medical simulator
Page 428
There are seven or eight people in a car. Although the back seat is a bit crowded, Professor Chen Jiwu and others can understand it.Moreover, in order to show respect for Chen Jiwu and other professors who came from afar, Zhou Cheng and others sat in a more crowded back seat.
Let Xu Dashan, Professor Xing Huang and others sit in the more relaxed front row seats.
Moreover, everyone was rushing to take the same car with Zhou Cheng, so Xue Xiude, Yu Qiuhua and others were all driven to another car, and the other two professors from Shanghai were also driven away.
Although reluctant, it is not easy to drive the guests out of the car.
The Sixth Hospital of Shanghai Jiaotong University and the Ruijin Hospital are affiliated hospitals of Shanghai Jiaotong University, and the Ninth Hospital of Shanghai Jiaotong University is also an affiliated hospital of Shanghai Jiaotong University, so the two professors, Jing Jingxing and Du Liangchen, complained very bitterly to Yu Qiuhua and Xue Xiude: " Alas, now Hu Xian and them are cheaper."
"Taking the opportunity, who knows what they will talk to Xiao Zhou and the others?"
Duliang Chen even narrowed his eyes and said, "Hey hey, Professor Yu, well, I don't know, if I invite Zhou Cheng from your hospital, as the director of the Department of Surgery of Ruijin Hospital, to attend classes with us for a few days, Isn't it convenient?"
Du Liangchen's words immediately made Landscape Star yell shameless.
But helpless, Du Liangchen himself is the director of the Department of Surgery, in charge of teaching.He can make the decision to invite Zhou Cheng in the name of a major surgery, and Jing Xing is only the administrative director of the ward, so he has to suggest that he go around a bit more.
But we must also fight for it: "Yes, yes, as a brother unit, I have always admired and yearned for your teaching ability, especially young people like Xiao Zhou."
"I've always thought that young people need to socialize more. I think our fraternal units can have a big fellowship and communicate with each other."
However, as soon as Jing Jingxing said this, even Yu Qiuhua showed a look of fear, and hurriedly said: "No, I can't do it with anyone who is in friendship with you. Your methods are too nasty."
Du Liangchen thought for a while, then nodded: "Professor Yu, what you said is very reasonable."
The Sixth Hospital of Shanghai City is the most unpopular hospital among brothers.The real strength of the orthopedics department must be about the same, but their overall strength on the surface is the first and second in Shanghai.
Moreover, after taking the initiative to poach a few very talented students from the Sixth Academy of Shanghai by means of girlfriend invitations, they have been quite unpopular in the circle.
Moreover, these few people who have been poached have rapidly grown into pillars in various fields, and they belong to the very capable talents of the younger generation.
It is definitely impossible to repeat the old tricks, and since then, everyone has paid great attention to it. Once a good seedling is found, it is very precious, and they will deliberately confess this dirty method of the Sixth Hospital of Shanghai.
Confess to the students, the slogan of fire prevention and theft prevention of the Sixth Hospital.
Landscape star was a little wronged: "Hey, Professor Yu and Professor Du, this has to be reasonable. Since when did we do this kind of thing behind our backs in surgery? It was all rumored and passed on from internal medicine."
"This time it's really just a normal exchange, isn't it? Our hospital also wants to hold a martial arts contest recently. We want to invite the children of the magic city to have fun together." Landscape Star quickly found a The teacher came out of the famous mouth.
Du Liangchen resolutely refused: "No, even if there is a master-physics competition, you shouldn't be the sixth academy to host it. I'm going to apply to the school. Otherwise, we won't participate."
"Who dares to go to your Sixth Hospital to compete now? I remember four years ago, there was a doctor in the Neurosurgery Department. I forgot what his name was. After he went, the doctor was poached by you. At that time, there was a lot of trouble. It's buzzing."
Landscape star said: "That's supernatural, our orthopedics department doesn't bother to play such low-level tricks!"
"It's the same, if you don't go, you don't agree." Yu Qiuhua refused decisively.
Although it was said that Xue Xiude kept his identity as the director of the ward and did not participate in the conversation, but in fact, he had already heard the words in his ears, and he became very alert, and he would not let Zhou Cheng walk around at will.
Magic City is still too dangerous.
Especially in this open age, high-quality young men in Shanghai are more dangerous than high-quality young women.
At this time, Du Liangchen and Yu Qiuhua stood on the same front: "I agree with Professor Yu's point of view, the Sixth Academy must definitely not go to this place."
"If you have to do it, then you can do it yourself. Anyway, I will tell our director when I go back."
"Oh, no, our director will definitely not let people go." Du Liangchen suddenly remembered something, that is, the current chief director of the orthopedics department was also very optimistic about the former undergraduate student, but was fooled by the Sixth Hospital Let it go.
He also went to the internal medicine department in a flick, so he didn't get angry into internal injuries.
The landscape star stopped talking, because once the label was pasted, it was very difficult for him to tear it off.But Jing Xing was really aggrieved, looking at a few people, as if your hospital had never done such a thing.
Do you want me to share some information in the group in private later, so that everyone can crowdfund what the Ninth Academy and Ruijin have done?It is not impossible to think so.
……
Finally arrived at the hotel for dinner, the hotel manager and Xue Xiude knew each other, and Xue Xiude had cured the fracture of the hotel manager's mother before, so after getting to know each other later, he was very grateful.
Of course, it has also brought him a lot of achievements. Every time Xue Xiude thinks about eating, he will think that the environment and taste here are suitable. More importantly, there are many chefs in this hotel. , are passable.
There are not many mistakes in choosing this place for parties that are difficult to adjust.
However, Xue Xiude wanted to have a few words with the hotel manager, but the other professors were not happy, and Professor Chen Jiwu, who had to catch the plane, interrupted bluntly: "Professor Xue, why don't you talk to the manager more after we enter the box?" Let's chat for a while."
"We still have some questions and would like to communicate with Xiao Zhou more."
Chen Jiwu has to leave today, so he has to save time. How can he have so much time to listen to you talking nonsense with the manager here?
Everyone knew that Chen Jiwu was impatient, so he didn't say anything, but Chen Jiwu really wanted to go back, so Xue Xiude didn't have much to say.
The manager also sensibly brought everyone into the box, and before he had time to be polite, Chen Jiwu, Xing Huang and others took the initiative to help turn on the projection equipment, etc., and said: "Xiao Zhou, you come, you take the main seat. "
"There is no size above the dinner table. Today, you are the teacher, and we are all your students. Also, if it is convenient, can you send me a copy of these learning materials in the email?"
"Of course, if it involves the confidential part of the project, there is no need to post it. I still know the rules." Chen Jiwu has limited time, so of course he can do it as conveniently as possible.
The hotel manager was a little confused, looked at Zhou Cheng, remembered Zhou Cheng, and obediently withdrew, not daring to say much, otherwise he would be beaten up accidentally, and he would have no place to reason when others came to interview him.
Those who can sit on an equal footing with Professor Xue Xiude are all great professors. When others come to study, you disturb them, get beaten up, and go to the police station. Who will be educated?
It's hard to say, but the public may be more inclined to side with the professor.
Ordinary people still maintain sufficient respect for pure teaching and academics, especially now that the public's thinking and thinking have improved.
Zhou Cheng said neither humble nor overbearing: "Professor Chen, don't worry, it was agreed before, and I will send it to you when it is sorted out. The current information is not particularly comprehensive."
"I also have a friend who said he would come over today to meet a few professors, and he would like to ask the professors some questions."
The friend Zhou Cheng mentioned was Yang Yifeng. Yang Yifeng has been a little enthusiastic about studying recently. Although he is still writing novels, he has obviously spent more time reading books and documents.
After knowing the lineup of the jury this time, I took the initiative to come and see the meaning.
Of course Zhou Cheng couldn't refuse!
Everyone just thought that the person who came was a friend of Zhou Cheng who wanted to get along with him.It can only be dealt with after careful consideration.
After everyone nodded, Zhou Cheng did not show much mystery. Yang Yifeng had already agreed with Zhou Cheng to be here, and Yang Yifeng was here waiting for the arrival of the professors. Therefore, after every professor agreed after.
Yang Yifeng came to the box.
After entering, everyone looked at Yang Yifeng and nodded. He is more mature and has a bit of academic style.
However, after a few more glances, Professor Liu Zhibin of Hexie Hospital pushed aside a professor, stepped forward, then turned his head to look at Zhou Cheng, and asked, "Xiao Zhou, the friend you mentioned is Xiao Zhou. Yang?"
"I should have thought of it earlier. You are from Hunan Province, and Xiao Yang is also from Hunan Province. You know each other. It's unexpected, but it's also expected."
Professor Liu Zhibin represented Hexie Hospital, and his words attracted everyone's attention, and they began to look at Yang Yifeng curiously.Soon, Xu Dashan also realized the somewhat familiar name of Yang Yifeng.
However, he was not very familiar with Yang Yifeng, so he asked, "Professor Liu, didn't you hear that Xiao Yang is only 23?"
The voice of this question is very small, but in fact, the inside of the box is not very big.
Yang Yifeng called out very respectfully: "Professor Liu, hello teachers, I am Yang Yifeng, from Hunan Province. I am currently a graduate student at the Affiliated Hospital of Hunan University, and my teacher is Professor Ding Changle."
He was neither humble nor overbearing, and handled it quite casually, without being nervous. Obviously, this was not the first time he had dealt with such a situation.
After Yang Yifeng came in, Professor Liu Zhibin enthusiastically led Yang Yifeng to see each other for a while.This scene is a little different from when everyone didn't know Zhou Cheng before, but when Professor Chen Jiwu knew Zhou Cheng.
This caused everyone to have a subtle thought deep in their hearts. Could this Yang Yifeng be a powerful character?
After seeing him, Yang Yifeng obediently sat in a corner and kept silent.He knew that his question should be at the end of this exchange meeting, and it shouldn't be a distraction.
Now Zhou Cheng is getting what he should get.And this kind of thing is what Zhou Cheng needs more.
Zhou Cheng didn't say much, and he didn't want to be too tight-lipped. He took out the courseware that he had prepared in advance one by one, and then began to speak in a straightforward manner.
Because they are all professors, there is no need to lay the groundwork for basic knowledge and basic skills, and they can be used directly. The pace is fast, but everyone can definitely keep up.
However, when Zhou Cheng talked about the restoration of the technique, everyone showed a little bit of doubt, because this is something that has not been popularized yet.
Soon a professor interrupted and asked, "Xiao Zhou, you..."
Such a scene filled Associate Professor Gu Zhongliang and Shen De's attending physician who were sitting in the corner with emotion.This Xiao Zhou is much 'crazier' than they were at this young and frivolous age.
Not arrogant madness, nor frivolous madness.
Chen Shengwu's eyes were a little frozen, looking at Zhou Cheng, he almost thought that he should be humble to the bone.But after thinking about it, I am now in Xue Xiude's group, and among my classmates, I am also an upstream existence, and I have easily obtained a doctorate.
There is no need to compare with a pervert like Zhou Cheng, and then look at Yang Yifeng who looks the same age as him, but is much younger than him. Seeing his calmness, Chen Shengwu's heart becomes more and more chaotic...
Chapter 256 Old Man, Shameless!
"Professor Hu, the question you want to ask is actually another section. It may be quite complicated to describe it in detail. I have a summary copy of the PPT here."
"Let's go over it. Today we are discussing the topic of open reduction and internal fixation of small incision fractures. Professor Hu, what do you think?" Zhou Cheng replied generously.
Hu Xianhe was stunned for a moment, and said, "Okay. You need to find the key points when doing things. Academic exchanges have a main point and a theme, and I wasted everyone's time."
Hu Xian and Ben didn't expect Zhou Cheng to come up with the outline and summary of the systematic fracture reduction method, but just asked casually, and unexpectedly exploded such an explosive thing.
Zhou Cheng also opened another PPT in the USB flash drive, and then gave everyone a brief overview of which types of fractures he understands, which types can be reset manually, and which types cannot be reset. Surgery is required.
This statement may sound random, but in fact, it is directly aimed at the revision of fracture guidelines.
The first article of surgery: indications and contraindications.
Any surgery has its indications and contraindications.
After Zhou Cheng turned over, he was about to go back to the small incision for open reduction and internal fixation of the fracture, and he saw that the faces of Professor Chen Jiwu and others also became serious.
The surgical indications and contraindications for fractures, and the principles of fracture treatment were compiled by the Trauma Surgery Group of the Orthopedic Branch of the Huaguo Medical Association.
Compilation of guidelines requires top experts to sit together, discuss in detail, and then make standardized treatment recommendations.These people here are part of it, not all of them.
But they have always believed that the compilation of the guide must have the principles of comprehensiveness, meticulousness, and safety, and it must also be advanced.
However, the existence of the guide needs to be revised. After the revision, it will be printed and distributed on academic websites or distributed, and printed and bound into a book for peers across the country to learn.Moreover, many judgments of medical malpractice are also based on the guidelines.
It matters a lot.
Professor Liu Zhibin raised his hand again: "Xiao Zhou, take it easy for a while. You have a systematic theoretical outline for the fracture reset technique. Have you ever done a clinical project? Do you have any corresponding objective data?"
This is particularly important. What kind of fracture requires manipulative reduction, and what kind of fracture requires surgery. If this principle can be discussed more clearly.
It is the improvement of Huaguo's overall medical quality, and it can also save a lot of medical resources.
(Note: The author's contact area is probably only in orthopedics. Thanks to the teacher and the master's kindness, he has come into contact with some things that ordinary people have not come into contact with. Therefore, the content of this book may be spread out in a little more detail.)
(Looking forward to your appreciation, every kind of thing actually has deeper social factors, academic factors and economic factors. I am willing to analyze these one by one for you to listen to, and try to read them in the way you like. , if there are any colleagues and teachers who read this article, if there is anything wrong, please correct me.)
There is data, but it is not in reality, so Zhou Cheng can’t show it, but he also said it realistically: “Mr. Liu, I’m very sorry about this. When I was doing manual reset, I only did some patients in the No. [-] Hospital.”
"The number of cases is low and they are being followed up and data is being collected."
Zhou Cheng continued to say neither humble nor overbearing: "From a more cautious point of view, some patients I have contacted, among this classification, have quite good short-term curative effects after manual reset. The earliest batch of patients are already I took off the cast and started normal functional exercises."
Zhou Cheng is very clear about the level now, if he did it, he did it, and if he didn't do it, he didn't do it.
He performed manual reset in the Eighth Hospital at the end of October and the beginning of November, and now it is the beginning of March. The effect is indeed very good. Zhou Cheng also knows that the effect is very good, but it is in the simulated world.
The data in the real world is quite limited, and Zhou Cheng knows better that what Liu Zhibin and others are interested in must be what Zhou Cheng listed now. In addition to the original manual manual reset adaptation symptoms, Zhou Cheng personally listed the manual reset adaptive symptoms. types of these diseases.
Zhou Cheng's words caused everyone to fall into deep thought, and inside the box, it could be said that needles could be heard.
Liu Zhibin looked around for a while.Then he asked with an extremely serious expression, "Dean Xu, what do you think?"
Xu Dashan, the administrative director and vice president of Jishuitan Trauma Surgery, is also the head of the Traumatology Surgery Group of the Huaguo Medical Association's Lower Kyoto Medical Association Orthopedics Branch, and the main person in charge. Compared with Liu Zhibin, he has relatively more resources than Liu Zhibin. leave.
Xu Dashan originally valued and paid attention to Zhou Cheng for the sake of Zhou Cheng's acquaintance with Professor Chen Jiwu, but as far as it is concerned, it seems that what Zhou Cheng himself showed through him must also let him It's changed a little bit.
The more fundamental something is, the greater the relationship.
If it means that even the indications for surgery have been changed, they are still studying the classification of fractures that can be performed without surgery, how to make the surgery better, you study der?
It's like, when you think about how to fry vegetables to be as delicious as meat, the price of fucking meat is already the price of vegetables, but purely from the perspective of deliciousness and nutrition, is it bad to eat meat?
Xu Dashan was a little restless, looked around, and said to a person at the door: "Please close the door."
Obviously, he was going to say something that would not be heard by outsiders, and it was very profound.
Chen Shengwu immediately went to lock the door.
Xu Dashan knocked on the table a little and said, "I'm sorry, professors, I'm sorry to bother you, but I want to borrow a little of your precious time."
"Actually, we all know that our country has been discussing how to improve the quality of our medical care and how to improve the quality of our services."
"This is a long-term problem, and it will never stop. I am not a leader, so I don't have much popularization, so I just talk about some problems in our orthopedics. What I said today, if you go out of this door, everyone will talk about it. Forget it all, don’t spread it any more.”
Xu Dashan's words made the others laugh, but Xu Dashan was interrupted without replying.At this moment, Shen De's attending physician brought Zhou Cheng a glass of water, and then motioned Zhou Cheng to sit down first and listen to what Professor Xu Dashan had to say.
"The level of each hospital is different, so the contact surfaces are also different. The current medical care in our country is constantly sinking. What we can intuitively feel is that there are fewer fracture patients in our current trauma surgery .”
"There are more patients with complex fractures or hand surgery. This is a good thing. To a certain extent, it urges us to further improve our professional strength and professional ability, if we cannot handle cases and problems that cannot be solved by the hospitals below. "
"We old guys, we should change careers or do more side jobs, and we can't eat anymore. Trauma surgery, the current circle is so big, and the size of the patients is like this."
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