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As the director of the complaint office, Tan Zixing naturally has his own set of procedures.
The patient's wife rolled her eyes a few times.
In fact, she didn't, but she still cried and said, "I don't remember so much, I just thought that he said he could save his leg, and now he didn't say that he would amputate it. The money was wasted. I still suffer! "
"If he had said that he was not sure, we would have chosen amputation, and we might not even have to go to the ICU."
"Definitely, definitely. If he doesn't say that he can definitely save the limb, we definitely don't agree to the limb salvage. We have already said that the amputation is going to happen." Another family member of the patient, who seems to be his brother or brother-in-law, spoke up. .
In addition, the person who didn't know whether it was sister-in-law or sister also said: "Yes, we all heard the meaning, otherwise, if you said that the limb should be amputated, how could we choose limb salvage?"
Tan Zixing nodded, raised his hand and asked, "That is to say, all of you, from the very beginning, never thought of saving the patient's limb, did you? It's going to be amputated, right?"
"Then if I tell you now that all the previous surgeries will be free of charge, and all of them will be treated as amputations, and all the money will be refunded to you, would you be willing?"
Tan Zixing came to solve the problem, and asked Hu Ming from the Department of Orthopedics about his bottom line.
Continued: "Although the patient suffered a little during this process, we still consider his life after all."
"On the basis of not spending too much money on you, are you willing to agree to amputation now to save his life? I don't want this leg."
"Agreed, of course!" The middle-aged couple nodded immediately and were about to answer.
But the patient's wife glanced at them, making them silent.
The patient's wife is very tangled and embarrassed at the moment!
After this sentence, my husband's feet are really gone.
Now that I can spend less money, I am more greedy.Then he asked Tan Zixing: "Boss, can't you think of a way to save your leg?"
At this point, Tan Zixing finally said: "Isn't this still the case? Your family members also have a strong willingness to save their limbs. We doctors only give you suggestions and provide you with treatment help according to the patients' conditions in different periods. That's all."
"We must respect the objective facts. When we were first admitted to the hospital, there might still be the possibility of limb salvage, but to be honest, in the current situation, let alone whether the possibility of such limb salvage is very high or not. I dare not protect it any longer."
Tan Zixing has received many invalid complaints, and he must find a way to deal with them, but how to solve this matter.
In the process of processing, how to get the patient's words and authenticity out, this is what he needs to mediate.
"I'm in the medical department here, and it's also a functional discipline in charge of all departments in our hospital. I'll be a third-party witness in person. Are you guys considering amputation to save your life?"
"Still considering, in order to continue to save limbs, continue to go to other hospitals for treatment?"
"Our Eighth Hospital is not the best hospital in Hunan Province, let alone Shashi. We have always acknowledged the gap between us and other hospitals. Thank you very much for trusting our hospital and sending patients to us. However, we have tried our best , still not achieving the best results you could have hoped for."
"But we also dealt with the patient's affected limb in the first place, stopped the bleeding, dealt with the fracture, etc. It temporarily saved him from the risk of losing his life due to bleeding."
"But it's not the worst step yet, you still have a chance to make a choice."
Tan Zixing looked at everyone, waiting for their final reply.
He knew that the patient's wife would speak out her truest thoughts for the sake of her husband's legs, but the other two were not necessarily sure.
But now, he also needs, the patient's wife is willing to be persuaded by the other two.
That's the trade off...
This kind of patients actually love money, and feel that if they don't keep their limbs, they are wasting money, so if they don't keep their limbs, they should get their money back.
But there is no way, the domestic system is like this, humaneness comes first, even Tan Zixing feels that he is insulting his own people by handling this way at the moment, but for the satisfaction of the patient's family members, the limb salvage operation that he has performed and worked hard Fees are waived.
Tan Zixing did not create such a thing as seeing a doctor as consumption.
However, although Tan Zixing couldn't control the absurd truth that the patient felt—you didn't save my limbs and still charge me money?
Then, Tan Zixing didn't want to mention any possible ways to save the patient's limb at all.
Tan Zixing has also understood that damage is an absolute indication for amputation, so it's not too much to add to the problem.
……
5 minute later.
The patient's family members signed the consent form for the amputation, and then Hu Ming led Zheng Xuanlin to carry out a standard amputation teaching operation.
The patient's wife cried with joy when she heard that her husband was no longer in danger, but she cried even harder when she heard that he had lost his leg!
A man is the backbone of the family...
In the operating room, Zheng Xuanlin listened to the cries of the patient, his face and heart were full of helplessness and sadness.
He scolded in a low voice: "Damn it, your heart is as cold as ice. You can do it, but you don't even look at it!"
Beside, Hu Ming heard that Zheng Xuanlin was scolding Zhou Cheng, but he finally glanced at Zheng Xuanlin, and said lightly: "Xuanlin, the patient's current amputation is not because of Zhou Cheng, but because of you. of!"
"do you understand?"
"You know, the two words of heart art and heart art, heart is heart, art is art, these are two words!"
"The heart is the first, and the skill is the auxiliary."
"Think about it for yourself. Where exactly did you go wrong? Which step did you go wrong? Then Zhou Cheng, why didn't you want to come?"
"From the very beginning, you didn't choose to perform this operation in order to save the patient's leg."
"You are for yourself."
"In the end, you still didn't turn to Zhou Cheng for help to save the patient's leg. You did it to exempt yourself from responsibility, to avoid admitting that your medical skills were not good, and to protect yourself from any influence."
"You have to know that from the moment you talk to the patient, your patient is doomed. He must be seen by you. He can't choose. But you have a choice."
When Zheng Xuanlin heard Hu Ming's words, he turned his head away with a complicated look on his face.
"One hundred good filial piety is the first, regardless of the heart, regardless of the deeds, no filial son in the poor family."
"All evils and adultery are the first, regardless of the deeds, regardless of the heart, and there is no good person in the world."
"This sentence is not about our profession of doctors, but it can be used as a reference." Hu Ming patted Zheng Xuanlin's shoulder well.
He didn't say much, although he could best understand Zheng Xuanlin's inner thoughts, Zheng Xuanlin was flustered when he felt that he couldn't catch up with Luo Yunhou, and wanted to show eagerly, unwilling to lag behind others.
However, the heart still needs to be raised slowly.
It's just that what Hu Ming doesn't understand is why this Zhou Cheng is so calm.
Logically speaking, even a person of Zheng Xuanlin's age is a bit impatient.How could Zhou Cheng remain indifferent after hearing Zheng Xuanlin asking for help?
Although Zheng Xuanlin was in the middle of the conversation, he was a bit crossing the river and demolishing bridges to shift the blame.
But isn't there me at the end?I, Hu Ming, am the chief physician anyway, don't I even have the ability to handle this?What's the matter with you?
Zhou Cheng couldn't resist coming!
It's also really weird.
……
When Zhou Cheng heard Luo Yun say that the patient was finally amputated, Zhou Cheng's heart was pulled hard.
After taking a deep breath, he didn't want to read any more, and asked Luo Yun, "Mr. Luo, isn't it a little too unreasonable for me to be like this?"
"Patients are innocent after all."
Luo Yundao: "The patient is innocent, so aren't you innocent?"
Luo Yun was very angry, if he hadn't persuaded him, Zheng Xuanlin might have done something wrong.
"Besides, in a doctor's life, the only patients he can reach are his own patients. For others, it can only be said that there is no fate."
"When we called, someone died and we didn't know."
"The number of people who die of illness in the world every day may exceed ten every second!" Luo Yun persuaded Zhou Cheng, but did not report Zheng Xuanlin to Zhou Cheng.
Zhou Chengdao: "But today, I can actually come over to take a look at this patient. Although I'm not sure there is a better way, but what does Teacher Zheng Xuanlin tell the patient's family that I can be cured?"
"Then I really dare not come!"
Not afraid of god-like opponents, but afraid of pig-like teammates.
Although Zheng Xuanlin is not a pig, the things he does are worse and more disgusting than pigs. Doesn't this mean that he is putting himself together?
"Don't think about it, the main thing is to tell you that your choice today is not wrong, and you can go there without hearing someone asking you to help."
"Also, you have to learn from what happened today."
"Medical care is not simply a matter between a doctor and a patient, but the fate between medicine, patients and salvation."
"As doctors, we do human things. It's not just as simple as prescribing medicines for patients, taking medicines for patients, and then leaving the hospital."
"You have to be stable first, and then you can be stable." Luo Yun made a concluding speech.
Then I remembered that the person I was talking to was someone who was as stable as an old dog.
Otherwise, ordinary people may not be able to hear the hint when I called Zhou Cheng that I should not let him come.
Then he said: "Of course, when it's time to make a move, you still have to be courageous and responsible!"
"Don't jump when you see a pit, don't be afraid when you are in a hurry, don't panic when you see the unknown, see the dead face to face, and still keep your face unchanged, and can still treat patients carefully with words and deeds. This is a good doctor."
When Luo Yun said this, he said again: "Speaking of which, I actually have a topic here, you can think about it as you like."
"Everyone has a balance in their hearts to measure which is more important, medical skills or medical ethics."
"Some people think that morality comes first, as long as it saves money for patients, fully considers patients, and does not cost money, it is medical ethics."
"Some people think that medical skills come first, regardless of morality, prescribing the medicine with the least side effects for the patient, giving the patient the appropriate treatment according to the best standards, and improving his quality of life later are the most important."
Zhou Cheng said: "Mr. Luo, this proposition is a bit too big. I don't know how to measure it."
"I'll just do my own thing first."
But Luo Yun said: "Then you have to start weighing, because you have reached this level, it's time to consider the balance between the two."
"Unless you have never thought about performing operations in the department alone or going to the outpatient clinic to see patients by yourself. Then just pretend I didn't say anything."
"I am a full-time outpatient on Sunday, and I have a lot of calls. If you figure it out, just reply to me."
"..."
After hanging up the phone, Zhou Cheng froze in the room.
No wonder Luo Yun talked to him so much, it turned out to be.
What Zhou Cheng never expected happened, he came.
Luo Yun, invite Zhou Cheng to sit with him in the outpatient clinic!
Well, it was Luo Yuncong who was coming to the separate outpatient clinic of joint surgery. Luo Yun said that there were still a lot of registered people in the joint clinic, so he was afraid that he would not be able to see it alone, so he asked Zhou Cheng to go to the outpatient clinic with him. !
This is equivalent to asking Zhou Cheng to see a doctor alone, make a diagnosis alone, prescribe medicine alone, and think about the treatment plan alone.
That's why Luo Yun asked Zhou Cheng to carefully consider these words.
Sitting alone is different from simple things like resident doctors sharing beds in the ward.
The patients in the ward are like being divided up by the superior doctor and fed to you.
Patients in emergency surgery also have various trauma histories, so you just need to think about trauma surgery.
fracture--
trauma--
joint dislocation—
Tendon rupture, ligament rupture.
Besides, what else?
Luo Yun asked his question, in fact, he was asking, if you see patients alone, are you willing to prescribe more medicines for the sake of making money, or are you willing to consider for the patients?
So far, there is another meaning, that is, to the patient and his family, he must be completely honest and stern, in this case, surgery is necessary!
The size and the heat have to be carefully handled.
……
While Zhou Cheng was thinking, Luo Yun laughed lightly.
He smiled and said, "Zhou Cheng?"
"Watch Xiao Zhou from the video science department?"
"hello?"
"Suddenly let you see the outpatient clinic, isn't it a surprise?"
"Accidental?"
Luo Yun never forgot that he went to the joint surgery video for Zhou Chengfa.
Chapter 136 The Way of the Strange Man Returns the Body of a Rider
For the outpatient clinic on Sunday, there is not much time left for myself.
Zhou Cheng never expected that Luo Yun would ask for joint surgery from the hospital so quickly!
And I never thought about it, Luo Yun was still brooding about the fact that he told him that he watched the video to learn the technique of joint reset.
Before, Luo Yun sent himself the operation video, and even leaked the question to himself in advance.
To be honest, Zhou Cheng watched the video sent by Luo Yun, but he didn't.
After reading a part of it, I feel that it is not much different from the joint replacement surgery I currently know.
Then it was set to autoplay, which is equivalent to not watching it.
In addition, Zhou Cheng felt that it would not be very practical to simulate this section.
There are no such patients in the department now, no matter how many joint surgery skills are, they can only be shelved like small incision open reduction and internal fixation and amputated limb replantation.
Previously, Zhou Cheng's idea was to try his best to simulate skills that were close to his current surgical authority, such as level II surgery.
How good is that?
Skills are not used and can only be used as reserves.
However, fortunately, it was Luo Yun who told him today, that is, on Friday, instead of delaying it until Saturday night!
In this way, it is equivalent to nine more opportunities for simulation to learn about joint surgery.
Reading books is definitely necessary. The systematic study of each specialty comes from the most basic textbooks. Zhou Cheng bought a package of textbooks for orthopedics.
However, if you go to scan the textbooks one by one now, you will definitely not have enough time.
It's not that Zhou Cheng has no foundation in joint surgery at all, it's just that the knowledge structure of joint surgery that Zhou Cheng has mastered has only reached a few points.
Zhou Cheng first looked at the panel of the simulator.
【Joint dislocation reduction surgery (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)]
……
Zhou Cheng watched and made a summary.
Going to the outpatient clinic is different from going to the emergency department. Since Luo Yun mentioned this matter, Zhou Cheng must make some preparations.
Otherwise, it is a quack doctor who has misunderstood people.
Manual reduction of joint dislocation is generally aimed at emergency dislocation patients.
Dislocation patients mostly occur in emergency situations. Such patients basically do not appear in outpatient clinics. For dislocation patients who appear in outpatient clinics, the manual reset of joint dislocation is not applicable!
In pure joint surgery, the two major plaques of osteoarthritis and sports injuries account for the largest share.
Treatment of Osteoarthritis - Attributed to Joint Surgery.
Sports Injuries - Break Out of Sports Medicine.
Sports medicine is actually a branch of joint surgery. It originated from joint surgery and broke away from simple joint surgery!
One of the biggest characteristics of outpatients is that they may not have trauma of any nature, and if there is no trauma intervention, if they want to make a diagnosis, then they have to seek the real diagnosis from the intricate and complicated clinical manifestations. The reason is gone.
Difficult.
Zhou Cheng really felt that the difficulty was not small.
Taking an outpatient clinic is the way every doctor must go, but his current knowledge reserve, sitting in a trauma surgery outpatient clinic, must be enough, but what about joint surgery?
Not to mention rare diseases, just one joint of the shoulder joint can make people unable to understand——
Zhou Cheng opened the contents of the textbook one by one, and the chapter on shoulder joints alone contained too much content.
Acromial impingement, rotator cuff injury, Bankart injury, SLAP injury, frozen shoulder, long head biceps tendonitis, long head biceps tendon rupture, giant rotator cuff injury, supraspinatus tendon calcification, shoulder recurrent Anterior dislocation, acromioclavicular joint dislocation, multidirectional shoulder instability.
According to the catalogue, Zhou Cheng opened it and found that the common diseases of the shoulder joint are: one, two, three...!
A total of thirteen sections!
My brain hurts a bit.
There are even more rare diseases, such as uric acid deposition stones in the shoulder joint, fibrosis, and some things that Zhou Cheng has never heard of...
And that's just the shoulder joint.
There are also elbow joints, wrist joints, hip joints, knee joints, ankle joints, interphalangeal joints, and many special joints on the feet.
This?
Where can I learn from?
This simulator can only retain one skill at a time.
nine times.
nine!
Isn't this nonsense?
……
Luo Yun was still on duty in the department near ten o'clock, eating supper with the doctor on duty Lin Lin.
Then he saw Zhou Cheng calling, Luo Yun smiled, took off his lobster-eating gloves, and casually asked, "What's wrong, Xiao Zhou?"
I feel a little better.
In the past days, Zhou Cheng was simply too calm, and he always regarded himself as a calm and breezy expert!
This is not in line with Luo Yun's values, and I hope Zhou Cheng's temperament can be reversed.
This was the first time Luo Yun saw Zhou Cheng not calm, so he called him at this time.
Zhou Cheng was not calm anymore, but Luo Yun became calm.
Maybe Luo Yun also has a little bad taste in his heart, and he wants to see Zhou Cheng's anxious bad taste.
Sure enough, Luo Yun heard Zhou Cheng say: "Mr. Luo, when you go to the outpatient clinic, what are the main types of diseases?"
"I don't know what to read now." Zhou Cheng couldn't grasp the key points, so he naturally wanted to ask Luo Yun to draw the key points.
Luo Yun said casually: "That's not clear. The joint patients encountered in the outpatient clinic may have joints in every joint. It is impossible to focus on only one joint."
"Our Eighth Hospital is not comparable to other places. Some large hospitals only need to focus on one joint, but we must all look at it."
"And not only patients with joints need to be seen, but also patients with sports medicine."
"Our hospital can't give a treatment plan, but we can suggest them to intervene early." Luo Yun said.
It is impossible to focus!
You won't be given a chance to hold Buddha's feet temporarily.
Luo Yun thought rather complacently.
On the opposite side, Zhou Cheng's eyes lit up immediately, and he replied suddenly: "That's right, we are seeing patients in the outpatient clinic, not in the ward, we must treat the patients."
"Then I understand, Teacher Luo. Thank you, Teacher Luo."
The big fat prawn that Luo Yun was about to stuff into his mouth immediately felt unsavory.
You understand what you understand?
What did I say, are you right?Are we going to the clinic?
Don't we just go to the clinic?
Do you still want to treat all the patients you meet in the outpatient clinic like the patients in the ward and cure them on the spot?
Luo Yun hung up the phone, feeling a little bad again.
It seems that this time, Zhou Cheng must not have seen Zhou Cheng's troubled and anxious look, and he had pretended it again!
But Luo Yun didn't take this matter to heart.
……
After finishing the phone call with Luo Yun, Zhou Chengcai immediately reset his previous thoughts to zero.
Because he confused his thinking!
Outpatient clinics are different from wards. Outpatient clinics are where doctors and patients come into contact, not where they are treated.
Therefore, there is no need to see a patient at all, but the patient's problem must be solved on the spot, as long as they are provided with a rough idea of how to solve it.
It is equivalent to, in the outpatient clinic, as long as the diagnosis process of the diagnosis and treatment process is completed!
It's much easier to just diagnose and not treat.
This is equivalent to breaking the whole into parts, which can give Zhou Cheng a lot of preparation time.
After sorting out his thoughts a little bit, Zhou Cheng started a new round of simulation...
[Please select the initial carrying material for the simulation. 】
【1. Arthroscopy (proficient) (shoulder joint, wrist joint, knee joint), 2. Joint dislocation reduction (perfect - world-defining level). 3. Arthroscopy (skilled) (shoulder, wrist, knee). 】
[Fixed Skills: Limb Anatomy Experience and Muscle Strength Out of Shape (Perfect - World Definition)]
Ok.
Zhou Cheng only carried relatively simple and basic things, and the purpose of the simulation was to see if he could obtain packaged skills similar to limb anatomy experience and muscle strength deformation (perfect-the definition of the world).
Surgery originated from anatomy, but the source of all medical departments is diagnosis!
Skills can be 'packaged'.
For example, when Zhou Cheng simulated the open reduction of limb fractures through small incisions, he also obtained them one by one, but in the end they would be bundled and packaged into small incisions for open reduction and internal fixation of limb fractures.
【The simulation starts! 】
[You already have a certain status in the department, and you have obtained the authority of level II surgery.You are still on duty. 】
[But you have a "great way" in your heart, so you chose to give up your plan to continue to obtain the authorization of the exception level III surgery, and you started to sit with the superior physician in your department as an outpatient. 】
[Because you have a solid anatomical foundation and a rich medical knowledge base, you can still routinely complete common Class II operations. Although you have not reached the previous level, you have gradually gained the attention of superior doctors. 】
【So you have a thick skin and follow your superior doctor in outpatient clinics...】
【You have a thick skin, you only look at the shoulder joints.And ask your superior physician to teach you only to look at the shoulder joint first. 】
Seeing this, Zhou Cheng blushed a little, feeling a little embarrassed.
His idea of simulation this time is to keep Luo Yun entangled, and he is not greedy for too much, so he only engages in one joint first.
[You successfully got the opportunity to be hired by the college! 】
【You turned down too many surgeries and started to specialize in the diagnostics of joint surgery. 】
[Three years later, you have gained systematic shoulder joint disease diagnosis experience (general), and your superior physician feels that your talent in joint surgery is limited.So I tell you that you need more operations and more reading. Orthopedics is not just about joint surgery. 】
[Actually, it's good that you specialize in trauma surgery, but you refused, because you have a strong desire to learn.Your superior physician is impressed by you. 】
[After five years, you gain experience in routine disease diagnosis of the hip (common).Your manipulative skills are limited only to manual reduction of dislocated joints.Your superior doctor feels that he has delayed you and led you astray, so he apologizes in every possible way! 】
【You are still maverick, continue to learn from him brazenly. 】
【Ten years later, your superior physician was finally promoted to director, and opened up the joint surgery department of your hospital alone. As his staunch supporter, you became the veteran of the department.But your co-workers think you're a sucker.This is the top position. 】
【You are still enjoying the outpatient clinic with your superior physician. As the deputy chief physician, you still don't see the outpatient clinic alone, you continue to follow your superior physician's outpatient consultation. 】
[After 15 years, you have gained experience in the treatment of common diseases of the shoulder joint and hip joint (common). 】
[Your wife can't stand you anymore, she went to the court to sue you for 'infidelity' in marriage, but the person she suspected of infidelity was your superior doctor.Given that your superior physician is male. 】
[The court declared you innocent.Your wife has finally 'divorced' you peacefully. 】
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[The next year, your superior doctor finally became a middle-aged and elderly bachelor!He yells at you, but you remain unmoved. 】
【After 25 years, you were finally promoted to the chief physician in the hospital, and your superior physician was about to retire. He almost knelt down and begged you, please stop 'harassing' him, but in the eyes of your unit. 】
【You are the absolute confidant of your superior doctor!Loyalty and diligence throughout his life. 】
[You continue to follow your superior doctor to see outpatient clinics!The resident chores were done in front of him. 】
[Almost everyone thinks that your superior doctor delayed you, turned the former genius into a licking dog, yelled at your superior doctor, and severely criticized the strict system of superiority and inferiority in the hospital! 】
[In 35 years, your superior physician is about to retire, and you became the director of the joint surgery department because of your veteran qualifications.You are still the loyal follower of the senior doctor who retired and rehired, follow him as an outpatient! 】
【Finally, one day, your superior physician died of a sudden heart attack! 】
When Zhou Cheng saw this, the corner of his mouth twitched.
Weird expression.
Did I lick Luo Yun to death?
[You finally started to sit alone in the outpatient clinic by yourself, and at the age of 65, you successfully retired.Then he knew that he was not capable enough, so he rejected the hospital's polite re-employment invitation. 】
[Your reputation in the province and in the industry is already rotten. You are a well-known dog licker in Hunan Province, and you have also succeeded in being a dog licker, so you left the medical industry.In the end, at the age of 89. 】
[Simulation evaluation: Unable to evaluate.In your whole life, for the sake of learning, you will do whatever you can, regardless of your status and face, or even your family and career. 】
[But in the end, it's still an out-and-out licking dog. 】
[You can choose one of the following. 】
[Special Skill: Thick Black Art (Perfect - World Definition).Because your thick blackness has reached its limit, exceeding the definition of the world, and after being incompatible with the dungeon, there is still a perfect imprint of thick blackness. 】
[Experience in diagnosis of common diseases of the shoulder joint (proficient)]
【Experience in diagnosis of common diseases of the hip joint (skilled)】
【Diagnosis experience of common diseases of extremities and joints (common)】
[Special Adventure: Gift of the Superior Physician's Hard Work: The Superior Physician's Knowledge Pack (Mastery)! (Note: During this simulation process, your superior doctor has a deep resentment towards you, and more than [-] times wants to donate all you have learned to prove his innocence, to expel your closeness, and to leave you harassment.)]
【He just hopes that you don't get close to him anymore! 】
[He still bears the label of a manly man and bureaucracy to his death! 】
[Therefore, this adventure is a special prop, not a one-time consumable.It can be directly cured and used! 】
Whoops!
When Zhou Cheng saw the harvest, his eyes flashed.
Damn, is the idea of simulation this time so vigorous?
Did it almost drive Luo Yun crazy during the simulation?
Zhou Cheng turned the text up again.
It seems to be like this, the idea of simulation this time is particularly shameless, in the simulation world, Zhou Cheng is divorced.
Luo Yun is also divorced...
It seems that there are so many billion points that it is not ethical.
But it doesn't matter, anyway, it's just inside the simulated copy.
Pray with your hands and say silently in your heart: Teacher Luo in the simulated world, I'm sorry, what happened to you has definitely contributed to the medical progress of the world.And it's a great contribution.
After Zhou Cheng cleared up his mood.
Directly chose Special Adventure.
Then after directly choosing solidification, Zhou Cheng was immediately stunned!
Luo Yun was almost driven crazy by him!
It must have been licked to death by him!
The following skills emerge as evidence——
Proficiency-level skills: fracture reduction, fracture open reduction, plate and screw internal fixation, nerve suture, elbow joint injury treatment experience (sports medicine, trauma, joint direction), human limb anatomy experience, debridement and suture, cosmetic suture, Antibiotic use experience, shoulder joint injury treatment experience (sports medicine, trauma, etc.), ankle joint, wrist joint, hip joint injury treatment experience (sports medicine, trauma, joint direction).
Proficiency-level skills: shoulder joint injury treatment experience (joint surgery direction), knee joint injury treatment experience (sports medicine, joint direction), tendon injury treatment experience, fracture postoperative infection treatment experience.Hip, knee, shoulder replacements, revisions (including complex revisions).
I nia!
Zhou Cheng counted, and Luo Yun packed him at one go, more than [-] proficient and proficient level skills, and all of them were level III skills.
At the same time, the mock copy sent out a hint again.
[The skills are solidified, and the special adventures of the same kind will disappear permanently and will never appear again! 】
[The simulation is over! 】
Can't even watch the simulator anymore?
Zhou Cheng licked his lips, picked everything up in his bag, and immediately rubbed his hair.
Then quickly call Luo Yun.
Luo Yun was on duty today, so he could have gone home, and then asked Lin Lin to call him when something happened.However, in order to improve the quality of duty, Luo Yun simply lived in the duty room.
Seeing Zhou Cheng call at this point, he seemed to feel better again: "What's the matter? Xiao Zhou?"
"What time is it, are you still asleep?"
He was anxious, he was anxious, he was really anxious.
Hey Hey……
Zhou Cheng was relieved when he heard that Luo Yun's tone seemed a little high-pitched, and his voice was even a little excited.
He was really afraid that if he messed around in the simulator copy, he would directly kill Luo Yun in reality, and the gain would outweigh the loss.
This is Zhou Cheng's simulation idea that has been prepared for a long time.Anyway, just stare at one person and lick it.
Women are afraid of being entangled, and men are definitely afraid of being entangled. As long as you are shameless, you can learn a lot of things you want to learn.
It's just that Zhou Cheng has never used this kind of thinking.Besides, from the most essential point of view, I just want to learn, so be nice to you, and this is not licking.
But this kind of action almost drove Luo Yun crazy, Zhou Cheng didn't expect it.
Fortunately, it is a simulated world.
"Well, I'm going to sleep right away, Mr. Luo, are you okay there? Are you busy today?" Zhou Cheng mainly wanted to determine how Luo Yun was doing.
But don't have an accident, as long as there is no accident!
It's easy to talk about anything, so I just found a topic.
Anyway, in the real world, this is the first irrelevant 'harassment'.
Luo Yun frowned slightly, and said, "Are you still worried about me? Why? Do you think that you helped Orthopedics and Pang Dingkun dislocate joints that they couldn't handle a few times, and you don't feel relieved?" I am coming?"
No wonder Luo Yun thought so. In the past few times, the reason why Luo Yun couldn't do anything was because he was touched by Pang Dingkun and others, and Luo Yun was not in contact with people first-hand.
As the first patient, Luo Yun is not afraid.If the patient has been treated by other places, then Luo Yun also has enough knowledge to send away the patient who is not willing to deal with it!
"No, Mr. Luo, I'm afraid you're too tired." Zhou Cheng said nonsense again.
But after speaking, I felt that this was not good.
The processes in the simulated world are all based on reality. If I lick Luo Yun too hard in reality, will he also disappear immediately?
Or, keep a little distance from him in the future, and be a little colder?
this is okay.
Zhou Cheng made such a decision.
"Go to bed early, I'm going to squint for a while, I don't know if there are any patients coming tonight."
"Tomorrow morning at nine o'clock, I won't talk nonsense with you. What time is it?" Luo Yun didn't hear what he wanted to hear.
Immediately frowned and called off the topic.
If Zhou Cheng came to ask him what kind of patients he would encounter in the outpatient clinic, then Luo Yun might chat with Zhou Cheng a little more, but at this point, you want to chat with me?Hush cold and warm, isn't this bullshit?
Two big men, what is there to talk about?
Zhou Cheng also took the opportunity to hang up the phone.
Luo Yun was puzzled at the other end——
I feel that Zhou Cheng made two phone calls in a row today, a little happy, but a little unhappy.
Forget it, when we wait for the outpatient clinic, let's go and see Zhou Cheng's anxious look.
……
After Zhou Cheng and Luo Yun hung up the call, they hurriedly started the next simulation.
Because of an unexpected simulation idea, he got Luo Yun's knowledge package, so he didn't have to rush to learn the skills related to joint surgery, and then continued to simulate the remaining level II skills.
The level II skills have been simulated to perfection one by one.
After five simulations, Zhou Cheng accidentally discovered that when he analyzed all the perfect skills he had acquired, there was a subtle reaction between the lower-level skills.
For some reason, two perfect-level skills were automatically synthesized:
【Arthrotomy (Perfect - World Definition)】
【Internal fixation of the joint (perfect - the definition of the world)】
To be honest, the perfect level of arthrotomy is easy to understand, but Zhou Cheng himself has not fully understood the internal fixation of the joint.
However, when he touched this level of thinking, a lot of knowledge flooded into his mind, which immediately made Zhou Cheng's expression flicker.
what?
It turns out that it can still be like this!
After Zhou Cheng closed the notebook for taking notes, he frowned slightly.
This arthroscopic internal fixation is not a common surgical procedure, but a subtle response after multidisciplinary integration, allowing Zhou Cheng to naturally obtain treatment strategies for some rare diseases.
-
And because of the accidental acquisition of the joint surgery knowledge package today, and the active synthesis of these two skills, Zhou Cheng suddenly realized.
It seems that I understand a little bit about these points.
Zhou Cheng didn't know if it was right, but this was what Zhou Cheng was thinking at the moment.
First, seeing a mountain is a mountain.From my previous perspective, when I went to see joint surgery, I only felt that it was extremely mysterious, profound and mysterious, shrouded in mist, and unattainable!
Second, seeing a mountain is not a mountain.But when you really understand it and discover the way up the mountain, you will find that the mountains you see are just points that can be reached everywhere, and when you look back from the top of the mountain .
You will find that the mountain you climb is nothing more than a pile of rocks with a certain altitude.
There is nothing unattainable, and there is nothing profound and mysterious, but you have never been to the top of the mountain.
Do you know what the difference is.
Then, when Zhou Cheng returned to the skills of trauma surgery, he found out.
Third, seeing mountains is mountains.
It's like the manipulation of bone fractures. Zhou Cheng stood on the top of the mountain and felt that he had reached the highest peak. Suddenly, in the process of searching hard, he found that the mountain he was standing on was actually just a mountain. Altitude, even low-lying spots.
In the current world, the defined surgical contraindications and surgical indications are only based on where you stand.
In fact, trauma and fractures are still there and have not changed. This mountain is still unattainable. If you think that there are some fractures that cannot be solved by manual reduction, they are absolute contraindications to manual reduction.
It's just that your cognition is limited, but how to break through this limit, you haven't found the way from the first level to the second level, so it's still profound and unattainable...
This made Zhou Cheng inadvertently think of a sentence, mysterious and mysterious, it is all wonderful methods!
In fact, our cognition of the existing world is still small, constantly broken and pushed away, it is just the apex and ceiling of an era, which will be constantly lifted, and we must work hard to constantly lift it.
Where is the limit of this temple of medicine?
Zhou Cheng didn't know, and couldn't answer, but now he was gradually on the road, and the scenery along the way was very beautiful.
……
The next day.
It's that happy Saturday again.
Saturday is the first day of the weekend.
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Although it is said that doctors do not have weekends and weekends, the rule that elective surgeries are not performed in the hospital on weekends can at least let the doctors breathe a sigh of relief.
Just like the doctor on duty, Lin Lin, after finishing his 24-hour shift, he got up early at 07:30 and began to write yesterday's shift handbook.Then prepare the patient data for today's ward rounds, and trace the admission examination results of newly admitted patients.
In order to make the most adequate preparations, meet the arrival of get off work and weekends.
But for Du Yanjun, he had to bite the bullet and sacrifice a weekend day to arrive at the department early before eight o'clock, complete the handover with Lin Lin, and start a new round of 24 hours a day. beginning.
Du Yanjun arrived at the doctor's office on time.
After completing the handover with Lin Lin, he lowered his voice curiously and asked, "Lin Lin, did you see the message posted in the training group yesterday?"
"It seems that a senior doctor in our hospital was dissed by the teacher who lived in the training office."
"It's so cool, this seems to be the first time that the resident training office has dissed the superiors for our residents."
Du Yanjun is a professional graduate student who was also incorporated into the regular training. Lin Lin was an academic graduate student who was later trained under the regular training. Now they are all under the management of the regular training office. Strictly speaking, there is no difference from a resident doctor like Zhou Cheng. The bottom floor of the hospital.
On weekdays, I am always trembling with the superior physicians, not daring to disobey in the slightest, because I am afraid that the superior physicians will file a complaint against the resident training, and then the regular training will be postponed or judged to be unqualified for the month of resident training.
Lin Lin laughed bitterly when he heard this.
Then can I not know?
Damn, the person who lives and runs the diss is from our department, Zheng Xuanlin from our group.
That's what the message said.
"Recently, there has been an incident in our hospital where a resident doctor was pushed out by a superior doctor to take the blame. Here, I would like to inform all the resident trainees again that they must strictly perform their responsibilities and obligations in each specialized department and do their own work well. .Complete the authority and duties assigned by the superior physician."
"Don't act rashly and act recklessly."
"As long as there is no violation of regulations or discipline, if similar things happen, please call the Residential Education Office directly, and the Residential Education Office will directly communicate and connect with the teachers in the relevant departments!"
"Remember, fellow residents!"
Although Lin Lin also felt very happy in his heart, he felt that Zheng Xuanlin was simply being fucked.
Damn, say in front of the patient that a Zhupei is unwilling to operate on the patient.
Is this what people say?
Does he have the nerve to say it?
After stepping down yesterday, Zheng Xuanlin was called to the medical department and the housing and training office. Both sides tortured him severely. According to Director Hu, he will come to personally check the ward today.
Lin Lin not only knew who the superior doctor was, but also the original story of the incident.
Yesterday, after Hu Ming and Zheng Xuanlin completed the amputation, the patient was pushed back to the orthopedic ward. Although the vital signs were good, the patient's family members reported it again.
Not only Hu Ming and Zheng Xuanlin were reported, but also Zhou Cheng was reported, saying that Zhou Cheng had no medical ethics.
The resident doctor was reported, and the medical department directly called the resident training office to the complaint office, calling the director of the resident training office overnight.
Then, after scanning the details of the incident, the director of the Residential Training Office scolded the staff on duty in the Complaint Office and Zheng Xuanlin in the complaint office. Zheng Xuanlin came up.
According to an on-duty doctor in the geriatric department who was closest to the hospital's complaints office.
Teacher Qin, who lives in the training office, asked in this way: "Do you want face? Do you have face?"
"Look for Peiban if you have anything to do, and Peiban if you have nothing to do? Is our Peiban your punching bag?"
"Are you going to live in Pei for surgery? Are you going to live in Pei to do all the operations in the hospital?"
"Are you going to live in Pei to go to heaven?"
"..."
"I don't know about this!" Lin Lin pretended to show Du Yanjun a confused expression on my face.
Zheng Xuanlin is his superior, this kind of thing is disgraceful, the residence and training office does not have a real name, it is to give face to the orthopedics department and Zheng Xuanlin, there is no need for Zheng Xuanlin to die in the department.
If other people figured it out, that was their business, and Lin Lin would definitely not say it.
Du Yanjun just smiled, "Hey, whoever he is, as long as he feels good anyway."
"At least, when you go to other discipline training in the future, you don't have to be afraid, just do your own job well."
Lin Lin also nodded in agreement and said, "Yes."
Then he stopped chatting with Du Yanjun and said, "I'll go around and see how the drainage of the amputee who underwent surgery yesterday is."
In fact, Lin Lin has already seen it.
Du Yanjun nodded and started looking at his bed and new patients.
……
For Saturday's ward rounds, both Yan Haihan and Cai Dongfan can be skipped. After all, as the director, there is no surgery scheduled for the weekend, so just leave it to the attending and deputy director.
Luo Yun and Dong Qiansheng from Cai Dongfan's group both appeared.
Then, when the two teams had almost finished their rounds with people, they saw that Hu Ming was leading people around the house at the moment.
Zheng Xuanlin was lazy.
Luo Yun led people to collide with people from Hu Ming's group, and Hu Ming seemed a little embarrassed.
Luo Yun also knew the truth of the matter, so he hurriedly said, "Mr. Hu, I'm going to see the patient first?"
"Yeah." Hu Ming also nodded, and calmly took his own people to go to the ward rounds.
Du Yanjun and Zhang Zhengquan were both knowledgeable, so they more or less guessed why.
Zheng Xuanlin, the attending doctor, did not come to conduct weekend rounds, but Hu Ming came, which can explain some problems.
And Xiang Haibin is a newcomer. After he walked into the ward, he asked: "Director Hu of your orthopedics department is still very active? He also conducts rounds in person on weekends. The director of our neurosurgery basically only checks the ward twice a week. "
Luo Yun immediately turned around and said, "Don't worry about other groups' business, just do your own group's work well."
Obviously Luo Yun didn't want Zheng Xuanlin's affairs to spread in the department, otherwise, it would be difficult for Zheng Xuanlin to carry out his work normally in the future.
Although it was entirely his own fault, Luo Yun actually understood Zheng Xuanlin quite well.
Zheng Xuanlin came to the department before him, and became the attending doctor first, with the same education background, but now he has to compete for the deputy high school in the same year.
It is impossible for Luo Yun to take the initiative to give in because of the worldly way, everyone depends on their own abilities, I don't mean to hurt you on purpose.
Xiang Haibin hurriedly shut his mouth.
……
After checking the house, he looked around Xiang Haibin and asked, "Brother Quan, Brother Jun, Yang Yifeng from our team? Can you not come to the house check?"
Xiang Haibin's impression of Yang Yifeng was particularly deep. After taking him to the neurosurgery operating room the day before yesterday, Xiang Haibin was afraid of him.
This guy looks arrogant, but in fact he is really arrogant, really amazing!
Revenge doesn't last overnight, and slaps don't turn back. He will take you on the spot and take you to see how powerful he is.
Luo Yun had already left work, and Zhou Cheng was not in the office, only Zhang Zhengquan and Xiang Haibin were there.There are no other groups of people.
Du Yanjun then let go of the loudspeaker: "Brother Yifeng, you don't even give Director Yan face. When you are in Director Yan's group, you won't come on weekends. How could you come to our group? You will come to the department on weekends Woolen cloth?"
"Hainai, just don't worry about Brother Yifeng's affairs, we don't have many things to do in our team today."
"You can go to get off work when you're done."
Then Xiang Haibin hurried to push the medicine changing cart to change the medicine.
Zhang Zhengquan snatched the dressing cart, but since Zhou Cheng is no longer in charge of the bed, the rookie dressing master who was the number one pick in the group was logically replaced by Xiang Haibin.
He wants to help prescribe the doctor's order as soon as possible.
After walking towards the beach, Du Yanjun asked, "Brother Quan, do you want coffee together?"
"Okay." Zhang Zhengquan nodded.
Then he smiled and said, "Brother Yan Jun, did you already know that Brother Zhou Cheng is very powerful, that's why you followed him when he was on duty? You didn't tell me yet."
"There is a snack machine."
Zhang Zhengquan said that on purpose.
After he ordered two takeaways yesterday, he realized, damn it!
The money is not enough, so I have to stay in the department for a day to eat today.
Du Yanjun was rather embarrassed, and smiled back: "Brother Quan, how can you miss me so much? Do you still doubt me?"
Although I also feel that I am a little unkind, but I am going to take the initiative to help Zhou Cheng and strive for the opportunity to study. It is not shameful, any of you can do this.
With a big black face on his face, Zhang Zhengquan showed his white teeth and said, "I will definitely not doubt you, Brother Yan Jun. I have to make a decision. I want to learn more from you, Brother Yan Jun, and be with you, Brother Yan Jun." On duty!"
"You are on duty with Brother Zhou Cheng, and I will follow you. We will get rich first and then get rich later, and finally everyone will get rich together." Zhang Zhengquan's thinking suddenly became very positive.
Du Yanjun's heart twitched immediately.
I nia!
The way of the strange man is to cure the body of the rider!
(the word is not wrong!)
I'm still very good at myself, do you still want to grab my learning opportunity?
Du Yanjun was actually very reluctant in his heart and wanted to refuse.
Looking at Zhang Zhengquan complicatedly, the mouth under the mask trembled slightly.
Zhang Zhengquan smiled, stood up, snatched Du Yanjun's notebook, and said, "Brother Yanjun, go to rest today, our team doesn't have much to do, I will take care of your patient's doctor's orders and dressing changes for you." gone."
In order to get money, use any means!
It's also kind of fun.
Du Yanjun discovered that what Zhang Zhengquan was doing at this moment was exactly the same as what he had done back then.
In the end, Du Yanjun still didn't keep his notebook.
It's not easy to go to Zhang Zhengquan to grab it.
I walked to the lounge with a complicated mood, and I had a snack!
It seems that the method I used back then was too fucking doggy, did I get retribution now?
What is your own level?
We also need to give Zhang Zhengquan a chance to practice his hands!
That's pretty gnarly!
Zhou Cheng was working on the test paper in the lounge at the moment. After Du Yanjun pushed the door in, Zhou Cheng ignored him and continued to immerse himself in the test.
Du Yanjun didn't see what Zhou Cheng was doing at first, so he found a seat and sat down on his own.
After a long time, I found that Zhou Cheng didn't see his complicated expression and ignored his complicated mood.
Then he turned his head, looked at Zhou Cheng, and asked, "Brother Zhou Cheng, you are writing."
But I noticed right away that what was spread out in front of Zhou Cheng was Lao He's first secret volume!
"Do you want to continue the postgraduate entrance examination? Brother Zhou Cheng?" Du Yanjun was stunned immediately, and his heart became even more shocked and complicated.
Zhou Cheng is 26 this year and will be 27 soon!
He is already so good, he still wants to go to graduate school to improve himself?
Only then did Zhou Cheng nod slightly, looked back at Du Yanjun, and said with a wry smile, "Well, try again for the last time, if it still doesn't work, then it's all fatal! I won't take the test anymore."
……
Chapter 137 Fierce confrontation!
Zhou Cheng himself didn't believe in fate, but sometimes he had to believe it.
Before getting the simulator, Zhou Cheng didn't find many reasons why he couldn't be admitted to the graduate school.He worked hard enough, steady enough, and calm enough.
Otherwise, it will not be able to go online for three consecutive years.It's just that the professional foundation may be a little bit worse.
To say it was too bad, Zhou Cheng didn't think so.
After graduating from a bachelor's degree, among the people who are included in the regular training, how many people are really outstanding?
He was able to manage the bed without problems, assist the superior physicians in the operation without any mistakes, be on duty alone, and report to the superior physicians in a timely manner without complaints. Patients who he could handle could be sent away or admitted to the hospital.
Zhou Cheng thought that he was inferior to other ordinary residents and even postgraduates because he was not professionally qualified.
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Of course, two weirdos like Luo Yun and Yang Yifeng still have to get rid of them.
Comparing himself with Du Yanjun, Zhou Cheng didn't think he was inferior to him professionally. In theory, Zhou Cheng didn't think he was inferior to Du Yanjun in terms of orthopedics and medical foundation.
But Du Yanjun could pass the exam, but he couldn't.
This is fate.
If Zhou Cheng didn't pass the exam this time, he really decided not to take the exam.
There is no need to be hard on the top.
Four years, entered the undergraduate course, quite satisfactory, graduated at the age of 23, which is also an ordinary age.After three years of regular training, Zhou Cheng reached 27.
If he takes the exam again next year, he will have to run 28 to 29 when he enters school.After graduating with a master's degree in three years, I am in my early 31s, close to 32 years old.
There are few four years in life that can be delayed.
Du Yanjun's expression changed after hearing this, his expression and heart gradually calmed down, and he said, "Brother Zhou Cheng, you will definitely be able to do it."
I just thought in my heart, if Zhou Cheng really passed the exam, then in the future, Zhou Cheng would really be missing in the hospital.
"Hopefully."
Zhou Cheng changed the subject: "Have you finished all your work? Is it too much? I have nothing else to do now. If you can't finish it, I can come to help."
Zhou Cheng didn't forget his identity, and it was Cai Dongfan and Yan Haihan's face to let him not be on duty and leave his bed alone, but in the hearts of Du Yanjun and others, he and Du Yanjun were on the same level.
No matter how unconventional the bed is, it's a bit too much, because Dr. Pang Dingkun didn't make such a spectacle.
Du Yanjun shook his head repeatedly: "No, brother Zhou Cheng, there are not too many patients and things in our group, although the turnover of patients is very fast."
"But compared to the other two groups, there was significantly less going on."
"It's Brother Quan. He said he would help me change my medicine and give me medical orders..." Du Yanjun stopped at this point, looked at Zhou Cheng, and seemed to understand Zhou Cheng's behavior when he did such a thing. Heart fluctuates.
Zhou Cheng smiled, and gave Du Yanjun a thumbs up: "That's right, we're a group of brothers, and our paths are quite uniform."
Du Yanjun was a little embarrassed, he was the first to bring up the atmosphere, no matter how reluctant he was now, he couldn't say much.I just hope that Zhang Zhengquan can figure it out quickly and don't compete with him for an opportunity.
Said to Zhou Cheng: "Brother Zhou Cheng, then you study, I'll go to lie down for a while, I won't disturb your rest..."
Noon, eleven o'clock.
Du Yanjun turned over from the bed and got out of bed, and said to Zhou Cheng: "Brother Zhou Cheng, my order has arrived, I'll go get it. Should I eat in the office or in the lounge?"
If Zhou Cheng didn't study in the lounge, it would be most appropriate to be in the lounge.
But the aftertaste of the food will affect the concentration, so Du Yanjun asked this question.
"Let's go to the office to eat."
"This morning, it seems that the department is quite stable. There is not a single emergency patient." Zhou Cheng smiled, feeling a little complacent.
It seems that when he is on duty, his luck is generally pretty good.
"Well, it's nothing. I hope it will be a smooth 24 hours." Du Yanjun frowned slightly.
When I was on duty, it was unlucky to say such words, and I muttered in my heart narcissistically——Children's words are wuji, children's words are wuji.
……
After Zhang Zhengquan successfully filled his stomach, he felt really motivated.
However, when the three of them had dinner and returned to the lounge, Zhang Zhengquan looked at Zhou Cheng who was preparing for the postgraduate entrance examination, his eyes could not help but move, he seemed a little puzzled and guilty.
He also prepared for the postgraduate exam, but he didn't pass the exam the year he graduated from undergraduate, so he didn't think about it.
Now that Zhou Cheng is about to graduate from regular training, he will be able to find a job and earn money soon, but he hasn't forgotten about it.
This made Zhang Zhengquan quite ashamed...
Compared with Zhou Cheng, he doesn't seem to be a medical practitioner, at most he can only be regarded as a hobbyist.
Of course, Zhang Zhengquan didn't pretend to be positive. He came here for regular training because he didn't know what to do. To him, the job he could find after graduate school and the job he was looking for now were all the same concept.
He was looking for a job simply because he wanted to find something to do, nothing else.
He climbed onto the bed silently, and then he planned to watch the video for a while, but he was too embarrassed to watch it, so he covered the quilt and snored slightly after a while.
About three o'clock in the afternoon.
When the nurse on duty came in and knocked on the door, Du Yanjun, who had fallen asleep, had already woken up, but Zhang Zhengquan was still soundly asleep, so why would he want to get up to see the patient?
Du Yanjun squinted his eyes, wrinkled his forehead, glanced in Zhang Zhengquan's direction, rolled his eyes, and just reached out his hand to signal the nurse to keep his voice down, got out of bed, put on his shoes and went out.
About 10 minutes later, Du Yanjun walked back and explained to Zhou Cheng, "The femoral neck is fractured!"
Zhou Cheng, a patient with a fracture, can also undergo manipulative reduction. The reason why he did not come to call Zhou Cheng is because the femoral neck fracture is a special and unstable fracture that requires surgery to intervene.
Zhou Cheng nodded and continued with the questions.
……
Lunch time.
When Du Yanjun finished watching the third emergency patient, he came in and knocked on the door to ask Zhou Cheng to eat.
Zhang Zhengquan suddenly woke up from the upper bunk in the duty room, shook his head, and said sleepily, "Ah? What time is it?"
Then I took my mobile phone and looked, "It's past five o'clock, is there no patient all afternoon?"
Zhou Cheng stood up at this time, and asked angrily: "Quanzi, if you want to sleep, why don't you go home and sleep? There were three emergency visits in the afternoon, and the nurse on duty came three times, but you didn't wake up even once."
Zhang Zhengquan's behavior today was also really weird. He could go home and sleep well, but he had to squeeze in the duty room.
Although the snoring is not loud, it will affect the problem to some extent.
Zhou Cheng also wanted to sit in the duty room, but the lights had to be turned on again in order to prevent the housekeeper and head nurse from scolding him for wasting electricity in the department, so he stayed in the duty room.
Zhang Zhengquan was full of shyness and guilt at the moment, and said, "I'm sorry, Brother Yan Jun, I fell asleep too much right now."
After finishing speaking, he also lifted the quilt and got out of bed, then stepped on his shoes and went to the bathroom to rub his face, and went to rub his rice with extra excitement...
Du Yanjun looked at Zhang Zhengquan helplessly, but he was secretly happy.
Zhang Zhengquan was sleepy, but under the guidance of Zhou Cheng, he successfully performed the manual reset of the anterior dislocation of the shoulder joint for the first time in his life, and he felt pretty good.
It proves that my bad supplementation during this period is effective, and the manual reduction surgery for anterior shoulder dislocation is actually not that mysterious, but I have never touched it before!
So, after finishing the reset of dislocation, Du Yanjun immediately ordered three servings of De Tianshun's rice bowl!
This is considered a small celebration in the department.
When Zhang Zhengquan walked into the office, he smelled the fragrance, and immediately his salivary glands began to secrete crazily. He came up smiling and offered to help Zhou Cheng and Du Yanjun distribute the lunch boxes, opened the lid, and prepared the bowls and chopsticks.
Really, he was so positive that he secured his position as a younger brother.
After eating, Du Yanjun asked Zhang Zhengquan to go back to rest. It is not necessary to stay in the department all the time. Anyway, we still have to spend a weekend.
You can't be on duty alone, and the whole team will be dragged down.
Zhang Zhengquan was satisfied, with a slightly tangled and apologetic expression on his face, he said, "Brother Yan Jun, I'm so sorry, I missed you for two meals and didn't do anything."
Du Yanjun didn't take Zhang Zhengquan's words seriously. Zhang Zhengquan's fingernails are enough to fight for ten or eight years.
He knew Zhang Zhengquan's true identity, and the daily income in Yu'e Bao was probably enough for them to eat casually.
Just said: "They are all brothers in the group, don't care about these details."
Then he looked at Zhou Cheng: "Brother Zhou Cheng, why don't you go back and rest too?"
Zhou Cheng shook his head and said, "Forget it, I think it's pretty good in the department."
No matter what, I am still a resident doctor, and this is what I do. Since Director Yan and Cai Dongfan trust him to pick up the job of the general on-duty, then he must not be treated like Luo Yun.
Luo Yun is the superior, and it is only right and proper to go home at night.
Besides, don't you get the money back.
After taking the money, the nature has changed more or less. No matter how bad it is, you have to be worthy of the money that was sent to you.
Now that he is so poor that he needs to ask his family for money, Zhou Cheng is quite looking forward to the salary that will be paid this month.
Then he said to Zhang Zhengquan: "Quanzi, you don't need to come for the rounds tomorrow morning, your patient, Yan Jun and I can take care of it for you, so as not to make an extra trip."
Hearing this, Zhang Zhengquan looked over in great embarrassment: "This? Isn't it a bit bad? Brother Zhou Cheng, you have worked so hard on duty."
In fact, what I instinctively thought was, damn it, this obviously cut off my way to have breakfast tomorrow!
But I can't go too far.
"It's okay, there's not much to do anyway, let's have a good weekend, next week, Teacher Luo Yun and Teacher Cai Dongfan will be in the outpatient clinic to treat patients, and the number of patients will not be small." Zhou Cheng said.
Both Zhang Zhengquan and Du Yanjun opened their mouths slightly, and said in surprise, "Is Teacher Luo going to the outpatient clinic too?"
Currently, the three directors and Deputy Director Dong Qiansheng are eligible to sit in the outpatient clinic. Although Zheng Xuanlin and Luo Yun are the attending physicians, they haven't been scheduled for outpatient clinics yet!
On the other day of the working day, it was all done by the retired old director of the Second Department of Orthopedics.
In the past, Yan Haihan's group had the largest number of patients because there were two people in their group attending the outpatient clinic to treat patients.
"Well, it's tomorrow! So take a good rest this weekend." Zhou Cheng nodded back.
Another reason why he didn't want to go back was that he would still have to go to the outpatient clinic with Luo Yun tomorrow anyway, so it's better to have one thing less than one more thing.
This made Zhang Zhengquan no longer want to spend money, nodded and walked outside the department.
However, when Du Yanjun heard this, his mind became active.
After Zhang Zhengquan left, he saw Zhou Cheng was addicted to reading and doing questions, he sneaked into the office, then sent a message to Luo Yun and started asking questions.
"Ms. Luo, are you going to the outpatient clinic tomorrow? Do you need help?" Du Yanjun knew the benefits of following the outpatient clinic.
Cai Dongfan has outpatient clinics twice a week, both in the afternoon.
As long as Du Yanjun is not on duty, as Cai Dongfan's only disciple, he must come every time.
In the outpatient clinic, following Cai Dongfan, Du Yanjun learned a lot of private things that he couldn't learn during the ward rounds.
Luo Yun is talking with his mother at his mother's place right now.However, Luo Yun's mother heard Luo Yun's cell phone ringing, and hurriedly said: "Xiaoyun, go back and rest quickly, everything is fine here, you don't have to come over every two days to accompany me."
"This place is so far away from your work place, you run back and forth, tossing!" With a bald head, hairless, wrinkled, and thin face, a pair of eyes looked at Luo Yun full of distress and pride.
She is Luo Yun's mother, Zheng Hui, who is currently undergoing palliative treatment for gastric cancer, that is, undergoing chemotherapy to prolong her life.
Zheng Hui felt that she was really not worthy of the word virtuous. Ever since she was diagnosed with stomach cancer, Luo Yun not only quit her studies for Ph.D. Nested in Eighth Hospital.
Her heart was full of guilt.
In addition, in the past few years, Luo Yun will come here to stay here for one or two nights every one or two days, sometimes early, at three or four o'clock, to accompany him for dinner, and on weekends to accompany him all day.
Sometimes it was late, even after ten o'clock.
But every morning, she can see her son, get up at five o'clock, and then cross the Xiangjiang River to go to work in the star area.
Zheng Hui saw it in his eyes and felt pain in his heart. He persuaded Luo Yun many times, but Luo Yun ignored her and just stayed with her.
Zheng Hui hopes that her son will be with her. She knows that the rest of her life is not long, and she is satisfied if she can see Luo Yun one more time. He takes care of the child, cooks for him, provides him with a warm home, and then closes his eyes.
But ah, things go against people's wishes.
My own illness has almost used up the family's little savings. Luo Yun has many blind dates. After hearing about her, they all avoid her. Now, Luo Yun is in his 30s and has not yet grown up. home!
The house was also sold by Luo Yun to continue his life, and now there is only a broken car left.
Fortunately, it was his and his father's old house, because she insisted on putting his father's shrine at home, so Luo Yun kept it.
Zheng Hui felt guilty!
"It's okay, Mom. I'm not busy at work. Our director is also very kind to me. If there is anything, he will help."
"Today is the weekend, let's watch TV together." Luo Yun replied to Du Yanjun with one hand while tuning the TV channel for his mother.
"Tomorrow, I will call Zhou Chenglai to help. You are on duty, go back and rest early."
Zheng Hui looked at her son's smiling face helplessly, and two lines of tears came out of the corners of her eyes.
Luo Yun hurriedly put down his phone, wiped her tears, and said, "Mom, it's okay, I'm still young, so I can't be tired from such little things. My life now is more leisurely than when I was studying."
"You also know that when you called me at eleven or twelve o'clock, I was still in the operating room sometimes." Luo Yun comforted his mother.
Cover the phone down.
After a while, Luo Yun and Zheng Hui opened the old photo album together...
……
When Du Yanjun saw Luo Yun's reply, his expression flickered, and he replied with some disappointment: "Oh, yes, Teacher Luo."
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However, after returning to Luo Yun, Du Yanjun said again: "Then when you need help next time, Mr. Luo, please tell me."
Still a little reluctant to give up.
After replying, Du Yanjun wondered if he was too greedy. He could follow Cai Dongfan's outpatient clinic, but now he has to go to Hun Luoyun's outpatient clinic.
It seemed so, so Du Yanjun withdrew the information again, and then sat upright in front of the computer and started typing today's medical records.
……
The next day, early in the morning.
At [-[-, Luo Yun rushed to the department early.
Xiang Haibin had already arrived, and Luo Yun immediately said: "Today I have an outpatient clinic, at eight o'clock, we will do a round of the ward early, and then Du Yanjun, Haibin, you two will deal with the follow-up doctor's orders and dressing changes for the patients in the department. You can go back to get off work."
"Let's start the rounds."
The time of the outpatient clinic is eight o'clock. In addition to going to the outpatient clinic, Luo Yun still has to walk around the weekend rounds.
This is also his duty!
Although it is possible to ask Cai Dongfan to bring people around for ward rounds, but ah, Cai Dongfan is the chief physician after all, and he has been doing ward rounds on weekends for many years. It would be a bit inappropriate to let Cai Dongfan do the ward rounds now. up.
Do your job well.
……
After checking the room, Luo Yun asked Zhou Cheng to go to the outpatient clinic first, and after telling Zhou Cheng the specific outpatient clinic, he sat in the department for a while.After all, as a senior doctor, he still needs to supervise the doctor's orders in the department.
Although this kind of thing can be done in the outpatient clinic, after all, it is better to watch in person.
After Zhou Cheng entered the outpatient room according to the consultation room number Luo Yun said, he discovered it by accident.
On the table in the consulting room, there were three bottles of mineral water.
Then a white coat was there, arranging various checklists, including MRI checklists, X-ray checklists, CT checklists, nerve electromyography checklists, and PET-CT checklists...
The man lowered his head, his hair fluttered up and down occasionally, and he didn't know what he was doing.
Could it be that I went to the wrong consultation room, and exited to see the consultation room number of the next outpatient clinic.
It is 312!
That's right.
When I walked in again, I found that the person who sorted out the checklist appeared, and it was a big black face without a mask——
Zhang Zhengquan.
Zhou Cheng blinked, thinking he had misread: "..."
Zhang Zhengquan hurriedly said with a silly smile: "Brother Zhou Cheng, you are here. I thought that there was no one to help Mr. Luo's outpatient clinic, so I thought of coming over to help."
He didn't say that he actually came here for dinner, so it took a lot of work to find out the exact clinic number of Luo Yun's outpatient clinic.
Moreover, in order to be able to eat, Zhang Zhengquan came to tidy up in advance, so that Luo Yun would not be able to drive him away. After doing something, there must be something to eat at noon.
Zhou Chengcheng said: "After the rounds this morning, Teacher Luo Yun asked me to come to the outpatient clinic first. If I knew you were here, I probably wouldn't have called me."
Zhang Zhengquan hurriedly said: "I also forgot to tell Teacher Luo, brother Zhou Cheng, there aren't many things to do in the department today, right? Brother Yan Jun and the others still have a lot of things to do?"
If Luo Yun was the only one, then Zhang Zhengquan would eat without psychological pressure, and Luo Yun must have never thought of this.
Today is on the 15th, salary will be paid after NO.99, and there is still [-] yuan left. If you don't think about it, you may not be able to stand it!Zhang Zhengquan thought in his heart, of course, if there are many things in the department, he will still go back to the department.
"Not many! There are almost two people, Yan Jun and Haibin."
Just as he was talking, Luo Yun came in from the outside, and said, "Zhou Cheng, go to the computer at the opposite door, and ask a few patients to have a look first, and then."
Before he finished speaking, Luo Yun realized something was wrong, hey.
Why is there an extra black face like Zhang Zhengquan in the outpatient clinic?
When the words came to his lips, he stopped abruptly.
Zhang Zhengquan squeezed a smile at Luo Yun, and explained: "Mr. Luo, I originally planned to come to help, but I didn't expect Brother Zhou Cheng to come. There is someone here to help. I'd better go back."
Zhang Zhengquan could tell that when Luo Yun called Zhou Cheng today, it was definitely more than simply asking Zhou Cheng to help.
There must be other things.
Since Luo Yun brought Zhou Cheng into the alleys many times, it is probably not easy to say these things publicly, so if he comes here by himself, will he disturb the arrangement between Luo Yun and Zhou Cheng?
From the words just now, Zhang Zhengquan could tell that Luo Yun wanted Zhou Cheng to see the outpatient clinic alone.
I rely on...
Let Zhupei go to the outpatient clinic alone, this must be said.
Luo Yun gave Zhou Cheng a complicated look. Zhou Cheng's face was innocent, as if he was definitely not called by me.
He said: "You are all here, let's watch it together. Xiao Zhou, go and call the patients outside to line up at the door in an orderly manner."
"Tell the patient, I only look at the serial number in the queue, and I don't show anyone who jumps in the queue! As long as there are people who jump in the queue, if you find out, you will go straight to the last one of the day."
okay.
Zhou Cheng went out, and after repeating what Luo Yun had said, a large group of patients crowded at the door immediately dispersed and queued up according to the serial number.
Of course, there were also a few whispers:
What's the big deal, isn't it just an attending doctor, such a big rule.
Make yourself look like a famous professor Yes.
I haven't watched it yet.
It seemed that some people in the crowd felt that Luo Yun's display was too ugly, so they simply didn't watch it.
There are actually quite a few numbers on weekends.
Because most office workers only have time on weekends, and they have to ask for leave on weekdays, which is difficult to get approved.
Today's number is actually fully booked.
Zhou Cheng ignored it and just brought the first patient and his family inside.
A female patient about 50 years old came in. She frowned, walked slowly, and then walked to the yellow stool opposite the computer.
Luo Yun arranged for Zhang Zhengquan to be the person who wrote and asked medical records: "Hi, what's wrong with you?"
There is no way, Zhang Zhengquan has come all the time, and it would be too inappropriate to drive him away directly.
Zhou Cheng had other arrangements, so he could only give Zhang Zhengquan some things to do.
The patient immediately replied, "Dr. Luo, my right arm hurts very badly. Especially when I get up in the morning or comb my hair."
"As soon as I lift it up, I feel unbearable."
Zhang Zhengquan still has a little background, and asked again: "How long has it been? Have you been injured? Was it this painful at the beginning or is it getting more and more painful?"
"It's getting more and more painful! I've never been injured before! Oh, I've been in pain for more than half a year, and I can't even touch it here, especially in the past few days, it hurts so much when I touch it." The patient said while using The left hand moved the right hand.
Immediately, the pain made her eyebrows almost jump out.
"Zhengquan, you have a physical examination." Luo Yun said after hearing the words.
Outpatient clinics are different from wards, and you cannot chat with patients for too long.
Today Luo Yun has a total of 05 accounts, and the working hours are only from 30 to 450 o'clock, and from [-] o'clock to [-[-, a total of seven and a half hours, a total of [-] minutes.
On average, each patient only has four and a half minutes. To complete everything, time must be saved.
"Ah?" Zhang Zhengquan was startled when he heard this.
"Physical examination, what?" Luo Yun had already entered the state at this moment, and ordered Zhang Zhengquan.
This is an outpatient clinic, you intend to help, do you want to do something?What are you doing here?
Zhang Zhengquan immediately stood up trembling.
Zhou Cheng walked to Zhang Zhengquan's position and began to write the medical records.
The writing of the medical records of outpatients is as important as the physical examination. The writing of the medical records is a very important certificate, which proves that you have given the patient opinions or suggestions, while the physical examination is to assist in the diagnosis.
Zhang Zhengquan's foundation is still not too bad, and humanistic care should be put in place immediately——
He rubbed his hands together and said, "Auntie, I'm going to give you a physical examination. It may hurt a little, but I won't use too much force. Please be patient."
The person who came with her was her husband, and said: "It's okay, doctor, you are welcome, you are professionals, and we are not afraid of you messing things up."
Before even touching Zhang Zhengquan's hand, the patient immediately cried out ouch!
Zhang Zhengquan was so frightened that he immediately withdrew his hands, not daring to move anymore.
Looking innocently at the patient and family members: "I, I haven't encountered this yet."
The patient's husband immediately said: "The doctor's hand hasn't arrived yet, are you starting to hurt again?"
The patient was very wronged and said: "It really hurts! It hurts!"
Luo Yun frowned, signaling Zhang Zhengquan to continue.
Zhang Zhengquan continued to stretch his hand forward tremblingly, not daring to use any more strength.It seems to be stroking to the patient's shoulder, moving back and forth, left and right.
"Pain, pain, pain!" The patient kept avoiding his hand, as if Zhang Zhengquan's hand was poisonous, and it hurt wherever he touched it.
Luo Yun continued to frown, but Zhang Zhengquan's hands trembled more and more.
Do we need to continue the physical examination? He glanced at Luo Yun, Luo Yun was expressionless at the moment, his brows were tightly frowned, and he didn't speak.
Zhang Zhengquan's back was sweating!
It's really hard to get a meal today.
In fact, Zhang Zhengquan didn't know how to check, but just touched his elbow a little, ready to check the patient's activity.
But it seemed that when he touched it, the pain immediately intensified!The patient stood up immediately.
"No, I can't move!" The patient immediately stretched out his hand to stop him, and tightly grabbed Zhang Zhengquan's hand.
Zhang Zhengquan immediately retracted his hand.
Innocently said: "I didn't move, don't pinch me so hard."
Zhou Cheng frowned when he saw this scene.
After glancing at Luo Yun, he took the initiative to stand up.
Zhang Zhengquan's inspection just now was aimless and unsystematic.
This is not acceptable, and without waiting for Luo Yun to explain, he took the initiative to go up and ask: "Are you in pain here too?"
Pointing to the place Zhang Zhengquan touched just now, that is, the elbow.
"It hurts, it hurts badly. Hiss!" The patient immediately shrank away reflexively, then took a deep breath, and bumped his elbow heavily on his husband's elbow.
"Don't touch it!" Then he tightly protected his elbow with the palm of his healthy side.
Seeing this scene, Zhou Cheng immediately noticed something was wrong.
I can't touch it, you can touch it well with your hands, our doctor's hands are poisonous, right?
He glanced at Luo Yun again.
Luo Yun then asked: "Do you have such pain? Have you ever had a similar situation before?"
The middle-aged woman shook her head and said, "No, I haven't. I'm in good health. As far as I can remember, I haven't been hospitalized except for giving birth, and I rarely have minor colds."
"Doctor, what's the matter with me? Can you prescribe me some medicine? Do you want to have an examination? Can you not have an examination?"
"Examinations are very expensive!" She seemed a little worried and hesitant.
Luo Yun nodded, then shook his head and said, "I can prescribe some medicine to relieve your pain!"
"Pain is uncomfortable and requires symptomatic treatment."
"But besides treating the symptoms, we still need to find out the cause of the disease, so we still need to prescribe some tests for you. Our doctors and your eyes are all mortal eyes, and no one has perspective."
"I can't see what's inside."
"But fortunately, the current technology is advanced enough, we can borrow a few pairs of see-through eyes for you to see directly inside."
"I don't think you came to our hospital with your husband for our doctor to guess a disease for you and prescribe some medicine for you to go back. Right?"
"Your hand pain is the problem. To solve the pain, in addition to pain relief, you must find the root cause and solve the root cause."
"As for things like inspections."
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"It's like when we travel to the United States, everyone's first reaction now is to fly conveniently and quickly!"
"If someone insists that you can only take a plane? Can't you walk and swim by relying on a map and a compass? Then I will definitely say that you can get there. It's just not necessary. Do you think it makes sense?"
Luo Yun got into his own state very quickly, and what he said was very thoughtful, quite professional and suitable for daily life.
While speaking, he glanced at Zhou Cheng's two cubs intentionally or unintentionally, and after seeing the stunned expressions of the two clearly, he secretly rejoiced——
If the tiger doesn't show its power, do you still treat me as a sick cat?
Hearing this, the husband of the middle-aged woman smiled: "Doctor, you really know how to joke, how can anyone walk and swim to the United States now?"
"I see what you mean, check we do, we do."
Then he explained to his wife: "Do you want to walk to the country of America?"
He figured it out, getting checked was like flying.For more convenience and precision.
"Get a shoulder joint MR scan, X-ray right shoulder joint oblique, blood routine, erythrocyte sedimentation rate and CRP, and a nerve electromyogram. Remember to check for uric acid!" Luo Yun listened, and immediately said to Zhou Chengdao.
Zhou Cheng nodded when he heard the words, and immediately replied, "Quanzi, I will prescribe a doctor's order for you to write the checklist!"
He was shocked in his heart, good guy, what Luo Yun said just now opened Zhou Cheng's horizons!
It turns out that curing diseases and saving lives is not just simple diagnosis and surgery.
Such effortless effort to persuade the patient to have an examination, and he was very happy, is truly remarkable.
This is called kung fu!
Luo Yun is the attending doctor, and he has not talked with patients in the department for a long time. Therefore, this is the first time Zhou Cheng has seen Luo Yun communicate with patients in person.
After Luo Yun finished giving his instructions, he asked casually, "Apart from shoulder and elbow joint pain, have you ever had any pain?"
"Yes, occasionally. But it's not as painful as it is now. Sometimes it hurts on the face, and sometimes it hurts on the back." The patient seemed to have remembered something, and replied.
Hearing this, Luo Yun suddenly stood up and covered the checklist Zhang Zhengquan was writing with his hands.
Zhang Zhengquan quickly raised his head with a confused look on his face.
On Zhou Cheng's side, he quickly stopped the action of prescribing the doctor's order, and the light in his eyes was about to shine through.
"Then do you usually have more pain on the left side or the right side? I think you should have more pain on the left side?" Luo Yun asked suddenly, and at the same time he felt happy.
Good guy, I met a big fish!
The first patient of the day turned out to be a rare disease.
Here it comes.
Zhou Cheng, you wait.
Hearing this, the patient thought for a while, then touched his left shoulder with his right hand, which was unable to move at all before, and said, "Doctor, you are right, my side is in severe pain. Ugh!"
Immediately, the patient's left hand could no longer move!
And the right hand began to caress the left shoulder protectively!
You know, her right elbow was untouchable before.
Zhou Cheng touched it, and she retracted her hand and almost bumped into her husband.
Seeing this, everyone in Zhang Zhengquan was dumbfounded, even the patient's husband was stunned!
He didn't know what was going on, and he was not a professional, so he didn't know what Luo Yun meant when he asked.
But now?
There was a trace of horror in his eyes.
Facing the unknown and inexplicable fear, he looked at Luo Yun in a panic.
Luo Yun pursed his lips, and said calmly, "Let's do an MRI and EMG of the head first!"
"Family, take the patient out to rest first, and then come in to get the checklist. She must be a little tired."
The patient's family immediately nodded, and naturally realized that Luo Yun had dismissed his wife, and must have something to say to him alone...
After the middle-aged man went out, he quickly pushed the door open and walked in. After approaching, he immediately lowered his voice and said, "Doctor, what's going on with my wife? Why did she suddenly come?"
"She won't?" The middle-aged man's face changed drastically, he was inexplicably horrified, and then pointed to his head.
If he hadn't seen it with his own eyes, he couldn't believe it. Luo Yun seemed to know magic, and he could make his wife's left and right hands shift the pain!
Zhang Zhengquan also turned his head to look at Luo Yun, his eyes full of horror.
Luo Yun was silent for a while, and the corners of his eyes kept wandering around Zhou Cheng, but he was still talking to the middle-aged man: "Has she been injured recently? Or has she undergone surgery or a relatively large stimulus?"
"As you saw just now, she can move her left and right hands freely. And the pain has shifted."
"This means that her pain may not be organic, and it does not exist objectively in the arm."
"And exactly where you want it to be."
When Luo Yun was talking, he found out.
Zhou Cheng, what's going on?
Don't you feel surprised?
Why is he not surprised?
so calm?
Are you supposed to be calm?
"This? This, this, this?"
"She didn't? I'm sure she was hurt. As for the big stimulus?"
"It shouldn't be. Nothing happened to us recently." The middle-aged man recalled a circle, but he couldn't find a point that fit Luo Yun's story.
"Then doctor, what should we do now? Do we still need to have an examination?" the middle-aged man asked.
"I suggest that we don't do the specialist examination first, you should take her to the neurology department for a proper examination. In this regard, our orthopedics department is really powerless." Luo Yun said to him apologetically.
"If the patient still has pain after they have ruled out the symptoms of the relevant department, come to us again. I won't prescribe the examination for you." Luo Yun still cautiously left a way out for his department.
"Okay! That's the only way to go." The middle-aged man said helplessly, knocked his head, and walked out.
After he left, Luo Yun didn't rush to call for the next patient, but looked at Zhou Cheng and Zhang Zhengquan.
"This patient is quite interesting. Can any of you talk about it?"
A pair of preaching meaning.
He looked at Zhou Cheng, with a half-smile on his face, as if he was saying, this patient is interesting, right?
Are you calm?
Zhang Zhengquan took a few steps back and grinned, the black face's eye sockets wrinkled into a chrysanthemum.
He felt that he was humiliating himself by coming to see Luo Yun today.
Hearing this, Zhou Cheng frowned slightly and said, "Teacher Luo?! Is this kind of hysterical pain more common on weekdays?"
Although Zhou Cheng knew about the disease through the knowledge package, he didn't know if it was common.
Zhou Cheng's words made Luo Yun's eyes flash immediately!
He intentionally hid the patient's disease diagnosis and didn't say it out, just to lead Zhou Cheng into a ditch, let him think in the direction of neurological diseases, and then he would bring Zhou Cheng's thinking back.
In this way, Zhou Cheng naturally understood that seeing a doctor not only requires a specialist, but also?
However, Zhou Cheng, the audience, didn't follow the routine at all. When others talked about cross talk, he just shook out the burden in advance.
What the hell is the point of that?
Moreover, what Zhou Cheng asked was how common such patients are!
Luo Yun was immediately disappointed in his heart, as if, for the first time in a confrontation that he thought had a chance of winning, it ended in a tie.
In a tie with Zhou Cheng, Luo Yun felt that he was defeated.
this thing?
Haven't had time to think about it yet.
Zhang Zhengquan opened his mouth, looked back at Zhou Cheng, and then at Luo Yun.
Open your mouth and ask: "Mr. Luo, what is hysterical pain? Just now, this patient is hysterical pain?"
Zhang Zhengquan kept in mind the principle of asking if you don't understand.
Then Luo Yun saw Zhou Chengcheng and started to explain...
Immediately, the expectations in my heart were completely overturned. Zhou Cheng really knew that this special medical record hadn't fulfilled its special purpose, so I still didn't believe it.
Oh, hello, I can't treat you anymore in the joint surgery...
Chapter 138 Damn, pretend to be B and run away!
Luo Yun looked at Zhou Cheng, and Zhou Cheng turned to explain to Zhang Zhengquan.
The eyes on Zhang Zhengquan's big black face opened forcefully, revealing an extremely complex look.
Zhou Chengcheng said: "Hysterical pain, in fact, it should be divided into two points. Hysteria is the name of the main disease, and pain is one of the manifestations of hysteria."
"Hysteria can also be called dissociative conversion disorder, which is a mental disorder caused by psychological factors acting on susceptible individuals. It is a mental disease."
"In addition to pain, its manifestations can also include convulsions, cramps, sudden body paralysis, inability to move, or memory loss. It can also be manifested as loud shouting, moodiness, difficulty breathing, blindness, etc..."
"Of course, other manifestations are not reflected in this patient. Let's talk about this patient first—"
"Hysterical pain is generally migratory."
"The pain symptoms of this kind of patients are completely different from the pain caused by organic injuries."
"Her pain is that she feels pain, and she can feel no pain very quickly. This is one of her characteristics."
"One of the easiest ways to diagnose is to guide the patient a little deliberately to see if her pain can suddenly shift."
"It's like just now when Mr. Luo took advantage of his unpreparedness, he suddenly disrupted the patient's train of thought!"
"It made her feel that her painful hand should be on the left side, and she also felt that her painful hand was on the left side, but in fact."
"We have all seen that when the patient first came in, the painful part that the patient told us was actually on the right side..."
Zhou Cheng said so much in order for Zhang Zhengquan to understand.
Zhang Zhengquan has a good relationship with him and has helped a lot, Zhou Cheng has long wanted to take him along.
Luo Yun had already seen through the case just now, and Zhou Cheng had also seen through it, but Zhang Zhengquan didn't understand it at all. Zhou Cheng could only break up the disease and feed it to him, which was reciprocal.
So after continuing to organize the language, he continued:
"If there is metastatic pain, then you should go to the neurology department or psychiatry department for treatment and treatment. Our orthopedics department cannot treat this kind of thing."
"The hysterical pain often occurs after traumatic stress. But that is most of the cases, and the patients and their family members can be sure that the patient has not suffered trauma or surgery."
"However, stress is not directly traumatic."
"In some special cases, there may be situations where there may be violations of our values, and there will be."
"For example, in a traffic accident, as a victim, when you have to pay more money, you pretend to have no symptoms at the beginning, but they really appear after you pretend more times. The patient is really in pain!"
"The other kind is reward addiction! For example, if someone shows pain, it attracts more attention or pampering than usual, which she really wants, and it will also appear."
"So, most of the patients we see are adolescent girls, maybe menopausal women are also more sensitive, and there will be relatively more..."
Zhou Cheng talked eloquently, explaining the profound things in a simple way.
Even Zhang Zhengquan nodded frequently.
From the shock and astonishment at the beginning, it gradually turned into a sudden realization.
Zhou Cheng really explained the disease in detail. Although he didn't summarize it, he explained everything from the pathogenesis of the disease to the reason why it is more common among people. It is not boring. Zhang Zhengquan really understood it.
"There is such a disease, I have never heard of it." Zhang Zhengquan felt very surprised, and bowed slightly.Express my admiration and gratitude to Zhou Cheng.
Luo Yun just smiled and said, "Call the next patient in."
I was also quite helpless in my heart. Although I was surprised by Zhou Cheng's knowledge and knowledge, he didn't say much.
This kind of disease is actually not a disease of joint surgery, but a disease of psychiatry. Luo Yun also encountered it several times in the joint department before he learned about it.This is nothing, in psychiatry, this disease is also a common series.
Zhou Cheng reads a lot, so if he can realize it, it's nothing.
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Next time, we must find a very professional disease to have a look.
Zhou Chengzhun was about to step up, Zhang Zhengquan immediately said, "Brother Zhou Cheng, I'll call."
Zhang Zhengquan knew in his heart that the purpose of his coming here today was to earn a living. There were many patients in the outpatient clinic, so he definitely didn't have time to do teaching rounds. Zhou Cheng was willing to say that he could learn something now.
The time of the outpatient clinic is crowded and crowded, and it is not easy to waste a minute.
A second patient came in soon after.
She is an elderly woman with obvious deformity of her right lower limb. She is short, obese, with a very dark complexion and half-white hair that has not been taken care of.
She limped in and was supported by a woman in her 30s, who said, "Mom, walk slowly, and be careful not to trip over your legs."
After entering, Zhou Chengcheng quickly noticed that her right lower limb was obviously turned inward, and her lower limbs were obviously unbalanced.
The left leg is much longer than the right leg. When walking, after the left foot touches the ground, the right side of the body swings.
When her right leg touched the ground, she frowned and gritted her teeth, as if every step she took was in excruciating pain!
"Woman, you sit down first. How many years has your leg been hurting?" Zhang Zhengquan immediately asked the patient to sit down.
The middle-aged woman next to her replied: "My mother has been in pain for more than ten years. It hurts when it rains, and it hurts when I walk, and now it hurts when I sleep. I saw it in the county hospital and took medicine for a while. Now it hurts too much."
"Have you ever taken any pictures in the county hospital?" Zhang Zhengquan asked, looking at the plastic bag twisted in her hand, on which was clearly written C County People's Hospital.
"Yes, but it's been several months. Do you want to see it? Do you want to take a new one?" The woman said while taking a lot of films inside: "When I went to the county hospital before, the doctor It's useless to say that the previous films are useless."
"So I took photos every time I rechecked, and I kept a lot of them here."
"The ones from ten years ago to now are still there."
Luo Yun was shocked when he heard the words, and quickly said: "Useful, these films are the most useful!"
Just kidding, these X-rays simply objectively record the progress and history of the patient's condition, how could it be useless?
Neither the patients nor their families can tell the medical history in such a detailed and objective way. This whole set of X-rays can be said to truly record the development and evolution of a disease.
There are a lot of films, and they are arranged neatly. They are all arranged in chronological order. In addition to X-rays, there are also CT and MRI, but both CT and MRI are for the lumbar spine!
It can be seen that either this old woman is a fastidious person, or the middle-aged woman next to her, who is not sure if it is her daughter-in-law or daughter-in-law, is very considerate.
Because there are many films, Zhou Cheng and the others each have a film to watch!
I picked up the most recent film to watch first, and the plain film that was pushed forward a few months may be different from the current illness due to the time gap, but the content in the film is only slightly different.
Zhou Cheng is holding the one from a year ago, while Luo Yun is holding the most recent one.Zhang Zhengquan held the one from nine months ago.
When Zhou Cheng read the films, he found very obvious knee osteoarthritis!
Knee varus deformity.
After Luo Yun flipped through several films one by one, his heart was moved again!
Good guy, this movie is interesting again, so he looked at Zhang Zhengquan and asked, "Zhengquan, did you see something?"
Zhang Zhengquan's face froze immediately when he heard the words, his eyes continued to open a little bit, and after looking more seriously, he turned around and said, "This is knee arthritis!"
Luo Yun rolled his eyes when he heard this.
Ah tui!
What the hell?
Are you ashamed to say such an extremely unprofessional diagnosis of arthritis?
There are many divisions of arthritis, osteoarthritis, septic arthritis, tuberculous arthritis, gouty arthritis...
However, considering that Zhang Zhengquan is not a joint surgeon, Luo Yun will not complain about him.
Before Luo Yun turned his head to look at Zhou Cheng, Zhou Cheng asked the middle-aged woman, "Has your mother had a broken bone before?"
Hearing this, Zhang Zhengquan immediately turned his head to look at Zhou Cheng.
Have a broken bone?
How did you get it?
Brother Zhou Cheng, are you a doctor or a fortune teller?
This is not a good nonsense!
Luo Yun's expression flickered upon hearing this.
In addition to the types of inflammation that can be divided into arthritis, the etiology can also be divided.
This patient indeed had classic osteoarthritis.
The two classic manifestations of osteoarthritis are the narrowing of the joint space and the wear and tear of the articular cartilage. This is written in the definition, and it is also the content that can be read very clearly by reading the film.
but?
The diagnosis of traumatic arthritis is an etiological diagnosis. Generally, this diagnosis can be obtained by asking the medical history to complete the diagnosis.
Because you don't even ask, how do you know if it's a trauma?
Traumatic arthritis...
Of course, the traumatic experience of traumatic arthritis will be permanently written on the person's body, and it requires quite advanced film reading skills to be able to see that the patient has fractured or been injured before.
This is a very professional reading skill.
Originally, Luo Yun was going to leave this X-ray to Zhou Cheng and Zhang Zhengquan for a lesson, but he didn't expect that it was just the beginning, and Zhou Cheng would tell the truth again!
Zhang Zhengquan hurriedly asked the middle-aged woman: "Has she ever had a broken bone before?"
"No? My mother-in-law has never been hospitalized or injured?"
The middle-aged woman hesitated for a moment, but she was very sure.
Then he turned his head and asked in local dialect: "Mom, have you ever had a broken bone before? The doctor is asking you."
Then he said with some embarrassment: "Doctor, this is my mother-in-law. After I got married, she has been in good health, but her leg is not very good, and she has never had any surgery."
The patient understood what his wife said, raised his head and said, "The bone is broken?"
"Bones were broken. It was so young, teenagers. I was still a girl."
"At that time, I was working in my hometown, and I fell down. Later, the doctor in the village took care of my fracture."
"Doctor, how do you know that my bone is broken?"
"I personally almost forgot about it."
"You guys are amazing." Luo Yun and the others could understand most of what the patient said.
The patient immediately held Zhang Zhengquan's hand, pinching Zhang Zhengquan so excitedly that it hurt a little.
When Zhang Zhengquan heard it, I rely on (‵o′)!
It was really broken!
"It's seen on the film. I'm a woman." Zhang Zhengquan could only reply like this.
But when he went back to read the film seriously, he was a fool!
The film did not write the word traumatic arthritis!
Is it traumatic arthritis if the joint is deformed?
What's the matter?
Luo Yun said: "You are her daughter-in-law, right?"
"Yeah!" The middle-aged woman nodded.
"Her current situation is very serious. She can no longer walk. You just saw that every step she takes is a torment."
"To be honest, I admire her for being able to walk in such a situation now. Your mother-in-law can bear the pain very well." Luo Yun sighed.
The middle-aged woman nodded and said: "My mother-in-law is a person who can endure hardships. My husband and I wanted to take her for surgery ten years ago, but at that time my mother-in-law was reluctant to part with the money and thought she could barely leave, and the doctor at the time Said she was not old enough, said several years of surgery."
"But when I took my mother-in-law to see a doctor recently, my mother-in-law still refused to do it, so I can only bring her here." The middle-aged woman said helplessly.
Hearing this, Luo Yun nodded and said, "Well, I might have been younger before. If I had had surgery then, I would definitely have to have another surgery, so it can be delayed for a few years."
"I can still walk now, which proves that the muscles have not atrophied."
"However, surgery is necessary to recover." Luo Yun said directly.
This is an interesting case, the joint deformation is so severe, how to restore the line of force, how to make up for the shortened length of the affected limb, and straighten the re-deformed joint...
Still a little challenging.
Luo Yun was looking forward to it, his hands were almost sore, if such a complicated initial joint replacement could be his first joint replacement in the department.
It was really comfortable, and there was a feeling of reuniting with old friends...
"Are you going to have an operation?" The old woman stood up in fright, ignoring the pain in her leg.
But she immediately asked the key question: "So? How much would it cost?"
When the old woman asked, the middle-aged woman next to her said, "Mom, sit down first. This operation is not expensive. The doctor told me that it is not expensive."
Then he turned his head to look at Luo Yun, lowered his voice and said, "Doctor, don't tell my mother about the money."
"She is reluctant to part with money." The middle-aged woman said.
"At least [-] to [-] yuan must be prepared. She is going to have a joint replacement, and the joint prosthesis is at least [-] yuan. This will not be reimbursed." Luo Yun said blankly.
Who is not willing to part with money?
"doctor."
"Can our county hospital do this surgery? Should it be cheaper?" the middle-aged woman asked.
She remembered that when she was in the county hospital, the director also told her to do joint replacement, but she had to hire an expert. The money for the expert would not be reimbursed, and she had to pay for it herself. Otherwise, they would go to Shashi to see it by themselves , so as to avoid the cost of hiring an expert.
Luo Yun replied with some embarrassment: "I don't know. I haven't seen doctors in other hospitals, so I can't comment on it. They may or may not be able to do it, and I don't know the cost. gone."
"If it's on our side, it will cost at least 3 yuan to save a little."
"Zhou Cheng, write it down, it is recommended to perform joint replacement surgery. Otherwise, there will be risks of paralysis, muscle atrophy, etc."
After Luo Yun said this, he said again: "In her current situation, taking medicine will definitely not work, you see."
"On the plain film, her joints have completely collapsed, without any joint space, and the bones are grinding against the bones. No amount of painkillers can stop it. Taking painkillers can only make her stomach suffer more damage ...was a waste of money."
"Her current symptoms are that she can no longer walk. As I said just now, every step she takes is suffering for her."
The face of the middle-aged woman immediately changed, paralyzed?
Quickly asked again: "Then how long will my mother-in-law be paralyzed if she doesn't have an operation?"
"I can't judge this. If she doesn't move after she goes back, it may be the same as now, but if she doesn't move, then it's not much different from being paralyzed." Luo Yun can't guarantee, who can say about this matter Accurate?
"After the operation, will she be able to walk? Will she have to use a wheelchair or use crutches?" She then asked.
"Then if she still needs to use crutches or a wheelchair after the operation, I will definitely not do it for her." Luo Yun was very happy.
"People who are paralyzed can still move in electric wheelchairs. With the money for surgery, they can buy several wheelchairs."
"In her current situation, the prognosis of the operation may not be very good, but as long as she recovers well and exercises well after the operation, she will not be able to tell the difference in her walking posture from the old lady outside." Luo Yun replied confidently. road.
"It's definitely not a problem to take the grandson, cook, buy vegetables, wash clothes and other simple housework."
Luo Yun said pointedly.
The middle-aged woman's eyes lit up immediately after hearing this: "Thank you, doctor, I will think about it!"
After she finished speaking, she was about to open the phone's address book, as if she was going to make a call to ask someone.
But after hesitating for a while, he said directly: "Oh no, doctor, just give me a hospital certificate. I will take my mother-in-law to the hospital. I will perform the operation on her."
Luo Yun pouted his mouth towards Zhou Cheng, and Zhou Cheng hurried to write the hospital certificate, and gave Luo Yun a thumbs up in a bit dumbfounded.
Then Luo Yun said to the middle-aged woman: "You have to think carefully and discuss it with your family. Surgery for the elderly still has certain risks, and the cost is quite high."
"It's not as simple as going to the vegetable market to buy some vegetables." Although Luo Yun wanted to carry out the first joint replacement surgery in the department, he would not go for surgery just for the sake of surgery.
"Well, okay. Dr. Luo, I will discuss it with my family." The middle-aged woman said seriously.
Just now Luo Yun said a reason that she couldn't refuse.
My own mother-in-law, after the operation, was able to walk well, wash clothes, cook, and buy vegetables. For her, it was more than half of her liberation.I can also go to work well, and there are people to pick up and drop off the cubs.
Seriously.
"Then you can go to the second orthopedic ward to make an appointment later, and you should be able to be admitted to the hospital soon!" Luo Yun said, looking at the old woman and sighing.
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When I am old, I have spent my whole life running around for my son, bought a house and a car, and in the end, if I have no money, I don't even have much say in seeing a doctor for myself.
This is a living fact.
However, this daughter-in-law is quite filial. Although the reason he gave was just right and hit her heart, she agreed to the operation without hesitation.
However, it is enough.
It's not in vain to spend a little thought on myself.
The old man is pitiful, and her daughter-in-law's clothes don't look like people who are short of money.
"Mom, let's go first and make an appointment in the ward. Your legs are useless after taking medicine." The middle-aged woman explained seriously.
"Are you going to be hospitalized for surgery?"
"It will cost a lot of money, I won't do it, it's too expensive, I won't do it!" What Luo Yun didn't expect was that the old man shook his head resolutely rather miserly, and even fled the consulting room tremblingly.
"We are the sons and grandchildren of money matters. Don't worry, your health is the most important thing."
"We planned to let you do it a few years ago. You said it was expensive. At that time, we had just bought a house, and it was true that we didn't have that much money. The money was valuable at that time, but now, your grandchildren's tuition fees for a year will cost a lot. several thousand."
"They also hope to take you to the amusement park to play together. It won't cost much."
"Even if you feel bad about money, just treat it as spending money to accompany Zhou Zhou and Lan Lanhua, isn't that okay?" The middle-aged woman comforted her mother-in-law...
Only then did the old man move.
"How much will it cost?" The old man looked up and asked.
"It's not expensive, it's only over 1!" After speaking, he winked at Luo Yun.
It seems that he hoped that Luo Yun would help her keep it a secret and not expose it.
The old man lowered his head and murmured: "More than 1, more than 1, we were able to afford several big houses at that time, and I have only earned such a little money in my life..."
"Mom, that was when you were upright, and your legs were bad. Now the money is worthless." Then, she took her hospital certificate and prepared to help her mother-in-law to the inpatient department.
Luo Yun quickly suggested: "Sister, help your mother-in-law out and sit first, then go down and rent a wheelchair, and push your mother-in-law to the inpatient department. She is walking now, and it really hurts."
The middle-aged woman's eyes lit up immediately, and she said, "Okay, thank you doctor, you are such a good doctor."
After finishing speaking, she turned around and helped her mother-in-law out of the consulting room.
Looking at the backs of the two, Luo Yun murmured in his heart, it seemed that he had misjudged the person!
It turned out that it was not the daughter-in-law who was reluctant to undergo surgery, but the elderly who were reluctant to part with money.
……
After the person walked out, Luo Yuncai looked at Zhou Cheng again, his mind was turned.
It was a surprise that Zhou Cheng could see traumatic arthritis. This is quite professional joint surgery knowledge.
It seemed that Zhou Cheng had pretended it again.
However, after being admitted to the hospital, Zhou Cheng, you have to see it.
Consultation and treatment are two different things.
However, is it possible that Zhou Cheng is not deep enough to understand the difficulty of this operation?
Luo Yun's thoughts moved to other places again.
Zhou Cheng was also looking at Luo Yun, his heart fluctuated——
Teacher Luo must be too powerful. After the first patient came in, he explained clearly in a few words, and now he even got the patient's family to agree to the operation with a few words.
Zhou Cheng also knew that the patient had to undergo surgery, but the doctor only had the right to suggest how to persuade the patient to go in the most favorable direction.
This is not something that can be explained clearly in one or two sentences.
This is trying to figure out people's hearts!
Take grandchildren, cook and wash clothes...
Are these things relevant to the medical profession?It has nothing to do with it at all, and it doesn't reflect a person's medical professionalism at all.
but?
Just these few words just moved the heart of the patient's daughter-in-law.
Before he had time to speak, Zhang Zhengquan asked Zhou Cheng: "Brother Zhou Cheng, how did you see that the patient had a fracture just now? Can you tell?"
Zhou Cheng turned his head and said to Zhang Zhengquan: "Quanzi, the imaging of X-ray film is actually whether the X-ray can hit the opposite side to form a dark shadow. In this process, the less tissue it passes through and the sparser the density, Then the more shadows you can hit."
"Our bones have a trabecular structure. The trabecular structure is very special, and it will be very neatly arranged when it is born."
"You can experience that the trabecular bone structure is hollow, and it will form a very smooth and complete line-like structure on the X-ray film, right?"
Zhang Zhengquan nodded thoughtfully.
"Yes, there is no fractured bone end, and the trabecular bone structure is complete and continuous. But after the fracture, even if it is fully recovered, the trabecular bone structure will be disrupted and reorganized. At this time, let's look at the previous lines structure."
"You'll find that there's a crossover."
"This is the sign of previous fractures, and it is also traumatic arthritis. The information will be shown to us on the plain film!"
"It's a pity that the film was taken away by the patient, otherwise."
Zhang Zhengquan immediately said: "Brother Zhou Cheng, I'll go get it, the patient is still waiting at the door..."
After Zhang Zhengquan finished speaking, he left the consultation room, and then went to the door of the consultation room and took a few deep breaths.
Inwardly astringent——
Mom, shit, it's really hard in this world now, and it's really hard to make a living.
Zhang Zhengquan's bitterness almost broke with a bitter smile in secret, why should I come to Luoyun Clinic to eat?
This is no rubbish, it's just looking for abuse...
Luo Yun understands, Zhou Cheng understands both, but he himself does not understand, two patients in a row seem to be listening to heaven.
Alas, I don't blame Luo Yun and Zhou Cheng, they came to the outpatient clinic in a good manner, and it was obvious that I had to come here for a meal, maybe it was because I was thinking about my own food and didn't call me.
I?
I am so hard...
After Zhang Zhengquan walked out, Luo Yun sat down, glanced at Zhou Cheng, and said casually: "Xiao Zhou, you have read a lot of books. The review of traumatic arthritis is also from the video. of?"
Zhou Cheng turned his head to look at Luo Yun in astonishment, he really didn't expect Luo Yun to ask such a question suddenly.
Nodding awkwardly and haha: "Angangang..."
I secretly apologize to Luo Yun in my heart——
Teacher Luo, I'm sorry, but I actually licked these, and I even licked you to death.
I will remember you well.
Luo Yun: "..."
The corners of his eyes twitched, thinking that Zhou Cheng was quite hateful.
Watching videos to learn medical skills?
nonsense.
But no flaws were found.
It was installed by him...
……
The third person Zhang Zhengquan brought in was a young man, aged 27 or [-, wearing glasses with black eye sockets.
He is of medium build and looks refined. He should be a clerk in an office, or just engaged in writing work.
However, he walks smoothly on his feet and moves his hands normally.
In his left hand he carried a small file bag.
Doesn't look like a sick number.
Zhou Cheng also took a look outside the door, wondering if Zhang Zhengquan closed the door quickly, blocking the real patients from the door.
Zhang Zhengquan still asked politely: "Hi, what's wrong with you?"
With a smile on his face, the young man glanced at the three people in the consultation room, and saw that Luo Yun was the oldest, passing Zhang Zhengquan and Zhou Cheng.
Directly to Luo Yun: "Hello, doctor."
"I came to you to buy two kinds of medicines. I went to many pharmacies, but I couldn't find them. I asked a friend to find out, and they said that No. [-] Hospital has them. I work in the park, and I don't have time to come here on weekdays. I'm still working overtime today. This is still on leave."
Park is the abbreviation of Star District Industrial Park.
As he spoke, he took out a piece of A4 paper with the name of the medicine written on it from the document bag.
Words are handwritten, quite neat.
Impressively written on it:
Sodium Hyaluronate Injection (Speit).
Hydrocortisone acetate (letter SINE appropriate).
Even the name of the company with the drug is written, it is really detailed enough!
Seeing these two medicines, Zhou Cheng was slightly taken aback.
Sodium hyaluronate injection is a lubricant injected into the joint cavity. Generally, only patients with osteoarthritis can relieve symptoms in the early stage of osteoarthritis.
But if it is used for a long time, it is of no use at all.
Even if it is written in the guide, it is useless. (PS: Here, I would like to warn my book friends, if you go to an orthopedic clinic, don't use this thing. It's useless.)
And hydrocortisone is a glucocorticoid, a small amount of oral administration can have an analgesic effect, but if it is taken for a long time, the sequelae are completely unimaginable.
First, gastric damage, and then there are changes in systemic immunity, and then, there are various complications of glucocorticoids.Buffalo back, full moon face, etc...
Who prescribed these two medicines?
Before Zhou Cheng could speak, Luo Yun asked, "Why do you need these two medicines? Is your mother taking them all the time? How long have you been taking them orally?"
The young man forced a smile and asked: "Doctor, it doesn't matter. I didn't come to see a doctor today, so I came to prescribe a medicine. After you finish the prescription, I will leave."
I thought to myself, why do you ask me so much if I have money for you?
However, he still patiently explained: "I asked many friends, and I also checked professional guides on the Internet. These two medicines can treat arthritis. And after my mother took it, her legs and feet are indeed much better. ."
Ok!
Nowadays, with the improvement of knowledge, the simple Baidu medical treatment can no longer satisfy you?
Getting Started Guide to Seeing a Doctor?
Both Zhou Cheng and Zhang Zhengquan were a little nervous, not knowing how to deal with it, they just looked at Luo Yun.
The two of them dare not talk about the guide.
Luo Yun frowned and said:
"Well, you are right. Sodium hyaluronate can indeed prevent the progression of osteoarthritis in the early stage of osteoarthritis. It is also written in the guide book."
"But it's also prevention, just in the early stages."
"Hydrocortisone has also been used in clinical practice for a period of time. It can be found not only on HowNet, but also on pubmed." Luo Yun was annoyed.
"But do you know what are the side effects of these two drugs?"
"Why can't they be used for a long time?" Luo Yun asked back.
The young man frowned again: "I know, it seems to be some kind of glucocorticoid, which can be anti-inflammatory and anti-allergic."
"Doctor, don't ask so many questions. These two medicines were prescribed to my mother by an expert in our county hospital, and she has been using them all the time. Could that expert still harm her?" He also read Look at the time on the watch.
"I came here on leave. I really don't have much time. If I go late, my money will be deducted."
"If it weren't for the fact that I can't buy it in the pharmacy, I wouldn't come here to bother you. Please do me a favor. After I get the medicine, I have to send it back to my mother. Save me some time."
Luo Yun pushed back the young man's medical card.
Although he also knew that this young man might have to go to work on weekends, and it was not easy to work from nine to five.
However, the first principle of doctors is the principle of no harm!
Apologizing all over his face, he said, "Sorry, I'm sorry, although we have these two medicines here, I can't prescribe them for you!"
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"If you're coming to see a doctor, I can show you slowly, and tell me what's wrong with you."
"Why don't you take it? Are you sick?" The young man's voice suddenly increased a bit, joking, I came here on leave, you have medicine here, won't you sell it to me?You think I'm short-tempered, don't you?
"I just asked you to prescribe a medicine. You are a doctor. Isn't what you do just to see a doctor and prescribe medicine? Why don't you prescribe it for me?"
Luo Yun was not stage fright, and explained: "First of all, I am a doctor, and it is one of my responsibilities to see a doctor and prescribe medicine."
"However, you also said that it is to see a doctor and prescribe medicine, not just to prescribe medicine. I have to see a doctor first."
Then Luo Yun explained to him: "You registered my number, the name is yours, that's right. I have a medical relationship with you, and only in this consulting room. When I go outside the hospital, I will see you. It's against the law."
"This is the first point."
"Second, you registered my number, and I am only responsible for seeing a doctor for you. The real-name system for seeing a doctor is also stipulated by the law. It is also illegal for me to see a doctor for anyone other than the registered person."
"Third, the reason why hospitals exist is because the medical relationship must be close, a diagnosis and treatment relationship that takes place in the same space."
"Although cloud diagnosis and treatment are currently developing, I haven't opened an online consultation room yet, so I don't provide cloud consultation services."
"Cloud consultation, you should know, right? I don't have permission to conduct cloud consultation, which is also against the regulations."
"Fourth, based on the principle of no harm."
"The drugs on your prescription are all prescription drugs, although I don't know who prescribed them to you."
"But it doesn't get my approval! I also have the right to prescribe it. So, I don't think you personally need to use these two drugs, so I can't prescribe them for you."
"Fifth, if you don't have any discomfort yourself, just return this number. I haven't been able to provide you with medical services, and I'm sorry to ask for your registration fee."
Luo Yun counted one by one, not in a hurry to get angry.
The young man immediately became angry: "This kind of medicine can't be taken, and that kind of medicine can't be prescribed."
"Then when I took my mother to see a doctor, your doctor used other medicines to cure her? Didn't your doctor prescribe these medicines? You co-authored it to trick me!"
"Are you saying that you need surgery? Do you have any medical ethics? Are you just thinking about earning black-hearted money?"
"I asked you to prescribe a medicine, did it hurt your interests? Didn't it make you earn enough? You won't prescribe it?"
"Do you believe that I will report you?"
Having said that, the anger is up.He has at least a dozen pharmacies.
He didn't find it in a daze, but finally found out that there was such a medicine, and said that he needed a prescription to get it to him.
He registered, but Luo Yun didn't open it yet. Today's orthopedics clinic is just this one.
Besides Luo Yun, who else would he go looking for?
Luo Yun took out his mobile phone without fear, pressed the record button first, and said, "Put your mobile phone away first. Taking pictures and recording are not allowed in the consulting room."
"You can report me! As long as you can find the reason and logic of the report."
"This is your freedom, but I didn't infringe or hurt you, so you have no right to infringe on my portrait rights."
"Otherwise, I will reserve the right to pursue your legal responsibility at all costs."
"Let me say it again, I am a doctor in Shashi No. [-] Hospital. This is a hospital, not a pharmacy. There is only a diagnosis and treatment relationship in the hospital, and there is no consumer relationship between commercial consumers and merchants."
"I don't see patients, I can't see a doctor, I can't diagnose, I can't treat."
"If you need to see a doctor, you can tell your symptoms face to face!"
"I see you to the best of my ability. No one else has anything to do with it."
"Tell me, what's wrong with you?"
After speaking, Luo Yun still turned on the recording.
He said calmly: "Do you have anything else to do next? If not, please leave. You can also go to cancel your account. Can you?"
The young man caught a glimpse of Luo Yun recording, and couldn't help being a little stunned, seemingly frightened by Luo Yun's words.
He gritted his teeth again and asked, "Are you sure you won't prescribe me medicine?"
Luo Yun only said: "I'll say it again. It's not that I don't drive it, but that I can't drive it!"
"And give you a piece of advice."
"If you really believe that I am a doctor and a doctor with professional ability, just believe me, when you see a doctor, you need to see the doctor face to face, instead of buying medicine, you can complete all the diagnosis and treatment relationships. ."
"And if you believe that I am not a psychopath, I believe that our hospital will not let a neuropathy come to the outpatient clinic as an outpatient doctor."
"And if I don't think I'm a slut who likes to scold me."
"You have to believe that if I don't prescribe you medicine, it's not that I'm embarrassing you, but you are embarrassing me."
The young man grabbed the list and left, because there were already security guards hovering at the door.
It's just that after he left the consultation room, he still looked at Luo Yun with hatred.
It is estimated that I am still very depressed.
After he left, Luo Yun sighed slightly: "Oh, it's hard to say that he is not filial, after all, he is not a doctor. It is hard to say that he is filial."
Zhou Cheng and Zhang Zhengquan nodded at the same time.
However, Zhou Cheng also became more respectful towards Luo Yun in his heart.
Luo Yun's words just now are not something that ordinary people can say or think out. It requires level, and it involves skills and understanding of medical relationship, which is relatively thorough.
At least, Zhou Cheng had never heard anything like this from other people.
It seems that I can really learn a lot from Luo Yun's outpatient clinic today.
However, just as he thought about it, Du Yanjun called, saying that there was an emergency dislocated patient in the ward and asked Zhou Cheng to deal with it.
Zhou Cheng explained to Luo Yun apologetically that although Luo Yun was quite reluctant, Zhou Cheng was still on duty anyway, so he couldn't be left behind.
Pretending to be B and then leaving, it's simply hateful...
Chapter 139 Damn, He Pretends Again!
"Come back later?" Luo Yun added another word, mainly because he felt that the few patients he saw just now were too unpleasant.
Although it is back to his line of work.
Zhou Cheng took up all the opportunities to pretend to be aggressive, leaving him with nothing but talking.
While Luo Yun was reluctant to let Zhou Cheng pretend to be forced to leave, Zhou Cheng actually didn't want to leave either.
Following Luo Yun, Zhou Cheng felt the long-lost feeling of being able to learn knowledge and skills from real people.
And this feeling doesn't exist in other people.
It's not that Cai Dongfan and others are not qualified to teach Zhou Cheng anything, or that Zhou Chengcheng has nothing to learn from them, it's just that they don't have the awareness of this teaching at all.
He just let Zhou Cheng do things, and he didn't take the initiative, or consciously, to teach him.
But Luo Yun did it.
And in Luo Yun's body, Zhou Cheng saw another side of medicine——
Medicine is not simply about diagnosing, prescribing medicine, and performing surgery to save lives.
"Ms. Luo, I came to help immediately after seeing the emergency department. Now there is Zhang Zhengquan here to help." Zhou Cheng hurried back, thinking that Luo Yun brought someone to help him write the medical records.
It was not Du Yanjun who was on duty today, but Xu Yanlin from Yan Hanhan's team.
This month's schedule is strictly in accordance with: Min Chaoshuo, Lin Lin, Du Yanjun, Xu Yanlin, Du Ruiqi, Zhang Zhengquan, Huang Yu, Wang Yongxiang, and Xiang Haibin take turns on duty.
There are three groups in three days. Whether it is a weekend or a weekday, it all depends on luck. This is also the fairest way to be on duty.
Du Yanjun was number three, which was on duty yesterday, but he called Zhou Cheng to prove that Du Yanjun hadn't finished his work in the department and hadn't returned yet, and happened to meet another emergency patient.
The reason why Zhou Cheng thought about this was mainly because he felt that it was really not long before he came to the clinic.
Very sad to leave.
Then Zhou Cheng walked towards the ward, and the speed on his feet accelerated several points.
As an old fritter who has been in the third year of regular training, Zhou Cheng is very clear that during the regular training period, there are not many learning opportunities available.
If he hadn't obtained the simulator system by chance, he would only be slightly stronger than Zhang Zhengquan now.
I got the simulator, and through the simulated copy, I can only improve my skills.
It will not improve other abilities, just like the very powerful communication ability and control ability that Luo Yun showed just now.
Yes, what Luo Yun showed, this kind of strong control over the medical process, moved Zhou Cheng's heart.
Want to learn.
Almost trotted to the department.
Then I hope to finish it as soon as possible and go back to the outpatient clinic to continue to figure out Luo Yun's thoughts.
When he came to the office of the ward, Zhou Cheng first saw Du Yanjun who was busy in front of the computer, but instead of looking for him, Zhou Cheng asked, "Yan Jun, where is Xu Yanlin who is on duty? Didn't you say he came to the emergency room?" ?"
When Du Yanjun saw Zhou Cheng, he immediately stood up and quickly replied:
"Brother Zhou Cheng, Yanlin went to the emergency department for an emergency consultation."
"Just as I was going out, another child came to the emergency department. Brother Yanlin took a casual look, but found no fracture."
"So Brother Yanlin asked me to help with it, and I will call you!"
Zhou Cheng nodded. It is very normal for residents to help each other. Even if they are not in the same group, they will not divide their respective tasks into such detailed tasks.
Du Yanjun pointed to the computer and said, "I just finished taking the medical history, and now I'm watching a film."
"I haven't quite figured it out yet."
"Brother Zhou Cheng, why don't you come over and take a look first?"
The patient's plain film was printed and put in the video data bag, but in front of the patient, Du Yanjun knew that it would be inconvenient for Zhou Cheng to take him to watch the film.
Although Zhou Cheng was anxious, he also felt that he had to watch the film first, so that he could have a better understanding.
only?
At least seven or eight minutes have passed since Du Yanjun called himself, and Du Yanjun still doesn't understand?
Could it be that this patient is still difficult to deal with?Need to spend a lot of time?
Thinking of this, he frowned slightly.
Then Du Yanjun took the initiative to pull the stool away, let Zhou Cheng sit down, pointed to the film, and said, "The patient is a little girl about three years old. She has a history of trauma, but the history of trauma is not clear."
"Her mother said she took a picture in the emergency department and was taken to our department."
Speaking of this, Du Yanjun patted his head a little embarrassedly and said: "Brother Zhou Cheng, because the epiphysis is not fully developed because of the child, I don't know whether the patient has a fracture or not."
"Still dislocated."
"The sign of the physical examination is tenderness, and the rest of the physical examination did not cooperate."
Zhou Cheng nodded and looked at Ping Pian.
Children's orthopedic radiographs, because the epiphysis is not completely closed, there may be occult fractures, which are difficult to find, so it is very difficult.
And because of the discontinuity of the epiphysis, slight dislocations are not easy to evaluate.
It is even more complicated when it comes to the examination of the wrist joint, because the bones of the wrist joint only appear once every few years.
Even more bad judgment.
If it is necessary to separate the Department of Orthopedics into a separate department, the Department of Pediatric Orthopedics can definitely be listed separately...
However, when Zhou Cheng looked at the plain film, he also frowned slightly.
Because according to Du Yanjun's guidance, he also looked at the elbow joint of the child. Although the epiphysis was separated from the backbone, the sidelines were basically aligned.
In such cases, obvious fractures can basically be initially ruled out.
The reason why we can only exclude obvious fractures is because occult fractures may need to be further displayed by CT and MR, and the fracture information cannot be displayed on plain films.
However, the child was in pain during physical examination and could not cooperate.
Therefore, the possibility of hidden fractures cannot be completely ruled out——
Continue to look at the joints, the joints are in place...
"Is there a lateral plain film?" Zhou Cheng asked again after seeing no problem in the front view.
"Yes, it's on the next page." Du Yanjun hurriedly replied.
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Zhou Cheng clicked the mouse.After reading it, he put his hands on his chest and frowned even more.
Not dislocated?
No fracture?
What is the child's pain?Could it be that the ligament is broken?
He touched his head, turned around and asked, "Have you done a physical examination? How is the triangle behind the elbow joint?"
Zhou Cheng hurriedly asked.
When the plain film can't give much content, you have to look for clues from the physical examination!
The child was three years old, a little girl, brought by her parents, no fractures and dislocations were seen on plain radiographs, so this is a bit like the subluxation of the radial head that cannot be diagnosed by imaging examinations and needs to be diagnosed by medical history!
However, one of the diagnostic differences between radial head subluxation and the rest of the elbow is the normality of the posterior triangle of the elbow.
If it is abnormal, it must not be radial head subluxation, but if it is normal, it may not be sure that it is radial head subluxation.
To find out this situation, you may have to ask the family members carefully.
Diagnosis can only be made by looking for clues from the medical history, physical examination results, and imaging examinations.
"I've touched it, and the triangular relationship behind the elbow is normal, not a posterior dislocation of the elbow joint." Du Yanjun nodded quickly, and even ruled out a doubt in Zhou Cheng's heart.
If the position of the elbow triangle is normal, elbow dislocation can basically be ruled out.
Then this patient is probably that thing.
Zhou Cheng breathed a sigh of relief, and said, "Let's go and see the patient's condition together, I really haven't figured it out yet."
But Zhou Cheng did not say clearly that this is just his empirical judgment. In many cases, experience cannot be simply used as a dogma, nor can it be ignored.
It is absolutely impossible to rely on empiricism to naturally give the diagnosis to death!
will suffer.
Soon, Zhou Chengcheng and Du Yanjun came to the operating room.
After walking in, Zhou Chengcheng saw that the patient was a very cute little girl with two braids tied up, her little face was pink and fleshy, she should be a very cute little girl on weekdays.
But at this moment, her eyes were red and her mouth was deflated, as if she had suffered endless grievances, and then her nose was sticking to her nostrils, looking a little dirty. Her mother was about to wipe her nose.
But the little girl kept her mother's hand on her forearm, and wouldn't let her let go, as if it would be very painful.
Seeing the white coat coming in, the little girl seemed to think of the pain of being pierced by a needle in her buttocks again, and she shuddered dominantly.
Hurry up and get into my mother's arms, crying: "Mom, mom, I'm afraid."
However, her mother still hugged her and stood up slowly. At this moment, her face was full of distress and she said, "Doctor, what happened to my daughter's hand? Did you find any problems after watching the film?"
His eyes were full of tension.
"There is no special situation at the moment. Are you her mother? When you played with her, you lifted her or pulled her, and did she cry?" Zhou Cheng asked.
The diagnosis of radial head subluxation strictly requires parents or guardians to confirm the medical history.
Children are ignorant and incompetent, so it is impossible to ask her.
Pediatrics is dumb, that's how it came about.
But the little girl's mother shook her head and said, "I didn't lift my Kiki's hand, how could I lift her hand so hard?"
"She is still so young, how can I pull her hard?"
"It's such a doctor. In fact, I don't know what's going on with her."
"I just sent her to the kindergarten, and before I drove home, her teacher called and said that my Kiki was crying. She said that she was playing with the children, and she suddenly started crying."
"Is this because the children were playing around and got hurt? Is it serious?"
She is a precious mother, and her daughter is just three years old this year, and she goes to a small class in kindergarten.
She has just stepped into the workplace again, and on weekdays, her grandparents would pick her up. Today happened to be the weekend, so in order to spend more time with her children, she went to see her off in person.But he spoiled his daughter, and agreed to take her home, and she would be obedient in the kindergarten.
It's just that she sent her daughter to kindergarten, and the teacher called her before she got home!
Fortunately, the child's grandparents don't know the situation yet, but they will definitely know, and they don't know what they will say about themselves.
It was usually fine, but I only sent it once, and this happened.
Hearing this, Zhou Cheng frowned: "You didn't pull her? Did this happen when she was playing with the children?"
"Then you didn't ask the teacher about the specific situation?"
"It's very difficult for children to fight and cause subluxation of the radial head. It shouldn't be so hard."
"Can I trouble you to call and ask her teacher carefully, because this is very important."
"We didn't find any other special conditions on the plain film, but you also saw that your daughter's hand hurts very much."
"But according to your current description, we don't have enough evidence to give a diagnosis that we think is the most likely."
Zhou Cheng was bitten by a snake for ten years and was afraid of well ropes.
Zhou Cheng still has lingering fears about the kid who was brought here by his grandparents.
Even if they gave fruits and pennants later, when they scolded, it was really ugly.
The diagnosis of radial head subluxation depends on the medical history.
The child is dumb, and it is impossible to explain the situation clearly by himself.
The parents don't know the situation, so they can't guess. If it hurts for no reason, then if they reset it rashly, the trouble will be really big.
Moreover, clinical medicine is a reasonable subject, and without corresponding incentives, one cannot make a rash diagnosis!
Otherwise, your own knowledge system will not be able to form a circle.If there is no mutual cause and effect, then there will be a big mess in the end.
Radial head subluxation requires a history of relatively violent trauma.
Without this incentive, the diagnosis cannot be made.
"Ah? You still have to call her teacher? Is this important?" The woman was about 26 or [-] years old, the same age as Zhou Cheng. Hearing this at the moment, she obviously found it rather troublesome.
In fact, she didn't want to embarrass the teacher too much, and felt that she was a difficult person, because she herself had just passed the teacher test, and knew that the teacher had to deal with many students by herself. It is to ask the teacher here and there.
To be honest, how could the teacher keep everyone from playing and contacting each other?
Isn't it normal for kids to fight each other?
Zhou Chengcheng said: "It's better to ask clearly, because the medical history is always an important evidence in the diagnosis process. How did you get injured? Will it affect the direction of diagnosis?"
If there is an incentive, that's easy to say, anyway, the patient just needs to make a phone call.
But if there is no inducement, if there is pain for no reason, the child's current age is also an age with a high incidence of osteosarcoma. What if the periosteal destruction suddenly produces severe pain?
That's not something that reset can solve...
Bone tumors will destroy the bone, and the hardness of the broken fracture is not high. Even a slight force can cause an invisible fracture. These are completely different things...
The diagnosis of radial head subluxation is easy to diagnose, but difficult to diagnose. However, Zhou Cheng discovered similar medical disputes in the past when he read the literature...
The woman dialed the phone immediately, but in the process of asking, she turned on the loudspeaker.
The other party's teacher said very firmly: "Kid Qiqi suddenly started crying when she was playing with the children. Where did you go to the hospital?"
"I'm in Shashi No. [-] Hospital." The woman replied.
The person on the other side probably didn't know that the woman was using the loudspeaker, so he said, "Why are you going to the No. [-] Hospital? It's better if you go to the No. [-] County Hospital or a larger hospital."
"I asked my colleague's husband, who is also a doctor, and he said that the orthopedics department at No. [-] Hospital is not very good. Of course, as a teacher, I'm actually not very good at talking about this." The teacher on the opposite side was quite polite and cryptic. say.
The woman turned off the loudspeaker halfway through, but both Zhou Cheng and Du Yanjun heard what should be heard.
The woman also said apologetically: "I'm sorry, two doctors, maybe the teacher doesn't know the specific situation, so he is worried about my daughter's situation, so the language is a little too aggressive."
But the woman obviously believed the teacher's words, and asked again: "I don't think you two are very old, if you are not sure, can you please call your superior doctor or director to come and take a look? "
The woman's self-cultivation is not bad, and she relayed the meaning of her daughter's teacher in a rather cryptic manner.
Du Yanjun suddenly smiled wryly!
Well, here comes another one who doesn't believe in Zhou Cheng.
Zhou Cheng also nodded: "Okay, then you may have to wait for a while."
"Today is the weekend, and our director didn't come to the ward, so I have to call him. Maybe one of our superiors happens to be in the outpatient clinic today. Why don't we go to the outpatient clinic together to see him? It's better than waiting here. Be quicker."
"And you don't need to toss back and forth again. If you want to review the plain film results later, you can go directly to the outpatient clinic to do it."
"What do you think?" The woman was polite, and Zhou Cheng also gave a more pertinent suggestion.
Zhou Cheng was not angry, because anyone could find a reason to despise him because of his age. There are a lot of such things, and young doctors are not sure. It is normal to want to find an experienced doctor. Everyone will have it, not for him.
"Then thank you doctor." The woman nodded, picked up her daughter and stood up.
Although Du Yanjun was a little displeased with Zhou Cheng taking the patient away at the moment, because she wanted to see how Zhou Cheng would deal with it later, either to learn or to be an assistant.
But the patient didn't trust Zhou Cheng, so there was nothing he could do. He hadn't finished his work in the department, so he couldn't leave.
Turning around, he sighed and returned to the office to continue his work.
Soon, Zhou Chengcheng came to the outpatient clinic with the woman and the child.
There was a lot of people queuing outside the outpatient clinic. Seeing that Zhou Chengcheng was going to bring women and children in, someone immediately shouted, "Hey, doctor, what are you doing? Are you going to take your relatives to jump in line?"
Zhou Cheng hurriedly took out the emergency medical record that the woman bought in the emergency department, and explained: "It's not a queue jumping, this little girl came from the emergency department."
"It won't take you a lot of time if you understand and take care of it a little bit."
Hearing this and seeing the emergency medical records, the speaker pursed his lips.
The woman bowed slightly and said, "I'm sorry, everyone, my daughter suddenly suffered from severe hand pain, so the emergency department asked us to come here to find a doctor."
When she bent down slightly, she may have accidentally touched the elbow of the little girl in her arms, and the little girl immediately cried in a low voice: "Mom, it hurts!"
Her two hands are still trying to hide.
Seeing the little girl's expression, everyone's heart softened.
The aunt in front hurriedly said: "You go in first, don't delay here, your son. It looks pitiful, everyone understands a little bit, do you think this child is crying?"
……
When Zhou Cheng brought these two people into the consulting room, Luo Yun and Zhang Zhengquan were seeing another patient.
Luo Yun raised his head and glanced at Zhou Cheng and the others, and continued to see the doctor, Zhou Cheng didn't bother.
After the patient was sent for an examination, Luo Yun asked, "Xiao Zhou, what's your situation?"
The woman told about the child's situation, and Zhou Chengcheng also explained: "Ms. Luo, this little girl has severe pain in her elbow, but she has no history of violent stretching. She said it suddenly hurt while playing with a child."
"During the physical examination, there was tenderness, and the triangular relationship behind the elbow was normal. No fracture was found on the X-ray. The patient said that I couldn't understand it, and asked the superior doctor to look at it again."
"I'll bring them to you." Zhou Cheng explained seriously, because he was afraid that Luo Yun would naturally think of the subluxation of the radial head all of a sudden.
"Isn't this subluxation of the radial head?"
How experienced is Luo Yun?
Will this kind of disease still come to him?
A child and parents come to the department together with a history of trauma and pain in the elbow joint. This is the diagnostic formula for subluxation of the radial head.
If Zhou Cheng didn't even know how to read this, then he really looked up to Zhou Cheng.
But out of trust in Zhou Cheng, Luo Yun still said to Zhou Cheng: "Can you pass the film over and have a look?"
Zhou Cheng quickly found the plain film and put it on the film reader.
Both Luo Yun and Zhang Zhengquan stood up and came over to watch carefully.
It was only a minute later that Luo Yun turned his head and asked, "You really never mentioned your child's hand? This is very important!"
"If you haven't mentioned it, you may need to take an MRI for this problem. Think about it carefully."
"Don't complicate simple things. So as not to cause too much misunderstanding."
"Let's put it this way, in her current situation, if there is no history of violent pulling, we may have to think about cancer. It will take time and effort..." Luo Yun didn't understand other problems, so he said this to the woman talking.
I just hope that women can not hide their medical history.
When she heard the word cancer, the woman's complexion immediately changed, her eyes turned red immediately, and she said quickly:
"Doctor, I don't know the specific situation, can I call again and ask?"
"Can my daughter sit here for a while?"
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"I don't want it, mom, I don't want it, I'm afraid." Qiqi immediately shook her head like a rattle.
She was afraid of being with these white coats.
Luo Yun said: "You can just call here. Let's listen together, and we can ask more clearly."
"Didn't you stay with your daughter all the time?" Luo Yun preconceived that the mother and daughter would stay together all the time.
The woman called the phone again, asking the same teacher and the same question.
Luo Yun probably understood what was going on.
The woman said: "Teacher Wu, I'm sorry to bother you again. The doctor here, and the attending doctor, also came to ask if Qiqi was pulled by someone at school!"
"How did she get hurt? Can you tell the doctors in detail?"
Teacher Wu on the opposite side snorted very displeased when he heard this.
Then she opened her mouth and said in a long voice, "I've said it several times, she just started crying when she was playing with the children. Why don't you believe me?"
"Then how do you want me to ask? Do you think your daughter was injured by a classmate? But I asked all the classmates in the class, and there was no conflict with Qiqi."
"Mother Qiqi, I told you to go to a bigger hospital and take a good look, you won't believe it."
"Then what do you want me to say? I can't just say that your daughter was beaten out of nothing, right? If she was beaten, there must be scars on her body, right?"
"Qiqi, you didn't fight with anyone today, did you?" She then asked Qiqi.
Qiqi quickly said: "Teacher, I didn't fight, I'm very good!"
This time, the woman also looked at Luo Yun in embarrassment.
Luo Yun looked into the phone from a distance, and said, "I probably understand what it means. That is to say, the child is at school, just playing with the children, and then suddenly it hurts, right?"
"Then who is the person playing with her? What are they playing? Are the parents of other children present?"
"Her current pain symptoms don't seem to come from playing with children."
"Children don't have such great strength!"
"Teacher, if you insist on explaining the situation clearly, I would suggest this lady to call the police directly, saying that someone abused her child?"
Luo Yun is very clear that the diagnosis of radial head subluxation requires relatively large external violent intervention.
This kind of inducement itself is very normal and very common, but such an inducement is needed to confirm the diagnosis. If it is kept hidden like this, if the child is suffering, it will be difficult for them to make a diagnosis.
Clinical medicine itself is rigorous and logical thinking with its own existence.
And you can also deduce some of the following things, which haven't been explained yet, but if the face is torn apart, it will be ugly for everyone.
After Luo Yun said this, Teacher Wu's voice on the opposite side immediately became louder:
"What's the matter with you doctor?"
"Do you have evidence? How are you talking nonsense? What abuse? Who are you saying abused?"
"Who are you suspecting?"
"Are you a police officer or a doctor?"
Luo Yun answered honestly: "I'm a doctor. I'm only in charge of seeing patients, not in suspicion and investigation, and I'm not even in charge of finding evidence."
"but."
"I can't find the reason for the child's pain now. I asked the family member, and she also said that she was not there, but based on my experience, it is certain that children are very likely to have suffered external violence."
"But you also said that there is no such situation, so I can only suggest that they go to the Affiliated Hospital of Shonan University, and suggest that she should call the police."
"What does this have to do with whether I am a policeman or a doctor?"
Luo Yun has already confirmed the child's diagnosis in his heart, and suspects that the teacher is lying.
When Qiqi's mother heard this, she interrupted and asked, "Doctor? My child, really?"
"Do you really want to call the police?"
Luo Yun said: "If it is confirmed that there is an external force intervening, the matter is actually not serious. Just do a manual reset and go back to rest for a few weeks. But I haven't found the specific reason for this kind of thing. I can't explain it. ."
"So I don't rule out that your child may have suffered unknown threats or abuse. Now that the country attaches great importance to this matter, it must be reported to the police."
"Anyway, the child has such symptoms now. As for whether it is true, I don't know. I just infer it based on my experience. I believe the police will give us a final answer."
What Luo Yun was waiting for was the teacher's convincing words.
Had trauma.
There has been external intervention.
The person on the other side was silent for a while, and then he became angry and said, "You are a doctor, you are simply unreasonable, your level is not good enough, and you can't see the doctor correctly, so you start acting like a rascal, making excuses here and there."
"You take good care of the doctor and deal with the children's problems, isn't it all right? This is what you should do."
"Qiqi's mother. I really suggest that you change to another hospital. These eight hospitals are not up to standard. They don't understand it at all. It's not good."
"Don't waste any more time there, go to the Second County Hospital."
She directly mentioned Qiqi's mother confidently, but she obviously lacked confidence.
Luo Yun didn't say much, just said to Zhou Cheng: "Zhou Cheng, write down the emergency medical record of the child carefully. Write it clearly!"
Then he said to the woman: "Actually, I have a diagnosis in my heart, but there is no evidence to support my diagnosis, so I don't want to treat your child rashly."
Luo Yun has made it very clear.
When treating a disease, one should not only look at the surface of the problem. Your child may have been concealed from the trauma history. I have already reminded this level.
If the other party, as a parent, is unwilling to take care of such things, then Luo Yun will be fine. He is just a doctor, and it is enough to see the cure. As for the cause of the disease, just treat it as a muddle.
It's just that the reason why Zhou Cheng and Luo Yun struggled before was to avoid similar situations from happening again.
After all, if it happens for the first time, if you don't find out the reason, it is very likely that it will happen for the second time.
If one kindergarten does not work, you can change to another one.
But this kind of thing should not be directly involved by Luo Yun.
The woman looked troubled.Looking at Luo Yun, he asked, "Doctor, do you suspect that Teacher and the others are lying?"
"My Kiki? Is she really?"
"Isn't it possible?" I couldn't believe that my child might have met him.
Abuse, or the teacher knew about the situation but didn't say it.
Luo Yun didn't make it clear, just said: "The textbooks we study are the summary of the painstaking efforts of the older generations. It is also the experience that many, many children have personally experienced before."
"Would you rather believe that the teacher is lying, or would you like to believe that your child just encountered a one-in-a-million special case?"
"I'm still biased towards the diagnosis of radial head subluxation!"
Then Luo Yun changed the subject again: "Of course, if you don't want to reset the technique so recklessly, we can continue to investigate other aspects, and we can talk about it after an MRI."
The woman's expression changed immediately, and she said, "Doctor, it's not that I don't believe you. Rather, my husband is a policeman from the star area."
"The teachers in the kindergarten also know about this situation. I think they shouldn't lie to her, or take the initiative to abuse Qiqi!"
"This? Isn't it asking for trouble?"
"My daughter's current situation shouldn't be cancer, right?" This is what women are more concerned about.
Hearing what the woman said, Zhou Cheng, who was writing the medical records on the other side, froze immediately!
Looking at the little girl, her eyes moved slightly!
I rely on?
Really?No history of trauma!
If what this woman said is true, and her husband, that is, Qiqi's father, is a policeman here, then it is extremely unlikely that the kindergarten teacher will deliberately deceive the medical history.Of course, the possibility of harming her will be smaller.
To be honest, who would want to abuse a police officer's child?
Isn't this a lantern in the toilet?
In this way, the situation that I suspected, the situation that Zhou Cheng didn't want to see the most, is true.
He looked up at Luo Yun.
Luo Yun's expression changed suddenly, and he said, "Your husband? He's a policeman, and the kindergarten teacher also knows about this?"
If this is true, then all previous inferences have to be overthrown again!
His own empirical diagnosis was wrong, Zhou Cheng said he couldn't understand it, this is normal.
The woman looked at Zhou Cheng and Luo Yun's expressions changed so much, she was also frightened: "Why don't I call my husband and ask him to ask about it."
As she spoke, the corners of the woman's eyes turned red.
Apparently an extreme reluctance to accept that his daughter was the most impossible thing.
Then, Zhou Cheng breathlessly asked: "Can I give your daughter another physical examination?"
Zhou Cheng obviously didn't want to admit this fact. He didn't personally conduct a physical examination on the patient. The physical examination was done by Du Yanjun, and Zhou Cheng also believed that the physical examination done by Du Yanjun must be correct.
But I also feel that he may not have checked thoroughly.
So hopefully I can do something different.
The woman was extremely helpless at the moment, and nodded abruptly.
Zhou Chengcheng rubbed his hands together, then poked up with his fingertips.
The physical examination for joint dislocation is actually different from the physical examination for tumors.
What is tangled now is whether it is subluxation of the radial head. The subluxation has no visible deformity, and the plain film cannot be seen, but there is tenderness and limited movement.
If it is a tumor, you need to check the texture, base, mobility, edge, etc.
Zhou Cheng naturally followed the dislocation check first.
It was only discovered that, with the consent of the child's mother, and with the patience of Qiqi gritting her teeth and closing her eyes, when he palpated the upper segment of the patient's radius, that is, the position of the small head of the radius, Qiqi did not cry out in pain.
You know, children are not adults, if they have pain, they can't bear it!
Moreover, when Zhou Cheng touched her elbow, she flinched!
Activities are available!
This time, Zhou Cheng's heart suddenly became cold.
It's not a dislocation, isn't it, it's completely...
Pain with no apparent cause?
This made Zhou Cheng think of that bad thing, and then checked the elbow-behind triangle relationship that Du Yanjun checked, and it was indeed normal.
Immediately afterwards, Zhou Cheng touched the lateral condyle of Tan Qiqi's humerus again, just touching it, Qiqi immediately burst into tears in pain.
Half of the body is pumped!
Apparently it hit a sore spot.
"Mom, it hurts!" After closing her hand, she got into her mother's arms.
Although her mother loves her child very much at the moment, she also knows that now is not the time to feel distressed, and even today can determine the fate and length of Qiqi's life!
However, Zhou Cheng didn't touch anything that shouldn't be touched, but the child was in great pain, so he was not allowed to touch it.
Zhou Cheng hurriedly turned his head and said to Luo Yun, "Mr. Luo, just take an MRI."
At the same time, I was very fortunate in my heart. Fortunately, I did not empirically add a possible medical history to the patient subjectively-trauma history.
Otherwise, I really reset her and dismissed it.That would be really hard to end.
You know, even if it is a tumor, today's bone tumor is treatable. Early treatment is very likely to be benign and a normal life cycle can be obtained. What if it is misdiagnosed?
Zhou Cheng's back couldn't help but feel cold——
Quack doctors mistaken people.
Luo Yun nodded, asked Zhang Zhengquan to write the checklist, and told the patient's family members: "You take the checklist and go for the checkup right away, and after you're done, you don't need to wait for the results, just go back here, and I'll read the pictures."
"Thank you, Dr. Luo." The woman worriedly took the checklist, hugged her child, and walked out...
Luo Yun was not in a hurry to call the next patient.
He just looked at Zhou Cheng and said in a slightly complicated way:
"This patient is so inductively pointing to a simple subluxation of the radial head, why don't you reset her?"
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Radial head subluxation is the best diagnosis. It can be diagnosed through medical history, and no auxiliary examination is required.
Especially prone to occur in children.
Good guy, he just walked into a misunderstanding, and he hasn't come out yet. He even almost told the child's mother directly that your child's teacher is abusing your child. This is a history of trauma. You should sue her.
That's the damn stereotype.
And Zhou Cheng!
He was able to take the initiative to avoid this fixed thinking.
Even he himself wanted to diagnose her with radial head subluxation empirically, but Zhou Cheng avoided it.
It seems that he has pretended to be there again!
Moreover, the patient was specially brought from the ward into outpatient equipment.
Luo Yun really wanted to hit someone, so he squinted at Zhang Zhengquan, and found that his face was full of disbelief, as if he couldn't believe that his teacher Luo would make such a big mistake.
How swearing Luo Yun was just now, how embarrassing he is now.
Zhou Cheng explained honestly: "Ms. Luo, the main reason is that I haven't found any medical history that can be diagnosed. The diagnosis of radial head subluxation must be based on a clear medical history."
"Without such a medical history, I dare not make such a diagnosis."
"In fact, my first reaction was that her teacher lied, in order to avoid her trouble."
"So let the child's mother call to make sure."
"It's just that the child's teacher said at the time that our hospital was unreliable, and our doctors here were not good. I'm not Mr. Luo, you are so calm, so her mother didn't let me show it to the child."
"That's why I don't have a chance to make mistakes!" Zhou Cheng said these words!
Then he smiled back.
Zhang Zhengquan's eye circles shrank slightly, a little surprised, so Zhou Cheng could lick people so comfortably?
Luo Yun rolled his eyes——
You don't have no chance of making mistakes, but you are too cowardly!
Second Olympics.
1 Chapter [-] Live in Bengbu!
What Zhou Cheng said was beautiful, but Luo Yun didn't take it all seriously!
The patient's family chose not to trust Zhou Cheng because of his age and professional title, which was one of the reasons why he was able to avoid misdiagnosis.
However, Zhou Cheng's ability to think outside the box is not something that ordinary people can do.
Especially in the medical industry, some practitioners, even Luo Yun himself in many cases, like to show off their profound knowledge. Based on the fragmented information provided by the patients, they try to figure out the medical history that the patients themselves may have ignored. or symptoms.
Just like today, based on the plain film of the patient, Zhou Cheng deduced the fracture that even the old woman and daughter-in-law, and even herself, had forgotten.
This is the deduction ability you will have when you walk with a huge knowledge base and precise rule awareness, which represents your understanding and control over a disease!
And sometimes, precisely because of these controls, you will unconsciously formulate some symptoms of the patient!
Why is that?
Because during the exam, the questions are like this.
"Fracture Triad = Fracture!"
"Progressive dysphagia = esophageal inflammation or cancer."
"Elevation of ECG ST segment arch = myocardial infarction..."
There are too many examples of this.
In the diagnosis of radial head subluxation, the diagnosis needs to rely on the medical history, and there are the most common populations of this disease.
Child parents brought trauma history elbow pain!
It can almost be diagnosed as radial head subluxation.
This is how to get started when learning about this disease, what is called getting started.
It is the teacher or the textbook that led you into this industry. Under normal circumstances, you will not suspect that the teacher led you in the wrong way!
So Zhou Cheng and Luo Yun have been asking for definitive medical history.
……
Of course, this kind of questioning may stop halfway, because in many cases, the reason is not important, and the important thing is to solve the problem.
Under such psychological control, Zhou Chengruo performed a subluxation of the radial head on the child.
Then check the dislocation and reset——
Once the activity is restored, the patient can be sent away directly.
While Luo Yun was scanning Zhou Cheng.
Zhou Cheng was secretly rejoicing in his heart.
I have always walked within the rules, and did not take the initiative to add definitions to patients based on my own understanding and experience!
I didn't show off my wide range of knowledge, and I didn't argue with the patient's family that although I was only a resident doctor, I was very good at it.Otherwise, Zhou Cheng felt that he might have stepped on the patient's thunder.
……
Things have come to this point.
Qiqi's mother could only take her child for an examination with tears in her eyes.
She originally thought that when she came to the hospital today, she just showed the child some symptoms after an injury, and she would recover immediately.
Can?
Although in the current situation, maybe my mother-in-law and my husband will not blame me for sending the child to have problems. After all, if I am not careful, I can't provoke cancer.
But, at this moment, Qiqi's mother really hopes that it is because she went to send Qiqi off, which caused her to be injured accidentally, and not that thing...
She walked briskly, and then called her husband who was on duty rather helplessly...
After this.
Only Zhou Chengsan started seeing the doctor step by step!
Because Luo Yun gave Qiqi an emergency MRI plain scan order, so the examination was done very quickly.
Half an hour later, Kiki's mother came up again with her in her arms.
However, there are no other family members accompanying him for the time being.
Zhou Cheng and Luo Yun had been thinking about the little girl all the time, so the first time the little girl returned to the consulting room was.
Carefully reviewed the NMR!
However, after reading it, both Luo Yun and Zhou Cheng looked stunned for a while.
Slowly let out a breath.
Then he looked at Kiki and Kiki's mother.
Seeing this, Qiqi's mother became even more nervous, and hurriedly asked, "Doctor, my Qiqi, what's going on here? Is there a problem?"
Luo Yun turned his head and said: "There is a problem. But this should not be a bone tumor, and there are no signs related to bone tumors. It looks more like bone fibrous dysplasia!"
When Zhang Zhengquan heard about this disease, he was stunned again, and even a little doubted whether he was in orthopedic training, why Luo Yun didn't know anything about it.
It's so hard to get enough food today!
He looked at Zhou Cheng innocently, and Zhou Cheng also saw the meaning in his eyes, but turned his head to look at Luo Yun, meaning that after Luo Yun finished speaking, let's explain this disease.
Seeing a doctor and teaching can be intertwined, but not at the same time.
Luo Yun continued:
"Mom Kiki."
"Actually, this kind of bone fibrous dysplasia usually occurs in the tibia, but hers is in the humerus, which is extremely rare."
"The probability is less than one in a thousand." Luo Yun is not a doctor specializing in orthopedics, so he said it a lot conservatively.
Qiqi's mother hurriedly asked: "Then what kind of fibrous bone defect is this? Is there a serious sequelae? Is it important? How to deal with it?"
This is what she focuses on, whether it is rare or not.
"Poor fibrous structure is a structural problem."
"You can think of it this way, where we built the road, where cement should be used, mud was used, so it is very soft and the bone is very brittle!"
"It's not a tumor. It's because this part of the bone is relatively fragile, so there are symptoms, and only a small amount of stress can cause pain."
"It's just that although I have certain symptoms now, I don't need surgery. Don't worry."
When Qiqi's mother heard Luo Yun's words, she couldn't really feel at ease. She pulled Qiqi away from her legs, rubbed her nose, and said in a broken voice, "Doctor, how can I be so relieved? What should we do now? ?"
How big of a heart do you have to be to not care about your child's illness?
Although it wasn't cancer, she hoped that it would be good for her to transfer it to herself, so that her daughter wouldn't be harmed.
Luo Yun continued: "There is no need to do anything, and there is no need to deal with it now."
"This is a clinically common bone dysplasia, and it is only relatively common in children."
"And because she is a child, you can expect her bone to reshape automatically. You can expect it to recover on its own, and the chance of malignant transformation is very low!"
"Of course, if you are really worried, you have to wait until she is a little older, and then come back for a review. If you find that there is still such a structural groove, then do bone scraping to deal with it."
"She's still too young now, and her epiphysis isn't fully grown. If you deal with it rashly now, it may affect her normal growth. If the upper limbs are not equal in length by then, it will be troublesome." Luo Yun patiently explained not to deal with it now s reason.
Qiqi's mother immediately changed her expression when she heard the words, and said decisively: "Qiqi is a little girl, and her hands are not the same length, so it's not okay."
If you really look like this, not to mention making a living in the future, it will be difficult to find a partner!
Luo Yun nodded: "Yes, we just need to wait for her to grow up and the epiphyses are full, and then perform curettage depending on the situation."
"I'm still too young now, I'm afraid of damaging the epiphysis and affecting the growth of this hand."
"Then, the most important thing now is to protect her hand. You have to tell Qiqi herself that this hand should not be too forceful, not too naughty, and not fight with other children. It's even worse."
"Because her bone is very loose, just this one is very brittle, maybe even more brittle than crispy rice."
"Only after she grows into a normal structure, will she be able to resume normal activities."
Qiqi's mother breathed a sigh of relief for a moment, and asked, "So don't do anything now, just wait?"
At the same time, the stone in my heart fell to the ground.
When Luo Yun was about to answer, the woman's phone rang.
After seeing it, it was her husband who was calling. After connecting, her husband cursed and said on the phone: "Honey, how is Qiqi now?"
"Click on (these liars)."
"Playing in the dark under the lights!"
"That Teacher Wu, she saw our Qiqi had a dispute with other children this morning, so she pulled Qiqi hard, and she grabbed her elbow. She thought it would be fine to hide it, but I asked killed a few of her colleagues and a few children."
"Oh shit!"
"How is Qiqi now?"
Qiqi's mother was taken aback when she heard this.
At the same time, the expressions of Luo Yun and Zhou Cheng changed drastically!
The cause of subluxation of the radial head, it came.
But thankfully, it came too late!
Just say it was a coincidence.
Originally, to determine the trauma, consider the direction of subluxation of the radial head, but the teacher strongly disagreed.
Because it was determined that there was no trauma, I went to consider the direction of bone disease.
As a result, there was a history of trauma!
If the teacher is honest, the two of them felt that the radial head was subluxed from the very beginning, and then the child could move around after it was reset.
The range of motion has been restored, which means that the joint dislocation has been reset!
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But in fact, the child's pain has not been relieved...
And if the child is not caused by fibrous dysplasia, but other diseases, after a delay, he will not know what will happen next time he comes to the hospital.
The woman hung up the phone after listening to her husband yelling at her, and asked Luo Yun with a slightly weird expression:
"Doctor Luo, my child is injured, so is it because the bone fiber structure is bad?"
"Actually, is it still dislocated?"
Luo Yun's expression flickered, and the corner of his mouth twitched for a while, before replying: "That's not the case, the bone fibrous structure is poor, and the current diagnosis is the truth!"
"The current diagnosis has nothing to do with whether there is a history of trauma."
"However, the reason why your child has painful symptoms may be because there are structural problems here, and then he was pinched, so there are micro fractures that cannot be shown on the X-ray."
"That's why it hurts, so you guys have to be more careful in the future!"
The woman was visibly disappointed.
She didn't quite understand why Luo Yun said that having a history of trauma was another diagnosis, but now it's not the same diagnosis, and she went around and around, making her a little dizzy.
But he still nodded, looked at his daughter, and sniffed helplessly.
"Thank you, Dr. Luo, from now on, I still have to come to your place for reexamination, right?" Qiqi's mother asked politely.
"Well, it's best to review it once a year to see how it changes. Don't be too diligent." Luo Yun said hurriedly.
Then the woman walked out with her baby in her arms.
Looking at the woman's back, Zhou Cheng and Luo Yun looked at each other again.
They all saw a more dignified look in their eyes.
this thing today.
It can be regarded as a mistake.
Wrong in the wrong.
And then it's fucking wrong.
But this also shows that clinical diseases are mostly unpredictable. If the thinking remains unchanged, sooner or later it will suffer.
At this moment, Luo Yun dare not say that he really understands joint surgery.
Is this joint surgery?
Strictly speaking, it is not counted, but it occurs near the joints, and it is so rare, so hidden, and if you don't pay attention, it is very likely to be Waterloo.
But, no matter how solemn you are in your heart!
It was only under Zhou Cheng's prudence that this patient was able to walk the most erratic and correct path.
This is also the first time that Luo Yun has a different view on Zhou Cheng's stability...
Still have to be steady, okay?
Am I being taught a lesson?
……
But no matter what, the time of the outpatient clinic is still very tight, so after Qiqi's mother took people out, Luo Yun immediately called in new outpatients.
Today's [-] numbers have already been hung up, so you must read them.
However, Luo Yun suddenly stood up and said to Zhou Cheng, "Xiao Zhou, why don't you try to see one?"
"Shall I take a break?"
Luo Yun decided to change his strategy. This morning, he was the one who took the initiative to attack, so he couldn't find Zhou Cheng's weakness and deal him a heavy blow.And what he said did not surprise Zhou Cheng!
It seems that what I say is very common.This made Luo Yun very unfulfilling.
So Luo Yun made preparations, turned the initiative into a passivity, and asked Zhou Cheng to go up. He knew that he was in the dark, and waited for the opportunity to deal a heavy blow!
In case Zhou Cheng made mistakes during the consultation process, he corrected them himself, wouldn't that be clear?
Zhou Cheng didn't know what Luo Yun was thinking, and his face brightened slightly: "Mr. Luo, can I?"
In fact, there is quite a bit of expectation.
The skills I picked up last night can be useful, so how much gratitude can I get today?
A new copy is just around the corner.
"If you tell you to watch it, you can just watch it. Where is there so much nonsense?" Luo Yun is a bit displeased with Zhou Cheng's character like a turtle with a shrunken head. what?
So Zhou Cheng sat in Luo Yun's position, with the mask covering his mouth and nose, and by the way, he flipped over his own badge, and Luo Yun also flipped over his badge.
Zhang Zhengquan was responsible for bringing the patient in, and when he saw Zhou Cheng sitting and Luo Yun standing up, his eyes widened.
Brother Zhou Cheng, what a big shelf ah?
Are you about to start your consultation?
Maybe it was my appearance that disrupted Luo Yun and Zhou Cheng's arrangements, otherwise, Zhou Cheng might have started to see the doctor right away?
Possibly yes.
Zhang Zhengquan brought in two young girls at the moment. They were only about 20 years old. Their short hair looked quite capable. Although their skin was slightly tanned, it could still be seen that their outlines were quite good. They were two Beautiful girls.
The two of them seemed to be cheerful people. After entering, they restrained their white shirts.After one of the girls sat obediently, she politely said to Zhou Cheng, "Hello, doctor."
With Zhou Cheng sitting and the other two standing, she naturally felt that Zhou Cheng was the oldest doctor.
His eyes were fixed on Zhou Cheng, but after a while, his eyes seemed to light up.
Her companion is also a girl of the same age, and should be a classmate.At this moment, he suddenly became quite cautious, as if his face was still a little red.
A man's instinct is to like to look at beautiful women, and he also likes to look at girls.
Women are actually the same, they like and appreciate handsome di.
The two are on good terms, both wearing jeans and a white shirt.It is not very cold in Shashi in November. They show their delicate arms and forearms. They are tall and slender with long necks, but they are slightly green and immature.
After seeing that Zhou grew up to be a little handsome, he began to feel ashamed.
"What's wrong with you?" Zhou Cheng asked.
"Ah! Oh!"
"This knee of mine has been very painful recently. It has been in pain for quite a long time, but in the last few days, the pain has gotten worse." The girl who sat down heard Zhou Cheng ask her, and then she wanted to understand.I came to see a doctor.
So he quickly pointed to his left knee, and said to Zhou Cheng, his voice was very thin, and he was a little embarrassed.
Zhou Cheng then asked pointedly: "Have you ever been injured? What have you done recently? What do you do?"
It is still the same sentence, the diagnosis of fracture is defined first, that is the patient in the ward.
First define, then locate, then finalize, finally classify or type, and finally talk about treatment!
However, outpatients need to slightly adjust their way of thinking about consultation.
First locate, then define, and then proceed to stereotype, classify, and then treat.
Zhou Cheng also vaguely had a directional guess in his heart. It might be a meniscus injury, and he should have a history of trauma.
But in view of Qiqi's reasons before, Zhou Cheng decided to ask more detailed questions.
"When I was training some time ago, I had a little pain, but it was not serious, but it became more and more painful later, and it is even more painful now." When the girl mentioned her illness, she frowned tightly.
"Are you a student? What kind of training are you training?" Zhou Cheng continued to ask.
"Yeah." The girl nodded: "I'm a student of UCAS. I'm a freshman this year and I've trained a lot."
"It's the regular training in the school." She may not be able to express it well, or it may be inconvenient to disclose it, but after she finished speaking, she suddenly asked nervously, "Doctor, am I serious?"
"I can't participate in the recent training. I still asked for leave today, and I may have to go back later."
Students of UCAS?
This is a heroine.
No wonder the hair was cut short, if it was a little longer, it should look better, and the dark skin can also be understood.
Zhou Cheng looked at Luo Yun, and found that Luo Yun had no intention of speaking, so he asked Zhang Zhengquan: "Quanzi, will you do a meniscus examination?"
In fact, there are still many things that can be consulted, but the outpatient clinic is not a ward, so it should not be too detailed to waste time.
Although Zhang Zhengquan saw that the two girls looked good, he knew that Zhou Cheng's question was to ask him to have a physical examination, but Zhou Cheng's words made him a bit incompetent.
He smiled and touched his head.
"You go for a physical examination, mainly to check the meniscus and the fork." Luo Yun instructed Zhou Cheng, lest Zhou Cheng continue to waste time.
"I'll give you a physical examination. You lie flat on the bed with your feet facing the door." Zhou Cheng quickly stood up and pointed to the examination bed next to him.
While ordering, she drew the curtain again, and then shouted to her companion: "You also come in together, and stand beside her head."
Hearing this, Luo Yun couldn't help feeling inwardly, this dude is really too steady.
Humanistic care is taken to the extreme.
Of course, this is a good thing.
Otherwise, check alone with the young girl, if she goes to sue you for molestation, no one will testify.
You can't even tell.Either have family members or nurses to accompany them, so as to avoid some accidents to the greatest extent.
When the two girls walked that way, they looked at Luo Yun unexpectedly, because Luo Yun was the one who ordered Zhou Cheng to do things just now, so this handsome guy, isn't he a silver spear and wax head? Looks good but not useful?
However, they didn't understand either, so they asked Zhou Cheng to do a detailed physical examination.
After some inspection.
Zhou Cheng walked out first, washed his hands and disinfected them again.
After the girl sat down, she wrote in her medical record and said: "Your medial Maxwell's sign (), medial knee joint tenderness. Lateral stress test (-), front and rear drawer test (-)."
"In this case, you may need to have an MRI scan."
Physical examination is only an indication, and auxiliary examinations are needed for diagnosis, that is, X-ray and MRI.
X-rays are mainly to look at the bone and joint space, and rule out fractures or avulsion fractures, osteophytes, etc.
The Mai's sign directionally corresponds to the meniscus, which can only be seen by MRI.
MRI can see soft tissue damage!
Zhang Zhengquan immediately began to write the NMR checklist.
However, these words immediately made the girl's eyes turn red, and the classmates behind her were also extremely nervous...
"Why are you crying?" Zhou Cheng quickly stopped writing and raised his head to ask.
But the girl seemed to know the situation, and said anxiously: "Doctor, is my situation so serious that I won't be able to train in the future?"
"If I fail to graduate in the end, I will be expelled from school."
She was full of fear, but fortunately her classmates were comforting her in a low voice!
Well, Zhou Cheng didn't fully consider this crop at first.
The National University of Science and Technology is not far from the Eighth Hospital, it should be said to be very close.
But Zhou Cheng had never been to such a school, so he didn't know the rules in UCAS.
Zhou Chengcheng hurriedly explained: "Okay, don't cry. It's nothing wrong. Whether you can train or not will not be known until after the examination. The physical examination I am doing now is just a directional diagnosis, and it is not necessary to know whether you can train or not. Not the end result."
The girl's sobbing stopped.
He looked at Zhou Cheng eagerly, with such innocent eyes.Gritting his teeth, he asked weakly, "doctor, what should I do?"
Zhou Cheng continued: "Do an examination first. Make a clear diagnosis! Then I can tell you what to do based on the diagnosis. Otherwise, let me guess one, and then what if it's not what I said?"
"Then you are not at a loss?"
"You go to make an appointment for an MRI first, and then rest until the MRI is done and come to me for a follow-up visit. Then we can think of a way together, okay?"
The girl asked nervously again: "Can the MRI be done today? I've been on leave for a while, and I have to go back to training later."
It is not easy to enter a university, and it is even more difficult to get into the National University of Science and Technology. It is not only good grades that can enter.
She couldn't even imagine what would happen to her if she was expelled from school or unable to graduate because of poor health.
Hearing this, Zhou Cheng wrote a st on the girl's checklist: "Take this to the MRI room for an examination, and you can say that you are an emergency examination. After you finish the test, you don't need to wait for the results, just come up and we will make a decision based on the situation." What should I do next!"
"No matter what the training is, the body is the first. If you don't have enough leave, just extend it a little bit. This is the best way I can think of."
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"Okay!" The girl walked out worriedly.
Although Zhou Cheng looked at the girl's back, he felt a little inexplicably complicated, but there was nothing he could do about it.
Sports injuries occur more frequently in young people.
This may affect her life, and even affect her future.
But this has become a fact.
Body-oriented, this sentence is easy to say but hard to do!
Aren't most young people paying for their bodies?
Zhou Cheng looked at Luo Yun, but Luo Yun didn't say much.
I just thought to myself, there seems to be nothing wrong with it, I didn't say anything that shouldn't be said, and I said everything that should be said, as for any words of comfort, Luo Yun couldn't say it right now.
Just because the patient's condition will have a great impact on their life, we should not exaggerate or minimize the consequences of their own disease.
This is extremely unprofessional.
This kind of mistake, Zhou Cheng, a shy turtle, would definitely not make it.
Alas, the patient's condition is too simple.
Wait for the next one.
Look for another chance.
……
"next."
The next patient was also a young man, about 24 or [-] years old, accompanied by a girl who seemed to be a couple or husband and wife.
But when they came, they were still holding plain films, which seemed to be from the No. 1 People's Hospital in Shaxian County.
Did you come here after seeing a doctor in another hospital?
That must be quite troublesome, Luo Yun's mood began to get excited.
Zhou Chengcheng asked about the medical history.
Then I found out that this is a couple, and the wedding was held only two days ago.
The patient is a young man.
According to his statement, he was injured when he broke through the door to pick up his relatives.
At that time, Hongbaoyu opened the crack of the door, so he stretched his legs in, preparing to physically refuse to close the door, and then he was pinched by the bride's support group!
After the young man finished speaking, the woman next to him said a little embarrassedly: "Doctor, is my husband's situation serious?"
"Our wedding ceremony was completed, that is, we went to the hospital to see it yesterday."
"After taking a picture, the doctor over there said that there might be an operation. We are worried, so we plan to come here to have a look again." The woman replied a little helplessly.
Welcoming the bride is a traditional ceremony in the Hua Kingdom. Opening the door of the bride's boudoir is a joy in the wedding process, and she can't control other people.Just a little bit apologetic.
Lu Cheng took the film bags from the family members, sorted the front and back one by one, and hung them on the film reader.
Lu Cheng opened the medical record and glanced at it a little.
After picking out the positive signs and negative signs, I turned my attention to the MRI.
Summarize in your heart.
"The patient has a history of trauma."
"There is knee joint pain at present, no osteophyte on X-ray, no fracture line. The joint space is normal, the patellofemoral joint space is normal, and there is no high and low patella. So soft tissue injury is considered."
"At present, the patient has no special positive signs, so."
Lu Cheng then looked at the T2 phase of the NMR.
MRI reading is divided into layers.
Beginner doctors, when looking at MRI, they only look at black and white, looking for signs of edema!Anyway, just ask where is the swelling?
But doctors who have reached a certain level can directly read the anatomy from the film.
The information revealed by the NMR is too much, even the deformation of the nerves can be read, so Zhou Cheng didn't read the NMR report...
In addition to being able to read the anatomy, the MRI reading of the knee joint also has its own reading skills!
First look at the anterior and posterior cruciate ligaments, then the medial and lateral collateral ligaments, and then the menisci.
However, when he saw the front fork, Zhou Cheng frowned fiercely.
The anterior fork, the full name of the anterior cruciate ligament of the knee joint, starts from the front medial side of the intercondylar eminence of the tibia, heals with the front horn of the lateral meniscus, obliquely goes posteriorly and superiorly laterally, and attaches to the medial side of the lateral femoral condyle in a fan shape.
On the NMR plane, the routinely displayed signal is——
Black.
Now it is whitish, there must be edema, but continuity?
broken!
The rear fork also has edema.
Medial collateral ligament, torn.Lateral collateral ligament, normal.
Look at the meniscus again.
There is also damage to the meniscus, also a classic medial meniscus rupture. III degree injury.
The damage of the meniscus is 3 degrees on the nuclear magnetic resonance. The first degree of damage is a point or a white line that does not break to the top or bottom of the meniscus. The second degree of damage is a rupture of one side, which is a half-layer tear.A third-degree injury is a full-thickness tear.
When visiting an outpatient clinic, the required knowledge reserve is much higher than that in the ward.
When Zhou Cheng was reading the film, Luo Yun also finished reading the film. The mouth covered by the mask made a strange shape, and the eyes shone with light.
It's coming, it's coming.
This is the medial knee injury triad of sports medicine, and here it comes.
Zhang Zhengquan pretended that he knew it well, and looked for white marks on the MRI plane with his hands, and finally pointed to the fat pad inside the knee joint, rolled his eyes at Luo Yun, meaning, Teacher Luo, is there a problem here?
Luo Yun was so angry that his chest rose and fell violently.
"I'll talk about it later." Cursed in a low voice, she didn't want to reveal the answer to the mystery in advance. If the answer is revealed, what should I do?
Zhou Cheng thought for a while, and then asked the young man again: "When you were walking, did you ever feel suddenly stuck?"
In his heart, he thought to himself, how ruthless was this f*ck trapped, so forced?
It's like this, Zhou Cheng felt that there was something strange about this matter.
Although it can be seen that there is damage now, if the ligament is broken if it is caught by the door, it is easy to say, but the meniscus will be crushed, what a coincidence?
Therefore, Zhou Cheng felt that this young man might have been injured before, and the ligaments might not have been broken at that time, but there were still remnants, and then the pinch just happened to completely wipe out the last trace of remnants!
"Or do you feel unsteady?"
The auxiliary examination is only an auxiliary examination, and it is still necessary to determine whether the patient himself has symptoms!
"No." The woman replied helpfully.
Then he looked at his husband: "Isn't it?"
"It seems not." The young man recalled.
Then he said uncertainly: "But I haven't walked much since I got married, but the night before my wedding, when I was playing ball, I suddenly felt a twitch."
"But it's not as painful as it is now." The man vowed.
Zhou Cheng said: "Then you should have been injured when you were playing?"
The young man squinted his eyes and said, "It's normal to have bumps and bumps when playing basketball, so I don't really care about it!"
"And I often take off to catch the ball, dribble, and collide. Does it matter? I have been playing for more than ten years, and I have always been pretty good." The young man frowned.
He loves to play, for no reason, just loves it.
If Zhou Cheng wants to deprive him of his current hobby, what should he do?
Zhou Cheng licked his lips and said, "Yes, you play ball often, that's right."
"But your MRI showed a rupture of the meniscus, and it was still a rupture in the body, not the front foot."
"At the same time, you have ruptures of the ACL and MCL."
"These two are not the same injury mechanism."
"So, I'm guessing that it might be like this, playing alone, it didn't break your ligaments, but it broke your meniscus."
"The meniscus is like our insole, and it is very brittle. If you use too much force, it may break open. But, at that time, your ligament may not be completely broken, and then you were caught by the door."
"The ligament that was still good was also pinched off." Zhou Cheng explained.
When the young couple heard this, they were stunned.
"Is that so? Doctor?" The young man touched his head, his expression uncertain for a while.
The woman also looked at her husband with a suspicious look on her face.
"You didn't say before that you were injured while playing?"
It seemed that the two of them were having a bit of a rivalry, maybe the young man felt that his wife had hurt him, but the woman just proved part of her innocence at this moment.
Luo Yun frowned when he heard Zhou Cheng's words!
Because of this point, Luo Yun didn't think about it before.
No matter how the injury was, understanding the patient's condition is of no help. No matter how the injury was, the ligament is broken or is it broken, should an operation be performed or should it be performed?
However, although it does not affect the patient's treatment, Zhou Cheng's theory seems to be able to truly explain the root cause of the current symptoms!
Eh?
Good guy, I didn't expect this crop!
This Zhou Cheng?
How did he think of it?
Although it is said that the traceability of the disease is not important to the treatment of the patient itself.However, it is very important for doctors to accurately interpret the types of diseases and to understand the disease itself more deeply!
How was the injury, the mechanism of the injury, can guide the follow-up functional exercise, and the associated symptoms and injuries that need to be considered when encountering other types of diseases!
This week?
How could he think in this direction?
Luo Yun himself, after seeing the patient's MRI results, has been thinking about how to perform the surgery.
When you encounter a problem, you should solve the problem first. This is a natural logic!
However, this is a good thing for the patient. Thinking about how to treat it is conducive to the recovery of the patient, but it is not conducive to one's own understanding of the disease and improvement of diagnostic capabilities.
It is also not conducive to analyzing cases.
Luo Yun's eyes kept turning, this time, Luo Yun considered too many things.
seemingly?
Being pretended by Zhou Cheng again!
Zhou Cheng also noticed the change in the expressions of the two of them.There was no time to see the change in Luo Yun's expression.
He hurriedly said: "Actually, what is the specific reason now is not too important. The important thing is that in this situation, surgery must be done, otherwise, the damage to your joints will be great."
"It is very likely that it will affect your normal walking behind."
Zhou Cheng didn't dare to dwell on the reason anymore, don't make this newly married couple divorce, then the loss outweighs the gain.
The knee joint is unstable, and the meniscus is broken. If there is no surgery to deal with it, then wait for the joint to be replaced in your thirties.
However, what Zhou Cheng said made the young couple a little bit on guard, and asked, "Doctor, I'm going to have an operation? Can your hospital do it?"
They were a little suspicious, whether it was because Zhou Cheng tricked them into having an operation, and that's why he said such a big set of possibilities!
Zhou Chengcheng looked at Luo Yun.
Whether this can be done, Luo Yun said, he still doesn't know how to do it, so it's hard to answer.
Luo Yun quickly said: "In your case, you may still need to go to Attachment [-] or Attachment [-]. Our hospital does not have such equipment. We can do it if it is open to the public, but the incision is too big, and it cannot save costs."
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"No need."
Make bricks without straw.
Joint replacement does not require special equipment, but sports medicine requires at least an arthroscope, which is not available in the Eighth Hospital, and it costs hundreds of thousands or millions to purchase a set. The department does not show up, and the hospital does not buy it. It is possible to do such an operation.
Hearing Luo Yun's honest words, the young man really believed in Zhou Cheng and the others.
Said: "Then thank you doctor, we thought it was not a big deal, so let's go to Attachment [-] or Attachment [-] to take a look."
After finishing speaking, the young couple walked out, hurrying.
While walking, the two seemed to be arguing about how they were injured...
After the two left, Zhou Cheng stood up, looked at Luo Yun, and asked, "Mr. Luo, I didn't say anything wrong just now, right?"
Zhou Cheng was afraid that Luo Yun would not be able to say much to point out his mistakes when the patient and his family were in front of him.
And Zhou Cheng didn't mind Luo Yun pointing out his mistake at all, it would be best if he could point it out.
It's just that the speaker has no intention, but the listener does.
Zhang Zhengquan also looked at Luo Yun, his eyes full of admiration.
Brother Zhou Cheng is already pretty good, and Teacher Luo Yun is even better. I'm so fucking 'happy'.Two big brothers, I just want to ask when to eat, do you want me to come when you eat?
I don't want to be rubbed on the ground by the two of you.
I'm wrong!
I was so wrong.
Zhang Zhengquan regretted it.
It's hard to eat.
Luo Yun, on the other hand, carefully checked whether Zhou Cheng was teasing him on purpose, but when he saw Zhou Cheng's sincere eyes, he nodded slightly and said, "It's okay! We've covered everything we need to say, it's okay, just keep watching!"
"You keep watching."
Luo Yun was a little lucky at the moment, he was so fucking witty, and turned from bright to dark in time.
Otherwise, it is estimated that Zhou Cheng would laugh at him in private, or add in private what he just said that he didn't think of, right?
Zhou Cheng is really dangerous!
I'm too south!
Live in Bengbu!
……
From Zhang Zhengquan's perspective, Luo Yun would just nod his head up and down for a long time.
Mouth said 'okay'!
I will do this too.Zhang Zhengquan was thinking...
Chapter 141 Affecting cooking? !
In fact, after Zhou Cheng saw more than a dozen outpatients alone, and Luo Yun couldn't find anything wrong, Luo Yun gave up the idea of looking for Zhou Cheng again.
Luo Yun even laughed at himself, why did he go to tangle with Zhou Cheng or something.
Zhou Cheng's temperament, haven't he figured it out yet?
This dude is very stable, it can be said that she is extremely wretched, so she is willing to come forward.
The protection of oneself has also reached an extreme.
The patients who are obviously certain, if the patients and their family members don't believe it, then don't believe it, let's go to the director...
If the patient and his family don't believe it, he wants to be transferred, so you should transfer...
If a superior says you can't do it, then I can't do it, and you can handle it yourself.
Even when the patient was lying on the operating table, just like when Du Yanjun and Zhang Zhengquan were performing the surgery, Zhou Cheng only did his job as an assistant and did not take much action to correct their mistakes.
As if as long as he didn't make a mistake himself, he wouldn't do it if he said no.
This has formed a very smelly and hard closed loop, and it is absolutely impossible to change it in a short while.
Let's talk about the limb salvage surgery last time.
Zhou Cheng never said that he knew how to perform limb salvage surgery, he just said that he wanted to save as many amputation sites as possible, but in the end, he brought back the patients who were going to be amputated!
Therefore, based on all the above, it can be inferred that if Zhou Cheng felt that he couldn't see the outpatient department of joint surgery, he would probably not even show up in the outpatient room, nor would he go to see patients alone.
And since he's here, he's already fully prepared.
Zhou Cheng is such a character, so it doesn't seem to be very interesting to get serious with him.
After figuring it out, Luo Yun decided to start double outpatient clinics with Zhou Cheng, and each of them saw one. If Zhou Cheng saw a patient who didn't trust Zhou Cheng's statement, then it was up to Luo Yun to make the final decision.
After all, the outpatient clinic is his own, and the registration number is also his own. If he is just a bystander and the registration fee goes into his pocket, the task of seeing a doctor is completely completed by Zhou Chenglai.
This is also too inhumane.
In this way, because there are two people watching at the same time, the burden on the number of patients is greatly reduced at once.
By 15[-, there were no patients waiting at the door, and they were all patients who had completed their examinations and came back for a follow-up visit.
Then, Zhang Zhengquan heard the sentence he was most looking forward to hearing.
Seeing that there were not many patients at the door, Luo Yun said, "Xiao Zhou, Xiao Zhang, what do you two want for lunch?"
"Can KFC?"
Zhang Zhengquan nodded immediately when he heard the words, KFC is good, it has a lot of meat!
He almost vomited from eating vegetarian instant noodles recently, and really wanted to eat more meat!
Zhou Cheng didn't care, and replied: "I can do it, Mr. Luo, how about I call the boss on WeChat to send three lunch boxes?"
From Zhou Cheng's point of view, KFC is just food, which is not delicious and expensive, so it is not as economical as box lunch.
Luo Yun smiled and said, "What kind of box lunch, order takeaway if you want."
"But there's one at KFC right across the door, and there's a delivery fee of nine yuan. Why don't you just buy it? I'll send you a red envelope then?"
"You just buy four to five hamburgers, and some snacks for the rest. If you think it's enough for the few of us, how about it?" Luo Yun looked at Zhang Zhengquan.
Zhang Zhengquan nodded immediately, then looked at Zhou Cheng, and asked, "Brother Zhou Cheng, then I'm going!"
Dry rice is not active, thinking has problems.
MD, in the morning Luo Yun and Zhou Cheng rubbed each other in the outpatient room all morning, just for this meal?
Of course, what Zhang Zhengquan kept saying was that he came to learn, so he naturally learned a lot.
Zhou Cheng nodded indifferently.
Zhang Zhengquan just walked out, and then checked the balance on WeChat, 99.12!
He rubbed his head and muttered, "The money to buy a KFC on my behalf is gone. If Teacher Luo Yun doesn't transfer the money to me later, will I be considered breaking the precept?"
"Forget it, if you ask Brother Zhou Cheng to borrow money, you can't afford to lose this person, and Teacher Luo doesn't look like someone who cheated himself."
Accelerate your pace, run to KFC, and start the road to purchase!
Zhang Zhengquan honestly remembered Luo Yun's confession, four to five hamburgers, that's five hamburgers, and there are two in a set meal!If you buy three more, you don't need to buy too many other snacks.
The final discount was 147.2 yuan.
Sure enough, the WeChat balance is not enough, but fortunately, you can use Alipay to scan.Just have to reorder and pay!
Zhang Zhengquan chose to pay!
Zhang Zhengquan is not short of money. How to put it, maybe the daily income in Yu'ebao is not comparable to the wages of ordinary people.
It's just that he didn't want to use it, and then stared at his own number!
After finally all the shopping was packed, the 'rider' Zhang Zhengquan immediately picked up the packing bag, took four or five pairs of gloves, and rushed to the outpatient room of the No. [-] Hospital.
This back and forth, although the action is very fast, but including the time of ordering and waiting, it is more than half an hour.
Zhang Zhengquan pushed open the door of the consulting room with a smile on his face, and then he didn't wear his work clothes, and he looked wholeheartedly waiting for the cooking.
When he went out to buy things, Zhang Zhengquan had already taken off his white coat. A place to eat in his work clothes would be considered disgusting and unclean.
However, Zhang Zhengquan suppressed the anticipation in his heart that he wanted to cook, and then pushed the door behind him with as little movement as possible.
When I came in, I saw that only Zhou Cheng was there, and all the patients outside had finished their consultations.
While tearing open the packaging bag, Zhang Zhengquan took out the packed hamburger, chicken popcorn and other packaging boxes, and asked Zhou Cheng: "Brother Zhou Cheng, did Teacher Luo go to the bathroom?"
He also proactively and politely gave Zhou Cheng gloves, presumably because he couldn't wait to eat.
Zhang Zhengquan only had one bun for breakfast, so he didn't dare to buy more!
Zhou Cheng scratched his head and said, "No, Mr. Luo was reported by the patient who bought medicine in the morning. The people in the complaint office of the medical department considered that Mr. Luo was in the outpatient clinic, so they went to explain it near the end of get off work. "
Shrimp?
Zhang Zhengquan's movements froze——
His expression immediately began to change drastically.
w(Д)w?
o(mouth)o!
(﹏)
Convex (fuck dish)
Taking a sip of water, he stopped the movement of his hands.
After all, the treat was invited by Luo Yun, and Luo Yun was not here, so he and Zhou Chengcheng ate first, which was too unkind.
He licked his lips and asked, "How long has Mr. Luo been here?"
"Just left, 2 minutes, you didn't meet him downstairs? I thought you just met him." Zhou Cheng looked at Zhang Zhengquan.
Zhang Zhengquan: I was thinking about cooking, why did I pay so much attention?
Then Zhang Zhengquan and Zhou Cheng waited patiently, chatting without saying a word.
"Quanzi, do you have any impression of the girl from the National University of Science and Technology this morning?"
"At first I thought she was your cousin, both of whom are equally black." It was just chatting, so Zhou Chengcheng didn't say anything serious.
"I'm so hungry, when will I eat?" Zhang Zhengquan blurted out these words because he was thinking about them.
Zhou Cheng: "..."
Then he scratched his head and said, "Quanzi, if you are hungry, why don't you eat first. I'll just wait for Teacher Luo to join me."
Zhang Zhengquan was embarrassed, and then blushed a little, but the red face could not penetrate his complexion at all, so he just said in a low voice: "No, I will wait for Teacher Luo to eat together."
Damn, how did you tell the truth?
Then, Zhang Zhengquan and Zhou Cheng continued to wait until five past twelve.
Luo Yun didn't seem to mean to come back. Zhang Zhengquan felt that his stomach and intestines were already rebelling. Unfortunately, this is not a movie. It would be nice if he had a cooing voice for himself.
So Zhang Zhengquan changed the subject midway and asked Zhou Cheng: "Hey, brother Zhou Cheng, the one who reported on Mr. Luo is the patient we saw this morning who wanted to buy medicine, but Mr. Luo didn't prescribe it for him, right?"
While talking, he also began to check his name, phone number and ID number in the medical record system.
Because the real-name system is required to see a doctor now, Zhang Zhengquan found these without any difficulty, and then looked at it. After remembering it, he opened the chat interface and sent it to a person who has friends but no chat history. .
Then edit the message, "Brother, please check which company this person works for!"
The person on the other side seemed to be quite concerned about Zhang Zhengquan, and sent a message asking: "Little chairman, why do you want to investigate this person?"
"Brother, you can call me Zhengquan." Zhang Zhengquan first corrected his address, and then said: "I'm in a hurry, you can check it for me, it's hard work."
Zhang Zhengquan's chat partner was a member of the public relations department of his family's company, and they were most familiar with this industry.The age of the other party is similar to that of Zhang Zhengquan, only a few years older.
A few years ago, after learning about Zhang Zhengquan's identity during meals, he often found opportunities to take Zhang Zhengquan to sea.
But Zhang Zhengquan was not interested in those and ignored them.
Now that it was about to be used, Zhang Zhengquan thought of him.
"Okay! I'll get back to you right away. Brother Quan."
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"You can call me Xiaodeng or Xiaochu from now on." Deng Chu replied very positively, and immediately began to check the person sent by Zhang Zhengquan in all aspects.
It was easy to check what Zhang Zhengquan wanted. He found out that the other party was an employee of a small advertising company, and the company was not large.
Zhang Zhengquan saw the name and address of the company, and it was not far from the Eighth Hospital.
So he stood up and said to Zhou Cheng: "Brother Zhou Cheng, I just have something to do and I have to go out. When Teacher Luo comes later, please tell me."
Although Zhou Cheng didn't know what Zhang Zhengquan was doing out at this time.
But only asked: "Have you stopped eating lunch?"
Zhang Zhengquan was walking out, and he replied seriously after hearing this, his face became anxious: "I want to eat, you and Mr. Luo, don't throw away my share, keep as much as you can. Don't throw it away!"
After speaking, Zhang Zhengquan walked out the door, took off the mask, hailed a taxi and left.
After arriving at the destination, Zhang Zhengquan pushed the door and opened it. He saw the name of the company near Landmark, but there was no one at the door. The nearby shops sold tea, tobacco and alcohol.Also deserted.
Zhang Zhengquan walked in, and there were three people busy inside.
"Do you want to print it?" The person closest to the door saw Zhang Zhengquan, glanced at it, and thought that this dude might be printing or copying something.
After all, with Zhang Zhengquan's appearance, he seems to be from a construction site, and he is not black. If he is not so pure, he doubts that he was smuggled from Africa.
But no matter how small a mosquito is, it is still meat.
Zhang Zhengquan recognized the young man who came to the clinic in the morning at a glance.
"I'm not here to print, I want to order a batch of billboards, can you accept them here?" Zhang Zhengquan said.
As soon as I heard Zhang Zhengquan talking about a batch, not just one or two.
Everyone looked over, and the young man also stood up, swept Zhang Zhengquan up and down a few times, and asked, "Do you want to order billboards? How much do you want?"
Billboards vary in price, ranging from hundreds to hundreds of thousands.
However, what their company can eat will not be the kind of super large billboards.
"Hundreds of them." Zhang Zhengquan didn't say the specific number, but said casually.
However, hearing Zhang Zhengquan's words, the people inside seemed to be amused.
"Why do you order hundreds of them? Where can you order billboards like this?" the young man asked.
"If you are here to entertain us, then you may have come to the wrong place." It was relatively polite.
On weekdays, the orders they received, a few billboards, or thousands of orders, were routine, but now Zhang Zhengquan came with hundreds of thousands of orders, how could they believe it.
"Why do you care about me? As long as I can afford the money, why don't you do it?" Zhang Zhengquan rolled his eyes at the young man.
"Okay! As long as you pay, we will give you good service."
"However, the quantity you ordered is relatively large, and we need to collect a deposit." The young man may also feel that there is nothing wrong for the time being, so he chatted with Zhang Zhengquan for real.
"Okay, the deposit must be given? I'll give it to you anytime! I won't miss your money." Zhang Zhengquan said casually, and then sat down on a stool.
Then he opened his Yu'e Bao, and the series of numbers on it directly made the person closest to Zhang Zhengquan dumbfounded.
He quickly smiled and said, "Sit down for a while, let's chat slowly, and I'll make you a cup of tea right now."
Then he turned around and walked in, whispering, "The boss has millions of dollars in his Yu'e Bao. He is really a big fish that other companies have missed!"
Hearing this, the young man and the other person were startled immediately.
Then he regained his energy immediately, and his colleagues would definitely not deceive others. If such a boss took good care of him, he would definitely place a big order today.
The young man and another person immediately went to get a notebook, paper and pen formally, and another person came over with a laptop.
The young man immediately asked with a smile: "Boss, I don't know your last name and honorific title? I don't know what kind of billboard you are going to make?"
At the same time, he handed over a business card respectfully with both hands: "My name is Zhang Weiye."
Zhang Zhengquan leaned back on the chair and still took the business card. Looking at this family, he really felt ashamed!
"My last name is Zhang. It doesn't matter what my name is."
"My request is very simple, you write Zhang Wanqing awesome! Five words on the billboard, and then print the name of your advertising company on it."
"Then hang around the industrial park of Wanqing Industry!"
"Just point to your mediocre billboard and make it for me. There is only one requirement, it must be large and conspicuous." Zhang Zhengquan said with his hands open.
But as soon as Zhang Zhengquan said this, the faces of the two people on the opposite side stiffened.
Zhang Wanqing?
Wanqing Industry, this TN is a well-known leading enterprise in Hunan Province!
It should be said that they are all Fortune [-] companies in the world. They walked around the Wanqing Industrial Park and hung up Zhang Wanqing's awesome words.
Isn't this nonsense?
Zhang Weiye's heart twitched, feeling that he was being played, but his expression was still flattering, and he stared at Zhang Zhengquan seriously: "Dare to ask who the boss is?"
"Mr. Zhang Wanqing is the chairman of Wanqing Industrial Park and also the largest shareholder!"
"We dare not do this request of yours."
Although this can make money, and the people who come here also have money, it depends on whether the money is earned or not. It doesn't mean that they can earn this money if Zhang Zhengquan can afford it.
You'll be beaten until you don't even know your mother.
"I'll give you money, and you just do what I say. I'll figure out a way to hang the sign. But you must print the name of your advertising company, which can be regarded as an advertisement for your company in disguise. ."
"I don't charge you for advertising fees either, so that your company can quickly become famous!" Zhang Zhengquan opened his mouth and came.
Then the conversation changed and said: "Zhang Wanqing is my father."
"I'm just making a brand to praise him, it doesn't matter."
Another person touched his head and almost lost his breath.
Zhang Wanqing is your father, and you are still like this?
Zhang Weiye also smiled and said, "Boss, let's get down to business, so let's stop making jokes like this."
My surname is also Zhang, and I also hope that Zhang Wanqing is my father, or my grandfather.
Regardless of whether Zhang Zhengquan was joking or not, he was a wealthy client, and Zhang Weiye could afford it.
Zhang Zhengquan didn't have time to delay here to give them business. To be honest, they didn't believe it and dared not do it.
That Zhang Zhengquan couldn't help it: "Can't you do it here? Such a billboard doesn't seem to require much technical content."
Zhang Weiye was very angry at the moment, but he didn't feel like having a fit.
Damn, are you talking about technical content?
If we can do it, we can do it for tens of thousands of dollars. The key is, can such a thing be done?
"Boss Zhang, do you have any grievances with the people in Wanqing Industry? If so, I think you can talk to the other party in private, there is no need to use such a big way to retaliate or something ."
"If you have other business needs, our company will definitely be able to meet them."
"Wanqing Industry and Mr. Wanqing's words, we definitely can't do it."
Zhang Zhengquan thought for a while, and then said: "Oh, you can't do this, then you can make me the same billboard, and it will say, Zhang Zhengshu is funny, I wish you a happy day."
"Then bring your company's name and hang it up according to the place I told you. Is this okay?"
Zhang Zhengshu, the current department president of Wanqing Industry!
People in the advertising industry know the important personnel of such a large enterprise, otherwise, if they miss such a person one day, they will not be able to think of customizing something here, and there will be no good relationship.
Then you will regret it to death.
……
10 minute later.
Zhang Zhengquan made four requests, all of which were rejected.
He walked away cursing: "What kind of shit advertising company?"
"I'm going to complain to you. I dare not accept such a simple business, and I can't do it!"
Inside, Zhang Weiye and the others all had twitching expressions, cursing in their hearts, get out early!
After leaving the house, Zhang Zhengquan actually called to "complain", but it was not the person he found to complain, but the person in the advertising department of his father's company, and the boss of the company personally complained.
It probably means that when Mr. Zhang Wanqing's son went to your company, he wanted to show filial piety, but he wanted to get close to his brother and send a blessing to his cousin, but he didn't do it.Then I want to praise my cousin and mother for being beautiful.
Now he is very angry and insists on complaining to your company, what do you think?
Especially the person from Zhang Weiye, who has poor business communication skills, but don't drive him away!
It's very straightforward.
……
The person who called was really from the advertising department of Wanqing Heavy Industry, and he was also a deputy manager.
He was in charge of the advertising business. After hearing the news, the boss of the advertising company was angry and regretful.
He was so angry that he raised a batch of chicken feathers.
Brother Zhang Wanqing, what kind of billboard he wants to make, you just follow him, this is a great opportunity to make money, you don't want to do it?
Bad pen?
Then immediately drove to the company in person.
When I entered the door, I heard Zhang Weiye swearing!
Zhang Weiye's face was full of complexion: "Damn, I remembered, this bad guy is a doctor from the Eighth Hospital, he came here to mess with me on purpose, to get revenge on me, right?"
"Hey, I'm still afraid of you, right?"
Zhang Weiye didn't think of it at first, but after Zhang Zhengquan left, he remembered such a big black face.
It was so characteristic. Although he was wearing a mask before, Zhang Weiye could definitely believe that this was a doctor there.
His colleague said: "Impossible, I really saw that his Yu'e Bao is at least a million, or even tens of millions!"
"I haven't had time to count, how much money can the doctor have?"
Zhang Weiye was already furious at the moment. He was late in the morning, so he was told by the boss, and 50 yuan was deducted.
Now I am even more angry: "Tomorrow, tomorrow I will go to their hospital to report, and I will make a video to expose them, what dogecoin thing!"
However, when Zhang Weiye was scolding the street, his boss yelled at the door: "Zhang Weiye, who are you scolding?"
"What's the matter with you today? There is business in the company, why don't you take it?"
"Just now, Manager Lin from the advertising department of Wanqing Heavy Industry called me to complain that you rejected their company's business? He complained about you by name."
Zhang Weiye was dumbfounded on the spot!
"what?"
Master, he said that Zhang Wanqing was his father, could it be true?
"What are you? Come to my office and explain what's going on!" Although the boss was angry, he was not confused.
How could Wanqing Heavy Industry like their small company? Something must have happened!
"Who came to the company just now?" After entering the office, the boss asked Zhang Weiye.
Zhang Weiye explained the ins and outs of the matter, and said: "Boss, this person, I saw this man when I went to No. [-] Hospital this morning and prescribed medicine for my mother. He is the doctor there!"
"I can be sure!"
"Just? I don't know why people from Wanqing Heavy Industry called you."
Naturally, Zhang Weiye didn't dare to talk about what happened to him in the hospital, it would be so embarrassing.
Zhang Weiye's boss also understood what was going on, and said, "Damn it, haven't you understood yet?"
"Who Mr. Zhang is doesn't affect who his son is at all."
"Will Wanqing Industry go to work today?"
"He can find people from the advertising department to cooperate with him on non-working days. Is that an ordinary person?"
"Is he playing tricks on you on purpose?"
"Did you offend him today?"
Zhang Weiye immediately trembled!
On the opposite side, Zhang Weiye's boss immediately pointed at Zhang Weiye and cursed: "Damn it, quickly settle your own affairs, don't affect the company."
"Manager Lin made it clear on purpose, don't get you to resign. He doesn't want to punish you, so he gave you a chance."
"I don't want to care about what you did. I can solve it myself. I can't solve it. I can't help it."
"Wanqing Industry, I can't afford it."
……
Zhang Weiye asked for leave immediately, and then took a taxi non-stop to the medical department of No. [-] Hospital.
After entering, he apologized very "sincerely" to Luo Yun, and also apologized to the staff of the Complaint Office, saying that it was because of his mistake that he had increased their workload, and that Dr. Luo must not be blamed.
Dr. Luo is definitely a very good doctor.
As a result, Luo Yun, who hadn't explained clearly for a long time, and the staff of the complaint office were all stupid.
Five minutes later, Zhang Weiye and Luo Yun came out of the office together. Zhang Weiye continued to apologize to Luo Yun and gave him a cigarette.
But Luo Yunyi sternly refused, and then glanced at Zhang Weiye, although he didn't know if he was insane?I still took the wrong medicine today, but I still confessed patiently.
"Mr. Zhang, although you complained to me, but out of the professionalism of a doctor, if I want to advise you."
"Don't give your mother those medicines, and don't give her sodium hyaluronate. It won't do her any good. I'll actually prescribe you a medicine, just for a minute or two. There's no need to make things like this trouble."
"However, I'd rather you complain about me than prescribe it for you. Do you think you just don't want trouble? It's no more troublesome than prescribing medicine for you now."
"You can even take your mother to Fu Yi Fu Er, or to any better hospital in the country, and they won't think these two medicines are good things. The principle of not harming patients is what we must adhere to. Keep the bottom line, can you understand?"
At this moment, Luo Yun has some fine sweat on his forehead, which was left when he explained it to the people in the Complaint Office.
Zhang Weiye looked at Luo Yun, thought about Luo Yun's words, and felt annoyed and fearful at the same time, and nodded solemnly: "Thank you, Dr. Luo, I understand."
If Luo Yun is not a fool, he would not do such a thing, nor would he waste his own time like this.
Maybe, I misunderstood this doctor, and I also thought about this doctor wrongly. He was purely for the good of his mother.
However, these medicines were obviously prescribed in the hospital by myself?
……
When Luo Yun returned to the clinic, it was already past 40[-].
Zhou Cheng and Zhang Zhengquan are the two little ones who are looking forward to it.
After seeing Luo Yun, Zhang Zhengquan immediately went back to report to Zhou Cheng, saying: "Brother Zhou Cheng, Brother Zhou Cheng, Teacher Luo is back, Teacher Luo is finally back."
Immediately opened the packaging bag again, took out the hamburger and other things inside, sat down obediently, and was ready to eat!
Seeing Zhang Zhengquan's expression, Zhou Cheng felt extremely speechless.
Do you want to eat so much?
When Zhou Cheng saw Luo Yun coming in, he asked, "Teacher Luo, are you okay?"
Zhang Zhengquan could think about eating, but Zhou Cheng was worried that Luo Yun's problem had not been resolved.
Zhang Zhengquan just waited eagerly for Zhou Cheng and Luo Yun to waste time there, his heart was like an ant on a hot pot.
MLGB, can't we have dinner?
But just thought, didn't say it.
Luo Yun touched his head, looked at Zhang Zhengquan's eyes full of thirst for food, and knew that young people were hungry quickly, so he said, "I really encountered a lot of neurosis today, let's talk while eating."
With Luo Yun's order, Zhang Zhengquan immediately presented Zhou Cheng and Luo Yun with a double-layer plus size hamburger, and then he was the first to bite into it, feeling that this was the most beautiful moment in the world.
To be able to eat, to be full, to eat, to be comfortable...
While eating, Luo Yun said, "I was explaining in the complaint office. That person came back this morning, and he just apologized to me!"
"It seems that I really understand, regret, feel guilty, and the prodigal son turns back."
"baffling!"
Zhou Cheng didn't understand what was going on with the patient, so he replied with a silly smile: "Maybe he really realized his mistake, so he came back to apologize. There are many good people in this world."
Zhou Cheng's words reminded Luo Yun of the time when he was in the emergency department, when Pang Dingkun had a problem with his reset, and Zhou Cheng solved the problem. , bought a fruit basket.
It's a bit like today's incident.
But the nature of the two things is different. Zhou Cheng helped solve the problem that time, but today?
"Maybe. I don't understand." Luo Yun was still thinking about it while eating.
But Zhang Zhengquan, the chief culprit, continued to feast on the feast, not paying attention to what Luo Yun and Zhou Cheng were talking about.When his eyes met, he had already eaten a hamburger, and his stomach was only a little full.
Only then slowly slowed down, and began to eat chicken popcorn in small bites.
In the end, it was Luo Yun who said, "Xiao Zhang, you and Zhou Cheng should share the other two burgers, one is enough for me."
Zhang Zhengquan said embarrassingly: "I've almost finished eating, Mr. Luo, I'll eat some meat first."
He also found an excuse for himself.
Zhou Cheng said: "Quan Zi, it's okay, you can eat another hamburger, I only eat rice after running in the morning, I'm really not very hungry."
With such prevarications, Zhang Zhengquan picked up the second extra-double double burger rather embarrassedly.
After eating again, I really feel full.
At around [-[-, there was a mess in front of Luo Yun and the three of them, everything was cleaned up.
As a result, Zhang Zhengquan killed three burgers by himself.
Then he took the initiative to throw out the trash, very diligent.
Luo Yun looked at Zhang Zhengquan's back and said, "Xiao Zhou, did you notice that Zhang Zhengquan looks like he has been hungry for days."
Zhou Chengcheng nodded and said, "It looks like it, but it won't. Yesterday we ate box lunch together in the department. Maybe it's because he eats a lot, and I didn't notice it before."
"Maybe." Luo Yun didn't understand either.
After Zhang Zhengquan came back, Luo Yun said: "It's getting late now, do you want to go back and have a rest? I'll see the outpatient clinic in the afternoon alone."
Zhou Cheng naturally wouldn't leave, unless there was an emergency call for dislocation in the department.
After Zhang Zhengquan was full, he shook his head and said, "Mr. Luo, I have learned a lot from your outpatient clinic. I will stay here in the afternoon. Brother Zhou Cheng, you are on duty. Why don't you go back to the department for a while?"
Luo Yun also thought so, and looked at Zhou Cheng.
But I don't know if Zhang Zhengquan's mouth is poisonous. After he said this, Zhou Cheng's phone rang, and it was Xu Yanlin who was on duty.
After hanging up, Zhou Chengcheng said, "Mr. Luo, I'm going back to the department now."
"Quanzi, you just stay here. There are still fifty numbers in the afternoon, and there are follow-up numbers in the morning. There are a lot of people."
Zhang Zhengquan immediately made an OK gesture.
After Zhou Cheng left, Luo Yun looked at Zhang Zhengquan, rolled his eyes, and asked, "Xiao Zhang, you said that you learned a lot from our outpatient clinic this morning, so is there nothing wrong with you?"
"So many patients, have you figured it out?"
Zhang Zhengquan's face immediately turned dark, but it was already very dark. He showed his white teeth and returned an embarrassed smile.
"This, this." Zhang Zhengquan felt bitter in his heart. He was thinking about eating in the morning, and he didn't listen to it at all.
"Mr. Luo, I actually have a lot of questions. I don't know how to ask them for a while. I'll go back and read the book carefully, so as not to ask some low-level questions." Zhang Zhengquan immediately admitted his mistake.
Luo Yun then nodded in satisfaction.
I sighed in my heart.
Alas, there is no other way, Xiao Zhang, I didn't find the sense of superiority I was looking for from Zhou Cheng, so I can only find you as a substitute, otherwise, I would almost doubt whether I am a professional joint surgeon doctor.
Fortunately, you are here now, allowing me to verify my identity.
I am a professional joint surgeon.
Zhou Cheng?
When Luo Yun thought of Zhou Cheng, his emotions became extremely complicated.
He had never really seen such a weird person before, it was like a dog beeping.
Watching videos to learn medical skills?
Is this TM scientific or not?
Steady like an old dog, not leaving any flaws for the old man, really fucked!
……
And when Luo Yun was secretly scolding Zhou Cheng in his heart, and Zhang Zhengquan was embarrassingly apologetic, Zhou Cheng was in a really good mood at the moment.
He looked at the skyrocketing thank you value on the simulator panel, and it had reached 49!
There is only 51 minutes before the next simulation copy is opened!
In other words, he got a 15 thank you value this morning.
It turns out that seeing an outpatient clinic is the fastest way to get gratitude. What emergency treatment and surgery are all fake!
But it's a pity that I don't have the qualifications to sit in the outpatient clinic at all.
It is reasonable to get through the emergency department as soon as possible and then report to Luo Yun early.
So, when Zhou Cheng arrived in the department, he immediately saw the patient and began to talk vigorously!
Xu Yanlin was still in the lounge and didn't realize that Zhou Cheng was in the department, but he always thought that if Zhou Cheng came back sometime, he would study with him.
After another 10-minute interval, Xu Yanlin came out of the waiting room and asked the intern nurse at the nurse station: "Has Dr. Zhou Cheng returned to the department?"
"I'm back, I was back 10 minutes ago, I just saw him take the patient to the operating room!"
Xu Yanlin was shocked immediately: "Then I came out just right!"
"Thank you." Xu Yanlin immediately stepped up and walked towards the operating room.
Now only Zhou Cheng and Zhang Zhengquan are the only remaining trainees in the department, and even graduate students like Du Yanjun and Lin Lin can save face and study with Zhou Cheng, so what face do I need?
Be an assistant to Zhou Cheng later, watch and learn!
Xu Yanlin was still writing the manuscript in his heart, when he opened the door.
just found out!
Zhou Cheng was already putting plaster on the patient.
???
Didn't you just come into the department 1 minute ago?
Xu Yanlin asked in astonishment: "Brother Zhou Cheng, reset, are you done?"
"Yeah." Zhou Cheng didn't look back, as if he had done a very ordinary thing.
Xu Yanlin's scalp went numb instantly.
Co-authoring, the belly draft I just prepared was for nothing!
Then, two to three minutes later, Zhou Chengcheng confessed to the patient: "I'll go down to check a plain film later, and then bring it to the clinic to show me the film after the examination. If there is no problem, I can go back."
"Go back and rest more and exercise less. You must not do the taboo movements I told you. If you want to do it better, you must insist on doing it."
"I'll explain it again when I review it later, you have to remember it clearly."
The patient immediately flashed a smile. After the pain was relieved, he felt that Zhou Cheng was very patient: "Okay, okay, Doctor Zhou."
Then Zhou Cheng turned his head and looked at Xu Yanlin who was staring at him with complicated eyes, as if he wanted to say something.
"Brother Yanlin, what's wrong?" Zhou Cheng asked proactively.
"Oh, it's nothing, Brother Zhou Cheng." Xu Yanlin shuddered, and swallowed the words that came to his lips!
I don't even know what to say, how can you do the reset so quickly?Don't you teach me?
Can you be so righteous?
"Thank you, Brother Zhou Cheng." Xu Yanlin said more politely.
Zhou Chengcheng said: "Brother Yanlin, you are polite, you should go to the lounge to rest first, I will go to the outpatient clinic, if you have anything later, please call me anytime."
"Or in fact, you can call the patient to the clinic!"
"Oh, I'll ask Mr. Luo to call the doctor in the emergency department later, and let them call the patient with joint dislocation upstairs." Zhou Cheng walked out while talking.
"Uh~"
Xu Yanlin suddenly felt something stuck in his throat.
Well, that's all it takes to draw the bottom line. If you don't give this opportunity to study, it's fine. You'll have to go to the outpatient clinic for the emergency treatment later?
Of course, Xu Yanlin couldn't say it out loud.
On Zhou Cheng's side, he was full of the patient numbers at the outpatient clinic, and he was all thankful. He didn't think too much about it, so he opened the door of the department in a chic way and left.
Xu Yanlin looked at Zhou Cheng's back and let out a long sigh.
Ugh……
I'm still not brave enough, Xu Yanlin, you don't have such a big face.
……
Chapter 142 The main character and the supporting role are about to collide!
Dong Gen felt a headache, but his headache was not actually a headache caused by organic symptoms inside the head or neurological reasons.
He was sitting on a soft leather sofa at the moment, wearing glasses, holding up his cell phone, and carefully staring at the message content on the cell phone.
Next to him was Dong Gen's wife, Wang Yunxiang, who was packing the fruit plate, and said angrily, "You won't go into the study today, and you don't know how to help me."
"You don't really start some evening online dating like the rumors on the Internet, do you?" Wang Yunxiang jokingly talked to Dong Gen, got up and hit Dong Gen's feet with a broom.
"To start with, I don't know what to read with my phone and books all day long."
Dong Gen is a professor at the Faculty of Liberal Arts of Shonan University, and his research subject is Chinese language and literature.He is also a doctoral supervisor.Quite well-known, this year is over 50 years old, close to [-] years old.
Wang Yunxiang is also a retired accountant from the Finance Department of Shonan University. She originally continued to shine in a company after retirement, but after her daughter got married, she resigned to prepare for raising her grandson.
Last year, she married her daughter, and the house is quite clean, but Wang Yunxiang feels that she has nothing to do, and she hasn't looked forward to her grandson yet, isn't it just finding fault?
Dong Gen raised his glasses at this moment, and said to Wang Yunxiang, "What nonsense are you talking about? I'm just reading information, what online dating."
"Come, come, see, show you."
"It's just that you come back to me."
Dong Gen simply handed the smartphone to his wife Wang Yunxiang.
Wang Yunxiang put the broom aside at this moment, put her hands on her hips and said, "These aren't those poems in your cabinet, I still don't understand them, right?"
Then he flipped through Dong Gen's read messages and replies from top to bottom.
"Hello, Professor Dong, I am an eight-year student at the Affiliated Hospital of Shonan University. My name is Yang Yifeng, and my student number is: 13821xxxxxx!"
First, I simply reported my own identity and proved that I am a student. The beginning of 13 proves that I am a student enrolled in the 13th grade.
Wang Yunxiang wasn't worried that her husband would cheat or anything, but she couldn't understand that he didn't have time to accompany her, and he was still taciturn on weekdays, so she lived with the study.
"I have recently read Professor Dong's monograph on the status quo and development of online novels, and I have benefited a lot. In fact, I am also a practitioner of online novel writing, but I have a lot of troubles recently, so I want to visit you. You see Is it convenient for you?"
Seeing this, Wang Yunxiang said to Dong Gen on purpose: "The child is coming to visit, hasn't anyone come these days?"
"This Yang Yifeng, is it still a girl, did you meet him outside secretly?" The question was asked like this, but it was intentional, just hoping that Dong Gen could talk to her more.
Dong Gen's face twitched: "Oh, hey! You have to watch it carefully, can you read it from beginning to end?"
"Is this kid a student of our Faculty of Arts? He's from the Faculty of Medicine, but a Ph.D. from the Affiliated Hospital of Shonan University. What is he going to do?"
"He said he wanted to drop out of school and change careers to become an online writer! Write online novels."
"If you don't insist on such a great profession as a good doctor, you can do these things."
Speaking of this, Dong Gen said again: "And I also specifically checked this student Yang Yifeng, oh no, it should be said that Dr. Yang Yifeng is quite outstanding. According to our literary world, he is only now At the age of 23, he has already published two SCI papers, and it seems that the impact factor is not low."
"Professionally, he can now perform operations that even professors cannot."
"It's not just as simple as a talent in the medical field, it's called a genius."
"Then can I invite him to my home casually? In case this unlucky kid drops out of school and others blame me for fooling around, how can I reason?"
Wang Yunxiang felt that what Dong Gen said made sense, she just wanted to chat with Dong Gen, but she didn't really want to read these messages, so she nodded immediately: "He is going to drop out of school to write an online novel, so it shouldn't be brought home, it's not good. "
Then turn from top to bottom, and don't have much thought to pay attention to the main content.
Then he tilted his head and asked, "Then you can talk to this kid and try to persuade him."
"At the age of 23, he can perform a surgery that even a professor can't do. This is quite remarkable. Even if he is exaggerating, he must be a very capable person. If you can help him, please help him get on the right track."
Wang Yunxiang still felt that Yang Yifeng was a pity, since he was so good, he should keep going.
Dong Gen sighed, shook his head and said, "I persuaded you, why didn't I persuade you?"
"But it's too late, it's probably hard to persuade him to come back."
"Why?" Wang Yunxiang didn't read the information at all, and asked Dong Gen anyway when he caught him, and even offered Dong Gen a cup of tea.
According to her understanding, if she could help Yang Yifeng get on the right path, it would be a merit.
Dong Gen said: "I read the novel written by this young man. From the perspective of commercial novels, he wrote a good one. He has achieved certain results, so I said, it's too late."
Wang Yunxiang still didn't quite understand, so she just said, "Haven't you studied Internet literature for a while? Tell him the pros and cons of it, otherwise why would you study it?"
Dong Gen only replied: "I did research, and I did it for some people."
"This child's current monthly salary is [-] to [-] yuan, which is not more cost-effective than being a doctor? If he is based on his current monthly salary, even if he does not have a higher income in the future, according to this posture, he can write a down payment for a house in a year."
"How do you persuade?"
Wang Yunxiang's eyes lit up suddenly: "Writing novels is so profitable? It's higher than the salary of a real professor like you, so can I write?"
Wang Yunxiang is an accountant, and she is quite sensitive to money and numbers.
So the conversation changed, and I went to another place.
Dong Gen rolled his eyes again in an instant, and said: "It is a person who can write, and he can write if he can type, but it is estimated that no one will read what you have written. Do you know what the structure and core of a novel are? ?"
Wang Yunxiang said: "You know, don't you just study this? Go and write." Wang Yunxiang winked at Dong Gen.
Dong Gen looked rather embarrassed. Although he is a professor in the Faculty of Arts and studies Chinese language and literature, what he studies is orthodox literature. He reads online novels and knows that they are very profitable.
But to be honest, it was easy for him to rush to write. After all, ten years ago, he also vigorously established more than a dozen trumpets, and he really rushed to the street so much that he didn't even know his mother.Readers don't buy what kind of literature professor you are.
Dong Gen said with a straight face: "What am I writing this for? I don't know how to do it either."
"What exactly are you asking? The key to our discussion is not that Yang Yifeng. Why are you still referring to me?"
Dong Gen then brought the topic back: "The thing I'm in trouble with now is how to persuade him to return to the right path. With his ability, making money should not be his only consideration. His talent should be Make contributions to the development of disciplines and devote themselves to the development of disciplines."
"This is a big problem for me." Dong Gen stroked his hair, feeling a little distressed.
If Yang Yifeng had just entered the industry, then he might have persuaded Yang Yifeng to go back.
But Yang Yifeng has entered the profession to a certain extent, and now he has even tasted the sweetness. In this day and age, if you have money, who would want to be a serious doctor like a doctor?
You can earn money by staying at home, and you don't have to worry about food and drink.
But if it is an ordinary person, Dong Gen is really willing to share with him his research and understanding of online novels. There is a difference between research and writing.
But Dong Gen felt that he couldn't help the evildoers, if he figured out Yang Yifeng's problem, he would be gone forever.
"Then what exactly is he asking you?" Wang Yunxiang asked.
"Ugh."
"This kid, he said that the novel he is writing now is about a doctor. The protagonist in the story is based on himself, but when portraying the supporting characters, there seems to be a deviation. One of the supporting characters is even stronger than the protagonist. , readers strongly suggest that he change the protagonist and forget it."
"Online novels mainly focus on the sense of substitution and shock, that is, the identity of the protagonist that readers want to bring in must be strong enough, preferably better than others, and the stronger the contrast, the better."
Speaking of this, Dong Gen sighed and said: "In fact, there are many, many novels in which the supporting role is better than the leading role, just like in Mr. Jin Yong's Yi Tian Tu Long Ji, there are too many examples in which the supporting role is better than the leading role."
"But that's all traditional novel literature, and readers don't buy it now."
The development of novels needs to be adjusted to varying degrees according to its form and audience, and it cannot be stereotyped. Readers will buy into how they can be written in the past and how they are still written now.
The things in it are quite abstruse, Wang Yunxiang doesn't understand literature, and has never read novels.
Just asked Dong Gen: "Then what do you think should be done now? You can teach him."
"You don't know it either?" Wang Yunxiang laughed, she just wanted to use this topic to talk to Dong Gen, otherwise, Dong Gen usually spends his days with books or various classic literature .
It's not that it's bad, but Wang Yunxiang thinks that now that Dong is old, he should enjoy life.
He is a scholar, reading books is right.
"How could I not, I don't want to tell him, for fear that he will go astray even more."
"The process of writing novels, especially online novels, also requires some complicated skills and techniques."
"For example, the reason why readers feel that the supporting role is better than the main character is because the portrayal is too much, and there are more words and ink than the main character, which is a bit overwhelming."
"Either the portrayal was too vague, maybe he didn't understand the positioning and authenticity of this supporting role prototype, which led to the sudden appearance of this factor, disrupting the original rhythm of the novel world."
"Maybe I'm saying this, but you don't quite understand. If the original world of the novel is compared to a river, then the characters and the plot are the branches of the river, called streams."
"All kinds of small streams merge together to form a river, but if one of the streams you originally arranged suddenly becomes a river and sea, it will collapse into a mess, leaving readers in a fog and not seeing clearly."
"Of course, writing novels is not so exaggerated and objective, which requires more detailed processing."
"It's like pulling out one or two points, and then comparing and interacting with the characters in the novel in detail. In this way, the relationship between the two will be handled well. The protagonist is still the protagonist, and the supporting role is still supporting. ."
As Dong Gen was talking, he realized that his wife was dumbfounded, so he said, "I told you, but you still don't understand, so you still have to listen."
Wang Yunxiang raised her chin on purpose: "Hey, I'm happy."
"In your life, you rarely talk to me so much."
"I'd love to hear it, can you manage it?"
Dong Gen sighed slightly, and said: "You tell me about accounting, and I don't understand, and I talk to you about literature, and you don't understand, so what are we going to talk about?"
"Let's just talk about Yang Yifeng..." Wang Yunxiang found a good fit.
……
At the same time, Yang Yifeng is watching the writer's backstage at the moment, and there are more and more chapters to say!
They are all saying that it is strongly recommended to change the protagonist into a supporting role, and then change the supporting role into a leading role. Write from the perspective of a supporting role, it will definitely be more interesting.
"Agreed, a standard trainee is better than your eight-year undergraduate, master, and doctoral studies at Shonan University. It looks better this way, haha, and the story unfolds better."
"Author, I'm not a good guy, so I just follow what you wrote. Others are just ordinary regulars who know so many things, so why don't you think about it and replace him with the protagonist? Social regulars , without systematic study."
"The author, do you dare to replace the protagonist with Lu Cheng?"
"..."
In Yang Yifeng's novel, a supporting role is Lu Cheng whose prototype is Zhou.
Originally, according to Yang Yifeng's original intention, it was to express that in this world of medicine, there are hidden dragons and crouching tigers, and no one should be underestimated. This is what he has seen in real life.
This is what the rivers and lakes should look like, and it will be even more turbulent!
But he wrote it clearly based on his real experience, but the readers just didn't buy it. He explained that it was his own personal experience.
But the reader is still a stick, you can write after your own experience?
I lost almost a thousand after reading...
Yang Yifeng looked at the message he sent to a professor in his school who has researched online novels, but there was no reply, and the messages sent to him in the mailbox were like nothing, Yang Yifeng didn't even know if the other party had read it .
Therefore, Yang Yifeng decided not to wait any longer. He wanted to find someone to help him find a solution to this problem.
Yang Yifeng then went to the headquarters of the Faculty of Arts of Shonan University to find his "fellow friends".
He also wrote online novels, and his grades were not as good as Yang Yifeng's, but the other party was a literature major, so Yang Yifeng felt that he might have a way.The contact information of Professor Dong Gen was provided by this person.
It's just that after finding this junior who was many years younger than him, the junior said with a sad face: "Brother Yifeng, I can't write novels as well as you can, how can I guide you?"
"I just reached [-] average bookings this month, and I will just get the full attendance for the fourth month next month!" A man with gentle eyes who was writing the outline and detailed outline of the novel innocently said to Yang Yifeng. Say.
Yang Yifeng's undergraduate entrance time is 13th grade, and his junior graduates have already graduated. This junior is from 16th grade, four grades younger than him.
Although the two are about the same age, Yang Yifeng seems to be almost able to be the uncle of this junior brother.
Yang Yifeng's expression flickered, and he took a deep breath and asked, "Junior Brother Mu, didn't the books you read mention the solution to this kind of thing?"
The younger brother of Yang Yifeng Academy of Literature, who is also a practitioner of online literature, is surnamed Mu, and his name is Bin.
Mu Bin replied: "I haven't read so many books, brother Yifeng, didn't I give you the contact information of Professor Dong of our school? You can ask these professors, they are well-informed and may know the solution ."
……
Yang Yifeng just turned around and left Shonan University again, but he didn't give up at this point and simply ignored it.
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He decided to take the subway again and ask other colleagues.
Shashi is home to the first batch of Internet literature towns in the country, and there are all god-level figures in the Internet literature circle.Although Yang Yifeng was not qualified to enter there yet, there was also a certain amount of him who mixed into the group of great gods, trembling and afraid to speak.
They have a lot of experience writing and may be able to figure it out!
Afternoon, seven o'clock.
Yang Yifeng managed to grab a meal, and finally got into a taxi under the earnest persuasion of a senior, and said, "Dr. Yang, actually, I don't think you need to be so serious. If one of the supporting roles collapses, you will be fine." One broke."
Yang Yifeng is a Ph.D. student, everyone in the Great God Group knows about it, and most of them don't have this degree.Therefore, they also respected Yang Yifeng.
"If it's a fantasy or fairy tale novel, you can just design a trap or a routine, turn him into a villain, and then get knocked out by the protagonist."
"But you are writing a doctor's essay. In this genre, there are no absolutely decent villains, and the supporting roles are overwhelming. Then I really can't do anything about how to deal with it."
"However, my suggestion, brother, is two points."
"One, you misunderstood it before writing, and then through the structure of the story, you portrayed the other party as deceitful and showing off. In fact, the operation was performed by other people."
"Second, you should compare the gap between the supporting role and the protagonist in detail, compare it through daily details, and then the protagonist will gain the upper hand, and then explain it to the readers."
"A master's game, the winner depends on the details. If you look at it rashly, you will definitely not be able to tell the level. It's just a matter of this identity setting. You can also add it to him. In fact, he is a hidden doctor, professor, or hidden teacher. Class."
"Or you just write, he has restrictions. That's fine."
Yang Yifeng wondered: "But I have already written a character of such a recluse, his age is just right, and the supporting role I am struggling with is quite young!"
"If the same characters appear repeatedly, isn't that just profiling?"
The other party's expression twitched, and he thought to himself: Why do you encounter so many troubles?Do you have to be realistic?
In the end, he said honestly: "Then you go back and change the text, just write this supporting role as a bad character, and then the protagonist will come on stage, act vigorously and slap the face, and save the patient from danger."
"In the future, try to avoid such characters from appearing."
Then he sent Yang Yifeng away, shook his head, his face was full of confusion, and murmured: "A good doctor doesn't study, a good doctor is not a good doctor, and came to write novels with us, what the hell are you doing? ?"
……
Yang Yifeng sat in the taxi, regretting more and more that he should never have added the character Zhou Cheng to the novel.
It doesn't end well now.
The refreshing core of the novel is the identity gap and strength gap.My protagonist is a doctor, highly educated, and highly talented.
Zhou Cheng lives in ordinary training, and it is disgraceful to win, which does not bring any sense of gain to the protagonist.
Losing is an absolute embarrassment, but it's really hard to do.
Isn't this just a shit stirrer?
But after thinking about it this way, Yang Yifeng said a few more words, remembering Lao Guo's joke, the words "stirring the shit stick" should not be used indiscriminately.
However, although technically, he did not get a better solution, but Yang Yifeng had already found the solution.
He thought it over, he was going to fill in Zhou Cheng's character design, and then it was best to find Zhou Cheng's weak point, and then deal a heavy blow in the novel.
And now I still have an excellent opportunity, this month is the time for the film review meeting of the Orthopedic Branch of the Hunan Provincial Medical Association, and I will take Zhou Cheng to the venue for a stroll.
Whether it's a mule or a horse, don't you all know it?
Although it is also possible to forcibly reduce intelligence or add drama, this is not natural. Yang Yifeng hopes that the characters in his novels will be as realistic as possible when they are designed.
The characters portrayed should be as prominent as possible, and the relationships and conflicts between the characters should be as natural as possible.
And even the purpose of both parties in this scene, Yang Yifeng has already designed the idea, quickly cut off this 'Lu Cheng', let the plot leave this force, as for where to throw it later, it is not Yang Yifeng. It's Yifeng's business to take care of.
Yang Yifeng was quite distressed. Even Luo Yun, he found a suitable place to place it in the novel and achieved miraculous effects.
Not to mention Du Yanjun and others, how did they come to Zhou Cheng?
So much pressure?
So, Yang Yifeng made a phone call to his teacher who was spending the weekend and asked if Zhou Cheng would like to participate in the fourth quarter film reading meeting.
There are many academic conferences in each discipline, and the orthopedic film reading conference is not a big one, but it is not a small academic conference either.
After hearing Yang Yifeng's question, Ding Changle replied, "Invite, I will ask Zeng Yi from the Eighth Hospital at that time, just bring that Zhou Cheng to the venue."
"Anyone who can be invited will be invited."
Speaking of this, Ding Changle suddenly said to Yang Yifeng: "By the way, Yifeng, we have encountered a troublesome matter now, can you keep it in mind and help us find a solution."
"Master, tell me." Yang Yifeng didn't agree first, if what Ding Changle said was to let him go back to the clinic or stay in the hospital, Yang Yifeng hadn't made up his mind yet.
Ding Changle pondered for a while, then heaved a long sigh, and said: "This matter is actually not glorious. It is this Zhou Cheng, who used to apply for the postgraduate entrance examination of our hospital, entered the re-examination, and was rejected!"
Yang Yifeng pursed his lips immediately when he heard the words, and asked with a frown, "Is Zhou Cheng an academic graduate student?"
This was the only possibility that Yang Yifeng could think of, that Zhou Cheng would be dismissed.
Academic type, what you pay attention to is your mastery of academic research, it depends on whether you have articles.
"It's professional." Ding Changle sighed again.
"Yi Feng, you are a combined undergraduate, master, and doctoral student, so you may not be clear about the re-examinations for graduate students and doctors."
"Actually, the re-examination for postgraduate students is very short. It is said to be a comprehensive assessment. In fact, it is to find a morning, arrange tutors in the department, and interview them. The results will be issued on the spot."
"There is no step of clinical assessment at all."
"First look at the scores. The top two, as long as they don't perform particularly poorly, stay. Then look at the school. If the school is good, the undergraduate school is good, so stay."
"And then, well, you just need to understand. I won't talk about it." Ding Changle omitted the last point, and should say two points.
To sum it up, it's relationship.
The two points can be summed up by looking at the relationship within the hospital and the relationship outside the hospital. The children must stay, and if they fail to stay, they must stay.If the relationship with the outside world is hard, I will find a way to stay.
Yang Yifeng is detached. He can be with any supervisor he wants, there is no quota limit, and he can't be with a graduate supervisor. Graduate supervisors are not qualified to guide him, only doctoral supervisors are eligible to guide him!
"So, Master, what do you want me to do? Let Zhou Cheng take the exam for another year?" Yang Yifeng asked directly.
"It's almost the same meaning, but there is a misunderstanding in it. Zhou Cheng thought that our hospital didn't want him, so he applied for the affiliated hospital of Kyoto University this year."
"It's nothing at all. Everyone has their own ambitions. Although it's a joke, let him make a joke."
"But I still hope that Zhou Cheng can stay, stay in our Hunan Province!" This is Ding Changle's original intention.
"In fact, I have already thought about the solution. It doesn't matter if he doesn't take the initiative to do anything. It's just that he applied for other schools, which is beyond my expectation."
Yang Yifeng understood what his teacher meant, and a question he had been curious about before was solved today.
Zhou Cheng's professional ability is very strong, he didn't go to graduate school, it's not that he didn't want to, and he didn't have the opportunity to do it.
Although Yang Yifeng also finds this inconceivable, the matter has reached this point.
And if Yang Yifeng hadn't come to the Eighth Hospital, he couldn't believe that such a thing would happen.
"I know, Master, but I don't know what to do. I can only try to persuade him a little bit. But everyone has their own ambitions. What if Zhou Cheng's original intention is to study as a graduate student at the Affiliated Hospital of Kyoto University?" ?" Yang Yifeng was very frank.
Because Yang Yifeng felt that with Zhou Cheng's strength, it would not be too difficult to find a job in Kyoto and Shanghai.
As long as the academic qualifications are in place, it is definitely a sure thing.
Perhaps teaching hospitals are paying more and more attention to academic achievements, that is, articles, but if your technology is good enough, then others will not embarrass you too much. If it is really good, then someone will help you think that academic achievements are not enough problem!
All research in medicine, whether it is academic or not, must ultimately be based on clinical practice.
Thinking of this, Yang Yifeng remembered that one year, the Hexie Hospital in Kyoto had to evaluate a lot of materials submitted by the top three hospitals, so they played a temper tantrum and stopped doing it.
In the end it still came in, it doesn't matter if the materials are not complete.
There is no doubt that Hexie Hospital is the top hospital in the country. If it is not among the top three hospitals, what is the point of other hospitals being rated as top three?
This is absolute strength...
Ding Changle said, "Yifeng, what I mean is, you can let Zhou Cheng see the ability and strength of the graduate students in the Affiliated Hospital of Shonan University."
"I feel that those who are capable and talented are generally sympathetic to each other. I searched and found that you happen to be in the Eighth Hospital and still in the Zhou Cheng Group. If you think it's appropriate, you can extradite him to us. Hospital."
Ding Changle's intention was obvious, that he hoped that Yang Yifeng could beat Zhou Cheng a bit, and make him curious about the Affiliated Hospital of Shonan University.
As for Yang Yifeng, a graduate student who has received systematic training, with his current ability, it is not too difficult to make Zhou Cheng curious about their hospital, not to mention beating Zhou Cheng.
Hearing this, Yang Yifeng frowned slightly, and said in a low voice, "Master, I don't really want to be on stage to be the chief surgeon."
Usually check the room, Yang Yifeng doesn't say much!
During Zhou Cheng's ward rounds, he didn't talk much.
If he wanted to beat Zhou Cheng, what other way could he do besides performing an operation on the stage?
Moreover, Yang Yifeng felt that he wasted such a long time, and he was really not sure how to handle Zhou Cheng, otherwise, he would have known how to deal with the current vortex of the plot.
Ding Changle obviously didn't want to force Yang Yifeng either, so he said, "Then just watch for yourself, don't force yourself. That's what I'm saying."
"I don't want you all to run away." Ding Changle's last sentence was a little broken, full of reluctance to Yang Yifeng.
Yang Yifeng's heart moved, but he still resolutely said sorry to Master Ding Changle, and hung up the phone.
Everyone has their own stories, experiences and choices, and it is not easy for outsiders to interfere and intervene.He Yang Yifeng is like this, Zhou Cheng is also like this.
So if Zhou Cheng also had an idea in his heart, he would definitely not be able to hold him back.
However, this matter is not in conflict. It is not only when performing surgery on the stage that one can show one's ability and strength...
However, Yang Yifeng was a little worried, if he was too jumpy, that unreasonable black man ran out and was unreasonable with him, what should he do?
For others, Yang Yifeng felt that he might have absolute strength to crush others.
But on Zhang Zhengquan's side, Yang Yifeng really has nothing to do with him!
He is a scoundrel, he admits that he is not as good as you, but he is richer than you.
Just compete with you to make money.
What can you do?
This kind of person can't be provoked.
Moreover, in the department, there was not only Zhang Zhengquan who made him afraid, Luo Yun was also a hidden explosive barrel.
If Luo Yun was pushed into a hurry, and he wanted to find himself to compete for something, what should he do?
Yang Yifeng suddenly discovered that after he came to the Eighth Hospital, he was not as free as he had imagined.
On the contrary, they are restrained and restrained everywhere.
Even in the last week or two, he didn't have time to think about breaking the ceiling of the anesthesiology department.
Just collect material well and write his novel.
Now even writing a novel is disrupted by the appearance of Zhou Cheng.
Really, very good!
……
the other side.
Zhou Cheng and Luo Yun finished the outpatient clinic in the afternoon. Zhou Cheng's face was full of joy, because he saw that the gratitude value had broken through the 70 mark, and it would soon be close to 100.
Then he said to Luo Yun: "Mr. Luo, I won't go to eat. I'm on duty today. I'm going to the department."
The more copies are open, the more optional the simulation is.
Moreover, opening a new copy can also solidify skills and make the foundation of the initial simulation more solid.
So Zhou Cheng didn't think about eating, he was full of it, seeing one more patient was a patient's plan.
I wish I could sit in the outpatient clinic again like this.
Luo Yun left work early at this moment, and he was in a good mood. Although he couldn't get Zhou Cheng today, he also got another piece of good news.
That is, Zhou Cheng can also help him with the outpatient clinic instead, so he can touch the fish a little bit at the next outpatient clinic.
Not being able to find Zhou Cheng's weak point and give him a painful blow, although it is not fun, but it can also be very happy, because Zhou Cheng's knowledge circle is very wide, thick, and solid, which is what Luo Yun wants to see.
Zhou Cheng has such a foundation in joint surgery, which will be very helpful to him in the future when he wants to practice joint surgery in the department.
Of course, if Zhou Cheng wants to go to graduate school or further study, he can go further. This is a very good jade in the rough, but he is not a very good sculptor.It's just that it would be a very happy thing if the original embryo of this piece of rough jade can be made more perfect.
So he said to Zhou Cheng: "No rush? Anyway, I will call you if I have a patient."
"Eating is important."
Luo Yun felt that Zhou Cheng might want to touch the fracture to reset it, but for this fracture, patients in other groups should not touch it.
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Zhang Zhengquan on the side agreed with Luo Yun's point of view very much.
The sky is big and the earth is big, eating is the most important thing. Brother Zhou Cheng, we are going to eat.
If you're leaving, then Luo Yun and I are the two of you. Isn't this just for dinner?
D.
Therefore, Zhang Zhengquan really wanted to find a companion to eat food, to offset the guilt in his heart.
"Brother Zhou Cheng, let's go together. Xu Yanlin, who is on duty today, will call you if something happens. Right, Mr. Luo?" Zhang Zhengquan smiled all over his face, his teeth were white, in stark contrast to his complexion.
Both Luo Yun and Zhang Zhengquan said the same thing, but Zhou Cheng was not easy to refuse: "Mr. Luo, then you will have to spend again, I have eaten a lot."
Luo Yun immediately looked at Zhang Zhengquan and smiled casually, but that means, can you eat as much as he does?
Zhang Zhengquan lowered his head slightly in embarrassment, his blushing couldn't be seen, but he looked even darker.
……
On duty at night, Zhou Cheng didn't sleep well. He came to the emergency department three or five times in the evening, and Zhou Cheng didn't sleep well all night!
However, after five o'clock, another dislocated patient came to the emergency department, which still made Zhou Cheng sleepless.
Zhou Chengcheng was suspicious, what was going on with these patients, they didn't sleep at night, and they didn't know what they were doing.
Anyway, Zhou Cheng remembered a young girl who said that she slipped and fell at home in the middle of the night and broke her shoulder joint into a rare posterior dislocation...
Zhou Cheng didn't ask about the specific medical history, but he reckoned it was definitely not the truth.
How the hell did you slip at night without sleep?
And it's still dislocated——
Even falling off the bed is more likely to cause anterior dislocation or fracture.
After five o'clock, Zhou Cheng still went out for a run, came back sweaty, and took a shower.
By the time I changed into clean clothes and went to the office, it was only 35[-].
But at this time, Zhou Cheng intended to see the new patients in his group. Although he didn't care about the bed, he still wanted to know the general condition of the patients in the group.
As soon as I saw it, Yang Yifeng came to the department without knowing when, and then asked Du Yanjun for the account number of the medical record.
Du Yanjun was very surprised at the moment, but he still gave Yang Yifeng the account number and password of Luo Yun's medical record system!
Here, the resident physicians do not have their own individual job numbers. They all set up sub-accounts of the superior physicians to reflect what patients they have managed.
Zhou Cheng was taken aback by surprise.
Why does Yang Yifeng need a medical record account?He is a god, aloof, even more aloof than Director Yan.
Yang Yifeng didn't feel embarrassed, and when he turned around and saw Zhou Cheng staring at him, he casually said, "Brother Zhou Cheng, I'll check the case and collect some materials. Sometimes there is no one in the department, so it's inconvenient."
"Remember one account, and you can see patients in two wards at the same time. This is much more convenient."
The Department of Orthopedics of the Eighth Hospital has two districts, and all senior physicians with job numbers can see patients in both wards at the same time!
Because there was only one area of orthopedics in the past, there was no separate division of authority.
Zhou Cheng heard the words and replied: "It's okay, Brother Yifeng, you can do whatever you want."
The patient is not anyone's personal property, even Yan Haihan can't control what Yang Yifeng does, how can he control it?
However, when Zhou Cheng sat down and logged in with the account and password of the medical record system, he found a patient who was not quite right and appeared in his group.
See diagnosis: left lower extremity trauma: after debridement!
???
Is this yesterday's emergency debridement patient?Then why did Xu Yanlin send our group?Shouldn't this be charged by their group?
Then click in and see that the medical record has obviously been written.
After browsing through the medical records one by one, Zhou Cheng immediately touched his head.
Good guy, this patient, I don't know whether it's his luck or not.
Fortunately, his trauma was not serious, only five centimeters, and the bleeding was not much. Debridement and sutures had already been done in the lower-level hospital.
It's bad luck that his femur was lost with just this five centimeter incision!
It's gone, not broken.
According to the medical history, it seems that the bone was knocked and flew out, and only that part was gone, as if it was knocked and flew to the bottom of the mountain.The scene was not found, but the person was fine.
This is just like flying a femur in the air...
Even after reading all the medical histories, Zhou Cheng still didn't understand the specific mechanism of the injury, so he stood up.
Then I found that Yang Yifeng also stood up almost at the same time, then looked at Zhou Cheng, and the two walked out of the doctor's office at the same time calmly...
Chapter 143 You must find a way for me!
Zhou Cheng had been a little surprised that Yang Yifeng would come so early today, but Yang Yifeng had always been aloof and the most unrestrained in the department.
Even Director Yan didn't ask much about his affairs, and let him do his own thing in the department, Zhou Cheng naturally couldn't ask more questions at the first time.
Just happened to meet him at this moment, so he asked: "Brother Yifeng, this seems to be the first time you have come to the department so early?"
Zhou Cheng didn't have Yang Yifeng's high realm, nor his status, so he arrived early every time.Even if it is a morning run, it is still rain or shine, and I feel envious in my heart.
Yang Yifeng nodded and explained: "Well, the plot of the novel has fallen into a small bottleneck recently."
"Some time ago, I only focused on picking characters. After writing the recent plot, I feel that there is a little shortage of cases, which is not enough to support the story to continue downward, so I want to come to the department early to see if I can find suitable cases. Look for inspiration."
Yang Yifeng is embarrassed to say that he took Zhou Cheng as the prototype of the supporting role, and then made the protagonist's current combat power a bit collapsed. The main purpose now is to come for Zhou Cheng.
It's just that when looking at Zhou Cheng, Yang Yifeng suddenly felt that he seemed to be obsessed too much recently, and even laughed at himself secretly, thinking why should he care so much about Zhou Cheng?
Internet novels are nothing but literary works, and literary works can be processed and handled.
After a night of thinking, he probably found a solution, but the solution still needs to be reflected in a special case.
But it's just seeing the truth from the details, it doesn't necessarily need to be true, as long as you know what to write, and what you write can highlight that the protagonist is better than the supporting role Lu Cheng, who is based on Zhou as the prototype.
It is quite easy to write these points out with my current knowledge background.
After Zhou Cheng's incident, Yang Yifeng had a deeper experience in writing medical novels.
That is to write novels. You don't have to stick to the existing format and content. Internet novels are actually a kind of recreational literature. You can write very proficient and obscure, or you can write very straightforward.
With the development of online novels, more and more attention is paid to daily life and sense of substitution. Speaking of it, that is to say, the ability to let readers gather in the story allows him to integrate into the story.
Readers are becoming more and more disgusted with pretense and face-slapping, just like doctor's articles, there will not be too many plots of pretense and face-slapping, but it is also favored by readers.
Therefore, this shows that there is actually no fixed number in the format of how online novels will behave.
It will also be an excellent way of writing to write characters well, chat at home, chat and interact with readers.
Just keep in mind that it can make readers have a sense of expectation, and don't feel obscure during the reading process, then it is a good novel.
Yang Yifeng's comprehension is quite high, the sense of substitution.
That's what he wants to ponder.
The achievement of his current novels is not because they are derived from reality and surpass reality, but they can also be revealed in reality, allowing readers to feel the authenticity of the storyline, and then process and shape the characters.
Based on real people, it is more approachable.
Therefore, this time, Yang Yifeng didn't simply look for cases with a curious nature!
Special cases are well written and well written, which can even refresh colleagues who read books.However, if the whole article is written like this, it is nothing more than repeating the complaint, and it is completely worthless.
He felt that he might be able to dig out common cases and express them in different forms.
As long as the reader can be brought into the story in an appropriate way.
That's a good story.
However, Yang Yifeng originally had such a mentality, but the unexpected situation is that, in the process of seeing the case today, he happened to bump into a rare case——
Isn't this even more coincidental?
Fractures are common cases in orthopedics, and bone defects are not uncommon, but large bone defects are also defects in which bone segments disappear due to trauma.
As the saying goes, the bones are gone, which is not a common thing.
"Oh, that's right, did Brother Yifeng also see the patient in bed 27?" Zhou Cheng could also understand Yang Yifeng.
Yang Yifeng can definitely be called an out-and-out genius.
But no matter how talented you are, you will be limited by your experience and life experience.
For example, Zhou Cheng feels that his skills are definitely not bad now.
But compared with Luo Yun, there is still a certain gap in realm.
That's because Luo Yun's knowledge is broader than his, his understanding of medicine is deeper than his, and his education and experience are also at a higher level than his.Therefore, it is often possible to talk about the essence of some diagnosis and treatment processes.
Although these may not be the essence, but for the current Zhou Cheng, some of Luo Yun's insights and opinions have already touched something beyond medical treatment, or something above diagnosis and treatment.
This is something Zhou Cheng can't do at present, but Zhou Cheng doesn't force it either.
Zhou Cheng went on to say: "I have never seen this case before, so I am very curious, and I didn't hold back when I waited for the ward rounds, so I wanted to have a look in advance."
Zhou Cheng thought to himself that he had been a resident doctor for two years in clinical practice, and had seen all the routine orthopedic emergencies, but such open fractures and traumas were really unheard of!
Even the mechanism of how to cause such a fracture and injury was not understood.
With such a rare case, Zhou Cheng naturally wanted to see it earlier.
Yang Yifeng also nodded and said, "To be honest, I haven't seen it either."
"Bone defects are very common, but in general, most bone defects are caused by surgery or other reasons, resulting in bone defects caused by osteotomy. Is this a traumatic defect?"
"And it's so damaged?"
"I've never seen it before."
Yang Yifeng touched his head while walking side by side with Zhou Cheng.
Both discovered that the other had the same purpose, and they went together to the patient's bedside.
After entering the ward, Zhou Chengcheng found out.
The patient is a middle-aged male, about 40 years old, tall and thin.
His eyes are not deep, and even full of indescribable innocence.But what doesn't match his eyes is that he has a blue dragon tattoo on his arm, and he looks like a decent social figure.
For such a social figure, the blue dragon tattoo is not complete anymore, the color has faded in some places, and I don't know why he didn't make it up.
The person sitting next to him was a middle-aged woman, the same age as him, with an indescribable figure, to be conservative, she could be said to be fat.
After seeing Zhou Cheng and Yang Yifeng, he asked his wife to sit up while shaking him, and asked, "Doctor? You two should be my doctors, right?"
Zhou Cheng nodded, and took the initiative to reply: "Yes, we are all doctors in Director Cai Dongfan's team, and will be your doctor in charge in the future, but the doctor who mainly contacts you is Dr. Xiang Haibin. He is your bed doctor."
"If you have a problem, you can go to anyone."
In the past, the 27 beds were managed by Zhou Cheng, but now the 25-27 beds are allocated to Xiang Haibin, and the other beds are managed by Du Yanjun and Zhang Zhengquan.
Xiang Haibin doesn't work in orthopedics, so if there are too many beds in charge, I'm afraid he won't be able to take care of them and something will happen.
So let Du Yanjun and Zhang Zhengquan take more care.
"Ang." The tattooed man immediately said excitedly, "You guys are here."
"I asked for a long time yesterday, and the doctor on duty told me that my doctor is not in the department. I asked him to call you to the department, but he said it was the weekend."
"What do you mean? The doctor still has weekends? But I'm so anxious. You said that I came to the hospital to find a doctor, and the doctor is not here. What's the matter?"
"After I came in, the doctor on duty came to take a look, and no one took care of me."
"Oh, I really don't understand your hospital." He complained, with a slight social atmosphere in his tone, but the taste in his words was not offensive, much better than the yin and yang of some more decent people.
His wife is a middle-aged woman with a 'slightly' fat body, while shaking his bed.
While scolding the patient: "It's useless for you to say a few words!"
"Tell me about you, you haven't done a single useful thing throughout the day."
"You don't want to take the bus, but you insist on riding your motorcycle, and you have to drive (guo) fast. Now it's all right, you can't drive your thigh bones."
The middle-aged man with the blue dragon tattoo may also feel a little guilty, perhaps because he has lost too much bloodiness by life.
Zhou Chengcheng explained: "That's right, brother, our doctor will also come to the department on weekends. We were still in the ward yesterday morning, and we visited the outpatient clinic all day. There is a doctor on duty in the ward on guard 24 hours a day."
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"We went to the outpatient clinic yesterday and saw that it was 05:30 in the afternoon. Under such circumstances, unless a fatal emergency patient came to the department and had to be operated on immediately, otherwise, we would also have to take a rest on weekends to continue our lives."
"What are you? How did you get hurt?"
The tattooed man also said politely to Zhou Cheng: "It was hit by a motorcycle yesterday. Originally, we went to the county hospital and went to the operating room."
"But the doctors there said that all my bones were gone, that my fracture was very special, that it might not be seen in decades, and they couldn't handle it, so they sewed up my opening and sent me to another hospital. "
"I'm here for you."
I don't know if it's his big heart or what, when he said that his fracture was rare in decades, he was quite proud, and he didn't realize how serious his condition was.
I also felt that I was injured very special, as if I was very dragged.
Before Zhou Cheng and Yang Yifeng said anything, his wife scolded: "What's the use of you?"
"Really." Then he looked at Zhou Cheng: "Doctor, what should I do with my husband? His bones are gone, so how will he walk in the future?"
"Also, is he numb in pain here? So he doesn't know the pain? I think he seems to be more relaxed than the post-operative patients in the other beds."
The patient immediately said: "Yes, I really don't feel any pain except this foot is weak."
"They all say I'm not afraid of pain, and I think so too." The tattooed man was a little complacent.
Yang Yifeng's eyes rolled white.
Zhou Cheng explained: "Your fracture has a large defect in the bone, so the fracture end does not have the friction of other people's fracture ends, forming a large discontinuous defect, so there may not be much pain. , plus we've already taken analgesic treatment."
"So the feeling of pain is actually okay. It doesn't feel particularly painful."
Speaking of this, Zhou Cheng continued to ask: "You just said that you had an operation in the county hospital before? Then why don't you continue to be hospitalized with them?"
Although this patient is rare, rare cases must be difficult to deal with, and the consequences are even more unpredictable.
In addition to hard work, it is also troublesome to admit and treat rare patients, which is far less easy than common cases.
The man with the tattoo said, "That's the county hospital over there. The medical skills are poor. After seeing that my bones were gone, I didn't dare to do it anymore. I suggest that I transfer to another hospital."
"Then I was transferred to you. The doctor on duty yesterday also transferred me to the Affiliated Hospital of Shonan University and the Second Affiliated Hospital, so how could I go?"
"The last time my mother was hospitalized there, it was also an orthopedic department. It only took three or four days. After reimbursement, I still had [-] yuan. It was a waste of money. If I don't go, I believe that you can do a good job here."
"You are all top three hospitals, but the cost is too low!" the tattooed man murmured.
When it came to [-] yuan in three or four days, he made a gesture to Zhou Cheng and Zhou Cheng in a very exaggerated way.
Yang Yifeng continued to roll his eyes when he heard this.
They are all tertiary hospitals, why is there a difference in charges?Don't you have any compulsion in your heart?
But he didn't open his mouth to speak, and gradually began to set up a person for the patient in his heart.
Upon hearing this, Zhou Cheng continued: "Your current situation is very serious. Although our hospital is also a third-class hospital, there is a big gap with the Affiliated Hospital of Shonan University and the Second Hospital."
"Besides, most of our other patients' conditions are only fractures, so an internal fixation is enough to fix the bones."
"Your bone is gone, have you thought about the possible consequences? Where do you go to get this part back?"
"If you can't find it, you will never be able to walk again in the future, and you may even lose your legs!"
Zhou Cheng felt that this big brother was really too big, and he didn't know if he was really not afraid, or if he was ignorant and fearless.But Zhou Cheng had to explain the seriousness of the matter to him. If the patient and his family had always had this mentality and thought it was a minor illness, then there would definitely be problems later on.
Zhou Cheng didn't simply scare them, but his femur started from 3cm below the lesser trochanter to 4cm above the medial and lateral femoral condyles, and there was a gap of at least ten centimeters in the middle.
Maybe even twenty centimeters!
Other people's bone defects are usually only one or two centimeters.
Then do an internal fixation and bone grafting.
But he?
Even if Zhou Cheng has a perfect level of bone defect transplantation, he still finds it very troublesome.
The middle-aged man said carelessly: "Doctor, didn't your doctor come to find a solution for this fracture?"
"That's why we came to you, otherwise why would I come to you?"
"Fractures aren't too scary. I've checked online and they say it's one of the few diseases that can be fully recovered. There's nothing wrong with it."
"I don't want to go to the Affiliated Hospital of Shonan University. The doctors and nurses over there are very concerned. It's fine to ignore them. It's too expensive!"
"It's better here. Since I was admitted to the hospital, at least seven or eight waves of people have come to see it. How enthusiastic is this?"
Zhou Cheng immediately realized that Yang Yifeng was looking at him with complicated eyes.
It seems that I don't know what to ask, but when I gently touched the middle of the thigh with my hand for a simple physical examination, I felt limp.
The patient was still a little scared, and kept blowing on his thigh from a distance, for fear of being hurt by Yang Yifeng.
Seeing this scene, Zhou Cheng and Yang Yifeng called the patient's wife out, thinking that it was better for his wife to tell him about it. The two of them seemed to have some communication barriers with the patient.
After leaving the ward, the patient's wife said: "Doctor, just tell me directly. I found out yesterday that my husband's situation is very serious, but he is still like a child, and he doesn't realize the seriousness of the problem at all." !"
"He, is he really going to amputate?" The middle-aged woman straightened her slightly messy hair expressionlessly.
Also very helpless, with such a heartless husband, usually more funny than happy, but even if he doesn't remember things, he can't handle things, as if he is here to make fun of the gods in the world.
When she was in the county hospital, someone also came to her and said that his situation was difficult to deal with.When I came to the hospital yesterday, the doctor on duty talked to her a little bit and said it was difficult to deal with.
Amputation is possible.
It's just how she is willing to have her husband amputated like this, what will the family do?Do you support yourself alone?
Then she must not be able to bear it.
No matter what, men can earn more than women with the same conditions.
Zhou Chengcheng said: "His situation is very complicated!"
"I wonder if you paid attention to what I just said?"
"With such a big bone defect, the original bone is gone, and I can't use my own bone to fill it up. To put it bluntly, it will take a lot of money to fill her up!"
"And, even after it's patched up, it's impossible to perform the physical activities that normal adults can do, only normal walking and aesthetic functions. You know what I mean?"
"This is a very thankless task." Zhou Cheng vaccinated the patient's family members in advance.
Anyway, the patient's wife is considered a sensible person and can listen to others, otherwise, she really doesn't know how to communicate!
With a hippie smile, I always feel that doctors are gods, and such gods are scary.
"How much will it cost?" The middle-aged woman asked the most concerned question.
"If you want to do limb salvage surgery, and it's the kind of limb salvage surgery that can't restore function, you have to consider at least hundreds of thousands."
"This is not a small amount, and how much it will cost can only be known after a careful evaluation before the operation."
"The final specific value has to be determined according to the actual situation during the operation."
"Bone grafting materials are very expensive. For ordinary people, only a small amount of bone grafting costs more than 1 yuan!" Zhou Cheng made a metaphor while talking.
Compared with a small defect.
How expensive are artificial allograft bone graft materials?A pack of several thousand yuan, with a clearly marked price, can fill a bone defect that is not as big and deep as a spoon!
After Zhou Cheng said a huge number, he said again: "It's very rare for him to be in such a situation."
"And it's not going to end up being a great outcome."
"Hundreds of thousands?" This sentence immediately scared the middle-aged woman?
After taking a few steps back, he leaned against the wall as if he had collapsed.
With a look of horror on his face: "Then where do we have so much money?"
Seeing this, Zhou Cheng said again: "However, if you want to know how to treat it later, you can still ask our superior doctor for details during our ward rounds. There are also cheap treatments."
Zhou Cheng didn't want to talk to death, he still escaped, and he still wanted to leave a glimmer of life for others.
It's just that if the missing bone is to be filled with bone graft, it's really not something ordinary people's families can afford.
Even if the fibular bone is transported, a lot of fillings are required to build up the skeleton. In the end, this foot only has the function of beauty and walking, and has no other abilities.
If he hadn't seen that the patient himself was too optimistic, Zhou Cheng would not have said so much!
I just hope that they can make good psychological preparations, and the patient's wife will also do some psychological construction for her husband earlier.
Amputation, cheap.
It took a few thousand yuan to do it, but the consequence was that I lost a leg completely.
Even with prosthetics, it is difficult to find a job.
Limb salvage costs a lot, and the consequences are not necessarily good.
And not necessarily anyone dares to do it.
If patients and their families are unable to realize the seriousness of this, medical disputes that should not have occurred will surely follow.
But in the end, how to do all of this will depend on Cai Dongfan's final decision during the ward rounds.
I just came here to take the lead.
The middle-aged woman walked back to the ward with a heavy heart, without thanking Zhou Cheng and Yang Yifeng.
……
On the way back, Yang Yifeng suddenly asked curiously: "Brother Zhou Cheng, why didn't you directly talk to the patient about the amputation? What kind of surgery do you have in mind for such a bone defect?"
Such a large bone defect, where can you get such a bone support?
Hearing this, Zhou Cheng frowned slightly.
Secretly thought that he just wanted to find a solution just now, and entered the state of possessing the skills of bone defect transplantation, but forgot that such bone defects may not be considered by current medicine.
Yes, although there is already a certain foundation in bone defect transplantation.
However, the transplantation skills that Zhou Cheng has obtained now are not comprehensible in reality.
Yang Yifeng is a really knowledgeable person, and he is also a specialist in orthopedics.
So he might be curious about what he thinks.
But Zhou Cheng didn't know how to explain it for a while, so he said: "Actually, I just said that casually, but I can't wipe out the patient's only hope of limb salvage."
"Let Director Cai and the others figure out a solution for such a complicated problem. I don't dare to think too much about it." Zhou Cheng became very honest.
But Yang Yifeng was not as easy to fool as Du Yanjun and Zhang Zhengquan.
Still smiling, he asked: "Brother Zhou Cheng, you should have some ideas, you are not the kind of person who speaks casually."
This was a chatter left by Zhou Cheng. If the communication was good, Yang Yifeng might still be able to find Zhou Cheng's loophole.
Medical confrontation, no matter life or death.
If the master fights, the one who strikes first will be slightly disadvantaged!
Zhou Cheng turned his head and said, "Brother Yifeng, it's not that I don't want to talk about it now, but it's hard to say. It's getting late now, so let's talk in detail later, after the shift checks are over?"
Zhou Cheng didn't mean that he didn't want to reveal the skills he knew at all, but that he couldn't explain clearly.
Moreover, if he talks too much, Yang Yifeng will be a special existence at that time. If he said a few words to Cai Dongfan during the rounds, then Zhou Cheng would say something about such a patient. To be cured or not to be cured?
If there is a cure, who will perform this operation?
Do it yourself, this is a Super IV surgery, which is a serious leapfrog.
Cai Dongfan going?
Even Cai Dongfan couldn't do it. The best plan in Zhou Cheng's heart was to either suggest that the patient be transferred to another hospital, or invite someone to come over for a consultation operation.
Because such a super-level IV operation is a minefield in the Eighth Hospital.
I don't know what Dong Qiansheng, who was on duty yesterday, was thinking. He took this patient in, and instead of letting them go to his group, he assigned him to his own group.
"Okay, that's right!" Yang Yifeng also looked at the time, and it was true that the shift was almost over, so he resolutely didn't ask Zhou Cheng.
I was just thinking secretly in my heart, if I was going to be the chief surgeon, how would I choose...
However, no matter how Yang Yifeng thought, he still felt it.
For such patients, the benefits of amputation will be even greater.
With such a large and long bone defect, can that thing still be preserved?
Could it be that Zhou Chengcheng really wanted the patient to spend hundreds of thousands of dollars to have a useless leg for this operation?Just plain good looking?
If you want to look good, you have to spend a lot of time and effort to install a prosthetic limb and put on pants, isn't it different?
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After the limb salvage operation, even if his function recovered a little, would he be able to earn back the money for the limb salvage in his physical condition for the rest of his life?
……
Today's Monday is the beginning of the week, but Yan Haihan became extremely quiet again this morning, which is completely different from the shift shift at the beginning of this month.
After finishing the shift, without saying a word, I took someone to round the room.
Xu Yanlin, who was on duty yesterday, was in their team, and today is Monday, their surgery day again, so Yan Haihan sneaked off to the operating room after quickly checking the room.
Even Cai Dongfan and Hu Ming are not used to such a straightforward manner.
It seems that recently, Yan Haihan stopped doing things in the department and became honest. Is this still Yan Haihan?
However, the two didn't waste much time, and each found the person in their group.
Cai Dongfan also looked at Luo Yun with a smile, and asked on the way to the ward round, "Luo Yun, how did you see the outpatient clinic yesterday? You should be used to it, right?"
Before this month, there were only Yan Haihan's group in the department, and there were two outpatients. Hu Ming and Cai Dongfan were both working alone, so the number of patients was relatively insufficient.
Now that Luo Yun has filled the position, he can lead Hu Ming again. Although there is no shortage of patients in the department, who would not want to admit more high-quality patients that can be selected after there is no shortage of patients?
Luo Yun said, "Director Cai, it's okay."
"Although I haven't seen the outpatient clinic for a long time, it's a little rusty, but it's okay."
"Director Cai, don't worry, I only brought in two patients. It didn't take up many beds." Luo Yun was quite honest.
Before, Cai Dongfan promised that as long as Luo Yun can obtain the IV level operation authorization and open the joint surgery clinic, he will give Luo Yun three beds.Luo Yun was not so greedy, and only sent in two patients.
Cai Dongfan looked at Luo Yun in astonishment, and immediately stared at him with small eyes: "Have you already admitted patients to the hospital?"
Is this Luo Yun so resolute?
"Then who does the joint surgery?"
Cai Dongfan asked, and felt that he was asking too much. In the current Eighth Hospital, who else can do it except Luo Yun?
Then lowered his voice and asked anxiously, "You have already obtained the surgical authorization for Class IV surgery? Why didn't I know?"
Cai Dongfan stood still and led the whole group to stand still.
Then these words made everyone look at Luo Yun, with inconceivable expressions in their eyes.
Before Luo Yun, he could only perform level II surgery routinely, and only occasionally performed level III surgery. He had never been exposed to level IV surgery, let alone authorized.Because there are not many level IV surgeries that can be performed in the Eighth Hospital, Cai Dongfan does not perform a lot of level IV surgeries.
In the Eighth Hospital, the authorization of Class III and IV operations is not a process, but is granted by the medical department according to the professional title. It is impossible to get the operation authorization out of the ordinary.
If Luo Yun wanted to get a grade IV surgery, he would definitely not be able to bypass the medical department. If he didn't bypass it, the medical department would call Cai Dongfan to inquire about the situation.
But now, Cai Dongfan didn't know about it at all, so he felt very confused.
Luo Yun nodded and said calmly: "Yes, Director Cai, I copied the authorization approval form for surgery when I was a graduate student, and after my teacher called the medical department here, the leader of the medical department They didn't embarrass me, and approved me to pass the exception authorization for Class IV surgery."
Cai Dongfan immediately pulled the corner of his mouth, his face twitching.
Okay.
It turned out that your teacher Zeng Lao came forward, and there was the authorization approval form for the extraordinary surgery in the hospital where you were studying in graduate school. It was definitely the upper-level hospital of the No. [-] Hospital, and they all agreed to the approval.
If the medical department of No. [-] Hospital still makes things difficult for you, then it's really a hole in the head.
However, what Cai Dongfan still didn't understand was that Luo Yun didn't seem to have told him about this before.
Why did Luo Yun suddenly pop up again, and he had obtained the authorization for Level IV surgery before?
Also, this unintentional Versailles almost made Cai Dongfan change his name.
Both Zhou Cheng and Yang Yifeng looked at Luo Yun with astonished eyes, and thought to themselves, oh, it turns out that Luo Yun saved another hand...
Just these things, in the hearts of Du Yanjun and Zhang Zhengquan, Luo Yun's figure suddenly became taller, and his status suddenly equaled that of Cai Dongfan.
There are only a few level IV surgeries in trauma surgery, and Cai Dongfan can do only a little bit...
Without comparison, there is no harm.
Cai Dongfan then hurriedly ended the topic, squeezed his throat, turned his small eyes and said, "Well, patients with joints, you can arrange it according to the situation. Let's go to the ward round first."
End the conversation quickly before you get hurt further.
……
And because of this episode, the rhythm of Cai Dongfan's rounds of people has become a little faster——
The doctors in charge of beds 25, 26, and 27 were Xiang Haibin, not Du Yanjun and Zhang Zhengquan.
Xiang Haibin didn't come to the department long in advance, so he took a look at the diagnosis temporarily, so Xiang Haibin didn't realize how difficult the patients he was in charge of would be.
The 25th and 26th beds are all regular patients who are about to be discharged from the hospital. Cai Dongfan took people on a tour, nodded and said yes, and then passed.They are thinking about their discharge date.
Cai Dongfan quickly brought Luo Yun and the others to bed 27.
"This is a patient with a femur fracture and a bone defect. He was admitted to the emergency department yesterday and has not yet undergone surgery." Briefly reported to Haibin.
When Cai Dongfan heard that he was a new patient, he immediately asked while taking the film: "What did you do for the preoperative examination?"
Xiang Haibin lowered his head slightly: "The patient was admitted to the hospital yesterday afternoon, and he hasn't had time to see it yet."
"Perfect the pre-operative examination well. If there is no problem, arrange the operation earlier." Cai Dongfan looked at Xiang Haibin without scolding him.
However, as soon as Cai Dongfan finished speaking, Luo Yun on the side immediately touched Cai Dongfan with his hand, signaling him to speak later, and then put the flat film in front of Cai Dongfan's eyes.
When Cai Dongfan mentioned the film and saw it, Cai Dongfan's small eyes immediately widened a little with fright, and he almost had a knife-free surgery to open the corners of his own eyes!
The corners of the eyes were almost cracked.
Then he squeezed Luo Yun and walked towards the door, lowered his voice, and asked sternly.
"Fuck, who took this patient in?"
"Is it you?" Cai Dongfan almost scolded his mother directly.
Cai Dongfan thought it was Luo Yun, but at this moment he scolded Luo Yun in his heart for being a mess. Although Luo Yun was going to have joint-related surgery, Luo Yun had to choose some he was familiar with anyway. This has something to do with the fucking joints. ?
You want me to cover you for such an operation, so you are hurting me on purpose.
Luo Yun said: "Yesterday, Xu Yanlin from Director Yan's group was on duty, and it should be taken in by Deputy Director Dong Qiansheng."
"I haven't even seen this patient, otherwise I would have reported it to you, Director Cai." Luo Yun hurriedly assured.
Luo Yun's scalp is also a little numb at the moment, such a patient should be admitted to the hospital?
Isn't that asking for trouble for yourself?
How could he be so insane?
Cai Dongfan immediately scolded the street: "No wonder Yan Haihan ran so fast this morning, it turned out that he did such a bad thing! Second Austria."
"Since when did Dong Qiansheng become so black-bellied?"
Then, he walked in again and got to the bedside, ignoring Zhou Cheng and others looking at him, and said to the patient and his family: "Your situation is very serious, do you know?"
The patient nodded, but now his expression became more serious: "Director Cai, the little doctor here probably talked to me, but I still believe that you are the director. You are well-informed and can definitely think of a way."
"I hope Director Cai can rejuvenate and keep my leg. I will definitely miss you, Director." The tattooed man must have been confessed by his wife, so he is not so careless at the moment, at least he is serious .
Cai Dongfan hurriedly replied: "If you are willing to save your limbs, I suggest you transfer to the Affiliated Hospital of Shonan University. Otherwise, consider amputation!"
"This bone defect is too big!"
Cai Dongfan was very compelled, he didn't intend to touch this ghost thing, it was beyond his ability, even Cai Dongfan felt that there might not be any professors in the Affiliated Hospital of Shonan University who would dare to do it!
But at these words, the middle-aged tattooed man became anxious: "Hey, doctor, isn't my situation just a broken bone?"
"Should I be transferred to the Affiliated Hospital of Shonan University?"
"I just didn't want to run so far, so I came to you."
"Yesterday, Dr. Dong also asked me to transfer to another hospital. I didn't agree. I just believed in your hospital. Why do you insist on transferring me to the Affiliated Hospital of Shonan University?"
"And in the Affiliated Hospital of Shonan University, any operation is much more expensive than here. Last year, my mother went to have a hip replacement, which cost more than 7 yuan. After reimbursement."
"I don't dare to go there anymore." The middle-aged tattooed man shook his head fearfully.
For ordinary families, so much money is not a small sum of money, and it can be taken out by gritting their teeth.
But he can only buy motorcycles himself, how much money can he have?
Cai Dongfan took a deep breath and said formally: "Your situation is not simply about money."
"But, if such a large bone is gone, how to fill it up. This is the trouble."
"I have only seen your situation once, but the defect of that patient was only 5cm. It was in 02 and cost more than [-] yuan."
"That's more than one hundred thousand in [-]."
"You are more than 20cm!"
"If you want to save limbs, based on this ratio, it will cost hundreds of thousands. Moreover, in your case, the distance between the ends of the bones is too large. Even if you have money, no one will dare to do such limb-salvage surgery. You can understand me mean?"
If this patient has a strong desire to save his limb, he must be sent away.
The middle-aged man was startled by Cai Dongfan's words: "This?"
"Do you want so much money?" He obviously didn't think he was going to have his limb amputated, didn't he just hit it?
There are no other problems, people are fine, just the bones are broken and missing, and it will be fine if it is fixed again.
Cai Dongfan said: "This is not just a simple question of money, but a question of how to do it, how to do it, and whether it can be done."
"Anyway, I suggest that you go to the Affiliated Hospital of Shonan University or the magic capital of Kyoto. They must have more experience in dealing with such a rare disease."
Cai Dongfan also discovered that this patient was born with an optimistic spirit.Did you only hear about money?
Do you think that if you have money, you can solve such a thing?
Such a large bone defect, Cai Dongfan really couldn't get it off at all. However, such cases are often seen at academic conferences on trauma surgery, but those defects, more than ten centimeters are already the limit!
With such a long bone defect now, it is estimated that those top professors will find it interesting and challenging, right?
The patient became even more anxious: "Doctor, you have to find a way for me, where do we have so much money to visit Shanghai and Kyoto?"
"You must think of another way for me."
Chapter 144 A bunch of wolves are wiped out!
He clasped his fists, politely.There is quite a rare quack atmosphere.
Although Cai Dongfan wanted to help, but after hesitating for a moment, he could only say helplessly:
"This is really not something I can think of. You'd better discuss it with your wife and your family."
"Either, amputation! I can do it here, or, save the limb, and transfer to another hospital."
"If you don't want amputation, there is no cure here."
"Presumably when you were doing debridement at the county hospital, the doctor there also talked to you."
After Cai Dongfan finished speaking, he turned around to leave, obviously not wanting to spread the muddy water.
But the patient was not willing to let Cai Dongfan go, so he yelled loudly: "Doctor Cai, Director Cai, don't leave yet!"
"Look at me again, think of a way for me, Doctor Cai, where do I have so much money to go to Kyoto and Shanghai?"
But Cai Dongfan seemed to have taken someone away.
……
After leaving the ward, Cai Dongfan didn't even bother to take someone to make rounds.He said directly to Luo Yun, "Luo Yun, you take someone to do a house round first, and I'll make a phone call."
"MLGB."
The foul language broke out on the spot.
Luo Yun understood what Cai Dongfan meant, and took Zhou Cheng and the others away.
Cai Dongfan immediately walked to the director's office and called Dong Qiansheng at the same time.
After the call was connected, he scolded all over his face: "Dong Qiansheng, is your brain sick? Are you taking such a large bone defect into the department?"
"You can just accept it, and you still stuff it with me?"
"Are you trying to mess with me on purpose?" Cai Dongfan fired directly without saving Dong Qiansheng any face.
The person answering the phone on the opposite side was an itinerant nurse who fired when he heard Cai Dongfan coming up, his hands trembled in fright!
Then he turned off the loudspeaker, walked to Dong Qiansheng's side, and Pie Er personally took Dong Qiansheng's mobile phone to answer.
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Dong Qiansheng's face jumped at this moment, and he said helplessly: "Director Cai, I explained to the patients and their families and asked them to transfer, but they just refused to transfer."
"If you want to be hospitalized, we don't have the right to refuse the patient to be hospitalized. I also acted according to the regulations and admitted the patient."
"Then you put yourself in the group, why did you put me here?" What Dong Qiansheng said made sense, but Cai Dongfan continued to question.
Dong Qiansheng continued to explain: "Our group is full of patients, and it happens that your group has vacant beds, so I can only admit the patients first."
Cai Dongfan didn't listen to this, and said to Dong Qiansheng: "Don't tell me there is nothing wrong with it. You took this patient yourself, and you let Yan Haihan handle it by himself."
"You want me to wipe your ass? Is there no one in your group?"
Dong Qiansheng hurriedly said: "Director Cai, isn't it like this? The beds in our group and Director Hu's group are full!"
"Just yesterday, your group had vacant beds, and your group's turnover is also the fastest. This is according to the rules of the department for treating patients this month."
"Just fill up the empty bed first."
"Director Cai, this rule was set by your directors. If you mess with it again, won't it go back to the original one?" Dong Qiansheng swallowed his saliva at this moment.
In fact, he also felt that he was not kind, but the patient refused to leave, so what could he do?
It just so happened that Cai Dongfan's group had an empty bed, anyway, this was a new rule set in the department this month.
Of course he was happy to be thrown into the other groups. If there was no bed, that would be another story, and he could only consider himself unlucky.
Yan Haihan motioned for the itinerant nurse to take the phone and said, "Cai Dongfan, we made this rule together. You can't trouble Dong Qiansheng. When your team is on duty, you also assign patients to us. "
"I know this patient is very difficult to deal with. You can just send him out of the hospital or transfer him, or talk about amputation."
"Our department has the ability to do as many things as possible, let the patient choose by himself, and they can't force us to operate on him."
"And yesterday, Dong Qiansheng asked the doctor on duty not to draw blood for the patient's pre-operative examination. He just took an electrocardiogram and didn't even take a chest X-ray. He didn't plan to make arrangements for the surgery."
Yan Haihan's words are quite kind, if Dong Qiansheng really talked to the patient about something and asked him to wipe his ass, he would definitely not do it.
Cai Dongfan hung up the phone cursing, and muttered intentionally, "Damn, I'm guilty of f*cking crimes against the turnover rate of patients in a department by myself."
"I have scabies on my head, right? Throw all the mess on my head?"
Cai Dongfan's muttering immediately made Yan Haihan's face darken!
The patient turnover rate is an assessment indicator, which is actually the average hospital stay. The hospital has set standards for each department, and if the standard is exceeded, money will be deducted.
In the past, the average length of stay in the Second Department of Orthopedics was above the standard. Last month, it dropped below the average point. The performance of each person in the department increased by 2000!
It was all done by Cai Dongfan.
……
After hanging up the phone, Cai Dongfan pondered for a while. Although he was still puzzled, the patient had already moved in, so he still had to find a way to solve the problem.
Such a large bone defect cannot be dealt with by the Eighth Hospital. Looking at the whole country, there are not many hospitals that can deal with it.
Half an hour later, Cai Dongfan took the initiative to call the patient's wife to the director's office to talk.
The patient's wife said good things to Cai Dongfan as soon as she entered the door: "Director Cai, you have to find a way for us. My husband is only 43 years old this year. We are also from the countryside and don't have much money."
"Don't dare to go to those big hospitals, and we don't want to amputate, so you can think of a way if you are tired?"
"We still have two children who are in junior high school. The man in my family can't fall down." She almost knelt down to Cai Dongfan.
Maybe it's really overwhelmed.
Cai Dongfan smiled wryly at the moment, looked at the woman in front of him, looked at her sincerely, and said, "I really can't help it."
"What else can I think of? Huh?"
"Look, I gave you two suggestions, but you didn't accept them, so aren't you embarrassing me?"
"But do you have a third-party responsible person? If so, you have to let them find a way to raise money. Don't come here to embarrass us."
Cai Dongfan can't figure out the exact cost of this patient right now, if you don't think of a way to raise money to save the limb, as long as I think of a way, then what can I think of?The missing bone must always be filled.
The middle-aged woman faltered and said: "Director Cai, my confused husband just can't find who hit him."
"You are a tertiary hospital here, a big hospital, Director Cai, you must have a solution. Just save my husband!"
"Our whole family will be thinking of you well."
Cai Dongfan was very calm: "No matter how much you lift my sedan chair, it's useless. The only way I can save your limbs is to transfer to a higher-level hospital. They should have a way. Our level is limited."
"If you want to save your life, we can do amputation!"
"Anyway, I've already explained to you what I should say. Either transfer to another hospital or amputate."
"Think it over, and explain to me that we haven't done any tests yet, and you only need one or two hundred yuan to be discharged from the hospital. It's a little bit of savings."
"If you want to save your limbs! Really, you should transfer to another hospital, we don't have the ability here."
"I can't do it."
Cai Dongfan didn't dare to say anything more about how capable and arrogant he was.
The middle-aged woman was about to cry immediately, she looked at Cai Dongfan: "Director Cai, you can't be so heartless, you can still bargain when shopping outside, you must think of a way for us."
"I still have two children, the elder and the younger, you are a living Bodhisattva, you have to help us figure out a comprehensive solution, Director Cai, you can't just ignore it!"
"We can't afford to go to other hospitals."
Although she realized the seriousness of the matter, she never thought it would be so serious.
"I'm sorry!" Cai Dongfan still apologized decisively.
"If you have decided, tell me the final decision, don't waste time, you are useless, I can't help it." Cai Dongfan spread his hands, "Even if you force me to death today, I can't help it."
"I am just a human being, not a Bodhisattva or a god."
"The level of our hospital is limited to this. It's useless for you to make things difficult for us. It will only make your husband's situation worse."
As he said that, Cai Dongfan saw that the woman was about to kneel, and he stopped immediately: "Don't kneel! If you want to kneel, let's kneel together. I also said that there is nothing I can do."
With runny nose and tears, the woman said to Cai Dongfan with red eyes: "Director Cai, we don't have that much money, but I will definitely find a way to raise money. You operate on my husband first, and we will pay you back later, okay?" OK?"
"You must save my husband's leg."
He said bitterly, "Director Cai, we have no money, so what should I do? What else can I do?"
In fact, Cai Dongfan already had the answer in his mind, either to raise money to transfer to another hospital, or to have his limb amputated.
Otherwise, you can wait to die?
In such a situation, if you don't do anything to deal with it, it will be too late to deal with it later.If it is delayed any longer, another blood clot will occur, and the person will be wiped out by then, which will be even bigger.
"Calm down first, you have to find a way to make a decision, it's no use begging me!"
"This is what happens now, it has already happened, and there is no way to reverse it."
"I also want to give him the best treatment plan, but I can't do it. I can't waste your money for nothing!"
"And you have no money, and I have no money. If I don't have the money to hand in, I can't get the surgical instruments, so what do you want me to do?" Cai Dongfan could only helplessly say to her, eyes full of, you Just let me go, big sister!
At this moment, Luo Yun and the others were outside the office without saying a word.
This is Director Cai, and it is also the director's trouble. When the subordinate doctor can't find any solution, even he can't find a solution, the patients only come to him, because he is the person who leads the group.
He is the director.
The middle-aged woman left the director's office shortly after, walked back to the ward, rubbed her hair, and tore out a few strands.
Although this picture looks quite sad, but also helpless...
After finally sending the patient away, Cai Dongfan probably still couldn't bear it, so he called Yang Yifeng to the office again.
"Director Cai." Yang Yifeng was quite polite to Cai Dongfan.
"Yi Feng, your teacher, Professor Ding, has he had any experience in treating such large bone defects?" The patient felt that the medical expenses to go to the Affiliated Hospital of Shonan University were too expensive, so Cai Dongfan still wanted to ask if Ding could be treated. The professor invited the Eighth Hospital, and then tried to save them some money.
When Yang Yifeng heard this, his eyelids twitched instantly, and he hurriedly said, "Director Cai, if the bone defect is less than 15cm in the lower part of the femur, then it's better, just do a tumor-hinge knee replacement."
"But in his case, the bone defect in the upper part of the femur is not far below the greater trochanter, which is too long!"
"And all the bone is gone. Even with a hinged knee replacement, it won't help."
Yang Yifeng was also helpless.
This patient almost perfectly missed the indications for limb salvage surgery for large fractures, which is very difficult.
Although it is possible to use external fixation brackets and then use membrane grafts to crawl, but with such a long defect, is this thing easy to use?
Even for bone transport?
In fact, strictly speaking, the conditions are not the best.
Cai Dongfan sighed: "Professor Ding can't do anything? If this patient wants to save his limbs, he has to go to Shanghai or Kyoto."
As Cai Dongfan said so, he glanced at Yang Yifeng, thinking in his heart that Yang Yifeng must be speaking conservatively, but he didn't want to cause trouble for Ding Changle, and Ding Changle must have a way, but he was not sure, so Such patients will not be taken rashly.
……
However, while Cai Dongfan and Yang Yifeng were still thinking of ways to help the patient, suddenly a few people in police uniforms found Cai Dongfan's office.
The conversation between Cai Dongfan and Yang Yifeng was interrupted.
Then he knocked on the door and asked: "Hello, Director Cai, my name is Ding Meng, and I'm from the criminal police team. Are you the doctor in charge of the 27-bed patient Luo Sangen?"
Cai Dongfan hurriedly interrupted Yang Yifeng, stood up, and nodded: "Ang, I am. The patients in bed 27 belong to our group."
"May I ask who you are looking for?"
Cai Dongfan's eyelids were twitching, and he suddenly had a bad feeling in his heart.
This 27-bed bed is already enough for him to have a headache, why did he provoke the criminal police team?
Yang Yifeng stood up and stood aside, looked at Cai Dongfan and Yang Yifeng, and thought to himself, could it be that Director Cai went to the river to watch the clouds and rain transpiring, and forgot to shine his shoes?So he was caught up in the department?
There were three people who came in, and the leader took out his police badge, and after identifying himself to Cai Dongfan again, he said, "That's right, Director Cai, we are from the Criminal Police Brigade, and we received the police yesterday, saying that it was Ben There is a missing child in Lu Township in the county."
"We searched for surveillance along the road, only to find that the child finally entered a small road into Mingcun, which was not monitored. We went into the mountain to search, and then found his body at the bottom of a slope!"
"And at about the same time, we checked all the intersections into the mountain, and found that only Luo Sangen rode a motorcycle into the mountain."
Speaking of this, the scalps of Cai Dongfan and Yang Yifeng suddenly went numb.
Cai Dongfan asked in astonishment: "Did the child get hit? Didn't he survive?"
Was the other child killed?I thought in my heart, if this is the case, it would be a crime!
Ding Meng closed his eyes for a while, and after he had stabilized his emotions for about five seconds, he said, "Whether the child was hit or not, it's hard to say right now."
"But when we found the child, he already had no vital signs. According to the forensic doctor's examination of the child's body, it was preliminarily determined that he should have died of excessive blood loss and multiple fractures all over his body."
"There are many abrasions on the whole body, and there are also blunt trauma to the internal organs!"
"It is possible that the injury was caused by accidentally falling off the cliff, but it is not ruled out that there were other injuries before falling off the cliff. We are currently checking the fingerprints."
"Currently the only suspect lives in your hospital. One of our colleagues asked about it, and he categorically denied seeing the child."
"As for his current condition, he does indeed need treatment, so it's not easy for us to take him back for interrogation."
"What I want to ask is, Director Cai, is this Luo Sangen seriously ill now? How long will it take for him to be discharged from the hospital?" Ding Meng did not explicitly say that the child was hit by Luo Sangen, but he almost pointed to it. at this point.
Cai Dongfan said: "His current situation definitely needs to be dealt with, and the sooner it is dealt with, the better."
"The only troublesome thing is that the patient is now asking for limb-salvage surgery, and our hospital can't do it, but we all recommend that the patient and his family members transfer to another hospital."
"They also felt that the medical expenses in the Affiliated Hospital of Shonan University were too expensive, and they refused to transfer to another hospital, so they dragged us to find a way."
"Then if you keep procrastinating like this, it's hard to say when you can be discharged from the hospital." Cai Dongfan explained his difficulties clearly.
Hearing this, Ding Meng frowned slightly: "Is there any other faster treatment plan for his current situation? We need to interrogate him in time so that the case can be closed!"
Cai Dongfan pondered: "If it's just to save life, an amputation can be performed, and the patient can be discharged from the hospital in a few days."
"But the attitude of the patient and family members is very clear, they just refuse to agree to the amputation!"
"Officer Ding, we are only doctors, and we cannot reverse the personal wishes of patients and family members. Therefore, it is difficult for me to give you an accurate answer." Cai Dongfan did not add too much personal emotion to it.
When he said this, Cai Dongfan had already figured it out in his heart. It is estimated that this patient did it on purpose, that he wanted to stay in the No. [-] Hospital, and he only chose limb salvage instead of amputation, which could save his life faster. delay.
Although I don't know what is the use of their delaying time, but there must be this purpose.
Hearing this, Ding Meng frowned fiercely and rubbed his head.Then he glanced at Yang Yifeng, and Yang Yifeng said to Cai Dongfan very sensiblely: "Director Cai, then I'll go out first."
Yang Yifeng knew that Ding Meng probably didn't want him to hear what he said later. In fact, he really wanted to eat this melon, but after all he was not in charge.
After Yang Yifeng left, Ding Meng covered the notebook and said to Cai Dongfan, "Director Cai, when we surveyed the scene, there were almost three such scenes."
"The first is where the child's body was, the second is where the motorcycle fell, and the third is where we found the broken bone."
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"The child's body is quite far from the second scene and the third scene, and there is no particularly obvious blood stain found at the location of the body."
"Where the motorcycle fell, we found blood and bones."
"These scenes now look like nothing to do with it. If Luo Sangen had hit a child, he wouldn't have been able to move his body that far with his bones broken."
"However, after all, we still need to be more cautious in order to find out the truth of the matter."
"As for the current suspect, the current situation is such that it is difficult for us to take him back, and we will definitely not be able to interrogate him here. So I hope that Director Cai can cooperate with us and cure the patient as soon as possible."
"Or take some time to get him and his family to agree to the amputation, and then cooperate with us to investigate the case as soon as possible." Ding Meng said.
Cai Dongfan narrowed his eyes slightly, then moistened his lips, and replied to Ding Meng: "Officer Ding, it's not that we don't want to cooperate with you, but the patient's current situation, that's what it is."
"It's not the kind of emergency department that is particularly urgent. If it is the first emergency department, and the patient's family members are not present at the time, the hospital's general on-duty can make the decision to perform an amputation in an emergency to save the patient's life. "
"But the patient has been treated in the county hospital before, and now he comes here for limb salvage surgery. We have communicated with the patient and family members many times. If the attitude of the patient and family members is very firm, then we really There is no way."
The right to informed consent, whoever touches this bottom line will die.
No matter whether he is a suspect or not, or even a death row inmate, when he comes to the hospital, his other status is that of a patient, and as a patient, he has the right to informed consent.
He didn't agree, he committed suicide, and you can't operate against the wishes of patients and family members.
Otherwise, one will tell one.
Ding Meng wanted to put the pressure of persuading patients to undergo amputation on Cai Dongfan, how is that possible?
Then, Cai Dongfan asked again: "Officer Ding, the patient's vital signs are actually quite stable now, and he has undergone debridement. Under such circumstances, you can't take him back for interrogation, and then take him to another hospital." Do you want to continue treatment?"
Cai Dongfan very much hoped that Ding Meng could drag the person away for interrogation, and then transfer him wherever he should, and don't let him go. He really doesn't want to deal with this stubborn issue.
Ding Meng shook his head: "The death row prisoner still has the right to life. He is only a suspect and has not been convicted yet. He has suffered such a serious injury, and our forensic doctor has judged him. His current condition must be treated. , it is his right."
"So, before he is completely out of danger, we can't transfer him to other places. As for the treatment of the hospital, this is not something we can decide, and we are not responsible for the treatment fee."
It is also a face of embarrassment.
However, at this moment, Ding Meng's cell phone rang.
The other end of the phone just said a few words: "Luo Sangen's fingerprints were found on the child's body. The child's death is definitely inseparable from Luo Sangen!"
"Ding Meng, how is Luo Sangen's situation now? How long will it take to leave the hospital?"
Ding Meng also talked about the situation here.
The other side was silent.
Cai Dongfan also remained silent.
This enters into an endless loop --
To save limbs, he needs to be transferred to another hospital for treatment, but the patient and his family members insist that they have no money.
Amputation, the patient does not do it.
It has been dragged on like this, who knows when it will be dragged on?
After Ding Meng hung up the phone, he straightened his hat and said politely to Cai Dongfan: "Director Cai, it has been preliminarily determined that the victim's death is obviously related to Luo Sangen, and we will continue to interrogate him."
"If it's convenient, can you arrange a separate room for Luo Sangen so that we can interrogate him?"
Although it can't be taken back for interrogation, but now that it has been confirmed, it still needs to be interrogated in the hospital without affecting his life safety.
Cai Dongfan nodded: "Officer Ding, it's not difficult, I'll ask our head nurse to arrange it, and they are in charge of the beds."
……
After Ding Meng brought people to find Luo Sangen, Cai Dongfan immediately brought all the people in his group, except Xiang Haibin, into his director's office.
After everyone sat or stood, Cai Dongfan clapped his hands and said, "We're having a small meeting today. If you have any ideas, feel free to speak up."
"The main content of our meeting is still 27 beds, Luo Sangen's treatment plan. But before we talk about his treatment plan, we need to know one more thing."
So, Cai Dongfan told him the question that Ding Meng told him.
After hearing Cai Dongfan's words, Luo Yun and the others suddenly felt astonished. Even Luo Yun, Zhou Cheng and the others clenched their fists involuntarily.
Luo Yun even said bluntly: "This Luo Sangen and his wife are absolutely unwilling to transfer to our hospital and agree to amputation because they want to stay in our hospital and avoid being taken for interrogation?"
"He's not afraid of inconvenience after amputation, just to delay time!"
The others also agreed with Luo Yun's point of view, and nodded while looking at Luo Yun.
Cai Dongfan took a deep breath and said, "We are just doctors, and now Luo Sangen lives in our hospital, just as a patient."
"We shouldn't consider his other social relationships. Nor can we look at them with colored glasses."
"Let me first summarize the current difficulties. First, patients and their families have a strong willingness to save their limbs."
"Second, the patients and their families don't have much money."
"Third, patients and their families are unwilling to be transferred."
"Based on these difficulties, everyone should think about how to solve them one by one, so that patients can be discharged from the hospital early and happily. This is what we need to consider."
Cai Dongfan's little eyes are firm and his face is expressionless.
This posture, where he didn't consider the patient's social relationship, and where he didn't wear colored glasses, he clearly wanted to send the patient in earlier!
Hearing what Cai Dongfan meant, everyone became excited in an instant.
They all straightened their bodies slightly, and immediately said: "Director Cai, actually, it is not difficult to solve such things as patients and their families who have a strong willingness to save their limbs and are unwilling to be transferred to another hospital. We can use this rare The large bone defect surgery is treated as a teaching surgery, and an application form is sent to the capital or Shanghai."
"I believe that there will be interested professors coming over to perform the surgery. If Director Cai thinks it is necessary and necessary, I can ask my teacher to contact me!"
Luo Yun and Cai Dongfan have been working together for several years, so naturally he heard what Cai Dongfan meant immediately, so he was not afraid of big things, so he directly showed his trump card.
He also achieved the benevolence of a doctor——
The purpose is to meet the needs of patients, and the goal is to make patients get better and leave the hospital.
Just to get him out of the hospital sooner.
Luo Yun then frowned slightly: "It's just about the cost. It's a little more troublesome. No matter how much you save, you may get 30 to [-]."
"Director Cai, this, can you use your relationship to talk to the equipment company, and you can come forward in person and ask them to support it voluntarily, and see if you can lower the price of the material. "
However, before Luo Yun finished speaking, Zhang Zhengquan suggested: "Mr. Luo, go talk to the equipment company, why don't you ask the patients to collect donations online, maybe the medical expenses can be donated soon." Done."
"Then the operation can be performed immediately, and the time can be faster!"
Cai Dongfan turned to look at Zhang Zhengquan, and said, "That's hundreds of thousands, how can it be so easy?"
"It's good to be able to make up a little bit. The patients and their families also have to help find a way. After all, it's for their own good."
"I'll help the patient's family to make a water drop later." Zhang Zhengquan recommended himself.
I thought to myself, Teacher Cai, if you spend some money, you can send such people in, some of them are 'taken for granted'...
Ren his lady.
Hitting someone and throwing the body, it can't be said that the person is not dead, but fell to death...
After finishing speaking, Zhang Zhengquan couldn't help but said: "Mr. Cai, Mr. Luo, I think I should help the patients and their families now, let them collect more expenses, and prepare for the financial foundation as soon as possible!"
It's not too big of a deal to watch the excitement. It's not good for Zhang Zhengquan to stuff money directly into the patient's bill, but there are other ways to stuff him.
Although Cai Dongfan felt that Zhang Zhengquan's method was unreliable, Zhang Zhengquan couldn't do anything else, so he waved his hand casually and said, "Then you go."
Looking at the back of Zhang Zhengquan leaving the office in a hurry, Yang Yifeng and Du Yanjun both looked at each other. From the eyes of each other, they seemed to see a "poor" patient slowly rising.
After Zhang Zhengquan left!
Yang Yifeng, who has always been in the department without much sense of presence, said: "Director Cai, if you still feel that the risk of general anesthesia or spinal anesthesia is relatively high when you talk to patients and their families before the operation, you can say here The risk of anesthesia can be minimized as much as possible."
"Nerve block anesthesia is currently the safest method in anesthesiology."
"And if necessary, I can contact the patient to install a venous filter for free, which completely eliminates the corresponding risk of venous thrombosis! For anesthesia monitoring, I can invite Professor Qin from the Department of Anesthesiology of our hospital to personally help He oversees the monitoring of the entire anesthesia process."
"Similarly, if the patient is still worried about fat embolism, we can also perform color ultrasound monitoring during the operation to see the size of fat droplets in the heart at any time. We can prepare for emergency rescue of cardiovascular fat embolism at any time."
When Cai Dongfan, Luo Yun and the others heard this, they immediately turned to look at Yang Yifeng, their toes gripping the ground fiercely.
While stunned, he secretly smiled——
Are you really ruthless, directly cutting off the patient's escape route?
From this point of view, as soon as the money is in place, just make a phone call, no matter whether the patient needs amputation or limb salvage surgery, it can be carried out immediately?
The most feared thing about surgery is death caused by cardiovascular accidents. If you put a venous filter on it, the possibility of venous thrombosis is eliminated, and it is estimated that it is difficult for air emboli to flow back into the cardiovascular system.
Fat emboli were also monitored during the operation, and the guardian directly invited a top professor of anesthesiology, just for such a patient who obviously did not have too many contraindications to surgery?
Isn't this just sending him in with determination?
Cai Dongfan took a deep breath, and didn't ask Yang Yifeng how to arrange it, but said: "Then Yifeng will work hard to arrange it. In this way, it will be easy for me to talk to patients and their families."
"Luo Yun, do you have any other opinions?"
Luo Yun shook his head.
Now that they have done so much preparatory work, why do they need other opinions?
Cai Dongfan was about to say, let's prepare like this, when Zhou Chengcheng raised his hand suddenly and said, "Ms. Cai, I noticed this morning that the patient's account still has more than 2 yuan."
"Although this amount of money is not much, it is still far from hundreds of thousands, but I think we can save a little bit by doing the surgery in this way."
"I don't know, do I?"
"Look, if we can make a pedicled fibula, and then fix the distal and proximal ends of the femur to the tibia and ilium with external fixation brackets, and then take the iliac crest for grafting, and then add a titanium mesh structure as the outer layer. Fixed scaffold for bone graft crawling..."
"Considering these factors, we don't actually need to spend a lot of bone graft materials. After all, the patient has two fibula..."
"These are all materials that can be obtained from the patient's own body. We have kept the cost of the operation down to the limit, and it should be able to be done with tens of thousands of dollars. There is no need to wait for the money to be raised, and the operation can be opened this afternoon."
"During the operation, check whether the cost is in place, and then perform bone grafting of allograft bone according to the situation..."
What the hell!
It's a wolf!
How did you come up with such an inhuman surgical plan?
First, the patient's fibula was cut directly, and both of them were cut?
Although it is said that the fibula is not a weighing bone, if you cut two, can the patient agree?
However, although Zhou Cheng's words sound cruel, they are indeed a genius plan!
Similarly, he is very courageous, just like a mouse fucks a cat B.
Cai Dongfan and the others were silent.
In the end, Cai Dongfan only asked, "Who will do this operation?"
Zhou Cheng looked at Cai Dongfan: "Mr. Cai, you are the chief surgeon, and Mr. Luo is the first assistant. I will be the second assistant. The operation will not take long."
"Also, Mr. Cai, I think I can take care of this patient myself, so I don't need to ask Haibin to take care of it. If we talk, I think we can talk to the patient and his family together!"
……
The meeting ended instantly in a very strange atmosphere.
Everyone had their own ghosts, and they didn't ask each other what to do, just like Zhou Cheng didn't ask Yang Yifeng how to make a filter, how to get anesthesia, Yang Yifeng, Cai Dongfan and others didn't ask Zhou Cheng What the hell is going on with bone grafting?
Anyway, it was Cai Dongfan who performed the surgery.
……
While Cai Dongfan and the others were still discussing Luo Sangen's operation plan.
Zhang Zhengquan assisted Luo Sangen's family members to complete Luo Sangen's fundraising plan. Because the medical records were sufficient, the fundraising plan was approved from the background.
Then the staff quickly rushed to the hospital. After seeing Luo Sangen and his wife, they first read their medical records, and then said: "Mr. Luo, your luck is really good. The funding plan has been successfully completed."
"After collecting a certain service fee on our platform, we will directly contact the hospital and transfer it to your hospital account, which will only be used as the cost of your medical treatment."
The staff is very enthusiastic. Although there is no handling fee on their fundraising platform, there is a service fee. This fundraising is quite a lot, and it can be completed so quickly, which he did not expect, but he can exceed the task...
Hearing that the staff came to collect evidence, Luo Sangen and his wife were quite happy at first.
He has no money, really no money, just.
Got the money together so quickly?
Wouldn't the matter of being transferred to another hospital for treatment be on the way?
Luo Sangen and his wife looked at each other, and immediately asked: "Have we raised all the funds? When can we give the money directly to us?"
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This money is so easy to earn?
The staff said: "I'm sorry, Mr. Luo, our platform has always adhered to the concept that the platform raises funds for the consideration of patients, but all the funds are only used for medical treatment expenses, and will be directly connected with the hospital and will not be directly handed over to the fundraiser. of the payer."
Luo Sangen immediately became anxious: "This is money donated to us by others, why don't you give it to us? Why are you handing it over to the hospital?"
The staff said: "I'm sorry, this is the platform's regulation. All the funds raised are only used for treatment expenses. If there is any excess, it will be refunded to the kind people who donated. You can't directly submit it in cash. Give it to the patient himself!"
"This is a hard rule. If you have any other questions about this fundraising plan, you can click..."
After operating for a while, the staff said that the money will be delivered directly to his bed tomorrow.
Luo Sangen continued to ask a little bit reluctantly: "Then can I continue to raise funds? If you don't tell me about this matter, other people must not know about it?"
"Brother, or if you give me the money directly, I will give you tens of thousands. Isn't this a win-win thing?"
The corner of the staff's mouth twitched, cursing in their hearts, you are really fucking talented! !
But although the platform wants to make money, it's not about making money. This kind of thing is definitely not something he can handle.
Still shaking his head: "This is the rule."
Luo Sangen said again: "Then what should I do if I want to be transferred? If I transfer to another hospital, won't the money have to be refunded again?"
Thoughts.
The staff member explained: "If you really need to transfer to another hospital and the transfer procedures are complete, our platform will arrange for the docking between the eighth hospital and the property of the hospital you want to transfer, or our platform will connect with the property department."
"You don't have to worry about that. The money you raise is definitely earmarked, and we won't take a penny."
"What nonsense rules." Luo Sangen cursed.
……
Chapter 145 You Are a Doctor!
The staff of Shuidichou were scolded out of the ward by Luo Sangen!
He was patient and restrained the violent temper in his heart so that he didn't expose Luo Sangen's affairs, otherwise, what awaited Luo Sangen was not only financial emptiness, but also social death.
Although Shuidichou, a platform for raising funds, charges a certain service fee, it actually helps patients in essence.especially poor patients.
Therefore, he didn't do anything wrong, but he just felt extremely depressed——
After leaving the ward, he cursed a few words.
In the ward, Luo Sangen continued to discuss with his wife.
"Wife, tell me, what should we do to get the 80 yuan into our own hands? We raised the money in the first place, those bastards!" Luo Sangen muttered.
His wife scolded in a low voice: "Slow down, don't make trouble at this time."
"You forgot what my brother told you? Do you want to die or do you want money?"
Luo Sangen then obediently shut his mouth.
After he was placed in a single ward, there was no one around him, so he dared to say that, otherwise, the people around him would probably have to beat him.
Not everyone can get used to the disgusting things of consuming other people's good intentions.
The fat woman frowned tightly and said, "Husband, it's just that money is not an issue now, so what should we do next? If the doctor asks us to transfer to another hospital, we can't use the lack of money as an excuse?"
Luo Sangen said: "If you ask me, I don't know. You can call and ask my uncle."
……
everything's ready.
Cai Dongfan asked Zhou Cheng to bring the patient's wife back into the director's office.
As Zhou Cheng followed, he began to sort out the signed documents, mainly the admission interview records, preoperative discussion records, informed consent forms for surgery, informed consent forms for blood transfusions, etc.
In order to ensure efficiency, everyone in the group was present, and Cai Dongfan went off to explain the situation to the patient himself.
"Hello, you are Luo Sangen's wife!"
"The current situation of Luo Sangen is like this - the diagnosis is very clear, it is the trauma of the left lower limb - a large bone defect of the left femur, after debridement of the left thigh."
"The indications for surgery are also obvious. Amputation or left lower limb salvage must be performed as soon as possible, that is, debridement and suture of the left lower limb removal of the pedicled end of the left fibula external fixation of the left lower limb with an external fixator. Autologous bone harvesting and bone grafting drainage."
"Our team, specifically for Luo Sangen's situation, held a pre-operative discussion in the morning. I feel that your husband's current diagnosis is very clear, and there are absolute indications for surgery!"
"Therefore, surgical intervention must be performed as soon as possible, and the sooner the better, that's why we came to you to explain to you the surgical plan and surgical procedure, as well as the corresponding risks and complications."
Hearing this, the chubby middle-aged woman's eyes turned red and she said, "Director Cai, please take pity on us, we don't want amputation! We still have two children, what if amputation?"
Cai Dongfan nodded upon hearing this, and interrupted her: "I know, we're not talking about amputation, we're talking about limb salvage."
"No amputation, what we're going to do is limb salvage surgery. We have designed such a large set of surgical plans specifically for your husband's situation. You should listen to our surgical plan first."
The patient's wife panicked a little at the time and stopped crying immediately.
What her brother said just now was that if the No. [-] Hospital couldn't perform limb salvage surgery, they would try not to transfer to another hospital.Then make a fuss about the risks of surgery.
This seems to be a bit different from what my brother said.
However, the middle-aged fat woman was slightly prepared and said, "Director Cai, how much does this operation cost? We don't have that much money. I have raised for a long time and only raised [-]."
After hesitating for a long time, she said a number that Cai Dongfan and others could not accept!
I have no money, so you can't show kindness, right?
As for the 80 yuan, she has already planned with Luo Sangen to see when to take it out and keep it in her hand.
Cai Dongfan nodded, smiled calmly and said, "It's all right."
"3 is enough. Our budget is about [-] to less than [-, because our surgical plan is all from autogenous bone, and the cost of external fixation bracket is not very expensive, so you don't have to pay for it." Worry."
"Just relax, I just checked the hospitalization fee you paid, it's enough." Cai Dongfan did the details well, and blocked her words directly.
"The thing we need to care about now is how to perform this operation."
"Ah?" After Cai Dongfan said this, the middle-aged woman was dumbfounded.
As for her word ah, Cai Dongfan and the others were immediately convinced that she and her husband must have been acting all the time!
Definitely procrastinating for medical treatment.
The middle-aged fat woman continued to ask: "Then is the risk of limb salvage surgery high? I still have to discuss it with my father-in-law and mother-in-law, as well as my uncles and uncles. After all, it is a major operation. Only then can we rush over."
"Is it going to kill someone?"
The patient's wife quickly found another excuse.
Cai Dongfan immediately said: "We have considered this situation. In order to ensure the safety of life during the operation, we invited the director and professor of the Anesthesiology Department of the Affiliated Hospital of Shonan University to monitor your husband under anesthesia."
"At the same time, we also specially selected the most difficult but safest nerve block anesthesia and cutaneous nerve branch block anesthesia for your husband. The anesthetic drugs only work locally and will not affect cardiovascular function."
"At the same time, we consider that the patient may have a thrombus, and there is a fatal risk of the thrombus falling off. We also deliberately put a venous blood vessel filter to prevent the possibility of the thrombus falling off and returning to the heart and skull."
"This filter, let's talk about it first, we don't charge for it. It is a donation from the equipment company. If you want to thank you in the future, thank the equipment company."
"And then? Considering the possibility of fat embolism, we will arrange color Doppler ultrasound to monitor the diameter of fat droplets in the heart during the operation. If fat particles with a larger diameter pass through, we will be ready to perform cardiac embolectomy at any time. ."
"If there are still some risks..." Cai Dongfan really made enough preparations, and found solutions for all the risks that other patients might encounter.
The reason why these preparations are not used on all patients is that under normal circumstances, such a situation is easy to happen. If every patient is prepared, the cost to the patient will be too great.
For example, among 1 patients, if only one patient has such an accident, but you prepare for everyone, then it is a waste of resources!
Not everyone can afford the money.
Of course, some fixed unexpected situations are definitely unavoidable.Cai Dongfan talked about it.
Then he said: "The risk of surgery today is the lowest. It is not an exaggeration to say that the risk of surgery for appendicitis may be lower than that of appendicitis. I have also notified the operating room. If you agree to the operation plan, we will leave It takes half an hour to prepare for the operation, and the emergency operation can be arranged before two o'clock in the afternoon."
"If the operation goes well, you can leave the operating room before seven o'clock in the afternoon."
"Then the operation plan we prepared, the recovery after the operation is quite fast, and you can be discharged within five days at the earliest. After discharge, just follow the rehabilitation training plan we provided, exercise slowly, and then review regularly, the limb salvage plan, or I can look forward to it!" Cai Dongfan thought out all the situations very skillfully.
When the middle-aged woman heard what Cai Dongfan said, she immediately became at a loss.
On her chubby face, the eyeballs kept rolling, hesitating: "But? But? My husband."
Cai Dongfan saw that she was still hesitating, so he put down his pen and said in a flat tone: "We have considered all the circumstances, why do you have any hesitation?"
"The surgical risk your husband is facing now is the risk that all small-trauma operations will face. If this small risk is unacceptable? Then I suggest you leave the hospital directly. There is no way to perform surgical treatment anywhere."
Speaking of this, Cai Dongfan immediately became serious: "The faster the operation is performed, the better the postoperative functional recovery will be. Every second of delay is a delay in the postoperative functional recovery!"
"This is a waste of your own time!"
When the middle-aged fat woman heard the words, she couldn't find any other excuses in her heart.
Then his expression suddenly changed and he looked at Cai Dongfan, and asked back, "Director Cai, didn't you say before that there is nothing you can do?"
"Why is there another way now?" When she asked, her eyeballs were still rolling.
"You deliberately forced us to have surgery, is it to make money? Are you deliberately wanting my husband to die on the operating table?"
"I'm going to be transferred to another hospital. I doubt your operation plan."
After saying this, the fat middle-aged woman immediately raised her voice and said, "You can't do this kind of surgery. The risk of your surgery is too high. I don't want to accept it! I don't accept the surgery. I want to be transferred!"
"I don't agree, you can't do this operation."
After hearing what the fat woman said, Cai Dongfan immediately said, "Okay, that's fine."
"Transfer is your right, so which hospital do you want to transfer to? The three affiliated hospitals of Shonan University, as well as other third-level hospitals in Shashi, we have already done a good job of matching."
"Just tell me, I will open the hospital transfer procedure right away, and the opposite hospital will receive the doctor as soon as possible, and will provide a complete surgical plan for your husband." Cai Dongfan immediately took out the transfer application form, Just wait for the middle-aged fat woman to speak.
He was really well prepared.
Seeing that the fat middle-aged woman was still hesitating, Cai Dongfan continued: "If you strongly urge your husband to transfer to Shanghai and Kyoto, we can also help you get in touch."
"It's just that the distance is too far. We can't guarantee whether there will be other life-threatening accidents on the way. However, we can send a doctor to any hospital in Shashi!"
The middle-aged woman's face immediately changed drastically, as if she had already realized that Cai Dongfan had seen her and her husband's intentions.
Pointing at Cai Dongfan's nose, he cursed: "Director Cai, what do you mean?"
"Are you going to force us to have an operation? Why are you doing it? What good will it do you?"
Cai Dongfan remained expressionless, and replied: "I am not forcing you to undergo surgery, but just for your consideration, so I have prepared the most comprehensive arrangements and plans for you to avoid all possible risks to the greatest extent."
"I'm doing it for you and your husband!"
"Earlier surgery, earlier recovery, earlier discharge, don't you? Don't you want your husband to be discharged earlier?" Cai Dongfan's face changed slightly when he said this.
The middle-aged fat woman immediately stood up and pointed at Cai Dongfan: "You!"
Then he looked at Luo Yun and the others, pointing to them one by one.
"You, you, you, you."
"You, you!"
"Are you doctors? Are you still doctors who save people?"
"Are you just trying to force my husband to die? Why are you doing this?! Why are you doing this? What good does it do you?"
Cai Dongfan said calmly: "Ma'am, please calm down, your words are too extreme, we dare not take them seriously."
"I just want to save your husband and keep your husband's leg, and I don't have any other ideas."
"If we want to kill him, it's better not to think of any way. Instead of preparing so many surgical plans. If you really think about your husband, you'd better decide quickly whether you want to have an operation or not?"
"We're ready for everything."
The middle-aged woman naturally did not listen to Cai Dongfan's explanation: "You are all bad guys, you are not good guys."
After cursing, she pointed at Cai Dongfan's nose and cursed again:
"However I begged you before, you said it was impossible, it couldn't be cured, but now everything can be done?"
"You are wolf-hearted! You kill without blinking an eye, what qualifications do you have to be a doctor?"
"I don't agree with your operation. I don't agree with you operating on my husband. Your hearts are black, and you just want to kill him."
"Why are you killing people?"
"Where did we offend you?"
"You eat people without spitting out their bones, you are killing people."
Cai Dongfan's face darkened. Although he felt it was ironic, he could only bite the bullet and continue: "You can disagree with our operation, you can choose not to be treated in our hospital, or you can agree to transfer! This is your freedom. But you have to tell your choices."
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"Where are you going to transfer to? We will arrange a match for you."
The corners of the fat woman's mouth trembled: "Are you docking? I'm afraid you have discussed it? Wherever I go is a result, right?"
"Heh, is this your doctor?"
"What qualifications do you have to be a doctor? Have you ever thought that you can save people? Are you not afraid of having nightmares? You will definitely be haunted by ghosts and suffer retribution."
"I refuse the operation. I don't agree with you operating on my husband. I don't agree. No one can perform the operation."
As soon as the fat woman spoke, Ding Meng and others came out from the director's office and said, "Are you sure you want to refuse treatment? If your family members are sure to refuse further treatment! Then, we will directly send Luo Sangen Brought back for interrogation."
"It just so happens that we have also found the key evidence."
Then the fat middle-aged woman looked at Ding Meng: "He doesn't deserve to be a doctor at all! I don't agree with the operation, he is not a doctor, and he doesn't think about my husband's life at all."
"You have to arrest him too, he has no medical ethics, no heart, just a wolf-hearted thing."
"I want to change doctors, change hospitals! I want to change hospitals again."
"You are murderers, you are not doctors, you want to kill!"
"Come on, come and see, the doctor killed someone." She started to shout loudly, still struggling.
but?
At this time, how could she choose?
Ding Meng directly arrested her and was involved in the murder case. Failure to report or deliberately conceal the asylum can be treated as the same crime.
Take her back to the bureau for interrogation, as long as Luo Sangen can be convicted.
Even if Luo Sangen started the treatment slowly, it would not delay anything.
As Luo Sangen's wife, the fat woman is his immediate family member, so she has the right to decide what surgery Luo Sangen should perform, and Luo Sangen also authorized her.But after she was taken away, Luo Sangen's operation could only be decided by Luo Sangen himself.
Of course, Luo Sangen can also authorize other people.
Such as his parents, his brother or someone he designates.
In the afternoon, Ding Meng got in touch with Luo Sangen's parents and uncle, because his child was underage and unable to act!Luo Sangen's parents and brothers could only be the witnesses.
Luo Sangen himself is unwilling to undergo surgery. After the operation, he has to go in immediately, and may even have to be beheaded.
So Luo Sangen didn't authorize anyone at all. In the ward, he insisted that he just didn't agree to the operation, life or death.
He needs treatment, he is injured, he needs treatment, and no one can catch him.
However, surgery does not work.
He thought that as long as he did not agree to the operation, it would be fine.
Cai Dongfan immediately took out another consent form refusing treatment.
The left hand is the informed consent form for surgery, and the right hand is the consent form to refuse treatment.
Whether to agree to the operation or to refuse the treatment, there is always a choice!
Patients have the right to informed consent, which is a right given to them by law.
Luo Sangen still refused to choose!
Roaring: "I don't choose, I don't refuse treatment!"
"But I refuse surgery, I don't do surgery! I'm afraid of death, I'm afraid of being killed by your surgery, I want to live."
"They want me to die, I won't do it."
"I don't want to die!" Luo Sangen said to his parents and brother-in-law.
Luo Sangen's parents were old and did not speak, but his second brother, Luo Ergen, frowned involuntarily and said to Cai Dongfan: "Well, doctor, look, my brother's condition is very unstable now. , how about, let's talk about the treatment slowly later?"
In such a situation, it is difficult to deal with. The patient does not refuse treatment, but refuses the doctor's treatment suggestion!
He refused to sign the contract to have the operation. After making all the preparations, he still refused to have the operation.
He also refused to be transferred, just wanted to delay.
Although it is an obvious fact, even Ding Meng and others are on the sidelines!
But this is not enough, you need to go through other procedures.
Cai Dongfan called the chief on duty and asked the hospital to bring someone over in person to be a third-party witness.
In this way, with the police and the hospital's chief on duty as witnesses, Luo Sangen couldn't help but refuse to play tricks!
The people from the hospital came soon.
Cai Dongfan took a dull deep breath, and said to Luo Sangen: "I've already explained the situation to you. Here, as far as you are concerned, there are your parents, brothers, and this is your brother-in-law, right?"
My brother-in-law is a well-dressed man, wearing a shirt and a suit, and he hasn't spoken since he arrived!
He only nodded when he heard Cai Dongfan's question at this moment, and still didn't speak, as if everything here had nothing to do with him.
Cai Dongfan continued: "Then on my side, Officer Ding from the police station, and our hospital's chief on duty, Director Li, are also at the scene. These people can all be witnesses."
"Luo Sangen, your current mental state is also normal."
"Let me tell you clearly again that your current situation is very bad, and it is an absolute indication for surgery, and the sooner you have surgery, the better."
"Otherwise, you will face at least the following two risks. With a condition like yours, surgical intervention is necessary to have a chance of limb salvage."
"First, life is in danger."
"Second, the risk of developing physical disability later in life."
"Therefore, based on your condition, we now have two suggestions for you based on the analysis of the results of the preoperative examination in our hospital. First, transfer to another hospital for further treatment."
"Second, agree to the operation and perform limb salvage treatment in our hospital."
"Have you rejected both of the above two suggestions, and have you understood all the consequences, and are willing to bear all the consequences of refusing and delaying treatment?" Cai Dongfan looked at Luo Sangen with his eyes, his expression was as usual, neither happy nor angry!
In the ward, Cai Dongfan was the only doctor in the second orthopedic ward.
When Luo Sangen heard the words, he immediately began to 'play dead', neither saying he knew nor not knowing.
To live and die is to stay in the hospital without surgery or any treatment, just to maintain the current disabled state!
Anyway, he is not going to the hospital, and he does not refuse treatment, just to ask for treatment.
But if you want to give me treatment advice, I don't want to, I just want to rely on it like this.
In such a situation, Cai Dongfan could not handle it!
Of course, just because Cai Dongfan can't handle it doesn't mean that no one can handle it.
Cai Dongfan immediately took two steps back, and said to the hospital's chief on duty: "Director Lin, you have also seen that the patient did not cooperate at all, and turned a blind eye to our doctor's words, and did not reply."
"Under such circumstances, we doctors have nothing to do. If the patient's condition changes, or even the possibility of death, there is nothing we can do. The patient himself refuses our doctor to intervene in his condition as a medical staff!"
But Cai Dongfan's words seemed to have irritated Luo Sangen's parents, and he turned to Cai Dongfan and said, "Why do you speak so irresponsibly, a doctor?"
"My son is hospitalized with you, and your doctor will treat him well. How can you say that there is nothing you can do if you die?"
"Is this what your doctor should say?"
"Are you a doctor?"
Cai Dongfan immediately turned his head and questioned: "Then if he doesn't cooperate with the treatment, if he doesn't agree to be transferred to another hospital, his life may be in danger if he doesn't have the operation."
"Then what can I do? If he doesn't agree to the operation, can I force him into the operating room for the operation?"
"We are all adults, and adults should be responsible for their actions and choices."
"I've said everything I need to say. Patients and their families have the right to choose a treatment plan. This is the right given to them by law."
"Even, everyone has the right to choose whether they want to live or not! Outsiders still can't interfere." Cai Dongfan's words were even more ugly.
After hearing this, the brother-in-law's expression brightened immediately, and finally he put his hand in his trouser pocket, and then took out a recording pen from his trouser pocket.After pressing the save button.
He smiled and said to Cai Dongfan: "Director Cai, what you said just now is very reasonable and wonderful."
"Yes, we are all adults, and adults should be responsible for their own actions and choices. Your theory just now is very useful. If there is any accident with my brother-in-law, I have every reason to suspect that it is you harmed it."
After finishing speaking, he stretched out his hand and looked at Cai Dongfan with a smile: "Director Cai, it's a pleasure to meet you. My name is Min Shi. I'm Luo Sangen's uncle."
Seeing this, Cai Dongfan's face immediately changed: "Did you record everything you said just now?"
"Yes." Min Shi didn't hold back, and continued, "It's mainly because Director Cai and you are too aggressive that I was forced to make such a bad move."
"However, Director Cai, please rest assured that I will not use these recordings to do anything illegal, but in case of any accident, it will be used as a backup testimony in our medical malpractice case."
"If there is no misunderstanding, I promise to delete this recording on the day my brother-in-law is discharged from the hospital."
It's just that Min Shi hasn't finished speaking yet.
Lin Yousen, who was next to Cai Dongfan, spoke.
Said to Cai Dongfan: "Okay, Director Cai, I have almost learned about the situation in your department. I will make a good record."
"I don't quite understand your specific surgical methods. The general meaning now is that if the patient does not receive surgical treatment, his life may be in danger, and surgical treatment is the only useful form of treatment to avoid residual disability."
"However, patients do not agree to the effective treatment methods carried out by your department, but they do not refuse to continue treatment."
"The situation should be like this, right?" The major on duty is not medical, but management, so he doesn't understand, but he summed it up quite brilliantly.
Min Jian looked at Lin Yousen, his expression slightly moved.
The hospital also has hospital legal affairs. Among them, the general duty can play a great role. As far as Min Shi learned as a lawyer, the general duty can represent the hospital. Doctors in temporary hospitals have the right to rescue and emergency operations.
Rather than violating the patient's right to informed consent, emergency avoidance can be carried out at the hospital level.
In the past, Min Shi was not mainly in charge of medical dispute cases. Although he made up for it today, there must be many omissions.
Hearing what Lin Yousen said at this moment, he immediately had a bad feeling in his heart.
But in order to delay more time for his brother-in-law, he still interrupted: "Doctor Cai, you should know that my brother-in-law is now indicated for treatment. Your hospital is duty-bound to do this!"
As long as they are admitted to the hospital and there are indications for treatment, the hospital has no way to discharge the patient, otherwise it is illegal.
And as long as Luo Sangen is out of the hospital and there are indications for treatment, even the police station can't take Luo Sangen away, and Luo Sangen still has a long period of relaxation. Find out some details.
At this time, what he needs Luo Sangen to do is to say less and make less mistakes.
Cai Dongfan's face turned dark at that moment.
"Yes, Director Lin." Cai Dongfan didn't reply to Min Shi's words, but returned to Lin Yousen.
He still looked at the patient's parents again, and said: "Baby girl, at present, if he is operated on in time, he can still save his life and legs. There will be."
"Time waits for no one. We are not forcing him, but saving him."
"The only thing our doctors can do is to make suggestions. How to choose specifically, and whether you believe the advice given by our doctors is a matter for your family members. We can't force you to receive treatment, and we won't force you to make a choice either!"
"But if I were you, I would choose to continue the treatment. At least there is still a chance to fight. I always procrastinate like this. If people are really dragged out, there will be nothing in the end. Even if you No one in this world can be brought back to life if any responsibility is held against me."
"However, if an accident really happened, the one who killed him, besides the accident, his own hesitation, and your hesitation now, are all accomplices." After Cai Dongfan said this, he stopped talking. .
Lin Yousen didn't say much, he could only secretly record all this.
In the end, Luo Sangen's parents did not sign the informed consent form, and Luo Sangen's brother-in-law still kept his so-called recording.
However, it wasn't long before Cai Dongfan returned to the director's office.
Luo Sangen's parents and her wife rushed back to the hospital, came to the doctor's office at the same time, and asked Cai Dongfan loudly: "Director Cai, we agree to the operation, and we want the operation."
"My husband is fine, my husband is fine, we need to operate immediately."
"Hurry up and arrange surgery for my husband?"
Cai Dongfan and others petrified on the spot.
This?
Why is Luo Sangen's wife, Min Zhu, back?And as soon as she came back, she agreed to the operation directly?
However, since the patient and family members have already chosen the operation, Cai Dongfan and others can only follow the opinions of the patient and family members.
Then, when Ding Meng and others called, they found out that there was another reason for the child's death. The suspect has been arrested, so Luo Sangen has been released from the suspicion.
This made Cai Dongfan and the others quite uncomfortable.
……
But what else can be done?
The only thing we can do is to start the operation. Everything will be carried out step by step. Afterwards, the surgeons such as Cai Dongfan and Luo Yun will start preparations, and the operating room will also be in full swing to take the patients into the operating room.
Of course, if you promised before, you still have to bite the bullet and do it.
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It can't be said that because Luo Sangen is a suspect, so many arrangements were made because Luo Sangen was going to be sent in. Now that he is innocent, he doesn't want to pay so much.
Although you can think so in your heart, you can't do it.
……
After Luo Sangen was sent to the operating room, outside the operating room, Luo Sangen's wife called her children, and the family prayed for Luo Sangen at the door together.
After about half an hour, Min Shi thought more and more about it, and asked his sister Min Zhu, "Min Zhu, how did you know? Luo Sangen cleared the suspicion?"
"I saw the real murderer. He pleaded guilty. He was arrested, and the director personally ordered me to be released and sent me back to the hospital." Min Zhu said.
"Brother, you don't know, I, Luo Sangen, are very confused. Sometimes he loses his mind when he is so frightened. Maybe he doesn't know what's going on, so he just thinks he killed someone."
"Anyone who pours dirty water on him will be sure to do so." Min Zhu replied with a smile, his chubby face was full of joy and happiness.
My husband is no longer a murderer, and the treatment doesn't cost so much money, and the 80 has been credited to the account, so it's natural to hurry up for treatment!
Today is really a happy day.
Luo Sangen's son and daughter held Min Zhu's hand very tightly, as if they were praying for their father...
But hearing Min Zhu's words, Min Shi's expression changed slightly, and suspicion flashed across his face.I always feel that there is something strange in it.
However, when Min Shi came to his senses, the doctors and ambulances in the prison had already arrived at the parking lot under the operating room of No. [-] Hospital, and were ready to take their positions—
……
At the same time, not long after Ding Meng left the hospital!
In the operating room, Cai Dongfan was still a little listless, looking a bit like a smoked bamboo shoot, not too interested.
However, when Cai Dongfan received a call from Bu Chaodong, Luo Yun suddenly remembered, and said to Cai Dongfan: "Director Cai, Director Cai! I remembered that one of Director Bu's nephews was injured a while ago, and it was Xiao Zhou. The patient who did the limb salvage surgery, but he is under the care of Director Li."
"Director Bu, as his only family member, probably didn't go back at all, but he stayed in our second orthopedic department as a family member."
"Ding Meng and the others went back, but Director Bu is still guarding here. In fact, there is no such thing as the so-called director seeing the patient's wife."
Cai Dongfan just connected the phone, and a voice came from inside: "Director Cai, I'm Bu Chaodong. Maybe you don't know me, but I still want to tell you two very important things."
"First thing, I want to thank you, thank you doctors in your group, for saving our nephew."
"The second thing is, I beg you, do your best to complete Luo Sangen's operation, and then immediately transfer him to the prison hospital for follow-up treatment. Such a notorious murderer must not be allowed to go unpunished."
"As long as it is out of the life-threatening period, as long as it can meet the requirements of limb salvage, in the follow-up treatment process, its transfer must be controlled and it must be punished by law!"
Bu Chaodong said swearingly.
When Cai Dongfan heard this, he immediately replied with a smile, without finishing his words: "Okay, I will try my best."
Although he didn't know what kind of tricks Bu Chaodong and the others were playing, it was not something he was willing to take care of.
However, Cai Dongfan regained his energy immediately, and after passing the news to Luo Yun and others, Yang Yifeng became more energetic during the anesthesia, and began to concentrate on it. After this set of procedures, it can be seen that he was invited from the Affiliated Hospital of Shonan University Director of the anesthesiology department, Professor Qin Dingmoqin.
They couldn't help but licked their tongues and asked Zeng Yi: "Director Zeng, where did the anesthesiologist in your department graduate? How did you pick up this treasure?"
Qin Dingmo's words made Zeng Yi amused, and Zeng Yi said, "He's from Professor Qin's hospital, doctor."
Qin Dingmo's face froze immediately, full of disbelief.
Only then did Cai Dongfan say: "Professor Qin, Director Zeng was joking with you. This is Yang Yifeng, a student of Professor Ding Changle of the Department of Orthopedics in your hospital!"
After Cai Dongfan finished speaking, Qin Dingmo was taken aback: "Fuck, are you that lunatic?"
"Good guy, so you are hiding here. I said why Professor Liu from the neurosurgery department searched all over the hospital but couldn't find you."
"Tsk tsk tsk. Awesome." Qin Dingmo immediately gave a thumbs up when he heard Yang Yifeng's reputation.
When Zeng Yi heard this, his face immediately turned aside, and even Cai Dongfan and the others took a break from cooking and looked over.
"Professor Qin, who is this Yi Feng and Professor Liu from Neurosurgery?" Zeng Yi continued to ask.
Yang Yifeng was still under anesthesia with a calm expression.
Qin Dingmo scratched his head when he heard the words, hesitating and hesitating: "This, this..."
Yang Yifeng turned his head at this moment, with his usual expression, and said in a flat tone: "Professor Qin, my anesthesia is ready, why don't you come over and confirm the depth of anesthesia to see if it's suitable?"
Only then did Qin Dingmo take the opportunity to get rid of Zeng Yi's gossip.
Then the others turned their heads to look at Yang Yifeng, they were all curious about what Yang Yifeng did to provoke such a big enmity that a professor shouted at him...
Then Yang Yifeng said to everyone calmly: "Actually, it's nothing, it's just that Professor Liu's daughter misunderstood me."
Everyone rolled their eyes slightly at that time.
You are enough to destroy the wolf!
The daughter of your hospital professor is scumbag!
Awesome!
Secretly gave Yang Yifeng a thumbs up.
Yang Yifeng noticed the changes in the expressions of everyone else, and added another sentence lightly: "Professor Qin, there is a beautiful woman named Ai He in your anesthesiology department, who also added my WeChat recently."
Qin Dingmo staggered when he heard the words, and his face suddenly became his original color - ink black.
Turning around, he glanced at Yang Yifeng with complicated eyes, and thought to himself, it was rumored that Yang Yifeng must report every penny, and he really deserved his reputation, he has the name of "lunatic", why should I provoke him! ?
Iho was his student, a doctoral student.
Anesthesiology majors with good postgraduate ability can stay in the top three, and there are not many who really study for a doctorate.
just in case?
Forget it, children have their own blessings, and love freely...
Then continue to determine the depth of anesthesia——
Then Qin Dingmo discovered that the patient's sensory function and motor function were separated!
I am O!
……
1Chapter 16 Morality is not good, but justice is fine!
Dissociative motor and sensory disorder, originally a neurological disorder in which there is a loss of movement or impairment of motor function, either as a loss of movement or as a loss of sensation!
But later in the anesthesia process in the anesthesia field, according to this feature, it can be used to judge whether an anesthesia is good or not.
It is also a reflection of the professional level of a top anesthesiologist.
If I only want your motor function to be lost, then you just can't move, you can feel pain, itching and touch!
If I only want your sense of loss, then I just block your pain.
If your operation site is below the knee joint, then I will only get rid of your pain below the knee joint, but if it exceeds the knee joint, I will lose.
There is quite a feeling that the king of Hades wants you to die on the third watch, and dare not keep anyone until the fifth watch.
What is the anesthesia for this patient?
Well, he still has a certain degree of pain in his calf, and he can still move his toes!
But the pain in the thigh has disappeared——
The specific principle is quite complicated, but, as a top professor, Qin Dingmo still roughly knows the basic principle of Yang Yifeng's completion.
As far as the innervation of the lower extremity is concerned, before the lumbosacral nerves such as the left femoral nerve and the femoral nerve are synthesized, the distribution area of sensation and movement has been determined——
L1: The groin (including the uppermost part of the thigh).
L2: Front of upper thigh.
L3: Front of lower thigh.
L4: Anteromedial aspect of the lower leg.
L5: Medial half of the foot.
S1: Lateral half of the foot.
S2: Outside the back of the calf.
S3: Behind the thigh.
The above is the positioning.Dominant positioning means only controlling the target area, which is anatomically determined.
Then, when the nerve root comes out, it can be divided into anterior and posterior roots, and the dominance functions of the anterior and posterior roots are different, generally speaking!
The front root belongs to movement, and the back root belongs to sensation!
So, Yang Yifeng, the wolf extinguisher, directly messed up the back roots of L1/L2/L3, but left the other positions untouched.
Moreover, in order to consider that the sensory control of L1/L2/L3 is not enough to block all the sensations in the thighs, he also precisely blocked the cutaneous nerve!
Is this what people do?
Although it can be done in theory, it is a theory. Usually, the intraspinal anesthesia is performed from the L4/L5 gap. At most, one side of the thigh is numb, and the function of the other side is still preserved. He is already a very good anesthesiologist.
And how to determine whether movement and feeling are separated, the best way to confirm it is.
Good anesthesia can be hard, bad anesthesia can be soft! (If you have experienced back anesthesia, you must know the feeling, there is no more below~——~)
Such precise anesthesia?
Qin Dingmo's expression was complicated!
I am sub-Austrian, such a wolf-killing anesthesia?
To actually plan to give such a villain an operation - it's simply God's eyes!
How good would it be if other critically ill patients could have such good nerve block anesthesia?
Some patients, with various complications, are unable to undergo surgery because they cannot go through anesthesia.
As the director of the anesthesiology department, Zeng Yi naturally noticed Qin Dingmo's examination at this moment, his pupils shrank instantly, his eyes stared straight, and he was still thinking about going back one by one, Yang Yifeng finally killed those nerves and sensory nerves Now, which ones haven't been killed yet!
"Is it possible?" Cai Dongfan asked Qin Dingmo.
The corner of Qin Dingmo's mouth twitched, blocked by the mask, and nodded: "It's ok, Director Cai, you can perform the operation now."
Only then did Yang Yifeng say, "Then I'll wash my hands first! Director Cai, I'll insert the venous filter. It won't affect your surgical field. We can do it at the same time."
"But please help me disinfect my right groin."
Naturally, Cai Dongfan, Luo Yun and the others had already washed their hands, put on their clothes, etc., and fully prepared for the surgery.
"Okay, go wash your hands." Cai Dongfan immediately nodded in agreement.
Zhang Zhengquan and Du Yanjun are doing the disinfection.
After Yang Yifeng left the operating room, Cai Dongfan and Luo Yunzhou personally made three people to determine whether the preoperative surgical instruments were ready!
……
Soon, Yang Yifeng walked in again. At this moment, both Zhang Zhengquan and Du Yanjun had just finished disinfection and were spreading towels.
After Yang Yifeng took the initiative to put on his clothes, he took a deep breath to calm down the fluctuations in his heart.
He secretly said to himself, this master is the psychopath of 'drunk driving'——
I just want to send him where he should go.
After thinking this way, Yang Yifeng opened his eyes as if breaking through some obstacles.
Then he spread the drape on his own, because he was going to implant the venous filter from the femoral vein to the inferior vena cava, so Yang Yifeng chose the right femoral vein.
For the implantation of venous filters, the commonly used routes include the right femoral vein, the left femoral vein, and the right jugular vein.
Among them, the right femoral vein is the preferred route.Because the right femoral vein is straighter than the left, and has less anatomical variation.Therefore, choosing the right femoral vein approach will reduce unnecessary troubles in the operation.
After simply spreading the drape, Yang Yifeng took out the graduated puncture needle in the puncture bag.
Immediately afterwards, the itinerant nurse pushed the color Doppler ultrasound over.
The puncture of the femoral vein, under normal circumstances, uses the relatively safe Seidinger puncture under the guidance of color Doppler ultrasound!
However, before the itinerant nurse came to Yang Yifeng's side, Yang Yifeng's hand was already directly pierced with the puncture needle.
Blind wear!
Cai Dongfan, Luo Yun and others were finishing preoperative preparations on the left lower limbs, so they didn't see them, but Qin Dingmo and the others who saw Yang Yifeng's movements were holding their toes on the ground, and they were holding their breath, as if their hearts were racing. Jumped to the throat!
-
Brother, what you did was femoral venipuncture?
Not the chest cavity, and not the venules!
Next to it is the femoral artery and the femoral nerve!
Qin Dingmo didn't even know how to describe Yang Yifeng's behavior at the moment.
However, Yang Yifeng didn't feel anything, chose a suitable angle, and pushed the puncture needle into the back.A 14F arterial sheath catheter was placed.
Although the puncture is a vein, the arteriovenous catheter is universal, and Yang Yifeng has long considered putting the filter into the inferior vena cava, the inferior vena cava is the common path for the venous return of both lower extremities!
So I chose the filter model in the inferior vena cava, which is 14F!
Once the catheter is in, it's time to place the guide wire!
In the process of placing the guide wire, Yang Yifeng did not start blindly, but pushed the color Doppler ultrasound instrument to his side, and then used the probe to accurately detect the shape of the vein and the guide wire tip, and then began to gradually insert the guide wire. Follow the direction of the vein back to the heart, first enter the iliac vein, and then return to the inferior vena cava.
After roughly seeing the distal end of the guide wire pass through the renal vein, Yang Yifeng stopped entering.
Under color Doppler ultrasound, after roughly determining the lumen of the vein, a bird's nest filter was selected.
Under the guidance of the exchange guide wire, the insertion of the inferior vena cava filter...
This process was also quite smooth. After putting it in, Yang Yifeng monitored it again for a while, and after seeing that the blood flow was still unobstructed, he took out the guide wire, pulled out the arterial catheter sheath, and bandaged it with pressure.
But after the pressurized bandage, Yang Yifeng left the ultrasound head on the filter for the sake of stability, continued to monitor, and said to Qin Dingmo: "Professor Qin, let me observe the blood pressure again now." It's out of shape, if you want to use the monitoring of fat particles in the heart later, you can just take it away."
Although Yang Yifeng had completed the operation, he was still a little apprehensive.
After all, when he operated on his mother before, her mother died on the operating table. Although the risk of that operation was exponentially higher than the current one, it was still a vascular operation!
If it wasn't for sending the eldest brother in, Yang Yifeng felt that he would not be able to pick up the operating equipment this time.
However, Yang Yifeng felt an unspeakable hatred in his heart when he thought of the murderer who caused the death of his parents to be released on bail for medical treatment and get away with it.
Qin Dingmo nodded, and said: "It's okay, you should look at yours first. Orthopedic surgery, only when the bone marrow cavity is washed, will a large amount of fat drip back into the blood system."
"The patient himself does not have the three high fats, so he can use it temporarily."
As a top professor, Qin Dingmo is quite familiar with the situation of each department.
Fat embolism, in addition to mostly occurring in patients with three highs, is more common in joint replacement in joint surgery.
That's because during the process of grinding the bone marrow cavity, fat particles will enter the bone marrow cavity, and at this time, the stability of the fat droplets will be affected, and they may be deposited as thrombus.
If you have a clear theory, you will naturally not be afraid. This is how to handle it.
Not a little more useless work and preparation, just right.
However, about 5 minutes after Yang Yifeng finished the operation and went to the next timing panel, Cai Dongfan, Luo Yun and others happened to reopen the patient's previously debridement and suture incision.
The door of the operating room was kicked open.
Then Zeng Yi turned his head and saw Huang Shinan, the director of the Department of Hepatobiliary and Pancreatic Surgery, but with the brand name of Vascular Surgery, walked in.
After he came in, he saw that the operation of Cai Dongfan and others had just started, so he asked with a smile: "Director Cai, it seems that I came at the right time. Your operation has just started?"
Cai Dongfan didn't turn his head when he heard Huang Shinan's voice, but just nodded: "Well, our operation has just begun."
When Yang Yifeng said that he was going to have a venous filter implantation operation, he was actually a little flustered, so he called Huang Shinan and asked him to come to the operating room to take the helm and judge for a while.
Otherwise, no one else would know how Yang Yifeng is doing?
Cai Dongfan really took great pains for this patient.
It's just that Yang Yifeng has finished all the operations, and Huang Shinan hasn't come yet, so even if he didn't do well, there is no room for salvation.
I don't know why Huang Shinan stepped in at this point.
But Cai Dongfan didn't tell the truth, Huang Shinan is also the director of a department after all, so he should be sympathetic.
Only then did Huang Shinan see that there seemed to be an elastic compression bandage on the opposite side of the femoral sheath of Cai Dongfan and others, and there was a tall pile of sterile gauze and saline pad underneath.
This seems to be a sign that the war has ended?
Seeing this, Huang Shinan panicked a little, and looked at the time. It was only half an hour since Cai Dongfan called him. At that time, Cai Dongfan said he was only picking up patients, could it be?
Then he glanced at Yang Yifeng, and found that Yang Yifeng was already under the timing panel in the operating room, and the old monk was in meditation.
"Director Zeng? Is the venous filter finished?" Huang Shinan asked in a low voice as he walked to Zeng Yi who was making soy sauce.
Qin Dingmo couldn't figure out Huang Shinan's origin, so he stepped aside a little bit, but he still put the probe of the color ultrasound at the heart position, and opened the venous catheter of the upper limbs, ready to rescue the patient at any time preparations.
Zeng Yi let out an "ang" and looked at the operation timing panel.
"It ended about 4 minutes ago, Director Huang." Zeng Yi is also the director, and he is also the chief director of the anesthesiology department. He is on the same level as Huang Shinan.
Then Zeng Yi saw the familiar confusion and astonishment in Huang Shinan's eyes.
When Yang Yifeng was under anesthesia, he also showed this look, so he was familiar with it, and he smiled a little, feeling balanced!
Because he was able to observe at any rate, and Huang Shinan was left with only confusion and astonishment.
Huang Shinan suddenly groaned secretly in his heart, rubbed his head, turned around and walked away silently in embarrassment.
Just out of the operating room, Huang Shinan still couldn't figure out how Yang Yifeng put the venous filter in so quickly. He didn't see the process, so naturally he couldn't judge the filter implantation he did. How is the level.
Of course, with such a fast speed, this guy must be blind piercing!
How much confidence do you need to put a filter in the inferior vena cava blindly?
Or conceited?
It's hard for Huang Shinan to say, but from Cai Dongfan's tone and meaning, it can be heard that they made the most extreme preparations in order to allow this patient to be discharged from the hospital quickly and turn around.
If you don't die, don't go back to the ward, don't go to the ICU, you have to pass the 120 ambulance directly from below when you get off the operating room, and then transfer to the prison!
One of the prerequisites for medical parole is that if the prison doctor cannot treat the situation, it must be transferred to a more professional hospital. However, post-operative care and doctor's orders after the operation are still no problem.
……
Huang Shinan's departure, like his coming in, did not have any impact on the operation process.
Cai Dongfan and Luo Yun will take on the role of chief surgeon, which has been discussed before.
The reason why Zhou Cheng hasn't started to take the stage yet is because, before he takes the stage, what Zhou Cheng needs to do to prepare for the operation is the key part, and the time for the key part will not be particularly long!
Therefore, after Cai Dongfan and Luo Yun completed the debridement, opened up the ends of the femurs on both sides, and confirmed that there was no blood vessel damage, Zhou Cheng immediately used a measuring stick to measure the diameters of the upper and lower femur ends.
Although this operation can also be carried out on flat film, but after all.
The scope of the femoral bone defect is too large, and the upper and lower ends are stretched and deformed by the attached muscles, making it impossible to measure accurately and objectively.
After finishing the measurement, Zhou Cheng withdrew from the main stage of the operating table, then glanced at Yang Yifeng, lowered his voice and asked, "Brother Yifeng, I'm going to start titanium mesh shaping, do you want to come and discuss it together?" a bit?"
When Zhou Cheng said this, he was actually a little hesitant in his heart. He shouted so that he wanted Yang Yifeng to learn the surgical plan design and skills of bone grafting for large segmental defects.
There are several main reasons.
First, Yang Yifeng is a doctor of trauma surgery. Although due to an accident, his heart is no longer in medicine, and he only thinks about writing novels.However, his talent, his interest in medicine, is still there.
Otherwise, it would be impossible for him to blast him out during the process of simulating the dungeon, and he would have accompanied him all the way until he was 50 years old.
Yang Yifeng reset his life to zero again and embarked on the road of writing.
Second, since Yang Yifeng is interested in this, and the reality is that Zhou Cheng already has a perfect bone graft for bone defects, then he doesn't mind letting Yang Yifeng obtain a mature theory directly, leaving him alone. Doubts and regrets in my heart.
As for how Yang Yifeng will choose in the end, Zhou Cheng has no control over it.
However, with Yang Yifeng's talent, if he can enter the palace of medicine again, it will be a blessing for the sick.
A single thread does not form a thread, a single tree does not form a forest, how many nails can be driven by a body covered in iron?
There are many patients in the real world, and there are also many people in Huaguo.
The top medical resources are always too empty.
Why are all the top hospitals overcrowded these days?It is because of the serious shortage of top-level medical resources, and the supply exceeds the demand.As for Yang Yifeng, he is already on this road, and he has traveled far and tall.
If he can continue to study, his future achievements will definitely not be low.
Yang Yifeng heard Zhou Cheng's invitation, looked up at Zhou Cheng, smiled and said, "Okay, brother Zhou Cheng."
Yang Yifeng originally went to the operating room, in addition to saving the patient's life and using the best anesthesia, the purpose was to see Zhou Cheng's specific level.
Now that Zhou Cheng dared to take off his own shell, stood in front of him, and let him figure it out, that was naturally the best thing.
However, Yang Yifeng felt a trace of sincerity in Zhou Cheng's gaze.It seems that Zhou Cheng sincerely invited him to discuss the operation plan and modeling together, not for showing off or anything else!
Yang Yifeng stood 10 centimeters away from the equipment nurse's operating table, while Zhou Cheng stood in a corner, and after putting down the measuring ruler, he began to cut the titanium mesh.
Titanium mesh, or medical titanium mesh, is a great tool to solve bone defects!
It has a strong structure, can be used to replace bone material, and is inexpensive.
The most important thing is that the structure of titanium mesh is very conducive to the crawling and shaping of bone.
Bone defect is also a kind of fracture, and the principle of treatment cannot be separated from the principle of fracture treatment itself.
First, reset.
Second, firm fixation - it is necessary to borrow external fixation brackets for external fixation.
But the difference is that after a bone defect, in order for the bone to grow, a skeleton must be built, that is, a skeleton for bone cells to crawl.Titanium mesh can just provide such a framework for bone cells to crawl.
However, the shaping of titanium mesh is very troublesome, because its routine use process is generally for acetabular capping, or bone-fitting internal fixation after a femur is broken. For bone defects like this, titanium mesh should be used for shaping. It is extremely difficult to form a support.
Yang Yifeng stared carefully at Zhou Cheng's movements, and then saw that under Zhou Cheng's hands, the originally strong titanium net was slowly shaped into a cavity shape, and the diameter was the same as Zhou Cheng's. As measured, there is not much difference!
and!
Yang Yifeng noticed with his eyes like a falcon that the column structure formed by this long section of titanium mesh structure, the upper and lower lumens are still different, as if the upper end is consistent with the fracture stump of the proximal femur .
The lower end is consistent with the fracture stump of the distal femur.
Yang Yifeng immediately had an absurd thought in his heart: "Brother Zhou Cheng, are you going to use titanium mesh to reshape a patient's femur?"
Yang Yifeng has a wide range of knowledge. According to the fracture situation of the patient, there are some methods to reshape the patient, but that is 3D printing!
That's a field!
3D printing is a combination of informatics technology and bone material technology, which can reshape a bone prosthesis according to the patient's own condition.
That's mechanized.
What can be made by mechanization, can be made by our hands?
Yes, but can it be done so quickly?
Zhou Cheng nodded, and said casually: "Well, otherwise there is no other better way. Even if it is 3D printing, the printed prosthesis is not easy to install, so I can only make one myself with a titanium mesh."
The muscles of Yang Yifeng's limbs became stiff, and his right hand held the phone tightly, as if the shell of the phone was about to be broken by him.
What are you talking about?
Do you think titanium mesh is mud, and you can make a femur based on the patient's femur?
However, Zhou Cheng continued to tap and tap, and then slowly, the traces of the outer femur tube emerged.
It was as if, in Zhou Cheng's hands, the titanium net was like sand for children to play with, it could be whatever it wanted to be.
Yang Yifeng couldn't see the specific details at the moment, so he quickly read the medical encyclopedia, and then carefully observed the shape of the femur, comparing it with the titanium mesh coat made by Zhou Cheng!
Then the eyes straightened in an instant.
Laymen watch the excitement, experts watch the way!
If everyone's hands were as stable as Zhou Cheng's, then the treatment of large bone defects would still become a hindrance in the medical field?Become the ceiling of it?
will not!
It's just that when Yang Yifeng carefully looked at the titanium mesh casing, he discovered that Zhou Cheng had actually squeezed out a smaller titanium mesh cover from the titanium mesh at this very moment!
Bone is a tubular bone.
Outer is cortical bone, inner bone marrow.
The marrow cavity is also a tubular structure.
Zhou Cheng's thinking is easy to understand, he not only wants to reshape the shape of the bone, but even the bone marrow cavity!
Is this a genius or a lunatic?
Yang Yifeng's mouth opened slightly wider.
The corners of his mouth began to tremble slightly. At this moment, he even felt that he was a little funny. What was he thinking, to find Zhou Cheng's mistakes in the details?
Zhou Cheng's thinking was normal, but it was also very abnormal, outrageous.
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However, Zhou Cheng didn't care about these, but after comparing the two titanium mesh shapes, he felt quite satisfied, so he took it to the operating table, and then said to Luo Yun and Cai Dongfan: "Mr. Luo, Cai Teacher, I have already done it here, let's fix the titanium mesh first, shall we?"
The debridement of patients has actually been done in the following hospitals, so there are not many debridement operations.
However, Cai Dongfan was not yet fully finished. He looked at Zhou Cheng, and then at Luo Yun, who was going to take the ilium autologous bone and make the fibula pedicled bone flap, and then started the ilium bone harvesting operation.
Looking at Zhou Cheng: "Should we let it go now?"
Zhou Cheng nodded, and said: "Now, through the fixation and shaping of the femoral bone marrow cavity and the femoral cortex, the femur can roughly restore its original structure."
"After the main body structure is restored, the fixation with the external fixation bracket will be more reliable, and it will be closer to the shape of the femur itself!"
Zhou Cheng had completely let go of this operation, and he didn't care about anything. Anyway, as long as Cai Dongfan dared to tell the truth, he would dare to show anything.
But if they can still give the patients reasons and opportunities to be released on parole for medical treatment, it can only be said that they are not strong enough!
The weight fell into the water, determined!
"Okay!" Cai Dongfan, whose scalp was tingling, didn't ask too much. Anyway, Zhou Cheng brought him more than one surprise, and Zhou Cheng's many operations and techniques had already surpassed Cai Dongfan's cognition.
But maybe, what I know is not the limit.
On the other side, Yang Yifeng immediately threw the phone into his trouser pocket, and ran out to wash his hands. He found that it was too aggressive for him to step down decisively and gracefully before.
This is another peak in trauma surgery, another thing beyond the ceiling.
This thing pierced into the deepest part of Yang Yifeng's heart.
He is interested and curious!
And because I was too anxious, the phone was not plugged in securely and dropped.
The itinerant nurse yelled at Yang Yifeng, "Dr. Yang, I lost my phone."
"Please pick it up for me!"
I didn't even look back.
Luo Yun also stopped taking the bones, and said to Zhou Cheng, "Wait a while, Yi Feng obviously wants to see it."
Then he said to Zhang Zhengquan and Du Yanjun, who were trembling and confused at the moment: "You two should watch carefully and study hard. Today's operation may not be repeated in the department for a long time."
"And such an operation, there are not many operating rooms in the country that can repeat it."
"The same surgery? I checked the literature casually, and the upper limit of bone defect bone grafting that is currently being performed is about 15cm!"
"There are not many opportunities."
Luo Yun knew that this was a super IV surgery. With Zhou Cheng's temperament, he would never perform the surgery again until he got the IV surgery.
Moreover, Zhou Chenglai should not be allowed to develop rashly, because Zhou Cheng's age and identity are still here after all.It has to be accumulated slowly.
However, in order for Du Yanjun and Zhang Zhengquan to serve snacks, he could only sell Zhou Cheng.
Similarly, these words were also addressed to Cai Dongfan, which means that it is better not to carry out such operations in the department. What Zhou Cheng has obtained now is only a level II operation authority!
Du Yanjun and Zhang Zhengquan immediately took a deep breath, and made an insignificant contribution to global warming.
Turning his head to look at Zhou Cheng, he felt that Zhou Cheng was extremely strange.
Zhou Cheng silently licked his lips with his tongue, without saying a word, he was in the state of preparing for the operation, waiting for Yang Yifeng.
Yang Yifeng's interest, the roundworm in his stomach, was hooked out by him, and he hooked it out on purpose, so he must be responsible for it!
After 3 minutes, Yang Yifeng washed his hands and went on stage. After using two pairs of gloves, Zhou Chengcheng began to put the titanium mesh on the inner wall into the bone marrow cavity!
Then after firmly strapping!
Zhou Cheng transferred the battlefield to the fibula again.
However, Zhou Cheng's bone harvesting process immediately made Yang Yifeng and Luo Yun feel fear!
The reason why the fibula bone flap can be called a bone transport material is because the bone flap can have a vascular pedicle, and it can survive after being transported and transplanted.
However, most people take the part of the nutrient artery in the middle and upper part of the fibula.
However, Zhou Cheng shaved off the entire fibula, and left at least six arteries around it.
???
Are there such arteries around the fibula?
Could it be that these arteries were pricked off by myself and others during autopsy or surgery?
Can so many blood vessels and pedicles be removed from the fibula?
Zhou Cheng saw the doubts of Luo Yun and Yang Yifeng, and also saw that they were forcibly suppressing the churning of children with too many question marks in their hearts.
My mind moved slightly.
Every subject, when it reaches the depths, most people will feel that they have become ignorant.What I know may not be the end.
Zhou Chengdao: "According to the existing anatomical reports, a normal fibula has an average of one or two nutrient arteries, and an arcuate artery has as few as three, as many as 3, and an average of about six."
That's all for this.
But this explanation is enough to enlighten Yang Yifeng and Luo Yun, but they are still frowning.
Cai Dongfan felt bitter in his heart——
Your own team?
Looks like his head?
Du Yanjun and Zhang Zhengquan suddenly realized.
Oh, there are so many blood vessels, so it's normal.
Unexpectedly, what Zhou Cheng said made Luo Yun and Yang Yifeng even more confused.
Because if there are so many arteries, where are they? What happened to two of them during the operation?
This is unbearable.
The more you learn, the more afraid you become, that's the reason.
Zhou Cheng didn't explain too much, and it wasn't the time to explain too much.
The pedicled fibula that was finally removed was split open to transport the bone flap. Although the split was split, Zhou Cheng did not hurt its blood supply structure!
This tiny operation immediately made Yang Yifeng, Luo Yun and others' scalps tingle again.
But they all agreed without asking too much.
It was agreed before, although it was not stated clearly, but everyone made it clear that Yang Yifeng was in charge of the intravenous filter and anesthesia, no one asked him if he would, and why.
Luo Yun is responsible for the reconstruction of the starting and ending points of the tendon!I don't ask Luo Yun the reason why he restores the starting and ending points.
Zhou Cheng is in charge of bone grafting.
Naturally, it is not easy to ask too many questions.
After the fibula was cut open, Zhou Cheng placed it on all sides of the titanium mesh, and then anastomosed the pedicled blood vessels with the arterial stump in the femur one by one!
After the anastomosis was completed, the clamp at the proximal end of the artery was opened, and the filling of the blood vessel was immediately seen.
The titanium mesh was stained with blood.
Comfortable!
That's right, ordinary doctors may be afraid when they see blood.I wonder if people will die.
But a real surgeon will be relieved when he sees blood.
Oh, the tissues here have blood supply and won't die.
Of course, except for the surging blood in the aorta.
-
Of course, it's not over yet.
Zhou Cheng continued to start the bone grafting of iliac crest autologous bone, and then used the low-cost bone grafting materials brought by the equipment dealer one by one around the fibula block, and then put the outer titanium mesh on the box .
A remodeled femur is done.
So unbelievably, it's done!
Then, Zhou Cheng continued to perform external fixation with external fixation brackets. The upper part was fixed at the position of the ilium, the upper part of the femur was fixed, and the lower part was fixed to the tibial tuberosity.
The intact ilium and tibia were used to securely fix the unstable femur, which completed the second step of the fracture surgery.
Just, the treatment of bone defects.
Reduction was replaced by bone grafting.
Fixed, internal fixation was replaced by external fixation bracket.
Treating the bone grafting of bone defects in this way is equivalent to learning to understand.
After Zhou Cheng finished, he was not proud. After carefully confirming the firmness of the upper and lower femurs, he stepped aside.
Immediately afterwards, it was finally Luo Yun's turn to play.
Luo Yun doesn't know much about trauma, but he understands joints. The composition of joints is not just the joint structure, but also includes the re-fixation of tendons near the joints.
After Luo Yun came up, he began to use Kirschner wires to make a tunnel in the bone, and then began to return the starting and ending points of the muscles one by one.
This operation is also like flowing water...
This also slightly touched Zhou Cheng's knowledge blind spot, and he suddenly realized it.
Oh, it turns out that muscles can still play like this?
Well, learned it!
Go to the simulation at night, if you don't get a good night's sleep.
The volume of surgery determines the lower limit of surgical quality, but cognition determines the upper limit of surgical quality——
Gradually not ignorance is the key to technological improvement.
...Outside the operating room, after hearing what Min Zhu said, Min Shi felt more and more wrong.
Then wait until Ding Meng leads people outside the operating room.
Min Shi immediately reacted.
It's just that after he understood, his expression became cloudy and he shouted: "No, no! Min Zhu, no."
"No surgery, no surgery."
"We demand that the operation be stopped immediately! We will not perform the operation." Min Shi began to shout to the operating room.
"It's a waste of life, everyone come and see!" Min Shi began to shout and make a scene.
It's just that it's useless for Min Shi to shout like that.
Before the operation begins, the family members have the right to decide whether to perform the operation, but once the operation starts, no one can stop the operation, except the operator.
This is the power that the law confers on the operating room and the right to surgery.
Once the operation starts, no matter whether it is the dean or anyone, it is impossible to enter the operating room and interrupt the operation.
As long as the chief surgeon does not allow it, even if you are a god or a top professor, it is impossible to interrupt the chief surgeon's operation.
As long as it is in the operating room and it says that he is the chief surgeon, even if he makes a mistake, it is impossible to forcefully interrupt it!
This is the rule.
What's more, Ding Meng was there at this time, so there was no need to call the police.
The security guard immediately came forward to persuade: "Sir, this is an operating room, please be quiet and don't disturb the operation of the patients inside, otherwise, it will affect the progress of the operation, and no one can take responsibility."
The operating room is a public area, even more special than the ICU, and any collision is strictly prohibited.
Trespassing and causing the death of the patient inside will have to bear a heavy price. First of all, other family members of the patient will not agree.
There were quite a few people waiting for the patient's operation to end, and someone immediately stood up and looked at Min Shi: "There is something wrong with you, you are yelling outside the operating room at this time."
"They're going to kill people, they're going to be butchers in white clothes. They're going to kill my brother-in-law."
"We asked to stop the surgery, we didn't do it!"
"I have the right to ask to stop the operation!" Min Shi continued to shout, hoping to save one or two more.
However, it was obvious that Ding Meng and the others didn't give Min a chance to try. He yelled at the door of the operating room like this, and he could be taken back and locked up for a few days on the charge of seriously disturbing public order, and he could still be educated.
No other reason is needed.
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Operating theaters are special public areas!
Not the place to mess around.
And when Min Zhu and the others reacted, it was obviously even later.
The operation has already begun, and it is impossible to end it halfway.
At 4 o'clock in the afternoon, Luo Sangen's operation ended [-] minutes earlier. However, when he left the operating room, he was immediately taken over by the prison doctor brought by Ding Meng and others.
What's more, Cai Dongfan and Zeng Yi personally escorted and transported them in the car! ~
After Luo Yun came out, he confessed to Min Zhu and the others: "Hello, Luo Sangen's operation has been successfully completed. The limb salvage operation was very successful, and his life is out of danger."
"If there are no accidents and the recovery is proper, he should be able to stand up in a year at the latest."
However, before Luo Yun finished speaking, Min Zhu, who was stopped by the security guard at the safety line, directly threw his bag over Luo Yun's head, and even spat at Luo Yun!
Then she took off her shoes and threw them at Luo Yun.
"You are not worthy to be doctors, you have no medical ethics, you are a bunch of bastards."
"Human face and animal heart! Pooh..." Then she was taken away by security guards while being snarled.
Luo Yun, on the other hand, could only wipe the stains on his body as if he was unlucky, while continuing to explain to Luo Sangen's parents and others.
"We are just doctors. We are only considering Luo Sangen's condition. We have reached the limit of your limb salvage requirements."
"If it recovers properly, then?"
But Luo Yun's words did not make the old woman and Lao Diai thank you, but pointed at Luo Yun and asked, "My son is gone, why should I keep his leg?"
"You are simply a bunch of cold-blooded animals!"
"Why do you want to operate on my son? Why? What good will it do you?" Lao Diaia asked Luo Yun while clutching his heart.
Luo Yun said: "He is a patient, and he came to our hospital to seek medical treatment. Naturally, we must do our best to provide him with medical services."
"No reason, just because we are doctors."
"When he is cured, we will also feel happy, because we helped him solve his physical pain."
"As for the rest, we can't control it. The operation is what you requested. It's written in black and white, clearly."
"We were deceived, we were deceived!"
"You, you are a nest of snakes and mice, you?"
"You deliberately framed and deceived us, is there any reason?"
"You clearly know that my son will have to be transported away after undergoing surgery, why do you still need to operate on him?"
"why?"
"Why are you?"
Luo Yun bowed slightly, and bowed to Lao Diaia: "I have done what we doctors should do. Maybe you think we should treat diseases and save lives, but in fact, we can only treat diseases and save lives."
"I can't save people, sorry."
After Luo Yun finished speaking, he turned around and looked back, his mood was actually quite complicated.
Both happy and disappointed...
However, when he entered the dressing room of the operating room, he saw Yang Yifeng, Zhou Cheng and others were waiting for him, and prepared a lot of tissues for him, and Zhang Zhengquan thoughtfully bought shower gel, shampoo, towels, etc. back.
"Ms. Luo, go take a bath, and get rid of bad luck." Everything is new, and there is a bathroom in the operating room.
The corners of Luo Yun's mouth curved slightly, and he nodded.
A doctor can't save people, he can only treat diseases and save lives, and the only one who can save people is himself. If Luo Sangen hadn't broken any laws and disciplines, then he wouldn't have been transferred to prison right after he got off the operating table!
However, when Luo Yun walked to the bathroom, he thought again, if Luo Sangen didn't kill anyone, it would be due to his family background.
Will such a perfect limb salvage technique be used today?
the answer is negative.
Yang Yifeng won't meddle in other people's business, and it is estimated that Zhou Cheng will not leapfrog surgery and propose an out-of-the-box surgery plan.
Equipment manufacturers will not provide obligatory support, and patients will not be able to pay as much money as they originally needed.
No one will take risks for morality.
But for justice can...
1Chapter 17 Unforgettable!
After Min Zhu heard that the staff of Shuidichou said that since Luo Sangen had concealed his identity in advance, all the donations raised by Shuidichou would be returned to caring people from all walks of life, and he yelled at the staff.
The scolding was so ugly, saying that it was her family's money, it was their donation money, no one had the right to touch it, and she was not allowed to return it. She would definitely sue them.
The staff also just casually said casually!
Then hung up the phone.
After hanging up the phone, Min Zhu turned around and asked her brother Min Shi.
"Brother, is it illegal for them to do this? Shouldn't the money we raised by ourselves belong to us?"
There was a faint light in her eyes.
At this moment, Min Shi heard the words, looked at his sister blankly, sighed a long time, and said, "Min Zhu, turn around. Don't mess with Luo Sangen."
"Back when I advised you, if you didn't believe me, you had to be stubborn. This time it's the same. I asked you to surrender, but you didn't do it."
"In today's society, where is it so easy to hide?"
Min Shi didn't reply to Min Zhu directly, but just advised his sister to jump out of Luo Sangen's trap as soon as possible.
What kind of person is Luo Sangen?
When Luo Sangen's parents, brothers and others heard what Min Shi said, they immediately started fighting with him again.
The whole scene is simply a mess.
However, Min Zhu felt that her brother's advice today was very reasonable, so why didn't she listen to his advice before?
……
Eighth Hospital performed Luo Sangen's operation, and the operation was excellent, and it was also requested by the patient's family members.
Although the intention may be a little unkind, but their original intention is to save lives and legs. As for whether Luo Sangen committed a crime or whether he should be transferred to prison, it has nothing to do with the hospital.
After the operation was completed, Luo Sangen's family quarreled for a while, but nothing came of it.
The patient did not die, and there was no accident. You signed the informed consent form for the operation. There is nothing wrong with the procedures in the hospital. The starting point of considering the patient is also a great act of kindness. Luo Sangen's parents don't hold a single reason, so how can they make trouble?
You are in the hospital for surgery on you?Save your life?
……
After the operation, Cai Dongfan was really refreshed, and he was full of energy, so he invited everyone in the operating room, one counts as one, don't leave later, must go and have a good meal Have a meal and celebrate.
The significance of today's operation is so unusual, Cai Dongfan, the biggest 'leader', naturally wants to treat him well.
It's just that, Qin Dingmo, the first one backed off and said, "Director Zeng, Director Cai. I won't eat. This place is far away from the unit, and I have to go to work tomorrow."
Hearing this, Zeng Yi didn't want to force it, but said politely: "Professor Qin, why don't you stay and have some food together, and go back on an empty stomach?"
While talking, he stuffed an envelope for Qin Dingmo and pushed it to Zeng Yi.
This is not money from the patient, but a red envelope from Zeng Yi himself. It has no other meaning, just to thank Qin Dingmo for coming today, and to send Luo Sangen, who wants to delay being dealt with by law in the hospital go in.
Qin Dingmo did not miss such red envelopes on weekdays. If a professor like him was invited out to take care of an anesthesia, the general appearance fee would not be lower than four figures, or even five figures.
It's just that, Qin Dingmo just opened the envelope, took out one very bluntly, and stuffed it into his pocket: "Director Zeng, I'll take the taxi fare and smoking money."
"Others, I won't bother you to spend, let's go."
As he said that, he was about to walk outside the operating room. Qin Dingmo naturally didn't need to participate in the finishing work.
Zeng Yi's face changed slightly immediately, and he chased after him: "Professor Qin, this is what you should take. It's not appropriate for you to make a trip like this today."
Qin Dingmo continued to push away Zeng Yi's hands and the envelope: "Director Zeng, you paid for this money yourself. I feel hot when I take it."
"You and I are both at this age. Although you can't talk about chivalry, you should help, and you should help. I, Qin Dingmo, have the honor to participate in this once, and I feel comfortable and open-minded."
"This matter, let's stop here, don't send it away. I'm leaving, and you are busy with your work."
Qin Dingmo resolutely refused to take it, with a cigarette dangling from the corner of his mouth, he walked towards the locker room without lighting it.
And Qin Dingmo said so, Zeng Yi no longer forced others to be difficult, and did not continue to force the envelope into Qin Dingmo's hand.
If Qin Dingmo really came here for the money, he probably wouldn't be too embarrassed to accept money from such a simple patient!Mainly for this matter.
……
And just when Luo Sangen's family members knew that Luo Sangen was transported away by Ding Meng and others, they were still arguing in the hospital, and they were making noise with Ding Meng and others.
Zhou Cheng, Yang Yifeng and others were huddled together in the locker room and laughed secretly.
At this moment, Zhang Zhengquan looked at the 80 that was returned, put the phone back, and then said to Zhou Cheng and Yang Yifeng sincerely: "Brother Zhou Cheng, brother Yifeng, you two are really awesome, I admire you! Convinced in capital letters!"
Two hands, one hand showing a thumb.
If it weren't for Yang Yifeng's good anesthesia, which could minimize all accidents and reassure the patient and family members before the operation, this operation would not be possible.
If Zhou Cheng hadn't done the operation extremely well, even if the family members sued and made trouble, the No. [-] Hospital would still be able to take this operation out for peer review. Cai Dongfan would not dare to agree to the operation so simply and neatly.
If the operation cannot be performed, then Luo Sangen will definitely have to stay in the hospital.
Isn't this the deformed release on medical parole?
Yang Yifeng smiled, looked at Zhou Cheng, his thoughts fluttered.
Then he pursed his lips and said, "The main thing is that brother Zhou Cheng is very good. In order to avoid troubles for the patient's family members after the operation, he dared to record and video the whole process! Otherwise, it would not have gone so smoothly."
After speaking, Yang Yifeng quickly took out his blue pen and black leather notebook from the locker in the dressing room, and then began to write and draw to record.
This operation is definitely an excellent material for writing novels. Don't be careless. If you organize it well, it will definitely be able to write tens of thousands of words, and readers will still love to read it.
Then, in the process of retelling the novel, the identity of the chief surgeon is reversed through artistic means, so that readers will not really worry about who is the chief surgeon.Just treat 'Lu Cheng' as a spectator during the whole operation.
Free and easy.
Zhou Chengzhen just smiled and didn't reply to Yang Yifeng's words, just said: "I reckon, Mr. Luo Yun will go to talk with the patient's family members, something will happen, we'd better go shopping and let him wash himself in the operating room." Take a bath."
……
After Cai Dongfan returned, he led a group of people in his group to the hotel for dinner, and on the way, Cai Dongfan said: "Today, everyone must drink some wine. No one is allowed to spoil the fun."
Naturally, Zeng Yi was also there, and even the touring and hand washing nurses were there, and they didn't refuse.
But as soon as Cai Dongfan finished speaking, Yang Yifeng said firmly, "Director Cai, I don't drink!"
Luo Yun also turned his head and said, "Director Cai, I'm on duty today and I don't drink."
Cai Dongfan was speechless for a moment, and cast a bitter glance at the two spoilers.The corner of his mouth twitched: "I didn't talk to you two. I'm in a good mood today, but you two will spoil the fun, right?"
Yang Yifeng and Luo Yun just smiled apologetically.
Zeng Yi hurriedly changed the topic to another place: "Director Cai, don't take advantage of it and act like a good boy. Your team, you just envied me for not seeing Professor Qin."
The two nurse sisters also looked at Zhou Cheng and the others, but they mainly concentrated on Zhou Cheng. In their view, Zhou Cheng's operation was a miracle.
But both Luo Yun and Zhou Cheng focused their attention on Yang Yifeng.
For all surgical operations, anesthesia is the first priority, and the patient's life is the most important.
If Yang Yifeng hadn't given the safest anesthesia and arranged everything to almost eliminate possible accidents during the operation, they wouldn't have dared to proceed with the operation rashly, at least they wouldn't be so bold.
It's just that everyone has agreed before that no one will ask other people about the operation this time.
Cai Dongfan laughed instantly, his small eyes narrowed: "It's okay, Xiao Luo, Xiao Zhou, and Xiao Yang, they are all very good young people."
"I don't have any skills myself, but I know how to judge people. Why don't I find a group of young people to play around with me?"
Cai Dongfan, with the word Fan in his name, can be said to have brought Fan Xue to its peak and extreme.
Zeng Yi rolled his eyes at Cai Dongfan in an instant, and then focused his gaze on Zhou Cheng.
Hey, I think Zhou Cheng is a person who looks more and more pleasing to the eye. He is very suitable for his niece. I don't know how he and his niece are talking. I might ask more questions when we have dinner later.
Zhang Zhengquan laughed like a flower at the moment, licking his lips with his tongue constantly, secretly saying, Director Cai is so kind!
I bought a box lunch without saying a word for lunch, and there is still a big meal in the evening!
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Brother Zhou Cheng is really kind, and Yang Yifeng is also pretty good. They are all helped by me, happy in my heart, laughing with me, happy like a fool that no one pays attention to...
However, when he arrived at the place to eat and got out of the car, Yang Yifeng suddenly lowered his voice and said to Zhang Zhengquan: "The 80 surgery fee raised by the patient was paid by you, right?"
Zhang Zhengquan turned his head in astonishment, and looked at Yang Yifeng.
"So in fact, you are the one who contributed the most." Yang Yifeng said, as if he intended to ease the relationship with Zhang Zhengquan.
Zhang Zhengquan didn't hide anymore, he just said, "Everyone has retired."
Yang Yifeng went on to say: "Refund is a refund, but the money is the key to everyone daring to give it a go. Including patients and family members themselves. Because they feel that no matter good or bad, there is still such a large amount of money. "
"Although money is not everything, it is absolutely impossible to have no money. I think the 80 you raised is what can dispel the thoughts and doubts of patients and their families."
"If you don't believe me, just go and call the platform. Luo Sangen's family members will absolutely hold on to this matter, and may even sue them." After Yang Yifeng finished speaking, he went inside to find a place.
Cengfan, he also likes, although he is not short of money.
However, Yang Yifeng was quite curious about Luo Yun and Zhou Cheng, and felt that there were more and more secrets about these two people.
Unbelievable bone defect bone grafting, extraordinary tendon remodeling.
None of these are available to ordinary people.
Just now, he only noticed that Zhou Cheng had gone, so he didn't have time to think about what Luo Yun did when he was doing the reconstruction of the tendon insertion, which is a bit of a pity.
Moreover, I am afraid that such an operation is really difficult to replicate. It is impossible to say that I will meet another patient like this, right?
……
After Qin Dingmo got into the taxi, his expression became a little dignified.
Although, up to now, the operation is over, but whether the end of the operation is the end of the treatment is still uncertain.
You know, today's matter can be said to be completely thankless. I just want to feel smooth in my heart, and I have contributed to the rest. There is no money to get it, and the hard work is in vain.
Don't take advantage of it, but cause a lot of trouble instead, that's fine.
So, just to be on the safe side, Qin Dingmo sent the photos of Zhou Cheng and Luo Yun's surgery to Ding Changle.
He didn't say much, just said: "Professor Ding, this is a consultation surgery I performed in an outer hospital today, can I trouble you to spare some time to have a look, how is it going?"
"The patient is a bit special. I'm afraid the money will not be easy to get."
There are two reasons why it was sent to Ding Changle. The first is that Ding Changle is the head of trauma surgery at the Affiliated Hospital of Shonan University.Surely he could see it.
The second one, take a good look at it, your student is inside, you can't lie to me and perfunctory me, can you?
Qin Dingmo is also a very rogue person.
By the way, although Yang Yifeng casually said that his student added him to WeChat before, although Qin Dingmo didn't say anything at that time, it doesn't mean he didn't take it seriously.
He still wants to talk to Ding Changle, your student has harmed the neurosurgery professor's daughter, so don't harm my apprentice.
Now that Yang Yifeng is in the Affiliated Hospital of Shonan University, he is really famous. One is his genius, the second is his temper, and the third is his 'roster'.
A genius is a real genius. In the past, many professors almost fought because of him. In the end, Ding Changle was taken advantage of.
The lunatic is really crazy. He even dared to date Professor Liu Jinxuan's daughter before throwing it away. Is this something that ordinary people with brain circuits can do?
Of course, the roster is for the really flirtatious kind, of course it's just a rumor in the world, and there are rumors that Yang Yifeng is a scumbag, that is, Liu Jinxuan's daughter.
However, after sending the message, Qin Dingmo waited for an hour without Ding Changle's reply.
When he got home, he made a voice call.
Ding Changle got connected, and Qin Dingmo asked, "Professor Ding, can you take the time to watch the video I sent you? The identity of this patient is a bit special, and this operation seems to be not small."
Ding Changle took a deep breath and said, "I'm still observing."
Qin Dingmo was not deaf, and he could tell that what Ding Changle said was not watching, but observing.
Then he asked with a tense tone: "Professor Ding, is it possible that there is a problem?"
Qin Dingmo's throat tightened.
Sending Luo Sangen in here is a pleasure, but if the operation is not done well and something goes wrong after the operation, it will be a big deal!
And what kind of surgery requires Ding Chang's optimism?
Isn't this irony?
"No, Professor Qin, I didn't joke with you. I'm all your fool. How could I joke with you?" Ding Changle was obviously absent-minded, and his attention was not completely on Qin Dingmo's side, so the reply was quite casual .
He said that he followed Qin Dingmo because Qin Dingmo was the director of the anesthesiology department, and Qin Dingmo had to arrange the surgical anesthesia in each department. For any difficult patient, Qin Dingmo was determined not to have anesthesia, so you just need to do the surgery. Can't do it!
Isn't it just hanging out with Qin Dingmo?
"I'm really curious about the whole process of this operation. Such a large bone defect, I dare to do it, and it can be done so well. I wonder whether this operation should be accepted by the National Orthopedics Department at the end of this month. Go to the annual meeting."
When Ding Changle said this, Qin Dingmo was slightly taken aback.
"Really?" Qin Dingmo remembered that the surgeon he saw was just a kid in his twenties, and none of the surgeons in the whole process was over forty.
Cai Dongfan, the only one over [-, was soy sauced the whole time.
Ding Changle frowned and replied, "Why am I joking with you?"
"In Hunan Province, it has been a long, long time since we have been able to really show our faces at the National Orthopedic Annual Meeting. Those that have been shown are just routine surgeries, which are not surprising to colleagues."
"But this surgery is quite different."
Every year, the annual meeting of orthopedics in Hunan Province is held in early November.
The national orthopedic annual meeting is generally concentrated from the end of November to the beginning of December.
This staggering is to summarize what I have done this year, and then take it out for a walk.
If they were just walking around the province, the three affiliated hospitals of Shonan University would fight back and forth every year, but there were not many fights.
Qin Dingmo didn't want to brag about business with Ding Changle, so he asked bluntly: "Professor Ding, don't lie to me. This operation is no problem."
Ding Changle said: "Why am I lying to you? My student is involved in something, can I leave him alone?"
"Don't worry, there will be absolutely no problems with this kind of operation. Professor Qin, if there is nothing else, then I will hang up first. I have to take a good look at this operation." Ding Changle also had no intention of talking to Qin. Ding Mo was talking nonsense, so he took the initiative to end the topic.
"it is good!"
"..."
After Qin Dingmo hung up, Ding Changle immediately called Yang Yifeng.
Yang Yifeng was full now, so he watched Cai Dongfan, Zhang Zhengquan, Du Yanjun, and Zhou Cheng get drunk. He sat aside and watched the excitement.
"Yi Feng, where are you now? Why are you making such a fuss?" Ding Changle asked.
In the past, Yang Yifeng was the active type, he liked to be lively, and he didn't reject the limelight, but after that incident, he liked to be quiet and to be alone.
Yang Yifeng said: "I watched Director Cai and the others drinking and chatting. I was full, so I rested by the side and wrote the outline by the way."
"Master, what's wrong?"
Yang Yifeng was not surprised that his teacher called him. It was probably Qin Dingmo who recognized him, so he called Ding Changle to ask.
Moreover, Qin Dingmo insisted on speaking ill of Yang Yifeng before, so he had no choice but to show Qin Dingmo a favor.
Yang Yifeng has never suffered a disadvantage when it comes to talk, not only now, but never before.If it wasn't for him not wanting to go to the clinic anymore, and wanting to be a doctor well, Yang Yifeng would have secretly competed with Qin Dingmo.
As Yang Yifeng said this, he recalled how he was when he was serious academically with various professors in his previous rotations. He was a little nostalgic, but also a little emotional.
Ding Changle asked: "You personally participated in the bone transport and transplantation of this large bone defect today?"
"Is it Zhou Cheng himself who performed the surgery and shaped it with a titanium mesh?"
"He also took the four vascular pedicles of the fibula?"
The main reason is to find out whether this is the truth, and if it is, then he doesn't need to hesitate and entangle too much about whether to give Zhou Cheng an exceptional grade III operation.
Instead, it's time to take Zhou Cheng for a walk outside.
Originally, Ding Changle had decided on Yang Yifeng for the role of pulling people out for a walk, and he had already prepared cases and cases, but now Yang Yifeng is not interested in medicine, and now he will take Yang Yifeng out .
In the future, there will be no such person around, and Ding Changle will not be able to explain Yang Yifeng's whereabouts to other colleagues.
"Well, yes. Master." Yang Yifeng nodded.
"Actually, this patient has some special circumstances. He is a..." Yang Yifeng thought that Ding Changle would be entangled in the level of surgery, and he was afraid that he would think that Zhou Cheng was performing a leapfrog operation.
He explained the ins and outs of the matter to Ding Changle, and then said: "So. Master, the chief surgeon of this operation is Director Cai Dongfan."
It was agreed before that he couldn't sell Zhou Cheng, and he had to vent his teacher. No matter who said this matter, it was Cai Dongfan who took the lead.
Otherwise, Luo Sangen's family members would probably make Zhou Cheng so unfit as a doctor. If they found out the reason for the leapfrog surgery, could they let Zhou Cheng go?
"I'm not entangled with you. Of course I know what you said."
"Didn't it be the same during your surgery?"
After Ding Changle replied in this way, he sighed again: "But if you say that, it's really a pity. I originally intended to take this patient to COA, and I planned to ask you to help them follow up. Let's see what happens next."
"However, the follow-up situation of this patient may not be so easy to follow up. It is not appropriate to show it to colleagues. Fortunately, I called you."
No matter what the intentions of Cai Dongfan and others are, after all, they are a little unkind. In order to send people in for surgery, if you meet a serious SB colleague who accuses you of bad intentions on the moral level, how can you reason?
Yang Yifeng smiled: "I'm afraid it can't be taken out, and even if it can be taken out, I don't need to point it out."
"Master, haven't you noticed that there is a lot of talk about the tendon reconstruction process in this operation?"
Ding Changle was taken aback, and asked in surprise, "Didn't Zhou Cheng do this?"
On the operating table, everyone was wearing sterile surgical gowns and two pairs of gloves. Ding Changle really couldn't tell whose hands were whose hands.
"No..." Yang Yifeng was replying when Luo Yun got up and walked over.
Said: "Yifeng, please send them all back later, I'm going to the department to see emergency patients first. If I'm done, I'll call you."
Yang Yifeng immediately picked up the phone, and Cai Dongfan and others, who were drinking happily, nodded and said to Luo Yun, "Okay, Teacher Luo."
After Luo Yun left, Yang Yifeng continued to say to Ding Changle: "Master, Director Cai's place is really Crouching Tiger, Hidden Dragon. You don't know, it seems that none of the subordinates he leads is normal. ."
"The reconstruction of the tendon insertion was done by Mr. Luo Yun, and Mr. Luo Yun's teacher was Academician Zeng Diwei."
"Ah? What did you say?" On the opposite side, Ding Changle was taken aback, his tone was a bit abnormal.
"Ms. Luo Yun is a student of Mr. Zeng Diwei, and he is a very good one. He has been a speaker for COA, AAOS, and APOA." Shared it with your teacher.
When Ding Changle heard the words, he was silent for half a minute.
Because Yang Yifeng would definitely not lie to others, nor would he lie to him, let alone lie to him with this kind of thing.
Ding Changle then laughed wryly: "Then why did he go to the Eighth Hospital?"
"Ms. Luo didn't study for a doctorate. Currently, she only has a postgraduate degree." Yang Yifeng sighed with emotion.
"Maybe no one wants it elsewhere."
MB!
Ding Changle is really angry, you have small eyes, Cai Dongfan, you have small eyes, how can you keep your eyes on each one when you pick up the leaks?
You can pick up Luo Yun, and you can pick up Zhou Cheng too.
The farthest places I have been to are APOA and AAOS. For the time being, no invitation letter has been sent to him by the organizer.
Such a person, because of his academic qualifications, went to the No. [-] Hospital, and they all stayed with Cai Dongfan. Could he be blind because of his small eyes?
Why don't I sew up the corners of my eyes sometime, and bump into a few more apprentices like Yang Yifeng?
Ding Changle said: "Yifeng, if you can do well in medicine, you will not be worse than Zhou Cheng and Luo Yun."
Ding Changle thought that his student felt uncomfortable, so he persuaded him.
Yang Yifeng laughed at himself: "Master, I may not be able to."
"It's all fate." Having said this, Yang Yifeng's nose was a little sore.
The operating table of surgery is a battlefield. If there is a demon, it will be irresponsible to the patient if you stand on it.
Therefore, retreating bravely is the best choice. No patient can become a victim of getting out of his demons. This is Yang Yifeng's obsession.
He once loved this industry deeply, and has been deeply involved in it for a long time. Since he loved it deeply, then he should not hurt and insult this industry.
Since it can't, then it can't, and it's not that Yang Yifeng is hypocritical.
If when performing an operation, I always think that I once killed my mother, and my father also lost his life because he did not have the operation, so how do we do the operation?
Not every patient can let his inner obsession overcome his demons like this Luo Sangen.
Those who should go in, you have to go in for me!
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