medical simulator

The easiest thing to surpass Lin Lin and the others is clinical ability. If he can achieve a lot of achievements in both scientific research and clinical practice, then Du Yanjun can become the most suitable person and is most likely to stay.

On the one hand, he has his own teacher to guide him, and on the other hand, he can be on duty with him, and strive for more opportunities, which overwhelms Min Chaoshuo in operating opportunities.

Moreover, Min Chaoshuo may not be able to repeat Du Yanjun's showmanship.

Because the seniors that Min Chaoshuo followed before had completed the regular training, and now none of the people in their group had brought Min Chaoshuo before, so it must be unreasonable for Min Chaoshuo to follow him.

But Du Yanjun is fine, Zhou Cheng is still in the department, he said that he just got his certificate, and he hopes to be on duty with Zhou Cheng, which makes sense.If you have any more ideas, Cai Dongfan is still in the department.

Moreover, whether it is Xu Yanlin or Pang Dingkun, an academic Ph.D., they may not be able to surpass Zhou Cheng professionally.

Over time, opportunities and accumulation can overwhelm Min Chaoshuo in both aspects.

I have become a tool man of iron.

The power of involution is so terrifying!

Zhou Cheng pursed his lips and said, "Thank you, Yan Jun."

Even after the analysis, Zhou Cheng only felt that Du Yanjun had strong analytical ability and quick thinking.

But in fact, it doesn't pose too much threat to himself, because in the clinical aspect, Du Yanjun wants to overwhelm himself, not such a short period of accumulation is enough.

Reducing ten sessions with one force, the dimensionality reduction blow in strength cannot be made up for by quick thinking.

Chapter 28 A New Direction!

After saying goodbye to Du Yanjun, Zhou Chengcheng took the initiative to call Luo Yun.

Usually, Zhou Cheng would not disturb Luo Yun when he was not on duty.But today, I have to go to the medical department to hand in the application form for the operation permission, so it is impossible to ask Luo Yun to give it to me.

Is he the superior or is he the superior?

Zhou Cheng is very persuasive.

Luo Yun said on the phone: "You wait for me in the department for a while, I just asked Director Yan to sign."

Although Cai Dongfan can do the authorization of the first-level surgery, but the long-term authorization still requires the approval of the director of the ward.

Of course, Zhou Cheng is a member of Cai Dongfan's team, as long as Cai Dongfan agrees, he will not stop him, and he will sign when he has to.

"Okay, thank you, Teacher Luo." After Zhou Cheng finished speaking, he hung up the phone, then sat on the stool in the lounge, found the WeChat account of the owner of the canteen downstairs, and asked him to send a few bottles of drinks and a pack of Chinese medicine. come up.

Zhou Cheng himself does not smoke, the cigarettes are for Luo Yun.Luo Yun, as a senior doctor, helped Zhou Cheng go to Director Yan to sign it, because he was not putting on airs.

The drinks are for Du Yanjun and Zhang Zhengquan, brothers in the same team. It is a good thing to get the authorization for surgery, so of course we have to celebrate.

When Du Yanjun and Zhang Zhengquan had passed the doctor qualification test before, they invited Zhou Cheng to dinner.However, Du Yanjun's authorization for surgery was not publicized.

But now that both Du Yanjun and Zhang Zhengquan knew about it, it would be inappropriate not to express it.

The cigarettes and drinks arrived before Luo Yun. When Luo Yun handed the application form to Zhou Cheng, Zhou Cheng changed hands and stuffed it into Luo Yun's white coat pocket.

Luo Yun was stunned for a moment, but he didn't take out the cigarette again, but said with a displeased face: "It's just this time, don't make another example."

"Don't learn such nonsense."

Zhou Chengcheng knew that Luo Yun might not like what he did, but it didn't hurt.

"Mr. Luo, this is a good thing. Why don't you treat the guests to buy drinks, and let the boss bring a pack of cigarettes by the way. Thank you, Mr. Luo, for making a trip." Zhou Chengcheng changed the subject and said.

Then he handed Luo Yun a bottle of sugar-free iced cola.

This is the last stubbornness of the surgeon.

Luo Yun didn't refuse, and said, "Well, go ahead and work hard."

"Director Cai still values ​​you very much. He told me yesterday that if there is a suitable opportunity next time, I will let you try as the chief surgeon."

Although he had heard such news from Du Yanjun, Luo Yun's words carried a different weight.

Zhou Cheng's face was full of smiles, and he went out to give the drink to Du Yanjun, but he couldn't find Zhang Zhengquan's person, so he simply handed it to Lin Lin who was on duty today.

Zhou Cheng just returned home.

Then I went to bed early and got enough energy to prepare for the 24-hour shift the next day.

Zhou Cheng didn't wait for the early morning simulation copy to be refreshed, mainly because his current manipulative reduction and fracture open reduction and internal fixation have reached a perfect state, and Zhou Cheng couldn't think of any skills to look forward to practicing.

It's better to wait until the daytime to find time to try again.

……

Friday morning was the beginning of Zhou Cheng's day on duty.

Zhou Cheng got up early, and besides brushing his teeth and washing his face, he also packed his toothbrush, water cup, and toiletries and brought them to the department.

He is on duty for 24 hours. Although he may not be able to sleep, Zhou Cheng still has a habit of washing up before resting.

He has a little bit of cleanliness, it's not serious, but if he can take care of himself better, Zhou Cheng will keep this habit.

When I came to the department, it was already 07:30, a little earlier than yesterday.

When he arrived at the department, he put down his bag and Zhoucheng habitually went to the doctor's office first to see if there was a computer.

It's a pity that except for the doctor on duty, Lin Lin, not to mention Pang Dingkun, the other six people were still present, full of energy.

After seeing Zhou Chenglai, Du Yanjun walked out and said with a smile: "Brother Zhou Cheng, an operation has been arranged today. After the operation is over, I will come up to be on duty with you. It is the doctor's order from our team today. I may trouble you." One person did it."

Zhou Cheng is on duty today, so tomorrow should be the surgery day for Cai Dongfan's group.

However, the hospital does not work on weekends, and elective operations will not be carried out.Therefore, there is no way to arrange surgery tomorrow. Yesterday Cai Dongfan arranged an elective surgery for today.

The operation should be performed by Luo Yun with Du Yanjun and Zhang Zhengquan. Perhaps Director Hu's group has few operations scheduled, or maybe other departments have not many operations scheduled today, so today's operation is still the first one.

A surgery requires at least one surgeon and two assistants.

Naturally, the patients of Du Yanjun and Zhang Zhengquan will be handled by Zhou Cheng.

"It's okay, you guys go to the surgery, I'll prescribe the doctor's order." This is the rule in the group, helping each other, after all, everyone has a time when the operation is the first.

……

Today Cai Dongfan just came to the department for a shift and disappeared. Then Luo Yun took Zhou Cheng and others to check the room in a hurry, and then took Du Yanjun and Zhang Zhengquan out of the operating room.

After Zhou Cheng sorted out the doctor's orders of all the people in the department, he changed the medicines for his postoperative patients.

After the operation, the dressing should be changed every two to three days until the patient is discharged from the hospital or the stitches are removed.Daily dressing changes are not required.

Changing the dressing is a basic skill. After Zhou Cheng finished it very proficiently, he went back to the doctor's lounge temporarily, and began to look at the mock copy while waiting for the emergency.

Yesterday afternoon, Zhou Cheng thought carefully about the purpose of the only simulated copy that is currently open.

The manual reset reached the redefinition level, and it was Zhou Cheng who downgraded the operation to a level where he could get started with the operation.It is to earn gratitude.

However, this does not mean that all fracture patients with surgical indications can be reset manually.

It should be said that there are still many comminuted fractures caused by high violence that require surgery for treatment.

I have completely mastered the conventional open reduction and internal fixation of fractures.

However, there is still room for improvement.

There are two main directions for improvement. One is to redefine the perfect level of fracture open reduction and internal fixation and make a breakthrough.

The second direction is to think about open reduction of fractures with small incisions, this direction.

Everyone has a desire for beauty. Regardless of men, women, or children, they don’t want to leave a long scar on their body. It is for this reason that today’s minimally invasive surgeries, such as arthroscopy, cosmetic sutures, and medical aesthetics Only then did it develop rapidly.

And there is a growing market.

However, arthroscopy belongs to the discipline of sports medicine, and sports medicine belongs to the business scope of the Department of Orthopedics, which Zhou Cheng has no access to for the time being.

However, for small incision fracture open reduction, Zhou Cheng thought he could try it.

Small incision is definitely the trend of the times. It can reduce the surgical incision for patients and make it more beautiful. Moreover, because the incision is small, the trauma of soft tissue will be reduced, and the postoperative pain will also be reduced. Compared with traditional surgical incision, it has great advantages. .

Of course, open reduction of fractures with small incisions is very difficult.

Even this concept belongs to the category just proposed, and it still belongs to the concept stage in the current Huaguo and even world-class fields.If Zhou Cheng wanted to make achievements in this area based on his own qualifications, then Zhou Cheng probably wouldn't think in that direction.

Time-consuming and labor-intensive.

But the simulated copy can be infinitely trial and error, and it can lengthen Zhou Cheng's learning growth line, which can be used for a good job.

Just as Zhou Cheng was about to start the simulation, the nurse came and shouted.

"The doctor on duty is in the emergency department."

Chapter 29 Sister Qin Min, keep your voice down

Zhou Cheng walked out and saw that the person at the door was Tan Min.

Seeing Zhou Cheng, she said, "Oh, so you are on duty today. If I have something to do later, I will call you directly, so I won't come over to call you."

The nurses at the nurse station basically don't remember or check who is the doctor on duty today every day.Because nurses and doctors may change shifts, they do not strictly follow the schedule. When looking for a doctor on duty, they should first go to the office or lounge to call.

"Okay, Sister Tan Min, you can just send a WeChat message." Zhou Cheng knew that Tan Min would not take the initiative to call other bed doctors under normal circumstances, and even if he did, he would use the department's phone number.

It was also his luck that he and Tan Min came in a year ago, so they exchanged WeChat and other contact information very early.

"Are you on the long day shift again today?" To be honest, even though Zhou Cheng had been in the department for two or three years, he still hadn't figured out how the scheduling mechanism at the nurse's station was.

When he is on duty, it doesn't matter which nurses are on duty. Speaking of which, he is such a regular trainee.

Nurses in this hospital like Qin Min may not be favored, so you are lucky to remember you.Otherwise, I don't even bother to remember your name, anyway, after three years at most, you have to leave.

"Well, I changed a long-day shift with Jiaojiao."

"Don't talk, let's go see the patients. The patients have all come to the nurse's station. I'm afraid they will be noisy if they go late." Qin Min was still extremely serious and responsible during her working hours.

"Okay!" Zhou Cheng quickly put on his mask and set off to the nurse's station.

There are two types of emergency patients. One is special emergency, which is the kind that is about to die in the emergency department or ICU. Such real emergency patients need to call the superior doctor of the doctor on duty to ask them to be there.

That is to say, an attending like Luo Yun must be present.

The other is sub-emergency, where there is a fracture, but the situation is not serious. The doctor in the emergency department will ask the family members of the patient to push the patient to the ward and see the doctor directly.

It can save the time of running a trip.

Because specialist treatment is mostly carried out in specialist operating rooms, if you need to be hospitalized, you can directly arrange a bed first.

Zhou Cheng came to the nurse's station, and then saw an uncle in blue overalls covered in lime, being pushed in front of the nurse's station by a middle-aged man of the same age who was dressed in the same clothes as him.

He himself was holding the image kit printed with the Imaging Department of Shashi No. [-] Hospital, while his fellow workers were asking the nurses if they wanted an operation.

The nurse who was questioned replied: "This will be evaluated after the doctor sees it. We are nurses, so we don't know how to read it."

Turning her head while speaking, she saw Zhou Cheng coming behind Tan Min, and immediately said: "The doctor on duty is here, you can ask him later."

Seeing Zhou Cheng, the two uncles turned their heads shrewdly, waiting for Zhou Cheng to approach.

Zhou Cheng's pace was not slow, and he quickly reached the two of them. While picking up the impact information bag in the patient's hand, he asked, "How did you get injured? Did you fall or hit it?"

Even though Zhou Cheng's current strength is much higher than when he was on duty before, Zhou Cheng is quite confident.

However, the patient's injury mechanism is still the most important thing, and it needs to be understood, because the injury mechanism can help you find hidden fractures that are difficult to find by routine film reading.

"It fell. When we were painting the outer wall, we accidentally fell down. It was about four or five meters." The patient himself shook his head helplessly.

After the injury, no matter whether to have surgery or not, it has to be delayed for so long.Still have to spend money, how can this be good.

"Are there no safety measures?" Zhou Cheng glanced at the two of them.

Generally, there will be safety measures at such a height, usually a seat belt around the waist, such patients are not uncommon in the department.

"It's just for convenience, so I didn't do it. And my friends are all old workers, so nothing happens to them usually." This sentence was explained by his fellow workers.

"Doctor, in my situation, do I need an operation?" He looked at Zhou Cheng eagerly, his eyes full of helplessness.

"I'll tell you after I've read it. Whether you need surgery or not depends on the actual situation."

"You guys, is this a work-related injury?" Zhou Cheng asked while continuing to read the films.

Don't look at people wearing construction site clothes like this, they must be working on the construction site, and they may have fallen and injured themselves while doing private work.

This is the Star District of Shashi, a very suburban place, many people are repairing houses by themselves.Then the person invited, such a relationship, may not necessarily compensate for these.

The man didn't speak.

His co-worker rolled his eyes a little and asked, "Surgery? How much will it cost?"

It is estimated that when they were in the emergency department, the emergency doctor who gave them the first visit told them that they might need surgery after seeing the fracture.And this situation is definitely not a work-related injury, so they are a little nervous.