medical simulator

"However, you only need to work for about half a year. If the boss of the trauma surgery department works for too long, he will die suddenly. This is the dean's rule. And Brother Cheng, you are already a mid-level professional title, so you will definitely not be allowed to do it. Too long!" Liang Yongping explained to Zhou Cheng.But there is no envy.

90.00% of orthopedic emergencies are concentrated in trauma surgery, and now even the replantation of amputated limbs takes weeks.In addition, the number of consultations is several times that of other subspecialties, which is really difficult.

It's better to extend the time and reduce the workload per unit of time...

One night, it was fairly stable.

Except for a trip to the emergency department in a daze, it was not a big problem, but his arm was cut, and it was not that the boss of the emergency department insisted on embarrassing Zhou Cheng, but that there was a family member of the patient who was knowledgeable. Nurse, I know that I need to see an orthopedic specialist for trauma on my hand.

The people in the emergency department were not sutured, so Zhou Cheng could only be called over.

Now that Zhou Chengcheng is here, he can only do his work, so he won't let the boss of the emergency department take care of all the idiots he encounters...

Then came the day of surgery, Zhou Cheng, who was the chief inpatient, would definitely have to go to the operating room, but in the operating room, if there was an emergency, Zhou Cheng could go to the emergency room for emergency consultation at any time!

Emergency consultation must arrive at the consultation site within 15 minutes, which is a rigid rule.

Therefore, the speed with which Cai Dongfan led the team to make rounds today was particularly crisp and neat.

At 08:30, I took the people in the group down to the operating room early, and Associate Professor Guang Yanhu followed.However, today's Guangyanhu is extraordinarily low-key.

On weekdays, Associate Professor Guangyanhu was the supervisor, instructing the roving nurses to bring equipment kits and materials, but today they all honestly handed over the rights to Cai Dongfan.

Cai Dongfan is also a donkey on the slope, he will go down when he sees the slope, and start to direct.

Today's patients are not particularly complicated, and because they are new to work, the number of surgeries is slowly being scheduled. Cai Dongfan has basically stabilized the workload and surgeries at the No. [-] Hospital, which is four or five, so he dare not queue up too much. many.

Of course, with Zhou Cheng's participation, the operation that usually seemed difficult, under Cai Dongfan's chief surgeon, Guang Yanhu's first aid, and Zhou Cheng's second aid, the operation appeared to be very straightforward.

The fractures were basically put on stage, and after taking pictures, they could be directly fixed internally. For debridement, they were given to Zhou Cheng. Zhou Cheng's speed was so fast that he could solve one in a few 10 minutes.

……

At twelve noon, Zhou Cheng led the team to complete four operations, and left one for the relaxation of muscle stiffness, which Zhou Cheng left for Guang Yanhu or Cai Dongfan to fight each other.

It is always necessary to make professors and associate professors have a sense of face and presence, so that they appear very important.

"Master, Professor Guang, I'm going to go to the Ping consultation. Now I have accumulated five or six. I'm afraid I won't be able to finish it later." Zhou Chengcheng stepped off the stage first, and mainly explained to Guang Yanhu.

"Go, it's okay." Cai Dongfan had no objection.

Zhou Cheng gave him enough face today, Cai Dongfan was refreshed, he didn't need to rely on outsiders for the operation, and his apprentice should show some limelight, that's what he deserved.

"Xiao Zhou, let's get busy." Guang Yanhu smiled subduedly.

Zhou Cheng beckoned to the intern standing by, that is, his student.

Wang Huan immediately followed sensiblely.

Peng Lingli was a little envious, but he still stayed in the operating room to observe the operation. He left last time, thinking that he would read a lot of books and accumulate experience so that he could perform well clinically, but how could he know that the two days of rounds Every time, Peng Lingli was caught by Zhou Cheng's question just right.

It was as if he couldn't straighten up all the time.

Moreover, Zhou Cheng's sense of proportion was very good, and his praise was also very good, but the suppression and questioning were like a whip hanging high, so it was so appropriate.

Looking at the back of Zhou Cheng leaving, Peng Lingli was a little apprehensive, thinking that if she wanted to be senior brother Yang Yifeng, it would be impossible to show off in the department when she was a student.

Moreover, Peng Lingli also heard a terrifying thing. Yang Yifeng, as a fresh graduate from the eight-year program, is an idol in the eyes of current students and senior students in the eight-year program. Cheng was assigned to the department he was least willing to go to.

This incident made Peng Lingli a little brooding, but also extremely excited.

Since he can't beat Zhou Cheng, can he and Yang Yifeng talk about their strength?

Peng Lingli's mind was racing...

"Master, when you went down to eat just now, Professor Guang and Professor Cai were talking about you." Wang Huan was small, but his eyes were a little bright, as if there were strange colors flashing in his eyes. He raised his head and said obediently. Follow behind Zhou Cheng.

"What are you talking about?" Zhou Cheng turned around and asked.

"Say you are amazing, especially Professor Guangyanhu. You said that you made Professor Chen Tingye and Professor Deng Lianggen from the Second Affiliated Hospital of Shonan University stand outside the operating table the night before yesterday, and you let Associate Professor Ning Ling from the Department of Hand Surgery stand on the operating table last night. Standing as a penalty."

"For an hour and a half, Professor Ning didn't dare to move after seeing Master's operation!"

"Senior brother Du Yanjun and Li Chongyue also said the same thing." Stars appeared in Wang Huan's eyes.

The plot in the TV series is that the intern beats everything. It looks very cool, but the basic logic and medical knowledge in it are a bit nonsense. For example, adrenaline is used for tachycardia, and brain CT is regarded as abdominal CT. Medical students saw it, but it was not true.

But this is in a real clinic, my master is so powerful!

"Don't believe these rumors, be yourself. When I go back later, I will clean up Du Yanjun and Chongyue. I didn't know the door, and started talking nonsense." Zhou Cheng said bitterly.

"However, Professor Guang said that Professor Ning himself called him to thank him. Because at noon today, he said that his relative's hand has partial consciousness, which is a great thing!"

"Master, can the replantation of a severed limb really recover within a day?" Wang Huan continued to follow Zhou Cheng closely, not leaving every step, for fear of getting lost in the large team of the patient's family members.

"It's just sensation, so maybe what it feels like? How can it be recovery? There are also pain and temperature, touch, proprioception, motor function, and it will take a long time."

"Next time, ask more professionally. If you are interested, go back and find out how these different sensations are distributed in your nerves. Look for information." Zhou Xing assigned Wang Huan the first task.

Wang Huan was taken aback: "Ah? Master, isn't the feeling branch in the spinal cord? Is it also in the nerves?"

"Of course there is!" Zhou Cheng put it off and didn't intend to say it clearly.

Only the things you find and are interested in can have a deeper memory.

As they talked, the two came to the burn department. This time, there were two consultations in the burn department. Zhou Cheng planned to run away first. The burn department was located in the surgery building.

When he arrived at the burn department and recognized the bed number needed for the consultation, Zhou Cheng, who had already put on his mask, also felt a very strong smell coming from his nostrils.

MD, diabetic foot ulcer!

There was a black mass on the feet.

Fortunately, it was Zhou Cheng who put on the gloves in advance, and then turned to look at Wang Huan's frowning slightly, disgusted, and he probably imagined that she was holding her breath at this moment.

After Zhou Cheng read it, he looked at the other patients in the hospital bed, and they all had diabetic foot ulcers, but it seemed that the symptoms of the other patients were not as severe as this one.

After Zhou Cheng unwrapped the gauze and carefully examined it, he confessed to the patient and his family: "Okay, I have understood your situation, and I will write a consultation record later, you must be treated with surgery! "

However, the patient's family members, that is, the patient's wife, pouted impatiently: "Surgeries, my husband has had seven surgeries, and he still hasn't recovered. What are you talking about? Is it necessary to amputate?"

"It's been like this for more than three months. It stinks."

Zhou Cheng could understand her impatient tone. This kind of stench is the real stench, like maggots. If you can endure it for a while, it will definitely not get better for a long time.

"You performed seven operations? Where did you do them?" Zhou Cheng noticed the sensitive points.

"That's right here? Doctor Du's operation. It's the one at the door. You can go see it yourself." The family member pointed in the direction of the signboard at the door.

He didn't ask Zhou Cheng why he didn't know each other. There are so many people in this big hospital, and the staff turnover is very high. There may be people in the internal medicine department who don't know each other in a month.

"Okay, I'll go over and ask about the situation." Zhou Cheng thought it was very interesting.

For diabetic foot ulcers, I came to the burn department first, and then I went to the trauma surgery department. In the trauma surgery ward, there was not a single patient with diabetic foot ulcers.

This is very interesting.

Zhou Cheng came to the duty room and found the doctor on duty...

Chapter 383 Business scope dispute!

The doctor on duty was a tall, thin young man with acne all over his face.

After knowing that Zhou Cheng is the chief inpatient of the orthopedics department, he hurriedly replied: "You are the chief inpatient of the orthopedics department. I don't know what's going on? I'm not in these two groups either. You may have to ask the person in charge. The bed doctor or the senior doctor."

"But it would be better to ask the superior physician directly." He meant to ask Zhou Cheng to ask the superior of the burn department, not the orthopedic department.

However, it was impolite to ask the superiors in other wards across the department. Zhou Cheng thanked the doctor on duty first, and ran out of the ward without further questioning. After pondering for a while, he called Ding Changle.

Ding Changle is not a surgery day today, and he has no surgery arrangements outside, so he is in the right mood to fish at the moment!

To Ding Changle, he was fishing, and when he saw the sun, he was fishing like a big girl wearing stockings after seeing the sun: "You are consulting in the burn department? What diagnosis?"

"Diabetic foot, the next diagnosis is."

Ding Changle's voice was decisive and crisp: "Look clearly, is their diagnosis diabetic foot: ulcer complications, or is it simply diabetic foot?"

"However, no matter which one, you can just write the consultation opinion: the condition is known, the current diagnosis is diabetic foot, after I call the professor of our department for instructions, the professor instructed that I ask the professor of your department to consult and assist in diagnosis and treatment. Thank you!"

"Then send me the diagnosis."

"Ah~~~" Zhou Cheng heard the words, thinking that he heard it wrong, or that Ding Changle didn't hear clearly.

"Professor Ding, is this a diabetic foot?"

Diabetic foot is a real orthopedic disease category, so write it like this, okay?

But this consultation opinion is full of stories at first glance.

"I know, you just wrote it like this. He didn't explain such an important matter to you clearly, right? I'll call him right now." Ding Changle was furious, and wanted to trouble the previous head of the sect.

Zhou Chengcheng stopped him, and said that the general hospital is not embarrassing the general hospital. There may be some things that I really can't remember for a while: "Professor Ding, brother Zong said that I was too busy to forget, or I didn't remember clearly!"

"You're talking nonsense, your memory is impossible to forget. Huang Zong must have not explained to you. I'll go and find out what's going on." After Ding Changle finished speaking, he hung up the phone.

Wang Huan looked at his teacher, his eyes were still shining with stars, he didn't know what Ding Changle and Zhou Cheng were talking about.

Zhou Cheng, who originally wanted to teach Wang Huan a good lesson, could only go to another bed in resentment after hearing the words. After looking at the patient's diagnosis, he confirmed that the admission diagnosis was diabetic foot: post-ulcer complications.

Don't dare to meddle in other people's business, and wrote it according to Ding Changle's words.

After writing the consultation opinion, Wang Huan was stunned and stunned, Zhou Cheng continued to go out to the next consultation direction, and started to make a phone call at the same time: "Professor Ding, I read it, the diagnosis of both patients is diabetic foot, ulcer Complications, but when asking for a consultation, the other party wrote diabetic foot and did not add the word complication.”

"I also looked at the medical record system of our department and collected the common medical records in the past six months as study materials. I didn't see any patients with diabetic foot, so I found it strange."

Ding Changle murmured twice: "You have such a good memory, so I made the right call to Huang Zong just now, and the scolding is really cool."

You're having fun with your peers, aren't you?Professor Ding.

Zhou Cheng didn't dare to talk too much.

Ding Changle continued: "I know that patients in the burn department will make such a diagnosis, let her do it, the director of the burn department, the current Professor Liu, used to treat ulcers as diseases, and any ulcers diagnosed past."

"Diabetic foot, of course, they are also responsible for it, our hospital does not have a specialized foot and ankle surgery, so naturally we can't compete."

"What is the purpose of their consultation? To assist in diagnosis and treatment?" Although Ding Changle has not gone to emergency consultations for many years, he still often participates in the general consultation of the whole hospital, and fights much more than Zhou Cheng.

"Application for transfer to another department." Zhou Cheng replied honestly.

"Did you take a photo?" Ding Changle gave Zhou Cheng another slap in the face.

"Shooting." After Ding Changle said that, how dare he not shoot?Zhou Cheng still took pictures before he wrote his consultation opinion.

"Then you go to the general inpatient group, find the chief inpatient of the burn department, send these two pictures, and send him a question mark. Then, I will send you another good thing, and send them all at the same time!"

"She absolutely dare not scold you." Ding Changle sent a recording to Zhou Cheng while making a phone call.

"Okay, that's it!" Ding Changle took the initiative to hang up the phone, but before he hung up, he heard a distant sound, saying that you are hooked...

Zhou Cheng saw the recording sent by Ding Changle, and then hurriedly left the passageway waiting for the elevator and walked to the walking stairs before he dared to turn on the recording.

Even Wang Huan has a gossipy face with her white pointed ears——

"Dean Chu, come and judge, is ulcer a disease category of our burn department?" This is a strange female voice, very decisive and capable!

Another voice is slightly similar to that of Professor Lei Zhong: "President Chu, diabetic foot is diabetic foot, and diabetic foot ulcer is also diabetic foot. They can't be treated by the burn department. If there is no chance of treatment, we will transfer it to us." Kelai amputated, this is impossible!"

"There is no such reason in the whole world. Diabetic foot is the business scope of our orthopedics department. We are the orthopedics department of the Affiliated Hospital of Shonan University. We do not specialize in amputation diseases, but only limb salvage surgery."

"Ulcer, ulcer, how many times do I have to say it? Director Lei?" The woman's voice once again confirmed Zhou Cheng's guess about the male voice!

"The unhealed ulcer is called diabetic foot? The cured one is called ulcer? Professor Liu, what's the reason?" Lei Zhong was also right, and turned back.

"Original amputation in surgery is the outcome of this disease! Why does your orthopedics department refuse to accept transfer patients? Three or five big men, what kind of mentality?" The woman hummed!

"Professor Liu, this is a hospital. Doctors and nurses in the hospital are not divided into men and women when treating diseases. If you think there is, please go to the Constitution of the People's Republic of China, thank you!"

"Secondly, diabetic foot, if you want to treat it, and you are specialized in it, then you should take responsibility for this disease to the end, and don't think that orthopedics is the place where you throw garbage."

"Either way, don't worry about it. Our orthopedics department will take it back by ourselves, and we will never ask your burn department to deal with any problems with diabetic foot ulcers. We won't let your department perform any amputation either!"

"Department of burns is not a department of internal medicine, you are a department of burn surgery. Department of orthopedics is not your downstream department, and your department of amputation has already developed a high degree of proficiency. Don't say that we are not." Lei Zhong said clearly.

"Who said our department started amputation? Professor Lei, you have to be responsible for what you say!" Professor Liu frowned like a cat whose tail had been stepped on.

"Okay, it's not amputation, it's limb and skin modification, okay?"

"Then let me ask you again, Professor Liu, should diabetic foot be treated by your department or our department. Let's make it clear in front of President Chu." Lei Zhong asked.

"President Chu, our department should treat it first, and then the department of orthopedics will assist our department!" Professor Liu said to President Chu.

"There is no such choice, Dean Chu, I understand the truth, you decide. If their burn department handles diabetic foot, then our department will never touch such a case. If our orthopedics department treats such a disease If so, then we will be directly responsible to the end.”

"But if we want our orthopedics department to be an assembly line for amputations, that's not possible."

"A diabetic foot needs to be transferred to another department to cause trouble for the patient, and set up a memorial arch for himself, right?" Lei Zhong is also a violent person, and his words are ugly.