medical simulator

"Surgery is like marching and fighting, you can't have two commanders."

Deng Liangen suddenly realized that Xiao Zhou's name was quite famous in hand surgery, especially in the hand surgery of the Second Affiliated Hospital of Shonan University.

Deng Liangen's own student, associate professor Wei Hong, fell on the word Zhou Cheng.

After the operation was dismantled by Wei Hong last year, Deng Liangen couldn't fill it up himself.

"So that's the case, then I'm here." Deng Liangen nodded, suddenly realizing.

Immediately afterwards, Deng Liangen and Professor Chen Tingye both leaned forward and began to analyze each other's lines. Deng Liangen came, and his eyes lit up immediately: "How did you come up with this internal fixation method?"

"This should be the idea of ​​banning the minimally invasive internal fixation. The thinking is so strange that the long fixation port of the Kirschner wire is omitted, and the bone end is directly contacted from the broken end surface."

"Xiao Zhou's severed finger replantation, is it enough to find another way? Professor Chen taught it."

Chen Tingye hurriedly interrupted: "Professor Deng, Xiao Zhou never studied under me, so don't kill me."

Chen Tingye's blunt words choked Deng Lianggen's words. He was trying to be polite, but what Chen Tingye said was the truth. Chen Tingye's current strength and reputation did not need Zhou Chenglai to whitewash.

"The modified Kessler suture method is used to suture the tendons to make blood vessels and nerve beds. This suture technique is very skillful. It's a pity that I can't go on stage again, otherwise I really have to ask, how did this distance control come about?"

"Professor Deng, you should also know that when suturing the tendon, the biggest problem is the control of the needle entry and exit points. There are many repeated in and out trials, wasting time."

Chen Tingye also nodded: "Oftentimes, when we are suturing, we will mark the dots in advance to save time by wasting time. Xiao Zhou didn't draw dots here, as if he was able to find the muscle bundle directly. It may be a coincidence."

"The next time we hold a quarterly meeting in the hand surgery department, let's post together, and ask Xiao Zhou to give a lecture?"

"Yes?" Deng Liangen also understood that Zhou Cheng is not a subspecialty in hand surgery now, and if he wants to attend the meeting, it depends on Zhou Cheng's mood and schedule.

Experts look at the doorway, the content of the chat between the two is quite professional, closely related to the sub-specialty, so, even Ding Changle can understand the content of the conversation between them a little bit!

The difference between sub-specialties and sub-specialties is also quite large. It is not shameful that a professor of trauma surgery cannot fully understand the specific details of the conversations of the other two professors of hand surgery.

The reverse is also true. Although both Deng Lianggen and Professor Chen Tingye were born in trauma surgery, and then went to hand surgery, but now, some of them must not keep up with the times.

Therefore, Ding Changle backed away a little, leaving the professional perspective to the professional.

Seeing halfway, hearing the ear calluses, and seeing that the operation was orderly, the two hand surgery commentators agreed one after another, and Ding Changle didn't bother to stick around here.

At the same time, he patted Chen Tingye and Deng Lianggen on the shoulders: "Professors, I'm going back to rest first, and I have to go to work tomorrow."

"Okay, okay!" Deng Lianggen and Chen Tingye were having a heated discussion. They were analyzing Zhou Cheng's method of suturing blood vessels, which was different from the traditional method. It can be played out.

They are discussing the cleverness of it, but Ding Changle is actually the director of trauma surgery.

After saying a few words casually, he dismissed it, and continued: "This method, this state, is really good, Professor Chen, look, here!"

"The proper interdigital nerve, Xiao Zhou handled it delicately, he is lifting the epineurium..."

"Well, this kind of loosening can reduce the frequency of using ground rice at least three to five times after the operation, and the dosage of ground rice can also be reduced. This kind of thing can also be manipulated."

"Young people's hand speed is really enviable." The issues discussed by the two were really too professional.

Until the end of the operation, the conversation between the two has not stopped.

In fact, it was already five or six o'clock, but the two old guys were still not sleepy. They were there like two old women talking about someone in the corner, talking with relish.

After the operation was over, Li Keke saw three young-looking people in the operating room when the sterile surgical drape was lifted, and he hurriedly thanked them: "Thank you teachers, you have worked hard!"

Thinking about it, I also thought that my operation was performed by these old professors, so I felt a lot more at ease.

"Little girl, then you thanked the wrong person. Doctor Zhou performed all the operations. We are two old bones. It's not easy to mess up on stage. You have to thank him and invite him to dinner." Chen Tingye The professor explained jokingly, and at the same time confused the staff of his hospital.

Li Keke was startled: "Teacher, what? You didn't come on stage?"

"I'm Chen Tingye. I can't beat other young people with my severed finger, and I can't even beat him. Why am I on stage? I'm making people gossip." Chen Tingye heard Li Keke's doubts, and quickly stood up for Zhou Cheng.

Li Keke was startled when he heard this, and hurriedly looked at Zhou Cheng who was walking over, his beautiful eyes were a little confused.

Isn't this a general hospital?

Chen Tingye is a well-known old professor in the hospital.

"Ms. Chen, Mr. Deng! It's hard work for you to come to the town so late, and this operation can be completed so smoothly." Zhou Cheng heard the identity of the two from Cai Dongfan, and hurried up to say hello.

Deng Liangen smiled and sighed: "Xiao Zhou, such polite words sound too self-effacing. You have done a good job in the operation, and you already have a name in your heart."

"Otherwise, I wouldn't dare to start the operation directly. After the operation is done, I am humbled. This is not a gentleman's style. Young people, get angry."

"Professor Chen, are you right?"

Chen Tingye nodded: "Young people should have a bit of vigor. They are doing well and have a future. If you don't want to come to our orthopedic ward, I'll give you my place."

When Cai Dongfan heard the words, he felt that the matter was none of his business, so he quickly interjected: "Professor Chen, you must blame me for not drinking well, so you came to drink with my students. It is my fault. Tonight, I will treat you to a drink. "

Cai Dongfan squinted his small eyes, with an indescribable protection.

After hearing Cai Dongfan's words, Chen Tingye hurriedly clasped his fists together: "Professor Cai, next time, let's talk about it next time. It's getting late, and Professor Deng and I went to rest."

When Deng Liangen saw Cai Dongfan coming, he also nodded quickly: "Let's go, go back and rest, we've turned over overnight."

The two hit it off immediately and rushed to the outside of the operating room, both of them were extremely afraid of Cai Dongfan.

Now who in the industry is not afraid of Cai Dongfan, this guy looks drunk, but his spiritual sense is the most sober in the world. He has heard so many people's gossip and knows how many ugly old professors look like.

Now, the wife of another professor Cai Dongfan repeated the whole drinking conversation is still arguing with him at home, who dares to drink with him again?

Zhou Cheng glanced at Cai Dongfan, who still narrowed his eyes.

"Professor Cai, Dr. Zhou, thank you. After I leave the hospital, I will definitely hold a banquet to thank you for your hard work." Li Keke saw this scene clearly, and hurriedly signaled that he was still a patient with some fear. Send him back to the ward.

Chapter 378 The first day I didn't go home!

"Xiao Zhou, you're tired, go back and have a rest. The general hospital here is like this." After the operation was over and the patient Li Keke left, Cai Dongfan patted Zhou Cheng's shoulder with some distress.

"Okay, master. I'll go back and squint for a while." Zhou Cheng felt a little bit overwhelmed, but this was the first day of the hospital.

In fact, if it wasn't for Li Keke, he probably wouldn't be so tired, but there is no way, Li Keke is also a member of the general inpatient army, she was injured, and he happened to be on duty, so he would never back down!

When Zhou Cheng and Cai Dongfan walked towards the locker room of the operating room, they seemed to see the door of the operating room, and a large crowd gathered together, as if someone knelt down to apologize to Li Keke.

However, Li Keke's family members and teachers have all come.

Whether Li Keke can keep this hand is another matter.

Not all apologies will be forgiven. The person who hurt someone and his family are still yelling: "I kneel down to you, what are you going to do? My family is hospitalized, I'm in a hurry?!"

"Doctor Li, you have to understand me."

If apologies are useful, then there is no need for laws.

Fingers that injure people are considered to cause people to be disabled, and the skin will peel off if they don't die.

Crowdfunding lawsuits in the general inpatient group are not a joke, and Li Keke is not someone who lacks the cost of such a lawsuit. Family members have hurt others more than once in China.

In the past, it's all about calming down, but this time, it depends on who it is.

Li Keke's family members were able to call so many professors to help, spanning the Affiliated Hospital of Shonan University and the Second Hospital, which is not easy to be with.

Zhou Cheng felt a sense of sadness and shook his head.

However, Cai Dongfan patted Zhou Cheng on the shoulder: "It is difficult to do things in the emergency department. No matter what time it is, protecting yourself is the first priority. It doesn't matter if you run away. Even if you can't be a doctor, at least you still have life!"

"Anyway, after seeing so many things, you also know that if you stay in the green hills, you won't have to worry about firewood. It's really not good. To do research and eat is to eat. There is no need to risk your own life for the lives of others."

"Say something that shouldn't be said by a doctor. I just want you to be safe and well, and I don't want to become a martyr or change your behavior passively."

"I want to run away when my life is in danger. This is what the police comrade said."

"If someone strikes, the one who can beat it will be beaten to death, as long as you don't strike first. Going to jail is better than going to the ICU. You haven't reached this point before, so I won't tell you this."

Zhou Cheng turned his head and looked at Cai Dongfan.

Cai Dongfan narrowed his gaze slightly, as if he didn't seem to be telling a lie.

This sentence is better to go to jail than to live in ICU, it's a TM human reality.

What is wrong with this world?

"Master, I must be running pretty fast." Zhou Cheng replied with a smile.

"I saw you today. When I was on duty, the door was unlocked and people were still inside. This is your fault. You have to pay attention to every detail."

"When the previous chief hospitalist was on duty, he kept a knife. I'm not suggesting that you bring a murder weapon to the hospital, but we are orthopedic surgeons. We discard unused plaster in the department, or when we go to an academic conference, we get it from the equipment dealer. It is still possible to import some large-scale equipment for academic research." Cai Dongfan taught Zhou Cheng the way again.

"Big steel rod?" Zhou Cheng was slightly taken aback.

"What big steel rod? That's a surgical learning model." Cai Dongfan gave Zhou Cheng a sideways look, and corrected Zhou Cheng's remarks.

"Okay, I'll remember." What happened to Li Keke also made Zhou Cheng very nervous.

There are tens of thousands of clinical patients, and when they meet a family of idiots, they will fold themselves in.

From a selfish point of view, it is true that his own life is the most important thing, but Zhou Cheng only wishes that he will never meet such a person when he is on duty and hospitalized!

Zhou Cheng put his clothes away, went back to the department, checked the door of the resident doctor's duty room, and found that it was not locked, so Zhou Cheng thought, he must give them a good safety education tomorrow.

At night, the door of the duty room cannot be opened casually by patients and their families.

When a resident doctor had an accident while on duty, it was someone else who committed the crime, and the department was also jointly and severally responsible. Now there is no security check when entering the hospital, and no one knows what sharp weapon someone is keeping.

Lie down, wrapped in a quilt, and checked the unread messages. An Ruo replied a message at 01:30, probably not obedient to sleep well.

Zhou Cheng made a knocking expression, and then fell into a deep sleep!

But he didn't sleep for long, when the alarm clock rang, Zhou Cheng hurriedly got up, washed and brushed his teeth, and drank enough water from the water cup he brought, seeing that there was no time for breakfast, he went straight to the duty room .

After entering the door, sit aside and start ordering breakfast with your mobile phone.

This is the case with the general hospitalization. You are on duty. If you eat or not, you have to feel sorry for yourself.

After the shift, after the on-duty doctor and the on-duty nurse took over their respective shifts, Ding Changle, the head of the department, emphasized it at the shift meeting.

"Last night, there was another very bad medical injury incident in this hospital. The victim is an employee of our hospital, a boss of the Department of Respiratory Medicine."

"Now I am hospitalized in our department, I hope everyone will take a warning! Communicate more, report more, talk to patients and their families more, and try to eliminate the crisis before the risk sparks."

"I don't want to receive a call from the security office in the middle of the night. I hope everyone can pay attention to this."

"Starting today, operations will start one after another in the ward. There are many inpatients in the past two days. The doctor on duty and all the bed doctors must hand over in time."

"It's very hard, but this wave of hospitalized patients has been in the hospital for a year, and they can't wait anymore. This is the first time to come to the hospital. Everyone understands a thing or two, and speak politely."

"Don't bring work emotions into daily communication with patients. If you encounter something you can't handle, report it to the general hospital. If the general hospital can't handle it, hand it over to your respective management team and safety office."

"Safety is the most important thing, everyone's safety is the top priority!" Ding Changle said.

"Is there anything else the head nurse can do?" Ding Changle asked the head housekeeper in the department.

The head nurse said: "Director, I'm thinking, should we hire a security guard to guard the door, at least to a certain extent, to prevent idlers from sneaking in."

"The matter of hiring security guards is temporarily ignored. Although this will avoid a lot of trouble to a certain extent, it will also cause a certain amount of doctor-patient disputes."

"It is necessary to clarify and explain the rules in the ward to the patient's family members. The visiting time is from [-] pm to [-] pm. If you come later, don't come. It is so late, his own family members do not rest, and other patients have to rest. "

"Seven hours is long enough. For other beds, if there are no special circumstances, they are all accompanied by one person. After implementing it, explain it clearly to the patient. If there are special circumstances, they should be considered as appropriate."

"In addition, everyone must explain clearly to the patient that the accompanying bed is not owned by our department, it is rented out by a third party. The department does not have the right to issue accompanying beds."

"The price of the accompanying bed is regulated by the hospital in a unified manner. There are not many, but there are also many. I hope patients and their families will understand. This is not a problem of our hospital being stingy, but that our Huaguo medical system has not yet reached the level of generosity." Every patient who enters the hospital has a single room with multiple beds."

"In addition, when it comes to doctor's orders, I hope that the doctors in charge of the bed and the professors leading the team must be cautious!"

"Precise medication, mandatory medication, routine medication, and unconventional medication indications must be grasped clearly. This is not stipulated by me, but by the National Health Commission. If there is a problem in our hospital, the professor and the group will take care of themselves! "

"The chief inpatient is in charge of supervision. Those who refuse to mend their ways after repeated admonitions will be sent directly to the Graduate School and the Residential Training Office. There is nothing to discuss. Those who don't want to come to our hospital for regular training or study in graduate school can just drop out of training and change careers. How can there be so many favors?" Can you speak?"

Ding Changle was supporting Zhou Cheng. Yesterday, Zhou Cheng found out several medical orders from the doctors in charge of the bed. He, the director, could hear the commotion in the department.

This is a long-term plan, not just for a moment, and must be regulated. Since Zhou Cheng has already started this, he must behave himself and not mess around.

"Okay, that's it."

"Xiao Zhou, come with me, I'll discuss something with you." After the shift was over, Ding Changle called Zhou Cheng away.

The others didn't dare to have an opinion, so Cai Dongfan, Wang Yunfa and others went to the ward rounds.

Ding Changle's team had Qin Tianzhu lead the ward rounds, so Ding Changle didn't need to go out every day.

"Director Ding." Entering the director's office, Zhou Cheng changed his tone.

Now that I am working in the department, I have become a hospital employee, and I have entered the workplace. There are still rules, and I can no longer be as loose as before.

Ding Changle, as the administrative director of the ward, still needs to be polite.

Ding Changle did not correct Zhou Cheng's remarks: "I called you here to discuss with you the performance distribution in the department. According to the principle, the performance that can be obtained in the department with an intermediate title is 1.2."