medical simulator
Page 568
This can impact the Nobel Prize.
This highest award will never be awarded to the developer of a certain type of operation or treatment method, but will be awarded to the researcher who has the most special research...
"Then there's nothing to be reluctant about. Yang Yifeng and I are currently in the same team. How can one person do each project?"
"I predict that this project will be carried out completely, and the number of people in the team will not be less than 20 people." Zhou Cheng replied.
When doing a project, there is no one who is not willing or not. Basically, it requires the participation of many people. Some people come up with ideas, and some people contribute. It's just that those who come up with ideas will be more difficult, but those who contribute, the task is relatively simple.
It's all an exercise.
A subject that can be completed by a single person, unless it is a basic subject area, such as mathematics, physics, etc., otherwise, the degree of completion and influence of this subject are generally of little significance.
Anything that has a major impact cannot be accomplished by one person.
"Then let's kill them well next time." An Ruo thought for a while, and at first started with her best friend.
Hearing this, Zhou Cheng said: "It doesn't matter if you treat guests to dinner, but Yang Yifeng told me today that he didn't want to be named on such a subject at the beginning. He doesn't seem to like being famous, and he is a bit foolish. In the end, I persuaded him. he."
An Ruo became angry when she heard this: "Yang Yifeng is just like this, taking advantage of his talent, playing with things and losing his ambition."
"I don't cherish my talent, but go to write some novels. There is no one like him. If it's not because he is your friend or my best friend's boyfriend, I don't want to have anything to do with him in my life." An Ruo especially Outraged.
Zhou Chengxin said, this is exactly what Yang Yifeng thought, An Ruo.
Zhou Cheng also disagrees with Yang Yifeng's ideas, but Zhou Cheng believes that his thinking and concerns are still of reference and reference: "An Ruo, we are not each other's individual, so we cannot fully stand on the other side's point of view. .”
"We are doctors, so we can't stand from the perspective of patients. When we are patients, we can't fully stand from the perspective of doctors. This is caused by a certain degree of cognitive impairment."
Seeing that An Ruo wanted to refute, Zhou Cheng snatched An Ruo's words first: "I didn't ask you to understand Yang Yifeng, but I don't think you need to have such great malice towards him."
"Don't persuade others to be kind without suffering others."
"When Yang Yifeng's parents died, he was called and asked to go for emergency surgery."
An Ruo's expression froze when he heard the words, and then his emotions gradually calmed down.
"As a doctor, he is duty-bound to do emergency surgery. As a son of man, he is filial to his parents. This is human nature. As a family member of a patient, he hopes to find a better doctor so that his relatives can obtain better medical conditions. That's right."
"Everyone will make their own choices, and there is no right or wrong choice. It's just that the nature of the profession is different."
Zhou Cheng didn't discuss with An Ruo deeply about the special health care group, because An Ruo's position is different, she may be the group of people being served, so she naturally feels that this existence is reasonable.
After Zhou Cheng finished speaking, An Ruo said, "Is Yang Yifeng so powerful? Does anyone still want to ask him for surgery?"
"Yang Yifeng is very powerful." Zhou Cheng nodded and explained to An Ruo.
This is a person who has been tempered in the simulated world for many times. He is so powerful that Zhou Cheng does not need to question him at all.
"Oh..." An Ruo replied with one word, and then killed the topic again.
At that point, An Ruo was still called to sleep by Zhou Cheng. It is very important for everyone to maintain enough sleep.
Zhou Cheng also lay on the bed, did not fall asleep immediately, but was thinking about a deeper problem.
People in the world will have one requirement for doctors, that is, those whose virtue cannot be close to Buddha cannot be doctors.
But the original source of this sentence is.
"Those who do not know the present and the past, do not understand heaven and man, are not close to immortals, and their hearts are not close to Buddha, they would rather plow the fields and weave cloth to get food and clothing than become doctors to mislead the world!" This is the requirement for doctors.
"Filial piety, loyalty, propriety, righteousness and shame." Is this the basic requirement for all people in ancient times?
……
There are not many surgical arrangements on Thursday.Most of them were arranged fracture operations, and there were not many things that Zhou Cheng could do. He just stood by to assist, give advice, and help out when necessary.
In the outpatient clinic on Monday, Zhou Cheng did not accept more complicated patients, so today there are no surgery patients exclusive to him.
And after all the operations are over, Zhou Cheng is planning to yo-yo.
Director Lu Bin stopped Zhou Cheng: "Doctor Zhou, you have worked hard again today. Actually, it's not a big deal, and you were delayed in the operating room all day."
Lu Bin also knew that in today's surgery, Zhou Cheng actually participated in very few operations, but Zhou Cheng was tied like a rope.
"Director Lu, you are being polite. I feel guilty because I didn't do much in the department. At least I can be useful in the operating room. Otherwise, I don't know what to do." Zhou Cheng said honestly .
When Zhou Cheng came to the Chinese Medicine Hospital, he didn't care about the patients, he didn't write medical records, and he didn't go to the emergency department. He just had to go to surgery, follow the ward rounds, and then hold occasional small meetings, which was actually very comfortable.This is already the life of a senior physician.
If he went to a large tertiary hospital, it would be impossible for Zhou Cheng to receive such treatment.
"Doctor Zhou, you are joking. Isn't it an overkill to ask you to do those miscellaneous and trivial matters? Besides, we don't dare to operate in private when you are not around for the current operation of our group."
"That's it, Doctor Zhou, I have a few things to tell you. I wonder if it's convenient for you today, Doctor Zhou?" Lu Bin's words were extraordinarily polite, as if he was afraid of offending Zhou Cheng.
Zhou Cheng hurriedly said, "Say it, Director Lu."
"The first one is Dr. Zhou, the family member of the patient who went to Jin City for emergency surgery last week. I sent two cans of bacon and beef jerky yesterday afternoon. I put them in the office. This is the kindness of their family, and Zhou You also said it, doctor, so I accepted it, and you have to go get it with me." Lu Bin said.
"Oh, thank you!" Zhou Chengcheng almost forgot about this matter, and was a little moved.
"The second thing is, Dr. Zhou, Fang Miaomiao's limb sensation has recovered. You saw it during our rounds in the morning. But, the patient's family members were all at work at the time, and the escort and grandpa were here. How inconvenient, so, at noon today."
"Fang Miaomiao's father called me specifically, and I hope that Dr. Zhou can take the time to take a look at it before you get off work. Fang Miaomiao's parents will ask for leave. Do you think it's okay?" Lu Bin looked at it sincerely. Zhou Cheng.
This time, he behaved himself, and did not agree first, but asked Zhou Cheng for his opinion, and then answered.
Just kidding, Yang Jun broke because of this incident. If you want to say that Yang Jun, the stain on his body is because when he was promoted to the dean, he gave a gift and then walked around. , not to mention smoking and drinking, it's not a big deal at all.
But since there is a problem found, the position of the dean must not be kept, and now they are all transferred to the Health and Health Committee to sit on the bench.
This Yang Jun is cleaner than himself, it's just that he has a good reputation.
"Director Lu, I'm free today. If I need to go out of Changshi temporarily, I will let you know in advance. If there are no other circumstances, I will always be in Changshi." Zhou Cheng replied.
Before Yang Jun's incident happened, Zhou Cheng could occasionally receive a consultation call, even if he was not allowed to go, he would ask more questions, but now, Zhou Cheng is like a detached boss every day. No disturbance.
Fang Miaomiao's lower limb transplant was performed by himself, and Zhou Cheng's neurological function would recover, which was expected by Zhou Cheng, but if he wanted to achieve the immediate postoperative recovery that Xiang Fang Chujun and Muyin asked for, he had to go to the gods , At present, it does not conform to the healing and rehabilitation laws of the nervous system.
Now that she has recovered, Zhou Cheng has to change two kinds of medicine for her, and teach Mu Yin and the escort some recovery instructions. He spent most of the time today thinking about this matter.
Because he now knows no less than twenty rehabilitation methods, all of which are useful, but he needs to choose the most suitable one, the most suitable for ordinary people to learn.
Lu Bin quickly smiled, and he knew that Zhou Cheng was a soft-hearted person, and immediately said: "The third thing is that the people in our department, including the other two directors, all hope that you, Dr. Zhou, can Schedule another class."
"It depends on when you are suitable, Dr. Zhou. If it is convenient, we are willing to learn something together."
"Or, do you think this is good, Doctor Zhou, Director Quan said, he will list some questions, Doctor Zhou, it's not convenient for you to attend class, so it's good to spend Friday morning to answer questions." Lu Bin began to talk about business.
Before, he had agreed with Zhou Cheng to give a small lecture, but this lecture should not be given randomly, but should be given according to the needs, so he discussed with Quan Zhuolin and Tong Xun after returning home that this kind of lecture could be adopted. In the form of question and answer, I occupy the initiative in the learning process.
"That's fine, Director Lu. You just need to arrange the time. I'm free recently." Zhou Cheng said with a happy expression when he heard this.
Recently, he has just started to think about the class. Before going to teach junior college students, it is naturally the best thing to do a few more times in the department, but he is afraid that Lu Bin and others will think that he is bullying others and occupying their space. Break time.
Now that Lu Bin took the initiative to mention it, there was no reason why Zhou Cheng should not.
After Lu Bin finished speaking, he and Zhou Cheng both changed their clothes and started to walk outside the operating room. Then Lu Bin said: "Doctor Zhou, there is a fourth thing to do, which is Director Quan's side. I have a more complicated patient, I hope you can go over to have a look after tomorrow's rounds."
"Director Quan originally planned to let you go directly tomorrow, so let me ask your opinion in advance."
"What's the diagnosis?" Zhou Cheng asked.
"Infection, a large-scale infection. I've seen the MRI. From below the greater trochanter of the femur to above the ankle joint, a huge abscess cavity appeared, but there was no bone destruction, which is very strange." Lu Bin said .
When Lu Bin said this, Zhou Cheng was also interested.
Such a large-scale infection without osteomyelitis and bone destruction, so this infection is indeed a bit strange.
"Director Lu, did Director Quan go to the countryside for surgery today? If not, let's go see this patient today?" Zhou Cheng asked.
Directors like Quan Zhuolin are actually invited by many small hospitals and county hospitals for surgery. After their ward rounds are over, they often go to those places for surgery.
"That may be inconvenient. Director Quan just went to An County today." After Lu Bin finished speaking, he added: "But if Director Quan knew that you are willing to see Dr. Zhou, he probably wouldn't go to An County."
Zhou Cheng hurriedly said: "That's not the case, Director Lu, Director Quan's own schedule is the most important thing."
Quan Zhuolin, also the chief physician, has his own outpatient clinic, his own surgery day, and his own patients.If two people want to take time off at the same time, Zhou Cheng will try his best to cooperate with each other.
The two of them talked, put the slippers in the frame, changed into their own shoes, and walked to the elevator outside the operating room. While waiting, Lu Bin asked again: "Doctor Zhou, tell me, Fang Miaomiao's Two legs, optimized in the end, to what extent can they recover?"
"I mean the most optimistic scenario."
Zhou Cheng frowned when he heard this. In fact, this question should be asked by the patient and his family. As an orthopedic doctor, Lu Bin is very layman with this question. Of course, Zhou Cheng can also understand Lu Bin's pressure.
Fang Chujun, the power and current status in Changshi are still extremely high.
"It depends on the situation. I don't know what Fang Miaomiao looks like before the operation. If she is studying art or dancing, then her career may be gone. In daily life, it is probably not a big problem."
"Director Lu, let's talk about this in private. Because you also know that the idea of this kind of amputated limb transplantation is not yet mature. At present, according to the understanding of the industry, staying alive is the best. "Zhou Cheng hurriedly confessed.
Don't take the words I told you to Fang Chujun to fool and show off. In case something happens and he troubles me, that's fine.
You were originally amputated, and I transplanted the severed limbs. This is human favor. If you end up making a mess and you become saints, then this is not appropriate.
Three points are able to eat, six points are self-protection, and one point depends on God's will. This is the principle of self-care of doctors.
A gentleman does not stand under a wall of danger!
"That's natural, Doctor Zhou, I still understand that."
"Doctor Zhou, to be honest, in my heart, I regard you as Mr. Zhou, but you don't let me call you old, so I didn't insist." Well behaved.
Zhou Cheng smiled and said, "Director Lu, you're overrated."
Being a teacher sounds good, but the pressure is still great.Besides, did Lu Bin really look so honest?That may not be the case.
Has the nurse team in the department always been so good-looking?The purple clothes in the outpatient clinic have not been removed yet, just kidding, don't be careless.
You must not have the heart to harm others, but you must have the heart to guard against others.
After the elevator came, the two of them shut up. There were still many people inside, saying hello to Lu Bin.Lu Bin hurriedly introduced to them that this is Zhou Cheng, the instructor of the orthopedics department, young and promising.
They hurriedly greeted Zhou Cheng again, Dr. Zhou and Mr. Zhou, with enthusiasm.Zhou Cheng also responded enthusiastically, saying hello, people are so worldly, as long as they are willing or not, basically there is no difficulty.
After getting off the elevator, the two of them went to Lu Bin's office first. The beef jerky still followed Zhou Cheng's expectation. He went back with his own can and kept the other can in the department, which was cheaper for the doctor and nurse on duty. Being able to eat it for a week can be regarded as even rain and dew.
After this, the two of them took out the MRI that Fang Miaomiao had just scanned today after the operation, and after careful observation for a while, Lu Bin said with emotion: "Doctor Zhou, it's unimaginable, the direction of this nerve , it looks the same as before it was stitched up. No wonder Fang Miaomiao can recover."
"Is it the same? There is still a difference, Director Lu, you see, in other unsutured areas, the edema signal will be much less. And, Director Lu, you see, at this level, we can also see thread knots and blurred spots , which is the breakpoint."
"Without a few months of healing time, it is basically impossible to grow. Now it is estimated that only some of the nerve fibers are in contact, so there is a certain feeling." Zhou Cheng talked about the existing defects after the operation, and at the same time Showing Lu Bin his powerful film reading skills.
Of course, there are stronger ones. Zhou Cheng can even see which nerve fibers may have been restored, so the sensation in the corresponding area can be restored.
This is a bit too embarrassing and unbelievable. Zhou Cheng doesn't need to use this to frighten Lu Bin.As for this kind of theory, the general professors probably don't understand it very well, and only a few top hand surgeons can get in touch with it.
Lu Bin smiled and said: "Doctor Zhou, this will definitely exist. If you can do this, you will be astonished. I boldly estimate that there are not many people in Hunan Province who can do it, right? "
Zhou Cheng also smiled, and continued to read the film. On the nuclear magnetic field, it can basically display all the microscopic structures of the human body. It just depends on whether you can capture it.
Of course, this does not refer to the printed films, but the full set, the original films.The printed ones are cut, skipping a lot of information and layers that radiologists think are secondary.
But in fact, there are many things that can be read out on NMR.
In terms of film reading, it is free in China, but in foreign countries, the cost is many times higher than in China. An X-ray film review can charge [-] to [-] dollars.
This is definitely not common in China. If you take an X-ray in China, you will be quarreled with at 44 oceans for a long time, thinking that you are wasting other people's money.It costs several thousand to watch a movie, so I have to work hard with you.
This is the general environment, there is no way, this is also one of the biggest reasons why many medical students can stay abroad once they go abroad, and they don’t want to come back...
5 minutes, 10 minutes later.
Lu Bin was about to fall asleep, his eyes were startled, what the hell was Zhou Cheng looking at this week?If the alignment of the nerves is good, isn't it over?
He complained in his heart, but on the surface, Lu Bin was still smiling, not daring to disturb Zhou Cheng's reading.
As for Zhou Cheng, of course he was actually reading the film. After watching it for about 15 minutes, he retreated a certain distance with confidence, and it was very embarrassing to Lu Bin: "Director Lu, do you want to read it again?"
Lu Bin shook his head, waved his hands, and smiled awkwardly: "No, no!"
He knew that Zhou Cheng must have seen something when he said that, but he followed Zhou Cheng to watch it all the time, but he didn't see anything strange, it was strange.
Then, Zhou Chengcheng and Lu Bin went to Fang Miaomiao's ward again.
After two weeks of recuperation, Fang Miaomiao's expression recovered slightly, at least her face was rosy, and when Zhou Cheng entered, Fang Miaomiao's mother Muyin was checking her sense of touch.
Fang Miaomiao was shouting excitedly: "I have a feeling, I have a feeling. Mom."
Zhou Cheng knocked on the door ahead of time, and it was Fang Chujun who opened the door. After seeing Lu Bin and Zhou Cheng, he hurriedly greeted him: "Doctor Zhou, Director Lu."
"Dr. Zhou and I came over to see Miao Miao, and then we'll work on the follow-up treatment plan according to the situation." Lu Bin said nervously, and set his eyes on Zhou Cheng, which probably meant that chatting and human relations matters, we Come on, for professional matters, it depends on Zhou Cheng.
Zhou Cheng just smiled at him, then passed by, and when he got to the bed, he saw that Mu Yin left the bed quickly, and the quilt was not covered very well, Zhou Cheng squeezed the corner of the quilt, and asked: "What is the pain now?" Is the feeling still strong? It’s been two weeks since your operation, logically speaking, it shouldn’t be very painful, right?”
"It doesn't hurt, it's just numb. There is a kind of numbness like electric shock." Fang Miaomiao's voice was much more energetic than before, his eyes were fixed on Zhou Cheng, his eyes blinked, and he was a little shy.
Before that, she didn't have the heart to look at Zhou Cheng's appearance, but today, she saw that Dr. Zhou, who was praised so much by her parents, turned out to be so handsome.
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