"Senior brother, this is the human anatomy you asked me to draw!"

Song Zimo laid out the painting and was triumphant.

Before drawing, he reviewed a lot of anatomy books and atlases; When he drew the picture, he did not refer to any information, he drew from memory, he checked it several times, and there were no mistakes.

The painting is very good, more beautiful and delicate than the human anatomy wall chart, but Yang Ping just glanced at it casually, then reached out to put away the picture, kneaded it with both hands, and then squeezed it vigorously to make the paper ball a little smaller, and raised his hand lightly and threw it to the trash can a few meters away, and the paper ball drew a beautiful parabola and accurately fell into the bucket.

"You may have misunderstood, or I didn't make it clear, I didn't ask you to draw it and bring it."

Yang Ping clapped his hands, walked to the whiteboard, took out a water-based pen from the pen case and threw it to Song Zimo.

"Live drawing, right now, draw on the whiteboard, I'm going to use it in class tomorrow."

Song Zimo took the pen and was stunned, he thought that Yang Ping would praise him, but he didn't expect him to look at it, and threw it directly into the trash.

Get used to it, and it's not once or twice that you've been hit. Then draw on the spot, and draw a human anatomy on the whiteboard on the spot.

Yang Ping didn't seem to pay attention to Song Zimo's reaction, put a few chairs together, lay them down, and covered them with a layer of cloth sheets for training shops.

"I'll take a break and wake me up when I'm done."

"Hurry up and don't forget your original intention."

Yang Ping closed his eyes, threw over two sentences, and then stopped paying attention to Song Zimo and really went to sleep.

Song Zimo turned the pen in his hand, thought for a while, did not make any excuses, walked to the whiteboard, pulled out the cap, and began to draw on the whiteboard, the lines were slowly outlined, and the bones gradually formed.

Yang Ping entered the system space, and the points had accumulated more than 100,000 points, and he purchased 500 cases of multiple trauma training, and 100 cases of single-part trauma training for the head, chest, abdomen, spine, pelvis, and limbs, adding up to nearly 2,000 surgeries.

After completing these surgical trainings, Yang Ping did not quit the space.

He used experimental subjects to perform dissections, accumulating some anatomical and pathological data of trauma patients.

The system space, the waterfall falling from the sky in the distance, is majestic and magnificent.

The tree is stronger and more leafy than before.

Coming out of the system space, Song Zimo was still painting.

Next to the whiteboard is a set of colored pencils, thick and thin, and he uses various color combinations.

Arteries are drawn in red, veins in blue, nerves in orange, skeletal muscles in black, and the entire human anatomy is slowly presented on the whiteboard.

Yang Ping took a nap, and when he was woken up, it was already more than eleven o'clock in the evening, and Song Zimo had been painting for more than an hour.

Yang Ping rubbed his eyes and looked at this human anatomy drawn with a pen, it was still fine, there was not a single mistake, and Song Zimo's anatomical knowledge had passed.

"Systematic anatomy has passed, starting tomorrow, after each day of training, you draw a partial anatomy on the whiteboard, in the order of head, chest, abdomen, pelvis, upper limbs, lower limbs---"

"Senior brother, I will definitely work hard." Song Zimo's hand was sore, he put down the pen and moved his wrist.

"Go back and rest early."

It was too late, Yang Ping packed his things, picked up his backpack, and prepared to go back.

"Senior brother, why can Masao Fujiwara complete the repair of a ruptured heart in three minutes and twenty-four seconds by himself?"

It's almost zero, and you're still so persistent, it's not terrible to be smart. The scary thing is that smart people can put in several times the effort of others.

"Are you sure I know the answer?" Yang Ping put down the bag.

Song Zimo nodded: "If you don't know, I'm afraid you have to ask Fujiwara Masao himself." ”

"He stopped the bleeding with his left hand with his bare hand, sutured it with one hand with his right hand, and finally tied the knot." Yang Ping told him.

"What kind of suture method is this, I haven't seen it." Song Zimo didn't know how to stitch with one hand.

As far as he knew, the repair of a ruptured heart required an assistant who used 3-0 non-invasive sutures with spacers.

Use your left hand to stop the bleeding of the ruptured heart, if the tear is small, you can press with your index finger, if the tear is large, you need several fingers to cooperate and pinch the tear.

Then use the full-thickness myocardium with spacer 3-0 non-invasive sutures through the cleft to do mattress sutures, each suture is a stitch, and the assistant immediately helps to tie the knot, so that the suture is a stitch, a knot stitch, and gradually intermittent sutures until the cleft is completely closed.

But Fujiwara Masao didn't have an assistant and completed the operation with one hand, how he did it, Song Zimo never understood.

"He used continuous cross-reciprocating stitches! This is a highly advanced one-handed suturing technique, especially suitable for one-person operation in emergency situations. ”

Continuous cross-back and forth suturing Song Zimo has never heard of this suturing method: "Where does this suturing method come from?" I've never seen one. ”

Yang Ping picked up a water-based pen: "This should be created by Fujiwara Masao, I simulated it based on the movement trajectory of his hand, you see ---"

"Wait!" Song Zimo seemed to realize something, and he went over to take the pen from Yang Ping's hand.

"I'll draw it for you, are you right" After Yang Ping dialed it a little, Song Zimo instantly understood.

He used his pen to draw a continuous cross-stitching figure in a blank space far away from the human anatomy, and also explained the figure.

The first stitch is sutured from the starting point, the direction of the stitch is 90 degrees perpendicular to the wound, and the little finger and ring finger of the left hand are pinched at the end of the thread.

The right hand continues to be sutured, and the second stitch begins, and the stitch goes 60 degrees oblique to the wound, and then it is like this, and the sutures go zigzag.

The last stitch is the same as the first stitch, the wound is perpendicular, do not stop at this time, the needle and thread are sewn back, and the mirror copy of the path.

The second stitch back is restored to the angle of 60 degrees with the wound, and the last stitch falls on the symmetrical position of the starting point, at which time the wound has been completely aligned and knotted.

During the whole process, each stitch is stitched, and the index and middle fingers of the left hand are responsible for tightening the thread, which is tightened against the tail line pinched by the ring finger of the little finger.

Although the sutures are not knotted, they always tighten the wound, with the same effect as intermittent sutures, and the knots are finally knotted, and the sutures of each stitch are crossed back and forth.

"That's right, that's it." Yang Ping praised, heartily praised.

"But the middle finger of the left index finger is responsible for tightening the line, the ring finger and little finger are responsible for fixing the end of the line, and only the thumb is left, how to stop the bleeding with bare hands" Song Zimo still didn't understand.

Stopping bleeding with bare hands, whether with one hand or two, is not difficult for trauma surgeons, basic skills are only, but with one finger, if the wound is small, it is almost impossible to do it.

"The thumb can be held down for small wounds, and the palms and thenar muscles for large wounds can be used to stop bleeding." Yang Ping cleared his mystery.

Song Zimo finally figured it out, if this is the case, it will be so difficult.

The hands should be very flexible, the five fingers of the left hand do three different things, and the right hand is stitched with one hand, and in the pool of blood, nothing can be seen, and it is all operated by the hand.

The effect of sewing should also achieve the effect of intermittent mattress suture with spacers, which requires how high the suturing skills are!

"Fujiwara is amazing! I heard that among his students, there are several very powerful, Fumiya Takahashi, Jiro Sasaki, known as the twin heroes of Japanese trauma surgery. Song Zimo said that from this suture, you can get a glimpse of Fujiwara's level.

"Fujiwara is a god-like being at the University of Tokyo Hospital, and he has many amazing achievements." Director Han told Yang Ping about this.

"You start practicing one-handed suturing tomorrow, with a needle in one hand and no need for the other." It's not early, Yang Ping wants to end this topic quickly.

"You take that model of the chest and make a five-centimeter cut in the heart and completely cut through the heart muscle." Yang Ping wants to demonstrate one-handed continuous reciprocating cross suture.

Yang Ping took off his coat and blindfolded himself.

He was going to demonstrate blind operation, and Song Zimo's heart was pounding.

Song Zimo knows that people who can operate blindly have extremely high hand feel requirements, and if they are a little worse, not only can they not complete the operation, but they will also injure themselves by mistake.

"Senior Brother"

"Hurry up and get the model ready!"

Song Zimo took the model, cut a five-centimeter cut in the heart, and put the needle holder with the needle and thread in Yang Ping's hand.

"You see, I'll only show you once, and this kind of blind operation is only something you can learn." Yang Ping advised.

In the entire administrative building, only the training room is still lit on this floor, and this floor is particularly quiet and empty.

Yang calmed down, held the needle in his right hand, stretched out his left hand, grasped the heart model in his hand, and relied on the thenar muscle and thumb to close the wound with his bare hands, and the alignment was smooth.

With the right hand starting to fly the needle and threading, with the blindfolded, the contact of the left hand immediately determines the shape and position of the suture object and the length of the wound.

The stitching is as precise as opening your eyes and looking at the stitching.

Continuous reciprocating cross sutures, the little finger and ring finger are fixed at the end of the thread, the index finger and middle finger are tightened, and the hands are as if by magic.

Soon, the sewing was finished, and I don't know how long, Song Zimo forgot the timer.

When the knot is finished, the wounds are neatly squeezed together and stitched together, and if it is a real heart, this suture quality will definitely not leak blood.

"You—too" Song Zimo squeezed out a few words.

"Carving insect skills, you can also learn, slow down at first, otherwise the needle will prick your left hand, you will start practicing tomorrow." Yang Ping put down the needle holder.

"I'd love to know why you're so obsessed with being a surgeon, you should have a lot of options, and it's easier than it is now, at least not to have to draw anatomy here late at night. As far as I know, you still faint when you are studying, intractable hemopathy, intractable hemopathy, you can't be a surgeon, but you become a surgeon. ”

Song Zimo was silent for a while: "That's right! I used to be sick with blood! I would fall down at the sight of blood, but nothing could stop me, I went to the trauma emergency center of Moliu every day, faced with blood, once I had to hold on to the wall to walk, and every day I tumbled over the river and vomited, so it lasted for a whole year, I was able to face the blood, nothing could stop me from becoming a surgeon. ”

Song Zimo lowered his head, was silent, and held his face with both hands.

"You have overcome the stubborn blood sickness, and there is no difficulty that you can't overcome."

Yang Ping stretched out his hand, and Song Zimo held it tightly with him.

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