medical simulator

The patient is dumbfounded.

Question: "Director Lu, what did you just say? My operation is over? Don't you lie to me?"

"It takes a lot longer for me to take a shit? Is this too complicated for me, and you don't want to do it carefully? Can there be no problems?"

In less than 10 minutes, the operation is over, and the patient is not scared.

Surgery, in the eyes of ordinary people, is a life-and-death barrier before the gate of hell, so don't be careless.

"Don't worry, it's Dr. Zhou who performed the surgery on you. You've also read it on Baidu and Douyin. You can feel the quality of the surgery after you go back."

"I'll change the medicine for you. When you don't feel any pain, you'll know whether the quality of the surgery is good or not."

"If it weren't for the special situation now, ordinary people would not be able to invite Dr. Zhou to perform the operation. You patients, you have encountered it." Lu Bin quickly relieved.

The quality is not good, so what was the surgery we did before?

Did you go home?

"God, I really met a god-man this time. It takes less time to have an operation than to take a shit."

"Director Lu, you are really serious. Before the operation, we had a conversation, which scared me so much that I almost peed my pants."

"There are various risks. I didn't sleep well last night. If I knew it was so simple, I would have slept well." The patient let out a long sigh of relief.

The atmosphere in the operating room improved instantly, but the anesthetist was a little unhappy.

The anesthesia that was just completed had to be removed again.However, this kind of surgery is pleasing to the eye. This surgeon is indeed extraordinary. If in Shanghai, the anesthetist who can appreciate his surgery is at least at the associate professor level.

To be able to work with him on the stage is simply my own luck, right?

Then I continued to work step by step and started to work for several years. I have been familiar with this kind of anesthesia for a long time, and I don't talk about hard work.

……

At noon, the exact time is 37:[-]:[-].

All the orthopedic operations are over, and it is the turnaround of the operation that consumes most of the time.

Then Lu Bin and others worked hard to greet Zhou Cheng and said, "Doctor Zhou, you have worked hard today, and none of us can help you. After we finish billing the surgery, let's go to dinner together, Doctor Zhou." , you go to the lounge below and rest for a while."

Zhou Cheng was not too polite. Seven operations and seven resets made him a little tired. Although the time was not long, the resets were all hands and legs. Are you not tired?

Tiring, but also limited!

Those who are difficult will not, and those who will meet will not be difficult.

Then, Lu Bin, Tong Haimo, and Quan Zhuolin went to the office of the operating room and started charging and other operations. In fact, itinerant nurses can also do it, but today, Zhou Cheng made the itinerant nurse miserable, and there was no time at all. Fees for these operations can only be recharged.

Don't bother with anesthesia and consumables in the operating room.

Then start charging, surgical operation.

The most basic, manual reduction of fracture x 7, plaster external fixation x 7.

Fracture poking reduction and internal fixation ×4.

Fracture small incision open reduction and internal fixation × 4!

On the whole, the total operating costs are not considered consumables and other costs at all, [-]+!

This is pure income.

Not counting subsequent hospitalization expenses, etc.!

After reading it, Lu Bin and the others fell silent.

"Is this the income of top professors who are purely technical?" Tong Haimo slammed his mouth.

Lu Bin took a breath: "There are some flying knife operations, and the appearance fee starts at [-]. It only takes half a day, and you will know how much the top professors really earn."

"However, you have to have the opportunity to take this money, and you have to have the strength to take it!"

Well, such a level is indeed beyond their imagination.

However, what Lu Bin has not said yet is that in foreign countries, the income of the top surgeons there is really considerable. A joint replacement surgery costs [-] to [-] dollars.

What is the concept?

It's close to 50. In China, a joint replacement used to be [-]. If it is really compared to the domestic standard according to foreign standards, it will be called real treatment!

Full reimbursement means that you have medical insurance, and those without medical insurance also rely on themselves to bear it all.

But no matter what, Zhou Cheng's arrival today has indeed taught them a vivid lesson. The purely technical route can really make a lot of money, and it is even more profitable than before.

Because, the expenses of the other four fracture patients are paid by single disease, that is, lump sum.

According to Zhou Cheng's current treatment method, if it can be repeated?

To use a bad word, it means that the cost is very controllable, the profit is very considerable, and the patient burden is not much, and the medical insurance and the third party directly cover the bottom line!

Everyone is willing, this is a win-win situation for all three parties.

In the department, the cost of simple surgical operations can cost hundreds of thousands a month, so the annual turnover may really be as high as 5000 to [-] million...

After the operation, Zhou Cheng was received very warmly.

There were not many people, only Lu Bin, Qin Ming, Tong Haimo and Quan Zhuolin.

Zhou Cheng refused the request to drink without drinking, and everyone just had a meal, but let's eat!

Lu Bin still asked the question he was most worried about: "Doctor Zhou, manual reset is indeed a relatively classic treatment method, but is this operation difficult to learn?"

"If it's difficult to learn, then? This kind of minimally invasive fracture surgery is still relatively difficult to carry out?"

Zhou Cheng thought about it carefully, and said: "Easy to learn, hard to master, but it can always improve our professional ability. If there are some simple fracture patients in the future, directors can try it."

"Always get started first and try boldly."

Lu Bin nodded, and after pondering for a while, he said, "Okay, Doctor Zhou, thank you very much for coming."

Chapter 3 and Three: Zhou Cheng's Status in the Jianghu!

As the saying goes, it is better to meet people than to be famous, and it is better to see real skills than to meet people.

Zhou Cheng's real skill is even more shocking and inexplicable than the rumors. It is already close to the Tao that the technique can be reset to such an extent.

As the directors of prefecture-level city hospitals, Lu Bin and others, because of the limitations of academic qualifications and the shortcomings of experience, it is difficult to get started with scientific research, but the reason why they can climb to the present point is not scientific research, articles , but the work of the hands.

Make few mistakes, and look at ability head-on. Whoever has the most ability can go to the end. In prefecture-level city hospitals, most of the people who try to catch fame go to the idle yamen.

But there is no such thing as the so-called associate professor taking the blame for someone or performing surgery.

After pondering for a while, Lu Binzheng nodded and said: "Doctor Zhou, we will definitely revisit the basic skill of manipulation reset in the future."

Manipulative reduction of fractures is one of the treatment methods. As a senior or associate senior professional title in orthopedics, have you ever been involved?

There must be some, but most of them are not proficient in the field. They still believe in doing the surgery well and mentioning the word of mouth. After all, orthopedics is surgery.

But in fact, the more I get to the present, the more I can realize the importance of basic skills. The more solid the basic skills, the more stable the progress. When it is time, the more difficult it is to feel handy, there is a feeling of erratic.

When performing an operation, you can't keep your feet on the ground. Only the chief surgeon can experience the kind of fear.

The general feeling is that it is not much better than ordinary people going to see a patient who suddenly fainted, but the psychological quality is better.

Zhou Cheng said: "Director Lu, in the final analysis, manual reset is only one of the treatment methods. We just need to pay attention to this point and use it at the right time. It doesn't mean that we need to delve into it in depth."

"After all, we don't only have patients with fractures in trauma surgery. I think our orthopedics department also has a certain foundation in hand surgery, nerves, blood vessels, etc. There should be a lot of such patients..."

"Therefore, I think it is reasonable for us to make our trauma surgery more comprehensive, refined and bigger."

Zhou Cheng is now unable to assess the qualifications of Lu Bin and the others. If they have to specialize in learning how to reset, perhaps their qualifications are not even comparable to Chen Shengwu, then they will be led astray.

Some people are suitable for scientific research, some are suitable for expanding the territory, and some are suitable for maintaining success. This is an established thing.

By expanding his vision to the whole world this time, Zhou Cheng's vision and angle of seeing things will be more important this time.

If it was in the past, Zhou Cheng might feel that if there are good things, one has to settle down to learn them.

But the reality is not. For Yang Yifeng, this is a real breakthrough general. If he is used to defend the success, it will be a waste of money. But if Du Yanjun is asked to do Dong Yuhai or Yang Yifeng's work , This is so ambitious.

This hierarchical positioning is similar to the positioning of teaching hospitals and ordinary tertiary hospitals in prefecture-level cities, each with its own advantages.

Why should teaching hospitals pay attention to scientific research and teaching?

Just one question, if teaching hospitals do not engage in teaching or scientific research, then who will do this, scientific research?If even the teaching hospitals cannot undertake the task of teaching, then who will do the teaching?

The positioning is different.

These things, if you stay in the eighth hospital for a long time, you will definitely not be able to observe them.

After Zhou Cheng said this, Qin Ming, who sat next to Lu Bin, thought for a while, and asked: "Doctor Zhou, may I interrupt you, Doctor Zhou, do you mean that we should be similar to the superiors?" As in the hospital, it is better to make the division of labor within the department more clear?"

"Separate trauma, microtrauma, and hand surgery?"

Qin Ming’s study unit is the Affiliated Hospital of Hengda University, where the strength is also extremely strong. The branches of orthopedics are quite detailed. Hand surgery has been separated, and there is even foot and ankle surgery. A more clear division of labor.

The more detailed and specialized one is, the more proficient he is in dealing with the corresponding field.

What Qin Ming said was not bad, but it was not the precise meaning that Zhou Cheng wanted to express: "Separating too many sub-specialties alone is definitely unrealistic for our hospital at present, and we just need to move closer in this direction."

"The reason why some hospitals in Shashi can be accurately classified is because their disease sources come from all over the province, while in our Changshi, the number of patients that can be absorbed is only from the surrounding area. Therefore, the base is different, and the positioning cannot be so special. Accurate."

"Otherwise, the technical problem will be solved by then, but it will appear a bit bloated. Of course, this mainly depends on Director Lu, Director Quan and others..."

Zhou Cheng only came down for a while, not a member of the department, so it is not easy to point fingers.Suggestions are fine, but if you don't give them a clear analysis of the pros and cons, just do it recklessly, and after he leaves, you will ruin other people's jobs and not have enough to eat.

This offends people.

What's more, Zhou Cheng has not yet figured out the number of disease sources and the classification of diseases in the outpatient clinic, so it is not easy to say anything.

Everything still has to speak with facts.

To put it a little more plainly, the preparations you have to make are for the people you serve.As far as Zhou Cheng knows, there are some common diseases in Africa, which are not found in China. After you have mastered them, where can you find them?

Medical services are not ordinary substitutes for reality. They can be transported across borders. The pros and cons of this kind of point need to be analyzed clearly...

After eating, Lu Bin and others warmly sent Zhou Cheng back to the dormitory again, and Director Lu Bin asked enthusiastically when Zhou Cheng got off the car: "Doctor Zhou, the nearest dormitory near the unit is really empty. It’s better, the conditions in the dormitory are indeed quite simple.”

"I don't know if Dr. Zhou is used to it. We are also working hard to find surrounding communities and private houses. If there is a suitable one, we must arrange for Dr. Zhou to go there as soon as possible."

The place of accommodation was arranged by the hospital. There was no way in this department, but it was something the department could think of to provide Zhou Cheng with better objective accommodation conditions.

Zhou Cheng shook his head: "Director Lu, this is very good. It is much better than the house I rented outside. It has complete appliances and a study room. Although the area is a bit small, it is comfortable to live in."

"Director Lu must have bothered, don't bother any more, this place is very good."

Just kidding, Zhou Cheng came here not purely for enjoyment, he was able to find a two-bedroom, one-living room house with a study room, although the decoration is a bit old, and it is a stair room, but it is clean inside, the neighborhood is also quiet, very suitable for studying .

"It's good that Dr. Zhou is satisfied with his stay, I'm afraid you are not used to Dr. Zhou." Lu Bin breathed a sigh of relief slowly.

In fact, Zhou Cheng's current level has not yet reached a certain level. Maybe some professors have good home conditions, but Zhou Cheng has not yet reached that level.

From frugality to extravagance, what is Zhou Cheng dissatisfied with?

Back at the house, when Zhou Cheng was cleaning his mailbox, he unexpectedly discovered that there was an extra unread email, and it did not come from an academic invitation, nor was it a reply letter to a submitted article. is from the individual.

Nowadays, there are still people who use the formal chat method of mailbox to chat about private affairs, but not many.

Click to take a look.

Zhou Cheng frowned slightly, very surprised.

The sender is the director of trauma surgery at Changshi No. [-] Hospital, surnamed Zhang and surnamed Jin.

In the letter, the general meaning is that Director Zhang is also a student of the Affiliated Hospital of Shonan University. He can be regarded as Zhou Cheng's senior brother and teacher generation. When Zhou Cheng arrives in Changshi, if the time is right, he is willing to do his best .

By the way, let Zhou Cheng meet another old acquaintance.

Associate Professor Qin Tianzhu.

Well, Associate Professor Qin Tianzhu is really an old acquaintance of Zhou Cheng. At first, he invited Professor Ding Changle to see Zhou Cheng's operation, but Ding Changle was delayed by something, so he sent Qin Tianzhu to the Eighth Hospital. There is a certain overlap.

Zhou Cheng thought about it carefully, and instead of replying to the letter, he dialed the following contact information.

Soon, it was connected.

Zhou Cheng took the initiative to report his family name: "Mr. Zhang, hello, I'm Zhou Cheng. I just saw your letter. It's Xiao Zhou. I didn't think carefully. I didn't expect to visit you in advance."

Because he was not familiar with the other party, Zhou Cheng himself was quite polite, calling himself Xiao Zhou, and he would not lose a piece of meat.

On the opposite side, a very hearty voice immediately came: "Hey, Zhou Cheng, I also inquired about your personality with Director Lei and Director Ding in advance. If I had known that you are such a polite person, I would not have done it in advance. I'm bothering you."

"I'm a few years ahead of you. You can call me Senior Brother or Old Brother. I don't dare to agree to this teacher casually. If it gets out, my teacher will say that I have no rules."

On the other end of the phone, there was a rather rich, bald chubby man, his eyes were rolling around, and he was muttering to himself, "Mom, Gobi, your teacher, who is so casual now, who dares to call himself that?"