Chinese medicine: When you do things to the extreme

Chapter 24 Who is your superior?

In the ward, Zhou Yanqing first filled a cup of warm water for himself. Then, before immersing himself in the ocean of medical records, he relaxed his neck.

Every time I go to Kyoto, the patients in the ward are replaced by a new group. These are all resources that can be learned.

After a trip to Kyoto, Zhou Yanqing also learned that those great researchers were able to elevate and consolidate the theory to such a level; and that they were able to maintain high productivity in scientific research while achieving excellence in both theory and professional skills.

Qualification is one part, resources are one part, but more importantly, they have worked hard.

Zhou Yanqing chatted with seven or eight people and found that behind the glamour of these great players, they basically went to bed after midnight.

For example, at West China University of Political Science and Law, if I don’t read five SCI papers every day, I will feel uneasy.

For example, the orthopedic masters at the Sixth Hospital of Shanghai would feel empty if they didn’t have two scientific research discussions every week...

These are the atmospheres that Zhou Yanqing could not feel at Hengda Affiliated High School No. 1, and he did not work hard enough to achieve this.

……

You don't have to learn everything, but you can still learn by copying.

After reaching [Expertise 3/5] in suturing, I want to improve my proficiency through ordinary suturing exercises, and I don’t know how many times I will have to repeat it.

Today's suturing technique has barely passed the "special channel for professional doctoral students" of Xiangya Hospital, but it is still just suturing technique.

Zhu Qin once said that for a hand surgeon, suturing skills are of course the most important, but you can't just rely on suturing skills, as the other basic skills are completely useless.

This is why the 'special passage is difficult to enter'.

Not everyone can get through every year. A PhD supervisor is not a technician, and you can’t just change him if you want. On the contrary, in most cases, he can do whatever he wants…

Therefore, to improve your suturing skills, just wait for daily tasks. If you can improve it, then improve it. If you can’t, just practice frequently to keep your feel for it.

For other basic skills, you also need to make good use of the characteristics of the other two medals.

Incision is the most important, and theory is on par with incision.

Zhou Yanqing, who returned from Jishuitan after being defeated again, knew that if someone told you that a surgical genius only needed to know how to operate and not how to theory, you could just slap him in the face.

The reason why Zhu Qin and others did not emphasize theory is that the theory must have a certain level of depth as a prerequisite. If the theory does not pass the test, it will be vetoed.

No matter how many articles you have published or how good your professional skills are, if you can't even pass the most basic college entrance examination, you still want to take a special channel?

……

"Yanqing, come down! ~ Emergency department, talk and sign." When Zhou Yanqing was thinking in the ward, Li Zhong, who was on duty in the emergency class, called.

Zhou Yanqing was quite surprised: "Brother Zhong, I just handed in my form, is that ok?"

"You can't, but I can?"

"You have to know that the authorization given to us by the hospital is higher than the specialist standard. I can take you anytime. Come down quickly!" Li Zhong's voice was rather anxious. Zhou Yanqing was also looking forward to his daily task, tendon suture, and he had only sutured two tendons.

Not all skin flaps are muscle flaps, and there happened to be a muscle flap transplant on yesterday's surgery day, which was a coincidence.

Fifteen minutes later, Zhou Yanqing, wearing a white coat, with colorful pens pinned to his chest and holding a consent form for the interview, led the patient and his family to the interview and signing room of the emergency department!
Zhou Yanqing sat down first and took out an ink-blue bouncing pen: "Hello, I'm a hand surgeon, you can call me Doctor Zhou."

After two middle-aged people, a man and a woman, entered the room and sat down.

Zhou Yanqing did not press the pen tip, but gestured to the surgical method on the signed consent form, his voice mature and steady: "The tendon is broken, the diagnosis is very clear, the surgical indications are very obvious, this must be a tendon suturing, the surgical method is also very clear."

"In the current situation, there is no other alternative treatment. Medication is unlikely to work. Surgery is the only option. Didn't Doctor Li tell you this before?" Zhou Yanqing's voice was firm, but he still gave Li Zhong enough face, brought Li Zhong in, and inquired about the content of the conversation between Li Zhong and the two of them.

This is a little trick.

"Ah!" The middle-aged man held up his injured right hand, which was bandaged temporarily, with his left hand, and sighed, "Doctor, if you say the knife is lost, it's just a matter of buying a new one. Why should I go to pick it up? It's fine now."

"Who knows what you are thinking? Stop talking so much now and listen to the doctor." The middle-aged wife said reproachfully and with concern.

Zhou Yanqing's eyes flickered twice when he heard this, and he replied: "Blaming yourself now won't solve the problem. The most important thing is treatment."

"Debridement and suturing, especially tendon suturing, can only be done by hand surgery in our hospital at the moment. In a moment, Dr. Li and I will perform this minor operation for you in the emergency operating room."

"What is written on this piece of paper are very common risks. The things written on them have all happened. Although the probability is small, they have happened. According to the law, you must know these things before the operation, otherwise we doctors will not be responsible. This is why we have this conversation and signature..." Zhou Yanqing's voice was not fast, but not slow either, and he seemed particularly mature and steady.

Ten minutes later, the middle-aged woman nodded and said, "Okay, okay, let's sign and pay the fee. Doctor, you must sew it up for us. My husband is a chef and he makes a living with his hands."

"Let's go to the operating room first. We'll do our best." Zhou Yanqing looked at the middle-aged woman who was about to speak again and explained again: "As you can see, we have a lot of patients in our hospital."

"The superiors in the department all have their own duties. The chief physician has to see patients, some have to do surgeries, and some have been booked in advance by other hospitals for consultations and surgeries."

"The surgeon in charge of this operation is Dr. Li Zhong. He can perform this operation, and he performed it in our hospital, so his skills must be up to par. Right? This is the First Affiliated Hospital of Hengda University..."

After Zhou Yanqing silenced the patient and his family with words, he led the patient towards the emergency operating room.

Li Zhong, who was on duty in the emergency department, had already prepared a debridement and suture kit in the emergency operating room, and asked the nurse to help prepare the diluted lidocaine local anesthetic...

When the circulating nurse talked to the patient again and signed, Li Zhong kept smiling at Zhou Yanqing and began to pinch Zhou Yanqing's shoulders and elbows. The meaning must be self-evident...

When he was about to get closer to the hip joint, Zhou Yanqing grabbed Li Zhong's hand.

"Brother Zhong, we are all good brothers, good teachers and students. You can take two injections today..." Zhou Yanqing said, and then hesitated for a moment: "But you can only take two injections at most. My teacher told me to do that!"

"Enough...enough, enough. The main thing is to get the feel for it. It's impossible to sew it all off." Li Zhong continued to pinch Zhou Yanqing's arms and legs, his skinny face full of smiles.

"Who is your superior? Doctor Zhou, didn't you say that Doctor Li is your superior?" The patient, who had just signed the document and was brought in by the circulating nurse, had a confused look in his eyes and spoke in a slightly sharp voice...

Li Zhong's face and expression froze at that moment, and Zhou Yanqing also froze, not knowing how to respond for a moment.

(End of this chapter)