medical simulator

Chapter 126 The second day of missing the devil! (Second update, please subscribe!)

An Ruo naturally didn't really laugh out loud, but couldn't help but think so.

Before, my teacher specifically explained to me about the number of C-arm photos, that is, to vaccinate myself, let her calm down, and don't do what she shouldn't say or do.

I almost had an accident when I almost pulled out the epidural anesthesia tube.

The operation was in progress, and the anesthesiologist pulled out the anesthesia tube. This was an absolute surgical accident.No matter how many reasons you have, they are unreasonable, and even Zeng Yi doesn't know how to protect her.

One point in surgery, yes.

That is, the anesthesia time must be absolutely longer than the operation time. Whether it is an anesthesia sheet or an anesthesia record, this fact must be recorded.

Anesthesia monitoring records should also be longer than surgical records.

In reality, this is also done.

The operation is not over, you withdraw the operation, are you kidding here?
Therefore, An Ruo waited patiently for Zheng Xuanlin and the others to lead the men to finish the stitching, and then went to pick up and drop off the patients.

At [-]:[-], Zheng Xuanlin and the others, who were moaning, finished suturing, put on a plaster cast, and handed over the patient to An Ruo and Liu Yan.

An Ruo couldn't wait a long time ago, and had already prepared all the work to send the patient back to the ward.

It's [-]:[-], and the next patient will be picked up and anesthetized later.

There is no time to eat, even if we go again, there will only be leftovers.

Why am I so miserable.

An Ruo murmured in her heart.

Now that Zeng Yi stepped down, he could go to eat, but she still had to run, and the anesthesia of the next one must be more than one o'clock. Will there be food for her at that time?

Therefore, when pushing the bed out, An Ruo deliberately raised her voice and said: "Sister Yan, I guess there is nothing to eat when we go to eat, let's order a takeaway."

An Ruo and Liu Yan were ready to send the patient back to the ward at any time, so when they pushed the patient out, Zheng Xuanlin and Lin Lin happened to be at the door of the operating room. An Ruo said this to them on purpose.

Liu Yan just glanced at Zheng Xuanlin, nodded, but didn't reply.

The smiling face on Zheng Xuanlin's face suddenly froze, and he rolled his eyes with a slightly dark face, thinking that the girl from the anesthesiology department and the nurses in the operating room were really disappointing.

But he didn't want to say much. After all, what they were discussing was about eating, and they didn't ask you to treat them to dinner. Why did you react suddenly?
Do you have to go to the wall where you are disgusted?

And what An Ruo and Liu Yan said was true.

……

Today is Tuesday, because Luo Yun was on duty on Monday, so it was Zhou Chenglai's turn to be on duty today.

However, although Zhou Cheng was on duty and had to stay in the department, he was accompanied by a group of people.

Although the person on duty today is Pang Dingkun from Yan Haihan's team!Not Du Yanjun or Zhang Zhengquan.

However, neither Cai Dongfan nor Luo Yun dared to leave alone.

You know, today they broke the rules and got a second-level surgery for Zhang Zhengquan and Du Yanjun alone, so they dare not be careless.

Cai Dongfan and Luo Yun had been drinking tea and smoking in the director's office patiently. In just one morning, the two of them had wiped out a pack of cigarettes.

One for half an hour.

This rhythm is much faster than usual.

Finally, after finally waiting for the meal time, Luo Yun and Cai Dongfan found something to do, which was ordering dinner.

It's fine if you're not in the department usually, but since you're here today, you should show it.

It is a very rich double-covered rice bowl.

It can be seen that Cai Dongfan is also very generous.

And even though the person on duty was not from his own team, Cai Dongfan and Pang Dingkun ordered it together.

After eating, Cai Dongfan finally received a call from the operating room, saying that he planned to perform the first operation of his group.

Cai Dongfan was shocked immediately, and immediately ordered Luo Yun to inform Du Yanjun and Zhang Zhengquan to go down and wait after eating.And urged the anesthesiologist to quickly administer anesthesia and start the operation as soon as possible.

Du Yanjun and Zhang Zhengquan immediately devoured all the food, and they were full. The wasted meal was thrown into the trash can, and they swallowed two glasses of water. They were full of food and water, and rushed to the operation room.

Very positive.

Zhou Cheng continued to eat slowly in the office with Pang Dingkun.

Pang Dingkun also asked Zhou Cheng, "Xiao Zhou, aren't you going to the operating room?"

"You can go. I can still handle general joint dislocation." Pang Dingkun explained proactively.

In fact, he is quite embarrassed now.

He was originally a regular employee in the department, and he wasn't the kind who didn't know anything about joint dislocations, but last time he encountered an irreversible shoulder dislocation in the emergency department, even if Yan Haihan took care of him again In order to save face, he also arranged a general duty for him.

In fact, Pang Dingkun felt that it would be fine if Luo Yun happened to work with him one day, but Zhou Cheng?
What's the matter with being the general on duty in his class.

However, Pang Dingkun didn't have much to say. The dislocation he didn't solve was solved by Zhou Cheng, and Luo Yun also said at the time that it was an irreversible joint dislocation, which was solved by Zhou Cheng.

This is a fact, he has to admit it, so although the scene today is embarrassing, he can only bite the bullet and admit it.

However, Cai Dongfan arranged for surgery today, but he felt that Zhou Cheng could not be dragged into the department just because he was on duty.

Zhou Cheng could also understand Pang Dingkun's thoughts, so he said: "Brother Kun, today is the patient of Du Yanjun and Zhang Zhengquan. I have already obtained the level II surgical authority, so it is not easy to get involved. Wait for Teacher Cai Let's inform Teacher Luo."

"They told me to go, so I'll go down. If they didn't call, I'll still be on duty with you, brother Kun, to take in patients."

Pang Dingkun was on duty today, and Zhou Cheng was on duty, but Zhou Cheng came the other way, treating himself as the doctor on duty and reporting to Pang Dingkun.The admitted patients were also given to Yan Haihan's group, which can be regarded as giving enough face to Dr. Pang Dingkun and the doctors of this hospital.

Pang Dingkun didn't say much.

After eating, Luo Yun probably noticed the role change between Zhou Cheng and Pang Dingkun in the morning, and it would be embarrassing for them to be on duty on the same day.

So he really came to call Zhou Cheng: "Zhou Cheng, do you want to go to the operating room together?"

"Dingkun is on duty today, basically you have nothing to do." Luo Yun invited.

Zhou Cheng was naturally happy and said, "Okay, Mr. Luo, I'll go down immediately after I finish eating."

If Cai Dongfan and Luo Yun did not invite, Zhou Cheng would naturally feel that they were preparing for Zhang Zhengquan and Du Yanjun today.

It's not good to go straight down.

Luo Yun smiled at Pang Dingkun again: "Dingkun, thank you for taking care of the ward."

Pang Dingkun was also polite: "It should be, I'm on duty today, it's my duty."

He is very clear about his position.

……

An Ruo and Liu Yan ran around the second ward of the orthopedics department, and they just smelled the smell of food coming from the office, and their stomachs were rumbling.

At that time, it was decided to order the same rice bowl and have it delivered to the door of the dressing room in the operating room, and pick it up after the anesthesia.

The two quickly took the patient to the operating room, and then Liu Yan began to arrange for surgical instruments, while An Ruo quickly prepared for anesthesia-related matters.

About 20 minutes later, the two just finished anesthesia, and the other pushed all the equipment kits used in the operation into the operating room.

When An Ruo saw Zeng Yi enter the door, it was as if he saw a savior.

"Teacher, are you back?" An Ruo was hungry and wanted to eat, so she called Zeng Yi enthusiastically.

Zeng Yi saw what An Ruo was thinking, and quickly said: "You guys go to eat quickly, there probably isn't much food down here."

"I ordered takeaway!" An Ruo immediately reached out to Liu Yan, and the two cubs ran out the door quickly, went downstairs, got food, and then each made a cup of hot water.

I couldn't wait to tear open the packaging bag, and put a mouthful of rice into my mouth. The moment the smell of meat exploded in the taste buds in my mouth, I felt extremely satisfied.

There is only food in the world, the most unbelievable...

When An Ruo and Liu Yan returned to the operating room after eating and drinking, the operation had already begun in an orderly manner.

Liu Yan went to help immediately. When the operation was just about to start, there were a lot of things to do on tour, such as connecting the suction tube, inserting the electrosurgical knife, adjusting the current of the electrosurgical knife, preparing to open the knife, etc., it was very trivial...

Although there is help from the hand-washing nurse, the surgeon team has already stepped onto the stage to start the operation, and the hand-washing nurse has also put on a sterile surgical gown and has arrived at her post.

Before she came, after the hand washing nurse took the stage, Zhou Cheng had always assumed the role of her itinerary nurse and helped with things.

Liu Yan hurriedly apologized to Zeng Yi, and took over her job.

An Ruo sat in front of the anesthesia monitor, then began to look around, and found that Zhou Cheng, the former protagonist, did not appear on stage today.

Just wandering around the edge of the operating table, and then shuttling between the operating room timing panel, film reader and the operating table.

An Ruo felt a little funny.

After the stomach is not hungry, the thoughts will naturally be more.

I thought to myself, if he was the chief surgeon, I guess I would go home and take a nap by now, right?

It's a pity that he was just a spectator today, and an inexplicable hungry thought involuntarily tempted An Ruo...

But immediately, An Ruo shook his head to drive away the thought.

Hold on to your beliefs——

When the devil is not on stage, this is the normal rhythm of surgery, so I dare not think so wildly.

……

The operation started step by step, Zhou Cheng finally stood opposite Du Yanjun who was the chief surgeon, looked at Du Yanjun, held the round knife tremblingly, looked at Cai Dongfan, and waited for his careful "feeding"!
Cai Dongfan first used sterile tweezers to draw an arc-shaped mark before the wrapped patient's mid-tibial fracture, and said, "cut along this line, and slowly expose the skin and subcutaneous tissue."

"Remember the angle of entry, the knife enters vertically, cuts the skin to the subcutaneous level, then moves the knife obliquely, and exits the knife vertically..."

Cai Dongfan really looked at his students patiently, broke apart the operation, crushed it and fed it.

This is also the process of normal teaching surgery. He also wanted to teach Zhou Chenglai such a lesson before, that is, the previous intertrochanteric fracture and intramedullary nail fixation.

However, Cai Dongfan just told Zhou Cheng to expose him, and Zhou Cheng took the knife and cut the patient's skin without saying a word.

Moreover, the operation was done smoothly and directly, and only the step of fixing the blade and screws through the positioner formula was left.

This made Cai Dongfan so determined that he didn't have the time and leisure to teach Zhou Cheng.

Zhou Cheng stood aside, blinked, and didn't think much.

Zhang Zhengquan also pricked up his ears to listen. Cai Dongfan's teaching is not only aimed at Du Yanjun alone. He also needs to read and learn more, find the loopholes in Du Yanjun's operation, and find the details he pays attention to, which he may not notice. place.

At the same time, I began to clarify what my surgical thinking would be if I wanted to have surgery.
That's how you learn surgery...

An Ruo heard that Cai Dongfan was so patient, and she also remembered that her teacher was so careful and meticulous when she first took her, but her foundation was good, so she graduated quickly. Now that she has basic spinal and general anesthesia, she must It can be done.

It's just a nerve block anesthesia, her teacher hasn't started taking her yet, and she doesn't feel like she's ready.

When I look at Cai Dongfan's teaching to Du Yanjun now, I have a feeling of looking back at the younger generation.

This is not simply based on age, professionally, but on who goes further, when two people meet, who is looking back or condescending, and who is looking up or forward...

To be honest, Zhou Cheng felt that this process was not impressive at all.

Zhou Cheng even felt that Du Yanjun's hand holding the knife trembled a little. This kind of incision would cause the skin to be zigzag to a certain extent, which would affect the blood supply and increase the chance of skin necrosis.

Similarly, it may lead to poor alignment, folds or pulls during the postoperative suturing process, resulting in more scar hyperplasia, or even serious ones.

There may also be small bumps...

The operation begins with an incision.

When making an incision, one of the big taboos is that the knife must be ruthless and decisive, and you should not hesitate to poke here and there.

The knife movement must be steady, not crooked, and the knife must be flat!

The knife must be retracted vertically so as not to waste every inch of skin cut, and once the incision is made, it must be used as much as possible.

But considering that Du Yanjun is a beginner...

Forget it, Zhou Chengcheng took a few steps back, and then went under the timing panel in the operating room, and started to look at his official account.

In case, after watching Du Yanjun and Zhang Zhengquan's two surgeries, I could write a long review of their surgeries and suggestions for revision after I went back.

Start from scratch.

Zhou Cheng stood on the top floor and looked down. There was not much difference between him and a toddler learning to run in essence.

However, Zhou Cheng still put on a face and would occasionally appear beside the operating table, looking inside curiously.

After all, Luo Yun asked him to come down to the operating room to avoid the embarrassment of getting along with Pang Dingkun on duty at the same time. In addition, he still listened to Cai Dongfan's teaching in name.

If they were too dismissive, they would not even show up on stage, which would be a disrespect to Du Yanjun and Zhang Zhengquan, and a disrespect to Cai Dongfan.

Orthopedics is an inherent arena. There has never been fighting here, but there are still necessary sophistication.

The patients prepared for Du Yanjun are naturally not complicated patients, but simple fractures in the middle of the tibia, AO type A1.2.

If Zhou Cheng's treatment method was followed, it would be impossible for this patient to appear in the ward, and he might be sent away by Zhou Cheng in the emergency department.Not to mention going to the operating room.

Of course, any type of fracture can be treated surgically, and this principle is correct.

For Du Yanjun to grow up, he naturally needs a patient to practice, this patient.It just so happened that he was willing to have surgery, and on the premise that Cai Dongfan didn't ask Zhou Cheng to do the manipulation reset, it was impossible for Hu Ming to come over and cause trouble.

Of course, the only way is surgery.

Time continued to walk slowly.

It quickly came to ten past two.

The operation had been going on for an hour, but Du Yanjun still only exposed the periosteum of the fracture, and he used the bone peeling very hard and jerky to expose the broken end of the fracture there.

Strip a bone-bonding space for the steel plate to fit in...

At 25:[-], Du Yanjun put the steel plate in.

At 35:[-], Du Yanjun finally adjusted the angle at which the steel plate was lying.

At [-]:[-], the formula for the first screw was driven, and the first screw was driven in after the depth measurement.

An Ruo was at the side, almost falling asleep out of boredom.

But Zeng Yi didn't let her sleep, he patted An Ruo's shoulder, and whispered, "Cheer up."

"It's not Director Cai who is performing the surgery. You have to be very careful about your vital signs, and you must not make any mistakes. Pay attention to the depth of anesthesia and oxygen saturation."

An Ruo immediately opened her eyelids, feeling so bored.

Then he looked under the timing panel in the operating room, and Liu Yanan quietly leaned against the wall, resting.

I'm really envious.

Then he glanced at Zhou Cheng. Zhou Cheng had been flipping through his phone, as if he was waiting for the progress of the operation, looking bored.

At [-]:[-], Du Yanjun finally finished driving a set screw above and below the fracture line.

Then Liu Yan was called to stand up and started to push the C-arm machine for a while!
After the translucence, Cai Dongfan immediately pointed to the plain film in the operation, and began to preach to Du Yanjun: "Do you see it clearly? These are the fixing screws you made."

"There is such a big gap between the steel plate and the bone, can this work?"

"The steel plate and the end of the bone must fit together tightly. This is the middle part of the tibia, there is no curvature, and you don't need to leave space for decompression!"

"Think about it, when I usually teach you, how should I kill this seam?"

Cai Dongfan taught from the beginning to the end of the operation, first let Du Yanjun try it himself, and if he made a mistake, he gave a solution.

Luo Yun immediately said: "When you fix the screws, ask the assistant to firmly fix the steel plate and the bone."

"When director Cai and I usually do it, we know it well, so we didn't ask you to do this step. We did it directly, but you have to pay attention to the details of every step in our operation process. These details have their uses. of."

"Think carefully, try to reduce what you think, what you see, the useless operation of the professor or director during the operation, so that you can improve the quality of the operation..."

Du Yanjun was taught immediately and nodded obediently.

Then he ran to the operating table, removed the fixing screws, asked Zhang Zhengquan to fix it, and then re-inserted the screws...

Then in a C-arm perspective, it was found that the separation between the steel plate and the bone end was resolved.

Then his eyes turned to Cai Dongfan, as if he was waiting for a compliment.

Cai Dongfan said abruptly, "Zhang Zhengquan, go in and raise the affected limb, Liu Yan, adjust the angle of the C-arm and take a lateral view."

Zhang Zhengquan and Liu Yan immediately took orders and left.

Then the fluoroscopy results of the C-arm came out.

Sure enough, the happy look on Du Yanjun's face disappeared, and his head facing the sky almost went to find his head facing the ground for company.

Cai Dongfan preached again: "Watch the movie!"

"Don't care about the head and the tail, the sides of the steel plate are attached. But one up and one down!"

"Your steel plate is at an angle with the axis, and it is skewed forward and backward, and you don't pay attention to it. You can't fool the patient with the plain film after surgery like this!"

"I let you clamp it, so you only clamp one side at a time? Don't you know how to fix the upper and lower sides at the same time?"

"Waiting for me to feed you all the time, without turning your mind for a while, I say move a little bit?"

……

An Ruo curled her lips when she heard Cai Dongfan's scolding, and then looked at the operating room, as if she felt that the patient was so pitiful, being tossed so hard by Du Yanjun...

And Zeng Yi also took the opportunity to find an opportunity, patted An Ruo on the back of the head, and said, "What are you looking at, listen carefully."

"Do you still remember the last time you had spinal anesthesia and couldn't find the intervertebral space, how did you find a way to solve it?"

"Not enough strength? Is this a solution?"

An Ruo also lowered her head, but only saw the gully...

Zhou Cheng listened quietly, and began to mutter in his heart.

Secretly said, Teacher Cai, in fact, what you said is not quite right...

It seems, it seems, at this moment, Zhou Cheng understands and understands Yang Yifeng a little bit.

Standing tall and walking far may not be a good thing sometimes, you will feel lonely and can't find anyone to talk to and communicate with.

However, Yang Yifeng is not simply unable to find communicators and confidants. He is in the Affiliated Hospital of Shonan University, and has a large number of professors to communicate with him.He has another reason.

And yourself?
Forget it.

Zhou Cheng immediately restrained his small thoughts, and felt that it was better not to be too harsh on others.

I have adventures, adventures, and using them to improve myself is the right way.

If you ridicule others after you have improved yourself quickly, you are going astray.

In this way, didn't he deserve to be ridiculed by others in his heart?

Zhou Cheng didn't know if others had done this before, but at least Cai Dongfan and Luo Yun never disliked him, they just didn't give him enough chances.

Zhou Cheng immediately understood all of this.

What if I ask Du Yanjun to do intramedullary nail fixation now?
I'm afraid he can poke it out of the skin with his gold finger?
……

At 04:30, Du Yanjun carefully watched the film of the postoperative review and announced that the operation of this operation was completely over.

Then I asked Luo Yun, but I didn't dare to ask Cai Dongfan: "Mr. Luo, I think it can be stitched up, what do you think?"

Luo Yun looked at the reexamination plain film, and there were still some problems with the convergence of the fracture line.

Although the problems of looking ahead and looking ahead and looking forward to the future have not been completely corrected, and the alignment is still a little flawed, the resilience after the fracture is extremely strong.

The reset is not good, but if it is fixed properly, it can have a great error tolerance rate.

He said to Cai Dongfan: "Director Cai, should you sew? There is another one behind!"

This operation started at one o'clock and is now coming to an end. It is estimated that the suture will be completed at five o'clock, and the next patient will start at around 05:30.

Today's operation is expected to end at nine o'clock.

Don't do it too late.

Cai Dongfan naturally took this into consideration.

He nodded and said, "Let's sew, the next one will be turned around, so hurry up."

"Director Zeng, please work hard and you are anesthetized." Cai Dongfan said apologetically to Zeng Yi.

Zeng Yi numbly nodded.

"It should be, it's a matter of duty!" Although Zeng Yi also felt a little bit pained.

Today's three surgeries are all about teaching. Originally, if Hu Ming and Cai Dongfan performed at the same time, at most four or five hours, they could get off work earlier, and they had to get more than ten hours to go up.

But there is no way, everyone has to bring students.

When he brought An Ruo before, he would naturally greet the director of the clinical department in advance.

My anesthesia will be a little slower. I will take my students and waste your time. I am sorry?

The anesthesiology department has no patients of its own, so it can only ask the director of the clinical department to slow down the pace of surgery, it's all the same thing...

An Ruo looked at the timer on the operation panel at this moment, and was even more desperate.

When Du Yanjun and others were suturing, he asked his teacher: "Teacher, is there no preparation class in our operating room today?"

Zeng Yi nodded: "The three surgeries in the Department of Orthopedics are expected to be completed before the shift change at [-] o'clock, so there is no anesthesia preparation shift. We will fight the whole audience!"

There are successors in the anesthesiology department. After the operation is arranged the day before, if the operation volume is large and the operation time is long, someone will be arranged to take over.

However, this obviously does not apply to today's orthopedic surgery.

After all, the three simple fracture operations, according to the previous rhythm, should be finished at least a little bit...

An Ruo suddenly thought bitterly.

Get off work at nine o'clock and go home.

It's almost ten o'clock.

Take a shower and wash your hair, the hair can't be washed anymore.

There is not enough time to put on a mask.

Just wash your face, wipe your face, and then read a book, and there is only one hour left.

I……

An Ruo suddenly looked in the direction of Zhou Cheng in a begging manner, but Zhou Cheng was still like an old locust tree, quietly maintaining his temper, watching Du Yanjun and others on the operating table suturing.

Occasionally volunteered to stand up and prepare for them to open sutures, sterile dressings and casts and other chores.

In order to speed up the turnaround of the operation, Liu Yan went down to prepare the surgical instruments for this operation in advance, and eat by the way.

When An Ruo saw Liu Yan go out, she immediately felt abandoned, but she told Liu Yan to hide some tomatoes for herself in the operating room for dinner, and then quietly waited for Du Yanjun and the others to grind tofu.

Cursing inwardly, a man grinds chicken like a woman grinds tofu...

However, no matter how reluctant An Ruo was.

Still can't do anything.

In the end, the time when the operating room announced the end of the operation was fixed at 10:30.

After the sutures were finished and the patient's sterile dressing and plaster were put on, it was 31:[-] when Cai Dongfan, Luo Yun and others fled.

However, this is not the time when anesthesiologists and roving nurses can leave the operating room.

They also have to send the ward back to the ward, clean up the operating room and anesthesia table.

It is estimated that it will be ten fifty at the latest before leaving the operating room.

An Ruo and Liu Yan hurriedly pushed the bed and sent the patient back to the ward, like leeks that had been sun-dried, listlessly, when they rushed towards the operating room, their bodies were not at all tired.

Really, today, the rhythm was too slow, Liu Yan took three naps halfway, An Ruo felt a little pain in her buttocks from sitting, and felt that today was too leisurely, making her body look a little soft.

Can?
It's really tiring.

Obviously it can be over before one o'clock, but we can't go home until eleven o'clock!

It's just that I can go back, but I can't go home.

An Ruo suddenly asked Liu Yan: "Sister Yan, are you still applying the mask later?"

"Don't sleep anymore, the dog's life is the most important thing. Go back and wash your face, take a small shower and go to sleep, and don't even want to wipe your face."

"Do you still want to apply a mask?" Liu Yan asked An Ruo.

An Ruo shook her head like a rattle.

"I'm not going to do it anymore. I'll go to bed after I go back to wash up."

There is no time to apply a mask and wipe your face. If you do it again, you will die suddenly, and you will wake up at six o'clock tomorrow!

This is one of the very few times when An Ruo leaves work so late.

But in the past, there were emergencies, but today, the operation process is extremely smooth, even smooth.

However, the three surgeons were all doing foreign work, so it was delayed until this time.

Not to mention reading and wiping his face, An Ruo felt that he had to save time in going to the toilet to save his life!

"Ah!" Liu Yan felt quite helpless at the moment, but it seemed that it was hard to say anything.

If clinicians want to grow, they naturally have to learn, and they have already greeted anesthesiologists and nurses in the operating room before, but this timeline is too tedious.

……

When An Ruo was carrying a canvas bag, stepping on the lights on the side of the road, walking towards home.

The traffic flow on the road has already sporadic. At this point, there is not even a taxi driver at the door, and they can only call Didi.

An Ruo felt that it was not safe to ride home at night, so she called Didi.

After finally arriving at home, I hurriedly washed up and did some maintenance on my face. After brushing my teeth, it was already past 40:[-].

This is already squeezing the time to the limit.

Ben was going to take the book to the master bedroom, but at least he was going to support An Ruo, who could read a little bit, and just closed the book after opening it.

Then I turned off the light and went to sleep, but I didn't feel sleepy.

Today, because of these operations, her rhythm was completely out of order.

Because in the past, even if she was anesthetized for neurosurgery, someone would take over at six o'clock at the latest. She still had enough time to read books, exercise, and have a decent dinner.

But today, because the difference between the predicted operation time in advance and the actual end time of the operation is too large, she is completely unprepared, but she can only hopelessly wait for the time to be infinitely extended.

It seems that, in such a comparison, being busy is much better than today's leisure.

An Ruo's mind inadvertently remembered the shadow of a devil again.

But when he appeared, he was a little tired, but it was worthwhile to be tired.

After getting tired, I can leave work early and have more time to read.You can even take a nap and watch more teaching videos on nerve block anesthesia in the anesthesiology department.

I hope that tomorrow's orthopedic surgery will not be like today...

Wednesday!

As soon as Zeng Yi entered the door, he saw Yan Haihan walking towards him with a smile on his face, and said, "Director Zeng, I'm sorry, but I want to discuss something with you. The pace of our operations today may be a little bit slower." Take it easy."

"After all, our team..."

An Ruo's expression froze, and the anesthesia was suspended for a while.

Then, An Ruo started a boring journey.

Nothing to do, really nothing to do.

It's flat and boring.

wait wait wait……

At [-]:[-], the first operation was over, and she had a normal meal for lunch. An Ruo felt better than yesterday.

But when the second station ends, let alone dinner, if it is later, there may not even be enough supper.

It turned out to be Yan Han's student, and Min Chaoshuo took less than two hours to perform the operation, but he did it for six hours!
From one o'clock directly to seven o'clock!
It's over!
Then the third one started.

Yan Haihan performed the knife himself.

It was also 09:30, and An Ruo was free.

to home.

Although he arrived home an hour and a half earlier than yesterday, it still reduced An Ruo's time limit for reading to less than half an hour.

Very unaccustomed.

An Ruo immediately called her teacher and said, "Teacher, let's not go to the orthopedic department for anesthesia tomorrow, shall we?"

Zeng Yi said: "No, I think you are in good condition these two days, and you are not busy."

"Don't think I don't know you took a sneaky nap today. I just didn't wake you up."

An Ruo: "..."

Is that a nap thing?
An Ruo replied with a series of ellipses.

Zeng Yi explained: "I have already told Director Zeng Yi of the Department of Orthopedics to order the Second Department of Orthopedics to conduct teaching operations. Our hospital is a teaching hospital, but there is only one operation at most per day."

"Moreover, the time for teaching surgery must not be arranged for more than four hours. At the third hour, the teaching teacher must take over."

"If they do it like this, what kind of tricks can that be?"

Only then did An Ruo feel relieved.

Spicy is good, spicy is good.

After settling down, An Ruo lay down on the bed again, seeming to miss the particularly full and exhausting surgery day before.

Eat after get off work at noon, take a nap in the afternoon, and read a book.

There is still a lot of time to read books, in fact, it is pretty good.

Compared with wasting time in the operating room these days, wasting life in vain.

I'd rather be more tired.

The day before yesterday was Director Hu Ming's surgery day, today is Director Yan Haihan's surgery day, will it be Director Cai Dongfan's turn tomorrow?
Will Zhou Cheng be on stage?
Can I get off work at noon?

Thinking of it this way, An Ruo herself felt a little scary.

What happened to me?

Why do you still have some expectations for the devil who tortured you physically and mentally? ?

An Ruo, An Ruo, wake up!
The moon is setting and the night is deep.

An Ruo quickly fell into sleep.

But Zhou Cheng hadn't slept yet, quietly waiting for the dawn.

Looking at the perfect level skills of the four level II surgeries that have been simulated in the past two days, Zhou Cheng is quite looking forward to it. How many perfect level skills can be simulated in the two simulation opportunities today?

Well, although the definition of the perfect level has been changed in the simulated copy, Zhou Cheng is still used to using the word perfect to replace the spicy level.

at last.

Just after midnight, Zhou Chengcheng started today's three simulations.

Not to mention, because there are many perfect skills of level III and perfect skills of level IV, and more and more perfect skills of level II surgery are used as knowledge reserves, so although the types of level II surgery are different, and the operation There are also differences in details that require attention.

But Zhou Cheng unexpectedly simulated three perfect levels of skills today.

Arteriotomy of lower extremities (perfect - world definition)
Upper extremity arteriotomy (perfect - world definition)
Extremity Aneurysm Resection (Perfect - World Definition)
Quite pleasing to the eye.

Not bad, only four were simulated in the previous two days, but three were simulated today.

It seems that the higher one's knowledge reserve is, the easier it is to obtain perfect level skills.

It's completely different than when I first got the emulator.

Of course, this does not mean that Zhou Cheng's aptitude has become better and he has become a genius, but that the explanation of aptitude is actually multi-defined.

This is how Baidu explained it.

Qualification is a Chinese word, one refers to a person's natural quality; the second refers to the conditions, qualifications, abilities, etc. that are required to engage in a certain job or activity; the third refers to posture and appearance.

It's already there, and there's no way to change it.

Oh no, the analog copy tweaked itself a bit.

The second point is that after Zhou Cheng's knowledge and skill reserves are getting higher and higher, his natural conditions, abilities, and qualifications will all be greatly improved, and his skills will be improved to perfection, which will come naturally.

This is how heaven rewards hard work. The accumulation of quantitative changes will naturally lead to qualitative changes.

As for posture and appearance, Zhou Cheng felt that his aptitude was definitely enough to fight,
If it wasn't for Zhou Cheng who always felt that food tastes good if it is chewy, and that a man should do something to make his life worthwhile, he wouldn't have known which family with softer food would marry him.

After watching the three skills, Zhou Cheng immediately felt elated.

Now that the foundation is sufficient and the strength has risen, it seems that there is no need for too many fancy means to increase opportunities for yourself. Simple skills, everything will come naturally.

Well, if you only study one level II operation in your life, you will naturally be able to play to the top.

It's just that I haven't been able to play tricks in my life, and this natural talent seems to have really become a cover for me.

Perfectly Divided - World Definition and Redefinition.

One is the ceiling, and the other is to lift the roof and raise the ceiling by yourself, which is a different realm.

Looking at the time, it is already 00:35:41.

It's too late, hurry up and sleep!

After rubbing his head, Zhou Cheng fell into a sweet dream happily. With anticipation for what will happen tomorrow, he slept very soundly!
Thursday!

It is the fourth day of the week.

But today's Thursday is extraordinarily different, because today's Thursday is still the first day of November.

At the beginning of this month's break, I didn't discuss it with the week. It happened to be the weekend, when everyone stopped and started to count again.

And at the beginning of the month, it is the day when the regular training doctors rotate.

Naturally, Zhou Cheng will not change places, and the people in the department will not be rotated out, but if they can't keep it, other people will come to the department to add new members to work.

In addition, Zhou Cheng was still looking forward to it. Yang Yifeng was leaving Yan Hanhan's group today and came to his own group for a stroll. He didn't know how Yan Hanhan would feel and what he would say when he was handed over to the class early.

And after Yang Yifeng, a genius, came to our group, will something interesting happen?
For example, after seeing how many surgeries he had done, he couldn't help but also perform the surgery?

Zhou Cheng was rather curious as to what level Yang Yifeng was——

(End of this chapter)