Dr. Chung’s 90s

She explained all the surgeries she had performed in the past few days to Ji Xueli in detail.

The part involving patient privacy has not been disclosed at all.

Xin Peiming's name was not even mentioned, although Ji Xueli may not know this person.

When hearing her talk about the defective lip, Ji Xueli sighed:
“When I first entered the army station, I also encountered such a case. At that time, the recruit had a secondary vermilion defect in the upper lip after repair of congenital bilateral cleft lip.

A very good young man in all aspects, but he failed because of this flaw.

At that time, the conditions in the station were poor and there were no professional plastic surgeons. In the end, he had to choose to retire. "

Zhong Yu is well aware that there is currently a shortage of skilled plastic surgeons in China, and her personal power is ultimately limited.

Ji Xueli said in a low mood: "I couldn't help at that time. If you were here, how would you handle it?"

Zhong Yu thought for a moment and said seriously:
"According to what you said, I will probably use an island-shaped lip flap with an inferior labial artery arch to repair the upper lip lip defect."

Ji Xueli was puzzled, "Why not use the cross-labial method to repair it?"

After this incident, Ji Xueli was worried about it for a while and also checked relevant information.

Zhong Yu sat back lazily on the chair and explained softly:
"Compared with the cross labial flap, it has more advantages. This method only requires one operation, and can avoid the pain of suturing the upper and lower lips together. Moreover, the anatomical structure is similar, the alignment is more accurate, and the anatomical function is restored perfectly."

After Zhong Yu said this, he said curiously:
"Director Ji is a master of neurosurgery. Shouldn't we pay attention to neurosurgery-related knowledge points? Is it possible that Director Ji wants to be transferred to our department to be my assistant?"

Ji Xueli chuckled and said: "You can consider this proposal. I forgot to tell you. I have been promoted to deputy dean. I may be added to administrative work in the future. I have to understand the relevant professional knowledge of any department." , Only in this way can we make more objective and rational judgments in future work."

I see!Zhong Yu later realized, "Then I have to call you Dean Ji..."

Ji Xueli didn't care about these names. He just moved forward step by step. No matter what position he held, he would always be himself.

His voice was calm and steady: "It should be Vice President Ji! However, I would rather hear you call my name."

Zhong Yu touched her nose and fell silent. Ji Xueli did not embarrass her and continued the topic:
"What are the specific surgical procedures?"

Zhong Yu said with a serious face: "First of all, the surgical design must be carried out. At the junction of the lower lip mucosa and the red lip, use a Doppler blood flow detector or finger touch to confirm the existence and course of the labial artery arch, and use a dragon to The gallbladder mark is drawn up to the corner of the mouth as the pedicle of the red lip of the lower lip.

Then use gentian violet to mark the anatomical landmarks of the lip, measure and record the length from the lip peak, lip valley to the lower edge of the red lip, and the length from the lip peak point to be formed by surgery to the lower edge of the red lip. Design the lower lip including the mucosa, The height of the vermilion flap of the orbicularis oris muscle is equal to the height of the defect, the width of the base is the width of the defect, and the thickness is the full-thickness composite tissue mass including the vermilion, muscle and mucosa. "

Ji Xueli's brows furrowed as he heard this. The preoperative design alone was so complicated, and it was not something that ordinary surgeons could easily master. He did not interrupt, and motioned for her to continue.

Zhong Yu said in a calm tone: "The operation should be carried out under local anesthesia. Draw the line according to the design. Make an incision at the junction of the lower lip mucosa and the red lip from the red lip to the corner of the mouth. First, peel off the lower lip artery on one side. The vascular pedicle of the arch.

The lower lip flap is then incised according to the designed line, and under infraorbital nerve block anesthesia, a wound is formed in the middle defect area of ​​the upper lip. An incision is made from the wound to the corner of the mouth along the junction of the lip mucosa and the lip, and the lip mucosa is incised to the corner of the mouth. It is connected to the incision on the pedicle of the lower lip flap, and the wound edge is separated to form a submucosal open channel.

The lower labial flap and its pedicle containing the inferior labial arterial arch are rotated 180° and transferred to the upper lip. The pedicle is placed in the open channel and the upper lip mucosa is sutured. The lower red lip flap is sutured to the upper lip defect wound edge.

Then the lower lip flap donor area and the mucosal incision after peeling off the vascular pedicle are sutured directly. "

Ji Xueli had some difficulty listening and could barely keep up with her thoughts. Zhong Yu continued:
"After the lip flap transfer operation, the incision bleeds obviously, becomes swollen, and is slightly dark red in color. After 2 to 3 days, the bleeding is significantly reduced, the color is red, and the color is slightly swollen. During this period, in order to facilitate venous return, appropriate post-operative pressure is applied through the skin at regular intervals. Massage the distal end of the flap toward the pedicle."

After hearing this, Ji Xueli smiled bitterly and said, "Privately, I need to do more homework to expand my knowledge reserve."

Zhong Yu understood what he meant and comforted him thoughtfully:
"You don't need to know too thoroughly. Knowing people and making good use of them is the key to administrative work. You are not a god and cannot be perfect."

Ji Xueli agreed very much with her words. He had his own weak links and he also needed to continue to learn and grow.

"I just took over the position of deputy dean and am inexperienced. I'm afraid I'll have to debug it for a while."

Zhong Yu felt that he was very real like this and chuckled:
"I was always a little confused at the beginning. By the time I get back to the hospital, Dean Ji will probably be able to do it with ease."

Ji Xueli was comforted by her, and her heart seemed to be filled with energy, and even her voice was full of joy.

"Thank you Dr. Zhong for your recognition. Please come back after the new year to teach more new recruits. The army needs a lot of backbones."

Zhong Yu said seriously: "I will cooperate with you to do the relevant work."

Apart from the ambiguous relationship between men and women, they are also good partners.

When Zhong Yu hung up the phone, there was already a thick layer of snow on the green plants outside the window.

She was lying on the folding bed in the duty room, feeling extremely at ease and peaceful in her heart.

If you don't think about the ultimate direction of this relationship and think too much about the mental exhaustion, you will only trap yourself in it and be unable to get out.

It is certain that she likes the other person, but she always loves herself more. She has to handle everything by herself. Mental independence is precious.

Because no one disturbed her, she had a good night's sleep as she worked the night shift.

In the morning, Director Tang specially brought hot beef noodles to reward her. After eating enough and getting enough sleep, Dr. Zhong was able to spend the day full of energy.

After breakfast, she went for ward rounds first, then changed Xin Peiming's dressing, and then went to the outpatient clinic to take charge.

It was probably because the snowy weather was slippery and there were not many patients. After seeing the last patient, Zhong Yu was going to the cafeteria to eat. As soon as he stood up, he saw Song Botao standing at the door of the consulting room in slovenly clothes.

He looked a little embarrassed, with blood stains on his clothes, and his face was red from the cold. He saw Zhong Yu rubbing his hands in embarrassment.

Although the marriage of his parents broke up and there was some trouble at his wedding, Zhong Yu would not add insult to injury. She frowned and asked:
"Brother Song, why are you here at the hospital? Is there something wrong at home?"

With her words, Song Botao's embarrassment subsided a little. He rubbed his hands and said bitterly:
"A'yu, nothing big happened at home, it's just that Wang Hui was born prematurely..."

Zhong Yu was startled, "She must be just over eight months pregnant now, why is she so careless?"

Now that it has reached this point, Song Botao has no intention of exposing his family's scandal. He said directly:
"My brother-in-law came over to ask for money from Wang Hui in the morning. Wang Hui refused to push the two of them. The ground was icy and the road was slippery, so he fell and gave birth prematurely. He finally got to the hospital and gave birth to the baby safely. As a result, he gave birth to the baby at the end of the year. There are many pregnant women, and there are no beds in the obstetrics department. You can't sleep in the corridor in this cold winter, so the obstetrician asked me to ask if there is a hospital bed here for Wang Hui to stay."

Zhong Yu didn't want to deal with the Song family. If there were other matters, she would just avoid it. However, the mother had just given birth to a baby and it was a premature baby. It would be too unkind for her not to accept it.

"Okay, I'll give you a hospital bed, and you can ask the nurse to send the person over."

Song Botao smiled gratefully, rubbed his hands that were red from the cold and said:
"Thank you Ayu, I'll go pick them up right now."

Zhong Yu nodded and said nothing more.

Wang Hui's thrilling experience of being born in a fetus, half stepping into the gate of hell, was really frightened.She held her skinny son and felt alive again.

Song Bingkun looked at his little grandson from a distance, feeling very distressed. When Song Botao came back, the family moved the mother and son into the ward as if they were fleeing for safety. Song Botao was so tired that he broke into a sweat.

Song Bingkun, the father-in-law, could only watch his grandson and change his diapers. If anything happened to Wang Hui, Song Botao could only do it himself.

I thought Zhong Yu would ignore them, but she didn't expect that she would agree to open the back door.

At the hospital Wang Hui entered in the morning, the baby had already been born, and Song Meiting didn't show up, so she was probably too lazy to come and help.

After Zhong Yu finished what he was doing, he went to the ward.

Although it was a patient from the obstetrics and gynecology department who occupied their hospital bed, since she agreed, she had to come and ask about the situation no matter what.

As soon as she came over, Wang Hui smiled with a friendly expression, as if she were seeing a relative.

Perhaps because of doing a lot of physical work, Wang Hui recovered quickly and was now able to sit upright.

She said in a weak voice:
"A'yu, I'm so sorry. I have to trouble you to give birth to a baby. If it weren't for you, I would have been freezing in the hospital corridor."

Zhong Yu said distantly: "You're welcome. I happen to have an empty bed right now. It's just a matter of convenience. How are you feeling physically?"

Wang Hui took charge of the family after getting married, and she didn't make any mistakes during her pregnancy, so she looks richer now than before.

She didn't care about Zhong Yu's coldness and said with a smile:
"I have a strong physical foundation and I feel okay now. It's just that my son has lost a little weight."

Zhong Yu glanced at the child, who was indeed quite thin. Song Bingkun held the child expressionlessly and did not speak.

Only now did Wang Hui realize that it was a big loss for their family to miss this capable sister-in-law.

So when she got the chance, she wanted to get close to Zhong Yuduo, and she sighed exaggeratedly.

"It would be great if Dad and Aunt Qin hadn't divorced. I wouldn't be without my mother-in-law to take care of me right now. I wouldn't even be able to eat decent food. I have to take care of everything at home and outside. My biological sister-in-law is away from home all day, so I just follow her. Without her, I would be pitiful."

Song Botao glanced at his father and tugged at Wang Hui's clothes in embarrassment, signaling her to shut up.

Zhong Yu was not in a leisurely mood to listen to her ramblings, and said businesslikely: "If you have any questions, you can go through the corridor to find the obstetrics and gynecology medical staff. I won't disturb the mother's rest."

After she said this, she was about to leave. Wang Hui hurriedly shouted:
"A'yu, I haven't finished speaking yet, don't leave in a hurry."

Zhong Yu frowned and said, "I still have patients waiting, so I don't have time to listen to you."

Wang Hui sat up in a hurry and said, "I want to tell you something serious. Bo Tao had a little tail on the back of his butt when he was born. I want to ask if you can cure it."

Zhong Yu was a little surprised. She had never heard of this matter in the past ten years, and she had kept it a secret.

Song Botao became angry and said: "Why are you bringing this up? I just have an extra flesh ball, it's not as exaggerated as you said."

Song Bingkun also looked ugly and scolded in a low voice:
"You are a brainless person who talks about everything and even loses your man's face."

Wang Hui said unconcernedly:
"If you are sick, you must treat it. This thing is present from birth. Who knows whether it will affect life span. My son is still young. It would be pitiful if the young man lost his father."

Her words made Song Bingkun blow his beard and glare in anger. Song Botao looked at Zhong Yu in shame. He said a little embarrassedly:
"A'yu, that thing on my body has grown thicker and slightly longer in the past few years. It doesn't cause any discomfort at ordinary times. It's just that there is friction when sitting for a long time or when riding a bicycle. It's not very comfortable. It shouldn't be a problem, right?"

Zhong Yu said with a serious face: "I haven't checked it specifically, and I don't know what the foreign object on your body is. If it hasn't grown up and you don't feel any discomfort, you can ignore it, but now it is growing up, then It requires surgical removal and a pathological examination to see if it is a malignant tumor."

When they heard the word malignant tumor, Song Bingkun and Song Botao became nervous.

Song Botao quickly asked: "Then what should I do?"

Zhong Yu treated him as an ordinary patient and patiently said:
"You go and register first, and then I'll help you make an order and do a check first."

Song Botao did not dare to be careless when it was a matter of life and death, and did as Zhong Yu said.

Song Bingkun stopped stopping him at this time, and Wang Hui couldn't help nagging.

"I just said this matter can't be delayed. You father and son are still hiding it so tightly. You are really not clear-headed."

Song Bingkun let her talk. He held his grandson without saying a word and waited patiently for his son to come back.

Because of Zhong Yu's help, Song Botao's test results came out quickly.

She took the checklist and looked at it for a while before saying:
"You have a congenital tail deformity, which is a rare atavistic deformity. There is no abnormal bone development in the sacrococcygeal area. The sacrococcygeal area shows a normal physiological curvature, and there is no bone destruction. It can be treated through surgery."

When Song Botao heard about the operation, he was a little reluctant.

"Can't you just move this thing? It won't hurt anyway."

Zhong Yu said helplessly: "It's growing and it's already affecting your daily life. If you don't cut it off, will you really let it grow into a little tail?"

Song Botao was naturally unwilling to do so. He never exposed this flaw in front of outsiders because he was afraid of being laughed at. If he really grew a small tail, he would not have room to put his face on it.

After careful consideration, he finally gritted his teeth and said:
"I am willing to perform surgical removal, but you have to do it yourself. I don't worry about others."

Zhong Yu has real abilities, but others may not necessarily know that. He doesn't want to be trained by others.

Zhong Yu didn't refuse. The operation was simple and was arranged for him on the same day.

Song Botao didn't expect it to happen so quickly. He was still a little confused after entering the operating room.

Under local anesthesia, Zhong Yu calmly performed the tumor resection along the root of the tumor.

After she cut it open, she could see that the structure of her tail was the same as the skin and subcutaneous tissue of her buttocks.

No bones, cartilage, hair or other special tissues were seen, and the incisions were sutured without tension.

The operation was completed quickly. After coming out of the operating room, they were arranged to stay in the same ward as the couple.

After the medical staff pushed Song Botao into the ward and settled him, Zhong Yu told Song Bingkun:
"The stitches can be removed in about eight days from the wound. When the pathology report comes out, I will inform you of the results." (End of Chapter)