medical simulator

【Two years later, you are still standing still, open reduction and internal fixation for small incision fractures requires too much comprehension.The attending physicians in your group, and even your fellow apprentices, are beginning to be able to operate some of them, but your thinking is still limited to the perfect level of surgical civic. 】

This?

I?

Zhou Cheng got up helplessly.

[Three years later, you end your postgraduate career, and you need to return to your original unit. 】

【Your instructor is in a complicated mood, and he is beginning to persuade you to go back to work.Your existing technology is enough for you to spend the rest of your life in peace, so don't worry about it. 】

【You returned to the original unit, but you are still not reconciled, but you still worked honestly in the original unit for two years. 】

[Your traditional incision surgery is still top-notch in the eyes of your peers, and you can't pick out any flaws, and because your surgery patients have a good reputation for you.So you will soon face a promotion in your job title. 】

【But you are still not reconciled, and proposed the idea of ​​going out for further studies.Considering your influence in the department, the unit leader and department director once again agreed to your application for further study. 】

[You went to Shanghai and studied for half a year.But you still get nothing.You plan to extend your study period. 】

Ok.

Three years of postgraduate study, plus half a year of advanced study, did not yield any substantial gains.

However, in fact, it is said that it is a postgraduate study, and it is said that it is a further study. In fact, open reduction and internal fixation of fractures with small incisions has not yet formed a systematic theory. point, can also understand.

Chapter 35 How can you be so noisy!

【Your superior physician and leader rejected your application, and began to persuade you to stop tormenting.So does your wife. 】

[So you can only start to study silently, read various literatures, continuously purchase various learning materials on the progress of small incision surgery, and participate in various training courses. 】

[But such unsystematic learning makes your progress very slow. 】

[Finally, when you were 50 years old, you had excellent skills, and you had always been a famous figure in the department for traumatic fractures. With mature qualifications and strength, you became the director of the department. 】

[Five years later, your reputation has reached its peak, and you have already gained a lot of fame in Shashi. Someone even suggested that you serve as the deputy director of the Traumatology Group, but you refused.You made a decision that is beyond everyone's comprehension. 】

【You resigned and started to study abroad.By this time your children are grown and starting families, but you've left them a decent financial nest egg. 】

I rely on courage!

I knew that even if my aptitude was poor, Zhou Cheng never lacked courage and determination, and I kept my thinking clear at all times.

Zhou Cheng has no way to control the life in the entire simulated copy, so he can only provide a rough initial idea.But the impact of those ideas, from the start of simulation to the age of 50, has passed more than 20 years.

At that time, I still had such a strong obsession.

Yes, future me.

No matter whether there is a breakthrough in the result or not, I have to praise myself for this alone.

[At the age of 65, your wife filed for divorce with you. You were still far away overseas at that time, obsessed with the study and research of open reduction and internal fixation of small incision fractures that have not yet been matured.You agree. 】

【Your wife doesn't actually want to divorce you, she just wants to be with you when she grows old, so she starts to get depressed, and dies of depression two years later.Your son had a big fight with you and disowned you. 】

Ah this?

This is a bit too much, right?

Old scum?

But who cares, I haven't seen the shadow of my wife yet.

[You left most of your property to your son and daughter, and then drifted abroad with your pension.Because you are too old, no team is willing to take you in anymore. 】

[Finally at the age of 80, you died on the street because you couldn't afford the medical bills. 】

[The simulation ends. 】

[Comprehensive rating: worth looking forward to.Your whole life has been constantly struggling forever, although the end is rough, but the spirit is commendable! 】

[You can choose to keep one of the following! 】

【Skill: Medical English (Proficient Level)】

【Memory: Research progress of open reduction and internal fixation for small incision fractures. 】

【Experience: Experience in small incision fracture open reduction and internal fixation. 】

Zhou Cheng pondered for a while, and finally chose memory.

Although operating experience is also very important, research progress is the key factor to break the existing routine and traditional open reduction and internal fixation of fractures, not just the operation.

With these research progress, I can quickly make up for the operation.

To break through the limit of a skill, simple operation is definitely impossible and unscientific. Although it is useful, it is not very useful.

Keep going, half an hour later, there is another chance to simulate!

Zhou Cheng's luck was pretty good, no emergency patient came for the next half an hour, so he just sat on his seat and read for a while, and the third simulation came soon.

After spending 4 minutes reading the simulation carefully.

Look at the ending again.

Zhou Cheng lamented that with his own qualifications, learning existing technologies might make progress faster, but it is really difficult to learn new technologies or make breakthroughs.

[Comprehensive score: I have regrets.Although you quickly gained a foothold professionally by relying on the perfect skills you carried at the beginning, and you have been constantly striving for eternity all your life, you still fell short and failed to reach the other shore! 】

[You can choose to keep one of the following! 】

[Skills: open reduction and internal fixation of small incision fractures—incomplete, no systematic theory, and the success rate cannot be guaranteed]

[Memory: open reduction and internal fixation of small incision fractures, new research progress due to your existence. 】

【Experience: Experience in small incision fracture open reduction and internal fixation. 】

Ok……

This is a good choice.

Although there is no mistake in choosing new research progress again, the value of incomplete skills is not lower than that of new research progress.

After all, incomplete skills are also a part of skills, which can allow oneself to quickly gain a foothold when starting a new game.

Moreover, during the simulation process of this simulation copy, I mentioned more than once that I was always stubborn in the traditional thinking field of open reduction and internal fixation of fractures (perfect) during the simulation process.

Hey, is it because the initial skills I carry will hinder me from opening up new areas of skills?

Zhou Cheng feels that such a possibility cannot be ruled out, because everyone has their own mindset, and they habitually use their own familiar thinking to think and solve problems.

So, next time, you can try to simulate it as a rookie without carrying this perfect skill.

But that's at least for tomorrow.

……

After the opportunity of the simulator was exhausted, Du Yanjun came to the department from the operating room in a hurry, and even enthusiastically brought Zhou Cheng a drink.

Although Zhang Zhengquan also came to the department, he was a little curious about what Du Yanjun and Zhou Cheng were up to, but he still couldn't find a reason to stay, so he left the department after issuing the postoperative doctor's order.

During this interval, Zhou Cheng secretly went to see Luo Yun and asked, "Mr. Luo, if I encounter a patient with dislocated joints while on duty, can I handle it alone?"

After hearing this, Luo Yun frowned, and then replied, "Do you want to take care of patients with dislocated joints?"

"No one said that the manual reduction of joint dislocation patients cannot be performed in the department, and it is also within the scope of Class I surgery. However, if you want to do this, I have to watch you in the department all the time."

"Can you do it?"

"The manual reset of joint dislocation is simple and simple, but complicated and complicated. In fact, I don't recommend you to touch it."

Luo Yun was in a bit of a dilemma. Just now he told Zhou Cheng that the manual reduction of fractures in the department was not very good. Zhou Cheng remembered the manual reduction of joint dislocations in the department.

This is a very feasible alternative. After all, joint dislocations do account for a large proportion of clinical orthopedic patients.

However, Luo Yun himself rarely comes into contact with this kind of patients.

Logically, he wanted Luo Yun to watch, but Luo Yun was afraid that he would not be able to take care of it, what should he do if he couldn't understand?

"I think I can give it a try." Zhou Cheng said expectantly.

"That's fine." Luo Yun finally agreed with Zhou Cheng.

At Zhou Cheng's current level, what he can do is first-level surgery and operations. If Zhou Cheng is not allowed to do anything, it is better not to authorize him.

However, it is not a bad thing to develop more patients in the department. Anyway, this is a patient that no one else wants to touch.

"However, every patient, before deciding to reset, has to be screened carefully by me before proceeding." Luo Yun still did not forget to explain the principle.

How can you be so fussy?Luo Yun complained in his heart, I have never seen you so active before.

Alas, it's still a problem with the number of hospital stays in the hospital.

In clinical practice, junior resident physicians can independently perform level I surgery under the full knowledge and guidance of superior physicians. After proficiency in performing it, superior physicians can be lazy. Naturally, Luo Yun will not forget this thing, otherwise, Zhou Zhou Cheng messed up the patient.

If you say he, Luo Yun, or Cai Dongfan is responsible, it must be Luo Yun!

Therefore, it was quite difficult for Luo Yun to make such a decision!

But he is still willing to give Zhou Cheng more opportunities.

Chapter 36 click

However, there is also a reason why Luo Yun finally decided to let Zhou Cheng try to reset the joint dislocation.

After all, the department needs to be transformed. The senior doctor does not have a background in joint surgery, but when Luo Yun was a graduate student, he stayed in the joint surgery department for three years. It was just a postgraduate degree, and he had to come back before he could get a doctorate. Shashi.

When I came to Shashi No. [-] Hospital, I almost started from scratch in terms of trauma.

Moreover, Luo Yun also considered that if the Department of Orthopedics is to be divided into different departments in the future, it must be divided into a separate Department of Joint Surgery...

The junction of joint surgery and trauma surgery is joint dislocation.

When he first came to the department, Luo Yun felt quite depressed when he heard that the dislocation of joints had been released in the department.It is a good choice to take this opportunity to bring back the dislocated joint as the first step of the department's extension to joint surgery.

Moreover, the manual reduction of joint dislocation is also a conservative treatment, which is similar to the manual reduction of fractures. This can also help to regain the unique characteristics of the hospital of traditional Chinese medicine, killing two birds with one stone.

"Okay, Mr. Luo." Zhou Cheng naturally nodded honestly. He is not a roundworm in Luo Yun's stomach, so he naturally doesn't know what Luo Yun is thinking.

But strength is strength, and rules are rules.

Medicine has its own circle and its own rules.

Before the rules cannot be formulated, activities within the rules are the greatest protection for oneself.Similarly, all doctors act within the rules, which is also the protection and respect for patients.

Otherwise, the rules and regulations will become messy, so who should patients choose to trust?

Moreover, under reasonable regulations, it is not that there is no way to break the rules, but that way is difficult.

Zhou Cheng didn't know it before, but through this simulation, Zhou Cheng knew that if he could pass the assessment of the Orthopedic Branch of the Medical Association, he would be able to obtain the authorization for surgery in advance, which he could strive for later.

However, to enter the Orthopedic Branch of the Hunan Provincial Medical Association, you need a guide. Luo Yun is not qualified yet, so I don't know if Cai Dongfan is qualified to introduce him.

If there is, it is the correct way to let Cai Dongfan get him in first, and after getting familiar with him, he can fight for the second and third level of surgical authority.

Otherwise, the current Zhou Cheng can obviously do the third-level surgery, but he can only stick to the first-level surgery because of his professional title, and Zhou Cheng himself feels quite restricted.

……

As soon as Zhou Cheng bid farewell to Luo Yun and came out, Du Yanjun outside came to find Zhou Cheng.

"Brother Zhou Cheng, there is an emergency patient in the emergency department below. It's a joint dislocation."

"The superior doctor in the emergency department just joined the emergency department this year, so he called the department directly. He asked our doctor to come down and see him." Du Yanjun frowned when he said this.

"However, it is also understandable that there are many affairs in the emergency department. Those who have just joined the job have only undergone simple training before taking up the job. Maybe these minutiae matters have not had time to be familiar with."

"Look, are you going to see it? Or call Teacher Luo Yun?"

Du Yanjun asked Zhou Cheng, but he didn't dare to make up his own mind.

Today's doctor on duty is Zhou Cheng. If it is a simple debridement patient, Du Yanjun may report to Zhou Cheng, and then pull him into the operation room.

Patients with dislocated joints were rarely encountered in the department before, and he had never done it.

And if Du Yanjun was on duty by himself, Luo Yunyi would definitely lose this matter.But he just came to learn from Zhou Cheng, so he couldn't decide what to do by himself.

There is quite a sense of helplessness under the fence.

Zhou Cheng was stunned for a moment. When he first heard what Du Yanjun said, he thought he was thinking about the dislocation of the joints, so he felt that he had heard it wrong.

As soon as the authorization was obtained from Luo Yun, patients came to the emergency department immediately. How could there be such a coincidence?

However, coincidences in reality are sometimes more coincidental than stories written in books.