Chapter Seven, Abundant Harvest

Currently, there are 26 skill points remaining. (Note: A small number of skill points will be available when changing medical orders and dressing changes in the morning. I hope all readers are aware of this, so there will be an additional two points or so, but it will not be recorded daily in detail.)

"Do you think our Professor Song is not solid?" Lin Jiemo retorted

The only mature physicians in this institution are Professor Lin Jiemo and Attending Physician Xue Li

Standing opposite Fang Xian, Lin Jiemo used tweezers to draw a curved incision line on the surgical sterile film, a line that, despite lacking reference points, remained exceptionally smooth

Hmm! Brother Li. The doctoral degree and the second-year master's student quickly nodded, treating Fang Xian as the baseline reference, as if Fang Xian were the control group, to demonstrate how they could perform better than Fang Xian

You inflicted 21 points of damage (33%) to the surgical wound of the skin soft tissue through the suturing operation, earning 21 skill points

Fang Xian discovered that although Professor Lin Jiemo and Associate Professor Song Yu enjoyed chatting and gossiping after stepping off the stage, they became relatively silent once the actual surgery began

In the ward, I saw Professor Lin Jiemo, who is like a big black bull, with a fiery temper, confronting everything and anything, even the air. I never expected that in the operating room, he is also a Formula 1 level racing driver

"Xue Li, you come to apply the external fixation device..." Song Yu quickly instructed Xue Li from the team. Since Xue Li is preparing for the Level 3 examination in Trauma Surgery, he must be proficient in the relevant Level 3 surgical procedures in Trauma Surgery

The key steps of the surgery have been completed, and everyone is joking around and speeding a bit to relieve the tension, which is quite normal; however, moderation is essential.

Not bad! After Fang Xian placed the knife into the curved tray, Lin Jiemo praised with three words.

You completed a surgery on mhetushu.com with the assistance of the assistant, resulting in 2 points of damage due to significant femoral defect (accounting for 0.1%) and earned 2 skill points

Just stand there and do not move

Do not switch to the skin on the opposite side here; the maximum thickness that can be cut in is only four millimeters! If you manage this well, there will be no problem. Lin Jiemo instructed seriously, no longer driving.

If it is possible to perform the surgery

On the opposite side, Xue Li was explaining to another master's student about a doctor's degree, saying: "You see, this is the basic framework of suturing, the alignment and layering, which constitute the framework of suturing and also serve as a foundation for healing"

Such a rich harvest

Diligence and effort are commendable qualities, and one should strive to maintain them within a proper balance. Lin Jiemo nodded

Professor Lin Jiemo called Fang Xian over again, seemingly impressed by him. After adjusting his surgical mask, he said: "Xiao Fang, while diligence is commendable, health is the foundation of revolution, especially for men, it is of utmost importance"

There are requirements for the layering and speed of the stitching, which are fundamental skills that Fang Xian possesses. Therefore, the stitching will be error-free, which determines the lower limit of the stitching!

Indeed, even the attending physician Xue Li did not dare to interject, leaving Fang Xian and others to remain as mere listeners

Then, they walked out with Professor Song, chatting and laughing, completely at ease, clearly confident in the quality of the completion of this surgery

I did not ask Fang Xian for it either; it is just that Fang Xian has always kept it in mind

Xue Li nodded and said, "Xiao Fang, don't be nervous. Just focus on the suturing. The fundamental skills you practiced in the skills training room are meant to be applied in surgery."

Fang Xian did not respond, but instead began to suture with great precision according to her own operational standards at https://wwwhetushu.com.com

This situation continued until Professor Lin Jiemo successfully completed the bone flap transfer surgery, which brought about a turning point: "Song Yu, have you not lifted your legs for a long time? I feel that your professional skills have become a bit rusty."

This sentence instantly ignited the atmosphere in the operating room, and the instrument nurse said: "Professor Lin, Professor Song, could you two please behave properly? We have female nursing students present here."

Lin Jiemo is the lead surgeon, Associate Professor Song Yu serves as the first assistant, and Fang Xian is in the "newcomer protection period" in the position of second assistant. Being close to the two, he is able to hear their breathing sounds clearly

Fang Xian thought about the consequences of a pelvic fracture cutting through the skin on the opposite side, and cautiously nodded, indicating that it would certainly be something one would not dare to do

All surgeons begin their training with incisions and suturing

Only after the critical operations are completed can there be joy, and there are strict boundaries to this.

The vertical entry of the knife, the oblique arc-shaped movement of the knife, the vertical exit of the knife, and the first incision of the surgery were executed to the fullest extent of one's ability.

Suture technique Level 1 is a fully standardized suture. The medical definition of Suture Technique Level 1 is the completion of three different suture methods: simple interrupted, continuous locking, and tension-relieving sutures, all performed in a standardized manner. There are no speed requirements; the operation must simply adhere to the standard.

Still in control, how deep each stitch is, to what level, what the purpose is, and what kind of effect is to be achieved

"Take the tweezers and prepare the skin hooks, get ready to assist me in the operation." Lin Jiemo stood in the assistant position and began the main surgical procedure

You completed a surgery with the assistance of an assistant, resulting in 3 points of damage to the pelvic fracture and a book (accounting for 1.5%), earning 1 skill point

"That would require asking my sister-in-law." The equipment nurse was quite unabashed

Thank you, Teacher Lin

Fang Xian observed that the surgical incision made by Lin Jiemo started from the posterior superior iliac spine and terminated at the anterior superior iliac spine.

There are also skill points, but not many, and the proportion of this damage is so small that it is almost pitiful

It is quite normal to be pointed out by outstanding individuals when one is far less excellent than they are

Fang Xian was momentarily taken aback upon hearing this, unsure of how to interpret Lin Jiemo's words

The surgery is rigorous before the critical operation is completed

It is indeed good to have an assistant

There is almost no bleeding, the incision is smooth, there are no biased curves, and it does not exceed the curve. It is evident that the technique of handling the knife and controlling the length of the incision has been mastered very well, demonstrating a solid proficiency

All preoperative preparations are complete, and the instrument nurse has handed over the willow leaf scalpel and the curved tray. Fang Xian is currently standing at the primary surgical position

Others did not say much either, nor did they praise anything. The atmosphere of the surgery once again fell into a tense silence

During the continuous process of Fang Xian's suturing, Professor Lin Jiemo and Associate Professor Song Yu only observed the first stitch of Fang Xian and already had a general understanding of Fang Xian's suturing skill level

The next surgery is a relatively simple procedure, and you will perform the incision.

Lin Jiemo examined the completion of the bone flap transportation procedure and then turned to the instrument nurse, asking, "What are you talking about? Our orthopedic leg lifting is a solid fundamental skill. It facilitates the main operation!"

The corner of Fang Xian's mouth twitched

The requirements for Level 2 suturing stipulate that there is a speed requirement for suturing, which must be completed within three minutes, with five stitches made. The suturing operation must be performed in a standardized manner and should not be done in a perfunctory manner. Furthermore, Level 2 suturing necessitates a clearer understanding of the layers involved in the suturing process; when suturing to the fascia layer, one cannot limit the suturing to just the subcutaneous layer.

After recalling the details of the incision procedure, Fang Xian proceeded with caution and decisiveness in making the cut

Fang Xian looked at his harvest

Associate Professor Song Yu laughed even more joyfully; he understood all of Lin Jiemo's intentions, but did not continue to respond

Xue Li did not dare to speak, and the other onlookers also remained silent. The operating room was eerily quiet, with only the anesthesia machine continuously emitting the sounds of beeping, tapping, and more beeping.

In fact, it was not only a matter of effort; the department also allocated some funds for Fang Xian's medical treatment. It was not a large amount, but they did provide some support

Then there are the classmates at the same level as Fang Xian, Lin Jiemo's master's student Fan Chengpeng is on duty in the operating room, while the others, including Fang Xian, go down to the meal room for their meal (the meal room is a restaurant set up for those who miss their meal due to delays)

At the end of the surgery, Fang Xian finally saw the increase in skill points once again

Song Yu completed the operation but understood Lin Jiemo's meaning very well: "Professor Lin, isn't it usually about whether to bear it or not?"

Fang Xian glanced and his eyes immediately brightened

The length must be limited within this curve, and the depth cannot exceed 4 millimeters. Come on!" Lin Jiemo said as he opened the operating field.

In the end, Fang Xian merely adopted the superficial elements of Professor Lin's words: "Professor Lin, I appreciate your concern regarding the previous matters"

However, during this process, Fang Xian noticed that a group of senior brothers was observing his recent actions and then began discussing with Xue Li. They were not pointing out where he had done poorly, but rather analyzing where improvements could be made, aiming for a level 3 proficiency

Structured practice is essential for establishing a solid foundation, gradually leading to insights in clinical settings. Depending on different dermatological areas, one must choose varying depths and densities of suturing, which reflects the profound levels of suturing

The third surgery was perhaps indeed a relatively simple procedure, which is why Associate Professor Song Yu did not take the stage; instead, it was carried out by two second-year master's students from the seventh academic year who served as assistants.

The surgery continued, and Fang Xian slowly pondered over it. He observed what he could understand, and what he could not understand was simply set aside. This could be considered his first lesson in gaining insight into the charm of trauma surgery.

Having finally squeezed in, one just happened to become their stepping stone

The external fixation surgery of the external fixation bracket is one of the essential topics to be examined

Fang Xian felt a pang of anxiety within. If he remembered correctly, the next surgery should be an open reduction and internal fixation for a pelvic fracture. This is a Level 4 surgery, which is a highly advanced procedure in trauma surgery. Can this be considered simple?

"Xue Li, you are responsible for completing the subsequent operations. Professor Song and I will go down to have lunch. Please send someone to stay here to oversee the surgical turnover later." Lin Jiemo instructed.

The process of practice and insight continuously intertwining and merging gradually leads to an entry into the field of surgery

Then, in the subsequent process, Fang Xian completely became a tool, allowing Lin Jiemo to manipulate him, doing whatever he was instructed to do.

Bone transport surgery is a downstream procedure of bone defect replantation surgery

The operation was relatively orderly, and thus it comes to an end

It can be said that every stitch is executed with precision and care

The conversation between Professor Lin and Associate Professor Song also surprised Fang Xian greatly

Fang Xian also did not dare to speak much. The senior brother across from him, who holds a doctor's degree, has already obtained the authority to perform surgeries, and his specialized basic skills have reached level 3. Meanwhile, the senior brother in his second year of master's studies is also said to be able to obtain the authority to perform surgeries very soon, with the corresponding accumulation expected to be completed by the end of this year

After more than two hours, Fang Xian finally regained the opportunity to suture