medical simulator

"Well, the ideas are pretty good. After the operation is over, we can communicate with each other."

"Let's discuss the operability in depth." Xue Xiude saw through it, but he didn't say it. Deep down, he respected his teacher even more.

It seems that Teacher Zeng Diwei doesn't think of himself as a human being. When there are benefits, he will still remember himself in unnecessary situations.

Zhou Cheng nodded, what Xue Xiude said was exactly what he wanted.

Because, just now, Zhou Cheng used some small tricks, but his tricks were so clever that most people couldn't and couldn't afford to trick them.

Why did Zhou Cheng show Xue Xiude the perfect level of debridement and suture, and even combined debridement and suture with bone tumor curettage and bone grafting?

This is called a certificate of merit, to show off one's strength and attract Xue Xiude's attention.

If Xue Xiude had knowledge and knew that Zhou Cheng's skills were two perfect level skills, he would definitely be tempted.Zhou Cheng's answer is relatively empty and empty.

How could Zhou Cheng be able to do this kind of subject that changed surgery now?

First magnify your own thoughts and desires, and then when it finally comes down to actual operations and topics, you can be more trustworthy when you return to the ground and keep your feet on the ground.

Let Xue Xiude see that he has strength, and his subject also has a foundation.In this way, it is equivalent to turning passive into active, allowing Professor Xue Xiude to take the initiative to understand the subject he wants to do.

The reason why Zhou Cheng dared to make such an attempt and play such a trick was naturally to have a certain amount of confidence.

It is precisely because of these confidence and self-confidence that Zhou Cheng will be more calm and confident in the process of getting along with professors like Xue Xiude.

Moreover, Zhou Cheng has always believed that to deal with anything, one needs to plan out ideas in advance, and even when getting along with people of different personalities and identities, it is best to have one's own plans and plans.

In this way, you can integrate yourself into the team you want to integrate more quickly.

When getting along with young people like Mao Yuxuan, they can be crushed, because they are young themselves.

But when getting along with an old teacher like Xue Xiude, it is best not to throw too much at once, causing a crushing situation. It is best to throw them the tip of the iceberg and give them a room for appreciation. Take an interest in your stuff.

This is the best.

Before returning from the capital, Zhou Cheng often did things a little too hard, because he was eager to express himself and let others know that he is actually very good, so that he can have books to read.

When he was in Mr. Zeng's home, he was suspected of showing off on purpose, or maybe it was because of such excessive showing off that Mr. Zeng developed a rebellious mentality, just to find out where your details are.

If he didn't find out, he would rather wait, maybe there are other arrangements...

In the process of getting along with Ding Changle, Zhou Cheng also used too much force, and talked about too advanced topics all at once, which made Ding Changle a little scared.

At that time, Zhou Cheng was inexperienced.

However, today's Zhou Cheng no longer needs the appreciation of others, but only needs to cooperate with others, so Zhou Cheng will naturally not show off so hard, and it is best if things happen naturally.

This way of getting along will at least not make Xue Xiude feel angry, although there may be a little estrangement.

"Okay, thank you Teacher Xue for taking the time to teach." Zhou Cheng hurriedly thanked.

Xue Xiude didn't say too much. After looking at Zhou Cheng, he took the initiative to speak: "Xiao Zhou, then this is the end of your operation. You can follow Professor Gu to complete the next operation."

"Professor Gu, you probably have no problem here, right?"

Zhou Cheng's details have almost been found out, so there is no need to go deeper.After all, Zhou Cheng is not yet authorized for Class III surgery, nor is he authorized for Class IV surgery, although he has the bottom line.

But it's better not to give Zhou Cheng too many opportunities to operate like this. As a newcomer, as the professor who leads the group, he must do a good job of balancing the following people.

Gu Zhongliang also almost understood Zhou Cheng's meaning and level, so he replied: "No problem, Teacher Xue."

"With Xiao Zhou helping me, it must be fine." Gu Zhongliang also wooed Zhou Cheng just right.

Shen De was seriously working as Xue Xiude's assistant, and silently and frankly admitted in his heart that Zhou Cheng, who came to the department today, is a freak, a big freak that should not be described by common sense.

So he can be suppressed beyond his age, and his status is -1.

There are not many such people in the Ninth Hospital of Shanghai, but there must be some.

Not to mention other people, among the people in the same class as Mao Yuxuan, there are two perverts.It's a pity that of the two perverts, one hasn't come out of the laboratory yet, and the other has returned to his hometown.

Moreover, apart from the two of them, other departments in the Ninth Hospital of Shanghai Metropolitan City also have such abnormalities and alternatives, so it is not surprising.

It's just that, after Shen De thought about it seriously, he still felt that the Zhou Cheng he saw today might be more perverted than other perverts.

As for why there is such an idea, it is because other perverts are on the way to pervert and climb the peak.It was almost at the age of 35 and six that I began to build my own peak.

However, the pervert in front of me, from now on.

Moreover, the picture is not small, even the foundation of surgery, debridement and sutures want to overthrow, the ambition is very big!

……

The operation was completed step by step, and it took a total of more than four hours.

Because this operation is very complicated, and both Xue Xiude and Gu Zhongliang performed the surgery, and Zhou Cheng also performed the surgery, and the operation is not a simple operation. Therefore, even Zhou Cheng, who has full-level skills in common operations, It is also difficult to evaluate the degree of completion of this operation.

Of course, it is at least proficient or above, but Zhou Cheng still feels that it is not perfect.

Because it is not a single technique that can be judged.

During the whole process, except for showing his surgical skills at the beginning, Zhou Cheng didn't do any more operations. Shen De and Lin Yousheng did the suturing and placement of the drainage tube.

After the operation, Zhou Cheng and Mao Yuxuan were called separately to the same floor as the operating room, but in a lounge outside the operating room.

Zhou Cheng remembered clearly that Zhou Cheng had never been to this lounge, and no one from the second orthopedic ward had brought Zhou Cheng here before, so Zhou Cheng didn't know what kind of existence this was.

"Sit down, let me boil some water first, let's have a cup of tea together." Xue Xiude pointed to the sofa in the lounge.

Upon hearing this, Mao Yuxuan hurriedly said, "Master, sit down, I'll boil water and find tea sets."

Zhou Cheng also hurried to help find disposable paper cups. In this environment, it would be nice to have tea to drink, but he didn't dare to pick and choose.

But Zhou Cheng only had time to find out the paper cup, and Xue Xiude said, "Xiao Zhou, you keep Mao Yuxuan busy, so I'll come to you to chat about something casually."

Zhou Chengcheng smiled and sat down with half of his buttocks.

Although I had already prepared for such a scene in my heart, I never thought that this scene would come so soon.This was the second day, and Zhou Cheng was still thinking about whether he was using too much force.

But in fact, he is already very slight and restrained, otherwise, if Zhou Cheng really wants to forcefully pretend, it will be very difficult for the current Professor Xue Xiude to step down.

After all, Zhou Cheng himself can perform the operation just now, and he can do it quickly and well, but it is not necessary.

First, there is no authorization for Class III surgery, and second, there is no authorization from Xue Xiude, so there is no need to make such an exaggeration.

Although, for this single patient, doing it by themselves may be slightly better than Professor Xue Xiude's operation, but in fact, they are relatively lucky to meet Professor Xue Xiude during the operation.

"Teacher Xue, tell me." Zhou Cheng was very polite. After all, there are still things to ask for.

"Xiao Zhou, you must have brought a project with you when you came to my place, right? Mr. Zeng should know about it too?" Xue Xiude said bluntly, after all, there are no outsiders here.

Mao Yuxuan, who was waiting for the water to boil, stood at the door, listening to Xue Xiude's words seriously, without blinking his eyes.

I thought to myself, there might be more than one.

Zhou Cheng nodded and said, "Yes, Mr. Xue, I originally planned to wait for the time to come to ask you in person."

"It's just that I didn't expect to bother you today. I thought I always wanted to say it, so I might as well say it in advance. At least I can get a frank label in your heart, Mr. Xue."

"I am willing to be honest with Mr. Xue."

Analyzing it objectively, Zhou Cheng believed that Xue Xiude would not refuse to cooperate with him.

Xue Xiude is currently only the professor leading the group, but after Professor Yu Qiuhua abdicates as the director of the ward, whether Professor Xue Xiude can rush up to take over his position and kill the other two professors in the department depends on Professor Xue Xiude himself Ideas and things made out of it.

And, more importantly, basically everyone is working hard to climb up, and Xue Xiude is definitely the same.

Xue Xiude smiled and said, "Indeed, I rarely meet a straightforward young man like you."

"But since we met, it's fate."

"I don't know Xiao Zhou, what are the details of the subject you brought, so it's not convenient to say it clearly? Or, is it convenient to tell me, what step have you achieved?"

One thing that Xue Xiude had calculated more clearly in his mind was that Zeng Diwei was his teacher and the only academician of the Ninth Academy.

Liu Yiping is Zeng Diwei's master's student and doctoral student, which is equivalent to being his student throughout the whole process. Therefore, Liu Yiping is now the administrative director of the Joint Surgery Department of the Ninth Hospital.

However, Zeng Diweiming overwhelmed Liu Yiping from other human resources in the joint surgery department, which is already a bit of power over others, so it is not good to help him Xue Xiude any more.However, Zeng Diwei still did not forget him.

After all, as one of the few students who are still in the Ninth Academy, Zeng Diwei's students.

Zeng Diwei couldn't help directly, so he sent Zhou Cheng, who could be regarded as a chance, over here.Xue Xiude didn't realize it at first, but soon realized it.

Therefore, since we want to cooperate, we might as well go deeper.

Since Zeng Diwei has such a high opinion of Zhou Cheng, there may still be blind spots that he cannot see. In-depth cooperation with Zhou Chengduo may benefit more.

If you can't even analyze these in-depth levels, Xue Xiude doesn't want to fight for the administrative director of the department.

Zhou Cheng thought for a while and said, "Professor Xue, to tell you the truth, in fact, our current steps have only reached the stage of making instruments and making surgical auxiliary instruments. Next, there are steps such as animal experiments and measuring instrument data. Walk."

"It will take at least half a year to actually go to the clinic."

Zhou Cheng's words were a little conservative, but it also left more free time for himself.

But Xue Xiude's eyes lit up: "Do you even have theoretical equipment maps and auxiliary equipment? Are you going to start animal experiments? Then your theory should be relatively comprehensive?"

As a knowledgeable person, Xue Xiude asked very professionally: "Then what kind of steel plate or pin fixation do you currently make? What kind of fractures are you targeting? What are the restrictions? Is it complicated to match the equipment?"

Open reduction and internal fixation of fractures can be divided into steel plates, steel needles, and intramedullary nails.Needless to say, intramedullary needles must be placed in the bone marrow, which is a "minimally invasive" in the traditional sense, but the incision is still too large, and a small incision cannot be done. What can be done is a steel plate and a steel needle.

Surgical aids are related instruments for small incision open reduction and internal fixation, which is equivalent to the corresponding supporting facilities for arthroscopy.

As a professional, the questions you ask are key.

Zhou Cheng's answer can also be very critical: "There are steel plates and steel pins for fixation, not special fixation, mainly these two types, and screws."

"For fractures, there is currently no restriction on the bone site, only the restriction on the type of fracture. Basically, long bone fractures within C3 and some intra-articular fractures are applicable."

"There are certain restrictions. The state of bone defect and fractures with more than 10 fragments of bone comminuted are not applicable. For other states, different internal fixation methods can be considered according to the specific situation."

"Assorted equipment, there are more than a dozen new types of equipment. I haven't figured out how to improve it yet. The equipment is not particularly complicated. At present, we have become a template. We plan to carry out animal experiments and mold measurement data at the same time to achieve accurate Requirements data for internal fixation."

"The subsequent changes in the size and shape of the steel plate may also be fine-tuned according to the races of North and South, Hua, foreign, white and black."

Zhou Cheng answered very carefully and professionally.

Zhou Cheng's pre-design of this clinical project far exceeded Xue Xiude's expectations. He found that Zhou Cheng was very thoughtful in his preparations, and the more thoughtful Zhou Cheng's preparations, the less he could do, the less things he could do. .

However, Xue Xiude can imagine that the sentence in Zhou Cheng's answer does not have the restriction of bone parts for the time being.

What is a bone site.

The humerus, ulna, and radius are bones in different parts, although they are all long bones.

If small incision open reduction and internal fixation can be achieved on so many long bones, then?

-

Compared with Professor Xue Xiude's scheming and maturity, Mao Yuxuan was even more impatient, and his breathing became a little short.

He asked: "There is no restriction on the fracture site? Then this is the second discipline of sports medicine."

"Zhou Cheng, are you sure your theory is feasible?"

"Could it be a mistake?"

Mao Yuxuan's question was a little stupid and a little impolite.

If you come up with a knife first, and it's the kind that kills the topic directly, how can you talk about it?Don't believe me.

However, for the sake of rigor, Zhou Chengcheng could only turn his head back and say, "Mr. Mao, the possibility of infeasibility is not completely ruled out. However, I think the failure rate is still acceptable."

Nothing is absolute, Zhou Cheng can only be sure, if the skills acquired in the simulator are real, then this theory is real.

But Zhou Cheng has no way to objectively prove to others that the simulator is real, and then prove that the skills acquired by the simulator are real.Then verify that you own the emulator.

Even if it could be proved, he would not do such a stupid thing.

Xue Xiude just took a look at Mao Yuxuan, and sent him away: "Go and see if the water is boiled."

Although what Mao Yuxuan said is possible and meaningful.

However, Zhou Cheng did it with such great fanfare and was so confident, he must have his own theoretical system.If you are not willing to take any risks, then you should not even think about doing a project.

Looking at Mao Yuxuan with his head down, he walked towards the place where the water was boiled a little aggrieved.

Xue Xiude asked again: "Have you found the experimental site? Who is the animal reservation and operator for the animal experiment? How to provide the steel plate, how to disinfect, how to achieve a sterile environment, and how to manage the perioperative period before and after the operation. "

"In addition, what is your target animal selection, how is the preoperative fracture evidenced? What types should be done?"

"Then, in clinical practice, how should your clinical trials be designed? Who will be the operator, and what is the sample size of the trial?"

"If it's you, then how do you plan to obtain authorization for the surgery? The surgery you're doing now is a new technique, super-level IV surgery, and only chief physicians and professors are eligible to perform it."

"If you want to find such a person, how do you teach him? Or, you plan to find me to be the performer, have you considered these details?" As a professor, Xue Xiude is really very knowledgeable.

All of a sudden, almost all the difficulties encountered were raised.