Dr. Chung’s 90s

Sun Huimei was outgoing and loved to join in the fun. The noise outside made her unable to hold back her temper and wanted to see what was going on.

She said to Ji Xueren:

"I can't do anything here, so I might as well go to Zhong Yu's place and have a look. If the patient's family gets into trouble, I can help."

Ji Xueren's head was full of black lines. He didn't understand what was good to see outside. Her small body wasn't big enough for others to push around if they really made a fuss.

Sun Huimei didn't give Ji Xueren a chance to object at all, and ran away with her leather shoes. Ji Xueren had no choice but to ask Xiao Wei to follow her and protect her.

He turned around and saw Ji Xueli's eyes that looked like he was looking at a joke. Ji Xueren didn't care. He didn't need to pretend in front of his younger brother. He said with emotion: "Zhong Yu is not old, and he is calm and reliable in doing things. You have found a good partner. "

Ji Xueli had an expression of pride. He tucked himself in front of his brother and said in a low voice:

"Zhong Yu's excellence is obvious to all. It has only been two years since she graduated and she has been working now, but her achievements are much more dazzling than mine."

Ji Xueren glanced at his younger brother, stood up and poured him a cup of hot water first. The soup bowl that Zhong Yu fed him earlier had already reached the bottom. He said meaningfully: "It's normal for your younger brother and sister to be so good that they surpass you in career. Over time, Will your mentality be unbalanced?"

The soup just now was a little greasy. Because it was Zhong Yu who fed it, Ji Xueli couldn't bear to refuse. He took a sip of hot water to moisten his throat and then felt a little better. He didn't speak, but Ji Xueren became a little anxious.

"You're not really such a petty person, are you? I know you want to be strong. You still defeated those people as a military doctor in the field army, but a man's competitive spirit should be used outside instead of competing with his wife. What do you think?"

Ji Xueli helplessly held his forehead, his elder brother's temper was getting more and more irritable, he said seriously:

"A daughter-in-law is meant for pain, not competition. I knew this from the first time I fell in love with her. She has unlimited development potential in the professional field and will reach the top sooner or later."

Ji Xueren knew that the third child was rational and cold when looking at problems. Even though he knew Zhong Yu would overpower him, he still chose to be with her without hesitation, which proved how much he loved her.

Most men are arrogant and have strong self-esteem, especially men who are excellent in all aspects. From ancient times to the present, there has been a pattern of strong men and weak women. Not every man can tolerate his wife being stronger than him.

Ji Xueren said calmly: "Since you have been mentally prepared, why do you still look like you are mentally unbalanced?"

Ji Xueli smiled bitterly and denied:

"I'm not mentally unbalanced, I just haven't found a position that suits me. I don't think there's anything wrong with A-Yu being better than me. I like to see her dazzling look. She can fully display her talents. I don't have any My opinion, it’s just that the higher she climbs, the less and less help I can give her. I hope that I will be involved in every aspect of her life. Brother, can you understand what I mean?”

Ji Xueren was not stupid and could naturally understand. He also didn't expect that his proud younger brother would be tempted and unable to extricate himself from the temptation. Now that he said it, he hoped that he could give constructive suggestions instead of False and empty nonsense.

Ji Xueren pondered for a moment and said: "If you want to occupy an indispensable position in her life and career, I'm afraid you have to sacrifice your own career. Zhong Yu opens a plastic surgery hospital. If you want to assist her, you can only change jobs to her." Over there, this will waste what you have learned throughout your life. This sacrifice is too great, do you think it is worth it?"

Ji Xueli said without hesitation:

"It's worth it to me. I spent the first half of my life pursuing what I wanted. I experienced what I needed to experience and got what I needed to get. She is the only goal in my life. I am not a career People who are too big to study medicine are just out of interest, but their true love is nothing compared to their interest. To help her climb to the top and then stand side by side with her, this is what I should do."

Ji Xueren didn't know what to say for a moment. After a while, he said:

"Zhong Yu's hospital is not big, so you don't have to give up your career so quickly."

Ji Xueli shook his head. He did not think that switching to Zhongyu Hospital meant giving up his career. He said seriously:

"A-Yu's hospital will expand sooner or later. When she needs administrative talents, it won't be too late for me to change jobs. Now I will still stay at the Military General Hospital. Of course, these are just plans for the future, so don't worry. "

Ji Xueren nodded and said openly:

"As long as you feel good about it, it doesn't matter. Anyway, each person has his own way of life, and the most important thing is that you two live happily."

Their family is relatively well off financially. Although their father is in a high position, he is not a man who is greedy for power. The children in the family are all well-off.

Ji Xueli can do whatever he wants, and his family will not interfere too much.

On the other side, Sun Huimei hurriedly caught up with Zhong Yu. She did not interfere with Zhong Yu. She just looked through the crack in the door of the emergency room. The patient had just been sent in, and she happened to see the bloody scalp. It was so exciting that she turned pale with fright and almost fainted.

Fortunately, Xiao Wei came in time, supported her, and said anxiously: "Sister-in-law, be careful!"

Sun Huimei bent over and retched twice in discomfort, and said with tears in her eyes:

"I don't want to read anymore. It's too scary. I really can't stand it..."

Xiao Wei didn't know whether to laugh or cry, "Who asked you to look in? I don't dare to look at the bleeding person."

Sun Huimei took a while to feel better, and she sighed:

"Zhong Yu is really not simple. This scene is not something ordinary people can bear."

Zhong Yu had no idea that Sun Huimei was still following her. As soon as she entered the emergency room, Zhou Ze said very fast:

"Mr. Zhong, the patient was admitted to the hospital in the emergency department 6 hours after the scalp avulsion injury. During the examination, she was conscious and pale. The entire scalp was completely avulsed, affecting the forehead, eyebrows, upper eyelids and the upper edge of the right helix."

The expression on Zhou Ze's face was extremely unbearable when he was talking. Apart from him and Zheng Jun, there was also a middle-aged man with an unfamiliar face. The man's attention was always on Zhong Yu. Seeing her strange look, he added:

"The scope of the patient's avulsion is from about 1cm above the upper eyelid margins on both sides to the root of the nose, from the upper edge of the auricle on both sides, from behind the ears along the hairline down to the nape hairline. Such a large wound area can It’s not a joke, don’t show off if you can’t do it.”

Zhong Yu only glanced at him and ignored him. She used to work in the Military General Hospital, and she had to deal with Du Jin as a colleague and it was difficult to get things done. What does this person have to do with her.

Zhong Yu directly inspected the patient's wound, and then said to Zhou Ze and Zheng Jun:

"The patient's scalp avulsion was relatively complete. There were two full-thickness lacerations on the parietal and occipital areas, with lengths of 6cm and 3cm respectively. Scalp avulsion is a severe head trauma. Conventional treatment often leaves permanent baldness and deformity. It causes serious physical and psychological trauma to the patient. Microsurgical technique for scalp avulsion and replantation is the best way to treat scalp avulsion injury. However, due to the complexity of the operation, it is rare for complete scalp avulsion and replantation to be successful. The difficulty is a bit high, you two will be my assistants and we will perform the surgery immediately."

She ignored the new doctor Wei, which made Zhou Ze feel happy. The idleness he had been suffering recently had dissipated a lot, and he and Zheng Jun agreed in unison.

Doctor Wei reached out his hand to stop Zhong Yu in displeasure and said angrily:

"You are not a doctor in our hospital, so what qualifications do you have to operate on patients? Can you take responsibility if something goes wrong?"

Zhong Yu said expressionlessly: "If I don't operate on the patient, can you operate on her?"

Doctor Wei's face turned red and he said, "I have no experience in performing this kind of surgery. I can't cure it..."

Zhong Yu sneered: "You can't do it and you don't let me take action. Do you want the patient to fend for himself?" Dr. Wei shook his head quickly and muttered:

"That's not what I meant. What you did was wrong and violated the hospital's rules and regulations..."

Zhong Yu looked like a fool and didn't bother to waste words with him. He directly asked Zheng Jun to explain to him. Zheng Jun had also suffered from Wei Ming's cowardice during this period. He said meaningfully:

"Mr. Wei, Dr. Zhong was personally requested by Dean Luo to treat the patient. Ms. Zhong's previous external contract has not yet expired, so as long as the director approves, her treatment fully meets the requirements."

Wei Ming didn't know this. His face turned blue and white from embarrassment, looking like a clown. Zheng Jun ignored him after he finished speaking and hurried over to give Zhong Yu a hand.

Zhong Yu asked Zhou Ze to shave the patient's hair first and then soak and disinfect it for later use.

The operation was performed under general anesthesia. Even if she lost consciousness, the patient's brows were furrowed. It was obvious that she was in pain. This pain was not only physical but also psychological.

Zhong Yu leaned into her ear and whispered: "Don't worry, I will cure you."

After calming down the patient, Zhong Yu covered the head wound with the sterile avulsed scalp in situ.

Then we began to dissect and separate the left superficial temporal blood vessels. We saw that the parietal branch of the superficial temporal artery was severed about 5cm above the tragus, with a diameter of about 12mm. The superficial temporal vein accompanied the superficial temporal artery, and the distal ends of the blood vessels were all located at the avulsion point. Within the scalp.

After properly separating the blood vessels, trim the broken ends and anastomose the superficial temporal arteries. After seeing that the blood supply of the avulsed scalp was restored and there was active bleeding at the wound edge, the superficial temporal veins on both sides were anastomosed and the auriculotemporal nerves on both sides were sutured.

After suturing, she checked that the blood supply of the replanted scalp was good, placed two negative pressure drainage tubes under the scalp from the forehead to the occiput, and then sutured the skin.

Zhong Yu wore a mask and was immersed in the operation. Wei Ming did not leave his silent side to observe. He watched the cold sweat on his forehead unconsciously fall down, and his eyes changed when he looked at Zhong Yu.

Zheng Jun smiled mockingly at the corner of his mouth. Some people just don't have self-awareness and don't let him see how powerful Teacher Zhong is. He really thinks he is so amazing.

Zhong Yu was very focused during the operation, but she did not miss the opportunity to teach Zheng Jun and the others. She said in a calm voice:

"Several issues regarding replantation of avulsed scalp need to be emphasized. The first one is the indication. After the scalp is avulsed, if the avulsed scalp is basically intact, there are no serious squeezes or lacerations, and there is temporal space for anastomosis. For the superficial arteriovenous system, the avulsed scalp should be replanted as much as possible. If these conditions are not met, when the periosteum is intact, it is best to repair the avulsed scalp into a medium-thickness skin graft to repair all the wounds. Do not leave it without treatment. Sew it back in place.”

Zheng Jun and Zhou Ze nodded in agreement, Wei Ming also listened seriously, and Zhong Yu continued:

"The second point of vascular anastomosis, total scalp avulsion and replantation, usually anastomoses the superficial temporal artery and superficial temporal vein. The superficial temporal artery divides into a parietal branch and a frontal branch about 5cm above the tragus. The parietal branch runs on the surface of the superficial temporal fascia. The frontal branch runs under the skin of the forehead and is accompanied by a branch of the superficial temporal vein.

In patients with total scalp avulsion, the parietal branch is usually relatively intact on the avulsed scalp, while the frontal branch is located under the skin and has no fascial tissue support. It can remain on the forehead or on the avulsed scalp after scalp avulsion.

Therefore, the parietal branch of the superficial temporal artery and accompanying veins are usually anastomosed during scalp replantation. It is generally required to anastomose the superficial temporal arteries and veins on both sides. "

Zhong Yu paused before continuing:

"Today, this patient first anastomosed the left superficial temporal artery and vein and observed that the blood supply to the scalp was good. But now you are seeing that the replanted scalp is darker in color. How to deal with this?"

Zheng Jun said thoughtfully: "The color of the scalp is dark, it is considered that the blood supply of the arteries is insufficient."

Zhong Yu nodded, and she quickly and neatly transplanted and anastomosed the right superficial temporal artery in the subcutaneous vein about 2cm on the back of the patient's hand, which improved the blood supply to the scalp.

After Zhong Yu finished it, he said: "When encountering similar situations in the future, it would be beneficial to anastomose the superficial temporal arteries on both sides on the premise of anastomosing as many veins as possible."

Zheng Jun and Zhou Ze responded repeatedly, Wei Ming also looked thoughtful, and Zhong Yu said calmly:

"The last point is the issue of postoperative drainage. According to my experience, good postoperative drainage is a crucial part of the success of scalp replantation. There is more bleeding after scalp replantation and it is easy to form a hematoma under the scalp.

The hematoma itself blocks the blood supply between the replanted scalp and the recipient bed, and the toxins produced by the hematoma can directly lead to scalp necrosis. The drainage volume of our patient after surgery reached about 1500ml. If the drainage is not smooth, the consequences will be disastrous. "

When the three of them thought of this situation, their faces became serious. Zhong Yu said calmly:

"Position after surgery is also very important. Patients with scalp replantation should adopt a semi-sitting position after surgery, with the neck elevated to avoid direct pressure on the replanted scalp, and the drainage tube should be kept unobstructed. For 1 to 5 days after surgery, every day The drainage volume is about 210~310ml, and will gradually decrease thereafter. The drainage tube can be removed on the 10th day. I can’t stay here every day, and you two can’t be careless.”

Zhou Ze immediately assured: "Don't worry, Teacher Zhong, I will follow up on the patient's postoperative care."

When Zhong Yu saw that the patient's physical parameters were becoming stable, he pulled down his mask and said:

"The patient can be sent out."

The operation was successful and did not take very long. It seemed to be done easily, but that was just because the person who performed the operation was Zhong Yu. Watching her leave, Wei Ming subconsciously pulled Zhou Ze and asked:

"Has this Dr. Zhong always been so powerful?"

Zhou Ze never hesitated to show off to Zhong Yu. He proudly said:

"Mr. Zhong's every surgery is perfect and can be used as a teaching observation site. What you learn from following her will definitely be more useful than you will ever have. You have only seen the tip of the iceberg, so don't be too reassured."

Zhong Yu's performance had such a strong impact on Wei Ming. He was unique in his original unit and had always been an elite backbone. Why did Dean Luo always show dissatisfaction with him after arriving here? look.

Only now did he realize that with a gem like Zhong Yu in front of him, he was more than a little behind. Thinking of his inexplicable sense of superiority in front of Zheng Jun and Zhou Ze, he felt ashamed and angry.

Zhong Yu didn't know that she had brought a shocking baptism to Wei Ming's soul. She was stopped by the patient's family members as soon as she came out of the operating room.

"Dr. Zhong, how is my wife? Was the operation successful?"

Zhong Yu always treats men with affection and righteousness more favorably. She said warmly:

"The operation was successful. Just take care of it carefully after the operation. The doctor will teach you how to do it. Don't worry too much."

The man finally felt relieved after hearing her words. He saluted with excitement and said loudly:

"Thank you Dr. Zhong for your wonderful rejuvenation!"

Zhong Yu was stunned for a moment, then said in a low voice:

"You're welcome, this is what I should do."