medical simulator #Page 65 - Read medical simulator Page 65 Online - All Page - NOVEL NEXT
Zhang Zhengquan nodded like a chicken pecking at rice, then took half a step back, his eyes narrowed slightly, a little scared.
Why did Luo Yun speak to me in such a tone?Say something like this?
Is it?
Is it really what I think?
I'm afraid it is. Brother Zhou Cheng is usually not good at managing the relationship with his superiors. Why did Luo Yun and Cai Dongfan treat him so well over Du Yanjun?
While thinking, he blinked his innocent little eyes, seeing Luo Yun staring at him with complicated eyes.
I'm a little scared, don't come here.
I am not short of money...
"Don't be funny, go back and rest quickly." Luo Yun patted him on the shoulder again, Zhang Zhengquan was so frightened that he nodded hurriedly again, turned and left.
He walked a little fast, as if he was afraid of being targeted by Luo Yun and Cai Dongfan.
Luo Yun, on the other hand, sighed for a long time, and said in a low voice, running is really fast, let's run, let's run, so what if we don't run?
Chapter 95 The mentality is broken, the mentality is broken!
"Ah~?" In a long and narrow passage between the director's office and the walking stairs, Zhou Cheng blinked and looked seriously at Cai Dongfan in front of him!
The word came out very unexpectedly and in a daze.
"Well, it's already decided. I'll tell you in advance, so that you won't be caught off guard."
"Tomorrow's operation, Yang Yifeng's teacher—Professor Ding will come to see it in person, and when the time comes, I can give you some pointers, which will benefit you a lot."
"Work hard, just calm down." Cai Dongfan patted Zhou Cheng on the shoulder, encouraging him.
Cai Dongfan really felt surprised and guilty!
Unexpectedly, who would have imagined that Zhou Cheng would unexpectedly be favored by Professor Ding Changle?
The guilt is that Zhou Cheng wanders around under his nose every day, and he just turns a blind eye——
As a result, Yang Yifeng caught him by accident.
I have to say that Yang Yifeng is very capable and talented, and his eyesight is also very good.
It was only by accident that I watched the postoperative film of the operation performed by Zhou Cheng, and I was able to know so much.
If Ding Changle is popular in his heart, as long as Ding Changle shows a little bit of strength.
Whether Zhou Cheng wants to stay in the hospital or go to graduate school, it's a smooth road.Such opportunities are rare.
Zhou Cheng frowned when he heard the words, and asked, "Mr. Cai, is this appropriate?"
Zhou Cheng didn't mean that he didn't dare to perform the surgery, but that he was going to perform a leapfrog surgery in front of people from other hospitals, and there were professors from the Affiliated Hospital of Shonan University watching beside him. Zhou Cheng was under a lot of pressure.
So what if something unexpected happens?
Medicine is always full of uncertainties.
Zhou Cheng is not in a hurry now, he can wait and wait slowly, and when he is able to perform the operation alone, he will be in a blue sky.
How long has it been since I got the emulator now?
The days to come are still long.
"It's a bit inappropriate, but since things have come to this point, we can only move forward."
"Your foundation is very good, far beyond my expectations, and the last PTFN operation was also done very well."
"Last time when you were reducing the fracture of the tibial plateau, you also put in a lot of effort."
Cai Dongfan said, touching the side of his cheek, and said a little embarrassedly: "You can know the whole leopard at a glance. In fact, Luo Yun and I also know that your foundation is very, very solid through these two surgeries. It's a third-degree operation."
"But, in our hospital, it is not easy for you to obtain the authorization of the second-level surgery. I have to do a lot of work and find someone to let you advance the time."
"After all, you can only be considered a junior resident now, not even a senior resident."
When talking about this, Cai Dongfan spoke a little more emphatically: "Professor Ke Ding is different. His status and connections allow you to obtain a third-level surgical authority in advance!"
"Opportunities like this don't come often."
"It was based on this consideration that I agreed."
Cai Dongfan spoke half-truths, and then said: "After all, not everyone has an operation, and Professor Ding is willing to come and see it."
"And if you can obtain the permission of level III surgery in advance, you can get access to more advanced surgery as soon as possible, and accelerate your growth curve."
Zhou Cheng nodded: "Yeah!"
Then he bowed halfway and said, "Thank you Teacher Cai for fighting for such a good opportunity for me. I will try my best."
Cai Dongfan really won a very rare opportunity for him this time.
And don't worry too much about the rest.
The leapfrog surgery was leapfrogged, it was arranged by Cai Dongfan himself, and besides Professor Ding was by his side, even if there was an accident, these two were dominant in this incident, so it wouldn't fall to him, Zhou Chenglai, to blame in the end.
It doesn't make sense from the point of view of reason. Why would a doctor at a lower level skip surgery when your doctor at a higher level is present? You are not dead.
Cai Dongfan's heart twitched——
I've actually thought about this too, can you believe it?
but said:
"Do it well and seize this opportunity."
"Catch it, and a great road lies before you."
"However, I still have to explain clearly to you. Even if you miss it, or if you have any difficulties during the operation, if you are not sure, you can stop the operation at any time, and I will take over."
"This is not a closed-book exam where you have to answer the paper from beginning to end alone. Don't put too much psychological pressure on it."
"Let's see how much you can do. You're not required to go through the entire procedure—understand?"
Cai Dongfan warned.
Although, I think so in my heart, after all, I still consider Zhou Cheng's current age, aptitude, these objective facts are here, and Zhou Cheng cannot be forced to move forward.What happened.
The most important thing in clinical practice is to be stable, and Yan Haihan has never said that he missed this point.
Then Cai Dongfan straightened his waist and said: "You and Zhang Zhengquan, although we are not known as masters and apprentices with me, have followed me for so long. I will do my best to win opportunities for you."
"But Du Yanjun can't fight for it himself. I've given him a lot of chances."
"Zhang Zhengquan, so far, there is nothing remarkable about him. He is not as stable as you, and he is not as qualified as Du Yanjun."
"It's a pity for you. You failed the previous postgraduate entrance examinations, otherwise? Sigh." Cai Dongfan really felt a little pity for Zhou Cheng.
Cai Dongfan naturally knew about Zhou Cheng's postgraduate entrance exam, and he even asked for leave during the exam days.
But after entering the hospital, he took the exam for two consecutive years, and in his fifth year of undergraduate graduation, he failed to go ashore after taking the exam three times, which was also helpless.Now that it has been the third year of regular training, it is unrealistic for Zhou Cheng to take the postgraduate entrance examination again.
It can only be said that the sky is not beautiful, so I like to leave some regrets in life.
"I'm sorry, Teacher Cai, to disappoint you." Zhou Cheng bit his lip.
In fact, he was Cai Dongfan's real disciple before, Cai Cheng, and only now has he become a little bit stronger.
Cai Dongfan shook his head: "Forget it, let's not talk about the past, everyone has their own encounters in life, and graduate students also pay attention to fate."
"Medical students who are trained under the regulations also want to be doctors. Their growth steps are different, but the starting point is just different."
"After actually participating in the work, it still depends on their respective strengths."
"You go back first, and come to the department in the afternoon for the preoperative talk."
"Only you, me, and Luo Yun know about this matter. Before the operation is over, don't let Du Yanjun and Zhang Zhengquan know about it."
"Anyway, Du Yanjun is also my student."
"I'm afraid he has ideas." Cai Dongfan and Zhou Cheng spoke straightforwardly.
"Understood, Teacher Cai." Zhou Cheng nodded hurriedly, with an expression that he would not say anything to death.
And he could understand what Cai Dongfan said.
After Zhou Cheng said goodbye to Cai Dongfan, he first finished writing the medical records normally, and then yo-yoed.
……
Then at two o'clock in the afternoon, Zhou Cheng felt that Du Yanjun and Zhang Zhengquan should not be in the department at this time, so he came back to the department again.
Going to talk to the patient and sign.
But when Zhou Cheng came, he found that the department was not what he imagined.
According to Zhou Cheng's thinking, the doctor on duty right now, Pang Dingkun, should be taking a lunch break in the lounge. There was no one in the doctor's lounge.
But before changing his overalls, he subconsciously looked inside——
Good guy.
On the rectangular table between the left and right computers in the office, there are two rows of boxed lunches.
One, two, three, four, five, a total of five animals gobbled them up like hungry wolves.
Surprisingly, it was Min Chaoshuo and Xu Yanlin from Yan Hanhan's group, and two friends from his own group, Zhang Zhengquan and Du Yanjun were also present...
Zhou Cheng already knew that the person on duty today was Pang Dingkun.
I also know that Pang Dingkun is the only doctor in the department.
After graduation, he came to work in the hospital and participated in the regular training in the hospital. He is currently the highest level of bed doctors.
But even if he is a doctor, a doctor of this hospital, even if he is on duty, Du Yanjun is by his side, taking care of himself——
There is no need to engage in such a big battle, and pull so many people into the department to be on duty together, right?
If Du Yanjun is here?Then how can I go to talk and sign?
Zhou Cheng stood at the door, and Pang Dingkun's eyes flashed and he asked, "Xiao Zhou, have you eaten yet? Should I order an extra box of lunch?"
He secretly said in his heart, didn't Du Yanjun and Zhang Zhengquan just said that Zhou Cheng would not come to the department?Why did this come here again?
Zhou Cheng scratched his earlobe and said, "No need, brother Kun. I came here after eating. Are you all here?"
I was thinking in my heart, is it true that everyone pretended to leave the department in the morning, but came to the department in the afternoon to show that they are very active.
I am the only one who really runs back to rest after finishing my usual work.
Du Yanjun and Zhang Zhengquan also waved their chopsticks at Lu Cheng as a greeting, but they didn't speak and continued to eat.
Zhou Cheng also went to the doctor's lounge to change his white coat first, and saw that the clothes Zhang Zhengquan and others had changed were hanging in it.
Wei Wei is torn, should I wait a little longer before going to the office to talk and sign?
……
When Zhou Cheng went to the doctor's lounge to change his white coat, Pang Dingkun hurriedly asked: "Yan Jun, Mr. Luo didn't call Zhou Cheng to call him for the several emergency operations today?"
Du Yanjun quickly explained: "I don't know about this, Brother Kun. Brother Quan and I came to the department after receiving a call from Teacher Luo."
"We don't know how it was arranged."
Anyway, I just pushed it on Luo Yun, naturally I can't say that Luo Yun sees me as Cai Dongfan's student, so he makes me go to emergency surgery more often.
As he said that, Du Yanjun put the meal into his stomach in two big gulps, then put away the lunch box, and hurriedly said: "Brother Kun, I'm done eating, I'm going to the operating room first."
"Brother Kun, I'm done eating too." Zhang Zhengquan also followed Du Yanjun's example, stood up quickly, and threw the lunch box into the trash can.
As if he was afraid of meeting Zhou Cheng in the office later...
Seeing this situation, Pang Dingkun felt a subtle movement in his heart.
He nodded and said, "Okay, thank you for your hard work."
He was thinking to himself, it seems that Zhou Cheng has no teacher and is not very good at managing the general training of human relations in the department. There are really few learning opportunities, which is really quite pitiful.
A while after Du Yanjun and Zhang Zhengquan left, Zhou Cheng put on his white coat and buttoned it up and walked towards the doctor's office.
After entering the door, I saw Zhang Zhengquan and Du Yanjun yo-yoing first.
Zhou Cheng's expression eased a little, and he swallowed back the remarks he had prepared.
Silently walked to the vacant computer at the side, began to edit the surgery (operation) informed consent form, pasted the template I created, and then revised it.
Pang Dingkun finished eating slowly at this time, and took the initiative to talk to Zhou Cheng when he was throwing out the trash.
Report chapter Comments
"Xiao Zhou, you still come to the department all afternoon?"
Zhou Cheng could only lean his body temporarily and say, "Brother Kun, I have something to do today. Are you having a dinner in the department today? It seems that everyone has arrived."
Zhou Cheng made a joke.
Pang Dingkun shook his head, so he spat out sour water and said, "Zhou Cheng, you don't know!"
"I have been on duty since today, and I have received a total of twelve emergency patients. Five of them are going to stage emergency surgery. In the morning, Mr. Luo Yun and Director Dong Qiansheng each completed one operation. After eating first, they went down again."
"Director Yan is still on stage."
"There are still two ready to open."
"It's outrageous!"
Zhou Cheng was taken aback when he heard the words, and looked at the time, it was only five minutes past two.
Counting starts at ten o'clock when I leave the department.
Well, in four hours and 5 minutes, six emergency department visits, equivalent to 245 emergency department visits in 12 minutes, one in 20 minutes, five to be on stage...
Pang Dingkun, you are a bit explosive on this shift today.
No wonder Du Yanjun and Zhang Zhengquan both came. Five of them needed emergency surgery, and Dong Qiansheng and Yan Haihan were split in half, not enough for a full score.
Then Director Hu Ming's team will definitely not be able to get away today on the surgery day, so naturally they can only call Luo Yun to the department for emergency surgery.
Zhou Cheng was shocked and said, "There are so many going on stage?"
"That's right, Teacher Luo Yun has just left..." Pang Dingkun hinted intentionally or unintentionally...
After Pang Dingkun finished speaking, he didn't continue.
Both Zhang Zhengquan and Du Yanjun were called for surgery, but Zhou Cheng came to the department. What does this prove?
It proves that Luo Yun doesn't want him on stage!
It's okay to think about it, but if you really want to say it clearly, it's always a little bad.
But all that Pang Dingkun could hint at was implied. As for Zhou Cheng's choice, he couldn't control so much.Then he walked to a computer and started typing on the keyboard.
There are many emergency operations, and the doctors on duty are very hard, admission medical records, emergency surgery conversations and signatures, preoperative and postoperative doctor's orders...
Zhou Cheng nodded, and only replied, "Oh."
Someone needs to deal with it. For open fractures, the sooner they are dealt with, the better.
Without any thought in his mind, he heard what Pang Dingkun meant, that is, Luo Yun didn't let him take the stage.
Luo Yun didn't call him because there was a reason behind it.
What Cai Dongfan said was correct, individuals have their own fate, maybe Du Yanjun and Zhang Zhengquan felt that Luo Yun called them to the department today because he valued them.
But it's just what they think, do they know that tomorrow they will perform a Class III operation?
Zhou Cheng kept quiet and didn't get angry.
……
After Xu Yanlin and Min Chaoshuo had dinner, they went to the operating room again.
Pang Dingkun couldn't leave because he was on duty.
Zhou Cheng also just finished writing the medical record, and then talked to the patient and his family members to sign...
Pang Dingkun didn't know if he was too busy, so he didn't talk to Zhou Cheng.
Just when Zhou Cheng was talking to the patient.
A little nurse ran in, she looked like an intern nurse, and the nurse on duty was probably too busy to come and call the doctor on duty.
"Doctor on duty, doctor on duty, the emergency department called again..."
Pang Dingkun's entire face was numb.
"Okay! I'll go right away."
Then turning his head, he could only say to Zhou Cheng: "Zhou Cheng, help me take a look at the ward for a while, if there is something urgent to deal with for me, I'll go for an emergency consultation. I'll be right back."
Zhou Cheng was talking to his family members, but when he heard this, he could only explain it to the family members apologetically and nodded.
Pang Dingkun just ran away.
Zhou Cheng continued to explain to the patient the options of conservative treatment and surgical treatment, as well as the corresponding risks and benefits, all of which should be clearly explained.
At Zhou Cheng's current level, what he said must be very simple...
It may be that Luo Yun communicated with the patient's family a long time ago, or it may be that they saw the other patients in the group and couldn't wait for the operation, so they agreed very simply.
And he asked specifically, "Dr. Cai performed the surgery, right?"
Zhou Cheng nodded: "Yeah! It must be Dr. Cai, don't worry."
With Cai Dongfan on stage, the name of the chief surgeon is naturally Cai Dongfan.Zhou Cheng is not lying to him.
"Then we agree to the operation, Dr. Cai's technique is good, we trust him." Then we signed the letter...
Pang Dingkun hurried to the emergency room again, his whole body was numb, and he was still recording the new patients in the ward with a pen on the way, which beds and things had not been dealt with.
While thinking about what kind of patient is here at this moment.
But when Pang Dingkun arrived in the emergency ward, he seemed to hear someone arguing in the corridor.
A man who looked quite old said: "Xiao Liang, you just came to the emergency department and started to be on duty. Maybe you are not clear about the business process of some things in our hospital."
"The two patients we met just now, you can completely push them to the county hospital. It is useless for you to call the orthopedics department."
"They won't do it, and they will return the patients at that time. Two patients were returned in the morning, and you happened to be away at that time."
"For such patients, let them go directly to the Second County Hospital instead of wasting time in the orthopedics department."
"After a detour and then sent to the Second County Hospital, the patients and their families felt that our emergency department doctors were irresponsible."
"It may be reported by them."
"Remember next time."
Liang Xueya scratched her head in confusion and asked, "Mr. Zheng, but when I was on duty last time, the dislocation orthopedics department handled it pretty well?"
"That must be Luo Yun from the Department of Orthopedics. Luo Yun can handle it when he is on duty, but not at other times." The elderly doctor patted Liang Xueya on the shoulder and said with emotion.
"The things that need to be paid attention to in our hospital are more complicated than those where you are a graduate student. You have to learn slowly." Zheng Guowei taught Liang Xueya earnestly.
There is no way, Liang Xueya is new here, so he is not very clear about many rules of orthopedics.
Liang Xueya nodded immediately, seeming to understand, but also seemed not to understand.
This was just heard by Pang Dingkun, and Pang Dingkun felt very embarrassed immediately.
My face turned pale and uncertain. It seems that I sent two patients back to the emergency department in the morning, which caused the doctors here to get emotional.So teach the people here now.
But it's just a little weird.
Pang Dingkun stood still for a moment, and eased his emotions: "Mr. Zheng, are you calling an orthopedic consultation?"
Zheng Guowei and Liang Xueya both turned around at the same time, Zheng Guowei also looked rather embarrassed, but immediately acted as if nothing had happened, and said, "Ah, yes, you are an orthopedic doctor, right?"
"We have two patients with joint dislocation here, so I came here specially to ask you to see how to deal with it." Zheng Guowei's tone was very polite, as if he was really asking for a consultation.
It can't be seen that Deputy Director Zheng was still in the diss orthopedics department in the last second.
Pang Dingkun also pretended that he hadn't heard what Zheng Guowei said before, but he was a little bit dissatisfied. Why are you so weird here?
But after Pang Dingkun finished watching the patient's preliminary examination film, he said, "One of these two patients has hip dislocation and the other has shoulder dislocation. Director Zheng, should these two patients be reset in the emergency department?"
"Okay, let's tell the patient." Zheng Guowei was quite familiar with the process and prepared to return.
But after pondering what Pang Dingkun meant, he turned his head, looked a little dazed, and let out Guo-style surprise: "Ah~?"
"Director Zheng, Dr. Pang said that he will do manual reset in the treatment room of the emergency department?" Liang Xueya repeated Pang Dingkun's words to Zheng Guowei in a rather innocent tone.
I feel that I have just been scolded for nothing. Director Zheng, didn't you say that only Teacher Luo Yun does joint resets?
No, there is one more?
Zheng Guowei winked at Pang Dingkun several times, but Pang Dingkun was very firm at the moment: "Director Zheng, Dr. Liang, please give the patient a medical order. I will talk to the patient first, and I may borrow a piece of paper from your emergency department to print An informed consent."
"It's troublesome."
Pang Dingkun is also a person with a temper. If he hadn't heard Zheng Guowei's eccentricity here, he would have pushed the patient away as usual.
But you are such a diss person, I feel uncomfortable.I really thought that our department of orthopedics is your subordinate department. Whether we do any operations or not, it's your turn to comment?
……
When Zhou Cheng was still checking the signed documents for any omissions in the office, he saw another intern nurse rushing in again.
"Doctor on duty, doctor on duty, emergency consultation!" She rushed to the door, and after seeing Zhou Cheng, she thought that Zhou Cheng was going to return after hearing it.
Zhou Cheng said to the outside: "Where is the emergency consultation?"
At the same time, he frowned, is Pang Dingkun so prosperous today?He just went to the emergency department for an emergency consultation, and then came an emergency consultation in another place?
"Are you in the emergency department? You should go there quickly, this time the director of the emergency department called personally."
Zhou Cheng opened his mouth and let out an unbelievable surprise: "Ah~?"
Isn't Pang Dingkun just in the emergency department for consultation?
Chapter 96 Are you serious? !
No wonder Zhou Cheng had such an expression.
Zhou Cheng really did not expect such a weird thing to happen.
Obviously Pang Dingkun is in the emergency department, and the emergency department called for an emergency consultation, which is really strange.
The little nurse was in a hurry because the other end of the phone she answered clearly stated that she was the director of the emergency department and asked her to find someone to answer the phone.She could only come to the doctor subconsciously.
"Hurry up and answer the phone, the phone hasn't hung up yet." The little nurse said again.
"Okay!" Zhou Cheng put the medical record under his armpit, replied with one word, and walked out at the same time.
When I got to the little nurse, I said, "Please put the case back on the case shelf for me, and I will answer the phone."
"Okay." The little nurse lowered her head first, and then nodded again, as if she was a head shorter than Zhou Cheng, she seemed a little shy.
At the nurse's station, Zhou Cheng answered the phone: "Hello, Orthopedic Ward [-]."
"Who are you? I'm Guo Haoran from the emergency department!" The other party said his identity first.
As the regular trainer of the orthopedics department, Zhou Cheng also went to the emergency department for rounds, so he naturally knew that Guo Haoran was the administrative director of the emergency department.
Immediately reply: "Mr. Guo, I am a resident doctor in the second orthopedic ward. Dr. Pang, who is on duty today, is already in the emergency department?"
"I know he's here. Hurry up and find a way to contact Yan Hanhan in your department or Dong Qiansheng. I can't get through here."
"You just say that Pang Dingkun from your department, now there is a problem with the manipulation reset, let them come to the emergency department to rescue the scene immediately! I am still calling the anesthesiology department here, so I will delay it for now."
"It won't take long."
"If Yan Hanhan, Dong Qiansheng or no one else comes after 10 minutes, I'll call Zeng Yi from the orthopedics department and ask him to come up with a solution." Guo Haoran said rather bluntly, and hung up On the phone, the tone was quite blunt.
Zhou Cheng was stunned, what kind of feathers are these?
As the administrative director of the emergency department, Guo Haoran directly contacted Yan Haihan, Dong Qiansheng and even Zeng Yi, so there was no problem.
You can also call him by his first name, but?
Pang Dingkun went to reset the technique and made a problem. What's the situation?
You can't get through the phone, where can I find a solution?These two great gods are both on the operating table now, it's no wonder you can get through the phone.
After Guo Haoran hung up the phone, Zhou Cheng pondered for a moment and decided to call Luo Yun first.
It depends on his attitude. If it is appropriate, he can ask Zhang Zhengquan and Du Yanjun to contact Yan Haihan.
Anyway, I have to take a stab in the department today, and I can't go back.
The call was connected, and it was quickly answered, but after answering, it seemed to be the voice of the itinerant nurse: "Luo Yun, the phone is behind you, turn on the loudspeaker, I'm going to the blood bank to get blood..."
When Zhou Cheng heard this, he hurriedly said, "Mr. Luo, I'm Zhou Cheng, can I take a moment to talk?"
"I know you are Zhou Cheng, and you have something to talk about. Hurry up, I'm still on stage." Luo Yun's cursing voice came, as if he was speaking to Zhou Cheng as an excuse to speak, and he was a bit uncomfortable.
Zhou Cheng continued to insist: "Mr. Luo, you may have to step down first."
Report chapter Comments
clap clap!
Then there was the snapping of gloves on the other side of the phone, and the mocking voice of the handwashing nurse: "Luo Yun, is the resident trainee in your department so awesome? I just asked you to step off the stage to answer the phone."
Luo Yun didn't answer, just picked up the phone, walked out wearing a sterile surgical gown, and turned off the loudspeaker.
"Now we can talk, what's the matter with you?" Luo Yun's tone was naturally not as blunt as before, and of course he was still beating Zhou Cheng in between the words.
"Brother Pang Dingkun is on duty today. About 10 minutes ago, he went to the emergency department for an emergency consultation. Director Guo Haoran from the emergency department called the department just now, saying that Brother Kun did something by resetting the technique."
"He couldn't get in touch with Yan Haihan and Director Dong Qiansheng, so I had to find a way to get in touch with them. I was just talking about the 28-bed surgery in the department, and I was entrusted by Pang Dingkun to take care of the ward temporarily."
"I just think it's necessary to discuss with Mr. Luo, what should we do?"
"If you want to notify Director Yan, I will come to the operating room in an empty ward? Or I will contact Du Yanjun and ask him to tell Director Yan about it."
"Director Guo spoke, but he didn't reply within 10 minutes, so he called Director Zeng Yi of the Department of Orthopedics directly." Zhou Cheng replied very quickly.
Zhou Cheng was entrusted by Pang Dingkun to manage the ward, so he had to fulfill his duty of communication.
Of course, it's not easy for Zhou Cheng to publicize what happened to Pang Dingkun.
Luo Yun frowned at that time: "What kind of reset did Pang Dingkun do?"
"I don't know. Teacher Luo." Zhou Cheng breathed calmly, but he was actually a little nervous.
"You don't care about this matter, I'll tell Director Yan. Don't spread this matter to outsiders. The less people know about it, the better. If you know, call me and insist on talking about it alone. Good job."
"You wait in the department for a while, I'll call Pang Dingkun and ask him to arrange someone to come to the ward to watch for him!"
"What tricks are you doing? Let someone from our team be on duty for him?" Luo Yun muttered rather unceremoniously...
Zhou Cheng also shook his head, regardless of this matter.
It's not to blame Luo Yun for being angry. The treatment groups where each director is located operate independently.
People from Yan Haihan's team were on duty today, and Luo Yun was called to the stage for an emergency operation.
Hu Ming's group is his own surgery day, he can't get away, and his superiors are not enough. If his name is not Luo Yun, could it be called Cai Dongfan?
However, it is reasonable to borrow someone to perform emergency surgery!
But the on-duty doctor, you are not on duty for a shift, borrowing people here, borrowing people there, your group is disbanded, okay?
Generally, unless there are extremely exceptional circumstances and a particularly serious accident occurs, the director must personally come forward to coordinate the work of everyone in the department, and then there is the organization and arrangement at the hospital level, which cannot be avoided.
About 10 minutes later, Xu Yanlin ran into the department panting, and saw Zhou Chengcheng and said, "Brother Zhou Cheng, I'm sorry to make you tired."
"It's okay, I just happen to have something to do in the department. Brother Yanlin."
"How is your surgery going?"
"It's okay, the operation is quite big, but it's going well. Brother Yifeng happened to be called to the operating room by Director Yan, so I came up." Xu Yanlin probably didn't know about Pang Dingkun yet.
Maybe he knew, but he was given a password by Yan Hanhan.
"Thank you, brother Zhou Cheng, go back and rest, as long as I'm here." Xu Yanlin said politely.
Zhou Cheng also yo-yoed.
Anyway, he only needs to obey Cai Dongfan and Luo Yun's orders, and Zhou Cheng is too lazy to meddle in other matters.
After all, if so many emergency patients today were encountered by my own medical team when they were on duty, there would be no one from the other team to replace the people in my own team on duty.
After returning home, Zhou Cheng went to the desk, opened his notebook, continued to sort out his thoughts, and began to write down the simulation scheme and plan.
……
Yan Haihan got off the operating table very annoyed at this moment, and rushed to the emergency department.
For MLGB, I have emphasized thousands of times in the department, and Wan emphasized, don't do manipulation resets casually, don't do manipulation resets casually, people in other groups, such as Luo Yun, don't listen, and you, Pang Dingkun, an academic doctor, stay in the laboratory for a long time goods.
Are you deaf too?Do you really think that others flatter you as an outstanding talent in our hospital, does that depend on your clinical ability?
How much time have you spent in the clinic in 11 years from undergraduate to doctoral degree?
Although the theory is rich, is the actual operation as simple as the theory says?
On the way, I met Guo Haoran from the emergency department. Guo Haoran's face was gloomy. After seeing Yan Haohan, he went up to him and said, "Director Yan, you are here."
"Director Guo, I'm sorry. I went to a meeting in the morning and turned on the Do Not Disturb mode, but forgot to turn it off. Then I went to the emergency surgery, and the phone didn't ring." Although Yan Haihan was a little angry in his heart, he did.
The person who should be polite to Guo Haoran should be polite, after all, he is also doing it for the good of orthopedics, otherwise, he will wait for Pang Dingkun to take the initiative to call for foreign aid after Pang Dingkun can't figure it out, without thinking about it at all.
First-diagnosis responsibility system, orthopedic problems, orthopedic first-diagnosis responsibility!
"I also understand the situation, but the matter is urgent, and I can only call you, Director Yan, to step down."
"Two joints were dislocated just now, and one was a posterior dislocation of the hip joint. It didn't take long for Dr. Pang from your department to reset it."
"But there is still a patient with shoulder dislocation. Now Dr. Pang has been resetting it for almost half an hour. He has tried two or three times, but he still hasn't reset it. I suggest that Pang Dingkun stop the operation and suggest that he go to the patient's family. Talk about nerve blocks."
"I'll call you from this side again. If it continues to reset, it's very likely that the bone will be fractured." Guo Haoran explained that he didn't want to bother him too much.
Joint dislocation, after repeated failures of manual reduction, it may be necessary to switch to surgery for treatment.
It's just that I have failed several times now, and I have to communicate with family members and patients well, otherwise, if a report comes, it will be quite troublesome for the emergency department and the orthopedics department.
Yan Haihan naturally understood Guo Haoran, and said gratefully: "I'm sorry to trouble you, Director Guo, I've troubled you, let's go and see the situation together first."
"I'll treat you to a drink in two days."
"Don't mention the drinking issue, let's deal with it first." Guo Haoran hurriedly skipped this topic.
When the patient recovers in the end, drinking and eating meat are trivial matters, and you can choose cocktails, beer, and white wine at will.
If it doesn't pass, or if it's broken, do you want a cocktail?
At the door of the operating room, the anesthesiologists inside had already been called by Guo Haoran. They were preparing the patients for nerve block anesthesia, as if they were marking the points with a black marker.
Pang Dingkun was patiently explaining to the patient's family that the conversation had been going well before Pang Dingkun was reset.
The family members of the patient asked reluctantly: "Then Dr. Pang, if you don't reset it again, do you have to have an operation?"
"My wife was very happy when she heard that there was no need for surgery. Usually she is most afraid of pain."
Pang Dingkun said: "That's it. Manipulation reset is only one of the options for treatment. As an alternative, we can think of nerve block and muscle relaxation. If it still doesn't work, then surgery is inevitable. "
As a Ph.D., Pang Dingkun has solid theory and basic skills, so he explained well to patients.
Conservative treatment, manual reduction, surgical reduction.
The three steps are quite clear.
"That's hard work for you doctor, if you can try not to do surgery, don't do it. You should think of a way!" He cupped his fists and bowed to beg.
"We will find a way." Pang Dingkun squinted and saw Yan Haihan coming.
He said: "You are here to guard your wife, I will go to watch your wife's film again, and then I will design a reset plan with our director."
"Okay, okay." He was relieved when he heard the word director. He walked into the operating room, let his wife grab his hand, and comforted her:
"It's okay, the director of the orthopedics department is here."
……
After Yan Haihan saw Pang Dingkun coming, he walked into the ward with Guo Haoran, and read the film first——
Anterior dislocation of the shoulder joint, it doesn't look like anything special.
Anterior shoulder dislocation is the second section of orthopedic joint dislocation. It is a very classic dislocation. Even if you are not an orthopedic doctor, you can know one of several treatment methods. What is going on with Pang Dingkun?
After Pang Dingkun came in, he reported the medical history: "Director, the patient is 35 years old, female. The physical examination showed obvious square shoulder deformity, tenderness, and swelling. No obvious fracture was seen on the X-rays."
"It is an anterior dislocation of the shoulder joint. It can be reset manually."
"But as if something strange happened, I tried the external rotation method, the lifting method, the hand pedaling method, and the santos method successively, but all failed." Pang Dingkun replied rather depressingly.
"I don't know what happened, we may have encountered an irreversible anterior dislocation of the shoulder joint."
Yan Haihan was slightly taken aback when he heard Pang Dingkun's words.
To be honest, the reset methods he has heard are external rotation, pulling and hand pedaling. Although Yan Haihan is the director, he has never heard of the santos reset method.
The main reason is that he does not engage in this aspect. The other three names are all knowledge reserves.
However, what Pang Dingkun said made it difficult for Yan Haihan to immediately blame Pang Dingkun.
Pang Dingkun did not act recklessly. First, he judged that there was no fracture in the diagnosis and made an assessment, which was an indication for manual reduction.
Second, he also has his own knowledge reserve and skill reserve.
Four different methods of shoulder dislocation reduction are enough, Yan Hanhan knows only three.
Then it really cannot be said that Pang Dingkun was reckless.
Moreover, Pang Dingkun's explanation caused Yan Haihan to frown, while Guo Haoran felt a little relieved, and then said: "Then what should we do with this intractable shoulder dislocation?"
To be honest, at the beginning, I heard from people in the department that the doctor of orthopedics made a problem with the manual reset, and the reset was unsuccessful several times.
The patient was crying in the operating room, and his husband was about to beat him up.
He thought he had encountered that kind of high-learned and low-energy, and thought that Pang Dingkun was a pure idiot.But now that I think about it, that doesn't seem to be the case.
Others have prepared much more than themselves.
"Director Yan, why don't you give Luo Yun a call? Let him come and take a look? I used to be a specialist in orthopedics, and I have a lot of contact with orthopedics. Luo Yun is a graduate student specializing in joint surgery." Pang Dingkun explained rather depressedly.
He also had his own ideas, and encountered this problem when he was doing the technique reset for the first time, and he felt that he had already made sufficient preparations.
But unexpectedly, who knows, just invite Luo Yun to help, even though it's not good looking.But I'm still a late learner, even though I'm about the same age as Luo Yun, I don't have much clinical experience.
"Okay!" Yan Hanhan nodded.
Since Pang Dingkun wasn't doing stupid things and did it recklessly, then he wouldn't blame Pang Dingkun or beat him at this time, he should settle the matter first!
Later, I must remind Pang Dingkun.
Yan Haihan then called Cai Dongfan first, asking him to take over Luo Yun's current operation, and explained the current situation.
Cai Dongfan agreed without much hesitation.
When facing patients, the Department of Orthopedics is integrated. If there is any trouble during the reset in the Emergency Department, it will lose the face of the entire second ward of the Department of Orthopedics.
Speaking of it, it must be that Yan Haihan's embarrassment is greater, but in the hearts of others, it is the lack of strength in the second department of orthopedics.
Breaking the bones and connecting the tendons, fighting in private, that is a private matter, it is impossible for him to trip Yan Haihan at this time.
Then Cai Dongfan immediately said: "Director Yan, I understand, I will call Luo Yun immediately and ask him to come over."
Yan Haihan was taken aback, he didn't expect Cai Dongfan to be so sensible.
Cai Dongfan called Luo Yun and he called Luo Yun, although the matter is the same, the meaning is completely different.
"Thank you, Director Cai." Yan Haihan's heart moved slightly.
"Small matters, Director Yan, please communicate with the patient first." Cai Dongfan added one more sentence, paving the way for Luo Yun.
What did he ask Yan Haihan to communicate, he must communicate about the operation.
And he took the initiative to tell Luo Yun, just to remind Luo Yun, don't do it rashly...
Luo Yun quickly came to the emergency department, wearing the hand washing clothes in the operating room. (Note: Hand washing gowns are the clothes to be worn in the operating room, usually short-sleeved trousers and green slippers; sterile surgical gowns are long-sleeved sterile gowns to be worn during surgery.)
However, when Luo Yun saw the plain film of the patient's preoperative examination, his face changed suddenly, and he looked at Pang Dingkun first.
"How is it? Luo Yun?" Yan Haihan asked.
"It is obvious that the humeral head is stuck on the humeral glenoid, which is quite a special type of irreversible anterior shoulder dislocation. I have only seen similar case reports."
"But the dislocation used the Kocher reset method, which is also the external rotation reset method used by Dingkun just now. There are no other methods mentioned in it. If we want to try again, we may still have to use the success rate to compare Gao's Kocher external rotation reduction method." Luo Yun deserves to be a professional in joint surgery.
I still know more than Pang Dingkun.
Even for Pang Dingkun, it is impossible to review all the literature and books of orthopedics. What he knows most is bone tumors.
But the eighth hospital is still blank in this area for the time being. After he entered the department, he suggested to Yan Haihan to perform a few small bone disease operations, but none of them were bone tumor operations.
He knows about joint dislocation, but he is not that professional.
If he hadn't heard that director Zheng in the emergency department was being eccentric, he wouldn't have bothered to do it. It wasn't that he wanted to be brave, but he felt that what he said, and the people who said those words, was something wrong and gossips.
You have the ability to talk to Yan Haihan face to face, what is the doctor on duty doing?
But now he heard about the entrapment of the glenoid, and he understood why he couldn't go up.
This is like, if you put a wooden stick in the crack of the door and insist on closing it, can it be closed?It's strange if it is closed, the method is wrong, either the stick is broken, or the door is broken...
That's scary.
"Ms. Luo, can you do it later?" Pang Dingkun asked.
"Let me try it first, it's hard to say, I'm not sure." Luo Yun said, not daring to finish his sentence.
Pang Dingkun took the initiative to inform the current situation: "I have reset three times, and I still have two chances at most."
Although the method of reset is good, you can't be greedy for too much. If you really can't do it, you have to give up if you have to give up.
Luo Yun frowned: You tried three times?
……
Zhou Chengcai opened the book, read the basic knowledge of fractures, and was about to extract the key parts of it, as the material for simulating ideas and polish it.
The phone that was flat on the desk vibrated.
In fact, Zhou Cheng usually doesn't put his mobile phone at hand when he studies, because he is afraid that he will not be able to help looking at it.But the reason why it was released today is that Luo Yun or Cai Dongfan might call him.
After all, there are a lot of emergency surgeries today, if there is another surgical patient who is going to be on stage suddenly, it must be Cai Dongfan who will take the lead.
If there is any more, there is no way to do it. It depends on whether the patient can wait or not, or go to the orthopedic department to shake people.
Cai Dongfan came to the stage and asked himself to be an assistant, so he definitely couldn't escape.
Seeing that it was Luo Yun's, Zhou Cheng sighed, stopped writing, and closed the book.
Immediately connected: "Teacher Luo, I'm Zhou Cheng."
"Zhou Cheng, why don't you come to the emergency department now. Come and take a look." Luo Yun said rather tiredly.
"Ah~?" Zhou Cheng was very surprised.
what is it today?And the emergency department, right?
Luo Yun continued: "Is it inconvenient? That's fine."
"No, Mr. Luo, I'll go right away."
"Is it the patient with joint dislocation?" Zhou Cheng asked as he got up and walked out. It was necessary to inquire clearly.
Luo Yun said solemnly: "Yes."
"After the fourth attempt to reset failed, he reported Pang Dingkun. He said that we misdiagnosed, and now the people from the medical department and the general on duty have come to the emergency department to understand the situation. Anyway, it is a mess."
"The patient's family members are very sophisticated. They politely said in person that they went out to buy water, and when they left the house, they called the medical department..."
"Hey, the medical department is mediating now. Let's think of a way to try to keep the patient from undergoing surgery. Stabilize the emotions of the patient and his family."
"I called you to let you come over and chat casually. Director Cai and Director Hu are both on stage, and there is no one else to complain about."
Zhou Cheng paused, and was startled by Luo Yun's coquettish words.
are you seriousTeacher Luo?
Call me to complain with you?
Chapter 97 So we opened a lonely?
When Liang Xueya saw that Yan Haihan was answering the phone call from the medical department - the complaint office, he scratched his hair.
Beside Liang Xueya, Zheng Guowei tapped him on the shoulder and said, "Xiao Liang, before I know why, I should tell you that, right?"
"In the orthopedics department of our hospital, there is no routine for the manual reduction of joint dislocations. If there is a little carelessness, such a situation may occur."
"Actually, Pang Dingkun is quite good. He has extensive knowledge and knowledge, and he explained it very clearly to the patient and family members before the operation."
"Besides, you also thought that the patient's family members were quite sympathetic?"
"But the fact is that most people only recognize the result, they don't care about the process. Anyway, if they don't do well, they can go to the complaint office of the medical department to complain."
Liang Xueya lowered her head slightly, bit her lip and said, "But Director Zheng, this joint dislocation is originally a sub-specialty of orthopedics. It's not appropriate for such a patient to be sent to other hospitals after he arrives, right?"
To be honest, Liang Xueya has only been on duty for a few days, the process here is to do a 24-hour shift, then rest for three days, and continue for another 24 hours.
A little different from the previous shift.
Liang Xueya's first impression after coming here was that the emergency department of the No. [-] Hospital was quite leisurely, far less than the volume of patients when he was a graduate student in the Emergency Department of the Third Affiliated Hospital of Shonan University.
When he was on duty, he would occasionally be without patients for an hour or two...
Such a patient size, dare to pick and choose?
Zheng Guowei said with emotion: "Xiao Liang, this is what I told you. Our Eighth Hospital is the same as the Third Attached to your graduate school."
"It doesn't matter whether you want to use our emergency department or not. It's a specialist matter. There are only two departments in our orthopedics department. You can't force the orthopedics department to admit and treat all the patients."
"Forget it, let's not talk about this, and learn a lot of wisdom. Just remember it next time."
After finishing speaking, Zheng Guowei continued: "The medical department will definitely send someone to investigate and mediate later. You are the first doctor who sees the patient in the emergency department, and I am your supervisor. Both of us will be called over."
"Just say that you called the orthopedics department for an emergency consultation. Don't mention that the orthopedics department doesn't accept joint surgery patients, it will only make the description more confusing."
"The medical department doesn't think you don't engage in this sub-specialty thing."
"The orthopedics department is already on fire, we can't add more fire."
Zheng Guowei confessed.
Speaking of this patient, it has nothing to do with the emergency department. They received the doctor immediately and completed the examination. If they have a specialist problem, of course they need a specialist consultation, which is not within the scope of the emergency department.
After Pang Dingkun came to the consultation, he decided to reset the patient's manipulation, so they have nothing to do with the emergency department.
The department of orthopedics in the emergency medical records was written by Pang Dingkun, and the talking doctor on the informed consent form also signed Pang Dingkun's name.
Since I have nothing to do with it, I should also avoid stabbing others in the back...
But Zheng Guowei then smiled bitterly and said: "Of course you may not be called, I can't hide anyway."
Liang Xueya looked up at Zheng Guowei, and said apologetically, "Mr. Zheng, I'm sorry, it's my fault that I didn't figure it out, and you got hurt."
"It's okay, it's okay, everyone came here like this. Working in the No. [-] Hospital, there are many details to pay attention to. In addition to the Department of Orthopedics, there are also many details that need to be memorized in other departments. For example, the Department of Neurosurgery is the [-] Ward. Consultation, consultation in Ward [-]..."
"As for the more outrageous department, there is the Department of Cardiology. It is consultation in the first ward in the morning, consultation in the second ward in the afternoon, and consultation in the third ward in the evening..."
Liang Xueya nodded quickly, remembering all these details in her heart...
The people from the Complaints Office of the Medical Department came quite quickly. About 10 minutes after Yan Haihan received the call, two people rushed over. One seemed to be the director of the office, and the other was a staff member. Keep a complaint log book.
After coming to the emergency department, they called everyone related to the orthopedics department, and only Zheng Guowei and Guo Haoran were called in the emergency department.
After all, the department responsible for the 'malpractice' this time is the department of orthopedics, but it happened in the emergency department, so the people in the emergency department would naturally be called over.
Even Luo Yun didn't let go.
When Luo Yun heard that the director of the office had even called him into the office, he had a look of embarrassment on his face.
"Director Qin, do I have to go too? I was called to help me halfway." Luo Yun asked Tan Zixing in a low voice, trying to get away.
He just called Zhou Chenggang and asked him to come over so that he could talk. He just called this time, but he called himself for questioning. Then Zhou Cheng came at that time, wouldn't it be a waste of time?
"Luo Yun, why don't you come along?" Tan Zixing's face was stern, and he looked very rigid, and before the director of the Complaints Office who was quite unreasonable could speak, Yan Hanhan took the initiative to call Luo Yun.
After all, Luo Yun is a major in joint surgery, and it will be easier to talk later, and what he says will be more professional. Even if there is a medical dispute and a lawsuit is required, the arguments provided by Luo Yun will be more convincing.
"Okay, Director Yan." Luo Yun felt a pain in his heart, knowing that he couldn't escape.
And it is estimated that Yan Haihan will beat himself in the department because of this matter in the future.
The manual reset of the joint dislocation was done by him in the department now, and Pang Dingkun was considered as being "broken" by himself.
In front of Tan Zixing and Yan Hanhan, Luo Yun naturally couldn't make the phone call anymore.
So he quickly sent a message to Zhou Cheng on WeChat: "I was called by the Complaint Office to talk, you don't need to come here."
Zhou Cheng guessed that he had been holding his mobile phone and paying attention to the information, so he replied almost instantly: "Ms. Luo, I'm already at the door of the emergency department, so should I come in?"
Luo Yun——
(o)...
"Then you come in and go to Liang Xueya from the emergency department to see the film first..."
"I'm in, so I can't play with my phone anymore." After Luo Yun replied, he didn't dare to play with his phone anymore. Things are very serious now, and it's not the time for joking and smiling.
Pang Dingkun sat at Tan Zixing's door. He is a doctor of the hospital and a certified person. He has first-level surgery and operation authority. Today's incident was caused by him alone, so he naturally bears the brunt of it.
Beside them are Yan Haihan and Guo Haoran, and then Luo Yun and Zheng Guowei...
Tan Zixing said straight to the point: "I won't talk nonsense. Our complaint office received a complaint call. Before going to the patient to communicate, our complaint office follows the usual practice to find out the facts."
"Dr. Pang, you are the first orthopedic specialist to see this patient, so let's talk about it first."
"Zhu Qingqing, please record it with a pen, and don't record it in the complaint file." Tan Zixing ordered the little girl who came with him, and deliberately confessed one more sentence...
……
After Zhou Cheng entered the emergency department, he soon saw Liang Xueya.
Liang Xueya was the patient's number one first doctor. Now the patient's family members couldn't find Pang Dingkun, so they stood in front of Liang Xueya and asked, "Dr. Liang? Where's the orthopedic doctor? Where's the director? None of them are gone?"
When he asked this question, he still felt a little regretful, thinking that he called the complaint call too early, so the orthopedic doctors got angry and all slipped away.
But his wife was still in the operating room, half of her arm was numb, and the pain was gone, but she still couldn't move her hand, and it seemed that there was an obvious deformity.What if no one cares about this?
Just now after he told his wife about this incident, he was severely scolded by his wife, who scolded him for having no conscience, and wanted to complain before his illness was cured, so what if there is no doctor here now? alley?
Of course he can only come to look for it.
Liang Xueya could only helplessly explain: "Uncle, don't worry. Our orthopedic doctor received a call from the complaint office and was called for questioning. He will be back soon."
"They are discussing a solution, so don't worry."
"Then can I not be in a hurry?"
"Is my wife still lying in there?" The patient's husband stopped working at that time, and his voice was a bit loud.
However, it seemed that he was so loud to trouble Liang Xueya, but he didn't find the right person, so he said: "Then I will call to cancel the complaint now, can those doctors come back?"
The corners of Liang Xueya's mouth twitched, and he thought to himself, do you think this is a vegetable market?
Do you want to return it if you don't want to buy it?
"I can understand your feelings, but the Complaint Office has received a complaint, so it must understand the situation. The hospital and the orthopedic department will definitely come up with a plan as soon as possible." Liang Xueya was talking, and suddenly saw Zhou Cheng walking sideways close.
Zhou Cheng called him, because the patient didn't call him by a private name, but called him a more formal name: "Doctor Liang."
"Hello, Doctor Zhou." Liang Xueya raised his eyebrows when he saw Zhou Cheng, feeling a little bitter in his heart.
Good guy, it's really a coincidence, the reason why I send a patient to the orthopedics department today is because this guy let me send him off when he was on duty last time.As a result, such a stubble came out.
Of course, it cannot be said that Zhou Cheng is wrong.
"Doctor Liang, you haven't told me how to solve it? My wife is lying in it, so just leave it alone?"
"Huh? No one cares?" He spread his hands, his tone mixed with resentment and anger, and he was naturally a little helpless.
Liang Xueya could only ignore Zhou Cheng, and continued to explain to the patient: "But you have complained, and all the doctors in charge have been temporarily called in for questioning."
"I definitely won't ignore it, and the orthopedic department is still in the emergency department and will come soon. The hospital is not selling things on the street outside. If you say you don't want to buy it, or you complain, other people's business continues. Do."
"After receiving the complaint, in non-emergency situations, the operation that may cause trauma must be stopped immediately. It needs to be checked by the people in the office before discussing the solution. Your wife's current situation is not life-threatening, so naturally she can't do it again. Keep going."
"There's nothing our doctors can do about it." Liang Xueya smiled wryly.
The patient's family immediately snorted heavily: "Mmm! TMD!~"
"What egg is this?"
Then he changed his words and cursed: "What a mess, what a mess, I came to the hospital to see a doctor, and I came to see a doctor for treatment. You are responsible for curing me. I pay for it, and you see a doctor. Why are there so many things?"
"Doctor Liang, can you find another doctor?"
"You have to ask the doctor to see it? Let them find a way." He hammered his thigh, but he didn't rush him to death.
This is equivalent to my wife being pushed to the operating room, half of the anesthesia was given, half of the operation was done, and the doctor disappeared, I felt the same mood.
He probably also felt that if he went to the previous doctor again, he must have some thoughts about himself, and he complained to them, so they might retaliate.
Before you can react, try another doctor. If you can treat the disease before the previous batch of doctors, they will be fine when they go home.
"This? Where." Liang Xueya subconsciously prepared to reply, but then remembered that there was really an orthopedic doctor in front of her.
But he immediately dismissed this idea. The level of this doctor is much lower than that of Pang Dingkun and Luo Yun. There is nothing they can do about it. That's the end of the bird.
"Where can I find it now? The orthopedic doctor is arranged by the director of the orthopedic department, that is, the former director Yan."
"The on-duty doctor and the consultation doctor are all arranged by him!"
Report chapter Comments
"Our emergency department can only invite orthopedic doctors to come here for consultation, but we can't take the initiative to choose who will come for consultation." Liang Xueya continued to explain.
He can't do this job, maybe Guo Haoran in the emergency department can have this power, but it is definitely not Liang Xueya, a small doctor who can arrange it.
"I!"
"I've really learned a lot, and I can't find a doctor even when I come to the hospital. It's true!"
"Your eight hospitals have a huge spectrum. I have never heard of this."
"The Affiliated Hospital of Shonan University doesn't have such a big spectrum, and the hospitals in Shanghai and Kyoto are not as outrageous as you!"
"What do you see me doing? Go and find a way for me!"
"You are such a big hospital, open the door openly to do business, find me a doctor! Solve the problem." He actually started yelling at Liang Xueya.
I also don't know who to contact and how to solve this problem.
Liang Xueya was a little regretful at the moment, a little regretful that she didn't go to the 'meeting' with Pang Dingkun and the others, and left herself to face the patient's family alone, feeling quite aggrieved.
But it's hard to say anything, so I can only bite the bullet and say: "I've said it all, the doctors on duty and consulting, and even the director of the orthopedic department have been called by the place you complained to for questioning."
"I have no right to arrange other doctors. It's useless for you to yell at me. I'm just a little doctor in the emergency department."
"I really want to." He raised his fist, but there were two security guards staring at him, not far away, but they kept staring at his hands.
As soon as they raised their fists, their hands parried.
"What are you doing? Fighting is not allowed here. If there is a fight, we can call the police. There are cameras here." The security guard stretched out his hand and stopped him. He was absolutely alone. If there were too many people, he probably wouldn't will be close.
Zhou Cheng frowned fiercely when he heard this.
While Liang Xueya was still struggling with the patient's family, he went to the surgical ward of the emergency department, and sure enough, he saw that the patient's anterior shoulder dislocation was displayed on the computer screen.
In the office of the ward, several doctors were grabbing the computer, but they didn't dare to turn it off.
Zhou Cheng swiped the mouse up and down, and frowned slightly.
This dislocation of the shoulder joint is indeed relatively rare. It is a dislocation of the joint that is irreversible. If the correct method is not found, it is really impossible to reset it. There are more than ten kinds of manipulations for the shoulder joint reset. Try each one for sure. Not advisable.
The humeral head is lodged against the glenoid of the shoulder joint.
This is very troublesome!
Have to find a very good way to reset the job.
After Zhou Cheng carefully read the film for a while!
I went to the doctor's office in the emergency department first, and casually twisted up a white coat to cover the hanging badge.
Send Luo Yun a message!
Then he tightened his mask and walked outside.
When he came out, he looked at Liang Xueya, he was still entangled with the patient's family, and the patient's family was still cursing and telling Liang Xueya what to do in the hospital?What is the truth of a doctor's medical ethics?
Taking advantage of no one's attention, he slipped into the operating room.
Zhou Cheng had no choice. The matter had reached this stage. If he insisted on waiting for Luo Yun and Cai Dongfan's orders before taking action, it would be difficult to end the matter.
Cai Dongfan was probably still on the operating table, and Luo Yun was called to a meeting.
It is still necessary to solve the root cause of the problem first. When patients come to the hospital for treatment and treatment, what they seek is healing, not for quarreling.
I checked my phone, but got no reply.
He could only sneak into the operating room privately...
……
In the conference room of the emergency department.
After Tan Zixing listened to the speeches of Pang Dingkun, Guo Haoran, Yan Haihan and others.
Said to Luo Yun: "Doctor Luo, please tell me, I already understand the general things, let me briefly talk about your personal opinion."
Previously, Yan Haihan specifically brought up the fact that Luo Yun was a major in joint surgery.
So Luo Yun's opinion is very important.
When Luo Yun explained the situation to Pang Dingkun and others, he had already organized the language.
Said: "Director Qin, just now Dr. Pang from our department, Director Guo and Director Zheng from the emergency department have also told what happened."
"I was also called to the emergency department by Director Yan halfway!"
"However, whether it is from the perspective of orthopedics or joints."
"I think it's all fine."
"First, first point."
"Dr. Pang from our department carefully assessed the patient's condition before the operation, and explained the diagnosis—this is the anterior dislocation of the shoulder joint after trauma!"
"No fractures, no symptoms of nerve paralysis on physical examination."
"It is in line with the indications for manipulative reset." Luo Yun put it at the end, so you can't talk nonsense. All these things may go to court, so it is natural to be clear.
"In the clinical treatment guidelines, manipulative reduction is the first choice! Surgical treatment is the alternative."
"Why did you propose an alternative surgical treatment? This is also written in the guidelines. This is an objective fact! This is the consensus formed by experts from all over the country, professors and experts in joint surgery and trauma surgery."
"Surgical treatment can only be chosen after manual reduction fails."
"This is also the second point I want to talk about. Dr. Pang also had a detailed communication with the patient and family members before the operation. Director Zheng overheard this."
"But we must also admit that the medical field is not programmed, and there is no necessary causal relationship between any treatment method and treatment results."
"This fully considers and respects the informed consent of patients and their families. Only consent is required."
"Dr. Pang has done a full pre-operative assessment, and after pre-operative communication, it is the patient and his family who chose the treatment method of manual reduction, but are unwilling to accept the result of manual reduction failure."
"Choose the right treatment but it doesn't work, it doesn't mean that there is a mistake in diagnosis or treatment!"
"And while Dr. Pang has already responded adequately, our orthopedics department has also adjusted the treatment plan in time."
"I have successively adjusted various reduction methods for the anterior dislocation of the shoulder joint, and also called for assistance from the anesthesiology department. These are all procedurally correct. They should also be done step by step."
"Even in the Affiliated Hospital of Shonan University, or even the well-known hospitals in Shanghai and Kyoto, when choosing the treatment method for anterior shoulder dislocation, you can only choose the method of reset first."
"It's just that there is no one-to-one correspondence between any treatment method. Medical guidelines are just reference opinions, and it doesn't mean that if you choose the right one, you will be cured."
"We must fully respect the patient's own choice of treatment methods, and we must also—"
While Luo Yun was talking, he heard someone knocking on the door of the conference room.
And quite hastily.
The sudden knock on the door made everyone frown.
Who is this?
But the knock on the door was a bit urgent, and before they called him in, he pushed the door open.
After pushing the door open, an attending physician from the emergency department stood at the door, swallowed several mouthfuls of saliva, and then he was a little nervous, and said with a very tangled expression: "Director Guo, Director Yan, this family member of Sheng Kaimei."
"I bought a lot of fruit baskets, and ran to the opposite side of the hospital in one breath, and bought several pennants with undecided departments and names."
"I have to say thank you in person."
After Guo Haoran and the others listened, their brains froze.
A person seemed to be stuck in a machine, with a different expression, and looked at the person at the door blankly.
Eyes and minds are different.
But there is no doubt that they all point to the word pain in the egg.
Sheng Kaimei was the patient with dislocated joints, and the patient's family members were the ones who reported it.
If he came to deliver pennants and fruit baskets, then why are so many of us here?
After such a long meeting, my mouth is almost dry, so I'm lonely?
After more than ten seconds, Guo Haoran said: "Lin Mo, what nonsense are you talking about? Now is not the time to joke."
"We are having a meeting right now to discuss this patient!"
"Get out of here!" Her voice and tone were sharp.
Chapter 98 Ah~?Orthopedics again?
Tan Zixing rubbed his hair fiercely at this moment, and almost lost his breath, and said:
"Lin Mo, what are you talking about? This is not a good joke!"
"We are having a meeting right now to discuss this patient!"
Tan Zixing's balls hurt, and his whole body was throbbing.
Good guy, he received a report call from the patient's family. He came here in person to solve the problem. He not only helped the patient solve the complaint, but also helped the clinical doctor to mediate the conflict with the patient.
Is it easy for him?
When I came to the emergency department, I called everyone to ask about the situation!
As a result, during the questioning process, the patient's family members brought fruit baskets and silk banners.
So, are we starting to be lonely?
Did Yan Haihan and Guo Haoran deliberately arrange this TN show to let him watch the play?
The attendant named Lin Mo smiled wryly at that time, and said, "Director Guo, of course I dare not make jokes."
"Now the patient's family members are waiting outside, and they have distributed the fruit baskets to other doctors and nurses in the emergency department. I just want to thank you in person."
The corners of Qin Zixing's mouth continued to twitch when he heard the words. He patted the table lightly and asked, "Director Guo, Director Yan, what's the matter with you?"
"Are you asking me to solve the complaint today? Or are you asking me to watch you collect the pennant?"
At the same time, I signaled the people in my office to stop writing, stop writing, and stop messing around.
What the hell, everyone is not idle, everyone has their own affairs and responsibilities. To put it bluntly, my complaint office is in charge of the complaints of the whole hospital, but I don't have so much time to joke with you here.
And this scene is really not good.
"Director Qin, I'm sorry."
"Director Guo and I don't know the situation, let's go out and have a look together."
"Actually, I didn't even know that I was being complained before you called." Yan Haihan immediately stood up and said voluntarily.
This incident happened in the orthopedics department, and it happened in the emergency department. Although Tan Zixing and the others felt that the relevant department was responsible for whichever department it happened in, they called Guo Haoran in, but as a human being, you can't be so shameless.
Tan Zixing has his perspective, and Yan Haihan has his own.
I just think that this family member might be a bit out of their wits, and as soon as they think about it, they should report it first, and then send fruit baskets and pennants...
And at the moment of this gap, Luo Yun finally had the time to secretly look at his mobile phone. After all, he called Zhou Cheng over, so he was worried and threw him to Liang Xueya and left him alone.
But after seeing the message, Luo Yun's expression immediately changed.
After thinking for a while, he lowered his voice and said, "Director Yan, I may know what's going on here."
After hearing Luo Yun's words, everyone immediately turned their gazes over.
Yan Haihan turned his head and blinked, with a puzzled expression: "Do you know the situation?"
"What do you know?"
"Well! I know the situation, but it's hard to say now. We'd better wait until we go out to see the patient and settle the complaint first, and then talk about it in detail."
"What happened to the patient's dislocation is the purpose of our meeting today. Director Yan."
Luo Yun had no choice but to take over the conversation, but at the same time he had to keep it a secret.
This young man Zhou Cheng is too courageous, without Cai Dongfan and Luo Yun's instructions, he dared to go to other groups to show off his power and interfere with patients in other treatment groups.
He can only cover it up first, and then slowly make a conclusion after seeing the results...
When Yan Haihan, Guo Haoran, and Tan Zixing heard this, they didn't pursue Luo Yun's fault that half of what he said left them half confused. What Luo Yun said was right, the root of the matter was the patient's side. If things are dealt with over there, everything after that will be easy to talk about.
If there is a problem there, then today's matter will have to continue, and it may even be a higher level.
Yan Haihan and his group hurried out the door, and then they saw Sheng Kaimei's family members talking and laughing to other doctors in the emergency department. Good fruit compote.
At the same time, he kept scanning, and happened to see Yan Haihan and others, and immediately turned around and walked over, and then held up the banner very respectfully and said: "Dear doctors, you have worked hard, thank you, thank you!"
Report chapter Comments
"Thank you so much, thank you for your hard work on my wife's affairs."
"In my heart, I feel very guilty now. I'm the one who made trouble unreasonably. I'm sorry!" He apologized and handed over the pennant.
Let everyone see it is inexplicable!
If he had such a good temper and was so talkative before, there would be absolutely no complaints today.
Yan Haihan and Guo Haoran did not dare to accept the silk banner.
Zheng Guowei glanced at Liang Xueya immediately, and waved to him. Liang Xueya walked over immediately, and then said in a low voice, "Director Guo, Director Zheng."
"Not long ago, when Sheng Kaimei and Sheng Kaimei's family members were still communicating, Sheng Kaimei somehow walked out of the operating room with her forearm sling on."
"Then she took the initiative to thank me and confused me and her husband who was arguing with me."
"I only found out after asking. Sheng Kaimei said that an orthopedic doctor had done a reset for her. I checked and found that the square shoulder deformity has disappeared. The patient went to the imaging department for an examination by himself."
"Knowing that my husband had a conflict with the department, I insisted on going alone and asked my husband to apologize to the doctors in the department."
"That's it."
Guo Haoran understood Liang Xueya's not-so-clear explanation, and hurriedly asked: "Then you didn't ask, who is that orthopedic surgeon?"
"You just let someone you don't know go to the operating room?"
Liang Xueya usually just followed Zheng Guowei, and she was still very afraid of such a big director as Guo Haoran. She explained in a low voice: "At that time, the patient's family was very emotional, and I was trying to calm his emotions. Otherwise, I was afraid that he would cause trouble."
Lin Mo also nodded and added: "What Xiao Liang said is true. Just now, the family almost dismantled the emergency department. All kinds of high-pitched words insisted on the orthopedic doctor. Xiao Liang has been dealing with patients..."
Guo Haoran felt that he couldn't understand, so he turned his head to look at Yan Haihan.
"Director Yan, who is this from your orthopedics department?"
He found that Yan Haihan was even more confused than himself at the moment.
He looked at Luo Yun, because when he left the conference room, Luo Yun said that he might know what was going on.
Others naturally followed Yan Haihan's gaze and looked at Luo Yun: "Is it Director Cai?"
Luo Yun knew that he couldn't hide it now, so he said, "No, it's not Director Cai."
Then he took a step back and said in a lower voice: "Director Yan, I guess it is Zhou Cheng. He is the only one who is free to come to the emergency department right now."
When Yan Haihan heard Zhou Cheng's word, his face was filled with panic in an instant: "How dare he reset this irreversible joint dislocation?"
"Yeah!" Luo Yun heard Yan Haihan's words getting more and more wrong, and immediately tightened his voice to remind him.
Director Yan, you are the director of the orthopedics department. Now we are in the ward of the emergency department, and there are people from the complaint office of the medical department next to you. As the director, you should protect your brother, instead of turning your back on him.
So Luo Yun continued to remind: "Director Yan, didn't we discuss it just now? This operation and operation belong to the Class I operation stipulated in the document issued by the National Health and Health Commission."
"The authorization of the first-level surgery can be granted by the chief physician or the deputy chief physician, and in emergency cases by the attending physician. We have submitted the application form for surgical authorization to the medical department and have been approved."
"We've just come to the conclusion that residents can perform class I surgeries and procedures."
During the conversation, he kept reminding Yan Haihan not to talk nonsense, otherwise, the person standing here still has the title of resident doctor. Although he is a doctor, he is still only a resident doctor.
According to what you said, he should be the first to be beheaded for public display.
"What we need to pay special attention to now is the patient's reset situation and the reexamination film. The patient's family is still waiting for us." Luo Yun continued to remind in a low voice.
When Luo Yun was speaking, Pang Dingkun's face was cloudy for a while. Luo Yun's words were obviously hitting him.
But he couldn't help it. It was indeed because of him that Luo Yun was called off the stage...
It wasn't that Luo Yun wanted to connotate Pang Dingkun on purpose, but that Luo Yun really could only say so in order to punish the public.
Otherwise, with Yan Hanhan's temper, no matter how well things are done at Zhou Cheng's place, he will definitely bully him in public later.
Seeing that none of the doctors answered, the patient continued in embarrassment: "Director Yan, Director Guo, I know that my previous behavior was quite wrong, but I am also worried about my wife's condition."
"I also ask you to be considerate."
His wife's dislocation is healed, and he is quite polite in speaking.
Only then did Yan Haihan take the initiative to stand up and confront him, saying: "We are doctors, and it is our duty to cure the sick and save the sick. We dare not accept the pennant. Our hospital has a clear rule that we cannot accept anything from patients."
"Whether it's money or not. The director of our hospital's complaint office is here. You can't let me make mistakes."
"Let's take a look at the patient's reexamination film first."
Yan Haihan naturally refused to accept the pennant he gave him. As for whether these words stimulated him psychologically, he felt that Yan Haihan was unwilling to forgive him, but Yan Haihan didn't care so much.
When he complained before, he didn't think about these people's sophistication.
From the beginning to the end, the orthopedic treatment was fine, and he was the one who complained first.
Guo Haoran and others next to him could tell that Yan Haihan's words had a different meaning.
Both the hospital and the Health Commission expressly stipulate that doctors are not allowed to accept bribes, but the pennant that patients voluntarily accept is not included in the scope of bribery.
Of course, strictly speaking, this is what the patient paid for, and Yan Haihan deliberately stepped on this sensitive point.It also makes sense, some people don't want to accept the pennant.
Soon, Sheng Kaimei came back from the imaging department.
Wearing a forearm sling, he saw his husband holding a pennant in front of a group of doctors with a little embarrassment but no one accepted it, so he took the initiative to come forward and bowed:
"Thank you, doctor, it's all my fault."
"My husband was mainly worried about me, so he did something wrong in a panic. Thank you for your generosity. Regardless of our mistakes, you gave me treatment."
In fact, patients do not know that as long as the first diagnosis is made in the hospital, they must be responsible to the end.
This responsibility, whether it is treatment or transfer, must be responsible to the end. The treatment must be treated to the extent that it can be discharged from the hospital. Transfer requires that the patient has completed the transfer procedures, has a receiving hospital and has been hospitalized.
Otherwise, the transfer process, in a strict sense, has to be tracked, which can be described as extremely troublesome.
Hearing this, Luo Yun took the initiative to step forward and said, "Well, you still don't feel the hand right now? Director Yan and Director Guo and I may have to do a physical examination on you. Can you go to the operating room conveniently?"
There are four signs of joint dislocation.
One is the deformity of the affected limb, which is determined by inspection.
The second is pain, even severe pain.This is the patient's supervisory feeling.
The third is limited activity due to pain, which needs to be determined through physical examination.
The third is that the plain film shows that the humeral head is detached from the glenoid of the shoulder joint, which is in an abnormal state.Determined by plain film.
The signs of successful reduction of joint dislocation are just opposite to this.
The disappearance of pain is actually the most direct, and the patient himself feels in charge.The easiest way to determine the success of the reset.
But this one is not applicable now. In order to facilitate the reset, the patient was given a nerve block anesthesia before, and the pain was gone.
Therefore, it can only be determined through other three aspects.
First, the deformity of the affected limb disappears, and it is found through inspection, which is also determined by inspection.
Second, the passive range of motion is restored, that is, under the intervention of external forces, the movement of the shoulder joint in all directions can be completed.The reason why she couldn't take the initiative to move was because of a nerve block anesthesia.
The feeling after anesthesia is limp, and I don't even know the existence of this part, so how can I take the initiative to move?
Third, the plain film shows that the joint structure is normal...
"Okay, okay!" Sheng Kaimei replied immediately.
If there is a doctor who is willing to take the trouble to do more examinations for her, she is naturally very willing to accept it.
"..."
About 10 minutes later, the patient and his family members bowed to everyone with gratitude.
Yan Haihan confronted the patient's family members, saying that he refused to accept the banner and asked them to return it...
Luo Yun asked Pang Dingkun to write down the doctor's orders that need to be paid attention to in the emergency medical record book, which was also a chance for him to settle the matter completely.
After seeing the patient leave, Guo Haoran, Tan Zixing and others went about their own affairs.
What they care about is whether the patient is still making trouble, whether the patient has been properly handled, whether they still need to take responsibility or whether they should continue to be in troublesome entanglements.
So I'm not interested in asking who is the orthopedic person who did the reset?Did he overstep the group and meddle in other people's business?
As long as the orthopedic staff did not make any low-level mistakes such as leapfrog operations, which affected them.
Other things are internal affairs of the orthopedics department, and that's what Yan Haihan should worry about.Not that they are interested.
They have confirmed before that there is nothing wrong with the resident doctor performing first-level surgery. At most, they can only say that there is no superior doctor present. If the superior doctor is not present, then they have to ask the superior doctor why he is not present?Why is this?
……
After Guo Haoran and others left, Luo Yun took the initiative to find Yan Haihan, and followed behind Yan Haihan in an unconventional manner.
Leaving Pang Dingkun to communicate with the patient's family, this matter is over for Luo Yun and Yan Haihan.
But Pang Dingkun's troubles have not been resolved yet, he has to persuade the patient's family to cancel the complaint...
Complaints can be made with one phone call, but to cancel the complaint, he and the complainant have to go to the complaint office in person to make sure that the complainant has not been threatened, is willing, and has received relatively proper treatment.
This is to protect the interests of patients...
Seeing that there were fewer people around, Luo Yun took the initiative and said, "Director Yan, I'm mainly to blame for this matter. I called Zhou Cheng to the emergency department."
"Otherwise, he won't have a chance to mess around, and I'll call and criticize him severely later."
"What is this thing called? Yuezu is acting on his behalf. He is young and not sensible yet."
"Where can I get this patient?"
Yan Haihan glanced at Luo Yun casually when he heard the words, his cheeks twitched, he interrupted Luo Yun, and asked: "Luo Yun, what do you mean by saying this, is there something in your words?"
Luo Yun immediately stopped talking, and looked up at Yan Haihan, as if he was thinking about the meaning of Yan Haihan's words.
Yan Haihan continued to walk forward and said, "Go and take Cai Dongfan's place, it's not appropriate to call him to the operating room for our team's affairs."
"Besides, I also know about this matter. If it wasn't for Zhou Cheng, I wouldn't be so kind. I'm not a fool, and I wouldn't be so unkind and trouble Zhou Cheng."
"You don't have to deliberately go around several big circles just to protect this kid."
After Yan Haihan finished speaking, he left, leaving Luo Yun in a daze for a while.
Then he walked in the direction of the operating room, but he was still thinking about how Yan Haihan would deal with this matter. With Yan Haihan's temperament, he definitely wouldn't just let it go.
But there is no other way, Cai Dongfan is the only one who can line up with Yan Haihan, so it is better to tell Director Cai about this matter.
There was also emergency surgery, so Luo Yun sent Zhou Cheng a few more messages to beat for a while, and then returned to the operating room, replacing Cai Dongfan, allowing Cai Dongfan to step down and continue to perform emergency surgery...
……
The next day, I went to work early.
Luo Yun and Zhou Chengcheng anxiously waited for the nurse on duty and the doctor on duty to finish their shift, and then waited for what trick Yan Haihan would use.
But Yan Haohan didn't know if today was the surgery day of their group, so he decisively ended the shift: "There is nothing else today, the shift is over."
"Dong Qiansheng, you take the ward round, I will take someone to the operating room directly."
Naturally, Hu Ming and Cai Dongfan didn't say much, so they also took their own people to check the ward.
However, just as Cai Dongfan left the shift room, Yan Haihan patted Cai Dongfan on the shoulder and said, "Director Cai, thank you for what happened yesterday."
Cai Dongfan said casually: "Small things, Director Yan, we are all in the same department, we should help each other, thank you very much."
The corner of Hu Ming's mouth twitched. He obviously knew what kind of riddle Cai Dongfan and Yan Haihan were playing, and he didn't explain it. He just patted the stunned attending physician in his group and pushed him forward.
Yan Haihan took the person away and left the operating room.
Cai Dongfan conducted regular ward rounds, and after the ward rounds, he called Luo Yun and Zhou Cheng to the director's office.
Du Yanjun and Zhang Zhengquan are still on a daily basis, one goes to grab a medicine replacement cart, and the other goes to the office to write medical records.Including Zhang Zhengquan, the enthusiasm suddenly became full.
After all, even though Zhang Zhengquan gave up fighting for a place in the hospital, he couldn't resist yesterday when Cai Dongfan went to the emergency surgery in person in Zhou Cheng's absence, he paid him all the attention.
Zhang Zhengquan felt that if he didn't be more active, he would really be sorry for Cai Dongfan's attention to such a degree, so this morning, he arrived at the department at seven o'clock earlier.
Although Brother Zhou Cheng has been led into small alleys many times, I have never seen Director Cai and Teacher Luo Yun teach him so attentively...
If Cai Dongfan and Luo Yun knew what Zhang Zhengquan was thinking at the moment, they might feel sorry for the child.
-
In the director's office, Cai Dongfan clasped his hands together, crossed his fingers, and placed them flat on the table.
Then, looking at Luo Yun and Zhou Cheng, they said directly: "If someone asks about what happened yesterday, just say that I was the one who reset it."
Luo Yun and Zhou Cheng kept their mouths shut.
After finishing speaking, Cai Dongfan continued to say to Zhou Cheng: "Because I am the only one who has the time to feel ashamed to interfere with patients in other groups. You two owe me a little."
Report chapter Comments
"The people in the department, Yan Haihan and I know who did it, and we know who it is. But we can only say that."
"Pang Dingkun is a doctor, a doctor in this hospital. Everyone is in the circle of the No. [-] Hospital. We are still brothers in the trenches. Those who should save some face should save some. The benefits that are due to you will not be less."
"But if you can take care of other people's face while getting benefits, it will be a win-win situation."
Speaking of this, Cai Dongfan took his right hand from the crossed fingers, knocked on the table, looked at Luo Yun, and said: "Yan Haihan is going to set up a general duty in the department for joint dislocation and fracture manipulation."
"Luo Yun, what do you think of this matter?"
Luo Yun's eyes widened——
﹏?
"90.00% of the performance of this total shift is at your personal control, and the department only takes [-]% symbolically." Cai Dongfan continued to tap on the table leisurely, like a devil, tempting Luo cloud.
?
"Ah~? This~?"
Can I say no to this?
……
Meanwhile, in a certain operating room.
When a young girl heard what her teacher said, her face turned pale with fright, and she kicked her feet back several big steps!
Then, pale and aggrieved, he cast an aggrieved look at his teacher, and muttered in a low voice, "Ah~?"
"teacher?"
"Orthopedics again?"
Chapter 99 Is this another crazy double?
Zeng Yi took a serious look at An Ruo's expression, the terrified little eyes, like a young monk going down the mountain, who was told orthopedics is a devil, don't touch it.
But it seems that for An Ruo, she should be the little nun who went down the mountain or the disaster that made all the monks go down the mountain.
I don't know which pig will be cheaper in the future.
But this girl is not too old, and she hasn't graduated yet. Last time I heard that she messed up her own blind date.
It's a pity for Zeng Yi, because I heard people say that the people her family found for her this time are actually quite suitable for An Ruo in terms of talent and character.
Such a suitable person is not easy to find.
Laughing out loud, he explained: "Orthopedics is not a whirling hell. Why do you react so much when you hear the word orthopedics?"
An Ruo hummed in a low voice: "Teacher, isn't orthopedics scary? Last time?"
An Ruo seldom acted like a baby to Zeng Yi on weekdays, almost never, she completely treated Zeng Yi as an elder and teacher, diligent and conscientious.
As a small worker bee in the anesthesia department in the operating room, work hard.
But An Ruoke was terrified by that time, and later felt that neurosurgery was excellent, although the surgery took a little longer, she couldn't leave work early.But this is the rhythm of normal anesthesia.
The last time my teacher was temporarily seconded by the Department of Orthopedics, the things he encountered still made An Ruo feel shuddering when he thought about it.
"Don't talk about the last time, I have asked Director Cai of the Orthopedics Department carefully. The last time was an accident."
"That Zhou Cheng didn't show the mountains and rivers on weekdays. Director Cai Dongfan hardly gave the bed doctor who helped him a lot. It can be regarded as reciprocating the favor."
"Didn't Liu Yan also say that later, that Xiao Guipei even apologized to her and you, and I guess he wasn't a person messing around in the department."
"Director Cai said that there is only one set this time." As An Ruo's teacher, in addition to caring about An Ruo's academic problems, he also has to care about An Ruo's psychology.
The last anesthesia turnaround surprised Zeng Yi. An Ruo didn't have much contact with orthopedics, so it's a normal reaction to have resistance to orthopedics.But I have to help An Ruo get out of this vicious circle.
As an anesthesiologist, it is impossible to only give anesthesia to non-orthopedic patients such as neurosurgery and general surgery for a lifetime. Even if you work in the future, you will always be on emergency duty.
You are not allowed to pick and choose patients when you are on the emergency department and anesthesia.
Besides, the department of orthopedics is not as scary as An Ruo imagined.
An Ruo pouted, but was blocked by the mask, she blinked her eyes, seeing that the patient's heart rate seemed a little too fast, she slightly increased the amount of inhalational anesthesia for the patient, and then sat back and muttered: " Why is it Director Cai again?"
It's not to blame An Ruo for thinking this way, Cai Dongfan is the 'culprit' who has left a name deep in An Ruo's heart, although Zhou Cheng also hates her for torturing her so much last time.It was Cai Dongfan who allowed Zhou Cheng to reset his technique.
Zeng Yi also found it quite strange, and said, "Recently, Director Cai Dongfan is really interesting."
"The last time I performed a manual reset for my relatives, I invited Associate Professor Zhong Hua from the Provincial Hospital of Traditional Chinese Medicine."
"But this time it's different. The people invited this time are more important than last time. To be cautious, I contacted Director Wu in the afternoon to be ready at any time, just to deal with unexpected situations."
When An Ruo heard this, she blinked her eyes again, feeling very surprised. Director Wu's name is Wu Rui, and she is the administrative deputy director of the anesthesiology department. If her teacher is not in the department at ordinary times, she will act as the administrative director when she goes out to attend meetings and study.
It can be regarded as the second in command in the department. Originally, An Ruo considered that Teacher Wu Rui was a woman, and Wu Rui was the first choice to apply for the exam, but Zeng Yi snatched her over...
My teacher would be so cautious today, and even greeted Teacher Wu Rui in advance, ready to help at any time?
"Teacher, who is the person invited by Director Cai this time? Could it be a professor invited from Magic City and Kyoto?" An Ruo frowned. She has been in the department for more than a year. I have seen such a big battle.
Zeng Yi and Wu Rui are ready to rescue patients at any time to ensure nothing goes wrong.
"That's not a professor from Kyoto or Modu, but it's not too far off. It's Professor Ding from the Affiliated Hospital of Shonan University, who is currently the head of trauma surgery!"
"It can't be said that it will be the dean or the deputy dean in the future."
"Cai Dongfan in the orthopedics department usually doesn't show his face, but suddenly he can invite such a big Buddha at any time. It seems that he has been underestimated on weekdays, and Director Cai is doing a lot of business. I don't know why. " Zeng Yi said in a deep voice.
"Oh." An Ruo is not very familiar with orthopedics, but Zeng Yi said that Professor Ding is the leader in trauma surgery, and a person who can bear this title must be famous.
Furthermore, as an analogy, if he can still compete for the candidates for the dean and vice-dean, he must be a very powerful professor.
"Is there really only one operation today?" An Ruo continued to ask her teacher, fearing that there would be another accident.
The main reason is that she doesn't want to answer Zeng Yi's groaning topic. She is just a small graduate student, so why bother with so many things?
It's not something she can inquire about, and it's useless if she inquires about it, at most it's just gossip.
And what Director Cai wants to do, why so many professors are suddenly invited to the hospital for consultation or teaching, An Ruo doesn't want to worry about it.
Orthopedics and anesthesiology are parallel departments, there is no need to manage them, it is better to consider the current affairs.
If there is only one operation, then no matter how difficult it is, she can handle it!
Even if you are a little tired, it is not bad to leave work early after anesthesia, much better than last time.
It is quite comfortable to have more time to go back to rest and read books.
"Just this one, I have already inquired about it. If the operation goes well, it will only take an hour or two, which is a normal rhythm."
"Hmm." An Ruo nodded frequently.
Then I felt aggrieved and thought: Teacher, you also said the same thing last time.
……
After walking out of the director's office, Du Yanjun was pushing the medicine changing trolley towards the door of the doctor's office, planning to transfer the right to use the medicine changing trolley to Du Yanjun.
After all, he managed to snatch the dressing change cart, so of course he had to make the best use of it and clean up all the dressing change patients in the group, so that it would not be in vain for him to take the initiative to grab it.
Cai Dongfan paid more attention to himself, so he should be more active.
At the door, with a casual glance, he saw Zhou Cheng being dragged into the "alley" by Luo Yun again, Zhang Zhengquan was no stranger to it.
Just pretend you didn't see it. Although Zhou Cheng was dragged into an alley yesterday, the teaching surgery that Cai Dongfan performed in person was not named Zhou Cheng.
There is no need for him to take the initiative to tell Zhou Cheng such things, it is not good for Cai Dongfan.
I still have the idea of being a good boy when I get cheap, so I can't do that.
So he turned around and said to Du Yanjun who was in the office who gave the doctor's order: "Brother Yanjun, I've finished changing the dressing. Do you want to change it? If you don't change it, I'll take off the dressing bag and give it to you."
"Change!" Du Yanjun immediately stood up, how could he not change?
The time spent waiting for the medicine changing car in the morning is longer than the time spent writing medical records and issuing doctor's orders.
Although he learned a lot yesterday, he was also a little tired. He wanted to go back early and have a rest!
Then read the book to consolidate what you learned yesterday, and by the way, check for omissions and fill in the gaps that you didn't understand or understand yesterday, so as to prepare for yourself to be pulled into the main position by your master later.
Cai Dongfan spared no effort to teach himself this way, isn't it just to prepare for himself to be the first surgeon?
If I don't live up to it and build a more solid foundation, wouldn't I have failed my teacher's arrangement?
"Thank you, Brother Quan." Du Yanjun quickly took over the medicine changing cart, and quickly pushed it to the ward to change the medicine.
……
In the alley, that is, in the passage from the director's office to the walking stairs.
After Luo Yun closed the door, he habitually pushed his back against the door, so that if someone walked out, he could push his back immediately so that he could react.
This is similar to the smoking room in the operating room where he put his foot against the door.
Only then did Luo Yun frowned, and said to Zhou Cheng, "Xiao Zhou, did you understand what Director Cai said just now?"
"Well, almost. Congratulations, Teacher Luo."
"Should I invite you to dinner?" Zhou Cheng smiled and congratulated Luo Yun.
Luo Yun was granted by Yan Haihan the general on-duty authority to reset joint dislocations, and also received a separate performance assignment. Such good things are naturally worth knocking on bamboo poles.By the way, it also provided benefits for Zhang Zhengquan and Du Yanjun.
Luo Yun scratched the back of his ear with his left hand, but he didn't know if it was really itchy, or he felt that Zhou Cheng had less contact with the superiors in the department.
Cai said: "Director Cai said it in front of you and me. There are three meanings!"
Zhou Cheng opened his mouth slightly, carefully recalling what Cai Dongfan said——
If there are three meanings, wouldn't it mean that there is something in the words?
Zhou Cheng was a little dazed, and really didn't think about it.
Luo Yun tapped Zhou Cheng's head and said, "The first meaning is that Director Cai doesn't treat you as an outsider anymore. Only when he treats you as one of his own, will he say such things in front of you and me. matter."
"Ask Du Yanjun and Zhang Zhengquan, when did they hear about such a thing!?"
Zhou Cheng touched his head a little 'wronged', I know this, but can I say it?
Director Cai asked me to chat alone before, I can't tell you directly, Mr. Luo?
Zhou Cheng was naturally not stupid. Cai Dongfan had talked about this with him alone a few days ago, so Zhou Cheng had naturally thought of this.
"The second meaning is, to remind us, Director Yan directly threw the total duty of the joint dislocation to me this time, and also directly threw the performance distribution to our group, in order to make the two of us pay attention."
"Director Hu Ming used to do fracture restoration in the department, but was stopped by Director Yan, and now he leaves this kind of thing to me in the open."
"No matter how open-minded Director Hu Ming is, he will always feel a little uncomfortable, although he won't say it."
"But I certainly don't think it's a good thing."
Zhou Cheng continued to nod, and said, "I've considered this point too, but Mr. Luo, didn't you say that in the department, there is already a plan to pick up the technique reset and use it as a signboard?"
"Since Director Yan has given our group the general duty authority for joint dislocation reset, I guess he will also give Director Hu or the people in Director Hu's group the corresponding total duty authority for fracture manual reset."
"I estimate that the performance distribution will be similar. I don't know how Director Yan will organize himself."
Hearing Zhou Cheng's words, Luo Yun gave Zhou Cheng a high look, nodded and praised: "You can think of this, which proves that you are still using your brain."
"But you've never been stupid."
"Then do you know the meaning of the third layer?" Luo Yun continued to ask Zhou Cheng, wanting to test Zhou Cheng.
Zhou Cheng simply shook his head, he never thought of the third floor.
Luo Yun then sighed and said: "We have heard a lot of sayings, if you want to turn against your brother, the best and fastest way is to do business together."
"Those who can do business in partnership can only be husband and wife, father and son, brothers and sisters are not allowed. Because only husband and wife are members of the same family."
"Now that Director Yan assigns the performance separately to me, what will Director Cai think?"
"What do you think, Zhou Cheng? Director Yan must have known about it through the recent incidents, and you will also be exposed to many reset techniques. How should this be divided?"
Zhou Cheng opened his mouth.
Damn, is this the workplace in the second orthopedic ward that I don't usually see?
Luo Yun then sighed again and explained: "But Director Cai must have no idea. You don't have to worry about this. And this kind of thing is impossible to be perfect."
"The distribution of benefits is very realistic and troublesome."
"It's very straightforward. Generally speaking, it must be good for you and me. But what good things bring must have some disadvantages."
"Do you take it for granted that Director Yan had a bad relationship with Director Cai and Director Hu Ming before he became the director?"
Report chapter Comments
After hearing this, Zhou Cheng immediately asked, "Isn't it?"
"The three of them are iron brothers who came from the first ward of orthopedics!"
"It's very strong. Even the deputy director Dong Qiansheng is a latecomer. The current orthopedic second ward was developed by the old director and the three of them. A group of people originally came. But they see that the benefits of the second orthopedic ward are not very good."
"Turn back to Director Zeng and go back to the orthopedic ward."
"The three of them have been staying here all the time, and it's only at this scale."
After Luo Yun threw a meaningful sentence to Zhou Cheng, he opened the door and walked into the department, leaving Zhou Cheng alone to meditate for a long time...
But soon, Zhou Chengcheng walked into the department again.
While walking, I felt my phone vibrate.
He discovered that Luo Yun had edited a separate message for him, not a WeChat message, but a serious mobile phone message that Zhou Cheng hadn't seen for a long time.
"Zhou Cheng, in the future, you will follow me to do joint dislocation resets. Before you officially become an employee in the department, I will give you some performance. There won't be many."
"We'll discuss this matter after you officially stay in the department."
"Don't refuse, don't go back."
"Permanently delete after reading!"
After reading it, Zhou Cheng immediately deleted the information, and then walked into the department as if nothing had happened.
Inside, Zhang Zhengquan was prescribing medical orders and writing medical records. After seeing Zhou Cheng, he said very politely, "Brother Zhou Cheng, do you want to have lunch together?"
Last time Zhou Cheng got the chance to be the host, so he treated him to a treat.
He and Du Yanjun were given private lessons by Cai Dongfan yesterday, so they should come back.
Zhou Cheng hurriedly replied: "I still have something to do, so I won't eat together! You go invite Yan Jun together."
Zhou Cheng had an operation in the afternoon, and it was still not easy to tell Du Yanjun and Zhang Zhengquan about the operation, so naturally he could only shirk it.
"Well, okay, let's get together in two days, this time I invite you." Du Yanjun was very generous in front of the landlord, with the expression of waiting to be beaten...
At [-[-] noon, Zhou Chengcheng and Cai Dongfan went down to the operating room.
At this moment, Zeng Yi and An Ruo had just finished anesthesia for the first operation in the general surgery department. Zeng Yi was about to go to eat, and then came back to take An Ruo's turn to eat in the operating room.
Cai Dongfan stepped on the door and found Zeng Yi.
Said: "Director Zeng, Professor Ding and I agreed that the opening time is [-[-]."
"We need to make preparations for Professor Ding to open the stage at any time when he arrives in the operating room before [-[-]. Please understand."
"We've already taken the patient into the operating room, and it's going to be hard for you to get an anesthesia."
"You and your students haven't eaten yet, right? Why don't you eat it first? We'll go eat together after the operation. Xiao Zhou and I haven't eaten either."
Hearing this, Zeng Yi still hadn't reacted. An Ruo, who was extubating the patient and replacing it with artificial ventilation, twitched immediately. At that time, her feet became unsteady and staggered.
I said in my heart, it's over, it's over, it's over.
Let's just say orthopedics is toxic.
This is not even eaten...
Zeng Yi thought it over, and decided to agree with Cai Dongfan's statement.
If it's really what Cai Dongfan said, and the show must start on time at [-[-, then he is really going to give the patient anesthesia first.
Then Cai Dongfan and Zhou Cheng had to complete a series of preoperative preparations such as preoperative disinfection and draping in advance, so that as soon as Professor Ding Changle entered the operating room, he could immediately get the knife and start the operation.
More time to prepare, less panic, and Professor Ding will not feel that they can't even do a good job of preoperative preparation for one operation. This means that the entire hospital process is not smooth.
"Okay, Director Cai, then I'll get ready right away."
"Ruoruo, send the patient to the recovery room first, and then immediately come to the 14th room to help. I have already handed over the follow-up anesthesia work in this operating room."
"Director Cai, the patient is in Room 14, right?"
"Yeah!" Cai Dongfan nodded and said, "Thank you for your hard work, Director Zeng. I will definitely treat you and your students to a good meal later to express my gratitude."
"Let's do things first." Zeng Yi doesn't pay too much attention to what he eats. When working, doing a good job is the first priority.
But An Ruo, who was pushing the patient out and squeezed the green balloon for artificial ventilation, felt a little hopeful in his heart.
Want something delicious?
It's okay to not eat at noon and keep the stomach, but I don't know if I will gain weight after eating.
101.11!
Finally lost 0.43 catties.
My fleshy--
They miss me again, are they going to come back to me again?
Forget it, eat something delicious first.
Because Cai Dongfan didn't even bring Luo Yun with him today, he personally cooperated with Zhou Cheng in arranging the pre-operation work in the operating room.
After Zhou Cheng and the hand-washing nurses had finished the preparatory work of disinfecting and laying towels, and wrapped the legs tightly with sterile film on the knee joint and other surgical sites.
Only then did Cai Dongfan hurriedly look at the time, and confessed to the people in the operating room: "Xiao Xun, please check if the bags that may be used in the operation and the instruments I mentioned are all there."
"Liu Yan, please work hard, count the number of equipment on the stage with Xun Xun, don't count gauze and pliers after Professor Ding comes."
"In addition, keep the key instruments in the operation ready at any time. To ensure orderly removal and removal, the operation process must be very smooth."
"I inquired about it. Usually, when Professor Ding is doing surgery, there are occasionally two equipment nurses who work with him. The operation process is very fast."
"We don't want to do it so fast, but we have to know it well."
Liu Yan is a specialist nurse in the orthopedics department, so she was called as an instrument nurse, and a nurse from the operating room was randomly called to do the tour. .
Then he looked at Zhou Cheng, and said earnestly: "Zhou Cheng, you are ready to open the stage at any time, put the electric knife and suction device back in place one by one, don't make a mess, don't be nervous..."
Zhou Cheng nodded, he didn't feel too nervous, but he felt that Cai Dongfan seemed to be more nervous than him as the chief surgeon.
Zhou Cheng inspected around and found that all the things that should be prepared have been prepared, and the inner curved opening of the patella can be cut at any time, and the intramedullary nail can be reversed.
And for the convenience of Professor Ding's evaluation, even the C-arm machine has been put on a sterile cover, ready for the pre-operative shooting work at any time.
The preparations are all ready, just waiting for Professor Ding to arrive...
In front of the anesthesia monitor, Zeng Yi, the old one, and An Ruo, the young one, didn't dare to play with their mobile phones, and kept their eyes on the data changes on the monitor, not daring to be careless in the slightest!
An Ruo also occasionally adjusted the speed of the infusion to avoid too fast infusion and high blood pressure, which would affect the surgical field during the operation.
Strictly control blood pressure, this is an advanced theory that she learned from her teacher recently.
I heard that top professors of anesthesiology can control the blood pressure of the entire surgical patient near the shock blood pressure, which can minimize the amount of bleeding, avoid blood loss, and facilitate the operation of the surgical team.
But she and Zeng Yi did not dare to go to such a limit, and controlled the high pressure around 100/70mmHg.
……
Ten minutes later, the time moved toward 10:37 pm.
Cai Dongfan led a person into the operating room just now, but Cai Dongfan's eyes were a little strange, although he still greeted politely: "Professor Qin, please come inside. Please come inside, we have already done a complete job." The preoperative preparations are over. Would you like to check it out, is there anything missing?"
Hearing Cai Dongfan's name, the expressions of the people in the operating room varied.
Zhou Cheng, Zeng Yi and others all looked puzzled, shouldn't it be Professor Ding?Why did Professor Qin appear out of nowhere?
Who is this?
Liu Yan and the itinerant nurse immediately concentrated on preparing for the battle, because they only knew that a professor from an outer hospital would come to the stage today, and they didn't know anything else.
And Cai Dongfan naturally didn't tell them about these things in order to avoid disputes.
Qin Tianzhu walked into the operating room and took a casual look. Even the C-arm machine was already in place. He was only waiting to take another real-time plain film before the operation. The work has been done extremely meticulously."
"This is the most well-prepared preoperative preparation I have seen in a few times. Let's wash our hands and go on stage."
"Okay!" Cai Dongfan didn't say much, but thought to himself.
Of course, I prepared this for Professor Ding. You Qin Tianzhu is just a doctor who has just been promoted to associate professor for less than a year. If you go outside for consultation and surgery, they will be so cautious?
Naturally, it was impossible to say this.
The two entered the door, and with the help of the itinerant nurse, they quickly put on the sterile surgical gown.
Then Qin Tianzhu said: "Let's take a photo first and evaluate whether there is any difference from the pre-operative radiograph taken in the radiology department."
This is a loss. It is very likely that the state of the fracture at the time of the operation is different from the preoperative examination done at the time of admission.
Cai Dongfan was very careful and considerate.
Everyone retreated, and after the C-arm saw through, the fracture was displayed on the outside display screen.
Fracture of the middle part of the femur, the same as the results of the plain film of the preoperative examination——
The itinerant nurse had already pushed down the C-arm machine and reached the edge of the operating room, vacating the position of the chief surgeon.
Everyone looked at Qin Tianzhu eagerly.
Qin Tianzhu asked Cai Dongfan: "Director Cai, I think it's time to start the stage. What do you think? This situation is similar to what we expected."
I guess I don't want to waste time.
Cai Dongfan's heart twitches, how much time can it delay you?You are in such a hurry, Professor Ding is not as anxious as you.
It's like you're wasting your life by coming here.
Cai Dongfan looked at Zhou Cheng.
Zhou Cheng nodded and said, "Let's start, Director Cai!"
Then, Zhou Cheng walked towards the chief surgeon in an orderly manner under the surprised eyes of everyone.
Say to equipment nurse Liu Yan: "Sister Yan, round knife."
Liu Yan is stupid!
He looked at Cai Dongfan and Qin Tianzhu, but Qin Tianzhu naturally took the first assistant position, and Cai Dongfan was in the third assistant position, leaving a second assistant position...
"Liu Yan, give Zhou Cheng the round knife!" Cai Dongfan ordered after seeing that Liu Yan was not moving.
"Oh!" Liu Yan was so shocked that her scalp felt a little numb at the moment. Although she didn't know why it happened, Director Cai Dongfan and Professor Qin from the outer courtyard seemed to agree to this, and it was hard for her to make any mistakes.
After Zhou Cheng got the sharp knife, he made a small arc-shaped incision very quickly.
When it was only broken under the skin, he immediately turned on the electric knife and said to Cai Dongfan, "Mr. Cai, help me..."
The surgery really went on like this.
An Ruo looked at Zeng Yi blankly at this moment, and found that Zeng Yi had also become a "stupid" person, so he guessed that his teacher didn't know about it at all.
Then he asked in a low voice: "Teacher, is this appropriate?"
Zeng Yi shivered all over, his back felt a little cold, his feet were a little numb, and he shook his head: "I don't know."
This Cai Dongfan's coquettish operation really can't control him. With so many people working with him, are they all preparing for Zhou Cheng, a small-scale trainee?
However, Professor Qin from the outer hospital didn't know who it was, and he didn't say much. How could he force it?
An Ruo stopped embarrassing her teacher, curled her lips, and muttered secretly.
Hmph, let us be hungry just to give the little orthopedic doctor a chance, Cai Dongfan is so arrogant.
Qin Tianzhu felt quite shocked when he saw Zhou Cheng's movements of continuously penetrating into the joint cavity to expose the intercondylar fossa of the femur. There seems to be something about this young man!
The resulting surgical field is very refreshing, just like a tourniquet, without much bleeding.Moreover, there was no trace of the electric knife cutting the edge of the incision.
In order to reduce bleeding, some doctors don't smell like barbecue when using electric knife.
It was scorched and burnt, it was dark, lumpy, it looked disgusting, and it burned the small blood vessels on the edge of the incision...
But if the degree is well controlled, it can achieve a good hemostatic effect, and protect these small blood vessels, which is conducive to the later recovery of the wound.
This time it was not in vain, it was finally a process of speaking that was acceptable.
The hands are skilled and meticulous, but the speed is not slow at all. In just two to three minutes, the intercondylar fossa of the joint cavity was exposed.
After roughly looking at it, Zhou Chengcheng said to Liu Yan: "The gag..."
Liu Yan handed it over.
Qin Tianzhu thought secretly, this kind of speed, this kind of methodical, unarrogant and unimpetuous operation process is really rare. This young man deserves him to make a trip for Professor Ding in advance to evaluate his operation.
"Small reamer..."
The speed of the operation is not slow, and the incision was made so well. The choice of this position is also quite classic.
If the opening is not selected properly, it will be very troublesome when inserting gold fingers and guide pins on the back, and there is a patella in the front——
Just as he was thinking about it, Zhou Cheng continued to ask Liu Yan for equipment, taking it easy and confident: "Golden finger, guide needle..."
The golden finger is the common name for the guide, which should pass through the broken end of the fracture.
It needs to be used for mid-femoral fractures, but for intertrochanteric fractures, the fracture site can be seen under direct vision, so the golden finger is not used.
"Golden finger! Here." Liu Yan remembered that this little guy was the one who also had an intramedullary nail surgery in Director Cai's team last time, and also had dinner with Zhou Cheng.
It turned out that he was the one who performed the surgery, so she felt relieved.
Zhou Cheng put the golden finger into the marrow cavity first, probably after reaching the broken end of the fracture.
"Teacher Cai, help me fix the position of my pelvis. I'll do a reset first!" Zhou Cheng then ordered Cai Dongfan, without calling Qin Tianzhu.
He is a guest, so of course it is not good to make him work hard.
"it is good!"
Two minutes later, Zhou Cheng passed his golden finger through the broken end of the fracture.
Then I asked Liu Yan for the equipment: "Guide needles and reamers, probably starting on the 10th, and first preparing until the 14th..."
No. 10 and No. 14 are model numbers.
When he saw this, Cai Dongfan noticed that Qin Tianzhu's expression seemed to be a little flustered.
I sneered unceremoniously in my heart, originally I made an appointment with Professor Ding to start the show at [-[-]!
I prepared this operation for him. I greeted him seven or eight times before the operation, and I found several groups of people from the anesthesiology department and the operating room.
I was let go of the pigeons, and I sent you to come first.
But when you get out of the car!
What did you say?
It is said that Professor Ding will be a little later because of something, so forget it.
I'm still saying that I'm busy here and there, and I don't have much time, so I hope it can be done quickly.
Still explaining there, Professor Ding will come in a while, if it is really not possible, then Professor Ding will be the surgeon, and tell me that it is good to treat this operation as a teaching operation...
Confused now?
I just won't let Zhou Cheng slow down, and see how you perform later.
I've already given enough face, Ciao.
Everyone has a three-point temper...
Qin Tianzhu really didn't keep up with the rhythm and started to panic.
The steps of the operation seem simple, but to evaluate the quality of the operation process requires a large amount of knowledge reserve, and it also needs to be operated and extracted.
The difficulty of intramedullary nail fixation lies in the reduction and the golden finger passing through the broken end of the fracture...
"Give it directly to NO.11!" Zhou Cheng had already done it right, and Cai Dongfan had twisted his ears before telling him to perform well, so Zhou Cheng naturally showed at least 90.00% [-].
At most one-thousandth of the state has not been brought out.
The redefined fracture reduction technique allows him to achieve close reduction without any disadvantages. The previous displacement has been successfully reset without thinking about it. The bone marrow cavity is facing, and the golden finger can be inserted into the broken end of the fracture by anyone.
Liu Yan listened to Zhou Cheng's orders!
"NO.12!"
"Intramedullary nailing, No. 11!" Zhou Cheng ordered.
The model selection of the intramedullary nail should be slightly smaller than the reamer by one size or half size.
Liu Yan was well prepared, and handed the intramedullary nail to Zhou Cheng.
After Zhou Cheng took it, he immediately sent it along the guide wire into the bone marrow cavity.
At this time, the total operation time was only about 10 minutes, but Zhou Cheng had already completed at least 60.00% of the operation.
Qin Tianzhu hadn't kept up with his state and thoughts for a long time, and even a little sweat broke out on his forehead, and he suggested: "Director Cai, why don't you have a penetrating first? Put the intramedullary nail directly?"
He is Professor Ding's subordinate doctor, and now he is mixing with Professor Ding.Professor Ding is really delayed by things at present, so let him come for a walk.
He was very unhappy at first, did he think it was necessary to take such a joke seriously?
But Professor Ding told him that he could only make a trip. When he came, he told Cai Dongfan about some things, that is, he and Professor Ding didn't have much time. Qin Tianzhu felt that this was a reasonable thing...
But now?
Professor Ding clearly said that he would arrive about half an hour late, and he probably left now.
Can I follow the progress of this operation?
When Professor Ding arrived in the operating room, he probably could only see the post-operative review C-arm plain film, so he could only delay for a while.
Cursing inwardly, what the hell is this?
For femoral fracture intramedullary nail fixation, the general operation time is between one and a half hours to two and a half hours.Even if Cai Dongfan and the others prepared the preoperative disinfection and other work in advance to welcome Professor Ding's arrival, it would still take an hour.
At that time, just finished the critical part.
Professor Ding's estimate of the dislocation time is half an hour. At this point in time, according to Professor Ding's estimation, Zhou Cheng is just in the process of resetting and putting the golden finger inside.
At this moment, Zhou Cheng has completely entered the state and has become the master of the entire operation. He heard Qin Tianzhu's words!
Ask in reverse: "Is it meaningful to see through after the marrow is reamed?"
"I have just used the guide wire to confirm that the distal end is in the bone marrow cavity. There is a strong sense of resistance. It must be in the femur. It is impossible to poke into the pelvis!"
"After intramedullary nailing, X-rays! If there is a problem, it can be made up for!"
Qin Tianzhu felt struck by lightning, looked at Zhou Cheng, opened his mouth, but couldn't utter a word.
What Zhou Cheng said made sense.
Surgery and clinical medicine are reasonable, not to say that for the sake of prudence, it is reasonable to take more perspectives.
"Teacher Tour, push down the C-arm machine and take a picture of the front and side of the femur. It's hard work!" Zhou Cheng was not wordy, he actually didn't know what happened between Cai Dongfan and Professor Ding.
However, Zhou Cheng is now in charge of the operation, and the rhythm of the operation is naturally controlled by him. You can question and find out the reasons and points of the question.
I'll give you an answer, but I can't answer it. We'll try to find an answer. If there is an answer, don't worry about it. I know it well.
1 minutes later!
Everyone left the operating room again.
Qin Tianzhu's expression changed as soon as the side view film came out.
Zhou Cheng glanced casually, and then re-entered the operating room.
"Director Cai!" Qin Tianzhu pulled Cai Dongfan's forearm sleeve.
"Huh?" Cai Dongfan, who was about to enter the operating room, stopped walking.
He reminded Cai Dongfan of this very important matter: "That? Professor Ding hasn't come yet."
"Is our surgical procedure going too fast?"
The corners of Cai Dongfan's mouth turned up under the mask, and he sneered, but his eyes and eyes remained unchanged, and said:
"It doesn't matter, you, Professor Qin, saw the whole process of the operation and it was the same."
"It's the patient's priority. We can't delay the treatment process for the sake of surgery."
After speaking, Cai Dongfan walked into the operating room.
Qin Tianzhu felt as if he had been struck by lightning.
Why are Cai Dongfan's words so familiar?
Oh, it seems that when the fuck himself got out of the car, he said these words to Cai Dongfan.
At that time, my original intention was to speed up the operation, so I communicated with Cai Dongfan in advance, and if your resident doctor's operation progress was too slow, quickly let Professor Ding come to the rescue.
but now?
When Qin Tianzhu went in again, Zhou Cheng and Cai Dongfan had already installed the auxiliary device, that is, the formula for the intramedullary nail fixation screw, and started to drive the fixation screw at the proximal end of the femur.
A total of three, because the reset is good.
So it doesn't take much time, and then the fixation screw of the distal femur is played.
After another 10 minutes, the fluoroscopy ends.
The plain film is perfect, and the surgery is basically over...
Zhou Cheng and Cai Dongfan screwed on the end nut of the intramedullary nail, completely ignoring Qin Tianzhu's mental state and being a little silly.
Zhou Cheng was also very considerate of Cai Dongfan, saying: "Mr. Cai, let me sew! Come and help me cut the thread."
"Itinerant teacher, prepare the sterile dressing."
"Teacher anesthesiologist."
……
At 25[-, Ding Changle finally drove to the underground parking lot of No. [-] Hospital, found a parking space and parked the car.
Then hurriedly looked at the time, while rushing towards the direction of the operating room!
It's okay, it's not too late, and I should be able to catch up.Evaluate the key parts of the procedure.
As a result, in the elevator room, I saw a person leaning against the wall, sitting on the ground with his buttocks, and there were a few sparse cigarette butts on the ground.
Turning around, it seemed to be Qin Tianzhu.
Professor Ding was taken aback: "Tianzhu, what are you doing here if you don't go to the operating room?"
"Also, when did you start smoking?"
Qin Tianzhu looked up, his face twisted into a chrysanthemum, and then he gave Ding Changle a smile that was uglier than crying, smiled freely, and turned his head away, as if he was very suspicious of life.
Ding Changle was stunned, is this another crazy double?
……
Chapter 100 Killing is OK, but killing one's heart is not!
Ding Changle really found it quite strange, why is Qin Tianzhu sitting here?
There were still piles of cigarette butts on the ground, when did Qin Tianzhu start smoking?I don't even know about this?
After Qin Tianzhu heard Ding Changle's voice, he propped his hands against the wall and sat up, put away his expression, and said in a very complicated tone: "Teacher Ding, are you here?"
"Tell me what's going on? What are you doing here? There are so many cigarette butts on the ground?"
"Did you smoke?" As a professor, Ding Changle has seen many scenes. Although Ding Changle is weird, he has not broken through his unimaginable bottom line.
While looking at the time, it was only 26:40, and it took about [-] minutes for the operation to proceed normally.
But Qin Tianzhu appeared here, feeling quite strange, so he asked again: "The operation has been cancelled?"
Qin Tianzhu took a deep breath, then threw the cigarette case and lighter he just bought into the trash can beside him, and said, "No, Teacher Ding, the operation is over. Director Cai and the others are going to turn over the patients, and I just happened to Come down and take a breath."
Ding Changle immediately trembled from head to toe, his movements can be compared to paying public rations when he was young...
Similar expressions: (_)
He opened his mouth and made a strange sound: "Ah~?"
After about four or five seconds, Ding Changle picked his ears, and his voice suddenly raised an octave: "What did you just say?"
While looking at the watch, he looked up at Qin Tianzhu.
If you dare to speak nonsense, I will kill you!
It only took more than 40 minutes to fix a fracture with intramedullary nails, and you told me that it was done?
Are you driving a rocket motor?
Ding Changle didn't know if the rocket had a motor, so he thought so.
Qin Tianzhu had expected Ding Changle's reaction long ago, but as it turned out, he could only bite the bullet and say, "The operation is over, Teacher Ding."
"I saw it with my own eyes, from the time I entered the operating room to start the skin incision, to when I left the operating room to complete the dressing with sterile dressings! The whole process is over."
Report chapter Comments
"The whole operation was performed by Zhou Cheng. I was the first assistant, and Cai Dongfan was the second assistant. I had a C-arm X-ray before the operation, once during the operation, and once after the operation!"
Ding Changle frowned suddenly: (ゞ
"Ah~ this~?" Ding Changle was very embarrassed after understanding the meaning of Qin Tianzhu's words.
That is to say, he first went to Cai Dongfan and asked to share his experience in intramedullary nailing. Then, because of a misunderstanding, he had the operation Cai Dongfan arranged today. In the end, he was only a little late, so he didn't up?
Nothing to watch?
That is to say, in front of Cai Dongfan, the cruel words he said were to let go of his loneliness?
Before I even got to the operating room, the operation was over.
"Are you participating in the whole operation? Is there a video?" Ding Changle asked with a hint of luck.
Cai Dongfan said before that he was going to videotape himself.
Qin Tianzhu shook his head: "I haven't seen any video recording equipment in the operating room, probably there is none. The operating room of the Eighth Hospital may be different from the teaching operating room of our orthopedics department."
Ding Changle suddenly felt very painful, what the hell is going on.
Then Ding Changle continued to ponder and asked: "Cai Dongfan, doesn't he have the intention to wait for a while? Why are you in such a hurry to end the operation?"
"Didn't you tell him that I'm coming?"
Ding Changle is not sure whether Cai Dongfan did this on purpose or something else, but?
Cai Dongfan must have known that he would come. Under such circumstances, if Cai Dongfan ended the operation ahead of schedule, what did Cai Dongfan mean?
When Qin Tianzhu heard this, his whole body trembled immediately, and his mouth trembled for nearly ten seconds.
His face and eyelids were also slightly stiff.
"Ms. Ding, it might be my fault. After I came, I casually said to Director Cai that I might have to speed up the operation process later. You don't have enough time..."
But right away, Qin Tianzhu raised two fingers to make amends, and vowed: "Professor Ke Ding, I definitely have no intention of urging Director Cai to complete the operation as soon as possible."
Ding Changle opened his mouth slightly when he heard the words, and his eyes immediately became tangled.
Oh!
co-authored?
The operation will end so quickly, you, Qin Tianzhu, are also one of the culprits.
The two looked at each other for nearly half a minute before Ding Changle shrugged his shoulders helplessly: "Have you taken the C-arm X-ray plain film before and after the operation? Is there any problem with the whole operation process?"
Qin Tianzhu immediately took out his mobile phone from his butt pocket: "Take a picture, Mr. Ding, look, this is the result of C-arm X-ray before the operation."
"This is the fluoroscopy result during and after the operation."
Open the photo album and swipe left and right to show it to Ding Changle. In fact, there is no need to explain too much. Ding Changle naturally knows which one is during the operation and which one is after the operation.
Before the review in the radiology department, there is only a picture of the C-arm monitor with a rather blurry resolution, but this is enough for Ding Changle to see.
The type of fracture, the direction of displacement and the approximate distance, he can calculate the approximate distance through the ratio ruler, and then carefully stare at the postoperative plain film.
The fracture site of this patient is quite clear, and it can be seen at a glance on the plain film.
Because there is a partial cortical defect.
but?
The inclination of fractures outside of the defect can be described with two words of rigorousness, and the inclination of the fracture lines cannot be described as beautiful!
Another near-perfect high-quality operation——
It is very similar to the results of the postoperative review of the patient I saw before, but not exactly the same, after all, the disease is different.
Unfortunately, Ding Changle still didn't see it.
"You really saw it with your own eyes. It wasn't Cai Dongfan who performed the surgery, but the doctor from their team?" Ding Changle felt that the old man was in pain——
But in fact, whether the egg hurts or not has nothing to do with getting old.
Why do I have to think that this operation will take more than an hour? Why do I want to be dragged by the equipment dealer to sit in that garbage venue?
You let me sit, ye, sit—
You promise to deliver it at the critical moment of the operation, what do you promise?
You feel……
Let me ask you later how do you answer!
Qin Tianzhu didn't know what Ding Changle was thinking.
Ding Changle nodded very solemnly, and said: "Yes! I participated in the whole process of the operation. It is indeed Director Cai's subordinate doctor who is doing the surgery..."
"that is!"
Just as Qin Tianzhu said that, the elevator door opened.
Then Cai Dongfan came out from inside, and when he saw someone standing outside, he immediately said, "Professor Qin, where did you go, did you come down here?"
While talking, he saw Ding Changle when he walked out.
After being stunned for a moment, he immediately took out a cigarette from his trouser pocket, handed it to Ding Changle with both hands, and said, "Professor Ding, you have worked hard."
After approaching, he smelled the unique smell of smokers who had just finished smoking from Qin Tianzhu's body. He was stunned again, and immediately smiled and gave Qin Tianzhu another one: "Professor Qin, so you are a smoker. what."
This was what Cai Dongfan said on purpose. When he gave Qin Tianzhu some powder before, Qin Tianzhu refused on the grounds that he didn't smoke.
Smoked now?
Qin Tianzhu: "..."
I just threw the cigarette away, and my lungs are still hurting, should I pick it up or not?
But after hesitating for a while, he took it bravely, then touched his pocket, and found that he had just thrown away the lighter again.
After Ding Changle finished ordering, he handed it to Qin Tianzhu to ease his embarrassment.
Then he explained embarrassingly to Cai Dongfan: "Director Cai, I was delayed by a meeting today. I thought it was too late, but I didn't expect the operation to end so quickly."
"It's all my fault!"
Ding Changle is such a keen minded person, he naturally noticed that Cai Dongfan was dissatisfied in his heart.
So I apologized verbally.
Cai Dongfan replied rather delicately and earnestly: "Professor Ding, I am the one who should apologize. I don't know that you have something to do. If you want to know, I will postpone it a little longer. I didn't think carefully."
"Professor Ding, Professor Qin, why don't we talk about other things later while eating?"
"I booked a box and prepared a glass of wine. Professor Qin and Professor Ding made a special trip today after working so hard. I dare not do such a stupid thing as asking the two professors to go home on an empty stomach."
"My peers know, but they are going to scold my mother."
"The anesthesiologist, the nurse in the operating room, and the doctors in our department have already taken taxis there. I'm here to pick up Professor Qin and Professor Ding."
Cai Dongfan originally only planned to pick up Qin Tianzhu, but he thought that Ding Changle would not come.
Whether Qin Tianzhu and Ding Changle went out on weekdays for medical consultations, were invited to attend classes, or were invited to countless banquets, they also felt their cheeks were quite hot at this moment.
Qin Tianzhu faltered and said: "Don't eat rice, shall we?"
Cai Dongfan's hard work?It's more hurtful than scolding Qin Tianzhu for being ignorant of human affairs and Ding Changle for being untrustworthy in person!
How did they work so hard?
Qin Tianzhu slapped soy sauce on the whole process, at most urging the surgery to be done quickly——
Is it hard work?
Ding Changle rushed to the underground garage after the operation. How dare he call it hard work?
No matter how shameless it is, it's not good to let Cai Dongfan eat and drink, it's like being roasted on a fire grill.
Cai Dongfan backed away a little, and said, "Professor Qin, didn't you mean that I would be stabbed in the back by other colleagues, saying that I, Cai Dongfan, don't do human affairs!"
"There's no good wine or food, so just have a bite. It's better than the environment in the city. It's near Songya Lake. Let's drive there. Professor Ding, Professor Qin, this way please."
"I've already booked my place."
Cai Dongfan took the initiative to bow and lead the way.
Qin Tianzhu looked at Ding Changle, and Ding Changle looked at Qin Tianzhu.
"Let's go!" In the end, Ding Changle finally made the decision.
As the host, Cai Dongfan has already provided enough hospitality. If you are not invited, it is because you are not giving others face and making others bad.
As for whether you think you should eat this meal, whether you are ashamed to eat this meal, it depends on what you are doing.
Even if you feel bitter in your heart, you can only eat it yourself.
Cai Dongfan made an appointment first, and after the appointment time, he made all the preparations. If your own person didn't show up, blame him?
No wonder.
"..."
Cai Dongfan drove the car, and introduced what he saw along the road to Ding Changle and Qin Tianzhu very naturally and enthusiastically, saying, "Professor Ding, this is Songya Lake. At this time, many people are camping here."
"After a while, the weather will not be too hot, and it will be more lively."
"The place we are going to is a farm near here - a courtyard house. The dishes inside are naturally not as good as those on the market, but the advantage is that the raw materials are all earthy, and the taste is not bad. There is a flowing Yanjia River outside. Eat After that, you can go fishing and have a rest, or just sit and chat casually..."
"Quiet and chic, definitely a good place to relax."
Both Ding Changle and Qin Tianzhu felt that this journey was a bit like sitting on pins and needles!
However, after chatting for a while, Cai Dongfan also felt that maybe his heart was smooth enough, so he took the initiative to give Ding Changle and Qin Tianzhu a step down, and said: "Professor Ding, Professor Qin, today's operation may be done by me. It would be wrong for Professor Qin, so it ended a little faster."
"My student is just a trainee after all, and Professor Qin is an associate professor. After I told him what Professor Qin meant, he was a little scared, so that's why."
"Slightly accelerated the pace of surgery."
"This is what caused today's big misunderstanding and oolong!"
"I'll let him sit on the wine table later, and give the two professors a good apology."
"After all, he is young, so there are always places where the heat is not in place. We still need to rely on the two professors to support and give us a lot of advice."
When Cai Dongfan saw Qin Tianzhu sweating on his head in the operating room, his mood was already refreshed, and now he saw Ding Changle's ugly expression, let alone how comfortable he was.
But killing people can't just nod their heads, and they can't go too far.
Moreover, it is okay to kill people, but not to kill one's heart!
If there is always yin and yang, although Cai Dongfan can stay happy until the end of today's drinking game, and even have more connotations in the future.
But everyone is in the circle of trauma surgery in the province, so if you look up and look down, you should give them a step down after properly making yourself comfortable.
Otherwise, after the fight with Professor Ding and Professor Qin, it would be of no benefit to the Eighth Hospital or to Cai Dongfan.
So Cai Dongfan took the initiative to push Professor Ding and Professor Qin Zhou Cheng who was interested in them, and they would definitely have a lot of questions to ask.
Ding Changle finally answered, and said, "Director Cai, don't dare to ask for advice."
"On the contrary, I have a lot of questions. I hope I can chat casually during the meal."
"Director Cai, you brought a good student."
"Why don't you ask me one more question, you student, does he plan to study for a Ph.D.?" Ding Changle asked quietly and unintentionally.
But just this sentence directly made Cai Dongfan's body stiffen, and at the same time, his limbs trembled!
I stepped on the gas pedal like a brake, and the car made a loud roar.
After feeling that the speed was too fast, Cai Dongfan slammed on the brake again, directly crushing him to death...
The three of Cai Dongfan couldn't help rushing forward according to the inertia, almost hitting the windshield or the front seat.
Cai Dongfan immediately continued to move, but his face became cloudy and sunny.
I scolded on the spot in my heart——
Damn it!Ding Changle?
Are you fucking an individual?
I broke my promise and missed the operation, so I want to bully others?
Professor is amazing?
What a great doctoral supervisor?
Report chapter Comments
The doctoral supervisor is really amazing!
At least eight hospitals do not have it.
Can Ding old man?
Don't take it too far.
Killing is okay, but killing one's heart is not!
Cai Dongfan's tone became hesitant: "I'm not sure about this."
……
Chapter 1 and one of Cai's introductory language learning!
Although Cai Dongfan insisted on not being able to explain clearly, he understood very well in his heart. Could it be that Zhou Cheng didn't want to take the postgraduate entrance examination and study for a Ph. D.?Just never had the chance before.
If Zhou Cheng was given this opportunity, how would he choose?
And Ding Changle happened to be one of the candidates who could give Zhou Cheng such an opportunity!
Cai Dongfan scolded Ding Changle in his heart——
Old man Ding, if you take advantage of being a doctoral supervisor and show off your power, I will curse you for failing to do so.
Then I started to think: I am also a supervisor of postgraduate students, and I have inherent shortcomings compared to Ding Changle.
Of course, I also have the advantage, that is, I can offer conditions that Ding Changle cannot offer.
Solve the problems of Zhou Cheng's stay in the hospital and his on-the-job graduate students, work and academic qualifications at the same time.And this thing is impossible for Ding Changle to give.
It is absolutely impossible for Ding Changle to give Zhou Cheng the opportunity to work in the Affiliated Hospital of Shonan University, but he can offer Zhou Cheng a job in the Eighth Hospital, and even the establishment.
Because of the recruitment requirements of the Affiliated Hospital of Shonan University, one of the conditions must be to die there, and non-doctors are not required.
No matter what Ding Changle said, he couldn't give Zhou Cheng a better job opportunity now.But this time, by taking advantage of the fact that the hospital wanted to keep a batch of residents, he could make Zhou Cheng a full-time employee and even go to work for Zhou Cheng.
After the regular training is over, you can get money normally.
And speaking of it, the meaning of Zhou Cheng's postgraduate study is not only to learn things, but also to find a better job.
Naturally, all of this was just Cai Dongfan's own inner calculations, Zhou Cheng had to decide how Zhou Cheng would choose.
It is impossible for me to block Ding Changle's mouth, nor can I hold back Zhou Cheng's freedom to meet Ding Changle, so that he will not say anything to Zhou Cheng.Naturally, Zhou Cheng can only use the conditions he can give Zhou Cheng as a reference.
……
Ding Changle didn't speak anymore, but he had a bottom line in his heart.
And this background was planted in Cai Dongfan's heart when he told him that Zhou Cheng was just a training doctor.
On the back seat, Qin Tianzhu who was seated with Ding Changle, his eyes lit up a little after hearing Ding Changle's words.
I thought to myself, Ding Changle's luck in the past few years has been really good. Not only did he receive a genius like Yang Yifeng, but now he unexpectedly discovered a genius like Zhou Cheng.
It seems that there is nothing wrong with my decision to follow Ding Changle.
The development of every team needs an outlet, and those who can set off an outlet, in addition to catering to policies, also need capable talents.
……
Soon, Cai Dongfan drove to the private parking lot called Yaji Sanhe Garden. When he got out of the car, there was a gust of moist and cool natural wind blowing in his face.
In the taste, there is no watery smell of the Xiangjiang River near the Affiliated Hospital of Shonan University. Instead, it is mixed with the fresh smell of mud and grass, which is really refreshing.
The Sanhe Garden is located on the edge of the Linyanjia River, and there are open-air elegant seats outside to view the scenery. You can see fishermen wearing straw hats swinging their poles and sprinkling bait. Such as embellishment.
In the river, there are splashes of clear water splashing around the ears, which is an excellent restaurant for rest.
After the pause, Cai Dongfan invited Ding Changle and Qin Tianzhu to walk into the garden. The garden was not decorated with too much modern style, not even potted plants. It's manicured weeds.
The weeds are not deep, and there are constant buzzing of insects...
Ding Changle and Qin Tianzhu quickly relaxed their nervousness and bad mood.
Passing through the hall of Zhuangzi, when we arrived at an open-air guest seat in Yayuan, there were already four people sitting, naturally they were Zhou Cheng, Zeng Yi, An Ruo and Liu Yan.
Zeng Yi was playing with his mobile phone, An Ruo and Liu Yan were chatting and laughing, while Zhou Cheng was laughing along, occasionally interjecting, mostly Liu Yan and An Ruo were talking.
The seats were reserved in advance, and the dishes were almost ordered. Cai Dongfan said, "Professor Ding, I ordered some main dishes and side dishes. Do you think there is anything else you want to add?"
"The beer duck and ginger fried chicken here are recommended."
Ding Changle was not familiar with it, so he just said as he walked, "You can come and make an appointment, we do as we please."
When Zeng Yi and others saw Cai Dongfan approaching with Professor Ding and Qin Tianzhu, they also stood up one after another, and moved their seats away so that Cai Dongfan could arrange a seat.
Zeng Yi smiled, greeted both Professor Ding and Associate Professor Qin Tianzhu, and reported his family.
Cai Dongfan introduced: "Professor Ding, Professor Qin, this is the director of our anesthesiology department, Director Zeng Yi, he and his students are here to escort our operation today."
"This is my student, Zhou Cheng."
"This beauty is our right-hand man in this operation, Liu Yan. Our orthopedic specialist surgical nurse." When Cai Dongfan introduced Zeng Yi and Liu Yan, he was very polite.There is only one name for Zhou Chengcheng.
Both Zeng Yi and Liu Yan waved their hands to say no, and told Professor Ding and Qin Tianzhu that Cai Dongfan could speak.
Cai Dongfan then solemnly introduced Ding Changle and Qin Tianzhu to Zeng Yi and others, and everyone got to know each other politely——
Cai Dongfan invited Ding Changle and He to the main and second seats, which are actually the best viewing seats, and he chose to sit on Ding Changle's left, and then Zeng Yi sat on his left. Cheng sat on his left, and on the left were Liu Yan and An Ruo in this order...
After being seated, Cai Dongfan took the lead and said, "Today, I have worked hard for everyone, especially Professor Ding and Professor Qin, who came from afar."
"If there is a lack of hospitality, please invite the two professors Haihan. The star area is located in a remote place. It used to be a remote place, and the two professors just don't dislike it."
Ding Changle and Qin Tianzhu's first reaction when they heard this was that Cai Dongfan's mouth is disgusting without dirty words!
They worked so hard, der?
Ding Changle moved his butt feeling a little uncomfortable, Qin Tianzhu also lowered his head slightly and threw the topic out: "Director Cai, you are too serious. Today's operation is all managed by the brothers in your team. , he is the hardest one."
"The most important thing for you is to settle him down, otherwise, the little brother has to think in his heart, and if he is not careful, he will sue you."
Qin Tianzhu was only joking, and he wanted Cai Dongfan not to keep talking about the hard work he and Ding Changle had done, making everyone embarrassed.
Ding Changle secretly gave Qin Tianzhu a thumbs up in his heart, secretly thinking that Qin Tianzhu had finally matured slowly, and had gradually become what an associate professor should look like in terms of professionalism, conduct and speech.
He said: "Yes, Director Cai, today's surgery, the hardest ones are Dr. Zhou, Director Zeng and his students, as well as the nurse in our operating room."
"Xiao Qin and I are just watching the show. You have missed the point. You should punish yourself later."
Cai Dongfan naturally took over the conversation immediately: "Okay, okay, Professor Ding said so. I will definitely punish myself later."
Then he looked at Zhou Cheng and said, "Xiao Zhou, you have to toast Professor Ding and Professor Qin for two glasses of wine later. Thank you, Professor Ding and Professor Qin, for their talents."
"I told you before that Professor Ding is not willing to observe and give pointers to anyone's surgery."
"They came from afar on purpose this time, you have to remember the goodness of the two professors in your heart!"
When Ding Changle heard Cai Dongfan's words, his heart suddenly felt a little pained, and at the same time he became a little understanding.
This Cai Dongfan's speech is too good, right?
It seemed that he was clearly saying that Ding Changle was late, but in secret, he revealed the matter, which was a beating, and it was also an explanation for everyone.
Zhou Cheng is just a resident doctor now, and Professor Ding, as the top professor in Hunan Province, is willing to come for this trip, which has already given you Xiao Zhupei's favor.As for being late?
Others Ding Changle may not even be willing to come.
Zhou Chengcheng quickly stood up and said, "Thank you, Professor Ding and Professor Qin, for your hard work, and thank you, Teacher Cai, for arranging such a learning opportunity for me."
Zhou Cheng's title made Cai Dongfan feel very comfortable.
Professors generally like to be called teachers in the school, and most directors are willing to be called directors, because they are rarely called teachers, so they like to show off.
But Cai Dongfan liked Zhou Cheng's words of Professor Ding and Professor Qin, and called him Teacher Cai.
The difference between a professor and a director is that one is good at teaching, and the other is only doing clinical work, with a dark heart, but his expression remains unchanged...
Then, Cai Dongfan returned the stage to Ding Changle and Qin Tianzhu.
It's time for his theater to come to an end here, it's already exhilarating, it's at its peak, if it's more exciting, it's too much.
The heat is just right now.
Naturally, it is necessary to return Zhou Cheng's original intention of being arranged for this operation, so as to win him something more, not just for the benefit of words...
Ding Changle immediately began to take the initiative to pull Zhou Cheng to start chatting, starting from small things, and then slowly talking about orthopedics, surgery, fractures and other professional issues——
And until this moment.
Zeng Yi's cerebral cortex was a little numb, so numb that it was a little cold.
Good guy, he seems to have finally understood something. He understood that today's temporary surgery was not for Cai Dongfan who specially invited Ding Changle to the No. [-] Hospital for consultation surgery for complicated patients.
In other words, Ding Changle did not come here to deal with diseases and surgeries that Cai Dongfan could not handle, nor for pure teaching.
Rather, they came here specifically for Zhou Cheng...
When I was called over, I was completely escorted by Zhou Cheng.
Liu Yan was also Cai Dongfan's intentional assistant for Zhou Cheng, and all of this happened because of a little resident doctor...
Zeng Yi whispered to An Ruo's ear, and whispered, "Ruoruo, this little orthopedic doctor is not easy."
An Ruo is naturally not stupid, she also guessed in her heart what Zeng Yi could understand.
Can't help but look at Zhou Cheng a few more times, feeling a little tangled——
This little orthopedic doctor looks pretty good, except for being annoying, he can do things, is good at torturing people, and his ability is not bad.
But thinking about it just now, An Ruo became sluggish again.
Because, after Ding Changle asked Zhou Cheng a question, before Zhou Cheng suddenly changed——
The low-key and reticent style of getting along with myself, Liu Yan, and my teacher Zeng Yi began to slowly talk about it.
He said: "Professor Ding, what I'm going to talk about next is just my personal understanding and thoughts. If there are any shortcomings, please forgive me and correct me, Professor Ding."
"In my personal view, the treatment of fractures should be understood and started from its definition and treatment principles."
"The fracture is..."
"So my understanding of femur fracture, intramedullary nail internal fixation, internal fixation is like this..."
"During the internal fixation..."
An Ruo felt that if she hadn't witnessed Zhou Cheng performing such an operation with her own eyes, seeing with her own eyes that Zhou Cheng was really talking so loudly in front of Ding Changle, she would never believe it. in this world.
There is really a resident doctor who is so calm and easy in front of the professor, not only dares to speak, but also dares to make a long speech.
Who is Ding Changle?
An Ruo didn't have Baidu, didn't investigate in advance, let alone know, but his teacher mentioned one of his labels.
At present, he is the leader of trauma and fracture specialist in Hunan Province.
Holding the head is a term unique to Huaguo!
Those who can be called leaders can only be a few of the few——
Moreover, An Ruo also saw that Ding Changle's eyes occasionally wrinkled, and occasionally relaxed, and occasionally saw the broad sea and Pingchuan, the sudden and soothing kind of sudden enlightenment, and then slightly wrinkled again.
It's two completely different expressions from Qin Tianzhu's frowning all the time, even his eyes and forehead are still very tense, and even covered with fine sweat.
And Cai Dongfan who understands orthopedics again!
Then he found that the smile on Cai Dongfan's face gradually hardened, followed by extraordinarily nervous, and later, he even became a little terrified, as if he had died countless times in society——
The upturned head was put into the crotch——
It looks like a big bird.
Zhou Cheng talked for seven or eight minutes, but the scene was still very quiet, and everyone had different expressions.
In the end, Ding Changle turned his head to face Cai Dongfan as if he had finally found a venting point.
Ask: "Director Cai? Is this little doctor Zhou your student?"
It has a lot of meaning, meaning, your student is teaching so well that you don't even know what you have taught?
Cai Dongfan opened his mouth, and awkwardly uttered the first single-character syllable of the pinyin that he learned in the first grade of elementary school:
"Ah~! (Yinhei)"
what?
"Huh~? (Hinata)"
Why are you asking me this?
"Ah! (upper voice)"
I think about how to answer you!
……
Chapter 1 Are you trying to harm me? !
Zeng Yi sat diagonally across from Cai Dongfan, his expression seemed calm, but he felt funny inside.
This Cai Dongfan——
Oh no, it should be this week, it's still interesting...
Previously, when Cai Dongfan's relatives encountered difficulties, they asked Professor Zhong Hua from Hunan Provincial Hospital of Traditional Chinese Medicine to help them, but they still couldn't do anything.
Zhou Cheng stood up and helped at the right time, not to mention.
Now even Professor Ding Changle is willing to personally come here for Zhou Cheng, a small resident trainee...
However, it seems that whether it is Ding Changle or Cai Dongfan, one of them is a professor and the other is a director. He thinks that he already knows and values Zhou Cheng quite well.
But Zhou Cheng, a small Zhupei, refreshed their understanding of Zhou Cheng over and over again.
Isn't this the way it is now?
Ding Changle arrived a little late, missed the surgery he was supposed to see first, and was teased by Cai Dongfan for a while.
Now Cai Dongfan was shocked by what Zhou Cheng just said, and even Ding Changle was questioning the fact that Cai Dongfan was Teacher Zhou Cheng.He firmly believed that Cai Dongfan would not be able to teach such a student.
So there is this question.
From Cai Dongfan's embarrassing expression at the moment, he knew that Cai Dongfan didn't know how to reply at the moment.
Zeng Yi actually wanted to help Cai Dongfan in his heart, but he didn't know how to speak up the most appropriate way.
After all, he is not a specialist in orthopedics, but he just felt that what Zhou Cheng said just now made sense.
But what's so exciting about it?
But there is no way to deeply understand it.
Can't understand, naturally don't know how to intervene.
Seeing that Cai Dongfan didn't know how to reply at the moment, Zhou Cheng took the initiative to take over the conversation: "Professor Ding, Teacher Cai is my tutor for two years."
"Take care of me a lot, dun dun teach."
"I'm always grateful!"
Zhou Cheng naturally had to confirm Cai Dongfan's statement that he was a teacher, otherwise, learning would have no roots and would not make sense.
Besides, I have been with Cai Dongfan for two years, which is well documented.
In the past two years, Cai Dongfan didn't say how enthusiastic he was to him, but at least he was never harsh on him, which is already good.
One more teacher, one more teacher, Zhou Cheng can't suffer any loss.
Besides, now Cai Dongfan has changed his mind.Zhou Cheng knew what he was like before, and he knew that he was the true heir of the 'cai' family.
Seeing that Zhou Cheng himself confessed and thanked Cai Dongfan, Ding Changle didn't say anything more.
He just looked at Zhou Cheng with a subtle smile, and his eyes vaguely conveyed an expression that you kid is lying.
Cai Dongfan, on the other hand, could continue laughing as if he had been pardoned, and said, "Professor Ding, I'm ashamed to say that Zhou Cheng has been with me for two years, but he and I are only a teacher and apprentice in name."
"It still depends on his own talent and hard work."
When Cai Dongfan said this, his heart was tense, and his back felt chills.
It seems, it seems, maybe, my previous plans and arrangements, as well as the rhetoric I prepared to explain to Ding Changle, can't be revealed now.
Because this boy Zhou Cheng is too dangerous, it is very likely that a thunder will be released suddenly, which will make you dizzy and even die.
Cai Dongfan's level is not very high, but he can't speak very often. Perhaps compared with an associate professor like Qin Tianzhu, he lacks systematic theory, but he has been immersed in surgical operations for more than 20 years.
He even realized very deeply that he has reached a bottleneck period.
If you want to break through again, you need a very subtle opportunity——
That is to rely on the accumulation of surgeries to break through this bottleneck.
The surgical system, with a set of theories, is very applicable.
The amount of surgery determines the lower limit of a surgeon's surgical level, and the amount of reading determines the upper limit of a surgeon's surgical level.
When you have no way or energy to gain a broader understanding——
Then.
Multi-operation, when the lower limit determined by your operation volume exceeds your current bottleneck period, then you can naturally reach the next level.
Cai Dongfan is currently in such a bottleneck period. To break through this bottleneck, a huge amount of surgery is needed to support it.
And what about Zhou Cheng?
Not to mention others.
Just when he had a unilateral and direct complaint with Ding Changle, Cai Dongfan suddenly discovered that what Zhou Cheng said was something he had never seen before.It seems that some of the things I said are on the other side of the door that blocks my progress.
In other words, when Zhou Cheng just talked about the operation of intramedullary nailing, he explained it from a top-down perspective.
But when I listen to it myself, I still look up from the bottom-up perspective.
What is looking from top to bottom——
For example, Zhou Cheng is standing on the 21st floor.
He just knows the height of the [-]th floor, what the inside of the [-]th floor looks like, how is the interior decoration style, where are the stairs, and whether the view from the [-]th floor is good, can it be compared to the [-]th floor? The building sees farther.
When you want to walk from the [-]th floor, what should you pay attention to, where are the stairs, and what obstacles are there in the stairs.
And looking up from the bottom, you have only reached the nineteenth floor.
You can only see the view from the nineteenth floor and below.
As for the No. 20th floor, you haven't seen it with your own eyes, but you just think that the [-]th floor is so beautiful, so the [-]th floor should also look very good.And based on the decoration style and stairs on the [-]th floor, we can guess what the [-]th floor might look like.
Are you speculating—
And he really saw it, and even walked through it himself.
Then, Ding Changle might be standing on the 23rd floor.
In front of these two, how dare Cai Dongfan insist that he is Zhou Cheng's teacher?In case Ding Changle asked a detailed question about the [-]-story building, he didn't answer it, but Zhou Cheng did.
Do you think it's social death...
It's just so painful.
Ding Changle smiled irrefutably, looked at Cai Dongfan again, and asked, "Really? Director Cai?!~"
He asked Cai Dongfan repeatedly, hoping to get a definite answer.
Because if Cai Dongfan insisted that Zhou Chengcheng was his student, then if he wanted to make other arrangements, it would be equivalent to taking someone from Cai Dongfan's sect.
Now there is an outsider in person, who is not yet an orthopedic person, and has no conflict of interest with Cai Dongfan.
As long as Cai Dongfan denies this statement, someone who is not in the orthopedics department will testify, even if these are people from the Eighth Hospital.That Ding Changle fooled Zhou Cheng away, there is also a theory.
Although Cai Dongfan understood Ding Changle's intentions at this moment, even Yang Mou, he could only continue to grit his teeth and nod: "Professor Ding, Xiao Zhou's learning ability is very strong."
Although Cai Dongfan seemed to be cutting flesh in his heart, he could only smash his teeth and swallow his blood!
Watching helplessly as Ding Changle abducts Zhou Cheng.
The unstable factor of Zhou Cheng is due to his lack of consideration...
Zeng Yi's gaze moved between Ding Changle and Cai Dongfan subtly, and he felt that if he didn't say a word or two at this moment, Cai Dongfan would be eaten to death by Ding Changle, and there was no turning back.
After all, Cai Dongfan is from the Eighth Hospital. Even if Ding Changle is a well-known professor in Hunan Province, it is not easy for Cai Dongfan to be bullied by him.
Then he said to Zhou Cheng with a smile:
"Zhou Cheng, why are you still sitting there stupidly? Why don't you offer tea to Professor Ding instead of wine?"
"As the saying goes."
"Throwing bricks to attract jade, first of all, the attitude must be sincere!"
"If you are not sincere, how can Professor Ding open his mouth to point you out?"
In fact, Zeng Yi didn't know whether it was right for him to do so, but temporarily letting Zhou Cheng step in could at least divert the topic to the east.
Let Cai Dongfan have time to catch his breath to cope!
Zhou Cheng is from Cai Dongfan, for the time being.
To be able to complete a level III operation at such a young age, even if you don't mention whether it is done well or not, it is quite difficult to be able to complete the process of a level III operation at this age.
Zeng Yi didn't know at all that his words hit Ding Changle's weak spot just right, and the step was so heavy that it hurt a little.
Ding Changle was a little flustered and immediately wanted to do something.
Zhou Cheng had already stood up, holding a water glass, and said, "Professor Ding, I'm young and ignorant, thanks to Director Zeng's reminder."
"Although there is no tea or wine now, I will replace the wine with water and offer you a cup, Professor Ding."
"Professor Ding, please correct me more!"
Bowing slightly, after being courteous, he drank it all in one gulp.
The attitude is extraordinarily sincere——
Moreover, in order to show that he really wanted to ask for advice, after drinking the water, Zhou Cheng stood there without even sitting down.
After all, the perfect level of intramedullary nail fixation that I got in the mock copy is the evaluation in the mock copy.Ding Changle is a real top professor in reality, even if he looks at the whole country, he is also a big bull.
There will be no problem with a sincere attitude, and it happens to be able to experience Professor Ding's teaching and depth.
Qin Tianzhu on the side hurriedly sat upright, ready to listen to Professor Ding's private affairs.
Just now Zhou Chengcheng spoke quite wonderfully, and Ding Changle opened his mouth to correct him, it is definitely full of private goods.
This is a rare learning opportunity.
Ding Changle swayed from side to side at this moment, as if he was sitting on pins and needles. If someone noticed the movement of his feet, he could see the ten toes inside the leather shoes gripping the ground vigorously.
Because Ding Changle is very clear.
If the knowledge has reached the depths, in fact, the name of the professor or not is not that important.
It still depends on the depth of each person's understanding of each direction and whether there is a set of extremely systematic theories to justify it——
In fact, everyone's knowledge can be compared to a sea urchin.
The body of the sea urchin is the overall knowledge volume, which can be divided into different sizes.
The thorns on the body represent the individual amount of knowledge in each direction, representing the depth of research and understanding.
For example, although Professor Ding is a famous doctor in Hunan Province and a well-known professor in Hunan Province and the whole country, it does not hinder him. In fact, he is not as good as his doctoral students and graduate students in some basic experimental theoretical research. .
In addition to the different sizes of sea urchins, the length of the protruding spines is also different.
Ding Changle's sea urchin body at this moment, that is, its knowledge reserve, is very majestic, and the thorns on all sides are also quite sharp.
If you want to simply fight Zhou Cheng, you can easily crush Zhou Cheng to death.
But if you have to compare one of the thorns with Zhou Cheng, and it is the longest thorn on Zhou Cheng's body.
It's just that these two thorns are used as weapons to fight.
To be reasonable, Ding Changle is still very hypocritical.
Ding Changle seemed to feel a little bit——
This sea urchin thorn of mine may not be longer than Zhou Cheng's!It's not that long, or the difference in length is not too big. It's really embarrassing to correct and give pointers to another thorn.
Ding Changle's eyeballs started to roll around, as if he was trying to remember what Zhou Cheng said just now, and then he wanted to find a breakthrough point to say something...
After Qin Tianzhu saw Ding Changle's pretentious groaning, his ears became more pointed.
Ding Changle has to carefully organize the class, and he will definitely return home with a full harvest today.
Report chapter Comments
No one else in the group can hear it.
Zeng Yi and An Ruo also pricked up their ears a little bit. Although Ding Changle is a professor of orthopedics, they are in anesthesiology. The two industries are separated by mountains, and they are not on the same track.
But different routes lead to the same goal, some ideas, some methods, some ways of thinking and looking at problems can still lead to the same goal through different routes.
This is the significance of the current popular multidisciplinary interdisciplinary, mutual exchange and reference.It's not to say that everything in the orthopedics department is useless in the anesthesiology department, and any knowledge in the orthopedics department is not useful in the anesthesiology department.
And he turned his back, and said carefully to his student An Ruo: "Listen carefully, a professor of Professor Ding's level usually can't listen to his lectures."
"As long as you want to clarify Professor Ding's thinking, don't pay attention to the details, but analyze and refine his perspective on the problem and the perspective of explaining a problem from the details."
At this moment, Cai Dongfan sat there paralyzed as if he had received an amnesty, his eyes were a little dull, and he felt very regretful in his heart.
Zhou Cheng, old man, I can't keep you!
This bao is not the bao of protection, but the kind of bao that Zhou Cheng is very likely to be taken away by Ding Changle.
He himself said it himself, he and Zhou Cheng only have the status of master and apprentice in name, and what Zhou Cheng learns depends entirely on his own understanding.
Since there is no fact of mentoring and apprenticeship, there is no such argument as competing for students.
If there were no such claims, would Ding Changle make a move?
That's absolutely certain, it's a surprise that he didn't make a move!
It took some time and after he calmed down, Cai Dongfan turned his grateful eyes to Zeng Yi, meaning to thank Zeng Yi for helping him out.
Although Zhou Cheng couldn't keep it, at least he didn't get tortured by Ding Changle again, so he could feel better for himself.
Since this is preordained, then if I can suffer less, I can still suffer less.
Zhou Cheng's attitude was still sincere, after all, it was Zeng Yi who taught him.
When everyone was thinking differently, Ding Changle finally found a point.
Then he began to explain, with one sentence bearing the brunt: "Doctor Zhou, I will only talk about my own thoughts."
In Ding Changle's heart, he no longer regards Zhou Cheng as a young man and subordinate, but as a peer. If Zhou Cheng didn't have a professional title, he would definitely call out Professor Zhou sincerely.
"Regarding the current development of the intramedullary nail surgery industry, it has actually reached a sharp bottleneck period, including in today's world, in terms of the development of fracture and trauma treatment methods, it has also tended to be flat..."
"The treatment technology of intramedullary nailing has actually reached a peak level. The concept of minimally invasive..."
"I think that if you want to make more new things purely in terms of trauma and fractures, you can only make the existing minimally invasive concepts more minimally invasive, and you need more exquisite micromanipulation techniques. And more refined theoretical support."
"If I have to name this possible development direction, then I can call it minimally invasive surgery..."
Ding Changle's words made others a little surprised.
Ding Changle was not actually correcting Zhou Cheng's words, but directly following Zhou Cheng's words and giving pointers on the direction of future development!
Knock on the blackboard and draw the key points——
Ax and pointing, although in some respects, can sometimes replace each other.
However, the original intention of pointing is to point to a point. This point can be a mistake, or a future plan, a breakthrough in a discipline, etc...
Ding Changle is still very good at swinging the axe if he can't swing it.
I can also rely on my knowledge and height to make a bigger development plan for you.
This is also a guide, not pointing out your faults is a guide, don't you think?
dont you agree?
Eh.
Ding Changle immediately admired his ancestors for their extensive and profound culture, which relieved my embarrassment very well, and would not fall into the endless loop with Cai Dongfan.
Then Ding Changle continued to speak eloquently for five or six minutes, taking stock of the frontier development of trauma surgery at home and abroad, summarizing the development direction and broad prospects of minimally traumatic surgery, and describing the current development status of minimally invasive surgery and his own views on it through facts. understanding of this discipline.
I have to say that Ding Changle's lectures are very good.
Everything is based on objectivity, but it will be a little bit higher than objectivity.
Objectivity is a fact, an established fact that already exists, a little bit higher is his own understanding, which can bring you into his knowledge level very well.
In the end, Ding Changle said: "I think the development curve of intramedullary nails will eventually fall into the field of minimally invasive surgery and belong to this field."
"After all, minimally invasive and aesthetically pleasing will be a major trend in the development of trauma surgery in the new century, and it is also the pursuit of patients."
"Everyone has the love of beauty, and it's the same in the whole world."
Ding Changle finally made a conclusive reply after he finished his work.
Zhou Cheng nodded in surprise. Ding Changle's vision and foresight, as well as his summary of the prospects for the development of trauma surgery, are quite good.
His eyesight and field of vision are much wider than Zhou Cheng's.
From Ding Changle's exposition, Zhou Cheng obtained at least several directions that could improve his current theory of minimally invasive surgery.
Although it is difficult to do that, at least Zhou Cheng can modify the current perfect level of small incision fracture internal fixation.
It can break the existing level of perfection and redefine perfection!
This is the only way for a skill to continuously reach a higher level.
This allowed Zhou Cheng to finally find a communication partner who could talk freely and gain a lot.
Why don't you dig it out now?When will we wait?
After letting the waiter serve the food, Zhou Chengcheng replied respectfully to Professor Ding: "Professor Ding's words are very reasonable, and I have benefited a lot, especially the field of minimally invasive surgery that you mentioned just now, Professor Ding."
"It's a very cutting-edge discipline."
"For example, only type III fractures of the tibial plateau are suitable for calcaneal fractures. I think we can definitely explore other more ingenious surgical methods so that all fractures can be routinely fixed with small incisions and minimally invasive internal fixation. surgical treatment."
"It's like..."
What the fuck?
When Ding Changle heard Zhou Cheng's words, his scalp was numb——
I just told you about the possible development direction of intramedullary nailing. The current frontier of the subject, which is completely just a conception of minimally invasive surgery, is just a high-level thing? ? ?
You want to dig into this with me?
Can you stop making such a fuss?
What Ding Changle said before can actually be completely explained in one sentence.
-
Indecision, quantum mechanics.
Because quantum mechanics is profound and extensive, and involves a wide range of fields, it belongs to a field that is so advanced that everyone is half-understood.
Do you really want to talk in detail?Then how can we talk?
Do you have to let me die?
No, I have to end this topic quickly.
When the food was ready, Cai Dongfan and Liu Yan went to play with the wine glasses and open the wine boxes.
Ding Changle quickly interrupted Zhou Cheng: "Doctor Zhou, I see that everyone has been busy for a long time, and their stomachs are empty. How about we talk while eating?"
It means, let's stop talking about this, everyone looks good.
This new discipline is still in its infancy, so it's not easy to talk about it.
Zhou Cheng was talking, but when he heard Ding Changle interrupted suddenly, he knew that Professor Ding didn't agree with what he said, at least he wasn't interested.
Zhou Cheng smiled apologetically and said, "Okay, Professor Ding, then let's eat first."
Then he took the initiative to run to help Cai Dongfan.
Ding Changle shook his head at Zhou Cheng, secretly imprinting a young and aggressive hat on Zhou Cheng in his heart.
It is one thing to have strength and talent, but to be greedy for merit and to advance aggressively, and to climb up when you get a step.
It is not good to not know how to look back at where you are standing.
However, it is also understandable that there is no one to lead him for the time being, and he has not undergone systematic teaching.
In the long run, this is probably another Yang Yifeng.
Another Yang Yifeng, even more difficult to deal with than Yang Yifeng, a headache.
Zhou Cheng helped Cai Dongfan and Liu Yan start arranging for drinks. Zeng Yi couldn't avoid it, and neither could Ding Changle and Qin Tianzhu. Cai Dongfan himself was quite greedy.At the table, except for An Ruo who was drinking alone, everyone else poured a large glass slowly.
The small cup for drinking is naturally prepared.
Whether the wine is good or not, you have to drink it slowly, like a cow drinking, but the wine passes through the mouth and intestines, so it only has a spicy taste.
It's better to just taste it, at least you can taste its flavor and sweetness aftertaste.
……
Before the food and drink started, Cai Dongfan raised a glass first, and everyone followed suit one by one with their small goblets.
Then Cai Dongfan said again: "Zhou Cheng, hurry up and toast Professor Ding and Professor Qin. These two professors are here for you today. You have to accompany them well."
Cai Dongfan has now learned what it means to be ginger or old hot!
I dare not face Ding Changle again!
Zhou Cheng respected Ding Changle first, and Ding Changle drank it cheerfully.
Then while Zhou Cheng went to pay respects to Qin Tianzhu, Cai Dongfan also got down to have a drink with Ding Changle alone.
Zhou Chengcheng was under the table, so he finished drinking with Qin Tianzhu first, and then Cai Dongfan and Ding Changle raised their glasses.
After Zhou Cheng finished drinking, he said, "Professor Qin, you have worked hard, thank you for making a trip today."
Qin Tianzhu drank it down, put down his glass and said, "Xiao Zhou is being polite. I heard from Director Cai that you are just a regular trainee now. Do you have the idea of studying for a graduate student or a doctoral student?"
"If there is, Professor Ding is here, you have to go more with Professor Ding!"
When Qin Tianzhu was speaking, Ding Changle suddenly sprayed him all over the face.
"puff!"
"Ache!"
Then, Qin Tianzhu looked at Ding Changle aggrieved and blankly, only to find that Ding Changle also looked at Qin Tianzhu with a complicated expression, his eyes seemed to say, what the hell were you talking about just now?
You let me accept Zhou Cheng as a student?Don't hurt me!
……
Chapter 1 Another double-witted madness? !
Qin Tianzhu looked at Ding Changle wronged and innocently.
The eyes are dull: Professor Ding, why do you look at me with such eyes?I did nothing wrong, right?
When you were in the car just now, didn't you still ask Director Cai about this matter?
Why do you say yes, I said?
Just spray me.
Is it really the kind that sprayed on me?
You are not a woman.
……
Ding Changle really felt that the egg was hit by Qin Tianzhu, which he brought, and it hurt a little.
Just learn how to drink tea and look at the four words of observing face and watching color?Why are you so happy?
I intend to accept Zhou Cheng as a student, so I won't talk to him myself?
Ding Changle's heart fluctuated, but he still quickly apologized to Cai Dongfan: "I'm sorry, I'm sorry, Director Cai, my throat was not very comfortable just now, maybe I smoked too much."
"Tianzhu, I'm sorry I made you dirty too, let's go to the toilet and wash it together?"
"Well, Director Cai, Director Zeng, you two should drink and eat first. Professor Qin and I will go to the bathroom together."
Cai Dongfan immediately put the wine glass on the table and said, "Professor Ding, Professor Qin, are you okay?"
Then he turned his head and shouted loudly: "Waiter, bring two towels..."
The meal was stopped midway.
Report chapter Comments
Ding Changle took Qin Tianzhu to the bathroom.
……
to the toilet.
Ding Changle and Qin Tianzhu each took care of their bodies a little bit, and then Ding Changle lowered his voice and said to Qin Tianzhu: "Tianzhu, why did you suddenly go crazy just now?"
Qin Tianzhu was still stunned, his forehead wrinkled: "Ah~?"
am i crazy?
He opened his mouth and said, "Professor Ding? Didn't you just say that in the car?"
Qin Tianzhu wiped the wine stains on Ding Changle's body.
Ding Changle pursed his lips, rolled his eyes and said: "In the car is in the car, if I want to, I can't tell myself to say it, do you have to say it?"
"Don't mention it again later."
Qin Tianzhu felt that he was a little dizzy by Ding Changle, as if he was thrown into the white snow and ice by Ding Changle, a little inexplicable direction.
"Professor Ding? But?"
Qin Tianzhu hesitated for about three seconds, and felt that he still had to remind Ding Changle:
"This guy named Zhou Cheng is quite talented."
"Professor Ding, you were not there at the time, but I can see clearly."
"What if it is left in the eighth hospital?"
"It's a bit wasteful, isn't it? A talent like him should study for a master's degree, and the doctoral degree is the right way."
"It's even an exaggeration to say that it's even comparable to Xiao Yang."
As a general next to Ding Changle, Qin Tianzhu naturally hopes that Ding Changle's team will become stronger, and then his platform will be more stable.
After all, Ding Changle was absent from Zhou Cheng's operation before, and relying on hearsay alone may not be able to convince the over-the-top Professor Ding.
But Qin Tianzhu is still willing to ask Ding Changle for a chance for Zhou Cheng.
After thinking for a while, Qin Tianzhu said: "I just inquired about it in private on the way here."
"Zhou Cheng has taken the postgraduate exam three times before, and failed the re-examination. I think Xiao Zhou still has the idea of further improving his academic qualifications and studying hard."
"Ding?"
"Ah~?" Ding Changle's face and the corners of his mouth trembled, and he made a strange sound.
I suddenly felt a little flustered——
His hands and feet twitched at that time.
He hurriedly turned his head and said, "You just said that Xiao Zhou had applied for graduate school three times before, right?"
"Ang!" Qin Tianzhu nodded.
Ding Changle hurriedly asked: "Where did you apply? Did you enter the re-examination?"
Qin Tianzhu nodded: "Yes! Some have entered the re-examination, and all of them have entered the re-examination."
"One time was the Second Hospital, the other time was our hospital, and the third time it seemed that it was not in the system of the Affiliated Hospital of Shonan University."
"It seems to be Hengnan University."
Qin Tianzhu just inquired a little. He was looking for Dong Qiansheng, the deputy director of the second orthopedic ward. Dong Qiansheng was the same age as Qin Tianzhu. ask.
"I..." Ding Changle froze for a moment—
The complexion changed in bursts.Looks like he's a little out of his mind.
Qin Tianzhu was a little worried about Ding Changle immediately, and said, "Mr. Ding, although I know that Xiao Zhou failed the re-examination for the three postgraduate entrance examinations before, it may be unreasonable, but?"
"Since we have discovered it, it is absolutely possible!"
Ding Changle roared in a low voice: "It's okay!"
"You know what a fart!" Ding Changle said after cursing in a low voice.
I felt bitter in my heart, it was over.
Finished calf.
It's a big fuss now, it's a big fuss now.
Ding Changle continued to be dazed.
How can you take the exam three times without passing the re-examination?
What is going on here?
This is going to happen!
"Teacher Ding?" Qin Tianzhu raised his hand up and down in front of Ding Changle.
"Are you all right? Are you a little unwell?"
"How about I go tell Director Cai and the others, let's go back early?"
"Or, should I call to check now?" Qin Tianzhu felt that Ding Changle's condition was not very good today, so he took the initiative to yo-yo earlier.
After Ding Changle was interrupted by Qin Tianzhu's raising his hand.
After taking a long, deep breath, the particularly pungent smell in the toilet was almost gone.
Then he quickly shrugged his nose and walked out, then suddenly turned his head and stared at Qin Tianzhu for a long time.
Pull Qin Tianzhu out.
Asked: "Tianzhu, you have been mentoring graduate students for several years now, do you think if you were asked to mentor Zhou Cheng, would you be willing?"
Ding Changle's eyes are clear and sincere.
"Ah?" Qin Tianzhu was a little surprised, the corners of his mouth curled up slightly, hesitating and saying embarrassingly:
"Professor Ding? Isn't this inappropriate? Even if you agree, it's definitely not my turn!"
"Actually, I really want to have a student with good qualifications." Qin Tianzhu looked at Ding Changle expectantly.
I added in my heart, just like Yang Yifeng.
When Qin Tianzhu said this, Ding Changle covered his forehead for a long time.
Then he patted Qin Tianzhu on the shoulder, without saying a word.
The reason why he asked this question just now was to find out whether Qin Tianzhu's current situation is what he saw.
It has now been clearly answered.
Qin Tianzhu really didn't know the depth, he thought, is a student like Yang Yifeng really so easy to guide?
Are you really happy when you take Yang Yifeng with you?
Yes, outsiders may feel happy.
But in fact, when he got along with Yang Yifeng, he felt that it was suffering.
One of the reasons why Yang Yifeng dropped out of school was that he felt that studying medicine was boring.
This week, Zhou Cheng is probably more of a time bomb than Yang Yifeng. Do you still want to be his teacher?
Ding Changle didn't know what to say.
It may be that those who don't know are fearless.
"I knew you were joking with me." Qin Tianzhu smiled a little disappointedly, but he didn't really take it seriously. Zhou Cheng being his student, you can just think about it and forget about it.
Ding Changle touched his head again.
With a long sigh, he shook his head and walked towards the table again.
He was not afraid that Qin Tianzhu would misunderstand that he was joking, but he was afraid that if he told the truth, Qin Tianzhu would be shocked.
Qin Tianzhu followed closely behind, and his complexion returned to normal. Although Ding Changle made a joke with him just now, Qin Tianzhu actually regarded it as a joke in his heart.
……
In the process of walking, Ding Changle found that he was very disturbed and entangled.
The reason is like this.
Although I didn't see Zhou Cheng's operation today, Ding Changle confirmed one thing through the chat with Zhou Cheng just now.
Zhou Cheng's current strength and theory are very, very solid.
The current Zhou Cheng only looks young, but he is definitely the second Yang Yifeng. It can even be said that Yang Yifeng is the second Zhou Cheng.
Now it seems that age may be the constraint of Zhou Cheng, but one day, he will grow up, appear in front of many colleagues, and even lay down his own territory in the province.
This is unstoppable by anyone. With this strength, ability, and a little opportunity and platform, this can be done.
Later, Zhou Cheng stood up in front of his orthopedic colleagues.
The first thing that will definitely be noticed is Zhou Cheng's education.
Even before that, many people will pay attention to this matter——
ask.
Dr. Zhou, why are you still an undergraduate?Didn't you ever think about going to the postgraduate entrance examination to study for a Ph. D.?
At that time!
Whether it is the First and Second Affiliated Hospital of Shonan University or the Affiliated Hospital of Hengnan University, they will definitely become popular in the industry!
Oh?
It turns out that it's not that you don't want to, but that you are not allowed to study as a graduate student or a doctorate student.
Zhou Cheng is not even qualified to enter the ranks of graduate students?
It must be that the competition for postgraduate admissions at the Affiliated Hospital of Shonan University is fierce, and it is at the bottom of the stream.
It can be concluded that -
In the First Affiliated Hospital of Shonan University, the Second Affiliated Hospital, and the Affiliated Hospital of Hengda University——
All of them are talents, they speak well, the elite gathers, and everyone is talented.
How did Zhou Cheng squeeze in?
Then those people who went to graduate school, in front of Zhou Cheng?
This will definitely become one of the most popular talking points!
It's not that Zhou Cheng doesn't want to, it's that he doesn't let him.
Failed the exam for three years in a row?
Ding Changle is really upset at this moment!
How did you fail to pass the exam for three consecutive years?
How can you fail to pass the exam for three consecutive years?
Although it is said that the most fair large-scale examination in Huaguo is only the college entrance examination, this is a secret rumor.
But it can only be in the dark, it cannot be turned into the light.
After all, this is the case all over the country. At that time, Zhou Cheng's education and past experience will definitely become another invisible bomb. I don't know how many people will be blown away...
Zhou Cheng?
This is awesome! ?
How did he manage to pass the postgraduate entrance examination three times in a row, but failed in the re-examination?
Did he have some personal vendetta with someone from our Shonan University, so he deliberately made so many incidents?
You have to think of a way to avoid this matter, this bomb is not easy to step on, it will really kill people.
It's best to settle this matter properly before anyone pays too much attention to Zhou Cheng.
And this kind of proper solution is definitely not to push himself into the identity of Zhou Cheng's teacher.
Ding Changle didn't dare to take the pot again.
……
After Ding Changle and Qin Tianzhu returned to the wine table, Cai Dongfan immediately stood up and asked, "Professor Ding, Professor Qin, are you all right?"
"Is it because Xiao Zhou said something wrong? Or did something wrong? Is there something wrong with hospitality?"
"I'm here to apologize to the two professors on behalf of Xiao Zhou."
Zeng Yi and the others also looked up at Ding Changle, while Zhou Cheng stood behind the chair and took the initiative to carry the chair for Ding Changle and Qin Tianzhu.
Everyone saw it, and clearly saw and heard it.
It was precisely because Qin Tianzhu mentioned Zhou Cheng's name that Ding Changle spit in public.
This must be Ding Changle's inner thoughts, and he doesn't want to accept Zhou as a student!
Ding Changle immediately said: "It's okay, it's just that I just coughed and I may have caught a cold. It has nothing to do with Xiao Zhou."
"Let's keep eating, let's keep eating. Sorry, I'm sorry."
As Ding Changle approached, he pressed his hand and nodded in apology.
Everyone still didn't dare to sit down, they only thought that Ding Changle had something to say.
But Ding Changle took the initiative to pour a glass of wine first, and then took the initiative to say: "Director Cai, Director Zeng, and Doctor An, Ms. Liu, Doctor Zhou, I am rude, and I will punish myself for a glass first, and I hope I don't disturb you." Your interest."
"Director Cai, at least you have to entertain Director Zeng and the two ladies well. Just let them stand. Is this all about human affairs?"
"Come, come, let's drink!"
Ding Changle took the initiative to raise the atmosphere on the field because of his sudden break.
Because of Ding Changle's words, the wine bureau resumed the scene of toasting and drinking.
But after all, it lost the original meaning before. Even if Ding Changle took the initiative to pay respects, it still made Cai Dongfan, Zeng Yi and others a little bit thoughtful.
I dare not invite more wine.
But Zhou Cheng and Cai Dongfan took the initiative to empty their glasses quickly, poured another full glass, and continued to toast Ding Changle and Qin Tianzhu back and forth.
An Ruo and Liu Yan are two foodies who are only responsible for eating, but they are occasionally knocked off their glasses by the way.
As a result, Ding Changle only finished one jug of wine, Zhou Cheng and Cai Dongfan had already finished two jugs, and the drinking game did not continue...
Neither Ding Changle nor Qin Tianzhu mentioned Zhou Cheng's postgraduate study, so it was naturally impossible for Cai Dongfan to offer Zhou Cheng to them.
Cai Dongfan then said: "Professor Ding, Professor Qin, thank you both for coming today."
"The bouillon and side dishes are really shabby, thanks to the two of you who don't dislike—"
Then Cai Dongfan faltered and whispered in the ears of Ding Changle and Qin Tianzhu for a while, and they shook their heads in fright.
She blushed and said, "No, no, Director Cai, we're going back. We have to go back."
Definitely.
Cai Dongfan said casually: "Since Professor Ding and Professor Qin don't want to drink any more, I'll take you home? I've ordered a driver in advance, and I'm waiting in the car. I have to take you back to the door before I dare to drink." return."
"When the two of you came, I didn't have time to arrange to pick you up. Since I was the one who arranged to see you off, I must be full of courtesy."
"Otherwise, it will appear that I, Cai Dongfan, don't know how to be a human being!"
"Director Cai! I'm really going back!" Qin Tianzhu said seriously, shaking his head like a rattle.
Cai Dongfan, what do you mean by deliberately saying this to other people?
We didn't agree to go to the place you just mentioned, don't mess around.Professor Ding and I don't do this.
Cai Dongfan also said sincerely: "I'm really sending you back, Professor Qin, and I dare not make mistakes."
Qin Tianzhu's face turned red immediately, and he looked at Zeng Yi and the others with special gazes.
And there are two female comrades.
The embarrassment of dying on the spot——
After Cai Dongfan sent Ding Changle and Qin Tianzhu away, Zhou Chengcheng took the initiative to say, "Director Zeng, I have already taken a taxi. Let's go back together later? This is arranged by Director Cai."
"Doctor An, would you and Sister Yan take a taxi together? I'll transfer the fare to you then."
Cai Dongfan is a very careful person, and he explained all these details before leaving.
An Ruo and Liu Yan don't like wine, so they will take two taxis later.
Liu Yan looked at Miss An Ruo, as if everything was according to An Ruo's wishes.
An Ruo said: "Doctor Zhou, no need, I'll take my teacher back. It's a bit wasteful to take two taxis."
Liu Yancai said: "I also think so, one car, four people, just right."
Zeng Yi didn't tell Zhou Cheng about this matter, but looked at Zhou Cheng, remembered Cai Dongfan's confession, and said to Zhou Cheng:
"Zhou Cheng, Director Cai has tried his best to help you settle the situation today, but it seems that Professor Ding has no intention of accepting you as a student."
"So later, Director Cai didn't mention this matter again."
"But don't feel lost in your heart."
Zhou Cheng raised his fists with both hands and did a surrender-style chest expansion exercise. After stretching his chest, he put his hands down.
With a wry smile, he said, "Teacher Zeng, I made you laugh."
"Actually, I can understand it!"
"Some things are about fate. If the fate is not there, it is useless to force it. Everyone has his own chance."
"Maybe it's because I came from the countryside myself, and my aptitude is not good, so I couldn't catch the eyes of a great professor like Professor Ding."
"That's why Professor Qin scared Professor Ding when he just mentioned it."
When Zhou Cheng said this, he started to laugh, naturally a wry smile.
But I was still a little disappointed and aggrieved inside.
Before getting the simulator, Zhou Cheng felt that he might be congenitally deficient, or that he didn't work hard enough, so he failed the re-examination for graduate students many times, because he couldn't compete with others.
But now, with such strength, he still can't take this path.
This may be because it has nothing to do with the postgraduate entrance examination.
That's all.
Zhou Cheng, who was a little lonely, then forced a smile, and looked at the Yanjia River next to him. The sunset was endless, and the scenery was just right, with birds flying like a curtain, reflecting on the water.
Hearing Zhou Cheng's words, An Ruo, who was obediently standing next to Zeng Yi, suddenly said, "You think you are from the countryside. That's your own thinking, and it's hard for outsiders to influence you."
"But if you want to say that your own qualifications are not good, I don't agree."
"How old are you? You can perform level III surgery now, and you can complete it satisfactorily. I'm not a professional whether it's done well or not."
"But you can say that your qualifications are not good?!"
Zeng Yi and Liu Yan looked at An Ruo who suddenly spoke in astonishment.
Zeng Yi called out in a low voice: "An Ruo?"
"What's the matter with you? Why are you answering the call?"
An Ruo didn't reply, she gritted her teeth——
still insisted:
"You don't understand people with poor qualifications at all. How long will it take to do a good job? What kind of gossip and ridicule will you have to go through."
"It's not that you have bad aptitude, you just have great aptitude!"
"That's why you feel that you can be supercilious, and even brazenly say that your aptitude is not good, but you have no intention of being sad, so you can pretend to be deep."
"Because you don't care at all, you just say that your aptitude is not good, but it doesn't mean that you are really bad in aptitude."
"After that, you can still learn one thing very quickly. You are still a genius in the eyes of others."
"There is no loss for you, and you can even gain a modest reputation."
Zeng Yi was completely confused. He didn't understand why his student suddenly "went crazy" at this moment, like a wild cat whose tail was stepped on, and became so vicious.
Zeng Yi took An Ruo's hand and signaled her to stop talking. After all, today is Zhou Cheng's home game, and he is in a bad mood right now.
Zhou Cheng turned his head a long time ago and looked at An Ruo, feeling a little bewildered in his heart.
Hey, no, I said that my aptitude is not good, why are you reacting so badly?
Crazy?
I can't say a word?
An Ruo struggled a little, took two deep breaths, and turned her head away.But he also knew that it was inappropriate for him to speak just now, so he kept silent.
In the end, Zeng Yi took the initiative to stuff An Ruo and Liu Yan into the car called by Zhou Cheng, then called another car himself, and told the driver to leave immediately.
Then she turned around and explained to Zhou Cheng: "Doctor Zhou, Dr. An may be in a bad mood today, so don't take it too seriously. She actually didn't mean anything else, but maybe she didn't express it clearly."
Zeng Yi was quite protective of An Ruo, after all, today's series of events had nothing to do with An Ruo.
Everything today was a game arranged by Cai Dongfan for Zhou Cheng, and it was only polite to call him Zeng Yi.
In the end, Professor Ding Changle seemed not interested in Zhou Cheng.
Zhou Cheng was a little bit disappointed and sighed with emotion that day, which is really very normal.
But my student didn't know that he suddenly became obsessed, so he started to be obsessed.
Even if everything An Ruo said has her reasons, Zhou Cheng's aptitude is very good, it is a bit inappropriate to say that his aptitude is not good from his mouth.
Can you say that your qualifications are good or not?
Under different circumstances, that also needs to be viewed dialectically!
"I'm fine, Director Zeng!" Zhou Cheng sighed, feeling very baffled in his heart, but he didn't really take it too seriously.
Compared with An Ruo's sudden lecture, Zhou Cheng was more concerned about why Ding Changle was not interested in him.
When simulating a copy, the process of simulating is not like this? !
what on earth is this kind of happenings?
"Thank you and Dr. An for your hard work today. Thank you." Zhou Cheng continued to greet Zeng Yi politely.
From Zhou Cheng's polite words, Zeng Yi knew that Zhou Cheng still felt that An Ruo was a bit puzzled.Otherwise, if I sincerely thank you, I won't say much.
……
In the taxi, Liu Yan continued to comfort An Ruo, and after seeing An Ruo's mood gradually stabilized, she said, "Ruo Ruo, it's definitely not that sister Yan is partial today, it's true that you didn't do something right today, huh?"
"Although you can think that what Dr. Zhou said is wrong, you can't say that."
An Ruo snorted, and after her heart gradually calmed down, she regretted it a little, but said back with some entanglement: "Sister Yan, why can't you say it? How does he know what it means to be unqualified?"
"He has no idea how much effort a person with poor qualifications will put in to accomplish something."
"She may not be able to walk until she is four years old, and she may not be able to speak until she is five years old. She is so stupid that even her family members call her slow. Big fool is her nickname, and fool is one of her names."
"Elementary school courses require at least double the study time."
"Only then can I barely keep up with the progress of my classmates."
"I finally got a score of 100. It will be considered that the teacher gave me 100 because of my family relationship, or I cheated and copied the book."
"However, if she manages to get into a good high school, she is considered lucky. How can she possibly get into high school? It must be because she got through the back door and her relationship, and changed her score."
"After four years of high school and another year of re-study, I could barely get into an undergraduate course. Later, I went to graduate school, and it was even said that..."
"What qualifications does he have to say that his aptitude is not good? How much more is his aptitude?" An Ruo retorted with slightly red eyes, and there was infinite grievance in his eyes.
mumbling.
Chapter 1 Director Yan wants to take Zhou Chengge to the alley...
An Ruo said in a low voice: "When she was taking the postgraduate entrance examination, she took the re-examination together with her good friend whom she thought was good. She was admitted, but her friend didn't go ashore, so she turned around and reported her, thinking that she must have left home Relationship……"
"Later, she thought about it. For the first time, she agreed to go with the family and go to the director's graduate school..."
Liu Yan deliberately saw through but didn't expose it, pretending not to know that An Ruo was talking about herself.
Then he touched the back of her hand, nodded and comforted, "Ruoruo, it's all over. You are excellent and you work hard."
"Sister Yan sees it all. Our Ruoruo relies on our own strength and hard work."
"Don't worry about other people's gossip."
Report chapter Comments
An Ruo blinked her eyes, bit her lower lip on her upper teeth, and said, "Some people are obviously very talented, and they can easily get what they want without much effort."
"But he kept saying that he was stupid in his qualifications."
"Do they even know what it means to be stupid?"
"That's why it seems self-defeating when you say it, but it is actually proud and showing off."
"It's people like this that I don't like the most."
Liu Yan sighed when she heard the words, and continued: "Ruoruo, I know what you said."
But then Liu Yan straightened An Ruo's body and met her eyes.
Then he said, "Ruoruo, I know what you said is right."
"I can also understand what you mean. But things need to be treated dialectically."
"This Zhou Cheng in the Department of Orthopedics, he took the postgraduate entrance examination three times, but he didn't get to go ashore."
"Then think about it from his position. As far as he is concerned, besides finding himself stupid, what other reasons can he find to explain all this?"
"The strength is not enough? The foundation is not solid?"
"Is it because he has a good foundation that he doesn't want to improve his education?"
An Ruo suddenly reacted.
Oh yes!
Zhou Cheng is a resident doctor included in the standardized training of social residents!
He is not a graduate student!
The key point is that he is not the kind of arrogant genius who didn't take the initiative to take the postgraduate entrance examination.
What if what I understand is correct, Zhou Cheng has the strength and foundation, and can pass the initial test, but he failed the Waterloo test three times?
Why is that?
Zhou Cheng didn't find the reason from himself.
Can you put it more bluntly?
For her, An Ruo, once the ability and score are achieved, everything will come naturally.
But that's her...
An Ruo opened his mouth, as if struck by lightning.
This……
The corners of An Ruo's mouth trembled for a long time, but he still couldn't say a word.
Unconsciously, there is a subtle thought in my heart, it seems that, compared to a person with poor qualifications like myself——
The slow progress of learning is a bit slow, but the goal can be achieved by accumulating time.
Zhou Cheng's kind seems to be more unacceptable, and if you want to find the reason, the reason behind it is too sensitive and too real...
"Sister Yan." An Ruo suddenly felt a little uncomfortable, looking at Liu Yan a little at a loss.
"It's over." Liu Yan patted An Ruo on the shoulder, shaking her head to signal her to stop talking...
"Director Zeng, why don't I see you off?" Zhou Cheng opened the car door for Zeng Yi, and offered to take Zeng Yi home, but was rejected.
Zeng Yi waved his hand and said, "Xiao Zhou, get in the car and go back. Today's quantity is not much, and I'm not drunk. What do I want you to do for me?"
"Go back and have a good rest. Don't think too much."
"Next time I will find a suitable time and ask my student to apologize to you."
"No, no, no." Zhou Cheng waved his hands again and again, and then got back into the car, said goodbye to Zeng Yi, and told the master his destination again.
Soon after reaching the downstairs of his community, Zhou Cheng paid the extra amount directly according to the amount reported by the driver, thanked him and went upstairs.
When I got home, I took a good wash first, and then I lay down on the bed, frowning and thinking.
Zhou Cheng was a little puzzled.
It feels a little strange what happened today.
If Ding Changle was not interested in him, the operation today would not exist at all.
But today the operation was also done, but Ding Changle didn't mention anything about the follow-up. Instead, when Associate Professor Qin Tianzhu mentioned it, Ding Changle was startled.
It seems that I am still too optimistic, so I feel that there are actually many paths I can choose.
Maybe it was because when I was chatting with Ding Changle today, I got too deep into the drama and went too far.
While Zhou Cheng was contemplating, suddenly a notification tone sounded from the phone.
I took it out and saw that there was an unread message on the WeChat interface, and it displayed a notification to apply for adding a friend.
The screen name is mananmanan!
There is also a note application: Hello, Dr. Zhou, I am An Ruo from the Department of Anesthesiology.
The girl with a brain problem?
After hesitating for a while, Zhou Cheng still chose to agree to the friend's application, and at the same time replied with a note: Zhou Cheng.
After the friend application was approved, it automatically jumped to the chat interface, and Zhou Cheng saw the prompt that the other party was typing.
"Hello, Doctor Zhou, I'm An Ruo."
"I'm very sorry about what happened this afternoon!"
"I want to treat you to a meal and apologize to you in person." An Ruo said proactively.
After reading it, Zhou Cheng was taken aback.
This girl usually speaks so straightforwardly, straight to the point, doesn't she know how to go round and round?
Is an apology and a meal equated?
Still politely replied: "It's okay, Dr. An. Don't you have to eat? It's okay."
"There may be something wrong with what I said, which is why there was a misunderstanding."
After replying, Zhou Cheng sat up straight, stretched his chest with both hands, and said to himself: "Continue to design the simulation plan!"
"If the east is not bright and the west is bright, there is always a way for me, Zhou Cheng, to choose."
"If you don't go to graduate school, don't take the Ph.D. and you won't die, at least you can stay in the Eighth Hospital..."
Sitting on the desk, Zhou Cheng looked at the handwriting on the note written a few days ago on the desk: Registration time for postgraduate examination: 10/10-10/20!
Today's time: 10/13!
Target institution: The Affiliated Hospital of Shonan University.
After reading it, Zhou Cheng tore off the sticky note, then threw it into the trash can next to him, silently opened the registration page on the computer, and randomly selected his volunteer as a hospital affiliated to Kyoto University.
After determining the procedures for voluntary changes along the way.
He didn't even look at it, and then directly closed the volunteer confirmation interface.
Anyway, just play.
……
After this, Zhou Cheng started the simulation again.
I looked at the skill panel in the simulator.
【Open reduction and internal fixation of fracture (perfect level)】
【Closed reduction of fracture (perfect - redefined)】
[Open reduction and internal fixation with small incision for fracture (perfect)]
【Bone transport grafting for bone defects (perfect)】
【Joint Dislocation Reduction (Perfect)】
【Total Hip Replacement (General)】
【Arthroscopy (Skilled) (Shoulder, Wrist, Knee)】
[Screw internal fixation of tibial plateau intercondylar spine fracture under knee arthroscopy (common)]
[Repair of TFCC injury under wrist arthroscopy (skilled)]
[Shoulder Hill-Sach, Bankart injury repair (common)]
The additional skills are the microscopic examination of shoulder arthroscopy and the repair of Hill-Sach and Bankart injuries related to fractures in the shoulder joint obtained through simulation yesterday.
Rotator cuff injury is definitely a hot spot in the field of sports medicine, although in the fracture copy, it is not very good to simulate the corresponding skills of sports medicine.
However, special injuries in rotator cuff injuries, such as Hill-Sach and Bankart injuries, are actually accompanied by the diagnosis of fractures.
Originally, what Zhou Cheng planned to simulate today was still the skills corresponding to the corresponding special fractures.
However, the plan cannot keep up with the changes. Although Professor Ding Changle did not promise him that he could go to graduate school today, Professor Ding mentioned such a concept in the process of communicating with him——
A broken bone doesn't have to be a total evil!
On the contrary, in some special cases, because of the characteristic that fractures can heal completely, we can artificially create fractures to treat some diseases.
This concept is extremely novel.
Although I don't know if what Professor Ding said is bragging, or if it is true.
But these were thoughts that Zhou Cheng had never thought of before.
yes?
Who stipulated that a fracture must be harmful?
Fracture can not be used for treatment?
Although this argument itself is contradictory, it even makes ordinary people find it unbelievable.
Break someone's bones?Can it be called healing?
But medicine itself is boundless. This is a line of thought that can be studied carefully. Anyway, the simulator can continue to trial and error.
Of course, if you want to simulate in this direction, you must first figure out how to treat fractures and the current research progress. This requires a little bit of data collection.
This preparatory work will not take a short time.
Therefore, Zhou Chengcheng soon fell into immersive learning.
……
At about six o'clock in the evening, Zhou Chengcai was interrupted by the continuous shock generated by Cai Dongfan's phone call, which interrupted his study in the middle.
After Zhou Cheng answered the phone, Cai Dongfan said, "Zhou Cheng, have you returned home now?"
"How much did it cost to take a taxi? I'll transfer it to you."
Although Zhou Cheng told Zeng Yi that it was Cai Dongfan's reimbursement, Zhou Cheng never really thought about asking Cai Dongfan for the taxi fare: "Mr. Cai, the taxi fare is not much, forget it. Are you back too?"
Although there are many, but not many.How much did Cai Dongfan lose his wallet just to help him?
Cai Dongfan was a little unhappy: "If you want to say the number, just say the number, why are there so many things?"
"Just arrived home."
"I have good news for you. When I sent Professor Ding off the bus, Professor Ding said that he would find time to arrange a time for you and give you a chance to show off."
"If you can afford this show time, then the authorization of your surgery will surely come to fruition." Cai Dongfan said to Zhou Cheng in a joyful tone.
"Aha?"
Zhou Cheng was overjoyed when he heard the words: "Director Cai, is what you said true? Professor Ding is really willing to arrange for me to obtain Level III surgical authority in advance?"
It can be said that compared to becoming a student of Professor Ding, Zhou Cheng felt that if Ding Changle was willing to arrange for him the authorization of Class III surgery in advance, it would be more helpful and improved for him.
The reason why Zhou Cheng wanted to take the postgraduate entrance examination and study for a Ph. D. was actually because he wanted to borrow the platform of these professors.As for really wanting to learn too much from them personally, it is not that important that Zhou Cheng can learn from the world through the simulator copy now.
This is great news.
Cai Dongfan also said in a bright tone: "Yes! It is the authorization of Class III surgery, which is also the authorization of your age group!"
"You know, Yang Yifeng is a direct student of Professor Ding, and he has only obtained a level III surgical authorization."
"Besides, just tomorrow, you will fill out a surgery authorization application form for a level II surgery, and I will go to the medical department to authorize the operation for a level II surgery first."
Report chapter Comments
"The authorization of Level II surgery requires three people with titles of deputy senior and above in our department to form an authorization assessment team. Presumably with the support and participation of Professor Ding Changle, it is absolutely impossible for Director Yan Hahan and Director Hu to get stuck here." looking at you."
"I'll discuss it with Director Yan and Director Hu at that time, and prepare a few cases for you. You can't let me lose the chain."
Cai Dongfan confessed seriously.
The authorization of surgery must be carried out level by level, step by step, and only after the authorization of level I surgery and level II surgery has been obtained can Ding Changle support the authorization of level III surgery.
"Okay, Teacher Cai, I will do my best, and I won't hold you back or let you down." Zhou Cheng immediately promised.
Obtaining the operation permission in advance, whether it is for his simulation in the dungeon, or for doing some new things in the department later, is the foundation. The sooner you get it, the sooner Zhou Cheng can carry it out.
Because just now, Zhou Cheng checked some regulations.
Graduate students and doctoral students do not necessarily have to take the exam to get...
Cai Dongfan smiled and said, "Take a good rest, tomorrow is not our surgery day anyway."
"By the way, you will be on duty the day after tomorrow, right?" Cai Dongfan asked.
"Well, Teacher Cai, I'll be on duty the day after tomorrow." Zhou Cheng nodded, and he was in a good mood at the moment.
Although Ding Changle couldn't get Ding Changle to agree to study as a graduate student, he got something more difficult. This is a surprise.
However, Zhou Cheng didn't want to understand. In fact, it was easier and easier to accept him as a student than to give him a surgical authorization to arrange a Class III surgery. Why was Ding Changle still frightened at that time?
Zhou Cheng couldn't figure it out.
Cai Dongfan immediately said: "I just discussed it with Professor Ding and Professor Qin. Whether it is a fracture or a joint dislocation, it is absolutely right to give priority to manual reduction."
"To apply for a surgical authorization for level II surgery, a certain number of operations for level I surgery is required, and the number is not required to be large."
"You have the bottom line in your heart. After you have a good communication with Luo Yun, you can be a little more courageous."
"Strive to send all patients back from the emergency department."
Zhou Cheng was taken aback when he heard Cai Dongfan's explicit statement, and asked, "Huh? Teacher Cai, is this appropriate?"
If I had the guts to go bigger?
Don't be scared.
"What's inappropriate?" Cai Dongfan said with a hearty tone:
"Professor Ding Changle took the initiative to call Director Yan. Director Yan will never embarrass you because of this matter again. Whether it is a joint dislocation or a fracture, as long as it is a conservative treatment related to orthopedics."
"I have met it, I can do it! I am sure to do it!"
"Then do it."
"Of course, the premise is that you can't be brave and reluctant. You can't just chop everyone up just to do it." Cai Dongfan still confessed a little more, because he was afraid that Zhou Cheng would get high and forget who he was, and drag the patient to the ward. Reset, and then something happens.
Professor Ding, Ollie here!
As expected of Professor Ding, the current head of trauma surgery has great energy, and Yan Hanhan won't care too much about a phone call.If such an influential figure can be his own teacher, then?
But don't push yourself too hard, the master-student matter is all about fate.
Zhou Cheng replied immediately: "Okay, Teacher Cai, I understand. I will definitely report to Teacher Luo and you in detail."
Most of the patients are treated with manipulative reduction in the clinic, and the treatment effect is immediate. This is a way to gain gratitude more quickly than performing surgery on the patient.
After all, for Grade III surgeries or above in the department, patients would naturally think that it was Cai Dongfan who performed the surgery.
It was impossible for Zhou Cheng to take the initiative to explain to the patient. Even in the operating room, it was Zhou Cheng who did the manipulation reset, and everyone would take it for granted that it was Cai Dongfan.
This is human nature, but emergency patients are different.
In this way, enough gratitude can be quickly obtained to open the second copy.
With more copies, Zhou Cheng can better plan different simulation arrangements, and by then, he will be able to consolidate his orthopedic foundation.Although at present I seem to be on the fracture of the trauma, I have achieved quite a lot.
But trauma is more than just broken bones.
"You are quite reliable in doing things. No matter it is the procedure, you are clear and understand, so I won't go into too much detail."
When Cai Dongfan said this, he reminded again intentionally or unintentionally: "Zhou Cheng."
"The Zeng director of the anesthesiology department told me what happened after I left. I think we should look at this kind of thing separately."
"You are a man, and Dr. An is a girl. Girls' emotions are generally quite sensitive and inexplicable. It is difficult for us men to get to that point. You should be a little more generous. Don't get angry with her, and don't give others later What kind of face do you have?"
"Men, it's better to be generous!"
Zhou Cheng hurriedly said, "Huh? Teacher Cai."
"I'm not angry? I've only been reading since I got back, and I'm in pretty good shape. I'm really not angry."
Cai Dongfan grunted for a while, and then said, "If you're not angry with her, why don't you reply to her message?"
"It's been hanging out for several hours. Modern people don't know that their mobile phones are always at hand."
"They all called me."
"Besides, it's not bad for you to take the initiative to chat with girls." Cai Dongfan reminded.
I secretly thought in my heart, Xiao Zhou, if you can take down this little cabbage, you can save at least 30 years of struggle.
"Ah? Oh!"
Then Zhou Cheng suddenly realized and said: "Ms. Cai, I was reading just now, and I am used to reading without my mobile phone. I didn't mean not to reply, I will return right away."
It's really not Zhou Cheng's fault, he didn't have the habit of keeping his mobile phone at hand while reading, and he habitually muted it.
The day before yesterday was the only time I let it go.
That's because I knew that there were a lot of emergency patients in the department, so I deliberately put them at hand, waiting for the call from the department, so as not to find someone when I was looking for someone.
Zhou Chenglian stood up and took the phone.
After looking at it, it was astonishing that after he replied to An Ruo, An Ruo sent him a reply a few minutes later.
"Doctor Zhou, if you don't want to eat, I'll book a seat in the coffee shop. I'll treat you to coffee and apologize in person, okay?"
Two 10 minutes later.
An Ruo continued to answer questions.
"Doctor Zhou? I'm here."
"Address positioning."
"Seat number: 17."
two hours later.
An Ruo replied again: "I'm sorry..."
Little bit and then no more.
I am O!
After reading it, Zhou Cheng scratched his head, and quickly wrote back: "Doctor An, um, are you still in the coffee shop?"
"I just went to read a book. If Director Cai hadn't called me, I wouldn't have picked up my phone. Sorry?"
At the same time, I muttered in my heart, girl, why are you so straight, at least turn the corner!
I haven't even agreed to say what I say, so you just wait and do things so vigorously, okay?
No wonder Cai Dongfan hit me on purpose.
An Ruo replied: "I'm still here. My plan is to wait until nine o'clock. If you haven't come, I can only go back by myself."
"Did that interrupt your study?" An Ruo then replied seriously, she didn't like to be disturbed when she was studying.
"No, why don't you wait for me in the coffee shop first? I'll be right over." Zhou Cheng quickly changed out of his pajamas, put on a set of clean clothes and went out.
……
After Zhou Cheng and An Ruo talked about the matter, they returned home quickly. After Zhou Cheng carefully simulated three times, although he was well-prepared, there was no unexpected gain. He still only got the mosaic bone grafting (normal), Broken Bone Growth Rod Regulation (Normal) level skill!
Later Zhou Cheng fell into a deep sleep.
Early the next day.
Zhou Cheng still came to the department early, it was only [-[-, which is quite early.
It just so happened that Zhang Zhengquan didn't come to the department, and after he glanced at the office, there was still room.
He hurriedly went to the lounge to change his work clothes, and when he was about to go to the office to look at the medical records, suddenly a person came out from the director's office, and came to meet Zhou Cheng.
He smiled and said, "That? Xiao Zhou? Are you free? I want to talk to you."
Zhou Cheng was surprised, so early?Why did Yan Haihan come to the department?
"Ah~?" Zhou Cheng was surprised, isn't this Yan Hanhan?What did he talk to me about?
"Is it inconvenient?" Yan Haihan had an amiable expression.
"It's convenient, Director Yan. It's convenient." Zhou Cheng nodded immediately.
After all, Yan Haihan is the director of the ward, so if it is inconvenient, it can only be said to be convenient.
As Yan Haihan walked into the passage leading to the walking ladder next to the director's office...
Zhang Zhengquan, who happened to come to the department, just grabbed the wall at this time, stretched out his head, shuddered, and muttered to himself in a low voice: "I'm abducted, Director Yan also pulled Brother Zhou Cheng into the alley?!"
"How broad and diligent is Zhou Cheng's business scope?"
"Doesn't he know he's tired?"
Zhang Zhengquan was agitated, thinking that sometimes being handsome is not a good thing.
Chapter 1 That was before!
"Xiao Zhou, you have been training in the department for more than two years, and you will graduate next year, right?" After entering the office, Yan Haihan asked Zhou Cheng to sit down at random, and asked questions first.
Zhou Cheng nodded and replied with a smile: "Yes, Director Yan, this month has been No. 20 of the regular training for five months."
The resident standardized training is 33 months in total and lasts about three years.Zhou Cheng is the second batch of standardized training students in the national unified training program.
Yan Haihan smiled, and then asked kindly: "Xiao Zhou, do you remember this time quite clearly?"
"Have you considered your plans after the regular training?"
During the regular training period, it was a period of 33 months of being on call and being ruthlessly squeezed. Naturally, every resident doctor would remember the date clearly, not just Zhou Cheng.
Zhou Chengrun moistened his lips and said, "My family's plan is to send me back to the town hospital, but I'm still working hard to get other opportunities."
Zhou Cheng didn't express his feelings directly to Yan Haihan, if he wanted to say it, he would tell Cai Dongfan first, and then let Cai Dongfan talk to Yan Haihan.
"Yeah, young people should have a kind of enthusiasm. Now they are still outside. Before they officially work, they still have choices. Once they really work, they get married and have children. If they want to move, the burden The fetters and the determination needed will be heavier."
After Yan Haihan sighed, he rolled his eyes, and asked with deep meaning: "Xiao Zhou, you have always been in Director Cai's group during the orthopedic rotation, right?"
"Well, most of them are. Only one of them went to a ward for a month to increase their knowledge, and the rest of the time they studied with Teacher Cai."
"I'm used to it." Zhou Cheng didn't explain that when he first entered the department, he was passively assigned to Cai Dongfan's group.
"Xiao Zhou, you are pretty good."
"Although I don't know much about you, many nurses in the department are full of praise for you."
"If you want to transfer to a few more groups to have a look, our superior doctors will actually consider it as appropriate."
"Because the understanding between the superior doctor and the subordinate doctor is also mutual." Yan Haihan said suddenly.
As long as the hoe is swung well, there is no wall that cannot be dug down.
Zhou Cheng understood Yan Hanhan's meaning, but his eyes were very hidden, and he said: "Director Yan, I am actually a slow person. I am slow to adapt to the new environment."
"It feels good to stay with Teacher Cai for such a long time. I am used to the companions and atmosphere in the group. If there is a sudden change, I am afraid it will take a long time to get used to it. I am afraid that it will delay the treatment group for other teachers. s arrangement."
"I don't dare to extravagantly ask for more knowledge. It's better to continue to build a foundation first, and then go to gain knowledge when there is a chance."
When Yan Haihan heard the words, he sighed inwardly, why didn't he notice Zhou Cheng on weekdays?Although he looks low-key, he is quite agile in his speech and deeds.
The words of decline were so beautiful that he didn't feel the slightest discomfort in his heart. This is not a level that ordinary residents can achieve.
It seems that Cai Dongfan is often influenced by Cai Dongfan.
I'm not familiar with it.
Then he chatted casually with Zhou Cheng again, and let Zhou Cheng go to work by himself.
Then Yan Haihan lit a cigarette again, holding it between the index finger and middle finger of his left hand, while the middle finger, index finger, and ring finger of his right hand tapped vigorously and regularly on the table, making a rattling sound...
Report chapter Comments
Early shifts started soon.
After the on-duty nurse and the on-duty doctor finished their shifts, Yan Haihan announced two very important things at the early shift meeting.
"For the sake of the development prospects of our orthopedics department, we will further improve the service quality of our orthopedics department, improve the efficiency of patient turnover, and further establish the treatment characteristics of a traditional Chinese medicine hospital."
"So I discussed and considered with Director Zeng for a long time, and finally decided on two things."
"One, optimize the current surgical technique and make the quality of the surgery higher, sharper and more precise."
"Second, pick up the characteristics of traditional Chinese medicine. In our two wards of orthopedics, we set up a total on-duty specialist in each ward, and the overall on-duty of each group is arranged by the director leading the group."
"It must be done. It is necessary to routinely receive patients with joint dislocations, be able to routinely treat patients with joint dislocations, and at the same time carry out a series of treatment measures such as manual reduction of fractures in the department."
After saying this, Yan Haihan said again: "Director Hu, Director Cai."
"I have already discussed this matter with Director Guo of the emergency department. Starting today, when encountering these two types of patients in the future, there should be no such thing as prevarication and going to other hospitals."
When Hu Ming and Cai Dongfan heard this, the corners of their mouths turned up, and they didn't speak.
But I still muttered to myself, I don't know whose group made a fuss in the past two days, almost pulling the whole department to fill in.
Is he still deliberately pointing here?
But he didn't say much. It's not a good thing to expose people's shortcomings.
……
After the shift was over that morning, Hu Ming approached Cai Dongfan first, and then Luo Yun, presumably to discuss the routine replacement of joint dislocations in the department.
Zheng Xuanlin, the attending physician in their group, has learned from him for a period of time the manual reduction of fractures, and the manual reduction of joint dislocations. The situation is complicated and changeable.
Luo Yun is definitely needed to help.
And today happened to be Du Ruiqi in their group who was on duty. Although it was the first day, arrangements had to be made.
Cai Dongfan naturally handed over the power of choice to Luo Yun to choose for himself.
Luo Yun touched his head in a bit of embarrassment and said, "Director Hu, it's not that I don't want to. The main reason is that Director Yan already greeted me in advance yesterday."
"I couldn't shirk it at the time, so I agreed."
"Three days off and one day off, I think I can still hold on by gritting my teeth, but if this goes on without a break, I may not be able to hold on for a month. Director Hu."
People are made of flesh, not machines.
No one can survive a 007-style job.
Hu Ming cursed secretly in his heart, Yan Hanhan, you are simply shameless.
The method of resetting the fracture was found from our group, which dragged Luo Yun into the water ahead of time. Isn't this intentionally leaving me with problems?
"The reason is the same, so I will think of other ways?" Although Hu Ming is the director, it is not easy to bully Luo Yun at will just because he is the director.
Then get ready to get up.
Luo Yun gritted his teeth and said, "Director Hu, I have an immature suggestion here, I hope you think I'm not fooling around."
"Zhou Cheng in our group has some experience in manipulative reset. I can promise Director Yan to watch for him the joint dislocation manipulative reset on the duty day of their group. That is Zhou Cheng promised that when our team is on duty, he will There is a little guard in the department."
"Director Hu, I can also tell Zhou Cheng that when your team is on duty, ask Du Ruiqi and the others to call Zhou Cheng first. If there is another patient that Zhou Cheng can't handle, I will go to see it. Can have more free time."
"That's right, with such an arrangement, I'm afraid that Du Ruiqi and Lin Lin may have other ideas in their minds."
After Luo Yun finished speaking, he looked at Hu Ming nervously, fearing that Hu Ming would scold him for messing around.
Zhou Cheng is a resident doctor, Du Ruiqi and the others are also resident doctors, and there is no relationship between superiors and subordinates.
It is against the rules to ask Du Ruiqi and others to report such emergency patients to Zhou Cheng!
But Hu Ming glanced at Cai Dongfan, and found that Cai Dongfan was still sitting there calmly, without saying a word.
He just sighed and said, "Let's arrange it like this for the time being! There is no other better way. I'll go back and ask Zheng Xuanlin to work for the bed doctor in our group."
It is against the rules to let Zhou Cheng be the second superior between Luo Yun, Lin Lin and the others.
But compared to asking Luo Yun 007 to be inhumane, I feel better in my heart.
Luo Yun immediately stood up and said, "Then I'll go and say hello to Zhou Chengxian."
After Luo Yun left, Hu Ming kicked Cai Dongfan and scolded: "You really didn't say a word about this just now? Did you mean to look at me?"
"It's clear, let's have two groups, one for joint dislocations and one for simple fractures."
"You're not afraid, I'll turn around and leave?" Hu Ming thought to himself, the joint dislocation on my side has finally been arranged, but how about the fracture reset in your group?Could it be that you, Cai Dongfan, went to battle in person?
Cai Dongfan handed over a cigarette with a smile, and said meaningfully: "Director Hu, you want to go, how can I, Cai Dongfan, dare to stop you? I can't stop you."
"The feet grow on you, Director Hu."
Hu Ming stood up on purpose, and was about to go out: "Am I really leaving?"
"Let's go, let's save me from wasting good tea." Cai Dongfan stood up, slowly picked up the teacup, went to add water, and strolled in the garden.
"What kind of medicine are you selling in your gourd?" Hu Ming turned and walked back, looking at Cai Dongfan.
"I, there is a panacea. My relative's method of reset was done by Zhou Cheng in our group. I still need to ask you to borrow someone?" Cai Dongfan said irrefutably.
Hu Ming stepped back two steps, dumbfounded...
When Luo Yun explained the matter to Zhou Cheng, Zhou Cheng immediately nodded hurriedly.
The more on duty, the more patients and the more gratitude——
But when Luo Yun saw Zhou Cheng's expression, he instructed: "Although I know you are a clinical person, you must remember to use the doctor's order account correctly."
"One thing must be done well in principle. We do things ourselves, but we can't make others cheaper."
"If you do something, take the money you deserve, and you won't suffer."
Zhou Cheng nodded and said yes.
It may be that he hasn't touched this level yet, so he didn't consider it as carefully as Luo Yun.
……
In the emergency department.
When Guo Haoran mentioned this matter to the people in the department, some people in the department were also dumbfounded.
Zheng Guowei was the first to say: "Director Guo? This? Orthopedics?"
"Do you still dare to reset the joint dislocation? Did you not feel afraid of the loss last time?"
"Is it still getting louder and louder?"
Guo Haoran glanced at Zheng Guowei, and scolded: "What is your expression? If you don't know how to do it, if you don't do it well, can you stop doing it?"
"Look at all of you, we are the emergency department, and the patients in the emergency department are the first to go through our hands. Our emergency ward has been established for three years. For three years, which day is it really full of beds?"
"As long as you have half the courage of Director Yan and Director Zeng of the Department of Orthopedics, you won't be doing advanced consultations for other clinical departments now!"
Zheng Guowei lowered his head immediately after being scolded by Guo Haoran, and then raised his head: "However, it is irresponsible to the patient to do it forcibly if it is not done well?"
Guo Haoran said coldly: "Then focus on those who will do it first, those who do well, do it first, and then bring those who can't do it, and those who can't do it well, so that a routine can be formed in the department."
"Is it enough for me to delegate power to you?"
"But you? All of you are timid, tiptoeing, afraid of this and that."
"Emergency patients must be careful and bold, and both are indispensable. If you don't have these two points, you will never be able to get on the stage."
Guo Haoran then said: "Young doctors in our department, you must pay attention."
"Don't be fooled by the old fritters here, I just like people with edges and corners."
"If one day, all the edges and corners of your body are worn out, then your life will be over, and that's it!"
……
After the emergency department finished his shift, Zheng Guowei immediately turned around and explained to Liang Xueya: "I remember that when you encounter a dislocated patient, don't listen to Director Guo. He is a person who says one thing with his mouth and another behind his back."
"When we are doctors, the first priority is to be safe. If you can't do orthopedics, you can't do it. It has been like this for so many years."
"How can it be changed casually?"
Liang Xueya patted her head at the time: "Mr. Zheng, what if Mr. Luo Yun is on duty? Are they all pushed away?"
Zheng Guowei took a deep breath, with an expression that I have eaten more salt than you have eaten.
Said: "Push it away, one thing more is worse than one thing less."
"Push them all away."
"You haven't learned enough lessons last time? Don't you find it troublesome?"
"This book has nothing to do with our department."
"Those doctors in the orthopedics department of our hospital don't know how to reset joint dislocations at all. Even if Luo Yun counts, they are not so proficient. If you send them more patients, you will cause more trouble for yourself. They—"
Just as Zheng Guowei was talking, three people suddenly came out of the emergency room.
One was wearing a white coat and looked tall and handsome.The other two are patients and family members, one of whom is still wearing a forearm sling.
The patient and family members thanked the white coat: "Thank you, doctor. You have worked hard, you have worked hard!"
"It's nothing, it's what we should do. After you go back, you must pay attention to wearing the forearm sling enough time." Zhou Cheng explained to the patient and his family.
"Yeah, we know, we know." The patient and his family members nodded in succession.
Only then did he walk over, when passing by Zheng Guowei and Liang Xueya, he deliberately only thanked Liang Xueya, looked at Zheng Guowei, glanced at him, and left.
He must have heard what he said before.
"Thank you, Brother Liang."
"What the teacher said just now was in the past." After Zhou Cheng also greeted Liang Xueya, he walked out of the emergency department without saying a word, and did not go to see Zheng Guowei.
Zheng Guowei's face suddenly became very embarrassed, his expression was uncertain, like a cat whose tail was stepped on.
Chapter 1 How big is my face?
Liang Xueya scratched her head and looked at Zheng Guowei.His eyes also turned to him, meaning what should I do?
Zheng Guowei took a deep breath, and after thinking for a while, he said helplessly: "When did Zhou Cheng come? Did you call?"
Speaking ill of the orthopedics department face to face, he was caught straight. Although Zhou Cheng did not refute strongly, that line was a classic line from the past, and he learned it from a movie.
Liang Xueya quickly shook his head and explained: "I only called the orthopedic ward, and then I went to take over the shift. I don't know who will come."
This is not a trap I left for you, Mr. Zheng.
"Since he is on duty today, if he encounters orthopedic patients, all those with no acute injuries that are life-threatening will be sent to the orthopedic ward. When he is on duty in the future, just play by ear!"
"I didn't do it before and ordered us to send it out, but now I suddenly say that I want to do it, and then the people in my department are still good and bad. It's really troublesome."
Zheng Guowei knew that he suffered from being dumb.
This Zhou Cheng, he dare not underestimate, Luo Yun and Pang Dingkun failed to handle the patient, he successfully reset the irreversible joint dislocation in a short time, this is definitely more than just a little bit of understanding, and it is not half-baked water.
Even in Luo Yun's face, Zheng Guowei didn't feel that what he said was wrong. After all, he saw with his own eyes that you, Luo Yun, had a patient that Luo Yun couldn't handle and was reported.
But Zhou Cheng?
He's not sure yet...
After Zhou Cheng returned to the ward, Du Ruiqi immediately handed over a cup of iced coffee that he just ordered—Ruixing.
At the same time, he said: "I'm really sorry, Brother Zhou Cheng, I'm on duty today, and you have to be on duty in the department with me."
Du Ruiqi was actually not feeling well in his heart, Zhou Cheng was also a resident doctor like him, and he was a serious graduate student who was incorporated into the regular training after graduation.
Why do you have to report your illness to Zhou Chenglai when you are on duty?
We are superior and inferior?
But Zheng Xuanlin has already explained the difficulties——
In their group, patients with fractures can be admitted in first, and manual reduction can be performed according to the situation.
However, patients with dislocated joints are best treated as soon as possible.
Both he and Hu Ming are not from the real joint surgery department, and some common joint dislocations can be dealt with.But if you encounter a rare joint dislocation, you still have to trouble Luo Yunlai.
Or transfer to Cai Dongfan's group later, not to mention the trouble, it would be even more embarrassing.
Du Ruiqi felt a lot more relieved when he heard that even Pang Dingkun was going to report to Luo Yun at the first level.
Report chapter Comments
Zhou Cheng took the coffee and said, "You're too polite, Brother Rui. I'm just making soy sauce in the department. It's mainly because of your hard work, Brother Rui."
It's beautiful in my heart, the current gratitude value has reached 16 points, maybe I can directly reach [-] today, and then open the second copy.
Du Ruiqi stretched his back and said seriously: "It's a fact that you have worked hard. I am on duty. I am still clear about this. I will order lunch at noon, brother Zhou Cheng, don't grab it."
Zhou Cheng didn't worry too much, nodded and said yes: "Are you sending me to kill a big family? Brother Rich?"
"I'm not impolite?"
"You poked me again. I'll go to work first." Du Ruiqi grinned and walked away. He was on duty, so naturally there were many patients and things to do.
Although there are not too many new patients now, it is also the time to deal with the preoperative doctor's orders for tomorrow's surgery patients.
Zhou Cheng took his coffee and went into the lounge to think.
Now I need to come to the ward when our group is on duty and Director Hu Ming's group is on duty, so the free days are much less.
This may affect the quality of the dungeon simulation. Before the simulation, it is impossible to make high-quality preparations.
Can not develop more new directions.
There will be multiple new dungeons at that time, and I must tell my superiors at that time, 2/3 is on duty, the single-break system, and I have to be on duty myself, which is not feasible.
But currently, this is the best way to get more thank you points.
……
At [-[-, two patients came to the emergency department, one with a dislocated joint and the other with a fracture.
Du Ruiqi immediately called Zhou Cheng out to help, and said politely: "Brother Zhou Cheng, two patients are here at the same time, you go and deal with the patient with joint dislocation. I will settle the patient with fracture first, and then I will help you."
Although Du Ruiqi was polite before, he didn't really treat Zhou Cheng as a sub-superior doctor who could deal with joint dislocations.
Since Zheng Xuanlin was only talking about patients with dislocated joints, he had to inform Next Zhou Cheng first.
That just happened to throw the patient to him first.Waiting for the patient with a fracture to be admitted to the hospital, and after completing the procedures, I will come to help, which can save time and at the same time, I can also observe how Zhou Cheng does the manual reset.
You can relax and learn things.
Kill two birds with one stone.
Zhou Cheng smiled and nodded, he didn't care about it, he went directly to the computer in the nurse's office, took the patient's medical card and gave the doctor's order for joint dislocation manual reset, and then gave a doctor's order for forearm sling.
The dislocated patient was then dragged into the treatment room.
……
It is impossible for Du Ruiqi to reset patients with fractures. Anyway, if there is a fracture, they will be admitted to the hospital first, and then they will be dealt with one by one after Hu Ming comes to make a ward round tomorrow.
It is also impossible to call Zheng Xuanlin and Hu Ming at any time and ask them to come over 24 hours to evaluate whether the patient can perform manipulation repositioning on the spot.
Du Ruiqi is very familiar with the process of admitting and treating patients. He first issued a hospital certificate, and the patient's family members went to pay the fee.
Then according to the specific situation, decide the next step of treatment.
Of course, when the patient is hospitalized, it is still necessary to put a plaster on the patient for temporary fixation, and sign the admission to talk about these tasks.
Plaster belongs to the routine operation of orthopedics, because there are polymer materials widely used in clinical practice, so it is simpler.
The admission interview is to explain the treatment process and the possible complications of the fracture itself to the patient.
Du Ruiqi is naturally very familiar with these.
22 minutes later, Du Ruiqi took the admission statement and walked out of the ward, and walked out amidst the thanks of the patient and his family.
Du Ruiqi also smiled and said in detail: "You're welcome, it's all we should do. Your inspection list has an appointment time for inspection. You can go to the address in the upper right corner about 10 minutes in advance to do the inspection. "
"The nurse will also remind you when to leave."
The examination of the Eighth Hospital is an appointment system, accurate to within 10 minutes before and after.
"Okay, okay, Doctor Du, thank you for your hard work, you are so careful." The patient's family thanked him again, and sent Du Ruiqi back to the ward.
Then Du Ruiqi walked into the nurse's station and put the record of the admission conversation into the medical record book, then walked towards the operating room, opened the door, and said, "Brother Zhou Cheng, I'm sorry. I'm over there."
But halfway through, after pushing the door open, I found that there was no one inside, where was Zhou Cheng and the patient's family members?
Du Ruiqi was stunned, took a few steps back, and hurried to the nurse's station to ask the nurse on duty: "Sister Yu, what about the patient with dislocated joints? Could it be that he was sent to the Second County Hospital?"
This was a routine operation for Du Ruiqi and the others when they were on duty.
"No?" The nurse on duty today is the nurse of this hospital, Qin Ruyu.
After she returned, she raised her eyebrows and continued, "Didn't the patient and family members of the dislocated joint go for reexamination? I guess it will be coming up soon. You don't even know that you are the doctor on duty?"
"Then go ask Zhou Cheng, you handed over the patient to him before."
Qin Ruyu is not too clear about how the doctor's treatment group is arranged.
So he asked about Du Ruiqi?
"Oh, oh. I'm sorry, Sister Yu, I'll ask Brother Zhou Cheng next time." Du Ruiqi hurriedly turned around and left, not daring to disturb Qin Ruyu any more, for fear of making him angry.
The nurses naturally don't care about the matters of the doctor's treatment group and the internal communication of the doctors.
When he came to the rest room, Du Ruiqi saw Zhou Cheng looking at the official account. What Zhou Cheng was looking at now was the arthroscopic routine anatomy atlas and the choice of approach.
"Brother Zhou Cheng, the patient with dislocated joints? Have you finished repositioning?"
"I didn't help you at all." Du Ruiqi asked with a smile.
Zhou Cheng nodded: "Well, it's just a simple anterior dislocation of the shoulder joint, nothing special, so it doesn't take so many people to leave it there."
"And I saw that you were busy when I just reset, so I didn't bother you."
Although Du Ruiqi is also a resident trainer in the department and a member of Kuhaha, Zhou Cheng and Du Ruiqi only met each other, and there is no friendship.
If Zhang Zhengquan or Du Yanjun were on duty, Zhou Cheng would specially wait for them to come and then reset the technique, or give them some tips. If you want to learn, you should first find out the learning opportunities yourself.
The relationship between Du Ruiqi and him has not yet reached this stage, Zhou Chengcheng can't control it anymore.
"Brother Zhou Cheng's movements are quite nimble. I finished the reset so quickly." Although he got Zhou Cheng's affirmative answer, Du Ruiqi was still a little horrified in his heart.
Is Zhou Cheng bold and reckless this week?Or is it really fast and good?
Although I haven't had a deep understanding of joint dislocation before, I have heard from hearsay that it is impossible to reset the joint dislocation so quickly.And he also asked his senior brother, and the answer he got was that it was about three to ten minutes.
But it only took 10 minutes, and Zhou Chengcheng sent the patient away without a trace?
"Is it okay?" Zhou Cheng looked at the time after returning, "I think the patient's reexamination is coming soon, let's go and have a look together?"
Just as Zhou Cheng was talking, a nurse intern came to call, saying that a patient with reexamination had come up and was looking for Dr. Zhou.
Zhou Cheng went out with Du Ruiqi together.
5 minutes later.
Du Ruiqi watched in a daze as Zhou Cheng was explaining the details to the patient and his family members, and he gave the patient and his family members a face-to-face re-examination of passive mobility and explained the results of the re-examination to them.
I feel a little regretful in my heart.
It seems that my idea was wrong from the beginning.
Although Zhou Cheng is just an ordinary resident trainee, without the hat of a graduate student, it doesn't mean that he can't bow his head to him and take the initiative to learn something from him.
On the contrary, Zhou Cheng was able to gain the trust of Hu Ming and Zheng Xuanlin, and he came to treat patients with joint dislocation alone when he was on duty. It was because of his uniqueness that he could do this.
Du Yanjun, a serious professional graduate student, although he is a student, has no less clinical work experience than Du Ruiqi. He still voluntarily follows Zhou Cheng's buttocks and is on duty with Zhou Cheng.
Is this just friendship, without other tricks?
Therefore, after sending the patient and his family members away, Du Ruiqi immediately said: "Brother Zhou Cheng, I'm sorry, I was supposed to be on duty today, but you took care of all the patients."
"It's really troublesome, and it will definitely not happen in the future."
If you want to learn, you have to take the initiative to find opportunities to learn.
Want others to leave you learning opportunities?How is that possible?
Now the department is doing manual reset with great fanfare, which must have a deep meaning.If you can't follow this general trend and ride the wind, you will definitely become the one that gets eliminated.
"It's okay, Brother Rui, it's just a matter of convenience." Zhou Cheng replied indifferently and sincerely.
This is also the most sincere thought in Zhou Cheng's heart. He wants to deal more with patients to gain gratitude, so he still has to give it to him today from Du Ruiqi.
This is an objective fact.
"It's easy, but it's hard work. After all, I'm on duty. Brother Zhou Cheng, next time there is a patient with joint dislocation, I'll call you after I've prepared the preparations before the reset." Du Ruiqi was very determined, obviously also had a very good idea people.
"Brother Zhou Cheng, that's it. I'll call you later when there is a patient."
"I've already ordered a box lunch, so stop calling."
"I'm going to the duty room to write the medical records first. I haven't finished the pre-operative talk for tomorrow's operation." After speaking, Du Ruiqi walked out of the lounge and walked towards the office.
Zhou Cheng looked at Du Ruiqi's back, and the corners of his mouth twitched slightly.
Secretly, he was able to react so quickly, let go of his figure, this Du Ruiqi is also a person who can afford to let go, if he didn't get this mock copy, he would definitely be a gap that he couldn't get over.
But Du Ruiqi was polite enough, Zhou Cheng naturally didn't mind taking him a little bit.
……
At noon, while eating.
While eating, Du Ruiqi gave Zhou Cheng a thumbs up: "Brother Zhou Cheng, you are really amazing."
"Really, it's awesome! I'm convinced."
"This hip dislocation, you can handle it so quickly. It really gave me a lot of insight. I just told my brother about it, and he thought I was bragging?"
"I saw it with my own eyes, could it be bragging?"
Du Ruiqi also deliberately showed Zhou Cheng the chat interface, and he didn't know whether it was showing off or flattering.
Zhou Chengqiu pretended that he hadn't heard or seen it, and smiled: "This is a conventional reset method, not so mysterious and profound."
While eating, Zhou Cheng's phone rang suddenly.
At first glance, it belongs to Luo Yun.
Zhou Cheng quickly stood up, and after answering the call, his expression changed for a while.He said to Du Ruiqi: "Brother Rui, you can eat first, I'm going to the orthopedics department."
"Ah? Are you going to the Department of Orthopedics? Did Teacher Luo Yun call you to help?"
"Hmm! Teacher Luo didn't call it." Zhou Cheng nodded and shook his head.
Du Ruiqi immediately petrified.
The orthopedic department must ask Brother Zhou Cheng to save the scene——
Then I still can't save my face, how big is my Du Ruiqi's face?
Chapter 1 If you want to swear, just call directly!
The first ward of orthopedics should be handed over early!After the on-duty doctor and the on-duty nurse finished the routine shift in the department.
Zeng Yi, the current chief director of the Department of Orthopedics, said: "From today onwards, our Department of Orthopedics will be responsible for the manual reduction of upper limb dislocations, and we will also select some patients for manual reduction of fractures."
"Patients that the doctor on duty can't figure out will call the front-line consultation team. If the first-line consultation team is not sure, the directors of each group will come and deal with the patients in person."
When Zeng Yi said this, everyone in the department looked at each other in astonishment.
Li Changhong even interjected directly: "Director Zeng, we assigned this joint surgery department to the second department of orthopedics, and Yan Haihan and the others took care of it? Why does our department suddenly engage in joint dislocation manipulation?"
Every day, tertiary first-class hospitals have third-line shifts, which are first-line on-duty shifts, and there are doctors on duty in the wards 24 hours a day.
The first-line consulting class is composed of attending physicians and associate senior physicians, who are responsible for dealing with patients who cannot be handled by the on-duty physicians at any time.
The director of each group is in charge of the second-line consultation class and handles the problems that cannot be solved by the first-line consultation class.
The reason why Li Changhong said this was because what Zeng Yi said just now directly touched his interest in rest.
If you encounter regular patients on weekdays, most of the first-line consultation classes are taken care of, unless it is extremely rare that he is needed to come forward, and it is only once or twice a year, which is normal.
But if the department also brought over the dislocated bones and joints of the upper limbs, then the number of times he came to the department would not be less.
Zeng Yi glanced at Li Changhong, did not reply, but first opened his mouth and explained to Wang Yongjin: "Director Wang, you are not counted among the on-duty personnel for this arrangement. The second-line consulting class when you are on duty will be organized by me. Share it with Chang Hong."
There are three groups in the first department of orthopedics, led by Zeng Yi, the current director of the first department of orthopedics, Li Changhong, the chief physician, and the former director of the department of orthopedics——
Chief Physician Wang Yongjin.
Wang Yongjin has already retired and was hired back to lead the hospital. He is also well-known in Hunan Province. He is one of the veteran signs in the Department of Orthopedics who are still active in the clinical frontline.
And the seniors of Wang Yongjin's generation have either completely retired, or only a few of them are sitting in outpatient clinics.
Report chapter Comments
At such an old age, it is naturally not easy for Wang Yongjin to get involved in the work of being on duty, which is also a kind of respect for the seniors.
Wang Yongjin has a thin figure, wearing an old-fashioned shirt, and his hair is meticulously combed to the side. Sitting there, he didn't want to talk much.
But Zeng Yi turned the conversation to him, but Wang Yongjin still said politely: "Director Zeng, now I'm working with you, you can arrange it yourself, I will obey the arrangement."
Wang Yongjin knew very well that although he was the old director, after he had retired, he should stop meddling in the affairs of the department, especially to fight with Zeng Yi.
Such decentralization is extremely detrimental to the development of the department.
After hearing this, Zeng Yi immediately stood up and replied, "Mr. Wang, you are joking. The development and stability of the department requires a lot of hard work from you, old man."
Then he said: "That's the temporary arrangement. From today on duty, patients from the emergency department will be sent to our department of orthopedics. Let's leave first and go do your own thing! The surgery should be done."
Zeng Yi finished the order firmly.
Although Li Changhong had all kinds of opinions in his mind, he could only swallow them helplessly, and only muttered in a low voice that Zeng Yi was meddling in his own business.
In the process of taking people out, Wang Yaoxiang from the group immediately leaned beside Li Changhong, complaining: "Director Li, isn't Director Zeng's arrangement today intentionally torturing our front-line consulting classes?"
"Where do the regular training in our department have the manual reset of joint dislocation? Doesn't this directly put us in the general hospital?"
"What do you think?"
"Joint dislocation, not to mention that I haven't done it in the department before, and I don't have much money. Why are you in this muddy water?"
"Isn't Director Zeng just idle?"
The voice is very low, but the complaint is not small.
Li Changhong said: "Don't talk about it, I'll talk to Director Zeng later."
"It happens that our team is on duty today, so please don't leave the department before you get off work. I think there will definitely be problems if Director Zeng does this."
……
Zeng Yi took the initiative to walk outside Wang Yongjin's office after everyone left the shift room, and knocked lightly on the door.
Wang Yongjin, as the retired senior orthopedic director, has completed the handover with the current orthopedic director, but returned to the hospital to continue leading the team.
It would not be appropriate for him to retreat to an ordinary office.
Naturally, the director's office had to be given to Zeng Yi.
So they tidied up a utility room again and used it as Wang Yongjin's office.
"Please come in!"
Hearing Wang Yongjin's consent, Zeng Yi pushed the door open and walked in, and then saw Wang Yongjin sitting around the desk very simply, arranging two potted plants.
When Zeng Yi came in, he didn't say hello, but said, "Zeng Yi, there are cups under the table, tea on the table, and boiling water in the kettle. Make it yourself."
Zeng Yi naturally nodded and made a cup of tea for himself and Wang Yongjing, then pushed it to Wang Yongjin who had already put the potted plant on the balcony and sat down again.
Seriously explained: "Director Wang, today's matter was actually decided by me and Yan Haihan from the Second Department of Orthopedics just temporarily."
"So I didn't report it to you in time, but we have considered it carefully and thought it would be beneficial to the development of our orthopedics department."
"because."
Before Zeng Yi finished speaking, Wang Yongjin took the initiative to say: "Since you young people think this is good for the development of orthopedics, go ahead and implement it."
"If you need me, you can tell me to help. As for the others, you don't need to report to me now."
"I'm 68 this year, and I will officially retire in two years, and I won't be in the ward anymore."
"I'm getting old." After Wang Yongjin finished speaking, he blew on the floating tea leaves, then slowly took a sip of the tea, and then slowly left it in his mouth to taste for a while before swallowing it.
Hearing Wang Yongjin's words, Zeng Yi couldn't help but reconsider the teacher in front of him——Wang Yongjin.
After he entered the department, he was enlightened, taught, and passed on the position of director to his teacher Wang.
I still vaguely remember that when I first entered the department, Wang Yongjin was only an attending physician who was about to be promoted to a deputy high school, and he was still being scolded by the old director at that time.
More than ten years ago, Wang Yongjin was still working on the development and division of orthopedics, in front of the leaders of the hospital, and at the orthopedics academic conference in Hunan Province——
But now, Director Wang is about to enter his seventies, and he is idle and careless.
Time is really unforgiving.
However, although Wang Yongjin felt that there was no need to report, Zeng Yi still respected the old man Wang Yongjin very much. It can be said that Wang Yongjin is the only surviving orthopedic person who can fracture the phalanx from the cervical spine to the atlas.
Although the wide range of operations does not mean that the technology is good, but the former orthopedic ward was like that, regardless of department or patient. I have to see you.
This is the characteristic of the predecessors in the simplest era of the Eighth Hospital - omnipotence.
"Director Wang, you have worked hard for orthopedics all your life, and you don't dare to work harder on you. I just want to report to you that there are arrangements and rules for what we are doing now. This matter." Zeng Yi wanted to explain again .
"Then I know, you've all grown up."
"My father and I will only drink tea today. This tea is quite good."
"I don't know when the flowers I take care of will bloom." Wang Yongjin laughed, looking at the potted plants on the window sill basking in the sun, with a little expectation in his eyes.
……
After Zeng Yi left Wang Yongjin's office, he scratched his hair.
This is the first time he feels that the old director Wang Yongjin is really old. Now that he has thoughts in his heart and wants to discuss with him, he doesn't want to get involved anymore. In the future, he will have no place to report. It's up to him to decide everything.
Including what the development of the orthopedics department will be like, it is closely related to him, the chief director of the orthopedics department.
But after Zeng Yi returned to his office, he began to calculate again.
This Cai Dongfan usually does not show any signs of leakage.
Unexpectedly, he really has a hand in making things happen.
Even Professor Ding Changle from the Affiliated Hospital of Shonan University personally called him and said that manual reset is indispensable in the routine orthopedic treatment.
These basic things cannot be discarded simply for the transformation of departments and the pursuit of surgical volume.
At first, Zeng Yi felt a little confused, but only after inquiring about it.
What a guy, Cai Dongfan calmly invited Professor Zhong Hua from the Hospital of Traditional Chinese Medicine to perform a consultation operation on reduction, and then he brought Professor Ding Changle to perform a teaching operation on an intramedullary nail.
Zeng Yi didn't know exactly when Cai Dongfan hooked up with Professor Ding Changle, but he had invited Professor Ding Changle several times to come to the No. [-] Hospital for consultation and surgery, but Professor Ding Changle was too busy to decline.
In fact, the relationship has not yet reached that point.
Now, Ding Changle made a special call to explain that he should allow the existence of manipulation reset, which is in line with the characteristics of a Chinese medicine hospital in the department.
It can also help the development of the department and gain a reputation among patients.
In this way, although the number of operations is relatively small, it will increase the reputation of patients and attract more patients.
In this way, a solid foundation can be laid for the development of new techniques and new businesses in the department.
In addition, if you can catch up with Ding Changle by the way, then whether it is to send someone to study in the future, invite Professor Ding Changle to come over for more consultation operations, or treat his difficulties, it will be very beneficial. good.
What's more, Cai Dongfan had a heated fight with Ding Changle under his nose. It must be that Cai Dongfan has something special and was appreciated by Ding Changle.
If I don't build up the orthopedics platform, but just let Cai Dongfan follow Ding Changle to ascend, then the final result can only be that Cai Dongfan is separated from the eighth hospital's wall.
You can't provide a platform for talents to attract them, which is forcing him to go.
Considering all factors, Zeng Yi also had to discuss with Yan Haihan, and decided in advance to throw out the matter of resetting the technique in the department first.
-
Li Changhong quickly found Zeng Yi, lit a cigarette for Zeng Yi after entering, and then asked: "Director Zeng, in our department, there is no need to follow the trend to reset joint dislocations, right?"
"The current patient size in our department is still acceptable. This kind of asking for trouble, but it's not beneficial, actually?"
Zeng Yi looked at Li Changhong and sighed inwardly.
There are many rumors in the department that you, Li Changhong, will take over as the next director of the orthopedics department, but you haven't written anything about it yet, so you're already thinking about these things now, right?
What do you know?
However, since Li Changhong asked, the doctor below must have responded.
He said: "This matter, Director Li, you should think about it yourself. Yan Haihan came to me yesterday and said that he saw that our department was performing operations on lower limb fractures."
"It's one of them."
"Secondly, Yan Haihan also asked, they are doing lower limb joint dislocation, upper limb joint dislocation, we don't care about it, and if we don't care, we will send it to the second department of orthopedics. Do you think we should do it or not?"
Li Changhong suddenly blushed and became uncertain——
He was doing the lower limb fracture in secret, but Yan Hanhan actually brought it up in front of Zeng Yi?
Why do you have so many things?
Why don't you think about it carefully, why do patients with lower limb fractures want to come to me for surgery instead of your department?
Trick people behind their backs, make small reports?
Seeing the change in Li Changhong's expression, Zeng Yi continued: "And, Director Li, in the department, the dislocated joints of the upper limbs are reset."
"It's not a small benefit to you."
"Wang Yaoxiang from your group, didn't he win the second prize in the joint surgery competition for young doctors last year? Is this award only for him to hang on the wall of honor?"
"Nowadays, the old guys in our department don't have a background in joint surgery. You have to know who should handle the joint dislocation reset."
While saying this, he began to observe Li Changhong's reaction.
As expected——
Li Changhong immediately turned his expression away, and said, "Director Zeng, I understand."
"Don't worry, I will resolutely obey the department's arrangement, and I will also obey Director Zeng's decision!"
"You will certainly not be disappointed."
After finishing speaking, Li Changhong turned around quite resolutely and walked out.
When I went out, I burst out laughing. Director Li paved the way for me. I'm still making irresponsible remarks here. I really shouldn't.
Why didn't I think of going to this level?
What kind of benefit is it important to be on the road to becoming a great director?
In the director's office, Zeng Yi kept shaking his head and sighing after Li Changhong left.
This Li Changhong, ah, has the ability, and the people brought out are also the leaders of the new generation of orthopedics.
It's just that I'm eager for quick success and instant benefits, and I can't afford it early without benefits.
Hearing the surface, he felt that it was beneficial to him, so he turned around and didn't ask any more questions.
Eyes and eyeliner, when a director leads a team to do things, there is no problem, but to carry the banner of orthopedics, there is still a lack of courage and vision.
At the same time, I was thinking to myself——
Cai Dongfan, on weekdays, doesn't show off his mountains and dews, let alone invite credit.
In the muffled voice, they are doing things that are beneficial to the development of the department, and all parties are leading the way.
It's a pity, why did director Huang take him to the second orthopedic department?
……
At noon, around 11:30, Li Changhong was called to the department by Wang Yaoxiang.
After seeing Li Changhong, his face was a little heavy and he said: "Director Li, at about [-[-, a patient with a dislocated wrist came to the department."
"I took MRI and CT for the patient, and the diagnosis is confirmed, but I reset it twice, but I couldn't reset it. I can only work hard for you."
After finishing speaking, Wang Yaoxiang muttered again: "Director Li, why do you think Director Zeng is doing this? The total cost of repositioning a joint dislocation is only two to three hundred yuan, and the material cost for plastering is only about four hundred yuan. "
"It would be great if there were thirty or forty in the hands of our doctors."
"I don't know what kind of god this is?"
While walking, Li Changhong mused: "When we were separated from the second department of orthopedics, we focused on spine and upper limb trauma, and they divided lower limb trauma and joints."
"You also know that there are not many patients with simple lower limb fractures in their department."
"Our department deals with lower extremity fractures, and Yan Haihan from the Second Department of Orthopedics found out about it!"
"In the future, patients with lower limb fractures should not be admitted to the department anymore. The rules are still the rules."
Wang Yaoxiang smashed his mouth, his face changed a little, and he said: "Isn't Director Yan full? There are no patients in their department, and they don't find their own reasons, so they come to trouble our orthopedics department?"
"They also don't think about why the patients would stay in the first orthopedic department for surgery and not go to their second orthopedic department?"
"They have the ability, too?"
Report chapter Comments
Li Changhong glared at Wang Yaoxiang, and said, "Don't say what you shouldn't say! Director Huang of the second orthopedic department was separated for the development of the second orthopedic department alone. It is not easy to create the current family business."
"Don't chew your tongue—"
"Although I also think Director Zeng's decision is a bit too aggressive, but since the department has made this decision, we must strictly implement it."
"But?" Wang Yaoxiang still wanted to refute. If you have the ability, you should use your ability to rob the patient. Why make such a fuss?
"Should I see the patient first?" Li Changhong changed the subject.
"And Director Zeng said that the reason why the department agreed to do this joint dislocation is because they value you. Didn't you participate in a young doctor's joint surgery competition last year and won the second prize?"
"It's not enough to have medals on the wall and in the house."
"This is a good opportunity for you. Do you understand?" Li Changhong patted Wang Yaoxiang on the shoulder, speaking earnestly.
Wang Yaoxiang's expression became a little weird.
My second prize?
My second prize?
My medal is a medal of honor that I can get after participating. In fact, there were only a few people who went to the competition that time.
From the first prize to the second prize, everyone can get one. I just use it to post to Moments to support the stage.
……
After half an hour.
Li Changhong, who was not a specialist in joint surgery, had a little sweat on his forehead, and began to curse in his heart.
Director Zeng, there is nothing to do with this patient, why don't you come here yourself?
So he could only call Zeng Yi's cell phone directly, explain the matter clearly, and finally said: "Director Zeng, this patient is a bit troublesome. I reset it twice, and Wang Yaoxiang also reset it twice, but it still couldn't be resolved."
After receiving the call, Zeng Yi hurried to the department.
After carefully reading the patient's plain film, he turned his head to look at Wang Yaoxiang, and asked, "You can't handle this kind of dislocation?"
I began to doubt in my heart whether it was the right decision to rashly rub the line between Cai Dongfan and Ding Changle.
Wang Yaoxiang lowered his head and said nothing.
Zeng Yi didn't say anything more, and didn't force Wang Yaoxiang to ask. If Wang Yaoxiang had a way, Li Changhong wouldn't appear in the department.
Li Changhong changed his expression for a while and said, "Director Zeng, you can't blame Xiao Wang for this. The department has never taken over such a patient. Xiao Wang hasn't had joint dislocation for many years. If you leave it for a year or two, what kind of patient?" And the hand was born."
"In this case, we can only be hospitalized first, and then find a way to talk to the patient and his family about the surgical reset."
"I still think that rashly dislocating joints in the department should be considered in the long term."
Zeng Yi said: "Go and appease the patient and family first, I'll make a phone call first."
……
Five minutes later, Zeng Yi walked out of the office.
Li Changhong approached him with a slightly cold face, wondering: "Director Zeng, the mood of the patient and his family members is not easy to appease."
"They insisted that if the manipulation cannot be done, why didn't they say that surgery is necessary? Now that it hurts so many times, isn't it just a waste of pain?"
"If you want to have an operation, arrange the operation as soon as possible."
"Why do you have to torture them several times before telling them that they need surgery?"
Zeng Yi covered his forehead tiredly, and asked: "Didn't you communicate clearly with the patient and family members before? Could it be that Wang Yaoxiang made any promises in front of the patients and family members?"
"How is it possible?" Li Changhong immediately vowed.
"Before starting manual reduction, I have explained it clearly and clearly. If manual reduction fails, I can only switch to surgical reduction, but the patient and family members do not accept surgery."
"I just think this dislocation is a small problem, and I'm still cursing and saying that the second county hospital can handle things, I knew I wouldn't come here." Li Changhong is also a little bit complaining about Zeng Yi in his heart at this moment.
The underlying meaning in the words is, Director Zeng, let me just say it, joint dislocation in the department will cause trouble, it is unscientific, and it does not respect reality, don't you believe it?
Look, there's trouble now, right?
Zeng Yi closed his eyes slightly, and said, "Wait a little longer, I called Cai Dongfan. People from their team will come over. Luo Yun in their team is a joint surgeon, and he was the first to work in the orthopedics department. People who fiddle with manual reduction of dislocated joints."
"Let's deal with this patient first, then let's talk."
Li Changhong also has some understanding of Luo Yun. Although Luo Yun is not outstanding in other aspects, his practice of joint reset is basically a special label for him.
"Then wait and see?"
"Luo Yun should take care of this patient."
……
After a while, when Zhou Cheng arrived at the first ward of the orthopedics department, he found that all the bosses of the first orthopedics department were there.
After entering, he greeted Zeng Yi, Li Changhong, Wang Yaoxiang and others one by one.And self-declared his identity.
Then he explained the purpose of coming: "Director Zeng, Director Li, just now Teacher Luo called me and said that there is a patient with joint dislocation here. Teacher Luo was driving on the road and was delayed. It will take a while, so let me come Take a look first."
After hearing Zhou Cheng's words, Zeng Yi didn't speak yet!
Li Changhong pulled Zhou Cheng into the nearest shift room on the spot, and yelled at Zhou Cheng in a low voice: "Go back and tell Cai Dongfan, if he wants to swear, call me Li Changhong directly."
"There's no need to send you here to spread the word?"
"You also help me to pass a word to Cai Dongfan, just say that he called Luo Yun back because of his hard work, and he doesn't need to come to the Department of Orthopedics. Don't dare to trouble the old man. There is no one in our department who puts on such a show."
When Zhou Cheng heard this, he patted his head in embarrassment and swallowed two mouthfuls of saliva.
"Teacher Zeng? I'm not." Turning his head to look at Zeng Yi, it's not good, so he turned back without even seeing the patient.
Zeng Yi pursed his lips, feeling angry, but said in a stable mood: "Xiao Zhou, you go back to the department. It's hard work for you to make a trip. This matter has nothing to do with you, go back to your shift."
After finishing speaking, Zeng Yi and Li Changhong immediately turned around and walked out.
Throwing Zhou Cheng a very resolute and decisive back...
Chapter 1 This is a 'fairy'!
Zhou Cheng smiled bitterly on the spot for a while, but he had no choice but to leave the handover room door and walk outside the department.
The orthopedic department had already arranged the patient into the ward, and Zeng Yi led someone into the ward, with his white coat tied up in a pile, Zhou Cheng didn't even get a glimpse of where the patient was from the corner of his eye.
Then in the corridor, Li Changhong was on the phone, with a calm tone in his mouth: "Cai Dongfan, I have troubled you just now, and we have found a solution."
"You call Luo Yun and tell him that he doesn't come to the department anymore."
After finishing speaking, he hung up the phone and cursed on the spot: "What is it?"
After speaking, he turned around and saw Zhou Cheng standing in the corridor looking at him with a little embarrassment.
Li Changhong glanced at Zhou Cheng, and the corners of his mouth twitched for a while, but still couldn't bear to scold him, so he just said, "Go back to duty."
"nothing dealing with you."
Zhou Cheng could only nod his head and say, "Okay, Director Li."
In the only month since Zhou Cheng came to the Department of Orthopedics, he was under Li Changhong's group, but Li Changhong probably had forgotten him long ago.
After watching Li Changhong stuff the phone into the white coat, he also walked into the ward without any further politeness.
Zhou Cheng had no choice but to walk out of the department door, and then called Luo Yun to report the situation.
"Mr. Luo, Director Zeng and Director Li didn't let me see the patient."
But Zhou Cheng was only halfway through, and Luo Yun said, "I see, Xiao Zhou, you should go back to the department first."
"I'm on my way to the hospital."
"Ah!~" After Luo Yun finished speaking, he let out a long sigh.
"Okay." After Zhou Cheng hung up the phone, he reluctantly went up the first floor through the walking ladder and returned to the ward of the second orthopedic ward.
At this time, Du Ruiqi was still editing the medical records. Seeing Zhou Cheng running up so quickly, he squinted at the time in the lower right corner of the computer, and asked with astonishment, "Brother Zhou Cheng, did you finish it so quickly?"
"It's only a few minutes?" The corner of his mouth twitched for a moment, feeling that Zhou Cheng was simply not human.
He didn't even know when he finished the joint reset in the morning.
Zhou Cheng sighed and said, "The patient was driven back by Director Zeng and Director Li without seeing him."
Du Ruiqi's expression slowed down, and he thought to himself, this is the fucking right thing, I said how could it be possible to solve a joint dislocation that even the orthopedic department can't solve so quickly.
But he said in his mouth: "Maybe Director Li and Director Zeng have other considerations, we junior doctors, just follow the instructions."
"En!" Zhou Cheng nodded, and then continued: "Brother Rui, I'll go to the lounge to rest for a while, if you have something to do later, call me."
"Thank you, Brother Zhou Cheng." Du Ruiqi replied.
After Zhou Cheng left, he breathed a sigh of relief.
He muttered in his mouth: Director Cai didn't know what he was thinking. Someone from the Department of Orthopedics called him and sent Zhou Cheng there. If I were Director Zeng or Director Li, I'm afraid I would also send Zhou Cheng back directly. .
But even so, Zhou Cheng also hid it quite deeply.Since director Cai Dongfan dared to ask him to go to the first orthopedic department for a 'consultation', it proved that Cai Dongfan recognized Zhou Cheng's strength, but the first orthopedic department did not.
Zhou Cheng didn't show any signs of leakage before, but this time, after a gossip about Gui Pei's chances of staying in the hospital came out, he was blown out as well.
Now it's getting bigger and bigger.
Du Yanjun and Min Chaoshuo, graduate students of our school, have their supervisors in the department. Lin Lin in our group has a very hot personal relationship with Director Hu Ming recently, so I don't know what they are doing.
The article that I promised Director Hu Ming to write together has not yet been finished, and Lin Lin's article has been accepted, and a gap has formed first.
Clinically?
Min Chaoshuo and Du Yanjun had already started to take the lead. Although they had also obtained Hu Ming's consent, compared to Lin Lin, the chances of doing the work were much less.
Now Zhou Cheng suddenly appeared, with such outstanding clinical ability.
so now?
Are you inferior to Lin Lin in scientific research, and Zhou Cheng in clinical practice?
Thinking of this, Du Ruiqi sighed slightly——
It seems that I still have to finish writing the article quickly, and perform more surgeries earlier, so as to have a chance.
Lin Lin, myself, Min Chaoshuo, and Du Yanjun, the four postgraduate students are already competing, and the places are not enough, and there is an extra Zhou Cheng who intervenes, and Xu Yanlin, who is in Director Yan's group, is eyeing, iron-related households...
In the emergency department.
After Zheng Guowei received Guo Haoran's call, he finally calmed down a little, and immediately pulled his student Liang Xueya aside.
He urged: "Xiao Liang, Director Guo called me just now, saying that Director Zeng of the First Department of Orthopedics had called him, and that patients with dislocated joints should not be sent to the First Department of Orthopedics for the time being. The one that was sent in the morning , It has not been resolved until now, and the emotions of patients and family members are a bit big now."
"I told you earlier that our orthopedics department here has not performed manual reduction of joint dislocations for many years. It is impossible to do so, and accidents will happen."
"Look, am I right?" Zheng Guowei looked like your teacher, how could I lie to you.
Am I right?He even showed off to Liang Xueya in a bit of embarrassment.
Liang Xueya continued to frown!
Zheng Guowei continued: "The first department of orthopedics can't be sent, so we can only send them to the second department of orthopedics. I can tell you clearly that although there is Luo Yun, who is a joint surgeon, in the second department of orthopedics, it will definitely not be a few days later." It's bound to happen."
"It's impossible for Luo Yun to be on duty for 007 by himself. Besides, even Luo Yun has joint dislocations that he can't handle."
"This time in orthopedics, the strides are too big. I am eager for success, this is definitely not enough."
"The two directors of the orthopedics department, whether it is Yan Haihan or Zeng Yi, are actually very courageous people, including the previous directors of the orthopedics department, who are very courageous. If you talk about transformation, you will transform, and if you talk about divisions, you will divide them."
"But clinical things can't be done by courage and recklessness."
Speaking of this, Zheng Guowei continued to express with emotion: "Actually, when the old director of the orthopedics department was still in office, I had just started working at that time. Our hospital's manual reset was pretty good, and there were a group of old Chinese doctors in the hospital. "
"However, surgery was the craze of orthopedic treatment at that time. Conservative treatment had too high requirements for diseases. Surgery can treat many diseases and has good benefits. It was right when orthopedics was undergoing this transformation."
"But it's been decades, and it's actually very difficult to pick up things that have been lost. Those old seniors have retired, and most of them are even dead."
"Today's orthopedics people are mostly from clinical medicine. It takes a lot of time to specialize in surgery. How can there be so much time to specialize in conservative treatment?"
"You must remember that clinically, the word stability is the most important."
Liang Xueya nodded, and then said: "Director Zheng, if there are still patients with joint dislocations today, should they all be sent to the Second Department of Orthopedics?"
"Send it, of course. As long as Director Zeng didn't call and say no more, we can't refuse the diagnosis."
"We have no right to reject patients for the orthopedics department. Only the orthopedics department has the right to make suggestions. If something like this happens, it has nothing to do with our emergency department." Zheng Guowei was in a good mood, with a very understanding expression.
Liang Xueya continued to nod, and immediately saw an ambulance coming to the emergency department.
Report chapter Comments
I ran over to take a look, and immediately saw abdominal trauma, so I immediately called a doctor from the general surgery department for a consultation, and then completed the relevant examinations...
About twelve past two.
Luo Yun finally arrived at the first ward of the orthopedic department, before he had time to change his overalls, he slipped into the ward, and immediately apologized to Zeng Yi and Li Changhong: "Director Zeng, Director Li, I rushed to the department when I received the call ."
"There is a little traffic jam on the road."
Zeng Yi saw Luo Yun take two steps back and glanced at the time.
It was only 44[-, and the time I called Cai Dongfan was [-[-].
Within 9 minutes, Luo Yun rushed from home to the department in a traffic jam, and there must have been no delay.
As for the temporary calling of Zhou Cheng to come to the orthopedics department to 'insult people', Zeng Yi didn't want to bother.
The most important thing is to solve the problem first.
Li Changhong looked back to see Luo Yun, and didn't repeat the angry words he said after calling Cai Dongfan. Today is the person in his team who is on duty.
He just took a step back and said to Director Zeng: "Director Zeng, take Xiao Luo to watch the movie first, I am here to communicate with patients and their families."
"Director Wang is already on his way."
"Okay!" Zeng Yi didn't hesitate, and immediately brought Luo Yun to the doctor's office, saying as he walked.
"The plain film of this patient looks like a conventional dislocation of the wrist joint, but both Wang Yaoxiang and Li Changhong were reset twice, but they failed to reset. The patient and his family refused to receive nerve block anesthesia, so we insisted on finding a way. "
"I also refused to conduct further examinations. Although the tone is loose to a certain extent, it is possible to agree to open reduction surgery."
"But I thought I'd try to use manipulation to reset his dislocation."
Before the manual reset, Wang Yaoxiang had already talked with the patient and his family members. After all, it was a routine manual reset for the second joint dislocation in the department, so he dared not be careless.
It's just that it's one thing to have a conversation, and it's another thing for the patient to understand.
Hearing this, Luo Yun frowned tightly: "Did Director Li also reset it twice? Then this wrist dislocation is probably unusual."
"What type of dislocation is it?" Luo Yun asked as he walked.
Zeng Yi's expression changed: "Wang Yaoxiang said it was type 2. I watched the film and thought it was type 2 - dislocation of the radiocarpal joint and intercarpal joint."
Luo Yun immediately glanced at Zeng Yi with a bit of confusion, a little embarrassed.
I thought to myself, Director Zeng, such a simple classification is not enough.
In the eyes of non-joint surgery, there are only two types of wrist joints——
Type I, simple dislocation of the radiocarpal joint; type II, dislocation of the radiocarpal joint and intercarpal joint.
But in the eyes of joint surgeons, there are more than ten types of wrist joints.
"Well, let's watch the film first, shall we?" Luo Yun didn't blame Zeng Yi. Although Director Zeng is the chief director of the orthopedics department, he specialized in surgery. The reason why joint surgery can be separated from the trauma surgery of the orthopedics department and become a separate department.
It is precisely because of the specialization of joint surgery that it is no less than the difference between spine and orthopedics.
When I came to the office, a computer had already listed the patient's films on the computer screen, and there was only a simple front and side view of the wrist joint.
In fact, it should be an NMR.
Luo Yun was conflicted in his heart, but he didn't say it out. He is in the second department of orthopedics, and he is only attending now.
When Luo Yun saw it, he frowned fiercely!
Radiocarpal dislocation!
And separation of the inferior radioulnar joint——
and.
2 to 5 metacarpal joints are also dislocated.
Look at the fracture line again, good guy, there is no fracture yet, what a rare case is this?
Those that can lead to dislocation of the radiocarpal joint are generally high-violence injuries, and most of them will be complicated by fractures, but this patient happened to have no fractures.
Also, the most common types of wrist dislocations, such as lunate and perilunate dislocations, were absent.
Instead, the high energy was somehow transferred to the radioulnar joint and the metacarpal joint——
As a result, fractures and lunate perilunate dislocations, which are relatively easy to treat, were all missed by patients, and instead became what they are now.
After reading it, Luo Yun turned his head, his face squeezed into a chrysanthemum face, and stammered: "Director Zeng, this wrist dislocation does not belong to the conventional type II wrist dislocation—dislocation of the radiocarpal joint and intercarpal joint. "
Luo Yun didn't embarrass Zeng Yi, and gave him some more classifications of joint surgery that only specialists in joint surgery would pay attention to.
For example, the words such as lunate dislocation, transscaphoid perilunate dislocation, transstyloid process and scaphoid perilunate dislocation, volar perilunate dislocation, etc. are extremely difficult to pronounce.
"If you have to give this a name, it should be called atypical multiple wrist joints and metacarpal joint dislocation."
"Is the patient's and family's willingness to perform the surgery great?" Luo Yun simply gave up doing the manipulation reset.
Hearing this, Zeng Yi frowned fiercely: "This patient, can't he do manual reset?"
"It's best to reset her with manual reset."
Zeng Yi wondered to himself, whether this Luo Yun was secretly instructed by Cai Dongfan to disgust him on purpose.After all, he and Yan Haihan were also taking advantage of Cai Dongfan's enthusiasm.
Both Zeng Yi and Yan Haihan didn't know what Ding Changle and Cai Dongfan had said in private, anyway, they only made one phone call.
So Zeng Yicai and Yan Haihan discussed with each other, how about we do joint dislocation manipulation together, if there is a topic, there is an article, at least you can mention a name, and express your attitude to Professor Ding Changle by the way.
We can provide the same platform that Cai Dongfan can provide. Of course, as long as Professor Ding is willing, our whole department of orthopedics is willing to provide you with a bigger platform.
That's what happened this morning.
"Director Zeng, it's hard to say, how should I put it? It's like our conventional classification of fractures, which can cover most types of fractures, but there are also very few special fractures that are not included in the conventional classification."
"This patient's dislocation is that extreme type. I estimate that it is difficult to find the same reference even if I search the literature. This type is extremely rare."
"Originally, dislocation of the radiocarpal joint is an extremely rare high-energy injury, accounting for only 0.2% of all joint dislocations. If the remaining dislocations are combined, I estimate that such a coincidence may not happen in 20 years."
What Luo Yun said was quite conservative and cryptic.
But Zeng Yi's expression was a bit ugly, the corners of his mouth twitched and twitched, and he said, "So we just happened to meet?"
Such a coincidence?
"Yes. It's almost like this." Luo Yun also felt that this was really a coincidence.If the patient has any fractures, then there is no need to talk about it, and open reduction can be done directly.
But there is no fracture, and there is no dislocation around the lunate, which proves that the ligament structure inside the wrist joint is actually okay. It is just a misplaced shift and deviation, and there is no need for repair such as fracture. In principle, It should be able to be reset manually.
but?
Ability is ability, and theory is theory. I have never done it before, and I have never encountered it before. This is not a theoretical thing.
Zeng Yi's face was a little dark, and he called Li Changhong in private, saying, "Changhong, Luo Yun has watched the film, and said that he would try to talk about surgery. Wait until Director Wang comes, and we'll see the situation." Let's explain it to the patients and their families."
"This dislocation is very unusual."
Li Changhong replied on the other end of the phone: "I said it and explained it, but the patient's husband insisted that since it is unusual, why didn't he make it clear when he first came here? Is it because our doctor messed him up now?" Average?"
"And, Director Zeng, there seems to be something wrong with this patient's family. He is calling to ask many people. There are several calls, which must be made to doctors in other hospitals. I don't know what happened."
"Are you sure? How did he know so many doctors?" When Zeng Yi heard this, he felt a bit of a jerk.
"I don't know. If it's the health system, even if I don't know it, at least I know it. I don't know why." Li Changhong said.
Suddenly someone whispered in his ear for a while, saying that Zeng Yi didn't hear clearly.
Li Changhong immediately walked away, and said to Zeng Yi: "Director Zeng, I found out that this patient's husband works in the 120 emergency team, and seems to be the person in charge, not just the captain..."
"Damn it." Zeng Yi cursed.
I also heard the high-profile family members on the opposite side: "I trust your No. [-] hospital to come here. You can't fool our patients like this. We are here to treat diseases, not to quarrel."
"My wife and I understand that it's not easy for your doctor. Otherwise, we would not agree to your operation four times, but now you tell me that you need an operation, and I can't accept it for a while. You have clearly evaluated it before and then said it's OK. Manipulative therapy..."
Zeng Yi hung up the phone with a gloomy expression.
The other party is enough to save face. It is estimated that the other party already knows how to report and which relevant units to report these things to. However, the reason why he has not taken this step is that he still hopes to solve the matter.
"Is there really nothing you can do? How about you send the film to your teacher and let him see it?" Zeng Yi rubbed his aching head and gave an immature suggestion.
Luo Yun closed his eyes and thought for three seconds, then nodded and said, "Okay, Director Zeng, let me ask first."
He also heard the phone call just now. If there is something wrong with the first department of orthopedics, the second department of orthopedics is also connected. Although he hasn't bothered his teacher for a long time, he still needs to bother what should be disturbed.
Luo Yun then said: "Director Zeng, I'll make a phone call first, I don't know if my teacher will answer."
Zeng Yi nodded, then suddenly glanced at Luo Yun, and asked, "Luo Yun, didn't you study in Shashi as a graduate student?"
"No, I'm from Shashi. I came back to work." Luo Yun answered casually, and then walked out.
For a moment, Zeng Yi also forgot which hospital Luo Yun's graduate student was in, but the matter of this patient was more important, so he didn't ask again.
About 10 minutes later, Director Wang Yongjin came to the department and the office first.
But Luo Yun hasn't come back yet.
Wang Yongjin asked Zeng Yi about his condition again, and watched the film at the same time. Zeng Yi explained his condition while explaining what Luo Yun just said.
After Wang Yongjin finished reading, he also scratched his hair and said, "In such a situation, if Director Liu is still in the hospital, he may try to reset it again. Now Xiao Wang has reset it four times!"
"I suggest to talk about surgery directly. Such a reset is very rare. I have been doing it for so many years, but I have never seen it."
"Previous dislocation patients rarely came to the department."
Zeng Yi smiled bitterly and said, "Director Liu is almost ninety this year, and it's not appropriate to invite him to the department."
Director Liu is from the old director's generation, and he is the only living figure in that generation. No matter how courageous Zeng Yi is, he dare not bother him.
"Director Wang, thank you for your hard work. I'll go talk to the patient's family." Zeng Yi didn't tell Wang Yongjin about the identity of the patient's family so as not to disturb him. Director Wang is about to retire, so let him have a good rest That's the business.
Wang Yongjin said: "Don't be in a hurry, wait for Ronaldinho to call back, and then make a decision."
Just as Wang Yongjin was talking, Luo Yun came in feeling his head.
"How is it? Luo Yun, what did your teacher say?" Zeng Yi hurriedly asked.
Luo Yun struggled and said: "My teacher said, reset can be done! But I haven't done it yet."
"If the patient strongly refuses surgical treatment, it is recommended that we transfer to another hospital and do not touch it again. Otherwise, ligament rupture and wrist osteoarthritis will easily occur."
"My teacher has only seen this situation once."
Zeng Yi's expression changed.
With a wry smile, he shrugged his shoulders: "This?"
"Huh!~"
"Director Wang, do you suggest transferring to another hospital, or invite a professor of joint surgery from the Affiliated Hospital of Shonan University to come over for an evaluation?" Zeng Yi lost the straw of Luo Yun, so he could only admit that he was unlucky and pay for someone himself Come here for treatment.
Wang Yongjin nodded: "That's all I can do now, but I'm not very familiar with the young people in the Affiliated Hospital of Shonan University. Do you know anyone?"
"When I called, they were all old people. We asked someone to help, and it would not be appropriate to transfer the call from someone from the previous generation." Wang Yongjin explained.
"Yes, Director Wang, you go to rest first! I'll arrange the rest of the matter. Today is our young people who are causing trouble for you, so you have to take a trip."
Wang Yongjin smiled and said: "I'm old, and my body is indeed not as strong as it was a few years ago. It's just that I can't help you here."
Only then did Wang Yongjin call to ask for foreign aid. Originally, he also thought about asking for foreign aid, but he would wait until the people in the department really had no other way to do so.
Spending money is one thing. If you always ask professors for foreign aid, this is also inappropriate. It will make others think why your hospital is so busy?What kind of monsters and monsters are they?Can't handle anything?
……
At 12:30, after Zeng Yi called, Luo Yun told Zeng Yi that he had to go to the department to check the situation first.
There is only a young man like Zhou Cheng sitting in his department, so he is not at ease.
Zeng Yi can also understand that now both departments are treating patients with large-scale joint dislocations on the first day. If this happened in the first department of orthopedics, the second department of orthopedics must take precautions. Take on the responsibility of being on duty.
"Go ahead, you need to be more cautious. Don't let this happen again, communicate more, check more, and get a clear diagnosis." Zeng Yi confessed.
In fact, he felt a little bitter in his heart. He thought that Wang Yaoxiang from his department would not be weaker than Luo Yun.
After all, Wang Yaoxiang participated in the joint surgery competition for young doctors in the province and won an award, while Luo Yun was just a graduate student in joint surgery and had no outstanding achievements.
But now it seems that Wang Yaoxiang may not be able to compare with Luo Yun.
……
"Ms. Luo." In the second orthopedic department, Du Ruiqi was eating, and when he saw Luo Yun, he immediately called out politely, "Have you eaten yet?"
Luo Yun saw that there was a fast food box next to Du Ruiqi, and the food was quite messy, but he looked like he hadn't finished eating, so he asked, "I've eaten. Is the situation in the department okay? Where did Zhou Cheng go? "
Du Ruiqi hurriedly sent the contents of his mouth into the esophagus, and then wiped his mouth while replying: "The situation in the department is all right, and two patients with fractures came here, closed. You don't need to go on stage."
Report chapter Comments
"Brother Zhou Cheng went to the emergency surgery department for consultation. He said that it was multiple combined trauma, which was related to our orthopedics department. I was still talking to new patients at the time, so I sent Brother Zhou Cheng to the emergency department."
Du Ruiqi was a little nervous, for fear that Luo Yun would think him lazy, instead of going to the consultation or calling the superior doctor in his team, he would send Zhou Cheng over instead.
According to the arrangement in the department, Zhou Cheng was only responsible for the manual reset of the dislocated joint, and ignored everything else.
Luo Yun smiled and said: "You are not nervous. It is normal for you to help each other! You have worked hard, you should eat first, and I will sit in the lounge. When Zhou Cheng comes back later, you let him rest Find me in the room."
Naturally, it was impossible for Luo Yun to find trouble with Du Ruiqi or something. It was quite difficult for a junior doctor.
"Okay, Teacher Luo." Du Ruiqi nodded repeatedly, and was relieved when he saw Luo Yun go out.
……
At this moment, Li Changhong rushed towards the emergency room with a particularly headache. He just felt that today was a bad luck for eight lifetimes. The patients in the department here have not been treated well, and a patient with multiple joint injuries came to the emergency department with problems in both upper and lower extremities. , I had to call the doctor on duty in the Second Department of Orthopedics to go to the emergency consultation.
The junior doctor in my group was on duty today, Wang Yaoxiang was supposed to go, but as the first doctor of the troublesome patient in the department, if Wang Yaoxiang ran away, he would easily irritate the patient if he was not in front of the patient.
It's also impossible to ask Zeng Yi, the chief director, to come, so he can only go to the emergency consultation.
Li Changhong didn't know how long he hadn't had an emergency consultation.
But before setting off, Li Changhong finally had time to slip away and smoke a cigarette.
Then he rushed to the emergency department slowly.
When I went to the first aid ward of the emergency department, there were many old acquaintances from various departments, but they were all deputy chief physicians. After reading the situation of their own departments, they rushed to write the consultation records and at the same time greeted Li Changhong.
"Director Li!"
"Director Li."
"..."
There was a sudden surprise in his tone.
They are all employees of the No. [-] Hospital, so they naturally know who the directors of each department are, and who are the deputy directors or attending doctors who go to the emergency consultation.It is quite rare that Li Changhong, the chief physician, would come for an emergency consultation in person today.
Li Changhong nodded casually, and then walked towards Zheng Guowei. Zheng Guowei was still indifferent in front of the computer, but when he saw Li Changhong, he immediately stood up.
Come over and take the initiative to accompany him and say: "Director Li, this patient suffered multiple combined injuries in a car accident and is currently in a coma. I have already invited relevant departments of neurosurgery, thoracic surgery, gastrointestinal surgery, hepatobiliary and pancreatic surgery, and internal medicine for consultation."
"Orthopedics-related conditions include deformities in the pelvis and ankles, and open injuries in the upper limbs. After taking plain films and CT scans, there were fractures in the upper limbs."
"The lower limbs are posterior dislocation of the hip joint and dislocation of the calcaneal joint."
"Someone from the second orthopedic department said that the lower limbs can be solved by manual reset. He went to get a plaster cast. On the upper limbs, he said that the teacher from the first orthopedic department should come for consultation."
Although Li Changhong is the director of the orthopedics department, and Zheng Guowei is not an orthodox subordinate, but he is Zhenggao after all, and Li Changhong may take over as the next director of the orthopedics department. in front of the computer.
"Well! Our department's affairs should be handled by our department, and he is not to blame." Zeng Yi nodded, and understood that what Zheng Guowei meant was that people in the second orthopedic department did not want to look at the upper limbs.
But they are all from the orthopedics department, and he also explained to Zheng Guowei that this is not because the little doctor in the second orthopedics department is ignorant or trying to avoid trouble.
"Then it's hard work for Director Li to see the patient and evaluate whether he should be sent to the operating room immediately to deal with the upper limb problem. After all, there is a coma, and it is an open fracture." Zheng Guowei didn't continue to worry about other things, so he asked Li Changhong to watch the film .
When Li Changhong was watching the film, he looked up and saw it, as if it was the Zhou Cheng he had only seen in the department!
In front of many deputy directors of the emergency room, he unceremoniously opened the plaster polymer material and exposed it to the air. After measuring the length of the lower limbs, he edited and adjusted the curvature of the two ends of the plaster.
After resting, I saw him close his eyes a little more, and then dragged the comatose patient's thigh, making two clicks.
He actually directly reset the posterior dislocation of the hip joint.
Moreover, the clicking sound after the successful reset attracted the attention of many doctors in the emergency room. When they looked up, they frowned.
Even Zheng Guowei scratched his head.
Whispered: "Director Li, the second orthopedic department did not come, only this resident doctor came. He said that he needs to reset, and we are not good."
Zheng Guowei was watching, but Li Changhong stretched out his hand suddenly.
Although Li Changhong hated it very much, he even felt that Zeng Yi's manipulation of joint dislocation in the department was meddling in his own business.
However, it does not prevent him from being the chief physician of the Department of Orthopedics, and he has a certain understanding of the manual reduction of joint dislocations in the Department of Orthopedics.
He is not from joint surgery, and he may not have much contact with manual reduction, but he still knows how to evaluate whether manual reduction is done well.
At this moment, the clicking sound produced by Zhou Cheng's reset is definitely the sound made by the femur hitting the acetabulum after successful reset. It may sound a little scary, but to the ears of orthopedic surgeons, this sound is quite pleasant.
This proves that the reset was successful.
The ear hears so.
Then, the deformity visible to the naked eye, the posterior dislocation of the hip joint, also disappeared.
The patient was in a coma and could not do pain tests, but the deformity could disappear, which was almost a sure success of the reduction.
Li Changhong interrupted Zheng Guowei's words with his hand, and then he didn't want to watch the film again, but continued to pay attention to Dr. Xiaozhupei from the Second Department of Orthopedics.
I saw that after he successfully reset, he touched his hands near the hip joint.
Li Changhong knew that Zhou Cheng was feeling the hip joint to see if there was still a sense of emptiness. He was touching the position of the greater trochanter of the femur. This was one of the palpation contents of the physical examination after successful reset, which could support his own diagnosis of successful reset.
Targeted.
This resident doctor doesn't seem to be as reckless as he seems.
Immediately afterwards, Li Changhong saw that after the physical examination, Zhou Cheng came to the left calf of his left leg. After the traction of the road.
chug!
Although there was no sound this time, Li Changhong saw the muscles in his ankle bounce twice, which seems to be one of the signs that can be evaluated by the naked eye when he resets.
However, Zhou Cheng did not put plaster on the patient directly, but let go of his right hand, and did a physical examination on the ankle again.
Immediately afterwards, he exerted force with his right hand and reversed the direction of the force arm. Immediately afterwards, Zhou Cheng plantarflexed the patient's foot to the extreme.
moment--
The protruding piece on the instep disappeared without a trace.
After doing this, Zhou Cheng palpated again and felt satisfied, so he put the plaster of polymer material under the affected limb and began to wrap the plaster.
At that time, Li Changhong's pupils shrank slightly, and he stood up.
Then he looked at the time, Zhou Cheng reset the two parts, it took less than 3 minutes before and after, and now it's over?
This is no joke.
Seeing it with your own eyes is worse than hearing it.
Hearing is believing, but seeing is believing!
This Zhou Cheng, does he really know how to reset?
Cai Dongfan and Luo Yun sent him to the Department of Orthopedics before, not for any other purpose, but simply to help?
The time for plaster winding was about the same as the reset time, and then Zhou Cheng said to Liang Xueya: "Brother Liang, you must remember to re-examine the patient's pelvic plain film and the film of the left foot oblique position later, not the right side of the left ankle joint." Come on, don't make a mistake."
"I'll write it in the consultation treatment opinion later."
After putting on the cast, Zhou Cheng explained to Liang Xueya in this way.
"Okay!" Liang Xueya knew Zhou Cheng well, so he naturally believed in Zhou Cheng's professionalism, so he began to issue medical orders immediately. The exact time to implement them depends on whether the patient's other symptoms are serious. If emergency surgery is needed, you can wait for the emergency surgery Check back when finished.
But the doctor's order must be kept on hand for fear of forgetting.
Zhou Cheng waited for the general surgery and other teachers to write the consultation records.
He had only written the record of the first visit before, and he hadn't written the record of the follow-up visit. Now that he has undergone treatment, he naturally has to write it down, including the results of the physical examination after the reset and the treatment suggestions for the follow-up visit, etc.
After Zheng Guowei finished reading, he smiled and said, "Director Li, the young doctor in your department looks like a bit of a tiger."
The lower limbs belong to the scope of the second department of orthopedics, and the effect of the treatment is not something that Zheng Guowei should consider.But I still feel the need to tell Li Changhong.
Li Changhong did not answer Zheng Guowei's words, but saw the deputy directors of other departments seeing Zhou Cheng, a little tiger in the orthopedics department, waiting to write the consultation records, and immediately gave him the emergency medical records first.
His expression was full of fear.
After all, this is a comatose patient, Zhou Cheng dared to perform a reset operation on him in this emergency operating room, it is really a shame.
Moreover, the front and back operations took only two or three minutes, and it was directly declared over.
Nima's massage also takes half an hour to be effective?
Manipulative reduction of joint dislocation should be one of the surgical operations, right?
Where is Xiao Zhupei from the Second Department of Orthopedics?
This is simply the god of the second orthopedic department, they don't know how the second orthopedic department dared to release him.
See the patient for 3 minutes, reset for 3 minutes, and cast for 3 minutes, for a total of 10 minutes.
I don't even dare to do assembly line work...
Can't be provoked, can't hide.
You are a fairy, let you come first.
Li Changhong did not return to Zheng Guowei at all, but stood up and said, "Director Zheng, this patient must be sent to the operating room. After you arrange the operation here, we can go to the operating room for emergency surgery at any time."
"According to the current situation, the main cause of blood loss in the patient's coma or shock is unlikely to be an open fracture in our orthopedics department. The patient's gauze has little bleeding around the gauze, which must be due to internal organ damage."
"We only need to do debridement and external fixation during the operation according to the situation."
"Consultation records, I will write them later."
After speaking, Li Changhong walked towards Zhou Cheng who was writing the consultation records.
Zheng Guowei saw Li Changhong confessing casually, and walked towards Zhou Cheng, his heart twitched, he stretched out his hand, and said, "Hey, Director Li."
"I've already finished watching." Li Changhong didn't want to listen to Zheng Guowei's nonsense, so he had to find time to talk to Zhou Cheng quickly.
There are still a lot of difficult things waiting for him in his ward now, maybe calling Zhou Cheng over, treating a dead horse as a living horse doctor will have a solution?
When Li Changhong arrived, the other deputy chief physicians backed down one after another. Even Zhou Cheng quickly stopped writing, handed the emergency medical record to Li Changhong, and said, "Here, Director Li, you write first."
This is the status of the chief physician.
Li Changhong accepted it unceremoniously, and while writing the consultation opinion, he said casually: "Xiao Zhou, don't go back to the ward later, and follow me to the orthopedics department."
"Ah~?" Zhou Cheng was startled, looked up and looked at Li Changhong's expression, it didn't look like he was joking.
Li Changhong also looked up at Zhou Cheng, and asked, "Aren't you free? Then go get busy."
Zhou Cheng quickly waved his hands: "Yes, yes, Director Li."
Li Changhong didn't say much.
Chapter 1 goes around and around, and the magic stick comes out!
"Director Zheng, my consultation opinion is written here, and our orthopedics department is going to be on stage!"
"If there is emergency surgery in other departments, please call our orthopedics department halfway."
"If other departments feel that there is no need for emergency surgery, they can also call our orthopedics department. I will immediately arrange for someone to come down and talk to the patient and family members." Li Changhong confessed to Zheng Guowei.
Zhou Cheng was on the side, listening to the inner movement.
Li Changhong is worthy of being the chief physician, and his prevarication skills are really top-notch.
Even if you want to sneak away in a hurry, let's make it clear that our orthopedics department needs emergency surgery.
This rhetoric is still worth learning.
Of course, if I want to say this, I definitely can't be as straightforward as Li Changhong.
Zheng Guowei nodded and replied, "Okay, Director Li. I'll call you later."
Li Changhong took Zhou Cheng away from the emergency department, and explained to Zhou Cheng along the way: "Xiao Zhou, don't take what happened in the morning to your heart."
Zhou Cheng quickly replied: "Director Li, no."
Although Li Changhong was quite conflicted in his heart at the moment, he still spoke first.
"Our department received a patient with wrist dislocation in the morning, which was a bit complicated, and the patient's family members were also quite entangled."
"When Director Wang came, there was no better solution. He suggested surgery, but the patient and family members disagreed. I dare not let you see it rashly."
"Luo Yun also came to see it, and found it very difficult."
"I'm going to take you to the Department of Orthopedics now. You just watch it first and try to talk as little as possible. If you think there is anything that can help, please report it to me or Luo Yun first."
Zhou Cheng knew that Li Changhong was looking for an excuse for what happened in the morning.
He nodded and replied: "I know, Director Li, I will definitely not talk nonsense."
Report chapter Comments
In fact, he can really understand Li Changhong's thoughts.
In front of Li Changhong, a small Zhupei like Zhou Cheng is not much worse than a layman like Zhou Cheng who has never studied medicine.
If a patient who couldn't be treated by himself, a family member of the patient suddenly came to ask if he could help, Zhou Cheng wouldn't believe it.
It must be reasonable to not believe it, and Zhou Cheng can understand it.
Naturally, he would not force himself to bite the bullet and say that he was making fun of himself, and turned around and left.
He's not Cai Dongfan, if you don't believe me, I can still speak up.
"Yeah." Li Changhong looked at Zhou Cheng, smiled wryly for a while, and felt that his current behavior was a bit funny.
Zhou Cheng was dismissed an hour ago, and now he is called to the department.
It's also a bit of a slap in the face, but there is no other way, it can only be a dead horse as a living horse doctor.
At least, one thing Li Changhong can be sure of now is that Zhou Cheng was not sent by Cai Dongfan to make trouble or intentionally insult people, Zhou Cheng really knows how to reset joint dislocations.
One more person, at least one more force.
As for whether you can really help, you don't have to care so much.
"Thank you for your hard work." Li Changhong said something polite to Zhou Cheng again, and stopped talking.As the chief physician, he actually couldn't save too much face, and of course he didn't expect too much from Zhou Chengbao.
Zhou Cheng obediently followed behind Li Changhong's ass, all the way to the department.
The people in the ward also dispersed.
However, Li Changhong still saw the patient's family members walking around and making phone calls, and he didn't know whether they were reporting or asking acquaintances.
However, even Wang Yaoxiang, who was in his own group, left the ward. It is estimated that Director Zeng called for foreign aid, temporarily calming down the emotions of the patient's family members.
Hunan Province is such a big place, and the top-notch medical care is in the Affiliated Hospital of Shonan University and the Second Hospital. The Eighth Hospital has already figured out a solution. No matter how unwilling he is, he may only place his hopes on the invited professors.
Otherwise, surgery is the only option.
In order to avoid an operation, can you deliberately go to Shanghai and Kyoto?
Not to mention whether it is economical or not, such a toss is really unnecessary.
When he came to the office, Li Changhong found that director Wang Yongjin had left, and Zeng Yi was still sitting in front of the computer, frowning at the patient's film.
On the side, Wang Yaoxiang stood with him.
Zeng Yi asked in a gloomy tone: "Wang Yaoxiang, did you read the films carefully when you were seeing patients?"
"Is this a simple Type II wrist dislocation?"
Hearing this, Wang Yaoxiang gritted his teeth with a very ugly face and replied: "Director Zeng, I must have read it carefully. In the classification of joint surgery, this is type II. I will specifically confirm it later."
"But Luo Yun said that this is an extremely rare dislocation of the radiocarpal joint and separation of the inferior radioulnar joint."
"Dislocation of the 2nd to 5th metacarpal wrist joints."
"Did you read it wrong? Or is he showing off on purpose?"
Ga?
Wang Yaoxiang's head went down at that time, Director Zeng, you were here waiting for me to dig a hole for me?
Since Luo Yun has already told you, how can you return it?
Wang Yaoxiang didn't answer, but lowered his head slightly.
"Director Zeng, this is me."
"Maybe what Luo Yun said is right." Wang Yaoxiang is also a graduate student for 10 years, but he is a pure trauma surgery graduate student, and his understanding of joint surgery is really limited. It must be difficult to deal with colleagues and patients in trauma surgery. More than enough.
But if he dared to say that Luo Yun, a specialist in joint surgery, made a wrong diagnosis, Wang Yaoxiang really didn't dare to say this.
It is clinically reasonable, and each subspecialty has its rigorous knowledge system. The subspecialty of joint surgery is very deep, and what he understands is just the tip of the iceberg.
Dare to talk nonsense?
If you dare to talk nonsense, you will be dismissed. Luo Yun can't do it. Even if Teacher Luo Yun is not there, there will naturally be people who understand joint surgery in Hunan Province.
Zeng Yi snorted, and said, "It seems that Wang Yaoxiang's honorary certificate of joint surgery can only live in your circle of friends."
"Hmm!~"
"Oh!" Zeng Yi sighed.
Wang Yaoxiang is from his department, not from his team. Originally, Zeng Yi thought that Wang Yaoxiang was a breakthrough general. He usually speaks politely and has a good understanding of people. He also has many friends in the industry. I have a good understanding of it, and brought back many awards to the department.
Even the hospital awarded Wang Yaoxiang one of the top ten outstanding young doctors. He can be said to be the most respectable person among the younger generation of the Eighth Hospital.
Where did Zeng Yi have so much time to worry about how did Wang Yaoxiang get those awards?
Anyway, this time, I feel that there are people who know joint surgery in my department, so I naturally want to share the benefits of Cai Dongfan.
Unexpectedly, just after leaving, Wang Yaoxiang made such a move!
Wang Yaoxiang lowered his head, a little remorseful, and felt that he shouldn't be bragging too much in the department——
Because at the first interview meeting of the regular staff who had just been recruited into the department last time, Zeng Yi and Li Changhong treated Peng Wang Yaoxiang as a typical senior in the department and let the newcomers study hard.
When sharing experience at the interview meeting, Wang Yaoxiang said such a thing.
After graduation, unlike when you were a graduate student or a Ph.D. student, you need to broaden your horizons. Don't stick to the major and direction of your supervisor. You need to be knowledgeable and knowledgeable.
Joint surgery, trauma surgery, sports medicine, hand surgery, all directions need to be comprehensive.
As a result, Wang Yaoxiang's first side collapsed.
Seeing Wang Yaoxiang being trained, Li Changhong's face changed for a while, and he took the initiative to help Wang Yaoxiang: "Director Zeng, Xiao Wang hasn't touched joint surgery for a long time, so his hands are unfamiliar, and he can't be completely blamed."
"However, I will definitely criticize him severely, let him calm down, and do more things and talk less in the future."
Zeng Yi glanced at Li Changhong, and said meaningfully: "Changhong, do you think this is just a random thing today?"
"Forget it, that's all. That's how things are."
"Let's wait for Professor Wu from the Second Hospital to come. I just sent the film to Professor Wu and explained the situation. He said that he should watch the film first, and then evaluate whether the manipulation can be performed."
"Besides, he still has another surgery, so he can only come back after the surgery." Zeng Yi rubbed his eyes tiredly.
Failed to hunt geese, but was pecked by geese.
It is said that Zeng Yi is different now.
Li Changhong babbled twice, and said in a low voice, "We have to wait for Professor Wu to come and think of a way."
Then he asked Wang Yaoxiang: "Have you explained clearly to the patient and family members?"
Wang Yaoxiang hurriedly said: "The explanation is clear. The patient himself knows Professor Wu from the Second Affiliated Hospital of Shonan University. He said he was invited to come, so he didn't say much."
"Director Zeng, then go and rest for a while. Wang Yaoxiang and I will stay here. When Professor Wu arrives, I will inform you again. Thank you, Director Zeng, for your hard work today." Li Changhong hurriedly said to Zeng Yi.
"Okay." Zeng Yi also felt a little tired, but it was not physically tired, but mentally tired.
He reckoned that now Cai Dongfan and Yan Haihan must be secretly watching him laugh.
But this is also impossible.
Li Changhong just sat down in front of the computer, and began to look at the patient's film, frowning, blinking, feeling a little baffled, dislocation can be seen, but it is not so accurate to see what is the reason for the failure to reset.
After Zeng Yi left, Wang Yaoxiang dared to find a stool and sit down, and kept wiping the fine sweat from his forehead with the back of his right hand.
His expression was tangled and uncertain for a while.
Today's doctor on duty, Xiao Guipei in Li Changhong's group, huddled in front of the computer tremblingly, looked at the medical records carefully, and did not dare to be lazy to rest in the lounge.
Although even the punctuation marks of the patients in his charge have been changed meticulously, they still dare not leave, and even dare not breathe.I only hope that a new patient will come at this time, let him accept it, and save him from the dire straits.
Zhou Chengcai took the opportunity to stand behind Li Changhong, and glanced at the patient's plain film.
In addition, he had already heard Zeng Yi's questioning of Wang Yaoxiang, so the patient's diagnosis was quickly confirmed.
Frowning slightly, he smiled wryly in his heart, wondering if Director Zeng Yi and the others were lucky?Still not good.
It's so rare, there's a one in a hundred thousand chance of being encountered by them.To put it badly, they still met them.
The manipulative reset of this patient is much rarer and more difficult than the irreducible shoulder joint manipulative reset encountered by Yan Haihan's group the day before yesterday.
After scanning and making a general assessment, Zhou Cheng had a bottom line in his mind.
However, at this moment, the phones of Li Changhong and Zhou Cheng rang at the same time.
Li Changhong's phone call was from Zheng Guowei from the emergency department, saying that the patient he had just seen had been dragged to the operating room by the hepatobiliary surgery department. The patient had a ruptured liver, and the possibility of a ruptured spleen could not be ruled out.
Li Changhong said he knew, and then immediately ordered Wang Yaoxiang to talk and sign.
Wang Yaoxiang immediately walked out of the office as if he had been pardoned.
After Li Changhong saw that Wang Yaoxiang had left, he cursed in a low voice: "Damn, bragging is pretty good."
"When it comes to doing things, the eggs don't look like one."
The voice is very low, Wang Yaoxiang must not be able to hear it, but Zhou Cheng and the doctor on duty must have heard it.
The call Zhou Cheng received was from Luo Yun.
After Zhou Cheng hung up the phone, he apologized to Li Changhong and said, "Director Li, a patient came to the ward upstairs. Teacher Luo asked me to observe and study. Do you see?"
Li Changhong is here, Zeng Yi is here, so it is not Zhou Cheng's turn to call the shots for this orthopedic patient.
Even though Li Changhong had called him to the department, Zhou Cheng didn't want to cause trouble on himself.
It was impossible for Li Changhong and Zeng Yi to believe in what happened in the morning. Talking too much is just asking for humiliation. Zhou Cheng is not that cheap.
Li Changhong glanced at Zhou Cheng and said, "You go. When I call Luo Yun later, you come down with me."
"Professor Wu of the Joint Surgery Department of the Second Affiliated Hospital of Shonan University is young, but his strength has already surpassed his current title of associate professor, and he is quite famous in the industry. This is a good learning opportunity."
Li Changhong was stunned for a moment, he was really hurt just now, why did he think of dragging Zhou Cheng to the department, thinking of turning a dead horse into a living horse doctor?
However, seeing that Zhou Cheng has a certain foundation in the manipulation of dislocated joints, I don't mind making an extra favor, and I will let Zhou Cheng learn it later.
"Thank you Director Li."
"Then I'll go up first." Zhou Cheng said goodbye to Li Changhong.
……
After returning to the second ward, Du Ruiqi immediately said: "Brother Zhou Cheng, go eat first, otherwise the food will be cold."
"A patient just came here. Mr. Luo has just seen this patient, and he said that he can do manual reset."
"It will take a while for me to go to the patient and his family to talk and sign, and to prepare the plaster."
Zhou Cheng nodded unceremoniously: "Okay! I'm not full, my stomach is still a bit empty."
Just halfway through the meal, Du Ruiqi was admitted to the hospital for a conversation, it was impossible to leave the patient halfway and go to the emergency consultation, Zhou Cheng could only go to the emergency consultation, or call the superior doctor.
"Remember to explain to the patient and family members that surgery may be required."
"Say this sentence several times."
Zhou Cheng mentioned it intentionally or unintentionally.
Although I didn't see the patient's film, but.
Because of the orthopedic department, Zhou Cheng also had a little more thoughtfulness, telling patients more about surgery can dispel their psychological expectations of manual reset.Even if I have a perfect-redefined level of fracture reduction, I can't guarantee that all fractures can be applied.
Medicine is a science, and it is also a life science.
The existence of life, in the natural world, itself is an extremely gorgeous accident.
Naturally, there is no 100% existence. Those who are sure of this statement, even Zhou Cheng has learned that there are more types of fractures that cannot be reduced by manipulation than those that are suitable for reduction by manipulation.
"I know, Brother Zhou Cheng, Teacher Luo told me all about it." Du Ruiqi replied with a smile on his face.
But in his heart, he was feeling emotional. Luo Yun would also intervene in the fracture patients in our group, and he didn't know how to explain it to Director Hu Ming at that time.
Forget it, one thing more is worse than one thing less, after all Luo Yun is also the superior in the department.Telling Director Hu about this matter will cause unnecessary disputes instead. Why bother?
Calling Zheng Xuanlin to come to the department will cause Luo Yun's displeasure, so no matter how wrong the choice is, leave it to Luo Yun.
If they knew, it was Luo Yun who ordered me to do so.
……
After about half an hour.
Du Ruiqi stared fixedly at the review film after the fracture was reset on the computer screen, and kept rubbing his eyes.
Then from time to time, he glanced back and forth in the direction Luo Yun led Zhou Cheng away from.
Report chapter Comments
I'm not feeling well at all.
Then the plain radiographs of the patient's preoperative examination were opened for comparison.
Immediately, he scratched his head with both hands to express his shock.
He murmured in a low voice: "This?"
"How is this possible?"
"How can such a fracture be reset by manipulation to make it look like this?"
"Can Director Hu Ming do this?"
"It's absolutely impossible. When I was a graduate student, I never heard anyone say that the fracture line can be converged so beautifully through manual reduction."
"Isn't this the plain film after anatomical reduction achieved through open reduction?"
"If Director Hu can do this, Director Yan will never dare to say that fracture manipulation is not allowed in the department."
"This Zhou Cheng? Who the hell is he?"
Du Ruiqi couldn't figure it out, and couldn't figure it out.
Zhou Cheng is not a graduate student, let alone a doctor in this hospital. He used to be mediocre, but when the news of his stay in the hospital was released, he seemed to be a different person suddenly, and suddenly ascended to heaven and became a god.
Du Ruiqi always has a feeling.
That was the time when I looked at Zhou Cheng with eyes that almost ignored Zhou Cheng, and even felt that he was a little dazed.
I'm afraid Zhou Cheng has always seen him that way.
Rival.
Oh no, this TM is no longer called an enemy.
is die.
……
In the director's office, Yan Hanhan left the operating room, Hu Ming and Cai Dongfan were not there, and it was already in the afternoon, so Luo Yun was free to come and go.
After entering, he sat down in Cai Dongfan's seat, then looked at Zhou Cheng, and said with the corner of his mouth curled up, "Not bad, Xiao Zhou."
"Tell me the truth, how did you reset the fracture?"
"How did you learn it? I still seem to have inheritance."
When Luo Yun went to the ward round to see the plain films of the restoration of the fracture, he had already noticed that Zhou Cheng's restoration was different from that of ordinary people. He was a bit too stupid.
If it was Zhou Cheng who figured it out by himself, it would be a bit scary, it can't be justified...
"Ms. Luo, just those videos that Baidu can find."
"Mr. Luo, you must have noticed it too. There is nothing special about my technique. I can even find the original video for you." Zhou Cheng insisted.
Needless to say, his redefined fracture restoration technique is naturally inherited. He has learned from the whole world and studied for decades or even hundreds of years before he is in such a state. It shouldn't have appeared in this world at all. .
But Zhou Cheng can only say so.
Indecision, quantum mechanics.
Although it is not allowed to joke with Luo Yun like this, Zhou Cheng has already thought of an excuse.
Because Zhou Cheng's method of reset is mainly based on his experience and experience. The operation is not so high-level, and it is not a secret recipe. It mainly depends on the feel of the hand.
If you want to say something about secret techniques, there really isn't one.
The corner of Luo Yun's mouth twitched——
"It's fine if you don't say it. I'm not interested in watching it."
"Really not, Mr. Luo, it's not that I don't want to say it."
"Why don't I go home and pack the collected videos and send them to you, so you can confirm it?" Zhou Cheng vowed, with a frank face.
The main reason is that the type of fracture patient just now is very conventional, that is, the ordinary type, simple long bone fracture, type A1.2.
No shattering, little displacement, and the angle of the fracture line is blunt.To be honest, for Zhou Cheng, the operation is the same as playing house, and it is not difficult.
It doesn't make much sense either.
It's not a special type of fracture, Zhou Cheng can naturally find a lot of teaching videos on the Internet.
Now is the era of data, as long as you are willing to spend time and energy looking for it, there are a lot of free resources. Zhou Cheng not only collected the teaching videos of manual reset, but also the teaching videos of fractures, joint replacements and other surgeries. .
Just wait for yourself to learn, and others will ask.
And now my computer is probably still downloading and playing these videos.
Zhou Cheng did this for careful consideration. Maybe the Internet is invisible, but the Internet can never tell. When I broadcast it, are people watching it?
This is also mostly just in case...
Then I have a strong learning ability, so you can't blame me, can you?
There are so many geniuses in this world, why can't I have one more, Zhou Cheng?Anyway, it will be played on a loop after it is played.
Prudence and prudence have always been the principles that Zhou Cheng upholds in his heart. Before he did things, he was very prudent and did not cause trouble to Luo Yun and Cai Dongfan.
It is still the same now, when others believe in him, he will do what he can do and perform what he can perform.
If you don't believe me, give up. Anyway, Zhou Cheng will do less work, and he will not lose meat.And I'm young, so I can afford to wait.
At most, it's just to boil, it's fine to boil him for ten years, Zhou Cheng doesn't mind.
Steady people are the ones who are most able to endure temper and loneliness.
The corner of Luo Yun's mouth suddenly turned up, and he said, "You send me a teaching video, it's unnecessary."
"You tell me your email later, and I'll send you some."
"Didn't you say that you watched the teaching video?"
Zhou Cheng was startled when he heard the words, then immediately smiled and cupped his hands: "Thank you, Teacher Luo."
"Let's not talk about that, did you see the dislocation of the joint in the Department of Orthopedics?" Luo Yun asked suddenly.
Because when he called Zhou Cheng before, Zhou Cheng said that he was in the Department of Orthopedics.
Zhou Cheng nodded: "Look, Teacher Luo."
"Can it be done?" Luo Yun asked calmly.
Zhou Cheng thought about it carefully, and finally decided to confess to Luo Yun.
Luo Yun and Cai Dongfan are his own people, they are kind to him, and they are the ones who dig him the most. As long as he doesn't take the initiative to die, or do things beyond his ability, and let them know a little bit, that's all. There is no harm in that.
"Almost. I don't dare to say that I'm sure, you can try it." Zhou Cheng still left room for himself.
"You said the same thing last time." Luo Yun said meaningfully.
Zhou Cheng smiled back.
"Don't think about it, I have already invited a consultation. However, our department may also perform upper limb manipulation in the future."
"Don't let me lose the chain." Luo Yun confessed with a smile.
"Don't worry, Mr. Luo, I will definitely report more to you." Zhou Cheng lowered his head slightly with an obedient expression and tone, and was extremely sincere.
When Luo Yun heard this, his smile froze, and his ten toes scratched the ground fiercely.
He said calmly, "Report to Director Cai."
Luo Yun could only sell Cai Dongfan.
"it is good!"
"Go and rest."
"it is good."
……
After Zhou Cheng left the director's office, Luo Yun cursed for a while: "Damn it, you're joking with me here."
"You can't do the joint dislocation and reset it, throw it to me? Isn't this deliberately pulling my face?"
"Fortunately, I called the teacher in advance, otherwise I might have agreed."
Immediately afterwards, Luo Yun fell into deep thought again, talking to himself with a rather tangled expression——
The teacher said that this kind of reset technique requires at least an expert national player to take the risk. If I stay for another ten years, I can practice my kung fu!
Zhou Cheng actually said, he can do it?
real or fake?
It's a pity that during the years when I went to the teacher, the teacher no longer performed minor operations such as joint replacement, let alone manual reset.
I only had the opportunity to follow the teacher to learn the extremely complicated joint revision——
There is no time to make up for these basic things, and now there is not even a joint replacement in the department, let alone a revision.
But I'm still a professional joint surgeon—
Ugh!
Didn't get a Ph.D.—
Several affiliated hospitals of Shonan University cannot enter——
Such patients are not seen--
My mother is still sick and needs to be taken care of, and the medical expenses are so high every month——
Don't dare to marry——
Now he is still being stepped on the tail by a little Zhu Pei in these basic aspects.
It's a bit timid, and I don't know if the brothers will laugh at me if they know it.
I just made a call, and the teacher asked me again if I could go to study, when to go, and arrange work by the way.
It's just my own mother, can she withstand the toss of being transferred?
Go by yourself, the money you earn is enough——
Hiring a babysitter, does that count as my filial piety?
Father died early.
I'm not very close to the relatives over there, but will my uncle and the surviving grandmother allow me to take my mother to Shanghai?
The reason why Luo Yun occasionally resets joint dislocations in the department is to remind Cai Dongfan.
Can you not forget that the second department of orthopedics is also known as joint surgery.
Find some patients with osteoarthritis to come in?
By the way, you can also make more money.
Advanced gastric cancer with multiple metastases.
Mom, how can you forget to eat when you are at work?
Luo Yun's eyes suddenly became a little bit astringent.
……
13: 41!
Department of Orthopedics.
When Zeng Yi told Li Changhong with a gloomy face, Professor Wu said that he was not sure and couldn't do it.
Li Changhong stood up at that time, stunned: "What? Even Professor Wu can't do it?"
Zeng Yi nodded, and said helplessly: "Yes. Professor Wu also said that he also asked their director, and their director said that the best option is surgery."
"It is extremely risky to do manual reduction, and I have done four reductions. There may have been concurrent injuries."
"He also called the patient's family members. The family members seem to be more emotionally unstable now and feel even more unacceptable."
Li Changhong's tone was even more exciting: "Can't even Professor Li do it?"
Professor Li is the director of the Joint Surgery Department of the Second Affiliated Hospital of Shonan University, and is currently the chief executive director of the Orthopedics Department of the Second Affiliated Hospital of Shonan University.He is currently a parallel figure with the director of joint surgery at the Affiliated Hospital of Shonan University.
Because both of them were born in joint surgery, they are also the chief administrative director of the orthopedics department, and one is the vice president and the other is the dean, do you think they are just right?
Report chapter Comments
It's about to crack.
Zeng Yi picked his scalp, almost bald.
Said: "Li Changhong, I think we still need to pay attention to evaluating the ability of junior doctors once in a while, and don't take the medals and the stories out of our mouths seriously."
"Both Professor Wu and Professor Li found it extremely difficult to reset the patient. Wang Yaoxiang dragged him into reset. If I were the patient's family member, I'm afraid it would be difficult for me to accept it."
"If you can't do it, do it. It's not a question of ability or not. It's called misdiagnosis!"
Li Changhong's face was uncertain for a while, and he lowered his voice: "Director Zeng, Wang Yaoxiang belongs to Director Wang after all."
"Although Director Wang has retired and is not his own son, he is still in the department. How can I say so much? You know this too."
"Besides, I actually said this morning that our department hasn't taken over joint dislocation patients for many years, isn't it?" Li Changhong immediately began to evade.
Damn it, you can't put the shit bowl on my head, Director Zeng, obviously you said that you want to reset the joint dislocation in the department. To engage in.
Now Wang Yaoxiang, who 'knows' joint surgery best in our group, has made an accident. Are you blaming me? ? ?
Can I agree?
Zeng Yi's expression darkened immediately.
Looking at Li Changhong, he said, "Director Li, I'm not trying to tell you who's responsible. I'm telling you to recognize someone."
"Did I say it was your fault?"
But you already shook your head at Li Changhong in your heart, you only know who is responsible, right?
"Or Li Changhong, do you think your people want me to take your pulse in the future? Huh?"
"Is it because I am in charge of everything in the entire department?" After Zeng Yi finished speaking, he turned around and left the office, and rushed directly to the ward.
Obviously a little disappointed with Li Changhong.
Li Changhong looked confused for a while, and immediately chased after him, stopping Zeng Yi at the door: "Director Zeng, you misunderstood me."
"Let's not talk about this."
"I'll communicate with the patient later, and I'll figure out a way." Zeng Yi said, taking everything down.
While rubbing his head, he walked to the office of the orthopedic director, presumably to organize his language.
Li Changhong looked at Zeng Yi's back, a little bit regretful, regretting what he said just now, it was a bit too much.
If I want to become the next chief director of the Department of Orthopedics, I must have Zeng Yi's support, because Director Wang will definitely not have any objections. I attach so much importance to Wang Yaoxiang, it is impossible for him not to see it.
If a consensus cannot be reached in the first department of orthopedics, then the position of chief director will inevitably be handed over to the person in the second department of orthopedics.
Maybe Zeng Yi was a little unhappy because of his troubles today.
Patting his head, Li Changhong turned around and called Cai Dongfan again to discuss countermeasures...
It was about 13:55.
Zeng Yi finally decided to confess to the patient. The reason why he waited for a while was to give the patient's family a buffer and time to calm down. By the way, Zeng Yi felt that Professor Wu might explain something to the patient's family.
It would be best for him to talk about it this way.
However, just as Zeng Yi went out, he saw Luo Yun leading Zhou Cheng down. After Luo Yun saw Zeng Yi, he lowered his voice and whispered in Zeng Yi's ear for a while.
Zeng Yi's expression changed drastically immediately: "Luo Yun, this is not a joke, is it?"
Luo Yun then said directly: "Director Zeng, this is of course not a joke. It is the most appropriate way to talk to the patient now. If the manipulation is reset under brachial plexus block anesthesia, it is just an extra anesthesia."
"For them, surgery was avoided, and it can also be explained that there was no anesthesia, so it was difficult to reset."
"Even if the reset is not successful, it is just one more attempt. Explain to the patient's family that there is no way to do it in the end, and the only option is surgery to reset."
"That makes sense, too! What do you think?"
Hearing this, Zeng Yi looked at Zhou Cheng behind Luo Yun. Zhou Cheng was looking here and there in the Department of Orthopedics, with a very casual look.No matter how you look at it, it doesn't look like the person who became the last dead horse as a living horse doctor.
Moreover, Zhou Cheng was the first to come to the orthopedics department and was sent back by him.
After going around in circles, is it going to turn around this young man again?
"Oh, it's up to you."
"I'm going to communicate with the patient first. There are some things that should be recognized." Zeng Yidan smiled wryly for a while before going to the ward.
……
The process of Zeng Yi's conversation was surprisingly smooth.
It was mainly because of Professor Wu's mediation. Although the patient's family had many acquaintances, Professor Wu was also the person he knew who had the best understanding of joint surgery. Professor Wu said that there was no way to reset the surgery.
What can I do without surgery?
But Professor Wu also said that this operation is not a big one, and the Eighth Hospital will definitely be able to take it down. It does not need to be so troublesome to transfer to other hospitals. Early reset and early operation are good for the patient.
As for the previous manipulation reset, isn't this also an attempt?It's just that the chances are slim, and too many resets will not increase the success rate.
This can only be done by agreeing to the operation. It cannot be said that because of a misdiagnosis, if a few more resets were performed, it would be fatal.
The patient is my wife, and the pain is still on her body. As for whether I will report it later, or whether I want to mess with the orthopedics department, that is another story.
……
14: 28!
Because of Zeng Yi's relationship, Zeng Yi from the anesthesiology department came to administer anesthesia in person.
And as soon as the patient enters the operating room, he will be treated as a VIP. Zeng Yi has prepared all the preoperative medicines in the operating room in advance, and has also made preparations for the reduction of anesthesia fees.
There is no way, although the relationship with Zeng Yi is not as close as in the main room, but now they are both the chief director of the same department, and there is such a relationship.
Taking care of each other is a must.
Wang Yaoxiang was not allowed to go on stage, Zeng Yi planned to perform the surgery himself, Li Changhong was the first to assist, and because of Luo Yun's suggestion, Cai Dongfan also came to the operating room, ready to apologize to Zeng Yi and others at any time, and at the same time to save face for Luo Yun.
The lineup of this operation is quite luxurious.
The three chief physicians came to the stage at the same time, which is really quite serious.
Equipment nurses are also prepared, two.
Tour also shouted, two.
Everything is ready, after the anesthesia is finished, I will take a X-ray first.
After watching the plain X-ray before the operation, everyone found that the patient was lying on the operating table sobbing softly, and seemed to feel a little wronged.
After someone came in, she wiped the tears from her eyes with her right hand, and said with a smile: "Both Directors Zeng, thank you for your hard work. Please do a good job in my operation. I just didn't expect it, and I still couldn't escape this operation." Operation……"
Both Zeng Yi and Zeng Yi's expressions changed, but they could only sigh slightly.
Said: "We will do our best."
Luo Yun stepped forward very resolutely, patted Zhou Cheng, without saying a word, but the meaning was obvious.
Are you going to try one last time?
Can't open the stage.
Zhou Cheng was also slightly disturbed by the patient's sobbing, so he didn't dare to go up directly.
Instead, he retreated back between the C-arms, once again confirmed the dislocation in the plain film, and walked in again, nodding to Luo Yun without speaking.
It was only when I got to the operating table that I confessed to Luo Yun: "Mr. Luo, I need you to do the anti-traction at the elbow joint, and then divide the node in the front third of the forearm, about 4cm from the proximal transverse crease. Do anti-traction."
"Okay!" Luo Yun nodded, but Zhou Cheng obeyed.
Zhou Cheng immediately took two pairs of surgical gloves, handed a pair to Luo Yun, and put them on himself.
Seeing that Luo Yun has already done the traction at the elbow joint, don't hesitate anymore!
Pinch the patient's left hand with both hands for traction, and at the same time pinch the area around the DRUJ with the thumbs of both hands.
Then only a slight 'click' was heard.
The DRUJ was successfully repositioned.
Everyone in the operating room was startled, and their expressions turned bright——
His whole body seemed to be filled with lead, he couldn't move, his mouth was open, like a chick waiting to be fed, but in fact he was already an old bird...
Luo Yun was also shocked for a moment, but Zhou Cheng looked up at him.
He yelled in a low voice: "Don't let go!"
It's a scolding, not a suggestion, and it's not an opening.
Luo Yun hurriedly continued to pull back with his hands upright.
Zhou Cheng turned the patient's hand from the palm to the ground, and after pulling it a little.
Make another "click!" sound.
Everyone's nerves went numb.
Immediately afterwards, he added: "The front third of the forearm."
Luo Yun hurriedly did it again.
Zhou Cheng slightly bent the patient's hand, rubbed it with his thumb near the bones of the metacarpal and wrist joints for a while, and then uttered a few more crisp sounds than before.
Zhou Cheng signaled to Luo Yun that he could relieve his stress, then closed his eyes slightly, and the thumbs of his left and right hands were walking around the back of the patient's left hand and wrist like two feet, which seemed like a magic stick...
1 chapters, everyone is sensible, acting in a full set!
None of Zeng Yi, Li Changhong, and Cai Dongfan had a major in joint surgery. They only had a bachelor's degree when they worked, and they studied clinical medicine (five-year course) as a whole.
But although he does not specialize in joint surgery, after so many years of clinical experience, he still has a basic understanding of joint dislocation.
There are four main symptoms of joint dislocation -
Deformity, pain, limited mobility, dislocation on imaging.
The four major signs go hand in hand and hardly exist independently.
The signs to evaluate the successful reduction of joint dislocation are closely related to these four signs.
Pain relief, recovery of activity.
But now that the patient has received a brachial plexus block, if the patient can still feel pain relief and resume activities, it means that Zeng Yi, the director of the anesthesiology department, is not skilled enough.
There are therefore only two evaluations left that can be used.
The affected limb was deformed, and the deformity visible to the naked eye disappeared.
However, the disappearance of the deformity visible to the naked eye is not as accurate as the palpable articular surface returning to the normal structure.
The three of them only saw the disappearance of the deformity, and their minds were tumbling for an unknown number of times.
Zeng Yi and Li Changhong immediately turned to look at Cai Dongfan.
This dislocation?That's it?
So at the very beginning, Cai Dongfan sent someone who could solve the problem to us, and we drove him away, and then there were so many moths behind him?
Cai Dongfan hurriedly explained in a low voice: "Director Zeng, Director Li, I knew that Zhou Cheng would reset the technique, so I called him to the Department of Orthopedics immediately!"
"Of course it's too late to say these things now, let's settle things first."
After finishing speaking, he first leaned towards the operating table and waited for Zhou Cheng to give the patient a standard physical examination.It is also the second evaluation criterion to determine the successful reduction of joint dislocation before C-arm fluoroscopy again.
Zhou Cheng didn't make everyone wait for a long time, but after carefully inspecting the dislocated planes of the inferior radioulnar joint and metacarpal joint, he cautiously glanced at Luo Yun, took two steps back, and stepped aside. Location.
He said, "Teacher Luo, I think it's a blessing."
"You should review it again, just be sure."
Zhou Cheng's tone was sincere, not to show off in front of Luo Yun and the others on purpose, but because he felt that the physical examination results from Luo Yun's mouth would be more convincing.
Because it can be seen that Zeng Yi, Li Changhong and others trust Luo Yun more, and now that Luo Yun is by his side, there is no need for any more misunderstandings.Luo Yun checked again, and it didn't take much time.
And now everyone in the operating room can't afford to waste their time. As long as the patient's dislocation is done well, it will be fine to delay for another half an hour!
Luo Yun nodded, and then began the physical examination: "The surface of the DRUJ is smooth and has basically recovered."
"The articular surface of metacarpal dislocation has basically recovered."
Luo Yun's physical examination was not limited to this, but demonstrated his profound knowledge and professionalism as a joint surgeon: "Check the stability of the radial styloid process, ulnar head, snuff socket and DRUJ. "
"Active range of motion cannot cooperate, passive range of motion: fully extended position is 0, palmar flexion is 0-60, dorsiflexion is 0-50, radial deviation is 0-30, ulnar deviation is 0-40 ."
Report chapter Comments
"The patient's healthy upper limb is receiving intravenous infusion, so it is impossible to compare. However, the passive range of motion is within the normal range." Luo Yun explained to the patient after professionally completing the physical examination.
Zeng Yi, Li Changhong and the others breathed a sigh of relief when they saw Luo Yun demonstrating the speed of movement for them and adding explanations one by one.
After resetting, it is already very good to have such a good passive range of motion, at least we can look forward to it.
But when Zeng Yi was about to say something, Luo Yun's hand continued to move, and at the same time began to dictate:
"Finkelstein test uncooperative due to anesthesia."
When Zeng Yi heard this, the expression under the mask froze, what was Luo Yun talking about?What Finkelstein?
Cai Dongfan and Li Changhong also opened their mouths slightly.
And Luo Yun chose to continue:
"Kirk Watson sign (negative)."
"Lane-Kirk Watson sign (-)"
Luo Yun spat out two extremely professional terms again, and seemed to see the blank embarrassment in the eyes of Zeng Yi and others, while Zhou Cheng looked a little calm, as if he really understood.
Luo Yun instantly understood.
Experts will know if there is one as soon as they make a move. Joint surgery has its own very professional knowledge system and system.
Zhou Cheng's expression showed that he understood the location and purpose of his inspection. He really did his detailed homework, not some wild way.
Zhou Cheng's bottom was revealed.Luo Yun felt that there was no need to continue to embarrass Zeng Yi, Cai Dongfan and others, so he directly added an explanation in the following physical examination:
"Carpal radial and mid-wrist drawer test (-), there is no laxity in the mid-wrist joint."
"Medium wrist displacement test (-), no ulnar deviation of the affected limb."
"The fulcrum shift test (), the planar structure between the cranium and lunate was restored."
"No relaxation and crepitus (-) in the Reagan test: no abnormalities in the planar structure of the lunate, triquetrum, and pisiform bone."
"Chris-Bain test (-), the stability of the lunate, triangular, and pisiform bones was restored."
"Piano key test (-): no dorsal subluxation."
"Radioulnar drawer test (-)"
"Sag test (-), no DRUJ (dorsal subluxation of radioulnar joint)."
After doing this, Luo Yun fiddled with it a bit, but he seemed to shake his head before turning his head and said: "Director Zeng, Director Li. There are also some other special signs. The patient currently has no pain, and the examination cannot cooperate. I think It's time for the next step."
"Do the directors feel the need to add anything?"
Luo Yun has his reasons for doing this. It is not just to show off his knowledge, but to improve Cai Dongfan. He is really a very professional joint surgeon. Our second orthopedic department can start to accept some joint surgeons. Surgical specialist patients.
Second, even though Zhou Cheng is just a small resident now, he has done manual reset for dislocated joints. In fact, in your heart, you are not sure whether Zhou Cheng's manual reset is good or not.
I can be sure, I don't mean sure, but really sure, because I am a professional.
The above are the results of the joint stability and stimulation test that I can do now after a systematic physical examination. These test results support my current argument.
As early as Luo Yun started to talk about a lot of awkward medical examinations, Zeng Yi and Li Changhong became nervous because they couldn't understand!
They are no rookies anymore, but as Luo Yun said, they are too professional.
For example, if joint surgery is a palace, Cai Dongfan and the others have only walked around the palace at most, and Luo Yun has lived in it, so when it comes to understanding it, it is naturally not as good as living in it. People are so familiar.
As soon as Luo Yun said this, Zeng Yi immediately looked relaxed for a while, shook his head and said, "I don't think there is any need to add, your physical examination is already detailed enough, let's use the C-arm X-ray."
Rao Zeng Yi's self-cultivation is not bad, when Li Changhong and him shirked responsibility before, he didn't scold his mother in his heart.
But at this moment, I also cursed in my heart, Luo Yun, let me add to your grandma and ancestors, you definitely did it on purpose...
"Changhong, Dongfan, do you think so?" The matter was more than half settled, Zeng Yi relaxed a bit, and naturally felt that the sword Luo Yun handed over cannot be picked up by himself, and I want you to feel it sharp.
Cai Dongfan immediately shook his head, blinking his small eyes, and replied: "What Xiao Luo said is what I think, the joint patients in our group were previously in charge of Xiao Luo."
After finishing speaking, Cai Dongfan felt that he had to speak more safely, and added: "Xiao Zhou also assisted in handling it."
"It depends on whether Director Li thinks there are other inspections that need to be supplemented?"
"After all, the patient belongs to Director Li, so it's not easy for me to do it for me."
Cai Dongfan felt good at the moment, this Luo Yun really gave him a face.
When Li Changhong called him before and said that Luo Yun didn't need to come again, Cai Dongfan actually had a problem in his heart.
You are in trouble, I sent someone to you immediately, and you still call me to say that I am not, did I perfunctory you?
These words are not easy to say, but at this moment it can be used as a metaphor, giving you a look and you can experience it yourself.
What is a professional?
The two people that Lao Tzu took care of were very professional.
Li Changhong didn't have the time to figure out what Cai Dongfan was hiding at the moment. As Cai Dongfan said, the patient belonged to him, and he just wanted to solve the patient's dislocation as soon as possible. The professor from the outer hospital was the solution, and the internal solution was also the solution.
Quickly said in a low voice: "Since Luo Yun is a professional, let's listen to the evaluation of professionals, push the C-arm, and see through."
"After the X-ray, the result is OK, so I'll explain it to the patient's family as soon as possible."
This is already a different kind of confession and convincing.
When Cai Dongfan heard this, he didn't want to say much. Zeng Yi immediately asked the roving nurse to prepare for X-rays, and then went to push the C-arm machine himself.
Seeing this, Li Changhong immediately volunteered to push the C-arm.
Call everyone out and go to the separate isolation room next door.
……
The fluoroscopy is very fast, and the result comes out in seconds.
After reading it, Zeng Yi breathed a sigh of relief, thinking that the post-operative plain film looks like what a normal person's wrist should look like.
But he didn't dare to speak first, but looked at Luo Yun and asked, "Luo Yun, is the result okay?"
Zeng Yi was also a little apprehensive. Luo Yun's previous physical examination could no longer be simply described as a professional. It can be said that Wang Yaoxiang said that he knew how to perform joint surgery.
After watching the flat film, Luo Yun pursed his lips and patted Zhou Cheng on the shoulder.
He cursed in a low voice: "What is the pestle doing here? You are the one in charge. No matter whether it is good or not, you have to give an explanation for the plain film after the postoperative review. Remember this habit in the future."
This is a habit in the large teaching hospital, that is, when Luo Yun was studying in the past.
Regardless of the results of the intraoperative re-examination, whether it is good or not, the surgeon must explain it first. To evaluate where a surgery is good and where it is not.
If you don't do well, you can tell it. Naturally, a professor will explain it to you.
Of course, if the professor at the top also finds that there is something wrong with his operation, then there is no way to do it. We can only bite the bullet and continue to do it together.
Such cases are rare, but they do happen.
This is an objective fact, and it is also a cruel thing.
Even my own teachers, including the team of academicians, including the world's top orthopedic team, will have cases and diseases that exceed the team's capabilities.
Less, but also present.
Zhou Cheng immediately gave an explanation: "Director Zeng, Director Li, Teacher Cai, Teacher Luo. I think the result of the reexamination is good, because you see, this is the DRUJ..."
After Luo Yun said so, Zhou Cheng took the initiative to explain the plain film of the postoperative review, and explained in detail which places to look at, and what is the use of looking at these places.
(Note 1: I can't put the flat film, so I won't explain the word count in detail. The professional physical examination above has shown its professionalism.)
(Note 2: If you have orthopedics-related professional friends, you can send the clips to pretend to be forceful, and ask what these are for. But I was asked back, and the author is not responsible for answering questions. Go to Baidu or check professional information by yourself and literature.)
(Note 3: Tsundere face.)
"Here, we can see."
Zhou Cheng quickly entered the 'status', instead of Zhou Cheng reporting to Zeng Yi and Li Changhong, the style immediately changed to Zhou Cheng giving lectures to four people.
Explain what joint dislocation looks like, and then what it looks like after reset. After the joint dislocation is reset, there will be differences from the normal joint structure due to edema.
Zhou Cheng spoke in too much detail, mainly to convince Zeng Yi and the others.
This is also learned from Luo Yun.
But after talking for a while, Luo Yun rolled his eyes again.
Touched Zhou Cheng, said: "It's almost done, why are you so blah? Get over it quickly, Director Zeng and Director Li still have their own affairs."
Luo Yun cursed inwardly, "Zhou Cheng, we're almost done. I'm just showing off. You're better off, just come to class as a teacher."
I only dare to click to the end. If you do this, it will backfire. Didn't you see that Li Changhong and Zeng Yi will soon reach the critical point of impatience?We are all subordinates after all.
Zhou Cheng immediately concluded: "Director Zeng, Director Li, I think we can tell the family members that we have succeeded in the conservative treatment."
This is what Li Changhong was waiting for. He didn't agree with the manual reset of joint dislocation in the department. He also estimated that this was the second joint dislocation patient in the Department of Orthopedics, and it would be the last one.
Where did he have the heart to listen to Zhou Cheng's persuasion, the reason why he listened politely and patiently was because Zhou Cheng treated him difficultly and did not dare to lose his temper as a superior doctor.
As the director, he can use the trick of drawing salary from the bottom of the pot.
But after all, Cai Dongfan was facing him face to face, so if he messed with Cai Dongfan like this, he would definitely not understand him.
He immediately said politely: "Okay, the rest is just another plaster cast, right? I'll call someone to put a plaster cast on right away."
Zhou Cheng has helped so much, even if Li Changhong thinks he is the director again, it is not easy for Zhou Cheng to do the finishing work of plastering.
Wang Yaoxiang and others are doing emergency surgery, just call anyone to put on a plaster cast.
Zhou Cheng scratched his neck and said, "Director Li, let the patient's family members buy a wrist brace online? Plaster is not easy to use."
Although gypsum is a basic and practical auxiliary tool in orthopedics, the fact that it is widely used does not mean that it is easy to use.
For joint fixation, the best thing is to customize the brace. Customizable braces are too expensive, and you can buy retractable braces online. (I hope that the knowledge points that book friends will not use.)
"Okay!" Li Changhong nodded hurriedly.
Wrist braces, he still knows.
Fractures of the upper limbs, there are also finger braces instead of plaster casts made of aluminum plates...
That means there is nothing to do, and the matter is over.
Luo Yun took the initiative to take Zhou Cheng away, while Li Changhong went into the operating room and told the patient the good news first.
The patient was stunned for a moment, then she was shocked and disbelieving at first, but immediately burst into tears with excitement. She really didn't want to have an operation. Like a roller coaster.
Now, although she was told that she could not have the operation, she felt that Li Changhong was simply too inconsistent, but this was a good thing, and she would naturally not be concerned about Li Changhong's face-slapping thing of saying that he would have an operation, but not having it... …
Zeng Yi left with Cai Dongfan, leaving before Luo Yun and Zhou Cheng.
After going down to the dressing room downstairs, the two of them didn't change their clothes, but hid in the 'relaxation room', and each of them ordered a stick, wanting to relax.
Today, because of this patient, whether it is Zeng Yi or Cai Dongfan, it is quite a headache.
There was no one in the smoking room at the moment, so Zeng Yi moved a stool, leaned against the doorknob to prop it up, sat on it, held a cigarette in his left hand, and kept flicking it back and forth on the ashtray.
Then he looked at Cai Dongfan and said, "Dongfan, it seems that Professor Ding called me and said that we should routinely carry out conservative treatment of fractures and dislocations. Our department may not be able to get involved. Please help me relay it to Director Yan at that time." , this matter may have to be handled by you in the Second Department of Orthopedics."
"After all, your department still has the brand of joint surgery. It's not that we don't want to help Professor Ding."
Speaking of this, Zeng Yi pecked hard again, and then said, "Professor Ding, I'll call him and explain myself."
Zeng Yi didn't say clearly that he actually wanted to take advantage of Cai Dongfan's popularity. Although he meant that, he couldn't say that.
Cai Dongfan nodded naturally. He never thought that the Department of Orthopedics would do dislocation of upper extremities with manipulative reduction and conservative treatment of fractures. The reason why he mentioned Zeng Yi and Yan Haihan was mainly because he hoped that they would agree to his group to do this matter.
It was Zeng Yi and Yan Haihan who insisted on interfering.
"Okay, Director Zeng, I will tell Director Yan about this." Cai Dongfan didn't gloat.
Although the orthopedics department is divided into departments, and each department is divided into treatment groups, they still break the bones and connect the tendons, and all are prosperous.
If something happened to Zeng Yi today, the hospital would definitely suspend all conservative treatments in the orthopedics department.This is not what Cai Dongfan wants to see.
Zeng Yi nodded, took a long breath, and the smoke in front of him was like an arrow.
His eyes were rather profound: "Dongfan, Luo Yun in your group, and Zhou Cheng, are rare talents."
"The joint surgery department of our eighth hospital is currently in a rather blank state. Only Director Wang's group will occasionally receive some joint replacement patients. Neither Li Changhong nor I have such energy to be distracted. For spine and upper limb patients, just That's enough of a headache for us."
"You have to take good care of these two people, maybe they can give our hospital a good start in joint surgery."
"Now the major hospitals in Shashi are highly competitive, and simple fracture surgery is becoming more and more routine in the province, and there are almost no fracture patients transferred. Our two departments do not have too many patients today."
"We have to find patients by ourselves, and make full use of the sources of diseases in outpatient clinics. It can also save them from traveling."
Speaking of this, Zeng Yi asked calmly: "Does Luo Yun intend to develop with Professor Ding? You can talk to Luo Yun in private about this!"
Report chapter Comments
Luo Yun is a doctor in this hospital, and Zeng Yi is naturally aware of it, because of the personnel affairs in the department, he has to personally interview everyone who comes in.
Zeng Yi only knew that Luo Yun was a graduate student and a joint surgeon.I remember that when he interviewed Luo Yun, he asked: "Our hospital is different from the place where you study. Can you perform fracture surgery?"
Luo Yun shook his head and said truthfully: "I'm sorry, Director Zeng. When I was a graduate student, our team only worked on joints. We rarely contact fracture patients, but I can learn from—"
Then Zeng Yi threw it to Cai Dongfan, who was the deputy director at the time.I just didn't expect it.
Luo Yun is really professional in joint surgery.
Throw it to Cai Dongfan?
Come to think of it now.
It's not a mistake, but it's a bit reluctant.
Zeng Yi is very happy that Cai Dongfan can take the initiative to take up the blank of the joint and develop well.
Cai Dongfan blinked his small eyes, bowed his head and pondered for a while, then licked his lips, and said, "Director Zeng, I'm going to tell you something in private. I think you will definitely not say anything, Director Zeng."
"And I also know Director Zeng, you are a more daring person, otherwise, I would not have passed Director Yan to tell you about this."
Zeng Yi nodded: "Tell me, you, Cai Dongfan, have never been an honest person."
Zeng Yi didn't know if Cai Dongfan was implying that he was brave enough to share a piece of the pie without joint surgeons in the department, so he also played Cai Dongfan's bottom line first, is Cai Dongfan timid?
Not small.
That's fine.
Moreover, the orthopedics department of Eighth Hospital has never lacked courage.
"Professor Ding doesn't know Luo Yun. He intends to arrange for Zhou Cheng to arrange authorization for Class III surgery in a few months."
"To arrange the level III surgery authorization, we must first obtain the level II surgery authorization for Zhou Cheng and complete a certain amount of surgery. Before that, we must let Zhou Cheng do some level I surgery and operations first."
"That's why this happened." Cai Dongfan said in a low voice, his expression seemed dreamlike under the smoke.
Zeng Yi couldn't even recognize Cai Dongfan, his expression was stunned, his hands were stiff, his mouth was open, and he didn't dare to speak.
After a full 3 minutes.
Trembling all over, Zeng Yicai said, "Professor Ding wants to arrange for Zhou Cheng to be authorized for a Class III operation?"
"Our hospital has always performed leapfrog operations in secret. How can we grant them in advance?"
Attending doctors leapfrog grade III operations, residents leapfrog grade II surgeries, these cannot be put on the bright side.How could the medical department give you authorization in advance to help you take the blame?
If it happened, it would be sneaky, and the superiors would pretend it didn't happen.If it is obvious to ask for authorization, can the medical department agree?
Only then did Cai Dongfan smile and said, "Isn't there no one asking for this?"
"That's what I think. Since Professor Ding wants to train doctors in our hospital, we naturally can't hold Zhou Cheng back."
"I originally planned to let Zhou Cheng accumulate a certain amount of I-level surgeries, and then I would brazenly ask you, Director Zeng, and Director Yan to go to the medical department together, to show affection and reason, Fight for it."
"But since I happened to be talking about this today, I just want to ask Director Zeng for your opinion."
Cai Dongfan has a bright meaning and a dark meaning.
Knowing the first aspect, Professor Ding intends to arrange authorization for Zhou Cheng in advance for class III surgery. We need to help Zhou Cheng obtain authorization for class II surgery in advance.
On the second side, Zhou Cheng is not an employee of our hospital yet, Director Zeng.
Cai Dongfan has never been a 'good person', and he planned to keep Zhou Cheng in his heart, so he just took this opportunity to let Zeng Yi know that there is a reason why I want to keep Zhou Cheng.
As the chief director, Zeng Yi has seen too many things, so he naturally understands what Cai Dongfan said inside and outside the meaning.
There was another full minute of silence, and after putting out the cigarette in his hand, he lit another one, then scratched his head and said, "Cai Dongfan, I understand what you mean."
"Zhou Cheng is very good and a good talent. But why did you come to tell me now?"
"The establishment of the department has basically become a fixed number, unless there is an unexpected change. It can be corrected."
"What time is this?"
It's October.
It is too late.
In the department, there are only three establishments given by the hospital, two for him, and one for Yan Haihan, his two have already been arranged, and Yan Haihan's estimate has also been determined.Just wait for the exam.
Now Cai Dongfan suddenly came out, talking about Zhou Cheng's affairs, the bowls for the soup were gone, let alone the soup.
However, Zeng Yi is also a sensible person.
Ding Changle is a professor at the Affiliated Hospital of Shonan University, and he even planned to arrange for Zhou Cheng to be authorized for a Class III operation in advance. What does this mean?
Either Zhou Cheng is his illegitimate son, or Zhou Cheng's ability is very strong!It was approved by Ding Changle.
If it was the former, Ding Changle would never allow Zhou Cheng to work in the No. [-] Hospital, and he would directly go abroad for postgraduate study and Ph.D. and stay in the Affiliated Hospital of Shonan University.
Now that Professor Ding has helped with the side assessment, he feels that Zhou Cheng has such strength, and he will not think that Ding Changle will be a villain.Misread someone or something.
So he pondered for a while and said: "How about this, Zhou Cheng can be valued by Professor Ding, and his ability must pass the test. It is really hard to change the things that have been determined. Let's give a faculty appointment first."
"Equal pay for equal work."
"The benefits in the establishment are supplemented by performance."
"In terms of organization, next year Zhou Cheng will be considered as the first pick."
Zeng Yi became cruel, and gave Cai Dongfan a way of compensation that surprised Cai Dongfan.
Cai Dongfan looked at Zeng Yi in great surprise: "Director Zeng, this? Also? Too?"
Zeng Yi said: "For the development of hospitals and departments, the platform is the most important, and only talents can make the platform work well."
"I'm not stupid."
"Not to mention other things, as far as the postgraduates and doctors in Shonan University are concerned, how many can be authorized in advance for the surgery arranged by the professor personally?"
"Will people who can get this honor come to our Eighth Hospital?"
"Since Zhou Cheng is with us, we are close to the water, so we have to give up before we can keep him."
However, after finishing the above words, Zeng Yi took another puff of cigarette, and then said: "Although our hospital needs talents, we also hope that the comprehensive academic qualifications of our hospital staff can be improved."
"We still have to respect the consideration of the leadership of the academy."
"It is the hospital's regulations to provide graduate students. Regulations are dead, but people are alive."
"After Zhou Cheng stays, let's find a way to get a postgraduate degree. It will be easier to explain to the outside world."
Zeng Yi's words simply gave Cai Dongfan enough face, and also considered the overall situation, which has exceeded Cai Dongfan's expectations.
Cai Dongfan immediately nodded in response: "I know this, and I will tell Zhou Cheng. The decision made by the leadership of the academy must have good intentions, and we will try our best to follow it."
"Then I'll be here, first for Xiao Zhou, thank you Director Zeng."
Zeng Yi was too generous.
What are the advantages of the establishment, one is hidden benefits, and the other is stability. As long as you don't make mistakes, the department cannot unilaterally fire you, which is like a talisman.
Basically, Zhou Cheng didn't have to think about being expelled unilaterally. The hidden benefits were paid out in a performance-based way, which was equivalent to paying extra money for Zhou Cheng to buy the hidden benefits that should be bought.
This sincerity is enough. Now that the staffing of the department has been settled, if there are major changes to be made, no matter whether it is Yan Haihan or Zeng Yi, it will definitely be quite embarrassing, and Cai Dongfan knows it well.
Because speaking of it, Zhou Cheng was stuck here because of his lack of academic qualifications. Those who had already contacted Zeng Yi and Yan Haihan would definitely kill Zhou Cheng because of this.
If this kind of entanglement can not happen, it is best not to happen.
Zeng Yi and Yan Haihan, although they are directors, are actually not easy.
It is already a blessing for orthopedics that Zeng Yi can have such courage.
Zeng Yi continued to nod, and said, "Well, let's arrange the matter of staying in the hospital like this first. You can explain it to Zhou Cheng carefully. I hope he can understand our difficulties. We also need to see how much we attach importance to him."
"In addition, regarding the authorization of Level II surgery, you will count me in the assessment list when the time comes, and I will call Director Wang, plus Yan Haihan."
"I don't believe it. The current directors of the two wards of our orthopedics department, plus Director Wang, the old chief director of the orthopedics department, the medical department doesn't even give this face."
"If we don't do anything in orthopedics, we won't do it. But since we want to do it, we must take it down."
After Zeng Yi made a cruel decision, he looked at Cai Dongfan again, speaking bluntly.
"But, Cai Dongfan, I want to put the ugly words first."
"I'm a person who doesn't want to doubt my brothers in the department. It's the same for Li Changhong, and it's the same for you."
"If you introduce another Wang Yaoxiang to me, I will kill you!"
"I cut off your tongue and fried it with wine." Zeng Yi's tone was slightly higher.
Cai Dongfan was taken aback, and looked at Zeng Yi.
Because Zeng Yi is the one who can do this.
Zeng Yi looked serious, but then he shook his head and said, "That's not the case, your director's outfit will last for a few years, and come hang out with me."
"I'll put Liu Suolong from our group in your position to lead the group."
After Zeng Yi finished speaking, he saw Cai Dongfan's face change again, so he cursed in a low voice: "Cai Dongfan, you can't be a white wolf with nothing."
"I'm seriously considering this matter. I've spent all my money. You can't just say a few words and let me bleed."
"If you think what I said is unacceptable to you, then let this matter go, or if you think about it carefully, come and bargain with me."
Zeng Yi was really screwed by Li Changhong and Wang Yaoxiang from their team, and it happened today.
Could he be more careful?
It's just that I can understand Cai Dongfan's hesitation, whether he is willing to take advantage of his own future for Zhou Cheng.It is also a problem for Cai Dongfan, do you really understand the people in your own group?
Back then, when director Wang Yongjin was the chief director, he beat me Zeng Yi much harder than today, Zeng Yi's mind was stirring...
Cai Dongfan pressed the butt of the cigarette into the ashtray with great force, and a little sweat broke out on his forehead.
Talking to Zeng Yi today is not a joke, but for real, how can this kind of thing be a joke?
Who is Zeng Yi?
Just received a call from Ding Changle yesterday, and today he dared to call director Guo Haoran of the emergency department to ask for a patient. Would he make such a joke with himself?
Just for Zhou Cheng?
Cai Dongfan thought for a while, then nodded fiercely, and said, "Director Zeng, I choose to believe in Zhou Cheng of our team!"
Zeng Yi put out his cigarette calmly and walked out of the 'relaxation room'.
The footsteps are steady, and there is no change in mind.
Inside, Cai Dongfan's expression was tangled, and after answering, he cursed in a low voice: Xiao Zhou, don't let me down.
Professor Ding, don't hurt me on purpose, and tell me that you read it wrong.
I put all my trust in you.
As long as Ding Changle wasn't joking with him, Zhou Cheng wouldn't be able to coax him. He had to fight for Ding Changle's arrangement. Professor Ding was willing to run for Zhou Cheng, so why couldn't he be more cruel...
Opportunities are rare and fleeting.
……
Zhou Cheng and Luo Yun walked out of the operating room.
Luo Yun tilted his head and asked Zhou Cheng: "Do you understand what I mean by the specialist examinations I mentioned just now?"
Zhou Cheng shook his head directly: "Mr. Luo, I know the Chinese translation of the physical examination signs of a small part of the English names you just mentioned. I don't understand the names, but according to the physical examination you did, I can guess come out."
Although Zhou Cheng can speak English, and the joint dislocation reset method has reached the perfect level, it does not mean that he has his own understanding of joint dislocation, but it is not just memorizing which inspection is performed by which What the foreigner raised is just to keep the purpose of the inspection in mind.
And if Zhou Cheng is willing, he can also make a negative and positive of ZHOU's sign.
But this requires a large number of patients with joint dislocations as the research basis, and then he needs to have a certain status in the world before he can arrange these things.
In the simulation copy, although he has done it, Zhou Cheng has no memory of the specific process, only the memory and understanding related to the healing skills.
In the mock copy, everyone's names were hidden, how could Zhou Cheng know this.
Luo Yun immediately rolled his eyes: "This is different!"
"I just speak English on purpose."
Luo Yun also didn't explain that he was reminding Cai Dongfan of joint surgery...
Then, Luo Yun changed the subject and said, "Director Zeng called Director Cai out on purpose just now. I think we will discuss your stay in the hospital. You can look forward to it."
"Well, I hope." Zhou Cheng also nodded.
Report chapter Comments
He met Ding Changle yesterday, but the other party had no intention of accepting him as a student.
The east is not bright and the west is bright. One aspect of studying for a postgraduate entrance examination is for work and life.
Being able to stay in the Eighth Hospital is much better than the platform of the Town Hospital.
Hearing Zhou Cheng's answer, Luo Yun inadvertently asked: "Have you ever considered, how do you choose between staying in the hospital and improving your education?"
Luo Yun's consideration is to inquire about Zhou Cheng. If Zhou Cheng wants to go to graduate school, he doesn't need to limit his attention to the province.
Zhou Cheng smiled wryly, "I'm 26 years old now, Mr. Luo."
It means that if you go to graduate school and take a doctoral degree at this age, you will be over [-] in six years.
But Zhou Cheng still couldn't be sure of the truest thoughts in his heart, so he struggled again and said, "But let's see again, take one step at a time."
Luo Yun could tell that Zhou Cheng had the idea of going to graduate school, it's just that.
Before?
How did it happen before?
Luo Yun also shook his head.
I will not continue to dwell on this topic any longer.
"Go back to the department first and finish your day shift. In the evening, I will replace you." Luo Yun then said to Zhou Cheng.
Zhou Cheng quickly shook his head: "Mr. Luo, no need. I will live in the department. I will go back later to get my schoolbag and change my clothes. Teacher Luo, go back and have a good rest. I can't figure it out, so I have to trouble you."
Just kidding, go back to rest by yourself, and Luo Yun will be on the night shift, is this a personnel matter?
Hearing this, Luo Yun touched his head, and the corners of his mouth twitched for a while.
Then he made up his mind, and asked Zhou Cheng forcefully: "Xiao Zhou, wise people don't speak secretly, a gentleman lies in being honest."
Luo Yun decided to be sensible, and confessed to Zhou Cheng leniently——
"What you really think in your heart is: you can't handle the patient, do you want to call me to sleep?"
If Zhou Cheng answers that it is necessary, then you can call, and I can only agree.
Zhou Cheng also touched his head, looked at Luo Yun's serious expression, smiled innocently, and replied very sensiblely: "Mr. Luo, my suggestion is to have another operation, what do you think?"
"I think it's very good!" Luo Yun nodded heavily and responded.
Sensible are sensible.
Acting plays a full set.
Chapter 111 new copy!
Zhou Cheng hurried back to the rest room of the second orthopedic ward, only to see Du Ruiqi.
Du Ruiqi was reclining and resting, and didn't have time to play with his mobile phone. After seeing Zhou Cheng, he hurriedly greeted Zhou Cheng: "Brother Zhou Cheng, are you back?"
Du Ruiqi only knew that Zhou Cheng was taken away by Luo Yun, but he didn't know exactly what Zhou Cheng was taken by Luo Yun to do.
"Well, how many patients have you admitted today? Are you busy?" Zhou Cheng asked casually, and then walked to the upper bunk of another bed.
Since he was busy in the morning until now, he hasn't had a good lunch, and Zhou Cheng is quite tired.I have to take a good rest. I don't know if I can rest well at night.
Although Du Ruiqi can handle conventional fracture patients, patients with joint dislocations will not stop happening just because it is night.
"Fortunately, only three new patients have been admitted so far. They have all been processed."
"Thank you, Brother Zhou Cheng, if it wasn't for your help, I don't know how tired I would be." Du Ruiqi thanked Zhou Cheng again.
"It should be, you are too polite, Brother Rui." Zhou Cheng replied casually, and said, "Brother Rui, squint and rest for a while."
"Okay." Du Ruiqi thought the same way. When you are on 24-hour shift, don't pick your time. When you have time to sleep and eat, eat quickly and don't get entangled.
……
At some point, the door of the lounge was gently pushed open.
Cai Dongfan squinted his small eyes and saw that Zhou Cheng was sleeping and snoring slightly, so he didn't wake Zhou Cheng up, closed the door, and walked out of the department.
He originally wanted to talk to Zhou Cheng about something, but Zhou Cheng is so tired now, although the matter is important, he doesn't have to explain it to Zhou Cheng right away, it's the same thing tomorrow, and it's the same thing.
……
However, not long after Cai Dongfan left the hospital, the door of the second orthopedic ward opened and a person walked in.
He first went to the doctor's office and looked around, but there was no one there. After thinking for a while, he asked the nurse on duty: "Is Dr. Xiao Zhou from your department still in the department? Is he on duty today?"
The nurse on duty knew Li Changhong, so she stood up immediately and said, "Director Li, Dr. Du from Director Hu's team is on duty today. I saw Dr. Xiao Zhou at first, and I don't know if he is still in the department."
"Do you have anything to do with him? Shall I call him?"
It was Li Changhong who came.
He quickly waved his hand and said, "Stop calling, I'll go to the lounge to have a look, if you're not in the department, forget it."
After finishing speaking, he went back to the direction of the duty room. The reason why he came to ask was to confirm whether Zhou Cheng was on duty, and he was afraid that he could not find anyone.
But the answer he got now made Li Changhong's heart vibrate even more.
It was not Zhou Cheng who was on duty, but Zhou Cheng was running a joint dislocation consultation.It seems that Cai Dongfan and Yan Haihan are really courageous, they directly treat Zhou Cheng as the chief on duty.
In this way, his own calculations will be slightly lowered.
After pushing open the lounge door, Li Changhong woke up both Du Ruiqi and Zhou Cheng.
Zhou Cheng was also on duty, and like Du Ruiqi, he had an inexplicable reaction to the sound of the lounge door being pushed open.
It is almost similar to the physiological reaction of an early alarm clock, which should be the professional reaction of every doctor on duty...
Zhou Cheng squinted his eyes, raised his head and planned to get out of bed, but after raising his head, he realized that he was not on duty today, so he lay down again.
And Du Ruiqi shouted directly: "Here we come."
Rubbing his eyes, he began to look for shoes.
But there was no one named Du Ruiqi, Li Changhong walked in lightly, saw Du Ruiqi, and said, "Did it make you rest?"
Du Ruiqi's heart twitched: What do you think?
But immediately sat upright, and quickly put on his shoes and stood up.
"No, no, Director Li, I just woke up too." Du Ruiqi pretended to be energetic, and stretched his body deliberately to prove his hypocrisy from the side.
After hearing Li Changhong's voice and Du Ruiqi's address, Zhou Cheng quickly got up and got out of bed.
He guessed that Li Changhong came to look for him, and while getting out of bed, he put on his shoes and greeted Li Changhong: "Director Li."
Seeing Zhou Cheng get out of bed, Li Changhong said, "It's just right, I'm looking for you, Xiao Zhou. Can you come down with me to the orthopedic department?"
"Okay, okay. Director Li." Zhou Cheng only thought that Li Changhong was looking for him to see the patient's re-examination film or to discuss the patient's affairs.
Du Ruiqi was wearing his work clothes, laughing with him, and then he took the time to sneak into the office and sit upright.
After Zhou Cheng also put on his work clothes, he took the initiative to ask: "Director Li, did the patient wake up from the anesthesia?"
Li Changhong walked in front: "Go to my office first, let's talk later."
Zhou Chengcheng didn't speak anymore, but he had some doubts in his heart.
Follow Li Changhong all the way, through the stairs to the orthopedic first ward downstairs, and under the leadership of Li Changhong, drive straight to the director's office, without any intention of seeing the patient.
After entering the door, Li Changhong took the initiative to pour Zhou Cheng a glass of water, and then asked Zhou Cheng to sit down.
"Director Li, please sit down first." Zhou Cheng didn't dare to sit down first, but he was uneasy. He was not afraid that Li Changhong would treat him fiercely, but he was afraid that he would not know what Li Changhong's intention was.
I always feel that Li Changhong's ulterior motives are not in drinking.
Li Changhong sat down first, but instead of leaning against the back of the leather chair, he took the initiative to lean forward and said enthusiastically: "Xiao Zhou, I remember, you seem to have come to our department for a round before." ?"
"Well, Director Li, I have been to the Department of Orthopedics, and I was in your group before." Zhou Cheng said proactively.
He didn't expect Li Changhong to remember him, but Zhou Cheng could remember very clearly which departments he had been to and which professors he followed.
It cannot be said that Li Changhong was not good when he was in the orthopedic department, but that he was far less comfortable than Cai Dongfan.
"Then why don't you come later?" Li Changhong asked calmly as usual, as if he was talking to Zhou Cheng.
Li Changhong also inquired about Zhou Cheng's details from Zeng Yi, so he asked more.
If Zhou Cheng is now in his group, with the support of Professor Ding Changle, then after Zeng Yi retires, the possibility of him being the director will at least increase a little bit.Coupled with their own operations, it is absolutely not bad.
Zhou Cheng's heart moved, and he said, "Teacher Cai and Teacher Luo treated me very well. They asked me when I could go back, and I returned to a familiar place."
"It's mainly because I got used to being in Teacher Cai's group before."
Zhou Cheng found a more normal excuse.
Li Changhong smiled and said: "It's a habit, you can get used to where you stay for a long time."
"You will work and start a family in the future. These are all new things, and you will get used to them gradually. Young people should not think about comfort."
"What do you think, Xiao Zhou?"
Zhou Cheng opened his mouth slightly, this Li Changhong was blocking his way out.
It couldn't be said that what Li Changhong said was wrong, so he said: "It's like this, maybe I'm a little too lazy."
Zhou Cheng then attributed the reason to himself, and it is not easy to use the word "habit" as an excuse.
Only then did Li Changhong imply in a humble way: "Xiao Zhou, you should have heard that our hospital will select a group of regular trainees to stay in the hospital, right?"
"What do you think of the orthopedics department of our Eighth Hospital?"
Zhou Cheng's heart twisted suddenly, and he thought to himself, sure enough, Li Changhong told him to come down for something.
I can only say: "The place where I study is very good, and the teachers are also very good. I have been here for so long, and I am also learning."
Originally I wanted to talk about habits, but I quickly changed my words: "It's pretty good, I think the atmosphere is very good."
Li Changhong followed Zhou Cheng's words and continued: "Is that right? The platform of our No. [-] Hospital is still very good and has great development prospects."
"Although our Eighth Hospital is not as good as the top hospitals in the market, our hospital also has the advantages of our hospital, that is, some sub-specialties of orthopedics are at a blank level. If you come, you will be the pioneer and leader."
"And the platform is not too small, and it is easy to achieve good results. For example, the direction of orthopedics, sports medicine, joint surgery, etc."
"Our department is thinking about developing in this direction."
Li Changhong continued to hint to Zhou Cheng, presumably you have heard of my name, Li Changhong, my thoughts and plans are almost the plans and plans of the orthopedics department in a few years, follow me, you will not be missed.
Li Changhong was telling the truth, but Zhou Cheng didn't reply, he just complained secretly.
Zhou Cheng couldn't do the things of the three surnamed house slaves. Besides, when he didn't perform well, the bureaucracy of your Li Changhong group simply didn't crush me to death.
Li Changhong continued: "I'd better come to you today, and let me explain some details to you."
"Our orthopedics department has three staffing places this year."
"One is in the hands of Director Zeng, and the other is in the hands of Director Yan of your department. Our department originally wanted Director Wang to arrange one, but Director Wang trusted me and asked me to arrange this spot for him."
"The establishment in Director Zeng's hands has already been secretly contacted by a graduate student from the Affiliated Hospital of Shonan University."
"Your Director Ke Yan's staffing has also taken shape, but the staffing quota in my hand has not yet been finalized, and it is still reserved for outstanding people. I will not communicate with others in advance like Director Zeng and Director Yan. Promise something."
"Everything depends on individual competition, and whoever is outstanding will give it to him." Li Changhong told Zhou Cheng some things that Zhou Cheng should not have known.
What Li Changhong said was the truth, and the reason why he said and did this was for a purpose.
Yan Haihan and Zeng Yi want to use the establishment quota for dolls, it is because they have their own purposes, he has released the establishment quota openly, it is to win over people who support him, and it doesn't matter if he is a new admission or not, It is a good thing for him to have one more confidant.
And let everyone see that he, Li Changhong, is not a favoritism person, he does what he should, and speaks on the basis of his strength, which has certain advantages for him to compete for the chief director.
Yan Haihan didn't know if he saw through this point, or he saw it, but he felt that he couldn't compete with me, so he took the number of establishments to set things up.
Li Changhong doesn't care about these things, and he won't care about them.
When Zhou Cheng heard this, he smiled back at Li Changhong, not daring to say a word.
Not to mention the thoughts in my heart: If you didn't mean Director Zeng and Director Yan, why did you call me over?
Painting cakes to satisfy your hunger?
Looking for plums to quench thirst?
You are more shameless than them, you know?
"Have you ever thought about the idea of competing for this establishment?"
"Although I'm looking at ability, I think your ability is particularly outstanding."
Report chapter Comments
"There is still a big gap between the editorial staff and the hospital's employment." Li Changhong said pointedly.
It means that the second department of orthopedics can only give you the opportunity to be recruited by the hospital, but I can prepare for you.And, what level II surgical authority Cai Dongfan can give you, I can also give you...
Of course, there are some ugly things that cannot be said so bluntly.
Zhou Cheng licked his lips with his tongue, his mind was racing, and after a while, he said, "Director Li, it must be a bit hypocritical to say that I have no idea."
"However, I also know that I may not be qualified. After all, the hospital's hard rules are written there openly. If I can win a place to stay in the hospital, it exceeds my own expectations."
"Also, I may not choose a job immediately after the regular training is over."
This is what Zhou Cheng said. Anyway, Li Changhong didn't know what happened between him and Ding Changle, and he didn't know that Zhou Cheng actually planned to work.
"I took the postgraduate entrance examination three times before, but I didn't have the opportunity to study. I always thought it was a pity." Zhou Cheng was not afraid that if he said so, it would arouse Li Changhong's disgust.
Improving one's academic qualifications and wanting to study has always been the right way for medical students. If Li Changhong said that he made the wrong choice, it would be delaying the future of others.
No Shabi director would say such a thing.
What Zhou Cheng said was indeed a bit beyond Li Changhong's expectation, and his mind became active again.
It turned out to be like this, Zhou Cheng may have hooked up with Ding Changle at present, and he is going to study for his graduate student, that's why Professor Ding is so talented.
If this is the case, then I am afraid that Cai Dongfan's plan will come to nothing. Although he can get some benefits from Professor Ding Changle, it is limited.
After all, after Zhou Cheng went to study, Cai Dongfan was the most kind to know him, and the linkage between Ding Changle and Cai Dongfan might end by then.As for how long the master-student relationship between Zhou Cheng and Ding Changle can last, it depends on the subsequent management.
Whether Zhou Cheng will come to the Eighth Hospital after graduation is another story.
Li Changhong said with emotion: "Well, it's a good thing if you want to improve yourself."
"However, I think you can still consider my suggestion. After all, to improve your academic qualifications and study, you have to find a job in the end." Li Changhong didn't say anything dead.
He also left a retreat and a step down for both himself and Zhou Cheng.
"Okay, thank you Director Li."
"The dislocated patient didn't say anything after he came back today, right?"
Zhou Cheng quickly changed the subject, the previous topic was too sensitive, he was caught between Cai Dongfan and Li Changhong, a little bit trembling.
"No, I didn't say anything."
Li Changhong immediately laughed and said: "After we came back, we immediately arranged for the patient to go for a re-examination, and the results of the re-examination have been sent to his acquaintances by the patient's family."
"Even Professor Wu from the Second Affiliated Hospital of Shonan University said that in such a situation, it is hard to imagine a successful reset. The results after reset are excellent. As long as the functional exercises are strengthened, the recovery effect in the future is also quite good. ."
"The patient's family also bought fruit baskets for the doctors in our department, which are in the office."
Speaking of this, Li Changhong immediately said: "Of course, I didn't tell the patient that it was you who reset it, and I also had considerations. After all, you are still a resident doctor."
"We feel guilty about eating the fruit given by the patient, but ah, Director Zeng has already told me, I must thank you well."
"There are also Director Cai and Luo Yun. I plan to set up a private table this weekend to thank you."
As the director, Li Changhong's speech skills are naturally not bad.
These words made Zhou Cheng's heart very comfortable, and even felt a little floating.
But Zhou Cheng immediately suppressed the thoughts in his heart, and said: "Director Li, I dare not take it seriously."
"You can really joke with me."
Li Changhong immediately turned serious, and blocked Zhou Cheng's words: "How can this be a joke? Even Professor Wu thinks it is difficult to reset the patient, you reset it."
"Can I still invite Professor Wu to play such a joke with you?"
"Thank you very much for today's matter."
"It's been hard work for you too, you must be tired, go back and rest first."
"You have to think carefully about what I told you, and you can discuss it with your family in detail."
"Although the rules in the hospital are dead, only postgraduates are staffed, but the rules are dead, and people are alive. Our hospital can also recruit postgraduates, and even more on-the-job postgraduates, you know what I mean?"
Li Changhong still didn't quite give up, so he left an extra escape route for himself, and at the same time added a little more temptation to Zhou Cheng.
……
When he came out of Li Changhong's office, Zhou Cheng shivered all over.
This Li Changhong is simply a devil, stepping on his heart and talking about his interests.
Zhou Cheng almost fell into it.
Zhou Cheng knew very well that what Li Changhong could give him must be better than what Cai Dongfan could offer.The relationship with Cai Dongfan is simply a teacher and a live trainer, so it's pretty good that I can bear it until now.
And Cai Dongfan is kind to him, how old is it?
More are still won by himself, if he is in other groups, he can also win these.
It's just that the simple truth of first come, first served is sometimes so true.
It was because Cai Dongfan arrived first and met him first, there was no other reason.
And, compared to professionalism?
Zhou Cheng thought of Luo Yun again...
……
In the afternoon, 05:30.
After Zhou Cheng performed a very simple reset of the dislocated interphalangeal joints from the emergency department, he called Du Ruiqi.
"Brother Rui, I'll go back first. I'll take off my schoolbag, change clothes and toiletries."
"I have to live in the department today and tomorrow."
"If there is an emergency patient, you can deal with the teacher in the emergency department first, and then call me."
Although Zhou Cheng is now in charge of joint dislocation manipulation reset, alternately with Luo Yun, but he is actually more tired than Luo Yun.
Because Du Ruiqi was on duty today, Zhou Cheng had to guard in the department.
Tomorrow he will be on duty by himself, Zhou Cheng still has to guard in the department.
Even when Du Yanjun and Zhang Zhengquan were on duty, Zhou Cheng was on guard.
As for Luo Yun, he only needed three subordinates from the Strict Han Group, and Pang Dingkun also had a certain understanding of the manipulation of joint dislocations, plus two subordinates from the Hu Ming Group.Speaking of it, the nine-day shift was on duty for five days.
But Zhou Cheng still has to take care of patients writing medical records, Luo Yun doesn't need to do these chores.
On the other end of the phone, Du Ruiqi suggested: "Brother Zhou Cheng, why don't you just rest at home, and I'll call you if there is something else."
"Otherwise you have worked too hard. 48 hours."
The person on duty knows the suffering of the person on duty. Although he is not on duty, Du Ruiqi still has empathy.He didn't want Zhou Cheng to accompany him in the department, so he could at least sleep more comfortably at home.
Zhou Cheng smiled and said, "It's okay, Brother Rui, just call me later, and the patient may not come when I go back."
"I'm too lazy to run around the department at home. If the patient is pushed directly to the ward, I have to go to the ward."
The reason why Zhou Cheng had to guard in the department was because the thank value had reached 18 points, only two points away from the thank value, and the next dungeon could be opened. Zhou Cheng was looking forward to it.Naturally, I felt that the sooner I rushed up, the better.
Another reason is.
My own duty is not the same as that of Du Ruiqi and others.
After all, I took the money myself——
If you work for money, you have to be worthy of the money you get, and you have to be dedicated.
……
It was past six o'clock when Zhou Cheng returned to the department.
As expected, there was no incident in the middle of the journey, and there were not so many emergency visits.
The emergency department must be very busy, but he only needs to take care of orthopedic patients, and only joint dislocations.The fractured patient, although Luo Yun asked him to do a manual reset at noon.
But when Luo Yun was not around, Zhou Cheng didn't dare to tell Du Ruiqi that he needed to reset his hand.
Luo Yun is the superior, so it's easier to talk.
But when Du Ruiqi was on duty, strictly speaking, the patient belonged to Director Hu Ming, and he went to manually reset the fracture on Director Hu Ming's team.This is a disguised reduction of surgical patients in the Hu Ming group.
Can this kind of thing be done?
It was Cai Dongfan's instigation to form it by yourself, so it is naturally possible.
But if Zhou Cheng wanted to interfere with the interests of other group directors, he would be committing suicide.
No need.
Cai Dongfan gave him some fracture patients, which is already giving him a lot of affection. To be a man, you must be content, and you must know where you are, what to say, and what to do.
Instead of being reckless, you can do anything wrong for the good of principle.
It's not that Zhou Cheng is cold-blooded, but.
Because strictly speaking, Du Ruiqi and Zhou Cheng are not in the same treatment group, and they do not constitute any diagnosis and treatment relationship with you, Zhou Cheng.
To put it bluntly, what does it have to do with you?
You have such wide control, why don't you control all the patients in the whole country?
If it can be done, it can relieve some patients' pain and financial burden, Zhou Cheng will not refuse, just?
A single thread does not form a thread, a single tree does not form a forest, how many nails can be driven by a body covered in iron?
The world is social in nature.
"Brother Zhou Cheng, I ordered a box lunch, let's eat together. Thanks for your hard work." Seeing Zhou Cheng pass by the office door, Du Ruiqi, who was sitting and eating, quickly waved to Zhou Cheng.
Zhou Cheng put down his schoolbag and came back, unceremoniously opened the lunch box, and said, "Brother Rui, next time I will order the box lunch myself."
"Whether I'm on duty or not, I have to eat. I can't always ask you to order takeaway. I get more money than you."
"We don't need to be so detailed."
Zhou Cheng was thinking about Du Ruiqi. Du Ruiqi is a professional graduate student with no performance in regular training. What he paid was a subsidy from the school, more than 1000 yuan. Treat him to dinner and coffee?
It can make Du Ruiqi poor to death.
Du Ruiqi said with a silly smile: "It doesn't matter, Brother Zhou Cheng, I didn't pay for all the money I bought today."
"It's the money given by Teacher Zheng Xuanlin. He said, please come on duty. It's hard to say such polite words, but the food and drink must be arranged."
"If you want to refuse, you can go to Teacher Zheng and tell him. I dare not refuse him."
When Zhou Cheng heard this, his heart warmed up.
Said: "You didn't pay the money, then I can rest assured."
For Zheng Xuanlin, a few extra meals a month would not hurt his bones.
However, I still have to talk to Luo Yun about this matter and ask Zheng Xuanlin what he means. This kind of thing can be done in a month or two, so it's not good to do it for a long time.
After all, I got the money——
However, it was just after seven o'clock in the evening.
When Zhou Cheng sent a message to Luo Yun about this matter, Luo Yun sent him a link to Baidu cloud disk.
And he opened his mouth first: "There are many surgical videos of joint replacement and joint revision, complex joint revision, and initial complex joint replacement for joint defect. Didn't you say that you followed the video to learn?"
"Look at these videos, I'll test you when the time comes."
After Zhou Cheng finished reading it, his mouth twitched.
No, Mr. Luo, I'm just an excuse. Do we have to take it so seriously?
But Zhou Cheng didn't dare to be careless, he was really afraid that Luo Yun would ask in the future, it seems that in the future, he has to imitate this aspect a little bit, lay a solid foundation first, and don't expose the lies he made up.
It is true that a lie needs countless lies to make up for.
Of course, this matter was only recorded in Zhou Cheng's notebook.
-
Seriously study joint replacement, joint revision, initial complex joint replacement, complex types of joint revision.
This is the direction he intends to imitate, replace it with learning, and it's okay to lose the notebook.
He is a resident physician in orthopedics, who stipulates that he can't aim too high and learn the sub-specialties of orthopedics?
Then saw Luo Yun replied:
Report chapter Comments
"I didn't consider Zheng Xuanlin's invitation to you for dinner. When you are on duty in the future, I will transfer the money to you. You can arrange what you want to eat."
"Don't refuse."
Then without saying a word, he turned directly to the two thousand oceans.
Zhou Cheng didn't dare to accept it. Although Cai Dongfan might have promised to give him a small amount of money, this was the first time he had a direct conflict of interest with his superiors.
That is to say, being transferred from the superior, Zhou Cheng really felt his hands were hot.
He replied sternly: "Mr. Luo, I must refuse!"
"Otherwise, I won't be on duty!"
Although Luo Yun was a superior, Zhou Cheng didn't feel any psychological pressure on Qiu Feng when he was treating guests to dinner, but he couldn't treat himself as a parasite on Luo Yun's body either.
Luo Yun has to pay for meals while on duty, which is not very kind.
Luo Yun sent the ellipsis first.
"..."
"Why are you telling me this? If you tell you to take it, you can take it. Why do you have so many things?"
Zhou Cheng immediately edited the message and replied: "Mr. Luo, I can't take this money!~"
very firm.
Then he replied: "Mr. Luo, I feel at ease when you invite guests to dinner. I absolutely cannot accept the money! Otherwise, I would rather not be on duty or do anything."
Zhou Cheng didn't want it to develop into a disagreement with Cai Dongfan and Luo Yun in the future because of conflicts of interest.
He still has to rely on the platform these two gave him.
The technology has improved, the number of operations has increased, and the professional title has improved.
Then of course everything is there.
"All right!" Luo Yun could only reply helplessly.
Zhou Cheng immediately returned the transfer and heaved a sigh of relief.
Just at this time, Du Ruiqi broke in, and said rather embarrassedly: "Brother Zhou Cheng, the emergency department called and called and said that it was a joint dislocation. Do you think I will call the patient to the department?"
"I'll go!" Zhou Cheng replied immediately.
Du Ruiqi made an extra trip, but in the end it was still a matter of dislocation, and he had to deal with it himself.
It's better to run directly by yourself.
After resetting, let the patient come to the department for a follow-up consultation. After such a trip, the patient will travel less, and the sum of the staff in his department will also save travel, which is actually quite good.
Then he said to Luo Yun: "Ms. Luo, I'm in the emergency department. I'll go to the emergency department to see first. Don't talk anymore."
After replying, I dimmed the phone screen, and ran downstairs to the emergency department...
Ten o'clock at night.
When Zhou Cheng ran back to the department from the emergency department again, his expression was agitated, his steps were brisk, and he almost fell down due to a fight with his left and right feet.
It's no wonder that Zhou Cheng was excited, because just after resetting the patient, the dungeon page in the simulation dungeon, which had been silent for a long time, finally sent out a second reminder.
"The gratitude value has accumulated to 20 points, do you want to open the second copy?"
It reminded that in the emergency department, it was displayed the moment Zhou Cheng successfully reset, but Zhou Cheng did not choose to confirm on the spot, nor did he rush to confirm on the way.
Because there are some other reminders accompanying, Zhou Cheng has to plan carefully.
When he arrived in the department, Du Ruiqi happened to admit a patient with a fracture, finished the admission interview and the examinations to be done the next day, and when he saw Zhou Cheng, he apologized and said: "Brother Zhou Cheng, you really worked too hard today."
Then he said with some certainty: "In the evening, our hospital encountered an emergency dislocation patient."
"I'll send it to the Second County Hospital."
Apparently, he felt sorry for Zhou Cheng.
Zhou Cheng shook his head quickly when he heard this, and said seriously: "Don't send it away, you can't send it away at will."
"Patients come to the hospital to seek medical treatment. When encountering a difficult patient, if they are uncertain or beyond their ability, it is recommended to transfer to another hospital without delaying their illness. It is to follow the heart and the patient. It is to know how to assess the situation."
"But if it is just because of tiredness, it is against the heart to let patients turn around and go around too much."
"It can't be done like this."
Of course Du Ruiqi understood the truth, but he was a little bit embarrassed: "Brother Zhou Cheng?"
112 chapters of novels dare not write like this!
"I'll take some time to rest, don't worry, Brother Rui."
"However, if there is an emergency consultation in the future, you can go to the emergency department by yourself or ask Mr. Zheng Xuanlin to go to the emergency consultation." Zhou Cheng is indeed a little tired after a busy day, and Zheng Xuanlin should also go to the emergency department. class thing.
No one is iron-clad, if there is still joint dislocation, ask Du Ruiqi to call the patient to the department and reset him in the operation room of the department, so that Zhou Cheng's rest time will be longer.
Du Ruiqi looked at Zhou Cheng seriously, and then said: "Okay, brother Zhou Cheng, you go to rest first, and I will report to Teacher Zheng first if there is something to do."
……
Zhou Cheng was free now, and after washing up, he lay down.
Looking at the new dungeon that appeared in the simulated dungeon——
【Soft tissue injury of extremities】
[Open the second copy, you can choose to solidify a skill, this skill is bound to the character, before opening the simulation copy again, the initial skill and material options will not be occupied. 】
After Zhou Cheng finished watching, he couldn't help but be overjoyed.
Good thing.
This opened the second dungeon, which was equivalent to adding an initial skill slot. Every time before starting the simulation, he could carry four skills, and this skill would not be an option permanently.
Which should I choose?
Definitely don't read anything below the perfect level.
There are currently five branches of perfect skills——
【Open reduction and internal fixation of fracture (perfect level)】
【Closed reduction of fracture (perfect - redefined)】
[Open reduction and internal fixation with small incision for fracture (perfect)]
【Bone transport grafting for bone defects (perfect)】
【Joint Dislocation Reduction (Perfect)】
The second duplication is a soft tissue injury and the first duplication is a fracture.
These two go hand in hand.
Moreover, in addition to looking at the five main skills, Zhou Cheng is also scanning the downstream skills analyzed from the five major skills.
During the simulation before, Zhou Chengcheng suffered a lot. If the initial skills carried were too specialized, it would lead to shackles in thinking, and it would be difficult to reach the top in other directions different from this direction.
In fact, people are like this. Once a mindset is formed, it is difficult to change it.
And this skill that needs to be solidified will not be eliminated even if you want to eliminate it at that time. If you don't choose it well, the impact will be great——
After hesitating and thinking carefully for 10 minutes, Zhou Cheng finally made a decision.
solidified skills——
Interpretation of muscle anatomy and anatomical strength of limbs (perfect).
Immediately, Zhou Cheng saw that this skill had changed from green to pale gold, and had been hidden from the initial portable skills, and had been solidified successfully.
After finishing, Zhou Cheng looked at the time. It was almost eleven o'clock, and the three simulation opportunities today were still useless.
The dungeon has a limited cooldown, so can't think about it for too long.
Moreover, the basis of all surgery is anatomy.
The basis of all sub-specialties of orthopedics is also anatomy, which simply carries the basic skills related to anatomy and muscle strength deformation, and naturally does not form a mindset that will affect the learning of skills.
Zhou Cheng also has a basic skill of the perfect level, which is the local anatomy experience (perfect) of the long bones of the limbs and the pelvis. The reason why he didn't choose it was also after Zhou Xiang's consideration.
The local anatomy of the long bones and pelvis is actually relatively limited.It's not as easy to use as the skill I just chose.
After finishing these, Zhou Cheng started a new round of simulation.
[Please select a mock copy. 】
[Soft tissue injury of extremities. 】
[Please select the initial carry skill. 】
【1. Debridement and suture (common), 2. Medical English (proficient). 】
Zhou Cheng didn't choose to bring too many skills. This is a new dungeon. He has never understood this dungeon. It doesn't necessarily mean that the more fancy skills he carries, the better it is for the simulation.
On the contrary, what he possessed at the beginning of the simulation are basic skills, and he has unlimited potential and possibilities.
In the fracture dungeon, Zhou Cheng has already basically specialized.
No matter how you choose the initial skill, it will have a certain purpose.
It's better to understand the second copy first.
[Start the simulation. 】
[You have a solid foundation in orthopedic anatomy, and you have assumed an important role in the department and gained a certain prestige. 】
【Because of your perfect performance in joint dislocation and reduction, your superior physician was very surprised, and you performed open reduction and internal fixation of fractures, which was recognized by famous professors in the province. 】
[You will soon usher in your Level II surgery authorization assessment. 】
[During the assessment process, you found that your understanding of the corresponding surgery was blank.During the operation, your superior physician quickly discovered your abnormality and took over your operation. 】
[You eventually lost the approval and participation of the authorization of the second-level operation, and your superior physician has complicated emotions towards you and feels helpless. 】
[During your follow-up shift, you found that your understanding of joint dislocation and reduction was quite superficial, so you lost the authority to perform joint dislocation reduction in the department. 】
【Your life is here to zero! 】
Seeing this, the corners of Zhou Cheng's mouth twitched for a while. Although he was a little speechless, he was helpless.
This is a simulated world where there is infinite trial and error.
If you don't dare to reset your life to zero even in the simulated world, how can you talk about climbing a higher peak?
Zhou Cheng's ambition and desire are not limited to the simple fracture.
Broaden your horizons.
Moreover, even Yang Yifeng can reset his life to zero in his forties, and he can certainly do it.
Immediately, a turning point came.
【Your superior doctor started talking to you, worried about your condition, and suggested that you take a break. 】
[Because you have a fairly solid foundation in orthopedic anatomy, your superior physician quickly adjusted your planning and teaching line. After you no longer assumed the role of the general on-duty, you had a lot of free time to study. 】
[In the next year, you will study hard and actively go to emergency surgery. 】
[You have acquired a lot of basic skills - debridement and suture (common), tendon suture (common), nerve suture (common), open fracture external fixation (beginner), etc...]
"Huh!" Seeing this, Zhou Changcheng let out a long sigh of relief, feeling that his choice was still right after all.
Because after zeroing out the skills, and having a perfect level of anatomical knowledge as the basis, in just one year, he has acquired a lot of basic skills, which is a good thing.
There are gains and losses, and there are gains and losses.
The simulated copies are based on reality, but they are beyond reality and affect each other.
[Because of your outstanding performance, although your superior doctor regrets that your talent was short-lived for some reason, you still got the recognition of the superior doctor and got the place to stay in the hospital. 】
【Three years later, your in-service graduate student will successfully graduate. 】
[Five years later, you obtained the title of attending physician and began to take on the role of chief on-duty in the department.In the same year, you obtained fracture open reduction and internal fixation (common), debridement and suture (proficient), tendon suture (proficient), nerve suture (common). 】
Although the aptitude is still not very good, but the perfect level of anatomical foundation is used as a base, that is, Niu Cha, and he has acquired the skills of the proficient level in just five years.
Brought away by perfect skills.
【Ten years later, you were reasonably promoted to be the deputy chief physician, and you began to undertake Class III operations such as open reduction and internal fixation of fractures...】
Report chapter Comments
Well, going around and around, I have only come to this point.
It seems that this time the simulation.
Zhou Cheng was thinking, when suddenly the situation changed——
【20 years later, you have become the chief physician in the department, and you have become the director with the most solid trauma foundation in the department, so you resolutely go out for further studies - amputated limb/finger/toe replantation. 】
[When you arrive at the unit where you are studying, your teacher is very surprised at your extensive basic skills, so he will soon let you start the operation of amputated limb/finger/toe replantation. 】
[When you were 50 years old, you received amputated limb/finger/toe replantation (common). After you returned from advanced studies, you began to routinely carry out amputated limb/finger/toe replantation in the department.At the same time, you already have a certain reputation in the industry, and you have become the deputy chairman of the hand surgery group. 】
[In the same year, you started to experience joint replacement, tendon nerve transposition, skin flap transplantation...]
Zhou Cheng was taken aback when he saw this.
Well, this is really broad but not precise.There is no skill to be proficient in, but it is better than the one with many skills but not overwhelming.
[You started to go out in the province and across the country to exchange experiences and insights on limb/finger/toe replantation and hand and foot microsurgery. 】
[At the age of 65, you obtained the replantation of amputated limbs/fingers/toes (proficient), and your status in the world of hand surgery is already comparable to that of an ordinary professor. 】
[Although you have retired, your hospital has sincerely rehired you, and you are still active in the front line of academic exchanges.Fighting in the front line of clinical practice. 】
[No.70 When you were five years old, you were finally old and could no longer go to the operating table. You knew that you had climbed to a higher level in this life, so you left clinical and academic life and enjoyed your old age. 】
[At the age of 95, he died of no illness. 】
[The simulation ends. 】
[Simulation evaluation: excellent.You are a very self-motivated doctor, starting from the beginning, conscientiously, step by step, steadily, although you have not made enough contributions to the development of the discipline, but the scope of surgery involved in your life is extremely wide, which can be called For the polymath. 】
[Due to dungeon restrictions, the patients received during your simulation are not compatible with the dungeon.Some skill levels have been reduced. 】
[You can choose one of the following. 】
【Total Hip Replacement (General)】
【Total Knee Replacement (General)】
[Severed limb/finger/toe replantation (skilled).Note: You have obtained the perfect level fracture open reduction and internal fixation, so the skill level will not be reduced. 】
【Total Shoulder Arthroplasty (General)】
【…】
Counting Zhou Cheng one by one, there are more than 80 sets of skills to choose from, but there is only one skill at the proficient level, which is the replantation of severed limbs/fingers/toes!
Zhou Cheng chose directly.
He let out a long sigh of relief.
It seems that the choice of simulation this time did not go in the wrong direction, nor did it choose the wrong initial skills. Instead, it let me know that a perfect level of anatomical experience can derive so many skills.
These skills are all directions that you can choose to develop in the future.
There are even some rather uncommon operations that Zhou Cheng has never heard of until now.Maybe it's really too uncommon.
"Why don't you give me all the options I want when I'm an adult?" Zhou Cheng murmured greedily after choosing the final skill.
However, before Zhou Cheng had time to think about it, he immediately got a reminder.
[Acquire fusion skills: limb/finger/toe replantation (skilled): The skill can be analyzed, and the skill will not disappear after analysis.Do you want to parse? 】
Zhou Lima was overjoyed.
Good guy, I knew I made the right choice.
Replantation of amputated limbs/fingers/toes cannot be a simple skill, but a very difficult, large and comprehensive skill.
"Analysis!"
After 3 minutes, the mock copy prompts.
[The skill analysis is successful, and the following downstream skills are obtained. 】
[1. Experience in local bone anatomy of human limbs (proficient), surgical anatomy of human limbs (proficient), the current skill has a more advanced skill, the skill is covered, but it is still a downstream skill of the current skill. 】
[2. Open reduction internal fixation/external fixation of human limbs (proficient), the current skill already has a more advanced skill, the skill is covered, but it is still a downstream skill of the current skill. 】
[3. Debridement and suture (perfect), the highest level is perfect. 】
[4. Nerve suture (proficient), the highest level is perfect. 】
[5. Vascular suture (proficient), the highest level is perfect. 】
[6. Nerve/vascular transposition (proficient), the highest level is perfect. 】
[7. Common human skin flap transplantation (skilled), the highest level is perfect. 】
[8. Rehabilitation guidance (proficient) after amputated limb/finger/toe replantation, the highest level is perfect. 】
[9. Experience in prevention of perioperative complications in amputated limb/finger/toe replantation (proficient), the highest level is perfect. 】
【10. Perioperative antibiotic use experience (proficient) in amputated limb/finger/toe replantation, the highest level is perfect. 】
After Zhou Cheng finished reading, he looked at this series of analysis skills with great astonishment——
Do you believe it?
A proficiency-level skill actually contains a lot of proficiency-level downstream skills!
But soon, Zhou Chengcheng suddenly realized.
Also, pure blood vessel suture or nerve suture, or internal and external fixation of fractures, is definitely much more difficult than replanting a severed limb/finger/toe. Replantation came on top.
It is impossible to say that if you know one of the skills, and then you are very powerful, you will be very powerful overall.
Fixation of fractures, treatment of blood vessels and nerves, treatment of tendons, postoperative guidance, etc., are all indispensable.
"call!"
Zhou Changcheng let out a long breath, feeling really comfortable now.
After getting this skill, Zhou Cheng got it in reality. In reality, it is not in the simulated copy. It needs to be partially selected, and he can only know a few of them.
This kind of knowledge input does not have too many side effects, which is really flattering.
……
Two minutes later, Zhou Cheng quickly carried out the next simulation.
Don't dare to delay, time is too precious, if you don't start right away, the cooling time of today's copy may be refreshed.
But this time, Zhou Chengcheng directly added severed limb/finger/toe replantation to the initial skills he carried.
【1. Debridement and suture (perfect), 2. Medical English (proficient). 3. Limb/finger/toe replantation (skilled). 】
【The simulation starts! 】
[Because you have a solid anatomical foundation and have the surgical skills of amputated limb/finger/toe replantation across the whole department. 】
[Even if you insist on giving up the manual reduction of joint dislocation, you still get the attention of the department. 】
[Also, in the Level II surgery authorization assessment that the department prepared for you in advance, you completed the assessment in a satisfactory manner and successfully obtained the Level II surgery authorization. 】
【Three months later, because of your proficiency level in open reduction and internal fixation of fractures, you were successfully approved by a well-known professor in the province, and you successfully obtained authorization for Class III surgery in advance. 】
【You were successfully hospitalized! 】
[Five years later, because of your previous achievements, you were quickly recognized by the Provincial Hand Surgery Group, and obtained the surgical authorization for amputated limb/finger/toe replantation in advance.You start to study it in depth and do it routinely in the department. 】
[Your skill level is still at the forefront in the province, so you quickly made your name and were invited to join the hand surgery/microsurgery group committee. 】
[Ten years later, you found that you had no progress in replantation of amputated limbs/fingers/toes, and you got instructions from the professor in the province, saying that your foundation is not solid enough.If you want to improve the replantation of severed limbs/fingers/toes, you must acquire more solid basic skills. 】
【So you apply to study abroad. 】
[After returning from further study, you worked for another three years, and you found that your attainments in replantation of amputated limbs/fingers/toes still cannot be improved.You proposed to resign and go on a study tour. 】
【Your superior physician and your unit are already very satisfied with your current surgical technique, so patiently persuade you, but you have made up your mind.You even abandoned your fiancée and resolutely embarked on the road of studying away from home. 】
[It took you six years, you visited most of the vascular surgeries in China, just when you were preparing to study abroad.You have received an invitation to your fiancée's wedding, and the groom is not you. 】
[After you attended her wedding and left all your wealth to your parents, this wealth is enough for your parents to live comfortably for the rest of their lives. 】
[You feel that there is no bondage in this life.You only left 2 yuan and embarked on the road of studying abroad resolutely. 】
[You work part-study, mobile work, immersive learning mode, turn around the world. 】
[Although you are already middle-aged, you have met many professors who were moved by your dedication to study and progress, so you have received a lot of funding! 】
[No. When you were 60 years old, after you returned to China to attend the funeral for your parents, you went abroad again in a hurry under the name of disobedience and unfilial piety.You rejected invitations from major hospitals and professor titles from various well-known universities...]
[No. When you were 70 years old, you became a homeless man with no clothes and no food.Accompanying you is only a bag of various monographs and various papers. 】
[No. 70 When you were five years old, you finally held a manuscript and were about to die.And that moment when you close your eyes and remember your entire life. 】
[When what you have read and seen, surgical patients, various papers, and various monographs and books are flooding in front of you one by one. 】
【You finally realized—】
【You got the vascular suture (perfect.)】
[But you are dead, still a homeless man, no one knows, you pushed the vascular suture to a peak at the moment before your death. 】
During the whole process, Zhou Cheng didn't move his mind, only when he saw the descriptive lines that his parents passed away and his relatives scolded him for being disobedient and unfilial.
A few drops of clear tears flowed from the corners of his eyes.
Zhou Cheng couldn't do any of them if it wasn't a simulated copy.
Everyone has everyone's ties.
Top-level academics are like devout ascetics.
Although cruel, although heartless——
but?
is worth it.
It can be seen from the simulation evaluation.
[Simulation evaluation: perfect.In your life, you are a lonely seeker, and you will climb to the top of the discipline that does not belong to you at all costs.Every step of academic advancement requires a price other than the seeker's own happiness and time.Mostly accompanied by sadness and loneliness. 】
[You even doubted the existence of perfection in the middle of the journey, but at the last moment of your life, you understood the meaning of perfection, and the youth at that moment is what you want all your life.Even if it is only a short second, it is still enough to make you feel worthy of this life. 】
[The ignorant are fearless, and the fearful dare to seek. If you seek to the extreme, you can make yourself less ignorant. This is the bliss in the world. 】
[You can choose one of the following. 】
[Vascular suture (perfect). 】
Zhou Cheng was silent for a while, and the corners of his mouth moved.
Well, this time there is no choice but to choose this one.
This time the simulation went directly from proficiency to perfection in one go, which can be regarded as a pleasant surprise.
Fortunately, it was just a simulation, otherwise, Zhou Cheng would never be able to take this step in his life.
Looking at the skill changes in my simulated copy, it was only a small step from proficiency to perfection in blood vessel suturing, and it took a lifetime in the simulated world.
The difference of one step is the distance of thousands of miles.
At this moment, Zhou Cheng is in awe of the professors, scholars, and experts in medicine and reality...
The road they walked is probably the road they walked in the simulated copy...
After half an hour, Zhou Cheng opened the mock copy again.
With the experience of the previous two times, Zhou Cheng can be regarded as familiar with the road this time, and has made a decision——
[Start simulation! 】
……
Stayed up until one o'clock in the morning.
Zhou Cheng read every word in the mock copy verbatim, and finally heaved a sigh of relief.
In just over two hours, six simulations were performed.
Very rewarding——
[Third/fourth two simulations to get nerve stitching (perfect). 】
[The fifth time I got nerve/vascular transposition (perfect), the highest level is perfect. 】
Report chapter Comments
