Plague Doctor

Chapter 46: Surgery, anatomy, psychiatry

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

At noon they had a meal in the cafeteria of the training center, took a break, then went back to continue the afternoon training: stitching.

Suture is also the most important basic operation in surgery. Suture methods are mainly divided into intermittent and continuous. Commonly used are simple intermittent suture method, double intermittent suture method (8-shaped suture), simple continuous suture, lock suture, reduced suture, Suture inversion, suture inversion ...

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

"You have paid attention, do not suture full-thickness in the face of deep wounds, you should sew according to the anatomical level, this is the main way to avoid the formation of invalid cavity."

Zhou Jiaqiang used the projection screen to match the teaching and played some pictures of surgical sutures. "The invalid cavity will not only hinder the alignment of the wound edge, but also lead to blood accumulation, fluid accumulation, and secondary infection. These will delay the healing of the tissue, so it must be To avoid. "

Just remember the operation steps and precautions of these methods, you will be busy, but don't think that you can get started immediately. Wang Ruoxiang and Sun Yuheng all go step by step.

Gu Jun also walked step by step, but he walked faster than others. He was basically familiar in one afternoon, but there was still a long way to go from mastering.

This day did not end there, and training continued at night. Zhou Jiaqiang taught them about thread cutting, thread removal and dressing change, some hemostasis operations, and the similarities and differences between tissue cutting and separation and anatomy.

"Is it duck-feeding teaching today?"

After ten o'clock that night, just before the dissolution, Zhou Jiaqiang took the most serious look of the day and preached to them: "Yes, the current situation has no time for you to learn slowly, and the clinical side is looking forward to you. You can quickly become the third and second groups, and let the original three and two assistants go. So do n’t be lazy, keep your textbooks in your mind. You can also take some fruits to practice sewing. Grapes and bananas can do it. , Dormitories are provided. "

Everyone nodded as they should. Qiang Brother was just the leader who brought them to the entrance. After getting started, it depends on his own efforts.

"First lay a good foundation for simulation, then in the second half we will conduct practical training in experimental animals, I hope you will be ready before then, come on!"

When Qiang Brother officially announced the end of class, it was past 10:30, and everyone ended the day's training and went back to the dormitory together.

During the closed training period, they were required to have two points and one line, and the authority was only enough to enter the training center and dormitory building. There is no entertainment project, but there are gyms on the second floor of each dormitory building. However, they are busy for a day, and they still have to continue training early in the morning. Most of them return to the dormitory and go to bed directly.

Gu Jun did not sleep, so he used surgical instruments to sew and ligature the grapes at the desk in his bedroom.

First cut the grape skin with a scalpel, then use tweezers to remove a few seeds as the target, and then use a needle holder to sew the needle with the gut line and stitch it with a needle ...

The night sky outside the window was dark, Gu Jun was still concentrating on practicing again and again, digesting what he knew and learned today.

……

For the next five days, Gu Jun and they continued the rhythm of the first day of training, followed Qiang Brother to learn various suture methods of tissues and organs, and the specific operations of some surgical operations. Amputation surgery is even more important. .

The enthusiasm for learning will inspire each other. Gu Jun's excellent performance is driving other people, and Brother Qiang often feels impressed.

"You are the best group of students I have ever brought!" Zhou Jiaqiang praised them constantly, making Cai Zixuan and Jiang Banxia very proud.

However, Gu Jun doubted that Qiang Brother would say so to every batch of students.

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

And Zhou Jiaqiang had the next batch of six students, all medical dogs from the surrounding cities of Dongzhou City, and also broke out from the skill competition.

Everyone met when they were eating in the cafeteria, and they must gossip to each other. Sure enough, Brother Qiang said that he had brought the best batch ...

Gu Jun is also interested in inquiring about the skills competition in their city. They come from four different cities. They all saw the torus-like banyan tree after winning, and the dissection in the contest was only the deformity of the patients with the banyan disease. Limb specimen.

"It seems that the number of heterogeneous creatures with plate bones is not large ..." Gu Jun thought to himself, "And the students of Dongzhou City have been evaluated to the highest standard."

These few days after receiving internal medicine training, Gu Jun and Cai Zixuan's itinerary gradually became different.

He has more training programs arranged, in addition to clinical, but also to do anatomy training.

Gu Jun no longer needs basic training on the anatomical table. He received more theoretical basis of heterogeneous anatomy. When facing those unprecedented creatures, even with the help of modern instrument technology, there will be many difficulties.

"Ajun, you have to be prepared to perform anatomy in the wild sometimes." Anatomy trainer Yu Xiuyan told him again, "There is no help, only you and some anatomy tools. How to bring back the anatomical structure of the creature. ? It depends on your skills. "

The wild? Gu Jun still can't understand the specific meaning of these words.

Anyway, heterogeneous anatomy is exactly what he desires, but with the authority of an intern, the scope of what he can know and can learn is quite limited.

Interns are not regular employees of the Tianji Bureau, and they haven't even signed the contract.

In addition to anatomical training, Gu Jun also received mental and psychological training, and initially learned some knowledge compiled by the Tianji Bureau, such as the spiritual impact of abnormal things like the banyan tree on humans, and the stress-related obstacles that may be caused.

Stress-related disorders refer to a type of mental disorder that has a clear causal relationship with the source of stress. The timing, symptoms, course, and prognosis are all closely related to stress factors. Probably the most widely known is "post-traumatic stress disorder (PTSD)".

"Stress source" refers to the stimulant that acts on the individual and causes it to produce a stress response. Human stress sources are very extensive. Psychiatry divides stress sources into three categories according to different environmental factors: external environment , Individual internal environment and social psychological environment.

Iso-Ficus disease, Iso-Ficus tree is a source of external environmental stress. After people have witnessed the terrible deformed Isabel tree, not everyone can slow down by themselves, ranging from nightmares to acute stress reactions-it's not just vomiting.

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

If that happens, employees can no longer work for the Tianji Bureau, and may no longer be considered normal people.

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.

"Ajun, you have to learn how to deal with the stress response of the personnel in the wild." Luo Mingtao also taught emphatically, "The stressors may be encountered for the first time by the Tianji Bureau, and your colleagues are going crazy. How do you go about medication and psychotherapy? It depends on you. "

Gu Jun learned these things and better understood the meaning of the test questions during the review. The humans in this mysterious circle are still humans ~ www.NovelMTL.com ~ doesn't have three heads and six arms. If you don't even know your mind, you can only cause trouble.

But he also heard something strange, is it wild?

Teacher Luo and Teacher Yu have almost the same words, as if they are going to go to the field in the future?

With this question in mind, Gu Jun asked Cai Zixuan when he returned to the dormitory, but Cai Zixuan wondered: "Wild? No, no teacher told us."

Can Gu Jun still understand this time? The "wild field" should be a special arrangement for him. I don't know what kind of arrangement it is.

……

In a blink of an eye, half a month passed, and the time entered September.

Gu Jun in the Medical Department of Dongzhou Tianji Branch Bureau gets up early and goes to bed late every day, clinically, anatomically, mentally, psychologically ... He absorbs medical knowledge of all aspects like a sponge like crazy every day.

During this period, he also completed six general tasks of the system. The tasks are all related to surgery, such as completing 500 stitches and 300 ligations. He also received 6 boxes of medicine, which also gave Tairan hands. The promotion is now the second (3000/30000 proficiency).

Six common tasks have been added with 1500 familiarity, and 500 are from his own training.

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

The medicine box of those foreign medicines is a trouble. Gu Jun dared not leave it in the dormitory, so he hid in the bathroom of the unit every time he got a box, manually tore the medicine box into a little shredded paper, and then all rushed into the toilet , Rushed to stay a bit.

He handled 6 pillboxes like this, and no one came to ask him for a while, so he was probably sure that there was no such thing as a pinhole camera in the bathroom.

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