medical simulator

However, if Hu Kaihua gave it in private, then Zhou Cheng could take it anyway.

Zhou Cheng opened the envelope, took out a few, and handed it back: "Director Hu, I took these, you can take back the rest, it is not easy for everyone to earn money, if you think Teacher Zu is a good person, you Just pay her hospital bills."

"I have received both the heartfelt and practical thanks, and I will go back first!"

Zhou Cheng took five hundred.

Mainly, flying knives do not take money, which is a violation of the rules.

Fees based on knowledge earn hard money, so it is not appropriate to not take it. Of course, it is okay to take all of it, but there is no need for Hu Kaihua to spend money.

It is impossible for Hu Kaihua to help all patients, and the same is true for Zhou Cheng, so let's take it as a good deed.

Hu Kaihua naturally shirked with Zhou Cheng for a while, but Zhou Cheng still insisted, and then went straight down to the underground parking lot, and went back to Changshi with Master Gu without even eating.

After arriving in Changshi, Zhou Chengcheng asked Master Gu how much the bus fare was.

But Master Gu said: "Doctor Zhou, Director Hu has already paid for the fare. I'm only responsible for delivering it to your destination. You don't need to worry about the rest, Doctor Zhou."

While speaking, it seemed that he was more familiar with the market of this consultation.

"That's hard work, Master Gu." Zhou Cheng didn't say much.

He traveled from Changshi to Jinshi, and it was not easy for him. He was exhausted, so he went to find a place to eat first.

Just as I was going to the operating room, Director Lu Bin called.

"Doctor Zhou, thank you for your hard work today. It's like this. The patient in the emergency department a few days ago was out of danger, and now he is waking up in the ICU, so I hope we can go to the ICU for a consultation. .”

"Because Dr. Zhou performed the operation, the director of the ICU means to let Dr. Zhou go for a consultation in person. What do you think?" Lu Bin's words were full of politeness.

Zhou Cheng frowned when he heard this, he knew that the patient was Fang Miaomiao.

"Director Lu, what about the consultation? Do I have to go there?" Zhou Cheng asked rhetorically.

The main reason is that what Xu Kairan said earlier made him feel a little uncomfortable.What exactly is Lu Bin positioning him as?

I can't say whether Fang Miaomiao is right or wrong, but what I learned from Zhang Zhengquan is that Fang Miaomiao was not the first to be rescued from a car accident, but the first to reach the hospital!

This incident made Zhou Cheng feel as if there was a thorn in his heart, which made him feel a little uncomfortable!

When Lu Bin heard this, his tone continued to flatter: "Doctor Zhou, the main reason is that you performed the previous operation, so the director of the ICU thinks it would be better for you to go and see it yourself."

"You also know that there is almost no precedent for such an operation before. I'm afraid we can't see why it happened in the past. There are not even any other reference signs."

"Doctor Zhou, why don't we go together? I'll learn with you. I don't think you need to bother Dr. Zhou in the future."

Hearing this, Zhou Cheng couldn't refuse anymore. At this time, if he refused again, it would seem a little unreasonable, so he nodded and agreed.

Then, Zhou Cheng and Lu Bin arrived at the gate of the ICU. Maybe Lu Bin called ahead of time, so when Zhou Cheng arrived, many people were there.

Among them, Fang Miaomiao's family member, Mu Yin, thanked Zhou Cheng very warmly after seeing Zhou Cheng, and without further delay, the group, including Mu Yin, all wore isolation suits and entered the ICU in.

After entering the inside, the girl is still full of all kinds of tubes.

At this moment, his expression was very sluggish, his lips were pale and dry, and his face was bloodless.Although the endotracheal tube in his mouth was removed, he was still inhaling oxygen.

Covered with a quilt, he tried hard to open his eyes, his mouth was trembling as he wanted to say something, but he couldn't.

"Doctor Zhou, the patient's vital signs are relatively stable for the time being, but this leg is basically numb. What should I do?" the director of the ICU asked directly.

Zhou Chengcheng glanced at him and didn't answer. Instead, he probed the patient's peripheral blood supply. He could feel the pulsation of the dorsalis pedis artery. Although it was slight, it was still palpable.

As for activities?

Zhou Cheng first took the initiative to twist the skin around the ankle, but the patient felt nothing. Then, Zhou Cheng checked the pathological symptoms again, which was negative.

This shows that at least there is no neurological problem at present.

"Nerve repair takes a certain amount of time. Moreover, it is not certain whether the nerves can recover their activities and sensory functions after they are sutured together."

"If the neurological function fails to recover after surgery, neurological atrophy will gradually occur, but at least now there is a chance."

"Now, the patient's blood supply is good. Next, we can only look at the condition of the nerve repair. If it really doesn't work, it will be difficult to deal with it. Let's see if we can find a way later." Zhou Cheng frowned slightly He frowned and said so.

Hearing this, Fang Miaomiao's mother frowned and asked, "Doctor Zhou, is it possible that this nerve will not grow well? Could it be during the operation?"

Hearing this, Zhou Cheng's heart sank, and he replied: "After the nerve is severed, if it is sutured again, there will be a certain loss of function. This is a major limitation of the current medical level."

"Limb transplantation is a palliative rescue plan. You can expect to restore some functions, but it's best not to expect too much. You want to fully restore the normal motor and sensory functions of your lower limbs."

"That's also unrealistic."

"Are you Fang Miaomiao's family member? I don't know how to explain the rest, but under the circumstances at that time, I have done everything I can, and I have done my best."

Zhou Cheng didn't know if she was accusing herself, but Zhou Cheng still wanted to tell the truth clearly.

They are all amputated, and you still want to restore them perfectly as if they were not amputated. How is that possible?If you really want to trouble me because of postoperative complications or sequelae, then Zhou Cheng doesn't care, just follow the normal procedure.

Upon hearing this, Mu Yin immediately said, "Doctor Zhou, you misunderstood me."

"What I mean is, if you have other options, Dr. Zhou, you must ask Dr. Zhou to explain to us that we are willing to take risks as long as Miaomiao's leg can get better. I also ask Dr. Zhou to think of more ways, We must cooperate!"

Muyin is not stupid, through contact with friends and personnel in the medical field in the past two days, basically everyone is saying that this Miao Miao operation can be regarded as a miracle.

This kind of technique, not to mention unique in the whole world, is absolutely rare.

It is all thanks to Zhou Cheng that he was able to keep his legs and not amputate them directly.

It's just that people are greedy. When there is not enough greed, it is natural to hope that all functions are preserved as comprehensively as possible.

As for making trouble for Zhou Cheng, she dared not think about it.

If you want to find it, you are also looking for trouble with Lu Bin and the others. If you have amputated your limb without understanding what the situation is, are you capable?

When Zhou Cheng heard this, his heart moved a little: "It depends on the follow-up recovery situation. Now, the blood supply is good, and the nerve repair will take a while. At that time, we will discuss the follow-up treatment according to the degree of residual function."

"Director Jing, for this patient, the postoperative anticoagulant and hormone should continue to be used for a few days until seven days after the operation, when the swelling of the nerves has mostly subsided. You can reduce the dosage as appropriate, and then stop."

Director Jing, who is also the director of the ICU, hurriedly said: "Hey, okay, Doctor Zhou, this patient won't be able to stay in our department for a few days, and will be transferred to your orthopedics department in a few days."

"At that time, Dr. Zhou, you can come and arrange the follow-up diagnosis and treatment plan yourself. Dr. Zhou, your technique is indeed brilliant!"

This is not a commercial boast, but a real admiration. He has been here for many years, and he has never heard of the situation of amputation and then transplantation, which is unheard of.

But Zhou Cheng can still do it, this is Gao Ming.

After checking the room, Zhou Cheng felt that there was no need for him to come here.

After leaving the ICU, Zhou Cheng was stopped by Fang Miaomiao's mother, Muyin. He first thanked him again, and then asked some questions about Fang Miaomiao's situation in private, before he breathed a sigh of relief.

"Doctor Zhou, I have really worked hard on you this time. I have always wanted to thank you in person, but I have never had the chance. Therefore, my husband and I plan to treat Dr. Zhou to a light meal and express our thanks. Please Doctor Zhou must not refuse."

"Miao Miao's follow-up treatment, I hope that Dr. Zhou can take more care of you."

As the saying goes, reach out and don't hit a smiling face.

Zhou Cheng smiled: "Let's stop eating. Surgery is my job. No matter who is in such a situation, as long as I have the ability and time, I will try my best to help."

"I have received your kindness. Thank you for your kindness." After speaking, Zhou Chengcheng wanted to leave.

Seeing this, Muyin continued to smile and said, "Doctor Zhou, this is really just a simple meal, so it's not considered a violation of the rules? Doctor Zhou, this is just normal human behavior. Doctor Zhou, don't be too polite."

"Mrs. Fang, I know what you mean, but I really don't need to eat. Whether I eat or not, I will definitely do my best. Thank you for your kindness. I still have something to do. I'm sorry." Zhou Cheng clasped his fists, and leave.

Some people's food is edible, but some people's food is absolutely not so delicious.

Chapter 319 Harvest season!

"Doctor Zhou refused? Did he say anything?" Fang Chujun frowned when he heard Muyin's words, and continued to ask.

"I didn't say anything, but I didn't say anything! Regarding Miaomiao's follow-up treatment, I was afraid that Dr. Zhou would not care. Chu Jun, can you contact Dean Yang again?" Muyin asked.

The reason why Muyin wanted to invite Zhou Cheng to dinner was because he hoped that Zhou Cheng would take care of Miao Miao's condition in the future.

In the past, Mu Yin was dismissive of doctors, thinking that as long as there is a certain background, what kind of doctor can't be found, and how big the gap between doctors can be?

The doctors in Changshi No. [-] Hospital are unreliable, and I can even invite experts and professors from the Affiliated Hospital of Shonan University in Shashi for consultation.

But this time, through Fang Miaomiao's incident, Muyin realized that whether it's a top-tier hospital or the gap between doctors, it's huge!

In that car accident, they were sent to the hospital almost at the same time.

So far, two people have lost their lives, and one person is still unconscious. Only my daughter was injured the most at the beginning, but her current vital signs are generally stable.

This is not only due to the help of Dr. Yang, Zhou Cheng also played a key role.

Moreover, if Zhou Cheng could come to the operating room in advance, Fang Miaomiao might not even have to undergo amputation.

Even, after Lu Bin and others amputated, Zhou Cheng could still find a way to continue...

What kind of gap is this?

Fang Chujun rejected Muyin's proposal: "This kind of thinking is inappropriate. I called Director Lu Bin before. Whether Dr. Zhou wants to come to the hospital for consultation and surgery depends more on his own wishes."

"The hospital's opinion cannot influence Dr. Zhou's opinion."

"I also called and asked some people in the health system. After asking, this Zhou Cheng has a lot of background. Because according to the principle, in the health committee system, the resumes of ordinary doctors can be checked clearly. of."

"However, Zhou Cheng's resume has been sealed, and there are too few things that can be seen on the surface."

Muyin was surprised: "Sealed? Too few? What do you mean?"

Fang Chujun said: "At present, the resumes of Dr. Zhou Cheng that can be found through the health system are only a bachelor's degree from Shashi Medical College, a combined master's and doctoral degree from the Affiliated Hospital of Shonan University, and a doctoral degree. Other than that, there is no other record. gone."

"It's so simple, it's ridiculously simple."

"Muyin, I even asked someone to inquire about it in private. Dr. Zhou Cheng's teacher has two academicians, and they can both have great influence. It is impossible to do it through this aspect."

"However, based on Dr. Zhou's previous deeds in Shashi, Dr. Zhou is not a cold-blooded person. As long as he understands it with emotion and moves him with reason, he will not let the slight illness go unnoticed."

"Well, you can discuss with the director of the ICU more, and let the director of the orthopedics department, Lu Bin, agree to transfer the patient to the orthopedics department. To a certain extent, forming a diagnosis and treatment relationship with Dr. Zhou is very important for Miao Miao's current condition. have benefits."

Muyin heard that Fang Chujun just said it so simple. Although he was a little displeased, he didn't make any noise. Instead, he continued to ask: "Chu Jun, have you contacted other experts and professors? We will transfer to the affiliated Xiangnan University in Shashi. How about the hospital?"

Muyin thought to himself, Yang Yifeng is also a doctor at the Affiliated Hospital of Shonan University, and the medical resources he can get there will always be better than chasing Zhou Cheng and treating him as a life-saving straw, right?

Fang Chujun continued to shake his head: "Xiaoyin, don't talk about this matter in front of Dr. Zhou."

"Let me tell you something. There used to be an orthopedic doctor. Dr. Zhou Cheng had already operated on him. Then he went to the Second Affiliated Hospital of Shonan University for another visit through his relationship."

"The current situation is that he is no longer an orthopedic surgeon and has transferred to internal medicine."

"According to sources, if the doctor stayed in Dr. Zhou's team and didn't go to other places, he might still be a surgeon."

"This is one of the news I heard. Second, at least for now, several orthopedic professors and associate professors I have asked do not recommend transferring to another hospital. In the two fields of trauma surgery and vascular surgery, Dr. Zhou is currently one of the most outstanding experts in China."

"Even if you go to Shanghai and Kyoto, finding the best sub-specialty top experts may not be better than finding Dr. Zhou Cheng."

"On this point, Director Lu Bin did not lie at the time."

After hearing this, Mu Yin took a deep breath: "Is this Doctor Zhou so powerful?"

Fang Chujun didn't answer.

Mu Yin said: "Chu Jun, tell me, will Dr. Zhou hear some hearsay, and then the other party Miaomiao will have some misunderstanding with us?"

"I can't rule out the possibility, but it's hard to eliminate such a misunderstanding. If Dr. Zhou doesn't mention it, we should not take the initiative to bring it up." Fang Chujun sighed and hung up the phone.

Fang Chujun still had one thing he didn’t say to Muyin. Just now, a secretary of the deputy department called him and beat him up. What he said was that the medical system is currently in a period of change, and it is necessary to cooperate well. , don't mess around.

Although it was not clearly stated that it was Zhou Cheng, Yang Yifeng and others, but?

The meaning is already obvious.

……

Zhou Cheng returned to the dormitory, instead of chatting with An Ruo immediately, he sorted out the mailbox first.

I don't know when it started, Zhou Cheng also started to have the habit of tidying up his mailbox. In his mailbox, there were dozens of requests for articles from junk magazines, and there were also links for some magazines to invite him to be an article judge.

Zhou Cheng ignored it, and then found several key pieces of information.

The first one was from Fang Yun. Fang Yun seemed to be transferred to Xiangzhou People's Hospital because of personnel changes in the county hospital. The former director of his department and an attending physician were transferred to Xiangzhou People's Hospital.

The new director took the position of interim director, and there was a large shortage of staff in the department, so Fang Yun had to go back immediately and stop his further studies in Changshi.

Fang Yun could only go back to work temporarily. However, he still maintained his sincerity in learning and asked Zhou Cheng some professional doubts. Zhou Cheng thought Fang Yun was very interesting and answered them politely.

Then began to process the second email, from Cai Dongfan's graduate student, Li Chongyue!

Li Chongyue's four articles have all appeared in the journal. He is the first author, two of them, Zhou Cheng is the corresponding author, and two of them, Cai Dongfan is the corresponding author, but lastly, Zhou Cheng is also the second author!

The journal invited Zhou Cheng to pay the page fee for three of them.

There is no page fee for letters.