(Thanks to reader 121025081245993, and bunkerchina for the vote of encouragement)

Xu Yino stood in front of the operating table and took a deep breath.

"I will remove the knife and then make an incision along the wound." Xu Yino said.

"The blood pressure is still stable after the infusion." The anesthesiologist, Li Liwei, said.

"OK, a little pop quiz. Cui Jia, tell us why Xu Yino isn't doing laparoscopic surgery and is opting for an open surgery instead." As Xu Yino began to draw the knife, Liu Banxia spoke up.

This Cui Jia is the newcomer trainee doctor, a public worker.

"To save time." Cui Jia responded quickly.

"And then?" Liu Banxia continued to ask.

"And then..., and then extend the incision, stop bleeding, clean, and suture." Cui Jia continued.

"Uh..., you could say there's no problem with that." Liu Banxia paused for a moment.

"But another reason for not doing a laparoscopy is because we are not quite clear on what's happening inside the abdomen."

"The knife damaged the stomach, it didn't rupture at the time, but ruptured after admission. Because there are stomach contents and other free fluid in the abdominal cavity, it's also impossible to determine if the intestines are damaged."

"If we do a laparoscopy, it might waste time. If the patient's internal injuries are complicated, we'll still have to convert to open surgery. But Cui Jia's not wrong, once open, just deal with the injuries."

Li Liwei struggled to hold back, it seemed Director Liu had met his match.

"So now a new question arises. Once we open the abdominal cavity, how should we proceed?" Liu Banxia continued.

After speaking, he looked around carefully, finally his gaze landed on Cui Jia, "Cui Jia, you answer. Congratulations, you won again."

"Suction out the stomach contents from the abdominal cavity." Cui Jia responded swiftly again.

"And then?" Liu Banxia asked once more.

"Stop bleeding, yes, stop the bleeding." This time, Cui Jia thought for a moment.

"Not bad, quick response, this answer is fairly decent." Liu Banxia nodded.

"But if it were me, according to my standards, this is actually a big question. You could explain it according to different situations because it's rare to encounter identical patients."

"Like now, Xu Yino isn't daydreaming. While waiting for the stomach contents to be suctioned out of the abdominal cavity, she's also carefully looking for the blood vessels that need clamping next."

"The peritoneal fluid contains stomach contents and a large amount of blood. This really happens when the abdomen is opened and pressure is released, increasing bleeding."

"Therefore, in this context, stopping the bleeding is also a very important procedure. In my surgical experience, many patients can experience a cliff-like drop in vital signs when losing blood quickly."

"When performing surgery, especially emergency surgery, you must have the ability to adapt to unforeseen situations. Even before the surgery, you should have an estimate of what might happen during the procedure."

"Otherwise, why did Xu Yino dare to confront me just now when we were scrubbing in? She was considering what needs to be addressed in this operation. Everyone has their own way of handling surgery, but I still hope that you are prepared for unexpected situations before stepping up."

"Of course, this also requires cumulative experience, you need to diagnose more patients and participate more. Just now, Li Tianyang did well too, providing a certain degree of wound protection."

"But I still need to remind you, when closing the abdomen during suturing, be sure to carefully debride the wound. Part of the wound is caused by this fruit knife."

"Let me interrupt Director Liu's teaching for a moment. Did Doctor Xu just look so impressive?" After Liu Banxia finished speaking, Li Liwei chimed in.

"Well, you see, she had me almost speechless, so I hurriedly changed the topic." Liu Banxia said earnestly.

"Teacher Liu, can I treat you to lunch?" Xu Yino, who had just finished clamping the blood vessel, quickly interjected.

"You should have said so earlier. I already gave you the chance to lead the surgery, and you didn't even try to bribe me a little." Liu Banxia said.

Even those interns who have been on several surgeries with Liu Banxia are a bit hard-pressed to accept it. It's really because Liu Banxia's style is so unpredictable, he could even openly talk about being "bribed".

"Doctor Xu, can I interview you? What are you doing now?" Liu Banxia again asked earnestly.

"Extracting stomach contents, because the wound is quite large, and later the stomach will need to be rinsed to prevent any suture leaks." Xu Yino replied.

"Alright, so actually, this is very simple work. It's all about open the abdomen, ligate, debride, suture, and close the abdomen, right? Tian Yuan?" Liu Banxia said.

This Tian Yuan, like Li Tianyang, is a public worker.

"Correct. But considering the previous contamination in the abdominal cavity, a drainage tube should still be placed." Tian Yuan answered.

"Doctor Li, did you see that? The standards today are very high. At least half of this question was answered correctly, bypassed a small trap I set, yet fell into a big one." Liu Banxia said.

Tian Yuan was a bit dumbfounded. Isn't it supposed to be like this? What other big trap is there?

"We still need to examine the intestines and abdominal organs to avoid any unseen damage," Xu Yino said.

"Don't get discouraged, just keep pushing forward," Liu Banxia said with a smile.

"This is the second issue I want to address, which is something we might overlook when admitting emergency patients and performing emergency surgery. What is it? It's making sure to perform meticulous examinations."

"We don't have much time before the surgery, so we can only do it during the operation. We can't leave it until after the surgery, otherwise, if something goes wrong, we'll be in trouble, and we won't be able to wear our beloved white coats."

"When Xu Yino stitches later, you should all watch carefully to see how she does it. A surgeon doesn't just cut out necrotic tissue and call it a day; stitching is also very important."

"After the suturing, your task is to check the intestines with Xu Yino and also take the opportunity to confirm the positions of the abdominal organs, because in school, there aren't as many opportunities for this,"

"Doctor Li, what do you think? Isn't my teaching pretty good? Anyway, I've finished my part; it's their turn now. The patient's condition has nothing to do with me,"

The interns were surprised, wondering how Teacher Liu could say such irresponsible things?

"Don't mind what Teacher Liu says, he's just trying to distract you. Suction... okay, now rinse again, and then you can start suturing," Xu Yino instructed again.

Having studied under Liu Banxia for so long, she was very familiar with his ways.

She also knew that Liu Banxia wasn't just teaching the interns just now; he was teaching her too. It was a lesson in how to impress future interns when performing teaching surgeries.

"Are you on duty tonight?" Li Liwei asked.

"On duty, and it's a big shift too. But to be honest, I kind of miss it a little," Liu Banxia said.

"Actually, being on duty isn't so bad; they're here, so I won't be as busy. Whether there are critically ill patients, they're all in the ICU. There are fewer drunken incidents and fights, so I can sleep peacefully."

"Xu Yino's stitching is pretty good, at least these few stitches are of a decent standard, and she needs to keep it up. Don't always think that surgery is so complex; when you break it down, it's just a bunch of routines."

"Build your confidence; that's the first step to success. Keep going unwaveringly, and you'll be one step closer to success. How great is that?"

Xu Yino was focusing on stitching seriously, but she couldn't chat casually with others like Liu Banxia while doing it, otherwise, she'd have to criticize him a little.

Because she knew that the old tormentor Liu the Great was back, completely back, and might even be worse than before.

She wondered if these lost sheep could see the true face of the great tormentor. But based on her own experience, it seemed unlikely.

Wasn't I also once foolishly coaxed?

For now, better not think about it and concentrate on stitching.

Even though Liu Banxia was chatting idly with Li Liwei, his eyes were always on Xu Yino's work.

One must admit this girl is a bit mischievous and a bit crazy, but her work is spot on. Her operations carry a feminine delicacy, and her speed isn't slow either.

This made him very gratified, after all, he personally taught her. If it were someone else, it's hard to say how fast they'd grow if they weren't held to strict standards.

"Okay, stitching is done, now check the intestines," Xu Yino said after finishing the stitching.

The other interns gathered around the operating table as well. This was Liu Banxia's directive, to have them assist in checking and also observe the conditions of the abdominal organs.

This patient was quite lucky, with only a cut on the stomach and no intestinal issues.

Xu Yino also did a good job closing the abdomen, and in high spirits, she even hummed a little tune.

Ping! Emergency admission task completed.

Experienced points gained: 150

Liu Banxia was mentally prepared for the meager task reward. It was Xu Yino who did the admission, and Xu Yino who performed the operation, which was a low-level surgery, so even getting this much was pretty good.

"After waking up, have them take the patient to the ward," Liu Banxia instructed.

"Teacher Liu, did I do well?" Xu Yino asked.

"Why ask me? You should ask yourself. Do you think you did well?" Liu Banxia replied with a question.

"Hehe, I did well; I feel pretty good," Xu Yino said with a cheeky grin.

Li Liwei chuckled, "You guys in General Surgery must have a lot of fun every day."

"What else can we do? Work is already tough, so if there's no happiness, we have to create our own," Liu Banxia said.

Xu Yino was in high spirits, genuinely happy. The surgery felt great to her, almost as if her surgical skills had improved significantly.