Dr. Chung’s 90s

Zhong Yu paused and looked at Cheng Ye with suspicion. She subconsciously wanted to refuse and said with an indifferent expression:

"I still have something to do in the hospital. If Mr. Cheng has anything to say, you might as well say it here."

Cheng Ye pleaded with sadness on his face: "Doctor Zhong, my grandfather's situation is somewhat special, so I can only trouble you to go there in person."

Zhong Yu has had little contact with the Cheng family for more than half a year. When the hospital opened, she vaguely remembered that Mr. Cheng had someone send him a flower basket. For this reason, she couldn't be too ruthless.

She probed: "But what happened to Mr. Cheng's health?"

Cheng Ye was not as high-spirited as before. He had become much older and said with a tired voice:

"It's not convenient to say too much outside. You can see for yourself and you will know."

Although Zhong Yu didn't ask anything, he guessed that there was a high probability that Mr. Cheng had some physical condition. Since he wanted to see her for medical treatment, he had to go.

She said seriously: "I can only go there for an hour at most. I really can't leave the hospital."

Cheng Ye immediately promised: "One hour is enough. I will personally take you back to the hospital later and I will never delay you."

Zhong Yu finally got into the car with him. The atmosphere on the road was dull and Zhong Yu was a little uncomfortable with it. When he first met Cheng Ye, he was still a carefree young man, but now he seemed to have matured a lot.

Knowing that he had no bad intentions, Zhong Yu simply closed his eyes and rested in the car. He didn't know how long it took for the car to finally stop.

Zhong Yu opened his eyes and looked sideways. The car had already entered the villa. Cheng Ye said without waiting for her to ask:

"This is our old house. My grandfather and I live here now."

Zhong Yu nodded without saying much. He got out of the car and followed Cheng Ye to the house. Mr. Cheng was known as the Ship King and had accumulated countless wealth. Even Zhong Yu could tell that the ornaments in the villa were worthless even if he didn't know the goods. Fei.

She did not look around curiously, but followed Cheng Ye upstairs. When she reached the door of the room, Cheng Ye stopped and whispered:

"Doctor Zhong, please wait a moment. I'll go in and say hello to grandpa first."

Zhong Yu nodded in agreement and stood at the door waiting quietly. Cheng Ye went in and didn't stay long. He came out after a while. After Cheng Ye came out, he said warmly: "Doctor Zhong, my grandfather just woke up. Please come in."

Zhong Yu followed him in with a solemn expression. The curtains in the room were half open and the light inside was dim. Zhong Yu saw the old man sitting on the bedside at a glance.

The old man was very different from the energetic appearance in his memory. He was extremely thin and had a perforating defect in his maxillofacial region caused by radical resection of a malignant tumor, which made him look a little scary.

Seeing her coming, Mr. Cheng cheered up and said, "Thank you, Dr. Zhong, for making a trip. Do I scare you like this?"

Zhong Yu shook his head and said in a relaxed tone: "Old man, you are worrying too much. I am well-informed and your behavior is nothing."

Mr. Cheng laughed in a good mood because of her words. He hadn't laughed in a long time, so his laughter was a little laborious. He breathed for a while before calming down. He said helplessly:

"I'm useless now. I can't even go to have a wedding banquet with Cheng Yuan when he gets married. But I gave him a big red envelope, which can be regarded as my best effort. It's a pity that boy missed you. You just came here to meet me." Now that we have the luxury of our home, it’s still too late to regret it.”

Zhong Yu didn't know whether to laugh or cry. Even at this time, he still had the heart to joke. Zhong Yu had no choice but to refuse again:

"I already have a partner, and I really have no fate with Cheng Ye."

Disappointment flashed across Mr. Cheng's eyes, and he sighed:

"With such a big family business like mine, you will be the head wife when you marry me. I won't live long with my old bones. I will definitely not be an eyesore to you. Do you really want to reconsider?"

Zhong Yu shook his head without hesitation, and she said helplessly: "You came to me just to talk about this? Then I will leave after you finish talking?"

The old man waved his hands quickly and said with some difficulty:

"I'm looking for you to help me repair my face. I can't go out to meet people like this. This brat hasn't established himself yet. I have to wait for two more years and I'll have to trouble you again."

Zhong Yu was not surprised. She said seriously: "What is the specific condition of your illness?"

Cheng Ye had been listening by the side and saw that his grandfather was not in good health, so he took over the conversation and said:

"My grandfather had a perforating defect in his cheek caused by the resection of nasopharyngeal cancer. The attending doctor said that such repair is more difficult. Without the guarantee of repair technology, it may limit the ability of oncology surgeons to perform radical resection of maxillofacial malignant tumors. Worries about the future affect survival rate and quality of life.”

Exactly what Zhong Yu expected, Cheng Ye continued:

"Grandpa and I thought about it, and I still believe in you the most, so I invited you to come home. I wonder how confident you are about such an operation?"

Zhong Yu said seriously: "Show me the old man's medical records first."

Cheng Ye was prepared. He turned around and took out the medical record from the drawer behind him. Zhong Yu took the medical record and studied it carefully. She thought for a moment and said:

"There are many ways to repair the perforated defect of the cheek. If you leave it to me, I will use the lower trapezius myocutaneous flap to make a longitudinally arranged bileaf myocutaneous flap for transfer repair, and a one-leaf myocutaneous flap. As a lining for the mouth, the other leaf myocutaneous flap repairs the facial defect and the surgery is completed in one step.”

Cheng Ye frowned and said, "I don't know much about these professional terms, but my grandfather is old and has undergone resection surgery and is in poor health. I just want to choose the least harmful and easiest surgery for him."

No matter what he was like in the past, he was always filial to the old man. Zhong Yu understood his mood very well and said softly:

"If you believe me, you can go to my hospital for surgery."

Mr. Cheng said: "I will definitely go to your hospital for surgery, but I have to ask you to help me keep the secret. If the news gets out, I'm afraid it will have an impact on the company."

People like Mr. Cheng can affect the future of many people just by stamping their feet. Some things should not be made public. This is good for everyone.

Zhong Yu understood it very well, and she solemnly said:

"Our hospital will definitely do a good job of confidentiality, you can rest assured of this."

Cheng Ye breathed a sigh of relief and said gratefully: "Then I will leave my grandpa's surgery to Dr. Zhong. Can I take grandpa to the hospital tomorrow?"

Zhong Yu agreed without any objection. There are no seriously ill patients in the hospital now. Ye Min's operation has been completed. He just needs to take good care of his health in the future. There should be no conflict with Mr. Cheng.

Mr. Cheng has excellent psychological quality. He is very optimistic and said:

"As long as Dr. Zhong can make my old face look better, I will not be stingy with the surgery fee."

Zhong Yu cooperated: "The Cheng family has a great business, so of course you don't care about this little money. Don't worry, I will try my best to satisfy you."

After talking about the business, Zhong Yu didn't stay long, and Cheng Ye drove her back to the hospital in person. Perhaps because the matter had been resolved, Cheng Ye relaxed a little and said while driving:

"Have you seen Cheng Yuan's wife?" Zhong Yu said calmly: "I saw her at the wedding. She matches him very well."

Cheng Ye didn't take it seriously, "My cousin picked him out after a lot of choices. Not only does he come from a superior family, but he is also a rare virtuous person. He will probably be dedicated to his mother and father for the rest of his life."

Zhong Yu didn't quite understand Cheng Ye's thoughts.

"Don't all men want to find a wife like this? Why are you dissatisfied?"

Cheng Ye sneered and said: "I'm not dissatisfied, I just feel sad for that woman. Now I realize with hindsight that if Cheng Yuan were really together with you, my cousin would not agree."

Zhong Yu had never experienced a relationship between mother-in-law and daughter-in-law, so he had little experience in this aspect, so he acted like he was willing to hear the details.

Cheng Ye continued: "Although my cousin's legs and feet are not flexible, her control over her son is not weak. If you marry Cheng Yuan, you will definitely not be willing to stay at home. How can she control you if you are financially independent?"

Zhong Yu didn't know anything about these things. She was half convinced and doubtful: "Is it possible that Cheng Yuan is still a mama's boy?"

Cheng Ye carefully thought about what Ma Baonan meant and said with a smile: "This word is really appropriate. My cousin is very good at controlling her son. I guess my daughter-in-law will have to listen to her in the future. Don't look at her disability. She is still in charge of their family."

Zhong Yu definitely couldn't give up her career and stay at home to raise her husband and children, so she didn't feel any regret. She said indifferently:

"Isn't this good? At least there are no conflicts between mother-in-law and daughter-in-law, and life is harmonious. Everyone is getting what they want."

Cheng Ye was stunned, shook his head and said with a smile: "I think too much, but you are right. This is a matter of fighting and suffering. Please respect and bless me."

The two of them had nothing to talk about except Cheng Yuan. Zhong Yu wouldn't ask him if there were any sequelae from the previous operation. They both stopped talking. When Zhong Yu got out of the car at the hospital, he drove away.

Zhong Yu always felt that Cheng Ye still had a shadow on her, but it wasn't an important matter anyway, so she didn't delve into it further.

When he returned to the hospital, Zhong Yu called everyone together for a meeting. Cai Yizhong and Guo Pengfei were very distressed after reading Mr. Cheng's medical records. They felt like they had no idea what to do.

Zhong Yu was not in a hurry and drank tea while waiting for them to think. After a while, Cai Yizhong took the lead and said:

“There are many methods to repair perforated defects in the cheek. In recent years, with the widespread clinical application of various pedicled and free flaps, it has become possible to repair perforated defects with single or two muscle flaps and myocutaneous flaps, as reported in the past. Repair using myocutaneous flap + free skin flap or double myocutaneous flap.

Free flap repair surgery is difficult, takes a long time, is expensive, and carries high risks. If an arteriovenous crisis occurs, complete necrosis will occur.

The double myocutaneous flap repair operation is large in scope and requires two donor sites. The operation time is long, the trauma is large, the appearance is bloated, and some flaps require a second stage of pedectomy. Some flap production may leave new scars on the face. Surgical scars. "

Guo Pengfei added: "It is also advocated that the repair of perforated cheek defects should focus on the lining, emphasizing the use of myocutaneous flaps to repair the outer layer and cover it with skin grafts, and use skin grafts to repair the face. This is inconvenient due to concerns about affecting the blood supply of the myocutaneous flaps. For pressure bandaging, only blade-thickness skin grafts or medium-thickness skin grafts can be used, but the appearance is not good.”

Cai Yizhong said distressedly: "This won't work and that will have flaws. How should we deal with this?"

Zhong Yu just wanted them to think about the technique and did not mean to make things difficult, so he said directly:

"I plan to use the foldable lower trapezius island myocutaneous flap to repair perforated maxillofacial defects. The lower trapezius myocutaneous flap has axial blood vessels, a long vascular pedicle, rich blood supply, flexible texture, no hair, and incision On the back, lack of scarring has minimal impact on shoulder function, so I consider this flap to be the flap of choice for penetrating defects in the cheek.”

Cai Yizhong's eyes flashed, and he said excitedly:

“I have read reports before, saying that through microsurgical anatomy study of the trapezius muscle, it was found that the superficial descending branch of the transverse cervical artery supplies blood to the lower part of the trapezius muscle, and is connected with the perforating vessels of the dorsal scapular artery and the posterior branch of the intercostal artery. They anastomose each other and form a cross-regional blood supply. On this basis, it is indeed feasible to design a trapezius myocutaneous flap surgery."

Zhong Yu was very satisfied with what he said. At least he had worked hard in private. Zhong Yu said solemnly:

"The design of the surgical flap is very important. It uses the muscle tissue of the lower trapezius muscle and its surface skin to form a myocutaneous flap. The superficial descending branch of the transverse cervical artery is used as the vascular pedicle, between the spinous process line of the 3rd to 7th thoracic vertebrae and the medial edge of the scapula. Draw a parallel vertical line, which is the body surface projection of the superficial descending branch of the transverse carotid artery and the central axis of the lower trapezius muscle flap.

Taking 15cm above and outside the inner corner of the scapula as the axis of rotation, the flap range is designed according to the distance of the recipient area and the size of the gaping defect, and the position and size of the flap are determined. At the folding site of the myocutaneous flap, the surface layer and part of the dermis of the myocutaneous flap, which is about 15 to 2 cm wide and 2 mm thick, are removed to form two myocutaneous flaps.

Because the skin on the back is thicker and cannot align well with the oral mucosa and facial skin, the skin surface and part of the dermis tissue about 2 mm thick around the two skin islands were dissociated separately to facilitate good alignment with the oral mucosa and facial skin.

At the same time, the distal myocutaneous flap can remove the surface layer of skin and part of the dermis to fill the cavity. Because the lower trapezius myocutaneous flap has a multi-source blood supply, various blood vessels form a rich vascular network under the skin. As long as the subdermal vascular network is not damaged, there will be no significant impact on the distal blood supply of the lower trapezius myocutaneous flap. This is It is the key to the success of the folded lower trapezius myocutaneous flap. "

Zhong Yu drew detailed anatomical diagrams as she spoke. Guo Pengfei and Cai Yizhong listened with great interest. After she finished speaking, they were still not satisfied. Cai Yizhong stood up and said, "I will arrange the surgical materials and medicines right away."

Guo Pengfei felt quite unhappy when he saw that he was putting everything before him, but it was beyond his control, so he could only take a step slowly and said: "I'll go help Cai Yizhong."

Zhong Yu's mind was still stuck in the thoughts just now. She waved her hand nonchalantly and let Guo Pengfei walk out holding her breath.

Cai Yizhong was preparing materials in the operating room. When he saw Guo Pengfei coming in, he said very naturally:

"It's enough for me to be here. You can go and do other things."

These words seemed to step on Guo Pengfei's tail. He said displeasedly:

"Why can you perform in front of Teacher Zhong, but I can't? Who stipulates that you must do these things?"

Cai Yizhong stopped what he was doing and said with a half-smile, "I can't do it unless someone rules? Are you trying to find trouble with me?"

Guo Pengfei was unconvinced and said, "You have to rush in front of me in everything and deliberately make me look worthless. What is your intention?"

Cai Yizhong said with a smile: "You have the nerve to blame me for your inactivity. I didn't stumble you, nor did I deliberately suppress you. How can you get so many opinions?"

Guo Pengfei said displeased: "You compare me to everything, which will make it difficult for me to do anything."

Cai Yizhong didn't have the good temper to continue arguing with him, so he just said softly:

"Look for problems within yourself and don't bother me, otherwise you won't be friends."

Guo Pengfei's breath was stagnant. Looking at Cai Yizhong's busy figure, he finally stopped entangled. (End of chapter)