medical simulator

Strong academic style.

Everyone looked at him a few more times. After all, Professor Ding's name is still a trauma specialist in the province, which is extremely resounding.

In the usual academic exchanges in the province, Professor Ding basically sits in front or is the host.

Yan Hanhan said: "Everyone, don't just listen to Xiao Yang's modesty. Xiao Yang is currently a graduate student who has been specially approved to perform level III surgeries in Xiangnan Hospital."

"I'm 22 years old this year. The sixth year of the eight-year undergraduate, master, and doctoral program!"

After hearing this, everyone present had a sudden change of expression...

The same is true for Zhou Cheng.

If it is very common to perform level III surgery alone in Shonan Hospital, there are only a very small number of postgraduates who can perform it alone.

If this age is limited to under 25 years old, it is estimated that the three affiliated hospitals in the whole school will not be able to find five.

22 years old, the sixth year of the eight-year undergraduate, master, and doctoral program.

That is to say, when he first entered his freshman year, he was only 16 years old.

Junior class?

Still skipping a grade.

This is a proper template for a famous character, a big cow who usually appears in novels.

A god-level figure, right?

Sure enough, after Yan Haihan introduced such a short message, all the eyes of the entire shift room were focused on Yang Yifeng, and Zhou Cheng deliberately noticed that the intern nurse was standing opposite him!

There was a commotion.

Someone shyly pinched the corner of his clothes.

Someone turned his head and pretended to be whispering to his companion, then secretly looked at Yang Yifeng from the corner of his eye, probably thinking that the pimples on his face were very sexy.

Yang Yifeng didn't answer Yan Haihan's words, but said, "I'm sorry, because I delayed the transition of the teachers. Director Yan, let's start the transition."

After finishing speaking, Yang Yifeng will take the initiative to stand in the team of doctors listed by Zhou Cheng and others.

Yan Haihan said: "Head nurse, prepare a stool for Xiao Yang tomorrow."

"Hu Qian, start handing over the shift." Saying this, Yan Haihan walked towards his position as the director.

……

Chapter 52 Don't play cards according to routine

After the on-duty doctor and the on-duty nurse handed over the patients admitted in their own class and the patients who are going to be operated on today in detail, the shift ended.

Then the right to speak went directly to Yan Haihan.

Yan Haihan once again solemnly welcomed Yang Yifeng's arrival.

And pursed his throat, Zheng Zheng said solemnly: "Xiao Yang came to our department, there is no set group. The specific group he will stay in after that depends entirely on Xiao Yang's own wishes."

"Director Hu, Director Cai, you can fight for it too."

"Kuku!"

After hearing this, Hu Ming laughed a little out of place.

But after making the sound, facing Yan Hanhan's slightly dark expression, he smiled apologetically and said, "I'm sorry, Director Yan, I didn't cover myself with the quilt last night, maybe I caught a cold."

I just couldn't hold back.

After speaking, he stretched his neck deliberately, and smoothed the shape of the trachea with his hands.

Anyway, believe it or not, Yan Haihan still has to do his superficial work properly.

Hu Ming laughed out loud suddenly, which made the atmosphere in the shift room suddenly a bit weird, and Yan Haihan could only order with an ugly face: "Then there is nothing else, just end the shift."

"Today at three o'clock in the afternoon, there will be a case discussion of the whole department in the department."

"Director Hu, Director Cai, you two groups have no surgery today, everyone in the group should come to participate."

Obviously, even Zhou Cheng could hear that Yan Haihan omitted all kinds of long-winded speeches that he had prepared in advance, for example, the department does not belong to me alone, but the department belongs to everyone.

The development of the department depends on everyone, and the development of the department belongs to everyone.

The resources in the department are all fair, everyone can do their best...

Then, after going around in a big circle and making everyone else stunned, he said one more sentence: Pang Dingkun will stay in my group for the time being...

Cai Dongfan and Hu Ming formally agreed to Yan Haihan this time.

After all, Yan Haihan is the director of the ward, so I still have to give him some face.

After the shift was over, Yan Haihan didn't get up and leave immediately. Instead, he signaled the people in his team to go to the ward round first, and then started to walk towards Yang Yifeng, talking to him very gently: "Xiao Yang, where is our department? It is definitely not as good as the Shonan Hospital you were in before, in terms of basic equipment and..."

Hu Ming took his own people and left without bothering to listen.

Cai Dongfan looked at Yang Yifeng, shook his head slightly and sighed, then led Luo Yun and Zhou Cheng to walk around the ward.

Then walking down in a circle, there are two patients who are about to be discharged, one belongs to Zhou Cheng, and the other belongs to Du Yanjun.

For the five newly admitted patients, the preoperative examination has been basically completed, and only one patient's CT scan and [-]D reconstruction are scheduled for this afternoon.

Moreover, Zhang Zhengquan happened to be on duty today, and tomorrow the team has the priority to arrange surgeries, so he wanted to arrange surgeries for these patients as soon as possible.

The patient was admitted on the day Zhou Cheng and Du Yanjun were on duty.

A total of five surgeries were arranged.

Two patients belonged to Zhou Cheng, and two patients belonged to Du Yanjun.

Zhang Zhengquan only had one, because the patients were not taken in when he was on duty, so Zhang Zhengquan was only allocated after his own bed arrangement was full.

After Zhou Cheng checked the house, he hurried to grab the computer!He has a total of 25-28, +9 five beds.

Among them, 25 beds are postoperative patients who are going to be discharged today.

Bed 26 is a patient with tibial plateau fracture who underwent surgery last week. He is recovering well after surgery, but he needs to be observed for a few more days.The patient is also willing to stay in the hospital for a few more days, and the intravenous drugs have basically been stopped at present.

Oral drugs were used for analgesia and swelling, and low-molecular-weight heparin sodium was used to continue anticoagulation.

The postoperative X-ray examination was done on Sunday, and the result is good so far. The patient can continue to exercise functionally in bed, and the rehabilitation training of leg raising and quadriceps has gradually improved. He is a patient waiting to be discharged from the hospital. .

There is no special arrangement, but today I will review the postoperative inflammatory indicators to avoid infection.

The patients in beds 27 and 28 were fracture patients admitted last Friday.

One was a simple mid-femur fracture, and the other was an intertrochanteric fracture.The postoperative examination has been completed, and mannitol dehydration has been applied on the weekend, and the current degree of edema is within a controllable range.

However, Cai Dongfan felt conservative, and did not arrange surgery for the 28-bed femur fracture patient, but hoped that he would go down the swelling for a few days before elective surgery, and the patient with the intertrochanteric fracture would have surgery tomorrow.

+ 9 beds, it was the fractured patient before, the patient who Du Yanjun took the initiative to help Zhou Cheng write the medical records.

Getting ready for surgery tomorrow.

Zhou Cheng hurriedly arranged the discharge records and doctor's orders for the 25 beds he was discharged from the hospital, and also told the nurse's station that +9 beds will be transferred to 25 beds this afternoon.

+9 beds will be ready for surgery tomorrow.

After the operation, it is naturally inconvenient to live in the corridor, after all, it is so inconvenient to live in the corridor.

After Zhou Cheng wrote the discharge order and handed over the discharge medical records to the patient, he sat in front of the computer and wrote the pre-operation doctor's order for +9 beds and 27 beds in a somewhat complicated mood.

Surgery is not a child's play, except for the indications and contraindications of surgery to be evaluated.

Preoperative examination and preoperative preparation are also an important process.

For example, patients whose fractures require internal fixation need to use prophylactic antibiotics. After all, the prosthesis put in is a foreign body.Surgery with foreign bodies is an absolute indication for prophylactic use of antibiotics.

Of course, there are naturally antibiotic skin tests, routine blood preparation and other routine preoperative preparations.

And talk to sign these.

However, the reason why Zhou Cheng had complicated thoughts was mainly because he felt that, except for patients with 28 beds and intertrochanteric fractures, there was no other way, they had to be operated on!The fracture here does not mean that it cannot be reset by manipulation, but that it cannot be fixed after reduction. It is an extremely unstable fracture area and must be treated surgically.

But for +9 beds and 27 beds, in fact, manual reduction and a standard plaster external fixation can completely avoid surgery.

"Forget it." Zhou Cheng thought for a while, but still shook his head.

To be safe, to be safe.

After the fracture, there is an unstable fracture.Surgical treatment is naturally the safest treatment.It's the same wherever you go, that is, here, you can be so entangled.

Just when Zhou Cheng issued the doctor's order, Yang Yifeng seemed to have escaped Yan Haihan's entanglement, and then found Pang Dingkun who was about to leave the operating room at the moment, and asked: "Brother Pang, hello, I am Yang Yifeng, please take care of me in the future." .”

Zhou Cheng glanced at the two of them.

I thought to myself: Oh.When a doctor meets a doctor, it's sympathetic to each other.

The classes are different, so naturally what you can talk about is different.

Pang Dingkun is not a Ph.D. student at Shonan University, but a Ph.D. student at Hengda University. Although he is older than Yang Yifeng and graduated earlier, Yang Yifeng's resume can beat him up.

So Pang Dingkun invited very politely: "Yifeng, today our group has three operations, and I just happened to show you our operating room."

Orthopedics belongs to surgery, and the operating room is both a battlefield and a learning paradise.

Hearing this, Yang Yifeng was a little stunned and said, "Senior Brother Pang, I won't go to the operating room today, I'll take a random walk around the department first."

"Director Yan also agreed."

Yang Yifeng actually refused, and directly dragged Yan Hanhan out.

The voice of refusal immediately caused the five people including Zhou Cheng to turn their heads away.

Pang Dingkun was a little stunned at the time, after all, there was almost no way out for the questions he asked Yang Yifeng.

But Yang Yifeng directly refused.

This TM is a bit unconventional.

"That's fine, you can get acquainted with the environment in the department first." Pang Dingkun could only find a reason to comfort himself, and then hurried away.

His initiative to show affection to Yang Yifeng was directly beaten by Yang Yifeng with a stick.

Chapter 53 It's so exciting!

There is an operation scheduled for tomorrow, so Zhou Chengcheng slowly polished the writing of the medical records and the signed consent form in the department step by step.

On the basis of the existing template, try your best to make a systematic review of all possible unexpected situations, then modify the template, and save it as your own private template again.

The existing templates in the department were all established by the previous superior physicians, and it is difficult for Zhou Cheng to make comprehensive revisions...

The modification process is quite interesting.

Zhang Zhengquan is on duty.Both Zhou Cheng and Du Yanjun had patients who needed surgery tomorrow, so they naturally stayed in the department and accompanied Zhang Zhengquan on duty.

The doctors in the other groups all finished their work one after another. If there is nothing special, they should go back to read books, go on 'dates', and write papers if they should write papers.

Anyway, as long as the case discussion in the afternoon comes, it will be fine.

Yan Haihan and other bed doctors who were about to undergo surgery naturally all went to the operating room early.

At about 11:30, Zhang Zhengquan finished talking and signing the surgery patient.

Stand up and say: "Brother Zhou Cheng, Brother Yan Jun, thank you two for accompanying me on duty today."

"I've already ordered food. If there are no other arrangements for noon, can I eat in the department?"

Zhang Zhengquan has always been quite a delicate person, not only is he good at getting along with Zhou Cheng and Du Yanjun, but he also licks Luo Yun very well every time.

Therefore, many times, when Du Yanjun was on duty and was unable to perform emergency surgery, Zhang Zhengquan had many opportunities for emergency surgery.

Blocking the escape route, Zhou Cheng could only reply politely: "Thank you, Quan Zi."

Du Yanjun said: "Thank you Brother Quan, let me order a drink. Have tea?"

"Brother Zhou Cheng or Fengqi Green Osmanthus? Brother Quan, do you drink Orchid Latte or Oolong?"

One of Shashi's specialty milk teas is Chayan. Fengqi Lvgui is the only green tea that Zhou Cheng usually drinks, while Zhang Zhengquan drinks Oolong and Youlan Latte.

Hearing this, Zhou Cheng immediately took out his mobile phone: "Let me order some!"

"Yan Jun, put your phone away."

Before Zhou Cheng finished speaking, he suddenly saw a person walking in from the door, holding a large takeaway box in his hand. The very obvious sign on it was sexy tea!

That is the English name of Chayan.