[Verse 1] Two sessions in the cadaver lab, celiac axis mapped in cold Lesser sac peeled back like pages, every lymph node station told The hiatus measured, traced and memorized — T10, the vagus threads This isn't textbook passive reading, this is knowledge built from hands Novice level: name the variants, assist without a fumble Peptic ulcer, medical — H2 blocker, triple, humble Learn the staple before the suture, learn the port before the blade Every logbook entry dated, every level of grade [Chorus] Clips and injection, thermal coagulation Hemostatic powder pressed to the station Graham patch, then gastrostomy, hiatal repair supervised Distal then total, D2 lymphadenectomy — graded and authorized Novice, intermediate, advanced, independent — four rungs, don't rush the climb Watch the reference video, match your hands to the line [Verse 2] Upper endoscopy — the scope descends through the cardia and the fold You're hunting for the bleeder now, the stigmata sharp and cold Clip deployment, over-the-scope, injection of epinephrine true Thermal probe at tangent angle — hemostasis through and through Laparoscopic suturing drills, the anastomosis model waits Intracorporeal hand-tied knots, tension checked before you close the gates Intermediate expects you bringing Graham patch without a net Gastrojejunostomy flowing — but still supervised, not done yet [Chorus] Clips and injection, thermal coagulation Hemostatic powder pressed to the station Graham patch, then gastrostomy, hiatal repair supervised Distal then total, D2 lymphadenectomy — graded and authorized Novice, intermediate, advanced, independent — four rungs, don't rush the climb Watch the reference video, match your hands to the line [Bridge] Advanced: the distal gastrectomy, reconstruction mapped and staged Bleeding ulcer — operative — Billroth or a Roux engaged Staging CT read alone now, no co-sign on the call Independent — total gastrectomy, D2, you run the hall Leak surveillance, dumping syndrome, alkaline reflux — own the syndrome cascade Lead the MDT, pathology to palliation — every plan you've laid [Verse 3] Pull the video of your own hands, set it next to the expert cut Frame by frame the tension differs, there's the moment that you rushed the gut Graded responsibility climbing — not a rank but an anatomy of trust Operative logbook filling — every entry earned, not given, just Named the celiac branches, simulated, sutured, scoped, and read Now the milestones stack like vertebrae — a scaffold, not a ceiling overhead [Chorus] Clips and injection, thermal coagulation Hemostatic powder pressed to the station Graham patch, then gastrostomy, hiatal repair supervised Distal then total, D2 lymphadenectomy — graded and authorized Novice, intermediate, advanced, independent — four rungs, don't rush the climb Watch the reference video, match your hands to the line
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