Chinese medicine: When you do things to the extreme

Chapter 217 Something might happen! (Subscribe)

"You'd better say something serious." Chen Yu suddenly said.

Zhou Yanqing was stunned when he heard this, then he blinked and laughed, "I didn't mean that. I am different from other surgeons. I seldom drive."

"you?"

Zhou Yanqing seemed to have gotten to know Chen Yu all over again.

Chen Yu's pretty face turned red, and she stood up and tried to hide: "I'm going to write, you wash the dishes."

"We haven't even started eating yet, why are you asking me to wash the dishes?"

In the end, Chen Yu did not run away. After Zhou Yanqing received a call at nine o'clock and went back, Chen Yu ran to the room and started typing.

While pouting in grievance, he cursed: "You clearly know that I need to write, but you still bother me. Don't sleep, just don't sleep..."

"..."

Zhou Yanqing is not a particularly straight man who left right after being affectionate.

Originally Chen Yu was planning to take a leave.

However, Zhou Yanqing received a call for help from Brother Ning Zhu, who said that there was an emergency in the department and Ning Zhu might not be able to handle it, so he asked him to go over and help.

September is the last month of Brother Ning Zhu's career as chief resident. Starting next month, the position of chief resident in the department will be taken over by Lin Yuxuan, a new doctor in Professor Du Zhonghua's team last year.

Ning Zhu wanted to guard his last shift well, so he was extra cautious.

After Zhou Yanqing replied to Chen Yu's several messages, he went straight to the operating room.

"Brother Zhu, what's the emergency? Replantation of severed limbs?" Now, the only emergency case in the department that Ning Zhu cannot handle in its entirety is replantation of severed limbs.

"Yes, Master, I didn't dare to disturb you rashly, so I called you."

"Now that you're here, it should be convenient, right?" Ning Zhu had already completed the interview and signing procedures, and was now helping Tian Chao with disinfecting the drapes.

Zhou Yanqing took a quick look and took the initiative to leave the operating room to wash his hands and disinfect them. Then he put on sterile surgical gowns and sterile gloves and took the initiative to help lay the towel.

The patient was fully anesthetized, so after Ning Zhu dressed himself up, he was eager to try and said, "Yanqing, can I give it a try? Watch for me."

Hearing Ning Zhu say this, Zhou Yanqing knew that it must be Brother Ning Zhu who made some progress and his skills have now improved.

This is also normal. Zhou Yanqing has known Ning Zhu for almost two years, and Ning Zhu's progress is reasonable.

Although compared with the outside world, he is still very strong and is now almost catching up with Huang Xianming's level.

"Okay!~" Zhou Yanqing was happy to be 'relaxed'.

Limb replantation is not a transposition operation. Even if he performed it, it would not improve his daily tasks. At most, he would just accumulate proficiency.

Giving it to Ning Zhu would be a good material for his first complete limb replantation operation.

When Ning Zhu and Tian Chao saw Zhou Yanqing nod, they became even more enthusiastic and their movements became faster.

In fact, being an assistant is more boring than being the chief surgeon.

However, when Zhou Yanqing changed his thinking, things became much more interesting.

He glanced at Ning Zhu.

Why is Ning Zhu’s internal fixation technique so poor?

It's just average, the quality is OK, it's enough...

Zhou Yanqing had just gotten his driver's license and had just finished the work to get his driver's license, and then he watched others taking the second and third subjects.

I passed it, loved it!

If I see where others have failed, I will laugh...

Therefore, Zhou Yanqing kept this mentality throughout the operation.

There is no problem with Ning Zhu's surgical skills. The only thing he lacked before was vascular suturing and nerve suturing. But now that Ning Zhu has said that he is confident, he should be quite confident.

Although Zhou Yanqing feels that the quality will be higher if he does it himself!
But it is impossible for me to perform all the surgeries in the hospital by myself, so I have to give others the opportunity to practice, including but not limited to Ning Zhu.

Tian Chao, Zeng Hui, Xiao Yuanqi, Wang Qingyao and other masters also need opportunities to practice...

Ning Zhu's surgery was quite fast, and Zhou Yanqing's self-entertaining mentality could not last long.

Finally, two hours later, Zhou Yanqing finally found a big mistake made by Ning Zhu.

"Hmm." Zhou Yanqing coughed, and then said: "Brother Zhu, sew it again. If you sew it like this, the blood vessels will leak later."

"I still haven't found the right angle."

Ning Zhu blushed when he heard this, and let Zhou Yanqing unstitch the stitches.

But maybe the blood vessels here are too difficult to sew up.

Ning Zhu failed three times in a row, so Zhou Yanqing took action.

After the suturing was completed, the operation was handed over to Ning Zhu.

This is the benefit of teaching surgery. With someone who is stronger than you assisting you, your surgical error tolerance can be increased by dozens or even hundreds of times.

As for the subsequent nerve suturing, Ning Zhu might have been practicing it recently, so he had no problem in performing it.

The replantation of the severed wrist lasted for more than six hours before it was completed.

It was already three o'clock in the morning.

After Tian Chao sent the patient back to the ward, Ning Zhu followed behind Zhou Yanqing, a little shyly: "I'm sorry, Yanqing, if it was you who was doing the surgery, you could have ended it at least two hours earlier."

"Are you going back? I'll reimburse you for the taxi fare." Ning Zhu promised.

"Forget it, Brother Zhu, I'll just go to the lounge and deal with it."

"Get up tomorrow morning so we can have breakfast together." Zhou Yanqing reminded specifically.

Ning Zhu said he would treat them to breakfast, and Zhou Yanqing no longer felt embarrassed at all.

"Please, of course. I'll invite you every day!" Ning Zhu patted his chest generously.

If I can treat Zhou Yanqing to breakfast, I can get such a good teacher, which is a huge profit.

Twenty dollars for breakfast a year, how much would that cost?
With Zhou Yanqing's current ability, he could have gone out to perform teaching surgeries long ago, and one surgery could earn him the money for a year's breakfast.

"Yanqing, how long do you think it will take for me to perform the transposition surgery?" Ning Zhu asked immediately.

If every doctor in a prefecture-level city hospital has a dream of replanting severed fingers and wants to reach the top level of the hospital.

Every doctoral and master's degree hand surgeon in the department, even associate professors, want to master the transposition technique to reach the top level in the hospital.

Once you reach this step, you can just sit back and wait to lead a team!

This is the case with Huang Xianming, and Ning Zhu is no exception.

"Don't be anxious, Brother Zhu!" Zhou Yanqing said cryptically.

Ning Zhu’s current level is at most expert 3/15 or 4/15. He is not even skilled in replantation of severed limbs, so he is thinking of doing a transposition surgery.

You need to reach at least 10/15 before you have a chance to try it, it’s still a long way to go!

"Is there such a big gap?" Ning Zhu frowned.

His expression seemed to be saying, brother is a genius. He is only 32 years old this year, but he can already barely replant severed limbs!

"We need to practice more."

Zhou Yanqing continued, "Brother Zhu, the error tolerance rate of the transposition technique is very low. Even if I do it with you, if I make a mistake, it will be difficult for me to make up for it." "If you don't believe me, you can ask Master for one or two needles anytime."

Zhou Yanqing had gone through the same thing before.

"Okay, I'll try it then."

"Yanqing, there is something wrong with the blood vessel today, right? It's not my technique that's the problem." Ning Zhu asked.

He felt that if it was just a normal limb replantation, he would definitely not need Zhou Yanqing's help to accomplish it.

"Yes, it is more difficult to sew up this bifurcation of blood vessels. The difficulty of the operation varies depending on the level of amputation of the severed limb."

"This patient's blood circulation is smooth after the operation, so there should be no problem." Zhou Yanqing said with a smile.

With Zhou Yanqing's confirmation, Ning Zhu seemed to have obtained a golden medal of immunity from death.

He laughed and said, "I feel relieved with your words, Yanqing. It is more reassuring than Master's affirmation."

His voice was very soft, and it was obvious that he only dared to say such outrageous words in private.

Upon hearing this, Zhou Yanqing quickly turned his head to look at Ning Zhu.

Ning Zhu continued, "Everyone in the group knows about it. It will be made public sooner or later."

"Don't say that. Master still has a lot worth learning from." Zhou Yanqing said quickly.

A professor's vision, mentality, attitude towards handling things, and many other aspects besides his skills are all worth learning and experiencing.

Now, even if Zhou Yanqing was placed in the position of ward director, he would be very flustered. He does not have such experience and ability, and naturally cannot do a good job of leading a team.

The skills are there, but being a director requires more than just skills.

……

The next day!

Both Zhou Yanqing and Ning Zhu felt a little sleepy, and Zhou Yanqing felt even sleepier than Ning Zhu.

Ning Zhu was used to staying up late, after all, he had been through a long period of hospitalization.

Zhou Yanqing, on the other hand, was assigned to the hospital as an assistant, and he went to bed and got up on time for a long time.

Suddenly I could only sleep four hours a day, and I still didn’t feel energetic enough.

But it is enough, after all, I am young.

September 9th was a Wednesday, which was not a surgery day, nor was it a surgery day scheduled before the surgery day, so the atmosphere in the group was relatively relaxed.

Zhou Yanqing followed the ward rounds and occasionally expressed his opinion. The rest of the work, such as writing medical records and changing medical orders, was left to his junior colleagues.

Tian Chao also arrived at the doctoral program. With Lin Hua and Tian Chao present, Zhou Yanqing did not need to be involved in reviewing the discharge medical records.

Zhou Yanqing has basically learned all the surgical techniques now and he doesn’t need to go to the practice room on a daily basis, so the test room, laboratory and director’s office are Zhou Yanqing’s permanent residence.

After Tan Zhongyu asked Zhou Yanqing to wash the teacups, he took the initiative to make the tea.

Seeing Zhou Yanqing's low spirits, he smiled and said, "Yanqing, it seems that you need to hone your skills as the chief resident, otherwise you will become lazy."

"But we'll have to wait."

"You will graduate next year or the year after. When Lin Yuxuan steps down as the chief resident, you can take over."

Hearing this, Zhou Yanqing said sensibly: "Thank you Master for your love and care. You have protected me so well."

In fact, if you look at the seniors in the department, such as Ling Qiyuan and Yu Yue, you will know that it is not easy to get through the doctoral stage.

But Zhou Yanqing is relatively free now because he has accumulated a lot.

In terms of scientific research, there is a new pathway, but in terms of clinical practice, Tan Zhongyu doesn’t know how to teach, so he can only rely on Zhou Yanqing to slowly develop new things on his own.

When Zhou Yanqing is given the task of any surgery in the department, he can easily handle it and there is no way he can do it badly.

"You have little to do, so you have other things planned."

"Before the live broadcast of the surgery at the film review meeting, I will arrange a small surgical quality assessment for you and invite some well-known experts and professors to come and check the quality of your surgery."

"If the quality is not good, we will cancel the live broadcast of the surgery to avoid being laughed at."

"Anyway, the pointers we want are just some key pointers, not to deliberately embarrass ourselves."

"It's better to be generous. I've been slowly making contact."

"But you also know that the schedules of these great experts and professors are basically very full," said Tan Zhongyu.

"Thank you, Master." Zhou Yanqing said hurriedly.

"Well, after drinking tea, let's go to the First Hospital in Shashi for surgery. You also like to do it, right?" asked Tan Zhongyu.

Zhou Yanqing continued to nod.

I definitely love doing it.

If he is idle every day, he doesn't know what to do. With surgeries to perform, every day is more fulfilling. This is the real life of a surgeon!

It’s not that there are no patients, on the contrary, there are a lot of patients. These patients need surgical treatment, not because Zhou Yanqing is an excellent hand surgeon.

But they just need it.

By doing more transposition techniques, you can complete this daily task in advance.

Speaking of which, this daily task has been delayed for almost half a year.

If the final experience value is not increased enough, Zhou Yanqing will definitely curse!

……

Time flies, and in a blink of an eye, another half month has passed.

On September 28th, after another Monday consultation and surgery, Zhou Yanqing's daily tasks were finally completed!
[Daily tasks: perform 100 standard quality transfers as assistant or main surgeon. After completing, you will receive a relatively generous reward. Daily tasks completed, suture experience +2, tendon transfer experience +8, nerve transfer experience +8, vascular transfer experience +8, functional reconstruction experience +1]

[Tendon suturing experience +2, nerve suturing experience +2, nerve suturing experience +2. ]

After seeing it, Zhou Yanqing was stunned at first, and then looked at his own panel. The experience points added by the corresponding items were really fruitful!

【手外科专科基础操作：皮瓣缝合术（专家13/15）、肌腱缝合术（国手1/50）、神经缝合术（国手1/50）、血管缝合术（国手2/50）、皮瓣取口术（专家10/15）、病损切除术（专家12/15）……】

【手外科专科技能：tang法肌腱缝合术（专家14/15）、kessler缝合术（专家14/15）、断肢再植术/断指再植术（专家13/15）、神经转位术（专家12/15）、血管转位术（专家13/15）、肌腱转位术（专家13/15）……】

[Top cutting-edge skills in hand surgery: functional reconstruction (expert 0/15)]

The three major transposition techniques were directly upgraded from the previous expert's 4 and 5 experience points to 12 and 13 points.

Functional reconstruction has also officially reached the expert level.

Zhou Yanqing looked at his current panel again. It was full of expert-level skills, and there were almost no skills below the expert level. Even if there were, they were not hand surgery procedures.

At this moment, Zhou Yanqing truly understood the gap between China's top surgeons and ordinary surgeons.

[Currently, the national ranking of functional reconstruction surgery is 2, and the world ranking is 3! ]

After Zhou Yanqing saw this line, he immediately turned around and said, "Master, I think we may not need to call an expert to evaluate the operation in advance."

Please don’t scream, or something might happen!

The nature of passively slapping someone in the face and calling someone over to beat them up are completely different.

(End of this chapter)