Chinese medicine: When you do things to the extreme

Chapter 54 Courses and Speed ​​(Please collect)
In the Hand Surgery Skills Training Room of Xiangya Hospital, there is a full glass floor-to-ceiling window opposite the door, which allows light to shine through.

Zhou Yanqing sat in the corner, holding a black signing pen in his right hand and a square notebook in his left hand. He sat on a round steel stool and listened attentively with his ears pricked up.

Next to Zhou Yanqing are Zhou Yanqing's familiar and unfamiliar "classmates", senior and junior brothers.

Huang Xianming began to talk about the old saying: "Professor Tan often said that in order to ensure the quality of surgery, the threshold for our hand surgery department to go on the operating table is extremely high!"

"The most important basic skill in hand surgery is suturing. Unlike subspecialties such as trauma, joints, and sports medicine, hand surgery has higher requirements for suturing!"

"Let's not talk about the more important nerve and tendon suture for postoperative functional recovery. As for the vascular suture basis to keep the tendons and nerves alive, the department stipulates that the six-segment and seven-segment mouse tail artery suture should achieve an immediate vascular permeability rate of more than 99%!"

"Under such extremely high standards, I have been in the training room for many years, but I still can't meet the standards for going on stage. It's really not easy for us surgeons..."

"It's not easy for Professor Tan, either. Before we reached the corresponding standards, they had to do many things themselves. They would only let us make do when there was no other way."

"There's a shortage of people in the department..." Huang Xianming sighed. In fact, there is a shortage of people in the department now.

Hearing this, Yu Yue, a second-year doctoral student, became curious: "Brother Ming, there is no one else in the training room today. Can you let the brothers broaden their horizons and play with your treasures?"

Not everyone can suture the severed tail artery of a mouse in a training room. Not to mention that experimental animals such as mice are expensive to purchase, most people would just waste supplies if they just rushed in.

If even tofu sutures can’t pass the test, the blood vessels that emerge from the sutures will definitely only be good for viewing.

It can't even pass the stretch cuff suture test, and the blood vessels sutured are just barely adequate at best, and can't say they have many functions.

Generally speaking, hand surgeons can only have the opportunity to suture the severed tail artery of a mouse after they have passed the foam board and pig blood vessel suture tests, and the department will allow you to participate in the practice.

Currently, Deputy Chief Physician (Associate Professor) Huang Xianming is such a target group for training.

"Do you all want to watch and play?" Huang Xianming looked at a dozen people including Yu Yue one by one.

There are many master's and doctoral supervisors in Xiangya Hospital. In Professor Tan Zhongyu's group alone, there are fifteen or sixteen doctoral and master's trainees combined.

Everyone, including Zhou Yanqing, nodded.

Who doesn’t look forward to it?

"Okay, then?"

"Only Liu Wanqing and Yu Yue can play with me. Forget about the rest of you. Otherwise, it will waste materials." Huang Xianming turned around and carefully examined two places.

Both Liu Wanqing and Yu Yue have PhDs in hand surgery, and they also obtained master's degrees in hand surgery.

The current suturing level has reached a certain standard.

However, just as Huang Xianming finished speaking, Liu Wanqing, a third-year doctoral student and the "senior brother" of Tan Zhongyu's group, asked: "Brother Ming, Zhou Yanqing, a regular trainee in our group, is also quite good in the practice room. Can we add one more person?"

Huang Xianming was very surprised when he heard this, and turned his head left and right: "Oh? Which one is Zhou Yanqing?"

Zhou Yanqing decisively raised his right hand holding the pen.

"Hey, little brother, what level of suturing have you passed in the training room?" Huang Xianming raised his chin to Zhou Yanqing. Tan Zhongyu had not introduced Zhou Yanqing to anyone in the department. After leaving Zhou Yanqing to Ning Zhu, he was completely left alone.

Zhou Yanqing didn't care about the bed, and it was normal that Associate Professor Huang Xianming didn't know Zhou Yanqing.

Liu Wanqing took the initiative to say: "Brother Ming, Yanqing is only in the third year of his professional master's degree, and he was able to sew the foam board very well last week."

Senior Brother Liu Wanqing spoke for him, so Zhou Yanqing did not repeat himself, his expression showing a hint of eagerness to try.

Zhou Yanqing looked at the current suturing techniques. After arriving at Xiangya Hospital, Zhou Yanqing requested the hospital chief Ning Zhu to complete the daily task of debridement and suturing 20 times again, so the level of suturing and incision techniques was further improved.

Currently, suturing is (expert 0/15) and incision is (specialized 2/5).

The training room did not have any processed pig blood vessel suture materials at the weekend, so Zhou Yanqing did not come to the training room to respond.

Even if there were pig vascular materials, Zhou Yanqing might still be forced by Ning Zhu to be on duty in the department.

Today, Associate Professor Huang Xianming was giving a small lecture, and Ning Zhu thought it was quite interesting, so he invited Zhou Yanqing to attend.

"Okay then, according to the old rules, the younger ones will go first, Yan Qing first, Yu Yue second, and Liu Wanqing third."

"Others..." Huang Xianming piqued everyone's interest before replying, "Watch."

Huang Xianming took everyone to the higher training room of the hand surgery department next door, where a few mice were being fed, occasionally making squeaking sounds and the sound of their claws scratching the iron cage net.

Huang Xianming carefully caught one, anesthetized it skillfully, turned the mouse over and temporarily fixed its limbs, and then armed it with simple uniforms.

Huang Xianming pointed at Zhou Yanqing who was sitting opposite him and said, "You sit opposite me and get familiar with the view of the mouse's coccygeal artery in the mirror. Then watch me make one loop and you make another."

“Laboratory animals are extremely valuable, not just because of their price. They are of great benefit to the recovery of human diseases, so every practice must be fully respected.”

"Be careful and meticulous, even when observing."

Huang Xianming said this to other people.

Huang Xianming has a round face, small eyes and a short chin. In terms of appearance, he should be at the bottom of the skill training room, but medicine is one of the disciplines that is least concerned with appearance, especially surgery.

Therefore, the person who was sitting in the lecture position and exposing the rat's coccygeal artery was Huang Xianming. After Huang Xianming exposed the rat's coccygeal artery from the tail root to the full thickness, he clamped it lightly with a vascular clamp and jokingly said to the person beside him: "Xiao Liu, are you familiar with it?"

Liu Wanqing has a long neck and prominent larynx. His Adam's apple moved up and down twice when he heard the words: "The blood vessels in the tail of mice are about 0.5 mm in diameter, which is about the same thickness as the blood vessels in the middle finger of an average adult man. They are the best practice consumables for our hand surgery department and the last barrier for our hand surgery department to go on the operating table after the water-bleaching foam suture."

Liu Wanqing's eyes were full of anticipation, "Although there are finer ones..."

"Okay, don't take out the thinner ones. It's too late to do a circumcision now." Huang Xianming interrupted and gave Liu Wanqing an 'ambiguous' look.

Liu Wanqing's voice froze, his eyes flickering as he weighed whether he could fight Huang Xianming, but was once again choked back by Huang Xianming's flattery: "Xiao Liu, you are my senior brother, and you have the best foundation. Can you give us a more detailed explanation of the difficulty gradient and requirements of suturing the severed coccygeal artery?"

(End of this chapter)