medical simulator
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"However, I still want to correct you. There are many operations that our Sixth Hospital cannot perform. There are also many diseases that cannot be treated. We cannot cure AIDS and cancer."
"There is also our orthopedics department. If you want us to cure fractures and infections, we can also treat them, but we can't cure them. Some scar tissue and other problems will remain after surgery."
Full healing means complete recovery. No disease can return to its original state. Even if a fracture is recognized as fully healed, it will still leave soft tissue scars. This is an objective fact.
When Liu Shuquan heard what Hu Qin said, he was slightly taken aback.
Then he smiled: "Doctor Hu really knows how to joke. The orthopedics department of the Sixth Hospital is well-known all over the country. How can he not even deal with such small problems as fractures?"
Hu Qin was no longer obsessed with discussing with laymen the curable and uncurable academic issues, saying: "The treatment can definitely be dealt with, but how to deal with it and what kind of requirements you have are all different."
"Our fracture treatment technology is very mature, whether it is manual reduction, open reduction, plate and screw internal fixation, screw internal fixation, intramedullary nail internal fixation, Kirschner wire and other internal fixation, external fixation, They're all mature."
"We can choose the most targeted treatment for different fractures and fracture subtypes for you to choose."
Hu Qin directly hit Liu Shuquan and Zeng Bai with a stick.
But she didn't say that she was number one, and Hexie Hospital would not say that she was number one in the country. Number one is what others should say, and she would not brag.
Now is the information age, although they didn't understand the spells Hu Qin said, they didn't hear what they wanted.
"What about minimally invasive surgery?" Liu Shuquan was taken aback.
Hu Qin remained expressionless: "Minimally invasive is relative. Compared with traditional open reduction, plate and screw internal fixation, intramedullary nail fixation is minimally invasive."
"This technique is also very mature."
Although she knows the intentions of the patients and their families, Hu Qin still has to show her patience and professional ability.Try to persuade, otherwise, if there is anything to do, call the director, then let the professor and director be the chief hospitalist directly.
"No, the Ninth Hospital can do minimally invasive surgery. Only four of them were done yesterday. We have done a lot of them before. We personally watched them leave the hospital." Liu Shuquan asked.
According to his understanding, although the orthopedics department of the Ninth Hospital is considered good in Shanghai, its reputation is not as good as that of the Sixth Hospital.
Shouldn't there be some surgeries that the Ninth Hospital can do, but the Sixth Hospital can't?
Hu Qin's face continued to throb, she knew what the patient was talking about, but this matter, basically everyone in the department was rotten in their stomachs.
Professor Jingxing took a few patients, tried several cases with the most advanced equipment, and talked many times before the operation, so there was no guarantee of medical disputes. How dare to touch it again?
Hu Qin shook her head and said firmly: "At present, the most minimally invasive fracture surgery in our No. There are special instruments such as hollow nails."
"There is no specific concept of minimally invasive surgery."
Liu Shuquan still didn't believe it, raised his eyebrows and said, "I said Dr. Hu, you don't think we are laymen, so you fool me, right? Look at the current Douyin, everyone is discussing this matter?"
"Do you want to call your superior again?" Liu Shuquan's tone was quite polite.
It's not like when negotiating and communicating with graduate students, just say that you don't understand bullshit, and call your superior to come over so bluntly.
Hu Qin's heart was instantly injured by a critical blow, can you stop talking about minimally invasive surgery?
Holding back the rage in her heart, Hu Qin took a deep breath and said, "If you have a strong request to communicate directly with the professor, then you have to wait until tomorrow's rounds."
"Professor Qi from our group is in the outpatient clinic today."
Hu Qin was talking, but the door was pushed open, and an older-looking man in a white coat walked in. After seeing someone inside, he silently backed out again, and wanted to close the door.
Seeing this, Zeng Bai immediately said, "Professor, wait a moment, wait a moment, professor."
Then Zeng Bai immediately opened the door and stopped the professor who looked older.
Instead of making a move, he politely clasped his fists and smiled, blew himself up, and then explained the situation: "Professor, it's like this, I..."
He explained his situation and general requirements, and while he was talking, Hu Qin and Liu Shuquan walked out.
Hu Qin also said helplessly at this moment: "Professor Zhou, I'm sorry to trouble you. These are the family members of two fracture patients who were admitted to me when I was on duty today. They said they were transferred from the Ninth Hospital. A small incision is needed for fracture reduction and internal fixation."
"I was explaining to them that our department does not perform this operation, and they did not listen."
Professor Zhou is an associate professor under Professor Jingxing's group, and his full name is Zhou Yin.At this moment, when Hu Qin mentioned the word "small incision", her expression changed slightly.
The few surgeries performed secretly by the head of the department almost caused a commotion for the whole group.
He also felt that he was very unlucky, but he came into the office at this time, and he could understand Hu Qin. There were many patients in the office, there were too many people talking, and the general hospital did not have his own specific office.
Zhou Yin took a deep breath, but still did not answer.
Hu Qin said: "Two family members, this is Professor Zhou. Professor Zhou is in Professor Jing's group. He is not in the same group as us. He is also in the outpatient clinic today. He just came back from get off work and is a little tired. Please don't bother me. It's him."
Trauma surgery, three groups, three seniors, five deputy seniors, plus two intermediate professional titles, at least two people sit in the outpatient clinic every day.
Liu Shuquan and Zeng Bai could understand the grouping in the hospital, but if they turned their parents around, this small incision couldn't be done, so wouldn't it be a waste of time?
Considering their age, it occurred to them that there are better medical resources in Shanghai. The traditional open reduction can be done by prefecture-level hospitals.
Liu Shuquan ignored Hu Qin's words and still begged earnestly, "I'm sorry, Professor Zhou, can I just interrupt you for a while? Up to 2 minutes."
"I am the Son of Man, and I am also considering my father's illness. I hope Professor Zhou can give me a little time."
This sentence is indeed quite touching. If it is not for parents and children, who would be willing to ask for help everywhere.
Zhou Yin sighed: "The small incision open reduction and internal fixation you mentioned is a new surgical method. It is still in the clinical trial stage and has not been promoted nationwide."
"Although the surgical techniques and theories are mature, only the Ninth Hospital of Shanghai is currently doing it. If you strongly demand to perform this surgery, you shouldn't be transferred to another hospital?"
Liu Shuquan and Zeng Bairen were a little silly.
"But?" Liu Shuquan was a little at a loss.
"The Ninth Hospital is a brother hospital of our Sixth Hospital. Such low-level mistakes as leapfrog surgery will definitely not be made. Besides, there is a principle in the medical system. There are professors on the stage to assist in witnessing and teaching. How can it be possible that the surgeon is a low-level doctor? ?”
"In today's medical environment, the relationship between doctors and patients is inherently complicated. No hospital with a little qualification will leave such a low-level mistake. Think about it carefully."
"This operation, we won't do it, and we won't do it. The Sixth Hospital will not deliberately target every patient and family member. You are also our patients' family members. You can also think about it." Zhou Yin knew that he didn't know. say something.
It's hard for Hu Qin to get away. They are all people in the department. Even if they don't have a master-student relationship, they spend a long time together anyway, and they still have to give them favors.
After Zhou Yin finished speaking, he turned around and walked to rest, and the patient still chased after him.
Hu Qin stopped them: "You two, Professor Zhou is really tired from sitting in the outpatient clinic and needs to rest. I read more than 40 numbers in one morning, five hours, and it's really tiring."
Liu Shuquan and Zeng Bai sighed slightly, watched Zhou Yin enter the lounge and closed the door.
Hu Qin added: "You two, we are communicating with you sincerely. Our Sixth Hospital is well-known anyway, and we will not tarnish our reputation by doing things that promote brother hospitals, nor will we explain anything for ourselves."
"Of course, I won't be arrogant and say that I won't do it. Maybe this is the direction and goal that our hospital will overcome and learn in the next step, but at present, it is really not yet mature."
Only after Zhou Yin spoke did she dare to truthfully explain the situation.
"Then what should we do now?" Liu Shuquan looked at Hu Qin helplessly.
Hu Qin sighed slightly, and said, "Don't worry, I'll report to the superior doctor and see if I can consider a compromise for you."
Hu Qin knew that the patient was bumpy and tired, but it was not easy for everyone, so Hu Qin decided to give another report to his teacher.
Even if the patient was transferred back, the professor had to nod his head in approval, otherwise the professor would be angry when he came back and found that the patient suddenly disappeared.
After sending Liu Shuquan and Zeng Bai away, Hu Qin called his teacher, Professor Qi.
Professor Qi almost got out of the outpatient clinic. After hearing this, he didn't say much, but chose to report the matter directly to the landscape star.
How to deal with this matter now, whether the patient should be pushed back, it also needs to be signed by the director of the department, or the professor himself. It's better to follow the procedures of the medical department.
When Professor Qi called Jingjingxing, Jingjingxing immediately yelled: "Damn Xipi, this Yu Qiuhua directed and acted in a scene by himself, why did you involve us?"
Professor Qi said: "Director Jing, after all, the reputation of the Department of Orthopedics of the Sixth Hospital is there, and the patient's transfer may not necessarily be the result of someone's specific instruction."
"However, whether to resolutely discuss general treatment with patients now, or to take the opportunity to open up a new situation and call Zhou Cheng over may not be a good time."
"The patient came from the Ninth Hospital, and the Ninth Hospital will definitely find a way to end it."
"It must be someone Xue Xiude or Yu Qiuhua who has grasped the essence of it, so that he can spread his reputation and make patients go there attracted by it. Then, to a certain extent, let Zhou Cheng spread this technology widely."
Professor Qi's meaning is obvious. Now the Ninth Academy wants fame, but it must be finished. Zhou Cheng can be released to teach. I'm not afraid that someone will follow behind them and come from behind!
Landscape Star naturally knew about this matter. After this incident went out of the circle this morning, Landscape Star felt that this matter was not so simple.
Even, Landscape Star thought, what the hell, the last time Yu Qiuhua invited people to sign Zhou Cheng's surgery approval form, they had set up the current situation, and they had to come forward to support Zhou Cheng.
"Okay, since the Ninth Hospital wants to leave like this, then we accept their kindness. Now that the patient has transferred to our hospital, it's okay for us to follow behind."
"First and second, the impact is not too great."
"I'm going to call Zhou Cheng, Lao Qi, in your case, is this patient admitted to me, or is he transferred directly to my side?" Landscape Star asked the patient's ownership.
Qi Heng blushed, and replied calmly: "The patient was admitted by our team, so I don't want to bother you, Director Jing. Anyway, there are only two patients, so I can take this opportunity to watch and learn."
Who doesn't want good things? Whoever masters this new core technology first will be able to completely transform in the future. In this new technique, it will not be a problem to eat it for ten or eight years.
……
The Shanghai No. [-] Hospital and the Shanghai No. [-] Hospital are brother hospitals, and the test results are mutually recognized.
According to the preoperative examination results, there were no surgical contraindications, and the surgical indications were obvious. After admission, he was in a state of waiting for surgery.
02:30 in the afternoon.
Landscape star arrived in the department, and waited at the door with Hu Qin, the chief resident. After a young, tall, and handsome guy got off the elevator, Hu Qin's eyes lit up immediately.
The landscape star quickly leaned over, smiling all over his face: "Xiao Zhou, today I have to work hard and trouble you to come here."
Just looking at the smiling face of Landscape Star, Zhou Cheng really couldn't tell that this guy was the one who took and returned the most things from Zhang Zhengquan and belonged to the wise and scheming candidate.
Zhou Cheng didn't change his face, and replied: "Mr. Jing is serious. The orthopedics department of the Sixth Hospital of Shanghai is famous all over the country. I have worshiped it for a long time. Today I just have the opportunity to come to study."
Talking about people when seeing people, talking nonsense when seeing ghosts, since the landscape star likes this kind of thing, Zhou Cheng doesn't think there is anything wrong with flattery.
The patient was still waiting, Jing Xing remembered that when he called Xue Xiude, Xue Xiude's expression and expression of pretended surprise were mocking himself, and he didn't dare to delay any longer.
Immediately, he took Zhou Cheng to the ward. Hu Qin didn't move, but turned his head.
Landscape star suddenly turned embarrassed, squeezed his throat: "Hu Qin, don't look at it."
Hu Qin was stunned for a moment, and then hurriedly followed, a little cautious and embarrassed.
After a long experience in the orthopedic operating room, she would be dazed and careless today.
It's a pity that my mother is already married...
When Zhou Cheng and Jing Jingxing came in front of the patient and his family again, the expressions of Liu Shuquan and Zeng Bai were indescribably embarrassing.
They came out of the Ninth Hospital just to avoid Zhou Cheng's operation on their parents.
The hospital gave an explanation, and the doctor in charge of the bed showed them all kinds of documents. They didn't believe what they said. They thought Zhou Chengcheng was young and not qualified enough.
I thought that Professor Jingxing would invite Xue Xiude or Gu Zhongliang, but I didn't expect to invite this young doctor directly. Is this a brick?
Knowing the misunderstanding that occurred in the morning, Landscape Star explained: "Xiao Zhou is the initiator of the subject of small incision open reduction and internal fixation. He even led the small incision open reduction and internal fixation in the Ninth Hospital."
"This is no longer a rare thing in the industry. Inviting Xiao Zhou here is more reliable than any professor."
"The world's first small incision open reduction and internal fixation may not be done by Xiao Zhou, but this ultra-minimally invasive small incision open reduction and internal fixation is done by Xiao Zhou."
"In this technique, he is an expert, and I am a student." Landscape star lowered his face at this moment.
Hearing what Jingjingxing said, Liu Shuquan and Zeng Bai blushed for a while.
Who is the landscape star? His position is posted on the wall of the department, professor, doctoral supervisor, director of trauma surgery, and director of orthopedics at the Sixth Hospital of Shanghai.
Such a person, if he puts down his face and says this just for flattery, no fool will believe it.
Liu Shuquan and Zeng Bai could see it openly, and after suppressing their emotions a little, they bowed slightly to Zhou Cheng: "Doctor Zhou, I'm sorry, the misunderstanding happened before, I hope you have a lot of it, don't take it to heart."
"It's really my father's condition. We hope to find a better doctor for treatment. You are too young and promising. It makes me feel too unreal."
This is the truth.
However, Zhou Cheng didn't care about it. In fact, all of this could have been avoided, but Zhang Zhengquan, as well as Professor Xue Xiude, insisted on doing such a reverse operation, and Zhou Cheng couldn't help it.
Fortunately, Zhang Zhengquan has said that it will not increase the patient's burden, and even Professor Xue Xiude has guaranteed that no matter where the patient goes, the cost will not exceed the Ninth Hospital!
Smiled and replied: "It's okay, it's okay. I can understand."
"Professor Jing, when are these two patients' operations scheduled? Tomorrow?"
Landscape star shook his head: "Now the patient's preoperative examination has been completed, I have already contacted the operating room, and I can perform the operation when I have time. It is not good to let Xiao Zhou run around, equipment, anesthesia, surgical nurses, etc. , I have already connected."
Liu Shuquan hurriedly asked again at this moment: "Professor Jing, when we were in the Ninth Hospital, we said that the surgical equipment was free, so I don't know about your side?"
"Don't worry about the cost. The policy is good now. Our bed doctor will discuss the cost issue with you in detail, including the issue of intraoperative and postoperative medication."
"Let's think carefully about how to do the best treatment." Jing Jingxing didn't explain this problem to the patient in detail. If he explained it to every patient, the surgery would be forgotten.
"That's good. That's good." Liu Shuquan was afraid that the landscape star would deliberately raise the price, and he could still afford the general fee, but it would be bad if the price was raised on the ground.
Soon, everyone went down to the operating room.
There were also quite a few bystanders, including Hu Qin, Professor Gu, and others. Zhou Yin and Professor Qi had an outpatient clinic today, so they had to miss today's operation regrettably.
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