt?" Ling Ran surprised the resident
doctor who weighed 226 pounds with that question. Although he did
not smile, he had a very awe-inspiring presence.
"It hurts." The first day right after surgery was always the most
uncomfortable. The effects from the pain pump would be gone by
then, and the patient could not leave the bed to use the toilet even if
he or she wanted. It was extremely uncomfortable.
"Bloated."
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well. The dorsal artery of your foot is strong, the color is
normal. Your skin did not die and is not infected. Does your
ankle joint feel stiff?"
The patient was shocked by the series of nouns and quickly said,
"It's not stiff, but I can't move it as easily as usual."
"Don't move." Ling Ran paused for a while and asked, "Where
are your family members?"
Lu Wenbin was all too familiar with this process. He took a step
forward as well, and, with clear articulation, he said, "Please have a
light diet with food that has high protein, high vitamins, or
high fiber, do you understand?"
Ling Ran nodded and asked, "Is there any other problem?"
The family members were speechless, but they did feel that Ling
Ran's words were rather odd.
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Gratitude] fell in front of Ling Ran.
Ling Ran nodded. Once he knew that there was no problem with
this patient, he turned around and went out.
The ward rounds for patients who just received Achilles tendon
repair surgeries was mainly to check whether they suffered from any
complications. Wound infections or skin necrosis were the more
serious complications in surgeries such as Achilles tendon ruptures.
Edema, blood supply, temperature, and other things were
determined by the quality of the surgery itself.
Lu Wenbin did not know why Ling Ran gave such an appraisal, and
he was not interested in asking. Instead, he kept clenching his fists
and whispered, "Is it time for us to go to Liu Weichen to check
on him?"
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"Yes." Ling Ran said and looked at Lu Wenbin. He said, "If you're
tired, you can go and rest first. Chief Physician Ji has seen Liu
Weichen..."
The justification was quite reasonable. Ling Ran nodded. He did not
say anything else. He stepped into the elevator and pressed the
button to the top floor.
Liu Weichen still lived in his penthouse suite, just like before.
When they looked into the living room, they found that it was filled
with various beer, drinks, and junk food. People sat on the couches,
on the floor, and by the window. There were people sitting and
drinking on both sides of the TV cabinet, and some people stood
around and chatted loudly.
Liu Weichen still stayed in the big room in the suite with his feet
lifted high. There was no wine in his hand, but there were a bunch of
fruits, drinks and junk food around him. There were also many male
and female athletes in the room who were laughing and talking
loudly.
When Ling Ran and Lu Wenbin entered with their white robes, they
seemed somewhat out of place.
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"I'm here to do ward rounds." Ling Ran moved through the
living room without even batting an eye and came to Liu Weichen.
"Okay." Ling Ran was not bothered. Just like before, he took out
the alcohol-based hand sanitizer, turned over Liu Weichen's foot, and
looked at it.
A few days had passed. His degree of recovery had only increased
by 1%. Judging by the looks of it, this was not affected by the surgery
nor the healthcare provided to him.
Ling Ran wrote some words silently in his record book, thought
about it, and said, "Let's do some MRI scans on your foot to see
your condition."
Ling Ran's expression did not change much. He gave Liu Weichen a
smile that met the expectations of society. "Your recovery is far
better than patients who went through ordinary Achilles
tendon repairs. If there are no accidents, you should be able
to carry out high-intensity training and participate in
competitions."
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One could take the risk and go through high-intensity training
when their Achilles tendons had recovered by about 85%. Liu
Weichen's Achilles tendon had recovered by 92%. Even if it
regressed, the results would not be too bad. It was reasonable
speculation to say that he could undergo high-intensity training.
His manager got the hint. He came over to grab Ling Ran's arm.
The manager laughed and said, "Doctor Ling, let's talk about
this outside. By the way, you mentioned that we should still
perform MRI scans on Liu Weichen? Why did you suggest
that?"
"It may be because I have not had a good rest over the past
few days." Liu Weichen interrupted Ling Ran again.
Ling Ran looked at him strangely, "I will not interfere with the
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patient's private life."
Ling Ran shook his head. "I just want to help with his
recovery. The postoperative guidelines should already be
sent to you. The patient and his family members should know
the best way to provide nursing care now, including having a
light diet that includes high protein, high dietary fiber, and
high vitamins. However, if you, because of certain reasons,
are not willing to obey the guidelines because you are a
vegetarian or because of your religion or some other things,
we as doctors will try our best to provide medical help.
Anyway, let's take the MRI scan first and see."
After Ling Ran finished speaking, he showed a smile that met the
expectations of society before he turned around and left.
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*Ding.*
"Wait a minute." Two tall girls with slender waists and huge
busts entered the elevator and flashed faint smiles at Ling Ran.
"I'm from the badminton team," The girl who wore a yellow
shirt stood straight, and it showed off her figure even more.
"I'm from the tennis team," said the girl who wore a red shirt
with the picture of Garfield on it. The cat's face was really standing
out, supported by massive bulges.
The two of them answered Lu Wenbin, but their eyes were on Ling
Ran.
"Both of you are the doctors for Liu Weichen, right?" asked
the red-shirt girl.
"I've read the news report before. It said that Liu Weichen
was treated by a very handsome doctor. Are you the one?"
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The red-shirt girl managed to shift the topic to Ling Ran.
Girls always tried to strike up a conversation with Ling Ran all the
time, and they always said he was "very handsome." So, he only
answered calmly, "We participated in Liu Weichen's
treatment."
"Is it? I knew it. You're really handsome even when you're
wearing a mask." Red-shirt girl's cheeks became red. Then she
tried to reduce her tension by talking to the girl next to her, "Aren't I
right?"
Ling Ran looked at the number shown on the elevator screen and
said, "I exercise sometimes."
When the door of the elevator opened, Ling Ran politely motioned
the ladies to move out first.
The two girls covered their mouths and smiled before they walked
out of the elevator. Then, they waited by the side for Ling Ran to step
out and said, "Doctor Ling, you're a gentleman. You're better
in reality than what the interviews described."
The red-shirt girl took out her phone and found her Moments
before she showed whatever was on the screen to Ling Ran, who just
stepped out of the elevator. "Doctor Ling, look, it's you, right?"
When the girl saw that Ling Ran seemed to be slightly curious, she
seized the chance and said, "I'll forward it to you."
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So, Ling Ran took out his phone, and they both added each other
on WeChat.
The red-shirt girl was so happy that Garfield's face seemed to swell
in size.
Ling Ran then looked for Chief Physician Ji while Lu Wenbin sullenly
left for the Operating Area. They both did not have their own office in
the research institute. Lu Wenbin checked his braised stew and food
in it before he found the news [The Most Handsome White Angel
Gets Famous. The Doctor Star Who Performed Surgery For
Star] on his phone; he had silently memorized the title just now.
Then, he took his time and read the news in a leisurely manner.
Liu Weichen was one of the main characters in the article, but the
author obviously put the focus on Ling Ran.
There were all sorts of photos. There were Ling Ran's close-up
photos, photos taken from random shots, candid photos… Lu Wenbin
swiped down, and he very soon, he realized that he had finished
reading the article. But the contents… Lu Wenbin had to admit that
the contents of the article were very attractive. Undeniably, Ling Ran
was young and handsome. He also obtained the recognition from
Academician Zhu Tongyi and became the chief surgeon for Liu
Weichen's surgery. This added even more to his appeal.
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world around them but did not dare voice them out. The beautiful
female doctors could fool around until they were thirty-five years old.
After that, they would be treated like men.
Lu Wenbin said in a bored tone, "I went out with Doctor Ling,
they…"
"I got it. You don't have to tell me the whole story." The
female doctor lost her interest in the whole story.
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Ling Ran smiled faintly and said, "No need, I've just asked for a
few patients. I will go directly to the operating theater."
"As you wish." Lu Wenbin stirred the pork trotters in the pot.
When he looked at the pigskin that had become so tender that it fell
apart, it made him feel as if he was looking at his views on life, the
world, and his moral values, which had also fallen apart, but still
remained firmly in his heart…
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"Dalang, medication."
"There are only two left for now." The anesthetist's mind
suddenly became clearer. He widened his eyes and stared at Lu
Wenbin before he asked, "What now? Are you looking down on
me?"
"Of course not. How could I?" Lu Wenbin was shocked before he
said in a low voice, "I'm just worried that you'll be too tired."
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many doctors in the Department of Anesthesiology as the
Surgery Department? If you think you're capable, you can
find me another anesthetist. I'll definitely thank you and
make you happy with three bowls of medication. If you aren't
happy by then, I'll enter your family registry."
The young nurses also did not want to make the anesthetist, who
had not slept for thirty hours, angry. So, they just lowered their
heads and pretended like they did not see anything.
Ling Ran calculated the time. It had been almost ten hours since he
drank an Energy Serum in the afternoon. If he performed another
surgery, then the total time he worked would make it so that he will
have been on the effects of the Energy Serum for ten hours. Even
though it was a slight waste, the surgery could not continue if the
anesthetist was not able to persist any longer.
The anesthetist tried very hard to open his eyes and observe the
monitor. He then said, "No need. I just have to take a short nap.
Help me take a look at the monitor for the time being. It
functions automatically. Call me if it starts to blare warning
signs."
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make themselves suffer when they could make things easy for
themselves.
Ling Ran thought for a while and said, "Give me another twenty
minutes, and I'll probably finish the surgery by then."
"But you can still take a nap." When there was no surgery,
anesthetists could just go and get some rest. They did not have to
stay in the operating theater to feed medication to all the Dalangs
around.
Ling Ran nodded while he watched the anesthetist step out of the
operating theater slowly. His speed was just like that of a sloth.
The opening and closing of the airtight access door were heard. It
sounded just like a fart but interrupted.
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laughed and said, "Forget the anesthetist for now. Just look at
yourself and at Doctor Ling. You're the ones who are making
others worried. Aren't you afraid of dying from heart
attacks?"
"I usually sleep for seven hours. I'm fine," Lu Wenbin said
while he looked at Ling Ran.
Ling Ran answered without raising his head, "I'm okay… Oh, is
there no other anesthetist in the research institute?"
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general hospitals in current China.
Of course, they were not to waste their night away either. Ling Ran
calculated the time and said, "We'll start tomorrow morning, and
we'll perform surgeries until midnight. Then, we'll take a
nine-hour rest at night. That should be quite sufficient,
right?"
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comparable to a senior resident doctor's load in a busy department,
he would still have an easier time than unlucky resident doctors.
Ling Ran nodded and let Lu Wenbin tell the anesthetist about his
newly-made decision.
The anesthetist nodded and did not respond much. With or without
Ling Ran, he would still need to stay up. The recruitment for staff in
public hospitals went very slowly, especially when a colleague
decided to pursue advanced studies or when a female colleague
became pregnant. They were still considered authorized personnel,
so it was impossible for the hospital to recruit a new anesthetist. If
there were only two anesthetists who took turns in their shifts,
neither would feel better than the other.
The few of them worked together and cleaned up the mess. Then,
they clocked off.
Ling Ran and Lu Wenbin came to work at eight o'clock the next
day. They started the surgery at nine o'clock sharp and ended at
midnight. This cycle continued non-stop, and they performed around
ten surgeries every day.
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He even learned how to switch the patients up. From time to time, he
could get some patients with flexor tendon ruptures, severed fingers
or severed toes, which made Ling Ran delighted.
A few days later, when Zhu Tongyi came back from the capital,
even Ji Tianlu found himself unable to hold back his complaints any
longer.
"If you had taken any longer to come back, the research
institute would have collapsed." Ji Tianlu's face was all wrinkled
up when he saw Zhu Tongyi because he had to make too many
phone calls.
"We added forty beds." Ji Tianlu stared at the sky. "Can you
believe it?"
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bitterly. "If we don't give him surgeries, he will leave
immediately. But when we give him patients, he completes
them very quickly."
Ji Tianlu did indeed have a lot of words to say, but they were not all
complaints. After all, Ling Ran performed the surgeries on behalf of
the Orthopedic and Sports Medicine Center. Hence, the surgical fees
from the patients and the reputation gained from the surgeries
performed would also belong to the Orthopedic and Sports Medicine
Center.
However, the main problem was the fact that Ling Ran performed
way too many surgeries. He had already performed around one
hundred surgeries, but none of the patients had been discharged. If
Liu Weichen had not been discharged yet, then the other patients
who received surgeries later would naturally not be discharged as
well.
"I convinced four athletes this time. Get Ling Ran to carry
out some of the preparations, then he won't have time for
other things. That shouldn't be a problem, right?" Zhu Tongyi
was not omnipotent either, so he did not carry any hope in
convincing Ling Ran to stay.
"Of course." When Zhu Tongyi talked about this, both his eyes
shone. At that moment, he could not help but say, "Make a phone
call to Ling Ran now and ask him how long he'll need to
prepare. I'll try to arrange for the patients to come as soon
as possible."
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"All right, I'll rearrange the time for the other patients'
admission as well," Ji Tianlu said and picked up his phone.
Within half a minute, Ji Tianlu frowned and put his phone away.
…..
He Xiufang was a discus thrower from the Beijing team. She was
5.74 feet tall and weighed 88 pounds. Her hands were rough and her
arms were muscular. She never used a wheelchair before, and now,
even when she had to use it, she never got into and off the
wheelchair with her legs. She could just get into the wheelchair with
her arms, and she did the same when she got off.
When Ling Ran saw her, He Xiufang had finished the full set of
check-ups, and there was a lot of food in front of her.
"Oh my! You need to perform surgery later. You can't eat
anything now." Lu Wenbin had followed Ling Ran for a ward round.
When he saw that, he became nervous.
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Young He was really hungry, and she insisted that she watch
me eat."
When Lu Wenbin noticed that the time she spent staring at the
chicken chop was longer than the time she spent staring at Ling Ran,
he instinctively believed her words.
"Let me massage your neck for you." Ling Ran took out the
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alcohol-based hand sanitizer that he carried all the time. He then
spread the sanitizer on his hands and used a clean towel in the room
to get it on He Xiufang's neck.
Ling Ran was curious. "Do you need to train your neck as well
for discus throwing?"
"I just train it for fun. Ah… Yes, that's the spot…"
"Of course."
"I need to get ready for the national games next year."
"Yes."
"If I can't get any medals, I'll have to quit." He Xiufang turned
around swiftly and used her strong gaze to stare at Ling Ran. "I
started to practice discus throwing when I was thirteen. I
haven't even won any medals in any national competitions,
and I have to retire… I don't want to retire. I don't want to go
back to my hometown… I'm an old woman now and can no
longer get married. I even eat a lot, especially meat…" she
said, her voice trembling.
The coach put away the chicken chop slowly. Then, he lowered his
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head and said, "At her age, unless Young He wins a national
medal, she will have to quit the team. Um… Please don't feel
too burdened by this matter. As long as you make the
surgery a success, we'll start practicing when we get back…"
Yet, He Xiufang just went on crying, and her face was covered in
tears. She wiped off the tears, smearing her face before loudly
saying, "Rehabilitation will take eight months. Even after I
recover, I still can't use too much strength. It'll take me more
than a year to recover. How can I train? Why don't I just quit
the team earlier to save the team some money…"
"Any more nonsense from you, and I'm going to call your
dad," the coach said sternly.
"Using our plan, you may only need four months to recover.
There will still be a chance for you to participate in the
National Games." Ling Ran raised his chin and said, "Your Achilles
tendon isn't completely ruptured, and the damage isn't very
serious. Rest well first. If there aren't any problems, we'll
perform your surgery the next morning."
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Once she lay on the operation table, He Xiufang raised her head
and asked Ling Ran, "Doctor Ling, are you the one responsible
for performing the surgery on me?"
Ling Ran had his hands placed together while he read the MRI scan
for the umpteenth time. He nodded but remembered that He Xiufang
could not see him. Then, he said, "I'm the chief surgeon.
Academician Zhu Tongyi will be guiding the surgery."
The surgical nurse who was making preparations was not happy
when she heard the comment. "What's wrong with having a
tattoo? I won't marry a man who doesn't want me to have a
tattoo on my skin. I'd just filter out these types of people."
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turned around and asked, "Is there any other problem?"
"Anesthetize her." Ling Ran felt that they were done with
preparations.
The anesthetist who made sure he had enough sleep the day
before smiled and came over. He held a laryngeal mask and said,
"Could you tell me your name again."
"He Xiufang."
"Yes."
"Huh?"
"I thought about this the whole night." The anesthetist was so
delighted that he could not help but throw his head upwards and cry
out.
Ji Tianlu and Zhu Tongyi looked at each other. They did not even
have the desire to understand what he meant.
Ling Ran waited a little before he asked for a pen. He drew a line
from He Xiufang's ankle to her calf. The line was seven inches long.
The surgical nurse could not help but cry out before she quickly
lowered her head.
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Ji Tianlu frowned and asked, "Must it be that long?"
"All right, you make the decision." Ji Tianlu paused for a while
before he said a little regretfully to the anesthetized He Xiufang,
"The scar will be a little longer but there is no other way.
Treating her is our top priority."
Ling Ran did not say a word. He was never a doctor who liked to do
small incisions to begin with. When he was studying, he had seen
and heard too many cases where accidents happened because the
opening was too small. Now that he had accumulated more
knowledge, he was even more afraid of accidents that could occur
during surgery.
Since the edges of the Achilles tendon in the MRI scan was not
clear, there were many possibilities. If the condition were to be
serious, she could even have a malignant tumor there. A lighter
condition would just be a damaged Achilles tendon. As the chief
surgeon, since Ling Ran was the one to open the surgical field, he
rather took a look at it himself.
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shrunk 2.3 to 2.7 inches inwards when surgeons opened up the leg.
They could tell from He Xiufang's MRI scan that her Achilles tendon
was not completely ruptured, but only when it was completely
opened could they confirm the specific details of how much her
tendon had ruptured.
Based on what they could see at the moment, there were no signs
of extremely severe injuries, and the ends of the tendon were not too
uneven as well. The injury was lighter than all the other Achilles
tendon injuries Ling Ran had dealt with.
Even if he were to use the standard surgical plan for normal people
to suture her Achilles tendon, he could score an easy eighty for it.
That would be the level where He Xiufang may be able to receive
high-intensity training, and the total time he needed would not
exceed half an hour.
With Zhu Tongyi's Plan A, Ling Ran's confidence was even greater.
Although he was not certain if he could reproduce the results from
Liu Weichen's recovery, the success rate would inevitably increase
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for an Achilles tendon that was not completely ruptured.
Zhu Tongyi frowned and asked, "Ling Ran, what do you mean
you'll do it yourself?"
The thought emerged in Ling Ran's head after he went back to the
hotel and analyzed Plan A once he used the surgical plan on Liu
Weichen.
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Ran smiled.
Ji Tianlu chuckled awkwardly and did not have the drive to talk to
Ling Ran anymore.
Doctors were different from other professions. Even if they had left
school for many years, their academic qualifications still had
considerable value, especially for medical students from well-known
universities. Not only did it make it easier for them to look for jobs, it
also made it easier for them to get promoted. Even after a few years,
those who graduated from Peking Union Medical College Hospital and
Xiangya School of Medicine, as well as those overseas returnees, still
garnered a lot of attention from hospitals.
Zhu Tongyi had only recently looked at Ling Ran's file, which was
why he remembered it very clearly. Right then, he took the
opportunity to gossip.
Ling Ran slowly performed the incision. His movements were very
slow, but the incision was done very precisely. He made sure that the
blade went around the edge of the blood vessels, and he gradually
peeled off the ruptured part of the tendon.
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However, when it was completed, everyone was relieved.
The next step to employ was Plan A, which everyone had already
performed before. This time, the operation would be even simpler. In
comparison to what Ling Ran just did, Plan A was much more relaxed.
Forget the other aspects, Ling Ran had gained more knowledge on
the tissues around the Achilles tendon than anything else, and
because of that, he grew more familiar with its tissues in terms of its
toughness and hardness, among other things.
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heads around the fact that Ling Ran's surgery was completed.
"It's done." Ling Ran put his equipment aside and gave up his
position.
Ling Ran only treated Zhu Tongyi's question as him asking about
the contents of the surgery. After Ling Ran briefly thought about it,
he said, "She should have a better recovery than Liu
Weichen."
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"Doctor Ling...
"Doctor Ling!
"Doctor Ling..."
Lu Wenbin had his arms crossed while he followed Ling Ran on his
ward rounds. He watched the patients and their family's attitude
towards Ling Ran. His envy made Lu Wenbin train until his muscle
fibers were damaged to induce muscle growth. Plus, the
circumference of his arms had also increased. His arm circumference
had recently snuck past the 15.3 inches mark. It was Lu Wenbin's
proudest achievement and also the biggest gain after he came to
Shanghai.
Since he lived next to the stadium, even if work was hard, the
intensity of work was high, and time was tight, as long as he was
willing to train, he could always find a few minutes to do so. For
example, when he passed through a corridor with no one around, he
could put away his gel pen and do a set of one-arm handstands.
While he wrote his medical cases in the room, he could pick up the
dumbbells and do several sets of Dumbbell Flyes. When he had spare
time during lunch, he ran to the stadium as his warm up, then tried
to do a few sets of barbell squats.
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'He called me first?'
"How has your rest been?" Lu Wenbin was very amiable. In this
day and age, girls who did not go after boys for their looks were good
girls.
She lifted the lunch box beside her, and it was a box full of braised
eggs.
"The coach said that they're fresher than the ones sold in
the market. But they won't taste as well if they're braised."
Eggs that were not properly braised were like bad sequels to good
movies, like dying a chow chow's hair to make it look like a panda.
Would it taste like a panda when it was eaten? Lu Wenbin gave it a
bad rating, and another one, and yet another one with a picture to
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show how angry he was.
After Lu Wenbin heard that the coach was the one who cooked it,
he disliked it even more. "It's not as good as the ones sold
outside. The braised eggs made by a bumpkin would taste
better than this."
"No thanks." Ling Ran shook his head slightly. All the yoghurt he
brought on his person had been handed out as he did his ward round.
"I'll go back and cook some braised eggs for you to try. I'll
also have your coach look at how it's done. With the way he
cooked these eggs, he's just wasting the hard work of the
hens." Lu Wenbin became quite emotional. He was very passionate
about the matter.
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turn his research institute into one where family members were not
required to provide nursing care to the patient. However, he quickly
failed due to national conditions. The equipment were still there,
though, so it made the patients quite comfortable.
He Xiufang also felt more relaxed than when she was in the sports
team. After she went through the torturous phase, which inevitably
arrived post-surgery, her mood improved. She did not need to get up
early for training, and she also enjoyed the high-protein diet that was
requested of her after her surgery.
"I've seen your MRI scan. You're recovering very well. If you
follow the requirements of the rehabilitation process strictly,
it's very likely that you can continue training after four
months." Ling Ran based his medical advice from Liu Weichen's
recovery, which served as his chief source in this case. If, under
similar circumstances, Liu Weichen could recover up to 92%, then He
Xiufang would not be any worse. Plus, she was now only in the third
day after her surgery. She still had three to four months worth of
rehabilitation. She would not completely recover to the state before
she was injured, but it would not be too dangerous for her to
continue her high-intensity training.
The athletes who had their Achilles tendons ruptured before would
generally warm up their Achilles tendons when they were about to
utilize them. Therefore, even if their Achilles tendons did not fully
recover, without overburdening it, they could still function with an
Achilles tendon that had recovered up to 90%. In fact, an Achilles
tendon that had recovered up to 80% was already enough for them,
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especially for non-confrontational competitions such as discus
throwing, sprints, and the lot. In those competitions, the players
would not suddenly increase the pressure on their Achilles tendons
because of their opponents, hence, the safety level was relatively
higher.
Once she heard what Ling Ran had to say as a doctor, He Xiufang
was naturally very happy. Her coach who went out to wash the
dishes came back and also gave him numerous thanks.
After they went out of the ward, Lu Wenbin asked, "Will there be
any problems if you tell them so directly that she'll recover
well?"
" is Room 9 and Room 10. Both house the two athletes we
operated on yesterday. One is a high jump athlete, and the
other's a basketball player. Room 13 houses a short
basketball player." Lu Wenbin looked at the notebook in his hand
and introduced them to Ling Ran at the same time.
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Ling Ran hummed again as an acknowledgment. He put away the
Sincere Gratitude Treasure Chests he just received from the system,
and with the smile of a doctor, he walked into another room.
"Hello, how do you feel today?" When Ling Ran smiled, he gave
others a refreshing feeling, and it seemed to improve the drop rate of
the treasure chests.
After finishing the ward round, Ling Ran's total number of Treasure
Chests reached eleven. Ling Ran was satisfied with the number and
was prepared to continue accumulating more of them before he
opened all of them in one go.
Ling Ran then looked at the overcrowded corridor in the ward and
said, "Since there are no more problems, let's pack up and get
ready to go back."
The four athletes who were sought out by Academician Zhu Tongyi
were all treated, and the results of their surgeries were also good. If
they had to wait for the next wave of patients, they would most
probably have to wait for quite some time since they would definitely
not arrive in the next few days. It would be better to go back to Yun
Hua Hospital and wait until there was a chance to perform surgeries
before coming back again.
The skills Ling Ran currently mastered still allowed him to stand in
a strategic position. Academician Zhu Tongyi had previously not been
able to hire surgeons who had his level of skill, regardless of whether
they were from the country itself or from overseas. For a short period
of time in the future, he would still not be able to hire them.
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Plan A had to receive a certain degree of recognition, and someone
had to want to promote the surgery. Only then would Zhu Tongyi
have the opportunity to reach out to surgeons who were easier to
manipulate than Ling Ran but whose skills were not necessarily
better.
Ling Ran was currently the only doctor who had performed Plan A.
Ling Ran would always be the best choice for Zhu Tongyi unless he
rejected the surgery or had a very excessive request.
Therefore, Ling Ran could safely leave the Orthopedic and Sports
Medicine Center without worrying about being replaced.
The most important thing was, there were only one hundred and
eighty beds in the Orthopedic and Sports Medicine Center. Now, they
had added fifty-five extra beds, and there was no room for him to
stay. Ling Ran stopped after he performed a total of eleven
operations yesterday and the day before yesterday. There were three
extra beds for patients by other doctors.
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"Book a night flight, and we'll leave after we're done with
the patient who's coming in today. We'll carry through to the
end," Ling Ran said in a very responsible manner.
Ling Ran's lips twitched, but he still nodded. "All right, let's just
sleep for one night."
Lu Wenbin let out a gentle sigh of relief. He was not afraid of Ling
Ran performing an overnight surgery. He was afraid that Ling Ran
would do an overnight surgery and give himself a holiday the next
day. After all, Yun Hua Hospital had two more assistants, Ma Yanlin
and Yu Yuan. He had finally widened the gap between them and
himself. His efforts could not go up in flames just like that.
Translator's Note:
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Wang Jia was dressed in a dark green scrub. She instantly bristled
with rage. "Who are you calling 'sister'?"
"Is little sister the same as sister? Why don't you just call
me miss directly?" Wang Jia turned around angrily. Then, she said
irritatedly, "The numbers are all wrong now, and I have to
check all over again. Two, four, six, eight… Twelve…"
"Then I'll leave you to your work and go now, Sister Wang
Jia…"
Wang Jia turned her head one hundred and eighty degrees to glare
at Wang Zhuangyong fiercely.
"Good." Then, Wang Jia put down a colonoscope before she turned
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around to recount the instruments. "Two, four, six, eight…
Fourteen…"
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Wang Jia proudly raised her chin.
"Doctor Ling isn't the only one who likes to use the
rehabilitation room at five in the morning. The medical
director of the Hand Surgery Department, Department
Director Jin Xi also likes to use the rehabilitation room at five
in the morning. He used to open a special rehabilitation class
for people, which started at 5:30 am and ended at 6:30 am."
Wang Jia pursed her lips and said, "The Hand Surgery
Department requires doctors to perform surgeries and take a
look at their patients' rehabilitation before they leave for any
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meeting. If the doctor has a meeting at nine in the morning,
he will have to go to the rehabilitation room at five in the
morning."
When they talked about this topic, the nurses who were counting
the instruments suddenly became interested. The eldest nurse,
Nurse Niu, clapped her hands and laughed. "That chief physician
with the surname Bao, the one who's bald, used to do ward
rounds at five in the early morning. One day, he even
bumped into a married couple who were having sex on the
hospital bed. He was completely stunned while he waited
outside the room for ten minutes."
"No, I think it's because he went bald. I heard that you get
bald if you stay up late all the time," Nurse Niu said and waved
her hand in a dismissive gesture. She then added, "Well, he's a
rather ugly chief physician, and you can definitely recognize
him when you meet him."
Wang Zhuangyong touched his head, and he felt a chill creep down
his spine.
…..
Ling Ran grabbed a car after he got down from the plane. He
brought Lu Wenbin along.
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"I have money, and we can save more time," Ling Ran patted
his bag and explained to Lu Wenbin, who was ready to take a bus
home.
Ling Ran paid the fare before he got down the car.
Ling Ran did not correct the pay ratio. He spoke to Lu Wenbin
before he got out of the car. "If you have time, perform more
surgeries. Rack up the number of surgeries you perform."
Unlike other senior doctors, Ling Ran seldom made such hollow
comments. He said these words because he had experienced the
effects of performing more surgeries greatly over the past few days.
Liu Weichen's surgery had pretty much improved Ling Ran's skill a
lot. If it were not for Liu Weichen, Academician Zhu Tongyi would not
have tried his best to design Plan A and even carry out
comprehensive analyses.
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Without the analyses and the real operation, Ling Ran would not
have been able to think of the new skill he needed when he operated
on He Xiufang.
The three surgeries Ling Ran performed using Plan A also further
strengthened his skills.
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Lu Wenbin gripped his phone tightly. He forced himself to resist the
urge to show Ling Ran the figures on his phone screen.
Ling Ran slept until seven o'clock. He woke up, watered the plants,
and went to the market to buy some seafood and other ingredients.
He cooked a pot of seafood porridge before he woke his parents up.
Ling Jiezhou stretched his back, which was a motion he was not
entirely familiar with. Then, he shouted in surprise in his room, "Son,
you're back?"
"I see… What seafood did you put in the seafood porridge?"
Ling Ran went back to the ground floor and turned up the heat for
the seafood porridge. When it was about to boil, he saw his dad, Ling
Jiezhou.
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"Didn't you manage to get any flower crabs?" Ling Jiezhou
had his slippers on. He opened the lid above the pot of seafood
porridge. He smelled it, nodded, and said, "This smells really
good. You've finally mastered how to make seafood porridge.
You won't starve in the future."
Ling Ran served two bowls of the porridge and said, "There
weren't any flower crabs this morning."
Ling Jiezhou turned around and patted his own head. He said, "I
almost forgot, Young Ran, is the massage appointment that I
arranged for the neighborhood in the morning or at night?"
"In the morning, I think." Ling Ran ate the porridge he cooked
quietly.
"Sure." Tao Ping gathered her skirt and sat down. She smiled
gently. "Let your dad buy some meat in the market later."
*Slurp, slurp…*
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Family cars slowly exited the parking lot one by one, and the space
in front of the hospital building which was extremely crowded a few
hours ago began to empty out.
Ling Ran drove his little Volkswagen Jetta straight into the
Emergency Department's parking section in the hospital's basement.
The parking lots around him were all filled up. Just by seeing how
none of the parking lots in the middle that had blue lines around
them were empty, he knew that all the chief physicians and associate
chief physicians were at work. It was obvious that yesterday was a
peaceful day in the Emergency Department.
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would be countless girls saying and doing all kinds of weird things.
The people in Yun Hua Hospital were obviously a lot more rational
compared to the ones in school. Perhaps because he was not away
long, no one stopped him in his tracks to pass him letters or flowers.
Ling Ran arrived at the office without problems. When he saw that
Department Director Huo was not around, he greeted a few doctors
who had stayed behind in the office to take care of things before he
sat down in his chair and leaned comfortably against the backrest.
He then turned on his computer to catch up with the department's
latest updates.
[Doctor Ling must really like this car. How I wish that I
could see the way Doctor Ling is drenched in sweat when he
washes his car.]
[I'm so anxious.]
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doctors in their hospital after that.]
[Let's go!]
.....
The office door was slowly pushed open. The young nurse, Su
Mengxue, craned her neck as she walked into the office. She held
two journals. Pleasantly surprised, she called out, "Doctor Ling,
you're really here!"
"I just arrived." Ling Ran wore a very relaxed expression. When
he was in the Orthopedics and Sports Medicine Center, he always felt
very anxious when he saw the large number of vacant beds. He was
less anxious when he was in Yun Hua Hospital. The difference was
probably like that of eating at a buffet, and eating in one's own
house.
"Do you want some yogurt?" Ling Ran took out a bottle of
yogurt from the drawer under his table and handed it to Su Mengxue.
As she said that, she placed the two journals she held in her bosom
before Ling Ran. They were already a little warm from her body
temperature.
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Rehabilitation Medical Journal].
The wings of small paper cranes peeked out from both of the
journals, and their bodies were slipped in between the pages of the
journal, functioning as bookmarks. Ling Ran saw his research papers
the moment he flipped open both journals.
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Many hospitals including Yun Hua Hospital followed a rating system
when it came to promoting their doctors to higher positions. There
were various criteria when it came to the addition and deduction of
points.
Basically, if a doctor were to carry out all of his normal tasks, work
overtime when he was required to, obey his leaders, not make any
mistakes or receive any complaints, then he would be able to score
between seventy-five and eighty points. Most of the time, a doctor
needed to score around eighty-five points to receive a promotion.
That would be when publishing a research paper, receiving a bonus,
making a research breakthrough, and so on come into the picture.
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When the other doctors in the office heard this, they were shocked
speechless. 'What? Can this saying be applied to such a situation…?'
When they saw such a beautiful young nurse gazing at Ling Ran in
admiration and racking her brain for words to praise him, even
middle-aged doctors wanted to lament at the unfairness of this
world.
Ling Ran nodded with a smile and took out a bar of chocolate from
his drawer in passing. He handed it to Su Mengxue and said with a
smile, "I got this from Shanghai. Why don't you give it a try?"
Ling Ran lowered his head to read his research papers. They were
only slightly edited, and the meaning and structures were basically
retained. Compared to other research papers from the same issue,
his research papers were roughly of an average level. Research
papers related to clinical medicine were basically just summaries of
experiences, and were rarely groundbreaking.
For most doctors, writing a research paper was even harder than
performing a hundred surgeries. Writing two was totally out of the
question.
*Ring, ring...*
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One of them answered the call. He hummed a few times in
acknowledgement while his expression became solemn.
The doctor hung up the phone and said, "There was a public
emergency. Everyone must report to the resuscitation room
now."
Ling Ran placed the journal in his hand on the table, grabbed a
large white coat, and followed the others as they walked quickly.
When he arrived at the resuscitation room, he saw that a crowd of
doctors were gathered there. They were all waiting for the
ambulance to arrive.
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while young and strong attending physicians like Zhao Leyi and Zuo
Liangcai flanked the superiors. They looked well-trained.
Doctor Zhou and a few resident doctors stood in the corner of the
room. Doctor Zhou knelt on a one-legged stool and put half his body
weight on it. With his head lowered, he looked at his cellphone with
one eye, and observed the situation around him with the other eye.
"You did three hundred surgeries?!" Doctor Zhou felt tired just
thinking about it.
"Not that many. Some of the surgeries paid more. I did less
than two hundred surgeries in total," Ling Ran said as if it was
nothing special. He then asked, "Do you know what emergency
this is?"
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Doctor Zhou scratched his chin and whispered, "From what I
heard, a robber drove against traffic during his escape and
crashed into a sedan. The three people in the sedan died on
the spot, while the robber was injured. He's being sent here
now."
"Oh…" Ling Ran looked at the crowd of doctors around him and
said, "So, we're not actually needed here?"
"Ling Ran!" Huo Congjun knew that Ling Ran had returned, so he
called out loudly, "Come here and receive the patient with us."
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Ling Ran was not very happy about this. It was not like he had
never been interviewed before, but he felt that nowadays, television
channels were being more and more insincere when they conducted
interviews. They were unlike the reporters he had met in the past
who would tell him clearly if they were only going to give him a few
seconds of screen time.
"I know."
"You are still young now. Just wait until you are qualified to
give consultations. By then when you get to give an
interview, you would want to take a screenshot of the image
on the television and stick it on your wall."
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"Hm."
Ling Ran nodded slightly and said, "I heard a little about it. I
didn't know whether it was true."
Ling Ran gave Huo Congjun a strange look and replied, "Yes."
When Huo Congjun saw the expressions of the people around him,
he could not help but laugh. "What are you guys thinking? I used
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to be a military doctor. As a military doctor, even if we
received orders to treat someone from the enemy's side, we
still have to do it. What is there to think about?"
Huo Congjun turned around, but could not find the person who said
that. Of course, he would be able to if he were to ask the other
doctors, but Huo Congjun was too lazy for that.
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Department Associate Director Du said, "Because dogs are not
susceptible to AIDS, and lions are. Any more questions?"
"Me, Old Du, Young Zheng, Ling Ran… Young Zhou, and
Young Zhao; we'll be doing this together. Are the doctor from
the Orthopedics Department here yet? Ask them to go
straight into the operating theater when they arrive. The
same goes for the doctor from the Craniocerebral
Department," Department Director Huo ordered. He looked relaxed.
From what he could see just now, combined with the information
he received before this, the patient was not even near death. It
would almost be an overstatement to also say that he was in a
critical condition. Chances were high that the patient would survive,
and as long as the patient survived, this public emergency would be
considered resolved.
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Hospital's Emergency Department.
Ling Ran quickly entered the Operating Area and changed into
scrubs.
Ling Ran forced himself not to think about this. He followed the
crowd and took his position. Because Huo Congjun had arranged for
him to operate on the patient's foot by himself, Ling Ran stood near
the patient's feet. He had to wait for the doctors responsible for
examining the patient to complete the examination and for Huo
Congjun to plan the surgery sequence before he could begin
operating.
"External fixation of his left arm will do. Let's use a nine-
pound cast." After the doctors from the Orthopedics Department
examined the patient, they said, "This can be done last."
Soon after as they finished saying that, the doctors from the
Orthopedics Department left.
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After that, the doctors from the General Surgery Department
looked at the ultrasound scans and said, "The patient's abdominal
cavity is in good condition, and was not greatly impacted. We
can get to it later."
As soon as they finished saying that, the doctors from the General
Surgery Department left.
When the doctor from Orthopedics Division Two saw the lower part
of the patient's left leg, which was a bloody mess, he said, "Let's
amputate the left leg. The injury is too serious, and there's
no value in trying to salvage it."
After he said that, the doctor from Orthopedics Division Two left.
The doctor from Orthopedics Department One was then called back
in.
Ling Ran was left behind, and he stared dazedly at the foot that
was about to be amputated.
Surprisingly, Ling Ran did not feel upset. Instead, he took a step
back impassively and prepared to leave.
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Department Director Huo nodded in agreement.
Huo Congjun then looked at Ling Ran and asked, "Have you done
above-the-knee amputation before?"
"I'll help carry the thigh." Ma Yanlin who came in with the crowd
just now took the opportunity to speak.
This was the first time Ling Ran had seen Ma Yanlin since he came
back. He nodded at Ma Yanlin with a smile.
Before Ling Ran could say anything, the orthopedist said, "Didn't
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there used to be pork trotters in the Emergency
Department's operating theaters? Why haven't I seen any
lately?"
With a sigh, the doctor from the Orthopedics Department lifted the
scalpel and made an incision on the lower third of the patient's thigh,
slicing open the subcutaneous layer and the fascia of the skin. He
then cut off the muscle groups of the thigh a little below the point of
amputation, deliberately letting them retract. He performed a double
ligation before cutting off the femoral artery and femoral vein. After
that, he cut open the deep femoral artery and deep femoral vein...
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again, "Did you guys know that all the prized delicacies they
sell in the market nowadays are made of chicken patellas?
Those made with cow patellas are also quite delicious… Sigh,
Doctor Lu's pork trotters are still the best. Isn't he making
them anymore?"
"I… you were talking about pork trotters just now. Didn't
the canteen serve them every day, too? And they're even
more expensive…" Ma Yanlin also thought about how Lu Wenbin
was making more profit compared to him.
"Herring, ribbonfish…"
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"Catch the severed fish-Catch the thigh, it's off!"
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After he left Yun Hua Hospital for half a month, the extra beds in
the Emergency Department were returned. Some beds in the wards
were even emptied.
Patients who had their fingers replanted had also been discharged
from the hospital one after another. They needed to perform long-
term exercises if they wanted to use their fingers normally, but they
did not have to remain in Yun Hua Hospital.
Moans traveled into his ears, and they sounded like someone
calling out to something.
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wanted to take leaves when the department got busy.
Ma Yanlin came to his senses and looked at the young nurses, who
joined them while they pranced about. He felt a chill run down his
spine.
"You mean the sounds from the anatomy building?" Ling Ran
nodded and said, "Some of the tables were broken and some
were not."
"Some?"
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regretted it so they screamed desperately…" Ling Ran
answered naturally.
The young nurse was stunned. "Doctor Ling… you know a lot of
stuff."
The young nurse felt a gush of cool air blow against her.
"Let's go take a look." Ling Ran raised his leg and started to
walk in the direction of the sound. After a short distance, he heard
some Mandarin words intermingled with the moans, "My leg…
Arghh… my leg…"
Ling Ran sternly said, "It could also be a ghost who lost his
leg."
"Or a ghost that has come for the life of the man who lost
his leg." A faint sigh accompanied by a vague light traveled into
their ears and appeared in their line of sight.
The young nurse was so scared that she squeaked and fixed her
eyes on the person who spoke. It was a policeman who was hiding in
the corner while smoking.
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Ling Ran continued to walk forward until he entered an isolated
intensive care unit.
The patient, who just had his leg amputated the day before, was
holding his own leg and screaming non-stop.
"Oh yeah, you were the first assistant for the chief surgeon
from the Orthopedics Department." Ma Yanlin smacked his lips,
and he could not help but feel envious of Ling Ran's treatment in the
Emergency Department again. Limb amputations in the Orthopedics
Department were considered major surgeries. Even though the first
assistant was really just there as a pretense, it was actually a rare
experience. The surgeries that orthopedic surgeons were least willing
to perform were amputations. Avoiding amputations was the
trendiest thing to do among orthopedic surgeons. However, how
could orthopedic surgeons who had never performed amputations
make the right judgment to avoid amputation?
The three of them turned and left the ward, continuing their ward
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rounds.
Ling Ran observed room after room, and most of the patients he
met were patients who had received finger replantations. There were
also patients with more than two fingers severed.
Most of the patients and their family members who met Ling Ran
had a good attitude.
In Ling Ran's memories, only the patient who smoked and ended
up having his finger amputated gave him two Sincere Gratitude
Treasure Chests. That patient had basically received two surgeries.
Currently, less than fifty patients had not given him Sincere
Gratitude Treasure Chests among those who had yet to be
discharged. Receiving ten treasure chests was already a very high
percentage for him.
Eleven plus ten equaled twenty-one. There was one extra treasure
chest.
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"Open all of them." Ling Ran returned to the office, closed his
eyes, and did not look as the chests were opened.
After a ray of light shone, Ling Ran opened his eyes again, and he
saw that there were two Single Skill Books.
Getting two skill books in one go was still very new to him.
Ling Ran could not help but sum up his experience. 'Do I have to
perform thigh amputations before I can get more skills books?'
Under the silver light, two Single Skill Books were displayed in front
of Ling Ran.
Both skills were used for closing wounds, and both were to make
the wounds look nice.
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abilities. It was designed to deal with wounds with greater tension. In
short, it was a suture that aimed to heal the wound as much as
possible and reduce the cracking of scars after surgery.
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Earlier, when he noticed how Ling Ran had only chosen two
patients to operate on, he thought that Ling Ran just wanted to wait
for more cases to arrive before he chose his next patients. He never
thought that Ling Ran would even change out of his scrubs. When
had Ling Ran ever taken off his scrubs before this?
Huo Congjun happened to enter the office with his hands clasped
behind his back at that moment. When he heard Ling Ran use the
term "our wards", he got so emotional that his left hand could
barely hold on to his right hand.
"Times are a little hard for us right now, but lately, I've
been applying for additional beds for our department. There
should be some news soon." Huo Congjun could not hold himself
back from revealing some information. When the doctors in the office
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heard that, they started to discuss it.
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to him, Doctor Zhou was shocked when he heard that. Doctor Zhou
could not even finish using up the five beds allocated to him every
month. His average patient turnover rate was five to seven days, and
that had already tired him very much.
"How can you add so many extra beds to the point that it
becomes double the number of beds we originally have?"
Department Associate Director Du said, not knowing how to react
anymore. "Ling Ran, think about it. You took up two beds
today by carrying out two finger replantation surgeries.
They'll stay here for forty days at most—"
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"Okay." Lu Wenbin immediately followed Ling Ran.
Huo Congjun watched with a smile on his face as Ling Ran walked
out of the door.
"We've all seen Ling Ran carry out six or seven finger
replantation surgeries in a day. Why would you even give him
access to an unlimited number of beds? No one in our
department has had access to an unlimited number of beds
before…" Department Associate Director Du said, similarly with fear
in his heart.
"Didn't you hear what Ling Ran said just now?" Huo Congjun
answered Department Associate Director Du's question with another
question.
"It means that Ling Ran sees our department as his home
and takes pride in being a part of us." After Huo Congjun
corrected Department Associate Director Du, he continued, "You
mentioned access to an unlimited number of beds. We are
the Emergency Department. Have you ever needed access to
an unlimited number of beds before this? Have I?"
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There was one good thing about the Emergency Department; they
could transfer patients to other departments.
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Department Associate Director Du immediately lowered his head.
When he thought about it, did the hospital not try all means to hire
experienced doctors just to carry out more surgeries, gain a higher
occupancy rate in the medical world, and increase its influence?
While the people in the office debated the issue, Lu Wenbin was at
a loss for words when he found out that Ling Ran aimed to carry out
debridement and suturing after he followed Ling Ran to the
treatment room.
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covetous gazes of the doctors around him, Lu Wenbin felt his face
burn in embarrassment. He was already a resident doctor, and by
next year, he would be a senior resident doctor. In other words, he
had already been in the hospital for about five years. He was even a
resident doctor who had served as the first assistant in M-Tang
surgeries, finger replantation surgeries, and Achilles tendon repair
surgeries. He could be considered a respectable and rising figure
among the newbies.
"Can you ask a nurse to come in?" Ling Ran asked when he
noticed that Lu Wenbin was done with the medical record.
Lu Wenbin threw Ling Ran a puzzled glance and went out to get a
nurse.
However, it was very easy to ask for nurses on Ling Ran's behalf,
as nurses would rush over to his side the moment they learned that
Ling Ran had asked for them. It was not much trouble for Lu Wenbin.
As Lu Wenbin stepped aside to let the nurses take his position, his
mind was filled with thoughts of abstract concepts like how "this
world was unfair".
The two nurses went to retrieve the surgical thread with strange
expressions on their faces. They attached the thread to a needle and
passed it to Ling Ran. Right after Ling Ran finished debriding the
wound and suturing the internal layer of the wound, he poked the
needle through one side of the wound...
The patient's wound was on his thigh. Even though the appearance
of the scar would definitely be nicer with the use of the subcuticular
suture technique, the stitches of wounds sutured using the
subcuticular suture technique were inferior in strength compared
with those sutured using other techniques. As the wound was three
inches long, the suture could break only after a few days. If that
happened, the patient would be left with a really ugly scar.
Ling Ran could tell what Lu Wenbin was thinking. "This is a heavy
reinforcing suture," he said.
When he spoke, Ling Ran had already inserted his needle into the
patient's dermis. After he made four continuous stitches, he made a
knot on the outer surface of the patient's skin, in the position where
he first inserted the needle. He then repeated the process three
times and put down the 2-0 surgical thread. "Can you pass me the
5-0 suture with conventional cutting?" he asked the nurses.
Lu Wenbin suddenly realized that Ling Ran was already done with
the heavy reinforcing suture. In other words, Ling Ran had already
pulled the split skin together in just twelve stitches.
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"Was the skin's tension distributed to the dermis and
fascia?" Lu Wenbin asked in a semi-enquiring tone.
The two young nurses did not quite understand what was going on,
but they gasped simultaneously in admiration. "Doctor Ling, you're
amazing!"
Lu Wenbin felt a little that the world was now a little more fair to
him. Even though they had just carried out a debridement and suture
surgery, the fact that it was done in such a classy way made him feel
less embarrassed.
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First, the skin's tension had to be distributed using the 2-0 surgical
thread. This part of the suturing process needed to be done in
segments, and for every segment, you had to pay attention to the
exact point of insertion and exit of the needle. And this had to be
decided by taking the tension of the skin and the gap between the
stitches into consideration. Aside from that, each stitch had to be
made between the fascia and the dermis.
In addition, it was also very difficult to align both sides of the torn
skin. Injured skin was not always even, and there might even be
situations where there was a deficit of skin. This made alignment
even more difficult.
However, if both sides of the torn skin were not aligned, there was
no point in using the heavy reinforcing suture technique. If the end
product were stitches that resulted in wrinkly skin, it would have
been better to use ordinary techniques such as the simple
interrupted suture or the simple continuous suture technique.
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being in the treatment room for two hours, he had only treated three
patients.
The little girl's wound was in the area of her tibia, which was at the
front of her lower leg. The wound was S-shaped, and it was almost
two inches long. It was considered a large wound.
Beside her, her parents' thoughts ran wild. Her father had an
anxious expression and looked worn out. He probably rushed to the
hospital with her. Her mother's fingernails were painted in bright
colors, and she gestured non-stop as she spoke, "I have always
told you to be careful, to be careful. Why are you so careless?
See, because of you, your father and I can't even go to work,
and had to rush to the hospital. All hospitals nowadays only
care about money. Cosmetic surgery? Why don't you guys
just say that you're robbers?"
As Ling Ran examined the little girl's wound, the little girl's mother
scolded people continuously. She spent the most time scolding the
little girl, while the hospital and her husband came next. At the same
time, she did not forget to scold her bosses and colleagues...
When it came to the things other people said, if they were not
spoken to him specifically, Ling Ran often pretended that he did not
hear them.
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Ever since he was little, there had always been people who
deliberately voiced their opinions loudly, discussed certain things, or
raised certain rumors beside him. If Ling Ran were to pay attention to
all of them, he would not be able to enjoy a quiet moment for a very
long time.
For example, the little girl's mother. Even though she was the
patient's direct family member, and she was emotional right now
with a mixture of anger, fear, worry and sorrow, the words she said
were meaningless, and were only a means for her to vent her
emotions. The information contained in her words were ineffective,
and even wrong.
The first thing Ling Ran did was to make his judgment on the state
of the injury, with how the world would perceive the injury as his
basis.
The good news was that her bone was not injured. However, to
further consolidate his judgment, Ling Ran still raised his head and
asked, "Are there any X-ray scans?"
"X-ray scans, your a*s." The little girl's mother's head was
raised ever since she entered the cubicle. At this moment, she stared
at the top of Ling Ran's head and scolded him furiously, "The
doctors I encountered in the past can know whether a bone is
damaged just by touching it. If Yun Hua Hospital wasn't near
my house, I wouldn't have sent my daughter here even if I
was crazy. Can't you guys find someone reliable? Where are
your chief physicians? Can't we register to see a specialist?"
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"Then, let's go straight to debridement and suturing." Ling
Ran was no longer a fledgling and had seen situations like this more
than once in the Emergency Department.
Fortunately in this case, the risk was not too big. Ling Ran adjusted
his sitting position a few times. He then rose and took a deep breath
before he sat down again to examine the patient.
The little girl's mother stared at Ling Ran for a few seconds before
shifting her gaze away. Even though her tone was no longer as harsh
as before, she said, "Young people really shouldn't be trusted
with important tasks. Hospitals nowadays are really horrible.
The clinics I visited in the past were much better…"
None of the doctors and nurses wanted to get involved in this. All
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of them lowered their heads and pretended that they did not see it.
The little girl began to sob. Ling Ran could only stop the
debridement, and he only continued when the girl's trembling body
became a little steadier.
The woman was somewhat tired, too. She stopped gesturing with
her hands—which had colorful fingernails—and asked, "Will there
be a scar?"
The woman raised her voice once more. "I've already told you
just now that I'm not going to that place to let them rip me
off…"
"I'm saying that!" Doctor Zhou raised his voice a little as well
and said, "I'm saying that even if you go to the Department of
Plastic Surgery and let them charge you 2,000 to 3,000 RMB
for every 0.4 inch of the wound they suture, they still won't
be able to guarantee that there will not be any scarring."
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skilled. He used the buried heavy reinforcing technique on
his patients just now, and it is a technique that reduces
scarring. It is also the same technique used in the
Department of Plastic Surgery."
There was a glimmer of hope in the little girl's eyes as she looked
at Ling Ran.
Because the wound was on the frontal side of her lower leg, she
would no longer look good in dresses in the future if there was to be
a scar left there. She at least did not want it to be a large, black scar.
Doctor Zhou nodded and said, "We'll talk about that later."
Ling Ran lowered his head and continued to debride the little girl's
wound. At the same time, he explained to the little girl, "After the
anesthetic is injected, I'll first align both sides of your wound
and use the buried heavy reinforcing suture technique to
stitch them together. 'Buried' means that the stitches will not
be visible on the surface."
The little girl held her breath as she listened and asked, "Since
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the stitches won't be visible, there won't be a scar, right?"
She was talking faster than usual now. It was obvious that she was
usually a lively little girl, but held herself back immensely before her
mother.
Ling Ran contemplated for a moment and told the truth, "Scars are
not formed because of the stitches. However, the heavy reinforcing
suture technique can indeed reduce the formation of scars.
"So, there will still be a scar?" The little girl quickly understood
what Ling Ran said.
Ling Ran nodded. "If the recovery goes well, the scar will be
smaller. But there is still the possibility of a scar."
"After using the buried heavy reinforcing suture technique, I'll use
the subcuticular suture technique. Similarly, the stitches will not be
visible. But with the subcuticular suture technique, the stitches'
strength will be relatively weak. So, you will have to pay extra
attention and follow all the doctor's orders to reduce scar formation.
"This small?"
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"It might be even smaller."
"This small?"
Ling Ran started laughing. His pitch-dark irises sparkled under the
sunlight.
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Ling Ran tidied up the tray in front of him and said, "Suturing
patients using the heavy reinforcing suture technique, and
performing finger replantation surgeries are both interesting
in their own ways."
Lu Wenbin did not feel like learning this kind of skill. And when he
thought about the amount of time and energy it took to learn a new
skill... Lu Wenbin would rather spend his time on taking care of his
stew.
His stew was more interesting, anyway. A good pot of stew would
make the food he cooked fresher and more aromatic, and it would be
difficult to replace that taste with other methods.
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Lu Wenbin was astonished for a moment before he laughed out
loud. "I'm learning the finger replantation surgery, M-Tang
surgery, and Achilles tendon repair technique from Doctor
Ling at the same time anyway. I wouldn't be able to finish
learning any of them."
Doctor Zhou pursed his lips when he heard that. He was rendered
speechless.
"Let's go home, too." Ling Ran also shook his clothes. His large
white coat was a little wrinkly from the day's work. It spread out
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when he shook the coat, and it was as though his entire body
sparkled with a sacred light. He looked extremely handsome.
When Doctor Zhou walked side by side with Ling Ran, he thought
that everyone around them looked at him. At that moment, he felt
even more pressured than when he operated as a chief surgeon for
the first time.
…..
Ling Jiezhou made himself busy for the entire afternoon. After he
was done with work, he cut the slab of pork belly he cooked
yesterday into large slices, and smeared some fermented bean curd
on them. He then arranged them neatly on a few plates and put the
plates into a large steamer.
Tao Ping elegantly poured herself a cup of tea and said flatly, "But
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you were craving pork, too, right?"
"I was craving for it, and I could have just bought a bowl of
pork somewhere else, but it wouldn't be as nice as the one I
make myself." Ling Jiezhou patted his stomach and said, "I
remember back when I was younger, my family only dared to
make steamed salted pork in wine during Chinese New Year.
Otherwise, a lot of people would come when they smell the
aroma. Even one day's income wasn't enough for us to
distribute meat to all those people."
Tao Ping started to laugh when she heard that and said, "When I
was younger, I always gave other families eggs in exchange
for chicken meat or some other things…"
"You were very cute when you were little. Other people
would be happy even if you went empty-handed."
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Ping, and he immediately said, "Our sales went up again today."
"Again?"
"A lot of people came to chat, and they bought some things
while they were at it before they left," Ling Jiezhou said, rather
pleased with himself. "My idea of coming up with a health
product section wasn't bad, right?"
"Come, have some tea." Tao Ping rose again and poured Ling
Jiezhou a cup of tea. Ling Jiezhou happily sipped it.
In a place like Yun Hua, shops located beside streets and lanes
were never purely just shops. The people in the neighborhood liked
to gather inside the most popular shops to chat and kill time.
Thirty years ago, Lower Groove Clinic was the most popular shop in
Lower Groove. Even people who visited the clinic only to buy flu
medicine would also sit there for an entire afternoon. Before they
left, they would then buy some herbs to bring home to make stewed
chicken. They could even claim medical insurance for the money
they spent on the herbs.
Twenty years ago, the liveliest place was the small store at the
entrance of Lower Groove. They sold beer and soft drinks, and in
summer, the people in the neighborhood would sit there the whole
day.
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This was especially true for the senior citizens in the neighborhood.
They would chat as they received fluid transfusions, and when they
were tired of talking, they would take a nap. It was comfortable and
natural.
"Chief Ling…" Doctor Miao stood at the bottom of the stairs and
shouted, interrupting the lovebirds upstairs.
"I just finished suturing the VIP patient Golden Deer Health
Services sent over just now. She happily paid and left," Doctor
Miao said with a smile.
Lu Jinling's Golden Deer Health Services grew rapidly, and had long
since abandoned their vans and replaced all of them with old and
new ambulances. Lately, Golden Deer Health Services even
centralized their new ambulances to use them specifically for 'VIP
routes' in the city. Aside from receiving patients who went to and
from hospitals regularly, they were mainly used to ferry frequenters
of all kinds of beauty centers, nightclubs, and karaoke centers.
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reverse cutting needles[2]. He would get to perform two or three
cases of them every day using those needles.
When he heard that the clinic had made money again, Ling Jiezhou
could not help but smile. "It's good that the patient is happy.
You know, when it comes to VIP patients, other than treating
their illnesses, we must also ensure that they arrive and
leave our clinic happily."
"Of course. But lately, the demand for this service has been
increasing. It is quite a headache for me, too." Miao Tansheng
massaged his temples with a troubled expression on his face. "You
see, now that the number of patients in the clinic has
increased, Juan Zi can't manage everything by herself at all.
As for me, I don't even have a subordinate who can help me.
Chief Ling, you should really hire an assistant and an extra
nurse for me."
"I was also about to talk about the cost," Doctor Miao said
with a smile. "I think that the system of calculating my income
based on the cost is too difficult, it's not as if I can use the
medical consumables sparingly just because I want to. Why
don't we be more direct and calculate my income based on
the fees received?"
Ling Jiezhou could clearly see how Miao Tansheng's eyes sparkled
with greed.
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"I'll think about it." Ling Jiezhou could not turn Doctor Miao down
immediately, it was very hard for him to hire another doctor who was
as skilled as Doctor Miao. And it was not as if he could find a doctor
who knew cosmetic suture techniques at will...
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After Ling Ran parked his little Volkswagen Jetta, he could already
smell the aroma of steamed salted pork in wine. He immediately got
down from the car and headed to the kitchen.
Steam came out from the large steamer, which was as wide as the
waist of a 270-pound fatty. Ling Ran could smell the aroma of
fermented bean curd and meat.
Not only could the fermented bean curd neutralize the greasiness
of pork, but it was also an aromatic substance that brought a thick
and lasting fragrance.
Ling Ran could not help but salivate when he smelled the familiar
and tantalizing aroma.
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rest of the weight, perfectly solving the problem of unequal weight
distribution.
Steamed salted pork in wine was always made with pork belly
because it had intersecting layers of fat and lean meat. They were
either made using pork belly with four or five layers, and both kinds
should not be used at the same time in one dish.
The process of making steamed salted pork in wine was also very
simple. The homemade fermented bean curd Ling Jiezhou used was
bought from the Cao family who lived at the corner of the alley. Their
shop had been in business for around sixty to seventy years, and
were from the same era as Lower Groove Clinic. Their products were
excellent and consistent in quality.
The time whereby the pork needed to be steamed, and the amount
of water in the steamer were also fixed. Thus, they could, without a
doubt, look forward to bowls of delicious steamed salted pork in wine.
Ling Ran even attended university in Yun Hua and went back home
all the time.
During his first year in university, when all the other young people
who just entered it took pride in leading an independent life, Ling Ran
still went home frequently, and he was not ashamed of it at all. Of
course, all the female students greatly complimented him at the
time, and said that he was an example of a filial child. This also
encouraged Ling Ran to keep up with his habits of going home.
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hand. He then lifted the cover of the steamer and glanced inside.
The red and fat steamed salted pork in wine quivered under the
steam, but they still kept their bodies straight resolutely. They also
retained a certain degree of toughness.
"They're almost done." Ling Jiezhou walked into the kitchen and
smiled when he saw Ling Ran. "When I heard your car engine, I
reckoned that you would head straight to the kitchen. Is
steamed salted pork in wine more important than your father
now?"
When the steamed salted pork with wine was cooked, the lard and
fermented bean curd would mix together and sink to the bottom of
the meat. When it is added to rice drenched in soup, the end product
would be an upgraded version of lard-flavored rice. It was probably
an unparalleled delicacy in ancient times, and was still one in the
modern era.
Ling Jiezhou chuckled a few times. "I thought you would want
that. There's rice in the rice cooker, go and get some for
yourself. Also, don't eat so much. It's not good for your
health."
Ling Jiezhou watched Ling Ran with a smile as Ling Ran prepared
his meal. After Ling Ran ate a mouthful of rice, Ling Jiezhou asked,
"Son, I heard that you can perform major surgeries well
nowadays, and you even operated on Liu Weichen?"
"Yeah." With his eyes narrowed, Ling Ran grabbed a chunk of rice
that was completely soaked in lard with a pair of chopsticks. Each
grain of rice could be seen clearly, and they sparkled from the layer
of lard that coated them. The rice was slightly hardened since they
were left outside to cool for a while after they were cooked, and it
was as if each grain of rice had developed muscles. With the layer of
lard coated around them, they looked like an army of brave Spartan
warriors, and the stainless steel soup ladle they closely adhered to
looked like their armor.
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Ling Jiezhou lowered his voice to a whisper when he talked about
Brother Shanyu to keep the neighbors from hearing it.
The thing about living in an old alley is that even though the
neighbors could be very friendly, they could also be very annoying.
Ling Ran raised his head to glance at his father. "She only came
here for a massage. I don't know her."
"It's okay as long as she knows you, but we're not going to
talk about her today." Ling Jiezhou paused for a moment and said,
"I was thinking about something… Say, you can even perform
finger replantation surgeries now. It requires a very high
degree of precision, right?"
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borrow one…"
This was why Ling Jiezhou was rather surprised when Ling Ran
agreed so easily. "Really?"
"Yup."
"Why?"
Puzzled, Ling Jiezhou glanced at his son. He then said, "A patient
will be arriving in a while. She's a client of Golden Deer
Health Services, and the company takes 20% of our profits. If
you're able to treat the patient, the remaining 80% will go to
our family. If you're able to do more, I'll ask them to send
more patients over. Nighttime is the peak period when it
comes to patients sent by Golden Deer Health Services."
Ling Ran did not think much of it. He took a shower and changed
into a new set of clothes. When he went downstairs, he was already
dressed in a large white coat.
"Young Ran, did you see any girls you like in the hospital?"
After Ling Ran massaged the neck and shoulders of the old woman
who had requested it, and massaged an old man's thigh, the VIP
patient of Golden Deer Health Services arrived.
It was a young woman who injured the corner of one of her eyes in
a fight. She had thick makeup on and wore a short skirt. She
evaluated Lower Groove Clinic's old building fastidiously, and said,
"I've had blepharoplasty before. Are you guys able to treat
my wound? If not, I'll just—"
"Yes." Ling Ran cut her off and asked, "Do you have any
allergies?"
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The young woman blushed under Ling Ran's gaze during the visual
examination. She started to yelp in pain when Ling Ran palpated her
head and face.
Miao Tansheng sat quietly on his chair. Even though he knew what
Ling Jiezhou was trying to do, he did not want to interfere.
He knew that Ling Ran was a medical intern in Yun Hua Hospital,
and often heard Ling Jiezhou boasting about his son. However, as a
fellow doctor, Miao Tansheng knew too well how the standard of
medical interns were like.
'I'll just let Ling Jiezhou run up against a brick wall so that he
understands how difficult it is to perform cosmetic sutures. We'll see
what happens then.' With this thought in mind, Miao Tansheng sat
relaxed in his chair.
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Miao Tansheng could not help but criticize Ling Ran internally.
'Such an amateur. You should discuss the price with the patient and
let the other party choose the surgical thread she wants. Such an
amateur… what the hell!'
Without being aware of it, Miao Tansheng rose and went near Ling
Ran. He earnestly watched Ling Ran work, and then went even
nearer to earnestly watch Ling Ran work again...
"Yes, he's pretty good…" Miao Tansheng wet his lips and said
with an unnatural smile, "Doctor Ling is truly from a family of
doctors."
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home either." Doctor Miao smiled as he spoke and continued.
"Director Ling, don't worry. When I said that I was tired
earlier, I was just making a passing comment. I can still
handle the extra shifts in the clinic."
Ling Ran did not care. Even though some skills were honestly not
worth much, without proper guidance, it would be difficult to master
them through the powers of observation and comprehension alone.
Aside from that, the heavy reinforcing suture technique and the
subcuticular suture technique were established techniques with
years of history and multiple schools of thought. If Miao Tansheng
were to put in some effort, in the end, he would also get to see
whatever he was observing right now somewhere else.
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In Ling Jiezhou's eyes, Ling Ran had sutured the patient steadily
and quickly.
"Did you learn this in Yun Hua Hospital?" Doctor Miao carried
a chair over and sat next to Ling Ran. He watched Ling Ran as the
young man threaded the needle.
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myself out by making myself busy. Why would I have time to
read those stuff?"
Within every person lay a good teacher, and all teachers loved
students who were hungry for knowledge.
"I see you playing with your phone every day whenever
there's nothing to do." Ling Jiezhou was not buying it at all. He
then said, "You probably look at your Tik Tok [1] newsfeed all
the time. Middle-aged men like Tik Tok the most. I don't know
why, but I see many middle-aged men in the alley looking at
their Tik Tok newsfeed. How can they still enjoy such a thing
at the age of forty or fifty?"
There was very few medical staff in the clinic, and whenever Ling
Jiezhou played with his cell phone, he would make sure to look
around. Most of the time, Miao Tansheng would also be playing with
his phone. After all, there was a limit to how many patients Golden
Deer Health Services could send to the clinic every day. Even though
quite a number of patients went there on their own, not many of
them needed debridement or suturing.
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"As long as your phone is lit, it means that you're playing
with your phone. What difference is there between reading
blog posts and reading research papers?" Long Jiezhou had
always looked down on people like Miao Tansheng, who played with
their phones just like other people but thought of themselves as
classier phone users.
Miao Tansheng snorted a few times and watched Ling Ran work.
He did not continue to argue with Ling Jiezhou.
There were still some basic skills when it came to secretly learning
someone else's craft. It was obviously not beneficial for him to argue
with his teacher's father.
After a heavy reinforcing suture was carried out on the wound, the
likelihood of the wound splitting due to pressure became a lot lower.
Ling Ran then gently performed the subcuticular suture using a thin
surgical thread. That way, scarring caused by the stitches could be
minimized without affecting the strength of the stitches.
At the same time, Ling Ran was fully focused on aligning the skin
on both edges of the wound.
With aesthetics being the final aim, the loss of part of the cuticular
border would be the source of even bigger trouble.
The young woman Ling Ran was treating had a wound at the
corner of her eye, and there was a deficit of skin. Even though the
deficit was not much, any person who valued beauty would not be
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able to live with the scar as a result of the interaction between
newly-grown skin and the existing skin.
The subcuticular heavy reinforcing suture was also useful for such
situations.
Ling Ran first stitched together the two cuticular borders he had
aligned earlier, leaving the part with skin deficit untouched. He then
put down his needle holder and stood up. While he stretched his
body, he said, "A stretch of your skin is missing. Later, I'll pull
your skin before I carry out the subcuticular heavy
reinforcing suture so that both borders of your wound can be
stitched together without any gap. That way, the resulting
scar will be even smaller. But you'll need to be very careful
when you're taking care of it."
"All right." All the young woman needed to hear was that the scar
would be small.
Doctor Miao chuckled and said, "How much money do you think
a doctor, who can do this kind of surgery, makes every time
he carries out plastic surgery? In short, you're very fortunate
to have encountered Doctor Ling this time."
"We're not asking you to pay more." Doctor Miao twitched his
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lips and thought about how young women nowadays were getting
more and more sensitive about money.
Of course, if the area of skin deficit was too large, skin grafting
would be the only choice.
While Doctor Miao carefully watched Ling Ran work, and earnestly
digested what was going on, he contemplated the matter.
The human brain could not process data straight away. It needed
past cases as a reference.
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Doctor Miao reckoned that, to be able to perform the heavy
reinforcing suture and subcuticular suture so excellently, Ling Ran
must have treated at least thousands of similar cases. And among
them, some had certainly failed.
Doctor Miao looked around, and it was as if he could see the tears
of those whose faces had been ruined smeared all over Lower Groove
Clinic's walls…
"All right, don't let your wound get wet, don't touch your
wound, and make sure to get the stitches removed on time.
You can also get them removed earlier…" After Ling Ran was
done suturing the wound, he relayed the Standard Precaution for
Patients while Juan Zi bandaged the patient's wound.
When the young woman looked at her fair and smooth fingers, she
immediately did not feel like adding Ling Ran on WeChat anymore.
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"Doctor Ling, I'll give Golden Deer Health Services a call
and ask them to send more patients over." Miao Tansheng was
reluctant about giving up the chance to secretly learn Ling Ran's
craft, and he decided to use up what little resources he had
accumulated before so that he could learn.
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Dong Sheng looked around in front of Lower Groove Clinic, and his
face was full of doubt.
The neighbor was stunned and also tried to sniff the air with his
nose. He could not help but smile and say, "How could it be the
new year? This should be the smell of steamed salted pork in
wine with sautéed potatoes."
With a dumb look on his face, Dong Sheng pondered for quite
some time before he suddenly realized what the neighbor had said.
"It is the smell of the world. Thank you for clearing my
doubts, patron."
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less cute you will be."
When he raised his head again, his head felt slightly cool. The
neighbor had just left.
The young novice monk looked at the plate above Lower Groove
Clinic again before he knocked on the door and entered.
Dong Sheng understood that the food was free for the public to
eat. When some families in villages gave alms to others, they would
do it the same way, though the people who visited them may not be
as great as the crowd in Lower Groove Clinic.
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ago. I've grown 0.31 inches taller."
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and asked, "I'll hang up a board for you later, is that all right?"
"Thank you very much, Patron Ling," the young novice monk
quickly bowed and thanked him.
Ling Jiezhou put down the things in his hands and went to the
storeroom immediately. He then hung a board on the wall in the
corridor with the words [10 RMB for a five-minute massage.
Receive service upon arrival.] After that, he took down the board
that said [25 RMB for a two-minute massage. Please make an
appointment beforehand.]
After Dong Sheng ate the sautéed potatoes, he wiped his mouth
and proceeded to help out.
There was a lot of work to do in the clinic every day. Just changing
transfusion bottles alone could make Juan Zi very busy. She got
lighter by 0.66 pounds every time she came to work each day. Dong
Sheng helped to change the bedsheets, sweep the floor, wipe the
table, and change the pillows, which he took out from the storage
room.
After he was done with the basic work, Dong Sheng got the people
from the neighborhood who wanted to receive massages to sit down.
He was busy until noon before he had any time to rest. He lay down
comfortably in the reclining chair in the corridor.
to him was Ling Ran, who was just about to start a new round of
the game on his phone. A voice rang out from his phone, "Five
seconds until the enemy's arrival on the battlefield."
"No," Ling Ran replied directly, "There are too few people who
want to be massaged in our neighborhood. I can't gather a
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whole group of people at once. It doesn't interest me."
"Oh." Dong Sheng could not help but feel relieved and continued
to lean against the reclining chair. He watched as Ling Ran play his
game, and he waited for about one minute before he saw Ling Ran's
hands leave the screen. Dong Sheng immediately asked, "Doctor
Ling, there was a problem with the twisting and lifting
technique I used earlier. I don't feel like I got the right
position…"
The character in Ling Ran's game had been revived. He held his
phone with both his hands, and he looked stern as well as attentive.
Dong Sheng also sat down and rested for a while, watching Ling
Ran play the game.
In less than two minutes, Ling Ran's phone was thrown on the
table.
Dong Sheng immediately got up, put his hands on Ling Ran's neck,
and said, "Doctor Ling, I feel it now. Is this the right way?"
"Yes…
"Not bad…
"Continue…"
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Ling Ran trained Dong Sheng for one whole day. In the afternoon,
he went to the hospital and operated on three severed finger cases
before he became the assistant for Chief Physician Wang Haiyang
from the Hand Surgery Department in an Achilles tendon repair
surgery.
Ling Ran did not care about that. For him, it would be fine as long
as there was a surgery to perform.
The only good side of the Emergency Department was that the
doctors had low demands for hospital beds.
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In specialist departments, all those who were ranked as attending
physicians or higher would treat hospital beds as something equally
important to their lives if they needed to perform surgeries. In order
to maintain a balance in the relationships among doctors, some of
the hospitals would assign a fixed number of hospital beds to them.
The number of hospital beds assigned to each doctor would be
arranged very well.
Only doctors like Huo Congjun who worked part-time in the Trauma
and Burn Surgery Department would have a higher request for
hospital beds. At this point, he was actually doing the work of a
specialist department.
Of course, patients with two severed fingers did not have to wait
long in the Hand Surgery Department. The Hand Surgery Department
was a big department, and naturally, the competition between
doctors was even greater. Once they saw how Ling Ran happily
performed finger replantations every day, some people could not
help but imitate him.
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medical records. He checked the medical records and prescriptions
over the past few days before he praised Yu Yuan and said, "Yu
Yuan wrote the most detailed records."
Yu Yuan raised her head proudly. She smiled and snuck a peek at
Lu Wenbin as well as Ma Yanlin before she said, "They spent their
time on eating."
"We didn't!" both of them said in unison. They were stunned for a
while before they spoke at the same time again.
"Yu Yuan can type very fast," Lu Wenbin sighed and decided to
praise Yu Yuan first.
Ma Yanlin wore an evil smile and said, "Why don't we just let Yu
Yuan write all the medical records? Our writing speed's slow,
and the quality of our writing isn't very good for research
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papers too. Why don't we distribute the tasks?"
Ling Ran and the others had no choice but to stand still and look at
Huo Congjun.
"Sure."
There was an obvious crease on Ling Ran's white coat, but no one
would ever bother to look at it once he wore it on his person.
They could not tire of his handsome look, so who would actually be
bothered to look at the outfit!
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Other associate chief physicians as well as chief physicians would
only stand behind him and provide backup if the need arose. Not
until the symptoms were finalized would they come forward and
confirm the disease.
For patients like that who could afford to come by helicopter, the
psychological pressure on the attending physician was much greater,
especially on the diagnosis for diseases like abdominal pain. If he
provided the wrong diagnosis, he could come out of the entire
incident with just embarrassment. But if things were blown out of
proportion, he would become the doctor who provided the wrong
diagnosis in the eyes of the hospital leaders and the senior
management departments.
A helicopter landed slowly, and dust was blown up by the wind that
the propellers generated.
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In the hospital, male nurses were a treasure, especially in a place
like the Emergency Department. Male nurses were very useful in
terms of hard labor, and they were better than their female
counterparts when it came to carrying patients or things.
"A Chanel shirt, huh?" Zhao Leyi saw the person coming down
from the helicopter in the distance. She held her stomach and sat on
the stretcher. Then, she lay down slowly and could not help but hiss
in pain.
"You even know what brand it is?" Since Doctor Zhou was
forced to work overtime, he was not in the mood to talk. He only
became a little more interested when he could gossip.
Zhao Leyi tried to show off and said, "My wife just bought a
Chanel handbag a few days ago. It's so expensive. Though
you have to admit, the bag looks quite good. But it's just too
expensive."
Doctor Zhou looked at Zhao Leyi's Putian before he said in pity, "It
cost you two months worth of your salary, right?"
"It wouldn't have been enough even if I don't eat and drink.
Fortunately, they gave us bonuses recently… Ugh, without
the bonus, she wouldn't have asked for a Chanel anyway."
Zhao Leyi further elaborated on his psychological changes as he
watched the approaching patient and said, "From what I know,
Chanel shirts are very costly. People who can afford the
brand would wear the latest shirts released for the season. A
shirt alone can already cost you at least fifty to sixty
thousand, and the shoes will cost another ten to twenty
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thousand. Even normal accessories are priced anywhere
between a few thousand to tens of thousands. A random
combination would cost about a hundred thousand. If you
add in the laundry fee, how much would you have to spend a
year?"
He could even tell how Huo Congjun currently felt from the way he
spoke.
For example, at that moment, Huo Congjun's voice made Zhao Leyi
immediately think of several scenarios. In times like that, he seemed
to remember Huo Congjun saying something like, "Watch your own
skin!
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A broken smile was visible on Zhao Leyi's lips. He replied in a faint,
faltering voice, "Department director?"
Huo Congjun saw the patient who was being pushed over, and
said, "Be more careful…"
"Yes." Zhao Leyi tensed and strode to the front to receive the
patient.
"So, Tian Qi, which part of your body doesn't feel well?"
Zhao Leyi was curious about her name, but he did not ask.
Tian Qi frowned and said, "I just have abdominal pain. Also,
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my hand's injured."
"A screwdriver."
Both of them talked while they moved to the back. The leaders of
the hospital shook hands and greeted the people who accompanied
Tian Qi. They appeared after she got off the helicopter.
Tian Qi used her unwounded left hand to press her stomach, and
she said, "I feel bloated."
"Bloated?"
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patient directly to the related department or the operating theater.
Zhao Leyi could not stop analyzing the case in his mind, and he
made a prediction, 'It's impossible for patients with such a status to
simply get food poisoning. The most complicated parasitic infection
can be excluded for the time being. Abdominal tumors are easily
ignored by many youngsters nowadays. If that really is the case, it
might also cause bloating. It would be even worse if there are
ascites…'
Zhao Leyi coughed and said, "Just tell us the food you ate
yesterday and today."
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"I took my meals in France and Italy yesterday. We
departed to Turkey today. My assistant has the details of my
schedule…"
Tian Qi nodded.
"Let's check your digestive tract first." Zhao Leyi found his life
to be boring. The hospital leaders and directors ended up rushing
over just to pick up a rich kid who was too stuffed from eating.
Zhao Leyi did not even have to look to know who the rich lady was
pointing at.
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Debridement was a normal operation for him, and it was normal for
someone to assign him to it.
It was uncomfortable for Tian Qi to look at Ling Ran while she lay
on the stretcher. So, she sat up and said, "'At a wall corner some
plum trees grow, alone against cold white blossoms blow
[1].''This land has many heroes, yet it is very hard to know
about them.' That does sound quite true."
Ling Ran could not help but look at Tian Qi. He was not unfamiliar
with those two lines. One of them was from Wang Anshi, while the
other was written by Li Bai. The Chinese version of the poems
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contained his name, so it was no surprise that Ling Ran knew them.
But it was not easy for others to tell from the poem. Besides, there
were very few people who read ancient Chinese poetry nowadays. It
was even rarer for a girl who was as fashionable as the one before
him to recite the poems so easily.
However, Ling Ran had naturally met many girls who loved to
recite poetry. He smiled and said, "People usually quote
'Reaching a mountain's summit' [2] when they want to
mention my name."
Ling Ran was stunned by what Tian Qi just said. He was used to
compliments all the time, and people had often used multiple ways
to utilize Chinese poetry to praise him as well. But the new mindset
suggested by Tian Qi was really… unique.
"You see, these two lines that I chose are only suitable for
others. It won't be suitable for you to use those lines to
describe yourself, right?" Tian Qi had the urge to continue their
conversation in Chinese poetry.
Zhao Leyi could not help but feel worried when he overheard the
conversation between Tian Qi and Ling Ran.
It made Zhao Leyi recall the time he pursued his wife; he did not
use as many techniques as Tian Qi.
Zhao Leyi thought carefully again. Both Ling Ran and he were
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doctors, He may have thought Tian Qi's name was weird, but she did
not explain why she got the name. But right after Ling Ran reported
his name, he got many explanations in return. Then, there were
many interactions between them, and they were based on Chinese
poetry. What was happening?
Zhao Leyi recalled his younger years. Back then, he wanted to use
his talents to attract girls too. What exactly happened later, which
made him start eating cup noodles to earn more money, all so that
he could buy his ex-girlfriend or fiancée a handbag?
"Move two beds away, put her inside." Zhao Leyi was not
willing to think about that anymore. Once the bed was in position, he
asked the staff members to place Tian Qi in the treatment room. Her
bed even took up two bed spaces, which meant that she could have
an operating area all to herself.
Compared with the hospital wards, the treatment room was noisier,
but it had an even more complete set of equipment.
Zhao Leyi no longer had any hope of becoming famous through the
current case. It was just a rich girl who ate too much. She did not
even have a proper disease. There was nothing that could attract
Zhao Leyi anymore.
So what if she had a good figure and pretty face? After all… she
did not even look at him.
With disinterest, Zhao Leyi opened the checklist and said, "Let the
General Surgery Department do the consultation. They must
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be quite anxious now."
There was nothing prideful about treating a rich girl who ate too
much.
If they missed out any strange disease, then he would drag them
all into the swamp of despair, and they could all rot in there together.
Zhao Leyi was full of resentment in his heart.
The leaders who came later were also satisfied with Zhao Leyi's
arrangement.
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the consultant invited by the Emergency Department would usually
be a resident doctor. Sometimes, they would get an attending
physician who did not have any surgeries to perform at that time.
The senior attending physicians who were about to be evaluated for
the post of associate chief physicians would usually not spend their
time to conduct consultations without reason.
It was just like how an army would mobilize its forces. It could be
very dangerous for them to venture deep into enemy territory if they
did not have vanguards, cavalry, and scouts ahead of them.
The current situation was the same. The senior attending physician
came with the hopes of showing off his skills so that the whole
hospital would know about it, and also perform an amazing feat that
the whole city would know about him. But after he repeatedly asked
Zhao Leyi about the patient, his face turned yellow, and it was the
kind of fermented yellow that showed despair.
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Zhao Leyi wore a smile on his face, "The ultrasonography
scanner is on, but we haven't had the time to take a scan
yet."
At that moment, Tian Qi's main assistant stood out and said in a
polite manner, "May we have a female doctor perform the
ultrasonography?"
"I'll get you a female doctor then." The male doctor from the
General Surgery Department did not wish to participate in the
consultation anymore.
"I'll do the debridement for you first." Ling Ran did not want
to continue wasting his time. He wanted to finish his own work and
go back home.
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Tian Qi immediately showed Ling Ran her fingers happily.
She had long and fine fingers with balanced joints. Her knuckles
were well distributed. But there was a small gash on her left index
finger, and the skin was cut open.
Ling Ran held the tip of her finger and turned over it gently.
Tian Qi raised her head and said, "Sister Bai, have more
confidence in Doctor Ling, okay?"
A while later, a group of Yun Hua staff including Huo Congjun and
Department Director Lei as well as some leaders of the region also
came over to visit.
For him, there were far too many ways to suture a finger.
Tian Qi looked at Ling Ran's serious side profile. When she saw how
calm he was, she could not help but feel happy. In her mind, she
remembered all the compliments used by the ancient Chinese
towards good-looking gentlemen: Manly, cheerful, handsome and
dignified, naturally talented…
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Zhao Leyi snorted twice and said, "Never mind, I've prescribed
multienzyme tablets."
"I asked. The patient said she ate eight oysters in France. I
won't tell you the rest of the story. If she was willing to sit in
a private jet just to eat, it would be a waste of jet fuel if she
did not eat enough, right? I really don't understand why she
decided to eat thin noodles. She gestured to me how big the
bowl was, and she even had two eggs. I have to say, God is
definitely unfair since she still has a good figure." Zhao Leyi
patted his own belly to indicate that he was now hungry.
"Why would she come back for a big bowl of thin noodles?"
Doctor Zhou stayed for a little while more because he was curious.
Zhao Leyi took out his phone on the spot and flipped to the
medical record. He said, "The patient complained… after staying
overseas for a month, she didn't expect to find local food so
delicious."
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"Are thin noodles more delicious than oysters?" Doctor Zhou
chuckled and asked, "Which restaurant's thin noodles?"
"A man who goes back home on time every day... He's
trustworthy."
"Hey hey hey, can you not include me in this? Video calls
are very solemn affairs, yet he accidentally filmed a bar girl?
That's a problem with his attitude…"
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phone, he shook his head as he typed each word after some
deliberation.
[Dear, I was wrong. Let's eat oysters tonight, and I'll show
you a good performance.]
…..
Tian Qi stayed alone in her room and played with her mobile
phone. The more she played, the more impatient she became.
When the assistant saw her, she asked, "Do you want to tell the
captain to fly ahead of time? I don't think you actually need
to wait for the film to come out."
Tian Qi shook her head. She held her phone and said unhappily,
"I'm eager to find poems. If I had known earlier, I would have
studied Chinese Language and Literature…"
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This time, although the assistant had sent people to investigate
Ling Ran, she did not rush to report it to Tian Qi's parents.
Tian Qi smiled sweetly before her face fell again. She said,
"There's no such thing as falling in love at first sight. With
that face, it's certain that many b*tches have seduced him
before. Look at him. He just walked off after he was done
suturing me…"
"Oh, yeah." Tian Qi was relieved for a few seconds before she
immediately asked, "Sister Bai, what information did you get
from your investigation?"
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outlets. I'll send you the links once I have them. In addition,
his family owns a small clinic called Lower Groove Clinic,
which is located in Lower Groove. It's only a few thousand
square feet in area and it has two floors. Clinic operations
are carried out on the ground floor, and the family lives
above the clinic. He doesn't have any other property…"
Tian Qi blinked and said, "Does this mean that he lives with
my mother-in-law? What's my mother-in-law's temperament?"
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"What's Doctor Ling's hobby?" Tian Qi asked.
Half an hour later, Tian Qi put down her phone and asked, "Sister
Bai, if Doctor Ling's car breaks down, he can only use
transportation apps or take a taxi, right?"
Sister Bai also lowered her head and quickly left a reminder in her
WeChat. [Miss Tian Qi is thinking long and hard.]
…..
After consuming some milk and oats as well as hot steamed buns
filled with steamed salted pork in wine, Ling Ran entered the
temporary garage and sat in his small Volkswagen Jetta.
He inserted his key into the ignition, twisted it to start the car…
and failed.
Ling Ran closed the door in resignation and walked out of the alley.
He looked at the deserted road and opened a transportation app.
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It was impossible for him to get a taxi. Not only were there very
few taxis nowadays, they were also picky when it came to receiving
requests. At that point in time, very few drivers liked to travel near
Yun Hua Hospital.
Ling Ran lowered his head and placed his request. Right after he
confirmed his request, the app screen changed and showed, [Please
wait for your ride]. At the bottom were the words [Master Liu,
Black Rolls-Royce Phantom].
In a few seconds, a big and black car stopped next to Ling Ran.
The door opened automatically. The front door moved forward and
the back door moved backward to reveal a huge space in the middle.
It also showed the orange interior design of the car.
Ling Ran thought about it a little and decided to get into the car.
Right then, it was very difficult to get a taxi. There was still a
patient with three severed fingers and one severed thumb waiting for
him in the hospital.
When Tian Qi saw Ling Ran get into the car, she quickly sat up
straight and closed the door. Then, she asked, "Doctor Ling, are
you heading to Yun Hua Hospital?"
"Yes."
"It's okay."
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display a constellation map.
Ling Ran leaned back and settled against the seat comfortably.
"Not necessarily." Ling Ran crossed his leg over his knee and
touched the leather seat as well as the right door curiously.
Ling Ran said, "I don't think so. Aren't you also driving
around and picking up customers early in the morning?"
"Excuse me, can you slow down a little? You're almost over
the speed limit," Ling Ran reminded her.
Tian Qi gasped and stepped on the break. This caused Ling Ran to
fall forward. But fortunately, he was able to stabilize himself.
"I'm sorry, I'm sorry," Tian Qi hurriedly steadied the car's speed
and continue to say, "I earned about 10 RMB from today's
requests. Doctor Ling, since you sutured my wound
yesterday, why don't we have lunch together at noon to
spend it all?"
"I can use the gas card to refuel the car. I won't spend any
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extra money!" Tian Qi clenched her fist in resolution.
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Disclaimer
There is no guarantee the translation is 100% correct.
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