Chinese medicine: When you do things to the extreme

Chapter 223 Forced to open business!

In fact, Tan Zhongyu is not bragging!

Many medical students and doctors who graduated from Xiangya Hospital have gone to any hospital in the country, including top hospitals such as Union Hospital and West China Hospital.

After graduating with a Ph.D. from Xiangya Hospital, as long as you are not afraid of hardship and fatigue, you can basically guarantee a life of worry-free food and clothing.

Yu Yue was smarter and quickly took over the conversation: "Master, a soldier who doesn't want to be a general is not a good soldier, and a graduate student who doesn't want to stay in the hospital is not a good graduate student."

"In fact, many of our fellow students really want to stay in the hospital."

Yu Yue went ashore by himself, but he did not forget that he still had so many fellow junior brothers.

Tan Zhongyu said unhappily, "Of course it's good to stay in the hospital, but it's impossible for everyone to stay in the hospital. Although this statement may be a bit discouraging to you, it is an indisputable fact."

"us!!"

When Tan Zhongyu said this, the phone rang.

"You guys chat." After reading the notes, Tan Zhongyu chose to answer the call and said hello with a smile.

But immediately, Tan Zhongyu's expression suddenly changed, and his tone became even more angry: "Wang Jiaqin, does Lin Yuxuan from your group have a problem with his brain or is he stupid?"

"Chen Lei returned to his hometown knowing that Teacher Du was in the hospital. He would take care of any emergency, right?"

"An emergency case was called directly to the third-line shift?"

The duty arrangements of top-level tertiary hospitals are three lines and one chief. The most direct one is the chief resident. The first line is the attending physician, the second line is the associate professor, and the third line is the professors in the department.

But generally, the third-line team is only responsible for the general consultation of the whole hospital and does not take care of any other matters.

Today, Tan Zhongyu is on the third-line shift. The first-line doctor is Wang Jiaqin, the attending physician, and the second-line doctor is Chen Lei.

"Teacher Tan, I know that Lin Yuxuan was a little careless when choosing the emergency disease, but now the patient has entered the operating room..."

Tan Zhongyu interrupted directly: "I'll ask Yanqing to come over!"

"MD, Professor Du had to be hospitalized a long time ago for clinical matters, but it was postponed to the holidays. You guys are so worrying."

"One has to go home to visit his relatives, and the other is unreliable!" Tan Zhongyu directly scolded both Chen Lei and Lin Yuxuan.

After saying that, Tan Zhongyu hung up the phone.

Zhou Yanqing's brows tightened instantly when he heard this, and he replied: "Master, I was drunk."

"I drank too, and I drank even more than you. It's better for you to go than for me to go!"

"The situation is quite urgent now. Professor Ding Xiao has gone out for a consultation and surgery, and Professor Du is in the hospital."

"Go out and pack some rice milk and drink more water."

"Broken bones are connected to tendons, so surgery is the most important thing." said Tan Zhongyu.

Having said this, Zhou Yanqing decided not to refuse.

At present, the four strongest people in the department are Zhou Yanqing, Tan Zhongyu, Du Zhonghua and Ding Xiao.

Tan Zhongyu was drunk, Du Zhonghua was in hospital, Ding Xiao was outside for a consultation on surgery, Zhou Yanqing was not going, and it would be unreliable to ask anyone else to go.

Zhou Yanqing did need to eat something, so he quickly packed a portion of rice milk and then bought two bottles of mineral water, which he gulped down.

After arriving at the hospital, I bought two boxes of high-calorie egg yolk pies, quickly stuffed them with mineral water, and had them as dinner.

After taking out his cell phone and seeing the operating room message sent by Ning Zhu, Zhou Yanqing put on absorbent clothing and quickly ran up.

There are quite a lot of people in the operating room!

However, Zhou Yanqing was more familiar with Associate Professor Qu Changle from Ding Xiao's group, Chief Attendant Wang Jiaqin from Du Zhonghua's group, and the new chief resident Lin Yuxuan.

This is a half-thickness injury of the lower limb, involving the cross-sections of skin, muscles, soft tissues, nerves, and blood vessels.

Hu Pei, a doctor who is one year younger than Zhou Yanqing, said, "Brother Zhou, there is something wrong with the patient's nerve capsule. It is severely adhered. He may have had a chronic disease before the onset of the disease."

"That's why Professor Qu called Professor Tan."

Zhou Yanqing nodded when he heard this, washed his hands before entering the operating room, put on sterile surgical gown, and quickly put on sterile gloves.

When Zhou Yanqing approached the operating table, Qu Changle and Wang Jiaqin had already exchanged positions and gave up the surgeon's position.

After Zhou Yanqing took a few glances while standing at the operating table, he discovered that this patient must have had non-infectious inflammation of the nerve capsule and severe hyperplasia before being injured.

It is estimated that there were symptoms before, but the patient himself did not pay attention to it, and there was no time for a systematic examination before the operation. Now Associate Professor Qu Changle finds it extremely difficult.

"Yanqing, is this very troublesome?" Qu Changle asked.

Zhou Yanqing nodded: "The situation is indeed complicated. We cannot determine the length of the segment where the capsule is adhered yet. Let's slowly separate and clean the wound."

While Zhou Yanqing was explaining, he picked up the scalpel and tweezers!
After Qu Changle and others exposed the surgical incision, Zhou Yanqing carefully pulled the epineurium with tweezers and found that the epineurium was relatively brittle at this moment.

It tends to break if it is pulled slightly.

However, because Zhou Yanqing pinched the wound relatively superficially, the wound was not damaged much.

"Where is the severed end of the nerve? Have you found it?" Zhou Yanqing asked Qu Changle.

He did not participate in the entire operation and did not see the severed nerve end directly, so he simply asked Qu Changle, the surgeon.

"It should have retracted. We didn't find it during the previous exploration. It's also possible that it changed its sex!"

Sex reassignment in medicine is not a change of gender, but a change of nature.

Zhou Yanqing made a prompt decision: "Let's enlarge the incision, do a nerve exploration first, and prepare to send it for a medical examination later!"

During surgery, the wider the surgical field, the easier the operation will be. Operating in a narrow incision is certainly more pleasing and incredible.

But now is not the time to show off your skills.

Zhou Yanqing expanded the opening very quickly. In just a few minutes, he found the course of the ulnar nerve in the upper arm.

The operation was quick and precise, and after the wound was extended to the severed end dryly, Zhou Yanqing discovered that the patient had lesions in the epineurium from the middle of the upper arm to the elbow joint.

Enlarged and crispy.

Generally, the epineurium is a peripheral connective tissue with great toughness and elasticity. However, at this moment, the epineurium has lost its original properties.

"Yanqing, what is this?" Qu Changle asked.

Zhou Yanqing shook his head: "I don't know either. I've never encountered it before."

What makes Zhou Yanqing so strong is his operational level, not his theoretical depth and cognitive vision.

It is possible that Tan Zhongyu knew something, but Tan Zhongyu did not come after all.

"Take a picture and send it to my master." Zhou Yanqing glanced at Senior Brother Zeng Yuanming.

Zeng Yuanming is one year older than Zhou Yanqing and is a classmate of Ling Qiyuan. He is currently in his third year of doctoral studies. Hu Pei, who preceded him, is one year younger than Zhou Yanqing.

In Zhou Yanqing's class, Du Zhonghua did not supervise any doctoral students.

"Clean the wound, peel off the epineurium, and then see the course of the nerve. This patient may need a nerve transplant in addition to hemi-limb replantation." Zhou Yanqing explained to Qu Changle.

Nerve, tendon, and blood vessel transplantation are all things that only senior associate professors, or professors who are about to be promoted to full professors, can master. Qu Changle still has a long way to go to reach this step. "Yes, Yanqing, it is precisely based on this consideration that I called to disturb Director Tan."

"But I didn't expect that Director Tan had such a bad temper today." Qu Changle was very embarrassed.

As someone with the highest professional title, he couldn't cover for others, and he felt a bit ashamed!

However, facing Zhou Yanqing, he didn't dare to get too angry. Even Tan Zhongyu was well-behaved now, so how could he dare to have any opinions?
"Teacher Qu, please expose the ulnar nerve and radial nerve in the forearm first. I'm afraid this disease is not limited to the ulnar nerve."

"The patient must have had other underlying diseases before the operation, but either the patient concealed it or the patient himself was not aware of it!" said Zhou Yanqing.

"Okay." Qu Changle immediately turned to the forearm position, very properly.

……

It took Zhou Yanqing about half an hour to expose the epineurium of the ulnar nerve one by one. In the end, he found that not only was there lesions in the epineurium, but the nerve had also degenerated.

Like vine roots, it is covered with lumps.

Zhou Yanqing carefully cut it off and put it into the curved plate!

After cutting, it was found that the broken end of the nerve was severely edematous and the color had changed, with the circle being clearly gray and inconsistent.

To the circulating nurse: "Send a pathology slide."

During the operation, if unknown masses and degeneration appear, they must be sent to pathology, which is more beneficial to the patient's prognosis.

The circulating nurse didn't dare to say anything at this moment. She quickly took the nerve that the instrument nurse had brought up, carefully put it into a sterile bag, put a label on it, and ran out.

During this operation, Lin Yuxuan and others were frightened, and she was also very panicked.

"The radial nerve is fine, it runs smoothly, the outer membrane is normal, and no degeneration was found."

"Brother Qin, go out and talk to the patient's family about the transplant, and ask them in detail about the patient's condition."

"The thing that was just cut off, the other segment, will be sent out for the family to see," said Zhou Yanqing.

During the operation, if the surgical method changes, it is necessary to communicate with the patient's family as soon as possible.

Upon hearing this, Wang Jiaqin picked up another stainless steel basin and ran out.

The next operation is actually quite simple.

It's a nerve transplant plus a half-limb reconstruction.

Associate Professor Qu Changle's level is still very good. His level is slightly better than that of Associate Professor Huang Xianming. He has no problem completing these.

However, that was in the past. Now Huang Xianming should have overtaken others.

After seeing that the operation was on track, Zhou Yanqing completed the nerve transplant and stepped down.

After all, he drank some alcohol, although the amount was not large, so he was unable to fully utilize his abilities!
"Teacher Qu, you do the following operations. I just got back today and I'm still a little tired." Zhou Yanqing found another excuse for himself.

Zhou Yanqing was not afraid that he would be reported for drinking and going on stage. If anyone on the stage would even complain about such a thing to the family!

Zhou Yanqing also admitted it and accepted whatever punishment he received.

But if Qu Changle and Lin Yuxuan can survive in the department, or even in the Hunan provincial system, he can even write his name Zhou backwards.

"Yanqing, thank you for your hard work. Don't worry, leave the rest to me." Qu Changle replied affirmatively.

If he can't even replant severed limbs, then his career as an associate professor is in vain.

Zhou Yanqing quickly left the operating room!
……

When I came out of the operating room, it was already eleven o'clock.

The dinner party had long ended, and Zhou Yanqing was hungry again.

Chen Yu was very considerate and sent several messages: "Send me a message before you come back, and I'll order takeout for you in advance."

"I also bought some snacks."

"I'm back." Zhou Yanqing read it and replied. He was a little tired, so he didn't reply any more.

……

The next day.

After Zhou Yanqing had a good sleep, he instantly felt refreshed and everything came back to life.

Chen Yu woke up early. After getting up, she also had to apply a facial mask and do skin care, so she had a lot to do.

Zhou Yanqing works quite far away and has to take a taxi, so he also has to get up at 7:10.

"We ran out of noodles at home, so I ordered two bowls of rice noodles." Chen Yu said as she applied essence on her face.

"Little Stone, you eat first. I'll eat after I'm done. I'll drive, so it won't take long."

"Well, thank you. I got up late today." Zhou Yanqing felt a little embarrassed.

In the past, he would get up a little earlier and they would go downstairs to eat noodles together.

After Zhou Yanqing arrived at the department, he passed by the doctor's office and was about to take a look at who was on duty. He found that two old professors, Tan Zhongyu and Du Zhonghua, were already in the department, sitting upright.

Opposite the two of them, Lin Yuxuan stood, as if being criticized.

After reading it, Zhou Yanqing immediately slipped away, went to the lounge next door, grabbed his white coat and put it on, and then returned to the doctor's office.

It's still early now, only half past seven.

Although many masters had already come to the doctor's office, they were all trembling with fear and dared not make a sound. You could hear a pin drop.

When Tan Zhongyu saw Zhou Yanqing coming, he breathed a sigh of relief and said, "Lin Yuxuan, that's enough. I already know about this patient. You can go and do your work first."

"Okay, Teacher Tan." Lin Yuxuan also breathed a long sigh of relief, but when he turned around, his face was a little bitter and his eyebrows were pulled together in embarrassment.

Then, Tan Zhongyu stood up and left the office with Professor Du Zhonghua.

Zhou Yanqing wanted to ask what happened, but seeing his teacher's serious expression, Zhou Yanqing didn't dare to speak.

However, during the morning shift handover, after the nurse on duty and the doctor on duty had finished handing over their shifts, Tan Zhongyu said, "Lin Yuxuan, you should put your position as the chief resident on hold for a while."

"Starting today, Zhou Yanqing will temporarily take over the position of Chief Hospital Resident."

"If you have any ideas, you can say them in front of all of us." Tan Zhongyu's tone was cold.

Zhou Yanqing was stunned when he heard this!
what is happening?
Lin Yuxuan had only been the chief resident for a week when he was fired, and then he was replaced by Tan Zhongyu in advance?

???

Although this is a good thing, Zhou Yanqing also felt that it was a bit too sudden.

Lin Yuxuan stood in the crowd and shook his head.

"Director Tan, I accept your arrangement." His tone was bleak and he did not dare to refute at all.

(End of this chapter)