medical simulator

Chapter 106 Director Yan will also take Zhou Chengge down the alley...

An Ruo said in a low voice: "When she was taking the postgraduate entrance examination, she took the re-examination together with her good friend whom she thought was good. She was admitted, but her friend didn't go ashore, so she turned around and reported her, thinking that she must have left home Relationship……"

"Later, she thought about it. For the first time, she agreed to go with the family and go to the director's graduate school..."

Liu Yan deliberately saw through but didn't expose it, pretending not to know that An Ruo was talking about herself.

Then he touched the back of her hand, nodded and comforted, "Ruoruo, it's all over. You are excellent and you work hard."

"Sister Yan sees it all. Our Ruoruo relies on our own strength and hard work."

"Don't worry about other people's gossip."

An Ruo blinked her eyes, bit her lower lip on her upper teeth, and said, "Some people are obviously very talented, and they can easily get what they want without much effort."

"But he kept saying that he was stupid in his qualifications."

"Do they even know what it means to be stupid?"

"That's why it seems self-defeating when you say it, but it is actually proud and showing off."

"It's people like this that I don't like the most."

Liu Yan sighed when she heard the words, and continued: "Ruoruo, I know what you said."

But then Liu Yan straightened An Ruo's body and met her eyes.

Then he said, "Ruoruo, I know what you said is right."

"I can also understand what you mean. But things need to be treated dialectically."

"This Zhou Cheng in the Department of Orthopedics, he took the postgraduate entrance examination three times, but he didn't get to go ashore."

"Then think about it from his position. As far as he is concerned, besides finding himself stupid, what other reasons can he find to explain all this?"

"The strength is not enough? The foundation is not solid?"

"Is it because he has a good foundation that he doesn't want to improve his education?"

An Ruo suddenly reacted.

Oh yes!

Zhou Cheng is a resident doctor included in the standardized training of social residents!
He is not a graduate student!

The key point is that he is not the kind of arrogant genius who didn't take the initiative to take the postgraduate entrance examination.

What if what I understand is correct, Zhou Cheng has the strength and foundation, and can pass the initial test, but he failed the Waterloo test three times?
Why is that?
Zhou Cheng didn't find the reason from himself.

Can you put it more bluntly?

For her, An Ruo, once the ability and score are achieved, everything will come naturally.

But that's her...

An Ruo opened his mouth, as if struck by lightning.

This……

The corners of An Ruo's mouth trembled for a long time, but he still couldn't say a word.

Unconsciously, there is a subtle thought in my heart, it seems that, compared to a person with poor qualifications like myself——

The slow progress of learning is a bit slow, but the goal can be achieved by accumulating time.

Zhou Cheng's kind seems to be more unacceptable, and if you want to find the reason, the reason behind it is too sensitive and too real...

"Sister Yan." An Ruo suddenly felt a little uncomfortable, looking at Liu Yan a little at a loss.

"It's over." Liu Yan patted An Ruo on the shoulder, shaking her head to signal her to stop talking...

"Director Zeng, why don't I see you off?" Zhou Cheng opened the car door for Zeng Yi, and offered to take Zeng Yi home, but was rejected.

Zeng Yi waved his hand and said, "Xiao Zhou, get in the car and go back. Today's quantity is not much, and I'm not drunk. What do I want you to do for me?"

"Go back and have a good rest. Don't think too much."

"Next time I will find a suitable time and ask my student to apologize to you."

"No, no, no." Zhou Cheng waved his hands again and again, and then got back into the car, said goodbye to Zeng Yi, and told the master his destination again.

Soon after reaching the downstairs of his community, Zhou Cheng paid the extra amount directly according to the amount reported by the driver, thanked him and went upstairs.

When I got home, I took a good wash first, and then I lay down on the bed, frowning and thinking.

Zhou Cheng was a little puzzled.

It feels a little strange what happened today.

If Ding Changle was not interested in him, the operation today would not exist at all.

But today the operation was also done, but Ding Changle didn't mention anything about the follow-up. Instead, when Associate Professor Qin Tianzhu mentioned it, Ding Changle was startled.

It seems that I am still too optimistic, so I feel that there are actually many paths I can choose.

Maybe it was because when I was chatting with Ding Changle today, I got too deep into the drama and went too far.

While Zhou Cheng was contemplating, suddenly a notification tone sounded from the phone.

I took it out and saw that there was an unread message on the WeChat interface, and it displayed a notification to apply for adding a friend.

The screen name is mananmanan!

There is also a note application: Hello, Dr. Zhou, I am An Ruo from the Department of Anesthesiology.

The girl with a brain problem?
After hesitating for a while, Zhou Cheng still chose to agree to the friend's application, and at the same time replied with a note: Zhou Cheng.

After the friend application was approved, it automatically jumped to the chat interface, and Zhou Cheng saw the prompt that the other party was typing.

"Hello, Doctor Zhou, I'm An Ruo."

"I'm very sorry about what happened this afternoon!"

"I want to treat you to a meal and apologize to you in person." An Ruo said proactively.

After reading it, Zhou Cheng was taken aback.

This girl usually speaks so straightforwardly, straight to the point, doesn't she know how to go round and round?
Is an apology and a meal equated?
Still politely replied: "It's okay, Dr. An. Don't you have to eat? It's okay."

"There may be something wrong with what I said, which is why there was a misunderstanding."

After replying, Zhou Cheng sat up straight, stretched his chest with both hands, and said to himself: "Continue to design the simulation plan!"

"If the east is not bright and the west is bright, there is always a way for me, Zhou Cheng, to choose."

"If you don't go to graduate school, don't take the Ph.D. and you won't die, at least you can stay in the Eighth Hospital..."

Sitting on the desk, Zhou Cheng looked at the handwriting on the note written a few days ago: Postgraduate Exam Registration Time: 10/10-10/20!

Today's time: 10/13!

Target institution: The Affiliated Hospital of Shonan University.

After reading it, Zhou Cheng tore off the sticky note, then threw it into the trash can next to him, silently opened the registration page on the computer, and randomly selected his volunteer as a hospital affiliated to Kyoto University.

After determining the procedures for voluntary changes along the way.

He didn't even look at it, and then directly closed the volunteer confirmation interface.

Anyway, just play.

……

After this, Zhou Cheng started the simulation again.

I looked at the skill panel in the simulator.

【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)】

【Total Hip Replacement (General)】

【Arthroscopy (Skilled) (Shoulder, Wrist, Knee)】

[Screw internal fixation of tibial plateau intercondylar spine fracture under knee arthroscopy (common)]

[Repair of TFCC injury under wrist arthroscopy (skilled)]

【Shoulder joint Hill-Sach, Bankart injury repair (common)】

The additional skills are shoulder arthroscopic examination and repair of fracture-related Hill-Sach and Bankart injuries in the shoulder joint obtained through simulation yesterday.

Rotator cuff injury is definitely a hot spot in the field of sports medicine, although in the fracture copy, it is not very good to simulate the corresponding skills of sports medicine.

However, special injuries in rotator cuff injuries, such as Hill-Sach and Bankart injuries, are actually accompanied by the diagnosis of fractures.

Originally, what Zhou Cheng planned to simulate today was still the skills corresponding to the corresponding special fractures.

However, the plan cannot keep up with the changes. Although Professor Ding Changle did not promise him that he could go to graduate school today, Professor Ding mentioned such a concept in the process of communicating with him——

A broken bone doesn't have to be a total evil!

On the contrary, in some special cases, because of the characteristic that fractures can heal completely, we can artificially create fractures to treat some diseases.

This concept is extremely novel.

Although I don't know if what Professor Ding said is bragging, or if it is true.

But these were thoughts that Zhou Cheng had never thought of before.

yes?

Who stipulated that a fracture must be harmful?
Fracture can not be used for treatment?

Although this argument itself is contradictory, it even makes ordinary people find it unbelievable.

Break someone's bones?Can it be called healing?

But medicine itself is boundless. This is a line of thought that can be studied carefully. Anyway, the simulator can continue to trial and error.

Of course, if you want to simulate in this direction, you must first figure out how to treat fractures and the current research progress. This requires a little bit of data collection.

This preparatory work will not take a short time.

Therefore, Zhou Chengcheng soon fell into immersive learning.

……

At about six o'clock in the evening, Zhou Chengcai was interrupted by the continuous shock generated by Cai Dongfan's phone call, which interrupted his study in the middle.

After Zhou Cheng answered the phone, Cai Dongfan said, "Zhou Cheng, have you returned home now?"

"How much did it cost to take a taxi? I'll transfer it to you."

Although Zhou Cheng told Zeng Yi that it was Cai Dongfan's reimbursement, Zhou Cheng never really thought about asking Cai Dongfan for the taxi fare: "Mr. Cai, the taxi fare is not much, forget it. Are you back too?"

Although there are many, but not many.How much did Cai Dongfan lose his wallet just to help him?
Cai Dongfan was a little unhappy: "If you want to say the number, just say the number, why are there so many things?"

"Just arrived home."

"I have good news for you. When I sent Professor Ding off the bus, Professor Ding said that he would find time to arrange a time for you and give you a chance to show off."

"If you can afford this show time, then the authorization of your surgery will surely come to fruition." Cai Dongfan said to Zhou Cheng in a joyful tone.

"Aha?"

Zhou Cheng was overjoyed when he heard the words: "Director Cai, is what you said true? Professor Ding is really willing to arrange for me to obtain Level III surgical authority in advance?"

It can be said that compared to becoming a student of Professor Ding, Zhou Cheng felt that if Ding Changle was willing to arrange for him the authorization of Class III surgery in advance, it would be more helpful and improved for him.

The reason why Zhou Cheng wanted to take the postgraduate entrance examination and study for a Ph. D. was actually because he wanted to borrow the platform of these professors.As for really wanting to learn too much from them personally, it is not that important that Zhou Cheng can learn from the world through the simulator copy now.

This is great news.

Cai Dongfan also said in a bright tone: "Yes! It is the authorization of Class III surgery, which is also the authorization of your age group!"

"You know, Yang Yifeng is a direct student of Professor Ding, and he has only obtained a level III surgical authorization."

"Besides, just tomorrow, you will fill out a surgery authorization application form for a level II surgery, and I will go to the medical department to authorize the operation for a level II surgery first."

"The authorization of Level II surgery requires three people with titles of deputy senior and above in our department to form an authorization assessment team. Presumably with the support and participation of Professor Ding Changle, it is absolutely impossible for Director Yan Hahan and Director Hu to get stuck here." looking at you."

"I'll discuss it with Director Yan and Director Hu at that time, and prepare a few cases for you. You can't let me lose the chain."

Cai Dongfan confessed seriously.

The authorization of surgery must be carried out level by level, step by step, and only after the authorization of level I surgery and level II surgery has been obtained can Ding Changle support the authorization of level III surgery.

"Okay, Teacher Cai, I will do my best, and I won't hold you back or let you down." Zhou Cheng immediately promised.

Obtaining the operation permission in advance, whether it is for his simulation in the dungeon, or for doing some new things in the department later, is the foundation. The sooner you get it, the sooner Zhou Cheng can carry it out.

Because just now, Zhou Cheng checked some regulations.

Graduate students and doctoral students do not necessarily have to take the exam to get...

Cai Dongfan smiled and said, "Take a good rest, tomorrow is not our surgery day anyway."

"By the way, you will be on duty the day after tomorrow, right?" Cai Dongfan asked.

"Well, Teacher Cai, I'll be on duty the day after tomorrow." Zhou Cheng nodded, and he was in a good mood at the moment.

Although Ding Changle couldn't get Ding Changle to agree to study as a graduate student, he got something more difficult. This is a surprise.

However, Zhou Cheng didn't want to understand. In fact, it was easier and easier to accept him as a student than to give him a surgical authorization to arrange a Class III surgery. Why was Ding Changle still frightened at that time?
Zhou Cheng couldn't figure it out.

Cai Dongfan immediately said: "I just discussed it with Professor Ding and Professor Qin. Whether it is a fracture or a joint dislocation, it is absolutely right to give priority to manual reduction."

"To apply for a surgical authorization for level II surgery, a certain number of operations for level I surgery is required, and the number is not required to be large."

"You have the bottom line in your heart. After you have a good communication with Luo Yun, you can be a little more courageous."

"Strive to send all patients back from the emergency department."

Zhou Cheng was taken aback when he heard Cai Dongfan's explicit statement, and asked, "Huh? Teacher Cai, is this appropriate?"

If I had the guts to go bigger?

Don't be scared.

"What's inappropriate?" Cai Dongfan said with a hearty tone:
"Professor Ding Changle took the initiative to call Director Yan. Director Yan will never embarrass you because of this matter again. Whether it is a joint dislocation or a fracture, as long as it is a conservative treatment related to orthopedics."

"I have met it, I can do it! I am sure to do it!"

"Then do it."

"Of course, the premise is that you can't be brave and reluctant. You can't just chop everyone up just to do it." Cai Dongfan still confessed a little more, because he was afraid that Zhou Cheng would get high and forget who he was, and drag the patient to the ward. Reset, and then something happens.

Professor Ding, Ollie here!
As expected of Professor Ding, the current head of trauma surgery has great energy, and Yan Hanhan won't care too much about a phone call.If such an influential figure can be his own teacher, then?

But don't push yourself too hard, the master-student matter is all about fate.

Zhou Cheng replied immediately: "Okay, Teacher Cai, I understand. I will definitely report to Teacher Luo and you in detail."

Most of the patients are treated with manipulative reduction in the clinic, and the treatment effect is immediate. This is a way to gain gratitude more quickly than performing surgery on the patient.

After all, for Grade III surgeries or above in the department, patients would naturally think that it was Cai Dongfan who performed the surgery.

It was impossible for Zhou Cheng to take the initiative to explain to the patient. Even in the operating room, it was Zhou Cheng who did the manipulation reset, and everyone would take it for granted that it was Cai Dongfan.

This is human nature, but emergency patients are different.

In this way, enough gratitude can be quickly obtained to open the second copy.

With more copies, Zhou Cheng can better plan different simulation arrangements, and by then, he will be able to consolidate his orthopedic foundation.Although at present I seem to be on the fracture of the trauma, I have achieved quite a lot.

But trauma is more than just broken bones.

"You are quite reliable in doing things. No matter it is the procedure, you are clear and understand, so I won't go into too much detail."

When Cai Dongfan said this, he reminded again intentionally or unintentionally: "Zhou Cheng."

"The Zeng director of the anesthesiology department told me what happened after I left. I think we should look at this kind of thing separately."

"You are a man, and Dr. An is a girl. Girls' emotions are generally quite sensitive and inexplicable. It is difficult for us men to get to that point. You should be a little more generous. Don't get angry with her, and don't give others later What kind of face do you have?"

"Men, it's better to be generous!"

Zhou Cheng hurriedly said, "Huh? Teacher Cai."

"I'm not angry? I've only been reading since I got back, and I'm in pretty good shape. I'm really not angry."

Cai Dongfan grunted for a while, and then said, "If you're not angry with her, why don't you reply to her message?"

"It's been hanging out for several hours. Modern people don't know that their mobile phones are always at hand."

"They all called me."

"Besides, it's not bad for you to take the initiative to chat with girls." Cai Dongfan reminded.

I secretly thought in my heart, Xiao Zhou, if you can take down this little cabbage, you can save at least 30 years of struggle.

"Ah? Oh!"

Then Zhou Cheng suddenly realized and said: "Ms. Cai, I was reading just now, and I am used to reading without my mobile phone. I didn't mean not to reply, I will return right away."

It's really not Zhou Cheng's fault, he didn't have the habit of keeping his mobile phone at hand while reading, and he habitually muted it.

The day before yesterday was the only time I let it go.

That's because I knew that there were a lot of emergency patients in the department, so I deliberately put them at hand, waiting for the call from the department, so as not to find someone when I was looking for someone.

Zhou Chenglian stood up and took the phone.

After looking at it, it was astonishing that after he replied to An Ruo, An Ruo sent him a reply a few minutes later.

"Doctor Zhou, if you don't want to eat, I'll book a seat in the coffee shop. I'll treat you to coffee and apologize in person, okay?"

Two 10 minutes later.

An Ruo continued to answer questions.

"Doctor Zhou? I'm here."

"Address positioning."

"Seat number: 17."

two hours later.

An Ruo replied again: "I'm sorry..."

Little bit and then no more.

I am O!
After reading it, Zhou Cheng scratched his head, and quickly wrote back: "Doctor An, um, are you still in the coffee shop?"

"I just went to read a book. If Director Cai hadn't called me, I wouldn't have picked up my phone. Sorry?"

At the same time, I muttered in my heart, girl, why are you so straight, at least turn the corner!
I haven't even agreed to say what I say, so you just wait and do things so vigorously, okay?

No wonder Cai Dongfan hit me on purpose.

An Ruo replied: "I'm still here. My plan is to wait until nine o'clock. If you haven't come, I can only go back by myself."

"Did that interrupt your study?" An Ruo then replied seriously, she didn't like to be disturbed when she was studying.

"No, why don't you wait for me in the coffee shop first? I'll be right over." Zhou Cheng quickly changed out of his pajamas, put on a set of clean clothes and went out.

……

After Zhou Cheng and An Ruo talked about the matter, they returned home quickly. After Zhou Cheng carefully simulated three times, although he was well-prepared, there was no unexpected gain. He still only got the mosaic bone grafting (normal), Broken Bone Growth Rod Regulation (Normal) level skill!
Later Zhou Cheng fell into a deep sleep.

Early the next day.

Zhou Cheng still came to the department early, it was only [-]:[-], which is quite early.

It just so happened that Zhang Zhengquan didn't come to the department, and after he glanced at the office, there was still room.

He hurriedly went to the lounge to change his work clothes, and when he was about to go to the office to look at the medical records, suddenly a person came out from the director's office, and came to meet Zhou Cheng.

He smiled and said, "That? Xiao Zhou? Are you free? I want to talk to you."

Zhou Cheng was surprised, so early?Why did Yan Haihan come to the department?
"Ah~?" Zhou Cheng was surprised, isn't this Yan Hanhan?What did he talk to me about?
"Is it inconvenient?" Yan Haihan had an amiable expression.

"It's convenient, Director Yan. It's convenient." Zhou Cheng nodded immediately.

After all, Yan Haihan is the director of the ward, so if it is inconvenient, it can only be said to be convenient.

As Yan Haihan walked into the passage leading to the walking ladder next to the director's office...

Zhang Zhengquan, who happened to come to the department, just grabbed the wall at this time, stretched out his head, shuddered, and muttered to himself in a low voice: "I'm abducted, Director Yan also pulled Brother Zhou Cheng into the alley?!"

"How broad and diligent is Zhou Cheng's business scope?"

"Doesn't he know he's tired?"

Zhang Zhengquan was agitated, thinking that sometimes being handsome is not a good thing.

(End of this chapter)