medical simulator

The back-to-basics surgery method is good, but you can’t be too greedy, and you also have to talk about the adaptation syndrome, so we know what the adaptation syndrome is...

Although it is tasteless to compete for fame with a group of children, but if the person who performs the surgery is also a child, then.

The taste is even stronger.

Competition in the 21st century will never be a real competition...

"We also do manipulation resets. Since they want us to do it, then we just do it for them to see."

"Aren't you expecting them to see what we look like after we successfully reset the manipulation?" Zhou Cheng asked with a slightly raised mouth.

I am a professional in the method of fracture reduction, and I am familiar with it.

Zhou Cheng and the others were discussing in private, and Su Min had been persuaded by Yu Heng, so he asked in confusion, "Then what if they just said, how about taking pictures of cats and tigers?"

"Then let's draw a tiger like a cat, it's not ashamed." Zhou Cheng said indifferently.

It's not about copyright when doing surgery, it's their third hospital that has done manual reset, so I can't do it now?

Su Min and Yu Heng were persuaded by Zhou Cheng. After taking a deep breath, they asked, "Then Zhou Cheng, when will it start?"

"Go and prepare to push the C-arm machine first." Zhou Cheng ordered.

Su Min and Yu Heng: "???"

Eyeballs almost fell off...

What are you doing?

……

When everyone saw that the three of Zhou Cheng didn't wash their hands, they guessed it. The three of Zhou Cheng also saw that the previous operation in the third hospital was manual reduction and plaster external fixation.

So they also want to do manipulative reduction and plaster external fixation, and at least get a similar reputation.

After all, you are young, so everything is easy to fool.

Young, so full of vigor.

All these arrangements are freely arranged.

Everyone is from the Third Hospital, so everyone knows that the first operation and the second operation are the expanded indication classifications of the two types of fractures that can be performed by manual reduction.

The third one, which is Zhou Cheng's and theirs, happened to no longer expand the classification.

That is to say, if Zhou Muyun and Zhen Xing had reacted in advance and reset their techniques, they would have been able to draw with the people from the Third Hospital, as if they hadn't reacted.

When Zhou Cheng and his team wanted to follow the example of the No. [-] Hospital and do the reset, what I was waiting for was only surprises, without any other surprises. After this, there must be a good opportunity for discussion.

This is also the latest clinical project of the Third Hospital, and it happened to be used in advance. It seems that it is good to clean up a few young people who are ignorant and talented.

"Old Gui, they are really going to choose to reset the technique."

"This is all expected."

"For young people, it's normal to be competitive."

"If Zhou Muyun and the others choose again, they will choose this way."

"It doesn't matter, this fracture, the preliminary manual reset can't get the nerve, we did the MRI in advance to see it. Since we want to design this plot, we have taken all aspects of safety into consideration."

"That's fine! Then we won't remind you."

"No need to remind, come forward at the right time and tell them to deal with it correctly. They will definitely not be able to do manual reset, but open reset, I believe they must have a way."

"They are also three very talented young people, don't ruin their Dao Xin."

"it is good!"

"..."

Just when a group of old guys looked at each other and had a good chat.

As you can see, Zhou Cheng, Su Min and Yu Heng discussed with each other, and then took their places.

Then only a slight click was heard.

Then, Zhou Cheng, Su Min and the others did not see any other actions, so the three went directly to push the C-arm machine.

This movement and posture, compared with the posture that the people from the third hospital used to reset their manipulations, seemed like Zhou Cheng and the others were playing.

"Maybe it's because I'm planning to have a temporary translucency before the operation. After all, it's possible that I'm not that familiar with the pre-operative plain radiographs." A professor of trauma surgery explained to Mr. Gui.

"Old Gui, we must have the home court advantage, so it's not considered a violation or redundant operation if we reveal it in advance."

He prevented Gui Lao from doing sports medicine for too long and not understanding some basic operations and rules of trauma surgery.

Gui Lao didn't say much, but just followed the big troops to go outside very cooperatively.

Fracture surgery requires multiple perspectives during the operation. This is basic common sense. As an orthopedic practitioner, who would not know it?

It's just that after the plain film results of C-arm fluoroscopy came out.

Almost everyone was dumbfounded.

Ok?

here?

This is the Third Affiliated Hospital of Kyoto University, which is one of the best orthopedic hospitals. Even Jishuitan, which is recognized in China, would not say that it is better than the Third Hospital, it is just a false name from the outside world!

At this time, everyone can see how to look at the fracture, how to look at the fracture reduction, and how to evaluate it.

However, there is just such a situation that is beyond their expectations.

That is this operation. In their view, manual reset cannot be performed. So under the current situation, if you want to comment on whether manual reset is good or not, you have to use basic skills to comment...

The three basic clinical manifestations of fractures are pain and swelling of the affected limb, abnormal activity, and local deformation of the affected limb.

In the case of a fracture, regardless of reduction or not, pain and abnormal movement are definitely present, and the definition of a fracture is the interruption of bone integrity and continuity.

The patient was anesthetized and pain could not be assessed.

So I can only look at the fracture line——

After many people were stunned for a while, their pupils narrowed suddenly, and they tried their best to find the fracture line, and they didn't find it until their eyes hurt a little——

The fracture line you want to find.

Oh, MMP, why is it so difficult to find the fracture line for patients who have been reexamined after manual reduction?

What type of fracture is this?

After doing this, everyone almost doubted whether this patient is the patient he is familiar with, because what was the fracture line of the patient before?

At that time, a few people began to feel restless in their hearts, and their bodies trembled slightly, like a rattle toy played by a child. They kept turning their heads back and forth, wanting to see other people's expressions, and wanting to watch the flat film to the end. Have you ever been Ped?

Some people even started to quickly put the preoperative plain film next to the C-arm display screen, and began to compare it.

Others focused their attention on Zhou Cheng, but Zhou Cheng only focused on walking inside.

He just took a frontal view, and needs a lateral view to prove that the manual reset he made is up to standard. At this time, he has to adjust the direction of the C-arm.

Another half minute later.

Zhou Cheng ignored all kinds of doubts, incomprehensions, and many questioning eyes from everyone, and said: "We are starting to take side views. Teachers and students, please step aside a little bit, and don't take the radiation."

"Crack!"

As soon as the radiation source of the C-arm machine was turned on, a lateral view of the fracture appeared on the display.

Then a group of graduate students, doctoral students, attending physicians, associate professors and professors from the Third Hospital began to study the results of the reexamination of the front and side C-arm display screens...

What is the preoperative fracture classification?

It was previously planned that manual reduction cannot be performed, but the current result is manual reduction. So, is there any shortcoming and defect in the indications of manual reduction previously proposed in the department?

Can the method of manual reset be further supplemented?

……

Zhou Cheng took Su Min and Yu Heng to do external fixation with plaster.

After the external fixation was done, the three little ones went to the old Gui who had a dark complexion and a strange expression and reported: "Mr. Gui, we have finished our treatment. Can the patient step down and be sent back to the ward?"

Mr. Gui is always in charge of the class, but whether he can step down or not, now he is not a patient in sports medicine, but needs someone from trauma surgery to evaluate him.

However, the group of people in the trauma surgery department are now almost discussing the indications and contraindications of fracture manipulation, and no one reports to Mr. Gui, so Mr. Gui can only ask.

"Push it down, push it down!"

"do not bother me."

Then when he turned his head and saw that Mr. Gui was still patting him, the professor said politely, "Mr. Gui, I..."

While speaking, he shifted his gaze to Zhou Cheng, meaning, Old Gui, why don't we keep in touch with the previous agreement, this person is a bit abnormal, we originally dug a hole for him.

As a result, he didn't play cards according to common sense and buried the hole.

In fact, let’s bury it if it is buried, but the people who dug the pit don’t know how to bury it, so we are very panic now, if we can’t figure out how to bury it.

Then, the articles we are going to publish recently, the clinical topics we plan to conclude, and the work results of many people may all have to fall into a deadlock and start over.

This has a huge impact, no less than destroying the 'Dao Heart'!

Of course, Mr. Gui also knows that the most popular topic in trauma surgery is the cutting-edge topic of non-surgical fracture treatment. Originally, he came here for the signboard of trauma surgery.

But the result?

Before designing today's "gameplay", the professor vowed that no matter whether the Third Hospital was the first or the second to appear, they must have taken the absolute lead.

After all, there are not many people who know how to reset.

And the third pit is actually the most ingenious.

Who would have thought that the third unit cannot be manually reset?

However, who would have imagined that what they thought could not be reset by hand, could be reset by hand in Zhou Cheng's hands?

"Oh!~" Old Gui sighed.

"Then the third novel in the afternoon?" Elder Gui asked.

"Old Gui, we will attend on time."

"We have to ask ourselves first, and then ask others when we can't answer." The professor explained.

It is impossible for them to say that after something unexpected happens, they don't think about it, and they don't try to find a solution, so they just ask for the answer.

Even if you get the answer, it doesn't make sense.

The purpose of thinking is not to get the answer immediately, but to think about coping strategies as soon as something happens.

Perhaps the strategy may not be right, but the way you think about the strategy to deal with it is correct.

"okay, I get it."

"Then I'll announce later, the second novel, is this over?" Old Gui said.

"ended."

"The results displayed on the C-arm are definitely capable of plaster external fixation. I can be sure of that."

……

This training class has a total of five sessions, and each session has three short lectures.

Each novel is accompanied by three operations.

It's just that, in the second quarter, the three teaching operations in the second novel ended very quickly because of the reset of the two manipulations.And because of some accidents, it was originally a moment reserved by the organizer for pretending.

But it has become a 'healing' moment!

Therefore, at ten o'clock early, Zhou Cheng and others were released, and no one tried to keep them back, including Old Gui, Mo Chengkong and others.

Because of this incident, they felt that it might be necessary to re-observe Zhou Cheng and others, otherwise, it would be easy for the car to overturn.

Just like today's trauma surgery!

However, when Old Gui and the others were discussing in a very serious meeting!

After leaving the operating room, Su Min and Yu Heng gave Zhou Cheng two thumbs up very sincerely, "Awesome, Zhou Cheng, I accept it!" It was Su Min who spoke.

Yu Heng didn't exaggerate so much, he stood in front of Zhou Cheng, pressed his fist against Zhou Cheng's chest, and lowered his head slightly: "I'm convinced too."

Then, Zhou Muyun and Zhen Xing also walked over and explained what they had learned: "Yu Heng, Su Min, what you two probably don't know yet is the third patient."

"It's a patient who they themselves judged as impossible to perform manual reduction. It's a specially dug hole, just to make you look ugly."