Plague Doctor
Chapter 46 Surgery, Anatomy, Psychiatry
On the morning of the first day of training, Zhou Jiaqiang taught the five participants how to tie together.
They went to the cafeteria at the training center for lunch, took a break and went back to continue their afternoon training: stitching.
Suture is also the most important basic operation of surgery. The suture method mainly has interruptions and continuous divisions. It is commonly used like simple interrupt suture, double interrupt suture legal (8-word suture), simple continuous suture, buckle suture, tension reduction suture, inner flip suture, outer flip suture...
These different suture methods have different uses and need to be chosen according to the patient's injuries.
“You are aware that, in the face of deep wounds, not all layers of stitching should be done according to the anatomical hierarchy, which is the main way to avoid the formation of ineffective cavities. ”
Zhou Jia forced the projection screen to accompany teaching, playing some surgically stitched pictures, “Invalid cavities not only interfere with the alignment of the wound, but also cause blood, effusion, secondary infection, all of which delay the healing of tissue, so be sure to avoid. ”
Just remember the operating steps and precautions of these methods to get busy. Don't think about getting started right away. Wang Ruoxiang, Sun Yuheng, they all walk step by step.
Gu Jun also walked step by step, just walked faster than others. He was basically familiar with it one afternoon, but he was still a long way from mastery.
The day was not over and training would continue in the evening. Zhou Jiaqiang also taught them how to cut, disconnect, and change medications, some hemostasis operations, and how surgery can dissect and separate tissue from anatomy.
“Is this a duck-filled teaching day? ”
After ten o'clock this evening, shortly before the dissolution, Zhou Jiaqiang took the most serious look of the day and preached to them: “Yes, the situation now does not allow you to learn slowly, the clinical side expects you to hurry into three assistants, two groups, and let the original three assistants and two assistant knives go. So don't be lazy, put your hair in your head, and you can usually practice stitching with some fruit, grapes, bananas, and the dormitories provide it. ”
Everyone nodded that Django was just the leader who brought them in, and it would depend on his efforts to the extent that he was able to get there.
“Simulate the basics, and then we'll train in action at the experimental animals in the second half, hopefully you'll all be ready by then, come on! ”
When Django officially announced the end of the class, it was after 10: 30. Everyone ended the day's training and went back to the dormitory together.
During the closed training period, they are required to be on the two point line and have access only to training centres and dormitories. There are no entertainment programs, but there is a gym on the second floor of each dormitory building, however they are busy for a day and will have to continue their training in the early morning, most of them going back to the dormitory to sleep directly.
Gu Jun did not sleep and practiced suturing and ligating the grapes with surgical instruments at his bedroom desk.
First cut the grape skin with a scalpel, then use tweezers to remove some of the seeds inside as the target, then use a needle holder to clamp the stitches with a needle in the gut of the sheep...
The night sky outside the window was dark, and Gu Jun was still practicing again and again, digesting what he had learned today.
……
Over the next five days, Gu Jun continued to train the rhythm of the first day, followed Django's simulation to learn various tissues, organ stitching methods, and the specific operation of some surgeries, amputation surgery was a top priority.
The enthusiasm for learning will inspire each other. Gu Jun's excellent performance will drive others. Django is often emotional.
“You are the best students I have ever brought!” Zhou Jia constantly praised them, making Cai Zixuan and Jiang Hanxia proud.
However, Gu Jun was very suspicious that Django would say this to every group of students.
After the first phase of the surgical training was completed, five people continued their training in internal medicine, which was taught by another female trainer, Huang Ying.
Zhou Jiaqiang had the next group of six trainees, all medical dogs from the surrounding cities of Dongzhou City, also emerged from the skills competition.
Everyone met in the cafeteria, they couldn't help but gossip to each other. It turns out that Keung Ko is one of the best people he has ever brought...
Gu Jun was also interested in hearing about the skills competition in their city. They came from four different cities, all of which eventually won before seeing the touring banyan tree, and the only thing dissected in the competition was specimens of the limbs of the patients with banyan disease.
“It seems that there are not many different species of bones…” Gu Jun thought, "and the origin of Dongzhou City has been evaluated to the highest standard. ”
Since the days of internal medicine training, the itineraries of Gu Jun and Cai Zixuan have gradually changed.
He's been assigned more training programs, and in addition to clinical training, he's going to do anatomical training.
Gu Jun no longer needed basic training on the anatomical stage. He received more of the theoretical basis of anatomy. When faced with unprecedented creatures, even with modern instrument technology, there would be many difficulties.
“Arjun, you have to be prepared for an autopsy sometimes in the wild.” Autopsy trainer Yu Shuhiko told him again, "There's no help, just you and some autopsy tools. How do we get the anatomical chart of the organism back? It's up to you. ”
Wild? Gu Jun has not yet understood the meaning of this statement.
Anyway, heterogeneous anatomy is exactly what he craves, but only with the authority of an intern, the range of things he can know and learn is quite limited.
The intern is not a regular employee of NASA, and he didn't even sign the contract.
In addition to the anatomical training, Gu Jun also received mental and psychological training, and was initially informed of some of the knowledge compiled by NASA, such as the psychic shock of unusual things like banyan trees to humans, and stress-related disorders that might be triggered.
Stress-related disorders are a group of mental disorders that have a clear causal relationship to the source of stress, and their timing, symptom content, course, and prognosis are all closely related to stress factors. The most widely known possibility is Post-Traumatic Stress Disorder (PTSD).
“Stress sources” refer to irritants that act on individuals and cause them to react to stress. Human stress sources are widespread, and psychiatry divides stress sources into three broad categories according to different environmental factors: the external environment, the individual environment, and the psychosocial environment.
Isobronchiosis and Isobronchium trees are an external source of environmental stress. After witnessing deformities and horrible banyan trees, not everyone can relax on their own, lightly having nightmares, and heavily experiencing acute stress reactions - it's not just vomiting.
If not handled properly and for a long time, irreversible damage to the body's nervous system and even abnormal brain structure and function can occur.
If that happens, employees can no longer work for NASA and may no longer be considered normal people.
Psychiatric trainer Luo Mingtao's focus on Gu Jun's teaching is to teach him how to cognize, diagnose and treat stress-related disorders.
“Arjun, you have to learn how to handle stress in the wild.” Luo Mingtao also taught, “those stress sources may be the first time the Sky Machinery Bureau has met, your colleagues are going crazy. What will happen to medication and psychotherapy? It's up to you. ”
Gu Jun learns these and understands the significance of the quiz questions during the evaluation. Human beings in this mysterious circle are still human beings. They don't have three heads and six arms. If you don't even know your mind, you can only cause trouble.
But he also heard strange things. Wild again?
Teacher Luo and Teacher Yu's words are almost identical, as if they were going into the wild in the future?
With this doubt in mind, Gu Jun returned to the dorm to ask Cai Zixuan, but Cai Zixuan doubted: “Wild? No, no teacher told us. ”
Now can Gu Jun not understand, “wild” should be his special arrangement, I don't know exactly what kind of arrangement.
……
At first glance, half a month goes by, and the time enters September.
Gu Jun wakes up early and sleeps late every day in the medical department of Dongzhou Sky Machinery Branch. Clinically, anatomically, mentally, psychologically… He absorbs all aspects of medical knowledge like a sponge every day.
During this period, he also completed six general tasks related to surgery, such as completing 500 stitches, completing 300 ligations, getting six boxes of medication, and also improving Tyran's hand, which is now the second most important (300030000 proficiency).
Six ordinary tasks added 1,500 familiarity, and another 500 came from his own training.
For every thousand more familiarity breaks, his hands seem to have a new sensation and become more and more skilled at various surgical operations.
Those herbal medicine boxes are troublesome, Gu Jun dared not leave them in the dormitory, so he hid them in the bathroom of the unit every time he got them, manually tore them into a little pieces of paper, and then rushed them all into the toilet.
He handled six medicine boxes and nobody came to him for questioning for the time being, so I'm pretty sure there's no pinhole camera or anything in the bathroom.