Chinese medicine: When you do things to the extreme

Chapter 6: The speed of progress is too fast (please collect and read)

Friday, August 23. Early morning shift change.

In the doctor's office, a long oval red lacquered wooden table was surrounded by the hospital's physicians and nurses above the nursing level.

The intern nurses, the hospital's young nurses, as well as regular training and professional graduate students, all stood behind the nursing staff and the hospital's doctors in an orderly manner.

Dong Congyue was very angry at this time, knocking on the table: "Does our department need any staff?"

"We are in desperate need of help. We dream of having someone to help us. Director Han is already 61 years old this year. He could have retired, but he had to be rehired to lead the team. I am 53 this year, and Director Dong is already 47!"

"As a rule, at our age, we shouldn't be on the operating table except for difficult surgeries!"

"But in our department, is there anyone who can handle the nerve suture and blood vessel suture for the finger replantation surgery?"

"Zheng Zicong? Tao Yubin? Liang Hai?" Dong Congyue called out their names one by one.

The three deputy chief physicians in the department turned into three ostriches with their heads lowered one after another.

Dong Congyue knocked on the table again: "Surgical skills are the most difficult to deceive. They also require the most skill. It's not that I don't want you to go on stage, but letting you go on stage is irresponsible to the patients."

"In fact, our department has lowered the standard for vascular suture and nerve suture in hand surgery. What do you think? Compared with Xiangya Hospital's 99% vascular access rate for six-segment and seven-segment sutures, our hospital's 95% vascular access rate for three-segment and four-segment sutures is higher?"

"You can't even sew up a stretched cuff. How can the tendon you sew up be useful and not stick together?"

"You really need to grow up, especially let Director Han have a good rest. He is over 60 years old and has to go to the clinic day and night to do finger replantation!"

"Surgery is the fairest and most technical."

"For example, last year the emergency department wanted to ask the hospital for tendon sutures, and I said sure, if the emergency department could take them, we could reduce our workload."

"As a result, after several workers had their hands sutured, the factory stopped doing it! Finally, in September last year, they handed over the tendon suture to our department again."

"In January this year, the burn department of our hospital wanted to take the cases of ulcerated skin defects to us, saying that they wanted to learn from the burn department of Xiangya Hospital and perform flap transplants with our hand surgery department."

"Oh, I was so excited at that time. I finally felt that I could get rid of the skin defects caused by small ulcers."

"Then each of you should do your own thing."

"As a result, in May of this year, two patients with ulcers from the spinal surgery department were transferred back to our two departments at the same time. Our flaps survived, but theirs died again. The patients' families went to the burn department and smashed two computers."

"The hospital has transferred all the diagnosis and treatment of ulcerated skin and soft tissue back to the hand surgery department. What does this mean?"

"Technology is king. Just talking is useless. If you want a good treatment, you have to have strong skills..."

"I still say the same thing. Those who can go on the operating table must hone their skills on the operating table. Those who can't go on the operating table must also watch and practice more. The skills you have in the future will be your livelihood..."

After Dong Congyue fired off a barrage of words for no reason, which made all the young doctors' eyes fiery, he finally ended the morning handover.

Every Tuesday and Friday is the surgery day for Director Gong Yi's team. Today, Friday, Gong Yi led the team to quickly check the ward and hurried out of the operating room, leaving Zhou Yanqing's junior brother Fan Ziwei and resident Zhao Gui in the department to deal with medical orders and change dressings.

"Yanqing, you are going to start suturing the skin flap today. Are you nervous? Are you excited?" In the locker room, while changing into clothes, the thin Li Zhong asked Zhou Yanqing with a smile on his face and an excited expression.

Li Zhong is a junior attending physician in the group. Previously, he was responsible for suturing the flaps. Li Zhong was almost sick of sewing, but he couldn't find a replacement, so he had to work like a slave every time.

"I'm a little nervous, but also a little expectant." Zhou Yanqing licked his upper lip with his tongue, and his eyes rolled around on his handsome face.

The two senior colleagues I personally experienced had never performed a flap suture before graduation. They often told themselves that they dreamed of completing a flap suture in the operating room of the department.

Zhou Yanqing at that time, and even Zhou Yanqing a few days ago, felt that skin flap suture was very far away from him.

After all, if you want to complete the flap suture, rather than the suture of the whole skin at the flap, you need to pass the tofu shallow suture. After Li Zhong asked, the fat man Tian Zeguang, the senior attending physician next to him, took a breath and said, "I'm so fat, and no one helps me. I don't even have time to lose weight..."

Then Tian Zeguang tilted his head and said in an especially kind tone: "Zhong, when can you hold up the tendon and suture it so I can have a good rest for a while?"

Seeing that Deputy Chief Physician Tao Yubin was about to speak, forming a circle, Gong Yi coughed and said, "Stop blaming me. You guys are just talking nonsense."

Gong Yi stared with his small eyes, his sunken chin opening and closing unsteadily: "Who doesn't want to rest? I want to rest too. I'm already 47 years old this year, and I still can't escape the nightmare of emergency surgery. It's all thanks to your trust!"

The top of the food chain is here!
Everyone shut up.

Only Li Zhong was smiling happily. Since Zhou Yanqing was taking over the three operations today, he would have a lot more free time.

Mainly suturing skin flaps, he has been doing it for many years and is almost sick of it. Now he just wants to play with tendons...

……

In hand surgery, the most common surgeries in the department are skin defects and replantation of severed limbs.

Limb replantation is an emergency surgery, while flap transplantation after skin defect and flap transplantation after skin tumor resection are the relatively most routine elective surgeries in the department.

As for some minor tendon sutures, they are also classified as emergency surgeries and will not be performed on an elective basis.

Therefore, flap transplantation can be said to be the main theme of hand surgery.

The division of labor was meticulous but clear. Chief Physician Gong Yi performed the operation, completed the design of the flap, found the corresponding nutrient artery, and removed the pedicled flap after separation.

Deputy Chief Physician Tao Yubin was responsible for treating the skin defect wound, finding the end of the supplying artery, and then completing the suturing of the nourishing blood vessels. After suturing the blood vessels, Director Gong Yi then sutured the skin nerve branches and the nerve branch stumps as appropriate...

Even after watching Teacher and Tao Yubin perform surgeries many times, and seeing their cooperation once again, Zhou Yanqing still envied their hands. He hoped that one day he could reach this level.

But now, even if his superiors let Zhou Yanqing sew the blood vessels and nerves, Zhou Yanqing would not dare to do it. After all, if the skin flap was necrotic after the suturing, it would be a catastrophic harm to the patient.

There are so many experienced doctors in the hospital's burn department, and they have all failed in the face of skin flap transplantation. How could Zhou Yanqing have the courage to take on this challenge at this age?

Well, Zhou Yanqing can suture the incision for flap extraction.

Zhou Yanqing can also sew the edge of the interface between the skin flap and the surrounding skin.

In order to get a feel for the hand, Zhou Yanqing first sutured the incision at the flap extraction site, stitch by stitch, combining the concept of tension-reducing suture with suture technology, and did a very good job.

Therefore, even Master Gong Yi nodded gently after watching it, and praised: "After playing with the tofu, he went back to sew the skin flap and the incision. He sewed it to such a level on the first try. It is really a masterpiece. It is much better than the level of a novice, right?"

Gong Yi was in a good mood, driving very fast, and his little eyes were very bright.

Zhou Yanqing went through the superficial suture of the tofu, and then went back to suture the corresponding skin flap opening and tension-reducing suture of the deep suture. It was obviously a piece of cake.

Tao Yubin was not a pushover either. He wiped the sutured wound with gauze and said, "There's no bleeding. It's obviously just been opened."

"Is it going in too fast? Or is the needle too small?"

"Go away. Don't bully my students." After Gong Yi reacted, he laughed and scolded, but was afraid that Zhou Yanqing didn't understand, so he protected him.

The progress is too fast, it means the progress is too fast. As for the needle, men understand it.

Now, Zhou Yanqing didn't take other people's jokes seriously at all. He even suppressed his inner excitement and just sewed seriously!
Only the skills you have in your hands truly belong to you, not the praise from others.

(End of this chapter)