medical simulator

After Du Yanjun left.

I never came back!

In the end, it was Zhou Cheng and Zhang Zhengquan who were worried that Du Yanjun would have a mental breakdown caused by Yang Yifeng!

After all, this Yang Yifeng is definitely not a normal person.

If he said something else, he was afraid that Du Yanjun would have a big psychological gap and develop a mental illness.

So as soon as he received the takeaway, he rushed directly to the door of the doctor's lounge.

Then Zhou Cheng shouted loudly: "The lunch box is here, eat and eat."

After Zhang Zhengquan and Zhou Cheng opened the door, they saw that Du Yanjun and Yang Yifeng were talking happily, and Yang Yifeng was holding a pen and a notebook!

The black leather of the notebook is the size of a palm, and it is slightly old. It is pressed by Yang Yifeng with the index finger of his left hand. In his right hand, he is holding an old-fashioned ink-absorbing blue ink pen with light blue paint that is seriously peeled off. He is writing and drawing. , the font is very neat, and the running script is also very rigorous.

Yang Yifeng was facing the door, so he could see these details.

Du Yanjun was sitting with his back to the door. He raised his hands irregularly in the air at this moment. It looked like he was talking high-spirited there. Judging from his gestures, he was definitely eloquent, as if he was talking about the rising point.

It was interrupted by the door opening and Zhou Cheng's loud voice.

Is it not normal anymore?

Chapter 55 Broken dog!

"It's time to eat. Brother Du." Yang Yifeng watched Zhang Zhengquan and Zhou Cheng rushing in, with anxious expressions on his face, so he put the cap on the pen box with a little helplessness and reluctance, and kept screwed up.

Yang Yifeng is a sixth-year student this year, while Du Yanjun is a second-year graduate student, strictly speaking, a seventh-year university student, so he entered school one year earlier than Yang Yifeng.

Calculated according to the age limit at the time of enrollment, it is no problem for Yang Yifeng to call Du Yanjun Senior Brother.

Du Yanjun was talking excitedly, but he looked at the time immediately, and it was already a quarter past twelve, so he licked his lips and said, "Oh, it's been so long!"

"Time flies so fast."

"Then let's eat." Du Yanjun dimmed the screen of his phone while saying this, and stuffed it into his trouser pocket. At the same time, he turned around and stood up to help Zhang Zhengquan open the takeaway bags, one by one distribution.

Zhang Zhengquan stared at Du Yanjun earnestly, and Du Yanjun looked at him and asked, "Is there something on my face?"

As he spoke, he touched his face on purpose, and he didn't know whether he really didn't understand Zhang Zhengquan's intention or he was pretending to be stupid.

"Eat and eat, it will be cold later." Zhou Cheng immediately began to stir the mud.

……

Among the four, Yang Yifeng was the youngest in real age, but he looked older than Du Yanjun and Zhou Cheng, and about the same as the little black face Zhang Zhengquan.

Quite talkative.

It can be seen that his speech is not as reckless as imagined before, nor is it as impersonal as when he spoke to Pang Dingkun.

Even after eating, Zhou Cheng looked back and thought that what Yang Yifeng said was really true, he just didn't want to go to the operating room today, it wasn't that he didn't want to go down with Pang Dingkun, no matter who told him he didn't want to go down.

Zhang Zhengquan deliberately added a note when ordering the meal, and the portion of the meal should be a little larger, so the four of them were a little bit full after eating.

Du Yanjun rubbed his belly and said, "I think it's better to order drinks later than to order meals. It's definitely more comfortable to drink some drinks after meals."

"Would you like another copy?" Zhang Zhengquan thoughtfully suggested.

Zhou Cheng shook his head and said, "It's acceptable to drink milk tea occasionally, but drinking too much is bad for your health. I don't want it."

"It's not one o'clock now. I plan to go back and take a nap. Let's go first." Zhou Cheng looked at the time and thought he could go back, anyway, the rented house was very close.

Yang Yifeng also said after hearing the words: "I have to go back and tidy up, so I won't drink."

Two of the four wanted to run away, and it seemed that they could not enjoy the second cup of milk tea, so Zhang Zhengquan put away his mobile phone.

At this time, the nurse on duty outside came to call the doctor on duty, and Zhang Zhengquan ran out immediately...

Zhou Cheng felt that Yang Yifeng and Du Yanjun had not finished chatting, so he left in a low-key manner.

But as soon as he arrived at the elevator door, he found that Yang Yifeng had also left Du Yanjun, who had not finished the operation and signed the patient's talk, and ran out, and said with a smile, "Hello, Senior Brother Zhou."

"Hello." Zhou Cheng nodded to Yang Yifeng, and began to look at him.

At this time, Yang Yifeng has an extra backpack, and pens and notebooks are pinned in the hollow pockets on the side, as if they are within easy reach.

It's also really weird.

Yang Yifeng asked generously: "Senior Brother Zhou, it's actually like this. I'm writing a novel about doctors recently, but the people I usually contact are graduate students, doctoral students, and doctors in training."

"So I don't know much about Gui Peisheng."

"Brother Zhou, isn't it convenient to chat with me and accumulate some material for me?"

When the elevator came, Zhou Cheng reached out to block the elevator and let Yang Yifeng go in first, then walked into the elevator and pressed the button for the first floor.

Thumbs up: "Are you writing a novel? You are very talented. You are indeed a high-achieving student at Shonan University, a man of all arts and sciences."

"Internet novels? Which website did you post them on?"

Zhou Cheng usually surfs the Internet a lot, so he knows a lot about this aspect.

"Well, it happened at the singularity." Yang Yifeng was not embarrassed, and admitted it with a nod.

"Tell me the title of the book, and I'll bookmark it and give you a subscription." Zhou Cheng also gave face cooperatively.

"It's just been posted, only tens of thousands of words, so let's not talk about it. To avoid being urged to write offline."

"Last time."

As Yang Yifeng was speaking, he suddenly interrupted, like a very seasoned disjointed dog, definitely the leader of the disjointed class of Internet writers: "Is it convenient for senior brother Zhou tonight? I want to invite senior brother to have a meal together."

Zhou Chengdao: "We can also add a WeChat and chat casually. What aspects do you want to know? You can ask me and answer the same. You don't eat when you eat."

Zhou Cheng didn't want to have dinner with Yang Yifeng, he always felt that Yang Yifeng was quite weird.

He didn't have the heart to explore the secrets of Yang Yifeng. If he could make a fuss and drop out of school despite his great medical future, he must have the ability and confidence.

"Then add a WeChat first. I'll scan you, Senior Brother Zhou." Yang Yifeng might think that asking Zhou Cheng to go out to eat for the first time is not very good, so he decided to settle for the next best thing.

After getting off the elevator, Zhou Cheng said goodbye to Yang Yifeng.

However, after walking not far, when Zhou Cheng turned his head again, he saw Yang Yifeng chatting with a girl in a white coat again.

With a notebook in his left hand and a light blue pen in his right hand, he writes and draws, and he really looks like he is collecting folk songs.

"Brilliant!"

Zhou Cheng secretly praised Yang Yifeng, among other things, just his shameless demeanor and behavior, and his ability to stop people casually from striking up a conversation, can make him do well.

……

When Zhou Cheng returned home, he forgot about Yang Yifeng.

Then make the next simulation plan for the current fracture simulation copy in detail.

I am not in a hurry to simulate, but I am constantly looking up information, constantly filling in various ideas and possible development directions.

Because Zhou Cheng discovered that the number of simulations per day is limited, the more quickly he can find the most suitable simulation path, the more effective it will be.

Sharpening knives does not miss woodcutters.

……

At [-]:[-] in the afternoon, Zhou Cheng was still racking his brains.

To be honest, think of every possible way of simulating.

It is also a rather painful thing, but in order to maximize the benefits of the number of simulations, Zhou Cheng can only endure this pain.

The alarm clock rang.

Zhou Cheng had no choice but to close the notebook, carefully locked the door, and hurried to the department.

In the morning, Yan Haihan personally ordered to discuss difficult cases, so naturally he couldn't be late.

When Zhou Cheng arrived, the crowd had already arrived, and only the deputy director of Yan Haihan's team, Min Chaoshuo, and Pang Dingkun were doing the operation, and the rest of the staff had arrived in the shift room and stood in line up.

This case discussion, although no nurse team participated.

But except for the people in this hospital, everyone else can only stand and listen, otherwise who is sitting and who is not?

However, the time has already reached 14:59, and everyone in the department is here!

When Yan Haihan was about to start, the door of the shift room was pushed open suddenly, and then Yang Yifeng walked in, looked around, and then tiptoed to find a place to stand against the wall.

Yan Haihan pointed to the newly added stool in the distance, and said, "Yifeng, sit there, that's your place."

But Yang Yifeng shook his head and refused, took off the backpack and held it in his hand, and said, "Director Yan, I'll just stand and listen."

Chapter 56 Dead end!

Yan Haihan didn't forcibly make any specialization for Yang Yifeng.He said: "Since everyone is almost here, Chao Shuo, you can start reporting the cases."

Originally, the case report of Yan Hanhan's group should be reported by the deputy director Dong Qiansheng, but at the moment Dong Qiansheng is on the operating table, Yan Hanhan asked his students to take on this role, and by the way, added some impression points for him in the department.

Min Chaoshuo quickly opened the title page of the ppt, and then said generously: "Good afternoon, teachers and students, today our group is preparing 15 difficult cases."

"The basic situation of this patient is as follows."

"Patient, Liu, male, 71 years old..."

In the process of case reporting, whether it is communication within the department or outside, generally only general information is given, and any information related to the patient's private information must be hidden.

For example, the name, ID number and mobile phone number can be replaced by XX.

And this information will not affect everyone's reading of the disease itself.

"One week ago, due to an accidental fall, he caused pain, swelling and mobility impairment in his left femur. He was sent to the emergency department of our hospital immediately. X-ray diagnosis was a femoral fracture, and he was admitted to our department for treatment."

"After completing the relevant examinations, the diagnosis was clear, and the diagnosis was AO C3.1 femur fracture."

"However, after completing relevant examinations, the patient's current condition is that he has a history of coronary atherosclerotic heart disease, and his current cardiac function is nyha class III."

"In addition, there are type II diabetes, the current blood sugar control can be achieved, hypertension grade II, very high risk group."

"I invited the Department of Cardiology, Department of Anesthesiology, and Department of Respiratory Medicine for consultation. At present, it is considered that the risk associated with the operation of the patient is extremely high, and surgical treatment is not recommended."

"The ongoing treatment is plaster external fixation."

As a graduate student specializing in orthopedics, Min Chaoshuo obviously put a lot of effort into this case.

The narrative process is all professional terms.

After listening to Min Chaoshuo's report, almost everyone present frowned.

Clinically, C-type fractures are not uncommon.

History of coronary heart disease, heart function nyha III level, this is a bit cruel.

It belongs to the category of marked limitation of physical activity.

With another diabetes and high blood pressure, it is very likely that you will not be able to get off the operating table.

When Yan Haihan heard this, he interrupted Min Chaoshuo, and said: "This patient still has some conditions like this. His family members and patients have higher requirements for later stage functions."

"But the family members do not agree with the operation, but the patient himself still has a relatively strong willingness for the operation."

"It's very difficult for us."

The opinions of patients and family members are inconsistent, which makes doctors not even know how to start, let alone who to listen to.

In principle, the patient's first wish should prevail, but in China, especially the opinions of the elderly, family members and children must be respected.

After hearing what Yan Haihan said, Hu Ming said:

"Since the patient and family members disagree, it is better to do conservative treatment with bone traction. Anyway, the operation is going to be done, and the patient should persuade the patient's family members by himself."

Hu Ming felt that it was unnecessary for Yan Haihan to bring up this case.

Whether or not to have surgery depends on the wishes of the patient and family members besides whether it is possible. What is there to discuss?

Bone traction or skin traction + conservative treatment it wants.

In addition to avoiding fracture shortening and displacement, bone traction and skin traction can separate the broken ends of the fracture and relieve pain.

Of course, what Hu Ming meant was to ask Yan Haihan why you didn't give the patient traction treatment.

Yan Haihan didn't reply, but Min Chaoshuo continued: "Mr. Hu, the following is the patient's film and the result of [-]D CT reconstruction."

Immediately afterwards, Min Chaoshuo released the patient's plain film and CT results.