Surgeons dressed as poor people in the Republic of China

"You really want to teach me?"

In the 20s, with the emergence of X-rays, electrocardiograms and other equipment and instruments, surgical techniques gradually developed from blind suture and removal to local targeted suture and removal, but there was no fundamental change in essence. suturing and removal.

90 years later, if you praised a great doctor for his good suturing skills, the great doctor would probably respond with an embarrassed but polite smile, but in 1933, if you praised a doctor for his good suturing skills, it was absolutely right in the eyes of doctors Affirmation of his technique.

"I'm so free, how can I find you happy?" Dr. Ye Da said angrily, "You read it just now, how much did you remember?"

Last night, Ye Yibai finished reading the textbooks of the Department of Medicine of the University of York overnight, and his heart was unusually heavy.

Medicine in the 30s was further behind than he had imagined.

In the domestic medical field, although hospitals and clinics have sprung up like mushrooms after rain, more than half of them are missionary hospitals or have foreign backgrounds, and there are only a handful of domestic hospitals.

The only two colleges and universities in Huaguo that can award medical doctors are all run by foreigners. So far, Huaguo medical students do not have a textbook of their own. All medical records are written in English.

The hospitals in Huaguo, and the patients in Huaguo, have their medical records in English. This weird phenomenon has lasted for nearly a hundred years in this land.

As for the international medical community, the international medical community is not much better. Molecular biology, which is crucial to the development of medicine, has not yet been established. Electron microscopy, endoscopy, ultrasonic diagnostic equipment, and magnetic resonance imaging (MRI) are not known. Still in some corner.

As for Ye Yibai's main field of heart surgery, the BT shunt, which is the official beginning of heart surgery officially recognized by the mainstream of the medical field, will not be officially available until 11 years later.

Whether abroad or at home, if the medicine of later generations is a high-rise building, then today's medicine is an attic with just laid foundations, and there is still a long, long way to go.

Ye Yibai suddenly remembered a set of data he found when he was writing a thesis in his previous life. In the 30s, the average life expectancy in the Republic of China was no more than 40 years old.

"My brain remembers most of it, but my hands are not necessarily under the control of my brain." Richard said truthfully.

"Stitching is not a difficult technique. If you want to learn it well, the only thing you have to do is to practice more."

Facing the current status of medical development, Ye Yibai has no idea of ​​turning the tide and making a name for himself in history. He has a few catties and a few taels and he has his own family. However, a great man said it well, "A single spark can start a prairie fire."

Teach the younger generation a little bit what he learned from his predecessors, if he did the same in his previous life.

"Are there any banana sellers around here?" Ye Yibai asked his first star.

banana?

There was a subtle change in Li's gaze towards Ye Yibai.

"There should be one over there on Nanjing Road, I'll go buy it." As he said that, he turned around and was about to go out.

You really are an impatient person who says that the wind is the rain. Ye Yibai sighed and at the same time did not forget to reach out and grab Richard's collar, "If there is no one, there will be no one. Nanjing Road is so far away, so there is no need to make a special trip."

"But as a medical student, bananas and grapes should be your favorite fruits." Ye Yibai added with great emotion.

Richard:? ? ?

Richard couldn't help but said, "Ye, are you kidding me? If you are willing to teach me how to suture, bananas and grapes are expensive, but they are still within my affordability. Even if I can't buy them every day, a week Twice, no, three times is fine."

It took Dr. Ye Da a full second to realize that what they said seemed to be different.

After carefully recalling the common sense in his brain, Ye Yibai realized that fruit was so scarce and expensive in the Republic of China, even for high-income groups like doctors, it was far from being able to achieve fruit freedom.

"Richard, you misunderstood. I originally wanted you to use bananas to practice sewing, but if it's inconvenient, we can change places." Ye Yibai smiled.

Richard:? ? ?

15 minutes later, the kitchen in the canteen of Jihe Hospital

The chef and helpers looked at the two doctors in white coats suspiciously.

"The two doctors mean to help us kill fish?" The chef spoke Shanghai dialect with a southern Anhui accent. Although he was smiling, his eyes were full of "these two It's not a neurosis." Doubts.

Richard's facial expression was already stiff, he thought he was a fool to actually believe that Ye Yibai followed him to the back kitchen where he had never set foot before, and he just stood there with the back kitchen staff looking at him like a fool Do not move.

"That's right, we've packed these two buckets of fish." Dr. Ye Da waved his hand magnanimously wearing a mask, indicating that he had contracted the fish pond for the back kitchen.

After getting an affirmative answer, the smiles on the faces of the chef and helpers became more real, "How can this be so embarrassing, this is our job."

Killing fish is both troublesome and tasteful, who wants to do it, but you should be polite if you should be polite.

"You are welcome, this is our voluntary."

"That's fine! Then trouble the two doctors, I'll leave this to you, we'll go out." Before Ye Yibai could finish his sentence, the chef quickly interjected, and 15 seconds later, there was only one left in the kitchen food preparation room Ye Yibai, Richard, and two buckets of fish that were still flicking their tails.

When all the kitchen staff went out, Richard couldn't help but said: "Ye? Are you serious? Does it matter if you kill the fish and practice sewing more? You don't plan to let me sew the fish?" When it came to the last sentence, Richard's voice even shifted slightly.

"Fish skin contains a lot of collagen, and its tension and resistance are greater than that of human skin. If you can suture fish skin well, other sutures will come easily."

Ye Yibai remembered that when they were in college, the fruits in their dormitory were always bananas and grapes. They sewed four sides on each side and ate them after sewing, without any waste. Ye Yibai felt sick when he saw bananas and grapes.

Fish skin is more tense than plants, and it tests the skills of human hands. Although there are only a dozen fish here, there are more than a dozen fish every day. As long as there is perseverance, an iron pestle can be ground into a needle.

Richard was devastated, "Ye, actually I have money, I'm going to buy bananas, I'm going now!"

His answer was the splash of cold water from the fish's tail as it struggled.

Ye Yibai stretched his rubber-gloved hand straight into the bucket, and grabbed a struggling crucian carp with one hand. With a slap of the kitchen knife, the world fell silent.

"bring it on."

"Ah? How do you sew all the scales?"

"So scrape the scales first. But be careful not to scratch the fish skin."

Richard: ...

So in the food preparation room of the back kitchen of the canteen of Jihe Hospital, a doctor in a white coat was sewing a fish with a needle holder, while the other looked at it with his head down without blinking. .

"This is a transverse incision. The subcutaneous fat does not need to be sutured too closely. Like a longitudinal incision, that is, during cesarean section in obstetrics, the subcutaneous fat can be sutured at the lowest edge of the dermis. After the needle is inserted from the normal skin outside the incision, the About one-third of the dermis enters and exits the needle, which is too shallow for you.”

"It's still shallow, but you're going to pierce down! You don't dare to pierce fish, but can you pierce people?"

"Too dense and prone to wrinkles."

"It's loose and loose, don't you think it's ugly?"

"The needle distance is 5 mm, can you keep it consistent? The first stitch is longer and the second is shorter. Would you like to pierce your body?"

When Richard was thrown by the fish's tail for the nth time, and he slapped No.16 crucian carp to death without changing his expression, Doctor Ye finally nodded his noble head.

"Barely pass, come and review it tomorrow, if there is no problem, we will learn the next stitching method."

The fish in Richard's hand fell to the cutting board with a "click". He stared blankly at the corpses of dead fish on the ground, and tears slowly filled his eyes.

Dr. Ye looked with some relief at how his first star was moved by his own progress. A single spark can start a prairie fire, and he successfully took the first step.