medical simulator

"Zhou Cheng, you took the mid-level professional title exam yesterday, did the result come out?" On the second day after Zhou Cheng finished the mid-level professional title exam, An Ruo asked even more anxiously than Zhou Cheng.

The intermediate professional title is actually the professional title of the attending physician.

"The exam was just yesterday. How can the results of the exam come out so quickly? However, there is no operation test for intermediate professional titles, and all of them are computer-based exams. It should be no problem." Zhou Cheng replied, still in a good mood.

"When you sent me a message in the morning, I was still in the outpatient operating room. You seem to be very happy today?" An Ruo also felt that she might be a little too anxious, so she changed the subject and asked.

"Well, Fang Miaomiao, the limb transplant I performed in the department, can walk on the ground now." Zhou Cheng nodded, and his mood began to get excited.

"This is my first trial case. Fang Miaomiao was able to recover, which proves that this theory is okay and works." Zhou Cheng's tone also became quite excited.

It can be said that the importance and difficulty of Fang Miaomiao's replantation of amputated limbs is far from comparable to the previous small incision open reduction and internal fixation of fractures.

To be honest, open reduction and internal fixation with small incisions for fractures targets a larger group and affects more patients, so people who love beauty can pursue it.

Then, Fang Miaomiao's limb transplantation will be a blessing for a small number of extreme patients!

What kind of patients will face amputation?It must be amputation when life is extremely dangerous. Ordinary patients, can they still start with amputation after entering the hospital?
"How to say? I think the influence should not be as good as the few projects you conducted before?" Although An Ruo was also happy for Zhou Cheng, she was not a professional in orthopedics after all, so she couldn't fully understand the importance of it. sex.

"Could it be that after amputation, replantation of severed limbs will still be a routine?" An Ruo asked based on his own understanding.

"No! An Ruo, this operation is not understood in this way. Severed limb transplantation, this is the only way out. The main thing is the application and understanding of this operation."

"Think about it, why did the previous patients have to amputate their limbs? It was a large-scale injury, which caused damage to blood vessels, nerves and other structures, which led to a very high possibility of necrosis of the lower limbs. In order to avoid limb necrosis, reperfusion injury endangers life."

"That's why amputation is required to save lives. However, since the concept of amputated limb transplantation is established, then, for these patients, with the assistance of existing equipment, it is basically unnecessary to perform amputation. gone."

"And, for some patients with severed limbs, the time window for replantation of their severed limbs will be further expanded!"

"For example, if a limb can be replanted within 24 hours, then it may be possible to replant in 48 hours or even longer." Zhou Cheng carefully explained its application to An Ruo.

Fang Miaomiao's case is the first in the world. Although the Changshi Hospital of Traditional Chinese Medicine has not reported it in the news, it does not mean that Zhou Chengcheng really doesn't pay attention to her.

It's just that the angle of attention is different. Perhaps Fang Chujun and Fang Miaomiao think that Zhou Cheng should be valued because of her identity, but Zhou Cheng is more concerned about the meaning behind this operation.

Based on the case report of this patient, Zhou Cheng has temporarily handed it over to Professor Ding Changle and Professor Lei Zhong of the Affiliated Hospital of Hunan University, hoping to remind the National Health and Health Commission through the Health and Health Commission of Hunan Province that it needs to pay attention to such a matter.

The doctor treats the disease, and the Chinese medicine cures the person.

A surgery, no matter how exquisite it is, is not a good professor if you can't find a theory and an effective method that can be repeated by others.

It can only be said that a good doctor, based on medical records, puts forward theories and promotes them to the public. This is what professors, scientific researchers, and people who do research projects should do.

However, An Ruo also frowned tightly, and asked: "Zhou Cheng, I have heard of Fang Miaomiao's surgery. Didn't you use several dialysis machines?"

"The cost of this operation is very high. Even if this operation can be carried out routinely, the cost is not affordable by ordinary people?"

The dialysis machine costs a lot for one dialysis, and Fang Miaomiao is in a long-term dialysis state, so she was able to keep her lower limbs. Who can afford such an ordinary family.

Zhou Cheng frowned slightly when he heard this: "The question about the cost is indeed a big problem. After Fang Miaomiao's overall surgery, the medical expenses in Changshi Traditional Chinese Medicine Hospital are more than 80."

"If it is done in a higher-level hospital, it may be even higher."

"However, it is reasonable to have such an operation first, and then slowly find a way to lower the price of the operation. This matter, unless the state-owned dialysis equipment can be mass-produced, otherwise, our doctors will not be better Way."

"Then, can your friend's company imitate this dialysis instrument?" An Ruo asked again.

She also considered for Zhou Cheng, if Zhou Cheng's new technique can be served by a wider audience, then Zhou Cheng's promotion will be greater.Even, this severed limb transplantation can allow Zhou Cheng to be recorded in the medical history annals in advance.

Minimally invasive internal fixation of fractures is only a cosmetic operation, and it cannot improve the quality and leap forward in promoting medical progress. However, such amputated limb transplantation is a topic that can promote medical progress.

Zhou Cheng shook his head: "Not yet, the technical level cannot be achieved. This requires the cooperation of the manufacturing industry, which is actually the limitation of manufacturing technology."

"You should know that the principle of dialysis in the medical field has already been published, but how to make this thing is a bit embarrassing."

"However, no matter whether this thing can be manufactured or not, for the future limb salvage surgery, we can still find a way to control the cost of a few dialysis."

"New techniques and concepts should be created first, and then think about cheapness and wide distribution. This is the truth."

"That's true." An Ruo nodded slowly, with her legs crossed, she pulled the corner of her pajamas a little, covering her thighs.

"Then? What happened to the debridement operation you had last time?" An Ruo asked again.

"The result is not bad, there is no re-infection. After pulling out the irrigation tube, the wound heals well now. Director Quan Zhuolin in the department is also very convinced of me now." Zhou Cheng laughed.

This debridement is Zhou Cheng's first attempt at debridement after he completed his basic anatomical theory. The effect is very good. Only after the bacterial plaque in the potential cavity can be cleaned can a complete debridement be achieved. the concept of.

For the treatment of post-traumatic infection or post-operative infection, the principle cannot be shaken for the time being, that's it.

Thorough debridement, the use of sensitive antibiotics.

However, if this basic theory comes out, then Zhou Chengcheng can change the content and details of the principle, and revise the standard for thorough debridement.

And this modification, to a certain extent, is actually a modification of the principle!
And this kind of modification will not only affect Zhou Cheng's clinical operation methods in the future, but may also affect the formulation of guidelines for debridement and suture by the Huaguo Health Committee, and even the revision of treatment guidelines abroad!
Such things are called big subjects and scientific research.It will promote the development of overall medical care, and only in this way can it be introduced to the whole world, which belongs to the standard of China.

Huaguo standard = world standard.

I changed the standard directly, how else can you play?
In the past, in many cases, the reason why Western modern medicine was ahead of Huaguo was because of their scientific research level, they were the revisioners of the treatment guidelines, at least they affected the main target of the revision of the treatment guidelines!
"I think you call it a dimensionality reduction strike." An Ruo sniffed, a little aggrieved.

That’s right, Zhou Cheng’s understanding of the basic anatomical theory is completely different now. This is not a blow to dimensionality reduction, not to mention him, Zhou Cheng, but himself, who just took away the tip of the iceberg of Zhou Cheng’s basic anatomical theory .

Now it is already in the outpatient operating room, which is quite important. Even the deputy director of the anesthesiology department in the outpatient operating room is consulting with her on segmental anesthesia and precise anesthesia, hoping to cooperate on a project.

But An Ruo hasn't agreed yet.

This is Zhou Cheng's stuff. This is a heavy weapon that Zhou Cheng should stand up to become famous in the world. On the world stage, he will give everyone a hard blow. How humble.

Well, yes, this is what Zhou Cheng is famous for.

If it is said that a doctor's degree is a thing for a doctor, then open reduction and internal fixation with small incisions for fractures is a thing for life.

A doctorate can help you find a good job, learn good technology, and support your family.

Small incision open reduction and internal fixation will allow you to find your own position and know your mission.

And such a basic anatomical theory, the representative level, is not simply an individual, it is the comprehensive national strength among countries, and the competition of scientific research circles in different countries.

This is a huge and free stage. On this stage, fancy spells will not cause widespread fluctuations, because they are just applications and derivatives of the basics.

What can break the defense of the entire discipline and destabilize the status system of disciplines in different countries can only be basic things.

What about a basic technique, even if it is the first in the world?

The United States, as well as developed countries such as Australia, have no shortage of new surgical procedures, the world's first such surgical procedures and precedents for case treatment. You are still behind others.

But the foundation is different. The more you understand basic things, the more you can use your perfect dancing skills on this basis to attack other countries with reduced dimensions!

"Looking at your smile, you seem to have tasted the sweetness." Zhou Cheng suddenly joked.

When An Ruo heard this, her face swished, and she turned red. She looked left and right, but couldn't find a pillow, so she started waving her fists.

After a while, he hummed and said, "You have a wicked heart and no courage, hum. Don't always make fun of me."

An Ruo began to feel a little uncomfortable.

The last weekend, An Ruo flew to Chang City, the two of them hugged each other on the bed for the first time, but they hadn't reached the final critical step, but both Zhou Cheng and An Ruo knew that they were not far from that step. Far.

Maybe it's the next meeting with the next time.

Although I made up my mind, but if I really want to say it, boys are naturally thicker than girls.

"What are you talking about? Why can't I understand? It seems that I should tell you this theory first. Professor Su Guoyuan even called me personally and said yes, at present, the Ninth Hospital of Shanghai Magic City may directly send you I'm staying in the hospital, I hope you can carry out the subject of precise anesthesia in the department." Zhou Cheng was serious, and didn't feel that his previous words were a pun at all.

"It's because you have a wicked heart but no guts. Don't wrong me. That's not what you said before."

"It's you." An Ruo pointed at Zhou Cheng, not allowing Zhou Cheng to change the subject.

Now she is not the little girl she was before. She is especially afraid of Zhou Cheng, and has a sense of inferiority in front of Zhou Cheng. In the process of getting along gradually, she can already see some things calmly.

When two people get along, it is the feelings and feelings of two people, not that one person's achievements must match the other person, just don't be left too far behind and can't talk.

"Why are you still in a hurry? Has the previous paper been published?" Zhou Cheng asked again.

An Ruo was working on a project with Professor Su Guoyuan before, and it was already a draft.

"Fuck it, the impact factor is not high, it can't be compared with you. It's you." An Ruo pointed at Zhou Cheng again, who was extremely cute and had lively eyes.

"What's the matter with you now, An Ruo, why don't you keep talking about shame?" Zhou Cheng heard that An Ruo's article had been published, and started talking again.

Zhou Chengcheng discovered that this person, after falling in love, for the first period of time, was all serious.

Then, just before the final kick, the mentality of both of them will change. They always feel that there is an unknown fire burning in their hearts, and they can't control their emotions.

An Ruo also felt a little bit like this, she was shy, and of course she still had expectations.

Two single mothers and fetuses with no experience in love began to move around.

No wonder Yang Yifeng couldn't control himself...

"Ah!~"

An Ruo exploded, and started beating violently with his fists, then calmed down, and began to pretend to be weak: "Zhou Cheng, let's stop talking about this topic, okay?"

"Okay!" Zhou Cheng also nodded.

An Ruo stroked his emotions, and then asked: "Zhou Cheng, then there are four subjects you have to conduct in Changshi? Can you be busy?"

"Do you want me to come to Changshi and help you with a project?" An Ruo asked.

Zhou Cheng plans to preside over four of the subjects he will do in Changshi.

Basic anatomical theory, educational theory, and then the clinical topic of replantation of amputated limbs, and a small topic of precise anesthesia that is planned to be jointly done by the Department of Orthopedics and Anesthesiology in Chang City.

Of course, the depth of their work on such a subject is completely inferior to what An Ruo is doing now.

"Can you come?" Zhou Cheng used to think that it was no big deal to go to another place, but now, he found that when An Ruo wanted to talk about coming to Changshi again, Zhou Cheng became irrational.

But in fact, the two of them have been separated for less than a month.

"Can I come?! The current policy is good." An Ruo immediately nodded like a chicken pecking at rice.