Plague Doctor

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

At noon, they went to the cafeteria of the training center to eat, and after a short rest, they went back to continue the training in the afternoon: sewing.

Suture is also the most important basic operation in surgery. Suture methods are mainly divided into intermittent and continuous. Commonly used methods are simple interrupted suture, double interrupted suture (figure 8 suture), simple continuous suture, buckle-lock suture, tension-reducing suture, Inverted suture, inverted suture...

These different suturing methods have different purposes and need to be selected according to the injury condition of the patient.

"Attention, you should not suture the whole thickness of the deep wound. You should suture according to the anatomical level. This is the main way to avoid the formation of dead space."

Zhou Jiaqiang used the projection screen to cooperate with the teaching, playing some pictures of surgical sutures, "The dead space will not only hinder the closure of the wound margin, but also cause blood accumulation, fluid accumulation, and secondary infection, which will delay the healing of tissues, so we must Avoid."

Just memorizing the operation steps and precautions of these methods will be busy, but don't think about getting started immediately, Wang Ruoxiang and Sun Yuheng all walk step by step.

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

The day did not end there, and the training continued in the evening. Zhou Jiaqiang then taught them the similarities and differences of cutting and separating tissues and anatomy in surgical operations.

"Is today a cramming teaching?"

It was past ten o'clock in the evening, and before the dissolution, Zhou Jiaqiang showed the most serious look of the day, and said to them: "Yes, the current situation has no time for you to learn slowly, and the clinic is looking forward to you Hurry up to become the third and second groups, and let the original third and second assistants do the surgery. So don’t be lazy, keep the teaching materials handed out to you in your mind, and you can also take some fruits to practice sewing, such as grapes and bananas. , the dormitory is provided.”

Everyone nodded. Brother Qiang was just the leader who brought them into the door. How far they can reach after the door depends on their own efforts.

"First simulate to lay a good foundation, and then we will conduct actual combat training with experimental animals in the second half. I hope you can all be ready before then, come on!"

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

During the closed training period, they are stipulated that they must have two points and one line, and their authority is only enough to enter the training center and dormitory building. There is no entertainment, but there are gyms on the second floor of each dormitory building. However, they have been busy all day, and they have to continue training early tomorrow morning. Most of them go back to the dormitory and go straight to sleep.

Gu Jun didn't sleep, and practiced suturing and ligating grapes 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 the target, and then use the needle holder to hold the sewing needle and catgut to sew stitch by stitch...

The night sky outside the window was pitch black, and 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 the rhythm of the first day of training, followed Brother Qiang to simulate and learn the suturing methods of various tissues and organs, as well as some specific surgical operations, and the amputation operation was the most important. .

Enthusiasm for learning will inspire each other. Gu Jun's excellent performance is motivating other people, and Brother Qiang is often moved.

"You are the best group of students I have ever taught!" Zhou Jiaqiang kept praising them like this, which made Cai Zixuan and Jiang Banxia very proud.

But Gu Jun doubts that Brother Qiang will say this to every group of students.

After the first stage of surgical training was over, the five went on to internal medicine training, where they were 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, who also broke out from the skills competition.

When we met in the cafeteria, gossiping was inevitable. Sure enough, everyone said that Brother Qiang said it was the best batch he had brought...

Gu Jun is also interested in inquiring about the skills competition in their cities. They come from four different cities, and they only saw the touring banyan tree after they finally won, and what was dissected in the competition was only the abnormalities of patients with banyan disease. Limb specimens.

"It seems that there are not many alien creatures with bones..." Gu Jun then thought to himself, "And the source of students in Dongzhou City has received the highest standard of assessment."

During the few days of internal medicine training, the itineraries of Gu Jun and Cai Zixuan gradually became different.

He was arranged for more training programs, in addition to clinical practice, he also had to do anatomy training.

Gu Jun no longer needs basic training on the dissecting table. What he has received is more the theoretical basis of heterogeneous anatomy. When facing those unprecedented creatures, even with the help of modern equipment and technology, there will be many difficulties.

"Ah Jun, you have to be prepared to conduct dissections in the field sometimes." Anatomy trainer Yu Xiuyan told him again, "There is no help, only yourself and some dissection tools. How to bring back the anatomical structure diagram of the creature ? Then it will depend on your ability."

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

Anyway, heterogeneous anatomy was exactly the knowledge he was longing for, but with the authority of an intern, the scope of what he could know and learn was quite limited.

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

In addition to anatomy training, Gu Jun also went to receive spiritual and psychological training, and initially learned some knowledge compiled by Tianji Bureau, such as

The spiritual impact of an abnormal thing like the banyan tree on human beings, as well as the possible stress-related disorders it may cause.

Stress-related disorders refer to a class of mental disorders that have an obvious causal relationship with stressors, and the timing of occurrence, symptom content, course of disease, and prognosis are all closely related to stressors. Perhaps the most well-known is "post-traumatic stress disorder (ptsd)".

"Stressor" refers to the stimuli that act on the individual and cause a stress response. Human beings have a wide range of stressors. Psychiatry divides stressors into three categories according to different environmental factors: external environment , the individual's internal and psychosocial environment.

Ficus disease and banyan tree are a source of external environmental stress. After witnessing the horrific deformity of the banyan tree, not everyone can recover on their own, ranging from nightmares to acute stress reactions—it’s not just vomiting.

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

If that happens, the employee can no longer work for the ABC, and may not be considered a normal person anymore.

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.

"Ah Jun, you have to learn how to deal with the stress response of people in the field." Luo Mingtao also taught earnestly, "Those stressors may be the first time the Tianji Bureau encounters them, and your colleagues are going crazy. By then How to carry out drug treatment and psychological treatment? It depends on you."

After learning these, Gu Jun can better understand the meaning of those test questions during the review. The human beings in this mysterious circle are still human beings, and they don't have three heads and six arms. If they don't even have a clear mind, they can only cause trouble.

But he also heard something strange, is it in the wild again?

The words of Teacher Luo and Teacher Yu are almost exactly the same, as if these interns are going to 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 asked in confusion: "Outside? No, no teacher told us about it."

Now Gu Jun still can't understand, "in the wild" should be a special arrangement for him from above, and I don't know what kind of arrangement it is.

...

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

Gu Jun wakes up early and goes to bed late every day in the Medical Department of Dongzhou Tianji Branch. Clinical, anatomical, spiritual, psychological... He absorbs all kinds of medical knowledge crazily like a sponge every day.

During this period, he also completed 6 common tasks of the system. The tasks were all related to surgery, such as completing 500 stitches and 300 ligations. The improvement is now the second level (300030000 proficiency).

The six common tasks added 1500 familiarity points, and 500 points were returned from his own training.

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

The medicine boxes of those foreign medicines are troublesome. Gu Jun dare not leave them in the dormitory, so every time he got a box, he hid in the bathroom of the unit, manually tore the medicine boxes into little pieces of paper, and then flushed them all into the toilet , rushing to nothing.

He handled 6 pill boxes in this way, and no one came to him for questioning for the time being, so it is probably certain that there is no such thing as a pinhole camera in the bathroom.

I like Plague Doctor.