medical simulator

When An Ruo came back, her face was covered with oil, and the palms of her hands were also stained with oil, but the oil stains in her palms were not ordinary cooking oil, and they were not greasy, they just looked glowing.

An Ruo squeezed her own hand as a little paw, and asked Zhou Cheng: "Look, is it scary?"

Zhou Chengxin said, girl, our skin is actually pretty good, there is no need to do all these things, but An Ruo defeated Zhou Cheng academically.

According to incomplete statistics, after the age of 25, the quality of the skin of girls will decline, so it is necessary to start maintenance from this time, otherwise it is easy to get wrinkles and spots, and even take out the article. "You It's even more exaggerated than the oil-faced man, isn't it uncomfortable to apply?" Zhou Cheng asked, also curious.

An Ruo also asked him if he needed to apply a mask, and also said that good skin care products for boys are more expensive than girls.Zhou Cheng disliked trouble, so he naturally ignored it.

"It's uncomfortable, my face is full of oil, but I can't help it. I don't want to grow old, so I can only waste money. Look at those well-maintained celebrities, walking there, they all look like a girl's face, But they are actually walking RMB.”

"You don't think I'm annoying or vulgar, do you?" An Ruo tilted her head and rubbed her hands together, putting them on her chest like a surgeon after washing her hands.

"No, absolutely not. The love of beauty is an instinct. Everyone has the right and freedom to love beauty." Zhou Cheng told the truth, and then said:

"In fact, I also think that it would be a pity if there are too many shifts with such a pretty face."

An Ruo sometimes asks Zhou Cheng some boring and beyond-knowledge questions, for example, is it better to buy eye cream at this price or another one?
I'm sorry, Zhou Cheng really doesn't know, and he doesn't really want to waste time delving into this aspect, so he can only shake his head and let An Ruo be self-reliant and make his own choice in this aspect.

"Hee hee." Hearing that, An Ruo was very happy, and flashed her little paws again.

"I'm applying oil, and I will apply a cleansing mask later, as well as a regular water-retaining mask."

After An Ruo finished explaining, she said helplessly, "Zhou Cheng, you know, actually, I also think it's troublesome to do this, and it's a waste of time, but time is not forgiving."

These words, from An Ruo's mouth, seem very strange, you are only 26 years old, big sister.

Zhou Cheng didn't continue the topic, but turned around and asked, "You're going to the outpatient operating room tomorrow, do you feel nervous?"

Last week, Professor Su Guoyuan talked about this issue to An Ruo, and Zhou Cheng wanted to ask An Ruo about his final psychological state, to see if he needed to do psychological construction or something.

An Ruo's expression immediately raised: "It must be a lie to say that you are not nervous, but there is no way, Mr. Su doesn't want me to follow him anymore, so I have to follow the schedule arrangement and go to the outpatient operating room for a period of experience Slightly."

A nonchalant Versailles.

An Ruo, it took less than half a year for her qualifications to improve, but over time, the self-confidence it brought to her was stronger than what she had built up in the past many years.

"How are you? Tonight, what kind of food are you eating? Is it still rice bowl?" An Ruo didn't seem to want to dwell on the topic of going to the outpatient operating room tomorrow.

"No, I went to the farmhouse, the local duck, the taste is not bad, next time we have a chance, we can go to check it out together."

"Then I drank some wine today. Because of what happened last time, I suddenly discovered that the attitude of the people in the department has changed towards me." Zhou Cheng put away his notebook and chatted seriously with An Ruo.

An Ruo quickly understood what Zhou Cheng was talking about, frowned, and said, "This incident didn't have any negative impact on you, did it? I checked that there are only 76 people in the country. Looks like 77."

Speaking of this, An Ruo was a little worried for Zhou Cheng. A person of this level is not easy to provoke. He is not afraid that he will put on small shoes for Zhou Cheng, but he is afraid that he will be serious about Zhou Cheng and suppress every detail. Development is particularly unfavorable.

If this matter becomes serious, Zhou Cheng's stay in the country will not be smooth, and once An Ruo wants to go abroad for development, it will be difficult for An Ruo to decide whether to stay in the country or go abroad with Zhou Cheng.

"There is no special influence for the time being, alas!
When love is crowded together, there is always a trade-off. Zhou Cheng also sighed.

It's not that he has to be stubborn and fearless of power or anything, it's just that everyone's social position is a person, and a person is a social relationship. If you really want to prioritize, it's difficult, and saving lives comes first.

However, in terms of first-come-first-served, he and An Ruo have been preparing for so long to go home, and when they both arrived at home, they immediately yo-yoed. Zhou Cheng is currently not in the establishment, not in the system, not in the job position, could it be that he doesn't even have time to rest? Can't have it?

Zhou Cheng didn't feel that he had done anything wrong, and he still chose to do it again.

Then, Zhou Cheng smiled again and said: "That person didn't say anything, but a family member who I had emergency surgery before was very annoying."

Zhou Chengcheng asked Fang Miaomiao's mother, Director Quan, to call him and told him to tell him about going to the department tonight.

Zhou Cheng said: "Maybe earlier, it's not that I can't go to the department, but after drinking, I can't go to the clinic. This is a matter of principle, and it is also responsible for the patient. I don't want to break this precedent."

"If this time, I went to the ward to see a patient after drinking, then next time, I might have surgery while drunk, and the next time, I might even have surgery while drunk."

"Rules are rules."

After Zhou Cheng finished speaking, without waiting for An Ruo to answer, he took the initiative to say: "Of course, I can understand them from the perspective of the patient's family. They value me and hope to find a better doctor to make ward rounds for their family members.
It is human nature that better doctors perform surgery. "

"Thinking differently, if it was my family, I would use my own social connections at all costs to ask for a better doctor to treat my family, so that I would have more confidence in my heart."

"I will also make phone calls when it is inappropriate."

Only then did Zhou Cheng speak out the most sincere thoughts in his heart, and then returned the words to An Ruo.

An Ruo originally planned to intervene in the middle, but now hearing what Zhou Cheng said, An Ruo couldn't seem to find a more suitable sentence to answer Zhou Cheng's words.

After more than ten seconds, An Ruo said: "So, clinical practice is very difficult. We doctors target a lot of patient groups."

"Perhaps, in the eyes of that person, or that family member, they just called you once, and only once, you don't need to spend much time. But how can they think of how many people you are facing? ?”

"My own teachers are all from the anesthesiology department, and the information is good, but I heard that there are well-known professors who can't finish the daily information and phone calls, and some even return after a week. Really It's not Gao Leng!"

"There are too many things, too many patients to consult, and inquiries from various social relationships." "How many people are you in contact with now?" An Ruo rolled her hands.

Zhou Chengbi drew out his right index finger: "One, here." Then he pointed to An Ruo.An Ruo was stunned for a moment, a little shy, but her face stopped blushing.

And he rolled his eyes at Zhou Cheng: "I'm serious with you."

"Then An Ruo, what do you mean I can get in touch with several more?" Zhou Cheng continued joking.

An Ruo suddenly laughed angrily, and threatened: "I have several brothers, you know very well, if you think you can beat them, you can too?"

An Ruo shook her head left and right, and began to show off.

Zhou Cheng's expression immediately began to calm down. After thinking about it, he decided to forget it, so he brought the topic back to the right path: "An Ruo, I'm asking you a question that has no answer."

"Do you think my choice this time is right or wrong?"

"After all, as far as I am concerned, in fact, after drinking, before I am drunk, I go to the department to see patients. As long as no one reports, nothing will happen."

"And take a look. As the chief surgeon, I can also give the patient's family members peace of mind. For me, it will not increase a lot of workload. On the contrary, after I go, I can still have a hidden personal relationship."

An Ruo shook his head: "But we can't just rely on luck for everything to be fine? What if we are reported?"

"Even, in case the unknown
Did other family members report it?You can't tell. Zhou Cheng nodded and said, "So wine is not a good thing." "

"Drinking is actually a kind of culture. Some people love wine. Aren't you men like drinking and eating meat, chatting and bragging?" An Ruo asked.

"Who did you listen to?" Zhou Cheng felt that An Ruo was biased.

"On the Internet, in TV dramas." An Ruo randomly found an example.

Zhou Cheng thought for a while and said, "When I first drank, I drank recklessness, loyalty, and formality. But now, I think that when I drank, I drank friends."

"Then I also heard that after drinking to a certain level, what you drink is life. My life experience is so long, so I can't taste it."

"Oh, by the way, there is another kind of wine, which is also very good, a cup of wine, a quilt wine" chatting, talking about everything.

They chatted on time until [-]:[-], and the two hung up the video.

An Ruo went to sleep, and Zhou Cheng also lay on the bed, turned off the light, and calmly analyzed what he had experienced in the past few days.

Zhou Cheng didn't know if it was a deliberate arrangement. He felt that the three cases he encountered recently were very special. His own choice seemed inexplicable, but each had its own reason.

Regarding Fang Miaomiao's matter, I chose to pass Xu Kairan and save her lower limbs.At that time, where I was standing, I was just an ordinary doctor.

Then when I went to Jin City, I chose to go to the emergency department, and I chose the role of a more enthusiastic doctor.

But when that person called me, I chose to become an ordinary person.

Speaking of these things, they have nothing to do with each other, but in fact, medical resources are still limited. If we say that the doctors in Jin City People's Hospital are all very good, I don't need to go to Jin City at all.If it is said that his ability is average, then Xu Kairan will not stop him at all, and no one will call him.

The sinking of teaching and medical resources must be experienced. This road is very long, and it may be unimaginable.

May everyone in the world be like a dragon, but how can everyone be a dragon?
The next day, in the morning, Zhou Cheng still got up very early and didn't go for a run. Instead, after sending a message with An Ruo, he rushed to the department at around seven o'clock.

A doctor will never be the judge of good and evil. From an objective point of view, the most important thing is to do his own job well.

There may be something wrong with Fang Miaomiao's medical procedure, but it is not something that he can control. Zhou Cheng will not choose to ignore and avoid it because of this. Similarly, he has done it, and will not change it again because of her background. The medical procedures and responsibilities you face.

Since you have chosen the freedom of choice, you must not be blinded by the veil on the surface, and feel that you are the master of life. This kind of thinking is absolutely unacceptable, and you must respect life Heart.

Whether it is a death row prisoner or whatever, before he is placed in the final punishment, he is a living life.
When Zhou Cheng arrived, Fang Miaomiao's ward was peaceful.

Zhou Cheng knocked on the door lightly, but no one answered, and then Zhou Cheng knocked harder.

Then I saw a middle-aged man with a square face, wearing a coat and formal attire, opened the door: "Who are you?"

Most of the time in the hospital, Muyin was with him. He knew Zhou Cheng existed, but he didn't know what Zhou Cheng looked like.

"Hi, I'm Zhou Cheng. Because I'm going to the outpatient clinic today, I'll come and see Fang Miaomiao in bed 43 in advance. Are you her?" Zhou Cheng was very polite and didn't rigidly treat Fang Chujun as Fang Miaomiao's. Father. "I am Fang Miaomiao's father. Doctor Zhou, please come in." Fang Chujun was overjoyed when he heard this, and quickly invited Zhou Cheng in.

Then inadvertently, I looked at my watch, and the time only pointed to five past seven.

While leading Zhou Cheng inside, Fang Chujun shouted in a low voice: "Miao Miao, Miao Miao, Doctor Zhou is here to see you, wake up first."

Following the sound, the pale girl lying on the hospital bed opened her eyes, her
His eyes were bloodshot, his face was bloodless, and his lips were pale.

One set of her blood purification equipment has been dropped, and another set of blood purification equipment is still running. The vital signs on the monitor are quite stable.

Fang Miaomiao tilted her head weakly, and didn't know Zhou Cheng. She just heard from her mother that there is a very powerful doctor Zhou here. It is thanks to him that she can keep her legs, but she has never masked her face.Fang Miaomiao wanted to speak, but Zhou Cheng waved her hand.

"You continue to rest, I will check your situation first. You just need to rest quietly."

Zhou Cheng first observed the vital signs, and then recalled Fang Miaomiao's corresponding blood draw indicators, which he had already had an impression in his heart before he came to make rounds.

Fang Miaomiao continued to stare at Zhou Cheng.

Zhou Cheng then ordered: "Can you move your hands? Just move it casually." Zhou Cheng wanted to make sure that the movements of Fang Miaomiao's upper limbs were normal.

Fang Miaomiao shook her hands from side to side, and then squeezed her fists. It was just this movement that would press the quilt down, probably because she was shy and afraid that Zhou Cheng would lift the quilt.

Zhou Cheng looked at it and nodded: "Okay, do you feel your lower limbs now? Or, what kind of existence is it?"

"Phantom limb, numb, hot, or non-existent?"

Phantom limbs are amputee patients who feel that their amputated limbs have always existed, but in fact, they have already been amputated.Fang Miaomiao had experienced amputation, and although she was transplanted back, she might not feel like a phantom limb.

"I can't explain clearly. It feels heavy, but I don't seem to feel it. I want to move, but I can't. I can't even feel the existence of my feet." Fang Miaomiao tried her best to talk about her feelings in a low voice and intermittently.

Zhou Cheng nodded, and then pinched the corners of the quilt on Fang Miaomiao's hospital bed, exposing only the knees and below. His fingertips slowly slid down from the tibia, which was also part of the pathological examination.

But Fang Miaomiao didn't know, she didn't respond!
Zhou Cheng asked again: "Can you feel it, my fingers?" Fang Miaomiao shook her head: "I don't know, I don't feel it."

"Move hard by yourself, and then recall the movement of raising your toes before." Zhou Cheng said again.Double lower extremity transplantation is an easy operation, but postoperative recovery is a big problem. Zhou Cheng thinks that his operation process will never go wrong, but whether the operation can be restored to the pre-operation state, can he recover? How much, Zhou Cheng has no idea.

If the nerve dies or loses its function, even if it survives after surgery, it will shrink due to disuse.

Fang Miaomiao remained motionless.

Zhou Cheng didn't fluctuate in his heart, which is not surprising, then carefully covered her quilt, and turned to look at Fang Chujun: "Wait a minute, after the house inspection, you ask the child's mother or the nurse at our nurse station , starting from the toes of the lower limbs, all the way up."

"Be sure to find a position with a sense of touch and temperature, and confirm it before and after. This is very important for the control of the disease. I am a male doctor, so it may not be convenient."

Although there shouldn't be too much embarrassment between the doctor and the patient, Zhou Cheng could see that Fang Miaomiao was very concerned about it, and her operation of pressing the quilt proved that she was very disgusted.

"Okay, Doctor Zhou, isn't Miao Miao's current situation very pessimistic?" Fang Chujun hurriedly asked in a low voice.

Zhou Cheng replied: "That's not it. At present, you can see that the body temperature of both lower limbs is normal. Although there is no sensation or movement, there is no necrosis, pressure sores, etc., and the blood supply is also very good, which proves that it is still healthy. alive."

"As long as the limb is still alive, you can still think of a way."

"When you are taking care of her, you must pay attention to the problem of pressure sores. In addition, you have to assist her in some functional exercises, which can reduce the speed of her muscle atrophy and increase her sense of movement."

"It can also prevent venous thrombosis to a certain extent." After Zhou Cheng finished speaking, he turned to Miaomiao and said.

"Rest well, don't think too much, eat hard, eat more high-protein foods, and adjust your mentality. It's very important. You can't say, you can still restore your pre-operation appearance." Zhou Cheng gave Fang Miaomiao a certain heart
Consolation, this is to let the patient have confidence first.

Fang Miaomiao's eyes lit up, and she nodded.

Then, Zhou Chengcheng and Fang Chujun walked out, went to the door, closed the door, and after walking for a while, said: "Father Miaomiao, it's like this. The current situation may not be particularly good, but I can't treat Fang Miaomiao like this." face to face."

"You also know that her legs were rescued."

"However, it can't be said that it's bad, that is, her activity is still there. Then, as long as the activity exists, we can still find ways to do it later, such as nerve transplantation and nerve transposition."

"Nerve repair is a very long-term process, and there may be no effect in three months, but at present, we must first ensure the activity of both lower limbs. This is equivalent to another kind of resurrection, and the effect will not be seen so quickly. "

"So, you want her to have consciousness and activities now, which violates the objective law of nerve growth. I can understand your feelings as family members, but at this point in time, all we can do is wait. .”

"Because what I told you before are all alternatives. Whether it's transplantation or transposition, they are not as suitable as the original nerve. We have to give Fang Miaomiao a chance."

When Fang Chujun heard the words, he probably understood what Zhou Cheng meant.

"Doctor Zhou, what do you mean to say, it's better to save this original nerve first, and not move it first, wait for a while, if the effect is really not visible, then find another way?" Fang Chujun's summary and Comprehension is very strong.

It is more comfortable to communicate with such a person: "It's like this."

"We can still look forward to it, so during this waiting process, what our doctors can do is actually limited, but I will always pay attention to it."

"Before, Fang Miaomiao was always in the ICU. As you know, the ICU is a relatively closed place. The more people go there, to a certain extent, it will only make the patients in the ICU worse. Can't do anything."

"I can't, I didn't even give a chance, and I chose the second option directly. This is our doctor's irresponsibility."

Fang Chujun nodded: "I understand, Dr. Zhou, you have worked hard. I will explain all these. We will cooperate with everything you have explained."

"It's actually like this, Doctor Zhou, you see, my wife and I are busy, and my father is older. Tell me, if I hire a more professional nurse, will it work better? "

Zhou Cheng heard that it was difficult to give advice: "It depends on the individual, and a very careful and patient person is needed."

The current situation of Fang Miaomiao is not far from being paralyzed, so it definitely needs to be taken care of. It is difficult for Zhou Cheng to judge who can do better, the family members or the nurses.

If the nursing work is not done well and it is easy to get infected, it will be disastrous.

However, it is impossible for the doctors and nurses to have so many resources to go to the bedside to guide the nursing in person, which is unrealistic. "Okay, Dr. Zhou, thank you for your hard work. You see that you still have to go to the outpatient clinic, and you still have to make a trip so early." "But you can come, I really feel at ease in my heart." Fang Chujun's tone was very tangled .

While talking, Muyin and Fang Miaomiao's grandfather also came to the ward. When they saw Zhou Cheng, their eyes flickered, and there was a hint of displeasure at first, but then they restrained themselves and hurried forward to ask.

Zhou Chengcheng said: "It's like this. I have explained Fang Miaomiao's situation clearly to her father. You can communicate with her. I still have to go to the outpatient clinic. If you have any questions, I will definitely come every working day. Ward, communicate with me anytime."