YM778.TV Chapter 5: First Kill in the Operating Room
[Ding! NPC Chen Bingsheng has issued a task: Perform the main surgeon role in two appendicitis surgeries, task requirement: a good completion. Task completion reward: Chen Bingsheng’s Appendectomy Experience*1;]
Chen Cang was stunned. The task reward was Boss Chen’s experience in appendectomy?
Why isn’t there any money?
No experience points either?
Boss Chen, I have no complaints about you, but…
You can’t just exploit me for free, can you?
Chen Cang sighed. If he was going to be exploited for free, so be it. He’d been exploited for two years already; one more time wouldn’t make much difference.
This emergency room is really no place for humans. Director An harbored ill intentions toward me, and now Boss Chen wants to exploit me for free… Is it really my fault for being handsome?
Ah…
Nowadays, appendectomy surgeries are mostly done laparoscopically, but this increases the cost by over a thousand yuan more than usual, though it does leave a smaller scar.
The first auntie named Zhang Aizhen was in her fifties. She often suffered from appendix pain and was rushed to the emergency room a few days ago when it suddenly worsened. After anti-inflammation treatment, she was decided for surgery.
As soon as Auntie Zhang heard that laparoscopy cost an extra thousand yuan, she immediately decided to go for an open appendectomy. After all, she was a woman who’d seen a bit of life.
However, Auntie Zhang had a second thought: “I already have one scar in the middle of my stomach, having another isn’t a big deal, but Doctor, make it look a bit prettier for me. If the two scars look somewhat aesthetic, otherwise, I’m afraid people at the bathhouse will think I’m involved with gangs.”
Chen Bingsheng smiled and said, “No problem, I can make it symmetrical for you!”
The surgery began quickly. Chen Cang would be lying if he said he wasn’t nervous, but after so many years of following and observing surgeries, he felt he should have no problems with the actual operation.
Appendectomy is performed under local anesthesia, generally using epidural anesthesia.
These were all the anesthesiologist’s responsibility. The first task for Chen Cang was to decide where to make the incision.
The appendectomy incision should ideally be chosen at the point of maximum tenderness in the right lower abdomen, actually, the McBurney’s point.
Simply put, it’s one-third of the way along an imaginary line from the navel to the right anterior superior iliac spine.
He faced a difficult decision at the outset. For his first main surgery, what kind of incision should he make?
There are several types of appendectomy incisions, like the right lower quadrant oblique incision, or the right lower quadrant transverse incision?
Chen Cang asked, “McBurney incision?”
Chen Bingsheng ignored him.
Chen Cang, holding the scalpel, started the incision. After the opening was made, the next step was to locate the appendix.
Chen Cang first used a gauze swab to push the small intestine to the side, then found the cecum and traced up the three taenia coli to the end to locate the appendix.
Feel-the-melon method along the intestine?
However…
Chen Cang looked at the appendix inside the stomach… the cecum… the colon… and was dumbfounded!
It wasn’t that he couldn’t recognize them, but he found that these organs had names labeled on them as if humanized!
Chen Cang decided he couldn’t stand it!
The system must be worried that he wouldn’t recognize these things.
But… it was admittedly quite convenient.
On the cecum was a green label that read [Cecum]
The colon also had a green label that read [Colon]
When Chen Cang touched the cecum, a prompt entered his mind:
[Ding! This is a healthy cecum]
[Ding! This is a vigorous colon]
Chen Cang: ???
WTF?
Chen Cang let go of the cecum and colon, and suddenly saw a red label on the appendix that read [Appendix].
Is this damn thing a red-named monster?
As he picked up the red-named [Appendix], a prompt entered his mind.
[Ding! Ordinary appendix monster: This is an ordinary inflamed appendix, lv8.]
What the heck?
An appendix monster of level eight…
Chen Cang was dumbstruck.
He forced himself to close his eyes, take a deep breath, but didn’t calm down, take another deep breath, still not calm, and another deep breath…
Phew!
When he opened his eyes, he suddenly saw Chen Bingsheng staring at him with eyes full of WTF?
According to Chen Cang’s understanding of Boss Chen, the look meant: What the hell are you doing?
Chen Cang decided to take out this red-named appendix!
He used an appendix clamp to grab the appendix and a hemostat to clamp the mesoappendix, then lifted the appendix out through the incision to remove it.
Chen Cang is a level 12 resident physician, and dealing with this little level 8 appendix is no problem at all!
In the world of martial arts, speed is unrivaled!
Accompanied by Chen Cang’s skilled knife technique.
The red-named appendix died under the knife!
Decisive removal… dealing with the appendiceal mesentery… handling the base of the appendix
The subsequent operation went smoothly.
When he sewed the last stitch, he finally took a long breath.
Goodness…
That was exhilarating.
[Ding! First kill achieved! You’ve gained the title: Rookie of the Operating Room, please keep it up and complete ten consecutive kills!]
[Ding! You’ve slain an appendix monster, loot drop: Experience +100, RMB +100, Appendectomy Experience +100.]
What the heck?
Leveling up and looting equipment from fights?
Do operations make you stronger?
Happiness, you’ve finally arrived.
You know what?
You’re over twenty years late!
Chen Cang looked at the virtual screen in front of him with tears in his eyes, full of excitement and surprise. This is just too thrilling.
My life is about to become legendary!
Chen Bingsheng was lost for words. Had this guy gone mad?
Chen Bingsheng gave Chen Cang a helpless glance, “What are you doing? Haven’t seen an appendix before? And admiring it for so long? Are you out of your mind?”
Chen Cang replied with an awkward smile, “No, it’s just that… his appendix and cecum looked different!”
Chen Bingsheng with a pair of ox-like eyes, “Different how? Did her appendix grow double eyelids or something?”
At this time, the patient had already been wheeled out by the nurses, and an operating room nurse happened to hear the conversation between Chen Bingsheng and Chen Cang and burst into laughter.
“Dr. Chen, that’s too slick. An appendix with double eyelids!”
“Haha!”
Chen Cang responded with an embarrassed smile, “No, it’s my first time performing an appendectomy personally. I really wanted to savor the experience.”
Chen Bingsheng chuckled, “Huh? First time feeling it out? What about it? Got your heart racing? The look on your face was like you just saw your first love.”
The whole place erupted in laughter.
The operating room nurse, Qin Lele, said with a smile, “Dr. Chen is new to this and he did quite well. No accidents, and everything was smooth. Let’s give Dr. Chen a round of applause!”
Qin Lele was about the same age as Chen Cang, but she had been in the operating room for four or five years already and had seen all sorts of surgeries.
She was used to Chen Bingsheng’s teasing and defended Chen Cang.
After all, being handsome does have its advantages.
Chen Cang clicked to accept the reward.
But what does Rookie of the Operating Room mean?
[Title: Rookie of the Operating Room.
Title Details: A Rookie of the Operating Room should have an unflagging spirit of learning and a passionate attitude towards surgery. Study hard and perform more surgeries.
Wearing this title: You have a 1% chance of learning a skill from the chief surgeon during surgery.]
Chen Cang was startled!
What? This title is kind of awesome!
A one percent chance to learn a skill from the chief surgeon.
If I assist in a few more surgeries with Chief Chen, does that mean I might learn some badass skill?
With that thought, Chen Cang started to feel a bit excited.
[Ding! Your level has increased to lv13, you’ve earned one skill point.]
Chen Cang opened his attribute panel with delight.
[Chen Cang: Profession: Doctor.
Level: 13: 50/1300
Level 1 Surgery Skills:
Appendectomy: 100/1000 (Beginner)
Remaining Skill Points: 1.
Title: Rookie of the Operating Room.]