medical simulator

Simply, you can only treat a dead horse as a living horse doctor.

It's a pity that if this happens, it will be almost impossible to reset the technique in private later.

I managed to reset the method of redefining the level obtained through the simulated copy, but I only got a little thank you value, so I'm going to put it in dust?

Opening a new dungeon requires 20 thank you points, 10 points were spent before, and 1 point is left, and now I get another point, a total of [-] points.

Originally, Zhou Cheng's plan was to not reset the tricks after opening a new simulation copy...

On Luo Yun's side, after receiving the pre-reset film, he felt embarrassed at the time.

Damn it, the fracture is still in the middle of the tibia, not in the middle and lower part. The phantom in the middle and lower part is the overlapping shadow of bone perforating blood vessels.

Getting the wrong position made Luo Yun feel very embarrassed.

Then he scanned Zhou Cheng again, cursing secretly, Zhou Cheng did it on purpose this time, right?Do you want to make a fool of yourself by doing the reset so well?

But thinking about it, cursing, Luo Yun's face changed.

Read the film of the fracture carefully again.

Then quickly put away the film, and then looked at the film after reset.

The eyes blinked rapidly.

Can these two films be related?can be contacted?

Is it alone?

"How is it, Dr. Luo?" The patient has been paying attention to the changes in Luo Yun's expression, seeing such complicated fluctuations, he panicked a lot.

"It's okay, the reset is done pretty well."

"Look, this is a comparison of pre-operative and post-operative films. You can understand the pre-operative fracture, right? Here, it's broken."

Luo Yun made the description easy to understand.

"Look at the following film again. The reduction is so good that the fracture line can no longer be seen. This reduction is very good, but your cast may take a little longer. Doctor Zhou told you how long it will take to wear the cast what?"

"Two months." When the patient heard that he could recover well, his smile suddenly became stronger, and he quickly replied.

"Less, less than two months, at least three months, and after one month, you have to come to the outpatient clinic for reexamination, and then come directly to the ward for reexamination, and you don't need to go to the outpatient clinic to register."

"If I'm not around, tell the staff at the nurse's station that you are here to see Dr. Luo Yun, and they will contact me." Luo Yun confessed seriously.

"Oh, okay, thank you, thank you, Dr. Luo." The patient was quite happy to hear that he could come directly to Luo Yun in the ward.

I just went to the emergency department, and they know that even in the emergency department, there are too many procedures to go through.It took a long time to see the doctor, and now Luo Yun let them come to the ward directly, which can save a lot of trouble.

Really a good doctor.

Then Luo Yun hurriedly dismissed the patient and his family members.

Seeing the patient and family members walk out of the department door, Luo Yun's expression became slightly serious, and he said to Zhou Cheng, "Come with me to the director's office!"

Zhou Cheng knew something bad was going to happen when Luo Yun wanted to see the pre-reset check.

But he still followed behind Luo Yun's ass, came to the director's office, closed the door very honestly, and looked at Luo Yun with some anxiety.

I'm afraid that Luo Yun will directly revoke the authorization for the operation that he just received less than a day ago.

Sure enough, as soon as Zhou Cheng closed the door, Luo Yun directly pulled Zhou Cheng in, pointed at Zhou Cheng's forehead in a high-pitched voice, and asked, "Do you know why I pulled you in?"

The point at this moment is not to criticize Zhou Cheng, but to let Zhou Cheng know where he is wrong.

"I know, the patient who is suitable for surgery has been reset by manipulation. It violates the current guidelines." Zhou Cheng is very confident, because this is what he wants to do during this period of time. downgrade.

"Know it and commit it again? How many brains do you think you have?"

Zhou Cheng remained silent.

No one has a few heads, but Zhou Cheng hopes to open a few new dungeons with more thanks, and Zhou Cheng has already made sufficient technical preparations.I have confidence in this method of reset.

But Luo Yun didn't know about this kind of thing, who would have thought that Zhou Cheng would be able to redefine the ability to reset the technique?

Seeing that Zhou Cheng didn't speak, Luo Yun also knew that Zhou Cheng might still realize his mistake.

Then he said: "You are too Meng Lang, do you know that?"

"Although, for the time being, I haven't figured out how to do manual reset in this situation."

"And, judging from the results after the reset, it can be seen that you have this strength. The results before and after the reset are released, and no one will misunderstand the results of this treatment wherever they are placed."

"But, have you thought about it?"

"What if the patient goes to Director Yan or Director Hu for reexamination, what will happen?"

"Director Yan told me face to face. Moreover, Director Hu has been scolded by Director Yan. He is not allowed to perform manipulation resets in the department, and no one else does."

"Forehead!"

"You don't know about it."

When Luo Yun said this, he suddenly remembered that this kind of thing happened three years ago, before Zhou Cheng came to the department.And since Director Hu is also the chief physician, in order to save his face, no one in the department babbled about resetting.

After all, if a few director-level people don't take action, who would dare to reset the technique casually?

But Luo Yun still reprimanded: "But even if you don't know, why don't you communicate with us in advance?"

"If I don't explain to the patient today, I want him to come to me directly for reexamination."

"He went to Director Hu and Director Yan for reexamination. How are you going to deal with it? Have you thought about the consequences?"

Zhou Cheng thought about such a question, but it was only a month or two later. At that time, Zhou Cheng felt that he could already be recognized.

It's just that Zhou Cheng never imagined that Director Yan and Director Hu would have any kind of conflict in the reset technique.

Although it is unexpected, it does not mean that the ignorant are innocent.

Zhou Cheng immediately admitted his mistake: "I'm sorry, Mr. Luo, I'll make sure next time."

Luo Yun heard that Zhou Cheng was going to say that he would definitely not commit another crime next time, so he changed his tone and said, "It's not that absolute."

"Manipulative reduction itself is an indispensable part of fracture treatment. In the department before, it was taken out of context because of Director Hu's affairs."

"Nowadays, the hospital has not performed manual reduction surgery for several years, which is actually wrong."

"It's just that this kind of thing is not something that you and I can face and carry. You have to tell us, and then Director Cai will talk to Director Yan. Moreover, Director Yan himself is actually a little bit stuck right now. He has a Patient, surgical contraindications at the physical level..."

Chapter 32 Children cannot be taught!

"Patients in Director Yan's group?" Luo Yun wanted to say that, and Zhou Chengcheng became interested, and his eyes lit up.

If Director Yan wants to take the lead in performing manual restoration in the department, then he is right on the cusp.It's just that Zhou Cheng is a junior trainer in Cai Dongfan's group, and he is not qualified to see patients in other groups.

"This is not the focus of your consideration." Luo Yun quickly dispelled Zhou Cheng's idea of ​​asking other groups of patients.

Among the patients in Yan Haihan's group, even Cai Dongfan couldn't say much, what is Zhou Cheng asking here?

However, Luo Yun hesitated for a moment, and still said: "However, Director Cai Dongfan mentioned to me some time ago that Director Yan Haihan is going to reset the technique in the department again. This is actually related to the positioning of our hospital. "

"You should also know another name of our hospital, right?"

Zhou Cheng nodded repeatedly and said, "Yes, I know, Shashi Hospital of Traditional Chinese Medicine."

Luo Yun looked at other places, probably knowing that no one would come in now, so he found a stool and sat down, and then asked Zhou Cheng to find a place to sit down as well.

Cai said: "Yes, in the past, the characteristics and positioning of our hospital were mainly traditional Chinese medicine. At that time, it was the same, including orthopedics."

"It's just that, around the 80s and [-]s, because of the gradual rise of clinical medicine..."

Luo Yun even told Zhou Cheng the history of the development of the department.

It turned out that the current Shashi No. [-] Hospital was formed by merging the original Shashi Hospital of Traditional Chinese Medicine and the No. [-] Hospital. There were many reasons for the merger, but Luo Yun only mentioned something related to orthopedics.

In the past, there was only one department of orthopedics, and the main thing was traditional Chinese medicine treatment. Even Luo Yun heard about it from Cai Dongfan. At that time, a group of old professors who were still alive were very capable in the conservative treatment of fractures. And this is the characteristic of traditional fracture treatment in Huaguo.

But it has to be admitted that Chinese medicine has great limitations in the treatment of fractures.

Because there are some complex comminuted fractures, it is simply impossible to treat them with manual reduction and conservative treatment, and some patients who can barely be reduced by manual reduction, the final functional recovery is completely incompatible with open reduction and internal fixation of fractures. patients on a par.

Moreover, the surgery for fractures is not too complicated and reliable, with relatively few sequelae.Therefore, more and more patients are inclined to surgical treatment.It's because of the fear of repercussions.

Because of the selective change of the patient population, in fact, under the impact of modern clinical medicine, the department had to change its direction and shift its focus to the surgical treatment of fractures in clinical medicine. For a period of time, it did gain more patient populations. .

Moreover, the patient's degree of activity, recovery speed and other satisfaction after surgery have also been improved.

And then the new generation, just like the younger generation like Luo Yun, didn't even have the chance to get in touch with the manual reset technique of those old seniors.

Over time, instead, the characteristics of the techniques used by the Eighth Hospital at that time were gradually lost...

Luo Yun continued to analyze: "However, as you can see now, although our orthopedics department has also developed for decades, the current situation is rather embarrassing."

"Compared to the real surgical strength, there is definitely no way to compare with the three affiliated hospitals of Shonan University in Shashi. There is no way to compare with the Provincial People's Hospital, the Central Hospital and other hospitals."

"On the contrary, we have gradually lost the unique characteristics of our hospital. The current patient flow is much lower than that of the affiliated hospital of Hunan University of Traditional Chinese Medicine."

"Nowadays, there are many vacancies in the beds in the department."

Zhou Cheng nodded. In Shashi, this is indeed the case. Patients can easily receive the top medical resources in the province.

Although the fracture is simple, several leading hospitals in Hunan Province may not be able to say that they are much ahead of other hospitals.But what cannot be denied is that there is a certain gap between the No. [-] Hospital in Shashi and the top hospitals in the province when it comes to internal fixation for complex fractures.

Therefore, the only patients left in the department are some simple patients, and they are also nearby patients.

The number of this source of disease is not many.

Therefore, if the department does not change its strategy, the existing number of patients cannot be maintained.In a hospital without a source of disease, there is no need to talk about the development of any department. It would be good if it can keep doctors who can't eat enough.

While this sounds snobby, it is the truth, and being a doctor is just a profession, and doctors rely on it to support their families.

Therefore, in the past period of time, some directors of the No. [-] Hospital in Shashi had one or two exodus incidents, which took away a large wave of patient flow. They believed that the skills of the previous directors, The star district has a reputation, even if they go to other districts, they are still willing to go to the original directors for medical treatment.

It's not too far anyway.

"So in fact, the current department is in a critical period of transformation. I guess, whether it is Director Yan of our department, or our chief director of orthopedics, Director Zeng Yi, have thought about it, and we must continue to find the treatment that belongs to our department. feature."

"That is to see if we can make a breakthrough in conservative treatment, and then bring back some patients who hope to use conservative treatment to solve their fracture problems."

"Besides, we still need to make some clinical breakthroughs."

"And for this breakthrough, there are only a few choices. Either it is to improve the level of fracture reduction and internal fixation to catch up to the top level of Shashi, and compete with them hard, or it is to develop some new surgical methods. come out."

"Find a direction that is currently popular, and then go for it."

"Either change direction, turn to the direction of sports medicine or joint surgery."

"It's just that the risk of changing the direction is too great. Nowadays, several old directors in the department are not professional joint surgeons. This is more difficult."

After Luo Yun said something casually, he calmly stopped.

There are some words, just click and stop. If you really want to talk to Zhou Cheng, it means that you are too small for Zhou Cheng, which is not fair to others.

Then the subject changed and asked: "The patient just now, how did you reset it?"

"This kind of patient belongs to the contraindication of manipulative reduction, is it not so easy to do manipulative reduction?"

Hearing this, Zhou Cheng explained: "It is strictly following the steps of manual reduction. I usually like to search for some special manual reduction materials. For this patient, I first considered the classification of his fracture."

"It belongs to type B2. Although it seems to have a wedge-shaped bone fragment, it is an unstable fracture type, but it can achieve stable fixation after the wedge-shaped bone fragment is reset through the intercalation force of the soft tissue, and then external fixation with plaster can fully meet the fracture type." Therapeutic purposes of reduction and immobilization."

"And then, it worked."

After hearing this, Luo Yun immediately rolled his eyes.

I TM asked you how you did it, not for you to give me the principles of fracture treatment.

It's useless to ask.

Zhou Cheng looked at Luo Yun's expression, and knew that what he said was clearly the essence, but Luo Yun didn't listen at all.

It's useless.

Children cannot be taught.

Chapter 33 Timely Rain

"Okay, you should be on duty, be careful, don't be reckless."

Luo Yun cut off the conversation with Zhou Cheng, and after pondering for a while, he said: "Being a doctor is different from being an ordinary person. Don't think that you can do what you can do without the law."

"It's better to let the superior doctor know what you are doing, and then analyze it according to the actual situation."

"After all, the one who is going to wipe your butt is also the superior doctor."