medical simulator

Zuo Hu raised his hand, and after all the voices stopped, Zuo Hu began to speak...

At this time, there was a knock on the door of the transition room, the sound was not loud, Zuo Hu continued to talk.

Then Guo Lei stuck his head in, grabbed a person at the door and whispered in his ear for a while, and that person stepped forward and told Luo Yun.

Luo Yun winked at Zhou Cheng who was standing directly opposite, and Zhou Cheng immediately understood, quietly walked around behind everyone, walked around to the door of the shift room, opened the door a little, and went out.

The whole process did not disturb Zuo Hu's lecture, and Zuo Hu turned a deaf ear to it, pretending not to see it.

Not to mention such an informal class, even if it is a big class for undergraduates, there are some people who walk away with their schoolbags in the middle of the class, and they have long been used to it...

When Zhou Cheng went out, Guo Lei said, "Brother Zhou Cheng, I'm sorry, I didn't understand this patient. The report said heel joint dislocation."

"I delayed your lecture."

As he spoke, he scratched his head, quite apologetic.

He was on duty, and he still felt a little guilty when he encountered a patient and asked Zhou Cheng to deal with it.

After all, Guo Lei didn't know that the dislocation of joints in the department was because of Zhou Cheng and Luo Yun, and he only thought it was Yan Hanhan's idea...

"It's okay, let's go and have a look together." Zhou Cheng replied subconsciously.

But immediately remembered something, and said, "Brother Lei, why don't you go in and attend the class? I'll just go and see it alone."

Guo Lei was very moved, but shook his head firmly: "Then how can I? I'll help Brother Zhou Cheng for you."

Then Guo Lei and Zhou Cheng came to the nurse's station.

After Zhou Cheng watched the plain film, he took a look at Guo Lei, and then said to the patient's companion in a loud voice: "Look, this is the calcaneus, and this is the cuboid. They are the two bones that we already have on our feet. a bone."

"They will form a joint called the calcaneus joint. Now this joint is dislocated, so he is very painful and can't walk. Now it is very swollen."

The companion kept nodding his head, but his face was in a daze.

I thought in my heart, what is with the bones.

What is the relationship between the feet and the skull?

But when you arrive at the hospital, of course you have to listen to the doctor, and they don't understand.

"In such a situation, a reset is needed..." Zhou Cheng introduced it to the patient's family in detail, one for the conversation before the reset, and the other for explaining to Guo Lei so that he could understand.

Zhou Cheng said so much, not all for patients to listen to.

Guo Lei is obviously interested in taking Zuo Hu's class, but because he can't take the class on duty, Zhou Cheng can teach by himself, and if he can teach unintentionally, he doesn't mind giving Guo Lei a hand and letting him learn something. At any rate, it can fill in the gaps that are missing from this class.

Guo Lei nodded frequently.

Because Zhou Cheng disassembled the joint dislocation into pieces, but assembled it into a straight line frame, Guo Lei understood it and kept it in his heart without much effort.

"So, we have to try manual reduction first, and see if it can be cured without surgery."

"If the manipulation is restored, then there is no need for surgery. If it is not restored, surgery is necessary."

"Or if you want 100% insurance, then go straight to the operation and definitely reset it." The patient gives the power of choice to the patient himself.

The patient was on a construction site, and he was hit in the foot with no broken skin or broken bones.

So he immediately raised his head and said firmly, "Doctor, I understand. I want to try without surgery."

"If there is no other way, then surgery."

Although his own salary is not low, there are old and young people in the family who are all waiting for him to earn money. He never eats more than 20 yuan a meal, most of which are ten yuan and fifteen yuan, which can save money. Then save.

When Zhou Cheng was speaking, Guo Lei had already issued a doctor's order.

"Okay, then you pay the fee first, and I will prepare the things to be used for the reset, and then I will put on the plaster, and I will give you a leave note."

"You must remember that after the reset is successful, you must rest for at least one month to one and a half months! During this time, you cannot use force or work, otherwise, you will not be able to escape the operation eventually." Zhou Chengsheng was afraid of this big brother, After feeling no pain in the feet.

Brutely go to work again, the ligament will be broken again or something.

At that time, the restoration of my technique will be in vain, and I am afraid that I will have to undergo major surgery.

The reason why you have to explain to him and not to others also depends on the nature of the work and the person.

Some people, those who sit in an office or have money, know how to rest without asking them to, but workers are different. Their roles, burdens and ability to bear the burden are different.

This is also one of the contents of medicine.

Whether the explanation is long-winded or not varies from person to person.

"Okay, okay!" The patient nodded hurriedly, but kept scratching his head with his hands, and finally let out a long sigh.

His fellow workers comforted him and said, "It's important to get well first, because you can't earn enough money. Then ask the boss if there is any work-related injury to report to you."

"..."

15 minute later.

Zhou Cheng still completed the manual reset while explaining. When he heard the clicking sound, Zhou Cheng said: "This sound is the popping sound produced after the joint is reset, and it is the sound of bone surface impact."

"It's a good thing to hear this crisp clicking sound after a joint dislocation."

"If you hear a dull snapping sound, you have to be careful that it's a broken bone."

"After we're done, we have to make sure..."

Twenty minutes later, the patient and the co-workers walked out of the ward thankfully.

The worker was still muttering, "Other people said that the hospital would cost hundreds of dollars to treat a cold. Today, it only cost more than 300. I also brought a plaster back. It doesn't seem to be very expensive."

"Yeah, when I paid the fee, I saw that the plaster material cost 110 yuan."

Hearing this, the patient hung his head again and greeted Zhou Cheng: "Thank you~, Doctor Zhou~."

It was so loud that even everyone in the class could hear it.

Zuo Hu's lecture also stopped midway——

Then go on to the lecture!

Guo Lei immediately said, "Mmm, thank you, brother Zhou Cheng, I didn't expect joint dislocation to be so interesting."

"Yes!" Zhou Cheng nodded.

He smiled and said: "Manipulative reduction of joint dislocation is one of the rare operations in clinic that our doctors can quickly gain a sense of self-accomplishment."

"When I came in, the patient was in pain."

"The disease can be cured at hand, and it will be relieved immediately."

"It's a bit like the miracle doctor in the movie. The way to reset the fracture is not as magical as this."

Guo Lei continued to nod.

"Brother Zhou Cheng, I have to learn more from you today!" Then he looked at Zhou Cheng, full of expectation.

The two of them were about to walk into the handover room to listen to the class again.

The door of the department was opened again——

A family of wheelchairs was wheeled in.

Guo Lei's expression immediately turned pale, and he said helplessly, "Brother Zhou Cheng, you go in first."

Zhou Cheng could only look at Guo Lei with pitiful eyes, pushed open the door and slit it into a small ∠, and then squeezed in.

Unexpectedly, Zhou Cheng immediately felt his cell phone vibrate.

After clicking on it, it was another message from Guo Lei.

So Zhou Cheng pushed the door open again, and then got out...

Zuo Hu was on the stage, glanced at Zhou Cheng who was leaving, then moved away to another place, and continued: "So the above is the second most common dislocation in our orthopedics department, the related content of the posterior dislocation of the hip joint. Anterior dislocation, lateral dislocation, high dislocation, subluxation, etc..."

……

Two 10 minutes later.

It seems that the patient and Zhou Cheng happened to pass by the shift room along the way.

"Thank you, big brother doctor!" It was a child thanking Zhou Cheng, his voice was still very loud and he was very polite.

And it's very close to the shift room.

Zuo Hu inside, paused again, and paused——

MD is poisonous...

Zhou Cheng pushed the door open, this time he didn't go out right away, but Zuo Hu saw that Zhou Cheng pushed the door back to ∠ 5 minutes later.

out--

well!Zuo Hu sighed in his heart——

Are you always in and out?

……

When Zhou Cheng went out, he saw Guo Lei talking with the patient.

The general content of the conversation is similar to what I talked about before.

My heart suddenly trembled, big brother, the conversation is not like this!

You made a mistake in the program, whether you need to reset it or not depends on whether you can do it or not?

But he didn't say it.

There aren't that many rare things after all.

The patient is a seventy-eighty-year-old widow.

The person who pushed her here was her daughter-in-law, who was probably in her 40s!

Zhou Cheng then gave the patient a physical examination, watched the film, and then read the old woman's emergency medical records.

After reading it, Zhou Cheng's heart skipped a beat immediately.

He touched Guo Lei and squeezed his throat, signaling him not to speak.

Guo Lei immediately understood and stopped talking.

The patient's daughter-in-law saw Zhou Cheng touch Guo Lei, and Guo Lei didn't dare to speak.

Then he asked: "Doctor, how is my mother's situation? Don't scare me."

Zhou Cheng frowned and said, "Sister, don't worry, just listen to me first."

"Your mother's current situation, although it looks like a shoulder joint dislocation from the film, in fact, it may not be an ordinary shoulder joint dislocation. So you need to take an MRI first, and let me confirm the area around the shoulder joint. Is there any compression of the musculature?"

"Then we'll see how we treat the situation."

"What Dr. Guo said just now is correct. Shoulder dislocations can be reset manually or surgically. Manual reset is the first choice, but in some special cases, manual reset is not suitable."

Zhou Cheng explained.

But the patient and his family immediately frowned.

The patient's daughter-in-law said: "But just now, Dr. Guo said that you can reset it manually first. Can't you try reset first, and then go for MRI?"

"We've all come to the ward. What if it's not a special joint dislocation? Wouldn't it be possible to skip the MRI?"

The old woman also raised her head, her spirit was a little weak, and she said: "Yes, doctor, my shoulder hurts so much, and I can't strength it. Please stop the pain for me first! I'm in so much pain that I'm about to die. Ouch, hey, hey, hey."

As he spoke, he groaned in pain.

Zhou Cheng licked his lips and said, "This, big sister. It's not how you understand it."

"Our doctors deal with people, and people can't just try it casually. An MRI or an emergency room will be done quickly, and there won't be much delay."

Then he said to the old lady: "Wife, your pain is caused by dislocation of the joint. Painkillers are not very effective, and it must be reset. Before the reset, we have to find out the situation in detail."

In fact, Zhou Cheng now has the bottom line in his mind. Although the patient's joint dislocation is anterior, the scope of the anterior dislocation is a bit large, and the end of the anterior dislocation is a bit special.

I'm afraid it belongs to the contraindication of manual reset, so he dare not reset it casually.

It is necessary to determine the shape and specific position of the biceps tendon first.

The old woman sighed, and kept touching her left arm with her right hand, and said, "Doctor, I'm in pain, please perform a reset for me first, so that I don't feel any pain before checking."

"Yes, doctor."

"This is not an experiment. Let's go down to do an inspection, and then go up again. This is going back and forth. Isn't it appropriate?"

"And Dr. Guo said just now that you should try the manual reset first, and then switch to surgery if it doesn't work." She looked directly at Guo Lei, wanting to use Guo Lei's words to gag Zhou Cheng, thinking that Zhou Cheng was just trying to make them do check.