medical simulator

So, the first person stood up.

It was none other than Professor Chen Xueliang from the Affiliated Hospital of Seoul University.

He raised his hand and stood up.

"Hi, Professor. I would like to ask Professor Zhuang Zhou such a question. It may be rather sharp." He knew the professor who hosted it.

Only then did Zhou Cheng know that this professor was called Professor Zhu.

"That is, after the first-stage operation for joint infection, I also saw that there is still a chance of recurrence. So, in this case, what is the procedure for the patient to follow up?"

"When you perform joint infection surgery again, do you choose the first stage or the second stage?"

Chen Xueliang himself said that this question is more acute!

It's really more sharp!

Zhou Cheng's head was a little bit down.

This is an academic exchange meeting, can you still ask such a question?Are you not afraid of offending others?

You said that the chance of infection is low, but if this small number of patients with recurrent infection chances come to see a doctor again, should you do it in the second phase or according to the guidelines?

If it’s still the first issue, then post it again. Are you going to keep moving forward and never regress?

As for the procedure for the follow-up visit after the patient relapses, it is actually asking in disguise.

Did they make a medical fuss?

Is this problem acute?

This is a very real problem, but it is also a common problem. If it is someone else, they may still consider the other party's face and would not ask this question.

But Chen Xueliang asked, and he had his own reasons.

That is, after the first-stage replacement of your joint infection, if it is re-infected and the patient makes a fuss, what should you do?

Do you have any countermeasures? After all, this is not in line with the current diagnosis and treatment guidelines, and the lawsuit cannot be won.

You said, if there is no way for us to learn, then today we will just listen to it for fun.

This was the first sharp question Zhuang Zhou heard. He stood up, picked up the microphone, and said to Chen Xueliang:

"Thank you Professor Chen for your question. To be honest, I have been speaking outside for so many years, and this is the first time I have answered this question."

"I'm also very glad that Professor Chen can ask this question, because I myself have sometimes asked myself this question!"

"I just said that this kind of one-stage replacement surgery is not recommended for inexperienced surgeons. It is necessary to accumulate a certain amount of experience to minimize the chance of recurrence. This is one of the reasons."

"Secondly, our preoperative communication is relatively complete."

"Because the patient itself may be a re-infection or a first-time infection, and the infected patient, with such advanced communication, is also aware of the complexity of his condition. After full communication and without coercion, the patient himself, There will be no big opinions."

"After all, our department also does the second-stage replacement, and compared with the first-stage replacement, the ratio is half and half."

"Moreover, I can answer one more question for you, and that is the question of the cost."

"Actually, if a second-stage operation is really needed, it will definitely cost more than the first-stage operation."

"Also, compared to a one-stage operation or one revision, it's not much less money."

"Then, on the premise of explaining this premise to the patient in advance, the patient can fully consider various possibilities when making a choice on his own. It also maximizes the patient's right to choose with informed consent."

"It's a display of humanitarianism."

"Thank you."

After Zhuang Zhou finished speaking, he politely ended his answer.

Chen Xueliang nodded and didn't ask any more questions, just smiled and sat down casually.

Obviously this answer is different from the answer in his heart, but killing people is nothing more than a nod.

At this time, Professor Zhu took over the words naturally: "Thank you, Professor Chen for asking questions, and also thank Professor Zhuang for your answers and clarifications. I believe that our understanding of joint infections will become more and more in-depth in the future!"

"It has benefited a lot more and more. Of course, just now Professor Chen also provided us with a very good idea of ​​communicating with patients."

Professor Zhu didn't know whether he was complaining or for other reasons, so he was entangled in such a sentence.

Then quickly changed the subject.

"Next, we still have to move on to the next question. I don't know which comrade has any questions. Do you want to ask the previous professors?"

Brush brush.

Many people raised their hands.

Professor Zhu could only call someone casually, a middle-aged man in a plaid shirt in the fourth row in front of his left.

The staff handed him the microphone.

He also asked without nonsense: "I also have a question, just ask Chen Xueliang, Professor Chen."

"Actually, the question I want to ask is the same as the one that Professor Chen asked Professor Zhuang just now."

"We all know that once a nonunion occurs, it is extremely difficult to grow back. If it doesn't grow back, what will Professor Chen do?"

As soon as this question came out, the scene was quiet again for a moment!

This question is exactly the same as Chen Xueliang asked Zhuang Zhou before, but his way of asking is more relaxed.

Zhou Cheng's eyes widened.

Then at this time, Luo Yun finally came back, sat next to Zhou Cheng, turned to him, and said, "This is all a small scene, academic exchange, academic exchange, how can you call it an academic exchange if you don't fight?"

"That's a large-scale pretentious scene! It's just a business promotion."

Zhou Cheng nodded, feeling that Luo Yun's words made sense.

However, it is not the first time that Professor Chen Xueliang answered this question, he just said:

"So far, I have only received two cases of nonunion that still did not grow well after surgery. One of them was because of a car accident during a trip after surgery, which caused the fracture site to re-fracture."

"The other, because he did not follow the doctor's advice, performed heavy physical labor within a year, resulting in chronic repetitive injuries to the fracture site and continued bone nonunion."

"However, if I encounter a case where the nonunion still exists after surgery, I think I will deal with it from the following aspects."

"First, reflect on your own preoperative evaluation."

"Second, reflect on whether your operation is imprecise."

"Third, after reflection, perform surgery on this patient."

"As for the other issues, I believe that patients with nonunion usually go to many hospitals. Even if they are not medical practitioners, they have already known about the disease of nonunion. Once it occurs, it is very difficult to avoid it. recurring."

"My current understanding is this, thank you!"

Chen Xueliang sat down confidently.

This answer made it difficult for everyone to understand, because they didn't know whether what Chen Xueliang said was true or not.

However, in the course of Chen Xueliang's narration, only two cases of poor prognosis were indeed mentioned.

Compared with what Zhuang Zhou said about the chance of recurrence of joint infection, it was much lower.

So, I can only say that this question is not very well asked——

Naturally, Professor Zhu would not give any more chances to ask questions, otherwise today would be a question-and-answer session, which will be the next part.

Therefore, Professor Zhu directly asked the next one.

One person stood up, feeling very lucky, and said: "Thank you very much for giving me a third chance to ask a question. I would like to ask Professor Chen Jiwu from West China Hospital."

"When you were undergoing extreme joint deformity, did you ever experience fractures after bone grafting? If you encountered such a situation, how would you deal with it?"

Chen Jiwu also stood up and replied: "..."

When it came to the third question in a row, Zhou Cheng finally understood that the truth of the so-called academic conference was actually like this.

How difficult it is to give a good lecture in front of so many experts and professors!

These questions are more tricky than the other, and they are simply fighting each other.

In the past, if Chen Xueliang deliberately asked Zhuang Zhou similar questions, there may have been a festival in the past.

Then someone asked back, it was revenge.

Then the third question is definitely not accidental. Everyone can't have enemies, right?

The lecturer is the lecturer, and the lectures he lectures are lectures. No matter how fancy the lectures are, the audience is a group of intelligent people. They will not think that what you say is what you say. Questions you can't even think of.

'打' kill you.

Perhaps, it is precisely because of this that it is one of the sources of medical technology and discipline development.

This touched and benefited Zhou Cheng a lot!

It also made him truly understand that in medicine, every step he takes, he has to cross countless thorns and troubles before he can truly and steadily take every step well.

There is no shortcut, only those with great wisdom and perseverance can pass and reach the distance...

Although he currently has a lot of perfect level skills, he still doesn't have enough reserves, and his knowledge is not mastered enough, so he can't show them out now, otherwise, he won't be able to pass this academic conference!

If Zhou Cheng was asked to answer such a question, Zhou Cheng would probably choose to give up on the spot and reply to the defense link in the Internet jokes, only answering but not defending. At this time, if you don't argue, you will have no way to get along.

To mix in the circle, you have to make all kinds of preparations.

Academic, not so unpredictable, of course, not so down-to-earth, at least, there will not be many people joking with you...

If you can get on the stage, then you can come up on your own. If you accidentally poke your nest and you can't handle it yourself, you will have to bear the consequences.

Zhou Cheng continued to listen carefully, but Luo Yun walked out again, and said to Zhou Cheng: "Zhou Cheng, you can continue to stay here and listen to the lecture carefully, I'll go see an acquaintance."

"Is it Professor Liu?" Zhou Cheng said a little more, mainly because this is not a particularly formal occasion.

Zhou Cheng had heard the introduction of today's foreign guests before, and one of them was Professor Liu from the Ninth People's Hospital Affiliated to Jiaotong University in Shanghai.

It seems that it is the same unit as Luo Yun's graduate school, but ah, after all, there are different departments in the big hospital, and Luo Yun didn't take the initiative to bring it up. Zhou Cheng didn't know whether Luo Yun and Professor Liu were familiar with each other.

"En!" Luo Yun nodded, because he had already seen Professor Liu walk out.

And he planned to attend Huaguo's orthopedic annual meeting in a while, and go to Shanghai, so naturally he had to ask Professor Liu to bring an official message when he returned in advance.

Because Professor Liu is a big brother of his teacher, and he came to Hunan Province, Luo Yun, as the host, also wanted to entertain him.

Originally, Luo Yun planned to ask Zhou Cheng to come with him, but Zhou Cheng was such an asshole, he seemed to be obsessed with listening to the lecture, a speaker who was bragging, he took notes for several pages!

This made Luo Yun feel ashamed to interrupt Zhou Cheng's study, so he simply let Zhou Cheng continue to attend classes here.

Luo Yun left without further explanation, while Zhou Cheng just glanced at the direction in which Luo Yun left, and then continued to concentrate on listening to the class.

The content shared by these speakers is [-]% true and [-]% false, but this falsehood is also the inference they have made after a long time of research, something for communication, and some extended thinking.

Bragging also requires homework, and it is these homework that is a good material for Zhou Cheng to imitate his ideas and gather the strengths of everyone.

Squeeze the simulator and other people's wool, get something for nothing, this is something that everyone feels very cool about!

Now that he was so happy, he decided to have a blast all at once, Zhou Cheng decided to stick his ass here and not move!

Chapter 186 I'm Cracked!

A 17-level orthopedic chat group in a certain hospital!

"Damn, I just saw Zhou Bo's fans at the venue!"

"/picture!"

The picture posted is a photo of a person taking notes in a notebook.

"Who is this person? How do you learn from our Dr. Zhou? Junior?"

Then Solitaire flashed in the group.

"Who is this person? How do you learn from our Professor Zhou? A student?"

"Who is this person? How do you learn from our academician Zhou? Brother in brother?"

"..."

A posture of watching the excitement, it is obvious that after copying the previous sentence or +1, he changed his nickname as a joke.

In the group, there are all graduate students of the same grade, but they are distributed in different venues.

And not long after the news in the group was sent out, the picture of 'Dr. Zhou' taking notes seriously was also sent to the group.

Seeing his own photo, the owner of "Dr. Zhou" quickly replied in the group: "I'm sorry, you are a bunch of snakeskin, skin in skin, don't mess with me, okay?"