medical simulator
Chapter 226 Improper Person and Improper Person!
Chapter 226 Improper Person and Improper Person! (Please subscribe!)
It's not that I don't dare to believe it, I just don't want to believe it.
After all, although the simulated world and the real world influence each other, there are also certain differences!
"Well, Xiao Zhou, in fact, you should know or have heard that I have never recruited students in recent years. Although this time is an exception, it is actually because of Ronaldinho."
"Now that Luo Yun has come to Shanghai, most things have been settled. And, to be honest, Xiao Zhou."
"It's not that I don't know that your talent is excellent, whether it's clinical talent or professional talent, it's pretty good."
"But teaching is like a carpenter. Before carving a work, you must first understand and understand the raw materials. I am old. If I were a few years younger, I could devote my energy to you."
"But I am over 60 this year, and I have passed the retirement age long ago, but I have not retired."
"If I want to bring you, I will spend more time getting to know you, and then formulate teaching plans and arrangements for you, instead of taking you with me and throwing you into the pile of people below , you struggle on your own."
"Do you think what I said makes sense?" Zeng Diwei spoke slowly, but his tone was very sincere.
This is also the first time Zhou Cheng heard Zeng Diwei discuss this sensitive issue with him.
Therefore, Zhou Cheng took the initiative to stop, climbed up through the walking elevator, and stopped when he heard this.
"Well, Teacher Zeng. I think what you said makes sense." Zhou Cheng replied politely.
How else could it be?
What else could Zhou Cheng do?
After so many simulations, knowing that Luo Yun would have an accident if he failed the exam, Zhou Cheng was still on the verge of exploding at any time, and did not go to Zeng Diwei to explain the fact that he was willing to drop out of school, and that he was willing Go change your instructor's advice!
He clearly knew that even if Lai was with Zeng Diwei, he might not be taken seriously, he was just an ordinary pawn.
clearly know...
But Zhou Cheng still tried his best to express himself when facing the old man Zeng Diwei, and he was not particularly anxious, and his advances and retreats were well-founded.
Because Zhou Cheng, as a person who has failed so many times in the postgraduate entrance examination, as a person who has worked hard in the No. [-] Hospital, he really knows how beneficial it is to his own development to have a good teacher as a backer.
Compared with Zeng Diwei as a teacher, it is completely different to let Professor Liu Yiping be the teacher as the second best thing.
What's more, during this period of time, Zhou Cheng has been thinking about problems for himself extremely selfishly.
He felt that maybe, he didn't need to voluntarily withdraw to make way for Luo Yunlai to solve the previous problem.
Or no matter how bad it is, let Luo Yun get the quota of Dr. Bao, and go to the next best thing to do a graduate student, and then transfer to a Ph.D., it's fine.
Why, to make Zeng Diwei his teacher.
Academician!
What identity, what backer?
How many benefits are there?
Even if Zhou Cheng has never eaten pork or seen pigs running, he knows that he can go to Baidu to...
Given this opportunity, why not fight for it?
Do things conscientiously, write articles down-to-earth, do projects, do experiments, and behave honestly, just hoping to build a solid foundation so that Mr. Zeng can discover it earlier.
What's more, the reason why I agreed to Yang Yifeng to attend the small training class in Kyoto this time is to let Mr. Zeng know that I am actually very good. Mr. Zeng, can you take a look at me?
There is quite a meaning of learning written martial arts, goods and the emperor's family.
But it seems that this is not very useful.
However, Zhou Cheng didn't seem to feel how sad he was, he just felt a little lost.
Sadness and loss, although both belong to adversity, but the degree is completely different.
Mr. Zeng seemed to hesitate for a while before he said slowly, "Xiao Zhou, I have to tell you this question."
"Luo Yun is my student. I have taken him for three years, and I have waited for him for five years. After eight years of contact, I already know him very well. Even, what level he has reached now, I'll be able to see it soon enough."
"I've built a part of his foundation, and at this moment, this part of the foundation can be used."
"But Xiao Zhou, if I still need to spend a certain amount of time getting to know you and laying the groundwork for you, I'm afraid I won't have enough time."
"You can't have both the fish and the bear's paw, even those who give up the fish and take the bear's paw."
"Although it's not a fish, Luo Yun is not a bear's paw, even I understand it. Luo Yun said that your talent is higher than his. I didn't hear it."
"It's just that if you want to bring something like a disciple, it will take a lot of effort and resources. I can't give so many resources at present, and I don't have so much effort and energy."
"As far as I am concerned, Luo Yun and I had the fate of mentor and apprentice before, and there was a bond between master and apprentice. I have an inescapable responsibility."
"But as far as you are concerned, Xiao Zhou."
"I can actually recommend better teaching resources and teams to you. I can't drag you down."
When Mr. Zeng said this, he changed his previous rhetoric: "Of course, it's not called a drag. It should be said that it's actually a kind of selfishness to keep you by my side without trying my best to teach you things."
"At least, at my level, I think this is selfishness, and you should have a better world."
"Liu Yiping has told me many times that he wants to bring you by his side and accept me as an apprentice, but I didn't agree because I feel that you were wronged if Liu Yiping took you."
"Of course, at the very beginning, when Liu Yiping made the promise to you without telling me, it was because he couldn't see the situation clearly. It was because his vision was limited. I have already criticized him."
"So now, your best choice is to listen to Gui Lao and be his student. Gui Lao is still young, and the current resources and platforms are very large."
"Or, you just come back and follow the same routine as before, just follow me."
"Then, I will still give priority to Luo Yun, and then give you some of Luo Yun's things, just like a poor family breaking dough..."
"Xiao Zhou, can you understand what I mean?"
If Zhou Cheng before felt that Zeng Diwei was looking for various excuses, then now, Zhou Cheng really heard Zeng Diwei's difficulties.
Who is Zeng Lao?
Diwei, an academician of the Huaguo Academy of Sciences, how could he not see what he did in his house before?
But perhaps, this is the fundamental reason why Zeng Diwei hasn't had a particularly good relationship with him for so long.
It's actually not that easy to admit students, at least the kind of students Mr. Zeng understands, and he disagrees.
Zeng is older than Luo Yun, there is no reason to know him first.
I don't want to delay Zhou Cheng, and my family has limited resources. At this age, everyone is not a cultivator...
Therefore, after hearing these words, Zhou Cheng changed his address again.
"Master, I understand. I also understand." Zhou Cheng took a deep breath as he spoke.
When he first asked, Zhou Cheng called Master, but later changed it to Teacher Zeng. Now, Zhou Cheng feels that Zeng Diwei still deserves to be called Master.
It wasn't that Zeng Diwei was making things up, even Dong Yuhai knew that the current laboratory was in a mess, after Zeng retired, and then there was another third uncle who made something happen.
The team of Mr. Zeng and Liu Yiping is not as smooth as it seems on the surface.
So Mr. Zeng said that his family is not rich enough to afford the education of his two children, which may really be true.
"So, Xiao Zhou, you should think about it for yourself. From the perspective of choosing the best, I think it might be more sincere for you to follow Gui Lao's advice."
"If you still feel that you are willing to come back, then I won't say that I will drive you away. You have to suffer, live a hard life, and tighten your belt." Zeng Diwei once again expressed his desire After making the intention, I actively hung up the phone.
At this moment, Zhou Cheng's mentality suddenly became a little bit different.
Now, things are clear.
There are two reasons for Mr. Zeng's reluctance to get close to him. The first one is that he is getting older and doesn't have so much energy and time.
The second is that he doesn't have so many resources now, Zhou Cheng wants to go back, and he will live a hard life compared to staying with Gui Lao.
It's not what Zhou Cheng thought, Mr. Zeng just didn't like him on purpose, and then he was mean to himself on purpose, or he just sold himself out and became a human trafficker or something.
With such words, Zhou Cheng felt quite at ease in his heart.
Therefore, after taking a few minutes of deep breathing, Zhou Chengcheng directly called Mr. Zeng again.
After connecting, Zhou Cheng asked directly: "Master, does Mr. Luo know what you said just now?"
"I haven't had time to tell him. Why don't I discuss it with you first."
"Xiao Zhou, people go to high places, but water flows to low places. The ups and downs in life are actually no big deal."
"The peak you reach at every moment is what other people pay attention to. As for how you climbed up, not many people will be interested." Zeng Diwei comforted Zhou Cheng again, and also hoped that Zhou Cheng Cheng made a wiser choice.
Zeng Diwei's words moved Zhou Cheng, and also convinced Zhou Cheng.
Therefore, Zhou Chengcheng simply replied with a smile: "Okay, Mr. Zeng, I think your suggestion is also very sincere."
"But I don't want to make a decision so hastily, and I may still think about it for a few days."
Zeng Diwei has Zeng Diwei's thoughts and opinions, but Zhou Cheng, in fact, has his own decision deep in his heart, and through the conversation with Zeng Diwei just now, Zhou Cheng feels that his decision is correct .
"That's natural. This matter needs to be carefully considered." As far as Yu Zeng Diwei was concerned, he only needed to relax Zhou Cheng's side a little, and he had successfully completed the task.
As for the follow-up matters, that is what Elder Gui should do. If he can't even deal with Zhou Cheng, who has "loosened" his heart, then no one will bring an obedient student to beside him.
……
Zhou Cheng walked to the department.
However, after arriving in the department, Su Min told him.
Today's class schedule is slightly different from yesterday's.
Because, it was originally set as a small training course in sports medicine, but for some unknown reason, Mr. Gui also involved the system of trauma surgery in the middle.
"This? Isn't it a small training class for sports medicine from the beginning? Could trauma surgery also be prepared in advance?" Zhou Cheng asked Su Min.
But Su Min gave him a look of foolishness back, and then said: "The most basic feature of each team in a large teaching hospital is that they can switch to teaching status anytime and anywhere. Isn't this the case in your Ninth Hospital?"
Su Min's rhetorical question made Zhou Cheng not very good at first.
Whether the Ninth Hospital is like this, Zhou Cheng is really not very clear, but the professor he is following in the Ninth Hospital is Lin Ziyuan, and they seem to be very smooth in teaching and surgery.
However, when I was in Shashi No. [-] Hospital before, if I wanted to do some teaching rounds, then the superior doctor would be really busy.
"I'm ignorant." Zhou Cheng held his hands in his hands and apologized to Su Min, admitting that he was too ignorant.
Su Min took a breath and said, "Zhou Cheng, that's not what I meant."
"It's been rounded up."
While Su Min was still talking, Peng Peng arrived, and then divided Zhou Cheng and others into two teams, and stuffed them under the four professor groups in the department.
Yes, there are four groups in the sports medicine of the Third Hospital, and besides Professor Mo Chengkong, Professor Pin Lu and Gui Lao, the professor leading the team, there is also an associate professor.
Of course, Zhou Cheng was assigned to Mr. Gui's clinical group by a very 'coincidence', and the grouping of other people was really random, as if Yu Heng and Zhen Xing were assigned to Mo Chengkong professor group.
Then Zhou Muyun and Su Min also went to their respective groups to do rounds.
The ward rounds were done very quickly, and after everyone finished their ward rounds, everyone gathered together again. Moreover, today's training class is no longer the super small training class of yesterday, it seems to have become Same as Taipan.
Graduate students and doctoral students from the three hospitals participated.
However, the most important students and members were still Zhou Cheng and the other five, and the others could only be regarded as tourists.
Only then did Mr. Gui read out today's course schedule slowly: "Yesterday, it was our sports medicine session. There were three small courses and nine operations. After yesterday's nine operations, I found out that the five of you The basic skills have already reached a very solid level."
"So, in the next few days, on the basis of continuing to consolidate the operation of sports medicine surgery, we will add some cases of other disciplines as adjustments. I hope everyone will be mentally prepared, and it will be regarded as a halfway study." Time to rest."
"Today, our course is still divided into three small lectures, with a total of nine operations."
"It's just that, in order to avoid the type of surgery being too repetitive and cumbersome, it would be useless. Therefore, today's course schedule is the first session, routine sports medicine surgery schedule."
"Second session, routine trauma surgery arrangements."
"Section III, case-site subspecialty joint consultation and discussion."
"Then, today we also prepared a total of nine surgeries, but I plan to divide all our students into three groups, with a total of three surgeries in each group!"
"The first group is Zhou Muyun, Zhen Xing, and Peng Peng."
"The second group, Zhou Cheng, Yu Heng, and Su Min's group."
"The third group is the professor of our department, the doctor of our department, and the master's group of our department."
"The three groups compete with each other, and the professor and Peng Peng are not in charge."
"Is this more interesting, or if you have any other ideas, you can also put them forward."
As soon as Mr. Gui said these words, the brains of Zhou Cheng and the other five went down.
What does this mean.
That is to say, in addition to the five of them, people from the departments of the Third Hospital also participated in the training class.Doesn't this conflict with the original class agreement?
However, it doesn't seem to be a conflict. At the beginning, the promise here is that each person will have no less than five surgeries, that is, a total of 25 surgeries at most.
But now, for five days, there are nine surgeries per day, a total of 45 surgeries.
Moreover, what is the meaning of Mr. Gui's proposal to hold this competition? If he is so confident in his own school, it would be fine if he wins, but if he loses, wouldn't it be a bit embarrassing?
No matter what he thinks in his heart, in the end, Old Gui is the home court here.
Zhou Cheng and others naturally dare not have any opinions.
The first three surgeries were routine sports medicine surgeries, and the diagnosis was similar to yesterday's three surgeries, so it was a review.
Yu Heng, Zhou Muyun, and a doctor from the third hospital performed the surgery. The strength of the three of them was almost the same.
When this result appeared, Yu Heng and Zhou Muyun, the two chief surgeons, immediately cast strange glances at the "randomly" doctor.
This kind of strength doesn't seem to be randomly selected, and they must be extremely strong talents. Just because they didn't have the opportunity to enter the initial training class, it doesn't mean that they have no strength.
It's just that Gui Lao deliberately did it.
However, after the end of the second novel, Mr. Gui finally arranged the most coquettish scene!
The second novel is the topic of trauma.
Three patients with fractures were brought in.
Then the order of the operations is still the same, Zhen Xing performs the first operation, a doctor and student from the Third Hospital performs the second operation, and then Su Min performs the third operation.
Of course, Zhen Xing is not only good at sports medicine surgery.
As a graduate student in orthopedics, trauma is always the foundation, and it is impossible to skip trauma completely and learn skills in other disciplines.
Zhen Xing's movements were very fast, and the process was very smooth. He even felt that this time, under the stimulation of Zhou Cheng yesterday, the operation became a little bit expressive.
Very confidently performed open reduction and internal fixation on the first patient.
After finally completing the first surgical operation.
The patient on the second station was finally sent into the operating room, and had already received pre-anesthesia.
Then, when Zhen Xing and Zhou Muyun were waiting for the master of the second operation to start their preoperative preparations with curiosity, and they were still thinking about what kind of surgical approach they would use .
But, at this time, an accident appeared.
Because, the chief surgeon at the Third Hospital did not operate, but after looking at it for a while in front of the film reader.
No surgical instrument kit, no hand sanitizer, no towels.
He put on a pair of gloves, and together with his assistant, the second assistant, the professors in the department, he started to reset the technique!
???
This operation directly made Zhen Xing and Zhou Muyun dumbfounded.
His eyes were full of question marks and he looked at Elder Gui.
I also looked at the other students who were watching, but these students seemed to be familiar with it, not surprised at all, as if all of this had been planned long ago.
Gui Lao also sat firmly on the Diaoyutai!
"Can it still be like this?" Zhou Muyun asked Zhen Xing, his voice was very low.
If the disease can be cured without surgery, that is awesome, and there is nothing to say.
If you just preach that you don't need surgery, and there are sequelae in the end, that's a shame!
"I don't know. I thought about the possibility of manipulative reduction for fractures. It's just the current diagnosis, not the routine of manipulative reduction." Zhen Xing said seriously.
Even, he judged again through the classification and the knowledge in his own memory, and still felt that the patient in the third hospital is not suitable for manual reset, and needs to be intervened by surgery!
However, just 10 minutes later.
The result of C-arm fluoroscopy is out!
The manipulative reduction was successful, and the fracture of the middle tibia had achieved functional reduction. External fixation with plaster and continuous calcaneal traction were feasible, and conservative treatment was given.
After that, there was a burst of applause in the operating room.
Looking at the cheers, everyone knew that it must have been rehearsed a long time ago.
The faces of Zhou Muyun and Zhen Xing were a little hot, although they both knew that the people in the Third Hospital played a little trick in order to save themselves, that is, they didn't tell them first, they were going to reset the tricks.
No, it made Graga high all at once, but he, Zhou Muyun and Zhen Xing, became the foils.
Then, the pressure came to the side of Zhou Cheng and the three of them.
Su Min was supposed to be the chief surgeon, but he was a little panicked at the moment, and asked: "Yu Heng, Zhou Cheng, what they are doing is manual reset, what should we do?"
"Direct incision, or manual reset?"
Naturally, Su Min didn't want to lose, but the fracture diagnosis and classification of this third station obviously didn't belong to the category that could be used for manual reduction.
He definitely didn't have the confidence to do the reset.
"Cut it open, don't go in without reset, but it has become a joke of the Third Hospital. I think they may have deliberately set up a hole in the second station, let us choose the reset method in the third station."
"Then stand up and tell us that this machine does not meet the indications for manipulative reduction, and what is the indication for the expanded manipulative reduction is a basis for them to brag."
"Instead of being a downhill donkey, it's better to just take the steps, and I'll just do open surgery. Don't give them this chance."
"In this way, even if they say that the fracture classification can be performed by manual reduction, then we can pretend that we don't know, and there is no need to give them a hand."
Yu Heng saw it very clearly, and even thought of these routines.
In the first one, Zhou Muyun performed open reduction and the second one, which formed a sharp contrast. That is, my treatment method is simple and back to basics.
If the third station, Zhou Cheng and others deliberately chose manual reset but failed, it would allow the Third Hospital to brag better.
The back-to-basics surgery method is good, but you can’t be too greedy, and you also have to talk about the adaptation syndrome, so we know what the adaptation syndrome is...
Although it is tasteless to compete for fame with a group of children, but if the person who performs the surgery is also a child, then.
The taste is even stronger.
Competition in the 21st century will never be a real competition...
"We also do manipulation resets. Since they want us to do it, then we just do it for them to see."
"Aren't you expecting them to see what we look like after we successfully reset the manipulation?" Zhou Cheng asked with a slightly raised mouth.
I am a professional in the method of fracture reduction, and I am familiar with it.
Zhou Cheng and the others were discussing in private, and Su Min had been persuaded by Yu Heng, so he asked in confusion, "Then what if they just said, how about taking pictures of cats and tigers?"
"Then let's draw a tiger like a cat, it's not ashamed." Zhou Cheng said indifferently.
It's not about copyright when doing surgery, it's their third hospital that has done manual reset, so I can't do it now?
Su Min and Yu Heng were persuaded by Zhou Cheng. After taking a deep breath, they asked, "Then Zhou Cheng, when will it start?"
"Go and prepare to push the C-arm machine first." Zhou Cheng ordered.
Su Min and Yu Heng: "???"
Eyeballs almost fell off...
What are you doing?
……
When everyone saw that the three of Zhou Cheng didn't wash their hands, they guessed it. The three of Zhou Cheng also saw that the previous operation in the third hospital was manual reduction and plaster external fixation.
So they also want to do manipulative reduction and plaster external fixation, and at least get a similar reputation.
After all, you are young, so everything is easy to fool.
Young, so full of vigor.
All these arrangements are freely arranged.
Everyone is from the Third Hospital, so everyone knows that the first operation and the second operation are the expanded indication classifications of the two types of fractures that can be performed by manual reduction.
The third one, which is Zhou Cheng's and theirs, happened to no longer expand the classification.
That is to say, if Zhou Muyun and Zhen Xing had reacted in advance and reset their techniques, they would have been able to draw with the people from the Third Hospital, as if they hadn't reacted.
When Zhou Cheng and his team wanted to follow the example of the No. [-] Hospital and do the reset, what I was waiting for was only surprises, without any other surprises. After this, there must be a good opportunity for discussion.
This is also the latest clinical project of the Third Hospital, and it happened to be used in advance. It seems that it is good to clean up a few young people who are ignorant and talented.
"Old Gui, they are really going to choose to reset the technique."
"This is all expected."
"For young people, it's normal to be competitive."
"If Zhou Muyun and the others choose again, they will choose this way."
"It doesn't matter, this fracture, the preliminary manual reset can't get the nerve, we did the MRI in advance to see it. Since we want to design this plot, we have taken all aspects of safety into consideration."
"That's fine! Then we won't remind you."
"No need to remind, come forward at the right time and tell them to deal with it correctly. They will definitely not be able to do manual reset, but open reset, I believe they must have a way."
"They are also three very talented young people, don't ruin their Dao Xin."
"it is good!"
"..."
Just when a group of old guys looked at each other and had a good chat.
As you can see, Zhou Cheng, Su Min and Yu Heng discussed with each other, and then took their places.
Then only a slight click was heard.
Then, Zhou Cheng, Su Min and the others did not see any other actions, so the three went directly to push the C-arm machine.
This movement and posture, compared with the posture that the people from the third hospital used to reset their manipulations, seemed like Zhou Cheng and the others were playing.
"Maybe it's because I'm planning to have a temporary translucency before the operation. After all, it's possible that I'm not that familiar with the pre-operative plain radiographs." A professor of trauma surgery explained to Mr. Gui.
"Old Gui, we must have the home court advantage, so it's not considered a violation or redundant operation if we reveal it in advance."
He prevented Gui Lao from doing sports medicine for too long and not understanding some basic operations and rules of trauma surgery.
Gui Lao didn't say much, but just followed the big troops to go outside very cooperatively.
Fracture surgery requires multiple perspectives during the operation. This is basic common sense. As an orthopedic practitioner, who would not know it?
It's just that after the plain film results of C-arm fluoroscopy came out.
Almost everyone was dumbfounded.
Ok?
here?
This is the Third Affiliated Hospital of Kyoto University, which is one of the best orthopedic hospitals. Even Jishuitan, which is recognized in China, would not say that it is better than the Third Hospital, it is just a false name from the outside world!
At this time, everyone can see how to look at the fracture, how to look at the fracture reduction, and how to evaluate it.
However, there is just such a situation that is beyond their expectations.
That is this operation. In their view, manual reset cannot be performed. So under the current situation, if you want to comment on whether manual reset is good or not, you have to use basic skills to comment...
The three basic clinical manifestations of fractures are pain and swelling of the affected limb, abnormal activity, and local deformation of the affected limb.
In the case of a fracture, regardless of reduction or not, pain and abnormal movement are definitely present, and the definition of a fracture is the interruption of bone integrity and continuity.
The patient was anesthetized and pain could not be assessed.
So I can only look at the fracture line——
After many people were stunned for a while, their pupils narrowed suddenly, and they tried their best to find the fracture line, and they didn't find it until their eyes hurt a little——
The fracture line you want to find.
Oh, MMP, why is it so difficult to find the fracture line for patients who have been reexamined after manual reduction?
What type of fracture is this?
After doing this, everyone almost doubted whether this patient is the patient he is familiar with, because what was the fracture line of the patient before?
At that time, a few people began to feel restless in their hearts, and their bodies trembled slightly, like a rattle toy played by a child. They kept turning their heads back and forth, wanting to see other people's expressions, and wanting to watch the flat film to the end. Have you ever been Ped?
Some people even started to quickly put the preoperative plain film next to the C-arm display screen, and began to compare it.
Others focused their attention on Zhou Cheng, but Zhou Cheng only focused on walking inside.
He just took a frontal view, and needs a lateral view to prove that the manual reset he made is up to standard. At this time, he has to adjust the direction of the C-arm.
Another half minute later.
Zhou Cheng ignored all kinds of doubts, incomprehensions, and many questioning eyes from everyone, and said: "We are starting to take side views. Teachers and students, please step aside a little bit, and don't take the radiation."
"Crack!"
As soon as the radiation source of the C-arm machine was turned on, a lateral view of the fracture appeared on the display.
Then a group of graduate students, doctoral students, attending physicians, associate professors and professors from the Third Hospital began to study the results of the reexamination of the front and side C-arm display screens...
What is the preoperative fracture classification?
It was previously planned that manual reduction cannot be performed, but the current result is manual reduction. So, is there any shortcoming and defect in the indications of manual reduction previously proposed in the department?
Can the method of manual reset be further supplemented?
……
Zhou Cheng took Su Min and Yu Heng to do external fixation with plaster.
After the external fixation was done, the three little ones went to the old Gui who had a dark complexion and a strange expression and reported: "Mr. Gui, we have finished our treatment. Can the patient step down and be sent back to the ward?"
Mr. Gui is always in charge of the class, but whether he can step down or not, now he is not a patient in sports medicine, but needs someone from trauma surgery to evaluate him.
However, the group of people in the trauma surgery department are now almost discussing the indications and contraindications of fracture manipulation, and no one reports to Mr. Gui, so Mr. Gui can only ask.
"Push it down, push it down!"
"do not bother me."
Then when he turned his head and saw that Mr. Gui was still patting him, the professor said politely, "Mr. Gui, I..."
While speaking, he shifted his gaze to Zhou Cheng, meaning, Old Gui, why don't we keep in touch with the previous agreement, this person is a bit abnormal, we originally dug a hole for him.
As a result, he didn't play cards according to common sense and buried the hole.
In fact, let’s bury it if it is buried, but the people who dug the pit don’t know how to bury it, so we are very panic now, if we can’t figure out how to bury it.
Then, the articles we are going to publish recently, the clinical topics we plan to conclude, and the work results of many people may all have to fall into a deadlock and start over.
This has a huge impact, no less than destroying the 'Dao Heart'!
Of course, Mr. Gui also knows that the most popular topic in trauma surgery is the cutting-edge topic of non-surgical fracture treatment. Originally, he came here for the signboard of trauma surgery.
But the result?
Before designing today's "gameplay", the professor vowed that no matter whether the Third Hospital was the first or the second to appear, they must have taken the absolute lead.
After all, there are not many people who know how to reset.
And the third pit is actually the most ingenious.
Who would have thought that the third unit cannot be manually reset?
However, who would have imagined that what they thought could not be reset by hand, could be reset by hand in Zhou Cheng's hands?
"Oh!~" Old Gui sighed.
"Then the third novel in the afternoon?" Elder Gui asked.
"Old Gui, we will attend on time."
"We have to ask ourselves first, and then ask others when we can't answer." The professor explained.
It is impossible for them to say that after something unexpected happens, they don't think about it, and they don't try to find a solution, so they just ask for the answer.
Even if you get the answer, it doesn't make sense.
The purpose of thinking is not to get the answer immediately, but to think about coping strategies as soon as something happens.
Perhaps the strategy may not be right, but the way you think about the strategy to deal with it is correct.
"okay, I get it."
"Then I'll announce later, the second novel, is this over?" Old Gui said.
"ended."
"The results displayed on the C-arm are definitely capable of plaster external fixation. I can be sure of that."
……
This training class has a total of five sessions, and each session has three short lectures.
Each novel is accompanied by three operations.
It's just that, in the second quarter, the three teaching operations in the second novel ended very quickly because of the reset of the two manipulations.And because of some accidents, it was originally a moment reserved by the organizer for pretending.
But it has become a 'healing' moment!
Therefore, at ten o'clock early, Zhou Cheng and others were released, and no one tried to keep them back, including Old Gui, Mo Chengkong and others.
Because of this incident, they felt that it might be necessary to re-observe Zhou Cheng and others, otherwise, it would be easy for the car to overturn.
Just like today's trauma surgery!
However, when Old Gui and the others were discussing in a very serious meeting!
After leaving the operating room, Su Min and Yu Heng gave Zhou Cheng two thumbs up very sincerely, "Awesome, Zhou Cheng, I accept it!" It was Su Min who spoke.
Yu Heng didn't exaggerate so much, he stood in front of Zhou Cheng, pressed his fist against Zhou Cheng's chest, and lowered his head slightly: "I'm convinced too."
Then, Zhou Muyun and Zhen Xing also walked over and explained what they had learned: "Yu Heng, Su Min, what you two probably don't know yet is the third patient."
"It's a patient who they themselves judged as impossible to perform manual reduction. It's a specially dug hole, just to make you look ugly."
"Then show off their understanding of the indications and contraindications of manipulation reduction, which is very profound."
"But now, something seems to be wrong, I almost died laughing." It was Zhou Muyun who spoke.
Zhou Muyun belongs to the Hexie. Compared with Zhen Xing as Jishuitan, he and the Third Hospital are the same affiliated school. He and the Third Hospital are real competitors. If the Third Hospital is a little more ugly, they will have more fun laughing at each other. So much talk.
How could it not be beautiful?
(End of this chapter)
It's not that I don't dare to believe it, I just don't want to believe it.
After all, although the simulated world and the real world influence each other, there are also certain differences!
"Well, Xiao Zhou, in fact, you should know or have heard that I have never recruited students in recent years. Although this time is an exception, it is actually because of Ronaldinho."
"Now that Luo Yun has come to Shanghai, most things have been settled. And, to be honest, Xiao Zhou."
"It's not that I don't know that your talent is excellent, whether it's clinical talent or professional talent, it's pretty good."
"But teaching is like a carpenter. Before carving a work, you must first understand and understand the raw materials. I am old. If I were a few years younger, I could devote my energy to you."
"But I am over 60 this year, and I have passed the retirement age long ago, but I have not retired."
"If I want to bring you, I will spend more time getting to know you, and then formulate teaching plans and arrangements for you, instead of taking you with me and throwing you into the pile of people below , you struggle on your own."
"Do you think what I said makes sense?" Zeng Diwei spoke slowly, but his tone was very sincere.
This is also the first time Zhou Cheng heard Zeng Diwei discuss this sensitive issue with him.
Therefore, Zhou Cheng took the initiative to stop, climbed up through the walking elevator, and stopped when he heard this.
"Well, Teacher Zeng. I think what you said makes sense." Zhou Cheng replied politely.
How else could it be?
What else could Zhou Cheng do?
After so many simulations, knowing that Luo Yun would have an accident if he failed the exam, Zhou Cheng was still on the verge of exploding at any time, and did not go to Zeng Diwei to explain the fact that he was willing to drop out of school, and that he was willing Go change your instructor's advice!
He clearly knew that even if Lai was with Zeng Diwei, he might not be taken seriously, he was just an ordinary pawn.
clearly know...
But Zhou Cheng still tried his best to express himself when facing the old man Zeng Diwei, and he was not particularly anxious, and his advances and retreats were well-founded.
Because Zhou Cheng, as a person who has failed so many times in the postgraduate entrance examination, as a person who has worked hard in the No. [-] Hospital, he really knows how beneficial it is to his own development to have a good teacher as a backer.
Compared with Zeng Diwei as a teacher, it is completely different to let Professor Liu Yiping be the teacher as the second best thing.
What's more, during this period of time, Zhou Cheng has been thinking about problems for himself extremely selfishly.
He felt that maybe, he didn't need to voluntarily withdraw to make way for Luo Yunlai to solve the previous problem.
Or no matter how bad it is, let Luo Yun get the quota of Dr. Bao, and go to the next best thing to do a graduate student, and then transfer to a Ph.D., it's fine.
Why, to make Zeng Diwei his teacher.
Academician!
What identity, what backer?
How many benefits are there?
Even if Zhou Cheng has never eaten pork or seen pigs running, he knows that he can go to Baidu to...
Given this opportunity, why not fight for it?
Do things conscientiously, write articles down-to-earth, do projects, do experiments, and behave honestly, just hoping to build a solid foundation so that Mr. Zeng can discover it earlier.
What's more, the reason why I agreed to Yang Yifeng to attend the small training class in Kyoto this time is to let Mr. Zeng know that I am actually very good. Mr. Zeng, can you take a look at me?
There is quite a meaning of learning written martial arts, goods and the emperor's family.
But it seems that this is not very useful.
However, Zhou Cheng didn't seem to feel how sad he was, he just felt a little lost.
Sadness and loss, although both belong to adversity, but the degree is completely different.
Mr. Zeng seemed to hesitate for a while before he said slowly, "Xiao Zhou, I have to tell you this question."
"Luo Yun is my student. I have taken him for three years, and I have waited for him for five years. After eight years of contact, I already know him very well. Even, what level he has reached now, I'll be able to see it soon enough."
"I've built a part of his foundation, and at this moment, this part of the foundation can be used."
"But Xiao Zhou, if I still need to spend a certain amount of time getting to know you and laying the groundwork for you, I'm afraid I won't have enough time."
"You can't have both the fish and the bear's paw, even those who give up the fish and take the bear's paw."
"Although it's not a fish, Luo Yun is not a bear's paw, even I understand it. Luo Yun said that your talent is higher than his. I didn't hear it."
"It's just that if you want to bring something like a disciple, it will take a lot of effort and resources. I can't give so many resources at present, and I don't have so much effort and energy."
"As far as I am concerned, Luo Yun and I had the fate of mentor and apprentice before, and there was a bond between master and apprentice. I have an inescapable responsibility."
"But as far as you are concerned, Xiao Zhou."
"I can actually recommend better teaching resources and teams to you. I can't drag you down."
When Mr. Zeng said this, he changed his previous rhetoric: "Of course, it's not called a drag. It should be said that it's actually a kind of selfishness to keep you by my side without trying my best to teach you things."
"At least, at my level, I think this is selfishness, and you should have a better world."
"Liu Yiping has told me many times that he wants to bring you by his side and accept me as an apprentice, but I didn't agree because I feel that you were wronged if Liu Yiping took you."
"Of course, at the very beginning, when Liu Yiping made the promise to you without telling me, it was because he couldn't see the situation clearly. It was because his vision was limited. I have already criticized him."
"So now, your best choice is to listen to Gui Lao and be his student. Gui Lao is still young, and the current resources and platforms are very large."
"Or, you just come back and follow the same routine as before, just follow me."
"Then, I will still give priority to Luo Yun, and then give you some of Luo Yun's things, just like a poor family breaking dough..."
"Xiao Zhou, can you understand what I mean?"
If Zhou Cheng before felt that Zeng Diwei was looking for various excuses, then now, Zhou Cheng really heard Zeng Diwei's difficulties.
Who is Zeng Lao?
Diwei, an academician of the Huaguo Academy of Sciences, how could he not see what he did in his house before?
But perhaps, this is the fundamental reason why Zeng Diwei hasn't had a particularly good relationship with him for so long.
It's actually not that easy to admit students, at least the kind of students Mr. Zeng understands, and he disagrees.
Zeng is older than Luo Yun, there is no reason to know him first.
I don't want to delay Zhou Cheng, and my family has limited resources. At this age, everyone is not a cultivator...
Therefore, after hearing these words, Zhou Cheng changed his address again.
"Master, I understand. I also understand." Zhou Cheng took a deep breath as he spoke.
When he first asked, Zhou Cheng called Master, but later changed it to Teacher Zeng. Now, Zhou Cheng feels that Zeng Diwei still deserves to be called Master.
It wasn't that Zeng Diwei was making things up, even Dong Yuhai knew that the current laboratory was in a mess, after Zeng retired, and then there was another third uncle who made something happen.
The team of Mr. Zeng and Liu Yiping is not as smooth as it seems on the surface.
So Mr. Zeng said that his family is not rich enough to afford the education of his two children, which may really be true.
"So, Xiao Zhou, you should think about it for yourself. From the perspective of choosing the best, I think it might be more sincere for you to follow Gui Lao's advice."
"If you still feel that you are willing to come back, then I won't say that I will drive you away. You have to suffer, live a hard life, and tighten your belt." Zeng Diwei once again expressed his desire After making the intention, I actively hung up the phone.
At this moment, Zhou Cheng's mentality suddenly became a little bit different.
Now, things are clear.
There are two reasons for Mr. Zeng's reluctance to get close to him. The first one is that he is getting older and doesn't have so much energy and time.
The second is that he doesn't have so many resources now, Zhou Cheng wants to go back, and he will live a hard life compared to staying with Gui Lao.
It's not what Zhou Cheng thought, Mr. Zeng just didn't like him on purpose, and then he was mean to himself on purpose, or he just sold himself out and became a human trafficker or something.
With such words, Zhou Cheng felt quite at ease in his heart.
Therefore, after taking a few minutes of deep breathing, Zhou Chengcheng directly called Mr. Zeng again.
After connecting, Zhou Cheng asked directly: "Master, does Mr. Luo know what you said just now?"
"I haven't had time to tell him. Why don't I discuss it with you first."
"Xiao Zhou, people go to high places, but water flows to low places. The ups and downs in life are actually no big deal."
"The peak you reach at every moment is what other people pay attention to. As for how you climbed up, not many people will be interested." Zeng Diwei comforted Zhou Cheng again, and also hoped that Zhou Cheng Cheng made a wiser choice.
Zeng Diwei's words moved Zhou Cheng, and also convinced Zhou Cheng.
Therefore, Zhou Chengcheng simply replied with a smile: "Okay, Mr. Zeng, I think your suggestion is also very sincere."
"But I don't want to make a decision so hastily, and I may still think about it for a few days."
Zeng Diwei has Zeng Diwei's thoughts and opinions, but Zhou Cheng, in fact, has his own decision deep in his heart, and through the conversation with Zeng Diwei just now, Zhou Cheng feels that his decision is correct .
"That's natural. This matter needs to be carefully considered." As far as Yu Zeng Diwei was concerned, he only needed to relax Zhou Cheng's side a little, and he had successfully completed the task.
As for the follow-up matters, that is what Elder Gui should do. If he can't even deal with Zhou Cheng, who has "loosened" his heart, then no one will bring an obedient student to beside him.
……
Zhou Cheng walked to the department.
However, after arriving in the department, Su Min told him.
Today's class schedule is slightly different from yesterday's.
Because, it was originally set as a small training course in sports medicine, but for some unknown reason, Mr. Gui also involved the system of trauma surgery in the middle.
"This? Isn't it a small training class for sports medicine from the beginning? Could trauma surgery also be prepared in advance?" Zhou Cheng asked Su Min.
But Su Min gave him a look of foolishness back, and then said: "The most basic feature of each team in a large teaching hospital is that they can switch to teaching status anytime and anywhere. Isn't this the case in your Ninth Hospital?"
Su Min's rhetorical question made Zhou Cheng not very good at first.
Whether the Ninth Hospital is like this, Zhou Cheng is really not very clear, but the professor he is following in the Ninth Hospital is Lin Ziyuan, and they seem to be very smooth in teaching and surgery.
However, when I was in Shashi No. [-] Hospital before, if I wanted to do some teaching rounds, then the superior doctor would be really busy.
"I'm ignorant." Zhou Cheng held his hands in his hands and apologized to Su Min, admitting that he was too ignorant.
Su Min took a breath and said, "Zhou Cheng, that's not what I meant."
"It's been rounded up."
While Su Min was still talking, Peng Peng arrived, and then divided Zhou Cheng and others into two teams, and stuffed them under the four professor groups in the department.
Yes, there are four groups in the sports medicine of the Third Hospital, and besides Professor Mo Chengkong, Professor Pin Lu and Gui Lao, the professor leading the team, there is also an associate professor.
Of course, Zhou Cheng was assigned to Mr. Gui's clinical group by a very 'coincidence', and the grouping of other people was really random, as if Yu Heng and Zhen Xing were assigned to Mo Chengkong professor group.
Then Zhou Muyun and Su Min also went to their respective groups to do rounds.
The ward rounds were done very quickly, and after everyone finished their ward rounds, everyone gathered together again. Moreover, today's training class is no longer the super small training class of yesterday, it seems to have become Same as Taipan.
Graduate students and doctoral students from the three hospitals participated.
However, the most important students and members were still Zhou Cheng and the other five, and the others could only be regarded as tourists.
Only then did Mr. Gui read out today's course schedule slowly: "Yesterday, it was our sports medicine session. There were three small courses and nine operations. After yesterday's nine operations, I found out that the five of you The basic skills have already reached a very solid level."
"So, in the next few days, on the basis of continuing to consolidate the operation of sports medicine surgery, we will add some cases of other disciplines as adjustments. I hope everyone will be mentally prepared, and it will be regarded as a halfway study." Time to rest."
"Today, our course is still divided into three small lectures, with a total of nine operations."
"It's just that, in order to avoid the type of surgery being too repetitive and cumbersome, it would be useless. Therefore, today's course schedule is the first session, routine sports medicine surgery schedule."
"Second session, routine trauma surgery arrangements."
"Section III, case-site subspecialty joint consultation and discussion."
"Then, today we also prepared a total of nine surgeries, but I plan to divide all our students into three groups, with a total of three surgeries in each group!"
"The first group is Zhou Muyun, Zhen Xing, and Peng Peng."
"The second group, Zhou Cheng, Yu Heng, and Su Min's group."
"The third group is the professor of our department, the doctor of our department, and the master's group of our department."
"The three groups compete with each other, and the professor and Peng Peng are not in charge."
"Is this more interesting, or if you have any other ideas, you can also put them forward."
As soon as Mr. Gui said these words, the brains of Zhou Cheng and the other five went down.
What does this mean.
That is to say, in addition to the five of them, people from the departments of the Third Hospital also participated in the training class.Doesn't this conflict with the original class agreement?
However, it doesn't seem to be a conflict. At the beginning, the promise here is that each person will have no less than five surgeries, that is, a total of 25 surgeries at most.
But now, for five days, there are nine surgeries per day, a total of 45 surgeries.
Moreover, what is the meaning of Mr. Gui's proposal to hold this competition? If he is so confident in his own school, it would be fine if he wins, but if he loses, wouldn't it be a bit embarrassing?
No matter what he thinks in his heart, in the end, Old Gui is the home court here.
Zhou Cheng and others naturally dare not have any opinions.
The first three surgeries were routine sports medicine surgeries, and the diagnosis was similar to yesterday's three surgeries, so it was a review.
Yu Heng, Zhou Muyun, and a doctor from the third hospital performed the surgery. The strength of the three of them was almost the same.
When this result appeared, Yu Heng and Zhou Muyun, the two chief surgeons, immediately cast strange glances at the "randomly" doctor.
This kind of strength doesn't seem to be randomly selected, and they must be extremely strong talents. Just because they didn't have the opportunity to enter the initial training class, it doesn't mean that they have no strength.
It's just that Gui Lao deliberately did it.
However, after the end of the second novel, Mr. Gui finally arranged the most coquettish scene!
The second novel is the topic of trauma.
Three patients with fractures were brought in.
Then the order of the operations is still the same, Zhen Xing performs the first operation, a doctor and student from the Third Hospital performs the second operation, and then Su Min performs the third operation.
Of course, Zhen Xing is not only good at sports medicine surgery.
As a graduate student in orthopedics, trauma is always the foundation, and it is impossible to skip trauma completely and learn skills in other disciplines.
Zhen Xing's movements were very fast, and the process was very smooth. He even felt that this time, under the stimulation of Zhou Cheng yesterday, the operation became a little bit expressive.
Very confidently performed open reduction and internal fixation on the first patient.
After finally completing the first surgical operation.
The patient on the second station was finally sent into the operating room, and had already received pre-anesthesia.
Then, when Zhen Xing and Zhou Muyun were waiting for the master of the second operation to start their preoperative preparations with curiosity, and they were still thinking about what kind of surgical approach they would use .
But, at this time, an accident appeared.
Because, the chief surgeon at the Third Hospital did not operate, but after looking at it for a while in front of the film reader.
No surgical instrument kit, no hand sanitizer, no towels.
He put on a pair of gloves, and together with his assistant, the second assistant, the professors in the department, he started to reset the technique!
???
This operation directly made Zhen Xing and Zhou Muyun dumbfounded.
His eyes were full of question marks and he looked at Elder Gui.
I also looked at the other students who were watching, but these students seemed to be familiar with it, not surprised at all, as if all of this had been planned long ago.
Gui Lao also sat firmly on the Diaoyutai!
"Can it still be like this?" Zhou Muyun asked Zhen Xing, his voice was very low.
If the disease can be cured without surgery, that is awesome, and there is nothing to say.
If you just preach that you don't need surgery, and there are sequelae in the end, that's a shame!
"I don't know. I thought about the possibility of manipulative reduction for fractures. It's just the current diagnosis, not the routine of manipulative reduction." Zhen Xing said seriously.
Even, he judged again through the classification and the knowledge in his own memory, and still felt that the patient in the third hospital is not suitable for manual reset, and needs to be intervened by surgery!
However, just 10 minutes later.
The result of C-arm fluoroscopy is out!
The manipulative reduction was successful, and the fracture of the middle tibia had achieved functional reduction. External fixation with plaster and continuous calcaneal traction were feasible, and conservative treatment was given.
After that, there was a burst of applause in the operating room.
Looking at the cheers, everyone knew that it must have been rehearsed a long time ago.
The faces of Zhou Muyun and Zhen Xing were a little hot, although they both knew that the people in the Third Hospital played a little trick in order to save themselves, that is, they didn't tell them first, they were going to reset the tricks.
No, it made Graga high all at once, but he, Zhou Muyun and Zhen Xing, became the foils.
Then, the pressure came to the side of Zhou Cheng and the three of them.
Su Min was supposed to be the chief surgeon, but he was a little panicked at the moment, and asked: "Yu Heng, Zhou Cheng, what they are doing is manual reset, what should we do?"
"Direct incision, or manual reset?"
Naturally, Su Min didn't want to lose, but the fracture diagnosis and classification of this third station obviously didn't belong to the category that could be used for manual reduction.
He definitely didn't have the confidence to do the reset.
"Cut it open, don't go in without reset, but it has become a joke of the Third Hospital. I think they may have deliberately set up a hole in the second station, let us choose the reset method in the third station."
"Then stand up and tell us that this machine does not meet the indications for manipulative reduction, and what is the indication for the expanded manipulative reduction is a basis for them to brag."
"Instead of being a downhill donkey, it's better to just take the steps, and I'll just do open surgery. Don't give them this chance."
"In this way, even if they say that the fracture classification can be performed by manual reduction, then we can pretend that we don't know, and there is no need to give them a hand."
Yu Heng saw it very clearly, and even thought of these routines.
In the first one, Zhou Muyun performed open reduction and the second one, which formed a sharp contrast. That is, my treatment method is simple and back to basics.
If the third station, Zhou Cheng and others deliberately chose manual reset but failed, it would allow the Third Hospital to brag better.
The back-to-basics surgery method is good, but you can’t be too greedy, and you also have to talk about the adaptation syndrome, so we know what the adaptation syndrome is...
Although it is tasteless to compete for fame with a group of children, but if the person who performs the surgery is also a child, then.
The taste is even stronger.
Competition in the 21st century will never be a real competition...
"We also do manipulation resets. Since they want us to do it, then we just do it for them to see."
"Aren't you expecting them to see what we look like after we successfully reset the manipulation?" Zhou Cheng asked with a slightly raised mouth.
I am a professional in the method of fracture reduction, and I am familiar with it.
Zhou Cheng and the others were discussing in private, and Su Min had been persuaded by Yu Heng, so he asked in confusion, "Then what if they just said, how about taking pictures of cats and tigers?"
"Then let's draw a tiger like a cat, it's not ashamed." Zhou Cheng said indifferently.
It's not about copyright when doing surgery, it's their third hospital that has done manual reset, so I can't do it now?
Su Min and Yu Heng were persuaded by Zhou Cheng. After taking a deep breath, they asked, "Then Zhou Cheng, when will it start?"
"Go and prepare to push the C-arm machine first." Zhou Cheng ordered.
Su Min and Yu Heng: "???"
Eyeballs almost fell off...
What are you doing?
……
When everyone saw that the three of Zhou Cheng didn't wash their hands, they guessed it. The three of Zhou Cheng also saw that the previous operation in the third hospital was manual reduction and plaster external fixation.
So they also want to do manipulative reduction and plaster external fixation, and at least get a similar reputation.
After all, you are young, so everything is easy to fool.
Young, so full of vigor.
All these arrangements are freely arranged.
Everyone is from the Third Hospital, so everyone knows that the first operation and the second operation are the expanded indication classifications of the two types of fractures that can be performed by manual reduction.
The third one, which is Zhou Cheng's and theirs, happened to no longer expand the classification.
That is to say, if Zhou Muyun and Zhen Xing had reacted in advance and reset their techniques, they would have been able to draw with the people from the Third Hospital, as if they hadn't reacted.
When Zhou Cheng and his team wanted to follow the example of the No. [-] Hospital and do the reset, what I was waiting for was only surprises, without any other surprises. After this, there must be a good opportunity for discussion.
This is also the latest clinical project of the Third Hospital, and it happened to be used in advance. It seems that it is good to clean up a few young people who are ignorant and talented.
"Old Gui, they are really going to choose to reset the technique."
"This is all expected."
"For young people, it's normal to be competitive."
"If Zhou Muyun and the others choose again, they will choose this way."
"It doesn't matter, this fracture, the preliminary manual reset can't get the nerve, we did the MRI in advance to see it. Since we want to design this plot, we have taken all aspects of safety into consideration."
"That's fine! Then we won't remind you."
"No need to remind, come forward at the right time and tell them to deal with it correctly. They will definitely not be able to do manual reset, but open reset, I believe they must have a way."
"They are also three very talented young people, don't ruin their Dao Xin."
"it is good!"
"..."
Just when a group of old guys looked at each other and had a good chat.
As you can see, Zhou Cheng, Su Min and Yu Heng discussed with each other, and then took their places.
Then only a slight click was heard.
Then, Zhou Cheng, Su Min and the others did not see any other actions, so the three went directly to push the C-arm machine.
This movement and posture, compared with the posture that the people from the third hospital used to reset their manipulations, seemed like Zhou Cheng and the others were playing.
"Maybe it's because I'm planning to have a temporary translucency before the operation. After all, it's possible that I'm not that familiar with the pre-operative plain radiographs." A professor of trauma surgery explained to Mr. Gui.
"Old Gui, we must have the home court advantage, so it's not considered a violation or redundant operation if we reveal it in advance."
He prevented Gui Lao from doing sports medicine for too long and not understanding some basic operations and rules of trauma surgery.
Gui Lao didn't say much, but just followed the big troops to go outside very cooperatively.
Fracture surgery requires multiple perspectives during the operation. This is basic common sense. As an orthopedic practitioner, who would not know it?
It's just that after the plain film results of C-arm fluoroscopy came out.
Almost everyone was dumbfounded.
Ok?
here?
This is the Third Affiliated Hospital of Kyoto University, which is one of the best orthopedic hospitals. Even Jishuitan, which is recognized in China, would not say that it is better than the Third Hospital, it is just a false name from the outside world!
At this time, everyone can see how to look at the fracture, how to look at the fracture reduction, and how to evaluate it.
However, there is just such a situation that is beyond their expectations.
That is this operation. In their view, manual reset cannot be performed. So under the current situation, if you want to comment on whether manual reset is good or not, you have to use basic skills to comment...
The three basic clinical manifestations of fractures are pain and swelling of the affected limb, abnormal activity, and local deformation of the affected limb.
In the case of a fracture, regardless of reduction or not, pain and abnormal movement are definitely present, and the definition of a fracture is the interruption of bone integrity and continuity.
The patient was anesthetized and pain could not be assessed.
So I can only look at the fracture line——
After many people were stunned for a while, their pupils narrowed suddenly, and they tried their best to find the fracture line, and they didn't find it until their eyes hurt a little——
The fracture line you want to find.
Oh, MMP, why is it so difficult to find the fracture line for patients who have been reexamined after manual reduction?
What type of fracture is this?
After doing this, everyone almost doubted whether this patient is the patient he is familiar with, because what was the fracture line of the patient before?
At that time, a few people began to feel restless in their hearts, and their bodies trembled slightly, like a rattle toy played by a child. They kept turning their heads back and forth, wanting to see other people's expressions, and wanting to watch the flat film to the end. Have you ever been Ped?
Some people even started to quickly put the preoperative plain film next to the C-arm display screen, and began to compare it.
Others focused their attention on Zhou Cheng, but Zhou Cheng only focused on walking inside.
He just took a frontal view, and needs a lateral view to prove that the manual reset he made is up to standard. At this time, he has to adjust the direction of the C-arm.
Another half minute later.
Zhou Cheng ignored all kinds of doubts, incomprehensions, and many questioning eyes from everyone, and said: "We are starting to take side views. Teachers and students, please step aside a little bit, and don't take the radiation."
"Crack!"
As soon as the radiation source of the C-arm machine was turned on, a lateral view of the fracture appeared on the display.
Then a group of graduate students, doctoral students, attending physicians, associate professors and professors from the Third Hospital began to study the results of the reexamination of the front and side C-arm display screens...
What is the preoperative fracture classification?
It was previously planned that manual reduction cannot be performed, but the current result is manual reduction. So, is there any shortcoming and defect in the indications of manual reduction previously proposed in the department?
Can the method of manual reset be further supplemented?
……
Zhou Cheng took Su Min and Yu Heng to do external fixation with plaster.
After the external fixation was done, the three little ones went to the old Gui who had a dark complexion and a strange expression and reported: "Mr. Gui, we have finished our treatment. Can the patient step down and be sent back to the ward?"
Mr. Gui is always in charge of the class, but whether he can step down or not, now he is not a patient in sports medicine, but needs someone from trauma surgery to evaluate him.
However, the group of people in the trauma surgery department are now almost discussing the indications and contraindications of fracture manipulation, and no one reports to Mr. Gui, so Mr. Gui can only ask.
"Push it down, push it down!"
"do not bother me."
Then when he turned his head and saw that Mr. Gui was still patting him, the professor said politely, "Mr. Gui, I..."
While speaking, he shifted his gaze to Zhou Cheng, meaning, Old Gui, why don't we keep in touch with the previous agreement, this person is a bit abnormal, we originally dug a hole for him.
As a result, he didn't play cards according to common sense and buried the hole.
In fact, let’s bury it if it is buried, but the people who dug the pit don’t know how to bury it, so we are very panic now, if we can’t figure out how to bury it.
Then, the articles we are going to publish recently, the clinical topics we plan to conclude, and the work results of many people may all have to fall into a deadlock and start over.
This has a huge impact, no less than destroying the 'Dao Heart'!
Of course, Mr. Gui also knows that the most popular topic in trauma surgery is the cutting-edge topic of non-surgical fracture treatment. Originally, he came here for the signboard of trauma surgery.
But the result?
Before designing today's "gameplay", the professor vowed that no matter whether the Third Hospital was the first or the second to appear, they must have taken the absolute lead.
After all, there are not many people who know how to reset.
And the third pit is actually the most ingenious.
Who would have thought that the third unit cannot be manually reset?
However, who would have imagined that what they thought could not be reset by hand, could be reset by hand in Zhou Cheng's hands?
"Oh!~" Old Gui sighed.
"Then the third novel in the afternoon?" Elder Gui asked.
"Old Gui, we will attend on time."
"We have to ask ourselves first, and then ask others when we can't answer." The professor explained.
It is impossible for them to say that after something unexpected happens, they don't think about it, and they don't try to find a solution, so they just ask for the answer.
Even if you get the answer, it doesn't make sense.
The purpose of thinking is not to get the answer immediately, but to think about coping strategies as soon as something happens.
Perhaps the strategy may not be right, but the way you think about the strategy to deal with it is correct.
"okay, I get it."
"Then I'll announce later, the second novel, is this over?" Old Gui said.
"ended."
"The results displayed on the C-arm are definitely capable of plaster external fixation. I can be sure of that."
……
This training class has a total of five sessions, and each session has three short lectures.
Each novel is accompanied by three operations.
It's just that, in the second quarter, the three teaching operations in the second novel ended very quickly because of the reset of the two manipulations.And because of some accidents, it was originally a moment reserved by the organizer for pretending.
But it has become a 'healing' moment!
Therefore, at ten o'clock early, Zhou Cheng and others were released, and no one tried to keep them back, including Old Gui, Mo Chengkong and others.
Because of this incident, they felt that it might be necessary to re-observe Zhou Cheng and others, otherwise, it would be easy for the car to overturn.
Just like today's trauma surgery!
However, when Old Gui and the others were discussing in a very serious meeting!
After leaving the operating room, Su Min and Yu Heng gave Zhou Cheng two thumbs up very sincerely, "Awesome, Zhou Cheng, I accept it!" It was Su Min who spoke.
Yu Heng didn't exaggerate so much, he stood in front of Zhou Cheng, pressed his fist against Zhou Cheng's chest, and lowered his head slightly: "I'm convinced too."
Then, Zhou Muyun and Zhen Xing also walked over and explained what they had learned: "Yu Heng, Su Min, what you two probably don't know yet is the third patient."
"It's a patient who they themselves judged as impossible to perform manual reduction. It's a specially dug hole, just to make you look ugly."
"Then show off their understanding of the indications and contraindications of manipulation reduction, which is very profound."
"But now, something seems to be wrong, I almost died laughing." It was Zhou Muyun who spoke.
Zhou Muyun belongs to the Hexie. Compared with Zhen Xing as Jishuitan, he and the Third Hospital are the same affiliated school. He and the Third Hospital are real competitors. If the Third Hospital is a little more ugly, they will have more fun laughing at each other. So much talk.
How could it not be beautiful?
(End of this chapter)
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