medical simulator

Shaking his head: "We won't either."

Dou Chengpeng suddenly felt a little sad.

Damn it, you orthopedic staff don't know how to grade, so what should you say about today's surgery authorization?

3 minute later.

After Zhou Cheng drove in a total of two headless compression screws, he let out a long sigh of relief.

Feel a little hot in the palm of your hand.

Sure enough, it's girls who like to spin, and men don't feel pleasure when they spin and rub.

Said: "Sister Yali, thank you for pushing the C-arm machine. Let's take a look."

In fact, when Wang Yongjin and others were whispering, and Cai Dongfan and Luo Yun were neither polite nor polite, she knew that there might be something wrong with the operation, so she was very nervous and at a loss, paying attention to the progress of the operation. .

Nie Yali looked at Cai Dongfan.

Cai Dongfan was extremely helpless at the moment, and looked at Zhou Cheng with complicated eyes, thinking that it was a bit ignorant for Zhou Cheng to be such an asshole today.

But things have come to this, and we can only take a picture first to see the situation.

Then he nodded and said dryly, "Let's see through it first."

His voice is like a landlubber that doesn't understand water, quacking, quacking.

Hear this.

Groundhog - An Ruo immediately sat up straight, eyes wide open, innocent and cute, as if waiting to be beaten to death.

What happened again?

Didn't Zhou Cheng take the knife?

Why do you want to see through again?

Could it be?

An Ruo looked at the timing panel of the operation, which showed the progress of the operation.

00:08:08!

Looking at Zhou Cheng with complicated eyes, he spat secretly.

Can't you hold on longer?

Immediately afterwards, I saw everyone walking towards the isolation room silently, but no matter whether it was Cai Dongfan or Luo Yun, including Wang Yongjin and Zeng Yi, none of them laughed as much as they did during the previous operation. The faces are quite heavy.

I was secretly happy.

Could it be that something happened and something happened, and the operation time should be prolonged?

so good?

But after this idea floated out, An Ruo was startled, and hurriedly clasped his hands together and murmured a few times.

Then secretly explained: I didn't mean that, I definitely didn't mean that...

Wang Yongjin and others naturally felt worried.

A surgery that he didn't quite understand and understand appeared in front of him, and it was at such a critical moment, this Zhou Cheng was simply too reckless.

If something goes wrong, you don't know how you died.

Still showing off at this time?

However, when everything was prepared and the results of the C-arm fluoroscopy came out, the expressions of Wang Yongjin, Zeng Yi and others changed again in shock.

This fracture line and displacement?

Could it be that the normal imaging of the patient on the previous machine was copied, and it was PSed onto the ankle of this patient?

However, the last one is the left leg, this one is the right ankle, and the direction is different.

Wang Yongjin hurriedly greeted and said: "Yali, Cai Dongfan, you go in quickly, take a side view and take a look."

The tone was a little anxious.

Zeng Yi also hurriedly patted Cai Dongfan on the shoulder.

Small incision, internal fixation.

Trauma, minimally invasive!

Even if Zeng Yi is an idiot, he knows how influential it is, and there is no systematic operation in this area. If it can be done so well, then, in the future, it will be used in academic exchanges.

The Eighth Hospital will definitely no longer be a sideshow, it will blind everyone in the province.

Zeng Yi suddenly became enlightened.

If Zhou Cheng knew Zeng Yi's thoughts, he would definitely say, Director Zeng, you are too small...

No, this kind of small incision, open reduction and internal fixation took Zhou Cheng a lot of time to get the perfect grade. If even Wang Yongjin and the others couldn't shake it, it would be a waste of time.

And if it's just domineering in the province, then I'm too sorry for his simulation for so long. In the simulation copy, he has done all the things of abandoning his wife and children...

Two minutes later, the lateral film also came out.

Zhou Changcheng let out a long sigh of relief, leaving Cai Dongfan and others to continue to be dumbfounded in the isolation room, and called Nie Yali to complete the finishing work of the final suture.

Until Zhou Cheng finished suturing, none of Zeng Yi and the others came out of the isolation room——

After a full minute, it was Nie Yali who called An Ruo, who was in a daze, and An Ruo walked back from the isolation room to the operating room with complicated eyes. After wandering between Zhou Cheng and the operating room timing panel in despair, Resigned to fate.

When I meet this devil, I am no longer the teacher's beloved student, nor the head student in the department, but a senior senior sister with a high status in the world, let alone the beloved young lady at home, I am a tool of hard life people.

Tool man, never tired.

I went to withdraw the anesthesia, An Ruo shouted mentally, and hurried...

Half a minute later, Luo Yun walked in again, beckoning to Zhou Cheng: "Zhou Cheng, when the stitching is finished, come over here, I have something to do with you."

After Zhou Chengfang finished tying the last bow of the plaster cast, he hurried to the isolation room.

On the C-arm perspective panel, Wang Yongjin was still pointing at the inspection results above, judging whether the operation was done well or not from a very professional point of view.

Although he can't do it himself, he can understand the operation process and thinking, but he still understands the strength and ability to evaluate whether the operation is good or not.

Seeing Zhou Cheng coming in, Cai Dongfan pulled him in front of him.

Wang Yongjin glanced at Zhou Cheng, and asked with a smile in a very amiable tone: "Xiao Zhou, how did you think that you would use headless compression screws to fix it like this instead of a steel plate?"

Zhou Cheng scratched his head: "Director Wang, the fracture of the lateral malleolus, a small incision, temporary fixation with Kirschner wire, fixation with screws, and external fixation with plaster, are considered level II surgery, right?"

"Strictly speaking, the plate and screw internal fixation of the lateral malleolus fracture should be classified as a grade III operation, right?"

"After all, it is a fracture in the joint!"

It was fine if Zhou Cheng didn't explain it, but after explaining it like this, Wang Yongjin was so frightened that he fell back a little bit, and was quickly supported by Zeng Yi and Zeng Yi.

Wang Yongjin looked at Zhou Cheng, his mouth under the mask squirmed, unable to speak.

Shouting in my heart, it turns out that this is how you TM define level II surgery.

Chapter 1 We Eat and Cry The Devil and Them

At present, Huaguo's definition of surgical grade is from the perspective of trauma surgery, at least from the definition of fracture.

It is defined according to the surgical method and the location of the fracture.

There are not many definitions of class II surgery.

To sum up, nothing more than a few.

Key words: simple long bone fracture, non-intramedullary nail fixation.

In addition, there is no strict and detailed classification.

The fracture must first be classified.

Once the type of fracture changes, the grade of surgery will increase.

For example, if a simple fracture becomes a complex fracture, or becomes a fracture involving the articular surface, then the surgical grade will be automatically upgraded to a grade III operation.

Similarly, the level of surgery is also related to the internal fixation method.

For simple fractures, if you choose internal fixation with plates and screws, it is a class II operation, but if you use intramedullary nail internal fixation, it is a class III operation.

This is the strict definition.

Wang Yongjin and the others have worked in orthopedic trauma for so many years, so naturally they don't need Zhou Cheng to endorse in front of them.

And this endorsement is really memorizing textbooks, not to blame them.

It's just that they only thought that Zhou Cheng would fix the fracture of the medial malleolus with steel plates and screws, and they'd be done.

But what about Zhou Cheng?

he?

He he he.

Wang Yongjin had a bitter face and almost lost his footing, mainly because he was pissed off by Zhou Cheng.

He even thought about a lot of reasons why Zhou Cheng would suddenly change the operation method, and even Zhou Cheng said to him that he was showing off his skills just now, and he made a small incision on purpose.

That's all good, Wang Yongjin is also willing to stand up for Zhou Cheng with his old face, and endorse in front of Dou Chengpeng.

It may be a little presumptuous for young people to say that there are big directors like us, and feel that someone is covering the bottom line.

This makes sense. With superiors present, subordinate doctors have confidence. Isn’t this the case all over the country?Isn't this the case all over the world?

Can?

What Wang Yongjin never expected was that Zhou Cheng actually?

In addition to being very skilled in his hands, he also has a thorough understanding of the definition of orthopedic surgery——

Then, find a way to exonerate yourself.

For medial malleolus fractures, the classification cannot be generally divided into simple and complex classifications, which is the professional knowledge of orthopedics.Although the patient's fracture is simple, it still involves the articular surface, by definition.

Indeed, if internal fixation with plate and screw is used, it should be classified as a third-level operation.

But the current guidelines don’t have such a strict classification on this. If you don’t tell me, we won’t sell you. Who can trouble you?

What is Zhou Cheng's current internal fixation method?

It is screw internal fixation, which is an absolute grade II operation.

According to the existing definition, it is definitely not classified as the kind that goes to III level surgery.

It is impossible to put a screw, so it is classified as a grade III operation, right?

Because ah, surgery is graded, except that the professional title of the instructing doctor is consistent with the positioning of the surgery, and there is no need to skip surgery.

It is also related to the pricing of the surgical method. It is indeed a bit too much for a screw to be charged according to Class III surgery...

So, therefore, soso!

To sum it up -

What Zhou Cheng did was not making trouble out of no reason, nor was it some kind of show off.It's that he's covering for himself from the bottom up!

He uses headless compression screws and is strictly at the controlled surgical level! ! !

I am only authorized for class II surgery today, and I will only do class II surgery.

do you know?

He's at the control surgery level—

The operation has been downgraded, what is this doing?

This is a leak in the definition of the level of orthopedic surgery by the current expert team in Huaguo...

From another level, for the sake of safety, he first made himself invincible.

You want me to have a level II operation, but the patient you arranged for me was wrong...

But it doesn't matter, I have used my own strength to force the wrong patient to apply for the second-level operation, so I won't cause you any trouble.

Wang Yongjin and others who could understand what Zhou Cheng was saying were really speechless.

Zhou Cheng's explanation made me feel a little confused——