Chinese medicine: When you do things to the extreme

Chapter 219 Surgery Authorization (Subscription Request)

"Doctor Zhou, it's all thanks to you. Otherwise, I wouldn't have been able to hold an egg properly before." The patient thanked him with a smile.

Her face was full of wrinkles and age spots, but now the overlapping wrinkles and horizontal lines from smiling made her look a few years younger.

When you smile more often, your whole spirit will be much better.

"You can eat more egg whites to get more protein."

"The operations were all performed by my teacher Professor Tan. I was just an assistant. Grandma, you don't think that I have such good skills at such a young age, do you?" Zhou Yanqing said with a smile.

He came to the ward, firstly to inspect the recovery of the patients after surgery, and secondly to record some of the patients' post-recovery data, such as the recovery of range of motion and muscle strength.

These are all materials that can be used as original data for writing articles in the future, so naturally I have to do it myself.

"It's all the same. I heard from the doctors in the department that you, Dr. Zhou, are also very outstanding. You will definitely become a great expert like Professor Tan in the future." The patient comforted kindly.

"You are a good-looking young man. Do you have a girlfriend?" the old man asked again.

When people get old, there is not much they can gossip about young people. For someone like Zhou Yanqing who is handsome and well-educated, she is very happy to introduce some to Zhou Yanqing and act as a matchmaker or something.

The gag order that Tan Zhongyu issued to the group was very strict. All surgeries, including flap transplants, had nothing to do with Ning Zhu, Zhou Yanqing and others.

Strictly speaking, Ning Zhu is now the chief resident and is not qualified to perform level 3 surgery.

With three superiors, Liu Qingshan, Huang Xianming and Tan Zhongyu, there were many candidates for the main surgeon.

As long as the quality is up to standard, there are many options for assigning the main surgeon in the group.

And the more the better.

"Got it." Zhou Yanqing said as he took notes.

After finishing the recording, Zhou Yanqing put away his notebook and said, "That's it. Thank you for your cooperation, grandma. I'll come to see you guys tomorrow!"

Zhou Yanqing said the last sentence to everyone in the ward.

In the next bed was a middle-aged man who was admitted as an emergency patient and had a severed finger replanted.

Hearing this, he said, "Auntie, I told you, the doctors and PhDs here are all pretty, and they've probably been taken away by other girls long ago!"

"The society nowadays is different from when we were young. We used to seek marriage, but nowadays, many girls hope to find a high-quality boy as soon as possible."

"Doctors have good academic qualifications and good salaries, and their advantage is stability..."

"In our unit, many people want to socialize with Xiangya Hospital, and some even go directly to the personnel department to look through their files."

"Looking through the files? What's that for?" the old lady asked curiously.

"Change the daughter-in-law, change the son-in-law..." The middle-aged uncle is a smart man.

However, this topic was quite sensitive, so Zhou Yanqing did not pay attention to it and continued walking to the next ward.

The content of the patients' conversations is relatively free. They like gossip and Zhou Yanqing has no control over it. As long as it does not affect other patients' rest, it is their choice of entertainment.

……

October 9, Wednesday.

The last working day before September, and also the last working day before the National Day holiday.

After Zhou Yanqing and Tan Zhongyu finished their ward rounds, Tan Zhongyu led Zhou Yanqing out of Xiangya Hospital and headed straight towards the parking lot in the residential area.

"Yanqing, I have invited some people today to form an expert review panel to evaluate your surgical skills."

"Once you're done, you'll be able to obtain level three surgery privileges as an exception."

"I have made an appointment with them. We will meet at the Aerospace Hospital later. There are three operations there, namely, flap transplantation, tendon suture and tendon transfer."

"For you, the operation is not difficult. As long as it is completed according to the rules, everyone will sign and the process will be completed." Tan Zhongyu said.

Although the department mentioned that they would arrange surgery authorization for him, Zhou Yanqing had not received any news of it in advance.

I originally thought it would be after the National Day, but I didn’t expect that Master Tan Zhongyu had quietly arranged so many things by himself.

Zhou Yanqing asked, "Didn't you say Brother Zhu would make arrangements with me?"

"Ning Zhu is not in a hurry. He doesn't have any professional surgery to perform. But you are different. The department is in urgent need of you to shine."

"So the surgery authorization was brought forward. After he was promoted from chief resident to attending physician, he was naturally given the surgery authorization."

"As for level 3 surgeries, there aren't many that he can perform right now." Tan Zhongyu smiled and shook his head.

Zhou Yanqing's urgency in obtaining surgical authorization is different from Ning Zhu's!
Zhou Yanqing didn't ask any more questions, but just said, "Brother Zhu, do you have a month's vacation after you get the job of hospital chief? Or two months?"

"Two months. He will come back to work in December. He has been the chief resident for two years..."

"Yanqing, your arrangement is that after our department has stabilized the functional reconstruction surgery a little, probably around the year after next, you will replace Lin Yuxuan as the chief resident." Tan Zhongyu said.

"In other words, you can study for three years for a doctorate and then apply for graduation normally. You don't have to wait until four years."

"Plus, you can now also get the performance salary in the department, plus the subsidy for the doctorate, which will not be less than what you would get from your regular job."

"Okay, Master!" Zhou Yanqing was of course happy to do so.

Isn’t the purpose of a formal job to make money?

He can make money now and be lazy.

Being hospitalized is never a good thing.

……

The size of the surgical authorization expert review group formed by Tan Zhongyu is actually very large, including Professor He Yuanzhen from the Second Hospital, Professor Cao Mengkai from the Third Xiangya Hospital, Professor Du Hua from the Hunan Provincial People's Hospital, and Professor Wang Qin from the Cancer Hospital.

In this way, even if Tan Zhongyu recuses himself, the expert group formed by these four people can be regarded as first-class in the province.

Many other professional teams may not be able to reach this scale.

Tan Zhongyu just randomly called a few people!

No one would deliberately keep an eye on Zhou Yanqing, so just calling anyone would be enough. Even if someone was keeping an eye on him, even if experts from the National Health Commission came down to inspect, the specifications of these people would be convincing enough!
After exchanging pleasantries with them, Tan Zhongyu went straight to a nearby teahouse to have tea, not putting any pressure on the jury at all.

There is also no worry that Zhou Yanqing will not pass the surgery authorization review.

Although Zhou Yanqing was pushed into the operating room in a daze, four professors from other hospitals were standing at the operating table, and opposite him, the person assisting him on the table was Professor Chen Hongsheng from the Third Hospital.

Professor Chen Hongsheng is the director of the Hand Surgery Department of the Third Hospital and a top-notch expert in hand surgery in Hunan Province. The reason why he was asked to take over is that if Zhou Yanqing does not do well in any aspect, he can take over at any time.

It was equivalent to Tan Zhongyu finding a top-notch safety pin for Zhou Yanqing. As long as Zhou Yanqing didn't go crazy and hack at the patient on the operating table, he would be able to get off the stage in the end.

After everything was ready, Zhou Yanqing slowly calmed down, let go of his nervousness, and began the debridement operation.

Skin flap transplantation is mainly used to treat patients' skin and soft tissue defects.

The defect needs to be cleaned, which is the most basic procedure. Zhou Yanqing picked up the scalpel and went straight at it without any hesitation!

The debridement of flap transplantation requires thoroughness, and it is also necessary to find out the supply branches of one or more nutrient arteries. This is the most standard surgical procedure.

Zhou Yanqing's debridement skills are now at the national level.

He just cleaned the wound casually for a while, and Zhou Yanqing had cleaned out the broken ends of seven or eight small arteries.

Although he could continue looking, Zhou Yanqing did not continue.

Because he had already seen Chen Hongsheng standing at the assistant seat, his breathing became rapid.

Obviously, these seven or eight blood vessel ends without scientific names were a bit too much for him to handle. If Zhou Yanqing looked for more, he was afraid that Professor Chen Hongsheng would get scared.

【Flap suturing (expert 13/15), flap transplantation (expert 14/15)】

Although not at the national player level, this expert level with high experience value is enough to give Chen Hongsheng a hard time.

Skin flap design and incision are even simpler. Zhou Yanqing is a national-level expert in incision techniques. Even if she doesn't perform deliberately, her skin flap cutting operation is still as graceful as a flower.

Even if Zhou Yanqing wanted to, he could have carved his name directly on the fat layer, which would not affect the quality and overall level of the operation at all. It’s just that Zhou Yanqing did not do so.

It took about eight minutes. Zhou Yanqing didn't give his all. He hadn't performed a skin flap transplant for a long, long time, but he still removed the flap!

During the cutting process, Zhou Yanqing also performed the bleeding control process.

Cover the wound directly with a saline cotton pad.

Then he began to suture the nourishing blood vessels very smoothly.

After about another six or seven minutes, Zhou Yanqing's eight blood vessels were aligned one by one.

This made Chen Hongsheng's eyeballs bulge out.

He didn't care that he was an assistant to Zhou Yanqing, and asked directly: "How do you ensure that the eight nutrient vessels correspond to each other?"

Brother, skin flap transplantation is not the original skin surface, all the blood vessels are already there.

You were a transplant patient. Normally, it would be good if you could replace two or three nutrient arteries. What about you?

The created skin flap seems to have grown on the affected area of ​​the skin?

"Design the window in advance." Zhou Yanqing was warned by Tan Zhongyu that during the surgical authorization process, he should talk less and do more.

This is actually a flexible application of vascular transposition.

After finding the shape of the blood vessels, we can make some adjustments to the broken ends, or transpose the small blood vessels within the soft tissue, and the direction will change.

What Zhou Yanqing called a window is actually the location of the broken end of the blood vessel. The broken end may be different if the depth of the skin flap is cut is different.

This is because the blood vessels run obliquely rather than perpendicular to the skin surface.

"Yeah!~~"

"Yeah." Chen Hongsheng was a little skeptical about his life.

Is it just the design that's done?
"Is this how you perform surgeries on a daily basis in your department?" Chen Hongsheng asked.

This is very important.

If the level of Xiangya Hospital is so high, then the gap between the surgical level of Xiangya Hospital and the other two hospitals is not just superficial.

And because Chen Hongsheng spoke first "in violation of the rules", others paid more careful attention to the details of the operation.

No one had time to think about reviewing and scoring. They all quickly moved their seats and began to appreciate the quality of the operation.

A layman sees the fun, an expert sees the door!
Under the operating table, if you don't pay enough attention, you won't be able to see so many details on the operating table.

"Usually, we seldom perform skin flap transplants in our department, and we haven't done it much in the past year." Zhou Yanqing replied calmly while operating.

"Fuck you." Chen Hongsheng exploded after hearing this. He really couldn't help it!

When Zhou Yanqing heard this, he raised his head slightly.

It's wrong to curse people!
Chen Hongsheng also noticed that his words were too extreme, and immediately said, "I didn't mean to scold you, I just thought you were too pretentious."

"I'm sorry. I apologize."

Really, if the person in front of him wasn’t Zhou Yanqing, the Zhou Yanqing he knew, he would really curse!
Are you pretending to be a chicken?

Pretending in front of me.

But even though he had such an expectation in his heart, Zhou Yanqing's words were unbearable for him.

"It's okay, Professor Chen."

"Let's talk less. The surgery here is almost finished. We still have two more surgeries today, so the workload is not small." Zhou Yanqing took the initiative to change the subject.

You were the one who spoke first, and I followed my rules and responded to you, but you still cursed me.

What the hell is this? I'm not a bitch!

Chen Hongsheng slowly calmed himself down and then looked at Zhou Yanqing's suture skills.

In fact, the level of suturing is not much different. Even if the suturing is done well, it is just a tight fit and a higher quality of repair.

However, what Chen Hongsheng was more concerned about was that the thickness of the skin flap cut by Zhou Yanqing was quite consistent with the thickness of the skin defect.

This type of flap transplant will be at least one-third shorter than the flap transplant currently performed by many professors, as the skin bulge after postoperative recovery will be at least one-third lower.

Skin flap transplantation can certainly treat skin defects, but it will also bring some problems, that is, the skin will bulge out and become "abnormal"!
The aesthetics is very poor!
Although the one produced by Zhou Yanqing is not good, it is not very bad!
However, Chen Hongsheng had just cursed someone, and he was too embarrassed to take the initiative to talk to Zhou Yanqing, so he could only suppress the various problems in his heart.

There is only one thought left in my mind:
Is this a surgical skill review or a teaching operation?
Where is Tan Zhongyu?

Chen Hongsheng looked up, but did not see Tan Zhongyu.

I understood it in my heart at that moment. I guess Tan Zhongyu had anticipated this, so he ran away early.

Tan Zhongyu already knew that Zhou Yanqing's skills were the best in the operating room, and asking him to assist was just for double insurance.

Zhou Yanqing is the surgeon, does he need you to protect him?
Just learn it.

Chen Hongsheng continued to watch Zhou Yanqing's serious operating state and meticulous operating attitude, which could be said to be the most perfect operating quality in the world.

A sentence came to my mind.

What is the most important thing in the 21st century?

Talent, talent, and damn talent...

Why did Tan Zhongyu call me?
Do you know how itchy it is to see but not be able to get it? Chen Hongsheng looked at Zhou Yanqing, his mouth watering, he wanted to eat Zhou Yanqing in one bite, and sell him directly to the Third Hospital...

(End of this chapter)