medical simulator
Page 532
Plants, herbs, herbal medicine, and traditional Chinese medicine are actually a form of treatment and a type of medicine. There is no need to myth, but there is no need to belittle it!
"Director Zhang, your idea is better, and I quite agree with it. It is the implementation process, which is still relatively difficult. How to separate one of the surgical methods from the overall surgery, and still achieve treatment or It is the purpose of delaying the progression of the disease."
"It's very difficult to separate out."
"For example, arthritis, or some diseases in our trauma surgery, such as tenosynovitis, if you go for injections or physiotherapy, they can actually only treat the symptoms but not the root cause."
"Moreover, for some patients with fasciitis, the course of the disease itself is self-limiting. After a period of time, its symptoms will disappear, but the pathology will not regress."
"In other words, if fasciitis progresses, it will be calcification of the tendon or even atrophy..." Zhou Cheng also gave a suggestion based on his own knowledge reserve.
Zhou Cheng actually disagrees with some patients' medical treatment concepts, but there is no way, everyone has the right to choose their own treatment methods, the best may not be the most suitable.
Some patients just don’t want to solve the problem through surgery, you can’t force it, it can only be a suggestion, but pure advice, those who can listen to it, have already listened to it, and those who can’t listen to it are useless .
If you want to have both, it is difficult to implement and develop.
Zhou Cheng is also thinking about such a problem, that is, how to solve the demands of these patients who are unwilling to undergo surgery, but want to achieve the purpose of relieving symptoms and treatment.
But after thinking for a long time, there is still no particularly good solution, unless it is possible to develop better drugs that can truly reverse the course of common diseases, otherwise, it is difficult for a clever woman to cook without rice...
Zhang Jin then gave some suggestions, but they were rejected by Zhou Cheng, Yang Yifeng and others one by one.
Although the idea is good, it has disadvantages. For example, Director Zhang proposed to use knee or hip debridement to solve the problem, but can it really solve the problem?
Not necessarily.
For example, Director Zhang proposed to use closure to relieve pain in some local areas. However, the area pain relieved by closure only solves the corresponding symptoms, and makes the sensory nerves in the corresponding area degenerate and necrosis, so that there is no pain sensation.
The pain still exists, and it is a temporary solution, not the root cause. Perhaps, if there are other complications, it will cause a lot of embarrassment.
For another example, Director Zhang said that through the injection of sodium hyaluronate in the knee joint, the progress of arthritis can be alleviated, but in fact, this has long been denied, and foreign countries have stopped doing it. Only China still adheres to this concept .
Huaguo's guidelines still use intra-articular injection of sodium hyaluronate as one of the treatment options, but is it really useful?
Some studies have shown that it is actually the placebo effect, which is not only useless, but also causes the patient to temporarily relieve the pain, resulting in increased joint wear and accelerated the progress of the disease!
……
Although the discussion this time did not finally determine the specific method, but raising this question is considered a relatively good harvest.
Zhou Cheng could also tell that Director Zhang Jin was someone who really wanted to do things.
This discussion meeting is over, Yang Yifeng also invited Zhou Cheng to the playground in Changshi to play together, said to play together, that is, Yang Yifeng and Liu Shiyu were feeding Zhou Cheng dog food together.
No, Zhou Cheng was queuing up to buy things, while Yang Yifeng and Liu Shiyu were flirting.
One laughed too hard, the other pretended to be serious.
Zhou Cheng cursed at the corner of his mouth: "This is a couple of dogs."
After shopping, he handed them to the two of them. Zhou Chengcheng made an excuse to say that he was going to ride the roller coaster alone instead of taking them.
However, Zhou Chengcheng hadn't arrived at the roller coaster when he suddenly received a call from Director Lu Bin.
Zhou Cheng hesitated for a moment, but still connected.
"Director Lu."
"Doctor Zhou, are you near the hospital now?" Lu Bin asked, his voice a little anxious.
Zhou Cheng replied: "Director Lu, I'm not near the hospital. I'm playing with my friends on Planet Carle. Is there something wrong? I can come back."
Zhou Cheng specifically emphasized that he didn't want to be abused anymore, this Yang Yifeng is simply not human, and he didn't mention Liu Shiyu's arrival in advance, otherwise he would be a fart!
If Lu Bin could get him out of the sea of suffering, he would wish for it.
"Doctor Zhou, can you come back here? We have received a very difficult case here. It is an emergency department. It may require amputation of both lower limbs." Although Lu Bin's voice is urgent, his mood is still stable.
What Zhou Cheng wished for was to get out of the sea of suffering as soon as possible.
After calling Yang Yifeng, he was about to run away.
However, at the door, Yang Yifeng also came out with Liu Shiyu.
Said: "Well, there's no time to play. Not only did you receive a call, Director Zhang also called me and asked me to go to your hospital to help see a patient. It seems that the patient's background is not small."
"Then you agree?" Zhou Cheng looked at Yang Yifeng strangely.
"I agree, Zhou Cheng, although I'm not doing my job properly, don't doubt my professional ability and accomplishment, okay?" Yang Yifeng rolled his eyes, a little arrogant.
"Shiyu, you can take a taxi back first, I will go with Zhou Cheng." Yang Yifeng said to Liu Shiyu.
Liu Shiyu is also quite sensible, although he was a little pestering, he didn't get entangled, so he called a car and left.
In the car, Yang Yifeng asked Zhou Cheng: "Do you know what's going on with this patient?"
"Director Lu just said that both lower limbs will be amputated. I don't know the other details." Zhou Cheng shook his head.
"Then your director, you're really pitiful. Director Zhang told me anyway that this patient has multiple blood clots in his limbs and a ruptured blood vessel in his abdomen. His blood pressure is extremely unstable now."
"They asked me to go over to see if I could deal with the blood vessel problem." Yang Yifeng sighed.
"What's the matter, I'm an orthopedic surgeon, and I hang out in vascular surgery every day."
Zhou Cheng was curious: "You are in the vascular surgery department every day? What's the situation?"
"Changshi No. [-] Hospital, the director of the Department of Vascular Surgery, often invites me to do surgery, and I can't refuse. Then, I also know the brother who went to the Department of Vascular Surgery in our hospital."
"There's nothing special about our trauma surgery department. Even if it's a half-sale, half-gift, I'm sent to the vascular surgery department." Yang Yifeng said helplessly.
"..."
Talking all the way, the two arrived at the door of the hospital.
However, after Yang Yifeng got out of the car, he ran away as if nothing had happened. When Zhou Cheng was about to get out of the car and run to the operating room without any precautions, he was blocked by someone.
"Doctor Xiao Zhou, Doctor Xiao Zhou, I have found you." The person who came was Xu Kairan. His hands were very strong, and he grabbed Zhou Cheng's shoulders, and then burst into tears.
"Doctor Zhou, help!" Xu Kairan grabbed Zhou Cheng tightly.
Zhou Cheng glanced at him: "Xu Kairan, let me go, I'm going to the operating room now, if you have any questions, please come to my clinic tomorrow, okay?"
Zhou Cheng doesn't have much time now, and he is here to delay, there is a patient in the operating room, life and death are uncertain.
"Doctor Zhou, really, really, you need to save me. My hand is starting to hurt again. Last week, the leave note you issued was only for one week. My hand hurts so much."
"I just came to see you during the holidays, Doctor Zhou, please help me look!" Xu Kairan said with a sincere face.
There were a lot of people at the entrance of the hospital, all of them came to pay attention, and some people pointed curiously.
Zhou Cheng saw that this Xu Kairan was a scoundrel, so he might not be able to get rid of him, so he had an idea: "Well, Xu Kairan, you go to the emergency department to register and have an examination, I will go to the operating room for an emergency operation, and then I will come to you. How about it?"
"I promise, I will definitely come to you."
In fact, in a situation like this, it would be good to just send him away.
At the same time, Lu Bin's call came again, very politely: "Doctor Zhou, where have you been? Do you want me to send someone to pick you up?"
"Director Lu, I met Xu Kairan again at the entrance of the hospital." Zhou Cheng told the truth.
When Lu Bin heard this, his face changed suddenly.
"Doctor Zhou, wait for me." Then hang up the phone.
After Zhou Cheng hung up the phone, Xu Kairan still said: "Doctor Zhou, it's like this, can you go to the emergency department with me, it won't be long, I know the hospital, after the examination, you can directly see the results of the film .”
Xu Kairan held Zhou Cheng tightly.
Zhou Cheng wanted to break free, but Xu Kairan was dragged on the ground like a rascal, shouting and making a fuss, which made Zhou Cheng dare not use any more force.
When the security guard came, Xu Kairan just said: "I am a patient of Dr. Zhou, I registered last week, please don't touch me, my hand is already broken, if you break my bone again, you Take full responsibility."
These words frightened the security guards, but they still came up to let Xu Kairan speak properly.
Lu Bin arrived soon, and Xu Kairan was not afraid at all.
"Director Lu, I'm not afraid when you're here, and I'm not afraid when the dean is here. I just come to see Dr. Zhou. There's no other meaning! Doctor Zhou, I beg you." Xu Kairan wrapped Zhou Cheng like this, not Let go, no one pulls it.
Feeling so bad, Lu Bin had no choice but to call the police.
When the police arrived, Xu Kairan said again: "I came to see the doctor, and they all beat me, including him, and him. They bully our patients, look at my back."
Xu Kairan wrapped himself in a gray vest and showed it to the police.
Zhou Cheng and Lu Bin were stunned by this operation, and the police were helpless. The police were dispatched. It was not clear, so they had to take it back for investigation.
Lu Bin and Zhou Chengcheng said: "Comrade police, it's like this. We still have emergency surgery. Can we come back for investigation after the surgery?"
"Actually, Dr. Zhou rushed back to perform emergency surgery. Saving lives is like putting out a fire."
"I hope you can understand."
Xu Kairan said: "Director Lu, you can't do this, I just came to see a doctor, you beat someone, and you still don't recognize him after beating him, and now he wants to run away. Comrade police, you have to make decisions for me?"
"Look at my back, my hand hurts, but now it's about to break..."
Well, Lu Bin and Zhou Cheng, that's all, they were delayed.
Considering that Lu Bin and Zhou Chengcheng had missions on their hands, a group of people went to the security department to read the monitoring records, and Xu Kairan's movements were fully seen.
However, Xu Kairan still said: "You only saw me dragging Dr. Zhou, you didn't see him kicking me, I could feel it, you see, when I was rolling on the ground."
"You are controlling people's personal freedom. Why are you pestering people when you come to see a doctor?"
"Besides, Doctor Zhou doesn't go to work today, aren't you intentionally disrupting public order?" The police didn't want to talk nonsense with Xu Kairan, and warned: "Let me tell you, it's also Doctor Zhou and Doctor Lu who don't want to hold you accountable, otherwise. "
Before the police's warning was finished, Xu Kairan suddenly sat down on the ground, and then called his family.
"Uncle, I came to see a doctor, I was beaten up, and I called the police, but the police didn't help! Come and help me judge."
Then, Xu Kairan directly turned on the loudspeaker, and a voice came from the phone: "Several comrades, what is going on? I am also a staff member of the XX branch, and this is my nephew."
shit.
Hearing this, the policemen didn't dare to be careless, so they said, "You all go back with me."
Some people are inside the business, don't say they want to be partisan, but the matter must be investigated clearly.
Lu Bin said: "Comrade policeman, comrade policeman, we really have emergency surgery, can we do it after the operation is over?"
"It's true that you have emergency surgery, but you are now involved in a fight. Some people say that you beat someone. The current surveillance video is not enough to prove that you did not participate in the fight. We will not wrong you, and we will definitely return you innocent... ..."
Lu Bin and Zhou Cheng could only be taken away.
Lu Bin could only make a phone call.
A few minutes later, Zhou Cheng and Lu Bin got into the car not long ago!
The car bound for the police station turned around again and sent Zhou Cheng and Lu Bin to the hospital. The person on duty obviously gave Xu Kairan a few vicious glances.
However, when Zhou Cheng and Lu Bincai arrived at the entrance of the hospital and were about to get out of the car, Xu Kairan's relatives killed him, and the police comrades told them the reason why they sent him back.
But Xu Kairan's relatives didn't listen at all, and they didn't approve of the result. The matter hasn't been investigated yet. If you just send him back like this, it can't be solved. If it can't be solved, they can help solve it.
If the solution is clear, please issue the corresponding official documents, whether it is mediation or how to deal with it.
A group of people became anxious at that moment.
More than 20 minutes later, when Xu Kairan received a call saying that the patient's life was saved but both lower limbs had been amputated, Lu Bin became weak and said, "Comrade police, I can go back with you now." The investigation, the operation on our side, is over."
"The patient has amputated, and there is no other way."
Then, after more than half an hour, the whole story was clarified, and Xu Kairan also apologized to Zhou Cheng and Lu Bin.
It's just that when someone rushed over in anger and wanted to question Xu Kairan.
Xu Kairan's relatives stepped forward: "Director Dong, what a big tone? Who are you going to deal with? Why don't you deal with everyone in our house together?"
When the person came, his face changed suddenly when he saw this person.
"Director Wang, he is intentionally delaying the doctor's rescue and killing people on purpose!" The person called Director Dong was furious.
"Doctor Zhou, he is not on duty in the hospital. He is not on duty today. Oh, my nephew, going to see a doctor will delay his time, is it delaying treatment?"
"According to what you said, this hospital can't continue to operate without these two doctors? That's the responsibility of the hospital's scheduling. They have to be on duty in the hospital 24 hours a day?"
"It happened in front of the hospital, not in a public place! My nephew is a patient of Dr. Zhou. Why, is it illegal to seek medical treatment? At most, it's just that the situation is wrong, and we are willing to bear all the consequences!"
"But we were in Dr. Zhou's free time, which delayed his time. Just follow the rules?!"
……
When all the farce was over, Xu Kairan apologized to Zhou Cheng again.Then he was taken away by his uncle, no special treatment was given.
Xu Kairan did not beat anyone, nor did he disturb the so-called public order.
Even Xu Kairan knew that Zhou Chengcheng was not an employee of the hospital of traditional Chinese medicine, and he did not undertake the obligations and responsibilities of emergency treatment and emergency consultation. His weekends were real weekends, not working hours.
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