Chinese medicine: When you do things to the extreme

Chapter 197 Actively Seeking Change (Subscription Request)

Zhou Yanqing was stunned when he heard this, and then said, "Master, can we apply to have it issued next month?"

“This way you can pay less tax!”

A 40% reward is 60,000 yuan.

If it is added to this month, the tax rate will be higher.

Tan Zhongyu was amused by Zhou Yanqing's words: "When it will be issued to you is not up to you to decide. You will pay the tax according to the arrangement."

“This is a huge minefield.”

"Although this minefield generally does not affect us medical workers, we still have to be cautious."

Zhou Yanqing nodded seriously after hearing this and said no more.

Tan Zhongyu then said, "Yanqing, let me ask you a difficult question. How do you feel about your basic skills now?"

"Do you think there is any new way to deal with bed 16 that we have now?"

After Tan Zhongyu corrected the topic, Zhou Yanqing's expression became a little more serious: "Master, what do you mean?"

The condition of the patient in bed 16 is more difficult, and Tan Zhongyu can only say that he can handle it reluctantly.

He does not have a traumatic disease, but has sequelae from previous surgery and wants to come here for functional reconstruction!
Functional reconstruction surgery is currently a disease of the same level as peripheral nerve injury in hand surgery. Only a very small number of hospitals in China can barely treat some of these diseases.

In hospitals that can treat such diseases, only a very small number of doctors dare to deal with such diseases.

“The purpose of nerve, tendon and blood vessel transposition is to prepare for functional reconstruction and treatment of functional disorders caused by peripheral nerve injury.”

"To be honest, if I hadn't met you, your master, I might have started thinking about moving in this direction a few years later."

"Understanding the theory and being able to perform the corresponding operations are completely different concepts." Tan Zhongyu said seriously.

Zhou Yanqing took a deep breath and said, "Master, although I went to Jishuitan Hospital and learned some basic theories from Teacher Teng."

"But in fact, the upper limit of the operation we were exposed to at that time was transposition, and there were no other additional operations."

“So, I don’t know if I can do it.”

“All I can say is that you can try your best.”

Zhou Yanqing first gave a general idea, and then returned to the patient himself: "This patient's right upper limb function is almost limited. At present, the functions of grasping, holding objects, and facing each other with both hands are very limited."

"We already knew from preoperative examination that he had vascular disease, nerve damage, and joint stiffness and dysfunction caused by soft tissue adhesions."

"In this case, even if a release surgery is performed, it is actually not very meaningful."

Tan Zhongyu said: "Actually, I wanted him to go to Jishuitan for a try, but his functional impairment after the burns is so severe that basically no one dares to take him."

"Functional reconstruction surgery and the dysfunction caused by peripheral nerve damage are not something that most people dare to take on."

“He went, but he came back.”

"Not every disease in this world can be properly treated, and not every patient can find the right doctor."

"There are some diseases that are not life-threatening, but they just can't be cured!" Tan Zhongyu already regarded Zhou Yanqing as both a disciple and a friend, so he complained so much.

Many people think that modern medicine is very advanced and can cure many diseases.

In fact, it is just the opposite. With the deepening of our understanding of modern medicine, many diseases cannot be cured. At least in the understanding of modern medicine, once many diseases occur, they will inevitably leave something in the human body.

This legacy cannot be erased.

If someone tells you that everything can be cured without any side effects, they are definitely trying to cheat you out of your money!

Zhou Yanqing did not respond directly: "Master, this patient has seen you many times in the past?"

If Tan Zhongyu decided that the team should work on such a difficult operation, Zhou Yanqing would definitely be very excited.

The research and development of treatments for some diseases is becoming more important than the results.

Because if no one starts, then everyone will always be in a passive state and will never start.

However, the more complex the disease, the more critical the initial patient quality screening is.

We are originally in the stage of trial and exploration. If you choose a few difficult patients, you will be asking for trouble.

It will definitely be settled by lawsuit.

"Yes, I have come here many times and my desire to seek medical treatment is very strong."

"He used to be a programmer, which is considered a technical job. Now that he has lost the function of one hand, there are very few jobs he can take on, and his income has dropped significantly."

"There is another factor. He really wants to restore the function of his hands." Tan Zhongyu said half of it and hid the other half.

Zhou Yanqing asked: "Master, is it because you are divorced and need to take care of the baby?"

There will be no filial son by the bedside of a long-term patient, and husband and wife will fly away separately when they encounter disaster.

This is a very common occurrence.

"Not entirely true!~"

"He also has to take care of his wife." said Tan Zhongyu.

This made Zhou Yanqing very puzzled.

Tan Zhongyu continued: "Yanqing, these are not the key points. The more critical factor is whether we can start."

"Once the operation begins, there will be no turning back. If we want to start, let's discuss it together."

"It takes a lot of planning before the operation!"

"It certainly won't start now. It will be postponed for at least a week."

Zhou Yanqing smiled and said, "Master, this patient was admitted to the hospital last Wednesday, which was the day I went to Rongcheng."

"Our hospital beds require reservations. Master, you must have already had the answer in your mind, right?"

Zhou Yanqing felt that Tan Zhongyu’s questions were unnecessary.

Because he had already thought it through, he had the patient admitted from the outpatient department to the department.

After a patient is admitted, he must be treated. Otherwise, are we just admitting the patient to chat with everyone?

Hearing this, Tan Zhongyu whispered, "Master actually has a bit of a gambler's mentality, because Master wants to improve so much."

"So, I admitted the patient without your consent, and today, I specifically told you about this."

"Among them, there are some ideas that will hopefully disrupt your inner rhythm through his story and make you make the kind of decision I hope for."

"Because the master saw your basic skills!"

"This operation is very powerful. In Master's opinion, your level of operation is enough to operate this function to rebuild it."

Tan Zhongyu's sudden confession made Zhou Yanqing stunned for a moment, and then his face gradually stiffened.

Tan Zhongyu added: "Now, I have told you the pros and cons, including my arrangements. Please give me a hint."

"If you say yes, we will arrange the operation directly. If you say no, I will persuade the patient to leave the hospital." "After all, surgery is not a transaction. This kind of difficult operation requires extreme caution from the beginning to the end! ~"

Zhou Yanqing swallowed twice, then stuck out his tongue to lick his lips and said, "Master, our hospital admits patients that even Professor Teng doesn't want to treat. If the postoperative effect is not good, what should we do?"

"Cold dish!" said Tan Zhongyu.

Tan Zhongyu looked at Zhou Yanqing's worried expression and immediately said, "Your master will hold up the sky if it falls. What are you afraid of?"

"With me here, who dares to say that the patient belongs to you? Was it you who admitted the patient and decided to perform the surgery?"

"Master, do we have a chance?" Zhou Yanqing suddenly became full of fighting spirit.

Tan Zhongyu has said that Zhou Yanqing has the basic skills to deal with such functional disorders.

It doesn't mean that the diseases that Professor Teng Qinghe cannot treat cannot be treated by others either. That's not entirely true.

Every hospital has its own characteristics and ace departments!
Industry specializing in surgery.

For the treatment of new diseases, before there are standardized surgical plans, all treatments are explored step by step based on basic skills.

You must always believe that joint replacement was not originally a joint replacement, but a hip fusion, which uses hip fusion to treat hip osteoarthritis.

Many limb-salvage surgeries were not limb-salvage surgeries in the past, but amputations!
"There is a certain chance, but we need to do some serious preoperative preparation, including literature preparation, psychological preparation, and operational preparation."

"This surgery will be postponed for at least a week."

"If you want, I will take you to the animal laboratory later, and we will explore such operations together and how to subdivide them during the operation!" said Tan Zhongyu.

If surgery is cooking.

Then the basic skills such as suturing and cutting are the ways to cut and process vegetables.

Vegetables are cut into different shapes and processed in different ways, and the final taste is also different.

Other basic skills can be compared to seasoning, heat, etc.

Many people’s cooking skills are different because the combination of basic skills is different.

Everyone who cooks has their own flavor.

The same is true for surgery. Different basic skills, different understandings, and different operating steps may lead to very different final surgical quality!

In the face of unfamiliar diseases, it can be said that everyone is equal and no one is invincible.

"Okay, Master!" Zhou Yanqing nodded without hesitation.

Zhou Yanqing was very happy when his master took him to learn about the diseases that his master was familiar with.

Now that his master was going to take him to treat an unfamiliar disease and develop a treatment plan together, Zhou Yanqing had no reason to escape.

"You will be the lead operator for one of the three routine surgeries tomorrow!"

"It can also serve as an example for your fellow disciples, so that they can see your current level more objectively, instead of always smiling at you." Tan Zhongyu said.

Zhou Yanqing seemed unable to refuse!

After deciding this matter with Tan Zhongyu, Tan Zhongyu gave Zhou Yanqing a task, which was to ask Zhou Yanqing to look up all the available literature related to functional reconstruction.

Whether it is a case report, a review, or an expert opinion, you should look for everything you can find.

However, Zhou Yanqing asked, "Master, can I go to the laboratory to do basic experiments?"

Tan Zhongyu simply told him to get out.

This is really a cow roll!

Brother, we are not simply learning, but challenging unknown diseases. You should focus all your time on learning and challenging.

You're still doing basic experiments? Isn't this a side issue?
Can’t you fill your mouth with such a new topic?
You know, the development of a new treatment method for a disease is accompanied by huge scientific research results and various honors. It is not as simple as simply developing a surgical procedure.

Zhou Yanqing still went to the basic laboratory and revisited the basic cells he had sealed.

They had been unsealed last month, but then Tan Zhongyu forcibly cut off his access to the laboratory, so Zhou Yanqing had no choice but to seal them again.

Some of Zhou Yanqing’s previous experiments have not been completed yet, but they can’t be left unfinished, right?
However, Zhou Yanqing decided to slow down the pace of his basic experiments!

The reason for continuing is to maintain one's own condition, and the reason for slowing down is to not anger Master Tan Zhongyu to death!

……

That evening, Zhou Yanqing received a call from Associate Professor Huang Xianming.

"Yanqing, Professor Tan said that he is going to perform surgery on the patient in bed 16. Did you know about this?" Huang Xianming's voice was shocked.

Huang Xianming is an associate professor in the group. In addition to teaching, an associate professor’s other role is to prevent the professor in the group from making mistakes that he knows are wrong.

Correct some professors who are too stubborn.

"I know, there is such a thing." Zhou Yanqing was looking up literature in the hospital library. The network here would be better, and it was free to download literature.

"Then why didn't you stop it?"

"I should have told you about the situation of bed 16, right?" Huang Xianming asked quickly.

"Teacher Huang, he did say that, but my master said he wanted to give it a try. I also think that if we don't take the initiative to take the first step and don't actively seek change, then we will always lag behind others!" Zhou Yanqing said.

Huang Xianming shouted, "Zhou Yanqing, you are confused."

“Is medicine competitive?”

"Different people have different physical qualities and backgrounds, and this is still the case in different hospitals."

"Those places that have developed faster than our hospital are all places with better economy and geographical location than ours, or have other policy support!"

"Professor Tan is deeply involved in this, and you are also making trouble?" Huang Xianming might not dare to yell at Tan Zhongyu, so he took out his anger on Zhou Yanqing.

Zhou Yanqing heard this and hesitated for about ten seconds before saying, "Teacher Huang, it's probably not what you think."

Huang Xianming said: "Not yet?"

"Then let me ask you, our hospital's hand surgery department is developing slowly and well, why should we speed up the pace?"

"They are also developing new diseases!~"

"It's just a rhetoric. Isn't the purpose to become famous? Isn't it to leave a good reputation while in office?"

"With this, we are going to take our entire group on an adventure!"

"No, I have to report this to Director Lei." Huang Xianming was not asking Zhou Yanqing for a solution, he just wanted to confirm the matter.

He is a free man who makes his own decisions.

After hearing the call was hung up, Zhou Yanqing smiled.

Sure enough, some things are more difficult at the beginning than during the process...

(End of this chapter)