The system takes me for surgery

Emergency debridement room.

Zhong Yubo was washing his hands in surgery.

Liang Yi was preparing the surgical kit, looked at the girl with dazed eyes, and asked, "Are you afraid of pain?"

The girl shook her head, looked at Liang Yi with her clear eyes, and said, "No, I'm not afraid of pain since I was a child, but I'm very afraid of leaving scars. Can uncle make cosmetic stitches?"

Uncle?Zhong Yubo and Liang Yi smiled wryly.

Zhong Yubo said: "The wound on your forehead is not big, so there shouldn't be a big scar."

The girl's tears were rolling in her eyes, and she said, "Can there be no scars at all!"

This is a bit embarrassing for Zhong Yubo. After all, the emergency doctor is not a plastic surgeon. He looked up at Liang Yi, and asked jokingly, "Do you know how to do cosmetic stitches?"

Liang Yi nodded and said, "It should be fine."

"Really? If you're good at it, then you can sew." Zhong Yubo got up and gave way to Liang Yi.

After Liang Yi nodded, he said to the girl: "Then you have to wait for me, I need to go back and get a special kind of suture, can you?"

The girl was originally in a very low mood, but after hearing this, her eyes lit up immediately, and she said, "Yes, yes, as long as it takes."

Liang Yi trotted out.

I thought Liang Yi was just responding casually, but I didn't expect what he said to be true. Zhong Yubo shook his head and smiled, feeling a little complicated. Now he is not sure whether he is teaching or Liang Yi is teaching.

Liang Yi quickly went to the residence to get a special suture thread, which is called nylon thread, which is smooth, less damaged, less reactive, and not easy to colonize bacteria. first choice.

The reason why Liang Yi went to learn cosmetology and suturing was because he watched an episode of the American drama "Grey's Anatomy", in which a woman suffered a facial injury in a car accident and refused the emergency doctor's treatment, saying: "Only plastic surgeons can touch my face! "

He found that if a woman with a face injury was sutured without scars, it was tantamount to directly or indirectly saving a woman's appearance.

He tried his best to consult the information to study the principle, and found that the principle is not difficult to understand.

Skin tension is the most important factor affecting scar hyperplasia. When the skin tension is too high, it can lead to barriers to blood supply at the skin margin, tissue necrosis, wound dehiscence, and postoperative scar widening, etc., and can also lead to stretching and deformation of tissues and organs. cause dysfunction
The traditional method is often to suture the whole layer of the skin at one time, and the wound is directly pulled together to suture the wound. The tension of the suture is relatively large, and the needle insertion point is far away from the skin, which often cuts the skin, resulting in skin ischemia and edema. After scarring, the scar is still constantly being pulled by tension, causing the scar to widen.

After washing his hands, Zhong Yubo was beside him as an assistant, holding povidone iodine and normal saline.

Liang Yi carefully peeled off the skin tissue, so that the two separate tissues can achieve perfect anatomical alignment after pruning. Although it is a small wound, it is actually very difficult to leave no scar at all.

This requires the surgeon to feel good about the operation and needs to be very patient.

Although there were only three stitches, Liang Yi spent 10 minutes, which is enough to see how delicate cosmetic sutures are.

During the stitching process, the girl was really strong, she didn't cry out for pain, and she lay quietly during the stitching process.

This reminded Liang Yi of an article he had read before: Male animals are actually more afraid of pain than female animals. Scientists have found that male mice are very sensitive to the slightest painful touch. Immediately withdraw their paws; while female mice are much more forbearing, even if their paws are lightly poked with fibers, they will not withdraw their paws.

It seems that what the article said is true, girls are more able to endure pain than boys, even if they are injured, they may not be able to be as calm as this girl, Liang Yi thought.

Zhong Yubo watched from the side, a little fascinated, and asked: "How can I get sutured without scars?"

Liang Yi said: "In fact, the requirements for cosmetic sutures are not difficult, as long as these three points are met when suturing, anatomical alignment, layered sutures, and no dead space left."

Now Zhong Yubo can be sure that Liang Yi is his own teacher, and he is here to learn from him!
Zhong Yubo looked at the wound Liang Yi had just stitched up, it was very smooth, and if he didn't look carefully, there was no scar.

In the next few days, when the girl came to change her dressing, Liang Yi and Zhong Yubo personally changed her dressing. After the stitches were removed, as Liang Yi and the girl expected, there was really no scar left.

Time is the only criterion for testing the truth. The facts are before his eyes. Zhong Yubo witnessed the whole process of wound healing. At this moment, he has already realized that Liang Yi's skills are far superior to his own, but he doesn't know how much better than himself. .

Liang Yi discovered that not only were there two opposing teams in the department, but even in the same team, the relationship between Tan Aizhu and Zhong Yubo was very delicate.

Tan Aizhu's temper is notoriously eccentric, as long as there are more patients, at least he will immediately become irritable and scold whoever he catches.

In the morning, an intern just asked again, how to write the chief complaint of cranial CT, she immediately got angry and said, "Aren't you all brains when you are working?"

Of course, this sentence was not said to the intern, but to the entire group of interns and the trainees. She likes the continuous sitting system and the map gun.

When she was getting angry, an old lady in her seventies with short hair cut to her ears came over. She was small and smiled when she saw people.

This old lady has been here for four or five days. She has a history of Parkinson's disease and is forgetful. What she just said will be forgotten in a short time.

According to the family members, the old lady had dysphagia after eating grapes and was admitted to the hospital for 3 days.

The old lady accidentally swallowed a whole grape when eating grapes 3 days ago, and then she had difficulty swallowing and a foreign body sensation in the esophagus.He visited three hospitals one after another, and was told that the possibility of grape incarceration in the esophagus was unlikely, and that the symptoms might be caused by psychological factors.

Today, the old lady's mental state has been very tense. She lingered at the door for a long time, poked her head out secretly, and said to Tan Aizhu, "Doctor, I feel that my throat is still very uncomfortable."

Tan Aizhu seemed to be going crazy. She had just finished arguing with the intern, and the embers were still alive. She resurged and said, "Grandma, you asked me [-] times yesterday, it's normal, everything is normal."

With a bitter face, the old lady said aggrievedly, "I'm really uncomfortable."

"I am more miserable than you. There are a lot of patients waiting for me to deal with. Come and come." Tan Aizhu looked at everyone's badges like the emperor's choice of concubine, and said, "It's just you, Liang Yi, you will be in charge of the old lady today." thing."