Chapter 1318: Reviewing Is Also Learning

Chapter 1318: Chapter 1318: Reviewing Is Also Learning

(Thanks to Jinzhong 17743132711 and DRDER for the monthly ticket support)

"Yo, your mental state looks pretty good."

When Liu Banxia finished the surgery and came to the cafeteria, he happily tossed out a line.

"Of course. I’ve already eaten. Anything else you need to tell me? If not, I’ll go check on the patient." Xu Yino said.

"Nothing else, go ahead." Liu Banxia nodded.

This was the kind of scene he liked to see. No matter what surgery you’re going into, you should be confident.

He also had to hurry with his own meal; the two surgeries in the morning took a bit longer. Still, it was decent: two surgeries netted him 600 experience points, 110 Glory Points, and two Solidification Stones.

You could say that for these two surgeries, whether experience or Glory Points, they couldn’t compare to yesterday’s operation. Nothing he could do about it—the difficulty level wasn’t the same.

Everything has two sides. In terms of improving his surgical proficiency, he had a heaven-sent advantage: he could hone his skills in the dream space.

But when it came to gaining experience points? That part wasn’t so pretty.

And the system’s rewards were also kind of interesting—sometimes it leaned toward experience points, sometimes toward Glory Points.

On this, Liu Banxia couldn’t interfere anyway, so he just quietly accepted it.

In any case, both experience and Glory Points were what he needed right now. Once he got through these busy few days, he’d pretty much be able to solidify a second attribute.

The last solidification brought a little pleasant surprise; he didn’t know if this time would too, but he felt it shouldn’t be bad.

After eating, he rested a bit, then nodded at Xu Yino, who was waiting beside him.

Time to head out to the OR. Even though the schedule was tight, he was only there to supervise, so he didn’t have to work himself to exhaustion.

"Feeling steadier now?" Liu Banxia asked on the way to the operating room.

Xu Yino nodded. "A lot steadier. I’m sure I can handle this surgery. My goal is to finish in three and a half hours."

"You better. I didn’t go home yesterday. If I get home late again today, tsk tsk, Qiaoqiao will probably blow up." Liu Banxia said.

"Teacher Liu, can you not? You’re always dumping the pressure from Master on me." Xu Yino said with a bitter face.

"What can I do? I always tell the truth." Liu Banxia shrugged.

"But you really do need to put more thought into this surgery. From my assessment, the adhesions may be more serious than we expected."

"You’ll need to clean everything thoroughly, and when you take samples, you’ll have to go a bit farther out. Safety first. We’ve already dug out the ’tank’; let’s try to spare him any more suffering."

Xu Yino nodded. These were all common intraoperative situations, and she’d already prepared herself mentally for them.

Once they entered the OR, confirming the patient’s information and comforting the patient were all tasks left to Xu Yino.

After the patient was successfully anesthetized, everyone in the operating room started cheering her on.

"Thanks, everyone. I’ll do my best." Xu Yino said happily.

"That’s the way to do it. You need energy and confidence. Keep telling yourself you can do it, you definitely can. Then basically there won’t be any problem." Liu Banxia said with a smile.

"OK, trocars in, exploratory lap."

Xu Yino gave the instruction and went straight to work.

"Exploration shows no obvious dilation of the colon segment. No metastatic nodules in the pelvis, liver, stomach, para‑aortic area, or abdominal wall. Laparoscopic abdominoperineal combined radical resection of rectal cancer is feasible. Start mobilization."

After the exploration, Xu Yino went straight into the operation.

"You know, Xu Yino actually looks the part. None of that guilty look she had this morning." Liu Banxia joked.

"Heh heh, I’m just lucky. I was worried there’d be severe adhesions at first, but it’s actually not that bad, which really cuts down the burden of the mobilization." Xu Yino said.

"So now you can just go ahead and mobilize without worry?" Liu Banxia said with a squinting smile.

"Uh... hahaha. Tian Yuan, I’ll leave the anterior mobilization to you. I’ll guide you." Xu Yino gave two dry laughs.

Once she got happy she forgot she was supposed to be drilling the team. The patient’s adhesions weren’t that severe, which greatly lowered the difficulty of the mobilization.

For her, it was relaxing, but for the interns, this was still a high‑difficulty task and a rare chance to get hands‑on experience.

Liu Banxia had already told them they needed to change their mindset, stop thinking of themselves as newbies who just entered the hospital, and start factoring in teaching the interns too.

"We can’t just stand around doing nothing, otherwise this operation would be way too lonely. Roughly speaking, what do we need to pay attention to for this case? Chen Dongmei, say a few words." Liu Banxia asked.

"Uh... Teacher Liu, you mean speaking in general terms?" Chen Dongmei hurriedly asked.

"Right, just talk about it in broad strokes. The steps of this surgery aren’t all that complicated; what matters is we have to be meticulous during the actual procedure." Liu Banxia said.

"How is that ’not complicated’? If it wasn’t complicated, it wouldn’t take so much time." Xu Yino grumbled.

"You can ignore her existence; she’s just being tsundere." Liu Banxia snarked back.

"Just give a quick overview, I still need to leave you more time to watch the operation. Can’t torment you the way I tormented those six; for you, learning comes first, improvement can come later."

"Teacher Liu, I think we mainly need to pay more attention to the handling of the perineal region. For male patients, we need to avoid injuring the bladder, ureters, and prostate." Chen Dongmei said.

"For female patients, it’s naturally the pelvic adnexa and such. Oh, and the presacral nerve plexus and presacral venous plexus also need attention."

"Dissection in this area is best done predominantly with sharp dissection, with blunt or forceful dissection strictly forbidden, right? I remember Teacher Liu seemed to have mentioned this once."

"Pretty good, looks like you’ve put in the work." Liu Banxia nodded in satisfaction.

"But that’s only one aspect; it’s the theoretical knowledge we need to know. For us surgeons, we have to combine it with practice and bring all of that theory out through our hands-on work."

"For your cohort, I’ll remind you one more time: anatomy is very important. If any of you still feel weak in this area, then you’re really too slow, too silly."

"What, you think we keep Shi Lei in the emergency center as a decoration? Use him when you need him. His understanding in this area is actually much deeper than mine. The reason I value it so much is largely because of his influence."

The interns laughed. This was Liu Banxia reminding them not to waste the resource that is Shi Lei and to make full use of him.

"Anyone else want to add something?" Liu Banxia asked again.

This time the interns fell silent. What else was there to add? The points needing attention were covered, the reminders were given—what was left to supplement?

"Li Tianyang, do you have anything to add?" Liu Banxia started calling names again.

"Um... if I have to force myself to add something, would it be aspects of postoperative care?" Li Tianyang ventured.

"What do you think?" Liu Banxia’s expression didn’t change.

"Mm, I’ll say it’s that aspect. After a patient has a rectal resection and stoma created, there’ll be a period of psychological adaptation. During this time, we need to manage the patient’s mental state well, because it can significantly affect prognosis." Li Tianyang said.

"That’s exactly it; right now we’re reviewing. For a given patient, we’re responsible for them in a comprehensive way, from admission all the way to discharge." Liu Banxia said.

"And nursing isn’t just nurses’ work; it’s also part of our job as doctors. Some tasks can be handled by nurses, but the overall direction and control still rests in our hands."

"Currently, Liu Yiqing is particularly interested in this area. If you pay attention, you’ll notice she often wanders over to the nurses’ stations in other departments whenever she has free time."

"What she’s really doing is collecting intel, trying to do a rough tally to see how much a good mood affects patient prognosis."

"But that kind of work isn’t easy; it needs a huge amount of data support and some sort of quantitative model. Still, if she wants to take this on, I’m convinced she’ll be able to do it well."

"I’ve said it to those six before: every time we teach, it’s also an opportunity for us to learn. We can’t possibly have every bit of knowledge carved rock-solid into our brains—there will definitely be fuzzy parts."

"But that’s fine. Teaching lets us pull those bits back out and deepen our impression of them. So in the future, you’ll be in the same position—you’ll have your own trainees one day. Don’t treat that as a burden."

"Alright, that’s enough rambling. Next comes surgery-watching time. I’m handing the whole thing over to Xu Yino. Even if something goes wrong, she’s the one responsible."

"Uh... our dissection skills should be pretty decent by now." Xu Yino said, sounding a bit guilty.

"Relax, you’re doing very well. I’m just putting an insurance policy in place ahead of time." Liu Banxia said with a smile.

That brightened Xu Yino right up, and she launched into a very detailed explanation.

Her explanation was much, much more thorough.

It fully showed that she’d done her homework solidly; she’d spent the last two days studying this operation, really digesting it completely.

Only then can we say there’s truly no problem.

Even if she only does a similar operation again after some time has passed, she’ll still be able to handle it easily, without the panic she felt this time.

This theoretical knowledge is the foundation and is crucial; it lets Xu Yino gain more confidence during the procedure and keeps her technique from going off track.

Anyway, Liu Banxia was very satisfied with what he saw. At least in a sense, Xu Yino has met the standard for "graduating from apprenticeship."

Of course, Liu Banxia wasn’t about to let them off that easily; he would hold them to strict standards for other surgeries as well.