medical simulator

Page 40



Finally, the next patient was brought into the operating room just now, and Cai Dongfan appeared at the door of the operating room at some point, touching his head while shouting: "Zhou Cheng, come here, I have something to do with you. "

Du Yanjun's eyes suddenly shrank.

Director Cai is going to take Brother Zhou Cheng into the alley?

Chapter 64 I'm not polite!

Zhou Cheng stood up very lightly, glanced at Du Yanjun from the corner of his eye, and saw the growing confusion in his eyes.There is no way to say more.

He went straight to the operating room.

Du Yanjun's expression at the moment was very mixed. After Zhou Cheng left, he finally rubbed his face with both hands, and then rubbed his eyes with the hypothenar part of his palm.

Blinking, then scratching his head again, staring at the ceiling.

About a minute later, a girl who was also wearing a green hand washing suit walked into the operating room.

It can be seen that the sleeves of the medium-sized surgical gown make her hands and feet look slender, but her chest is a little tight.She also put on an anesthesiologist's back suit, which mostly blocked some of the scenery.

When seeing her, Du Yanjun's pupils shrank slightly again!

She is coming!

A bit unexpected, but also within reason.

For this patient, Cai Dongfan spent all his time calling Director Zeng of the Department of Anesthesiology. When the Director of the Department of Anesthesiology arrived in this operating room, it was naturally impossible to complete the anesthesia for only one operation.

As the director's student, he naturally doesn't need to do general anesthesia himself, and his students are in charge most of the time.

Du Yanjun deliberately stood up, and then started to call Luo Yun, but he still didn't answer.

At the same time, take advantage of this opportunity to sneak away...

One thing Du Yanjun didn't guess right was that he didn't call Zhou Cheng into the alley, but called him to the 'smoking' room downstairs.In fact, it's a meeting room for smokers.

This space is not big, ten square meters at most, and there is a very powerful exhaust fan inside, which makes a lot of noise, so it is separated by double doors.

Zhou Cheng and Cai Dongfan went through two doors before arriving at a holy place for surgeons.

Luo Yun was holding the door at the door, and after Cai Dongfan led Zhou Cheng in, he continued to hold the door.

The decoration style inside is in harmony with the style of milk tea shops and bars. The three-and-a-half sides of the horizontal fixed platform are decorated with the uniform dark yellow paint of the hospital, and the bottom of the fixed platform is filled with round high stools.

Each stool corresponds to a medium-sized ashtray.

There are a total of seven or eight people. It is conceivable that at the peak of this lounge, it can accommodate at least eight or more people who are smoking clouds, chattering and farting...

This is Zhou Cheng's first visit to this place. Luo Yun stretches out his dark green sandals and slippers on his left foot against the door, so as to leave a gap to see if the person pushing the door from outside is wearing purple clothes. People who come in to inspect.

Looking at his skilled sitting posture, it can be seen that he is a person who often does such things.

But today Luo Yun didn't do it to avoid the inspectors, but to see if anyone else came in.

Cai Dongfan sat down.He opened the cigarette case and put one in his mouth, and then politely handed another one to Zhou Cheng.

Zhou Cheng waved his hands: "Mr. Cai, this won't work."

Cai Dongfan threw the cigarette to Luo Yun, and Luo Yun immediately smiled and said that Director Xie Xie only smoked Huazi, and smoking Hezi for a long time is still a bit of a financial burden.

"I have to learn in the future." Cai Dongfan said while lighting a cigarette skillfully.

"Smoking, drinking, and betel nuts, you have to know the same thing." Cai Dongfan joked very firmly.

Luo Yun smiled, and said at the same time: "My smoking habit was cultivated by Director Cai."

There was not much meaning of blame in the words, it was just a joke to liven up the atmosphere.

Zhou Cheng thought for a while, but didn't answer.

Cai Dongfan didn't bother to embarrass Zhou Cheng. The rules he mentioned were one of the options he had to choose when he entered the department.Times have changed now, and Pang Dingkun in the department does not have this habit.

Then he took a deep breath of the cigarette, exhaled it slowly, and said casually, "I heard from Luo Yun, do you have your own ideas on the reset of the technique?"

"Have you ever done manual reset for calcaneal joint dislocation?"

Zhou Cheng nodded, and replied: "Well, I have learned a little bit, that is, when I was on duty last time, I happened to meet such a patient, and I asked Teacher Luo for instructions."

Luo Yun coughed, as if to say, brother, don't drag me into the water.

Although I am the only one who secretly performs manual reduction of joint dislocations, don't mention it specifically.

This is something that Director Yan expressly forbids.

Cai Dongfan glanced at Luo Yun as expected, and suddenly said jokingly: "You are doing better than Luo Yun, please ask him what to do, next time you don't need to ask him for instructions!"

Luo Yun was instantly injured by a critical strike at the position of a melon-eating crowd.

I thought to myself, why does this involve me again?

I'm letting you know, you can do it yourself, okay?

Upon hearing this, Zhou Cheng replied, "Thank you, Director Cai. In the future, I will report to you and Teacher Luo when I meet a patient who I can perform manual reduction on."

How could Zhou Cheng not be able to tell that Cai Dongfan was authorizing him.

Cai Dongfan is the director, if he passes the test, then he will routinely carry out first-level surgeries and operations in the department, and no one can say anything.

Even Yan Haihan is hard to say. Could it be that Cai Dongfan, a chief physician, still has no way to control whether the people in his group can perform first-level surgery and operations?

Even if it really doesn't work, Yan Haihan can do it.

The department is not Yan Haihan's personal property, and he can't speak clearly.

Cai Dongfan knew that Zhou Cheng could hear the meaning behind his words, Zhou Cheng was not stupid, he had known this for a long time.

After all, he has been with his team for so long, and he is still a kind of clever person, just a talent. Cai Dongfan thought it was true before.

It's not just Cai Dongfan who thinks so, he and Luo Yun have objectively said it when they commented on Du Yanjun and the others.

But it is obvious that everyone can see another person only at the most superficial level, which is very easy to penetrate.

Cai Dongfan pursed his lips and said, "Don't be too happy so early. There will be five fractures in a while, and four of them can be repositioned. You can try manual repositioning after anesthesia."

"Anyway, it's going to be an operation after all. This is an extra step just for you."

"If it's still barely satisfactory, when you are on duty in the future, you can choose some simple fracture patients for manual reduction."

Luo Yun then added: "Zhou Cheng, this is also a way to consider you that Director Cai and I have carefully considered."

"For the next five operations, the informed consent for the operation has been signed. After the patient is anesthetized, you perform manual reset, and we will be able to see the reset effect immediately with C-arm fluoroscopy."

"This is the most time-saving way to take the school exam, and it will not affect the patient's follow-up treatment. You have to take good care of it."

Zhou Cheng turned his head to look at Luo Yun and Cai Dongfan, and asked a little more: "Ms. Cai, Mr. Luo, really?"

Cai Dongfan is really willing to give such a chance?

Then later if something happens, no surgery will be done.

But don't blame me.

Cai Dongfan rolled his eyes: "Of course it's true, why would I have the leisure to lie to you?"

"Also, today's third and fourth operations are your own patients, right?"

Zhou Cheng nodded: "Thank you, Teacher Cai."

With Cai Dongfan's confirmation, the stone in Zhou Cheng's heart fell to the ground.Then say:

"It's my patient, a patient with a mid-tibial fracture and an intertrochanteric fracture."

When Cai Dongfan heard the words, he sighed slightly:

"A patient without a fractured fibula?"

"Then the next time you encounter a simple fracture like a fibular fracture, you should give it a try."

"I saw your understanding of surgery last time, and it was quite good."

"However, tibial intramedullary nailing and intertrochanteric fractures are both Class III operations. It's a bit too aggressive, and it's not good for you."

Zhou Cheng nodded hurriedly, and said again: "Thank you, Director Cai."

After Cai Dongfan finished speaking, he put out his cigarette and walked out of the "lounge".

While going out, he said to Luo Yun: "You two finish talking earlier and then go on stage. When I went to find Zhou Cheng just now, the patient had already entered the operating room."

Luo Yun hurriedly nodded in response, then turned to look at Zhou Cheng, and said in a very soft voice: "That's right, Director Cai said, when you are on duty in the future, if you do the manual reset yourself, the performance will definitely be attributed to him."

"He doesn't bother to calculate how much money it is. He privately gives you 2000 yuan a month as a subsidy. It's not much, but Du Yanjun doesn't have this money."

"Don't say it, it will be given to you by my hand."

Zhou Cheng's pupils froze, and he hurriedly replied, "Mr. Luo, I can't take this money."

Zhou Cheng really didn't go out of his way to reset the technique just to earn this money.

Luo Yun shook his head and said, "Director Cai's decision, you don't have to."

"He will give it to me and let me give it to you. I dare not return it."

"Anyway, don't return it to me. If you want to return it, return it to Director Cai. Maybe he won't scold you."

After Luo Yun finished speaking, seeing that Zhou Cheng was still a little confused, he patted him on the shoulder and said, "Don't worry about it, let's go on stage."

"What you should think about is how to publish a paper earlier to make up for your shortcomings."

"Others are showing their talents and trying every means to make up for their shortcomings in order to stay in the hospital. Fortunately, you haven't talked to me about this matter with Director Cai until now, so you can hold your breath .”

"If I were you, I would try my best to make a paper and buy everything." Luo Yun slightly cursed in a low voice with a bit of resentment...

Chapter 65 Then I will tell Brother Zhou Cheng the good news!

Zhou Cheng was stunned for a moment, Luo Yun's words were not hints, they were all explicit.

It means that you have to create some articles by yourself to increase your competitiveness.Although staying in the hospital depends on clinical strength, but at least you can look past it in scientific research, right?

This is easy to understand. After all, the No. [-] Hospital is already a third-class first-class hospital, and there is no way to improve its level. To improve its overall strength, it must focus on both clinical and scientific research.

But now Zhou Cheng felt that there was no need for him to give up on the matter of staying in the Eighth Hospital!

After passing so many simulations, he felt that there were still quite a few choices he could choose——

For example, finding the woman who can make him work less is a way.

Of course, if you want to stay in a third-level hospital in Shashi, the current policy of the No. [-] Hospital is the best, because in other places, there is no graduate degree or even qualifications, unless you can go to graduate school with determination.

Otherwise, if someone else's baseline is drawn there, you won't even be able to cross the threshold, and it's useless.

Zhou Cheng stayed for a while, then walked towards the operating room.

……

In room 15, Du Yanjun returned to the operating room, bowing his head humbly, pretending to focus on the mobile phone screen.

Director Zeng of the anesthesiology department sat on the sofa, leaned back, crossed his legs, and said to his students: "An Ruo, it's a pity that you didn't come to the operating room for the first operation?"

"Superficial block of cutaneous nerve branches, this is a very rare nerve block technique, you should look at it."

The expression was full of regret, and he felt that his students really missed the opportunity to observe the ultra-cutting-edge technology of the anesthesiology department. This is an excellent opportunity for An Ruo to increase his knowledge and see clearly how sophisticated anesthesia in the anesthesiology department can be.

It can even be said to be the ceiling of the nerve block branch.

An Ruo is preparing anesthesia drugs, and preparing some epidural anesthesia equipment and intraoperative intravenous medication.

In addition to completing anesthesia, the anesthesiologist also needs to monitor vital signs, adjust blood pressure or correct electrolytes according to changes in vital signs and intraoperative conditions, so there is still a lot of preparation.

An Ruo turned her head and said mischievously: "Teacher, didn't you say that you gave the first anesthesia yourself. Moreover, the chief physician of the orthopedics department called you in person. I was lazy and slept a little longer."

Zeng Yi straightened his body at that time: "Hey, you are getting more and more skinny now, and you are lazy in front of me. I am the director, and I get up at seven o'clock every day. I arrive in the department on time at 07:30."

"It's good for you, as a student, you still sleep late."

An Ruo blinked her black and white eyes and said, "Teacher, I usually get up at [-]:[-]. Today I also get up at [-]:[-]."

Eyes full of grievances.

Zeng Yi rolled his eyes, okay, the old man made a mistake, you are a girl, it takes a lot longer to go out.

There are quite a few female doctors in the anesthesiology department. They wake up early to go to work, and they smear their faces. They don’t know what they are doing. Doing these things will help improve their professional ability and work status. ?

He asked that question too, but one of her former students said.

Teacher, the anesthesiologist had to work hard to stay up all night. If I don’t pay attention to maintenance, I may be over 30 next year...


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