Chinese medicine: When you do things to the extreme

Chapter 103: Status Change! (Subscribe)
"how do you feel?"

In the locker room of the emergency operating room, Ning Zhu stood beside Zhou Yanqing, taking off his clothes while making sounds.

After Zhou Yanqing took off his clothes, he felt a slight chill all over his body. He rolled his eyes and asked with a smile, "Brother Zhu, what kind of feeling are you referring to?"

After Ning Zhu took off his clothes, he glanced at Zhou Yanqing's figure and pulled in his bulging belly, barely making it similar to Zhou Yanqing's:
"The more formal way of saying it is being asked to help."

"In layman's terms, it means showing off in front of others."

"How does it feel?" Ning Zhu touched his belly which was bulging again, looking helpless.

"Back then, I, your brother Zhu, also managed my body very well, but since I became a resident, I have become overworked and fat."

"Eat a lot and eat fast..."

Zhou Yanqing realized that Ning Zhu might be feeling disappointed. After all, he was Ning Zhu's subordinate and much younger than Ning Zhu.

Xiao Zhongyuan didn't ask Ning Zhu to sew up his father-in-law, but borrowed himself instead. Ning Zhu must have felt a little disappointed.

"Brother Zhu, aren't you willing to give me a chance? Otherwise, how would I have the chance to show off?"

Zhou Yanqing really needed more opportunities to operate, and Ning Zhu was the "leader" of his clinical project, so Zhou Yanqing could only be worldly-wise: "Brother Zhu, I will remember your cultivation!~"

"Stop, stop, stop!"

Ning Zhu turned around and said, "Who has bewitched you? Are you trying to flatter someone?"

"From my heart. Best wishes, brother."

Zhou Yanqing rolled up the belt and put it in the closet, carrying Ning Zhu on his back: "There are many teachers who can guide me in clinical practice, but there are only a handful of teachers who can guide me in scientific research."

“I’m in need of this!”

Zhou Yanqing directly exposed his own shortcomings and was nakedly exposed in front of Ning Zhu.

Zhou Yanqing, who had insufficient scientific research funds and insufficient scientific research accumulation, wanted to try his best to take the path of professional special channels.

If there was a more direct shortcut, why would Zhou Yanqing ask for help everywhere?

Zhou Yanqing, who did not hear Ning Zhu's reply, turned around and said, "After being in Xiangya Hospital for so long, I gradually realized that doing scientific research and not doing scientific research are two completely different states."

“To put it simply, those who don’t do scientific research can only reach the peak, and those who do scientific research only have the possibility of redefining the peak.”

"Although it's only one step away, it ultimately locks up many people's lives."

Zhou Yanqing understood that scientific research accumulation is also difficult, and it may be more difficult than the accumulation and improvement of professional operations.

At present, the path for learning clinical surgery and professional operations is relatively transparent, but the inevitable requirement of scientific research direction is to seek innovation and blaze a new trail.

As we all know, if you want to go your own way, the greater possibility is that you will get hurt.

Ning Zhu pulled up his trousers calmly and said, "You speak like an old man. Can you understand life?"

Zhou Yanqing smiled and said nothing more.

……

Only after entering the operating room floor did I feel the coldness around me fade away. The air conditioning in the laminar flow operating room is quite powerful.

As the goose bumps on his forearms gradually faded away, Zhou Yanqing asked again, "Brother Zhu, what is the direction of the small clinical project you are working on? Can I help you a little more?"

Ning Zhu turned his head, then shook his head, his eyes serious: "You can't chew too much! Yanqing."

Zhou Yanqing was not annoyed and continued to ask: "Is it other brothers who are doing it? Brother Zhu, I just want to help more. It doesn't matter if you don't mention the name."

Ning Zhu paused slightly when he heard this: "Yanqing, are you unable to practice in the training room anymore?"

"I heard that you've been in the gym for several days, practicing suturing with a floating foam board."

"Didn't your master tell you that you can practice coccygeal suturing for free?"

After being exposed by Ning Zhu, Zhou Yanqing tensed up a little: "Brother Zhu, even if you want to practice for free, you have to go and claim it first..."

Even if the exercise materials in the training room are free, you have to pay first and then the department will reimburse you. The material supply department will not play accounting with you.

In fact, it is understandable that supplying materials in a gym is a matter of quantity, and it is not a "profitable" business at all.

It's a small business and no credit is required.

Zhou Yanqing couldn't even come up with this little money, which made Ning Zhu a little confused about what to do.

Of course, Ning Zhu could understand that.

Whose "good guy" at Zhou Yanqing's stage can only improve by connecting and suturing the tail artery of mice?

Generally, those who have reached this level are doctors in this hospital. After staying in the hospital, their monthly salary is at least more than 10,000 yuan.

It costs about three hundred yuan to train two a day, and about nine thousand yuan for thirty days.

The department of our hospital provides subsidies for the practice of doctors, basically only one tenth of the cost is required!

No one could have imagined that Zhou Yanqing would have to spend so much money at his age, and the department had no experience in dealing with this before.

"How about this, I'll introduce you to a few small businesses. When you go there, tell them that you can lower the price a bit, but ask the equipment company to give you more opportunities to operate."

"Just think of it as you going to an alternative training room." Ning Zhu said, then he started walking again and entered the operating room.

After entering the door, the patient had already completed general anesthesia.

Because it was a severed finger and the time was special, the anesthesiologist would not ask the senior doctor in the anesthesiology department to perform nerve block anesthesia specifically.

After Zhou Yanqing and Ning Zhu worked together to put on the tourniquet, they began to work together to disinfect and lay the towel.

There was no instrument nurse at this time, so Zhou Yanqing had to serve as both an assistant and an instrument nurse.

After all the preliminary preparations were done, Zhou Yanqing, wearing a sterile surgical gown, stepped on the automatic sensor door of the operating room, poked his head out and shouted, "Circulating teacher of operating room 6, circulating teacher of operating room 6, come and help adjust the mirror."

The eyepiece of the microsurgical scope has magnifications, so the surgical team has to adjust the height, and the specific magnification adjustment is not convenient.

"Here they come!" An echo came from far away in the operating room corridor.

Zhou Yanqing then returned to the operating table and started cleaning the wound with Ning Zhu.

In finger replantation, the first step is to clean the wound thoroughly, and then use Kirschner wires to fix the broken bones, and then suture the muscles, blood vessels, nerves, etc.

After Zhou Yanqing picked up the tweezers, Ning Zhu said as he operated, "Yanqing, let's discuss and work together."

"You will do the blood vessel and nerve sutures, and I will do the rest, such as fracture fixation, tendon sutures, muscle sutures, and skin sutures?"

Zhou Yanqing, who knew that his incision and debridement skills were a bit poor, blinked and said, "Brother Zhu, how about we switch?"

“It’s a little tiring to stitch the tendons and muscles.”

Zhou Yanqing actually wanted more opportunities for suturing operations.

Now, if Zhou Yanqing only sews tofu, orange peel, etc. again, it will not be counted as the number of stitches at all, and there will be no reaction in the fine skill hall.

Therefore, Zhou Yanqing could only try his best to gain more operation opportunities for himself. [Half Hundred Medal: Complete sutures of standard quality or above 670 times and you will be awarded the (Half Hundred Medal). (500000/)]

This will be a super super long task.

Five hundred thousand sutures, even if one thousand sutures are completed a day, will take 500 days to complete.

But the problem is how can he get so many stitches and keep the quality above the standard? Therefore, Zhou Yanqing estimated that it might take him two to three years to complete the medal mission.

It is estimated that the total number of stitches required for replantation of a severed finger is less than two hundred.

Ning Zhu heard this, put down the instrument, looked at Zhou Yanqing, his eyes like piercing: "You must force me to say that I can't sew nerves, right?"

Zhou Yanqing immediately realized what was going on. He lowered his head and said nothing. When Ning Zhu started to operate again, he started to explain: "Brother Zhu, I just want to operate more so that you can have more rest."

"Truthfully."

"Yeah!~" Ning Zhu has been working with Zhou Yanqing for such a long time, so of course he knows that Zhou Yanqing is not a weird person.

At this time, the circulating nurse came in from outside.

"How do I adjust the mirror..."

……

Time flies, and in a blink of an eye it is already 7:20.

But Zhou Yanqing had just started to take over the vascular suturing, and the nerve suturing had not yet begun.

Ning Zhu glanced at the operating room panel, put his ear to the Bluetooth headset, and said, "Send a message to Teacher Tan 1."

"Teacher Tan, Zhou Yanqing and I are performing a finger replantation surgery and are unable to attend the handover. The patient Zhou Yanqing was in charge of has been handed over to Guo Dongyao for help."

Ning Zhu finished speaking, and after a while he put on the Bluetooth headset again and said, "It's OK, I'll ask for leave for you, just sew slowly, let me take a good look at your suturing skills, and see what they have become."

Upon hearing this, Zhou Yanqing raised his eyelids towards Ning Zhu and found that Ning Zhu's eyes were staring at him like an eagle. The light reflected in his eyes was like a sharp sword that could tear a person's coat into pieces.

Zhou Yanqing laughed first: "Brother Zhu, when did you find out that my suturing skills have improved?"

My own suturing skills have been "ascended" compared to the last professional channel assessment, and I have gained five experience points in a few days. I thought that not many people would discover it.

Unexpectedly, Ning Zhu still saw through the clues.

"Guess?" Ning Zhu, with a complicated look in his eyes, started to speak in a sarcastic tone, and even his breathing became heavier.

I guess he hates himself so much that he seems to be not at peace inside.

Zhou Yanqing stopped attracting hatred and continued to complete the nerve suture surgery.

Zhou Yanqing carefully picked open the epineurium layer and trimmed the edematous part of the nerve.

Ning Zhu's voice came again: "Yanqing, are you so arrogant now? You're too lazy to guess even if I ask you to?"

Zhou Yanqing's eyes were fixed on the operating field, motionless, and he replied: "Brother Zhu, please operate early. After the operation, we will go to rest for a while. Then I have to go back to change the medicine."

"My patient had an infection after surgery. He had to wash the surface pus every day. It was very smelly."

Ning Zhu continued to stimulate Zhou Yanqing's emotions with jokes: "If you don't want to go back, then don't go back. People with strong abilities have a higher tone, which is very understandable."

"How does the saying go? Those who have the ability to show off are called awesome, and those who don't are called idiots."

"Our hospital has always been based on strength. There is still a gap in status between me, Ning Zhu, and you, Yan Qing."

"Alas!~"

Zhou Yanqing became even more nervous after hearing this and became extremely meticulous.

Ning Zhu was in the assistant's position, slowly watching Zhou Yanqing suture the nerves, his brows furrowed deeper and deeper.

To be honest, Ning Zhu could tell nothing except that the nerve suture Zhou Yanqing had just performed was an adventitial suture.

It looks no different from the nerve suturing performed by Professor Tan Zhongyu and Professor Huang Xianming.

However, Tan Zhongyu insisted that Zhou Yanqing's operating skills, if only in terms of simple suturing techniques, were even better than those of Associate Professor Huang Xianming.

After Zhou Yanqing finished suturing the two finger nerves, Ning Zhu's brows were already furrowed.

"Brother Zhu, you can suture the skin now. Will you or I do the rest?" Zhou Yanqing reminded.

Due to the special relationship between blood vessels and nerves, the suture of severed finger replantation can be completed after the bone fixation, followed by muscle suture and then nerve and blood vessel suture.

After the vascular and nerve suture is completed, all that remains is the skin anastomosis.

Zhou Yanqing wanted to take it down, but was afraid that Ning Zhu would object.

"You sew it." He shrugged, stretched out his eyes and looked at Zhou Yanqing with a slightly melancholy look.

"Thank you, Brother Zhu. I'll start now!" Zhou Yanqing was not polite.

He picked up the needle and needle holder and began to sew quickly.

Zhou Yanqing's current suturing skills, when it comes to suturing skin and soft tissue, can only be described in four words: fast, fierce, accurate and good.

The suturing speed is fast, the needle is inserted and removed quickly, and the man is very skilled and skillful, without any delay, and the whole process is completed in one go.

The key to being accurate is that the positions of needle insertion and withdrawal, as well as the position of knot tying, can all be done very quickly.

On this basis, the stitching quality of each stitch is very good.

This is the state of making light of heavy tasks after accumulating the most basic fundamental skills.

It is not something that a beginner can compare with. When put together with many people, the difference is obvious.

At 8:20, after Zhou Yanqing finished the palm-side plaster fixation, he smiled and said, "Brother Zhu, you can go and rest now."

"I'll order breakfast later. When it's delivered, I'll call you to eat."

Ning Zhu finally came to his senses after hearing this. He took a look at the patient's severed finger, which was well fixed after the surgery: "Well, it's ok. Let's go!~"

Ning Zhu spoke calmly, but his heart was finally filled with turbulent waves.

Zhou Yanqing has really matured. With a little training, Zhou Yanqing's current skills will allow him to lead a team to perform severed finger replantation surgery within a year.

He has the demeanor of a mature chief physician in a prefecture-level city hospital.

And Zhou Yanqing is only less than 27 years old this year!

Finger replantation is a clinical "leftover". No matter how well it is done, the ceiling has been hit countless times. However, it does not affect its status as a very important emergency surgery component of hand microsurgery.

It is also a procedure that a mature hand surgery team must perform.

Zhou Yanqing didn't know about Ning Zhu's inner changes, he was just very happy that he had completed some more sutures. While making some progress on the road of suture improvement, he was also one step closer to winning the 'new medal'.

After Zhou Yanqing took the initiative to push the patient back to the ward, Ning Zhu went downstairs to the locker room and called Professor Tan Zhongyu.

(End of this chapter)