medical simulator

After a while, several bed doctors rushed to the doctor's office rather depressed.He gave Zhou Cheng a gloomy look.

He muttered in a low voice, "Why are there so many things in this orthopedics department? Qingshui Yamen, right?"

Nothing else, when the resident doctor is in charge of the bed, he is also particular about what medicine he prescribes. If he prescribes well, he can get a good commission.Some people, if they can't keep their hearts, may prescribe medicine in violation of regulations.

Necessary things, such as surgical antibiotics, painkillers, etc., are understandable, must be used, and are good for patients.

Prescribing protein powder or albumin infusion to some patients with normal diet is like prescribing a pair of crutches to patients with normal hands and feet. Isn't this purely disgusting?

Zhou Cheng knew that he looked quite young, and other people might think that he couldn't control things.

However, if you are not in your position, you will not seek your own government.Now that I have set up this general hospital, I absolutely do not allow anyone to make my ward dirty.

"Don't think that I'm busy. If it's arranged by the superior doctor, it's okay. Just give me a call and I'll call. I'm not afraid of too many things."

"I will explain to the superior physician in your group. If the superior moves out of the way, I will apologize, and I will explain to the professor leading the group myself." Zhou Cheng said firmly.

"You must not wrong yourself, you were wronged by me."

Before asking someone to change the doctor's order, Zhou Cheng had read everyone's examination results.

Can protein powder be used in orthopedics?

Of course, clinical practice is not a place where rules and regulations restrict death. Protein powder has an indicator for use. If the patient’s albumin is less than 30, then don’t give it to the patient, and wait for him to dehydrate and die?

Waiting for the wound to ooze and become infected?
That can't.

The albumin above 35 can be given orally to patients, which is feeding pigs.

Zhou Cheng still didn't believe that there would be such a doctor's order from his superiors. He had never seen money before!

No one answered.

Zhou Cheng continued: "I don't care what rules you have before, anyway, our ward is like this, there are not so many rules, but it doesn't matter that much."

"I'm going to say this first. If you insist on giving the patient's doctor's order in private, the higher-ups will check it out. You are responsible for how much performance will be deducted. I will do what I say."

"If you feel that you are capable enough, I am also enlightened. You can ask your superior doctor to find a way for you, as long as you have the ability."

"I'll pay you all the money."

Rewards and punishments go hand in hand, if there is really someone with good strength and good skills who can help Zhou Cheng with things, Zhou Cheng is not afraid to ask someone to do more things for him.

If you don't have the skills and feel that the treatment is not enough, you are just a student.

Who didn't survive like this?
If you can bear it, you can endure it, if you can't bear it, you should change your career as soon as possible, this is Zhou Cheng's consistent principle.

Finally, when they saw that several people had revoked their respective medical orders, they left a little angrily, probably going to gossip about Zhou Cheng in private.

But Zhou Cheng ignored it.

The thing is that.

Either cheat the patient or offend the colleagues, it is impossible to have both.

It's not always hospitalized, so you don't have to be this villain.

Zhou Cheng would not treat the patients as his mothers and fathers, but he would not treat them as irrelevant people either. He was always hospitalized.

Before he was always hospitalized, Zhou Cheng couldn't care so much about the life and death of other patients.

Manpower is limited.

"Ms. Zhou." Wang Huan walked over from another part of the office at this moment, and said, "Can I have a look at the orthopedic medical records? But I don't have a doctor's order or a medical record account."

"Oh, please remember my work number. 51015, the password is XXXXX, you can create a sub-account, or you can directly use my account." Only then did Zhou Cheng remember that he did not give the account to Wang Huan.

"Okay, thank you Teacher Zhou." Wang Huan immediately

Say.

Zhou Cheng looked around and found no discharge medical records piled up, so he said: "The orthopedic medical records, the first thing you need to read is the informed consent form for surgery. This is the best learning material for you to get started. It is not a disease. .”

"Although most of the surgical informed consent forms are now templates."

"But the template is condensed from the essence. You can think about it carefully first, and step on the threshold of sports medicine without rushing."

"Peng Lingli?" Zhou Cheng asked.

Wang Huan quickly said: "Brother Peng said he found a few typical cases, and he read the book first when he went back. He also told me about these cases, but I think it's better to read the medical records first."

Zhou Cheng nodded: "Peng Lingli's foundation is better than yours. Your learning curve is not on the same level. Don't worry."

"He studied directly at the level of a Ph.D., and it was a lot harder when he was studying."

"However, his theoretical level is mostly focused on the basics of general medicine, and the foundation of specialists may not be much stronger than yours. Start learning from complications first, and know the common complications of orthopedics. This is a relatively normal curve."

"Don't worry, it's still a long time."

Zhou Chengsheng was afraid that Wang Huan would be anxious, and felt that he would be one step behind.

In fact, medicine is a subject of lifelong learning, and he still has to learn it now, so as to keep growing himself.

It's just that Zhou Cheng's own learning curve is through the simulator.

"Okay, Mr. Zhou, I'm not in a hurry." Wang Huan was very patient.

Her first degree was not good, so it was after that period, the season when she boasted that she was high. After knowing that she came here, although her theoretical foundation was very good, it still couldn't reach the top level.

Some theories are good, but they still beat her like she beat her classmates.

That is because the ceilings are different, and only by constantly touching different ceilings can we run.

This is her first day of orthopedic practice, and she is not in a hurry.

When Zhou Cheng wanted to talk more with Wang Huan, the phone rang. It was the phone number of the general hospital. Zhou Cheng didn't dare to delay, so he answered it directly.

"Is it the orthopedic teacher?"

"My side is the emergency department, there is an emergency consultation..."

"Okay, I'll be right over." Zhou Cheng stood up when he heard the words, and then said, "You just watch, I'm going to the emergency consultation."

The regulation of emergency consultation is that within 15 minutes, one must arrive at the scene of emergency consultation.

Sooner or later.

Wang Huan nodded, but did not follow.

Zhou Cheng also hurriedly hung the badge on his chest, and then ran towards the emergency department.

I ran all the way, and within 10 minutes, I arrived at the emergency department. After asking where the emergency consultation room is, the nurse in the emergency department was particularly disgusted: "Our emergency consultation clinics here are all in the emergency room. You can go there."

Zhou Cheng could only smile apologetically and say thank you.

These rules are detailed, so naturally they don't understand them so clearly, and when they get used to them, they will know.

When Zhou Cheng rushed to the emergency room, he found that there were already many hospital chiefs in consultation.

But Zhou Cheng didn't directly take over the patient first, the patient was being managed by the doctor.

So Zhou Cheng read the film first, looked up and down carefully, and Zhou Cheng's scalp became numb.

My time, this patient, except for a little bruise on the ankle, the guy has no small fractures. If the emergency department doesn't make this call, apply some complex iodine, and the bruise will be healed.

Zhou Cheng looked resentfully at the colleagues on duty in the emergency department.

But I found that the chief resident of the emergency department over there was also reprimanding the resident on duty: "You made a few random calls, who asked you to call the orthopedics department first?"

"You can call Shenwai again next year."

In the emergency department, the patient's condition is ever-changing. Even if you want to ask for a specialist consultation, you must have a priority.Although the orthopedic disease is the most serious, it is the least fatal. First, the less serious ones will be treated in a circle, and finally neurosurgery.

All the inpatients are going to be paralyzed.

After scolding, he still came over to apologize to Zhou Cheng: "I'm sorry, boss of orthopedics department, your hard work was wasted."

"But since you're here, why don't you write a consultation opinion?"

"It's okay, it should be!" Zhou Cheng couldn't be angry on his first day at work.

However, the head resident of the emergency department had a bad temper, and continued to scold the resident doctor: "Be smarter, what kind of situation does it take to call the orthopedics department, don't you think about it at all?"

"I really am."

Zhou Cheng wrote a long list of consultation opinions.

But in fact, there are two key points: "disinfection and dressing change."

After Zhou Cheng finished writing the consultation opinion, he read the films carefully again, and then left, leaving the chief inpatients of other departments busy to and fro.

Zhou Cheng didn't feel that those resident doctors made a big mistake, the priority is indeed important.

But it is only natural to ask the orthopedic department to see it, after all, there are orthopedic diseases.

However, after this, Zhou Cheng looked at his old mobile phone of the general hospital and found more than N consultation information.

Yes, the Chief Resident Physician, in addition to going to the emergency consultation and ordinary consultation, also has to go to see it.

This time, Zhou Cheng intends to bring Wang Huan with him.

Run one by one.

After the afternoon, consultations are not invited, so basically at this time, the amount of consultations for the day can be determined.

Both Zhou Cheng and Wang Huan went to the consultation for the purpose of solving the patient's pain.

However, the first patient to be consulted directly confused Zhou Cheng.

This is a patient from the Department of Respiratory Medicine. When he got up in the morning, he accidentally used too much force, and his fingertips poked the wall. The fingernails were intact, and there was a little pain. He took a film and asked for a consultation.

The skin is not broken!

Zhou Cheng carefully read the film several times, and then did a physical examination, and found that all functions such as movement and sensation were normal.

Wang Huan was also taken aback, this was totally different from Zhou Chenglai's journey and the common diseases he mentioned.

"Doctor, am I okay? I don't need an operation, do I?"

"It's okay, Auntie, just take a good rest, the edema will disappear in two days, no bone is injured, just soft tissue edema, don't worry."

"Do you want to apply some medicine? What kind of ointment for bruises? My son-in-law specializes in selling such ointments. He said to bring me some."

"It's fine, everything is fine anyway, Auntie, don't worry." Zhou Cheng thought to himself, don't say it's a plaster, you can take it in the past without any problem.

Then came the hematology department.

This patient does have some orthopedic problems, that is arthritis, but there is nothing to do. Powerful.

Then rushed to the cardiology department.

Consultation patients in the Department of Cardiology are those who have suffered fractures before and received conservative treatment, so they are considered return visits.

Zhou Cheng took a look at the reexamination plain film, and there was a tendency to grow better, and then looked at the time of the last fracture.

Good guy, it's been two months. If you're brave enough, you can just remove the plaster cast.

Of course, the doctor's order to remove the plaster can only be given by the orthopedic department, so Zhou Chengcheng took the initiative to help remove the plaster, and then instructed the patient to strengthen functional exercises, and then wrote down the opinions of the consultation.

At three o'clock in the afternoon, when Zhou Cheng and Wang Huan came out of the general surgery department, Wang Huan's pretty face was flushed.

The movements were also extraordinarily twitchy, and he asked Zhou Cheng: "Mr. Zhou, such a patient is too weird, isn't it?"

"It's only been a few days since surgery, he, them."

Zhou Cheng also raised his neck and said, "This is the first time I have encountered such a patient. But I have encountered similar ones before. I don't know what to say."

"Alas!~" Zhou Changchang let out a long sigh.

This patient is also really wonderful. On the fifth day after the operation, because the operation wound was in the abdomen,
So I went out to open a house with my wife, and there was a passive linkage.It can be said to be full of tricks.

Then in the process of jacking up, I twisted my crotch. I was so scared that I hesitated to tell the doctor.

In the past two days, I couldn't bear it any longer, my muscles ached, so I asked for a consultation.

At the beginning, he said that there was no obvious cause, but he had a sudden muscle pain and concealed his medical history. Zhou Cheng was shocked and said that if there was no cause, it might be cancer.

Only then did the couple tell the truth.

Food, sex, and the four-character scriptures were written vividly by them.

"What if the wound on the abdomen collapsed?" Wang Huan said Ruoruo, blushing.

She did not have a similar experience, but she also knew that in that strange posture, her abdomen would hold her breath and cause an intra-abdominal shock.

"Then do another emergency operation for emergency peritonitis, what else can I do?"

"I don't know either, forget it, just leave him alone." Zhou Cheng quickly changed the topic to another place.

"Have you had lunch? Can I have a box of lunch?"

"No, no, Mr. Zhou, I'll go back and eat." Wang Huan quickly waved his hand.

"It doesn't matter. In the surgery department, it's a common thing to invite the students in the class to eat. Anyway, I have to look at the discharge medical record at night, so it's better not to expire."

"If you have other things, you go back first. If you have nothing to do, go back after eating." Zhou Cheng blocked Wang Huan's words directly.

I don't know if it was a coincidence, but this time at night, Zhou Cheng once again met a young couple who lived nearby in the early morning, and suffered a posterior dislocation of the shoulder joint, just like when Zhou Cheng was in the No. [-] Hospital of Shashi, The young couple they met were exactly the same.

Originally, Zhou Cheng didn't have to deal with such a simple dislocation, and asked them to find another way elsewhere.

However, it is true that there is nothing else to do, and there is no urgent patient, so Zhou Cheng also performed a manual reset of the dislocated shoulder.

After the reset was successful, the woman even hit the man, and said shamelessly, "Let's see if you dare next time."

"Obviously you pulled it!"

"Go!" The girl covered the man's mouth.