medical simulator

Page 450

……

The next day, Zhou Cheng came to the department early. He thought that today's trip would be smoother than yesterday, and he would be more relaxed. But when he arrived in the department, he heard the nurses talking about patients at the nurse's station.

"Please help me go through the transfer procedures as soon as possible. You are too unruly here. You are perfunctory to patients like this."

"Hurry up." This seemed to be a family member of a patient, dressed like a white-collar worker in a suit and leather shoes, full of resentment.

The nurse at the nurse station explained patiently: "Hello, we have already known your request for transfer and discharge. I have also notified the doctor in charge of the bed, but the formalities can only be processed after going to work at [-] o'clock."

"During non-working hours, I can only go through the discharge procedures. I have explained to you several times. There are still more than 20 minutes left. I hope you can understand."

While speaking, her eyes swept across Zhou Cheng, with a trace of displeasure.

This guy, he ran away by himself, but he didn't know how much trouble he brought to the department.

Zhou Cheng ignored it. He ignored the bed and went directly to the doctor's office. Then he suddenly found that Chen Shengwu and other bed doctors were all suffering from dark circles and were handling cases there.

Perhaps it was because they knew that Zhou Cheng was not there before, and some people murmured in a low voice: "I don't know what Professor Xue thinks. He knows that Zhou Cheng is only a graduate student, and he is still required to perform such an operation."

"The patient knew about it and reported it. He didn't give a shit when he came to the hospital. Let us explain to wipe his ass, why?"

While speaking, he suddenly saw that Zhou Cheng had entered the office, so he quickly shut up, pretended to be an ostrich, and lowered his head.

At the same time, Associate Professor Gu Zhongliang and Shen De's attending physician walked into the office expressionlessly, and when they saw Zhou Cheng, their brows flickered.

"Xiao Zhou, well, Professor Xue asked you to go to the director's office, where Professor Yu and others are still waiting." Associate Professor Gu Zhongliang said to Zhou Cheng, but his tone was still very polite.

After explaining in this way, he shouted to the inside: "Xiao Su, come out for a while, the patient's family is looking for you, why are you hiding here?"

From the words of the resident doctor named Yu Xingyou, Zhou Cheng probably knew that he was the one who performed the operation yesterday, so he seemed to have caused trouble?

How is this going?

Obviously I have the authorization to operate, so it is not a leapfrog operation?

But there is too little information at present, so it is better to go to the director's office first.

Pushing open the door of the director's office, Professor Yu Qiuhua and Professor Xue Xiude inside immediately got up and greeted with smiles——

This kind of performance directly stunned Zhou Cheng!

"Professor Yu, Professor Xue. Did I cause trouble for you?" Zhou Cheng asked with a calm expression.

Yu Qiuhua said: "Xiao Zhou, you came in first, and I was going to talk to you about this matter."

Professor Xue Xiude went to make tea for Zhou Cheng. The degree of enthusiasm made Zhou Cheng even more puzzled.

Superficially polite?Human kindness?Smiling tiger?

Zhou Cheng took a deep breath, approached, and then quietly listened to Yu Qiuhua and Professor Xue Xiude's explanation. After 2 minutes, Zhou Cheng couldn't help but burst out.

"Damn!" Zhou Cheng's eyes were like a bull's-eye, and he couldn't help standing up.

Professor Yu Qiuhua said with deep eyes: "Xiao Zhou, don't be surprised. These are just some small tricks of the propaganda department. They are beneficial to you and have nothing to do with it."

Zhou Cheng then turned his head and asked, "Who came up with this idea?"

Zhou Cheng's scalp is numb, this reverse operation?

Xue Xiude narrowed his eyes: "Naturally, it's a clever plan from Boss Zhang..."

The corners of Zhou Cheng's mouth trembled, and his heart fluctuated.

Well, in fact, if it's a show, Zhang Zhengquan is actually quite a show.

……

When the shift was over, Zhou Cheng stared at Yu Qiuhua intently, and gave Professor Xue Xiude a "output": "The department should pay attention to safety accidents, and the operation should pay attention to quality. I have repeatedly emphasized that leapfrog surgery matters , in our department, it is absolutely not allowed to appear."

Professor Xue Xiude's 'rebuttal' with a deathly gray face: "Professor Yu, Xiao Zhou has authorization for the operation, and the hospital has the approval document for the record. The medical department didn't say much. The procedures are in compliance. Why not?"

Yu Qiuhua still said coldly, "Is our department headed by the medical department?"

"Whether our clinical department serves the medical department or the patient, do you know that patients have a lot of opinions now?"

"Although Section Chief Ling of the medical department came here in person yesterday and explained to the patient himself and his family members, will the patient's family members listen?"

"I have said a long time ago, be careful. This is not something that can be done according to the rules. So far, in our department, there are two postoperative patients who are emotional, and four preoperative patients who insist on transferring to other places. Hospital."

Yu Qiuhua didn't call the names, but almost directly said Xue Xiude's name.

This is the fact, Xue Xiude could only keep silent.

The head nurse also took the opportunity to say: "I asked the patient and his family in private yesterday, and they all insisted that Xiao Zhou was the one who saw the operation with their own eyes. It was obvious that someone was making a fuss in secret."

"Before the operation started, the drape had already started, and the patient had no vision to see who the surgeon was."

"I also asked our nursing team, and no one said such things to patients and their families, and no one leaked anything from the bedside doctor."

"So is it possible that someone is in the dark?"

"And there are patients who have already had surgery, and they took short videos of their wounds and posted them on social platforms. The current influence is very wide."

"Leapfrog surgery, interns practicing hands, are almost becoming hot search words."

The head nurse also knew that the subject being carried out in the department this time was of great importance. Therefore, there might be people with ulterior motives who pretended to be the patient's family members and sneaked into the hospital to make trouble for the patient's family members by making irresponsible remarks.

No one answered.

Yu Qiuhua didn't really investigate deeply, even the medical department saved Xue Xiude, so what else can anyone say?

The shift ends in this delicate atmosphere.

A group of people looked at Chen Shengwu and others with pitiful panda eyes.

Xue Xiude, Associate Professor Gu Zhongliang and others once again gathered their people in the corridor of the operating room. Before preparing for rounds, Xue Xiude glanced at the doctors in charge of the bed one by one: "We are a team now, and the team must be united."

"If you encounter any difficulties and start to betray yourself, how can you do things well?"

"Believe it, all difficulties are only temporary." Xue Xiude said coldly, every time he saw a person, he lowered his head a little, not knowing what he was thinking.

The noisy patients had already completed the transfer or discharge procedures, and even when Professor Xue Xiude brought people to round the ward, their responses were quite perfunctory.

Anyway, he was ready to leave anytime, so there was no need to ask Xue Xiude.

Report letters, report calls have been made.

The patient who had already undergone the operation said a little impatiently: "Professor Xue, thank you for your kindness. In fact, I have no objection to you. It's just that you can't treat our patients as fools. Interns come to perform operations. Isn't that right?" Is it a matter of unprecedented bad luck?"

Professor Xue Xiude frowned slightly when he heard this, and explained again: "Listen to me, we have also explained the matter to you, and the medical department of our hospital has also come to explain the situation to you."

"Xiao Zhou has been authorized by the new operation, the authorized expert group, and his autograph. Have you checked it? You can find it on Baidu. How can their identities and experience be average?"

"Even if you don't believe me, don't you believe in the joint confirmation of so many professors?"

The patient's brows flickered. They did know all of this, but their operation was performed by a doll in his twenties. They still felt unwilling in the Ninth Hospital where there were many professors and associate professors.

He said: "But the other two beds are operated by you yourself? We are assured of the quality of your operation, but this young Dr. Zhou?"

"To tell you the truth, Professor Xue, I didn't fall asleep all night last night. I always felt like my bones were broken. I couldn't eat well this morning."

Professor Xue Xiude smiled when he heard the words: "Brother, I don't agree with what you said. If you know the truth, the patients who can't sleep should be the patients in the two beds where I performed the surgery."

"In terms of traditional surgery techniques, I am definitely sure, but in fact, Dr. Zhou is much more proficient in this kind of small incision surgery than me."

Seeing the disbelief on the patient's face, Professor Xue Xiude said again: "Can I still lie to you? No matter where you go to ask, it's always the same."

"Besides, the quality of the surgery is not simply based on who performed the surgery. It depends on your own somatosensory response. Are you in severe pain? Are your movements limited? Is the quality of your plain films not good..."

The patient was thoughtful, he was older than Xue Xiude, and his family members looked sad, thinking they were unlucky.

But the point is, so far, the reply given by the Ninth Hospital has no problem at all. Even when he asked the people related to the law, he also recognized the approval letter for the operation, and believed that Zhou Cheng had the authority to perform the operation. .

This authorization approval letter will not be signed indiscriminately, and the responsibility must be determined.

Unless one's ability reaches the sky, so many people can praise Zhou Cheng all at once, but how could such a thing happen?

……

Once again, they came to the two beds where Professor Xue Xiude was the chief surgeon. The expressions of them and their family members were full of joy, and they were very grateful to Xue Xiude.

It's none of your business to hang high.Zhou Cheng wasn't the main surgeon, so they felt much more at ease. They honestly assured Xue Xiude that they absolutely believed in Professor Xue Xiude.

Hearing these words, Xue Xiude, Associate Professor Gu Zhongliang and others only expressed their gratitude to the patients, and still did a series of work such as reexamination.

……

Professor Xue Xiude only has a dozen beds in total. There were some old patients who had undergone surgery before, and then they had four surgeries yesterday, and all the patients who were scheduled for four surgeries today ran away, and the wards became empty all of a sudden.

It seemed that, all of a sudden, the new subject that was about to be carried out was about to run into trouble and couldn't go on.

But Xue Xiude didn't change his expression, he wasn't in a hurry.

……

After the house inspection, the surgery that should have been arranged was gone, and everyone stopped.

And because of the hot words on Douyin's short video platform, particularly eye-catching words such as intern surgery, leapfrog surgery, etc., which are particularly eye-catching, and some self-media forwarded comments one after another for the sake of traffic, which suddenly became popular. The top ten in the search, and there is still a posture to continue to rush forward!

After being busy for a long time with comforting other transferred and discharged patients, as well as various explanations for patients who had undergone surgery, everyone took a little leisure, and then looked at the comments on the Douyin platform.

Among the comments, it can be said that there was an uproar. They felt that this was an unprecedented existence, and such things should not happen in the Ninth Hospital of Shanghai.

Moreover, some people have commented on their experiences of suffering.

It was also around this time that some big medical Vs started to speak.

It is also a short video, in the form of voice and text, with the following description.

"At present, we all know that part of the fracture treatment requires surgery to fix it properly. However, traditional surgical methods almost all have large centipedes or large incisions. Even with cosmetic sutures, there is still a ten-centimeter long Scar tissue remains."

"I don't know for the time being whether there is a case of leapfrog surgery, or whether it is an operation performed by an intern. Judging from the pictures of the wound and the plain film of the fracture published by the patient himself."

"The patient's current fracture classification is beyond manual reduction, that is, indications for conservative treatment. The indications for surgery are extremely obvious. There is nothing wrong with choosing surgical treatment."

"However, the choice of surgical incision and the size of the surgical incision are really surprising. Two short incisions of less than [-] mm are what many fracture patients dream of but cannot obtain."

"The internal fixation for fracture reduction, I have little knowledge and have never seen it, but the plain radiographs after reduction must have reached the level of anatomical reduction."

"If the surgeon is really an intern, it would be too shocking."

"My private evaluation is that if there is a case of leapfrog surgery, it must be severely punished. To prevent others from following suit."

"However, if the procedure is formal and the results of preoperative and postoperative X-ray films are true, it is not an exaggeration to say that this is an earthquake in the subspecialty of orthopedic trauma surgery!"

This big V doesn't have many fans, but he still has 200 million.

No one reminded it, but after a professional made a point, everyone suddenly realized.

This popular photo is indeed because the intern and the leapfrog operation caught people's attention, so everyone subconsciously ignored the photo of the appearance of the operation.

Have never eaten pork or seen a pig run, who has not seen the scars of fracture surgery?

The wind direction in the comment area has changed slightly.

At the same time, there are some patients who have undergone fracture surgery themselves, keenly captured the wound condition of this short video, and liked him one after another.

"The intern's leapfrog surgery is indeed pitiful and belongs to the victim, but I have to say one thing, I really envy your surgical incision is so small. @dilidili!"

The original Douyin account that posted the short video is dilidili.

"Look at my big centipede, Ci'ao, it scares away all my former girlfriends."

"I don't know the specific coordinates, where is it. @dilidili."

"The No. [-] Hospital of the Shanghai Metropolis is a very famous place for cosmetic surgery. From this point of view, this intern is also a bit awesome. I have seen all kinds of strange scars from everyone's fracture surgery. There is no one smaller than this."

"..."

After this incident gradually fermented, at 49:[-], the hospital of Shanghai No. [-] Hospital officially responded on the official website, explaining the incident in detail, and also published the surgery with the signature of ten famous trauma surgery professors. Photo of power of attorney.

"Notice on the Intern Leapfrog Surgery in Our Hospital"

Then the official gave a reply: "After the incident happened, our hospital organized an internal investigation as soon as possible. After detailed understanding, we will report the details of the incident."

"It is known that the patient is a trauma surgery patient in the third ward of the Orthopedics Department of our hospital. He underwent open reduction and internal fixation of the fracture yesterday. The surgeon is Dr. Zhou, and the first assistant is Professor Xue Xiude of our hospital."

"Dr. Zhou is not an intern. He is a professional postgraduate student at the Affiliated Hospital of Xiangnan University in Hunan Province. He submitted an application for exchange study to our school in December last year for a period of half a year. He has a doctor's qualification certificate and currently has a practicing qualification certificate. On December 12, the place of practice was changed to our hospital, so there is no illegal practice of wrong place of practice.”

"Considering that Dr. Zhou is a resident physician, after enquiry, Dr. Zhou is in Shashi Eighth Hospital, a designated training unit of the Affiliated Hospital of Shonan University. Led by the hospital's medical department, Dr. Zhou invited four senior chief physicians from the hospital as judges, and was awarded Class II. Authorization for surgery. See Figure 1."

"After investigation, in November last year, Dr. Zhou, under the leadership of the Hunan Provincial Health Committee, the head of the Trauma Surgery Group of the Orthopedics Branch of the Hunan Medical Association, and the chair of Professor Ding Changle, invited many domestic experts and jointly awarded the III Surgical permissions. See Figure 11."

"According to the investigation, Dr. Zhou invited ten well-known professors from Jishuitan Hospital affiliated to Kyoto University, Hexie Hospital, Huaxi Hospital, Huashan, Zhongshan, Sixth Hospital, and Ruijin to our hospital in March. These ten experts are all members of the organizing committee or vice-chairman of the Trauma Surgery Group of the Orthopedic Branch of the Huaguo Medical Association, and under the witness of the ten experts at the same time, they have undergone a detailed surgical review."

"Dr. Zhou has been approved for the operation of the new operation."

"After careful investigation, there is no such thing as a leapfrog operation! The following is the approval letter for the operation obtained by Dr. Zhou. See Figure 3."