Is there no limit to this doctor's skills?

Chapter 200 Addiction!

Chapter 199 Addiction!

Emergency Department, Operating Room 1.

Unlike Associate Chief Physician Cai Xiongxue, who is fair-skinned and plump, Xie Tongwen, a hand surgeon, is dark-skinned and thin.

Xie Tongwen's tone was stiff at this moment: "This won't do either, Director Cai?"

Xie Tongwen didn't have much affection for Cai Xiongxue.

Based on two points.

First, an unprofessional person defecates in front of a professional, and then the professional has to clean up their mess.

Second, if you think my skills are not good, can't you just call me and tell me?

Do we have to tell the patient directly?

If I'm not the one who ends up cleaning up your mess, won't your relatives come after me and argue with me?

In summary, Xie Tongwen thought Cai Xiongxue was brainless.

Cai Xiongxue had been beaten for nearly three years. He originally wanted to say indignantly, "I'll stitch up my tendons if I want to."

But the harsh reality made Tsai Hsiung-hsueh realize the "deformed difficulty" of tendon suturing in hand surgery!

Why is it so hard to learn when it's just about stitching up a tendon?

Cai Xiongxue was already feeling guilty, but he couldn't bring himself to say it: "Director Xie, of course I'm not a professional..."

Xie Tongwen looked up slightly: "You weren't like this before?"

Cai Xiongxue pursed his lips and walked out the door, preparing to lead the next patient in as his assistant:

"Director Xie, we are all ordinary people, and we all have moments when we are ignorant and arrogant."

"My understanding was too superficial before."

Cai Xiongxue opened the door and greeted the door like a madam: "Next..."

But Cai Xiongxue's words were cut short halfway through when he abruptly swallowed them.

Outside, there were five or six other patients, but they all ran to the operating room to queue up.

There was no one in line in either Operations Room 1 or Operations Room 2.

"One of you, come over here?"

"It's not a tendon injury, we can handle that too," Cai Xiongxue quickly waved.

However, Cai Xiongxue discovered that the six people queuing in the control room were all unmoved.

The people behind Cai Xiongxue glanced at him, but then chose to continue queuing in Operations Room 3.

Cai Xiongxue didn't call out, and it would have been fine if no one came, but he did call out to people and no one paid any attention, which was a bit awkward.

Just then, a patient in operating room 3 came out, and the first patient in line went in.

"One of you come here!"

"The process in control room 1 is the same," Cai Xiongxue continued.

Cai Xiongxue's greeting, however, resulted in another awkward silence.

Xie Tongwen also noticed something was wrong and walked out of control room 1.

He had already subconsciously washed his hands and was about to put on sterile gloves.

But the “incompetent” Tsai Hsiung-hsueh couldn’t even call the patient in, so he could only temporarily put the opened sterile gloves back in their original place!

Cai Xiongxue's hands were disinfected, and the area was considered sterile, so this operation did not constitute contamination!

"What are you doing?" Cai Xiongxue asked, his gaze fixed on the group of people in line.

"We're waiting for Dr. Guo and Director Zhou."

"It's quick here," the young man at the back of the queue explained with a smile.

He was going to say that everything was fine.

But the words stuck in his throat.

Cai Xiongxue and Xie Tongwen exchanged a glance, then both walked curiously toward control room 3.

The two were wearing white lab coats, so no one would assume they were cutting in line.

The people in line seemed a little embarrassed and even offered their seats to the two of them.

With a creak, the door to control room 3 was pushed open.

Wang Mo's voice and the force of the door slamming shut came from inside: "It's not all sorted out inside yet, it won't be that quick!"

"Wang Mo, it's me." Cai Xiongxue recognized Wang Mo's voice immediately.

Only then did Wang Mo release her buttocks from the door.

After Cai Xiongxue and Xie Tongwen entered together, they stood against the wall and closed the door again.

However, as soon as the two stood against the wall, they were completely stunned and speechless, as if glued to it.

In the control room, next to the operating table, Director Zhou Yong was personally helping Guo Ziyuan cut the wire with wire cutters.

Guo Ziyuan, at the operating position, wielded the needle holder and tweezers with great "wide and sweeping movements"!

It wasn't that the movements were fast, but rather that the movements were very graceful.

It was as if Guo Ziyuan had just warmed up and was in the midst of a thoroughly enjoyable phase.

More importantly, they did not find that Guo Ziyuan had undergone debridement.

Even the hematoma in the soft tissue was pulled out by Guo Ziyuan using suture needles!

It's a single, intact lump; it hasn't fallen apart!

Anyone who has bought fresh pig's blood knows just how soft it is when it coagulates.

Let alone stitches, even if you just pinch it with your bare hands, someone with clumsy hands could crush it to pieces...

"Father." Upon seeing this scene, Xie Tongwen couldn't help but utter two inexplicable words as if he had returned to infancy.

He himself didn't know why he uttered those two words.

Instead of "Holy shit".

Cai Xiongxue also realized this, and he was deeply shocked.

Can you use a suture needle to pull out the blood clot?

This isn't a blood clot strip, is it?

Are you kidding me?

If he hadn't seen it with his own eyes, Cai Xiongxue would definitely have thought that the others were lying to him.

While Cai Xiongxue was still in shock, Xie Tongwen suddenly noticed a problem: "This patient has a flexor tendon injury..."

Xie Tongwen was reminding Guo Ziyuan to be careful.

However, he spoke a little too slowly.

Guo Ziyuan has already started stitching with needles.

Moreover, Guo Ziyuan's operating speed is quite fast.

However, Xie Tongwen discovered that Guo Ziyuan's speed was not for the sake of speed; it was a rhythm that Guo Ziyuan was more familiar with and felt most comfortable with.

Being fast is neither a good thing nor a bad thing.

A surgeon can only perform at their best when they find their most comfortable suturing rhythm.

After Guo Ziyuan performed several injections, Xie Tongwen nodded repeatedly, "Yes, circular embedding method!"

"The circular embedding method is the most suitable."

Tendon suturing involves more than just techniques such as Kessler, Tang, and Tsushima sutures.

Tendons in different regions have their own specific indications.

Therefore, if you want to do a good job of tendon suturing, you can't rely on just one or two suturing techniques.

It is necessary to distinguish the regions of the tendon, whether it is a flexor tendon or an extensor tendon, and whether it is an upper limb or a lower limb!

The suturing techniques required for flexor and extensor tendons in different areas are different.

Upon hearing Xie Tongwen's words, Cai Xiongxue asked, "Can't we use a modified Kessler for suturing the tendons here?"

Cai Xiongxue studied tendon suturing diligently and learned several common tendon suturing techniques.

For example, the modified Kessler method, the modified Tang method, and the Tsushita suture method.

After all, Cai Xiongxue, as an associate chief physician, felt very uncomfortable being constantly criticized by Xie Tongwen from the hand surgery department.

However, Cai Xiongxue discovered that even after learning these techniques, problems would still sometimes arise...

"For the flexor tendons in area IV, the modified Kessler suture technique is the first choice, and the single-bundle suture with Tsushima suture is the second choice."

"This patient has the V area, and his tendon is the junction of the muscles and tendons in the distal forearm."

"This requires using a circular embedding technique... or Pulvertaft weaving and core stitching!"

Cai Xiongxue's eyes widened in disbelief: "What are these?"

He couldn't find it online.

Xie Tongwen immediately seized the opportunity to attack: "When I told you to study more, all you knew was to raise pigs. Now you're asking me what all this is? Can't you read? Can't you recognize words?"

Xie Tongwen was neither Cai Xiongxue's teacher nor his father.

The person who said tendon suturing is not difficult is Cai Xiongxue himself; he said it himself.

At that time, Cai Xiongxue was already an associate chief physician.

If all professional skills could be found online, then those people online would truly be experts.

In reality, experts who are particularly proficient in a certain industry don't have that much free time to "surf"!

How could someone who's too busy performing surgeries possibly have time for online "technical popularization" and "technical tutorials"?

Which respectable professor would expect their skills to be disseminated and taught online?

"Director Xie... I..." Cai Xiongxue really wanted to retort.

But Cai Xiongxue realized that this was a good stepping stone: "I'm just not a professional, that's why I've suffered for so many years."

"Please, just let me go?"

"I was wrong."

Xie Tongwen glanced at Cai Xiongxue in surprise: "Could Director Cai be wrong?"

"Tendon suturing is simple; it's a basic procedure in hand surgery."

"Who said that?"

Cai Xiongxue: "I told you, I was honest. I was wrong."

Since things have come to this, it's best to be honest and avoid owing favors in the future.

Otherwise, Cai Xiongxue would have to ask the hand surgeon for help every time he was on duty.

You'll incur favors, and more importantly, others will find it annoying!

Director Zhou Yong was clearly aware of the feud between the two "China Securities Journal" representatives.

So he heard what they were saying, but Zhou Yong was still impatient: "You two go outside and argue!"

"This is the operating room, not a place for you women to fuss over nothing."

Apologizing or thanking someone in front of the patient is not proper.

Xie Tongwen kept his words to himself.

Director Zhou Yong is not an easy person to get along with; most importantly, he is fiercely protective of his own.

In Zhou Yong's view, his personal grudge against Cai Xiongxue was also a disrespect to the emergency department.

In fact, Xie Tongwen also feels a lot of pressure every time he is on duty.

A person can fight for their pride.

Cai Xiongxue insulted the field of hand surgery, and he had no choice but to submit to Cai Xiongxue.

And it's the kind of obedience that demands complete and utmost respect!

If the goal is achieved, then that's it.

However, in just that short time, Xie Tongwen rubbed his eyes.

What?

How did Guo Ziyuan begin suturing the subcutaneous tissue?

Has he finished suturing the tendon?

When did this happen?

When you and Cai Xiongxue "argue"?

Xie Tongwen immediately gave Cai Xiongxue a resentful look.

It's all your fault!

I didn't see it clearly!

……

Xie Tongwen watched helplessly as Wang Mo sent the patient out of operating room 3, and then brought in another patient.

Guo Ziyuan went to wash his hands and change his gloves again, while Director Zhou Yong personally disinfected and rinsed Guo Ziyuan's assistant.

"Don't say anything this time, just watch carefully," Xie Tongwen warned Cai Xiongxue.

"What happened before was nothing at all."

Cai Xiongxue nodded, knowing that Xie Tongwen was no longer dwelling on the past.

He was also a surgeon.

After Director Zhou Yong finished disinfecting, Guo Ziyuan had almost finished changing into a disposable sterile surgical gown and disposed of all the instruments.

Guo Ziyuan picked up the local anesthesia syringe very deftly.

Then, without much hesitation, he plunged the needle into the patient.

Guo Ziyuan has all the standard movements of inserting the needle and withdrawing it, and he does them very skillfully and smoothly!

It was as if they weren't administering local anesthesia, but rather sculpting a work of art.

After the local anesthesia was administered, Guo Ziyuan still didn't pick up the scalpel, but instead picked up the needle holder and the suture needle with thread!

Guo Ziyuan didn't seem to like the feel of the needle: "Director Zhou, you can urge them to hurry up."

"This kind of Jobon stitching isn't very good. It has a bit of a plastic feel."

Zhou Yong immediately replied, "The delivery is underway, Dr. Guo."

Cai Xiongxue immediately said, "There's also Wei Qiao in Control Room 1."

"I'll go get it."

Guo Ziyuan only mentioned it casually, and then began the suturing and debridement.

"Hiss~~" Xie Tongwen gasped as he watched Guo Ziyuan's actions from beginning to end.

"Dr. Guo? You?" Xie Tongwen didn't understand.

It wasn't that he didn't understand Guo Ziyuan's purpose, but rather that he didn't understand the underlying principles of Guo Ziyuan's operation.

Need stitches for wound cleaning?

Not using the blade?

Why aren't you using tweezers?

Is Guo Ziyuan showing off his skills?

However, Xie Tongwen knew that debridement was a technique, not a specific form.

When junior doctors are learning wound cleaning, they must respect the proper procedures and use scalpels and forceps to assist in the process.

In reality, debridement is just a technique, a concept, and a philosophy!

Whether you use a knife or not doesn't matter as long as you can clean the wound, as long as you can achieve your goal!

But why would an ordinary person think of cleaning a wound without using a knife?

Can a doctor who doesn't use a scalpel be called a surgeon?

Interventional radiology can place a vascular sheath directly without a scalpel!

There were several patients outside. Although Director Zhou Yong also found it amazing, he did not interrupt them in an unprofessional manner.

There was no time wasted on the procedure of cleaning the wound with a scalpel, so Guo Ziyuan operated very quickly.

In just four or five minutes, Guo Ziyuan had finished treating the wound.

Xie Tongwen never even considered whether the stitches were done well or not!

Guo Ziyuan's basic suturing skills are superb.

Leaving aside the results, even the process and details of the operation are all up to standard.

Moreover, while adhering to standards, the attention to detail is excellent, resulting in outstanding effects!

You don't need to worry about the results; you can't even understand the speed.

With such speed and quality of operation, don't worry about whether it's good or not. First, think about whether you understand it!

Xie Tongwen is a hand surgeon, and suturing is his specialty.

However, he now had doubts.

Am I really good at sewing?

"Next..." Guo Ziyuan smiled broadly as he watched the skill points being efficiently added to his account, his eyes practically sparkling with excitement.

These are all technologies!

The technology I dreamed of but could never obtain in my past life!

Skill points are techniques.

"Dr. Guo, should we slow down?" Zhou Yong asked.

Guo Ziyuan: "What time is it now? It shouldn't be lunchtime yet, right?"

Wang Mo took out her phone and said, "10:53!"

Guo Ziyuan: "That's still a long way off."

"Director Zhou, let's continue."

Zhou Yong nodded, his voice momentarily distorted: "If I had your skills, I'd be addicted to suturing too!"

"Is this how you usually operate it?"

In the past, if someone told Zhou Yong that suturing could be addictive, he would think the person was crazy.

I definitely didn't learn any proper techniques, so all I can do is suture.