Chinese medicine: When you do things to the extreme

Chapter 102: The technology is in place, don’t go and ask for it! (Subscription required)
"Yanqing, when did you finish? Why didn't you wake me up?" Ning Zhu rubbed his eyes and walked into the doctor's lounge to find Zhou Yanqing who was looking at his phone on the upper bunk, his tone slightly complaining.

Zhou Yanqing stood up and put his phone into his trouser pocket: "Brother Zhu, I saw you were fast asleep before, so I didn't disturb you. Anyway, there was nothing urgent, so I just lay down for a while."

Zhou Yanqing climbed down the blue painted iron ladder and smiled: "Brother Zhu, is there an emergency?"

There are still two incisions that have locked up the daily tasks, and no matter how shameless Zhou Yanqing is, he has to get it done in the next few days.

"No, I asked you to come over for lunch." Ning Zhu walked to the sink and said, "Let me clean my face first, you go to the takeaway counter downstairs and get the takeaway."

"The hospital has been under strict control recently, and takeout is not allowed upstairs."

"Beep, beep, beep!~" Ning Zhu said, and began to rub his face with clean water.

Zhou Yanqing nodded in agreement immediately, asked for the last four digits of Ning Zhu's phone number, went downstairs in the elevator, and came back with the takeaway.

Zhou Yanqing also stopped by the store on the underground first floor and bought two bottles of drinks.

Ning Zhu was sorting out information in the resident office. When he saw Zhou Yanqing approaching with a bag, he turned his head twice to catch the bag.

He put away his phone and pushed over the small dining table with wheels: "Hurry up and eat. After that we'll have to prepare for battle."

"I have a friend in the emergency department who is following the 120 ambulance just sent me a message. A patient with a cut finger was sent in from a nearby factory."

As the chief resident, it is very normal for Ning Zhu to have some other connections.

Upon hearing this, Zhou Yanqing immediately started to open the lunch box.

Ning Zhu always had De Tianshun’s rice with toppings whenever he invited guests, and they would always order green peppers and cured pork intestines, which cost more than 40 yuan per portion.

After the two of them finished their meal quickly, Ning Zhu wiped his mouth with a tissue, took a sip of the drink, took a long breath, pursed his lips and shook his head gently: "Comfortable!~"

Zhou Yanqing touched his belly and said, "Brother Zhu, why don't we eat something cheaper next time? I think barbecue rice is pretty good."

In Zhou Yanqing's view, a lunch that costs 9 yuan is really expensive, and the delivery fee is at least 12 yuan, and sometimes yuan.

"You don't have to spend any money, why do you feel bad?"

Ning Zhu took another sip of iced coffee and said after swallowing it, "Yanqing, if you are willing, you can help Brother Zhu. I am currently working on a small clinical project on improved MT tendon suture and improved Kessler tendon suture."

"I just found this direction recently. Choose one, the control group or the experimental group?"

Zhou Yanqing frowned upon hearing this, then was overjoyed: "Thank you, Brother Zhu, for your cultivation!~"

"But shouldn't the control group and the experimental group have the same practitioner?"

Ning Zhu is willing to lead Zhou Yanqing on this small clinical project out of a favor.

As long as Ning Zhu calls out, the doctors and masters in the department will definitely be willing to serve.

The temptation to publish articles is irresistible to everyone from professors to interns and even trainee nurses.

"That's right, so you have no choice!~" Ning Zhu leaned his back against the wall.

He smiled slyly, "I have another project to do, so I don't have that much time. Not only do you have to help with the operation, but you also have to help collect data. I'll communicate with you when the time comes, and you can start working on it while the other brothers follow behind."

The article is divided into corresponding author, first author and other authors.

The value of the corresponding author is equal to that of the first author, while for other authors such as the second author, only the number of articles is counted, not the core quality of the articles.

Zhou Yanqing straightened his body, moved closer to Ning Zhu, and asked in a low voice: "Brother Zhu, is this my master's 'feeding'?"

Ning Zhu has no reason, why should he take himself to do clinical projects?
The only reason Zhou Yanqing could think of was that Professor Tan Zhongyu had made a move in secret.

"That's part of it, but more importantly, I want to find a helper so that I can accumulate some articles."

"As you know, during the hospitalization period, time is very limited, and there is basically no free time to do these things."

"If you are willing to do it, I have at least ten or eight more." Ning Zhu's whole body was in a state of 'relaxation', and even his bold words sounded a little soft.

"I'm definitely willing, Brother Zhu. I can endure hardships the most." Zhou Yanqing patted his chest.

Others who have advantages that you lack are people worth seeking.

Helping others to gain experience is actually a kind of resource exchange.

Ning Zhu nodded: "If someone else said that I can endure hardship, I would definitely doubt it, but Yan Qing, I would totally believe you without thinking."

"Then let's put it this way."

"You don't have to take it too seriously, Yanqing. My projects can't be done by others. There is no shortage of small projects like mine that can be done by others."

"Just don't be disgusted." Ning Zhu finally explained this, fearing that Zhou Yanqing would take it too seriously and Professor Tan Zhongyu would misunderstand that he was "poaching" people in private!
"Brother Zhu, you are too polite..." Zhou Yanqing smiled and shook his head.

Being able to find the right research topic from a vast amount of literature is a kind of foundation and ability in itself.

When Zhou Yanqing was at the First Affiliated Hospital of Hengda University, he dreamed of having something to do, having a topic and funding to do experiments and publish articles.

Who among those who are studying for a master's degree doesn't know that publishing an article is the biggest shortcut and the most official indicator of demonstrating one's research ability?

But whether you can publish an article, and whether you can publish a high-scoring article, depends not only on your ability but also on having sufficient financial support.

After a while, Zhou Yanqing followed Ning Zhu out of the resident office.

When he went out, Zhou Yanqing looked at the panel——

【缝合术（专家6/15）、肌腱缝合术（专家0/15）、Tang法肌腱缝合术（专精4/5）、kessler缝合术（专精4/5）……】

Arranged in order of skill level, suturing is the most basic skill.

After Zhou Yanqing's suture skills were improved, and to a very deep level, his upstream professional skills were unconsciously improved as well.

For example, the proficiency of flap suturing has now reached the (Expertise 3/5) level.

Before adding experience points to suturing, the proficiency of flap suturing was reached (proficiency 0/3).

This improvement is relatively scientific.

After all, knowing how to use a technique is a matter of cognition, and the extent to which one can do so is a reflection of one's ability.

……

Time flies, and in a blink of an eye it is New Year's Eve.

04:12am.

After Ning Zhu took Zhou Yanqing to the lounge in the operating room, they both collapsed and lay down, breathing calmly, motionless and without communicating, as if they were two "dead bodies"!
Five minutes passed before Zhou Yanqing heard a voice coming from Ning Zhu's direction: "Yanqing, what are your plans for New Year's Day? Do you want to take a leave and go out for some fun?"

"Brother Zhu, I don't need to ask for leave. I can still sew." Zhou Yanqing didn't look up. He didn't know whether Ning Zhu had stood up. Now Zhou Yanqing didn't want to move at all. He just wanted to lie down.

Starting from 8:20 this morning, Ning Zhu seemed to have poked the nest of emergency surgery. Until now, for a total of twenty hours, the two of them have basically never left the emergency department and the operating room.

After Zhou Yanqing finished speaking, he raised his head slightly and said, "I feel OK, not very tired."

It’s definitely tiring, but it’s also fun.

Today, Zhou Yanqing not only completed a new round of daily tasks after completing the daily task of incision, "15 cases" of tendon suture, but also completed another round of daily tasks, "25 cases of high-quality muscle suture", and completed three cases.

Therefore, Zhou Yanqing's current proficiency in tendon suturing has reached (expert 1/15).

Where else can you find such a good thing?

Hengda Affiliated Hospital may not be able to perform 15 cases of tendon suture in a week, but at Xiangya Hospital, it only takes two days.

This is a holy place for leveling up.

Who wants to rest?
"I'm tired. Can someone let me take a vacation?" Ning Zhu groaned, as if he were a dying man or a person who was about to be driven crazy.

Zhou Yanqing didn't say anything more. It was not until this moment that Zhou Yanqing understood the suffering of the hospital chief.

Always in hospital, always in hospital, always live in the hospital, the hospital is my home...

Ning Zhu prayed in vain, and after half a minute he said, "Go to sleep for a while. I'll set the alarm for 7:30, and we'll go back to the department to make rounds."

"Okay, Brother Zhu!" Zhou Yanqing put down his bag after hearing that, kicked off the rubber slippers hanging on his feet, pulled up the quilt and quickly fell asleep.

Thinking about going to make rounds and waking up at 7:30 was just Ning Zhu's wishful thinking.

The two of them had only slept for fifteen minutes when Ning Zhu's old cell phone, the chief resident's cell phone, rang again. Coupled with the violent vibration, it was almost like he was in ecstasy.

Ning Zhu chose to answer the call: "Broken finger, right? Where is it now?"

"Are there any other injuries?"

"Just a broken finger!"

"Okay, I'll be there right away!" Ning Zhu straightened up and sat up.

Then he saw Zhou Yanqing opposite him, rubbing his eyes and sitting cross-legged in the dimly lit lower bunk pitifully.

After Ning Zhu looked at Zhou Yanqing, Zhou Yanqing forced himself to cheer up and gave Ning Zhu a cheerful and energetic upper body.

Ning Zhu waved his hand: "Let's go and get to work!"

"As long as we can survive, we'll do our best. Let's try to replant the severed finger first. If we can't remove it, we'll ask Professor Tan to come over and sew up the nerve."

"But I estimate that your nerve suture technique should be up to standard."

"Ah!" Ning Zhu said this, and became messy again, grabbing his hair: "Yanqing, how can you be so perverted?"

"I'm really impressed by how perverted you are."

Zhou Yanqing ignored Ning Zhu's hysteria.

Zhou Yanqing knew that Ning Zhu needed to "vent" to some extent. However, Ning Zhu never vented in front of strangers. Even other doctors did not know Ning Zhu's "venting side".

Zhou Yanqing didn't know whether his superiors knew about it, but he had already watched it five or six times.

Zhou Yanqing continued to look at his suture skills!

【缝合术（专家10/15），神经缝合术（专精4/5）、血管缝合术（专家1/15）……】

This is the complete panel after adding 10 experience points to Suturing last time.

After the basic skills of suturing were improved, a series of basic skills were improved.

Zhou Yanqing speculated that the reason why many professors can crush their subordinates in all aspects is not because they have practiced more than their subordinates, but because such basic skills can promote the improvement of all upper-level operating techniques of a root system.

Not one or two, but a series! ~
"Brother Zhu, are you feeling better?" Zhou Yanqing stood up, straightened out the wrinkles on his clothes, and asked Ning Zhu who had just stood up.

Ning Zhu frowned when he heard this: "I was feeling much better, but now that you ask me this, I feel unhappy again."

"Then curse for a while longer." Zhou Yanqing opened his heart. Ning Zhu punched Zhou Yanqing directly on the deltoid muscle and breathed a sigh of relief: "This is more direct."

Zhou Yanqing's mouth twitched slightly——

It's not painful, but it's a bit invasive.

After Ning Zhu and Zhou Yanqing rushed to the emergency department, they found that the people in the surgical clinic had already made preoperative preparations for the emergency surgery as soon as possible, including blood drawing, X-rays, and electrocardiograms...

The patient's family members asked: "My arm is broken, not my heart or lungs. My condition is so obvious, why do I need so many tests?"

Ning Zhu told Zhou Yanqing to prepare for the conversation and signature items: "Who can guarantee that there are no problems with your lungs and heart?"

"Should we spend more time to check the condition of your heart and lungs? If so, we will ask the cardiologist and respiratory physician to come for a consultation!"

"Please ask the anesthesiology department to come for consultation."

“Is it more important for the surgery to be safe or for it to be faster and cheaper?”

Ning Zhu asked a series of questions and took the initiative directly: "You can't be sure that you have a problem, and I can't be sure that you don't have a problem. Doing a checkup is the fastest and simplest way."

"You don't want me to find out something, do you?"

"I'm telling you, the surgery can only go smoothly if no problem is found. If a problem is found, your finger will be useless and you can't go back to the state where there was no problem!~"

"right?"

After Ning Zhu's barrage of criticism, the patient immediately stopped talking.

Ning Zhu immediately began to soften his tone: "You came to the hospital to make yourself healthy, not to return with a lot of problems."

"And I can tell you very clearly that, generally speaking, the chance of having an absolute contraindication to surgery is very small, less than one in ten thousand."

"But even if the probability is one in a hundred thousand, I will still check it out."

"For all patients, probability is a statistic. For you, if you have a problem, it is 100%. I did not check and found any problem and performed surgery on you, which put your life in danger. This is irresponsible to you!"

Ning Zhu took the lead and said this, and Zhou Yanqing took the signed form for the conversation.

Ning Zhu took it over and said, "The situation is urgent. In order to save your hand, I will briefly explain the corresponding risks."

"First, even if your severed finger is reattached, its function will not be as good as the index finger on your other hand. This is 100% certain."

"It's the same whether you go to Kyoto or the United States. No medical skills can beat native organs."

"Secondly, there is a risk of necrosis after the operation, but the worst risk is just to amputate the finger again. For a chance of survival, we have to take the risk..."

……

While Ning Zhu was talking to the patient, the doctor on duty in the surgical clinic came over, knocked on the door and said, "Boss Ning, can I borrow this Doctor Zhou who is following you?"

"My father-in-law got up this morning to make breakfast for me and cut his hand."

"I know you're busy..."

Yue Laozi means father-in-law.

Hearing this, Ning Zhu turned his head slightly, pointed at the doctor on duty in the surgical clinic, grinned, and then continued to talk to the patient and get his signature.

"Thank you, Mr. Ning!" Xiao Zhongyuan from the gastrointestinal surgery department immediately put on a playful smile.

Then he approached Zhou Yanqing, and when he walked out side by side with Zhou Yanqing, he actually stuffed three packets of Zi Li and Tian Xia into Zhou Yanqing's pocket.

He whispered, "Brother, take it, if you don't take it out, you can exchange it for some lunch money."

Zhou Yanqing quickly shook his head: "No, no, Teacher Xiao, this is just something I can do to help."

“Besides, this is our job.”

Xiao Zhongyuan was not happy: "Work is work, helping is helping, do you look down on me?"

"Teacher Xiao, we really can't accept this. Otherwise, I will go back and ask Brother Ning Zhu to come." Zhou Yanqing pointed back.

Xiao Zhongyuan was stunned when he heard this.

After putting away the things, he continued, "Can we have a meal together, brothers?"

Zhou Yanqing thought about it seriously and then nodded.

"Thank you, Teacher Xiao!"

Giving gifts is against the rules, even if Xiao Zhongyuan is a doctor in our hospital, but since we are all having dinner together, it is hard to let it go.

"You, young man, have made everyone so distant." Xiao Zhongyuan was still a little unhappy.

After a while, Xiao Zhongyuan took Zhou Yanqing to the operating room of the emergency department, and took the initiative to go out to prepare debridement bags and other items.

After Zhou Yanqing put on his mask, he approached and said, "Uncle, let me show you this hand..."

The old man looked to be in his sixties and was in good health.

He was stunned for a moment, then laughed: "Okay, thank you, young man..."

As soon as Zhou Yanqing opened her mouth, another old lady immediately followed him out the door.

After he went out, he trotted out and shouted, "Zhongyuan, Zhongyuan, wait a minute, didn't you say you were going to find an experienced person?"

"Who is this young man?" The old man ran to the side of Xiao Zhongyuan who was standing still, full of suspicion.

Xiao Zhongyuan hurriedly said, "Mom, didn't I explain it to you before? I'll go find an experienced doctor. This young doctor is called Doctor Zhou. He's nothing special."

"Don't look at his youth. His skills are much better than the older one. Believe me. Can I lie to you?"

The old lady's eyelids flickered quickly when she heard this: "Really?"

"Really? You're my mother and he's my father. How can I cheat you?"

"Xiaoxue knows that I tricked you, so why don't you cut off my arm?"

"Mom, don't distrust Dr. Zhou just because he's young. I work for this hospital, don't I know that?"

"His skills are second to none!~" said Xiao Zhongyuan.

"If he's not here, I'll have to find him if the professor doesn't come forward. You have to talk to dad about it, don't let him get angry and leave."

After Xiao Zhongyuan finished speaking, he immediately walked away to the equipment room.

"..."

In the operating room, the old man listened to Zhou Yanqing's words and loosened his left wrist. He just asked with some concern: "Doctor, are you Doctor Zhou? Doctor Zhou Yanqing?"

"Yes, uncle, look at my name tag." Zhou Yanqing instantly understood that it must be Xiao Zhongyuan who introduced him to his father-in-law, and he was secretly happy in his heart.

The joy of having your skills recognized by colleagues from other departments is hard to describe but sweet.

"Doctor Xiao said Dr. Zhou Yanqing is so young?"

"how old are you?"

"Twenty-six."

"Are you married?"

"not yet……"

Zhou Yanqing said, "Uncle, don't move. I'm going to clean the wound for you. After that, we can start suturing."

"There was no damage to the blood vessels, but the tendon was definitely injured."

At this moment, Xiao Zhongyuan quickly ran back to the operating room and said, "Doctor Zhou, how do you think I should cooperate with you?"

Generally speaking, when Zhou Yanqing operates here, he either brings an assistant from his own department or asks the nurse on duty in the emergency department for help.

But the patient was his father-in-law, so Xiao Zhongyuan naturally had to serve him personally.

"Teacher Xiao, just prescribe me a local anesthetic and pour some complex iodine into the curved dish."

"Also, if it's convenient for you, please help me press the deflection of my uncle's radial and ulnar arteries. This can reduce the bleeding." Zhou Yanqing smiled and said a few more words.

In fact, it doesn’t matter if you don’t press it. The bleeding is only a dozen milliliters at most, which is affordable for a normal person.

Upon hearing this, Xiao Zhongyuan immediately cooperated.

Then he tilted his head to calm the old man down: "Dad, don't move yet, it will be fine in a while, Doctor Zhou sews very quickly, and it's quick and good."

The old man was originally skeptical about Zhou Yanqing's skills, but after his son-in-law came back again, he still praised Zhou Yanqing very much, so the old man said no more.

It is now a piece of cake for Zhou Yanqing to complete such debridement and suture.

After suturing the tendon and skin using the standard modified M-Tang suture method, Zhou Yanqing wiped the skin surface and found no further bleeding. The distal end of the finger was red and the blood circulation was smooth.

Zhou Yanqing said, "Okay."

"Come on, uncle, move your fingers a little bit. Don't use too much force. Just a little bit will do."

"You have local anesthesia now, so it won't hurt much, but the force exerted by the flexor tendon is not in the finger, so you can move it."

Zhou Yanqing said, and when he saw that the old man was still able to bend and stretch, he quickly called a halt: "That's enough, don't move anymore!"

"From now on, although these two fingers can't perform very delicate functions, their daily activities will not be affected."

"I'll make you two aluminum fingerboards to temporarily fix them. Tomorrow, you can buy a finger brace online and wear it." Zhou Yanqing ordered.

Xiao Zhongyuan tilted his head and asked, "Would it be better if we custom-made it?"

Zhou Yanqing said, "At most I can only give a little bit at most!"

Zhou Yanqing didn't dare to say that there was no benefit in choosing customized products in the department, but he did not recommend choosing customized products.

Xiao Zhongyuan nodded when he heard this: "Thank you, Doctor Zhou!~"

"Thanks a lot."

"It's okay, Teacher Xiao. It's just that after I finish the aluminum fingerboard here, I still have to go to the operating room. There are some detailed matters that need to be paid attention to, as well as the sequential process of functional rehabilitation. We will discuss it in detail on WeChat then."

"I'll send you a more complete plan." Zhou Yanqing said.

"Thank you for your hard work." Xiao Zhongyuan immediately bowed and smiled, feeling that his face had reached its peak at this moment.

(End of this chapter)