medical simulator
Page 275
This TM doesn't dare to fly a plane like this?
"This young man, don't take a break, send him to the anesthesia room in advance!"
"Then one person sends the patient back to the ward, and the other person immediately starts the work before disinfection. After the other person comes down, the second operation begins."
"But I don't know if his hand is blistered or not. Anyway, my hand is a little red!"
"Be cruel to yourself!" He looked at Zhou Cheng's hands, which did not tremble at all, as steady as a group of old dogs.
The needle is powerful, the knife is crisp, and it doesn't look like a pair of injured hands at all.
Cai Dongfan didn't say much, just walked to the operating table silently, watching the progress of the operation quietly.
Immediately afterwards, Luo Yun also found out that something was wrong, and came to Zhou Cheng's operating room.
Immediately afterwards Hu Ming and Zheng Xuanlin also arrived.
Then came Yan Haihan's loud voice: "Director Cai, I heard from the ward that today's operations are all done, and your group has done [-] sets?"
After he finished speaking, he saw a lot of people in the operating room, and then Luo Yun explained: "Zhou Cheng is using the patient's own damaged skin to reconstruct the flap. This kind of thinking, It’s very courageous, and the damaged skin has a long ischemia time! The survival rate may not be high.”
"However, if they can survive, the patient's benefits will be quite large. Anyway, it will require a second-stage debridement, so it is a very good choice to gamble on the survival rate."
"If this is the verification." Speaking of this, Luo Yun was interrupted by Yan Haihan's words.
Yan Haihan approached, saw what Zhou Cheng was doing, and said to Luo Yun: "Xiao Luo, Zhou Cheng, you guys continue."
The voice suddenly became much smaller.
Yan Hanhan is not a fool, so he naturally knows that the operation Zhou Cheng is doing now is a very precise operation, and it is likely to be a storm in hand surgery!
Skin flap transplantation has always been the hottest and core topic in trauma surgery, and trauma surgery all over the world is turning in this direction!
One of the most critical aspects of limb salvage surgery is to fill in the defects of the skin and soft tissues.
Luo Yun continued: "Of course, before that, Zhou Cheng also reconstructed the intermuscular blood vessels, and also reconstructed the tendons and muscles, so that the skin bed can be made to the greatest extent."
"We used to discuss the issue of the vascular bed most often, but the skin bed is actually a relatively important topic to deal with soft tissue defects. If the skin bed, that is, the tissue under the skin, is treated well, there will not be too much damage. If there is a large skin defect, it will be very convenient whether it is a blade-thick skin or a thin-skin pressure graft."
"This is also a two-handed preparation..."
Following Luo Yun's explanation, even Yan Hanhan, who just came in, could hear something wrong with Zhou Cheng.
Yan Haihan's heart suddenly tumbling——
He thought that he had already thought of Zhou Cheng enough, but unexpectedly, Zhou Cheng broke his cognition once again. Zhou Cheng's mastery of technology has reached a very high level.Moreover, he has already been recognized for the previous surgical foundation, so it is not incomprehensible for Zhou Cheng to go further.
After all, the only one who knows Zhou Cheng best is Zhou Cheng himself.
Finally, during Luo Yun's introduction, Zhou Cheng completed the final VAC film under everyone's amazed eyes. After the negative pressure suction, this operation was brought to a perfect end.
Zhou Chengcheng said: "Quan Zi, you can write a doctor's order for the patient later."
After closing his hand, everyone saw that just now Zhou Cheng's decisive and crisp hand trembled slightly, not knowing whether it was pain or numbness.
"Okay, Brother Zhou Cheng." Zhang Zhengquan was actually very tired at this time, very tired.
However, he still didn't blame Zhou Cheng for arranging things for him. Compared with Zhou Cheng, he did too little. He was just a little tired and sleepy.As for Zhou Cheng, because of the long-term high-speed operation, under the protection of gloves, his skin was worn out with blisters, and you can tell how many micro-operations he has performed.
The increase in the number of frictions in a short period of time will cause inflammation of the skin epidermis...
When they got off the stage and took off their gloves, Cai Dongfan and others could see that Zhou Cheng's ulnar side of the distal joint of his thumb and the radial side of the middle and distal joint of his index finger had ruddy defects, and the radial side of the distal joint of his middle finger was also red.
This is no joke and posturing.
Even though Zhou Cheng's finger was injured, it was not affected at all during the operation, which means that the quality of each of his operations is very high, but the quality is guaranteed on the basis of quality.
Cai Dongfan immediately stepped forward, rubbed Zhou Cheng's shoulders, and said, "Go and change first, then go back and have a good rest. Let's have dinner together in the evening."
"Luo Yun, Zheng Xuanlin, Dong Qiansheng, you three have to work hard to go back to the ward and sort out the medical orders of all the pre-operative and post-operative patients in the current department. There are too many patients. I am afraid that the doctor's orders below may be wrong. "
"Old Hu, Director Yan, you two have worked hard too. We all worked out all night yesterday, so go back and rest first, and have dinner together tonight."
Cai Dongfan made arrangements one by one.
Yan Hanhan said: "Lao Cai, let's skip the big department dinner tonight. Everyone is very tired. Let's make arrangements within the group. Tomorrow is Monday again, so everyone will go to bed earlier, and then the big department dinner will be Stay on Monday or Tuesday night."
Hu Ming also nodded and said: "Yes, the people in the department have basically stayed up for more than 30 hours and close to [-] hours. Let's talk about eating."
"Everyone have a good night's rest!"
Although Cai Dongfan is the new director, he is really good enough. As the director, he has been busy in the emergency department, and he has not rested until now. Jack up half of the emergency patients!
This is really awesome, although most of it was done by Zhou Cheng alone, but it was also well arranged by Cai Dongfan!
Therefore, even though Yan Haihan was a little brooding about Cai Dongfan's becoming director, he was very convinced of what Cai Dongfan had done in the past two days.
If he is the director, he can't afford what Cai Dongfan is doing now.
"Okay, let's all rest today, and I will arrange the dinner in the department later."
"Everyone have a good rest. There are still some patients with mild symptoms in the department. Try to deal with them tomorrow!"
"Our department has handled the emergency this time perfectly. Thank you for your cooperation." Cai Dongfan spoke in a set manner.
After finishing speaking, Hu Ming and Yan Haihan took their people away without knowing what they were thinking.
Cai Dongfan and Luo Yun looked at Zhou Cheng meaningfully, a little distressed, but also a little helpless, Zhou Cheng would not have done this if not for too many patients.
"Go back and rest well." Luo Yun said when Cai Dongfan and Luo Yun led Zhou Cheng downstairs.
Zhou Cheng looked around suspiciously, and asked, "Hey, Teacher Cai, Teacher Luo, didn't Yang Yifeng come to the department?"
"Yang Yifeng was called back to the Affiliated Hospital of Shonan University and is not here!" Cai Dongfan only explained softly!
At the same time, I feel emotionally, no matter how good Yang Yifeng is, Yang Yifeng is only a member of the outer courtyard after all. When something really happens, the people from this courtyard are more reliable and will stand behind him to support him.
This is the truth!
"Oh!" Zhou Chengcheng didn't ask any more questions.
"Director Cai, I'm going to the ward first." Luo Yun said hastily.
Cai Dongfan reached out his hand to stop Luo Yun, and said, "Go back, I'll go to the ward. There is probably someone waiting for you at home, right?"
Cai Dongfan still remembers that when Luo Yun came out from home, there was still a little Tang in Luo Yun's family, but he was left at home for a long time!
"Ms. Cai, I'll go to the department. Doctor Tang has already gone home." Luo Yun knew what Cai Dongfan meant, his old face blushed, and he ran out quickly.
After Luo Yun left, Cai Dongfan looked at Zhou Cheng again and said, "Zhou Cheng, you performed well this time."
"With this experience, you will be more relaxed when you are on duty in the future."
"This experience will also add a very strong resume to your life."
Zhou Cheng nodded and said with emotion: "Yes, compared with this incident, the usual emergency consultation is nothing more than a big deal."
"However, if things can be repeated, I would like to hope that this does not happen."
Zhou Cheng felt that the experience of this incident allowed him to grow qualitatively, but the corresponding price was too high. So far, Zhou Cheng did not know how many people had died.
If growth must be accompanied by such a death, Zhou Cheng would rather be a little Mengxin himself.
"Whether you grow up or not, things will happen sooner or later. Although you don't want it, the facts are not forgiving."
"Any preparations and growth we have made are to deal with all the unknowns that will follow. Only when you become better and better can you become more calm when encountering the next unknown event."
"Besides, the on-site first aid this time should be an eye-opener for you, right?" Cai Dongfan said with a smile.
"En!" Zhou Cheng nodded honestly.
"Go back and have a good rest. Remember to deal with it here. Don't be an orthopedic doctor and infect your wound. It's not worth it!" Cai Dongfan confessed again and let Zhou Cheng go back.
Zhou Cheng felt that he was a little tired, so he went home directly, and started to lie down without taking a bath.
Really tiring, but really worth it.
This time, I didn't have too much psychological pressure. I slept from [-]:[-] to nearly [-] o'clock. Zhou Chengcai woke up because he was hungry...
Chapter 181 Terrifying energy!
"Old Cai, what are you going to do with Zhou Cheng?" Seeing Zhou Cheng walk out of the locker room, Yan Hanhan asked Cai Dongfan casually after changing his clothes.
When he was the director of the ward before, Yan Haihan saw that Zhou Cheng was unusual, and tried to draw him into his team, but failed several times.
Now after stepping down from that position, and watching Zhou Cheng objectively again, Yan Hanhan felt a sharper light, this light was not emitted by Zhou Cheng on his own initiative, but an objective fact.
Because he has been to the position of director of the ward, Yan Haihan has seen the vision of the entire department, and he also intentionally coveted the chief director of the orthopedics department, which is the current position of Zeng Yi, so he also tentatively used the orthopedics department of the entire hospital Considered the problem.
If the orthopedics department of the Eighth Hospital is compared to a lake, then Zhou Cheng, the helmsman, should not be able to glide in the lake.
His destination should be a river wider than a lake or even the sea!
Right now, the level shown by Zhou Cheng, that is, the debridement and suture machine that all of them visited just now, there are too many details in it, making them look like they are looking at the ceiling, and there are even many details that need to be carefully studied. Only by pondering deeply can we understand.
It is to understand, not to see through!
During this period, Luo Yun was explaining besides, so they could understand what he said. Otherwise, Yan Haihan even felt that they might not be able to understand what Zhou Cheng was doing, or the operation Zhou Cheng performed. After finishing the sutures, they all looked similar, but Zhou Cheng's surgical skills and postoperative effects were better than other debridement and sutures.
No one can control such a person!
Cai Dongfan is actually quite tangled and has a headache!
In fact, the situation in the second orthopedic ward is not good. Something happened to Yan Haihan, and something happened to Li Changhong. If the position is given to Hu Ming, Hu Ming is still young and may not be able to carry the banner.
That's why Cai Dongfan chose to stay.
Of course, he really wanted Zhou Cheng to stay and help him build the Second Department of Orthopedics, but he said from the bottom of his heart that no matter whether it was the Second Ward or the Eighth Hospital, it was just a constraint for Zhou Cheng. restrict his abilities.
The strength of some other parallel departments can't keep up, so Zhou Cheng's ability will be greatly restricted.
"Let him choose. I don't know how to choose. If he is willing to stay, I will definitely support him with all my strength. If he wants to leave, I will also support him. In some respects, I would prefer him to leave."
"Go to a higher and wider platform, that's his destination." Cai Dongfan sighed.
Although, Ding Changle also told him that if he is willing to go to the Fifth Hospital of Shonan University, he can also lead a group and be the director, but Cai Dongfan is very clear about his own level.
He went to lead the group, but he was used as a gunman, not a manifestation of his true strength and ability.
Eighth Hospital is his best destination.
Zhou Cheng is a member of the Eighth Hospital, and is also the regular trainer of the Eighth Hospital.
But in other words, Cai Dongfan actually treated Zhou Cheng as his apprentice or child after discovering the bright spots in Zhou Cheng, but whether it is an apprentice or a child, there will always be a day when he grows up.
And Zhou Cheng's growth period is too short, so short that Cai Dongfan hasn't really felt the joy of growing him up, and his hands are already a kind of restraint for Zhou Cheng.
Apart from being able to give Zhou Cheng a chance, Cai Dongfan can no longer provide everything else.
"Yeah!~" Yan Hanhan nodded, agreeing with Cai Dongfan's idea.
"It would be great for the department if Zhou Cheng could stay."
"The platform is still too small for him."
However, at this time, what Yan Haihan was thinking about was not the issue of Du Yanjun and Min Chaoshuo's stay in the hospital, nor was it the issue of whether Lin Lin could get the establishment.
It's not how much he can benefit from it, but he really feels that Zhou Cheng should go higher and further.
"Director Yan, you are tired too, go back and rest early."
"From yesterday to today, our department has completed a total of [-] operations. This is already the limit of a ward's admissions. This time, we have tried our best to deal with the emergency and large-scale emergency."
Cai Dongfan affirmed everyone's efforts.
Manpower is exhausted, and some things cannot be done by one person, a person in a ward, or a person in a department!
"Okay, Director Cai, you should go to bed earlier." Yan Haihan also walked out of the locker room.
……
And just after Cai Dongfan and Yan Haihan arranged their own affairs in the group.
Luo Yun also finally cleaned up the postoperative doctor's orders of all the patients in his group. After sorting out and letting the subordinate doctors handle it, Luo Yun walked out of the ward in peace!
Then he called and said, "Doctor Tang, I was so sorry yesterday!?"
"I let you go back alone, and I don't have time to send you off."
Tang Yi hurriedly replied: "What's so embarrassing? I'm also a doctor. For what happened yesterday, the emergency department is more important. I heard that even the emergency department of our department is almost overwhelmed. Not to mention your hospital."
The No. [-] Hospital is closer to the incident than the Affiliated Hospital of Shonan University, and the number of patients has at least doubled!
"Have you already dealt with all the patients?"
"Our department is still running for emergency consultation!" Tang Yi said immediately.
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