medical simulator

The doctor on duty was a tall, thin young man with acne all over his face.

After knowing that Zhou Cheng is the chief inpatient of the orthopedics department, he hurriedly replied: "You are the chief inpatient of the orthopedics department. Bed doctor or senior doctor.”

"But it would be better to ask the superior doctor directly." He meant to ask Zhou Cheng to ask the superior of the burn department, not the orthopedic department.

However, it was impolite to ask the superiors in other wards across the department. Zhou Cheng thanked the doctor on duty first, and ran out of the ward without further questioning. After pondering for a while, he called Ding Changle.

Ding Changle is not a surgery day today, and he has no surgery arrangements outside, so he is in the right mood to fish at the moment!
To Ding Changle, he was fishing, and when he saw the sun, he was fishing like a big girl wearing a pantyhose after seeing the sun: "You are consulting in the burn department? What diagnosis?"

"Diabetic foot, the next diagnosis is."

Ding Changle's voice was decisive and crisp: "Look clearly, is their diagnosis diabetic foot: ulcer complications, or just simple diabetic foot?"

"However, no matter which one it is, you can just write the consultation opinion: the condition is known, the current diagnosis is diabetic foot, after I call the professor of our department for instructions, the professor instructed that I ask your professor for consultation and assistance in diagnosis and treatment. Thank you!"

"Then send me the diagnosis."

"Uh~~~" Hearing this, Zhou Cheng thought that he heard it wrong, or that Ding Changle didn't hear clearly.

"Professor Ding, is this a diabetic foot?"

Diabetic foot is a real orthopedic disease category, so write it like this, okay?
But this consultation opinion is full of stories at first glance.

"I know, you just wrote it like this. He didn't explain such an important matter to you clearly, right? I'll call him right now." Ding Changle was furious, and wanted to trouble the previous head of the sect.

Zhou Chengcheng stopped him, and said that the general hospital is not embarrassing for the general hospital. There may be some things that I really can't remember for a while: "Professor Ding, Brother Zong said that I was too busy to forget, or I didn't remember clearly!"

"You're talking nonsense, your memory is impossible to forget. It must be that Huang Zong didn't explain to you. I'll go and find out what's going on." After Ding Changle finished speaking, he hung up the phone.

Wang Huan looked at his teacher, his eyes were still shining with stars, he didn't know what Ding Changle and Zhou Cheng were talking about.

Zhou Cheng, who originally wanted to teach Wang Huan a good lesson, could only go to another bed in resentment after hearing the words. After looking at the patient's diagnosis, he confirmed that the admission diagnosis was diabetic foot: post-ulcer complications.

Don't dare to meddle in other people's business, and wrote it according to Ding Changle's words.

After writing the consultation opinion, Wang Huan was stunned and stunned, Zhou Cheng continued to go out to the next consultation direction, and started to make a phone call at the same time: "Professor Ding, I read it, the diagnosis of both patients is diabetic foot, ulcer Complications, but when asking for a consultation, the other party wrote diabetic foot and did not add the word complication. "

"I also looked at the medical record system of our department. I collected the common medical records in the past six months as study materials, but I didn't see any patients with diabetic foot, so I found it strange."...

Ding Changle groaned and sang twice: "You have such a good memory, so I made the right call to Huang Zong just now, and the scolding was really cool."

You're having fun with your peers, aren't you?Professor Ding.

Zhou Cheng didn't dare to talk too much.

Ding Changle continued: "I know that the patients in the burn department will make such a diagnosis. Let her do it. The director of the burn department, the current Professor Liu, used to treat ulcers, any ulcers diagnosed by himself. past."

"Diabetic foot, they are also responsible for it, and our hospital does not have a special foot and ankle surgery, so naturally we can't compete."

"What is the purpose of their consultation? To assist in diagnosis and treatment?" Although Ding Changle hadn't gone to the emergency consultation for many years, he still often participated in the general consultation of the whole hospital, and had much more fights than Zhou Cheng.

"Application for transfer to another department." Zhou Cheng replied honestly.

"Did you take a photo?" Ding Changle slapped Zhou Cheng again.

"Shooting." After Ding Changle said that, how dare he not shoot?Zhou Cheng still took pictures before he wrote his consultation opinion.

"Then you go to the chief inpatient group, find the chief inpatient of the burn department, send these two pictures, and send him a question mark. Then, I will send you another good thing, and send them all together!"

"She absolutely dare not scold you." Ding Changle sent a recording to Zhou Cheng while making a phone call.

"Okay, that's it!" Ding Changle took the initiative to hang up the phone, but before he hung up, he heard a distant sound, saying that you are hooked...

Zhou Cheng saw the recording sent by Ding Changle, and then hurriedly left the passageway waiting for the elevator and walked to the walking stairs before he dared to turn on the recording.

Even Wang Huan has a gossipy face with her white pointed ears——

"Dean Chu, come and judge, is ulcer a disease category of our burn department?" This is a strange female voice, very decisive and capable!
Another voice is slightly similar to that of Professor Lei Zhong: "President Chu, diabetic foot is diabetic foot, and diabetic foot ulcer is also diabetic foot. They can't be treated by the burn department. If there is no chance of treatment, we will transfer it to us." Kelai amputated, this is not possible!"

"There is no such reason in the whole world. Diabetic foot is the business scope of our orthopedics department. We are the orthopedics department of the Affiliated Hospital of Shonan University. We do not specialize in amputation diseases, but only limb salvage surgery."

"Ulcer, ulcer, how many times do I have to say it? Director Lei?" The woman's voice once again confirmed Zhou Cheng's guess about the male voice!
"The unhealed ulcer is called diabetic foot? The cured one is called ulcer? Professor Liu, what's the reason?" Lei Zhong was also right, and turned back.

"Original amputation is the result of this disease! Why does your orthopedics department refuse to accept transfer patients? Three or five big men, what kind of mentality?" The woman hums!
"Professor Liu, this is a hospital. When doctors and nurses in the hospital treat diseases, there is no distinction between men and women. If you think there is, please check the Constitution of the People's Republic of China by yourself. Thank you!"

"Secondly, diabetic foot, if you want to treat it, and you are specialized in this field, then you should take responsibility for this disease to the end, and don't think that orthopedics is the place where you throw rubbish."...

"Either way, don't worry about it. Our orthopedics department will take it back by ourselves. We will never ask your burn surgery department to deal with any problems with diabetic foot ulcers. We won't let your department perform any amputation either!"

"Department of burns is not a department of internal medicine, you are a department of burn surgery. Department of orthopedics is not your downstream department, and your department of amputation has already developed a high degree of proficiency. Don't blame us." Lei Zhong was very organized.

"Who said our department started amputation? Professor Lei, you have to be responsible for what you say!" Professor Liu frowned like a cat whose tail was stepped on.

"Okay, it's not amputation, it's limb and skin modification, okay?"

"Then let me ask you again, Professor Liu, should diabetic foot be treated by your department or by our department. Let's make it clear in front of Dean Chu." Lei Zhong asked.

"Dean Chu, our department should treat first, and then the orthopedics department will assist our department in treatment!" Professor Liu said to Dean Chu.

"There is no such choice, Dean Chu, I understand the truth, you decide. If their burn department handles diabetic foot, then our department will never touch such a case. If our orthopedics department takes such a disease If so, then we will also be directly responsible to the end.”

"But if we want our orthopedics department to be an assembly line for amputations, that's not possible."

"A diabetic foot needs to be transferred to another department to cause trouble for the patient, right?" Lei Zhong is also a violent person, and his words are ugly.

Dean Chu spoke for the first time: "Professor Liu, what is your opinion? Are you willing to be responsible for the disease of diabetic foot in the burn surgery department?"

"Dean Chu, it should be our burn department that treats the ulcer, and then the orthopedics department completes the final operation of the amputation. This is the formal process? Why can't you make any sense? Are you unreasonable?
"Professor Liu's fighting power is amazing, and even the dean started to complain.

"Then your department doesn't want this disease, right? Give it to the orthopedics department?" Dean Chu doesn't have the time to argue here, and it would be embarrassing to say it.

"Of course our department wants it!" Professor Liu insisted.

"If so, what should we do if our orthopedics department receives such a consultation call in the future, or an application for a consultation transfer from your department?" Lei Zhong asked.

"You just say what I said, diabetic foot, we are in charge of the burn department to the end, you let him come to me!" Professor Liu said loudly.

Lei Zhong immediately turned off the recording of the mobile phone: "Dean Chu, it's fine, as long as you have Professor Liu's words, it's fine. In the future, no one in our orthopedics department will say any opinions. Diabetic foot, our department will never touch it." up!"

The recording stopped here.

Then, when Zhou Chengcai had almost finished listening, Ding Changle on the other side withdrew the recording.

Then he sent a short recording to Zhou Cheng.

"You can just send this message in the past, and the above one, just take it as a gossip." Ding Changle estimated the time, withdrew the message, and reminded Zhou Cheng again.

"Okay, Professor Ding!" Zhou Cheng was also very helpless.

There was also a quarrel, and it was Director Lei Zhong who quarreled with the professor of the burn department himself.

Zhou Cheng had joined the chief inpatient of the burn department before, and now the other party just passed, and greeted him politely: "Mr. Zhou, how are you?"...

"Hello, Mr. Xing." Zhou Cheng also greeted. The chief resident of the burn department is called Xing Fang, whose name is neither male nor female.

"Mr. Xing, it's like this. Your honored guest applied for two consultations today, both of which were applied for transfer. I'm the new hospital chief, so I called the professor of our department."

"Our professor said that diabetic foot is not under the management of our trauma surgery department, so the transfer of this department cannot be transferred."

"Boss Xing, you also know that we are always in the hospital and do things for the professor." Zhou Cheng was making a side note, to see if the Xing Fang knew about the quarrel between Lei Zhong and Professor Liu.

"I understand, I understand, Mr. Zhou. It's all the opinions and requirements of the superiors, and we are all migrant workers."

"Don't make it difficult to beat the workers, brother Zhou, we will help you in the future and do the work well. We don't care about the friendship between the professors above. We are still brothers and sisters!" Xing Fang's words revealed her gender, and also It's not easy to know Zhou Cheng.

She knew very well that Professor Liu regretted it a long time ago. The amputation rate in burn surgery is too high. The hospital is now calculating the proportion of terminal operations. Professor Liu wants to get rid of this disease.

Just to see what the orthopedic department's opinions are. It just so happens that the trauma surgery department has just changed to a general inpatient.

Professor Liu just took a step back, turned the patient with diabetic foot over, and left it to the orthopedics department, not wanting to cause trouble again.

Now, all the departments in the hospital know that the orthopedics department doesn’t care about diabetic foot, all diabetic foot patients go to the burn department. There are a bunch of patients who press the bed, and the patients with real burns can’t live in. There are only two ways in the department, one is to separate departments, The other is to streamline the types of diseases.

But neither of the two paths is so easy.

Zhou Cheng hurriedly said: "Sister Fang must speak for me when the time comes, this consultation opinion is written remotely after I called, and Professor Ding Changle specially asked for my work number! Please don't take it personally, the teacher of the burn department?"

Zhou Cheng also lied without blushing, and there is no need to say some things very bluntly.

"I understand everything!" Xing Fang yelled at him while he was on the way to the consultation while replying the letter.

Wang Huan had a consultation with Zhou Cheng today, he was full of gossip, shivering, and his thin body seemed even thinner.

"Let's go, let's go to the consultation again, and then we have to look at the hospital's medical records. I will teach you how to review them. Your brother Du Yanjun will do a preliminary review, and we will do the final review together."

"By the way, Xiaohuan, when you write medical records, you should

is that OK? "Wang Huan's theoretical knowledge is excellent, and the basic medical record writing rules can definitely be relatively perfect.

Wang Huan nodded embarrassedly.

Immediately afterwards, Zhou Chengcheng came to general surgery again...

And just before Zhou Cheng left, the "unaware" doctor on duty had already called the superior doctor, and even sent the consultation opinion to the superior as if he were suing.

He also said, "Brother Ping, isn't the boss of the orthopedics department too stupid? How dare you write such a consultation opinion?"

Brother Ping, who thought the other party would be furious, sent a sentence: "Okay, got it."

Brother Ping also called the professor in his group again: "Professor Liu, I didn't take advantage of the loopholes. The new chief hospitalist was too cautious. He called his superiors, and the consultation opinion was still the same."

"Have you invited Huang Zong to dinner?" Professor Liu's voice was pertinent.

"Professor Liu, this has to be reasonable. My own sister has paid for it, let alone the matter of eating. Before Huang Zong left, he made a point of telling it, and didn't explain it."

"This Zhou Cheng, I heard that he is a cautious person. Before starting the general hospitalization, he put all the diseases in the department in the past six months."

"Okay, there's nothing I can do. I can only go to Dean Lei's place in person. Those who should be let out must be let out!" Professor Liu said with a sigh.