Chinese medicine: When you do things to the extreme

Chapter 16: Incisions and Practice Makes Perfect (Please Save)
The last day of August was Saturday, which was neither a surgery day nor a surgery day. Zhou Yanqing completed the meticulous "bed management" task early in the morning following the ward rounds led by Chief Attending Doctor Tian Zeguang.

He glanced at his junior fellow Fan Ziwei, who had not yet returned from changing his dressings. His junior fellow first-year resident Zhao Gui, "Big Muscle Man," was revising the medical records word by word, and occasionally glanced at him with expectation in his eyes.

Zhou Yanqing was a little curious: "Zhao Gui, why are you looking at me?"

Zhao Gui stretched out his hand to grab the base of his right ear, the muscles of his right arm flexed, and he spoke in a difficult tone, as soft as a mosquito: "Brother Zhou, could you please take the trouble to review the medical records I wrote?"

Zhao Gui is an ordinary resident in the department. He has no supervisor to teach him, nor any direct senior colleagues to guide him. He can only grope around in clinical practice.

Zhou Yanqing was moved when he heard this and laughed: "Fan Ziwei and Wang Chun are avoiding me, and now they won't let me see the medical records, but you want to take the initiative to deliver the goods to their door?"

Zhao Gui nodded like a sieve!

Seeing this, Zhou Yanqing, who had just taken out his phone to watch a short video for entertainment, put his phone away, picked up the mouse again, and explained with his head tilted: "I made up your medical records on impulse and didn't look up any literature. We can discuss it together later... Let's just go through it superficially and not particularly rigorously..."

"Okay, thank you, Brother Zhou." Zhao Gui was overjoyed.

Zhou Yanqing didn't waste any words, and deep in his heart, there were slight ripples.

Zhou Yanqing, a young master, will eventually become a surgeon. After completing his undergraduate training, Zhao Gui will also become a doctor. Perhaps Zhao Gui can even go to a county hospital or something like that...

When it comes to clinical practice, most doctors still prioritize technology over performance.

Only a few professors who have reached the ceiling of clinical professional skills and can hardly make any further progress would think about making breakthroughs in theoretical knowledge. They are not satisfied with the existing theoretical cognition and want to break through the cognitive ceiling of the entire professional circle through academic and scientific research.

Zhao Gui also wanted to make progress, but he had no direct senior brothers or teachers to ask for help, so he could only seek advice from Zhou Yanqing.

"In fact, the process of writing medical records is a process of reorganizing and reviewing clinical theoretical knowledge. When we write medical records, we should not just think about the three-piece set of medical record templates."

"What are the three things in surgery before and after surgery? One, two, three before surgery, one, two, three after surgery. If you write like this, even if you write a thousand medical records, your performance may not be as good as someone else's once..."

"Grasp the treatment principles in the textbooks and carefully understand why this patient needs to undergo this examination before surgery. After the examination, what are the surgical indications? Postoperative medication, why do each patient use different types of painkillers and antibiotics..."

……

Ten thirty-two in the morning.

When Zhou Yanqing was about to enter the training room with his two junior brothers Fan Ziwei and Zhao Gui, Zhou Yanqing paused and said, "Ziwei, Zhao Gui, when my junior brother comes tomorrow, you can follow this module and let him slowly start to manage the bed and write medical records."

"After all, every time a new junior comes to the hospital, they will have about a month to follow and get familiar with the atmosphere..."

After hearing this, Fan Ziwei raised his hand, interrupted and spoke in a bitter tone: "No, no, no, brother, you are wrong. I think every batch of new juniors who come to the hospital will have about a year of follow-up time to get familiar with the atmosphere!"

Fan Ziwei is a professional master. He thought that after being admitted to Hengda's master's program, he would shine, marry a beautiful, rich and beautiful woman, and reach the peak of his life.

As a result, it was easy to find a partner, but in clinical practice, I was a little dizzy after being beaten.

Who in my family could understand? Hand surgery is so damn difficult. I've been working here for a year and I'm still not allowed to sew up the skin after a surgical incision.

There was one time when Fan Zi passed the most basic plasticine stitching and the teacher rewarded him. But there was no more after that.

Zhao Gui nodded in agreement when he heard this!

Zhou Yanqing understood what his two junior fellow apprentices meant. He had also gone through this process, but when Fan Ziwei arrived, Zhou Yanqing had already passed the full-thickness suture and started to sew the surgical incision skin.

Explained: "High standards will definitely produce high quality. You all still remember Brother Huang Yuandong, right?"

"The county hospital doesn't have a hand surgery department, only orthopedics and surgery. Senior Brother Huang Yuandong just graduated with a master's degree and can suture half a layer of orange peel. He tortured the attending physician there." "Really?" Fan Ziwei looked forward to it.

"It must be true. In trauma surgery, after the plasticine is sutured, the skin is sutured routinely. Most of their surgeries are for fractures, and since they are not so particular about suture techniques, I didn't think about it carefully."

"So, let's all work hard on our skills and the ability to make a living..."

Zhou Yanqing looked at the 10,000 incisions on his panel. He was only a few hundred away from breaking through, and he seemed full of fighting spirit.

After Zhou Yanqing brought two junior fellow students to the material supply department, Zhou Yanqing shouted, "Teacher, give me forty plasticine tablets!"

And then he opened the QR code on his mobile phone.

"60!~" an echo came from inside.

"Okay, Alipay." Zhou Yanqing nodded.

“No payment.”

"Ah?" Zhou Yanqing was stunned. He looked at his Huabei credit limit and found that it had been cleared. He felt a little embarrassed.

The sensible Fan Ziwei immediately posted the QR code.

"Brother, I gave it to you. Teacher, give me another twenty orange peels."

Zhao Gui was a step slower and asked for thirty orange peels...

When Zhou Yanqing returned with the materials, he said to Fan Ziwei: "Ziwei, I'll pass it to you later..."

"Okay, it's okay, senior brother." Fan Ziwei did not refuse because he knew he could not refuse and would instead embarrass his senior brother.

……

After returning to the practice room, Zhou Yanqing thought about the amount of money he had spent on materials.

A piece of rubber clay is recyclable and only costs 1.5 yuan, which is not expensive.

But to practice high-standard incision, a piece of rubber clay can only be used about ten times at most before it has to be discarded, otherwise it is not considered high-quality incision.

Occasionally, it may be used less than ten times, which means that after 10,000 incisions, more than a thousand sheets will be used. At one dollar and fifty cents per sheet, it will cost more than one thousand five hundred dollars.

The key point is that Zhou Yanqing not only practices incision, but also uses tofu and jelly for suturing, as well as daily consumables such as sutures and needles.

In just one week, Zhou Yanqing, who had been practicing a lot, had spent more than two thousand dollars...

However, if the money spent can produce results, it’s not a loss!
Zhou Yanqing sent his father a message saying that his father had no money, and then he bent over and began to practice the incision technique with great immersion.

Time passed like water. After eating, chatting, going to the toilet, etc., more than nine hours later, Zhou Yanqing finally won the medal of "Practice makes perfect" with satisfaction.

Zhou Yanqing made the last cut and stood up. He felt happy but also felt that cutting was extremely disgusting. He gave the remaining four pieces of rubber clay to Zhao Gui and Fan Ziwei, and then ran out of the skill training room...

In less than ten days, I completed 10,000 incisions carefully. It would be strange if I didn't get tired of it. It shows that I have good mental quality if I don't vomit.

But walking on the road and looking at the effect of the [Practice Makes Perfect] medal, Zhou Yanqing felt that it was all worth it!

(End of this chapter)