medical simulator
Chapter 243 Doctor on Duty: There is something wrong with my worldview!
Chapter 243 Doctor on Duty: Something is wrong with my worldview! (Please subscribe!)
Zhou Cheng's attitude was respectful after he came in, and he was like a big boy again, which made Mao Yuxuan's inner anger a little bit less.
Although he wanted to see Zhou Cheng make a fool of himself, he still said, "Are you going to wear this? Fortunately, you have changed into work clothes. Do you have a white coat?"
"Yes!" Zhou Cheng nodded, and then opened his backpack.
Although it's not very clean and hygienic to put the work clothes here, but on special occasions, there is no way to manage so much, but Zhou Cheng has already planned to buy another backpack, one to carry a white coat and toiletries, and the other to carry daily clothes.
White coats, like special clothing, can make people energetic without special colors.
The tall and big Zhou Cheng, after wearing a white coat, has a special demeanor, moreover, his stomach is full of poems and books, Zhou Cheng has no poems and books in his stomach, but he has a full stomach of orthopedic knowledge.
The self-confidence brought by this kind of knowledge cannot be pretended, and it is difficult for ordinary people to compare.
Mao Yuxuan was slightly distracted: "It looks okay."
"There is a brush mark on your overalls, and it belongs to our hospital too. You couldn't have been a student of our hospital before, right?"
The reason why Mao Yuxuan was very angry about Zhou Cheng's sudden arrival was not only that Zhou Cheng disrupted his general hospitalization plan, but another reason was that he didn't know Zhou Cheng at all, and felt that Zhou Cheng came here by air because he had found a relationship. work.
But what Zhou Cheng brought out now?
If Zhou Cheng is new to the job, then it must be brand new work clothes. Zhou Cheng doesn't look new, he should have been in the hospital before.
Are there people in the hospital that I don't know?
That's not impossible, but if they have never met before, the possibility is not great.
He is the general inpatient, not a higher-level doctor, he will travel in various departments, he will also read the monthly schedule, and he will arrange junior doctors, so at least he should be familiar with the name.
But the name Zhou Cheng?
"I stayed with Professor Lin Ziyuan for a while in the second orthopedic ward." Zhou Cheng answered truthfully, and hoped that he could win over the relationship a little bit.
Hearing this, Mao Yuxuan frowned even more, almost frowning all the brows that were not many at all into the brow groove, and disappeared.
"Professor Lin Ziyuan?" Mao Yuxuan's expression flickered, and he asked doubtfully, "Then you are studying sports medicine? Why are you here for trauma?"
Lin Ziyuan, that's the administrative director of the sports medicine ward. Zhou Cheng followed him, so he should be in sports medicine after all, so why bother him in the trauma surgery department?
Is this a mistake?
Zhou Chengcheng said: "Mr. Mao, why don't we go to the emergency department first, and then talk while walking?"
Although the call for emergency consultation only needs to arrive within 15 minutes after receiving the consultation notice, but there is no need to be so fishy and deliberately delay time here.
Mao Yuxuan got up and walked in front of Zhou Cheng, and smiled: "The sense of responsibility is quite strong."
Now Zhou Cheng's mentality is similar to when he was first hospitalized, always thinking about doing everything well.Looking back now, with such a mentality, it means that I have not been beaten by 'society'.
"Society" beats you until you don't know how to "society".
But as the daily affairs increased, patients, family members, emergency consultation, subordinate doctors in the department, superior doctors, etc. tortured, now Mao Yuxuan's mentality has changed.
During the general hospitalization stage, don't think about other things, just live.
Eat well and sleep hard.
Eight-character mantra.
Zhou Cheng followed behind Mao Yuxuan, and said with a casual smile, "Mr. Mao, I went to Professor Lin Ziyuan's place to study, and I am a trauma surgeon."
When you talk about your background, it usually means what you first started to learn, or what industry your teacher is in.
Cai Dongfan is in trauma surgery, and Zhou Chengyi’s department was also in trauma surgery. It is reasonable to say that he was born in trauma.
But in fact, birth means a professional class, and Zhou Cheng's background is not wrong.
After all, they are good at it.
Mao Yuxuan only thought that Zhou Cheng wanted to win over the relationship, but it was hard to break through. Moreover, after spending a few minutes together, Mao Yuxuan still couldn't bring himself to get angry and compete with a child.
How old is Zhou Chengcai, 25 years old, 26 years old, in the eyes of Mao Yuxuan, he doesn't even have full hair.
At this age, if you are studying, you can still see those with good talents, but those with bad talents.
However, Zhou Cheng should be regarded as the type with relatively good talent, but he is only a little bit like this, at such an age.
What's the point of beating a child once, if you haven't, it's embarrassing.
Mao Yuxuan never liked beating children, but rather like beating adults as a child, even though he was not very good at beating, but it was not ashamed, and he could learn a lot of skills.
More importantly, others thought he was more courageous.
"Well, I'll let you get rid of that broken bone later." Mao Yuxuan said.
Zhou Cheng said thank you, and the two of them didn't say anything more.
After all, it was the first time we met, and Mao Yuxuan set up Zhou Cheng as an enemy from the beginning, although because of his age, he didn't feel disgusted anymore, and he didn't have any special liking for him.
A child who affects his future and promotion path, and affects the length of his total hospitalization career, is an abominable person.
Children are also hateful children.
quickly!
The two of them arrived at the emergency department.
This was Zhou Cheng's first visit to the emergency department of Shanghai No. [-] Hospital, and after arriving, Zhou Cheng's first reaction was that it was very big.
The space is large, there are many beds, there are many people, and the departments are very detailed.
Compared with the emergency department of the eighth hospital before, this place can be regarded as a multidisciplinary MDT.
As Zhou Cheng walked, he looked curiously at the emergency departments on both sides - emergency neurosurgery, emergency vascular surgery, emergency cardiology, emergency thoracic surgery, emergency...
All medical and surgical specialties have corresponding emergency departments.
Mao Yuxuan seemed to be able to see the doubts on Zhou Cheng's face: "The hospital is also planning to establish an emergency department of orthopedics to make the emergency department a comprehensive trauma center and emergency center."
"Try to do it, no department can be found in an emergency consultation."
Zhou Cheng asked with some surprise: "Mr. Mao, what do you mean, set up emergency departments of all specialties in the emergency department, and send doctors in specialties to assist in the diagnosis and treatment of all patients?"
If there is no department for emergency consultation, it means that the hospital has to allocate a lot of medical resources to focus on the emergency department.
"Yes."
"It's just that in our orthopedics department, it is relatively difficult to establish an emergency trauma center, so it is still under planning for the time being. If it is completed, there will be no more emergency patients in the ward above us in the future."
"At that time, we will always be hospitalized, and it will be even more difficult. We will be on duty in the trauma center instead of in the ward." Mao Yuxuan said bitterly.
Then he pointed the way to Zhou Cheng: "This way!"
The two entered the emergency surgery room. As soon as they entered, a white coat stood up and asked, "You seem to be from the orthopedics department?"
There are too many people in the Ninth Hospital of the Shanghai Metropolis, and the emergency surgery outpatients are generally not young doctors, but mid-level and above, who are about to be promoted to attending or associate professors, and Mao Yuxuan is only a general inpatient and a newcomer to the hospital not long ago.
Familiar, but not necessarily familiar.
"Yes, Mr. Zhu." Mao Yuxuan didn't dare to show big names or show his temper in front of the seniors of this academy.
"You are here. There is a very difficult patient here. I explained it clearly to them. There is no bed. Their current treatment does not belong to the category of emergency surgery."
"But the patient doesn't understand, so I still need you to deal with it. Now the patient is in the mediation room of the emergency surgery department, and the head nurse is personally there to stabilize the emotions of the patient and his family." The person called Teacher Zhu shook his head.
Very tired.
Mao Yuxuan hurriedly said: "Thank you for your hard work, Mr. Zhu, I will go to see it right away. Thank you, you have worked hard."
Mao Yuxuan is the chief resident of trauma surgery, and he is on duty with several other chief inpatients in rotation. In the eyes of the residents, they are the ancestors, because they arrange the duty schedules of the residents and professional graduate students.
However, in the eyes of these superior doctors, the chief resident is a 'slave', no matter what happens or what patients come in, they all go to the chief resident, and only the chief resident.
In the process of walking towards the mediation room, Mao Yuxuan suddenly felt a little dignified.
Then when Zhou Cheng was about to open the door, Mao Yuxuan pulled Zhou Cheng back, and frowned his short eyebrows between his brows: "Zhou Cheng, can you handle it alone? There won't be any problems, right?"
"This patient is difficult to deal with."
Zhou Cheng smiled and said, "It's okay, Mr. Mao."
"By the way, Mr. Mao, the chief resident has the normal authority to diagnose and treat, right?"
Zhou Cheng first asked clearly in advance that if ordinary I and II operations in the Ninth Hospital required special authorization, then he would have to deal with it separately.
"You are currently in the general hospital, and you can decide the right to perform level I/II surgery on your own. However, for some more difficult level II operations, you still need to ask the higher authorities for permission."
"what are you going to do?"
"This patient didn't bleed, didn't he have emergency surgery?" Mao Yuxuan's brows twitched, and he suddenly had a bad feeling.
However, Mao Yuxuan still couldn't believe that Zhou Cheng would send this patient to the operating room for surgery.
As far as fractures are concerned, as long as they are not open fractures and there is no damage to blood vessels and nerves, they are all elective surgical treatments.
Zhou Chengcheng went into the mediation room, and after he went up, he first reported his identity: "Hi, I'm an orthopedic doctor, may I ask if you were careless before..."
Zhou Cheng is very experienced. He was a general inpatient when he was in No. [-] Hospital before, and he also encountered many patients with fractures.
So, he knows how to greet such patients.
Even though there are regional differences between the patients in Modu and Shashi, the patients' psychology should be similar.
When the patient heard this, he immediately stood up and began to curse: "What are you doing, I've been here for almost half an hour, you know."
"Hey, how can you be such a doctor?"
"No one came to see it, just call me and tell me to go to another hospital..."
After patiently listening to the patient's complaints, Zhou Cheng took the initiative to interrupt: "Auntie, we are not driving you to another hospital, but to inform you of the situation in our hospital in advance."
"Now all the beds in the ward are full, we are doctors, we can't drive people away."
"Then we must tell you about this situation. We can't. I will tell you after you have decided to be hospitalized and all the examinations and other procedures have been completed. We have no beds here, so you can't stay in the hospital."
"Then how wronged are you? Do you think I'm justified?"
To be honest, Zhou Cheng seldom said this kind of thing. When he was in the No. [-] Hospital, the patients were dissatisfied and the source of disease was far from enough. Wherever there would be no beds, there were only a few times.
When the patient heard Zhou Cheng's words, he still said, "Then you are such a big hospital, can't you make an arrangement?"
"Look, look, look, there are thousands of employees in such a big hospital."
"Ouch, ouch, ouch." Perhaps because of emotion, she touched the broken bone and began to moan.
Zhou Cheng hurriedly said: "Auntie, don't worry, the injured body is your own when you are angry, is this good? I haven't seen your condition before, let's see how it is."
"Then, according to the specific situation, the subsequent processing and analysis will be carried out."
"We see the doctor face to face. I only heard about your situation on the phone before. Although the times are developing rapidly, it has not yet developed to the level of technology such as online medical treatment. What do you think?"
The patient only cared about his painful hand, and Zhou Cheng took the opportunity to look at the plain film.
Mao Yuxuan also stretched his neck, and after seeing the results of the plain film, he frowned slightly.
Double fractures of the radius and ulna, and there are bone fragments, which is not easy to deal with.
This is the middle limit between indications for manual reduction and indications for surgical reduction. According to the guidelines, the mode that should be dealt with in such a situation is——
After manual reduction, switch to surgical reduction.
But what is a little difficult is that the manual reset failed, and there are no beds in the department.
According to Mao Yuxuan's own experience, the success rate of manipulative reduction for this patient is only about 20.00% to [-]%. If it is a small hospital, it may be treated directly according to the surgical indications.
"Auntie, there are two ways to deal with your situation..." While Mao Yuxuan was still thinking, Zhou Cheng had already started communicating with the patient.
But when Mao Yuxuan heard that Zhou Cheng said that the patient could try manual reset, Mao Yuxuan's brows twitched fiercely.
Just as he was about to speak, Zhou Cheng glared at him. Mao Yuxuan was startled by this warning look.
It was the eyes warning Mao Yuxuan to understand the rules and not to overstep at will.
Such eyes usually only appear in the teacher Huang in the group, and Teacher Huang is the associate professor in the group.Du Ge's attitude towards himself has always been very friendly and easy-going.
MD?
Mao Yuxuan was a little terrified, and held back all his words.
What do you like!
Soon, Zhou Chengcheng settled with the aunt.
Then Zhou Cheng printed the informed consent form and gave his aunt a doctor's order, but it seemed that the doctor's order here was different from Zhou Cheng's previous doctor's order in the No. [-] Hospital.
So after consulting Mao Yuxuan, I reset the method and opened it, and asked my aunt to scan the code to pay the fee.
Zhou Chengcheng got ready.
When Zhou Cheng was about to start the operation, Mao Yuxuan wanted to speak again, but Zhou Cheng pushed him back with his eyes, and then Mao Yuxuan completely gave up struggling, pretending to be dead all the way, pretending that he didn't see anything, nothing hear.
Anyway, it was Mr. Zeng who called, anyway, Zhou Cheng is now in the 'general hospital', and Zhou Cheng is responsible.
No matter how bad it is, there is an old Zeng behind him. As for whether Zhou Cheng is dead or not, it has nothing to do with him.
He has fulfilled his responsibility.
After the reset and the plaster cast, Zhou Chengcai said to the aunt who was in pain and was about to cry: "Auntie, it just hurts for a while, eh, now after the plaster cast, it won't hurt so much."
"I'm not lying to you, right? When the manipulation is reset, there is a little pain. In fact, it can be done without pain at all. I told you before the operation."
"If you want no pain, let's go to the operating room and get a nerve block anesthesia. You also find it troublesome. And, I didn't lie to you before, there is pain, but it's very limited, right?"
"If I didn't tell you about the pain in advance, if I told you that there was no pain at all, I would be lying to you."
Zhou Cheng explained that at the same time, he showed his aunt that he is completely in control of the disease and all the processes, which will give the patient a sense of trust. If you are a doctor, you always ask the patient what to do and what to do .
Then she will panic.
Although the choice is for the patient to choose, the pros and cons are for the doctor to say, how to say, what degree, and whether he can explain clearly and do it clearly.
The treatment process is the same as the preoperative communication, which is the source of peace of mind for patients.
The aunt took a deep breath, and then took another breath, before saying, "Little doctor, you cured me before my husband came."
"This fracture is too painful..."
Zhou Cheng: "..."
Mao Yuxuan: "..."
What is this all about?
Soon, my aunt was sent for a review of plain X-ray films.
The treatment of fractures is the same no matter in all places. In principle, after the treatment is completed, a re-examination should be done to evaluate whether the treatment effect is up to standard.
Only now did Mao Yuxuan come forward and touched Zhou Cheng: "Do you know what you were doing just now?"
Zhou Cheng turned around, looked at Mao Yuxuan strangely, and nodded: "I know, Teacher Mao, didn't I ask you?"
Zhou Cheng finds it very strange that his current status is to replace your chief inpatient, and he is polite to you because he hopes that everyone will get along well.My current authorization and positioning are the same as yours.
Manipulative reduction of fractures is a type I operation, and I can't decide yet?
"Where did you ask me?" Mao Yuxuan's short eyebrows twitched again.
"Mr. Mao, you said that the general hospital has the right to diagnose and treat routinely. This case is a double fracture of the radius and ulna. Closed reduction and plaster external fixation are multiple options for treatment." Zhou Cheng deliberately concealed the condition.
Because in fact, strictly speaking, this patient's fracture is a multi-segment fracture, and it also belongs to the category of comminuted fracture, which is not in the ranks of strict closed reduction.
However, Zhou Cheng felt nothing.
Mao Yuxuan looked at what Zhou Cheng said as a matter of course, and his eyes widened: "Xiao Zhou, have you understood the film?"
"The treatment of double fractures of the ulna and radius is multiple closed reduction and plaster external fixation. However, it also depends on the type and the specific situation. The indications for surgery are..."
Mao Yuxuan is a very solid and down-to-earth person, otherwise it would be impossible to be the chief resident of trauma surgery in the Ninth Hospital.
It is the basic operation to memorize the conventional indications and apply them flexibly.
Zhou Chengcheng smiled and said: "Mr. Mao, yes, I know, but you can also try it. After all, the failure of manual reset is the sign of surgical adaptation."
After listening to Zhou Cheng's words, Mao Yuxuan felt creepy.
Because from the beginning to the end, he didn't perceive from Zhou Cheng that Zhou Cheng wanted the patient to undergo surgery.
Zhou Cheng definitely rushed to reset his skills from the very beginning.
"you?!"
Mao Yuxuan took a deep breath, "Xiao Zhou, when we are clinicians, it's better to be steady than anxious and eager to show off."
"I know how you feel now, and I really hope to gain my approval, and I really want others to know that you are very capable."
"You even felt my vague hostility towards you."
"However, we are doctors, we have to be more objective."
"If you made such an outrageous decision so rashly because of me, then I can apologize to you."
"Medicine is not a discipline to be pissed off."
Of course, medicine is not a subject of anger, but Mao Yuxuan's frankness makes Zhou Cheng feel that this teacher Mao with short eyebrows is not so short-sighted.
And it's quite generous.
This made Zhou Cheng look at Mao Yuxuan again: "Mr. Mao, why don't you say these words after seeing the patient's reexamination film later?"
Review?
What could be so good about this?
It's not that Mao Yuxuan has never done manual reduction of fractures. Moreover, when he was first admitted to the general hospital, he realized that the operations he could perform were very limited, so he studied alone for a period of time.
It's just that Mao Yuxuan's thinking at the moment is like this.
When that aunt, with her husband hugging her very "caringly", walked this way, Zhou Cheng quickly refreshed the background of the film reading on the computer.
Nowadays, in large tertiary hospitals, the image reading systems are all connected, so the report may not be out yet, but once the inspection is completed, the inspection results will be available here.
Zhou Cheng scanned it a few times before giving up his seat.
"Ms. Mao, would you like to evaluate the postoperative plain film?" Zhou Cheng issued a formal invitation.
Mao Yuxuan didn't care about it at first, but after sweeping his eyes on the flat screen, his eyes suddenly became straight, and his pupils expanded at a speed visible to the naked eye...
Then I sat down on the stool, held the mouse in my right hand, and slowly dragged the flat film up and down, zooming in and out deliberately, looking at the details.
The aunt and her husband who loved her very much raised their heads and couldn't understand, so they asked Zhou Cheng: "Well, doctor, how is my wife's fracture?"
"Where's the medical record? It's the one I wrote before." Zhou Cheng didn't answer, but asked.
The patient and the aunt quickly brought the emergency medical records, and Zhou Cheng continued to write on it the precautions after returning.
"There are a few things to pay attention to. First, don't get hurt and pay attention to protection."
"Second, remember to come for a re-examination. After two weeks, one month, or two months, you must come to the clinic for a re-examination."
"third……"
Zhou Cheng explained while writing, and after both his aunt and uncle understood, they turned their heads and left.
When leaving, the aunt asked a little reproachfully, "Why did I arrive at the hospital so late? I'm dying of pain."
"I want to ask for leave, and then I rushed here without waiting for the boss's consent. There was a traffic jam, you know that."
"Does your hand not hurt now?" The man took extra care.
"it's better now."
"This won't affect your work, ouch, the doctor here told me that I'm going to have an operation and I won't be able to stay in the hospital. It scared me to death."
……
Listening to the conversation between the two, Zhou Cheng only found it a little funny.
How should I put it, auntie, it's a little pretentious, but it's okay, it's not unreasonable.
Uncle, he dotes on his wife a bit, but he's still a good man.
After the two of them had walked a long distance, Mao Yuxuan just finished watching the plain film of the postoperative review, and then looked at Zhou Cheng with a strange look.
Mao Yuxuan knew the goods: "Xiao Zhou, did you already consider this result before starting to do it?"
Although Mao Yuxuan was angry, he was not stupid.
Zhou Cheng came by air, and the person who interceded for him was Mr. Zeng, an academician in the department.
So, either Zhou Cheng's relationship is very strong, or Zhou Cheng's ability is very strong.
It's not that there are geniuses with particularly strong abilities in the department, it's just that the growth path of these geniuses doesn't seem to be very smooth.
"It's okay, I can't say I'm 100% sure, Mr. Mao, what do you think?"
"We must respect objective facts and data." Zhou Cheng pretended to be coercive invisibly, feeling happy in his heart.
It's really comfortable, it's really comfortable in Shanghai No. [-] Hospital.
There is no need to hide it, let alone spend time explaining so much. Others can understand what I am doing, and they will guess at a higher level, so there is no need for him to bother explaining his excellence.
Just be responsible for excellence.
Because in fact, if Zhou Cheng were taken away, Mao Yuxuan and others would be equally good.
Mao Yuxuan nodded, and said, "If you say an accurate number, I think you are bragging. But now, I believe that you are really prepared in advance."
"Unstable fractures and multi-segment fractures can be reset to such a state through manipulation. If I hadn't seen it with my own eyes, I really couldn't believe it."
"Indications for reverse surgery and indications for surgery..."
"Xiao Zhou, were you in our hospital before?" Mao Yuxuan walked side by side with Zhou Cheng, and the tone of the question he asked had become very easy-going.
Zhou Cheng's things are known with micro-knowledge!
Zhou Cheng's strength is beyond doubt.
It's just that such a person has been in his own hospital, and he doesn't know it. This is his negligence.
Speaking of which, he is one of the most outstanding ones in this class.
Zhou Cheng didn't continue to make detours with Mao Yuxuan. In fact, Zhou Cheng didn't want to make detours either, but he never had the chance before.
He explained his history completely.
However, after hearing that it was Luo Yun who introduced it, Mao Yuxuan felt as if he had been stepped on the tail: "You were excavated by that pervert Luo Yun? That's no wonder."
"Now Luo Yun is back, and brought you back."
"This year's Ph.D. and master's degree are miserable."
"It's a good thing I graduated a long time ago, otherwise?"
But while talking, Mao Yuxuan was stunned again.
its not right?
He's meow, he's not a student anymore, he's already started working, why is he still in trouble?
"Isn't that right? I'm already working, and Luo Yun is only now enrolled in a doctorate program. What do you do?" Mao Yuxuan felt that it was very strange.
Mao Yuxuan and Luo Yun used to be in the same era, but he is an academic graduate student with a Ph.
But now, Zhou Cheng, as a graduate student, has beaten him as the general hospitalist. Is this all logic?
I'm always hospitalized, you just squeezed me out by airborne.
Zhou Chengcheng said: "Well, Mr. Mao, in fact, I haven't finished the rest of the story. Because of some accidents, I didn't have the fate to study under Mr. Zeng's school."
"Now I am a freelance student. Under the arrangement of Mr. Zeng, I come to the clinic to exercise my ability."
Mao Yuxuan wanted to squat in the corner and face the wall thinking about his mistakes and drawing circles.
This is called human talk?
Freelance students came to exercise their abilities, and they directly beat the chief hospitalist in the department.
However, Mao Yuxuan was even more curious: "Zhou Cheng, do you perform manual reduction on fractures, is it limited to double fractures of the forearm, or can other fractures also be operated?"
"What theory is it based on? The anatomy of the muscles? Or the anatomy of the bones?"
Naturally, Mao Yuxuan was not so easy to be fooled, and the questions he asked were straight to the point.
However, when asking this question, Mao Yuxuan still felt a little embarrassed.Obviously, Zhou Cheng's reset method has something to do with it.
There is no need for Zhou Cheng to teach him.
Zhou Chengcheng said: "This, how to put it, is not very accurate. Except for some complicated intra-articular fractures, in fact, I think it can be done."
"But it can only be limited to doing it by yourself. If you really want to promote it, there will be great resistance."
This is the truth, simple manual reduction of fractures does not have much economic benefit, and not many people are willing to learn, unless some people are really willing to do academics.
Moreover, the equipment company will not allow this fracture to be reset so smoothly!
"us……"
About three hours later.
In front of Mao Yuxuan again, Zhou Cheng performed a fracture reduction technique.
This miraculous scene really stunned Mao Yuxuan!
This sense of gain, this sense of accomplishment, will explode in no time.
"Mr. Mao, have you seen it more clearly this time?"
"Well, almost, but I think there are still some details that are difficult to control. For example, how did you deal with the stretching of the quadriceps when you were doing the manual reduction of the tibial fracture?"
"Also, the starting and ending points of the tibial anterior and posterior tibial muscles are different. How do you release the strength in different directions?" Mao Yuxuan quickly turned into a student.
As if a word came true, when Zhou Cheng entered the department, he called Mr. Zhou Cheng Zhou in order to connotate Zhou Cheng.
I'm afraid he didn't expect that there was a time when he really called Mr. Zhou Chengzhou sincerely.
However, if one can really learn Zhou Cheng's set of fracture reset techniques, it will definitely be more effective when performing fracture operations in the future.
Mao Yuxuan is not stupid.
Even if this method of reset cannot be applied to all fracture treatments, it can also be applied to some treatments.Some complex fractures, or simple fractures, are within the surgical indications.
If the reduction is done well, how much will the operation time be shortened?
Zhou Cheng took out his computer, and opened an anatomical atlas with Mao Yuxuan, and Zhou Cheng analyzed it muscle by muscle.
Next to him, Mao Yuxuan listened very carefully, very seriously, as if he had returned to his student days.
"Maomao, are you going to have supper?"
"What the hell are you doing?"
After the door of the "duty room" of the general hospital was kicked open, a carefree person walked in.
But after entering the door, this person found that Mao Yuxuan was sitting in the side seat at the moment, while the person sitting in the front seat was opening a ppt, as if he was giving a lecture.
Across the chair from the stool, only the back of his head was exposed.
"Fuck!~"
Cao Lin was so frightened that his feet went limp.
"I'm sorry, Teacher Xue." Cao Lin thought it was Professor Xue who was giving Mao Yuxuan a little trouble, and after being bumped into by him, he said that the other party was up to something.
Hurry up and apologize.
However, Cao Lin really couldn't imagine why Professor Xue and Mao Yuxuan came to this corner. Could it be their professor's office?
Mao Yuxuan quickly stood up and said, "Come here, Cao Lin, come here."
"what?"
"Come here, I have something to do with you." Mao Yuxuan felt that he was always sneaky, and that was not the case.
Then Zhou Chengcheng stopped and asked Mao Yuxuan and Cao Lin to communicate.
After negotiating for about ten minutes.
Seeing Mao Yuxuan's seriousness, Cao Lin was dubious: "Maomao, I think we can order some late-night snacks to eat in the department, after all, it's quite tiring to be on duty at night."
"Let's go take a look and see what we want to order." Saying that, he pulled Mao Yuxuan away.
To the stair corridor.
"Aren't you going back?" Mao Yuxuan asked Cao Lin.
"No, Mao Mao, how are you? Do you know what you are doing?"
"It's Zhou Cheng, who is in a mess. His sudden arrival disrupted your general hospitalization plan. Hey, Maomao, to be honest, if you weren't my cousin-in-law, I wouldn't bother with you."
"How could it be possible to save you?"
Although Cao Lin heard from Yu Qiuhua that the person who was sent to the general hospital was not Cao Lin, but Mao Yuxuan, but he still came to rescue Mao Yuxuan, because he was afraid that Mao Yuxuan would be embarrassed to get along with the newcomer.
But now it seems that Mao Yuxuan is a little too involved in the drama.
"Brother, am I easy to deceive you? And I, Mao Yuxuan, are so easy to be deceived?"
"I'll tell you, brother. If it weren't for you being my brother, I wouldn't have told you so much."
"If you believe me, just listen to me, stay here one more night, and see for yourself the strength of this Zhou Cheng."
Speaking of this, Mao Yuxuan calculated again: "Brother, although we have a competitive relationship, we will definitely not meet before we are promoted to deputy high school. At that time, we can each rely on our own abilities."
"But now, we still have the assessment of the general hospitalization and the examination of the intermediate professional title. Among other things, just this one hand, if you learn it in the future examination process, absolutely no one can stop it."
"Manipulation reset, we have a foundation."
"Besides, this is what I saw with my own eyes, do you think I'm so easy to deceive?" Mao Yuxuan said honestly.
Mao Yuxuan and Cao Lin are real classmates and good friends in the past. After taking Cao Lin's cousin to study, Mao Yuxuan became Cao Lin's brother-in-law, but Cao Lin also meant to match.
The argument that Mao Yuxuan is evil is definitely not tenable.
Since Mao Yuxuan said that he saw it with his own eyes, then?
"What is your name Zhou Cheng?"
"Teacher Xiao Zhou. Xiao Zhou, or Zhou Cheng, both call."
……
early morning.
three o'clock.
Zhou Cheng was already asleep.
However, Mao Yuxuan and Cao Lin were like two animals, unable to sleep, watching the ppt sent to them by Zhou Cheng, marking and drawing notes all the time.
Especially Cao Lin, who obviously didn't have to be on duty today, but still brought his notebook from home, and then began to learn the theoretical knowledge of manual reset, only based on the theory can he guide the practice.
In fact, at one o'clock in the morning, Cao Lin still couldn't believe Zhou Cheng's actual operation, so after Zhou Cheng boasted, he made a private call and asked 120 to drag a patient with a fracture!
In front of Cao Lin, Zhou Cheng operated him like a tiger on the spot and sent him home in the emergency department.
Cao Lin believed it.
And he drove home immediately, brought his notebook to the department, and asked Mao Yuxuan to send him a copy of the materials.
The poison in him is deeper than that of Mao Yuxuan...
04:30am.
Zhou Cheng, who was sleeping soundly, was woken up, and it was Cao Lin who called him.
"Mr. Zhou, Mr. Zhou, wake up quickly."
"what's up?"
"Aren't you all sleeping?" Zhou Cheng rubbed his eyes.
Zhou Cheng looked into the duty room, the doctor on duty was woken up, his eyes and person were numb at the moment, as if he couldn't figure out the specific situation.
Cao Lin's eyes dodged, and his tone was uncomfortable: "Mr. Zhou."
"Maomao and I planned to practice the reduction of the fracture, but we did it once and failed."
"We dare not reset a second time."
"Maomao is stabilizing the patient's emotions, so I'm here to call you."
"Thank you for your hard work, Teacher Xiao Zhou."
When Zhou Cheng heard this, the air in his nostrils poured into his chest cavity.
Do you think you are me, who dare to start manual reset on patients after less than a day of learning?
Your courage is really great.
But the complaints in my heart belonged to the complaints, and Cao Lin's begging eyes also made Zhou Cheng unable to bear it, let alone lose his temper.
Throwing off the quilt, she jumped off the top bunk, put on her shoes, and hurried to the emergency department.
Leave the doctor on duty petrochemical.
"Am I crazy, or are the two of them crazy?"
"Ms. Cao Lin called that young man's teacher?"
"When something happens, don't call Professor Yu Qiuhua or Professor Xue, but ask him to help?" The doctor on duty looked confused and scattered, a little at a loss.
(End of this chapter)
Zhou Cheng's attitude was respectful after he came in, and he was like a big boy again, which made Mao Yuxuan's inner anger a little bit less.
Although he wanted to see Zhou Cheng make a fool of himself, he still said, "Are you going to wear this? Fortunately, you have changed into work clothes. Do you have a white coat?"
"Yes!" Zhou Cheng nodded, and then opened his backpack.
Although it's not very clean and hygienic to put the work clothes here, but on special occasions, there is no way to manage so much, but Zhou Cheng has already planned to buy another backpack, one to carry a white coat and toiletries, and the other to carry daily clothes.
White coats, like special clothing, can make people energetic without special colors.
The tall and big Zhou Cheng, after wearing a white coat, has a special demeanor, moreover, his stomach is full of poems and books, Zhou Cheng has no poems and books in his stomach, but he has a full stomach of orthopedic knowledge.
The self-confidence brought by this kind of knowledge cannot be pretended, and it is difficult for ordinary people to compare.
Mao Yuxuan was slightly distracted: "It looks okay."
"There is a brush mark on your overalls, and it belongs to our hospital too. You couldn't have been a student of our hospital before, right?"
The reason why Mao Yuxuan was very angry about Zhou Cheng's sudden arrival was not only that Zhou Cheng disrupted his general hospitalization plan, but another reason was that he didn't know Zhou Cheng at all, and felt that Zhou Cheng came here by air because he had found a relationship. work.
But what Zhou Cheng brought out now?
If Zhou Cheng is new to the job, then it must be brand new work clothes. Zhou Cheng doesn't look new, he should have been in the hospital before.
Are there people in the hospital that I don't know?
That's not impossible, but if they have never met before, the possibility is not great.
He is the general inpatient, not a higher-level doctor, he will travel in various departments, he will also read the monthly schedule, and he will arrange junior doctors, so at least he should be familiar with the name.
But the name Zhou Cheng?
"I stayed with Professor Lin Ziyuan for a while in the second orthopedic ward." Zhou Cheng answered truthfully, and hoped that he could win over the relationship a little bit.
Hearing this, Mao Yuxuan frowned even more, almost frowning all the brows that were not many at all into the brow groove, and disappeared.
"Professor Lin Ziyuan?" Mao Yuxuan's expression flickered, and he asked doubtfully, "Then you are studying sports medicine? Why are you here for trauma?"
Lin Ziyuan, that's the administrative director of the sports medicine ward. Zhou Cheng followed him, so he should be in sports medicine after all, so why bother him in the trauma surgery department?
Is this a mistake?
Zhou Chengcheng said: "Mr. Mao, why don't we go to the emergency department first, and then talk while walking?"
Although the call for emergency consultation only needs to arrive within 15 minutes after receiving the consultation notice, but there is no need to be so fishy and deliberately delay time here.
Mao Yuxuan got up and walked in front of Zhou Cheng, and smiled: "The sense of responsibility is quite strong."
Now Zhou Cheng's mentality is similar to when he was first hospitalized, always thinking about doing everything well.Looking back now, with such a mentality, it means that I have not been beaten by 'society'.
"Society" beats you until you don't know how to "society".
But as the daily affairs increased, patients, family members, emergency consultation, subordinate doctors in the department, superior doctors, etc. tortured, now Mao Yuxuan's mentality has changed.
During the general hospitalization stage, don't think about other things, just live.
Eat well and sleep hard.
Eight-character mantra.
Zhou Cheng followed behind Mao Yuxuan, and said with a casual smile, "Mr. Mao, I went to Professor Lin Ziyuan's place to study, and I am a trauma surgeon."
When you talk about your background, it usually means what you first started to learn, or what industry your teacher is in.
Cai Dongfan is in trauma surgery, and Zhou Chengyi’s department was also in trauma surgery. It is reasonable to say that he was born in trauma.
But in fact, birth means a professional class, and Zhou Cheng's background is not wrong.
After all, they are good at it.
Mao Yuxuan only thought that Zhou Cheng wanted to win over the relationship, but it was hard to break through. Moreover, after spending a few minutes together, Mao Yuxuan still couldn't bring himself to get angry and compete with a child.
How old is Zhou Chengcai, 25 years old, 26 years old, in the eyes of Mao Yuxuan, he doesn't even have full hair.
At this age, if you are studying, you can still see those with good talents, but those with bad talents.
However, Zhou Cheng should be regarded as the type with relatively good talent, but he is only a little bit like this, at such an age.
What's the point of beating a child once, if you haven't, it's embarrassing.
Mao Yuxuan never liked beating children, but rather like beating adults as a child, even though he was not very good at beating, but it was not ashamed, and he could learn a lot of skills.
More importantly, others thought he was more courageous.
"Well, I'll let you get rid of that broken bone later." Mao Yuxuan said.
Zhou Cheng said thank you, and the two of them didn't say anything more.
After all, it was the first time we met, and Mao Yuxuan set up Zhou Cheng as an enemy from the beginning, although because of his age, he didn't feel disgusted anymore, and he didn't have any special liking for him.
A child who affects his future and promotion path, and affects the length of his total hospitalization career, is an abominable person.
Children are also hateful children.
quickly!
The two of them arrived at the emergency department.
This was Zhou Cheng's first visit to the emergency department of Shanghai No. [-] Hospital, and after arriving, Zhou Cheng's first reaction was that it was very big.
The space is large, there are many beds, there are many people, and the departments are very detailed.
Compared with the emergency department of the eighth hospital before, this place can be regarded as a multidisciplinary MDT.
As Zhou Cheng walked, he looked curiously at the emergency departments on both sides - emergency neurosurgery, emergency vascular surgery, emergency cardiology, emergency thoracic surgery, emergency...
All medical and surgical specialties have corresponding emergency departments.
Mao Yuxuan seemed to be able to see the doubts on Zhou Cheng's face: "The hospital is also planning to establish an emergency department of orthopedics to make the emergency department a comprehensive trauma center and emergency center."
"Try to do it, no department can be found in an emergency consultation."
Zhou Cheng asked with some surprise: "Mr. Mao, what do you mean, set up emergency departments of all specialties in the emergency department, and send doctors in specialties to assist in the diagnosis and treatment of all patients?"
If there is no department for emergency consultation, it means that the hospital has to allocate a lot of medical resources to focus on the emergency department.
"Yes."
"It's just that in our orthopedics department, it is relatively difficult to establish an emergency trauma center, so it is still under planning for the time being. If it is completed, there will be no more emergency patients in the ward above us in the future."
"At that time, we will always be hospitalized, and it will be even more difficult. We will be on duty in the trauma center instead of in the ward." Mao Yuxuan said bitterly.
Then he pointed the way to Zhou Cheng: "This way!"
The two entered the emergency surgery room. As soon as they entered, a white coat stood up and asked, "You seem to be from the orthopedics department?"
There are too many people in the Ninth Hospital of the Shanghai Metropolis, and the emergency surgery outpatients are generally not young doctors, but mid-level and above, who are about to be promoted to attending or associate professors, and Mao Yuxuan is only a general inpatient and a newcomer to the hospital not long ago.
Familiar, but not necessarily familiar.
"Yes, Mr. Zhu." Mao Yuxuan didn't dare to show big names or show his temper in front of the seniors of this academy.
"You are here. There is a very difficult patient here. I explained it clearly to them. There is no bed. Their current treatment does not belong to the category of emergency surgery."
"But the patient doesn't understand, so I still need you to deal with it. Now the patient is in the mediation room of the emergency surgery department, and the head nurse is personally there to stabilize the emotions of the patient and his family." The person called Teacher Zhu shook his head.
Very tired.
Mao Yuxuan hurriedly said: "Thank you for your hard work, Mr. Zhu, I will go to see it right away. Thank you, you have worked hard."
Mao Yuxuan is the chief resident of trauma surgery, and he is on duty with several other chief inpatients in rotation. In the eyes of the residents, they are the ancestors, because they arrange the duty schedules of the residents and professional graduate students.
However, in the eyes of these superior doctors, the chief resident is a 'slave', no matter what happens or what patients come in, they all go to the chief resident, and only the chief resident.
In the process of walking towards the mediation room, Mao Yuxuan suddenly felt a little dignified.
Then when Zhou Cheng was about to open the door, Mao Yuxuan pulled Zhou Cheng back, and frowned his short eyebrows between his brows: "Zhou Cheng, can you handle it alone? There won't be any problems, right?"
"This patient is difficult to deal with."
Zhou Cheng smiled and said, "It's okay, Mr. Mao."
"By the way, Mr. Mao, the chief resident has the normal authority to diagnose and treat, right?"
Zhou Cheng first asked clearly in advance that if ordinary I and II operations in the Ninth Hospital required special authorization, then he would have to deal with it separately.
"You are currently in the general hospital, and you can decide the right to perform level I/II surgery on your own. However, for some more difficult level II operations, you still need to ask the higher authorities for permission."
"what are you going to do?"
"This patient didn't bleed, didn't he have emergency surgery?" Mao Yuxuan's brows twitched, and he suddenly had a bad feeling.
However, Mao Yuxuan still couldn't believe that Zhou Cheng would send this patient to the operating room for surgery.
As far as fractures are concerned, as long as they are not open fractures and there is no damage to blood vessels and nerves, they are all elective surgical treatments.
Zhou Chengcheng went into the mediation room, and after he went up, he first reported his identity: "Hi, I'm an orthopedic doctor, may I ask if you were careless before..."
Zhou Cheng is very experienced. He was a general inpatient when he was in No. [-] Hospital before, and he also encountered many patients with fractures.
So, he knows how to greet such patients.
Even though there are regional differences between the patients in Modu and Shashi, the patients' psychology should be similar.
When the patient heard this, he immediately stood up and began to curse: "What are you doing, I've been here for almost half an hour, you know."
"Hey, how can you be such a doctor?"
"No one came to see it, just call me and tell me to go to another hospital..."
After patiently listening to the patient's complaints, Zhou Cheng took the initiative to interrupt: "Auntie, we are not driving you to another hospital, but to inform you of the situation in our hospital in advance."
"Now all the beds in the ward are full, we are doctors, we can't drive people away."
"Then we must tell you about this situation. We can't. I will tell you after you have decided to be hospitalized and all the examinations and other procedures have been completed. We have no beds here, so you can't stay in the hospital."
"Then how wronged are you? Do you think I'm justified?"
To be honest, Zhou Cheng seldom said this kind of thing. When he was in the No. [-] Hospital, the patients were dissatisfied and the source of disease was far from enough. Wherever there would be no beds, there were only a few times.
When the patient heard Zhou Cheng's words, he still said, "Then you are such a big hospital, can't you make an arrangement?"
"Look, look, look, there are thousands of employees in such a big hospital."
"Ouch, ouch, ouch." Perhaps because of emotion, she touched the broken bone and began to moan.
Zhou Cheng hurriedly said: "Auntie, don't worry, the injured body is your own when you are angry, is this good? I haven't seen your condition before, let's see how it is."
"Then, according to the specific situation, the subsequent processing and analysis will be carried out."
"We see the doctor face to face. I only heard about your situation on the phone before. Although the times are developing rapidly, it has not yet developed to the level of technology such as online medical treatment. What do you think?"
The patient only cared about his painful hand, and Zhou Cheng took the opportunity to look at the plain film.
Mao Yuxuan also stretched his neck, and after seeing the results of the plain film, he frowned slightly.
Double fractures of the radius and ulna, and there are bone fragments, which is not easy to deal with.
This is the middle limit between indications for manual reduction and indications for surgical reduction. According to the guidelines, the mode that should be dealt with in such a situation is——
After manual reduction, switch to surgical reduction.
But what is a little difficult is that the manual reset failed, and there are no beds in the department.
According to Mao Yuxuan's own experience, the success rate of manipulative reduction for this patient is only about 20.00% to [-]%. If it is a small hospital, it may be treated directly according to the surgical indications.
"Auntie, there are two ways to deal with your situation..." While Mao Yuxuan was still thinking, Zhou Cheng had already started communicating with the patient.
But when Mao Yuxuan heard that Zhou Cheng said that the patient could try manual reset, Mao Yuxuan's brows twitched fiercely.
Just as he was about to speak, Zhou Cheng glared at him. Mao Yuxuan was startled by this warning look.
It was the eyes warning Mao Yuxuan to understand the rules and not to overstep at will.
Such eyes usually only appear in the teacher Huang in the group, and Teacher Huang is the associate professor in the group.Du Ge's attitude towards himself has always been very friendly and easy-going.
MD?
Mao Yuxuan was a little terrified, and held back all his words.
What do you like!
Soon, Zhou Chengcheng settled with the aunt.
Then Zhou Cheng printed the informed consent form and gave his aunt a doctor's order, but it seemed that the doctor's order here was different from Zhou Cheng's previous doctor's order in the No. [-] Hospital.
So after consulting Mao Yuxuan, I reset the method and opened it, and asked my aunt to scan the code to pay the fee.
Zhou Chengcheng got ready.
When Zhou Cheng was about to start the operation, Mao Yuxuan wanted to speak again, but Zhou Cheng pushed him back with his eyes, and then Mao Yuxuan completely gave up struggling, pretending to be dead all the way, pretending that he didn't see anything, nothing hear.
Anyway, it was Mr. Zeng who called, anyway, Zhou Cheng is now in the 'general hospital', and Zhou Cheng is responsible.
No matter how bad it is, there is an old Zeng behind him. As for whether Zhou Cheng is dead or not, it has nothing to do with him.
He has fulfilled his responsibility.
After the reset and the plaster cast, Zhou Chengcai said to the aunt who was in pain and was about to cry: "Auntie, it just hurts for a while, eh, now after the plaster cast, it won't hurt so much."
"I'm not lying to you, right? When the manipulation is reset, there is a little pain. In fact, it can be done without pain at all. I told you before the operation."
"If you want no pain, let's go to the operating room and get a nerve block anesthesia. You also find it troublesome. And, I didn't lie to you before, there is pain, but it's very limited, right?"
"If I didn't tell you about the pain in advance, if I told you that there was no pain at all, I would be lying to you."
Zhou Cheng explained that at the same time, he showed his aunt that he is completely in control of the disease and all the processes, which will give the patient a sense of trust. If you are a doctor, you always ask the patient what to do and what to do .
Then she will panic.
Although the choice is for the patient to choose, the pros and cons are for the doctor to say, how to say, what degree, and whether he can explain clearly and do it clearly.
The treatment process is the same as the preoperative communication, which is the source of peace of mind for patients.
The aunt took a deep breath, and then took another breath, before saying, "Little doctor, you cured me before my husband came."
"This fracture is too painful..."
Zhou Cheng: "..."
Mao Yuxuan: "..."
What is this all about?
Soon, my aunt was sent for a review of plain X-ray films.
The treatment of fractures is the same no matter in all places. In principle, after the treatment is completed, a re-examination should be done to evaluate whether the treatment effect is up to standard.
Only now did Mao Yuxuan come forward and touched Zhou Cheng: "Do you know what you were doing just now?"
Zhou Cheng turned around, looked at Mao Yuxuan strangely, and nodded: "I know, Teacher Mao, didn't I ask you?"
Zhou Cheng finds it very strange that his current status is to replace your chief inpatient, and he is polite to you because he hopes that everyone will get along well.My current authorization and positioning are the same as yours.
Manipulative reduction of fractures is a type I operation, and I can't decide yet?
"Where did you ask me?" Mao Yuxuan's short eyebrows twitched again.
"Mr. Mao, you said that the general hospital has the right to diagnose and treat routinely. This case is a double fracture of the radius and ulna. Closed reduction and plaster external fixation are multiple options for treatment." Zhou Cheng deliberately concealed the condition.
Because in fact, strictly speaking, this patient's fracture is a multi-segment fracture, and it also belongs to the category of comminuted fracture, which is not in the ranks of strict closed reduction.
However, Zhou Cheng felt nothing.
Mao Yuxuan looked at what Zhou Cheng said as a matter of course, and his eyes widened: "Xiao Zhou, have you understood the film?"
"The treatment of double fractures of the ulna and radius is multiple closed reduction and plaster external fixation. However, it also depends on the type and the specific situation. The indications for surgery are..."
Mao Yuxuan is a very solid and down-to-earth person, otherwise it would be impossible to be the chief resident of trauma surgery in the Ninth Hospital.
It is the basic operation to memorize the conventional indications and apply them flexibly.
Zhou Chengcheng smiled and said: "Mr. Mao, yes, I know, but you can also try it. After all, the failure of manual reset is the sign of surgical adaptation."
After listening to Zhou Cheng's words, Mao Yuxuan felt creepy.
Because from the beginning to the end, he didn't perceive from Zhou Cheng that Zhou Cheng wanted the patient to undergo surgery.
Zhou Cheng definitely rushed to reset his skills from the very beginning.
"you?!"
Mao Yuxuan took a deep breath, "Xiao Zhou, when we are clinicians, it's better to be steady than anxious and eager to show off."
"I know how you feel now, and I really hope to gain my approval, and I really want others to know that you are very capable."
"You even felt my vague hostility towards you."
"However, we are doctors, we have to be more objective."
"If you made such an outrageous decision so rashly because of me, then I can apologize to you."
"Medicine is not a discipline to be pissed off."
Of course, medicine is not a subject of anger, but Mao Yuxuan's frankness makes Zhou Cheng feel that this teacher Mao with short eyebrows is not so short-sighted.
And it's quite generous.
This made Zhou Cheng look at Mao Yuxuan again: "Mr. Mao, why don't you say these words after seeing the patient's reexamination film later?"
Review?
What could be so good about this?
It's not that Mao Yuxuan has never done manual reduction of fractures. Moreover, when he was first admitted to the general hospital, he realized that the operations he could perform were very limited, so he studied alone for a period of time.
It's just that Mao Yuxuan's thinking at the moment is like this.
When that aunt, with her husband hugging her very "caringly", walked this way, Zhou Cheng quickly refreshed the background of the film reading on the computer.
Nowadays, in large tertiary hospitals, the image reading systems are all connected, so the report may not be out yet, but once the inspection is completed, the inspection results will be available here.
Zhou Cheng scanned it a few times before giving up his seat.
"Ms. Mao, would you like to evaluate the postoperative plain film?" Zhou Cheng issued a formal invitation.
Mao Yuxuan didn't care about it at first, but after sweeping his eyes on the flat screen, his eyes suddenly became straight, and his pupils expanded at a speed visible to the naked eye...
Then I sat down on the stool, held the mouse in my right hand, and slowly dragged the flat film up and down, zooming in and out deliberately, looking at the details.
The aunt and her husband who loved her very much raised their heads and couldn't understand, so they asked Zhou Cheng: "Well, doctor, how is my wife's fracture?"
"Where's the medical record? It's the one I wrote before." Zhou Cheng didn't answer, but asked.
The patient and the aunt quickly brought the emergency medical records, and Zhou Cheng continued to write on it the precautions after returning.
"There are a few things to pay attention to. First, don't get hurt and pay attention to protection."
"Second, remember to come for a re-examination. After two weeks, one month, or two months, you must come to the clinic for a re-examination."
"third……"
Zhou Cheng explained while writing, and after both his aunt and uncle understood, they turned their heads and left.
When leaving, the aunt asked a little reproachfully, "Why did I arrive at the hospital so late? I'm dying of pain."
"I want to ask for leave, and then I rushed here without waiting for the boss's consent. There was a traffic jam, you know that."
"Does your hand not hurt now?" The man took extra care.
"it's better now."
"This won't affect your work, ouch, the doctor here told me that I'm going to have an operation and I won't be able to stay in the hospital. It scared me to death."
……
Listening to the conversation between the two, Zhou Cheng only found it a little funny.
How should I put it, auntie, it's a little pretentious, but it's okay, it's not unreasonable.
Uncle, he dotes on his wife a bit, but he's still a good man.
After the two of them had walked a long distance, Mao Yuxuan just finished watching the plain film of the postoperative review, and then looked at Zhou Cheng with a strange look.
Mao Yuxuan knew the goods: "Xiao Zhou, did you already consider this result before starting to do it?"
Although Mao Yuxuan was angry, he was not stupid.
Zhou Cheng came by air, and the person who interceded for him was Mr. Zeng, an academician in the department.
So, either Zhou Cheng's relationship is very strong, or Zhou Cheng's ability is very strong.
It's not that there are geniuses with particularly strong abilities in the department, it's just that the growth path of these geniuses doesn't seem to be very smooth.
"It's okay, I can't say I'm 100% sure, Mr. Mao, what do you think?"
"We must respect objective facts and data." Zhou Cheng pretended to be coercive invisibly, feeling happy in his heart.
It's really comfortable, it's really comfortable in Shanghai No. [-] Hospital.
There is no need to hide it, let alone spend time explaining so much. Others can understand what I am doing, and they will guess at a higher level, so there is no need for him to bother explaining his excellence.
Just be responsible for excellence.
Because in fact, if Zhou Cheng were taken away, Mao Yuxuan and others would be equally good.
Mao Yuxuan nodded, and said, "If you say an accurate number, I think you are bragging. But now, I believe that you are really prepared in advance."
"Unstable fractures and multi-segment fractures can be reset to such a state through manipulation. If I hadn't seen it with my own eyes, I really couldn't believe it."
"Indications for reverse surgery and indications for surgery..."
"Xiao Zhou, were you in our hospital before?" Mao Yuxuan walked side by side with Zhou Cheng, and the tone of the question he asked had become very easy-going.
Zhou Cheng's things are known with micro-knowledge!
Zhou Cheng's strength is beyond doubt.
It's just that such a person has been in his own hospital, and he doesn't know it. This is his negligence.
Speaking of which, he is one of the most outstanding ones in this class.
Zhou Cheng didn't continue to make detours with Mao Yuxuan. In fact, Zhou Cheng didn't want to make detours either, but he never had the chance before.
He explained his history completely.
However, after hearing that it was Luo Yun who introduced it, Mao Yuxuan felt as if he had been stepped on the tail: "You were excavated by that pervert Luo Yun? That's no wonder."
"Now Luo Yun is back, and brought you back."
"This year's Ph.D. and master's degree are miserable."
"It's a good thing I graduated a long time ago, otherwise?"
But while talking, Mao Yuxuan was stunned again.
its not right?
He's meow, he's not a student anymore, he's already started working, why is he still in trouble?
"Isn't that right? I'm already working, and Luo Yun is only now enrolled in a doctorate program. What do you do?" Mao Yuxuan felt that it was very strange.
Mao Yuxuan and Luo Yun used to be in the same era, but he is an academic graduate student with a Ph.
But now, Zhou Cheng, as a graduate student, has beaten him as the general hospitalist. Is this all logic?
I'm always hospitalized, you just squeezed me out by airborne.
Zhou Chengcheng said: "Well, Mr. Mao, in fact, I haven't finished the rest of the story. Because of some accidents, I didn't have the fate to study under Mr. Zeng's school."
"Now I am a freelance student. Under the arrangement of Mr. Zeng, I come to the clinic to exercise my ability."
Mao Yuxuan wanted to squat in the corner and face the wall thinking about his mistakes and drawing circles.
This is called human talk?
Freelance students came to exercise their abilities, and they directly beat the chief hospitalist in the department.
However, Mao Yuxuan was even more curious: "Zhou Cheng, do you perform manual reduction on fractures, is it limited to double fractures of the forearm, or can other fractures also be operated?"
"What theory is it based on? The anatomy of the muscles? Or the anatomy of the bones?"
Naturally, Mao Yuxuan was not so easy to be fooled, and the questions he asked were straight to the point.
However, when asking this question, Mao Yuxuan still felt a little embarrassed.Obviously, Zhou Cheng's reset method has something to do with it.
There is no need for Zhou Cheng to teach him.
Zhou Chengcheng said: "This, how to put it, is not very accurate. Except for some complicated intra-articular fractures, in fact, I think it can be done."
"But it can only be limited to doing it by yourself. If you really want to promote it, there will be great resistance."
This is the truth, simple manual reduction of fractures does not have much economic benefit, and not many people are willing to learn, unless some people are really willing to do academics.
Moreover, the equipment company will not allow this fracture to be reset so smoothly!
"us……"
About three hours later.
In front of Mao Yuxuan again, Zhou Cheng performed a fracture reduction technique.
This miraculous scene really stunned Mao Yuxuan!
This sense of gain, this sense of accomplishment, will explode in no time.
"Mr. Mao, have you seen it more clearly this time?"
"Well, almost, but I think there are still some details that are difficult to control. For example, how did you deal with the stretching of the quadriceps when you were doing the manual reduction of the tibial fracture?"
"Also, the starting and ending points of the tibial anterior and posterior tibial muscles are different. How do you release the strength in different directions?" Mao Yuxuan quickly turned into a student.
As if a word came true, when Zhou Cheng entered the department, he called Mr. Zhou Cheng Zhou in order to connotate Zhou Cheng.
I'm afraid he didn't expect that there was a time when he really called Mr. Zhou Chengzhou sincerely.
However, if one can really learn Zhou Cheng's set of fracture reset techniques, it will definitely be more effective when performing fracture operations in the future.
Mao Yuxuan is not stupid.
Even if this method of reset cannot be applied to all fracture treatments, it can also be applied to some treatments.Some complex fractures, or simple fractures, are within the surgical indications.
If the reduction is done well, how much will the operation time be shortened?
Zhou Cheng took out his computer, and opened an anatomical atlas with Mao Yuxuan, and Zhou Cheng analyzed it muscle by muscle.
Next to him, Mao Yuxuan listened very carefully, very seriously, as if he had returned to his student days.
"Maomao, are you going to have supper?"
"What the hell are you doing?"
After the door of the "duty room" of the general hospital was kicked open, a carefree person walked in.
But after entering the door, this person found that Mao Yuxuan was sitting in the side seat at the moment, while the person sitting in the front seat was opening a ppt, as if he was giving a lecture.
Across the chair from the stool, only the back of his head was exposed.
"Fuck!~"
Cao Lin was so frightened that his feet went limp.
"I'm sorry, Teacher Xue." Cao Lin thought it was Professor Xue who was giving Mao Yuxuan a little trouble, and after being bumped into by him, he said that the other party was up to something.
Hurry up and apologize.
However, Cao Lin really couldn't imagine why Professor Xue and Mao Yuxuan came to this corner. Could it be their professor's office?
Mao Yuxuan quickly stood up and said, "Come here, Cao Lin, come here."
"what?"
"Come here, I have something to do with you." Mao Yuxuan felt that he was always sneaky, and that was not the case.
Then Zhou Chengcheng stopped and asked Mao Yuxuan and Cao Lin to communicate.
After negotiating for about ten minutes.
Seeing Mao Yuxuan's seriousness, Cao Lin was dubious: "Maomao, I think we can order some late-night snacks to eat in the department, after all, it's quite tiring to be on duty at night."
"Let's go take a look and see what we want to order." Saying that, he pulled Mao Yuxuan away.
To the stair corridor.
"Aren't you going back?" Mao Yuxuan asked Cao Lin.
"No, Mao Mao, how are you? Do you know what you are doing?"
"It's Zhou Cheng, who is in a mess. His sudden arrival disrupted your general hospitalization plan. Hey, Maomao, to be honest, if you weren't my cousin-in-law, I wouldn't bother with you."
"How could it be possible to save you?"
Although Cao Lin heard from Yu Qiuhua that the person who was sent to the general hospital was not Cao Lin, but Mao Yuxuan, but he still came to rescue Mao Yuxuan, because he was afraid that Mao Yuxuan would be embarrassed to get along with the newcomer.
But now it seems that Mao Yuxuan is a little too involved in the drama.
"Brother, am I easy to deceive you? And I, Mao Yuxuan, are so easy to be deceived?"
"I'll tell you, brother. If it weren't for you being my brother, I wouldn't have told you so much."
"If you believe me, just listen to me, stay here one more night, and see for yourself the strength of this Zhou Cheng."
Speaking of this, Mao Yuxuan calculated again: "Brother, although we have a competitive relationship, we will definitely not meet before we are promoted to deputy high school. At that time, we can each rely on our own abilities."
"But now, we still have the assessment of the general hospitalization and the examination of the intermediate professional title. Among other things, just this one hand, if you learn it in the future examination process, absolutely no one can stop it."
"Manipulation reset, we have a foundation."
"Besides, this is what I saw with my own eyes, do you think I'm so easy to deceive?" Mao Yuxuan said honestly.
Mao Yuxuan and Cao Lin are real classmates and good friends in the past. After taking Cao Lin's cousin to study, Mao Yuxuan became Cao Lin's brother-in-law, but Cao Lin also meant to match.
The argument that Mao Yuxuan is evil is definitely not tenable.
Since Mao Yuxuan said that he saw it with his own eyes, then?
"What is your name Zhou Cheng?"
"Teacher Xiao Zhou. Xiao Zhou, or Zhou Cheng, both call."
……
early morning.
three o'clock.
Zhou Cheng was already asleep.
However, Mao Yuxuan and Cao Lin were like two animals, unable to sleep, watching the ppt sent to them by Zhou Cheng, marking and drawing notes all the time.
Especially Cao Lin, who obviously didn't have to be on duty today, but still brought his notebook from home, and then began to learn the theoretical knowledge of manual reset, only based on the theory can he guide the practice.
In fact, at one o'clock in the morning, Cao Lin still couldn't believe Zhou Cheng's actual operation, so after Zhou Cheng boasted, he made a private call and asked 120 to drag a patient with a fracture!
In front of Cao Lin, Zhou Cheng operated him like a tiger on the spot and sent him home in the emergency department.
Cao Lin believed it.
And he drove home immediately, brought his notebook to the department, and asked Mao Yuxuan to send him a copy of the materials.
The poison in him is deeper than that of Mao Yuxuan...
04:30am.
Zhou Cheng, who was sleeping soundly, was woken up, and it was Cao Lin who called him.
"Mr. Zhou, Mr. Zhou, wake up quickly."
"what's up?"
"Aren't you all sleeping?" Zhou Cheng rubbed his eyes.
Zhou Cheng looked into the duty room, the doctor on duty was woken up, his eyes and person were numb at the moment, as if he couldn't figure out the specific situation.
Cao Lin's eyes dodged, and his tone was uncomfortable: "Mr. Zhou."
"Maomao and I planned to practice the reduction of the fracture, but we did it once and failed."
"We dare not reset a second time."
"Maomao is stabilizing the patient's emotions, so I'm here to call you."
"Thank you for your hard work, Teacher Xiao Zhou."
When Zhou Cheng heard this, the air in his nostrils poured into his chest cavity.
Do you think you are me, who dare to start manual reset on patients after less than a day of learning?
Your courage is really great.
But the complaints in my heart belonged to the complaints, and Cao Lin's begging eyes also made Zhou Cheng unable to bear it, let alone lose his temper.
Throwing off the quilt, she jumped off the top bunk, put on her shoes, and hurried to the emergency department.
Leave the doctor on duty petrochemical.
"Am I crazy, or are the two of them crazy?"
"Ms. Cao Lin called that young man's teacher?"
"When something happens, don't call Professor Yu Qiuhua or Professor Xue, but ask him to help?" The doctor on duty looked confused and scattered, a little at a loss.
(End of this chapter)
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