medical simulator

After hearing this, Zhou Cheng immediately asked, "Isn't it?"

"The three of them are iron brothers who came from the first ward of orthopedics!"

"It's very strong. Even the deputy director Dong Qiansheng is a latecomer. The current orthopedic second ward was developed by the old director and the three of them. A group of people originally came. But they see that the benefits of the second orthopedic ward are not very good."

"Turn back to Director Zeng and go back to the orthopedic ward."

"The three of them have been staying here all the time, and it's only at this scale."

After Luo Yun threw a meaningful sentence to Zhou Cheng, he opened the door and walked into the department, leaving Zhou Cheng alone to meditate for a long time...

But soon, Zhou Chengcheng walked into the department again.

While walking, I felt my phone vibrate.

He discovered that Luo Yun had edited a separate message for him, not a WeChat message, but a serious mobile phone message that Zhou Cheng hadn't seen for a long time.

"Zhou Cheng, in the future, you will follow me to do joint dislocation resets. Before you officially become an employee in the department, I will give you some performance. There won't be many."

"We'll discuss this matter after you officially stay in the department."

"Don't refuse, don't go back."

"Permanently delete after reading!"

After reading it, Zhou Cheng immediately deleted the information, and then walked into the department as if nothing had happened.

Inside, Zhang Zhengquan was prescribing medical orders and writing medical records. After seeing Zhou Cheng, he said very politely, "Brother Zhou Cheng, do you want to have lunch together?"

Last time Zhou Cheng got the chance to be the host, so he treated him to a treat.

He and Du Yanjun were given private lessons by Cai Dongfan yesterday, so they should come back.

Zhou Cheng hurriedly replied: "I still have something to do, so I won't eat together! You go invite Yan Jun together."

Zhou Cheng had an operation in the afternoon, and it was still not easy to tell Du Yanjun and Zhang Zhengquan about the operation, so naturally he could only shirk it.

"Well, okay, let's get together in two days, this time I invite you." Du Yanjun was very generous in front of the landlord, with the expression of waiting to be beaten...

At [-]:[-] noon, Zhou Chengcheng and Cai Dongfan went down to the operating room.

At this moment, Zeng Yi and An Ruo had just finished anesthesia for the first operation in the general surgery department. Zeng Yi was about to go to eat, and then came back to take An Ruo's turn to eat in the operating room.

Cai Dongfan stepped on the door and found Zeng Yi.

Said: "Director Zeng, Professor Ding and I agreed that the opening time is [-]:[-]."

"We need to make preparations for Professor Ding to open the stage at any time when he arrives in the operating room before [-]:[-]. Please understand."

"We've already taken the patient into the operating room, and it's going to be hard for you to get an anesthesia."

"You and your students haven't eaten yet, right? Why don't you eat it first? We'll go eat together after the operation. Xiao Zhou and I haven't eaten either."

Hearing this, Zeng Yi still hadn't reacted. An Ruo, who was extubating the patient and replacing it with artificial ventilation, twitched immediately. At that time, her feet became unsteady and staggered.

I said in my heart, it's over, it's over, it's over.

Let's just say orthopedics is toxic.

This is not even eaten...

Zeng Yi thought it over, and decided to agree with Cai Dongfan's statement.

If it's really what Cai Dongfan said, and the show must start on time at [-]:[-], then he is really going to give the patient anesthesia first.

Then Cai Dongfan and Zhou Cheng had to complete a series of preoperative preparations such as preoperative disinfection and draping in advance, so that as soon as Professor Ding Changle entered the operating room, he could immediately get the knife and start the operation.

More time to prepare, less panic, and Professor Ding will not feel that they can't even do a good job of preoperative preparation for one operation. This means that the entire hospital process is not smooth.

"Okay, Director Cai, then I'll get ready right away."

"Ruoruo, send the patient to the recovery room first, and then immediately come to the 14th room to help. I have already handed over the follow-up anesthesia work in this operating room."

"Director Cai, the patient is in Room 14, right?"

"Yeah!" Cai Dongfan nodded and said, "Thank you for your hard work, Director Zeng. I will definitely treat you and your students to a good meal later to express my gratitude."

"Let's do things first." Zeng Yi doesn't pay too much attention to what he eats. When working, doing a good job is the first priority.

But An Ruo, who was pushing the patient out and squeezed the green balloon for artificial ventilation, felt a little hopeful in his heart.

Want something delicious?

It’s okay to not eat at noon and keep the stomach, but I don’t know if I will gain weight after eating.

101.11!

Finally lost 0.43 catties.

My fleshy--

They miss me again, are they going to come back to me again?

Forget it, eat something delicious first.

Because Cai Dongfan didn't even bring Luo Yun with him today, he personally cooperated with Zhou Cheng in arranging the pre-operation work in the operating room.

After Zhou Cheng and the hand-washing nurses had finished the preparatory work of disinfecting and laying towels, and wrapped the legs tightly with sterile film on the knee joint and other surgical sites.

Only then did Cai Dongfan hurriedly look at the time, and confessed to the people in the operating room: "Xiao Xun, please check if the bags that may be used in the operation and the instruments I mentioned are all there."

"Liu Yan, please work hard, count the number of equipment on the stage with Xun Xun, don't count gauze and pliers after Professor Ding comes."

"In addition, keep the key instruments in the operation ready at any time. To ensure orderly removal and removal, the operation process must be very smooth."

"I inquired about it. Usually, when Professor Ding is doing surgery, there are occasionally two equipment nurses who work with him. The operation process is very fast."

"We don't want to do it so fast, but we have to know it well."

Liu Yan is a specialist nurse in the orthopedics department, so she was called as an instrument nurse, and a nurse from the operating room was randomly called to do the tour. .

Then he looked at Zhou Cheng, and said earnestly: "Zhou Cheng, you are ready to open the stage at any time, put the electric knife and suction device back in place one by one, don't make a mess, don't be nervous..."

Zhou Cheng nodded, he didn't feel too nervous, but he felt that Cai Dongfan seemed to be more nervous than him as the chief surgeon.

Zhou Cheng inspected around and found that all the things that should be prepared have been prepared, and the inner curved opening of the patella can be cut at any time, and the intramedullary nail can be reversed.

And for the convenience of Professor Ding's evaluation, even the C-arm machine has been put on a sterile cover, ready for the pre-operative shooting work at any time.

The preparations are all ready, just waiting for Professor Ding to arrive...

In front of the anesthesia monitor, Zeng Yi, the old one, and An Ruo, the young one, didn't dare to play with their mobile phones, and kept their eyes on the data changes on the monitor, not daring to be careless in the slightest!

An Ruo also occasionally adjusted the speed of the infusion to avoid too fast infusion and high blood pressure, which would affect the surgical field during the operation.

Strictly control blood pressure, this is an advanced theory that she learned from her teacher recently.

I heard that top professors of anesthesiology can control the blood pressure of the entire surgical patient near the shock blood pressure, which can minimize the amount of bleeding, avoid blood loss, and facilitate the operation of the surgical team.

But she and Zeng Yi did not dare to go to such a limit, and controlled the high pressure around 100/70mmHg.

……

Ten minutes later, the time moved toward 10:37 pm.

Cai Dongfan led a person into the operating room just now, but Cai Dongfan's eyes were a little strange, although he still greeted politely: "Professor Qin, please come inside. Please come inside, we have already done a complete job." The preoperative preparations are over. Would you like to check it out, is there anything missing?"

Hearing Cai Dongfan's name, the expressions of the people in the operating room varied.

Zhou Cheng, Zeng Yi and others all looked puzzled, shouldn't it be Professor Ding?Why did Professor Qin appear out of nowhere?

Who is this?

Liu Yan and the itinerant nurse immediately concentrated on preparing for the battle, because they only knew that a professor from an outer hospital would come to the stage today, and they didn't know anything else.

And Cai Dongfan naturally didn't tell them about these things in order to avoid disputes.

Qin Tianzhu walked into the operating room and took a casual look. Even the C-arm machine was already in place. He was only waiting to take another real-time plain film before the operation. The work has been done extremely meticulously.”

"This is the most well-prepared preoperative preparation I have seen in a few times. Let's wash our hands and go on stage."

"Okay!" Cai Dongfan didn't say much, but thought to himself.

Of course, I prepared this for Professor Ding. You Qin Tianzhu is just a doctor who has just been promoted to associate professor for less than a year. If you go outside for consultation and surgery, they will be so cautious?

Naturally, it was impossible to say this.

The two entered the door, and with the help of the itinerant nurse, they quickly put on the sterile surgical gown.

Then Qin Tianzhu said: "Let's take a photo first and evaluate whether there is any difference from the pre-operative radiograph taken in the radiology department."

This is a loss. It is very likely that the state of the fracture at the time of the operation is different from the preoperative examination done at the time of admission.

Cai Dongfan was very careful and considerate.

Everyone retreated, and after the C-arm saw through, the fracture was displayed on the outside display screen.

Fracture of the middle part of the femur, the same as the results of the plain film of the preoperative examination——

The itinerant nurse had already pushed down the C-arm machine and reached the edge of the operating room, vacating the position of the chief surgeon.

Everyone looked at Qin Tianzhu eagerly.

Qin Tianzhu asked Cai Dongfan: "Director Cai, I think it's time to start the stage. What do you think? This situation is similar to what we expected."

I guess I don't want to waste time.

Cai Dongfan's heart twitches, how much time can it delay you?You are in such a hurry, Professor Ding is not as anxious as you.

It's like you're wasting your life by coming here.

Cai Dongfan looked at Zhou Cheng.

Zhou Cheng nodded and said, "Let's start, Director Cai!"

Then, Zhou Cheng walked towards the chief surgeon in an orderly manner under the surprised eyes of everyone.

Say to equipment nurse Liu Yan: "Sister Yan, round knife."

Liu Yan is stupid!

He looked at Cai Dongfan and Qin Tianzhu, but Qin Tianzhu naturally took the first assistant position, and Cai Dongfan was in the third assistant position, leaving a second assistant position...

"Liu Yan, give Zhou Cheng the round knife!" Cai Dongfan ordered after seeing that Liu Yan was not moving.

"Oh!" Liu Yan was so shocked that her scalp felt a little numb at the moment. Although she didn't know why it happened, Director Cai Dongfan and Professor Qin from the outer courtyard seemed to agree to this, and it was hard for her to make any mistakes.

After Zhou Cheng got the sharp knife, he made a small arc-shaped incision very quickly.

When it was only broken under the skin, he immediately turned on the electric knife and said to Cai Dongfan, "Mr. Cai, help me..."

The surgery really went on like this.

An Ruo looked at Zeng Yi blankly at this moment, and found that Zeng Yi had also become a "stupid" person, so he guessed that his teacher didn't know about it at all.

Then he asked in a low voice: "Teacher, is this appropriate?"

Zeng Yi shivered all over, his back felt a little cold, his feet were a little numb, and he shook his head: "I don't know."

This Cai Dongfan's coquettish operation really can't control him. With so many people working with him, are they all preparing for Zhou Cheng, a small-scale trainee?

However, Professor Qin from the outer hospital didn't know who it was, and he didn't say much. How could he force it?

An Ruo stopped embarrassing her teacher, curled her lips, and muttered secretly.

Hmph, let us be hungry just to give the little orthopedic doctor a chance, Cai Dongfan is so arrogant.

Qin Tianzhu felt quite shocked when he saw Zhou Cheng's movements of continuously penetrating into the joint cavity to expose the intercondylar fossa of the femur. There seems to be something about this young man!

The resulting surgical field is very refreshing, just like a tourniquet, without much bleeding.Moreover, there was no trace of the electric knife cutting the edge of the incision.

In order to reduce bleeding, some doctors don't smell like barbecue when using electric knife.

It was scorched and burnt, it was dark, lumpy, it looked disgusting, and it burned the small blood vessels on the edge of the incision...

But if the degree is well controlled, it can achieve a good hemostatic effect, and protect these small blood vessels, which is conducive to the later recovery of the wound.

This time it was not in vain, it was finally a process of speaking that was acceptable.

The hands are skilled and meticulous, but the speed is not slow at all. In just two to three minutes, the intercondylar fossa of the joint cavity was exposed.

After roughly looking at it, Zhou Chengcheng said to Liu Yan: "The gag..."

Liu Yan handed it over.

Qin Tianzhu thought secretly, this kind of speed, this kind of methodical, unarrogant and unimpetuous operation process is really rare. This young man deserves him to make a trip for Professor Ding in advance to evaluate his operation.

"Small reamer..."