Chinese medicine: When you do things to the extreme

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"Liu Yuan, record the results." Lei Zhong then looked at Liu Yuan.

Liu Yuan had no place to put the pen in his hand. The table was spread out neatly on the writing board, but he didn't know where to start writing.

Because on the form, the maximum range of options in the special channel suture column for professional doctoral assessment is only animal blood vessel suture!
This table was set up when Xiangya Hospital launched a special assessment based on the highest level of applicants for doctoral and master's degrees.

Being able to sew and stretch the compression cuff is extremely impressive and he is definitely a respected clinical genius.

Going one step further, sewing water-floating foam boards is at an incredible level.

Going a step further, there is the suturing of animal blood vessels. This is the highest level of accommodation, right?

There had never been any unexpected situation over the years, but this time, Liu Yuan had no idea how to record it.

Director Chen asked Liu Yuan about his doubts. He said cautiously, "President Lei, the professional assessment scoring form prepared by your orthopedics department does not seem to have a column for candidates to operate. Is it checked?"

"How do we assign points to this?"

The special assessment channel for professional doctorates adopts a point-based system.

The professional operations of hand surgery, suturing and incision, account for a total of 40% of the score, of which suturing accounts for 20 points and incision accounts for points.

The scores for suture from low to high are: 5 points for full-thickness suture of tofu, 10 points for half-thickness suture of tofu, 20 points for skin suture, 30 points for stretched compression cuff suture, 40 points for floating foam board suture, and 50 points for animal blood vessel suture, which far exceeds the upper limit of the total score for suture.

The passing score for suturing in the hand surgery specialty channel is 30 points. If it is not above this score, it will be vetoed.

Upon hearing this, Lei Zhong turned to look at Tan Zhongyu and asked what was going on.

Tan Zhongyu raised his eyebrows slightly, thinking, I am the administrative director of the ward, isn't this a small matter my responsibility? This was the standard we reported when we had a meeting together in the orthopedics department many years ago.

It has remained the same for so many years, who would have thought that this form would be broken through?

Tan Zhongyu explained in a low voice, and then said, "President Lei, we haven't discussed this issue before, so let's record it as 50 points."

"Anyway, the current situation is just a passing exam for Yan Qing, so there is no need to record the specific score."

Lei Zhong nodded when he heard this: "Let's just remember it this way for now. We just need to know the details in our department."

Orthopedics is divided into subspecialties, so Zhou Yanqing is a genius and talent in hand surgery, and his relationship with orthopedics is not particularly close.

Even if Lei Zhong took a fancy to Zhou Yanqing, he couldn't snatch her away because she was a talent in hand surgery!
After Lei Zhong spoke, things became easier for Liu Yuan and Director Chen. They quickly put a circle around the 50 point mark.

……

After Zhou Yanqing finished his operation, Lei Zhong had no intention of moving to the next operating room.

After Tan Zhongyu understood, he waved his hand to signal his students to move the operating instrument packages and training materials of other projects to the advanced training room of hand surgery.

The second procedure to be performed is the incision.

The requirement for hand surgery is to be able to carve simplified Chinese characters on the surface of tofu.

This level is the operation level corresponding to incision expertise (0/5).

Zhou Yanqing's current proficiency in incision has reached the expert (2/5) level, so he can perform it with ease.

However, before the operation began this time, in order to avoid the difficulty for Director Chen of the Graduate Department in filling out the form, Professor Tan Zhongyu instructed Chief Attending Officer Liu Qingshan to add a little explanation.

Upon hearing this, Chief Attendant Liu Qingshan said very formally: "Director Chen, our hand surgery practice room also has a relatively systematic definition of incision."

"The first step is to make straight cuts on the tofu at absolute depths such as 2cm, 1cm, and 0.5cm to practice cutting with the knife."

"The second step is to make a large S-shaped smooth arc with a depth of about 5mm to practice knife control."

"The third step is to use a scalpel to carve various preset shapes, such as triangles, squares, regular hexagons and irregular shapes, in order to practice knife turning."

"The fourth step, which is also the threshold for the special channel assessment for our doctoral students in hand surgery, is to be able to carve simplified Chinese characters on the surface of tofu. This is to practice the floating knife." Liu Qingshan explained while making a diagonal cutting gesture.

"If we go a step further, we can carve simplified Chinese characters on the surface of the tofu. This step is to shape the cut part into simplified Chinese characters, which is more difficult."

"Generally speaking, it is very remarkable for our professional postgraduate students in hand surgery to reach this stage when they graduate from graduate school."

Every time Liu Qingshan said something, Director Chen saw the corresponding score on the table.

Starting from the third step mentioned by Liu Qingshan, they correspond to 10 points, 15 points, and 20 points respectively.

The standard Liu Qingshan mentioned goes a step further and does not have any additional points like suture surgery.

But it is not easy to get full marks.

After all, the most core skill of hand surgery is suturing, and no one would waste too much time on incision.

Unless there's something wrong with your brain.

This time, Zhou Yanqing first carefully carved the character "hand", which he often carved, on the surface of the tofu.

This is an assessment, not a show of skill. During the assessment process, you need to be stable first.

The reason why the previous suture technique started with vascular suture was that it was Dean Lei's sudden idea and he had to comply. Otherwise, Zhou Yanqing would still prefer to start with suturing the stretched compression cuff and move up step by step, which would give him more confidence.

Even if the suturing is not done well, you will still get points and you won't be nervous.

The word "hand" carved on the surface of tofu is naturally inspired by the hand of hand surgeons.

Zhou Yanqing held the scalpel and began to control the knife very carefully after Professor Tan Zhongyu announced the start.

The ultimate trick of incision is actually to control the knife, using various techniques to control the knife, which is the core of incision.

The word "hand" has quite a few strokes, but they are relatively simple.

After all, it is a sex test, not to embarrass people, but to select talents. Therefore, those who find it difficult will not be able to do it, and those who can do it will not be difficult.

As the scalpel moved in and out, Zhou Yanqing carved out the tofu strips layer by layer, and slowly, on the surface of the tofu, characters appeared one by one in the order of strokes.

The last stroke is the most difficult and is also the core of this level of incision!

The slightest carelessness may ruin the writing and cause the practice to fail.

At present, most of the third-year professional master's students in the department are stuck at this stage, and they will remain stuck at this stage for several years.

If you don’t have a card, it would have passed long ago.

"亅" slowly appeared in front of everyone as Zhou Yanqing slowly cut out with his knife.

After Zhou Yanqing cut diagonally to the left and right, he brought the "亅" together just right. After the operation was completed, he picked it up lightly.

The '亅'-shaped tofu strips rolled to the side.

As the strokes were completed, the word "hand" on the surface of the tofu was about to emerge.

The character shape is complete. Although there is no font or calligraphy to speak of, it was carved with a knife after all!

Seeing this, Tan Zhongyu also breathed a sigh of relief.

Lei Zhongze nodded slightly and said, "Do you want to continue taking the exam? I just looked at it. According to the hand surgery scoring table, you can only get 15 points for now."

"Your suturing skills scored very high. As long as the other items are above the standard, they will definitely exceed the assessment standard of 80 points."

"Of course, you can still prove that you can be better."

Zhou Yanqing said, "Teacher Lei, I want to continue the test. I want to do my best."

Zhou Yanqing has few opportunities to show himself actively, and also few opportunities to actively demonstrate his abilities in front of others.

Now that the atmosphere has been set to this point today, how could Zhou Yanqing give up so easily?

As the saying goes, when the wind is blowing, the horse gallops fast.

Zhou Yanqing never thought of seeing all the flowers in Chang'an in one day, but he was willing to do his best to make his life relatively perfect.

"Then you continue..." Lei Zhong also gave Zhou Yanqing a chance.

Now that today's assessment has begun, everyone has naturally freed up time.

Zhou Yanqing was able to come to participate in the assessment, which meant that we were willing to build a reasonable platform for him...

However, as Zhou Yanqing's assessment continued.

Liu Yuan found more and more things were wrong.

"50 points for suturing."

"20 points for incision."

"15 points for hemostasis."

"15 points for debridement."

"Tendon suture: 25 points."

"Hand Surgery Theory: 15 points."

The full score for the special channel for professional doctoral students was 140, but Zhou Yanqing raised the overall score to !

It is only 80 points away from doubling the score to 20.

After registering here, Director Chen began to grab the side of his cheek: "President Lei, do you really want to report it this way?"

"In the past, the total highest score that the whole institute could count for the professional doctoral special channel was only 90-100!"

“Isn’t this 140 a bit too exaggerated?”

140!

What kind of magical data is this?

Lei Zhong had been sitting there for a full hour and a half, watching Zhou Yanqing's operation carefully and was a little tired. He listened to Director Chen's words and just wanted to relieve his fatigue: "Then fill in any score you want, as long as it is not less than 80 points."

"It's not a bad idea to write 140. It can put pressure on our sister hospitals."

"I remember which year it was. The Second Hospital launched a 105 or 110 number, and even set up a special public account." Lei Zhong then asked Liu Yuan.

Liu Yuan is a teaching secretary of the orthopedics department and is quite concerned about this aspect: "President Lei, that was the cardiac surgery department of the Second Hospital. The internal statistics showed a score of 105, and that was three years ago."

"That young man is now in hospital. I heard he's quite good."

Upon hearing this, Lei Zhong glanced at Zhou Yanqing and stood up: "Okay, train Yanqing well and try to keep him in the hospital. He has good clinical talent. If you train him well, he will be a good candidate for surgery in the future."

"Things here are almost done. Director Chen, I'll sign it and you can take it back and report it. We have agreed on this orthopedic doctoral quota."

"Can't delay any longer?"

Director Chen handed his score sheet to Lei Zhong respectfully with both hands and smiled: "Dean Lei, we can't miss such an excellent student!"

As he spoke, Director Chen looked at the total score of 140, and his eyelids could not help but twitch violently several times.

After the results are reported to the school, I'm afraid there will be some noise! ​​~
(End of this chapter)