medical simulator

Chapter 249 The new technology of the simulator (please subscribe!)
After Zhou Cheng returned to his house, he continued to chat with An Ruo for a while, and then said that he would read a book first.

An Ruo naturally replied yes.

Zhou Cheng was reading, but he was not simply reading. Today, he is still preparing for the simulation.

However, the preparation work this time is quite different from the previous preparation work.

Because in the past, when Zhou Cheng simulated every skill, his requirement was to simulate a certain single skill to a perfect level.

For example, hip replacement, arthroscopic hip preservation (perfect - world definition or beyond world definition).

But in fact, the two surgeries of hip replacement and arthroscopic hip conserving surgery also have their specific corresponding diseases. The perfect level of hip replacement, in patients who need hip replacement, Nature is always invincible.

The cases encountered in practice are often not treated according to the textbook.

For example, the few patients Zhou Cheng met today.

Bed 1: Bacterial infection, wound non-healing, and bone defect after debridement of multiple bone tuberculosis.At present, multiple thrombus occurs in both lower extremities.

Bed 2: suppurative osteomyelitis: multi-resistant bacterial infection, high blood pressure, mild diabetes, and blood sugar fluctuations before operation.

3 beds.Fracture infection after open reduction and internal fixation, fracture nonunion and sinus tract.

In simple terms, these three beds are all debridement and suture, but can simple debridement and suture solve the situation of these patients?For these patients, how to choose the appropriate surgical method in order to obtain the best therapeutic effect?

This is a very thought-provoking question.

You need to check the literature to see if there is a way to ask for help.

Bed 4: multiple closed fractures, intermittent atrioventricular block, it is not yet known whether it can be anesthetized.

Of the 5 beds, Zhou Cheng operated on one today, similar to the 1 bed, with bone tuberculosis infection.

Bed 6 is in good condition and is ready to be discharged.

7 beds, due to problems in other departments, are currently evaluated and are going to be transferred to the fourth department of orthopedics.

8 beds, today's second operation, more complicated infection.

9 beds, infection after multiple amputations, the current treatment situation is still undecided.

10 beds, refractory postoperative infection.

The 11th bed is for postoperative patients left over from the previous days. The batch of patients who just started work in the new year have been discharged one after another. He is still in the hospital and is still in a state of post-anesthesia delirium. Please quickly ask the anesthesiologist and neurologist Medical and psychiatric consultations assist in diagnosis and treatment.

The patient's family members are very noisy.

The last patient has 12 beds. The situation of 12 beds is a bit more special than the previous 11 beds...

At present, the diagnosis is not clear, but there are fractures and no trauma. A tumor test was done in a lower-level hospital, and no bone tumor was found in the biopsy.

While Zhou Cheng was taking notes like this, he suddenly discovered a more detailed problem, and it was also a very real problem.

The orthopedics department of Shanghai No. [-] Hospital cannot provide extra beds like Shashi No. [-] Hospital. Moreover, the bed settings in each ward are different.

There are a total of 55 beds in the three orthopedic wards, four groups, Professor Xue Xiude, a total of only twelve beds.

However, the staffing of Professor Xue Xiude's group includes: Professor Xue Xiude, Associate Professor Gu Zhongliang, Shen De's attending physician and Mao Yuxuan's chief resident physician.

At present, all domestic hospitals and all departments in the hospital are self-financed. The twelve beds are all trauma and postoperative infection patients. The average length of stay for such patients is as little as one week and more There are more than 20 days.

In other words, every month, the turnover rate is the highest, which is four rounds.

According to the highest calculation, there are 48 patients in each group per month, and each patient is mostly undergoing debridement and suture surgery, then, even if the hospitalization cost is relatively high, it is about 1 to 2 w.

The profit margin of clinical departments is after deducting the rents paid to drug suppliers, pharmacy departments, hospitals, departments and operating rooms.

(Note: I won’t write this in depth. Readers, you should know that it is actually very realistic now. The operation of a department is actually looking for a place rented by the hospital, and the same is true for surgery in the operating room. Specifically why, don’t do it for a knife, Xiaodao doesn't know.)
(If you are interested, you can go to the channel to find out.)
That is to say, the bonus coefficient, the most that can be allocated is 20.00%, which is considered as high as the sky.Broken ceiling.

That is to say, within a month, within a group, the bonuses that can be given out are about 13-14w at the top, and part of it will be distributed to the nurses in the department.

Then, there is a professor, an associate professor, an attending doctor, and a general resident.

Four Ph.D.

Still in the magic capital.

Isn't the pyramid echelon coming out? If the young doctor's family is not good.

I want to buy a house, I just want to eat farts...

This income is really not necessarily comparable to that of doctors in teaching hospitals in provincial capital cities, because there are more high-quality patients there, operations are simple, and high-end consumables can be used.

Of course, these problems, because Zhou Cheng was far away, Zhou Cheng quickly just made extra calculations casually.

Of course, it is also possible that the reality is not as dire as I imagined. After all, in many other industries, a doctoral degree is quite popular.

Read professional books.

Zhou Cheng looked through the surgery textbooks and professional books. Basically all the information, the definition of the treatment of infection is just such a few tricks.

Thorough debridement, the use of sensitive antibiotics, and the use of sufficient and sufficient antibiotics.

Then, it's basically gone.

Because no one can provide textbook-style guidance on the infections you encounter in reality. The infections that each person encounters may be infected with different germs, and the strength and consultation capabilities of the pharmacy department are also different in each place, and even There is also a gap in the strength of the laboratory.

This is the horror of infection once it occurs in surgery.

Regardless of other things, as far as the 5 beds and 8 beds undergoing surgery today, must the surgery performed today be the most correct?

This is not conclusive, because there is no standard answer for the diagnosis of such a disease.

However, for the 2-bed and 3-bed surgery that will be performed tomorrow, the surgery that can be performed is debridement and suture + built-in sensitive antibiotic copper sulfate carrier + continuous irrigation and drainage.

Then curettage and bone grafting will be performed in the second stage. The purpose of the first stage operation is to control infection.

Then Zhou Cheng looked at his skill list, and found that the best thing to deal with such a diagnosis was debridement and suture.In theory, debridement and suture are only part of the treatment.

More important things are the choice of key antibiotics and an experience in the treatment of infections.

Not all diseases in reality will be ill according to the textbook.

Zhou Cheng looked at his skill list again, and finally found it in the proficient skill.

Proficiency-level skills: experience in shoulder joint injury treatment, knee joint injury treatment experience, tendon injury treatment experience, post-fracture infection treatment experience.

Zhou Cheng vaguely remembered that these mastery-level skills came from Luo Yun's academic bag, or that Zhou Cheng had licked Luo Yun to death in the simulated world at that time.

At that time, Zhou Cheng still thought that Luo Yun was quite powerful.But later, as Zhou Cheng's skills at the perfect level gradually increased, he felt that Luo Yun was actually quite good.

Looking back now, Luo Yun is of course very good compared to himself, but he is actually not good.

Not everyone is the same as yourself, the growth curve is a skill from 0→perfect.

More people still come from entry, proficiency, proficiency, and perfection.

Moreover, in the process of learning, others must not only learn one thing and choose one, but comprehensively improve it like they simulated surgical skills themselves.

For example, the treatment of infected patients is a comprehensive module, and it is a relatively large section, which is no less than a discipline such as complex joint revision.

Infection is what all surgeons fear the most, and it is also the nightmare that all surgeons are afraid of encountering.

With Zhou Cheng's current strength, he must be able to treat such patients, but he needs to dismantle them slowly in the clinic, and take a step-by-step approach to targeted treatment.

And this is called being adaptable. Zhou Chengcheng felt that it was still necessary for him. In terms of basic medicine, the infection after fracture surgery should be simulated. It would be best to be able to simulate a skill package.

After setting the initial goal, Zhou Cheng selected several related perfect level skills, and then started the simulation.

The difficulty of this simulation goal is not small.

【The simulation starts! 】

【You have extremely solid theoretical foundation and clinical skills!You became interested in infected patients, so you started studying.But you still have other clinical research tasks, so you don't have much thought about infection. 】

[One year later, your clinical project was successfully completed, and your scientific research team has entered a new field! 】

[You gradually faded out of the original research group and returned to the clinic.Because your topic has a great impact, you will soon be awarded a master's degree and academic qualifications as an exception, and the educational institution in your country promises that as long as you can complete enough academic accumulation. 】

[An exception can still be made to grant you a doctorate degree and a doctorate degree, and the reason why you are not granted at the same time is to allow the public to have a process of acceptance and avoid shocking the world. 】

[Another year later, you launched a new clinical project, you were awarded a doctorate degree and a doctoral degree in advance, you were awarded an intermediate professional title in advance, and you were awarded an associate senior research title in advance. 】

[Three years later, your country opened a new chapter in the orthopedic clinical department, and the minimally invasive surgery was officially established. In the same year, you published your first personal monograph, which was included in one of the hundred basic books that orthopedic doctors must read . 】

[Ten years later, the discipline of minimally invasive surgery was booming. During this period, you took the time to complete the research statistics on the treatment of infected patients, and you completed the treatment research statistics on some special infected patients, and gained experience in the treatment of infection after fracture surgery ( Perfect)……】

【You have reached the simulation target. 】

[The simulation ends. 】

[Acquired skill: experience in treating infection after fracture surgery (perfect).Additional skills: special infection treatment experience (perfect), including special germs, viruses, microorganisms, etc. 】

[Simulation evaluation: The first half of life was dull, without any challenges. 】

After reading it, Zhou Cheng has already gotten used to it.

Today's aptitude is much better than before, almost half of Yang Yifeng's, and more than ten times that of Dong Yuhai and Du Yanjun. If it takes several lifetimes to solve such aptitude, then this Infection is basically not something that the current superiors and teachers can solve.

After acquiring the skills, Zhou Cheng was stunned for a while, and then, he discovered that, in fact, although the bacteria infected after fracture surgery are different, they still have their own classification and order, as long as they are handled properly.

There are still certain rules to follow, and through this experience and clues, Zhou Cheng seems to have faintly touched another level of infection. Perhaps, the progress and treatment of infection can be controlled through techniques and certain skills. Reduce the incidence and recurrence of infection.

However, thinking about it, Zhou Chengcheng naturally moved in this direction to continue the simulation.

This time the simulation was considered an unexpected situation, so Zhou Cheng pushed back the direction of the previous simulation.

【The simulation starts! 】

[You become interested in infection, and you think there are still unsolved mysteries about infected patients, basic anatomy, and trauma surgery.After you talked about your great cause with your companion, you handed over the clinical task to your companion. 】

[Because you have completed the preliminary basic and theoretical research of the clinical project, and your friends are quite capable, so even though you have lost your backbone, it still took five years of ups and downs to successfully complete the problem. 】

【Five years later, your research team has entered a new field! 】

[You who have returned to the clinic for five years, because of the perfect level of skills, have now obtained a professional doctorate and are taking on the role of the general inpatient. 】

[Because your subject has a great impact, you have been exceptionally promoted to associate professor.You became the fifth youngest associate professor ever in your unit. 】

[The research group you are in has started market-oriented operations, but one of your friends lost interest in market-oriented operations. He began to change careers, became a clinical lecturer, and opened training courses. 】

[And, still persist in writing his own novel.You invited him to your research group, and he felt that your research was too vague and without theoretical basis. 】

[But he didn't persuade you, he just said that you still have the capital to be proud, and you can do whatever you want very willfully.Because even if you waste another lifetime of time, the technologies and skills you have already mastered can already make you worry about food and clothing. 】

[Skills are not overwhelming, because the economic rewards brought to you by high abilities can make you more calm when faced with various choices. 】

[You are married. 】

【Three years later, you were promoted to a professor, and a new chapter in the clinical department of orthopedics was opened in your country, and minimally invasive surgery was officially established.The medical association in your country invited you to be the editor-in-chief of minimally invasive surgery, but you declined and just became an ordinary editor. 】

【Ten years later, you became tired of the monotonous repetition of clinical tasks, so you discussed with your wife that you wanted to resign and concentrate on doing research, and your wife supported your decision.And she very boldly built an animal laboratory just for you. 】

[The funds are from the dividends of the patent shares of your previous clinical projects. 】

[After learning that you resigned, you were invited to countless offers and headhunting companies, but you rejected them one by one, and devoted yourself to basic research. You started with the most basic knowledge of anatomy. 】

[When you were 65 years old, you dissected a total of [-] mice, [-] pigs and [-] cows. At the same time, you conducted more than [-] open classes on human anatomy, making the best use of everything. . 】

[But you still haven't arrived where you expected to be.You go on to begin the study of basic anatomical theory. 】

[When you were 75 years old, you made a very firm decision because of the excessive energy you spent these years. You hoped that after anesthesia on your lower body, you would complete your own dissection...]

【Your ideas are too shocking. No one dares to assist you in completing this 'great conjecture'. Others respect you as a teacher and a professor. They only respect you, so they understand your madness very well. 】

[After this idea was exposed, you were exceptionally promoted to an academician of orthopedics, because someone interpreted that you had this idea because you didn't get enough fame and fortune. 】

【But your wife made you perfect. 】

[You died from self-dissection. Before you died, you finally realized something. You believe that there is definitely a set of cavities between the muscle layers, and this set of cavities forms a network and interweaves with each other, which will cause the recurrence of infection and the main cause of fluctuations. 】

[You acquire basic anatomical theory (pioneering - indefinable). 】

[The simulation ends. 】

[Acquired skills: basic anatomy theory (creation—undefinable). 】

[Simulation evaluation: Pioneers of basic scientific research, scientific research lunatics, people who even sacrificed themselves, thinking outside the box...]

Eh, all right.

Zhou Cheng felt that it was quite difficult to break through the basic theory of a subject. With his current aptitude, he spent a lifetime of in-depth research before he came up with a basic anatomical theory.
It seems that only people like Yang Yifeng, who have studied deeply for a lifetime, can uncover the basic theory of a subject.

But there is no rush, I still have plenty of time, with basic anatomical theory, what am I afraid of?
However, at the end of this simulation process——

But your wife fulfilled you.

Doesn't this sentence mean that my wife will be anesthetized? To be more straightforward, that is to say, there will be an anesthetist by my side, and I will eventually become my wife?
Seeing this sentence, Zhou Cheng felt that he was rather scary, because he didn't feel any special feeling, just that kind of shyness, impulsiveness and embarrassment.

It seems that this is the way it should be, like an old husband and wife.

Will this make my relationship history less than something?Zhou Cheng began to worry.

However, when he really recalled the process of getting along with An Ruo today, Zhou Cheng still thought it was quite interesting.I have taken most of the initiative, but there are still accidents that I can't imagine.

So after thinking about it for a while, Zhou Chengcheng started the third simulation.

Zhou Cheng planned to waste and give up this simulation opportunity.Zhou Cheng's planned simulation direction is An Ruo. He will try to see what kind of story will happen under his deliberate guidance.

It was supposed to be the second time to simulate this direction.

However, because a little accident happened in the first simulation, Zhou Cheng made one more simulation.

Finally, after waiting patiently for half an hour.

Zhou Chengcheng started his own simulation.

[Simulate the target and find a girlfriend. 】

[Initial carrying skills: none. 】

[The simulation begins. 】

【You confessed to a girl you don't know if you like it or not, and she agreed. 】

[One year later, you got married. 】

[The simulation ends. 】

[Simulation evaluation: A life of nonsense, completely inconsistent with the theme.The simulation orientation conflicts with the intended orientation of the mock copy.Rewards get cut. 】

[Reward: None. 】

After reading it, Zhou Cheng complained: "There is no reward for the fucking one, you cut your sister!"

[After the reward reduction: the current fixed skill level is randomly -1.Skill compensation after reward reduction: Sweet Talk (Mastery). 】

[Skill Explanation: During this simulation, you naturally fell in love and got this self-taught skill.Since your talent is not bad, you will quickly point this skill to the proficient level. 】

[This skill is compensation for the reduced skill and cannot be refused.Humerus fracture open reduction and internal fixation skill level -1, current level, humerus fracture open reduction and internal fixation (proficient). 】

[Skill reduction immunity, the player has more than 100 perfect level skills, humeral fracture open reduction and internal fixation skills, the default is perfect level, restore the skill level to proficient. 】

Zhou Cheng took a closer look at the back, simulating the system's own showy operation.

It seems reasonable and it seems unreasonable.

The reasonable side is that Zhou Cheng’s open reduction and internal fixation of fractures has reached a perfect level, and all his anatomical knowledge has also reached a perfect level, so you can reduce the humeral fracture open reduction and internal fixation. to proficiency.

If the downgrade is successful, what about other skills?
Therefore, it is reasonable to reduce the immunity.

It's just that the unreasonable thing is that the cut was unsuccessful, but a sweet talk was given away for nothing. What does this mean?

Sweet talk (proficient), can't be rejected yet, does this mean that I want to be a licking dog?
This idea just popped up, and Zhou Chengcheng immediately thought of many words to replace, licking dog = spare tire = flower protector = teasing loser = potential competitor = caught fish.

Of course, the good news is that this is just a skill, not a passive skill, and Zhou Cheng can still take the initiative.

Otherwise, Zhou Cheng felt that it would be a bit too much to flirt with girls with his current eloquence, shameless face, skills and talent, current status and vision.

Not to mention indiscriminate killing, it is not difficult for those who are greedy for money, fame, or talent.

When a girl finds a boyfriend, it is actually a covetous thing. If she doesn't want anything, she is a woman who has entered the Tao. She has no desires and emotions, and she will always covet something from you.

In fact, men see women the same way.

Beauty, cuteness, figure, legs, yan, nai, virtuous, gentle and so on.

If a woman has nothing at all, then I'm sorry, you can't have love for her, you only have desire, or simply combine together to complete the task of inheriting the family that a man and a woman can complete.

In essence, that's it.

Zhou Cheng shook his head involuntarily, and began to suppress his own thoughts and ideas, no, this skill has no special benefits, so it is easy to talk about the feelings directly, and there is no novelty.

itself?

When Zhou Cheng was thinking this way, he almost finished all the simulation, and then picked up his phone to check if there was any message, and saw the message sent by An Ruo.

"Senior Brother Zhou, my eldest brother and fourth brother said that I am really sorry for the misunderstanding today. I hope you can give them a chance to get knocked on a bamboo pole once. Treat you to a meal and express your apologies."

"Because I filed a complaint with my fifth brother, saying that my eldest brother beat you for no reason, and then my fifth brother said that if he didn't hit you back, after he recovered from his injuries, he would come to Shanghai and beat you back in person."

The fifth brother An Ruo was talking about was An Wu, the elder brother who had been rescued by Zhou Cheng three times before.

The first time he saved his life, the second time he saved his life, and the third time he was almost reborn.

After all, any missing time is considered useless.

The message was sent half an hour ago, but during this time, Zhou Cheng was still planning the simulation.

Zhou Cheng picked up the phone, thought for a while, and finally typed out the words deep in his heart. The expression of the words is much better than before: "An Ruo, why don't I transfer this opportunity to beat bamboo poles to you?" .”

"I'll just be someone who just eats. Junior sister, if you knock on the bamboo pole, you will definitely hit harder, and it will be just right."

An Ruo has changed into pajamas and pajamas at the moment, and then stuffed an ice water bag into the pajamas.To slow down inflammation and pain, because there are no blisters, it can be treated in this way. If there are blisters, then you can't apply excessive ice.

Then he stretched the soles of his feet into the oven, shivering.

After reading Zhou Cheng's message, her eyebrows froze slightly and her face turned a little red. Zhou Cheng's ingenious promise made her feel very involved, and it was not easy to refuse: "Then I will tell my two brothers , Senior Brother Zhou, did you agree?"

"Then about the location, I let them think about it for themselves, must they show sincerity?"

An Ruo has a sense of guilt. Everyone says that girls are extroverts. An Ruo didn't believe it before, but now, she feels a little bit of this, and she is right and wrong.

"Yes." Zhou Cheng replied casually, and then sent some pictures to An Ruo.

It is the screenshot of the key treatment part of Zhou Chengcha's literature on home treatment of superficial burns, and the treatment method is warmly drawn with a red label, without Chinese analysis.

However, the following words just said: "The degree of your burn should not be serious. There is no need for special treatment. You can take a bath. For other details, just take a closer look for yourself. It seems that ice packs would be better."

An Ruo himself is a medical student, but because of this, Zhou Cheng was afraid that she would play tricks on him. He thought he knew it well, so he half-understood and treated himself as a professional.I didn't check the literature, but Zhou Cheng did.

Sending these has nothing to do with the skills you just acquired.

"I know you must have not checked it yourself." Zhou Cheng subconsciously typed out this sentence, but Zhou Cheng used his self-control to delete it.

It's terrible, my current thinking, if I knew it earlier, I wouldn't play with fire and set myself on fire like this.

This is going to be posted, I am afraid that the frequency of chatting will become less after a while, but the atmosphere will develop in a more strange direction, but Zhou Cheng does not want to deal with his feelings so rashly.

"Thank you, brother, for your concern. I'm already using ice compresses. I've seen that in the first 24 hours, or even 48 hours, using ice and cold compresses is effective."

Typed word by word, read Zhou Cheng's message word by word.

It reminded An Ruo of the sour smell emitted by her roommates in the dormitory before. Maybe her mood at that time was similar to her current self. It wasn't sour or smelly at all.

It's just that there is an if to add to all of this.

It would be even better if Zhou Cheng wasn't so good, but a little bit more mediocre than he is now.

Of course, this is just An Ruo's thoughts when she is selfish occasionally. She thought about it, looked at the study room again, and then slowly moved over. After sitting down in the study room, An Ruo turned on the air conditioner It was opened.

But it's cold if I don't open it, and I want to read, so I don't care so much.

Before opening the book, An Ruo asked again: "Brother, have you finished your studies?"

I'm studying and I want to chat, so.Zhou Cheng subconsciously compiled these sweet words in his head, but Zhou Cheng deleted them again!
Try to calm yourself: "Half of learning, relax in the middle, and ask about your situation."

"By the way, An Ruo, do you think it will be affected when you go to work tomorrow? Do you need to ask for leave?"

An Ruo knows that anesthesiologists are actually not easy, they are very busy, and they basically do not have as much sense of gain as surgeons. At least patients will not think that anesthesiologists have contributed a lot to their operations after the operation.

An Ruo replied, "No, I'm not that delicate yet. Tomorrow I can go to work normally, I'm sure."

I thought in my heart, I can't even integrate into it now, I want to do things, but no one asks me to do things.In the operating room, only my senior sister asked me to run errands occasionally, and the rest of the time, I just sat awkwardly.

I'm so tired, I don't know how Senior Brother Zhou Cheng got the approval of so many people so quickly.Not only was he called Teacher Xiao Zhou, but he was also the chief surgeon.

Zhou Cheng came two months earlier than himself.

An Ruo knew better that it was more difficult for surgeons to be recognized than for anesthesiologists.

It's not that she doesn't have a basic foundation, or that she has poor skills, or that she's a bit slow, and she's disgusted. In fact, she's just unskilled.

But for surgery, it is not simply a matter of speed, whether it will be good or not, those are two concepts.

As far as my undergraduate classmates are from surgery, it is difficult for me to be the chief surgeon of level II surgery.Those who come to Jiaotong University in Shanghai are very few.

Moreover, I have seen it this week since I came here. Although the Ninth Affiliated Hospital of Jiaotong University in Shanghai is open, you can see that occasionally the leader of the clinical team performs surgery, and then the professor and associate professor are assistants.

However, that is also a very small number, basically one or two a week.

Or it is the kind of special genius who can do a small amount of level III surgery, and can even perform the surgery alone.

The operation authorization here at Shanghai Jiaotong University is much more difficult than that granted by the Eighth Hospital. It is not granted to you just because you can. Your teacher will apply for you only if you are particularly good.

Otherwise, just lie down for a while, anyway, it is commonplace for geniuses here.

But even if it is commonplace, most people are only granted level II surgery authorization, not many authorizations for level III surgery, and very few authorizations for level IV surgery.

It is precisely because of this state that An Ruo dare not not go. Moreover, she is still digesting the anesthesia ideas and concepts of the teacher and the teacher. For example, the teacher likes to monitor the patient's blood pressure. Control blood pressure under shock.

It's like playing with snake skin...

"Then you have to pay attention to yourself. If you really can't bear it, you still have to put your body first." Zhou Cheng expressed his concern, and said:
"I have other things to deal with and arrange."

"What's the matter?" An Ruo asked curiously.

Zhou Cheng thought for a while, and then said: "In a few days, the professor I followed said that he would grant me level IV surgical authority and clinical development authority of new surgical methods, and he needed to invite colleagues from the Trauma Surgery Group to conduct surgical reviews. .”

"Before the clinical review, there will be a video review. I will choose some IV level operations and record them as videos, and then my professor will send them over."

"If you don't even pass the video review, it will be impossible to talk about the authorization of the new technique later. They can only be the chief surgeons. In the end, the subject can only write the names of these professors."

Zhou Cheng explained again: "It's not that I'm reluctant, it's just that I think it's better to solve the problems that can be solved by myself."

In fact, Zhou Cheng is also very concerned about the benefits that this subject can bring to him.

An Ruo looked at the messages sent by Zhou Cheng. From the first message, they were petrified, and then petrified one by one. After that, she felt that she was almost turned into stone.

She was still thinking about what happened to her in the clinic just now, Zhou Cheng was already flying into the sky.

Level IV surgical authorizations are all basic skills, what Zhou Cheng wants is to give him the authority to carry out new surgical procedures.

Let's put it this way, the senior professional title of Level IV surgery is automatically obtained. Whether you can do the new surgery and the senior professional title depends on whether the Ethics Society thinks you are qualified enough, and you have to break the rules to obtain it. This is quite difficult.

At least, in An Ruo's perception, Zhou Cheng's current age, this is basically impossible, and there has never been such a person around him.

Of course, it's here now, and it's chatting with her right now.

"Why should I ask Zhou Cheng this question?"

"Why should I be so cruel to myself?"

"Why did senior brother come to attack me so directly?"

An Ruo's shoulders were trembling slightly. She originally thought that she had endured enough, but now that she thought about it, what she was facing and what she knew was just the tip of the iceberg.

An Ruo was stunned for almost 2 minutes.

Zhou Cheng said again: "Are you busy? That's right, I'm going to read a book. Then I will think about how to arrange the recording of the operation."

An Ruo's body trembled again, typing with trembling hands: "Brother, please plan carefully. I wish you success."

After replying to the message, he flipped the screen of the phone on the table, and couldn't help but flip it over again, and took a look at it.

Schedule surgery recordings.

Co-authoring is, there are not many level IV surgeries that you can do, that you can show others?

Ordinary people, the operation or operation authority is obtained by professional title, why?Because, general operations and surgeries can only be understood, not explained in words.

In other words, it can only be viewed in the operating room, and it is not easy to take it out, for fear of being laughed at by colleagues.

Therefore, those who can live broadcast the surgery in front of the academic conference instead of recording and broadcasting the surgery are all great!
Those who can perform surgery recordings and broadcast them to others can sell them for money.

Zhou Cheng dared to directly record the operation for others to see. It goes without saying that this level is known, and he is still in the process of selection.

"So, he took off after giving senior brother a chance. The reason why he was delayed before was because he didn't even have a chance and was suppressed for three years."

"And what I think, the so-called fairness, the so-called self-confidence, the so-called gifted people, the contempt for those without talent? What is it?"

"Is it true that there are many people like senior brothers?"

"On the contrary, there aren't many geniuses like Yang Yifeng who are extremely lucky?" An Ruo murmured.

She no longer remembers how she met Zhou Cheng and became curious about him, but as soon as she became curious about Zhou Cheng, she seemed to be caught in a vortex, and the eyes of this vortex grew bigger and bigger.

The attraction was getting deeper and deeper, and then she felt that she was getting more and more irresistible.

Then, she discovered that the strength gradually exceeded her control, developed in an unknown direction, and then exceeded her ability to bear.

The current An Ruo is in a relatively desperate state of mind.

Before she came to Shanghai, she was looking forward to it and planned to surprise Zhou Cheng.

An Ruo didn't know if Zhou Cheng was surprised or not, but what Zhou Cheng brought to An Ruo was all fright, and all these frights turned into crushing, causing her to collapse at once.

However, maybe this gap is too big, which makes An Ruo feel relieved.

At a certain moment, An Ruo raised his hand upwards, tilted slightly to the air, and then shouted like crazy: "Brave An Ruo, never admit defeat!"

It seems that by doing this, she can become super-powerful, less inferior, and be brave like a super invincible Sailor Moon.

However, An Ruo has always been very brave and patient, and is able to accept the days of climbing slowly at the bottom of the valley and waiting slowly.

After graduating from junior high school, most people have never experienced it. After graduating from high school, there are slightly more people who have experienced it. However, since elementary school, there should be very few people who don’t bother to work hard just to catch up with their daily progress. ...

(End of this chapter)