medical simulator

Zeng Yi said with emotion: "This Yang Yifeng is really interesting, but unfortunately he is not from our hospital, but a student from the Department of Orthopedics at the Affiliated Hospital of Shonan University. He came here to stay for a while."

"If he is from this hospital, I have to bring him to our anesthesiology department no matter what."

An Ruo didn't speak, but when Zeng Yi mentioned Yang Yifeng, his hands were visibly startled.

In fact, she didn't tell the truth to her teacher, that is, she was actually as early as usual this morning, but when she entered the operating room, she met someone she didn't think she should have, or she never wanted to meet.

His name, An Ruo checked, is Yang Yifeng.

But he didn't even ask him his name during that match.

He only said at the end of the game: "You can't do it either."

Then he left with the grand prize.

An Ruo felt that there was something wrong with Yang Yifeng!

His teammates pursued him, so couldn't he refuse?Can't you explain the reality to him clearly?

Have to agree?

Originally, he was not handsome, his strength was average, and he was only slightly stronger than his classmates.Then he asked him what he did at home, which didn't match him at all.

Beauty, family background, and talent are not taken into account. Why should I continue to learn about his character?

"You can't." So An Ruo said directly to his teammates.

Do you have to catch him?

I really don't have this interest, it's annoying to death.

And that game!

If Yang Yifeng leads the team, his team may not necessarily lose...

But in the end it was in the quarterfinals.

……

So after seeing Yang Yifeng enter her teacher's operating room, she turned around resolutely and went downstairs to rest.

Anyway, Director Cai invited his teacher to take care of the patient in that operation, and it was not his turn to help.

Can't be provoked or can't hide?

This Yang Yifeng is a little sick, and even seriously ill.

Of course, An Ru felt that she didn't need to speak out about these things, so she could avoid socializing with him in the future, and she was too lazy to bother with sick people.

If you have this time, read more books and literature, and strive to improve your professional skills.

Isn't it fragrant?

……

"Teacher, it's unnecessary, right? Didn't you always emphasize that the most important thing in anesthesiology is comprehensive quality, which is the monitoring of the patient's anesthesia process, and don't overly pursue the high-tech?" An Ruo asked Zeng Yi.

Zeng Yi continued to roll his eyes: "I'm just talking about it. Really cutting-edge operations are actually very attractive."

"I just don't want people in the department to go too far without mastering the basics..."

I said in my heart, what should I say if I don’t say that?

You want me too.

An Ruo continued the epidural anesthesia, but for some reason today, the needle outside the spinal canal can be reached at one time, but today she couldn't feel it.

An Ruo pulled out the waist piercing needle again and again and then went deep, feeling the sense of breakthrough...

……

After the anesthesia for the operation was finished, Zhang Zhengquan and Du Yanjun helped put the patient in a supine position.

The position of epidural anesthesia is lying on the side, and it is not enough for the anesthesiologist alone to restore the position of the fractured patient.

After the body was put into the operation position, Du Yanjun said, "Brother Quan, today you disinfect, let me lift your leg?"

This operating room had a simple mid-tibial fracture, and Du Yanjun felt that today Cai Dongfan might ask him to try opening the suprapatellar intramedullary nail on the tibia.

Lifting one's legs is hard work, and Du Yanjun felt that taking the initiative to lift one's legs was the least way he could think of to bully Zhang Zhengquan.

Zhang Zhengquan glanced at Du Yanjun, and naturally agreed, it would be best if he could avoid raising his legs.

So I washed my hands and disinfected them first. Du Yanjun also opened a pair of sterile surgical gloves size 7.5, ready to lift his legs at any time.

Soon, Zhang Zhengquan entered the operating room with his hands in a devout tribute gesture, and was about to open the disinfection bag to start disinfection.

Cai Dongfan just came into the operating room, casually sat down on Du Yanjun's round stool, turned to Du Yanjun and Zhang Zhengquan, and interrupted them: "Yan Jun, Zhengquan. Disinfect the towel!"

"Later, Zhou Cheng will reset his hand for him to see." After speaking, he buried his head in his phone.

Zhang Zhengquan, who had washed his hands and kept the gesture of a pilgrim, was dumbfounded at the time.

Du Yanjun's face under the mask trembled slightly, and his mood was a little messy.

Brother Zhou Cheng?

Manual reset?

Master, I am your apprentice!

I'm still your only student studying now, don't you love me?

"Oh! Good!" Adults have to learn to hide their thoughts, Du Yanjun responded immediately: "Then I will call Brother Zhou Cheng and tell him the good news."

Cai Dongfan raised his head and glanced at Du Yanjun, then lowered his head again.

Du Yanjun directly touched his chest with his hands, and sighed——

You also told Brother Zhou Cheng the good news. Your master has already led Zhou Cheng through the alley, so do you still need to tell him?

Chapter 66 Dazed gift!

In fact, everyone felt that it was completely unnecessary for Du Yanjun to call Zhou Cheng, but they didn't tell him not to call him.

If adults are able to hide their emotions, the other three are more airtight than Du Yanjun...

Zhou Cheng immediately answered the call from Du Yanjun, and after hearing what Du Yanjun wanted to say.

Zhou Cheng also expressed surprise very cooperatively: "Thank you, Yan Jun, I will be in the operating room soon."

Not long after hanging up the phone, Zhou Chengcheng entered the operating room, and then said hello to Cai Dongfan and Luo Yun successively, and then made preparations before the manipulation reset.

Although Zhou Cheng didn't need to do long preparations, in order to make Cai Dongfan and Luo Yun feel more at ease, he decided to watch the movie for half a minute longer, and then invite Luo Yun to be his assistant...

And just after Cai Dongfan suddenly stopped Du Yanjun's disinfection and spreading of towels, An Ruo had just finished anesthesia and saw that the patient's vital signs were still stable.

He moved the smooth iron round stool to the side of the leather sofa where Zeng Yi was sitting, and said in a low voice, "Teacher, what are these orthopedic surgeons doing?"

"Isn't manipulative reduction the first surgery added temporarily? The surgery notice for this surgery says intramedullary nail fixation."

An Ruo is not a very gossip girl, so after she came in, she didn't ask her teacher about what happened during the first operation.

And with Yang Yifeng around, she was even more lazy to inquire.

Because although Yang Yifeng has a very annoying personality, he is indeed easy to attract the likes of old men and old ladies...

Zeng Yi used his head to control his neck to rotate in a circle, and while fully relaxing his cervical spine, he said, "This should be an extra act on the spot."

"The successful reset of the operation in the previous operation is not only related to Yang Yifeng, but also has something to do with this little training."

"Anyway, I don't understand those things in the orthopedics department, so I just think about cutaneous nerve branch block anesthesia."

After turning his neck around the axis, Zeng Yi raised his head and concluded, "It should be this Guipei named Zhou Cheng, who helped a lot when doing the manual reset. Didn't have time to ask."

"Anyway, Cai Dongfan and that Professor Zhong took a C-arm perspective halfway, and they didn't come back."

If Zhong Hua heard this, he would be a loyal fan of Zeng Yi——

Correct!

Just like that, that Cai Dongfan drove me away, can you believe it?

"Don't worry about them, as long as the delay is not too long, everyone will take the students away." Zeng Yi said.

"Oh." An Ruo nodded, expressing her agreement.

His aptitude is not good either. When Zeng Yi taught him how to administer anesthesia, he was so at a loss.

It also made other surgeons wait for a long time.

When An Ruo thought about it, she lowered her head slowly. Her own aptitude and talent are actually not very good!

The undergraduate course is just an ordinary second course, not even 985/211, but my own college entrance examination score line is actually able to get on the second line.

During the postgraduate examination, her scores were not very high, and she still didn’t get into the affiliated hospital of Shonan University, which she wanted. She sternly rejected the idea of ​​finding a relationship at home to put her in, and resolutely chose to transfer, and came to Shashi No. [-] Hospital.

But he didn't refuse his parents' proposal to find him a director as a teacher.

But An Ruo worked hard enough and lacked aptitude, so she used her talent to make up for it, and maybe she didn't want to be convinced of her talent during her undergraduate studies, so she wanted to show herself in the National Undergraduate Medical Competition, and spent a lot of time preparing.

Still broke down in the quarterfinals.Got the second prize.

Although this is already the best grade he has ever obtained in his undergraduate school, An Ruo still feels unconvinced.

After the competition, when I looked back and found that I didn't have enough time to prepare for the postgraduate entrance examination of Shonan University, but An Ruo was still working overtime and enrolled in some relatively high-quality training courses...

but?

"Click!"

An Ruo's mind was still immersed in the gap in medical talent between herself and Yang Yifeng.

A rather crisp sound directly interrupted her thinking, and even the sudden sound caused the erector spinae and paraspinal muscles of her younger generation to tremble suddenly, and then the cold feeling began to rise from a certain point on the back. Jump up and down.

Immediately began to turn to look at the source of the sound.

It turned out that Cai Dongfan, Luo Yun and others were calmly surrounding the operating table.

The strange thing was that Cai Dongfan was far away from the operating table, and in the audience seat, he asked Gui Pei, who seemed to be surnamed Zhou: "Is this okay?"

His tone seemed rather startled, but it was a pity that his back was facing An Ruo, so he couldn't see Cai Dongfan's expression clearly.

However, the other two Xiaoguipei opposite Cai Dongfan had blank expressions on their faces. When they looked at the expressions, they were just confused because they didn't understand...

Zhou Cheng and Luo Yun let go of the patient's lower limbs: "Mr. Cai, now the deformity has disappeared, the line of force has basically recovered, and it is almost reset, but the specific evaluation will have to wait for the C-arm reexamination."

The three basic clinical manifestations of fractures are pain and swelling of the affected limb, abnormal activity, and local deformation of the affected limb.

In the case of a fracture, regardless of reduction or not, pain and abnormal movement are definitely present, and the definition of a fracture is the interruption of bone integrity and continuity.

But now that the patient is under anesthesia, the pain cannot be assessed.

The only visible deformity of the patient's current affected limb disappeared.In fact, the line of force has to be seen from the X-ray to be accurate, of course, it can also be seen from the general view.

Zhou Cheng could only find these evidences, so naturally he dared not say anything.

Cai Dongfan immediately understood that he was too anxious to ask this question, and said, "Director Zeng, the anesthesiologist, we are going to take the C-arm."

"Oh! Okay!" Zeng Yi and An Ruo jumped up from their respective stools like rabbits, and quickly slipped out of the operating room.

It can be said that most doctors in the anesthesiology department are deeply disgusted by the C-arm radiation in the operating room, and feel that the existence of orthopedics and spinal surgery in the operating room is simply two alternatives.

After setting the position of the C-arm machine, put the lower limb of the patient's healthy side down on the operating bed, and Luo Yun also exited the operating room immediately after!

I came to the small cubicle of the operating room, and in the small cubicle again, there was an operation instrument connected to the C-arm machine!

C-arm machine, sub-irradiator and operating instruments in the operating room.

Cai Dongfan ordered the itinerant nurse to click.

In the black film, the pale white tibia and fibula are developed.

Cai Dongfan and Luo Yun saw it, and as expected, the fracture line disappeared!

Look clearly, this time it disappeared, not the previous patient's so-called, the gully between the fractures turned into an ordinary fracture line!

It is basically certain that the fracture has been reset.

However, medicine is not a simple conjecture, and it is not a simple level that can explain everything, so for the sake of safety, in addition to taking the upper and lower frontal planes, the left and right lateral planes are also taken!

On the frontal plane, only the lateral displacement of the fracture can be seen, and the front and rear displacements will be blocked.

Therefore, a lateral plane is needed to supplement it.

Why didn't the previous patients do it?