medical simulator
Page 181
Zhang Zhengquan on the side agreed with Luo Yun's point of view very much.
The sky is big and the earth is big, eating is the most important thing. Brother Zhou Cheng, we are going to eat.
If you're leaving, then Luo Yun and I are the two of you. Isn't this just for dinner?
D.
Therefore, Zhang Zhengquan really wanted to find a companion to eat food, to offset the guilt in his heart.
"Brother Zhou Cheng, let's go together. Xu Yanlin, who is on duty today, will call you if something happens. Right, Mr. Luo?" Zhang Zhengquan smiled all over his face, his teeth were white, in stark contrast to his complexion.
Both Luo Yun and Zhang Zhengquan said the same thing, but Zhou Cheng was not easy to refuse: "Mr. Luo, then you will have to spend again, I have eaten a lot."
Luo Yun immediately looked at Zhang Zhengquan and smiled casually, but that means, can you eat as much as he does?
Zhang Zhengquan lowered his head slightly in embarrassment, his blushing couldn't be seen, but he looked even darker.
……
On duty at night, Zhou Cheng didn't sleep well. He came to the emergency department three or five times in the evening, and Zhou Cheng didn't sleep well all night!
However, after five o'clock, another dislocated patient came to the emergency department, which still made Zhou Cheng sleepless.
Zhou Chengcheng was suspicious, what was going on with these patients, they didn't sleep at night, and they didn't know what they were doing.
Anyway, Zhou Cheng remembered a young girl who said that she slipped and fell at home in the middle of the night and broke her shoulder joint into a rare posterior dislocation...
Zhou Cheng didn't ask about the specific medical history, but he reckoned it was definitely not the truth.
How the hell did you slip at night without sleep?
And it’s still dislocated——
Even falling off the bed is more likely to cause anterior dislocation or fracture.
After five o'clock, Zhou Cheng still went out for a run, came back sweaty, and took a shower.
By the time I changed into clean clothes and went to the office, it was only 35:[-].
But at this time, Zhou Cheng intended to see the new patients in his group. Although he didn't care about the bed, he still wanted to know the general condition of the patients in the group.
As soon as I saw it, Yang Yifeng came to the department without knowing when, and then asked Du Yanjun for the account number of the medical record.
Du Yanjun was very surprised at the moment, but he still gave Yang Yifeng the account number and password of Luo Yun's medical record system!
Here, the resident physicians do not have their own individual job numbers. They all set up sub-accounts of the superior physicians to reflect what patients they have managed.
Zhou Cheng was taken aback by surprise.
Why does Yang Yifeng need a medical record account?He is a god, aloof, even more aloof than Director Yan.
Yang Yifeng didn't feel embarrassed, and when he turned around and saw Zhou Cheng staring at him, he casually said, "Brother Zhou Cheng, I'll check the case and collect some materials. Sometimes there is no one in the department, so it's inconvenient."
"Remember one account, and you can see patients in two wards at the same time. This is much more convenient."
The Department of Orthopedics of the Eighth Hospital has two districts, and all senior physicians with job numbers can see patients in both wards at the same time!
Because there was only one area of orthopedics in the past, there was no separate division of authority.
Zhou Cheng heard the words and replied: "It's okay, Brother Yifeng, you can do whatever you want."
The patient is not anyone's personal property, even Yan Haihan can't control what Yang Yifeng does, how can he control it?
However, when Zhou Cheng sat down and logged in with the account and password of the medical record system, he found a patient who was not quite right and appeared in his group.
See diagnosis: left lower extremity trauma: after debridement!
???
Is this yesterday's emergency debridement patient?Then why did Xu Yanlin send our group?Shouldn't this be charged by their group?
Then click in and see that the medical record has obviously been written.
After browsing through the medical records one by one, Zhou Cheng immediately touched his head.
Good guy, this patient, I don't know whether it's his luck or not.
Fortunately, his trauma was not serious, only five centimeters, and the bleeding was not much. Debridement and sutures had already been done in the lower-level hospital.
It's bad luck that his femur was lost with just this five centimeter incision!
It's gone, not broken.
According to the medical history, it seems that the bone was knocked and flew out, and only that part was gone, as if it was knocked and flew to the bottom of the mountain.The scene was not found, but the person was fine.
This is just like flying a femur in the air...
Even after reading all the medical histories, Zhou Cheng still didn't understand the specific mechanism of the injury, so he stood up.
Then I found that Yang Yifeng also stood up almost at the same time, then looked at Zhou Cheng, and the two walked out of the doctor's office at the same time calmly...
Chapter 143 You must find a way for me!
Zhou Cheng had been a little surprised that Yang Yifeng would come so early today, but Yang Yifeng had always been aloof and the most unrestrained in the department.
Even Director Yan didn't ask much about his affairs, and let him do his own thing in the department, Zhou Cheng naturally couldn't ask more questions at the first time.
Just happened to meet him at this moment, so he asked: "Brother Yifeng, this seems to be the first time you have come to the department so early?"
Zhou Cheng didn't have Yang Yifeng's high realm, nor his status, so he arrived early every time.Even if it is a morning run, it is still rain or shine, and I feel envious in my heart.
Yang Yifeng nodded and explained: "Well, the plot of the novel has fallen into a small bottleneck recently."
"Some time ago, I only focused on picking characters. After writing the recent plot, I feel that there is a little shortage of cases, which is not enough to support the story to continue downward, so I want to come to the department early to see if I can find suitable cases. Look for inspiration."
Yang Yifeng is embarrassed to say that he took Zhou Cheng as the prototype of the supporting role, and then made the protagonist's current combat power a bit collapsed. The main purpose now is to come for Zhou Cheng.
It's just that when looking at Zhou Cheng, Yang Yifeng suddenly felt that he seemed to be obsessed too much recently, and even laughed at himself secretly, thinking why should he care so much about Zhou Cheng?
Internet novels are nothing but literary works, and literary works can be processed and handled.
After a night of thinking, he probably found a solution, but the solution still needs to be reflected in a special case.
But it’s just seeing the truth from the details, it doesn’t necessarily need to be true, as long as you know what to write, and what you write can highlight that the protagonist is better than the supporting role Lu Cheng, who is based on Zhou as the prototype.
It is quite easy to write these points out with my current knowledge background.
After Zhou Cheng's incident, Yang Yifeng had a deeper experience in writing medical novels.
That is to write novels. You don’t have to stick to the existing format and content. Internet novels are actually a kind of recreational literature. You can write very proficient and obscure, or you can write very straightforward.
With the development of online novels, more and more attention is paid to daily life and sense of substitution. Speaking of it, that is to say, the ability to let readers gather in the story allows him to integrate into the story.
Readers are becoming more and more disgusted with pretense and face-slapping, just like doctor's articles, there will not be too many plots of pretense and face-slapping, but it is also favored by readers.
Therefore, this shows that there is actually no fixed number in the format of how online novels will behave.
It will also be an excellent way of writing to write characters well, chat at home, chat and interact with readers.
Just keep in mind that it can make readers have a sense of expectation, and don't feel obscure during the reading process, then it is a good novel.
Yang Yifeng's comprehension is quite high, the sense of substitution.
That's what he wants to ponder.
The achievement of his current novels is not because they are derived from reality and surpass reality, but they can also be revealed in reality, allowing readers to feel the authenticity of the storyline, and then process and shape the characters.
Based on real people, it is more approachable.
Therefore, this time, Yang Yifeng didn't simply look for cases with a curious nature!
Special cases are well written and well written, which can even refresh colleagues who read books.However, if the whole article is written like this, it is nothing more than repeating the complaint, and it is completely worthless.
He felt that he might be able to dig out common cases and express them in different forms.
As long as the reader can be brought into the story in an appropriate way.
That's a good story.
However, Yang Yifeng originally had such a mentality, but the unexpected situation is that, in the process of seeing the case today, he happened to bump into a rare case——
Isn't this even more coincidental?
Fractures are common cases in orthopedics, and bone defects are not uncommon, but large bone defects are also defects in which bone segments disappear due to trauma.
As the saying goes, the bones are gone, which is not a common thing.
"Oh, that's right, did Brother Yifeng also see the patient in bed 27?" Zhou Cheng could also understand Yang Yifeng.
Yang Yifeng can definitely be called an out-and-out genius.
But no matter how talented you are, you will be limited by your experience and life experience.
For example, Zhou Cheng feels that his skills are definitely not bad now.
But compared with Luo Yun, there is still a certain gap in realm.
That's because Luo Yun's knowledge is broader than his, his understanding of medicine is deeper than his, and his education and experience are also at a higher level than his.Therefore, it is often possible to talk about the essence of some diagnosis and treatment processes.
Although these may not be the essence, but for the current Zhou Cheng, some of Luo Yun's insights and opinions have already touched something beyond medical treatment, or something above diagnosis and treatment.
This is something Zhou Cheng can't do at present, but Zhou Cheng doesn't force it either.
Zhou Cheng went on to say: "I have never seen this case before, so I am very curious, and I didn't hold back when I waited for the ward rounds, so I wanted to have a look in advance."
Zhou Cheng thought to himself that he had been a resident doctor for two years in clinical practice, and had seen all the routine orthopedic emergencies, but such open fractures and traumas were really unheard of!
Even the mechanism of how to cause such a fracture and injury was not understood.
With such a rare case, Zhou Cheng naturally wanted to see it earlier.
Yang Yifeng also nodded and said, "To be honest, I haven't seen it either."
"Bone defects are very common, but in general, most bone defects are caused by surgery or other reasons, resulting in bone defects caused by osteotomy. Is this a traumatic defect?"
"And it's so damaged?"
"I've never seen it before."
Yang Yifeng touched his head while walking side by side with Zhou Cheng.
Both discovered that the other had the same purpose, and they went together to the patient's bedside.
After entering the ward, Zhou Chengcheng found out.
The patient is a middle-aged male, about 40 years old, tall and thin.
His eyes are not deep, and even full of indescribable innocence.But what doesn't match his eyes is that he has a blue dragon tattoo on his arm, and he looks like a decent social figure.
For such a social figure, the blue dragon tattoo is not complete anymore, the color has faded in some places, and I don't know why he didn't make it up.
The person sitting next to him was a middle-aged woman, the same age as him, with an indescribable figure, to be conservative, she could be said to be fat.
After seeing Zhou Cheng and Yang Yifeng, he asked his wife to sit up while shaking him, and asked, "Doctor? You two should be my doctors, right?"
Zhou Cheng nodded, and took the initiative to reply: "Yes, we are all doctors in Director Cai Dongfan's team, and will be your doctor in charge in the future, but the doctor who mainly contacts you is Dr. Xiang Haibin. He is your bed doctor."
"If you have a problem, you can go to anyone."
In the past, the 27 beds were managed by Zhou Cheng, but now the 25-27 beds are allocated to Xiang Haibin, and the other beds are managed by Du Yanjun and Zhang Zhengquan.
Xiang Haibin doesn't work in orthopedics, so if there are too many beds in charge, I'm afraid he won't be able to take care of them and something will happen.
So let Du Yanjun and Zhang Zhengquan take more care.
"Ang." The tattooed man immediately said excitedly, "You guys are here."
"I asked for a long time yesterday, and the doctor on duty told me that my doctor is not in the department. I asked him to call you to the department, but he said it was the weekend."
"What do you mean? The doctor still has weekends? But I'm so anxious. You said that I came to the hospital to find a doctor, and the doctor is not here. What's the matter?"
"After I came in, the doctor on duty came to take a look, and no one took care of me."
"Oh, I really don't understand your hospital." He complained, with a slight social atmosphere in his tone, but the taste in his words was not offensive, much better than the yin and yang of some more decent people.
His wife is a middle-aged woman with a 'slightly' fat body, while shaking his bed.
While scolding the patient: "It's useless for you to say a few words!"
"Tell me about you, you haven't done a single useful thing throughout the day."
"You don't want to take the bus, but you insist on riding your motorcycle, and you have to drive (guo) fast. Now it's all right, you can't drive your thigh bones."
The middle-aged man with the blue dragon tattoo may also feel a little guilty, perhaps because he has lost too much bloodiness by life.
Zhou Chengcheng explained: "That's right, brother, our doctor will also come to the department on weekends. We were still in the ward yesterday morning, and we visited the outpatient clinic all day. There is a doctor on duty in the ward on guard 24 hours a day."
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