Dr. Chung’s 90s

Chapter 64

The female doctor became angry and was about to rush to argue with Zhong Yu when her arm was grabbed by Fang Hao.

He pulled her forcefully into the back seat of the car and warned in a low voice:
"If you dare to cause trouble, get back here!"

A seemingly gentle and shy man, but when he gets angry for no apparent reason, it makes people feel sinister.

The female doctor Dong Qian was frightened by him and froze on the spot.

Yu Jianshe crossed his arms and watched a good show, with a playful smile on his lips.

When Zhang Yunfei heard the noise, she turned her head and looked back. Guo Pengfei rudely flicked her on the head.

He said with a tigerish face: "Don't look blindly!"

Zhang Yunfei stuck out his tongue and retracted his head knowingly. The car was silent for a while.

Zhong Yu leaned on the seat and closed his eyes to rest. Zhang Yunfei was quiet for only two seconds and then leaned into Zhong Yu's ear and asked quietly:
"Doctor Zhong, what kind of surgery do you think the Military Region General Hospital will arrange for you?"

Zhong Yu closed his eyes and shook his head.

"I don't have a clue. Let's adapt to circumstances. Just do your job well and don't worry about anything else."

Zhang Yunfei shrugged, she was not worried, just bored.

She got up too early in the morning, so it was understandable that Zhong Yu took this time to squint for a while. Zhang Yunfei didn't dare to disturb him anymore, so he simply closed his eyes and rested like her.

The bus drove for half an hour before it finally stopped. When it arrived at its destination, Zhong Yu was still awake.

Zhang Yunfei shouted in a cheerful voice: "Doctor Zhong, we have arrived at the Military Region General Hospital."

Although Zhong Yu closed his eyes, he did not enter a deep sleep and woke up whenever there was any movement.

Yu Jianshe walked past her and said cheerfully:
"Sister, you have such a big heart. You can sleep so soundly in the car. You are really not nervous."

Zhong Yu lazily stood up from his seat.

"I feel a little uncomfortable sleeping in bed, and I can still squint for a while when I'm swaying in the car."

Fang Hao followed her at some point and suggested with a smile:
"If you are not used to sleeping in hotel rooms, consider changing the sheets and quilts. It may be better if you have a familiar smell."

Zhong Yu said helplessly: "I am using the sheets I brought from home, but unfortunately the effect is not very good."

Dong Qian followed closely behind Fang Hao and muttered angrily:
"Some people are just pretentious. They don't have the destiny to be a princess but suffer from princess diseases."

This woman is ridiculous. She keeps making trouble over and over again. Zhong Yu doesn't have the heart of a holy mother, so he can't spoil her.

She replied with a half-smile:
"I'm so sorry. I really don't have the destiny of being a princess, because I am destined to be a queen. How can you bite me if you are not convinced?"

Zhang Yunfei saw the excitement and agreed without taking it too seriously:
"It's just~ It's okay to chase after others like a bitch. When you see someone better than you grabbing and biting, you're really in a panic."

Dong Qian's eyes were red with anger from the two of them, and she rushed to Zhang Yunfei fiercely to tear her mouth apart.

Zhong Yu pushed her away and warned Fang Hao coldly:
"You can't even control your own team members, so you might as well go back and hide behind the teacher and do it, don't come out and embarrass yourself."

She was merciless in her words, and Yu Jianshe didn't mind seeing the excitement and ran over to support her.

"Dr. Fang, your unit is very protective. You have to navigate the world of adults on your own. Hiding behind women is nothing."

Guo Pengfei and Wei Fan immediately ran over and protected Zhong Yu and Zhang Yunfei tightly. In case of any emergency, they had to ensure that the lesbians would not be harmed.

Fang Hao was not angry. He ignored Yu Jianshe and sincerely apologized to Zhong Yu.

"I'm sorry, Dr. Zhong, it's my colleague who is emotionally unstable and speaks erratically. Don't worry about it."

Zhong Yu found that Dr. Fang was a bit interesting. He was so patient. He was probably a thoughtful person.

She accepted the apology graciously.

"It's better to be kind to others when you go out. It's time for us to go in."

This little friction is nothing. Except Dong Qian, no one takes it seriously.

The group followed the staff into the small conference room inside the hospital.

Dean Luo was already waiting inside, and everyone greeted him as soon as they entered.

Dean Luo was wearing a white coat today. Compared to yesterday, he was less imposing and looked a little gentler.

He waved everyone to take their seats and said straight to the point:
"I am very happy to meet three elites in the industry. Today's surgical on-site demonstration has a tight schedule. You will randomly enter the outpatient room later, where there are waiting patients. I will give you all the morning to formulate a surgical plan. The plan is ready for communication. It will be reviewed by a team of experts, and if it passes, the surgical demonstration can begin. Those who fail will have to be unfortunately eliminated. During the operation, there will also be experts to strictly control the operation, and they will be removed immediately if the operation is inappropriate."

Dean Luo explained the rules without any emotion. He looked at Zhong Yu specifically, as if asking her if she understood.

Zhong Yu quickly nodded obediently, raised her hands and asked:
"Except for our chief surgeon, for the rest of the auxiliary staff, are your people going to help, or are our own members coming to help?"

Guo Pengfei looked at him nervously, and Dean Luo had a slight smile on his face. He said in a low and deep voice:
"If you have enough team members, you can do it yourself. If there are not enough people, the medical staff of our hospital can do it for you. You don't have to worry about their lack of ability."

Zhong Yu smiled and put down his hand, and Guo Pengfei and Wei Fan were also very happy.

Dean Luo glanced around them, confirmed that they had no other problems, and announced, "Let's start now."

As soon as he finished speaking, staff led them to the clinic.

Zhong Yu's eyes were full of curiosity. She was not nervous, but eager to give it a try with anticipation.

After everyone left, a person wearing casual clothes and with a very low presence next to Dean Luo asked:
"Are you more optimistic about the young Dr. Zhong?"

Dean Luo was noncommittal and said quietly:
"Judging from the information we have received so far, this Dr. Zhong is the best, isn't he?"

The man said with skepticism: "As far as I know, the field of surgery is not the strong point of female doctors. Their physical endurance is not as good as men's, let alone their skills. I believe more in the strength of male doctors."

Dean Luo shook his head and laughed, "When did you become so pedantic? There are capable people regardless of gender. Just wait and see her wonderful performance."

After saying that, he strode away. Dean Luo was not a leisurely person. He still had a lot of work to take charge of.

Zhong Yu, on the other hand, arrived at the door of the clinic with full curiosity. There were exactly five clinics in this row. The doors and windows of each clinic were closed, and no one knew what kind of patients were waiting inside.

Yu Jianshe touched his chin and asked loudly: "How should we choose? Can we choose casually?"

The male doctor who brought them here said with a smile:
"Whatever you choose, but there is no room for regret when you open the door." Zhong Yu didn't care, she took the first step forward.

"Then everyone can choose whatever they want. I'll choose Clinic No. 3 right in front of me. Do you have any objections?"

Yu Jianshe waved his hands quickly, but Fang Hao didn't care. They believed that Dean Luo was fair and the patients would not be too different.

Zhong Yu stepped forward and gently opened the door of the consulting room, only to see a young mother sitting inside holding her child.

The child was asleep. He looked to be no more than four or five months old. He had beautiful features and beautiful features. Unfortunately, he had a complete bilateral cleft palate and a cleft lip.

Zhong Yu stepped forward and touched the little guy's soft fetal hair distressedly, and asked softly about the child's physical condition.

Congenital cleft palate is a very common disease in oral and maxillofacial developmental malformations. Surgery plays an important role in the sequential treatment of cleft palate. Surgical repair is still the basic treatment method. Successful initial surgery is very important for children with cleft palate.

Zhong Yu took the child from the young mother and conducted a detailed examination for him. After observing the morphological characteristics of the cleft palate, pharyngeal cavity, and soft palate, he determined the surgical method. Those who needed to retract and lengthen the soft palate would use two-flap retraction surgery. Simple is better.

While Zhong Yu was busy, the others were also performing their duties.

Their division of labor was clear, and a surgical plan that was effective and most suitable for the patient was quickly produced.

The expert group that reviewed the plan was not only invited from various places, but also the chief physician of the Military Region General Hospital.

Everyone compared the patient's various examination reports and carefully looked at the surgical plan, but could not find any omissions.

Although some people were unconvinced and wanted to find fault with the situation, none of the chief doctors appointed by Dean Luo were vegetarians.

In the end, Zhong Yu's plan was unanimously approved. She was the first to pass and was the first to perform the surgery demonstration.

The Military General Hospital has a sterile operating room specially prepared for surgical demonstrations, and the procedures are broadcast live with cameras for everyone to watch.

Zhong Yu's team members performed aseptic disinfection and entered the operating room. Wei Fan first inserted a RAE tracheal tube into the patient's mouth and used intravenous-gas combined anesthesia.

Cleft palate repair surgery in infancy should not only pay attention to minimally invasive surgery, but also repair the soft palate muscle ring.Zhong Yu used Lan's or two-flap pushback, a low-invasive, fast, and simple surgery to restore the integrity of the levator veli palatini muscle ring.

Wearing a mask while working, her face cannot be seen clearly, but her concentration is fascinating.

Because the baby's oral cavity is small, the orotracheal intubation and the mouth opening device placed in the mouth make the surgical operating space very limited.

She used the Digman mouth opener to obtain a stable opening of at least 3cm, thereby obtaining a good field of vision. She pressed the endotracheal tube against the surface of the tongue and fixed it in the groove of the tongue depressor.

Then use a high-frequency electric knife to complete a hard palate relaxing incision on the top of the alveolar ridge along the arc of the dental arch, with an incision depth of 2 mm.

She is quick and steady, and even the veteran doctors with rich clinical experience may not be as good as her.

Most children with cleft palate in infancy are edentulous, and the area of ​​the pure mucoosseous flap on the palate is small. If a conventional incision is made, the sum of the widths of the bilateral mucoperiosteal flaps is usually not much different from the width of the cleft.Therefore, it is necessary to remove part of the alveolar ridge mucosa that is closely attached to the alveolar bone.

She injected a small amount of normal saline into the superficial muscle layer at the turning point slightly anterior to the uvula root on the cleft edge. After eliminating the depression, she made an incision on the cleft edge to 1 to 2 mm in front of the uvula tip.

Ni Hui's eyes widened and he moved to the front to watch. He did not blink, for fear that Zhong Yu would make a mistake.

Zhong Yu was unaware of his concerns. She quickly peeled off the mucoperiosteal flap, released the greater palatine neurovascular bundle, and sharply dissociated the 05-1cm mucoperiosteal flap for electrocoagulation to stop the bleeding.

Then use the dissector to slide along the bone surface until the posterior edge of the hard palate sinks between the bone and the muscle. About 1 to 2 mm below the hard palate plane, the nasal mucosal surface is pushed forward to separate the muscle bundles by 05 to 1 cm, and the bilateral sutures are aligned to form a lift. muscle sling.

Guo Pengfei cooperated with her tacitly, and the two flap surgeries transected the nasal mucosa 15cm in front of the posterior edge of the hard palate, and fully retracted the two flaps.The mucoperiosteal flap fits the palatal vault and is sutured and fixed to the vomer bone flap and bilateral alveolar ridge mucosa. The loose incision is not packed.

The patient's operation went very smoothly and the cleft was closed without tension.The operation took about 55 minutes, and Zhong Yu was in good spirits when he came out.

Ni Hui greeted him with a smile on his face and praised generously:
"The operation was completed perfectly. Your skills are not inferior to mine."

Zhong Yu took the water glass handed over by Cheng Yuan, drank some water to moisten his throat, and then said modestly:
"The teacher praised me too much. I still have a lot of room for improvement."

Ni Hui's mood was a bit complicated. It was a good thing to be better than the original student, but his student was so good that he couldn't help but feel a little disappointed because he no longer had the ability to teach him.

Cheng Yuan smiled at her and said, "Go and change your clothes first. The surgeries of the two following people have just started. You can go and observe and learn."

What he said was correct. Zhong Yu came here with the attitude of learning from each other.

She said goodbye to Teacher Ni and went to change clothes with Zhang Yunfei.

The people at the scene who had previously looked down upon her and questioned her now looked at her with awe.

For such a young surgeon with such achievements, according to her development momentum, she will become a great talent in the future and will become a leader in the industry sooner or later.

When the disparity in strength is too great, most people no longer think about suppressing the other party, but can instead face her abilities with a normal heart.

Zhong Yu changed his clothes and came out. Yu Jianshe's operation had already begun.

The nasal defect repair surgery he mentioned was a case that Zhong Yu had never encountered in clinical practice, so he was very interested in it.

Cheng Yuan looked at her seriously and pulled her to find a seat closer to the front.

Yu Jianshe's patient had a nasal defect after resection of a malignant external nasal tumor. For such repairs, pedicled forehead flaps, posterior full-thickness free skin grafts, and pedicled forearm flaps are often used for repairs.

Although Yu Jianshe looked indifferent when he spoke, he was serious on the operating table.

He asked the patient to lie supine, and drew the resection line 5 to 7 mm away from the tumor. He also drew an island flap tangent line in the nasolabial groove on the side that is as large as the skin defect area on the contralateral side. Equally large.

The skin and mucous membranes of the surgical area are routinely disinfected and sterile towels are laid. Under local anesthesia and enhanced anesthesia, the tumor is removed along a safe range along the tumor resection mark, and the defect is trimmed by ligation to stop bleeding.

Zhong Yu was watching intently when a cold and solemn voice suddenly came from his ears.

"If it were you, how would you perform this surgery next?"

Dean Luo stood behind her at some point.

Is this an additional question after the surgical demonstration?Zhong Yu cursed in his heart, but still answered honestly:
“I will first cut one side of the nasolabial groove island flap to the subcutaneous part and separate the subcutaneous part to the orbicularis oris muscle. Using part of the orbicularis oris muscle and branches of the labial artery as the pedicle, I will make a tunnel from the donor area to the recipient area. The pedicled skin flap is introduced into the skin surface of the affected area to match the nasal cavity and nasal vestibule.”

Yu Jianshe happened to do what she said. Zhong Yu frowned and continued:
"Then the contralateral nasolabial groove island flap is cut through the skin and separated to the medial canthus. Using the branch of the medial canthal artery as a pedicle, a subcutaneous tunnel is made from the donor area across the dorsum of the nose to the recipient area, and the pedicled skin flap is introduced to the contralateral side. The recipient area is sutured to the defective surface of the external nasal skin. Then the wound in the nasolabial groove donor area is trimmed and sutured, the nasal cavity is packed with Vaseline gauze wrapped around the ventilation tube, and the external nasal incision and bilateral nasolabial groove incisions are wrapped with dressings."

She told the operation plan so easily, and Yu Jianshe did exactly what she said.

Zhong Yu frowned with some dissatisfaction. The patient's skin flap did not fit well with the nasal vestibule and was not adjusted and leveled.

In addition, the tension-free suturing of the recipient area and the donor area is not very precise, and the scar may be somewhat obvious after healing.

(End of this chapter)