medical simulator

Chapter 264 Sao operation begins! (Please subscribe!)
Zhou Cheng carefully separated a section of the blood vessel, and saw that the shape of the blood vessel was already in a segmented state.

Recalling the general picture he saw on the ppt before, Zhou Cheng really used his hometown dialect to describe it.

The hemp skin is rotten on one leg.

Zhou Cheng had a headache, and the operation was interrupted for a while.

On the opposite side of Zhou Cheng, Li Xuande did not blame Zhou Cheng, but said with a sinking heart: "The state of the blood vessels is very worrying. Maybe our previous estimate of the wound surface was conservative. The previous bleeding did not come from the muscles. oozing out, but this segment of blood vessel."

The state of the blood vessels was not caused by Zhou Cheng's operation, on the contrary, it was very difficult for Zhou Cheng to find out the blood vessel segments from the muscle tissue so quickly.

(Note: A small popular science experiment, every household can buy pork, and there are nourishing blood vessels in the muscles of pork...)
"Xiao Zhou, do you want to go out and talk directly to the family members about the amputation?" Li Xuande quickly calmed down.

They worked hard, and they did enough. From ten o'clock to three o'clock in the morning, five hours were spent on debridement, carefully stripping out all kinds of sundries inside, and reconnecting the soft tissue bed. Well, and the relatively large blood vessels were also sutured by a vascular surgeon.

But sometimes, hard work does not necessarily lead to satisfactory results. Learning to face all disasters honestly and letting yourself go is also a kind of salvation for yourself.

When manpower is limited, there is no need to worry about everything. Even if such a thing falls on your own head, it is still the same. When you embarrass others, you may not be happy, but others must be in pain.

Zhou Cheng knew that this was not Li Xuande's original intention, if he didn't want to do this for this college student, he would have amputated his leg long ago.However, since we have worked so hard to reach this point, and everyone has stayed up late for so long, we should work harder.

He raised his head and said, "Professor Li, let's take a look at the specific situation inside. I'm just getting started. It's just that you have to work hard for a while."

Li Xuande smiled and didn't care: "Anyway, we've made it to this point."

At this point, everyone understood what the other party meant, and tried their best to make the final struggle.

Then, Li Xuande saw that after Zhou Cheng sent the tiny tweezers in again, he took out another section of blood vessel, which was still bloody inside, and the wall of the blood vessel was ruptured and completely rotten.

However, Zhou Cheng still did not give up, and continued to take such blood vessel tissue from other places.

This soft tissue that has been crushed is really shocking. The blood vessels inside have been crushed like this, which is a bit too scary.

Just after Zhou Cheng took out the vascular tissue in the three muscles, it was still the same.

Li Xuande felt that it was better for him to look at it first, and not to make Zhou Cheng difficult: "Xiao Zhou, stop the operation, I will talk to the family members, this leg can't be saved, and it may be destroyed after it is saved."

Recognizing the limitations of modern medicine, knowing how many catties a person has when he realizes that manpower is limited, is a necessary basic skill of modern medicine.

Li Xuande felt that it would be better for him to let Zhou Cheng go. With such an organizational structure, not to mention how to rebuild the blood supply is a problem, even if it is rebuilt, it will still be a useless leg that cannot function.

Zhou Cheng's ability and strength had already reached a limit, but this limit could not reverse the consequences of the current trauma. This is a living and cruel reality.

Li Xuande is the supreme controller of this operation, he has absolute decision-making power.

This time, it was Zhou Cheng who stretched out his hand to stop Li Xuande who was about to step down, and said, "Professor Li, wait and see, there may not be a solution."

Zhou Cheng's mind was spinning rapidly, and then he asked: "Professor Li? Did this patient talk about the possibility of making an incision on the healthy limb before the operation?"

Li Xuande's stepping down froze, he was a little puzzled and asked, "Xiao Zhou, what do you want to do?"

As the chief director of the orthopedics department of Renji Hospital affiliated to Shanghai Jiaotong University and the director of trauma surgery, it is his goal to bring the strength of the orthopedics department of Renji Hospital to the fore. Not missing.

He didn't personally interview the family members, but he could instruct someone to do so, but he had to know Zhou Cheng's specific thoughts first.

"The healthy limb has rich blood circulation. Even if I take a few arteries, I can still provide blood supply by rebuilding the collateral circulation."

"And the nutrient arteries we removed can be used as the vascular bed between the muscles of the affected side to provide arteries. It will not affect the condition of the healthy side of the patient, and it is the best substitute for the nutrient arteries." During the operation, Don't talk too much, but express the meaning well.

Therefore, Zhou Cheng only said half of what he said, leaving half blank.

But what kind of person Professor Li Xuande is, he immediately understood Zhou Cheng's meaning, blood vessel transplantation, and it is also a nutrient artery transplantation, similarly, this is also intramuscular vascular reconstruction.

Vascular artery grafting, which is a combination of suturing and cutting blood vessels, is also a variant, and reconstruction remains the same.However, most of the operations performed by vascular surgery are on large vessels, and there is no time to take care of small arteries.

Such an operation is not difficult in principle, but it is extremely difficult to find such a small artery. To find a complete anatomical structure, it requires a lot of patience, and the transplant process is even more unimaginable.

Such a difficult technique is conceivable by humans, but is it possible for humans to complete it?

It is theoretically possible to build a high-rise building that goes directly into space, tile the Great Wall, and fill the sea with sand, but the amount of work is huge and requires meticulous micro-operations.

When Zhou Cheng spoke, the hand of the hospital chief standing directly opposite Zhou Cheng shook.He was really frightened by Zhou Cheng's thoughts.

The eyeballs protruded a little, and he sniffed inexplicably, then immediately came back to his senses, clenched his hands, and looked carefully at the surgical field, for fear that his unnecessary activities just now caused irreversible damage.

Fortunately, Li Xuande is a person who has experienced many battles and has seen many worlds, so he turned his head to look at the hospital chief, and asked, "Xiaofu, have you talked about this?"

The name of the general inpatient is Fu Qiangxue, and his Adam's apple rolled up and down twice with the movement of swallowing: "I didn't talk about it specifically, but I told my family members that it is not ruled out that I will take bone from the healthy side for bone grafting. And taking tendons for tendon transplantation."

"I can go out and talk again if need be."

This is a surgical method that Fu Qiangxue can't even imagine. How can he predict things like a god?
The operation that Zhou Cheng proposes now is an impossible operation within the theory, outside of the operation. Is he a god?can be expected.

"Then go out and say something later!"

"Xiao Zhou, let's make a muscle first, to test the possibility and operability. Where is it more appropriate to start with this one?" Li Xuande immediately made another decision.

He is a professor-level doctor. When the patient was sent, he had no immediate family members, and his condition was urgent. Therefore, it was the chief on duty who ordered the immediate operation.When encountering an operation that is difficult to handle, he has a certain degree of cutting first and then playing the right.

Otherwise, what should the patient's family members do if they don't show up?Naturally, if you don't go out to talk at this time, you still don't want to give too much expectation to the patient's family, so as not to be even more disappointed when it happens.Mood swings are severe.

Zhou Cheng understood Professor Li Xuande's meaning, this kind of thing can be done as soon as it can be done, and can't be dragged down.

Since you have such an idea, let's try it first. If it can be established, then we can talk to the family members. If it can't be done, we can directly amputate the leg from the thigh to save our lives!
Zhou Cheng said without hesitation: "Professor Li, how about this? The patient's impact force should be from the front, so the nourishing blood vessels in the rear biceps femoris may still be relatively complete."

"Let's take one of the inside and try it out for rebuilding."

Take the affected side first to test the feasibility of the operation, and take the ones below the range of amputation, which will not cause unnecessary wounds to the patient.Naturally, Zhou Cheng would not make things difficult for Li Xuande.

"This is the best." Li Xuande took a deep breath.

If the leg was not saved, and the healthy side was cut, it is not so easy to explain to the family members of the patient. Although it can also be explained, it is for the sake of limb preservation, but it can be avoided and avoided as much as possible.

The patient's injury was destructive, and the quadriceps was almost rotten. This was after being rested, so the biceps femoris at the back of the femur was naturally exposed.

It was cut by the fracture fragments of the femur, but it has not been sutured yet.Because the blood vessels in the upper segment were clamped, there was not much bleeding, but there was also a small amount of collateral circulation bleeding out.

After Zhou Cheng found one of the biceps femoris, he was not in a hurry to take blood vessels. Instead, he carefully sorted out and recalled the anatomy, especially the pioneering anatomical theory, and then took a deep breath. tone.

Said: "Give me the sharp knife."

Zhou Cheng entered the state, concentrating on it, and didn't pay special attention to calling these. He had to put all his energy on his hands and the arrangement of the operation.

No one cared that Zhou Cheng didn't have a title in his order. Professor Li Xuande personally handed the handle of the sharp knife to Zhou Cheng. Zhou Cheng held it, and then carefully moved it from the broken end so that the tip of the knife faced upwards.

He needs to find the completed nutrient artery first, and the nutrient artery is very thin, and the tip of the knife is easy to hurt. At this time, controlling every variable factor will increase the success rate, although there are not many operations.

However, if it accumulates, the improvement obtained will be very impressive.

It didn't take Zhou Cheng too long. He found the trophoblast artery in about 1 minute. Professor Li Xuande knew that such a trophoblast artery existed, but he usually looked for it based on the shape of the artery, from the large artery to the small artery. I found it this way.

Like Zhou Cheng, he has never challenged the method of directly picking apart the muscles.

Therefore, I also feel quite shocked. I feel that if the operation has reached the fine level, it will be able to achieve such a surprising and scalp-numbing form.

It must not be cut open with a single knife. Zhou Cheng carefully exposed the nourishing blood vessels that are slightly smaller than the diameter of wool, and did not dare to clamp them directly with blood vessel forceps. Instead, he cut a sterile glove to cover it. Then it was handed over to the chief inpatient.

Fu Qiangxue carefully pinched the two ends of the rubber band, not daring to use any force. He was afraid that even his mother would be overturned if he was not careful about this fragile blood vessel...

Blood vessels are actually very fragile.

Zhou Cheng then carefully followed the route of the blood vessels with a sharp knife and continued to walk inside.This is not called walking, but walking.

The nourishing blood vessels are not as clear as the large blood vessels, and the small branch-like blood vessels that are almost invisible to the naked eye are crawling around the lumen of the blood vessels, which can be easily broken.

However, Zhou Cheng's knife always avoids them carefully.

No one dared to speak, even Professor Li Xuande's eyes were extremely focused at the moment, holding his breath secretly, one was worried about Zhou Cheng, and the other was secretly wondering why Zhou Cheng did this?
Continue to explore, probably after reaching a certain length, Zhou Cheng's opening is about six centimeters in length.

This time, Zhou Cheng chose to clamp the proximal blood vessel, and then, Zhou Cheng did not cut it with a sharp knife, but chose to continue to slowly peel off the branches of the nutrient vessel layer.

When Zhou Cheng performed this operation, even the person who had just watched Li Xuande, who Zhou Cheng was looking for to nourish the arteries, still felt his scalp numb.

If dancing on a sharp knife is an art, then Zhou Cheng's process of finding the branch that nourishes the artery with a sharp knife is also an art.

It seemed that they were a little worried, unbelievable, worried about Zhou Cheng's operation.

But Zhou Cheng's hand was like a stone fixed in the air, it was very stable, there was no shaking up and down, it just followed the shape of the branches very carefully.

About two centimeters in, Zhou Chengcai cut off the branch with a sharp knife.

Well, such a small blood vessel can be cut directly without affecting it at all. You can cut it casually, and you don’t need to stop the bleeding.

One, two, everyone gradually got used to it...

You know it in your mind, but the hand that is about to move is asking what you are thinking.

After more than ten minutes passed, Zhou Chengcai carefully opened such a nourishing artery, and the branches were all there, and the shape was relatively complete.

Afterwards, Zhou Cheng moved the "blood vessel that I don't know where to find" to the previous muscle bed, just when Professor Li Xuande was about to ask, what Zhou Cheng would do next.

Impressively, Zhou Cheng sent a silk thread over with tweezers with extremely fine tips for some reason. After sending it over, Zhou Cheng used a fine needle to sew a stitch on the blood vessel, only passing it through, without tying a knot.

How did it just happen?
Everyone didn't see clearly.

Then, I saw that Zhou Cheng pinched the two ends of the thread with both hands to prevent the thread from being knotted or tangled, and one of his hands gently pulled it hard.

In an instant, the nourishing blood vessel with branches got into the hole, and Zhou Cheng's choice is just right, the end of the thread he pulls has a relatively large lumen, which is like smoothing the hair. The blood vessels were all stuffed into the cavity of the original nourishing artery taken by Zhou Cheng.

After doing this, Zhou Cheng carefully tied up the other end of the nutrient artery he just took with a thread, and left the thread outside for later pulling.

"Huh!~" Zhou Cheng breathed a sigh of relief after concentrating on doing these things.

Said: "Professor Li, I will suture this nutrient artery to the blood vessel next. If it is unobstructed, then the blood vessel reconstruction of this muscle is basically done."

Li Xuande was stunned. Zhou Cheng seemed to say it casually, but in fact, it was almost impossible to repeat it. His skills have not yet reached such a level: "Aren't the branches stitched?"

Zhou Cheng shook his head: "It's not necessary. The arterial blood flow that nourishes the artery has a very small lumen, and the blood volume is actually quite limited. Moreover, even the blood leaking from the branches is mostly distributed in the muscle layer."

"The rich tissue in the blood will promote the reconstruction of blood vessels. After a certain degree of blood reaches the muscle tissue, a blood clot will be formed to a certain extent. The blood clot will form a thrombus, which will block the branches of blood vessels."

"Furthermore, the diameter of the thrombus is quite small, so even if it refluxes into the blood circulation, the reaction caused is quite limited. We routinely use half-dose anticoagulation after surgery, so we don't have to worry about it at all."

"And, after the blood flows, the tissue has a certain blood supply. After the blood supply, a new collateral circulation or capillary network will be formed. The capillary network established by the muscle tissue will be more suitable for itself."

"And, because the initial blood supply and communication between the muscles are not great, this is equivalent to delaying the duration of the re-irrigation injury to a certain extent. We all know that the re-irrigation injury is actually the breakdown product in the necrotic muscle tissue. Metabolic limits are exceeded."

"us……"

What the hell!

Zhou Cheng is really amazing. His operation is not a temporary idea. Moreover, the theories he mentioned are actually common theories in internal medicine and surgery. It is just that they have been disassembled in detail. The theory can basically be considered. Yes, it's all considered.

After explaining, Zhou Chengcheng began to sew up the proximal end. The suturing of the proximal end can be relatively casual, so Zhou Chengcheng chose an artery that nourishes the muscles relatively well, cut it off, and grafted the blood supply over it.

After suturing in this way, the muscle bed is still not fully secured, but it is still necessary to see if it is connected at the bottom.

If there is no way, let go of the large blood vessels.

However, when it is released, the more distal end of the small artery from the nutrient artery has to be clamped to avoid serious bleeding.

After all the preparations were made, Professor Li Xuande and others basically ignored Zhou Cheng's fast suturing of blood vessels, but felt that such an operation was a trivial matter for Zhou Cheng.

Even if it looks hard.

But when people's knowledge grows, they will see the strangeness and say, "I let go of the proximal vascular clamp."

"En! It's hard work." Zhou Cheng nodded slowly, calmed down a little, and began to rest slowly.

It is a must for the surgeon to take advantage of every opportunity to rest his mind, otherwise, he will die suddenly and exhausted.

Li Xuande slowly let go of the vascular clamp, and the blood vessels immediately filled up.

However, because it is the nourishing artery, it took more than ten seconds for the blood to slowly seep out from the other side of the nourishing artery.

The amount is very small, and the blood is very red.

The surgeon was very happy to see the blood.

"That's it?" Li Xuande's expression brightened.ask.

Zhou Cheng nodded: "Although we haven't sealed off the broken ends of the branches of the nutrient vessel layer, the blood flow from the broken ends of the nutrient artery will naturally be distributed to the polished muscle bed through the internal channels."

"Therefore, to a certain extent, it will ensure that some muscle cells will not undergo necrosis. Part of the necrotic muscle tissue will be decomposed by phagocytes arriving in the blood, and will instead become nutrients for active cells."

Hearing this, Fu Qiangxue, the chief inpatient, couldn't help but interrupted: "Theoretical system for enhancing the activity of tumors? The physiological characteristics of fibroblasts?"

Fu Qiangxue, as the chief resident of the new star, naturally read a lot of literature, and as the most popular article on tumor theory in orthopedics, he naturally had to read a lot, so that he could get the topic more easily.

Zhou Cheng nodded: "Teacher Fu is right, but I think it's not just limited to tumors and fibroblasts, muscle cells can also have such a drive."

This is the content of pathophysiology. It is really shocking that Zhou Cheng took the theory to this step all of a sudden.

The knowledge is extensive and thorough, and the operation is so delicate that it is appalling. What else is there to say?It proves that Zhou Cheng's knowledge reserve and knowledge pool have really reached a certain level.

To convince the knowledgeable people, layman's theories and simple folk science theories are not enough.

Li Xuande took a deep breath, and then said: "Xiao Fu, go outside and talk to the patient's family."

"Xiao Zhou, shall we continue or should you take a break?"

Don't look at Zhou Cheng's operation just now, it is not a drastic move, but in fact it is a slow operation, a surprise operation, which is very labor-intensive and exhausting.

But what Li Xuande didn't know was that Zhou Cheng was actually very mature, so he was used to it, so it was a good thing, he hadn't used a knife like this for a long time.

When performing fracture surgery and joint surgery, there is no need to pay attention to so many details.

The operation then continued quickly...

With the previous experiment, and it was a successful experiment, so in the middle of the operation, we disinfected the healthy side and re-draped.

Then, Li Xuande discovered that when Zhou Cheng took the nourishing blood vessels from the tendon side, it was smoother than taking the nourishing arteries from the affected side, because on the surface, it saved at least a full third of the time.

Perhaps seeing the stunned gazes of Li Xuande and the associate professor beside him, Zhou Chengcheng explained: "The quadriceps is the muscle that I have been in contact with a lot, and it belongs to the surface layer and is on the healthy side, so there is not much burden when taking it."

Definitely yes, the muscles on the healthy side are all good, it’s nothing to take some nourishing arteries, it’s okay to cut all the muscles, naturally there is no psychological burden.

Li Xuande fell silent.

The associate professor next to him smiled slightly and said, "Mr. Zhou, no wonder Professor Liu Zhibin and Director Li insisted on inviting you."

"It really opened our eyes. What if every injured patient could meet a doctor like you, Xiao Zhou?"

Speaking of this, he shook his head again: "That's because too many people's luck is too good."

Zhou Cheng didn't take this kind of bragging to heart: "Teacher, you are too good-for-nothing."

Associate Professor Xie Fan hurriedly introduced himself: "My surname is Xie, which is the same as Jie for Answer. Read xie!"

Zhou Cheng didn't return, he continued to sink into the operation...

After Fu Qiangxue came back from the conversation, he also brought back a new informed consent form for surgical risks.After putting it in the medical record book, he washed his hands again before coming to the stage, and stood opposite Zhou Cheng seriously, watching the operation field carefully.

Time goes by slowly...

It was past six o'clock, and Zhou Chengcai finished rebuilding the arteries of more than a dozen muscles.

After this, Zhou Cheng himself felt that his hands were a little sore, and when he stepped off the stage, his steps were a little wobbly.

Li Xuande, who stepped off the stage with him, hurriedly stepped forward, put his shoulder against Zhou Cheng's back, and asked with flickering eyes, "Xiao Zhou, would you like a bottle of sugar water?"

At the same time, he began to wink at the anesthesiologist. The high-intensity operation, which lasted three hours without any slack and interruption, even steel must be soft.

"No, thank you, Professor Li. I'll just go out and cook a bowl of noodles later." Zhou Cheng replied.

Li Xuande didn't understand Zhou Cheng's meaning for a while, and after a while, he said: "Yes, I forgot that you are from Hunan Province, Xiao Zhou. Rice noodles are more popular in Shashi, but I don't know where you can find them in Shanghai. Authentic rice noodles."

"Round noodles are quite rare, but there are a lot of pasta, let's go out and eat some."

Zhou Cheng didn't pretend to be polite either. He needed to eat very much at this moment. At this point, after being tired for half the night, he was already hungry.

Li Xuande didn't bring Zhou Cheng to meet the family members, he just brought such good news to the family members at the door, and he could see that a couple who seemed to be from a fairly good family at the door almost knelt down.

I would like to thank Li Xuande a thousand times, but fortunately, Li Xuande had quick eyesight and quick hands, and helped them up.Said: "We should do our best, we still have to see the recovery situation later, and this is the first operation, and there are still many tough battles to fight."

However, even though Li Xuande said so, they already knew that their son's legs were so rotten that it was unimaginable before. It was beyond their thinking to keep such legs.

In fact, the same is true.

Li Xuande didn't stay long, just walked in, met Zhou Cheng again, and said, "Xiao Zhou, I didn't take you out to meet the family just now, and I listened to their thank you words, you don't blame me, do you?"

Zhou Cheng was taken aback, quickly shook his head, and said with a smile, "How could it be? Professor Li?"

A person's ability and strength are not reflected by others' thanks or flattery, but by what he has done and whether it is beneficial to others.

Because if you want to listen to words of flattery or thanks, you can hire a bunch of actors if you have money.

Li Xuande later explained: "This student's family background is good, and his parents seem to be company executives in other cities, and they are not short of money. They know a lot. If you know that you are the one who is doing the surgery."

"It may cause unnecessary trouble and misunderstanding. So I hope Xiao Zhou doesn't mind."

"And I guess, they may have secretly entrusted acquaintances to see their son's photos and injuries to doctors in many hospitals, and the answers they got were not satisfactory, so they were so excited."

Zhou Cheng didn't want to continue entangled in this topic, so he didn't take it, but just smiled back.

Then Zhou Chengcheng and Li Xuande went to the dressing room downstairs. It was after six o'clock in the morning, and there was a lot of hand washing clothes on the floor.The mess was not collected into the bucket.And no one.

Therefore, Li Xuande didn't know if he had prepared it in advance, so he stuffed another envelope for Zhou Cheng and went into his alley.

When Zhou Cheng turned his head to say something, Professor Li Xuande said: "It's rare, but it's a rule. I can't break this rule."

"Besides, without you, this operation is really impossible. You are not from our hospital, and you can't get a cent of the platform fee, but the operation fee of this operation is not low. This is what you should get."

"This was originally intended for Professor Liu Zhibin, but Professor Liu also felt that he couldn't take it down."

"You can get it. It's a skill. It's a bit small. But our hospital does not accept consultation operations from other hospitals in principle, so there is only so much that can be given."

Renji Hospital is a large teaching hospital. The hospital does not allow you to invite people from other hospitals to do consultation and surgery. To avoid embarrassment, it will only let the people in your own hospital improve their abilities and qualities.

However, this is only in principle, when it is time to ask, you still have to ask.

Li Xuande didn't take the formal consultation application route, so he couldn't apply.

Zhou Cheng thought for a while, and then backed away: "Professor Li, I still don't think this is appropriate."

You can take the money for the lectures, this is above board.But this kind of informal application for consultation and surgery money is irritating and unacceptable.

Li Xuande was stunned for a moment, but he didn't continue to insist. He just said: "That's fine, next time I invite you to give a lecture, I will give it to you together. You can't break the rules, and neither can I. Otherwise, others will think that I, Li Xuande, are not very sensible. .”

"Xiao Zhou, you are really surprising. I think my decision is right."

Zhou Cheng turned his head to look at Li Xuande after hearing the words: "Professor Li, what do you mean?"

"It's hard to say clearly. Let's not talk about this, let's go have breakfast together!" Li Xuande said inexplicably.

Zhou Cheng felt that there must be something in Li Xuande's words, and it was very likely that it was related to what Professor Xue Xiude said to him yesterday, but Zhou Cheng couldn't take the initiative to ask about this kind of matter, so he could only hide it silently in his heart.

He smiled casually, and felt that it was understandable. If these professors were as friendly as they seemed on the surface, they would not compete with each other, and they would all follow the overall arrangement of Professor Jingxing.

How is that possible?
The real healthy competition is not a game, let alone a child's play, there is no distinction between good and bad, right and wrong, it only depends on each person's position.

After eating the noodles, Zhou Cheng was arranged to be sent to the Ninth Courtyard of the Demon City.

During this period, Professor Li Xuande made several phone calls specifically to apologize to Zhou Cheng.It was hard work, and it affected his rest time.

He also told Zhou Cheng about the patient's outcome. Currently in the ICU, his vital signs are quite stable, and the wound is recovering well. The possibility of subsequent muscle tissue survival is very high. I hope Zhou Cheng can come to participate again.

Zhou Cheng complied. This was an invitation sent to him by Professor Li Xuande, and it was a way of saving face.

After returning to the department, there were still not many things Zhou Cheng could do. It was not something that could be found in a short while, but it was.

Chen Shengwu soon found Zhou Cheng again and said, "Brother Zhou Cheng, my teacher has handed over all the tasks in my department now. The teacher said that during the time you are in the Ninth Hospital, I will follow you all the way to calm down." study."

"Then when you think I'm okay, arrange for me to go to a prefecture-level city hospital to practice. I will officially start the clinical project."

Zhou Cheng smiled and said: "Let's learn from each other. I will definitely encounter some blind spots that I don't understand, and I will ask you directly."

"Does our group have surgery scheduled today?"

"Yes, but they are all after infection. The teacher said that for such a complicated case, it is better for Associate Professor Gu Zhongliang and Brother Shen Dede to practice. Zhou Cheng will arrange your surgery next week."

"This is a teaching hospital. In addition to carrying out new clinical projects, training professors and junior doctors, and even teaching interns and graduate students are also unavoidable things." Chen Shengwu explained to Zhou Cheng in detail.

This is only natural, if the whole world revolves around one person, then this is not called the Ninth Courtyard of the Demon City.Professor Xue Xiude wants to start a new clinical project, and he can make overall arrangements, but it is impossible to gather all the energy for one person.

"That is, I brought you into an idler?" Zhou Cheng joked.

Chen Shengwu quickly waved his hands: "No, no, Brother Zhou Cheng, I want to learn from you. Do you think I should read all the theories first, and then get started, or should I concentrate on one subject first?"

Zhou Cheng lamented that Shanghai Jiaotong University’s graduate students like Chen Shengwu have good aptitudes, and they already have their own study habits and ideas. What you learn is just a matter of speed.

It's just that Zhou Cheng hasn't simulated how to quickly bring Chen Shengwu out, so he has to give Chen Shengwu the ideas and arrangements for teaching and learning tomorrow.

He said: "Since I finally have time to rest, let's play for a day first."

"Don't be in a hurry, just try to put your mind at ease." Zhou Cheng himself was a little tired, he had to catch up on getting back to sleep, otherwise, he would really die suddenly.

Don't make it into the news at that time, it won't be appropriate.

It is still necessary to combine work and rest. If Professor Xue Xiude insists on him having an operation today, it will make Zhou Cheng feel a little nervous.

Chen Shengwu's enthusiasm, which was finally ignited, was slightly extinguished by Zhou Cheng.

However, seeing the sincerity in Zhou Cheng's eyes, he didn't doubt it, and said, "Okay, brother Zhou Cheng, do you want to go out and play? There are still many places in Shanghai where you can play."

Having said that, Chen Shengwu sniffed, with an expression that you understand.

I'm sorry for you, Zhou Cheng was stunned for a moment, and glanced at Chen Shengwu, are you afraid that there is not enough news?
I didn't go any further on this topic...

After finding an excuse and returning home, Zhou Chengcheng started the idea of ​​non-human simulation.

【Initial material: manual reduction of fractures (perfect - redefined), small incision open reduction and internal fixation (perfect - defined by the world). 】

Simulation goal: to teach Chen Shengwu.

[The simulation begins. 】

[You now have certain surgical authority and academic status, as well as certain influence.You have your first teachee. 】

[You started cramming teaching, and after a month, your teaching objects have gained a lot, but the progress is quite slow.But it is already possible to carry out some simple fracture manipulation reduction. 】

【Three months later, your teaching object has a certain understanding of fracture reduction, but he is still not proficient.You feel that his aptitude is really limited, so you started to make some changes...]

MMP, the total time I have stayed in Shanghai is only half a year, how can I have so much time to play with you?

Zhou Cheng started his own way of making a show.

[You told your little friend, after successfully abducting the person you taught within half a month, he sank for three full days before he finally found out the culprit...]

[After staging some old-fashioned classic cross-talk insults, finally, the target of your teaching started to explode, with the goal of crushing your little friend, and started the mode of 'don't bully the young and poor'. 】

[Four months later, he studied day and night, and studied around the clock, and finally realized something, realized part of the essence, and began to take over the complex fracture reduction technique.You are quite surprised by this progress. 】

[After half a year, his learning progress has been able to routinely carry out common fracture manipulations, but he suddenly discovered that even after he has learned the manipulations and resets, he is still no match for your little friend. 】

[So, he gave up and changed a new girlfriend, and became obsessed with his studies, and then went to work, your career is quite smooth...]

[Five years later, you have successfully become a master tutor...]

【…】

[The simulation ended and the goal was not achieved. 】

[Simulation evaluation: inhumane. 】

[Acquired skills: trick teaching experience (introductory). 】

Ok.

This prank has failed.But I also got an unexpected skill, which is a bit unexpected.

It seems that Chen Shengwu is not considered a lover.

However, through this simulation, at least I know that Chen Shengwu's girlfriend is a potential exciting force for him.Moreover, through the conversation with Chen Shengwu today, I know that Chen Shengwu is actually not a particularly serious person.

Teaching others is harder than learning by yourself.

then.

After a short rest.

Zhou Cheng rearranged his thoughts.

Zhou Cheng started another simulation.

The initial skills carried have not changed, and the simulated target has not changed, but the thinking has changed again.

【The simulation starts! 】

【…】

[You have found out some unscrupulous secrets of the people you teach.And soon he was arraigned. 】

[When he learned that he might be expelled from school and might die, he began to plan to seek help from his mentor, but the mentor said that there was nothing he could do about this kind of thing. 】

[He knew that he had to show enough value, so he began to work hard! 】

Isn't this a bit inhumane?
But anyway, it's a simulation, so it's trial and error.

Everyone has a core underlying drive.

【One month later, your teaching object is addicted to learning, and quickly understands the essentials of manual reset.Progress is rapid...]

【Three months later, he was finally able to routinely carry out common fracture manipulations, and was sent by his teacher to be a clinical trial operator for a new subject. He was still anxious, devoted himself to learning, and asked you for advice. 】

[After half a year, you find that he has fully grasped the essentials and started to independently and proficiently reset the technique...]

People still have to be pushed. If you don't push, he doesn't know how much potential he has.

However, seeing this, Zhou Cheng hesitated.

There is a method, but when it is actually operated, the damage to Chen Shengwu is a bit big, right?
(End of this chapter)