Chapter 57: Come on, choose at will!
"Senior Sister Zhou. Which of these suture concepts do you prefer? Fang Xian ignored the fact that Zhou Xiyin was completely petrified at this moment, and after demonstrating the corresponding concepts of several different sutures one by one, she broke her stunned.
"What?" Zhou Xiyin shook his head slightly, like an idiot.
Fang Xian pursed his lips. To be honest, this is his first time teaching, and he has never had such an opportunity before.
The first time I taught, I met students who were not very cooperative, and Fang Xian didn't know what to do.
Let's put it up to dim sum first: "To put it simply, there are different manifestations of level 4 sutures, and your sutures are already level 3, you should have checked the relevant descriptions, right?" ”
Fang Xian didn't dare to be sure if Zhou Xiyin was the same as himself, so he couldn't help but be curious, so after the suture technique reached level 3, he would see what kind of level level it was.
Zhou Xiyin shook his head again and said, "Senior Brother Fang, I mean, what was it just now?" Grade 5 sutures? ”
Zhou Xiyin's heart set off turbulent waves.
Although suture is the foundation of medical skills, the more basic the skills, the more direct the upper limit that each person can reach and approach.
It is common sense that some people will not be able to reach level 4 suture in their lifetime, but they can reach level 4 of specialist advanced skills.
It's like some people who are not particularly proficient in the basics of mathematics, but can use computers.
Why is the basic skill so golden, because it's really hard!
Fang Xian slowly understood Zhou Xiyin's possible mood at the moment, it turned out that Zhou Xiyin was thinking about this, and he was secretly happy in his heart, but his face did not fluctuate: "Actually, I don't know, and I don't have the authority to check it at present." ”
Fang Xian's suture technique was certified as level 3 in the medical association, and he could only inquire about what level 4 skill was. The detailed description of the Level 5 skill is only available to the Level 4 skill owner, and can only be understood in a few words online.
But it should feel similar, after all, the panel shows that it has reached level 5, and the principle of level 5 skills, from Fang Xian's point of view, is actually to mix and transform various concepts of level 4 of suture technique.
It is equivalent to that Fang Xian can be partially sutured and part of it can be sutured, and part of it can be sutured, which is truly integrated and has no sense of obstruction.
"You choose one first, and I'll see if I can teach you." Fang Xian returned to the topic.
He came to teach, not to pretend to be forced, to pretend to be forced, in the operating room, directly appeared, or went to the medical association to directly certify, then the whole hospital will know, cool is cool, but it doesn't make much sense.
Fang Xian didn't have to be in such a hurry to make a name for himself, he would talk about it first.
"Yes, sure!" Zhou Xiyin nodded immediately, so determined.
In the process of clinical teaching, the teacher will only talk about the basic principles, and then let himself slowly experience and learn.
It's not that I'm unwilling to teach carefully and targetedly, but that basic skills are supposed to depend on personal talent, except for a small number of people who can thoroughly integrate and teach in basic disciplines.
Ordinary people, in fact, only know half-understood, all he can give you is elaboration and repetition, and it is impossible to carry private goods.
It's like everyone in the world will tell you that pi is about 3.14, but how to prove the specific process, ordinary people can't give you a special formal way to verify the general.
The same is true for medicine.
Suture is suture, he only tells you how to use suture, how to sew, but why suture, why suture, why so sutured, it is difficult for ordinary people to say thoroughly, what he said, that is, his theoretical reserve, not theoretical dialysis.
Fang Xian then demonstrated to Zhou Xiyin again the suture method and effect of different concepts in level 4 of suturing surgery, so that Zhou Xiyin could observe it once.
After Zhou Xiyin watched Fang Xian's stitching process and results, even though he was mentally prepared, he was still shocked!
Level 5 skills, which are necessary skills for Level 5 physicians and subject leaders, are not a level that ordinary people can achieve.
Zhou Xiyin knows more about these than Fang Xian!
In particular, level 5 of basic skills is the first threshold for discipline leaders, such as hand surgery and cosmetic surgery, no matter how good you are in surgery, as long as you do not have level 5 sutures, others will not particularly recognize your identity!
"I choose!"
"The third one." Zhou Xiyin pointed to the third type of post-suture performance that Fang Xian had sutured, and then quickly withdrew his little hand and stood very upright.
"Good! ~" Fang Xian nodded, no matter which one Zhou Xiyin chosen, he didn't care.
"Exquisite: one of the suturing genres, take the essence of the two genres of alignment and flattening, and refine the interstitial structure under the skin again, and quickly suture the adhesion with the lowest chance of tissue gap; Hierarchical suture adhesions occur at a high rate and interstitial spaces are high. Pros: Considering the speed of suture and the aesthetics of suture. Disadvantages: The learning cycle is long, and it requires extremely solid basic skills in pathophysiology! ”
"In fact, the concept of this suture is to adapt to local conditions, the most suitable is the best, taking into account the speed and quality of the suture, and then when learning, you need to have a certain basic anatomical skills."
"I'm sure you have this, right?" When Fang Xian explained, he confirmed with Zhou Xiyin.
Zhou Xiyin nodded: "The basic skills of basic anatomy are classified into the basic theories of different surgeries, there are 3 levels, and the basic mastery of basic anatomy is quite proficient, except for anatomists, it is not listed separately." ”
"It's good to have an understanding, and delicate sutures are adapted to local conditions, which requires a certain knowledge and understanding of common skin and subcutaneous tissues, knowing where to roughly suture and when to have precise sutures."
"I'll take a look at your current stitching, what kind of concept you tend to be, and then see how you can ......adjust it," Fang Xian continued to ask.
Now that he is standing at the height of the level 5 suture technique, and looking down further, he naturally knows.
In the early stage of suturing, there are basically no schools and theories to say, and they go forward in full accordance with the requirements of suture prescribed by the medical association, and the same is true for most sutures in surgical clinics.
Pay attention to what you can use.
"Okay, Senior Brother Fang......" Zhou Xiyin was eager to try.
It's not that she doesn't want to learn, it's that she doesn't have a good teacher to teach!
It is extremely rare to have a level 5 skill and still have a level 5 basic skill teacher.
In the entire Shonan University Hospital, there are only 56 at most, except for two, oh no, remove four, remove five. No one else could take her so precisely.
Now Fang Xian, it belongs to her who picked up a treasure teacher from the crack in the crowd......
Zhou Xiyin's suturing foundation is good, and she has a deeper understanding of herself, although she is a level 3 suture, but some of the understanding in the suturing process is closer to the concept of ingenuity.
However, it is a pity that Fang Xian found that Zhou Xiyin's operation was not pure enough, and the concept of many other operations was mixed in the level 3 stage, especially the stitch-free operation.
Under the mixture, it is more difficult to drive each other.
Looking at it this way, Fang Xian felt that perhaps, when the basic skills reached level 4, what was needed was purification and purity, but Fang Xian was not sure, so he continued to look down......