Chinese medicine: When you do things to the extreme

Chapter 113 Frontier and Reality (Subscription Request)
When Zhou Yanqing finished the key operation and handed the needle holder to Tian Chao, Tian Chao was still unsatisfied and moved his head from side to side to carefully experience the key steps of Zhou Yanqing's Achilles tendon suture.

"Hey, Tian Chao, practice. Practice makes perfect." Zhou Yanqing patted Tian Chao's wrist.

Tian Chao is only in June, the end of his second year of master's degree, and his suture skills have already surpassed the shallow suture of tofu! If he can pass the jelly suture and then the stretching cuff suture, then Tian Chao will be able to reach the level of the previous professional special channel.

Zhou Yanqing climbed up from the bottom of society and would not become a "Phoenix Man". He vaguely remembered how difficult it was to stretch the compression cuff when he was graduating with a master's degree.

Tian Chao has such qualifications, and Zhou Yanqing is willing to give him a chance.

"Thank you, Brother Qing." After Tian Chao came to his senses, he quickly pushed his elbow outward to make it easier for Zhou Yanqing to take over his current hook position.

Next door, Ning Zhu squinted his eyes and instructed, "Tian Chao, you should call him senior brother first, and then brother. You still have to follow this process."

"The nature of calling someone "senior brother" and "brother" casually is different."

In many occasions, when being polite, people would not call Zhou Yanqing "Dr. Zhou" or "Senior Brother Zhou" using relatively formal titles. A man, regardless of age, would be called "Brother" and a woman would be called "Sister" or "Junior Sister" depending on the situation. This is a very normal title.

The medical industry is no exception.

Doctor So-and-so, Professor So-and-so, Director So-and-so are mostly mentioned in TV dramas.

Tian Chao also listened to the advice and called Yanqing "Senior Brother" and then "Brother Qing". His voice was so sweet.

When Tian Chao's gentle voice reached Zhou Yanqing's ears, even though Zhou Yanqing had no "revengeful thoughts", he inexplicably felt a sense of pleasure.

You know, when he first came to Xiangya Hospital, Tian Chao's "aggression" directly forced Ning Zhu to choose him and emergency surgery, which is just as realistic as it is now.

After watching Tian Chao sew a few times, Zhou Yanqing said, "One of the core skills of surgery is control. Skin suturing is about controlling the distance, flap suturing is about controlling the depth and distance of the suturing, and if you want to suturing a tendon, you must control the force of the needle in and out."

"This is the essence of the use of jelly suture as a suture material before stretching the cuff."

"Control the force of the needle, the angle of the needle and the threading angle. It doesn't matter whether you explain it or not. The main thing is that your basic skills must reach this level. The key is to completely stabilize your wrist..."

Tian Chao glanced at Zhou Yanqing, silently said thank you to his senior brother, and continued to practice.

Ning Zhu added: "Tian Chao, you have made a fortune. If Yan Qing opens a small suture training class now, you will have to pay some money to your senior brother."

Zhou Yanqing smiled and said, "Brother Zhu, this is just a business flattery. How can it be so exaggerated?"

In Xiangya Hospital, those who can conduct special training courses are basically professors, and only a very small number of associate professors have this qualification.

Even if you, as a chief physician, have such ability, most people will not buy into your claims.

Ning Zhu smiled but said nothing, continuing to look down at Tian Chao's operation.

In the past, Ning Zhu paid the most attention to Zhou Yanqing, Yu Yue and Tian Chao, as the clinical talents of the three were similar.

Later, Ning Zhu realized that he was the one who needed Zhou Yanqing's attention, so he no longer focused his attention on Zhou Yanqing.

……

After the operation, Zhou Yanqing and Ning Zhu just walked out without doing anything.

The task of sending the patient back to the ward was given to Tian Chao.

While washing his hands, Zhou Yanqing glanced at Ning Zhu and said, "Brother Zhu, didn't you say before that you would tell me some secrets after I came back from Heng City?"

"What are these secrets? You've kept them from me for so long, Brother Zhu shouldn't keep me in suspense any longer, right?"

Ning Zhu rubbed his hands and shook his head: "Let's talk about it later, let's go to the secret base."

The smoking room in the First Affiliated Hospital of Hengda University is called the Happy Room, and the smoking room in Xiangya Hospital is called the Secret Base. The names of such places in each hospital may be different.

As for which hospital's operating room doesn't have a smoking room, I guess you don't know.

After Zhou Yanqing followed Ning Zhu and opened the door of the smoking room, the smell of smoke made Zhou Yanqing feel a little uncomfortable.

But there was no way, Ning Zhu was coming, and Zhou Yanqing wanted to find out the news, so he had to follow.

"Would you like one? The harm of second-hand smoke is more terrible than first-hand smoke, so let's have first-hand smoke?" Ning Zhu joked.

Zhou Yanqing smiled and said, "Brother Zhu, is it possible that the smoker was hit by both the first and second hands?"

Ning Zhu put away the cigarette box and said proudly: "I am too lazy to waste my rations on an outsider like you who doesn't know anything about cigarettes."

After saying that, he took a sip and then slowly exhaled. As the smoke rose, Ning Zhu's voice came to him: "Yanqing, in fact, most of the things I want to tell you, you can guess."

"Every hospital will have a 'prospect business' and a 'core business'."

"The reason why I describe it as a business rather than a procedure is that these things are not one or two procedures, but a group of diseases."

"If I'm not mistaken, the core surgical procedure of the First Affiliated Hospital of Hengda University is finger replantation. If there are more advanced procedures, such as nerve and tendon transfer, I don't think your hospital can perform them."

"Of course, it could also be that I don't know enough about Hengda First Affiliated Hospital, a well-established hospital. Please forgive me for my ignorance."

Ning Zhu's tone was very polite.

Zhou Yanqing shook his head slightly, then opened the door to let the smell out and turned the exhaust fan to the maximum: "Brother Zhu, you are right."

"In our hospital, it is normal to master limb replantation at the senior attending stage. Otherwise, it is difficult to be promoted to associate senior position. The provincial system will not block you, but your superiors and the people in our hospital will."

“This is also the norm.”

"If you don't want to work hard and just want to get by, then you will just get by on the sidelines. This is a rule set by the old professor many years ago."

"I still say that, if you want to live a lazy life, go ahead and do it. We have no shortage of people who don't want to live a lazy life here!"

"This is not to motivate us to work hard, but to strive forward and refuse to work in a lazy way."

Having said this, Ning Zhu paused for a moment, then took a deep breath and spoke again slowly: "As for our hospital, it is actually not at the forefront of the country."

"Replantation of severed fingers is the norm, and transposition and 'pseudo-function reconstruction' are the core. However, the real nerve function reconstruction is still in the learning stage in our department."

"The top domestic hand surgery hospitals, such as Huashan Hospital and Jishuitan Hospital, have already gained considerable experience in the treatment of peripheral nerve injuries, while we are only taking small steps forward."

"This is the main direction our department is currently striving for. You need to understand it."

"Of course, before that, you have to slowly learn nerve, tendon, and blood vessel transposition, nerve, tendon, and blood vessel transplantation, and transposition techniques."

"Don't think that replanting a severed limb is the best. Translocation and displacement are much more difficult than replanting."

Zhou Yanqing nodded immediately, pursed his lips and sighed, "Brother Zhu, that's for sure."

"The early or late appearance of the core technique determines the difficulty of its operation in most cases."

"Just Brother Zhu, why is the core clinical topic of our department flap design, rather than nerve transposition or displacement..." Zhou Yanqing stopped talking halfway, because he found that Ning Zhu was looking straight at him and said something very offensive: "Why don't you go to Peking Union Medical College for undergraduate, master and doctoral studies?"

Zhou Yanqing: “…”

Ning Zhu continued to take a deep breath, and then began to apologize: "Yanqing, don't blame me for being too excited just now, it's mainly because your words were too offensive."

"As a medical practitioner, who doesn't want to be an academician? It's impossible."

"How can the clinical topics of transposition and displacement be so easy?"

"First, these two techniques are already mature and have basically been completed by our predecessors."

"Second, we need to develop new transposition and displacement techniques. Do you know how difficult it is?"

"Let me ask you, how do you transpose a nerve? Which nerve will not have too much impact on its function after transposition? And you have to exclude the mature transposition surgery. How can it be so easy?"

"How could Professor Tan Zhongyu and the others be so stupid that they couldn't find something that ordinary people could?"

Zhou Yanqing grinned: "I made a mistake."

However, Zhou Yanqing immediately found a way to flatter him: "Brother Zhu, several professors have a hard time finding a clinical research direction, but you have found a way in the field of tendon suture."

"Awesome!" Zhou Yanqing smiled and gave a thumbs up.

Wear it a thousand times, but flattery never wears it.

"It's okay, but it's just a trivial topic, with no particular substantive significance. It can only be said to promote the progress of concepts and understandings, but it is still nothing compared to the development of new techniques..."

Ning Zhu immediately returned to the topic: "Another thing is, did you know that I am the director of teaching and research in Professor Tan's laboratory?"

Zhou Yanqing nodded: "I've heard many brothers talk about it."

Ning Zhu said: "Are you willing to follow my instructions? If you want to do your own research, then I will let you go. But if you don't have any ideas, I will assign you some tasks to do."

“After finishing, they will be gathered into a big topic, and then gathered into a relatively high-scoring article.”

When Ning Zhu said this, Zhou Yanqing could only admire that big brother Duan Qilin had more knowledge than him and knew many blind spots in knowledge that Zhou Yanqing didn't understand at all.

Before Zhou Yanqing decided to come to Xiangya, no one told him about this blind spot. The compass for the operation of the laboratory was Ning Zhu, and the details of the laboratory operation were controlled by Ning Zhu.

"Brother Zhu, I want to make it on my own for a year, so I'll be tough for a while."

"If it really doesn't work by then, I'll ask you for help, Brother Zhu." Zhou Yanqing replied quickly.

Following Ning Zhu, it's a big pot meal, and the big pot meal means relative egalitarianism. You need to queue up and take turns. When you are lucky, you will have the opportunity to be a co-author. If you are not so lucky, you will always be an insignificant author.

It will definitely ensure that you graduate.

But if you walk around on your own and don't follow the instructions of the large research group, then everyone will be responsible for the results, and you won't even get to have your name on the list.

The project funds come from the research group, and how much you can do depends on yourself. If you are capable enough and apply for the project funds yourself, whether it is at the school level, municipal level or provincial level, it is all yours.

Moreover, the research group encourages you to take on more projects. If you cannot finish them, your fellow students will help you.

However, in most cases, people who eat from the same pot are more likely to apply for projects because they have more articles named on them and their resumes look good.

"Okay, then you can try it out on your own first. But don't be stubborn for too long. I won't give you a year. If you still don't have a good direction after half a year, then just follow me."

"Professor Tan asked me to keep you in hospital. How could I deal with you if you were outside?" Ning Zhu took advantage of him in a vulgar way.

Zhou Yanqing: “…”

Ning Zhu smiled, put out his cigarette, and yawned.

He picked up the chief resident's phone and checked it. After finding no unread messages, he said, "There's nothing else. Yanqing, go ahead."

Zhou Yanqing said: "Brother Zhu, if you have any problem, please call me. I'm upstairs."

"Are you still watching movies? Find a girlfriend." Ning Zhu shouted from behind.

Zhou Yanqing turned his head and ignored him. Ning Zhu was actually a big kid who also liked to play and joke.

The films Zhou Yanqing watches are formal films, otherwise how could Zhou Yanqing improve his film-reading skills? In fact, his method is the same as that of many wolf friends, but the types of films he watches are different.

When Zhou Yanqing returned to the doctor's office, he saw his senior brother Li Gong as expected, and at that moment Li Gong was still asking the doctor on duty about Zhou Yanqing's news.

The doctor on duty was facing the door. The moment he saw Zhou Yanqing, he immediately stopped talking, stood up and pointed at the oval table: "Brother Zhou, this is the coffee Brother Gong bought for you."

"Yanqing, you are finally here."

"The time is perfect, let's go, let's go eat." Li Gong's long face was all smiles at this moment.

"Thank you, senior brother." Zhou Yanqing didn't want to refuse Li Gong's invitation, so he took the coffee and agreed.

After meeting Senior Brother Li Gong, Zhou Yanqing couldn't possibly avoid him.

Gong Yi was very nice to Zhou Yanqing. He believed that the lack of funds was a problem of ability, not attitude.

You can't blame others for your personal ability problems.

Zhou Yanqing was very grateful to Gong Yi. No matter what, Gong Yi took him in, helped him get a master's degree, and gained a lot for him.

The two of them walked out side by side.

Li Gong looked Zhou Yanqing up and down and asked with a smile: "Yanqing, do you have a girlfriend? Or several?"

Zhou Yanqing shook his head: "Brother, ten in total."

Then he replied: "No girlfriend yet! It's hard to find a girlfriend nowadays."

"Your standards are too high, aren't they?" Li Gong replied immediately.

Then he looked Zhou Yanqing up and down and said, "Junior brother, with your looks, it would be perfect for you to find a wealthy woman if you have the chance."

"As the saying goes, young people don't know the good of rich women, and they mistakenly treat young girls as treasures!"

Zhou Yanqing grinned and said, "In this way, doctors won't have to work anymore. They'll have tens of millions of pocket money hanging in the bank, and the interest will be hundreds of thousands every year!"

"You're still a doctor, aren't you?"

Li Gong smacked his lips a few times and didn't answer for a while...

(End of this chapter)