medical simulator

As expected, after Zhou Cheng said that, Zeng Yiling sent three points.

Then there was no reply.

Then Zhou Chengcai went out to boil water for work, and Cai Dongfan called.

He opened his mouth and said, "Xiao Zhou, did you add a girl on WeChat today? Are you still treating her lukewarm?"

"Ang!" Zhou Cheng replied subconsciously.

But I immediately noticed that if it was introduced by my mother, it would be impossible for Cai Dongfan to know him.

Cai Dongfan hurriedly said, "Oh, it's all my fault. I was too busy yesterday and didn't explain it clearly to you in advance."

"This person is the director of the anesthesiology department, the niece of director Zeng Yi, who is about the same age as you, and said that he can get to know you!"

"Director Zeng mentioned this to me yesterday, but I forgot. You said it was a mess."

"You'd better be a little more polite to girls, it won't hurt." Cai Dongfan explained apologetically.

Zhou Cheng: "..."

It seems that Cai Dongfan said this a few days ago, but the person he said that time was not this Zeng Yiling, but another person named An An.

No, do I just look like someone with a bad stomach?

Be polite with girls, no harm to you, isn't this just pushing yourself to eat soft food?

"Well, it depends on fate. Teacher Cai, I don't know who she is, so I thought she was a liar when I said that she was not free in the past few months."

"It's not a rumor on the Internet. Should I be cautious when meeting netizens?" Zhou Cheng hurriedly found an excuse for himself, at least it was easy to prevaricate.

Otherwise, it would not be easy to get along with Zeng Yi later.

Cai Dongfan continued to explain the matter to Zhou Cheng, and it was always up...

However, after Zhou Cheng and Cai Dongfan finished the phone call, Zhou Cheng found out again by accident.

In my chat box, except Zeng Yiling sent me a message.

An Ruo even sent a message to himself.

That's what it says.

An Ruo: "Doctor Zhou, today my teacher asked me if I had your WeChat account. I thought he had something to do with you, so I pushed your business card to him."

"Then he explained to me that it was something else."

"It's not easy for me to withdraw it, so I will give it."

"I'm sorry, after thinking about it for a long time, I decided to tell you something."

This is another hindsight!

Zhou Cheng could only respond with a wry smile, and replied: "It's okay, Dr. An! I'm not an important person."

"You can definitely find my contact information if you don't give it to Director Zeng."

"/Silly smile"

After Zhou Cheng replied, he saw Zeng Yiling's message, and he was quite confused: "Well, I don't know that you don't even know who I am."

"I……"

"Actually, he's not someone who likes to make small reports."

After reading it, Zhou Cheng cursed inwardly, I believe you, ghost!

He replied: "It's okay, I didn't understand the situation, and I thought you were a liar, I'm sorry!"

Zhou Cheng didn't say that he regarded her as his mother's 'friendly army'.

"Let me just say, why do you speak so inexplicably, but you are quite interesting, and you are very guarded!"

Zhou Cheng was about to reply, but found that on the other side, An Ruo also replied to him.

"I didn't cause you any trouble, did I?"

"If there is, I'm really sorry."

"/Smile,/Be good." An Ruo also returned two expressions.

Zhou Cheng hesitated, and replied to An Ruo first, and then withdrew to reply to Zeng Yiling.

However, it seems that today's messages seem to be non-stop, and Zhou Chengcheng is so ambiguous to reply back and forth, and has never found a suitable opportunity to break the topic...

After a full 10 minutes, when Zhou Cheng looked back at his behavior just now, he scolded himself in a low voice: "I look like a scumbag like this?"

"It seems that I really don't have the potential to be a scumbag. I feel exhausted after 10 minutes."

Simply replied:

"I didn't have lunch at noon, so I went to eat."

"I didn't have lunch at noon, so I went to eat."

Then there is no more text.

Fifteen minutes later, Zeng Yiling held her mobile phone and cursed, Bah, scumbag.

An Ruo looked at Zhou Cheng's reply and thought it was quite interesting, but Zhou Cheng didn't intend to invite him to go with him!

Playing hard to get?

Chapter 135 is entrusted with a heavy responsibility!

Choosing Fantun as the reason is actually not very good, but it is also quite good.

At least, after a while, when Zhou Cheng checked WeChat again, neither of them replied.

However, when Zhou Cheng was still polishing the material for the night's simulation, his phone rang as if deliberately against him.

He looked up and saw that it was Luo Yun calling.

Immediately answered the phone: "Mr. Luo, what can I do for you?"

Luo Yun immediately said: "Xiao Zhou, are you free now? Can you come to the operating room?"

"Here, something is wrong!"

Zhou Cheng frowned slightly when he heard this, he didn't like being interrupted while studying.

Lin Lin from Hu Ming's team was on duty today, and Zhou Cheng couldn't even take the deputy shift.As for Luo Yun, who was on duty, he was only in charge of joint affairs, and usually would not go to the operating room.

But emergency situations were not ruled out, so he quickly stood up: "Mr. Luo, is it a complicated and irreversible dislocation?"

"I'll come right away."

Luo Yun immediately replied: "It's not a dislocation of the joint, it's because I met an emergency trauma patient today. Zheng Xuanlin has already done debridement and external fixation with external fixation brackets, and the blood supply during the operation is pretty good."

"But after stepping down, I found that the pulse of the dorsalis pedis artery was gone. CTA showed that the position above the bifurcation of the femoral artery and the deep femoral artery was blocked, and the condition of the distal end could not be displayed. Now the patient was dragged into the operating room again. Do thrombectomy."

"But you also know that Director Huang's vascular surgery department just hangs a sign by the way. So?"

When Luo Yun talked about this, he said again: "Yang Yifeng has gone back to school now, and is not in the sandy area."

"It's not very easy to ask someone to come over for consultation."

"Because this patient has damaged lower limbs!"

Zhou Cheng understood, and asked Luo Yun in a low voice: "Does Teacher Zheng Xuanlin think that we have successfully performed a limb salvage technique, so he wants to make this one too?"

It's quite straightforward.

Amputation indications, in addition to vascular injury and thrombosis, there are other conditions.

③ Limbs are severely infected (such as gas gangrene), and most of the limbs are necrotic and there is no other way to preserve them.

④Limbs suffering from malignant tumors that cannot be partially removed.

⑤ The limbs have been severely damaged, and the main blood supply, muscles, nerves and other important tissues cannot be repaired or reconstructed by other methods to restore their functions.

In situations like these, it is more risky to attempt limb salvage.

After Zhou Cheng finished speaking, Luo Yun was stunned.

Because next to Luo Yun, Zheng Xuanlin and Hu Ming were standing there.

Embarrassed at the moment, Hu Ming also looked at Zheng Xuanlin with hatred, his face turned green and red.

Luo Yun walked away a few steps with embarrassment all over his face, and walked out of the operating room first.

Hu Ming scolded Zheng Xuanlin in a low voice, "Look at what you've done!"

Zheng Xuanlin said, "Director Hu, the patient's blood supply was still smooth before. I could really feel the pulsation of the dorsalis pedis artery."

Hu Ming scolded: "If you have blood, you can do limb salvage? Who told you?"

"Don't worry about the continuity and activity of muscles and nerves, are you just a pig's brain? Or did you drink too much horse urine today..."

After Luo Yun walked out, he replied to Zhou Cheng: "We can think about these issues, but don't talk about them."

"Zheng Xuanlin really has no choice. When he can only communicate with the patient, he told you that you have undergone limb salvage surgery, and you can still think of a way!"

"That's why I called me first. I'll come down and have a look, and then let me call you."

"Why don't you come over to see the situation first? After all, it's a matter in the department." Luo Yun's tone was full of unity and friendship.

Hearing this, Zhou Cheng immediately understood what Luo Yun meant, and asked, "Mr. Luo, did Mr. Zheng Xuanlin really tell the patient that I have done limb salvage, and how can I think of a way to do it for this patient? "

"Say it." Luo Yun looked around, and Zheng Xuanlin followed.

Zhou Cheng immediately shook his head like a rattle: "Mr. Luo, then I won't dare to come."

Zhou Cheng immediately faltered.

Damn it, this Zheng Xuanlin is absolutely perfect!How smart he is, he is the only one in the world who knows how to behave!

He has mastered the two skills of killing and picking vegetables so well, is he the smartest in the whole world?

Zhou Cheng also understood that Luo Yun explained so much to him, not the kind of firm tone that asked him to come to the operating room as soon as he opened his mouth.

continued:

"Then whoever said it, let's find a way. Anyway, I haven't said this. If the patient reports me, Mr. Luo, you have to testify for me. I never said such a thing."

"Limb salvage surgery belongs to level III or even level IV surgery. I can't do it, and I don't have the authority to do it."

"It's useless for me to see it, Mr. Luo."

"The combination of trauma and thrombus is the best indication for amputation." Zhou Cheng said in a cold tone.

If Zheng Xuanlin hadn't mentioned this to the patient, then Zhou Cheng might have gone to see it, but if Zheng Xuanlin had said this, wouldn't that be equivalent to putting Zhou Cheng on the grill?

What do you mean I, Zhou Cheng, who has undergone limb salvage surgery, can find a way to save his limbs?

Then if I can't keep it, it will be my Zhou Cheng's problem?

Can you save your own limbs, do you have a little bit of guessing ahead of time?

Luo Yun could only nod his head 'helplessly' and said, "That's fine, I'll just let Zheng Xuanlin and the others go back."

Luo Yun felt it was quite funny in his heart at the moment, this Zheng Xuanlin was simply too much.

After Luo Yun re-entered the operating room, he said, "Director Hu, brother Zheng, Xiao Zhou said that he is not sure, so it is not easy to come."

Hearing this, Zheng Xuanlin's expression suddenly changed, and he said in a panic, "I'll call Zhou Cheng again."

At this moment, Zheng Xuanlin was really flustered. When this patient was first admitted to the hospital, the people in the emergency department had talked to the patient about amputation, but they were only exploring the possibility.

When Zheng Xuanlin knew that Luo Yun had done limb salvage surgery in the department, he was afraid. When he competed with Luo Yun for the deputy chief physician next year, his resume would be severely lacking.Therefore, after seeing that the patient's blood supply was in good condition, he also thought about trying a limb salvage surgery.

During the operation, everything was fine, and Zheng Xuanlin even called Hu Ming to announce the good news after the operation.

Then, not long after being sent to the ICU, they called and said that the back of the patient's feet was cold and there was no arterial pulse.This really shocked Zheng Xuanlin...

Then calling Huang Shinan here again, there is no other way.

Another CTA showed that the blood vessels in the affected limb were blocked, which could not be visualized.

Originally, calling to beg Zhou Chenglai made Zheng Xuanlin feel quite humbled, and he was sending his resume to his competitor Luo Yun.

Unexpectedly, Zhou Cheng is still unwilling to come, he is only a resident doctor now, and he can think of asking you to help, it is because you are useful!Not because of anything else!

Seeing this, Luo Yun watched Zheng Xuanlin take out his phone to make a call, but his expression and gaze gradually turned cold.

Zheng Xuanlin, if you don't trust me, don't let me call our team!