medical simulator

Page 708



"Really?" Huang Zong was curious.

It’s not that there are hospital simulators and doctor simulators on the market, but such games have long been misunderstood by players, such as violent sawing of legs, and melamine treatment, all of which have been ruined by people. A casual game is playing.

Do you really need medical skills to pass the game? ?

"It's true, Senior Brother Huang, and the birth status of this game is obtained by answering questions. After answering [-] professional questions, a close birth status will be given according to your technical level."

"Brother Yifeng was born at the level of an associate professor."

"I'm a little old man in a town hospital, and Wang Huan, a student of Mr. Zhou Cheng, is a medical intern. Brother Yan Jun is still a bitter resident doctor in a prefecture-level city..." Peng Lingli introduced to Huang Zong The initial mechanics of the game.

"I still have two internal test codes here. Senior Brother Huang, if you want to play, you can just take your time to play. You can still learn a certain amount of things." Peng Lingli gave Huang Zong such comfort.

"Send it to me, I'll play with it and try." Huang Zong became interested.

Then in the lounge, Huang Zong was playing with an old-fashioned mobile phone while holding it.

When he finally finished answering the questions in two hours and was thinking about his identity, the initial identity interface appeared.

"You are an unsatisfactory middle-aged old attending in a county hospital. You have a mid-level professional title. You have no hope of being promoted to a deputy high school. There are few opportunities for surgery and little chance of learning new surgical methods. But fortunately you have the game of medical simulator. Through this This simulator may be able to help you reverse your current predicament."

When Huang Zong saw this, the corners of his mouth twitched slightly.

"Dr. Gong, your current doctor's initial level is lv23, the level of the attending physician."

Dr. Gong, it was Huang Zong who gave his character a surname in the game. In order to prevent information leakage, he still didn't use his original surname.

"Peng Lingli, what level were you when you first came out?" Huang Zong saw that he was level 23, but he still felt quite happy and had a sense of substitution.

Because in actual clinical practice, where is there such a detailed classification of grades?

"I was at level 39 when I came out. Brother Yifeng came out at level [-]. Brother Huang Zong, your level is still relatively high, right?" Yi Feng was so far behind, he quickly shut up.

Then he explained: "This answer to the question is an initial level simulation. It can't be taken seriously. It can be improved later, and then it can be improved quickly. But to increase the level, you need to complete certain preconditions..."

"Then what prerequisites do I need to complete to upgrade?" Huang Zong asked.

Peng Lingli shook her head: "Senior brother Huang, my current level is only fifteenth, which is the level of a resident doctor. We need to complete operations and knowledge reserves such as managing beds, assistants, and writing medical records. The preconditions you have to complete, It should be different from ours."

"The preconditions for junior sister Wang Huan to upgrade her grade are to write medical records and complete the patient reception work, and then take the examination of basic medical knowledge, and then change specialties during the residency stage. At present, only the specialties of orthopedic doctors are supported. Physician transfer."

Everyone has different backgrounds and different levels, so the required prerequisites are also different.

Sure enough, after Huang Zong finished asking, the characters inside began to receive tasks, saying that he was going to the outpatient clinic today.

Then the number source of the outpatient clinic showed 13/40!

Only one-third of the numbers were filled. After receiving such a task, Huang Zong saw the little person he played started to move around, heading towards the outpatient clinic, where there were also little cartoon characters coming and going.

Then the screen changed, and the villain he was in entered a simulated outpatient clinic.

Medical examination beds, computers, etc. are all available, and they are open, and there is a button for receiving patients in the upper right corner.

Huang Zong clicked, and then a little man of his height walked in, with a rather professional complaint written on the dialogue panel: "Doctor, I was injured three days ago when I was playing, and it hurts so much here." .”

"Okay, have you had treatment..." Then Huang Zong discovered that his little man was also having a more formal exchange of medical history and communication with the other party. , did not go to other places for treatment, and did not apply ice, etc., and now there is still pain in the right shoulder joint.

Please proceed to the next step of diagnosis and treatment——

Open a checklist?

Physical examination?

Medication?

There are three frames, and from here we will choose one of the three.

That must be a physical examination. Huang Zong, as a professional orthopedic doctor, naturally knows that when an orthopedic doctor receives a patient, he first asks about the medical history, then performs a physical examination, suspects the diagnosis, and then uses the results of the auxiliary examination to support the diagnosis.

After selecting the physical examination, four aspects pop up in the dialog box.

Depending on the amount of touch, each word is circled.

Hey, it looks really professional.

Huang Zong laughed, and said this to Peng Lingli. Peng Lingli saw Huang Zong playing here, and then put down her phone to observe Huang Zong's gameplay——

The gameplay of this simulator is not a simple routine, it is very independent, how to play it, the final result may be different.

"Visual examination: Please select the content you want to inspect."

"Skin color, limb deformity, degree of limb swelling, skin appearance, skin peeling, blood stains..."

A total of twenty options popped up, and Huang Zong needed to click on them one by one, and he could cancel them.

So Huang Zong randomly clicked on a few, and each time he clicked on one, different information would be revealed.

For example, if he clicks on the skin color, it shows that the skin color is normal, no yellow stains, no redness and blackness, etc.

He clicked on the degree of limb deformity, and it showed that there was no deformity of the affected limb, and the muscles were full.

Huang Zong thought about ordering a few important ones, and then came to the palpation part.

"Please select the tender point you want to palpate..."

Huang Zong picked a few more, then came Momentum, still the same.

Finally, when I came to the specialist physical examination part, a row of very professional nouns appeared: Apprehension test, Relocation test, Release test, Jobe test, Napoleon test, Neer sign, Hawkins sign...

There are a bunch of English letters for him to choose from, and there is a button at the top, which is the Chinese corresponding check translation.

But Huang Zong naturally didn't need this thing.

So Huang Zong chose the activity ROM and some things that he thinks are more important.

Finally, I chose to end the physical examination.

Then it is to issue a checklist, whether to take medication, etc.

After all this was over, the plain film of the patient was placed in front of him. This is an imaging photo that looks like the real thing, and there is a diagnosis report on it: "The frontal oblique view of the shoulder joint did not see any abnormalities. Obviously abnormal."

"Choose the treatment method: non-steroidal anti-inflammatory drugs for pain relief, Maizhiling for swelling..."

After a lot of options, there is another one that is "Recommended for further inspection."

Seeing this, Huang Zong asked: "Does this suggestion for further examination mean that this patient may have a clear diagnosis, do you know?"

Peng Lingli quickly shook her head: "Senior Brother Huang, I don't know about this. Anyway, everything is according to your idea. You can choose to have further examination, or you can choose to treat it like this, and then look at the overall evaluation."

Huang Zong naturally chose further examination, and then took MRI and CT.

The image report is: CT showed no obvious abnormalities, MRI showed signs of shoulder joint edema, and ligaments showed signs of edema.

There are images that can be enlarged below, and you need to read the images yourself.

Huang Zong inspected it and found no problem, so he chose to take medicine, and then ordered some post-medication conditions, for example, if he still had pain and wanted to come for a review, he dismissed the patient.

After the patient walked out, the score of this time was displayed on the game page.

"Comprehensive score: 35 points."

"The physical examination process is lengthy, there are redundant physical examinations, and the results of the specialist physical examination and visual touch volume examination do not match!"

"The collection of medical history is not detailed enough. The patient clearly stated that he has a recent history of trauma, and did not ask about the past medical history. He chose the MRI examination, which is a redundant examination."

"It is an over-examination to perform a CT examination when the fracture is not shown on the plain X-ray film and the fracture line is hidden."

"The patient's MRI signs showed rupture of the subscapularis muscle and rotator cuff injury. Surgical treatment was required. Conservative treatment was ineffective. There is a high probability that the patient will return to the clinic for surgery after a period of time after leaving the clinic."

"Symptomatic treatment is not accurate enough, and the patient's current pain and swelling have not greatly affected the quality of life. The frequency and dosage of oral medication can be reduced as appropriate."

"Complete consultations, acquire skills: orthopedic specialty check (introductory)"

"Orthopedic plain film reading: (beginner)"

"Orthopedic MRI Reading (Introduction)"

"..."

"Please keep up the good work!"

After Huang Zong finished reading, he raised his head to look at Peng Lingli, and Peng Lingli quickly raised his head to look at the ceiling, circling around for a while.

Huang Zong immediately took a deep breath.

"Hey, I don't believe it." The last time Huang Zong appeared in the outpatient clinic was when he was a Ph. Opening your own clinic is not enough to qualify.

The outpatient clinics of the Affiliated Hospital of Shonan University must at least have the title of attending, or they can only open their own separate outpatient clinics after they have passed the general hospitalization.

Then Huang Zong came again, and the overall evaluation was still only 49 points.

This made Huang Zong start to doubt life, so he asked: "Ling Li, what is the total score?"

"100." Peng Lingli closed her mouth after finishing speaking, and stopped playing her own game.

Obviously, Huang Zong's current level is still extremely lacking in terms of seeing outpatients. In this way, his current doctor level may not increase but decrease after being re-approved.

But it was impossible for Peng Lingli to tell Huang Zong these words.

After finding an excuse, he started to yo-yo: "Brother, I have something to do in the lab, goodbye."

After saying that, he ran out.

About an hour later, Huang Zong walked into the office where his teacher was in disbelief, and then asked Ding Changle to demonstrate the gameplay of the game in person to see what kind of results would happen.

Chapter 477 Call Xiao Zhou!let him come!

"Master! Are you busy?" After knocking on the door, Huang Zong entered with a smile on his face.

Ding Changle was drinking tea slowly at the moment, and at the same time he was thinking about the operation plan of a patient in the department. Seeing that the person who came in was Huang Zong, he said: "The cup and tea are in their original positions. Take it yourself. This paragraph Time to relax a little bit?"

Although the trauma center in the emergency department has not been officially opened, there are still people guarding it there. Only when there are patients who cannot be treated in time, will the five hospital chiefs be asked to help. It is equivalent to the current Huang Zong and others who only need to manage Office affairs and consultations.

Don't let the emergency department go out, all the pressure is given to the trauma center, and the task of the general hospitalization of the ward becomes very leisurely.

"It's okay, it's much better than before!" Huang Zong went back, and went to the old place to skillfully fetch a disposable cup, then picked up some tea to steep it, and refilled Ding Changle's teapot.

"Huang Zong, do you know what's going on with Peng Lingli these two days? I think he's absent-minded. Have you asked?" Ding Changle took the initiative to care about Peng Lingli!

Because of Yang Yifeng, Ding Changle now pays special attention to the mental health of every student.

"Did you break up in love?" Ding Changle thought about it, and it seemed that there was only one reason that could explain it.

Huang Zong smiled back and shook his head: "Peng Lingli is still single for the time being. Master, he is working on a medical learning game recently. I also downloaded it and found it very interesting. Do you want to try it, Master?"

Huang Zong came here for this, so of course the topic should be brought up to this point.

"game?"

"I can't play any games. Now the smartphone can play it all by recognizing a few words."

"However, playing games is also a kind of pastime and entertainment, but it's better not to overdo it." Ding Changle has already been identified by Huang Zong as a type of idleness.

There is still time to play games in the general hospital. This is because the clinical tasks are not heavy enough.

"Huang Zong, how do you feel about the preparations for the intramedullary nail?" Ding Changle asked immediately.

Intramedullary nailing and internal fixation are three types of surgery. According to the principle, the chief surgeon must be at least a senior attending doctor. However, with him in charge, Huang Zong is not afraid of anything if he comes into contact with it in advance.

If Huang Zong can do well, he can also authorize Huang Zong to perform such an operation in advance.

When Huang Zong heard this, he immediately frowned: "Master, we are making preparations! But there are still some details that are not clear."

"Be specific, what details, why are you unclear, have you thought of a solution yourself, did you watch the video, check the literature, ask the teacher, or other ways?" Ding Changle decided in his heart that Huang Zong was too idle, and immediately started PUA.

They are all professionals, I am still your master, can you still deal with me?

To be more specific, don't think that I don't understand, so I can just fool around.

When Ding Changle said this, Huang Zong's scalp felt a little numb, so he could only seriously report the progress of his studies...

After more than ten minutes, Ding Changle also saw that Huang Zong had indeed worked hard, made progress compared to before, and presented all the difficulties and solutions, so he was satisfied.

"You said this game is really interesting, you're going to lie, I'm going to beat you?" Ding Changle took Huang Zong's phone dubiously under Huang Zong's tricks.

"Master, I assure you, this is not doing nothing, but a very systematic learning and gamification process."

"Look, don't you believe it, these signs inside——"

"The film reading system, operating system, physical examination system, basic skills training room, surgical skills training room, which of these templates seems to be playing a real game? Xiao Zhou said that this set of games is based on his The purpose of learning for medical students, the background of the game developed, which is full of orthopedic professional game knowledge, it can be regarded as the integration of entertainment and learning..."

"Let me see!" Ding Changle narrowed his eyes, and then studied it carefully.

Immediately after, Ding Changle scanned the amount, clicked on the game record, and saw the two outpatient clinics that Huang Zong had seen, raised his head and asked, "Is this how you looked at the outpatient clinic before? Did you see me in the outpatient clinic before?" It’s a waste of time to get a head, right?”

Huang Zong immediately stood at attention: "Master, this patient is a case of sports medicine, so I don't have much contact with it, but you can definitely see it, Master, it's better than you."


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