medical simulator

After Ning Ling washed his hands and disinfected again, he went on stage and saw Zhou Cheng's blood vessel sutures and bone connections. The more he looked closely, the more surprised he became, even as time passed.

After about ten minutes passed, Ning Ling simply took half a step back, and he became dazed.

Itinerant nurses are not specialized orthopedic nurses. The itinerant and handwashing nurses for emergency operations are randomly assigned, and there is no guarantee that they are specialists.

Seeing Ning Ling stunned, he asked one more question: "Professor Ning, do you need to bring something?"

Although I don't know him, but at this age, most of the professors can't be wrong.The Affiliated Hospital of Shonan University has more than 7000 employees, and no one can know all of them, even the dean and the director of the personnel department!

Ning Ling turned his stiff neck, looked at Xun Xun, and shook his head: "You don't need to take anything, I'll just take a look first. Now that the vital signs are stable, two students and I will do the vascular bed and nerve bed first." , to avoid excessive swelling and extrusion after surgery.”

Just saying this, but Ning Ling's heart has already set off a turbulent sea!

If it wasn't for really listening to Professor Chen Tingye's words, if it wasn't for the Second Affiliated Hospital of Shonan University, Associate Professor Wei Hong under Professor Deng Lianggen's group, people of the same level as him, had made jokes before.

If everyone hadn't been full of praise for Zhou Cheng, Ning Ling probably wouldn't have taken Zhou Cheng seriously today, and then he would.

Missed such a person, after Zhou Cheng performed life-saving and hemostasis operations, he was actually afraid to take the follow-up operation!

Ning Ling is not a layman who doesn't understand anything, he knows how delicate Zhou Cheng's slightly staggered bone connection is, and how profound his skill is in the blood vessels he sutured, which look as if they have never been injured.

If you do it yourself, it will be like a pure white world, there will be such a little flaw, which is something Ning Ling himself does not want to see.

Therefore, Ning Ling didn't intervene anymore, not because he was lazy, but because he didn't fully understand Zhou Cheng's surgical habits. Instead, Du Yanjun and Li Chongyue, who were more familiar with Zhou Cheng's surgical habits and ideas, played on the operating table. for a while.

My own thinking was born out of Professor Chen Tingye. Professor Chen Tingye's thinking is slightly different from other professors, which may make the operation more difficult. When Zhou Cheng comes back for surgery later, he will come to rest what he has done, which is futile. increase the time of surgery.

Who would have imagined that such a good skill was done by a young man in his 20s.Who would have thought that he was just the chief resident of the orthopedics department in the hospital?

Ning Ling really understands the suffering of Professor Jin in the vascular surgery department of the hospital!

At that time, Yang Yifeng's family members had a car accident and were sent to the Affiliated Hospital of Shonan University. The majestic professors of one hospital and one department asked the patient's son to perform the operation on stage in person. What kind of fucking and helpless thing is this?

Yes, from Professor Jin's point of view, Professor Jin must have a lot of helplessness.

One is that Yang Yifeng is too ruthless, and he knows how to do it. If something goes wrong in their operation, and it is easy to make mistakes, what should Yang Yifeng tell them to do?

First came two people, they could only deal with one of them, leaving the more dangerous person to Yang Yifeng...

The second is that the development of vascular surgery is indeed not so fast, and the current technology is limited.Now that the department has arranged for Yang Yifeng to serve as the boss of the vascular surgery department, it actually has the meaning of solving this misunderstanding.

Professor Jin did not force Yang Yifeng to go to the stage, but explained the truth. Yang Yifeng himself knew the risk of the disease at that time, but Professor Jin's words at that time may have been a little too aggressive.

But in fact, it is also a normal communication, which is what Professor Jin said, life and death are fate, do your best, what is wrong with this?It's not that the knife was placed on Yang Yifeng's neck.

I'm afraid that Professor Jin's mentality when he begged Yang Yifeng at that time was similar to that of Professor Chen Tingye yesterday when he watched Zhou Cheng's surgery and did not dare to go on stage.

(Ps: My memory is wrong. The name of Professor Chen Tingye in the previous article is not Chen Yongqi, but Chen Tingye. It is Xiaodao. Recently, my mind has been a little misremembered. Professor Chen of the Hand Surgery Department of the First Affiliated Hospital of Xiangnan University is Chen Tingye. Know, it has been corrected!)

It's not ashamed to say that you can't do it. What if you get yelled at by Zhou Cheng after you go up, it's really embarrassing.

"Oh, okay, Professor Ning, just call me if you have anything to do, I'll squint a little bit." The itinerant nurse said this a little tiredly, with a pleading tone in her tone.

Ning Ling didn't answer, and if he did, he agreed to be lazy on the tour. If the head nurse finds out and she blames herself, that's unnecessary.I communicated with the Nursing Department myself. Of course, Ning Ling didn't say that she couldn't go to rest. Maybe she was tired after being on duty for a long time...

Ning Ling approached the operating table again, and began to slowly figure out how Zhou Cheng performed the surgery with the mentality of a student, why he did it, and what was the purpose of doing it like this. Li Chongyue and Du Yanjun were also speculating, Ning Ling was sitting on the spot listening...

At the same time, in another operating room.

Liang Yongping and several hand surgery graduate students he led were stunned on the spot, because in front of them, Zhou Cheng's hands were dancing like snakes, writhing quickly, almost in a short period of time, he didn't know where to get the arteries, The veins were found and sewn up.

After the blood supply was restored, Zhou Cheng quickly fixed the fracture again, using a traditional Kirschner wire device, and while preparing to fix it, he asked: "Brother Ping, if you usually fix it with your fingers, should you fix it?" Did you use a Kirschner wire?"

"Ang, ummmm!" Liang Yongping never thought that Zhou Cheng would ask his opinion.

Zhou Chengcheng smiled, and did not use the minimally invasive fracture device from Zhang Zhengquan.There is not much objective data to support the application of minimally invasive fracture devices in replantation of severed limbs.

He can use it on ordinary patients because the other party will not care about and pursue whether it is good or not, and only depends on the effect. But this patient's family member is Associate Professor Ning Ling, so there is no need for Zhou Cheng to create extra problems.

If it is misunderstood that I want to take Associate Professor Ning Ling's cousin and daughter-in-law as a victim, use my friend's internal fixation device, and get the commission myself, then I will be really wronged.

So Zhou Cheng plans to continue with the traditional surgical method.

"That's good. I'm afraid I'll miss Professor Ning's idea of ​​surgery." Zhou Cheng told Liang Yongping.

Zhou Cheng's words made the two graduate students look at each other, wanting to say, who is Professor Ning?In front of your hand speed, he has to call you uncle, right?

But I can only think about this.

Liang Yongping said decisively: "Brother Cheng, before Professor Ning left, I told you to let Brother Cheng do what you want. I just want the operation to be done well, and everything is up to you."

Ning Ling didn't say this, but Liang Yongping knew the goods himself. If it was really for the benefit of this patient, he would rather listen to Zhou Cheng than to listen to Ning Ling.

In just ten minutes, the blood vessels of the two severed fingers were sewn up. What kind of work is this?

If Associate Professor Ning Ling was here, he might still be looking for blood vessels!

This is the gap in strength. This is the Affiliated Hospital of Shonan University. There are many geniuses here, and each has a teacher's inheritance. My ability is here, and my teacher is here to support me. If you kill other colleagues, then it doesn't matter to me thing.

The competition is all on the bright side. Whoever does it will win. Everyone is a professional and academic person. There is nothing behind the scenes. You can question me openly. We question each other and make progress together.

But if you want to use ghosts' secret methods, then my master agrees. You have to ask our common master first if he agrees. If the master is not here, there is also the master uncle. There is always a branch there to uphold justice...

Hearing this, Zhou Cheng glanced at Liang Yongping and said, "Brother Ping, thank Professor Ning for his trust later. I will strive to live up to his trust and do my best to complete the surgery."

"Brother Cheng, I'll learn more from you too, it's all trivial matters..."

While Liang Yongping was talking, he saw Zhou Cheng slowly slowing down the pace of the operation, and said: "Brother Cheng, there is no need to deliberately slow down the pace of the operation, we can still keep up. The learning is hard work. We can do it later." Let's have a cup of coffee together, drink and chat!"

Liang Yongping still knew that Zhou Cheng was new here and didn't know the rules, so he reminded him.

In the Affiliated Hospital of Shonan University, none of the teachers will deliberately stop the rhythm of the operation to give you a chance to learn. You have to learn to find opportunities to learn by yourself instead of letting people wait.

Perhaps Zhou Cheng had never been here before, so he didn't know the rules, but Liang Yongping didn't want Zhou Cheng to become a model for the directors to criticize, and then he would scold Zhou Cheng's people in the department by the way!

The job of the hospital is to treat patients and save lives first, and then to teach. How can you slow down the operation rhythm and prolong the operation time for you to learn? Are you very patient?

Unless you feel that you have enough skills, you can slow down the pace of surgery when you first start the operation, otherwise, you can read books by yourself, watch surgery videos by yourself, and spend more time in the operating room.

Don't stop because of mediocrity, don't stop because of genius, this is a virtuous circle.

"Okay!" Zhou Cheng heard the words and restored the rhythm of the operation to his own rhythm.

However, Zhou Cheng could feel that this operation, replantation of amputated limb and replantation of severed finger, was the smoothest one he had ever performed on a severed finger.

Without him, Liang Yongping is the chief resident of hand surgery, and several junior doctors are also graduate students of hand surgery. They really understand and cooperate if they understand.

Knowing how to cooperate, Zhou Cheng can just start doing it without spending energy to correct their positions.

Of course, except for a few times, their surgical ideas are slightly different from Zhou Cheng's own, and they need to be mentioned a little bit, and they don't need to instruct their assistants to do anything at any time.

This level of operation and speed is much faster than that of Du Yanjun and Li Chongyue!

The more Zhou Cheng did it, the more comfortable he became, and the result was that in less than an hour and a half, Zhou Cheng had finished replanting the amputated limb, and he still seemed a little unfinished.

After looking around, I found that the blood vessels, nerves, tendons and muscles were almost stitched together, so I said, "Brother Ping, I'm sorry for you, I have to go and have a look."

Liang Yongping was already petrified, and he didn't realize for a while that Zhou Cheng was greeting him.

God damn completed the replantation of a severed limb in an hour and a half. Do you think you are sewing clothes?

Still following one of Liang Yongping's graduate students, after bumping into Liang Yongping, Liang Yongping came back to his senses: "Brother Cheng is doing really well! Very good, Professor Ning will definitely be very satisfied."

"Brother Ping, Brother Cheng said he was going to step down for surgery." The graduate student explained again in a low voice.

Liang Yongping immediately corrected: "Brother Cheng, then you should be busy first, you have worked hard, and after I step down here, come over to help immediately."

"Boy, wait a moment to see if there is any late-night coffee. If not, go to the canteen below and buy a few bottles of coffee."

"Brother Cheng, what do you smoke?"

On the way Zhou Cheng had stepped down: "Thank you Ping, I don't smoke."

"It's good not to smoke, it's good for your health, Brother Cheng, then I'll come over to your operating room later with the cheek, don't drive me away!" Liang Yongping continued to smile.

It is an unwritten rule between the general hospitalists not to observe each other's operations, because they are afraid that if they make mistakes, everyone will not look good, or the results of the operations will be embarrassing.

It’s like the former boss of the vascular surgery department. The operation on the left foot made the right foot. After driving in, he found something wrong. It would be embarrassing if it was at the scene, although it is also embarrassing now...

"Waiting for brother Ping to come and give advice." Zhou Cheng has already walked out of the operating room quickly.

Treat patients equally, and you must take it to heart. Absolutely equal treatment will definitely not be possible. However, compared with the waste of more than an hour of operation time and two people having better limb recovery, Zhou Cheng believes that the other person can understand.

It is difficult to have the best of both worlds, I can only say that we should try our best to achieve the best of both worlds.

After Zhou Cheng returned to the operating room, he first watched the progress of the operation beside the operating table, and found that Associate Professor Ning Ling and Du Yanjun were still carefully studying the blood vessels he had sutured. It's just that the muscles are rested, not stitched.

Seeing Zhou Cheng coming in, Ning Ling hurriedly said cheekily: "Doctor Zhou, you just came in, thank you for your hard work, isn't the operation over there almost done?"

Ning Ling was so eager to study at the moment, he didn't even look at the operation time, and he didn't notice that it was impossible to complete the replantation of a severed limb in more than an hour.

"It's almost there, Professor Ning, why don't you go over and have a look first?" Zhou Cheng hurried back while putting on his clothes and gloves, and at the same time asked Xun Xun to tie the collar strap of the sterile surgical gown for him.

"I'm sure you can rest assured about the surgery you performed, Dr. Zhou. I'll take a look here first. It's so late anyway!" Ning Ling looked at the timing panel in the operating room while talking, and stopped talking!

Chapter 382 Associate professor punished?

The replantation of amputated lower limbs takes longer.It took Zhou Cheng two and a half hours to get off the stage.

However, the speed of this operation made Ning Ling and Liang Yongping, who had seen Zhou Cheng's fast operation, feel deeply moved.

Ning Ling even smiled and said, "Does Xiao Zhou have a girlfriend now? The girlfriend didn't say you were too fast, did she?"

Before stepping down, Ning Ling received a call from his cousin, saying that his cousin and daughter-in-law had been safely transferred to the first ward of the orthopedic department. She is in good condition and can speak and eat directly.

The operation time was very short, and the brachial plexus block anesthesia did not extend the time, which is really incredible...

Zhou Cheng knew that Ning Ling was joking with him and drove the car, but Zhou Cheng's driving skills are quite superb now, so he replied: "Everyone says I move fast!"

One word pun, one word, one verb, click on the question.

Anyway, just kidding.

Liang Yongping obviously didn't react, "ah".

Is this driving skill in the operating room going to be understood by Zhou Cheng?

Associate Professor Ning Ling laughed: "Doctor Zhou is very interesting, but it's really getting late, Doctor Zhou, later, your two juniors will go to eat with me, and I will pack it for you and bring it back. I invite you to kiss me politely."

"I still have a deep memory of the days when I was hospitalized."

"Okay! Then thank you, Professor Ning." Zhou Cheng nodded, still wrapped in his washclothes, and walked towards the department with Liang Yongping.

Liang Yongping was carrying two big bags, which contained betel nuts, cigarettes, and drinks.Zhou Cheng only took the drink, while Liang Yongping began to become boundless with betel nut and cigarettes.

It was already summer, with fine sweat on his forehead and flushed face, but Liang Yongping was content with it: "Brother Cheng, I'll go to the duty room of your department to have a chat, and listen to your story of picking up girls by the way."

Zhou Cheng checked the time while pressing the elevator, it was already twelve o'clock in the morning, probably An Ruo had already fallen asleep and couldn't chat.

He smiled and said, "Brother Ping, I was just joking with Professor Ning. Up to now, I have only had a girlfriend, and we have only been together for about a year. I plan to get married. Where do I have any experience and stories?"

Seeing that there was no one in the elevator, Liang Yongping said, "So there was an accident?"

"That's not true. It's just that I'm old enough and I think it's appropriate. Brother Ping, don't spoil me. When I came in, the department was still wearing a red scarf." Zhou Cheng's mentality now also began to let go.

Now that the job has been set, if you can't have fun while you are in the general hospital, it will really be boring.

Liang Yongping hammered Zhou Cheng's shoulder: "Then I'm still in kindergarten..."

"Here we are, Brother Cheng." Liang Yongping hurriedly ushered Zhou Cheng off the elevator.

Zhou Cheng and Liang Yongping got into the elevator, then looked at the consultation text message in the mobile phone of the general inpatient, and looked at the application record of Ping's consultation in the medical record system, sighed, and said: "Oh, it will be cleaned up in the afternoon. One peace consultation, and three more."

"Brother Ping, you should have fewer consultations in your department, right?"

There are very few general consultations in hand surgery, and they usually choose to apply for trauma surgery, and the number of emergency cases in hand surgery is not particularly large!

"That will be much less, Brother Cheng, you, the head of the trauma surgery department, probably have the hardest time. Our hospital used to have a shift system for general inpatients, and it was much better then, but Professor Lei Zhong said that such a shift system for general inpatients is not good. , sub-specialties must have the total hospitalization of specialists.”

"The main reason is that there are some gods among the seniors, alas!" Liang Yongping has been hanging around in the hospital for a long time, so he knows a lot about the past.

"How to say?" Zhou Cheng asked back, hoping to learn some lessons.

"In other words, sports medicine put the patients with bone tumors back, and the general hospitalization of bone tumors released the patients with loose bodies in the joints!"

"This kind of doctor who is not a sub-specialty professional may not be thorough. If something happens, it is an accident. It is not like a lower-level hospital. You can treat it casually and take it easy."

"The beds in our hospital are very tight, so we can only dismiss the regular patients who should be dismissed, but the patients who have really been admitted to the hospital must be handled properly." Liang Yongping gave Zhou Cheng a popular science.

Zhou Chengyi realized that it was indeed the case.

Interlaced lines are like mountains, separated by a sub-specialty, and the difference is huge. It is such a fine division that can make modern medicine more specialized and more in-depth. The curative effect is getting better and better.

"That's true, Brother Ping, how long have you been in the hospital?" Zhou Cheng asked, hoping to know when he was a head.

"It's been a year, and if no one takes over for the time being, we can only continue to work."