 na yesterday's, let's talk sergie, ik had quite a few comments of people say yes indeed my needle is bending so what exactly is happening now just think of this needle here is my little needle and i'm holding it two thirds of the way back so i'm fixing that position and i'm trying to roll my wrist so i'm rolling my wrist so i'm pointing this force vector in that direction trying to push it through but what if the tissue stuff so i have a much larger vector pushing back at me and i'm trying to fix this point actually in the fixing that point i'm even putting torque on that so what happens is it is as if there's a mass or weight hanging from this pulling this down while this point is fixed this force here is being transmitted along this body and it's pulling this down and this poor little needle is going to bend and bend and bend and there you sit with the bent needle of course the closer you are when if you put in the middle the closer you are to the spot that you are working this is a much straighter line than this is a lot more curved this is almost straight this line so doing that punching motion as i mentioned yesterday is going to get you through the tissue in a very hormatic way you're going to let that reverse cutting needle at the tip do its work and just smoothly glide through that tissue as opposed to trying to tear and you're causing tears as you move this needle is moving as far as the tissue is concerning this cutting edge here it is like a knife with three edges at the front that's going to cause this ragged edge as you go through that hole in the tissue is bigger than this this is a swage needle so the material comes out there it's larger than the thickness of this material and you have these ugly holes that you're causing and your needle is bending so that's that's actually terrible hold it closer so the complaint is but now i've got no room to maneuver i'm going to put the needle through and it doesn't come out the other side well if it doesn't if you've put the needle through and it is there and the needle is not out the tissue just replace it a little bit remember the tissues here now as you push it through replace it a little bit push it in now the tissue is there take a little bit push it in the closer you are working to to at the less of a chance you have there's a lot more tensile strength in that little bit than distributed across a long section of that so you're not going to cause damage to your needle just push it through push it through push it through until it comes out the other side and treat that tissue in other words you're treating the tissue with care and you're treating the needle with care as well so you're not going to get this damage to the needle so that was one that was the one issue the other one was of course just holding this so imagine that's my last iteration that i'm just trying to to suture remember try to work towards yourself always don't put sutures in going further and further away en we trying to put a suture perpendicularly across the laceration so i've lifted the patient up the patient's now on the board here and if i put this straight look at the angle at which my wrist has to bend while i'm while i'm working especially if you try to hold it far away from here which i don't like doing at all now some some instructors might not like this but i really like to claw my instruments because the closer it is to my hand it actually becomes part of my hand it is my hand that is working whereas if i work far away from my hand it is something else that's working that's besides the point though if i put this at an angle like this now my wrist is straight while i'm trying to work and that's much more comfortable to do and i have much more control over what i'm doing if this needle is put in at an angle so there we go put put your needle in the middle this is a much straighter line that's going to have a lot less chance to to bend and of course this reverse cutting edge there there's actually three cutting edges there that edge cuts that edge cuts that edge cuts and if you're trying to apply a force you are actually the skin starts or the tissue starts slipping here and instead of a nice neat little hole which this such a material can go through is now much bigger because you made this huge rent in it actually as you try to tear it through that's no good at all so my advice really take it closer and number number one and number two put your angle put your needle on at an angle to your instrument