Dr. Chung’s 90s

Zhong Yu likes to deal with cheerful people like Ye Min. She smiled and said:

"Thank you, Miss Ye, for your trust. Although our hospital is small, we have everything we need. You can just wait for the surgery with peace of mind."

Ye Min nodded and said solemnly: "Then I'd like to trouble Dean Zhong. Should I come over to the hospital tomorrow or should I be admitted today?"

Zhong Yu said seriously: "Come over to the hospital today. You still need to make relevant preparations before the operation."

Ye Min nodded in agreement very cooperatively. When Assistant Zhang Xueqian saw that they had made arrangements, he greeted both parties and left.

The hospital is not large and does not have many wards, but the interior decoration is very fresh and refined, at least Ye Min likes it.

After completing all the formalities, Ye Min moved in peacefully and comfortably. In contrast to Ye Min's state, Mrs. Ye was extremely anxious.

"Minmin, should you discuss something as big as surgery with your grandfather? If something unexpected happens, I won't be able to explain it to my family."

Ye Min was lying on the hospital bed minding his own business, and said in a cold voice:

"My dad's third wife just gave birth to a baby boy. He has no time to talk to me now."

Mrs. Ye's expression froze, and she forced herself to calm down and said, "No matter how many illegitimate children your father has, the property in the family still belongs to you and your brother. You don't have to worry as long as your grandfather is here."

Ye Min was not as optimistic as her mother. She held the book she had read frequently recently and said rationally:

"My grandfather will die one day. The few shares he gave me can't suppress my father. My brother is a useless loser. If our mother and I depend on him, I'm afraid they will be beaten by the second wife and the third wife outside. After eating it, instead of just sitting there and waiting for death, I should fight my way out on my own. My face is really unsightly and I can’t recover without surgery. Now that my face is cured, I can use my grandfather’s influence to enter the company.”

Although Ye Min's father is a powerful man, he has no control over his female sex. The second and third wives he openly brings out to socialize all have sons and are very capable. Advantages, others are not better than others.

When Ye Min was born, her grandfather made a profit from his investment, so he spent a lot of money to find a master to give her a fortune. It turned out that she was destined to be precious. Even though she was later diagnosed with congenital facial paralysis, her grandfather loved her very much and firmly believed She is a noble person.

But this love is not enough to protect Ye Min for a lifetime. She can only feel at ease if she works hard to gain real power. She is used to living a life of superiors, so how can she be willing to be humble and petty?

Mrs. Ye felt bad when she heard this. She regretted that if her eldest son had been stricter when he was young and not allowed to have his own way, he wouldn't be like this now.

Her heart ached and she choked with sobs: "It's all your brother's fault. Now I can only let you fight with your life."

Ye Min didn't take it seriously. Regardless of whether her brother could live up to his expectations or not, she could only achieve a good life through her own efforts. Whether it was power or money, she felt most at ease only if she held it in her own hands.

Mrs. Ye came from a well-known family and had never worried about anything in the first half of her life. She was not exposed to those intrigues and intrigues. It was impossible to expect her. Ye Min did not want her to worry about it too, so he comforted her:

"Mom, everyone has their own path. Just live a happy life and don't worry about me and my brother."

Mrs. Ye is helpless most of the time. She can't win her husband's heart, and she can't care about her son's affairs. All she can do is accompany them.

She calmed down her emotions and stood up and said, "Then you rest first. Mom will go home and say hello to your grandpa, and then come over to stay with you."

Ye Min immediately objected: "Don't mention this to anyone first, others may not be happy to see me."

Mrs. Ye wanted to say that the old man really loved her, but he didn't want to make his daughter unhappy at this juncture. She said in a gentle voice:

"Okay, I'll listen to you."

After the two of them explained the matter, Ye Min watched Mrs. Ye leave and then sent the life assistant around her out. At this time, she just wanted to be alone.

On the other side, Zhong Yu stopped seeing patients after talking with Ye Min. She had to write out a detailed surgical plan first, then check for deficiencies and prepare surgical materials.

Chu Jianwen ran over to ask her if she needed help. Zhong Yu directly showed her Ye Min's medical records and asked her to prepare narcotics in advance.

This is not difficult for Chu Jianwen, she can complete it quickly.

Chu Jianwen was quite free when there was no operation, so she called Zheng Jun when nothing happened.

He casually mentioned Zhong Yu's surgery tomorrow. For young doctors like Zheng Jun and Zhou Ze, the more diseases they are exposed to, the more experience they accumulate. It was only after they worked alone that they realized what their shortcomings were.

Without hesitation, he made a request to come and observe. It happened that neither he nor Zhou Ze had an outpatient clinic tomorrow, so he could come and study.

Chu Jianwen took the initiative to act as a sounding board, hung up the phone and came to see Zhong Yu. At this time, Zhong Yu had already designed a detailed surgical plan. Seeing her coming, he was very calm and asked without raising his head: "Do you have another problem?" What's up?"

Chu Jianwen was not one to beat around the bush. She said bluntly: "Zheng Jun said that he wanted to come and observe tomorrow's surgery. Is that okay?"

Zhong Yu didn't think this request was too much. It would be strange if they didn't mention it. She said calmly:

"Of course you can come and observe. Let them handle the work at hand and don't delay the business."

Chu Jianwen smiled and said: "They are working hard and there will be no outpatient clinic tomorrow. I would like to thank you in advance for them. I will inform them to go there right away."

Zhong Yu shook his head and laughed when he saw her leaving. Although she had an out-of-touch personality, she had never made any mistakes in her work, so there was no need to be too strict with her.

When it was time to get off work, Zhong Yu first took a look at Ye Min and asked Cai Yizhong to take more care of her before leaving. Zhong Yu would not be required to work the night shift unless there were any special circumstances.

Although Xiangxiang was able to get off work on time, she wanted to stay with Cai Yizhong. The couple went out to have a meal first and then came back.

On the way, Xiangxiang said with emotion:

"Zhong Yu is so awesome. The turnover in her account in just these few days is more than what we both earn together in a year. It's no wonder she gave up such a good job to start her own business."

Cai Yizhong was unhappy when he heard this and said, "Don't talk nonsense about money. If something goes wrong, you won't be responsible."

Xiangxiang said a little aggrieved: "I'm just talking to you. I didn't mention the others. I must be the strictest in finance. Don't criticize me at every turn."

Cai Yizhong frowned and said impatiently:

"I'm not scolding you, but this matter is big or small. You are able to work here thanks to the old friendship between the two parents. If you leak the information at will and let outsiders know, how will Zhong Yu see you? She is not asking Not enough staff.”

Xiangxiang was stunned and said sarcastically: "That's not the case, I didn't tell anyone else."

Cai Yizhong felt a little helpless. She couldn't understand the implication of his words. She originally thought that she had good conditions in all aspects and had a personal relationship with Zhong Yu, so she dated her. However, after getting married and getting along for a long time, she realized that she was not like him at all. Without following their own thoughts, the two of them often felt like they were talking out of tune.

Cai Yizhong didn't want to give up, but he just didn't want to bother to continue communicating with her. However, the things in the hospital's financial account books were big or small, and he had to make it clear to her. "Now that the hospital has just started, it can only earn a small amount of money. If there are more and more patients in the future, the amount of money lost will be even greater. I'm afraid you won't be able to cope with it. Zhong Yu mentioned it to me before that she planned to I hired an accountant again, and I was worried that you wouldn’t be able to do it alone, so I nodded and agreed.”

Xiangxiang was a little panicked and asked subconsciously: "Does Zhong Yu not trust me? Or have I done something wrong? Why did you agree to this?"

The two of them had already entered the noodle shop. Cai Yizhong ordered two bowls of noodles from the waiter, and then said seriously:

"It's normal for a regular unit to have two or three or even more accountants. You don't have to worry about it if you haven't made a mistake. If the new accountant is more experienced than you, you can learn more from her. Remember not to disclose the hospital's financial information. , otherwise I won’t be able to save you even if you kick the iron plate."

Xiangxiang said unhappy, "I understand, don't be angry."

Just as the noodles were on the table, Cai Yizhong picked up the noodles with chopsticks and put them in his mouth. After all, Xiangxiang grew up in a honeypot, and he had not experienced enough things to avoid thinking carefully.

He said in a gentle manner: "From now on, just go to work with peace of mind and do your job well. I will not be short of money in the future. If you don't take the initiative to cause trouble, nothing will happen."

Although Xiangxiang has experienced few things, she is not brainless. Compared with Zhong Yu, she is indeed much inferior. In addition, her mother has instilled in her the concept of marrying and obeying her husband from time to time, so she does not feel that Cai Yizhong speaks too much.

Fortunately, Cai Yizhong got vaccinated in advance, otherwise she would have almost suffered a big fall.

Cai Yizhong felt relieved when he saw that she had listened to her words. He began to think about Ye Min's condition and imagined how he would deal with such a patient with advanced facial paralysis.

Although Zhong Yu mentioned to him the improved sternocleidomastoid muscle transfer method to repair late-stage facial paralysis, he still had a partial understanding of some aspects. He could not fully understand it until he had observed it with his own eyes. He was thinking about the details of the operation while eating noodles, and it came naturally. I also ignored Xiangxiang.

Xiangxiang was a little aggrieved and ate the noodles without knowing the taste. She originally asked for the relationship between the two of them, but now that they are married, their cognitive levels are far apart.

In the past, she thought Zhong Yu was powerful but she didn't trust him because it wouldn't affect her life.

Now she sees her husband chasing after her and mentioning her in a highly commendable tone every time, even though there is no love between a man and a woman between them, she still feels uncomfortable.

She knew that if Cai Yizhong could learn Zhong Yu's skills, her future would be limitless. No matter how reluctant she was, she would still take the initiative to get closer to Zhong Yu.

What she didn't know was that Zhong Yu would not waste his precious time on others. She came to the hospital early the next day. After Cai Yizhong made all the preparations before the operation, Guo Pengfei hurried over with a bun in his mouth. .

Chu Jianwen looked at the tuft of hair on his head and said amusedly:

"Dr. Guo, doesn't he look in the mirror before going out? Your stupid hair is quite unconventional."

Guo Pengfei said a little embarrassedly: "I overslept in the morning and had no time to clean up. I didn't delay the operation, right?"

Zhong Yu waved his hand, "Hurry up and have breakfast. Let's go to the operating room first."

Guo Pengfei and Cai Yizhong are both her assistants, and it is okay to arrange for nurses to help in minor surgeries. But Ye Min is the financial sponsor of 1 million in medical fees after all, so they naturally have to be prepared. They don't want to miss the opportunity to learn anyway.

Zheng Jun and Zhou Ze arrived not too late. They had already gone in when Guo Pengfei changed into surgical clothes.

Ye Min was quite calm when she was pushed into the operating room. Suddenly seeing so many doctors there, she suddenly became a little nervous.

Zhong Yu smiled and comforted: "The two standing in front of the operating table are my assistants, and the two next to me are here to observe and learn. If there are too many people, you don't need to worry about them."

Ye Min nodded slightly. She had no objection. After all, she didn't know anything after the anesthesia.

After calming the patient's mood, Zhong Yu motioned to Chu Jianwen to perform anesthesia first. After the anesthesia took effect, Zhong Yu incised Ye Min's skin according to the design. She peeled it off along the deep surface of the platysma muscle, and then lifted the skin flap to reveal the sternum and breasts. Full length of protrusion muscle.

She didn't stop moving her hands and said in a calm voice:

"During the operation, attention should be paid to protecting the patient's lateral superficial jugular vein and preserving the cervical plexus as much as possible. When cutting off the sternum and clavicle attachment points of the sternocleidomastoid muscle, adequate hemostasis must be achieved."

The four people responded in unison, and then she lifted up the sternocleidomastoid muscle, separated it along the deep side of the muscle toward the mastoid end, and reminded her again:

"Attention should be paid to protecting the deep jugular veins. Small nutrient vessels in the middle and lower parts can be ligated, but the nutrient vessels in the upper part should be preserved as much as possible."

Everyone in the operating room, including Chu Jianwen, listened very carefully. Zhong Yu carefully dissected out the accessory nerve at the posterior edge of the middle part of the muscle, and then separated it along the nerve toward the mastoid end, deep to the upper part of the sternocleidomastoid muscle. The sternocleidomastoid branch of the accessory nerve and the accompanying sternocleidomastoid nutrient artery arising from the occipital artery can be exposed.

Zhong Yu pointed at this place and said seriously: "Pay attention to protection and do not damage it."

The four people immediately noted that in order to reduce the restriction of the accessory nerve during muscle transposition, Zhong Yu carefully split the sternocleidomastoid muscle branch 1 to 2 cm away from the main trunk of the accessory nerve to increase the amplitude of muscle transposition.

The operation was still going on. Zheng Jun saw that the patient's accessory nerve entered the sternocleidomastoid muscle and then bifurcated within the muscle to send out the sternocleidomastoid muscle branches. He whispered to Zhou Ze and said: "This anatomical structure will undoubtedly increase the difficulty of the operation. difficulty!"

Zhou Ze's face was solemn. He didn't bother to respond to Zheng Jun and was staring at Zhong Yu without blinking.

At this time, the entry and exit of the accessory nerve into the muscle should be exposed. Zhong Yu observed carefully and carefully cut off some of the muscle bundles deep to the nerve to fully expose the nerve bifurcation and split 1 to 2 cm proximally to facilitate transposition of the muscle belly.

When she completed this step, everyone relaxed. Zhong Yu, as if unaware, sneaked and separated an arc-shaped tunnel from the preauricular incision along the superficial layer of the parotid fascia, diagonally downward to the nasolabial incision, and then The sternocleidomastoid muscle passes through the tunnel, and the tension of the muscle is adjusted to an appropriate level, and then it is sutured with the orbicularis oris muscle from the lateral crura of the nose to the corner of the mouth.

Due to the long course of Ye Min's disease, she no longer had the orbicularis oris muscle on the affected side of her cheek. Zhong Yu sutured the sternal head and clavicle head of the sternocleidomastoid muscle to the orbicularis oris muscle on the unaffected side through the subcutaneous tunnels of the upper lip and lower lip respectively.

She kept moving her hands like flowing water and warned carefully:

"In front of the ear, the back of the muscle belly should be tightened and the deep temporal fascia should be sutured and fixed with several stitches to prevent the muscle belly from shifting downward. At this time, the left and right corners of the mouth should be kept symmetrical or the affected side should be slightly overcorrected."

Since the angle of the mouth on the affected side is raised, the excess skin at the nasolabial fold on the affected side should be removed to further raise the angle of the mouth.

Zhong Yu sutured the subcutaneous and deep muscle membranes of the incision with several stitches to reconstruct the nasolabial groove, and then sutured the incision and placed negative pressure drainage.

Finally, she looked at Cai Yizhong and warned carefully:

"The patient can have the drainage tube removed after 48 hours. Routine anti-infective treatment is required after the operation. The sutures are removed intermittently for 7 days. Only after a reexamination after one month is there no problem can functional exercises of the displaced muscles be started."

This was to leave the post-operative care to Cai Yizhong. Cai Yizhong also wanted to observe the patient's postoperative reaction in detail, so he readily agreed.