medical simulator

Chapter 387

10 minutes later, Lei Zhong left the second orthopedic ward.

Ding Changle, Wang Yunfa, Cai Dongfan and others all left the office in person to see each other off with smiles on their faces. On the way back, Cai Dongfan's small eyes were wrinkled into circles, and his brows were also tightly furrowed, as if he was going to build a stage for a performance. play.

Seeing this, Ding Changle, as the director of the ward, could only persuade him: "Professor Cai, since Director Lei has made a decision, we still need our department to handle this disease."

"At that time, if the beds of our two groups are not tight, we will help to coordinate with them."

The director of the ward should do a good job in the relationship between the professors in the ward and the leadership. Ding Changle can understand Lei Zhong's oppression of the people below by taking trouble into his hands as soon as he touches his lips.

But Ding Changle can also understand Lei Zhong's ambition and courage to bring the hospital in a better direction!
Cai Dongfan forced a smile: "Thank you Director Ding, thank you Professor Wang."

The situation is stronger than people, so I can only take a step back temporarily, there is no way.

I am also blinded by lard, thinking about the dream of a professor, coming to the Affiliated Hospital of Shonan University to suffer, and being a ward director in the No. [-] Hospital of Shashi, isn't it good?
Now that it's done like this, you can't go up or down!

Not only the diseases in one's own group have to be regulated by others, but even in clinical practice, Associate Professor Guang Yanhu has to be led by the nose.This day is harder than a dog!

When Cai Dongfan and the others were about to enter the office again, associate professor Fang Xiao from Wang Yunfa's group, attending physician Du Xiaoshen, associate professor Qin Tianzhu Nong Zhengkun, and attending physician Ding Dang all fled from the office one after another!
"What's going on?" Ding Changle yelled when he saw that no one in the department looked good!
Qin Tianzhu pointed to the office. Obviously, Guang Yanhu's scolding could be heard: "Where in this world is there a dean who forces the professor who leads the group to do something about the disease? Who stipulated it?"

"He's in charge of the sky and the earth, but he also cares about other people's medical treatment and surgery? Does he have to report to the secretary when he eats?"

"Forcing a cock to cub, right?"

The more Ding Changle heard it, the more wrong it became, he hurriedly opened the door and walked in: "Guangyanhu, what are you talking about?"

"Director Ding, I'm not afraid to say harsh words. Tomorrow, a patient with diabetic foot will come to our group. I will submit the resignation process tomorrow. If such a disease comes over the day after tomorrow, I will submit it the day after tomorrow!"

"I didn't come here to be forced to be a foot cleaner. The big deal is to offend Dean Lei, and Xiang Province won't wait!" Guang Yanhu also went all out.

As a Ph.D., he has been studying for more than 30 years, and he just wanted to find a decent job when he came out, not to help people clean their feet and poke rotten flesh. Then he has such a high degree of education, these skills, and the work he does The child is the same as the massager, and he does not earn as much as the other party!
Dry a chicken feather.

The performance distribution in the hospital is divided according to the performance of the diseases in the group. Diabetic foot is smelly and difficult to treat. The family members of the patients are impatient and have no money!
With his ability, why can't he stay?

"Don't talk nonsense. This is the unified arrangement and planning of the department. You must have a sense of collective consciousness. Just now, Professor Lei also said that if patients need it, we have to go to special research. We can't just go to the hospital just because there is something wrong with this disease. discriminate!"

"Guang Yanhu, you are also an associate professor, why don't you have this awareness." Ding Changle didn't want Lei Zhong to arrange it, and all the people in Cai Dongfan's group were gone, leaving only Cai Dongfan, and then Take a general hospital to do things.

Then he slapped Lei Zhong in the face!

Guang Yanhu thought for a long time calmly, and then said: "Professor Ding, we are all adults, don't lie to anyone, don't use the word dedication to deceive anyone!"

"They are all specialists in orthopedics. There are so many diseases in the orthopedics department. Professor Cai and I sit in the outpatient clinic, but there are still not enough beds to accommodate them. We have no thought and spare beds to accept this diabetic foot."

"Whoever wants it, we don't care anyway."

"I put my words here, and I'm not afraid of offending people."

"The cow does not drink water and forcefully presses its head. Don't let this happen to me! I don't know how to operate on diabetic feet. I don't know how to do it, and I don't want to learn it!" Guang Yanhu pushed the door and left, not at all. You're welcome.

Seeing this scene, Zhou Cheng was a little stunned.

Speaking of which, Guangyanhu has always been good-tempered, and this time he was probably pushed by Professor Lei Zhong, which is why he got so angry.

Facing Guangyanhu's fire, it was hard for Cai Dongfan to say anything more.

Although Ding Changle is the director, he also knows Guangyanhu's usual temper, but after all, it is not good to say such things in such a large public.

So, Ding Changle followed: "Guang Yanhu, come with me to the office."

This time, Guangyanhu didn't slam the door again, and followed Ding Changle to the director's office honestly.

Wang Yunfa hurriedly avoided, not daring to stay longer, for fear of irritating Cai Dongfan.

Cai Dongfan felt very pitiful for suddenly taking on such a job.

Everyone left, only Zhou Cheng and Cai Dongfan were left in the doctor's office.

Zhou Cheng took the initiative to come over and locked the door behind him.

Only then did Cai Dongfan slam the table with his fist, feeling aggrieved, and the noise he made was not loud, just to vent his inner anger!

"Master, are you okay?" Zhou Cheng could only go over to comfort him.

Zhou Cheng had heard about diabetic foot diseases in foot and ankle surgery. The Shanghai No. [-] Hospital has such a treatment group, which is jokingly called the foot washing group!

It's really exhausting and thankless.

"hiss!"

"Damn it." Cai Dongfan became irritable.

"I'm sorry, Master." Zhou Cheng spoke first.

Cai Dongfan tilted his head: "What does this have to do with you?"

"Master, Professor Lei wants me to take over the disease of diabetic foot, so you and Professor Guang are involved." When Zhou Cheng listened like this, he knew that Lei Zhong came here specially for him.

There are several necessary conditions.

Diabetic foot, at present, only Kyoto and Shanghai are doing better. Central China, South China, West China and other places do not have relatively large diagnosis and treatment centers.

If Zhou Cheng can really develop this disease, it will be a national key clinical trial center. It is so easy, and ordinary diseases are not easy to win.

The reason why diabetic foot is notorious is that its patients are quite large and difficult to treat, and not many people are willing to learn it. The work they do seems inferior to others to a certain extent.

It's even more 'cheesy' than a massager. At least the massager doesn't have to play with carrion and endure the rotten smell! (You can Baidu Diabetic Foot by yourself.)
Of course, being humble or not is relative.

It's just that the economic benefits of this disease are not very good. There are no consumables for internal fixation and other things, so there are not many performances that can be obtained.

However, if such diseases can be classified clearly, that is also a merit.

After all, the mortality rate among patients with diabetic foot amputation is as high as 22%!

This is not a small number.

This disease is very difficult, almost impossible to cure, because its etiology ward IE is a pure orthopedic disease, many foot complications in diabetic patients arise from sensory neuropathy and mild autonomic and motor neuropathy.

The most important reason is diabetes. The blood sugar regulation in the body has lost its proper balance. It can only be controlled and prevented. But once it happens, and most of them have to transfer from endocrinology to orthopedics, most of them have reached a very serious level.

At this time, we can only perform endarterectomy, vascular bypass surgery or amputation according to the situation for treatment!
If the treatment is done properly, there will be a better outcome. If the local level of diabetic patients is better, the infection can be controlled. After reducing blood sugar, anti-infection, and improving circulation, including comprehensive treatment of traditional Chinese medicine, the wound can heal.

The second outcome is amputation. Due to the poor control of local infection in patients, deep tissue destruction occurs. In order to prevent systemic symptoms, amputation is usually used to avoid systemic infection.

The third outcome is that some patients may eventually die due to organ failure due to systemic infection, such as severe sepsis and severe cardiovascular and cerebrovascular events.

This is no joke, and poor blood sugar control is very easy to relapse!
"Oh!~" Cai Dongfan took a deep breath.

After Zhou Cheng said this, Cai Dongfan felt less resentful, and then asked: "Xiao Zhou, what's your opinion? If you don't want to take over such a disease, I'll talk to Professor Lei Zhong alone and give this disease to you. Prevaricate away."

"Can we still evade this?" Zhou Cheng smiled wryly.

To be honest, diabetic foot surgery is a disease that cannot be classified separately. He has never learned it completely. If he wants to practice it, he has to go to a temporary simulation tonight to be sure!
"Just say what you have to say, Professor Lei Zhong, I will talk to him." Cai Dongfan waved his hand, feeling very secure.

The reason why he didn't speak just now was that he had something to say, which was not easy to say in front of these people.

Lei Zhong was also young. When he was young, Cai Dongfan was also young. They drank together. At that time, both of them were drunk. Then Professor Lei Zhong didn't ask Cai Dongfan to brag about his awesomeness and his heroic deeds.

Cai Dongfan has a lot of friends, so if Professor Lei Zhong really wants to force others, then he can only reluctantly help Professor Lei Zhong become famous again.

Anyway, Lei Zhong can even force people to switch to other diseases.

Cai Dongfan is in trauma surgery, not in diabetic foot surgery or foot and ankle surgery. This diabetic foot surgery is completely different from Cai Dongfan's previous business scope.

"Master, I think, let's try." Zhou Cheng was eager to try.

Now, ordinary diseases can no longer arouse his interest. It is only the surgery of complex fractures or the debridement of complex infection that can make Zhou Cheng feel that the surgery is enjoyable.

This habit is a bit close to that of a professor.

It's really meaningless to do simple fracture reduction by pursuing speed, and even minimally invasive internal fixation of fractures is just like that.

It's a big deal to open up, and people can't die.

That is to leave some scars, and the things I do are to satisfy ordinary people's desire for beauty.

This kind of diabetic foot disease, which carries mortality, is challenging and has excellent development prospects, is what Zhou Cheng likes to challenge. Such operations and diseases are interesting to treat.

However, Zhou Cheng also expressed his concerns: "Professor Guang's reaction seems to be a bit too big. I'm afraid that after we take over, Professor Guang really resigns, but it's our fault."

Cai Dongfan and Zhou Cheng have a master-student relationship, but they are currently a team.

From Guangyanhu's point of view, Cai Dongfan should go to Lei Zhong's place to stand up for him, and don't do such a thankless thing!

Moreover, Zhou Cheng also saw Guang Yanhu's operation.

Ding Changle can rest assured that he will come to Cai Dongfan and lead a team instead of Cai Dongfan. This kind of professional strength is no problem, but because of his qualifications, he has not yet been promoted to a professor, and he is still young, so it is impossible to lead a team alone.

If such a talent is lost, Ding Changle will die of heartache.

Moreover, if Guangyan Hu ran away, Ding Changle would not be able to explain to his uncle. Guangyan Hu is the closed disciple of an old professor of Ding Changle who has only retired for less than ten years, and he is still active in the outpatient clinic.

At that time, he will definitely come to the door.

"You want to do it, Guang Yanhu doesn't want to do it, you two just want to trap me as a villain, right?" Cai Dongfan scolded with a smile.

"No, master, I definitely didn't mean to make things difficult for you. You are my master." Zhou Cheng hurriedly waved his hands.

Cai Dongfan naturally knew that Zhou Cheng was joking!

"It's okay, Ding Changle has to correct Guangyanhu's temper. Ding Changle's teacher is the same brother as Guangyanhu's teacher. They can be regarded as the same ancestor. Ding Changle will understand Guangyanhu Yes." Cai Dongfan said.

"I'm afraid not. If Professor Guang said this in private, there must be room for it."

"But this was said in the doctor's office, in front of so many people, Professor Guang will definitely not let it go, I'm afraid he will either transfer to another place, or resign!" Zhou Chengdao.

Guang Yanhu's temper is precisely because he is very good, and he is a person who can control his emotions very well.

But once such a person breaks out, once one thing is confirmed, they will not change easily!
This is a person's obsession and Dao heart!

If you don't want to, you don't want to, there is no reason.

And under such circumstances, if Cai Dongfan still wants to take over, it would be forcing Guang Yanhu to leave.

Guang Yanhu was the first to lead the army!
In fact, the root of everything is because Lei Zhong is troublesome and insists on taking over the diabetic foot disease!
"You have grown a lot."

"If this is the case, then in this group, there will only be the two of us fighting alone, without any other helpers. Are you afraid?" Cai Dongfan said to Zhou Cheng after careful consideration.

"I'm a little scared. To be honest, the emergency department here is much more difficult to deal with than the emergency department at the Eighth Hospital of Sha City."

"I'm also afraid that I won't be able to hold on then." Zhou Cheng felt a little guilty.

Of course, Zhou Cheng didn't pretend that he was really incompetent, but that he was afraid that he would die in a dedicated position. He hasn't been home for more than two days, a bunch of shit!
(End of this chapter)