Chinese medicine: When you do things to the extreme

Chapter 35: Feeling Targeted (Please Collect and Read)

In the morning, 11:20.

Gong Yi was watching Zhou Yanqing performing a hand surgery examination on a patient with some enjoyment.

After Gong Yi sped up his outpatient consultation work in the morning, there were only two patients left who had not been seen. Most of the patients who came for follow-up visits would be concentrated in the afternoon, so there were still forty minutes left.

Gong Yi then gave the right to receive and treat patients to Zhou Yanqing.

Zhou Yanqing did not dare to let the patient stand for a simple physical examination like Gong Yi did. Instead, he very "academically" let the patient lie on the bed and went through the procedure in relatively detail.

Seeing that Zhou Yanqing even took out a stethoscope, he smiled slightly.

The more "academic" the beginner is, the more detailed the results of the physical examination will be.

Physical examination is actually a relatively systematic learning opportunity. The more physical examination methods you know, and if you can fully understand their basic principles, your basic skills will be more solid.

There is plenty of time and Zhou Yanqing is not in a hurry at all.

After a simple auscultation of the heart, lungs and abdomen, Zhou Yanqing found nothing special and went to a specialist for a checkup. He did not do palpation and percussion of the heart, lungs and abdomen in the outpatient clinic.

"The middle finger is flexed and deformed, with skin bulges visible on the palm. A cord-like tendon contracture knot can be felt on the palm. It is tough and relatively regular in shape. The flexion function is normal, but the middle finger cannot be extended..."

"The paper clip test is negative. Your case should be a relatively simple tendon contracture, which has not affected the nerve function."

"The interosseous muscle strength is normal, and there is no ulnar nerve palsy."

"For the time being, we should consider your case as simple contracture of the deep flexor tendon of the middle finger. The pain symptoms are not bad. If you don't have particularly strong finger function requirements, you can wear a brace to relieve the symptoms."

"But to restore the normal function of the fingers, we can only perform a tenosynovium incision accompanied by tendon repair surgery! It requires surgery." Zhou Yanqing explained to the patient carefully.

"Alas..." The patient was a middle-aged man with half-white hair, dull eyes, and thick lips pursed: "Doctor, I am here for surgery. I am a carpenter. If my middle finger is not flexible, I can't get any work."

"Then let's have the operation. I'll give you a hospital admission certificate. Go to the ward and make a reservation for a bed. There should be an empty bed..." Zhou Yanqing said, looking at Gong Yi.

Gong Yi put his hands behind his chest and said, "This is an organic problem. It must have lasted for a long time. Medication won't solve the problem."

"You need to be hospitalized and have surgery!"

"Okay, thank you, Dr. Gong." The middle-aged man's expression was a little numb and stiff. After replying, he whispered numbers like "ten thousand" and "eight thousand".

Although Zhou Yanqing understood what the middle-aged man meant, there was nothing he could do.

Life is difficult for everyone in this world. If their parents have similar diseases and need surgery, they will be as stingy as this middle-aged man.

After handing the hospitalization certificate to the patient, Zhou Yanqing turned to look at teacher Gong Yi, waiting for the review after the exam.

Gong Yi moved his shoulder joints left and right: "You can continue to see the next one. Currently, you are sitting in the outpatient clinic, except that it takes a little time, but there is nothing wrong with it in other aspects."

"Okay, Master." Zhou Yanqing felt sweet inside.

……

The next day, Tuesday. Surgery day.

On the operating table, Li Zhong carefully observed Zhou Yanqing's tendon suture technique, occasionally frowning, occasionally closing his eyes in deep thought, his eyelids flashing rapidly.

"Brother Zhong, help me cut the thread. Thank you for your hard work." Zhou Yanqing smiled and raised his head, his tone gentle. Li Zhong immediately focused his attention on the operating table and reached out to finish cutting the thread.

Next to him, Mitsuru Tianzawa was yawning, waiting for the tendon suture to be completed.

In fact, Zhou Yanqing's suturing skills have already reached above the department's standards, so Tian Zeguang can rest assured to step down.

But caution is the key. As a superior who can routinely suture tendons, he still needs to stay on stage to provide backup and be ready to take over tendon suture at any time in case of emergency.

I have prepared everything, but I have no chance to use it. It's too boring.

Tian Zeguang looked down from above and could not see the wonderful skills of Zhou Yanqing. He could only see the wonderful expression of Li Zhong who was watching Zhou Yanqing seriously...

Li Zhong is also pitiful. He is a master's student at the First Affiliated Hospital of Sun Yat-sen University and the chief physician of this group. He has to serve as a foil assistant to Zhou Yanqing, a master's student, and just cuts the wires...

About ten minutes later, Zhou Yanqing saw a pleasing reminder item flashing up -

【日常任务：完成15条标准质量以上肌腱（15/15）完成。缝合术经验值+1，、肌腱缝合术经验值+2！当前肌腱缝合术（熟练2/3）】

[Tang-style tendon suture skill experience +1, upgraded to (skilled 0/3)]

This time, the daily tasks were very rewarding!
I gained experience points for three skills at once!
Seeing the entry flashing, Zhou Yanqing observed the Tang method of tendon suture at first glance, and his hands seemed to be slowly penetrated by a stronger warm current.

Zhou Yanqing raised his head and asked cautiously, "Brother Guang, can I try the more difficult Tang method to sew this last tendon?"

"If you think I'm doing a bad job with the stitching, take over right away?"

The mission has been accomplished and tendon suturing technology has improved!
Zhou Yanqing still wanted to challenge the more difficult Tang method suturing, and try his best to gain some functional recovery convenience for the patients within his ability.

"What did you say? Have you learned it privately?" Tian Zeguang, who used to be calm and bored, could no longer remain calm. The feeling of boredom was shattered by Zhou Yanqing's words.

Although Tian Zeguang can suture tendons conventionally, the Tang method of suture just hits his blind spot.

"After watching Brother Yuan Qiu practicing in the training room, I also tried to practice it many times." Zhou Yanqing's eyes were calm.

After being able to suture tendons, who wouldn’t want to move on to more advanced tendon suture methods?
Of course Zhou Yanqing had tried it in the training room, but he failed because of the training materials.

Tendon suture is a basic specialist skill, which is the combination of suture and tendon suture. Tang method suture is a special expression of tendon suture.

"Director Gong, Yanqing said he wanted to try the Tang method of suturing." Tian Zeguang was confused and turned to look at Gong Yi!

This TM Zhou Yanqing wants to try the Tang method of suturing, how can I take over and cover the consequences?

Gong Yi didn't dare to sit still any longer. He put away his phone, put it in his hip pocket, and walked closer to the operating table: "If you want to try it, then give it a try. If your skills are not good enough, don't force it. You can go back to the Kessler suture method."

"Tang suture, in the right place, is indeed better than Kessler suture in terms of recovery effect, but its indications are not as wide as Kessler suture, and the operation is also more difficult!"

"At your age, it is not recommended that you young people spend more time studying. The return on investment is too low..."

Tian Zeguang nodded repeatedly to dispel his inner panic: "Director Gong, I am much more obedient than Yanqing. He runs around like a rabbit and is particularly unreasonable..."

Isn't this guy running too fast?!
No, why would you practice Tang method suturing if you have nothing to do?

Tian Zeguang felt that he was being targeted!
(End of this chapter)