Chapter 46

On the morning of the first day of training, Zhou Jiaqiang taught five students how to ligate.

At noon, they went to the canteen of the training center for lunch, had a rest, and then went back to the afternoon training: sewing.

Suture is also the most important basic operation in surgery. There are mainly discontinuous and continuous suture methods, such as simple interrupted suture, double interrupted suture (Figure 8 suture), simple continuous suture, buckle lock suture, tension reducing suture, varus suture, valgus suture, etc

These different suture methods have different uses and need to be selected according to the patient's injury.

"You should pay attention to the fact that deep wounds should not be fully sutured, but should be sutured according to the anatomical level. This is the main way to avoid the formation of invalid cavities."

Zhou Jiaqiang used the projection screen to cooperate with the teaching and played some pictures of surgical suture. "The invalid cavity will not only hinder the alignment of the wound edge, but also lead to blood accumulation, effusion and secondary infection, which will delay the healing of tissues, so we must avoid them."

Just memorizing the operation steps and precautions of these methods will make you busy. Don't think you can start immediately. Wang Ruoxiang and sun Yuheng are all going step by step.

Gu Jun is also walking step by step, but faster than others, he is familiar with it in an afternoon, but there is still a long way to go to master it.

The day didn't end there, and training continued in the evening. Zhou Jiaqiang taught them about thread cutting, thread removal and dressing change, some hemostatic operations, and the similarities and differences between surgical incision and dissection of tissues.

"Is it cramming today?"

After 10 o'clock this evening, just before the dissolution, Zhou Jiaqiang took out the most serious appearance of the day and said to them: "yes, the current situation does not have time for you to learn slowly. The clinical side is looking forward to you to quickly become three assistance, two groups, let the original three help, two help main knife. So don't be lazy. Keep your teaching materials in mind. You can also take some fruits to practice sewing. Grapes and bananas can be used. Dormitories can provide them. "

People nodded should be, strong brother is just to take them into the guide, after the entry to what extent can be reached depends on their own efforts.

"First of all, we will lay a good foundation for simulation, and then we will carry out actual combat training in experimental animals in the second half of the journey. I hope you will be ready before then. Come on!"

When brother Qiang officially announced that the class was over, it was half past ten. All of them finished the day's training and went back to the dormitory together.

During the closed training period, they are required to enter the training center and dormitory building only. There is no entertainment, but there are gyms on the second floor of each dormitory building. However, they have been busy all day. They have to continue training early tomorrow morning. Most of them go back to their dormitories and sleep directly.

Gu Jun did not sleep, in his bedroom desk with surgical instruments to practice suturing and ligation of grapes.

First, cut the grape skin with a scalpel, then use tweezers to remove several seeds inside as the target, and then use the needle holder to clamp the suture needle with catgut thread to sew needle by needle

Outside the window, the night sky is dark, Gu Jun is still concentrating on practice, again and again, digesting today's knowledge and learning.

……

In the next five days, Gu Jun and his colleagues continued to follow the rhythm of the first day of training, learning the suture methods of various tissues and organs, as well as the specific operation of some surgical operations. Amputation was the most important.

The enthusiasm for learning will stimulate each other. Gu Jun's excellent performance is driving others. Brother Qiang often feels deeply.

"You are the best students I've ever taught!" Zhou Jiaqiang constantly praised them, which made Cai Zixuan and Jiang Banxia proud.

However, Gu Jun doubted that brother Qiang would say so to every group of students.

After the first stage of surgical training, five people continued to rush to the internal medicine training, which was taught by another female trainer Huang Ying.

Zhou Jiaqiang has the next group of six students, all from the city around Dongzhou medical dog, also from the skills competition.

When we met in the dining hall, we had to gossip with each other. Sure enough, brother Qiang said that he had brought the best batch

Gu Jun also wanted to know about the skills competition in their cities. They came from four different cities. They only saw the touring banyan tree after winning the competition. What's more, what's more, what's more, what's more, what's more, what's more, what's more, what's more, what's more, what's more, what's more, they're from four different cities.

"It seems that there are not many species with lamellae..." Gu Jun thus thought, "and Dongzhou city students have been the highest standard of assessment."

From these days of medical training, the itinerary of Gu Jun and Cai Zixuan has gradually become different.

He was arranged more training programs, in addition to clinical, but also to do anatomical training.

Gu Jun doesn't need any basic training on the anatomical table. What he accepts is more the theoretical basis of heterogeneous anatomy. When facing those unprecedented creatures, even with the help of modern instrument technology, there will be many difficulties.

"Ah Jun, you have to be prepared for dissection sometimes in the wild." Yu Xiuyan, an anatomy trainer, told him, "there is no help, only you and some anatomical tools. How do you bring back the anatomical structure of the organism? It's up to you. "In the wild? Gu Jun could not understand the specific meaning of this remark.

In any case, heterogeneous anatomy is exactly the knowledge he craves, but with the authority of the intern, the scope that he can know and learn is quite limited.

The intern is not a regular employee of the National Bureau of natural machinery, and he has not even signed a contract.

In addition to anatomical training, Gu Jun also went to receive spiritual and psychological training, and got a preliminary understanding of some knowledge compiled by the Bureau of natural science, such as the spiritual impact of abnormal things like Ficus heterophylla on human beings, and the stress-related disorders that may be caused.

Stress related disorder is a kind of mental disorder with obvious causal relationship with stressors. The occurrence sequence, symptom content, course of disease and prognosis are closely related to stress factors. Perhaps the most well-known is post-traumatic stress disorder (PTSD).

"Stressors" refer to the stimuli that act on individuals and make them produce stress response. Human stressors are very extensive. According to different environmental factors, psychiatry divides stressors into three categories: external environment, individual internal environment and social psychological environment.

Ficus heterobanyan disease and Ficus heterophylla are a kind of external environmental stressors. After witnessing the monstrous banyan trees, not everyone can get over it by themselves, ranging from nightmares to acute stress reactions - it's not just vomiting.

If not properly handled, for a long time, it will cause irreversible damage to the body's nervous system, and even abnormal brain structure and function.

If that happens, the staff will no longer be able to work for the agency, and they may not be considered normal people any more.

Psychiatry trainer Luo Mingtao's teaching focus on Gu Jun is to let him learn the cognition, diagnosis and acute treatment of stress-related disorders.

"Jun, you have to learn how to deal with people's stress reactions in the wild." Luo Mingtao also earnestly taught, "those stressors may be the first time that the Bureau of natural science and technology has met, and your colleagues are going crazy. How should drug treatment and psychotherapy be carried out at that time? It's up to you. "

After studying these, Gu Jun can better understand the significance of the test questions in the evaluation. Human beings in this mysterious circle are still human beings. They have no three heads and six arms. If they don't have a clear mind, they can only cause trouble.

But there was something strange about his listening. Was it the wild again?

as like as two peas, Miss Yu and Yu teacher are almost like the interns who are going to go to the wild.

With this question, Gu Jun asked Cai Zixuan when he came back to the dormitory, but Cai Zixuan doubted: "the wild? No, no teacher told us

Now Gu Jun can't understand that "wild" should be a special arrangement for him, I don't know what kind of arrangement it is.

……

In a flash, half a month has passed, and the time has entered September.

Gu Jun gets up early and goes to bed late every day in the medical department of Dongzhou Tianji sub Bureau Every day he is like a sponge like crazy absorption of all aspects of medical knowledge.

During this period, he also completed six general tasks of the system. The tasks were all related to surgery, such as completing 500 stitches of suture and 300 times of ligation. He got 6 boxes of medicine, which also improved Tairan's hand. Now he is the second level (30003000 proficiency).

Six common tasks add 1500 familiarity, and another 500 are from his own training.

Every time his familiarity exceeded 1000, his hands seemed to have a new feeling, and he became more proficient in various surgical operations.

Gu Jun didn't dare to leave the medicine box in the dormitory, so every time he got a box, he hid in the bathroom of the unit, tore the medicine box into pieces of paper by hand, and then flushed them all into the toilet.

He dealt with six medicine boxes like this, and no one came to him for questioning, so I'm sure there is no pinhole camera in the bathroom.

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