medical simulator

Chapter 181 Right and Wrong (please subscribe!)
"Damage debridement is different from ordinary debridement and sutures. All necrotic tissue must be removed, and the surface skin must be thinned."

"If the blood supply of the skin disappears, then this piece of skin and subcutaneous tissue can't be taken anymore!"

"However, this patient's situation is quite special. The skin on the soles of her feet still has half of the blood supply. Although the blood supply is not good, as long as there is blood supply, it is good."

"Under such circumstances, we can perform transposition of blood vessels. At this time, we need to..." Zhou Cheng was debridement for the little girl.

While explaining to Zhang Zhengquan in detail, the theories involved in it are occasionally unpredictable, but occasionally there is a feeling of epiphany for him, and sometimes, it makes Zhang Zhengquan feel that this shit is okay?
Moreover, under Zhou Cheng's knife, the anatomical tissue of this little girl no longer seemed to be simple skin and soft tissue. The arteries are reconnected!

After the continuation, there was blood in places where there was no blood at all.

This is simply outrageous mom opening the door for outrageous!
"Hmmmm~" Zhang Zhengquan nodded hurriedly all the way, quite shocked in his heart.

Although I don't know exactly how Zhou Cheng did these things, Zhang Zhengquan had undergone emergency surgery with Cai Dongfan and Luo Yun after all. Cai Dongfan and Luo Yun would definitely have their limbs amputated when they encountered such things on weekdays. thing!
"Brother Zhou Cheng, what should we do next?" Zhang Zhengquan asked again.

"Next, we..." Zhou Cheng was still talking.

At some point, the door of the operating room was stepped on, and then a small eye wearing a surgical mask and a disposable cap walked into the operating room.

However, his eyes were extremely serious at the moment, and he didn't have the sense of familiarity before. After entering the door, next to Zhou Cheng, he felt a sense of coercion, and he glanced at the progress of the operation on the operating table.

Cai Dongfan said straight: "Zhou Cheng, after you step down, go to the outpatient clinic and come back for Luo Yun!"

"You don't need to participate in the subsequent surgery!!!"

The voice was decisive and crisp, and there was no room for Zhou Cheng's rejection and hesitation.

When Zhang Zhengquan saw Cai Dongfan, he panicked for a moment, his right hand trembled slightly: "Teacher Cai."

His heart was agitated, as someone who had been with Cai Dongfan for several years, Zhang Zhengquan had rarely seen Cai Dongfan get angry, but he hadn't.At this moment, Cai Dongfan was extremely angry.

Although he hasn't started to fire like Yan Haihan, he must be angry, and this kind of talking mood is not normal.

Zhou Cheng paused for a while before replying, "Okay! Teacher Cai."

Zhou Cheng understood what Cai Dongfan meant, and he regretted it a little, but he didn't regret it either.

"After stepping down, come and find me first." Cai Dongfan said out of anger.

However, right afterward, Cai Dongfan still felt quite disturbed, and said, "Forget it, you go directly to the outpatient clinic to find Luo Yun, and replace Luo Yun in the operating room!"

After Cai Dongfan finished speaking, he walked out of the operating room.

After Cai Dongfan left, Zhang Zhengquan, whose heart was almost in his throat, finally relaxed, and said with relief:

"It's frightening to death. Teacher Cai's power is exactly the same as that of Director Yan before. It's frightening to death."

"Being a director is different." Zhang Zhengquan's tone was a little bit apologetic for Zhou Cheng.

You know, Zhou Cheng completed a debridement operation in a short period of time, and saved a little girl who was about to be amputated. Can't finish it.

It's fine if Cai Dongfan doesn't boast, and he wants to take Zhou Chengzhi away.

What kind of temper is this?
While continuing the operation, Zhou Cheng said, "Quan Zi, it's not Mrs. Cai's fault, it's all done by myself. Hurry up and operate, the next operation will not be difficult!"

Zhou Cheng understood very well.

"Brother Zhou Cheng, Teacher Cai is about to drive you out of the operating room, and you are still helping Director Cai speak?"

"I think Mr. Cai was just putting on airs like a director!" Zhang Zhengquan was still muttering!
Zhou Cheng didn't explain too much. Soon, Zhou Cheng took Zhang Zhengquan to finish the little girl's limb salvage surgery.

After the operation, Zhou Cheng carefully checked that the blood supply and VAC were unobstructed, and no blockage or air leakage was found.

He said: "Quanzi, remember to give the patient anticoagulant and circulation-promoting drugs after surgery, and give the cephalosporin twice more today."

"Then explain it to the patient and family."

"Okay, brother Zhou Cheng." Zhang Zhengquan was quite excited. Although he was not the chief surgeon, he was also responsible for the little girl's ability to keep her leg!
Zhou Chengcheng walked out of the operating room a little lonely.

Zhang Zhengquan sighed, but he heard the little girl cry again, her shoulders trembled slightly and she asked, "Doctor, is my surgery finished?"

"My legs are so numb, I don't feel anything at all, did you cut off all my feet?"

The little girl has no social experience and little knowledge, but she has seen the one-legged one on TV. She thought she lost one leg, and she was a little anxious.

It's useless to be anxious, so I feel wronged.

Moreover, she was only so young, and what Zhou Cheng and Zhang Zhengquan said were too professional, she couldn't understand what they meant at all.

"No, your leg is fine, it's useless at all, but it will leave a little scar."

"However, you have to be obedient after the operation, so as not to get an infection!"

"Ah? Really? Let me see!" The little girl was about to raise her head excitedly.

However, the anesthesiologist held him down: "Don't look up! I told you everything, the little girl must be obedient, can the doctor still lie to you? Your cute little feet are still dripping, don't worry. Ah !"

"I went out to meet your parents later and asked them to take pictures for you."

"I'll just take a look."

"Don't watch, lest you get a headache later." The anesthesiologist refused straight away.

The chance of cerebrospinal fluid leakage is small, but there is no need to gamble!The little girl is poor enough, any risk can be reduced.

Then Zhang Zhengquan pushed people to the door of the operating room. The patient and his family members saw the surprise and thanked Zhang Zhengquan gratefully, and almost knelt down for him. Zhang Zhengquan explained that he did not perform the operation.

But the family members of the patient still thanked him. Apart from the parents, there were also grandparents and grandparents, all of whom were extremely pleasantly surprised. open……

Zhou Cheng had already gone down to the locker room. Instead of changing into his own clothes, he put on a shoe cover and rushed towards the outpatient clinic.

After Zhou Cheng arrived, Luo Yun asked Zhou Cheng to stand aside, vaguely guessing something.

After the patient finished reading, there were only five waiting patients left outside, but Luo Yun explained to them: "Sorry, please wait a moment, give me 5 minutes to go to the bathroom."

The reasons Luo Yun gave were reasonable, and the patients and their families who were waiting outside did not say much.

Luo Yun then took Zhou Cheng to the stairwell where there were few people. After entering, he asked Zhou Cheng, "What's the matter with you? Why did Director Cai send you to the outpatient clinic?"

"For the amputation operation arranged in the morning, I performed limb salvage, which saved the time for knee joint debridement in the next operation room." Zhou Cheng explained in a low voice.

"You!~" Luo Yun's expression changed upon hearing this.

Zhou Cheng's matter seems to be high-ranking, but it's actually outrageous!

"Are you stupid?"

"What qualifications do you have to decide the duration of an operation for a third-degree knee injury?" Luo Yun cursed at that time.

"Why does this patient pay for another little girl's limb salvage?"

"Why did you do this?" Luo Yun questioned Zhou Cheng.

Zhou Cheng lowered his head and said nothing. He had a reason in his heart, but such a reason was not a reason at all.

"I met it." Zhou Cheng could only say that I met it!
"Have you met?" Luo Yun was a little startled.

"You have to do this when you encounter it? Who taught you? What time is it now?"

"Time is money, and time is life. If you have the time, why don't you deal with the patients behind? Do you know how much change will happen if you adjust the operation time of the patients casually?"

"It's a good thing that you have the ability, but the ability to have it should be placed on the largest plane, instead of concentrating all the abilities on one person at any time for one patient. Don't you understand this? " Luo Yun asked.

In normal times, Luo Yun would never talk about Zhou Cheng.

You have as much ability to display as much ability.

Seeing that Zhou Cheng didn't speak, Luo Yun continued: "If we talk about a patient—"

"You guard him 24 hours a day, give him your all, and take all his situations into consideration. You can even find him the best and most affordable medicine in the world. "

"You can even help him pay the money, can you afford it? Can you afford it."

"You can be thanked by patients and family members, and even your behavior, if posted on the Internet, can be enshrined. But so what?"

"How much money do you have, how much time do you have in your life, if you just spend it all on this, how many patients can you treat in your life? Ah? How many?"

"Should you spend your time as a doctor, or become a miracle doctor, spending all your time building your own medical ethics and making yourself a saint?"

"When two patients are about to die, if you are the chief surgeon, you have to be a villain!"

"Who are you not?"

"Do you let the patient's family members do it?"

"Moreover, this kind of evil is not just done by your thoughts and thinking, you should follow the general trend!"

"I thought your mind was mature and stable enough, but you're actually not cautious enough, and you still don't have enough experience!"

Zhou Cheng nodded and said apologetically, "I'm sorry, Teacher Luo, for disappointing you and Teacher Cai."

"You have never experienced this kind of thing, so you have no experience, and you don't know how to deal with it, but I tell you, steel should be used on the blade. This sentence is very cruel!"

"This is the law of reality, otherwise, you will be eliminated."

"I'll give you another very real question!"

"If you have 50 yuan, would you like to donate it to a cancer child from a poor family? Or would you like to support a few poor students who dropped out of school?"

After Luo Yun finished speaking, he walked directly outside the stairwell.

Leaving Zhou Cheng there alone was very tangled!
What kind of problem is Luo Yun's problem?This question is too sharp to answer.

child--

student.

In terms of age, a child is younger, his potential is unlimited, he is still young, he still has infinite possibilities, but a modification of a tumor directly locks his whole life.

Even if you spend too much money, his lifeline is about 20 years old!

From a social point of view, from the aspect of social value, to donate to him is completely a waste, it is to use a lot of financial resources to support a person with a limited lifeline in the game of life.

That is the kind of extravagance that can only be enjoyed by the rich.

But this is more than money, but it can change the lives of several other children in impoverished mountainous areas against the sky!

However, speaking from another level, in front of life, all living beings should be equal.

Children in impoverished mountainous areas, even if they drop out of school, they will not die. At most, the breadth of life is different. They may not be able to go to college, but they can still live in their own way.

Without intervening, dropping out of school, going out to work, farming, and mediocre life, they can still enjoy a complete life.

But what about the child?
The money may increase the length of his life several times, allowing them time to open their eyes to see the world and enjoy the ordinary first half of life that other children should enjoy, so that they are not even able to greedily and selfishly enjoy what love is like.

just have to leave.

The painful feeling of falling out of love, the painful feeling of carrying mortgages and car loans, for them, it is a luxury and a reward!

This is an unsolved problem.

You can even choose not to choose, or you can choose not to help anyone.

However, such problems still exist in the real world.

Not donating if you have money, neither violates morality nor the law, but the final result will be different if you choose differently...

Zhou Cheng thought for a long time, but in the end he still couldn't get an answer.

Perhaps, not helping anyone is a choice that is not cruel to either side——

When I finally walked into Luo Yun's consulting room, I saw Luo Yun is hastily issuing a hospital certificate for the patient, and said: "There are a lot of patients in the department now, and there are no free beds, so it will take a while for you to be able to do so." Live in."

"Ah? Doctor, can't you be hospitalized today? Then I'm here for nothing?" The patient's family members muttered there.

They came here to solve the problem, and if they should be hospitalized, they should be arranged to be hospitalized.

The surgery is best scheduled for tomorrow.

This is his definition based on his personal thoughts, and it is in his best interest. However, the world in which everyone lives is destined to be a society!
"No way, I believe you all know what happened yesterday. There are a lot of patients and operations in the department now."

"If you are very anxious, you can go to other hospitals and ask, bring these test results and medical records, and look for vacancies and beds." Luo Yun was helpless.

The patient and his family finally left cursing.

After leaving the door, the scolding continued.

"The business of this hospital is good. If you want to have an operation, you need to make an appointment."

"That's right! It's easiest to make money in the hospital. Wherever the business in the world is bad, the business of the hospital is not good."

After hearing this, Zhou Cheng wanted to say something loudly:
-

Is the hospital a place of business?
May you come to the hospital every day to do business, okay?
Saying this kind of thing is actually a curse and disrespect to others!
Luo Yun didn't leave, but continued to call the next patient in. Of course, he didn't ask Zhou Cheng to go back to the operating room, but just dragged on like this, and even slowed down the pace of outpatient visits a little.

After watching a patient again.

Zhou Cheng was a little anxious: "Mr. Luo, aren't you going to the operating room? The next patient is still waiting, and there are probably two left."

Luo Yun glanced at Zhou Cheng and said, "What's the hurry? I'm an outpatient doctor now. What does the life and death of patients in the operating room have to do with me? I want to see the outpatient clinic, and I'm responsible for the patients here. I plan to follow up later. A few patients, and then if they're going to be hospitalized."

"I still go to serve them 24 hours a day, what are other patients?"

Luo Yun was in a strange mood.

Zhou Cheng lowered his head, knowing that Luo Yun was pointing at Sang and scolding Huai, and said again: "Teacher Luo, I know I was wrong!"

"Save lives first, then cure illnesses, how many times have I been told?"

"Outsiders say that our doctors are devils, but in fact our doctors often have to be devils, because you can't let the patient's family members choose. Don't save this person's life."

"Even if he doesn't want to save you, he can beat you if you say so!"

"You have to grasp this measure. Being kind is not doing good deeds."

"Hurry up and go back. Director Cai asked you to come here, but he just asked me to scold you. Do you think you can really see the outpatient clinic for me? This is my number. How are you qualified to sit in the outpatient clinic now?"

"Go back to the operating room, continue the operation, don't have any emotions."

"In special times, you just have to pull the vision up, and you have to pull it up."

"Human life is at stake!"

"Okay!" Zhou Cheng learned his lesson this time, and without refuting, he nodded and left the clinic.

When I got to the door, I took a look at Luo Yun, and found that Luo Yun didn't mean to ask him to go back. He probably really wanted to ask him to go back to the operating room, not joking with him.

When Zhou Cheng arrived in the operating room, Zhang Zhengquan looked at Zhou Cheng in surprise.

Lower your voice: "Brother Zhou Cheng, why are you back again? Didn't Teacher Cai ask you to go to the clinic?"

Zhou Cheng looked at Zhang Zhengquan and said, "Teacher Cai is beating me and teaching me how to do things. The operation just now was indeed because I didn't think carefully, and my vision was too narrow."

Zhang Zhengquan's expression changed slightly: "Are you still narrow-minded?"

"Brother Zhou Cheng, you didn't see how surprised the family members were, how surprised the little girl was, her eyes lit up, and she also said that tomorrow, she will thank you in person in person."

"The whole family regards you as a savior!"

Zhou Cheng knew that what Zhang Zhengquan said was the truth, and he also knew that what Cai Dongfan and Luo Yun said was also correct.

However, the right or wrong of things is not so absolute, but depends on the perspective and angle you look at.

After a person grows up slowly, the perspective changes, which is inevitable. After seeing clearly, it is also inevitable to become indifferent to the understanding of outsiders. This is growth.

　The follow-up plot is also very important, and we must carefully organize our thinking.

　　
　
(End of this chapter)