medical simulator

Chapter 32 Ruzi cannot be taught! (PS: Ask for collection, ask for recommendation tickets, ask for follow-up reading!)

"Patients in Director Yan's group?" Luo Yun wanted to say that, and Zhou Chengcheng became interested, and his eyes lit up.

If Director Yan wants to take the lead in performing manual restoration in the department, then he is right on the cusp.It's just that Zhou Cheng is a junior trainer in Cai Dongfan's group, and he is not qualified to see patients in other groups.

"This is not the focus of your consideration." Luo Yun quickly dispelled Zhou Cheng's idea of ​​asking other groups of patients.

Among the patients in Yan Haihan's group, even Cai Dongfan couldn't say much, what is Zhou Cheng asking here?

However, Luo Yun hesitated for a moment, and still said: "However, Director Cai Dongfan mentioned to me some time ago that Director Yan Haihan is going to reset the technique in the department again. This is actually related to the positioning of our hospital. "

"You should also know another name of our hospital, right?"

Zhou Cheng nodded repeatedly and said, "Yes, I know, Shashi Hospital of Traditional Chinese Medicine."

Luo Yun looked at other places, probably knowing that no one would come in now, so he found a stool and sat down, and then asked Zhou Cheng to find a place to sit down as well.

Cai said: "Yes, in the past, the characteristics and positioning of our hospital were mainly traditional Chinese medicine. At that time, it was the same, including orthopedics."

"It's just that, around the 80s and [-]s, because of the gradual rise of clinical medicine..."

Luo Yun even told Zhou Cheng the history of the development of the department.

It turned out that the current Shashi No. [-] Hospital was formed by merging the original Shashi Hospital of Traditional Chinese Medicine and the No. [-] Hospital. There were many reasons for the merger, but Luo Yun only mentioned something related to orthopedics.

In the past, there was only one department of orthopedics, and the main thing was traditional Chinese medicine treatment. Even Luo Yun heard about it from Cai Dongfan. At that time, a group of old professors who were still alive were very capable in the conservative treatment of fractures. And this is the characteristic of traditional fracture treatment in Huaguo.

But it has to be admitted that Chinese medicine has great limitations in the treatment of fractures.

Because there are some complex comminuted fractures, it is simply impossible to treat them with manual reduction and conservative treatment, and some patients who can barely be reduced by manual reduction, the final functional recovery is completely incompatible with open reduction and internal fixation of fractures. patients on a par.

Moreover, the surgery for fractures is not too complicated and reliable, with relatively few sequelae.Therefore, more and more patients are inclined to surgical treatment.It's because of the fear of repercussions.

Because of the selective change of the patient population, in fact, under the impact of modern clinical medicine, the department had to change its direction and shift its focus to the surgical treatment of fractures in clinical medicine. For a period of time, it did gain more patient populations. .

Moreover, the patient's degree of activity, recovery speed and other satisfaction after surgery have also been improved.

And then the new generation, just like the younger generation like Luo Yun, didn't even have the chance to get in touch with the manual reset technique of those old seniors.

Over time, instead, the characteristics of the techniques used by the Eighth Hospital at that time were gradually lost...

Luo Yun continued to analyze: "However, as you can see now, although our orthopedics department has also developed for decades, the current situation is rather embarrassing."

"Compared to the real surgical strength, there is definitely no way to compare with the three affiliated hospitals of Shonan University in Shashi. There is no way to compare with the Provincial People's Hospital, the Central Hospital and other hospitals."

"On the contrary, we have gradually lost the unique characteristics of our hospital. The current patient flow is much lower than that of the affiliated hospital of Hunan University of Traditional Chinese Medicine."

"Nowadays, there are many vacancies in the beds in the department."

Zhou Cheng nodded. In Shashi, this is indeed the case. Patients can easily receive the top medical resources in the province.

Although the fracture is simple, several leading hospitals in Hunan Province may not be able to say that they are much ahead of other hospitals.But what cannot be denied is that there is a certain gap between the No. [-] Hospital in Shashi and the top hospitals in the province when it comes to internal fixation for complex fractures.

Therefore, the only patients left in the department are some simple patients, and they are also nearby patients.

The number of this source of disease is not many.

Therefore, if the department does not change its strategy, the existing number of patients cannot be maintained.In a hospital without a source of disease, there is no need to talk about the development of any department. It would be good if it can keep doctors who can't eat enough.

While this sounds snobby, it is the truth, and being a doctor is just a profession, and doctors rely on it to support their families.

Therefore, in the past period of time, some directors of the No. [-] Hospital in Shashi had one or two exodus incidents, which took away a large wave of patient flow. They believed that the skills of the previous directors, The star district has a reputation, even if they go to other districts, they are still willing to go to the original directors for medical treatment.

It's not too far anyway.

"So in fact, the current department is in a critical period of transformation. I guess, whether it is Director Yan of our department, or our chief director of orthopedics, Director Zeng Yi, have thought about it, and we must continue to find the treatment that belongs to our department. feature."

"That is to see if we can make a breakthrough in conservative treatment, and then bring back some patients who hope to use conservative treatment to solve their fracture problems."

"Besides, we still need to make some clinical breakthroughs."

"And for this breakthrough, there are only a few choices. Either it is to improve the level of fracture reduction and internal fixation to catch up to the top level of Shashi, and compete with them hard, or it is to develop some new surgical methods. come out."

"Find a direction that is currently popular, and then go for it."

"Either change direction, turn to the direction of sports medicine or joint surgery."

"It's just that the risk of changing the direction is too great. Nowadays, several old directors in the department are not professional joint surgeons. This is more difficult."

After Luo Yun said something casually, he calmly stopped.

There are some words, just click and stop. If you really want to talk to Zhou Cheng, it means that you are too small for Zhou Cheng, which is not fair to others.

Then the subject changed and asked: "The patient just now, how did you reset it?"

"This kind of patient belongs to the contraindication of manipulative reduction, is it not so easy to do manipulative reduction?"

Hearing this, Zhou Cheng explained: "It is strictly following the steps of manual reduction. I usually like to search for some special manual reduction materials. For this patient, I first considered the classification of his fracture."

"It belongs to type B2. Although it seems to have a wedge-shaped bone fragment, it is an unstable fracture type, but it can achieve stable fixation after the wedge-shaped bone fragment is reset through the intercalation force of the soft tissue, and then external fixation with plaster can fully meet the fracture type." Therapeutic purposes of reduction and immobilization."

"And then, it worked."

After hearing this, Luo Yun immediately rolled his eyes.

I TM asked you how you did it, not for you to give me the principles of fracture treatment.

It's useless to ask.

Zhou Cheng looked at Luo Yun's expression, and knew that what he said was clearly the essence, but Luo Yun didn't listen at all.

It's useless.

Children cannot be taught.

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(End of this chapter)