Chapter 44: Surgical training

Early this morning, Gu Jun woke up in the dormitory building of the Tianji Bureau for the first time and smelled a smell of meat in the air.
He rubbed his eyes in doubt and got up, walked out of the spacious bedroom, and saw Cai Zixuan busy working in the kitchen, reading something while reading the book.
Cai Zixuan saw him and smiled and said: "Hao Jun early, preserved egg lean meat porridge, cook it immediately! I called Brother Ma and they came to eat."
"Where are your preserved eggs, where are your lean meats?" Gu Jun was a little dumbfounded, but the cooking was really fragrant, and the pressure cooker used in the kitchen here was used, and the rat-flavored rice cooker was left at Dongda University.
"So the welfare here is really good." Cai Zixuan couldn't help but admire, "I wasn't saying when the receptionist brought us yesterday, 'Wow such a big kitchen, I bought some ingredients as soon as I knew.' The receptionist just Ask me what ingredients? I said that lean eggs and lean meat, porridge is good for breakfast. "As a result, he delivered these ingredients to the door early this morning! Also bought me a lot of seasonings. "
Gu Jun has seen that the kitchen is different from yesterday's empty. Now that the kitchen cabinet is full of bottles and cans, the figure of the old godmother can also be seen.
"Welfare is good." He thought about it last night. "I don't know what we are required to pay behind such a good welfare."
"Also." Cai Zixuan also thought about it, "All the gifts presented by fate have already secretly marked the price."
"This is familiar, is it Shakespeare again?"
"Zweig."
Gu Jun ignored Cai Zixuan, walked through the wide and empty hall, did not sit down on the sofa, there was no signal that the TV turned on last night. He came to the balcony and looked away. This is the twelfth floor. It is very high, and the buildings in front are panoramic.
Although it was less than seven o'clock, I could already see some people and vehicles moving around ... or rather, there were people working all night.
After a while, Gu Jun went back to the bathroom. When he finished washing, the porridge was also cooked, and Brother Ma, Sun Yuheng, and others all came to me. Cai Zixuan once again proved that it is not a good doctor to not cook. Everyone ate two bowls, and the porridge was thick and smooth, very appetizing.
With this energy, six people went down to the dormitory building, joined three girls, and were taken to the training center here by the receptionist.
On the way, they learned the organization's own training arrangements, divided into three categories, clinical group, experimental group and chores group. Except that Cheng Yifeng and Zhou Yi who were assigned to the chores group were a little lost, everyone had no opinion.
"Student Gu, there are other arrangements for you above, your training content will be particularly large, you will first follow the clinical team to train together in the next few days." The receptionist said.
Everyone was not surprised by this. Gu Jun let out a sigh of relief. Before that, he was afraid that he would be assigned to do irrelevant light work because of his terminal illness. Just pay attention, just pay attention.
The training center is a huge modern building with a height of nearly ten floors. They walked along with the receptionist. It was easy to find that not only the rookie faces but also some young people like nurses and pharmacists in the training center. People are also taken by the receptionist, this time the selection is comprehensive.
People took their internship certificates and went to different training rooms separately.
Gu Jun they went to the clinical surgery training room. Surgery was the first training project they had to carry out. Think about patients with all kinds of amyloidosis who need to undergo amputation surgery. Surgery should be the place where the medical department currently lacks manpower.
The receptionist handed them over to the trainer and left, and ordered them to come to the training center on time every day at 7:30 every month.
Obviously, the current situation can only select a few people as trainers. There is only one surgical trainer named Zhou Jiaqiang, who is less than 40 years old, has a very strong build, has a pimple mark on his face, and a bumpy image. It's a gravel road, but the smile is warm and passionate, which is very different from those of the corpse transporters.
"You just call me strong brother, I teach you well, you study well, it's 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 smiled and encouraged five people to work together, which 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, we should treat them as we please, and there is nothing to be afraid of. You are afraid that you haven't seen them. I have seen them like your strong brother, no matter what. Just ordinary patients, there is nothing to be afraid of! "
"The first thing to do in a surgical operation is not to be afraid. You will panic when you are afraid, and you will have problems when you panic. Your hands cannot tremble, and your heart cannot be confused."
Everyone listened to the words of Brother Qiang, and they felt a bit cured. The shadow brought by the human ficus tree faded slightly.
Brother Qiang is right. It ’s commonplace to see more. People who have had craniotomy in the beginning of history are also very scared. Now it ’s not a common thing.
But Gu Jun always feels that the smile on the face full of acne marks has a little MLM meaning that flickers the rookie on board ...
"Oh, Ah Jun." Zhou Jiaqiang was very familiar with their information and smiled: "Your anatomical skills are the best, no problem, you must have confidence in yourself! Ruoxiang, Yuheng, Zixuan, you also have It ’s a very good standard, and it ’s also quick to get started. You are a Chinese medicine major in Pinellia. The anatomy technique is relatively unfamiliar, but it ’s okay. I can make up for it here.

The undergraduate of the University of Traditional Chinese Medicine also studies human anatomy and Western medicine surgery, but compared with the eight-year clinical course of Western medicine, the content is of course much less.
"Well, it's a big deal, I'll wipe you sweat." Jiang Banxia is a lively and cheerful character, and immediately jokes about herself.
Everyone smiled, Cai Zixuan laughed a few times, because of the need to follow the principle of sterility when performing surgery, if the operator is sweaty, he ca n’t wipe it, and he needs to turn his head and wipe it off with the help of a nurse. Cai Zixuan looked at Jiang Banxia and said with a smile: "Banxia, ​​and me, don't fight sweat with me."
Gu Jun frowned in surprise, as if he smelled the sour smell of love?
Wang Ruoxiang nodded to him and started at the gym yesterday.
"Okay, let's start the class!" Zhou Jiaqiang was a little more serious, pacing around the podium, preaching: "The basic operations of surgery are generally a few items, tissue incision, tissue separation, hemostasis, ligation , Sewing, thread trimming and stitch removal, and dressing change. You have no big problem with the first two. The difference is experience and skills. I will teach you other operations. "
"Operation, of course, hemostasis. There are several common methods of hemostasis: compression hemostasis, ligation hemostasis, electrocoagulation hemostasis, hemostatic items hemostasis, and metal clip hemostasis. Among them, the most commonly used and most requested The technique is ligation and hemostasis. "
"Ligation." Zhou Jiaqiang said with emphasis, and looked over the serious faces of the five students. "Surgical hemostasis requires a lot of ligation with sutures and ligation after tissue suture. So ligation is the most basic and very surgical An important operation. "
"How to complete the ligation safely, reliably, and conveniently? Two points, one is to select a suitable suture, and the other is to perform a standard operation-that is, first select the right knot according to the situation, and then finish it. Next, I will teach you the basic knots. There are models for knotting training in your belly. Take them out. "
Zhou Jiaqiang said, everyone looked for them from their respective belly, and took out the model that Qiang Brother indicated.
Gu Jun looked at the knotting skill training model in his hand, with transparent plexiglass material, and the design was very delicate ...
"This model uses a magnetic system to simulate tissue tension and parallel elastic ropes to simulate blood vessels." Zhou Jiaqiang introduced, "Three different types of cylinders form a variety of knotting spaces, which can simulate many deep structures for knotting various deep structures. Training. In short this is a magic weapon! It's yours. "
Zhou Jiaqiang smiled, but the words were very serious: "Take it back to the dormitory after class, hold it while sleeping, and practice well."
He also took out a model from the podium, "Single knot, you know, the most basic kind of knot." He took a suture and wound a circle around the model. "This way is a single knot. What is the square knot? The most commonly used knot for surgery. It is composed of two single knots in opposite directions. You need to use a square knot when ligating smaller blood vessels and various sutures. As long as it is played correctly, it It will be very firm and not easy to fall off. "
"If you make another single knot to the square knot, and the third single knot and the second single knot are in the opposite direction? This is the triple knot. When you want to ligature larger blood vessels and suture tissue with greater tension, The most commonly used is the triple knot. "
Zhou Jiaqiang gave a talk, and then used various knotting methods to demonstrate on the model, one hand, two hands, instruments, deep parts ...
Everyone looked closely. Gu Jun is not just watching, the nerves of his hands are also beating with the nerves ~ EbookFREE.me ~ Feel the speed and strength of strong brother knotting.
"Please note that when you tie the two single knots to tighten the thread, you must cross your hands once, otherwise it will become a slippery knot. Use both hands evenly and gently tighten slowly, otherwise the thread will be easily broken, or Not tight, slipped off, causing the patient to bleed again, or even a major bleeding! "
Zhou Jiaqiang demonstrated again and again, "It is not difficult to make a knot around a few circles, it is difficult to control the strength, you see, like this, slowly ..."
They watched Brother Qiang operate, and really felt that his pair of crude men's hands were as soft as a little girl holding an embroidery needle.
"..." Jiang Banxia was nervous first. Qiang Brother said it easily. What's not difficult? Simple. In fact, just like Xu Beihong taught you how to draw a horse, first draw the outline of the horse, and then add the lines of the limbs ... The horse was painted.
"Okay, do you understand?" Zhou Jiaqiang said with a smile, "Now you will show me with one hand, one knot first, then square knot, and finally triple knot."
The five should nod their heads and act no matter what they think.
Cai Zixuan was a little clumsy, no problem when playing a single knot, but when he hit the square knot, he accidentally pulled the line. Seeing that he made a mistake with too much force, Jiang Banxia played softly and softly again ... The knot that he hit successfully slipped off.
"It's okay, pay attention to it next time." Zhou Jiaqiang comforted them while looking at Wang Ruoxiang and Sun Yuheng. Both of them were calm and stable, and they didn't bump until the triple knot. Due to the uneven force, they became a slip knot. But rookie has such a good performance.
This is consistent with the expectations given to him above, but I heard that there is a fairy this time, and if he is not polite to him, he must choose the most difficult teaching.
Zhou Jiaqiang looked at Gu Jun's table. Was it really so fierce?