medical simulator

Who are these people!

A small Zhupei in Director Cai's group, at this point yesterday, was nearing the end of the fourth operation.

When Qin Tianzhu came to observe the surgery last time, everything was done in half an hour!

you?

It took so long to finish.

Still so happy?

You're making yourself look like a joke.

Should I be funny or should I be funny?

An Ruo's face was troubled for a while.

However, after making such complaints, another bold idea suddenly popped up in An Ruo's heart!

Could it be that he is very strong?

And it is much stronger than the attending orthopedics department?

Chapter 124 The second day of missing the devil!

An Ruo naturally didn't really laugh out loud, but couldn't help but think so.

Before, my teacher specifically explained to me about the number of C-arm photos, that is, to vaccinate myself, let her calm down, and don't do what she shouldn't say or do.

I almost had an accident when I almost pulled out the epidural anesthesia tube.

The operation was in progress, and the anesthesiologist pulled out the anesthesia tube. This was an absolute surgical accident.No matter how many reasons you have, they are unreasonable, and even Zeng Yi doesn't know how to protect her.

One point in surgery, yes.

That is, the anesthesia time must be absolutely longer than the operation time. Whether it is an anesthesia sheet or an anesthesia record, this fact must be recorded.

Anesthesia monitoring records should also be longer than surgical records.

In reality, this is also done.

The operation is not over, you withdraw the operation, are you kidding here?

Therefore, An Ruo waited patiently for Zheng Xuanlin and the others to lead the men to finish the stitching, and then went to pick up and drop off the patients.

At [-]:[-], Zheng Xuanlin and the others, who were moaning, finished suturing, put on a plaster cast, and handed over the patient to An Ruo and Liu Yan.

An Ruo couldn't wait a long time ago, and had already prepared all the work to send the patient back to the ward.

It's [-]:[-], and the next patient will be picked up and anesthetized later.

There is no time to eat, even if we go again, there will only be leftovers.

Why am I so miserable.

An Ruo murmured in her heart.

Now that Zeng Yi stepped down, he could go to eat, but she still had to run, and the anesthesia of the next one must be more than one o'clock. Will there be food for her at that time?

Therefore, when pushing the bed out, An Ruo deliberately raised her voice and said: "Sister Yan, I guess there is nothing to eat when we go to eat, let's order a takeaway."

An Ruo and Liu Yan were ready to send the patient back to the ward at any time, so when they pushed the patient out, Zheng Xuanlin and Lin Lin happened to be at the door of the operating room. An Ruo said this to them on purpose.

Liu Yan just glanced at Zheng Xuanlin, nodded, but didn't reply.

The smiling face on Zheng Xuanlin's face suddenly froze, and he rolled his eyes with a slightly dark face, thinking that the girl from the anesthesiology department and the nurses in the operating room were really disappointing.

But he didn't want to say much. After all, what they were discussing was about eating, and they didn't ask you to treat them to dinner. Why did you react suddenly?

Do you have to go to the wall where you are disgusted?

And what An Ruo and Liu Yan said was true.

……

Today is Tuesday, because Luo Yun was on duty on Monday, so it was Zhou Chenglai's turn to be on duty today.

However, although Zhou Cheng was on duty and had to stay in the department, he was accompanied by a group of people.

Although the person on duty today is Pang Dingkun from Yan Haihan's team!Not Du Yanjun or Zhang Zhengquan.

However, neither Cai Dongfan nor Luo Yun dared to leave alone.

You know, today they broke the rules and got a second-level surgery for Zhang Zhengquan and Du Yanjun alone, so they dare not be careless.

Cai Dongfan and Luo Yun had been drinking tea and smoking in the director's office patiently. In just one morning, the two of them had wiped out a pack of cigarettes.

One for half an hour.

This rhythm is much faster than usual.

Finally, after finally waiting for the meal time, Luo Yun and Cai Dongfan found something to do, which was ordering dinner.

It's fine if you're not in the department usually, but since you're here today, you should show it.

It is a very rich double-covered rice bowl.

It can be seen that Cai Dongfan is also very generous.

And even though the person on duty was not from his own team, Cai Dongfan and Pang Dingkun ordered it together.

After eating, Cai Dongfan finally received a call from the operating room, saying that he planned to perform the first operation of his group.

Cai Dongfan was shocked immediately, and immediately ordered Luo Yun to inform Du Yanjun and Zhang Zhengquan to go down and wait after eating.And urged the anesthesiologist to quickly administer anesthesia and start the operation as soon as possible.

Du Yanjun and Zhang Zhengquan immediately devoured all the food, and they were full. The wasted meal was thrown into the trash can, and they swallowed two glasses of water. They were full of food and water, and rushed to the operation room.

Very positive.

Zhou Cheng continued to eat slowly in the office with Pang Dingkun.

Pang Dingkun also asked Zhou Cheng, "Xiao Zhou, aren't you going to the operating room?"

"You can go. I can still handle general joint dislocation." Pang Dingkun explained proactively.

In fact, he is quite embarrassed now.

He was originally a regular employee in the department, and he wasn't the kind who didn't know anything about joint dislocations, but last time he encountered an irreversible shoulder dislocation in the emergency department, even if Yan Haihan took care of him again In order to save face, he also arranged a general duty for him.

In fact, Pang Dingkun felt that it would be fine if Luo Yun happened to work with him one day, but Zhou Cheng?

What's the matter with being the general on duty in his class.

However, Pang Dingkun didn't have much to say. The dislocation he didn't solve was solved by Zhou Cheng, and Luo Yun also said at the time that it was an irreversible joint dislocation, which was solved by Zhou Cheng.

This is a fact, he has to admit it, so although the scene today is embarrassing, he can only bite the bullet and admit it.

However, Cai Dongfan arranged for surgery today, but he felt that Zhou Cheng could not be dragged into the department just because he was on duty.

Zhou Cheng could also understand Pang Dingkun's thoughts, so he said: "Brother Kun, today is the patient of Du Yanjun and Zhang Zhengquan. I have already obtained the level II surgical authority, so it is not easy to get involved. Wait for Teacher Cai Let's inform Teacher Luo."

"They told me to go, so I'll go down. If they didn't call, I'll still be on duty with you, brother Kun, to take in patients."

Pang Dingkun was on duty today, and Zhou Cheng was on duty, but Zhou Cheng came the other way, treating himself as the doctor on duty and reporting to Pang Dingkun.The admitted patients were also given to Yan Haihan's group, which can be regarded as giving enough face to Dr. Pang Dingkun and the doctors of this hospital.

Pang Dingkun didn't say much.

After eating, Luo Yun probably noticed the role change between Zhou Cheng and Pang Dingkun in the morning, and it would be embarrassing for them to be on duty on the same day.

So he really came to call Zhou Cheng: "Zhou Cheng, do you want to go to the operating room together?"

"Dingkun is on duty today, basically you have nothing to do." Luo Yun invited.

Zhou Cheng was naturally happy and said, "Okay, Mr. Luo, I'll go down immediately after I finish eating."

If Cai Dongfan and Luo Yun did not invite, Zhou Cheng would naturally feel that they were preparing for Zhang Zhengquan and Du Yanjun today.

It's not good to go straight down.

Luo Yun smiled at Pang Dingkun again: "Dingkun, thank you for taking care of the ward."

Pang Dingkun was also polite: "It should be, I'm on duty today, it's my duty."

He is very clear about his position.

……

An Ruo and Liu Yan ran around the second ward of the orthopedics department, and they just smelled the smell of food coming from the office, and their stomachs were rumbling.

At that time, it was decided to order the same rice bowl and have it delivered to the door of the dressing room in the operating room, and pick it up after the anesthesia.

The two quickly took the patient to the operating room, and then Liu Yan began to arrange for surgical instruments, while An Ruo quickly prepared for anesthesia-related matters.

About 20 minutes later, the two just finished anesthesia, and the other pushed all the equipment kits used in the operation into the operating room.

When An Ruo saw Zeng Yi enter the door, it was as if he saw a savior.

"Teacher, are you back?" An Ruo was hungry and wanted to eat, so she called Zeng Yi enthusiastically.

Zeng Yi saw what An Ruo was thinking, and quickly said: "You guys go to eat quickly, there probably isn't much food down here."

"I ordered takeaway!" An Ruo immediately reached out to Liu Yan, and the two cubs ran out the door quickly, went downstairs, got food, and then each made a cup of hot water.

I couldn't wait to tear open the packaging bag, and put a mouthful of rice into my mouth. The moment the smell of meat exploded in the taste buds in my mouth, I felt extremely satisfied.

There is only food in the world, the most unbelievable...

When An Ruo and Liu Yan returned to the operating room after eating and drinking, the operation had already begun in an orderly manner.

Liu Yan went to help immediately. When the operation was just about to start, there were a lot of things to do on tour, such as connecting the suction tube, inserting the electrosurgical knife, adjusting the current of the electrosurgical knife, preparing to open the knife, etc., it was very trivial...

Although there is help from the hand-washing nurse, the surgeon team has already stepped onto the stage to start the operation, and the hand-washing nurse has also put on a sterile surgical gown and has arrived at her post.

Before she came, after the hand washing nurse took the stage, Zhou Cheng had always assumed the role of her itinerary nurse and helped with things.

Liu Yan hurriedly apologized to Zeng Yi, and took over her job.

An Ruo sat in front of the anesthesia monitor, then began to look around, and found that Zhou Cheng, the former protagonist, did not appear on stage today.

Just wandering around the edge of the operating table, and then shuttling between the operating room timing panel, film reader and the operating table.

An Ruo felt a little funny.

After the stomach is not hungry, the thoughts will naturally be more.

I thought to myself, if he was the chief surgeon, I guess I would go home and take a nap by now, right?

It's a pity that he was just a spectator today, and an inexplicable hungry thought involuntarily tempted An Ruo...

But immediately, An Ruo shook his head to drive away the thought.

Hold on to your beliefs——

When the devil is not on stage, this is the normal rhythm of surgery, so I dare not think so wildly.

……

The operation started step by step, Zhou Cheng finally stood opposite Du Yanjun who was the chief surgeon, looked at Du Yanjun, held the round knife tremblingly, looked at Cai Dongfan, and waited for his careful "feeding"!

Cai Dongfan first used sterile tweezers to draw an arc-shaped mark before the wrapped patient's mid-tibial fracture, and said, "cut along this line, and slowly expose the skin and subcutaneous tissue."

"Remember the angle of entry, the knife enters vertically, cuts the skin to the subcutaneous level, then moves the knife obliquely, and exits the knife vertically..."

Cai Dongfan really looked at his students patiently, broke apart the operation, crushed it and fed it.

This is also the process of normal teaching surgery. He also wanted to teach Zhou Chenglai such a lesson before, that is, the previous intertrochanteric fracture and intramedullary nail fixation.

However, Cai Dongfan just told Zhou Cheng to expose him, and Zhou Cheng took the knife and cut the patient's skin without saying a word.

Moreover, the operation was done smoothly and directly, and only the step of fixing the blade and screws through the positioner formula was left.

This made Cai Dongfan so determined that he didn't have the time and leisure to teach Zhou Cheng.

Zhou Cheng stood aside, blinked, and didn't think much.

Zhang Zhengquan also pricked up his ears to listen. Cai Dongfan's teaching is not only aimed at Du Yanjun alone. He also needs to read and learn more, find the loopholes in Du Yanjun's operation, and find the details he pays attention to, which he may not notice. place.

At the same time, I began to clarify what my surgical thinking would be if I wanted to have surgery.

That's how you learn surgery...

An Ruo heard that Cai Dongfan was so patient, and she also remembered that her teacher was so careful and meticulous when she first took her, but her foundation was good, so she graduated quickly. Now that she has basic spinal and general anesthesia, she must It can be done.

It's just a nerve block anesthesia, her teacher hasn't started taking her yet, and she doesn't feel like she's ready.

When I look at Cai Dongfan's teaching to Du Yanjun now, I have a feeling of looking back at the younger generation.