The main text of yesterday has been changed, but the time has passed, and it is estimated that it will not be released tomorrow at noon. This chapter is expected to be waited until around 6 pm tomorrow. Please forgive me for your duty.

There are a lot of injuries caused by drunken injuries and fireworks during festivals, so everyone must pay attention.

Recently, my friends said that the popular science content before the main text is too difficult and I can’t understand it. I specially added some fun. Yesterday I was a person who distinguished Yin and Yang, so today I will give you a YJ growth technique first, and then the second paragraph is a guide to escape from domestic doctors, which are all quite interesting.

With the development of society, people's requirements for the quality of sexual life have gradually increased. As early as ancient times, out of worship of genitals, people have explored the method of thickening YJ. In recent years, due to the media's hype of YJ length and thickness to men's sexual function, various YJ thickening surgeries emerged like bamboo shoots. According to statistics, from 1991 to 1998 alone, more than 10,000 people in the United States performed YJ thickening. Currently, the filling materials used for thickening YJ mainly include autologous tissue transplantation and artificial synthetic materials. This article will take stock of these strange surgical methods.

Autologous tissue transplantation

1. Autologous fat injection

Autologous fat injection is an early and more commonly used form of autologous tissue transplantation. By absorbing the adipose tissue in the body with a needle and injecting it at multiple points on YJ, the purpose of thickening YJ is achieved. Panfilov and others used this method in 88 patients, and only 3 cases were not satisfied with the surgical effect. However, the problems with autologous fat injection include: dissatisfaction with the appearance caused by fat absorption, hardness and lump formation, infection, etc.

2. Free dermal fat transplantation

As early as 1969, it was reported that free dermal fat sheets were transplanted to thicken YJ. The size and maintenance status of the skin sheets were observed after the operation. It was found that in the 7th week after the transplant, the skin sheets were soft and 70% to 90% of the fat were still preserved. However, after the 8th week, most of the fat was replaced by fibrous tissue. However, in 2006, Kim et al. reported that 103 patients who had undergone YJ thickening surgery for various materials were transplanted and undergo autologous or allogenic dermal fat sheet transplantation to achieve the surgical effect of YJ thickening. After the operation, 4 patients experienced rejection reactions, 2 patients suffered from skin necrosis in the operation area, and the YJ circumference was thickened by 37%, and the patient's satisfaction was high. The main disadvantages of this method include long surgery time, prone to YJ edema, YJ asymmetry, and donor scars.

3. Pedicled groin dermal fat flap metastasis

The inguinal dermal fat flap has a rich and reliable blood supply, and the supply area is hidden, and can be directly pulled and sutured after cutting. It is a method of YJ thickening that is worth promoting. In 2006, Shaeer et al. first reported the use of pedicled inguinal dermal fat flap for YJ thickening. In 2016, Zhang et al. reported the improved inguinal dermal fat flap transfer technology, which cuts the YJ suspension ligament after uncoiling YJ, fixes the white membrane at the root of the YJ to the flesh membrane, and finally transfers the dermal fat flap to the back of the white membrane.

Through 13 months of follow-up, the average increase of YJ length in 17 patients was 2.7 cm when they were weak and 0. The average increase of circumference was 1.5 cm and 1.2 cm when they were weak and 1.3 cm. The 13 patients were satisfied with the appearance of YJ.

4.**Halden membrane transplantation

**Half membrane transplantation can be used to correct YJ bending deformity. In recent years, animal studies have reported its application in YJ thickening. In 2006, Xie Jun and others discussed the therapeutic effect of YJ thickening surgery for autologous** hydrocele transplantation on both sides of YJ white membrane in dogs. Five male hybrid dogs were taken to transplant the longitudinal incision on both sides of YJ white membrane to expand the YJ white membrane cavity, increase the volume of YJ cavernosa and thicken YJ.

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The average YJ circumference increased by 21.1% in the ** state in the ** state, and the thickness was not obvious in the weak state. However, Bagbanci and others later found in rat studies that the ** hydrocele transplantation could not be successful due to the lack of sufficient blood vessels.

5. Great Saphenous Vein Transplantation

In 2002, Austoni et al. used autologous saphenous vein transplant to expand the YJ cavernosal white membrane, increase the volume of YJ cavernosal body, and thicken the circumference. This method does not change much to the circumference of weak YJ, but it can increase the circumference of **YJ, which can reach 2.85 to 4.21 cm. In 2003, Yang Bin et al. also performed 8 cases of autologous saphenous vein transplant to expand the YJ cavernosal body, and the YJ cavernosal body thickened, and extended plastic surgery at the same time. Follow-up for 6 to 12 months, the patient was satisfied with the appearance, feeling, function and sexual life of YJ.

Artificial synthetic materials

1. Cross-linked mixture of dextran and polymethyl methacrylate

In 2012, Yang et al. reported the therapeutic effect of YJ injection using a mixture of crosslinked dextran and polymethyl methacrylate. After 6 months of follow-up, it was found that the YJ length increased by 2.3 cm, the YJ root circumference increased by 3.7 cm, the YJ middle circumference increased by 4.2 cm, and the YJ distal circumference increased by 3.8 cm. Complications include nodules at the injection site and YJ asymmetry.

2. Allogeneic dermis

Allogeneic dermis is a cell-free dermis graft obtained by human corpse skin processing. It is buried between the YJ white membrane and the Buck fascia to increase the YJ circumference. Compared with dermal fat flap transplantation, this method has a long-lasting effect and will not cause uneven circumference. In addition, it also has the advantages of avoiding the formation of paralysis marks in the donor area and high transplant survival rate, but it is prone to be damaged and thinned, fibrosis, infection, and may even affect sexual function. Care should be taken when using it.

3. Polypropylenefenamine hydrogel

Polyacrylamide hydrogel is what we often call Ogildeen. In the medical plastic surgery industry, it is used as a soft tissue filling material for long-term implantation of the human body. It is used for injection of breast augmentation, temporal augmentation, cheek augmentation, buttock augmentation and other cosmetic procedures. In 2003, Perovic and others performed a polyacrylamide hydrogel YJ thickening surgery on small YJ patients and found that most patients were satisfied with the surgical effect. However, since the compound may be decomposed into highly toxic monomer molecules after being injected into the human body, causing damage to the nervous system, kidney and circulatory system. Moreover, the WHO has listed this substance as a suspected carcinogen, so in 2006, polyacrylamide hydrogel was prohibited as a filler.

4. Biodegradable scaffold and autologous fibroblast complex

In 2006, Perovic and others proposed a new surgical solution in the field of YJ thickening. They first obtained fibroblasts from the skin of 84 patients and expanded them in vitro. They implanted them on a pretreated tube-type PLGA stent, and then placed them between the YJ membrane and the Buck fascia of the patient. After the surgery, the average YJ circumference increased by 3.15cm in size. More than half of the patients were completely satisfied with the surgical effect.

Although many kinds of autologous and synthetic materials are now used in clinical practice, satisfactory effects have been reported. However, these studies lack large-scale sample sizes, the YJ measurement standards cannot be unified, and the surgical steps cannot be standardized, so the credibility is low. For those who want to thicken and enlarge YJ through surgery, the ideal is beautiful, but the reality is very skinny. It is very likely that the root of life will become inappropriate, so they should be discouraged from thinking twice before doing it.

The following article is seen from other places. Although this kind of thing seems a bit deliberate, there is actually nothing to avoid. It is like teaching girls how to prevent wolves from saving themselves. Under today's conditions, you should also take it to heart. I also hope that everyone can look at this issue objectively, put aside anger and sorrow, and think calmly from one tragedy after another, and protect yourself as much as possible when the danger occurs next time.

Source: Comprehensive compilation of Physician Weekly

Given the recent lack of peace and frequent doctors have been injured, netizens have summarized the practical version of the Chinese doctor's escape guide, providing some practical experience for doctors and friends in case of emergency needs. I hope the hospital is peaceful!

Guiding Principles:

Thirty-six strategies are the best strategy. If you run out, you will have hope. If you survive, you will win!

High-risk groups:

1. Mental ill patients, no explanation.

2. Patients with chronic diseases, especially ENT departments.

3. The family of a seriously ill patient shows his filial piety by beating the doctor.

4. Patients and their families are dissatisfied with the doctor.

5. Drunk people are especially good at smashing and smashing.

6. Drug addicts threaten the doctor to request Duling.

7. A gangster.

8. Family members of pediatric patients who are prone to excitement.

Dialogue strategy:

Unified reply caliber: The situation is complicated and it may not be guaranteed to be cured, but you must do your best to treat it. Tell the security personnel as soon as possible that during diagnosis and treatment, you must ensure that more than 2 male medical staff are present in the room to control the situation.

Weapons and Equipment:

1. Chili Spray: The best defense is offense. The item is small in size and light in weight, so it is convenient to carry around and spray it immediately when there is danger, and it will never hurt life. Many doctors are people who have never fought in their lives. A bottle of chili spray spray directly sprays the opponent's eyes, which is enough to win you valuable escape time.

2. Rugby helmet: According to incomplete statistics, the main target of medical fiction is the head, and only the rugby helmet has a hard texture that can protect the doctor's head safety at 360 degrees without blind spots.

3. Anti-spun vest: If Wang Hao from Harbin had an anti-spun vest back then, he might have survived.

4. Anti-sting gloves: For surgeons, a pair of clever hands is the job. To prevent hand injuries caused by chaotic fights, a pair of anti-sting gloves must be used for each hand.

5. Lightweight running shoes: No matter whether it is wrong or not, you will run away immediately when you see that the situation is not good... If it is really okay, you will come back and take it as exercise.

6. Confirm your blood type and write it on the card to carry it with you for emergency rescue.

7. Carry an emergency alarm device in your pocket and immediately notify all hospital personnel to come for support when there is any danger. Security personnel can also lock the target and call the police in time.

8. Try not to wear watches, rings, and necklaces. Take off your glasses at any time to prevent damage. Take off your white coat and get involved in the crowd. This is basic common sense.

Venue Escape Tips:

corridor

1. When walking in the corridor, you must be accompanied by colleagues.

2. Occasionally turn your head and scan the patient behind him who is familiar but suspicious.

3. High-definition monitors should be installed in the corridor to retain information.

4. Pay attention to whether the office door is open in the corridor. When there is any danger, immediately break into any room and close the door quickly.

5. All hospital staff must be familiar with the hospital's escape passage.

office

1. Monitors should be installed in the room to record the diagnosis and treatment process.

2. Never face your back to the door! Never face your back to the door!

In the office, the doctor must sit facing the door and have chili spray under the table.

3. An emergency alarm device is set up under the desk to avoid sharp objects in the office to prevent attackers from seizing them. In desperation, doctors can use medical record chairs to defend themselves.

4. Large storage cabinets are installed in the office, so they can be pushed at any time in crisis, and they can be pressed against the door to prevent being beaten up.

5. If you are unfortunately besieged, you can beg for mercy immediately. Remember, the doctor is just a doctor, don’t pretend to be a martyr.

6. First-floor personnel should place tables outside the window so that they can jump out of the window to escape in time.

7. When jumping on the second floor, people should set up buffer devices outside the window to facilitate timely escape from the window.

On the way to and from get off work

1. In case of misfortune, try to choose crowded places to commute to and from get off work during peak hours.

2. Try to change your daily travel route and do not drop your phone for the other party.

3. Try to avoid being alone, it is best to be accompanied by colleagues and friends.

4. Try to avoid going to remote places, parking lots, night roads, and other places without monitoring equipment.

5. Change your mobile phone number in time to avoid harassment.

6. Avoid leaving the elderly and children alone at home, and someone may come to the door to apologize.

Several taboos:

1. Don’t be careless: Life is only once, be careful.

2. Don’t argue: If you encounter a situation, you will run away immediately. Most people will immediately panic when facing a sudden attack. After returning to their senses, they will instinctively want to argue and argue. However, this shocking few seconds is likely to suffer a more deadly attack. Try to cultivate the survival awareness of running away immediately when the situation is not good. They will immediately run away before the other party launches a second attack, and at the same time call for help.

3. Refuse to settle privately: Let the bad guys know that the pain is.

After that:

1. Go to the surveillance room immediately to keep the surveillance video, this is evidence.

2. Protect the scene and take photos.

3. Call the police in time.

4. Treat the injured in a timely manner.

5. Test the injury and issue an injury test report.

How to distinguish between medical trouble and self-rescue:

Be wary of being extra cautious when encountering these nine types of patients
To be continued...