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[The sixth time I got it, the common human skin flap transplantation (proficient), the highest level is perfect. 】
Then--
The level of limb/finger/toe replantation is still (proficient)!
Simply.
In the third simulation, because Zhou Cheng had the experience of the previous two simulations, he planned to forcibly dry out the main skill of replanting a severed limb, but he did it all his life, because he had too many scruples, even with the perfect skill of vascular suture Do support, still get nothing.
Finally got only garbage skills.
For the fourth, fifth and sixth time, Zhou Cheng didn't dare to do it any more, so he could only start with its downstream skills one by one.
It's a pity that he didn't get any adventures, and Zhou Cheng even used the secret technique of not wanting to work hard, asking people from all over the world to help him study it together.
But still and eggs.
Replantation of amputated limbs/fingers/toes is not a novel skill or a new direction in the world, but a long-standing skill. Therefore, it has not received much attention and has become one of the hot spots. Category.
Without getting too much attention, the natural progress will not be fast. This is equivalent to a very mature basic skill, and it is too difficult to achieve a perfect level.
After obtaining the nerve suture, the amputated limb/finger/toe replantation has reached the proficiency level, but after that, there is no breakthrough.
Moreover, this simulation process, right?
It is indeed very difficult. You must know that after using the great secret technique of not wanting to work hard, and then wanting to study abroad forcibly in his later years, the price to be paid is still very high. Zhou Cheng felt very heartbroken just looking at it.
Even once, he himself was broken by his brother-in-law and Yue Laozi...
But anyway, it is inside the simulated copy.
In reality, it is absolutely impossible for Zhou Cheng to do such a decisive thing.
Then, Zhou Cheng looked at the gratitude value needed for the third dungeon, which was as high as 100.I feel that it will take several months to collect so many thank you values.
He finally squinted his eyes and fell into a deep sleep.
……
At [-[-] the next morning, Zhou Cheng kept yawning and walked down from the upper bunk.
Du Ruiqi hurriedly said: "Brother Zhou Cheng, are you awake? Come here, I've ordered breakfast."
The tone was full of politeness and embarrassment.
Of course, it is impossible to be embarrassed. Yesterday Zhou Cheng was woken up three times, all of them were patients with dislocated joints.
Being woken up in the middle of sleep and then falling back asleep is a completely different concept from sleeping until dawn.
"Okay, I'll brush my teeth first, and you eat first." Zhou Cheng continued to pat his mouth, maybe he woke up halfway, so Zhou Cheng also felt a little bad breath after brushing his teeth last night.
……
When the shift was over, Yan Haihan solemnly announced another news.
"After a detailed discussion and thorough consideration with Director Zeng, it was decided that all patients with joint dislocations will be treated by our department. Everyone has worked hard, especially Luo Yun, Zheng Xuanlin, and Zhou Cheng."
"There will definitely be a lot of patients in the future."
"You three, take responsibility."
This time, although Yan Haihan pronounced Zhou Cheng's name last, it was directly listed side by side with the names of Luo Yun and Zheng Xuanlin.
This caused many people in the department to turn their attention to Zhou Cheng.
Thoughts move.
Especially for Du Yanjun and Min Chaoshuo, they felt as if they were ants on a hot pot.
They had always regarded Lin Lin and Du Ruiqi, two academic graduate students, as their greatest rivals, but they never expected that Zhou Cheng, whom they had been ignoring all this time, would come ahead of everyone in advance.
And he still relied on his excellent skills to fight.
One thing is beyond doubt, that is, let them replace Zhou Cheng, put them in Zhou Cheng's position, they dare not agree.
Hearing this, Zhou Cheng was still watching his nose, nose, mouth and mouth with his eyes closed and rested.
It's not that Zhou Cheng is pretending to be proud.
But after being on duty with Du Ruiqi yesterday, he still has 24 hours today, and he woke up three times last night. Every minute is extremely precious!
But Cai Dongfan and Hu Ming also turned their attention to Zhou Cheng, Cai Dongfan felt a little distressed.
Although it is said that Zhou Cheng has no relationship with him as a teacher and student, nor is he a son, but he is such a young man after all. Look at how tired he is now. If he were Zhou Cheng's parents, would he feel distressed?Compare your heart with your heart.
Then he turned his head to look at Luo Yun, Luo Yun said in a low voice: "Director Cai, I'll be on duty with Zhou Cheng during the day, but I can't do it after get off work, you know."
Cai Dongfan nodded and shook his head again, and said in a low voice, "This is not the way to go, you have your own class to be on duty. I think Zhou Cheng should not be on duty in the general class."
What is the use of squeezing Luo Yun?Zhou Cheng wasn't made of iron, could it be that Luo Yun was?
Hu Ming's eyes were full of light. The subordinates may not know why Zeng Yi gave up on the joint dislocation, but he knew it very well.
What happened in the Department of Orthopedics yesterday, how can you hide it from him, Hu Ming?
impossible.
It's just that it's hard for him to talk about it, but, after all, Hu Ming is Du Ruiqi's superior, and Zhou Cheng was equivalent to the person who took him on duty yesterday, so Hu Ming said things that Cai Dongfan didn't want to mention.
"Director Yan, I think the shift schedule in the department may need to be readjusted."
"I looked at the schedule. There are nine residents in our department, and each person only has three to four shifts in one month. Minus one, it's the same."
"But Zhou Cheng is different. I think he should stop being on general duty after he is on general duty."
"In the Affiliated Hospital of Shonan University, there are four to five people in the total hospitalization. There are only three people in our department."
It is not easy for Cai Dongfan to mention this matter, but it is easy for Hu Ming to mention it, because Cai Dongfan is Zhou Cheng's superior, and if he mentions it, the doctor on duty may feel biased. Why shouldn't the resident doctor you bring be on the general shift?we want?
But Hu Ming can.
Zhou Cheng, Luo Yun, and Zheng Xuanlin are three. After sharing the total duty, it will increase the department's income a lot.This is also a good opportunity to gain fame in the department.
There are many benefits, and there are real benefits to be earned. Of course, Hu Ming is suitable for this job.
Of course, what Hu Ming said was specially instructed by Yan Haihan.
Yan Haihan looked at the other residents and said, "Do the rest of you have any objections? If you have any objections, please change with Zhou Cheng."
Yan Hanhan's words made Min Chaoshuo and Pang Dingkun who were about to speak choke on their saliva.
Why do you have any opinions on this TM?
He grunted his throat and swallowed the words that came to his mouth.
Zhou Cheng can replace any of them on the general shift, but who dares to say that he can replace Zhou Cheng as the general shift?
Pang Dingkun does have such qualifications, but a few days ago?
He is not.
So what's the matter.
Yan Haihan said: "Since everyone has no objections, then it's decided like this. Zheng Xuanlin, Luo Yun, you two readjust the schedule today."
"Well, try to arrange the duty of Director Cai's team on weekdays. Their team has one less duty, and the operation day can't be too short."
Hearing this, Luo Yun nodded in astonishment.
Then he looked at Cai Dongfan in surprise, the meaning in his eyes was——
When did Director Yan become so easy to talk and considerate...
Cai Dongfan sat leisurely, as if everything was expected.
"Okay!" Zheng Xuanlin rubbed his hair, his face a little tangled and helpless.
……
After the shift was over, Luo Yun directly left the arrangement of shifts to Zheng Xuanlin, because Luo Yun was in an advanced department than Zheng Xuanlin, and this was one of them.
Second, Zheng Xuanlin, the general on duty, is just a code name, Zhou Cheng and Luo Yun are still doing the work, and of course they have to work hard in other places.
You can't let Dong Qiansheng arrange shifts in person, can you?
Luo Yun didn't lead people to round the house directly, but found Cai Dongfan, and asked in a low voice: "Director Cai, why is Director Yan so generous today?"
Luo Yunke didn't know yet that Cai Dongfan took Zhou Cheng to meet Professor Ding Changle and discuss privately with Zeng Yi.
So Cai Dongfan told the whole story.
"This matter, although unexpected, is also a reasonable matter. Although Director Yan is usually stingy, but this time he is standing in the upper reaches of the orthopedics department. He must feel very vented. Can you be generous? ?"
"Anyway, Zhou Cheng is also a member of our second department of orthopedics." Cai Dongfan looked as expected.
Of course, it was due to Zeng Yi's courage, and Cai Dongfan's courage was not small.
Zeng Yi told Yan Hanhan that he and Director Wang are going to authorize Zhou Cheng's Level II surgery in advance, will you Yan Hanhan participate?
If you don't participate, then I will pass you by.
Now that the chief orthopedic director and the old orthopedic chief are both in charge, you, Yan Hanhan, are just a side project, and you can just find a chief physician to do it.
"So that's the case, I said." Luo Yun suddenly realized, but felt relieved.
He is not afraid that Yan Haihan has a reason, but he is afraid that he will not know what he is planning, and then he will play tricks.
Then, Zheng Xuanlin made the schedule.
Zhou Cheng's squad was gone, so Du Yanjun was sent to take over.I didn't make too many changes, I just vacated Zhou Cheng's class and moved forward one by one.
Then I changed the duty positions of Du Yanjun and Zhang Zhengquan. Otherwise, many people in Cai Dongfan's group would be on duty on weekends, and there would be no surgery days.
Cai Dongfan was in a good mood, and personally led Luo Yun to round the room with the team.
In fact, there is nothing to check. Their group has not been on duty for a long time, and most of the patients in the group have been dealt with by Zhou Cheng. There are even a lot of patients who have been discharged from the hospital.
For those who have been reset by manipulation, go home and lie down. Patients who underwent surgery last week can also go home to change their dressings and wait for the stitches to be removed.
As a result, the patients in Cai Dongfan's group suddenly lost a lot.
After a lap, Cai Dongfan said: "The current patients in our group are becoming more and more routine. There are no difficult patients, and there are a lot fewer things to do."
Luo Yun nodded and said: "Today, Yan Jun is on duty, and some patients are expected to come. The number of patients admitted by Director Hu Ming's team yesterday is not too small."
"But counting, it should not be enough to fill the current empty bed."
Cai Dongfan said calmly: "It doesn't matter, there is no rush. If there are no patients, we will rest, and we will rest this month. The pace was too busy a while ago, and everyone must be tired."
"Patients who should be admitted, just admit patients who can be admitted."
"Luo Yun, you have to shut it down."
"Okay!" Luo Yun nodded and glanced at Zhou Cheng, his heart agitated.
Zhou Cheng is about to get the authorization for class III surgery, and I haven't got it yet.
Should I go to the Affiliated Hospital of Shonan University or the Joint Surgery Department of the Second Hospital for a few laps, and get the authorization for Class IV surgery as soon as possible?
Or, just find a few elderly patients with femoral neck fractures and drag them into the department to see what Cai Dongfan should do?
……
Du Yanjun was not surprised when he temporarily received the notice on duty, nor was he dissatisfied.Anyway, he had planned it a long time ago. Even if Zhou Cheng was on duty, he would stay in the department. He had such a psychological expectation.
Now the difference is not big, Zhou Cheng still has to stay in the department.
Zhou Chengcheng took the initiative to find Du Yanjun: "Yan Jun, I'm going to take a rest first. When I get sick or call me before noon, I'll order lunch."
"Brother Zhou Cheng, go and rest. Brother Rui told me that you were almost exhausted yesterday." Du Yanjun ignored the latter sentence.
Zhou Cheng can now be on duty with Luo Yun and the others. His choice has always been right, and he was the first to show his affection to Zhou Cheng, so he has to study hard.
As for whether Zhou Cheng invited guests to dinner or not.
This has little effect. If he can learn more things from Zhou Cheng, stay in the hospital or even get the establishment, then everything will come back.
……
Yesterday was Du Ruiqi's shift, so today is naturally the operation day for Hu Ming's group.
Therefore, Yan Haihan also quickly finished checking the house.
After checking the room, Yan Haihan took the initiative to find Yang Yifeng, pulled him into the office, and asked, "Xiao Yang, do you have any ideas about the arrangement of our department?"
"I remember you seem to have said that you can also perform joint dislocations to reset."
Yan Haihan's mind is active, Cai Dongfan has Luo Yun and Zhou Cheng doing joint dislocation manipulation, Zheng Xuanlin wants to do fracture manipulation, it's still their team, he and Dong Qiansheng are two old guys, they did their best when they were young. Thinking about surgery, I rarely touch this thing.
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So he wanted to find out if Yang Yifeng could step in and fill up the gaps in his group.
Yang Yifeng smiled lightly at the corner of his mouth and said, "Director Yan, I think it's pretty good now. There are already a lot of talents in the department about the manual reset, so I won't mix it up."
"Thank you, Director Yan, for your love."
After finishing speaking, Yang Yifeng directly exited the director's office, leaving behind Yan Hanhan, who was frowning tightly, in the director's office, frowning and smoking, probably sitting for a long time...
Yang Yifeng is a serious person who comes to the No. [-] Hospital to gather stories, so he never forgets to find materials for his novels.
He carefully prepared all kinds of materials, and he was also seriously coding every afternoon.
However, the subordinate of the first ward of the orthopedics department, he has already made a round.
He has almost understood what he should understand, so today he plans to mix into the department downstairs.
Everyone has their own background and story, and each factor will affect the psychological layout and changes of the subordinate doctors.
For example, although Yan Haihan is the administrative director of the second ward, the chief administrative director of the orthopedics department is still in the first orthopedics department. Then, what are the resident doctors and graduate students there, what are their thoughts? ?
It's a lot to look forward to.
Analyzing the identities and gaps of different characters, and analyzing the gaps caused by different factors, is a very interesting thing in itself.
You must know that compared with the objective factors of orthopedics, the thoughts in people's hearts are subjective and active, so after thinking about it, the taste is enough.
Yang Yifeng was wearing work clothes, holding a blue pen and a black leather notebook, and set off for the Department of Orthopedics.
……
When he came to the Department of Orthopedics, Yang Yifeng saw that the people in the Department of Orthopedics were still making ward rounds. It seemed that the progress of the ward rounds was very slow today, but he was not in a hurry. He just waited quietly in the office for the ward rounds. the end.
Finally, around 40[-, Li Changhong's group from the Department of Orthopedics came back from the ward rounds.
Today is surgery day for their group.
The little doctor who was on duty for 24 hours yesterday was left in charge of the doctor's orders and dressing changes on the day of surgery in the department. If there is no surgery arrangement, then he can go back to rest or go to the operating room to help.
This is for the consideration of the rest rights of the doctors on duty who fought for the operation day in the group.
And the people in the other two groups didn't seem to be in a hurry to finish the house inspection.
In the office, Li Bufan saw Yang Yifeng and felt a little strange, and found that Yang Yifeng was looking at him speculatively.
Then he touched his head and asked, "Did you come to ask the director of our department to sign?"
Yang Yifeng saw that he was a doctor of this hospital. He had the overalls and badge of this hospital, and he was also holding a pen and notebook, as if he had come to ask the director to sign.
It's just that those who need to sign are usually graduate students or interns. With Yang Yifeng's face, he looks like he's almost thirty. Maybe he's a mature-looking graduate student?Are you going to plead?
"I'm not here to ask the director to sign. I'm Yang Yifeng from the Department of Orthopedics. Come..." Yang Yifeng straightforwardly explained his purpose of coming.
It means that I am writing a novel and I hope I can ask him to write a novel.
Although Li Bufan felt a little bit pained when he heard Yang Yifeng say this, it was new for everyone to have their own ambitions. After all, he read novels, but there was no one around him who wrote novels.Now that I met someone who came to collect the style, I immediately felt that the author might be a very dedicated person.
So I chattered: "You write a novel? Did you post it at the singularity?"
"What's the name? How many clicks? How many favorites?"
Li Bufan is a ten-year-old bookworm. He has been reading novels since high school, so he knows something.
Yang Yifeng dealt with it casually, and didn't really ask Li Bufan to collect recommendation tickets, monthly ticket subscriptions and other one-stop things for him.
The money he wants to earn is not the affectionate subscriptions of people around him. He has to write a good story so that people can read it.
Then Yang Yifeng asked Li Bufan to do things first. He only had to ask questions, and Li Bufan could answer casually, and he didn't need to organize his words deliberately.
"Doctor Li, are you a graduate student? Or a resident trainee?"
"Zhu Pei, the second year this year."
"What about you?" Li Bufan is quite talkative. Anyway, he thinks that people who write novels must also love novels, so there must be a lot to talk about later.
Pushing books, what novels have you read, if you don't have the rations to solve the book shortage, then there are too many questions to ask.
Two 10 minutes later—
Yang Yifeng was dumbfounded listening to Li Bufan's narration, stopped writing, opened his mouth slightly, and forgot to record for a while.
"Brother Yang, Brother Yang?" After Li Bufan issued the doctor's order, he found that Yang Yifeng was stupid.
Waved in front of his eyes.
Then he said: "Can't this fact be used? I think it is very useful. This kind of plot is usually seen in novels."
Only then did Yang Yifeng murmur, "You mean, yesterday."
"Your department is also doing manipulative reduction of joint dislocation, and then the reduction did not go up?"
"I asked the professors from the Second Affiliated Hospital of Shonan University to read it, and they all said that surgery is recommended?"
"Then?"
"Our department, Zhou Cheng, have you finished the reset?"
"Yeah." Li Bufan nodded seriously.
"I saw and heard the whole process with my own eyes." Li Bufan said seriously.
"Is this Zhupei awesome?" Then he smiled, showing a proud look on our Zhupei, and gave a thumbs up.
Because Yang Yifeng didn't confess his identity to Li Bufan, he didn't think it was necessary.
Yang Yifeng looked at Li Bufan's expression seriously, and the other party looked sincere, not like a fake.
Only then nodded blankly: "Is the patient's film still there? I want to know more about it."
Hearing is false, it may not be this Li Bufan, and it may not necessarily be that he has added oil and vinegar to the pain.
He didn't even understand what the movie looked like, so he deliberately added a professor's plot.
After all, according to the classic routine in the novel, the professor came and couldn't get it done, and then the protagonist went to save the world with all his might.
This professor was too scared to come, how dare you make it up!
It's cool, but I just feel a little too outrageous.
Yang Yifeng analyzed the matter from a professional point of view.
"Yes, yes!"
"Materials, collect materials." Li Bufan immediately and enthusiastically called out all the films before and after the reset of the patient yesterday, and then said:
"Look, Brother Yang, that's all, the wrist is dislocated."
"Anyway, I heard what Mr. Luo said is awesome."
"What is the DRUJ?"
Yang Yifeng's eyes were immediately pulled over by the plain film. While watching, the corners of his mouth murmured: "Dislocation of the radiocarpal joint, separation of the inferior radioulnar joint, dislocation of the 2nd to 5th metacarpal joints."
"No fracture or dislocation around the lunate?"
"hiss!"
"My nia?"
"How could this patient be like this?" Yang Yifeng turned his head and asked Li Bufan.
When Yang Yifeng made a professional diagnosis, Li Bufan's tone froze, and he looked at Yang Yifeng seriously.
Who are you?
The diagnosis that Wang Yaoxiang couldn't see, did you say it verbatim?
"Is it traumatic?" Li Bufan said seriously.
Yang Yifeng continued to touch his head, and then murmured: "The ones that can cause dislocation of the radiocarpal joint are definitely high-violence injuries. With such high violence, more than 90.00% of them will be concurrently fractured, but this patient happened to have no fractures. "
"The probability of occurrence is one in a hundred thousand or even one in a million. No wonder the professor is scared when he sees it."
"This novel can't be written like that?"
"Ah?" Li Bufan was stunned.
Feeling strange: "Isn't the novelist's thinking absolutely radiant? Fantasy novels are still good."
"Because ordinary authors don't know about this situation. Those who know about this situation generally don't become authors." Yang Yifeng looked at Li Bufan and explained.
Li Bufan raised his eyebrows: "..."
I thought to myself, do you mean you are very unusual?
Chapter 113 The Weird Child
About ten minutes later, Li Bufan reluctantly said goodbye to Yang Yifeng: "Brother Yifeng, if you read a good book next time, remember to push it for me."
There are not many people who actually read novels in the department, and those who have read have only read one or two well-known online novels.
When Yang Yifeng talked about novels with them, he always felt cautious, for fear of accidentally defining himself as an old-fashioned reader...
But Yang Yifeng is different. His understanding of novels is quite extensive, ranging from novels written by "ancient gods" to recent popular novels on major websites. Bufan recommends a few books.
Li Bufan briefly glanced at the beginning, and each prepared a pirated txt download file.
Seeing that Yang Yifeng's scalp tightened a little.
But he didn't say much, just nodded and said: "Okay, if I see a good book, I will definitely recommend it to you to solve your book shortage."
Then put away the blue pen cap, put the pen in the side pocket of the white coat, closed the black leather notebook, glanced at the doctor on duty in the orthopedics department today, thought for a moment, and walked out of the orthopedics department office.
When walking through the walking stairs between the first department of orthopedics and the second department of orthopedics, Yang Yifeng still felt that it was a pity that he did not see the whole process of this patient's diagnosis and treatment in detail, otherwise, this would be an excellent case material , can be used in novels.
Now it's just hearsay, far less profound than what I saw with my own eyes, but it is also one of the excellent 'copy' materials.
Yang Yifeng returned to the office of the second orthopedic ward, and saw Du Yanjun was there, frowned slightly, and asked with a smile: "Brother Yanjun, have you been temporarily arranged to be on duty today?"
Yang Yifeng was even more curious about Zhou Cheng at the moment, he had seen the schedule before, and planned to have a chat with Zhou Cheng again today, but Yan Haohan temporarily interrupted his plan in the middle of the arrangement in the morning.
"Well, brother Zhou Cheng was too tired yesterday, and he is still on duty today, so he is not allowed to be on regular shift. Now he is resting in the lounge."
"Brother Yifeng, have you just come back from collecting wind?" Du Yanjun asked back.
With Yang Yifeng's outfit and black leather notebook in his left hand, he must have gone to some department for an interview.
"Just chat casually." Yang Yifeng responded, but also got the news that Zhou Cheng was still in the department.
"I'm off work first, you are busy first."
……
Although Yang Yifeng was curious about Zhou Cheng, it was just curiosity. Even when his teacher Ding Changle came here to watch Zhou Cheng undergo a Class III operation, he refused Ding Changle and asked him to go to the operating room together. invitation.
Because to Yang Yifeng, ordinary fracture patients, no matter how well they do, are just like that, no big deal.
Although, maybe Zhou Cheng didn't know how to do it, the operation was done extremely well, but he couldn't attract Yang Yifeng.
On the contrary, it may be because of writing novels that Yang Yifeng is more interested in patients with difficult and miscellaneous diseases, preferably with a little difficulty, just like the rare fracture patient that Cai Dongfan was arranged by Yan Haihan before.
Such a complicated case is quite interesting to contact.
It's a pity that the patient Zeng Yi invited himself to undergo anesthesia in the director's group a few days ago was quite routine, but because Zeng Yi had too many worries, he had high requirements for anesthesia.
After learning about the case, Yang Yifeng didn't want to go, but in the end he went anyway.
Yang Yifeng still didn't forget the purpose of coming to No.[-] Hospital.
Seeing that Zhou Cheng was still in a deep sleep, Yang Yifeng packed his backpack on his own, returned the notebook and pen to their original positions, and yo-yoed ahead of time.
He doesn't have to be on duty, he just comes here to watch the flowers, so he is naturally very leisurely.
……
However, when Yang Yifeng arrived at the house he was renting.
So he prepared hot water and chewing gum, which are necessary condiments for Yang Yifeng's codewriting.
Not long after opening the notebook and typing, my teacher called me.
Yang Yifeng frowned suddenly, he didn't like being interrupted when he was doing things, especially when he was coding, even if this person was his teacher, but fortunately, Yang Yifeng chose to connect before it even started.
"Master, good morning." Yang Yifeng was still very polite to Ding Changle.
Ding Changle smiled and said, "Are you coming home from get off work again? Have you had a pretty good time in the recent leisure time?"
When Yang Yifeng was in his own group, he had to do a lot of things, no less than ordinary attending or associate professors.
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"It's quite leisurely. Thank you, master, for your understanding. You have allowed me to come to the No. [-] Hospital to be lazy." Yang Yifeng's heart warmed.
"Ah."
"To be lazy is to be lazy, but you happen to be in the No. [-] Hospital, so I have to arrange a temporary task for you. And you actually started this matter first..."
"Ah~~~"
"..."
After talking for about 10 minutes, Yang Yifeng said calmly, "Master, this?"
"Didn't we agree before that I'm here at No. [-] Hospital, so I don't need to stay longer in the clinic. I'm still in a critical period of changing careers." In fact, it is equivalent to looking for reasons to decline Ding Changle's arrangement.
Ding Changle drank a lot of wine before, and under the "fool" of Cai Dongfan, who was quite talkative, he took the lead. Besides agreeing to this matter, he even said another thing happily. thing.
When I realized it afterwards, although I felt a little meng Lang and regretted it, it was not easy to slap myself in the face.
Ding Changle agreed to Cai Dongfan's voluntary intention, that is, to arrange for Zhou Cheng to be awarded a Class III operation, but later added a lot of additional conditions to Cai Dongfan.
Moreover, in order to be safe, Ding Changle can't just trust Cai Dongfan, but wants his students to observe Zhou Cheng secretly.
You can't just let Cai Dongfan decide.
Besides, letting Yang Yifeng beat and beat Zhou Cheng to a certain extent would not do much harm to Zhou Cheng.
After all, today's Zhou Cheng may be in a period of 'relatively invincible' and 'juvenile', and he feels that he is very good now, and he can even start thinking about starting a new discipline.
If he doesn't wake up halfway in time, have self-knowledge, see that every mountain is higher than another, and let Zhou Cheng see these mountains.
It is very likely that Zhou Cheng's thinking has fallen into a wrong path.
Ding Changle then said: "You don't have surgery, you just go to the operating room occasionally, just walk around and see if Zhou Cheng can do level II and level III surgery based on your level and experience. Still have the spare time and strength."
"And it's impossible to say, you still want to beat this person with a strong personality." Ding Changle hinted intentionally or unintentionally.
I roared helplessly in my heart, can you stop telling me about changing careers?
This matter has not a small impact on me, you know?
I also have nothing to do with you, otherwise, if someone else, he says, do you think I can beat him?
"Let's just beat it."
"It's no fun to compete with a regular trainee."
"But Master, I will go and do what you have told me. Don't worry." Yang Yifeng once again rejected Ding Changle's hint, but still agreed to Ding Changle's express statement.
"Okay, let's leave it at that. I don't worry about other people's words, but if you think he is qualified to be awarded a Class III surgery in advance, then I will spend some time in secret, and I will treat it as a contribution to the discovery of orthopedic talents in Hunan Province." ." Ding Changle replied helplessly.
After Yang Yifeng hung up the phone, he put the matter behind him.
Shaking his head slightly, he murmured in a low voice——
It's true that curiosity will kill the cat.
code word code word.
……
In the department, Zhou Cheng slept until eleven forty-seven before waking up.
When I was taking a deep breath when I first woke up on the bed, I felt a slight pain in my head.
This is the sequelae of irregular sleep. Although sleeping during the day makes up for the sleep time, the upside-down sleep still makes Zhou Cheng feel uncomfortable.
But he glanced under the bed in the lounge, and he didn't know when the boxed lunch and drink had been placed, but the soldier Du Yan was not there.
Zhou Cheng got out of bed and rubbed his face with cold water again, walked towards the office, and saw Du Yanjun eating.
After seeing Zhou Cheng, he hurriedly said: "Brother Zhou Cheng, I've already ordered food for you, and put it in the lounge. I saw you sleeping when I came here before, so I didn't bother you."
"Thank you." Zhou Cheng rubbed his eyes and stretched his waist with one hand.
Then asked: "Are there no patients this morning?"
Du Yanjun smiled: "Not yet, it's quite leisurely. I only have a few discharges from the hospital, and then I can read books all the time."
Du Yanjun remembered that in the morning, Du Ruiqi said that there were many patients yesterday.
Then I felt that I was very lucky. After that shift, it seemed that the number of patients decreased.Although Du Ruiqi and him belonged to the same family, luck is something that can only be understood but cannot be expressed in words.
Du Yanjun never dared to say that the patient is missing three words.
Everyone on duty would say these three words are poisonous.
"That's pretty good. If it's still like this at noon, then I'll go home and wait. If there are emergency patients, I'll come over again."
After finishing speaking, Zhou Cheng pondered: "If it's a patient with a fracture, you can handle it yourself. Patients with joint dislocations should call me, and patients with trauma should call Teacher Luo Yun."
"Well, yes. I understand." Du Yanjun nodded immediately, in fact, he thought so too.
But after nodding, Du Yanjun smiled again and said, "Brother Zhou Cheng, next time you have a dislocated patient, can you invite me to join you when you do manual reset? I really want to learn."
While talking, he also raised the book he was reading, which was related to joints.
Last time, no matter whether it was Luo Yun's beating, or Zhou Cheng's dislocation of the joints by himself, and whether he rushed in front of everyone all at once, Du Yanjun was very stimulated.
"Okay." Zhou Cheng smiled and agreed.
……
At two o'clock in the afternoon, the department was still very quiet, and Zhou Cheng was yo-yoing with his own things.
However, as soon as Zhou Chengcai arrived at the rented house, Du Yanjun's call arrived.
The tone was quite guilty: "Brother Zhou Cheng, here is a patient with a dislocated joint."
Zhou Cheng stood at the door in a daze, smiled wryly, took a deep breath and said, "Okay~ let's go~. I'll come to the department right away."
"You talk to the patient first and sign, and say that manual reduction is only one of the treatment methods that can be expected a little bit. The safest treatment method is surgery, and then the conservative treatment cannot be restored, and the risk of dislocation will be higher." Because Zhou Cheng didn't see what the patient's dislocation was.
So let Du Yanjun take a vaccination first, mainly because of the patient yesterday in the Department of Orthopedics, which gave Zhou Cheng a profound education.
When Zhou Cheng put down his schoolbag, he just went into the department and rushed to the door of the department.
I found Du Yanjun waiting at the door of the department.
After seeing Zhou Cheng, he said apologetically, "Brother Zhou Cheng, I talked to the patient. I may have gone too far. The patient thinks the risk of manipulation is too high. They would rather have surgery and solve the problem at once."
"I don't want to try to reset."
Zhou Cheng was taken aback again: "How old is the patient? What kind of dislocation?"
"It's a child with a dislocated shoulder joint." Du Yanjun scratched his hair and smiled wryly.
"Awesome." Zhou Cheng gave Du Yanjun a thumbs up.
This is not to deliberately ridicule Du Yanjun, but because he really thinks he is awesome.
For shoulder dislocation, manipulative reduction is the first choice. Du Yanjun can tell that the family members of the patient have a strong willingness for surgery. This is a skill and requires a certain amount of knowledge reserve.
To dispel the idea of children in today's era, Baidu and even parents of can teach doctors to diagnose and treat online.
"But? I'm afraid my master will scold me." Du Yanjun said truthfully.
Zhou Cheng shook his head and said, "How could Mr. Cai scold you? Manipulative reduction and surgical reduction are both treatment methods, and surgical reduction is the gold standard, which can guarantee [-]% reduction. The patient's family members are quite conservative and are unwilling to accept the failure of reduction." risk."
"There is a strong desire to choose surgical reduction, which is our respect for the patient's ideas."
"Let's go see the patient first." Zhou Cheng decided to see the patient and his family members first.
Soon Zhou Cheng put on his work clothes and came to the door of the operating room to take a look inside.Adult Zhou is a bit silly——
Inside, a young couple, probably in their 30s, are probably the parents of the child.The other two old couples in their 60s must be grandparents and grandparents.
When the child is sick, the whole family is dispatched.The one with the highest status is the one who wears diapers, which is the norm in China today.
The kid looked like he was two or three years old when he was highly evaluated, but now, although he was sitting on the examination bed under the protection of his mother, there was no pain on his face, and there was a silver bell-like smile on his mouth, babbling and babbling. Playing with his mother with his right hand.
And his clothes on the left shoulder were untied.
The square-shouldered deformity on the left shoulder, legs crossed, very happy——
So happy with square shoulders?
Don't you feel pain?
The picture contrast?
The existence of square shoulder deformity can prove that there is [-]% joint dislocation, but the symptoms of joint dislocation are pain and limited movement——
But this kid?
Where is there pain?
This shouldn't be, if the dislocation doesn't hurt anymore?Can that still be called dislocation?
Could it be this child, and others?
Du Yanjun stretched out his hand and said to Zhou Cheng, "Brother Zhou Cheng, this is the kid. Why don't you take a look first?"
Zhou Cheng immediately lowered his voice and asked, "Little friend, is he conscious? Have you done a physical examination?"
He smiled bitterly in his heart, Du Yanjun, you didn't even check this, did you?
If you don't feel it, it's not just a joint dislocation problem, but also a serious neurological problem!
Chapter 114 Ah~?This~?
Pain is a kind of sensation, and the basic condition for producing pain is that the nerve is intact and there is a relatively complete reflex arc.
Dislocation will cause pain, which is one of the orthopedic definitions of dislocation, and it is certainly not wrong.
And the expression on the child's face at this moment must be real, it is impossible for a child to pretend to be strong like an adult——
No, the child was about three years old and could already speak. When Zhou Cheng and Du Yanjun opened the door, they saw two white coats walking in, and immediately stretched themselves into his mother's arms and began to cry.
Still shouting: "Mom, mom, no injections, no injections."
"I don't want injections."
It is estimated that I was scared by the pain of the injection every time I saw the white coat before, leaving a white coat reaction.
"No injection, baby, if you really don't want an injection today, let's show it to the doctor and make sure you don't get an injection, okay?" The child's mother hurriedly hugged her to comfort her.
"Qiqi, no injection today, our Qiqi is the most obedient, don't cry, don't cry." He didn't know whether it was grandma or grandma.
Another old lady said: "Qiqi probably felt that she needed an injection when she saw the doctor, and she was afraid of the pain. She was very good before and didn't cry for a while."
The two surrounded the child, blocking the two white coats of Zhou Cheng and Du Yanjun, and the child gradually stopped crying, but tears were still in the corners of his eyes, extremely wronged.
But his grandma and grandma were so distressed, they kept patting him and whispering.
The child's father walked towards Du Yanjun, while his grandfather and grandfather stood not far behind his father.
Du Yanjun hurried back to Zhou Cheng and said, "Brother Zhou Cheng, I have had a physical examination, and the child must feel pain."
"I pinched the child's arm lightly before, and he responded."
Du Yanjun naturally would not make such a low-level mistake.
Zhou Cheng frowned suddenly.
If the child feels pain at the far end of the dislocation, it is quite rare for the dislocation of the shoulder joint to be painless.
The sensation exists linearly, and there is basically no periodic loss of sensation.Even if it occurs, it is characterized by truncated levels.
That is, beyond this level, there is no feeling, but near this level, the feeling is normal.
It will definitely not be like this child, where the remote sense exists and the proximal sense is absent——
The feeling of the nerve is the same as the electric current. A wire can only have current near the proximal end of the power supply, but not at the far end.
It is impossible to have such a situation where there is current in the far end and there is no current in the near end.
If anything, there is definitely something wrong.
Before he had time to think about it, the child's father said, "Doctor Du, does my child need surgery in such a situation? Then when can we arrange hospitalization?"
Earlier, Du Yanjun told them that the manual reset will not only cause severe pain, but it is very likely that the reset will not go up.
Although they were very reluctant to have their child undergo surgery, compared to subjecting him to unreasonable torture, he felt that if the surgery could be done once and for all.That is the safest.
Du Yanjun looked at Zhou Cheng, the patients with dislocated joints were basically handed over to Zhou Cheng and Luo Yun in the department.
If Zhou Cheng is not sure, then he can only ask Luo Yun to come to the department.
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Du Yanjun himself doesn't know much about dislocation patients, so he naturally can't decide by himself whether to be hospitalized or not.
Zhou Cheng said: "Don't rush to talk about the hospitalization, I'll take a look at the baby's film and give him a detailed physical examination."
Although Du Yanjun said that he had completed the physical examination, Zhou Cheng decided to do it again himself to avoid any accidents.
Because of some special joint surgery examinations, even Cai Dongfan and the others don't know, let alone Du Yanjun.
Industry specializing in surgery.
The child's father looked at Zhou Cheng and frowned slightly.
Du Yanjun immediately explained to the patient's family: "This is Dr. Zhou from our department. Basically, he is responsible for and handles the patients with joint dislocation."
The patient was a little surprised when he heard this. Zhou Cheng didn't look very old, but since he was a professional in dealing with such patients, he was probably more professional than Du Yanjun.
Just still too young.
But he whispered in his mouth: "The director of your department, can't I trouble you to come and see my child?"
The child's father was wearing a shirt and jeans, his face was quite refined, and his speech was more polite.
Zhou Chengcheng said: "It's lunch time now, and the directors have already gone to eat after get off work. If our lower-level doctors can't handle the patients, we can only bother you. Please understand."
An old man behind the middle-aged man then said: "It's past twelve o'clock, which happens to be lunch time, so let this doctor take a look first."
Zhou Cheng immediately went over to the child and winked at him to show his kindness.But when the child saw his white coat, he immediately pursed his lips and began to cry. Maybe in the child's world, the white coat is the code name for him to suffer so much pain.
The child's mother hugged him gently, and said to Zhou Cheng: "Doctor, I will watch over the child. Please be gentle when you check."
"En!" Zhou Cheng could only nod.
Then I started to do the examination. When I first met the child, the child kept struggling and cried so much that he felt aggrieved.
However, when Zhou Cheng found out that there was no pain at all during the examination, he slowly stopped crying and struggling. He only sobbed occasionally, pursed his mouth, and put on a look that if you dare to give me an injection, I will give you an injection at any time. The expression of wanting to cry comes out.
After Zhou Cheng completed the physical examination related to shoulder dislocation, and then watched the film, his heart skipped a beat.
No need to think about it, according to the existing physical examination or film, one thing is very certain, that is, the child's shoulder joint dislocation is inevitable.
And his pain function is also normal.
Then this is not normal!
The child's father saw that Zhou Cheng had finished the examination in a circle, but his brows were tightly frowned, and he didn't say a word, but he didn't almost die of panic, so he quickly lowered his voice and asked, "Doctor, how is my son?"
The others looked at him nervously with wide eyes.
But Zhou Cheng said, "Let's go to the office to talk in detail. You leave one or two people to look after the children, and the others come with me. Those who usually take care of more children, it's best to come to the office as well."
"The main reason is that the grandma and grandma of the child and I brought a lot of them. Dad, Dad, you two should look after the child. The four of us will follow the doctor." The child's mother hurriedly said.
The two old men immediately felt that they were rejected, but looking at their grandson's shoulder, they also nodded and said nothing more.
Zhou Cheng brought the child's parents and grandma to the office.
The child's father anxiously asked: "Doctor Zhou, what's the situation with my child, just tell me, I'm worried and scared."
Zhou Cheng said: "Just now I did a physical examination for your child, and found that the shoulder joint is palpable and empty, and the humeral head can be clearly touched, which is a sign of fear ()."
"What does this mean?" The child's father was dumbfounded. Of course he didn't understand such a professional term, so he immediately interrupted, and he seemed to be impatient.
"That is to say, the child must have dislocated the joint."
After Zhou Cheng finished speaking, he immediately changed the subject: "But the child didn't cry or fuss, that is to say, he couldn't feel the pain here."
"Joint dislocation is very painful, even adults may not be able to bear it."
The faces of the child's family members suddenly changed slightly.
It seemed to be the case. On the way when they brought the baby, they cried except when they saw Du Yanjun, but they didn't cry at other times. They even praised their baby for being obedient and sensible.
Unexpectedly, this point has now become the biggest doubt.
"So I would like to ask, has the child had any other diseases before, or had any particularly strange behaviors?"
When the child's mother heard Zhou Cheng's words, she frowned tightly at that time: "Doctor, I remember when you said that. It seems that I have also found that the child has such a few times before, that is, the shoulders don't look normal. when."
"And not too willing to move."
"But after a while, when my child was playing by himself, his shoulders returned to normal, and I thought nothing was wrong."
"Is this a big problem?" She asked quickly, and blamed herself a little.
The child's father glanced at her, and she lowered her head slightly.
The grandma and grandma behind them showed unnatural expressions.
Hearing the child's mother's words, Zhou Cheng had basically determined the child's problem, and he was closer to the diagnosis he had considered in his heart.
According to the definition of orthopedics, joint dislocation is very painful, but there are also very special cases.
That is recurrent joint dislocation, or habitual joint dislocation. For such patients, when dislocation occurs, there will be no special pain, and there may even be no pain.
Even more violently, patients with habitual joint dislocations can recover their dislocations after their own dislocations——
However, this kind of fierceness and awesomeness is not a good thing.
"When does it usually happen? Has he been injured today?" Zhou Cheng continued to ask, but he still didn't tell the guess in his heart, and he had to confirm it before speaking.
Du Yanjun looked like he was listening to heaven, but he also stood aside and listened carefully.
It seems that the books I brushed by myself are useless at this time.
I secretly regretted it, why didn't I read those books earlier?
Glancing at Zhou Cheng, he found that Zhou Cheng's brows had already been relaxed, probably because he had made up his mind.
Then there was a gap that was not very pleasant——
The gap between myself and Zhou Cheng is probably getting farther and farther.
"No injury, no injury."
"Today I took my child to camp near Songya Lake, and then he took a nap halfway, and it became what it is now."
"In the past, I woke up after sleeping, and it became like this."
"It will be fine in a while, even today, such a special shape has never recovered."
"Is it important? Will it affect his handwriting in the future?"
"He's still so young, so what if it happens in the future. Doctor, you must find a way for me." The child's mother begged and looked at Zhou Cheng.
Zhou Cheng said comfortingly, "Don't worry."
"According to your medical history and my physical examination and photos, your child's condition is a habitual dislocation of the shoulder joint. It is also called recurrent dislocation."
"Because only this kind of dislocation does not cause pain at ordinary times."
"Besides, the child is still very young, and his ligaments and bones are very plastic, so it happens more often, and he may not feel pain at all."
When the child's father heard this, he immediately asked: "Then is this recurrent dislocation hard to treat? Can surgery solve the problem?"
Zhou Cheng shook his head and nodded again: "The dislocation itself is not difficult to treat, but it is difficult to find out why the dislocation occurs and treat the cause."
"I'll ask you another question here, don't have any thoughts in your mind."
"Does your child have epilepsy?"
The child's grandma immediately raised her head and cursed: "You have epilepsy. You are going crazy~"
"Can you read it? If you can't, call your director if you don't know how to read it."
Epilepsy can be called epilepsy or epilepsy.
This is a disease that is quite dreaded by the people. Once this disease is discovered, it will be carried for a lifetime.
The faces of the child's parents also became uneasy, looking at Zhou Cheng.
The middle-aged man said: "Doctor, isn't my son's joint problem? Why did he suddenly bring up epilepsy?"
The child's grandmother immediately said, "Why are you asking so many questions? How could my Qiqi have epilepsy? You also have problems with your brain, right?"
"If you don't know how to read, call your director over." The child's grandmother poked her son directly, and then cursed at Zhou Cheng.
"You have epilepsy, you have epilepsy, and your brain is abnormal."
Zhou Cheng took a step back, his expression changed slightly, and he said, "I'm just explaining the possible cause of the disease to you based on my professional knowledge. You don't have to believe me, but don't attack me personally."
"If you think I've read it wrong, or can't read it."
"You can ask our director to see it. Or wait for our director to come to the department and then go to the director to see it. How can this be a curse?"
Li Mengxiang scolded immediately: "How did you talk?"
"What's wrong with scolding you? What are you talking about?"
"I came to the orthopedics department and you said my grandson had epilepsy. Are you a doctor?"
"Will you see a doctor?"
"Quack doctor, you!"
"Mom, calm down. This is a hospital." The middle-aged man pulled the child's grandmother.
His wife and his mother-in-law didn't move at all, and they looked at Zhou Cheng with unnatural expressions.
"He was the one who cursed my grandson first!" Li Mengxiang pointed at Zhou Cheng with widened eyes.
"That's your son too, he said your son's head."
Speaking of this, I can't go on.
Muttering: "I scold him lightly."
Seeing that he couldn't persuade his mother, the middle-aged man apologized to Zhou Cheng: "I'm sorry, Dr. Zhou, my mother is mainly worried about the child's problems, but she didn't mean to offend you."
"Why are you talking so much? He is not professional at all, so let's not read it. Go to the Affiliated Hospital of Shonan University or the Second Affiliated Hospital. The Second County Hospital is much better than this."
"These eight hospitals are full of ghosts and monsters. I've already said it. Don't watch it here. You still don't believe it."
"Look at the doctors here, what kind of quality each one is. They are young, and they start to chew their tongues before they have learned their skills." The child's grandma dragged her son out cursing.
The child's mother and grandmother seemed to think that Zhou Cheng was a bit too much, so they also quit the office.
The corners of Zhou Cheng's mouth twitched for a while, but he couldn't say anything.
Doctors don't knock on doors.
However, due to the obligation of a doctor, he followed out, then found the father of the child, and confessed: "You can choose to go to other hospitals, but you must go to see it."
The Affiliated Hospital of Shonan University is of a higher level than the No. [-] Hospital, so it is impossible for them to say that family members are not allowed to visit.
Moreover, Zhou Cheng thought to himself that he was polite from the beginning to the end.
It may just be that the word epilepsy is too irritating to ordinary people.
But no way.
There are only a few causes of habitual joint dislocations.
The first one is structural problems, loss of ligament function or laxity of ligaments, resulting in unstable joint structure.
Second, repeated trauma.
The third one is epilepsy.
He just had a physical examination, and the child has no congenital ligament laxity.
So it's not going to be a structural problem.
And a two- or three-year-old child like this, who has just learned to walk, cannot be habitually dislocated due to repeated trauma!
In addition, the possibility of relaxation caused by long-term muscle and ligament stimulation caused by epilepsy is very high.
If it is not, then it is only possible that this family is abusing the child and playing him out of nothing.
And only one of the causes was mentioned, so they did.
"Okay, thank you doctor."
"My mother." The child's father wanted to say something more after hearing Zhou Cheng's words, but his mother called him away.
Then Zhou Cheng and Du Yanjun were left behind, looking at each other.
After the patient and family members had left, Du Yanjun asked Zhou Cheng in a low voice: "Brother Zhou Cheng, does epilepsy also cause habitual joint dislocation?"
"Well. One of the reasons."
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"It's impossible for the child to have multiple traumas, and I checked his healthy and affected sides, and I don't support ligament laxity."
"If it wasn't caused by epilepsy, it could only be due to abuse, but I don't think this is the reason for the family's love for their children."
"It may be difficult for the family to accept."
Du Yanjun nodded upon hearing this.
Zhou Cheng's explanation is relatively clear, but what Du Yanjun still doesn't understand is: "Brother Zhou Cheng, why didn't you explain this just now?"
Zhou Cheng sighed and said, "Actually, it's useless to explain so much. The best way to treat habitual dislocations is through arthroscopic surgery in sports medicine. Our hospital doesn't even have arthroscopic equipment, so we can't do it at all. "
"And if the primary disease is epilepsy, the child will eventually be transferred to the Second Affiliated Hospital of Shonan University or the affiliated hospital. We can't see it here, so don't waste their time."
"Otherwise, I don't need to say so much."
"Give them a nerve electromyography directly, and let them get the result before going to other hospitals to see it."
It's hard for a smart woman to cook without rice. The No. [-] Hospital has no sports medicine equipment, and there is no neurologist who is extremely professional to treat epilepsy. Naturally, it is better not to waste their time.
It's hard to accept to say more, but at least it can give them a preliminary impression. In the end, as long as one person cares, or mentions more, the experts and professors at the Affiliated Hospital of Shonan University or the Second Hospital will definitely understand. Take it to heart.
There was only so much Zhou Cheng could do.
……
After sending the patient away, Zhou Cheng called Luo Yun again and talked about it.
The reason why I want to report to Luo Yun in advance is to explain the situation and my own diagnosis ideas, and the second is that it is hard to say whether the patient and family members will go to the medical department to complain first or go to other hospitals first after they leave the department door.
Give Luo Yun a vaccination first. If there is a complaint, Luo Yun should have a plan to deal with it, so there won't be so many troubles.
After Zhou Cheng finished explaining, Luo Yun said: "Zhou Cheng, you are right, but there is one thing that you still have to work hard on."
"You call the outpatient department and ask them to check the phone number bound to the child's outpatient card, record it, and then call and follow up in one to two hours. Ask where they are. Is it the child's family!"
"At the same time, if you borrow a second mobile phone to record, you must confirm the identity of the other party, and explain carefully that the family members of the patient are required to take the child to another hospital for follow-up visits."
After Zhou Cheng listened, he nodded instantly——
Jiang is still old and hot, this call is not wrong.
As a doctor, you must be cautious. Although patients can choose not to trust doctors, doctors are still obliged to follow the patient's whereabouts, and to do all their suggestions.
This is for the patient's consideration, and it is also for self-protection, leaving an objective evidence, so that even if something goes wrong.
Then the family members of the patient have the right to choose freely as a Chinese citizen and to refuse the doctor's advice.
However, doctors have fulfilled their obligations, and it is impossible to infringe on citizens' right to freedom of choice.
The responsibility is not on oneself.
"Okay, Mr. Luo, you are more careful and thoughtful." Zhou Cheng quickly replied.
"It's not careful and thoughtful, it's all a lesson of blood and tears."
"In the past, when I was a graduate student, I was in the emergency department. There was also a college student who was brought to the emergency department by his parents. At that time, the teacher said that it might be an ectopic pregnancy. The patient's family members didn't believe it, and they made a big fuss in the hospital. Cracked and died."
"The teacher didn't leave any objective evidence, and the patient's family members directly accused him of misdiagnosis."
"Besides, the patient's family members were emotionally unstable at that time, and they didn't even have time to write the medical records, and they didn't dare to write them." Luo Yun gave Zhou Cheng an example.
"Okay, Mr. Luo, I understand." Zhou Cheng shuddered and remembered this matter in his heart.
"I'll call the Security Office again, and I must be fully prepared." Luo Yun also sighed with emotion, and then replied.
……
After Zhou Cheng had done everything according to Luo Yun's instructions, he finally felt relieved.
He borrowed Du Yanjun's phone to call the patient's family, and the phone that recorded it was his own, because if he used his phone to record, the other party might be found.
I just hope that this recording is not used.
Fortunately, Zhou Cheng was on the phone and got a reply that the other party had brought the child to the Affiliated Hospital of Shonan University.
Zhou Cheng called to worry about the child's situation, so although the other party's attitude was still lukewarm, he didn't get angry with Zhou Cheng again.
After all, none of them thought that Zhou Cheng would call to ask such an extra question.
……
at the same time.
Right at the entrance of the Emergency Department of the Affiliated Hospital of Shonan University.
Liu Suolong then said to his mother: "Mom, don't even think about reporting on that Doctor Zhou from the Eighth Hospital, he is also kind."
"Otherwise, there's no need to call us again and tell us what we must go to the hospital for."
Li Mengxiang, who is also Liu Suolong's mother, scolded in a low voice: "He is a guilty conscience, did my Qiqi provoke him?"
"The mouth is not clean."
"Epileptic epilepsy, his whole family is epileptic, so he talks like that."
"Go and see quickly, have your dad and the others registered? Your dad is also frizzy in his work. I'm really worried."
But before Li Mengxiang finished speaking, Liu Dashan and his in-law Zhu Yongzhi walked over, and then hurriedly said: "It's registered, the nurse told us to go to the emergency department."
A group of people hurried to the emergency department.
When the emergency surgery doctor saw it, he immediately frowned, feeling that something was wrong, took a look at the X-rays and reports from No. [-] Hospital, and immediately called the chief inpatient of the Orthopedics Department.
It took more than ten minutes for the general hospitalization of the orthopedics department, and he rushed to the emergency department wearing a green hand sanitizer, probably just off the operating table.
After seeing the results of the child's examination at the emergency department, he gave the child another physical examination.
Immediately, he frowned fiercely and asked, "Such a situation like yours must have happened before, right?"
The child's mother, Zhu Qingqing, said the same thing as the little doctor in the No. [-] Hospital, "Yes, it happened a few times before, but it returned to normal after a while, neither crying nor fussing, I thought there was nothing wrong. "
"I took a nap today, and it's like this. I saw something wrong, so I hurried to the hospital for a look. I went to the No. [-] Hospital first, but I didn't see it, so I came here."
The chief hospital officer in green clothes nodded and said, "It's not too late, this is a recurrent shoulder dislocation, and it's also a habitual shoulder dislocation."
"Let's take an MRI first. For recurrent shoulder dislocation, there must be lax ligaments or structural insufficiency, which cannot be shown on this film."
After speaking, he immediately said to the doctor on duty in the emergency department: "Mr. Du, thank you for prescribing an emergency MRI for the child. After the scan, I reset him and fixed him early."
"Children's habitual shoulder dislocation should be done early, and the plasticity is quite strong."
Du Daixiong is the attending doctor of the emergency department, one level higher than Li Yong, the general resident of the orthopedics department, so Li Yong is called Teacher Du Daixiong.
However, Du Daixiong is only a doctor of emergency surgery, and he is definitely not as professional as Li Yong in orthopedics, so he said: "Okay, then I will mark it on the checklist to see if the radiology department can do it in advance."
"Li Yong, arrange for someone from your department to come over and talk. I'll send you to the operating room of the emergency department from here."
"Okay." With this in mind, Li Yong decided on the diagnosis and treatment.
……
Two hours later, Liu Suolong's family finally took Liu Qiqi out of the MRI room of the emergency department, and hurried back to the emergency surgery clinic.
Then I found that the general inpatient of the orthopedics department was still here for another patient's consultation. I was overjoyed and hurried forward and said, "Dr. Li, we have finished the MRI, but it takes two hours to get the report. It won't be printed until tomorrow."
"Look, are we going to be hospitalized now?" Liu Suolong looked at Li Yong helplessly, hoping that Li Yong could help him think of a way.
"I don't need to wait for the report, I just need to watch the film!"
"The film will be in the film reading system after you have taken the MRI. Wait a moment, I will issue a hospital certificate for this patient." Li Yong was writing the emergency medical records at this time, but he still politely replied to Liu Suolong .
"Okay, okay." Liu Suolong immediately became overjoyed.
If I hadn't met Li Yong, I guess I'd have to wait a long time.
Five minutes later, Li Yong issued a certificate of hospitalization, and asked the fracture patient in the emergency surgery department to be hospitalized in the first ward of the orthopedics department under the guidance of his family members.
Then I found a computer, turned on the film reading system, and watched it for 2 minutes.
Liu Suolong's family waited quietly, Liu Suolong and Zhu Qingqing both approached them curiously, but unfortunately they knew them from the black and white NMR, but they couldn't understand those things.
Seeing that Li Yong had almost finished watching the movie, he asked eagerly, "How is it, Doctor Li?"
Li Yong glanced at the child and guessed that there was no need to avoid the patient, so he said directly: "Sure enough, the biceps tendon, the subscapularis and the supraspinatus of the rotator cuff all showed relaxation."
"The structure formed by these tendons is the rotator cuff, which is equivalent to a fixation device for the shoulder joint."
"It's like the door in our house."
"The rotator cuff is the hinge that holds the door."
"When the hinge is stable, the opening and closing of the door is just right, and the door will not fall, but when the hinge is loose, the door will directly fall to the ground and cannot be closed tightly. It is your child who is out of position."
"You can lift the door once in a while, and it can close again, but because it is not stable, it will fall down again when you open it. This is the habitual dislocation of your child."
"If he's older, then the only option is to fix the hinge and have an operation."
"But now that he is young, he can fix his shoulder joint after manual reduction, and his tendons can grow again. There is no need for surgery yet."
"This kind of reset, we don't even need to go to the operating room to do it, just go to the department or the emergency department."
After Li Yong explained this, he still said: "You guys should go to the department. After you go to the department, it will be easier to deal with the follow-up. After all, it has to be fixed."
Li Yong's explanation was easy to understand, and Liu Suolong and the others understood it, and immediately breathed a long sigh of relief.
Liu Suolong immediately bowed to thank him: "Doctor Li, thank you, thank you."
"Thank you so much, I will work hard for you."
Li Yong said: "It's not hard work, it's what we should do. You are lucky, I happen to be on duty today. If the other general hospitalists are on duty, you may have to go to trouble, they will call again Call me to see."
"I'm a joint surgeon."
"By the way, after the treatment is over, you must remember, don't let the child get injured again? After the reset, if you get injured again, if the ligaments and rotator cuff tendons haven't grown up, it's easy to dislocate again."
"You go to the department first, I'll be here in a while."
"Okay, okay!" Liu Suolong and Zhu Qingqing immediately lost their hearts.
Smiling, remembering what Du Yanjun said when he was talking to them in the No. [-] Hospital, he shook his head.
It's really ignorant people who make things happen, but it didn't scare me to death.
……
It was almost time to get off work, and Li Yongcai returned to the department, and then printed a template for the conversation and signature of joint dislocation manual reset. After issuing a doctor's order, he asked one of the family members to pay the fee.
Then they talked and signed with other family members.
For 15 minutes, the family members were very cooperative, and Li Yong also talked about the points and risks that should be discussed.
Just say: "Okay, that's about it."
"Precautions, you must pay attention. Don't get hurt again."
"You take the child to the dressing room first, and I'll prepare something, and then I'll come over and reset."
After speaking, Li Yong also looked at the time.
"It's twenty past five!"
"I don't have much time. I still have a lot of consultations to do later. I try to finish them as soon as possible, and you all go home early."
"Okay, thank you for your hard work, Doctor Li. Can't you get off work on time later?" Liu Suolong asked politely.
Li Yong smiled: "Damn!"
"Where do we have a normal off-duty point? We are always hospitalized and never off-duty."
After speaking, Li Yong planned to stand up and prepare some other things.
But after hearing Li Yong's words, Li Mengxiang's heart finally fell to the ground, and she said to her son, "What am I talking about? The doctors in the Eighth Hospital just don't know how to read it, and they are not good enough. You still don't believe me."
"What did they say at the time? They said that surgery was necessary, and the risk of manual reset was high."
"Have you read what Dr. Li said?"
After Li Yong heard this, he was actually very pleased, but he also explained: "Auntie, you can't say that, there are specialties in surgery, and it's not easy to be a doctor. It's a good thing to be cautious."
"Such a dislocation requires a special professional joint surgeon to deal with."
"If the child is older, you will have to do arthroscopic surgery. Many hospitals in our province have not yet set up special joint surgery and sports medicine."
"What they said is also correct. Based on their perspective, it is a choice made by respecting you when they say that surgery is required."
"If they come up and tell you that this can be done by resetting it casually, then you have to be careful."
"There are some irreducible joint dislocations, and even the professor dare not say that they can be restored." Li Yong explained a few words for his colleagues in the No. [-] Hospital.
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People do not want to dismantle it. The level of the Eighth Hospital may be limited, but they have tried their best. Dismantling other people's platforms is not something that colleagues should do.It's not called personnel.
"I know Dr. Li."
Li Mengxiang nodded immediately: "You don't know how much those doctors in the Eighth Hospital said too much."
"You obviously don't understand anything, and you still talk nonsense."
"It's obviously an orthopedic problem. We laymen know it's an orthopedic problem. They insist on neurological problems, what about epilepsy?"
"Are you speaking human language?"
"I think he has epilepsy."
"Like a lunatic." Li Mengxiang said with an expression that finally calmed down in her heart, so she opened up and said.
After the stone in his heart fell to the ground, he only took it as a joke to complain to Li Yong about the nonsense things that the little doctors in No. [-] Hospital were saying when their medical skills were not good.
"You said?" When Li Mengxiang said this, Li Yong's face changed drastically.
This expression frightened Li Mengxiang.
He does not mean that.
Li Yong frowned at that time, and when he was about to walk out the door, he turned around again, trembling in his heart, he couldn't speak fluently, and asked: "You, you, your child, do you often fall down?"
"Then how can it be?" Li Mengxiang replied without thinking.
"Me and his grandma, his mother basically stayed around 24 hours a day, and never fell down!"
"There was no injury this time, I don't know."
Sure enough, after hearing this, Li Yong's expression suddenly changed again, and fine sweat kept coming out of his forehead.
Sweat filled the palms of the hands.
The hands curled up and stretched out, and in the end, he could only bite the bullet and say: "Then your child really can't do manual repositioning now, we have to do an EMG for him, and check for epilepsy before we talk about it!"
Li Mengxiang froze there immediately, turned her head looking left and right, and found that the family members around her were all stunned.
He opened and closed his mouth for a while, looking at Li Yong's expression.
Li Yong moistened his lips with his tongue, and then said: "It's better to be on the safe side, you must do a nerve electromyography first. You don't want me to reset your child rashly, and then the reason is still there." Find it out?"
"Ah~ this~?" Li Mengxiang was at a loss for words.
This is the Affiliated Hospital of Shonan University.
……
Nerve electromyography cannot be done in an emergency department.However, Li Yong personally took the child to the rehabilitation department opposite the third orthopedic ward, so he was able to work overtime.
At this moment, Li Yong was extremely disturbed.
From the beginning, he only thought that the child wrestled too many times, and the family didn't pay attention, because most of the recurrent joint dislocations were like this.So he didn't ask much at all.
He has seen at least hundreds of patients with recurrent joint dislocation.
This is almost always the case, and today he stepped down to run the emergency consultation, and there are really many calls on the emergency department.So empirically, he ignores such special cases.
15 minutes later.
The results of the EMG came out.
At that time, Li Yong said to Liu Suolong in a complicated manner, "Mr. Liu, I'm sorry!"
"Your child really has paroxysmal epilepsy."
"In this case, you have to go to the neurology department for hospitalization."
Liu Qiqi's grandma, Li Mengxiang, couldn't accept it even more, she kept shaking her head and murmured, "Impossible!"
"impossible."
"It's impossible for Qiqi in my family to have epilepsy, and it's impossible for her to have epilepsy."
Although Liu Dashan and the others also had a sudden change of face, which was hard to accept, they were not as big as Li Mengxiang's reaction.
Zhu Qingqing looked at Li Yong with a complicated expression: "Dr. Li, didn't you say that before?"
Li Yong took a deep breath and said, "Ah~ this~?"
After speaking, he changed the subject slightly: "It was my problem before."
"But we still have to respect the facts. This is not a matter of saying nothing. Now that epilepsy has been detected, we have to figure out how to treat it."
"Although epilepsy is terrible and cannot be cured, it can be controlled. Once controlled, it is no different from normal people."
"Since something has happened, we must find a way to solve it."
"Whether you say it or not, it exists. Early detection and early treatment."
"Manipulation reset still has to be done, and it can be done, but the weeds must be eliminated, and the disease must be cured."
Li Yong didn't have much confidence when he said this.
If it wasn't for Li Mengxiang's extra words, he might be in trouble today.
The cold sweat was still pouring out from behind.
"..."
Chapter 115 Who Is Crazy?What's driving me crazy?
Ultimately, in order to avoid too much trouble and disputes.
Li Yong called an associate professor in the department to the department, and personally explained today's incident to Liu Suolong's family.
After explaining the matter, he also personally performed Liu Qiqi's hand reset and forearm sling operation.
Then he personally arranged for someone from the Department of Neurology to come for a consultation, and immediately arranged for Liu Qiqi to be hospitalized in an extra bed in the Department of Neurology.
After doing all this, Liu Suolong's family left the orthopedics department with a heavy heart, and went to the neurology department to be hospitalized.
……
Seven forty-five.
In the doctor's lounge of the Affiliated Hospital of Shonan University, Li Yong drooped his head and looked at Associate Professor Zuo Hu.He glanced at the graduate student who was on duty next to him.
The graduate student immediately understood: "Mr. Zuo, Mr. Li, I just found out that I forgot to write the medical records. I'm going out first."
After finishing speaking, he slipped away, but in fact he wrote it.
Just sensible.
Li Yong held his throat and apologized: "Miss Zuo, I'm sorry, I caused you to go to the department again."
Zuo Hu's complexion didn't fluctuate much at the moment, but after a slight sigh of emotion, he looked at Li Yong's expression of admitting his mistake, and then explained:
"It's no wonder you, after all, you are also inexperienced."
"Instances of habitual dislocation of the shoulder joint due to epilepsy are actually very, very rare in a situation like today."
Speaking of this, Zuo Hu's tone changed:
"Usually, the most common cases in our clinical practice are young people in their teens and twenties, and girls are common among them."
"It's just that we are engaged in clinical practice. Sometimes after mastering some professional knowledge, we need to learn to ponder more. Some things may not be written in textbooks, but we have to speculate and figure out based on the facts—"
"What do you think, what are our common patients with habitual joint dislocation like?"
"There are only two types: structural problems and external stimuli."
"Refilling is—"
"One, ligamentous laxity as an underlying structural problem. Two, repeated trauma."
"Girls are more flexible than boys. Most of them like to dance and stretch their ligaments. This has the above two risk factors."
"But children's words."
"Look at this one today. He's only three years old. He doesn't have these two conditions. Although the child's ligaments may not be fully developed, right?"
"That's really one of the common factors."
"But today's children are all the treasures of the family, so how can they bump too much?"
"At this time, you have to be very cautious."
"Pediatrics belongs to the dumb department, you still have to think about it."
"Naturally, you have never encountered a case of habitual dislocation caused by an epileptic patient, and you can't blame it all. Just pay attention next time."
"And if you can think about it when you hear the word epilepsy, it proves that you have read a lot of books. Do you usually check the literature?"
Zuo Hu finally praised Li Yong.
Li Yong nodded heavily, and said with lingering fear: "When the chief is hospitalized, naturally he has to be more careful."
"But I still feel powerless."
"Teacher Zuo, I'm getting more and more scared now." Li Yong said with a sincere expression.
"And I always remember what you said, Mr. Zuo, patients and their families are sometimes easy to fool the past, but our own heart can't be fooled."
"Today's patient, although I can completely reset his joint dislocation, he will be sent out of the hospital."
"In the future, epilepsy and dislocation will happen later. Habitual dislocation has been admitted to the hospital many times. This is a very common example."
"Can?"
When Li Yong said this, he sighed and said, "You can't be a doctor like this."
"So I can only read more books, and try to find out the cause of the patient carefully when I can't deal with the patient."
"It's just that I lack thoughtfulness, and I can't keep up with the doctors in the Eighth Hospital."
Li Yong shook his head and laughed at himself.
This incident dealt a big blow to him. Logically speaking, the Affiliated Hospital of Shonan University should wipe the ass of the Eighth Hospital.
In the end, he was prompted by what Li Yong thought was a little doctor, but wiped his ass, which made Li Yong really embarrassed.
Zuo Hu stood up and patted Li Yong on the shoulder: "This is right, but it's wrong."
"We must not underestimate our colleagues in any other hospitals, but there is no need to belittle ourselves."
"Your foundation and growth curve are much higher than theirs. It's just that others have a little more knowledge than you."
"It's okay. The length of work is not the same."
Li Yong immediately shook his head, smiled wryly and said, "Teacher Zuo, the fact is not like this."
"If that's the case, I think it's all right."
"But I heard from the patient's family that both of them were young men in their twenties."
"Two!" Li Yong first gestured with his index finger and middle finger, and then turned into an ok gesture while saying:
"I three!"
Thinking about it this way made me even more depressed.
"The point is, I checked later—"
"Eight hospitals have not yet separated out joint surgery specialties."
"If my teacher knows about this, I'm afraid he will scold me to death." Li Yong continued to add.
Zuo Hu also scratched his head and said, "If you say so, I don't know what's going on."
"Maybe there is some powerful person lying down in the Eighth Hospital."
"But it doesn't make sense. Even postgraduates and doctors in joint surgery and sports medicine rarely come into contact with such cases. It's quite strange."
"I'm a little curious about who these two little doctors are."
"Li Yong, are you not on duty tomorrow?"
"I just happened to be invited by a director of the No. [-] Hospital to give a lecture. Come with me in the morning." Zuo Hu suddenly said.
When Zuo Hu said this, Li Yong was stunned: "Brother Hu, are you going to give lectures at the Eighth Hospital? What kind of class are you teaching?"
Zuo Huan is not much older than Li Yong. Li Yong just entered the department, and Zuo Huan is the attending doctor, so the relationship is very close.
Belongs to the kind, do something wrong and call Mr. Zuo, on weekdays it's just a relationship with Brother Hu!
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"It's joint dislocation. There is a director over there who said that they have just started the business of joint dislocation manipulation in the department recently, and asked me to teach a class."
"I don't know the specific reason, but the money given is quite a lot." Zuo Hu said very straightforwardly.
Li Yong said: "That's good, I'll go and listen to Brother Hu's lecture together."
"It's all lip service, why don't you tell the story? In fact, your skills are enough." Zuo Hu said while throwing a betel nut to Li Yong, which hit him in the mouth.
"In front of Brother Hu, I dare not do anything wrong." Li Yong hurriedly replied with an apologetic smile.
……
Around eight o'clock, at the gate of the Neurosurgery Department of the Affiliated Hospital of Shonan University.
Liu Suolong said to his mother, Li Mengxiang: "Mom, go back and rest, you've been tired all day. It's fine if Qingqing and I are here."
Li Mengxiang shook her head, a little distracted: "You and Qingqing go back to rest, you have to go to work tomorrow, I will accompany Qiqi, I can take care of it alone."
"Me?" Li Mengxiang hesitated to speak.
Liu Suolong patted his mother on the shoulder, and said in a drawn out voice, "Mom, it's not your fault."
"Think about it, even Dr. Li didn't think of this."
"Are we more professional than doctors?"
"Didn't that Professor Zuo also say that, this kind of thing is very rare, but very rare."
"And you were not the only one who was angry at that time, we were all angry."
"Doctors at Shonan University may not be accurate. We have a wrong understanding. This is not normal."
"Tomorrow or two days later, let's apologize to that doctor Zhou."
Li Mengxiang looked up at her son, a little reluctantly: "Apologize to him? What if he didn't curse?"
Liu Suolong immediately interrupted: "You've committed another crime, haven't you?"
"If you want to curse, then you will also curse others, and they also have epilepsy?"
"Professor Hu from the Department of Neurosurgery has already said that Qiqi's epilepsy is paroxysmal, which is in the early stage and is easy to control."
"Fortunately, it was discovered early, and the functions of each nerve did not have much impact. Such an early discovery is a good thing, early detection and early treatment."
"Healed well."
"It may not recur for decades or even a lifetime in the future."
Speaking of this, Liu Suolong said again: "You think so."
"If it wasn't for that Dr. Zhou said that, and you said something in front of Dr. Li, wouldn't Dr. Li perform a manual reset for us and we would go back?"
"Okay, then even if Qiqi's hand is fine this time, everything will be normal in the future."
"We didn't know he had epilepsy."
"And then when he had a seizure, we didn't notice."
"According to what Professor Hu said, repeated epileptic seizures have affected the neurological function of the brain, leading to Qiqi's mental retardation."
"Even adults who have repeated epileptic seizures can also experience memory loss, slow response, slow response, etc.!"
"At that time, we are the ones who say that every day should not be done, and that the earth is not working. What will Qi Qi do in this life?"
"You think so?"
"If you want to have a silly grandson, just keep it with you every day for the rest of your life." Liu Suolong smiled, comforted his mother, and finally made a joke.
As an adult, as a father, and as a son, he has to consider all aspects.
Only then did Li Mengxiang hit Liu Suolong: "You are a stupid boy, my Qiqi is not stupid, she is an elf."
Liu Suolong immediately said: "Isn't this the end of it? Such an elf Qi Qi, if those things happen because of our carelessness, then it's too late for us to regret it."
"Okay, don't think so much, you go back and rest first."
"Then go and apologize to Dr. Zhou tomorrow with my dad. If you don't want to go, I will apologize."
"Now Qiqi's development is still normal, this is the luck in the misfortune."
Li Mengxiang said: "I will apologize, I will personally apologize to Dr. Zhou."
"Sauron, you and Qingqing go back to rest, you go to work tomorrow. Go, I can do it alone here."
Li Mengxiang said, wiping the tears from the corners of her eyes.
She now has self-blame and complicated emotions, but after being told by her son, she feels less guilty.
Liu Suolong smiled, and continued: "Mom, tomorrow weekend, next week on weekdays, you will still be tired. Go back and have a good rest, Qingqing and I will stay here."
"You love my son, and I love my son too. I still love my mother. Be obedient and go quickly."
"Tomorrow, Qingqing's mother will deliver breakfast and lunch. You and my dad will go to the No. [-] Hospital to buy some gifts for Dr. Zhou, and apologize to him. If possible, we will treat him to dinner."
"You said that epilepsy is a matter of neurology. If he didn't say it, who would have discovered it?"
"..."
at the same time.
Orthopedic Ward [-] of Eighth Hospital.
With his bag on his back, Zhou Cheng said to Du Yanjun, "Yan Jun, there's nothing to do in the department, so I'll go back and rest first? You've worked hard."
"It's okay, brother Zhou Cheng. I've been resting all day today." Du Yanjun waved his hand generously to Zhou Cheng, then continued to turn on his mobile phone, carefully thinking about the dislocation technique that Zhou Cheng sent him. Video material.
The other hand is gesticulating non-stop, probably following the movements in the video to learn.
Seeing Du Yanjun's actions, Zhou Cheng smiled a little, then turned and left——
Du Yanjun did not lack the spirit of studying hard. It should be said that most of the people in the department were very hardworking. On the contrary, he was a little fishy in the past.
Now that I have a simulator in my body, I have to pick up the hard work that has been lost for a long time.
Go to graduate school!
jobs.
It's really hard to choose.
However, since there is no fate for graduate school, let's think about how to do a good job.
Zhou Cheng took a closer look at a collected document——
Huaguo's current special requirements and regulations for conferring master's and doctoral degrees—
This is also impossible.
Zhou Cheng is really clear that it is difficult to study medicine without a degree. This is the current domestic environment, and it is impossible to change anything by one's own strength.
Without a degree, it is very difficult to obtain an establishment.
However, he couldn't pass the exam and wanted to take a special route. It seemed that Professor Ding Changle was reluctant after seeing him, so Zhou Cheng naturally had to find another route.
Tian Xingjian, the gentleman is self-improvement.
You can't say that you can't pass the exam. If others don't want to take it, don't have this idea.
……
Saturday morning.
When Du Yanjun woke up, he still felt sleepy.
Last night, he got up twice and admitted two patients, both with fractures and no joint dislocations, so they were admitted to the hospital for treatment first.
He also didn't call to ask Luo Yun or Zhou Cheng if he wanted to do manual reset.
Anyway, without taking blood for the time being, and without wasting the money for the examination, staying in the hospital for one night will probably not constitute too much financial burden on the patient and his family.
There was no shift this morning, so Du Yanjun didn't get up until 08:30.
The centralized ward rounds on weekends are from nine to ten o'clock, and the rhythm of surgical ward rounds is very fast. Although they have to go to the hospital on weekends, there are not many things to do.
Take a shower.
I looked at the time, it was only 45[-, and then I walked into the doctor's office and found that the ordinary resident trainee from Hu Ming's group who came to take over——
Guo Lei has already arrived in the office.
The normal shift time for departments is eight o'clock.
"Brother Lei. Good morning." Du Yanjun greeted Guo Lei.
After Guo Lei saw Du Yanjun, he said, "Brother Yanjun, are you awake? I saw you sleeping before, so I didn't wake you up. Was it busy last night?"
"Fortunately, there are only two patients. I didn't sleep too well."
"There is nothing special about handover, I wrote it all in the handover book." Du Yanjun said.
Guo Lei smiled: "I see, Brother Yan Jun, if you have nothing to do later, you can go back first. Your team should come to the ward round on time at nine o'clock, right?"
"That's what Teacher Luo said." Du Yanjun replied.
While the two were talking, they suddenly noticed that two strangers in plainclothes had walked in from the office door of the second ward.
Just as Du Yanjun was about to speak, Guo Lei stood up and asked politely, "Hi, what's the matter?"
At this time, those who come to the office in plain clothes may be family members of emergency patients, except for their family members.
"Were you two on duty yesterday?" Among the visitors, the older one asked at that time.
Hearing this, Du Yanjun quickly stood up nervously: "Yes, teacher, I was on duty yesterday, what's the matter?"
Standing straight, I just thought that the superior of some department or the leadership of the hospital came to inspect.
Guo Lei also nodded, but didn't take the initiative to answer the conversation.
Du Yanjun was on duty yesterday, but there is no guarantee that something happened to Du Yanjun, and then he was approached by the hospital leader.He dared not be involved.
Du Yanjun is a graduate student, and he is protected by someone, so he is wild.
The people who came were Zuo Hu and Li Yong who were invited by Yan Haihan from the Affiliated Hospital of Hunan University.
Seeing that Du Yanjun was nervous, Zuo Hu also realized that his tone just now seemed a little scary.
He immediately said: "Don't be nervous, we are not here for inspection and inspection, just chat with you casually. We are not from the Eighth Hospital."
"Oh!" Immediately, both Du Yanjun and Guo Lei breathed a sigh of relief.
It's not the leadership of the Eighth Hospital, that's easy to say, if the other inspections are anything, it has nothing to do with them, the low-level personnel.
"Teacher, where are you from?" Du Yanjun still asked politely.
Both Zuo Hu and Li Yong are at least ten years older than them, so it is definitely not wrong to call the teacher polite.
"From the Affiliated Hospital of Shonan University, my name is Zuo Hu, and this is Li Yong." Zuo Hu didn't hide anything, because there was no need to hide it, so he said it openly.
Puchi twice.
Guo Lei and Du Yanjun stood up again, even more straight than before!
Others don't know, but Du Yanjun knows that he and Zhou Cheng received a patient yesterday and transferred it to the Affiliated Hospital of Shonan University.
Is there something wrong?
At the same time, he secretly dialed Luo Yun's phone——
He answered quickly, but Du Yanjun didn't dare to turn on the loudspeaker.
I didn't get it to my ears either.
He just raised his voice and asked, "Two, two professors? What are you doing here?"
Luo Yun was on the other end of the phone——
Hello!
Have something to say.Talk about something.
After a while, I realized that something was quite wrong.
Because Du Yanjun was standing in front of the computer, his mobile phone was placed under the computer, which was blocked by the table rail, so neither Li Yong nor Zuo Hu noticed this action.
"Nothing special, sit down and don't be nervous." Zuo Hu still smiled, then walked in and asked, "Can I sit here?"
"You sit! You sit." Du Yanjun hurried back.
At the same time, he said, "Two professors, you said you are from the Affiliated Hospital of Shonan University. What are you doing in our department so early?"
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The tone was easy-going, on the one hand, it was for Luo Yun to listen to, to remind Luo Yun that two unknown professors came to the department, they were not young, and they didn't know what they were doing.
Is there a surprise inspection? There is no superior in the department now.
I don't know how to deal with it.
Du Yanjun was quite witty.
Luo Yun was on the other end, hung up the phone immediately, and rushed to the department while calling Cai Dongfan...
This joke is not funny. If it is really a professor from the Affiliated Hospital of Shonan University who came suddenly, I am afraid it may really be some kind of surprise inspection arranged by the Health and Health Committee.
"Director Yan of your department asked us to come here, so we just came here to take a look." Zuo Hu also said bluntly, pulled out the stool, and was about to sit down.
"Director Yan?" Du Yanjun was stunned.
"Yeah, Yan Hanhan, did I go the right way? Is it the director of the second orthopedic ward?" The buttocks that were just about to sit down paused and squatted.
It would be kind of funny if it was in the wrong place.
"Yes yes yes. It's our director." Du Yanjun said hastily.
Zuo Hu and Li Yong sat down suddenly, and smiled at the corners of their mouths: "You young man, you scared me, I thought I went to the wrong place."
Du Yanjun immediately understood that the other party might really be a professor at the Affiliated Hospital of Shonan University, otherwise it would be impossible to know that Yan Haihan was the director of the second ward, and most people would not pay attention to it.
It is even more impossible to joke with them like this.
"Are you both regular trainees..." Zuo Hu immediately chatted with Du Yanjun without saying a word.
"I'm Guipei, he's a graduate student in our department..."
"..."
At 54[-, Cai Dongfan rushed to the department first.
After seeing Zuo Hu and Li Yong, he frowned slightly, smiled casually, and went to the director's office.
When I arrived at the director's office, I made a phone call with Yan Haihan and reported clearly, and felt very distressed.
Mahler Gobi, Yan Haihan, you invited the professor to give lectures in the department without saying anything in advance. What do you mean? Did you deliberately scare the doctor on duty?
Yan Haihan was driving halfway at the moment, and he also had a headache.
What's the situation?
Why did Professor Zuo Hu arrive early?
I made an appointment with him at ten o'clock?
Yan Haihan planned to tell everyone in the department at nine o'clock, and invited a professor to take a small class at ten o'clock, which was also temporarily arranged after Yang Yifeng rejected his request yesterday.
There is no way, as the director, it is impossible for me to completely ignore the dislocation of the joints and always make Zhou Cheng and Luo Yun stand up, it would be too embarrassing to say it.
Simply teach everyone a lesson.
He also didn't know exactly how Zuo Hu was so painful that he went to the department early.
……
When Yan Haihan rushed to the department, he happened to meet Luo Yun.
Luo Yun asked Yan Haihan: "Director Yan, there are two professors in the department from the Affiliated Hospital of Shonan University. I called Director Cai. Did he tell you?"
"I said, Professor Zuo was invited by me to teach the people in the department."
"The appointed time is ten o'clock."
"I don't know why Professor Zuo arrived early." Yan Haihan said.
Luo Yun was taken aback, bit his lip, and immediately understood.
A false alarm.
He nodded and smiled innocently: "Oh, so that's the case, but Du Yanjun in our group was taken aback, so he called me quickly and didn't say anything."
Yan Haihan also smiled wryly and said: "I didn't know they would come to the department early, I haven't prepared anything yet. Let's go to the department first to have a look."
……
Yan Haihan immediately went to the director's office, then knocked on the door and called Cai Dongfan, then walked to the doctor's office.
When he entered the office, he found that Du Yanjun and Zuo Hu were chatting happily.
When Yan Haihan greeted Zuo Hu, Zuo Hu only nodded his head, motioning him not to speak, and to listen to Du Yanjun.
Du Yanjun continued to report incessantly: "The family members of the patient were very emotional and even cursed, and ran out with the children, and then they didn't know where they went."
"We made a phone call, and the child's grandma said that she had gone to the Hospital Affiliated to Shonan University, and she had a place to go, so we didn't care about it."
Du Yanjun spoke clearly.
You can't be discovered by the professors in the higher-level hospital that there are problems with the diagnosis and treatment procedures in your department.
Zuo Hu nodded and said: "Not bad, not bad."
Then he turned his head, looked at Yan Haihan, and praised: "Director Yan, the graduate students in your department are good, and they understand and implement medical procedures very well."
"Patients who refuse diagnosis and treatment will be followed up with the whereabouts of the patients, which is really good."
Yan Haihan accompanied him with a smile: "Professor Zuo, you are absurd."
"Our hospital's capabilities are limited, so we can only do more comprehensive work in the subtleties. It makes you laugh."
Zuo Hu seriously said: "This is very good, the program does not make mistakes, which means that it is very cautious."
"I think some doctors on duty in our hospital are a bit skinny."
"Li Yong, you are the general hospitalist. You must explain clearly to our on-duty doctor after you go back. We are not as good as Director Yan at this point, so we have to learn." Zuo Hu explained to Li Yong in this way.
Li Yong kept nodding his head at this moment, expressing that he understood.
At this time, Luo Yun and Zheng Xuanlin also came in, and they greeted Yan Haihan and Cai Dongfan respectively, but they didn't know Li Yong and Zuo Hu.
Li Yong didn't know these two either, but when Zuo Hu caught a glimpse of Luo Yun, he was slightly taken aback.
It seems that Luo Yun looks a little familiar, but where has he seen it?
He lost his memory again.
Yan Haihan immediately introduced: "Luo Yun, Zheng Xuanlin, this is Professor Zuo from the Affiliated Hospital of Shonan University, and this is Li Yong, Dr. Li."
"Professor Zuo, Dr. Li, these two are the attending doctors in our department, Dr. Luo Yun, and Dr. Zheng Xuanlin."
Then Yan Haihan immediately approached Zuo Zhetao: "Speaking of which, Professor Zuo, Dr. Luo Yun of our department is also a joint surgeon, but he didn't study at a university in Hunan Province."
"I also hope that Professor Zuo will support you a lot when the time comes."
Luo Yun and Zheng Xuanlin immediately greeted each other very politely: "Professor Zuo, Doctor Li, hello."
However, when Zuo Hu heard what Yan Haihan said, the synapses in his brain were suddenly stimulated——
Then a memory drifted out.
Luo Yun?
Luo Yun?
This is awesome!
Zuo Hu pointed at Luo Yun, scratched his head, and shouted: "Zeng! Zeng! Diwei. Zeng Diwei? Teacher!?"
Luo Yun immediately frowned, Zuo Hu directly called his teacher's name face to face.
It seems a little inappropriate. Although you are an associate professor, you are not so good at calling me by my master's name directly, right?
He immediately replied: "Professor Zuo, Zeng Diwei is my graduate tutor. My name is Luo Yun, and I am not my teacher."
"Maybe you have identified the wrong person or have a misunderstanding." Luo Yun reminded.
Zuo Hu immediately stood up, and said with a smile, "Yes, yes, yes! You are not Teacher Zeng Diwei, I made a mistake."
"No, I was wrong."
"I've seen you!" Zuo Hu vowed.
"five years ago--"
"At the Ninth Huaguo Orthopedic Annual Meeting—"
"Joint surgery venue—"
"The session in the morning, the third summary of the second quarter meeting, you gave a report." Zuo Hu pointed at Luo Yun, with his right hand in the shape of a gun, shaking constantly, as if he had Parkinson's.
Luo Yun frowned again. To be honest, he really forgot about it, because Luo Yun replaced his teacher more than once and participated in many academic conferences as a speaker.
Luo Yun couldn't remember that orthopedic annual meeting, because Luo Yun didn't think there was anything special about that time.
Let alone one of many attendees.
Luo Yun scratched his head, a little embarrassed: "Maybe? Right."
"It's you, I raised my hand to ask you a question."
"You're talking about complex hip wall and posterior wall defects—experience sharing of hip revision surgery."
"right?"
"I was a little shocked at the time, you are so young."
Speaking of this, Zuo Hu seemed to feel that he was a little self-indulgent, a little too much, and other people in the department looked at him a little confused——
Dumb face, second face?
Two faces are threesome...
His face was full of bewilderment, and then he looked at Luo Yun again.
Several heads kept moving between Luo Yun and Zuo Hu, their mouths opened and closed slightly, just enough to bite. (bite is a quantifier)
There was a look of astonishment on his face.
Between Zuo Hu and Luo Yun?
What does it matter, why Zuo Hu saw Luo Yun like this?
Then Zuo Hu explained: "Director Yan, the thing is like this—"
"Five years ago, when I followed my teacher to the Shanghai Orthopedics Annual Meeting, I happened to meet Dr. Luo who was giving a lecture as the keynote speaker, and the lecture happened to be related to our joint surgery."
"So I recognized Dr. Luo because I was shocked by his youth. But at that time, I was the audience and Dr. Luo was the speaker, so he didn't know me."
After saying this, Zuo Hu was a little entangled and said:
"It's just that I didn't expect Dr. Luo to be in the Eighth Hospital. It's a bit unexpected."
"Sorry, I made you laugh."
The implication is that the Eighth Hospital is not worthy of Luo Yun working here.
Yan Haihan and Cai Dongfan turned their heads to look at Luo Yun and Zheng Xuanlin again.
Zheng Xuanlin made a teleport to the side, moved away from the eyes of Yan Haihan and Cai Dongfan, and then looked at Luo Yun in shock——
This forced?
Ever been a speaker at the Huaguo Orthopedic Annual Meeting?
Arabian Nights, right?
Is Zuo Hu kidding?
But why did Zuo Hu want to lick Luo Yun?
crazy?
It doesn't make sense.
Luo Yun smiled back, scratched his head and said, "Director Yan, Director Cai, and Professor Zuo praised me. I was ignorant back then, so I boldly took my teacher's subject and went to the stage to give a report. ."
"Let Professor Zuo laugh at you."
"At that time, I was young and didn't know the heights of the sky and the depths of the earth."
Then he explained to Zuo Hu: "Professor Zuo, I'm just a graduate student of Teacher Zeng. After graduation, I came to work in No. [-] Hospital."
The past has passed, and Luo Yun doesn't want to mention it any more. Many achievements in the past can't show that he is very good, but it will make him feel that he is quite downcast at the moment.
Not enough education——
Even a genius like him still suffers severe beatings from society.
They can only come to eight hospitals, and there is nowhere to display their professional skills.
Zuo Hu was stunned when he heard this!
Then full of complex colors.
Does Luo Yun only have a master's degree?
I'm afraid so!
Otherwise, how could Luo Yun come to work in the Eighth Hospital?
only?
It's such a pity, after all, Luo Yun personally admitted at the venue that he himself performed some simple and complex joint revisions.
Although it is a grade IV operation, it is not harmful.
If it's a little simpler, it must be Luo Yun's excuse——
Complex joint revision, can it be simple?
How could such a person come to the Eighth Hospital if it wasn't for the education restriction?
Can the Eighth Hospital accommodate such a person?
Then he scratched his head and said with great regret, "Doctor Luo."
"you?"
Luo Yun continued to smile and said, "Professor Zuo, please sit down. Director Yan invited you to give us a class today. All of us here are just your students."
The times are different, and the status and status are very different.
The world is so real.
If Luo Yun now has a doctorate and a degree, then his achievements, although not to say that he is already higher than Zuo Hu, are certainly not much worse.
And Luo Yun has this self-confidence, even Zuo Hu, may not be able to compare with him in terms of joint replacement and revision.
But after so many years of graduation, he didn't even have a chance to get a joint replacement——
Zuo Hu must be playing the sword every day, this is the gap.
But Luo Yun still felt that he could fight Zuo Hu.
If Zuo Hu continued to feel sorry for what happened to him, he would also be saying sideways that it was his own mother who delayed him.
Luo Yun doesn't think so. In one's life, friends and wives can be changed, and the number is indefinite.
Only there are parents, from the moment of birth, they cannot be changed, and there is no way to change them.
Parents' kindness is hard to repay.
Not to mention the delay, Luo Yun firmly believed that his current choice was right.
I can still read the book in the future, but the time to spend with my parents, especially my mother, is only a few years, Luo Yun thinks it will be longer.
One more day is fine.
Zuo Hu suddenly realized: "I didn't dare to be in class, the patient yesterday, thanks to Dr. Luo's guidance, Dr. Li and I finally figured out what happened to the habitual dislocation."
"Otherwise, that joint dislocation, it will be difficult for us to contact epilepsy for a while."
Zuo Hu felt that everything made sense, and it turned out that there was a great god named Luo Yun in the Eighth Hospital.
That makes sense.
Although Luo Yun doesn't have enough education——
However, ability is relatively related to academic qualifications, but not absolutely related.
Moreover, although there were rumors in the department that Yang Yifeng in the department was so powerful and talented, Zuo Hu always felt that this was definitely a compliment to Yang Yifeng.
Yang Yifeng might not be able to do a very good job if Yang Yifeng is really asked to perform a complex joint revision such as grade IV surgery——
It's just that Zuo Hu couldn't think of the reason why Luo Yun didn't finish his doctorate before working. Wouldn't it be nice to stay in Shanghai?
When Luo Yun and Zuo Hu talked to each other, the others seemed to be listening to a scripture.
Yan Haihan looked at Cai Dongfan, his eyes said, do you understand?
What are these two people talking about?
Cai Dongfan looked at Yan Haihan, and said with his eyes, I don't know either.
Yan Haihan looked at Cai Dongfan again——
Hu Ming was outside the door, and he seemed to be in a daze.
Cai Dongfan looked at Yan Haihan, blinking his small eyes——
I saw that he was less informed than we were.Don't even dare to enter the door--
What joint dislocation?
What epilepsy?
When everyone was puzzled, Du Yanjun's heart was shaken at the moment, because he was the only person who knew besides Luo Yun.
It turned out that what Brother Zhou Cheng said yesterday was not simply tough with the patient, but so incisive that he was able to point the professor at the Affiliated Hospital of Shonan University to make a diagnosis...
Luo Yun simply shook his head and said, "Professor Zuo, I don't know how to reset a dislocated joint."
"Manipulative reduction of joint dislocations is usually done by Dr. Xiao Zhou in our department."
"Myself, I don't think so."
Luo Yun is telling the truth that the manual reset of joint dislocation is the basis of joint surgery, but his learning curve skipped N levels without passing this step.
Luo Yun is good at joint replacement, but he does not know how to reset joint dislocations.
Of course, whether this will happen or not is being said in front of Zuo Hu, a professional. For Cai Dongfan and the others, Luo Yun is a master. He can do joints, check, diagnose and reset, and he can do it well.
But for a person like Zuo Hu who has undergone systematic study, Luo Yun stands outside the door when it comes to the manual reset of dislocated joints.
Luo Yun knew about this situation——
The corner of Zuo Hu's mouth twitched: "Doctor Luo, you really know how to joke!"
Obviously unbelief.
As Luo Yun was talking, he realized that Zhou Cheng had also arrived at the door of the office, and Zhou Cheng glanced in the direction of the office.
Immediately trembling with fright——
Immediately prepare to slip into the lounge and put on a white coat.
"Zhou Cheng, come in first!"
Zhou Cheng said 'Huh? ' with a sound, but after seeing Luo Yun beckoning to him.
You can only bite the bullet and enter in plain clothes.
When passing by Hu Ming and Dong Qiansheng standing at the door, Zhou Cheng's body trembled slightly.
When passing by Cai Dongfan and Yan Haihan, Zhou Cheng felt a little cold all over——
To be honest, even Zheng Xuanlin and Luo Yun are wearing work clothes now, and only Cai Dongfan, Yan Haihan, Hu Ming, and Dong Qiansheng he knows are plainclothes.
They are either the director or the deputy director, and the other two are probably similar.
He didn't change his work clothes, so he really didn't dare to enter casually.
However, Luo Yun only grabbed Zhou Cheng to his side, and said seriously: "Professor Zuo, this is Dr. Zhou I told you about. Most of the dislocated joints in our department are reset by manipulation."
"Myself, I can only do simple dislocations. In fact, I can't say that I will do this."
"You should know why."
After Luo Yun finished speaking truthfully, he even sighed self-deprecatingly, quite helplessly.
At that time, Zuo Hu was a little stunned to watch Luo Yun grab such a young man like Zhou Cheng in front of him, his head was a little dizzy.
Looking at Luo Yun——
That look and eyes that you're either kidding me or you're crazy.
Then he looked at the other people, as if they had the same expressions as they should.
Zuo Hu turned his head left and right, feeling that the whole world was full of malice, as if they were joking with him.
Luo Yun's gaze remained the same, and he stopped talking.
The scene suddenly became quite quiet.
-
Chapter 116 Why didn't you play yo-yo earlier! ?
Luo Yun's expression was natural, and his heart was quite open.
If you can, you can, if you don't, you can't, just go straight, and you won't be a joint surgeon just because you say you don't know how to reset joint dislocations.
It should be said that manual reduction of joint dislocation is an entry-level skill in joint surgery, and it is easy to learn.
But arthroplasty is far more than just manual reduction of dislocated joints.
It's like the delicacies in the world, definitely not the milk in the mouth that children think.
However, Luo Yun's frank words obviously took a while for others to digest.
For example, Du Yanjun, he always thought that Zhou Cheng's method of resetting the dislocated joints might have been mixed up with Luo Yun.Although thinking this way, Luo Yun felt a little uncomfortable——
I am a graduate student in the department, Luo Yun did not teach me but taught Zhou Cheng, although this is also due to my lack of effort and dedication.
but?
Du Yanjun still felt a little unconvinced at first——
I'm a graduate student, and my foundation and qualifications are better than Zhou Cheng's. Why don't you teach me?
But now, it seems that the reason Du Yanjun gave himself was overthrown by Luo Yun, which made his self-righteous aptitude and solid foundation an excuse that suddenly turned into a bubble...
Apart from Du Yanjun, Li Yong and Zuo Hu actually didn't want to accept it even more.
They turned to look at Zhou Cheng.
It hurts a little.
If what happened yesterday was told by Luo Yun, then they would be more accepting. After all, Luo Yun is a specialist in joint surgery!
Moreover, they are extremely professional joint surgeons, they are regarded as colleagues, and it is a rare thing for them to be corrected and instructed by their colleagues!
But have you looked at Zhou Cheng?
This young guy?
At most 24 years old, right?
he……
Li Yong suddenly felt that the books he had read, at his age, had almost entered the cow's ass...
Cai Dongfan, Yan Haihan and Hu Ming were not entangled in the fact that Luo Yun pushed Zhou Cheng out, and they also felt that there was something wrong with Luo Yun pushing Zhou Cheng out directly.
Because before, Zhou Chengcheng had routinely carried out joint dislocations in the department, and he did a good job.
He even treated many patients. Luo Yun said modestly that he was not as good as Zhou Cheng. This may be true, so he didn't take it seriously.
Their eyes and attention were all on Luo Yun.
Suddenly, I felt that Luo Yun was extremely strange——
They knew Luo Yun, and Luo Yun was the attending physician in the department. They had worked together for so many years, and they never looked up or down. Cai Dongfan brought up Luo Yun's smoking habit. When he first entered the department, Luo Yun didn't smoke.
Cai Dongfan lit it and stuffed it in his mouth. With such friendship, he really regarded Luo Yun as his close person, so he dared to do this.
And Luo Yun's well-behaved performance in the department was gradually recognized by the people in the department and gradually integrated into him.
But now-
Yan Haihan and the three of them all realized that they didn't know Luo Yun.
It should be said that they never really realized Luo Yun's true face.
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Left gourd?
He actually knew Luo Yun?
……
There was a stalemate in the quiet scene for about half a minute. Zhou Cheng felt that he was pushed in front of Luo Yun. After some politeness, everyone stopped talking and felt a little stressed.
He said nervously, "Teacher Luo, if you want to scold me, just scold me."
"I will never talk back."
Although Zhou Cheng also felt that what Luo Yun was telling was the truth, sometimes it might not be good if the truth was told. Look, how embarrassing are the people on the field?
"Why am I scolding you? I'm telling the truth, and I'm also praising you." Luo Yun rolled his eyes.
Then he turned to Cai Dongfan: "Director Cai, tell me, is Xiao Zhou a very good doctor?"
Cai Dongfan immediately nodded his head, only looked at Zuo Hu, but did not speak.
Because Cai Dongfan didn't know whether he should speak or how to say it, and he didn't understand the art of joint surgery, so he simply said less and made less mistakes, not saying it was good.
Zhou Cheng still wanted to talk, so Luo Yun patted him: "Don't take advantage of it and continue to act like a good boy, hurry up and change your work clothes."
"Professor Zuo was invited by Director Yan to teach us today. He is a guest from afar, and he is also a teacher."
"You have to listen carefully later."
Zhou Cheng suddenly received amnesty: "Okay, Mr. Luo, I'm going to change my work clothes now."
After finishing speaking, quickly retreat.
And Luo Yun moved away a little bit to give Yan Haihan a chance to speak.
Yan Haihan is the director, and Associate Professor Zuo Hu was invited by him, although Zuo Hu unexpectedly recognized him.
But Luo Yun felt that there was no need for him to stand in front in embarrassment and embarrass everyone.
The past is all in the past. If a person is afraid to reset his life to zero and admit his ordinary facts, it will be difficult for him to mature.
Luo Yun has already passed this step.
Only then did Yan Haihan say: "Yes, yes, blame me, blame me. It's all my fault."
"Professor Zuo, it's all my fault. I specially invited you to class, but I didn't come to welcome you in person."
"It stands to reason that I should send a car to bring you, Professor Zuo, to the department."
"Professor Zuo, Doctor Li, please take a rest this way."
Luo Yun gave the step down, so he naturally had to stand up, and he also felt that Luo Yun was quite exquisite and sensible.
Zuo Hu slowly breathed a sigh of relief, and replied: "Director Yan, Dr. Li and Dr. Li came here early because of their own affairs. How can we blame you?"
While returning, he still followed Yan Haihan towards the direction of the director's office.
Now that Yan Haihan and the others have arrived, it would be a bit overstepping for them to entangle the question of who Luo Yun is.
After all, Zuo Hu also found out that Yan Haihan and others didn't know Luo Yun at all.
It's a pity that Luo Yun is half blind, his talent is not appreciated.
……
After Yan Haihan made arrangements for Zuo Hu and Li Yong, Hu Ming was still looking up and down at Luo Yun.
He licked his lips and asked, "Xiao Luo, you know how to do joint replacement? Why didn't you say it earlier?"
Luo Yun then turned to look at Hu Ming and said, "Director Hu, I've said it before, both during the interview and when I was admitted to the department. And it's already a thing of the past."
Luo Yun did say that he was a professional joint surgeon, but no one took it seriously, so what could he do?
He is not the director, he does not have his own bed, and he is not in charge of admitting and treating patients.
Hu Ming immediately turned to look at Cai Dongfan: "Dongfan, how about borrowing Luo Yun."
Cai Dongfan immediately lost his temper, rolled his eyes and said, "Fuck you, don't say anything, I won't agree!"
After finishing speaking, he warmly hooked Luo Yun's shoulders, his small eyes blinked, and a caring tone on his face: "Luo Yun, let's talk here..."
So he took Luo Yun out of the office.
Seeing Cai Dongfan like this, Hu Ming cursed, "Blind Cai, why are you so unlucky?"
Cai Dongfan's eyes are small, Hu Ming and Yan Haihan used to call Cai Dongfan Squint Eyes or Cai Blind, but after Cai Dongfan was promoted to deputy director, he stopped calling him that way, but now, Hu Ming really thinks.
When a blind cat meets a dead mouse—
Simply.
First Zhou Cheng, then Luo Yun, who the hell can stand up to this.
You know, one advantage of the second department of orthopedics is that Zeng Yi assigned other business areas of orthopedics except upper limb trauma and spine to the second department of orthopedics. After all, he didn't do it before...
But now, it is estimated that Cai Dongfan's patients and income will be good in the future.
Even fame and status in the department will definitely rise with each passing day.
MLGB's.
Zheng Xuanlin looked at Hu Ming cursing at Cai Dongfan, and said, "Director Hu, are you doing a ward round?"
Hu Ming looked Zheng Xuanlin up and down, sniffed and asked: "What do you know, but I don't know? Can you?"
Zheng Xuanlin immediately lowered his head almost to his crotch——
The human head mocks the ghost head for not being able to see the vastness of the world, not being able to listen to the sound of rivers and lakes.
The ghost head mocked the human head.
"Oh!" Hu Ming sighed and shook his head violently.
Accepted.
There are so many omissions like Luo Yun and Zhou Cheng in this world.
……
At [-[-, Yan Haihan ordered his respective teams to quickly start rounds, and at [-[-, everyone entered the classroom on time for class.
Originally, Yan Haihan didn't intend to call Cai Dongfan and Hu Ming, he called Zuo Hu to the department.It's not for Cai Dongfan and Hu Ming, but since they are all in the department, it's not easy to slip away.
However, after Yan Haihan sent the order, Zuo Hu was in the office, a little bit on pins and needles.
After taking a sip of tea, he took a sip and relished the taste, then said: "Director Yan, in fact, you informed me of today's lecture, and I didn't have time to make too many thorough preparations. of."
"How about we make another appointment?"
Zuo Hu really had lingering fears, it wasn't that he didn't dare to speak, or dared not speak in front of Luo Yun.
Rather, Zuo Hu originally thought that none of the Eight Hospitals had joint surgery, so he could be fooled by just talking about it, and it was over.
But now, when he was not fully prepared, there was still Luo Yun, a person whom he could not figure out.
Then will you find out what he said wrong, or go back and complain to his teacher in private——
How inappropriate is it to come to class just like this?
Yan Haihan hurriedly said: "Professor Zuo, you are too polite. You are an expert and professor from the Affiliated Hospital of Shonan University. If you give us a random class, isn't that an extremely simple matter?"
"Our department's understanding of joint surgery is quite weak, so we all love to listen to the basics."
Half polite, half truthful.
Zuo Hu suddenly felt as if he was being held up very high, even a little too high.
As an associate professor at the Affiliated Hospital of Shonan University, he doesn't have much flying knife surgery to do because the professor is still ahead, but he can also give lectures to earn extra money, which he used to think was pretty good.
But today, Zuo Hu still felt a little bit uncertain.
You know, if you can give a report at the Huaguo Orthopedic Annual Meeting, it is really not something that ordinary people would dare to attend.
All the comrades in the country are there, and if you lose face, you will not only lose face alone.
Professor Zeng Diwei, oh no, it seems that he has been promoted to an academician now. If he dared to release Luo Yun back then, it must have been recognized by him and everyone in the group.
Zeng Diwei convinced many people and was paving the way for Luo Yun.
Could it be that bad?
However, things have come to this point, Zuo Hu can only bite the bullet and go on.
After all, the envelope was already placed in front of him——
It would be inappropriate to refuse something that was agreed in advance at this moment.
……
At 35[-, Cai Dongfan led someone to check the room.The Hu Ming group was still wandering around the ward.Dong Qiansheng brought him into the shift room long ago.
Du Yanjun's own patients had almost nothing to deal with. The hospital beds of Zhang Zhengquan and Zhou Cheng were also preoperative patients who were admitted to the hospital yesterday after surgery. It's over.
Change the dressing every two to three days.
The preoperative patients directly completed the preoperative examination, so they were not in a hurry to prescribe a doctor's order, but came to the doctor's office in a group.
Because there is no shift today, there is no one sitting on the nurse's side.
So Du Yanjun pushed Zhou Cheng and said, "Brother Zhou Cheng, let's go find a seat?"
Zhou Cheng pursed his lips, although a little moved, he still said: "Wait a minute, Min Chaoshuo and Xu Yanlin are still standing and not sitting down."
There are only six seats in total. Excluding Pang Dingkun, there are eight junior doctors. Who will sit and who will not?
And Dr. Li Yong from the Affiliated Hospital of Shonan University wants to stand and listen?
Zhou Cheng was too lazy to stand out.
Du Yanjun stepped back and stood there together with Zhou Cheng, quietly waiting for the superior doctor to arrive.
At 52[-, everyone arrived, and only waited for the three directors Yan Haihan Hu Ming, associate professor Zuo Hu and Li Yong to arrive.
Dong Qiansheng, Luo Yun, Zheng Xuanlin and Pang Dingkun sat in their respective seats.
Everyone else is standing around the shift table...
Soon, Yan Hanhan and the others began to chat cheerfully, as if they were already leaving for the shift room.
Yan Haihan also said: "Professor Zuo, I will work hard for you later. If there is still enough time, I hope that Professor Zuo will give us an on-the-spot teaching."
Zuo Hu's voice of prevarication also sounded: "It depends on the situation. If you happen to meet, there is no problem. But I have to go back at 12:30."
Zuo Hu gave himself some time, he couldn't be dragged into the department by Yan Haihan all day.
Yan Haihan frowned and said, "Professor Zuo, can't it be later? I ordered lunch at 12:30."
"Let's not eat today, let's eat it next time when we have a chance." Zuo Hu still decided to leave a way out for himself.
Because even now, when he was about to give a lecture, he was still a little confused.
I don't know if it was a coincidence, but Yan Haihan and the others were talking, the door of the department was pushed open, and then three big men pushed a cart in.
After seeing Yan Haihan and the others in white coats, he immediately slowed down the speed of the bed, and stopped just in front of them.
One of them asked, "Doctor, doctor, is this the orthopedics department?"
"The doctor in the emergency department told us to push the patient up."
Zuo Hu was a bit stupid at the time.
Li Yong's feet twitched slightly——
Isn't this a coincidence?
Yan Haihan glanced at Zuo Hu, and then replied: "This is the Department of Orthopedics, you go to the nurse's station first, there will be a doctor on duty to see him soon."
Although he didn't know who the patient was, Zuo Hu was a guest from afar, so it was naturally impossible for him to work as a junior doctor.
If it's a broken bone, wouldn't that be a waste of time?
Hearing this, Guo Lei from Hu Ming's group immediately lifted the mask and ran out...
Yan Haihan led Zuo Gourd into the shift room.
Then he solemnly introduced the background and purpose of Zuo Hu to everyone in the department again, while Zuo Hu was on the stage, plugged in his own USB flash drive, found the ppt he was lecturing on today, flipped it up and down Look for very shallow, low-level errors.
Of course it doesn't exist.
Yan Haihan spoke for almost two or three minutes, and there was thunderous applause in the handover room.
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Zuo Hu raised his hand, and after all the voices stopped, Zuo Hu began to speak...
At this time, there was a knock on the door of the transition room, the sound was not loud, Zuo Hu continued to talk.
Then Guo Lei stuck his head in, grabbed a person at the door and whispered in his ear for a while, and that person stepped forward and told Luo Yun.
Luo Yun winked at Zhou Cheng who was standing directly opposite, and Zhou Cheng immediately understood, quietly walked around behind everyone, walked around to the door of the shift room, opened the door a little, and went out.
The whole process did not disturb Zuo Hu's lecture, and Zuo Hu turned a deaf ear to it, pretending not to see it.
Not to mention such an informal class, even if it is a big class for undergraduates, there are some people who walk away with their schoolbags in the middle of the class, and they have long been used to it...
When Zhou Cheng went out, Guo Lei said, "Brother Zhou Cheng, I'm sorry, I didn't understand this patient. The report said heel joint dislocation."
"I delayed your lecture."
As he spoke, he scratched his head, quite apologetic.
He was on duty, and he still felt a little guilty when he encountered a patient and asked Zhou Cheng to deal with it.
After all, Guo Lei didn't know that the dislocation of joints in the department was because of Zhou Cheng and Luo Yun, and he only thought it was Yan Hanhan's idea...
"It's okay, let's go and have a look together." Zhou Cheng replied subconsciously.
But immediately remembered something, and said, "Brother Lei, why don't you go in and attend the class? I'll just go and see it alone."
Guo Lei was very moved, but shook his head firmly: "Then how can I? I'll help Brother Zhou Cheng for you."
Then Guo Lei and Zhou Cheng came to the nurse's station.
After Zhou Cheng watched the plain film, he took a look at Guo Lei, and then said to the patient's companion in a loud voice: "Look, this is the calcaneus, and this is the cuboid. They are the two bones that we already have on our feet. a bone."
"They will form a joint called the calcaneus joint. Now this joint is dislocated, so he is very painful and can't walk. Now it is very swollen."
The companion kept nodding his head, but his face was in a daze.
I thought in my heart, what is with the bones.
What is the relationship between the feet and the skull?
But when you arrive at the hospital, of course you have to listen to the doctor, and they don't understand.
"In such a situation, a reset is needed..." Zhou Cheng introduced it to the patient's family in detail, one for the conversation before the reset, and the other for explaining to Guo Lei so that he could understand.
Zhou Cheng said so much, not all for patients to listen to.
Guo Lei is obviously interested in taking Zuo Hu's class, but because he can't take the class on duty, Zhou Cheng can teach by himself, and if he can teach unintentionally, he doesn't mind giving Guo Lei a hand and letting him learn something. At any rate, it can fill in the gaps that are missing from this class.
Guo Lei nodded frequently.
Because Zhou Cheng disassembled the joint dislocation into pieces, but assembled it into a straight line frame, Guo Lei understood it and kept it in his heart without much effort.
"So, we have to try manual reduction first, and see if it can be cured without surgery."
"If the manipulation is restored, then there is no need for surgery. If it is not restored, surgery is necessary."
"Or if you want 100% insurance, then go straight to the operation and definitely reset it." The patient gives the power of choice to the patient himself.
The patient was on a construction site, and he was hit in the foot with no broken skin or broken bones.
So he immediately raised his head and said firmly, "Doctor, I understand. I want to try without surgery."
"If there is no other way, then surgery."
Although his own salary is not low, there are old and young people in the family who are all waiting for him to earn money. He never eats more than 20 yuan a meal, most of which are ten yuan and fifteen yuan, which can save money. Then save.
When Zhou Cheng was speaking, Guo Lei had already issued a doctor's order.
"Okay, then you pay the fee first, and I will prepare the things to be used for the reset, and then I will put on the plaster, and I will give you a leave note."
"You must remember that after the reset is successful, you must rest for at least one month to one and a half months! During this time, you cannot use force or work, otherwise, you will not be able to escape the operation eventually." Zhou Chengsheng was afraid of this big brother, After feeling no pain in the feet.
Brutely go to work again, the ligament will be broken again or something.
At that time, the restoration of my technique will be in vain, and I am afraid that I will have to undergo major surgery.
The reason why you have to explain to him and not to others also depends on the nature of the work and the person.
Some people, those who sit in an office or have money, know how to rest without asking them to, but workers are different. Their roles, burdens and ability to bear the burden are different.
This is also one of the contents of medicine.
Whether the explanation is long-winded or not varies from person to person.
"Okay, okay!" The patient nodded hurriedly, but kept scratching his head with his hands, and finally let out a long sigh.
His fellow workers comforted him and said, "It's important to get well first, because you can't earn enough money. Then ask the boss if there is any work-related injury to report to you."
"..."
15 minute later.
Zhou Cheng still completed the manual reset while explaining. When he heard the clicking sound, Zhou Cheng said: "This sound is the popping sound produced after the joint is reset, and it is the sound of bone surface impact."
"It's a good thing to hear this crisp clicking sound after a joint dislocation."
"If you hear a dull snapping sound, you have to be careful that it's a broken bone."
"After we're done, we have to make sure..."
Twenty minutes later, the patient and the co-workers walked out of the ward thankfully.
The worker was still muttering, "Other people said that the hospital would cost hundreds of dollars to treat a cold. Today, it only cost more than 300. I also brought a plaster back. It doesn't seem to be very expensive."
"Yeah, when I paid the fee, I saw that the plaster material cost 110 yuan."
Hearing this, the patient hung his head again and greeted Zhou Cheng: "Thank you~, Doctor Zhou~."
It was so loud that even everyone in the class could hear it.
Zuo Hu's lecture also stopped midway——
Then go on to the lecture!
Guo Lei immediately said, "Mmm, thank you, brother Zhou Cheng, I didn't expect joint dislocation to be so interesting."
"Yes!" Zhou Cheng nodded.
He smiled and said: "Manipulative reduction of joint dislocation is one of the rare operations in clinic that our doctors can quickly gain a sense of self-accomplishment."
"When I came in, the patient was in pain."
"The disease can be cured at hand, and it will be relieved immediately."
"It's a bit like the miracle doctor in the movie. The way to reset the fracture is not as magical as this."
Guo Lei continued to nod.
"Brother Zhou Cheng, I have to learn more from you today!" Then he looked at Zhou Cheng, full of expectation.
The two of them were about to walk into the handover room to listen to the class again.
The door of the department was opened again——
A family of wheelchairs was wheeled in.
Guo Lei's expression immediately turned pale, and he said helplessly, "Brother Zhou Cheng, you go in first."
Zhou Cheng could only look at Guo Lei with pitiful eyes, pushed open the door and slit it into a small , and then squeezed in.
Unexpectedly, Zhou Cheng immediately felt his cell phone vibrate.
After clicking on it, it was another message from Guo Lei.
So Zhou Cheng pushed the door open again, and then got out...
Zuo Hu was on the stage, glanced at Zhou Cheng who was leaving, then moved away to another place, and continued: "So the above is the second most common dislocation in our orthopedics department, the related content of the posterior dislocation of the hip joint. Anterior dislocation, lateral dislocation, high dislocation, subluxation, etc..."
……
Two 10 minutes later.
It seems that the patient and Zhou Cheng happened to pass by the shift room along the way.
"Thank you, big brother doctor!" It was a child thanking Zhou Cheng, his voice was still very loud and he was very polite.
And it's very close to the shift room.
Zuo Hu inside, paused again, and paused——
MD is poisonous...
Zhou Cheng pushed the door open, this time he didn't go out right away, but Zuo Hu saw that Zhou Cheng pushed the door back to 5 minutes later.
out--
well!Zuo Hu sighed in his heart——
Are you always in and out?
……
When Zhou Cheng went out, he saw Guo Lei talking with the patient.
The general content of the conversation is similar to what I talked about before.
My heart suddenly trembled, big brother, the conversation is not like this!
You made a mistake in the program, whether you need to reset it or not depends on whether you can do it or not?
But he didn't say it.
There aren't that many rare things after all.
The patient is a seventy-eighty-year-old widow.
The person who pushed her here was her daughter-in-law, who was probably in her 40s!
Zhou Cheng then gave the patient a physical examination, watched the film, and then read the old woman's emergency medical records.
After reading it, Zhou Cheng's heart skipped a beat immediately.
He touched Guo Lei and squeezed his throat, signaling him not to speak.
Guo Lei immediately understood and stopped talking.
The patient's daughter-in-law saw Zhou Cheng touch Guo Lei, and Guo Lei didn't dare to speak.
Then he asked: "Doctor, how is my mother's situation? Don't scare me."
Zhou Cheng frowned and said, "Sister, don't worry, just listen to me first."
"Your mother's current situation, although it looks like a shoulder joint dislocation from the film, in fact, it may not be an ordinary shoulder joint dislocation. So you need to take an MRI first, and let me confirm the area around the shoulder joint. Is there any compression of the musculature?"
"Then we'll see how we treat the situation."
"What Dr. Guo said just now is correct. Shoulder dislocations can be reset manually or surgically. Manual reset is the first choice, but in some special cases, manual reset is not suitable."
Zhou Cheng explained.
But the patient and his family immediately frowned.
The patient's daughter-in-law said: "But just now, Dr. Guo said that you can reset it manually first. Can't you try reset first, and then go for MRI?"
"We've all come to the ward. What if it's not a special joint dislocation? Wouldn't it be possible to skip the MRI?"
The old woman also raised her head, her spirit was a little weak, and she said: "Yes, doctor, my shoulder hurts so much, and I can't strength it. Please stop the pain for me first! I'm in so much pain that I'm about to die. Ouch, hey, hey, hey."
As he spoke, he groaned in pain.
Zhou Cheng licked his lips and said, "This, big sister. It's not how you understand it."
"Our doctors deal with people, and people can't just try it casually. An MRI or an emergency room will be done quickly, and there won't be much delay."
Then he said to the old lady: "Wife, your pain is caused by dislocation of the joint. Painkillers are not very effective, and it must be reset. Before the reset, we have to find out the situation in detail."
In fact, Zhou Cheng now has the bottom line in his mind. Although the patient's joint dislocation is anterior, the scope of the anterior dislocation is a bit large, and the end of the anterior dislocation is a bit special.
I'm afraid it belongs to the contraindication of manual reset, so he dare not reset it casually.
It is necessary to determine the shape and specific position of the biceps tendon first.
The old woman sighed, and kept touching her left arm with her right hand, and said, "Doctor, I'm in pain, please perform a reset for me first, so that I don't feel any pain before checking."
"Yes, doctor."
"This is not an experiment. Let's go down to do an inspection, and then go up again. This is going back and forth. Isn't it appropriate?"
"And Dr. Guo said just now that you should try the manual reset first, and then switch to surgery if it doesn't work." She looked directly at Guo Lei, wanting to use Guo Lei's words to gag Zhou Cheng, thinking that Zhou Cheng was just trying to make them do check.
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Guo Lei immediately became trembling, and hurriedly said: "What I just told you was about treatment, but now what Dr. Zhou is talking about is that the diagnosis is still unclear."
"How can this be the same? If the diagnosis is not clear? Then."
The patient's daughter-in-law said impatiently: "It's clearly written in the report, how can I be clear about the anterior dislocation of the shoulder joint?"
"Can you two young doctors read it? If you don't know how to read it, call the director and superior of your department."
I don't know whether Zhou Cheng and Guo Lei are angry because they are young and have inconsistent statements, or they think that Zhou Cheng and Guo Lei don't know how to see a doctor at all.
Guo Lei suddenly trembled a little, and looked at Zhou Cheng with guilt.
Zhou Cheng sighed.
Then he said: "Sister, don't make noise, don't make noise."
"There are still many inpatients resting in the department, and it makes them uncomfortable."
"Our director is in the department. If you don't trust my suggestion, wait a moment. Our director is in a meeting. I'll report to them, okay?"
"Hurry up and call your director. You don't know how to see a doctor and you're wasting time here." The patient's daughter-in-law snatched all the films from Zhou Cheng's hand impatiently.
Zhou Cheng immediately went in and told Luo Yun about the situation.
Then he said: "Ms. Luo, this patient is very likely to have the biceps tendon wrapped around the back of the humeral head. The patient refuses to have an MRI, and he still doesn't believe me. You have to ask your superiors to see it."
Luo Yun nodded and walked out with Zhou Cheng.
And at this time, Zuo Hu's lecture has almost come to an end...
When Luo Yun arrived at the nurse's station, he didn't just listen to what Zhou Cheng's family had to say, but watched the film carefully and had a physical examination.
After a full 5 minutes.
Luo Yuncai said: "Doctor Zhou is right in thinking. In your mother's situation, you still need to have an MRI."
"It's quite possible."
But just as Luo Yun finished speaking, the middle-aged woman started arguing: "Are you guys in the same group?"
Then he pointed to Guo Lei: "At the beginning, he said that he could recover later, and then he came."
Point to Zhou Cheng.
"He said to do nuclear magnetic resonance."
"He's calling you, and you said the same thing. You're obviously protecting him." Then he pointed at Zhou Cheng.
"Do you really want our patients to do so many tests?"
Luo Yun took a long breath, said in his heart not to be angry, and patiently explained: "If I only listen to him, I will tell you about the inspection when I come out, why do I have to watch for so long? "
"How can there be a doctor to take care of each other? He is my student. If he makes a mistake, I can of course blame him and correct him. Why do I have to make a mistake to the end?"
"I suggest that you go for an examination in order to make a clear diagnosis."
"You are with him, it's obvious. I've seen it there, you are with him." The woman persisted and found a very objective reason.
There are photos of the staff in the department hanging in the department.Because there are currently only seven doctors in the second orthopedic department, it seems that the number is too small, so I also hung up Zhu Pei and pretended that my department is full of staff...
Zhou Cheng is naturally in the same group as Luo Yun.
Luo Yun couldn't even refute what he said, so he said, "Then who do you think is not with us, can you identify someone in the photo?"
"Now it happens that we have something to do in our department, and everyone is here."
"I asked him to come and see your mother specially? Is that okay?"
When Luo Yun was explaining to the patient, Yan Haihan walked out of the shift room to meet Zuo Hu, Li Yong and others, and Yan Hanhan said very politely: "Professor Zuo, thank you, you have really worked hard today. gone."
"I'll arrange a lunch in advance later, Professor Zuo, you must eat before leaving."
Yan Haihan said so, the woman pointed to the left: "He, he is not from your department, I didn't see his photo."
"He showed it to my mother, okay?"
Luo Yun felt pain in his ass at that time, this family is simple, and his memory is good.
But I didn't think about it, no other people's photos were posted in the department, so were they people in the department?
Luo Yunke didn't move, so he quickly shook his head and explained: "This is an associate professor from the Affiliated Hospital of Shonan University. We invited him to the class. You are not invited to come to see the doctor. You can only choose people from our department, so I can invite you. verb: move."
"How could our hospital instigate it."
As Luo Yun was saying this, Yan Haihan looked at her pointing at Zuo Hu in embarrassment, and quickly explained to Zuo Hu: "Professor Zuo, there may be a misunderstanding, you go to rest first."
"I'll deal with it."
Zuo Hu said: "Let's go and have a look together, Director Yan."
Zuo Hu was really curious about why Luo Yun was so disbelieved by the patient.
However, I was a little scared in my heart, what if I was really called over?
I can't see what to do?
Luo Yun is not someone who is easy to be with...
Tangled in my heart.
Yan Haihan hurried forward a few steps, and asked from a distance: "Hi, I am the director of our department, what can you tell me?"
After speaking, he just walked in front of the patient and his family.
The middle-aged woman said: "The doctors in your department, doctors and doctors care for each other, everyone has different opinions."
"One doctor said that manipulative reduction can be done, but another said that it can't be done, and that it needs to be checked first. The next one also said that it needs to be checked."
"Who should I listen to?" The middle-aged woman was also very witty, and she completely threw the question on Luo Yun and Zhou Cheng, a few doctors.
Guo Lei listened, and immediately turned sideways to explain and apologize to Yan Haihan.
"I'm sorry, Director Yan, I was the one who talked to the patients. I didn't understand the situation, so I talked to them about the risks of manual reset..."
Guo Lei wanted to continue talking, but Yan Haihan stopped him.
Now that the patient is present, what he wants to solve is the problem. He always listens to Guo Lei, which is disrespectful to the patient.
Yan Haihan soon came to the patient and said: "Then you may have misunderstood it. He is the doctor on duty. This is the attending doctor of our department. He is a superior doctor. The superior doctor has the right to teach the residents on duty. ."
"You have to trust Dr. Luo's professionalism!"
"We are doctors and patients. We are treating diseases, not doing business. We must insist on it, right?"
"Since Dr. Luo feels that you need another examination, then decide on the next diagnosis and treatment plan after the examination." Yan Haihan firmly supported Luo Yun.
The main reason is that he didn't understand much, so he didn't dare to read more, he could only trust Luo Yun, and only hoped that Luo Yun would work harder, so that Zuo Hu would not think he was a layman.
The middle-aged woman suddenly became a little anxious.
Yan Haihan said that he is the director, and he also protects Zhou Cheng and Luo Yun, so what should we do?
She murmured: "But? But?"
"Obviously you."
"Professor, can I trouble you to take a look at my mother?" She looked directly at Zuo Hu and shouted, hoping that Zuo Hu, a doctor from the Affiliated Hospital of Shonan University, would come and uphold justice.
Yan Haihan's face changed suddenly, and he said, "Professor Zuo is a professor at the Affiliated Hospital of Shonan University, and he is not an employee of our department. How can you ask for it?"
But the middle-aged woman still pointed at Zhou Cheng and the others and said: "They are all talking to each other, I won't look at them here, I want to look at you."
As soon as these words came out, everyone's expression changed immediately!
You can do this kind of thing, and you can even talk about it, but if you shout here in front of professors from other hospitals, have you registered?
Have you respected other professors?
Have you picked the right place?
Cai Dongfan quickly apologized and said, "Professor Zuo, I'm sorry! The patient doesn't understand the rules here."
"This way please, go to the director's office and rest first."
Zuo Hu also nodded, and smiled casually, expressing that he didn't care.Then he followed the direction cited by Cai Dongfan and walked to the director's office.
Seeing this, the woman's expression changed drastically.
Then he roared angrily: "You are all a bunch of thieves, you don't have any good things, you only think about money, you only want to check. What directors, what professors, are all wolves in human skin, with human faces and beast hearts—"
"You are doctors, and what you should do is to save the sick and save the sick, not let the patients check this and that."
When Zuo Hu heard this, his face darkened, and his footsteps paused a little.
Why didn't I yo-yo sooner and suffer this for nothing for no reason.
Chapter 117 Crouching Tiger
Cai Dongfan and Hu Ming staggered for a while, and quickly lowered their heads to explain to Zuo Hu: "Professor Zuo, I'm sorry, let's go first."
"I met a madman."
The corner of Zuo Hu's mouth twitched, although he felt that he had suffered an innocent disaster, he could only swallow the bitterness in his stomach.
The patient's family members didn't name them by name, and if he answered the phone again, it would mean that he was really playing with his reputation.
As for the so-called listening to what she said and showing it to her mother-in-law, that is even more impossible.
Because strictly speaking, he came to the Eighth Hospital without filing a record with his own medical department, and the Eighth Hospital did not issue an invitation to Xiangya Hospital for a consultation.His right to practice is not here.
If it was really like what she said, she invited, Zuo Hu would show her with a smile.
If you are optimistic, then let it go, if you are not optimistic, when she goes to court, her lawyer will not forget this procedural error.
If there is a mistake in the medical procedure, let's stop talking about it, how wrong it is.
Without the right to practice, what the hell are you looking at?
What's more, the patient's number is the No. [-] Hospital, and there is only a diagnosis and treatment relationship with the Eighth Hospital. There is no diagnosis and treatment relationship with him and the Affiliated Hospital of Shonan University.
Meddling in other people's business is not necessarily benefiting others.
Moreover, their situation is not an emergency avoidance, and they cannot be exempted from responsibility. As a Zuogou who has been in the hospital for many years, it is naturally impossible to provoke such anger.
I can only blame myself for being unlucky and meeting unreasonable people...
Zuo Hu followed Cai Dongfan and Hu Ming to the director's office.
"Professor, professor, come here!" The middle-aged woman finished cursing, and when she saw Zuo Hu go straight away, she became a little anxious.
She thought that if she made such a fuss, Zuo Hu would come over, point out Yan Haihan and the others' mistakes, and then get her mother-in-law to get treatment, maybe even free of charge or something.
What a great thing it is to be able to get a professor from the Affiliated Hospital of Shonan University to see her mother-in-law in the No. [-] Hospital, so as not to make such a trip?
Unfortunately, things didn't go in the direction she thought.
Seeing Zuo Hu's news, she didn't succeed in what she thought, so she continued to curse: "Everyone is well-dressed and looks like a human being. I didn't expect them to be all of them."
The words of the middle-aged woman made Yan Haihan's complexion immediately turn livid.
Frowning fiercely, he persuaded: "Madam, please pay attention to your wording!"
"Professor Zuo is the teacher we invited. He is here for class, not for outpatient consultation and consultation. He has no medical relationship with you, and he does not have any obligation to see your mother. If you continue to mess around, I will call the police!"
The middle-aged woman immediately let go of the wheelchair she was pushing, and cursed:
"You still call the police?"
"Then call the police."
"What broken professor, what medical relationship? What obligation?"
"He is a doctor, and seeing patients is a matter of course. It is his obligation to see us. It is not a so-called medical relationship. A professor does not even come to see a doctor. What a shitty professor."
"It's just an unscrupulous doctor, quack doctor!"
"Professor, shit professor."
Yan Haihan didn't bother to say anything immediately, and directly called '110' to call the police, but in fact he called the security department.
If it is not necessary, he still does not want to make things worse.
After explaining the situation, I heard the other party say that I will rush to the hospital immediately.
Seeing this, the middle-aged woman was stunned, and looked at Yan Haihan: "You really called the police? You still have the face to call the police!~"
"It's obvious that your hospital is treating patients indiscriminately and only thinking about money. I didn't call the police. What qualifications do you have to call the police?"
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"Isn't it just calling the police? Who is afraid of whom?"
"I'll call the police too."
At this moment, Zhou Cheng noticed that the patient was very frightened by Yan Haihan's alarm action, and there was a look of fear on her face, and she was probably in severe pain, so her forehead was covered with fine sweat.Moreover, in her eyes, there are also complex emotions such as helplessness and unknown emptiness.
Zhou Cheng stepped forward and said, "Sister, look, is this okay?"
"You are here to take your mother for treatment. Since you don't believe in our hospital, you can take your mother to other hospitals for treatment. Is that okay?"
"Your mother looks pretty miserable right now."
When the middle-aged woman heard the words, she yelled at Zhou Cheng: "You have no right to speak, you can't see a doctor, you only know how to talk nonsense."
"Are you doing it for money?"
"They are all helping you to speak for the sake of protecting you. That's why they don't want to treat my mother?"
"I think it's because of your money that you asked my mother to do more checkups. In fact, there is nothing wrong with it. This doctor is telling the truth. He only thinks about our patients and doesn't spend more money on our patients. "
Ok.
Zhou Cheng resigned directly at that time.
Luo Yun said: "Then what are you going to do? If you continue to make trouble like this, there is no way to solve the problem. Look at your mother, the dislocation is still there, and every minute you delay is her painful time. "
The middle-aged woman continued to snark at Luo Yun: "Isn't it all because of you? If you hadn't intervened, my mother would be fine now, and the pain would be gone."
"It's all your fault. I don't care, you have to solve the problem for me."
"I came to the hospital to see a doctor. If you can't see it, then find a way for me. Please invite the biggest person here, invite the dean to come, invite the professor to come." The middle-aged woman's meaning is very clear, she is I want Zuo Hu to show them.
That's why I continue to mess around here.
"Luo Yun, why are you talking so much? I've already called the Security Office!"
"If there is no way to talk about this matter, then you wait for the security officer to arrive later, go to the security office, and go to the police station to talk."
"I still have to greet Professor Zuo."
Then, he looked at the patient himself, and said intentionally or unintentionally: "If your daughter or son came here in person, she wouldn't talk like that, and she wouldn't waste time."
After finishing speaking, Yan Haihan turned around and left.
Because Yan Haihan thought to himself, since the patient came into the department, they didn't have any procedural errors, and they haven't treated the patient yet.
It's the patients themselves who don't trust their diagnosis and treatment, so there's nothing to say. It's up to her to follow the procedure.
Anyway, as long as there is no one in the department to treat the patient, the patient strongly refuses treatment——
Patients are free citizens and have the basic right to choose freely.
"Why did you leave? Is this how you became a doctor? Are you medically virtuous? The patient died here?" The middle-aged woman watched Yan Haihan leave as well, and continued to question.
He also stepped forward to hold Yan Haihan back.
Yan Haihan immediately turned around and asked, "Our advice to you is to do an inspection, are you going?"
"Why should I check? Are you a doctor or are you a doctor? Are you just thinking about checking? If you don't check, you won't see a doctor?" Of course, the middle-aged woman refused to go, otherwise she would make a fuss. What is the purpose?
Obviously what Guo Lei was talking about was how to treat it, but he stepped in for an examination. No matter how you say it, the doctor with a human face and a heart is ignoring him.
Yan Haihan said to Luo Yun: "Luo Yun, it is written in the medical record that the patient strongly refuses to continue the examination to further confirm the diagnosis."
Luo Yun nodded, and when he was about to write, the middle-aged woman immediately reacted and snatched the medical record from Guo Lei's hand.
Then he tore off the medical record that Guo Lei was writing.
Then he pointed at everyone and said, "Okay, this is the doctor from your Eighth Hospital, right?"
"I want to expose you, I want to expose your behavior—"
As she spoke, she was about to raise her phone and start recording.
Seeing this situation, Luo Yun pointed at her and said, "Ma'am, can you please put down your phone? The purpose of your coming to the hospital now is to see your mother, not to quarrel with us."
"If you feel that your emotions are very agitated, can I trouble you to call the other family members of the patient and ask them to take the patient to receive formal treatment as soon as possible?"
"Then let's discuss whose responsibility it is?"
"If you want to record, then we will also record. If your family sees the impact of you not taking your mother-in-law to the doctor and messing around here, even your children, see The reaction after this video."
"Neither of us is responsible."
Hearing Luo Yun's words, the middle-aged woman froze for a while, her expression tangled.
After hesitating for a while, he still put down the phone, gritted his teeth and said, "You are simply a group of white-clothed killers who cannibalize human flesh and don't spit out bones. You are cold-blooded animals, and you only think about money."
Luo Yun was patient, and asked again: "Ma'am, let me confirm with you that we all feel that your mother's current diagnosis is still unclear, which is based on very professional considerations."
"Further examination is needed to confirm the diagnosis before choosing a treatment plan. Do you refuse further examination?"
The middle-aged woman shouted: "I won't do it!"
"I won't see a doctor in this black-hearted place like yours!"
"Mom, let's go, they just want money."
The middle-aged woman may have been frightened by Luo Yun's sentence, you want your family and children to see that you are letting your mother-in-law's illness go, and only caring about arguing with us.
Luo Yun is still very good at grasping the minds of prospective patients, after all, he used to hang out in Shanghai.
People in the devil's capital are in panic, and the rich and powerful are everywhere. If you can't know some words and learn to read people's hearts, it will be very difficult to practice medicine.
The patient finally left.
Everyone let out a long sigh of relief.
After seeing that the noise outside was a little quieter, Zheng Xuanlin rushed over immediately, and first apologized to Luo Yun: "Brother Yun, I'm sorry, I'm sorry. I didn't take the brothers in my team well, and I caused you trouble." gone."
Speaking of which, the fundamental analysis of this matter is that before Guo Lei figured out the diagnosis, Guo Lei presumptuously talked to the patient for treatment first.
This caused the patient's resentment.
Luo Yun shook his head, and said calmly, "You can't say that, brother Xuanlin."
"We met a lunatic today, don't talk about Guo Lei."
"The reason why junior doctors come to regular training, the essence of being a junior doctor, is to realize their lack of knowledge—"
"Our superior doctor corrected it."
"They manage the bed for us and continue to discover and improve their own shortcomings from here. This is the meaning and purpose of the country's standardized training for residents. If they were already perfect, there would be no need for residents in the world. ."
Zheng Xuanlin was made a little silly by Luo Yun's words.
"Ah? Oh. Okay." I wanted to reprimand Guo Lei for a few words in my heart, but it disappeared.
Luo Yun shook his head, patted Zhou Cheng on the shoulder, and left with Zhou Cheng.
Guo Lei still apologized to Zheng Xuanlin very guilty, and even said that he would never dare again.
Zheng Xuanlin's original anger has been dissipated by Luo Yun's words, and now seeing Guo Lei's pitiful appearance, he is not angry anymore: "Work hard, Teacher Luo Yun is right."
"You're here to be constantly aware of the mistakes you can and will make."
Although he didn't know why Luo Yun had such broad horizons and unique insight, Zheng Xuanlin was really convinced by Luo Yun's words.Inadvertently remembered what Zuo Hu said before.
I saw Luo Yun at the orthopedic annual meeting in China...
Zuo Hu and Li Yong went to the director's office, after Yan Haihan personally apologized and explained the situation to him.
Then Yan Haihan and Cai Dongfan personally sent him downstairs.
Zuo Hu is really bored to eat. When he came here, the person he wanted to meet didn't see him, but instead he went back with a mess. It can be said that he was unlucky. How could he want to eat?
However, seeing Luo Yun in the No. [-] Hospital was an unexpected event.
Before Zuo Hu left, he secretly asked Cai Dongfan for Luo Yun's contact information. Although Cai Dongfan still couldn't understand why Zuo Hu had such a big obsession with Luo Yun, he also felt that it would be a good thing if Luo Yun was favored by Zuo Hu.
If it is good for Luo Yun's future, I will give it.
But after giving Zuo Hu Luoyun a call and sending Zuo Hu away, Cai Dongfan's mood became slightly depressed again.
Luo Yun was the person Yan Haihan didn't like at the beginning, so he was assigned to him. After getting along for a long time, Cai Dongfan really regarded Luo Yun as his successor.
Now Luo Yun is being watched by Zuo Hu, and he doesn't know if he has taken a fancy to him.
And what about Zhou Cheng, who finally rose to prominence in the group?Being targeted by the old man Ding Changle again...
In fact, Cai Dongfan is entangled in his heart. There is a kind of uncomfortable feeling that the Chinese cabbage that he has grown by himself has to be taken away one by one by others.
However, everyone has their own future, and wronging someone's future is worse than killing one's father.
This is the rivers and lakes.
Except for the parents and children of the same blood, all the encounters and getting along with each other are like rivers and lakes...
Seeing that Cai Dongfan looked a little disappointed, Hu Ming hooked his shoulder, rolled his eyes and said, "Old Cai, why are you pretending to be deep here?"
"Do you think Luo Yun and Zhou Cheng are difficult to take care of? Why don't you discuss it with you and change it with you?"
Cai Dongfan narrowed his eyes immediately, looked at Hu Ming, and said, "You are not even a postgraduate tutor, how do you lead people?"
"Get lost!" Cai Dongfan pushed Hu Ming.
Hu Ming suddenly pointed at Cai Dongfan like a cat that stepped on its tail: "Don't insult people, I will think you are insulting my personality!"
"Don't think so."
"That's how it is." Cai Dongfan shook his head casually, then waved and laughed and walked towards the elevator.
Hu Ming's face was cloudy for a while, and he cursed: "MLGB's, blind Cai!"
……
Luo Yun brought Zhou Cheng into the doctor's lounge, and saw that Luo Yun was frowning.
Zhou Cheng looked at Luo Yun innocently, and asked, "Mr. Luo, did I do something wrong today?"
Luo Yun smiled casually, and his tone turned into a smile and said: "No, you did nothing wrong. Caution and prudence are the first principles of our clinicians. You did nothing wrong. You are absolutely right."
"It was just a little accident."
The main reason why Luo Yun felt better was because Zhou Cheng finally let him see the bottom line.
At least, Zhou Cheng didn't dare to resort to manipulative repositioning for any dislocation, no matter whether it was a sign of manipulative repositioning adaptation or not, he had to do it.
This is a normal person and a normal doctor.
If Zhou Cheng was inscrutable from the beginning to the end, and all dislocations were done with his eyes closed, he was still worried that Zhou Cheng was just messing around!
"I also think it's right, because the patient's condition and the extent of the anterior dislocation are too large, and the stop point is also quite weird. I must first do an MRI to see if the long head tendon of the biceps is wound. over the head and neck of the humerus."
"Otherwise, no matter how you reset it, it will be useless. It will be futile."
If the biceps tendon is wrapped around the back of the humeral head, it is equivalent to hitting the door without opening the door.
Isn't this asking for scalp blood? There is a door in front of you, but you still want to bump into it. How different is it from committing death?
"I know!" Luo Yun's mouth twitched.
"Mr. Luo, it's not as good as you think." He rolled his eyes at Zhou Cheng.
After finishing speaking, Luo Yun said very seriously: "Before, I always doubted in my heart whether you could be the head on duty, but today, I think you are definitely qualified to be the head on duty, and you know why ?"
This week Cheng is really not sure.
Because he feels that he is fully qualified, and the perfect level is not qualified, so what is qualified?
Zhou Cheng didn't dare to do manual reduction, because his existing manual reduction for joint dislocations is definitely not as good as manual reduction for fractures.
One is perfection, flawless based on real cognition, and the other is the redefinition of perfection, which breaks the existing cognition.
Naturally, it is impossible to reverse the existing indications and absolute contraindications for manual reduction.
"Because you remember contraindications." Luo Yun said.
"I don't know what you think, but my teacher remembers all the contraindications of joint surgery on the first day of our apprenticeship!"
"Know what to do and what not to do!"
"You can study and experience it well." This is the first time that Luo Yun has truly taught Zhou Cheng, and it is a private product of his master's school.
Zhou Cheng was taken aback for a moment, then asked Luo Yun with wide eyes: "Mr. Luo, what kind of existence is your sect?"
"When you enter the door, you must first understand the pattern of the ceiling?"
The existence of surgical contraindications means that the top of the ceiling rests there. Under this, almost all of them can only be regarded as routine or excellent performances, which can break surgical contraindications and perform unconventional surgeries, or create new surgical methods and add new understandings.
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It is to break the rules and redefine the perfect level.
Zhou Cheng had such an experience in the simulated copy, so he naturally thought of this level.
Luo Yun looked at Zhou Cheng in astonishment, with a strange look on his face: "Why do you think so?"
"This is to make you a movable cage so that you don't jump out."
Back then Luo Yun also asked why there was such a regulation.
Luo Yun remembered that his own teacher in the past was not the explanation given to him by his master, but the above, first draw a range of activities.
But, thinking about Zhou Cheng's words now, it seems.
It seems that I have been understanding in the wrong direction all along. It turns out that the meaning of the teacher is here!
I've been thinking about it for so many years, but I haven't figured out anything.
How did Zhou Cheng think of it?
Did he do such a thing?
If Zhou Cheng knew what Luo Yun was thinking, he would definitely ask——
Who is this kind of thing?Are you pretty?
……
5 minute later.
Luo Yun released Zhou Cheng and let Zhou Cheng go about his own affairs.
Just finished the room check, and the patient hasn't been dealt with yet.
However, when Zhou Cheng walked into the office, he found that only Du Yanjun was there, and Zhang Zhengquan was already a yo-yo.
Then he asked, "Where is Quan Zi? Has he escaped?"
Du Yanjun said: "Well, Brother Quan said he had some very important things to do, so he handed over the patient to me. It's okay, Brother Zhou Cheng, Brother Quan doesn't have much to do."
Du Yanjun didn't mind the brothers in the group helping each other.
In the past, he didn't care, and felt that he, Zhou Cheng and Zhang Zhengquan had no conflict of interest.
Now he is happy, because he finds that he still has too much to learn from Zhou Cheng, and he and Zhou Cheng may no longer have a conflict of interest.
Although this kind of thing is very helpless, but today, Luo Yun and Yan Hanhan unconditionally believe and favor Zhou Cheng's scene...
Although Luo Yun, Yan Haihan and others didn't do it deliberately, this scene made Du Yanjun read another meaning.
Zhou Cheng must be very important in the hearts of Yan Haihan and Luo Yun, otherwise, even if it is to protect the people in the department, it is impossible not to give Zhou Cheng an ugly look.
"Oh, I see."
"Then share it with me. I have nothing to do anyway, and I have to be on duty here. You worked hard yesterday, so you should go to rest early." Zhou Cheng said hastily.
After Yan Haihan stepped down from his squad yesterday, Du Yanjun was the first to find a replacement.
Du Yanjun didn't say anything, but it also made Zhou Cheng understand that he, Du Yanjun and Zhang Zhengquan are now in the same team, so breaking the bones and connecting the tendons.
In the eyes of others, they are one. If Zhou Cheng's class is dismissed, Du Yanjun or Zhang Zhengquan will be the first ones to come to the top. There is no reason and no reason is needed.
This is an outsider's perspective.
Therefore, Zhou Cheng also felt that it was necessary to treat Du Yanjun and the others better. If they were willing to learn and put down their face, he was willing to teach them from the beginning.
Zhou Cheng's eyes were sincere, and Du Yanjun was not polite: "Okay, I'll change the medicine, brother Zhou Cheng, can you give me a doctor's order? This is like a record sheet."
……
21[-].
Zhang Zhengquan took the elevator dedicated to doctors, arrived at the lobby, and then went to the canteen at the door to buy a pack of chewing gum first.
Then I went to the wall next to the driveway with a lot of mud splashes, wrapped my body dirty, then rubbed a handful of leaves, messed up my hair, and put a few dried leaves specially .
After doing this, I saw the middle-aged woman who was in the department just now walking out pushing a wheelchair.
He hurried up, half-bowed, and said to the middle-aged woman, "Grandma, I'm so hungry, can you give me some money? I'm going to buy a meal?"
The middle-aged woman was feeling irritable at the moment: "I have no money!"
grandmother?
CN grandma.
Zhang Zhengquan's action attracted a lot of attention, but only for a moment, they turned around.
Zhang Zhengquan continued to walk sideways, chasing the middle-aged woman, nodded and said, "Grandma, please take pity on me. I have been hungry for many days. Give me some money and let me eat."
When Zhang Zhengquan said this, the old woman in the wheelchair softened her heart: "Xueyi, please give this child some money, she looks like a student child, it's so pitiful."
"Just take it from my purse."
When the person named Xueyi heard this, she said: "Mom, these people are all liars, you see he is young, he doesn't work and only thinks about begging."
"It looks like a liar at first glance, we don't want to use this kind of routine."
The old woman said: "Maybe it's not like this. You see that he is so dark and thin. He must be a poor person. That's why he has no money to eat."
"I'm not comfortable with this hand."
Zhang Zhengquan suddenly seemed to have been hit by a critical blow——
Damn, is there any benefit to being black?
Forget it, the old lady is a kind person.
Xueyi looked at Zhang Zhengquan, then took away the wallet, gave Zhang Zhengquan two twenty bills, and said, "Here, hurry up, you don't want to work hard at such a young age!"
"Go the right way."
Throwing it into Zhang Zhengquan's hand, he was about to close the wallet.
Zhang Zhengquan took it, squeezed it tightly, and continued to lick his dry lips: "Grandma, it's not enough."
Yang Xueyi exploded immediately: "I will give you a meal for forty, how much more do you want?"
"I want one hundred thousand. No, one million." Zhang Zhengquan really dared to open his mouth and come here.
Yang Xueyi was so angry that she took all the money in Zhang Zhengquan's hand back.
Looking at Zhang Zhengquan, he cursed: "Crazy!"
"You are crazy." His hands were still shaking.
She had never heard of begging on the street, and she kept her mouth shut for one hundred and one million.
"Grandma, I'm not wrong. You see, 40 yuan, if I eat it today, it will be gone tomorrow. I want to live to be dozens of years old, so it costs hundreds of thousands."
"And then I have to marry a wife, have children, buy a house..."
Zhang Zhengquan counted his fingers seriously: "One million may not be enough, we need two or three million."
Then staring at Yang Xueyi with sincere eyes: "Auntie, can you give me 300 million?"
Yang Xueyi was really angry: "Are you crazy? If you want me to give you 200 million, I won't say no, why should I give it to you?"
Zhang Zhengquan said: "Grandma, you see that we are all human beings. You say that you eat so well and dress so beautifully. You can't bear to watch me eat and starve, can you?"
"Being a person depends on your conscience. Doing good deeds is a virtue."
Speaking of this, Zhang Zhengquan gritted his teeth: "If you really don't have much money, don't you still have a house, the house can be sold..."
Yang Xueyi suddenly trembled with fright, and quickly pushed her mother-in-law away around Zhang Zhengquan.
He didn't dare to curse loudly: "Crazy, crazy."
"It's absolutely not normal."
He pushed his mother-in-law and ran, as if running to the parking lot.
When Yang Xueyi walked away, Zhang Zhengquan chased after her and said, "Grandma, I'll take a step back. We don't sell the house, can we sell a car?"
Yang Xueyi ran even faster.
He disappeared in a flash.
……
Only then did Zhang Zhengquan spit and curse, "MLGB, I thought I met the Virgin Mary. What is it?"
Then, ignoring the strange gazes of others, he straightened his hair again and walked out of the hospital with his head held high.
I feel very happy inside.
He muttered in his mouth: "Hey, it's like what Yang Yifeng said, write the original intention, follow the heart, repay kindness with kindness, and repay grievances with grievances, this kind of state is really fucking happy."
So, after doing all this, Zhang Zhengquan made another voice call to Yang Yifeng.
After thanking him, he hung up the phone.
Yang Yifeng, who was typing at the moment, was inexplicable.
Zhang Zhengquan walked out of the hospital in a cheerful mood, and then the corners of his mouth couldn't help but raise a little bit, recalling what he said to Yang Yifeng that day...
Zhang Zhengquan was dragged into the doctor's office in the second orthopedic ward by Yang Yifeng because of the meaningless sentence that Yang Yifeng said because of the hilarity in his mouth.
Yang Yifeng asked: "Brother Quan, you are quite interesting, let's chat."
Zhang Zhengquan replied with a smile: "Okay, Brother Yifeng."
Yang Yifeng said: "Brother Quan, you are in trauma surgery, so routine operations such as bone transport and transplantation for bone defects, femoral inverted intramedullary nailing, brachial plexus vagus nerve transposition, and free skin flaps, etc. Brother, I'm afraid he's proficient in everything, right?"
Zhang Zheng shook his head, said with a smile: "Brother Yifeng, I don't know anything about what you said."
"That……"
Zhang Zhengquan shook his head: "No!"
Yang Yifeng continued: "What about fracture internal fixation? Internal fixation device removal? Debridement and suture?"
"No." Zhang Zhengquan said with a smile.
"Brother Yifeng, don't ask, I don't even know what you ask."
Yang Yifeng looked at Zhang Zhengquan tangledly at this moment: "Brother Quan, why are you laughing?"
"I'm just curious, Brother Yifeng, you are obviously very talented, why did you think about not becoming a doctor?" Zhang Zhengquan asked.
Yang Yifeng said: "Oh. Well, I don't think being a doctor is interesting. I don't like the profession of a doctor. My hobby is writing. So I changed my career to writing novels."
"Then how much is your monthly manuscript fee?"
"Barely, sometimes 10,000 to [-, usually [-] to [-, sometimes [-]."
Yang Yifeng said: "Anyway, life must be enough. I think that in this life, people must have their own hobbies and do what they want to do. Start from the heart, and should not be bound by worldly sight."
"It doesn't necessarily mean that after studying medicine, one will become a doctor."
"Of course, this is also for a small group of people."
Zhang Zhengquan scratched his head, and said in a bit of a dilemma: "I think Brother Yifeng, you said it very well. Actually, I didn't want to be a doctor, but I didn't know how to choose a major back then, so I just filled in five random. In the end, I was accepted by the clinical medicine major. Accepted."
Speaking of this, Zhang Zhengquan sighed: "My brother majored in management, and my cousin majored in accounting."
"One cousin studied economics, and another cousin studied e-commerce. Anyway, all kinds of things come down."
"I am the youngest, and I don't need to learn anything. My parents, grandparents, uncles and uncles all said that my brother will help me. I just want to be happy. I really don't know what to do better."
"I don't think I can compare to my brothers and sisters, so just be an ordinary person."
"Then suddenly one day, I did the math. My parents saved me pocket money, and the annual interest was more than 6000 million."
"The interest saved for one year should be hundreds of thousands."
Yang Yifeng's head went down at that time.
Zhang Zhengquan thought that Yang Yifeng didn't believe it, so he opened Alipay, opened Yu'ebao, and said, "Let me take a look."
Then Yang Yifeng saw a long string of zeros.
"We have a lot of credit cards, so I don't dare to save money in it."
"Brother Yifeng, remember to keep it a secret."
"I really envy you, a top student with such aptitude, who can learn any level of surgery, but I can't do it. I can't read the books. I can't pass the postgraduate entrance examination, I can't get a degree, and I'm lazy, so I can't learn surgery." Zhang Zhengquan had an embarrassing expression.
"Then I finally met someone I like, and I was beaten to pieces by her, and I felt that I was too superficial and not talented." In this sentence, Zhang Zhengquan was telling the truth.
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So, Yang Yifeng cursed and left.
In fact, what Zhang Zhengquan didn't say was that he was actually not only earning interest, but also that his parents had invested some in him. The money he earned each year should have exceeded a small goal.
But the big goal is gone, and Zhang Zhengquan can't find it again...
"It's interesting to express your feelings directly. And this matter, I can only do it. Isn't it a disgusting person?"
Zhang Zhengquan murmured, while walking on the side of the road, he looked at the sunset with his hands outstretched.
Then he stretched himself, because his body was messed up and his skin was still dark, so he attracted a lot of disgust from passers-by.
This matter can only be done by Zhang Zhengquan, whether he is the defendant, going to court or something, Zhang Zhengquan can solve the trouble by himself.
There are three main reasons why the family suggested that he go to a county hospital.
It's close to the family's villa, so it's easy to eat, afraid that Zhang Zhengquan will starve to death.
The second is that I am not too tired, and there is no need to do any scientific research.
The third one is decent to speak out, a doctor is considered a decent profession.
……
It was almost seven o'clock.
Zuo Hu was reading a book with his child when he received a call from an unfamiliar number.
Suddenly frowned.Throwing the phone aside, he continued to read with his son.
Her wife glanced at Zuo Hu and said, "Go ahead, it may be about work."
I've seen it for a long time. In my husband's line of work, it's impossible to have any free time.
Zuo Hu frowned: "I'm already a sub-senior, and now I'm on the second-line shift. Why are you on my nerves?"
Zuo Hu's wife handed over the phone and shook it: "Don't play your temper, you're only in the vice high school."
Zuo Hu took it.
Only then did he realize that the person who called him was one of his younger brothers.
I almost lost contact after I finished my postgraduate study, and now I seem to be working in a private hospital in Shashi.
"Brother Zuo, can you please come and help me see this patient? It's a bit troublesome, and our director can't handle it." Zuo Hu's junior was on the other end of the phone, complaining incessantly, in a very urgent tone.
"Okay, what hospital are you in?" Zuo Hu asked.
"Schwan Hospital. It's not very far from your home, so I thought of you immediately." Zuo Hu's junior said.
Zuo Hu immediately hung up the phone and drove to Schwann Hospital in Fu District.
His junior brother was waiting for him in the parking lot, and after opening the car door for Zuo Hu himself, he hurriedly said: "Brother, today I met a patient with anterior dislocation of the shoulder joint. The family members were very emotional. They said it was in pain."
"Our whole department is very busy, and almost three or four hours have passed."
"That's why I invite you to come over and see what's going on."
Zuo Hu suddenly had a bad idea.
Anterior dislocation of the shoulder joint again, remembering what happened in the Eighth Hospital during the day, and asked: "This patient, is he transferred from the Eighth Hospital?"
His junior brother was taken aback for a moment: "Huh? He was transferred from the Eighth Hospital?"
"No, she said they came from Sha County, but she didn't say that they had been to the Eighth Hospital."
Zuo Hu felt a little certain in his heart, thinking that it might not be this person.
However, when he followed his junior brother to the department, he saw one of the patient's family members, wasn't he the unreasonable 'mother-in-law' who scolded him during the day?
At this moment, in the crowd, they were all arguing for white coats.
Zuo Hu sighed, his scalp was a little tight: "It really is her."
"Brother? Have you met?" Zuo Hu's junior asked.
"Well! Let's not talk about this matter, you should immediately find a way to persuade the patient and family members to take an MRI of the shoulder joint first! The doctor in the No. [-] Hospital has seen this patient and said that he must have an MRI. The patient's family members are dead or alive. Do not agree to do it."
"There was a big quarrel there. I happened to be in the Eighth Hospital at the time and witnessed this incident. I don't think the people in the Eighth Hospital could be aimless." Zuo Hu said seriously.
"Okay! I'll go right away."
Two 10 minutes later.
In the orthopedic ward on the [-]th floor of Schwann Hospital, Zuo Hu rubbed his forehead when he saw the patient's MRI.
Facing his junior brother, he said: "Sure enough, the biceps tendon of this patient has gone around the back of the humeral head, not to mention eight resets, without surgery, a hundred resets will not work."
"It's a good thing you didn't reset it, otherwise, either the bone was broken or the tendon was broken, and then it would be even more troublesome."
Zuo Hu's junior brother and others immediately felt as if they were struck by lightning.
Sitting limply on the chair.
The director was even more sullen, pointed at Zuo Hu's junior a few times, and then ran out to explain to the patient's family.
Zuo Hu patted his junior brother on the shoulder and said, "Go straight to the operation and reset, don't think about it, this is an absolute contraindication to surgery."
"The doctor who gave him the first consultation was very professional. He immediately said that he would need an MRI, but the patient's family members sternly refused. The doctors at the Eighth Hospital refused to perform manipulation repositioning."
"This family has come here." Zuo Hu said with emotion in his heart.
The Eighth Hospital is really a place of crouching tigers. A small doctor can see so much and think so deeply——
Xu Neng, Xu Neng, how could you be so reckless that you even carefully inquired about what happened?
Of course, it is also possible that the patient deliberately concealed the fact that he had gone to the Eighth Hospital.
"But?" Xu Neng opened his mouth.
"Senior brother, you can't do anything?" Xu Neng then asked Zuo Hu.
Zuo Hu hurriedly shook his head: "Surgical contraindications, Xu Neng!"
After finishing speaking, he walked out of the office, and Xu Neng rushed to send it off, but the noise in the department remained the same.
But it seems that a middle-aged man can be heard yelling at his wife:
"Is what my mother said true?"
"The doctors at No. [-] Hospital said that they need to take an MRI, but you just don't listen, and you are still arguing with them?"
"Is it like this?"
……
Chapter 118 It won't be soon this time!
Schwann Hospital is a private hospital, and its current strength level is third-level B.
The Department of Orthopedics has only one ward, without partitions, and has a total of 38 beds. Although it does not look good, it is also established by Pang Defa.
Schwann Hospital has not been established for a long time, just over ten years, and the development of orthopedics was also brought about by Pang Defa.
It took a lot of money to come forward in person, and after calming down the emotions of the patient and his family, he scolded Xu Neng severely.
Pound sat down in the office with a sinking heart, lit a cigarette, and after smoking half a cigarette, he found Yan Haihan, who existed but had never been contacted in the address book.
Remarks: Yan Haihan from Eighth Hospital.
dialed.
The call was connected quickly, and it seemed that Yan Haihan had also saved his phone number, and said, "General Pang, you still call me at such a late hour, what advice do you have?"
Pang Defa, except for Fa, has the same name as Pound, a famous general at the end of the Three Kingdoms period, so Pang Defa was awarded the title of "General".
The name was given by his parents and could not be changed, and Pang Defa didn't feel that the general was deliberately making fun of him.
He didn't care about Yan Hanhan's title, so he said bluntly: "Director Yan, I don't dare to give advice, I can only ask you for advice."
"In your department, did you treat a patient with shoulder dislocation today?"
Yan Haihan pretended not to know: "I don't know much about this. Director Pang, why do you ask such a question?"
"It's a patient in our department, have you bothered Director Pang?" Yan Haihan asked seriously.
The No. [-] Hospital is a tertiary first-class hospital. It is more reasonable to say that patients are transferred to other hospitals in Shashi or provincial hospitals, or affiliated hospitals such as the Affiliated Hospital of Shonan University.
Pang Defa was not angry either. Yan Hanhan was the director, and he really might not know what happened when he was on duty.
The reasoning made sense, but later the old woman's daughter-in-law recruited everything, and Pang Defa could only say: "It turns out that Director Yan didn't know the specific situation of this patient. Give us a call."
"It may be that the patient's family has identified the wrong person."
Pang Defa also deliberately left a word for Yan Hanhan.
Well, that patient really went to Schwann Hospital, Yan Hanhan thought rather painfully, and didn't know what they were thinking.
"Director Pang, just kidding."
"When this patient came to our department, I happened to be there, and I was very precise."
"We strongly suggested that they get an MRI, and they didn't agree, but they scolded us, and even tore up the emergency medical records. They spilled all over the floor." Yan Haihan analyzed.
The main purpose is to send an explanation to Pound. It is not that the doctors in our hospital are irresponsible, but that the family members of the patients are too ruthless and there is nothing they can do.
The corners of Pound's mouth trembled when he heard the words, thinking of the temper of the patient's daughter-in-law, he felt that this was really possible.
Not only did she conceal the diagnosis and treatment process she had seen in the No. [-] Hospital, but she later confessed, and asked her where her medical records had gone, she also faltered.
The emergency medical records, which were used as evidence of the patient's visit to the hospital, were torn up by the patient himself. Now the eighth hospital can even deny that they have been to the eighth hospital.
Even if you register, you can still say that you didn't come, otherwise, give evidence and bring the medical records.
If you say that there is no medical record, it is even more unreasonable. Everyone in the family has a medical record, and the medical record is the evidence that all hospitals must give patients.
Pang Defa could only helplessly say, "So that's the case."
"Director Yan, you must have guessed it. Later, this relatively sophisticated patient came to our department and was accepted by the doctor on duty in our department. It was a bit tricky, so I called to ask about the situation."
Pang Defa didn't say that his department reset her eight times without success. He just asked the patient, since he went to No.[-] Hospital, and No.[-] Hospital also guessed that there was a biceps tendon coiling, why didn't he give any hints? .
Now that he got the answer, Pang Defa could only admit that he was unlucky.
Control the world, can you still control patients tearing up medical records?
Yan Haihan replied calmly: "Then how is the patient doing now? Has it been settled?"
"It's fine once it's done."
Pang Defa said with emotion: "Preparing for surgery and reset tomorrow..."
Yan Haihan: "..."
……
After Yan Haihan hung up the phone, he immediately walked into the study from the balcony, sat on the sofa, lit a cigarette and began to meditate.
To be honest, during the day, Yan Haihan had thoughts in his heart.
You, Zhou Cheng and Luo Yun, couldn't handle a shitty frontal dislocation of the shoulder joint. You even asked the patient's family to scold the associate professor Zuo Hu who I invited over. He even wondered if it was the second ward. We should also learn from the first ward, reset the joint dislocation, and find a way to erase it again.
After all, it's only been a few days since such a mess happened.
Isn't it just a common anterior dislocation, I can reset it, why do you want the patient to go for an examination?
The less trouble, the better.
But fortunately, Yan Haihan chose to favor and believe in the professionalism of Luo Yun and Zhou Cheng at that time, and supported them.
Otherwise, if he wanted to stand up for the patient and gain a reputation for himself at that time, then what happened to Pang Defa now is probably his situation.
Yan Haihan tapped on the table.
From this point of view, today's Zhou Cheng not only did not bring trouble to the department, but also avoided a big trouble.
He is not reckless, but thoughtful in everything he does.
The doctor on duty today is Guo Lei.
Zhou Cheng came to the class after watching the previous joint dislocation, which gave Guo Lei the opportunity to talk to the patient alone——
In this way, the patient made a fuss in the department today, but he had something wrong with him.
If he didn't invite Zuo Hu, it would be impossible for Zhou Chengcheng to attend the class, and then let Guo Lei, who doesn't understand joint dislocations, contact and talk with the patient alone.
joint dislocation—
Conservative treatment--
Chinese medicine characteristics.
What has been abandoned by Director Zeng's department, our second ward has to support it.
Thinking of this, Yan Haihan made another round of phone calls, insinuating around, and finally figured out what happened in Schwann Hospital today.
Suddenly a little stunned——
Good guy, these people in Schwann Hospital, I have to say, they are really brave.
After [-] or [-] times of unsuccessful resets, if you dare to continue to reset to the eighth time, it is hard to accept it on anyone.
The title of general is indeed well-deserved. This kind of courage is unmatched by ordinary directors.
Thinking in another way, Yan Hanhan himself, only dare to do it five times at most, and then admit defeat.
In the end, it has not been reset. In this way, Zhou Cheng's diagnosis is correct. He has already seen that the anterior dislocation of the shoulder joint is not normal, so the patient must have an MRI to prove the reason why he cannot perform manual reset. !
After continuing to ponder for a while.
Yan Haihan called Cai Dongfan.
He said directly: "Cai Dongfan, please make arrangements. Tomorrow and Sunday, the junior doctors in your group will be on duty. Monday will be your operation day, and you can arrange a few patients yourself."
"I'm going to say hello to Director Zeng, and on Monday the day after tomorrow, I will start arranging for Zhou Cheng to be granted Level II surgery and operation authorization in advance."
"Can you arrange it properly?"
Originally, Yan Hanhan hadn't decided on a specific time yet.But now it seems that this time must be brought forward.
Otherwise, not only would Zhou Cheng be a little timid and restrained, he wouldn't be at ease either.
It was earlier arranged for Zhou Cheng to have a Class II surgical authorization and file a record with the medical department. In case something goes wrong, it can be justified in the hospital——
The doctors in our department are capable and qualified to obtain the authorization of Class II surgery.
Manipulative reduction of joint dislocation is a Class I surgery and operation.
Something went wrong, and that's why the condition was complicated.
Moreover, Zhou Cheng is definitely a talent!
Schwann Hospital is not a small hospital with two or three big cats and kittens. They didn't understand it. It doesn't mean they are stupid, but this dislocation must be very uncommon.
Although such a talent is in Cai Dongfan's team, he is working for the department after all.
It is of great benefit to my own department to support the manual reset and special medical treatment.
And Yan Haihan probed Zhou Cheng's tone again, Zhou Cheng didn't even think about coming to his side.
But as a director, you still have to be a little bit pregnant.
Cai Dongfan was stunned when he heard the words, and said, "Director Yan, are you in such a hurry?"
"Arrangement can definitely be arranged, but for the types of surgical patients, my side may not be enough. There are only two."
"It's impossible to just watch Zhou Cheng perform an operation on Monday, and we can't arrange the operation for the patients we will treat tomorrow."
"Look at this problem, how can we solve it?"
Cai Dongfan was indeed in a bit of a dilemma, but Yan Haihan said earlier that he could find a way to get some patients, but what he said today, it was already late at night, where would Cai Dongfan find patients.
Yan Haihan said: "Then I will arrange two more surgeries, and Zhou Chenglai will be the chief surgeon."
"On your side, absolutely don't let me make any mistakes. Communicate with Zhou Cheng in advance, and let Zhou Cheng understand the patients who will be operated on tomorrow in advance."
"This time, Director Zeng has made such a big decision, and he has brought Director Wang into the review team. Only success is allowed, and failure is not allowed." Yan Haihan ordered with burning words.
This was not discussed with Cai Dongfan, he had made up his mind.
Zeng Yi, who is not in the first department of orthopedics, has such courage for the sake of the second department of orthopedics. If Yan Haihan is still timid here, it must be unreasonable.
"Okay! I understand, Director Yan." Cai Dongfan immediately accepted the military order.
……
Cai Dongfan immediately relayed the matter to Luo Yun, and asked Luo Yun to arrange for Zhang Zhengquan to be on duty tomorrow, and must call Zhou Cheng to the department to familiarize himself with the case.
After hearing this, Luo Yun was a little surprised: "Director Yan would actually think of doing this in advance? Isn't this a joke?"
"Yan Haihan, unless his head is kicked by a donkey, he will use this kind of thing as a joke."
"Anyway, Zhou Cheng is also a member of our team. We have to help him. You can do Zhang Zhengquan's work. If Zhang Zhengquan disagrees, I will call Yan Jun to take over."
"Now our department is in a critical transition period, and Yan Haihan can also see this clearly."
Speaking of this, Cai Dongfan pondered for a while, and said: "And Luo Yun, if our department wants to go to joint surgery, or if our group wants to change to joint surgery, it's not just a day or two. A transition period."
"You and Zhou Cheng are slowly dislocating the joints. This is the transition period."
"Besides, you are also attending now. If you do well, you will soon be able to apply for a joint surgery specialist clinic. You can admit patients to the department. I will give you three fixed beds and a few mobile beds. It's not a problem."
"It's just, Luo Yun, have you thought about how you're going to get the permission for joint replacement surgery?"
"Well, to be honest, I can't even help you. I'm not familiar with joint surgery." Cai Dongfan expressed his dilemma.
Joints and trauma are two subspecialties, and they don't move around much.If Luo Yun was to be granted Level IV surgical authority in Trauma Surgery, Cai Dongfan could grit his teeth and think of a way.
But this, Cai Dongfan is really powerless.
Luo Yun is now only attending.
Luo Yun smiled and said, "Director Cai, don't worry about this matter. As long as the hospital is willing to arrange a joint surgery specialist clinic for me, I will talk to the medical department about the surgical authority. It should not be difficult."
Not difficult?
Cai Dongfan was stunned.
"You go to talk to them? Does it make sense?"
"It's better to be on the safe side." Cai Dongfan asked puzzled.
Luo Yuncai is attending, not even a senior attending. If he barely does level III surgery, he can still ask for permission to perform surgery, but if he wants the permission to routinely perform level IV surgery, I am afraid that the medical department will not dare to give it casually.
"I have something to show them, Teacher Cai, don't worry, I won't be reckless." Luo Yun said confidently.
"Okay! Since you have an idea in mind, I won't ask you any more."
"Actually, I wasn't before." Cai Dongfan continued to want to explain something to Luo Yun.
Luo Yun then interrupted Cai Dongfan: "Mr. Cai, trauma and fractures are the foundation of orthopedics. In the past few years, I have settled down and learned a lot. This is only good for me and has no harm at all."
This is Luo Yun's truth. Trauma and fractures are the foundation of orthopedics. This is a truth that is common to the whole world.
Cai Dongfan is no longer a mother-in-law.
……
Zhou Cheng is still on duty with Guo Lei in the department.
The main reason was that Zhou Cheng had lingering fears about what happened to Guo Lei during the day, and he was afraid that Guo Lei would do something else, so he had to be careful.
After receiving Luo Yun's call, Zhou Chengcheng was quite surprised.
I asked Luo Yun for the specific reason, but Luo Yun didn't say anything.
Seeing Zhou Cheng answer the phone, Guo Lei pondered on the bed, so he asked, "Brother Zhou Cheng, what's the matter? If you have something to do, you can go back and rest."
"I can handle it well when I'm on duty in the department, and I won't and dare not talk casually anymore."
Zhou Cheng recovered quickly and said to Guo Lei, "No, I'm thinking about other things."
"Brother Lei, you really don't need to blame yourself. The patient today had an extremely rare dislocation. I didn't think of this in advance."
Guo Lei smiled and didn't say anything, knowing that Zhou Cheng was comforting him.
If he doesn't understand, he just doesn't understand, and there is no need for too much self-esteem.
Because if you don't understand, you can still learn.
Guo Lei firmly remembered Luo Yun's words.
You don't need to understand, but you must have the heart to learn...
The next day.
When Zhou Cheng and Guo Lei were woken up by the alarm clock almost at the same time.
At the same time, he asked the other party: "Brother Lei, did you get up last night?"
"Brother Zhou Cheng, did someone call you last night?"
After asking, both of them smiled, and Guo Lei said, "Brother Zhou Cheng, it seems that the two of us are lucky, and we got a good night's sleep."
After speaking, Guo Lei looked at the time, and it was already [-[-] the next day.
Guo Lei immediately yawned and sat up.
Then rush to wash.
He was a doctor on duty, so he slept with his clothes on, so as not to have time to put on clothes when he was called by the emergency department at night.And Zhou Cheng changed into pajamas.
After Guo Lei left, Zhou Cheng changed into new clothes, and after Guo Lei came out of the bathroom, he took a toothbrush and waited to wash up...
When Zhou Cheng walked out of the bathroom, he found that Zhang Zhengquan rushed to the department with his bag on his back.
Zhou Cheng was taken aback for a moment——
Didn't Zhang Zhengquan usually come to the department early?Why did you come to the department today, Sunday?
But he realized right away, okay, I fell asleep last night.
Today is changed to his duty.
So he said, "Quan Zi, have you had breakfast?"
"Shall I bring you some breakfast?"
When he was at home, Zhou Cheng ran in the morning at six o'clock, but today he didn't set the alarm clock too early, so he didn't go for a run.
Upon hearing this, Zhang Zhengquan immediately said: "Brother Zhou Cheng, you are also in the department. I should have known that I would bring you a few buns. I ate them on the way here."
While talking, he put away his bag and changed his work clothes, and asked, "Were you busy last night?"
"Last night at 10:30, I have slept till now." Zhou Cheng smiled.
Zhang Zhengquan immediately said enviously, "I really hope I can sleep until dawn today."
"Will do!"
"..."
Around 08:30, Cai Dongfan and Luo Yun rushed to the department early, and then screwed Zhou Cheng directly from the office into the director's office.
Tomorrow, Zhou Cheng will perform four surgeries, and he will be reviewed by Director Zeng and Director Wang to obtain authorization for the operation. Luo Yun and Cai Dongfan dare not be too careless, and they really drag Zhou Cheng to see the operation. Teaching video.
Then Cai Dongfan was still explaining.
Luo Yun took people to make ward rounds and arrange surgery.
To be honest, Zhou Cheng was very sleepy during the whole process, and wanted to sleep very much, and wanted to tell Cai Dongfan that this was too boring.
But he didn't dare to say that, and forced himself to look carefully, nodding and pretending that Cai Dongfan said it very well, as if he was obediently taught.
Cai Dongfan did it for his own good.
Zhou Cheng only acted for three hours in total.
Then I felt that it is not easy to be an actor. Acting for a few months is really not something a human can do. Fortunately, I did not become an actor, otherwise, I must be the kind of poor acting, and I will starve to death!
It's hard to finish!
Cai Dongfan repeatedly asked Zhou Chengcheng if he saw clearly?Is there any problem.
If there is a problem, we can do it again.
Zhou Cheng shook his head quickly, thinking that if he continued for another three hours, he would have to be forced to death in the director's office.
Only then did Cai Dongfan rub his eyes, and then left the director's office.
When Zhou Cheng was bored and trying to pretend, he was concentrating on explaining and teaching Zhou Cheng...
Looking at Cai Dongfan's back, Zhou Cheng felt inexplicably warm in his heart.
Teacher Cai is a good person.
Only then did Zhou Cheng go out to pick up Luo Yun's class.
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Before Luo Yun was about to leave, he said one more word to Zhou Cheng: "Xiao Cheng, remember to be more cautious when you have surgery tomorrow."
"If Director Zeng and Director Wang say something in the surgery, you can both nod and agree. Don't argue."
"This is just a passing exam, and full marks are not necessarily required."
"understand?"
"Yeah!" Zhou Cheng nodded hastily.
It seems that Cai Dongfan and Luo Yun are more nervous than themselves about obtaining authorization for surgery in advance.
"Keep it in mind, you haven't had a postgraduate defense before, so I'm afraid you won't be able to calm down. After going through this experience, if you look back at many things, there's no need to be nervous." Luo Yun explained.
Zhou Cheng sighed in his heart——
If I was admitted to a graduate school in the year I graduated from my undergraduate degree, I am afraid that I will have to defend my graduation soon, right?
It's a pity...
When Zhou Cheng and Du Yanjun were having lunch, Du Yanjun noticed that a few people entered inexplicably, thanked Zhou Cheng, left a pile of fruit plates and two silk banners, and left the department.
This is definitely not an inpatient in the department.
Du Yanjun asked, "Brother Zhou Cheng, who are they?"
Zhou Chengcheng said: "They are the family members of a child I saw before."
"It's also a dislocated joint?" Du Yanjun suddenly realized.
"Yeah. That's right." Zhou Cheng nodded.
Du Yanjun smiled and said: "Brother Zhou Cheng, you are really good. Now you have reset patients, and you start sending pennants to you. Our department, even Director Cai and Director Yan, have not received too many pennants."
Zhou Cheng smiled wryly and said, "I didn't reset his children. When they left, they almost scolded me bloody. It's just better than that family member yesterday."
The person who came was the family member of the child with a dislocated shoulder he had seen the day before yesterday.
At that time, Zhou Cheng said that his child might have epilepsy, but he didn't scold Zhou Cheng.
Du Yanjun suddenly couldn't understand the basic laws of the world's operation, and his brain went down...
-
On Monday morning, Zhou Cheng had another good night's sleep.
Because there is a critical operation today, Zhou Cheng finished three simulations at [-] o'clock yesterday, and fell asleep early at around ten o'clock, in order to recharge his energy and prepare for today's operation.
But when Zhou Cheng opened his eyes, he was terrified——
He rubbed his eyes carefully, and then took a closer look.
good guy-
On the upper and lower bunks opposite the door, at unknown times, there were several 'corpses' lying here and there in disorder, all without quilts, all wearing green surgical gowns, blue hats and blue masks.
And one of them, whom Zhou Cheng knew, was definitely Luo Yun, who was snoring as if he had a few catties of cotton stuffed in his nose, on the lower berth...
On the upper bunk are Zheng Xuanlin and Dong Qiansheng fishing with drooping hands, also snoring like thunder...
Everyone is tired like a dog...
Zhou Cheng got out of bed quickly, and then saw his lower berth, and there were people lying there, it was Du Yanjun and Min Chaoshuo.
Zhou Cheng scratched his head, twisted up his white coat, put it on, and murmured in a low voice.
"Didn't I sleep for a century?"
He took out his phone and checked the time.
The date was correct, and the time was correct, it was only around seven twenty.
Go to the doctor's office.
Zhang Zhengquan was busy in the doctor's office like a worker bee at the moment, looking very battered, with thick dark circles under his eyes.
After seeing Zhou Cheng, he immediately gave him an aggrieved look, rubbed the corners of his eyes, and was about to say, "Brother Zhou Cheng."
However, a long cry from the nurse's station made him shiver while sitting upright:
"Doctor on duty, emergency call, emergency consultation..."
Zhang Zhengquan immediately had an expression of lovelessness, and his face was pale.
"Seventeen." Zhang Zhengquan shrugged his eyes frantically, hurried out with the medical records of an unknown bed, and said numbly when passing by Zhou Cheng.
Zhou Cheng was stunned——
Seventeen?
Didn't the department hit a grand slam yesterday?
Playing a grand slam is actually doing emergency surgery all night.
This is simply black face to grandma's house!
why no one called me
But after this question floated out, Zhou Cheng immediately understood in his heart.
He was going to get a Level II surgical authorization today, so Cai Dongfan and the others hoped that he would rest more.
Can't help but move in his heart, he took the initiative to run up and said, "Quanzi, take a break and get ready to take over the shift. I'll go to the emergency department for a consultation for you."
Zhang Zhengquan gritted his teeth and said, "Okay, thanks for your hard work, Brother Zhou Cheng."
Just hearing this voice, Zhou Cheng felt distressed.
As for Cai Dongfan and Luo Yun, in order to rest themselves who had an important operation today, they didn't wake themselves up!
"You should wake me up." Zhou Cheng patted Zhang Zhengquan on the shoulder.
Zhang Zhengquan grinned and said nothing.
……
Yan Haihan was in a great mood when he was handing over the shift in the morning!
So after Zhang Zhengquan and the nurse on duty finished their shifts, they immediately solemnly announced to everyone: "There were a lot of patients in the department yesterday, everyone must cheer up."
"I know it will be tiring, but we must ensure medical safety, which is the number one priority."
When Yan Haihan said this, the head nurse couldn't help but said, "Director Yan, we took in [-] yesterday. Our nurses on duty ran with hot wheels on their feet all night, and they couldn't win at all. "
"There are still six emergency operations on turnaround. The number of patients has increased so much all of a sudden. If there are still patients coming today, how can it be good?" As the head nurse, the head nurse had to think about this.
Now the extra beds in the department are full.
Yan Haihan nodded and said, "The doctor and nurse on duty yesterday worked hard!"
"In the future, the late night shift in our department will double the duty fee! If the performance is not enough, it will be deducted from my performance. Gui Peisheng will also be counted in it."
As Yan Haihan said this, the head nurse's expression changed immediately, and she was about to speak.
Yan Haihan continued: "Everyone, please rest assured that there will definitely not be as many patients as yesterday. In fact, I only found out this morning."
"The number of patients in our first orthopedic department and second orthopedic department has suddenly increased because there is a family member of a patient in the first orthopedic department. He is the person in charge of the 120 emergency team. He has a family member who happens to be hospitalized here."
"Director Zeng put in a lot of effort to help, so he benefited in private and sent more patients to us."
"However, Director Zeng has already communicated with him. This kindness must be appreciated. However, we will definitely not be able to accept all of them. So please rest assured that such a situation will definitely not happen."
With Yan Haihan's explanation, everyone was stunned.
Only Zhang Zhengquan stayed there worrying about gains and losses.
My heart is bitter, so, if I look dark, is my face so dark?
Such an unexpected thing just happened to me?
And just this once?
When the others breathed a sigh of relief, Cai Dongfan, Luo Yun, and Hu Ming who knew the situation, including Yan Haihan's eyes, all glanced at Zhou Cheng intentionally or unintentionally.
There are so many patients today, all because of this.
This sudden surge of patients made it impossible for them to eat.
Isn't it?
That family member basically sent the 120 ambulance last night here. The destination hospital of the 120 ambulance should be the principle of proximity, but it can be adjusted to a certain extent...
Zhou Cheng is simply a lucky star in the department.
However, Zhou Cheng didn't realize this. He only thought that he was getting so much attention because he had surgery today.
……
Finish the shift.
Cai Dongfan immediately called Luo Yun, Du Yanjun, and Zhang Zhengquan aside, and said, "Luo Yun, after you finish your room check, come down to the operating room to help."
"Yan Jun, Zhengquan, you two should go back and rest quickly." Cai Dongfan said rather distressedly.
This is real, not pretending.
"Master, I'm not tired." Du Yanjun hurried back.
"Teacher Cai, I'm not tired either." Zhang Zhengquan forced himself back.
"Don't be tired, I don't need you to be martyrs and the best doctors in the hospital. There are many opportunities for surgery. Hurry up and let me go back to rest." Cai Dongfan was fierce to two people, one of them.
"Master." Du Yanjun still wanted to struggle.
"Stop talking nonsense. If you really want to study, come this afternoon!"
"Luo Yun and I can handle it well." Cai Dongfan blocked Du Yanjun's words, full of concern.
"Okay!" Du Yanjun and Zhang Zhengquan nodded.
"Go to the ward rounds..." Cai Dongfan gave an order, and the large team of ward rounds set off.
After the ward check, Du Yanjun stayed in the department to deal with follow-up patients, while Zhang Zhengquan was sent back to the ward directly.
It can be said that the most tired person yesterday was Zhang Zhengquan, the doctor on duty.
When Cai Dongfan, Luo Yun and Zhou Cheng went upstairs from the dressing room of the operating room to the operating room.
Cai Dongfan said: "Zhou Cheng, if you get the authorization for surgery in the future, Luo Yun and I will pay more attention to Yan Jun and Zhengquan when we encounter level II surgery. You can't have any ideas."
Zhou Cheng hurriedly said: "It should be. Teacher Cai."
"En!" Cai Dongfan nodded.
Sighed: "The two of them are aptitudes, they are too ordinary."
……
Cai Dongfan then ordered Zhou Cheng and Luo Yun to go to the operating room to prepare for the operation.
He went to communicate and negotiate with Yan Haihan, Zeng Yi and Director Wang Yongjin of the Department of Orthopedics, and people from the Medical Department.
Hospital No. [-, this is really the first time that the resident physicians were officially granted a Class II operation in advance!
In the past, even if there was a leapfrog operation in the department, it was done secretly. This is the first time that this orthopedics department has done so.
The people from the medical department didn't want to come, and didn't want to make such a start.
But the three directors of the Orthopedics Department came forward at the same time, and they had to think carefully, and finally, for the sake of Wang Yongjin and Zeng Yi, they agreed to this matter, but they made a statement that authorization cannot be authorized for the sake of authorization.
It is necessary to take over the operation at any time and guard the vital signs of anesthesia.
And for this, Cai Dongfan naturally invited his good friend and queen anesthetist—Director Zeng Yi.
Therefore, when he saw the people from the medical department and Zeng Yi coming, Cai Dongfan immediately went up to greet him enthusiastically:
"Chief Dou, why did you come here in person? Hard work, hard work!"
Dou Chengpeng rolled his eyes and said: "Your orthopedics department is having such a big fight, can I not come in person?"
"It's still so formal to give a resident doctor an exception to grant a class II operation, which is very unusual."
Although Dou Chengpeng scolded this matter as a dog in his heart, but the matter has come to this point, he still laughed along with him.
"Good job."
"Director Zeng, thank you for your hard work."
"Director Wang is here too..."
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……
operating room.
At this moment, little girl An Ruo was diligently administering anesthesia, while muttering to her teacher: "Teacher, why is it an orthopedic surgery again?"
His eyes were full of lovelessness, full of resentment.
Zeng Yi explained: "An Ruo, you can't have any prejudice against orthopedics. The orthopedics surgery is good, and you can usually leave work early."
"Aren't you always complaining about the short reading time?"
An Ruo argued: "Then don't come to the orthopedics department, just the orthopedics department."
Originally, there were not many good things, but An Ruo didn't dare to say this in front of her.
"The people in the orthopedics department are very nice. Look, didn't we invite Xiao Yang from the orthopedics department to give us anesthesia last week?"
"Xiao Yang's anesthesia is not something that can be seen under normal circumstances. You must have gained a lot from watching it last time, right?" Zeng Yi asked with squinted eyes.
An Ruo muttered in a low voice: What a fart, it's not good at all.
Isn't it a nerve block?
With a look of two to five to eighty thousand, I can't understand him.
Zeng Yi heard it, and hurriedly said: "You can't say that."
"Although nerve blocks are all nerve blocks, the difficulty of main branch nerve block and branch nerve block is different. The difficulty of precise cutaneous nerve block is different from that of branch nerve block."
"An Ruo, you should know that this kind of anesthesia is extremely rare and rare in our anesthesiology department."
Who cares if An Ruo disdains.
I don't even bother to see what kind of anesthesia he gave.
Although it is a bit powerful, what is the use of being powerful?
His character is not good, and his brain is still problematic.
Zeng Yi continued: "Today's orthopedic surgery is very important, so the director of the orthopedic department specially invited me."
"You also know that Brother Zeng Yi from the Department of Orthopedics is my brother, so I can't refuse."
"An Ruo, don't worry, today's operation is not a manual reset, and the turnover will definitely not be fast." Zeng Yi gave his students vaccinations.
An Ruo just fixed the anesthesia tube in the spinal canal, put the patient back to the supine position, and asked her teacher, "Really?"
"Definitely." Zeng Yi nodded with certainty.
"And they certainly wouldn't dare to do it too quickly!"
"Because for this operation, they are going to give the little comrades in the department an exception and officially grant the authority of level II surgery. This cannot be done carelessly."
An Ruo was startled when he heard the words, a little lost.
Who is the orthopedic surgeon?Exceptionally granting surgical permission?
Isn't this equivalent to bringing the leapfrog operation directly to the bright side of the medical department?
But thinking this way, An Ruo thought again, there is a monster in the department of orthopedics, and even the level III surgery is performed in front of the professor of the Affiliated Hospital of Shonan University.
Class II surgery, compared with class III surgery, is a bit insignificant.
It also felt strange.
I just hope it's not Yang Yifeng.
Moreover, because of her teacher's explanation, An Ruo also felt relieved.
Since this operation is so important, they probably dare not rush too quickly.
While thinking about it, An Ruo saw a hot devil from the orthopedics department and walked in.
At that time, An Ruo was trembling with fright——
This left a psychological shadow, and he looked at his teacher as if asking for help, with a helpless light in his eyes: It seems to be saying, teacher, didn't you tell me that the person who performed the surgery today is this devil?
He has an operation?
Can you slow down?
An Ruo recalled that even the associate professor at the Affiliated Hospital of Shonan University seemed a little out of step with Zhou Cheng's rhythm. Is this slow?
Zeng Yi looked at the nose, nose, mouth, and mouth, closing his eyes and resting his mind.
not talking anymore.
An Ruo also squeezed her little palm, and said to herself secretly: An Ruo, come on, don't be afraid, isn't it just a devil?
Just face him.
Get over it, it's over for today.
……
Luo Yun and Zhou Cheng didn't know that An Ruo still had so many small thoughts in her heart.
After seeing that the patient was anesthetized, Luo Yun said, "Director Zeng, you have worked hard. Thank you for your cooperation. Our patient was anesthetized so early."
This saves a lot of time for orthopedics.
Zeng Yi raised his eyelids, and said lightly: "It's not hard work, it's just my job, and it's all anesthetized by my students. I just sit down."
Luo Yun glanced at An Ruo and said, "Thank you for your hard work, Dr. An."
An Ruo replied in a low voice: "It should, Teacher Luo."
The tone is very polite.
-
When Cai Dongfan, Wang Yongjin, Zeng Yi and others walked in, Luo Yun and Zhou Cheng had already stood on the operating table. After finishing all the preparations before the operation, they waited for Cai Dongfan to come on stage again, ordered the operation to start, and they could start immediately. Surgery started.
Dou Chengpeng looked at it, and said with a smile: "The orthopedics department has a very strong executive ability. We just arrived, and everything is ready."
"Don't dare to waste your time, Chief Dou. Director Wang, Director Zeng, Director Yan, I'll just wash my hands. There are a lot of operations today, so we won't waste everyone's time." Cai Dongfan hurriedly said politely.
Both Zeng Yi and Wang Yongjin nodded, and then distributed a score sheet to each of them.
At the same time, he tilted his head and explained to Dou Chengpeng: "Director Dou, these forms are the detailed scoring content. You only need to score objectively according to the specific steps and procedures of the operation."
Although Dou Chengpeng is also a doctor, but not orthopedics.
Seeing this surgery score sheet, I said, "Your orthopedics department is really well prepared!"
Zeng Yi smiled and said, "Since we want this kind of authorization with the medical department, we naturally dare not rush to deal with you, Chief Dou."
"It's just a bit of preparation in advance to make our review more objective and less personal."
"Chief Dou, you can just follow these detailed steps to score."
"..."
While Cai Dongfan was washing his hands, An Ruo watched his teacher doze off, but looked at Zhou Cheng curiously, met Zhou Cheng's eyes for a while, then shrank his head in fear, and carefully looked at the information on the anesthesia monitoring panel. Vital signs are gone.
Chapter 119 Do you call this a level II operation?
Zhou Cheng also saw An Ruo's dodging action, and smiled at her kindly, even though she didn't see it.
Seeing this series of actions, Zeng Yi shrugged his eyelids, feeling a little funny.
As a student, I seem to be a little scared by the orthopedics department, but in fact, Zeng Yi still feels that the orthopedics department is still one of the most kind departments in all surgeries.
Except for the occasional violence, it's actually quite clean, isn't it much more beautiful than neurosurgery to turn the brain, thoracic surgery to turn the lungs, and general surgery to turn the intestines?
……
Cai Dongfan washed his hands, dressed and walked into the operating room. After approaching the operating table, he turned to Dou Chengpeng and asked, "Chief Dou, we are all ready, can we start?"
The medical department is a functional department, and it is the superior management department of all disciplines and departments in the hospital, and it is also the management department of all doctors.
Therefore, it is another level of leadership besides the director.
It's just that the medical department doesn't care about the clinical practice, and doesn't go into the professional rivers and lakes. When it's time to scold, you can point your nose and scold, but when you want to respect, you still have to be polite.
Dou Chengpeng said confidently: "Then let's get started, and I'll see if our hospital can, for the first time ever, grant a level II surgical authority to residents in advance. This will also help improve the teaching strength of our hospital." It will definitely help."
Although the medical department doesn't care about teaching, there are two general directions that Eighth Hospital is working on recently——
Specialty Hospital.
teaching hospital.
Each one is extremely attractive, and before each of the above two titles is obtained, it is extremely hoped that the brand will be hung in the hospital.
And the teaching hospitals are secretly divided into many levels, which are related to the affiliated medical schools, but now the Eighth Hospital relies on the cooperative schools, which is a bit stretched, but there is no choice...
Cai Dongfan nodded, and said to Zhou Cheng to start.
When Zhou Cheng heard this, he took a deep breath, and in order to show his importance and respect for the event arranged by Zeng Yi, Director Wang Yongjin and others today, he took a few steps back from the operating table, and then walked to the viewer again .
The ninth time before the operation, after entering the operating room, the third time to carefully observe the imaging examination data of the patient.
This is an assessment of surgical authorization, not an ordinary operation.
Zhou Cheng naturally had to pay enough attention to it.
Seeing Zhou Cheng walk out from the operating table again and go to the viewer, everyone didn't feel that he was putting on airs and wasting time and was upset. On the contrary, they could all understand Zhou Cheng's nervousness at the moment and praised him for his stability .
Cai Dongfan said to Luo Yun in a low voice: "Xiao Zhou seems to be such a mature and stable person since he entered the department?"
Luo Yun nodded, agreed with Cai Dongfan, smiled, and said helplessly, "If he wasn't such a person, Director Cai, you must have noticed him a long time ago."
"On the contrary, I think he is a little bit tied up by the current secular rules, and his thinking is too rigid."
"It's a bit pitiful, and it will also affect his future."
Zhou Cheng was too steady. From the beginning to the end, if someone hadn't asked him to come to the stage to help, he would have been able to stand on the sidelines coldly, just like Yan Luo in the present world, without any momentum.
And drive is the characteristic of young people, and it is also one of the essential characteristics of young people's unlimited potential.
Dare to venture and dare to do, this is the style that young people should have.
Cai Dongfan shook his head: "No, no, you are wrong, Luo Yun."
"You can't rely on Xiao Zhou's own experience. Instead, you have to think about it from Luo Yun's point of view. Before and now, he was just ordinary training. He was not stable. If something happened, there would be no teacher for him. endorsement?"
Luo Yun shook his head and stopped talking.
To be honest, he has never been a simple trainee, so he may not understand Zhou Cheng's current situation.
When Luo Yun graduated, standardized training had not yet been promoted across the country. At that time, he only had to follow his teacher and simply manage the bed, and there were not so many moths.
-
After Zhou Cheng read the film carefully, he confirmed that the patient had only a simple fracture of the lower end of the fibula, without other hidden injuries or other accompanying problems. Then he let out a sigh of relief, and then walked Come to the stage.
Then he asked Cai Dongfan in a low voice, "Mr. Cai, I'll start first?"
"Well, let's get started. Would you like to have a X-ray first?" Cai Dongfan immediately started to go through the procedure, which is also the routine procedure of closed/open reduction and internal fixation of fibula fractures.
The operation plan he prepared was to send both open and closed reduction, and he discussed the same with the patient. He mainly hoped that Zhou Cheng would not perform difficult operations, and this minor operation, the simplest type II operation, was for Zhou Cheng. Used it for practice today.
So it was placed on the first one to give Zhou Cheng more confidence.
Moreover, even Du Yanjun can do this operation, and Cai Dongfan believes that Zhou Cheng can also do it.
Zhou Chengcheng took the initiative to answer and said, "Let's not see through, Mr. Cai."
"Two people, you and Mr. Luo, help me fix the pelvis by one person, and fix the mid-thigh by one person. I will do manual reduction first to see if I can reset the existing fractures that are not very displaced first."
In fact, for a simple fibula fracture, it is quite difficult to simply perform manual reduction.
The tibia and fibula are parallel lower limb bones, and the tibia is very thick.
If the fibula is fractured, if the factors that cause pain are not considered, it will not affect the patient's walking or any function, because the length and hardness of the tibia are enough to support a person's normal walking.
It is precisely because of this that without the characteristics of plasticity and displacement, it is quite difficult to reset the fracture of the fibula.
But that's for the average person.
Zhou Cheng's understanding of manual reduction of fractures is a perfect redefinition, so he naturally didn't find it difficult.
Closed reduction and internal fixation with Kirschner wire is also one of the standard orthopedic grade II operations and operations.
Luo Yun and Cai Dongfan nodded instantly.
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After standing in their respective positions——
Zhou Cheng immediately started the reset operation.
Three-piece set of standard fracture manipulation reduction.
Continuing traction——
Orthopedic displacement——
Keep the traction position temporarily fixed——
After pulling his hands for a while, Zhou Cheng gently bent the patient's ankle towards the medial malleolus.
Then the left hand continued to exert force, and the right hand immediately arrived at the patient's fracture site neatly, and began to palpate and stroke up and down.
After wandering up and down for about ten seconds, Zhou Cheng hurriedly turned his head and shouted, "Sister Yan, the Kirschner wire is equipped with an electric drill, I will fix it temporarily!"
Liu Yan is a very professional orthopedic nurse, otherwise Cai Dongfan would not call Liu Yan to the operating room every time he encounters a critical operation, either as a patrol nurse or as an instrument nurse——
Liu Yan quickly handed it over.
After Zhou Cheng took over the Kirschner wire with the electric drill, he immediately aimed at the protruding position of the lower part of the fibula, which all of us ordinary people can touch, the bony protrusion on the outside of the ankle——
The lateral malleolus formed by the swelling of the lower part of the fibula.
For Zhou Cheng's first Kirschner wire, the insertion point was selected slightly outside the lateral malleolus, and the insertion direction was obliquely upward.
By crossing the fracture line obliquely in this way, the fixation effect can be achieved.
The principle can naturally refer to candied haws skewers——
"Da da da da da!"
The Kirschner wire is very sharp, and the battery of the electric drill is new, so the Kirschner wire was driven in quite smoothly, and the fixing effect was achieved.
"Mr. Cai, Mr. Luo, it's all right, it's done."
After Zhou Cheng said something to Cai Dongfan and Luo Yun, he turned his head and looked at the itinerant nurse: "Teacher, please push down the C-arm machine."
But this tour has already been prepared. It seems that they have been informed of the operation process in advance, and they will have a X-ray before the operation begins.
Although Zhou Cheng omitted this step, she was always ready behind the C-arm before receiving other orders.
Today's surgery is special, Cai Dongfan has thought of every detail in every aspect.
Although Cai Dongfan's eyes are small, his heart is not small. Only when more details are perfected, can there be more fault tolerance.
When the itinerant nurse started pushing the C-arm machine, Zeng Yi and the others stood up naturally, including Dou Chengpeng.
Because of the detailed steps of the operation, I wrote this article.
Zeng Yi called softly: "Ruo Ruo, see through, go out of the isolation room."
-
After a while, everyone came to the isolation room and closed the lead door.
The result came out immediately.
Cai Dongfan and Luo Yun looked normal, while Zeng Yi and Yan Haihan rubbed their eyes in disbelief.
Because they wondered if their eyes were blind—
The Kirschner wire after TM fracture is running, but what about the fracture line?
Wang Yongjin's eyes flashed immediately, and he kept looking up and down Zhou Cheng after four or fifty years of clinical experience.
Zhou Chengcheng hurriedly said: "Mr. Cai, Mr. Luo, Sister Yan, you can wait for me here for a while. I will go in and inject another Kirschner needle. Then take another photo. It will save some time."
After finishing speaking, Zhou Chengcheng took the initiative to step on the sensor door of the lead plate door, and then strode in wearing a sterile green surgical gown. When he arrived at the instrument nurse's table, he found the Kirschner wire by himself and put it into the electric drill. Lock the drill.
The second crossed Kirschner wire was quickly completed to achieve a more stable fixation.
The principle can be referred to the cut chicken legs on the barbecue stand, which are fixed crosswise, which is stronger than threading sticks in parallel!
When Cai Dongfan saw that Zhou Cheng had withdrawn the electric drill, he said to the itinerant nurse: "Yali, call the department later and pick up the next patient."
"Ah?~" Nie Yali was stunned on the spot.
Because the ignorant operation is a bit too difficult for her, it is estimated that no other girl is willing to cooperate...
Immediately, An Ruo was like an ant on a hot pan, holding onto it with her little hands.
He raised his head and looked at his teacher Zeng Yi, blinking his eyes non-stop, as if innocently asking for help: Teacher, teacher.
It comes, it comes again, what should I do?
Didn't you say that the pace of the operation would not be too fast?
At this moment, Zeng Yi still remembered what he said just now. Seeing that his student was a little stressed, he immediately squeezed his throat and coughed to remind her to pay attention to her image and not lose her demeanor in front of outsiders.
It was impossible for An Ruo to do such a thing, but she kept cursing in her heart:
Orthopedics is toxic.
Orthopedics is the devil.
orthopedics--
Curse, the enemy of life.
Zhou Cheng walked out into the isolation room again, so Cai Dongfan stepped on the C-arm perspective for the second time.
The results are still good.
After Zhou Cheng saw it, he breathed a sigh of relief and said, "Ms. Cai, Mr. Luo, I'm going to put on a plaster cast. You can get off the stage and rest."
The corners of Cai Dongfan and Luo Yun's mouths twitched immediately.
Glancing at the timing panel in the operating room.
00:04:42!
Four minutes and 42 seconds.
This is still two times of fluoroscopy, and the total time it took Zhou Cheng to go back in and get the second Kirschner wire, that is to say, Zhou Cheng's own operation time may be less than 1 minute!
Zhou Cheng walked in again.
Nie Yali still didn't react, why is it over?
When exactly did the surgery start?
Seeing Nie Yali still not moving, Zhou Cheng was already wandering in front of the operating table, as if he didn't know where to start the next operation.
After all, the sterile C-arm cover is only placed on the top of the C-arm machine, and the rest of the machine is still sterile.
Cai Dongfan reminded: "Yali, go and push down the C-arm machine, and then prepare for the second operation. It's hard work."
Nie Yali reacted immediately, trotted into the operating room, and went to help.
Then Cai Dongfan said to Luo Yun: "Luo Yun, you also go in and help Xiao Zhou put on a plaster cast, I will step down first."
After speaking, he began to undress himself.
In fact, Cai Dongfan felt that this operation was too fast. He originally thought that if Zhou Cheng had to inject two Kirschner wires, the reset would be slower than the previous technique?
However, it seemed that he was thinking a little too much.
When Cai Dongfan took off his clothes, he saw Zeng Yi's frown tightly, so he immediately smiled silly and apologized to him, "Director Zeng, thank you for your hard work, go and take off the anesthesia, and then work hard to give the next one anesthesia."
Zeng Yi walked into the operating room calmly, without saying anything.
Now that the people in the medical department are face to face, even if he has 1 opinions and complaints in his heart, he dare not say a word.
The operation in the clinical department is done quickly, can your anesthesiology department have any opinions?During meetings on weekdays, why do you complain about being slow?
An Ruo immediately turned into a diligent little ant, running around in the operating room, pouting under the mask.
I'm so hard-
……
Dou Chengpeng was stunned when he saw Cai Dongfan undressing. He looked at Yan Hanhan, Zeng Yi and Wang Yongjin. All three scored their own points on the score sheet.
Suddenly he was a little anxious.Quickly asked: "Director Zeng, Director Wang, how do you rate this?"
"So many scoring rules have not been made."
After listening to Zeng Yi, he quickly explained: "Director Dou, well, Xiao Zhou's surgical method is closed reduction and internal fixation with Kirschner wire for Class II surgery."
"It's not the plate and screw internal fixation we routinely carry out, so the details of the operation are in the back."
Naturally, Cai Dongfan prepared very comprehensively, and wrote several scoring rules for the surgical plans.
Dou Chengpeng stared immediately.
Fuck you guys are so flirtatious.
This is an assessment of surgery authorization, not a game, so why are you still playing multiple-choice questions?
Adults can choose both or just one.
Do you still play Ke Hai Ke Chun Qing during surgery?
Then I opened the back of the detailed scoring table, and suddenly felt that the orthopedic people were even more coquettish——
I see, closed reduction and Kirschner wire internal fixation for fibular fracture, surgical procedure and scoring rules:
1. Routine disinfection towels, the disinfection range is from the middle of the thigh of the upper limbs to the whole range of the lower limbs.
2. Preoperative C-arm fluoroscopy.
3. Manual reduction and Kirschner wire internal fixation.
4. C-arm perspective.
5. Plaster external fixation.
Even if Dou Chengpeng is not a specialist in orthopedics, he can still understand it anyway. Writing these five points is simply too damn watery.
Disinfection shop towels, C-arm perspective, accounted for three of them.
The really useful ones are probably manual reduction, Kirschner wire internal fixation and plaster external fixation.
Do they also feel that the scoring rules are too rough?
Dou Chengpeng's expression fluctuated for a while.
At this time, Wang Yongjin explained: "Mr. Dou, the steps of four-person manipulation are simple, but in fact, it is the most difficult level II operation among these operations."
"Basically, only a few hospitals dare to carry out this kind of operation routinely, because they can't grasp the degree of reduction of the operation."
As the chief director, Wang Yongjin has the most say, and Wang Yongjin doesn't mind giving his younger generation a hand.
As he spoke, he pointed to the C-arm see-through display screen and explained to Dou Chengpeng: "Chief Dou, you see, we assess whether the fracture has been reduced and fixed well, mainly by looking at the degree of closure of the fracture line and the degree of reduction of the displacement."
"We can see that the previous lateral displacement has basically been reset."
After hearing this, Dou Chengpeng immediately raised a question: "Director Wang, is this just the basics? What's better?"
Hear this.
Wang Yongjin, Zeng Yi, Yan Haihan and Cai Dongfan almost choked to death on their own saliva.
Wang Yongjin also shrugged his forehead, dug his ears with his hands, and said to Dou Chengpeng with some embarrassment: "I said basic, but I was just being polite."
"Although my surname is Wang, I'm not a mother-in-law, and I don't sell melons."
Wang Yongjin and Dou Chengpeng were joking.
Wang Yongjin is the generation of teacher Dou Chengpeng, he can joke with Dou Chengpeng casually.
Dou Chengpeng immediately shut up, feeling bitter in his heart, well, this exposed his unprofessionalism.
Taking a peek at director Zeng Yi and the others, he felt that he might have been a little ridiculous just now, and the translation of modern words is the scene of the death of the society.
It seems that we still need to say less and make less mistakes...
It doesn't necessarily mean that what this little doctor does must be poor, and a great director like Wang Yongjin Zengyi will definitely be able to find flaws.
In fact, Dou Chengpeng did nothing wrong, he just subconsciously asked Wang Yongjin, how is the completion of this operation, can it be better.It's just that Wang Yongjin couldn't answer, and Zeng Yi and the others felt rather embarrassed.
It seemed as though maybe this was the ceiling.
……
Finally, the second operation started on time at 54[-].
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For the first surgery, Cai Dongfan brought Zhou Cheng and others down at 08:21!
After the operation, the time for the patient to leave the operating room is 08:27!
The Department of Anesthesiology and the tour completed the operation turnaround of sending and receiving patients and anesthesia in 27 minutes, and they are already stepping on the hot wheels in the dark.
Little sister An Ruo felt that the soles of her feet were a little hot, and her wrists were also a little hot.
This is a precursor signal of lactic acid accumulation during short-term overload exercise.
After the anesthesia was finished, he leaned back on the chair used by his teacher to rest a bit suspiciously, while Zeng Yi stood up and went to the operating table to watch Zhou Cheng's operation.
Under the timing panel in the operating room, Wang Yongjin, Zeng Yi, Dou Chengpeng, and Yan Hanhan No. [-] Middle School were sitting there holding a clipboard, as if they were going to evaluate the second operation very seriously.
Yan Haihan, who knew the operation situation best, quickly explained: "Director Wang, Director Zeng, Section Chief Dou, this second operation is a fracture of the lateral malleolus. From the professional point of view of our orthopedics department, this operation is strictly open surgery."
"The alternative to the surgery is the second one, which is to put a locking plate on the outside."
"This time, these scoring rules can be used."
Wang Yongjin also said: "This operation is a routine orthopedic operation, more routine than the previous one, and it is already one of the very mature surgical methods."
Dou Chengpeng breathed a sigh of relief.
But because of the lessons learned just now.
He still flipped left and right, and then looked at the detailed surgery scoring rules, but there was no surgical plan like the one with a few simple ones for the previous surgery, which made him breathe a little.
He replied calmly: "Well, in fact, it is mainly based on the four majors of Director Wang, Director Zeng, and Director Yan."
"I'm an outsider."
Dou Chengpeng began to show weakness with lingering fear.So as not to die again.
After watching Cai Dongfan and the others, Zeng Yi did not expose his calf like the first one, but took a few steps back after applying a sterile film: "An Ruo, this time it must be an operation. Look, the sterile drape for surgery has been done."
Zeng Yi knew that two anesthesia machines in a row would consume a lot of physical strength for the anesthesiologist.
Anesthesiologist is a professional technical job, even if Zhou Cheng forced her to do physical work, it was hard enough for a female student like herself.
An Ruo nodded, not daring to think about anything, just stood up, gave up his seat to Zeng Yi, then sat on his small round stool, nodded and said, "Yes."
Very well-behaved, very sensible.
Because she found that if she doesn't complain, she will actually feel much more comfortable, and complaining will not reduce her workload.
In fact, it is a matter of resignation.
Cai Dongfan didn't have the business of welcoming people, so he participated in the whole operation, including disinfecting the towels.
Finally, everything is pending.
Cai Dongfan stood in the first assistant position and said to Wang Yongjin and others: "Director Wang, Section Chief Dou, we are starting the operation."
Wang Yongjin and others saw that Zhou Cheng had already raised the round knife, so they stood up quickly.
Then they walked slowly to the operating table one by one.
Zeng Yi wiped his forehead with the back of his hand.
Anyway, you took a scalpel, unlike the first one, which said it was surgery, but didn't even mention the scalpel, but it was ready. Isn't this a waste of resources and a burden on the patient.
Of course, I just think so in my heart, I don't know how many patients expect and desire such a 'burden'!
The operation can be completed without using a knife, and then it only costs a few extra dollars for the scalpel, which cannot be done elsewhere.
Do you think he would be happy?
An Ruo also settled down, patted her chest, took a long breath, and then began to rest.
"Start the operation!" Seeing Zeng Yi and others approaching, Cai Dongfan immediately ordered Zhou Cheng.
Zhou Cheng had already prepared, and Luo Yun and Cai Dongfan had already exposed the patient's lateral ankle, which was just right for the direction and position of Zhou Cheng's knife.
However, after Zhou Cheng lifted the knife, he put down the round knife again, and after thinking about the type of fracture for a while.
Zhou Cheng shouted to Liu Yan, the itinerant nurse: "Sister Yan, please give me a Kirschner wire electric drill first."
Liu Yan was taken aback when she heard this.
For this operation, what Cai Dongfan told her was to cut it open first, then temporarily fix it with Kirschner wires, and then put on the steel plate?
Liu Yan looked at Cai Dongfan.
Cai Dongfan's small eyes rolled around: "Electric drill with Kirschner wire."
On the side, Wang Yongjin also noticed a slight change in the operation procedure, so he quickly explained to Zeng Yi and others: "Xiao Zhou changed the operation strategy a little bit, first fixed it temporarily with Kirschner wires, and then followed the progress of the Kirschner wires. Needle-point incision can be more precise."
"It can also reduce the incision for patients to place the steel plate."
Wang Yongjin used to have surgery on the toes from the atlas, so he knows more about fractures of the lower limbs than Zeng Yi, who assigned the lower limbs to the second department of orthopedics several years ago.
Dou Chengpeng glanced at the sixth item of the operation procedure, and he found this out.
Immediately nodded secretly, said: "In order to reduce the length of the surgical incision for the patient, this is a good thing. But it won't affect the patient's recovery, right?"
Wang Yongjin shook his head: "No, and the inner ankle is also protruding, even blind typing is quite troublesome."
"That's fine, that's fine."
Dou Chengpeng nodded hurriedly: "After all, quality is the priority."
After Wang Yongjin said so, Liu Yan could only temporarily pass the Kirschner wire to Zhou Cheng.
Then Zhou Cheng inserted the Kirschner wire in one direction, from outside to inside, without much hesitation.
Immediately afterwards, Zhou Cheng said again: "Sister Yan, give me the other Kirschner wire too!"
Liu Yan was not suspicious, so she gave the Kirschner wire over.
But this behavior made Cai Dongfan a little confused, why are you giving so many Kirschner needles?
The more Kirschner wires, the better.
"Zhou Cheng, the fracture of the medial malleolus is too large, and the fixation effect of the Kirschner wire is inaccurate." Cai Dongfan hastily reminded.
"I know, Teacher Cai." Zhou Cheng had already stood in the chief knife position at this moment, so he naturally knew about this.
However, he already has his own surgical plan.
Class II surgery, immobilization of the medial malleolus.
Just as he was talking, Zhou Cheng made another Kirschner wire form a certain angle with the first one, and sent the Kirschner wire in.
After finishing these, Zhou Chengcai said: "Sharp knife!"
Cai Dongfan wasn't suspicious, instead he let out a sigh of relief.
Fortunately, Zhou Cheng didn't yell, "Teacher on the tour, push down the C-arm machine, otherwise, he will really hit someone on the operating table."
Liu Yan handed over the sharp knife.
Zhou Cheng took the sharp knife, and then made an opening of about 0.6cm at the insertion point of the first Kirschner wire, which directly penetrated into the bone end.
Cai Dongfan frowned immediately after reading it, and Luo Yun reminded: "It's better to peel it slowly with a sharp knife."
"There are no nerves or blood vessels at the protrusion of the outer ankle, Mr. Luo." Zhou Cheng replied.
The sharp knife was pulled out, and then a second parallel opening was made again at the place where the second Kirschner wire was inserted.
Seeing this, Cai Dongfan's expression changed drastically!
People are stupid.
what are you doing?
The principle of surgery is that if one incision can solve the problem, never make a second incision.
You can even extend it up and down, and do not make parallel incisions. Parallel incisions will be used unless they are used for tension-reducing sutures.
But now?
Cai Dongfan's scalp was slightly numb.
Zhou Cheng has already fallen, and it is impossible to turn back. It is impossible for Cai Dongfan to dismantle Zhou Cheng's platform on this one, but he is secretly thinking about how to deal with it, how to explain this to Dou Chengpeng later. The mouth is good.
Luo Yun was also taken aback, his glutes pinched with tension, and his hands twitched a little, but he didn't speak.
Yan Haihan inadvertently said: "Uh."
Immediately, Wang Yongjin and Zeng Yi glanced at Yan Hanhan, and each squeezed their throats.
Uh-huh.
It was as if the collective had suffered from pharyngitis at the same time.
Signal him to shut up.
Dou Chengpeng doesn't understand majors, so don't demolish your own platform.
Only then did Yan Haihan come to his senses and did not speak.
Zhou Cheng put down the sharp knife, and saw Cai Dongfan kept giving him eyes, almost bursting into flames, asking him what he was doing.
However, when Zhou Cheng returned the sharp knife to Liu Yan, he patted Cai Dongfan's hand lightly, and said in a low voice, "Teacher Cai, don't worry, I have the bottom of my heart."
"Sister Yan, give me two headless compression screws, one 5.5 and one 4.5!"
After hearing Zhou Cheng's words, everyone's brains went down at that time.
Only Luo Yun suddenly looked up at Zhou Cheng in amazement, as if he understood Zhou Cheng's intention.
The headless compression screw is a single fixation screw used in posterior malleolus fractures. It has a very strong fixation force. It is also feasible to use two screws to fix the lateral malleolus.
What Zhou Cheng has to do is to make the incision as small as possible to minimize the trauma...
But he is also too courageous! ! !
Liu Yan handed the headless compression screw to Zhou Cheng, only to find that the eyes of Cai Dongfan, Zeng Yi and others were a bit strange.
But he didn't say anything to stop her, and he didn't intend to take over the operation, so he had to listen to the surgeon first.
After Zhou Cheng took the screw, he put pressure on it and began to screw it in.
This twisting process is neither fast nor slow, it is a laborious work.
……
While Zhou Cheng was doing all this, Luo Yun appeared next to Cai Dongfan's ear and explained in a low voice: "Director Cai, what Xiao Zhou is doing now is to use headless compression screws to fix the medial ankle. This is infinitely repeated." Shrunk the incision."
"This method, currently in trauma surgery, is a cutting-edge small incision surgery."
"Madou and Kyoto have already started to do it."
Cai Dongfan immediately felt struck by lightning.
Looking at Zhou Cheng, he continued to push the screws into it with a calm expression, and suddenly felt that Zhou Cheng seemed to have driven the nails into his heart, constantly pressing and blocking his coronary arteries, feeling uncomfortable like being squeezed .
Cai Dongfan was not stupid, so he understood Luo Yun's words.
But the word frontier made his scalp numb.
Cursing in my heart, Zhou Cheng, Zhou Cheng, don't fucking hurt me, I gave you a military order in front of Zeng Yi, frontier surgery?
You call this a class II operation?
……
Luo Yun then took a few steps back, pulled Zeng Yi, Wang Yongjin and others aside, and explained again: "Director Wang, what Zhou Cheng is doing this week is the cutting-edge small incision for fractures that has great potential in trauma surgery. Reduction and internal fixation."
"His process and choice are correct. In the posterior ankle fracture, many doctors have performed closed reduction."
It's okay if Luo Yun didn't say anything, but when it was clear, the four of Wang Yongjin became at a loss.
You look at me, I look at yours.
Then, it was Dou Chengpeng who looked through the grading rules prepared for him by the Orthopedics Department, and asked, "Then how do you score this?"
"It's not written on it either?"
"Director Wang, then I will score with you?"
Dou Chengpeng's words made Wang Yongjin's eyes and upper body twitch slightly.
After pondering for a full five seconds, Wang Yongjin tilted his head slightly, and said apologetically to Dou Chengpeng: "Well, Section Chief Dou, I can't rate it, and I don't know how to do this kind of surgery."
Dou Chengpeng looked at Zeng Yi and Yan Haihan.
Zeng Yi and Yan Haihan could only bite the bullet and learn from Teacher Wang Yongjin, and stood closely behind Teacher Wang Yongjin.
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Shaking his head: "We won't either."
Dou Chengpeng suddenly felt a little sad.
Damn it, you orthopedic staff don't know how to grade, so what should you say about today's surgery authorization?
3 minute later.
After Zhou Cheng drove in a total of two headless compression screws, he let out a long sigh of relief.
Feel a little hot in the palm of your hand.
Sure enough, it's girls who like to spin, and men don't feel pleasure when they spin and rub.
Said: "Sister Yali, thank you for pushing the C-arm machine. Let's take a look."
In fact, when Wang Yongjin and others were whispering, and Cai Dongfan and Luo Yun were neither polite nor polite, she knew that there might be something wrong with the operation, so she was very nervous and at a loss, paying attention to the progress of the operation. .
Nie Yali looked at Cai Dongfan.
Cai Dongfan was extremely helpless at the moment, and looked at Zhou Cheng with complicated eyes, thinking that it was a bit ignorant for Zhou Cheng to be such an asshole today.
But things have come to this, and we can only take a picture first to see the situation.
Then he nodded and said dryly, "Let's see through it first."
His voice is like a landlubber that doesn't understand water, quacking, quacking.
Hear this.
Groundhog - An Ruo immediately sat up straight, eyes wide open, innocent and cute, as if waiting to be beaten to death.
What happened again?
Didn't Zhou Cheng take the knife?
Why do you want to see through again?
Could it be?
An Ruo looked at the timing panel of the operation, which showed the progress of the operation.
00:08:08!
Looking at Zhou Cheng with complicated eyes, he spat secretly.
Can't you hold on longer?
Immediately afterwards, I saw everyone walking towards the isolation room silently, but no matter whether it was Cai Dongfan or Luo Yun, including Wang Yongjin and Zeng Yi, none of them laughed as much as they did during the previous operation. The faces are quite heavy.
I was secretly happy.
Could it be that something happened and something happened, and the operation time should be prolonged?
so good?
But after this idea floated out, An Ruo was startled, and hurriedly clasped his hands together and murmured a few times.
Then secretly explained: I didn't mean that, I definitely didn't mean that...
Wang Yongjin and others naturally felt worried.
A surgery that he didn't quite understand and understand appeared in front of him, and it was at such a critical moment, this Zhou Cheng was simply too reckless.
If something goes wrong, you don't know how you died.
Still showing off at this time?
However, when everything was prepared and the results of the C-arm fluoroscopy came out, the expressions of Wang Yongjin, Zeng Yi and others changed again in shock.
This fracture line and displacement?
Could it be that the normal imaging of the patient on the previous machine was copied, and it was PSed onto the ankle of this patient?
However, the last one is the left leg, this one is the right ankle, and the direction is different.
Wang Yongjin hurriedly greeted and said: "Yali, Cai Dongfan, you go in quickly, take a side view and take a look."
The tone was a little anxious.
Zeng Yi also hurriedly patted Cai Dongfan on the shoulder.
Small incision, internal fixation.
Trauma, minimally invasive!
Even if Zeng Yi is an idiot, he knows how influential it is, and there is no systematic operation in this area. If it can be done so well, then, in the future, it will be used in academic exchanges.
The Eighth Hospital will definitely no longer be a sideshow, it will blind everyone in the province.
Zeng Yi suddenly became enlightened.
If Zhou Cheng knew Zeng Yi's thoughts, he would definitely say, Director Zeng, you are too small...
No, this kind of small incision, open reduction and internal fixation took Zhou Cheng a lot of time to get the perfect grade. If even Wang Yongjin and the others couldn't shake it, it would be a waste of time.
And if it's just domineering in the province, then I'm too sorry for his simulation for so long. In the simulation copy, he has done all the things of abandoning his wife and children...
Two minutes later, the lateral film also came out.
Zhou Changcheng let out a long sigh of relief, leaving Cai Dongfan and others to continue to be dumbfounded in the isolation room, and called Nie Yali to complete the finishing work of the final suture.
Until Zhou Cheng finished suturing, none of Zeng Yi and the others came out of the isolation room——
After a full minute, it was Nie Yali who called An Ruo, who was in a daze, and An Ruo walked back from the isolation room to the operating room with complicated eyes. After wandering between Zhou Cheng and the operating room timing panel in despair, Resigned to fate.
When I meet this devil, I am no longer the teacher's beloved student, nor the head student in the department, but a senior senior sister with a high status in the world, let alone the beloved young lady at home, I am a tool of hard life people.
Tool man, never tired.
I went to withdraw the anesthesia, An Ruo shouted mentally, and hurried...
Half a minute later, Luo Yun walked in again, beckoning to Zhou Cheng: "Zhou Cheng, when the stitching is finished, come over here, I have something to do with you."
After Zhou Chengfang finished tying the last bow of the plaster cast, he hurried to the isolation room.
On the C-arm perspective panel, Wang Yongjin was still pointing at the inspection results above, judging whether the operation was done well or not from a very professional point of view.
Although he can't do it himself, he can understand the operation process and thinking, but he still understands the strength and ability to evaluate whether the operation is good or not.
Seeing Zhou Cheng coming in, Cai Dongfan pulled him in front of him.
Wang Yongjin glanced at Zhou Cheng, and asked with a smile in a very amiable tone: "Xiao Zhou, how did you think that you would use headless compression screws to fix it like this instead of a steel plate?"
Zhou Cheng scratched his head: "Director Wang, the fracture of the lateral malleolus, a small incision, temporary fixation with Kirschner wire, fixation with screws, and external fixation with plaster, are considered level II surgery, right?"
"Strictly speaking, the plate and screw internal fixation of the lateral malleolus fracture should be classified as a grade III operation, right?"
"After all, it is a fracture in the joint!"
It was fine if Zhou Cheng didn't explain it, but after explaining it like this, Wang Yongjin was so frightened that he fell back a little bit, and was quickly supported by Zeng Yi and Zeng Yi.
Wang Yongjin looked at Zhou Cheng, his mouth under the mask squirmed, unable to speak.
Shouting in my heart, it turns out that this is how you TM define level II surgery.
Chapter 1 We Eat and Cry The Devil and Them
At present, Huaguo's definition of surgical grade is from the perspective of trauma surgery, at least from the definition of fracture.
It is defined according to the surgical method and the location of the fracture.
There are not many definitions of class II surgery.
To sum up, nothing more than a few.
Key words: simple long bone fracture, non-intramedullary nail fixation.
In addition, there is no strict and detailed classification.
The fracture must first be classified.
Once the type of fracture changes, the grade of surgery will increase.
For example, if a simple fracture becomes a complex fracture, or becomes a fracture involving the articular surface, then the surgical grade will be automatically upgraded to a grade III operation.
Similarly, the level of surgery is also related to the internal fixation method.
For simple fractures, if you choose internal fixation with plates and screws, it is a class II operation, but if you use intramedullary nail internal fixation, it is a class III operation.
This is the strict definition.
Wang Yongjin and the others have worked in orthopedic trauma for so many years, so naturally they don't need Zhou Cheng to endorse in front of them.
And this endorsement is really memorizing textbooks, not to blame them.
It's just that they only thought that Zhou Cheng would fix the fracture of the medial malleolus with steel plates and screws, and they'd be done.
But what about Zhou Cheng?
he?
He he he.
Wang Yongjin had a bitter face and almost lost his footing, mainly because he was pissed off by Zhou Cheng.
He even thought about a lot of reasons why Zhou Cheng would suddenly change the operation method, and even Zhou Cheng said to him that he was showing off his skills just now, and he made a small incision on purpose.
That's all good, Wang Yongjin is also willing to stand up for Zhou Cheng with his old face, and endorse in front of Dou Chengpeng.
It may be a little presumptuous for young people to say that there are big directors like us, and feel that someone is covering the bottom line.
This makes sense. With superiors present, subordinate doctors have confidence. Isn't this the case all over the country?Isn't this the case all over the world?
Can?
What Wang Yongjin never expected was that Zhou Cheng actually?
In addition to being very skilled in his hands, he also has a thorough understanding of the definition of orthopedic surgery——
Then, find a way to exonerate yourself.
For medial malleolus fractures, the classification cannot be generally divided into simple and complex classifications, which is the professional knowledge of orthopedics.Although the patient's fracture is simple, it still involves the articular surface, by definition.
Indeed, if internal fixation with plate and screw is used, it should be classified as a third-level operation.
But the current guidelines don't have such a strict classification on this. If you don't tell me, we won't sell you. Who can trouble you?
What is Zhou Cheng's current internal fixation method?
It is screw internal fixation, which is an absolute grade II operation.
According to the existing definition, it is definitely not classified as the kind that goes to III level surgery.
It is impossible to put a screw, so it is classified as a grade III operation, right?
Because ah, surgery is graded, except that the professional title of the instructing doctor is consistent with the positioning of the surgery, and there is no need to skip surgery.
It is also related to the pricing of the surgical method. It is indeed a bit too much for a screw to be charged according to Class III surgery...
So, therefore, soso!
To sum it up -
What Zhou Cheng did was not making trouble out of no reason, nor was it some kind of show off.It's that he's covering for himself from the bottom up!
He uses headless compression screws and is strictly at the controlled surgical level! ! !
I am only authorized for class II surgery today, and I will only do class II surgery.
do you know?
He's at the control surgery level—
The operation has been downgraded, what is this doing?
This is a leak in the definition of the level of orthopedic surgery by the current expert team in Huaguo...
From another level, for the sake of safety, he first made himself invincible.
You want me to have a level II operation, but the patient you arranged for me was wrong...
But it doesn't matter, I have used my own strength to force the wrong patient to apply for the second-level operation, so I won't cause you any trouble.
Wang Yongjin and others who could understand what Zhou Cheng was saying were really speechless.
Zhou Cheng's explanation made me feel a little confused——
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Dou Chengpeng didn't quite understand, so he turned around and asked Wang Yongjin: "So? Director Wang? What level is the operation just now?"
"Isn't it?" Dou Chengpeng didn't dare to say it out. Although he was certain that the patient would not be able to hear it, the patient was not completely anesthetized. If he listened to these things and reported Zhou Cheng, he would definitely be dead.
It is wrong to do well.
The resident doctor leapfrogged to perform a class III operation. Hearing this, Dou Chengpeng's scalp felt numb. Once the wind and rain came out.
The eighth hospital is going to be famous.
After a while, Wang Yongjin gradually regained his composure, and quickly shook his head and said, "No, no, Chief Dou, this is not a class III operation, it is definitely a class II operation."
"If screwing can be regarded as a grade III operation, then it will be too easy for our orthopedic doctors to make money."
"I dare not say that."
He said so in his mouth, but in his heart, he secretly classified Zhou Cheng's operation as a level IV operation.
Because although there is no definition in the manuals of Huaguo at present, according to Luo Yun, it is estimated that there is no such definition in the guides of the whole world, so from another level, it is a new technique.
However, the tools Zhou Cheng used were ready-made, and he just took advantage of such a trap. Others can't say that it was Class IV surgery and new surgery that came to Zhou Cheng's trouble.
this young man.
Dou Chengpeng breathed a sigh of relief, and replied: "That's good, that's good over there."
Then he smiled and looked at Wang Yongjin, before turning the topic to the serious business.
"Then Director Wang, the degree of completion of this operation? How should I rate it?" Dou Chengpeng was seriously asking for advice, and everything was still based on the directors of the Department of Orthopedics.
Anyway, if there is a problem in the future, I will look for them.
"I think I'll give it ninety points first."
"Zeng Yi, Yan Hanhan, you said it?" Wang Yongjin didn't dare to speak too much.
For the development and promotion of new techniques, many procedures are required. At present, we should not make too much publicity. We need to promote the procedures after the procedures are correct.
Otherwise, if Zhou Cheng was praised too much in advance and something went wrong when going through the procedure, it would be Zhou Cheng's harm.
I also hope that Zhou Cheng will not be too proud and complacent, even arrogant.
But according to what Zhou Cheng said so far, he is definitely not a proud and complacent person, but has settled down to the bones of the tortoise.
Where did Zeng Yi and Yan Haihan dare to say anything, they naturally obeyed.Agreeing with Zeng Yi's statement: "I also think that if you give [-] to [-] points, it will be considered as a successful operation, and that's enough."
Because no, so I dare not call the operation process perfect, this is prudence.
Some clinical operations may seem gorgeous, but whether they are useful or not depends on the results of follow-up visits rather than personal evaluation.
In the long river of history, there have been many new surgical techniques, all of which were short-lived, and many patients and doctors have paid a painful price. This is how the professional ethics committee was born...
Zeng Yi and the others didn't dare to go beyond this learning to do things recklessly.
He could only wait for Zhou Cheng's level-II surgical authorization first, then think about the small incision, open reduction and internal fixation that Zhou Cheng did today in detail, and then try to find a way to go through the approval process of the Ethics Society.
"Then I will listen to Director Zeng and give it [-] points." Dou Chengpeng is also willing to be an adult.
Since both Director Wang Yongjin and Director Zeng Yi felt that this operation was done extremely well, they explained the main points of this operation during the analysis just now.
The articular surface is smooth and the fracture line is hidden, which is a high-quality follow-up performance after surgery.
After this, Cai Dongfan led Zeng Yi and others downstairs to rest again.
Of course, in the process of going downstairs, Cai Dongfan was deliberately asked in detail by Yan Haihan and Zeng Yi about Zhou Cheng's performance in the department on weekdays.
Cai Dongfan said: "Xiao Zhou has always been a steady person."
"In the past two years, I haven't found any abnormalities in him. Moreover, before I granted him the level I surgery and operation authority, he never handled a single patient himself. All the emergency patients were given to Luo Yun. Call."
Wang Yongjin and the others took a deep breath when they heard the words.
He said with some horror: "Then this young man is really calm enough."
Then Wang Yongjin turned his head to look at Zeng Yi, cursed and asked: "Zeng Yi, how is it? Is what I told you right?"
"In this world, most of the geniuses who can go further are walking within the rules, and walking very well, and then stand out?"
"Do you think about that frizzy hozen look when you and I were together?"
"I just thought about the level III surgery after only a few level II surgeries, and now I feel powerless, right?"
"Your work on raising your temper is not as good as that of a young boy in his twenties."
When Zeng Yi was scolded, he immediately felt quite innocent, but when he thought about Zhou Cheng's matter, he muttered, "He's not stable, he can be called obscene."
Wang Yongjin immediately scolded: "What is obscene?"
"What is recklessness?"
"Can you explain it to me in detail?"
Zeng Yi stopped talking, and bowed his head in front of Wang Yongjin, not knowing how to refute.
Yan Haihan smiled lightly on the side.
Zeng Yi glanced at Yan Haihan: "Do you think that I only say these words to Zeng Yi?"
"You two are more courageous than Zeng Yi. Don't think that I don't know what you have done."
Yan Haihan suddenly felt that he was implicated innocently again, and quickly became honest.
Pretending to be a good boy, he immediately admitted his mistake: "Director Wang, what you said is that you were young and ignorant before, but now you absolutely dare not do so."
……
When Yan Haihan saw Wang Yongjin and Zeng Yi and Cai Dongfan chatting, he took the time to walk out of the smoking room, and then secretly called Yang Yifeng.
"Yi Feng, do you want to come to the operating room to observe today?"
"We are performing an exceptionally authorized Level II operation on Zhou Cheng of Director Cai's group, you."
Yang Yifeng was typing at the moment, so he said, "Director Yan, I won't mix it up. This incident actually happens in our place from time to time, and it's not too unusual."
Yan Haihan really wanted to say, I'm afraid this time it's different from what you think, and it's more unusual than what you've seen.
But he didn't insist anymore, for fear that Ding Changle would come to him again.
……
in the operating room.
Luo Yun and Zhou Cheng obediently sat in front of the timing panel in the operating room. Luo Yun touched Zhou Cheng's arm and said in a low voice, "Get off the stage and perform the operation, don't do this, you will scare people to death like this." ."
"Cold sweat broke out from Director Cai's back just now, but you are still doing high there, as if nothing happened."
Zhou Cheng said innocently, "Okay, Mr. Luo."
"The following two operations are simple long bone fractures. This is not a leapfrog operation. I will not mess around. I will definitely follow the operation process step by step."
"I wasn't afraid of the previous operation. It involved joint planes, and the patient caught the pigtails. What if?"
"Mr. Luo, do you think so?"
The corner of Luo Yun's mouth twitched, really wanting to beat Zhou Cheng up.
And mentioning it almost scared us to death.And, why are you so cowardly?
If your temper is seen by my teacher, you will definitely scold your father even if you don't know him.
I was still poisoned by rules and regulations, my thinking was imprisoned, and the first thing I thought of when doing things was self-protection.
At present, in quite large teaching hospitals, there is an unwritten saying that [-]% of the cost is for food, [-]% is for self-preservation, and [-]% is for God's will.
The main reason is that I am scared by the current medical relationship, but for difficult patients, even if they can perform surgery, they will not be able to perform it, so go find another expert.Over time, some patients who are a little more refined will not be given surgery if they can.
It is completely dependent on the patient's own wishes, and he can leave as he wants. If he really can't, then he has to do it.
His own teacher was deeply disgusted by such an attitude.
Of course, it's hard to say too much. At present, the strength of doctors across the country is inherently uneven. You can't ask doctors in some lower-level hospitals to perform operations like doctors in the capital city of Kyoto.
Nor can you require doctors in townships to have the level and awareness of doctors in county hospitals and prefecture-level city hospitals.
Conservative and safe have always been the first principle recognized by all clinical people.
And this conservatism and safety are not only reflected in the medical process, but also reflected in the selection of patients.
All are forced.
……
With complicated thoughts, Luo Yun touched the back of Zhou Cheng's head, sighed, and said, "Yes and no!"
"I don't blame you, I can't blame you."
Zhou Chengcheng is a small trainee, he is a little unstable, if something happens, who will endorse him?Who gave him trouble?
What was waiting for Zhou Cheng was to return to the Guipei Office, and even the Guipei had been for nothing for several years. Can Zhou Cheng be blamed for being too cautious?
Zhou Cheng responded with a foolish smile...
When Zhou Cheng smiled, An Ruo and the itinerant nurse Nie Yali happened to push the new patient into the operating room.
An Ruo, the anesthesiologist, dragged the bed in front of the patient, and Nie Yali pushed it.
So An Ruo happened to see Zhou Cheng's smile, and she was furious in her heart: It's really a devil, and there is still a leisurely laughing here!
This is the third one!
Big brother.
It was just past nine o'clock.
We have performed three surgeries in the operating room, do you feel guilty about every bit of it?
I'm almost exhausted by you.
Of course, Zhou Cheng didn't know what An Ruo was thinking, but after seeing the patient pushing in, Zhou Cheng hurried to help transfer the patient from the push bed to the operating table.
Zhou Cheng is responsible for the legs that require certain techniques.
There is a fracture in the leg, and the anesthesia has not yet been given. If someone who is not a specialist comes to transfer the patient, the patient will die of pain.However, after the orthopedic surgeon provides traction, the pain cannot be completely avoided, but the pain will be milder than lying on the bed.
It is completely within the patient's acceptance range.
After transferring the patients, Zhou Cheng sat down again and asked Luo Yun: "Ms. Luo, tell me, after I have the authorization of Class II surgery, can I perform small incision open reduction and internal fixation routinely in the department?" ?"
This was the first time Zhou Cheng told Luo Yun the full name of the skills he knew.
Even if Zhou Cheng's mastery of this technique is perfect now.
Luo Yun knocked Zhou Cheng on the head: "You have a good idea!"
"The operation you just performed is an unconventional operation. You think it's not in the guideline, and if you take a loophole, you can go on forever?"
"If you have to go through the process, first report to the medical department, and then go to the provincial ethics society for approval, and then you can carry out routine work in the department after evaluating that the damage to the patient has no right."
"Now, you have to wait for I don't know how long."
"I told you to dig and search, but hide it." Luo Yun cursed.
Zhou Cheng asked Luo Yun with a wry smile: "Mr. Luo, if I say that I am actually very proficient in resection, internal fixation and chemotherapy of large bone tumors, and the recurrence rate is as low as [-]%, can you do it?"
"Fart." Luo Yun immediately rolled his eyes, but he also understood Zhou Cheng's meaning.
Zhou Chengcheng scratched his head and said, "Yes, Mr. Luo, you also think I'm farting, even I think I'm farting."
Zhou Cheng sighed with emotion!
In fact, he was afraid that Luo Yun would really believe him, and then he would bring a few patients, and that would be the end of the egg.
Luo Yun then changed the subject and said: "If you have this thought, you have to say it out, and Director Cai and I can help you if you say it out. If you have to wait for the right opportunity, then you have to wait Come on, let's see when you go."
Luo Yun beat Zhou Cheng.
Zhou Cheng smiled and replied seriously, "I think it's good to wait."
At the same time, I silently said in my heart, Teacher Luo, I am willing to just wait for the right opportunity.
This is related to Zhou Cheng's personality. The reason why he has to improve every skill to perfection before he dares to use it in the clinic, Zhou Cheng has his own considerations.
Not to show off your skills or to shock others.
Rather, he, Zhou Cheng, now has the plug-in of the mock copy, which can improve his skills to a level of perfection, or even beyond perfection.
Then, as a doctor, why couldn't he wait a while, improve his skills to perfection, and then use them on patients?
Zhou Cheng has never dared to forget that when he was ignorant in high school and entered university, he solemnly swore an oath, which is also an oath that every medical student would swear——
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Health is linked to life.
When I step into the sacred medical school, I solemnly swear: I volunteer to dedicate myself to medicine, love the motherland, be loyal to the people, abide by medical ethics, respect teachers and discipline, study hard, work tirelessly, strive for perfection, and develop in an all-round way.
I am determined to do my best to eliminate human illnesses, help improve health, maintain the sanctity and honor of medical skills, save lives and heal the wounded, spare no effort, pursue persistently, and strive for the development of the medical and health cause of the motherland and the physical and mental health of human beings for the rest of my life.
I am determined to do my best to eliminate the suffering of human beings and help the perfection of health!
With just a few words, Zhou Cheng insisted on taking the postgraduate entrance examination three times, and now he still has this plan.
Zhou Cheng's family is not rich, but it is not poor. Even if he completes the regular training and then goes to graduate school, it will not be a big burden on the family.
can only say.
Do my best!
If there is really no way, no chance, no conditions, then I will do my best.
If Zhou Cheng knew that he would never be perfect in his life, there was nothing he could do!
but?
You can get to the perfect level, and it doesn't take long.
Zhou Cheng was willing to wait like this forever.
Even a few more years, ten years, Zhou Cheng thinks it's okay.
He is not ashamed of his profession as a doctor, of his patients' trust in him, and of getting this mock copy himself.
After reaching the perfect level, although you can still improve, those things can be done later.
The medical technology I provide is already at the most perfect level in the world today. This is what I can do now, and what the world can do. Although I can still improve, I haven't found the real direction yet, so I just can provide these.
Ability is limited, but also to my limit.
Luo Yun only looked at Zhou Cheng smiling, and knew that he would definitely not be able to change Zhou Cheng's mind on the spot. If Zhou Cheng's mind could be changed so easily, he would not be called Zhou Cheng, and Zhou Cheng would not be able to It has been unknown before, so calm.
"Let's not talk about this, and think about the next two operations."
"The first two stations, your performance is almost." Luo Yun suddenly couldn't find a word to describe it.
Zhou Cheng looked at Luo Yun with a strange smile: "Mr. Luo, is there a flaw?"
Luo Yun turned his head and glanced at Zhou Cheng: "Impeccable!"
MLGB, I'm talking business with you, you poke my nest.
……
Finally, at 23[-, An Ruo, the little worker bee, diligently completed the anesthesia for the third operation, and then quickly sat down to rest.
After looking at the patient's vital signs, he found that he was quite well. He immediately rubbed his wrists, and then stretched his poor little feet with his toes.
His eyes were watching, Zhou Cheng, a group of devils, came to the operating table again boldly, and began to disinfect the drape and other work.
Immediately afterwards, Cai Dongfan entered the operating room again.
Zeng Yi also came, looked at his students, and felt a little distressed, but he felt okay.
The reason why he agreed to the orthopedic anesthesia again was to exercise An Ruo's resilience and mood.
At present, An Ruo's anesthesia technique is no problem for ordinary patients, but she has not been exposed to that kind of high-intensity anesthesia training, just like herself. Back then, she had to go through several operating rooms in a row to lay down the foundation of the current director. .
If An Ruo is a girl, he already loves An Ruo quite a lot, at least he regards her as a normal man, instead of being used as a livestock like he used to be.
The third operation finally returned to normal tibial fracture, internal fixation with plates and screws.
In fact, this patient can choose better intramedullary nail fixation, but there is not much difference between intramedullary nail fixation and plate screw fixation.Moreover, it was also arranged for Zhou Cheng to obtain the authorization for Level II surgery.
Otherwise, once the internal fixation is replaced with an intramedullary nail, it will become a grade III operation.
However, when the visiting lady and the washing lady were in their positions, Zhou Cheng finally took the initiative to pick up the round knife for the first time and cut in front of the patient's leg.
Then he yelled: "Mr. Luo, electric knife, tweezers."
Well, it's finally a routine.
When An Ruo heard this, the stone in his heart fell to the ground.
Normal internal fixation, no matter how exposed, and then sutured, this period of time is enough for her to rest, and the internal fixation——
However, just as the stone in An Ruo's heart fell to the ground, it suddenly flew up again.
"Sister Yan, give me the steel plate!"
"Ahem!" An Ruo was startled immediately.
Standing up, looking at Zhou Cheng, cursing in my heart, weren't you looking for an electric knife just now?Why is it a steel plate?
Then, An Ruo saw that Zhou Cheng had made a two-centimeter longitudinal incision, the kind that could be stitched up with at most two stitches.
But at this moment, Zhou Cheng held a bone peeling in his hand at some point.
The periosteum is being separated along the patient's tibia.
Although Liu Yan doesn't want to turn around patients, she has to wash her hands and prepare instruments before each operation, and then count and pack the instruments. There are many things to do, and she is a little out of breath at the moment.
"Here, the steel plate." Liu Yan handed over a seven-hole steel plate.
"Nine holes, not seven holes." Zhou Cheng replied without answering.
Liu Yan rolled her eyes: I gave you the seven-hole steel plate to let you make gestures, and you just call it nine-hole.
Is it?
After Liu Yan handed over the nine-hole steel plate, Zhou Cheng actually stuffed the steel plate into the incision.
This is quite a routine open reduction and internal fixation of fractures, so although Cai Dongfan and Luo Yun frowned tightly, they felt that Zhou Cheng's rhythm was a bit fast, but Zhou Cheng's movements were always orderly, as if their emperor was not in a hurry and the eunuch was in a hurry .
When Zhou Cheng used bone peeling to separate the periosteum, he did an excellent job.
So the steel plate is completely buried in the skin just right.
"Formula, prepare screws and depth gauge." Zhou Cheng looked at Liu Yan and ordered.
The tone seemed to blame Liu Yan for being too slow.
Liu Yan prepared these things for Zhou Cheng again and again, and then gasped a little bit, the pace was too fast, she couldn't keep up.
When it is too fast to keep up, it will naturally be lost...
Zhou Cheng dropped the formula for the first locking nail and screw of the steel plate very neatly and calmly.
Sounding - 6.2!
"Take the 6.4 locking screws." Zhou Cheng said to Liu Yan after only one glance.
Then, instead of returning the electric drill with the formula to Liu Yan, Liu Yan just handed the twisted lock nail and screw to Zhou Cheng...
It took Zhou Cheng almost 7 minutes to go up and down the fracture line, and after six screws were placed.
He yelled in a regular manner: "Teacher Tour, please push the C-arm machine."
An Ruo has been standing all the time, her feet are a little numb, her hands are also a little numb, and now her head is also a little numb.
What a devil--
So fast.
Although An Ruo doesn't know much about orthopedics, she has done a lot of surgeries and already has an understanding of the surgical procedures.
In this operation, Zhou Cheng did not omit all the steps, but still.
At 1 minutes, all the screw fixation operations were completed, and C-arm fluoroscopy is required to declare the end of the operation?
What the hell was wrong with me just now, why did I have to go to see his operation obsessively, instead of sitting down and resting for a while?
And because the operation was quite satisfactory.
That's why the surgical procedure sheets prepared by Zeng Yi, Wang Yongjin and others finally became useful.
With a C-arm perspective, Wang Yongjin acted as the commentator again, and Dou Chengpeng ticked off one by one.
In the end, I forcibly found a small defect and scored 98 points.
And said with a smile: "Director Wang, Director Zeng, the resident doctor in your orthopedics department is very interesting. He completed three operations so quickly."
"This strength cannot be underestimated."
"And Director Wang also said that the postoperative effect of each operation is excellent." Dou Chengpeng said while taking a picture of the C-arm fluoroscopy results of the third patient.
Although he kept saying that he completely believed in Wang Yongjin's explanation, but his action of taking pictures betrayed him.
But Wang Yongjin and others felt that they could understand it. As the chief of the medical department, Dou Chengpeng would definitely find experts and professors from other hospitals to evaluate the postoperative C-arm fluoroscopy results. This is a matter of common sense.
If it's just the orthopedics department of No. [-] Hospital saying yes, it may be suspected of covering up.
Let him shoot, Wang Yongjin and others didn't mention it.
Anyway, if these results are taken out, the Eighth Hospital will only look bad, and will definitely not be ashamed.
……
So, the fourth operation continued step by step.
Ten twenty.
Four operations, all over.
Wang Yongjin, Zeng Yi and others handed over the score sheet to Dou Chengpeng, and then Zeng Yi said: "Chief Dou, you have to work hard for the rest of the work. Thank you, Chief Dou, for going to our orthopedic department today. Operating room, come and personally supervise the work of our orthopedics department."
Dou Chengpeng collected all the score sheets and put them under his armpits, shook hands with Zeng Yi, and said, "Director Zeng, Director Wang, you are welcome."
"Absolutely dare not talk about guidance. We are serving clinical departments, and the main thing is your own opinions. I just came here, and I can be regarded as a witness."
Having said that, Dou Chengpeng glanced at the operating room, where Zhou Cheng was helping the anesthesiologist and the itinerant nurse to turn over the patients, so he lowered his voice and said:
"Director Zeng, I may not understand other aspects."
"However, the speed of this little doctor Zhou's operation and the quality of the operation explained by Director Wang have greatly improved my horizons. I have never heard anyone say that other than ophthalmology, any department can completely complete the four-year operation in such a short period of time. surgery."
"I'm still involved."
"Therefore, I hope that Comrade Zhou can become our colleague."
Speaking of this, Dou Chengpeng licked his lips and said, "Of course, this is also my personal opinion. Just by the way, Director Zeng and Director Yan, don't mind."
It was obvious that Dou Chengpeng just saw it, so he interjected.
Zeng Yi immediately said: "Chief Dou, don't worry, we will try our best to keep Xiao Zhou in the department. But everyone has their own ambitions, and Xiao Zhou disagrees with him. In fact, it's not just our orthopedic department. Calculated."
The personnel department is the final hurdle to decide who will go and who will stay.
Although Zeng Yi and Yan Haihan have the final say in most cases, but until the last step, everything is unknown before it becomes a certainty.
Then Cai Dongfan hurriedly said: "Chief Dou, let's have dinner together later, I'll call you."
"Today, I really worked hard. After the conclusion of this matter was reached, it was hard work for you to call me, Chief Dou. Whether it is good or bad, we have a bottom line in our hearts."
Only then did Cai Dongfan quickly bring up the important point.
If ah.
This matter hasn't been settled, everyone's greetings come and go, aren't they blind to today's arrangements?
It's okay to be polite, things have to be done.
Dou Chengpeng hurriedly said: "It's natural. Since I came and ran in person, I will definitely pay attention to it. There should be results soon. Director Cai, please wait for the good news."
"These few operations can fully demonstrate the strength of Doctor Xiao Zhou in our hospital."
Then everyone sent Dou Chengpeng away.
Then Cai Dongfan sent Zeng Yi and Wang Yongjin out of the operating room, and explained to them that he had arranged a meal and that he must be there when the time came.
Only then did I return to the operating room, and said to Yan Hanhan, "Director Yan, thank you for what happened today."
"If it wasn't for you to support the two patients, then I really can't help it."
Yan Haihan said: "This is what should be done. Xiao Zhou is working hard for our department, seeking welfare and development. Naturally, we can't lose him. Our director did the same to the three of us back then." Just pulled it up."
"Although Xiao Zhou has obtained Level II surgical authority today, you should pay more attention, Cai Dongfan. You must pay attention to the quality of the surgery and control the safety of the surgery."
"These things can't be emphasized enough."
Not to mention anything else, just today, with so many patients in Zhou Cheng's department, he felt that his decision was worthwhile.
Just last night, the extra beds in the ward were full. This is the benefit that a well-known doctor can bring. He has his own halo and patient size.
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Moreover, before Yan Haihan decided to help Zhou Cheng, he never thought of this.
Cai Dongfan nodded seriously.
The two walked out side by side, and saw that Min Chaoshuo and Pang Dingkun were walking to the operating room.
After seeing Yan Haihan and Cai Dongfan going down, Pang Dingkun hurriedly asked: "Director Yan, which operation is it?"
Yan Haihan attaches great importance to Pang Dingkun, and Min Chaoshuo is also his student, Yan Haihan also takes good care of him.
But today, Yan Hahan felt that these two punks were simply bastards.
Pang Dingkun is fine, after all, yesterday was the emergency surgery, but what about Min Chaoshuo?
Today I deliberately didn't come to the operating room, just to avoid participating in the operation of Cai Dongfan's group, for fear of going on stage to help! !
How much did this make him miss?
I'm afraid Min Chaoshuo himself is not very clear.
So Yan Haihan twitched the corner of his mouth, pointed at Min Chaoshuo and cursed: "The operation is tomorrow, you can see it when you come tomorrow."
"Or come to the operating room after dinner?"
Yan Haihan was really angry. Min Chaoshuo had more than ten times the resources of Zhou Cheng.But is he angry?
The more Yan Haihan thought about it, the more angry he became, and now he even started to learn to be lazy.
Min Chaoshuo immediately turned pale, and quickly lowered his head: "Master, I have to change the dressings up there, and last night, I had an emergency operation in the middle of the night. So!"
Min Chaoshuo bit his lip.
Cai Dongfan was busy trying to smooth things over: "Director Yan, we were the ones who got everyone involved yesterday. When our team was on duty, a patient suddenly appeared."
"Let's not talk about Chaoshuo and Dingkun, look at the people in our group, Yan Jun, Zhang Zhengquan, didn't they come too?"
"Fortunately, they came anyway. These two people have not even seen their shadows now."
Thinking of this, Yan Haihan felt a lot better.
Zhou Cheng was not a real student of Cai Dongfan, so it was just Cai Dongfan's luck.And now, with Zhou Cheng standing out in his own department, the problem of patient volume has been solved in one fell swoop.
Calculated in this way, the number and quality of the patients sent out by Zhou Cheng's manipulative reset before were far inferior to the number and quality of the current patients!
……
in the operating room.
After Luo Yun stepped down from the stage, he invited Zeng Yi and said, "Director Zeng, let's have a light meal together later. Director Cai has already arranged everything."
Zeng Yi did not refuse: "This?"
"I seem to have put a bowl in your orthopedics department. It's embarrassing to go to eat every now and then."
But there was no embarrassment on his face.
An Ruo was walking out of the door, and when she heard this, she said to Liu Yan angrily, "Sister Yan, order a few more dishes later, if you can't finish it, pack it up and eat it, you have to let Director Cai bleed hard ."
"The doctors in their orthopedics department are all devils."
Originally, Liu Yan was leaning towards Cai Dongfan, but today, he was really exhausted again, and unexpectedly nodded and said, "Yes!"
"I'll order a few more dishes later, I can't finish the package."
"I want them to treat you to two cups of milk tea."
"Drink a cup and throw a cup." Liu Yan was more ruthless.
An Ruo touched the tiny flesh on her stomach, wondering: "Sister Yan, I'll give you my milk tea too, can I pour it out for you?"
Liu Yan smiled: "It's fine if you let me drink it, why do you want me to pour it out?"
An Ruo blushed, she didn't say she was reluctant, she just found reasons and said, "I usually don't have the habit of wasting food!"
In fact, I was thinking in my heart that it would be shameful to waste milk tea and food.
So it's better to eat more later.
101.65!
But I am fat.
……
Zhou Cheng stretched on the timing panel in the operating room.
Then he waited for Luo Yun and Zeng Yi to finish speaking.
Only then did they follow behind the buttocks of the two people and walked out.
'Tired' from four surgeries in the morning, Cai Dongfan wants to treat him to dinner, so he still has to wait.
On the way, Zhou Cheng asked Luo Yun: "Should I call Zhengquan and Yan Jun to come together? Teacher Luo."
"Call them at 11:30, let them rest for a while, they were very tired yesterday."
"I'm going to squint later." After Luo Yun finished speaking, he rubbed his eyes, and then he remembered that he had also played all night.
Looking at Luo Yun's somewhat tired and stooped back, Zhou Cheng's heart skipped a beat.
Teacher Luo Yun and the others are all so tired because they want to rest more for themselves. Du Yanjun and Zhang Zhengquan's debts of favor are also unknowingly owed, and it seems that they will be paid back slowly...
Chapter 121 What went wrong? !
Zhou Chengcheng followed Luo Yun to the second orthopedic ward, and Luo Yun went straight to the lounge to squat for a while to continue his life.
Zhou Chengcheng didn't go to the lounge to grab a bed. He didn't feel sleepy now, so as not to disturb the rest of Luo Yun and the doctor on duty, he simply went to the office to check his phone for a while.
Then I was bored and watched the live broadcast that I haven't watched for a long time...
At about [-[-, Cai Dongfan had posted the location of the eating place in the group, and the time written on it was twelve o'clock.
Only then did Zhou Cheng call Du Yanjun. Du Yanjun was still sleepy on the other end, and he agreed without hesitation after answering the phone.
But when Zhou Cheng called Zhang Zhengquan, Zhang Zhengquan said: "Brother Zhou Cheng, tell Teacher Luo Yun and Teacher Cai that I'm too tired, so I won't eat, you can eat by yourself."
The tone and voice are quite energetic. Occasionally, the sound of car horns passes through, and it sounds like he is not in the house.
Zhou Cheng asked again with certainty: "Ms. Cai treats guests to dinner at noon, don't you want to have a meal?"
It didn't expose Zhang Zhengquan either.
"I'm not coming. You can eat." Zhang Zhengquan's words were somewhat regretful, and he might be too tired, so he didn't want to come to the dinner party.
Zhou Cheng nodded and hung up the phone, then called Luo Yun up.
Luo Yun was sleeping in the lounge with his clothes on. After being woken up by Zhou Cheng, he rubbed his face and took Zhou Cheng away. After entering the elevator, Luo Yun asked, "Du Yanjun and Zhang Zhengquan, Have you ever called?"
The two little ones were quite tired yesterday, so don't forget about them.
"I've called, Mr. Luo, Yan Jun took a taxi directly to the place to eat, but Quanzi said he was too tired and didn't want to come." Zhou Cheng hurriedly replied.
Luo Yun took out his phone and called Zhang Zhengquan.
"Zhang Zhengquan, come over to eat, and go to sleep after eating." Luo Yundang said immediately.
Zhang Zhengquan hesitated and replied: "Mr. Luo, you eat, I really can't catch up now. Teacher Luo, you eat, you eat well—"
Luo Yun immediately interrupted Zhang Zhengquan: "Where are you putting it? You can't catch up?"
"Don't come to eat anything, are you really good?"
"Are you with your girlfriend? If you are with your girlfriend, then you don't have to come, otherwise, come here immediately." Luo Yun used the tone of command, mainly because he wanted to reward Zhang Zhengquan.
This junior doctor who was on duty yesterday admitted more than a dozen patients.
Zhang Zhengquan might feel that Luo Yun would not let him go without telling the truth, so he said in a low voice, "Mr. Luo, I'm not in Hunan Province right now, so I really can't make it back."
"Then where are you?" Luo Yun was taken aback.
"Ji Province, Lian City."
"My classmate asked me to barbecue together at night." Zhang Zhengquan said.
Then he immediately promised: "Mr. Luo, I will definitely be able to participate in the handover and ward rounds on time before eight o'clock tomorrow morning!"
Luo Yun suddenly felt a little substandard.
Zhang Zhengquan is absolutely bored. He flew to Lianshi to have a barbecue. With this airfare, a group of his mother would have a few dinners at night. Wouldn't he be delicious?
hang up the phone.
No one is in Hunan Province, so it would involve privacy and be meaningless to continue talking.
……
Seeing Luo Yun's expression, Zhou Cheng knew that Zhang Zhengquan would definitely not be able to come, so he smiled and asked, "Where did Quanzi go?"
"Ji Province, Lian City." Luo Yun spit out four words softly.
Zhou Cheng's expression was a little stunned.
This Zhengquan really ran wild enough.
After finishing the shift, go to Lian City in Kyrgyzstan Province?
This spans more than half of Huaguo!
……
After arriving at the dining place, Zhou Chengcheng found out that the old director Wang Yongjin hadn't come, saying that he had gone back to rest!
I can also understand——
Wang Yongjin is getting old, and soon he will stop glowing in the department, and being able to support himself today is already the last heat for the orthopedics department.
In addition to Wang Yongjin, Dou Chengpeng, the chief of the medical department, also did not come.
Others, such as Zeng Yi, Yan Haihan, the director of the anesthesiology department Zeng Yi and his students, as well as the itinerant nurse Nie Yali and the washing nurse Liu Yan, all showed up one after another.
Du Yanjun arrived earlier than both Zhou Cheng and Luo Yun.
Right now, he was sitting next to Cai Dongfan, as if he knew something, and he was in a daze, as if he was doubting his life.
Cai Dongfan is currently chatting with Director Zeng Yi of the anesthesiology department...
Zeng Yi preached to Yan Haihan from the sidelines, privately speaking, Yan Haihan nodded frequently, but he didn't know what he said.
After Zhou Cheng entered, he found a seat near the door and sat down.
Luo Yun was also about to sit down, but Cai Dongfan, who was chatting with Zeng Yi, quickly called Luo Yun over.
Then Cai Dongfan was grandly introduced to Zeng Yi, the director of the anesthesiology department!
At the same time, the chief directors of the orthopedics department, Zeng Yi and Yan Haihan, stopped talking after seeing Luo Yunlai, and re-examined the old face Luo Yun in the department.
When Cai Dongfan mentioned that Luo Yun had given presentations at the orthopedic annual meeting, Zeng Yi, Zeng Yi's student An Ruo and others cast curious gazes at Luo Yun involuntarily.
They really heard Cai Dongfan's words.
An annual meeting of a discipline, and it is a national annual meeting!
The number of times the Eighth Hospital participated was not many. As speakers, there were at most only a few of the sub-specialties in the entire Hunan Province.
Luo Yun was able to be a speaker when he was a graduate student?
This is really powerful, and his teacher really dares to praise it.
Zeng Yi and the others were secretly surprised——
How could such a person be reduced to work in the Eighth Hospital?
In this way, Zhou Cheng's exception to being authorized for a Class II operation seems to be nothing to mention.
After all, it was a report at the National Orthopedics Annual Meeting.
I am very envious, but I am not envious.
……
Seeing Luo Yun being surrounded by the crowd, Zhou Cheng immediately relieved the psychological pressure, and felt that Luo Yun appeared suddenly, which was actually pretty good.
He can continue to paddle, unlike the last time, when he was having dinner with Professor Ding Changle and others, he was also pulled into the center.
Soon, the dishes on the table were brought up plate by plate. Luo Yun was still curiously 'concerned' by everyone, and even Zeng Yi personally assured him that as long as Luo Yun dared to do it, he and Cai Dongfan would be the same. His most solid backing is like words.
However, Luo Yun's interest didn't seem to be very high, and he spoke very little, mostly just to accompany the laughing.
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I don't know if they know that Zeng Yi and others are good at painting cakes, but it's another matter.
After all the dishes were served and filled with wine and drinks, Cai Dongfan sat up straight and shouted:
"Zhou Cheng, pick up the wine glass! Stand up!"
Zhou Cheng immediately stood up when he heard the sound!
I feel a little bitter in my heart, when I say good things, I don't have my share, when I toast, I bear the brunt of it.
Of course, Zhou Cheng also thought about it jokingly. He has gained enough benefits. Everyone has their own opportunities and circumstances.
Zhou Chengcheng immediately poured a small glass into the glass from the wine cup.
Cai Dongfan immediately said, "You're still using a cup today, just pick up the wine cup!"
"This first cup, you have to pay respects to the two Directors Zeng and Director Yan. It is mainly because of them that you are able to complete the precedent that our Eighth Hospital has never done before. Resident physicians, officially in advance The department has obtained the record of Class II surgical authorization."
"You have to drink this glass straight away!" Cai Dongfan actively persuaded him to drink.
Zhou Cheng immediately raised the wine cup as a signal, thanked everyone and drank it down...
I drank the wine like a cow drinking water, but my throat was a little spicy, and I couldn't taste the taste of the wine at all, so I quickly took a sip of milk to suppress it.Only then did I endure it.
Zeng Yi saw that Zhou Cheng had finished his drink, and then hurriedly said: "Sit down, sit down, start eating quickly, eat something to make a cushion."
Then he turned to criticize Cai Dongfan: "You are simply messing around with the students. How can you drink like this? You have ruined people, and you have ruined the wine."
Cai Dongfan smiled and said, "Director Zeng, he has to drink this cup. This is the first time I have formally met with you, Director Zeng. Why don't you have a drink when you meet Director?"
"It doesn't make sense, does it?"
Obviously meant to be.
How could Zeng Yi not know what Cai Dongfan had in mind? He was submitting a certificate to Zeng Yi, which meant that Zhou Cheng would be a member of my team from now on, and also a member of our No. [-] Hospital.
Zeng Yi also understood, and smiled lightly at the corner of his mouth, he didn't want to get involved in orthopedic matters.
Since Zeng Yi and the others took so much effort to authorize Zhou Cheng for the operation, it was natural that his stay in the hospital was a matter of course, and Cai Dongfan was also declaring his sovereignty.
He just greeted his student An Ruo and said: "You eat your own food, don't worry about them."
An Ruo just glanced at Zhou Cheng who was blushing slightly at the moment, and immediately began to eat.
Compared with these old men in the orthopedics department, it is obvious that food is more attractive.
It's just that An Ruo's eyes were looking at Luo Yun intentionally or unintentionally, and she didn't know what she was thinking.
Liu Yan, who was sitting next to her, noticed it and said in a low voice, "Ruo Ruo, this Luo Yun is a bit old."
An Ruo immediately lowered her head, stared back at Liu Yan, rolled her eyes and said, "Sister Yan, what are you thinking about?"
……
Zeng Yi took up the conversation and said, "You can't drink like this, you have to taste the wine slowly to get the taste."
"Xiao Zhou, sit down first, eat something and take a while. Don't listen to Cai Dongfan, listen to me..."
"Xiao Luo, you are dishonest in the department, so are you also dishonest at the wine table?"
After that, Zhou Cheng realized that he seemed to have nothing to do at the wine table, mostly Cai Dongfan was toasting each other, chatting and spanking to several directors, and no one paid any attention to him.
Luo Yun became the focus again...
Then Luo Yun took the wine cup and wine glass for a round to Zhou Cheng, and then reminded Zhou Cheng that he had to go for a round of wine, and Zhou Cheng got up.
I respected them one by one.
Zhou Cheng naturally also respected An Ruo, but An Ruo hurriedly stood up with the milk, and touched Zhou Cheng with a little embarrassment.
After finishing drinking, he said in a low voice, "Doctor Zhou, I'm sorry about what happened last time."
Still feel a little bit guilty.
Maybe she also felt that in Zhou Cheng's vision, she was a complete lunatic at that time.
Zhou Cheng smiled and said, "It's okay."
……
At the end of the drinking session, Zhou Chengyuan drank less than four taels of wine, but Luo Yun and Cai Dongfan drank more than him.
When he called the substitute driver and sat in the back seat of his car with Luo Yun.
Luo Yun shook his head and smiled wryly at Zhou Cheng:
"Xiao Zhou, Director Cai is obviously too eccentric. Today is clearly your business, but Director Cai insists on pulling me up to persuade you to drink with some directors."
"It's about forgetting the old love when you have a new love."
"You didn't drink much today, I'm a little high here." Luo Yun pointed to his head, and the circles of his eyes turned red.
This is wine red, also called upper blush, not the kind of painful and sad red.
Zhou Cheng shook his head and replied, "Mr. Luo, you are the home team today, and I'm just here to eat."
"Teacher Cai should only love you, he is not interested in me."
"What nonsense?" Luo Yun was taken aback and rolled his eyes.
Finally, seeing Zhou Cheng's innocent face, he sighed and said, "Forget it, I don't care about you."
"Anyway, you have to remember that you owe me a favor today, and you should stop drinking for me next time."
"Okay! Definitely block it." Zhou Cheng agreed wholeheartedly.
Even if today's incident didn't happen, the wine that should be blocked still had to be blocked.
It seems that since being drawn into the circle of the department by Cai Dongfan, Zhou Chengcai discovered that the appearance of the department is completely different from what he saw as a resident trainee before. The field of vision is different, the position is different, and the relationship between characters is also totally different.
I also don't know what Yan Haihan and Cai Dongfan were thinking. Even though their personal relationship wasn't that bad, they still flirted with each other at the handover meeting.
And just now at the wine table, one mouthful of Brother Cai, one mouthful of Hanhan...
Mom.
It's infiltrating.
Zhou Cheng swore that if it wasn't for the drink today, he would have always felt that Yan Haihan, Cai Dongfan, and Hu Ming in the department were absolutely incompatible.
Of course, Zhou Cheng also felt that maybe today this was just a play on the occasion, without a deep understanding, who knows what is going on with their relationship?
Soon after, they arrived downstairs in the community where Zhou Cheng lived. Zhou Cheng got out of the car first, waved goodbye to Luo Yun, and walked towards home.
……
Du Yanjun walked with Cai Dongfan. Du Yanjun supported Cai Dongfan, who was a little drunk but was still polite to Zeng Yi, and told him to be careful when getting into the car.
After sitting upright, Cai Dongfan hiccupped violently, and his head seemed to wake up a lot in an instant.
Then order the driver to drive.
Not long after he left, Cai Dongfan glanced at Du Yanjun and said casually, "Yan Jun, what do you think about today's scene?"
Du Yanjun immediately woke up from the feeling of being lost, shook his head and said, "Master, I don't have any objections to brother Zhou Cheng. Brother Zhou Cheng has been very kind to me since I entered the department. I just feel that I am not worthy enough." ."
Du Yanjun naturally knew what happened in the department today.
My brother Zhou Cheng, the person who brought him into the department, has now obtained the level II surgical authority in the department in advance under the push of directors Wang Yongjin, Zeng Yi, and Yan Haihan, and this surgical authority is currently only owned by Pang Dingkun .
Pang Dingkun is an undergraduate staff member of the department, so Du Yanjun naturally understood the implied meaning.
Cai Dongfan put his hand on Du Yanjun's shoulder, leaned back, patted his shoulder, rubbed his eyes with the other hand and said:
"It's not that you're not competitive enough, but that neither Zhou Cheng by your side nor this Luo Yun is a normal person!"
"I can see your hard work and talent."
"Just? If you have to compare yourself with Zhou Cheng? You should try to be more down-to-earth. The people you want to compare with are Min Chaoshuo, Lin Lin and Du Ruiqi. Don't think about comparing everything with Zhou Chenglai."
Cai Dongfan kindly persuaded him.
Because if Du Yanjun really had such thoughts, he would go to a helpless dead end and never get out again.
When Du Yanjun heard this, he immediately nodded obediently, then turned his head and asked in a low voice: "Master, is Brother Zhou Cheng's stay in the hospital considered finalized?"
Cai Dongfan also nodded, not wanting to deceive Du Yanjun: "Zhou Cheng's quota has already been set."
"But the quota for the establishment has not yet been determined..." Cai Dongfan said meaningfully.
Du Yanjun immediately regained his energy, as if he was alive again...
Seeing Du Yanjun's expression, Cai Dongfan smiled wryly in his heart.
I said to myself:
Yan Jun, I don't want you to be compared with Zhou Cheng because the quota of staff has not been determined. The orthopedic department of our hospital may not be able to catch Zhou Cheng in the future.
Or the rules in the hospital are too strict!
If you don't have a postgraduate degree, you will definitely not be given an establishment, which is troublesome.
Cai Dongfan guessed that there must be other variables before Zhou Cheng formally stayed in the hospital to sign the contract.
Ding Changle is definitely one of the promoters of this change.
And these words, Cai Dongfan can only say these words in peace, for fear of scaring his students...
Liu Yan and An Ruo took a taxi back, while Nie Yali drove by herself. She said she was going to send Liu Yan and her, but they went in the opposite direction. Liu Yan and An Ruo didn't bother Nie Yali.
In the taxi, Liu Yan asked with a smile: "Ruoruo, what do you think of Zhou Cheng? Isn't he quite tall and handsome?"
"The ability is also strong, but it's a pity that I was a little bit lucky."
An Ruo nodded, and said calmly: "This person is still very good-looking and capable, but let's go."
"Sister Yan, he is in the third year of residency training, counting on others, he has already graduated from the eight-year program and got a doctorate."
"It may be considered excellent in our No. [-] Hospital, but if we want to compare with a group of talented people?"
"Maybe there's still something wrong."
An Ruo shook his head secretly.
When she participated in the National Undergraduate Medical Skills Competition before, she met many real geniuses. These individuals not only have good clinical talents, but also excel in scientific research.
There are more than one or two who published journals in the sciI area.
Leaving aside, just say that Yang Yifeng, whom she hates very much, can hang Zhou Cheng up and beat him...
Hearing what An Ruo said, Liu Yan's expression changed slightly, she brushed her hair, and said in embarrassment: "Oh? Really, then I don't know."
What An Ruo said was a bit beyond Liu Yan's cognition, but the world is so big, there are really many geniuses.
What she doesn't know doesn't mean it doesn't exist.
……
After returning to the rented house, Zhou Chengcheng washed up and prepared to take a nap.
Then turn up the volume of the mobile phone to the maximum, first call the doctor on duty in the department today—Xu Yanlin, and tell him that if you encounter a patient, don't call Luo Yun, just call him.
Then he lay down on the bed.
Although according to the division of labor between him and Luo Yun, he was in charge of resetting joint dislocations in his own group part of Hu Ming's group on duty, Xu Yanlin was in Yan Hanhan's group.It should belong to Luo Yun.
But Luo Yun had an all-night emergency surgery yesterday, and he had a good night's sleep. Today, he followed him through four surgeries. Now that Luo Yun is still half-drunk, of course he has to do it himself.
One has to be conscientious in being a human being, but Fan Luoyun didn't take Zhou Cheng at ease.
As the attending doctor, he has an emergency patient, and if he asks you to go on stage, will you go?
Do you want a surgical authorization? It's none of his business.
Zhou Cheng understood, so he naturally took Luo Yun to heart.
Of course, Zhou Cheng didn't mean that he would go to the department to reset the patient today, but he had already decided that even if he encountered a dislocated patient today, he would be admitted to the hospital first, and he would deal with the reset tomorrow.
Drinking is a mistake. After drinking, absolutely do not perform any medical operations.
Luo Yun drank, and so did he himself.
Going to see a doctor reeking of alcohol is definitely a one-time report, and there is no way to escape.
Hospitalize the patients first, or let them go to the Second County Hospital or the affiliated hospital of Shonan University.
This principle cannot be changed to avoid accidents...
However, I don't know if it was luck or other reasons.
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On Zhou Cheng's side, he fell asleep until seven o'clock, and then woke up faintly. He immediately turned on the screen of his mobile phone to check the time, and also to see if there were any missed calls.
The phone is empty, and there are no missed calls or anything.
Then, Zhou Cheng opened WeChat again and looked at the related group messages, which also had nothing to do with him.
Then he took the phone with him again and went to read a book.
Might be better luck.
……
And just when Zhou Cheng was reading, the chief of the medical department of No. [-] Hospital found the email he sent to his friend today in his mailbox, and he replied!
Dou Chengpeng immediately lifted his spirits.
Today, he personally participated in the whole process of granting the orthopedic resident physician an exceptional level II surgical authority because of the face of both director Zeng Yi and old director Wang Yongjin of the orthopedics department.
But Dou Chengpeng still felt that it was better for him to be more cautious. He took and recorded the pre-operative and post-operative photos during the operation, just to ask people from other hospitals to help him review it.
I am not a professional, and I also know that Zhou Cheng is not a child of Wang Yongjin and others.
It is unavoidable that Zhou Cheng could become the son-in-law of an unknown senior doctor in the hospital or a related household with other inextricable connections.
Let these directors come forward to endorse him.
That's why I say he did a good job!
All he has to do is nothing happens.
As the chief of the medical department, he is in charge of all medical-related issues in the hospital, so every decision must be carefully considered.
It is necessary to be extra cautious about this kind of abnormal operation authorization, because once it is authorized!
Later, during Zhou Cheng's operation, if something happened, the hospital needed to stand up and take responsibility.
Authorized by the medical department, if you don't stand up, who will stand up and let the hospital's legal person, the director, stand up?
……
What Dou Chengpeng is looking for is his old classmate, who both work in Shashi, so the relationship is naturally not shallow, and it is not an ordinary relationship between friends and friends, but the kind of old friends who really move around a lot.
Therefore, the reply that Dou Chengpeng saw was not ordinary——
"Dou Chengpeng, you old dog, if you deliberately sent pictures to stimulate me and challenge my professionalism, you might as well just call and scold me."
"It's not an unprecedented thing to grant a second-level surgery. What's so strange?"
"Is there no one watching movies in your hospital?"
"Send this pile of broken things to me for a chicken feather?"
Dou Chengpeng called him and invited him to watch it, the reason why he was asked to reply to the email!
It is because the reply to the email is a relatively official communication method, which can erase the suspicion of having a personal relationship with the reviewing expert.Then even if the authorization is rejected, there is still an objective evidence.
But what Dou Chengpeng didn't expect was that the reply given by this moo was like this.
He hurried out to the stairwell, and dialed another phone number that Zhu Lin was not familiar with.
After connecting, first pinch your nose and ask: "Hello, are you Mr. Zhu whose phone number is 6852?"
After Zhu Lin answered the phone on the other side, he was stunned: "I am, are you?"
First affirm your own identity, and then ask the other party what his background is.
Dou Chengpeng continued to pinch his nose and said, "Hello, Mr. Zhu, would it be convenient for you to leave the address of the hotel you are staying at now? I have received your message here, and I will send the best technician to your door right away to defeat you." ..."
When Dou Chengpeng was speaking, he immediately heard the sound of a chair falling to the ground from the other party.
Ten seconds passed.
There came the yelling:
"Your uncle, Dou Chengpeng."
"I turned on the loudspeaker!"
"My daughter is doing homework next to me, and my wife is tutoring!"
"You're crazy, aren't you?"
Dou Chengpeng immediately changed to a serious tone and apologized: "Brother Zhu, I'm sorry! I'm sorry!"
"Sister-in-law and Yaya didn't misunderstand anything, did they?"
Zhu Lin immediately rolled his eyes: "Fuck, how do I know now?"
"Fuck away!"
"I'm telling you, if I have a family conflict because of you, I'll pump your cavernous body!"
Dou Chengpeng immediately said a little angrily: "Didn't you fire it first? I thought you were angry, so I made a joke with you."
"Seriously, have you seen the pictures I sent you? What kind of replies did you give?"
"I was the one who told you the business first, and you were joking with me."
"Anyway, I'm also an associate professor at the Affiliated Hospital of Shonan University. I took a bite of a chicken feather. I thought you were too angry. When did you spontaneously ignite the chicken feather, so you are always talking about the chicken feather."
Zhu Lin replied seriously: "I've seen it!"
"What's so good about this?"
"Just the way I replied to you, how do you want to formally reply!"
"Do you want me to write, Dear Mr. Dou Chengpeng, chief of the medical department of the Eighth Hospital, hello, I have read the documents you sent in detail, and after careful consideration, I have decided on something?"
"Aren't you funny, where did you get the authorization for the extraordinary operation, and you took two films to deal with it? You, the chief of the medical department, are worthless."
"I don't even know the procedures for pre-authorization of surgery. I feel ashamed to say it, let alone my friend!" Zhu Lin looked disgusted.
After the damage was done, Zhu Lin replied seriously: "It is up to the people in your hospital to decide whether or not to authorize a Class II surgery.
"The exception authorization for Class III surgery must be granted by the medical association in the province to form an expert judging panel."
"You show me a few photos alone. Even if my opinion is negative, it's useless, and it offends others. Aren't you hurting me?"
"Did I offend you?"
Hearing this, Dou Chengpeng frowned slightly, and said, "Brother Zhu, I'm sorry, I didn't understand these procedures."
"The main reason is that I haven't seen any big scenes. It's not as good as you are a professor at the Second Affiliated Hospital of Shonan University. You have a lot of experience!"
Zhu Lin immediately interrupted, cursing: "If you continue to be so ambivalent, we will hang up the phone and waste my talking time."
"Okay, there's nothing else to do, I'll treat you to a drink next time." Dou Chengpeng also immediately stopped flattering.
Zhu Lin added one more sentence at the end: "Only from the film level, if the pre-operative and post-operative films of these operations are true, I will use them for academic exchanges."
"That's all I can say."
Dou Chengpeng understood immediately.Hurry up and apologize to Zhu Lin.
Then he smiled wryly.
Zhu Lin's words are well-founded!
It was him, who had stayed in the No. [-] Hospital for so many years, as if he was watching the sky from a well, and made such a big joke in front of his good brother, it was a big deal.
Immediately afterwards, Zhu Lin shook his head, walked in the door again, and put the matter aside.
Although Zhu Lin did not give an affirmative reply, he felt that such postoperative review films could be brought to academic conferences, so is that not good enough?
This reply is enough.
……
At nine o'clock in the evening, Zhou Cheng still didn't receive a call from the department. He thought it was strange, so he called Xu Yanlin again.
Asked: "Brother Yanlin, are you busy on duty today?"
Xu Yanlin also immediately understood what Zhou Cheng meant, and said, "Brother Zhou Cheng, it's okay."
"Teacher Luo Yun also explained to me what you told me. He told me to take the patient into the department for hospitalization or suggest transfer to another hospital. Don't call you again."
"I haven't replied to you all this time."
"Oh, so that's the case, then let's listen to Teacher Luo's arrangement." Zhou Cheng continued to greet Xu Yanlin for a while before hanging up the phone.
Luo Yun's heart is really delicate.
There are quite a lot of things to learn by myself...
After finishing this matter, Zhou Cheng immediately started today's simulation.
Yesterday, in order to prepare for today's operation authorization, he went to bed early, and didn't bother to use up the simulation opportunity.
……
[Bring initial skills: 1. Medical English (proficient), 2. Severed limb/finger/toe replantation (proficient)]
In order to maintain the purity of the simulation process, Zhou Cheng did not bring any other messy skills.
[Start the simulation. 】
[You play an important role in the department and have gained a certain prestige.You are authorized for class II surgery. 】
[So you boldly explained to your superior doctor that you don't want to take on the general duty of joint dislocation manipulation reduction operation anymore, you taught Du Yanjun hand in hand and transferred all the opportunities to him, let him be the general duty, and worked in the department in the role of teacher. 】
【Although your superior doctor was quite surprised by this, he still admired and respected your wishes and gave you freedom! 】
[Soon, when you reset the task of your total duty to zero. 】
[Because you have a solid anatomical foundation and skills in replantation of amputated limbs/fingers/toes that have swept across the entire department, you will quickly rise to prominence in the field of hand surgery and replanted amputated limbs/fingers/toes. 】
[Three months later, because of your perfect open reduction and internal fixation of fractures, you were successfully approved by a well-known professor in the province, and you successfully obtained the authorization of Class III surgery in advance. 】
[You were successfully hospitalized! 】
[One year later, because your skill level was at the forefront of the world and you were recommended by a well-known professor, you were invited to join the hand surgery/microsurgery group committee. 】
[Three years later, you successfully obtained a doctorate degree, and officially carried out replantation of amputated limbs/fingers/toes in the department! 】
[In the same year, you got married.Your marriage partner is a nurse in the department. The wedding is not too big or small. Your wife is quite virtuous. After you open your heart to her, she decides to respect your ideals and aspirations. 】
[The next year, your wife will study abroad with you. 】
This time the progress was faster, Zhou Cheng nodded slightly after reading the text.
It's just that this wife went to study abroad with him, which was beyond Zhou Cheng's expectation.I don't know if it will be a variable factor.
as predicted.
【Three years later.Your wife thinks that your work-study life style is very bumpy and unreliable, so she chose to return to China. 】
[The next year, you got divorced. 】
Well, it was just an accident of a flow nature, and there was not much significance for reference.
[At the age of 50, you received a common human skin flap transfer (perfect)! 】
[At the age of 55, you gained experience in the prevention of complications in the perioperative period of amputated limb/finger/toe replantation (perfect), experience in the use of antibiotics in the perioperative period of amputated limb/finger/toe replantation (perfect)]
[But you still find that you have not broken through the last critical step in the replantation of the amputated limb/finger/toe. 】
[When you were 58 years old, your father died, and you returned to China for the funeral! 】
【You suddenly discovered that although your ex-wife had remarried, she was taking care of your parents. At that time, the fluctuations in your heart could not be calmed down for a long time. 】
This girl can do it?who is it?
Zhou Cheng felt quite surprised, but he didn't pay much attention, and the simulator continued to walk.
[During your mourning period, your mother died of myocardial infarction due to excessive heartache due to your father's death. 】
[After you finished your parents' funeral, you finally let go of the fetters in your heart, and started to continue to travel around the world and read a lot of books. 】
[Because you discovered that the perfect level of amputated limb/finger/toe replantation cannot be achieved by accumulating skill levels of downstream skills.But how to break through the last step, you still don't have a clear idea. 】
【Go on……】
[At the age of 80, you died on the street. 】
……
After watching the simulation process, Zhou Cheng frowned fiercely!
Well, I still haven't broken through to the last step.
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Moreover, the text in the simulation process reads——
The perfect level of amputated limb/finger/toe replantation cannot be achieved by accumulating skill levels of downstream skills.
Then you have to write clearly, how can it be realized?
Zhou Cheng complained.
But it's a pity that I didn't encounter any adventures, otherwise, it would be so cool to simulate again with the memory of this simulation.
There is not much gain, but it is also pushing one of his skill levels to perfection.
Forget it, continue to simulate, just treat it as trial and error.
……
The next day, Tuesday morning at 00:05!
Zhou Cheng looked at his skill tree——
Feeling very painful--
[Severed limb/finger/toe replantation (proficient). 】
And the skill level it parses out is:
【1. The local anatomy experience of human limbs and limbs (perfect), the anatomy of human limbs surgery (perfect), the highest level is perfect. 】
【2. Open reduction and internal fixation/external fixation of human extremities (perfect). 】
[3. Debridement and suture (perfect), the highest level is perfect. 】
[4. Nerve suture (perfect), the highest level is perfect. 】
[5. Vascular suture (perfect), the highest level is perfect. 】
【6. Nerve/vascular transposition (perfect), the highest level is perfect. 】
[7. Common human skin flap transplantation (perfect), the highest level is perfect. 】
【8. Rehabilitation guidance after replantation of amputated limb/finger/toe (perfect), the highest level is perfect. 】
【9. Perioperative complication prevention experience in amputated limb/finger/toe replantation (perfect), the highest level is perfect. 】
【10. Perioperative antibiotic use experience in amputated limb/finger/toe replantation (perfect), the highest grade is perfect. 】
"I nia you." Zhou Cheng couldn't help yelling a little annoyedly at the moment.
Second Olympics, all downstream skills have reached perfection, why hasn't the main skill been improved?
Toxic, right?
After that simulation, Zhou Cheng spent a few more simulations to get all the branch skills to the perfect level, and in every simulation process, Zhou Cheng also reached the perfect level, but he just couldn't find the last one. The opportunity to upgrade the severed finger replantation technique to a perfect level.
I still don't believe in evil.
[Bring initial skills: 1. Medical English (proficient), 2. Severed limb/finger/toe replantation (proficient)]
[Start the simulation. 】
【…】
[Ten years later, after you have completed a certain amount of wealth accumulation and left it to your parents, you chose to resign. 】
【Three years later, you became a monk and joined a temple to practice meditation. 】
Zhou Cheng couldn't help it.
This is simply not a problem that can be solved by scientific performance. They are all perfect, and they cannot be combined into perfection. Could it be that we have to pursue the mysterious and mysterious metaphysics.
Anyway, trial and error, so Zhou Cheng decided to go to Yangxin to see if it works?
【Five years later, your abbot sees that you have obsessions, and the fate is not over, so he will drive you out of the temple!And I tell you that the path to become a doctor is not within the Buddha's Arhat status, and you have to find another opportunity. 】
How did this get kicked out?
[The next year, so you changed your career and joined a Taoist temple for practice. 】
[When you were 46 years old, your father had a heart knot because of your resignation, and died of a sudden myocardial infarction.You go home for the funeral...]
【No. 60 When you were four years old, you became a well-known Taoist leader in the Taoist temple, but you still failed to break through the last step of the replantation of severed limbs. 】
【You have no choice but to smile bitterly, feeling that your life is a joke.But you can't look back anymore, watching the old trees and the yellow sunset, this life will just sit and melt. 】
[Simulation ends]
[Simulation evaluation: Absurd.You are helpless, like a headless fly. You seem to be self-cultivating all your life, but you have been running around all the time.If you failed to find your destination, you have too many regrets in your life, and there is only one regret. 】
Zhou Cheng was desperate.
Just threw the notebook away.
He really couldn't think of a way.
Damn it, it's not okay to take the purely scientific route, Zhou Cheng is looking to see if he can go down the spiritual route, not for the sake of seeking immortality, but to see if he can get a sense of epiphany.
As expected, it was Zhou Cheng who thought too much and was tortured by the novel, that's why.
Forget it.
Zhou Cheng lay down directly, and soon fell into a deep sleep...
The next day, when Zhou Cheng woke up, he still felt a little pain in his head.
After holding on for a while, he felt a lot better. Looking at the last chance in the mock copy, Zhou Cheng planned to keep it temporarily and wait until night.
I didn't think about it anymore, I had breakfast before rushing to the department.
Normal shift rounds.
On the non-operation day, although there were many patients and many operations in the group, it was not the turn of the operation day, so I could only wait.
And Cai Dongfan seemed to be trying to make up for Zhang Zhengquan and Du Yanjun, and deliberately added two small surgeries to them and other people's surgeries.
Closed reduction and internal fixation with Kirschner wires for phalanx fractures.
When Luo Yun found Zhou Cheng and told him the purpose of the two surgeries, Zhou Cheng nodded without any surprise, and said, "Mr. Luo, this is as it should be, I can understand it."
"It's good to understand. Director Cai is the director after all. It's not good to be too partial to one another. And Du Yanjun is still Director Cai's student." Luo Yun continued to explain, looking into Zhou Cheng's eyes.
"Yeah." Zhou Cheng continued to nod sincerely.
Luo Yun didn't say much more. It's not appropriate to explain this kind of thing too carefully.
Luo Yun then put forward another suggestion on duty, that is, he and Zhou Cheng should change shifts every other day.One person for one day, no one suffers.
The main reason is that Luo Yun found out that there was a slight problem with the procedure of being on duty a few days ago.
Just like Zhou Cheng, he had to be on duty for several days before, and he was exhausted.
Zhou Cheng also agreed, so that everyone can relax a little bit.
It's also easier to remember.
Luo Yun then said: "I'll be on duty today, we all rested all day yesterday."
I blushed a little after I finished speaking, so I took the initiative to pick up the shift, because yesterday according to the previous shift, he should be on duty, but it turned out to be wrong. Although it was because of Zhou Cheng, the fact is that... …
After chatting with Zhou Cheng, Luo Yun went to the office, probably to urge Zhang Zhengquan and Du Yanjun to prepare for the surgery.
Zhou Cheng was also going to change the patient's medicine, but he bumped into Yang Yifeng who came in with a notebook and a blue pen cap.
When Zhou Cheng was looking at Yang Yifeng, Yang Yifeng also looked at Zhou Cheng with tangled eyes, and his eyes turned around.
Chapter 122 New perfection!
Although Yang Yifeng was full of strangeness that was hard to explain, Zhou Cheng still greeted him politely with a smile on his face: "Brother Yifeng, have you finished the house inspection?"
When Zhou Cheng asked, he actually felt in his heart that Yang Yifeng was definitely a tougher boss than Yan Haihan in the department.
More like a senior doctor in Yan Hanhan's group!
Oh no, it should be the ancestors.
As the head of the department, Yan Haihan would occasionally come to make ward rounds on weekends, but Yang Yifeng would take weekends off.
Almost every weekend, there is no shadow of Yang Yifeng.
On weekdays, Yang Yifeng would come to check on the house, but Zhou Chengcheng didn't know if he had done anything else.
Yang Yifeng nodded curtly, then shook his head again, and said, "It should be over, it's all over."
Then Yang Yifeng sent an invitation to Zhou Cheng: "Brother Zhou Cheng, are you free today? Shall we go out for dinner together?"
"Congratulations to you by the way."
The last time Yang Yifeng planned to talk to Zhou Cheng in detail when he was on duty, but Yan Hanhan's arrangement disrupted Yang Yifeng's rhythm.
The plot of Yang Yifeng's book this time is quite good, and after processing the things he encountered recently, and incorporating them into the story, his favorites and subscriptions have been greatly improved.
Even ah, Zhou Cheng also logically became a very important supporting role after more than a dozen chapters, appearing in the novel.
It's just that Yang Yifeng has gradually discovered in the recent period that his previous understanding of Zhou Cheng was too superficial, as if what he learned was just like Du Yanjun and the others, just an ordinary little character .
However, after talking with Zhou Cheng, Yang Yifeng felt that his understanding of Zhou Cheng was still too weak.
If you use him as a prototype to design characters, it must be too thin and false, not authentic enough.
That's why Yang Yifeng felt that it was necessary for him to interview Zhou Cheng again in more detail.
It's also just a matter of Zhou Cheng being exceptionally granted the authority of the second-level surgeon yesterday, and inviting Zhou Cheng out.
Hearing this, Zhou Cheng seemed to recall a time when Yang Yifeng invited him to dinner, but he didn't agree at that time, Yang Yifeng politely said that he would make an appointment next time, and he couldn't refuse at that time, so he agreed.
Then he nodded and said: "Okay, Brother Yifeng. I treat you."
"However, regarding the authorization of surgery, it's okay for others to joke with me. Brother Yifeng, don't make fun of me."
"Compared to you, I'm afraid these are all leftovers from your games several years ago, so they are not worth mentioning." Zhou Cheng told the truth in his heart.
Yang Yifeng was exceptionally granted level III surgery authority, and he had performed level III surgery formally in the department, and he said it through Yan Hanhan's mouth. Who knows if Yang Yifeng even has level IV surgery authority? The operation was also performed secretly?
Although Zhou Cheng didn't feel that he was inferior to Yang Yifeng, but the things on the surface were indeed not worth mentioning with Yang Yifeng.
Besides, Zhou Cheng himself had never seen Yang Yifeng's operation, so he naturally didn't like to criticize it.
However, Zhou Cheng admired Yang Yifeng's cutaneous nerve anesthesia before.
Because of this kind of operation, Zhou Cheng couldn't do it by himself...
Even though Zhou Cheng has a perfect understanding of anatomy and shape, Zhou Cheng still maintains full respect for Yang Yifeng.
Yang Yifeng just replied indifferently: "It's nothing, good things are worthy of congratulations."
"Also, the matter of you getting Level III surgical authority will come to fruition when the time comes. It's just a formality."
"Brother Zhou Cheng, I didn't ask for your permission before, but I read the results of the postoperative patients' reexamination in your group, and also consulted my teacher. This matter shouldn't have caused you any trouble, right?" Yang Yifeng said calmly. .
Ding Changle's visit to the department and operating room all happened without Yang Yifeng's knowledge.
Later, it was Ding Changle who confessed, and Yang Yifeng knew about it, but Yang Yifeng didn't ask about the specific process, and he wasn't interested, he just hoped that he didn't bring any troubles to Zhou Cheng.
When Zhou Cheng heard this, all the confusion in his heart was instantly resolved.
It turned out to be the case.
Zhou Chengcheng said, why Cai Dongfan suddenly said that he would arrange a Class III operation for Ding Changle to see, so the most fundamental reason is here.
Shaking his head, he immediately continued the conversation: "Brother Yifeng was joking. If you say it this way, Brother Yifeng, you can't even refuse me to invite you to dinner."
If there is no Yang Yifeng, there would be no authorization for Class III surgery today.
Although Yang Yifeng had concealed it from him, it had brought him benefits. If he didn't know, he had to not know. If he knew, he should be thankful.
"How about today's lunch? Brother Zhou Cheng, it's been a long time since I came to the department, and we haven't had dinner together." Yang Yifeng just smiled and didn't worry about it any more.
So it was decided, Zhou Chengcai told Yang Yifeng that he still had things to deal with.
He turned and left the doctor's office.
……
About half an hour later, when Zhou Cheng finished changing the medicine for his patient, and then perfected the preoperative doctor's order for the new patient!
Cai Dongfan's relative sent Zhou Cheng a lot of fruit plates cut into fruits, more than a dozen plates, and the portion was really not light.One of the patient's family members, that is, Cai Dongfan's cousin, left after putting it down, and naturally did not forget to thank Zhou Cheng warmly.
Zhou Cheng hurriedly expressed his thanks, and then told everyone in the operating room to eat.He also went to the duty room and called the on-duty doctor Xu Yanlin and the on-duty doctor Lin Lin to eat together.
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This kind of thing naturally needs to be shared with everyone, and we should take the blame together.
When the patient gave the fruit plate, everyone shared it and ate it with peace of mind. After all, when the patients in other groups were delivering the fruit plate, everyone in the department ate it together.
Just, while eating.
Yang Yifeng suddenly walked into the doctor's office with a gloomy expression.
Most of the doctors in Yan Haihan's group went downstairs for surgery, so only Cai Dongfan and the six subordinates in Hu Ming's group ate fruit in the department. After seeing Yang Yifeng, although his expression was a bit strange.
But Lin Lin still greeted him and said, "Brother Yifeng, let's eat some fruit together. This is a gift from the patient's family to Brother Zhou Cheng."
Yang Yifeng swept around the crowd, and suddenly said in a particularly cold tone: "In the lounge, did any of you take the blue pen in the black leather notebook on the table?"
The tone of questioning was full of gunpowder, obviously very angry, but there was no affirmation in the tone, nor did it say that the affirmation was taken by one of them.
When Yang Yifeng asked, everyone immediately looked at each other in blank dismay.
Zhou Cheng was suspicious for a moment, scratched his head, and explained: "After I came out, I haven't been to the lounge. Among them, it seems that only Lin Lin has been there once."
"But Lin Lin definitely didn't take it."
"Brother Yifeng, is your pen missing?"
"How about we help you find it carefully?"
Yang Yifeng turned indifferently: "No need, I'll go to the security department to adjust the monitoring. I've already searched the lounge carefully."
After speaking, he threw the backpack on his back and disappeared through the door.
Everyone looked at each other again.
Zhou Cheng turned his head and asked, "Does any of you have Yang Yifeng's pen?"
In the department, passing other people's pens happened from time to time. Basically, everyone in the department passed by and was passed by.
But Yang Yifeng's head is a bit abnormal. If someone takes it, he may really call the police.
Guo Lei and the others shook their heads, and Guo Lei rolled his eyes and said, "Isn't it just a pen, what a fuss is it. Who cares about it?"
"The few of us haven't even been to the lounge, who took his pen."
Lin Lin and the others also shook their heads.
Zhou Cheng didn't ask any more questions. If the people in front of him really let him go and he didn't want to admit it, then it's none of his business.
……
However, unexpectedly, about half an hour later, Yang Yifeng quickly returned to the department, and then rushed directly to the nurse's station.
I found the nurse on duty and said, "One of your trainee nurses took away the pen I left in the lounge."
The nurse on duty was busy at the moment, so she turned her head and said, "Oh, Doctor Yang, then I'll tell her later, so she must remember to bring it tomorrow and just return it to you."
"Besides, your pen is in the doctor's lounge. How can you be sure that it was taken by our intern nurse?" He didn't care, but he said the solution first.
She doesn't think it's a very serious matter to take away the pen, isn't it just a pen?
"I checked the monitoring. Except for the doctor on duty, Lin Lin, who went into the doctor's lounge, she went to the lounge once, and then turned back to the nurse's station."
"I have a video here, and she is writing with my pen." Yang Yifeng also handed the video he took to the nurse on duty, who is also an old nurse in the department. The person named Yu Qian watched it .
Yu Qian glanced at Yang Yifeng, looked at the surveillance video taken by Yang Yifeng, and felt that there was something wrong with Yang Yifeng.
However, after all, the intern nurse took it away, so she said, "Okay, it's okay, Doctor Yang, this is the intern nurse from our department, her name is Zou Fenfang, I'll call later and ask her to bring the pen over in the afternoon."
"It's almost noon now, she went back to eat and rest."
Yang Yifeng said: "Can you give me her phone number, I can ask her to get it, or she can send it back to me, and I will treat her to dinner."
A look that obviously I want now, obviously attaches great importance to this pen.
Yu Qian was in charge of the doctor's order for the new patient, and when she heard Yang Yifeng's words, she became a little impatient, and turned her head: "Why are you like this?"
"Our trainee nurse took your pen, do you have to have her come back now?"
"Don't you see that I'm busy? I can't even give you this afternoon?"
"Don't we trainee nurses need to rest? Don't I have nothing to do?"
"Isn't it just a pen? I'll give you my pen, okay?"
Although Yu Qian knew very well that Yang Yifeng was a graduate student from the Affiliated Hospital of Shonan University, she didn't care so much. Yang Yifeng didn't do anything in the department, and her promotion had nothing to do with any professor or a dime.
Her personnel relationship is only in the hospital and nursing department, and has nothing to do with doctors.
Yang Yifeng usually spends [-] to [-] in the department, Yan Hanhan and the others are spoiled by him, but Yu Qian doesn't want to be spoiled.
"I just want my pen, Teacher Yu."
"She took the initiative to take my pen. I want to get my things back. This is a matter of course." Yang Yifeng didn't take the blue and black signature pen that Yu Qian handed over angrily.
Yu Qian was annoyed and didn't bother to serve Yang Yifeng, so she said, "Then go find her yourself, I can't find her."
"I'll give you a pen to write with. You don't want it. You don't need it for the time being. Just return it in the afternoon."
"I'm still busy here." After Yu Qian finished speaking, she only cared about her work.
Yan Haihan treats Yang Yifeng well, that's an intention, she doesn't care what Yang Yifeng's teacher does for her, so naturally she doesn't have to obey Yang Yifeng's orders.
Yang Yifeng didn't care, and called the police in front of Yu Qian.
"Hi, hello, I want to call the police. Yes, I'm in the No. 13 orthopedic ward of No. [-] Hospital, on the [-]th floor, No. [-] ward. My things have been stolen..."
"I called the surveillance and found someone."
Yu Qian was stupid at the time...
While making a phone call, Yang Yifeng turned and walked towards the doctor's office.
Yu Qian hurriedly came out of the nurse's station, and ran up to Yang Yifeng in astonishment: "You?"
"You called the police?"
"Are you sick with your brain?"
"I can't even give it to you in the afternoon?" Yu Qian was really angry. If this matter is reported to the police, the nature may change. Although she may not be involved, the nursing department will definitely call her Ask in the past.
"Taking without telling is stealing."
"Why can't I call the police? I didn't think about it. I just need to get my things back." Yang Yifeng walked around Chaoqian and wanted to leave!
Yang Yifeng knew very well in his heart that Yu Qian did not steal the pen, nor did she instigate it.
It is common sense that Yu Qian does not want to provide contact information.
Being willing to help him is a favor, not being willing to help is a duty.
Yang Yifeng didn't want to trouble Yu Qian, he just wanted to get his pen back.
Yu Qian pointed at Yang Yifeng for a while, she was speechless, and raised her head up and down: "Are you serious? You called the police for such a small matter?"
Yang Yifeng frowned: "I just want to get my pen back. It's nothing else." Yang Yifeng bypassed Yu Qian indifferently.
Yu Qian immediately said angrily: "I'll call her and ask her to send you the pen right away!"
"You simply have something wrong with a pen, which caused such a commotion."
"I've never seen anyone like you."
"It's meal time now, no one needs to rest."
"You still?" Yu Qian hurriedly called while talking.
Yang Yifeng said: "When she took my pen, she didn't consider my feelings. Why should I consider hers?"
"Please step aside, Teacher Yu, I don't blame you."
……
And because Yu Qian made a loud noise between the doctor's office and the nurse's station, Zhou Cheng and others who were in the office heard it.
They all showed astonishment, looked at each other, and felt quite speechless.
When the intern nurse heard that she had taken the wrong pen, and the owner had already called the police, she was so frightened that her face turned pale. She ran all the way back from the dormitory, returned the pen to Yang Yifeng, and kept bowing and apologizing.
His little face turned pale with fright.
Yang Yifeng didn't bother with her too much. After she returned the pen, he thanked her and asked her if she had eaten. If she didn't eat, everyone can go to lunch together.
Yang Yifeng wanted to eat, but this little nurse was so scared, how could she dare to agree to Yang Yifeng's dinner appointment.
I was so scared that I turned around and ran away.
And this farce ended in this way.
……
After the little nurse left, it was getting closer to the meal time, and everyone in the department finished their work one after another, left the department, and went to eat separately.
Yang Yifeng still didn't take it seriously, found Zhou Cheng, and then talked about going to dinner together.
Zhou Cheng is really a little scared of Yang Yifeng now.
Yang Yifeng, what should I say?
It cannot be said that he did it wrong, but it certainly cannot be said that he did it right either.
For a pen, almost scaring the little nurse to death who had no intention of walking along with the pen, is absolutely perfect.
Zhou Cheng nodded and said, "Okay, Brother Yifeng."
"Hurry up and check to see if there is anything else missing." Zhou Cheng had lingering fears and hurriedly asked Yang Yifeng to check.
But Yang Yifeng returned the pen to its original position, returned to the pen case, smiled and said, "No more, brother Zhou Cheng, do you think my behavior just now is weird?"
Yang Yifeng suddenly looked at Zhou Cheng with a bitter smile.
Zhou Cheng answered in his heart, yes, but on the surface he shook his head: "I don't think it's strange."
Then he pondered and replied: "However, I personally still feel that the trainee nurse didn't do it on purpose, and I will deliver it in the afternoon. In fact, it is acceptable."
Yang Yifeng has a weird temper, but it is undeniable that he is an out-and-out genius in medicine.
With a cheat, he may not dare to say that he is better than Yang Yifeng.Because Yang Yifeng knew his background now, but he didn't know where Yang Yifeng was.
And thinking that Yang Yifeng was weird, Zhou Cheng only considered that his idea of dropping out of school was very incomprehensible. In other respects, it seemed that there was nothing strange about Yang Yifeng.
Not a lunatic, nor a fool.
Well, maybe Yang Yifeng handled this matter a little too radically today.
Zhou Cheng felt that if he got along with such a person, he definitely didn't have the ability to change his thinking, or anything else.
However, Zhou Cheng felt that he still had to express his thoughts in front of Yang Yifeng face to face.
Whether to talk or not is his own business, and whether to listen or not is his choice.
Zhou Cheng is not afraid of offending Yang Yifeng, nor is he pinned on trying to please him to get something. There is no one-sided prayer for benefits, and when he gets along naturally, he will be more natural and casual.
Moreover, Zhou Cheng felt that if what he said could make Yang Yifeng change a little bit, then it would be worthwhile.
Yang Yifeng and Zhou Cheng got off the elevator at the same time. After getting off the elevator, Yang Yifeng watched the people around him disperse.
Then he suddenly turned his head and said to Zhou Cheng: "Brother Zhou Cheng, I can feel a very strange aura from you."
"That's why I will talk to you a few more words."
"Actually, I didn't ask that little nurse to send it just for a pen."
"If she wants this pen, I can buy ten more for her. But not this one, it was a relic from my mother, it was my 16th birthday present, and I still use it today."
"Whether it is this pen or the meaning it carries, it is very special."
Yang Yifeng felt the same kind of aura from Zhou Cheng, it was aloof, and it could be said to be peaceful.
Being able to deal with anyone peacefully is a manifestation of one's own strength.
People in the department, from Yan Haihan to Xiao Zhupei, and even the anesthesiologist, when they get along with him, they will faintly bring out a sense of admiration or boredom.
Admiration is his strength, boredom is his temper.
Only Zhou Cheng didn't have either of these two.
If you don't admire it, it means that Zhou Cheng is either evil or very powerful.
Not bored, which means feeling unnecessary.
Zhou Cheng is obviously not suitable for the type of Shabi.
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Zhou Cheng listened carefully to every word Yang Yifeng said, so even though Yang Yifeng said it casually, he still noticed the word relic.
Then it came to a sudden, if this is the case, then Yang Yifeng's actions today are understandable.
It is understandable that a relic left by his mother before his death has accompanied him for many years, so solemn.
Zhou Cheng felt that if it was him, he might be even more irritable: "So that's how it is!"
"That's why that little nurse did something wrong." Zhou Cheng understood Yang Yifeng's actions.
Yang Yifeng didn't dwell on this topic in detail, and smiled freely, then hailed a taxi, and sat in the back seat with Zhou Chengyi.
Zhou Chengcheng told the driver to go to the courtyard house that Cai Dongfan took him to before.
Yang Yifeng is not an ordinary person, and the relationship is not very close, so it is the first time to treat guests to dinner, it is better to choose a place with better scenery and high grade.
Like the Sancheng Local Restaurant, and the Fat Sausage Restaurant, they are not up to standard.
The high grade was selected because of unfamiliarity and lack of closeness, so I could only choose more politely and show respect.
If Du Yanjun and Zhang Zhengquan were invited to dinner, they would be able to get rid of the box lunch, and the relationship was close, so there was no need to get entangled in some details.
The taxi driver was a little silly: "Boss? How do I get here?"
This place is very remote, not in the county, so it is not easy to find.
Zhou Chengcheng showed the driver the navigation, and the driver said after reading it, "Oh, it's there, I see."
After reading it, he stepped on the gas pedal and left, while Yang Yifeng looked at Zhou Cheng curiously.
He smiled and said, "Brother Zhou Cheng is very good at choosing places, even taxi drivers can be difficult."
Zhou Cheng said: "Teacher Cai took me there not long ago, and I just found out."
Yang Yifeng didn't say much.
When he arrived at the place, Yang Yifeng took a deep breath of the smell of green grass mixed in the fresh air, and immediately felt refreshed. Looking at Zhou Cheng, he said:
"Brother Zhou Cheng, this is a good place. Sitting there looking at the rivers and lakes, listening to the rain while typing, is definitely a very enjoyable thing."
Yang Yifeng pointed to an attic at the end of the corridor in the distance, and said so.
The furnishings here are quite antique, and there are no coquettish decorations. It is indeed a bit of the kind of wind and rain in the rivers and lakes.
Zhou Cheng didn't quite understand this kind of elegance, so he said, "Brother Yifeng, you can come here occasionally to find inspiration."
"You can sit and eat outside here, either in the private seats or in the pavilion."
Yang Yifeng immediately said emotionally: "Then let's go to the farthest pavilion, and have two pots of tea first, it's the most suitable."
After saying that, he quickly walked in that direction, and said, "Brother Zhou Cheng, go and order food, I'll go for a walk first..."
I don't even want to order food.
When Zhou Cheng ordered four dishes and walked over, he found Yang Yifeng standing under the attic with his arms open, embracing nature.
After getting closer, I saw that he closed his eyes tightly, took a deep breath and puffed up his chest, at the same time, a few lines of tears slipped from the corners of his eyes.
Zhou Cheng suddenly became inexplicable again: "Brother Yifeng, are you okay? Did you remember something unhappy?"
Yang Yifeng shook his head, stretched his waist, and the water drops from the corners of his eyes were blown away by the wind in the river.
Then he twisted his neck and said, "I don't have so many unhappy things."
"It's just been a long time since I felt as comfortable as today, thank you for bringing me to such a good place!"
……
However, after speaking, Yang Yifeng sat on a stone stool, took out a black leather notebook from the side of his backpack, and took out a blue pen from his schoolbag.
After writing and drawing a few times, he closed the notebook and said to Zhou Cheng: "Brother Zhou Cheng, are you interested in hearing me tell you a story?"
Zhou Cost doesn't want to hear it, he just came here today for dinner.
But seeing Yang Yifeng's sudden change of mood at the moment, he couldn't refuse: "All ears. The stories told by great writers must be extraordinary."
Yang Yifeng slowly said the opening remarks:
"I have a friend, and a very good friend of mine."
"It's also the protagonist in my current novel."
He said, raised the blue cap pen in his hand, twirled it in the palm of his hand, then suddenly looked at Zhou Cheng with sharp eyes, and suddenly asked:
"He turned himself into an orphan, do you think he is hateful?"
The voice is a little fast, not as calm as before!
After Zhou Cheng heard it, he was so frightened that he stood up and took three steps back!
I am O!
What the hell kind of logic and fairy opening is this?
Do you always start your novels like this to attract readers' attention?
Zhou Cheng has seen a lot of routines that are created out of nothing, and Zhou Cheng has seen too many routines that friends say about himself.
But even so, Zhou Cheng was so frightened that his face turned pale.
Turn yourself into an orphan?
You mean you killed your parents?
You are not only mentally ill, you are also seriously ill, brother!
Yang · Lang Mi · Yi Feng?
Zhou Cheng instantly came up with a possible guess——
Yang Yifeng is mentally ill.
When he got sick, he accidentally hurt his parents, and his condition got worse, but his condition was well controlled, so he did 'not guilty'?
Have time to go out for a stroll?
Seeing Zhou Cheng's expression and movements, Yang Yifeng scratched his head.
Then he shook his head mockingly: "I understand what you mean, so I won't ask any more questions, and I won't say anything."
Zhou Cheng's nerves were tense, and his back felt a little cold, but after he endured for a while, he suddenly asked, "Brother Yifeng, since it's all started, let's finish the story. A story has a beginning and an end."
"When we listen to a story, we generally hope to know the ending."
After Zhou Cheng calmed down, he still felt that the matter must be more than that simple.
Otherwise, it is absolutely impossible for Yang Yifeng to escape in such a way that even his own parents--
It is impossible for such dangerous elements to still walk here at will!
Even if he himself agrees, his uncles, uncles, aunts, etc. will not agree, and the country will not agree.
Yang Yifeng looked at Zhou Cheng again, seeing that Zhou Cheng really wanted to hear it, so he slowly talked about the whole thing.
Moreover, this time, Yang Yifeng didn't happen out of nothing.
Outlined: "Six months ago, my parents went on a self-driving tour, and on the way back from the tour, a car accident happened."
"Both were sent to our hospital, in the emergency department, my father was in a milder condition, and my mother had multiple ruptured major arteries."
"At that time, the professors of vascular surgery who were able to perform this kind of surgery happened to be out of the province for a meeting."
"And I can do this kind of operation, so I performed the operation on my mother myself, and an associate professor personally performed the operation on my father."
"Before the operation, I made an assessment in my mind. If I perform the operation on my father, there is at least a [-]% chance that he will survive."
"If I operated on my mother, it would be less than [-]%."
"At that time, the associate professor said that my father had only half the chance of doing it. He didn't dare to go on stage for my mother's operation. He also invited consultations from other hospitals, and he also said the same thing."
"I became greedy, so I went to perform the surgery on my mother myself."
"In the end, I saw my mother under my scalpel and never woke up again!"
"Before she was sent to the hospital, she lost too much blood, and a malignant arrhythmia occurred during the operation, so she left."
"When I was rushing to the operating room where my father was, the thrombus in his lower extremity artery dislodged, causing a large-scale lung and heart infarction, which could not be rescued..."
As Yang Yifeng said, he patted his head lightly.
Seems full of self-blame.
Zhou Cheng suddenly realized, he bit his lip and looked at Yang Yifeng, unable to utter a word.
Physicians do not heal themselves, and do not heal family members!
My own family does not see a doctor for my own family!
This has always been a taboo from ancient times to the present!
Zhou Cheng could understand Yang Yifeng's nervousness at that time, his embarrassment when he faced who was going to be operated on, and his self-blame when he faced the final result.
He wanted to comfort him, but Zhou Cheng couldn't say a word.
Faced with such a choice, is it impossible for an individual to make a normal choice?
It can only be said that it is a trick of good fortune.
"Brother Yifeng." Zhou Cheng grabbed Yang Yifeng's wrist after seeing Yang Yifeng hit him a dozen times in a row.
Yang Yifeng let out a long breath, and said, "It's okay, I've actually walked over and walked out a long time ago."
"My mother is a writer and my father is a university professor."
"This pen, I used to have the same one. My dad bought it for me when I was learning to practice pen calligraphy. Then I lost it, so my dad and mom bought it again on their 16th birthday. Got one."
"It took a lot of work. This kind of pen has actually been discontinued, and I don't know how they found a new one."
"In the past, my parents thought that studying medicine was too hard, so they advised me not to study medicine. They asked me to study economics and finance, and even to study liberal arts. Come in."
"Just barged in." Yang Yifeng still said calmly.
"Just broke in like this." Yang Yifeng continued to repeat.
Zhou Chengcheng looked at Yang Yifeng quietly, and suddenly, he seemed to understand completely...
To sum it up, it can be summed up in a few words.
Yang Yifeng's parents did not recommend Yang Yifeng to study medicine at first, saying that studying medicine was too hard, but Yang Yifeng wanted to study medicine.
And he has learned quite well, but it is this good that makes Yang Yifeng face his parents in a car accident, he has to choose between two choices, one is that 90.00% can only save his father.
The mother can only resign to fate, see if she can hold on, or simply give up.
The other is that both parents have an expectation. Yang Yifeng is greedy and chooses the most risky one.
Naturally, he was reluctant and didn't keep it in the end.
So, Yang Yifeng is thinking about writing novels now, writing novels seriously, but he thinks this is what he should listen to?
He himself actually likes medicine?
Zhou Cheng thought it was very possible.
The simulation copy is based on reality. Yang Yifeng once appeared in the simulation copy as a small partner in the department.
He came here by himself, and when he saw something new, he came here by himself——
It is the small incision open reduction and internal fixation.
Yes, if he didn't like it, if he wasn't interested, how could he find it by himself?
And then in the middle age, close to the age of knowing the destiny, to reset life to zero regardless of everything, and set off on the road of writing again?
Just in time, the waiter came to serve the food at this moment.
When Yang Yifeng saw other people coming, his expression and emotions gradually calmed down.
Sitting upright, he opened the black leather notebook again, took off the cap of the blue pen, and wrote and drew in it for a while.
Then, it is closed and up, and carefully stored into the hollow pocket of the backpack and the inner compartment of the schoolbag.
Four dishes, served together.
Yang Yifeng poured tea first, and said to Zhou Cheng: "I'm sorry, Brother Zhou Cheng, I was here to celebrate your good deeds today, but I was disturbed by my bad things. I will replace wine with tea and punish myself with a cup."
"Thank you for listening to my whining without interruption."
Zhou Cheng hurriedly raised the tea, and asked, "Brother Yifeng, do you want some real tea?"
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Zhou Cheng suggested to change it to wine. Wine is not good wine, it is all bad things, but sometimes, a little bit of it is really suitable, such as now.
Yang Yifeng shook his head resolutely: "Brother Zhou Cheng, if you want to drink, you can do whatever you want. But in this life, I will never drink again!"
That is, I have drank it before, and I will definitely not drink it now.
Zhou Chengcheng stopped persuading him, he has his own habits, as if he just doesn't like smoking.
"It's better to drink tea. Actually, I don't like drinking, smoking, or chewing betel nuts. It's just that I can't help it. But after entering the department, I have to choose one. I choose to drink occasionally." Zhou Cheng explained What was just said.
Afraid of irritating Yang Yifeng.
Yang Yifeng said indifferently, "Yes."
"No way, how can there be any perfection in the world?"
"There is no so-called perfection at all. Perfection is always defined by people from a human perspective, and theory is defined from a theoretical perspective. There is no perfection from an objective perspective."
"It's like there is no real circle. What we see is just a polygon whose edges and corners are ground very flat, and there are no tools to check it out..."
"Maybe, only by realizing that there is no so-called perfection in this world can we appreciate the perfection we can understand."
Maybe Yang Yifeng thought of the choice he made back then, so he felt a little emotional.
However, what Yang Yifeng said!
He does not mean that!
Suddenly, Zhou Cheng's mind exploded like thunder.
The whole person stood up at that time.
It seems that the shackles that had been obsessed and confused before were smashed to pieces by Yang Yifeng's words, and then reassembled——
Correspondingly, even in the simulated copy, the level of skills has changed——
Beginner, Normal, Skilled, Proficient.
Perfect level, there has been a change——
Perfection - world-defining class.
As for the level of manipulative reduction of fractures, it has changed from perfect—redefined—to——
Perfect (Beyond world definition.)
At the same time, at this moment, the amputated limb/finger/replantation surgery that Zhou Cheng has been obsessed with has finally reached the perfect level.
Amputation/finger/replantation (perfect - world definition).
Zhou Cheng was rather stunned and a little dumbfounded.
So, is it like this?
The pinnacle that one can reach is perfection, and perfection does not exist in the true sense, and it will never exist, because it may be optimized at any time, and even thousands of years later, it may still be changed.
Therefore, what I have been pursuing so hard before, to replant the severed limb/finger/toe and break through to the perfect level, does not exist at all.
Broken limbs/fingers/toes are broken, and it is impossible to fully restore them to the way they were before the injury. If they cannot be fully restored, there cannot be a perfect definition of this operation!
The current replantation of amputated limbs/fingers/toes, to be precise, this operation should be called functional remedial surgery of amputated limbs/fingers/toes. How much function can be left must be considered comprehensively, but the only thing is absolute, that is, no Possibly back to [-]%!
Other fractures, manual resets, etc., exist in the perfect level in the simulation copy.
Because, at present, fracture is the only known disease that can be fully recovered.
After Zhou Cheng figured it out, he suddenly felt relieved and complicated.
Seeing Zhou Cheng's sudden reaction, Yang Yifeng raised his eyelids, and said, "Brother Zhou Cheng, am I wrong?"
Zhou Cheng immediately brought his consciousness back to reality: "No, brother Yifeng, what you said is right. You are very right!"
He raised the teacup with both hands and bumped into Yang Yifeng, and his mood suddenly became brighter.
Unexpectedly, he has been entangled for so long, and has been entangled in the simulated copy for several lifetimes. Now, in this way, he suddenly untied the shackles and gained a new understanding of everything.
Yang Yifeng is definitely a person with outstanding talent. When it comes to talent, I am afraid that I am far from him!
It's just that if I have a plug-in, it is possible to be one step ahead of him in some places.
However, the aptitude is still not as high as him, this is absolute, and this is the imperfection in the perfection of having a cheat.
But even so, it was the right time to agree to have dinner with Yang Yifeng today.
Definitely a big pair.
After the two of them drank the tea, they immediately turned into gluttons and began to eat, as if all the previous emotions were taken away.
After eating, Zhou Cheng felt a little overwhelmed, and Yang Yifeng also felt that he ate more than usual. After wiping his mouth, he spoke slowly to Zhou Cheng again.
"Brother Zhou Cheng, actually, I'm looking for you today, and I have one more thing to tell you."
"My teacher asked me to come to your group first and watch your surgery on his behalf, and then he can arrange for you to be granted a Class III surgery depending on the situation." Yang Yifeng said suddenly, very random.
But Zhou Cheng was stunned for a while when he heard the words, but he suddenly realized again.
Yang Yifeng came to our group?Can Yan Haihan agree?Yang Yifeng is willing to come?
Zhou Cheng hadn't thought about it before.
Unexpectedly!
But it is reasonable.
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Chapter 123 Could it be that he is very strong?
"Brother Yifeng, it's not suitable for you to come to our group, right? And Director Yan, what do you say?" Yang Yifeng's words must be a good thing for Zhou Cheng.
It's just that Yang Yifeng was brought to the department by Yan Haihan, and he came in the middle of October, but he just ran away the next month, so Yan Haihan couldn't die of depression.
"Just tell the truth, there is no need for other explanations."
Yang Yifeng didn't care, but patted his stomach, feeling that today's meal was pretty good.
The taste is decent, the scenery is good, and I have spit out the knot hidden in my heart, at least not as uncomfortable as before.
The reason why I confide in Zhou Cheng is because I regard Zhou Cheng as a similar person, and maybe I don't want to be misunderstood by Zhou Cheng as having behavioral eccentricities.
As for the other people, they are not at the same level. Yang Yifeng doesn't care what they think.
As for the existence of Zhou Cheng, since Yang Yifeng saw Zhou Cheng's manipulative reduction and intramedullary nail fixation last time, he affirmed that Zhou Cheng is also a wonderful person——
He obviously has a talent no less than his own, but still patiently stays in the eighth hospital to grind his temper, maybe he has other plans.
Behind Zhou Cheng, there is also his story.
Yang Yifeng wanted to dig them out and write them into his novel, so as to profile Zhou Cheng's character and purpose, but Yang Yifeng was also worried that if he dug Zhou Cheng's secrets, it would touch his heart in the sad place.
He puts himself before others, so Yang Yifeng hesitated to dig deep into Zhou Cheng while he was eating.
"This is also what my teacher told me. What can Director Yan say?" Yang Yifeng said indifferently.
Zhou Cheng suddenly realized, looking at Yang Yifeng who was calm and breezy, he was quite envious.
Backed by a teacher and supported by top professors at home, it is really easy to act. Moreover, from Yang Yifeng's response just now, it can be seen that Yang Yifeng's logic is actually normal, and his behavior is in line with of his own personality.
It's not that it's cold, but that it's unnecessary to show off to people who don't think it's necessary.
Acting on the occasion is generally only done for those who are worthy of acting on the occasion, and actors in reality only act for a few people.
This is true.
Zhou Cheng smiled sassyly, he was just envious, and felt that he would definitely not be able to do what Yang Yifeng did. He has been here for more than two years, and when he speaks and does things, he cannot simply judge by whether the other party is worthy of your attention.
Zhou Cheng said politely: "Then I hope that I can learn more from you, Brother Yifeng."
Yang Yifeng just shook his head: "I don't have surgery, I only walk during rounds, and don't talk much."
"You'd better go your own way, I'll just write novels and just hang around." Yang Yifeng smiled self-deprecatingly.
Then he swept the topic over again: "Brother Zhou Cheng, you can go back later, the environment here is not bad, I will code here."
"Then, by the way, discuss with the proprietress whether you can come here often to rest and relax."
In Shashi, where commercial development is over-developed, it is not easy to find such an elegant and quiet place. It would be best if there are a few fellow writers of novels who can communicate with each other. Just think about it.
In fact, it is not so easy to implement it.
……
Zhou Cheng chatted with Yang Yifeng for a while, then got up to leave.
Everyone has their own ideas and pursuits. Zhou Cheng never thought of changing Yang Yifeng's pursuit, because he was powerless to change Yang Yifeng's experience.
Naturally, he couldn't control what he was thinking, what he was thinking.
It is not easy for everyone to live well.
I took a taxi, rushed back to the rented house, and checked my bank card balance at first glance.
This month, because I invited meals and often took taxis, it seems that I have used a little overspend. The subsidy for regular training will not be paid until the middle of next month.
It seems that I have to call home and ask for some money.
From the time of Guipei, Zhou Cheng never asked his family for money again, and he had left a certain amount of savings before, but this month's favors have changed, and it is a bit too much to treat guests to dinner, so he kept what was left before. Many deposits have been wiped out.
But it's definitely worth the money.
Gui Peisheng has no holidays, Zhou Cheng has been training for two years, and he only goes home during the National Day holiday for two years, and spends the Chinese New Year in Shashi.
Therefore, every week, Zhou Cheng would make a phone call or send a video greeting to his family to express the missing of Lao Zhou and his mother.
I have already called two days ago, but I didn't ask for money.
But today's bank card balance bottomed out, so Zhou Cheng called back again. It was Dad who answered the phone. Dad opened a store in the town to do business. When he answered the phone, he seemed to be still talking about things with customers. After answering the phone, I apologized to the guest twice.
Then turn to a quiet place: "Da'er, I just called the day before yesterday, why did you call back today?"
Even though he asked like that, there was no sign of impatience at all, and his voice was hearty.
My family name is Zhou Chengdaer. My parents used to think that there must be more than one child, but later I heard from my father that I should have a younger sister. When my mother was pregnant, she couldn't stay and hurt her body. Then Zhou Cheng became one.
But the eldest son's address still kept calling like that.
Mom said several times that Zhou Cheng was a son, so grandma didn't talk too much about it, but occasionally said that there was only one child in the family, and it was still too deserted.
Because of the frequent phone calls, Zhou Cheng said it directly: "Dad, ask the family for some money. I have exceeded my budget this month, and I am starving to death."
The eldest son is also an only child, and Zhou Cheng has always been confident because of his parents' doting on him.In addition, Zhou Cheng never caused any trouble for his family. From elementary school to high school, although his grades were not very good, he never asked his parents to wipe his ass.
Therefore, Zhou Cheng has always been very lenient in terms of money. Every time Zhou Cheng asks his family for money, he is quite generous.
Zhou Cheng's expenses are also limited. In the past, every time the school started, he directly gave Zhou Cheng the tuition fee and living expenses for one year, and Zhou Cheng could go back to bring some things to Lao Zhou and his mother.
So Lao Zhou said without much hesitation: "How much?"
"Looking for a girlfriend?" Lao Zhou immediately grasped the key point keenly.
When he was in college, Lao Zhou gave Zhou Cheng 1600 a month in the first year, and then reduced it to 1400, 1200, [-] year by year, which was enough for Zhou Cheng.
There has never been anything wrong. Now Zhou Chengguipei still has more than 3000 subsidies per month. Excluding the rent, there is a lot of surplus food. Zhou Cheng suddenly called today, and Lao Zhou can only think of this change.
And it was what Lao Zhou had been expecting and urging all along. It was best to hope that Zhou Cheng could abduct a daughter-in-law from the city back.
Zhou Cheng then said in a low voice: "No, dad, it's our hospital's regular trainee who has a chance to stay in the hospital, so? It's used a lot."
Old Zhou's plan was that Zhou Cheng would go back to work in the county hospital or the town hospital, that would be the best.
He can support buying a house and car without any pressure, marrying a wife and so on. Zhou Cheng's job is stable, and he will definitely have no worries about food, clothing and comfort in his life.This is the limit of what Lao Zhou can do.
If Zhou Cheng stayed in Shashi, Lao Zhou felt a lot of pressure, so he called him many times to persuade him.
But Zhou Cheng has never let go, and the old Zhou hasn't talked too much in the past year. His children and grandchildren have their own blessings. He can't help Zhou Cheng too much, and he can't delay his children's desire to yearn for a big city.
Just tell Zhou Cheng, then I can only try my best to help.
But Lao Zhou still said quite angrily: "Let's leave the comfortable life at home, but I just want to go to the big city to suffer. I hope you won't regret it when the time comes."
"I'm talking about your work, and it's fine if you don't listen to the family. But when can you bring me a daughter-in-law home for the New Year. This is the business."
"How much do you want?" Zhou Cheng is only 25 this year. Zhou Cheng feels that he is still a child. Unexpectedly, the old Zhou will start to rush for big things in life.
I can also understand that before I graduated, Lao Zhou said that college can fall in love and increase living expenses.
I thought that Zhou Cheng was capable and good-looking, but old Zhou thought that Zhou Cheng had inherited the gene of a handsome boy from his old Zhou family. Now that he went to college, he was not a wolf like a sheep, and he would soon have to bear the burden of a family of two. rations?
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He generously paid two thousand a month.
But as a result, Zhou Cheng remained silent year after year.Lao Zhou directly adopted the economic blockade and reward mechanism.
The cost of living has been reduced year by year, and I promised to find a girlfriend for four thousand a month.
But Zhou Cheng still didn't live up to it, and made old Zhou once doubt whether this kid was his own. When he was young, girls of the same age in the nearby villages often took the initiative to run home to please old Zhou's mother...
"One thousand and five." Zhou Cheng didn't ask for more, he just hoped that he could last until next month's salary.
Then get rich.
"Find a girlfriend, and I'll call you [-]!" Lao Zhou was still persuading...
"I can't afford it." Zhou Cheng rolled his eyes, feeling that he was out of shape.
"I'll give you money……"
……
After Zhou Cheng hung up the phone, he felt a little embarrassed.
The tutors of other people's families are all the same. Men only worry about fame and fame, even if their wives don't?
But Lao Zhou is urging him to find a partner. Such parents are also a must.
Of course, Zhou Cheng can also understand the thoughts of Lao Zhou and his mother. There are three kinds of unfilial piety, and the greatest thing is to have no descendants. Maybe it is because he left home after going to college and wandered outside, so Lao Zhou and his mother feel lonely. , also failed to practice a trumpet.
So point at him to have a baby to pass the boredom.
Zhou Cheng can understand that Lao Zhou and his mother are quite envious of other people's scenes of having children in groups and having fun under their knees during the holidays.
But he plunged headlong into the doctor's profession, especially after the regular training, the vacation cannot be what he personally wishes.
Zhou Cheng didn't go home last year, Lao Zhou and his mother moved with their family, and they left their homes and came to Shashi for the Chinese New Year.
But even though he understood Lao Zhou, Zhou Cheng still felt that he couldn't just agree with them. Once he found a girlfriend, Lao Zhou and his mother would definitely talk about getting married and having children.
With family and children as fetters, Zhou Cheng felt that he was tied up, and if he wanted to run, he should be timid, and he had a lot of scruples.
It's better to stabilize the work and school affairs first, and then talk about these things.
To be honest, although Zhou Cheng's grades were not top-notch when he was in college, his appearance and personality were the key factors.
In college, who would look for a crush based on grades?
The girls who have been developed have already become beauty control, and it is estimated that the beauty control will only last for a few years, and then they will become popular...
Zhou Cheng secretly made a decision, and then looked at the last chance left in the mock copy.
Press hold to start the simulation without continuing.
What happened today made Zhou Cheng feel once again that the entanglement between the simulated copy and the reality is actually very deep.
The improvement of skills can not only be achieved through simulated copies.
Instead, the simulated progress in the simulated replica is all based on real-life factors.
Just giving myself a sufficient timeline for improvement, and relying on myself to improve myself through the simulated copy does not mean that learning in reality and building a knowledge base and network foundation are useless.
On the contrary, it is very useful, and even the higher the platform in reality, the better the simulation copy can be used.
Looking at his skill panel again, there are a bunch of perfect-level skills that look quite luxurious, which is indeed pleasing to the eye.
[Open reduction and internal fixation of fractures (perfect - world-defining level)]
[Closed reduction of fracture (perfect - beyond the definition of the world)]
[Open reduction and internal fixation with small incisions for fractures (perfect - world-defining level)]
【Bone Transport and Grafting for Bone Defects (Perfect - World Definition Class)】
【Joint dislocation reduction surgery (perfect - world-defining level)】
[Replantation of amputated limb/finger/toe (perfect - world-defining level)]
[Debridement and suture (perfect - world-defining level)]
【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)]
……
Then there are a bunch of miscellaneous skills.
These skills, no matter in terms of level or quantity, are already extremely sufficient. Even Zhou Cheng thinks that ordinary associate professors and professors in the Affiliated Hospital of Shonan University may not be much better than this.
But Zhou Cheng was not proud and complacent because of this.
Because, with the deepening of his understanding and understanding of the profession of medicine and orthopedics, he felt that he was becoming smaller and smaller.
For example, as far as the level I surgery and level II surgery he has obtained so far, Zhou Cheng's understanding of them is still rough, don't feel weird...
Zhou Cheng came to know himself in this way from an objective point of view——
For now, regardless of the grading and definition of surgery in each hospital, the official Huaguo Health and Health Commission has announced the types of secondary surgery as follows:
1. Traumatic tendon repair
2. Simple internal fixation of limb fractures
3. Treatment of simple open fractures
4. Amputation of limbs below the shoulder and hip joints
5. Simple surgical trauma treatment
6. Simple surgery for chronic osteomyelitis, drainage for acute osteomyelitis and septic arthritis
7. Achilles tendon lengthening
8. Sternocleidomastoidectomy
9. Equinovarus correction plaster external fixation
10. Hip first manipulative reduction and plaster fixation
11. Simple removal of internal fixation
12. Extremity aneurysm resection
13. Transmetatarsal amputation
14. Syme amputation
15. Below-the-knee amputation
16. Amputation and amputation
17. Above elbow amputation
18. Below the elbow amputation
19. Knee amputation and amputation
20. Upper extremity vascular exploration
21. Lower extremity vascular exploration
22. Lower extremity arterial thrombectomy
23. Upper extremity arterial thrombectomy
There is also a more detailed version of the summary table, with a total of more than 180 surgical classifications, listed in the list of Class II surgeries. (Just put a part of it, I feel sorry for putting too many words of aboveboard water.)
(The above is a total of more than 200 words, not too watery, mainly cautious and objective!)
In these catalogs, amputation is not mentioned. Amputation, Zhou Cheng can do it with his eyes closed now, but apart from these, there are still many routine level II surgery authorizations that he has not learned. Therefore, you can There are many things to learn.
For example, Achilles tendon extension, arterial thrombectomy, tumor resection, etc.
This was issued by the Health and Health Committee, and there is also a catalog of Class II surgeries customized by each hospital. It was an eye-opener for Zhou Cheng, and he needed to understand them in detail one by one. A deep understanding also requires a certain time span. solve these problems.
The extension of the Achilles tendon and the suture of the tendon are similar to each other. Although Zhou Cheng has a perfect suture of the tendon, but?
Extension and simple suture are really not the same thing. Although only a little bit is added on the basis of suture, the whole operation process and process are completely different.
……
Before obtaining authorization for the operation, Zhou Cheng took the simulation copy and played around aimlessly, but now that he has this directory as a guide, Zhou Cheng knows the direction of the simulation next.
If it is based on the detailed level II surgery issued by each hospital, it will be simulated again.
Even if you get the perfect level skill at one time, you can get three in one day.
It was only two months after finishing the level II surgery of orthopedics.
The road to medicine is long and long, and this is just the foundation. Although some skills may not be necessary, since I have the opportunity to learn it well, why not learn it?
The more skills a doctor has, the more confident and prepared he will be.
Such an unconventional way to learn comprehensively is definitely not applicable to ordinary people, and there is no need for in-depth study of some skills, which is a waste of time.
But with such an opportunity, Zhou Cheng still wouldn't let it go and learn well.
This is Zhou Cheng's problem. If you don't do it, you don't do it. If you do it, you do it well. There is nothing wrong with it.
It is also this character that allowed Zhou Cheng to make no mistakes during the two years of clinical training, not to mention that he never made any minor mistakes, but basically he never made any mistakes that could attract the attention of his superiors.
Mistakes like prescribing the wrong doctor's order often happen in the department.
If there is something to learn, if there is an opportunity to learn, and there is no need to waste anything, then learn it.
Even if you can't use it after learning it, it doesn't matter.
If you wait until you meet such a patient before you learn, you can only know a little superficially.
After sorting out these ideas, Zhou Cheng then turned to the direction of Achilles tendon lengthening.
It is still the same old way, read the book first to understand this skill...
Then get it, and finally delve into it. This is the correct direction and way to learn a skill.
……
While Zhou Cheng was reading a book, determining his next study direction and arranging study plans.
An Ruo was finally in the three-bedroom and one-living room that he bought, quietly watching the one room that was transformed into a super-large study room, and a lot of professional books were added.
And after the flower arrangements and green plants on the balcony of the room were still very lush, they finally clapped their hands.
Sitting on the reading chair that I specially bought, I feel that everything in it is simply wonderful.
She originally thought that it might take at least a week before she had time to clean up the study room for the new batch of books.
After all, based on her habit of more than a year, the normal work is from [-[-] am to [-[-] pm.
It's about 06:30 when I get home. After I get home, it must be around seven o'clock for dinner.
But An Ruo still has the habit of exercising. She used to jog in the morning, but now she can't get up so early, and half an hour of exercising is postponed until evening.
Then, after exercising, An Ruo would read books for two hours every day.
In this way, it is more than nine o'clock.
The sleep mask before going to bed and watching dramas have been severely squeezed into less than half an hour, and then I have to maintain my face, a set of lotion, and I pray that I don't need to wash my hair, otherwise, blowing my hair and...
An Ruo felt that her long hair was very annoying, but she was reluctant to cut it, after all, she still liked it, otherwise it would be impossible to maintain the frequency of trimming once every two weeks, and keep the length that suits her best.
In this calculation, the time for washing clothes must be added.
Squeeze it out like toothpaste, and the time you can take care of the study is ten minutes to half an hour a day, at most!
An Ruo arranges herself to the fullest every day.
However, she sorted out the books that arrived yesterday, the courier that she received, and because she left work early today.
An Ruo wiped the sweat on the lower part of her neck with the towel hanging around her neck, then trotted to the bathroom, brought all the brooms, mops, vacuum cleaners, etc. that had been hung up and drained, and continued to work. For the messy ground.
Finally, at 07:30 in the evening, An Ruo was very satisfied looking at the clean and tidy study room and the faint fragrance of flowers in the air.
Looking up at the extremely soft incandescent lamp I bought, suitable for reading, I smiled like a silver bell.
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He murmured, "Actually, it's great to be able to leave work early."
After eating at noon today, she was free and took a nap for half an hour, which was not too comfortable.
Laughed for a while, looked at the time, frowned immediately, and said aggrievedly: "There is not enough time, and it is too late to order takeaway, it seems that I can only eat small cucumbers and boiled eggs to kill dinner."
Put cold water in the rice cooker, put eggs into the pot, and then ran to take a bath and washed my hair at the same time.
Then I hurried to dry my hair.
After blowing my hair, I hurried to apply it.Immediately afterwards, like a little bee, he picked up the small cucumbers stored in the refrigerator, took three, turned off the rice cooker, scooped up the eggs, peeled them, and then rinsed them with cold water to cool——
Taking another box of yogurt, he ran into the study in a hurry with the plate in his left and right hands and the yogurt hooked on his elbow, and started reading for today.
The sound of the book being opened was as crisp as clattering, accompanied by the clicking sound of biting cucumbers like a mouse...
When An Ruo read the book and saw about nine o'clock, his mobile phone vibrated. An Ruo frowned, pushed away a few empty plates, turned on the screen, and saw that his teacher had sent him a message.
"An Ruo, tomorrow we will still give anesthesia to the department of orthopedics. There are only three operations." When An Ruo saw this message, she immediately felt terrified.
I didn't even want to read a book anymore, so I quickly stepped on the chair and sat like a cat——
Picking up the phone with both hands, he replied: "Teacher, why is it another orthopedics department?"
"Can't you go back to neurosurgery?"
Although it felt good to leave work early, An Ruo still felt that during the period of anesthesia, she was more tired than in other departments.
Short, high-intensity, simply inhuman life.
Although it feels good to leave work early.
Zeng Yi replied: "Tomorrow's operation will be a combination of Hu Ming's group and Cai Dongfan's group."
"Director Cai personally called me and told me that Zhou Cheng will not be the chief surgeon tomorrow. It shouldn't be soon, it is definitely a normal operation rhythm."
After reading it, An Ruo sniffed aggrievedly, and replied, "Teacher, you said the same thing this morning."
I also sent an emoji of an aggrieved giant panda.
"It's settled!" Zeng Yi replied with an exclamation point after 1 minute.
An Ruo suddenly felt that there was nothing to love about life, and heaved a long sigh, muttering: Orthopedics is simply poisonous.
Yang Yifeng, this idiot, is from the orthopedics department. A while ago, that ugly nigger was from the orthopedics department. The one who tormented me was also from the orthopedics department.
However, she was only a student, and it was impossible for her to really complain to Zeng Yi about what Zeng Yi had decided.
Then I looked at the time and made up for the two hours of reading time.
Then go to wash your face, apply a mask, wipe your face, go to bed, full and daily...
The next day.
An Ruo came to the operating room early and started a new day's work.
Arrived at the operating room at 07:30, prepared to check the patient's medical records before anesthesia, and reassessed whether the patient had contraindications to anesthesia, whether the surgeon sent the wrong suitable anesthesia, etc.
Originally, An Ruo, as an anesthesiologist, was supposed to go to the ward to conduct preoperative and postoperative visits to the surgical patients of the next day and yesterday before and after the operation, and to fill out the preoperative and postoperative anesthesia inspection form.
But as the director's student, Zeng Yi entrusted this job to others considering that she was still a graduate student.It saved An Ruo a lot of time.
It just saves time, but before starting anesthesia, these tasks have to be repeated, and I have to look over and review them myself.
After reading it, there was nothing special about the three patients today, so I quietly waited for the roving nurse to push the patient in, and she began to administer anesthesia...
Orthopedic surgery, especially lower extremity surgery in the second orthopedic department, has several disadvantages. Generally, general anesthesia is not used. Spinal anesthesia is more complicated than general anesthesia, and the patient must be sent back to the ward after the operation.
That's why there is no time to breathe during the process of picking up patients, administering anesthesia and withdrawing anesthesia.
However, spinal anesthesia has a certain level of operation, and An Ruo also knows that her teacher wants to exercise her proficiency in performing spinal anesthesia and continuous epidural operations, so that she can learn neural blockade for herself. Prepare for delayed anesthesia.
If you can't even control the spinal anesthesia and continuous epidural anesthesia, then don't even think about doing a nerve block, for fear of being poked directly into the artery or vein, and getting the anesthetic into the blood system...
Nerves and arteries and veins are adjacent, which is one of the difficulties of large nerve blocks.
It is difficult to find, relatively hidden, and has no special signs, which is the second difficulty.
Even more difficult than the God-level block is the branch nerve block. The nerve is smaller, the shape is more complicated, and it is more difficult to control. It is very likely that the effect of the block will not be achieved...
After An Ruo finished the anesthesia, while waiting for the surgeon to come down and start the operation officially, she was thinking so much in her heart.
Zeng Yi said something, and it was not wrong. The two nerve block anesthesias performed by Yang Yifeng before belonged to the extremely difficult anesthesia technology in the field of anesthesiology.
Precise block of cutaneous nerve branches, thinking about blocking the branches of cutaneous nerves so precisely, those nerves smaller than a needle head, An Ruo felt that his scalp was very numb.
Not to mention other things, even if sesame seeds are placed on the ground, you can poke them into a string with a needle, which can kill obsessive-compulsive disorder, not to mention the need to pierce the skin to block the corresponding nerves if you can't look directly...
Then, at 08:30, An Ruo rested for 10 minutes after receiving the anesthesia, and then the team of director Hu Ming arrived late and started the operation.
Perhaps it was because Hu Ming's group had only one operation scheduled today, so the pace of the entire operation was very slow.
At [-[-, An Ruo looked up and saw that these people were still doing foreign work and putting on clothes, so she lowered her head.
Well, the teacher didn't lie to me today, the pace is not fast.
Should be able to take a break.
An Ruo looked down at the phone.
At 10[-, another [-] minutes passed, An Ruo looked up again, wondering if the operation should be over by now?I just saw that Zheng Xuanlin of Hu Ming's group was exposing the broken end of the fracture, and was sitting there grilling with an electric knife. The smell was a bit pungent...
Well, it's only been peeled, at least 10 minutes.
At 09:30, An Ruo looked up and found that Zheng Xuanlin had seen the broken end of the fracture, but he used a bone peeler to scrape it back and forth. Come on slowly, the periosteum must be completely peeled off."
An Ruo then lowered his head.
Nine fifty, ten ten.
Until 10:30, An Ruo forgot how many times he looked up.
It wasn't until 10:30 that Zheng Xuanlin said to the itinerant nurse: "Mr. Itinerant, please push down the C-arm machine."
But when I called for help, no one answered, and then I turned around and found that Liu Yan, who was a hand washing nurse yesterday, was on tour today. She leaned under the operation timing panel and fell asleep while fishing.
Hu Ming raised his voice and called, "Liu Yan, help push down the C-arm."
Liu Yan was shocked and woke up.
Everyone exited the operating room...
After filming, An Ruo subconsciously ran into the operating room, planning to remove the anesthesia.
After all, in An Ruo's vision, pushing the C-arm machine is equivalent to ending the operation.
But just when An Ruo was preparing the catheter for continuous epidural anesthesia, Hu Ming and Zeng Yi walked in with a slightly dark face, and Zeng Yi was so frightened that his face turned a little pale, and he hurried up and scolded: " An Ruo, stop. What are you doing?"
"The operation is not over yet."
Dedicated person——Little An Ruo raised her head innocently, blinking and looking good, she is cute without eyelashes, and there are lying silkworms under her eyes, stretching her body as if she came alive.
"Teacher? Isn't it over yet?" The voice was very soft and low, and he was startled, like a frightened little rabbit, he retracted his little paw.
Zheng Xuanlin, Hu Ming and others heard the conversation between An Ruo and Zeng Yi, although they frowned a little, thinking how could the students led by Zeng Yi make such a low-level mistake as withdrawing the anesthesia before they said the operation was over?
Are you still asking questions?
You come to the stage to be the chief surgeon, shall we watch your performance?
Whether the operation is over or not is something you should consider?
But he didn't say much, but fortunately the incident hadn't happened yet, and he could make up for it, so he went to the operating table, pulled out the temporarily fixed crossed Kirschner wires, and started reseting again.
Zeng Yi pulled An Ruo out of the operating room, and confessed reproachfully: "An Ruo, did I tell you? The start and end of the operation are decided by the chief surgeon and the clinical team."
"We can only decide the start and end of anesthesia. What you said just now is a bit superfluous. Don't say any more."
An Ruo immediately nodded like a chicken pecking at rice, her small eyes were a little bit aggrieved——
When I want to rest, they don't let me stop, and when I am active, they blame me for being too anxious.
Orthopedics, too difficult to serve!
I'm too difficult.
Surgery continues.
At 45[-, Zheng Xuanlin yelled again: "Take a look!"
Then everyone walked out and then walked in.Hu Ming and Zheng Xuanlin immediately went to the operating table and continued to rest for the operation.
An Ruo looked at Hu Ming and the others honestly, not daring to do it again, but felt like ten thousand ants were crawling in her heart, thinking, is it over?Do you want to withdraw the anesthesia?
Is it over?
Staring at Hu Ming and Zheng Xuanlin for 5 minutes.
Zheng Xuanlin said: "Teacher Xun, please let me know one more thing!"
Eleven twenty.
Zheng Xuanlin felt embarrassed himself, and said to Liu Yan: "Sister Yan, it's hard work, let me show you."
Liu Yan was full of helplessness, but she pushed the C-arm machine very dedicatedly.
Both An Ruo and Zeng Yi stayed in the isolation room and did not come out. An Ruo asked Zeng Yi: "It's going to be over again. How many times is this? Teacher, is it the seventh time?"
Zeng Yi, however, was naturally inscrutable: "For an orthopedic surgery, it's rare to see through it once or twice in the middle."
"Within three to ten times, it is routine."
"Through a dozen or twenty times, or even thirty or forty times, it's not like nothing happened."
"Can you understand what I mean?"
An Ruo hadn't seen many orthopedic surgeries, so she understood a little bit, but she didn't understand.
He said: "Teacher, what do you mean, the orthopedic operations we encountered before were all the number of perspectives, which are extremely rare?"
Zeng Yi scratched his head and said, "I can't say it's extremely rare. It should be said that in our hospital, it's a ceiling with few times. It can't be less."
"Although we are anesthesiologists who are only responsible for anesthesia, we still have to respect the medical and clinical departments, and we cannot understand their business, operation speed, and operation quality from our perspective."
"It's about learning to look at all this from the perspective of the patient and from an objective perspective."
Speaking of this, Zeng Yi asked something.
"I don't know if you've noticed that Zhou Cheng from the orthopedics department last time, and Professor Qin from the Affiliated Hospital of Shonan University, couldn't keep up with his operation rhythm, but they haven't found any problems during his operation."
"Have you thought about it carefully?" Zeng Yi asked.
An Ruo shook her head, pursed her lips honestly, with an expression that I was very simple and would not think so much.
Then when Zeng Yi wanted to say something more, Hu Ming and others walked in, and Zeng Yi quickly shut up.
……
Finally, the time came to a quarter past twelve.
Hu Ming and Zheng Xuanlin completed the No.14 C-arm fluoroscopy. After seeing the results of the C-arm fluoroscopy, Zheng Xuanlin breathed a sigh of relief and said, "Director Hu, it's a shame, this is the second one I completed. Class III surgery, right?"
"Yeah!" Hu Ming also nodded, looking at the results in the film, although he felt that there was still something wrong, but it was a done deal, and it was no longer easy to change.
It's passable.
If the fracture line is not well converged, it will not be well converged. After the surgery, it will be over after slowly crawling, and then shaping. At most, it will be a matter of lying down for half a month.
Hu Ming tilted his neck, and confessed: "You take someone to suture, put the drainage tube, I will step down first."
"I'm old, standing for more than three hours, my old waist can hardly hold up."
Zheng Xuanlin was still very excited: "Okay, Director Hu, go eat and rest first, and leave the rest to me."
Then Zheng Xuanlin brought Lin Lin and Du Ruiqi into the operating room. Zheng Xuanlin finally said loudly and confidently to Zeng Yi and An Ruo: "Director Zeng, we can end the operation by suturing here. Thank you!" You withdraw the anesthesia."
It's quite a show off.
He finished the second intramedullary nail fixation in more than three hours, which was more than an hour earlier than the first one.
Lin Lin and Du Ruiqi immediately gave a thumbs up, and started to compliment each other commercially: "Mr. Zheng, you are awesome, you completed the second intramedullary nail fixation in just over three hours."
"Teacher Zheng has always been very strong."
However, although the words were loud, Liu Yan almost couldn't help laughing. The mouth under the mask swelled into a frog's mouth, and she forced herself to hold it back.
An Ruo rolled his eyes, bit his upper and lower lips together, and looked at Zheng Xuanlin and the others with complicated eyes. Their faces turned out to be really happy.
I was speechless for a while.
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