medical simulator

……

operating room.

At this moment, little girl An Ruo was diligently administering anesthesia, while muttering to her teacher: "Teacher, why is it an orthopedic surgery again?"

His eyes were full of lovelessness, full of resentment.

Zeng Yi explained: "An Ruo, you can't have any prejudice against orthopedics. The orthopedics surgery is good, and you can usually leave work early."

"Aren't you always complaining about the short reading time?"

An Ruo argued: "Then don't come to the orthopedics department, just the orthopedics department."

Originally, there were not many good things, but An Ruo didn't dare to say this in front of her.

"The people in the orthopedics department are very nice. Look, didn't we invite Xiao Yang from the orthopedics department to give us anesthesia last week?"

"Xiao Yang's anesthesia is not something that can be seen under normal circumstances. You must have gained a lot from watching it last time, right?" Zeng Yi asked with squinted eyes.

An Ruo muttered in a low voice: What a fart, it's not good at all.

Isn't it a nerve block?

With a look of two to five to eighty thousand, I can't understand him.

Zeng Yi heard it, and hurriedly said: "You can't say that."

"Although nerve blocks are all nerve blocks, the difficulty of main branch nerve block and branch nerve block is different. The difficulty of precise cutaneous nerve block is different from that of branch nerve block."

"An Ruo, you should know that this kind of anesthesia is extremely rare and rare in our anesthesiology department."

Who cares if An Ruo disdains.

I don't even bother to see what kind of anesthesia he gave.

Although it is a bit powerful, what is the use of being powerful?

His character is not good, and his brain is still problematic.

Zeng Yi continued: "Today's orthopedic surgery is very important, so the director of the orthopedic department specially invited me."

"You also know that Brother Zeng Yi from the Department of Orthopedics is my brother, so I can't refuse."

"An Ruo, don't worry, today's operation is not a manual reset, and the turnover will definitely not be fast." Zeng Yi gave his students vaccinations.

An Ruo just fixed the anesthesia tube in the spinal canal, put the patient back to the supine position, and asked her teacher, "Really?"

"Definitely." Zeng Yi nodded with certainty.

"And they certainly wouldn't dare to do it too quickly!"

"Because for this operation, they are going to give the little comrades in the department an exception and officially grant the authority of level II surgery. This cannot be done carelessly."

An Ruo was startled when he heard the words, a little lost.

Who is the orthopedic surgeon?Exceptionally granting surgical permission?

Isn't this equivalent to bringing the leapfrog operation directly to the bright side of the medical department?

But thinking this way, An Ruo thought again, there is a monster in the department of orthopedics, and even the level III surgery is performed in front of the professor of the Affiliated Hospital of Shonan University.

Class II surgery, compared with class III surgery, is a bit insignificant.

It also felt strange.

I just hope it's not Yang Yifeng.

Moreover, because of her teacher's explanation, An Ruo also felt relieved.

Since this operation is so important, they probably dare not rush too quickly.

While thinking about it, An Ruo saw a hot devil from the orthopedics department and walked in.

At that time, An Ruo was trembling with fright——

This left a psychological shadow, and he looked at his teacher as if asking for help, with a helpless light in his eyes: It seems to be saying, teacher, didn't you tell me that the person who performed the surgery today is this devil?

He has an operation?

Can you slow down?

An Ruo recalled that even the associate professor at the Affiliated Hospital of Shonan University seemed a little out of step with Zhou Cheng's rhythm. Is this slow?

Zeng Yi looked at the nose, nose, mouth, and mouth, closing his eyes and resting his mind.

not talking anymore.

An Ruo also squeezed her little palm, and said to herself secretly: An Ruo, come on, don't be afraid, isn't it just a devil?

Just face him.

Get over it, it's over for today.

……

Luo Yun and Zhou Cheng didn't know that An Ruo still had so many small thoughts in her heart.

After seeing that the patient was anesthetized, Luo Yun said, "Director Zeng, you have worked hard. Thank you for your cooperation. Our patient was anesthetized so early."

This saves a lot of time for orthopedics.

Zeng Yi raised his eyelids, and said lightly: "It's not hard work, it's just my job, and it's all anesthetized by my students. I just sit down."

Luo Yun glanced at An Ruo and said, "Thank you for your hard work, Dr. An."

An Ruo replied in a low voice: "It should, Teacher Luo."

The tone is very polite.

-

When Cai Dongfan, Wang Yongjin, Zeng Yi and others walked in, Luo Yun and Zhou Cheng had already stood on the operating table. After finishing all the preparations before the operation, they waited for Cai Dongfan to come on stage again, ordered the operation to start, and they could start immediately. Surgery started.

Dou Chengpeng looked at it, and said with a smile: "The orthopedics department has a very strong executive ability. We just arrived, and everything is ready."

"Don't dare to waste your time, Chief Dou. Director Wang, Director Zeng, Director Yan, I'll just wash my hands. There are a lot of operations today, so we won't waste everyone's time." Cai Dongfan hurriedly said politely.

Both Zeng Yi and Wang Yongjin nodded, and then distributed a score sheet to each of them.

At the same time, he tilted his head and explained to Dou Chengpeng: "Director Dou, these forms are the detailed scoring content. You only need to score objectively according to the specific steps and procedures of the operation."

Although Dou Chengpeng is also a doctor, but not orthopedics.

Seeing this surgery score sheet, I said, "Your orthopedics department is really well prepared!"

Zeng Yi smiled and said, "Since we want this kind of authorization with the medical department, we naturally dare not rush to deal with you, Chief Dou."

"It's just a bit of preparation in advance to make our review more objective and less personal."

"Chief Dou, you can just follow these detailed steps to score."

"..."

While Cai Dongfan was washing his hands, An Ruo watched his teacher doze off, but looked at Zhou Cheng curiously, met Zhou Cheng's eyes for a while, then shrank his head in fear, and carefully looked at the information on the anesthesia monitoring panel. Vital signs are gone.

Chapter 119 Do you call this a level II operation?

Zhou Cheng also saw An Ruo's dodging action, and smiled at her kindly, even though she didn't see it.

Seeing this series of actions, Zeng Yi shrugged his eyelids, feeling a little funny.

As a student, I seem to be a little scared by the orthopedics department, but in fact, Zeng Yi still feels that the orthopedics department is still one of the most kind departments in all surgeries.

Except for the occasional violence, it's actually quite clean, isn't it much more beautiful than neurosurgery to turn the brain, thoracic surgery to turn the lungs, and general surgery to turn the intestines?

……

Cai Dongfan washed his hands, dressed and walked into the operating room. After approaching the operating table, he turned to Dou Chengpeng and asked, "Chief Dou, we are all ready, can we start?"

The medical department is a functional department, and it is the superior management department of all disciplines and departments in the hospital, and it is also the management department of all doctors.

Therefore, it is another level of leadership besides the director.

It's just that the medical department doesn't care about the clinical practice, and doesn't go into the professional rivers and lakes. When it's time to scold, you can point your nose and scold, but when you want to respect, you still have to be polite.

Dou Chengpeng said confidently: "Then let's get started, and I'll see if our hospital can, for the first time ever, grant a level II surgical authority to residents in advance. This will also help improve the teaching strength of our hospital." It will definitely help."

Although the medical department doesn't care about teaching, there are two general directions that Eighth Hospital is working on recently——

Specialty Hospital.

teaching hospital.

Each one is extremely attractive, and before each of the above two titles is obtained, it is extremely hoped that the brand will be hung in the hospital.

And the teaching hospitals are secretly divided into many levels, which are related to the affiliated medical schools, but now the Eighth Hospital relies on the cooperative schools, which is a bit stretched, but there is no choice...

Cai Dongfan nodded, and said to Zhou Cheng to start.

When Zhou Cheng heard this, he took a deep breath, and in order to show his importance and respect for the event arranged by Zeng Yi, Director Wang Yongjin and others today, he took a few steps back from the operating table, and then walked to the viewer again .

The ninth time before the operation, after entering the operating room, the third time to carefully observe the imaging examination data of the patient.

This is an assessment of surgical authorization, not an ordinary operation.

Zhou Cheng naturally had to pay enough attention to it.

Seeing Zhou Cheng walk out from the operating table again and go to the viewer, everyone didn't feel that he was putting on airs and wasting time and was upset. On the contrary, they could all understand Zhou Cheng's nervousness at the moment and praised him for his stability .

Cai Dongfan said to Luo Yun in a low voice: "Xiao Zhou seems to be such a mature and stable person since he entered the department?"

Luo Yun nodded, agreed with Cai Dongfan, smiled, and said helplessly, "If he wasn't such a person, Director Cai, you must have noticed him a long time ago."

"On the contrary, I think he is a little bit tied up by the current secular rules, and his thinking is too rigid."

"It's a bit pitiful, and it will also affect his future."

Zhou Cheng was too steady. From the beginning to the end, if someone hadn't asked him to come to the stage to help, he would have been able to stand on the sidelines coldly, just like Yan Luo in the present world, without any momentum.

And drive is the characteristic of young people, and it is also one of the essential characteristics of young people's unlimited potential.

Dare to venture and dare to do, this is the style that young people should have.

Cai Dongfan shook his head: "No, no, you are wrong, Luo Yun."

"You can't rely on Xiao Zhou's own experience. Instead, you have to think about it from Luo Yun's point of view. Before and now, he was just ordinary training. He was not stable. If something happened, there would be no teacher for him. endorsement?"

Luo Yun shook his head and stopped talking.

To be honest, he has never been a simple trainee, so he may not understand Zhou Cheng's current situation.

When Luo Yun graduated, standardized training had not yet been promoted across the country. At that time, he only had to follow his teacher and simply manage the bed, and there were not so many moths.

-

After Zhou Cheng read the film carefully, he confirmed that the patient had only a simple fracture of the lower end of the fibula, without other hidden injuries or other accompanying problems. Then he let out a sigh of relief, and then walked Come to the stage.

Then he asked Cai Dongfan in a low voice, "Mr. Cai, I'll start first?"

"Well, let's get started. Would you like to have a X-ray first?" Cai Dongfan immediately started to go through the procedure, which is also the routine procedure of closed/open reduction and internal fixation of fibula fractures.

The operation plan he prepared was to send both open and closed reduction, and he discussed the same with the patient. He mainly hoped that Zhou Cheng would not perform difficult operations, and this minor operation, the simplest type II operation, was for Zhou Cheng. Used it for practice today.

So it was placed on the first one to give Zhou Cheng more confidence.

Moreover, even Du Yanjun can do this operation, and Cai Dongfan believes that Zhou Cheng can also do it.

Zhou Chengcheng took the initiative to answer and said, "Let's not see through, Mr. Cai."

"Two people, you and Mr. Luo, help me fix the pelvis by one person, and fix the mid-thigh by one person. I will do manual reduction first to see if I can reset the existing fractures that are not very displaced first."

In fact, for a simple fibula fracture, it is quite difficult to simply perform manual reduction.

The tibia and fibula are parallel lower limb bones, and the tibia is very thick.

If the fibula is fractured, if the factors that cause pain are not considered, it will not affect the patient's walking or any function, because the length and hardness of the tibia are enough to support a person's normal walking.

It is precisely because of this that without the characteristics of plasticity and displacement, it is quite difficult to reset the fracture of the fibula.

But that's for the average person.

Zhou Cheng's understanding of manual reduction of fractures is a perfect redefinition, so he naturally didn't find it difficult.

Closed reduction and internal fixation with Kirschner wire is also one of the standard orthopedic grade II operations and operations.

Luo Yun and Cai Dongfan nodded instantly.