Chapter 159 Incredibly coquettish! (Please subscribe!)

Zeng Yi's words brought Zhou Cheng back to reality, and he remained silent.

Ability can determine how many things you do, but in fact, identity is the fundamental factor that determines what you do.

I came to the operating room myself at the invitation of Yang Yifeng to perform a vascular incision and thrombectomy, that is, limb salvage. I should have left after this was completed. This was my duty and the scope of my business to ask for help.

It's just that I stayed a little longer out of wishful thinking, and now I can do more tendon sutures and nerve sutures, but this part is due to Chen Tingye's humility. To put it more bluntly, it is a reward.

Zhou Cheng is only a resident doctor now, but it is unusual for him to get Cai Dongfan's attention, and he can naughtily take on extra tasks.

But in fact, in the eyes of Yan Haihan and others, Zhou Cheng is just an outsider. If he is still naughty around them, that is not called being out of touch, that is called being troublesome.

Zhou Cheng himself can replant amputated limbs, and he does it extremely well. This is true.

But now Zhou Cheng not only represents Zhou Cheng himself, he represents Cai Dongfan in front of Yan Haihan, Zeng Yi and others.

Now in front of him was Professor Chen Tingye from the Affiliated Hospital of Xiangnan University, the top professor of hand surgery in the province. In addition to representing himself, Zhou Cheng also took on the names of junior doctors Zeng Yi and Li Changhong.

This is Zhou Cheng's current identity.

An adult's self-knowledge and maturity, to a large extent, depend on whether he acts recklessly. In addition to being impatient and hitting and hurting others, being reckless depends more on whether what he does corresponds to his own identity.

.

It is not the mature and stable appearance on the surface that can be faked.

Therefore, Zhou Cheng knew that what he said actually represented Zeng Yi and the others to a certain extent.

At least that's what Chen Tingye thinks. If he identifies his own strength and finally falls on Zeng Yi and the others, some misunderstandings will inevitably occur, just like how Professor Ding Changle misunderstood Cai Dongfan before.

Later, Cai Dongfan explained to him in detail the misunderstanding between him and Ding Changle, as well as the previous misunderstanding Ding Changle had about Zhou Cheng.

Zhou Cheng would never make the same misunderstanding or thing twice in a row.

Seeing Zhou Cheng shut up and stopped talking, Yang Yifeng sighed instantly, as if he had seen the highlight of a novel, but the author actually broke the chapter and couldn't finish it, which was particularly uncomfortable.

I obviously wanted to know the following, but the next day I discovered that the author was a eunuch!

Of course, Zhou Cheng is a free man and he has the right to choose whether to say something or not.

Yang Yifeng was not Zeng Yi. Zeng Yi was the director of the Department of Orthopedics. He could silence Zhou Cheng with just one sentence, but Yang Yifeng could not make Zhou Cheng speak again with just one sentence.

The same is true for Chen Tingye.

With the title of professor of Shonan University and deputy chairman of the Department of Hand Surgery, it is extremely useful when facing many directors, and they will all be polite. However, this status is only useful when facing people at the director level, and even lower levels.

Level one.

It's not that easy to use anymore. Chen Tingye can't force Zhou Cheng to finish the rest, but he just feels it's a pity.

It was a pity that a fierce academic collision and sparks were about to happen just now, so it was cut off.

However, there are still many days to come. If Zhou Cheng and Yang Yifeng are interested, they can organize the game again.

Don't rush this moment.

Yang Yifeng’s question is very interesting.

There is an ancient saying that the difficult thing is to ask questions, not to solve the problems. Being able to ask subtle questions means that Yang Yifeng himself has a profound foundation.

However, after the good question was posed, Zhou Cheng only had time to answer half of it, and the answer was interrupted by Zeng Yi.

The two of them continued to look at Zhou Cheng and found that Zhou Cheng just continued to suture the perineurium silently!

Chen Tingye stopped being lazy and continued to work on his own job.

He was also good at Zhou Chenghui's operations, and he even felt that he could do it more delicately, so he didn't have much thought to focus on Zhou Cheng's operations themselves.

In his current state, what is more important is the collision of thoughts and the improvement of cognition. Pure skills can be said to be on the verge of being trivial and of little use.

Yang Yifeng watched Zhou Cheng and Chen Tingye's suturing for a while, and lost interest in watching any more. So he turned around and was thinking about why Zhou Cheng said that he could start functional exercises five days after the operation.

You must know that modern medicine is reasonable. If you just say it casually, it proves that you haven't understood it yet. You have only learned the superficial knowledge and imitated it, which is guaranteed to be good.

The internal logic hidden underneath is actually the most attractive.

The tip of the iceberg, what people see is the brilliant corner, but Yang Yifeng is more interested in exploring and understanding the iceberg itself. As for the corner, it is just a feast for the eyes.

Wang Yaoxiang was busy the whole time, looking around at Zhou Cheng and Chen Tingye who were suturing their nerves, then turned to help Chen Tingye, and then replaced Chen Tingye's assistant with Zhou Cheng.

It was obvious that he was more willing to observe Chen Tingye's nerve suturing technique and constantly figure out the details of his operation.

…

On the other side, Zeng Yi saw that after he finished speaking, Yang Yifeng turned around and walked back, while Chen Tingye immediately shut up and didn't even read the polite words that followed.

Zeng Yi was prepared in his heart. Chen Tingye's problem is that everyone just communicates casually. Director Zeng, you don't have to do anything.

He had prepared an answer, but Professor Chen Tingye didn't ask, so was he angry?

Zeng Yi's heart flickered.

In the field of medicine, there is actually no superior-subordinate relationship between professors or experts. The reason why we hope to have a good relationship with superior hospitals is to facilitate patient turnover or when encountering medical disputes, we can

Find a professor to solve your problem!

The second level means that if you have established a good relationship with the professors at the higher-level hospital, when you go to study, you can just say hello to them and make arrangements for you.

The third level of meaning is that when higher-level hospitals have requests to support going to the countryside, they can think of you as soon as possible and come over to teach surgery for a period of time.

However, Zeng Yi thought about his decision for a while and found that it was still the right decision.

If Chen Tingye really misunderstood, and he and others did what Zhou Cheng said and believed it to be true, that would be a bigger trouble. It would be better to cut it off at the source!

By cutting it off like this, we naturally understand the relationship between ourselves and Zhou Cheng, and we can each play our own games.

Zeng Yi made this decision because he had no better way. Zhou Cheng didn't take the initiative to play with him, so even if he flattered Zhou Cheng, wouldn't he be the one who hurt him in the end?

…

The essence of nerve suturing is the suturing of the epineurium and perineurium.

After suturing, it needs to be wrapped and placed in a vascular bed prepared in advance to restore the original anatomical position of the nerve. If there is shortening, it needs to be treated separately. This patient's nerve has not been cut too much, so no additional surgery is needed.

undergo special treatment.

In this way, three of the four major pieces of replantation of severed limbs were completed.

There are four major parts: bones, blood vessels, nerves, and tendons. Only the fixation of the bones is left, which is not complete.

There are also skin sutures that are inappropriate for this patient.

Because there are too many skin defects, subsequent skin flap transplantation cannot escape.

Of course, if you are not particular about it, you can just do this to the tendon. As long as the fingers can move after the operation, the operation is considered completed. This is to step down and you can explain to the patient and family members.

The fixation of the external fixator was left to Wang Yaoxiang, and coupled with the subsequent VAC external fixation, even a resident doctor could do it.

However, Chen Tingye is obviously not someone who undergoes surgery just to step down.

When he finished suturing the nerves, Zhou Cheng had already sat on the stool and waited for him for a few minutes, closing his eyes and resting. He looked a little distracted, but in fact Zhou Cheng was really resting with his eyes closed.

Chen Tingye then asked: "Xiao Zhou, do you still have the strength to reconstruct the muscle insertion points in the back? Do you want to step off the stage and take a rest?"

Muscle suturing and tendon reconstruction only represent the existence of continuity.

Those who have studied the lever theorem will know that different fulcrums have different degrees of effort saving, and the arc of motion is different.

And if it involves multiple stop points and deformation, the fulcrum will be different, and the trajectory of the movement will be very different!

Therefore, the reconstruction of muscle origin and insertion points is particularly important in replantation of amputated limbs, especially those with mixed injuries.

There is no damage, there is no starting and ending point damage to the muscle, but the continuity is broken, then it can be sewn up. But if there is damage, the difficulty of replanting the amputated limb will be exponentially increased!

Zhou Cheng had mentioned this before, so Chen Tingye knew that Zhou Cheng had a deep understanding of people who had experienced replantation of severed limbs, and he would feel comfortable communicating with people who knew the industry.

It's like if someone orders takeout and likes to order extra spicy food in their egg tarts, that's their freedom. If you steal someone else's takeout and have problems with your own mouth, that's the consequence of your theft.

This is the truth, but how terrible would it be if you encounter someone who is unreasonable?

This is the truth when a scholar encounters a soldier and cannot explain why.

Zhou Cheng raised his eyelids slightly and said with a smile: "Professor Chen, no need, I feel okay."

At the same time, he stood up, spread his arms across his chest, and returned to the operating table.

Then Chen Tingye looked at Wang Yaoxiang, turned his eyes a few times, and then said: "Dr. Wang, why don't you go to the opposite side to help Director Zeng and Director Li? It's enough for me and Xiao Zhou here.

"

Wang Yaoxiang suddenly suffered 10,000 points of real critical damage in his heart!

Damn it, even if there is a difference in the titles between Xiao Zhou and Dr. Wang, you still want to drive me away?

But he nodded his head honestly: "Okay, Professor Chen."

Then he silently left with the resident doctor next to him. Chen Tingye is a professor, and a professor from an external hospital. He has the absolute right to choose who to play with and who not to play with. If you don't agree, he will not bring everyone else.

After Chen Tingye cleared other obstacles, he and Zhou Cheng put on their 'miner' glasses respectively and began to carefully sort out the muscles after debridement.

There is damage to the muscle, and the necrotic tissue that should be cut has been cut.

Some of the broken parts were just sutured together, but the shape was very disordered, and some muscles were avulsed and not connected.
To be continued...