Since 1981 Health School

The culture medium made by phage is really effective.

With the focus and gossip of all the staff in the hospital, the patient's injured limbs were soaked in the culture medium for 24 hours, and the fever subsided, and the inflammatory indicators dropped significantly.

This result made all the doctors and nurses in the Burn Surgery Department happy and encouraged.

Chen Qi was also in tears, and finally there was no waste.

Director Qi of the Yuezhong Iron and Steel Plant, despite his reluctance in his heart, felt that students and doctors should be voluntary to help with pooping, and young people should be dedicated.

But now he didn't dare to offend Yuezhong Hospital or Chen Qi, so he paid the "labor fee" very straightforwardly on the surface.

20 yuan per person, whether it is a dean like Chen Qi or an intern doctor, all 20 yuan, truly fair and just.

The interns were all very excited when they got 20 yuan, because they didn't even have 20 yuan in pocket money a month.

This was definitely a huge sum of money in 1989. You could buy 4 or 5 tapes of pirated pop songs, and by the way, you could take your female classmates to see a movie before going to a restaurant.

Of course, after the meal, at most, I would hold hands and want to go to the guest house or something, ahem, forget about it.

In the dean's office.

Chen Qi couldn't laugh or cry when he got the 20 yuan from He Jia, the secretary of the hospital.

"What do you think this is? I earn 20 yuan for half a day, 40 yuan a day, and 1,200 yuan a month. This income is higher than the salary of my dean."

Chen Qi's current level is the deputy department level, with a monthly subsidy of 205 yuan.

The professor subsidy of Haidong Medical University is 180 yuan per month.

He also has three positions as the president of the Vietnam People's Hospital, the director of the Huahua Endoscopy Center, and the director of the Haidong Provincial Cleft Lip and Palate Treatment Center. He can get 1,260 yuan a month for the three jobs.

In this way, his total salary income per month is 1645 yuan.

What is the level of this income in society? That is definitely the dean with the highest income in the country, not one of them.

Generally, the income of the director of a tertiary hospital will not exceed 500 yuan, and the income of employees is generally around 2,300 yuan.

We must know that in 1989, the black market price of a color TV ticket alone was over 1,000 yuan. It is almost a fantasy for ordinary workers with this income to want to buy a color TV.

Then he began to shout a slogan: "The income of the atomic bomb is not as good as that of selling tea eggs, and the income of the scalpel is not as good as that of the razor."

He Jia was even more speechless after hearing Dean Chen's complaint:

"Dean, your income is five times mine, and it's not enough. If I had as much money as you, I would go to restaurants in Rongchun every day."

Chen Qi said speechlessly:

"I'm shining for love now. With my ability, I go to work in a foreign hospital now. If I don't pay me four to five million dollars a year, I won't be a bird."

He Jia suddenly rolled his eyes and smiled: "Dean, can we give out year-end awards at the end of this year?"

Year-end bonuses were not allowed in hospitals in 1989, but who called Chen Qi a pilot hospital?

"Hey, the little girl is very well informed. Hehe, don't worry, our hospital has money in its account this year. As the dean, I will definitely guarantee that everyone will have a good year."

"Yeah, it's done, Dean, you can't go back on your word, I have to save up to buy new clothes."

Chen Qi shook his head when he heard this, thinking that it was only November, and it was still early before the Chinese New Year, and the employees were already thinking about the benefits of the Chinese New Year.

The next day, the rescue work for the four burn patients continued:

Lu Wenjie needed to continue anti-inflammatory and anti-infective treatment because of his special condition, but the rest of Mrs. Ding, Song Yanzi, mother and daughter, and worker Wang Chuanbing had to enter the next step of treatment.

skin grafting.

It can't be delayed any longer, it's already the 7th day, and the granulation scar tissue will grow out any longer, and it will be difficult to get a skin graft by then.

Why do burn patients, especially those with extensive burns, need skin grafting?

This is because the burn will destroy the skin tissue, making it difficult for the wound to heal itself. If it is not treated in time, it may cause complications such as infection and bleeding, which will seriously endanger life.

Skin grafting can restore the integrity and function of the skin, shorten the recovery period, and reduce pain and scarring, so this is a hurdle that must be experienced.

It is also the third hurdle for burn patients: "wound repair period".

Whether the burn patient can survive is also the most important hurdle. After passing this hurdle, there will be a "rehabilitation period". In fact, there is no life-threatening.

There are also various ways of skin grafting, mainly stamp skin grafting, skin flap transplantation, microparticle skin grafting and MEEK micro-skin grafting.

Among them, stamp skin transplantation and skin flap transplantation were the mainstream transplantation in the 1980s.

MEEK micro-skin grafting has been amputated by Chen Qi and renamed "Stinky Tofu Skin Grafting".

The medical science and technology of the later generations are more and more developed. Relying on cell engineering and tissue skin engineering, many new skin transplantation techniques have been developed.

For example, large autologous allogeneic skin grafts, mixed skin pulp transplantation, direct epidermal cell transplantation, and thin autologous skin grafts of acellular allogeneic dermal matrix and so on.

Chen Qi can do these transplants, but he can't provide the raw materials, so he can only think about it.

It's time for skin transplantation, and the original African team has gathered again.

Yi Zewen and Chen Li rushed over from the emergency department, together with Zhang Xing and Yang Xiuxiu, the anesthetist He Fule was missing.

After He Fule returned to China, he returned to the Sixth Hospital of his original unit to be the director of his anesthesiology department. He led two or three kittens and lived a contented life.

But Zhang Xing, Chen Li, and Yang Xiuxiu firmly followed President Chen, so they were transferred from various county hospitals to the People's Hospital by Chen Qi.

In fact, He Fule also knew that, relying on his two-year revolutionary friendship with Chen Qi, it was only a matter of one word for him to be transferred to the People's Hospital, and it was also a matter of one word for him to become the deputy director of the anesthesiology department.

But when he arrived at a higher-level hospital, he had to take on the heavy responsibility of an anesthesiology department leader in the face of busy clinical work, working day and night.

Zhang Xing and the others are still young, and they can still work hard to create a world for themselves.

And He Fule felt that he was too old to break through, so he wanted to be promoted to a higher level, and then he would be satisfied with keeping his wife and children hot.

Chen Qi respects everyone's choice. He is like a big ship. Some people get on board and some people get off the boat. This is a personal choice, and there is nothing wrong with it.

Burn surgery operating room.

The first patient to receive skin transplantation was Ding Xinjuan.

Ding Xinjuan suffered burns on 90% of her body, including 40% of third-degree burns, which can be described as extremely tragic.

At that time, their mother and daughter were hugging each other at the scene of the fire, so Ding Xinjuan still had a small amount of normal skin on her chest and neck.

It is equivalent to using 10% of her skin to cover 90% of her skin surface from head to toe,

This is equivalent to that you are a chef, and you only have one pot lid, but you have to cover 10 pots. This is more difficult, because you can't cover it at all.

So how to do the operation has aroused great interest from several old professors such as Peng Yongyan, Ni Zhihua, Wang Qizheng, Zhu Lianggong, An Yongchun and so on.

They had already determined that the reason why Yuezhong Hospital took all the patients with confidence must have their exclusive secret recipe, so they waited and watched, and did not leave Yuezhong.

Outside the operating room, Professor Peng grabbed Chen Qi and asked with a smile:

"Principal Chen, skin grafting is going to happen today. I have read the patient's medical records. 10% of the normal skin needs to be transplanted to the whole body. This is an impossible task in terms of physics and medicine. How about it?" , Tell us old guys how about your operation idea?"

Professor Wang also said foolishly: "That's right, Xiao Chen, we have waited for so many days, you can't hide your secrets, let us wait for nothing."

Professor Ni is more direct:

"Boy, if you want to step on our Dongshan Hospital, you have to show your real skills. If the skin grafting operation fails, the patient will still die, and your Yuezhong Hospital will still fail."

Chen Qi knew that this was a proper aggressive method, so he glanced complicatedly at Professor Ni Zhihua at Shanghai Dongshan Hospital.

Because his next surgical plan actually borrowed from Dongshan Hospital's later creation of "a large sheet of allogeneic skin with a hole and a small autologous skin graft embedded in the skin graft".

The name of this operation sounds quite long, but it is known as "Chinese-style skin transplantation", and it is very famous in later generations.

As for this life, heck, he's about to be cut off by Chen Qi.

So Chen Qi just looked at Professor Ni with sympathy and gloating in his eyes.

"Professors, don't be in a hurry. Today I will let you experience the exclusive burn surgery therapy of our Yuezhong Hospital, stinky tofu skin grafting."

Puff Chi~~~~

Professor Zhu Lianggong from Jishuitan Hospital was drinking tea. He couldn't help but spit out the water after hearing the name.

The other professors all pulled their faces down when they heard this: "Dean Xiao Chen, are you joking with us old men? Are you afraid that we will learn your new technology?"

Knowing that the old men lacked a sense of humor, Chen Qi quickly asked Zhang Xing to bring over the latest revised version of the thesis.

"Professors, don't be in a hurry. Come on, take a look. Our stinky tofu skin grafting technique has been experimented with African compatriots many times. It's not a joke. I even wrote the thesis, but I haven't done it yet." Post it yourself."

(It’s not that it wasn’t published, but it was rejected by others.)

A few old men dubiously took a look at the draft of the thesis, and sure enough, the name is a big "stinky tofu skin grafting technique", and the English name is "Stinky tofu Skin grafting".

This made several old professors dumbfounded:

"Principal Chen, you, your name is really eye-catching."

"It's more than just eye-catching, it's simply impossible to guess what kind of skin grafting method it is."

"It's a good name. Burn patients smell very bad after being infected by bacteria. Don't mention it, it's really similar to stinky tofu."

Hahaha~~~

At this time, Zhu Huoyan had just come out after putting on the surgical gown, and when he heard Chen Qi joking with several top experts, he educated:

"Chen Qi, please explain to the teachers carefully, don't be so hippie."

"Oh," Chen Qi saw his teacher coming, and quickly pretended to be serious and explained:

"Today's skin grafting operation is actually very simple. I need to go through the steps of cutting, splitting, carrier transfer, expansion, and transplantation to achieve the expansion of the skin graft at a ratio of 1:3 to 1:9, and use the least amount of skin to make the largest area. Skin grafting."

Just as the professors were about to listen carefully, they found that Chen Qi had stopped talking, so they asked strangely: "Are you ready?"

"Okay, what's the use of talking about it? The key is to see how I do it."

Professor Peng nodded: "That's right, today we will see how you perform this extremely difficult operation."

Professor Ni also laughed: "Perhaps Xiao Chen's operation can inspire us."

Chen Qi cursed in his heart: Yes, it was an inspiration, but unfortunately it was the inspiration you Dongshan Hospital gave me.

The operation started, and the two cameras started running at the same time. Chen Qi's operations are usually video-recorded, and they are valuable teaching operations.

Because "stinky tofu skin grafting" Chen Qi's team has performed dozens of sets in Africa, so the team's cooperation is very tacit.

However, Director Zhu Huoyan is the chief surgeon for today's operation, and Chen Qi is only an assistant.

Director Zhu is the chief surgeon, while Chen Qi has his own considerations.

First, the development of the burn department mainly depends on surgery. Chen Qi has only one person, and he has too much work to break up. Therefore, he must "train" burn doctors with the same high level.

Besides Lao Guo, Zhu Huoyan has the highest level of surgery in the People's Hospital.

Another goal is that if the Burn Department of Yuezhong Hospital can become the No. 1 in the country, then various honors, titles, and medical association positions will fall from the sky.

Chen Qi's future is to be an expert in hepatobiliary surgery, not a specialist in burns, so he took the initiative to give up this opportunity to Zhu Huoyan.

Besides, if the Yuezhong Hospital wants to develop in an all-round way, it is not enough for Chen Qi to develop alone. It requires everyone to work together and make more flowers, so that it can eventually become a top hospital.

"Stinky tofu skin grafting" is actually very simple. Chen Qi has secretly done experiments with Director Zhu several times, so technically it is not difficult for Director Zhu.

When Zhu Huoyan walked into the operating room after being sterilized, he just stood in the position of the chief surgeon, and Chen Qi handed over the "skin knife" to him as soon as he assisted him.

What Zhu Huoyan had to do was to use a razor blade to cut a 0.2mm thick autologous split skin from the only remaining normal skin on Ding Xinjuan's chest.

In order to build a teaching hospital, Yuezhong Hospital has one wall in the operating room, except for the closed-circuit television system, which is all glass, so that people who visit the operation can see clearly.

Seeing that the operation had already started, several old professors sat in front of the glass window and observed carefully.

After Zhu Huoyan removed the normal skin, Zhang Xing, the second assistant, took out a piece of 4*4cm cork, cut the skin according to the size of the cork, and collected the leftovers, reluctant to throw them away.

Yi Zewen took out a small skin cutting machine, cut the 4 cm square skin 14 times horizontally and 14 vertically at the same distance, and cut them into equilateral miniature squares. Calculated in millimeters, a total of 196 piece.

Nurse Chen Li immediately handed over a piece of polyamide crumpled gauze. Director Zhu took it and covered the 196 pieces of human skin with the crumpled gauze.

The cooperation of several people is really smooth and efficient.

This polyamide crepe is about to talk about it.