Chinese medicine: When you do things to the extreme

Chapter 108 The Last One (Subscription Request)
On April 28, Zhou Yanqing was on a "half-vacation"

The department arranged for the orthopedic defense to be held on May 5. Zhou Yanqing had already completed two preliminary defenses and no mistakes were found.

The data collection for the clinical project that I am working on with Ning Zhu is in the final stage. Once the data processing is completed, we can start data analysis and write the paper.

May 5th is the time for the operational examination for the final assessment of standardized resident training, and Zhou Yanqing only needs to wait.

The only thing Zhou Yanqing needs to do now is to have a good rest, read the literature, and find out which direction of basic scientific research on osteosarcoma he needs to complete during his doctoral studies.

Zhou Yanqing was sitting on a yellow lacquered wooden chair in the dormitory. As he was scrolling through documents with the mouse in his right hand, the phone in front of his left hand vibrated.

Zhou Yanqing picked it up and read: [China Post] Please bring 4-131001 to the local specialty store to pick up the package with the last digit of the waybill number 0003. For details, call 132XXX…

After reading it, Zhou Yanqing's brows immediately relaxed. He didn't care about the document he hadn't finished reading yet, and simply pulled out the stool and ran out.

If nothing unexpected happens, this is the second doctoral admission letter.

The first notice arrived in Heng City on March 17 and was placed at the postal express delivery point next to the dormitory. Zhou Yanqing picked it up on April 2 and opened it in his hometown, which made his parents so happy that they couldn't sleep in the middle of the night.

According to them, Fudan University is not only a top university and a long-established 985 university, but also has a doctoral admission notice, which should be a double blessing.

If nothing unexpected happens, this one should be from Central South University.

After Zhou Yanqing received the package, he found that it was indeed an email sent from the Graduate School of Central South University.

Hard-cover surgery, neatly packaged.

Zhou Yanqing did not open it on the spot. He took it and ran into the dormitory. He washed his hands and was about to open the parts when his cell phone rang at an inopportune time.

It was Brother Li Zhong: "Brother Zhong, have you had lunch yet?"

The time has come to eleven thirty-seven, almost lunch time.

"Yanqing, are you busy now? If not, would it be convenient for me to come to the operating room for emergency treatment?"

"Director Gong went to the countryside to perform surgery today, and Director Tao Yubin was also taken there!"

"Here comes a man with a broken palm. Brother Zeguang and I have looked at him again and again, but we still think it's a bit difficult to deal with..."

"I just called Director Gong. Director Gong wanted to know if you are free. If you are not free, let me call Director Dong." Li Zhong's voice became extremely cautious.

Upon hearing this, Zhou Yanqing had no choice but to put the email away.

He replied, "I'll be right there, Brother Zhong. But can I go have a meal first?"

Zhou Yanqing asked with a smile.

A palm replantation operation takes at least five or six hours, or even longer. If time permits, Zhou Yanqing doesn't want to go on an empty stomach.

"Of course you can. Brother Guang and I are getting ready to go on stage. Why don't you come to the dining room in the operating room to eat first? I'll treat you to a meal after the operation is over?" Li Zhong suggested cautiously again.

"Okay, Brother Zhong, then please wait for me for a while. I eat very quickly." After getting permission, Zhou Yanqing immediately rushed to the dining room where they had 'free' meals.

After finishing his meal, Zhou Yanqing chewed his food slowly while carefully examining the panel that had not changed much in the past half month.

【外科理论：外科学（专精1/5）、骨科学（专精2/5）、手外科（专精3/5）、内科学（熟练1/3）……】

Compared with half a year ago, Zhou Yanqing’s current theory can only be described as very solid.

At this age, the theoretical level of general surgery has reached specialization, and orthopedics and hand surgery are approaching expert level.

The speed of theoretical improvement is very, very slow. If the theory is to be advanced to the expert level, it is more difficult than basic surgical operations.

【外科诊断学：X线阅片术（专精2/5）、CT阅片术（专精2/5）、核磁阅片术（专精2/5）、医学基础查体（专精1/5）、医学检查判读（熟练2/3）、医学检验学判读（熟练2/3）】

In terms of diagnostics, Zhou Yanqing, who graduated from trauma surgery, has made the fastest progress in the three areas of X-ray, CT, and MRI reading.

Although basic medical examinations have also improved, the speed is not as fast.

There was not enough energy and time to devote to the subsequent medical examination and medical laboratory interpretation. Zhou Yanqing simply relied on medals to increase his experience points.

Human energy is limited, and steel should be used where it is needed most. There is no reason for Zhou Yanqing to take a "remote" path when he has not mastered the basic skills in his profession.

【外科基础操作：缝合术（专家11/15）、切开术（专家1/15）、打结术（专家1/15）、清创术（专精4/5）、止血术（专精3/5）、穿刺术（专精1/5）】

From the end of December to the end of March, Zhou Yanqing spent three months and only activated the passive effect of the specialized skill hall once, which increased the experience value of the suturing technique. Apart from that, he made no further progress in the most core suturing technique.

The skills of incision surgery can be improved very quickly. After Zhou Yanqing expressed his intention to pursue a doctorate at Xiangya Hospital, Chief Ning Zhu assigned many minor outpatient surgeries to Zhou Yanqing to practice incision surgery. In addition, the training room was opened to Zhou Yanqing for free to practice on mice and pork!

Zhou Yanqing's incision skills have soared. In three months, through medals and fine skills, he has directly leapt from specialized level to expert level in incision skills.

To the extent that, when Zhou Yanqing came back from Xiangya Hospital, Ning Zhu didn't dare to talk about Zhou Yanqing's surgical dishes.

Now, Zhou Yanqing discovered after a longitudinal comparison.

If we really want to match specialized skills with professional titles, in the First Affiliated Hospital of Hengda University, specialized skills are the common proficiency of attending physicians to deputy chief physicians, and expert skills are the common proficiency of chief physicians.

It is common, but not inevitable.

The proficiency of the attending physicians and associate professors of the prefecture-level city hospital is combined in Zhou Yanqing, whose suturing skills are ridiculously high. The comprehensive ability displayed after such a combination will really make people question their lives.

……

【手外科专科基础操作：皮瓣缝合术（专精4/5）、肌腱缝合术（专家2/15）、神经缝合术（专精4/5）、血管缝合术（专家1/15）……】

【手外科专科技能：tang法肌腱缝合术（专家1/15）、kessler缝合术（专家1/15）、断肢再植术/断指再植术（专精4/5）……】

Zhou Yanqing didn't want to think about the power of these two skills anymore. He was very sure of one thing, that is, if he stayed in the First Affiliated Hospital of Hengda University now.

At most when he is around 30 years old, he will be able to perform surgery on Gong Yi. His current comprehensive professional skills are definitely not inferior to those of Deputy Chief Physician Tao Yubin.

This applies to every aspect, from theory to basic skills to basic specialized operations and then to specialized operations.

When it comes to nerve suturing, Associate Chief Physician Tao Yubin is like a younger brother in front of Zhou Yanqing.

However, after careful consideration, Zhou Yanqing found that he was not in an "invincible" state at the moment.

The expert level has 15 experience points. Professor Tan Zhongyu is currently around 13/14/15, so he can still "control" his own fight.

The reason for such a feeling was that after Zhou Yanqing became a little "inflated", he was dragged into the training room by Professor Tan Zhongyu for training and teaching a lesson!

……

After Zhou Yanqing arrived at the operating room, Li Zhong and Tian Zeguang performed the fixation of the broken metacarpal bone honestly and properly. Apart from that, there was no other overstepping of authority.

Tian Zeguang could only suture the blood vessels with difficulty. He didn't even have the chance to go on stage regularly. Let alone Li Zhong. Now he is not even very skilled in tendon suture. It can only be said that the sutures he made can be seen and used, which barely meets the minimum standard.

After Zhou Yanqing washed his hands and got dressed, when he was putting on sterile gloves, Tian Zeguang took a look at the patient who was under general anesthesia. After confirming that the other party was under general anesthesia, he asked: "Yanqing, can you handle the stump like this? We dare not repair it rashly." Zhou Yanqing is not Gong Yi. If Gong Yi took over, they knew Gong Yi's strong control ability. As long as they did not "go crazy", they could practice debridement in advance.

Even if the operation is not done well, Gong Yi can still revise it.

Tian Zeguang and Li Zhong showed Zhou Yanqing the greatest respect and kept all the operations in good faith, for fear that Zhou Yanqing would not be able to cover them and if something went wrong the three of them would be left staring blankly.

"Okay, Brother Guang, let's do it together later!~" Zhou Yanqing is quite experienced in dealing with such broken palms.

As soon as Zhou Yanqing approached the table, he took over the entire operation very skillfully, starting from debridement to the treatment of the fracture ends.

A broken palm is a sharp injury, which is much easier to clean than a crush injury or an irregular wound.

After Zhou Yanqing quickly finished the debridement, it was only one o'clock. In other words, it only took Zhou Yanqing 30 minutes to complete the repair work, which was less time than Tian Zeguang and others had expected.

"Yanqing, there won't be any problems if we do it so quickly, right? Or we can go slower, we're not in a hurry." Tian Zeguang poked his fat belly and interrupted Zhou Yanqing's rhythm.

"Okay, then we'll go a little slower." Zhou Yanqing smiled confidently.

Afterwards, Tian Zeguang and Li Zhong discovered that Zhou Yanqing was only a hair's length slower.

The speed of muscle suture, tendon suture and aponeurosis suture is still very fast!
Tian Zeguang: “…”

Li Zhong: “…”

There is a feeling of being humiliated but helpless.

This is how it is in a prefecture-level hospital. If you are capable, you can do it. If you are not capable, don't bother. It is not like the higher-level teaching hospitals, where in one department or even one group, there are a lot of people who can perform the same type of surgery, so everyone has to line up.

The two men did not dare to disturb Zhou Yanqing, but when Zhou Yanqing finished suturing the muscles and tendons and was about to anastomose the blood vessels, Tian Zeguang knocked on the curved plate containing the instrument with tweezers.

A series of harsh tapping sounds once again disrupted Zhou Yanqing's thoughts. Zhou Yanqing tilted his head slightly, with a puzzled look on his face: "Brother Guang, is there a problem?"

"Slow down, slow down, don't be in a hurry, I'm not rushing you!" Tian Zeguang was still very cautious and conservative.

"Yanqing, you can't float anymore, can you?"

After hearing this sentence again, Zhou Yanqing finally understood.

Tian Zeguang is the main person in charge of this operation. He will be responsible for any problems after the operation, so I should slow down the pace of the operation.

However, Tian Zeguang and Li Zhong still found that Zhou Yanqing was very fast in suturing blood vessels, at least faster than Director Gong Yi.

"Cough, cough!" Tian Zeguang coughed in pain.

"Brother Guang, I'm already going very slowly. I've basically slowed down to half the speed. Do I need to go any slower? It won't feel comfortable if I go any slower." Zhou Yanqing said.

For a mature typist, you can ask him to speed up or slow down by 10%. If you ask him to type only a dozen or twenty words per minute, it would be a bit difficult for him.

Maybe he is not yet at the stage where he can control his quick instinct.

Once the quality is improved, it cannot be lowered; once the speed is improved, it cannot be slowed down.

Zhou Yanqing's eyes were sincere and his tone was earnest.

Both eyes seemed to be saying, I'm really not pretending, Brother Guang.

"Okay, okay, just follow your own pace." Tian Zeguang waved his hand.

Zhou Yanqing's operation was like a mad rabbit, whooshing and whooshing.

Zhou Yanqing himself had originally estimated that the replantation of the severed palm would take at least six hours to complete, but the skin suture was completed in just three hours and forty minutes.

Zhou Yanqing did not let Tian Zeguang and Li Zhong assist him in testing the blood circulation, but he identified himself and came in person.

After confirming that everything was correct, he turned around and asked, "Brother Guang, Brother Zhong, do you want to suture the skin?"

The implication is that skin suture is a "relatively" low-level job. If you don't want to do it, I'll come back to do it.

If you are willing, I will give you some sense of participation.

There's nothing we can do about it.

Both of them have high professional titles, and they usually grant him the power to perform small operations. Zhou Yanqing must be cautious when dealing with them.

It's not that we have to rank them based on seniority, it's mainly because these two elder brothers have taken good care of me before, and I can't slam the table or smash the bowls after I've eaten my fill.

"Sew!" Li Zhong said through gritted teeth.

Zhou Yanqing then stepped back and began to cut the thread for Li Zhong honestly with the thread cutters, feeling indescribably happy.

From April to now, twenty-eight days have passed, and no surgery has been performed.

For Zhou Yanqing, who is now full of "surgical skills", this is like going through a tribulation.

Surgeons with certain surgical skills all have a bad habit of itchy hands.

It’s great to not have surgery for a day or two.

I can take a leisurely stroll in the garden without having surgery for three or four days.

But if you don't have the surgery for a week or even half a month, your hands will feel like they have sores, just like a smoker who doesn't smoke for half a day.

That's so annoying, even more annoying than having a goblin around.

Zhou Yanqing can't take the initiative to ask to come to the clinic. Your residency training has ended. What else do you have to say about returning to the clinic? Is it just because you're "itching to do it"?
Standardized training for resident physicians is admittedly a "hard work life", but what you gain in return is the opportunity to operate on patients.

If you want to come to the clinic to study, then study. If you want to operate on patients, then operate. Your superiors must support you, right?
Bear with it!
……

As Zhou Yanqing's thoughts were wandering, the sound of Li Zhong's teeth piercing his ears again disturbed his mind: "I won't sew anymore, Yanqing, you should do it, I'm not mentally prepared yet."

Zhou Yanqing and Tian Zeguang were both stunned, but Zhou Yanqing reacted immediately and quickly took the needle holder.

Zhou Yanqing especially understood Li Zhong's feelings.

if--

His junior fellow apprentice Han Dongliang, Fan Ziwei, or Zhao Gui suddenly appeared in front of him and asked him to be his assistant. Their skills in all aspects surpassed his, so Zhou Yanqing also needed to adjust his mentality.

Now Zhou Yanqing is the bad guy, and he is quite calm about it.

However, Zhou Yanqing also knew that this might be the last operation and surgery he would perform at Hengda Affiliated Hospital No. 1 during his student career.

(End of this chapter)