Chinese medicine: When you do things to the extreme

Chapter 232 Pain and happiness
"What's wrong with you, doctor?" When Zhou Yanqing rushed back to the emergency surgery clinic again, the middle-aged patient with the severed finger complained subconsciously.

He stopped talking halfway when he looked at Zhou Yanqing's current outfit.

Zhou Yanqing's white coat was completely unrecognizable, with undried blood stains at the corners of his eyebrows.

Zhou Yanqing has never left the hospital, so the blood must have come from a human body!
Zhou Yanqing stood far away and explained, "Uncle, there's a man with severe arterial bleeding outside who's in a very urgent situation. I went over to help."

"Please bear with me for a moment. If you feel uncomfortable, I sincerely apologize!"

"I still need to go wash up a bit!"

To be clear, Zhou Yanqing is not from the emergency department, and the patient with a ruptured femoral artery is not Zhou Yanqing's responsibility.

If the patient insists on reporting that he has escaped from the clinic, the medical department will only make a few symbolic criticisms.

But this is not necessary. A few words of apology will not cause any loss. If it can appease this big brother and avoid unnecessary trouble, it will be worth it.

More than a hundred years ago, surgeons all over the world regarded the bloodstains on their white coats as "medals", just like the fruits hanging on the chests of soldiers!
Although this idea has been abandoned now, the bloodstains on Zhou Yanqing's body do not look scary at all. Instead, they give people a sense of security.

"I'm fine. I'm fine. You go ahead, Doctor Zhou."

"Just wait a minute, when you perform the operation on me, please do it better." The middle-aged man made a small request with the corners of his mouth moving.

Lin Yuxuan immediately took over the conversation: "Don't worry, Dr. Zhou's skills are very good, and he will do his best to perform your surgery!"

"We have to look at the last two risks next. One is infection, and the other is the re-rupture of tendons and blood vessels due to poor functional training after surgery." Lin Yuxuan continued the conversation and signed.

"Functional exercises cannot be done recklessly or too hastily. We will develop a detailed plan based on your postoperative condition."

"It's like if someone who has not received professional dance training forces themselves to do the splits, in most cases their hips will be pulled..."

"..."

It was early in the morning, I didn’t know what time it was.

When Zhou Yanqing changed his clothes and rushed to the operating room, he didn't even check the time.

Lin Yuxuan also called Ling Qiyuan to help, and had completed the preliminary work such as disinfection and laying towels.

The patient was already under general anesthesia. Seeing Zhou Yanqing coming in, Lin Yuxuan hurriedly said, "Yanqing, I have already communicated with the patient. He will definitely not complain about you!"

"Circuit nurse, please fill the tourniquet." Lin Yuxuan said to the circulating nurse while holding up the patient's right hand.

The circulating nurse on duty was a bit old, almost forty, so Lin Yuxuan was particularly polite to her.

After Zhou Yanqing put on his clothes and went on stage, the pressure of the tourniquet was just stable. Zhou Yanqing looked at the wound again and said, "Brother Lin, you can take care of one of my fingers while I sew it up!"

Lin Yuxuan was overjoyed when he heard this and nodded quickly: "Okay!"

This is how I learn surgery, slowly and patiently.

How can young doctors improve their skills? They practice with small surgeries and operations when others are resting.

Only by honing your basic skills, completing some basic techniques through basic skills, and then developing a full range of skills, can you truly grow and mature.

This process will be long.

……

This was a standard replantation of a severed finger. After Zhou Yanqing fixed the phalanx segment with a Kirschner wire, he saw that Ling Qiyuan was eager to try.

He said, "Brother Ling, this patient's injury was not long ago. You can try to sew two blood vessels later."

"It's getting late, so I'll just finish everything else I need to do."

"I'll have to check the room later."

"Okay!" Ling Qiyuan smiled brightly.

Although he is a doctor, he can sew a few blood vessels, which is an opportunity he wants but rarely has in normal times.

But Zhou Yanqing would probably be almost vomiting if given such an opportunity.

After dealing with the tendon sheath and tendon, Zhou Yanqing handed the needle holder and tweezers to Ling Qiyuan, who was currently practicing "artificial blood vessels" in the training room!
After two stitches, Zhou Yanqing removed one of them.

Zhou Yanqing started to sew again.

Although Ling Qiyuan felt a little disappointed, he looked at Zhou Yanqing's operation again very carefully, hoping to learn something more.

Zhou Yanqing handed the other finger to Lin Yuxuan.

Lin Yuxuan's skills were much better than Ling Qiyuan's. After completing the phalanx Kirschner wire external fixation and tendon suture surgery in a standard manner, he encountered considerable trouble when dealing with the tendon sheath.

After trying again, Lin Yuxuan gave in and said, "Yanqing, you should do it."

"This tendon sheath? It's a bit tricky." Lin Yuxuan has seen no less than dozens of finger replantation operations, but watching others do it is one thing, and doing it yourself is another.

Brain: I know it.

Hand: Who is the brain?

Zhou Yanqing did not have any special emotions. After taking the needle holder, he said, "The suturing of the tendon sheath is a little more difficult than the suturing of the tendon. The main reason is that the tendon sheath is a curved structure and it has to accommodate the penetration of the tendon."

"After suturing, there should be no compression or friction on the tendon..."

"In fact, the suturing method is a relatively simple simple interrupted suture. At present, the academic community has not made any particularly new innovations in the suturing of the tendon sheath." Zhou Yanqing explained in detail while operating.

In fact, every step of the operation is worth careful consideration, and if you think deeply enough, you can make breakthroughs in small directions.

For example, you are going to summarize a standard method for suturing the tendon sheath.

But the significance is not great. Although it is also innovative, simple interrupted suture is enough. Further research may be a waste of energy.

After Zhou Yanqing finished the operation, Lin Yuxuan sutured another blood vessel, and the effect of the suture was quite good.

But Lin Yuxuan didn't dare to operate on the other blood vessel, because he had just finished suturing and he felt unsure. He might have just relied on luck.

The blood patency rate of the nude mouse micro-arteriovenous reconnection surgery he practiced in the training room had not yet reached the standard.

Zhou Yanqing also accepts everyone who comes!
……

When the operation was about to end, the pneumatic automatic sensor door of the operating room was stepped open, and a miserable man with dark circles under his eyes walked in from outside.

It was Yan Huanyu, the chief resident of the Trauma Surgery Department. He tried hard to squint his dark circles to make himself look a little more friendly: "Yanqing, thank you!"

"If you hadn't helped that patient before, he would probably be dead now."

The operation has been completed, the patient's rescue has been completed, the patient has been admitted to the ICU for observation, and his vital signs are stable.

There's nothing wrong with him telling the truth behind someone's back.

In hospitals, people die every day.

It is impossible for a top-level tertiary hospital to have no deaths on a given day. If there are any, it is just sheer luck!
"What a coincidence, Brother Yan."

"You should go and have a rest first." Zhou Yanqing handed the skin suture to Senior Brother Ling Qiyuan and looked up at Yan Huanyu.

He was afraid that the other party would die in the next second.

Yan Huanyu nodded: "Yeah, okay."

"I'm so unlucky. I haven't slept for fifty-two hours!"

"I hope God will bless us. Director Lei can come forward today and reconcile the division of labor among us orthopedic residents!"

"Each person will take turns on duty for one day and then we can both be free!"

"Buddha Tathagata, Infinite Heavenly Venerable!"

Good fellow, Yan Huanyu was acting in the spirit of courtesy, praying to gods both at home and abroad, and to gods of Taoism and Buddhism. Yan Huanyu turned around, glanced at Zhou Yanqing again, and asked directly: "Do you want to eat rice noodles or buns?"

"I'll call back to your department."

"Have some noodles. A single code is enough, Brother Yan." Zhou Yanqing was not polite.

We are all suffering as hospital residents. If we have a chance to have some noodles together or have a barbecue together in the early morning, we will feel like we are in heaven.

"Okay, okay." Yan Huanyu went out again!

He had to find a place to rest, otherwise, the next time the cardiology department and ICU would have to rescue him, Yan Huanyu.

Although he was young and did not feel suffocated after working for fifty hours straight, his eyelids were already drooping.

"Yanqing, you should go and have a rest later. Don't make rounds anymore."

"You too?" Lin Yuxuan checked the time: "I haven't slept for about thirty-eight hours."

"Ok!"

"Brother Yuan, please tell the master later. I will go to the lounge to replenish my blood when I am done." Zhou Yanqing was not polite either.

……

In the morning, 6:47.

Department of Hand Surgery, Main Inpatient Office.

The barbecue smell is still strong inside, and the chives and garlic that have cooled overnight make the office smell so delicious!
Zhou Yanqing pushed the door open with an expressionless face.

After packing up the debris on the table, I threw it into the black garbage bag in the doctor's lounge.

Afterwards, Zhou Yanqing returned to the chief resident's office and, despite his fatigue, checked the battery level of the chief resident's mobile phone. The battery was still at three bars, so there was no need to replace the battery.

He didn't have time to take off his shoes, didn't have time to check whether Chen Yu had sent him a good morning message, and even forgot that today was Monday. He just lay down on his side, snoring loudly!
The mask had not been taken off yet, and the cotton cloth of the blue mask was bulging, showing that Zhou Yanqing was still alive and had not died yet.

……

Ten o'clock, ten minutes.

Zhou Yanqing woke up!
He was not woken up by the ringing of the phone, but Tan Zhongyu could not wait for Zhou Yanqing to get up, so he pushed open the door and knocked on the cabinet beside Zhou Yanqing's bed!

Zhou Yanqing opened his eyes but showed no intention of getting up.

But after seeing clearly that it was Tan Zhongyu, he immediately raised his upper body like a ghost: "Master!"

"I have something else to do later. I need to take Ning Zhu out for a consultation and surgery. Now it's time."

"I'm here to tell you that Director Lei has decided that starting this month, the inpatients in our five subspecialties of orthopedics will rotate."

"Starting with Yang Jiansen from the Department of Joint Surgery, he will be responsible for all emergency consultations in the Department of Orthopedics, including but not limited to diseases related to joint surgery."

"Young people need to exercise more so that they can hone their basic skills more comprehensively."

"The specific shift schedule this month will be based on the total number of inpatients in the Department of Joint Surgery."

"Today is the 10th and the 13th, and there are still eighteen days left in this month. The other four people will each be on duty for three days, and you will be on duty for five days!"

"If there is an emergency that they cannot handle during their shift, they may call you."

"Even so, it will be relatively easier." said Tan Zhongyu.

Zhou Yanqing was overjoyed when he heard this: "Thank you, Master, and thank you, Director Lei."

"You can continue to sleep."

"The meal is over, you can order lunch now." Tan Zhongyu turned around, opened the door and left.

The experience during the hospitalization period is a training process that everyone must go through!
Although this process is hard, it is very important for a person's experience and growth. It is not only a training of skills, but also a test of physical strength, perseverance, willpower, etc.!
Being a surgeon is not that easy.

After Tan Zhongyu left, Zhou Yanqing lay down again. He was really very sleepy.

He was awake for perhaps five minutes before falling into a deep sleep again.

……

Zhou Yanqing woke up again, and was woken up by a call from Yang Jiansen.

Zhou Yanqing sat like a clock, rubbing his eyes and asking, "Brother Yang!"

"A broken hand, can you do it?"

"If you don't do it, I'll say there are no beds left." Yang Jiansen's voice was very decisive.

"I'll ask someone to come over for a talk and signature right away." Zhou Yanqing replied.

"Ok!"

"There's another dislocated person over here. I have to go over and deal with it." After saying that, Yang Jiansen hung up the phone.

Zhou Yanqing looked at the time after hanging up the phone. It was already past one in the afternoon.

There were five unread messages from Chen Yu on WeChat. Zhou Yanqing had no time to reply, so he pushed the door open and found Tian Chao.

After explaining the situation, Tian Chao immediately took a master's degree student to the emergency department for a talk and signature.

Lin Yuxuan was still catching up on his sleep in the lounge. Zhou Yanqing patted him on the shoulder and said, "Brother Lin, here comes someone with a broken hand."

"Okay, give me two minutes!" Lin Yuxuan's voice woke up, but his soul was still lying in bed.

"Well, okay!" Zhou Yanqing went downstairs immediately.

In the surgical building, in the operating theatre lunch room, Zhou Yanqing quickly went in to sign his name, filled himself with a full bowl of rice and a full bowl of vegetables, and then quickly started eating.

He didn't order any food, and the dining room in the operating room was the fastest place to replenish his energy.

I won’t mention the taste, as long as it fills you up.

In eight minutes, Zhou Yanqing had completely cleared the plate, picked up the plate and went to the tableware recycling area, still burping!
If you eat like this every time, your stomach will have problems sooner or later.

When going downstairs, Zhou Yanqing replied to Chen Yu's message again: "I was just eating quickly, and now I'm on my way to the operating room quickly."

"Life as a hospital chief is really sour!"

Just after sending the message, Zhou Yanqing received a call from the nurse on duty in the department: "Yanqing, are you free now?"

"A patient's family member sent you a banner."

"You are the family member of the emergency patient you rescued last night. If you have time, please come over and take a photo together." The voice of Liu Yan, the nurse on duty, was particularly festive.

Zhou Yanqing felt warm inside after hearing this.

The corners of his mouth curved up: "Sister Yan, I have a limb replantation operation here, and it will start soon. Please say thank you for them spending the money."

"Doctor Zhou is having surgery and can't come. Let me say thank you to you."

"He has other emergency patients to deal with." Liu Yan didn't hang up the phone.

"Is Doctor Zhou so busy? Well, all doctors with good medical skills are busy. He needs to save more lives. He is a living god sent by God..." The voices of the patients' family members were even more encouraging.

Zhou Yanqing hung up the phone. His body was still a little tired, but his heart was warm!

The atmosphere of human life is what warms people’s hearts the most.

(End of this chapter)