medical simulator

"Doctor, you must take my wife in. My brother is an associate professor in your hospital. I will call him for surgery later. You just need to give me a bed." A man in his 30s.

Either he is afraid of his wife, or he loves his wife. After saying this, he heard his wife's moan, and ran over quickly.

"Doctors, you all should speed up. The problem of paying the money is not a problem. You send it to the operating room first, and I will pay the money right away. It doesn't matter if you see the money and then perform important operations. Wife heal this hand." The man held the woman's healthy hand, full of distress.

The doctor in the emergency department explained: "Brother, this is not a matter of money, it is for the sake of life safety, we don't want to find other fatal problems during the operation, it will be troublesome."

"Although it seems that no other parts are injured, it is still the most important thing to be cautious. Wait for the doctors of our hospital's neurosurgery, thoracic surgery and general surgery to do a simple physical examination before making a decision?"

Such a severed limb injury, because the injury is clear and the diagnosis is clear, is one of the super-emergency surgeries, so CT is generally not a waste of time.

However, because of this, there may be some underlying damage that goes undetected.

After many lessons, everyone dare not be careless.

Zhou Cheng also walked over: "Brother, don't worry, we have checked your wife's condition again, come here, we need to sign."

"Everything is up to the authority. Let's pick and choose the key points, and sign directly later to save time. Look good."

However, the elder brother was still on the phone and booed Zhou Cheng.

"Doctor, I can sign the signature right away. I'll call my brother. He is an associate professor in your hospital and also in orthopedics. I call him to do the operation. You can arrange the operation and the hospital bed for me. Okay?" The middle-aged man called once, but the other party didn't answer.

Then he didn't continue to struggle, and took a moment to relax: "He is Associate Professor Ning Ling from your Department of Orthopedics, do you know him? Professor Ning is my cousin, and he will definitely operate on my wife himself."

Zhou Cheng was taken aback by the middle-aged man's words.

Zhou Cheng thought that since the other party was a relative of Associate Professor Ning Ling in the orthopedic ward, he explained again: "Generally speaking, such emergency operations are handled by the general hospital."

"Currently, I am in the second orthopedic ward, that is, the general inpatient of the trauma surgery department. I am responsible for the replantation of severed limbs. Are you sure that I don't need to be on stage to deal with it? Do you strongly urge the associate professor of our department to come?"

"If this is the case, you have to sign and confirm it, and I will contact you with other associate professors."

The man waved his hand: "Don't worry, I'll call the doctor myself. If you send me to the operating room, don't worry about it. Thank you, brother!"

"Really, you don't even need to contact the associate professor, I can call and sign by myself!"

"I also know it's not easy for you." This man seemed to be very familiar with the rules and procedures in the hospital, and the contents of the signatures were all extremely professional.

"I and my family refuse the surgical treatment by the chief resident doctor, and strongly urge the associate professor to carry out the treatment, and all consequences will be paid by themselves."

"Ning Yilong. Relationship with the patient: Husband and wife!" The man wrote two lines of big characters generously, and Zhou Cheng didn't need to point it out at all. It should not be the first time to do such a thing.

Zhou Cheng took a photo directly, and after saving it as a background, he quickly contacted the emergency operating room in the operating room, and then borrowed the computer in the emergency department to type up three documents.

One is the informed consent form for emergency surgery, the other is the notice for the use of special materials during the operation, the third is the emergency patient’s admission notice, and the fourth is the power of attorney for the patient’s family members. The person named Ning Yilong signed them generously. after……

Another emergency patient came to the emergency department, who had amputated lower limbs. Zhou Chengcheng quickly asked the emergency department to send Ning Yilong's wife to the emergency surgery channel. At the same time, his call to his cousin was also connected... …

3 Chapter [-] Let go of your body in time!

"Cousin, I'm sorry, if it wasn't because my daughter-in-law was injured, and she was suffering from an orthopedic disease, it would be really hard to trouble you, cousin." Ning Yilong explained politely.

"I heard what my grandpa said. Don't worry. Grandpa didn't make it very clear, and your second uncle didn't explain it clearly. What happened to my sister-in-law? Where was she hurt? How did she get hurt?" Ning Ling's voice was on the phone. It is also quite concerned.

"It's a mechanical injury. Didn't Xiaoting work in a factory, and accidentally cut her hand by a machine. The hand was cut off. The factory has accident insurance, and someone contacted me personally and asked me to pay first. It's just me. I went to several hospitals, but none of them were willing to accept me, so I simply came to the Affiliated Hospital of Shonan University, which is where your cousin is.”

"Cousin, I still followed what you said last time. I just called the chief inpatient on duty to send her to the emergency operating room, and then signed the application. I have to work hard for you to come and perform the operation yourself." Ning Yilong gave it like a treasure. Ning Ling narrated what happened.

"Cousin, you said it last time. Hand surgery is your real specialty. Naturally, you should ask your own family members to do the surgery, so you can feel more at ease. Right?"

"It's going to be hard work for you." Ning Yilong said with a smile.

Hearing this, Ning Ling closed his eyes slightly, and was not angry. Instead, after pondering for a while, he said, "Cousin, that's actually what happened. Is the general inpatient who saw you today a doctor surnamed Zhou?"

"Yes, he doesn't look very old, he is a little tall and thin, and he looks handsome. He looks like an unreliable young man."

Seeing that his cousin described Zhou Cheng's appearance so clearly, Ning Yilong hurriedly asked: "It's him, cousin, is this person familiar with you? Maybe I'm really embarrassed, or, after the matter passes , I went to treat guests to dinner to make amends?"

"I really didn't know that he knew you very well, and he didn't mention it."

"If this is a good relationship, it's really embarrassing."

After Ning Ling got the answer, he didn't answer, and asked again: "Okay, it's fine if it's him, you go to him quickly and say something nice to him, this operation, please ask him to perform the operation, I will come over in person, really No, you just give him the phone."

"What? He's in the operating room? What's the situation?" Ning Ling had just finished speaking when Ning Yilong replied that Zhou Cheng was no longer in the emergency department and had already entered the operating room.

What a coincidence!

"Hey! ~Okay, don't worry, Ning Yilong, I want to tell you something, this doctor Zhou's technique of replanting amputated limbs is better than mine, yes!"

"I'm your brother. I'm sure I won't lie to you, and I won't be afraid of trouble and refuse to come. He really does better than me. This is a fact. My dad and grandpa both called. Brother-in-law finds the best doctor."

"But the situation now, I can't explain it to you for a while, wait for me to solve it."

"It's not that your previous rhetoric is useless, but that you used the wrong person. Of course, this is a special situation. I'll consult with Dr. Zhou. It's okay! I'll explain it clearly." Ning Ling explained So, while hanging up the phone.

Then, while driving, he called Liang Yongping, the boss of the first ward.

"Yongping, I'm Ning Ling. I want to ask, do you know the phone number or WeChat of Dr. Zhou Cheng, the newly appointed head of the Second Department of Orthopedics? If there is one, please push it to me. I have something to do."

"Oh, by the way, Yongping, I have to trouble you with one more thing. You may go to the stage with me. Yes, I will do the replantation of severed limbs with you." Ning Ling said.

"Okay, let's meet later." Ning Ling quickly hung up the phone, and immediately added Zhou Cheng as a friend, and also gave himself a note about his identity.

The friend quickly passed, and Ning Ling was relieved, at least Zhou Cheng was not on the operating table, otherwise he would not answer the phone easily.While speeding up towards the parking lot, he called Zhou Cheng and said, "Hello, Dr. Zhou, I'm Ning Ling from the Department of Orthopedics."

"Hello, Professor Ning!" Zhou Cheng answered the phone while ordering: "Yan Jun, Chong Yue, you should speed up a bit. This patient is bleeding a lot, so he needs to apply a tourniquet quickly. I just clamped a few blood vessels temporarily. The blood vessels must be unblocked as soon as possible."

"The moment when a limb is severed cannot be too long."

After finishing speaking, Zhou Cheng returned to the phone again: "I'm sorry, Professor Ning, I'm in the operating room now, preparing for the replantation of amputated limbs."

"I can understand, Xiao Zhou, I came to you for this matter. That's it, Dr. Zhou, my cousin Ning Yilong is not sensible, and he may have said some unpleasant things. Let me say it to you on his behalf. Sorry." Ning Ling randomly found a parking space, stopped, and ran out without locking the car.

After running halfway, I pressed the button to lock the car, and at the same time started to go to the elevator door to press the button crazily.

On the phone, Zhou Cheng replied: "Professor Ning, it doesn't matter, he has already explained it to me, it must be the best for you, Professor Ning, to perform the operation yourself, but it's a pity that I don't have the opportunity to learn more from you, Professor Ning. There's another emergency here, so it's a pity."

"Xiao Zhou, don't be too polite. I'm calling because I have an unkind request."

"Can I change the surgery with you?" Ning Ling said quickly as he got on the elevator.

"Yes, yes, I will do the operation you are doing now, together with Liang Yongping from the First Department of Orthopedics. For my sister-in-law's operation, you can bring someone to do it, and I can also rearrange it myself. "

"Understanding people don't talk about scenes, Xiao Zhou, your skills are better than mine, and doctors don't treat relatives, I hope Xiao Zhou can forgive my cousin's disrespect, don't take it to heart, and change with me, please Already!" Ning Ling gave a very reasonable arrangement.

"But, Professor Ning, the family members have signed it, strongly urging the associate professor to perform the operation. I'm only an intermediate title?"

"If there are any sequelae after the operation, I'm afraid of accidents and mistakes." It's not that Zhou Cheng is unwilling to exchange with Ning Ling, the main reason is that the content of Ning Yilong's signature was too cruel.

"Xiao Zhou, how about this? I made a dangerous place here, and then I came here. I wrote the two operations as the chief surgeon, and I wrote the operation records myself. I called Professor Ding and Dean Lei to explain. I will report to the security office, medical department, and the general duty and explain all the reasons in advance."

"Even if there is an accident, I will take the responsibility, is that okay?"

"I know that it will be very troublesome for you if the family members sign the request to perform the surgery, but if it is written that I will perform the surgery myself, then there is no problem. Is that okay?" Ning Ling's attitude was quite tactful.

And, Ning Ling added: "For the other patient, I will go and explain to them myself. I said that I will perform the operation myself, and I will definitely get their consent!"

"Xiao Zhou, can you do me a favor?"

When Zhou Chengcai said one sentence, Ning Ling directly said a dozen sentences.

Zhou Cheng scratched his head, and after pondering for a while, he nodded and said, "Professor Ning, I didn't mean to play any big tricks on purpose. I just think that now that I've entered the operating room, the matter of changing the surgeon mid-way It's really inappropriate."

"Do you think this is good? I did the key part here, and when the debridement was done, I asked Mr. Liang to come over to help, and then I came to the operating room where you are, to learn from Professor Ning, and then I Go back to the current operating room to finish!"

"In this way, Professor Ning, you don't need to make other arrangements. I'll run a little longer." Zhou Cheng chose a more compromise method, which is good for Ning Ling and more responsible for this patient.

Basic debridement, hemostasis, and fracture fixation can be done by everyone. Replantation of severed limbs depends on the suture level of neurovascular and tendon, while other operations are not so important and critical.

Ning Ling thought that he was not as good as Zhou Cheng, and Zhou Cheng also knew that his level was better than Ning Ling, so it was not easy to refute his face, but he didn't want to be irresponsible to his current patients, after all, he had been rejected before.

"Okay, Xiao Zhou is more thoughtful, so let's make a decision first. Later, Xiao Zhou, you can come to us at any time, and temporarily replace someone in the middle. I will come to do debridement, and you can bring Yongping from our department. "

"I have been in touch with Xiaoliang for quite a long time, maybe you young people get along better." Ning Ling said with a smile.

"When the operation is over, I'll set up a table myself and apologize to Xiao Zhou."

"Actually, the reason why my cousin did that was because when my grandfather was ill, he met a god who was in the hospital. He was the head of the vascular surgery department. You'll hear his name after a while!" Ning Ling entered In the locker room, he began to talk about the arrangement of the past.

"Ah?" Zhou Cheng was surprised that Ning Ling would tell him such nonsense?

"This fairy is the kind who can perform the operation on the left foot to the right foot, but in the end there is no way to make a difference. After the amputation, the dean and the director of the vascular surgery have to personally apologize."

"It wasn't last month, there was an accident again, so I was dismissed temporarily, let Xiao Yang go over, if you meet him in the same class in the future, you must be very careful and cautious, don't be led into the pit by him go."

"His father is the director of neurosurgery in our hospital."

"My grandfather had a blood clot last time. When I met him, I had no choice but to sign and find someone by myself. After all, it was my own grandfather." Ning Ling explained to Zhou Chengming in a low voice.

While speaking, Ning Ling also appeared in the operating room, then hung up the phone, and greeted Zhou Cheng sincerely. In fact, Zhou Cheng had already arrived on the operating table, while Ning Ling was in the audience Made a meeting ceremony with Zhou Cheng!

"Brother Ling."

"Professor Ning!" Du Yanjun and Li Chongyue each used different names.

Du Yanjun is an old attendant, and he is familiar with everyone in the department. Li Chongyue is new here, so it is not easy to get close!

"Well, you have worked hard, let's have dinner together later."

"Xiao Zhou, then it's settled, I'll go over and make arrangements first!" Ning Ling made sure to meet Zhou Cheng face to face, and after making sure in person, he left the operating room and walked towards the operating room where his sister-in-law was. He quickly got on the stage and began to perform the operation carefully and carefully.

After Ning Ling left the operating room, Du Yanjun asked, "Brother Cheng, the family member said that his brother was an associate professor in the hospital, did he mean Professor Ning?"

"Well, yes, but just now Professor Ning still said that I will go over to do suture later, and Professor Ning will come over later to do debridement operation, you don't have to follow me there, remember to cooperate later!" Zhou Cheng confessed .

"Understood, Brother Cheng!"

"Chongyue, you see, this is Brother Cheng's status in the world, even master can't compare to it, it is relying on these two hands to make it out of the world bit by bit! Our luck is very good." Du Yanjun is still there Beat Li Chongyue.

Of course Li Chongyue understood that yesterday's severed finger, a group of professors watched the ceremony from the audience and did not dare to intervene on stage.

Today, the associate professor came to personally ask Zhou Cheng to perform an operation on a relative. He is an associate professor of hand surgery, so it is understandable.

"I will definitely learn a lot from my brothers with an open mind." Li Chongyue has just come into contact with clinical practice, so he also learned a lot of rules and things from Du Yanjun, including points that need to be paid attention to.

"Don't gossip, whoever said that the master is no better than me, don't say that again, be careful that you will be beaten!" Zhou Cheng gave Du Yanjun a look, and then honestly began to perform the operation.

He has to run both ways today!

Ning Yilong drove him away, but Zhou Cheng couldn't refuse Ning Ling's suggestions and requests. He is now the head of trauma surgery, and replantation of amputated limbs is the business scope of trauma surgery.

Ning Ling took a step back, didn't demand anything strongly, and had done all the etiquette, Zhou Cheng couldn't show off anymore!

However, there are two patients at the same time, so Zhou Cheng can only speed up the operation and at the same time ensure the quality of the operation very steadily.

The severed part of the lower limb is the middle part of the tibia. In this segment, the arteries are very thin, the muscles are mostly close to the rear, and the broken ends are relatively neat. Therefore, the key operations that Zhou Cheng needs to do in the early stage are such major operations as blood vessel suture and fracture fixation.

Then the debridement of the muscles and nerve bundles can allow Ning Ling to come over.

Zhou Cheng was very fast, searching for and suturing the constricted blood vessels, and fixing the fracture, within [-] minutes, it was done.

And when Zhou Cheng stepped down from this side, and arrived at the operating room where Ning Ling was, only a small part of the area had been debrided.

Ning Ling thought that Zhou Cheng was saving face, so he came early and said, "Thank you, Xiao Zhou."

"It's okay, Professor Ning, I have to work hard for you to go and be the Dingjunshi. I only have two residents on my side. Professor Ning, I have to trouble you or Mr. Liang to go over and watch, so that nothing goes wrong!" Zhou Zhou Cheng said.

"Aha?" The corners of Ning Ling's eyes twitched, possibly even the corners of his mouth, but he couldn't be seen because he was covered by the mask.

Zhou Cheng was not joking, and stopped the operation of wearing sterile surgical clothes.

This cannot be pitted by Ning Ling. If the surgeon is not in the operating room for a period of time during the operation, he will be held accountable!

If Ning Ling deceived him, Zhou Cheng would not be on stage!

Seeing this, Ning Ling immediately said, "I see. I'll go there right now, Xiao Zhou, isn't the speed of your operation a little too fast?"

Ning Ling began to take off his clothes, then walked to the operating room, and then to the operating room where Zhou Cheng had his previous operation. After washing his hands and dressing again, when he approached the operating table, Ning Ling was petrified.

It's hard to live up to the prestigious reputation. It seems that Professor Chen Yongqi's praise of Zhou Cheng is not a commercial bragging!

Fortunately, I let go of my figure in time...

Chapter 381 Listen to the old man more!

"Teacher Ning."

"Mr. Ning." Du Yanjun and Li Chongyue started calling.

"Well, I've worked hard for you today. After the operation is over, let's all go out for a late-night snack. I'll bring you a copy to the department later. He is the chief resident of the hospital, so he can't leave for the time being." Ning Ling said so empathetically.

Li Chongyue and Du Yanjun looked at each other and nodded: "Thank you, Teacher Ning."