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"Is this the surprise this boy is preparing?"
Looking at the preparations on the screen, Chen Zhenxing frowned.
Zhou Shuwen nodded, "I actually only heard from the interns that he recently has so opinions on the use of consumables."
"This boy, sotis I really don’t know what to make of him," Chen Zhenxing said with a hint of helplessness.
"Everyone seems surprised because I didn’t choose a stapler, didn’t create a stoma, but instead went directly for suturing," Liu Banxia in the operating room spoke up at this mont.
"Conventionally speaking, when we perform radical resection for rectal cancer, we often need to create a stoma first, and perform a takedown once the patient’s condition stabilizes."
"This is very necessary, especially in surgeries for mid to low rectal cancer patients; I believe it is safer this way."
"The main purpose of a stoma is to prevent anastomotic leaks. Because once an anastomotic leak occurs, it leads to serious complications, even causing death."
"Therefore, with the advancent of modern dicine, we have a new option—the stapler. Convenient, quick, highly stable, and simple to use."
"The only consideration is that it’s sowhat costly. I used it in one of my low rectal cancer sphincter-saving surgeries, and the patient’s prognosis was very good, with no anastomotic leaks."
"But for this patient, why did I still choose manual suturing? Actually, I just think patients should be given more options."
"Whether it’s creating a stoma first and then reversing it, or using a stapler to avoid anastomotic leaks, these would all an additional expenses for the patient."
"I think this patient’s situation is excellent, although pathology hasn’t been done yet, I believe the staging will be ideal. Additionally, we removed quite a long section of the intestine, and the lymph nodes on both ends were cleared."
"In terms of radical resection, I believe it’s been done thoroughly. Now the only concern is whether anastomotic leaks can be avoided."
"Actually, manual suturing versus chanical suturing has always been an interesting issue; manual has its advantages, and chanical has its ingenuity."
"Manual suturing takes more ti, and statistically, the likelihood of anastomotic leaks is higher than when using a stapler."
"Using a stapler is very convenient, a snap and it’s done. And even if an anastomotic leak does occur, the operator’s technical skills aren’t questioned."
"The fundantal reason is the choice between saving ti and money without responsibility, and saving money and ti with responsibility. As surgeons, as long as we are by the operating table, the responsibility is already on us; it’s just a matter of degree."
"Back to this patient, I personally consider the surgery a success. His intestinal quality is also very good, with no signs of edema. I have great confidence in my suturing skills, which is why I chose manual suturing."
"I also communicated with the patient’s family. Due to so family circumstances, they are currently financially strained. It’s not that they can’t afford a stapler, but I think they should be given another choice."
"It’s not about being unconventional or suggesting our peers are recklessly using consumables on patients. That’s not the case; it’s just a small friendly reminder."
"While we are accustod to using those instrunts, we should also choose to trust our craftsmanship. The bowel is prepared, the intestinal tract ets the standards, and I think manual suturing shouldn’t be a problem."
After speaking, Liu Banxia stopped talking and focused intently on suturing.
"This boy, saying this... could it cause issues?" Chen Zhenxing frowned and asked.
Zhou Shuwen shook his head, "If so people take it personally, there’s nothing we can do. You also know very well that consumables are indeed an issue in every hospital."
"It can even be said that it’s beco a routine skill for many surgeons. Nowadays, the price of many consumables is unrelated to quality but to how much kickback there is."
"This is also a complaint from many patients; otherwise, why does everyone say our hospital makes money? Any surgery, even a small one, costs a lot."
"But I think what Banxia is considering isn’t how much a surgery should cost but rather as a surgeon, not focusing on improving surgical skills, but on how to use more consumables, is missing the point?"
"If an ergency surgery is truly needed soday, without relevant consumables, can’t the surgery be perford?"
"Without robust dical skills as the foundation, significant issues will arise over ti. Why is there such severe corruption within our healthcare system? Either nothing happens, or when it does, it’s a major issue."
"Isn’t it because of the hefty kickbacks promised by these companies? Every pharmaceutical or dical device company, their PR expenses surely account for a significant part of the total company expenses."
"The more expensive, the better it sells, and the more it gets produced. Conversely, those cheaper drugs and instrunts, because the profit is too low, have beco scarce."
"From the hospital’s perspective, the amount of consumables used in a surgery doesn’t greatly impact our profit. Because we have purchase costs, the extra profits are far from the price of consumables."
"Using more consumables doesn’t make the hospital much profit. Who’s earning from it? Those companies are, with kickbacks taken away. What’s damaged? The hospital’s reputation."
"This is the current environnt in dical institutions, so I think today’s lesson from Banxia is quite good. As doctors, we really should consider this."
"Maybe people will criticize us for being sanctimonious, but what will happen if everyone keeps laughing it off and nobody ntions it? More people will just go with the flow."
"Why does he have such an idea? Did he discuss it with you?" Chen Zhenxing asked.
Zhou Shuwen shook his head, "He hasn’t discussed it with , but he did ntion that after being promoted to deputy director, his drawer is filled with business cards."
"Probably after he started doing more surgeries, those people have a keen sense. They know he’ll be doing more major surgeries, and for major surgeries, more consumables and drugs are used."
"You guys... always quietly doing big things," Chen Zhenxing said helplessly.
"You should’ve discussed it with first or chosen a more gentle approach. He’s only at the beginning stage of his career; he’ll offend many people."
"Chief Director, actually, sooner or later, he’ll offend people, so it’s better to do it sooner," Zhou Shuwen said with a smile.
"Because there are only two choices regarding this issue: either say it or not. If you’re going to say it, it’s better to say it early. Build the foundation and let everyone know this is not just what he believes, but also what he’s doing. What else can people say?"
"Moreover, Banxia’s opinion isn’t to knock everyone down. Patients’ actual situations must be considered, and the surgeon’s skills need to be up to standard."
"It’s just a reminder for everyone not to forget what their primary job is. Those who understand will focus on dical skills; those who don’t, won’t change."
"Put it this way, including you, when we perform surgeries, we use consumables as needed. If we can’t even manage that, how can one beco a truly renowned doctor?"
Chen Zhenxing nodded, yet although those are the words, today, Liu Banxia’s words must have felt ’arrogant’ to so in their hearts.
But now there’s no choice, what has been said has been said, and what has been heard has been heard. Perhaps this is the tacit understanding between ntor and ntee.
Though Liu Banxia didn’t explicitly discuss this with Zhou Shuwen, Zhou Shuwen knew. But Zhou Shuwen, knowing it, did not interfere, which ans tacit approval.
Realizing this, Chen Zhenxing gave Zhou Shuwen a look out of frustration.
Zhou Shuwen pretended not to notice, still happily watching Liu Banxia performing sutures.
The thing he admired most about Liu Banxia was his courage to think and act. When you have certain skills, why not be a bit flamboyant?
Nowadays, Liu Banxia’s strength isn’t just as a deputy director, but in his surgical skills.
These words today will definitely sound piercing to many people, but at most, they’ll just grumble because Liu Banxia not only will do this today but will continue to in the future.
"OK, suturing is complete, Huang Bo, finish up."
At this mont, Liu Banxia spoke again.
Huang Bo hurried forward to do the finishing work.
Liu Banxia also knew that what he just said would definitely cause a lot of resentnt, but he really didn’t care. If you don’t say it, and I don’t say it, and we all rely on others to speak, the end result is that no one will.
No matter the future, he’s not afraid of offending people. Those he should offend will be offended sooner or later, and those he won’t offend won’t mind however straightforwardly he speaks.
Ding! Zhou Shuwen’s temporary task completed.
Gain 700 experience points, 700 points for suturing skill proficiency, 500 points for dressing change skill proficiency, 800 points for intestinal surgery skill proficiency, Glory Points 8
This task was rated as perfect, gaining 1200 experience points, 1200 points for suturing skill proficiency, 900 points for dressing change skill proficiency, 1500 points for intestinal surgery skill proficiency, Glory Points 15 10
Congratulations, the host has leveled up to level 60, 211115/217550, gaining 1 attribute point, 5 Glory Points
Level reached 60, earning the title "Respected Surgeon"
System updating...
As Huang Bo completed the operation, the system also granted the task rewards.
Even though Liu Banxia was confident, he didn’t expect so much to appear all at once. Moreover, a system update ans that his initial guess was correct, reaching level 60 indeed marks a difference.
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