When the Doctor Uses A Hack

Chen Cang suddenly realized that skin flap transplantation was not as simple as he had imagined. If it were for the hands or legs, that would be one thing, but a facial defect was completely different.

You can imagine how difficult it is, to patch up a missing piece of flesh on the face and still make the face look good. Here’s an example to illustrate the challenge!

There were too many considerations.

He had to consider the path of the blood vessels, the choice of skin flaps, where to make the incisions, how much skin to remove, and how to maintain a good shape when stitching.

At this moment, Xu Kailin, the attending doctor of patient 20, Dou Xin, walked in and saw Chen Cang gesturing continuously at Dou Xin’s face. Her expression instantly changed. Who is he?

And just as she was about to speak, Qin Xiang suddenly shushed her.

Xu Kailin looked at the director and couldn’t help but be stunned.

Chen Cang looked for a long while, his beautiful eyes continuously outlining various possibilities.

Chen Cang said to the girl, “Can you unbutton your top a little?”

Dou Xin hesitated for a moment, then unbuttoned her shirt, but her face instantly turned red all the way to the neck.

Chen Cang noticed that the young girl was indeed very pale and had good skin; the color of the skin in the chest area was not much different from the face, which gave him an idea.

Chen Cang habitually reached for a pen, but after searching for a while, he remembered he wasn’t wearing his white coat.

Seeing this, Qin Xiang quickly came over and handed his pen from his pocket to Chen Cang, “Here.”

Chen Cang looked at the ballpoint pen offered to him and shook his head, “Give me a marker.”

Xu Kailin hurriedly handed over a black marker from her pocket, thinking to herself, ‘Is this the expert they called in? Why does the director respect him so much? But he looks so young!’

With this thought, Xu Kailin grew more curious. She wanted to see just how skilled this young man was.

Chen Cang took the marker and began to draw on Dou Xin’s face and chest.

At this point, Qin Xiang leaned in for a closer look, furrowed his brow slightly, and thought, what kind of skin flap is this?

An O-Z flap?

No, that’s not right!

It seemed to have some shadows of an A-T flap, but the A-T flap, due to its versatile transformations, is more suitable for repairs in the never-ending hairline, nasal alar groove, and lip groove. However, this A-T flap, because of the three intersection points, tends to leave a “T” shaped scar, right? And this area doesn’t require an A-T flap.

But this was too far from the traditional skin flap transplant, wasn’t it?

Qin Xiang had never seen such a skin flap transplant at all.

Just then, Qin Xiang had an epiphany. Who said Chen Cang was a dermatologist?!

Upon further thought, Qin Xiang couldn’t help but shake his head and chuckled at himself. How could Chen Cang know about skin flaps? He was thinking too much…

Perhaps he was considering how to use aesthetic design principles on the skin!

After sketching for a long time, Chen Cang finally set down the pen in his hand.

He picked up his phone and took a photo. This was an idea.

Chen Cang’s choice was to use three sections of skin flaps—one from behind the ear, one advanced from the neck, and a twisted pedicle from the chest.

This way, he could achieve a better aesthetic result without affecting the blood circulation of the face.

A simple large-area skin flap transplant, in Chen Cang’s opinion, would not have a good recovery.

After finishing, Chen Cang breathed a sigh of relief.

Qin Xiang looked thoughtfully at Chen Cang, curious to know what was meant by “this much effort.” So he asked, “How about it? Chen, do you have any ideas?”

Chen Cang nodded, “I have a small suggestion.”

At that moment, Xu Kailin was somewhat displeased with the mess Chen Cang had drawn on Dou Xin’s face, thinking he was an expert.

Do you think skin flap transplantation is just about moving a patch of skin over?

Thinking this, Xu Kailin couldn’t help but sigh. Maybe her expectations were too high!

“Director, the Sixth Hospital in Modu City said they can do a remote consultation at three o’clock in the afternoon.”

Qin Xiang was about to talk to Chen Cang when he was interrupted by Xu Kailin, but his eyes lit up when he heard her.

“Oh? Great! That’s wonderful, what did they say?”

Xu Kailin smiled, “Director Xiao personally replied, saying he invited Director Wang this morning to participate, hoping to help this little girl!”

Upon hearing this, Qin Xiang became excited!

“Great!”

“Great!”

“Great!”

Three consecutive exclamations of “great” undeniably showcased Qin Xiang’s excitement.

“By the way, have the girl Xin Xin’s medical records been sent over?”

Xu Kailin nodded and said, “They’ve been sent.”

The orthopedic and hand surgery departments of the Sixth Hospital in Modu City are nationally renowned, and Director Wang is an expert in the field of skin flap transplantation. With their collaborative consultation, a perfect solution would certainly be found. At this thought, Xu Kailin suddenly felt full of anticipation.

Upon hearing this, Chen Cang also paused briefly. The Sixth Hospital in Modu City? That’s quite a reputation!

Chen Cang now wanted to hear their ideas and suggestions. Even though he possessed master-level skill in skin flap transplantation, medicine was all about communication and exchange. With this collaboration, they could better help the patient.

Suddenly, Qin Xiang said, “Chen, join the remote consultation this afternoon, and let’s have lunch together at noon.”

Chen Cang nodded.

At that moment, a thin man walked in. He was quite tall but seemed lethargic. His hair was thin and graying, and he had many wrinkles at the corners of his eyes and on his forehead, making him look over sixty.

The man carried a meal box and as soon as he entered the ward and saw Qin Xiang, he immediately smiled, deepening the wrinkles on his face.

“Director Qin, you’re here? Not resting on the weekend?” The man put down the meal box, held Qin Xiang’s hands, and bowed slightly as he spoke with a smile.

Qin Xiang also smiled, “I’ve invited a few experts today to refine the surgical plan. We’re aiming for surgery tomorrow. Oh, and let me introduce you, this is Doctor Chen, specially invited to design for Xin Xin. He’s very skilled in the field of skin aesthetics.”

The man hurried over to bow to Chen Cang, “Doctor Chen, thank you for your troubles.”

Chen Cang simply smiled and did not say much.

After having lunch with Qin Xiang at the hospital cafeteria, Chen Cang suddenly realized that the cafeteria at the Second Provincial Hospital was better—at least the serving lady’s hand didn’t tremble there, and she would scoop an extra spoonful of meat when she saw him.

At three o’clock in the afternoon, the doctor’s office television for remote meetings was turned on, ready to conduct a remote consultation.

Chen Cang couldn’t help but marvel at the wealth and equipment of Dongda First Hospital. It seemed every department had such remote meeting equipment, and the convenience brought by technological development was obvious to all.

The large screen was placed in the corner of the room, and as the image from the other side appeared, it felt like a huge office—and the image was very clear.

Seeing four or five doctors appear on the screen, Qin Xiang stood up and nodded slightly, “Director Wang, Director Xiao, sorry to trouble you on Saturday, and thanks for helping with the consultation.”

Wang Yushan looked quite authoritative with a square face and large ears. After exchanging pleasantries, he said, “Director Qin, we’re somewhat familiar with the patient’s condition now, let’s get started!”

“We’ve discussed the patient’s situation and have several proposals, but they’re not unified. I’ll start by sharing our thoughts and Director Qin, you listen first.”

PS: Today, five chapters in total, thank you!