medical simulator

You know, the total time of Dong He's lecture is only 10 minutes.

15 minutes for sharing, 5 minutes for Q&A.

Before Liu Yiping stood up, Professor Zhu's greetings and old Professor Xu's words of support were still lingering in everyone's ears:

"First of all, I'm not here to ask questions."

"Second, no matter what kind of expert or academician they are, they must have the most sufficient evidence before they can perform surgery."

"In your case, no matter what the situation is, joint cleaning and revision are the best choices. Even if Academician Zeng is standing in front of me now, that's the reason."

So, on the surface, it seems that Liu Yiping is targeting and embarrassing Dong He, but in fact he is pointing his sword at other places.

Pointing at Sang and scolding Huai, who wouldn't be able to come to this venue?

Who can understand?

Dong He didn't answer Liu Yiping's question after a few seconds.

There was no way to answer, but Liu Yiping looked at him, and he could only bite the bullet and say, "Professor Liu, I really can't answer this question for you. Because we searched all the guidelines before the operation, All the principles of standardized treatment have not found a clear definition of what happened in this case!"

"Our surgical plan and decision were made on the spur of the moment after extensive discussions in the department."

"If you have to talk about a guideline and principle, then it is individualized treatment. According to the patient's situation, be ready to respond at any time. I don't know how Professor Liu will make a choice when he encounters such a problem?"

Dong He threw the question back, begging for mercy in the middle of the song, let's let this topic go, shall we?

Liu Yiping said: "Thank you, Professor Dong, for your answer. For this patient, I will try my best to consider social and economic factors and choose joint fusion or amputation!"

"Even if it's cruel!"

Professor Liu Yiping sat down again after speaking.

However, Professor Liu Yiping, after sitting down, Professor Xu and Professor Song, including Professor Kong, felt like they were sitting on pins and needles.They raised their hands one after another, as if they wanted to chase after Dong He and continue to ask questions.

But in fact, everyone knows their purpose is to answer Professor Liu Yiping's question.

Seeing this scene, Dong He suddenly felt a catastrophe coming!

If, today, old seniors like Professor Liu Yiping and Professor Song had a fight, then he would be standing on the edge of a knife, on the cusp of the storm, with no one left or right. He already regretted bringing this case up. His original intention was not so……

Professor Zhu Jinshan also has the same thoughts as Liu Yiping.

He was also hilarious, that's why he fell into Dong He's pit. Fortunately, Professor Xu helped him, but now?

It seems that Professor Xu also fell into the pit because of "Happy mouth".

Now, there is no winner in this invisible struggle!

In the end, if Liu Yiping wins, the old professors will think that Liu Yiping is aggressive and come to make trouble!At this age, they have long since given up clinical practice, and only want to spend the rest of their lives in peace.

When you come to an academic conference, you are here to support the scene, not to compete for fame and fortune.

But not to mess with filth either.

Old people have the same name! ~

But if several old professors win in the end and insist on arguing for right or wrong on the consultation opinions of Academician Zeng Diwei, then Mr. Zeng may not personally end the case and bring the case to the orthopedics department half a month later. Talk at the annual meeting.

Let colleagues from all over the country come and comment on a right or wrong!

At that time, it will be even more difficult to end this matter. Although this possibility is very low, it is not ruled out.

As the chairman of the conference, Zhu Jinshan's scalp was a little numb, so he asked, "Professor Kang, the case brought by Professor Dong today is still very impactful, but because of time constraints, why don't we put the academic discussion together?" Things, put it in the tea break of the first and second quarters in the second half of the conference?"

Although Zhu Jinshan was interrupting, old Professor Xu still insisted on standing up and asking the staff for a microphone.

The staff was also very helpless, looked at Zhu Jinshan, and in the end, they could only pass the microphone to Professor Xu!

After Professor Xu took the microphone, he looked directly at Professor Liu Yiping: "Professor Liu, I still have some questions to ask you about your question just now."

"Individualized treatment, this is a common topic in all medical disciplines, that's right."

"Even, I can boldly say that the guidelines we think are [-]% wrong, and none of them are right. Even the indications and contraindications we follow are actually wrong."

"Then can we not abide by it?"

"The cases we encounter in reality will not be written according to textbooks and guidelines, so is our random treatment advisable and correct?"

"If all treatments are understood according to individualized treatment, then who will guarantee the rights and interests of patients in the end?"

"If there is no objective criterion, will we doctors be wrong at any time in the process of practicing medicine?"

"Our medical law stipulates that we have the right and the obligation to provide patients with the best medical resources and best medical advice. We must guarantee the lives and health of the masses!"

"Then we don't need to refer to it?"

"Wouldn't it be useful to refer to an existing guide without having the same guide?"

"Joint infection, even complicated infection, is not an absolute indication for joint fusion, is it?"

Mr. Xu knew that Professor Liu Yiping's words were aimed at him, so he fought back one by one.

It even brought the topic to a very high level all at once. Without guidelines, can you not follow the guidelines?

It is better to have no books than to believe in books, so why don't you read books?

……

When Mr. Xu asked back, Zhou Chengcheng noticed that Luo Yun was frowning at the moment, as if he was thinking about how to reply.

Because many pitfalls were left in Professor Xu's question, he didn't know if Liu Yiping noticed it.

Luo Yun looked at Liu Yiping's movements with a little worry, as if he was worried that Liu Yiping would raise his hand soon. This question actually requires a little more careful thinking.

Seeing Luo Yun's troubled expression, Zhou Chengcheng whispered in Luo Yun's ear for a while.

After Luo Yun heard it, he immediately looked at Zhou Cheng in astonishment: "Is that appropriate?"

Zhou Cheng then said: "Mr. Luo, if this doesn't calm down, it won't do any good to start a fight. This is actually just a misunderstanding. We can only calm things down first, and we can talk slowly later."

Luo Yun immediately stood up when he heard the words, and then waved to the staff member holding the microphone.

But the staff, all graduate students, walked towards Luo Yun, but they didn't dare to pass the microphone to Luo Yun. They just stood beside Luo Yun, looked at Zhu Jinshan, and waited for his instructions and orders!

Zhu Jinshan's head is getting bigger now, Liu Yiping first made the topic of Dong He's provocation reach the explosive point, and now Luo Yun comes again.

And these two happened to be Zeng Diwei's students, you can't do it unless you call him, he's just big-headed.

Who knows what Luo Yun is going to say now?

However, in the end, Zhu Jinshan still couldn't bear everyone's gaze, so he could only temporarily stop the idea of ​​the next speaker giving a lecture, and then said, "I invite Dr. Luo from the Eighth Hospital."

As Zhu Jinshan was speaking, he saw that Professor Liu Yiping paused when he was about to stand up after hearing him tell Luo Yun to speak, and then turned around to look back.

I saw that after Luo Yun took the microphone, he said calmly: "Professor Zhu, Professor Dong, in fact, I personally think that the debate between Professor Liu and Senior Xu just now was a little one-sided. "

"First of all, all of our guidelines and principles are designed to protect patients' right to life and health, while at the same time guaranteeing the rights and interests of our doctors themselves at special times!"

"In this particular case, I think arthrodesis is a good option as a bridge between debridement of septic arthritis of the knee and knee resurfacing surgery."

"Professors must know that the curative effect of arthrodesis on joint infection is very obvious. This is a classic joint infection treatment."

"Only in recent years, we have gradually abandoned it because of the adverse consequences of a significant decline in the quality of life of patients caused by it!"

"It is undeniable that other aspects of our modern medicine have developed rapidly. For example, our joint replacement and arthroplasty have developed into a brand new field."

"At this time, it's actually a cliché. It's advisable to bring some operations that we have given up to the operating table as a transition. After all, its curative effect is real."

"Compared with the high cost of multiple debridement and drainage and the use of special antibiotics, fusion is indeed economical and affordable! This is undeniable."

"However, a short-term loss of function can reduce a patient's financial burden to a level they can bear. This is actually the meaning of our doctors. When objective conditions are limited, we can find a unique way to deal with it. "

"Joint replacement after joint fusion is a bit more complicated, but it is also a good choice. Under sterile conditions, it is not difficult to perform joint replacement and reshape joint function."

"Of course we must respect the rules Professor Xu said."

"Professor Liu's individualized treatment plan, we also have to adopt it!"

"Professor Xu, Professor Liu, what do you two think?" Luo Yun looked at the two with a smile.

The thinking of adults, solving things is far more important than making things big, and fighting for fame and fortune for yourself. This is not just a simple mess!

It's a compromise, no one is right, no one is right.

By the way, I also pretended to be a coward, this is the best of all three things.

After listening to Luo Yun's words, Professor Xu had a feeling that he wanted to beat him. What is arthroplasty after joint fusion? It is not difficult to reshape joint function.

Who are you?

Of course, I thought so in my heart, since the young doctor left a retreat for both of them, and found such a compromise, he would not accept it, insisting on saying right or wrong.

The reason why I want to talk about right and wrong is because of Zhu Jinshan's mouth. As a senior at Shonan University, he must of course protect him. Otherwise, if today's incident is spread, how can he mess around outside?

Even Zhu Jinshan is not easy to get along with in the provincial circle.

Liu Yiping was also very satisfied with the result. In the end, it was Luo Yun who came forward to solve Professor Xu's problem. Come forward, he will not come to fight this pioneer.

The transition from joint fusion to joint replacement is such a wonderful idea that ordinary people really can't think of it. Luo Yun's brain circuit is also a bit problematic.

Because after joint fusion, there are not many joint replacements.

Patients don't know how to do it, and few people dare to do it, but Liu Yiping really doesn't know if Luo Yun can do it, because he can't figure out the details of his junior brother. When he was at Zeng Diwei's place before, Luo Yun took Just do the surgery.

I haven't had any problems, I just feel bottomless...

When Zhu Jinshan heard Luo Yun's words, the corners of his mouth twitched for a while, and he quickly said, "Thank you Doctor Luo for your answer, and thank you Professor Liu and Teacher Xu for your wonderful questions. Let us relive the classic surgery and the new surgery. turn around."

"Today's academic feast is definitely a gluttonous feast, but the more delicious ones are yet to come..."

When he said this, he glanced at Sao Luoyun, and cursed in his heart: Damn, I took the bad name of being loud by myself, and I was forced to be faked by others.

Just fucking...

The crowd started to commotion and began to discuss, where is the Eighth Hospital?

After joint fusion, can you still send patients there?

Dr. Luo...

Luo Yun sat down. Next to him, Zhou Cheng continued to sit upright, opened a new page in his notebook, and carefully wrote down the topic of the speaker. This scene made Luo Yun want to pinch Zhou Cheng to death. impulse...

With your ability, how can you still take these notes?

What do you think?

I'm afraid everyone present didn't know that the fight between old professor Xu and his senior brother was caused by Zhou Cheng!

An abandoned technique has become a transfer station...

However, Zhou Cheng didn't notice Luo Yun's eyes. He rubbed his tired hands seriously, then quickly pricked up his ears and listened carefully.

Chapter 1 I will not talk nonsense with you!

The following lectures became much smoother.

It was also because of the previous incident between Professor Xu and Liu Yiping that it was almost like a wild horse broke free from the rein, and the others were also afraid of making trouble again, so they didn't dare to do anything more.

……

When Dong He came down to change the speaker, Luo Yuncai finally took a break and asked Zhou Cheng: "Why didn't you just speak by yourself? Instead, let me speak?"

Luo Yun actually already had the answer in his heart, but he just wanted to hear what Zhou Cheng was thinking.

Zhou Cheng smiled and said, "Mr. Luo, your words are definitely more appropriate than mine. It also has weight. Even if I raise my hand and want to talk, Professor Zhu may not necessarily call me by name."

"But you are different. You are Professor Liu's younger brother and a student of Academician Zeng. Professor Zhu will not miss your name."

"Besides, if you come forward to be the peacemaker, Professor Liu can understand a little bit in his heart. Otherwise, if others try to persuade you, Professor Liu may be biased in his heart."

"The reason for this misunderstanding is that it has something to do with Professor Dong He's deliberate concealment and the objective facts you told me before, Mr. Luo!"

Zhou Cheng did not conduct an in-depth analysis.

But Luo Yun had already understood Zhou Cheng's thoughts, Zhou Cheng was right, Luo Yun stood up and said what he just said, he is the most suitable candidate.

Zhou Cheng's ability to think of this proves that he is thinking, and that he is already growing slowly.

The rivers and lakes are not about fighting and killing, but about the ways of the world!

Dong He's original purpose was to drag Mr. Zeng into the water and wish Jinshan with disgust!

With Mr. Zeng involved, it is impossible for Professor Liu Yiping and Luo Yun, who are students, not to show up!

Luo Yun then asked: "Then how did you come up with the idea that knee arthrodesis is an over-surgery for knee arthroplasty?"