Dr. Chung’s 90s
Chapter 114 A strong dragon cannot overwhelm a local snake
Ji Xueli specially called Zhong Yu to his office. Those who saw him smiled and joked a few words in good faith. Now that their relationship has been made public, there is naturally nothing to hide when they get along.
Zhong Yu has a calm and generous attitude, and will not be shy because of the teasing of his colleagues. As soon as he entered the office, Zhong Yu asked calmly:
"Chief of Staff, is there anything I need to pay special attention to?"
Ji Xueli first poured her a glass of water and said with a smile: "How do you know I called you here to talk about him?"
Zhong Yu blew the hot air in the cup, took a small sip and then said:
"With your personality, you want to help me take care of everything, and you won't take up your working time to talk about unimportant things."
Ji Xueli was pleased by her words, and he said warmly:
"You are right, I have met Chief of Staff Xie. He is a comrade with my elder brother. He once visited my dad at our house. He is a straightforward and neat person, but sometimes he is a bit stubborn and takes soft things rather than hard ones. But he is absolutely You are not a bad person, you don’t need to worry too much when you go to see a doctor. Dean Luo took the matter seriously and wanted everyone to take it seriously, but you don’t need to feel any psychological pressure."
The atmosphere in the conference room was solemn just now. Ji Xueli was worried that Zhong Yu would be stressed, so he came here to relieve her stress.
Eye socket reconstruction surgery is quite difficult, and there are no cases of perfect cure in China. Even if the surgery fails, she does not have to bear responsibility for it.
Dean Luo has his concerns, and in his position, he has to do what he should do. Ji Xueli agrees, but he also has selfish motives.
He gently held Zhong Yu's hand and said with great sincerity:
"You can feel free and bold to do what you want. No matter what the outcome is, I will be there to back you up."
Zhong Yu suddenly found that he was very cute like this. She touched his cheek lovingly and said softly:
"Okay, with you by my side, I'm not afraid of anything."
Her eyes were sparkling, as if they were twinkling with starlight. Ji Xueli couldn't resist the temptation and put his arms around her waist. His breath was filled with her fragrance. Ji Xueli had never smelled such a scent before, and his eyes were full of greed.
Zhong Yu let him hold her and did not push him away. His embrace was solid and reliable, and she was a little intoxicated.
The two of them hugged each other quietly, and when he calmed down, they reluctantly let go of their hands.
Ji Xueli said in a low voice: "Go and do your work. If you don't leave, I won't be able to let you go."
Zhong Yu smiled softly. He had always known how to advance and retreat. With the nourishment of love, Zhong Yu was full of energy when he was busy.
She came up with the surgery plan as quickly as possible. After Dean Luo signed and approved it, other departments also cooperated to prepare the materials required for the surgery.
Chief of Staff Xie arrived at the hospital at about seven o'clock that night. His right eye was wrapped in gauze, and Zhong Yu immediately conducted a detailed examination on him.
Chief of Staff Xie was very cooperative. Zhong Yu judged from the degree of healing of his wound that the eye injury had been injured for more than a month. It was possible that there was indeed no better treatment plan, which led to the delay until now.
Although Chief of Staff Xie arrived after a long journey, he was in high spirits and was not sad about his incomplete right eye. Dean Luo and Ji Xueli were also with him.
He was familiar with Ji Xueli, so he said half-jokingly:
"Ji Laosan, is your hospital really so powerful? I don't even dare to accept it in the capital, but this little girl can do it?"
Chief of Staff Xie was in his forties or fifties, so it was not too much to call Zhong Yu a little girl. Zhong Yu was not angry because of this. She was minding her own business recording something in the medical record and ignoring them.
Ji Xueli smiled and said: "Brother Xie, don't worry. Although our director Zhong is young, his professional skills are unrivaled. You can't find anyone who dares to take over anyway, so why not let her give it a try."
Chief of Staff Xie smiled and pointed at him, "Are you as comforting as you? Why don't you practice with me first?"
Without waiting for Ji Xueli's reply, Zhong Yu said coldly: "If you want to stay in the hospital longer, then go practice."
Her words were neither light nor serious, but they hit Chief of Staff Xie just within seven inches. He stared and said:
"How can I have time to do this? There will be joint military exercises soon, and I'm busy! You little girl, don't talk nonsense."
Zhong Yu was not afraid of him. A powerful dragon could not defeat a local snake. She said calmly:
"I'm not talking nonsense. Just stop talking nonsense. If you listen to me, you will recover and be discharged as soon as possible. If you don't listen to me, you will stay longer."
Chief of Staff Xie looked at her in astonishment, and then said to Dean Luo angrily:
"Does your hospital doctor have this attitude towards patients? I want to file a complaint against her!"
Zhong Yu put the medical records on the table and said very coolly: "Then I will leave after get off work now. I am not on duty today anyway."
She left immediately, and Chief of Staff Xie quickly shouted: "Stop! You are not the most powerful plastic surgeon. What will I do if you leave?"
Zhong Yu smiled and said, "You can do whatever you want. You don't listen to what I say anyway."
She walked to the door and was about to leave. Dean Luo and Ji Xueli did not stop her. Chief of Staff Xie said helplessly:
"Okay, okay, I'll listen to you. Don't give up. When can we have the operation? I'm really in a hurry."
His last sentence was full of flattery, Zhong Yu didn't continue to take Qiao, she said seriously:
"If you are not tired, you can have a systematic physical examination now. There are no special circumstances. You can have surgery tomorrow morning and you can be discharged from the hospital in about three weeks."
Chief of Staff Xie said solemnly: "This arrangement is okay. Then you can write an order for me and I will go check it now."
He was so cooperative that Zhong Yu stopped dawdling. Dean Luo shook his head and laughed. He came out of the ward and sighed to Ji Xueli:
"The doctor over there told me earlier that Chief of Staff Xie has a bad temper. I was worried that Zhong Yu wouldn't be able to suppress him, but I didn't expect that she was quite capable."
Ji Xueli smiled and said nothing. If she was not powerful, how could she control his heart so much? It was just Dean Luo who underestimated her.
Chief of Staff Xie's physical examination was in good condition. Although there were many hidden injuries, they did not affect the progress of the operation.
Zhong Yu did not select assistants with much fanfare. She did not even use Ji Xueli. She and the members of the department were enough to complete the operation.
Chief of Staff Xie, who was wearing hospital clothes, was in good spirits when he entered the operating room. He saw that Zhong Yu was wearing green surgical clothes. He looked not tall, but his hands were very skillful in handling medical instruments.
He smiled and said: "Little girl, I heard Ji Laosan said that you are his partner. That boy is very picky. How did you win him over?"
Zhong Yu put the mask on his face and said while busy with his work:
"Then you should ask him. I don't know what it is about me that pleases him."
Chief of Staff Xie burst out laughing, "You're not shy at all, girl, you're so awesome!"
Zhong Yu hummed and said expressionlessly: "Thank you for the compliment!"
Then he said to Chu Jianwen without mercy: "It's time to start anesthesia."
Chu Jianwen held back his laughter and stepped forward. Chief of Staff Xie felt threatened. Unfortunately, he was now meat on the chopping block and could only be slaughtered.
After the anesthesia took effect, Zhong Yu first prepared the skin flap. She cut a flap of about 6cm x 5cm in the scapular area with the circumflex scapular artery and vein as the vascular pedicle. She cut and ligated its branches at the three side holes to expose the main trunk and took the length of the vascular pedicle. Around 10cm.
Then the blood vessels in the recipient area of scapular free flap transplantation were selected and processed. An arc-shaped incision was made from the hairline on the affected side to in front of the ear to expose the superficial temporal artery and vein. Chief Xie’s superficial temporal vein was small and small, and Zhong Yu separated it to find the deep temporal artery. veins for anastomosis. After the blood vessel selection in the transplantation area was completed, she processed the orbital fossa and then performed skin flap transplantation.
Zhong Yu made a horizontal incision along the palpebral fissure area and separated it all the way to the orbital rim. But when separating upward, do not get too close to the supraorbital rim to avoid damaging the levator palpebrae superioris muscle.
Then, according to the openness of the orbital fossa and the thickness of the skin flap, it is placed deep in the orbit, and a hydroxyapatite hemisphere or hydroxyapatite block is inserted.
Every step of the operation required extreme precision. There were dense beads of sweat on Zhong Yu's forehead. Chu Jianwen quickly wiped it off for her.
Zhong Yu continued the operation without interruption. She made a subcutaneous tunnel from the submandibular area to the infraorbital rim, and passed the skin flap through the subcutaneous tunnel to the orbital fossa.
The vascular pedicle is placed in the submandibular area or temporal region, and 9-0 silk thread is used to anastomose the blood vessels in the donor and recipient areas. After the vascular anastomosis is successful, fresh oozing blood can be seen at the wound edge of the skin flap.
She then sutured the wound edge of the skin flap with the remaining conjunctiva or upper and lower eyelid skin intermittently, then pressed the skin flap into the orbital fossa to reconstruct the eye socket, and sutured the upper and lower eyelid margins with 2 to 3 stitches to prevent the skin flap from prolapse. The wound in the submandibular area was sutured, followed by a rubber drainage strip and local bandage.
Finally, the skin donor area is processed. The scapular wound is directly closed and sutured. If the forearm wound is a forearm wound, a full-thickness abdominal skin graft needs to be transplanted. The abdominal skin donor area is closed and sutured, and then the forearm is compressed and bandaged. This is much more troublesome.
Zhong Yu came out of the operating room. Ji Xueli and Dean Luo were guarding the door. When they saw her, they asked in unison:
"How was the surgery?"
Zhong Yu said calmly: "The skin flap cannot be pressurized in the early postoperative period. The skin flap protrudes outside the palpebral fissure area. It is necessary to perform orbital fossa reshaping 2 weeks after the operation to return the skin flap to the orbital fossa. A large eye mold is placed inside, and the upper and lower eyelids are sutured simultaneously. After 3 weeks, the orbital fossa is well formed, and then the palpebral fissure is opened and the prosthetic eye is worn."
Ji Xueli glanced at the sleeping Chief of Staff Xie and asked in a low voice: "Which part did you choose for the donor flap?"
Zhong Yu first asked Zheng Jun to take the person back to the ward, and then explained to Ji Xueli as he walked:
"The selection of the donor site flap mainly depends on the degree of openness of the orbital fossa. The scapula skin flap is thicker than the forearm flap. If the orbital fossa is not too open, the scapula skin flap is generally not selected to avoid the orbital fossa becoming too bloated after transplantation and causing the second stage of transplantation. Blepharoptosis surgery brings great difficulties. Chief Xie chose the scapular flap because men have less subcutaneous fat and the space is more severe, which can reduce the need for secondary surgeries."
Ji Xueli nodded when he heard this. Seeing that Zhong Yu looked tired, he thoughtfully said:
"You go back to the office to rest first, and I'll go to the cafeteria to prepare a meal for you and bring it over."
Zhong Yu was not polite to him. He had been highly focused all morning and was really exhausted.
Ji Xueli came out of her office, and as soon as she came down the stairs, she ran into Cheng Yuan. Both of them knew each other's identity, and Cheng Yuan looked a little unnatural.
Ji Xueli's expression turned slightly solemn, and he greeted generously:
"Are you Cheng Yuan, Ayu's classmate? We met once at the gate of the hospital a long time ago."
He spoke frankly and naturally. Cheng Yuan nodded to him with a complex expression and subconsciously explained:
"I came to talk to Zhong Yu about something. Is she not busy now?"
Ji Xueli said in a gentle voice: "She is not busy at the moment, but she is a little tired after just having an operation. I will go get her some food, which will be delivered to her in fifteen minutes at most."
Cheng Yuan nodded, "I have to go to work in the afternoon, so I won't be able to stay long."
Ji Xueli had no other intentions. He loved Zhong Yu and would not restrict her from interacting with the opposite sex.
But he didn't mind what Cheng Yuan thought. A man would never be generous when facing his love rival.
He said politely: "Then I'll leave first."
Watching his leaving figure, Cheng Yuan couldn't tell what he felt in his heart. He had slowly let go, but after all, he couldn't remain indifferent.
Zhong Yu had not seen Cheng Yuan for a long time, so she was surprised to see him. She greeted him naturally like an old friend:
"Why do you have time to come to my place? Aren't you busy recently?"
Cheng Yuan smiled and shook his head, and said a little cautiously: "I haven't been too busy recently. You were in the operating room when I came here just now, so I waited for you a little longer."
Zhong Yu looked the same as before, but there was an indescribable feeling of strangeness. Cheng Yuan watched helplessly as the distance between the two widened. He had no more extravagant wishes.
Before Zhong Yu could ask him why he was here, he spoke first:
"I'm here to tell you good news. Jiang Dalian and the others are going to visit us in Guangzhou. Then our old classmates will have a dinner together. You don't know it yet, but he is with Liao Sha."
Zhong Yu was stunned when he heard this and said in disbelief:
"What's going on with them? Why don't I know anything about them?"
Cheng Yuan was not surprised by this, he smiled and said:
"Jiang Dalian has liked Liao Sha for a long time, but he always looks immoral. She didn't take it seriously when he confessed to Liao Sha before. After graduation, he spent a long time with her, and then he embraced the beauty. Return."
Zhong Yu remembered clearly that in her previous life, Liao Sha married young and her husband was a civil servant, and she definitely had no emotional entanglement with Jiang Dalian.
She patted her forehead helplessly, as the news was really shocking.
Cheng Yuan had a strange reaction and asked puzzledly: "Don't you think highly of them? Although Jiang Dalian gave up medicine and went into business, he has a flexible mind and his business is now on track. The conditions in all aspects are very good and he will not let it go. Liao Sha lived a hard life."
Zhong Yu shook his head and smiled: "I didn't mean that, but I didn't think of the two together before. I was a little surprised when I suddenly found out about it. Is Liao Sha coming here too this time?"
Cheng Yuan smiled and hummed, "The young couple has already received their certificates and came here specially to send us wedding invitations."
No matter what, she is still very happy that Liao Sha can be happy, "I haven't contacted her for a long time. I used to call her occasionally to chat, but then we were busy with our own affairs, so we always couldn't meet each other in time, so there was less contact. , I really want to see her."
As soon as she finished speaking, Ji Xueli walked in with a lunch box. He didn't even knock on the door, as if he was entering his own office.
"What do you tell Dr. Cheng that makes you so happy?"
Zhong Yu didn't think there was anything wrong with him, so he said naturally:
"Cheng Yuan said that our college classmates are coming over to play, and they are getting married. I am happy for them."
Ji Xueli didn't eat either. He picked out Zhong Yu's favorite dishes from the lunch box and gave her to her without any hesitation:
"Then I'll treat your classmates to dinner then."
As Zhong Yu's boyfriend, it was appropriate for him to invite his classmates to dinner. Cheng Yuan was still a little disappointed when he saw the two of them sitting together for dinner intimately. He forced a smile, stood up and said:
"You two eat slowly, I'll go back first, and I'll call you when they come over."
Zhong Yu quickly stood up and wanted to send him out, but Cheng Yuan waved his hand indifferently.
"Don't be polite. Hurry up and eat. I'm too busy and can't eat."
They were all old classmates, so Zhong Yu was not polite to him and watched him leave with a smile. (End of chapter)
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