The Godfather of Surgery

Do you know why I fainted?

Song Zimo sat down.

Yang Ping is very willing to listen to him tell his story, because he is always cold and arrogant, and there must be an unknown story in his heart.

No matter how Song Zimo looked at it, he didn't look like he was born with a blood-dizzy physique. With such a high talent, he had a stubborn blood-dizziness. Fortunately, he overcame it with tenacious perseverance. Otherwise, there would be one less excellent surgeon in the world.

Song Zimo thought about it for a long time, and seemed to need to muster up his courage to say: When I was young, my mother had a car accident beside me, and an out-of-control car hit me head-on. At that moment, my mother instinctively pushed me away, and she but fell in a pool of blood.

At that time, I was so scared that I didn't know what to do, I just cried loudly. No one helped me, I put my mother in my arms, there was blood everywhere, her whole body was covered in blood, her clothes were soaked with blood, my hands There is also blood on the top, I don't know where the blood came from, I just hugged her tightly.

I remember at that time, she was still alive, looking at me, speechless, I could feel her heartbeat and breathing, but slowly, she closed her eyes in my arms, and her heartbeat and breathing stopped. Now, her hands are cold. Song Zimo's eyes were wet, his voice was hoarse, and he began to sob.

How old were you then?

Five years old!

After a long time, the ambulance came, but she never woke up again! Song Zimo lowered her head, cupped her face in both hands, buried her in her knees, and sobbed softly.

I'm sorry, I don't know-- Yang Ping didn't know that his story was so sad, and accidentally touched the most painful memory in his heart.

Song Zimo sobbed for a long time before he could speak normally: It's okay, since then, when I see blood, I will be dizzy, the world will spin, and in severe cases, I will lose consciousness and become unconscious.

On the first day of my clinical practice, I saw a patient with a hand injury changing dressings. The hand injury was very serious, and the gauze bandage was covered in blood. I fainted on the spot, and everyone was busy rescuing me.

This matter spread quickly, and the instructor advised me to give up surgery, but I refused. Later, I saw a psychiatrist, and there was no other way to do this kind of stubborn dizziness except desensitization therapy, but the doctor said that desensitization The therapy is extremely painful and the success rate is minimal.

But you still succeeded, are you all right now? Yang Ping admired his perseverance.

Song Zimo shook his head: It took me a year to face the blood. Since that year, I've been completely normal and fully used to the blood.

Why did the tutor leave you later? Yang Ping was very curious, how could an orthopaedic tutor want a stubbornly dizzy student.

Why would the instructor want me? Who would want a student who is stubbornly dizzy and faints at every turn. Every time they go to rescue you, how can they do surgery?

I am an eight-year student at Fudan University, and the final major can be adjusted. The instructor seriously applied to the school and asked me to transfer me to the internal medicine department.

By chance, I met Director Han. At that time, his master's supervisor and doctoral supervisor's relationship was still in Fudan. He was going to Fudan to teach graduate students. He knew about me and talked to me for a full three Hour.

In the end, he accepted me. At that time, Sanbo's orthopedics was not as good as it is now. He secretly asked someone to send me to Mo Liu for an internship. I completed a clinical course in Mo Liu and entered Mo Liu. I received special care. In the first year, I didn't have to do anything, I was in the trauma emergency center, specializing in desensitization therapy, and faced bloody scenes every day— Song Zimo said a lot in one breath.

I wonder, why are you a student of Fudan University in Magic Six, so you are also a student of Director Han? Yang Ping asked.

Yeah! So, by chance, I became Director Han's student. Song Zimo said.

Because of this reason, you didn't stay in Huashan, and you didn't stay in Mo Liu? You came to Sanbo. Yang Ping knew, and the rest was logical.

Yes! I graduated and had many choices, but I didn't go anywhere. When I came to Sanbo, many people didn't understand. Song Zimo took a deep breath.

Tell me about you, you seem to have been expelled from the Municipal People's Hospital, don't you? I'm surprised that, given your level, the hospital should think hard to keep you, so why did you get expelled? Song Zimo changed the subject.

I performed an operation beyond my authority, which violated the hospital's discipline and was naturally dismissed. Just like your dizziness, not every instructor has the patience; my overstepping authority, not every superior doctor can tolerate. Yang Ping is also very calm.

Oh! Has the patient been rescued?

It was rescued, so it was worth being fired.

When you were interviewing, if Director Han wasn't there, you wouldn't have the chance to get into the Department of Orthopedics. I remember very clearly that the personnel department made a mistake and included your interview list. The Department of Orthopedics didn't recruit masters at that time, so you were transferred. When you went to the emergency department for an interview, Director Han kept you. So it seems that you were taken in by him too! Song Zimo laughed.

Yes, we were all picked up by his old man. Yang Ping laughed.

At that time, if I was a surgeon like I am now, my mother would definitely survive. Song Zimo turned to look out the window.

The two were silent for a long time at the same time, and Yang Ping comforted him: She will be very relieved! Believe in yourself, you can definitely become the best surgeon, you are more talented and harder than others!

Thank you! Song Zimo retracted his gaze from the window.

During this period of time, you have trained one-handed sutures. In trauma surgery, the speed of the operation is particularly important, because the two main reasons for early death in trauma are a large amount of blood loss. If the bleeding can be successfully stopped in a short time, supplementary Blood, lives can be saved.

The second reason is the loss of function of vital organs, such as severe craniocerebral injury. Similarly, if it is not damaged, it is just that the organ is threatened by oppression, displacement, etc., and the threat can be relieved in a short time, and it can be saved.

Takahashi is right. The mortality rate of trauma can be reduced infinitely. With the advancement of rescue technology and surgical technology, the mortality rate will continue to decrease. In the future, except for those who died instantly, there may be opportunities to save them; Looking a little further, maybe the death caused by trauma can be reversed within a certain period of time, and life can be restarted like a computer.”

The two chatted very speculatively, and Yang Ping said a little more, he continued.

You need to be very proficient in anatomy, especially vascular anatomy, so that you can deal with a lot of blood loss, which part of the injury is, which blood vessels are bleeding, the speed of bleeding, whether it has retracted, and where the broken end is currently.

As soon as you get started, you can find it instantly, and then deal with it. This is a skill that a skilled trauma surgeon must master.

One-handed stitching, in addition to this continuous cross-reciprocating stitching, there is also a special interrupted stitching, which can be done by one person, stitching a stitch and tying a knot, but the thread does not need to be cut, and can continue to be stitched back. This stitching method It is more difficult to master than the previous continuous criss-cross suture, but the effect is better and the suture is stronger.”

Can you teach me? Where did you learn it? Song Zimo was very interested.

I learned it from shoulder arthroscopy! Yang Ping told him.

You created it?

It's just a little trick of carving insects!

Yang Ping demonstrated to Song Zimo that this stitching method is to keep the tail thread long, and for each stitch, the left hand uses the tail thread and the main thread to make a special twist, so that the tail thread and the main thread form a slidable knot, the main thread is pulled, The knot can be slid into place, and as soon as it is locked, the knot is locked and the main thread continues to stitch.

Anyone who has done shoulder arthroscopy knows that there are dozens of knots to learn when getting started, such as tight thread buckle, sail buckle, Weston knot, SMC knot, Roeder knot, Duncan loop, etc. , it will raise knots to a science.

Inspired by these knots, Yang Ping invented this for single-person stitching in emergency situations, without an assistant, without cutting the thread, sew one stitch, tie a knot, and use the speed of continuous stitching to achieve intermittent Stitching effect.

This suture method is more difficult to operate than Fujiwara's, but each knot is independent, and the advantages are obvious. If a certain part of Fujiwara's knot is broken, the entire wound will split; while for Yang Ping's knot, if one part is broken, it does not affect other knots, and each knot is independent.

Single-person operation is very important in trauma surgery, because sometimes there is a sea of ​​blood, and the chief surgeon knows what is under his hand with his proficient anatomical knowledge and surgical skills, or can grasp the clear surgical field for a moment to complete the operation, but the assistant cannot. When the assistant can't keep up, single-person operation is especially important.

It was after twelve o'clock in the middle of the night, and the two were still discussing the problem of stitching and knotting in the training room. They planned to call it a day and go back, but when Yang Ping talked about this peculiar stitching method, Song Zimo became excited again.

Let's study this suture method tomorrow. An excellent surgeon must be good at rest and be good at protecting his health. Otherwise, what can he do to save the patient. Yang Ping dismissed Song Zimo's plan to stay up all night.

The two picked up their backpacks, Yang Ping went back, and Song Zimo went back to the department to rest.