medical simulator

Surgical emergency room in emergency department.

Although Zhou Cheng, who has been discharged from the general hospital for trauma, is still the "general hospital" of the Department of Orthopedics.

Heading here.He is currently stationed in the emergency department. There is no office, no ward, and only one phone call.

It can be said that he is the hub and bridge between the emergency department and the general hospitalization. If he does not want to undergo emergency surgery, he can be directly assigned to other general hospitalizations.

Zhou Cheng is bringing Wang Huan to see and see together.For the interns in the same group as Wang Huan, such as Peng Lingli and others, Zhou Chengcheng couldn't control them anymore, so Huang Zong could only manage them.

In the emergency room, a patient with drooping shoulders!

At this moment, I heard that Zhou Cheng had to wait for the results of the examination before he could be treated for shoulder dislocation.

His expression immediately became a little stiff, and then he was anxious, and stomped his feet: "Doctor, what should I do now?"

"There are still so many days left for the inspection appointment."

"You have to help me, this pain is unbearable, and I can't go to work."

"Doctor, can you help me find a way? You are from the hospital, and you must have many acquaintances. I beg you."

He looked at Zhou Cheng and Liu Xiaohe with helplessness and nervousness in his eyes.

Liu Xiaohe is a doctor from the general surgery department who came to the emergency department, and he is about to be promoted to associate professor.

Liu Xiaohe turned his head slightly, ignoring the patient.

Favors have to be paid back, brother, you said you can find them wherever you want?The patient in front let you jump in line?

If you want to find someone, you are also looking for a brother to work overtime. Do you think you just jumped in line casually?

Zhou Cheng could only smile wryly and said, "Where can we find a relationship for you?"

"You also said that it takes so long to make an appointment, and the patients in line ahead of you are slowly making appointments."

"Aren't you the only one who is in a hurry, and the others are not?"

"This?" The patient was in a dilemma, but what Zhou Cheng said made sense: "Doctor, I'm really in a hurry. Don't you care about it now? I called the emergency number."

"You can't do this? Where is there such a doctor?" The middle-aged man was at a loss.

Zhou Cheng sighed: "You called the emergency number, but it's not a special emergency. I can't help it."

Zhou Cheng actually wanted to say that the real emergency department is in the emergency room, and yours can only be regarded as a sub-emergency department, but this will aggravate medical disputes.

Moreover, there are countless emergency departments like the Affiliated Hospital of Shonan University.

Of course, Lu Cheng also knew that he must be in a hurry, so he suggested: "Jumping in the queue is definitely not possible! But there is a way but you can try it."

"You just pick the time when you are about to get off work, and go to the door of the NMR room you made an appointment to guard!"

"Wait until the doctor inside is just about to go out, take your appointment checklist, and go to intercede with the doctor inside."

"See if he is willing to work overtime for you, and you say that you are actually an emergency MRI. The front desk of the appointment made a mistake, and the doctor in the emergency department called you over to ask. I am waiting for treatment here."

"If you're lucky, the doctor will usually work overtime to do it for you."

"If he is more anxious to get off work, there is really no way, and we can't force others to work overtime to do things for us."

Doctors ask colleagues to do examinations by themselves, and usually they are asked to work overtime during their breaks, and they will not choose to make an appointment for MRI appointments and jump in the middle of the queue full of patients.

Unless it is the kind of patient who is about to die, that is the absolute priority, and no one can stand it.

Although it's just a phone call, there are so many patients who come to the clinic every day!

It's impossible for anyone to call everyone.Calling for help is to owe a favor, and the debt of favor is ultimately repaid by oneself.

The debt of money is a matter of numbers.

The debt of favor is the most difficult to repay.

People who come to the hospital to see a doctor, who is not helpless?

Even the doctors who come here to work, who is not busy?

Although there are many doctors in the Affiliated Hospital of Shonan University, the number of patients is larger.

If it is not because there are too many patients, there are too many patients in the queue for inspection, and the ratio of the number of doctors to the number of patients is completely unequal!

Medical resources are really limited.

How could there be a queue?

When the supply exceeds the demand, you need to queue up and wait. The hospital is not a supermarket. After you come, you can take it and leave.

In the eyes of doctors, everyone is the same patient, which is impossible.

"This?"

"Could it be faster? Can you make a phone call for me, please?" The man still looked at Zhou Cheng eagerly and kept bending over.

Said: "If I can't go to work early this month, the construction site will definitely deduct my wages."

Zhou Cheng's expression froze at that moment, he shook his head and said apologetically, "Sorry, I can't help you with this."

"Doctor Zhou, I know you are a good person, so please help me and find a way." He still persisted, hoping that Zhou Cheng could give him a call.

Zhou Cheng looked outside the door and saw another patient came in, so he said very decisively: "I'm very sorry, I really can't help you, the patients in front of the queue came one by one."

"No one can join the team."

"I've given you a suggestion."

"Sorry, I still have patients coming." Zhou Chengcheng answered the phone while speaking.

Hearing this, the patient's expression changed completely: "Why can't you get in the queue, isn't it because you don't want to help!"

"Are you still doctors? It's nothing more than a phone call, and you don't want to call."

Then he picked up the checklist and walked out angrily, "No wonder some people say that the doctor is cruel now."

"If your own relatives come, are you willing to ask them to wait like this? Aren't you also looking for relationships?"

"Jump in line?"

"The word medical ethics has probably been forgotten long ago."

"If the disease is not treated, the checkups are prescribed every day, and I don't know anything except money."

"Obviously it's just a matter of prescribing a medicine, and you have to pay a lot of money."

Cursing and walking out...

At the door, he deliberately announced it loudly, and said with a painful expression on his face: "The people here are all hard-hearted. Don't go in and look, he doesn't care about people."

"It doesn't matter if you die."

This scene left Wang Huan dumbfounded!

There is no way to connect the simple and honest migrant worker before with the cursing middle-aged man now.

Zhou Cheng and Liu Xiaohe are both used to it!The patients and family members that Zhou Cheng met in the No. [-] Hospital before, that's one thing.

And they also stepped on the statement that the Eighth Hospital is a bullshit hospital, and clamored to come to the Affiliated Hospital of Shonan University.

But even here, there are such patients.

A group of people who were about to come in walked out when they heard the migrant worker swearing!

The expression is also quite difficult to look at!

Standing at the door of the consulting room, looking at each other, hesitant to go in.

This is a family of three, and the injured is a middle-aged fat man aged 60!

He was accompanied by his wife and a girl in her 20s, and the middle-aged man was pushed on the bed.

At this time, the girl's eyes were red, and she kept holding the middle-aged man's hand.My mouth kept saying, I'm sorry, I'm sorry.

Liu Xiaohe smiled and said, "Have you finished the inspection? Why don't you dare to come in!"

Hearing Liu Xiaohe's words, the middle-aged man called his wife and daughter to push him in.

He raised his head and said, "No, Professor Liu, we are just sorting out the materials at the door."

"Isn't this convenient for you to see more carefully later?" The patient, who is still a delicate person, made an excuse for this.

"The Affiliated Hospital of Shonan University is a well-known hospital, and it is one of the best hospitals in our Hunan Province. Why am I afraid to enter?"

While talking, his wife handed over the medical records and checklists!

Said: "Professors and doctors, my husband has not received his film, and the results of the blood test have not yet come out."

"What do you think we should do now? My husband is in a bit of pain now. Is there any way to solve it?" She was at a loss, with tears in her eyes.

The girl didn't speak, but just looked at Liu Xiaohe nervously!

Guilt was still written on his face, and it was obvious that there were tears on his face that had not been completely wiped off.

"We can see the film in the system, but we have to wait for the results of the blood draw. It will take about an hour."

While talking, Liu Xiaohe entered the Chinese spelling of the patient's name again.

Searched for his X-ray examination results, and then explained to Zhou Cheng: "The injured person fell from the stairs, and it is still unclear whether it was a sprain or a fall!"

"The right hip joint is very painful, the swelling is severe, there is no skin trauma, and a fracture cannot be ruled out for the time being."

Zhou Cheng frowned: "How did you fall?"

The girl wanted to speak so much that she wanted to cry!

His father rushed over and said, "I just accidentally rolled down the stairs, and there are almost seven or eight small steps."

Zhou Cheng glanced at Wang Huan, and Wang Huan took the initiative to push the middle-aged man onto the physical examination bed next to the emergency room and stood side by side.

Tell him to lie down carefully, and close the bed curtain, without asking for a companion.

There is a saying here, that is, when a female doctor and a male doctor conduct physical examinations alone, there is no clear regulation that they need to be accompanied by someone to monitor them.

However, when male doctors and female patients get along alone, there must be nurses or family members by their side!

There is a degree of sexism in this!

Wang Huan intends to study for Zhou Cheng's master's degree, and now he is in the process of studying with the teacher.

Wang Huan already knew how powerful Teacher Zhou Cheng was, so he was very active...

Zhou Cheng and Liu Xiaohe checked out the film!

Liu Xiaohe is actually just a spectator. Although he is about to be promoted to professor, the distance between general surgery, orthopedics and general surgery is really a bit far.

But just looking at it, Zhou Cheng frowned tightly, then pointed to a place and said in a low voice: "The trabecular bone here is out of shape, it seems a bit abnormal."

"Has your husband been injured before?" Zhou Cheng asked his wife.

His wife quickly replied: "He usually sits in an office and doesn't exercise much. Occasionally he might have a sprain while walking, but he can still walk."

"As for other injuries, it seems that there are no injuries. Just this time, I was really not careful."

"Yes, yes, yes, I forgot to say, I had a broken bone when I was a child. I was only five or six years old at that time, and it has been decades. I never told my wife about it."

"Doctor, you are really good, you can see this?" The patient said to Zhou Cheng outside through the bed curtain.

Hearing this, Liu Xiaohe immediately turned his head to look at Zhou Cheng, with a little astonishment in his expression!

Said: "Xiao Zhou? Can the fracture decades ago be seen through the film?"

"Probably still able to see some."

"After trauma, the trabecular bone structure will be disordered, not as smooth as the trabecular bone structure of normal bone, which can only be seen through careful reading of the film."

"Brother Liu, this is not a clever thing." Zhou Cheng did not pretend to be profound.

This kind of patient, he had seen in No. [-] Hospital before, was a patient with traumatic arthritis.

"I have a history of trauma in the past, so I can rest assured!"

"Otherwise, the structure of the trabecular bone is disordered, and I have to consider other factors. From the results of the X-ray examination this time, it is only the dislocation of the hip joint." Zhou Cheng said casually.

Then he got up and said to his wife: "Your husband's current diagnosis is preliminarily determined to be a posterior dislocation of the hip joint! He must go to the operating room for manual reduction surgery, you guys."

Before Zhou Cheng finished speaking, he was interrupted!

"Dad!" Upon hearing Zhou Cheng's words, his daughter burst out in fright.

Then the snot and tears flowed down slowly, the mouth was a bit ugly, and he shouted hoarsely at the middle-aged man behind the bed curtain: "Dad, I'm sorry, Dad, I, I'm sorry."

"I will never dare to be disobedient again. I will never run around again. I didn't intend to push you on purpose. Dad."