medical simulator

[Closed reduction of fracture has been successfully retained (leading - Li Shuo level)]

[The current skills have not yet been fully systematized, and other skills cannot be analyzed for the time being. 】

After reading it, Zhou Cheng felt that his talent might be really poor. After two lifetimes of experience, he failed to further expand the adaptability of manual reset after fracture.

Then narrow down the surgical indications.

But Zhou Cheng is also very open-minded. It took him so long to obtain the perfect skill, let alone above the perfect skill level, it will definitely take more time, let's take it slowly.

The principle of fracture treatment is reduction, fixation and rehabilitation.

Reset first, reset is either manual reset or surgical reset, there is no third option.

What Zhou Cheng has to do is to expand the adaptability of manipulative reset.

Normalize the closed reduction of fractures as soon as possible. Even if Zhou Cheng can't perform in front of senior doctors like Luo Yun and Cai Dongfan, he can still perform manual reduction on some patients who need fractures when he is on duty alone later. With the money, you can also get a lot of thank you points to open new copies.

Five minutes later, Zhou Cheng started the dungeon simulation again!

This time, Zhou Cheng's purpose was pure, and he only brought the skills of closed reduction of fractures (leading - Li Shuo level) and open reduction and internal fixation of fractures (perfect level), and did not choose other miscellaneous skills.

If it weren't for the fact that the skill of closed reduction of fractures could not be translated into other skills for the time being, such as anatomical experience, Zhou Chengcheng would be too lazy to use open reduction and internal fixation of fractures.

It can be reset manually. If it is not based on anatomy, any research progress must be rootless duckweed, a castle in the air.

[You have fracture reduction surgery (leading - Li Shuo level) and you are obsessed with fracture closed reduction surgery, so after you completed the training, you visited well-known domestic trauma experts and TCM orthopedics experts again, and communicated with them Exchange of experience. 】

Zhou Cheng simply understood that the progress in the simulator is all based on his own thinking, as long as he doesn't starve himself to death, he doesn't need to pay too much attention to the social factors in the simulation scene.

Anyway, you can do it all over again, so you don't have to be afraid of the cost of trial and error, otherwise, in reality, it is impossible for Zhou Cheng to stop working and choose to wander!

His parents won't allow it.

[Your parents asked you to find a stable job first, because you have visited many famous experts, and they are quite convinced of your knowledge and skills in the field of orthopedics.So I recommend you to go to a very famous Chinese medicine hospital as a contract worker. 】

【You agreed, and because of the teacher you visited, you quickly obtained the authority to be the chief physician and treat you. 】

【Five years later, your traditional Chinese medicine hospital is unique in manual reset and bruise injury. Therefore, it has won the trust of many colleagues and began to send training staff to your unit. 】

【You have participated in many conferences related to traumatic injuries in traditional Chinese medicine. During this period, you had detailed exchanges with many old Chinese medicine practitioners.They are very enthusiastic to talk freely with you, and discuss systematic knowledge together, hoping to close and reset the technique and establish it as a separate discipline. 】

【They let you rush boldly with confidence, and they will fully support you. 】

[In the eighth year, you once again completed the corresponding theoretical research on the closed reduction of humeral fractures, and once again added a strong stroke to your fracture manipulation reduction.Your prestige in the industry has once again been enhanced. 】

【The muscle strength involved in the humerus is very strong, so manual reset is quite difficult, but you solved this problem. 】

[In the tenth year, you found that the communication with the seniors still couldn't solve the problem of systematic knowledge.So you started to concentrate on research again, and kept visiting famous experts in Chinese and Western medicine. 】

【You send your parents a lot of money, but they start urging you to get married.You can't beat it! 】

[No. 15 years, your first child was born, and you enjoy the happiness brought by family very much.I began to doubt whether my attachment was correct. 】

【No. In 17, your child suffered a fracture of the humerus due to an accident. Your wife is going to send the child to the hospital for surgery, and she doesn’t trust you to heal him.But the hospital she went to invited you to a consultation for manual reset.Your child recovered successfully without any scars or sequelae. 】

[No. In 18 years, your wife is determined to fully support you in continuing your career.Because of the support of your wife and family, you once again devoted yourself to research in related fields.Ready to start gnawing closed reduction of femur fracture. 】

[No. 20 years, you have entered the year of knowing your destiny, but you still have no progress, you start to slow down the pace of research, and take your wife and children out to play. 】

[During your travels, you accidentally heard that some animals can still stand up normally after a period of recovery after accidental fractures. 】

[So you are greatly inspired!Dip into research again. 】

[When you were 70 years old, you felt that you were only one step away from perfecting the theory of the whole set of fracture manipulation reduction surgery, but you were already old and suffering from various diseases, so you had no choice but to stop the research. 】

[When you were 75 years old, you finally died of depression. 】

[The simulation ends. 】

[Comprehensive score: perfect.You have broken the limit of your current skills!And enrich the theory of current skills again. 】

[You can choose to keep one of the following! 】

[Research progress on closed reduction of femoral fractures when you were 70 years old. 】

After reading it, Zhou Cheng frowned.

Well, this time, I have only achieved a theoretical breakthrough in the manual reduction of humeral fractures in my lifetime, and there is still no substantial progress in the manual reduction of femoral fractures.Therefore, the skill level of manual fracture reduction has not been improved.

What can be preserved is the research progress.

However, at this time, Zhou Cheng couldn't fall asleep, as if a cat's claws were scratching his heart.

We waited until 00:39!After the third dungeon cooled down, Zhou Cheng started the dungeon simulation again.

This is already the fourth life, Zhou Cheng wants to see if he can make a breakthrough and how bad his aptitude is.

Four generations, it has been almost hundreds of years, and this skill has not yet been broken to the full body.

The simulation begins!

【You temporarily gave up the research on the femur, but switched to manual reduction of fractures of the cuboid, talus, navicular, etc. 】

【After your regular training, you chose to work in a small traditional Chinese medicine hospital. Your parents are quite satisfied with your job. 】

【Your superior doctor and leader also value you a lot, and decided to give you some support and let you see the doctor alone...】

Well, Zhou Cheng's start this time is different, because he already has the research progress of the 70-year-old in his previous life, so there is no need to visit those famous experts, and the exchange of experience with those famous experts is completely in the research progress.

When a man wants to do something, he has to settle down first.

Then you can die.

Chapter 21 Redefining perfection

[At the age of 30, you have strictly mastered the expanded indications for manipulative reduction of ulnar radius, tibia and fibula, humerus, and hand and foot fractures, and you did not forcefully expand the indications for reduction again, so the patients you reset will receive Had a great healing. 】

[You have gained a lot of fame in the local area.Your unit and leaders hope that you will participate in academic exchanges, so as to further expand and enhance the reputation of the school.You say no. 】

[Although you rejected the suggestions of the leader and the hospital, your position in the department is irreplaceable, so you have gained more freedom to operate. 】

【Finally, when you were 45 years old, you completed the theoretical research on closed reduction of femur fractures, and practiced it with great success. 】

【Your skills in technique reset have finally been further improved.Breaking through the barriers of current skills, redefining the most perfect fracture reduction technique!So you start to submit articles to the magazine, hoping to be recognized by your peers. 】

【It's just that the number of cases you involved is very small, and your research has damaged the interests of some medical device companies that make steel plates, intramedullary nails, etc., so you were assassinated. 】

【You died in a car accident! 】

[The simulation is over! 】

[Comprehensive rating: quite regrettable.You have successfully re-broken the definition of perfect level proficiency in closed fracture reduction, but you died unexpectedly! 】

[You can choose to keep one of the following! 】

【Closed reduction of fracture (perfect - redefined)】

[Note: The highest level of proficiency in all skills is perfect, which leads to a new breakthrough in the proficiency of the perfect level. It is said that you have formed a relatively systematic theory, but whether this theory is applicable and beneficial to clinical practice, Whether it is popular, economical and beneficial needs further confirmation. 】

【Perfect—redefinition means that your new theory has been clinically approved, and it is popular and economical.Promoted as a textbook, it redefines the perfect level of this skill! 】

[Become the pinnacle. 】

[Your life comprehension before death. 】

After reading it, Zhou Cheng was a little stunned, but also overjoyed.

He died unexpectedly, but it is also understandable that this world has never been a pure world, and conflicts of interest have always existed. Therefore, this simulation, in addition to bringing me a breakthrough in skills, also told me about my own personality. reason.

That is, before you have a certain weight and popularity, you must not think about subverting the current industry regulations, otherwise you may be crushed by the power of capital.

For medical device companies, surgery is the source of their livelihood.If you make other people's research useless, or narrow down the usefulness, make less money, and have no certain weight, then who will mess with you if you don't?

This was the first time that Zhou Cheng didn't get a good death during the simulation.

Let Zhou Cheng think for a long time, and then decided that in the future, this skill can only be used by himself in reality. Before he has a certain self-protection power, he must not think about promoting it.

After recalling the theoretical details of the corresponding skills in his mind again, Zhou Cheng fell into sleep.

The next day, Zhou Cheng had the experience of yesterday, so he didn't get up until 07:30, and when he rushed to the department after having breakfast, it was already [-]:[-].

The doctor's office is still overcrowded.

Du Yanjun, Zhang Zhengquan and others arrived early and occupied the computer.

But after seeing Zhou Chenglai, Du Yanjun was the first to stand up and said, "Brother Zhou Cheng, here, you have a new patient today. You should familiarize yourself with his examination information in advance."

"Have you used it up?" Zhou Cheng asked Du Yanjun in astonishment.

Zhou Cheng never thought that Du Yanjun would give him the computer.

"Well, I have already recorded all the inspection results that should be recorded. Brother Zhou Cheng, your new one is the +9 bed." Du Yanjun stood up and gave Zhou Cheng a very kind reminder.

"Thank you!" Zhou Cheng was a little uncertain what Du Yanjun meant, but he always felt that Du Yanjun's sudden enthusiasm must not be for no reason.

It's not too early to start without profit, Du Yanjun, a person with such a quick mind, must have a plan.

However, since a new patient came, and there was not much time left, Zhou Cheng decided to check the patient's diagnosis and examination results first, and then ask about the medical history.

After reading the patient's outpatient X-ray of the right calf, it is almost confirmed that the patient must have a double fracture of the tibia and fibula.

However, his examination results are only X-rays, so it is impossible to determine whether there are other injuries, or whether there are soft tissues, or whether there is any problem with the nearby joints. This can only be deduced after Zhou Cheng has personally seen the patient.

Otherwise, it is enough to have a radiologist to make a diagnosis, so why do you need a bed doctor?

When he came to the bedside, Zhou Cheng asked about the medical history in detail, and found out that this middle-aged man was knocked down by an electric car.

The place where I hit was that I knocked down my right calf from the side, and after I fell to the ground, I was sent directly to the hospital, where it was said that there was a fracture.

Zhou Cheng did a detailed palpation and found no tenderness in the nearby joints.

There is no tenderness. Although it is impossible to completely rule out the existence of ligament and other injuries, the probability is estimated to be low.

After taking a look at the patient's right lower limb, it was already covered with plaster!

Zhou Chengcheng said: "Okay, Brother Li, I have already cleared up your situation. Our director will come to make rounds later, and we will arrange your diagnosis and treatment plan together!"

"Well, okay, thank you, Dr. Zhou."

"You are my doctor in charge, right?" The patient didn't know who the director was, but Zhou Cheng was the first doctor he saw, so he felt that Zhou Cheng was in charge of him.

"Well, I'm your bed doctor. We are divided into groups, and the doctors in our group are all your doctors in charge. If you have anything to do, you can call me. If I'm not around, you can find other doctors in our group. A doctor can do it too." Zhou Cheng explained in detail.

After finishing talking, Zhou Cheng walked towards the shift room. He needed to familiarize himself with the patients before the ward rounds, but everyone had to attend the shift at eight o'clock on time.

When Zhou Cheng entered, he saw Yan Haihan and other directors, Luo Yun and others were already sitting in their seats, and opposite to the doctor was a nurse with a bachelor's degree.

Behind the team of doctors and nurses are full of trainee nurses and training doctors.

Only the employees of the hospital are assigned seats, and there are more new employees.

Before Pang Dingkun came, his chairs had not been added.

Those who are standing are quite envious and looking forward to one day being able to sit on a chair and become a formal employee.

"..."

Chapter 22 It's Over, Too Hard Again

Although for the department, adding more chairs will certainly not constitute an economic burden.

It's just that the shift room is so big, it's impossible to fit so many chairs.

It's like, the normal operation of Shashi No. [-] Hospital requires so many people, but the proportion of formal employees is actually not much.

The reason why there are intern nurses standing in the shift room and no intern doctors is because it is October and most of the interns are already preparing for the nationally organized postgraduate entrance examination with all their heart and soul.

During the handover, Yan Haihan once again emphasized that Dr. Guipei should work hard and not give up lightly.

After the shift was over, Yan Hanhan actually wanted to lead the rounds in person after a long absence.

It's been less than three days since the last time he led someone to round the room.According to the regulations of the hospital, the chief physician and the deputy chief physician only need to make ward rounds once a week.

However, Yan Haihan, as the director of the group, whenever he wants to come to the rounds, this is his freedom, and he can't ask to come at other times.

Cai Dongfan's beds range from 25 beds to 36 beds.

Zhou Cheng is in charge of 25-28, +9.

Du Yanjun was in charge of 29-33, +10.

Zhang Zhengquan is in charge of 34-36, +11, +12!

Such distribution is also particular.