medical simulator
Page 197
It's definitely not easy for Zhou Cheng to say this.
It is also inappropriate for Zhupei to instruct the attendings of other departments what contraindications to surgery are.
Luo Yun explained: "Lu Yaohui also wanted to find someone to take responsibility."
"Being a doctor and going to an emergency consultation is not just a simple treatment. You have to experience it slowly in the clinic and mediate carefully."
"it is good."
After hanging up the phone, Zhou Chengcheng rushed to the department and found that Luo Yun was in the department, supervising the conversation between Du Yanjun and Zhang Zhengquan.And his lunch box was carefully covered.
Seeing this, Zhou Cheng consciously didn't bother, and took the meal to the lounge to continue eating.
The office is a place to work, so it is natural to talk and sign. Although eating in the lounge will linger on the smell and affect the rest, you can't just stay in the office just because the smell doesn't linger.
When Zhou Cheng finished eating, Luo Yun walked in, and Zhou Cheng had time to ask: "Ms. Luo, have you explained it clearly to Mr. Lu from the general surgery department?"
"I did, but I'm not sure if he listened to it, though."
"Director Cai has already gone to the operating room to personally explain to Director Jiang of the gastrointestinal surgery department."
When talking about this, Luo Yun said again: "Misunderstandings and bumps between departments are inevitable in clinical work."
"Sometimes even Director Zeng of our department is afraid of being caught as a pigtail."
"So now you are only being assigned the role of emergency dislocation, not as the general duty for all diseases."
"It's you who are now running for an emergency consultation, and it's too late."
"It's not because I don't have enough skill, or because I don't have enough experience, but because I don't have enough status."
"So in the process of emergency consultation, colleagues in other departments will immediately doubt your level of emergency consultation."
"That's why Director Cai and I didn't ask you to be on duty for all diseases."
"Joint surgery alone is not fatal, so if you go to see it, there will be no problems. Patients can even come to the department, but if it is a complicated disease, it is a bit inappropriate for you to come forward." Luo Yun took the opportunity and told Zhou into an explanation.
It's not that Zhou Cheng's ability is not enough, but because of his identity, he still can't get the approval of people who are not familiar with him.
Even in the event of an accident, even the patient and his family members might use Zhou Cheng's identity to speak out.
Zhou Cheng nodded and said, "I know this, Teacher Luo. I will not act recklessly and cause trouble for you and Teacher Cai."
Luo Yun immediately rolled his eyes, looked at Zhou Cheng, and cursed inwardly, can't you be reckless?
You are called a shrinking turtle, right?
For such a small matter, there is actually no need to call at all. Even if something happened, what does it have to do with our orthopedics department?Can Lu Yaohui's flirtatiousness be pushed away?
But Zhou Cheng is too stable, so I have to report this trivial matter to him.
I know, Luo Yun will naturally have to deal with it, and in such a situation, it is the safest thing for Cai Dongfan, the chief physician, to go to the operating room and talk to Director Jiang in person.
Luo Yun cut the topic off, and changed the topic to ask: "I just heard from Zhengquan and Yan Jun that you wrote the consent form for the two joint replacement operations?"
"Is this also learned from watching videos?"
"Ang?" Zhou Cheng bit the bullet and nodded.
One lie must be covered by countless lies.
"For hip replacement, during the treatment of the femoral end, bone cement may be placed. When bone cement is placed and the bone marrow cavity is polished, fat embolism is very likely to occur. Is that what you were told in the surgery video?" Luo Yun is not so good flicker.
For these detailed knowledge, if you don't read the book in detail, ordinary people can't understand the detailed steps in the operation.
Zhou Cheng said: "I said it, I remember I saw it somewhere, just in the process of bone cement heating, it will affect the stability of fat particles, and return to the blood circulation through the blood vessels in the bone marrow. "
"It's the most dangerous step in a cemented joint replacement."
Luo Yun: "..."
He finally understood that Zhou Cheng must not only have learned by watching videos, he must have also read many other books, but now Zhou Cheng insisted that he learned by watching videos.
He opened his mouth and said, "Tomorrow our department will carry out joint replacement. From now on, you can say that you learned from me in terms of joints."
Zhou Cheng raised his head and glanced at Luo Yun, but didn't understand.
Luo Yun stood up and said behind Zhou Cheng's back: "I told my teacher about you and sent him some videos about your operation process. My teacher is very interested in you and said yes. If you wish, you can go to study with him."
"Although the comprehensive strength of orthopedics there is not as good as that of Jishuitan in Kyoto, my teacher is still good at joints. And your main purpose now should be to improve your education."
"You can go through adjustments, or you can go through special recruitment quotas."
"Think about it carefully." Luo Yun finally expressed his inner thoughts.
Zhou Cheng petrified on the spot.
It turns out that Luo Yun told him so much, is this what he meant?
"Wait a minute, I'll send you a link, you register. The Huaguo Orthopedic Annual Meeting will be held at the beginning of next month. Let's take a few days off. I'll take you to Shanghai in advance." Luo Yun didn't move Said sternly, and after finishing speaking, he really walked out of the doctor's office.
Let Zhou Cheng harden.
"Thank you, Teacher Luo." Zhou Cheng hurriedly thanked Luo Yun.
……
When Zhou Cheng finished registering and paid the participation fee, he walked out.
I saw that Zhang Zhengquan and Du Yanjun were registering for the orthopedic annual meeting. When they saw Zhou Cheng, they immediately said, "Hey, Brother Zhou Cheng, come here quickly. Teacher Luo said, let's register."
"On the 23rd of this month, to attend the annual meeting, everyone in our group must go. Then Director Yan will also go."
"It seems that Min Chaoshuo didn't go." Zhang Zhengquan told Zhou Cheng the secret in a mysterious way.
Du Yanjun turned his head to look at Zhang Zhengquan, and said, "Don't talk too much about this in the department."
Zhang Zhengquan shut his mouth obediently, and explained: "It's just the three of us, how can you sell me?"
Do not suffer from widowhood but suffer from inequity.
In Cai Dongfan's group, only the graduate students in Du Yanjun's department were dispatched. Even Zhang Zhengquan was taken to the orthopedic annual meeting to gain knowledge. As a result, Min Chaoshuo, the serious Yan Haihan's students, were not taken by Yan Haihan. past.
How bad that is.
Min Chaoshuo will definitely not say it on the surface, but he will definitely go to Yan Haihan to complain secretly, and then it is impossible to say that Cai Dongfan cut off one or two of Zhou Cheng and Zhou Cheng in order to balance Yan Hanhan's face.
Zhou Cheng also signed up obediently.
However, the registration for the annual meeting in Hunan Province has an advantage, because Du Yanjun is a graduate student, so there is no registration fee, but Zhang Zhengquan and Zhou Cheng each need a registration fee of 200 yuan.
After registration, Zhang Zhengquan immediately transferred [-] to Zhou Cheng, saying: "Mr. Cai said that he gave the registration fee, so he transferred [-] to me. Hehe."
Zhang Zhengquan smiled foolishly. If Cai Dongfan didn't give the money, he would have to embezzle his small treasury again. Going to the Orthopedic Annual Meeting will increase his knowledge, which is pretty good.
This is an opportunity that Min Chaoshuo and others do not have. It is a good thing that he can go alone, and it is equivalent to traveling at public expense.
However, when the three people were transferring money to each other, there was a sudden commotion at the door of the department, and the three people in the office could also see that many patients and family members were rushing towards the door of the department. go.
It seems to be watching something.
Seeing this, the faces of the three people changed drastically immediately. Could it be that there was a fight between the patient and the patient?
Zhou Cheng hurriedly said: "Yan Jun, you go and ask Teacher Luo Yun to come over, Quan Zi, you go and call the security office, I'm afraid something might happen."
But Zhang Zhengquan had already run out and said, "Brother Zhou Cheng, call me for me, I'll check the situation."
Zhou Cheng immediately started to go out, while looking for the phone number of the security office in the photo album.
The main thing is to find the difference between the last three digits.
Du Yanjun went straight to the director's office.
However, when Zhou Cheng walked to the corner of the corridor, he found that the matter was not the case at all. He saw a middle-aged couple kneeling in front of plainclothes Cai Dongfan at the door of the department, and he was about to kowtow to Cai Dongfan to thank him.
But Cai Dongfan kept pulling.
Only Cai Dongfan was alone, and there were two people kneeling down. He seemed a bit overwhelmed, turned his head and saw wearing a white coat passing through the crowd, and cursed: "Zhang Zhengquan, come up and help!"
"Don't take pictures, fellow patients, don't take pictures, don't send them out, this will have a bad influence, what time is this?" Cai Dongfan said while forcibly helping the middle-aged man up.
At the same time, Zhang Zhengquan also helped the middle-aged woman up.
Cai Dongfan said to the two of them, "You guys are so popular, what are you doing?"
Then he accused the middle-aged man who seemed to be very honest and honest: "A man has gold under his knees, so just kneel down and count as an egg?"
"If you have anything to say, let's go to the office and say, there are many people here."
Cai Dongfan quickly persuaded him.
This is in the hospital, whether it is a patient or a family member, it is not a thing to kneel down to others. In what age, if someone with a wicked heart writes an article to attract traffic, then he really has eight mouths. Can't tell.
Even parents and elders can only accept the kneeling of their children under extremely special circumstances.
Cai Dongfan hurriedly pulled the man into the director's office through the back door. Seeing this, Zhou Cheng even explained to the security officer on the phone: "No, no, it was a misunderstanding."
When they arrived at the office, Cai Dongfan politely asked the middle-aged couple to sit down, and then asked Du Yanjun to bring them two glasses of water.
The two quickly waved their hands and stood up to pick them up.
Only then did Cai Dongfan say to the honest middle-aged man: "Brother, I'm still a little confused. Who are you? I don't think I've ever seen you."
Cai Dongfan was older than the honest middle-aged man.
His daughter-in-law is slightly fat, and her hair is messy at the moment. Although her face is full of smiles, her body is half bowed, and she looks very devout.
Then he looked at the palm of his bandaged left hand: "Are you injured here? Do you want us to take a look?"
The honest middle-aged man clenched his hands, shook his head like a rattle, and lowered his head, as if he was not good at words.
His wife gave the middle-aged man a look and said, "Director Cai, of course you don't recognize us, but you are indeed our family's great benefactor."
"That Luo Sangen, thanks to you, was sent in so quickly."
"This one in my family, he can't talk very much, he can only rush. Leave him alone."
However, Cai Dongfan had already stepped forward, grabbed the middle-aged man's hand, and opened it slightly. Although it was wrapped with gauze, there was still blood seeping out of it. It seemed that it had only been roughly treated.
He hurriedly said: "This is not the way to deal with it. You must have debridement. Have you been to the emergency department?"
"If not, I can call the Department of Orthopedics for you. You should go to the hospital immediately. It will be bad if there are any sequelae."
"How did you get hurt? Did someone cut it? Do you want to call the police for you?"
The middle-aged man didn't care, just grabbed Cai Dongfan's hand, his eye circles turned red all of a sudden, and then kept shaking his head.
Only then did he speak hoarsely, faltering and saying: "Yesterday, I went to Luo Sangen's house and squatted for a long time. I took a knife and followed all the way from school to home. I also watched the two of them go out this morning."
"I originally planned to kill his son and then kill Luo Sangen, and then pay for his life, so it's just a tie."
"But I'm so soft, I can't even do it."
"I just cut myself off."
Hearing this, Cai Dongfan, Luo Yun and the others suddenly raised or turned their heads, staring at the middle-aged man with complicated eyes.
Cai Dongfan also secretly sighed in his heart, brother, do you know what you are talking about?
Based on your words, if we call the police, you will also be taken away for education.
His wife slapped him on the shoulder again: "You know how to be powerful, you are the best, right? If you kill someone, what will I do? What will my daughter do?"
"My daughter was so scared that she didn't fall asleep all night. He has been looking for his brother and you."
Well, what the middle-aged woman said made Cai Dongfan's eyes a little moist.
Cai Dongfan looked at the time when he heard the words, and then persuaded: "Brother, I also sympathize with what happened to you, but people cannot be resurrected after death."
"Although it would have been comfortable for a while, and it seemed fair to your son, but your wife is right. If you are gone, she and your daughter are innocent."
"While you and your wife are still young, see if you can have another one."
The middle-aged man said: "My son is only seven years old this year, and my daughter is ten years old. They have a very good relationship. My son is also sensible. When he was five years old, he gave me a bowl of noodles on my birthday. "
"In the final exam of each semester, I can get very high marks."
"Every time I go home, I get a glass of water."
"Although the skin is a bit skinny, it never causes trouble, and no one in the village doesn't like it!" The middle-aged man said with tears in his eyes, and then squeezed his eyes, which were bloodshot again.
"Who did he provoke?"
"Others envy me for having a good son and daughter. Who am I to provoke me?"
"I never thought about having another one, I thought he was pretty good—" the middle-aged man whispered heartfeltly.
His wife cried with him, Cai Dongfan and the others were silent.
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