medical simulator
Page 606
"If Teacher Zhou likes it, I am willing to learn more from Master in the future." Wang Huan raised his little paw again.
Gloves are simple and honest bear paws.
"Lingli, don't be in a hurry to express your opinion, just follow me for a while, don't let you sign the deed of sale so easily. You, just stay with me for a while in the hospital, and then make a decision."
"See if you want to learn from Professor Cai Dongfan."
"Of course, following Professor Cai is actually following me."
"So as not to regret it later."
Zhou Chengcai was preaching, when suddenly the door of the general inpatient's office was broken open, and an old face came in.
"Zhou Cheng, you are too unkind, you come here, why do you take away my qualifications as chief resident and master tutor?" The person who rushed in was Yang Yifeng .
He was also a little resentful.
While Yang Yifeng was talking like this, he rushed in carelessly, looked around, and found that there were students there.He said in a low voice, "Are there any students? I'm sorry, I should save you some face."
"Senior Brother Yang." Peng Lingli recognized this senior who was in the eighth year program, so she hurriedly called for someone.
"Teacher Yang." Wang Huan was taken aback, and followed Peng Lingli to shout.
Zhou Chengcheng glanced at Yang Yifeng, and said angrily, "What is robbing? Are you better than me? It's because you don't have enough comprehensive points. What does it matter to me?"
This Yang Yifeng also refused to give face.
Yang Yifeng was so angry that his eyelids twitched: "What do you mean that the comprehensive points are not enough? The Trauma Surgery Department only came in with the two of us this year. I can't compare with you. Can the people in other wards compare with me?"
"Stop yelling, my master sent me to the Department of Vascular Surgery as the chief resident, you have to treat me to dinner."
"And invite me to dinner every month."
Yang Yifeng really thinks it's unfair. If you want to say that he compares the overall points, how can he compare them? They are the absolute best batch, and he dares to say this when looking at the whole country.
However, in the Affiliated Hospital of Shonan University, there was Zhou Cheng, and there was only one general inpatient in the trauma surgery department.But Yang Yifeng refused to accept it. Others who were much worse than him all went up, but he was sent to the vascular surgery department.
"Did you agree?" Zhou Cheng was surprised.
"That's not true. Anyway, the total hospitalization is just a process. You can go to the hospital in the morning and evening, and it won't be a few positions lower than you."
"I'm still only able to take academic postgraduates, and it gives me a headache just thinking about it." Yang Yifeng sighed, looking hopeless.
"Okay, I won't talk to you anymore, your student is here, let me show you some respect."
As Yang Yifeng said so, he was about to turn around, and before going out, he turned around and glanced at Peng Lingli, and said, "You'd better settle down early, otherwise, the opportunity may not be all yours."
"Although Zhou Cheng looks like a jerk, he really has skills and kung fu."
"It's better to follow him than to follow the professor. Even if you want to find a job later, his face is no worse than the professor!"
"Don't be taken over by others at that time, and you will miss the opportunity." Yang Yifeng warned before walking out.
It was as if he came in just to put on a show.
Peng Lingli was still hesitating, but she quickly made a decision: "Mr. Zhou, you need to worry more in the future, don't worry, if some things are not easy for Junior Sister Wang to handle and solve, you can rest assured and let me do it. I will definitely get along well with other senior brothers and sisters."
Yang Yifeng, in the eight-year system, is also a legend.
Yang Yifeng said that, so he must be right.
And just after Peng Lingli agreed to this, there was a knock on the door.
Zhou Cheng heard the words, opened the door, Zhou Chengcai walked out for a few seconds, and then turned around: "Ling Li, Wang Huan, you two go to check the doctor's orders in the ward, our orthopedic department's routine medicines are antibiotics, painkillers, stomach protection, Anticoagulant these kinds."
"Other messy things, if you find out, call the doctor in charge of the bed directly, ask them to come back, and then look at the doctor's order and medical records to deal with it, and make a careful analysis."
"It is the best way to get started by analyzing the medical record writing according to the doctor's order and understanding the clinical thinking of orthopedics. After preparing these basic contexts, learn to diagnose these..."
After finishing Zhou's transaction, he left with the two of them.
After Peng Lingli and Wang Huan came out, they saw Zhou Cheng leading him into the director's office.
Wang Huan said, "Brother Peng, that doesn't seem to be our orthopedic teacher?"
"That's Professor Jing from the Department of Gastroenterology. I guess it's for someone to find a teacher, or for his own cub, nephew or something."
"It cannot be faked."
"Then did we make a little money?" Wang Huan asked with blank eyes.
"Our eight-year orthopedic interns are going crazy to the graduate department, and they all want to come here sooner. It took me a lot of effort to be the first batch to come here when Mr. Zhou came to the department. "
"How can it be simple for a person who can do research on new techniques?"
"Many professors and even academicians want to rewrite textbooks, but only a few can do it."
"Wang Huan, Mr. Zhou agreed to accept you as a student. It seems that we don't know you well enough." Peng Lingli suddenly joked with Wang Huan.
Wang Huan felt a little inferior in fright: "Brother Peng, I will ask you and other senior brothers for advice in the future."
"You don't need to be too polite. They are all in the same school. You have to help each other and learn from each other. The more you know, the better the foundation, and the faster our team will progress."
"Professor Cai has several other seniors, and they may not all be angry. Let's do more and try to support this research group."
"At the beginning, the benefits are the most, but it is also the hardest. As long as you are not afraid of hard work, you can always learn more."
"The charm of medicine lies in the specialties."
……
Half an hour later, Zhou Cheng respectfully sent Professor Jing out of the ward, and said apologetically, "Professor Jing, I'm really sorry? If I have a chance, I'll be the first to call you."
But Professor Jing nodded with a troubled expression on his face, "Xiao Zhou, you're really in demand, I'm only half a beat late in my rounds."
"Look what a mess this is."
"Thank you Professor Jing for your kindness." Zhou Cheng could only apologize apologetically.
As a newly promoted employee, he was a postgraduate tutor in the first year, and it was impossible to bring a few more people. He felt that Wang Huan was satisfied, and he agreed, so he would not regret it.
Now that he has a work unit, a platform, and people, he can officially start working, and some good technologies that have been sleeping in the simulator have to be released one by one.
At that time, with Professor Lei, Professor Ding, Yang Yifeng and others, we must rush out the orthopedics department in Hunan Province. If we can, we will take the orthopedics department out of China, shine in the forest of the world, and establish a sect. , that is refreshing.
However, if you want to establish a name first, if you want to establish a sect, you have to be down-to-earth, and you must first establish yourself from the rules in the department.
Zhou Cheng then immediately went back to the doctor's office and started to be a villain...
"Qian Qiaofeng, come here quickly and explain to me why you prescribed two boxes of multivitamins for this fractured patient?"
"This protein powder, why do you prescribe it to a 26-year-old patient?"
Chapter 375 No shame, no shame!
After a while, several bed doctors rushed to the doctor's office rather depressed.He gave Zhou Cheng a gloomy look.
He muttered in a low voice: "Why are there so many things in this orthopedics department? Qingshui Yamen, right?"
Nothing else, when the resident doctor is in charge of the bed, he is also particular about what medicine he prescribes. If he prescribes well, he can get a good commission.Some people, if they can't keep their hearts, may prescribe medicine in violation of regulations.
Necessary things, such as surgical antibiotics, painkillers, etc., are understandable, must be used, and are good for patients.
Prescribing protein powder or albumin infusion to some patients with normal diet is like prescribing a pair of crutches to patients with normal hands and feet. Isn't this purely disgusting?
Zhou Cheng knew that he looked quite young, and other people might think that he couldn't control things.
However, if you are not in your position, you will not seek your own government.Now that I have set up this general hospital, I absolutely do not allow anyone to make my ward dirty.
"Don't think that I'm busy. If it's arranged by the superior doctor, it's okay. Just make a call and I'll call. I'm not afraid of too many things."
"I will explain to the superior physician in your group. If the superior moves out of the way, I will apologize, and I will explain to the professor leading the group myself." Zhou Cheng said firmly.
"You must not wrong yourself, you were wronged by me."
Before asking someone to change the doctor's order, Zhou Cheng had read everyone's examination results.
Can protein powder be used in orthopedics?
Of course, clinical practice is not a place where rules and regulations restrict death. Protein powder has an indicator for use. If the patient’s albumin is less than 30, then don’t give it to the patient, and wait for him to dehydrate and die?
Waiting for the wound to ooze and become infected?
That can't.
The albumin above 35 can be given orally to patients, which is feeding pigs.
Zhou Cheng still didn't believe that there would be such a doctor's order from his superiors. He had never seen money before!
No one answered.
Zhou Cheng continued: "I don't care what your rules were before, anyway, our ward is like this. There are not so many rules, but it doesn't matter that much."
"I'm going to say it here first. If you insist on giving the patient's doctor's order in private, the higher-ups will check it out. You will be responsible for how much performance will be deducted. I will do what I say."
"If you feel that you are capable enough, I am also open-minded. You can ask your superior doctor to find a way for you, as long as you have the ability."
"I'll pay you all the money."
Rewards and punishments go hand in hand, if there is really someone with good strength and good skills who can help Zhou Cheng with things, Zhou Cheng is not afraid to ask someone to do more things for him.
If you don't have the skills and feel that the treatment is not enough, you are just a student.
Who didn't survive like this?
If you can bear it, you can endure it, if you can't bear it, you should change your career as soon as possible, this is Zhou Cheng's consistent principle.
……
Finally, when they saw that several people had revoked their respective medical orders, they left a little angrily, probably going to gossip about Zhou Cheng in private.
But Zhou Cheng ignored it.
The thing is that.
Either cheat the patient or offend the colleagues, it is impossible to have both.
It's not always hospitalized, so you don't have to be this villain.
Zhou Cheng would not treat the patients as his mothers and fathers, but he would not treat them as irrelevant people either. He was always hospitalized.
Before he was always hospitalized, Zhou Cheng couldn't care so much about the life and death of other patients.
Manpower is limited.
"Ms. Zhou." Wang Huan walked over from another part of the office at this time, and said, "Can I have a look at the orthopedic medical records? But I don't have a doctor's order or a medical record account."
"Oh, please remember my work number. 51015, the password is XXXXX, you can create a sub-account, or you can directly use my account." Zhou Cheng remembered that he did not give the account number to Wang Huan.
"Okay, thank you Teacher Zhou." Wang Huan said immediately.
Zhou Cheng looked around and found no discharge medical records piled up, so he said: "The orthopedic medical records, the first thing you need to read is the informed consent form for surgery. This is the best learning material for you to get started. It's not a disease. .”
"Although most of the surgical informed consent forms are now templates."
"But the template is condensed from the essence. You can think about it carefully first, and step on the threshold of sports medicine without rushing."
"Peng Lingli?" Zhou Cheng asked.
Wang Huan quickly said: "Brother Peng said he found a few typical cases and read the books first when he went back. He also told me about these cases, but I think it's better to read the medical records first."
Zhou Cheng nodded: "Peng Lingli's foundation is better than yours, and your learning curve is not on the same level, so don't worry."
"He studied directly at the level of a Ph.D., and it was a lot harder when he was studying."
"However, his theoretical level is mostly concentrated on the basic medical foundation, and the specialized foundation may not be much stronger than yours. Start learning from complications first, and know the common complications of orthopedics. This is a relatively normal curve."
"Don't worry, it's still a long time."
Zhou Chengsheng was afraid that Wang Huan would be anxious, and felt that he would be one step behind.
In fact, medicine is a subject of lifelong learning, and he still has to learn it now, so as to keep growing himself.
It's just that Zhou Cheng's own learning curve is through the simulator.
"Okay, Mr. Zhou, I'm not in a hurry." Wang Huan was very patient.
Her first degree was not good, so it was after that period, the season when she boasted that she was high. After knowing that she came here, although her theoretical foundation was very good, it still couldn't reach the top level.
Some theories are good, but they still beat her like she beat her classmates.
That is because the ceilings are different, and only by constantly touching different ceilings can we run.
This is her first day of orthopedic practice, and she is not in a hurry.
When Zhou Cheng wanted to talk more with Wang Huan, the phone rang. It was the phone number of the general hospital. Zhou Cheng didn't dare to delay, so he answered it directly.
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