Chapter 44 Surgery Training
Early that morning, Gu Jun woke up in the dormitory building of Tianji Bureau for the first time and smelled a scent of meat in the air.
He rubbed his eyes in confusion and got up, walked out of the spacious bedroom, and saw Cai Zixuan busy in the kitchen, looking at books while cooking something.
As soon as Cai Zixuan saw him, he smiled and said, "It's so early for Hao Jun, the skinny egg and lean meat porridge will be cooked immediately! I'll ask Senior Brother Ma and the others to come and eat it."
"Where did you get the peeled eggs? Where did you get the lean meat?" Gu Jun was a little stunned, but the cooking was really fragrant, and he used the pressure cooker that already existed in the kitchen here. The rat-flavored rice cooker was left on Dongda.
"So the benefits here are really good." Cai Zixuan couldn't help but exclaim, "When the receptionist brought us yesterday, didn't I say, 'Wow, this big kitchen, I'd bought some ingredients if I had known it.' The receptionist asked me what ingredients? I said, "I said, the lean meat is so good, and cooking porridge is good for breakfast." As a result, he delivered these ingredients to the door early this morning! He also bought me a lot of seasonings."
Gu Jun has seen it. The kitchen is different from the empty ones yesterday. Now the kitchen cabinet is filled with bottles and jars, so Lao Ganma can also see it.
"It's good to have good benefits." He thought last night, "I don't know what we have to pay behind such good benefits."
"Yes." Cai Zixuan also thought when he heard this, "All the gifts given by fate have already been secretly bidding for the price."
"This is very familiar, is it Shakespeare again?"
"Zweig."
Gu Jun ignored Cai Zixuan and walked through the wide and empty hall without sitting down on the sofa. There was no signal when the TV turned on last night. He came to the balcony and looked out. It was the twelfth floor, very high, and the buildings in front were all in sight.
Although it was less than seven o'clock, I could see some people and vehicles walking around...or in other words, people were working all night long.
After looking for a while, Gu Jun went back to the bathroom. When he finished washing, the porridge was cooked. Senior Brother Ma, Sun Yuheng and other four came to seek interest. Cai Zixuan once again proved that he was not a good doctor if he couldn't cook. Everyone ate two bowls of the porridge, and the porridge was cooked fragrant, smooth and very appetizing.
With this spirit, six people went down from the dormitory building, met with the three girls, and were taken to the training center here by the receptionist.
On the way, they learned that the organization's training arrangements for themselves were divided into three categories: clinical group, experimental group and chore group. Except for Cheng Yifeng and Zhou Yi who were assigned to the chore group, they were a little disappointed, no one had any objections.
"Student Gu, the superiors have other arrangements for you, and your training will be very much. You can follow the clinical team to train together these days." The receptionist said again.
Everyone was not surprised by this, and Gu Jun immediately breathed a sigh of relief. He was afraid that he would be assigned to do some irrelevant light work because of his terminal illness. Just pay attention to it, just pay attention to it.
The training center is a very large modern high-rise building with nearly ten floors. They followed the receptionist all the way and found that not only the rookies in the training center, but also some young people like nurses, pharmacists, etc. were also led by the receptionist. This time the selection was comprehensive.
Everyone took their internship documents and went to different training rooms separately.
Gu Jun and his team went to the clinical surgery training room. Surgery is the first training program they need to conduct. Think about it, all patients with vanish disease need to undergo amputation surgery, and surgery should be the most shortage of manpower in the medical department now.
The receptionist handed them over to the trainer and left, and told them to go to the training center on time at 7:30 a.m. every month in the next month.
Obviously, the current situation can only be used as trainers. There is only one surgical trainer named Zhou Jiaqiang. He looks less than forty years old, with a strong figure, acne marks on his face, and a bumpy potholes like gravel roads. However, his smile is full of enthusiasm, which is completely different from the temperament of those corpse transporters.
"Just call me Brother Qiang, I will teach you well, and you will learn well. It's very simple and no problem."
This training room is not big, with a podium above, a blackboard and a projection screen, 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 people. It really brought the distance closer, which made Cai Zixuan and Jiang Banxia particularly excited.
"We are actually doctors, but the patients we treat are unusual. They can treat them as they should. There is nothing to be afraid of. You are afraid that they have never seen them. I have seen them like you, Brother Qiang, and no matter what they are, they are ordinary patients, and there is nothing to be afraid of!"
"The first thing to do surgical surgery is to not be afraid. When you are afraid, you will panic, and when you are panic, you will have problems. Your hands cannot tremble, and your heart cannot be confused."
Everyone felt healed when they heard Brother Qiang’s words, and the shadow brought by the strange banyan tree in the human body subsided slightly.
Brother Qiang is right. It will be commonplace if you see it too much. In history, people who had craniotomy surgery were also very scared. Now it has become common.
But Gu Jun always felt that the smile on the face full of acne marks had a bit of a pyramid scheme that fooled rookies on board the boat...
"Haha, Ajun." Zhou Jiaqiang was very familiar with their information and smiled and said, "You have the best anatomy skills. No problem. You must have confidence in yourself! Ruoxiang, Yuheng, Zixuan, you also have a very good level, and you will get started quickly. Banxia is a major in traditional Chinese medicine and your anatomy skills are relatively not that familiar, but it doesn't matter. You can make up for it here."
The undergraduate degree in the University of Traditional Chinese Medicine also requires studying human anatomy and Western medicine surgery, but compared with the eight-year clinical system of Western medicine, the content is of course much less.
"Well, at worst, I can wipe your sweat." Jiang Banxia had a lively and cheerful personality and immediately joked about herself.
Everyone smiled, and Cai Zixuan laughed a few times. Because of the sterility principle during the operation, if the surgical staff is sweating, they cannot wipe it themselves. They need to turn their heads and be helped by the nurse to wipe it off. Cai Zixuan looked at Jiang Banxia and joked: "Banxia, there is me, don't fight for sweat with me."
Gu Jun frowned in surprise, as if he smelled the sour smell of love?
Wang Ruoxiang nodded to him and started in the gym yesterday.
"Okay, start class!" Zhou Jiaqiang was a little serious, paced on the podium and said, "The basic operations of surgical operations are incision, tissue separation, hemostasis, ligation, suture, thread cutting and stitch removal, and dressing changes. You have no big problems with the first two items, the poorest ones are experience and skills. You should have learned some related basics. Today I will talk about it and strengthen it."
"When surgery, of course, you must do a good job of stopping bleeding. There are several commonly used methods for stopping bleeding: compression hemostasis, ligation hemostasis, electrocoagulation hemostasis, hemostasis of hemostasis, and metal clip hemostasis. Among them, the most commonly used and most required technology is ligation hemostasis."
"Lining." Zhou Jiaqiang said with emphasis, his eyes swept across the faces of the five students seriously. "Surgery to stop bleeding requires a lot of ligation with sutures, and ligation must also be performed after tissue suture. Therefore, ligation is the most basic and very important operation in surgery."
"How to complete ligation with safety and reliability, and convenient operation? Two points: one is to choose suitable sutures, and the other is to perform standardized operations - that is, choose the right thread knot according to the situation, and then tie it well. I will teach you the basic thread knots first, and there is a model for knot training in your table belly, so take it out."
After Zhou Jiaqiang said that, everyone looked for the model from their respective tables and took out the model that Brother Qiang had shown. They had all taken courses in general surgery and surgery, but they still focused on theory and principles. The specific operations have not been studied in detail. For example, Dongda University had only been to the hospital for tutoring for a semester, so it felt quite fresh when holding the model.
Gu Jun looked at the knot skill training model in his hand, which was transparent plexiglass material, and the design was exquisite...
"The magnetic system used in this model simulates tissue tension, and parallel elastic cords simulate blood vessels." Zhou Jiaqiang introduced, "Three different models of cylinders form various knotted spaces, which can simulate many deep structures for knotting training in various deep structures. In short, this is a magic weapon! It belongs to you."
Zhou Jiaqiang smiled, but said seriously: "Take it back to the dormitory after class, hold it when sleeping, and practice well."
He also took out a model from the podium, "Single knot, you know, the most basic knot." He took a suture and circled it on the model, "The one that turns a circle in this way is a single knot. What about square knots? The most commonly used knot in surgery. It is composed of single knots in opposite directions. When you want to ligate smaller blood vessels and various sutures, you must use square knots. As long as it is correctly stamped, it will be very firm and will not fall off easily."
"What if you tie another single knot to the square knot, and the third single knot is in the opposite direction to the second single knot? This is the triple knot. When you want to ligate larger blood vessels and suture tissues with greater tension, the most commonly used triple knots are."
Zhou Jiaqiang talked about it, and while he was talking, he used various knotting methods to demonstrate on the model, one-handed, two-handed, instruments, deep...
Everyone looked at each other. Not only Gu Jun looked, the nerves in his hands were also beating with the nerves, feeling the speed and strength of Brother Qiang when he tied knots.
"You should pay attention to when you tighten the line with two single knots in square knots, you must cross your hands at once, otherwise it will become a slippery knot. Use both hands evenly and gently and slowly, otherwise the line will be broken or not tightened, and it will slip away, causing the patient to bleed again or even severe bleeding!"
Zhou Jiaqiang demonstrated over and over again, "It is not difficult to tie a knot around a few circles, but the difficulty lies in the strength control. Look, like this, slowly..."
They watched Brother Qiang operate it, and they really felt that his hands, which were obviously rough, were as gentle as a little girl holding an embroidery needle.
"..." Jiang Banxia was immediately nervous. Brother Qiang said it easily. What's not difficult and simple. In fact, it's just like Xu Beihong teaches you how to draw a horse. First draw the outline of the horse, and then add the lines of the limbs... the horse is drawn.
"Okay, do you understand?" Zhou Jiaqiang smiled, "Now you can tie it with one hand to show me, first, then square, and finally three knots."
The five nodded and took action no matter what their thoughts were.
Cai Zixuan was a little clumsy and there was no problem when he tied a single knot, but when he got the square knot, he accidentally broke the thread. Seeing that he had made a mistake of too much force, Jiang Banxia gently struck it... The knot she tied successfully slipped off.
"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. They didn't have a collision until the triple knot. Due to the uneven force, it turned into a slip knot, but the rookie performed well.
This is consistent with the expectations given to him by the superiors, but I heard that there is a god this time who wants him to be polite to him and choose the most difficult teaching.
Chapter completed!