medical simulator

Page 321

This Professor Lin doesn't look as honest as he looks.

Lin Ziyuan continued to talk eloquently: "When all kinds of conditions are met, we should think about what is the difference between us and others?"

"I personally think that it is in this sub-specialty division. Now abroad, joint replacements are divided into knee and hip replacements in detail. Everyone only does knee or hip replacement."

"I will make [-] to [-] units, and [-] to [-] units in my lifetime. Except for knee replacement surgery, he doesn't think about anything else at all."

"We are familiar with each other, these short four words are actually enough for him to do a lot of things, to settle, to collect data, to develop new surgical methods, and to think about how to improve the surgical effect."

"In terms of exchanges, the frequency of academic conferences held in our country is definitely no worse than that of any other country, and high-quality conferences are no worse than those outside."

"So, we absolutely have the ability to make the problems we are working on more professional."

"The omnipotent doctor is just a product of an era, but it is definitely not a competitive product. Everyone wants to be omnipotent, but before you have a sub-specialty and a sub-specialty, why are you thinking about it?"

"I still think it's better to do a good job in one part first, figure it out, and figure out its characteristics, and then think about doing other things."

"Is omnipotence okay? General subjects okay? Read a lot of books but don't know the true meaning of one book, and only one scripture is needed to achieve true results!"

"We have read enough books. The knowledge of other disciplines is not unimportant. We must read a lot, but we must also know the direction of our major. Don't be a doctor because you are a doctor. Knowledge Wide coverage can only represent your first impression in other people's minds!"

"Why do you only want this first impression?"

……

But, when Zhou Chengcheng heard Lin Ziyuan talking on the top, the people standing nearby and listening started muttering.

"Overseas medical insurance is basically free for those who have medical insurance? Even if the operation fails, you can do it again. Domestically, it is at your own expense."

"The difference between free and self-paid determines that patients and even the society will give different feedback to medical workers after surgical complications occur."

"What's more, if you are in the country and only do a certain part, except for a few hospitals, can the doctors really eat?"

"Not everyone can stay. As a result, the level has been raised, and people are starving to death..."

These are the low-level doctors muttering, the voice is very soft, Zhou Cheng can only hear a few words in the crowd!

Except for Lin Ziyuan, the professors and associate professors all listened to Lin Ziyuan's chanting seriously, looking meticulous.But their eyes and backs didn't seem to take Professor Lin Ziyuan's words at all.

No matter whether it is a hospital or a doctor, the first thing to be solved in order to survive in this society is to adapt to the local conditions and the general environment.

It is a general trend that sub-specialties are divided into more detailed divisions, which is not bad.

However, before the sub-professionals are further subdivided, whether the public needs such high-tech and whether they can accept it is a question.

Sometimes, the best is not the most suitable.

Whether or not the doctors in each group should go into the most professional field and go into a dead end is a question that doctors all over the country are thinking about and trying.If you really go to drill, after more than ten or twenty years of drilling, the whole province or the whole country will develop this field.

If there are no patients in provincial hospitals, where can they find patients?Having abandoned other sub-professionals for more than 20 years, and wanting to open up new fields, not to mention whether other sub-professionals can agree, even if they can agree, it is narrowing their own life.

Because the medical system in foreign countries is different from that in China, both the doctor and the patient think differently. It does not cost money, the patient has no financial pressure, and the doctor does not have the pressure to increase the financial burden of the patient. Therefore, when performing surgery , the indications for surgery will be slightly wider.

For example, if a person in their 40s has their joints replaced, it will be replaced as soon as they are replaced. After 30 to [-] years, it will be enough to replace them again. Anyway, it does not cost money, as long as the patient is comfortable.But people in China don't want this kind of thing to happen. They just hope that after one operation, they will not have to have another operation for the rest of their lives.

So I choose to endure, and when I can't bear it, I come to the hospital.

Because I couldn't bear it anymore, I spent a lot of money, and if you don't give me 100% of it, the resentment in my heart will be greater.

This is actually the root cause, but it is also the reason why anyone in the medical industry dare not say it outright.This thing can only be fundamentally improved if it is undertaken at the highest level...

……

Of course, other people’s murmurs are other people’s murmurs. As a newcomer, Zhou Cheng still listened to Lin Ziyuan’s words seriously. also good.

The realm of thought is still different, at least his vision and purpose are not at the same level as those of Yan Haihan and Cai Dongfan.

But it cannot be said who is higher and who is lower.

Lin Ziyuan's goal is to improve the overall level and build a high-tech Huaguo medical mountain.

The goal of Yan Haihan and others is to cure more patients, and they just do their best. Both of them have correct ideas, and there is no distinction between high and low realms.

As long as it is for the sake of patients, it cannot be regarded as high or low.

……

After the class was over, the professors of each group led their own group rounds, which was no different from the previous eighth hospital, but the size of the teams of different groups was far from what the previous eighth hospital could match.

In terms of superior equipment, there is Professor Lin Ziyuan leading the group, and there is an associate professor and an attending doctor!

Each group has a total hospitalization!

It seems that they are always hospitalized, but in fact they manage the most people. The following professional doctors, professional masters, advanced doctors, interns, and regular training doctors. There are more than a dozen people in one group!

Ding Dian also told Zhou Cheng: "Our ward has a total of 54 registered beds, and there are no extra beds. Each person is assigned a maximum of two beds, usually one!"

"Except for the professor, associate professor, attending physician, and chief resident who don't care about the bed, everyone else must participate in the management of the bed and the operation."

Ding Dian's introduction made Zhou Cheng's tongue smack!

Twelve people, in charge of seventeen beds, a typical monk has too much food and too little food!

During the ward rounds, Lin Ziyuan led the team, and Ding Dian introduced Zhou Cheng to Lin Ziyuan, and the others noticed Zhou Cheng, but Ding Dian was just an introduction, and Zhou Cheng was a junior who would follow her for a while.

Everyone's performance UI just regarded Zhou Cheng as an ordinary graduate student or intern, without too much delay, and then the big team moved to the rounds.

In the process of rounds, it is not a teaching round, so it is very fast.

However, during the ward rounds, Zhou Cheng discovered that all the doctors in charge of the bed here are almost as good as they are. In addition to reporting medical history and medical records, they can even answer questions about academic progress asked by Professor Lin Ziyuan and Associate Professor. related question.

Just like, right now, Lin Ziyuan is asking: "What is the classification of this rotator cuff tear? Have you checked the latest research progress? What are the commonly used treatment methods and improved methods?"

Hey, such a difficult question can be answered fluently!

This really shocked Zhou Cheng!

What kind of monsters are these TMs?

……

Finally, at the end of the ward round, Zhou Cheng even felt that he couldn't keep up with the thinking of the ward round, not that he couldn't diagnose or treat, and even Zhou Cheng knew the corresponding treatment methods.

However, what Zhou Cheng knew was classic and commonly used. Zhou Cheng felt that some of the improvement methods answered by the bed management doctors were simply blank. After carefully analyzing the answer points, he felt that some of these improvement methods were superfluous. .

Some were quite amazing, and opened their minds a little at once!

In the process of answering, Ding Dian, what's more, besides proposing conventional treatment methods and improvement methods, he even put forward his own understanding, which aspect he thinks can be optimized.

After hearing this, Lin Ziyuan and others replied: "This is a good idea, Ding Dian, you should go and check to see if there are any articles on this topic. If there are any articles, you can refer to them, and if you don't, you can find out the way yourself."

"Next!"

……

"Senior Sister Ding, do you usually do ward rounds like this?" After the ward rounds were over, Ding Dian also routinely brought Zhou Cheng into the operating room.

Ding Dian nodded, and said in a devilish voice: "The speed of operation in the department is also very fast, so although there are not many beds in a ward, the patients who are hospitalized will basically be on the second to the third day. Discharged, the turnaround is very, very fast."

"There is no surgery day here. There are six to seven sets of arthroscopy here, which is enough for three groups to take turns to perform surgery."

"Moreover, many operations in sports medicine can be carried out in outpatient operating rooms, so the patients who come to the hospital are all day surgery patients. They are not hospitalized in the hospital for examination, and the preoperative examination should be done before admission."

"Surgery is arranged on the day of hospitalization, and I will be discharged on the second or third day."

"So basically we will come into contact with new patients every day, and then every Monday, three, five and three groups will conduct ward rounds with education. At that time, the rhythm will be slower, but the content will be richer."

"So, here, people who don't read the literature are monsters."

Zhou Cheng clicked his tongue when he heard this, and asked, "Senior Sister Ding, how many beds are there in the ward?"

Zhou Chengxin calculated that a wave of patients would be discharged in two or three days. Even if there were only forty beds in the department, there might be three or four hundred patients who could be treated in a month. Three thousand units.

The number of operations in the department is estimated to be more than ten per day.

"There are about 50 beds, and there is no extra bed, but it's okay, some relatively simple operations, after the operation, after one night of observation, you will be discharged from the hospital the next day." Dian Dian's voice was still very magical.

It's not that she did it on purpose, but her voice was born like this, when she was talking to Professor Lin Ziyuan and others, it was like that.

Lolita voice, baby face, only sometimes soft, sometimes relatively formal.

The sound seemed to have a relatively strong impact, which made Zhou Cheng feel the fine hairs on his skin standing up continuously...

……

When Zhou Cheng stepped on the sensor door of the operating room, he heard scolding inside.

"You should pay attention to adjusting the direction of the planer. The arthroscope is alive. It is not a traditional scalpel. You need to adjust the direction with your hands."

"No matter how you change hands here, can you reverse the planer head inside? Are you breaking it or trying to break the patient's joint capsule? Think about it, okay?" Lin Zixiang was the one who cursed Professor Lin!

He stood in the position of assistant, half angry, half preaching.

Associate Professor Du is sitting under the control panel in the operating room at the moment, and the operation time above his head continues to tick. The operation has been going on for about an hour and a half.

Someone pushed open the door, Lin Zixiang just glanced at it, and then continued to say to the little brother who performed the surgery: "Don't look at other people, watch the surgery, this is your operation, you are the surgeon!"

"If this patient is not shoulder arthroscopic or general anesthesia, with your distracted attention, do you really dare to take the lead?"

Zhou Cheng wanted to see the specific process of this operation, but when Zhou Chengyi turned his head, he saw basically Professor Lin Zixiang, a young man who was not familiar with the chief surgeon, and another young-looking second assistant and hand washing nurse. standing outside.

Everyone else found a place to sit down one by one. The itinerant nurse and Associate Professor Du Kunning sat on stools, and the anesthesiologist had a special sofa chair.After Ding Dian entered the operating room, he found a seat on his own, as if he didn't want to touch Professor Lin Zixiang's brow.

The other students either sat on step stools, or found a piece of green cloth and spread it on the ground and sat down.

Seeing this situation, Zhou Cheng of course didn't dare to watch it up close. He followed Ding Dian, leaning against where she was sitting, and stood still not daring to move.Eyes blinked occasionally, and as Lin Zixiang scolded, his skin became tense unconsciously.

Lin Zixiang scolded really fiercely.

Ding Dian moved the stool, and said in a low voice: "The chief inpatient of our group, named Han Xiaoming, is doing the surgery. The second assistant is the attending doctor of our group, named Lu Mo, who is the tallest one with fair skin. !"

After Zhou Cheng nodded, he didn't have time to thank him.

Professor Lin Zixiang fired again: "Can you remember something, this kind of mistake was made just last time, and now you make it again, you have to think about it yourself, what should you do next? Point out your Mistakes, didn’t you sum it up yourself and reflect on it?”

"There must be a surgical idea, a complete surgical idea."

While cursing, Professor Lin Zixiang suddenly seemed to see something wrong, and then immediately closed his eyes, not wanting to say anything, his tone lowered, and he sighed helplessly: "Oh, forget it, Xiao Ming , you step down first, you have to watch more!"

"You are not good enough at this level, and you can't be the sole surgeon."

Then, as soon as he turned his head, Lin Zixiang pointed in Zhou Cheng's direction: "Ding Dian, wash your hands and come on stage!"

Ding Dian hurriedly walked to the operating room, and when he walked out, he even touched Zhou Cheng!

Zhou Cheng hurriedly followed out.He let out a long sigh of relief in his heart, he thought Professor Lin Zixiang was calling him Ding Dian, so it didn't matter.

I'm just a melon eater.

……

Chapter 2 is the first show in the operating room!

Beside the operating table, the attending physician Lu Mo said in a low voice: "Professor Du, this patient has a PASTA injury, and it's not easy to treat. Isn't it a bit inappropriate to treat such an operation at all?"

PASTA injury is the abbreviation of Partial Articular Supraspinatus Tendon Avulsion, which means partial injury on the side of the supraspinatus tendon joint in Chinese.

It's just that joint surgeons are used to calling it PASTA verbally.

Not for the sake of being cool, but fewer syllables need to be pronounced.This kind of name is very professional, but the location is very precise, and the pronunciation is less, which is convenient for communication, but it is inconvenient when communicating with non-joint surgeons.

Associate Professor Du Kunning raised his eyelids slightly, glanced at Lu Mo, and said in a low and straight voice, "Xiao Lu, the times are different now! With the progress of the times, children nowadays are being developed more and more deeply. The same age status Come on, it was very difficult for us to compare before.”

"So don't watch such things with emotions. Ding Dian has already been exposed to Class III surgery. This kind of PASTA, she handles it, and it's not too rough."

"After all, Han Xiaoming's failure to learn does not mean that other students cannot learn."

"Those who are capable are superior. Would you like to try?"

Lu Mo looked up at the sky at that time, he couldn't talk today, and he was looking for trouble for nothing, so he hit the muzzle of the gun!

Han Xiaoming is not a real SB. PASTA injury is a very special injury among shoulder joint injuries. It is not even a simple injury of the supraspinatus tendon, or a surgery that can be concluded by casually doing a shoulder arthroscopy. .

This is a well-regulated category IV operation, and it is a difficult one among category IV operations.

Han Xiaoming is the chief hospitalist, and he has just graduated with a Ph.D. for a few years.The talent is very good, otherwise it would be impossible to stay, and he stayed in the Ninth Academy, which is becoming more and more complicated. He was an academic doctor before.

It has only been more than two years since I have been in clinical practice now, and I have been able to perform routine shoulder arthroscopic surgery. This kind of talent is really amazing, because even Lu Mo, a genuine doctor, now has to routinely carry out all Class III surgery. Surgery, I think it is quite difficult, and it will take time to polish it slowly.

However, although it is very difficult to perform type IV surgery, it is still no problem to ask him to do ordinary shoulder joint cleaning, acromion impingement, and frozen shoulder.

The operation volume of other operations is there, and rare operations still require operation volume for practice.

After Zhou Cheng and Ding Dian washed their hands and came in, they found that almost all the people in the audience were staring at them silently, with all kinds of expressions in their eyes!

Most of the eyes were stunned and awed, as well as surprised.