medical simulator

Chapter 303 Tool Man's Skill Pack! (seeking subscription)
"Doctor Zhou, what do you mean? We should consider the business model, reduce the cost to a certain extent, and earn the difference between the full payment for a single disease?" As the director, Lu Bin is quite sensitive.

You dare not say this kind of thing in front of outsiders, and you need to be extra cautious when saying these things to the nursing team.

Even more so in front of patients.

Lu Bin knew that the most basic purpose of the arrival of Zhou Cheng and others was to continuously sink medical resources and gradually adjust the medical technology level of prefecture-level city hospitals and county-level city hospitals.

On the other hand, it is to help prefecture-level city hospitals to explore the benefits of reform to a certain extent.

Zhou Cheng thought for a while, nodded, but shook his head again: "Director Lu, this is probably the way of thinking, and it's not wrong. But the words of saving costs and earning the price difference are not used properly."

"Under the policy of paying for a single disease, the reason for the centralized procurement is actually to leave a relatively large space, which is to refine the treatment plan, not to leave this space."

After Zhou Cheng said this, he pondered for a while, and then slowly said: "As far as fractures are concerned, there is actually a limit to the peak that can be achieved at the purely technical level. Even minimally invasive fixation of fractures can only reduce the fracture. The damage caused by the small exposed wound."

"It will not substantially promote the growth of fractures, etc., and can achieve the degree of fixation, but if the fractures want to heal, under normal circumstances, the effect can be achieved."

"However, the main purpose of minimally invasive internal fixation devices and ordinary traditional internal fixation devices is just fixation. From another perspective, it is just a substitute for plaster external fixation."

"Solving fixed problems."

"Fixation is only one link in the principles of fracture treatment." Giving a man a fish is worse than teaching him how to fish. Zhou Cheng clicked here to see how much Lu Bin can figure out.

The reason why Zhou Cheng said this is because his current skill level is very high, and the skills are very comprehensive. After the skills are comprehensive and the level is high, the understanding of a disease is the key to his improvement.

Fixation, reduction, and rehabilitation have always been the third most common fractures.

Why did he try his best to promote manual reduction of fractures?That's because most fracture reductions are actually variants of manual reduction—

Whether it is open reduction or closed reduction, manual reduction is the key, and it is the basic component. Whether the reduction is done well or not will greatly affect the prognosis of fracture treatment.

On the contrary, in this mode, the choice of internal fixation devices is secondary.

If you can clarify this relationship and grasp this factor well, then it will be one of the key mental methods for a surgery to go from proficiency to proficiency and leap to perfection.

Beginner, proficient, proficient, perfect.These are the four realms of skill.

Getting started means being familiar with the entire surgical process and carrying out the operation completely. Proficiency means being very familiar with the surgical process and increasing the number of operations. Through familiarity and experience, the progress of the operation can be accelerated and the quality of the operation can be improved.

But if you want to be proficient, then the subtleties must be adjusted to a certain extent.

The simplest level of perfect skills is that you have to consider the principles of treatment, try to figure out the treatment plan, and make it perfect.The redefinition of perfection means that you need to explore the overall plan of the operation, which is higher than the level of perfection.

After Lu Bin listened to the words, he pondered for a while, and his face was cloudy and uncertain.

After a while, Lu Bin asked tentatively: "Speaking of which, reset is for better fixation, to assist fixation."

"Does Doctor Zhou mean that we can put a little effort into recovery?"

"Is it necessary to think about the improvement of rehabilitation concepts, which is also a clinical topic? In our prefecture-level city hospitals, there are not many units that dare to do and can systematically do clinical topics."

Lu Bin blushed a little when he said that, the subjects are divided into clinical subjects and basic subjects.

Speaking of which, although the tertiary hospitals in prefecture-level cities call themselves teaching hospitals, they actually carry out different subjects.The tasks it undertakes are a kind of link between provincial and municipal hospitals and county-level town hospitals, and then take over the medical care tasks of patients in the city by the way.

Zhou Cheng sighed, what Lu Bin said, it seemed that all the things he said before were a bit in vain.

It seems that if you want to convince the public and increase the vision of these people, you still have to start from the clinic and let them see more advanced methods of reset.

Originally, Zhou Cheng wanted to come here to appreciate and observe the charm of traditional medical methods of restoration, but?The current situation still disappointed Zhou Cheng, who was full of expectations.

Zhou Cheng continued to discuss with Lu Bin for a while, and after discussing the sequence of operations for the seven patients to be treated tomorrow, Zhou Chengcai said: "Director Lu, there are fifteen patients in our group who are currently in bed. Let’s deal with these patients first.”

"Among them, the more important ones are 3 beds, 5 beds, and 7 beds. Let the doctors in charge of the beds focus on talking about conservative treatment and surgical treatment with patients and their families."

The Trauma Surgery Department of Changshi Hospital of Traditional Chinese Medicine has 45 beds in total, roughly divided among the three directors, and [-] extra beds.

The difference from Shanghai No. [-] Hospital is that Chang City Hospital of Traditional Chinese Medicine allows extra beds. Unlike Shashi No. [-] Hospital, Chang City Hospital of Traditional Chinese Medicine has a relatively good patient volume, so there are relatively many sources of disease.

Lu Bin's face flickered for a while, but it was probably because Zhou Cheng came from the devil's capital and was quite famous at the moment. Although the arrangement of the operation was slightly contrary to his thinking, and he was dictating, but for the time being, he endured it. down.

After the finalization, and together with Zhou Cheng, he and Zhou Cheng confirmed that tomorrow's operation would officially start at nine o'clock, Lu Bin took the initiative to say, "Doctor Zhou, you'll have to work hard, and tomorrow's operation arrangement will be set as such for the time being."

"Doctor Zhou, you can go to rest for a while, I know that Dr. Zhou is a bit exhausted from traveling from Shanghai to Shashi, and then to our Changshi."

Tomorrow is the surgery day, and Zhou Cheng is the main surgeon, so Lu Bin didn't talk about having dinner with Zhou Cheng again, welcome and other matters.

……

Not long after Zhou Cheng left the department, Qin Ming broke in with a smile on his face and knocked lightly on the door.

Then Lu Bin was given a cigarette and offered a betel nut.

Lu Bin's expression flickered for a while, but he still rejected the betel nut: "I really don't want to touch this thing anymore. I went out to eat hot pot with my son the day before yesterday. I ate all the hot pot. It hurts my mouth. It hurts so much."

Qin Ming put one in his mouth: "Director, what kind of person is this new Dr. Zhou?"

Qin Ming hurriedly asked the question he was curious about.

Lu Bin shook his head: "It's hard to say, I must have the strength in my hand, and I'm not someone who has a reputation for nothing."

"Everything else can be faked, but the self-confidence and oppressive ability from the heart cannot be faked. This is the self-confidence that the superior professor naturally formed during the teaching process."

After Lu Bin finished speaking, he lit his cigarette, took a puff, and slowly exhaled: "The attitude is not rigid, the speech is not high-profile, and there is no bluff or picture-making. Don't talk about your past."

"It seems more pragmatic in this way!"

"According to Zhou Cheng's resume we've seen, combined with certain rumors about him in Shashi, he should be a down-to-earth person. There will never be any big troubles, but surprises may not be the word."

"When I was in the No. [-] Hospital of Shashi, I was able to rely on my own ability to persuade Professor Ding of the Affiliated Hospital of Shonan University to authorize him to plan Class III surgery. It should be a good heart. The next thing to look at is teaching ability. "

Lu Bin slowly expressed his first impression of Zhou Cheng.

Qin Ming was taken aback immediately. As the director of the trauma surgery department, Lu Bin had contacts with many people and had a lot of connections. His ability to recognize people was extremely accurate. Qin Ming had never thought that he had such high regard for Zhou Cheng.

It's hard to be worthy of a great reputation. It seems that Zhou Cheng can make a certain reputation in the magic city. Not to mention his ability, his emotional intelligence is also there, he is not rigid, and he will go to all the arrangements in the department.

But he has his own bottom line, and he throws out his own bottom line in a timely manner. You can’t drink alcohol, you just can’t drink it. When you can drink, you don’t refuse. Conceal, and then pretend to be a pig and a tiger.

"Director, what you said made me even more curious about what Dr. Zhou can do in our department." Qin Ming said with a smile, and then took the initiative to refill a cup of tea for Lu Bin.

"Qin Ming, there is one point that I don't quite understand. Tell me, why did Zhou Cheng specifically emphasize that some fractures need manual reduction?"

"You also have a Ph.D degree. Based on your own position, you can speculate on Zhou Cheng's psychology?" Lu Bin didn't understand one thing.

The method of fracture reduction is very basic, but it should be known, everyone knows that this is not a mysterious skill, but Zhou Cheng pays special attention to it, instead of choosing to do more minimally invasive internal fixation of fractures.

This was something Lu Bin couldn't figure out.

Qin Ming was actually the first graduate student with a doctoral degree introduced into the department. He graduated from Hengnan University. He was able to stay in the hospital at the beginning. Under the game, the hospital paid a considerable price to buy Qin Ming. .

Ability, talent, and disposition are quite good. Currently 35, he is already a senior deputy high school student, and he has a master's degree.Most of the tasks in the department are organized by Qin Ming.

"People who are very capable and have great ideas will think of something different. If it is someone else, I can still guess a thing or two."

"But regarding Zhou Cheng's case, I've read his published articles, so it's not easy to speculate based on these."

Qin Ming said honestly: "Director Lu, you should know that I know a little bit more in the field of basic subjects, but in terms of clinical subjects, it is difficult for us at the First Affiliated Hospital of Hengda University, including my tutor, to learn more in this field. March."

"This is related to the overall environment. Since the 60s and [-]s of the last century, there have been many surgical improvements in the world, and there have been relatively large accidents. The control of clinical subjects in the scientific research field has become more stringent."

"Clinical is to directly negotiate with patients. If you want to directly carry out clinical projects, whether it is a professional committee or an ethics society, they will comprehensively consider the qualifications and project preparation. If the qualifications are not enough, they will not agree."

"So it's not easy for me to evaluate anything."

Lu Bin was silent for a while, then sighed: "That's right, if you want to directly break ground on the surgical method in the clinic, you have to go through layers of approval."

"Zhou Cheng started doing clinical research after he went to Shanghai. The Ninth Hospital of Shanghai prepared for Shanghai Jiaotong University. Naturally, he has enough aptitude. He originally worked in Shashi Eighth Hospital. If he wants to do clinical research, then there is no deep taboo."

……

After Zhou Cheng left the department, he mainly did two things.

The first thing is to start a simulation of surgical skills in the field of vascular surgery.

It is based on several considerations.

First, this is Changshi Hospital of Traditional Chinese Medicine. The strength of the vascular surgery here is not much better than that of the No. [-] Hospital, and this is not Shashi. If you encounter an emergency patient, there will be no timely consultation with the top vascular surgeons in Shashi.

It may be necessary to rely on personal strength to save the life of a key patient. At this time, some key factors cannot be completely placed on the consultation.

Second, Changshi Hospital of Traditional Chinese Medicine has the right to send emergency patients to the 120 emergency center. According to Lu Bin, this used to belong to Changshi No. [-] Hospital.

However, Changshi No. [-] Hospital was quite high-profile at the time, and felt that there were too many sources of illness, so they voluntarily gave up.That's why it was taken down by the equally good Chinese medicine hospital.

In this way, the volume of emergency patients is actually extremely large, and many diagnoses of emergency patients are unpredictable and unconventional, so it is necessary to master more skills.

Third, the skills of vascular surgery and orthopedics are more integrated, and the length of blood vessels in the field of orthopedics may be longer than that of other places combined.

Purely speaking from a simple scope theory, the problem of blood vessels in the extremities is still a relatively important part of vascular surgery.Moreover, their lethality is not high. At worst, amputation is used to dispose of them, leaving a way out for themselves.

Of course, the most common neurosurgery and general surgery skills also need to be simulated. These are two super-specialty lines, and they have to be drawn gradually.

But the better situation is that based on Zhou Cheng's current qualification improvement, he still has a lot of perfect skills in orthopedics, and there is also Yang Yifeng, the top vascular surgeon.

Zhou Cheng is almost an imitation, a perfect skill once, and even a second time, there is a redefined perfection.

Being able to successfully simulate it so easily gave Zhou Cheng a deeper understanding of his current aptitude, as well as Yang Yifeng.

Well, Yang Yifeng's attainments in vascular surgery, it seems that he still needs to hone him and squeeze Yang Yifeng's potential.

Then, through dialectical thinking, and during the third simulation, Zhou Cheng finally got a knowledge package from Yang Yifeng.

The process is like this -

【The simulation starts! 】

The goal of the simulation is to attack Yang Yifeng, so that Yang Yifeng can open his skill pack and give it to himself like Luo Yun did before.

In a disguised form, it is to attack Yang Yifeng.

[You currently have enough skills, especially in orthopedics.Therefore, you have a lot of freedom to choose, especially some of your special contributions, which cannot be expressed in words for the time being, and all your options are beyond your imagination. 】

Zhou Cheng solidified two more skills, plus the three skills that were solidified before, and the initial simulation carried eight skills, which is enough for Zhou Cheng to fumble around at will without thinking about making progress, and he can live a good life.

【So, on the second day after you made some special requests, one of your friends was summoned by your side.Your little friend felt rather depressed, but considering some factors, he stayed with you in your current city. 】

[You expressed a strong desire and request to your little friend to learn. 】

[After three months, you obsessed with vascular surgery, gave up all honors and positions in the current field, and then planned to re-apply for a master's degree in vascular surgery and start over. 】

[On the fifth day of your application for the exam, your two tutors personally visited from a well-known city in your country, called your little friend, and entertained them for a while.When you see him again, he's listless. 】

Judging the situation, at the beginning, my own people had little words, and I needed to learn certain skills from Luo Yun, so I could only rely on the tricky thinking and lick it hard.

But it's different now, I'm not alone, I own one of the two most influential and highest-level orthopedic experts.

At this time, I suddenly changed my mind to engage in vascular surgery.Learning from Ding Changle's pressure on Cai Dongfan and others, Zhou Cheng could naturally imagine what kind of pressure this would bring to Yang Yifeng.

【Your little friend decided to tell you his heart and analyze the situation for you, but you are determined and told him that you just like vascular surgery, and orthopedics is just a step in your life. 】

[You are responsible for getting your mentor out of the way, so you are decisive. 】

【Thus, your tutor found you a specialist in vascular surgery in your province through his contacts.You start your studies in vascular surgery. 】

[However, after studying for a period of time, because of your own intentional delay, your progress was slow, so you asked again, and put the learning goal into your little friend's door! 】

[Your little friend has been exceptionally promoted to be a postgraduate tutor! 】

【A few days later, one or two of your teachers suddenly visited and found your little friend again. At the same time, your girlfriend's parents, who couldn't see it anymore, also came to talk to you. 】

[Then, your little friend was summoned by your girlfriend's brothers for a while. 】

Hahahaha!

Seeing this, Zhou Cheng couldn't hold back and burst out laughing.

Well, Zhou Cheng only thought of his mentor from the beginning, which would put a lot of pressure on Yang Yifeng. Yang Yifeng didn't expect An Ruo's brothers.

[After a period of devil-like training, your little friend started to get serious, and the same personality started to be autistic.Similarly, he also began to pretend to be crazy and foolish, planning to fight poison with fire. 】

[After your little friend became quite abnormal, his mentor and his sect started to exert their strength. Someone found you, had a conversation, and asked about your purpose. 】

【But your purpose is extremely pure, and you dismissed your little friend's mentor by using the wording of learning innocence...】

[Then, your little friend is once again in dire straits. 】

【Five years later.You learn slowly.Your little friend finally couldn't bear the pressure one day later and became single. After he found out that he was in a cage, he resolutely left the pharmaceutical industry and prepared to leave the building empty. 】

Seeing this, Zhou Cheng's expression flickered.

Well, I know that Yang Yifeng is not Luo Yun, he has many retreats and choices, but if this can make Yang Yifeng escape, then Zhou Cheng is not Zhou Cheng.

【Thus, you followed the example of your little friend, chose to resign, drop out of school, and prepared to follow to the end. 】

[From this point on, your little friend started to feel completely in a trance, started smoking, drinking heavily, and lived in seclusion all day long...]

【Then, finally, one day a few years later, after one of your teachers returned to China, he learned that your current situation is an Internet writer who is about to starve to death.He met your little friend again.And also brought a few distinguished guests to your friends. 】

[Your little friend is completely insane. He killed you, one of your mentors, and your mentor's distinguished guests, and then chose to end his own life...]

【Also, your little friend cursed you the most profoundly...】

[The simulation ends. 】

[Simulation evaluation: do whatever it takes. 】

[One of the following skills can be obtained. 】

[Little friend's curse: I'll give you everything, I'll give you everything you want from me, you learn, you learn!Did you learn them?Hurry up, you idiot.What I learned in a few years, why did you only get started in ten years? 】

[Additional skills: The academic bag of the little friend, which comes with the hard work and skill bag summed up in his life, will be given to you unconditionally. 】

[Additional effect: After you receive the skill, you will be entangled in cause and effect, and will naturally be disgusted by your friends. Maybe because of this, you will be on your own. 】

hiss!
After reading this, Zhou Cheng frowned. Back then, when he went to obtain Luo Yun's knowledge bag, there was no such additional effect.

However, that time, the conditions given were that similar simulations could not be repeated, and the same harvest could not be obtained by the same means again.

If because of this, he broke up with Yang Yifeng in reality, the price would be a bit high.

[Little friend's prayer: Your little friend is in despair and dire straits. No one knows what kind of pain he is going through. He is willing to pay all the price, hoping that someone can lead you back to the right path. 】

[Additional skills: little partner's knowledge bag, novel writing skills, flirting skills, traceless killing techniques, research progress of large-scale destructive toxins, experience of seeking pleasure in hardship...]

[Additional effect, you will get the blessing and favor of your friends.He blesses all who can help his friend out of his misery. 】

After reading this harvest, Zhou Cheng fell silent.

Knowledge packages and novel writing skills are all easy to understand.

But what are the ghosts behind this?
The skill of flirting with girls is also easy to understand.

A traceless killing technique?
Progress in research on large-scale toxins?
Hard work skills?
New age torture torture?

Strategies/The correct way to develop a little Lolita and a little Zhengtai?
……

Yang Yifeng's social relationship and composition, so complicated?
Of course, this may be the secret of Yang Yifeng's private life, but judging from the context, this is definitely not just a matter of private life, but some retaliatory strategies that Yang Yifeng thought about back then.

Flirting?

kill.

A means of torturing people in the new age.

This is definitely not a hobby, what else to cultivate.

hiss?
Yang Yifeng is a bit too much?

Without the option of the third option, Zhou Cheng looked up and down again.

As an additional effect, you will get the blessing and favor of your friends.He blesses all who can help his friend out of his misery.

Well, in fact, in this simulation, Yang Yifeng regarded him as his most sincere friend. In the simulated world, he took a wrong route and caused so many backlashes.

He also hopes that someone can help him get out of the sea of ​​suffering, instead of blaming others...

After choosing the second skill, a large number of non-medical methods came to mind.

When Zhou Cheng clarified what was contained in it, Zhou Cheng's face turned pale.

This Yang Yifeng, if he really wants to play tricks, then he's really a dangerous person, just kidding, how did this kind of thing appear?

Really, if he hadn't seen the skill pack inside, Zhou Cheng really wouldn't have known that it turned out that some things could be buried in the human body through surgery!
These molecules can remain in the human body and be distributed in the form of molecules. When different people gather together, a chemical reaction will occur, and then the ranged GG Smecta is an unspecific and uncontrollable lethal skill.

Do you want to track?How can I track it?

There were some other cruel methods in it, which were really shocking and inexplicable. Zhou Cheng hurriedly discarded them, and then waited for more than an hour before he adjusted his mentality.

Some people you'd better not mess with.

After messing with you, you may not know how you died, and your immediate relatives such as your wife, daughter, children, and parents are all in danger...

In Yang Yifeng's memory, the most extreme idea is to fool the next generation of the enemy away, and after a period of time, send them to their elders to 'taste'...

And this is just a rudimentary means.

Moreover, Yang Yifeng's original purpose of writing online novels was not just to make money. Fortunately, he didn't take that step, otherwise, would it be true?

After the simulation, Zhou Cheng felt a little uneasy, so he called Yang Yifeng.

"Crackling!" Yang Yifeng, who was on the other side, was probably turning on the loudspeaker, typing.

Zhou Chengcheng asked: "Yifeng, do you think it's feasible for me to write a novel now to earn some extra money?"

The crackling sound on the opposite side stopped abruptly in an instant.

"Brother Zhou Cheng, what stimulated you? An Ruo's family asked you for money? Are you making a lot of money every month now?"

"You want to write a novel, what subject do you plan to write about?" Yang Yifeng didn't reject it outright, after all, this is a hobby and people of the new era, the existence of every profession has its necessity.

"Doctor Wen." Zhou Cheng said.

Yang Yifeng frowned again: "At this time, doctor literature is not very popular anymore. If you are really interested, I suggest you write a relatively pure city. Of course, I think you should still be a pure reader." Doctors are better."

"If you're not joking."

"It's boring, just to tease you. I want to ask which prefecture-level city you plan to go to in the future? Or just stay in the hospital and work?" Zhou Cheng asked Yang Yifeng's next plan.

For now, Yang Yifeng's condition is relatively good.

"I'm messing with you! Lie flat, and there are many materials for writing novels. I have already submitted the application materials for Changshi No. [-] Hospital, and it will be ready in a few days." Yang Yifeng crackled again.

"Send me your novel. I want to read it. I really don't have much to do recently."

"Watch and learn." Zhou Cheng wanted to confirm whether Yang Yifeng had spread anything through the novel.

In other words, has he ever tried some tricks, but he has forgotten some tricks now, otherwise, Zhou Cheng is afraid that Yang Yifeng will accidentally cause some trouble.

After all, the Internet has memory.

"I sent you the link. The whole book is less than 100 yuan, and I will give you the red envelope." Yang Yifeng is also very generous, not only sharing the link, but also paying for the subscription.

Zhou Cheng naturally didn't accept the red envelope, and then read it slowly from the beginning, as if it was a cool article. However, when Zhou Cheng read it again and saw a supporting role named Zou Cheng in it, he felt a little confused. My son's egg hurts...

MD, Yang Yifeng is shameless, he and his own affairs are reversed, the second Austrian.

After watching it for a while, I didn't even think about watching it all, so I started a new day of video chatting time with An Ruo.In the video, An Ruo is preparing a diet meal...

"I bought a lot of corn and a few whole steaks to see if I could lose weight."

"When you were here, I gained another two catties, and now it's all one hundred and five." An Ruo cried and frowned, pursed her mouth, and was most sensitive to weight.

"I don't think I'm fat. It looks pretty good." Zhou Cheng picked up a takeaway, which was rice, and began to eat slowly while chatting.

After a while, An Ruo brought the corn and the fried steak, and had dinner remotely online.

"Here, let's eat together." The portion is very small.

Zhou Cheng said: "Look at my rice bowl. It has fried pork with chili and bacon. It's very good."

Zhou Cheng said deliberately.

An Ruo's hands paused for a moment, and she seemed to feel that the corn and steak in her hands were no longer tasty, but considering her weight, she continued to gnaw on it.

"I want to lose weight, no matter what you say, I want to lose weight too." An Ruo said seriously.

Zhou Chengcheng smiled: "Then let's eat our own food. I still need to gain some weight so as not to look too thin."

Zhou Cheng didn't have much experience of the daily life in a different place, but the next day, it was video porridge, and I heard that there were videos together while sleeping...

……

　Tomorrow's update will be a little later.

　　
　
(End of this chapter)