medical simulator

Dou Chengpeng didn't quite understand, so he turned around and asked Wang Yongjin: "So? Director Wang? What level is the operation just now?"

"Isn't it?" Dou Chengpeng didn't dare to say it out. Although he was certain that the patient would not be able to hear it, the patient was not completely anesthetized. If he listened to these things and reported Zhou Cheng, he would definitely be dead.

It is wrong to do well.

The resident doctor leapfrogged to perform a class III operation. Hearing this, Dou Chengpeng's scalp felt numb. Once the wind and rain came out.

The eighth hospital is going to be famous.

After a while, Wang Yongjin gradually regained his composure, and quickly shook his head and said, "No, no, Chief Dou, this is not a class III operation, it is definitely a class II operation."

"If screwing can be regarded as a grade III operation, then it will be too easy for our orthopedic doctors to make money."

"I dare not say that."

He said so in his mouth, but in his heart, he secretly classified Zhou Cheng's operation as a level IV operation.

Because although there is no definition in the manuals of Huaguo at present, according to Luo Yun, it is estimated that there is no such definition in the guides of the whole world, so from another level, it is a new technique.

However, the tools Zhou Cheng used were ready-made, and he just took advantage of such a trap. Others can't say that it was Class IV surgery and new surgery that came to Zhou Cheng's trouble.

this young man.

Dou Chengpeng breathed a sigh of relief, and replied: "That's good, that's good over there."

Then he smiled and looked at Wang Yongjin, before turning the topic to the serious business.

"Then Director Wang, the degree of completion of this operation? How should I rate it?" Dou Chengpeng was seriously asking for advice, and everything was still based on the directors of the Department of Orthopedics.

Anyway, if there is a problem in the future, I will look for them.

"I think I'll give it ninety points first."

"Zeng Yi, Yan Hanhan, you said it?" Wang Yongjin didn't dare to speak too much.

For the development and promotion of new techniques, many procedures are required. At present, we should not make too much publicity. We need to promote the procedures after the procedures are correct.

Otherwise, if Zhou Cheng was praised too much in advance and something went wrong when going through the procedure, it would be Zhou Cheng's harm.

I also hope that Zhou Cheng will not be too proud and complacent, even arrogant.

But according to what Zhou Cheng said so far, he is definitely not a proud and complacent person, but has settled down to the bones of the tortoise.

Where did Zeng Yi and Yan Haihan dare to say anything, they naturally obeyed.Agreeing with Zeng Yi's statement: "I also think that if you give [-] to [-] points, it will be considered as a successful operation, and that's enough."

Because no, so I dare not call the operation process perfect, this is prudence.

Some clinical operations may seem gorgeous, but whether they are useful or not depends on the results of follow-up visits rather than personal evaluation.

In the long river of history, there have been many new surgical techniques, all of which were short-lived, and many patients and doctors have paid a painful price. This is how the professional ethics committee was born...

Zeng Yi and the others didn't dare to go beyond this learning to do things recklessly.

He could only wait for Zhou Cheng's level-II surgical authorization first, then think about the small incision, open reduction and internal fixation that Zhou Cheng did today in detail, and then try to find a way to go through the approval process of the Ethics Society.

"Then I will listen to Director Zeng and give it [-] points." Dou Chengpeng is also willing to be an adult.

Since both Director Wang Yongjin and Director Zeng Yi felt that this operation was done extremely well, they explained the main points of this operation during the analysis just now.

The articular surface is smooth and the fracture line is hidden, which is a high-quality follow-up performance after surgery.

After this, Cai Dongfan led Zeng Yi and others downstairs to rest again.

Of course, in the process of going downstairs, Cai Dongfan was deliberately asked in detail by Yan Haihan and Zeng Yi about Zhou Cheng's performance in the department on weekdays.

Cai Dongfan said: "Xiao Zhou has always been a steady person."

"In the past two years, I haven't found any abnormalities in him. Moreover, before I granted him the level I surgery and operation authority, he never handled a single patient himself. All the emergency patients were given to Luo Yun. Call."

Wang Yongjin and the others took a deep breath when they heard the words.

He said with some horror: "Then this young man is really calm enough."

Then Wang Yongjin turned his head to look at Zeng Yi, cursed and asked: "Zeng Yi, how is it? Is what I told you right?"

"In this world, most of the geniuses who can go further are walking within the rules, and walking very well, and then stand out?"

"Do you think about that frizzy hozen look when you and I were together?"

"I just thought about the level III surgery after only a few level II surgeries, and now I feel powerless, right?"

"Your work on raising your temper is not as good as that of a young boy in his twenties."

When Zeng Yi was scolded, he immediately felt quite innocent, but when he thought about Zhou Cheng's matter, he muttered, "He's not stable, he can be called obscene."

Wang Yongjin immediately scolded: "What is obscene?"

"What is recklessness?"

"Can you explain it to me in detail?"

Zeng Yi stopped talking, and bowed his head in front of Wang Yongjin, not knowing how to refute.

Yan Haihan smiled lightly on the side.

Zeng Yi glanced at Yan Haihan: "Do you think that I only say these words to Zeng Yi?"

"You two are more courageous than Zeng Yi. Don't think that I don't know what you have done."

Yan Haihan suddenly felt that he was implicated innocently again, and quickly became honest.

Pretending to be a good boy, he immediately admitted his mistake: "Director Wang, what you said is that you were young and ignorant before, but now you absolutely dare not do so."

……

When Yan Haihan saw Wang Yongjin and Zeng Yi and Cai Dongfan chatting, he took the time to walk out of the smoking room, and then secretly called Yang Yifeng.

"Yi Feng, do you want to come to the operating room to observe today?"

"We are performing an exceptionally authorized Level II operation on Zhou Cheng of Director Cai's group, you."

Yang Yifeng was typing at the moment, so he said, "Director Yan, I won't mix it up. This incident actually happens in our place from time to time, and it's not too unusual."

Yan Haihan really wanted to say, I'm afraid this time it's different from what you think, and it's more unusual than what you've seen.

But he didn't insist anymore, for fear that Ding Changle would come to him again.

……

in the operating room.

Luo Yun and Zhou Cheng obediently sat in front of the timing panel in the operating room. Luo Yun touched Zhou Cheng's arm and said in a low voice, "Get off the stage and perform the operation, don't do this, you will scare people to death like this." .”

"Cold sweat broke out from Director Cai's back just now, but you are still doing high there, as if nothing happened."

Zhou Cheng said innocently, "Okay, Mr. Luo."

"The following two operations are simple long bone fractures. This is not a leapfrog operation. I will not mess around. I will definitely follow the operation process step by step."

"I wasn't afraid of the previous operation. It involved joint planes, and the patient caught the pigtails. What if?"

"Mr. Luo, do you think so?"

The corner of Luo Yun's mouth twitched, really wanting to beat Zhou Cheng up.

And mentioning it almost scared us to death.And, why are you so cowardly?

If your temper is seen by my teacher, you will definitely scold your father even if you don't know him.

I was still poisoned by rules and regulations, my thinking was imprisoned, and the first thing I thought of when doing things was self-protection.

At present, in quite large teaching hospitals, there is an unwritten saying that [-]% of the cost is for food, [-]% is for self-preservation, and [-]% is for God's will.

The main reason is that I am scared by the current medical relationship, but for difficult patients, even if they can perform surgery, they will not be able to perform it, so go find another expert.Over time, some patients who are a little more refined will not be given surgery if they can.

It is completely dependent on the patient's own wishes, and he can leave as he wants. If he really can't, then he has to do it.

His own teacher was deeply disgusted by such an attitude.

Of course, it’s hard to say too much. At present, the strength of doctors across the country is inherently uneven. You can’t ask doctors in some lower-level hospitals to perform operations like doctors in the capital city of Kyoto.

Nor can you require doctors in townships to have the level and awareness of doctors in county hospitals and prefecture-level city hospitals.

Conservative and safe have always been the first principle recognized by all clinical people.

And this conservatism and safety are not only reflected in the medical process, but also reflected in the selection of patients.

All are forced.

……

With complicated thoughts, Luo Yun touched the back of Zhou Cheng's head, sighed, and said, "Yes and no!"

"I don't blame you, I can't blame you."

Zhou Chengcheng is a small trainee, he is a little unstable, if something happens, who will endorse him?Who gave him trouble?

What was waiting for Zhou Cheng was to return to the Guipei Office, and even the Guipei had been for nothing for several years. Can Zhou Cheng be blamed for being too cautious?

Zhou Cheng responded with a foolish smile...

When Zhou Cheng smiled, An Ruo and the itinerant nurse Nie Yali happened to push the new patient into the operating room.

An Ruo, the anesthesiologist, dragged the bed in front of the patient, and Nie Yali pushed it.

So An Ruo happened to see Zhou Cheng's smile, and she was furious in her heart: It's really a devil, and there is still a leisurely laughing here!

This is the third one!

Big brother.

It was just past nine o'clock.

We have performed three surgeries in the operating room, do you feel guilty about every bit of it?

I'm almost exhausted by you.

Of course, Zhou Cheng didn't know what An Ruo was thinking, but after seeing the patient pushing in, Zhou Cheng hurried to help transfer the patient from the push bed to the operating table.

Zhou Cheng is responsible for the legs that require certain techniques.

There is a fracture in the leg, and the anesthesia has not yet been given. If someone who is not a specialist comes to transfer the patient, the patient will die of pain.However, after the orthopedic surgeon provides traction, the pain cannot be completely avoided, but the pain will be milder than lying on the bed.

It is completely within the patient's acceptance range.

After transferring the patients, Zhou Cheng sat down again and asked Luo Yun: "Ms. Luo, tell me, after I have the authorization of Class II surgery, can I perform small incision open reduction and internal fixation routinely in the department?" ?”

This was the first time Zhou Cheng told Luo Yun the full name of the skills he knew.

Even if Zhou Cheng's mastery of this technique is perfect now.

Luo Yun knocked Zhou Cheng on the head: "You have a good idea!"

"The operation you just performed is an unconventional operation. You think it's not in the guideline, and if you take a loophole, you can go on forever?"

"If you have to go through the process, first report to the medical department, and then go to the provincial ethics society for approval, and then you can carry out routine work in the department after evaluating that the damage to the patient has no right."

"Now, you have to wait for I don't know how long."

"I told you to dig and search, but hide it." Luo Yun cursed.

Zhou Cheng asked Luo Yun with a wry smile: "Mr. Luo, if I say that I am actually very proficient in resection, internal fixation and chemotherapy of large bone tumors, and the recurrence rate is as low as [-]%, can you do it?"

"Fart." Luo Yun immediately rolled his eyes, but he also understood Zhou Cheng's meaning.

Zhou Chengcheng scratched his head and said, "Yes, Mr. Luo, you also think I'm farting, even I think I'm farting."

Zhou Cheng sighed with emotion!

In fact, he was afraid that Luo Yun would really believe him, and then he would bring a few patients, and that would be the end of the egg.

Luo Yun then changed the subject and said: "If you have this thought, you have to say it out, and Director Cai and I can help you if you say it out. If you have to wait for the right opportunity, then you have to wait Come on, let's see when you go."

Luo Yun beat Zhou Cheng.

Zhou Cheng smiled and replied seriously, "I think it's good to wait."

At the same time, I silently said in my heart, Teacher Luo, I am willing to just wait for the right opportunity.

This is related to Zhou Cheng's personality. The reason why he has to improve every skill to perfection before he dares to use it in the clinic, Zhou Cheng has his own considerations.

Not to show off your skills or to shock others.

Rather, he, Zhou Cheng, now has the plug-in of the mock copy, which can improve his skills to a level of perfection, or even beyond perfection.

Then, as a doctor, why couldn't he wait a while, improve his skills to perfection, and then use them on patients?

Zhou Cheng has never dared to forget that when he was ignorant in high school and entered university, he solemnly swore an oath, which is also an oath that every medical student would swear——