On the morning of the first day of training, Zhou Jiaqiang taught five trainees how to perform ligation.
At noon, they went to the canteen of the training center to eat, rested for a while, and then went back to continue the afternoon training: suturing.
Suture is also the most important basic operation in surgery. Suture methods are mainly divided into interrupted and continuous. Commonly used ones include simple interrupted suture, double interrupted suture (figure-of-8 suture), simple continuous suture, locking suture, and tension reduction suture.
Varus suture, eversion suture...
These different suturing methods have different uses and need to be selected according to the patient's injury.
"You should pay attention. When facing deep wounds, do not use full-thickness suturing. You should suture according to the anatomical level. This is the main way to avoid the formation of dead space."
Zhou Jiaqiang used a projection screen to coordinate the teaching and played some pictures of surgical sutures. "The dead space will not only hinder the alignment of the wound edges, but also lead to blood accumulation, fluid accumulation, and secondary infection. These will delay the healing of the tissue, so it must be
To be avoided.”
Just memorizing the operating steps and precautions of these methods is quite busy, but don’t expect to get started immediately. Wang Ruoxiang and Sun Yuheng will take it step by step.
Gu Jun also walked step by step, but he walked faster than others. He was basically familiar with it in one afternoon, but there was still a long way to go before he became proficient.
The day did not end here. The training would continue in the evening. Zhou Jiaqiang taught them suture cutting, suture removal and dressing change, some hemostasis operations, and the similarities and differences in surgical incision and separation of tissues and anatomy.
"Is today a cramming lesson?"
It was past ten o'clock that night, and before disbanding, Zhou Jiaqiang showed the most serious look of the day and said to them: "Yes, the current situation does not allow you to learn slowly. The clinic is looking forward to you."
Hurry up and form a third assistant and a second team, and let the original third assistant and second assistant perform the surgery. So don't be lazy, remember the teaching materials given to you in your mind, and you can also bring some fruits to practice suturing, such as grapes and bananas.
, the dormitory provides it.”
Everyone nodded in agreement. Brother Qiang was just the guide who brought them in. How far they can reach after getting started depends on their own efforts.
"First lay the foundation through simulation, and then in the second half we will conduct actual training with experimental animals. I hope you will be ready before then, come on!"
It was already past 10:30 when Brother Qiang officially announced the end of get out of class, and everyone just ended the day's training and went back to the dormitory together.
During the closed training period, they were required to work at two points and one line at a time. They only had access to the training center and the dormitory building. There were no entertainment projects, but there was a gym on the second floor of each dormitory building. However, they had been busy all day, and they had to go to the training center early tomorrow morning.
Continuing training, most of them go back to the dormitory and go to sleep directly.
Gu Jun didn't sleep, so he was practicing suturing and ligating the grape with surgical instruments at the desk in his bedroom.
First use a scalpel to cut open the grape skin, then use tweezers to remove a few seeds inside as targets, then use a needle holder to hold a suture needle and sew with catgut...
The night sky outside the window was dark, and Gu Jun was still practicing over and over again with concentration, digesting what he knew and learned today.
…
In the next five days, Gu Jun and the others continued the rhythm of the first day of training. Following Brother Qiang, they simulated and learned the suturing methods of various tissues and organs, as well as some specific surgical operations. Amputation surgery was the top priority.
.
Enthusiasm for learning will stimulate each other. Gu Jun's outstanding performance is driving others. Brother Qiang is often filled with emotion.
"You are the best group of students I have ever taught!" Zhou Jiaqiang kept praising them, making Cai Zixuan and Jiang Banxia very proud.
However, Gu Jun doubted that Brother Qiang would say this to every batch of students.
After the first stage of surgical training, the five people continued to rush to internal medicine training, where they were taught by another female trainer, Huang Ying.
And Zhou Jiaqiang has the next batch of six students, all of whom are medical dogs from the surrounding cities of Dongzhou City and who also broke through from the skills competition.
Everyone met in the cafeteria and gossiped with each other. As expected, everyone said that Brother Qiang was the best group he had ever led...
Gu Jun was also interested in asking about the skills competition in their city. They came from four different cities, and they all saw the touring banyan tree after they finally won, and what was dissected in the competition was only the abnormality of patients with banyan disease.
Limb specimens.
"It seems that there are not many alien creatures with plate bones..." Gu Jun therefore thought to himself, "and the students in Dongzhou City have received the highest standards of assessment."
Since the past few days of receiving internal medicine training, the schedules of Gu Jun and Cai Zixuan have gradually become different.
He was assigned more training projects. In addition to clinical practice, he also had to do anatomy training.
Gu Jun no longer needs basic training on the dissecting table. He has received more theoretical basis of heterogeneous anatomy. When facing those unprecedented creatures, even with the help of modern instruments and technology, there will be many difficulties.
"Ajun, you must be prepared to perform dissections in the wild sometimes." Anatomy trainer Yu Xiuyan told him again, "Without any help, just yourself and some dissection tools. How to bring back the anatomical structure diagram of living things?
?It will depend on your ability then."
In the wild? Gu Jun still couldn't understand the specific meaning of these words.
Anyway, heterogeneous anatomy is the knowledge he desires, but with the permission of an intern, the scope of what he can know and learn is quite limited.
The interns are not considered official employees of the Tianji Bureau, and they have not even signed a contract.
In addition to anatomy training, Gu Jun also received spiritual and psychological training, and initially learned some knowledge compiled by the Tianji Bureau, such as the mental impact of abnormal things like the alien banyan tree on humans, and the stress-related disorders that may be caused.
Stress-related disorders refer to a type of mental disorder that has an obvious causal relationship with stress sources. The timing of occurrence, symptom content, course and prognosis are all closely related to stress factors. Perhaps the most well-known is "Post-Traumatic Stress Disorder (Post-Traumatic Stress Disorder)"
ptsd)”.
"Stressor" refers to the stimulus that acts on an individual and causes it to produce a stress response. Human stressors are very wide. Psychiatry divides stressors into three major categories according to different environmental factors: External environment
, intra-individual environment and social psychological environment.
Alien banyan disease and alien banyan trees are an external environmental stressor. After people have witnessed the horrifyingly deformed alien banyan trees, not everyone can recover on their own, ranging from nightmares to acute stress.
The reaction was more than just vomiting.
If not handled properly, over time, it will cause irreversible damage to the body's nervous system, and even abnormalities in brain structure and function.
If that happens, the employee will no longer be able to work for the Bureau, and may no longer be considered a normal person.
The focus of psychiatry trainer Luo Mingtao's teaching to Gu Jun is to help him learn the recognition, diagnosis and acute treatment of stress-related disorders.
"Ajun, you must learn how to deal with people's stress reactions in the wild." Luo Mingtao also taught earnestly, "Those stressors may be the first time the Tianji Bureau encounters them, and your colleagues will go crazy. By then.
How to carry out medication and psychological treatment at that time? It depends on you."
After Gu Jun learned this, he could better understand the meaning of the test questions during the review. Human beings in this mysterious circle are still human beings, and they don't have three heads and six arms. If you don't even have a clear mind, you can only cause trouble.
But he also heard something strange. It was in the wild again?
The words of Teacher Luo and Teacher Yu are almost exactly the same, as if they, the interns, will go to the wild in the future?
With this question in mind, Gu Jun asked Cai Zixuan when he returned to the dormitory, but Cai Zixuan said doubtfully: "In the wild? No, no teacher told us."
Can Gu Jun not understand now? "Out in the wild" should be a special arrangement for him from above, but he doesn't know what the specific arrangement is.
…
Half a month passed in the blink of an eye, and it was September.
Gu Jun wakes up early and goes to bed late every day at the Medical Department of Dongzhou Tianji Branch. He absorbs all aspects of medical knowledge crazily like a sponge on clinical, anatomy, spirit, and psychology.
During this period, he also completed 6 general tasks of the system. The tasks were all surgical-related exercises, such as completing 500 suturing stitches, completing 300 ligations, etc., and received 6 boxes of medicine, which also made Tairan feel confident.
The upgrade is now at the second level (3000/30000 proficiency).
Six ordinary tasks added 1,500 familiarity points, and another 500 points were obtained from his own training.
Every time the familiarity level exceeds one thousand, his hands seem to have a new feeling, and he becomes more and more skilled in various surgical operations.
Those boxes of exotic medicines were a problem. Gu Jun didn't dare to leave them in the dormitory, so every time he got a box, he hid in the bathroom of the unit, manually tore the box into little pieces of paper, and then flushed them all into the toilet.
, washed away without leaving any trace behind.
He disposed of 6 pill boxes in this way, and no one came to question him yet, so he was probably sure that there was no pinhole camera or anything like that in the bathroom.