medical simulator

tenosynovectomy

Tenosynovectomy

Tendon cystectomy

Tenosynovial rock resection

Myovascular tumor resection

muscle lesion resection

muscle ossification lesion resection

Then it got numb.Then below, there are tendon transfers, tendon lengthening, tendon repairs...

Damn, it looks like a big head!After frightening Zhou Chengyi to tremble, he quickly closed it.

Began to meditate.

There must be overlaps in these larger catalogs of Class II surgeries. For example, muscle release and tendon release, although both are the same muscle, but a complete muscle can be divided into a muscle part and a tendon part.

The release surgery in the two places is the same, but the surrounding anatomy is different, so the release technique will also be slightly different.

Then again, lesions that are located within the musculature are different from lesions that are located at the location of the tendon.

If you distinguish carefully, you can use positioning difference and qualitative difference.

Muscles, tendons, are just a few of them.

This is called positioning.

Positioning is in addition to these.And fascia, fat tissue, aponeurosis, tendon sheath!These are all differences in position. The anatomy should be different for different positions. Our human body has so many different positions. Is it possible that the operation of the hand is done according to the foot?

Then qualitatively, cysts can also be divided into mucinous cysts and other types of cysts.And lesions, and tendon adhesions...

Class II surgery is simple and can be performed by experienced residents.

Zhou Cheng couldn't help thinking to himself, although many of the world's orthopedic experts have reached the peak level in a certain field, who dares to say that they can do all the level II surgeries well? How about extreme?

director?professor?top professor?academician?The top boss abroad?

I am afraid that when the manpower is exhausted, they may only be able to perform some operations, but they are not proficient, far from being as proficient as they are in the direction they specialize in, right?

If we enlarge this to the whole surgery——

In addition to orthopedics, there are general surgery, vascular surgery, neurosurgery, breast surgery...

When people don't open their eyes to see the world, people always don't realize how small they are, but those who really open the door will always maintain a sense of awe, trembling, and study on the way.

Compared with these, Zhou Cheng looked at his skill tree.

Well, although I picked Luo Yun's peaches and got dozens of them, but the levels are only average, and compared with the entire big currently known skill tree, it still pales in comparison.

"You still have to study hard." Zhou Cheng thought shamelessly.

Then, without being greedy, I silently chose the direction that failed to simulate yesterday, and started the simulation.

Reconstruction of muscle insertion points near joints——

Well, one of Zhou Cheng's small goals now is that skills that have not reached the perfect level are not easy to show to others.

However, after a simulation was completed, Zhou Cheng frowned severely.

"Reconstruction of muscle insertion points around human joints (proficient)."

its not right.

Zhou Cheng stroked his hair. The progress of the simulation didn't seem to be going well.

You know, during this simulation process, Zhou Cheng switched careers and became a teacher of human anatomy. It can be said that he has been playing human anatomy for a lifetime, and he is still teaching until he is 70 years old.

However, in the reconstruction of the muscle insertion points around the joints, it still seems that there is not much breakthrough!

After thinking about it for a while, Zhou Cheng patted his head hard.

Finished calf.

I'm afraid I didn't make a mistake about the difference between a corpse and a living person. Autopsy, a corpse in human anatomy, is soaked. Of course, it is different from a living body. Human anatomy or system anatomy brings us knowledge of anatomy.

It is definitely not the understanding and insight into surgery.

It should be learned from living people, but where can I find so many living people to practice.

Zhou Cheng had a quick mind and thought of several inhuman solutions——

Mafia anatomist, boss behind organ trafficking, vivisection maniac?

Why don't you kill the little animals for a lifetime first?

But these ideas were all rejected one by one.

Immediately afterwards, Zhou Cheng finally thought of an excellent job——

【1. Experience in anatomy of human limbs (perfect), 2. Reconstruction of muscle insertions around human joints (skilled). 】

[Start the simulation. 】

[You have a solid foundation in orthopedic anatomy and perfect surgical operations, and you have been appreciated by the superior physician.And you have obtained the permission of the superior physician to carry out manual reduction of joint dislocation in the department. 】

[But you have a great way in your heart, and you only live for one knowledge.So, you decisively obtained the resident standardized training qualification! 】

【You rejected the hospital stay application in the department, and you chose to work in the hospital's incinerator.Your top physician is terribly weird about your behavior, but you stick to your guns. 】

[One year later, you felt that the number of amputations in your unit was too small, so you quit your current job and entered a county hospital with poor medical conditions and an extremely remote location.Become an excellent incineration equipment management staff. 】

All severed limbs will eventually be sent to the hospital's incinerator for processing and will not be returned to the patient's family.This is medical waste, and medical waste can be used for anatomical study.

Fresh!

【Your parents were so angry that they were almost bedridden by your choice, and they completely severed the father-son relationship with you. 】

【Your mother often visits you and persuades you, but you are still stubborn. 】

[Five years later, your mother hopes that you can return to Shashi to work, and she is willing to sell the family property, buy you a house in Shashi, let you go on blind dates, and provide you with a small business.You say no. 】

【Ten years later, the leader of your hospital found out that your level was not average, and wanted to transfer you from the incinerator room to a clinical department, but you refused it sternly.But because your anatomical knowledge is completely beyond the imagination of the people in the hospital, you start to occasionally wander around the clinic to do marginal operations. 】

[Your salary has been further improved, and there are also a small group of adult students, and the directors of several departments of the surgery have a friendly relationship with you. 】

[Your blind date continued to fail once, and your blind date couldn't tolerate your lack of progress, and couldn't understand your desire to seek Tao. 】

Seeing this, Zhou Cheng sighed.

If it weren't for this simulator, I'm afraid I wouldn't be able to bear it for a year.

He licked his lips and continued to look.

[When you were 38 years old, you were still alone, and you had a lot of savings.But your parents are still worried about you, so they sold all the real estate and valuables in the family, moved the whole family to the vicinity of your unit, bought a house and land. 】

[And start to arrange marriage for you. 】

[On the day your family moved into your new home, you cried so much that you knew that your parents gave up their visit, family and friends for you, just to reunite with you, and you felt guilty.You wanted to tell them countless times that we will go home together, but you held back because your Dao heart was firm. 】

[One year later, your parents finally spent a huge amount of dowry to negotiate a marriage for you, and your partner is ordinary.The level of education is average, but fortunately, he is honest and diligent. 】

[You got married, and a year later, you had a child.Your wife begins to persuade you to return to the clinic to help support the family.But you still refuse. 】

[You know, you are now only one step away from the reconstruction of the tendon insertions of the human limbs (perfect-the definition of the world), and after passing this step, you will have no regrets in this life. 】

[When you were 46 years old, your father was seriously ill, but your family was not rich and could not afford the cost of ICU treatment for your father, so you were forcibly transferred out.Soon after, your father died. 】

Looking at this line of words, Zhou Chengcheng in reality couldn't help but his heart twitched, and tears rolled down from the corners of his eyes.

Secretly said: Lao Zhou, I'm sorry, this is fake.

[The next year, your child is about to go to school. Your wife plans to let him go to an elementary school in the city, but she needs to sell the house and ask you to change jobs to pay for the mortgage. You refuse, and your wife wants to divorce you. 】

【You are still unmoved.In the end, your child went to the nearest primary school with average grades. 】

[When you were 50 years old, your mother died of exhaustion.Your wife divorced you, and the court awarded your children to your wife.You are alone and choose to leave the house. 】

[Your unit owes to your years of hard work and firm will, and you have not been fired.But you will still send a large amount of money to your wife and children to express your affection. 】

[When you were 55 years old, you finally realized it, you got the skills (perfect - world-defining level).But you are old, and the clinical department no longer takes you in. 】

【So you resolutely chose to resign and went to work in a small hospital along the coast. 】

[After two years, you managed to get a good job, and you started working hard. 】

[At the age of 63, your savings are enough for your children to buy a down payment on a house, you call your wife, and after repairing your parents' graves, you quit your job. 】

[You chose to drink to death! 】

[The simulation ends. 】

[Simulation evaluation: Tangled.You are not a qualified doctor, but you are a qualified scholar and a firm seeker. 】

[You can choose one of the following. 】

【Human Limb Muscle Insertion Reconstruction (Perfect - World Definition Level)】

"Huh!" After reading it, Zhou Changcheng heaved a sigh of relief.

Damn, is this the unacceptable variability that can arise in a simulation when you're not perfectly prepared?

Although this life is only described in words, as a doctor, he left the clinic after regular training.But paranoid, he chose not to be a doctor, but to be an incinerator to burn corpses.

I couldn't find a wife, and the wife I found in the end was half-buy and half-free, and she was so disgusted that she divorced.

As a son of man, Zhou Cheng can be said to be unfilial, he has never done a single serious thing except leave behind descendants.

Although the thinking is flamboyant enough, the flamboyant thinking still cannot make up for the insufficient preparation!

But there is no way, there are more and more things now, and I haven't rested all day today.

Cai Dongfan asked him to go to Sha County to see a doctor for Tan Yuanwu's nephew, but he couldn't shirk it.Then there was an accident with Tan Yuanwu, and there was no time for him to prepare for the simulation!

It seems that it is necessary to learn to shirk some things, and then settle down and study for a period of time.

Don't be disturbed by these mundane things in front of you?

However, Zhou Cheng himself is also a little entangled. He is a doctor. If he does not go to the doctor to save his life, but only thinks about studying, then what is the purpose and significance of studying?

How to balance the relationship between the two?

It's hard to choose.

At about this time, Zhang Zhengquan climbed onto the bed, and seemed to see something wrong with Zhou Cheng's mood, so he asked, "Brother Zhou Cheng, what's wrong with you? Did something bad happen?"

After all, Zhou Cheng still had tears in the corners of his eyes.

"No, no, I just remembered my grandparents. I had a whim." Zhou Cheng made up an excuse at random, but his grandparents were indeed dead.

Zhang Zhengquan breathed a sigh of relief, and said: "When people grow old, my grandfather also passed away. I was really sad at that time. Now I almost can't remember his appearance."

Apparently, Zhou Cheng led him into the ditch all of a sudden, and his mood was not high.

Zhou Cheng didn't answer. After pondering for a while, he used up the remaining two simulation opportunities.

-

[You have a solid foundation in orthopedic anatomy and perfect surgical operations, and you have been appreciated by the superior physician.And you already have a little reputation in the province, and you are appreciated and valued by well-known professors. 】

[But after you stayed in the hospital, you started to 'degenerate', you only did a simple ganglion cystectomy!And only interested in simple surgery, you made a request to your senior physician. 】

【Your superior physician was puzzled, but still agreed to your request and began to treat some patients for you. 】

[One year later, a well-known professor from your province came to ask you why you didn't go to graduate school for a doctoral degree. You have different aspirations, and your current interest is only in the field of bone disease. 】

[I vaguely heard that your superior doctor was scolded by a famous professor, and even the leadership of your hospital started to ask your superior doctor to ask what happened to you. 】

【So your superior doctor also started to ask you what happened, and you only answered, out of interest. 】

【Your superior doctor recruited bone tumor patients for you, hoping that you can achieve something in bone tumors, but you persuaded the patients to be transferred to other hospitals, and only focused on simple fasciitis and ganglion cysts. 】

[Your senior physician, several strands of hair turned gray overnight. 】

[Five years later, a well-known professor in your province invited you to give an academic lecture on finger replantation, but you knew that you couldn’t do it, so you insisted that you are not a hand surgeon, and that you would not do anything if you were not in his position. 】

【Your superior physician was scolded bloody again, and even started to investigate your superior physician. 】

[The next day, you found that your senior doctor was a little tired, and communicated with you, whether you have any objections to him, you said: no. 】

【Ten years later, you will have the title of 'Master Cutting Tuo' in the province. Although it has brought you a certain degree of popularity, patients trust you and come to you to cut tumors, but in the industry, this has become a joke. 】

【Your superior doctor has begun to retreat, because there are still legends in the world that well-known professors in the province praised you for replanting your amputated finger, and it is all because your superior doctor misunderstood you.There must be some ulterior purpose. 】

【Your superior doctor couldn't bear the pressure, so he resigned. 】