medical simulator

Chapter 322 The insider and the outsider! (seeking subscription)
"Why should I avoid you? The subject I've been working on before, it's just that you don't match your major." Zhou Cheng read An Ruo's answer and thought this little girl was a bit funny.

An Ruo nodded solemnly in the video, and then asked, "Zhou Cheng, where did you know so many strange things?"

"Look, small incision open reduction and internal fixation, and the topic of scar repair, and now this anatomy." An Ruo asked a particularly sensitive topic jokingly.

"Is it from the clinic? An Ruo, you also know that I have been in the trauma surgery department before. The types of diseases in the trauma surgery department are trauma and fractures?"

"To do a good job in trauma, it's simple to say, but in fact, it is necessary to understand and understand the tendons, nerves, and blood vessels, and then when observing these, some other ideas and ideas will arise."

"Trauma is the foundation of our orthopedics. I didn't have the opportunity to get in touch with sports medicine and joint surgery before. Otherwise, I might mainly focus on joint and sports medicine or bone disease." Zhou Cheng concealed the existence of the simulator.

It is impossible to tell An Ruo about this, otherwise, when An Ruo smells it, what is there in the simulated world, and what has he encountered, can he explain it one by one?

That is impossible.

The path Zhou Cheng has arranged for himself is very stable now, although he has many perfect skills in joint surgery and sports medicine, and even perfectly redefined skills.

But when it is suitable to take it out, and under what conditions it is taken out, that is the key.

Since the character design from the beginning is a doctor of trauma surgery, let's deduce it step by step.

A doctor in trauma surgery would not find it strange to do the subjects of fractures and manipulative reduction, but if you suddenly ran over to do the subjects of joint surgery, how would you explain it?

There is no way to explain.

After a certain amount of time has accumulated, Zhou Cheng said that he must understand everything he has learned and gained, so that this life will not be in vain.

This afternoon, that is, this afternoon, Zhou Cheng wanted to understand his next goal.

Don't let down your adventures, don't waste your life, don't waste this luxurious skill panel, take yourself as the starting point, slowly climb to the top of Huaguo, and then you can't say, on the big stage of the world, slip away well lap.

Geese leave traces, and people leave their names. When Zhou Cheng walks around the world, it is not just as simple as walking around.

There is still a long way to go, but the time is still long, and he is still young, so Zhou Cheng is not in a hurry.

Lay the foundation first, and this foundation, in addition to your own hard power, also has your own accumulation in scientific research and professional fields. With enough accumulation to beat people, the foundation is solid, and no one dares to say more.

On the contrary, compared to himself, Zhou Cheng still felt that people like Yang Yifeng, in the field of vascular surgery, belonged to the ranks of the sudden rise. Now Yang Yifeng is also keeping a low profile. I don't know if he has such a meaning in not having surgery. .

Some things need to be slowly precipitated and accumulated over time to reach a very comfortable and suitable level.

"I really envy you." Hearing this, An Ruo nodded her head, narrowed her eyes, and narrowed her eyes.

Zhou Chengcheng said: "An Ruo, you will definitely be great too. Why are you envious of me? Actually, to tell you the truth, I prepared for a long, long time before I started graduate school."

Zhou Cheng pretended to be coercive on purpose!
Of course, it is also to explain the source of my skills more reasonably. Otherwise, my girlfriend can't convince me, so how can I convince others?
An Ruo also remembered what happened to Zhou Cheng before. At this moment, she pursed her lips seriously, smiled, opened her eyes again, and blinked smartly: "In the future, such things will never happen."

"Ah."

"Oh, by the way, An Ruo, if you want to combine this theory with clinical practice, I suggest you do an animal experiment first."

"You use it directly. I will do the basic anatomical preparations. This is a good way for you to develop in the anesthesiology department." Zhou Cheng continued to give the little girl a project by insinuating.

After all, this is a little rich woman. She just gave away a house, and now it's time for Zhou Cheng to pay back.

In fact, this is just a joke.

Anatomy is the foundation, whether it is surgery, internal medicine or some auxiliary departments, it is anatomy at its root, because the anatomy foundation is so important, and it has changed, which not only brings about a major earthquake in the field of surgery, but also affects the entire medical science. world, will have a great impact.

For example, the multi-cavity theory in the body proposed by Zhou Cheng is the most routine application in anesthesiology, which is fixed-point anesthesia.

In the past, most of the anesthesia in the traditional anesthesiology department was directed towards the large nerves, but in Yang Yifeng's case, anesthesia can be performed along the nerve bundles.

However, this lacuna theory can be achieved. I can anesthetize which muscles I want to anesthetize.

This is to use the pharmacological properties of the anesthetic itself, and then combine it with anatomical theory to complete the orientation of the anesthesia area.

An Ruo narrowed her eyes, carefully sat cross-legged on the chair, like a little kitten, and asked, "Zhou Cheng, you revealed this theory to me in advance, do you think I'm too It's stupid, so the stupid bird should fly first."

"In order to prevent this theory from being snatched away by other teachers or professors once it appears?"

Powerful scientific researchers have the keenest grasping ability. When new things come out, smart people often don't question them at the first time, but think about whether such things can be used for themselves, and then think about it , the authenticity of something.

Knowledge and theory are all weapons to strengthen oneself.

Zhou Cheng smiled and said, "Surely not. Why do you let others get ahead of you for such a good thing?"

This is rhetoric.

To answer this question from another level, naturally you can't say, Xiao An Ruo, with your IQ, it may take some time to think about this.

Now it has been changed to, the moon is the first to be near the water, and the fat and water will not flow into the fields of outsiders.

They all mean the same thing, but the other party's experience is completely different.

"Then tell me, is it more appropriate for me to use rabbits or mice?" An Ruo laughed complacently, and then smiled for a while before returning to a serious look.

"Rabbits, in fact, monkeys are the best, but at present! The muscles of rabbits are relatively out of shape, and the structure is similar to that of humans!" Zhou Cheng sighed with emotion.

In the simulated world, he can take some shortcuts that do not comply with due process, but in the real world, these shortcuts are not allowed.

Currently, the Medical Ethics Society and the Scientific Management Association, in the field of medical experiments, approve only a limited number of animals that can be manipulated, and humanoid mammals are included in the list of prohibited experiments.

There may be a team doing it secretly, or doing it abroad, but that is abroad.

"Okay, I'll secretly order a batch of rabbits in a few days." An Ruo's expression became slightly serious, and her tone was very cold.

Sensing An Ruo's emotional change, Zhou Cheng hurriedly asked, "What's wrong with you? I feel that your emotional change just now is not right?"

In the past, Zhou Cheng might not have realized these changes in An Ruo, but his insight now is very keen.

An Ruo pursed her lips and shook her head, as if she was not going to tell Zhou Cheng the truth.

Zhou Chengcheng continued to ask: "Look, I tell you everything, but you don't share your real experience. Are you very wary of me?"

Zhou Cheng was honest about everything except the simulator, but An Ruo obviously had another defense.

An Ruo's expression was tangled for a while, and then she said casually: "Zhou Cheng, I didn't intentionally hide it from you, the main thing is some messy things in the department."

"I'm just an exchange student, but I follow Professor Su directly, so there will be some complaints in the department."

"This kind of thing was very common before. You must have encountered it, but you didn't tell me." An Ruo pursed her lips and replied like this.

Zhou Cheng immediately rolled his eyes when he heard this, and said, "It's been a long time since I met this. The last time I met it was when Teacher Zeng asked me to go to Professor Xue Xiude's group in the Ninth Academy of Shanghai. But very Quickly, I was pressed down."

"And at that time, you just came to Shanghai, and I didn't even know you were here. How could I have the nerve to tell you these things directly?"

"In a situation like this, I actually have experience in dealing with it. You don't care what they say, just fight back with your own hard power and improve your professional level. Naturally, there will be fewer such criticisms."

"At that time..." Zhou Chengcheng revisited for An Ruo, when he first entered the department, he got along with the chief inpatient, Chen Shengwu and other graduate students in Xue Xiude's group.

There was not much displeasure on Zhou Cheng's side, but later on, such displeasure gradually decreased.

This is the way it is. Resources are limited. If you own some things, others will have less or even disappear.

Under such circumstances, if you want to break some rumors, you can only let others see that you get these only by relying on your own strength, and you don't have to deliberately guide them. Show your holiness in front of others, but you must also show your own strength .

"I know? A few days ago, there were many people who talked about it, but now there are fewer people. Recently, there are almost none. However, I still want to prove that Professor Su's choice is correct."

"Teacher Su is very kind to me. I want to make him feel a little better."

Speaking of this, An Ruo was a little arrogant: "There were a few senior sisters before, who were quite dissatisfied. They came here and wanted to do a project with Professor Su, and then."

"Forget it, I won't talk about it, the main reason is that compared with you, the changes in their expressions are far less exciting than the changes in the expressions of the senior doctors who get along with you."

"I still remember, when you were in No.[-] Hospital, Associate Professor Qin Tianzhu..." An Ruo quickly changed the topic to Zhou Cheng again.

Zhou Cheng turned into a calm listener, after listening to An Ruo for about ten minutes.

Zhou Chengcheng asked seriously: "An Ruo, you remember all this so clearly, are you stressed?"

In Zhou Cheng's view, generally, people who keep other people's heroic deeds in their hearts all the time set a goal for themselves, and if they can't overcome it, it will easily become a knot in their hearts.

Zhou Cheng didn't want him to become a knot in An Ruo's heart.

If it was in the past, Zhou Chengcheng didn't care what An Ruo thought. At that time, two people were two people, and they each handled their own affairs in peace. There was not much intersection in the world, which belonged to parallel lines.

But now it is different, the parallel lines are biased.

An Ruo was distracted by Zhou Cheng, she didn't object, and she was trying to open her heart, but she couldn't do Zhou Cheng's condescending attitude, so she was very indifferent.

"There must be pressure. Think about it. You are so good. I'm still just a clinical rookie."

"Those who know me think I'm your rich woman."

"I don't know about me, I thought I was just a little vase next to you, I don't know anything, I'm nothing."

An Ruo analyzed with a smile.

Zhou Cheng knew that An Ruo was telling the truth, and An Ruo was indeed a bit good-looking, but An Ruo was not what a vase should be.

Zhou Cheng then joked: "Isn't it nice to be next to a rich woman? This is a popular view now."

"Isn't there a saying that goes well, young people don't know how good a rich woman is, mistakenly treat girls as treasures, young people don't know rich women..."

An Ruo quickly interrupted: "Bah, bah, bah, what nonsense, you are not allowed to say that."

An Ruo protested, crossed his legs, swayed from side to side, pointed at Zhou Cheng, and issued a warning.

Because An Ruo automatically made up the appearance and appearance of those rich women rumored on the Internet, although she didn't care about her appearance, she would not allow Zhou Cheng to slander her like this, even if it was Zhou Cheng.

Am I that ugly?so fat?
An Ruo's mind began to think about losing weight again.

A girl's mind sometimes escapes like this...

"Then you are a little rich woman, a good-looking rich woman, a beautiful rich woman, I can save 20 years of struggle!" Zhou Cheng flirted with An Ruo seriously.

At the same time, I was thinking in my heart, this sentence is actually not bad. In the simulation world, your help to me is more than 20 years of struggle and hard work.

The reason why I can simulate so many skills now is due to the character An Ruo!
Of course, Lu Cheng also has a more curious point, that is, in the simulated world, he deliberately emphasized that because of his good looks, he has an object to cling to with less struggle.

But after I really got along with An Ruo, I found that An Ruo was not a good-looking person, and I didn't know if there was any confusion between these characters.

There seems to be a little error in the person setting.

An Ruo tilted her head, seemed a little angry, but looked helpless towards Zhou Cheng, slowly lowered her hand, and said, "Zhou Cheng, can you stop talking about me like that?"

"Actually, I'm just a pretty ordinary girl. If you always say that, I'll think you get along with me because of my family."

"I'd be terrified."

Zhou Cheng was busy comforting him, and looked at An Ruo with a serious look: "Okay! I will never say anything in the future..."

The time for chatting is always very fast and feels short, but in fact, An Ruo and Zhou Cheng can talk about a lot of things, and it seems like they can't finish talking, they can always think of something, all over the world.

Finally, when the clock reached [-]:[-], Zhou Chengcheng asked An Ruo to rest first.

On Zhou Cheng's side, he also polished his study of rehabilitation medicine again...

Silent all night.

The next morning, when Zhou Cheng came to the department again, he heard good news from Lu Bin. It came from the Jin City People's Hospital. The patient he went to consult with for surgery yesterday had now regained consciousness.

Moreover, her father-in-law and mother-in-law seem to have been arrested for the crime of intentional injury and burglary. Anyway, now, it seems that the divorce lawsuit is about to come...

When Zhou Cheng heard this, he felt very happy and sad.

It was supposed to be a good family, how good it is, the husband and wife live in harmony and live happily ever after. I hope that lovers in the world will eventually get married. They are created by heaven and don’t miss the marriage...

At present, Zhou Cheng's expectations for love are quite good.

But Zhou Cheng also knows that generally speaking, two people who can get married may not necessarily be true lovers, maybe they just meet at first glance, and if they don't hate it, they can make do with it. There are still very few people who can really find a bosom friend.

Then, Lu Bin also said that the patient's mother wanted to send Zhou Cheng two catties of special chili beef jerky as a token of gratitude, which was her heart of gratitude.

She had mentioned that she would give Zhou Cheng money, but Lu Bin refused her here.

First, if Zhou Cheng wanted to take this kind of money, he would have taken it directly when he was in Jin City.

Second, if you want to get this thing, you must not use the phone. In case Zhou Cheng is reported by the recording, just gg!So, it was changed to this.

Lu Bin continued: "The soul of the beef noodles in Jin City lies in the yard. The special spicy beef is really comfortable to eat. It's so comfortable, so don't refuse, Doctor Zhou."

Zhou Cheng sighed with emotion, and hesitated for a while: "How about I buy it when the time comes?"

"It's nothing to worry about. If you give money, the other party may still be hurt. If you accept this kind of food, it may not have much impact on you. Since the family members are sincere, Doctor Zhou, don't worry about it." Say more."

"When I answered the phone, I could feel the sincerity of the old man. It was really hard to refuse." Lu Bin almost went to take the things for Zhou Cheng.

Zhou Cheng also nodded, and then planned to send one portion of this thing to An Ruo, and put the other portion in the department for everyone to eat together.

Today is Wednesday, there is nothing to do in the department, so Lu Bin still has a lot of time to chat with Zhou Cheng.

After chatting for a while about tomorrow's operation arrangement and the current affairs in the department, Lu Bin concluded: "Dr. Zhou, in the past two weeks, the number of operations in our department is really considerable. In our group, there are already more than 20 surgeries." One operation, this is what our entire department used to do in half a month."

"And at present, the patients in our department are all recovering very well. When many of them are discharged from the hospital, they ask our bed doctor for your contact information."

"Besides, Doctor Zhou, do you know that there is a patient communication group for patients. It is not easy for us to prevent patients from adding this kind of thing. Don't you know that at present, Director Tong and Director Quan are on the two groups Patients have a lot of opinions in the group."

"They all said that they very much hoped to be able to perform surgery in our group. Director Quan and Director Tong had headaches, and I also had headaches, but they still refused."

"The main reason is that I still think what you said, Dr. Zhou, is reasonable. We are a tertiary general hospital, not a specialized hospital for trauma surgery. We can't just look at fractures." Lu Bin still has a sense of the overall situation.

Zhou Cheng quickly took over the words: "The postoperative recovery effect of those patients is not bad. I have basically read them before leaving the hospital, but the postoperative rehabilitation guidance and the rehabilitation guidance after discharge still need to be paid attention to." Be careful."

"Generally speaking, it takes at least one month after the operation to throw away the crutches. It is more appropriate to throw away the plaster for one and a half months."

Zhou Cheng can only tell Lu Bin this, because he is not directly involved in the management of the bed now, he can't ask all the subordinate doctors how to talk to the patient and complete the discharge confession, but I hope Lu Bin can pay attention to it and take care of the review time off.

At that time, Zhou Cheng may not be in Changshi anymore, so if there is any problem if he is not careful, it will be quite troublesome.

Lu Bin immediately said: "Doctor Zhou, don't worry, we basically all throw away the plaster in two months, and then come back for reexamination in three months, don't dare to be careless."

Zhou Cheng came here to lead the team, so naturally he wouldn't take care of these chores.To learn things and handle other miscellaneous things well is also a basic attitude of learning.

Then Lu Bin rubbed his hands again, and asked: "Doctor Zhou, when do you think Qin Ming and I can start to practice minimally invasive fracture surgery? We have also observed more than a dozen of them, and I feel a little Itchy hands."

Zhou Cheng thought for a while, Xue Xiude watched it for more than a week, Professor Jingxing watched one, but what foundation do others have, what foundation do you have?
In the end, he said: "Director Lu, I think it's better to be on the safe side, wait until Director Lu and Director Qin Ming reset the technique and practice more proficiently before starting this operation."

"Otherwise, if you repeat the operation just because I have done the manual reset of the fracture, then it will be very difficult to complete and practice alone in the future."

Lu Bin nodded when he heard the words: "Yes, Dr. Zhou, you are quite right."

"Let's practice again, don't be in a hurry." Lu Bin was not that impatient, mainly because his hands were itchy. Seeing that Zhou Cheng's operation was so good, he felt that he should try it.

But then, Lu Bin asked another very crucial question: "Doctor Zhou, Fang Miaomiao from the ICU is very interested in transferring to our department. Do you have any ideas?"

"Doctor Zhou, in fact, I also have difficulties, the dean, and various pressures. Personally, it is really difficult for me to refuse." Lu Bin said bitterly.

Zhou Cheng raised his head and said, "Then transfer it up. Since the patient's family members have a strong desire to be transferred to our department, they should sign the transfer and go through the normal process."

Zhou Cheng can understand Lu Bin's pressure very well. This Fang Miaomiao's family background is unusual, and the family relationship is definitely not ordinary. She doesn't even need to find a relationship. Her family itself is someone else's relationship!
However, after Zhou Cheng passed Xu Kairan's words, he became more certain of one thing in his heart.

That is, you are just a doctor, don't treat yourself as a judge just because others look at people with judgmental eyes.

How Fang Miaomiao came to the TCM hospital, how she performed the operation, who she called, and what was wrong at the scene of the incident, all of this has nothing to do with Zhou Cheng. She is now positioned in Zhou Cheng's heart as a patient who comes to the hospital for treatment.

When I went to the department and my own group, I simply formed a medical relationship. One has a need for medical treatment, and the other can give her medical advice, that's all.

temporary!

It's not something you should care about, so don't get involved lightly.Add to the trouble.

To put it bluntly, even if someone cares about human life or something else, should Zhou Cheng take care of it?
From an objective point of view, from the perspective of a doctor, do a good job as a doctor. Other choices are other things.

No active participation, no active judgment, and no so-called distinction between good and evil.

But there is one thing that Zhou Cheng has kept in mind. He is a person, not a tool, not a tool to be played with by the Chinese Medicine Hospital and Lu Bin.

"Doctor Zhou, it's the best that you can speak. I'm just afraid of you, so I don't agree." Lu Bin looked overjoyed in an instant, with a smile all over his face.

Zhou Cheng said: "Director Lu, you are too serious. I came to Changshi Hospital of Traditional Chinese Medicine just to learn and communicate. Everything in this department is up to you, and what I can do is actually up to you. Pretty limited."

"It's you, Director Lu, who have worked harder."

Zhou Cheng's words were not happy or angry, and his expression was normal, but he suddenly opened a distance of [-] miles from Lu Bin.

Lu Bin's smile froze immediately.

When he was about to explain something, Zhou Cheng got up and said goodbye: "Director Lu, today's ward rounds are over, and tomorrow's operation arrangements have also been made. I still have some other things to do, so I'll go back first." gone."

"The things in the department, you have to work harder, Director Lu."

The division of labor is clear, and doing your own thing well is Zhou Cheng's mentality for Lu Bin now. Don't think that our relationship is so good, it's just a normal working partnership. You can use me once.

However, next time, if you want to use me as a tool again, you may not be so easy to talk to.

In fact, Zhou Cheng came here out of sincerity.

In the emergency room, Lu Bin called himself and asked for emergency consultation and surgery, which is understandable, but this time, Fang Miaomiao transferred matters in the department and asked him to go to the ICU for ward rounds. Lu Bin himself could not answer. Overcome pressure from other sources.

Let Zhou Cheng do these things, Zhou Cheng wants to draw a clear line with Lu Bin.

Lu Bin can stand it, and Zhou Cheng doesn't mind having another good friend. With him, at least, when he made a choice, he stood on an objective point of view, but he didn't stand it, which proves that Lu Bin is standing From the angle of the favoritism.

The director of the ICU can ask strongly, but Lu Bin can reply strongly.

Zhou Cheng is the instructor in the department, not a doctor, emergency consultation surgery, it is a friendly help, as for running a routine consultation, this is completely nonsense.

Who TM will let the experts and professors from above go to run regular consultations?
Is someone else here to be an instructor or to be the chief resident of your department?

Of course, Zhou Cheng also knows that it is not easy for Lu Bin, but your difficulty is yours, and it is not easy for everyone. When faced with many things, you have to make your own choices. My choice was originally very pure. Do a major together, do a good job in the department together, and can do projects and teach together.

Learning from each other, sitting in outpatient clinics, recruiting patients, and performing operations are all purely professional things.

but?
Anything else belongs to other topics.

"Director Lu, I'm going back first." After finishing speaking, Zhou Cheng said goodbye to Lu Bin politely!
"Doctor Zhou. Me." Lu Bin hurriedly stood up!
Zhou Chengcheng shook his head with a smile at Lu Bin: "No need to give it away, Director Lu."

We are all adults. Everyone will make their own choices and be responsible for the choices they make. There is no right or wrong. It just depends on their own principles and bottom lines. You should not touch the lowest point of others, and neither will I. Will dig your lows.

Zhou Cheng gave Lu Bin a lot of face.

It wasn't until Zhou Cheng left the office that Lu Bin's expression became cloudy.

He could feel Zhou Cheng's indifference in getting along with him, and after thinking about it for a while, he also felt that he had done nothing wrong.

There are gains and losses, this is an impossible thing.

Zhou Cheng is Zhou Cheng, he is not in the circle of Changshi, so he doesn't have to deal with those bad things, he is in the middle of the game, but he can't be an outsider.

He had to make a choice, and if he made a choice, he would offend one party. Originally, Lu Bin thought that Zhou Cheng might not be aware of it. Perhaps, he could use his words to ease the embarrassment. After all, getting along with Fang Chujun, then It will be more troublesome.

But thinking about it now, Zhou Cheng's place is the most difficult one!
If everyone is doing things within the principles, mutual tolerance and understanding, that's easy to say.

But if you cross that line, then Zhou Chengcheng won't tell you too much, and everyone is safe, and you can never cross that line again, and everything will be in order.

In the future, when I had an emergency consultation and called Zhou Cheng again, Zhou Chengcheng might not come.

In the future, maybe not so much later.

Zhou Cheng didn't take this matter to heart.I just went back home and continued to write some things. Zhou Cheng had a lot to write, including the teaching theory and the hierarchical treatment of orthopedic diseases and skills.

There is also the basic anatomy theory, which must be perfected.

With all this time, if I don't do such serious things, how can I have the time to accompany you Lu Bin to receive some big shots and engage in sophistication?
Yes, you, Lu Bin, can't escape this. That's your business. Now, through my own efforts and relationships, I can temporarily ignore this. That's my business. I have this foundation, and this is mine. Confidence and resources!
I can have the qualifications to ignore the so-called sophistication in Changshi.

This is a truth taught to me by my teacher, his name is Gui Yuanping.

His writing is fireworks.

Not to be troubled by common affairs is also a kind of pyrotechnics.

(End of this chapter)