Chinese medicine: When you do things to the extreme

Chapter 128 If You Had Done This Earlier (Subscription Request)
Some questions require more honest and down-to-earth answers.

China is a big country and Demon City is far away. As a native of Hunan Province, it is natural for Zhou Yanqing to choose a place where his parents can easily reach to develop.

The future is to make your life more comfortable, rather than leaving your hometown and parents. It is enough to choose a suitable place to display your talents.

Tan Zhongyu chuckled and said, "Your answer directly answered the two questions I prepared."

"Okay, let's leave it at that for tomorrow's preparations for now."

"It's like this. I gave it to you. I applied for a little extra subsidy. It's not much, just 500 yuan more per month. It's also a little gift from the teacher."

Zhou Yanqing was delighted when he heard this: "Master, this is already a lot. I have more than other doctoral fellows, even more than Brother Yu."

"That's what you deserve. You're responsible for emergency surgeries in the department, but I don't give you any subsidies. It's not fair. Ning Zhu feels bad for himself, right?"

Tan Zhongyu continued, "This time, we asked you to come here not only to show ourselves, but also to learn the gap between us and the top hand surgery departments."

"Professor Gu has brought an assistant who is also a PhD student. You should observe him carefully and comprehensively and try to learn as much as possible."

"Never ignore some details. Sometimes the gap between people is hidden in some minor details..."

"You should also know that Master, I intend to develop complex cases such as peripheral nerve treatment, which is currently a very difficult bone to chew in hand surgery clinical practice."

"Whether it's Huashan Hospital or Jishuitan Hospital, they are actually in a relatively bottleneck period."

"It is indeed very popular and the competition is fierce, but it is precisely because it is popular that we have to follow the trend. Only after following the trend can we continue to develop in the future. The development of our clinical medicine is to follow the trend first, and then create original ideas..."

……

That night, Zhou Yanqing did not return to the medical school dormitory, but came to the rented house near the hospital.

After reading the literature for more than an hour, the time came to half past nine.

"I went shopping with my classmates and just got back. When you sent me the message, I was trying on clothes, and it took me a while."

"Didn't you say that you had a heavy experimental task today?" Chen Yu didn't add any title, probably because he didn't know how to call Zhou Yanqing.

"Well, there was a change in the department's plan. My teacher invited an academician to come and perform a teaching surgery, and there will be a teaching lecture tomorrow, so my experiment was stopped."

"I was dealing with the follow-up of the experiment yesterday. This learning opportunity was hard-won." Zhou Yanqing asked calmly.

"???"

"Academician? Really an academician?" Chen Yu suddenly became a little excited.

As long as people from any country have read some books, it is impossible not to know about academicians.

Academicians are basically a small group of the most powerful people in a country's scientific research and are representatives of every industry.

Even if there is some water in their promotion, they must have real strength. In the eyes of ordinary people, such people are high above everyone else and are very rare.

There are only a few hundred of them among more than one billion people, a probability of one in hundreds of thousands.

Moreover, most of their trips are arranged very thoughtfully, and ordinary people may not recognize them even if they meet them.

"He must be a real academician, Academician Gu from Huashan Hospital." Zhou Yanqing was a little amused.

Do we need to invite a fake academician to give a lecture? That would be great.

"Well, okay, the topic is a bit too high-end all of a sudden. Little people like us can only admire it." Chen Yu's tone gradually calmed down.

"Then you should rest early and adjust your condition."

"You must share with me tomorrow what kind of person an academician is. Is he the type who can walk with the wind?" Chen Yu said.

"Okay!~" Zhou Yanqing then yawned, adjusted the alarm clock, and fell asleep with a heavy heart.

At 6:20, Zhou Yanqing got up on time, quickly washed up, and went to have breakfast.

Before he had time to savor the taste of the noodles, Zhou Yanqing rushed to the department and personally prepared the patient's skin and made marks.

Zhou Yanqing asked the family members once, the nurse once, and the attending physician once more. Only after they all confirmed that it was the right upper limb did he feel relieved. However, he still wrote in his notebook that he would check the direction of the affected limb again before leaving the operating room.

This can't be wrong.

Such low-level mistakes have occurred from time to time, even in recent years.

Only those that have been reported are known to everyone, while those that have not been reported are difficult for ordinary people to know.

The rules that are taught in medicine are definitely lessons learned through blood and tears.

Zhou Yanqing doesn't need to worry about anything else.

At half past nine, the patient entered the operating room, accompanied by Zhou Yanqing in person.

After Professor Chi administered the brachial plexus block anesthesia at the personal request of Professor Tan Zhongyu, Zhou Yanqing and Yu Yue began to work together to disinfect and lay the drapes.

After the disinfection and draping were completed, it was only 10:17.

Zhou Yanqing, Ning Zhu and Yu Yue, all fully armed, sat quietly around the operating table, waiting for Professor Tan Zhongyu and Associate Professor Huang Xianming to bring in Professor Gu and his assistant.

At 10:23, the group arrived at the operating room ahead of schedule.

Mr. Gu was wearing a wash suit, a mask and a hat. He had crow's feet at the corners of his eyes and his eyebrows were slightly gray, but when he walked, he was full of energy and did not look like a man over 65 years old.

"Professor Tan, don't be too polite, just start the show!~"

"Perform surgery first, as it's the most important thing." Mr. Gu's voice was that of an amiable old man, smiling, as if he were an old man passing by next door.

Tan Zhongyu nodded when he heard this: "Okay, Professor Gu, I'll go out and wash my hands first."

"Dr. Qin, thank you and Professor Gu for your hard work. I'll go wash my hands and come back."

After Tan Zhongyu finished speaking, the two circulating nurses started to move, very proactively helping Professor Gu and Dr. Qin put on sterile surgical gowns.

Zhou Yanqing and others gave up the main surgeon and assistant seats.

Professor Gu went straight to the operating room, but Dr. Qin, who came with him, stood diagonally opposite Zhou Yanqing.

While Zhou Yanqing was looking at the other person, the other person was also looking at Zhou Yanqing.

Thick eyebrows, big eyes, and a mole between the eyebrows are the only visible features of Zhou Yanqing. However, Zhou Yanqing has a very deep memory of these two moles between the eyebrows.

During the doctoral re-examination last year, Zhou Yanqing remembered that one of the assistants wearing a mask looked like Dr. Qin.

"Hello, Dr. Zhou." Dr. Qin narrowed his eyes and greeted him in a friendly manner.

Upon hearing this, Yu Yue and the others' pupils shrank and they looked in the direction of Zhou Yanqing, their hearts beating.

Zhou Yanqing went for a re-examination and was remembered for a whole year. Does this mean that Zhou Yanqing performed very well in Huashan Hospital?
"Hello, Senior Brother Qin." After Zhou Yanqing remembered the other person's last name, he addressed him as Senior Brother.

At this time, Professor Gu also looked at Zhou Yanqing, and after thinking about something, he said, "Sit opposite me, and we'll start the operation?"

Zhou Yanqing rolled his eyes and then nodded: "Thank you, Professor Gu." Tan Zhongyu said that without Professor Gu and his invitation, Zhou Yanqing was not allowed to go on stage to perform, but this was what Professor Gu shouted in front of so many people, so Zhou Yanqing would not be polite.

Those who come are guests.

And she is just an assistant. A doctor is definitely qualified to be an assistant in many operations in hand surgery.

After Zhou Yanqing sat down, Professor Gu started to work and cut open the skin with a scalpel...

Seeing this, Zhou Yanqing hurriedly squeezed the negative pressure suction device with one hand and wiped the incision with a cotton pad. After not seeing much blood, he temporarily placed the sterile cotton pad on a tray aside.

Yu Yue very naturally moved the tray a little further away.

Dr. Qin naturally picked up the small curved retractor, while Zhou Yanqing took the tweezers and started to cooperate with Professor Gu...

After Tan Zhongyu washed his hands and returned to the operating room, he found that his student Zhou Yanqing was brought to the stage by Professor Gu first. After a moment of stunned silence, he understood everything in his heart.

Professor Gu should know Zhou Yanqing, or at least have a general impression of him.

This is to be expected.

After putting on his clothes, Professor Tan Zhongyu also approached the operating table and found that Professor Gu's surgery was very skillful. He quickly exposed the ulnar nerve, one of the branches of the brachial plexus.

When Zhou Yanqing saw his master approaching, he held the negative pressure suction device from a distance and gave his seat to Tan Zhongyu.

This was a very natural thing, and Professor Gu didn't say much, but just continued.

During the period, Professor Tan, as a representative, asked Professor Gu some questions. Professor Gu said: "Don't be afraid. During the peripheral nerve injury surgery, the first step is to expose it first, and then look for related problems seen in the MRI..."

“As long as you have a very clear understanding of the anatomical location of the nerve, you can gradually explore it.”

"Look here..."

Professor Gu did not keep his ideas to himself, but expressed his understanding bit by bit, and sometimes even took the initiative to say more.

Of course, there are many surgical methods for peripheral nerve injuries, and it is difficult for Professor Gu to be comprehensive. He can only break down the surgery based on the surgical method used for this patient.

Zhou Yanqing found that he felt very comfortable listening to the previous content. After all, he had a certain level of proficiency in basic theory.

But later, Professor Gu talked about new things, and some of them were even the knowledge and understanding within Huashan Hospital, which were not within the scope of textbooks, so Zhou Yanqing found it difficult to keep up.

When it comes to surgery, if you miss one step, the rest of the process may become incomprehensible.

……

There were too many things to cover at once, and it was impossible to cover them all, so Zhou Yanqing just had to "listen and listen". Finally, after an unknown amount of time, Professor Gu asked Zhou Yanqing, "Dr. Zhou, can you sew it?"

Before Zhou Yanqing could answer, Professor Tan Zhongyu helped to be polite: "Professor Gu, let Dr. Qin sew it. Yanqing is still young."

The guest should follow the host's wishes and the host should give up his seat to the guest.

Dr. Qin, brought here by Professor Gu, must have extraordinary qualifications.

But unexpectedly, Qin Yuanzhen took the initiative to wave his hand and said, "Teacher Tan, I can't sew it. It's not hot enough."

"My name is Qin Yuanzhen, Teacher Tan, you can call me Xiao Qin or Yuanzhen."

It is a bit terrifying that he was able to complete nerve suture during his doctoral studies. Tan Zhongyu really thinks highly of Qin Yuanzhen.

But based on this, Qin Yuanzhen can speculate that Zhou Yanqing's suture technique must have reached the threshold of neural suture technique.

Professor Gu also realized this, and he narrowed his left eye slightly and said, "Professor Tan, let Yanqing try it?"

"I just saw that he was a little eager to try..."

Tan Zhongyu looked at Zhou Yanqing, and Zhou Yanqing just looked at his master calmly.

Zhou Yanqing didn’t care whether it was sutured or not.

"Then you come and show off your skills and let Professor Gu give you his comments and suggestions. Remember to listen carefully." Tan Zhongyu began to give way.

Zhou Yanqing passed by Tan Zhongyu very smoothly without saying any other nonsense. After sitting down, even though he saw that Professor Gu had already connected the nerve transplant segments, he still asked one more question.

“Teacher Gu, am I suturing the distal segment here?”

"Yes!" Professor Gu said with a smile.

Zhou Yanqing carefully identified the proximal and distal ends of the transplanted segment before starting to insert the needle.

This is a point that needs attention in nerve transposition surgery. If the suture is done in reverse, it may be troublesome.

Details can reveal part of a person's cultivation level. In Professor Gu's opinion, Zhou Yanqing's action almost confirms that Zhou Yanqing can sew nerves, and has done so many times.

However, after Zhou Yanqing started to insert the needle, Professor Gu's entire upper body moved slightly.

Zhou Yanqing is not just an expert at it. His proficiency in nerve suturing is more than just knowing how to do it. His level of proficiency is already better than that of most mature hand surgeons.

From last year to this year, has Zhou Yanqing's growth and progress been so great?
Zhou Yanqing completed the suture in a very methodical manner, feeling relaxed and not overly nervous.

Junior high school students may need to be more careful when doing sixth grade questions.

But junior high school students will basically not have much trouble doing first grade math problems, with a few exceptions.

Tan Zhongyu was also a little shocked, but more surprised!
In fact, Tan Zhongyu hasn't performed on the same stage with Zhou Yanqing for a long time.

Zhou Yanqing follows Ning Zhu most of the time because there are more opportunities to operate with Ning Zhu.

However, Zhou Yanqing's nerve suture technique has developed to this point, which still makes Tan Zhongyu incredible.

But now, Tan Zhongyu felt happy.

Tan Zhongyu knew very well that Dr. Qin, brought by Professor Gu, must be able to perform nerve suturing, and he was just being modest before.

After a few excuses, Dr. Qin might go on stage and try to sew a section.

But that was Professor Gu’s arrangement and plan. Now, the entire rhythm cannot be determined by Professor Gu’s unilateral decision.

In about five or six minutes, Zhou Yanqing completed the suturing of the nerve's perivascular membrane and endovascular membrane.

Zhou Yanqing did not touch the remaining outer membrane. After slowly putting down the needle holder, Zhou Yanqing took the initiative to say: "Teacher Gu, I think the outer membrane should be opened to reduce pressure..."

This is Zhou Yanqing’s own understanding. I don’t know if it is correct, but I’ll just give my suggestion first.

If it is right, do it. If it is wrong, you will be criticized and corrected. It is not like Zhou Yanqing has to decide everything.

Professor Gu lowered his head and carefully examined the surgical field Zhou Yanqing was operating, without looking up: "Why didn't you do this earlier?"

In the past, Zhou Yanqing was like a deflated turtle, moving at the touch of a button, completely lacking any subjective initiative.

I thought this was Zhou Yanqing's dull personality, but I didn't expect that after only one year of training in Xiangya Hospital, it was corrected.

(End of this chapter)