medical simulator

"Would you like me to introduce you to my senior brother, Professor Liu, as long as you can pass the retest line of Shanghai Jiaotong University, he will accept you."

Luo Yun continued to fool and seduce Zhou Chenglai like a devil.

But Zhou Cheng didn't rush to refuse this time, but said: "Mr. Luo, let me think about it again. It would be great if you can guide the students."

I said so on the lips, but what I thought in my heart was, co-author.

Once before, the classmate I met in Shanghai turned out to be Dong Yuhai?

Dong Yuhai's teacher is Liu Yiping, and during that simulation?

sin sin!

Luo Yun sighed: "How can I take care of graduate students? If I want to take care of graduate students, it will probably take decades. After a few decades, it will be even more out of my turn."

At present, the minimum requirement for graduate tutors and doctoral tutors is a master's degree, which is a limitation of the times. In the early years, postgraduates or even undergraduates could find a good job.

But now, in the medical industry, it is difficult to stay in the top three hospitals in provinces and cities without a doctorate.

Not to mention bringing a graduate student, don't even think about it without a doctorate.

So no matter how bad Luo Yun is, he still wants to get a doctorate, preferably a full-time one. If it doesn't work, he can barely do it on the job, but the gold content of a part-time doctoral student is far less than that of a full-time one.

But it doesn't matter.

Luo Yun continued to shift his attention to Dong He who was giving a lecture, and Zhou Cheng didn't say much.

……

Dong He continued to introduce...

But the next content, everyone almost guessed, nothing more than that they sent the cultured specimens and case data to Academician Zeng's team twice, and conducted a remote video consultation.

The more Dong He said, the more excited he became. After all, today is really Waterloo for Professor Zhu.

No one dared to forget this matter for at least ten years, and even, in the end, it would reach the ears of Academician Zeng——

Academician Zeng may not speak or act.

He can't guarantee whether he is angry or not, but he will definitely be unhappy!

Thinking of this, Dong He continued the tone that I came to ask for advice, and asked earnestly:

"Because of the complexity of this case, I am here today to learn from my colleagues. I don't know if there are any experts and professors who can give more sincere advice on this case!"

Everyone rolled their eyes.

Suggestion, suggestion fart.

Who dares to speak now?

Liu Yiping is sitting below.

Of course, I dare not suggest, but there are still problems.

For example, there was a person who raised his hand and was called by Zhu Jinshan, stood up and asked:

"Professor Dong, can you tell us in detail how you considered after the patient's first admission and postoperative exudate?"

"Clinically, it is not uncommon for wounds to ooze, and we all must have encountered them."

"No one can guarantee that we will not encounter a situation similar to yours during the operation in the future, so I hope you can pass on some experience."

This is no longer a question, but a real question.

And I was just chatting, I don't know if I hope to cover up the unhappiness that happened before!

Of course, if someone asks a question, he must answer it.

As a speaker, Dong He is of course very familiar with the whole process of cases.

"In this case, when the exudate first appeared, it looked like pure wound exudate, slightly bloody. After a few days, it became more like fat liquefaction."

"And when we were performing debridement and suturing, we saw a cavity under the skin, so we performed debridement and drainage. Continuous irrigation."

"We have strictly aseptically collected the exudate before, during, and after the operation; we have done detailed laboratory inspection and culture of the nature and appearance of the exudate, and found nothing special. It is the same as the exudate we usually see."

"Through this case, we suggest that we must be very careful when encountering exudate in the future, and we must carefully consider such an extreme situation to prevent similar situations from happening again." Dong He talked eloquently!

"Thank you, Professor Dong." The person who asked the question thanked him. From the beginning to the end, he did not identify himself.

And even Zhu Jinshan didn't name the person who asked the question.

However, right after Dong He finished his question and answer, Professor Liu Yiping in front raised his hand again!

Zhu Jinshan could use Dong He's continued introduction as an excuse after he finished his answer, but he can't always use this as an excuse.And in the last question and answer session, he bypassed Liu Yiping.

Always bypassing, there will be problems, so Zhu Jinshan can only bite the bullet and call Professor Liu Yiping's name.

"Please pass the microphone over to Professor Liu Yiping. Professor Liu should have something to say." Zhu Jinshan said.

The people sitting next to Liu Yiping in the audience rolled their eyes, was this sloppy?

Originally, they had a lot of questions to ask about this case, but it was just because everyone knew each other when it came out, so naturally they didn't want to talk too much. In order to save Liu Yiping's face, they didn't raise their hands.

A suspicion of watching the excitement from the other side!

Liu Yiping finally got the microphone he was thinking about, stood up, and opened politely:

"Thank you, Professor Dong, for bringing us such a special case and introducing us the experience of handling such a rare case. I believe that the reason why Professor Dong brought up such a case is also due to intense psychological struggle."

"Although Professor Dong is well-prepared, he is rigorous and skilled in the diagnosis and treatment process of the cases."

"But me? I'm still listening, and there are some things I don't quite understand. I hope Professor Dong can teach me a thing or two!"

"Professor Liu, ask." Dong He bowed slightly, took two steps back, with a smile all over his face, and his tone was extremely polite!

He had a video discussion with Academician Zeng Diwei's team. How could he not recognize Professor Liu Yiping?

He actually didn't know that Professor Liu Yiping would come, and the ppt he originally prepared was not like this, and even the content of the case shared in the report was not like this. He just took out this special case after seeing Professor Liu Yiping. from!

Dong He did it on purpose.

Professor Liu Yiping paused, and after organizing his language a bit, he turned around and said respectfully:

"Before, Professor Song from the Second Affiliated Hospital of Shonan University, Senior Song said such a sentence."

"The doctors in the radiology department are only responsible for the preliminary reading of the plain films and give a detailed report. Our orthopedic doctors are the ones who take care of the last pass."

"You have to believe the report of the radiology department, and you certainly can't believe it all, right?"

Dong He nodded.

I just felt a little astonished, because what Professor Liu Yiping said didn't seem to be a problem?Isn't that what Professor Liu Yiping should ask?

It was because this direction and point exceeded Dong He's expectations, so Dong He's heart beat a little faster. Professor Liu Yiping, you are really picking on me, right?Did Professor Xu and Zhu Jinshan just pass by?

Professor Liu Yiping continued: "It's the same, we don't mention other departments. Our joint surgery always encounters various problems in other departments. We will ask for consultation!"

"So, when we ask for a consultation, do we ask them to help us solve the problems we encounter during the operation, or ask them to assess the risks of the operation and ask the consulting department for specialized diagnosis and treatment?"

"So? When Academician Zeng gave the remote consultation opinion, Professor Dong He, did you use it for direct embezzlement, for reference, or for direct execution?"

"It is better to have no books than to believe in books." Liu Yiping added this sentence at the end!

The voice fell, and the scene became quiet again!

Silence is like a disease, which spreads widely and can be heard when a needle falls.

Many people began to breathe rapidly.

Professor Liu Yiping's question can no longer be described as sharp!

Professor Liu Yiping clearly pointed out that what Academician Zeng gave was a consultation opinion.

Consultation opinion, is for reference only?It's not an order, do you have any brains?Are you a professor?

If you're a doctor and you just do what you're told, what kind of professor are you?

The remote consultation opinion means that Academician Zeng did not see the patient in person, did not conduct a physical examination in person, did not participate in the previous diagnosis and treatment decisions, and did not personally participate in all the patient's course of disease.

Without the above, it would be impossible to know the progress and current level of the patient's condition well by relying on the so-called case and medical record data. You are his attending and doctor in charge, and you regard the words of Academician Zeng as an imperial decree?

If this is the case, then just build a remote consultation platform. Why do we need so many hospitals?

Soul torture.

refer to?

Why don't you refer to the actual reality?

If executed directly.

Then your diagnosis and treatment process is very problematic.

Of course, Professor Liu Yiping's words don't just mean this?

He also combined what Professor Song said before, and they all saw the previous things with their own eyes.

You can't expect a radiologist to know as much about orthopedics as an orthopedic surgeon!

Naturally, one cannot ask Academician Zeng, who has never seen the patient, to understand the patient's condition as well as Dong He and the others!

If Dong He had only made a reference, he would not have put this thing on a slide to talk about it, and even brought it out to the annual orthopedic meeting to talk about it, using Zeng Diwei as a knife to design Zhu Jinshan!

Next to Liu Yiping, when Chen Xueliang heard this question, his eyelids twitched.

First, the question that Professor Liu Yiping just asked would not involve any reputation of his master, Academician Zeng, even if he went to his master, he would appreciate this question a lot.

Critical thinking combined with reality!

This is the most important quality in learning!

Who dares to say wrong?

Second, similarly, this question directly wiped away the embarrassment caused by Professor Zhu's question before. Instead, all the pressure was transferred to Dong He, and also to the Provincial People's Hospital. ...

In an instant, Dong He's back and vest were covered with sweat, and he couldn't find the right words to answer for a while!

The fine sweat on the forehead also began to condense slowly, and began to spread.

But he only hesitated for more than ten seconds before replying, "Thank you Professor Liu for your question."

"As I said before, we refer to the opinions of Academician Zeng and combine the patient's own wishes. It is the patient and his family who carefully choose joint fusion according to their own family conditions and their own tolerance for prognosis."

"They hope that they can sacrifice joint mobility in exchange for savings in medical costs."

"Although I also know that the best treatment for patients is a win-win situation. But what kind of treatment is not decided by our doctors, but the patient's own choice."

"Believe this, all the comrades present have a deep understanding, right?"

Dong He's answer was very beautiful, and it diverted everyone's attention well.

He shifted the problem from the doctor to the patient!

Which doctor has not encountered a strange case?

Even a little too much, even the time of entering the operating room and the time of leaving the operating room have to be discussed and determined with you.It is said that I have asked the master to tell my fortune, when to go in and when to come out, it is absolutely safe, and it can guarantee great wealth.

Then there are cases where the master was hit in the afternoon...

After Dong He replied tremblingly and bit the bullet.

Professor Liu Yiping said again: "Thank you, Professor Dong, for your answer. I'm being greedy today, so I'll ask one more question."

"I just want to ask Professor Dong, since you are only referring to it during the diagnosis and treatment process, where did you refer to the guide? Whose plan did you refer to, when was the guideline? When was the plan?"

After Liu Yiping finished speaking, he put down the microphone and quietly looked at Dong He on the stage, without looking in Zhu Jinshan's direction!

However, Professor Liu Yiping's words were like a sharp sword, reaching out to Professor Xu, Zhu Jinshan and other people in the Affiliated Hospital of Shonan University!

It cannot be said that an academician's consultation opinion is more credible than the current general knowledge of everyone!

This is absolutely impossible? !

No academician has ever had such an idea.

No one would talk like that.

But, let me ask, since academicians can't go against the principles and guidelines?So where should you refer to the guide?Who's plan?

Only in this way can we treat this kind of complicated knee joint infection well, and at the same time, what is the cost of the patient?

Combined with the last sentence of the previous question.

It is better to have no books than to believe in books!

Do you think for yourself?