medical simulator

Then I still feel that the operation is simple, and I hope that the department will accept more critically ill patients, such as complicated infections, such as the kind of emergency department where the pelvic fracture is about to die, which is the best.

Well, they feel that for ordinary fracture and trauma patients, the operation is not enjoyable enough. They feel that if the operation is not enough, the operation is over, and it is not difficult.

There is a kind of math doctor who suddenly returned to the elementary school class, feeling that the questions to be done were too simple, and he insisted on a teacher who graduated from a bachelor’s degree, and it seemed to be enjoyable to come up with difficult questions...

This may be a bit embarrassing for Lu Bin and others. Changshi Traditional Chinese Medicine Hospital is just a prefecture-level city hospital in Changshi. There must be severe patients in the area, but their first choice for treatment is a few hospitals in Shashi. Most of the people who went to the hospital were kept by various hospitals.

The number of patients who can come to Changshi Hospital of Traditional Chinese Medicine is limited after all. They used to be in Huaxi Hospital or Jingdu No. [-] Hospital. There were many patients and they could be selected. But now, if Lu Bin is really required to deliberately find that kind of difficult operation, he will not do it. Hard to find.

Basically contacting various county hospitals in prefecture-level cities, it is only a few days to encounter a case.

When Fang Yun heard Zhou Cheng's question, his eyes flashed, and he muttered in a low voice: "Mr. Zhou, who can imagine that after following you, what I have learned is almost the ceiling of the subject?"

"Speak up." Zhou Cheng didn't hear what Fang Yun said clearly, and motioned him to speak louder.

Fang Yun immediately changed to another rhetoric: "Mr. Zhou, thanks to your appreciation, you have taught a lot of content. I now feel that the foundation is solid. The operations performed by Professor Chen and Professor Guo did not increase my knowledge much. !"

Fang Yun's flattery was not intentional, but a fact. What he learned from Zhou Cheng was good enough.

What Fang Yun originally thought was that Zhou Chengcheng is already so powerful, if he can learn every move and a half of Professor Chen Jiwu or Guo Lindong, wouldn't it be?

In the end, after Professor Chen Jiwu and Professor Guo Lindong circled to the second orthopedic ward, Fang Yun felt that the operations performed by these two professors were just like that. They were still a level behind Zhou Cheng, and he could do it too. down this level.

Fang Yun didn't know if he was a little drifting, but he really thought so. He kind of missed the days when Zhou Cheng was still in the department.

Although Zhou Cheng was in the department for more than two months, he still gained something every day, but after Zhou Cheng left the clinical department, Zhou Cheng had only learned such a little thing for a week.

Hearing this, Zhou Cheng teased, "Fang Yun, do you know that even Professor Bu Haoran would not dare to say such a thing."

I feel a little flattered in my heart, Fang Yun, you finally found out what's wrong, right?

Just kidding, do you think that everyone has my abilities?

Zhou Cheng has never said that he is good, and there are many skills that he has not revealed to others. If others do not understand, he does not mention them.

But in Fang Yun's place, Fang Yun was always able to catch the difference in him, and then slammed into him to find out the root cause. Fang Yun's behavior finally satisfied Zhou Cheng's damned vanity!

Fang Yun quickly straightened his face, and lowered his voice: "Mr. Zhou, you probably won't betray me, right? I only dare to tell you this."

Fang Yun is a little scared, he is not Zhou Cheng, he is just the bottom student now, if Professor Chen Jiwu or Guo Lindong know that Fang Yun said they can't teach him, they have to play him off.

"Don't talk about it, and do things in a measured manner, one step at a time, and never make rash advances. You should know that I don't dare to advance rashly now." Zhou Cheng took the opportunity to hit Fang Yun.

It can be said that Fang Yun is currently the person he has taught the most. He has basically shown half of his own things to him, and Fang Yun is also a fast learner.

However, this half of the ability, and three quarters of it, is currently unclear, so Zhou Cheng hopes that Fang Yun can control it properly, so that he will not be implicated at that time.

Clinical practice is a cautious subject. If you use the existing evidence and cannot tell what is good and why, then you are a badass!

If there is no objective evidence, it is advantageous for patients to do so, and if you use it on patients, then you are doing experiments on patients, which will be very troublesome.

"I know, Mr. Zhou, I am already very restrained in clinical practice." Fang Yun said in a respectful tone, carefully assuring.

"Well, Xiao Fang, what do you think of the diseases that are currently appearing in clinical practice?" Zhou Cheng suddenly asked Fang Yun, wanting to hear Fang Yun's current opinion.

Fang Yun stayed in Changshi Hospital of Traditional Chinese Medicine for two months, and saw a lot of things.

He also hopes to see where Fang Yun's vision and level have reached.

Fang Yun frowned when he heard this, and after a while, he looked around and replied: "Mr. Zhou, if you and other professors are only looking at the doctors in this hospital, what is the current situation?" The operations that can be routinely performed in the department are simply handed over to the directors here, and it is still difficult to perform them skillfully."

"However, under such an atmosphere, there has been much progress compared to before."

"Last week, Director Zhang called me and asked if I would go to Changshi No. [-] Hospital again." Fang Yun spoke subconsciously, and after seeing Zhou Cheng's expression change slightly, he quickly promised:

"Mr. Zhou, but I didn't agree. If you didn't dislike Mr. Zhou and my master summoned me, I would definitely not leave Mr. Zhou."

Zhou Cheng smiled, didn't speak, and didn't care about Fang Yun's cautiousness at the moment.

Fang Yun continued: "Currently, the Trauma Surgery Department of Changshi No. [-] Hospital can already perform complex pelvic fracture operations alone, and the postoperative results are excellent. This is what Director Zhang Jin wanted to do before. And can't do it."

"What's more, the trauma surgery department of Changshi Hospital of Traditional Chinese Medicine has already had successful cases of routine replantation of amputated fingers and amputated limbs. Director Lu Bin and Director Quan Zhuolin have developed in different directions. trend, which is a good thing.”

"However, after watching many surgeries, I still feel that the amputated limb transplant surgery that Professor Wei and Professor Zuo can perform routinely is difficult for Director Lu and the others. , it’s hard to get over it.”

"It's not that Director Lu Bin and the others are unwilling to learn, but that their respective tasks and perspectives are different. The number of simple amputations in Chang City has been reduced, and, in addition, there are currently professors of vascular surgery in Chang City who have come down to serve Fewer examples exist after the instructor!"

"Even if you are very proficient in learning, the amount that can be applied at that time will not be enough. Without sufficient amount support, there is no way to practice to a high level. Professor Wei also often flies to various places on weekends to find suitable cases for practice. Coupled with the support of the professors behind me, the learning speed is quite fast!"

"But there is still a problem, that is, in case, after this group of instructors leave Chang City, the operations that can be performed routinely at present cannot be performed routinely by then, or if the failure rate increases, there will be some sequelae!" When Fang Yun said this, his eyes flickered.

Hearing this, Zhou Cheng looked at Fang Yun very relieved. It is rare for Xiao Fangyun to be able to understand things so thoroughly.

Zhou Chengcheng shook his head and said: "The instructor leaves the prefecture-level city hospital. This is a problem that will not occur for a long time later. This guidance process will last at least a year, or even longer. Until!"

But when Zhou Cheng said this, he suddenly remembered that some things were not suitable for Fang Yun to know, so as not to hurt his self-confidence.

Fang Yun raised his head, waiting for the next sentence, but Zhou Cheng didn't intend to continue, so his eyes became a bit resentful, but he didn't reveal his thoughts to Zhou Cheng.

Zhou Cheng also ended this serious topic appropriately.

……

After dinner, Zhou Cheng and Fang Yun went back together.

Fang Yun was still asking: "Mr. Zhou, you just said that the instructor will stay in the prefecture-level city hospital for a long time. Why? Could it be because of the gradual shortage of clinical equipment and drugs?"

Zhou Cheng glanced at Fang Yun and said, "The answers to some questions cannot be heard with the ears, and it is not suitable to express them with the mouth. You have to experience them with your heart."

"Go find the answer yourself, you now have the ability to find the answer."

Zhou Cheng didn't dare to say some things, for fear of hurting Fang Yun's heart!

Fang Yun also nodded.

Zhou Cheng continued to go home and began to improve his own education and teaching theories.

However, not long after, Yang Yifeng took the initiative to call and asked him to go to the laboratory, saying that he needed to talk to him about some problems.

In the case of sufficient manpower, Yang Yifeng seldom took the initiative to call Zhou Cheng to ask him to help, and tried to spare more time for Zhou Cheng.

But since Yang Yifeng fought, there must be something bigger!

In Chang City, in the renovated laboratory building of a college, in the office.

Yang Yifeng brought the tea he had saved here, and when Zhou Cheng came, he poured Zhou Cheng a cup, while he himself drank coffee and explained: "I'm more used to drinking this, not tea!"

"Okay! It doesn't matter what you drink, let's talk about things first. If it's a chat and dinner together, you won't let me come here on purpose." Zhou Cheng asked.

"Tenghui and Linke may withdraw from the Huaguo market in the near future." Yang Yifeng came up and gave Zhou Cheng a blow.

"So anxious??" Zhou Chengrao was prepared, or he froze.

These two companies basically occupy at least [-] to [-]% of the equipment market share in Huaguo. With their sudden disappearance, no domestic company can fill the gap left!

At that time, some people really have to stand up, and a clever woman who can withstand it for a while will be hard to cook without rice!

Yang Yifeng continued: "Someone's meaning is that they hope to skip the step of clinical trials and put some things directly into the clinic, so as to replace the exit of these two companies!"

"No! Absolutely not!" Zhou Cheng stood up abruptly.

"The largest of them is the product of Zhongzheng Company. Zhang Zhengquan is the biggest beneficiary. You are the chief technical engineer of their company's products. Are you still worried about your own stuff?" Yang Yifeng frowned and asked!

"No, neither can ZOZEN. Principles are principles. Nothing can skip clinical trials and go directly to clinical trials!" Zhou Cheng refused.

"Then what do you say? Do you really want to reduce the amount of surgery, don't do surgery for those who should be operated, and let them die if they can't be saved?"

"Other things are easy to say, such as aortic dissection, heart rupture, aortic rupture, heart valve, cerebral infarction..."

"What do you think should be done for this type of acute and severe illness?" Yang Yifeng took a deep breath.

"Zhou Cheng, I'm not questioning you. The two of us can't decide the decision of the higher authorities. We're just discussing this issue in private." Yang Yifeng stated his attitude.

He, Yang Yifeng, is just a small person, and Zhou Cheng is also a small person. They can't influence any decision-making, and no one discusses with them what should be done or not. They just comment objectively!

"That Zhang Zhengquan pressed you, and then he agreed?" Zhou Cheng asked angrily.

If Zhang Zhengquan just looked at the benefits of the product and felt that if he trusted him unconditionally, he could disregard the principle and skip the trial process, then Zhou Chengcheng really misjudged him.

Yang Yifeng spread his hands: "He can't help it! Otherwise, what should you do? For a while, you can't find enough substitutes!"

"That's not okay, the principle is the principle. If, I mean in case, there are some problems and mistakes, and it will affect millions or even tens of millions of postoperative patients, who will take the responsibility?"

"Are you relying on controlling public opinion?" Zhou Cheng asked back.

Yang Yifeng also knew that Zhou Cheng was not arguing with him, but was just discussing the matter: "I know that too, so I came here to complain to you."

"But it's hard for a clever woman to cook without rice, unless she can think of other alternatives. For example, as said on the Internet, Chinese medicine has come to help the world."

Zhou Chengcheng said coldly: "Yang Yifeng, now is not the time to be joking. What you said just now is deliberately mocking our country's traditional medicine."

"When traditional medicine existed and reached its peak, there was no such thing as prosthetics at all. A broken leg was broken. At that time, the best substitute that could be thought of was a cane. Did you make it into a prosthetic?"

Yang Yifeng restrained his emotions and said, "Zhou Cheng, wasn't there a Professor Dong who came to Changshi before to discuss this matter with you? Is there any result?"

Under such circumstances, the best substitute is actually a good Chinese medicine prescription that can withstand part of it, but it can only support part of it.

If you want to use traditional medicine to treat aortic dissection, it’s like after a limb is amputated, you don’t want to replant the amputated limb through surgery, but want to use Chinese herbal medicine to grow the bone neuromuscular. Isn’t that bullshit?

Medicine lies in being effective, not a factional struggle between modern medicine and traditional Chinese medicine.

Zhou Cheng shook his head: "There is no particularly good way. I currently have limited energy. I am a student of clinical medicine. What I can do is to study clinical medicine in depth, instead of changing careers halfway to learn some Chinese medicine theory."

"If I have time in the future, I can broaden my horizons, but I can't do it now."

"Inheriting and developing Chinese medicine is something that Chinese medicine itself should do. If I was studying Chinese medicine at the beginning, then I am duty-bound. I am now studying clinical medicine. The subjects I study are effective and can help others. You will not doubt it, but only grasp it to help others."

"What do you mean by asking me this? What are you doing?" Seeing that he was analyzing seriously, but Yang Yifeng was playing with his mobile phone, Zhou Cheng questioned.

Yang Yifeng said: "In the comment area of ​​my novel, there is a person who is arguing with me. Wait, I will reply to him with what you just said."

"Go back to your uncle!" Zhou Cheng cursed, but he also knew that he couldn't control Yang Yifeng, so he could only worry about what Yang Yifeng mentioned!

Make bricks without straw!

Chapter 351 A Sharp Knife!

"What are you doing?" Zhou Cheng arrived at the laboratory where Yang Yifeng was, and found that Yang Yifeng was staring at the computer screen, motionless.

Yang Yifeng's expression and expression at the moment are extremely solemn: "I'm sorting out the data you asked me to collect, and it's just the Changshi part, come and have a look."

Yang Yifeng's tone was serious, he glanced at Zhou Cheng, and then tilted his computer slightly.

"How was the result?" Zhou Cheng asked quickly.

"Look at the data first." Yang Yifeng pointed at the computer screen, and then said in a complicated tone: "Zhou Cheng, you are really courageous enough to collect anything. This Is it the data that our clinicians should play with?"

Yang Yifeng always thought that he was quite courageous, but what he didn't expect was that Zhou Cheng was even more daring than he thought and did.

Zhou Cheng didn't reply, but read the detailed data first.

Since the collection began in June of this year, until September, compared with the same month last year, the number of cases visited has increased by nearly five times due to the large number of experts who came to Chang City.

The number of deaths has increased by more than five times!

The overall death rate and disability rate have increased by [-]% and [-]% respectively.

In the case of an increase in the base number, the rate has also increased. In the entire city of Changzhou, among the nearly 20 emergency outpatients, [-]/[-] is [-].Five thousandths is a thousand...

This is the number increased after arriving at the hospital.

Then Zhou Cheng looked at the number of classified patients.

Patients with cerebral hemorrhage, cerebral aneurysm rupture, and aortic dissection have a mortality rate as high as 60.00%!The mortality rate in the last month was as high as 70.00%.

In severe trauma patients, the mortality rate is also...

Ordinary people must not have access to these data. This string of cold data is all bought with life!

"The impact is so serious?" Zhou Cheng was taken aback.

"Then what do you think? This is still a relatively good situation. If it weren't for some professors with good skills in Changzhou, the death rate could go back to the 80s of the last century, as high as 90.00%!" Yang Yifeng So reply.

"Is there more doctor-patient disputes?" Zhou Cheng asked as he slid down and continued to look at the corresponding data of patients with myocardial infarction, cerebral infarction, pulmonary infarction, and some patients with severe heart failure and renal failure.

Yang Yifeng took a deep breath and said, "It's okay. It may be that some experts were quite well-known before, so they shocked many people, but the current rumors say that most of these professors are apprentices. It has a name, but it really can’t save lives, but it’s okay to cure illnesses.”

"But there must be more people making troubles, but the current environment is not bad. Some similar cases that have appeared recently have almost been suppressed, but it is not a solution to continue like this."

Hearing this, Zhou Cheng also asked rhetorically, "Hasn't the price of medical expenses come down now? Wouldn't you be happy when you have to risk your life to fill this shortfall?"

Yang Yifeng was startled when he heard the words: "It doesn't seem like the words can come out of your mouth, does it?"

Ordinary people can only see that they spend more money, but they can't see that the death and disability rate caused by diseases is reduced, so they think that doctors should be omnipotent, save them money and treat them until they get better.

They didn't know that before, most of the people in Huaguo enjoyed the cheapest medical care, but the foreign people couldn't feel it because someone had paid high medical expenses for their people.