medical simulator

The replantation of amputated lower limbs takes longer.It took Zhou Cheng two and a half hours to get off the stage.

However, the speed of this operation made Ning Ling and Liang Yongping, who had seen Zhou Cheng's fast operation, feel deeply moved.

Ning Ling even smiled and said, "Does Xiao Zhou have a girlfriend now? The girlfriend didn't say you were too fast, did she?"

Before stepping down, Ning Ling received a call from his cousin, saying that his cousin and daughter-in-law had been safely transferred to the first ward of the orthopedic department. She is in good condition and can speak and eat directly.

The operation time was very short, and the brachial plexus block anesthesia did not extend the time, which is really incredible...

Zhou Cheng knew that Ning Ling was joking with him and drove, but Zhou Cheng's driving skills are quite superb now, so he replied: "Everyone says I move fast!"

One word pun, one word, one verb, click on the question.

Anyway, just kidding.

Liang Yongping obviously didn't react, "ah".

Is this driving skill in the operating room going to be understood by Zhou Cheng?
Associate Professor Ning Ling laughed: "Doctor Zhou is very interesting, but it's really getting late, Doctor Zhou, later, your two juniors will go to eat with me, and I will pack it for you and bring it back. I politely invite you to kiss me."

"I still have a deep memory of the days when I was hospitalized."

"Okay! Then thank you, Professor Ning." Zhou Cheng nodded, still wrapped in his laundry clothes, and walked towards the department with Liang Yongping.

Liang Yongping was carrying two big bags, which contained betel nuts, cigarettes, and drinks.Zhou Cheng only took the drink, while Liang Yongping began to become boundless with betel nut and cigarettes.

It was already summer, his forehead was covered with fine sweat, and his face was flushed, but Liang Yongping was content with it: "Brother Cheng, I'll go to the duty room of your department to have a chat, and by the way, listen to your story about picking up girls."

Zhou Cheng checked the time while pressing the elevator. It was already twelve o'clock in the morning, and An Ruojing probably fell asleep and couldn't chat.

Then he smiled and said, "Brother Ping, I was just joking with Professor Ning. Up to now, I have only had one girlfriend, and we have only been together for about a year. I plan to get married. Where do I have any experience and stories?"

Seeing that there was no one in the elevator, Liang Yongping said, "So there was an accident?"

"That's not the case. I'm old enough and I think it's suitable. Brother Ping, don't spoil me. When I came in, the department was still wearing a red scarf." Zhou Cheng's mentality is also beginning to let go.

Now that the job has been set, if you can't have fun while you are in the general hospital, it will really be boring.

Liang Yongping hammered Zhou Cheng's shoulder: "Then I'm still in kindergarten..."

"Here we are, Brother Cheng." Liang Yongping hurriedly ushered Zhou Cheng off the elevator.

Zhou Cheng and Liang Yongping got into the elevator, then looked at the consultation SMS in the mobile phone of the general inpatient, and looked at the application record of Ping's consultation in the medical record system, sighed, and said: "Oh, I will clean up in the afternoon. One Ping consultation, and three more.”

"Brother Ping, there should be fewer consultations in your department, right?"

There are very few general consultations in hand surgery, and they usually choose to apply for trauma surgery, and the number of emergency cases in hand surgery is not particularly large!

"That will be much less, Brother Cheng, you, the head of trauma surgery, probably have the hardest time. Our hospital used to have a shift system for general inpatients, but it was much better then, but Professor Lei Zhong said that such a shift system for general inpatients is not good. , the sub-specialty must have the total hospitalization of the specialist.”

"The main reason is that there are some gods among the seniors, alas!" Liang Yongping has been hanging out in the hospital for a long time, so he knows a lot about the past.

"How to say?" Zhou Cheng asked back, hoping to learn some lessons.

"In other words, sports medicine put back the patients with bone tumors, and the general hospitalization of bone tumors released the patients with loose bodies in the joints!"

"This kind of doctor who is not a sub-specialty professional may not be thorough. If something happens, it is an accident. It is not like a lower-level hospital. You can take it in and treat it casually."

"Our doctor
The beds in the hospital are very tight, so the ordinary patients who should be dismissed can only be dismissed, but the patients who have really been admitted to the hospital must be handled properly. "Liang Yongping wrote a science popularization for Zhou Cheng.

Zhou Chengyi realized that it was indeed the case.

Interlaced lines are like mountains, separated by a sub-specialty, and the difference is huge. It is such a fine division that can make modern medicine more specialized and more in-depth. The curative effect is getting better and better.

"That's true, Brother Ping, how long have you been in the hospital?" Zhou Cheng asked, hoping to know when he was a head.

"It's been a year. If no one takes over for the time being, we can only continue to work."

"However, you only need to work for about half a year. If the boss of the trauma surgery department works for too long, he will die suddenly. This is the dean's rule. And Brother Cheng, you are already a mid-level professional title, so you will definitely not be allowed to do it. Too long!" Liang Yongping explained to Zhou Cheng.But there is no envy.

90.00% of orthopedic emergencies are concentrated in trauma surgery, and now even the replantation of amputated limbs takes weeks.In addition, the number of consultations is several times that of other subspecialties, which is really difficult.

It's better to extend the time and reduce the workload per unit of time...

One night, it was fairly stable.

Except for a trip to the emergency department in a daze, it was not a big problem, but his arm was cut, and it was not that the boss of the emergency department insisted on embarrassing Zhou Cheng, but that there was a family member of the patient who was knowledgeable. Nurse, I know that I need to see an orthopedic specialist for trauma on my hand.

The people in the emergency department were not sutured, so Zhou Cheng could only be called over.

Now that Zhou Chengcheng is here, he can only work. He won't let the boss of the emergency department take care of all the bosses when he encounters...

Then came the day of surgery, Zhou Cheng, who was the chief inpatient, would definitely have to go to the operating room, but in the operating room, if there was an emergency, Zhou Cheng could go to the emergency room for emergency consultation at any time!
Emergency consultation must arrive at the consultation site within 15 minutes, which is a rigid rule.

Therefore, the speed with which Cai Dongfan led the team to make rounds today was particularly crisp and neat.

At 08:30, I took the people in the group down to the operating room early, and Associate Professor Guang Yanhu followed.However, today's Guangyanhu is extraordinarily low-key.

On weekdays, Associate Professor Guangyanhu was the supervisor, instructing the roving nurses to bring equipment kits and materials, but today they all honestly handed over the rights to Cai Dongfan.

Cai Dongfan is also a donkey on the slope, he will go down when he sees the slope, and start to direct.

Today's patients are not particularly complicated, and because they are new to work, the number of surgeries is slowly being scheduled. Cai Dongfan has basically stabilized the workload and surgeries at the No. [-] Hospital, which is four or five, so he dare not queue up too much. many.

Of course, with Zhou Cheng's participation, the operation that usually seemed difficult, under Cai Dongfan's chief surgeon, Guang Yanhu's first aid, and Zhou Cheng's second aid, the operation appeared to be very straightforward.

The fractures were basically put on stage, and after taking pictures, they could be directly fixed internally. For debridement, they were given to Zhou Cheng. Zhou Cheng's speed was so fast that he could solve one in a few 10 minutes.

At twelve noon, Zhou Cheng led the team to complete four operations, and left one for the relaxation of muscle stiffness, which Zhou Cheng left for Guang Yanhu or Cai Dongfan to fight each other.

It is always necessary to make professors and associate professors have a sense of face and presence, so that they appear very important.

"Master I, Professor Guang, I'm going to go to the Ping consultation. Now I have accumulated five or six. I'm afraid I won't be able to finish it later." Zhou Chengcheng stepped off the stage first, and mainly explained to Guang Yanhu.

"Go, it's okay." Cai Dongfan had no objection.

Zhou Cheng gave him enough face today, Cai Dongfan was refreshed, he didn't need to rely on outsiders for the operation, and his apprentice should show some limelight, that's what he deserved.

"Xiao Zhou, go and get busy." Guang Yanhu smiled subduedly.

Zhou Cheng beckoned to the intern standing by, that is, his student.

Wang Huan immediately followed sensiblely.

Peng Lingli was a little envious, but he still stayed in the operating room to observe the operation. He left last time, thinking that he would read a lot of books and accumulate experience so that he could perform well clinically, but how could he know that the two days of rounds Every time, Peng Lingli was caught by Zhou Cheng's question just right.

It was as if he couldn't straighten up all the time.

Moreover, Zhou Cheng's sense of proportion was very good, and his praise was also very good, but the suppression and questioning were like a whip hanging high, so it was so appropriate.

Looking at the back of Zhou Cheng leaving, Peng Lingli was a little panicked, thinking that if she wanted to be Yang Yifeng, she might not be able to do something like showing off in the department when she was a student.

Moreover, Peng Lingli also heard a terrifying thing. Yang Yifeng, as a fresh graduate from the eight-year program, is an idol in the eyes of current students and senior students in the eight-year program. Cheng was assigned to the department he was least willing to go to.

This incident made Peng Lingli a little brooding, but also extremely excited.

Since he can't beat Zhou Cheng, can he go crazy with Yang Yifeng?
Peng Lingli's mind was racing...

"Master, when you went down to eat just now, Professor Guang and Professor Cai were talking about you." Wang Huan is small, but his eyes are a little bright, as if there are strange colors flashing in his eyes, looking up, obediently Follow behind Zhou Cheng.

"What are you talking about?" Zhou Cheng turned around and asked.

"You are amazing, especially Professor Guangyanhu. You said that you made Professor Chen Tingye and Professor Shuang Lianggen from the Second Affiliated Hospital of Shonan University stand outside the operating table the night before yesterday, and you let Associate Professor Ning Ling from the Department of Hand Surgery perform the surgery last night. He was punished to stand on the stage."

"For an hour and a half, Professor Ning didn't dare to move after seeing Master Men's operation!"

"Senior brother Du Yanjun and Li Chongyue both said the same thing." Stars appeared in Wang Huan's eyes.

The plot in the TV series is that the intern beats everything. It looks very cool, but the basic logic and medical knowledge in it are a bit nonsense. For example, adrenaline is used for tachycardia, and brain CT is regarded as abdominal CT. Medical students saw it, but it was not true.

But this is in a real clinic, my master is so powerful!

"Don't believe these rumors, be yourself. When I go back later, I will clean up Du Yanjun and Chongyue. I didn't know the door, and started talking nonsense." Zhou Cheng said bitterly.

"However, Professor Guang said that Professor Ning personally called him to thank him. Because at noon today, he said that his relative's hand has partial sensation, which is a great thing!"

"Master, can the replantation of a severed limb really recover within a day?" Wang Huan continued to follow Zhou Cheng closely, not leaving every step, for fear of getting lost in the large team of the patient's family members.

"It's just sensation, so what might it feel like? How could it be recovery? There are also pain and temperature, touch, proprioception, and motor functions. It takes a long time."

"Next time, ask more professionally. If you are interested, go back and find out how these different sensations are distributed in your nerves. Find information." Zhou Xing assigned Wang Huan the first task.

Wang Huan was taken aback: "Ah? Master, isn't the feeling branch in the spinal cord? Is it also in the nerves?"

"Of course there is!" Zhou Cheng put it off and didn't intend to say it clearly.

Only the things you find and are interested in can have a deeper memory.

As they talked, the two came to the burn department. This time, there were two consultations in the burn department. Zhou Cheng planned to run away first. The burn department was located in the surgery building.

When he arrived at the burn department and recognized the bed number needed for the consultation, Zhou Cheng, who had already put on his mask, also felt a very strong smell coming from his nostrils.

MD, diabetic foot ulcer!
There was a black mass on the feet.

Fortunately, it was Zhou Cheng who put on the gloves in advance, and then turned to look at Wang Huan's frowning slightly, disgusted, and he probably imagined that she was holding her breath at this moment.

After Zhou Cheng finished reading it, he looked at the other people in the hospital bed.
They are all diabetic foot ulcers, but it seems that the symptoms of several other patients are not as serious as this patient.

After Zhou Cheng unwrapped the gauze and checked it carefully, he confessed to the patient and his family: "Okay, I have understood your situation, and I will write a consultation record later, you must be treated with surgery! "

However, the patient's family members, that is, the patient's wife, pouted impatiently: "Surgeries, my husband has had seven surgeries, and they are still not healed. What are you talking about? Is it necessary to amputate?"

"It's been like this for more than three months. It stinks."

Zhou Cheng could understand her impatient tone. This kind of stench is the real stench, like maggots. If you can endure it for a while, it will definitely not get better for a long time.

"You performed seven operations? Where did you do them?" Zhou Cheng noticed the sensitive points.

"That's right here? Doctor Du's operation. It's the one at the door. You can go see it yourself." The family member pointed in the direction of the sign at the door.

He didn't ask Zhou Cheng why he didn't know each other. There are so many people in this big hospital, and the staff turnover is very high. There may be people in the internal medicine department who don't know each other in a month.

"Okay, I'll go over and ask about the situation." Zhou Cheng thought it was very interesting.

For diabetic foot ulcers, I came to the burn department first, and then I went to the trauma surgery department. In the trauma surgery ward, there was not a single patient with diabetic foot ulcers.

This is very interesting.

Zhou Cheng came to the duty room and found the doctor on duty...