medical simulator

In the evening, a patient with a fracture came and was admitted to the hospital.

Don't think that there are very few car accidents now. In the emergency department of the hospital, they can be encountered almost every day, and they get together...

In addition, the postoperative patients were adjusted.

At 08:30, the ward rounds were over before Zhang Zhengquan even showed up in the department.

After checking the ward, Luo Yun asked Du Yanjun to send a message to Zhang Zhengquan, asking him not to come to the department. For his patients, Zhou Cheng and Du Yanjun were responsible for adjusting the doctor's orders and changing the medicines, and then they all went to bed early. Go back and rest.

Of the three patients, one of them happened to be assigned to each of them. Zhou Cheng and Du Yanjun finished writing the admission medical records last night.

So at ten o'clock in the morning, I finished handing over the shift with the next doctor on duty, said goodbye to Du Yanjun and went home.

Zhou Cheng chose to go back on foot.

On the way, Zhou Cheng was actually a little tangled in his heart.

Because several patients admitted to the hospital yesterday, although according to the current guidelines, surgery is necessary, but in fact, he can achieve good fixation and reset for the patients through manual reduction, which can completely avoid open reduction and internal fixation of surgery.

But there is no way. The formulation of the guidelines was formulated by an expert group invited by the Huaguo Health Committee.

It was Zhou Cheng himself who thought things too well before.Although manual reduction of fractures is a degraded operation.

However, to go beyond the scope of surgical indications specified in the current guidelines to perform manipulative reduction on patients will suddenly raise the level of surgery, which belongs to new research and new surgical methods.

You must have the rank of chief physician to take the lead.

In the words that Luo Yun reminded him before, this layer of meaning was actually hidden.

There are not many trauma patients admitted from the outpatient clinic, and those who can be admitted from the outpatient clinic are extremely complicated, and the general director does not want to admit them.Most of those infected and patients with various complications were sent to the three affiliated hospitals of Shonan University.

As a result, it was difficult for Zhou Cheng to open his mouth to discuss with Cai Dongfan and Director Yan Haihan the topic of exploring the indications of the 'new' fracture reduction technique in the department.

This is actually a very influential topic, but it is not suitable for the current No. [-] Hospital, nor is it suitable for the current Zhou Cheng.

If you want to do this project, you have to re-evaluate the surgical indications of the current inpatients and hospitalized patients, and the department with a small number of patients will shrink even more.

The fractured patients who were finally encountered accounted for 70.00% of the surgery volume in the department. Zhou Cheng took a look at the fractured patients in the department. If measured according to his own standards, at least 40.00% of the patients could be manually reset on the spot discharge.

This is smashing the jobs of the chief physicians, can they agree?

Yes, not one or two.

Therefore, it is obviously quite unrealistic to reset the fracture by sitting up in the department.Unless Zhou Cheng can get the authorization, or Cai Dongfan and Yan Haihan are more open and open to him very openly!

But Zhou Cheng is just a resident doctor, so ordinary that he couldn't be more ordinary.

"Oh!" Zhou Cheng sighed, feeling that he was thinking too much.

Meals have to be eaten one bite at a time, and the road has to be walked step by step.Although I have mastered the redefinition level of fracture manipulation, others have not. To really realize the promotion, even if I make the standard myself, it will be a long-term thing.

What's more, the existing indications for fracture surgery are accumulated after years of clinical experience, so it is naturally not excessive medical treatment.

It is a fracture treatment guideline formulated under the current situation and based on the existing medical level and comprehensive consideration.

After all, not every doctor, every practitioner is the director from the beginning, and every hospital is the top hospital in Shanghai or Kyoto. Naturally, it is impossible to make a one-size-fits-all...

However, Zhou Cheng also considered an alternative plan, which could speed him up to start the project ahead of time.

That is to expand the volume of business in the department. For example, if you can carry out open reduction and internal fixation of fractures with small incisions, there must be a lot of patients coming here, and there will be more operations.

There are no more patients in the department.

It is the right way to follow the trend and do the manual reset of some simple fractures.Moreover, although open reduction and internal fixation of fractures with small incisions is also a new field and a new surgical method, it is enough.

If the No. [-] Hospital has mastered this kind of operation, it will be ahead of several affiliated hospitals of Shonan University in this field, and the number of patients it can attract is quite a lot.

Minimally invasive and small incisions are now the general trend, but the current progress in this field is not deep.

After thinking about this, Zhou Cheng understood that he still needs to develop the existing fracture simulation copy.

A plan must be written in detail.

Tomorrow and the day after tomorrow are both weekends, and there are not many things in the department. It is necessary to plan and study carefully how to start, so as to achieve a certain breakthrough in open reduction and internal fixation of small incision fractures.

Back home, Zhou Cheng checked the relevant literature. With a proficient level of medical English skills, reading the literature is no longer a problem. Except for a few medical terms that need to be translated, the rest are quite comfortable to read.

After searching around, there is not much to gain. At present, there are corresponding applications in the tibial plateau, but there are very few case reports.

For fractures in other parts, the traditional and safe open reduction and internal fixation is still used at present.

Surgery pays attention to the field of view, the wider the field of view, the smoother the operation process and the better the effect of the operation.

Seeking progress while maintaining stability is a necessary step in medicine.

……

Chapter 47 Correct usage of emulator?

【Please select the skill or material you want to start simulating. 】

【1. Experience in local anatomy of limb bones and pelvis (perfect), 2. Interpretation of limb muscle anatomy and anatomical muscle strength (perfect), 3. Medical English (proficient). 】

Back home, Zhou Cheng couldn't wait to start a new round of simulation.

This time, Zhou Cheng changed his mind slightly.

The research progress of small incision open reduction and internal fixation is memorized content, which exists naturally after being saved, and can be owned without being the skills and materials initially carried.

This can save a carrying slot, otherwise, Zhou Cheng would have to choose it.

He feels that the previous few simulations may be the perfect skills in other aspects, which constrains thinking, so the progress of open reduction and internal fixation of fractures with small incisions is slightly slow.

Of course, basic anatomy is mandatory.Especially the interpretation of limb muscle anatomy and anatomical muscle strength.

After going through the previous several simulations, although Zhou Cheng did not acquire the skills, he probably understood an essential feature of open reduction and internal fixation for small incision fractures.

Small incision fracture open reduction and internal fixation, in fact, strictly speaking, belongs to the fusion skills of surgical operation and manual reduction.

It is an improvement of open reduction and internal fixation of fractures, and a supplement to manual reduction of fractures.

Strictly speaking, it belongs to the field of surgery, but this surgical method is different from traditional surgical methods in that the incision is small and the field of view is small, which is another level of incomplete manual reduction.

Only with such an interpretation can a better choice of starting materials for simulations be made.

Medical English (proficiency) must be carried.During the dungeon simulation process, in fact, the simulation is also a lifetime, just a lifetime with a fixed direction.

Therefore, during the simulation process, it is also very important to read the literature and understand the research progress in the simulation world.

【You are just a resident doctor, but you are a resident doctor with a dream. You know very well that what you want to do is to seek a breakthrough in traditional open reduction and internal fixation of fractures. 】

【So, after you completed the training with pride, you rejected the hospital's invitation to stay in the hospital and went to work in a private hospital in Guangzhou. 】

【You plan to save a sum of money first, and use it for your study tour. 】

This is what Zhou Cheng thought about before starting the simulation.

The simulation copy, in the process of simulation, also needs to settle down, etc. Although you can forcefully insist on doing one thing, but in this way, in the simulated life, it will not go smoothly. In the simulated world, there will be difficulties Pressure from all sides.

Therefore, it is more important to earn some money first, and then to spend money.

Moreover, Zhou Cheng also changed his thinking, he didn't pursue to achieve a skill overnight, he got the skill first.

However, obtaining a new technique is actually not that simple.If it is just a small part, open reduction and internal fixation with a small incision is very simple, and it is enough to simulate it two or three times.

It's just that if you just use a small incision to get open reduction and internal fixation for a certain local fracture, and you are satisfied, then I'm too sorry to get this simulated copy.

Zhou Cheng hoped that he could obtain a new technique with greater applicability, so that it would be more convincing.

[Because you have a perfect anatomical basis, you were soon recognized by your superiors in the private hospital where you work.The official operation of the main knife began. 】

[With the help of perfect anatomical understanding, you will soon be proficient in the removal of internal fixation devices after fracture surgery and open reduction and internal fixation of fractures. The level of chief physician. 】

【Three years later, you were successfully promoted to attending physician.And you have made new breakthroughs in open reduction and internal fixation of fractures and reached the proficiency level.At the same time, you have also achieved certain attainments in the manual reduction of fractures, reaching the proficiency level. 】

[You have gained a lot of word of mouth, and you have gained a certain reputation in the area where you work, so there are a lot of patients who seek treatment. 】

【Eight years later, you were successfully promoted to the deputy chief physician. The prefecture-level city where you work has already gained a great reputation. The unit where you work plans to train you as a star doctor in the hospital.The future looks bright. 】

[But you still haven't forgotten your original intention. After you had ten years of financial savings, you chose to resign, took your wife back to your hometown, and bought a house.And after leaving a lot of property to your parents and wife, you can finally travel and study freely. 】

【No. In 15 years, you visited all the well-known hospitals in the country. Because you have a lot of research experience on open reduction and internal fixation with small incisions, you quickly gained recognition in the industry and became famous in the circle. Li quickly achieved a certain status. 】

[You stay in the clinical research group of a well-known professor in Kyoto as an assistant, and you discuss the process and planning of the research on open reduction and internal fixation with small incisions. 】

【Your wife and your parents are proud of you when they learned that you stayed in Kyoto to work. 】

[No. 20 years, the research of your clinical research group has finally achieved a certain level of breakthrough, and has successively completed the applicability of small incision open reduction and internal fixation for tibial plateau fractures and calcaneal fractures, and the function after surgery In terms of recovery and complications, it is better and lower than traditional open surgery! 】

[In the industry, a new wave of trends has been set off. 】

[In the clinical research group you are in, the flow of patients has increased instantly.The college also sincerely invites you to be a staff member and give associate professor treatment. 】

[But you refused again, because you learned that the professor had given up the idea of ​​continuing research, and you resolutely chose to resign. 】

[At that time, because you already had a high reputation in the industry, many teaching hospitals offered you an olive branch. 】

[You finally chose to return to the Affiliated Hospital of Shonan University, because your son is already in high school and your parents are old, and you feel that you should fulfill your family responsibilities...]

[You have a lot of authority, so you start to lead the research team yourself and start a new clinical research project. 】

[When you were 64 years old, you finally made a breakthrough in small incision open reduction and internal fixation for new fracture sites, and completed the entire system of small incision open reduction and internal fixation for femoral trochanteric fractures. 】

[You have acquired the skill, small incision open reduction and internal fixation (common-applicable to some special fractures)! 】

[The following year, you chose to retire and started to accompany your wife and children, and your grandchildren. 】

[But you have not quit the research field, you are still active in the field of scientific research communication. 】

[When you were 69 years old, you heard about the other side of the ocean, and once again made a breakthrough in open reduction and internal fixation with small incisions. 】

[And, in the following year, there was another good news of a breakthrough in Australia. 】

[Because you are old and your learning progress is extremely slow, you have no energy to travel around, so you continue to study at this stage sincerely...]

Chapter 48 world-class opening of analog copies

"Can it still be like this?" Seeing these lines of text, Zhou Cheng was a little surprised.

In Australia and the United States, new developments in open reduction and internal fixation through small incisions have also appeared.

If this is feasible, then?

It seems that he has found a new usage of the analog copy.

Perhaps this is the correct way to open the emulator?

[At the age of 84, you finally finished your studies in the United States and set foot in your hometown. One year later, you died without any illness. 】

[The simulation ends. 】

[Comprehensive rating: quite regrettable.You've made good headway in new territory, but you still haven't seen the whole picture! 】

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

【Skill: open reduction and internal fixation of small incision fractures (common—applicable to some operations)】

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

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

[Adventure: All the memories during this simulation.Adventures are consumable items and cannot be retained by the player. 】

After Zhou Cheng finished reading, a bold idea suddenly popped up in his heart.

Directly chose Adventure.

And, after 5 minutes!

As soon as the cooldown of the simulation dungeon ended, Zhou Cheng immediately started the dungeon simulation again!

【Please select the skills and materials to carry. 】

[1. Medical English (proficient), 2. Limb muscle anatomy and interpretation of anatomical muscle strength (perfect), 3. Adventure: all memories from the previous simulation. 】

【The simulation starts! 】

[Although you are currently just an ordinary resident doctor, recently, you feel that you seem to have awakened the memory of your previous life.In other words, you feel that you have more memories of a lifetime. 】

[According to the obsession in memory and your own ideals, you have an extremely bold idea. 】

[You copied all the research progress and details of small incision open reduction and internal fixation in your last life, and carefully kept them as notes.At the same time, you began to translate these memories. 】

【Relying on your solid anatomical foundation, after the regular training, you refused the request of the superior doctor to stay in the hospital. You asked your family for a sum of money and embarked on the road of study tour and lobbying. 】