Chapter 44 Surgical Training
Early this morning, Gu Jun woke up for the first time in the dormitory building of the Tianji Bureau and smelled the smell of meat in the air.
He rubbed his eyes suspiciously and got up, and when he walked out of the spacious bedroom, he saw Cai Zixuan busy in the kitchen, reading a book and cooking something.
As soon as Cai Zixuan saw him, he smiled and said, "Hao Junzao, preserved egg and lean porridge, cook it immediately!" I called Senior Brother Ma and they came over to eat. ”
"Where did you get the preserved eggs, where did you get the lean meat?" Gu Jun was a little dumbfounded, but it was cooked really fragrantly, and it was used in the pressure cooker that was already in the kitchen here, and the rat-flavored rice cooker was left on the side of Dongda.
"So the benefits here are really good." Cai Zixuan couldn't help but admire, "When the receptionist brought us here yesterday, didn't I say, 'Wow such a big kitchen, I would have bought some ingredients if I knew it.'" The receptionist asked me what the ingredients were. I said preserved eggs and lean meat, cooking porridge for breakfast is good. As a result, he delivered these ingredients to the door early this morning! I also bought me a lot of seasonings. ”
Gu Jun had already seen that the kitchen was different from yesterday's empty, and now the kitchen cabinet was full of bottles and jars, and the figure of the old godmother could also be seen.
"Good welfare is good." He was thinking last night, "I don't know what we have to pay behind such a good benefit." ”
"Yes." Cai Zixuan also thought when he heard this, "All the gifts given by fate have already been secretly marked with prices. ”
"This is familiar, Shakespeare again?"
"Zweig."
Gu Jun ignored Cai Zixuan, walked through the wide and empty hall, and did not sit down on the sofa, the TV was turned on last night and there was no signal. He went to the balcony and looked out, which was the twelfth floor, very high, with a panoramic view of the buildings in front of him.
Although it was not yet seven o'clock, some people and vehicles could already be seen moving...... Or rather, it's like there's someone working all night.
After looking at it for a while, Gu Jun went back and walked to the bathroom. When he finished washing, the porridge was also cooked, and Senior Brother Ma, Sun Yuheng and the other four came to find the taste. Cai Zixuan once again proved that he is not a good doctor if he can't cook, everyone ate two bowls, and the porridge was cooked thick and smooth, which was very appetizing.
With this spirit in mind, the six of them went down to the dormitory building, met the three female students, and were taken to the training center here by the receptionist.
On the way, they learned about the organization's arrangement of their own culture, which was divided into three categories, clinical group, experimental group and miscellaneous group. Except for Cheng Yifeng and Zhou Yi, who were assigned to the miscellaneous group, they were a little lost, and everyone had no opinion.
"Student Gu, there are other arrangements for you, your training content will be very large, you will train with the clinical team in the next few days." The receptionist said again.
Everyone was not surprised by this, Gu Jun suddenly breathed a sigh of relief, he was afraid that he would be assigned to do some inconsequential light work because of his terminal illness, just pay attention to it, just pay attention to it.
The training center is a large modern high-rise building, nearly ten floors high, they followed the receptionist all the way, it is easy to find that the training center is not only rookie faces, but also some young people such as nurses, pharmacists and so on are also carried by the receptionist, this selection is comprehensive.
Everyone took their internship certificates and went to different training rooms separately.
Gu Jun and the others went to the clinical surgery training room, surgery is the first training project they want to carry out, think about the need for amputation of patients with ficus disease, surgery should be the most scarce place in the medical department now.
The receptionist handed them over to the trainer and left, and told them to be at the training center on time at 7:30 every day for the next month.
Obviously, the current situation can only draw out a few people to be trainers, and they have only one surgical trainer, named Zhou Jiaqiang, who looks less than forty years old, with a very strong body, with acne marks on his face, and potholes like gravel roads, but his smile is enthusiastic, which is completely different from the temperament of those who carry corpses.
"You just call me Brother Qiang, I'll teach you well, you learn well, it's very simple and no problem."
This training room is not large, with a podium, blackboard and projection screen above, a dozen training tables below, and some teaching models and instruments.
At the beginning of this first lesson, Zhou Jiaqiang first smiled and encouraged the five of them to get through, which really shortened the distance and made Cai Zixuan and Jiang Banxia especially excited.
"We are actually still doctors, but the patients we treat are unusual, and we can treat them how we want, and there is nothing to be afraid of. You are afraid that you have never seen it, you have seen a lot like your brother Qiang and me, no matter what it is, it is an ordinary patient, there is nothing to be afraid of! ”
"The first thing about surgery is not to be afraid. When you are afraid, you will panic, and when you panic, something will go wrong. The hands must not tremble, and the heart must not be disturbed. ”
Listening to Brother Qiang's words, everyone really felt a little healed, and the shadow brought by the alien banyan tree in the human body faded slightly.
Brother Qiang is right, it will be commonplace to see too much, and people who did craniotomy at the beginning of history were also scared, but now it has become commonplace.
But Gu Jun always felt that the smile on the face full of pimple marks had a bit of a pyramid scheme to fool rookies on board......
"Hehe, Ah Jun." Zhou Jiaqiang was very familiar with their information, and said with a smile: "Your anatomy skills are the best, no problem, you have to have confidence in yourself!" Ruoxiang, Yuheng, Zixuan, you also have a very good level, and you will also get started quickly. Banxia is a major in traditional Chinese medicine, and you are relatively not so familiar with anatomical techniques, but it doesn't matter, you can make up for it here. ”
The undergraduate degree of Chinese medicine also needs to study human anatomy and Western medicine surgery, but compared with the eight-year clinical program of Western medicine, the content is of course much less.
"Well, it's a big deal I'll wipe your sweat." Jiang Banxia is a lively and cheerful character, and suddenly joked about himself.
Everyone smiled, Cai Zixuan laughed a few times, because of the need to follow the principle of sterility during surgery, if the surgeon is sweaty, he can't wipe it, and he needs to turn his head and be wiped off by the nurse. Cai Zixuan looked at Jiang Banxia and said with a smile: "Banxia, there is still me, don't sweat with me." ”
Gu Jun frowned in surprise, as if he smelled the sour smell of love?
Wang Ruoxiang nodded to him, it started yesterday in the gymnasium.
"Alright, let's start class!" Zhou Jiaqiang was a little more serious, paced by the podium, and said: "In general, the basic operations of surgery are several, tissue incision, tissue separation, hemostasis, ligation, suture, suture cutting and removal, and dressing change. You don't have a big problem with the first two, the difference is experience and skills, and the rest of you should have learned some relevant foundations, and I will talk about it again today to strengthen it. ”
"To do surgery, of course, you have to do a good job of stopping the bleeding. There are several commonly used methods of hemostasis: compression hemostasis, ligation hemostasis, electrocoagulation hemostasis, hemostasis of hemostatic items, and metal clip hemostasis. One of the most commonly used and technically demanding is ligation to stop bleeding. ”
"Ligate." Zhou Jiaqiang read emphatically, and his eyes swept over the serious faces of the five students, "Surgery to stop bleeding requires a large number of ligations with sutures, and ligation must also be done after tissue sutures. Therefore, ligation is the most basic and very important operation in surgery. ”
"How can ligation be done safely, reliably and conveniently? Two points, one is to choose the right suture, and the other is to carry out standardized operation - that is, to choose the right suture knot according to the situation, and then tie it well. I'll teach you the basics of knotting first, and you have a model for knotting training in your table, so take it out. ”
Zhou Jiaqiang said, and everyone looked for it from their respective tables and took out the model indicated by Brother Qiang. All of them have taken courses in general surgery and surgery, but they are still mainly based on theories and principles, and the specific operations have not yet been studied in detail.
Gu Jun looked at the knotting skill training model in his hand, which was made of transparent plexiglass material, and the design was very exquisite......
"The magnetic system used in this model simulates tissue tension, and the parallel elastic cords simulate blood vessels." Zhou Jiaqiang said, "Three different types of cylinders form a variety of knotting spaces, which can simulate many deep structures for various deep structure knotting training. In short, it's a magic weapon! It's yours. ”
Zhou Jiaqiang smiled, but his words were very serious: "Take it back to the dormitory after class, hold it when you sleep, and practice well." ”
He also pulled out a model from the podium, "Single knot, you know, the most basic kind of knot. He took a stitch and made a circle around the model, "so that a circle is a single knot." What about the square knot? One of the most commonly used types of knots for surgery. It is made up of two single knots in opposite directions, and you need to use a square knot when you want to tie smaller blood vessels and various sutures, as long as you tie it correctly, it will be strong and not easy to fall off. ”
"What if you make another knot to the square knot, and the third knot goes in the opposite direction to the second knot? This is the triple knot. When you want to tie larger blood vessels and more tense tissues, the most common is the triple knot. ”
Zhou Jiaqiang talked about it, and while talking, he used various knotting methods to demonstrate on the model, one-handed, two-handed, instrumental, and deep......
Everyone watched intently. Gu Jun didn't just watch, the nerves in his hands were also beating with the nerves, feeling the speed and strength that Brother Qiang used when tying the knot.
"You should pay attention, when you tie a square knot and tighten the line with two single knots, you must cross your hands once, otherwise it will become a slippery knot. The force of both hands should be even, gently and slowly tightened, otherwise it is easy to break the thread, or it is not tied tightly, and it slips, causing the patient to bleed again, or even hemorrhage! ”
Zhou Jiaqiang demonstrated over and over again, "It's not difficult to tie a knot around a few circles, but the difficulty is in the strength control, you see, like this, slowly ......"
They watched Brother Qiang operate, and they really felt that his hands, which were obviously rough men, were as soft as a little girl holding an embroidery needle.
"......" Jiang Banxia suddenly became nervous first, Brother Qiang said easily, what is not difficult, simple, in fact, it is like Xu Beihong taught you how to draw a horse, first draw the outline of the horse, plus the lines of the limbs...... The horse was painted.
"Okay, got it?" Zhou Jiaqiang smiled, "Now you can use one hand to show me, first a single knot, then a square knot, and finally a triple knot." ”
The five of them nodded their heads and acted no matter what they thought.
Cai Zixuan was a little clumsy, there was no problem when he tied a single knot, but when he tied a square knot, he accidentally broke the line. Seeing that he had made the mistake of making too much force, Jiang Banxia hit softly and softly...... The knot slipped.
"It's okay, pay attention next time." Zhou Jiaqiang comforted them while looking at Wang Ruoxiang and Sun Yuheng, both of them were very calm and steady, and they didn't bump until the triple knot, which became a slippery knot due to uneven force, but the rookie had this kind of performance well.
This is in line with the expectation given to him above, but I heard that there is an immortal this time, and if he wants to be polite to him, he has to choose the most difficult teaching.
Zhou Jiaqiang looked at Gu Jun's table, is it really so fierce?