medical simulator

He generously paid two thousand a month.

But as a result, Zhou Cheng remained silent year after year.Lao Zhou directly adopted the economic blockade and reward mechanism.

The cost of living has been reduced year by year, and I promised to find a girlfriend for four thousand a month.

But Zhou Cheng still didn't live up to it, and made old Zhou once doubt whether this kid was his own. When he was young, girls of the same age in the nearby villages often took the initiative to run home to please old Zhou's mother...

"One thousand and five." Zhou Cheng didn't ask for more, he just hoped that he could last until next month's salary.

Then get rich.

"Find a girlfriend, and I'll call you [-]!" Lao Zhou was still persuading...

"I can't afford it." Zhou Cheng rolled his eyes, feeling that he was out of shape.

"I'll give you money……"

……

After Zhou Cheng hung up the phone, he felt a little embarrassed.

The tutors of other people's families are all the same. Men only worry about fame and fame, even if their wives don't?

But Lao Zhou is urging him to find a partner. Such parents are also a must.

Of course, Zhou Cheng can also understand the thoughts of Lao Zhou and his mother. There are three kinds of unfilial piety, and the greatest thing is to have no descendants. Maybe it is because he left home after going to college and wandered outside, so Lao Zhou and his mother feel lonely. , also failed to practice a trumpet.

So point at him to have a baby to pass the boredom.

Zhou Cheng can understand that Lao Zhou and his mother are quite envious of other people's scenes of having children in groups and having fun under their knees during the holidays.

But he plunged headlong into the doctor's profession, especially after the regular training, the vacation cannot be what he personally wishes.

Zhou Cheng didn't go home last year, Lao Zhou and his mother moved with their family, and they left their homes and came to Shashi for the Chinese New Year.

But even though he understood Lao Zhou, Zhou Cheng still felt that he couldn't just agree with them. Once he found a girlfriend, Lao Zhou and his mother would definitely talk about getting married and having children.

With family and children as fetters, Zhou Cheng felt that he was tied up, and if he wanted to run, he should be timid, and he had a lot of scruples.

It's better to stabilize the work and school affairs first, and then talk about these things.

To be honest, although Zhou Cheng's grades were not top-notch when he was in college, his appearance and personality were the key factors.

In college, who would look for a crush based on grades?

The girls who have been developed have already become beauty control, and it is estimated that the beauty control will only last for a few years, and then they will become popular...

Zhou Cheng secretly made a decision, and then looked at the last chance left in the mock copy.

Press hold to start the simulation without continuing.

What happened today made Zhou Cheng feel once again that the entanglement between the simulated copy and the reality is actually very deep.

The improvement of skills can not only be achieved through simulated copies.

Instead, the simulated progress in the simulated replica is all based on real-life factors.

Just giving myself a sufficient timeline for improvement, and relying on myself to improve myself through the simulated copy does not mean that learning in reality and building a knowledge base and network foundation are useless.

On the contrary, it is very useful, and even the higher the platform in reality, the better the simulation copy can be used.

Looking at his skill panel again, there are a bunch of perfect-level skills that look quite luxurious, which is indeed pleasing to the eye.

[Open reduction and internal fixation of fractures (perfect - world-defining level)]

[Closed reduction of fracture (perfect - beyond the definition of the world)]

[Open reduction and internal fixation with small incisions for fractures (perfect - world-defining level)]

【Bone Transport and Grafting for Bone Defects (Perfect - World Definition Class)】

【Joint dislocation reduction surgery (perfect - world-defining level)】

[Replantation of amputated limb/finger/toe (perfect - world-defining level)]

[Debridement and suture (perfect - world-defining level)]

【Total Hip Replacement (General)】

【Arthroscopy (Skilled) (Shoulder, Wrist, Knee)】

[Screw internal fixation of tibial plateau intercondylar spine fracture under knee arthroscopy (common)]

[Repair of TFCC injury under wrist arthroscopy (skilled)]

[Shoulder Hill-Sach, Bankart injury repair (common)]

……

Then there are a bunch of miscellaneous skills.

These skills, no matter in terms of level or quantity, are already extremely sufficient. Even Zhou Cheng thinks that ordinary associate professors and professors in the Affiliated Hospital of Shonan University may not be much better than this.

But Zhou Cheng was not proud and complacent because of this.

Because, with the deepening of his understanding and understanding of the profession of medicine and orthopedics, he felt that he was becoming smaller and smaller.

For example, as far as the level I surgery and level II surgery he has obtained so far, Zhou Cheng's understanding of them is still rough, don't feel weird...

Zhou Cheng came to know himself in this way from an objective point of view——

For now, regardless of the grading and definition of surgery in each hospital, the official Huaguo Health and Health Commission has announced the types of secondary surgery as follows:

1. Traumatic tendon repair

2. Simple internal fixation of limb fractures

3. Treatment of simple open fractures

4. Amputation of limbs below the shoulder and hip joints

5. Simple surgical trauma treatment

6. Simple surgery for chronic osteomyelitis, drainage for acute osteomyelitis and septic arthritis

7. Achilles tendon lengthening

8. Sternocleidomastoidectomy

9. Equinovarus correction plaster external fixation

10. Hip first manipulative reduction and plaster fixation

11. Simple removal of internal fixation

12. Extremity aneurysm resection

13. Transmetatarsal amputation

14. Syme amputation

15. Below-the-knee amputation

16. Amputation and amputation

17. Above elbow amputation

18. Below the elbow amputation

19. Knee amputation and amputation

20. Upper extremity vascular exploration

21. Lower extremity vascular exploration

22. Lower extremity arterial thrombectomy

23. Upper extremity arterial thrombectomy

There is also a more detailed version of the summary table, with a total of more than 180 surgical classifications, listed in the list of Class II surgeries. (Just put a part of it, I feel sorry for putting too many words of aboveboard water.)

(The above is a total of more than 200 words, not too watery, mainly cautious and objective!)

In these catalogs, amputation is not mentioned. Amputation, Zhou Cheng can do it with his eyes closed now, but apart from these, there are still many routine level II surgery authorizations that he has not learned. Therefore, you can There are many things to learn.

For example, Achilles tendon extension, arterial thrombectomy, tumor resection, etc.

This was issued by the Health and Health Committee, and there is also a catalog of Class II surgeries customized by each hospital. It was an eye-opener for Zhou Cheng, and he needed to understand them in detail one by one. A deep understanding also requires a certain time span. solve these problems.

The extension of the Achilles tendon and the suture of the tendon are similar to each other. Although Zhou Cheng has a perfect suture of the tendon, but?

Extension and simple suture are really not the same thing. Although only a little bit is added on the basis of suture, the whole operation process and process are completely different.

……

Before obtaining authorization for the operation, Zhou Cheng took the simulation copy and played around aimlessly, but now that he has this directory as a guide, Zhou Cheng knows the direction of the simulation next.

If it is based on the detailed level II surgery issued by each hospital, it will be simulated again.

Even if you get the perfect level skill at one time, you can get three in one day.

It was only two months after finishing the level II surgery of orthopedics.

The road to medicine is long and long, and this is just the foundation. Although some skills may not be necessary, since I have the opportunity to learn it well, why not learn it?

The more skills a doctor has, the more confident and prepared he will be.

Such an unconventional way to learn comprehensively is definitely not applicable to ordinary people, and there is no need for in-depth study of some skills, which is a waste of time.

But with such an opportunity, Zhou Cheng still wouldn't let it go and learn well.

This is Zhou Cheng's problem. If you don't do it, you don't do it. If you do it, you do it well. There is nothing wrong with it.

It is also this character that allowed Zhou Cheng to make no mistakes during the two years of clinical training, not to mention that he never made any minor mistakes, but basically he never made any mistakes that could attract the attention of his superiors.

Mistakes like prescribing the wrong doctor's order often happen in the department.

If there is something to learn, if there is an opportunity to learn, and there is no need to waste anything, then learn it.

Even if you can't use it after learning it, it doesn't matter.

If you wait until you meet such a patient before you learn, you can only know a little superficially.

After sorting out these ideas, Zhou Cheng then turned to the direction of Achilles tendon lengthening.

It is still the same old way, read the book first to understand this skill...

Then get it, and finally delve into it. This is the correct direction and way to learn a skill.

……

While Zhou Cheng was reading a book, determining his next study direction and arranging study plans.

An Ruo was finally in the three-bedroom and one-living room that he bought, quietly watching the one room that was transformed into a super-large study room, and a lot of professional books were added.

And after the flower arrangements and green plants on the balcony of the room were still very lush, they finally clapped their hands.

Sitting on the reading chair that I specially bought, I feel that everything in it is simply wonderful.

She originally thought that it might take at least a week before she had time to clean up the study room for the new batch of books.

After all, based on her habit of more than a year, the normal work is from [-]:[-] am to [-]:[-] pm.

It's about 06:30 when I get home. After I get home, it must be around seven o'clock for dinner.

But An Ruo still has the habit of exercising. She used to jog in the morning, but now she can't get up so early, and half an hour of exercising is postponed until evening.

Then, after exercising, An Ruo would read books for two hours every day.

In this way, it is more than nine o'clock.

The sleep mask before going to bed and watching dramas have been severely squeezed into less than half an hour, and then I have to maintain my face, a set of lotion, and I pray that I don’t need to wash my hair, otherwise, blowing my hair and...

An Ruo felt that her long hair was very annoying, but she was reluctant to cut it, after all, she still liked it, otherwise it would be impossible to maintain the frequency of trimming once every two weeks, and keep the length that suits her best.

In this calculation, the time for washing clothes must be added.

Squeeze it out like toothpaste, and the time you can take care of the study is ten minutes to half an hour a day, at most!

An Ruo arranges herself to the fullest every day.

However, she sorted out the books that arrived yesterday, the courier that she received, and because she left work early today.

An Ruo wiped the sweat on the lower part of her neck with the towel hanging around her neck, then trotted to the bathroom, brought all the brooms, mops, vacuum cleaners, etc. that had been hung up and drained, and continued to work. For the messy ground.

Finally, at 07:30 in the evening, An Ruo was very satisfied looking at the clean and tidy study room and the faint fragrance of flowers in the air.

Looking up at the extremely soft incandescent lamp I bought, suitable for reading, I smiled like a silver bell.