medical simulator

Chapter 122 We Eat and Cry Devil Them (please subscribe!)
At present, Huaguo's definition of surgical grade is from the perspective of trauma surgery, at least from the definition of fracture.

It is defined according to the surgical method and the location of the fracture.

There are not many definitions of class II surgery.

To sum up, nothing more than a few.

Key words: simple long bone fracture, non-intramedullary nail fixation.

In addition, there is no strict and detailed classification.

The fracture must first be classified.

Once the type of fracture changes, the grade of surgery will increase.

For example, if a simple fracture becomes a complex fracture, or becomes a fracture involving the articular surface, then the surgical grade will be automatically upgraded to a grade III operation.

Similarly, the level of surgery is also related to the internal fixation method.

For simple fractures, if you choose internal fixation with plates and screws, it is a class II operation, but if you use intramedullary nail internal fixation, it is a class III operation.

This is the strict definition.

Wang Yongjin and the others have worked in orthopedic trauma for so many years, so naturally they don't need Zhou Cheng to endorse in front of them.

And this endorsement is really memorizing textbooks, not to blame them.

It's just that they only thought that Zhou Cheng would fix the fracture of the medial malleolus with steel plates and screws, and they'd be done.

But what about Zhou Cheng?

he?
He he he.

Wang Yongjin had a bitter face and almost lost his footing, mainly because he was pissed off by Zhou Cheng.

He even thought about a lot of reasons why Zhou Cheng would suddenly change the operation method, and even Zhou Cheng said to him that he was showing off his skills just now, and he made a small incision on purpose.

That's all good, Wang Yongjin is also willing to stand up for Zhou Cheng with his old face, and endorse in front of Dou Chengpeng.

It may be a little presumptuous for young people to say that there are big directors like us, and feel that someone is covering the bottom line.

This makes sense. With superiors present, subordinate doctors have confidence. Isn’t this the case all over the country?Isn't this the case all over the world?
Can?
What Wang Yongjin never expected was that Zhou Cheng actually?

In addition to being very skilled in his hands, he also has a thorough understanding of the definition of orthopedic surgery——

Then, find a way to exonerate yourself.

For medial malleolus fractures, the classification cannot be generally divided into simple and complex classifications, which is the professional knowledge of orthopedics.Although the patient's fracture is simple, it still involves the articular surface, by definition.

Indeed, if internal fixation with plate and screw is used, it should be classified as a third-level operation.

But the current guidelines don’t have such a strict classification on this. If you don’t tell me, we won’t sell you. Who can trouble you?

What is Zhou Cheng's current internal fixation method?

It is screw internal fixation, which is an absolute grade II operation.

According to the existing definition, it is definitely not classified as the kind that goes to III level surgery.

It is impossible to put a screw, so it is classified as a grade III operation, right?
Because ah, surgery is graded, except that the professional title of the instructing doctor is consistent with the positioning of the surgery, and there is no need to skip surgery.

It is also related to the pricing of the surgical method. It is indeed a bit too much for a screw to be charged according to Class III surgery...

So, therefore, soso!

To sum it up -

What Zhou Cheng did was not making trouble out of no reason, nor was it some kind of show off.It's that he's covering for himself from the bottom up!
He uses headless compression screws and is strictly at the controlled surgical level! ! !

I am only authorized for class II surgery today, and I will only do class II surgery.

do you know?

He's at the control surgery level—

The operation has been downgraded, what is this doing?

This is a leak in the definition of the level of orthopedic surgery by the current expert team in Huaguo...

From another level, for the sake of safety, he first made himself invincible.

You want me to have a level II operation, but the patient you arranged for me was wrong...

But it doesn't matter, I have used my own strength to force the wrong patient to apply for the second-level operation, so I won't cause you any trouble.

Wang Yongjin and others who could understand what Zhou Cheng was saying were really speechless.

Zhou Cheng's explanation made me feel a little confused——

Dou Chengpeng didn't quite understand, so he turned around and asked Wang Yongjin: "So? Director Wang? What level is the operation just now?"

"Isn't it?" Dou Chengpeng didn't dare to say it out. Although he was certain that the patient would not be able to hear it, the patient was not completely anesthetized. If he listened to these things and reported Zhou Cheng, he would definitely be dead.

It is wrong to do well.

The resident doctor leapfrogged to perform a class III operation. Hearing this, Dou Chengpeng's scalp felt numb. Once the wind and rain came out.

The eighth hospital is going to be famous.

After a while, Wang Yongjin gradually regained his composure, and quickly shook his head and said, "No, no, Chief Dou, this is not a class III operation, it is definitely a class II operation."

"If screwing can be regarded as a grade III operation, then it will be too easy for our orthopedic doctors to make money."

"I dare not say that."

He said so in his mouth, but in his heart, he secretly classified Zhou Cheng's operation as a level IV operation.

Because although there is no definition in the manuals of Huaguo at present, according to Luo Yun, it is estimated that there is no such definition in the guides of the whole world, so from another level, it is a new technique.

However, the tools Zhou Cheng used were ready-made, and he just took advantage of such a trap. Others can't say that it was Class IV surgery and new surgery that came to Zhou Cheng's trouble.

this young man.

Dou Chengpeng breathed a sigh of relief, and replied: "That's good, that's good over there."

Then he smiled and looked at Wang Yongjin, before turning the topic to the serious business.

"Then Director Wang, the degree of completion of this operation? How should I rate it?" Dou Chengpeng was seriously asking for advice, and everything was still based on the directors of the Department of Orthopedics.

Anyway, if there is a problem in the future, I will look for them.

"I think I'll give it ninety points first."

"Zeng Yi, Yan Hanhan, you said it?" Wang Yongjin didn't dare to speak too much.

For the development and promotion of new techniques, many procedures are required. At present, we should not make too much publicity. We need to promote the procedures after the procedures are correct.

Otherwise, if Zhou Cheng was praised too much in advance and something went wrong when going through the procedure, it would be Zhou Cheng's harm.

I also hope that Zhou Cheng will not be too proud and complacent, even arrogant.

But according to what Zhou Cheng said so far, he is definitely not a proud and complacent person, but has settled down to the bones of the tortoise.

Where did Zeng Yi and Yan Haihan dare to say anything, they naturally obeyed.Agreeing with Zeng Yi's statement: "I also think that if you give [-] to [-] points, it will be considered as a successful operation, and that's enough."

Because no, so I dare not call the operation process perfect, this is prudence.

Some clinical operations may seem gorgeous, but whether they are useful or not depends on the results of follow-up visits rather than personal evaluation.

In the long river of history, there have been many new surgical techniques, all of which were short-lived, and many patients and doctors have paid a painful price. This is how the professional ethics committee was born...

Zeng Yi and the others didn't dare to go beyond this learning to do things recklessly.

He could only wait for Zhou Cheng's level-II surgical authorization first, then think about the small incision, open reduction and internal fixation that Zhou Cheng did today in detail, and then try to find a way to go through the approval process of the Ethics Society.

"Then I will listen to Director Zeng and give it [-] points." Dou Chengpeng is also willing to be an adult.

Since both Director Wang Yongjin and Director Zeng Yi felt that this operation was done extremely well, they explained the main points of this operation during the analysis just now.

The articular surface is smooth and the fracture line is hidden, which is a high-quality follow-up performance after surgery.

After this, Cai Dongfan led Zeng Yi and others downstairs to rest again.

Of course, in the process of going downstairs, Cai Dongfan was deliberately asked in detail by Yan Haihan and Zeng Yi about Zhou Cheng's performance in the department on weekdays.

Cai Dongfan said: "Xiao Zhou has always been a steady person."

"In the past two years, I haven't found any abnormalities in him. Moreover, before I granted him the level I surgery and operation authority, he never handled a single patient himself. All the emergency patients were given to Luo Yun. Call."

Wang Yongjin and the others took a deep breath when they heard the words.

He said with some horror: "Then this young man is really calm enough."

Then Wang Yongjin turned his head to look at Zeng Yi, cursed and asked: "Zeng Yi, how is it? Is what I told you right?"

"In this world, most of the geniuses who can go further are walking within the rules, and walking very well, and then stand out?"

"Do you think about that frizzy hozen look when you and I were together?"

"I just thought about the level III surgery after only a few level II surgeries, and now I feel powerless, right?"

"Your work on raising your temper is not as good as that of a young boy in his twenties."

When Zeng Yi was scolded, he immediately felt quite innocent, but when he thought about Zhou Cheng's matter, he muttered, "He's not stable, he can be called obscene."

Wang Yongjin immediately scolded: "What is obscene?"

"What is recklessness?"

"Can you explain it to me in detail?"

Zeng Yi stopped talking, and bowed his head in front of Wang Yongjin, not knowing how to refute.

Yan Haihan smiled lightly on the side.

Zeng Yi glanced at Yan Haihan: "Do you think that I only say these words to Zeng Yi?"

"You two are more courageous than Zeng Yi. Don't think that I don't know what you have done."

Yan Haihan suddenly felt that he was implicated innocently again, and quickly became honest.

Pretending to be a good boy, he immediately admitted his mistake: "Director Wang, what you said is that you were young and ignorant before, but now you absolutely dare not do so."

……

When Yan Haihan saw Wang Yongjin and Zeng Yi and Cai Dongfan chatting, he took the time to walk out of the smoking room, and then secretly called Yang Yifeng.

"Yi Feng, do you want to come to the operating room to observe today?"

"We are performing an exceptionally authorized Level II operation on Zhou Cheng of Director Cai's group, you."

Yang Yifeng was typing at the moment, so he said, "Director Yan, I won't mix it up. This incident actually happens in our place from time to time, and it's not too unusual."

Yan Haihan really wanted to say, I'm afraid this time it's different from what you think, and it's more unusual than what you've seen.

But he didn't insist anymore, for fear that Ding Changle would come to him again.

……

in the operating room.

Luo Yun and Zhou Cheng obediently sat in front of the timing panel in the operating room. Luo Yun touched Zhou Cheng's arm and said in a low voice, "Get off the stage and perform the operation, don't do this, you will scare people to death like this." .”

"Cold sweat broke out from Director Cai's back just now, but you are still doing high there, as if nothing happened."

Zhou Cheng said innocently, "Okay, Mr. Luo."

"The following two operations are simple long bone fractures. This is not a leapfrog operation. I will not mess around. I will definitely follow the operation process step by step."

"I wasn't afraid of the previous operation. It involved joint planes, and the patient caught the pigtails. What if?"

"Mr. Luo, do you think so?"

The corner of Luo Yun's mouth twitched, really wanting to beat Zhou Cheng up.

And mentioning it almost scared us to death.And, why are you so cowardly?

If your temper is seen by my teacher, you will definitely scold your father even if you don't know him.

I was still poisoned by rules and regulations, my thinking was imprisoned, and the first thing I thought of when doing things was self-protection.

At present, in quite large teaching hospitals, there is an unwritten saying that [-]% of the cost is for food, [-]% is for self-preservation, and [-]% is for God's will.

The main reason is that I am scared by the current medical relationship, but for difficult patients, even if they can perform surgery, they will not be able to perform it, so go find another expert.Over time, some patients who are a little more refined will not be given surgery if they can.

It is completely dependent on the patient's own wishes, and he can leave as he wants. If he really can't, then he has to do it.

His own teacher was deeply disgusted by such an attitude.

Of course, it’s hard to say too much. At present, the strength of doctors across the country is inherently uneven. You can’t ask doctors in some lower-level hospitals to perform operations like doctors in the capital city of Kyoto.

Nor can you require doctors in townships to have the level and awareness of doctors in county hospitals and prefecture-level city hospitals.

Conservative and safe have always been the first principle recognized by all clinical people.

And this conservatism and safety are not only reflected in the medical process, but also reflected in the selection of patients.

All are forced.

……

With complicated thoughts, Luo Yun touched the back of Zhou Cheng's head, sighed, and said, "Yes and no!"

"I don't blame you, I can't blame you."

Zhou Chengcheng is a small trainee, he is a little unstable, if something happens, who will endorse him?Who gave him trouble?
What was waiting for Zhou Cheng was to return to the Guipei Office, and even the Guipei had been for nothing for several years. Can Zhou Cheng be blamed for being too cautious?

Zhou Cheng responded with a foolish smile...

When Zhou Cheng smiled, An Ruo and the itinerant nurse Nie Yali happened to push the new patient into the operating room.

An Ruo, the anesthesiologist, dragged the bed in front of the patient, and Nie Yali pushed it.

So An Ruo happened to see Zhou Cheng's smile, and she was furious in her heart: It's really a devil, and there is still a leisurely laughing here!

This is the third one!

Big brother.

It was just past nine o'clock.

We have performed three surgeries in the operating room, do you feel guilty about every bit of it?
I'm almost exhausted by you.

Of course, Zhou Cheng didn't know what An Ruo was thinking, but after seeing the patient pushing in, Zhou Cheng hurried to help transfer the patient from the push bed to the operating table.

Zhou Cheng is responsible for the legs that require certain techniques.

There is a fracture in the leg, and the anesthesia has not yet been given. If someone who is not a specialist comes to transfer the patient, the patient will die of pain.However, after the orthopedic surgeon provides traction, the pain cannot be completely avoided, but the pain will be milder than lying on the bed.

It is completely within the patient's acceptance range.

After transferring the patients, Zhou Cheng sat down again and asked Luo Yun: "Ms. Luo, tell me, after I have the authorization of Class II surgery, can I perform small incision open reduction and internal fixation routinely in the department?" ?”

This was the first time Zhou Cheng told Luo Yun the full name of the skills he knew.

Even if Zhou Cheng's mastery of this technique is perfect now.

Luo Yun knocked Zhou Cheng on the head: "You have a good idea!"

"The operation you just performed is an unconventional operation. You think it's not in the guideline, and if you take a loophole, you can go on forever?"

"If you have to go through the process, first report to the medical department, and then go to the provincial ethics society for approval, and then you can carry out routine work in the department after evaluating that the damage to the patient has no right."

"Now, you have to wait for I don't know how long."

"I told you to dig and search, but hide it." Luo Yun cursed.

Zhou Cheng asked Luo Yun with a wry smile: "Mr. Luo, if I say that I am actually very proficient in resection, internal fixation and chemotherapy of large bone tumors, and the recurrence rate is as low as [-]%, can you do it?"

"Fart." Luo Yun immediately rolled his eyes, but he also understood Zhou Cheng's meaning.

Zhou Chengcheng scratched his head and said, "Yes, Mr. Luo, you also think I'm farting, even I think I'm farting."

Zhou Cheng sighed with emotion!

In fact, he was afraid that Luo Yun would really believe him, and then he would bring a few patients, and that would be the end of the egg.

Luo Yun then changed the subject and said: "If you have this thought, you have to say it out, and Director Cai and I can help you if you say it out. If you have to wait for the right opportunity, then you have to wait Come on, let's see when you go."

Luo Yun beat Zhou Cheng.

Zhou Cheng smiled and replied seriously, "I think it's good to wait."

At the same time, I silently said in my heart, Teacher Luo, I am willing to just wait for the right opportunity.

This is related to Zhou Cheng's personality. The reason why he has to improve every skill to perfection before he dares to use it in the clinic, Zhou Cheng has his own considerations.

Not to show off your skills or to shock others.

Rather, he, Zhou Cheng, now has the plug-in of the mock copy, which can improve his skills to a level of perfection, or even beyond perfection.

Then, as a doctor, why couldn't he wait a while, improve his skills to perfection, and then use them on patients?
Zhou Cheng has never dared to forget that when he was ignorant in high school and entered university, he solemnly swore an oath, which is also an oath that every medical student would swear——

Health is linked to life.

When I step into the sacred medical school, I solemnly swear: I volunteer to dedicate myself to medicine, love the motherland, be loyal to the people, abide by medical ethics, respect teachers and discipline, study hard, work tirelessly, strive for perfection, and develop in an all-round way.

I am determined to do my best to eliminate human illnesses, help improve health, maintain the sanctity and honor of medical skills, save lives and heal the wounded, spare no effort, pursue persistently, and strive for the development of the medical and health cause of the motherland and the physical and mental health of human beings for the rest of my life.

I am determined to do my best to eliminate the suffering of human beings and help the perfection of health!

With just a few words, Zhou Cheng insisted on taking the postgraduate entrance examination three times, and now he still has this plan.

Zhou Cheng's family is not rich, but it is not poor. Even if he completes the regular training and then goes to graduate school, it will not be a big burden on the family.

can only say.

Do my best!
If there is really no way, no chance, no conditions, then I will do my best.

If Zhou Cheng knew that he would never be perfect in his life, there was nothing he could do!

but?

You can get to the perfect level, and it doesn't take long.

Zhou Cheng was willing to wait like this forever.

Even a few more years, ten years, Zhou Cheng thinks it's okay.

He is not ashamed of his profession as a doctor, of his patients' trust in him, and of getting this mock copy himself.

After reaching the perfect level, although you can still improve, those things can be done later.

The medical technology I provide is already at the most perfect level in the world today. This is what I can do now, and what the world can do. Although I can still improve, I haven't found the real direction yet, so I just can provide these.

Ability is limited, but also to my limit.

Luo Yun only looked at Zhou Cheng smiling, and knew that he would definitely not be able to change Zhou Cheng's mind on the spot. If Zhou Cheng's mind could be changed so easily, he would not be called Zhou Cheng, and Zhou Cheng would not be able to It has been unknown before, so calm.

"Let's not talk about this, and think about the next two operations."

"The first two stations, your performance is almost." Luo Yun suddenly couldn't find a word to describe it.

Zhou Cheng looked at Luo Yun with a strange smile: "Mr. Luo, is there a flaw?"

Luo Yun turned his head and glanced at Zhou Cheng: "Impeccable!"

MLGB, I'm talking business with you, you poke my nest.

……

Finally, at 23:[-], An Ruo, the little worker bee, diligently completed the anesthesia for the third operation, and then quickly sat down to rest.

After looking at the patient's vital signs, he found that he was quite well. He immediately rubbed his wrists, and then stretched his poor little feet with his toes.

His eyes were watching, Zhou Cheng, a group of devils, came to the operating table again boldly, and began to disinfect the drape and other work.

Immediately afterwards, Cai Dongfan entered the operating room again.

Zeng Yi also came, looked at his students, and felt a little distressed, but he felt okay.

The reason why he agreed to the orthopedic anesthesia again was to exercise An Ruo's resilience and mood.

At present, An Ruo's anesthesia technique is no problem for ordinary patients, but she has not been exposed to that kind of high-intensity anesthesia training, just like herself. Back then, she had to go through several operating rooms in a row to lay down the foundation of the current director. .

If An Ruo is a girl, he already loves An Ruo quite a lot, at least he regards her as a normal man, instead of being used as a livestock like he used to be.

The third operation finally returned to normal tibial fracture, internal fixation with plates and screws.

In fact, this patient can choose better intramedullary nail fixation, but there is not much difference between intramedullary nail fixation and plate screw fixation.Moreover, it was also arranged for Zhou Cheng to obtain the authorization for Level II surgery.

Otherwise, once the internal fixation is replaced with an intramedullary nail, it will become a grade III operation.

However, when the visiting lady and the washing lady were in their positions, Zhou Cheng finally took the initiative to pick up the round knife for the first time and cut in front of the patient's leg.

Then he yelled: "Mr. Luo, electric knife, tweezers."

Well, it's finally a routine.

When An Ruo heard this, the stone in his heart fell to the ground.

Normal internal fixation, no matter how exposed, and then sutured, this period of time is enough for her to rest, and the internal fixation——

However, just as the stone in An Ruo's heart fell to the ground, it suddenly flew up again.

"Sister Yan, give me the steel plate!"

"Ahem!" An Ruo was startled immediately.

Standing up, looking at Zhou Cheng, cursing in my heart, weren't you looking for an electric knife just now?Why is it a steel plate?

Then, An Ruo saw that Zhou Cheng had made a two-centimeter longitudinal incision, the kind that could be stitched up with at most two stitches.

But at this moment, Zhou Cheng held a bone peeling in his hand at some point.

The periosteum is being separated along the patient's tibia.

Although Liu Yan doesn't want to turn around patients, she has to wash her hands and prepare instruments before each operation, and then count and pack the instruments. There are many things to do, and she is a little out of breath at the moment.

"Here, the steel plate." Liu Yan handed over a seven-hole steel plate.

"Nine holes, not seven holes." Zhou Cheng replied without answering.

Liu Yan rolled her eyes: I gave you the seven-hole steel plate to let you make gestures, and you just call it nine-hole.

Is it?

After Liu Yan handed over the nine-hole steel plate, Zhou Cheng actually stuffed the steel plate into the incision.

This is quite a routine open reduction and internal fixation of fractures, so although Cai Dongfan and Luo Yun frowned tightly, they felt that Zhou Cheng's rhythm was a bit fast, but Zhou Cheng's movements were always orderly, as if their emperor was not in a hurry and the eunuch was in a hurry .

When Zhou Cheng used bone peeling to separate the periosteum, he did an excellent job.

So the steel plate is completely buried in the skin just right.

"Formula, prepare screws and depth gauge." Zhou Cheng looked at Liu Yan and ordered.

The tone seemed to blame Liu Yan for being too slow.

Liu Yan prepared these things for Zhou Cheng again and again, and then gasped a little bit, the pace was too fast, she couldn't keep up.

When it is too fast to keep up, it will naturally be lost...

Zhou Cheng dropped the formula for the first locking nail and screw of the steel plate very neatly and calmly.

Sounding - 6.2!

"Take the 6.4 locking screws." Zhou Cheng said to Liu Yan after only one glance.

Then, instead of returning the electric drill with the formula to Liu Yan, Liu Yan just handed the twisted lock nail and screw to Zhou Cheng...

It took Zhou Cheng almost 7 minutes to go up and down the fracture line, and after six screws were placed.

He yelled in a regular manner: "Teacher Tour, please push the C-arm machine."

An Ruo has been standing all the time, her feet are a little numb, her hands are also a little numb, and now her head is also a little numb.

What a devil--

So fast.

Although An Ruo doesn't know much about orthopedics, she has done a lot of surgeries and already has an understanding of the surgical procedures.

In this operation, Zhou Cheng did not omit all the steps, but still.

At 1 minutes, all the screw fixation operations were completed, and C-arm fluoroscopy is required to declare the end of the operation?
What the hell was wrong with me just now, why did I have to go to see his operation obsessively, instead of sitting down and resting for a while?

And because the operation was quite satisfactory.

That's why the surgical procedure sheets prepared by Zeng Yi, Wang Yongjin and others finally became useful.

With a C-arm perspective, Wang Yongjin acted as the commentator again, and Dou Chengpeng ticked off one by one.

In the end, I forcibly found a small defect and scored 98 points.

And said with a smile: "Director Wang, Director Zeng, the resident doctor in your orthopedics department is very interesting. He completed three operations so quickly."

"This strength cannot be underestimated."

"And Director Wang also said that the postoperative effect of each operation is excellent." Dou Chengpeng said while taking a picture of the C-arm fluoroscopy results of the third patient.

Although he kept saying that he completely believed in Wang Yongjin's explanation, but his action of taking pictures betrayed him.

But Wang Yongjin and others felt that they could understand it. As the chief of the medical department, Dou Chengpeng would definitely find experts and professors from other hospitals to evaluate the postoperative C-arm fluoroscopy results. This is a matter of common sense.

If it's just the orthopedics department of No. [-] Hospital saying yes, it may be suspected of covering up.

Let him shoot, Wang Yongjin and others didn't mention it.

Anyway, if these results are taken out, the Eighth Hospital will only look bad, and will definitely not be ashamed.

……

So, the fourth operation continued step by step.

Ten twenty.

Four operations, all over.

Wang Yongjin, Zeng Yi and others handed over the score sheet to Dou Chengpeng, and then Zeng Yi said: "Chief Dou, you have to work hard for the rest of the work. Thank you, Chief Dou, for going to our orthopedic department today. Operating room, come and personally supervise the work of our orthopedics department."

Dou Chengpeng collected all the score sheets and put them under his armpits, shook hands with Zeng Yi, and said, "Director Zeng, Director Wang, you are welcome."

"Absolutely dare not talk about guidance. We are serving clinical departments, and the main thing is your own opinions. I just came here, and I can be regarded as a witness."

Having said that, Dou Chengpeng glanced at the operating room, where Zhou Cheng was helping the anesthesiologist and the itinerant nurse to turn over the patients, so he lowered his voice and said:
"Director Zeng, I may not understand other aspects."

"However, the speed of this little doctor Zhou's operation and the quality of the operation explained by Director Wang have greatly improved my horizons. I have never heard anyone say that other than ophthalmology, any department can completely complete the four-year operation in such a short period of time. surgery."

"I'm still involved."

"Therefore, I hope that Comrade Zhou can become our colleague."

Speaking of this, Dou Chengpeng licked his lips and said, "Of course, this is also my personal opinion. Just by the way, Director Zeng and Director Yan, don't mind."

It was obvious that Dou Chengpeng just saw it, so he interjected.

Zeng Yi immediately said: "Chief Dou, don't worry, we will try our best to keep Xiao Zhou in the department. But everyone has their own ambitions, and Xiao Zhou disagrees with him. In fact, it's not just our orthopedic department. Calculate."

The personnel department is the final hurdle to decide who goes and who stays.

Although Zeng Yi and Yan Haihan have the final say in most cases, but until the last step, everything is unknown before it becomes a certainty.

Then Cai Dongfan hurriedly said: "Chief Dou, let's have dinner together later, I'll call you."

"Today, it's really hard. After this matter is settled, it's hard for you to call me, Chief Dou. Whether it's good or bad, we have a bottom line."

Only then did Cai Dongfan quickly bring up the important point.

If ah.

This matter hasn't been settled, everyone's greetings come and go, aren't they blind to today's arrangements?

It's okay to be polite, things have to be done.

Dou Chengpeng hurriedly said: "It's natural. Since I came and ran in person, I will definitely pay attention to it. There should be results soon. Director Cai, please wait for the good news."

"These few operations can fully demonstrate the strength of Doctor Xiao Zhou in our hospital."

Then everyone sent Dou Chengpeng away.

Then Cai Dongfan sent Zeng Yi and Wang Yongjin out of the operating room, and explained to them that he had arranged a meal and that he must be there when the time came.

Only then did I return to the operating room, and said to Yan Hanhan, "Director Yan, thank you for what happened today."

"If it wasn't for you to support the two patients, then I really can't help it."

Yan Haihan said: "This is what should be done. Xiao Zhou is working hard for our department, seeking welfare and development. Naturally, we can't lose him. Our director did the same to the three of us back then." Just pulled it up."

"Although Xiao Zhou has obtained Level II surgical authority today, you should pay more attention, Cai Dongfan. You must pay attention to the quality of the surgery and control the safety of the surgery."

"These things can't be emphasized enough."

Not to mention anything else, just today, with so many patients in Zhou Cheng's department, he felt that his decision was worthwhile.

Just last night, the extra beds in the ward were full. This is the benefit that a well-known doctor can bring. He has his own halo and patient size.

Moreover, before Yan Haihan decided to help Zhou Cheng, he never thought of this.

Cai Dongfan nodded seriously.

The two walked out side by side, and saw that Min Chaoshuo and Pang Dingkun were walking to the operating room.

After seeing Yan Haihan and Cai Dongfan going down, Pang Dingkun hurriedly asked: "Director Yan, which operation is it?"

Yan Haihan attaches great importance to Pang Dingkun, and Min Chaoshuo is also his student, Yan Haihan also takes good care of him.

But today, Yan Hahan felt that these two punks were simply bastards.

Pang Dingkun is fine, after all, yesterday was the emergency surgery, but what about Min Chaoshuo?
Today I deliberately didn't come to the operating room, just to avoid participating in the operation of Cai Dongfan's group, for fear of going on stage to help! !

How much did this make him miss?

I'm afraid Min Chaoshuo himself is not very clear.

So Yan Haihan twitched the corner of his mouth, pointed at Min Chaoshuo and cursed: "The operation is tomorrow, you can see it when you come tomorrow."

"Or come to the operating room after dinner?"

Yan Haihan was really angry. Min Chaoshuo had more than ten times the resources of Zhou Cheng.But is he angry?
The more Yan Haihan thought about it, the more angry he became, and now he even started to learn to be lazy.

Min Chaoshuo immediately turned pale, and quickly lowered his head: "Master, I have to change the dressings up there, and last night, I had an emergency operation in the middle of the night. So!"

Min Chaoshuo bit his lip.

Cai Dongfan was busy trying to smooth things over: "Director Yan, we were the ones who got everyone involved yesterday. When our team was on duty, a patient suddenly appeared."

"Let's not talk about Chaoshuo and Dingkun, look at the people in our group, Yan Jun, Zhang Zhengquan, didn't they come too?"

"Fortunately, they came anyway. These two people have not even seen their shadows now."

Thinking of this, Yan Haihan felt a lot better.

Zhou Cheng was not a real student of Cai Dongfan, so it was just Cai Dongfan's luck.And now, with Zhou Cheng standing out in his own department, the problem of patient volume has been solved in one fell swoop.

Calculated in this way, the number and quality of the patients sent out by Zhou Cheng's manipulative reset before were far inferior to the number and quality of the current patients!
……

in the operating room.

After Luo Yun stepped down from the stage, he invited Zeng Yi and said, "Director Zeng, let's have a light meal together later. Director Cai has already arranged everything."

Zeng Yi did not refuse: "This?"

"I seem to have put a bowl in your orthopedics department. It's embarrassing to go to eat every now and then."

But there was no embarrassment on his face.

An Ruo was walking out of the door, and when she heard this, she said to Liu Yan angrily, "Sister Yan, order a few more dishes later, if you can't finish it, pack it up and eat it, you have to let Director Cai bleed hard .”

"The doctors in their orthopedics department are all devils."

Originally, Liu Yan was leaning towards Cai Dongfan, but today, he was really exhausted again, and unexpectedly nodded and said, "Yes!"

"I'll order a few more dishes later, I can't finish the package."

"I want them to treat you to two cups of milk tea."

"Drink a cup and throw a cup." Liu Yan was more ruthless.

An Ruo touched the tiny flesh on her stomach, wondering: "Sister Yan, I'll give you my milk tea too, can I pour it out for you?"

Liu Yan smiled: "It's fine if you let me drink it, why do you want me to pour it out?"

An Ruo blushed, she didn't say she was reluctant, she just found reasons and said, "I usually don't have the habit of wasting food!"

In fact, I was thinking in my heart that it would be shameful to waste milk tea and food.

So it's better to eat more later.

101.65!

But I am fat.

……

Zhou Cheng stretched on the timing panel in the operating room.

Then he waited for Luo Yun and Zeng Yi to finish speaking.

Only then did they follow behind the buttocks of the two people and walk out.

'Tired' from four surgeries in the morning, Cai Dongfan wants to treat him to dinner, so he still has to wait.

On the way, Zhou Cheng asked Luo Yun: "Should I call Zhengquan and Yan Jun to come together? Teacher Luo."

"Call them at 11:30, let them rest for a while, they were very tired yesterday."

"I'm going to squint later." After Luo Yun finished speaking, he rubbed his eyes, and then he remembered that he had also played all night.

Looking at Luo Yun's somewhat tired and stooped back, Zhou Cheng's heart skipped a beat.

Teacher Luo Yun and the others are all so tired because they want to rest more for themselves. Du Yanjun and Zhang Zhengquan's debts of favor are also unknowingly owed, and it seems that they will be paid back slowly...

(End of this chapter)