medical simulator

Lu Bin and Qin Ming ignored Zhang Zhengquan's complaints and rejoicing, but frowned, thinking about Zhou Cheng's words.

After crying and thinking for a long time, although he did not understand and understand thoroughly, he still sighed, and Qin Ming said: "Doctor Zhou, if my teacher could teach like this when I was studying, that would be great."

"What if the anesthesia has already been completed?" Qin Ming asked his own question again.

Zhou Cheng heard Qin Ming's words and said with emotion, brother, do you think everyone knows these things?How much work did it take me to summarize these points?Now, it's not perfect yet.

Although it is simple and easy to understand, I realized it thoroughly, tore it to pieces, and then fed it to you. Of course, it is easy to understand. If it is difficult to understand, then all the hard work I did before was in vain.

The complaint was just in his heart, and he replied: "Under anesthesia, even if muscle relaxants are added, the muscles will still feel stimulation through proprioception and produce a state of micro-contraction. At this time, we may have to apply Not antagonistic, but active stress."

"It's not easy to understand, that is, to put it simply, we can actively stimulate the few muscles we think we need to use, produce a contraction state, and help us achieve the purpose of reset."

Lu Bin opened his mouth and was blocked by the mask, but his eyes narrowed.

It's so fucking simple, can you make it simpler?

Qin Ming simply didn't bother to ask anymore, it was too shocking, but he also knew that there were some things that could only be understood but not expressed in words.

"Oh, so that's the case." Qin Ming could only pretend that he understood.

But in fact, what Zhou Cheng was talking about, he was also a little confused.

Zhou Cheng didn't continue to struggle, and then everyone moved the topic to other places, mainly asking, does boss Zhang Zhengquan have a girlfriend, what does the family do, and then talk about whether Qin Ming's son has studied this year. No nutritious words.

Soon, the operation proceeded to the opening of the second stage.

The fracture in this table is a fracture of the humerus. Although it is a fracture of the middle part of the humerus, it is a bit difficult to reset the fracture of the middle part of the humerus.

At the beginning, Zhou Cheng and Zhang Zhengquan were still on the sidelines, and then Lu Bin, Qin Ming and others began to reset the technique.

However, three times in a row, the fracture was still broken, and the reset did not reset at all. Lu Bin's face was so dark that it was ugly.

Seeing this, Zhou Cheng didn't wait for Lu Bin to take the initiative to open his mouth, and said first: "Director Lu, the fracture of this unit is indeed difficult to reset. Let me do the reset. You and Director Qin will complete the subsequent fixation operation. .”

While speaking, Zhou Cheng, Lu Bin, and Qin Ming walked into the operating room.

Zhou Cheng said at the same time: "Director Lu, Director Qin, the reason why the fracture of the humerus is difficult to reset is because of the stretching of the muscles. In this case, we need..."

Zhou Cheng tried his best to use a theory slightly higher than that of Lu Bin to guide him, and then to carry out printing and comparison through realistic operations.

"At this time, the original friction between the fractures can just resist the pulling force of the muscles. After the fracture is reset, it will no longer be displaced." Zhou Cheng said as he led people out of the operating room. Came to the isolation room.

After pressing the button to take a photo, sure enough, on the display screen, there was an unremarkable display of a fracture reduction state that was even more perfect than the manipulative reduction of the tibial fracture done by Lu Bin before, just waiting for Lu Bin to complete the fixation operation up.

Because of Lu Bin's previous comparison, everyone in the isolation room could immediately feel the gap between Zhou Cheng and Lu Bin, and looked at Zhou Cheng with even more awe.

Without comparison, there is no harm. When you get used to better things, it is difficult to change from extravagance to frugality!

This is Zhou Cheng, minimally invasive fractures, although everyone can do it, but the final effect must still be different, and the appreciation of the operation is also completely different.

This can be said to be another level of art.

Lu Bin nodded even more, and said with emotion: "Doctor Zhou, I take it."

"It seems that our department is still a long way from actually carrying out minimally invasive fractures." Lu Bin completely abandoned his previous ideas.

Some things are not as simple as they seem on the surface. Some operations, you can understand, and you really can, that is a completely different concept...

What I understand is that I can operate, but I can start the operation completely, complete it completely, and then increase the speed and quality of the operation.

However, the real skill in surgery is to disassemble and disassemble the surgery, just like an art performance, and slowly express them, one is just a simple operation, and the other is a work of art up.

Minimally invasive internal fixation of fractures is not difficult, simple, and even more difficult.

Zhou Cheng's teaching made Lu Bin feel more deeply about Zhou Cheng's knowledge reserve, as well as his ability and depth of understanding of surgery.

Zhou Cheng pursed his lips and said, "Director Lu, it's actually okay. The most important thing is that it's still reset."

"Small incision open reduction and internal fixation, the treatment concept is derived from the fracture treatment principle, and it is not difficult to go beyond this principle. It is the first time for Director Lu to operate alone today, so he will feel that the progress is difficult. .”

"But once there are more sets, you will gradually become proficient."

Director Lu, you must not be so anxious. What level have you reached? At most, you just got started, and you just want to reach my perfect level. It must take time to accumulate.

When I first studied, I relied on my own groping, now you just need to follow my current path...

Of course, Zhou Cheng didn't dare to say this, otherwise, he would feel a little guilty. The surgery he learned by himself was based on cheating, and Lu Bin and others learned it in real terms.

It can't be compared like this.

The next operation was still going smoothly.

Surgery sounds grand, but there are key points and difficulties. Some basic operations are known to most surgeons.Zhou Cheng's treatment concept is actually independent of manual reset, and its root is naturally manual reset.

Minimally invasive internal fixation is just the finishing touch, in order to increase the reinforcement and fixation of fractures after manual reduction.

To have a thorough understanding of a surgery is to strip out the essence and start with principles, so that you can better understand a surgery...

Chapter 329 The ignorant are fearless!

Some operations, if you don't do it yourself, you can't appreciate the difficulty.And some people's level, I am not in that field, so I can't feel the level of their level.

What the eyes see and what the mind thinks, it is also difficult to truly understand the heights that another person has reached.

It is a kind of thing that is easy to happen in normal operations if the brain knows the hands.

Lu Bin and Qin Ming admired Zhou Cheng more and more after experiencing the first two units being operated by themselves.

Lu Bin’s mentality has also become much more relaxed. After leaving the operating room, he said to Zhou Cheng: “Doctor Zhou, I watched your operation before, or you After the reduction, I will do the follow-up fixation operation of the minimally invasive internal fixation device.”

"I don't think it's too difficult, but when I have to do it all by myself, I still feel nervous, and I can't always achieve the results I want. It's difficult." Lu Bin said with a solemn expression, while talking slowly Drinking a glass of water relieved the inner emotions.

Qin Ming pretended to get a glass of water for Zhou Cheng and Zhang Zhengquan. Zhang Zhengquan stood up and took it, and then thanked Qin Ming. Qin Ming didn't care, but listened carefully to Zhou Cheng's explanation.

"Director Lu, the main reason is that I am relatively young, and I may be able to do things by myself, but when it comes to teaching, there are actually quite big flaws. I really don't have any experience." Zhou Cheng also found his own shortcomings.

Is it difficult to be a teacher?

It is not difficult to say that it is not difficult, but it is not difficult to teach the knowledge well and express the knowledge and your own understanding.But it is not easy to teach people well, until people understand.

Teaching in primary and junior high schools is not easy, let alone the current knowledge structure and system?

In fact, being a university teacher is the best and the hardest thing to be. The best thing to do is to select high-quality students. The hardest thing to be a teacher is that it is difficult for you to explain your understanding to others. It depends more on your personal talent. .

This is difficult.

If it is only for individuals, Zhou Cheng has various methods. It is really not possible. He can also simulate how to teach a person through the simulator. However, what Zhou Cheng wants to do must not be fully realized through the simulator.

In the process of teaching Lu Bin, Zhou Chengcheng did not take shortcuts, but planned to be a real teacher for a while, which will also help Zhou Cheng improve his teaching theory in the future.

Before that, no matter whether it was Chen Shengwu, Yang Yifeng, or Yu Heng, these people were not normal people, they had a high level of comprehension.Even Qin Ming's aptitude is quite good, while Lu Bin in front of him belongs to the kind of person with mediocre talent.

How to teach such people well has a broad-spectrum nature, which is very helpful for the regularization and systematization of medical teaching.

Now that we have made up our minds to digitize the medical strength and skill levels and make them hierarchical, we have to think about all aspects and find out in detail, which is not easy.

Not easy is a good thing. If everything can be achieved casually, then life must not have so much meaning. What's more, this matter has great significance and far-reaching impact.

If it is done well, it will be famous for thousands of years. If it is not done well, please refer to the position in the hearts of medical students of the group of people who compare the training system of Huaguo to Western countries, but their treatment cannot keep up...

Lu Bin said: "No, Doctor Zhou, your teaching theory is solid and easy to understand, but my learning progress and speed are too slow to keep up with your rhythm. Perhaps, my learning speed is faster than Qin Ming's. You have to be slow, just rely on your own basic skills to support here."

In Lu Bin's opinion, Zhou Cheng is already an excellent teacher.The basic skills are terribly solid, the theory is transparent, and all the knowledge structures can be divided into divisions, but it is difficult for oneself to absorb and apply flexibly.

In the theoretical system of medicine, it is estimated that there will not be too many people like Zhou Cheng.

There are too many people who are good at doing things but not good at teaching.

Even Zhang Zhengquan said: "Brother Zhou Cheng, I think you teach very well. I can understand a lot with my skills."

He does not mean that.

Zhou Cheng's eyes lit up when he heard what Zhang Zhengquan said.

Hey, that's right, Zhang Zhengquan is here in Changshi now.

If you want to say, among the people he came into contact with, whoever has the lowest aptitude belongs to Zhang Zhengquan without a doubt. His talent in medicine is completely inferior to one-tenth, or even one-hundredth of his weirdness...

If Zhang Zhengquan can be taught well, it will definitely be useful to most medical students.

In an instant, Zhou Cheng's eyes became hot.

Zhang Zhengquan Toolman can finally go online in the simulator...

Zhang Zhengquan saw something wrong with Zhou Cheng's eyes after he spoke, and his expression froze for a moment. He retracted the collar of his sterile surgical gown, stretched his head over, and lowered his voice: "Brother Zhou Cheng, if you take a fancy to me , tell me, I will go to your house at night."

"Get lost!" Zhou Cheng cursed.

A joke broke the previous embarrassing atmosphere.

"Boss Zhang and Dr. Zhou have a good relationship?" Lu Bin asked with a smile.

Zhou Chengcheng said: "Zhang Zhengquan and I were former classmates who were trained together. We were in the same group. He was one year younger than me, but now he has withdrawn from training and has changed his career from being a doctor."

Zhou Cheng himself, in April of this year, has already completed the training plan, and has also taken the exam. It is estimated that he will be able to get the certificate in a short time, and in August, he will also participate in the exam for the attending physician go.

But Zhang Zhengquan no longer engages in the profession of doctor, and now he doesn't even bother to hang up his name. Although he has a doctor's qualification certificate and a practicing certificate, he hasn't finished the training.It is still not possible to engage in related industries, at least not to practice alone.

Lu Bin's expression flashed: "So that's the case. I really envy you young people."

There was something in Lu Bin's words, and his mind became active.

Isn't this a loophole that Zhou Cheng gave him? Zhou Cheng and Zhang Zhengquan were friends before, but now one is a device dealer and the other is a clinician. If there is no interest relationship in it, no fool will believe it.

Zhou Cheng didn't understand the meaning of the words, but Zhang Zhengquan said with a serious expression: "Director Lu, Brother Zhou Cheng and I are purely friends, and everything else is irrelevant. Director Lu, don't have any misunderstandings, otherwise this misunderstanding It’s hard to unravel.”

In fact, as an equipment dealer, Zhang Zhengquan should please Lu Bin, but he is not afraid of Lu Bin.Now the role he is taking on is a company with quantity procurement targets. In a hospital, he can't eat much quantity, and he can't make much money per steel plate.

It is purely based on quantity, and only by taking quantity can you make money. Therefore, a Lu Bin is not enough to make him afraid, and it is a big deal not to do it, but Zhang Zhengquan still wants to make money with peace.

When Lu Bin heard this, his eyes froze, and he said to himself, who is this kid, so fierce?

Zhou Cheng took a look at Zhang Zhengquan and explained, "Director Lu, I used to be in Shanghai, and my friends worked in Shashi most of the time. It just so happened that I met them in Changshi."

Zhou Cheng also chimed in.

Lu Bin immediately realized, that's right, Zhang Zhengquan was in Hunan Province, but Zhou Cheng was in Shanghai, so there might be no interest relationship before the proof, so now?What about in the future?

……

After a while, Zhou Chengcheng took the initiative to propose: "Director Lu, I'll go to see the plain film and preoperative examination of the deformed thumb at the back, and go through the operation plan again. I'll go to the operating room first."

"You and Director Qin, come back later."

Lu Bin heard that this was a very good opportunity: "Qin Ming, you can go with Dr. Zhou and hurry up the operation turnaround. The people below don't be lazy and help out on stage."

"Boss Zhang and I have something to talk about."

Qin Ming thought that Zhang Zhengquan, as a new equipment dealer, was still young, and his previous words were a bit aggressive, so Director Lu Bin planned to hit him, and the content of the conversation was inconvenient to listen to, so he immediately followed him out.

He is now the deputy chief physician, and he is still clear about the doorway inside.

After Zhou Cheng and Qin Ming left, Qin Ming consciously closed the door.

However, when Lu Bin saw that the timing was right, Zhang Zhengquan said before he could speak: "Director Lu, let me tell you, I am Zhang Zhengquan, and Zhongzheng Company is mine."

"I don't dare to say anything else, but if I don't want to provide Changshi Hospital of Traditional Chinese Medicine with the authority to provide any equipment, I still have it."

"Zhou Cheng is my friend. I hope Director Lu, you don't make things difficult for him, and don't think about making things difficult for him."

"I am like this. I like to say anything on the bright side." Zhang Zhengquan first changed his face, his face was dark, and he couldn't see any joy or anger. However, when he was speaking, he directly gained the upper hand. .

Just kidding, Zhang Zhengquan had been in contact with the directors and professors of major hospitals before. Although he was at a disadvantage at that time, he learned a lot over time.

Lu Bin, the director of a prefecture-level city hospital, he can really look down on.When he was able to overwhelm others with his strength, Zhang Zhengquan didn't want to push him too much.

When Lu Bin heard this, he immediately swallowed his own words back, and looked at Zhang Zhengquan in astonishment, with an inexplicable expression on his face.

Zhang Zhengquan continued: "Director Lu, the most important thing in our business is to make money in harmony. But our company doesn't want to touch some principled things. The main purpose of my starting this company is not to make money."

"That's about all I want to say. Besides, we can be friends. We should eat, drink, talk about what we should talk about, and we don't talk about what we shouldn't talk about."

After Zhang Zhengquan finished speaking, he remained silent, and then waited for Lu Bin to speak.

Lu Bin digested it for a long time, and finally came to his senses: "So, Boss Zhang, you came to Changshi just for Dr. Zhou?"

Among other things, the general managers of some major equipment companies are no longer at the grassroots level. As the CEO of a company, Zhang Zhengquan directly came to the prefecture-level hospitals, which is not normal in the first place.

If he was able to come here in person, the relationship between him and Zhou Cheng would have to be reassessed.

There are some things that Zhou Cheng, as a doctor, is not easy to do or say, he can say.

"That's what it means. I'm the younger brother who hangs out with Brother Zhou Cheng. Director Lu, thank you for taking care of Brother Zhou Cheng during this time, and I hope Director Lu will take care of him more in the future."

"If necessary, our company can provide Director Lu with a lot of convenience, including opportunities for advanced studies. Not only can I send Director Lu to study abroad, but I can even send you, Director Lu, to become a doctor abroad." Zhang Zhengquan smiled and revealed Teeth, but covered by a mask.