medical simulator

It can be cured without surgery, and it is a good thing to have less scars.

The patient's wife then said: "Doctor Yang, I don't really have any other intentions, I just want my husband to be well."

Yang Yifeng continued to smile and replied: "It's okay, I can understand your feelings, the situation is quite optimistic now, don't worry, our doctors will pay attention to your situation at any time."

Using Yang Yifeng to explain: "And you also need to understand that our doctors consider it from an objective point of view. If we say something that shouldn't be said, if we can perform surgery, our doctor's performance will be slightly higher. Why don't we do it?"

"That's why I really don't want to do it."

"Do you think this makes sense?"

"Treatment should choose the appropriate treatment method, just to the right point, that is the best."

"It's like stir-frying. Some dishes need to be salty, while others don't need to add salt. It's the same reason."

"Director Cai happened to be right on this point." Yang Yifeng said while squeezing his little finger with his thumb, his voice expressive.

Hearing Yang Yifeng's words, the patient's wife's eyes lit up immediately: "Hey, it makes sense for you to say that, the cooking must not be too much or too little salt..."

The patient secretly gave Yang Yifeng a thumbs up.

Yang Yifeng explained it in an easy-to-understand manner.

The premise of being easy to understand is to be able to take it easy...

Five minutes later, Yang Yifeng's eyes hurt again...

What about the fracture line?

Mouth in a low voice.

I feel that I am no different from an intern!

It can be difficult to find a fracture line, isn't this the level of an intern?

Chapter 86 Yi Feng, Professor Liu and I are very familiar!

"Brother Yifeng, have you eaten? I just planned to order takeaway? Are you coming?" The doctor on duty, Lin Lin, just finished seeing an emergency patient and walked to the nurse's station to ask the nurse on duty to confirm the payment bill.

Seeing Yang Yifeng standing in the corridor of the ward at this moment, standing against the wall, his eyes were still looking at the ceiling rather 'haughtily'.

asked politely.

Lin Lin is also a graduate student of the Affiliated Hospital of Shonan University, but he is from the Third Affiliated Hospital of Shonan University. This year is the second year of graduation, and he came to the Eighth Hospital for regular training.

After counting, it should be Yang Yifeng's senior brother. When Yang Yifeng and Lin Lin "communicated" before, Yang Yifeng called him senior Lin Lin, but Lin Lin didn't call him Junior Yang Yifeng.

He had inquired about Yang Yifeng from a classmate of his own class who was now a Ph.D. student at the Affiliated Hospital of Shonan University. The other party directly called Yang Yifeng Fengshen, and another title was 'Mad God'.

Through his mouth, Lin Lin learned that Yang Yifeng usually acts in an eclectic style, and what he does is quite high-profile.

According to my classmate's description, the current director of the Orthopedics Department, who is also the executive director of the Affiliated Hospital of Shonan University, personally asked Yang Yifeng if he wanted to stay in the hospital for development, but was rejected.

Lin Lin didn't dare to pretend to be his senior brother for such an influential figure, nor could he afford to accept him.

Compared with him, if you want to stay in the No. [-] Hospital in Shashi, you have to find connections secretly, let alone a top hospital like the Affiliated Hospital of Shonan University. The threshold is not enough, and you can't even look inside.

When Yang Yifeng heard someone calling him, he moved a bit, turned around and walked towards Lin Lin's direction, and said, "Don't eat, Senior Brother Yang, I'll treat you to dinner next time."

"I still have something to do today, I have to go back first." Yang Yifeng's refusal was not very blunt, but he didn't leave any further words for Lin Lin.

"Okay. Brother Yifeng. I'll find a place in a few days."

"Let's eat together again." Lin Lin didn't bother about Yang Yifeng still calling him senior brother, but thought that he could treat Yang Yifeng well, in case Yang Yifeng stayed in the Affiliated Hospital of Xiangnan University in the future, and had the same side as he does now The fate, maybe there will be a place to ask for it in the future.

Or Yang Yifeng and him turned against each other and touched each other on a small topic. Wouldn't it be great if Yang Yifeng could take him away on the spot.

……

Yang Yifeng hurried to the doctor's lounge, picked up his backpack, and randomly stuffed the black notebook and blue pen on the table into the bag, instead of putting them into the hollow pockets on both sides as usual .

He went straight to the rented house.

When I got home, I sat idle for a while, and finally decided to call my teacher.

The call was connected quickly, but there was a sound of pushing the door on the other end of the phone, and it was unclear whether it was a meeting or something.

"Master, is it inconvenient for you now? Then I'll call you later." Yang Yifeng respected Professor Ding very much, so when he heard the door being pushed open, he immediately asked.

Professor Ding's hearty voice came from the other end of the phone: "Yi Feng, you called at the right time. You were in a meeting just now. It was boring and nothing substantial. It was just a good time to get some air."

"How is it? In the Eighth Hospital, if you change the environment, you will feel a little better?" Professor Ding's words were full of care and love, as if Yang Yifeng was a disciple.

Yang Yifeng smiled and replied, "It's okay, Master."

"Actually, I called today to ask you something professional. Can you take so long?" Yang Yifeng knew that his teacher was very busy. If the meeting is not rejected, it is not good to leave for a long time.

Professor Ding was a little surprised and said, "You want to ask me some professional questions?"

This made Professor Ding feel a little unusual, you know, as a student, he can be said to be a cheap apprentice.

What is a cheap child?

That is, after entering the master's gate, give him a laboratory, and he can rush out immediately, and he can rush out.He doesn't care about his own project, and sometimes he even has to listen to him to explain the idea of ​​the research project, and then transfer it to other students for reference...

In the clinic, Yang Yifeng watched a few surgeries, and gave him a chance to have one, so he didn't have much chance to intervene or intervene in the whole process.

In addition to the lack of clinical experience, the solid clinical skills and basic knowledge made Professor Ding a little suspicious. Did this Yang Yifeng deliberately conceal his age? An associate professor from another large teaching hospital secretly tested him of Dr.

Didn't teach much, isn't it cheap?

"En!" Yang Yifeng nodded seriously.

"Then you ask. I can't guarantee that I will be able to give you an answer." Professor Ding immediately left a way out for himself.

After Yang Yifeng entered his school, Professor Ding only regarded him as his student for a while at the beginning, and wanted to teach him, but later, Professor Ding felt that he was not only his student, but also a group member. Key members of the family, even working partnerships, are very important.

And there's the master-student relationship, that's all.

Professor Ding can't guarantee that he will be able to answer the questions that stumped Yang Yifeng, because there are many questions, and Yang Yifeng will definitely be able to find information by searching the literature.

Yang Yifeng said casually: "Master, the fracture in our trauma surgery department? There are two treatment methods, manipulative reduction and surgical reduction, right?"

"If I remember correctly, most A-type fractures, a small number of B-type fractures and some very special C-type fractures, can we expect manual reduction?"

Professor Ding frowned at that time: "Yeah!"

"That's it, what's the matter?" Professor Ding suddenly had a bad feeling in his heart.

Why did Yang Yifeng ask himself such a basic question?Most of the graduate students at the Affiliated Hospital of Shonan University know about it?

This is the foundation of the foundation. Sometimes there is no reason to talk about some basic content, and it is so prescribed. If you really want to discuss the basic content in detail, you may not be able to finish it all day and night.

Why is Yang Yifeng struggling with this?

Yang Yifeng continued to ask: "Master, can the type C3.2 fracture be reset manually? Is it an absolute indication for surgery?"

"B2.3 fractures seem to be what we think clinically, and the indications for surgery. I haven't seen any literature or monographs saying that this kind of fracture can be manually reduced."

"Can Evans type IV intertrochanteric fractures be reduced to near anatomical level by PFNA?"

Professor Ding's eyelids twitched instantly, good guy.

Yang Yifeng really began to doubt at the basic level. It's really hard for Professor Ding to answer this question right away, but it's also hard not to answer it.

He frowned and said, "Yifeng, this question is a little too broad. If you have any doubts, our group can hold a discussion meeting within the group and organize the corresponding materials, so we may be able to get the answer."

Yang Yifeng didn't wait for the answer, nor was he discouraged, so he continued to ask: "Master, do you think this is possible?"

"We don't have a systematic theoretical system when we define the indications for surgery and the indications for conservative treatment. Maybe it's wrong?"

"Actually, we expanded the original indications for surgery and narrowed the indications for manual reduction."

"If you want to modify it, master, do you think it is theoretically feasible?"

As soon as Yang Yifeng said this, the expression on the opposite side of Professor Ding immediately jumped——

Dead bird.

Yang Yifeng's child, even though he went to the No. [-] Hospital, still hasn't recovered.

Finally, there is still a problem with the bird!

Modification of surgical indications and contraindications?

child ah!

Not to mention modifying the basic theory, how much energy and how long does it take?

It is very likely that you will be poor for the rest of your life.

This question is actually an unclear account, similar to 3+1 in the field of mathematics!

And it's even more outrageous than 3+1.

Even if you have made something theoretical, you must promote it.

That would be a big problem too!

What is involved in it is not only purely academic and clinical, but also various intricate factors, and it is very likely to cause bloodshed...

Professor Dante can't ignore it.

After pondering for a while, Professor Ding said with concern: "Yi Feng, actually, I am quite familiar with Professor Liu, do you want me to find him in private to chat with you? You don't need to go to the outpatient clinic, and nothing will be left behind." The file will not affect your purchase of insurance in the future."

"Professor Liu? Master, are you referring to Associate Professor Liu Xi from the third orthopedic ward?"

"Does Professor Liu have any research in this area?" Yang Yifeng asked a little puzzled, but considering that his teacher has great energy and influence, and has more knowledge than himself, he didn't doubt that Professor Ding suddenly mentioned Liu What does Professor Xi do.

"It's not a professor of orthopedics, it's Professor Liu Qiaolin from the Psychology Department of the Second Affiliated Hospital of Shonan University. He's very famous..."

Yang Yifeng: "Uh..."

Chapter 87 Special Adventures——Great People Help!

After Zhou Cheng returned to the rented house, he ordered takeaway first, and then went to take a shower.

After taking a shower, the takeaway arrived almost exactly downstairs.After eating, Zhou Cheng was not in a hurry to carry out a new round of simulation, or started to make a simulation plan in a hurry.

Instead, he decided to take a nap first, so that he could recharge his energy before talking.

Sharpening a knife is not a mistake in chopping firewood. If the direction is correct, it will save a lot of time. It is right to be good at making good use of the simulated dungeons and constantly digging dungeons to strengthen yourself.

After a lunch break for nearly an hour, Zhou Chengcheng got up, rubbed his face, and didn't dare to snooze.

Naps are only for nourishing the spirit, not for prolonged sleep. Sleeping to an appropriate level is the best for the recovery of the spirit. If you sleep for too long, you will feel dizzy.

After looking at the thank you value, it is still less than 20, and the second simulation copy cannot be opened.

But Zhou Cheng wasn't in a hurry, he didn't even have a thorough understanding of the fractured copy, if he waited to come back later, it would be a waste of time and times.

There are only five main skills currently available:

【Open reduction and internal fixation of fracture (perfect level)】

【Closed reduction of fracture (perfect - redefined)】

[Open reduction and internal fixation with small incision for fracture (perfect)]

【Bone transport grafting for bone defects (perfect)】

【Joint Dislocation Reduction (Perfect)】

Some other theoretical things, such as the understanding of anatomy, are components of these skills or skills that can be analyzed from these skills.

These five skills basically include conventional and rare fracture treatment methods.

From a normal point of view, it seems that there is no need to continue digging in the fracture instance.

The treatment of fractures is nothing more than either surgery or manual reduction.

In terms of surgery, it is either traditional open reduction and internal fixation, or minimally invasive open reduction and internal fixation. Besides, from the ordinary logic point of view, there seems to be nothing to explore.

But actually, it’s not like that——

The treatment of fractures includes conservative treatment and surgical treatment, but surgical treatment is not the only option of internal fixation surgery!

There are other options, but these treatment modalities will intersect with subdisciplines other than trauma.

For example, there are some special fractures that are not recommended to be treated with ordinary internal fixation.

For example, the femoral neck fracture of the elderly and the avulsion fracture of the intercondylar ridge of the tibial plateau have different treatment methods...

If you want to dig out the dungeon, you have to clarify your thinking.