Chapter 206 Proposal to Establish a Research Group
If tendon and ligament suturing is still difficult, then debridement and suture are definitely the forte for interns.
Lin Sanqi was very considerate and used the "external suture" to suture Section Chief Quan's skin, which made Vice President Ye marvel again and again.
"Doctor Xiaolin, this suturing method you use is new to me. Is there anything special about it? Could you teach me?"
In 1960, debridement and suture generally only used the simplest "simple suture" because the quality of surgical needles and threads was not up to standard, and there was no way for doctors to use more tricks. The result of using more tricks was the same as Lin Sanqi, which broke with a snap.
Simple suture is relatively simple. The needle passes through the skin, through the epidermis and dermis, through the subcutaneous tissue, across the incision to the opposite skin, and each stitch is tied separately.
If it is a long wound, continuous simple suture will also be adopted.
That is, tie a knot after the first stitch at one end of the incision, and then sew the entire wound continuously. In the last stitch, pull out the heavy thread tail and leave it on the opposite side, forming a double thread and tie a knot with the heavy thread tail.
Simple suturing technique is simple and easy to operate. It is easy for ordinary people to learn and master, and can also treat most wounds.
However, one of the biggest disadvantages is that the suturing time is longer, the suture consumption is higher, or the tissue misalignment affects the healing process.
For areas with high tension, the thread ends may break if you are not careful, and the quality of the thread will still not be up to standard.
At this time, Vice President Ye was very humble and asked very politely, without any airs of a big leader or veteran expert.
Lin Sanqi thought that it was no wonder that he could become the president of Union Hospital. His flexible character and willingness to learn from those who are less knowledgeable than him were worthy of learning for all young doctors.
Facing such a senior, Lin Sanqi's attitude was also very good.
After all, the dispute between Chinese and Western medicine happened in the past. As a promising young man in the 21st century, he doesn't feel anything about it. Young people will not simply define themselves. If they have to define themselves, it would be "I want it all."
"Director Ye, this is called an eversion suture. You see, I insert the needle 5 mm from the incision edge, pass through the epidermis and dermis, and then through the subcutaneous tissue across the incision to the opposite side at a symmetrical point 5 mm from the incision edge.
Then insert the needle again from the needle exit side 1 to 2 mm away from the incision edge, and exit the skin on the opposite side 1 to 2 mm away from the incision edge. The plane connected by the four entry and exit points should be perpendicular to the incision, and ligate to make the skin edges on both sides turned outward.
I summarize it as far in and far out, near in and near out."
Lin Sanqi said this without blushing or beating his heart, and once again claimed the credit for the invention.
This is the second time he has claimed credit today. The "Broad Street Suture Method" he mentioned before was actually invented by Dr. Tsushita of Japan in 1979, but was intercepted by someone in 1959.
Vice Dean Ye nodded repeatedly after hearing this, and then carefully observed Section Chief Quan's wound and asked:
"Are all wounds suitable for eversion suture? Are there any indications or site requirements?"
Lin Sanqi thought that he was indeed an expert and hit the nail on the head with his first question.
"President Ye, eversion suture is suitable for loose skin with inward-rolled incisions, such as those in the scrotum, armpits, groin, neck, and other areas with loose skin. It can also be used in areas that require stronger tension resistance and has less impact on the blood supply to the wound edge."
Vice President Ye likes Lin Sanqi more and more.
"Doctor Kobayashi, if you say so, there's external eversion suture, but also internal eversion suture?"
Lin Sanqi counted on his fingers, "There are also figure-of-eight sutures, subcutaneous sutures, intracutaneous sutures, tension-reducing sutures, purse-string sutures, and so on. There are many, and different sutures are used for different parts of the body and different wounds."
Ye Yongan listened for a long time without saying anything, then turned around and looked at Dean Shen solemnly:
"Old Shen, Comrade Xiaolin is a talented person. It would be a waste to keep such a person in your Kuanjie Chinese Medicine Hospital. Please hand him over to me. It would be a better match for him in our Union Hospital."
Dean Shen's tail was already cocked to the sky at this time:
"Haha, what do you think, Comrade Old Ye? Now you understand the strength of our Kuanjie Chinese Medicine Hospital, right? Don't dream on. I definitely won't let you go. Besides, Comrade Lin Sanqi is a technical talent and mid-level cadre that our Chinese Medicine Hospital has focused on training. We will be of great use to him.
Besides, who says only Union Hospital needs surgery? Our Chinese Medicine Hospital can also open a Western medicine clinic. When the time comes, I will build an operating room for Comrade Lin Sanqi, and we can treat patients ourselves. Will we still have to rely on Union Hospital for our opinion?
Lin Sanqi almost thought that Dean Shen was also a time traveler. It was a genius idea to open a surgical department in the Chinese Medicine Hospital.
Unfortunately, what Dean Shen didn't know was that decades later, Chinese medicine hospitals were all selling dog meat under the guise of sheep meat, and Chinese medicine became secondary. In the end, more and more Western medicine departments were opened, occupying the mainstream, putting the cart before the horse.
Seeing that the other party was so determined, Ye Yongan knew that it was impossible for him to poach people.
But leaders are very smart. If one way doesn’t work, they will immediately try another one and never give up easily.
"Old Shen, I have a suggestion. How about our two hospitals collaborate and form a 'Suture Research Group' to specifically research the various suture techniques mentioned by Comrade Lin Sanqi? If we find any results, we can split the profits equally between our two hospitals. What do you think?"
When Dean Shen heard this, his eyes lit up, and he knew in his heart that this was a great opportunity.
Although he refused to admit it, the fact was that Chinese medicine hospitals did not currently have the ability and technology to carry out surgery, and the possibility of independently carrying out medical projects in Western medicine was zero.
But if we cooperate with Peking Union Medical College Hospital, our own hospital will provide one person, and the other hospital will provide money, manpower and patients, and we can get half of the final results. In this case, the Chinese hospital is definitely getting the better deal.
Seeing Dean Shen in deep thought, Ye Yongan added fuel to the fire:
"Old Shen, the suturing techniques invented by Comrade Lin Sanqi are currently world firsts. If we can thoroughly research them and publish papers abroad, it will bring glory to our country. Don't be foolish.
Furthermore, medical technology is advancing rapidly. If foreign doctors publish their papers first, it will be too late for us to regret it. This matter needs to be done as soon as possible. We must get ahead of everyone else."
Dean Shen also decisively said: "Okay, but let's make it clear first, our Chinese medicine hospital must be first when signing."
Ye Yongan was speechless and could only nod helplessly: "Okay, let your Chinese medicine hospital take advantage this time."
Lin Sanqi was even more speechless, thinking, "Why don't you two leaders ask for my opinion? Ask me if I'm willing?"
Are you kidding me about the socialist family? Are you kidding me about paternalistic leadership? What right do little brats have to speak?
Because there was no corresponding bracket, Lin Sanqi was putting plaster on Section Chief Quan.
The staff of the Chinese Medicine Hospital who were watching the excitement outside were already dumbfounded. They looked at Lin Kucan, the father, in surprise:
"Lao Lin, you're amazing. You have three sons at home, and you're studying both Chinese and Western medicine?"
"Will the combination of Chinese and Western medicine lead to the best of both worlds, or the best of neither?"
"Traditional Chinese medicine is traditional Chinese medicine, and Western medicine is Western medicine. What's the point of mixing them together?"
Listening to the discussions of his colleagues around him, some praised it, some criticized it, some were puzzled, and some congratulated him. Lin Kucan appeared calm on the surface, but his mind was quickly calculating.
Half a year ago, he gave his youngest son several books on traditional Chinese medicine, but his youngest son seemed to have never read them, indicating that he was not very interested in traditional Chinese medicine.
I don’t know which generation of ancestors blessed my youngest son, allowing him to have his own opportunities outside and learn Western medicine. So should I let him follow the path of Western medicine in the future?
Anyway, the ancestral medical skills have been inherited by the eldest son, so the younger son has more freedom to learn whatever he wants.
Chinese people have had the habit of betting on both sides since ancient times. Just look at the three sisters of the Song family and you will know that they will not easily put all their eggs in one basket.
Thinking of this, Lin Kucan has made up his mind to let his son go the Western medicine route.
Lin Sanqi didn't know that his life had undergone the first change after he traveled through time.
Originally, he just wanted to be a happy "purchaser" and make money everywhere, but he didn't expect that now both the hospital and his parents hope that he can take the clinical route.
The Chinese New Year is coming soon, and even if a suture research group is to be established, it will be after the Chinese New Year.
Vice President Ye was ready to go back. Since they were already partners, President Shen was also ready to see him off, and Lin Sanqi followed behind with the surgical instrument bag.
"Old Ye, have a safe journey then, and take care."
"Director Ye, this is your debridement pack. I'm returning it to you."
Vice President Ye laughed heartily and waved his hand, saying, "This set of surgical instruments will be given to your Kuanjie Chinese Medicine Hospital. If there are any other similar patients, you can use them directly."
Dean Shen was delighted when he heard this, "Old Ye, you are very loyal. Next time you want to take any Chinese medicine, I will give it to you for free."
Lin Sanqi thought, a set of surgical instruments is only worth a few dollars, why are you, Old Shen, so happy?
In fact, Lin Sanqi had misunderstood again. Such precision instruments as surgical tools could not be produced in China in 1960. Not only were the technical processes not up to standard, but more importantly, the materials science was also not up to standard.
Even the simplest surgical blades, surgical scissors, etc. used in the country need to be imported from abroad, but the country lacks foreign exchange. If it had foreign exchange, it would have bought food to overcome the difficulties long ago.
Therefore, every piece of surgical instrument is very valuable, and Vice President Ye can be said to have given a great gift.
"Comrade Xiaolin, then we'll meet at the Union Hospital after the New Year."
After saying that, Ye Yongan got on his bicycle, waved goodbye and left.
Lin Sanqi followed behind Dean Shen, holding a bag of second-hand surgical equipment, and was still thinking about what to eat in the evening.
Suddenly, Dean Shen took advantage of the fact that no one was around and whispered:
"Xiao Qi, the cooperation with Union Hospital is an opportunity that you must seize. You come from a family of traditional Chinese medicine practitioners and are also proficient in Western medicine and surgery. Currently, there are no such people in China who combine traditional Chinese and Western medicine. As long as you succeed, you will definitely become the first in the country in the future."
Lin Sanqi became more alert. At this moment, he had no intention of being a simple doctor, which was quite detrimental to his "traffic monetization" plan.
Don’t forget that he opened a Chinese herbal medicine sales company in 2013. Without his supply, how could the Lin family make money?
"Uncle Shen, I'm from the purchasing department. Don't treat me as just a clinical doctor. I won't do that."
"you!"
Dean Shen glared at Lin Sanqi fiercely and left angrily, cursing, "This child is incorrigible!"
Lin Sanqi shrugged and thought to himself that no one could stop me from getting rich.
(End of this chapter)
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