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Chapter 13 Debridement and Suture(1/2)

It's said to be an instruction manual, but in fact it's just a guide for newbies. It should have been seen when it first got the simulation space, but it's a pity that Yun Heng didn't know that it could still be used for dialogue, so it took until now to get it.

The panel is a portal or selector for Yunheng to enter the simulation space. At the same time, the panel also has functions such as communicating with the host, publishing tasks, answering questions, etc. If Yunheng does not understand something, he can actually ask questions. If in the panel

The panel will answer questions within the answerable range.

Similar to Baidu Q&A, Yunheng asks silently in his mind. In fact, it is the same as typing questions on the panel. The panel will display the answer, but the panel is much smarter than the so-called Baidu Sogou.

The simulation space is divided into four major categories: Traditional Chinese Medicine Internal Medicine, Acupuncture and Massage, Bone Setting and Reduction, and Surgery. To be precise, it is a category of Traditional Chinese Medicine, but the surgical category is not the same as the current Traditional Chinese Medicine Surgery.

Historically, injuries from cuts, bruises, and diseases of the ear, nose, throat, eyes, and mouth were once classified under the category of surgery. However, with the development of medicine, they were gradually classified into other related specialties.

The surgical category in the simulation space is not the traditional Chinese medicine surgery that it currently belongs to, but covers everything, including injuries from golden blades, bruises, ear, nose, throat, eyes and mouth, etc. If the simulation space is upgraded, there will be more advanced surgical operations.

This is not too surprising to Yunheng. As a master's student who graduated from a university of traditional Chinese medicine, Yunheng naturally does not view traditional Chinese medicine like some laymen. In the history of traditional Chinese medicine, Hua Tuo had a splenectomy, and there were also traditional Chinese medicine doctors in the past dynasties.

Famous doctors have performed ophthalmology and other types of surgeries on patients.

It’s just that people in the past paid much attention to how the body, hair and skin were inherited from their parents and had conservative ideas, which led to relatively large restrictions on the development of traditional Chinese medicine in surgery. Only then was it surpassed by Western medicine in modern times.

Patients in the simulation space are graded from easy to difficult. Currently, the simulation space is a primary space, and the upper limit of patient difficulty is based on the grading of the panel, with the highest level being level three.

According to the instructions for use, in order to allow the host to more intuitively perceive his own progress, the panel divides the doctor's ability into 12 levels from high to low in detail, comparing with the current doctor's title, that is to say, before attending treatment,

In the residency stage, the doctor's abilities range from level one to level three, while in the intermediate professional title, that is, in the attending physician stage, the doctor's ability should be in the level four to level six, and in the deputy senior position, the ability should be in the level seven to level nine.

It's right between level ten and level twelve.

Doctors have high or low abilities, and a doctor's professional title cannot fully represent his or her ability. However, generally speaking, the higher the professional title, the higher the ability and the higher the level. The detailed grading on the panel can indeed more intuitively classify the doctor's ability.

displayed horizontally.

Just say that there is definitely a big difference between level 4 and level 5 doctors for the same attending doctor.

Senior professional titles also have strengths and weaknesses. For example, some well-known national players and top professors are actually in the category of senior professional titles, because there is no division of professional titles at higher levels, but the difference between level 10 and level 12 is huge.

At present, the upper limit of all categories of simulation spaces is level three, which is the primary level. Only when Yunheng's level in a certain aspect is raised to level four, the simulation space of the corresponding category will be upgraded.

Although the upper limit of difficulty of the simulation space in the primary stage is level three, the difference from level one to level three is also very big. When Yunheng is undergoing treatment and learning in the simulation space, if the consecutive diagnoses are correct, the difficulty of the patient's condition will increase accordingly.

If a mistake is made, it will be reduced accordingly. This is why Yunheng can come into contact with relatively complex patients like Kahn in the primary space.

Although Kahn's condition is relatively complicated, some senior residents with higher qualifications can actually diagnose it clearly.

The thing that maintains the entire simulation space is time. Yunheng can increase the time in the simulation space through the gratitude of patients and their families and the tasks released by the panel. With enough time, Yunheng can continue to learn and make progress in the simulation space.

.

As Yun Heng understood before, it is a liver attack.

Although this simulation space is indeed a plug-in, this plug-in will not allow people to obtain anything out of thin air, but must rely on time accumulation. In other words, Yunheng has to work hard to earn time, and then use up time desperately.

This is a plug-in for down-to-earth and hard-working people.

After reading the instruction manual, Yunheng got up and went to the infusion room opposite to add water. He came back and sat on a chair to digest the information he just learned.

Yun Heng actually has no objection to liver damage.

As he told Liang Wanming, his talent is actually average. He has never been a gifted child since he was a child.

The reason why Yunheng was admitted to high school and college was not because he was smarter than others, but because he worked hard.

When others were playing, Yunheng was studying. When others were sleeping, Yunheng was studying. He would review until very late every night so that he could be admitted to high school and college. Now that he has graduated, in order to improve himself, Yunheng could not

If you mind continuing to work hard, this simulation space at least gives him the premise to work hard.

Of course, no matter how stupid Yunheng is, it is not too stupid. In fact, it is impossible to make up the big gap simply by relying on diligence and hard work.

It can only be said that Yunheng is not a top academic, nor is he a low-level student. He is a talent that is slightly above the middle range. He works hard and can get good grades. If he relaxes a little, he will fall behind. He is like the kind of person who plays all day but always fails.

Students who are at the top of the class are incomparable.

After drinking some water and digesting the information he read in the instruction manual, Yunheng called up the panel again.

"What strength do I have now?"

Yunheng asked silently in his heart.

As Yunheng asked questions, Yunheng's detailed information appeared on the panel.

Name: Yunheng.

Gender: Male

Age:27

Job Title: Junior

Internal Medicine of Traditional Chinese Medicine:2

Acupuncture and massage:1

Orthopedic reduction: 0 (not yet started)

Surgery: 0 (not yet started)

After reading his own information, Yunheng has a relatively intuitive understanding of himself.

When Yunheng was in school, he majored in integrated traditional Chinese and Western medicine. To be honest, this major was quite tricky.

To put things into perspective, Integrated Traditional Chinese and Western Medicine is not actually a major. After all, Traditional Chinese Medicine and Western Medicine are two completely different systems and cannot be combined theoretically. Therefore, students majoring in Integrated Traditional Chinese and Western Medicine, to put it bluntly, need to study Traditional Chinese Medicine.

We also need to learn Western medicine. If we study two subjects at the same time, what can we learn?

Moreover, it is more difficult to find a job after graduating from this major. In the words of many people, it means that you cannot be good at writing or practicing martial arts. Western medicine is not as good as someone who specializes in Western medicine, and Chinese medicine is not as good as someone who specializes in Chinese medicine. Naturally, they are not accepted.

Valued.

The advantage is that many colleges and universities with this major have only been established for a short time, and the admission score is relatively low. If he had originally volunteered to fill in other majors, Yunheng was worried that he would not be able to pass the exam, so he chose integrated traditional Chinese and Western medicine.

However, during the eight years in school, most of the students were exposed to theory. Whether it was Chinese medicine or Western medicine, theory was definitely the main focus. Without too much clinical practice, too much theory did increase the number of internal medicine.

level.

After receiving the simulation space this time, Yun Heng also entered the internal medicine category of traditional Chinese medicine, and his internal medicine level reached level 2, which was not a surprise to him.

In other aspects, I have practiced and been exposed to acupuncture and massage in school. At the level 1 level, I have basically not had much contact with orthopedics and surgery. After all, these two require more hands-on ability.

"Fortunately, take your time. After all, I'm still a novice."

Yunheng was not discouraged.

After taking a sip of water, Yunheng decided to enter the surgical space to practice first.

There are not many patients with severe and critical illness in community hospitals. Most of them are patients with colds and fevers, headaches, fever, coughs, etc., plus some patients with chronic diseases, such as chronic gastritis, chronic gastroenteritis, etc. At the same time, we occasionally encounter patients with simple external trauma.

I accidentally got a cut with a knife, and I fell and bruised my skin.

West Asia Community Hospital does not have a dedicated surgeon, and there is a treatment room in addition to the three clinics. He Haipeng and Zhou Suyun can more or less handle some simple trauma wounds. There is no pressure to sew three to five stitches. The wounds are not big and not serious.

This can be done at community hospitals.

Yun Heng is a Chinese medicine practitioner, so he doesn't need to learn these things originally, but with the simulation space, there is no harm in learning more. In addition, because he has conflicts with He Haipeng, he has a lot to master, and he is not afraid of being crowded out by others.

If in a few days He Haipeng complains that it won't happen, then it won't happen.

In small hospitals, the division of doctors' specialties is not so detailed. Doctors in this kind of community hospitals should actually be general practitioners. They don't need to be highly qualified. At the very least, you need to know a little bit about everything and can solve all kinds of minor problems.

, this is qualified.

After entering the communication panel, Yun Heng felt his eyes blurred as he arrived in a treatment room. There was already a patient beside him, his forehead was broken and bleeding.

In the simulation space, the biggest advantage is that you don’t have to be afraid. You can be as bold as you want and the patients are not real people anyway.

Yunheng was not too nervous. He stepped forward to check the situation. The wound was not big and did not require suturing. It was relatively simple to debridement, disinfection and medication.

Although the panel shows that Yun Heng's surgical skills are not yet basic, anyone with a little bit of medical knowledge can probably handle a wound like this, let alone Yun Heng's.

The conditions of patients in the simulation space are from easy to difficult. As long as no mistakes are made, the severity of the patient's condition will continue to improve.

When seeing the fifth patient, Yunheng met the first patient who needed suturing.

The patient's wound is actually not too big, but it is scratched by glass, and it is on the finger joint. It is an open wound. If it is not sutured, the tension and traction will be relatively large, making it difficult to recover.

When Yun Heng was in school, she had never done any operation at all. She only watched others sew. Now she can only rely on memory to imitate. Anyway, she is not afraid of making mistakes. If she makes a mistake, the panel will correct it and give the correct operation method.

She had never done this before, so the result was predictable. Yun Heng didn't stick the needle in for a long time, and her wrists were shaking a little while holding the needle pliers. This is a process that newcomers with no operating experience must go through.

The operation failed. Yunheng exited the simulation space and started to look at the operations on the panel.

The panel can actually be opened in the simulation space. The patient Yun Heng who made a mistake in the operation can practice it repeatedly until he gets it right. In other words, he can actually practice in the simulation space while watching the operation on the panel.

It's just that people consume time in the simulation space. Yun Heng is not willing to waste time like this, so when he makes a mistake, he always exits the simulation space and then studies.

This time, what appears on the panel is not text, but pictures, without the doctor's face. The subsequent operation part involves debridement, then anesthesia, and then suturing. There are also subtitles on the picture.

Yunheng can watch and learn this process over and over again. While watching, Yunheng can imitate it.

This time Yunheng did not rush to enter the simulation space. He just looked at the other people's operating procedures and operating essentials first. He knew that his foundation was too poor and it would be a waste of time to go in now. If he wanted to suture, he must first hold the needle pliers.

If you can't do this without shaking your hands, everything else is just a joke, like a castle in the air, completely unrealistic.

He kept seeing it over and over until after two o'clock, until the first patient came in, Yunheng finally put away the panel.

There were more patients in the afternoon than in the morning. Yunheng saw four patients in the morning and six in the afternoon. However, gratitude is not so easy to obtain. At the very least, one has to wait for the patients to recover or get better. Even if they get better, not every patient will get better.
To be continued...
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