medical simulator

When he was in Shashi, he saw this.

"This?" Xu Dashan had already guessed in his heart that Zhou Cheng might have played tricks before the operation started, but he didn't tell them, so it wasn't confirmed.

Now that Chen Jiwu said it, he immediately understood the principle and took a deep breath: "I understand."

"The future is terrifying!"

"The future is terrifying."

"Forget it, I won't earn this money against my will. I really can't bear to oppress such a child."

Xu Dashan made such a decision in his heart.

Chen Jiwu's eyes lit up, and he quickly explained: "Professor Xu, you did this willingly. I didn't seduce or mislead you. Don't blame me when you regret it later."

"That's 40."

Xu Dashan rolled his eyes at Chen Jiwu, is this a matter of 40 yuan?

He took 40 yuan and felt guilty for a lifetime. He still can figure out which is more important.

However, after the decision, Xu Dashan felt that he and Chen Jiwu were on the same side, and after swishing the ratings, he asked: "Professor Chen, tell me, this Zhou Cheng, what kind of person is he? "

"I'm really curious about him..."

Xu Dashan regretted it a bit, he felt that he should know more about Zhou Cheng before he came to Shanghai, and he shouldn't just accept the task hastily.

That person must be misleading himself, saying that Zhou Cheng is in the devil because of the conflict between Zeng Lao and Gui Lao, so let Zhou Cheng suffer in the devil, and to a certain extent, he can sell Gui Lao's favor...

This TM is ghost fa...

Chen Jiwu also shook his head slightly, and said to Xu Dashan: "Professor Xu, do you think I understand Xiao Zhou that deeply?"

"If there is, I will let you bully him like this? I have already taken him to Sichuan Province to enjoy the beauties of the Land of Abundance!"

"To put it bluntly, with Xiao Zhou's knowledge, temperament, appearance, and ability, it's not impossible for him to be a son-in-law."

Professor Chen Jiwu joked helplessly.

Chen Jiwu had a daughter, Xu Dashan knew about it, but how could a father make such a joke?But thinking back to Chen Jiwu's words carefully, Zhou Cheng seems to be really capable.

So, in fact, Chen Jiwu didn't know him well, or maybe he didn't have a chance to know him, so he was preempted by others.

We knew each other before, but just met by chance.

"That's true. Let's watch the show slowly after us. The final direction of this matter seems to be a bit interesting. I think, this time."

"There will be a shocking reversal." Xu Dashan squinted his eyes, feeling like he was watching a drama.

"I'm also curious as to who exactly Professor Yu Qiuhua has offended, or who he is taking the blame for."

Chen Jiwu couldn't deny it either. It was certain that he had ulterior motives for this incident, but he didn't know who the ulterior motives were.

……

Before the third operation started, Zhou Cheng was deliberately stopped by Chen Jiwu and Xu Dashan.

Then Professor Chen Jiwu added: "Xiao Zhou, this time, you can go to the operating table slowly, okay?"

Zhou Cheng nodded, of course it is possible.

Then, Professor Chen Jiwu and Xu Dashan went to read the films carefully first, and then thought about it, what would they do if they handled such a patient by themselves?

Both Chen Jiwu and Xu Dashan are fully prepared not to make money, so naturally they don't need to be too obsessed with how to find fault.

However, Chen Jiwu and Xu Dashan are not the only ones who can see clearly. Liu Zhibin, Professor Xing Huang and others are naturally not ignorant people.

Everyone knows what money should be earned and what money should not be earned.

What's more, just now, Xing Huang and Liu Zhibin have already chosen which people will vote against it, making this review more realistic.

As long as it doesn't change the final result.

Then, the result they gave was that at most two people voted against it. In this way, even if there was a variable between Professor Yu Qiuhua, Chen Jiwu, and Xu Dashan, they could still be saved. Even if it was the three of them, they all voted against it.

It's all five or five, and it can be rescued. Through discussion, the final result can still be reversed!

However, although Chen Jiwu and the others had made thorough preparations, after Zhou Cheng officially announced the operation he was going to perform, they still felt terrified.

Manual reduction, plaster external fixation!

If the indications for surgery were contradicted, Zhou Cheng performed conservative treatment in the disease types of indications for surgery.This is really bold, and it seems that Zhou Cheng's assessment is not just one type.

Open reduction is for the radius and ulna, closed reduction and open reduction is for the tibia and fibula, and Zhou Cheng’s manual reduction is now for the humerus!

The difficulty of the manual reduction of the humerus is much more difficult than the manual reduction of other types of fractures.

It can be said that those who have the ability to perform manual reduction of ulnar and radius fractures may not be able to and dare to perform manual reduction of humeral fractures!

Those who can do closed reduction of humeral fractures are basically able to perform manual reduction of ulna and radius fractures.

This is the difference in difficulty.

This time, the operation time was even faster.

It only takes a few minutes for the patient to leave the operating room from the end of anesthesia.

Su Guoyuan was about to scold her, and opened his mouth to ask Zhou Cheng what was going on, but An Ruo comforted him: "Mr. Su, Mr. Su, calm down, we are anesthesiologists, and we are parallel departments."

"The operation is done quickly, which means that the surgeon is strong. We should be more happy."

But I said silently in my heart: Teacher Su, you are making too much fuss, I am different, I have long been used to it.

Su Guoyuan said in a low voice: "This shit, it's definitely intentional. I knew it earlier. A short general anesthesia will be over. It's fast and safe. The nerve block of our fart."

The nerve block of the humerus still requires some difficult operations.

In order to appease Su Guoyuan's temper, An Ruo took the initiative to ask Zhou Cheng about the next operation, and then hurriedly reported to Su Guoyuan: "Mr. Su, the next operation is a femur fracture. It will be fine with spinal anesthesia."

"This is the fourth operation, so it will be very fast. I can leave work early today, which is not an increase in workload."

Su Guoyuan suddenly lost his temper, looked at An Ruo, and said, "You are protecting your shortcomings, you are almost at the door of your house, have you become a couple?"

Working eight hours a day with two sets of anesthesia is the same workload as working four hours with ten sets of anesthesia?

Su Guoyuan, professor, how old is he? I haven't seen him before. I already knew that An Ruo was interested in Zhou Cheng, so I rushed to the anesthesia position for today's operation.

But rush back, you can't lose your heart, this thing is definitely made to torture people, if it's someone else, I guess it's already started.

An Ruo blushed, and hurriedly explained: "Mr. Su, what are you talking about?"

"I just knew Senior Brother Zhou before, and that's how Senior Brother Zhou used to reset his technique. So."

An Ruo's eyes look like you have never seen the world before.

Su Guoyuan cursed: "It's because you are used to him. For such a case, they should go to the local anesthesia by themselves and push the operating room. Do you think I will scold him or not."

"Local infiltration anesthesia is a basic operation that all medical students must learn!" Su Guoyuan was still very arrogant.

I thought to myself, my silly girl, you were used to being bullied by him before, so you got used to it, but this is the Ninth Hospital of Shanghai, and our Department of Anesthesiology and Orthopedics are parallel departments, so you don’t need to get used to their surgery.

You admit your own mistakes, and they are wrong, just take care of them.

Of course, with An Ruo around, Su Guoyuan was still just complaining unilaterally, and didn't really vent his temper to the orthopedics department.

……

The third operation was too simple, so An Ruo started the anesthesia for the fourth operation step by step. Than.

Therefore, soon, An Ruo made preparations for the anesthesia of the fourth operation.

Everything is ready.

Zhou Cheng came to the operating table again. He was not in a hurry to wash his hands and get dressed. Instead, under the watchful eyes of everyone, he performed a manual reset.

C-arm fluoroscopy, under the fluoroscopy, it shows that the broken ends fit well, and there is a certain displacement, but?

We all know that manual reduction, plaster external fixation or other external fixation is very restrictive for femoral fractures. Only special types of fractures can be manually reset and plaster external fixation. This one is definitely not suitable.

Because the plaster has hit the waist, it is not enough to fix the purpose and effect.

It is precisely because this type of fracture cannot be fixed that it is an absolute indication for surgery. Even if it is redefined to a perfect level of manual reduction, it is still a type of fracture that cannot be adapted.

However, for this type of fracture, surgery is not difficult for fracture surgery, but fixation is not easy. The traditional method is intramedullary nail internal fixation, which is more minimally invasive than plate internal fixation.

As for this operation, everyone saw that there were not many surgical instruments prepared, and the surgical instruments were large and small.It should be intramedullary nailing.

However, when Zhou Cheng, Gu Zhongliang, Mao Yuxuan and others began to put on surgical gowns, then Zhou Cheng picked up the scalpel and made an incision no more than three centimeters short on the anterolateral side of the patient's fractured left lower limb thigh. , put down the knife.

Immediately afterwards, Zhou Cheng picked up an instrument they had never seen before, and they had never recognized it, and reached the edge of the femur, and quickly lifted the periosteum.

After a while, they saw that Zhou Cheng took out a new type of instrument, made a hole in the periosteum just now, and then put in a mirror-like thing.

Everyone knows, oh, it turns out that Zhou Cheng’s operation was done with a mirror and a mirror plane, but when it was added, everyone doesn’t know, this screen has always been there, and it may have been used before.

Then a channel was opened, and the instrument was drilled into the medullary cavity of the femur.

Zhou Cheng put in another mushroom-shaped mushroom instrument with two heads.After the mushroom head crossed the fracture line, under Zhou Cheng's operation, it turned into an umbrella shape.

After turning into an umbrella shape, it began to be recovered, and steel nails were continuously driven into the medulla of the femur and penetrated into the cortex of the bone, but did not break through the cortex of the bone...

Seeing this scene, even Chen Jiwu's complexion changed drastically. He didn't even care about his basic qualities as a judge. He walked towards the operating table and asked with a trembling voice, "Zhou Cheng, what are you doing?"

This problem itself should not exist, because its existence is a violation.

Chen Jiwu, would rather foul.

But still asked.

Chapter 254 Damn...!

The operation is not over yet, the operation is in progress, even the assistants on the operating table should not disturb the chief surgeon's thinking.

Even under special circumstances, when the higher-level teachers are assistants, instructing and guiding the lower-level doctors to carry out operations, they are more about guiding and pointing out, rather than disturbing the main surgeon's thinking.

Although Chen Jiwu came here by invitation, as a member of the expert panel to review Zhou Chengxin's qualifications for the operation, he is very powerful, and he is also a professor of the outer academy, so he should be respected.

But in the current operating room, he is still just a spectator.Judges are just spectators.

The protagonist in the operating room can be changed, but there should be only one protagonist during each operation, and it should not be the person under the operating table.

Although Zhou Cheng is young, he is also a very understanding person. He knows the rules, not just the rules when getting along with others, but the reason why the rules exist.

So Zhou Cheng just glanced at Chen Jiwu and didn't reply.

On the contrary, Associate Professor Gu Zhongliang and Shen De's attending physician, as the first and second assistants, lost their minds a little because of Professor Chen Jiwu's problem. way, continue to assist Zhou Cheng in the operation.

Chen Jiwu's eager violation did not receive any response.

The scene seemed a bit awkward, but in fact, Xu Dashan and others on the jury also felt that Chen Jiwu's move was quite unreasonable. They cast a strange look, but they understood Chen Jiwu's mood very well in their hearts.

Without him, because the operation Zhou Cheng performed now is too shocking.

Not only the operation process, but even the instruments used in the operation, they don't understand very well.If such a device can be promoted, then trauma surgery——

An unimaginable reform will take place in the traditional fracture treatment principles, and all existing situations may be reshuffled, which is very important.

A surgery that has the potential to overturn current trauma surgery is happening right in front of our eyes.

Their hearts were quite restless, but seeing that Zhou Cheng didn't intend to respond, they could only forcefully suppress the anxiety in their hearts and pretend to be calm...

Zhou Cheng's surgery is still going on.

Realizing that he had lost his composure, Chen Jiwu hurriedly took two steps back, went outside the viewing circle, and confessed to Professor Yu Qiuhua and Professor Xue Xiude in a low voice: "Professor Xue, Professor Yu, I was too aggressive just now. ,terribly sorry."

Professor Xue Xiude, still expressionless, could not deny it, but felt a little flattered in his heart.

If it wasn't for the subject that Zhou Cheng was going to do this time, which was too shocking, how could he respect Zhou Cheng so much?As a professor of trauma surgery at the Ninth Hospital of Shanghai, who is among the top group of trauma surgery in Huaguo, does he really need no face?

But now, all of Chen Jiwu's gaffes are just an objective response to his feeling that his decision is correct.

Everyone wants to leave a name. Zhou Cheng in their group, even if he can take away a lot of honors, but what is left can still be written into the textbook. This is what Xue Xiude values.

I don't blame him, because he knew about it a long time ago, what he has to do now is to stabilize the situation and not panic.

However, unlike Xue Xiude, Yu Qiuhua was more disturbed than Chen Jiwu at the moment.

He didn't know about all of this today.

The system in the Ninth Hospital of Shanghai is the group treatment system, and the professor is in charge of the system. As the professor hired by the Ninth Hospital, Xue Xiude has all the power to choose the treatment methods for the patients in his group.

There is no need to report to him any treatment Xue Xiude has done. It is precisely because of such great power that the Shanghai Ninth Hospital maintains a fresh innovation and creativity.

The strength of orthopedics belongs to the top level of the pyramid.

However, the more this happened, the more scared Professor Yu Qiuhua became.