medical simulator

Chapter 304 Diary of a decent person! (seeking subscription)
An Ruo went to put on a mask and came back. While reading, she saw that Zhou Cheng was writing something with a pen, so she asked curiously, "Do you still have work to do?"

"No." Zhou Cheng stopped writing, adjusted the direction of the video on his phone, and said, "Just write a diary, and record some daily things and experiences."

"You don't have to write it, or you can write it tomorrow."

"It's okay, it's okay, you continue to write yours, I'll read the book for a while." An Ruo waved her hand, sat upright, spread out the book, and turned the pages page by page, for fear that the water from the mask would drip onto the writing.

Zhou Cheng picked up a pen and wrote down what he saw today.

This has nothing to do with the direction of the simulation, it's purely for recording what you've seen.

"Wednesday, July 7th, is the second day I came to Changshi. I didn't drink and eat yesterday. I checked the room in the department and saw the case structure in the department. Because of the deliberate arrangement of Director Lu Bin, today there is no Nothing."

"But from one point, it can be seen from the side that there are not many emergency patients in Chang City. The ability to persuade patients to stay in the TCM hospital in a short period of time proves that Chang City TCM Hospital has a relatively complete 120 first aid system. support."

"However, according to Director Lu Bin, Changshi's 120 operations are assigned to departments based on the injured parts and the experience of the on-board staff in the 120 emergency center."

"Most of the orthopedic departments are sent to traditional Chinese medicine hospitals, but neurosurgery, general surgery and some special specialties are transferred to different hospitals, such as Changshi No. [-] Hospital, Changshi No. [-] Hospital, and Changshi Maternal and Child Health Hospital."

"The reason for this arrangement is that each prefecture-level city hospital has different specialty specialties. Therefore, within 120, according to the corresponding reputation, it has independently made divisions. Because the number and volume of prefecture-level city hospitals are limited, emergency practitioners are all I can remember the characteristics of each hospital and each specialty like a few treasures.”

"It's hard for me to evaluate whether this is a good thing or a bad thing. After all, the emergency patients in the Eighth Hospital were based on the principle of picking up the leak and seeking the nearest doctor. In the Shanghai No. [-] Hospital, there is no such concern."

"Prefecture-level city hospitals are different from county-level hospitals. Most county-level hospitals are the only designated medical institutions at the county level that are not competitive..."

After Zhou Cheng wrote hundreds of words eloquently, he covered the notebook, and then saw An Ruo was still reading a book quietly, smiled at her, closed the notebook lightly, and took a copy The book reads.

Until about ten o'clock in the evening, Zhou Chengcheng took the initiative to interrupt An Ruo who had already removed the mask and completed various tedious operations such as wiping her face before going to bed.

"It's getting late, go to bed earlier."

"Okay." An Ruo quickly closed the book.

Then he raised his mobile phone and walked to the bedroom: "I feel that the atmosphere of reading books by video is a bit weird and quiet, but I'm not used to it."

An Ruo remembered that when Zhou Cheng was still in Shanghai, they were alone in the study and reading in the living room. Although they couldn't see them, they always felt that they were by their side. Where is he.

Now, in the video, you can see it when you look up, but maybe the essence shown in the video is a series of cold data and image things from thousands of miles away, which has a natural sense of strangeness.

"I also feel the same way, but I found that when I get busy, I can watch a video, which seems to be quite relaxing, and I am thinking about something to do, so I force myself to work hard to speed up the progress of work, which can also improve efficiency to a certain extent." Zhou Chengcheng expressed his views.

Indeed, in Zhou Cheng's past, the simulation time would be extended until he was about to go to bed, but after coming to Changshi, he advanced all the simulation derivations, and he also wanted to finish everything and then start a video .

Chatting, compared to the loneliness when the mother and fetus were single, there is more expectation.

This kind of anticipation, I can't tell what it feels like, sometimes it feels like a sense of oppression, and sometimes, I feel that there is someone who is nostalgic thousands of miles away, there is someone I like, and there is a sense of agreement to do something together.

This made him lose the corresponding freedom to a certain extent, but he gained an imperceptible sense of belonging.

Zhou Cheng has no experience in love, let alone in a different place. Maybe Yang Yifeng and Liu Shiyu are forced to do the same, but Zhou Cheng didn't feel this way before.

In Shanghai, when he and An Ruo lived in the same community, one of Zhou Cheng's hobbies was to look at the lights in the study room of An Ruo's room through the curtains, and catch her when she didn't go to bed on time.

Occasionally, he used his telepathic jokes to spy on her.

But now that he came to Changshi, even yesterday, Zhou Cheng had the little habit of looking out the window.

"I really envy you, you can be so self-disciplined. No, I want to become more self-disciplined. I have decided that before [-]:[-] p.m., I will read books on time, wash my face and take a bath for an hour, and from nine o'clock to ten o'clock, I will have a video with you .No reading." An Ruo was lying on the head of the bed, her cool nightgown blocking the scenery.

Sit like a cat, leaning back against adorable Pikachu's throw pillow.

"It doesn't seem too good to have such rigid regulations? What if you have to work overtime one day? You still need to be more flexible. Don't cut your own time to death, like a tool man. If it doesn't work, divide the weekend carefully. .”

……

At 10:30, Zhou Cheng turned off the video and turned off the lights.

Then the next morning, it was agreed to get up at 05:30 together, run for half an hour in the morning, and then rush back at six o'clock to have breakfast.

Zhou Cheng found that when he could eat breakfast regularly, An Ruo was already rushing home.

Seeing An Ruo's more restrained expression, Zhou Cheng guessed that a relative of this girl's family had come.

It was already past seven o'clock when An Ruo appeared on the screen again.

Zhou Cheng had already gone out, so he said, "Don't you have corn? You can take it out and eat it in the microwave for a few minutes, and buy a cup of soy milk, and you can deal with it."

"Okay, I won't chat with you for now, I'm a little tired, and I won't get up for a run tomorrow." An Ruo hurried to the department.

The special period for girls cannot delay the time to go to work.

Zhou Cheng also went to the department early, and then went directly to the doctor's office, and then found that under his job number, there was no bed in charge.

In the past, he was a resident doctor, so he had to take on the role of in charge of patients, but now, Zhou Chengcheng has not stepped out of this habit.

Well, after looking around at the patients in Director Lu Bin's group, I probably got an understanding.

Zhou Chengcheng asked the regular trainee and the bed doctor in the department to find out about the situation.

Because after Zhou Cheng came to the department, he drank heavily, didn't spoil the fun, let alone put on airs, and was about the same age. Everyone didn't feel good about Zhou Cheng, but it wasn't bad either.

First we talked about some local customs, and then Zhou Chengcheng learned that in the past, Changshi Hospital of Traditional Chinese Medicine did not have enough sources of disease. The reason why these cases were able to gather was that Director Lu Bin used his own relationship to find More fracture patients came.

Only in this way, it is estimated that there will be relatively fewer sources of disease in other hospitals, but more atypical low-quality cases such as trauma, mutilation, and infection cases.

High-quality patients and poor-quality cases are actually based on the complexity of the disease. Fractures are relatively easy to treat, but the treatment methods and options are different.

When Lu Bin, Qin Ming and others came to the department, they were very curious that Zhou Cheng would come so early, and they had a lively chat with the junior doctor. They frowned slightly and greeted Zhou Cheng.

This sentence directly frightened Gui Pei and the two attending physicians so that they dared not whisper to Zhou Cheng anymore. After realizing it, Zhou Cheng's current status was half a level higher than Lu Bin's, the boss of the boss, second only to the Department of Orthopedics big director.

But to be honest, even the head of the orthopedics department would be very polite to Zhou Cheng. This is the great benefit of being backed by a big tree.

Then, Zhou Chengcheng didn't have a chance to find out any more news, but was invited by Lu Bin, Qin Ming and others to drink tea in the director's office. In the director's office, the other two directors were also there.

Qin Ming, the deputy director, was quite eye-catching when he was mixed in. After chatting, Zhou Cheng also found out that Qin Ming also had a doctoral degree. No wonder he was so unusual.

While talking, Lu Bin vaguely mentioned: "Director Tong, Director Quan, Dr. Zhou arranged seven fracture operations a day today, which is a lot of workload. Our department, a single group, used to be the most If you dare to arrange three or four, you will be exhausted."

"You two, are you interested in today's surgery?"

Tong Haimo is Director Tong's name, which shows that his family has a lot of questioning background. Compared with his peers' names like Dashan, it sounds much nicer.

"Seven? Seven stations? What's the matter?" This scared Tong Haimo's Changshi German.

What to eat, what to do, round or flat...

Quan Zhuolin said: "Then we have to go and observe it. We can't imagine completing seven operations in one day. Even if one operation takes an average of one and a half hours, it will take nine hours, plus the turnover?"

"Doctor Zhou, is the Ninth Hospital of Shanghai, where you were before, operating so crazily?"

Zhou Cheng smiled: "Director Quan and Director Tong are not so scary. Today's operations are relatively simple, so I will use a little trick. Seven operations seem to be a lot of arrangements, but those that really require traumatic operations are not so scary. not much."

Although Zhou Cheng was modest, he still surprised everyone.

After the shift was over, after a quick ward check, all the people went down to the operating room, including Quan Zhuolin and Tong Haimo.The doctor on duty today is from Director Tong's group, so everyone in Lu Bin's group was present, feeling that there was a big battle to be fought.

The planning of the first surgical bed has already been arranged, and the anesthesiologist has already begun to skillfully prepare for spinal anesthesia!
Zhou Cheng didn't say much, just waited quietly for the operation to start, and then personally participated in operations such as disinfection and spreading of drape.

Then, after the preoperative preparations for the operation were all done, Zhou Chengcheng stood in the main operator's seat, and said to a "safety officer" in the branch where Zhang Zhengquan was in the operating room who was about to go on stage: "Boss Chu, today's For surgery, you don't need to be on stage, our team is relatively well-managed."

Boss Chu is actually the security officer of Changshi Branch, who belongs to the chief technical director, but Zhou Cheng is here, so he dare not play tricks: "Doctor Zhou, you are really joking, you belong to our chief instructor, how can I Dare to go on stage? I’m here to learn.”

The current small incision open reduction and internal fixation operation originated from Zhou Cheng. He came here not to help, but purely to learn, so as to facilitate future work in Changshi. After improving his professional level and ability, his salary will also increase. will be greatly improved.

It is impossible to say that he can become the general technical director in the Hunan Province in the future. From then on, it can be regarded as climbing up.

Lu Bin and the others smiled, but didn't care, and stood in the assistant's position with Qin Ming and the others.

Because Lu Bin and others are not at the same level as Xue Xiude and others, Zhou Cheng did not start the operation directly, but proceeded step by step, and came in a C-arm fluoroscopy in advance, and once again accurately understood the actual fracture situation and Distribution of fracture lines.

Then, after the fluoroscopy results came out, Zhou Cheng carefully analyzed the current fracture classification for everyone. Under this classification, why can't conservative treatment be used, how to enter the hole, and how to carry out small incision open reduction and internal fixation. Layout thinking, as well as the entire surgical process.

Zhou Cheng didn't want them to understand the first station, they probably knew the process.

Therefore, after Zhou Cheng finished speaking, he immediately returned to the operating table, and began to reset his manipulations according to the theory he described.

After the reset, everyone left the operating room again and went to the isolation room.

When the fluoroscopy results of the C-arm came out again, Lu Bin and the others gasped.The fractures that were originally separated are now tightly fitted together, which is even worse than open reduction.

Zhou Cheng said: "The reduction we are doing now is the manual reduction of the fracture, plus manual prying reduction, so that the fracture line fits better, but it is still unstable, and the tendency to separate is very strong, so internal fixation is still needed."

"Presumably, all the directors have understood some principles of the small incision reduction regulations before, and we will continue to follow the principles now."

"Wounds and positioning are always the difficulties and points in our surgery..." Zhou Cheng did not forget his purpose, which is teaching, and this kind of teaching is not taught by Xue Xiude and Jing Jingxing.

Lu Bin and others have rich experience, but their theoretical reserves and initial basic skills have not yet reached that level, so they must be explained in simple terms.

After some in-depth explanations, Zhou Cheng continued to operate slowly, and finally announced the end of the operation at 36 minutes in the world, and at the same time, he said to the itinerant nurse in the operating room: "Mr. Take the patients from the second and fifth sets to the operating room, and take the fifth set first."

The itinerant nurse didn't understand when she heard that Zhou Cheng was going to connect to two channels at the same time, but Lu Bin gave her an idea: "Dr. Zhou is the current instructor of our orthopedics department. I asked you to take both patients, so please take care of me."

"Everyone cooperates to make the business more proficient together."

Only then did the itinerant nurse become skeptical.

After the confession, the subordinate doctors were asked to complete sutures, plaster external fixation, and transfer patients to the bed. Zhou Chengcai said: "Director Lu, the operation we just performed is very simple, and the operation time is not long. A reset is planned."

"After the reset is done, it can save a lot of time. Director Lu must have more experience than me."

Quan Zhuolin was the first to speak with emotion: "The difficulty of a fracture is the reduction. The most difficult fracture requires seven or eight hours to reset. We have also experienced it. Like Dr. Zhou, you can solve the most difficult point at once."

"Even with traditional open reduction, it probably won't take longer than the current operation."

"Director Lu, I think Dr. Zhou's method of reset is really useful. It can greatly improve the efficiency of surgery, and it can also improve the quality of surgery!"

In prefecture-level city hospitals, they don't pay much attention to scientific research because they don't promote it that much. Therefore, competition at the purely technical level has become the biggest topic.

How can there be no reason not to admire Zhou Cheng's incredible skills when he sees them with his own eyes?
Prefectural-level city hospitals do not need to undertake teaching tasks, so naturally there will not be too many tasks such as scientific research and teaching, so they only need to improve their own technology to the greatest extent.

The positioning of teaching hospitals is different. Apart from undertaking daily diagnosis and treatment tasks, sending and training talents to the province or the country is another important task, and it is also a hard indicator to measure the comprehensive strength of a teaching hospital.

Zhou Cheng knew from the eyes and expressions of Lu Bin and others that they were very interested in this.

Then I thought that it would be inconvenient to say the following words in front of so many people, so I went into the isolation room again.

Zhou Cheng said again: "Director Lu, in terms of fees, this method of reduction is a pure operation fee, which is not included in the list of consumables. It was left in the department."

"Therefore, this is a pure income in the department. As far as I know, the highest fee for manual restoration is [-]. If it is [-] for a part, it will be a lot of money after a month. .”

"In addition, this kind of manipulation is done well. After making confidence, no matter what type of fracture we deal with in the future, we will have greater confidence. In this way, when we come into contact with complex fractures, we can also improve our work efficiency."

Zhou Cheng stopped short and did not explain in depth, but it is estimated that Lu Bin and others know what is going on.

Talking about dreams with people, but not talking about money in the end, this is nonsense.

Everyone is a mortal body, so they have to live and support their families. Money and income are the more critical layers. A job without money, a dream that cannot guarantee the basic living security that you pay, is all bullshit.

The reason why conservative treatment of fractures has been criticized is that the risks are high and the benefits are small.

Moreover, most people do not dare to charge high fees for manual repositioning, because they are afraid of any problems. Usually, when patients sternly refuse surgical repositioning, they will let patients take a little risk to do manual repositioning treatment, but It will not be reflected in the fee standard.

Although Lu Bin and the others did not answer, their expressions flashed at the moment.

Zhou Cheng continued: "To use a popular saying on the Internet, maybe we didn't pay much when we did the manipulation reset, but we just used a little effort. But we know how to do the manipulation reset. This knowledge and skills are just Worth the money!"

"Besides our orthopedic staff, basically no one dares to move this kind of fracture reduction. This is the value. It doesn't mean that there must be objective accompanying things attached to the patient to reflect the value!"

"Moreover, although the reset fee for this operation is expensive, it can be reimbursed, and emergency patients may have third-party responsible persons, so it is relatively acceptable. With the large number of patients, it is very important for the development of our department. Substantial!"

"I've also seen that our hospital doesn't have a shortage of beds. There must be some outpatients who can't live in. If the manual reset is done, we can avoid some simple fracture presses..."

After Zhou Cheng continued to analyze for a while, the patient who was operated on in the previous unit was pushed out of the operating room.

The itinerant nurse took the fifth patient into the operating room, and then, today's second patient was also on the way.

"The anesthesiologist has sent the patient. What is going to happen to this patient?" She was a little displeased. Up to now, she still couldn't understand what Zhou Cheng was going to do when he brought this patient in. doing what.

Zhou Cheng and others walked out of the isolation room after hearing the words, and the patient's affected limb was the right upper limb, which was a double fracture of the radius and ulna.

Zhou Chengcheng said: "Thank you for your hard work, the tour teacher, please help me to prescribe a syringe, local anesthetic, [-] ml of normal saline, and prepare a polymer plaster cast and one or two rolls of bandages!"

After Zhou Cheng finished speaking, he continued the previous topic: "Director Lu, Director Tong. Earlier we talked about the importance of manual reduction of fractures, and then there are its indications and specific application levels."

"For example, the fracture of this one is relatively simple, so under such circumstances, we can intersperse with manual reduction when the operation is transferred."

"It doesn't waste a lot of time. Even when we are in an emergency, we can send patients to the operating room. Under anesthesia, the patient's pain will be reduced a lot!"

"The best anesthesia method is actually a brachial plexus block, but we don't have this condition now, so I plan to do a local block of the radial ulnar nerve myself." Zhou Cheng said afterward.

The scalps of Lu Bin and the others became numb.

Brother, the radial ulnar nerve has strong variability, and the shape and lumen of the surrounding blood vessels are not as typical as the cephalic vein and axillary artery near the brachial plexus. Do you want to anesthetize the radial ulnar nerve?

During the period of numbness, Zhou Chengcheng had already injected the needle. After the patient let out an ah, Zhou Cheng comforted him: "It will hurt a little at first, but it will be gone soon!"

Then, everyone saw that Zhou Cheng inserted the needle directly into it as if unlocking a lock, and injected while retreating. After reaching a certain depth, he deviated from the direction and inserted the needle obliquely. He didn't know where he went.

Then, Zhou Cheng pinched the patient's fracture site again: "Does it still hurt?"

"It doesn't hurt anymore." The patient looked up, looked at Zhou Cheng curiously, and said, "The hand started to feel a little hot, and it seems to be numb, and it seems to be unconscious again."

Zhou Cheng knew that this was because the local anesthetic had begun to take effect. He did not choose the block of the nerve branch, but chose the total block.

Then, seeing Lu Bin and the others' faces twitching, he said, "Actually, it's okay without anesthesia, and it won't hurt too much. Or, with the help of an anesthesiologist, you can choose brachial plexus block, which can also reduce the post-reduction pain." The patient’s pain is willing to cooperate with functional exercises.”

After pushing out the syringe, Zhou Cheng did not use a cotton swab to stop the bleeding, but directly compared the plain film in the film reader, and started to reset.

The hand without feeling lost muscle tension, so it had no feeling or resistance. Zhou Cheng pinched it in his hand, shaking it from side to side, flipping up and down, performing the classic performance of fracture for Lu Bin and others.

The patient didn't feel any pain, but said curiously: "Doctor Zhou is still amazing, I don't feel any pain now."

Although he didn't know Zhou Cheng's origin, he was really convinced in his heart that he had taught Lu Bin and other directors a lesson, and just poked him twice, so that he could avoid the fracture pain that existed before.

The best way is to work hard in your hands, and to express yourself intuitively. This is a good doctor, and I must have met an expert!

I saw that Zhou Cheng fiddled with it for a while.

"At this time, we can take a few more X-rays to observe the restoration of the fracture line." Zhou Cheng said so, and he was about to push the C-arm machine.

However, Tong Haimo had sharp eyesight and quick hands, and immediately began to undertake the hard work of pushing the C-arm.

The anesthetist hadn't come back yet, and the roving nurse entered the isolation room together with Zhou Cheng and others.

After looking at the fracture line, Lu Bin and others were used to being shocked, so they didn't have much feeling about the current fracture restoration.

Zhou Cheng looked at it, and then said: "Well, that's right, in such a situation, we need to perform external fixation with plaster, combined with this young man's youth and strength, and his recovery speed is fast, it is estimated that he will be able to heal soon. "

"At this time, put on another plaster cast, and the treatment of this operation will be considered complete."

"Closed reduction is also a type of surgery. Although it was not taken seriously before, it has now been included in the surgical operation and can be charged formally."

"At this time, when applying plaster again, you need to pay attention to some key points..." Zhou Cheng went into details, and then explained the operation skills of plaster external fixation to Lu Bin and others.

Then he said: "Teacher on tour, please send this patient back to the ward."

"Brother, we have already reset your fracture. We didn't cut it open, but put a plaster cast on it to reset it. You can go back to the hospital after two days of observation."

"In addition, after you go back, the pain will reappear in about three or four hours. Don't worry, as long as you don't move around, the pain will not be very severe. We will give you intravenous painkillers to let you rest well. It won't be so painful."

"Eat more good supplements, and after a period of time, it will heal on its own." Zhou Cheng explained to the patient.

"Thank you, thank you, Dr. Zhou. It would be best not to have surgery, Dr. Zhou, you are truly a genius doctor, thank you, Dr. Zhou, please go to the general health care when you have time!" When the patient was pushed out of the operating room, he said amazing.It shows his status in the real world of Changshi.

When the itinerant nurse heard this, she was also amused, and looked back at Zhou Cheng, with inexplicable horror in her eyes.

Although I don't know if the patient can achieve the therapeutic effect if he enters and exits so quickly, but from the current point of view, this Zhou Cheng's strength is probably at a very high level.

……

The anesthesiologist and the bed doctor sent the patient back from the ward. Hearing that one operation was over again, and the number of follow-up operations was reduced to five, they all looked at Zhou Cheng in astonishment.

However, Zhou Cheng had already started to rest now. After talking for so long before, his mouth was a little dry, so he went out to rest for a while and drank a glass of water.

Then after all the preoperative preparations here, Zhou Chengcheng came on stage again.

This time, Zhou Cheng was even faster, and said to Lu Bin and the others: "Director Lu, I just want to show you how smooth the operation process of this minimally invasive surgery can be. Let me tell you the details."

As Zhou Cheng said, he began to reset the technique.

"C-arm, see-through! Equipment teacher, prepare the sharp knife and the built-in mirror!" Zhou Cheng ordered when the time was up to ten seconds.

Then, after seeing the fracture line, Zhou Cheng did not let the C-arm be withdrawn, but pushed the C-arm flat to the chest of the patient, then quickly cut the skin, made a hole, and put it into the internal fixation instrument.

After the connection is completed, C-arm perspective is performed again.

The operation time this time was only 4 minutes and 27 seconds!

The touring nurse and the handwashing nurse couldn't keep up with Zhou Cheng's rhythm. The touring nurse was constantly turning on various equipment, while the handwashing nurse was a little flustered.

After fluoroscopy saw the connection of the internal fixation device for the fracture, Zhou Cheng told everyone not to come out. He went to open the fixing part of the mushroom by himself, and then walked into the isolation room again.

The result is out.

The position of the fixation is relatively scattered, and the fracture line is looming——

All this is describing to everyone that this operation is over.

Zhou Cheng then said: "Director Lu, next, you can try to take the mirror out of the bone window first, and then sew it up. This operation can come to an end."

"This operation is not complicated, let alone laborious. As long as the position is good, there is no need to consider the problems of blood vessel damage and nerve damage. It is a very simplified operation."

Lu Bin and the others nodded, and then Tong Haimo and Quan Zhuolin both got on stage to play how to disassemble the mirror.

Zhou Chengcheng said to the itinerant nurse: "Teacher on the tour, please call the department and bring the patient from the sixth channel to the operating room, and we will do another manual reset."

Sitting under the timing panel in the operating room, Zhou Cheng was thinking about how to teach Lu Bin and others. He needed to systematically use cases to accumulate their knowledge reserves.

Because they don’t have the deep knowledge reserves like Professor Jingxing and Professor Xue Xiude, they have to start from the beginning slowly, let them watch, then participate, and finally implement it alone, and constantly experience the little skills.

Try to have at least one director be able to operate alone within half a month!

Then gradually reduce the amount of fracture diseases, and put the purpose and target on other diseases!

On the operating table, Tong Haimo was amazed: "If someone had told me before that fracture surgery could be done within 10 minutes, even if it was a professor, I would have scolded and bragged, but today, I am really proud Got to know."

Lu Bin glanced at Tong Haimo and said, "As far as your vision is concerned, what you can see is very limited."

"The reason why Dr. Zhou is able to do it so smoothly is because of his manual reduction. He did an excellent job. We will complete it. It will take at least an hour for the closed reduction."

The patient is dumbfounded.

Question: "Director Lu, what did you just say? My operation is over? Don't you lie to me?"

"It takes much longer than this for me to play shi? Is this too complicated for me, and you don't want to do it carefully? Can there be no problems?"

In less than 10 minutes, the operation is over, and the patient is not scared.

Surgery, in the eyes of ordinary people, is a life-and-death barrier before the gate of hell, so don't be careless.

"Don't worry, it's Dr. Zhou who performed the surgery on you. You've also read it on Baidu and Douyin. You can feel the quality of the surgery after you go back."

"I'll change the medicine for you. When you don't feel any pain, you'll know whether the quality of the surgery is good or not."

"If it weren't for the special situation now, ordinary people would not be able to invite Dr. Zhou to perform the operation. You patients, you have encountered it." Lu Bin quickly relieved.

The quality is not good, so what was the surgery we did before?

Did you go home?

"God, I really met a god-man this time. It takes less time to have an operation than to take a shit."

"Director Lu, you are really serious. Before the operation, we had a conversation, which scared me so much that I almost peed my pants."

"There are various risks. I didn't sleep well last night. If I knew it was so simple, I would have slept well." The patient let out a long sigh of relief.

The atmosphere in the operating room improved instantly, but the anesthetist was a little unhappy.

The anesthesia that was just completed had to be removed again.However, this kind of surgery is pleasing to the eye. This surgeon is indeed extraordinary. If in Shanghai, the anesthetist who can appreciate his surgery is at least at the associate professor level.

To be able to work with him on the stage is simply my own luck, right?

Then I continued to work step by step and started to work for several years. I have been familiar with this kind of anesthesia for a long time, and I don't talk about hard work.

……

At noon, the exact time is 37:[-]:[-].

All the orthopedic operations are over, and it is the turnaround of the operation that consumes most of the time.

Then Lu Bin and others worked hard to greet Zhou Cheng and said, "Doctor Zhou, you have worked hard today, and none of us can help you. After we finish billing the surgery, let's go to dinner together, Doctor Zhou." , you go to the lounge below and rest for a while."

Zhou Cheng was not too polite. Seven operations and seven resets made him a little tired. Although the time was not long, the resets were all hands and legs. Are you not tired?

Tiring, but also limited!
Those who are difficult will not, and those who will meet will not be difficult.

Then, Lu Bin, Tong Haimo, and Quan Zhuolin went to the office of the operating room and started charging and other operations. In fact, itinerant nurses can also do it, but today, Zhou Cheng made the itinerant nurse miserable, and there was no time at all. Fees for these operations can only be recharged.

Don't bother with anesthesia and consumables in the operating room.

Then start charging, surgical operation.

The most basic, fracture manual reduction*7, plaster external fixation*7.
Fracture poking reduction and internal fixation *4.

Fracture small incision open reduction and internal fixation *4!

On the whole, the total operating costs are not considered consumables and other costs at all, [-]+!

This is pure income.

Not counting subsequent hospitalization expenses, etc.!
After reading it, Lu Bin and the others fell silent.

"Is this the income of top professors who are purely technical?" Tong Haimo slammed his mouth.

Lu Bin took a breath: "There are some flying knife operations, and the appearance fee starts at [-]. It only takes half a day, and you will know how much the top professors really earn."

"However, you have to have the opportunity to take this money, and you have to have the strength to take it!"

Well, such a level is indeed beyond their imagination.

However, what Lu Bin has not said yet is that in foreign countries, the income of the top surgeons there is really considerable. A joint replacement surgery costs [-] to [-] dollars.

What is the concept?
It's close to 50. In China, a joint replacement used to be [-]. If it is really compared to the domestic standard according to foreign standards, it will be called real treatment!
Full reimbursement means that you have medical insurance, and those without medical insurance also rely on themselves to bear it all.

But no matter what, Zhou Cheng's arrival today has indeed taught them a vivid lesson. The purely technical route can really make a lot of money, and it is even more profitable than before.

Because, the expenses of the other four fracture patients are paid by single disease, that is, lump sum.

According to Zhou Cheng's current treatment method, if it can be repeated?

To use a bad word, it means that the cost is very controllable, the profit is very considerable, and the patient burden is not much, and the medical insurance and the third party directly cover the bottom line!

Everyone is willing, this is a win-win situation for all three parties.

In the department, the cost of simple surgical operations can cost hundreds of thousands a month, so the annual turnover may really be as high as 5000 to [-] million...

After the operation, Zhou Cheng was received very warmly.

There were not many people, only Lu Bin, Qin Ming, Tong Haimo and Quan Zhuolin.

Zhou Cheng refused the request to drink without drinking, and everyone just had a meal, but let's eat!
Lu Bin still asked the question he was most worried about: "Doctor Zhou, manual reset is indeed a relatively classic treatment method, but is this operation difficult to learn?"

"If it's difficult to learn, then? This kind of minimally invasive fracture surgery is still relatively difficult to carry out?"

Zhou Cheng thought about it carefully, and said: "Easy to learn, hard to master, but it can always improve our professional ability. If there are some simple fracture patients in the future, directors can try it."

"Always get started first and try boldly."

Lu Bin nodded, and after pondering for a while, he said, "Okay, Doctor Zhou, thank you very much for coming."

(End of this chapter)