Yang Ping was very willing to listen to him tell his story, because usually, he was always cold and aloof, and there must be an unknown story in his heart.
No matter how you look at it, Song Zimo does not seem to have a constitution that was born with bleeding. For such a high talent, he has stubborn bleeding. Fortunately, he overcame it with his tenacious perseverance. Otherwise, there would be one less outstanding surgeon in the world. Song Zimo thought for a long time, and seemed to need to muster up the courage before he could say: "When I was a child, my mother had a car accident beside me, and an out-of-control car hit me head-on. At that moment, my mother instinctively pushed me away, and she
But he fell in a pool of blood."
"At that time, I was so frightened that I didn't know what to do. I just cried loudly. No one helped me. I held my mother in my arms. There was blood everywhere. She was covered in blood. Her clothes were soaked with blood. My hands
There was blood on her face. I didn’t know where the blood came from, but I just hugged her tightly."
"At that time, I remember that she was still alive, looking at me, speechless. I could feel her heartbeat and breathing, but slowly, she closed her eyes in my arms, and her heartbeat and breathing stopped.
Her hands were cold." Song Zimo's eyes were wet, his voice was hoarse, and he began to sob.
"How old were you then?"
"Five years old!"
"After a long time, the ambulance came, but she never woke up again!" Song Zimo lowered his head, held his face in his hands, buried it in his knees, and sobbed softly.
"I'm sorry, I don't know--" Yang Ping didn't know that his story was so sad, and it inadvertently touched the most painful memory in his heart.
Song Zimo sobbed for a long time before he could speak normally: "It's okay. From then on, whenever I see blood, I will feel dizzy and dizzy. In severe cases, I will lose consciousness and fall unconscious."
"On the first day of clinical internship, I watched a patient with a hand injury change dressing. The hand injury was very serious, and the gauze bandage was full of blood. I fainted on the spot, and everyone was busy rescuing me."
"This incident spread quickly, and my mentor advised me to give up surgery, but I refused. Later I saw a psychiatrist. This kind of stubborn haemorrhage had no other solution except desensitization therapy, but the doctor said that desensitization
The therapy is extremely painful and has a slim success rate."
"But you still succeeded. Are you okay now?" Yang Ping admired his perseverance.
Song Zimo shook his head: "It took me a year to face the blood. Since that year, I have been completely normal and completely adapted to the blood."
"Why did the instructor keep you later?" Yang Ping was curious, how could an orthopedic instructor want a student with stubborn hemorrhage?
"Why would the instructor want me? Who would want a student who suffers from stubborn bleeding and faints at every turn? How can he perform an operation every time he has to rescue you?"
"I am an eight-year student at Fudan University, and my final major can be transferred. My tutor seriously applied to the school to transfer me to internal medicine."
"By chance, I met Director Han. At that time, his master's and doctoral supervisorship was still in Fudan, and he was coming to Fudan to teach graduate students. He found out about me and talked to me for three full days.
hours."
"In the end, he accepted me. At that time, the orthopedics department in Sanbo was not as good as it is now. He secretly asked someone to send me to Moliu for internship. I completed the clinical courses in Moliu and received special care when I entered Moliu.
In the first year, I didn’t have to do anything. I was given desensitization therapy in the trauma emergency center and faced bloody scenes every day--" Song Zimo said a lot in one breath.
"I'm just wondering why you, a student at Fudan University, are now in Moliu School. So, you are also a student of Director Han?" Yang Ping asked.
"Yes! In this way, by chance, I became Director Han's student." Song Zimo said.
"For this reason, you didn't stay in Huashan or Moliu? You came to Sanbo." Yang Ping knew that the rest was a matter of course.
"Yes! I graduated and had many choices, but I didn't go anywhere. When I came to Sanbo, many people didn't understand." Song Zimo took a deep breath.
"Tell me about you. You seemed to have been expelled from the Municipal People's Hospital, right? I'm surprised. With your level, the hospital should have tried hard to keep you, so why did you get expelled?" Song Zimo changed the subject.
"I overstepped my authority and performed an operation, which violated the hospital's discipline, so I was naturally fired. Just like your fainting of blood, not every instructor has the patience; my overstep of authority, not every superior doctor can tolerate it." Yang
Ping is also very calm.
"Oh! Has the patient been rescued?"
"I was saved, so it was worth getting fired."
"If Director Han hadn't been here during your interview, you would have had no chance of getting into the Department of Orthopedics. I remember clearly that the Human Resources Department made a mistake and included your interview sheet. The Department of Orthopedics didn't recruit master's degrees at that time, so you were transferred
When you went to the emergency department for an interview, it was Director Han who kept you. It seems that you were also taken in by him!" Song Zimo said with a smile.
"Yes, we were all picked up by his old man." Yang Ping laughed.
"At that time, if I was a surgeon like I am now, my mother would have survived." Song Zimo turned to look out the window.
The two were silent for a long time, and Yang Ping comforted him: "She will be very pleased! Believe in yourself, you will definitely become the best surgeon. You are more talented than others and work harder!"
"Thank you!" Song Zimo looked away from the window.
"During this period, you have to train your one-hand suturing well. In trauma surgery, the speed of the operation is particularly important, because the two main causes of early death from trauma are, first, massive blood loss. If the bleeding can be successfully stopped in a short time, supplementary
With blood, lives can be saved."
"The second reason is the loss of function of vital organs, such as severe craniocerebral injury. Similarly, if it is not damaged, but only the organ is compressed, displaced and other threats, the threat can be eliminated in a short time, and it can be saved."<
/p>
"Takahashi is right. The mortality rate from trauma can be reduced infinitely. With the advancement of rescue technology and surgical technology, the mortality rate will continue to decrease. In the future, except for those who die instantly, there may be a chance to save them; going forward
Looking further, perhaps death caused by trauma can be reversed within a certain period of time, and life can be restarted like a computer."
The two had a very lively chat, and Yang Ping talked a little more, so he continued.
"You need to be extremely proficient in anatomical knowledge, especially vascular anatomy, so that you can deal with massive blood loss, which part is injured, which blood vessels are bleeding, the speed of bleeding, whether there is retraction, and where the broken end is currently."
"As soon as you get started, you need to be able to find it instantly and then deal with it. This is a skill that a skilled trauma surgeon must master."
"One-hand stitching, in addition to the continuous cross-reciprocating stitching, there is also a special interrupted stitching, which allows one person to sew and make a knot with one stitch, but the thread does not need to be cut, and you can continue to sew back. This stitching method
It is more difficult to master than the previous continuous cross-reciprocating stitching, but the effect is better and the stitching is stronger."
"Can you teach me? Where did you learn it?" Song Zimo was very interested.
"Learned it from shoulder arthroscopic surgery!" Yang Ping told him.
"Did you create it?"
"It's just a small trick!"
Yang Ping demonstrated to Song Zimo that this stitching method is to leave the tail thread long, and each time you sew a stitch, use your left hand to wrap the tail thread with the main thread in a special way, so that the tail thread and the main thread form a sliding knot. When the main thread is pulled,
You can slide the knot to the appropriate position, and then lock it, the knot will be locked, and the main line can continue to be sutured.
Anyone who has done shoulder arthroscopy knows that there are dozens of knots to learn when getting started, such as tight knots, sail knots, Weston knots, SMC knots, Roeder knots, Duncan rings, etc. There are so many types of knots that only shoulder arthroscopy doctors can
, will elevate knotting to a science.
Yang Ping was inspired by these knots and invented this method for single-person suturing in emergencies. Without an assistant or thread cutting, he can sew one stitch and tie one knot, using the speed of continuous suture to achieve discontinuous suturing.
The effect of stitching.
This suturing method is more difficult to operate than Fujiwara's, but each knot is independent and has obvious advantages. If Fujiwara's knot is broken in one part, the entire wound will split; while Yangping's knot is broken in one part.
It does not affect other knots, each knot is independent.
Single-person operation is very important in trauma surgery, because sometimes there is a sea of blood. The surgeon knows what is under his hands with his skilled anatomy knowledge and surgical skills, or he can grasp the clear surgical field for a moment to complete the operation, but the assistant cannot.
When the assistant cannot keep up, single-person operation becomes particularly important.
It was past twelve o'clock in the night, and the two of them were still discussing the problem of suturing and knotting in the training room. They originally planned to call it a day and go back, but as soon as Yang Ping talked about this strange suturing method, Song Zimo became excited again.
"Let's study this suture method tomorrow. An excellent surgeon must be good at resting and protecting his own health. Otherwise, how can he save the patient?" Yang Ping gave up Song Zimo's plan to stay up late.
The two picked up their backpacks, Yang Ping went back, and Song Zimo went back to the department to rest.
