Dr. Chung’s 90s

In the emergency room, Yue Qiming's face turned pale because of the severe pain. He gritted his teeth and remained silent.

Zhong Yu calmly treated his wound while wearing a mask. The wound was near the middle of the pad of his right index finger. The soft tissue was deeply damaged, the nail was damaged and the nail bed was traumatized.

Even a man who has experienced a hail of bullets will feel uncomfortable when he truly faces the stump of his severed finger.

Yue Qiming turned his head and took a deep breath. He subconsciously diverted his attention, stared at Zhong Yu and asked with some difficulty:

"Dr. Zhong, what are the chances that my finger will be reattached and that I can move freely?"

Zhong Yu said without raising his head: "As long as the emergency surgical repair method is properly selected, there will be no significant impact on the flexion and extension of the distal interphalangeal joint after surgery, the skin flap will feel good, and the probability of survival of all the skin grafts in the donor flap area is very high."

Yue Qiming is already thirty years old, which is when his physical fitness is at its best.

He had seen comrades who were better than him and had to retire because of missing limbs. At that time, he sighed for others, but now he is worried about himself.

Zhong Yu touched the wound, his face twisted slightly in pain, and his breathing intensified. After the wave of pain subsided, he begged:

"Doctor Zhong, I don't want to retire yet, so I leave my fingers to you."

Zhong Yuting admired his tenacity and tried his best to treat him. Hearing this, he comforted:

"Commander Yue, don't worry too much. This is just a minor operation for me."

There is an anesthesiologist in the emergency room, so there is no need for Chu Jianwen to come over. The operation uses finger root nerve block anesthesia on both sides and a thin rubber band to stop the bleeding.

After the anesthetic took effect, Yue Qiming felt a little more comfortable. He watched Zhong Yu perform the operation on him intently.

Zhong Yu thoroughly debrided the injured finger to remove broken necrotic tissue, foreign bodies or bone fragments.

Based on the wound area, she drew the required size and shape of the skin flap on the volar side of the middle finger. With the blood vessels on either side as the pedicle, the projection point of the vascular pedicle entering the skin flap was usually no more than the distance between the distal fingers. Joint, flexion crease 3mm, cut the tangent line of the skin flap on the opposite side of the pedicle, deep to the superficial layer of the flexor tendon sheath, lift the skin flap toward the pedicle, and do not damage the digital neurovascular bundle and its branches on the side of the pedicle during the lifting process , and its branches are incorporated into the skin flap.

In fact, during the dissection of the adjacent pedicle, it is often possible to see the digital palmar transverse branch blood vessels entering the flap pedicle, but there is no need to deliberately free them.

Zhong Yu can cut and ligate the digital palmar arch formed by the transverse branch blood vessels and contralateral branches of the palm according to the needs of the rotation of the skin flap.

After the dissection is completed, loosen the tourniquet, check the blood supply of the skin flap, and observe that the edge is bleeding well, then rotate it in the reverse direction to the wound surface and fix it with sutures.

The phalanges that are too protruding should be trimmed appropriately. The wound in the donor flap area is covered with a full-thickness skin graft from the flexion of the wrist, and the donor area is fixed with suture wrapping and sutured directly.

Immediately after the operation, the capillary reaction was weak and the skin flap turned dark blue. Yue Qiming said with some concern:

"Dr. Zhong, isn't the color of this finger quite right?"

Zhong Yu hummed, not too nervous, she said calmly:

"It's not a big problem. One week after taking the vasodilator and blood-activating drug, the capillary reaction will become active, and the skin color of the skin flap will also turn rosy."

Her stability and calmness made Yue Qiming relax. After surviving the disaster, he began to look at Zhong Yu curiously.

He had heard of Zhong Yu's name before he met her. After all, it was well known that a powerful female doctor came to the Military Region General Hospital. She had performed several surgeries with remarkable results, especially the recent upper arm surgery. Disconnection and replantation surgery.

The presence of this outstanding doctor has indeed given many people reassurance. Before sending him here, he was not so optimistic and did not think that he would definitely be cured. But now looking at his wrapped fingers, he was very happy. .

Chief Ji, who was waiting outside the operating room, was inevitably a little anxious. He walked back and forth in the corridor with his hands behind his back.

Wei Lan was so dizzy by him that he said angrily:

"Old man, can't you just sit down and wait? It makes my head spin when you act like this."

Chief Ji stopped, raised his wrist and looked at his watch, "It's been almost an hour since I went in, why haven't I come out yet?"

Wei Lan said helplessly: "That's to pick up the fingers, not to pinch the mud. You have to do it anyway. Let's just wait patiently."

As she spoke, she pulled Chief Ji to sit down. As soon as the two of them sat down, they saw Ji Xueli running over in a white coat.

He was not surprised to see the two old men, but said angrily:

"Why did you two come to the hospital to join in the fun? You didn't listen to what I said."

After he received a call from Dean Luo, saying that he saw his parents entering Zhong Yu's clinic, he hurriedly searched around the hospital.

His parents were not unreasonable people, but they were afraid of getting excited, not holding the door in front of Zhong Yu, and saying things to urge her to get married. Who would he ask to reason with if they scared her away?

Wei Lan saw his son running with sweat on his face and said with a guilty conscience:

"Xueli, don't get excited. We just followed the normal procedure to register and see a doctor. We didn't reveal that we were your parents. We just looked at people and didn't say anything extra."

Ji Xueli pushed up the glasses on the bridge of his nose and looked at Chief Ji with distrust, "My dad didn't say anything?"

Chief Ji snorted and said angrily:

"You don't trust me that much, right? If you doubt me again, I will pick you up directly when Zhong Yu comes out."

Ji Xueli frowned slightly, "Please don't make me disgusting with trivial things like peeing in the mud. Now that you see someone, why don't you leave?"

Wei Lan said worriedly: "Qiming from Guihua's family was sent to the emergency room just now. I heard this little soldier said that a large section of his finger was cut off. Your dad and I want to wait and see how he is doing."

Ji Xueli and Yue Qiming have known each other since childhood. They grew up together in the compound. However, they have different personalities and don't often play together. They just know each other and cannot be said to have a good relationship.

But after all, he was an acquaintance at home, so it was hard to ignore him. He said in a deep voice:

"The repair of the fingertip defect requires local anesthesia. Yue Qiming came out later and saw you greeting you. He revealed his secret. You go back first. I will wait here. If there is any problem, I will call you."

Although Chief Ji was unwilling to do so, he also knew that he could not ruin his son's good deeds, so why not do it reluctantly:

"Okay, I'm really scared of you. Your mother and I will leave immediately. When he comes out, call me. Don't delay!"

Ji Xueli understood the character of his old man who loved soldiers as much as his sons, and he did not play tricks on him. He promised:

"They will definitely call you. You should leave quickly. They are coming out soon."

Wei Lan stood up and pulled Commander Ji forward. The little soldier standing by was confused and didn't know what the family was going to do. At least he was relieved to hear that they were acquaintances with Commander Yue. Some.

Sure enough, just as the old couple left, the door to the emergency room opened. Zhong Yu came out and was a little surprised to see Ji Xueli.

"Why are you here? Do you have any work arrangements?"

Ji Xueli shook his head, nodded to Yue Qiming first, and then explained:

"Battle Commander Yue and I grew up in the same hospital. I heard something happened to him and I came to see him. How was the surgery?"

Zhong Yu said calmly: "The postoperative results are good. I used the palmar skin flap of the transverse palmar vascular pedicle to repair the fingertip defect."

Ji Xueli frowned and said, "I don't think I have heard of this kind of surgery. Please tell me in detail later."

Obviously he had plenty of time at the moment, and Zhong Yu was willing to chat with him.

Yue Qiming had just shown some interest in Zhong Yu, but when he turned around, he realized that she was unusually familiar with Ji Xueli. He asked half-jokingly: "Brother Ji, are you two talking about someone?"

Ji Xueli raised the corners of his mouth and nodded in a good mood. “We just got together not long ago, you should call me sister-in-law!”

Yue Qiming had the urge to scold his mother. The anesthetic had not worn off yet and he was not in so much pain, so he still had time to say harsh words.

"You still have vision, but Dr. Zhong is still unmarried. It's somewhat inappropriate to call her sister-in-law, right?"

Ji Xueli was not sensitive enough to other matters, but he cared about Zhong Yu's matter more than anyone else. He narrowed his eyes slightly and said in a bad tone:

"We're not related by blood anyway, so it's not appropriate for you to call me third brother. Just call me by my first name."

The people who came from their military compound were the most concerned about friendship. Not letting him call him third brother was tantamount to severing relations with the Ji family. He hurriedly said:

"Third brother and three sister-in-law, please forgive me, Qiming is confused because of the pain, don't be offended!"

Ji Xueli gave him a knowing look. Zhong Yu looked funny, but he also noticed the content of their conversation. He had an intuition that Ji Xueli's family background was probably not simple, but he didn't have any other ideas.

Ji Xueli turned around and asked gently: "Is there anything else he needs to explain in particular?"

Zhong Yu shook his head and said to the nurse in the emergency department:

"Just follow routine care and the stitches will be removed in about two weeks."

Ji Xueli said without mercy: "Then let's leave first."

He held Zhong Yu's hand possessively and left, leaving Yue Qiming to sigh sadly. When he came to his senses, he kicked the squatting little soldier like he was angry and said angrily:

"Haven't you seen enough? Why don't you hurry up and push me back to the ward? You're an eyesore!"

The little soldier pursed his lips and cursed in a low voice: "If the battalion commander is embarrassed, just take it out on me. I'm not a punching bag."

Yue Qiming glared at him and said sullenly: "If you keep nagging me, I'll make you run~"

The little warrior dared not speak out in anger, and followed him silently.

Ji Xueli took Zhong Yu to his office, called his home in front of Zhong Yu, informed his parents of the situation, and then hung up.

"I don't know where the old man found out about this. They are also concerned about the children of their old comrade-in-arms. This matter has indeed had a great impact on his career."

Zhong Yu couldn't figure out what was going on here, so he only smiled lightly.

"Battle Commander Yue will recover soon. Don't worry, old man. Let's go eat first."

The two of them walked together openly, and their behavior was not overly intimate, but it could still make people see that their relationship was unusual.

The two have never deliberately discussed whether to make their relationship public or not. In fact, love is something that can't be tolerated just like coughing.

There may have been gossip in the hospital, but the two parties involved didn't care and never tried to hide it.

When they went to the canteen, they bumped into Chu Jianwen. She jumped up and rushed to Zhong Yu. She looked up and saw Ji Xueli passing by with a dinner plate. She immediately turned around as if nothing had happened. of walking away.

Zhong Yu was amused by her cowardice. Seeing her smile, Ji Xueli asked in confusion: "Why are you laughing?"

After taking the soup bowl from him, Zhong Yu opened his mouth to explain.

"Just now Jianwen thought I came here alone and was about to walk towards me. When he saw you, he turned around and ran away like a mouse seeing a cat."

Ji Xueli subconsciously looked around for someone, and he said with a gentle expression:

"She usually arranges for me in front of you, right?"

Zhong Yu took a sip of soup and quickly shook his head.

"She said you are a master of neurosurgery, but she is a little too afraid of you. You must have tormented her a lot during your internship."

Ji Xueli has high demands on himself and shows no mercy to his colleagues.

"She has abilities, but her personality is too casual and lazy. If I don't give her a tight skin, she may not be able to stay."

Zhong Yu nodded understandingly. Their profession did not tolerate any mistakes, and it was understandable for Ji Xueli to do so.

Ji Xueli first put Zhong Yu's favorite side dishes into her bowl, and then ate them herself. While eating, she said:

"Tell me first, what is the term for repairing finger tip defects with palmar skin flap of transverse palmar branch vascular pedicle?"

Zhong Yu sometimes laments that if these two workaholics get together, if they really get married in the future, they don't know who will take care of the family.

She lowered her voice and explained:

"Repair of finger tip defects should restore good feeling as much as possible, have a reliable finger fat pad, prevent further shortening of the length of the injured finger, and have good interphalangeal joint movement after surgery. In this case, Commander Yue refers to the transverse palmar The pedicle flap is undoubtedly a flap that can fully meet the above requirements."

Ji Xueli listened carefully, nodded thoughtfully, and motioned for Zhong Yu to continue.

"In addition to the terminal dorsal branch of the proper digital artery pedicle flap, the transverse palmar branch vascular flap is the most slender and well-known vascular pedicle flap currently known. Its advantage is that the main artery of the digital artery does not need to be damaged when cutting the flap. ; The design of the skin flap is simple and easy. The completion time is 40 to 60 minutes, and the repair surgery can be completed in one stage. The blood supply of the skin flap is constant. According to the anatomical position, the distal interphalangeal joint flexion will not be lifted without injury. Affects vascular pedicle.

The transverse palmar blood vessels have three constant branches, which branch from the digital arteries at different anatomical planes.

Therefore, any of its branches can be used as the pedicle to design a flap. It is a relatively random flap donor area. As long as the proximal edge of the wound is beyond the flexion crease of the distal interphalangeal joint, the distal and middle branch pedicle flaps can be safely used. .

In the donor flap area, either a split skin graft or a full-thickness skin graft can be used for better postoperative wear resistance and contracture resistance. "

Zhong Yu took a sip of the soup and continued to add:

"The fingertips are the most sensitive tactile area and are the main part that provides finger clamping force. This surgical method uses a skin flap on the palmar side of the middle finger to carry a good fat pad and sensory control tissue to repair the fingertips. Therefore, this surgery is more suitable for the repair of fingertips and fingertips.”

Ji Xueli listened to her and admired her reserve of professional knowledge.

He said seriously: "Perhaps, I'll just let you become a surgeon."

Zhong Yu said with a smile: "Then what position does Dean Ji think is the most suitable for me to be placed in?"

Ji Xue Li and You Rong Yan Dao:

"I found that you are not only able to stand alone in the operating room, but you are also very suitable for teaching and research positions. With your academic qualifications and various qualities, you can definitely be a visiting professor at the First Military Medical University."

Zhong Yu thought to himself, you are quite discerning.