Chinese medicine: When you do things to the extreme

Chapter 214: Suturing Technique (Subscription Request)
"Master, let me go on stage today too!" Zhou Yanqing took the initiative to ask after entering the operating room.

Huang Xianming, who was about to take the lead surgeon's position, stopped immediately after hearing Zhou Yanqing's words.

"Yanqing, come and teach me!"

"It just so happens that I feel the transposition surgery is a bit forced." Huang Xianming explained with a smile.

It’s not that Huang Xianming particularly likes to laugh, but he really hopes that Zhou Yanqing can set an example for him again.

The status in the team is like this, the more powerful one is, the more independent choice of surgery one has.

Zhou Yanqing has very advanced surgical skills. He did not go on stage because he was being modest. If he wanted to go on stage, it would mean teaching.

Tan Zhongyu said: "If you want to go on stage, just go directly?"

Zhou Yanqing secretly apologized in his heart, because he did have daily tasks to complete and refresh, so he had to inquire Huang Xianming about practicing with fewer machines.

The progress of completing the transposition surgeries relying solely on functional reconstruction is still too slow.

Zhou Yanqing hasn't improved his strength for a long time, and he also wants to improve.

The transposition surgery was a procedure that Zhou Yanqing had perfected. It was so perfect that even Tan Zhongyu had to stand on tiptoe to watch it carefully.

He also explained: "Yu Yue, pay attention to Yan Qing's specific techniques."

"Transposition technique, the first step to understanding it is to understand how to do it and why to do it."

“Once these are understood clearly, we can start working on the details.”

“Cognition is a theoretical reserve, and operation is a personal reserve of strength.”

"Even with the same transposition surgery, the functions that can be saved are different."

Yu Yue nodded seriously, knowing that Tan Zhongyu was instructing him, and stared at Zhou Yanqing's hands very carefully.

He just watched and at first he could follow the ideas that Tan Zhongyu was talking about, but after a while, he was confused by Zhou Yanqing's operation and didn't hear one section.

That's after I saw something good. For a short period of time, I was lost in my possessiveness and thought how nice it would be if I had such skills.

Tan Zhongyu also noticed Yu Yue's change and paused.

Yu Yue immediately turned his head away in annoyance: "Master, I'm sorry, I was distracted again."

Yu Yue felt that he was becoming increasingly unstable when facing Zhou Yanqing. He was only thinking about how to become fat in one go, instead of having the mentality of catching up as before.

Tan Zhongyu explained: "It doesn't matter, everyone will experience this state."

“When I was in graduate school, I was so infatuated with what my seniors were doing that my mind would wander.”

Yu Yue asked, "Can Yan Qing do it, too?"

Tan Zhongyu was speechless and glared at Yu Yue.

Is this the point I made?

But immediately, Tan Zhongyu said: "Yanqing also came step by step, how come you don't know that he has already gone through your current mentality?"

"You've been doing very well before, and there were almost no peers who could put pressure on you. So, after seeing Yan Qing walk ahead of you, you will feel even more anxious!"

"Just calm down slowly and treat it correctly."

"Perhaps after you make further progress, you will be able to get out of this state." Tan Zhongyu comforted.

"Okay, Master!" Yu Yue lowered his head.

It's really not that Yu Yue's mentality is not stable enough, but Zhou Yanqing is too discouraging. Yu Yue's mentality has been affected, which is enough to show that other people's minds are often scattered.

Tan Zhongyu felt that he had to find a way to deal with this situation among the group members.

It's not jealousy, but envy that makes people more likely to be distracted.

"..."

That afternoon, after the operation, Tan Zhongyu and Zhou Yanqing went to the animal testing laboratory together.

On the way, Tan Zhongyu explained to Zhou Yanqing: "Yanqing, it doesn't matter even if this attempt fails."

"Functional reconstruction, after all, is to learn a procedure that others already know and that has been proven to be effective by scientific research. It is already there, and once you learn it, you have it, and it is effective."

"But pure basic scientific research is not like this. For example, a suture idea may be useful, but it is more likely to be useless."

"In this world, people who can pursue an academic career have wild and unconstrained ideas. Perhaps the path we are taking now is a case where others have already taken it but failed."

"But it doesn't matter. Having the courage to face failure and accepting it calmly is also an experience we must go through to grow."

Zhou Yanqing nodded and replied: "Okay, Master, even if I fail, I won't dwell on it!"

……

No matter how clean an animal testing laboratory is, there will naturally be a faint strange smell.

The laboratory is where the animals live and eat, drink, defecate and urinate, and it cannot be cleaned up.

Even wearing a three-layer mask is useless.

The experimental laboratory where animals are kept is dim and there are all kinds of strange squeaking noises.

But in the operating room, it was as bright as day.

Zhou Yanqing placed the two untreated naked rabbits and their cages on the operating table, while putting on simple surgical gowns and sterile gloves.

While saying: "Master, let's grind it first. The recent period of time may be exploration."

"Anyway, the lab here has all kinds of stress-measuring equipment!"

When Zhou Yanqing first entered the operating room, he felt a little dazzled for a moment because the light suddenly changed from dark to bright, but he quickly returned to normal.

"Well, don't worry, take your time."

"Each suturing method was refined by our predecessors after many failed attempts, and finally a relatively better suturing method was summarized."

"The reason why we are cautious in calling them relatively superior is that these procedures are very likely to be improved or even eliminated by the development of society."

"Whether it is the Tang suture or the Kessler suture, they are now used less and less in clinical practice, at least in top hospitals."

"Our surgical operations are nothing more than current surgeons using the best treatment methods currently considered in the world to perform relatively higher quality surgeries."

"This is the reality of modern medicine. We must always acknowledge our shortcomings, but also see our advances compared to the past." Tan Zhongyu explained the essence of the surgical procedure to Zhou Yanqing from a higher perspective.

This sounds mysterious, but it is also the fact, and it is helpless.

The so-called fate is nothing more than that at a certain moment, or at a certain period of time, you happen to meet the person who catches your eye. Perhaps after a while, your fate will be gone.

But you have to admit that you were indeed moved at first.

The same is true for the development of science.

If we look back twenty years, we will only feel that our predecessors from twenty years ago were very pitiful, as they had to run around for those things all their lives.

Looking back over the past forty years, I wonder if those predecessors were just messing around. Can such a surgical procedure be performed in clinical practice?

However, if we go back forty years, those surgical procedures that have now been eliminated were once world-class.

There is no end to medicine.

You need to both self-recognize and self-deny!
With this mentality, Zhou Yanqing's operation on the first day was relatively unsuccessful.

Because the so-called weaving and suturing method developed by Zhou Yanqing is not as good as the improved Kessler in terms of tension resistance, and is not as strong as the improved Mtang.

And the difficulty of operation is even greater than the other two.

However, after recording these data, Tan Zhongyu still regarded them as treasures and recorded them in detail one by one:
"In fact, in our first attempt, we were able to achieve 80% of the improved Kessler in terms of tensile strength, and 70% of the improved Mtang in terms of firmness!"

"We have already succeeded. Your idea has great potential." "Even if we cannot guarantee that it can be better than the other two, it is estimated that it can form a three-way competition!" Tan Zhongyu gave a very high evaluation.

Nowadays, the two major tendon suturing methods are the modified Kessler method and the modified Tang method.

No matter how many operations are performed, they are all evolved from these two suturing methods.

If the team can create a suture that's comparable to these two established methods, that would be a huge breakthrough.

Suturing is the basic skill of hand surgery. A breakthrough in this basic skill would be a great academic leap.

"Master, I think so too. We can take it slow. There's no rush." ​​Zhou Yanqing was naturally not discouraged.

Today is only the first day. If it succeeds, it will prove that I am blessed by God.

If I didn’t succeed on the first day, it doesn’t mean that God doesn’t favor me.

At least it gave me inspiration.

Even if it fails, we will have similar experience, and we will be more adept at developing such suture techniques in the future.

Failure is the mother of success!
"Yanqing, let's come back tomorrow!"

"It's getting late today, let's go back and rest first, and combine work and rest."

"In addition, the patients who underwent functional reconstruction surgery in my outpatient clinic have already started making reservations for hospitalization."

"We must also pay attention to clinical surgery," Tan Zhongyu instructed.

The bed resources in the Hand Surgery Department of Xiangya Hospital are extremely scarce. This time, only an appointment was made for half a month, so Tan Zhongyu must have taken advantage of it.

A small number of patients were admitted to the hospital in advance.

Doing so would certainly be unfair to some of the patients waiting in line, but it would also allow the surgical team to maintain their skill in functional reconstruction surgery and not become unfamiliar with it.

Lest it become useless if you don’t use it!

Originally, Tan Zhongyu planned to take Zhou Yanqing out for a consultation surgery to practice his hand feeling, but Zhou Yanqing suddenly had an inspiration and had a new scientific research direction, so the team naturally could not give up.

Sometimes, the right balance is what must be done for team development.

For elective diseases in hand surgery, hospitalization a few days earlier or later will not affect the patient's functional recovery and healing at all.

Upon hearing this, Zhou Yanqing walked out of the smelly laboratory quickly and asked, "Master, I heard that you had an argument with a patient while you were in the outpatient clinic this week."

"Are you okay?"

It was two days after Tan Zhongyu's outpatient visit that Zhou Yanqing asked about this topic.

The main reason is that I was afraid of irritating Tan Zhongyu.

Tan Zhongyu shook his head: "Nothing, just some patients who need to have skin flaps recommended by acquaintances."

"But you also know that our department is overwhelmed with transposition and functional reconstruction surgeries. How can I have time to do a simple flap transplant?"

"Just find a tertiary hospital and have it done."

Zhou Yanqing can understand Tan Zhongyu.

Just like trauma surgery, the orthopedics department of Xiangya Hospital no longer accepts patients with simple fractures. You can get it done at the county hospital, so why come to me?

It's really boring to do, and I'm too lazy to do surgeries that are very replaceable.

But from the patient's perspective, the situation is different.

The other party has finally made an appointment and thinks he has found a real expert. But you can do it but you don’t. Aren’t you being mean to me?
So they started arguing.

"So, I reported it to the hospital and asked them to remove the words "skin flap transplant specialist" from my outpatient resume. The next time I see a similar patient, I will just say that I can't get the disease."

"If you can't afford to provoke me, I can afford to hide from you!" said Tan Zhongyu.

"Master, this is the benefit of having advanced skills. You can choose patients freely."

"When I was in the First Affiliated Hospital of Hengda University, skin flap transplantation was the main business of the department. If we didn't do this, there would be almost no patients." Zhou Yanqing sighed.

At the same time, I was outside and the air was many times fresher.

Zhou Yanqing also recovered from his depression.

Tan Zhongyu said: "But if you think about it from another perspective, if our department does not perform transposition surgery, we may have to rely on flap transplantation to replace our business volume."

"Surgeons can't just sit there doing nothing!"

Before, functional reconstruction surgery couldn’t be performed, and if you didn’t rely on transposition surgery, you could only compete with municipal hospitals for skin flap transplants.

Similarly, Hengda Affiliated High School is just another "Little Xiangya".

"Therefore, it is very necessary to establish a hierarchical referral system. In the future, even if such patients come to me, I can recommend a place for them."

"Alas, actually when I think about it, I am quite heartless."

"After all?" Tan Zhongyu touched his nose.

"In the field of skin flap transplantation, I can boast that I am one of the best in the province."

Tan Zhongyu's mood was also complicated!

The effect of the skin flap transplant he performed would definitely be different from that of others, and there might even be an order of magnitude difference, but he didn't do it.

This became a relatively ineffective technique in the department.

"Master, don't brag, you are one of the best." Zhou Yanqing said with a smile.

"Want to go out and get something to eat?"

"Master is in a good mood today and wants to drink some beer." Tan Zhongyu invited.

"Okay, Master!~"

"But can I bring someone with me today? I had an appointment with Chen Yu to have a midnight snack."

"It's just right to bring it to you, Master."

"Chen Yu also said that he would find an opportunity to visit you." Zhou Yanqing asked.

Tan Zhongyu nodded decisively: "Sure!"

"Why are you doing this so suddenly? I haven't prepared anything. So there's no gift?"

Zhou Yanqing's willingness to bring his girlfriend to dinner is a kind of respect for him.

Usually, you just need to bring your girlfriend to meet your parents.

Tan Zhongyu felt very happy that he could move step by step to this position in Zhou Yanqing's heart. His efforts were not in vain.

"Master, I will send a message then!~"

"You and I will go first, and she can take a taxi here by herself." Zhou Yanqing said to Tan Zhongyu while editing the message.

"You are quite proactive." Tan Zhongyu has seen many people and things.

The understanding of feelings is also more objective.

Being a licker and being licked, taking the initiative and treating each other with respect, are completely different states.

Zhou Yanqing raised his head and smiled: "I'm quite busy, Xiaoyu will give in to me more."

……

(End of this chapter)