medical simulator

Page 454

A group of masters and doctors were also overjoyed when they heard the words, and expressed their attitudes one after another. After organizing the group meeting, Professor Jingxing was invited.

The focus is still back on the operation.

Zhou Cheng found that Professor Jingxing was very familiar with the operations of opening windows, placing mirrors, and placing internal fixtures, so he didn't speak all the way.

Accompanied silently by the side, Jing Xing put one side of the internal fixation into the bone marrow cavity, only to find out that he had just had an operation and was having fun. Doesn't this reveal that he had done the operation secretly?

But I still asked politely, and the tone was not special: "Xiao Zhou, how do you think the second internal fixation should be placed?"

"Or based on what you said earlier?"

Having revealed all the details before, Zhou Cheng nodded: "Professor Jing, you can try this as much as you want."

According to what Zhou Cheng said, Landscape Star tried to stick to the distal end of the fracture as much as possible, and no longer strictly placed the internal fixation at the very center, and then when he held the forceps with both hands at the same time, he really felt a snap.

Clicking and bouncing, as if all the doubts before Landscape Star were bounced away, he said: "Experts look at the details, Xiao Zhou's comprehension of this technique is really very deep."

Zhou Cheng smiled and said, "Professor Jing's operation is also extremely sophisticated."

Landscape Star took a deep breath, stopped talking, and controlled the forceps to stretch the internal fixation. After the fixation effect was achieved, he took out the forceps, and then he evaluated the way of surgical alignment by himself as before, and conducted a physical examination .

Feeling the broken ends, the fit is very good, even the broken bone fragments of comminuted fractures are tightly clamped to the broken ends under the stretch of the internal fixation.

"Xiao Zhou, I think it's all right. What do you think?" Landscape Star asked Zhou Cheng again, hoping that Zhou Cheng would not hold back any more.

Zhou Cheng had already simulated the landscape star through the simulator on the way here, and knew that the landscape star was actually very proficient in this technique, and he could learn the essence of this technique with a little hint.

Thinking secretly, Landscape Star's clinical talent, or such reserve, is actually deeper than that of Xue Xiude.

Zhou Cheng didn't refuse, and did a physical examination on his own, saying, "Professor Jing, this is great."

"When placing the internal fixation, if it is only limited to the center of the insertion tube, the position will be deviated, and it is most suitable to operate close to the distal end."

"Some other problems can also be solved in one go."

"Then reveal one first!" Landscape star turned to look at the time of the operation timing panel, which was only ten minutes.

After comparing it secretly, Zhou Cheng can shorten this time to less than 10 minutes, or even five or six minutes.Although today is teaching, I still can't reach Zhou Cheng's height.

However, I am new to this technique, so I don't need to insist on speed, I will have the opportunity to understand it slowly in the future.

After further fluoroscopy, the result of the fixation is excellent, and the alignment is also perfect, which fully demonstrates the skill that a top professor should have.

Landscape star walked into the operating room again, and said to the uncle: "Master, the operation is over, it went well, and the postoperative effect is also very good, don't worry, ah."

"Tomorrow, you will probably be able to get out of bed with crutches. But don't use too much force on the affected limb. The main thing is to get off the ground with the help of crutches."

A good fracture open reduction and intramedullary nail fixation can get out of bed the next day. Landscape Star has seen the compression resistance measurement of this new type of internal fixation, and it is not weak, so I am not worried about getting out of bed with crutches .

This is the understanding of the principle of fracture treatment in each hospital.

"And that's it?"

"Did the operation go well?"

"Thank you, thank you Professor Jing, thank you Dr. Zhou. Oh, it's better not to get sick. Look, my trip..." He began to chant again.

Then Gu Kaifa and the others took over the conversation, and then began the finishing work of the operation.

Landscape star stepped down with Zhou Cheng again, and then walked all the way back to the ward.

It is a basic common sense that after the operation, the surgeon should inspect the patients who were operated on that day. The newer the operation, the more so.

The total duration of the two surgeries did not exceed one hour, and Landscape Star and Zhou Cheng naturally had this time.

After Jingjingxing entered the department, he called Zhou Cheng to the director's office, and handed him an envelope, which was a bit thick.

Zhou Cheng didn't move.

Jing Jingxing said: "Xiao Zhou, today's operation is not only the consultation fee for the operation, but also the tuition fee for teaching. This is a matter of duty. Don't refuse it."

"Nowadays, the training cost of a training class is more than that. You may not be able to learn good things."

To be honest, Zhou Cheng loves money, and he is also very short of money, but today, he really didn't come here for this thing, so he said: "Professor Jing, this is too much, I really can't take it."

"Besides, Professor Jing's operation is also a clinical project for cooperation. I feel really sorry for taking it."

"Professor Jing, let's see the patient."

Landscape star took a serious look at Zhou Cheng, saw Zhou Cheng's serious expression, and said, "Then send me your basic personal information, including your bank card number."

"Since it is cooperation, it must look like cooperation. As a technical director, our clinical research team should give you some allowance."

"The money given by the hospital is not my personal, it is open and aboveboard."

"If you still refuse this Xiao Zhou, you won't treat our Sixth Academy as a formal unit."

There is no free lunch in the world, and it is normal to pay for knowledge. Every year, every university will pay at least tens of millions or even hundreds of millions of dollars for the students and teachers in the school to consult papers.

This week's achievement really can't be pushed away. Landscape Star has raised this matter to a certain level, and pushing it further would be a bit contemptuous.I secretly admire Landscape Star's measure and cheekiness.

He laughed and said, "Then I'll send it to you later, but I hope Professor Jing won't be too outrageous. I'm still young, but I can't stand the temptation of money, and I'm afraid I'll go down."

Zhou Cheng was laughing, but Jing Jingxing kept this sentence in his heart.

Others said that he would only take it as a joke, but Zhou Cheng rejected Xu Dashan's invitation to work in Jishuitan on the grounds of learning.In full view.

"Don't worry, Xiao Zhou, let's not talk about this anymore, let's go see the patient first." Landscape star took the envelope back, put it in the drawer, and locked it.

When the two moved to the ward where the patient was, what a guy inside, a lot of people gathered and were amazed.

Due to the spread of teasing, everyone is curious to see it.

Many people are exaggerating: "This wound is small, these two band-aids are like a joke, right? I saw the one next to my son's bed, the wound is so big."

Exaggeratedly made a gesture.

"No, one of my patients has undergone seven or eight operations. The wound is getting bigger and bigger, and it's still infected. I don't know when it will go away. There is still a bone defect."

"His surgical incision is not as big as when I cut vegetables with a knife. It's really incredible."

Another person said: "The current technology and medical level are getting more and more developed. How dare you think before that the incision for surgery is so small. It is not as big as a buttonhole, and this can also be used for surgery?"

"I also heard that the openings for vascular surgery and neurosurgery are also small..."

While talking, Jingjing Xing and Zhou Cheng paused outside for a while, then walked in.

Landscape Star took the initiative to greet and said: "Well, all patients and their family members, the patient has just finished the operation and needs to rest a little longer, so you don't want to get together to watch strange things anymore."

"Someone just had an operation today, so you have to wait until tomorrow if you want to see it, right?"

Then Jingxing greeted the person named Zeng Bai and said: "Your family members should also pay attention to it. The operation is not a joke, nor is it a show off and comparison. The patient still needs to rest more."

Good guy, the patient returned to the ward and almost became a vegetable market, what's the matter?

Seeing this, Zeng Bai hurriedly nodded, and began to call the family members of the patients. When he came forward, naturally no one said anything more. It is common knowledge that ordinary people need to rest after surgery.

Jingjingxing and Zhou Cheng walked to the bed, Jingjingxing asked patiently: "Sister, are you okay?"

The aunt is still quite energetic, because the anesthesia has not yet passed, the fracture has been fixed, and the pain and stimulation of the fracture fragment friction and scratching the muscles have already been reduced without knowing it.

At this moment, I don't know if I have heard the envy of others, and my complexion is quite good. I am about to sit up with the support of my healthy side. Seeing this, Landscape Star hurriedly said: "Eldest sister, lie down and rest."

"Although you are under nerve block anesthesia, not general anesthesia, please trust the level of our Ninth Hospital, there is no need to take risks, right, lie down and have a good rest."

Only then did the aunt speak, her silver hair was half white, and she looked at Jing Jingxing with a smile: "Professor Jing, Doctor Zhou, thank you. I have never felt so good since I was injured."

"Except for this hand, I can't do it anywhere. I also ate and drank water. I feel much more comfortable now."

Landscape star nodded, nerve block anesthesia, no need to fast and drink, anesthesia has minimal stimulation to the gastrointestinal tract, but it will take some time to recover consciousness and exercise.

"Well, it's under anesthesia. There may be pain at night, but don't worry, we will properly add some painkillers to your hanging water."

"The faint pain will disappear soon, and don't be afraid of the side effects of painkillers, just the right amount, so you can perform functional exercises after surgery without fear."

"Doctor Zhou and I just came up to check on your situation."

Landscape star then looked at Zhou Cheng, meaning you should also talk about it.

Zhou Cheng also said: "Grandma, don't worry, your operation process is relatively smooth, but there are some precautions after the operation. You should know that you can't fall down, and there are other ways to pay attention. When the time comes, Professor Jing When they round the room, they will definitely explain it in detail."

"In addition, you can eat more food appropriately to speed up the recovery of wounds and fractures..."

Zhou Chengcheng only said some clichés. Among the principles of fracture treatment and rehabilitation training, each hospital has its own experience.

"Yeah, okay, okay." The aunt nodded hurriedly. It seemed that she was also a bit of a cultured person.

"Don't worry, I just heard that I have such a good operation, and ordinary people can't meet it. Professor Jing, Doctor Zhou, you are all my nobles. I am so old and injured, you I don’t know how to scare me.”

"I've seen a lot of people. After a fall, the person disappears. My..."

After Zhou Cheng and Professor Jingxing patiently listened to a paragraph, they said goodbye to the aunt. In fact, there was nothing special about it.

There is nothing wrong with being careful.

When I walked out again, the family members of the previous patients gradually left, but there was a family of three waiting at the door.

The man was talking with Zeng Bai, and when he saw Landscape Star and Zhou Cheng, he immediately raised his head: "Professor Jing, Professor Jing, can I bother you for a moment to discuss something?"

At the same time, the middle-aged woman holding her daughter at the back also raised her head at this moment, and looked over with burning eyes. In her arms, there was also a little girl in a plaster cast.

The little girl was about seven or eight years old, with a pair of ponytails tied up, her eyes were very agile and she waved to Landscape Star: "Good afternoon, Grandpa Jing."

She wanted to raise the other hand again, but after a little movement, she frowned and couldn't lift it anymore.But the smile remains the same, she is a very polite, generous and bold girl.

Jing Jingxing walked out of the ward, frowned slightly, first shook hands with the little girl, and the little girl wanted to shake hands with Zhou Cheng, Zhou Cheng was also surprised by her courage.

Zhou Cheng also played naughty with her curiously.

Landscape star said to the man: "Your Pao Pao is really not afraid of strangers."

Pao Pao is a nickname for a little girl. Papa Pao smiled when he heard that, "Professor Jing is mainly because you are approachable. Professor Jing, in fact, I came to you today because of Pao Pao."

Landscape star nodded, knowing his purpose of coming, he is his own patient, he has an impression.

"I heard that you have started minimally invasive surgery for fractures here, but I don't know, my Pao Pao, can you also do minimally invasive surgery? She is a girl, and I heard that even with cosmetic sutures, the scars will not be short. "

"And what about my Paobao?" His eyes were full of anticipation.

Hearing this, Landscape Star sighed, and said, "Papa Pao, actually, it's not that I don't want to, it's mainly because the indications for small incision open reduction and internal fixation have its special features. "

"I've already inquired. Currently, this device is only suitable for adults. Bubble is too young."

"There is no equipment suitable for her, and new equipment needs to be polished and designed. It will not happen overnight. It is impossible to wait."

Papa Pao was taken aback when he heard the words, he was a little dumbfounded, and didn't quite believe it: "How is this possible?"

Landscape star said: "This is a fact. I can't say that I will not perform such a small incision operation on Bubbles if there are equipment and can do it. The main reason is that we don't have such equipment."

"This device is a new thing nowadays. It is mainly designed with reference to adults. The bone marrow lumen of children is very small, and it changes every year. If it is specially designed, it will take a lot of effort."

"You can imagine the difference between the bubble three years ago and the current one. How tall will the bubble be three years later?"

"Without equipment, you can cook without rice."

After hearing this, Papa Pao still didn't give up, so he looked at Zhou Cheng. He didn't simply rush to Jingjingxing, but heard that Jingjingxing invited a very young but very powerful doctor.

Now there are rumors about this in the department, and he has been waiting outside for the sake of his daughter's less scars.

"Doctor Zhou? Do you have a solution?" Dad Pao Pao was already impolite, and asked Zhou Cheng directly over the landscape star.

In fact, Zhou Chengyou heard the conversation between Landscape Star and him, and he just sighed slightly and said, "Papa Pao, I can understand and empathize with your mood and your wishes."

"But this operation is indeed a new operation. Medicine is not a child's trick. Every step needs to be verified."

"For the current operation, we have been preparing for at least a month before it can be carried out. If you count the device design and so on, it will be even longer."

"The anatomy of children is not more complicated than that of adults, but the bone changes in children are much more than that of adults, so there is indeed no applicable device for the time being. This will have to wait for device companies to slowly develop it before it can be popularized."

"Ah?" Zhou Cheng said that, gradually shattering Papa Pao's last hope.

Zhou Cheng could see the disappointment on his face, so he could only say helplessly: "The road has to be walked step by step. Nothing can be accomplished overnight. This is really an objective reality."

"If you want to design a device suitable for Bubble Kids, you have to go through many tests, and it will not happen overnight."

Zhou Cheng then asked: "Professor Jing, what's going on with Pao Pao?"

"Left forearm, comminuted fracture of radius and ulna, C2 subtype, the situation is very complicated!"

"Actually, the classification of the C2 subtype is not very clear. They were in a lower-level hospital, and the hospital didn't dare to perform surgery. They went to the Children's Hospital. The director of the orthopedic department of the Children's Hospital also felt a headache, so I took her in. , I plan to sharpen my surgical thinking at an optional time."

Landscape star continued: "By the way, Dad Pao, take out the film of Pao Pao and show it to Dr. Zhou. Dr. Zhou is also a very experienced doctor in our trauma surgery department. One more person for reference, one more opinion .”

Papa Pao hurriedly agreed to go back and get it, then rushed out quickly, turned to this side, and held it towards Zhou Cheng with both hands.

Zhou Cheng could tell that he loved his precious girl very much, and for her, being humble was nothing.

Zhou Cheng took the film and watched it, curious about what Jing Jingxing had just said.