Chinese medicine: When you do things to the extreme

Chapter 50 It was an accident after all (Please collect and read)
Ning Zhuben was just asking casually, similar to asking a child what grade he was in.

At Zhou Yanqing's age, he has achieved the standards of debridement and suture in hand surgery, which is considered rapid progress.

It is quite remarkable that the superiors can trust you to grant the right to suture skin flaps. A large number of the newly admitted doctoral students who apply for the assessment system at Xiangya Hospital are at this level.

Not everyone can enter the doctoral program through special professional channels.

"So you've already had your tendons stitched at the First Affiliated Hospital of Hengda University?" Ning Zhu said, "Here comes the elevator. Let's talk while we walk."

Zhou Yanqing examined Ning Zhu's eyes and expression for a few seconds and saw that he didn't ridicule him. Then he replied, "My master gave me some opportunities. So far, I've sewed more than a dozen. Most of the time, it was my superiors who sewed it."

Many people like geniuses, but not many people like people who break the rules.

When the abilities are the same, people with more experience and more surgeries will have stronger overall strength.

Ning Zhu nodded: "Alright, then I'll give you two injections when there's a chance."

After saying that, Ning Zhu bit his lower lip again: "What method do you usually use to suture tendons? Kessler? Or modified Kessler? Or MT?"

"MT stands for M-tang." Ning Zhu explained the short word to Zhou Yanqing again and touched his chin with his hand.

Being able to suture tendons is a basic level of skill. Above this, in addition to the professors’ profound basic suture skills, there are also different forms of tendon suture.

"I've used them all..." Zhou Yanqing replied with a smile.

Ning Zhu paused with his right index finger, and gently dug his nail into the soft flesh of his chin, asking, "Are they all useful?"

His eyes suddenly widened: "You?"

At Zhou Yanqing's age, being able to reach the minimum level of tendon suturing is already considered a freak, and he has such a wide range of tendon suturing methods, which is really a bit illegal!!!
"Brother Zhu, I've learned a lot from my teachers and superiors. I'm not particularly proficient, but I know a little bit." Zhou Yanqing's reply was very honest.

Before the teacher came, I told you that when you go to someone else's house, you can't be too honest. You should show yourself appropriately, especially since the first impression is important, but don't brag.

"Then let me take a closer look later..." Zhou Yanqing successfully aroused Ning Zhu's curiosity.

"..."

After Ning Zhu took Zhou Yanqing to the emergency department, he personally demonstrated the outpatient and emergency medical record systems in Xiangya Hospital to Zhou Yanqing, and had a conversation with Zhou Yanqing and asked him to sign.

Instructing the patient's family to pay the fee first, he asked the hand injury patient to walk into the emergency operating room. He rolled up the interview materials with his right hand and hit his left palm: "I will demonstrate these contents once. Can you understand the general process?"

"Based on the professional abilities you mentioned, you shouldn't be unfamiliar with conversations and signing, right?"

Zhou Yanqing nodded: "It's just that I'm not very familiar with the outpatient system. I should be able to explain about 70% of the interview and signature, but I'm definitely not as comprehensive as you, Brother Zhu."

The teacher also said that not being too modest does not mean not being modest, but being very modest. When it is time to be modest, you must be modest.

It is purely boring to compete with Ning Zhu and others in knowledge accumulation as soon as you enter Xiangya Hospital.

Then came the more routine surgical procedures of disinfection, draping, and local anesthesia...

When it came to the step of debridement and suturing, Ning Zhu glanced at the patient lying on the emergency simple operating table and said, "I'm going to start the debridement. Relax, it won't hurt during the process. But one thing is, you must not move." "If you move, then there will be big problems with the suturing and debridement."

"Doctor, don't worry, I know this." The patient was more frightened than Ning Zhu.

Being injured already makes people scared to death, and having a minor operation can make ordinary people feel uneasy for a long time. Who would dare to move around on the operating table and make the surgeon lose control of the knife and needle insertion?

Ning Zhu's debridement technique is very particular. If it were the previous Zhou Yanqing, he might not be able to see the special tricks. But now that his debridement technique has improved a little, he knows that Ning Zhu's debridement technique has been honed through a lot of practical practice.

The debridement simulation is more sophisticated than the debridement practice materials in the training room.

"Luo Song, I just checked it out. You are so lucky. It's not half of your middle finger that is severed, but one-third of it. And the object that caused your injury has a special shape, so only the tendon is damaged."

"The blood vessels and nerves in the fingers are on both sides and not injured. This is considered very lucky!"

"After the tendon and skin are sutured together, you need to buy a middle finger movable brace, or I can make you an aluminum fingerboard for temporary fixation. You can also buy it online. These are all later matters, don't worry..." Ning Zhu explained in relatively detail.

The patient heaved a sigh of relief after hearing this: "Thank you, doctor. I feel relieved now that you said that. You scared me to death just now, saying something like nerve and blood vessel damage and disabled fingers..."

Ning Zhu gestured to Zhou Yanqing to start the operation, and said, "I'm not trying to scare you. Our hospital usually encounters at least one or two cases of severed fingers every one to two days. This is not a joke."

"There are many people like you who are disabled or semi-disabled after surgery, but the total permanent population of Shashi is over 10 million, so you rarely encounter them."

While Ning Zhu was talking, Zhou Yanqing had already taken the needle holder and tweezers and started to sew the modified M-tang. His needle and thread skills were very skillful and the angles were quite exquisite...

Immediately, Ning Zhu fell silent.

It can be seen that Zhou Yanqing's MT suture is not just at the entry level, but has reached a somewhat proficient level.

Of course, Ning Zhu still didn't make a fuss, but he was a little nervous inside.

He muttered, "I'm afraid I'll have to start beating my own drum before I graduate with my PhD..."

Being disobedient means not respecting elders and superiors.

Zhou Yanqing did not pay attention to what Ning Zhu was whispering. First, Ning Zhu's voice was soft, and second, during the operation, when the proficiency was not so high, he needed to concentrate.

After about seven or eight minutes, Zhou Yanqing had sutured the patient's only superficial flexor tendon at the fingertips, and it looked like a good job.

After Zhou Yanqing released his hand, he silently signaled Ning Zhu to start checking the quality of the operation.

Ning Zhu clamped the two ends of the muscle with two hemostatic forceps and pulled it slightly. He found that Zhou Yanqing's sutures were very good. After the tendon was sutured, it was very strong!
He raised his head, and finally looked at Zhou Yanqing with a look of surprise in his eyes, and whispered: "You only sutured a dozen tendons, right?"

Ning Zhu was surprised after all, and his eyes were even threatening.

If Zhou Yanqing dared to say that he had only sutured a dozen or so wounds, Ning Zhu would immediately start to doubt his life.

(End of this chapter)