medical simulator

He murmured, "Actually, it's great to be able to leave work early."

After eating at noon today, she was free and took a nap for half an hour, which was not too comfortable.

Laughed for a while, looked at the time, frowned immediately, and said aggrievedly: "There is not enough time, and it is too late to order takeaway, it seems that I can only eat small cucumbers and boiled eggs to kill dinner."

Put cold water in the rice cooker, put eggs into the pot, and then ran to take a bath and washed my hair at the same time.

Then I hurried to dry my hair.

After blowing my hair, I hurried to apply it.Immediately afterwards, like a little bee, he picked up the small cucumbers stored in the refrigerator, took three, turned off the rice cooker, scooped up the eggs, peeled them, and then rinsed them with cold water to cool——

Taking another box of yogurt, he ran into the study in a hurry with the plate in his left and right hands and the yogurt hooked on his elbow, and started reading for today.

The sound of the book being opened was as crisp as clattering, accompanied by the clicking sound of biting cucumbers like a mouse...

When An Ruo read the book and saw about nine o'clock, his mobile phone vibrated. An Ruo frowned, pushed away a few empty plates, turned on the screen, and saw that his teacher had sent him a message.

"An Ruo, tomorrow we will still give anesthesia to the department of orthopedics. There are only three operations." When An Ruo saw this message, she immediately felt terrified.

I didn't even want to read a book anymore, so I quickly stepped on the chair and sat like a cat——

Picking up the phone with both hands, he replied: "Teacher, why is it another orthopedics department?"

"Can't you go back to neurosurgery?"

Although it felt good to leave work early, An Ruo still felt that during the period of anesthesia, she was more tired than in other departments.

Short, high-intensity, simply inhuman life.

Although it feels good to leave work early.

Zeng Yi replied: "Tomorrow's operation will be a combination of Hu Ming's group and Cai Dongfan's group."

"Director Cai personally called me and told me that Zhou Cheng will not be the chief surgeon tomorrow. It shouldn't be soon, it is definitely a normal operation rhythm."

After reading it, An Ruo sniffed aggrievedly, and replied, "Teacher, you said the same thing this morning."

I also sent an emoji of an aggrieved giant panda.

"It's settled!" Zeng Yi replied with an exclamation point after 1 minute.

An Ruo suddenly felt that there was nothing to love about life, and heaved a long sigh, muttering: Orthopedics is simply poisonous.

Yang Yifeng, this idiot, is from the orthopedics department. A while ago, that ugly nigger was from the orthopedics department. The one who tormented me was also from the orthopedics department.

However, she was only a student, and it was impossible for her to really complain to Zeng Yi about what Zeng Yi had decided.

Then I looked at the time and made up for the two hours of reading time.

Then go to wash your face, apply a mask, wipe your face, go to bed, full and daily...

The next day.

An Ruo came to the operating room early and started a new day's work.

Arrived at the operating room at 07:30, prepared to check the patient's medical records before anesthesia, and reassessed whether the patient had contraindications to anesthesia, whether the surgeon sent the wrong suitable anesthesia, etc.

Originally, An Ruo, as an anesthesiologist, was supposed to go to the ward to conduct preoperative and postoperative visits to the surgical patients of the next day and yesterday before and after the operation, and to fill out the preoperative and postoperative anesthesia inspection form.

But as the director's student, Zeng Yi entrusted this job to others considering that she was still a graduate student.It saved An Ruo a lot of time.

It just saves time, but before starting anesthesia, these tasks have to be repeated, and I have to look over and review them myself.

After reading it, there was nothing special about the three patients today, so I quietly waited for the roving nurse to push the patient in, and she began to administer anesthesia...

Orthopedic surgery, especially lower extremity surgery in the second orthopedic department, has several disadvantages. Generally, general anesthesia is not used. Spinal anesthesia is more complicated than general anesthesia, and the patient must be sent back to the ward after the operation.

That's why there is no time to breathe during the process of picking up patients, administering anesthesia and withdrawing anesthesia.

However, spinal anesthesia has a certain level of operation, and An Ruo also knows that her teacher wants to exercise her proficiency in performing spinal anesthesia and continuous epidural operations, so that she can learn neural blockade for herself. Prepare for delayed anesthesia.

If you can't even control the spinal anesthesia and continuous epidural anesthesia, then don't even think about doing a nerve block, for fear of being poked directly into the artery or vein, and getting the anesthetic into the blood system...

Nerves and arteries and veins are adjacent, which is one of the difficulties of large nerve blocks.

It is difficult to find, relatively hidden, and has no special signs, which is the second difficulty.

Even more difficult than the God-level block is the branch nerve block. The nerve is smaller, the shape is more complicated, and it is more difficult to control. It is very likely that the effect of the block will not be achieved...

After An Ruo finished the anesthesia, while waiting for the surgeon to come down and start the operation officially, she was thinking so much in her heart.

Zeng Yi said something, and it was not wrong. The two nerve block anesthesias performed by Yang Yifeng before belonged to the extremely difficult anesthesia technology in the field of anesthesiology.

Precise block of cutaneous nerve branches, thinking about blocking the branches of cutaneous nerves so precisely, those nerves smaller than a needle head, An Ruo felt that his scalp was very numb.

Not to mention other things, even if sesame seeds are placed on the ground, you can poke them into a string with a needle, which can kill obsessive-compulsive disorder, not to mention the need to pierce the skin to block the corresponding nerves if you can't look directly...

Then, at 08:30, An Ruo rested for 10 minutes after receiving the anesthesia, and then the team of director Hu Ming arrived late and started the operation.

Perhaps it was because Hu Ming's group had only one operation scheduled today, so the pace of the entire operation was very slow.

At [-]:[-], An Ruo looked up and saw that these people were still doing foreign work and putting on clothes, so she lowered her head.

Well, the teacher didn't lie to me today, the pace is not fast.

Should be able to take a break.

An Ruo looked down at the phone.

At 10:[-], another [-] minutes passed, An Ruo looked up again, wondering if the operation should be over by now?I just saw that Zheng Xuanlin of Hu Ming's group was exposing the broken end of the fracture, and was sitting there grilling with an electric knife. The smell was a bit pungent...

Well, it's only been peeled, at least 10 minutes.

At 09:30, An Ruo looked up and found that Zheng Xuanlin had seen the broken end of the fracture, but he used a bone peeler to scrape it back and forth. Come on slowly, the periosteum must be completely peeled off."

An Ruo then lowered his head.

Nine fifty, ten ten.

Until 10:30, An Ruo forgot how many times he looked up.

It wasn't until 10:30 that Zheng Xuanlin said to the itinerant nurse: "Mr. Itinerant, please push down the C-arm machine."

But when I called for help, no one answered, and then I turned around and found that Liu Yan, who was a hand washing nurse yesterday, was on tour today. She leaned under the operation timing panel and fell asleep while fishing.

Hu Ming raised his voice and called, "Liu Yan, help push down the C-arm."

Liu Yan was shocked and woke up.

Everyone exited the operating room...

After filming, An Ruo subconsciously ran into the operating room, planning to remove the anesthesia.

After all, in An Ruo's vision, pushing the C-arm machine is equivalent to ending the operation.

But just when An Ruo was preparing the catheter for continuous epidural anesthesia, Hu Ming and Zeng Yi walked in with a slightly dark face, and Zeng Yi was so frightened that his face turned a little pale, and he hurried up and scolded: " An Ruo, stop. What are you doing?"

"The operation is not over yet."

Dedicated person——Little An Ruo raised her head innocently, blinking and looking good, she is cute without eyelashes, and there are lying silkworms under her eyes, stretching her body as if she came alive.

"Teacher? Isn't it over yet?" The voice was very soft and low, and he was startled, like a frightened little rabbit, he retracted his little paw.

Zheng Xuanlin, Hu Ming and others heard the conversation between An Ruo and Zeng Yi, although they frowned a little, thinking how could the students led by Zeng Yi make such a low-level mistake as withdrawing the anesthesia before they said the operation was over?

Are you still asking questions?

You come to the stage to be the chief surgeon, shall we watch your performance?

Whether the operation is over or not is something you should consider?

But he didn't say much, but fortunately the incident hadn't happened yet, and he could make up for it, so he went to the operating table, pulled out the temporarily fixed crossed Kirschner wires, and started reseting again.

Zeng Yi pulled An Ruo out of the operating room, and confessed reproachfully: "An Ruo, did I tell you? The start and end of the operation are decided by the chief surgeon and the clinical team."

"We can only decide the start and end of anesthesia. What you said just now is a bit superfluous. Don't say any more."

An Ruo immediately nodded like a chicken pecking at rice, her small eyes were a little bit aggrieved——

When I want to rest, they don't let me stop, and when I am active, they blame me for being too anxious.

Orthopedics, too difficult to serve!

I'm too difficult.

Surgery continues.

At 45:[-], Zheng Xuanlin yelled again: "Take a look!"

Then everyone walked out and then walked in.Hu Ming and Zheng Xuanlin immediately went to the operating table and continued to rest for the operation.

An Ruo looked at Hu Ming and the others honestly, not daring to do it again, but felt like ten thousand ants were crawling in her heart, thinking, is it over?Do you want to withdraw the anesthesia?

Is it over?

Staring at Hu Ming and Zheng Xuanlin for 5 minutes.

Zheng Xuanlin said: "Teacher Xun, please let me know one more thing!"

Eleven twenty.

Zheng Xuanlin felt embarrassed himself, and said to Liu Yan: "Sister Yan, it's hard work, let me show you."

Liu Yan was full of helplessness, but she pushed the C-arm machine very dedicatedly.

Both An Ruo and Zeng Yi stayed in the isolation room and did not come out. An Ruo asked Zeng Yi: "It's going to be over again. How many times is this? Teacher, is it the seventh time?"

Zeng Yi, however, was naturally inscrutable: "For an orthopedic surgery, it's rare to see through it once or twice in the middle."

"Within three to ten times, it is routine."

"Through a dozen or twenty times, or even thirty or forty times, it's not like nothing happened."

"Can you understand what I mean?"

An Ruo hadn't seen many orthopedic surgeries, so she understood a little bit, but she didn't understand.

He said: "Teacher, what do you mean, the orthopedic operations we encountered before were all the number of perspectives, which are extremely rare?"

Zeng Yi scratched his head and said, "I can't say it's extremely rare. It should be said that in our hospital, it's a ceiling with few times. It can't be less."

"Although we are anesthesiologists who are only responsible for anesthesia, we still have to respect the medical and clinical departments, and we cannot understand their business, operation speed, and operation quality from our perspective."

"It's about learning to look at all this from the perspective of the patient and from an objective perspective."

Speaking of this, Zeng Yi asked something.

"I don't know if you've noticed that Zhou Cheng from the orthopedics department last time, and Professor Qin from the Affiliated Hospital of Shonan University, couldn't keep up with his operation rhythm, but they haven't found any problems during his operation."

"Have you thought about it carefully?" Zeng Yi asked.

An Ruo shook her head, pursed her lips honestly, with an expression that I was very simple and would not think so much.

Then when Zeng Yi wanted to say something more, Hu Ming and others walked in, and Zeng Yi quickly shut up.

……

Finally, the time came to a quarter past twelve.

Hu Ming and Zheng Xuanlin completed the No.14 C-arm fluoroscopy. After seeing the results of the C-arm fluoroscopy, Zheng Xuanlin breathed a sigh of relief and said, "Director Hu, it's a shame, this is the second one I completed. Class III surgery, right?"

"Yeah!" Hu Ming also nodded, looking at the results in the film, although he felt that there was still something wrong, but it was a done deal, and it was no longer easy to change.

It's passable.

If the fracture line is not well converged, it will not be well converged. After the surgery, it will be over after slowly crawling, and then shaping. At most, it will be a matter of lying down for half a month.

Hu Ming tilted his neck, and confessed: "You take someone to suture, put the drainage tube, I will step down first."

"I'm old, standing for more than three hours, my old waist can hardly hold up."

Zheng Xuanlin was still very excited: "Okay, Director Hu, go eat and rest first, and leave the rest to me."

Then Zheng Xuanlin brought Lin Lin and Du Ruiqi into the operating room. Zheng Xuanlin finally said loudly and confidently to Zeng Yi and An Ruo: "Director Zeng, we can end the operation by suturing here. Thank you!" You withdraw the anesthesia."

It's quite a show off.

He finished the second intramedullary nail fixation in more than three hours, which was more than an hour earlier than the first one.

Lin Lin and Du Ruiqi immediately gave a thumbs up, and started to compliment each other commercially: "Mr. Zheng, you are awesome, you completed the second intramedullary nail fixation in just over three hours."

"Teacher Zheng has always been very strong."

However, although the words were loud, Liu Yan almost couldn't help laughing. The mouth under the mask swelled into a frog's mouth, and she forced herself to hold it back.

An Ruo rolled his eyes, bit his upper and lower lips together, and looked at Zheng Xuanlin and the others with complicated eyes. Their faces turned out to be really happy.

I was speechless for a while.