medical simulator

"Teacher Ning."

"Mr. Ning." Du Yanjun and Li Chongyue began to call out.

"Well, I've worked hard for you today. After the operation is over, let's go out to have a late-night snack together. I'll bring a copy to your senior brother to the department later. He is the chief resident of the hospital, so he can't leave for the time being." Ning Ling said so empathetically.

Li Chongyue and Du Yanjun looked at each other and nodded: "Thank you, Teacher Ning."

After Ning Ling washed his hands and disinfected again, he went on stage and saw Zhou Cheng's blood vessel sutures and bone connections. The more he looked closely, the more surprised he became, even as time passed.

After about ten minutes passed, Ning Ling simply took half a step back, and he became dazed.

Itinerant nurses are not specialized orthopedic nurses. The itinerant and handwashing nurses for emergency operations are randomly assigned, and there is no guarantee that they are specialists.

Seeing Ning Ling stunned, he asked one more question: "Professor Ning, do you need to bring something?"

Although I don't know him, but at this age, most of the professors can't be wrong.The Affiliated Hospital of Shonan University has more than 7000 employees, and no one can know all of them, even the dean and the director of the personnel department!
Ning Ling turned his stiff neck, looked at Xun Xun, and shook his head: "There's no need to take anything, I'll just take a look first. Now that the vital signs are stable, two students and I will do the vascular bed and nerve bed first." , to avoid excessive swelling and extrusion after surgery.”

Just saying this, but Ning Ling's heart has already set off a turbulent sea!

If it wasn't for really listening to Professor Chen Tingye's words, if it wasn't for the Second Affiliated Hospital of Shonan University, Associate Professor Wei Hong under Professor Deng Lianggen's group, people of the same level as him, had made jokes before.

If everyone hadn't been full of praise for Zhou Cheng, Ning Ling probably wouldn't have taken Zhou Cheng seriously today, and then he would.

Missed such a person, after Zhou Cheng performed life-saving and hemostasis operations, he was actually afraid to take the follow-up operation!

Ning Ling is not the only layman who doesn't understand. He knows how delicate Zhou Cheng's slightly staggered bone joints are, and how profound his skill is in the blood vessels he sewed up, which look as if they have never been injured.

If you do it yourself, it will be like a pure white world, there will be such a little flaw, which is something Ning Ling himself does not want to see.

Therefore, Ning Ling didn't intervene anymore, not because he was lazy, but because he didn't fully understand Zhou Cheng's surgical habits. Instead, Du Yanjun and Li Chongyue, who were more familiar with Zhou Cheng's surgical habits and ideas, played on the operating table. for a while.

My own thinking was born out of Professor Chen Tingye. Professor Chen Tingye's thinking is slightly different from other professors, which may make the operation more difficult. When Zhou Cheng comes back for surgery later, he will come to rest what he has done, which is futile. increase the time of surgery.

Who would have imagined that such a good skill was done by a young man in his 20s.Who would have thought that he was just the chief resident of the orthopedics department in the hospital?

Ning Ling really understands the suffering of Professor Jin in the vascular surgery department of the hospital!
At that time, Yang Yifeng's family members had a car accident and were sent to the Affiliated Hospital of Shonan University. The dignified professors of one hospital and one department asked the patient's son to perform the operation on stage in person. What a shameful and helpless thing this is?
Yes, from Professor Jin's point of view, Professor Jin must have a lot of helplessness.

One is that Yang Yifeng is too ruthless, and he knows how to do it. If something goes wrong in their operation, and it is easy to make mistakes, what should Yang Yifeng tell them to do?
First came two people, they could only deal with one of them, leaving the more dangerous person to Yang Yifeng...

The second is that the development of vascular surgery is indeed not so fast, and the current technology is limited.Now that the department has arranged for Yang Yifeng to serve as the boss of the vascular surgery department, it actually has the meaning of solving this misunderstanding.

Professor Jin did not force Yang Yifeng to go to the stage, but explained the truth. Yang Yifeng himself knew the risk of the disease at that time, but Professor Jin's words at that time may have been a little too aggressive.

But in fact, it is also a normal communication, which is what Professor Jin said

Life and death are fate, do your best, what's wrong with this?It's not that the knife was placed on Yang Yifeng's neck.

I'm afraid that Professor Jin's mentality when he begged Yang Yifeng at that time was similar to that of Professor Chen Tingye yesterday when he watched Zhou Cheng's surgery and did not dare to go on stage.
(Ps: My memory is wrong. The name of Professor Chen Tingye in the previous article is not Chen Yongqi, but Chen Tingye. It is Xiaodao. Recently, my mind has been a little misremembered. Professor Chen of the Hand Surgery Department of the First Affiliated Hospital of Xiangnan University is Chen Tingye. Know, it has been corrected!)
It's not ashamed to say that you can't do it. What if you get yelled at by Zhou Cheng after you go up, it's really embarrassing.

"Oh, okay, Professor Ning, just call me if you have anything to do, I'll squint a little bit." The roving nurse said this a little tiredly, with a pleading tone in her tone.

Ning Ling didn't answer, and if he did, he agreed to be lazy on the tour. If the head nurse finds out and she blames herself, that's unnecessary.I communicated with the Nursing Department myself. Of course, Ning Ling didn't say that she couldn't go to rest. Maybe she was tired after being on duty for a long time...

Ning Ling approached the operating table again, and began to slowly figure out how Zhou Cheng performed the surgery with the mentality of a student, why he did it, and what was the purpose of doing it like this. Li Chongyue and Du Yanjun were also speculating, Ning Ling was sitting on the spot listening...

At the same time, in another operating room.

Liang Yongping and several hand surgery graduate students he led were stunned on the spot, because in front of them, Zhou Cheng's hands were dancing like snakes, writhing quickly, almost in a short period of time, he didn't know where to get the arteries, The veins were found and sewn up.

After the blood supply was restored, Zhou Cheng quickly fixed the fracture again, using a traditional Kirschner wire device. While preparing for the fixation, he asked, "Brother Ping, if you usually fix it with your fingers, should you fix it?" Are you using Kirschner wires?"

"Ang, ummmm!" Liang Yongping never thought that Zhou Cheng would ask him for his opinion.

Zhou Chengcheng smiled, and did not use the minimally invasive fracture device from Zhang Zhengquan.There is not much objective data to support the application of minimally invasive fracture devices in replantation of severed limbs.

He can use it on ordinary patients because the other party will not care about and pursue whether it is good or not, and only depends on the effect. But this patient's family member is Associate Professor Ning Ling, so there is no need for Zhou Cheng to create extra problems.

If it is misunderstood that I want to take Associate Professor Ning Ling's cousin and daughter-in-law as a victim, use my friend's internal fixation device, and get the commission myself, then I will be really wronged.

So Zhou Cheng plans to continue with the traditional surgical method.

"That's good. I'm afraid I'll miss Professor Ning's idea of ​​surgery." Zhou Cheng told Liang Yongping.

Zhou Cheng's words made the two graduate students look at each other, wanting to say, who is Professor Ning?In front of your hand speed, he has to call you uncle, right?
But I can only think about this.

Liang Yongping said decisively: "Brother Cheng, before Professor Ning left, I told you to let Brother Cheng do what you want. I just want the operation to be done well, and everything is up to you."

Ning Ling didn't say this, but Liang Yongping knew the goods himself. If it was really for the benefit of this patient, he would rather listen to Zhou Cheng than to listen to Ning Ling.

In just ten minutes, the blood vessels of the two severed fingers were sewn up. What kind of work is this?
If Associate Professor Ning Ling was here, he might still be looking for blood vessels!
This is the gap in strength. This is the Affiliated Hospital of Shonan University. There are many geniuses here, and each has a master's inheritance. My ability is here, and my Shunmen are here to support me. If you kill other colleagues, then it doesn't matter to me thing.

The competition is all on the bright side. Whoever does it will win. Everyone is a professional and academic person. There is nothing behind the scenes. You can question me openly. We question each other and make progress together.

But if you want to use ghosts' secret methods, then my master agrees. You have to ask our common master first if he agrees. If the master is not here, there is also the master uncle. There is always a branch there to uphold justice...

Zhou Cheng
Hearing this, he glanced at Liang Yongping and said, "Brother Ping, thank Professor Ning for his trust later. I will strive to live up to his trust and do my best to complete the operation."

"Brother Cheng, I will also learn more from you, it's all trivial matters..."

While Liang Yongping was speaking, he saw Zhou Cheng slowly slowing down the pace of the operation, and said, "Brother Cheng, there is no need to deliberately slow down the pace of the operation, we can still keep up. Learning is hard work. We can do it later." Let's have a cup of coffee together, drink and chat!"

Liang Yongping still knew that Zhou Cheng was new here and didn't know the rules, so he reminded him.

In the Affiliated Hospital of Shonan University, none of the teachers will deliberately stop the rhythm of the operation to give you a chance to learn. You have to learn to find opportunities to learn by yourself instead of letting people wait.

Perhaps Zhou Cheng had never been here before and didn't know the rules, but Liang Yongping didn't want Zhou Cheng to become a model for the directors to criticize, and then Chuan would scold Zhou Cheng's people in the department by the way!
The job of the hospital is to treat patients and save lives first, and then to teach. How can you slow down the operation rhythm and prolong the operation time for you to learn? Are you very patient?

Unless you feel that you have enough skills, you can slow down the pace of surgery when you first start the operation, otherwise, you can read books by yourself, watch surgery videos by yourself, and spend more time in the operating room.

Don't stop because of mediocrity, don't stop because of genius, this is a virtuous circle.

"Okay!" Zhou Cheng heard the words and restored the rhythm of the operation to his own rhythm.

However, Zhou Cheng could feel that this operation, replantation of amputated limb and replantation of severed finger, was the smoothest one he had ever performed on a severed finger.

Without him, Liang Yongping is the chief resident of hand surgery, and several junior doctors are also graduate students of hand surgery. They really understand and cooperate if they understand.

Knowing how to cooperate, Zhou Cheng can just start doing it without spending energy to correct their positions.

Of course, except for a few times, their surgical ideas are slightly different from Zhou Cheng's own, and they need to be mentioned a little bit, and they don't need to instruct their assistants to do anything at any time.

This level of operation and speed is much faster than that of Du Yanjun and Li Chongyue!

The more Zhou Cheng did it, the more comfortable he became, and the result was that in less than an hour and a half, Zhou Cheng had finished replanting the amputated limb, and he still seemed a little unfinished.

Looking up and down, I found that the blood vessels, nerves, tendons and muscles were almost stitched together, so I said, "Brother Ping, I'm sorry for you, I have to go and have a look."

Liang Yongping was already petrified, and he didn't realize for a while that Zhou Cheng was greeting him.

God damn completed the replantation of a severed limb in an hour and a half. Do you think you are sewing clothes?

Still following one of Liang Yongping's graduate students, after bumping into Liang Yongping, Liang Yongping came back to his senses: "Brother Cheng did a great job! Very good, Professor Ning will definitely be very satisfied."

"Brother Ping, Brother Cheng said he was going to step down for surgery." The graduate student explained again in a low voice.

Liang Yongping corrected immediately: "Brother Cheng, then you should be busy first, you have worked hard, and after my side steps down, come over to help immediately."

"Boy, wait a moment to see if there is any late-night coffee. If not, go to the canteen below and buy a few bottles of coffee."

"Brother Cheng, what do you smoke?"

Zhou Cheng was already on his way down: "Thank you Brother Ping, I don't smoke."

"It's good not to smoke, it's good for your health, Brother Cheng, then I'll come over to your operating room later with the cheek, don't drive me away!" Liang Yongping continued to smile.

It is an unwritten rule between the general hospitalists not to observe each other's operations, because they are afraid that if they make mistakes, everyone will not look good, or the results of the operations will be embarrassing.

It’s like the former boss of the vascular surgery department. The operation on the left foot made the right foot. After driving in, he found something wrong. It would be embarrassing if it was at the scene, although it is also embarrassing now...

"Waiting for brother Ping to come and give advice." Zhou Cheng has already walked out of the operating room quickly.

to patient one
Treat people equally, and you have to take it to heart. Absolutely equal treatment is definitely not possible. However, compared with the waste of more than an hour of operation time and two people having better limb recovery, Zhou Cheng believes that the other person can understand.

It is difficult to have the best of both worlds, I can only say that we should try our best to achieve the best of both worlds.

After Zhou Cheng returned to the operating room, he first watched the progress of the operation beside the operating table, and found that Associate Professor Ning Ling and Du Yanjun were still carefully studying the blood vessels he had sutured. It's just that the muscles are rested, not stitched.

Seeing Zhou Cheng coming in, Ning Ling hurriedly said cheekily: "Doctor Zhou, you just came in, thank you for your hard work, isn't the operation over there almost done?"

Ning Ling was so eager to study at the moment, he didn't even look at the operation time, and he didn't notice that it was impossible to complete the replantation of a severed limb in more than an hour.

"It's almost there, Professor Ning, why don't you go over and have a look first?" Zhou Cheng hurried back while putting on his clothes and gloves, and at the same time asked Xun Xun to help him fasten the collar strap of the sterile surgical gown.

"I'm sure you can rest assured about the operation you performed, Dr. Zhou. I'll take a look here first. It's so late anyway!" Ning Ling looked at the timing panel in the operating room while talking, and stopped talking!