medical simulator

Still a femur fracture!

Resetting is even more difficult.

Zhou Cheng's method of resetting the fracture may not have formed muscle memory, so he can do it with his eyes closed?

The anesthesiologist next to her, An Ruo, stared at Luo Yun carefully, as if she was expecting Luo Yun to say, put on a plaster cast and step down.

"Intramedullary nailing surgical instrument kit, quickly call the hand washing nurse, this operation should be very fast." Luo Yun urged Liu Yan helplessly.

Liu Yan was taken aback for a moment, seeming a little surprised.

Then quickly call the colleague who is fishing.

Beside, An Ruo heard Luo Yun say that today's operation should be very fast. Although she was a little disappointed, she was still shocked afterwards.

Director Cai's group is different. Is the first surgery about to end before it even starts?

The difficulty of fractures is reduction, and the difficulty of intramedullary nailing for fractures is that the guide wire enters the medullary cavity. Now that the reduction has been completed, it is a matter of course for the guide wire to enter.

Operation time - 30min!

Off work time - 30 minutes!

However, when the operation was over, An Ruozi realized that the off-duty time was not only advanced by three or ten minutes, but at exactly nine o'clock, Luo Yun took Zhang Zhengquan to complete the intramedullary nail fixation. up.

What Zhou Cheng had done in advance was reduction, and it was a femur fracture. If the femur was fractured, plaster external fixation could not achieve firm fixation, so internal fixation with intramedullary nails or steel plates and screws was needed.

Just as Luo Yun and Zhang Zhengquan were about to step down, Cai Dongfan and Du Yanjun finally arrived late.

Watching the movements of the two people taking off their gloves, Cai Dongfan tried his best to open his eyes and asked, "What are you doing?"

Luo Yun remained silent, and Zhang Zhengquan replied, "Mr. Cai, this inverted intramedullary femoral nailing operation has been completed."

Cai Dongfan trembled in place.

"Didn't you ask you to come in after eight o'clock? It's only nine o'clock now." Cai Dongfan asked Liu Yan.

He had explained everything before, don't disturb Zhou Cheng's rest, and pick up patients after eight o'clock.

Liu Yan also just said: "Director Cai, I didn't pick up until after eight o'clock."

Cai Dongfan fell silent, glanced at Luo Yun, and said, "Luo Yun, come with me."

Then, feeling a little numb, Du Yanjun and Zhang Zhengquan, who felt that they had missed [-] million yuan, began to lift the patient's legs and waist, and transferred the patient from the operating table to the transfer vehicle.

Du Yanjun asked in a low voice, "When did Teacher Luo perform surgery so quickly?"

Just now, Du Yanjun felt his teacher's mood swings and body tremors, he must have been hit.

Zhou Cheng's surgery was done quickly, and Luo Yun did it so quickly, and he did it pretty well.This will definitely make my teacher feel very frustrated.

If a subordinate is powerful, then let it be thick-skinned.

If all the subordinates are powerful, Cai Dongfan may really feel that there is no sense of existence.

Zhang Zhengquan lowered his voice and said mysteriously, "Brother Zhou Cheng performed a hand reset before going back to sleep."

Du Yanjun suddenly realized, so it's easy to understand.

The most difficult and time-consuming part of femoral fracture intramedullary nail fixation is reduction.It's not hard to fix.

If you can figure it out, that's great.

Today, four operations, two fractures, and two joint replacements were arranged deliberately by Cai Dongfan, but it seems that his teacher can only perform one operation.

The teacher is so pitiful.

……

After Chen Tingye dragged Yang Yifeng out of the operating room, he changed clothes all the way without saying a word, until he came to the underground garage, and then asked Yang Yifeng: "Yifeng, thank you for your hard work today."

Yang Yifeng quickly replied: "Mr. Chen, aren't you mocking me? I slept in the middle of the night. How can this be called hard work? It's mainly because of the hard work you and Zhou Cheng have done, Mr. Chen."

Although Chen Tingye is just another professor in the department of his teacher, Professor Ding Changle.

But in fact, trauma orthopedics has sub-specialties such as fine branches, flap transplantation, hand surgery, bone defects, and complex fractures.

My teacher is good at complex fractures, bone defects, and a small amount of skin flap transplantation.

This and hand surgery can exist in parallel.If Ding Changle is the top in trauma surgery, then Chen Tingye is definitely the leader in hand surgery in Hunan Province.

Once the hand and microsurgery department is separated, Chen Tingye will definitely be the director of the ward, similar to Ding Changle.It's not like director Zeng Yi, who just hangs up the name of hand surgery and can't do too many practical things.

Chen Tingye's hand surgery is the best.

Therefore, even when Yang Yifeng was in the department, he was polite to Chen Tingye.Industry specializing in surgery!

Chen Tingye rolled his eyes for a while, and then asked, "Where do you live? I'll see you off, and let's talk for a while."

Yang Yifeng replied: "Mr. Chen, there is no need to send it. After you drive out of the underground garage later, leave me on the side of the road and walk back by myself. Hurry up."

Yang Yifeng knew that the name of his teacher could only make him be polite to him in front of Chen Tingye, without forcing him or anything. If he insisted on chatting with him, he had to do it seriously.

Can't escape.

Chen Tingye blinked, and continued to ask: "I want to ask you something, what is the background of that Zhou Cheng you called to the operating room?"

Yang Yifeng thought about it for a while, and replied, "It's just an ordinary training doctor in the Eighth Hospital, and his current status is like this."

It can be heard that Chen Tingye seems to be interested in Zhou Cheng.

Chen Tingye immediately rolled his eyes: "Am I asking you this? I mean, is he related to your teacher? Is he being targeted by Lao Ding?"

Yang Yifeng is in the Eighth Hospital, a student of Ding Changle, and he also knows Zhou Cheng, so he must know that Zhou Cheng is unusual.If Ding Changle discovered it first and reached an agreement with Zhou Cheng, he would naturally not be able to intervene.

Winning students.

However, Chen Tingye didn't think that Lao Ding's vicious eyes would let Zhou Cheng go.

Yang Yifeng quickly waved his hand and said, "Professor Chen, you misunderstood, you must have misunderstood. Zhou Cheng is really just an ordinary training doctor in the Eighth Hospital, and has nothing to do with my teacher."

"Professor Chen, if you are willing to accept Zhou Cheng as a student, I can guarantee that my teacher will not say a word."

Yang Yifeng's tone was serious, his expression was serious, and he was secretly happy.

Professor Chen, why don't you accept this monster?Save yourself the hassle.

But who is Chen Tingye, a professor at the Affiliated Hospital of Shonan University, who is well-informed, so naturally he won't be so easy to be fooled by Yang Yifeng: "Tell me, why?"

"Since Professor Ding knows Zhou Cheng, why didn't he take him in?"

Chen Tingye is over 50 this year, and has been with Ding Changle for decades. This person's temper is still clear, and he is not the kind of person who is humble without reason.

If he knew that he was "modest" for no reason, then the current ward director would not be Ding Changle, and Yang Yifeng would not be Ding Changle's student.

You know, when Yang Yifeng said he came to orthopedics to study as a graduate student and doctor, there was an extremely fierce war of words. The professors of internal medicine and surgery were arguing, and some professors of orthopedics even robbed each other.

Ding Changle scolded the Quartet, and finally took the invincible position.

Ding Changle has his eyes on Zhou Cheng, it is impossible not to notice his eccentricity, but it doesn't make sense for him not to be his student.There must be something odd.

Yang Yifeng didn't take the initiative to explain to Chen Tingye, nor did he intend to deliberately set a trap for Chen Tingye. When Chen Tingye asked, Yang Yifeng also explained the simple process of the matter.

Turning around, he asked Chen Tingye: "Professor Chen, you should be in the tutor team during the graduate interview, right?"

"Didn't you notice Zhou Cheng then?"

Chen Tingye was a little stunned and blinked.

In the postgraduate examination, winners and losers are winners and losers, and if you fail, you fail. Once the quota is announced, even if there are sneaky people, they will definitely sit back and let it go.

What's more, it happened many years ago, how could Chen Tingye remember clearly, every year there are more than 100 graduate students and doctoral students who come for the re-examination, close to [-], Chen Tingye really can't remember clearly.

Shaking his head, he said, "I don't know about this either. There is only so much time for the interview. There are too many things in the department, and I don't have that much time to go through the assessment one by one."

"However, Lao Ding can be regarded as a relatively cautious person. When I watched Zhou Cheng perform arteriotomy and thrombectomy today, I also felt that he was unusual."

When talking about this, Chen Tingye patted his head again: "Just according to what you said, Zhou Cheng is not only proficient in hand surgery, but also extremely proficient in trauma."

"Then it doesn't make sense. He's only two years older than you this year. Even if he's like you, it's not enough for him to start undergraduate studies in his teens."

"It's kind of weird."

As he said that, Chen Tingye slowly recalled Zhou Cheng's technique of suturing nerves and muscles today, and shook his head again: "It's really not right!"

Then he asked Yang Yifeng: "Did you know it long ago? You deliberately lured me to become Zhou Cheng's teacher, and deliberately planted a mine here for me?"

After Yang Yifeng told Ding Changle's thoughts, Chen Tingye realized that if he accepted Zhou Cheng, how would he arrange him and teach him something?It is indeed a problem.

Yang Yifeng smiled and replied firmly: "Professor Chen, I definitely don't mean that."

Anyway, I didn't say such a thing, I just explained the situation, Chen Tingye was willing to accept Zhou Cheng as a student, he explained that Ding Changle would not stop him, this is not a temptation.

"My teacher is also in trouble now, and this year Zhou Cheng reported to Jishuitan Hospital Affiliated to Kyoto University, so I don't know how to deal with it for the time being."

"My master has thought about letting Director Cai Dongfan, who is now Zhou Cheng's resident teacher, be Zhou Cheng's master's student."

Only then did Yang Yifeng tell Ding Changle's plan again.

Then ask: "Mr. Chen, do you think this method is appropriate?"

Ding Changle has such a plan, and now he happens to be in Cai Dongfan's group, so he still hopes that this matter can be resolved properly.Although Yang Yifeng also felt that Zhou Cheng's previous graduate interview failed, which was not very scientific.

But things have happened, and the best solution is to find a better way to solve things, and don't let things go out.

shame.

It won't be Yang Yifeng's people who are lost, but after being ashamed, Yang Yifeng won't lose anything.

Chen Tingye frowned slightly, and after thinking for a while, his eyes suddenly lit up and said.

"Yi Feng, I have an idea. I don't know if it's suitable or not. You can go back and discuss it with your teacher. This is just from my personal point of view."

"Well, right now, there are only three hospitals affiliated to Shonan University, but isn't the Fifth Affiliated Hospital soon to be built?"

"If Zhou Cheng thinks that it is better for him to go to the exam to get a degree through the orthodox method, then you can ask your master to explain to the higher-ups, and directly drag Cai Dongfan to the Fifth Affiliated Hospital!"

"Isn't that logical?"

"The construction of the fifth hospital will take four or five years. In this time buffer, not only Zhou Cheng needs to rotate through the first, second, and third attachments. There is enough time buffer to give him a degree."

"It's even possible to let Cai Dongfan get a doctorate on the job, and then arrange to go to the Fifth Affiliated Hospital all the way. Isn't this just a matter of course?"

"Zhou Cheng is not easy to take care of, so there is no need to think about locking him in the two circles of Attachment [-] and Attachment [-]."

"What do you think?"

When Yang Yifeng heard the words, his eyes suddenly glowed with a faint light: "Professor Chen, do you mean to directly pull Teacher Cai Dongfan and Zhou Cheng out of the Eighth Hospital?"

"Can Director Cai agree?"

"Then what's the point of disagreement? The fifth hospital is in the construction period, and it's no problem to recruit in advance. And after the fifth hospital is built, there must be someone to do the work as soon as possible!"

"Whether it's Cai Dongfan or Zhou Cheng, they are all people who can do things steadily. The establishment of the Department of Orthopedics in the Fifth Hospital will only benefit and not harm."

"Furthermore, the Eighth Hospital is only a subsidiary unit of the Provincial Health Commission, while the Fifth Affiliated Hospital of Shonan University is a subordinate unit. It's not that Cai Dongfan's title has been demoted."

Speaking of this, Chen Tingye said again: "Besides, after Cai Dongfan has obtained his in-service doctorate, it will be a matter of course for him to be given the title of doctoral supervisor on his head."

"Otherwise, it's just a simple way to rashly regard the Orthopedics Department of No. [-] Hospital as the directional training unit of our Orthopedics Department, which is actually quite abrupt. Of course, this is just an immature idea of ​​mine, and I'm not Professor Ding either."

"It's not the position of the director of the ward, so I will jump out of his position to consider the problem. As for the final decision, it is still up to Lao Ding to decide."

At the end, Chen Tingye said: "Besides, the newly built No. [-] Hospital, although it is just a new building, may have a weaker foundation than the Third Capital, but it has this brand after all. This weight is not light."

"Doesn't the work itself depend on the unit?"

Although Yang Yifeng felt that what Chen Tingye said was reasonable, he was a little worried whether Chen Tingye was trying to bury him: "Professor Chen, why don't you go and tell my teacher?"

Chen Tingye shook his head: "It's inappropriate for me to say it. I am just the professor leading the group. Your teacher is the director of the ward and has certain personnel rights. I will intervene in his affairs for fear that he will have ideas."

"It just so happens that your teacher told you about this problem. It is more appropriate to make this suggestion with Professor Ding in your capacity."

"Fortunately, I asked you a little more, otherwise, I would really be cheated."

Chen Tingye shook his head, feeling as if he was almost stabbed in the back.

If Zhou Cheng refuses to speak rashly, let alone teaching, it will be a bit ugly.

Of course, there is no way to pursue the past matters now.Chen Tingye knew that it was impossible to go back and investigate the events of the year. He would rather not have Zhou Cheng, and it was impossible to admit that there would be some misunderstanding during the exam.

Surely there is no misunderstanding, the admissions criteria are comprehensive considerations.Zhou Cheng has no academic qualifications, no articles, no professors close to him, and no good grades, so why choose you?

It’s just that the pure professional foundation is good. The Affiliated Hospital of Shonan University is sure to teach it by itself, regardless of how much you have learned in undergraduate studies.

It's just that Zhou Cheng's professional foundation is a bit good, beyond their usual imagination, so it's difficult.

Yang Yifeng nodded upon hearing this.