Chapter 46 Surgery, Anatomy, Psychiatry

On the morning of the first day of training, Zhou Jiaqiang taught five trainees how to sterilize.

At noon, they went to the canteen of the training center to eat, rested for a while, and then went back to continue the afternoon training: suturing.

Suturing is also the most important basic operation in surgery, and the suture methods are mainly divided into interrupted and continuous, such as simple interrupted suture, double interrupted suture (figure 8 suture), simple continuous suture, snap lock suture, tension reduction suture, varus suture, valgus suture......

Each of these different suture methods serves a different purpose and needs to be chosen according to the patient's injury.

"You should pay attention to the fact that in the face of deep wounds, do not suture in full layer, but should be sutured according to the anatomical level, which is the main way to avoid the formation of invalid cavities."

Zhou Jiaqiang used a projection screen to cooperate with the teaching, playing some pictures of surgical sutures, "The invalid cavity will not only hinder the alignment of the wound, but also lead to blood, effusion, and secondary infection, which will delay the healing of tissues, so it must be avoided." ”

Just remembering the operation steps and precautions of these methods are busy, but don't think that you can get started immediately, Wang Ruoxiang and Sun Yuheng are all going step by step.

Gu Jun also walked step by step, but he walked faster than others, and he was basically familiar with it in one afternoon, but there was still a long way to go before he became proficient.

The day didn't end there, and the training continued in the evening. Zhou Jiaqiang then taught them to cut sutures, remove sutures and change dressings, some hemostatic operations, and the similarities and differences between surgical incision and separation of tissues and dissection.

"Is it cramming today?"

After ten o'clock this night, before the disbandment, Zhou Jiaqiang took out the most serious look of the day and preached to them: "Yes, the current situation does not have time for you to learn slowly, and the clinical side is looking forward to you quickly becoming three assistants and two groups, so that the original three assistants and two assistants will be the main knife." So don't be lazy, memorize the teaching materials that were sent to you, and you can also take some fruits to practice sewing, grapes, bananas, and the dormitory provides them. ”

Everyone nodded yes, Brother Qiang was just the guide who brought them to the entrance, and how far they could reach after the entry depended on their own efforts.

"First of all, the simulation is to lay the foundation, and then in the second half of the year, we will conduct actual combat training at the experimental animals, I hope you can all be ready before then, come on!"

By the time Brother Qiang officially announced the end of class, it was half past ten, and everyone ended the day's training and went back to the dormitory together.

During the closed training period, they were required to have access to the training centre and the dormitory. There are no entertainment programs, but there are gyms on the second floor of each dormitory building, but they have been busy all day, and they have to continue training early tomorrow morning, and most of them go back to the dormitory to sleep directly.

Gu Jun didn't sleep, so he used surgical instruments to practice suturing and ligation on grapes at the desk in his bedroom.

First, use a scalpel to cut the grape skin, then use tweezers to remove a few seeds as a target, and then use a needle holder to hold the needle and match the sheep intestine to sew needles one by one......

The night sky outside the window was pitch black, and Gu Jun was still concentrating on practicing over and over again, digesting what he knew and learned today.

……

In the next five days, Gu Jun and the others continued the rhythm of the first day of training, and followed Brother Qiang to simulate and learn the suture methods of various tissues and organs, as well as the specific operations of some surgical operations, and amputation surgery is the top priority.

The enthusiasm for learning will stimulate each other, Gu Jun's excellent performance is driving others, and Brother Qiang often sighs with emotion.

"You're the best students I've ever had!" Zhou Jiaqiang constantly praised them like this, which made Cai Zixuan and Jiang Banxia very proud.

However, Gu Jun was very suspicious that Brother Qiang would say this to every batch of students.

After the first phase of the surgical training, the five of them continued to train in internal medicine, where they were taught by another female trainer, Huang Ying.

And Zhou Jiaqiang has the next batch of six students, all of whom are medical dogs from the surrounding cities of Dongzhou City, and they also broke through from the skills competition.

Everyone met when they were eating in the cafeteria, and they inevitably gossiped about each other, and sure enough, Brother Qiang said that he was the best person he had ever bred......

Gu Jun also wanted to inquire about the skills competition in their city, they came from four different cities, and they only saw the touring banyan tree after the final victory, and the dissected in the competition was only a sample of the malformed limbs of a person with banyan disease.

"It seems that there are not many of the alien creatures with plate bones...... Gu Jun thought to himself, "And the students in Dongzhou City have been assessed to the highest standard." ”

In the past few days of receiving internal medicine training, the itineraries of Gu Jun and Cai Zixuan have gradually become different.

He was assigned more training programs, in addition to clinical practice, he also had to do anatomy training.

Gu Jun no longer needs basic training on the dissecting table, he has received more theoretical foundations of heterogeneous anatomy, and when facing those unprecedented creatures, even with the help of modern instrument technology, there will be many difficulties.

"Jun, you have to be prepared to sometimes perform dissections in the wild." The anatomy trainer Yu Xiuyan told him again, "There is no help, only yourself and some dissecting tools." How do you bring back a diagram of the anatomy of a creature? It's up to you. ”

Wild? Gu Jun still couldn't understand the specific meaning of these words.

Anyway, heteroanatomy is exactly the knowledge he craves for it, but with the authority of an intern, the scope of what he can know and learn is quite limited.

The intern is not a regular employee of the Tianji Bureau, and he has not even signed a contract.

In addition to anatomy training, Gu Jun also received mental and psychological training, and initially learned some knowledge compiled by the Tianji Bureau, such as the mental impact of abnormal things like the alien banyan tree on human beings, as well as the stress-related disorders that may be triggered.

Stress-related disorder refers to a type of mental disorder that has an obvious causal relationship with stressors, and the timing of occurrence, symptom content, course and prognosis are closely related to stressors. Probably the most well-known is post-traumatic stress disorder (PTSD).

"Stressors" refers to the stimuli that act on the individual and make it produce a stress response, human stressors are very extensive, psychiatry according to different environmental factors, the stressors are divided into three categories: external environment, individual internal environment and social psychological environment.

Heteranus ficus disease and heterobanus trees are an external environmental stressor. Not everyone who has seen the horrific alien banyan tree can recover on their own, ranging from nightmares to acute stress – and that's not just vomiting.

If not properly treated, over time, it will cause irreversible damage to the body's nervous system, and even abnormal brain structure and function.

In that case, the employee will no longer be able to work for the Tianji Bureau, and may no longer be considered a normal person.

Psychiatric trainer Luo Mingtao's focus on teaching Gu Jun is to teach him how to cognize, diagnose, and treat stress-related disorders.

"Jun, you have to learn how to deal with the stress response of people in the field." Luo Mingtao also taught earnestly, "Those stressors may be the first time the Tianji Bureau has encountered them, and your colleagues are about to go crazy." How should medication and psychotherapy be administered? It's up to you. ”

Gu Jun learned these and better understood the meaning of those test questions during the review. The humans in this mysterious circle are still human, and they don't have three heads and six arms, and if they don't even know their minds, they can only cause trouble.

But he also heard something strange, and it was wild?

Teacher Luo and Teacher Yu's words are almost identical, as if these interns are going to go to the field in the future?

With this question in mind, Gu Jun asked Cai Zixuan when he returned to the dormitory, but Cai Zixuan was puzzled: "Wild? No, no teacher has told us. ”

Now Gu Jun still doesn't understand, the "wild" should be a special arrangement for him from above, so I don't know what kind of arrangement it is.

……

In a blink of an eye, half a month has passed, and the time has entered September.

Gu Jun gets up early and sleeps late every day in the Medical Department of Dongzhou Tianji Branch, and ...... clinical, anatomical, mental, and psychological Every day, he is like a sponge, frantically absorbing all aspects of medical knowledge.

During this period, he also completed 6 systematic general tasks, all of which were surgical-related exercises, such as completing 500 stitches, completing 300 ligations, etc., and obtained 6 boxes of medicine, which also improved Tairan's hand, and is now the second (3000/30000 proficiency).

Six normal missions add 1500 familiarity, and another 500 is from his own training.

Every time his familiarity exceeded 1,000, his hands seemed to have a new feeling, and he became more and more proficient in various surgical operations.

The medicine boxes of those foreign medicines were a trouble, and Gu Jun didn't dare to leave them in the dormitory, so every time he got a box, he hid in the bathroom of the unit, manually tore the medicine boxes into a little bit of shredded paper, and then flushed them all into the toilet, leaving nothing behind.

He had disposed of 6 pill boxes like this, and no one had come to him for questioning, so he was probably certain that there wasn't a pinhole camera or anything like that in the bathroom.