medical simulator

Chapter No.16 Calm down

Although medicine does not allow showing off skills, the operation process can be pleasing to the eye.

Luo Yun was stunned, and said: "No, no. You continue to sew yours, and get off the stage sooner."

At the same time, I said to myself, it seems that the hospital's decision to "fry fish" this time is right.The news released by the hospital is that they are selected from regular trainees. Of course, the Eighth Hospital welcomes doctoral students to come to work, but the problem is that doctors usually don't come.

Graduate students are also graduate students, so in order to retain talents, the hospital dropped a bomb in advance, saying that it would select a group of students from the regular trainees to stay in the hospital.

This is to choose some familiar people.

After this news was released, the very obvious change is that most of the bed doctors have become more active, quick and proactive in doing things, wishing to stay in the department every day, and escape when they can, and fish when they can. , forming a stark contrast.

Moreover, Luo Yun also felt that this might accelerate the learning and growth curve of Gui Peisheng and graduate students, and make some people more courageous.

But what Luo Yun never expected was that a shark would explode out.

Just like Zhou Cheng, the tricks he is playing now are not only beautiful, but even he can't play them.It's a bit too difficult to do.

Moreover, Zhou Cheng was just juggling between thread cutting and suturing, not operational juggling on the patient's body, this is the performance of skills.

Luo Yun really didn't know whether Director Cai would have such a gorgeous transformation technique, because after he came to the department, Cai Dongfan basically didn't touch sutures.

Luo Yun even sighed to himself. Du Yanjun, who secretly wanted to sew up with Zhou Cheng, seemed to have been hit by reducing his dimensionality on the spot. After Zhou Cheng looked at him, he silently lowered his head and sewed his own.

Bitter in my heart, it seems that the gap between me and Brother Zhou Cheng is not as big as I thought, and my own talent is better than his.

Zhou Cheng was just unlucky, he didn't pass the first pass in the two postgraduate exams, otherwise?

The gap between myself and Zhou Cheng now is probably bigger than when I first entered the department.Although I used to be on duty with Zhou Cheng before I got the doctor qualification certificate, but no one took the initiative to give Zhou Cheng any chance.

Zhou Cheng estimated that he had been preparing for the postgraduate entrance examination, so he didn't want to spend more time in clinical practice.

It just so happened that the hospital had leaked the news that a batch of Gui Peisheng would be retained, and Zhou Cheng's family fortune was blown up.

It seems that the opportunity to be the chief surgeon later on, I really got it because my teacher is Cai Dongfan.

Isn't this a bit invincible?

Du Yanjun's heart was bitter, and he sewed it up step by step, and he didn't mean to compare his sewing level with Zhou Cheng at all...

After Luo Yun finished speaking, Zhou Chengcheng continued his operations.

When Du Yanjun had just sutured to the subcutaneous layer, Zhou Cheng had already finished suturing on his side. The skin was flattened and the seams were tight, without any unevenness. The standard one-centimeter interval was pulled by the sutures to form a A pile of good-looking 'little meat buns'.

The suture of the skin is slightly turned outwards and closed, which is the most perfect, which is the way Zhou Cheng sewed it now.

After Zhou Cheng finished sewing, he didn't untie his clothes and step off the stage as gracefully as Cai Dongfan. Instead, he silently took the thread scissors from Luo Yun's hand and said, "Mr. Luo, let me cut the thread. Go and have a rest."

Zhou Cheng is now just Gui Peisheng, Luo Yun's junior doctor, and he still can't do the thing of putting his superiors on the stage to do things, and then yo-yoing himself first.

Luo Yun nodded, without saying anything, he took off his gloves, untied his clothes and stepped off the stage.

Du Yanjun said apologetically, "I'm sorry, Brother Zhou Cheng, I delayed the progress of the operation."

When I said this, my mentality returned to the moment when I first entered the department. I felt that Zhou Cheng was very good, and I still had to learn more from him.In fact, it's the same now, it just depends on how much strength Zhou Cheng will slowly reveal later.

Zhou Cheng's expression changed, and he said, "It's okay, just sew slowly."

In fact, strictly speaking, Zhou Cheng felt that his stitching might be a little bit better than Du Yanjun's if he hadn't suddenly obtained the simulator, but the gap was not as big as it is now.

Stitching itself is a delicate job that doesn't require much talent.

……

After both people were sutured, a piece of cut glove was placed on one side of the sutured wound on the inner and outer sides for drainage.

Fracture surgery, unlike joint surgery, only needs to drain the accumulated blood under the skin, and then remove the drainage piece the next day after the operation.The reason for drainage is to avoid accumulation of blood under the skin, resulting in delayed wound healing.

Then the sterile dressing was applied, and the cast was applied. Zhou Cheng and Du Yanjun cooperated quite tacitly and completed it quickly.

Only then was he able to step down, and then the itinerant nurse and the anesthesiologist were responsible for sending the patient to the recovery room to wake up from anesthesia.

For this fracture operation, the estimated operation time is more than three hours. In order to avoid the patient's nervousness and affect the operation, the anesthesiologist chose general anesthesia.

But in fact, because of Zhou Cheng's intervention, the operation was advanced by at least an hour.

When sending the patient out, the anesthetist smiled and said, "If I had known that Director Cai's operation would be so fast today, I would have had a spinal anesthesia!"

"Who knows, such an operation used to take up to three hours." The itinerant nurse was also puzzled.

In fact, the anesthetist and the itinerant nurse don't even look at what happened during the operation, or how the chief surgeon operates. They are only responsible for their own part, and they do what they have to do.

Unlike the equipment nurse, who always pays attention to the operation process, and at the same time thinks about how to pass the equipment and which one to pass.

So, after the patient went out, the nurse cleaning the equipment still found it very novel. Gui Peisheng, who was under Director Cai, had hidden it so deeply!Even better than his own graduate students.

You really can't tell what you look like.

However, when she thought this way, she didn't realize that she had never seen Zhou Cheng's face at all.The time she spent with Zhou Cheng was in the operating room, and masks were required to be worn in the operating room.

……

The next operation was still carried out step by step, with Cai Dongfan directing beside him.

Luo Yun was the second assistant, Zhou Cheng was the first assistant, and under Cai Dongfan's guidance, Du Yanjun began to act as the chief surgeon.

Because the fracture was simple, it only took Du Yanjun a little more than an hour to complete the closed reduction and Kirschner wire internal fixation of the distal fibula fracture with great difficulty.

The intraoperative C-arm fluoroscopy showed that the alignment basically met the requirements for reduction, and at least functional reduction could be achieved.

Moreover, the fibula is not used as a load-bearing bone, so this is fine. If you step off the stage reluctantly, it will not cause any impact on the patient after surgery.

Today's operation is complete.

Zhou Cheng returned to the department, issued the postoperative doctor's order, wrote down the operation records, completed the postoperative course of disease, and prepared to go back to study a new round of simulation.

Opening a new dungeon requires gratitude, and Zhou Cheng doesn't have that much gratitude yet.

The value of gratitude requires you to play an important role in the operation, so that the patient may appreciate you, or you are careful enough for the patient and have a good attitude, otherwise, how can it be so easy?

It seems that there is more chance to fight for the master.

Otherwise, he can only continue to repeat this dungeon that has already obtained perfect skills.

However, when Zhou Cheng was about to leave, Du Yanjun hurried up and said, "Brother Zhou Cheng, wait a minute!"

Chapter No.17 The Eight Immortals Crossing the Sea and Showing Their Abilities

Du Yanjun stopped in front of Zhou Cheng a little out of breath.

Zhou Cheng was carrying a backpack and was about to walk towards the elevator. Du Yanjun ran up from the stairs. He patted his chest and said, "Brother Zhou Cheng, we agreed to have lunch together at noon."

"If Min Chaoshuo hadn't told me that you were going to leave, I would still be downstairs with my master."

Downstairs is the first ward of the orthopedics department. Director Cai Dongfan used to be in the first ward of the orthopedics department.So Du Yanjun often went downstairs to visit Cai Dongfan.

Zhou Cheng replied: "Yan Jun, you don't have to be so polite, you and I don't have much money. I still have the allowance for regular training. You don't get as much as I do."

Zhou Cheng is telling the truth.

The standardized training of resident physicians is a national policy, and now every medical student must do it.Although professional postgraduates can be included in the regular training, professional postgraduates do not receive subsidies for the standardized training of residents issued by the state, and the hospital does not give this money to postgraduates.

The money for postgraduate students is issued by the Graduate Department, and the monthly amount issued by the university that Eighth Hospital relies on is [-] yuan.This is the only four thousand and four that Du Yanjun can get.

But Zhou Cheng was issued by the country, and he could get [-] to [-] a month. It mainly depends on the performance of the participants each month, and a small amount of rewards can be given for first, second, and third grades.

Du Yanjun is financially poorer than him if he only counts the money he earns.

Although it was said that Du Yanjun took the lead, it was an opportunity given to Du Yanjun by Cai Dongfan. Cai Dongfan was the chief physician and his teacher, and he was willing to give Du Yanjun the bottom line.

Cai Dongfan didn't need to give Zhou Cheng the chance to be the chief surgeon.

Because according to the regulations of the National Health and Health Commission, resident doctors, that is, people who have passed the qualification certificate of practicing doctors and have junior professional titles, can only perform type I operations under the guidance of superior doctors.

Senior resident physicians can routinely perform Type I surgery operations, and carry out Type II surgery operations under the guidance of superior physicians.

If no one is willing to guide you, you are not qualified to perform such an operation.Otherwise, if something goes wrong, the superior will have to take responsibility for you. Is he too idle?

The surgery performed by Du Yanjun just now - distal fibular fracture, closed reduction and internal fixation with Kirschner wires, is a type II surgery, supervised by a superior doctor, and performed under the specified conditions, even if there are mistakes, That can also be justified in the medical department and the graduate department.

Du Yanjun said: "Brother Zhou Cheng, look at what you said, can't I treat you to dinner if you don't have much money?"

"When I was on duty with you before, didn't you often order lunch for me?"

"Walk around, I've already chosen the location, I'm going to eat sauerkraut sausage, this is the special signature dish in that shop, it's enough for dinner."

Zhou Cheng knows the family Du Yanjun is talking about, and he has also eaten it. It is called Juxinpeng sauerkraut sausage. The sauerkraut sausage and shredded lettuce in it are really delicious and not expensive. Basically, it only costs [-] yuan for two people. Small enough to be full.

And Zhou Cheng was also hungry, so he said: "The seats have been selected, so let's go together. It just so happens that it's time for dinner."

The relationship between Zhou Cheng and Du Yanjun is pretty good. When Du Yanjun first came to graduate school, he didn't have a certificate and couldn't be on duty alone, but at that time Zhou Cheng already had a certificate and could be on duty alone.

Naturally, Du Yanjun was arranged by Luo Yun to hang out with Zhou Cheng.

At that time, Du Yanjun naturally fought for many opportunities, such as taking advantage of Zhou Cheng's on-duty opportunity to do plaster external fixation and other operations.

In this way, Zhou Cheng also felt more relaxed, and it was also a matter of convenience to invite Du Yanjun to eat a boxed lunch.

Soon, the two of them took a taxi to the dining place. After ordering the two signature dishes of fat sausage and shredded lettuce, they ordered an ant climbing a tree, which is crab roe vermicelli.

Both Du Yanjun and Zhou Cheng have a lot of food, and the half-staple and half-vegetable dish of ants climbing trees is more suitable.

After ordering, Du Yanjun said mysteriously: "Brother Zhou Cheng, do you know what my teacher asked me to say just now?"

"Well, I can't guess that." Zhou Cheng replied with a smile.

He is not a roundworm in Du Yanjun's stomach, nor is he a close friend of Cai Dongfan's. If Zhou Cheng knew what they were talking about, he would earn more money than a doctor by doing wiretapping work.

"Mainly talk about two things. One is about you, and the other is gossip." Du Yanjun even kept it a secret.

Zhou Cheng pretended not to know:

"Are you talking about me?"

In fact, he also guessed that during the operation before, his performance would definitely get Cai Dongfan's attention.

And this is what Zhou Cheng is happy to see. He has already opened up the simulated copy of the fracture. If he needs to open up a new copy, he needs gratitude.This is a virtuous cycle.

Although I can also stay in the department all day, chat with the few patients I manage, try to talk about their gratitude, and treat them very thoughtfully.

But Zhou Cheng still felt that medical service was different from the general service industry, and it was really impossible to call him out for a joke.Selling one's own professional skills is almost the same.

"Well, my teacher told Luo Yun to give us more chances in the future. The two of us will take turns. If there is a simple fracture next time, I will let you try as the chief surgeon." Du Yanjun smiled meaningfully say.

Zhou Cheng was not immediately overjoyed after hearing this, but asked, "What about Zhang Zhengquan?"

There are three people in the group, myself, Du Yanjun, and Zhang Zhengquan. If both myself and Du Yanjun have the chance to be the chief surgeon, Zhang Zhengquan does not.

"This is related to another gossip I want to tell you." Du Yanjun continued to play tricks.

Du Yanjun really aroused Zhou Cheng's curiosity: "Huh? Gossip?"

"It was Teacher Luo Yun who told me that Zhang Zhengquan was chasing a girl recently." After Du Yanjun finished speaking, he stopped, as if he wanted to hook Zhou Cheng on purpose.

Zhou Cheng's heart twitched, brother, it's a pity that you don't talk about cross talk and storytelling in this way of speaking.

Why don't you change your career?

"Quickly say it! It's long-winded. I don't care if I don't say it, I'm too lazy to guess." Zhou Cheng said a little impatiently.

Zhang Zhengquan's pursuit of girls has something to do with the chance of surgery?

Will Zhang Zhengquan have no objections then?

"Let's put it this way, as long as you catch up with this girl, it will be easy to stay in No. [-] Hospital, No. [-] Hospital or No. [-] Hospital. You don't need any chance of surgery." Du Yanjun said in shock.

"Fuck!"

Zhou Cheng was taken aback by this, and asked in surprise, "Is it true?"

Rich woman?

280 pounds?

flowery?

For a while, many images of "girls" flashed in Zhou Cheng's mind.

"Then why am I lying to you?"

"Anyway, that's what Teacher Luo Yun said. It seems that not only Zhang Zhengquan is chasing him, but people from other departments are also chasing him. This is a shortcut after all..." Du Yanjun's tone was a little wretched and serious.

Chapter 18 Calculate!