Chinese medicine: When you do things to the extreme

Chapter 95 Initiative and Confidence (Subscription Request)
At night, Zhou Yanqing was woken up by Ning Zhu, and together they did a half-thickness treatment on his left forearm.

The patient was under general anesthesia, the anesthesiologist was snoring under "partial anesthesia", and the anesthesiologist's student was awake and staring at the monitor screen.

There was no instrument nurse, so the circulating nurse sat in the corner of the operating room, napping in a long-sleeved scrubs...

Ning Zhu was completing the debridement of the local wound meticulously.

"Brother Zhu, does our department have any clinical topics?" Zhou Yanqing asked late at night, feeling a little bored.

"Clinical topics? There should be some, but not many."

Ning Zhu looked up and said, "Isn't Professor Tan working on a new skin flap? But it seems that this topic is not a set-up topic, but a free-to-use topic."

"Original flap?" Zhou Yanqing's eyes flashed.

"Well, it is."

"Aren't the most popular research directions in microsurgery of the hand the new flap preparation technology and peripheral nerve injury?"

Ning Zhu then said, "As for other things, such as the new method of suturing tendons and the comparison of the advantages and disadvantages of suturing methods, they are just old wine in new bottles."

"It can't be said to be useless, but it's not particularly useful either."

"95 points and 97 points are both insignificant issues for patients."

"If we talk about more cutting-edge research topics, there are many directions that can be studied in depth in clinical practice."

"For example, the diagnosis and treatment of secondary limb lymphedema after cancer treatment, spastic limb paralysis left over from a stroke...all of these are big projects."

Everyone can say these things, and Zhou Yanqing himself knows them. This is also what he answered during the interview.

However, this topic has been discussed countless times, but no one can tell us how to take the first step.

These questions are difficult to answer. If they were not difficult, they would not have been left for so many years without any progress.

How many stroke-paralyzed patients are there in the country?
Zhou Yanqing smiled when he heard this and said, "Brother Zhu, the two major directions you mentioned are both super-big topics that require super multidisciplinary collaboration to solve."

"Yes, the remaining research topics are nothing but hard bones and watery ones. Where is the solid fat meat for us to chew on?"

"This is also true in the field of basic scientific research. Now, simply working on pathways will lead to a dead end. There is no way to break through. We can only contribute to the in-depth research of pathways!" Ning Zhu shook his head.

"Attractor."

Zhou Yanqing immediately handed over the suction device and then focused his attention on the surgical field.

After Ning Zhu cleaned the surgical field, he took a basin of saline solution that he had prepared long ago and began to clean the area, saying, "Of course, Yanqing, you don't have to be nervous."

"Although you can't break through by just studying pathways, as long as you do a good job in pathway experiments, you can graduate, stay in the hospital, and publish articles. It's still okay."

"After all, this is the hot topic. If you follow the hot topic, you won't go wrong."

After hearing this, Zhou Yanqing asked again: "Brother Zhu, the current clinical research only reserves new flap preparation technology and peripheral nerve treatment. Is it due to technical limitations or theoretical limitations?"

Zhou Yanqing has looked up literature himself, but there are some issues that you cannot sort out simply by looking up literature.

"Both!~"

"Theoretical limitations are the most fundamental. The basic theories of current microsurgery have not undergone revolutionary changes for a long time."

"The development of hand microsurgery has also entered a relatively plateau period. It will be difficult to break this in the short term."

"As for the limitation of technology, it is even more difficult to break through. Only a genius that appears once in a hundred or even several hundred years can break through the barrier of the upper limit of operation and break through the current upper limit of personal ability through pure technology."

"Finally, after solving some new problems through my outstanding personal abilities, I was able to sort out new and difficult-to-treat diseases in the form of theoretical feedback."

"It's like performing the aesthetics of violence first!~"

Having said that, Ning Zhu first asked Zhou Yanqing to clean the saline solution in the surgical field, and then wiped the wound with a sterile cotton pad while speaking.

“It’s just more difficult.”

"It is very difficult to improve the operation technology at each step. It is extremely difficult to improve it to the average level recognized by everyone. This is a level that only many professors can reach. Many non-professor chief physicians find it difficult to reach it."

"Above the generally recognized average level, there are national players who represent the limits of China's operations, and there is also a ceiling that can reach the top of the world."

“It takes time and opportunity to go from an ordinary level like us to an average level.”

"To go further, we need opportunities among opportunities."

"The wound has been treated well, Yanqing, you can sew it up!" Ning Zhu probably knew that Zhou Yanqing's current theoretical accumulation was not enough, so he did not let Zhou Yanqing lead the progress of the operation, but let Zhou Yanqing complete the local operation first.

Finally, it is organized into a truly complete operation.

Zhou Yanqing asked again: "Brother Zhu, today is the first time you mentioned these levels. Do you have any understanding of their objective manifestations?"

"For example, what can you do at what level?"

In the past, Zhou Yanqing never dared to think about these things. He was just a small fry who could only suture blood vessels. And if the blood vessels were broken a few more times, Zhou Yanqing would not dare to do it.

"Let's put it this way. For example, the average level is to be able to complete 95% of the sutures of seven or eight broken sections. Then the average level is to be able to complete more than 10% of the sutures of more than 95 sections."

"The higher the level, the higher the limit is, the higher the level is ...

Ning Zhu looked at Zhou Yanqing and raised his head.

Then he said, "Calculate the product carefully. 0.99 to the tenth power is 0.90!"

"0.99 to the fifteenth power is 0.86!"

"0.99 to the power of 0.81 is 0.995!" "0.90 to the power of is !"

Zhou Yanqing smacked his lips when he heard that.

Question: "Brother Zhu, more than twenty times, is this the eighteenth level of hell? Can this blood vessel still be connected?"

Ning Zhu replied: "Who said it was in the patient? We are talking about pure theory."

"If the patient's artery is broken in more than 10 segments, artificial blood vessel bridging is now more likely to be performed."

"However, the better the suturing technique, the more advantageous it is when suturing some tiny blood vessels, such as the nutrient branches of nerve blood vessels and the nutrient branches of digital arteries."

"We can't find thinner blood vessels to practice suturing manually, so we can only hone our suturing skills by increasing the number of blood vessels to suturing."

"Okay, don't think too much about it. Just sew it up well and then go and rest."

Ning Zhu yawned as he spoke: "Tomorrow is the weekend for you, but for me, it's another day of hard work. I don't know when this hospital stay will end."

Zhou Yanqing began to sew seriously.

……

Time is like water!

A week later, around December 13, the official website of Huashan Hospital’s Graduate School announced the list of those who passed the assessment.

Among them, Zhou Yanqing ranked first in orthopedics with the first place in comprehensive score.

At the same time, before the announcement, the teacher from the Graduate School called Zhou Yanqing to discuss who to choose as his supervisor, and specifically suggested that Zhou Yanqing choose the best supervisor, Mr. Gu.

After passing through the special channel, you can freely choose your doctoral supervisor.

Zhou Yanqing also has such authority.

Zhou Yanqing, who had no idea that he had been labeled, of course chose Mr. Gu as his first choice.

At the same time, Zhou Yanqing also saw that the doctoral admissions brochure of the Graduate School of Central South University was posted on the official website.

It is somewhat surprising that there are only two doctoral supervisors in the Department of Hand Surgery this year. For some reason, Professor Du Zhonghua is a doctoral supervisor but does not have the quota to supervise students.

What Zhou Yanqing can find out, Lin Hua and Dong Jiaguo can also find out.

Dong Jiaguo looked at Zhou Yanqing and asked with a smile: "Brother Qing, you have received the doctoral offer from Huashan Hospital, so are you still applying to our hospital?"

After hearing this, Dr. Liu Wanqing turned around and said, "Dong Jiaguo, whether Yanqing applies for the exam or not is none of your business. He is not competing for your ordinary quota, so why do you care so much?"

Liu Wanqing was also drunk, and Dong Jiaguo's question might embarrass Zhou Yanqing.

After agreeing to report, Zhou Yanqing would not be able to go to Huashan anymore.

I said I wouldn't apply, but then I felt embarrassed when I applied again later.

"I would feel nervous if Brother Qing signed up. Senior brother, I won't say anything more." Dong Jiaguo originally wanted to make a joke with Zhou Yanqing, but after seeing that Liu Wanqing's expression was not right, he immediately shut up.

Liu Wanqing said, "Yanqing, you still have to report it. It won't hurt to have another chance. Anyway, you don't have to spend money to stay in a hotel or anything, right?"

Zhou Yanqing smiled and nodded. After reading the enrollment brochure, he turned off the screen of his phone and said, "I'll sign up after I get back."

"Senior Brother Liu, are you going to the laboratory or the training room later?"

In the past week, Zhou Yanqing decided to change his strategy.

That is to spend some time to understand the basic scientific research and clinical topics here.

Zhou Yanqing is definitely not qualified to conduct experiments now.

Currently, Professor Tan Zhongyu’s money is all from the hospital’s funds. It is not legitimate for Zhou Yanqing to use this money.

Of course, it’s okay for Zhou Yanqing to take the initiative to help with the experiment!
"Why would I go to a lab?"

"They are about to graduate. If they continue to do experiments, they will be lazy." Liu Wanqing patted Ling Qiyuan who was playing with his mobile phone.

Ling Qiyuan stood up immediately: "Senior Brother Liu, I'll go to the lab right away."

Ling Qiyuan is only a first-year Ph.D. student. He works like a horse every day, in the clinic, practice room, and laboratory. When he finally gets a chance to play, he is PUA'd by his senior.

"Then why don't you take Yanqing with you?" Liu Wanqing also knew what Zhou Yanqing meant, so he made arrangements.

"Thank you, Senior Brother Liu, and thank you, Senior Brother Ling." Zhou Yanqing bowed slightly.

Ling Qiyuan stood up and twisted his buttocks, then left the doctor's office with Zhou Yanqing with a little resentment. After leaving the department, they walked towards the laboratory.

On the way, Ling Qiyuan asked: "Yanqing, you know all the basic experiments you should do, and your operations are also OK!~"

"You often go to the lab, aren't you letting us do it for free?"

"Why bother?"

Zhou Yanqing joked when he heard this: "Senior Brother Ling, we are brothers, what are you talking about? You didn't pay?"

Zhou Yanqing's mentality has calmed down again.

Zhou Yanqing has never been one to worry about gains and losses. Instead of thinking about what he has lost, he should think about what kind of future he wants.

(End of this chapter)