godfather of surgery

Chapter 199 The Persistent Person
"Brother, this is the human anatomy diagram you asked me to draw!"

Song Zimo spread the painting, triumphantly.

Before drawing the picture, he reviewed many anatomy books and atlases; when drawing the picture, he did not refer to any materials and drew from memory. He checked it several times and found no mistakes.

The painting is very good, more beautiful and detailed than the wall chart of human anatomy, but Yang Ping just glanced at it casually, then stretched out his hand to put away the picture, kneaded his hands into a ball, and then squeezed it hard to make the paper ball a little smaller. Lift it up and throw it into the trash can a few meters away. The ball of paper draws a beautiful parabola and falls into the bucket accurately.

"You may have misunderstood, or I didn't make it clear, I didn't ask you to draw it and bring it."

Yang Ping clapped his hands, walked to the whiteboard, took out a water-based pen from the pen case and threw it to Song Zimo.

"Draw on the spot, right now, draw on the whiteboard, I will use it in class tomorrow."

Song Zimo took the pen and stood there in a daze. He thought Yang Ping would praise him, but he didn't even look at it, and threw it directly into the trash can.

I'm used to it, and it's not like I was hit once or twice.Then draw it on the spot, draw the human anatomy diagram on the whiteboard on the spot.

Yang Ping seemed to ignore Song Zimo's reaction, put together several chairs, lay down on them, and covered them with a training sheet.

"I'll take a break and wake me up when I'm done painting."

"Hurry up and don't forget your original intention."

Yang Ping closed his eyes, threw a few words over, then stopped talking to Song Zimo, and really went to sleep.

Song Zimo turned the pen in his hand, thought for a while, without making any excuses, walked to the whiteboard, pulled out the cap of the pen, and began to draw on the whiteboard. The lines were slowly drawn, and the bones gradually formed.

When Yang Ping entered the system space, his points had accumulated more than [-] points. He purchased [-] cases of multiple trauma training, and another [-] cases of single-site trauma training for the head, chest, abdomen, spine, pelvis, and limbs. It seems that nearly [-] surgeries have been performed.

After completing these surgical trainings, Yang Ping did not quit the space.

He used experimental subjects to dissect, and accumulated some anatomical and pathological data of trauma patients.

In the system space, the waterfall falling from the sky in the distance is majestic and magnificent.

Compared with before, this tree looks stronger and more luxuriant.

Coming out of the system space, Song Zimo was still drawing.

Next to the whiteboard is a set of colored pens, thick and thin, and he uses various combinations of colors.

Use red to draw arteries, blue to draw veins, orange to draw nerves, black to draw skeletal muscles, and the entire human anatomy is slowly presented on the whiteboard.

Yang Ping took a nap for a while, and when he was woken up, it was past eleven o'clock in the evening, and Song Zimo had been painting for over an hour.

Yang Ping rubbed his eyes and looked at this human anatomy diagram drawn with water pen. It was still fine and there was no mistake. Song Zimo's knowledge of anatomy had passed.

"The systematic anatomy has passed, and it will start tomorrow. After the training every day, you can draw a local anatomy on the whiteboard, in the order of the head, chest, abdomen, pelvis, upper limbs, and lower limbs—"

"Brother, I will definitely work hard." Song Zimo's hands were sore, he put down his pen and moved his wrist.

"Go back and rest early."

It was too late, Yang Ping packed his things, picked up his backpack, and prepared to go back.

"Brother, why can Masao Fujiwara repair a ruptured heart in three minutes and 24 seconds by himself?"

It's almost zero o'clock, and if you are still so persistent, it's not scary to be smart alone.The scary thing is that smart people can pay several times the efforts of others.

"Are you sure I know the answer?" Yang Ping put down his bag.

Song Zimo nodded: "If you don't know, I'm afraid you have to ask Fujiwara Masao himself."

"He stopped the bleeding with his left hand, sutured with his right hand, and tied the knot at the end." Yang Ping told him.

"What kind of sewing method is this? I haven't seen it before." Song Zimo didn't know how to sew with one hand.

What he knew, the repair of a ruptured heart, required an assistant, using 3-0 atraumatic sutures with spacers.

Use your left hand to stop the bleeding with your bare hands. If the crack is small, press with your index finger. If the crack is large, you need several fingers to pinch the crack.

Then use a 3-0 non-invasive suture with a spacer to pass through the full-thickness myocardium for mattress suture. Every time a stitch is sutured, the assistant will help to tie the knot immediately. In this way, one stitch is stitched and one stitch is knotted, and the sutures are gradually interrupted until the gap is reached. fully closed.

But Masao Fujiwara didn't have an assistant, and he completed the operation with one hand. Song Zimo never understood how he did it.

"He used continuous cross-reciprocating sutures! This is a superb one-handed suture technique, especially suitable for one-person operation in emergency situations."

Continuous cross stitching? Song Zimo has never heard of this stitching method: "Where does this stitching method come from? I have never seen it."

Yang Ping picked up a water-based pen: "This should be created by Masao Fujiwara. I simulated it based on the movement trajectory of his hand. Look——"

"Wait!" Song Zimo seemed to realize something, and he went to take the pen from Yang Ping's hand.

"I'll show you the picture, do you see it right?" Song Zimo instantly understood after Yang Ping dialed it.

He used a pen to draw continuous reciprocating cross-stitched graphics in the blank space away from the human anatomy diagram, and explained to the graphics.

Suture the first stitch from the starting point, and the direction of the needle thread is 90 degrees perpendicular to the wound. At this time, the little finger and ring finger of the left hand pinch the end of the thread tightly.

The right hand continued to suture, and the second stitch started. The direction of the needle thread and the wound formed a 60-degree oblique shape.

The last stitch is the same as the first stitch, vertical wound, don't stop at this time, the needle and thread are sewed back, mirroring the original path.

The second stitch back returns to a 60-degree angle with the wound, and continues to sew until the last stitch falls at the symmetrical position of the starting point. At this time, the wound has been completely closed and knotted.

During the whole process, for each stitch, the index finger and middle finger of the left hand are responsible for tightening the thread, and the tail thread pinched by the little finger and ring finger resists the tension.

Although the sutured thread is not knotted, it can always tighten the wound, which has the same effect as intermittent suture. The knot is tied at the end, and the suture of each stitch crosses back and forth.

"That's right, that's how it is." Yang Ping praised, sincerely.

"But the middle finger of the left index finger is responsible for tightening the thread, and the little finger of the ring finger is responsible for fixing the end of the thread. Only the thumb is left. How to stop the bleeding with bare hands?" Song Zimo still doesn't understand.

Hemostasis with bare hands, no matter one hand or two hands, is not difficult for trauma surgeons, just basic skills, but with one finger, if the wound is small, it can be done, but if the wound is large, it is almost impossible.

"You can press your thumb for small wounds, and use the palm and thenar muscles for large wounds to stop the bleeding." Yang Ping brushed aside his doubts.

Song Zimo finally figured it out, if this is the case, it will be very difficult.

The hands must be very flexible. The five fingers of the left hand do three different things. The one hand of the right hand sutures. In the pool of blood, you can't see anything, and you can do it all by feel.

The effect of stitching is to achieve the effect of intermittent mattress stitching with gaskets, which requires a high level of stitching skills!

"Fujiwara is really good! I heard that among his students, several are very good, Takahashi Fumiya, Sasaki Jiro, known as the two heroes of Japanese trauma surgery." Song Zimo said, from this stitch, we can get a glimpse of Fujiwara's level.

"Fujiwara is a god-like existence at the University of Tokyo Hospital, and he has many amazing innovations." Director Han told Yang Ping about this.

"You start practicing one-handed suturing tomorrow. You can hold a needle in one hand and complete the suture without the assistance of the other hand." It was getting late, and Yang Ping wanted to end this topic quickly.

"You take the model of the chest, cut a five-centimeter incision in the heart, and completely cut through the myocardium." Yang Ping wants to demonstrate continuous reciprocating cross-stitching with one hand.

Yang Ping took off his coat and covered his eyes.

Is he going to demonstrate the blind operation? Song Zimo's heart is pounding.

Song Zimo knew that people who could operate blindly had extremely high demands on the hand feel, and if they were a little poor, not only could they not complete the operation, but they would also accidentally injure themselves.

"Brother?"

"Hurry up and make the model!"

Song Zimo brought the model over, cut a five-centimeter incision in the heart, and put the needle holder with the needle thread in Yang Ping's hand.

"Look clearly, I will only demonstrate it to you once, and only you can learn this kind of blind operation." Yang Ping urged.

In the entire administrative building, only the training room floor was still lit, and this floor seemed particularly quiet and empty.

Yang Ping calmed down, held the needle in his right hand, stretched out his left hand, grasped the heart model in his palm, and closed the wound with his bare hands by relying on his thenar muscles and thumb, and the joint was smooth.

The right hand starts to fly the needle, and when the eyes are blindfolded, the shape and position of the suture object and the length of the wound can be judged immediately by the contact of the left hand just now.

The stitching is so precise it's like looking at the stitching with your eyes open.

Continuous reciprocating cross-stitching, the little finger and ring finger fix the end of the thread, the index finger and middle finger tighten the thread, and the hands are like magic.

Soon, the sewing was finished, and Song Zimo forgot how long it would take.

When the knot is finished, the wounds are neatly squeezed together, and the stitches are tightly closed. If it is a real heart, the quality of the stitches will never leak blood.

"You - too?" Song Zimo squeezed out a few words.

"Small tricks, you can learn them too. Slow down at first, or the needle will hurt your left hand. You can start practicing tomorrow." Yang Ping put down the needle holder.

"I really want to know why you are so persistent. To be a surgeon, you should have many choices, and it is more relaxed and chic than now. At least you don't have to draw anatomical diagrams here late at night. As far as I know, you still faint when you are studying, Obstinate haemorrhage, people with obstinate haemorrhage cannot become a surgeon, but you have become a surgeon."

Song Zimo was silent for a while: "That's right! In the past, I was dizzy with blood! I would collapse when I saw blood, but nothing could stop me. I went to the trauma emergency center of Mo Liu every day to face the blood. I can only walk on the wall, and I vomit every day, and this lasted for a whole year before I was able to face the blood, nothing can stop me from becoming a surgeon."

Song Zimo bowed his head, remained silent, and held his face in his hands.

"You have overcome the obstinate haemorrhage, there is no difficulty that you cannot overcome."

Yang Ping stretched out his hand, and Song Zimo held him tightly.

(End of this chapter)