medical simulator

"Hey, Professor Ning, the girl you introduced is just a cover, you need WeChat to be real. Others Xiao Zhou already has a girlfriend. Xiao Zhou, don't add him, you add mine. I know there are many gyms in many places that can Discount."

"Besides, I have a half-month experience card for the gym near the hospital. You take turns to experience it. As long as you don't go there very diligently, you probably won't need to apply for a card for a year or two. You're going to the gym for nothing."

"What kind of people are you all? Don't respect the old, Xiao Zhou. Let's add a WeChat later. When we have an academic conference in surgery, I will call you..."

Hearing this, Zhou Cheng raised his head and smiled at everyone, nodded and said yes, and thanked all the teachers.

Then when he focused all his attention on the operating table, Guang Yanhu said in a low voice: "These professors are looking at your strength. In the future, when they encounter difficult patients in the clinic, they hope to find you to treat them."

"Most of the severe emergencies encountered by the Affiliated Hospital of Shonan University are fatal. If you occasionally encounter difficult emergency patients, the general hospitalist on duty is not strong enough, and you call them in private."

"This is also a manifestation of connections. Of course, the stepping stone is that you must be recognized first."

When Guang Yanhu said this, he opened his eyes and continued to educate Zhou Cheng: "After you add WeChat later, you must note the department and name in detail, otherwise, you will be confused in the future."

"And after you go to work, these professors will also be your best working partners when you are working. It can be said that the more professors you know from other departments, the better your work will be carried out."

Zhou Cheng nodded thoughtfully.

"Thank you, Professor Guang."

Birds of a feather flock together.

Even in such a top-level hospital, there are different circles. There is a group between graduate students and graduate students. Between doctors and doctors, there is a network of people. Attending consultations, associate professors discuss how to be promoted to professors , enjoy life.

Among the professors, they think more about how to make the patients in their own groups and departments survive, and what channels and resources can be used to solve various complications!

"In real clinical practice, no patient will get sick according to the textbook, and it will not be just a simple disease. At this time, consultation is very important. This is especially true for consultations in some internal medicine departments."

"Also, the network in the anesthesiology department is the most fundamental background of a surgeon. What kind of patients, what kind of anesthesiologists dare to open the desk, and what kind of patients, the anesthesiology department dare not open the desk. It depends on the individual!" Guang Yanhu continued.

However, while Guangyanhu was talking, he saw that Zhou Cheng pulled out the unknotted thread that he had just sewed up, and then used tweezers to rearrange it, exposing the layers of Guangyanhu's stitching. It was too deep, and it hit a small artery.

"Thank you Professor Guang for your guidance." Zhou Cheng's tone was still sincere, and he didn't start playing any tune just because he had just corrected Guang Yanhu's mistake.

Guangyanhu was actually a little embarrassed, and Guangyanhu saw it, and the Zhupei next to Zhou Cheng looked in shock, as if he couldn't believe it at all, Zhou Cheng dared to tear Guangyanhu's stitches , and it is even more unimaginable that Guang Yanhu, the technical director in the group, will also make mistakes.

Guang Yanhu blushed even more embarrassed.

Taking a deep breath, he resumed sewing, only more focused.

Another 40 minutes later, Guang Yanhu looked at his finished wound, raised his head and asked, "Xiao Zhou, is this all right?"

Asking this question is like a student.

During the whole suturing process, Zhou Cheng corrected his mistakes three times. The second time, he was careless, but the third time, Guang Yanhu really did not expect that Zhou Cheng could notice the blood vessel that was not much bigger than a hair. Cavity!

"It should be fine for the time being." Zhou Cheng felt the normal beating of the dorsalis pedis artery and breathed a sigh of relief.

"VAC coverage, skin grafting can only wait for the second phase. For this patient, the bacterial culture results must be followed up every day after the operation, and antibiotics should be adjusted at any time. After returning home, one time of Vancoma is used directly, and piperacillin is used for routine antibacterial treatment. Cephalosporins are temporarily used. No."

For such a patient, if the antibiotics were not used enough in the early stage, if an infection occurs and the emulsification of the soft tissue is caused, then next time, there is really no chance of limb salvage.

At this time, the amount and level of antibiotics used must be higher.

Guang Yanhu did not express his disagreement, but only confessed: "Vancomycin intravenous medication can only be prescribed with Professor Cai's job number. After the prescription is completed, immediately ask the pharmacy department for consultation, explain the situation, and ask the pharmacy department for a supplementary consultation." Opinion!"

"Okay, Professor Guang." Zhu Pei hurriedly nodded.

After Zhou Cheng and Guang Yanhu finished posting the VAC, they left the stage first, and then left Zhupei here to temporarily watch the situation of the VAC negative pressure sucking blood.

However, although the orthopedic surgery is over, the general surgery is not over yet, so those professors who were scrambling to get Zhou Cheng's contact information before are all concentrating on the operation at the moment, and are not distracted by Zhou Cheng's resignation .

Zhou Cheng took another look and found that there was nothing dangerous about the patient, so he breathed a sigh of relief.

Fortunately, some difficulties have been overcome, and I hope that life will be fine, that he can wake up routinely, and then not be infected, then this child can still be rescued.

In case of infection or other accidents, there is really no way.

When manpower is scarce!

All that's left is to pray.

Then, Zhou Cheng came to Room 22, but just after entering, Zhou Cheng found that the smell in the operating room was a bit wrong.

"Professor Cai, where's your orthopedic staff? Haven't you come yet?" A voice urged there.

"Aren't we in the orthopedics department? Since when is there no one in the orthopedics department for this operation?"

"I mean that Zhou Chengle, Professor Cai, don't make things difficult for me. What's going on now? What time is it? Can you still keep your legs?" His tone was a little weird.

"Zhou Cheng is not yet an official employee of our orthopedics department." Cai Dongfan's tone was calm, and he didn't take the other party's words seriously at all.

"Then I heard that he operated in operating room 21 before?" The voice in the sterile surgical gown froze slightly.

"The condition in the operating room next door is even worse!" Cai Dongfan frowned.

"I also heard that the operating room next door is a relative of Professor Cai?" Another voice was even more disbelieving.

"Professor Chang, would you like me to bring you the genealogy?" Cai Dongfan was really impatient, so he said.

Professor Chang's eyes were also cold, and he began to look serious: "Professor Cai, anyway, this is a patient of your orthopedics department, and it is also a matter of your orthopedics department. You should take full responsibility yourself."

Chang Lilong knew that Cai Dongfan didn't take his greetings seriously at all, which made him very upset, but it was not easy to get angry.

"Otherwise, Professor Chang will be in charge of you?" Cai Dongfan asked with a straight face.

Hearing this, Zhou Cheng walked out of the operating room decisively and went downstairs!

He's not a slut either, and he doesn't serve everyone.

Chapter 366 Come out and mix!

Two hours later, Chang Lilong looked at Cai Dongfan, Guang Yanhu and others with a haze on his face.

"The blood pressure has finally started to rise normally." The professor of the anesthesiology department said with emotion.

But these words were not agreed by anyone, and the people on the operating table did not speak, and the atmosphere seemed to have become very delicate.

"Start cutting. Tour, bring the bone saw chain knife." Cai Dongfan ordered Guang Yanhu and the patrol nurse.

The itinerant nurse didn't dare to speak, and hurriedly repeated: "Chain knife, get on stage."

Then he handed the unpacked sterile chain knife to the equipment nurse, and the equipment nurse came up on the stage.

Chang Lilong, who heard this, uttered a harsh hum, and then said to an attending surgeon in the general surgery department: "There is nothing special to do in our department. I will step down first. You can sew it up and finish it off!"

"Okay, Professor Chang. You go to rest first, and leave the follow-up operations to me!" The attending doctor nodded hurriedly, not daring to disobey.

Cai Dongfan's expression remained unchanged.

Guang Yanhu didn't dare to speak, so he honestly completed the post-amputation operation with Cai Dongfan.

Before the blood pressure stabilized, it was the orthopedics department that punctured the corresponding large arteries and veins, reducing bleeding.

Amputation is not difficult. It should be said that it is too simple. Even Jinping can easily complete it. If he had known the result earlier, Cai Dongfan and Guang Yanhu would not have to come to this operating room.

The amputation operation was simple and neat. In [-] minutes, the patient's right lower limb became clubbed. Cai Dongfan took care of the skin and muscles of the lower limb very well!

However, no matter how beautiful the stump after amputation is, it is not as good as a complete limb. This is an iron fact.

After leaving the dressing room in the operating room, Guang Yanhu looked around and said in a low voice, "Professor Cai, this is not very good today. Chang Lilong is an associate professor of general surgery, and he is on duty at the general clinic in the main hospital."

The general clinic in the hospital is on duty, as well as the second-line shift. If you encounter a difficult patient and need help from the general surgery department, you can't avoid Chang Lilong.

Cai Dongfan glanced at Guangyanhu, and said, "Professor Guang, even if Professor Chang has objections to me, that's fine, as long as he doesn't help me. But if he wants to bring this temper to work, it's not a problem. He killed himself!"

"This will not affect our normal work, don't worry."

Guangyanhu glanced at Cai Dongfan again, and said, "Professor Cai, this is naturally the case in normal work, but for ordinary consultations, you can't even invite the attending doctor. Unless you ask for consultations in the hospital, otherwise, those who come here for consultations are all inpatients. .”

"At that time, all the pre-operative patients will be observed and checked, and it will be difficult for our operation to proceed normally!"

Of course, Chang Lilong didn't dare to be a monster in the ward, but if a patient in the orthopedics department has abdominal pain and other problems, you can't call Chang Lilong!

There is a chief resident in the general surgery department who runs for consultations, and associate professors come for consultations because of affection, not because of duty.

At that time, you will always be hospitalized because of poor technology, and the patient who is stuck in the group will be unable to perform surgery, and the turnover and bed pressure will kill you.And you can't comment on whether other people's total hospitalization skills are good or not.

If someone from the general surgery department says it is not suitable for surgery, and then you get on stage, and if something goes wrong, you will be responsible for it yourself. The general surgery department doesn't even need an explanation, just come up with the consultation opinion.

The resources and friendship of the professors and associate professors in the school are the necessary contacts to make the work of the department work normally!

Because sometimes, in some emergency situations, if you go through the normal consultation process, the patient may die.

The normal consultation process is, general hospitalization, attending, associate professor/professor!

If you have friendship, you can call in private by leapfrogging, but if there is no friendship or even hostility, you can wait until their general hospital consultation is over before calling, and they will come again.

Most of the emergency patients in the Affiliated Hospital of Shonan University are not in good condition, but they can't stand such a delay!

Still the same sentence, the associate professor came here out of affection, not out of duty.

Cai Dongfan frowned slightly upon hearing this.

This is a very real problem, and it is absolutely unavoidable for him now.

"This is a first-come-first-served issue, which is evaluated according to the severity of the disease. If we don't go to the 21st room first, we will lose a life. Now we just lost a leg. We should go to the 21st room first."

"Xiao Zhou came here, and I also called for the patients in Room 21. Xiao Zhou didn't come here at all." Cai Dongfan explained to Guang Yanhu.

"That's right! Professor Cai, you also treated them differently. This is because you have your own likes and dislikes!"

"You don't hesitate to entrust your relationship with Professor Chang in private, and you don't like the yin and yang of Professor Chang in the future. But Professor Cai, you still made your own preferences based on the identities and experiences of different patients."

"The patients in the 21 rooms were not greeted. What is the connection with other patients who were greeted?"

"But he still got priority and you, Professor Cai, made an exception to invite Xiao Zhou to the operating room, but others did not. This is differential treatment." Guang Yanhu explained to Cai Dongfan helplessly, this is As funny as a stubborn donkey.

When Cai Dongfan heard what Guang Yanhu said, he fell silent.

Guang Yanhu then continued: "If there is a relationship, the person who greeted will be regarded as the party who deserves to be unlucky, and that is with personal emotions. Professor Cai, this is not in compliance with the rules."

"Of course, anyway, for the two emergency patients today, Professor Cai, it's a kind of affection for you to come to the operating room." Guangyanhu also didn't want to push Cai Dongfan too hard.

After all, the two are engaged in medicine, a doctor.

Life and death have long been used to it, and it can even be said bluntly that right now, two people died in front of two people, and the two people would not even blink their eyelids.

The more I see it, the more I get used to it.

"Professor Guang, go back and rest. It's getting late, happy New Year's Day." Cai Dongfan confessed to Guang Yanhu.

"Professor Cai also has a happy holiday." Guang Yanhu is just a junior doctor, so it is impossible to preach to Cai Dongfan, he is not qualified.

Even if he is the pillar of the group, even if this group can function without Cai Dongfan.However, most people are not particularly qualified to preach the principle of right and wrong to another person.

Doing things depends on the individual, and being a human being is everyone doing themselves.

Asking others to behave in accordance with your own principles of how to behave is because you think too highly of yourself.

The two of them let it go!

……

At the same time, Chang Lilong was calling back his relatives and confessing: "I'm sorry, third uncle, my life was saved, but I still didn't save one leg."

"Yes, we have tried our best. I have hired the best professor of orthopedics, but still?"

"Third Uncle, you also know that when manpower is limited, the delivery time is too late, and there are too many people coming at the same time. Therefore, we can only save our lives."

"But don't worry, the orthopedic technology is still developed, and there is still hope. I will ask if there is any other solution in the orthopedic department. Uncle, you should first find the driver who caused the accident, and the responsible party will be identified. .”

"This leg still has a chance, just spend more money."

"Thank you, Uncle, for your understanding. If we encounter problems, let's solve them first, and then go to sorrow or joy. I will try my best to mediate."

"Okay!" Chang Lilong hung up the phone.

Then he cursed: "Did you really fucking think of yourself as a chivalrous doctor, right? You don't have any shit skills, but your temper is not small. I'm so inferior. Why did such a bastard get in our hospital?"

Chang Lilong thought for a while, and finally decided not to bother anyone with the phone.

Cai Dongfan doesn't want to be a person who understands normal people's thinking, but Chang Lilong has to do it.

That's my cousin. When encountering a situation, I entrust someone to take care of it. This is a perfectly normal human condition. You don't need to understand it, or you can even ignore it, but you can't verbally agree to it while disgusting it!

In front of loved ones, what comes first?

Chang Lilong squeezed his phone tightly and went to rest first, saving his life was the most important thing.

……

Zhou Cheng found that he had nowhere to go, so he found a hotel not far from Grandpa An Ruo's house, and stayed in it. It didn't matter if he didn't bring his ID card, he checked in with his electronic ID card.

Then he didn't send any message to An Ruo, but set a regular alarm clock and planned to contact An Ruo around seven o'clock.