Dr. Chung’s 90s

After Ji Xueli separated from Zhong Yu, she kept thinking about her.

He was very grateful to God. If she hadn't appeared, he would have died alone.

Ji Xueli is not a person with strong empathy. Even when he gets along with his parents, he has never developed a strong sense of attachment.

In his mind, gatherings, separations and separations are normal in life, and he does not need to pay too much attention to them, so he can stay away from home for two or three years to work.

But when Zhong Yu came here, everything became different.

He really didn't like the feeling of powerlessness when he was thousands of miles away from his lover, and he greedily wanted to appear in front of her all the time.

Ji Xueli understood that such greedy possessiveness was not a good sign, but he was a little unable to control himself.

It was his intention to issue the transfer letter in advance. There were too many variables in half a year. He knew very well that Zhong Yu had an indifferent personality and not many people could really get into her heart. Only by staying by her side and accompanying her at all times could he feel at ease.

Ji Xueli was physically exhausted but in good mental condition. In order to ensure the quality of his work after returning, he still slept lightly on the train for a few hours. When the train arrived at the station at almost five o'clock in the morning, it was already dawn.

Doctors probably have some mysophobia. The air on the train was not circulated well, and he always felt like he was smelling something. He even felt uncomfortable wearing his clothes. He desperately wanted to go home and take a shower and change clothes.

Ji Xueli got off the train and went straight to the parking lot, where his car was parked.

He was speeding all the way, and when he arrived at the door of his house, he found that the lights were on. He was sure that he had turned off the lights before going out.

He held the steering wheel and frowned slightly. He didn't know who had entered his house. He only gave Dean Luo one of the spare keys to the house.

I got out of the car, grabbed my belongings, locked the door, and strode home.

He opened the door with the key expressionlessly. As soon as he stepped in, he saw Chief Ji, who should be staying in the capital at this time, sitting on the sofa and reading the newspaper.

When Chief Ji heard the movement, he looked towards him and asked with a straight face:
"Didn't you say you're very busy at work? Why are you so busy going to Haishi to see your friends? I see that you don't have your parents anymore. Please tell me the truth and you won't go home for anything!"

Wei Lan heard the noise in the kitchen and hurried out. He was very happy to see his son and said to smooth things over:
"You're going to yell at your son as soon as he comes back. Can't you wait until he's rested?"

Chief Ji placed the newspaper in his hand heavily on the sofa and said angrily:
"You are still protecting this unfilial son. His parents don't care about him when he is busy, but now he still has time to visit his friends. If we hadn't come here, we wouldn't have known about this at all. How can friends be more important than parents? I think He is an unfilial son."

Ji Xueli did not panic. He put down the things in his hands and said calmly:
"Why didn't you call in advance when you were coming? I didn't go to Haishi to meet friends, I went to find my sweetheart. Aren't you always complaining that I don't have a partner? Now I have."

When Wei Lan heard what his son said, he smiled from ear to ear, took his son's hand and asked eagerly:
"Are you really dating? Don't you lie to mom?"

Wei Lan is a serious capitalist lady. She has been gentle and virtuous all her life. She rarely gets so excited.

Her youngest son was indifferent by nature, and many outstanding girls in the capital could not catch his eye. To be able to say these words from his mouth was like the blossoming of an iron tree.

Chief Ji stopped asking questions. He approached his son and asked, "Are you telling the truth? Aren't you looking for an excuse to lie to me?"

Ji Xueli took a step back in disgust and said calmly: "Do I need to lie to you? You can't do anything to me."

This is true. Although the younger son has a big idea, he will never lie.

He immediately asked: "Which girl are you dating? How old are you? What kind of job do you do?"

Wei Lan laughed and scolded: "You are checking the household registration. There is definitely a girl that our son can like. Tell me quickly, what kind of girl is she?"

Ji Xueli smiled at his mother and said to Yourong:
"A'yu is a surgeon like me. She is a top student who got her doctorate at the age of 24. She is also a leader in the field of plastic surgery. She has a steady and down-to-earth temperament. You should like her."

Although Chief Ji has a bad temper, he is not pedantic. Hearing his son’s introduction, he exclaimed with admiration:
"A female surgeon who can become famous at the age of 24 is quite remarkable."

Wei Lan was very happy after hearing this. She said excitedly:
"It's better to find someone who has the same goals as you! Modern women can no longer just run a house, they still have to go out and have their own career. Mom likes such outstanding little girls!"

Chief Ji was also quite satisfied, but he couldn't see his son's complacent look and couldn't help teasing:
"At your age, you are too old for many people. An old cow can eat young grass without fear of being disliked by others."

Wei Lan slapped Chief Ji in displeasure and said angrily:
"What nonsense are you talking about? How come Xue Li is an old cow? Only when he is older can he take care of others."

She turned around and told her son worriedly: "You also need to change your temper. You can't be cold and stinky to others. You need to be more tolerant and protective of each other."

Ji Xueli laughed softly, rubbed his temples and said, "Mom, don't worry, I understand everything."

Chief Ji frowned and said, "You went to Haishi to visit someone. Is it possible that you two are having a long-distance relationship? This is not a long-term solution. What if someone cuts you off if you are not by your side?"

Wei Lan also became nervous, "Xue Li, how about you transfer your job to Haishi? It's more important to protect your wife."

Ji Xueli held her forehead and laughed, "Okay, you two, don't worry about my emotional problems. A-Yu will be transferred to the Military General Hospital after the new year. When the time comes, she will be by my side, and I will take good care of her."

When Wei Lan heard what his son said, Lao Huai comforted him, "That's right. You finally figured it out. When you get married and start a family, your father and I will complete our mission."

Ji Xueli didn't know whether to laugh or cry. He said helplessly: "We have just started. She is young and has her own career plan. It is up to her whether to get married or not. I will not put pressure on her because of this, and don't scare people away."

Chief Ji saw that his son was deeply in love. Although he had not met her yet, he knew that she must be a real person. It was not easy to control his son. He thought of Dean Luo's attitude at that time. smile.

"Do you, Dean Luo, know about this?"

Ji Xueli nodded without concealment, "He was the first to know. What's wrong?"

Chief Ji waved his hand and said with a smile: "He deliberately tried to hide his secrets from me in a mysterious way."

Ji Xueli glanced at his watch and said, "How many days are you two going to stay this time?"

Chief Ji leaned back on the sofa and said matter-of-factly:
"Your mother and I came here specially to celebrate the New Year with you. If you don't go home, we have to come to stay with you."

Wei Lan took over the conversation and said: "The temperature in the capital is too low and makes people uncomfortable. There are many New Year's events in the courtyard, so I simply leave everything to your sister-in-law. It's just a good time to stay with you."

Ji Xueli didn't have any objections. "You two can do whatever you want. It's up to you to do whatever you want. It's getting late. I have to take a shower and change clothes to go to work."

Chief Ji nodded nonchalantly and picked up the newspaper again to read. Wei Lan said anxiously:
"I've just entered the house and my butt is not hot from sitting. Why do I have to go to work again? It's so tiring to take the train all day."

Ji Xueli said nonchalantly: "There are many things going on in the hospital, so I can't go without going. I rested well on the train, so don't worry."

After saying that, he hurried upstairs. Wei Lan wanted to follow him and have a look, but Chief Ji said:
"Don't worry about him. You should do your job well. If you have time, you might as well pack two buns for him to take with him. This brat must not have had breakfast yet."

Only then did Wei Lan come to his senses and hurried to the kitchen.

When they were in the capital, their aunt cooked the food at home. When their son came here, they thought that the old couple had nothing to do, so they just left the aunt alone and cooked. Wei Lan had never gone out to work in his life, so he could make some home-cooked meals. Don’t be afraid to come here and go hungry.

When Ji Xueli changed her clothes and went downstairs, she also packed the buns.

"The buns were made yesterday. Eat some while they're hot to fill your stomach. Don't forget to call Ayu to let her know she's safe."

Ji Xueli smiled and nodded in agreement, took the things and left in a hurry.

Zhong Yu was busy with work and couldn't think of Ji Xuelia at all.

He doesn't really care when he gets home. Anyway, he is such an adult that he can't take care of himself.

Because of the gas explosion emergency, more patients came to the hospital for treatment, so Director Tang specially called everyone together for a brief morning meeting.

Everyone briefly explains the conditions of the patients they have admitted, and if there are any difficult problems to solve, they can bring them up for discussion.

After everyone else had finished talking, Zhong Yu started to talk about Cheng Lian's situation.

She had already drafted the surgical plan in her mind, and she had no doubts about it. She proposed it purely to discuss it with her colleagues.

After she finished talking about Cheng Lian's situation, Tang Jiaren said:
"If full-thickness skin grafting for eyelid ectropion is performed using traditional methods, usually an incision is made along the eyelids. However, due to the limitations of the incision itself, only the eyelid side of the incision can be loosened. The release effect is not significant on the facial side of the incision, the nose, and the frontotemporal side, especially for scars around the eyelids, which makes it difficult to achieve the goal of release. What's more, if the condition is serious and complete release cannot be achieved, what should I do?"

Zhong Yu straightened his back and said seriously:
"During the operation, the length of the incision is longer than the inner and outer canthus, exceeding 0.5-1.0cm, and 45-60 degree tension-reducing incisions are made at both ends. In this way, after release, the left and right sides of the wound will appear fishtail-shaped, fishtail-shaped incisions There are auxiliary incisions on both sides to create favorable conditions for the release of the eyelid margin of the incision, which facilitates the release of the facial and nasal sides of the incision. The range of release is greatly broadened to achieve complete release. After the operation, there are fish on both sides of the incision. The shape of the tail can interrupt the linear contracture of scars, effectively solve the problem of postoperative ectropion recurrence, and help restore the shape and function of the eyelids."

Cai Yizhong's attention unconsciously stayed on Zhong Yu, always feeling that she had a partner, it happened so unexpectedly.

Guo Pengfei turned his head and noticed that he was distracted, and joked: "What is Dr. Cai so obsessed with? Do you want to share it with everyone?"

Cai Yizhong came back to his senses and said without changing his expression:
"I am thinking about full-thickness skin grafting for eyelid ectropion. What issues should be paid attention to during the operation."

When he said this, his eyes were looking at Zhong Yu, obviously asking her for advice.

Zhong Yu didn't think much about it, she said calmly:
“The following points should be noted. During the surgical operation, when peeling off, keep it on the same plane to avoid affecting the orbicularis oculi muscle.

For some patients with severe eyelid ectropion, their specific condition should be comprehensively analyzed before surgery, taking into account the severity of the disease, past medical history, physical fitness, etc.

When formulating a surgical plan, the skin should be harvested according to the wound condition. Generally speaking, the width of the skin graft should be increased by 1/3 and the length by 1/5, or even larger.

During the operation, special attention should be paid to hemostasis to prevent subcutaneous hematoma formation, which may affect the survival of the skin graft.

During the operation, the pressure bandage should be moderate, the skin graft should be kept in close contact with the base of the wound after transplantation, and the packing pressure should be moderate.

The local scar should be released as fully as possible and the eyelids should be completely reset. If the release is not complete or the skin graft is not large enough, it may lead to recurrence and affect the prognosis.

After the skin graft survives, there will be symptoms of pigmentation, so it is not suitable to be exposed to the sun after surgery. "

Although Cai Yizhong made excuses to ask questions, he listened carefully. No matter what, the knowledge he learned in his mind was truly his own.

After the meeting, Zhong Yu went to check on Cheng Lian's condition. During the recovery process of human trauma, there will inevitably be scar tissue. However, during the wound healing process, under the influence of various factors, it is easy to cause abnormal repair, especially deep burn scars. Hyperplasia and contracture destroy the integrity of the human body's surface or cause functional impairment.

Cheng Lian's eyelids cannot be closed for a long time, which can easily cause complications, increase her physical and mental burden, and reduce her quality of life.

Under normal circumstances, early plastic surgery is performed immediately after the formation of scar contracture and eyelid ectropion. There is no need to wait until the growth around the eyelids or the face is stable and mature before surgery.

After Zhong Yu arrived in the ward, he first helped her remove the traction effect of scabs and scarring on her eyelid skin, and then agreed with her mother on the time for the operation.

Cheng Lian's mother naturally did not want to see her daughter suffer. After her repeated requests, Zhong Yu agreed to arrange an operation for her as soon as possible.

During the few days while waiting for the operation, Cheng Lian's son came to visit.

I don’t know what he said to Cheng Lian, but she gradually regained her desire to live and her body functions began to improve.

After her indicators met the requirements, the surgery finally came.

After entering the operating room to do preoperative work, Wei Fan used 1% lidocaine for local anesthesia.

钟毓在她外翻眼睑缘距离1-2mm处做一切口，保持切口与睑缘平行状态，长度需超过内外眦角0.5-1.0cm左右，深入到鼻根侧面或鱼尾纹，45-60度减张切口分别做在与其相距0.5-1.0cm的两端。

After her release treatment, the left and right sides of the wound showed a fishtail shape. The ectropion of the eyelid tissue was separated subcutaneously along the outer side of the eyelid and based on the superficial surface of the orbicularis oculi muscle.

Then, the subcutaneous tissue cord scar is released, and the lower eyelid is completely released and reset. During separation, compression is applied to stop the bleeding. Zhong Yu uses micro-electrocoagulation to stop the bleeding.

For full-thickness skin removal, the inner thigh is selected. Before cutting the skin graft, a test mold is made with the help of blood-stained saline gauze on the wound surface. The full-thickness skin graft is larger than the wound surface, which facilitates direct suturing of the donor area.

Zhong Yu sutured the full-thickness skin graft on the eyelid wound intermittently, flushed the subcutaneous blood with antibiotic saline, packed and bandaged, then fixed the skin graft, and applied antibiotic eye ointment to her eyes.

After the operation, Zhong Yu wore a mask and said calmly:
"The dressing will be changed three days after the operation, and the stitches will be removed based on the improvement of the condition eight days after the operation."

The circulating nurse nodded immediately and made relevant records.