medical simulator

Chapter 311 Changing Fate! (seeking subscription)
Zhou Cheng has always understood that the real working hours are not like novels and scripts. Things develop one after another. After one thing is solved, another problem will follow.

At the same time, many things may happen, which is beyond your imagination, and there is no logic and correlation, full of randomness.

Zhou Cheng didn't know about this emergency operation, and no one informed him. As far as Chang City Hospital of Traditional Chinese Medicine was concerned, Zhou Cheng was just an outsider, and he was going to leave anyway.

Moreover, as far as Lu Bin and others are concerned, Zhou Cheng's coming here is just for gilding, at most he has brought new and major surgical teaching tasks, and he is not really a member of the department. Responsibility must be of one heart and one mind.

Zhou Cheng listened carefully to their speech, probably understood what kind of situation this was.

Injured by a car accident, two cars collided together, resulting in two deaths and four injuries, and the people on both sides seemed to be inextricably linked.

The dead were naturally left alone, but after the injured were sent to the emergency department, Changshi Hospital of Traditional Chinese Medicine received a death order before they arrived, and they had to be revived.

What kind of relationship is this?

Lu Bin didn't mention it, but he knew that the one currently in Changshi Hospital of Traditional Chinese Medicine was a young man, 27 or [-] years old, one of the drivers of the two cars. Abdomen, limbs, problems are messy.

Of course, unavoidable, the problem of blood vessels is also quite serious.

Everyone discussed for a while, and after listing the various examination results one by one, Lu Bin still couldn't help turning his eyes to Zhou Cheng: "Doctor Zhou, what opinion does Dr. Zhou have on this patient's current disease condition?" ?"

Zhou Cheng glanced at Lu Bin unexpectedly, a little strange, and said to himself, Director Lu, when your emergency happened, you didn't call me over, and then you went to the operating table three times before and after, and I didn't know it.

Now at this time, what do you ask me?
Do I want to say that if it is the first time, there is still a slight possibility of limb salvage, but now after so long, both lower limbs are rotten, and there are blood clots, so I can only cut off the legs and legs?

Zhou Cheng's eyes scanned the PPT up and down, and said with a smile: "Director Lu, I don't know the basic situation of the patients at the moment and at the time of admission."

Lu Bin is also an old fritter. Knowing that there was a little resentment in Zhou Cheng's words, he restrained his thoughts: "Doctor Zhou, I'll just ask casually, and don't take it to heart."

"You, Dr. Zhou, don't have to take on the task of emergency patients in our hospital. It's just that the current situation of this patient is indeed complicated, so our department has launched this big discussion."

Lu Bin asked seemingly casually before, but he was actually thinking carefully, that is, if Zhou Chengcheng said amputation, then he could be regarded as having some external help.

Who is Zhou Cheng?The experts from Shanghai come from the instructors sent by the National Health Commission. Is his opinion official enough?
If he said that there was no other way and that he wanted to amputate his limbs, then there must be no big problem?Even if something goes wrong in the future and the appraisal of medical malpractice is carried out, then the appraisal expert team formed will consider Zhou Cheng's words and face, and reduce the responsibility for the orthopedics department!

"If Dr. Zhou has an idea, he can talk about it." Lu Bin asked for advice sincerely.

Faced with Lu Bin's low-profile inquiry, Zhou Cheng knew that he was not good at showing off, so he said: "Director Lu, I don't have much experience in emergency treatment, but in general, if the injury lasts too long, and If there is a thrombosis problem, then the possibility of limb salvage is very small."

"Of course, all of this still needs to be combined with the situation of other specialties of the patient, etc., and specific issues need to be analyzed."

Letting go of his personality and honestly returning to the standard of a doctor, this is a rule that Zhou Cheng has set for himself.

No one is perfect, and they always want to be a hero to save the world, depending on their current situation and when they entered the arena.

Cai Dongfan's words are good, yesterday's Xu Kairan didn't perform the operation himself, and he wasn't the first doctor, so what are you doing by yourself?

The reason why people want to learn is not only to master more professional foundations and knowledge and skills, but more importantly, to learn to master them.

The same is true for this patient. When I participated, I had already missed the best opportunity. Then, I should not participate any more, and I should not leave anything to talk about.

Knowing how to control the timing and judging the situation is the first step to truly mature. If there is an opportunity, I still have to contribute.

Lu Bin didn't get the answer he wanted, and was a little disappointed in his heart. Of course, how Zhou Cheng answered was Zhou Cheng's freedom, and it was impossible for him to force Zhou Cheng to do anything.

"Doctor Zhou, for today's operation, you and Deputy Director Qin Ming may be asked to lead the subordinate doctors to conduct it. I also have a more important emergency consultation operation to participate in, so I don't know when it will take place. "

"It's urgent, Director Quan, Director Tong, let's not waste time, shall we? Check the ward early, and after the ward check, go to the operating room early to solve the problems encountered today."

As the director, Lu Bin has the greatest responsibility. Of course, at this critical moment, everyone will not disobey Lu Bin's intentions. Whoever dares to exceed the authority will be able to leapfrog the responsibility!
……

However, after Zhou Cheng and others went down to the operating room, Lu Bin and several directors got together.

Quan Zhuolin said: "Director Lu, this Dr. Zhou is very interesting. He is not very young, but apart from being neither arrogant nor impatient, he is not mature enough to have the temper that a person of his age should have."

Not arrogant or impetuous is a kind of exaggeration, but apart from being neither arrogant nor impetuous, the more mature handling ability is to assess the situation and not let anyone take advantage of it.

If Zhou Cheng didn't say anything biased, they would have to bear all the responsibility on their own.

Lu Bin just smiled and said: "Well, I figured it out yesterday. Dr. Zhou was in the outpatient clinic on his first day yesterday, and he was approached by that scoundrel Xu Kairan. Xu Kairan, a scoundrel, didn't get any benefits."

"This is also the reason why I don't want to drag Dr. Zhou into the emergency room in the early morning. Xiao Zhou's ability to handle things is very smooth, and he also has his own principles."

"If you get along with him, you may be at a disadvantage."

Lu Bin carefully analyzed whether Zhou Cheng was able to resolutely reject Xu Kairan's request for a leave of absence yesterday, but he still felt that Zhou Cheng knew his identity and was knowledgeable. Xu Kairan boasted that he was powerless.

Then, he is also an old fox. A genius who can generously admit his lack of ability cannot be treated as an ordinary nerd or a young man who is cynical, otherwise he may be fooled.

Both Quan Zhuolin and Director Tong frowned. Obviously, they were also quite familiar with Xu Kairan's name.

"That depends on whether Dr. Zhou came to our Changshi just to be gilded, or to think about other things."

"Being able to keep a clear head at this time, it's better not to provoke such a person. It's like that Fang Yun from Changshi No. [-] Hospital. Now even Li Hongyang is quite a headache." Quan Zhuolin Take an example.

Li Hongyang is the chief director of the Orthopedics Department of Changshi First Hospital, and there has been a lot of trouble in Changshi recently because of a headache for a small doctor.

There is a precedent for this kind of thing, and Changshi Hospital of Traditional Chinese Medicine naturally dare not follow suit, and this Zhou Cheng, whether it is his background or his existing connections and the degree of control over his relationship, is far from what Fang Yun can compare.

Lu Bin said: "Everyone should stop discussing this matter, it is already in the past tense. I heard that Fang Yun has left Changshi again, so we still have to solve our own problems. "

"Today, the result of our discussion is an amputation, but the two directors should know that the probability of this patient getting out of the operating room is very low, but we can't make mistakes..."

Both Quan Zhuolin and Tong Haimo nodded solemnly.

A doomed result is destined to be blamed in the end. This is not something that can be controlled by orders of death or death. Minimizing one's responsibility is the right thing to do.

Some people give orders that can go against medical principles and the limitations of current medical conditions, but the reality is not like this.If the reality can be transferred by willpower, then there will be no birth, old age, sickness and death.

……

On the way to the operating room, Qin Ming politely explained to Zhou Cheng what happened yesterday.But mainly to help Lu Bin speak.

"Doctor Zhou, the emergency patient yesterday was actually quite complicated. There were multiple ruptures of solid organs in the abdomen, gastrointestinal tract injury, severe chest contusion, and pneumothorax."

"It is precisely because of these additional circumstances that Director Lu did not consider disturbing you, Dr. Zhou. Of course, in order for you to rest well and prepare for today's operation, Director Lu is also one of the factors considered by Director Lu." Laugh, it looks like a little fox.

Zhou Cheng felt emotional, erratic left and right.

In fact, it is not that this patient cannot be saved. There is still a glimmer of hope if his life is saved, but it is unlikely that Chang City can solve the problem. Call him over.

It's not difficult to save people, and it's no problem to fight to save limbs. Zhou Cheng has this confidence.

But hey, each person's choice and destiny are inherently different.

Yang Yifeng is not a little doctor, he can come and go when he is called, and the same is true for Zhou Cheng. Now that he is here, his main task is to lead a group, research and investigate, rather than being assigned by Lu Bin.

Although it is possible to save one more person by being assigned, the reality does not allow it.

"I know, Director Qin, I can understand what you and Director Lu are thinking, thank you for your understanding." Zhou Cheng replied with a smile.

He felt that he had become cold-blooded now. If he hadn't participated in the past, he would have watched a human life disappear into this world, and Zhou Cheng would have felt guilty.

But now, he didn't feel that way, he could only feel that it was a trick of fate.

"Doctor Zhou, it's the best if you can understand. Director Lu and I, including several directors, as well as the president, and everyone in our hospital are very sincerely grateful. You are welcome to come to our hospital to guide and teach. of."

"So, we will do our best to protect your rights and interests, Dr. Zhou, no matter what aspect it is." Qin Ming's expression was serious, showing his goodwill towards Zhou Cheng.

Zhou Cheng didn't say any more, but continued to choose to do his own thing well.

Then, after quickly completing two surgeries and one manual reset, Qin Ming finally volunteered to do a fracture manual reset to try his hand.

Zhou Cheng also agreed. However, although Qin Ming dabbled in the method of reset, it was limited. In the end, he barely achieved the function reset. Zhou Cheng gave some pointers. Although Qin Ming Fixed some, but missed the point.

Zhou Cheng also demonstrated it once more to complete the reset.

After reading it, Qin Ming couldn't help but sigh again: "Doctor Zhou, the same idea, the same logic and operation, but the skill reflected in the feel is still different in the end."

"Doctor Zhou, your technique is really good."

"Thank you, Director Qin. If you are proficient, you will master it. If you practice a lot, Director Qin, you will definitely be able to reach my current level." Zhou Chengdao.

Qin Ming continued to sigh with emotion and shook his head: "Doctor Zhou, in fact, there used to be an old Chinese doctor in our hospital, who did a very good job of repositioning, almost miraculously. Back home."

"Because his children developed over there, it's a pity that we didn't have time to pass on his techniques. I think that Dr. Zhou's technique reset is not in vain for that old senior."

When Zhou Cheng heard this, his heart moved: "Director Qin, this old man, where is his hometown?"

"In Hubei Province, I don't know exactly where it is. You may have to ask Director Lu." Qin Ming naturally didn't know so many details. When Qin Ming entered the department, the old man was about to retire.

Although Qin Ming was a Ph.D. at that time, his professional ability was actually limited and his contact was not deep.

Zhou Chengcheng kept this matter in mind. He really wanted to meet some famous Chinese medicine practitioners and discuss it, but there were not many who were really proficient in bruises.

Zhou Cheng's contact with other aspects of Chinese medicine is not deep, so there is really no way to ask for advice in depth.

Today's surgeries were not many, and they were all very simple. Therefore, Zhou Cheng finished the surgeries and manipulations at one o'clock in the afternoon.

This speed once again amazed Qin Ming, and at the same time accompanied Zhou Cheng to the locker room.

One side said: "Doctor Zhou, your knowledge and understanding of this fracture is really a bit appalling. I never thought that the treatment of fractures has a pediatric stance."

Zhou Cheng looked at Qin Ming, and he probably knew that Qin Ming's current level of professional skills was above proficiency, not quite proficient, and very close to proficiency.

Moreover, Qin Ming's age is not particularly old, so he is also somewhat talented.

So he said, "Director Qin, trauma is the foundation of orthopedics, and fractures are a major classification of trauma. The difficulty depends on the individual's understanding. Both are difficult, but they are not too difficult."

This is the key to the perfection of surgical skills. Whether Qin Ming can remember it or not depends on his fate.

When Qin Ming was about to thank Zhou Cheng for his advice, Lu Bin walked from the locker room to the operating room upstairs with a depressed expression, and happened to meet him halfway.

Lu Bin raised his head, looked at Qin Ming, then at Zhou Cheng, restraining all the emotions on his face: "Doctor Zhou, is the surgery done again?"

Qin Ming hurriedly replied: "Director, it's all done. Doctor Zhou's strength is still the same as before, perfect and stable. Every operation has a detailed pre-operative and post-operative plain film comparison."

"I'm here to study." Qin Ming explained, covering himself up because he wanted to pass these flat films to Lu Bin for re-reviewing.

Lu Bin's face became more relaxed, and he turned around and went downstairs with Zhou Cheng: "Doctor Zhou, it's really hard work. The patients in the department have surgery, but I, the director of the group, have something to delay. I'm really sorry."

Hearing this, Zhou Cheng smiled and said, "Director Lu, you are also doing it for the operation and for the patient. We are all working hard."

Zhou Cheng was not greedy for merit, and he didn't say he was relaxed. Everyone was serving the patients, so how could it be easy?

Qin Ming hurriedly asked: "Director, which patient is the last?"

"I couldn't be saved, heart failure occurred during the operation, and the rescue was ineffective, so I was declared dead. The injury was too serious."

"Also, I heard that among the six people in the car accident yesterday, only one survived."

"But if it is reported, it will probably be." Lu Bin did not continue.

The one-time death toll in a traffic accident cannot exceed a certain quota.

The topic was too sensitive, Zhou Cheng and Qin Ming were very sensible and didn't mention it again, but Lu Bin said with emotion: "Actually, both sides of the family have money, and both sides are speeding towards each other, Jiu Mengzi..."

Well, an unconventional rich second generation like Zhang Zhengquan is really fresh and refined.Zhou Cheng also felt emotional in his heart.

It was agreed to go out for dinner together, but Zhou Cheng didn't shirk it.

The three of them went to find a quiet place to compare prices, and they didn't call the junior doctor anymore.

During the dinner, Lu Bin truthfully explained to Zhou Cheng and Qin Ming the basic situation of today's ineffective rescue in the emergency department, and then did not delve into it further.

Then, Lu Bin changed the subject and asked Zhou Cheng: "Doctor Zhou, do you have any thoughts about what happened to Xu Kairan yesterday?"

"Judging from yesterday's mediation results, I guess this Xu Kairan will not let it go!"

Zhou Cheng didn't understand what Lu Bin was trying to test him by asking, but in Zhou Cheng's heart, he had already made a decision: "Director Lu, I have limited knowledge, average abilities, and nothing I can do. Do your best and listen to the destiny! You can’t say that you have any special ideas.”

Whether it is appropriate to expose this matter, and who will expose it, not only depends on Xu Kairan's willingness to die, but also depends on whether there is a villain to punish him. This villain, Zhou Cheng will not be, nor does he want to be.

But if Xu Kairan really has some physical problems, then?The depth of this matter has to be dug deeper again. Xu Kairan's body suffered such postoperative pain, was it a fake or real?

Half-truth or half-false, this is actually a topic worth exploring in depth.

Regarding Xu Kairan's matter, it was all hearsay. Zhou Cheng had to believe it, but he couldn't believe it all. What kind of confidence does this guy have to turn into such a rascal?Just greedy for profit?
After Zhou Cheng finished speaking, before Lu Bin could speak, his phone rang again. After Lu Bin connected, his expression suddenly changed, and before he had time to explain to Zhou Cheng and Qin Ming, he got up immediately: "I Go to the hospital, Qin Ming, accompany Dr. Zhou well, and send Dr. Zhou back."

"I'm going to the medical department now."

Both Zhou Cheng and Qin Ming were taken aback, but they didn't say much. The patient is gone, and the discussion of the death case is the most basic matter of principle. In this process, the division of responsibilities is also a key part. As for whether Lu Bin can The Department of Orthopedics cannot be allowed to evade responsibility, it depends on how Lu Bin mediates.

(End of this chapter)