medical simulator

Chapter 94 So the problem is here! (The third update, please subscribe!)

"Oh, okay, come right away." Cai Dongfan replied immediately.

Just now I was only thinking about how to offend Ding Changle, and I forgot the agreement with Yan Haihan.

If Professor Ding leaves, he will go to the handover room, and Yan Haohan will finish the handover.

Otherwise, Yan Haihan would have been forced to make a long speech, and it seemed that he didn't have much to say.

He didn't ask where he offended Ding Changle, so Cai Dongfan could only postpone the matter a little, it's more important to do serious things first.

Moreover, because he was frightened by Ding Changle just now, he even forgot to send him off. How to explain this matter to Yan Haihan at that time also gave Cai Dongfan quite a headache.

Luo Yun didn't doubt that he was there, so he waited for Cai Dongfan to come out at the door.

When the two walked into the shift room, Yan Haihan deliberately made a high-profile statement: "Director Cai, early shift shift is very important, you can't be absent for too long without reason. I said a lot, you are a Didn't hear a word."

"A similar situation is not allowed next time." As the director, Yan Haihan played the cover quite well.

Cai Dongfan nodded apologetically: "I'm sorry, Director Yan, I just had an emergency call and wasted everyone's time. I will pay attention in the future."

He didn't reflect deeply either, that's how he got along with Yan Haihan in the department.

Only then did Yan Haihan look at the time and said, "It's getting late, and I won't be rambunctious anymore. I just hope everyone remembers that there are no small things in clinical practice! Everyone hurry up for ward rounds and surgery go."

What Hu Ming waited for was Yan Haihan's words. He immediately stood up and ran out of the shift room in a hurry. The soldiers were divided into two groups. He led people directly to the operating room, leaving two people to do ward rounds and treat patients.

Today is his operation day, and the first operation is estimated to have been numb for 10 to [-] minutes, and they are still being dragged by Yan Haihan to listen to a long speech, which is really painful.

But there is no way, Yan Haihan is the director of administration, and he wants to convey the content of the weekly regular meeting and various meetings of the hospital, and Hu Ming can't say that Yan Hanhan is wrong.

……

Yan Haihan also took Dong Qiansheng and others to the ward round with his hands behind his back, and didn't ask Cai Dongfan and Ding Changle what they talked about.

It is definitely necessary to ask, but you have to wait until the house inspection is completed.

Luo Yun stood up and was about to take people out, but looked back at Cai Dongfan, who was a little lost, and asked one more question: "Director Cai, will I take Yan Jun and the others to make a ward round today? Aren't you going to take a look?"

Cai Dongfan immediately turned his head, then stood up, woke up in a daze, and immediately said: "Let's go to see the patient together."

Of course, clinical things still need to be done and done well.Besides, Cai Dongfan has to hurry up, free up the extra time, and go to pursue today's affairs carefully.

If he didn't figure it out, Cai Dongfan probably wouldn't be able to sleep well for a long time.

It is not a good thing to be missed by a professor at the Affiliated Hospital of Shonan University, and if the professor is the leader of the subject, it will make Cai Dongfan even more uncomfortable.

After the ward round, Zhou Cheng immediately came to the right side of bed 25 and began to report the medical history: "Mr. Cai, Mr. Luo, this patient is..."

Strict ward rounds, the responsibility of the bed doctor is to report the patient's medical history and treatment, and what are the current inspection results every time the ward rounds are made.

Because the superior doctor does not need to remember the patient, this is what the bed doctor needs to do.

The superior doctor has rich experience, and he can make a good decision on the condition and follow-up treatment through the information mastered and reported by the doctor in charge of the bed.

But Cai Dongfan didn't want to waste time today, he waved his hand and said, "I know this patient, take out the reset film, let's take a look again."

The family members of the patient hurriedly took out the films.

Lu Cheng and Du Yanjun hurriedly divided the work to find the flat films before and after reset, and handed them to Luo Yun and Cai Dongfan one by one.

After Cai Dongfan took the film, he shook it in his hand.

Then Yingguang took a look at it, and his small eyes blinked at that time.

This TN, could it be that I just chatted with Professor Ding Changle a few times, except that my mentality was a little bit broken.

Make your eyes look a little blurry?
What about the fracture line?

He immediately repeated Yang Yifeng's action and opened his pupils wide, which could increase the amount of light received by the pupils and allow him to see more clearly.

Luo Yun had impressions and memories of the pre-reset film, so he only glanced at it, then turned his head to look at the post-reset film in Cai Dongfan's hand.

At that time, the whole person twitched and shook his head slightly.

This review film?

Have a problem?
The C-arm fluoroscopy in the operation is only a small X-ray, and the fracture part can probably be seen. Naturally, it cannot compare with the large and professional X-ray camera in the radiology department.

After sweeping out the plane from the tibial platform to the ankle joint, it looks quite beautiful.

If the patient's family members hadn't taken out the before and after reduction films at the same time, Luo Yun probably wouldn't have thought of the patient's fracture after a rough scan.

About 40 seconds later.

Cai Dongfan nodded, and finally breathed a sigh of relief.

Although the C-arm performed fluoroscopy on the reset during the operation, after all, Zhou Cheng is still so old, let alone has much clinical experience, such a review of the plain film made him feel more at ease.

Zhou Cheng's method of reset far exceeded his expectations.

So he said to the patient and his family members who were looking at him eagerly: "Don't worry, this technique has done an excellent job of reset."

Then he took the pre-reset film in Luo Yun's hand, and said, "Look, the fracture line here is very obvious, and there are still dislocations. But after reset, these conditions have been corrected. In such a situation, you only need to pay attention to avoiding bone tendons." Compartment syndrome and thrombosis, very worth looking forward to."

"Don't worry, surgery is not a good thing. It is quite good to be able to achieve the therapeutic effect without surgery."

The patient's family nodded quickly. Although Yang Yifeng said it was good yesterday, he is young after all, and he is still not as reassuring as Director Cai Dongfan said that he is cured well.

He immediately stretched out his hand and said, "Thank you, Director Cai, thank you, Director Cai. Thank you to all your doctors, too."

"It's all thanks to you, you are all good doctors, and you are very considerate of our patients."

"It can be cured without surgery, knowing that it will save us money. The medical ethics are noble!" She involuntarily gave Cai Dongfan a thumbs up.

Cai Dongfan shook his head, the patient's praise made him feel a little bit better.

He smiled and said, "Whether medical ethics are high or not depends on whether you can save money or not!"

"According to different situations, choose the appropriate treatment method. That's it."

The patient's wife immediately replied, "I know, I know, it's like adding salt to cooking. If you put too much salt, it will be salty, and if you put too little, it will be bland. It's not good."

"Doctor Cai, you put it the most suitable."

Cai Dongfan: "..."

Blinking his eyes, he looked at the patient's wife and smiled awkwardly.

It seems that this analogy is more understandable than what he wants to say, and it fits the meaning he wants to express very well.

Do patients even understand this now?
"Dr. Yang said the same thing yesterday." The patient's wife felt relieved.

The patient also smiled, put his hands under the back of his head, and said, "Thank you, Dr. Cai. The people in the next wards envied me yesterday, saying that I don't need surgery and won't leave scars."

"They all want to transfer to you for treatment, and they all think that your medical skills are superb."

Hearing this, Cai Dongfan immediately changed his face and said, "How can we do that? Our departments are strictly grouped, and the patients next door are from Director Yan's group. Director Yan is the director of the ward, and his medical skills are better than mine."

"If they still ask you to talk about this issue, you just tell them so."

Although I don't think so, I have to explain it to the patient.

Patients who have already been sent to Yan Han's group must not be touched.This is a taboo topic, Cai Dongfan dare not even think about it.

Then immediately walked towards the next bed.

26 beds, it has been several days since the operation.

Before Zhou Cheng reported the case, the patient took the initiative to joke and said: "Director Cai, it's a pity that I have a fracture, so I have to have surgery. Otherwise, I really don't want to have surgery."

"I was in so much pain the night after the operation that the anesthesia pump didn't work."

"But this big brother doesn't have such an experience. It's pretty good." His tone was quite regrettable, with fear behind him.

Cai Dongfan could only explain: "It's all the same. It's better if you've had surgery, or you've had surgery, and you can get out of bed quickly. Moreover, different fracture sites and different fracture types must have different treatment methods. "

"A hospital is not an assembly line operation in a factory..."

"Haha, of course I know this. Thank you, Dr. Cai. I believe that the choice you made for me must be the best. It is also the most suitable for me." The patient gave Cai Dongfan two thumbs up.

"Yes." Bed 27, that is, the old woman with intertrochanteric fracture, also lifted the curtain and said:

"Dr. Cai is a very good doctor. I had an operation the day before yesterday, and I was in pain for a while the night before yesterday. It was much better yesterday, and I hardly feel anything today."

"In ancient times, this must be a miracle doctor." Patients must communicate with each other in the ward.

Although Cai Dongfan only made the best conservative treatment choice for the 25 beds, this shows Cai Dongfan's character.

He also established in the minds of patients the impression that he has noble medical ethics and knows how to consider patients.

Naturally, everyone would feel that Cai Dongfan was fine.

At this moment, Cai Dongfan's mood suddenly became much smoother.

It sounds much more comfortable to flatter a patient than a colleague.

Cai Dongfan said with a naive smile: "Wife, you are exaggerating a bit too much, what kind of genius doctor am I?"

"Just an ordinary little doctor."

The patient in the 26th bed said: "Look, Dr. Cai is humble. All the great people are humble..."

Cai Dongfan chatted with Bed 26 for a while longer.

He carefully explained the matters that he needs to pay attention to and the method of postoperative functional exercise, and told him not to bear weight on the affected limb temporarily.

When you are in a good mood, you will naturally have more conversations and confessions.

In this way, Cai Dongfan instantly established a careful and considerate image in his mind.

When the 26-bed patient was waiting for Cai Dongfan to leave, he said, "Dr. Cai, I don't know how to thank you, so I just bought some cut fruits and be careful. After you finish the room check, I will let you My wife brought you here..."

"No, no, you can keep it for yourself."

Cai Dongfan was very embarrassed. In fact, Zhou Cheng also put in a lot of effort for this patient.

He had a fracture of the tibial plateau, if it wasn't for Zhou Cheng, the one who might have another fracture...

If it really happened, it would not be the current scene.

After declining with a smile, I came to the old woman with 27 beds.

There is no need to talk about the medical history, we have chatted before.

Moreover, the companion, Lao Diai, had already sorted out the pre-operative and post-operative films, handed them to Cai Dongfan and Luo Yun, and at the same time fumbled for a while from the bedside table.

He took out a rolled red triangular banner with golden yellow thread and said, "Dr. Cai, bed 26 and bed 25 bought fruit for you together. I didn't make up the share, so I only ordered a pennant for you. "

"I can't eat it, and I can't share it with too many people."

"But it's also part of my heart."

Cai Dongfan hurriedly said, "Ouch, old lady, what do you think you are ordering pennants for? It will cost you money."

As he spoke, he bowed and took it with both hands very naturally.

Gold cups and silver cups can't keep up with the reputation of patients, and the pennants sent by patients are the greatest affirmation for doctors besides the patients' own quality of life!
"This is what you deserve, Dr. Cai. You are a kind person, kind-hearted, and superb in medical skills!" He counted the benefits one by one.

Cai Dongfan quickly turned around and handed the pennant to Du Yanjun, who immediately took it knowingly.

This is something that Cai Dongfan values ​​very much.

The pennant is not hung in the department as a facade, but the gratitude left by the patient. Every side is a gratification, which is one of the glory of the doctor.

Du Yanjun carefully rolled it up and was going to send it to Cai Dongfan's office later.

Immediately afterwards, Cai Dongfan began to watch the postoperative reexamination film.

However, as soon as Cai Dongfan's eyes came into contact with the plain film of the postoperative review, his complexion immediately changed drastically.

His eyelids trembled, his lips trembled, and he murmured, "Impossible?"

"how can that be?"

"So it's like this, so it's like this." Cai Dongfan said some inexplicable words like a dazed man.

Seeing Cai Dongfan's expression was wrong.

Luo Yun quickly put down the pre-operative film in his hand, and then looked over to Cai Dongfan——

Everything is fine, such a beautiful review film after PTFN surgery, why does Director Cai seem to be stimulated?

Cai Dongfan's expression frightened the patient.

The old woman was struggling to support herself with one hand, while his wife was holding her hand tightly, and both pairs of eyes looked at Cai Dongfan very nervously.

Some tremblingly asked: "Director Cai? Yes?"

"Is there a problem?"

Cai Dongfan was shocked for a moment, and he didn't answer immediately, but turned to look at Zhou Cheng.

It turns out that the problem lies here...

Finally, I finished coding Chapter 3, and the third one will be delivered.

(End of this chapter)