Gou in the operating room to add some upgrades

Chapter 60: Very pure and innocent! (Please collect and read)

When medicine classifies and categorizes skills, the purpose is very clear.

Skills at level 3 and above are for use and are only prepared for being a clinician. As for skills at level 4 and above, they are on another level.

For general surgeons, if the suturing technique reaches level 3 or even level 2, it is enough for clinical use, and there is no need to go into depth.

Therefore, in the early learning process, it is only for proficient application to train, no matter what method you use to achieve it, it is enough.

But if you want to go to level 4, you must be pure and detached, or the Medical Association has deliberately set up this step of refining.

Fang Xian did not delve into it, but after Zhou Xiyin operated it three times in a row and reached level 3 on the skill training device, Fang Xian saw through that there were some incoherent or mixed parts in Zhou Xiyin's operation. .

Fang Xian asked: "Junior sister Zhou, have you understood the concept of level 4 skills in advance?"

"So during the previous practice, you have been deliberately moving closer to the concept of level 4 skills?"

Zhou Xiyin turned his head, hesitated, and nodded.

The teacher resources she can receive are not many, but there are many objective resources. Without teachers to teach, she can only learn by herself with the objective standards set by the medical association.

"I also think so. The operation of suturing can be divided into eight steps."

"The first step is to insert the needle, the second step is to pass the needle or thread the needle, the third step is to exit the needle, the fourth step is to press the thread, the fifth step is to tie the first knot, the sixth step is the second knot, and the third step is to draw the needle. The seventh step is to cut the thread, and the eighth step is to take up the thread."

"Among these steps, the first five steps are all operational processes, and the last three steps are actually a concept of overall stitching, which pays attention to integrity."

"In the first few steps, you will hesitate, thinking whether you can avoid stitching, but in the next few steps, you will think mixedly, as if you can't reach the level of stitch-free, so you go to [level] or [ Alignment] These two concepts rely on it.”

"That's why you are now, a stitch, relatively nondescript."

"Level 4 suture, the simplest and most simple way of suturing is actually inversion. Of course, you can also directly skip over inversion and layers, and directly rely on the delicate aspect..."

"However, during the operation, you need to have no distracting thoughts, especially during the process of knotting and collecting threads. Don't think about suturing-free and other concepts, and just go in one direction."

"First of all, we should honestly rely on the concept of [Investment] in all steps, and the same is true in the overall operation of closing the line at the end. The disadvantage of the [Investment] concept is that it is not good enough compared to other concepts, and it is not as good as other concepts. It’s not that mixing all level 3 skills is not good enough compared to level 4 skills.”

"Can you understand this?" Fang Xian saw the problem, explained the pros and cons, and told the method of doing so.

Zhou Xiyin nodded.

Then continue to practice.

After sewing up a few more times, Fang Xian said again: "At the beginning, it is indeed not easy to throw away the existing cognition, and it even needs to be rigid, but you can divert your attention, that is, bring your mind closer to this position. The local anatomy, why is there such an alignment, why the partial suture at this position cannot be accurately aligned, and what are the disadvantages."

"This kind of diversion of attention may help you improve your concentration, and forget the mixture of other theories in the process of operation, so as to avoid worrying about gains and losses..."

After Fang Xian finished speaking, he was a little sluggish.

It seems that level 5 suture brought me not only the improvement of the operation level, but also more hidden benefits, including some theories of basic suture, but I didn't experience it deeply and carefully.

Zhou Xiyin nodded and asked back: "So I need to read some more theoretical knowledge about sutures, and replace 'absolutely look left and right' with 'relative look left and right'?"

Fang Xianwen tightened his eyelids——

To be honest, he couldn't fully understand some of the pronouns in professional terms that Zhou Xiyin said.

But fortunately they have the same meaning.

"It's almost the same reason! Instead of thinking about other ideas in the process of suturing, it is better to think about simple basic anatomical corresponding theories in the process of suturing, so as not to be affected."

"If you just mix things up, if you want to lift weights as lightly as possible, unless you jump directly from level 3 to level 5 of suture, otherwise, it will be difficult to reach level 4, which seems nondescript." Fang Xian explained in his own words.

I am also thinking about Zhou Xiyin's so-called learning philosophy. This expression is more professional than looking left and right and absolutely looking left and right.

"Okay, brother!" Zhou Xiyin got the learning route, so she knew what to do next.

Zhou Xiyin continued to sew.

"This stitch is too deep. Now you are thinking of eliminating the need for suturing. What you are thinking about is reinforcing the suturing of the subcutaneous layer." Fang Xian began to give guidance and persuasion.

"The span of this stitch is too large. Although layered stitching requires freedom and speed, when you don't need to pay attention to speed, you don't need to pay attention to the speed of sewing."

"The speed of suturing is meaningful in the application process, and there are special scene conditions, that is, in the process of emergency rescue, fast suturing is required. For most patients, normal speed suturing will not affect them. "

"The more patients you're going to reach, all you need is a simple suture."

"..."

Zhou Xiyin remained silent, slowly understanding and correcting.

The time passed quickly to ten o'clock.

Zhou Xiyin did not say that she had not made any special progress, but the level of progress was not great. She still could not achieve absolute concentration because she knew too many things and was always worried about gains and losses.

But there are also improvements, at least she can deliberately maintain her focus, and know how to correct her thoughts in time after she realizes that her thinking is messy.

"Let's go here today. You can go back and read the book. It mainly focuses on suturing the fat layer and subcutaneous layer, and the general requirements in different areas." Fang Xian began to take off his gloves.

He felt that what Zhou Xiyin needed in the next step was digestion and pondering, not just mechanical repetition.

Zhou Xiyin also took two steps back and turned around: "Okay, senior brother. Thank you for your hard work."

"Well, take your time, don't be in a hurry."

"Your suturing skills are very good and your basic skills are solid. The next step is to improve your skills."

"It's better to decorate one's operation with ideas too much. Simple, plain decoration is more beautiful." Fang Xian once again cited an example.

Zhou Xiyin pursed her lips, took off her gloves and temporarily took off her mask, revealing a delicate face, and said hesitantly, "In other words, it is easier to move forward when you are ignorant in advance."

"Yes!~" Fang Xian nodded.

Zhou Xiyin's heart became bitter. All along, everyone taught her to make her more mature. No one has ever made her pure and innocent. How can this be done?
(End of this chapter)