godfather of surgery

Chapter 200 The memory in my heart

"Do you know why I'm dizzy?"

Song Zimo sat down.

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

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

Song Zimo thought for a long time, and it seemed that he needed courage before he could say: "When I was young, my mother had a car accident beside me. A car out of control hit me head-on. At that moment, my mother instinctively pushed me away. He 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 held my mother in my arms. There was blood everywhere. Her whole body was covered in blood. Her clothes were soaked in blood. My hands There was also blood on her face, I don't know where the blood came from, I just hugged her tightly."

"At that time, I remember that she was still alive, looking at me, unable to speak, I could feel her heartbeat and breathing, but slowly, she closed her eyes in my arms, and her heartbeat and breathing stopped 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 his head, held his face in his hands, buried it on his knees, and sobbed softly.

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

Song Zimo sobbed for a long time before he could speak normally: "It's okay. From then on, whenever I saw blood, I would feel dizzy, dizzy, and when it was serious, I would lose consciousness and become unconscious."

"On the first day of clinical practice, I watched a patient with a hand injury change his dressing. The hand injury was serious, and the gauze bandage was full of blood. I fainted on the spot, and everyone was busy trying to save me."

"This matter spread quickly. My instructor advised me to give up surgery, but I refused. Later, I saw a psychiatrist. There was no other way for this kind of intractable haemorrhage except desensitization therapy, but the doctor said that desensitization The therapy is excruciatingly painful and has very little success rate."

"But you still succeeded, are you okay now?" Yang Ping admired his perseverance.

Song Zimo shook his head: "It took me a year to face the blood directly. After that year, I was completely normal and completely adapted to the blood."

"Why did the instructor leave you behind?" Yang Ping was very curious, how could an orthopedic instructor want a student who was obstinately dizzy with blood.

"Why would the instructor want me? Who would want a student who is obstinately dizzy and faints every now and then. Every time he wants to rescue you, he still has to do surgery."

"I am an eight-year student at Fudan University, and my final major can be adjusted. My supervisor seriously applied to the school to transfer me to internal medicine."

"By chance, I ran into Director Han. At that time, his relationship with master and doctoral supervisor was still in Fudan. He was going to Fudan to teach graduate students. He found out about me and talked to me for three full days. 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 Magic Six for an internship. I completed the clinical courses in Magic Six and entered Magic Six. I received special care. In the first year, I didn't have to do anything, I was in the emergency center for trauma, and I specialized in desensitization therapy, facing bloody scenes every day—" Song Zimo said a lot in one breath.

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

"Yes! In this way, 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, right? I'm surprised. With your level, the hospital should try their best to keep you. How did you expel me?" Song Zimo changed the subject.

"I performed an operation exceeding my authority, which violated the hospital's discipline, so I was fired naturally. Just like your bloodsickness, not every supervisor is patient; my authority exceeding my authority, not every superior doctor can tolerate it." Yang Ping is also very calm.

"Oh! Has the patient been saved?"

"I've been saved, so it's worth getting fired."

"During your interview, if Director Han hadn't been here, you would have no chance to enter the orthopedics department. I remember very clearly that the personnel department made a mistake and included your interview form. The orthopedics department did not recruit masters at that time, and you were transferred. When you went to the emergency department for an interview, it was Director Han who took you in. From this point of view, you were also taken in by him!" 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 his head and looked out the window.

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

"Thank you!" Song Zimo looked back out of the window.

"During this period, you have trained well in one-handed suturing. In trauma surgery, the speed of the operation is particularly important, because the two main causes of early death in trauma, the first is massive blood loss. If you can successfully stop the bleeding in a short time, supplement With blood, lives can be saved."

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

"Takahashi's words are correct. 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 die instantly, there may be a chance to save them; Looking a little further, perhaps trauma-induced death that does not exceed a certain period of time can also be reversed, and life can be restarted like a computer."

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

"You have to be very proficient in anatomical knowledge, especially the anatomy of blood vessels, so that you can deal with massive blood loss, which part is injured, 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 must be able to find it in an instant and then deal with it. This is a skill that a good trauma surgeon must master."

"Single-handed suture, in addition to this continuous cross-reciprocating suture, there is also a special intermittent suture, which can be sutured by one person, one stitch and one knot, but the thread does not need to be cut, and can continue to suture backwards. This suture method It's harder to master than the previous continuous cross stitch, but it works better and the seam is stronger."

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

"I learned from shoulder arthroscopic surgery!" Yang Ping told him.

"You created it first?"

"It's just a little trick of carving insects!"

Yang Ping demonstrated to Song Zimo that this suture method is to keep the tail thread long, and use the left hand to make a special winding with the tail thread and the main thread for each stitch, so that the tail thread and the main thread form a knot that can slide, and the main thread is pulled. The knot can be slid into place and once locked, the knot is locked and the main thread continues on.

Anyone who has done shoulder arthroscopy knows that when you get started, you have to learn dozens of knots, such as tight-wire buckles, sail buckles, Weston knots, SMC knots, Roeder knots, Duncan loops, etc. Only then will knotting be elevated to a science.

Inspired by these knots, Yang Ping invented this method for one-person suturing in an emergency, without an assistant or thread trimmer, to sew one stitch and tie one knot, and to use the speed of continuous suture to achieve intermittent suturing. Stitched effect.

Compared with Fujiwara's suture method, this suture method is more difficult to operate, but each knot is independent, and the advantages are obvious.If a certain part of Fujiwara's knot is broken, the whole wound will be split; while for Yangping's knot, if one part is broken, it will 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, the chief surgeon knows what is under his hand with his proficient anatomical knowledge and surgical skills, or can grasp the momentary clear surgical field to complete the operation, but the assistant cannot, Single-person operation is especially important when the assistant can't keep up.

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

"Let's study this suture method tomorrow. An excellent surgeon must be good at resting and protecting his own health. Otherwise, what will he do to save the patient." Yang Ping canceled Song Zimo's plan to stay up late.

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

(End of this chapter)