medical simulator
Chapter 138 The Way of the Strange Man Returns to the Body of the Rider
Chapter 138 The way of the strange man is to cure the body of the rider (please subscribe!)
For the outpatient clinic on Sunday, there is not much time left for myself.
(PS: The date of the outpatient clinic in the previous chapter was wrongly typed, it should be Sunday. 11.1 is Thursday, Luo Yun is the attending doctor, just got the outpatient clinic, and is not eligible to sit in the outpatient clinic on weekdays, and will be arranged Go Sunday.)
Zhou Cheng never expected that Luo Yun would ask for joint surgery from the hospital so quickly!
And I never thought about it, Luo Yun was still brooding about the fact that he told him that he watched the video to learn the technique of joint reset.
Before, Luo Yun sent himself the operation video, and even leaked the question to himself in advance.
To be honest, Zhou Cheng watched the video sent by Luo Yun, but he didn't.
After reading a part of it, I feel that it is not much different from the joint replacement surgery I currently know.
Then it was set to autoplay, which is equivalent to not watching it.
In addition, Zhou Cheng felt that it would not be very practical to simulate this section.
There are no such patients in the department now, no matter how many joint surgery skills are, they can only be shelved like small incision open reduction and internal fixation and amputated limb replantation.
Previously, Zhou Cheng's idea was to try his best to simulate skills that were close to his current surgical authority, such as level II surgery.
How good is that?
Skills are not used and can only be used as reserves.
However, fortunately, it was Luo Yun who told him today, that is, on Friday, instead of delaying it until Saturday night!
In this way, it is equivalent to nine more opportunities for simulation to learn about joint surgery.
Reading books is definitely necessary. The systematic study of each specialty comes from the most basic textbooks. Zhou Cheng bought a package of textbooks for orthopedics.
However, if you go to scan the textbooks one by one now, you will definitely not have enough time.
It's not that Zhou Cheng has no foundation in joint surgery at all, it's just that the knowledge structure of joint surgery that Zhou Cheng has mastered has only reached a few points.
Zhou Cheng first looked at the panel of the simulator.
【Joint dislocation reduction surgery (perfect - world-defining level)】
【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)】
……
Zhou Cheng watched and made a summary.
Going to the outpatient clinic is different from going to the emergency department. Since Luo Yun mentioned this matter, Zhou Cheng must make some preparations.
Otherwise, it is a quack doctor who has misunderstood people.
Manual reduction of joint dislocation is generally aimed at emergency dislocation patients.
Dislocation patients mostly occur in emergency situations. Such patients basically do not appear in outpatient clinics. For dislocation patients who appear in outpatient clinics, the manual reset of joint dislocation is not applicable!
In pure joint surgery, the two major plaques of osteoarthritis and sports injuries account for the largest share.
Treatment of Osteoarthritis - Attributed to Joint Surgery.
Sports Injuries - Break Out of Sports Medicine.
Sports medicine is actually a branch of joint surgery. It originated from joint surgery and broke away from simple joint surgery!
One of the biggest characteristics of outpatients is that they may not have trauma of any nature, and if there is no trauma intervention, if they want to make a diagnosis, then they have to seek the real diagnosis from the intricate and complicated clinical manifestations. The reason is gone.
Difficult.
Zhou Cheng really felt that the difficulty was not small.
Taking an outpatient clinic is the way every doctor must go, but his current knowledge reserve, sitting in a trauma surgery outpatient clinic, must be enough, but what about joint surgery?
Not to mention rare diseases, just one joint of the shoulder joint can make people unable to understand——
Zhou Cheng opened the contents of the textbook one by one, and the chapter on shoulder joints alone contained too much content.
Acromial impingement, rotator cuff injury, Bankart injury, SLAP injury, frozen shoulder, long head biceps tendonitis, long head biceps tendon rupture, giant rotator cuff injury, supraspinatus tendon calcification, shoulder recurrent Anterior dislocation, acromioclavicular joint dislocation, multidirectional shoulder instability.
According to the catalogue, Zhou Cheng can see that the common diseases of the shoulder joint are: one, two, three...!
A total of thirteen sections!
My brain hurts a bit.
There are even more rare diseases, such as uric acid deposition stones in the shoulder joint, fibrosis, and some things that Zhou Cheng has never heard of...
And that's just the shoulder joint.
There are also elbow joints, wrist joints, hip joints, knee joints, ankle joints, interphalangeal joints, and many special joints on the feet.
This?
Where can I learn from?
This simulator can only retain one skill at a time.
nine times.
nine!
Isn't this nonsense?
……
Luo Yun was still on duty in the department near ten o'clock, eating supper with the doctor on duty Lin Lin.
Then he saw Zhou Cheng calling, Luo Yun smiled, took off his lobster-eating gloves, and casually asked, "What's wrong, Xiao Zhou?"
I feel a little better.
In the past days, Zhou Cheng was simply too calm, and he always regarded himself as a calm and breezy expert!
This is not in line with Luo Yun's values, and I hope Zhou Cheng's temperament can be reversed.
This was the first time Luo Yun saw Zhou Cheng not calm, so he called him at this time.
Zhou Cheng was not calm anymore, but Luo Yun became calm.
Maybe Luo Yun also has a little bad taste in his heart, and he wants to see Zhou Cheng's anxious bad taste.
Sure enough, Luo Yun heard Zhou Cheng say: "Mr. Luo, when you go to the outpatient clinic, what are the main types of diseases?"
"I don't know what to read now." Zhou Cheng couldn't grasp the key points, so he naturally wanted to ask Luo Yun to draw the key points.
Luo Yun said casually: "That's not clear. The joint patients encountered in the outpatient clinic may have joints in every joint. It is impossible to focus on only one joint."
"Our Eighth Hospital is not comparable to other places. Some large hospitals only need to focus on one joint, but we must all look at it."
"And not only patients with joints need to be seen, but also patients with sports medicine."
"Our hospital can't give a treatment plan, but we can suggest them to intervene early." Luo Yun said.
It is impossible to focus!
You won't be given a chance to hold Buddha's feet temporarily.
Luo Yun thought rather complacently.
On the opposite side, Zhou Cheng's eyes lit up immediately, and he replied suddenly: "That's right, we are seeing patients in the outpatient clinic, not in the ward, we must treat the patients."
"Then I understand, Teacher Luo. Thank you, Teacher Luo."
The big fat prawn that Luo Yun was about to stuff into his mouth immediately felt unsavory.
You understand what you understand?
What did I say, are you right?Are we going to the clinic?
Don't we just go to the clinic?
Do you still want to treat all the patients you meet in the outpatient clinic like the patients in the ward and cure them on the spot?
Luo Yun hung up the phone, feeling a little bad again.
It seems that this time, Zhou Cheng must not have seen Zhou Cheng's troubled and anxious look, and he had pretended it again!
But Luo Yun didn't take this matter to heart.
……
After finishing the phone call with Luo Yun, Zhou Chengcai immediately reset his previous thoughts to zero.
Because he confused his thinking!
Outpatient clinics are different from wards. Outpatient clinics are where doctors and patients come into contact, not where they are treated.
Therefore, there is no need to see a patient at all, but the patient's problem must be solved on the spot, as long as they are provided with a rough idea of how to solve it.
It is equivalent to, in the outpatient clinic, as long as the diagnosis process of the diagnosis and treatment process is completed!
It's much easier to just diagnose and not treat.
This is equivalent to breaking the whole into parts, which can give Zhou Cheng a lot of preparation time.
After sorting out his thoughts a little bit, Zhou Cheng started a new round of simulation...
[Please select the initial carrying material for the simulation. 】
【1. Arthroscopy (proficient) (shoulder joint, wrist joint, knee joint), 2. Joint dislocation reduction (perfect - world-defining level). 3. Arthroscopy (skilled) (shoulder, wrist, knee). 】
[Fixed Skills: Limb Anatomy Experience and Muscle Strength Out of Shape (Perfect - World Definition)]
Ok.
Zhou Cheng only carried relatively simple and basic things, and the purpose of the simulation was to see if he could obtain packaged skills similar to limb anatomy experience and muscle strength deformation (perfect-the definition of the world).
Surgery originated from anatomy, but the source of all medical departments is diagnosis!
Skills can be 'packaged'.
For example, when Zhou Cheng simulated the open reduction of limb fractures through small incisions, he also obtained them one by one, but in the end they would be bundled and packaged into small incisions for open reduction and internal fixation of limb fractures.
【The simulation starts! 】
[You already have a certain status in the department, and you have obtained the authority of level II surgery.You are still on duty. 】
[But you have a "great way" in your heart, so you chose to give up your plan to continue to obtain the authorization of the exception level III surgery, and you started to sit with the superior physician in your department as an outpatient. 】
[Because you have a solid anatomical foundation and a rich medical knowledge base, you can still routinely complete common Class II operations. Although you have not reached the previous level, you have gradually gained the attention of superior doctors. 】
【So you have a thick skin and follow your superior doctor in outpatient clinics...】
【You have a thick skin, you only look at the shoulder joints.And ask your superior physician to teach you only to look at the shoulder joint first. 】
Seeing this, Zhou Cheng blushed a little, feeling a little embarrassed.
His idea of simulation this time is to keep Luo Yun entangled, and he is not greedy for too much, so he only engages in one joint first.
[You successfully got the opportunity to be hired by the college! 】
【You turned down too many surgeries and started to specialize in the diagnostics of joint surgery. 】
[Three years later, you have gained systematic shoulder joint disease diagnosis experience (general), and your superior physician feels that your talent in joint surgery is limited.So I tell you that you need more operations and more reading. Orthopedics is not just about joint surgery. 】
[Actually, it’s good that you specialize in trauma surgery, but you refused, because you have a strong desire to learn.Your superior physician is impressed by you. 】
[After five years, you gain experience in routine disease diagnosis of the hip (common).Your manipulative skills are limited only to manual reduction of dislocated joints.Your superior doctor feels that he has delayed you and led you astray, so he apologizes in every possible way! 】
【You are still maverick, continue to learn from him brazenly. 】
【Ten years later, your superior physician was finally promoted to director, and opened up the joint surgery department of your hospital alone. As his staunch supporter, you became the veteran of the department.But your co-workers think you're a sucker.This is the top position. 】
【You are still enjoying the outpatient clinic with your superior physician. As the deputy chief physician, you still don’t see the outpatient clinic alone, you continue to follow your superior physician’s outpatient consultation. 】
[After 15 years, you have gained experience in the treatment of common diseases of the shoulder joint and hip joint (common). 】
[Your wife can't stand you anymore, she went to the court to sue you for 'infidelity' in marriage, but the person she suspected of infidelity was your superior doctor.Given that your superior physician is male. 】
[The court declared you innocent.Your wife has finally 'divorced' you peacefully. 】
[The next year, your superior doctor finally became a middle-aged and elderly bachelor!He yells at you, but you remain unmoved. 】
【After 25 years, you were finally promoted to the chief physician in the hospital, and your superior physician was about to retire. He almost knelt down and begged you, please stop 'harassing' him, but in the eyes of your unit. 】
【You are the absolute confidant of your superior doctor!Loyalty and diligence throughout his life. 】
[You continue to follow your superior doctor to see outpatient clinics!The resident chores were done in front of him. 】
[Almost everyone thinks that your superior doctor delayed you, turned the former genius into a licking dog, yelled at your superior doctor, and severely criticized the strict system of superiority and inferiority in the hospital! 】
[In 35 years, your superior physician is about to retire, and you became the director of the joint surgery department because of your veteran qualifications.You are still the loyal follower of the senior doctor who retired and rehired, follow him as an outpatient! 】
【Finally, one day, your superior physician died of a sudden heart attack! 】
When Zhou Cheng saw this, the corner of his mouth twitched.
Weird expression.
Did I lick Luo Yun to death?
[You finally started to sit alone in the outpatient clinic by yourself, and at the age of 65, you successfully retired.Then he knew that he was not capable enough, so he rejected the hospital's polite re-employment invitation. 】
[Your reputation in the province and in the industry is already rotten. You are a well-known dog licker in Hunan Province, and you have also succeeded in being a dog licker, so you left the medical industry.In the end, at the age of 89. 】
[Simulation evaluation: Unable to evaluate.In your whole life, for the sake of learning, you will do whatever you can, regardless of your status and face, or even your family and career. 】
[But in the end, it's still an out-and-out licking dog. 】
[You can choose one of the following. 】
[Special Skill: Thick Black Art (Perfect - World Definition).Because your thick blackness has reached its limit, exceeding the definition of the world, and after being incompatible with the dungeon, there is still a perfect imprint of thick blackness. 】
[Experience in diagnosis of common diseases of the shoulder joint (proficient)]
【Experience in diagnosis of common diseases of the hip joint (skilled)】
【Diagnosis experience of common diseases of extremities and joints (common)】
[Special Adventure: Gift of the Superior Physician's Hard Work: The Superior Physician's Knowledge Pack (Mastery)! (Note: During this simulation process, your superior doctor has a deep resentment towards you, and more than [-] times wants to donate all you have learned to prove his innocence, to expel your closeness, and to leave you harassment.)]
【He just hopes that you don't get close to him anymore! 】
[He still bears the label of a manly man and bureaucracy to his death! 】
[Therefore, this adventure is a special prop, not a one-time consumable.It can be directly cured and used! 】
Whoops!
When Zhou Cheng saw the harvest, his eyes flashed.
Damn, is the idea of simulation this time so vigorous?
Did it almost drive Luo Yun crazy during the simulation?
Zhou Cheng turned the text up again.
It seems to be like this, the idea of simulation this time is particularly shameless, in the simulation world, Zhou Cheng is divorced.
Luo Yun is also divorced...
It seems that there are so many billion points that it is not ethical.
But it doesn't matter, anyway, it's just inside the simulated copy.
Pray with your hands and say silently in your heart: Teacher Luo in the simulated world, I'm sorry, what happened to you has definitely contributed to the medical progress of the world.And it's a great contribution.
After Zhou Cheng cleared up his mood.
Directly chose Special Adventure.
Then after directly choosing solidification, Zhou Cheng was immediately stunned!
Luo Yun was almost driven crazy by him!
It must have been licked to death by him!
The following skills emerge as evidence——
Proficiency-level skills: fracture reduction, fracture open reduction, plate and screw internal fixation, nerve suture, elbow joint injury treatment experience (sports medicine, trauma, joint direction), human limb anatomy experience, debridement and suture, cosmetic suture, Antibiotic use experience, shoulder joint injury treatment experience (sports medicine, trauma, etc.), ankle joint, wrist joint, hip joint injury treatment experience (sports medicine, trauma, joint direction).
Proficiency-level skills: shoulder joint injury treatment experience (joint surgery direction), knee joint injury treatment experience (sports medicine, joint direction), tendon injury treatment experience, fracture postoperative infection treatment experience.Hip, knee, shoulder replacements, revisions (including complex revisions).
I nia!
Zhou Cheng counted, and Luo Yun packed him at one go, more than [-] proficient and proficient level skills, and all of them were level III skills.
At the same time, the mock copy sent out a hint again.
[The skills are solidified, and the special adventures of the same kind will disappear permanently and will never appear again! 】
[The simulation is over! 】
Can't even watch the simulator anymore?
Zhou Cheng licked his lips, picked everything up in his bag, and immediately rubbed his hair.
Then quickly call Luo Yun.
Luo Yun was on duty today, so he could have gone home, and then asked Lin Lin to call him when something happened.However, in order to improve the quality of duty, Luo Yun simply lived in the duty room.
Seeing Zhou Cheng call at this point, he seemed to feel better again: "What's the matter? Xiao Zhou?"
"What time is it, are you still asleep?"
He was anxious, he was anxious, he was really anxious.
Hey Hey……
Zhou Cheng was relieved when he heard that Luo Yun's tone seemed a little high-pitched, and his voice was even a little excited.
He was really afraid that if he messed around in the simulator copy, he would directly kill Luo Yun in reality, and the gain would outweigh the loss.
This is Zhou Cheng's simulation idea that has been prepared for a long time.Anyway, just stare at one person and lick it.
Women are afraid of being entangled, and men are definitely afraid of being entangled. As long as you are shameless, you can learn a lot of things you want to learn.
It's just that Zhou Cheng has never used this kind of thinking.Besides, from the most essential point of view, I just want to learn, so be nice to you, and this is not licking.
But this kind of action almost drove Luo Yun crazy, Zhou Cheng didn't expect it.
Fortunately, it is a simulated world.
"Well, I'm going to sleep right away, Mr. Luo, are you okay there? Are you busy today?" Zhou Cheng mainly wanted to determine how Luo Yun was doing.
But don't have an accident, as long as there is no accident!
It's easy to talk about anything, so I just found a topic.
Anyway, in the real world, this is the first irrelevant 'harassment'.
Luo Yun frowned slightly, and said, "Are you still worried about me? Why? Do you think that you helped Orthopedics and Pang Dingkun dislocate joints that they couldn't handle a few times, and you don't feel relieved?" I am coming?"
No wonder Luo Yun thought so. In the past few times, the reason why Luo Yun couldn't do anything was because he was touched by Pang Dingkun and others, and Luo Yun was not in contact with people first-hand.
As the first patient, Luo Yun is not afraid.If the patient has been treated by other places, then Luo Yun also has enough knowledge to send away the patient who is not willing to deal with it!
"No, Mr. Luo, I'm afraid you're too tired." Zhou Cheng said nonsense again.
But after speaking, I felt that this was not good.
The processes in the simulated world are all based on reality. If I lick Luo Yun too hard in reality, will he also disappear immediately?
Or, keep a little distance from him in the future, and be a little colder?
this is okay.
Zhou Cheng made such a decision.
"Go to bed early, I'm going to squint for a while, I don't know if there are any patients coming tonight."
"Tomorrow morning at nine o'clock, I won't talk nonsense with you. What time is it?" Luo Yun didn't hear what he wanted to hear.
Immediately frowned and called off the topic.
If Zhou Cheng came to ask him what kind of patients he would encounter in the outpatient clinic, then Luo Yun might chat with Zhou Cheng a little more, but at this point, you want to chat with me?Hush cold and warm, isn't this bullshit?
Two big men, what is there to talk about?
Zhou Cheng also took the opportunity to hang up the phone.
Luo Yun was puzzled at the other end——
I feel that Zhou Cheng made two phone calls in a row today, a little happy, but a little unhappy.
Forget it, when we wait for the outpatient clinic, let's go and see Zhou Cheng's anxious look.
……
After Zhou Cheng and Luo Yun hung up the call, they hurriedly started the next simulation.
Because of an unexpected simulation idea, he got Luo Yun's knowledge package, so he didn't have to rush to learn the skills related to joint surgery, and then continued to simulate the remaining level II skills.
The level II skills have been simulated to perfection one by one.
After five simulations, Zhou Cheng accidentally discovered that when he analyzed all the perfect skills he had acquired, there was a subtle reaction between the lower-level skills.
For some reason, two perfect-level skills were automatically synthesized:
【Arthrotomy (Perfect - World Definition)】
【Internal fixation of the joint (perfect - the definition of the world)】
To be honest, the perfect level of arthrotomy is easy to understand, but Zhou Cheng himself has not fully understood the internal fixation of the joint.
However, when he touched this level of thinking, a lot of knowledge flooded into his mind, which immediately made Zhou Cheng's expression flicker.
what?
It turns out that it can still be like this!
After Zhou Cheng closed the notebook for taking notes, he frowned slightly.
This arthroscopic internal fixation is not a common surgical procedure, but a subtle response after multidisciplinary integration, allowing Zhou Cheng to naturally obtain treatment strategies for some rare diseases.
-
And because of the accidental acquisition of the joint surgery knowledge package today, and the active synthesis of these two skills, Zhou Cheng suddenly realized.
It seems that I understand a little bit about these points.
Zhou Cheng didn't know if it was right, but this was what Zhou Cheng was thinking at the moment.
First, seeing a mountain is a mountain.From my previous perspective, when I went to see joint surgery, I only felt that it was extremely mysterious, profound and mysterious, shrouded in mist, and unattainable!
Second, seeing a mountain is not a mountain.But when you really understand it and discover the way up the mountain, you will find that the mountains you see are just points that can be reached everywhere, and when you look back from the top of the mountain .
You will find that the mountain you climb is nothing more than a pile of rocks with a certain altitude.
There is nothing unattainable, and there is nothing profound and mysterious, but you have never been to the top of the mountain.
Do you know what the difference is.
Then, when Zhou Cheng returned to the skills of trauma surgery, he found out.
Third, seeing mountains is mountains.
It’s like the manipulation of bone fractures. Zhou Cheng stood on the top of the mountain and felt that he had reached the highest peak. Suddenly, in the process of searching hard, he found that the mountain he was standing on was actually just a mountain. Altitude, even low-lying spots.
In the current world, the defined surgical contraindications and surgical indications are only based on where you stand.
In fact, trauma and fractures are still there and have not changed. This mountain is still unattainable. If you think that there are some fractures that cannot be solved by manual reduction, they are absolute contraindications to manual reduction.
It's just that your cognition is limited, but how to break through this limit, you haven't found the way from the first level to the second level, so it's still profound and unattainable...
This made Zhou Cheng inadvertently think of a sentence, mysterious and mysterious, it is all wonderful methods!
In fact, our cognition of the existing world is still small, constantly broken and pushed away, it is just the apex and ceiling of an era, which will be constantly lifted, and we must work hard to constantly lift it.
Where is the limit of this temple of medicine?
Zhou Cheng didn't know, and couldn't answer, but now he was gradually on the road, and the scenery along the way was very beautiful.
……
The next day.
It's that happy Saturday again.
Saturday is the first day of the weekend.
Although it is said that doctors do not have weekends and weekends, the rule that elective surgeries are not performed in the hospital on weekends can at least let the doctors breathe a sigh of relief.
Just like the doctor on duty, Lin Lin, after finishing his 24-hour shift, he got up early at 07:30 and began to write yesterday's shift handbook.Then prepare the patient data for today's ward rounds, and trace the admission examination results of newly admitted patients.
In order to make the most adequate preparations, meet the arrival of get off work and weekends.
But for Du Yanjun, he had to bite the bullet and sacrifice a weekend day to arrive at the department early before eight o'clock, complete the handover with Lin Lin, and start a new round of 24 hours a day. beginning.
Du Yanjun arrived at the doctor's office on time.
After completing the handover with Lin Lin, he lowered his voice curiously and asked, "Lin Lin, did you see the message posted in the training group yesterday?"
"It seems that a senior doctor in our hospital was dissed by the teacher who lived in the training office."
"It's so cool, this seems to be the first time that the resident training office has dissed the superiors for our residents."
Du Yanjun is a professional graduate student who was also incorporated into the regular training. Lin Lin was an academic graduate student who was later trained under the regular training. Now they are all under the management of the regular training office. Strictly speaking, there is no difference from a resident doctor like Zhou Cheng. The bottom floor of the hospital.
On weekdays, I am always trembling with the superior physicians, not daring to disobey in the slightest, because I am afraid that the superior physicians will file a complaint against the resident training, and then the regular training will be postponed or judged to be unqualified for the month of resident training.
Lin Lin laughed bitterly when he heard this.
Then can I not know?
Damn, the person who lives and runs the diss is from our department, Zheng Xuanlin from our group.
That's what the message said.
"Recently, there has been an incident in our hospital where a resident doctor was pushed out by a superior doctor to take the blame. Here, I would like to inform all the resident trainees again that they must strictly perform their responsibilities and obligations in each specialized department and do their own work well. .Complete the authority and duties assigned by the superior physician."
"Don't act rashly and act recklessly."
"As long as there is no violation of regulations or discipline, if similar things happen, please call the Residential Education Office directly, and the Residential Education Office will directly communicate and connect with the teachers in the relevant departments!"
"Remember, fellow residents!"
Although Lin Lin also felt very happy in his heart, he felt that Zheng Xuanlin was simply being fucked.
Damn, say in front of the patient that a Zhupei is unwilling to operate on the patient.
Is this what people say?
Does he have the nerve to say it?
After stepping down yesterday, Zheng Xuanlin was called to the medical department and the housing and training office. Both sides tortured him severely. According to Director Hu, he will come to personally check the ward today.
Lin Lin not only knew who the superior doctor was, but also the original story of the incident.
Yesterday, after Hu Ming and Zheng Xuanlin completed the amputation, the patient was pushed back to the orthopedic ward. Although the vital signs were good, the patient's family members reported it again.
Not only Hu Ming and Zheng Xuanlin were reported, but also Zhou Cheng was reported, saying that Zhou Cheng had no medical ethics.
The resident doctor was reported, and the medical department directly called the resident training office to the complaint office, calling the director of the resident training office overnight.
Then, after scanning the details of the incident, the director of the Residential Training Office scolded the staff on duty in the Complaint Office and Zheng Xuanlin in the complaint office. Zheng Xuanlin came up.
According to an on-duty doctor in the geriatric department who was closest to the hospital's complaints office.
Teacher Qin, who lives in the training office, asked in this way: "Do you want face? Do you have face?"
"Look for Peiban if you have anything to do, and Peiban if you have nothing to do? Is our Peiban your punching bag?"
"Are you going to live in Pei for surgery? Are you going to live in Pei to do all the operations in the hospital?"
"Are you going to live in Pei to go to heaven?"
"..."
"I don't know about this!" Lin Lin pretended to show Du Yanjun a confused expression on my face.
Zheng Xuanlin is his superior, this kind of thing is disgraceful, the residence and training office does not have a real name, it is to give face to the orthopedics department and Zheng Xuanlin, there is no need for Zheng Xuanlin to die in the department.
If other people figured it out, that was their business, and Lin Lin would definitely not say it.
Du Yanjun just smiled, "Hey, whoever he is, as long as he feels good anyway."
"At least, when you go to other discipline training in the future, you don't have to be afraid, just do your own job well."
Lin Lin also nodded in agreement and said, "Yes."
Then he stopped chatting with Du Yanjun and said, "I'll go around and see how the drainage of the amputee who underwent surgery yesterday was doing."
In fact, Lin Lin has already seen it.
Du Yanjun nodded and started looking at his bed and new patients.
……
For Saturday's ward rounds, both Yan Haihan and Cai Dongfan can be skipped. After all, as the director, there is no surgery scheduled for the weekend, so just leave it to the attending and deputy director.
Luo Yun and Dong Qiansheng from Cai Dongfan's group both appeared.
Then, when the two teams had almost finished their rounds with people, they saw that Hu Ming was leading people around the house at the moment.
Zheng Xuanlin was lazy.
Luo Yun led people to collide with people from Hu Ming's group, and Hu Ming seemed a little embarrassed.
Luo Yun also knew the truth of the matter, so he hurriedly said, "Mr. Hu, I'm going to see the patient first?"
"Yeah." Hu Ming also nodded, and calmly took his own people to go to the ward rounds.
Du Yanjun and Zhang Zhengquan were both knowledgeable, so they more or less guessed why.
Zheng Xuanlin, the attending doctor, did not come to conduct weekend rounds, but Hu Ming came, which can explain some problems.
And Xiang Haibin is a newcomer. After he walked into the ward, he asked: "Director Hu of your orthopedics department is still very active? He also conducts rounds in person on weekends. The director of our neurosurgery basically only checks the ward twice a week. "
Luo Yun immediately turned around and said, "Don't worry about other groups' business, just do your own group's work well."
Obviously Luo Yun didn't want Zheng Xuanlin's affairs to spread in the department, otherwise, it would be difficult for Zheng Xuanlin to carry out his work normally in the future.
Although it was entirely his own fault, Luo Yun actually understood Zheng Xuanlin quite well.
Zheng Xuanlin came to the department before him, and became the attending doctor first, with the same education background, but now he has to compete for the deputy high school in the same year.
It is impossible for Luo Yun to take the initiative to give in because of the worldly way, everyone depends on their own abilities, I don't mean to hurt you on purpose.
Xiang Haibin hurriedly shut his mouth.
……
After checking the house, he looked around Xiang Haibin and asked, "Brother Quan, Brother Jun, Yang Yifeng from our team? Can you not come to the house check?"
Xiang Haibin's impression of Yang Yifeng was particularly deep. After taking him to the neurosurgery operating room the day before yesterday, Xiang Haibin was afraid of him.
This guy looks arrogant, but in fact he is really arrogant, really amazing!
Revenge doesn't last overnight, and slaps don't turn back. He will take you on the spot and take you to see how powerful he is.
Luo Yun had already left work, and Zhou Cheng was not in the office, only Zhang Zhengquan and Xiang Haibin were there.There are no other groups of people.
Du Yanjun then let go of the loudspeaker: "Brother Yifeng, you don't even give Director Yan face. When you are in Director Yan's group, you won't come on weekends. How could you come to our group? You will come to the department on weekends Woolen cloth?"
"Hainai, just don't worry about Brother Yifeng's affairs, we don't have many things to do in our team today."
"You can go to get off work when you're done."
Then Xiang Haibin hurried to push the medicine changing cart to change the medicine.
Zhang Zhengquan snatched the dressing car, but since Zhou Cheng is no longer in charge of the bed work, the rookie dressing master who was the number one pick in the group was logically replaced by Xiang Haibin.
He wants to help prescribe the doctor's order as soon as possible.
After walking towards the beach, Du Yanjun asked, "Brother Quan, do you want coffee together?"
"Okay." Zhang Zhengquan nodded.
Then he smiled and said, "Brother Yan Jun, did you already know that Brother Zhou Cheng is very powerful, that's why you followed him when he was on duty? You didn't tell me yet."
"There is a snack machine."
Zhang Zhengquan said that on purpose.
After he ordered two takeaways yesterday, he realized, damn it!
The money is not enough, so I have to stay in the department for a day to eat today.
Du Yanjun was rather embarrassed, and smiled back: "Brother Quan, how can you miss me so much? Do you still doubt me?"
Although I also feel that I am a little unkind, but I am going to take the initiative to help Zhou Cheng and strive for the opportunity to study. It is not shameful, any of you can do this.
With a big black face on his face, Zhang Zhengquan showed his white teeth and said, "I will definitely not doubt you, Brother Yan Jun. I have to make a decision. I want to learn more from you, Brother Yan Jun, and be with you, Brother Yan Jun." On duty!"
"You are on duty with Brother Zhou Cheng, and I will follow you. We will get rich first and then get rich later, and finally everyone will get rich together." Zhang Zhengquan's thinking suddenly became very positive.
Du Yanjun's heart twitched immediately.
I nia!
The way of the strange man is to cure the body of the rider!
(the word is not wrong!)
I'm still very good at myself, do you still want to grab my learning opportunity?
Du Yanjun was actually very reluctant in his heart and wanted to refuse.
Looking at Zhang Zhengquan complicatedly, the mouth under the mask trembled slightly.
Zhang Zhengquan smiled, stood up, snatched Du Yanjun's notebook, and said, "Brother Yanjun, go to rest today, our team doesn't have much to do, I will take care of your patient's doctor's orders and dressing changes for you." gone."
In order to get money, use any means!
It's also kind of fun.
Du Yanjun discovered that what Zhang Zhengquan was doing at this moment was exactly the same as what he had done back then.
In the end, Du Yanjun still didn't keep his notebook.
It's not easy to go to Zhang Zhengquan to grab it.
I walked to the lounge with a complicated mood, and I had a snack!
It seems that the method I used back then was too fucking doggy, did I get retribution now?
What is your own level?
We also need to give Zhang Zhengquan a chance to practice his hands!
That's pretty gnarly!
Zhou Cheng was working on the test paper in the lounge at the moment. After Du Yanjun pushed the door in, Zhou Cheng ignored him and continued to immerse himself in the test.
Du Yanjun didn't see what Zhou Cheng was doing at first, so he found a seat and sat down on his own.
After a long time, I found that Zhou Cheng didn't see his complicated expression and ignored his complicated mood.
Then he turned his head, looked at Zhou Cheng, and asked, "Brother Zhou Cheng, you are writing."
But I noticed right away that what was spread out in front of Zhou Cheng was Lao He's first secret volume!
"Do you want to continue the postgraduate entrance examination? Brother Zhou Cheng?" Du Yanjun was stunned immediately, and his heart became even more shocked and complicated.
Zhou Cheng is 26 this year and will be 27 soon!
He is already so good, he still wants to go to graduate school to improve himself?
Only then did Zhou Cheng nod slightly, looked back at Du Yanjun, and said with a wry smile, "Well, try again for the last time, if it still doesn't work, then it's all fatal! I won't take the test anymore."
……
(End of this chapter)
For the outpatient clinic on Sunday, there is not much time left for myself.
(PS: The date of the outpatient clinic in the previous chapter was wrongly typed, it should be Sunday. 11.1 is Thursday, Luo Yun is the attending doctor, just got the outpatient clinic, and is not eligible to sit in the outpatient clinic on weekdays, and will be arranged Go Sunday.)
Zhou Cheng never expected that Luo Yun would ask for joint surgery from the hospital so quickly!
And I never thought about it, Luo Yun was still brooding about the fact that he told him that he watched the video to learn the technique of joint reset.
Before, Luo Yun sent himself the operation video, and even leaked the question to himself in advance.
To be honest, Zhou Cheng watched the video sent by Luo Yun, but he didn't.
After reading a part of it, I feel that it is not much different from the joint replacement surgery I currently know.
Then it was set to autoplay, which is equivalent to not watching it.
In addition, Zhou Cheng felt that it would not be very practical to simulate this section.
There are no such patients in the department now, no matter how many joint surgery skills are, they can only be shelved like small incision open reduction and internal fixation and amputated limb replantation.
Previously, Zhou Cheng's idea was to try his best to simulate skills that were close to his current surgical authority, such as level II surgery.
How good is that?
Skills are not used and can only be used as reserves.
However, fortunately, it was Luo Yun who told him today, that is, on Friday, instead of delaying it until Saturday night!
In this way, it is equivalent to nine more opportunities for simulation to learn about joint surgery.
Reading books is definitely necessary. The systematic study of each specialty comes from the most basic textbooks. Zhou Cheng bought a package of textbooks for orthopedics.
However, if you go to scan the textbooks one by one now, you will definitely not have enough time.
It's not that Zhou Cheng has no foundation in joint surgery at all, it's just that the knowledge structure of joint surgery that Zhou Cheng has mastered has only reached a few points.
Zhou Cheng first looked at the panel of the simulator.
【Joint dislocation reduction surgery (perfect - world-defining level)】
【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)】
……
Zhou Cheng watched and made a summary.
Going to the outpatient clinic is different from going to the emergency department. Since Luo Yun mentioned this matter, Zhou Cheng must make some preparations.
Otherwise, it is a quack doctor who has misunderstood people.
Manual reduction of joint dislocation is generally aimed at emergency dislocation patients.
Dislocation patients mostly occur in emergency situations. Such patients basically do not appear in outpatient clinics. For dislocation patients who appear in outpatient clinics, the manual reset of joint dislocation is not applicable!
In pure joint surgery, the two major plaques of osteoarthritis and sports injuries account for the largest share.
Treatment of Osteoarthritis - Attributed to Joint Surgery.
Sports Injuries - Break Out of Sports Medicine.
Sports medicine is actually a branch of joint surgery. It originated from joint surgery and broke away from simple joint surgery!
One of the biggest characteristics of outpatients is that they may not have trauma of any nature, and if there is no trauma intervention, if they want to make a diagnosis, then they have to seek the real diagnosis from the intricate and complicated clinical manifestations. The reason is gone.
Difficult.
Zhou Cheng really felt that the difficulty was not small.
Taking an outpatient clinic is the way every doctor must go, but his current knowledge reserve, sitting in a trauma surgery outpatient clinic, must be enough, but what about joint surgery?
Not to mention rare diseases, just one joint of the shoulder joint can make people unable to understand——
Zhou Cheng opened the contents of the textbook one by one, and the chapter on shoulder joints alone contained too much content.
Acromial impingement, rotator cuff injury, Bankart injury, SLAP injury, frozen shoulder, long head biceps tendonitis, long head biceps tendon rupture, giant rotator cuff injury, supraspinatus tendon calcification, shoulder recurrent Anterior dislocation, acromioclavicular joint dislocation, multidirectional shoulder instability.
According to the catalogue, Zhou Cheng can see that the common diseases of the shoulder joint are: one, two, three...!
A total of thirteen sections!
My brain hurts a bit.
There are even more rare diseases, such as uric acid deposition stones in the shoulder joint, fibrosis, and some things that Zhou Cheng has never heard of...
And that's just the shoulder joint.
There are also elbow joints, wrist joints, hip joints, knee joints, ankle joints, interphalangeal joints, and many special joints on the feet.
This?
Where can I learn from?
This simulator can only retain one skill at a time.
nine times.
nine!
Isn't this nonsense?
……
Luo Yun was still on duty in the department near ten o'clock, eating supper with the doctor on duty Lin Lin.
Then he saw Zhou Cheng calling, Luo Yun smiled, took off his lobster-eating gloves, and casually asked, "What's wrong, Xiao Zhou?"
I feel a little better.
In the past days, Zhou Cheng was simply too calm, and he always regarded himself as a calm and breezy expert!
This is not in line with Luo Yun's values, and I hope Zhou Cheng's temperament can be reversed.
This was the first time Luo Yun saw Zhou Cheng not calm, so he called him at this time.
Zhou Cheng was not calm anymore, but Luo Yun became calm.
Maybe Luo Yun also has a little bad taste in his heart, and he wants to see Zhou Cheng's anxious bad taste.
Sure enough, Luo Yun heard Zhou Cheng say: "Mr. Luo, when you go to the outpatient clinic, what are the main types of diseases?"
"I don't know what to read now." Zhou Cheng couldn't grasp the key points, so he naturally wanted to ask Luo Yun to draw the key points.
Luo Yun said casually: "That's not clear. The joint patients encountered in the outpatient clinic may have joints in every joint. It is impossible to focus on only one joint."
"Our Eighth Hospital is not comparable to other places. Some large hospitals only need to focus on one joint, but we must all look at it."
"And not only patients with joints need to be seen, but also patients with sports medicine."
"Our hospital can't give a treatment plan, but we can suggest them to intervene early." Luo Yun said.
It is impossible to focus!
You won't be given a chance to hold Buddha's feet temporarily.
Luo Yun thought rather complacently.
On the opposite side, Zhou Cheng's eyes lit up immediately, and he replied suddenly: "That's right, we are seeing patients in the outpatient clinic, not in the ward, we must treat the patients."
"Then I understand, Teacher Luo. Thank you, Teacher Luo."
The big fat prawn that Luo Yun was about to stuff into his mouth immediately felt unsavory.
You understand what you understand?
What did I say, are you right?Are we going to the clinic?
Don't we just go to the clinic?
Do you still want to treat all the patients you meet in the outpatient clinic like the patients in the ward and cure them on the spot?
Luo Yun hung up the phone, feeling a little bad again.
It seems that this time, Zhou Cheng must not have seen Zhou Cheng's troubled and anxious look, and he had pretended it again!
But Luo Yun didn't take this matter to heart.
……
After finishing the phone call with Luo Yun, Zhou Chengcai immediately reset his previous thoughts to zero.
Because he confused his thinking!
Outpatient clinics are different from wards. Outpatient clinics are where doctors and patients come into contact, not where they are treated.
Therefore, there is no need to see a patient at all, but the patient's problem must be solved on the spot, as long as they are provided with a rough idea of how to solve it.
It is equivalent to, in the outpatient clinic, as long as the diagnosis process of the diagnosis and treatment process is completed!
It's much easier to just diagnose and not treat.
This is equivalent to breaking the whole into parts, which can give Zhou Cheng a lot of preparation time.
After sorting out his thoughts a little bit, Zhou Cheng started a new round of simulation...
[Please select the initial carrying material for the simulation. 】
【1. Arthroscopy (proficient) (shoulder joint, wrist joint, knee joint), 2. Joint dislocation reduction (perfect - world-defining level). 3. Arthroscopy (skilled) (shoulder, wrist, knee). 】
[Fixed Skills: Limb Anatomy Experience and Muscle Strength Out of Shape (Perfect - World Definition)]
Ok.
Zhou Cheng only carried relatively simple and basic things, and the purpose of the simulation was to see if he could obtain packaged skills similar to limb anatomy experience and muscle strength deformation (perfect-the definition of the world).
Surgery originated from anatomy, but the source of all medical departments is diagnosis!
Skills can be 'packaged'.
For example, when Zhou Cheng simulated the open reduction of limb fractures through small incisions, he also obtained them one by one, but in the end they would be bundled and packaged into small incisions for open reduction and internal fixation of limb fractures.
【The simulation starts! 】
[You already have a certain status in the department, and you have obtained the authority of level II surgery.You are still on duty. 】
[But you have a "great way" in your heart, so you chose to give up your plan to continue to obtain the authorization of the exception level III surgery, and you started to sit with the superior physician in your department as an outpatient. 】
[Because you have a solid anatomical foundation and a rich medical knowledge base, you can still routinely complete common Class II operations. Although you have not reached the previous level, you have gradually gained the attention of superior doctors. 】
【So you have a thick skin and follow your superior doctor in outpatient clinics...】
【You have a thick skin, you only look at the shoulder joints.And ask your superior physician to teach you only to look at the shoulder joint first. 】
Seeing this, Zhou Cheng blushed a little, feeling a little embarrassed.
His idea of simulation this time is to keep Luo Yun entangled, and he is not greedy for too much, so he only engages in one joint first.
[You successfully got the opportunity to be hired by the college! 】
【You turned down too many surgeries and started to specialize in the diagnostics of joint surgery. 】
[Three years later, you have gained systematic shoulder joint disease diagnosis experience (general), and your superior physician feels that your talent in joint surgery is limited.So I tell you that you need more operations and more reading. Orthopedics is not just about joint surgery. 】
[Actually, it’s good that you specialize in trauma surgery, but you refused, because you have a strong desire to learn.Your superior physician is impressed by you. 】
[After five years, you gain experience in routine disease diagnosis of the hip (common).Your manipulative skills are limited only to manual reduction of dislocated joints.Your superior doctor feels that he has delayed you and led you astray, so he apologizes in every possible way! 】
【You are still maverick, continue to learn from him brazenly. 】
【Ten years later, your superior physician was finally promoted to director, and opened up the joint surgery department of your hospital alone. As his staunch supporter, you became the veteran of the department.But your co-workers think you're a sucker.This is the top position. 】
【You are still enjoying the outpatient clinic with your superior physician. As the deputy chief physician, you still don’t see the outpatient clinic alone, you continue to follow your superior physician’s outpatient consultation. 】
[After 15 years, you have gained experience in the treatment of common diseases of the shoulder joint and hip joint (common). 】
[Your wife can't stand you anymore, she went to the court to sue you for 'infidelity' in marriage, but the person she suspected of infidelity was your superior doctor.Given that your superior physician is male. 】
[The court declared you innocent.Your wife has finally 'divorced' you peacefully. 】
[The next year, your superior doctor finally became a middle-aged and elderly bachelor!He yells at you, but you remain unmoved. 】
【After 25 years, you were finally promoted to the chief physician in the hospital, and your superior physician was about to retire. He almost knelt down and begged you, please stop 'harassing' him, but in the eyes of your unit. 】
【You are the absolute confidant of your superior doctor!Loyalty and diligence throughout his life. 】
[You continue to follow your superior doctor to see outpatient clinics!The resident chores were done in front of him. 】
[Almost everyone thinks that your superior doctor delayed you, turned the former genius into a licking dog, yelled at your superior doctor, and severely criticized the strict system of superiority and inferiority in the hospital! 】
[In 35 years, your superior physician is about to retire, and you became the director of the joint surgery department because of your veteran qualifications.You are still the loyal follower of the senior doctor who retired and rehired, follow him as an outpatient! 】
【Finally, one day, your superior physician died of a sudden heart attack! 】
When Zhou Cheng saw this, the corner of his mouth twitched.
Weird expression.
Did I lick Luo Yun to death?
[You finally started to sit alone in the outpatient clinic by yourself, and at the age of 65, you successfully retired.Then he knew that he was not capable enough, so he rejected the hospital's polite re-employment invitation. 】
[Your reputation in the province and in the industry is already rotten. You are a well-known dog licker in Hunan Province, and you have also succeeded in being a dog licker, so you left the medical industry.In the end, at the age of 89. 】
[Simulation evaluation: Unable to evaluate.In your whole life, for the sake of learning, you will do whatever you can, regardless of your status and face, or even your family and career. 】
[But in the end, it's still an out-and-out licking dog. 】
[You can choose one of the following. 】
[Special Skill: Thick Black Art (Perfect - World Definition).Because your thick blackness has reached its limit, exceeding the definition of the world, and after being incompatible with the dungeon, there is still a perfect imprint of thick blackness. 】
[Experience in diagnosis of common diseases of the shoulder joint (proficient)]
【Experience in diagnosis of common diseases of the hip joint (skilled)】
【Diagnosis experience of common diseases of extremities and joints (common)】
[Special Adventure: Gift of the Superior Physician's Hard Work: The Superior Physician's Knowledge Pack (Mastery)! (Note: During this simulation process, your superior doctor has a deep resentment towards you, and more than [-] times wants to donate all you have learned to prove his innocence, to expel your closeness, and to leave you harassment.)]
【He just hopes that you don't get close to him anymore! 】
[He still bears the label of a manly man and bureaucracy to his death! 】
[Therefore, this adventure is a special prop, not a one-time consumable.It can be directly cured and used! 】
Whoops!
When Zhou Cheng saw the harvest, his eyes flashed.
Damn, is the idea of simulation this time so vigorous?
Did it almost drive Luo Yun crazy during the simulation?
Zhou Cheng turned the text up again.
It seems to be like this, the idea of simulation this time is particularly shameless, in the simulation world, Zhou Cheng is divorced.
Luo Yun is also divorced...
It seems that there are so many billion points that it is not ethical.
But it doesn't matter, anyway, it's just inside the simulated copy.
Pray with your hands and say silently in your heart: Teacher Luo in the simulated world, I'm sorry, what happened to you has definitely contributed to the medical progress of the world.And it's a great contribution.
After Zhou Cheng cleared up his mood.
Directly chose Special Adventure.
Then after directly choosing solidification, Zhou Cheng was immediately stunned!
Luo Yun was almost driven crazy by him!
It must have been licked to death by him!
The following skills emerge as evidence——
Proficiency-level skills: fracture reduction, fracture open reduction, plate and screw internal fixation, nerve suture, elbow joint injury treatment experience (sports medicine, trauma, joint direction), human limb anatomy experience, debridement and suture, cosmetic suture, Antibiotic use experience, shoulder joint injury treatment experience (sports medicine, trauma, etc.), ankle joint, wrist joint, hip joint injury treatment experience (sports medicine, trauma, joint direction).
Proficiency-level skills: shoulder joint injury treatment experience (joint surgery direction), knee joint injury treatment experience (sports medicine, joint direction), tendon injury treatment experience, fracture postoperative infection treatment experience.Hip, knee, shoulder replacements, revisions (including complex revisions).
I nia!
Zhou Cheng counted, and Luo Yun packed him at one go, more than [-] proficient and proficient level skills, and all of them were level III skills.
At the same time, the mock copy sent out a hint again.
[The skills are solidified, and the special adventures of the same kind will disappear permanently and will never appear again! 】
[The simulation is over! 】
Can't even watch the simulator anymore?
Zhou Cheng licked his lips, picked everything up in his bag, and immediately rubbed his hair.
Then quickly call Luo Yun.
Luo Yun was on duty today, so he could have gone home, and then asked Lin Lin to call him when something happened.However, in order to improve the quality of duty, Luo Yun simply lived in the duty room.
Seeing Zhou Cheng call at this point, he seemed to feel better again: "What's the matter? Xiao Zhou?"
"What time is it, are you still asleep?"
He was anxious, he was anxious, he was really anxious.
Hey Hey……
Zhou Cheng was relieved when he heard that Luo Yun's tone seemed a little high-pitched, and his voice was even a little excited.
He was really afraid that if he messed around in the simulator copy, he would directly kill Luo Yun in reality, and the gain would outweigh the loss.
This is Zhou Cheng's simulation idea that has been prepared for a long time.Anyway, just stare at one person and lick it.
Women are afraid of being entangled, and men are definitely afraid of being entangled. As long as you are shameless, you can learn a lot of things you want to learn.
It's just that Zhou Cheng has never used this kind of thinking.Besides, from the most essential point of view, I just want to learn, so be nice to you, and this is not licking.
But this kind of action almost drove Luo Yun crazy, Zhou Cheng didn't expect it.
Fortunately, it is a simulated world.
"Well, I'm going to sleep right away, Mr. Luo, are you okay there? Are you busy today?" Zhou Cheng mainly wanted to determine how Luo Yun was doing.
But don't have an accident, as long as there is no accident!
It's easy to talk about anything, so I just found a topic.
Anyway, in the real world, this is the first irrelevant 'harassment'.
Luo Yun frowned slightly, and said, "Are you still worried about me? Why? Do you think that you helped Orthopedics and Pang Dingkun dislocate joints that they couldn't handle a few times, and you don't feel relieved?" I am coming?"
No wonder Luo Yun thought so. In the past few times, the reason why Luo Yun couldn't do anything was because he was touched by Pang Dingkun and others, and Luo Yun was not in contact with people first-hand.
As the first patient, Luo Yun is not afraid.If the patient has been treated by other places, then Luo Yun also has enough knowledge to send away the patient who is not willing to deal with it!
"No, Mr. Luo, I'm afraid you're too tired." Zhou Cheng said nonsense again.
But after speaking, I felt that this was not good.
The processes in the simulated world are all based on reality. If I lick Luo Yun too hard in reality, will he also disappear immediately?
Or, keep a little distance from him in the future, and be a little colder?
this is okay.
Zhou Cheng made such a decision.
"Go to bed early, I'm going to squint for a while, I don't know if there are any patients coming tonight."
"Tomorrow morning at nine o'clock, I won't talk nonsense with you. What time is it?" Luo Yun didn't hear what he wanted to hear.
Immediately frowned and called off the topic.
If Zhou Cheng came to ask him what kind of patients he would encounter in the outpatient clinic, then Luo Yun might chat with Zhou Cheng a little more, but at this point, you want to chat with me?Hush cold and warm, isn't this bullshit?
Two big men, what is there to talk about?
Zhou Cheng also took the opportunity to hang up the phone.
Luo Yun was puzzled at the other end——
I feel that Zhou Cheng made two phone calls in a row today, a little happy, but a little unhappy.
Forget it, when we wait for the outpatient clinic, let's go and see Zhou Cheng's anxious look.
……
After Zhou Cheng and Luo Yun hung up the call, they hurriedly started the next simulation.
Because of an unexpected simulation idea, he got Luo Yun's knowledge package, so he didn't have to rush to learn the skills related to joint surgery, and then continued to simulate the remaining level II skills.
The level II skills have been simulated to perfection one by one.
After five simulations, Zhou Cheng accidentally discovered that when he analyzed all the perfect skills he had acquired, there was a subtle reaction between the lower-level skills.
For some reason, two perfect-level skills were automatically synthesized:
【Arthrotomy (Perfect - World Definition)】
【Internal fixation of the joint (perfect - the definition of the world)】
To be honest, the perfect level of arthrotomy is easy to understand, but Zhou Cheng himself has not fully understood the internal fixation of the joint.
However, when he touched this level of thinking, a lot of knowledge flooded into his mind, which immediately made Zhou Cheng's expression flicker.
what?
It turns out that it can still be like this!
After Zhou Cheng closed the notebook for taking notes, he frowned slightly.
This arthroscopic internal fixation is not a common surgical procedure, but a subtle response after multidisciplinary integration, allowing Zhou Cheng to naturally obtain treatment strategies for some rare diseases.
-
And because of the accidental acquisition of the joint surgery knowledge package today, and the active synthesis of these two skills, Zhou Cheng suddenly realized.
It seems that I understand a little bit about these points.
Zhou Cheng didn't know if it was right, but this was what Zhou Cheng was thinking at the moment.
First, seeing a mountain is a mountain.From my previous perspective, when I went to see joint surgery, I only felt that it was extremely mysterious, profound and mysterious, shrouded in mist, and unattainable!
Second, seeing a mountain is not a mountain.But when you really understand it and discover the way up the mountain, you will find that the mountains you see are just points that can be reached everywhere, and when you look back from the top of the mountain .
You will find that the mountain you climb is nothing more than a pile of rocks with a certain altitude.
There is nothing unattainable, and there is nothing profound and mysterious, but you have never been to the top of the mountain.
Do you know what the difference is.
Then, when Zhou Cheng returned to the skills of trauma surgery, he found out.
Third, seeing mountains is mountains.
It’s like the manipulation of bone fractures. Zhou Cheng stood on the top of the mountain and felt that he had reached the highest peak. Suddenly, in the process of searching hard, he found that the mountain he was standing on was actually just a mountain. Altitude, even low-lying spots.
In the current world, the defined surgical contraindications and surgical indications are only based on where you stand.
In fact, trauma and fractures are still there and have not changed. This mountain is still unattainable. If you think that there are some fractures that cannot be solved by manual reduction, they are absolute contraindications to manual reduction.
It's just that your cognition is limited, but how to break through this limit, you haven't found the way from the first level to the second level, so it's still profound and unattainable...
This made Zhou Cheng inadvertently think of a sentence, mysterious and mysterious, it is all wonderful methods!
In fact, our cognition of the existing world is still small, constantly broken and pushed away, it is just the apex and ceiling of an era, which will be constantly lifted, and we must work hard to constantly lift it.
Where is the limit of this temple of medicine?
Zhou Cheng didn't know, and couldn't answer, but now he was gradually on the road, and the scenery along the way was very beautiful.
……
The next day.
It's that happy Saturday again.
Saturday is the first day of the weekend.
Although it is said that doctors do not have weekends and weekends, the rule that elective surgeries are not performed in the hospital on weekends can at least let the doctors breathe a sigh of relief.
Just like the doctor on duty, Lin Lin, after finishing his 24-hour shift, he got up early at 07:30 and began to write yesterday's shift handbook.Then prepare the patient data for today's ward rounds, and trace the admission examination results of newly admitted patients.
In order to make the most adequate preparations, meet the arrival of get off work and weekends.
But for Du Yanjun, he had to bite the bullet and sacrifice a weekend day to arrive at the department early before eight o'clock, complete the handover with Lin Lin, and start a new round of 24 hours a day. beginning.
Du Yanjun arrived at the doctor's office on time.
After completing the handover with Lin Lin, he lowered his voice curiously and asked, "Lin Lin, did you see the message posted in the training group yesterday?"
"It seems that a senior doctor in our hospital was dissed by the teacher who lived in the training office."
"It's so cool, this seems to be the first time that the resident training office has dissed the superiors for our residents."
Du Yanjun is a professional graduate student who was also incorporated into the regular training. Lin Lin was an academic graduate student who was later trained under the regular training. Now they are all under the management of the regular training office. Strictly speaking, there is no difference from a resident doctor like Zhou Cheng. The bottom floor of the hospital.
On weekdays, I am always trembling with the superior physicians, not daring to disobey in the slightest, because I am afraid that the superior physicians will file a complaint against the resident training, and then the regular training will be postponed or judged to be unqualified for the month of resident training.
Lin Lin laughed bitterly when he heard this.
Then can I not know?
Damn, the person who lives and runs the diss is from our department, Zheng Xuanlin from our group.
That's what the message said.
"Recently, there has been an incident in our hospital where a resident doctor was pushed out by a superior doctor to take the blame. Here, I would like to inform all the resident trainees again that they must strictly perform their responsibilities and obligations in each specialized department and do their own work well. .Complete the authority and duties assigned by the superior physician."
"Don't act rashly and act recklessly."
"As long as there is no violation of regulations or discipline, if similar things happen, please call the Residential Education Office directly, and the Residential Education Office will directly communicate and connect with the teachers in the relevant departments!"
"Remember, fellow residents!"
Although Lin Lin also felt very happy in his heart, he felt that Zheng Xuanlin was simply being fucked.
Damn, say in front of the patient that a Zhupei is unwilling to operate on the patient.
Is this what people say?
Does he have the nerve to say it?
After stepping down yesterday, Zheng Xuanlin was called to the medical department and the housing and training office. Both sides tortured him severely. According to Director Hu, he will come to personally check the ward today.
Lin Lin not only knew who the superior doctor was, but also the original story of the incident.
Yesterday, after Hu Ming and Zheng Xuanlin completed the amputation, the patient was pushed back to the orthopedic ward. Although the vital signs were good, the patient's family members reported it again.
Not only Hu Ming and Zheng Xuanlin were reported, but also Zhou Cheng was reported, saying that Zhou Cheng had no medical ethics.
The resident doctor was reported, and the medical department directly called the resident training office to the complaint office, calling the director of the resident training office overnight.
Then, after scanning the details of the incident, the director of the Residential Training Office scolded the staff on duty in the Complaint Office and Zheng Xuanlin in the complaint office. Zheng Xuanlin came up.
According to an on-duty doctor in the geriatric department who was closest to the hospital's complaints office.
Teacher Qin, who lives in the training office, asked in this way: "Do you want face? Do you have face?"
"Look for Peiban if you have anything to do, and Peiban if you have nothing to do? Is our Peiban your punching bag?"
"Are you going to live in Pei for surgery? Are you going to live in Pei to do all the operations in the hospital?"
"Are you going to live in Pei to go to heaven?"
"..."
"I don't know about this!" Lin Lin pretended to show Du Yanjun a confused expression on my face.
Zheng Xuanlin is his superior, this kind of thing is disgraceful, the residence and training office does not have a real name, it is to give face to the orthopedics department and Zheng Xuanlin, there is no need for Zheng Xuanlin to die in the department.
If other people figured it out, that was their business, and Lin Lin would definitely not say it.
Du Yanjun just smiled, "Hey, whoever he is, as long as he feels good anyway."
"At least, when you go to other discipline training in the future, you don't have to be afraid, just do your own job well."
Lin Lin also nodded in agreement and said, "Yes."
Then he stopped chatting with Du Yanjun and said, "I'll go around and see how the drainage of the amputee who underwent surgery yesterday was doing."
In fact, Lin Lin has already seen it.
Du Yanjun nodded and started looking at his bed and new patients.
……
For Saturday's ward rounds, both Yan Haihan and Cai Dongfan can be skipped. After all, as the director, there is no surgery scheduled for the weekend, so just leave it to the attending and deputy director.
Luo Yun and Dong Qiansheng from Cai Dongfan's group both appeared.
Then, when the two teams had almost finished their rounds with people, they saw that Hu Ming was leading people around the house at the moment.
Zheng Xuanlin was lazy.
Luo Yun led people to collide with people from Hu Ming's group, and Hu Ming seemed a little embarrassed.
Luo Yun also knew the truth of the matter, so he hurriedly said, "Mr. Hu, I'm going to see the patient first?"
"Yeah." Hu Ming also nodded, and calmly took his own people to go to the ward rounds.
Du Yanjun and Zhang Zhengquan were both knowledgeable, so they more or less guessed why.
Zheng Xuanlin, the attending doctor, did not come to conduct weekend rounds, but Hu Ming came, which can explain some problems.
And Xiang Haibin is a newcomer. After he walked into the ward, he asked: "Director Hu of your orthopedics department is still very active? He also conducts rounds in person on weekends. The director of our neurosurgery basically only checks the ward twice a week. "
Luo Yun immediately turned around and said, "Don't worry about other groups' business, just do your own group's work well."
Obviously Luo Yun didn't want Zheng Xuanlin's affairs to spread in the department, otherwise, it would be difficult for Zheng Xuanlin to carry out his work normally in the future.
Although it was entirely his own fault, Luo Yun actually understood Zheng Xuanlin quite well.
Zheng Xuanlin came to the department before him, and became the attending doctor first, with the same education background, but now he has to compete for the deputy high school in the same year.
It is impossible for Luo Yun to take the initiative to give in because of the worldly way, everyone depends on their own abilities, I don't mean to hurt you on purpose.
Xiang Haibin hurriedly shut his mouth.
……
After checking the house, he looked around Xiang Haibin and asked, "Brother Quan, Brother Jun, Yang Yifeng from our team? Can you not come to the house check?"
Xiang Haibin's impression of Yang Yifeng was particularly deep. After taking him to the neurosurgery operating room the day before yesterday, Xiang Haibin was afraid of him.
This guy looks arrogant, but in fact he is really arrogant, really amazing!
Revenge doesn't last overnight, and slaps don't turn back. He will take you on the spot and take you to see how powerful he is.
Luo Yun had already left work, and Zhou Cheng was not in the office, only Zhang Zhengquan and Xiang Haibin were there.There are no other groups of people.
Du Yanjun then let go of the loudspeaker: "Brother Yifeng, you don't even give Director Yan face. When you are in Director Yan's group, you won't come on weekends. How could you come to our group? You will come to the department on weekends Woolen cloth?"
"Hainai, just don't worry about Brother Yifeng's affairs, we don't have many things to do in our team today."
"You can go to get off work when you're done."
Then Xiang Haibin hurried to push the medicine changing cart to change the medicine.
Zhang Zhengquan snatched the dressing car, but since Zhou Cheng is no longer in charge of the bed work, the rookie dressing master who was the number one pick in the group was logically replaced by Xiang Haibin.
He wants to help prescribe the doctor's order as soon as possible.
After walking towards the beach, Du Yanjun asked, "Brother Quan, do you want coffee together?"
"Okay." Zhang Zhengquan nodded.
Then he smiled and said, "Brother Yan Jun, did you already know that Brother Zhou Cheng is very powerful, that's why you followed him when he was on duty? You didn't tell me yet."
"There is a snack machine."
Zhang Zhengquan said that on purpose.
After he ordered two takeaways yesterday, he realized, damn it!
The money is not enough, so I have to stay in the department for a day to eat today.
Du Yanjun was rather embarrassed, and smiled back: "Brother Quan, how can you miss me so much? Do you still doubt me?"
Although I also feel that I am a little unkind, but I am going to take the initiative to help Zhou Cheng and strive for the opportunity to study. It is not shameful, any of you can do this.
With a big black face on his face, Zhang Zhengquan showed his white teeth and said, "I will definitely not doubt you, Brother Yan Jun. I have to make a decision. I want to learn more from you, Brother Yan Jun, and be with you, Brother Yan Jun." On duty!"
"You are on duty with Brother Zhou Cheng, and I will follow you. We will get rich first and then get rich later, and finally everyone will get rich together." Zhang Zhengquan's thinking suddenly became very positive.
Du Yanjun's heart twitched immediately.
I nia!
The way of the strange man is to cure the body of the rider!
(the word is not wrong!)
I'm still very good at myself, do you still want to grab my learning opportunity?
Du Yanjun was actually very reluctant in his heart and wanted to refuse.
Looking at Zhang Zhengquan complicatedly, the mouth under the mask trembled slightly.
Zhang Zhengquan smiled, stood up, snatched Du Yanjun's notebook, and said, "Brother Yanjun, go to rest today, our team doesn't have much to do, I will take care of your patient's doctor's orders and dressing changes for you." gone."
In order to get money, use any means!
It's also kind of fun.
Du Yanjun discovered that what Zhang Zhengquan was doing at this moment was exactly the same as what he had done back then.
In the end, Du Yanjun still didn't keep his notebook.
It's not easy to go to Zhang Zhengquan to grab it.
I walked to the lounge with a complicated mood, and I had a snack!
It seems that the method I used back then was too fucking doggy, did I get retribution now?
What is your own level?
We also need to give Zhang Zhengquan a chance to practice his hands!
That's pretty gnarly!
Zhou Cheng was working on the test paper in the lounge at the moment. After Du Yanjun pushed the door in, Zhou Cheng ignored him and continued to immerse himself in the test.
Du Yanjun didn't see what Zhou Cheng was doing at first, so he found a seat and sat down on his own.
After a long time, I found that Zhou Cheng didn't see his complicated expression and ignored his complicated mood.
Then he turned his head, looked at Zhou Cheng, and asked, "Brother Zhou Cheng, you are writing."
But I noticed right away that what was spread out in front of Zhou Cheng was Lao He's first secret volume!
"Do you want to continue the postgraduate entrance examination? Brother Zhou Cheng?" Du Yanjun was stunned immediately, and his heart became even more shocked and complicated.
Zhou Cheng is 26 this year and will be 27 soon!
He is already so good, he still wants to go to graduate school to improve himself?
Only then did Zhou Cheng nod slightly, looked back at Du Yanjun, and said with a wry smile, "Well, try again for the last time, if it still doesn't work, then it's all fatal! I won't take the test anymore."
……
(End of this chapter)
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