Chinese medicine: When you do things to the extreme

Chapter 11: The King of Pressure is Really Pressure (Please collect and read)

During outpatient clinic hours, it is still Chief Physician Gong Yi’s one-man show.

Gong Yi is an associate professor, chief physician, and master's supervisor at the First Affiliated Hospital of Hengda University, a long-established teaching hospital. He has been working in the outpatient clinic for nearly 20 years and is knowledgeable and has a deep theoretical understanding. Naturally, he has nothing to do with Zhou Yanqing.

Zhou Yanqing would be asked by Gong Yi from time to time after seeing an outpatient, what the diagnosis and treatment principles of the disease are, what surgical procedures should be chosen, and where the cutting-edge research is to break through the current treatment effects...

Knowledge reserves need to be accumulated slowly. Zhou Yanqing answered questions that he could answer, and asked for advice if he couldn't. However, he could answer one or two of the questions for most of them.

Time passed slowly like this: Zhou Yanqing helped with the work; Gong Yi was in charge of diagnosis, medical advice, and questions; Zhou Yanqing answered; and Gong Yi supplemented and gave instructions.

At 5:35 in the afternoon, five minutes after the stipulated closing time, Gong Yi finished seeing his last patient.

Zhou Yanqing issued a hospitalization certificate and handed it to the patient and his family. He repeatedly warned the patient: "Surgery is currently the only way to treat muscle contracture. Taking medicine is useless. Taking more medicine is just a waste of money."

"If you want to solve the problem, you have to be hospitalized and have surgery. Of course, you can also go to a better hospital, such as Xiangya Hospital or Xiangya Second Hospital..."

Patients have the right to freely choose any treatment method, but as a doctor, Zhou Yanqing has the right to inform.

After the middle-aged couple left, Zhou Yanqing saw them to the door and stuck his head out of the clinic door to look around twice.

In the waiting area outside the clinic, even the nurses at the reception desk had already left work...

"Master, there are no more patients waiting outside." Zhou Yanqing turned around and reported.

"I'll be off work if there are no more patients. It's already past the overtime hour."

This time, Gong Yi did not stretch his body or twist his neck. He stood up and took off his white coat. He handed it to Zhou Yanqing skillfully, patted him lightly, and said, "It's the same old rule. Let your junior brother take a video of the whole incision, and then take a frontal photo for me after the incision is completed."

"It's a good thing that your medical skills have improved, but I am not only your teacher, but also the patient's attending physician. I need to be responsible for both of you at the same time."

"Communication is now more convenient. I don't need to go to the practice room in person like I did when I first started teaching students."

"Okay, Master!" Zhou Yanqing nodded happily as he folded up Gong Yi's white coat.

The teacher wanted to reward him with the authorization to perform a skin flap incision. Although there was no panel task, Zhou Yanqing was happy. This was a regular operating room skin incision reward in the department after his strength improved and reached a certain threshold.

"Well, even if that's the case, you still have to study for a doctorate and find a job. Adults can't be too stubborn and have to learn to leave a way out for themselves." Gong Yi gave another instruction and said no more. He went downstairs to the outpatient building to get his electric scooter home...

Gong Yi's house is in a community opposite the hospital, which takes about 20 minutes to walk, and only five minutes by electric scooter!

Zhou Yanqing put the teacher's white coat back into the senior office in the department and hung it up again before washing his hands and disinfecting them. He then rushed to the practice room and continued practicing the incision.

Ten thousand incisions can be completed in seven or eight days as long as you work hard and immerse yourself in it...

Tuesday, surgery day!

After Gong Yi and Associate Chief Physician Tao Yubin completed the cleaning of the skin defect, they began to design the pattern based on the cleaned gap.

The pattern designer of the skin flap was designed according to the shape of the patient's skin defect. This time the pattern of the skin flap is relatively regular and is fan-shaped.

When there is a defect in the skin and soft tissue, different flaps will be selected according to different situations, such as full-thickness skin, pedicled skin flap, etc. The choice of flap is a matter for the superiors to consider, not for Zhou Yanqing to intervene. The first step in taking a flap is to cut the outer circle of the flap pattern. Only the incision is completed.

"Yanqing, here's the scalpel. Carefully cut along the fan shape I drew for you. Pay special attention to the turning of the knife at the turning point. The cutting depth must be strictly controlled within the subcutaneous fascia." Gong Yi gave Zhou Yanqing a detailed task.

In this way, the operation Zhou Yanqing had to complete was similar to the incision in the gym.

Upon hearing this, Zhou Yanqing nodded slightly, stretched out his right hand to hold the handle of the scalpel, looked around, and only started to operate after he found that Gong Yi and others were waiting for him to operate.

After the operation started, Zhou Yanqing was not nervous at all. In fact, the shape of the skin flap incision for this operation was a bit like Karami compared to the special patterns in the training room.

The closer the fold line is to the regular angle, the more difficult it is to turn the knife. Today's pattern is fan-shaped, with curved and straight lines intersecting, so controlling the knife turning is not that complicated.

In fact, the reason why Teacher Gong Yi chose to perform skin incision on himself as the first operation was that he hoped that he would feel as if he was doing nothing when doing the skin incision.

It's like a person who has the strength to carry 300 kilograms, but is only given a 100-kilogram weight...

The cut was not long. In about forty seconds, Zhou Yanqing controlled the scalpel to cut back to the starting point, and the incision returned to the original line!
Zhou Yanqing held the knife like a pen and pulled it out vertically from the skin. Li Zhongcai, who was standing next to him, took a deep breath and grinned: "Good fellow, Yanqing, you are going to bring out the essence of the two words 'suppress the king' to the fullest, right?"

"My classmates started thinking about me after they finished pressing? Let me tell you, girls are better..."

Gong Yi coughed and reminded: "Li Zhong, it's an honor that you are not making progress fast enough, right? What time is it now? It's surgery time, not time for you to joke around!"

Zhou Yanqing made rapid progress in the core skills of hand surgery, which made Li Zhong feel pressured.

Gong Yi took the scalpel from Zhou Yanqing's hand, handed him a pair of tweezers, and said, "I won't let you try to remove the skin flap later."

"Removing a skin flap is a serious surgical procedure. If any small operation is not performed well, the flap may be useless."

"It's not like being the king of pressure. You just need to lie down and start moving. No skills are needed..."

Zhou Yanqing was listening to the first few serious words of teacher Gong Yi with his ears perked up, but he ended up feeling like his face was being rubbed by tires and left with a confused look on his face.

What Li Zhong meant by stopping joking was, Master, are you going to take the steering wheel?
Tian Zeguang and Li Zhong nodded repeatedly as if to please him, while Tao Yubin said obediently, "Yes, yes, yes! Director Gong is very active. Yanqing, you should learn more from him."

Gong Yi immediately caught Tao Yubin's pun: "What did you say?"

Tao Yubin was not annoyed or guilty: "Director Gong's technique is very skillful, he can do it without any pressure..."

"Ouch... Ouch..." Tao Yubin's ulnar styloid process was hit, and Tao Yubin said in a resentful tone: "Teacher Gong, you are so strong!~"

The big characters broke the sound.

The good atmosphere in the operating room was something everyone liked to see, but the female doctor from the anesthesiology department couldn't stand it anymore. She raised her chin and asked, "Are you going to perform the operation or not?"

Upon hearing this, everyone took their positions.

(End of this chapter)