Chinese medicine: When you do things to the extreme

Chapter 275 Zhou Yanqing is simply a beast! ~
"Yanqing, you look so serious. This is the pericardiocentesis technique in our cardiac surgery department. Do you want to learn it too?"

While watching Lan Zhuozhi perform pericardiocentesis to rescue the patient, Huang Ouming asked Zhou Yanqing who was watching attentively.

Zhou Yanqing shook his head and nodded: "I'm just curious."

Zhou Yanqing's own puncture skills are very strong, and he has now reached the proficiency of 2/15 of an expert, but he has never performed pericardiocentesis.

Normally, it is not his turn to do it.

"This is very easy to learn. There is a needle and you can learn it if you know the anatomical structure. The theory is relatively simple." Huang Ouming's voice was full of temptation.

Zhou Yanqing tilted his head: "Brother Qin, Brother Ming wants to harm me!~"

Today is November 21st.

It has been five days since Wang Jiaqin was admitted to the emergency trauma center.

Zhou Yanqing continued to complain: "He encouraged me to do pericardiocentesis."

Wang Jiaqin glanced at Huang Ouming and said patiently, "Huang Ouming, the tendon suture technique in our hand surgery department is also simple. Do you want to try it?"

Huang Ouming immediately went to the bedside to help with the follow-up, and stopped talking and joking.

"It's almost done now. There's no need to transfer to the cardiac surgery department. Just go to the observation ward of the emergency surgery department. You can ask the cardiac surgery department for consultation at any time." Lan Zhuozhi said to He Qingqing after finishing the operation.

The trauma center is only an emergency treatment center and is not responsible for the follow-up treatment of patients.

Only save lives, not cure diseases.

He Qingqing said, "Okay, I'll contact the surgical observation ward later. Thank you for your hard work, Doctor Lan."

After Huang Ouming and Lan Zhuozhi finished the operation, Lan Zhuozhi glared at Huang Ouming.

"You can't say such things casually. If Zhou Yanqing does something bad to someone, you won't be able to get away with it." Lan Zhuozhi taught him.

"Brother Lan, I was just joking!" Huang Ouming did not feel guilty.

This was an obvious joke, and everyone could understand it. Zhou Yanqing's complaint was just to liven up the atmosphere.

No one took this matter seriously.

Then he moved to the office.

A trauma center is busy when there is a trauma emergency, and if there is no trauma emergency, you can take a break and wait.

Unlike a ward where patients wait in line, this department only handles emergencies.

However, just as Zhou Yanqing arrived at the office door, a young nurse came running in: "Doctor Zhou, there is another patient with tendon injury in the surgical clinic. Doctor Zhang asked me to call you."

Zhou Yanqing was working on a new topic of tendon suture, and his suturing skills were very good, so the people in the invasive surgery clinic were happy to let Zhou Yanqing handle it directly.

If it is other types of hand surgery diseases, and it is not urgent, it will be handed over to the resident chief of hand surgery.

"Okay, I'll be there right away!" Zhou Yanqing turned around and walked away.

However, even though Zhou Yanqing had left, Yang Lingchong still called him, "Let's get together today. The rescue data for the first three weeks of the trauma center's opening has been released."

"Our trauma center has received a total of 579 patients, and three have died."

"One of them lost vital signs before entering the trauma center, but this is indeed the type of disease we have in our trauma center..."

"Let's review the general outcomes of these patients. In addition to the deaths, the number of people who were infected..." Yang Lingchong began to summarize the cases.

……

Around two o'clock in the afternoon.

Huang Ouming, the chief resident of the Department of Cardiac Surgery, looked up and asked, "Sister Qin, where is Yanqing?" after sending the patient to the CT room.

"We have a patient here, and we want Yanqing to review the CT scan results."

Huang Yaqin said: "It seems that Yan Qing has not returned since he was asked to leave the surgical clinic."

"Maybe he's still in the operating room."

Huang Ouming ran away immediately.

Zhou Yanqing has a strong ability in reading films. Learning to get closer to Zhou Yanqing is one thing, and asking him for advice is also inevitable.

Huang Ouming would not think that this was a loss of face. Face is the least valuable thing at the lower level. Anyone who cares about face at this stage is simply mentally ill.

"Yanqing, I have a film over there for you to help... What are you doing?" Huang Ouming pushed open the door of Operation Room 3 and his voice suddenly changed -

If he saw correctly, Zhou Yanqing was holding a puncture needle in his hand.

The patient has been covered with sterile drapes and the skin is smooth and stained with complex iodine yellow.

"The color ultrasound showed that there was an abscess in the soft tissue. The patient was unwilling to be transferred to another hospital for incision and drainage. I planned to puncture and drain the abscess and then inject some antibiotics."

"Doctor Huang, please wait for me." Zhou Yanqing replied quickly and then comforted the patient.

"This is my colleague, don't be nervous."

The patient has signed a consent form to accept the risk of possible recurrence and strongly requested to be treated here. Even if Zhou Yanqing is free, he cannot unilaterally refuse to treat the patient.

It was impossible to arrange surgery for him unless he was willing to wait in line at an outpatient surgery room...

Huang Ouming picked up the color ultrasound results next to him and took a look.

Soft tissue abscess, diameter 5*3*4mm, subcutaneous depth 4cm!

This puncture is more difficult than pericardiocentesis, right?
Pericardiocentesis sounds difficult, but in fact, it only requires controlling the depth of the puncture, as the heart is only so large.

The position is fixed, and countless predecessors have summarized the angle and depth of puncture.

The location and size of a subcutaneous abscess are fixed, so you have to control the depth and find the angle yourself...

While Huang Ouming was still hesitating, Zhou Yanqing had already pierced the hole.

Moreover, according to the principle of communicating vessels, pus has begun to slowly seep into the curved disk from the end of the puncture needle.

The thick yellow liquid is as viscous as a colloid...

Huang Ouming: “…”

It seems that Zhou Yanqing was watching the pericardiocentesis seriously two hours ago. He was not curious at all, but eager to try it...

“No…” Huang Ouming’s tongue limped slightly.

"What's not?" The patient was frightened and quickly raised his neck.

"It's nothing. My colleague is a cardiac surgeon. The pus from the puncture has come out. The volume is not very large, so there is no need for intravenous antibiotics."

"Take the medicine yourself and be careful not to get the wound wet."

"If he still hasn't recovered in about two weeks, he will have to undergo surgery." Zhou Yanqing quickly explained to comfort him without even looking back at Huang Ouming.

Huang Ouming left immediately.

Zhou Yanqing was at the operating position and could not leave with him to review the films immediately, so he could only wait unilaterally.

After Huang Ouming left, Zhou Yanqing heard some discordant words floating in, stinging his eardrums.

"Clusters, clusters!"

"Zhou Yanqing is definitely a scumbag. He won't give us any chance to survive!" Huang Ouming was shocked.

Zhou Yanqing: “…”

Seven minutes later, after all the pus had been drained, Zhou Yanqing covered the puncture site with gauze for the patient.

"Uncle, that's it, but we agreed in advance that this is just an exploratory treatment and may not be able to solve the problem."

"If the abscess recurs, you really have to go for surgery. Don't make this useless attempt again." Zhou Yanqing said.

"Hey, okay."

"I'm mainly planning on getting a promotion soon. Otherwise, I'd just have the surgery."

"If I had gone for surgery at this critical moment, I would have lost my chance." The uncle sat up, feeling deeply moved.

Zhou Yanqing nodded, packed up his things, and started writing the surgical records and doctor's instructions...

(End of this chapter)