medical simulator

Luo Yun never forgot that he went to the joint surgery video for Zhou Chengfa.

Chapter 136 The Way of the Strange Man Returns the Body of a Rider

For the outpatient clinic on Sunday, there is not much time left for myself.

Zhou Cheng never expected that Luo Yun would ask for joint surgery from the hospital so quickly!

And I never thought about it, Luo Yun was still brooding about the fact that he told him that he watched the video to learn the technique of joint reset.

Before, Luo Yun sent himself the operation video, and even leaked the question to himself in advance.

To be honest, Zhou Cheng watched the video sent by Luo Yun, but he didn't.

After reading a part of it, I feel that it is not much different from the joint replacement surgery I currently know.

Then it was set to autoplay, which is equivalent to not watching it.

In addition, Zhou Cheng felt that it would not be very practical to simulate this section.

There are no such patients in the department now, no matter how many joint surgery skills are, they can only be shelved like small incision open reduction and internal fixation and amputated limb replantation.

Previously, Zhou Cheng's idea was to try his best to simulate skills that were close to his current surgical authority, such as level II surgery.

How good is that?

Skills are not used and can only be used as reserves.

However, fortunately, it was Luo Yun who told him today, that is, on Friday, instead of delaying it until Saturday night!

In this way, it is equivalent to nine more opportunities for simulation to learn about joint surgery.

Reading books is definitely necessary. The systematic study of each specialty comes from the most basic textbooks. Zhou Cheng bought a package of textbooks for orthopedics.

However, if you go to scan the textbooks one by one now, you will definitely not have enough time.

It's not that Zhou Cheng has no foundation in joint surgery at all, it's just that the knowledge structure of joint surgery that Zhou Cheng has mastered has only reached a few points.

Zhou Cheng first looked at the panel of the simulator.

【Joint dislocation reduction surgery (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)]

……

Zhou Cheng watched and made a summary.

Going to the outpatient clinic is different from going to the emergency department. Since Luo Yun mentioned this matter, Zhou Cheng must make some preparations.

Otherwise, it is a quack doctor who has misunderstood people.

Manual reduction of joint dislocation is generally aimed at emergency dislocation patients.

Dislocation patients mostly occur in emergency situations. Such patients basically do not appear in outpatient clinics. For dislocation patients who appear in outpatient clinics, the manual reset of joint dislocation is not applicable!

In pure joint surgery, the two major plaques of osteoarthritis and sports injuries account for the largest share.

Treatment of Osteoarthritis - Attributed to Joint Surgery.

Sports Injuries - Break Out of Sports Medicine.

Sports medicine is actually a branch of joint surgery. It originated from joint surgery and broke away from simple joint surgery!

One of the biggest characteristics of outpatients is that they may not have trauma of any nature, and if there is no trauma intervention, if they want to make a diagnosis, then they have to seek the real diagnosis from the intricate and complicated clinical manifestations. The reason is gone.

Difficult.

Zhou Cheng really felt that the difficulty was not small.

Taking an outpatient clinic is the way every doctor must go, but his current knowledge reserve, sitting in a trauma surgery outpatient clinic, must be enough, but what about joint surgery?

Not to mention rare diseases, just one joint of the shoulder joint can make people unable to understand——

Zhou Cheng opened the contents of the textbook one by one, and the chapter on shoulder joints alone contained too much content.

Acromial impingement, rotator cuff injury, Bankart injury, SLAP injury, frozen shoulder, long head biceps tendonitis, long head biceps tendon rupture, giant rotator cuff injury, supraspinatus tendon calcification, shoulder recurrent Anterior dislocation, acromioclavicular joint dislocation, multidirectional shoulder instability.

According to the catalogue, Zhou Cheng opened it and found that the common diseases of the shoulder joint are: one, two, three...!

A total of thirteen sections!

My brain hurts a bit.

There are even more rare diseases, such as uric acid deposition stones in the shoulder joint, fibrosis, and some things that Zhou Cheng has never heard of...

And that's just the shoulder joint.

There are also elbow joints, wrist joints, hip joints, knee joints, ankle joints, interphalangeal joints, and many special joints on the feet.

This?

Where can I learn from?

This simulator can only retain one skill at a time.

nine times.

nine!

Isn't this nonsense?

……

Luo Yun was still on duty in the department near ten o'clock, eating supper with the doctor on duty Lin Lin.

Then he saw Zhou Cheng calling, Luo Yun smiled, took off his lobster-eating gloves, and casually asked, "What's wrong, Xiao Zhou?"

I feel a little better.

In the past days, Zhou Cheng was simply too calm, and he always regarded himself as a calm and breezy expert!

This is not in line with Luo Yun's values, and I hope Zhou Cheng's temperament can be reversed.

This was the first time Luo Yun saw Zhou Cheng not calm, so he called him at this time.

Zhou Cheng was not calm anymore, but Luo Yun became calm.

Maybe Luo Yun also has a little bad taste in his heart, and he wants to see Zhou Cheng's anxious bad taste.

Sure enough, Luo Yun heard Zhou Cheng say: "Mr. Luo, when you go to the outpatient clinic, what are the main types of diseases?"

"I don't know what to read now." Zhou Cheng couldn't grasp the key points, so he naturally wanted to ask Luo Yun to draw the key points.

Luo Yun said casually: "That's not clear. The joint patients encountered in the outpatient clinic may have joints in every joint. It is impossible to focus on only one joint."

"Our Eighth Hospital is not comparable to other places. Some large hospitals only need to focus on one joint, but we must all look at it."

"And not only patients with joints need to be seen, but also patients with sports medicine."

"Our hospital can't give a treatment plan, but we can suggest them to intervene early." Luo Yun said.

It is impossible to focus!

You won't be given a chance to hold Buddha's feet temporarily.

Luo Yun thought rather complacently.

On the opposite side, Zhou Cheng's eyes lit up immediately, and he replied suddenly: "That's right, we are seeing patients in the outpatient clinic, not in the ward, we must treat the patients."

"Then I understand, Teacher Luo. Thank you, Teacher Luo."

The big fat prawn that Luo Yun was about to stuff into his mouth immediately felt unsavory.

You understand what you understand?

What did I say, are you right?Are we going to the clinic?

Don't we just go to the clinic?

Do you still want to treat all the patients you meet in the outpatient clinic like the patients in the ward and cure them on the spot?

Luo Yun hung up the phone, feeling a little bad again.

It seems that this time, Zhou Cheng must not have seen Zhou Cheng's troubled and anxious look, and he had pretended it again!

But Luo Yun didn't take this matter to heart.

……

After finishing the phone call with Luo Yun, Zhou Chengcai immediately reset his previous thoughts to zero.

Because he confused his thinking!

Outpatient clinics are different from wards. Outpatient clinics are where doctors and patients come into contact, not where they are treated.

Therefore, there is no need to see a patient at all, but the patient's problem must be solved on the spot, as long as they are provided with a rough idea of ​​how to solve it.

It is equivalent to, in the outpatient clinic, as long as the diagnosis process of the diagnosis and treatment process is completed!

It's much easier to just diagnose and not treat.

This is equivalent to breaking the whole into parts, which can give Zhou Cheng a lot of preparation time.

After sorting out his thoughts a little bit, Zhou Cheng started a new round of simulation...

[Please select the initial carrying material for the simulation. 】

【1. Arthroscopy (proficient) (shoulder joint, wrist joint, knee joint), 2. Joint dislocation reduction (perfect - world-defining level). 3. Arthroscopy (skilled) (shoulder, wrist, knee). 】

[Fixed Skills: Limb Anatomy Experience and Muscle Strength Out of Shape (Perfect - World Definition)]

Ok.

Zhou Cheng only carried relatively simple and basic things, and the purpose of the simulation was to see if he could obtain packaged skills similar to limb anatomy experience and muscle strength deformation (perfect-the definition of the world).

Surgery originated from anatomy, but the source of all medical departments is diagnosis!

Skills can be 'packaged'.

For example, when Zhou Cheng simulated the open reduction of limb fractures through small incisions, he also obtained them one by one, but in the end they would be bundled and packaged into small incisions for open reduction and internal fixation of limb fractures.

【The simulation starts! 】

[You already have a certain status in the department, and you have obtained the authority of level II surgery.You are still on duty. 】

[But you have a "great way" in your heart, so you chose to give up your plan to continue to obtain the authorization of the exception level III surgery, and you started to sit with the superior physician in your department as an outpatient. 】

[Because you have a solid anatomical foundation and a rich medical knowledge base, you can still routinely complete common Class II operations. Although you have not reached the previous level, you have gradually gained the attention of superior doctors. 】

【So you have a thick skin and follow your superior doctor in outpatient clinics...】

【You have a thick skin, you only look at the shoulder joints.And ask your superior physician to teach you only to look at the shoulder joint first. 】

Seeing this, Zhou Cheng blushed a little, feeling a little embarrassed.

His idea of ​​simulation this time is to keep Luo Yun entangled, and he is not greedy for too much, so he only engages in one joint first.

[You successfully got the opportunity to be hired by the college! 】

【You turned down too many surgeries and started to specialize in the diagnostics of joint surgery. 】

[Three years later, you have gained systematic shoulder joint disease diagnosis experience (general), and your superior physician feels that your talent in joint surgery is limited.So I tell you that you need more operations and more reading. Orthopedics is not just about joint surgery. 】

[Actually, it’s good that you specialize in trauma surgery, but you refused, because you have a strong desire to learn.Your superior physician is impressed by you. 】

[After five years, you gain experience in routine disease diagnosis of the hip (common).Your manipulative skills are limited only to manual reduction of dislocated joints.Your superior doctor feels that he has delayed you and led you astray, so he apologizes in every possible way! 】

【You are still maverick, continue to learn from him brazenly. 】

【Ten years later, your superior physician was finally promoted to director, and opened up the joint surgery department of your hospital alone. As his staunch supporter, you became the veteran of the department.But your co-workers think you're a sucker.This is the top position. 】

【You are still enjoying the outpatient clinic with your superior physician. As the deputy chief physician, you still don’t see the outpatient clinic alone, you continue to follow your superior physician’s outpatient consultation. 】

[After 15 years, you have gained experience in the treatment of common diseases of the shoulder joint and hip joint (common). 】

[Your wife can't stand you anymore, she went to the court to sue you for 'infidelity' in marriage, but the person she suspected of infidelity was your superior doctor.Given that your superior physician is male. 】

[The court declared you innocent.Your wife has finally 'divorced' you peacefully. 】