Chinese medicine: When you do things to the extreme

Chapter 7: King Ya and Brother Dang! (Please collect and read)

The temperature in the operating room was set as low as 19 degrees.

Gong Yi, the instrument nurses and others who were wearing sterile surgical gowns did not feel hot, but the anesthesiologists and circulating nurses who were wearing Huajuan surgical caps each found a long-sleeved green vest to keep warm.

The circulating nurse sat under the timing panel in the operating room, watching short videos silently, while the surgical timer above her head ticked silently.

The anesthesiologist sat in a reclining chair with his legs crossed. He regularly raised his eyelids to look at the anesthesia machine that was regularly beeping, and regularly immersed himself in the short drama that he had caught up to the thirteenth episode. The left in-ear Bluetooth headset allowed him to enjoy the excitement of the plot alone.

On the operating table, Gong Yi, who always went off the stage to "relax" after completing the main operation, used his right index and middle fingers to pinch each other, endured the dryness and itchiness in his throat, and looked at his "Teletubbies team" intently.

In comparison, Deputy Chief Physician Tao Yubin, who was waiting for Gong Yi to step down, was a little anxious, while Tian Zeguang, who did not smoke, looked thoughtful, occasionally narrowing his eyes, as if he was playing a game of spot the difference and found the difference.

Li Zhong's expression gradually became serious.

The status of a surgeon may sound more impressive in public because of his title, but behind closed doors, it comes purely from the strength of the surgeon, or his skills.

The status levels in the group are clear: Director Gong Yi, Associate Chief Physician Tao Yubin, and Big Brother Tian Zeguang.

why?
Director Gong Yi can guide anyone to complete the complex replantation of severed fingers well, but Deputy Director Tao Yubin can only complete this difficult procedure under the guidance of Director Gong Yi.

Zhou Yanqing is only in his second year of master's degree, and he can suture skin flaps in August. According to this growth rate, if Zhou Yanqing can suture tendons in his third year, he will be far behind. In Gong Yi's group, he will have a lot of fun as an attending physician!
……

Zhou Yanqing was very serious and focused in his work. He did not dare to pay attention to the expressions of his superiors or even teachers. He was unaware of their joys, sorrows, anger, urgency or worries.

After about twenty stitches, one suture was used up again.

Zhou Yanqing finally put his heart at ease and took a breath: "Teacher, open another suture."

The specifications of the skin sutures have been repeated twice before. There is no need to repeat the Vicryl 4-0 skin sutures used to suture the edges of the flap.

Just like Zhou Yanqing took a break at halftime, Gong Yi also breathed a sigh of relief. During the interval of Zhou Yanqing's operation, he took the toothed forceps and lifted the skin area that had been sutured by Zhou Yanqing.

After finding that they were indeed aligned neatly, and not the kind where the surface was aligned well but the soft tissue inside was entangled, he nodded with satisfaction.

He looked up at Zhou Yanqing, who seemed to be waiting for the test results: "Not bad, not the kind of person who studies well but can't pass the exam. Keep working hard!"

What surgeons fear most is a player who gets perfect marks in training in the practice room, but becomes nervous when getting on the operating table and performs less than 30% or 40% of his/her strength, or even gets a negative score.

"Director Tao, let's step down." Gong Yi was completely relieved and greeted his smoking friend Tao Yubin.

"Okay, Director Gong." Tao Yubin had been waiting for a long time. Hearing this, he began to step back as if a long drought had finally come to an end. He untied the belt of his sterile surgical gown and smiled.

……

After Gong Yi and Tao Yubin left, Zhou Yanqing continued his suture work.

Skin flap suturing is different from ordinary surgical incision suturing, and even more different from the suturing of traumatic small wounds. The suturing spacing is not one centimeter, but 0.5 or even 0.3 centimeters. If you encounter a corner, you need to plan the suturing spacing in advance...

Therefore, a complete suturing of the edge of a flap may require dozens or even hundreds of stitches, and each stitch needs to be done carefully and meticulously.

One after another, other young doctors in the team also rushed to the operating room.

After Fan Ziwei and Zhao Gui stepped open the automatic sensing air pressure door of the operating room, they tiptoed around the anesthesia machine and walked to the timing panel of the operating room. After putting their mobile phones on the storage table, they found an empty seat with a good view for operation and observation.

Fan Ziwei, who has pale skin and a thin figure, said softly, "Brother Gui, do you still remember? It was about this time last year when Senior Brother Zhou took the two of us to this position and from this angle, and we envied Senior Brother Huang for completing the surgery and straightening the incision on the operating table." "At that time, Senior Brother Zhou was still a little short of being proficient in suturing the entire layer of orange peel."

Zhao Gui simply touched his eyebrows with his right hand, and his biceps flexed, looking extremely strong, which attracted the attention of the circulating nurses.

Zhao Guike didn't have time to care about these. He nodded slightly and said softly: "How could I not remember? Senior Brother Zhou also told us that when he just started his graduate studies, Senior Brother Huang also took him to this position. Look at Senior Brother Du at that time..."

Zhao Gui and Fan Ziwei entered the hospital at the same time in September last year. Fan Ziwei is a professional master's degree holder, while Zhao Gui is a general trainee in orthopedics.

At that time, Zhou Yanqing was their senior, and he took them to see their senior Huang Yuandong, who was in his third year of professional master's degree and could go on stage to suture skin incisions.

at last.

In June, Senior Huang Yuandong graduated.

Finally, as September approaches, Senior Brother Zhou Yanqing will grow into a third-year senior and become the "big brother" of Gong Yi's student team.

Finally, Fan Ziwei is going to grow into a senior brother. Perhaps in September, a junior brother will come. At that time, Fan Ziwei and Zhao Gui will bring that junior brother here to envy Zhou Yanqing's operation.

It's like completing a closed loop one circle after another.

Zhao Gui turned sideways again, holding his mouth and said, “In fact, the operating backs of Senior Brother Du and Senior Brother Huang are something that can be envied.”

"Brother Zhou's strides are really big. I heard that Brother Guo, who is at the same level as Brother Zhou, had his crotch torn after learning from him."

"Ah? It was just the crotch that was torn? Why did I hear my classmate Tang Wenquan say that the balls were torn? Tang Wenquan was right next to us at the time." Fan Ziwei tilted his head slightly, demonstrating the reliability of his source of information.

"It could be both. This first-hand information was told by Brother Zhu Qin. It should be that the crotch was torn on the surface, but in fact, it was also torn..." Zhao Gui showed a more reliable source of information.

That's how the rumor started.

While the two were whispering, Zhou Yanqing had already finished the suture. Looking for help, he spotted the big muscleman in the group and said, "What are you two whispering about? Brother Gui, can you come over and help me get out of bed?"

"Hey, here I come!" Zhao Gui hurried over after hearing this, not even bothering to listen to the follow-up gossip of Fan Ziwei.

Rather than listening to gossip, it is better to get along well with your senior brothers and teachers. They may occasionally reward you with a stitch or two to help you get a feel for the job.

If the suture effect is not good, remove the stitches and re-sew them. The wasted time can be regarded as teaching time.

"What were you talking about just now? You look so serious." While Tian Zeguang was holding his belly and waiting to be transferred to the bed, he smiled and showed off his temporary status as the boss in the operating room.

"We are talking about Brother Dang." Zhao Gui, with his bronze skin and smart head, is very honest.

"What is Dang Ge? Who is Dang Ge? Why don't I know him?" Tian Zeguang's eyes narrowed slightly, and he almost thought that he had missed time and space.

Li Zhong quickly turned his head and explained to Tian Zeguang in a low voice.

Tian Zeguang's fat body trembled when he heard this, and he couldn't help but blurt out: "Ah? Yanqing is called Yawang?"

Now, Zhou Yanqing became the focus of the operating room.

(End of this chapter)