Chinese medicine: When you do things to the extreme

Chapter 200: Raise troops for a thousand days and deploy them for a moment (Subscribe)
Zhou Yanqing was modest in words, but in his heart he was not satisfied with just finishing the operation.

Ending the operation incompetently and harmlessly is actually a failure. At least for the patient, it will increase the burden of financial consumption and physical pain.

Similarly, any unit or institution will experience such failures, or even worse, when faced with the challenge of unknown diseases!
Even for some mature surgical procedures, when they are first performed in county-level hospitals and prefecture-level city hospitals, patients who receive treatment there will face such risks.

"Then go and hand over the shift, make rounds, and get ready to start the show." Tan Zhongyu also had some preparations of his own, and his thoughts were similar to Zhou Yanqing's.

People always have to look up, even if it is a failure, even if the patient has been clearly agreed not to blame, but still makes a fuss when the operation has no effect.

Tan Zhongyu also has to do it.

If you don’t start, you will never get started and there will be no way to make progress.

At 8:40, Professor Tan Zhongyu and others stood beside the operating table, watching Professor Xu Long, director of the Department of Anesthesiology, personally preparing anesthesia for the patient while closing their eyes to rest.

The arrow is on the string and must be shot!
At 8:50, Huang Xianming and Liu Qingshan finished disinfecting and laying the towels!
Tan Zhongyu and Zhou Yanqing then washed their hands and disinfected them, put on sterile surgical gowns and sterile gloves and went on stage.

Ning Zhuyou had an emergency surgery and left the emergency operating room. Other doctors, even Yu Yue, who was the most "beloved" by Tan Zhongyu, were not allowed to go on stage.

Today's operation is very special and the tolerance rate is very low. Tan Zhongyu must reduce all irrelevant factors to a minimum.

Tan Zhongyu stood at the operating room's main operating position and saw that the two circulating nurses were not sitting under the operating room's timing panel playing with their mobile phones, but stood up, looking energetic, ready to follow orders at any time.

There are two instrument nurses on the stage, standing on the left and right, ready to pass on the instruments needed by the team at any time.

The bending plate has been handed over!

"The operation begins at 8:59:41 in the morning!" After giving the order, Tan Zhongyu picked up the scalpel in the curved tray and began to make the first cut as discussed with Zhou Yanqing and others.

The first step in any non-open emergency surgery is to make an incision.

When Tan Zhongyu was undergoing skin incision, Professor Xu Long, director of the Department of Anesthesiology, personally wrote down the start time of the operation on the anesthesia record sheet, and the circulating nurse also wrote down the start time of the operation on the operation record sheet.

The patient's skin is a scarred surface after a burn, and this kind of skin bleeds easily after being cut.

But this is not a difficult task for Tan Zhongyu.

The most important basic skills in hand surgery are suturing and incision. Tan Zhongyu’s current operating level is enough to master it!
"Plasma electric knife!" Tan Zhongyu asked Huang Xianming, who was standing diagonally opposite him, for the equipment.

Huang Xianming handed over the electric knife he had at hand.

Before the operation, everyone had seen through MRI that the patient's subcutaneous tissue was torn.

After the incision was made, everyone looked at the situation under the skin and couldn't help but frown!

The subcutaneous fat layer of normal patients is almost gone.

The scar skin is completely adhered to part of the muscle layer, and the original anatomical separation between the muscles is lost!

It is not an exaggeration to describe it as a mess.

This is one of the difficulties in undergoing functional reconstruction surgery for this patient.

You should know that in normal people, the anatomical gaps between muscles can slide, and there are other structures such as intermuscular septa or capsules.

Once everything is adhered together, it is not easy to remove the scar tissue from between the muscle adhesions.

Tan Zhongyu made a prompt decision: "Yanqing, come here!~"

At this moment, Tan Zhongyu has already let go of the psychological burden of being Yan Qing's master and the leader of the group!

Of course he can do it. Joint stiffness and local stiffness after muscle adhesion are common diseases in hand surgery. Tan Zhongyu has done this many years ago.

However, for this patient, Tan Zhongyu was willing to give him more opportunities and let Zhou Yanqing, who had better basic skills, do the operation!
There is no standard surgical procedure or process for current surgeries. There is only a rough theoretical guide to guide you on what to do...

All other details are up to you to figure out.

It's like cooking a dish that no one has ever cooked before. As a chef, you need to create a menu by understanding steaming, boiling, frying and pan-frying, and understanding how various seasonings react with ingredients.

At this moment, any release techniques used in other surgeries are no longer applicable, and only the simplest basic skills can be used!
Zhou Yanqing did not make any unnecessary movements. His left hand did not move, and his right hand did not take the plasma cautery knife. Instead, he picked up a simple scalpel and began the peeling operation.

When the skin and muscles of a burn scar are adhered together, in order to obtain a larger surgical field, the first step should be to loosen the adhesions between the skin and muscle tissue.

Otherwise, even if the surgery is completed, the deltoid muscle will be adhered to the muscles and still unable to complete movements such as contraction!
What Zhou Yanqing can now rely on are the basic skills of incision, accuracy, control and lightness, as well as some basic understanding and concepts of release in surgery to perform the operation.

It can be seen that each time Zhou Yanqing cut, the amplitude was very slight, as if he found the scar tissue between the scar skin and muscle just right.

However, this layer of scar structure, which is difficult to detect with the naked eye, is still uneven, with some places being darker and some places being lighter!
Therefore, do not use too much force when layering and peeling.

After seeing Zhou Yanqing do this for two rounds, Tan Zhongyu felt a chill in his heart!
No wonder those old guys are reluctant to perform such an operation. If this step is not handled properly, there will be a big pit later!
Now that the operation has begun, there is no point in worrying about gains and losses!

next moment.

Zhou Yanqing's operation seemed to be going smoothly, and he suddenly became much more skilled.

Tan Zhongyu blinked his eyes gently. Then he looked at Zhou Yanqing's rhythm——

Zhou Yanqing's operating rhythm became steady at this time, and his speed was normal. Before he even determined the level of knife entry, Zhou Yanqing had already completed the peeling!

This is also a basic skill besides operation, visual capture.

If a hand surgeon has basic physical skills like not blinking and doing horse stance.

Zhou Yanqing's operating speed is getting faster and faster. The speed is already as fast as a senior master's degree student performing an incision on a routine patient!
This is what Zhou Yanqing cooked!

Made it confident.

"Hiss!~" Tan Zhongyu took a deep breath of cold air.

He looked at Zhou Yanqing for a few seconds.

A storm began to stir in my heart.

To be honest, before reaching the "national master level", Tan Zhongyu couldn't say what the ups and downs of this realm were like. It was all his own guesswork.

But according to current speculation, Zhou Yanqing's level should still be considered to be quite strong among the national players.

There are not many professors who have reached the national level, but Tan Zhongyu has heard a saying before that the gap between national level players is even greater than the gap between ordinary people and national players!
However, one cannot detect the subtle difference in their skills unless one reaches that level.

With the level of a national player, when performing professional procedures, the lower limit is fixed, so it won’t be too bad.

After Zhou Yanqing peeled off a part of the scar tissue between the skin and muscle layer, he continued to peel off the scar between the muscles!
This type of scar is more difficult to remove than a scar caused by peeling off the subcutaneous tissue.

If you are not careful, you will damage the already scarce normal muscle tissue or muscle fibers.

Normal people's...

Before Tan Zhongyu's thoughts could wrap around his head, Zhou Yanqing didn't hesitate at all and directly inserted the scalpel as if he had done it many times before.

Then a slight rustling sound was heard!
It was the sound of a surgical blade cutting through scar tissue.

As the blood spurted out, Tan Zhongyu quickly followed and assisted in sucking the blood. At the same time, his other hand, which was not in the surgical field, was trembling slightly. First, he felt a little scared. If he really was the only one to perform the operation, he would probably be very nervous and unsure.

On the other hand, I am just beginning to experience and understand the subtleties of Zhou Yanqing's operations!

If he could go one step further, Tan Zhongyu felt that he would be able to break into that realm soon.

Huang Xianming and others could not see that Tan Zhongyu was so meticulous, but they also knew that Zhou Yanqing's current operations were already in-depth and detailed.

The same hand, the same knife, the same operation, but the level of performance is much higher than theirs.

However, Tan Zhongyu did not show any intention of explaining, so they did not ask too many questions.

After all, for simple elective surgeries, once Zhou Yanqing started the operation, Tan Zhongyu would give some guidance.

Today's situation was special, and a few people didn't quite understand, so they could only watch it anyway.

After forcing myself to watch it, I can't see the essence, but I can get some general idea. After comparing it with my own operations to a certain extent, I have some new insights.

Being able to observe high-quality operations for a large amount of time is one of the shortcuts to quickly improve your own level.

This is called breadth of vision. At least you know where the upper limit is and how you can improve it!

Time moves slowly!

Three full hours passed in a flash!
In three hours, the time normally taken by most people to complete a limb replantation operation, the people on the stage only completed the entire anatomical structure stripping of the upper arm!

Most of the skin, distinct muscle cords, vascular sheaths, and important nerves and tendons were separated one by one by Zhou Yanqing.

The debridement has not been completed yet, so it looks like the patient's various structures are covered with bumps!
"Huh!~" Zhou Yanqing, who had hardly had a chance to catch his breath, raised his head and let out a long sigh.

And he tilted his neck left and right!
This kind of operation is not laborious, but it is demanding on the mind and hands.

I have the strength but cannot use my full strength, and every step has to be done with extreme control. It’s not the kind of fatigue that makes my whole body feel exhausted, but the kind of exhaustion that makes my scalp tense to the extreme!

"Yanqing, come off the stage and take a rest for a while, and go have a meal first!" said Tan Zhongyu.

Today's surgery will definitely not be completed in a short time!

The estimated time in advance was more than ten hours, but now it seems that if the entire upper limb functional reconstruction surgery can be completed in fifteen hours, it would be considered fast.

But tomorrow is not the surgery day, so only this one surgery is scheduled today, so it doesn’t matter.

Once it’s done, it’s the weekend, or at worst Sunday!

"Okay!~" Zhou Yanqing also knew that this would be a long tug-of-war.

He took a few steps back.

My stomach is a little hungry, or at least a little sour.

Work that is mentally and physically demanding can make you hungry quickly.

"I'll clean the wound first. After you come up, I'll come down to eat."

"Ning Zhu, Yu Yue, you will go on stage later!" Tan Zhongyu ordered.

Major surgery can only be completed with two or more backup teams taking turns.

This is what Tan Zhongyu meant when he didn't let Yu Yue go on stage at the beginning.

Everyone stopped talking and turned to leave the operating room.

As soon as he left the operating room, the originally silent Yu Yue became so nervous that he poked his palms with his fingers.

"Yanqing, do you dare to do something like this today?"

"I felt nervous just watching from the sidelines."

"How could a healthy person be injured like this?" Yu Yue was a little frightened.

Zhou Yanqing was actually agitated in his heart: "Scars are the medals of soldiers, but I don't like such medals. I want to get rid of them!~"

"Such an invisible medal is of no benefit!"

Yu Yue was silent and nodded.

In China, no matter what the public is like, no one dares to judge a person's character before entering there. Once you are about to enter, you can basically be trusted.

Except for a very few arrogant and domineering ones, most people are very lovely.

That is the Chinese people's instinctive trust and love for them.

"Yanqing, I want to learn too!" Yu Yue took a few steps and said so.

Although Yu Yue is a senior brother, his tone at this moment is like that of a student, and he made a sincere oath like a child.

“Only after we have successful experience will we have the opportunity to learn.”

"We are all learning." Zhou Yanqing smiled.

After leaving the locker room, Yu Yue noticed that Zhou Yanqing's whole body was drenched in sweat.

"Yanqing, I'll get you a set of clothes. Go take a shower, but don't wash your hair!~"

"Think of these dirty clothes as towels."

"There is a small bottle of shower gel in Master's cabinet. Although it may have passed its expiration date, it's better to have it in hand." Yu Yue said.

Every operating room has a shower room to deal with such situations. However, there is no shower gel, so you need to bring your own!
"Senior Brother, let me go with you!" Zhou Yanqing said.

In fact, it’s not very hot in the operating room. The air conditioner is set to 19 degrees, which is still a bit cold.

But throughout the entire operation, Zhou Yanqing was in a state of high nervous tension, his body's metabolism reached its peak, and heat production naturally increased, so Zhou Yanqing was sweating without even noticing it.

……

After washing up, Zhou Yanqing put on his hat and mask again, and then once again led his fellow doctors into the operating room.

Raise an army for a thousand days, use it for a while.

Zhou Yanqing's accumulation of the past nine years, and even many years to come, was for this day.

When given the opportunity, one cannot just live lying down.

After Zhou Yanqing washed and disinfected his hands, he placed his hands reverently in front of his chest and calmly opened the door of the operating room!

(End of this chapter)