Chapter 112: All sensible people are sensible, and they perform a full range of acting! (Please subscribe!)
Zeng Yi, Li Changhong and Cai Dongfan were not majored in joint surgery. When they were working, they only had undergraduate degrees, and they studied clinical medicine (five-year program) as a co-ordinator. Their postgraduate status was also obtained after working.
However, although I am not specialized in joint surgery, I have been immersed in clinical practice for so many years, and I still have a basic understanding of joint dislocation.
There are four main signs of joint dislocation -
Deformity, pain, limited movement, and imaging examination showed dislocation.
The four major signs go hand in hand and rarely exist independently.
Evaluating the signs of successful joint dislocation reduction is also closely related to these four signs.
Pain is relieved and activities resumed.
But now the patient has received a brachial plexus block. If the patient can still feel pain relief and resume activities, it means that Zeng Yi, the director of the anesthesiology department, is not skilled enough.
So there are only two evaluations left that can be used.
The affected limb is deformed, and the deformity visible to the naked eye disappears.
However, the disappearance of the deformity visible to the naked eye is not as accurate as the palpable joint surface returning to its normal structure.
All three people only saw the disappearance of the deformity, and their minds were spinning for who knows how many times.
Zeng Yi and Li Changhong immediately turned to look at Cai Dongfan.
This dislocation? Is it done like this?
So at the beginning, Cai Dongfan sent someone who could solve the problem to us, but we drove him away, and then caused so many troubles later?
Cai Dongfan hurriedly explained in a low voice: "Director Zeng, Director Li, I knew that Zhou Cheng knew how to perform surgical reduction, so I immediately called people to the Department of Orthopedics!"
"Of course it's too late to say this now, let's resolve the matter first."
After saying that, he first leaned towards the operating table and waited for Zhou Cheng to perform a standard physical examination on the patient. This was also the second time to determine the evaluation criteria for successful reduction of joint dislocation before another fluoroscopy of the C arm.
Zhou Cheng did not let everyone wait for a long time. Instead, after carefully checking the radioulnar joints, metacarpal joints and other previously dislocated planes, he looked at Luo Yun cautiously, took two steps back, and got out of the way.
Location.
He opened his mouth and said, "Teacher Luo, I think you are lucky enough to live up to your destiny."
"Please check again to be on the safe side."
Zhou Cheng's tone was sincere, not because he was deliberately showing off in front of Luo Yun and others, but because he felt that the physical examination results would be more convincing when told from Luo Yun's mouth.
Because it can be seen that Zeng Yi, Li Changhong and others trust Luo Yun more. Now that Luo Yun is around, there is no need to cause any more misunderstandings. Luo Yun will have another physical examination, which will not take much time.
And now everyone in the operating room can't afford to waste their time. As long as the patient's dislocation is corrected, it won't be a problem if the patient is delayed for half an hour!
Luo Yun nodded, and then began the physical examination: "The lower radioulnar joint surface is flat and has basically recovered."
"The dislocated articular surface of the palm and wrist has basically recovered."
Luo Yun’s physical examination was not limited to this, but showed his extremely profound skills and professionalism as a joint surgeon: “Checking the stability of the radial styloid process, ulnar head, snuff fossa and distal radioulnar joint can.
"
"Active range of motion cannot be matched. Passive range of motion: fully extended position is 0°, palmar flexion is 0°~60°, dorsal extension is 0°~50°, radial deviation is 0°~30°, and ulnar deviation is 0°~40°.
.”
"The patient's unaffected upper limb is undergoing intravenous infusion and cannot be compared. However, the passive range of motion is within the normal range." Luo Yun explained to the patient after completing the physical examination very professionally.
Zeng Yi and Li Changhong breathed a long sigh of relief when they saw Luo Yun demonstrating the range of motion for them and explaining one by one.
After the reset, it is already very good to be able to have such a good passive range of motion. I can at least look forward to it.
When Ke Zengyi was about to say something else, Luo Yun's hands continued to move and he began to dictate at the same time:
"The Finkelstein test cannot be performed due to anesthesia."
When Zeng Yi heard this, his expression under the mask froze. What was Luo Yun talking about? What is Finkelstein?
Cai Dongfan and Li Changhong also opened their mouths slightly.
Luo Yun chose to continue:
"Kirk Watson's sign (negative)."
“Lane-Kirk Watson Sign(-)”
Luo Yun once again spit out two extremely professional terms, and then seemed to see the blank embarrassment in the eyes of Zeng Yi and others, while Zhou Cheng looked a little calm, as if he really understood.
Luo Yun instantly felt confident.
Experts will know as soon as they take action. Joint surgery has its own very specialized knowledge system and system.
Zhou Cheng's expression showed that he understood the location and purpose of his examination. He had indeed done detailed homework, not some random tricks.
After finding out Zhou Cheng's background, Luo Yun felt that there was no need to continue to embarrass Zeng Yi, Cai Dongfan and others, so he directly added explanations for the next physical examination:
"Radial carpal and mid-carpal drawer test (-), no laxity in the mid-carpal joint."
"Mid-wrist shift test (-), there is no ulnar deviation of the affected limb."
"Fulcrum shift test (+), the skull is strong, and the interlunate plane structure is restored."
"Reagan test has no relaxation and crepitus (-): there are no abnormalities in the plane structure of the lunate, triquetrum, and pisiform bones."
"Chris-Bain test (-), the stability of the lunate, triquetral, and pisiform bones is restored."
"Piano Key Test (-): No dorsal subluxation."
"Radial ruler drawer test (-)"
"Depression test (-), no DRUJ (dorsal radioulnar joint subluxation)."
After doing this, Luo Yun fiddled with it for a while, but seemed to shake their heads before turning around and saying: "Director Zeng, Director Li. There are some other special signs. The patient currently feels no pain and cannot cooperate with the examination. I think
It’s time to proceed to the next step of perspective.”
"Does the directors feel it necessary to add anything else?"
Luo Yun had his reasons for doing this. It was not just to show off his knowledge, but to improve Cai Dongfan. He is really a very professional joint surgeon. Our Department of Orthopedics can start to close some joints.
Specialist patients in surgery.
Secondly, although Zhou Cheng is just a junior resident, he has performed manual reduction of joint dislocation. In fact, you are not sure whether Zhou Cheng's manual reduction is good or not.
I'm sure, I'm not saying I'm sure, but I'm really sure, because I'm a professional.
The above are the results of joint stability and stimulation-response tests that I can do after systematic physical examination. These examination results support my current argument.
As early as when Luo Yun started talking about a lot of difficult-to-understand specialist medical examinations, Zeng Yi and Li Changhong became nervous because they couldn't understand!
They are not newbies anymore, but as Luo Yun said, they are really too professional.
Just like if joint surgery is a palace, then Cai Dongfan and the others only walked around the palace at most, and Luo Yun has lived in it, so when it comes to understanding it, it is naturally not as good as living in it.
People are so familiar.
As soon as Luo Yun said these words, Zeng Yi immediately calmed down for a while, shook his head and said: "I don't think there is any need to add anything. Your physical examination is detailed enough. Let's do a C-arm fluoroscopy."
Rao Zeng Yi's cultivation was pretty good. When Li Changhong tried to pass the buck to him before, he didn't curse in his heart.
But at this moment, I also cursed in my heart, Luo Yun, let me add to your grandma and ancestors, you definitely did it on purpose...
"Changhong, Dongfan, what do you think?" After more than half of the matter was resolved, Zeng Yi felt relieved. Naturally, he felt that the sword handed over by Luo Yun could not be taken by himself, but that you should also feel it.
of sharpness.
Cai Dongfan immediately shook his head, blinked his little eyes, and replied: "What Ronaldinho said is what I think. Ronaldinho was previously in charge of the joint patients in our group."
After finishing speaking, Cai Dongfan felt that he should speak more safely, and added: "Xiao Zhou also assisted in handling it."
"It just depends on whether Director Li thinks there are any other tests that need to be supplemented?"
"After all, the patient belongs to Director Li, so I can't just do it for him."
Cai Dongfan felt so happy in his heart at this moment, Luo Yun really gave him some face.
When Li Changhong called him before and said that Luo Yun did not need to come again, Cai Dongfan actually had objections in his heart.
You ran into trouble, I sent someone to you immediately, and you still called me to say it was wrong of me. Did I perfunctory you?
It's hard to say these words clearly, but at this moment, I can just use metaphors to give you a look and you can understand it yourself.
What is professionalism?
The two people I took care of were very professional.
Li Changhong had no intention of trying to figure out Cai Dongfan's hidden meaning at the moment. As Cai Dongfan said, the patient belonged to him, and he just wanted to solve the patient's dislocation as soon as possible. Asking professors from outside hospitals was the solution, and internal solution was also the solution.
He quickly whispered: "Since Luo Yun is a professional, let's listen to the professional's assessment, push the C-arm, and do fluoroscopy."
"After the fluoroscopy, the results are OK, so I can go and explain to the patient's family as soon as possible."
This is already a different kind of giving in and being convinced.
Hearing this, Cai Dongfan didn't know much to say. Zeng Yi immediately asked the circulating nurse to prepare for fluoroscopy, and then went to push the C-arm machine himself.
Upon seeing this, Li Changhong immediately volunteered to push the C-arm machine.
Call everyone out and move them to a separate isolation room next door.
…
The fluoroscopy is very fast and the results are available in seconds.
After reading it, Zeng Yi slowly breathed a sigh of relief and felt that the plain radiograph after the operation looked like what a normal person's wrist should look like.
But he didn't dare to speak first. Instead, he looked at Luo Yun and asked: "Luo Yun, is the result okay?"
Zeng Yi was also a little frightened. Luo Yun's previous physical examination could no longer be simply described as professional. It could be said that Wang Yaoxiang said that he knew joint surgery, which was just a master of his own trade——
After Luo Yun finished watching the film, he pursed his lips and patted Zhou Cheng on the shoulder.
He cursed in a low voice: "What are you doing here? You are in charge. You have to give an explanation for the plain radiograph of the postoperative review, whether it is good or bad. Remember this habit in the future."
This is a habit in the group of large teaching hospitals when Luo Yun was studying in the past.
No matter what the result of the intraoperative review is, whether it is good or not, the surgeon must first explain it. If it is good, explain what is good so that everyone can understand it, instead of just finishing it and then forgetting it. This way, lower-level doctors can learn how to do it.
To evaluate what is good and what is not good about a surgery.
If you don't do well, just say it and a professor will naturally answer your questions.
Of course, if the professor at the top also discovers that there is something wrong with his surgery, then there will be no choice but to carry on with it together.
Such situations are rare, but they do occur.
This is an objective fact and a cruel thing.
Even my own teachers, including academicians’ teams, including the world’s top orthopedic team, will have cases and diseases that are beyond the team’s capabilities.
Few, but still present.
Zhou Cheng immediately gave an explanation: "Director Zeng, Director Li, Teacher Cai, and Teacher Luo. I think the results of the reexamination are good, because you see, this is the inferior radioulnar joint..."
After Luo Yundu said this, Zhou Cheng also took the initiative to explain the plain films for postoperative review, and explained in detail which places could be looked at and what the use of looking at these places was.
(Note 1: Since plain films cannot be shown, I will not explain the number of words in detail. The above specialist physical examination has already shown its professionalism.)
(Note 2: If you have friends who are professional in orthopedics, you can send the clips to pretend to be cool and ask what these are for. However, the author is not responsible for answering questions after being asked back. You can go to Baidu or check professional information yourself.
and literature.)
(Note 3: Tsundere face.)
"Here, we can see."
Zhou Cheng quickly entered the "state". The scene was no longer Zhou Cheng reporting to Zeng Yi and Li Changhong, but the style immediately changed to Zhou Cheng giving a lecture to the four people.
Explain what a joint dislocation looks like, and what it looks like after reduction. After the joint dislocation is reduced by manipulation, how will it be different from the normal joint structure due to edema?
Zhou Cheng's explanation was a bit too detailed, mainly to convince Zeng Yi and others.
I also learned this from Luo Yun.
But after talking for a while, Luo Yun rolled his eyes again.
He touched Zhou Cheng and said: "That's it. Why are you fussing like this? Hurry up and end it. Director Zeng and Director Li both have their own things to do."
Luo Yun cursed in his heart, Zhou Cheng, we are almost done, I am just showing off, it would be better for you to just become a teacher and come to class.
I dare to only go so far. If you do this, it will be counterproductive. Haven't you seen that Li Changhong and Zeng Yi will soon reach the critical point of impatience? We are all subordinates after all.
Zhou Cheng immediately made a summary: "Director Zeng, Director Li, I think we can go and tell the family that we have successfully achieved conservative treatment."
This was what Li Changhong was waiting for. He originally disagreed with the method used to reduce joint dislocation in the department, and he also estimated that this was the second patient with joint dislocation in the Department of Orthopedics, and it would be the last one.
He didn't want to listen to Zhou Cheng's persuasion. The reason why he listened politely and patiently was because Zhou Cheng treated him and did not dare to lose his temper like a superior doctor.
Although he can use this trick of removing salary from the bottom of the cauldron as a director.
But after all, Cai Dongfan was in front of him, so Cai Dongfan would definitely dislike him if he did this.
He immediately said politely: "Okay, the rest just needs to be put on a plaster, right? I'll call someone to put on the plaster right away."
Zhou Cheng helped so much that even if Li Changhong felt that he was the director, he would not let Zhou Cheng do the finishing work of plastering.
Wang Yaoxiang and others were performing emergency surgery. Just ask anyone to come over and put a plaster on.
Zhou Cheng scratched his neck and said, "Director Li, let the patient's family members buy a wrist brace online. Plaster is not very easy to use."
Although plaster is a basic and widely used auxiliary tool in orthopedics, just because it is widely used does not mean it is easy to use.
For joint fixation, the best way is to customize a brace. Customizable braces are too expensive. You can buy retractable braces online. (I hope book friends will not use this knowledge.)
"Okay!" Li Changhong nodded quickly.
He still knows about wrist braces.
For upper limb fractures, finger braces are used instead of casts made of aluminum plates...
That means there is nothing to do and the matter is over.
Luo Yun took the initiative to take Zhou Cheng away, while Li Changhong entered the operating room and told the patient the good news first.
The patient was stunned for a moment, then shocked and disbelieving, but then she started crying with excitement. She really didn’t want to have an operation. When she heard that she didn’t want the operation, she was overjoyed. But later, the struggle in her heart was like sitting still.
Like a roller coaster.
Although she is now told that she doesn't need surgery, she feels that Li Changhong is simply too inconsistent, but this is a good thing. Naturally, she won't be obsessed with the slap in the face that Li Changhong said he wanted surgery but didn't...
…
Zeng Yi left with Cai Dongfan and wanted to leave before Luo Yun and Zhou Cheng.
After going downstairs to the dressing room, the two of them did not change clothes. Instead, they both hid in the 'relaxation room' and each lit one, wanting to relax.
Today, both Zeng Yi and Cai Dongfan are having a headache because of this patient.
There was no one in the smoking room at this time, so Zeng Yi moved a stool and leaned against the door to hold it up. He sat on it, holding a cigarette in his left hand and constantly flicking it back and forth on the ashtray.
Then he looked at Cai Dongfan and said: "Dongfan, it seems that Professor Ding called me and asked us to carry out routine conservative treatment of fractures and dislocations. Our department may not be able to participate. Please help me relay it to Director Yan then.
, your Department of Orthopedics may have to shoulder this matter together."
"After all, your department is still branded as joint surgery. It's not that we don't want to help Professor Ding."
Having said this, Zeng Yi took another hard peck, and then said: "Professor Ding, I'll call him and explain it myself."
Zeng Yi didn't explicitly say that he actually wanted to take advantage of Cai Dongfan's popularity. Although that was what he meant, he couldn't say it that way.
Cai Dongfan nodded naturally. From the beginning, he had never thought that the Department of Orthopedics would do manual reduction of joint dislocations and conservative treatment of fractures in the upper limbs. The reason why he proposed Zeng Yi and Yan Haihan was mainly because he hoped that they would agree to do this on his own team.
It was Zeng Yi and Yan Haihan who insisted on interfering.
"Okay, Director Zeng, I will tell Director Yan about this." Cai Dongfan did not gloat.
Although orthopedics is divided into departments, and each department is divided into treatment groups, the bones are still broken and the tendons are connected, and everyone is prosperous.
If something happens to Zeng Yi today, the hospital will definitely stop all conservative treatment in the orthopedics department. This is not what Cai Dongfan wants to see.
Zeng Yi nodded, took a long breath, and a line of smoke was like an arrow in front of him.
His eyes were quite deep: "Dong Fan, Luo Yun in your group, and this Zhou Cheng, are all rare talents."
"The joint surgery department of our Eighth Hospital is currently in a quite blank state. Director Wang's team occasionally receives some joint replacement patients. Neither Li Changhong nor I have the energy to be distracted. Spine and upper limb patients are the only patients.
It’s already given us enough headaches.”
"You have to take good care of these two people so that our hospital can have a good start in joint surgery."
"Nowadays, competition among major hospitals in Shashi is fierce, and simple fracture surgeries are becoming more and more routine in the province. There are almost no fracture patients who are transferred to other hospitals. Our two departments currently do not have too many patients."
"We have to find the patients ourselves and make full use of the disease sources in the outpatient clinic. This will also save them from running away."
Speaking of this, Zeng Yi asked calmly: "If Luo Yun is interested in following Professor Ding, you can have a good talk with Luo Yun in private!"
Luo Yun is a doctor in this hospital, and Zeng Yi is naturally aware of it. Because of the personnel matters in the department, he has to personally interview everyone who comes in.
Zeng Yi only knew that Luo Yun was a graduate student or a joint surgeon. I remember when he interviewed Luo Yun, he asked: "Our hospital is different from the place where you studied. Can you do fracture surgery?"
Luo Yun shook his head and said truthfully: "I'm sorry, Director Zeng, when I was a graduate student, our team only worked on joints. We rarely had contact with fracture patients, but I can learn -"
Then Zeng Yi threw him to Cai Dongfan, who was the deputy director at the time. Unexpectedly.
Luo Yun is really professional in joint surgery.
Throw it to Cai Dongfan?
Think about it now.
It’s not a mistake, but it’s a bit reluctant.
Zeng Yi is very happy that Cai Dongfan can take the initiative to take up the gap in the joint and develop it well.
Cai Dongfan's little eyes blinked, he lowered his head and pondered for a while, then licked his lips and said, "Director Zeng, I want to tell you something in private. I think Director Zeng you will definitely not make it public."
"And I also know that Director Zeng, you are a more adventurous person. Otherwise, I would not go over Director Yan to tell you this matter."
Zeng Yi nodded: "Just tell me, Cai Dongfan has never been an honest person."
Zeng Yi didn't know if Cai Dongfan was implying that he was brave enough to get a share of the pie even though there were no joint surgeons in the department, so he gave Cai Dongfan a thumbs-up. Is Cai Dongfan timid?
Not small.
This is good.
Moreover, the orthopedics department of the Eighth Hospital has always been courageous.
"Professor Ding doesn't know Luo Yun. He plans to arrange for our group Zhou Cheng to arrange the authorization for Level III surgery in advance in a few months."
"In order to leapfrog and arrange Level III surgery authorization, we must first obtain Level II surgery authorization for Zhou Cheng and complete a certain amount of surgeries. Before that, Zhou Cheng must first perform some Level I surgeries and operations."
"That's why this happened." Cai Dongfan whispered, his expression seemed to be dreamy under the smoke.
Zeng Yi almost didn't recognize Cai Dongfan, his expression was stunned, his hands were stiff, his mouth was open, and he didn't dare to speak.
A full three minutes passed.
Zeng Yicai trembled and said, "Professor Ding wants to arrange authorization for level III surgery for Zhou Cheng?"
"Our hospital has always performed leapfrog surgeries in secret. How can we grant them in advance?"
The attending physician jumped over the rank to perform a level III surgery, and the resident physician jumped over the level to perform a level II surgery. These cannot be stated openly. How could the medical department give you authorization in advance to take the blame for you?
If it happens, it will be done secretly. The superiors will keep it secret and treat it as if it has not happened. If you ask for authorization openly, will the medical department agree?
Cai Dongfan then smiled and said, "No one has ever asked for it."
"That's what I think. Since Professor Ding is determined to train doctors in our hospital, we naturally can't hold Zhou Cheng back."
"I originally planned to let Zhou Cheng accumulate a certain amount of Level I surgeries, then shamelessly ask you, Director Zeng, and Director Yan to go to the medical department together, and be moved by emotion and rationality.
Fight for it for a while."
"But since we are talking about this today, I just want to ask Director Zeng for your opinion."
Cai Dongfan has a clear meaning and a hidden meaning.
Obviously, Professor Ding planned to arrange authorization for Level III surgery in advance for Zhou Cheng. We must help Zhou Cheng obtain authorization for Level II surgery in advance.
In the second side, Zhou Cheng is not an employee of our hospital yet, Director Zeng.
Cai Dongfan has never been a 'good person'. He had planned to keep Zhou Cheng in his heart. He just took this opportunity to reveal to Zeng Yi that there was a reason why I wanted to keep Zhou Cheng.
As the chief director, Zeng Yi has seen too many things, so he naturally understands the meaning behind Cai Dongfan's words.
After another full minute of silence, he put out the cigarette in his hand, lit another one, scratched his head and said, "Cai Dongfan, I understand what you mean."
"Zhou Cheng is very good and a good talent. But why did you come to tell me now?"
"The establishment of the department has basically become a fixed number. Unless something unexpected happens, it can only be revised."
"When did this happen?"
It's October.
It is too late.
There are only three staff assigned to the department by the hospital, two for him and one for Yan Haihan. His two have already been arranged, and Yan Haihan's estimate has also been decided. They are just waiting for the exam.
Now that Cai Dongfan suddenly came out and talked about Zhou Cheng, the bowls for serving the soup were gone, let alone the soup.
However, Zeng Yi is also an understanding person.
Ding Changle is a professor at the Affiliated Hospital of Xiangnan University, and he actually plans to arrange for Zhou Cheng to authorize Level III surgery in advance. What does this mean?
Either Zhou Cheng is his illegitimate son, or Zhou Cheng's abilities are so strong that they are recognized by Ding Changle.
If it was the former, Ding Changle would not allow Zhou Cheng to work in the Eighth Hospital at all, and would directly go abroad to study for a postgraduate degree and stay at the Affiliated Hospital of Hunan University.
Since Professor Ding has already helped with the side assessment and feels that Zhou Cheng has such strength, he won't think that Ding Changle is a bad person or that he has misjudged the person or something.
So he pondered for a moment and said: "Otherwise, if Zhou Cheng can be valued by Professor Ding, his ability must be above the standard. Things that have been determined are really not easy to change. Let's give him a quota for college appointment first."
"Equal pay for equal work."
"The benefits within the establishment will be supplemented through performance."
"If it is compiled, Zhou Cheng will be considered as the first pick next year."
Zeng Yi was cruel and gave Cai Dongfan a compensation method that surprised Cai Dongfan.
Cai Dongfan looked at Zeng Yi in great surprise: "Director Zeng, is this too?"
Zeng Yi said: "To develop hospitals and departments, the platform is the most important, and the only people who can build the platform are talents."
"I'm not a fool."
"Not to mention anything else, how many of the graduate students and PhD students at Shonan University can get advance authorization for surgeries arranged by the professor personally?"
"Will anyone who can receive this honor come to our Eighth Hospital?"
"Since Zhou Cheng is here with us and we are close to the water, we must be willing to let him go before we can keep him."
However, after Zeng Yi said the above, he took another deep puff of his cigarette and said, "Although our hospital is looking for talents, we also hope that the comprehensive academic qualifications of our hospital employees will be improved."
"We still have to respect the considerations of the hospital leaders."
"It is the hospital's regulation to prepare graduate students. Regulations are dead, but people are alive."
"After Zhou Cheng stays, he should try to get a postgraduate degree on the job. This will make it easier to explain to others."
Zeng Yi's words simply gave Cai Dongfan enough face and took the overall situation into consideration, which exceeded Cai Dongfan's expectations.
Cai Dongfan immediately nodded in agreement: "I know this, and I will discuss it with Zhou Cheng. The decision made by the hospital leaders must have good intentions, and we will try our best to comply with it."
"Then I'll be here. For Xiao Zhou, I'd like to thank you, Director Zeng."
Zeng Yi was too generous.
What are the benefits of the establishment? Firstly, it hides benefits, and secondly, it provides stability. As long as you don't make mistakes, the department cannot unilaterally fire you. It's like a talisman.
Zhou Cheng basically does not have to think about being unilaterally expelled. Hidden benefits are paid out based on performance, which is equivalent to the department paying extra money for Zhou Cheng to buy the hidden benefits that should be purchased.
This sincerity is enough. Now that the structure of the department has been finalized, it will definitely be quite difficult for Yan Haihan and Zeng Yi to make major changes, and Cai Dongfan also knows it.
Because speaking of it, it was because Zhou Cheng's academic qualifications were not up to standard and he was stuck here. Those who had contacted Zeng Yi and Yan Haihan would definitely kill the possibility of Zhou Cheng getting the establishment because of this.
This kind of dispute can't happen, but it's best not to happen.
Although Zeng Yi and Yan Haihan are directors, it is not easy for them.
Zeng Yi can be so courageous, which is already a blessing for orthopedics.
Zeng Yi continued to nod and said: "Well, let's arrange it like this for the time being. Please explain it carefully to Zhou Cheng. I hope he can understand our difficulties and see that we attach great importance to him."
"In addition, regarding the authorization of Level II surgery, count me in your assessment list when the time comes. I will call Director Wang and Yan Haihan as well."
"I don't believe it. The directors of the two wards of our orthopedics department, and Director Wang, the old director of the orthopedics department, are here, and the medical department won't even give him this face."
"If we don't do anything in the Department of Orthopedics, we won't do it. But since we have to do it, we must take it down."
After Zeng Yi made a ruthless decision, he looked at Cai Dongfan again and said rudely.
"But, Cai Dongfan, I want to say something ugly first."
"I'm a person who doesn't want to doubt my brothers in the department. I do this to Li Changhong and I do the same to you."
"If you introduce another Wang Yaoxiang to me, I will kill you!"
"I'll cut off your tongue and fry it in wine." Zeng Yi's tone was slightly higher.
Cai Dongfan was stunned and looked at Zeng Yi.
Because Zeng Yi is the one who can do this.
Zeng Yi's face was serious, but then he shook his head and said, "That's not a big deal. Just wait for a few years for your director's wardrobe to come and hang out with me."
"I put Liu Suolong in our team in your position to lead the team."
After Zeng Yi finished speaking, he saw Cai Dongfan's expression change and cursed in a low voice: "Cai Dongfan, you can't be a wolf with nothing."
"I am seriously considering this matter and have invested a lot of money. You can't just say a few words and let me bleed."
"If you feel that what I said is unacceptable to you, then let this matter go, or you can think about it carefully and come back to bargain with me."
Zeng Yi was really tricked by Li Changhong and his teammate Wang Yaoxiang, and it happened today.
Could he not be more careful?
But I can also understand Cai Dongfan's hesitation, whether he is willing to risk his own future for Zhou Cheng. It also poses a problem to Cai Dongfan, do you understand the people you have formed?
I think back then, when Director Wang Yongjin was the chief director, he beat me Zeng Yi much harder than today. Zeng Yi’s thoughts were racing...
Cai Dongfan pressed the cigarette butt hard into the ashtray, and a little sweat broke out on his forehead.
The conversation with Zeng Yi today was not a joke, but a real joke. How could such a thing be a joke?
Who is Zeng Yi?
I just took a call from Ding Changle yesterday, and today I dared to call Director Guo Haoran of the emergency department to ask for a patient. Would he make such a joke with me?
Just for Zhou Cheng?
Cai Dongfan thought for a while, nodded firmly, and said: "Director Zeng, I choose to believe in Zhou Cheng of our team!"
Zeng Yi calmly put out his cigarette and walked out of the 'relaxation room'.
His steps were steady and he couldn't tell any changes in his thoughts.
Inside, Cai Dongfan had a troubled expression. After answering, he cursed in a low voice: Xiao Zhou, don't let me down.
Professor Ding, don’t harm me intentionally. When the time comes, tell me that you saw it wrong.
I put all my trust in you.
As long as Ding Changle wasn't joking with him, Zhou Cheng couldn't give in. He had to fight for Ding Changle's arrangement. Professor Ding was willing to run for Zhou Cheng, so why couldn't he be a little cruel...
Opportunities are rare and fleeting.
…
After Zhou Cheng and Luo Yun walked out of the operating room.
Luo Yun tilted his head and asked Zhou Cheng: "Do you understand what the specialist examinations I just mentioned mean?"
Zhou Cheng shook his head directly: "Teacher Luo, what I know about some of the physical examination signs of some of the English names you just talked about are their Chinese translations. I don't understand the names very well, but based on the physical examination you did, I can guess them.
come out."
Although Zhou Cheng can speak English and has reached a perfect level of manual reduction of joint dislocation, it does not mean that it is because he has his own understanding of joint dislocation. In fact, he does not just remember which examination is performed by which one.
What foreigners put forward is just to have the purpose of the inspection in mind.
And if Zhou Cheng is willing, he can also get a negative or positive ZHOU syndrome.
But this requires a large number of joint dislocation patients as a research basis, and then he needs to have a certain status in the world before he can arrange these things.
In the simulation copy, although Zhou Cheng had done it, he had no memory of the specific process, only the memory and understanding related to the healing skills.
Everyone's names in the simulated copy were hidden. How could Zhou Cheng know this?
Luo Yun immediately rolled his eyes: "This is different!"
"I just speak English on purpose."
Luo Yun did not explain that he was reminding Cai Dongfan of Joint Surgery...
Then, Luo Yun changed the topic and said, "Director Zeng just called Director Cai out alone. He will probably discuss your stay in the hospital, so you can look forward to it."
"Well, I hope so." Zhou Cheng also nodded.
He met Ding Changle yesterday, but he had no intention of accepting him as his student.
The east is not bright and the west is bright. One of the essences of studying for postgraduate and Ph.D. examinations is for work and life.
Being able to stay in the Eighth Hospital is much better than the platform of the town hospital.
When Luo Yun heard Zhou Cheng's answer, he accidentally asked: "Have you ever considered how you would choose between staying in hospital and improving your academic qualifications?"
Luo Yun was trying to find out Zhou Cheng's considerations. If Zhou Cheng wanted to go to graduate school, he didn't have to limit his sights to those in the province.
Zhou Cheng smiled bitterly and said, "I am twenty-six years old now, Teacher Luo."
It means that if you go to graduate school and take Ph.D. exams at this age, you will be over thirty after six years.
But Zhou Cheng still couldn't determine the truest thoughts in his heart, so he struggled again: "But let's wait and see, take it one step at a time."
Luo Yun could tell that Zhou Cheng had the idea of going to graduate school, but...
Before?
How could it happen before?
Luo Yun also shook his head.
I will no longer dwell on this topic.
"You go back to the department first and finish your day shift. I will take your place at night." Luo Yun then said to Zhou Cheng.
Zhou Cheng quickly shook his head: "Teacher Luo, no need, I will stay in the department and go back later to get my schoolbag and change of clothes. Teacher Luo, please go back and have a good rest. I have something I can't handle, so I have to trouble you."
Just kidding, go back to rest by yourself and Luo Yun will work the night shift. Is this a personnel matter?
When Luo Yun heard this, he touched his head and the corners of his mouth twitched for a while.
Then he made up his mind and asked Zhou Cheng very forcefully: "Xiao Zhou, a wise man does not tell secrets, a gentleman is to be frank."
Luo Yun decided to be sensible and confess to Zhou Cheng leniently——
"What you are really thinking about is: Do you want to call me to disturb my sleep with the patient you can't deal with?"
If Zhou Cheng's answer is necessary, then you can call me, and I can only agree.
Zhou Cheng also touched his head, looked at Luo Yun's serious expression, smiled, and replied in a sensible way: "Teacher Luo, my suggestion is to switch to surgery, what do you think?"
"I think it's very good!" Luo Yun nodded heavily and responded.
Everyone who is sensible is sensible.
A complete set of acting.
The form is anti-theft, the content is skipped, and it is not segmented. I hope everyone can protect their eyes.