Chapter 219: My Medical Skills Can Gain Experience Points

【My Medical Skills Can Gain Experience Points】

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In the operating room, Zhou Can was performing surgery like mad, one case after the other.

During the lipoma removal operation, an inexplicable sense of crisis emerged in a bizarre fashion and vanished just as mysteriously. No one could tell when it had simply faded away.

Zhou Can didn’t dwell on it, instead focusing intently on his next surgery.

……

Working nonstop until the end of his shift, Zhou Can completed a total of seventeen surgeries today. At his pace, he could nearly knock out close to thirty level-one and level-two surgeries in a day.

However, today’s lipoma removal was a level-three surgery, taking nearly three hours.

Similarly, the earlier thyroid tumor operation was also a level-three procedure.

That’s why he managed only seventeen surgeries in total.

Two level-three surgeries and fifteen level-one/two operations—an impressively high workload.

Wu Ziyu had been busy all day too; she must have learned a lot.

By around five in the evening, though reluctant to leave because she still had ward rounds to manage, she hurried off to hand over her shift in the ward.

Residents are essentially full employees—if they worked in a more relaxed department, their workload might be lighter.

But in understaffed departments, the workload can be enormous.

The fact that she would work eight hours in the OR and then take a night shift managing the ward showed just how fiercely she was determined to improve her surgical skills.

Tuyu Hospital is full of ambitious doctors.

Most doctors and nurses work incredibly hard.

After finishing his surgeries, Zhou Can made a point of checking on the patient from the lipoma removal operation in the ward.

The patient had already regained consciousness.

However, he looked a bit pale and lacked energy, clearly appearing fatigued.

“Who is the primary doctor overseeing this patient?”

“It’s me, it’s me! Hello, Dr. Zhou, my name is Bu Shiren. I’m temporarily in charge of this ward’s patients. If you need anything, just let me know—I’ll take care of it.”

The bed-managing doctor, a genuine resident of about twenty-seven or twenty-eight, was on duty.

He was three or four years older than Zhou Can.

His rank was slightly higher than that of Zhou Can, who was still a trainee.

Once trainees pass both sets of exams and register as doctors at the hospital, they become full residents.

But with relatively little experience, most trainees undergo about two years of training before obtaining a license. Some unfortunately fail the exam and must try again next time.

For unsanctioned trainees, finishing three years without a license becomes extremely awkward.

Since the licensing exam is a national standardized test with fixed dates and separate practical and theoretical components, the entire cycle is quite prolonged.

For trainees who fail their first licensing attempt, securing a license by the end of a three-year period is nearly impossible.

After the training period, the question of what to do next looms large.

Even if the hospital wants to keep you on and let you keep trying for a license, the trainee’s salary is pitiful compared to the high cost of living in a provincial capital—often forcing you to ask your family for money even after four or five years of work.

Supporting an undergraduate med student is already a challenge; financing a graduate student is even costlier.

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【My Medical Skills Can Gain Experience Points】

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Most families are ordinary, struggling just to fund your education through college—and even graduate school.

After several years of work, having to ask your parents for money is an embarrassing ordeal, even if they do help.

It fills you with a deep sense of shame.

Meanwhile, you watch former classmates—now permanent residents with higher salaries, performance bonuses, surgical commissions, and annual bonuses—advance on a normal career path.

Who wouldn’t feel a pang of envy?

Then comes an even more serious issue: by twenty-seven or twenty-eight, you’re expected to start settling down.

While it might be less of a concern for girls, which girl would want to marry a male med student with no money and no prospects?

At that point, the pressure feels like a mountain on your shoulders.

And there are even harsher challenges.

If you fail your first licensing exam and the training hospital won’t let you register again, you must find another hospital and pay out of pocket for another attempt.

Thus, the path from med student to doctor is incredibly arduous.

It’s precisely this difficulty that forces many med students to change careers—either into administrative roles or other healthcare-related fields.

Even passing the exam doesn’t guarantee smooth sailing.

There are just too many uncertainties.

For instance, if you lack talent in diagnosis, surgery, or academics, you might stagnate for years—even if you aren’t dismissed. You could continue scraping along, join research projects, even pay for a couple of papers, and toil to get promoted to Attending Physician.

The success rate of residents advancing to Attending Physician is relatively high.

Even if you fail once, you can’t retake it immediately—but eventually, you will succeed.

Once you become an Attending, you simply remain in the department, diligently doing your job.

Provided nothing major goes awry, you can safely ride it out until retirement.

That describes the worst of the scenarios.

But for those who excel, the future is limitless.

Rising to Chief Physician in your forties isn’t an end—it’s the beginning of a whole new chapter in life.

At that level, you’ll likely join academia—starting from Assistant Professor, advancing to Associate Professor, and ultimately to full Professor; with thirteen academic ranks, reaching the top basically secures your name in history.

Beyond academia, clinical practice and research offer further avenues for development.

The career paths are truly numerous.

If you can clinch a top research award—be it the Youth or Distinguished Award—while in your forties, at the peak of your life, it’s every doctor’s dream come true.

……

Bu Shiren’s years of work far exceeded Zhou Can’s, marking him as a senior resident. Typically, his rank would be higher than Zhou Can’s.

However, many factors in a hospital determine a doctor’s status.

Bu Shiren treated Zhou Can with the same respect you’d accord a Chief Physician.

That unspoken status is intangible yet very real.

Unlike relying on connections, Zhou Can rose purely through merit, earning genuine respect from his fellow residents.

“I just reviewed the patient’s temperature, blood pressure, and other records. Dr. Bu’s work is exceptionally meticulous.”

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【My Medical Skills Can Gain Experience Points】

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Zhou Can lavished high praise on Bu Shiren’s work.

Recording all vital signs every fifteen minutes—a protocol usually reserved for critical patients—showed just how dedicated Dr. Bu was.

“These are all part of my duty.”

Dr. Bu beamed as he received Zhou Can’s commendation.

Because Zhou Can’s unique standing in the department meant that a few kind words from him in front of Director Liu could open new opportunities,

he added, “For the next few days, please keep a close eye on this patient’s vitals. If any abnormalities or discomfort appear, contact either me or Director Liu immediately.”

Zhou Can instructed Dr. Bu.

“Understood!”

Dr. Bu acknowledged this with a knowing nod.

Patients personally assigned by surgeons are always high-risk.

If the bed-managing doctor fails to monitor them carefully, it could quickly turn disastrous.

Some instructions are too sensitive to voice in front of the patient and must be understood implicitly.

“Although the patient’s blood pressure, respiration, heart rate, and temperature are fairly normal, we can’t afford to be complacent. Instead of checking every fifteen minutes, let’s switch to every two hours.”

After reviewing the case, Zhou Can made the adjustment.

It was now 7:26 PM—just over four hours until night duty begins, when only one doctor will be on call and certainly overwhelmed.

With the patient stable and accompanied by family, any issues would likely be spotted promptly.

……

After returning from the hospital to his apartment, Zhou Can, exhausted from the day, just wanted to collapse into bed.

Yet he persisted, practicing his fast scalpel technique for two hours, followed by an hour dedicated to transfer technique.

So far, of his seven advanced medical skills, only Anesthesia Technique and Transfer Technique remained at level three; the others had already soared to level four.

Once a skill reaches level four, further progress relies almost entirely on hands-on practice with patients.

His Transfer Technique was merely thirty-something points shy of level four.

After an hour’s practice, the Transfer Technique’s XP had risen to 997.5/1000. Zhou Can was obsessed with leveling up.

Every time the XP neared the threshold, he would do everything possible to bridge that small gap.

With just 2.5 XP needed to hit level four, he was determined to collect every last point.

Gritting his teeth, Zhou Can continued practicing.

In that moment, it felt reminiscent of his intern days—when he’d furiously practice suturing and knot tying on pigskin just to secure a residency.

“In less than two years, I never imagined that a medical XP system would completely transform me and change my fate.”

Zhou Can couldn’t help but feel an overwhelming surge of emotion.

He was no longer the intern with nothing to his name; through sheer effort and the XP system’s help, he had transformed.

Every aspect of his abilities had experienced a quantum leap.

His repertoire of skills was now so extensive he could hardly count them all.

He even possessed four types of surgical techniques at the deputy chief level.

Techniques like Fast Scalpel and Life-saving Insight were unique skills that ordinary doctors lacked.

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【My Medical Skills Can Gain Experience Points】

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Practice licenses, orthopedic skills, various advanced medical techniques…

Compared to his early days, Zhou Can could hardly believe he had become so exceptional.

【Transfer Technique XP +0.1 +0.1……】

At that moment, it felt as though he were like Zhou Botong from a martial arts novel, fighting with both hands at once.

【Congratulations! Your Transfer Technique has advanced to level four with a current XP of 1/ . In surgery, you can now deftly and precisely transfer instruments such as vascular stents, metal rings, interlocking nails, and bone screws. You can also perform seamless tissue transfers—whether it’s vessels, kidneys, or neurons. Switching hands or even pulling in the opposite direction is now efficient and swift.】

This technique is rarely used in traditional surgeries.

It is typically employed in endoscopic procedures.

Its benefits speak for themselves.

In critical moments, it is indispensable.

Compared to level three, its precision had increased dramatically, now even allowing for trauma-free tissue transfers.

This was crucial.

Using instruments to clamp and pull organs and tissues often causes damage—something now resolved with Transfer Technique at level four.

“Finally, another medical skill has reached level four. The feeling of constant upgrades is simply amazing.”

Zhou Can knew that every skill he upgraded daily made him even more formidable.

A towering structure begins with a small mound, and a mighty tree starts as a tiny seed.

Becoming a renowned doctor is not an overnight transformation; it requires gradual improvement in each skill, continuously supplementing weaknesses and honing strengths—just as Zhou Can did—to ultimately achieve greatness.

With Transfer Technique upgraded, Zhou Can could finally take a shower and sleep soundly.

After his shower, he sat on his bed, opened his laptop, and carefully documented his surgical insights and the day’s key takeaways.

Then he began studying basic medical knowledge.

Director Xueyan had invested great effort into creating a long-term study plan for him, one he was determined to follow through on. After all, learning is a process of persistence and accumulation.

Passing the licensing exam does not mean your studying stops.

If you truly want to achieve great things, you must fill in the gaps in your medical knowledge.

Undergraduates have very limited time in school—by the fifth year, they’re already in hospital internships, and their study during that time is sporadic at best.

Serious academic study lasts only four years.

This is why many top-tier hospitals prefer recruiting those with master’s or doctoral degrees.

Graduate students possess deeper medical knowledge—especially in their chosen specialties—and with a bit more training, they can quickly become independent key physicians.

Normally, it takes a hospital much longer to nurture an undergraduate into a departmental pillar.

If an undergraduate slacks off, the training period extends and success becomes unlikely.

Ultimately, this drags down the hospital’s overall standard of care.

Zhou Can was now excelling in every field, like a burst of blooming flowers. He knew that when it came to academia, he couldn’t afford to fall behind and had to catch up quickly.

When he crammed for the licensing exam last time, he clearly felt the tangible benefits.

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【My Medical Skills Can Gain Experience Points】

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He had witnessed great improvements in pathology diagnosis, medication orders, ward management, and surgeries—all thanks to a boost in his medical knowledge.

Only after reading until midnight did Zhou Can finally turn off the lights and sleep.

On the other bed, Jin Mingxi’s snoring had already long begun.

The gap between them was steadily widening.

When he first passed the trainee exam, Zhou Can’s practical surgical skills, treatment experience, and basic medical knowledge were far inferior to Jin Mingxi’s.

But now, Jin Mingxi couldn’t hold a candle to him.

It proves that hard work pays off, allowing Zhou Can to quickly surpass one rival after another.

In his light sleep, his phone rang.

Zhou Can casually silenced it, turned over, and tried to get back to sleep.

But the ringtone blared again.

This time, he woke up a bit more, realizing someone was calling.

“Hello, is this Dr. Zhou Can?”

A young, gentle woman’s voice came through, tinged with urgency.

“It’s me!”

Half-awake, Zhou Can was no stranger to midnight emergency calls from the hospital.

When a patient goes critical, the on-call doctor often can’t handle it alone, so they call in specialists for salvage and consultation.

Since Zhou Can was still a trainee, he wasn’t summoned very often.

Chief Physicians, Associate Chief Physicians, and even interns are usually the most burdened in these situations.

Interns are called upon to handle the menial tasks in emergency rescues.

Shuttling patients for tests, fetching results and medications, and basic tasks during surgery all fall on the interns.

“Dr. Zhou, I’m sorry to disturb you at this hour. This is Neurosurgery—we just received a patient from the ER, deeply comatose from a brain hemorrhage and in urgent need of rescue. Director Wu is asking you to join the consultation and emergency efforts.”

She briefly explained the situation.

“Alright, I’m on my way!”

After hanging up, Zhou Can quickly dressed and dashed out of the apartment building toward the hospital.

There was no need to worry about onlookers thinking he was acting crazy—situations like this unfolded every day in that building.

Any doctor who gets an emergency call from the hospital finds themselves in this state.

He sprinted all the way, determined to save a life.

Zhou Can wondered why Neurosurgery would suddenly summon a trainee like him for a rescue.

He had spent several months in neurosurgery training, so he was well acquainted with their capabilities.

Apart from the Peak Scalpel expert Wu Baihe, the department boasted numerous elite neurosurgeons—including several Chief and Associate Chief Physicians.

For such a formidable department to specifically call a trainee made Zhou Can feel a bit puffed up with pride.

He pondered over the patient’s condition.

It surely wasn’t just a simple brain hemorrhage.

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