"Brother, this is the human anatomy diagram you asked me to draw!"
Song Zimo laid out the painting and felt proud.
Before drawing, he reviewed many anatomy books and atlases; when drawing, he did not refer to any information and drew entirely from memory. He checked it several times and found that there were no mistakes.
The painting is very good, more beautiful and detailed than the human anatomy wall chart, but Yang Ping just glanced at it casually, then stretched out his hand to put away the picture, crumpled his hands into a ball, and squeezed it hard to make the paper ball smaller.
Lift it and throw it to the trash can a few meters away. The paper ball draws a beautiful parabola and falls accurately into the bucket.
"You may have misunderstood, or I didn't make it clear. I don't want you to draw it and bring it to me."
Yang Ping clapped his hands, walked to the whiteboard, took out a water-based pen from the pen box and threw it to Song Zimo.
"Draw on the spot, right now, on the whiteboard. I will use it in class tomorrow."
Song Zimo took the pen and was stunned. He thought Yang Ping would praise him, but he didn't expect that he didn't even look at it and just threw it into the trash can.
Once you get used to it, you won’t be hit once or twice. Then let’s draw on the spot and draw human anatomy diagrams on the whiteboard.
Yang Ping seemed to ignore Song Zimo's reaction. He put several chairs together, lay down on them, and covered them with a layer of training sheets.
"I'll take a rest and wake me up after painting."
"Hurry up and don't forget your original intention."
Yang Ping closed his eyes, threw a few words, then stopped talking to Song Zimo and really went to sleep.
Song Zimo turned the pen in his hand, thought for a while, without making any excuses, walked to the whiteboard, pulled out the pen cap, and began to draw on the whiteboard. The lines were slowly outlined and the bones gradually took shape.
Yang Ping entered the system space and accumulated more than 100,000 points. He purchased 500 cases of multiple trauma training, and another 100 cases each of single-site trauma training on the head, chest, abdomen, spine, pelvis, and limbs.
Nearly 2,000 surgeries have been performed.
After completing these surgical trainings, Yang Ping did not quit the space.
He used experimental subjects to conduct dissections and accumulated some anatomical and pathological data on trauma patients.
In the system space, the waterfall falling from the sky in the distance is majestic and magnificent.
Compared with before, this tree appears stronger and has luxuriant branches and leaves.
After coming out of the system space, Song Zimo was still drawing.
There is a set of colored pens next to the whiteboard, ranging from thick to thin, and he uses various color combinations.
Use red to draw arteries, blue to draw veins, orange to draw nerves, and black to draw skeletal muscles. The entire human anatomy slowly appears on the whiteboard.
Yang Ping took a nap, and when he was woken up, it was already past 11 p.m. Song Zimo had been painting for more than an hour.
Yang Ping rubbed his eyes and looked at the human anatomy diagram drawn with a water pen. It was still precise and without any mistakes. Song Zimo's anatomy knowledge had passed the test.
"The systematic anatomy has passed. Starting tomorrow, after each day's training, you will draw a partial anatomy on the whiteboard, in the order of head, chest, abdomen, pelvis, upper limbs, and lower limbs---"
"Brother, I will definitely work hard." Song Zimo's hand was sore, he put down the pen and moved his wrist.
"Go back and have a rest early."
It was too late. Yang Ping packed his things, picked up his backpack, and prepared to go back.
"Brother, why can Fujiwara Masao complete the repair of a ruptured heart in three minutes and twenty-four seconds by himself?"
It’s almost midnight, and you’re still so persistent. It’s not scary if a person is smart. What’s scary is that smart people can put in several times the effort of others.
"Are you sure I know the answer?" Yang Ping put down his bag.
Song Zimo nodded: "If you don't know, I'm afraid you have to ask Masao Fujiwara himself."
"He stopped the bleeding with his left hand, sutured with his right hand, and finally tied the knot." Yang Ping told him.
"What kind of sewing method is this? I've never seen it before." Song Zimo didn't know how to sew with one hand.
What he knows is that repairing a ruptured heart requires an assistant and the use of 3-0 non-invasive sutures with spacers.
Use your left hand to stop the bleeding of the heart rupture with your bare hands. If the rupture is small, press with your index finger. If the rupture is large, you need several fingers to cooperate to pinch the rupture.
Then use a 3-0 non-invasive suture with a gasket to pass through the full-thickness myocardium of the tear for mattress suture. Every time a stitch is sutured, the assistant immediately helps to tie the knot. In this way, one stitch is sutured and one stitch is knotted, and the sutures are gradually interrupted until the crack is made.
Completely closed.
However, Masao Fujiwara had no assistant and completed the operation with one hand. How he did it, Song Zimo never understood.
"He used continuous cross-reciprocating suturing! This is a superb one-handed suturing technique, especially suitable for single-person operation in emergencies."
Continuous cross-back stitching? Song Zimo has never heard of this stitching method: "Where does this stitching method come from? I have never seen it."
Yang Ping picked up a water-based pen: "This should be created by Masao Fujiwara. I simulated it based on the movement trajectory of his hand. Look---"
"Wait!" Song Zimo seemed to realize something and went over to take the pen from Yang Ping's hand.
"I'll draw it for you, do you think it's right?" After Yang Ping's prompting, Song Zimo understood instantly.
He used a pen to draw a continuous reciprocating cross-stitch pattern in the blank space away from the human anatomy diagram, and also explained the pattern.
Suture the first stitch from the starting point. The direction of the needle thread is 90 degrees perpendicular to the wound. At this time, pinch the tail of the thread tightly with the little finger and ring finger of your left hand.
Continue suturing with your right hand. Starting with the second stitch, the needle line should be 60 degrees oblique to the wound. This will be the case from now on, with the suture line forming a zigzag shape.
The last stitch is the same as the first stitch, the wound is vertical. Don’t stop at this time. Sew the needle and thread back, mirroring the original path.
The second stitch back returns to a 60-degree angle with the wound and continues to sew. The last stitch falls at a symmetrical position at the starting point. At this time, the wound has been completely aligned and knotted.
During the whole process, every time a stitch is sewn, the index finger and middle finger of the left hand are responsible for tightening the thread, and they work against the tail thread pinched by the little finger and ring finger to tighten.
Although the sutured thread is not knotted in this way, it can always tighten the wound, which has the same effect as interrupted suture. It is knotted at the end, and the sutures of each stitch are crossed back and forth.
"That's right, that's it." Yang Ping praised, sincerely.
"But the index finger and middle finger of the left hand are responsible for tightening the thread, and the ring finger and little finger are responsible for fixing the thread tail. Only the thumb is left. How to stop bleeding with bare hands?" Song Zimo still doesn't understand.
Stopping bleeding with bare hands, whether with one or two hands, is not difficult for trauma surgeons. It is just a basic skill. However, with one finger, if the wound is small, it can be done, but if the wound is large, it is almost impossible.
"You can hold small wounds with your thumbs, and for large wounds, use your palms and thenar muscles to stop bleeding." Yang Ping put aside his doubts.
Song Zimo finally figured it out. If this were the case, it would be very difficult.
These hands must be very flexible. The five fingers of the left hand can do three different things. The right hand can sew with one hand. In the pool of blood, you can't see anything. It all depends on the feel of the hand.
The finished sewing effect also needs to be like interrupted mattress stitching with spacers. How much sewing skills are required for this!
"Fujiwara is really amazing! I heard that there are several very talented students among his students. Takahashi Fumiya and Sasaki Jiro are known as the two heroes of trauma surgery in Japan." Song Zimo said that from this suture, we can get a glimpse of Fujiwara's level.
"Fujiwara is a god-like existence at the University of Tokyo Hospital, and he has many amazing innovations." Director Han told Yang Ping this.
"You will start practicing one-handed suturing tomorrow. Hold the needle in one hand and complete the suturing without the assistance of the other hand." It is getting late, and Yang Ping wants to end this topic quickly.
"Take the chest model and cut a five-centimeter incision on the heart, completely cutting through the myocardium." Yang Ping wanted to demonstrate continuous reciprocating cross stitching with one hand.
Yang Ping took off his coat and covered his eyes.
Is he going to demonstrate blind operation? Song Zimo's heart was pounding.
Song Zimo knows that people who can operate blindly have extremely high requirements on hand feel. If they are slightly inferior, they will not only be unable to complete the operation, but may accidentally injure themselves.
"Senior brother?"
"Hurry up and make the model!"
Song Zimo took the model over, cut a five-centimeter incision on the heart, and put the needle holder with needle and thread in Yang Ping's hand.
"You see clearly, I will only demonstrate it to you once, and only you can learn this kind of blind operation." Yang Ping warned.
In the entire administrative building, only the training room floor was still lit, and this floor seemed particularly quiet and empty.
Yang Ping calmed down, held the needle in his right hand, stretched out his left hand, and held the heart model in his palm. He closed the wound with his bare hands using the thenar muscles and his thumb, and the wound was evenly aligned.
The right hand began to fly the stitches, and while blindfolded, based on the contact with the left hand, the shape and position of the suture object and the length of the wound were immediately judged.
The stitching is precise and precise, just like opening your eyes and looking at the stitching.
Continuously cross stitch back and forth, fix the thread tail with the little finger and ring finger, tighten the thread with the index finger and middle finger, your hands are like magic.
Soon, the sewing was finished. I don’t know how long it took, but Song Zimo forgot to time it.
When the knot is completed, the wounds are squeezed together neatly and tightly sutured. If it is a real heart, this kind of suture quality will definitely not leak blood.
"You - also?" Song Zimo squeezed out a few words.
"You can also learn this little trick. Just go slow at first, otherwise the needle will prick your left hand. You can practice it starting tomorrow." Yang Ping put down the needle holder.
"I really want to know why you are so persistent. If you want to be a surgeon, you should have many choices, and you should be more relaxed and relaxed than now. At least you don't have to draw anatomy diagrams here late at night. As far as I know, you still fainted when you were studying.
Stubborn haemorrhage. People with stubborn haemorrhage cannot become surgeons, but you have become a surgeon."
Song Zimo was silent for a while: "That's right! I used to faint from blood! I would fall down when I saw blood, but nothing could stop me. I went to Moliu's trauma emergency center every day and faced the blood. At one point I had to hold on
I could only walk on the wall, and I vomited every day. This lasted for a whole year, and then I was able to face the blood. Nothing could stop me from becoming a surgeon."
Song Zimo lowered his head and remained silent, holding his face in his hands.
"You have overcome the stubborn haemorrhage. There is no difficulty that you cannot overcome."
Yang Ping stretched out his hand, and Song Zimo held it tightly.
