Are those scratches, the white 'phonechords' or what they are named? Those work very well, imho
I'm not sure what to make of those loose wires between the pylons, but other than that it shows a definite progression from your early examples of the same composition.
Yeah, this would have been improved with either more negative space to the right or a third, distant pylon in the background to the left. I would assume there's no real way of changing the wires in this version, but what you could do in future is use string as guides? I d'know, I'm not sure on how these are processed.
You're too short to make a surgeon anyway, you'd need a stool just to get at patients; and given your track record with steps, that'd only ever end in disaster.