On the morning of the first day of training, Zhou Jiaqiang taught the five students how to perform ligation.
At noon, they went to the cafeteria of the training center, rested for a while, and then went back to continue the afternoon training: suturing.
Suturing was also the most important basic operation in surgery. The main suturing methods were interrupted and continuous. The most commonly used ones were simple interrupted suture, double interrupted suture (figure-eight suture), simple continuous suture, buckle suture, heavy reinforcing suture, varus suture, eversion suture …
These different suturing methods had different uses and needed to be chosen according to the patient's injury.
"Pay attention. For deep wounds, do not suture the whole layer. You should suture according to the anatomical level. This is the main way to avoid the formation of an ineffective cavity."
Zhou Jiaqiang used the projection screen to accompany the teaching and played some pictures of surgical sutures. "An ineffective cavity will not only hinder the closure of the wound edge, but also lead to blood accumulation, fluid accumulation, and secondary infection. These will delay tissue healing, so you must avoid it."
Just memorizing the operation steps and precautions of these methods was already very busy. Do not expect to master it immediately. Wang Ruoxiang, Sun Yuheng, and the others all walked step by step.
Gu Jun also walked step by step, but he walked faster than the 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 there. They still had to continue training in the evening. Zhou Jiaqiang taught them how to cut, remove, and change the dressing, some hemostasis operations, as well as the similarities and differences between tissue incision and dissection in surgery.
"Is today a force-feeding method?"
After ten o'clock that night, before they were about to be dismissed, Zhou Jiaqiang put on his most serious expression of the day and said to them, "Yes, there is no time for you to learn slowly in the current situation. The clinical department is hoping that you can quickly become the third assistant and second group, and let the original third assistant and second assistant become the chief surgeon. So, don't be lazy. Remember the materials that are given to you in your head. You can also practice suturing with some fruits. Grapes and bananas are fine. The dormitory provides them. "
Everyone nodded in response. Brother Qiang was just a guide to get them started. How far they could go after they got started depended on their own efforts.
"First, we will simulate the foundation. Then, in the second half, we will carry out practical training with the experimental animals. I hope you can all be ready before that. Good luck!"
By the time Brother Qiang officially announced the end of class, it was already past 10: 30 pm. Only then did everyone end the day of training and return to the dormitory together.
During the closed training period, they were only allowed to enter the training center and the dormitory. There was no entertainment, but there was a gym on the second floor of each dormitory building. However, they had been busy for the whole day and had to continue training the next morning. Most of them went straight to bed when they returned to the dormitory.
Gu Jun did not sleep. He was practicing suturing and ligating the grapes with his surgical instruments at the desk in his bedroom.
First, he used a scalpel to cut open the skin of the grape, then used a pair of forceps to remove the few seeds inside as a target. Then, he used a needle holder to hold the needle and suture it with catgut.
The night sky outside the window was pitch-black. Gu Jun was still concentrating on practicing over and over again, digesting what he had learned today.
…
For the next five days, Gu Jun and the others continued to follow the rhythm of the first day of training. They followed Brother Qiang and simulated the suturing methods of various tissues and organs, as well as the specific operations of some surgical operations. Amputation was the most important.
The enthusiasm of learning would stimulate each other. Gu Jun's excellent performance was driving the others, and Brother Qiang often sighed with emotion.
"You are the best batch of students I have ever taught!" Zhou Jiaqiang constantly praised them, making Cai Zixuan and Jiang Banxia very proud.
However, Gu Jun suspected that Brother Qiang would say the same to every batch of students.
After the first stage of surgical training, the five of them continued to the internal medicine training, which was taught by another female trainer, Huang Ying.
Zhou Jiaqiang had the next batch of six students, all of whom were medical dogs from the surrounding cities of Dongzhou City. They had also broken through from the skills competition.
When they met in the cafeteria, they inevitably gossiped with each other. Sure enough, Brother Qiang said to everyone he met that he was the best batch of students he had ever taught.
Gu Jun also had the intention to inquire about the skills competition in their cities. They came from four different cities, and they only saw the Malformed Banyan after winning the competition. Moreover, the dissection in the competition was only the malformed limb specimens of patients with the Malformed Banyan Disease.
"It seems that the number of abnormal creatures with lamellar bones is still not many," Gu Jun thought. "And the students of Dongzhou City have received the highest standard of assessment."
During the few days of internal medicine training, the itinerary of Gu Jun, Cai Zixuan, and the others gradually changed.
He was arranged for more training programs. In addition to clinical training, he had to do dissection training.
Gu Jun no longer needed to undergo basic training on the dissection table. Instead, he received the theoretical foundation of the abnormal creature's anatomy. When faced with creatures that had never been seen before, even with the aid of modern instruments, there were still many difficulties.
"Ah Jun, you must be prepared to dissect in the wild sometimes," the anatomy trainer Yu Xiuyan told him. The anatomy trainer, Yu Xiuyan, told him again, "There's no help, just yourself and some dissection tools. How do you bring back the anatomical structure of the creature? It will depend on your ability. "
In the wild? Gu Jun still could not understand the specific meaning of these words.
Anyway, abnormal creature anatomy was the knowledge that he longed for. It was just that with the authority of an intern, the scope of what he could know and learn was quite limited.
The intern was not considered a formal employee of Phecda, and he had not even signed a contract.
In addition to dissection training, Gu Jun also received mental and psychological training. He had a preliminary understanding of some of the knowledge compiled by Phecda, such as the mental impact of abnormal things like the Malformed Banyan on humans and the stress-related disorders that may be caused.
Stress-related disorders refer to a type of mental disorder that has a clear causal relationship with the stressor. The sequence of occurrence, symptom content, course, and prognosis are closely related to the stressor. The most well-known is probably "post-traumatic stress disorder" (PTSD).
"Stressor" refers to stimuli that act on individuals and cause them to produce a stress response. Human stressors are very broad. According to different environmental factors, psychiatry divides stressors into three categories: external environment, individual internal environment, and social psychological environment.
The Malformed Banyan Disease and the Malformed Banyan are a kind of external environmental stressor. After witnessing the deformed and terrifying Malformed Banyan, not everyone can recover on their own. If it's mild, they will have nightmares. If it's severe, they will have acute stress reactions — which is more than just vomiting.
If it is not properly treated, over a long period of 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 can no longer work for Phecda, and he may no longer be considered a normal person.
The focus of Luo Mingtao's teaching for Gu Jun was to let him learn the recognition, diagnosis, and acute treatment of stress-related disorders.
"Ah Jun, you must learn how to deal with the stress response of people in the wild." Luo Mingtao also earnestly taught, "Those stressors may be the first time Phecda encountered them, and your colleagues are going crazy. How do you carry out drug treatment and psychological treatment? It's all up to you. "
Gu Jun learned this, and he could understand the meaning of the test questions during the evaluation. The humans in this mysterious circle were still humans. They did not have three heads and six arms. If they did not even have a clear mind, then they could only cause trouble.
However, he also heard something strange. Wild again?
Teacher Luo and Teacher Yu's words were almost identical. It was as if interns like them were going to the wild in the future?
With this doubt, when Gu Jun returned to the dormitory, he asked Cai Zixuan. Cai Zixuan was puzzled. "Wild? No, no teacher told us about it. "
How could Gu Jun not understand now? The "wild" should be a special arrangement for him from the top, but he did not know what the specific arrangement was.
…
In the blink of an eye, half a month had passed, and it was already September.
Gu Jun woke up early and slept late every day in the medical department of the Eastern State Phecda Branch. Clinical, anatomical, mental, psychological... He was like a sponge, crazily absorbing all aspects of medical knowledge every day.
During this period, he had also completed 6 normal missions from the system. The content of the mission was related to surgery, such as completing 500 stitches, completing 300 ligations, etc. He had also obtained 6 boxes of medicine and had also improved his Hands of Dexterity. Now, he was at the second tier (3000/30000 proficiency).
The six normal missions added 1500 proficiency, and the remaining 500 were from his own training.
Every time the proficiency exceeded 1000, his hands seemed to have a new feeling, and he became more adept at various surgical procedures.
The boxes of foreign medicine were a problem. Gu Jun did not dare to leave them in the dormitory, so every time he obtained a box, he would hide in the unit's bathroom, manually tear the box into pieces, and then flush it all down the toilet.
He dealt with the six boxes in this way, and for the time being, no one came to ask him questions, so he could probably confirm that there was no pinhole camera in the bathroom.
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