medical simulator

Chapter 27 Scheming boy Du Yanjun! (Seeking collection, asking for recommendation ticket, asking for follow-up reading)
When Zhou Cheng arrived at the doctor's office, Du Yanjun greeted Zhou Cheng warmly and said, "Brother Zhou Cheng, I'm about to call you."

"The computer is free. I sent you a message and you didn't reply to me."

"Well, I have finished writing the admission medical records of the +9 beds, the first course records and today's director's ward rounds, and I have also written the admission conversation records. You can just write the doctor's orders."

Du Yanjun took the initiative to tell Zhou Cheng what he had done.

Zhou Cheng was bitter in his heart, well, Du Yanjun directly blocked his way out, and wrote the medical records of the new patients first, so that it would be hard for him to say that he would not come to follow the shift tomorrow.

scheming!

"Thank you, Yan Jun, you have worked hard." Zhou Cheng could only say.

When someone offers to help you with something, you should be polite.

"It's a small matter." Du Yanjun turned his head back, and then he was busy with his own affairs. He was also busy prescribing medical orders, asking for consultations, and taking an MRI for the 29th bed under his management. The patient might be the first With bone tumors, fractures occur in low-violence situations.

Such a situation must be handled with caution.

MR can see changes in bone quality, and it is a must-do examination for bone tumor patients.In addition, postoperative orders for other surgical patients will naturally need to be adjusted.

Antibiotics need to be adjusted or discontinued, and the patient’s pain will no longer be so severe, the frequency of painkillers should be adjusted, and preventive anticoagulation should be used, and postoperative inflammatory indicators should be rechecked for postoperative patients. Schedule it.

For surgical patients, surgery is not the end of treatment, but the end of operative treatment, and the postoperative medication plan must be comprehensively considered and adjusted.

Of course, it was Cai Dongfan and Luo Yun who were doing these things, and if they were arranged, a bed doctor like Zhou Cheng could do them.

Zhou Cheng's patients are not too many, three postoperative and one preoperative, which means +9 beds.

The patient with a bed of +9 has been diagnosed clearly. It is necessary to do a good preoperative examination and then evaluate whether there are surgical contraindications. Anyway, his surgical indications are very obvious.

Although Zhou Cheng could reset his fractures by manipulation, this patient had already shown his face to Cai Dongfan and Luo Yun, and the superior doctors had already assessed that he was suitable for surgery and planned to arrange surgery.

It is impossible for Zhou Cheng to reset the technique and send the patient out of the hospital directly. This is clearly against Cai Dongfan.

This is definitely not acceptable, it will affect Cai Dongfan and Luo Yun's meals and business volume...

What's more, Zhou Cheng's redefined perfect-level manual reset technique is something that others don't know about, and it hasn't been publicly recognized or written into the manual.This belongs to the operations and formulas in the new field.

According to the principle, only Cai Dongfan can carry out the techniques and operations in the new field.

Zhou Cheng wanted to go beyond the surgical indications to carry out manual reduction surgery for fractures. He had to do it secretly, and then showed the results of the post-replacement examination to other people's faces. When they saw it, oh, the situation after the reduction was okay, and there was no displacement. That's all right, put on a plaster cast and go.

Not many people will really investigate what the pre-operative X-rays show. After all, the reset operation has been completed, and the external fixation with plaster is enough.

This is what Zhou Cheng should plan...

"Yan Jun, I'm leaving first." After Zhou Cheng finished his work, Du Yanjun may still be writing his patient's medical records. He also has a new patient, and it is quite complicated. He needs to write down the medical records and analysis clearly , If you want to ask for a consultation, these messy things will definitely not be done in a short time.

"Oh, okay, brother Zhou Cheng, I'm here too soon."

Du Yanjun kept clapping his hands on the keyboard, without looking at Zhou Cheng, and then turned back.

When Zhou Cheng was about to leave the office, Du Yanjun followed him out again, and followed Zhou Cheng into the doctor's office.

Zhou Cheng watched Du Yanjun's arrival unexpectedly.

He still tidied up his white coat and the signature pen in his pocket, and put the pen back in his schoolbag.

Otherwise, when tomorrow comes, the pen must be forced to leave by someone, and Zhou Cheng simply takes it away.

Du Yanjun explained: "Brother Zhou Cheng, I have already discussed with my teacher and Teacher Luo that I will be on duty with you tomorrow, and they all agreed."

"They have already instructed us to be a little more courageous when we are on duty."

"In addition, when I am on duty, if I encounter a patient who cannot be handled, I can call you first, so that we can study and give advice together."

"Brother Zhou Cheng, I'm sorry I didn't discuss this matter with you in advance."

"However, I still think that one more person can study and supervise together, which is much better than studying alone. Especially in clinical practice, when doing some operations, it is better to have an assistant, right?"

After saying this, Du Yanjun lowered his voice and said, "Because compared to academics and writing articles, you and I, as well as Min Chaoshuo, definitely cannot write about Lin Lin and Du Ruiqi, two academic graduate students."

"They have been in the laboratory for three years, and now no one knows whether they have hidden data or published sci. Therefore, we need to firmly grasp the clinical advantages, you are right."

Zhou Cheng glanced at Du Yanjun quite unexpectedly, and immediately reacted: "Yan Jun, did you take the initiative to mention to Director Cai this morning that Director Cai said that he would grant me permission to operate?"

Originally, Zhou Cheng felt that it might be a matter of course for him to obtain the operation permission.

But listening to what Du Yanjun said now, it doesn't seem to be the case.

Du Yanjun immediately said: "I just said something casually, it must be more because of your own strength, Brother Zhou Cheng. You see, during the operation before, you knew how to remove the goose foot at the medial insertion point of the tibia. force."

"My master has already said that such an operation, he may not be able to guarantee that it will be completed."

"Brother Zhou Cheng, it's nothing."

Du Yanjun didn't mean to show off at all, on the contrary, he was very sincere, but Zhou Cheng felt a lot of pressure just because of his expression.

Du Yanjun is too smart, and he also analyzed his strengths and weaknesses very clearly. His advantage is that he has the same educational background as Lin Lin and others, and he also has SCI as an embellishment, but there is no special place to show off.

The easiest thing to surpass Lin Lin and the others is clinical ability. If he can achieve a lot of achievements in both scientific research and clinical practice, then Du Yanjun can become the most suitable person and is most likely to stay.

On the one hand, he has his own teacher to guide him, and on the other hand, he can be on duty with him, and strive for more opportunities, which overwhelms Min Chaoshuo in operating opportunities.

Moreover, Min Chaoshuo may not be able to repeat Du Yanjun's showmanship.

Because the seniors that Min Chaoshuo followed before had completed the regular training, and now none of the people in their group had brought Min Chaoshuo before, so it must be unreasonable for Min Chaoshuo to follow him.

But Du Yanjun is fine, Zhou Cheng is still in the department, he said that he just got his certificate, and he hopes to be on duty with Zhou Cheng, which makes sense.If you have any more ideas, Cai Dongfan is still in the department.

Moreover, whether it is Xu Yanlin or Pang Dingkun, an academic Ph.D., they may not be able to surpass Zhou Cheng professionally.

Over time, opportunities and accumulation can overwhelm Min Chaoshuo in both aspects.

I have become a tool man of iron.

The power of involution is so terrifying!
Zhou Cheng pursed his lips and said, "Thank you, Yan Jun."

Even after the analysis, Zhou Cheng only felt that Du Yanjun had strong analytical ability and quick thinking.

But in fact, it doesn't pose too much threat to himself, because in the clinical aspect, Du Yanjun wants to overwhelm himself, not such a short period of accumulation is enough.

Reducing ten sessions with one force, the dimensionality reduction blow in strength cannot be made up for by quick thinking.

PS: Please collect, recommend, and follow up.

(End of this chapter)