Gou in the operating room to add some upgrades

Chapter 36: Chickens and dogs ascend to heaven brought by level 4 skills (please collect, please read, please vote monthly)

[Suture level 4 0/5000 (coincidence)]

At [-]:[-], Fang Xian finally had time to take a good look at the skill list on his panel after experiencing Lin Hui's scolding on the phone.

I worked from two o'clock yesterday afternoon to eight o'clock this morning. I was very tired but very energetic.

More than 600 skill points are consumed until the remaining 100+.

After reaching the 4th level of suturing, Fang Xian can feel that his suturing has made a qualitative leap, but he still has no way to fully understand the meaning of the latter.

and.

After Suturing reaches level 4, some skills related to Suturing have been improved by the way——

【Grade 2 Tendon Suture 0/50】

[Beauty Suture Level 2 0/50]

[Tension reduction suture level 2 0/50]

[Vascular Suture Level 1 0/25]

[Nerve Suture Level 1 0/25]

【…】

Suturing is only a basic skill, one of the twelve basic skills that every medical student must learn during their undergraduate studies. On top of suturing, there are some special suturing techniques that are not basic content.

Ordinary sutures pay attention to suturing the wound well, cosmetic sutures pay attention to the appearance after suture, and tension-reducing sutures deal with some wounds with high tension caused by skin defects...

Fang Xian remembered very clearly that before that, his tendon suture was a little bit less proficient at level 1, and the suture of blood vessels and nerves had only just started to practice, so his proficiency was not high.

However, after the suture technique was improved, these related skills were all promoted at once.Although the skill level is not high, this calculation also saves a lot of skill points for Fang Xian's improvement.

Fang Xian estimated that at least [-] skill points were saved.

This is very scientific.

After the basic skills are broken through, the upstream skill level above the basic skills will definitely be promoted!
Level 4 skills are really strong.

I don't know if I have passed the entrance examination for suturing.

Before falling asleep, Fang Xian thought so...

In the afternoon, at ten past four, Fang Xian actually woke up!
After waking up, I ordered takeaway to eat, and finished washing up. The time was only 06:30, but Fang Xian didn’t dare to go out, so he had to slowly check the information of the Medical Association at home, waiting for the arrival of [-]:[-] in the afternoon.

After returning from the hospital in the morning, teacher Lin Hui from the trauma center called. If Fang Xian still didn't follow the rules today, he would either break Fang Xian's legs or get out of the operating room of the trauma center.

This made Fang Xian dare not make mistakes!

Maybe the broken leg was fake, but Lin Hui definitely had the power to ask Fang Xian to leave.

It was hard to wait for a place with so many operating opportunities, Fang Xian couldn't let the opportunity be lost again.

Fang Xian is not afraid of suffering, but he is afraid that he will still despair while suffering.

If there is hope, there is all the motivation!
It is obvious that the trauma center is a very special place, a place that is willing to use the power of an operating room to train new people.

The barriers to entry are high, there are many opportunities for cultivation, and the frequency of operating opportunities can be described as a devil.And the senior teachers inside are also willing to give you a chance and wait for you.

Such a good place, in the Affiliated Hospital of Shonan University, apart from the operating room of the trauma center, it is estimated that there is no other place.

Fang Xian actually couldn't sit still, because he had been idle for too long before.

It was also the skill points that came so crazy last night that he completely forgot about the time and was completely immersed in the joy of acquiring skill points.

This is the real reason why Fang Xian was scolded.

"Isn't it good to be a workaholic?" Fang Xian complained in such a low voice, but he also knew that others scolded him with good intentions.

Taking advantage of still a lot of time, Fang Xian hurriedly opened the official website of the Medical Association to inquire about the content related to the level 4 suture skill.

The medical association has corresponding grades and descriptions for almost every skill in medicine, so that medical workers and medical students can understand their own level relatively objectively.

However, in order to avoid aiming too high and aiming high even though the skills are not well learned, the skill browsing permissions of the Medical Association are deliberately set.

你拥有1级技能才可以知道2级和3级技能等级标准的详细描述，拥有3级技能才有权限看到4级技能等级标准的具体内容！

[Basic suture level 4.Basic suture level 4 has no restrictions on suturing speed, number of sutures, and suturing effects. Currently, there are several schools as follows, all of which are standard for basic suturing level 4. 】

[Coupling: The most simple suture genre, which pays attention to one-to-one correspondence, with clear layers, to achieve the purpose of healing.Pros: The relative amount of postoperative adhesions and scars is relatively small.Disadvantages: The suture speed is relatively slowed down, the operation and anesthesia time are increased, and to a certain extent, the patient's drug burden during the operation will be increased. 】

[Smooth: One of the schools of suturing, it pays attention to the smoothness of subcutaneous sutures, which is conducive to suturing the outer layer of the skin and can reduce the growth of scars on the surface of the skin.Pros: The suturing speed is fast, and each layer is clearly layered without special attention, which is beneficial to the appearance and the development of cosmetic suturing.Disadvantages: Scar hyperplasia and tissue adhesion in the subcutaneous layer are severe, which is not conducive to secondary surgery and recurrent injuries. There is a certain probability of local multi-muscular stiffness. 】

[Delicacy: One of the suture schools, which takes the essence of inversion and smoothing, and again finely clarifies the interstitial structure under the skin, quickly sutures the smallest tissue gap with the lowest probability of adhesion, and has a high incidence of layered suture with the highest tissue gap.Pros: Taking into account both the sewing speed and the aesthetics of the sewing.Disadvantages: The learning cycle is long and requires extremely solid basic skills in pathophysiology! 】

[Suture-free: the latest suture concept, which is the progress of butt joint suture.Pay attention to the clear alignment of each layer, and suture the lower skin layer with extreme care and meticulousness, so as to achieve the effect of healing without suturing the outer layer of skin.Pros: Reduce the number of sutures, shorten the operation time, and achieve a higher suture effect without sutures.Disadvantages: The learning cycle is extremely long, the incidence of wound non-healing is high, and the probability of wound complications is high...]

Fang Xian looked at so many descriptions, thoughtful.

Who would have known that it was just a small suturing technique, but after reaching a certain level, it could be so exquisite?

During his undergraduate study and residency training, the concept of suture that Fang Xian came into contact with the most is to suture wounds together to achieve the anatomical basis of healing and to constantly clarify the anatomical level.

But Fang Xian didn't have a deep understanding of why he had to do so much.

It turns out that it was only after reaching level 4 skills that I realized the usefulness of basic skills.

Most people learn the most simple suture method during the skill period from level 1 to level 3. Perhaps only hand surgery, breast surgery, and cosmetology departments pay special attention to suture, and even raise the level of suture to Debridement in trauma surgery has such a high status.

After experiencing it carefully again, Fang Xian finally understood some of the level 4 skills.

The combination of level 4 skills, to put it bluntly, means that if you have completed the stitching to this point, you can safely and boldly hand it over to anyone else to complete the outermost layer of stitching, as long as he has a little bit of basic stitching skills, he can do it. The suture can be completed and a better suture effect can be achieved.

You can give other people a thorough explanation and start to have your own experience of suture, which is the basic step to be able to teach calmly.

Level 3 security means that you are relatively proficient and able to operate with ease.

Level 4 Destiny means that you can teach with confidence and boldness. You know that as long as your student is not a layman, you can control his operating limits. In medicine, only teaching and research are the basis for your destiny. .

And to a certain extent, teaching is more important than research.

Huaguo's high-quality medical resources are still extremely scarce, so it is the country's major plan to bring out more and better students!

At this point, you will naturally understand.

Fang Xian experienced this feeling again, this is confidence.

Now, if Fang Xian is asked to take an intern, he dares to take it!

As long as the other party can understand the basics of suturing and understand the principles of suturing, he will dare to hand over the outermost layer of sutures to the other party after suturing the subcutaneous tissue. This is a kind of confidence for level 4 skills.

Specialization is also possible, but the suturing technique at the specialized level cannot achieve absolute neatness after suturing the subcutaneous tissue, nor can it ensure that the outermost layer of skin is aligned consistently, making it easy for anyone to operate——

And it can achieve the confidence that the outer suture will not affect the healing of the surgical incision and will not bring complications such as stiffness to the patient.

Thinking about it, the same is true for debridement and hemostasis.

Just like him and Zhou Xiyin before, those who can operate know what to do next, and those who can't operate know what to do next, but they can't do it well.

But those who can operate may not necessarily guide those who cannot operate how to bypass the standards of the Medical Association and get promoted!
Time passed slowly, and soon it was six o'clock.

Fang Xian estimated that the time would be about the same. At most, if he waited in the operating room of the trauma center for a while, he would be able to start work on time at 06:30!
set off.

(End of this chapter)