Chinese medicine: When you do things to the extreme

Chapter 3 This ladle is really ladle!

Zhou Yanqing continued to hold the needle on the tofu strips that had been cut and placed side by side to complete the four-step suturing operation of inserting the needle, passing the needle, removing the needle, and tying the knot. At the same time, he used his thumb to wrap the thread around the ear and used his middle finger to hold the thread scissors to complete the thread cutting operation...

After Zhou Yanqing sutured the cut, the chubby Guo Congyu came to his senses and looked at the tofu noodles.

The needle entry and exit points are like eel holes, just enough for the thread to pass through. The suture does not produce cutting tension on the tofu, causing the part to tend to split. The knot is tied on one side, and the distance is measured with a ruler.

It shows Zhou Yanqing's absolute control over tofu stitching.

Zhou Yanqing really passed the tofu suturing stage.

"Ah...this..." Guo Congyu's tongue was trembling slightly.

Zhou Yanqing had already sutured the tofu 1 cm deep and displayed the relatively perfect results in front of him, but Guo Congyu still found it unbelievable.

As classmates, from the same university, the same department, and the same practice room, we learn things at different times. It doesn’t matter if we are a little ahead or a little behind.

The difference between half-thickness suture and full-thickness suture is not particularly large, and Guo Congyu can accept it calmly.

Even though his classmates Zhou Yanqing and Liu Dongyang had completed half of the orange peel suture during their second year of master's degree, Guo Congyu felt that he could catch up.

Guo Congyu just caught up yesterday and completed half of the suture of the orange peel. It felt like everyone was on the same starting line again.

Zhou Yanqing actually took another big step forward with one leap.

"Brother Guo, let's start practicing." Zhou Yanqing and Guo Congyu looked at each other for a while. After Ji felt that the other party had almost digested his emotions, he knocked on the operating table with the needle holder to remind him.

It's not a big deal for Guo Congyu to just watch, and it's not a big deal for Zhou Yanqing to be stared at like this all the time.

"Okay!" Guo Congyu's face was serious, and he quickly returned to his operating table, his steps hurried...

After Zhou Yanqing sutured a wound, he breathed a sigh of relief.

When it comes to suturing (skilled 2/3), Zhou Yanqing can skillfully suture half a layer of orange peel. However, it would be more difficult to suture tofu, and he also needs to control his suture strength and angle.

Now that I have reached (expertise 1/5), it is surprisingly easy to sew the tofu 1cm deep, and I even have some energy left!
Maybe you can challenge the shallow 0.4cm suture of white tofu.

The practice materials in the practice room are like layers of ladders, rigorous and orderly.

Rubbery pork skin; whole or half orange peel; different shades of tofu.

Suturing tender tofu is the same as sewing orange peel. The deeper the stitch, the harder it is. On the contrary, the shallower the stitch, the harder it is!

Zhou Yanqing felt that he had enough strength left, so he continued to try to sew the shallow layer of the tofu.

Even if the tofu is sewn badly, it will only cost half a piece of tender tofu and one dollar.

The significance of the existence of the exercise room lies in its infinite tolerance for errors. Even if the suture goes wrong, it will not cause harm to the patient.

As time went by, brothers from the hand surgery department came to the training room one after another...

"Brother Qin, you should be almost ready to go on stage, right?" At the door, a young master's degree holder, 1.83 meters tall and sturdy, walked sideways with Zhu Qin into the practice room, his tone full of flattery.

Zhu Qin is a new employee in the hand surgery department this year. He holds a PhD in hand surgery from Xiangya Hospital. He is 1.7 meters tall, has dark skin, and looks short and stocky.

Although Zhu Qin is shorter than Tang Wenquan, surgery never respects appearance or height, but strength.

When Zhu Qin entered the training room, he touched his big nose and looked at Tang Wenquan: "Your flattery is not rigorous."

"You have to explain what you are going on stage for. If it's to sew a skin flap, I can do it now. But if it's to sew a tendon, I have to jump from sew with jelly to sew with stretched rubber band before I can go on stage to help my superiors."

"But when it comes to vascular suturing and nerve suturing, it will take at least seven or eight years of practice!"

Suturing is one of the most basic medical skills and can be mastered by interns, but it is extremely difficult to suture well.

Hand surgery requires extremely high proficiency in suturing. From ordinary trainees to new employees, attending physicians, and deputy chief physicians, all of them need to overcome layers of obstacles in the training room before they can gradually obtain the right to operate. It is not that the superiors and departments deliberately make it difficult, but the better the suturing skills, the more beneficial it is to the recovery of hand trauma patients after surgery.

Due to the importance of hand functions to humans, in order to ensure the quality of hand surgery, every hospital has extremely high requirements for hand surgery.

It is not an exaggeration to say that some well-known experts and professors outside the field of hand surgery do not meet the standards for taking the stage in hand surgery.

"Suture is easy to get started, but we are hand surgeons, so the handle of the suture must be longer and more like a ladle." As a superior, Zhu Qin naturally made an analogy with driving.

The basic skills of a surgeon are like a bucket, but a bucket, which is a longer piece of wood, has another name called a ladle. Surgeons are called "big ladle owners", which is an "elegant name" brought by Zhu Qin from Xiangya Hospital.

"Brother Qin is really amazing. I am still very bad at peeling orange peels and can't even get on the operating table to sew skin." Tang Wenquan, who is only in his first year of master's degree, said enviously.

A professional master's degree sounds quite impressive and seems like one can immediately reach the peak of life.

But after Tang Wenquan entered the department, he faced a huge challenge: he had no responsibility for the operation on the operating table. At the end of his first year, Tang Wenquan had never sutured a surgical incision.

It is because of the extremely high requirements of hand surgery for suturing that only after the full-thickness suturing of the orange peel is completed, can the regular skin incisions of the operation be sutured in hand surgery.

Zhu Qin chuckled, blinked his eyes, and said in a dirty way, "Take your time. It takes more than one day to become a great surgeon. Right?"

"Yes, yes, Brother Qin." Even though Tang Wenquan could answer the call, he didn't dare to do so. He could only nod, smile softly, and then greet the people inside: "Senior Brother Guo, Senior Brother Zhou..."

Zhu Qin then approached Guo Congyu's operating table, took a look, and then instructed: "Full-thickness suture of orange peel is to practice controlling the force when inserting, removing, and tying the needle. Half-thickness suture is based on this, and further controls the force distribution during the needle insertion and removal process, and even the angle control."

"When sewing tofu, one must be very careful and do it in one go, without any hesitation..."

Zhu Qin saw Guo Congyu's mouth break again and said, "The reason why you easily cut the tofu when you sutured it is either because the force is uneven or the angle is not good enough. Remember to make sure the force is even and the operation must be even throughout."

"Thank you, Brother Qin. I have already ordered the coffee." Guo Congyu put down the needle holder temporarily and looked up to thank him.

Zhu Qin is the superior of our institute, and he is also the superior who often comes to the practice room. He is also diligent in teaching everyone in the practice room, and is treated like a teacher by all the young masters!
You can get several free drinks or coffees almost every week.

"You have to experience it slowly. It's not about coffee. Suturing is a skill of the hands. It's not enough to just rely on memory or understanding. You have to experience it and understand the theory in your hands. To put it in a more mysterious way, it's skill!"

"For example, Xiao Zhou is at the same level as you, but the mistakes he makes are different from yours."

As Zhu Qin was talking, he looked at Zhou Yanqing at the operating table next to him. He knew that Zhou Yanqing's suturing skills were better than Guo Congyu's, and he had been working hard to sew the tofu well: "His mistake... eh!"

Zhu Qin rolled his tongue and kept silent.

Zhou Yanqing's suture was not interrupted, and he continued to operate, inserting the needle, passing the needle, removing the needle, tying the knot, cutting the thread, etc., and completed the steps meticulously. It took about ten seconds to complete a stitch, and he was so skilled that it was like operating the needle tip to dance between tofu strips...

After watching for a full minute, Zhu Qin finally figured out what was going on.

"Hiss!" Zhu Qin took a breath of cold air:
"Your stitches are not deep stitches, but shallow stitches?"

Hearing Zhu Qin's words, Zhou Yanqing looked up and smiled, indicating his agreement.

It's all been seen, so why should I be embarrassed to say it?
Zhu Qindu began to grin. His dark skin looked a bit crooked at this moment. “Then your gourd is a real gourd!”

Hear the words.

The fat boy Guo Congyu, his junior fellow Fan Ziwei, Tang Wenquan and others were so frightened that their quadriceps and biceps were shaking wildly.

Maybe it was because he was too free, resulting in a crisp "hissing" sound coming from the fat boy's crotch.

Now, Zhou Yanqing's leapfrog progress in suturing from half-layer suture of orange peel to shallow suture of tofu could not overshadow Guo Congyu's dazzling brilliance, and attracted everyone's attention...

When the fat boy felt the air leak, he subconsciously clamped his legs together, tied his hands around his white coat and ran away, forcing himself to say, "Brother Qin, I'll go back for a while, in case the big bird comes out and scares the bugs."

(End of this chapter)