Chapter 212: Chapter 0200: mories in the Heart
“Do you know why I faint at the sight of blood?”
Song Zimo sat down.
Yang Ping was very willing to listen to his story. Because usually, he was always cold and proud, there must be an unknown story in his heart.
No matter how you looked at Song Zimo, he didn’t seem to have the constitution of soone who was naturally prone to fainting at the sight of blood. With such a high talent, he had the stubborn symptom of fainting at the sight of blood. Fortunately, he overca it with his tenacious will. Otherwise, the world would have lost an excellent surgeon.
Song Zimo thought for a long ti, seeming to need to muster up the courage to say, “When I was young, my mother had a car accident right beside . A runaway car hit head-on, and in that instant, my mother instinctively pushed away, but fell herself into a pool of blood.”
“At that ti, I was scared stupid, didn’t know what to do, just cried loudly. No one helped . I cradled my mother in my arms, blood was everywhere, her whole body was covered in blood, her clothes had been soaked through by the blood,
my hands were also covered in blood, I didn’t know where the blood ca from, I just held her tightly.”
“I rember that ti, she was still alive, looking at , unable to speak, I could feel her heartbeat and her respirations, but slowly, she closed her eyes in my arms, her heartbeat and respirations also stopped, her hand was frigid.” Song Zimo’s eyes moistened up, and his voice turned hoarse, as he began to sob.
“How old were you then?”
“Five!”
“A long ti later, the ambulance arrived, but she never woke up again!” Song Zimo hung his head, held his face in his hands, buried it in his knees, and sobbed softly.
“I’m sorry, I didn’t know–” Yang Ping had no idea his story was so sad and had unintentionally touched on his most painful mory.
Song Zimo sobbed for a long while before he could speak normally, “It’s okay. After that, every ti I see blood, I would feel dizzy, my head spinning, and in severe cases, I would lose consciousness.”
“The first day of my clinical internship, I fainted on the spot while watching a patient with a severe hand injury change bandages. The bandages were all bloody, and everyone was busy rescuing .”
“The news soon spread, and my ntor advised to give up surgery, but I refused. Later, I saw a psychiatrist who said that for such a stubborn fear of blood, desensitization therapy was the only way. But the doctor also said that desensitization therapy was extrely painful, with only a very slim chance of success.”
“But you still succeeded, you’re okay now, right?” Yang Ping admired his determination.
Song Zimo shook his head: “It took a year to face the sight of fresh blood. Since then, I have been completely normal and have completely adapted to blood.”
“How did your ntor agree to keep you then?” Yang Ping was curious. How could an Orthopedics ntor want a student who faints at the sight of blood?
“How could my ntor want ? Who would want a student who faints at the sight of blood and faints every now and then. Every ti they have to go and rescue you, how can they perform surgery.”
“I was on an eight-year program at Fudan University. My specialty could be adjusted at the end. My ntor seriously proposed to the school to move to internal dicine.”
“By chance, I t Director Han. At that ti, his master and PhD supervisor were still at Fudan, he was coming to Fudan to teach graduate students. He heard about my situation, found and talked for a full three hours.”
“In the end, he accepted . Orthopedics at Sanbo Hospital wasn’t as good as it is now, he secretly sent to Mo Sixth for internship. I completed my clinical course at Mo Sixth, when I entered Mo Sixth, I received special care, for the first year, I didn’t have to do anything, practiced desensitization therapy in the Trauma Ergency Center, facing bloody scenes every day–” Song Zimo spoke quickly, all of it at once.
“I wondered why you, a Fudan student, were at Mo Sixth. So you are also Director Han’s student?” Yang Ping asked.
“Yes! Just like that, by chance, I beca Director Han’s student.” Song Zimo said.
“Because of this, you didn’t stay at Huashan, nor did you stay at Mo Sixth? You ca to Sanbo.” Yang Ping knew that everything that followed was logical.
“Yes! I graduated, had lots of choices, but didn’t go anywhere, I ca to Sanbo. Many people couldn’t understand.” Song Zimo took a deep breath.
“Tell about you, didn’t you get fired from the City People’s Hospital? I was surprised, with your skill level, the hospital should’ve tried to keep you, why’d they fire you?” Song Zimo changed the subject.
“I overstepped my authority and perford a surgery, violating the hospital’s rules, naturally, I was fired. Just like your fainting condition, not every ntor has patience; my overstepping, not every senior doctor can tolerate.” Yang Ping was also very frank.
“Oh! Was the patient saved?”
“He was saved, so, even if I was dismissed, it was worth it.”
“When you were interviewed, if Director Han hadn’t intervened, you wouldn’t have had a chance to join Orthopedics. I rember very clearly, the Human Resources Departnt made a mistake and included your interview form. Orthopedics wasn’t hiring masters degree holders at that ti. You were shuffled to interview for the Ergency Departnt, it was Director Han who retained you. In this sense, you were also taken in by him!” Song Zimo laughed.
“Yes, we were all found and taken in by him.” Yang Ping also joined in the laughter.
“Back then, if I was like I am now, a surgeon, Mom could surely have survived.” Song Zimo turned to look out the window.
The two fell silent for a long ti before Yang Ping comforted him, “She would be relieved! Believe in yourself, you can definitely beco the best surgeon. You have more talent and work harder than others!”
“Thank you!” Song Zimo pulled his gaze back from the window.
“Recently, you’ve mastered one-handed suturing. In trauma surgery, the speed of operation is especially important because the two main causes of early death in trauma patients are massive blood loss and loss of vital organ function. If bleeding can be stopped and blood supply replenished in a short ti, a life can be saved.”
“The second cause is the loss of vital organ function, such as serious brain damage. Similarly, if the organ is not completely destroyed and it’s just threatened by compression or displacent, the threat can be eliminated in a short ti and the patient can be saved.”
“Takahashi is right, the mortality rate of trauma can be reduced infinitely. As rescue techniques and surgical techniques advance, the mortality rate will continue to decline. In the future, except for instant deaths, maybe all can be saved. Looking further ahead, perhaps deaths caused by trauma within a certain ti can also be reversed, life can be rebooted like a computer.”
The two got along well, Yang Ping said a lot more as he continued.
“You must be extrely proficient in anatomy, especially vascular anatomy. This will equip you to deal with massive blood loss, knowing which part is injured and which blood vessels are bleeding, the speed of bleeding, whether there is recoil, where the broken end is currently.”
“Once you get to work, you need to be able to locate and treat it instantaneously. This is a skill that a brilliant trauma surgeon must master.”
“Apart from this continuous cross-back-and-forth suture with one hand, there is also a special intermittent suture, which can be done by one person, stitching one stitch and tying one knot, but not cutting the thread, and can continue to suture afterwards. This suture thod is more difficult to master than the previous one, but the effect is better, and the suture is more secure.”
“Can you teach ? Where did you learn it?” Song Zimo was very interested.
“I learned from shoulder arthroscopy surgery!” Yang Ping told him.
“Did you invent it?”
“Just a small skill!”
Yang Ping showed Song Zimo this suture thod. It involves leaving a long tail thread, and after each suture, using the left hand to wrap the tail thread with the main thread in a specific way, so that the tail thread and the main thread form a knot that can slide. The main thread pulls the knot to an appropriate position, then locks it. The main thread continues to suture.
Anyone who has done a shoulder arthroscopy knows that grappling with dozens of knots i.e. hanging threads, gathering sail knots, Weston knots, SMC knots, Roeder knots, Duncan loops, are first-learned skills. Perhaps only shoulder arthroscopists elevate knot tying to a discipline in itself.
Yang Ping was inspired by these knots and invented this thod for ergency single-person suturing. Without the need for an assistant or cutting the thread, one can stitch a knot and achieve the effect of intermittent suturing at the speed of continuous suturing.
This suturing thod is sowhat more difficult than Fujiwara’s, but each knot is independent, and the advantages are very obvious. If a knot breaks in Fujiwara’s stitch, the whole wound will burst open; whereas if a knot breaks in Yang Ping’s stitch, it does not affect the other knots. Each knot is independent.
Operating alone is very important in trauma surgery because sotis in a sea of blood, the Chief Surgeon can rely on his/her skilled anatomical knowledge and surgical skills to know what is beneath their hands, or to grasp a mont of clarity in the surgical field to complete the operation. But the assistant can’t. When the assistant can’t keep up, solo operation becos very important.
It was already past midnight, but the two of them were still in the training room discussing the issues of suturing and knotting. They had planned to wrap up and go ho, but when Yang Ping started talking about this peculiar suturing thod, Song Zimo got excited again.
“Let’s research this suturing thod tomorrow, an outstanding surgeon should be good at resting, good at protecting their own health, otherwise, what can you use to save the patient?” Yang Ping put a stop to Song Zimo’s plan to stay up late.
The two of them picked up their bags: Yang Ping went ho, whilst Song Zimo returned to his Departnt for rest.
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