The culture medium made from the bacteriophage is really effective.

Under the attention and gossip of the whole hospital staff, the fever subsided after the patient's injured limb was soaked in the culture medium for 24 hours, and the inflammatory indicators decreased significantly.

This result was a delight to all the doctors and nurses in the Department of Burn Surgery.

Chen Qi was also in tears, and finally did not fish for dung in vain.

Although reluctant, the director of the Vietnamese Central Iron and Steel Plant, Qi, felt that the students and doctors should help to collect feces should be a voluntary help, and the young people should talk about dedication.

But now he doesn't dare to offend the Vietnamese Traditional Chinese Hospital, and he doesn't dare to offend Chen Qi, so on the surface, he is very happy to pay the "labor fee".

20 yuan per person, whether it is a dean like Chen Qi or an intern doctor, all 20 yuan, truly fair and just.

The interns were all excited to get 20 yuan, because they didn't have 20 yuan in pocket money a month.

This is definitely a huge amount of money in 89, and you can buy 4 or 5 pirated pop song tapes, and by the way, you can also take female classmates to a movie and then go to a restaurant.

Of course, after the meal, at most, I will hold a small hand, and I want to go to the guest house.

In the dean's office.

Chen Qi couldn't laugh or cry when he got the 20 yuan from He Jia, the secretary of the hospital office.

"What do you think is this, I earned 20 yuan after half a day's poop, 40 yuan a day, and 1,200 yuan a month, which is higher than my salary as a dean."

Chen Qi's current level is at the deputy department level, with a monthly subsidy of 205 yuan.

The professor subsidy of Haidong Medical University is 180 yuan per month.

He also has three positions: the president of the Vietnamese People's Hospital, the director of the China Domestic Endoscopy Center, and the director of the Haidong Provincial Cleft Lip and Palate Treatment Center, and he can get 1,260 yuan a month for three salaries.

In this way, his total monthly salary is 1,645 yuan.

What is the level of this income in society? That's definitely the highest-paid dean in the country, and there is no one.

Generally, the income of the director of a tertiary hospital will not exceed 500 yuan, and the income of employees is generally about 2 or 300 yuan.

You must know that in 1989, the black market price of a color TV ticket alone was speculated to more than 1,000 yuan, and it was almost impossible for ordinary workers to buy color TVs with this income.

Then he began to shout a slogan: "The income from the atomic bomb is not as good as selling tea and eggs, and the income from holding a scalpel is not as good as that of a razor." ”

Hearing Dean Chen's complaint, He Jia was even more speechless:

"Dean, your income is 5 times that of mine, it's still less, if I have so much money from you, I will go to the restaurant every day."

Chen Qi said speechlessly:

"Lao Tzu is shining for love now, just with my ability, now I go to work in a foreign hospital, and if I don't get four or five million dollars a year, I won't be a bird."

He Jia suddenly rolled his eyes and smiled: "Dean, can you give a year-end bonus at the end of this year?" ”

The hospital in 1989 was not allowed to issue the year-end bonus, but who called Chen Qi is a pilot hospital, there are no taboos, He Jia is a staff member of the hospital office, and the Son of Heaven is a close minister, it is estimated that he heard something.

"Yo, the little girl is very well-informed, hehe, don't worry, our hospital has money in the account this year, and I, the dean, will definitely guarantee that everyone will have a fat year."

"yes, let's say it, dean, you can't go back, I have to save up to buy new clothes."

Chen Qi shook his head when he heard this, thinking that it was only November, and it was still early before the New Year, and the employees were worried about the benefits of the New Year.

The next day, the rescue of the four burn patients continued:

Because of Lu Wenjie's special condition, he still needs to continue anti-inflammatory and anti-infection treatment, but the remaining Ding bride, Song Yanzi's mother and daughter, and worker Wang Chuanbing are about to enter the next step of treatment.

Skin grafting.

It can't be delayed any longer, it's already the 7th day, and the granulation scar tissue will grow out if it drags on any longer, and it will be difficult to graft skin at that time.

Why is it important for burn patients, especially those with extensive burns, to have skin grafts?

This is because burns can destroy skin tissue, making it difficult for the wound to heal on its own, and if left untreated, it may lead to complications such as infection and bleeding, which can be seriously life-threatening.

Skin grafting can restore the integrity and function of the skin, shorten the recovery period, and reduce pain and scarring, so this is a must-go level.

It is also the third level for burn patients: "wound repair period".

Whether burn patients can survive or not is also the most important level, after which is the "recovery period", in fact, there is no danger to life.

There are also various ways of skin grafting, including stamp skin grafting, skin flap grafting, microparticle skin grafting and MEEK miniature skin grafting.

Among them, stamp skin transplantation and skin flap transplantation were the mainstream transplantation procedures in the 80s.

MEEK miniature skin graft has been cut off by Chen Qi and renamed "stinky tofu skin grafting".

In later generations, medical science and technology became more and more developed, and many new skin grafting technologies were developed relying on cell engineering and tissue skin engineering.

For example, large-scale allogeneic skin caving autologous small skin sheet transplantation, mixed skin pulp transplantation, epidermal cell direct transplantation and acellular allogeneic dermal matrix autologous thin skin transplantation and so on.

Chen Qi will also do these transplants, but he can't provide raw materials, so he can only think about it.

It was time for a skin graft, and the original African team was gathered again.

Yi Zewen and Chen Li rushed over from the emergency department, plus Zhang Xing and Yang Xiuxiu, there was one less anesthesiologist He Fule.

After He Fule returned to China, he returned to the sixth hospital of his original unit to be the director of his anesthesiology department, leading two or three kittens and living a satisfying life.

Zhang Xing, Chen Li, and Yang Xiuxiu firmly followed President Chen, so they were transferred by Chen Qi from various county hospitals to the People's Hospital.

In fact, He Fule also knew that with his two-year revolutionary friendship with Chen Qi, his transfer to the People's Hospital was a matter of one sentence, and becoming the deputy director of the Department of Anesthesiology was also a matter of one sentence.

However, when he arrived at a higher-level hospital, he had to take on the heavy responsibility of a leader of the anesthesiology department in the face of busy clinical work, working day and night.

Zhang Xing They are still young, and they can still work hard to break out of the world for themselves.

And He Fule felt that he was too old to break through, so he wanted to be promoted to the next level, and then he was satisfied with guarding his wife and children.

Chen Qi respects everyone's choice, he is like a big ship, some people get on the boat, some people get off the boat, this is a personal choice, there is nothing to blame.

In the burn surgery operating room.

The first patient to receive a skin graft was Ding Xinjuan.

Ding Xinjuan's whole body burn area reached 90%, of which 40% were third-degree burns, which can be described as extremely tragic.

At that time, their mother and daughter were hugging each other at the fire scene, so Ding Xinjuan still had a small amount of normal skin on her chest and neck.

It is equivalent to her using 10% of her skin to cover 90% of her skin surface from head to toe.

It's like you're a chef and you have to cover 10 pots with only one lid, which makes it more difficult because you can't cover it at all.

So how to operate, this has aroused great interest from several old professors such as Peng Yongyan, Ni Zhihua, Wang Qizheng, Zhu Lianggong, and An Yongchun.

They had already decided that the reason why the Viethung Hospital was so confident in taking all the patients over must have their exclusive secret recipe, so they waited and saw and did not leave Viethorne.

Outside the operating room, Professor Peng grabbed Chen Qi and asked with a smile:

"Dean Xiao Chen, today is going to be a skin graft operation, I can read the patient's medical records, 10% of the normal skin will be transplanted to the whole body, this is an impossible task from both physics and medicine, how about it, tell us a few old guys about your surgical ideas?"

Professor Wang also flickered: "That's it, Xiao Chen, we have been waiting for so many days, you can't hide your secrets, let us wait in vain." ”

Professor Ni is more straightforward:

"Boy, if you want to step on the top of our Dongshan Hospital, you have to show real skills, the patient who fails the skin graft operation is still a death, and your Yuezhong Hospital is still a failure."

Chen Qi knew that this was a proper method of agitation, so he glanced at Professor Ni Zhihua of Huhai Dongshan Hospital with complicated eyes.

Because his next surgical plan was actually based on the "large allogeneic skin piercing autologous small skin piece embedded skin grafting" created by Dongshan Hospital later.

The name of this surgery sounds quite long, but it is known as "Chinese-style skin grafting", and it is very famous in later generations.

As for this life, ahem, I am going to be cut off by Chen Qi.

Therefore, Chen Qi's eyes when he looked at Professor Ni just now were full of sympathy and schadenfreude.

"Professors, don't worry, today I will let you see the exclusive burn surgery treatment of our Vietnamese Traditional Chinese Hospital, stinky tofu skin grafting."

Puff~~~~

Professor Zhu Lianggong of Jishuitan Hospital was drinking tea, and after hearing the name, he couldn't help but squirt out the water.

The other professors lowered their faces when they heard this: "Dean Xiao Chen, are you joking with a few of us old men?" Are you afraid that we will learn your new technology? ”

Chen Qi knew that the old men lacked a sense of humor, so he hurriedly asked Zhang Xing to bring the latest revised version of the paper.

"Don't worry, a few professors, come, take a look, our stinky tofu skin grafting has been experimented with many times by African compatriots, it's not a joke, I even wrote a paper, but I didn't publish it."

(It's not that it hasn't been published, it's that people have rejected it.) ）

Several old men took a look at the draft of the paper, and sure enough, the name was a big "stinky tofu skin grafting", and the English name was "Stinky tofu Skin grafting".

This made several old professors cry and laugh:

"Dean Xiao Chen, you, your name is really eye-catching."

"It's just a sight to behold, it's just impossible to guess what kind of skin grafting method it is."

"It's a good name, burn patients smell bad after bacterial infection, don't you say, it's really similar to stinky tofu."

Hahaha~~~

Zhu Huoyan had just come out of the surgical gown at this time, and when he heard Chen Qi joking with several top experts, he educated:

"Chen Qi, explain to a few teachers, don't be hippie and smile."

"Oh," Chen Qi saw his teacher coming, and quickly pretended to be very serious and explained:

"Today's skin graft surgery, in fact, the process is very simple, I want to achieve the expansion of the skin piece in a ratio of 1:3 to 1:9 through the steps of cutting, segmentation, vector transfer, expansion, transplantation, etc., and do the largest area of skin grafting with the least skin."

A few professors were just about to listen carefully, but when they found that Chen Qi didn't say anything, they asked strangely, "Okay?" ”

"Okay, what's the use of talking about it? The key is to see how I do it. ”

Professor Peng nodded: "That's right, today we will see how you do this super difficult operation." ”

Professor Ni also smiled: "Maybe Xiao Chen's surgery can still inspire us." ”

Chen Qi slandered in his heart: Yes, it is an inspiration, but it is a pity that it is the inspiration given to me by your Dongshan Hospital.

The operation began, the two cameras started running at the same time, and Chen Qi's surgery was usually videotaped, and it was a valuable teaching operation when taken out.

Because the "stinky tofu skin grafting" Chen Qi team has carried out dozens of units in Africa, the team's cooperation is very tacit.

However, today's surgeon is Director Zhu Huoyan, and Chen Qi is just an assistant.

Director Zhu is the main knife, and Chen Qi has his own considerations.

First, the development of the burn department mainly depends on surgery, and Chen Qi is only one person, and he has too much work to break up and lack skills, so he must "train" a burn doctor with the same high level.

In addition to Lao Guo, the highest level of surgery in the People's Hospital is Zhu Huoyan.

Another purpose is that if the burn department of the Viet Cong Hospital can become the No. 1 in the country, then all kinds of honors, titles, and medical association positions will fall from the sky.

Chen Qi's future is to be an expert in hepatobiliary surgery, and he is definitely not an expert in burns, so he took the initiative to let Xian and give this opportunity to Zhu Huoyan.

Besides, if the Vietnamese Hospital wants to develop in an all-round way, it is far from enough for Chen Qi to develop alone, everyone must go together and blossom more, so that it can eventually become a top hospital.

The "stinky tofu skin grafting technique" is actually very simple, Chen Qi has quietly done several experiments with Director Zhu, so there is no technical difficulty for Director Zhu.

When Zhu Huoyan walked into the operating room after the detoxification, as soon as he stood in the position of the chief knife, he handed over the "skin knife" to him as soon as he helped Chen Qi.

What Zhu Huoyan has to do is to use a blade to cut an autologous tomotic skin with a thickness of 0.2mm on the remaining normal skin on Ding Xinjuan's chest.

In order to build a teaching hospital, the operating room has a wall that is all glass, except for the CCTV system, so that visitors can see clearly.

When several old professors saw that the operation had begun, they sat down in front of the glass window and took a closer look.

When Zhu Huoyan took off the normal skin, the second assistant Zhang Xing took out a piece of 4*4cm cork, cut the skin according to the size of the cork, and was reluctant to throw away the leftovers, so he collected them all.

Yi Zewen took out a small skin cutting machine, cut the 4 cm square skin at the same distance, cut 14 knives horizontally, 14 knives vertically, and cut it into equilateral miniature squares, calculated in millimeters, a total of 196 pieces.

Nurse Chen Li immediately handed over a piece of polyamide yarn, and after Director Zhu took it, he covered the yarn on the human skin that had been cut into 196 pieces.

The cooperation of several people is really lucky, and the efficiency is extremely high.

This polyamide crepe yarn is about to be said.