Chapter 74: Humility for advice
No matter what Zhong Yu thought in his heart, his face was silent.
Director Ji will not shallowly laugh at her whimsy, but she is unwilling to reveal her heart to outsiders too much.
Ji Xueli listened to her words, and his eyes showed appreciation.
"It's very rare to have goals for the future and be able to work steadily according to patience."
Zhong Yu unhurriedly dipped the fried dumplings in vinegar, and said with a smile:
"Director Ji, don't praise me, I'm just too junior for fear of going out and smashing the teacher's signboard."
Ji Xueli's cognition of women is still at the stage where they love to dress up and are good at laundry and cooking.
Many of the women around him are family-oriented, and even if they work hard in the study stage, they are just looking for decent jobs and can choose better people.
Only Zhong Yu is truly in love with this profession and is still working hard for a clear goal.
Ji Xueli feels that she is the same kind as herself, and they have the same dedication to their professional field.
In the end, Ji Xueli paid for this breakfast, because Zhong Yu didn't like to pull on trivial things.
The two walked to the hospital together, discussing surgery on the way.
When it came to suturing, Ji Xueli took the initiative to ask Zhong Yu for advice.
"Tension is a very important part of the many factors that lead to scarring, how can we provide patients with an efficient, convenient and powerful tension reduction effect, so as to reduce the risk of postoperative scar hyperplasia and widening, and improve the postoperative effect?"
Female neurosurgery patients are very concerned about postoperative scars, so Ji Xueli has been studying suturing skills recently.
Although the surrounding environment is noisy, it has no impact on Director Ji.
He looked at Zhong Yu with a sincere face, and he had his own dedication to academic issues.
It's normal for colleagues to chat with each other to cut into the field of professional knowledge, and Zhong Yu is not disgusted.
She slowed down and said in a soft voice:
"Factors influencing scarring include genetics, age, local skin tone, inflammatory response, etc., among which tension is an important factor in pathological scarring. In the case of our plastic surgery scar surgery, for example, I use the fishbone suture reduction suture technique. ”
This technology is not yet popular, but Zhong Yu has already widely used it in clinical practice.
This is also the reason why Guo Pengfei wants to learn behind her, and he can always learn more practical new technologies by following her.
Ji Xueli frowned slightly, "I also know the tensile suture technique, did you think about it yourself?" ”
Zhong Yu shook her head, she hadn't been cheeky enough to move everything to herself.
"I learned from the teacher beforehand, and then improved it myself, and then applied it to clinical practice."
Ji Xueli admires her spirit of study, and what is even more commendable is that she can learn and apply it and can operate it in combination with the actual situation of patients.
He asked a little impatiently, "Can you elaborate on that?"
Zhong Yu was a little funny, Director Ji was pure, and his thirsty attitude made him look less cold.
She doesn't sell it either, and opens her mouth to tell the story.
"First of all, it is very important to design the incision of the surgery, not only to remove the lesion as much as possible, but also to preserve the normal usable skin around it. For wider, larger lesions, adjacent flaps can be designed to cover the suture wound with less tension by pushing or rotating, while also preventing the removal of too much normal skin. ”
Ji Xueli listened to it and simply didn't leave, the two stood at the gate of the hospital, and after digesting the knowledge points she said, they asked:
"What if the wound created after the removal of the lesion in some special scar surgery is different from what is expected due to tension traction?"
Zhong Yu shrugged, "Then it's more troublesome, re-evaluate and design the incision suture plan after removing the lesion, these details can't be coveted." ”
Ji Xueli nodded in agreement and motioned for her to continue.
"After the resection of the lesion, the subcutaneous tissue around the incision margin needs to be peeled off to both sides to increase the mobility of the incision margin, and it is generally peeled off in the fascial layer by tissue scissors or electric knife, which requires a clear layer, reduces bleeding, and is fully prepared for the reduction of tension and suture."
Ji Xueli empathized and said: "It's all work that needs to grasp the details."
Zhong Yu nodded with a smile, and said in a relaxed tone: "The aesthetics of the postoperative effect of plastic surgery are very important, and only by doing a good job of the subtleties can the results be achieved."
Ji Xueli felt that her words were very reasonable, and Zhong Yu continued:
"Before the incision is sutured, the excess dermal tissue and subcutaneous fat at the incision margin are trimmed to make it flush with the epidermis, which is conducive to the close and fine alignment of the epidermis and dermis without tension. In addition, in areas with a lot of fat, such as the chest, back, and abdomen, excess fatty tissue at the bottom of the wound can be removed to reduce the tension during incision suturing. ”
Ji Xueli listened intently, which gave Zhong Yu the illusion that he was lecturing to students.
She shook her head amusedly, pushing the inexplicable stuff out of her head.
"Tension-reducing sutures are the focus of all steps in scar plastic surgery and largely determine the prognosis of the surgery. Tension incisions require a strong and vigorous tension-reducing suture in the fascial layer. The progress of tensile suture technology depends on the upgrading of tensile reducer materials and the improvement of suture technology......"
After Zhong Yu finished speaking, Ji Xueli benefited a lot and concluded:
"In scar plastic surgery, the appropriate surgical method, suture and suture method are important prerequisites for effective stretch reduction."
Zhong Yu's face was full of approval, and he really understood it when he talked to smart people.
The two stood in front of the hospital lobby, and many colleagues who came and went noticed them.
Some deliberately passed by them, listened to them talk about professional domain knowledge, and immediately turned away without interest.
Ji Xueli stood with his hands in his hands, and looked down slightly at Zhong Yu's eyes very focused.
Zhong Yu was amazed by his quick thinking, and when he talked about the rise, he unconsciously explained more elaborate surgical operations.
One spoke carefully, the other listened carefully, and the harmonious atmosphere between the two unexpectedly crashed into Cheng Yuan's eyes.
Looking at the smiling Zhong Yu, standing beside the personable Ji Xueli, he felt indescribably sour.
Zhong Yu didn't notice him, she was talking about the key point, Ji Xueli asked questions from time to time, the two of them asked and answered each other tacitly, how could they take care of others.
The expression on Cheng Yuan's face was stiff, he could have left silently, but his steps involuntarily stepped forward.
Walking up to the two of them, he pulled the corners of his mouth and smiled, and asked in a deep voice:
"Boss~ Have you just arrived at the hospital? Who is this talking to? ”
He looked at Ji Xueli's eyes with a faint hostility.
Zhong Yu still treats him as an ordinary classmate, and the previous incident is directly turned over, and she should not have happened.
She smiled and said, "I went out for breakfast, so I came a little late, this is Director Ji Xueli of the Department of Neurosurgery of the General Hospital of the Military Region."
Ji Xueli nodded gracefully and said hello, compared with Cheng Yuan, he was more old-fashioned.
Zhong Yu introduced to Ji Xueli again: "This is my college classmate Cheng Yuan, the attending physician of the respiratory surgery department of the People's Hospital."
Cheng Yuan's eyes were still hostile, and he said expressionlessly: "Hello Director Ji!"
As shrewd as Ji Xueli, he had already noticed Cheng Yuan's unfriendly attitude.
It's just that he never pays attention to anything other than medicine, and as long as there is no head-on conflict, he generally ignores it.
He bowed his head to Zhong Yu and said, "Thank you Doctor Zhong for solving my doubts today, I'll go first, so I won't bother you to catch up."
Zhong Yu said politely: "Director Ji is serious, I hope what I said will help you."
Ji Xueli's expression softened, and she affirmed: "I have benefited a lot, thank you!"
Ji Xueli didn't care about Cheng Yuan's attitude, but he didn't take him seriously, and left without looking back after talking to Zhong Yu.
His back is straight, and his steps are firm and powerful.
Because the military doctor has strict requirements for physical fitness, he has the experience of serving in the combat army, and he has a kind of unstoppable momentum.
Cheng Yuan saw Zhong Yu seeing Ji Xueli, and the jealousy in his heart was indescribable.
Without thinking about it, he blurted out: "I heard that Ji Xueli is very powerful, can he get into your eyes?"
Zhong Yu looked at him incredulously, frowned and asked, "What do you mean by this?" What do you mean by being in my eyes? ”
Cheng Yuan was looked at by her eyes, and a dense cold sweat suddenly appeared on his back.
He reacted and explained in a panic:
"I mean, if he's really as good as he is rumored to be, yes, I mean that."
Zhong Yu has no intention of delving into him, some things are rare and confused, and he can't get along with Taiqing.
She walked towards the hospital with her steps, and said in a calm voice:
"Director Ji's skills are really good, and he also has a strong spirit of research in the professional field, and the rest are not deeply acquainted, so I don't know much about them."
Cheng Yuan followed behind her, and was blown by the wind, and his brain was completely sober.
He changed the subject and said, "I see that Cheng Ye's recovery is good, he should be able to be discharged from the hospital soon, right?"
Zhong Yu snorted, and didn't want to continue to deal with him.
Cheng Yuan also knew that he had said the wrong thing, and sometimes his mouth was stupid and outrageous.
"Then when are you going back to Haishi?"
Zhong Yu's footsteps did not stop, and he was not sure:
"Probably all the patients in my hands can go back after they are discharged, I have to ask the dean for details."
They had already walked to the plastic surgery office area, Zhong Yu was going to wear a white coat to make rounds, and when she saw that Cheng Yuan was still following her, she said helplessly:
"I have to work, you don't have anything important, just go back first."
Cheng Yuan was reluctant to leave, and he saw one side less.
But now he has no qualifications to continue to entangle, and it is meaningless to stay longer, so he can only leave the scene gloomily.
After Zhong Yu and Cheng Yuan separated, they first went to check on Cheng Ye's situation.
Old Man Cheng happened to be there, Zhong Yu greeted him politely, and she didn't pay much attention to the old man's words before.
Old Man Cheng saw that she was generous and did not twist at all, and the appreciation in his eyes was even greater.
Zhong Yu didn't care what he thought, she was concentrating on removing the gauze for Cheng Ye.
Cheng Ye's surgery, 1~2 weeks after the operation, the bandaging gauze, the dorsal suspension suture of the affected body and the wound suture can be removed.
Although the location of the wound was awkward, Zhong Yu did not have any extra emotions, and after the initial embarrassment, Cheng Ye had now broken the jar.
After Zhong Yu removed the stitches, Zhengse said: "The affected skin has slight edema, and he will be hospitalized for observation for a few days."
As soon as Cheng Ye heard her say this, he immediately said nervously, "Doctor Zhong, the problem is not serious, right?" Will I be able to get back to normal? ”
Zhong Yu comforted: "Don't be nervous, the wound of the affected body heals well, the outer skin is naturally turned up, retractable and barrier-free, and there are no complications such as narrow rings, stubborn edema and pain of the outer skin."
Cheng Ye didn't really understand what she meant, and Old Man Cheng was also confused, "Doctor Zhong, just be straightforward." ”
Zhong Yu took off his gloves and said in a gentle tone:
"I mean it's all functional, this edema is not stubborn, and the swelling can be reduced in two days with infusion, so don't worry too much."
Cheng Ye breathed a sigh of relief, "Thank you Doctor Zhong~ When I recover and am discharged from the hospital, I will definitely invite you to dinner!" ”
Old Man Cheng echoed with a smile: "Yes, yes, young people should go out to eat and play more, Doctor Zhong can't patronize work, and it is also very important to relax occasionally."
As soon as Cheng Ye heard this, he knew that he had done something bad with good intentions, and without waiting for Zhong Yu to speak, he immediately remedied:
"When the time comes, call Cheng Yuan together, without him as an intermediary, I can't know you."
Zhong Yu was taking notes, nodding dispensably, obviously not taking this to heart.
Old Man Cheng was about to speak, and a little nurse hurriedly ran over to find Zhong Yu.
"Doctor Zhong~ If you're busy, come out, the dean has something to do with you."
Zhong Yu closed the medical record book, quickly closed the cap of the pen, skillfully inserted it into the pocket on his chest, and said loudly: "I'll come here."
After she finished speaking, she didn't bother to say hello to Old Man Cheng, so she ran out of her legs, for fear that the dean would have an emergency to deal with.
The nature of the profession of a physician is like this, saving people is like fighting a fire, and it cannot be delayed for a moment.
It wasn't until he couldn't see her that Old Man Cheng sighed:
"What a good girl, with high education and strong ability, and she has great merit to save lives and help the wounded, if our family marries her and enters the door, the grandson will definitely be stronger than other families, and the mother and cub will definitely not be weak."
Cheng Ye slowly covered the quilt and sneered casually:
"Dr. Zhong's doctorate degree is used to devote himself to the medical career, not to pass on the family lineage and give birth to children, your thinking is really rotten."
Cheng Ye is in good health, and he has returned to his rebellious appearance.
Old Man Cheng puffed up angrily: "What do you know about a stinky boy, I am planning for you wholeheartedly, do you understand the truth that a wife and a virtuous husband have less trouble?"
Cheng Ye disagreed, "Then you can't pull Lang and force us to be together, right?" Arranged marriages are not in vogue now, and if you are fooling around, don't blame me for smashing the scene. ”
Cheng Ye is sometimes a bastard, and Old Man Cheng has no way to take him.
"You stupid thing who doesn't know anything, I don't care about you."
Old Man Cheng left with a stomach full of anger, and Cheng Ye pulled up the quilt to cover his face.
It's because he doesn't know the goods, it's because he doesn't want to make it difficult for others, and he knows the old man's temperament better than anyone else.
His parents' past is tragic enough, and he still doesn't want to harm good people.
Zhong Yu ran to Dean Luo non-stop and asked breathlessly:
"Dean, what's wrong, what's the patient's condition? Where are the people? ”
Dean Luo looked stunned, came back to his senses and said helplessly:
"I have a personal matter to look for you, there are no critical patients, don't worry, how did the nurse who passed the message tell you?"
Zhong Yu's tense nerves relaxed, and he waved his hand indifferently:
"The nurse said that you are looking for me, I have misunderstood, it's okay, what are you looking for me?"
Dean Luo was very satisfied with her serious and responsible attitude in her work, and said with a gentle expression:
"That's the case, every time a new doctor comes to the hospital, my wife will invite them to come to the house and have a homely meal to welcome, you have been here for so long, our husband and wife have been busy, these two days are free, do you have time to go to the house for a meal in the evening?"
Even if Zhong Yu doesn't like to socialize anymore, she will not refuse the invitation of the dean's wife, and she still understands this point of human affection.
She said with a flattered face: "I have time, I don't have anything to do at night, it's just too troublesome for Mrs. Dean."
Dean Luo smiled indifferently and said: "My lover likes to deal with you young people very much, I am afraid that you will be uncomfortable, and I also called Chu Jianwen to accompany you, and you can go with me or her when you get off work."
Zhong Yu smiled and said, "Thank you, Dean!" Then I'll go with Jianwen. ”