Chinese medicine: When you do things to the extreme

Chapter 172 The Real Arena (Subscription Request)
12:10 noon.

Xiangya Hospital, in front of the emergency department.

Zhou Yanqing hurriedly took Chen Yu downstairs and ran a few steps away before turning back to say to Chen Yu: "Xiaoyu, you go back first. I have to go to the emergency consultation."

After saying this, Zhou Yanqing ran away again without even waiting for Chen Yu's reply.

Chen Yu held an umbrella and looked at Zhou Yanqing's back under the scorching sun until Zhou Yanqing's back disappeared.

I turned and walked towards the bus stop, editing the message as I walked: "Little Stone, remember to eat lunch."

Is Zhou Yanqing busy? He was also very busy when he was studying for his doctorate, but not as busy as he has been these past two days.

I was so busy that I didn’t even have time to eat.

Originally, the two planned to eat on time at 12:30. After all, it was May and the food would not get cold.

It was a plan, but the reality was that Zhou Yanqing received a call for an emergency consultation at 12:04.

The moment after receiving the call, Zhou Yanqing took Chen Yu and ran out. That was the fastest Chen Yu had run in a long time.

Zhou Yanqing still didn't reply, so Chen Yu checked the bus routes by herself and went home slowly...

After Zhou Yanqing arrived at the emergency department, he saw a dark-skinned young man with his wrist temporarily bandaged in the surgical clinic.

The faint traces of blood oozing from the gauze and the remaining blood on his wrist showed that he had suffered external injuries.

"Teacher, I'm from the Department of Hand Surgery. Which teacher just made the consultation call?" Zhou Yanqing asked politely and eagerly.

If it was Ning Zhu, he would definitely just quickly ask: "Who is the hand surgery?"

A fat middle-aged man in a white coat pointed in the direction of the dark-skinned young man from a distance and said, "The hand surgeon is over there. He came from the construction site with a scrape on the dorsal ulnar side of his forearm. We simply bandaged it to stop the bleeding after he came."

After saying that, the fat middle-aged man in the white coat walked towards a patient on a cart and began to look at the pupils of the unconscious patient.

Zhou Yanqing walked towards the skinny young man.

His right wrist was found to be droopy and weak.

After a quick look, his heart sank: "Is this a steel scrape? How deep is it?"

"I don't know how deep it is. I came here directly when I was injured. It hurts so much, like it's on fire." The skinny young man replied quickly after seeing the white coat, with a slight accent from Changshi.

"Come with me, let's go to the operating room and I'll check you." Zhou Yanqing said as he turned around to get his emergency medical record book.

After getting the medical record book, he took the young man away while looking through the medical history.

He had been injured for more than 40 minutes, and a large amount of blood was oozing out at the time of injury. He used his co-worker's clothes to bind the wound and went to the emergency department on his own.

"When you were injured, did the blood seep out or spurt out?" Zhou Yanqing asked, tilting his head.

Blood extravasation is mostly venous, while arterial injury is spurting.

"It was sprayed outside. My co-worker, who was three meters away from me, was sprayed on him." The skinny young man seemed a little proud.

As if he was very proud of spraying so far.

After Zhou Yanqing led the young man to the operating room, he quickly performed a distal examination of the affected limb and found that the ring and middle fingers were soft and weak.

"Your blood vessels and nerves are injured. You need emergency surgery immediately."

"It can't be sewn in the operating room. You need to be admitted to the hospital."

"Come with me to the hand surgery department first." After Zhou Yanqing quickly determined the general situation, he began to write the emergency medical record.

The skinny young man was a little suspicious: "Doctor, I still have nerve and blood vessel damage? Don't scare me."

"Why would I scare you if I'm fine?" Zhou Yanqing lowered his head and continued to write the physical examination data.

"Let me perform the surgery." The dark-skinned young man replied honestly.

Zhou Yanqing then raised his head: "Can you still move your own fingers? Don't you know how to count?"

"If it was just a simple injury, you would be able to move even if you endured the pain, but now your nerves are broken, you can't move even if you want to. Did I scare you?"

"Don't count on luck. This is a serious injury. If it goes wrong, your finger may be deformed in the future. I'm not kidding you."

After Zhou Yanqing finished speaking, he took out a hospitalization certificate from the pocket of his white coat, quickly wrote down the diagnosis and basic information, and said, "Go and pay the fee for hospitalization first. Pay 5,000 first, and we'll refund you if you make up for the shortfall."

"If you have work-related injury medical insurance or something like that, wait until you have the surgery before applying for medical insurance or claiming compensation."

"Five thousand? So expensive?" The young man was shocked.

"Maybe it's not enough! The treatment of nerve damage is not as simple as you think." Zhou Yanqing gave the young man a hint.

"You must have surgery as soon as possible. If you delay, it will really make your condition more troublesome."

The young man's expression gradually became serious: "I need to call my boss first."

Zhou Yanqing gave the hospitalization certificate to the other party first.

And in front of him, it was written: "Immediate emergency surgery is recommended."

Said: "This is my suggestion, you should hurry up and buy some time, and you should also ask a family member to come and take care of you!"

The young man did not go out, but Zhou Yanqing came out of the operating room and gave the young man a private space.

The young man must have gone to call to ask for money. Zhou Yanqing had no business doing anything like this.

About seven or eight minutes later, the young man came out with a gloomy face and said, "Doctor, can you make it cheaper?"

"I don't have that much money right now. Our boss said he would call the insurance company and wait for the insurance company to pay for it."

Zhou Yanqing frowned when he heard this: "How much can you pay now?"

"Five hundred." The young man said hesitantly.

Zhou Yanqing said: "Five hundred is definitely not enough for the surgery."

"You have to figure this out yourself."

The young man immediately said, "Doctor, I will pay. Our boss said he would contact the insurance company."

"Then you can ask your boss to pay for it. If your treatment is delayed and you are left with sequelae, such as disability, you will suffer and he will compensate you." Zhou Yanqing said.

"But I believe you definitely don't want this compensation."

At present, the medical insurance system implemented in China is that medical insurance does not reimburse for external injuries. Even for common elective diseases, medical insurance only partially reimburses, and patients have to pay part of it themselves.

Zhou Yanqing was not being cruel on purpose.

There are many cases where patients run away without paying, and departments are required to make up the shortfall, or even medical workers have to make up the shortfall themselves.

This also means that almost all medical staff dare not be generous when it comes to payment, which results in their families facing a difficult time!

Ning Zhu said this when Zhou Yanqing first entered the hospital.

Whoever claims that patients can pay less for surgery will automatically be deemed to have provided a cost guarantee and have their performance and basic salary deducted from it.

If there is a particularly urgent situation, you can contact the chief duty officer. If the chief duty officer comes forward to guarantee, the hospital can advance the payment and bear the cost without causing trouble to anyone.

The situation of this young man has not yet reached the point where it needs to be reported to the chief duty officer.

……

About ten minutes later, the young man finally got 5,000 yuan from the boss. After paying the fee at the cashier's office, he found Zhou Yanqing and said, "Doctor Zhou, you are very experienced, right?"

"I told our boss what you just said, and he transferred the money immediately." The young man seemed to admire Zhou Yanqing very much.

However, Zhou Yanqing didn't believe that the young man would be so naive.

"This is something that is very easy to understand. A big thing has been reduced to a small thing."

"After you pay the fee and sign, we can go to the operating room. We want to do your surgery as soon as possible." While Zhou Yanqing was calling to raise money, he had already completed the informed consent form for emergency surgery.

The young man was injured on his right hand. Since his family members have not arrived yet, he can only press the fingerprint with the thumb of his left hand.

The emergency department has such a red seal. No signatures are allowed here. There should not be too many emergency patients whose family members cannot be found.

After a period of preparation, Zhou Yanqing asked the emergency department to go through the emergency surgery procedures.

The emergency department has relative priority in arranging emergency surgeries. If Zhou Yanqing were to undergo emergency surgery in the hand surgery department, he would have to wait longer.

After all this trouble, the time has come to almost twelve fifty.

While waiting for the emergency operating room to start the surgery, Senior Brother Yu Yue and Liu Wanqing unexpectedly walked in from outside the emergency department from the stadium. They might have been to the department and knew that Zhou Yanqing was in the emergency department.

The patient was taken to the emergency room to have blood drawn for preoperative preparation and is not here at the moment.

Zhou Yanqing thought that this place was close to the emergency operating room, so he did not go back to the surgery department and sat on a chair in the corridor outside the surgery clinic: "Brother, congratulations."

"Yanqing, what emergency came today?"

"I just went to the department with Senior Brother Liu and found out that you were in the emergency department." Yu Yue's face was flushed.

Having just won the special prize, he not only received a very generous bonus, but was also highly praised by a group of teachers at the competition venue.

This sense of achievement is very refreshing.

"The ulnar nerve is ruptured, the radial and ulnar arteries are damaged, and there must be some tendon damage in the forearm. It's a tricky job."

"Senior Brother Liu, congratulations to you too." Zhou Yanqing bumped fists with Liu Wanqing again.

Liu Wanqing chuckled and said, "As for me, with Xiao Yu and you here, I am unlucky for eight lifetimes. You are just a living stepping stone."

"Oh, by the way, our competition is over. Did you call an assistant for this operation?" Liu Wanqing asked.

The game had just ended and he was almost ignored by the entire audience, so he just needed a place to vent.

It just so happened that this operation involved a tendon suture, which he could perform, and he could also do simple debridement and suture.

Liu Wanqing naturally wanted to have a good time.

"Brother, you just finished the game, don't you want to take a rest?"

"I haven't called yet." Zhou Yanqing said.

During emergency surgery, in addition to the main surgeon, an emergency surgery assistant will also be called.

One person certainly cannot perform such a complicated operation. The most he can do is cyst removal and simple debridement and suture operations.

Yu Yue immediately rubbed his hands and said, "Yanqing, I haven't sutured blood vessels in clinical practice yet. Do you think I can...?"

Zhou Yanqing shook his head decisively: "No!"

"The rules set by the master must be followed. If you want to suture blood vessels in clinical practice, you must complete at least two or three sections of blood vessel suture to achieve a 99% blood flow rate in real time."

"I dare not break the rules!"

Yu Yue blinked his eyes when he heard this, and said in a resentful tone: "Is it not okay even though I just won a small special prize for the department?"

Zhou Yanqing said: "Should I call Master for instructions?"

Yu Yue immediately reached out to stop him: "No, brother, you are my brother. I am in a relatively good mood today and don't want to be dissed."

Liu Wanqing laughed nearby: "I feel much better now."

Yu Yue was humiliated, but Liu Wanqing seemed a little happy.

Yes, when they were on the field, Yu Yue was in great form, but Liu Wanqing was just a supporting role.

After returning, the two became equals in front of Zhou Yanqing again.

Isn't this uncomfortable?

After a while, the young man finished drawing blood and made preparations for the operation.

The doctor in the emergency department also contacted the emergency operating room, and since the patient could walk, there was no need to use a cart to take him.

Instead, he asked Zhou Yanqing to take the young man there on foot.

As soon as the young man came back, he saw the older Yu Yue and Liu Wanqing. He immediately thought: "Doctor Zhou, who are these two?"

"These two are my senior brothers. We will perform surgery on you together later." Zhou Yanqing introduced them to him.

The young man smiled when he heard this: "Doctor Zhou, can I let your senior brother perform the surgery?"

"Are you not allowed to perform the surgery, Dr. Zhou? They are the ones who are in charge of the surgery."

In the eyes of young people, older people definitely look more reliable.

Zhou Yanqing even calls them senior brothers.

Naturally, I have to find someone with good skills to perform the surgery on me.

Yu Yue was eager to try, his self-confidence was a little swollen, and he said in a whisper: "Since the patient has asked for this, please give me a chance..."

When the young man saw that his senior brother Yu Yue was actually begging Zhou Yanqing for help, his brain suddenly froze.

Zhou Yanqing shook his head and said, "Brother, it's not that I won't let you, but I can't."

"Nerve and blood vessel suturing must be done with strict entry and exit. Master has given an objective standard."

"If you can complete a blood vessel suture above the standard in the training room, I will give up my position at any time!"

"Of course, if it was Master or Teacher Huang who gave the instructions." Zhou Yanqing brought up Master again.

Yu Yue suddenly went from the joy of winning the championship to the bottom of the valley, returning from heaven to earth.

No matter how high your status or position is, life is ultimately lived on earth, not floating in the sky.

There is only one truly eternal track in surgery, and that is the clinical stage, the operating room, and the scene of performing surgery on patients.

Everything else is false.

This track is an eternal arena, and an eternal king will never be produced. It can only be a king of a time, a place, and a limit.

As the so-called champion, I don’t even have the qualifications to participate in this competition.

"I'm kidding, Yanqing."

"Hey brother, don't look at me as Dr. Zhou's senior brother, his skills are much better than mine."

"So he was the main surgeon on you, and I was your assistant." Yu Yue explained quickly.

Then, looking at the young man with a suspicious look in his eyes, he explained self-deprecatingly: "Brother, don't think that I am deliberately praising him. If he is not really better than me, I would be surprised if I would pay attention to him."

(End of this chapter)