medical simulator

Zhou Cheng is already hospitalized!

It's not a so-called attendant, it's one level higher than ordinary doctors in this hospital.

A lot of levels higher than him at once...

Huang Xuanqi felt that he could accept such a person appearing in anyone, but Zhou Cheng was forced to be an undergraduate, what kind of books did he study?

Zhou Chengcheng said: "Bezoar Erliang, what is it called? Let's talk about it later. Why don't we do emergency surgery now?"

Niuhuang Erliang is an allusion. Huang Xuanqi likes to drink, but after eating Erliang, his cowhide blows up, he is not down-to-earth, and he is quite easy-going.

When they were undergraduates, the relationship between Zhou Cheng and Huang Xuanqi was much better than that of Dong Yuhai.

After hearing this, Huang Xuanqi said, "I'll call you Mr. Zhou as I used to call you."

"You hide it really deep. I rely on the chief resident of the Affiliated Hospital of Shonan University."

"I'm going to go to the dormitory group and the class group to give a shout later."

Zhou Cheng said: "Let's talk about the past when we have dinner later."

"Let's have a late-night snack together."

"You're not kind. You came to Shashi and didn't call me as you promised when you graduated. I haven't changed my phone number."

Huang Xuanqi said embarrassingly: "My phone was borrowed by someone else, let alone a phone, and I didn't even keep a hair."

Of course, Huang Xuanqi's most sincere thought is that you yourself are in training, and now you may not know where the county-level hospital went.

Did I call you to embarrass you?

"Let's not talk about it now, Xiao Shan, come here to help, Niu Huang, please take a look at the side first." Zhou Cheng directly sent his old classmate away.

The main reason is that if he didn't recognize his relatives here, after talking so much, he would definitely have asked Huang Xuanqi to help, but now, in order to avoid suspicion, he still deprived Huang Xuanqi of the opportunity.

"Hey, okay." Liu Xiaoshan immediately came to help.

Zhou Cheng didn't think too much about it, the dislocation was easy.The most important thing is to have an assistant.

Zhou Cheng first used the force to adduct and internally rotate the hip joint, and then stretched along the force of abduction and external rotation.

Just like that, the patient's hip joint heard a click.

This is the triumphant sound of a successful reset.

Then Zhou Cheng checked the patient's range of motion again, straightening, adduction, internal rotation, abduction and external rotation.

Activities are pretty good.

Zhou Cheng glanced at Huang Xuanqi, and said to Liu Xiaoshan, "Take a photo. You will be responsible for sending the patients out later."

Huang Xuanqi was dumbfounded and defenseless.

Liu Xiaoshan, who was called to help, also had a confused look on his face. By helping me, this is helping a lonely person, huh?

What's the matter, 20 seconds didn't arrive, and I wasn't ready to come here.

The anesthetist immediately stood up and said, "Oh, good guy, it's only two minutes."

"The reset is over. I have been under anesthesia for more than ten minutes."

"Teacher, you have worked hard." Zhou Chenghan smiled.

Then he said to Liu Xiaoshan: "Xiaoshan, it's hard work. After the emergency operation on my side is finished, let's go out and have some supper."

"Brother Zhou, I won't go. My wife is here today, so that's why." Liu Xiaoshan is a graduate student in the Department of Urology, and he came to the Department of Orthopedics on rotation, and he also knew that the reason why Zhou Cheng called him must be polite.

And it was getting late, he didn't want to stand between Zhou Cheng and Huang Xuanqi, but instead made Zhou Cheng and Huang Xuanqi chat unhappy.

Very sensible.

Zhou Chengcheng said to Liu Xiaoshan: "That's fine, Xiaoshan, you should go back to rest early. If you encounter such a special situation in the future, you can tell us in advance. As long as it is not a similar situation for 30 days a month, we can understand it."

The general hospital has no other powers, but this is still available.

In the emergency surgery of the Affiliated Hospital of Shonan University, in addition to the general inpatient on duty, there are also emergency surgery classes for residents. Five wards, one surgery class for each ward, are basically enough for a simple configuration of two or three emergency surgeries.

Zhou Chengcheng and Huang Xuanqi were about to go to another emergency operating room to take a look, but before they could leave this operating room, Zhou Cheng's hospital phone rang again.

Zhou Cheng took it.

Then he said: "Bezoar, we may not be able to go to the midnight snack for the time being, and we came to the emergency department again. For open fractures of the lower limbs, it is estimated that the emergency department will be treated on stage."

"Would you like to go and see with me?"

Another operation in the emergency operating room, Yang Yifeng came over, as long as he went to make sure Yang Yifeng was on the stage, it would be fine.

This is Zhou Cheng's trust in Yang Yifeng. If the other generals were hospitalized, Zhou Cheng might not be so relieved.

"Yes, Mr. Zhou." Huang Xuanqi suppressed the fluctuations in his heart, then tilted his head and asked, "Wait a minute, debridement, can you?"

Zhou Cheng nodded and said, "Our relationship is what it should be."

……

After Zhou Cheng confirmed that Yang Yifeng appeared in another emergency operating room and came on stage, Zhou Cheng was completely relieved of that patient.

Huang Xuanqi walked around the emergency department!

Then after Huang Xuanqi took the initiative to cover all the conversations, signing medical records and other matters, the two of them rushed directly to the operating room again.

This is a patient with lower extremity trauma, and the anesthesiologist was the same anesthetist who performed anesthesia for hip dislocation in the previous operating room.

While administering anesthesia, he said, "Your orthopedics department is really busy today?"

Zhou Cheng nodded, jokingly said: "It may be that I don't respect the teacher enough, I forgot to call the teacher for supper, so I was fixed here. So this taught us a truth, we can't eat alone."

After hearing this, the anesthesiologist turned around and said, "You young man is very interesting, aren't you?"

"What's your name, you friend, I'm committed." Although he was older than Zhou Cheng, he was only in his forties, and the age gap was only ten years old.

"Zhou Cheng, Zhou of the Zhou Dynasty, succeeded." Zhou Cheng hurriedly reported his family name.

……

Zhou Cheng didn't call anyone else.

After putting on the tourniquet, Zhou Chengcheng asked Huang Xuanqi to lift his leg and gave Huang Xuanqi the chance of disinfection.

At the same time, after disinfecting the towels, Zhou Cheng asked Huang Xuanqi to start debridement and sutures!

He directly acted as an assistant, and then paid great attention to the way he spoke. Step by step, he changed the tone of guidance into a tone of discussion to guide Huang Xuanqi's operations.

When the anesthesiologist saw this, he looked at Zhou Cheng more, and instantly regained his energy.

He even punched his eyes!Before, I thought that Zhou Cheng was a novice, at most he could flatter a few times and understand the world.

But teaching cannot be false, and what is said must have a sense of hierarchy.

But after listening to the conversation between the two, he knew Zhou Cheng's identity, so he listened carefully to Zhou Cheng's speech.

The more I listened to it, the more I admired Zhou Cheng. He understood some parts so thoroughly that even he, who has been in anesthesia for almost seven or eight years, could understand it!

Moreover, it actually communicated with him in some things in the field of anesthesia, which seemed to mean returning to the sect.

Zhou Cheng's ability and state are more terrifying than the rumors?

Lift weights lightly.

Come at your fingertips.

Just over 40 minutes.

Huang Xuanqi finally separated the anterior tibial and posterior tibial arteries, accompanying veins and popliteal nerve happily!

Huang Xuanqi wasn't even sure he did it himself.

Discussing with Zhou Cheng very happily: "Mr. Zhou, this patient's luck is too good. The broken end of the tibial fracture is only [-] centimeters away. Amputation is about to happen?"

"Amputation is not enough." Zhou Cheng smiled, and secretly said that what you said is too scary, and it is the terminal operation of orthopedics at every turn.

"You can do the rest, I don't dare to do it anymore." Huang Xuanqi looked at the broken end, which was hidden in the intersection of popliteal nerve, tibial nerve and deep peroneal nerve!

He took the initiative to put down the electric knife to stop the bleeding.

Zhou Cheng didn't refuse, and quickly took the hand, and then gave Huang Xuanqi the position of the hook.

Say patiently: "Come on, help me stretch this muscle, yes, that's it."

"By the way, put on this glove loop with nerves."

"Attention, don't move!"

Zhou Cheng immediately fractured the separated distal end of the tibia!

Pulled out from the nerve clump, narrowly avoiding all the nerves.

Immediately afterwards, Zhou Cheng grabbed the patient's ankle with his left hand and pulled it slightly. The patient's foot automatically returned to its position and rotated as if by magic power. The proximal end of the fracture was sent away.

The fractures at both ends immediately reset, leaving only a fracture line of only a few millimeters.

The rotational shift seems to be completely reset at this moment as well.

According to the orthopedic department of surgery, as long as the patient's lower extremity fracture is not angularly displaced, shortened and displaced, and the broken ends of the long bones can be connected by one-third, the standard of functional restoration can be achieved.

In such a short period of ten seconds or so, Zhou Cheng has already exceeded his quota.

When Huang Xuanqi's pupils shrank slightly, he still didn't forget to say: "Awesome, you are really awesome. You are really awesome!"

Bezoar's two twos immediately made three consecutive rounds.

Huang Xuanqi used Zhou Cheng's hand, how could he not know that Zhou Cheng was deliberately giving him the opportunity to do it?

Otherwise, the operation might be over.

But in fact, if it wasn't for Huang Xuanqi, Zhou Cheng wouldn't have accepted such a simple debridement at all.

It won't kill people, go to other hospitals to clean up slowly.

Zhou Chengcheng said, "You can keep that stuff for yourself."

Many years later, when I saw my old friend again, I felt an indescribable emotion, and the coquettish words learned from Zhang Zhengquan came out of my mouth.

"Help me take the muscle tissue spreader of the spine. Now the broken end of the fracture has returned to its position. There is no need to pull the nerves and blood vessels that were stretched before. After the spreader is stretched, you are responsible for fixing the fracture. Proximity and distal end. I will fix it temporarily with Kirschner wire..."

With the previous operation opportunity to give up, Huang Xuanqi immediately followed suit.

The spreader has well stretched the muscles of the tibialis posterior muscle group, and better exposed the broken end of the fracture!

Then Zhou Cheng said: "Huang Xuanqi, use your left hand to fix the proximal end of the tibia, with a little external rotation force to the outside, and your right hand with internal rotation and adduction force, to pull the distal end of the fracture."

"The force doesn't need to be too much, as long as the fracture is kept in place, I will temporarily fix it with two Kirschner wires."

"You can start putting on the external fixator."

Huang Xuanqi nodded frequently, and did what Zhou Cheng did before he finally came to his senses and raised his head to look at Zhou Cheng: "Me? Should I use an external fixator?"

"What are you afraid of? The blood vessels and nerves are exposed. If you can see it, you can use the external fixation bracket casually!" Zhou Cheng smiled, and then quickly crossed two Kirschner wires to fix the broken end. after.

He added: "You can let go now, Bezoar!"

"Brother, come on, I can't use this force." Huang Xuanqi blushed slightly.

Then he explained: "I don't know how to use external fixation brackets. In the place where I was working before, there was no chance for me to be on stage for emergency surgery."

"Okay!" Zhou Cheng has also been in hospitals, big and small, and knows that there are some things that he can't do anything about.

Chapter 423 I'm the one

The road to medicine is long and difficult.

Even after graduating from a bachelor's degree, they just stay outside the door!

After studying as a graduate student, in the same department, between different sub-specialties, I feel that there is a wall between them, and I feel that they are two unfamiliar fields.

Even when it comes to professors, there are blind spots in understanding between professors of different subspecialties!

A person's life is only so long. Even if he spends his whole life, he can only blame himself for slowly studying in a sub-specialty. Basically, he rarely has spare time to master and familiarize himself with the operations and knowledge of other sub-specialties.

Because every subspecialty is deep enough.

Trauma, hand surgery, joints, sports medicine, bone disease, ankle, which one is not as deep as the sea, simple, or all-round, they are all laymen, and they have never read it...

No, it's not enough. If you really want to subdivide it, you can still divide it.

Orthopedics, chronic injuries, nerve transplantation, sports rehabilitation...