Chinese medicine: When you do things to the extreme

Chapter 233 The Cool Time in Hospital
"Yes, the surgery must be done. The connection has already been severed, so there is no need to consider whether to have the surgery or not."

Zhou Yanqing sat facing the two women and said in a steady tone, "Do it as soon as possible. I have already explained all the risks I should have mentioned!"

"You are free to go to the Second Xiangya Hospital. If you can invite a professor to perform surgery on your patient, that would definitely be the best choice."

"But in our hospital, professors have their own tasks, and emergency surgeries are performed by the resident doctors!"

"Either you're sitting in an outpatient clinic, or you're in an operating room for elective surgery, or you're going in for a consultation for surgery."

"You want me, Professor Qing, to perform the surgery myself, but I can't do that. Our hospital has limited resources!"

There were two women sitting opposite, one was the patient's wife and the other was the patient's daughter-in-law. They were either arguing about money or thought Zhou Yanqing was too young.

In fact, the quality of Zhou Yanqing's limb replantation surgery is higher than that of Tan Zhongyu, but Zhou Yanqing cannot say such words that would disrespect his teacher and ancestors, and he must not say them in front of the patients.

"Don't think about it for too long. I'm more anxious than you are right now. The longer you delay, the lower the chance of your husband's severed limb surviving."

"Make a decision soon?"

"Should you transfer to Xiangya Second Hospital or sign for the surgery here? I will arrange it as soon as possible!!!" Zhou Yanqing interrupted the other party's hesitation and spoke decisively.

"Doctor Zhou, have you ever performed such an operation?"

"You're not using my husband to practice on me, are you?" The middle-aged woman still didn't believe it.

"Yes, I have. If I hadn't, I wouldn't have spent so much time talking to you guys!"

"But you want to teach such high quality, that's definitely impossible!"

"Don't think that this is why our hospital doesn't recruit so many people. People who can perform this kind of surgery basically have better places to go than to be in the professor's class."

Zhou Yanqing replied.

"Okay, Dr. Zhou, please do your best." The young woman replied quickly after seeing the WeChat message.

She had asked her friends and learned that it was impossible to have a professor-level doctor perform emergency surgery, especially in Xiangya Hospital.

"Sign! Pay the fee!" Zhou Yanqing turned the informed consent form for the surgery in his hand.

"First sign the authorization letter, then sign the informed consent form for the surgery. The authorization letter must include the ID numbers of the principal and the agent."

"I'll make a call and arrange the surgery." Zhou Yanqing stood up swiftly.

Not shy about it!

Emergency surgery also requires informed consent. If the patients haven't agreed to the surgery yet, but he calls the emergency operating room to arrange it immediately, that would be very uncomfortable!
However, after Zhou Yanqing finished the call, the young woman said: "My friend said that her friend highly recommended Dr. Zhou Yanqing. This doctor looks young, but in fact he has very good skills."

The middle-aged woman looked at Zhou Yanqing for a few times, half believing and half doubting: "Is your friend reliable?"

"This is my best classmate in high school. She won't lie to me."

"..."

Zhou Yanqing heard their whispers, but didn't interrupt them.

Of course my heart is warm!
If the other party can ask someone familiar with the matter to find someone who specializes in hand surgery, that would be great and there would be no need to explain too much.

He was afraid that the other party had only half-understanding connections and instructed him to find only professors. In that case, he could only listen to the other party's advice and suggest that the other party try his luck at the Provincial People's Hospital or Xiangya Third Hospital.

According to the information Zhou Yanqing knew, professors at Xiangya Hospital and the Second Hospital did not perform emergency surgeries!
All of them are given to associate professors, attending physicians or chief residents!

"Doctor Zhou, it has been signed. I will go over and sign it right away..." After the two of them signed quickly, they replied.

"Okay, I'll take the patient to the emergency operating room and quickly arrange the surgery. You just wait there."

"Don't go too far. We may need to talk to you during the operation."

"You know, this is an emergency. There's no time to do too many tests, and there's no time to do a detailed examination!"

"We have only temporarily stopped the bleeding. We need to race against time..."

After Zhou Yanqing received the two signed documents, he carefully read the contents of the signatures. After finding no mistakes, he turned and left.

……

After Zhou Yanqing led his men into the operating room, the young woman made a phone call in the waiting area of ​​the operating room: "Wanwan? Does your friend really know Dr. Zhou?"

"Xiangya Hospital, Doctor Zhou Yanqing from the Department of Orthopedics."

"Of course he knows him. Didn't I send you the chat history? This friend of mine is from the orthopedics department of the Second Hospital. He told me personally that if you can find Zhou Yanqing, you will make a fortune!"

"It's definitely more reliable than asking a professor!"

The young woman asked again: "Is he your boyfriend?"

"Not yet. We met when we were chatting and dating. He is from the Department of Joint Surgery at the Second Hospital."

"Let me tell you, Xiaodao, this is the first time I've heard Liu Jie speak so highly of a young doctor."

"I'm a doctor myself, and I also find it incredible!" The woman named Wanwan said in disbelief.

"Yes, Wanwan, I always hear you say that young doctors have a hard time, and it's better to see a middle-aged doctor who has good skills and mature qualifications."

"I am a little skeptical about him, mainly because he looks too young and quite handsome. But no matter how I look at him, I feel his skills are unreliable," said the young woman.

"This doctor named Zhou Yanqing can perform surgery on your father-in-law. You are lucky. I can be sure of that."

"Because it's hard for young doctors to gain any status in the industry, let alone fame. Generally speaking, those who can gain fame are definitely super geniuses. Age alone cannot be considered as the only factor in determining their status!"

"Now that you mention it, I'm a little curious about that doctor named Zhou Yanqing. I wonder if he has a girlfriend..."

……

At night, seven o'clock!

Zhou Yanqing's limb amputation surgery has not been completed yet, but the key core parts have been completed.

The blood supply to the distal end was immediately restored. After the blood vessels were loosened, the pale distal end of the severed limb gradually regained its rosy transparency.

"Ding ding ding ding ding. Ding ding ding ding ding!" The five-seven syllable death warrant sounded again.

Zhou Yanqing's gluteus maximus trembled when he heard this, and he turned around and said, "Teacher, please answer the phone for me. This is the phone for emergency consultation."

Upon hearing this, the circulating nurse did not bother to complain and immediately chose to connect and amplify the call.

"Yanqing, you haven't finished the operation yet, right?" Yang Jiansen's familiar voice came again.

"Well, yes, what's wrong, Brother Sen?" Zhou Yanqing asked.

Yang Jiansen specifically instructed not to call him Brother Yang as he didn't like that name.

"Here comes a man with a broken bone. He doesn't want to go to another hospital for surgery, so he wants us to do manual reduction."

"I couldn't get through to Brother Yan on the phone. What do you think I should do? Should I continue to push him away by force? Or..." Yang Jiansen asked.

Dean Lei Zhong instructed that any emergency cases that were uncertain should be consulted with Zhou Yanqing. Zhou Yanqing twitched his eyes when he heard this: "Brother Sen, I don't know how to do this either?"

"Why don't you continue to call Brother Yan, or just tell him you want surgery!~"

Manual reduction is a basic skill that trauma surgeons must master in fracture treatment, but it is mostly learned by trauma surgeons.

After graduating from college, Zhou Yanqing went directly to the Hand Surgery Department of Hengda Hospital and had never been exposed to manual reduction.

Now, I have just started to learn more about the manual reset technique on the panel.

This level shouldn't be enough.

"Then I will just suggest that the patient be hospitalized." Yang Jiansen did not make things difficult for Zhou Yanqing and hung up the phone after hearing the response.

Zhou Yanqing is only good at basic skills, not all techniques are omnipotent.

However, when rushing to the emergency room, Lei Zhong said that basically, with Zhou Yanqing here, the chances of death were very small.

The person may not be dead. Necrosis of the lower limbs, upper limbs, and internal organs also means death!
After hanging up the phone, Lin Yuxuan said: "It seems that the hospital chief may encounter many problems when taking turns on duty!"

"Although everyone's duty burden is reduced, when patients come, it becomes more difficult to seek medical treatment."

Zhou Yanqing smiled and said, "It has both advantages and disadvantages."

"In fact, we orthopedic surgeons can all learn a little bit about manual reduction surgery. I will ask Brother Yan for advice when the time comes."

Industry specializing in surgery!
Zhou Yanqing is not a trauma surgeon, so naturally he does not know many specialized procedures and basic skills of trauma surgery.

The operation went smoothly. Zhou Yanqing saw that there were still two small blood vessels that had not been sutured, so he took off his clothes and said, "Brother Lin, you and Tian Chao can do the rest of the operation!"

"If these two blood vessels can be sutured, sew them up. If they can't be sutured, just tie them off. It doesn't matter. It won't affect the quality of the operation!"

Zhou Yanqing is still willing to give it a chance.

Not all blood vessels need to be perfectly aligned.

Hand surgery often involves vascular transplantation, nerve transplantation, and tendon transplantation, all of which involve taking arteries and nerves that do not affect function or are dispensable as transplant materials.

This is the best material for junior doctors to practice on, and it is only possible to encounter it when replanting severed fingers.

"Yeah, okay!"

"Thank you Yanqing!" Lin Yuxuan laughed.

After Zhou Yanqing stepped down from the operating table, he said, "Let's go back to the office and eat later. Let's go together. I'll go downstairs and order takeout first."

"By the way, let's go to the trauma surgery department."

……

When Zhou Yanqing rushed to the emergency department, Yan Huanyu had already arrived in high spirits.

He smelled faintly of cigarette smoke. As he led the patient into the operating room, he solemnly told the patient's family: "Manual reduction is one of the options for fracture treatment, but it is not a must."

"Surgery is the safest option. Many fractures cannot be fixed even after manual reduction. I want to emphasize this point again!"

"If manual reduction is unsuccessful, we still have to switch to open reduction."

"You know, right?" Yan Huanyu was already familiar with such conversations.

The patient and his family all nodded.

"Then you guys go out. The reduction process will be painful, so you won't feel sad when you see it!" Yan Huanyu said directly to them.

"Can't we give you anesthesia?" both the family members and the patient asked!

"The operation is not complicated. You spent more than a thousand dollars on anesthesia for this operation. You might as well just do the surgery directly!"

"It's just one more cut, why is it necessary to add insurance?" Yan Huanyu said.

If he dares to send such a patient to the operating room for anesthesia, the professor of anesthesiology will scold him to death!
Why are patients with all kinds of diseases being sent to the operating room? Why don’t you admit patients who need tooth extraction to the orthopedic department as well?
Zhou Yanqing closed the door and said, "Cooperate with me, the technique will restore the position quickly!"

Immediately afterwards, Zhou Yanqing turned around and asked Yan Huanyu for advice with a learning attitude, while at the same time honestly acting as an assistant and tool.

Yan Huanyu performed the operation and he acted as an assistant, fixing the position for the manual reduction.

During Yan Huanyu's traction process, the patient did not feel much pain. Even after Yan Huanyu completely loosened the fracture and reduced it successfully, the patient did not feel any severe pain!

Zhou Yanqing understood at a glance that Yan Huanyu was bluffing.

Fractures are not joint dislocations. The manual reduction of joint dislocations will be very painful and cause fear symptoms.

However, manual reduction of fractures is not only painless, but it is actually more comfortable because the traction separates the broken ends of the fracture and eliminates friction!
After the reduction, Yan Huanyu put a plaster cast on the patient, and then said confidently: "Let's check the film first, and then we can determine whether it is good or not after looking at the results!"

The patient and his family went for a follow-up check-up.

Zhou Yanqing raised his thumb with a hint of envy: "Brother Yan! This."

Yan Huanyu smiled, but was very polite: "Hey, everyone has their own expertise. It just looks amazing, but this type of fracture is actually better."

"If it was AO2.3, I wouldn't dare to do it."

"In fact, fracture reduction is very simple. There are only a few principles. As long as you know whether you can reduce the fracture, the operation is generally not difficult."

"But you have to remember the indications and contraindications of fracture treatment, otherwise you may get yourself into trouble."

"Yanqing, you are a hand surgeon. What do you think of my mere trifling skills?"

"Not comparable!" Yan Huanyu still spoke cautiously.

Compared with Zhou Yanqing in terms of comprehensive skills, he is definitely not as good, but when it comes to manual reduction and the ability to look impressive, he is a trauma surgeon after all.

He is a professional in this, and Zhou Yanqing has never learned it, so how can they compare!

"Brother Yan, how do I learn this? Is there anything in the training room that can serve as a benchmark?" Zhou Yanqing asked.

"Of course there is. It's very easy to practice, but you have to practice a lot, basically tens of thousands of times, before you have a chance to get the feel for it."

"We have fracture reduction models in our practice room!"

"Yanqing, do you want to learn too?" Yan Huanyu asked.

"Give it a try. After all, I'll be on comprehensive duty in the future. It's not good to trouble you, Brother Yan, every time." Zhou Yanqing said.

"Then you go and practice first, and I'll come to see you tomorrow. Maybe we can ask each other for advice..." Yan Huanyu took the initiative to say.

Zhou Yanqing wanted to learn the basics and deal with some simple fractures, which could save him time and effort, so he was happy to teach.

"Thank you, Brother Yan!" Zhou Yanqing thanked him, then left the operating room and went back to order takeout to fill his stomach.

The next afternoon, Yan Huanyu walked into the training room of the Trauma Surgery Department. When he saw Zhou Yanqing's training operation, his legs went limp...

(End of this chapter)