Chinese medicine: When you do things to the extreme

Chapter 25: No Solution to the Lore (Please Collect and Read)

Zhou Yanqing immediately explained: "Uncle, Dr. Li is the attending physician of our hand surgery department and my superior. We are just having fun before the operation."

"Although your tendon is injured, it's not serious. If we are too serious or even look sad, you will feel uneasy, don't you think?"

Zhou Yanqing took the initiative to change the topic.

"Don't scare me!" The middle-aged man nodded hurriedly and walked towards the simple operating table in the emergency operating room. After lying down, he raised his head like a shrimp:

"Doctor, do you want to play around for a while longer?"

Zhou Yanqing and Li Zhong each took their positions, while Li Zhong turned around to prepare the diluted complex iodine, saline and hydrogen peroxide for flushing.

Zhou Yanqing put on examination gloves and removed the gauze: "Uncle, give me your hand, and follow the direction I pull you."

"Disinfect before suturing, and rinse before disinfecting..."

Seeing that the middle-aged man was hesitant to speak, Zhou Yanqing took the initiative with a calm tone: "No matter how relaxed our expressions are, we can't make your situation easier. You still have to sew it up later."

"After the suture, you still need to continue rehabilitation training. Current medical science has not yet developed to the point where a doctor's smile can relieve pain and promote wound healing."

After hearing this, the patient's eyebrows flickered and he said hesitantly: "Even if medicine develops further, it won't have such an effect, right?"

"Uncle, you are a wise man." Zhou Yanqing immediately flattered him a little.

When communicating with patients, you need to adapt your approach to their individual needs. If you can take a joke, you can make appropriate jokes to calm the patient's preoperative nervousness.

But for some talkative patients, such as the "venomous tongue" patient that Zhou Yanqing remembers vividly, they can only respect the fate of others.

……

"It will be a little painful when flushing, but this is to flush the foreign matter out of the wound as much as possible..." Zhou Yanqing explained to the patient while Li Zhong was flushing.

"It's okay, go ahead." After talking with Zhou Yanqing for a while, the middle-aged man was not as nervous as before.

Zhou Yanqing assisted in raising his hands, and Li Zhong quickly completed the flushing, disinfection, and towel laying operations. After Zhou Yanqing washed his hands and put on the disposable sterile surgical gown again, Li Zhong even completed the patient's local anesthesia.

"Hiss, doctor, why does this local anesthesia hurt so much? It wasn't so painful when I got an IV drip or an injection in the butt for a cold..." The middle-aged man bared his teeth.

Li Zhong slowly poked the edge of the patient's wound with the needle tip and asked softly, "Does it still hurt now?"

"It doesn't hurt now. It was very painful before you took the medicine," said the patient.

"Come on, Yanqing, explain it to me." Li Zhong went to get the needle for tendon suture while acting like a superior.

The patient was injured by a sharp object. The sharp object was not broken, the wound edges were smooth, and there were no blood clots. No special debridement was required. The wound could be sutured directly after thorough disinfection and flushing.

Zhou Yanqing was not annoyed when he heard this. As a junior doctor in the clinic, he had to be prepared to be asked questions by any senior doctor at any time. Li Zhong was the attending physician of our hospital and a master's degree holder from Sun Yat-sen University. He had graduated for more than three years and had much richer clinical experience than Zhou Yanqing.

Zhou Yanqing first sat in the assistant's seat, holding the hemostatic forceps in one hand to press the distal end of the patient's finger, and holding the thread cutters in the other hand. Facing the patient's expression, he explained: "The first injection of local anesthesia is the skin papule. The thin layer under the skin is the area with the richest 'pain receptors'. When you usually give other injections, you will quickly penetrate this layer, so the pain will only last for a while."

"But the area where the local anesthesia is injected will remain there, so the pain will last longer and make your pain sensation particularly acute."

"If I have to make an analogy, a normal injection is like you passing by the toilet, and Pichu's is like you going to the toilet. The pain is the stink."

The middle-aged man suddenly realized what was going on and gave Zhou Yanqing a thumbs up with his other hand: "See, I knew you were the superior. The doctor asked you to speak..." "Ahem!" Zhou Yanqing immediately interrupted by coughing twice.

Li Zhong's movement of holding the needle froze, and his eyes became blank.

What the hell? I’m a senior doctor and I want to take advantage of my subordinates. This is the first time I’ve done such a thing, so why am I being ridiculed so harshly by patients?
It’s still difficult to ask for help!

"Stop talking and start stitching." Zhou Yanqing's tone turned serious. Any more explanation at this moment would make Li Zhong suspicious.

However, Zhou Yanqing was very sensible: "Doctor Li, the three tendons refer to the superficial flexor tendons. It is not particularly difficult to sew them. After you sew two stitches, can you also sew mine?"

Li Zhong's eyes cracked when he heard this, and he nodded thoughtfully, saying, "Okay!~"

The patient was about to refuse the treatment, but Li Zhong was very sensible and cooperated: "Don't worry, this is a graduate student in our department. He has a medical qualification certificate. It's no big deal for him to treat your wound."

In fact, when Li Zhong said this, he felt extremely difficult inside.

It’s difficult to ask for help.

The patient's various emotions were suppressed.

Li Zhong completed two stitches. The suturing operation was not difficult. The difficult part was that the tendon had to be tough enough after suturing and the sutures could not cut or rupture the tendon.

Li Zhong completed the suturing process relatively well, but his control over the suturing depth was still a little off.

What else can we do?

I can only wait for Zhou Yanqing to sew and repair it!
In fact, every hospital has different minimum standards for tendon suturing. The First Affiliated Hospital of Hengda University uses stretching and compression bands for suturing, but many county hospitals may just use tofu or even jelly skin for suturing.

Anyway, as long as it can be used later and has functions, that's all.

The reason why the first hospital affiliated to Hengda University sets the standard of passing the pressure band test for going on stage is actually to have the idea of ​​accumulating strength for a breakthrough. It can not only maximize the retention of tendon function after surgery, but can even cover one or two stitches that are not sutured well through strong basic skills.

Surgical skills require practice, and no one can reach the pinnacle right away.

Soon, Zhou Yanqing took over the needle holder and operated it very smoothly.

Zhou Yanqing and Li Zhong did not "seek death" by choosing the more difficult Tang suture method, but continued to use the Kessler suture method which is less difficult to operate.

The patient tilted his head. He was worried that Zhou Yanqing's "statement" was correct and that Zhou Yanqing was really a subordinate, so his skills were not good enough.

But even a layman could see that when Li Zhong was suturing, he was trembling with fear and was afraid to insert the needle, and his hands were hesitant.

Now Zhou Yanqing can insert the needle very cleanly and efficiently.

Experienced people know that the more experienced and skilled a person is, the more likely they are to complete a task with quality and speed.

The patient felt relieved and said with a little persistence: "I know what I just saw is right. Doctor Zhou and Doctor Li have pinched your arms and legs. If you still don't recognize this apprentice, it's too much! ~"

"This kid seems pretty smart... Take him."

Neither Zhou Yanqing nor Li Zhong expected the patient to speak, and to say such things. Zhou Yanqing paused his stitches for a moment, and Li Zhong's quadriceps trembled when he heard the words, as if he had dodged five big moves and returned to the city with a sliver of health, but was attacked by a small soldier's attack at the last second and the screen went black...

(End of this chapter)