medical simulator

"Of course, congratulations, you have been approved by Director Cai. In fact, you are already ahead of many people."

Zhou Cheng nodded and said, "Yes."

At the same time, I secretly said in my heart, not only did I walk ahead of many people, I actually walked ahead of most people in the department, okay?

Those who walk in the front are originally lonely.

As for holding grudges or something, if it was me in the past, I might still feel a little uncomfortable.

However, my own strength will not be reduced because I am not authorized to operate.

So, it doesn't matter.

It's just that it's quite a headache if I don't have the opportunity to display my strength, but now that I have the opportunity, I can display it, so what else can I say?

Isn't it good to walk safely within the rules?

"No, Mr. Luo, I'll fill out the form right away, and then please ask Director Cai to sign it." Zhou Cheng was still happy in his heart.

The authorization of the operation by the superior represents the recognition of you and the responsibility to be shared with you.

This is their scruples, Zhou Cheng can understand them very well, because Zhou Cheng has also stood at such a height in the simulated copy...

Chapter 26 Convinced or not?

Zhou Cheng found that his thinking had slowly changed.

I don't know if it's because he has carried out more simulations, so he has a certain degree of confidence in his current strength. He feels that even if he doesn't stay in the Shashi No. [-] Hospital, he can do well, at least he won't fall into the same situation as before. To the level of going to the town hospital.

However, after Zhou Cheng analyzed his own strengths and weaknesses again, he still found that his current academic qualifications are a big constraint when he is looking for a job.

If you want to stay in a provincial capital city like Shashi, a postgraduate degree is very necessary.

However, Zhou Cheng, who had been preparing for the postgraduate exam for two years, failed the initial test. Now that the regular training is coming to an end, it is impossible for Zhou Cheng to give up the regular training to go to the postgraduate entrance examination again.After the completion of the regular training, you can only study for academic postgraduates.

This was not the path Zhou Cheng wanted to take. Therefore, the news released by the Eighth Hospital this time was really a good opportunity, and Zhou Cheng didn't want to give it up casually.

While thinking about it, Zhou Cheng completed the application form with neat handwriting very seriously, then handed it to Luo Yun, and said, "Mr. Luo, thank you for your hard work!"

Luo Yun took it and looked at it, then frowned and said, "Hey, I didn't expect Xiao Zhou to write so beautifully."

"I thought you could write cursive script." Luo Yun joked.

In fact, to be honest, even as a doctor himself, Luo Yun sometimes can't understand the handwritten consultation opinions of other departments.I also don't quite understand the outpatient cases written by Director Cai Dongfan.

The flamboyant handwriting is also a symbol of their era.

The Age of Handwritten Cases...

At this time, Zhang Zhengquan also ran out of computer, and then temporarily walked into the doctor's lounge.

In fact, Zhang Zhengquan can leave. There is no surgery in the group today, and there are not too many patients in the ward. Moreover, the orthopedic patients and general emergency patients are admitted into their own group by the doctor on duty.The surgical system does not have high requirements for medical records, so you can leave early.

You can read and rest.

But Zhang Zhengquan still planned to wait for a while before leaving. After the nurse has checked the doctor's order and made no mistakes, he can leave with confidence. Otherwise, the little nurse may not dare to push too much, but the nurse in charge above the little nurse will take turns in the group bombing.

You can either correct the small mistakes yourself, or ask someone to correct them, so that if the superior doctor sees it, it will leave a bad impression.

For a long time to come, the impression of the superior physician is very important.

Of course, there is another more important reason that Zhang Zhengquan finally added to the WeChat of Hungry Goddess, but the other party did not reply to him.

After walking in, Zhou Cheng and Luo Yun were alone in the duty room, and Luo Yun was holding a report in his hand.

Zhang Zhengquan immediately greeted Luo Yun with a smile: "Mr. Luo, have you had breakfast yet?"

At the same time, he took the opportunity of greeting to glance at the report in Luo Yun's hand.

Although Luo Yun quickly folded and put away the watch, he replied, "Have you eaten, have you finished your patient's medical order and medical records?"

"Don't drag the medical records on the shelves, write them when you should, and develop a good habit."

What bed doctors do is to write medical records and manage patients, but some beds managed by bed doctors may still be blank templates when they are discharged from the hospital, without writing a single word.

Surgery is especially common.

Although Luo Yun was quick, Zhang Zhengquan still saw the title of the document—Physician's Surgical Authorization Approval Form.

Zhou Cheng signed his name, and Zhang Zhengquan saw it clearly.

Immediately, Zhang Zhengquan was taken aback, but replied with an unchanged expression: "It's finished, it must be finished, Mr. Luo. Like Brother Zhou Cheng, I have a pretty good habit."

Zhang Zhengquan felt that he had made a mistake of [-] million yuan. What happened? Why did Zhou Cheng also get authorization for the operation?

Isn't this the patent of graduate students like Du Yanjun and Min Chaoshuo whose supervisors are in the department?Can social regulation and training also obtain surgical authorization?

Zhang Zhengquan knew that Du Yanjun had obtained the permission for surgery, even earlier than Zhou Cheng. After the test results came out, Cai Dongfan granted it to Du Yanjun.But apart from Du Yanjun and Min Chaoshuo, Zhang Zhengquan only knew Lin Lin and Du Ruiqi, two academic graduate students, who used the first work of the article to flatter Director Hu and got it.

How can anyone else get it except them?

Xu Yan Lindu?

However, during the rounds this morning, what Zhou Cheng said was really easy to understand and well-structured.

Zhou Cheng must have secretly worked hard to read the book behind his back, and was approved by Cai Dongfan and the others before he got it.

I can't fall behind, the competitive pressure of "Goddess" is not small, I can't vote all there.

But study?

Can I compare to Du Yanjun and Min Chaoshuo in comparison to learning?

Forget it, let's do some research on how to take down Wei Wei.

Luo Yun then said: "Well, it's good to develop a good habit. You will know how important such a habit is in the future."

"You can go back to rest after you finish your work, or read more books or something. Don't ask three questions during the ward rounds."

After finishing speaking, Luo Yun walked out swaggeringly.

He is the attending physician, and the direct superior of the bed-management doctor and the training doctor of Cai Dongfan's group. If he wants to go out, he doesn't need to report to these subordinate doctors.

Zhang Zhengquan could only nod his head frequently and give way to Luo Yun.

After Luo Yun left, Zhang Zhengquan looked at Zhou Cheng, who was about the same height as him, but slightly taller than him, and asked with a smile, "Brother Zhou Cheng, Director Cai is going to grant you the permission to operate?"

Zhou Cheng didn't hide it when he was seen.Deliberately set up a scheming boy's archway and the like.

Dafangfang admitted: "Well, I just asked me to talk about it. Actually, I didn't expect it either."

If Zhang Zhengquan didn't ask, Zhou Cheng would definitely not take the initiative to ask him to talk about it, but if he asked, Zhou Cheng didn't feel that he needed to hide it. Obtained similar surgical permissions.

Zhou Cheng still doesn't panic, this is the strength he has now given him confidence.

Then Zhou Cheng asked: "Hey, Zhang Zhengquan, is your computer free? I still have medical records and doctor's orders that I haven't written yet. I'll go there first."

There are a total of six computers in the department and nine doctors in charge of the bed, which is not enough according to reason.

But generally speaking, every working day is a group's operation day, and the group where the operation is located will finish the ward check very early and then go to the operating room.At most one person can be left on it to complete the doctor's order on the operation day of the entire group.

Therefore, when Zhang Zhengquan's computer is empty, it is a vacuum.

"Well, I'm free, brother Zhou Cheng, hurry up and go there." Zhang Zhengquan was actually very sour in his heart, but he couldn't say anything.

Zhou Cheng, a social Gui Peisheng like him, obtained the authorization of surgery by relying on hard power, and has no relationship with other relationships or knowledge.Zhang Zhengquan recognized and admired such authorization for surgery.

So not much envy.

However, Du Yanjun has been in the clinic for as long as himself, and he also got his doctor's qualification certificate at the same time. He got it first, and Zhang Zhengquan was actually not convinced in his heart.

Chapter 27 The scheming boy Du Yanjun!

When Zhou Cheng arrived at the doctor's office, Du Yanjun greeted Zhou Cheng warmly and said, "Brother Zhou Cheng, I'm about to call you."

"The computer is free. I sent you a message and you didn't reply to me."

"Well, I've finished writing the admission medical records for +9 beds, the first course records, and today's director's ward rounds, and I've also written the admission interview records. You just need to be responsible for writing the doctor's orders."

Du Yanjun took the initiative to tell Zhou Cheng what he had done.

Zhou Cheng was bitter in his heart, well, Du Yanjun directly blocked his way out, and wrote the medical records of the new patients first, so that it would be hard for him to say that he would not come to follow the shift tomorrow.

scheming!

"Thank you, Yan Jun, you have worked hard." Zhou Cheng could only say.

When someone offers to help you with something, you should be polite.

"It's a small matter." Du Yanjun turned his head back, and then he was busy with his own affairs. He was also busy prescribing medical orders, asking for consultations, and taking an MRI for the 29th bed under his management. The patient might be the first With bone tumors, fractures occur in low-violence situations.

Such a situation must be handled with caution.

MR can see changes in bone quality, and it is a must-do examination for bone tumor patients.In addition, postoperative orders for other surgical patients will naturally need to be adjusted.

Antibiotics need to be adjusted or discontinued, and the patient’s pain will no longer be so severe, the frequency of painkillers should be adjusted, and preventive anticoagulation should be used, and postoperative inflammatory indicators should be rechecked for postoperative patients. Schedule it.

For surgical patients, surgery is not the end of treatment, but the end of operative treatment, and the postoperative medication plan must be comprehensively considered and adjusted.

Of course, it was Cai Dongfan and Luo Yun who were doing these things, and if they were arranged, a bed doctor like Zhou Cheng could do them.

Zhou Cheng's patients are not too many, three postoperative and one preoperative, which means +9 beds.

The patient with a bed of +9 has been diagnosed clearly. It is necessary to do a good preoperative examination and then evaluate whether there are surgical contraindications. Anyway, his surgical indications are very obvious.

Although Zhou Cheng could reset his fractures by manipulation, this patient had already shown his face to Cai Dongfan and Luo Yun, and the superior doctors had already assessed that he was suitable for surgery and planned to arrange surgery.

It is impossible for Zhou Cheng to reset the technique and send the patient out of the hospital directly. This is clearly against Cai Dongfan.

This is definitely not acceptable, it will affect Cai Dongfan and Luo Yun's meals and business volume...

What's more, Zhou Cheng's redefined perfect-level manual reset technique is something that others don't know about, and it hasn't been publicly recognized or written into the manual.This belongs to the operations and formulas in the new field.

According to the principle, only Cai Dongfan can carry out the techniques and operations in the new field.

Zhou Cheng wanted to go beyond the surgical indications to carry out manual reduction surgery for fractures. He had to do it secretly, and then showed the results of the post-replacement examination to other people's faces. When they saw it, oh, the situation after the reduction was okay, and there was no displacement. That's all right, put on a plaster cast and go.

Not many people will really investigate what the pre-operative X-rays show. After all, the reset operation has been completed, and the external fixation with plaster is enough.

This is what Zhou Cheng should plan...

"Yan Jun, I'm leaving first." After Zhou Cheng finished his work, Du Yanjun may still be writing his patient's medical records. He also has a new patient, and it is quite complicated. He needs to write down the medical records and analysis clearly , If you want to ask for a consultation, these messy things will definitely not be done in a short time.

"Oh, okay, brother Zhou Cheng, I'm here too soon."

Du Yanjun kept clapping his hands on the keyboard, without looking at Zhou Cheng, and then turned back.

When Zhou Cheng was about to leave the office, Du Yanjun followed him out again, and followed Zhou Cheng into the doctor's office.

Zhou Cheng watched Du Yanjun's arrival unexpectedly.

He still tidied up his white coat and the signature pen in his pocket, and put the pen back in his schoolbag.

Otherwise, when tomorrow comes, the pen must be forced to leave by someone, and Zhou Cheng simply takes it away.

Du Yanjun explained: "Brother Zhou Cheng, I have already discussed with my teacher and Teacher Luo that I will be on duty with you tomorrow, and they all agreed."

"They have already instructed us to be a little more courageous when we are on duty."

"In addition, when I am on duty, if I encounter a patient who cannot be handled, I can call you first, so that we can study and give advice together."

"Brother Zhou Cheng, I'm sorry I didn't discuss this matter with you in advance."

"However, I still think that one more person can study and supervise together, which is much better than studying alone. Especially in clinical practice, when doing some operations, it is better to have an assistant, right?"

After saying this, Du Yanjun lowered his voice and said, "Because compared to academics and writing articles, you and I, as well as Min Chaoshuo, definitely cannot write about Lin Lin and Du Ruiqi, two academic graduate students."

"They have been in the laboratory for three years, and now no one knows whether they have hidden data or published sci. Therefore, we need to firmly grasp the clinical advantages, you are right."

Zhou Cheng glanced at Du Yanjun quite unexpectedly, and immediately reacted: "Yan Jun, did you take the initiative to mention to Director Cai this morning that Director Cai said that he would grant me permission to operate?"

Originally, Zhou Cheng felt that it might be a matter of course for him to obtain the operation permission.

But listening to what Du Yanjun said now, it doesn't seem to be the case.

Du Yanjun immediately said: "I just said something casually, it must be more because of your own strength, Brother Zhou Cheng. You see, during the operation before, you knew how to remove the goose foot at the medial insertion point of the tibia. force."

"My master has already said that such an operation, he may not be able to guarantee that it will be completed."

"Brother Zhou Cheng, it's nothing."

Du Yanjun didn't mean to show off at all, on the contrary, he was very sincere, but Zhou Cheng felt a lot of pressure just because of his expression.

Du Yanjun is too smart, and he also analyzed his strengths and weaknesses very clearly. His advantage is that he has the same educational background as Lin Lin and others, and he also has SCI as an embellishment, but there is no special place to show off.