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The process of ward rounds did not slow down or pause just because Zhou Cheng was new here today.

Only Zhou Chengyin was new to the hospital and was not familiar with the patient's past and current conditions. He could only conduct an analysis based on the report of the doctor in charge, which was equivalent to a superficial glance.

Although I roughly remembered the general condition of the patient, there were some detailed issues. Even if the junior doctor made a report, it was impossible to restore all the details at once.

Because the doctor in charge of the bed tacitly knew some details for Yu Qiuhua and others, naturally he would not report more things just because Zhou Cheng was a newcomer.

If there is only one variable factor, then there will be a very small number of variable factors adapting to the majority of stable factors.

Even Zhou Cheng couldn't make up for the lack of overall control over the patient's condition so easily.

Of course, Zhou Cheng did not have the opportunity to understand the other patients, but Zhou Cheng was deeply impressed by the two patients who were going to be operated on today. Because he deliberately spent an extra ten minutes,

I looked at the medical records of two beds.

After reading it, I felt a little worried.

Zhou Cheng had just arrived. Although the lower-level doctors could ignore him, Professor Xue Xiude was still very considerate to Zhou Cheng. After he left the operating room, he asked Mao Yuxuan to accompany Zhou Cheng and arrange things in the department first.

Mao Yuxuan also almost figured out Zhou Cheng's current state. He felt pity for Zhou Cheng and said: "Xiao Zhou, according to your statement, it's not profitable for you to do this general hospitalization now."

Mao Yuxuan initially thought that Zhou Cheng was an employee of the hospital who came by air. Because of his relationship with Academician Zeng, he served as a general resident for a few months as a token, and then was promoted to attending physician.

He wanted to make way for Zhou Cheng, so he moved his position.

But now that I think about it, things are not what I imagined. Zhou Chengdu has not yet worked, so the work of being the general hospital resident is equivalent to doing it in vain. Both he and Zhou Cheng are losing blood.

Naturally, Zhou Cheng would not tell Mao Yuxuan the main purpose of his visit. This had to penetrate slowly, otherwise he would be regarded as a fool.

"It's okay. It's mainly because Mr. Zeng wants to exercise properly. I also feel that I need more clinical polishing at the moment."

Then Zhou Chenggong brought the topic back to the topic: "Brother Xuan, these two surgeries today are not easy to perform."

Zhou Cheng said while flipping through the medical records.

The first patient to be operated on was a tuberculosis patient on bed 5. The patient had sinus tracts on the skin of his lower limbs, and the sinus tracts had pus, which was extremely difficult to treat.

What is the concept of sinus pus discharge? It is because Mycobacterium tuberculosis has eroded and broken open the bone marrow cavity, bone cortex, and even the soft tissue layer outside the bone, eroding a channel.

Then the pus inside slowly seeped out.

Originally, according to logic, patients with special infections like tuberculosis should definitely be placed in the last surgery in an operating room, so as not to increase the risk of infection for patients undergoing surgery in the latter surgery.

However, the other 8-bed situation is even more dangerous than the 5-bed one. In addition to Mycobacterium tuberculosis, the infection bacteria also include bacteria. It is equivalent to a mixed infection, which is terrible...

Bacteria and conjugative bacilli are not the same thing. So we arranged the 5 beds to the first station and the 8 beds to the second station.

The situation is roughly like this.

The skills Zhou Cheng knows now are all simple skills written in textbooks. These skills are definitely the foundation. With so many level I-IV skills, he can basically deal with all orthopedic diseases.

Especially when faced with textbook fractures or diseases that require surgery, these perfect-level skills are extremely lethal.

But there is also a very critical problem that the patients you encounter may not get sick according to the textbook, so you need to slowly dismantle and analyze the mechanism of the disease.

The grades of surgeries are strictly graded I-IV. However, in Zhou Cheng's understanding, some surgeries should not be grade IV surgeries, but should be super grade IV surgeries, or even be classified as grade V surgeries...

Zhou Cheng's own experience is limited. Even when using the simulator, he only practiced his skills one by one according to the orthopedic surgery grading list published by the country.

Zhou Cheng definitely has the ability to perform treatment and surgery, but it seems that it is difficult to treat the patients in Professor Yu Qiuhua's group by simply using one or two simple surgeries.

More detailed analysis of its pathogenesis is needed to achieve better therapeutic effects.

Mao Yuxuan smiled and asked: "Xiao Zhou, didn't you say before that you are a professional in trauma surgery? Have you never seen such a patient before?"

Mao Yuxuan has been trying to figure out Zhou Cheng's origins, and finally determined that it should not be the inheritance of the Nine Courtyards of the Demon City, but might be from the Demon City. But now seeing Zhou Cheng's unseen appearance, it seems that he is not the inheritance of the Demon City.

.

Of course, Mao Yuxuan didn't mean to look down on Zhou Cheng by asking this.

If the unit Zhou Cheng stayed in before was on the same level as the current No. 9 Hospital in the Demon City, patients like this should not be uncommon.

How many hospitals are there in the country?

Even if a hospital has an average of two difficult patients a year, the number of patients that cannot be dealt with will be thousands or even tens of thousands when they are finally gathered in Shanghai, Kyoto, Guangdong and other places.

China is too big.

Both Zhou Cheng and Mao Yuxuan felt that it would be a bit too ostentatious for Mao Yuxuan to call Zhou Cheng, Teacher Zhou or Teacher Xiao Zhou. In the end, Mao Yuxuan would definitely call Zhou Cheng Xiaozhou, and Zhou Cheng would call Mao Yuxuan Brother Xuan.

In the friendship between young people, Mao Yuxuan also didn't like Zhou Cheng calling him teacher.

"I've never seen it before. Patients with simple infections after surgery are rare." Zhou Cheng didn't care. Anyway, he was young. Even if he admitted that he was short-sighted, what would he do?

At most, you will be teased a little. If you pretend to know everything, if you are told, since you have more experience, then you should stop studying. How can Zhou Cheng get started and gain trust?

Mao Yuxuan roughly understood that Zhou Cheng's previous unit was the kind of unit that only dealt with patients with simple fractures and trauma that he encountered.

Don't solve problems for others, don't solve problems that others have solved but can't solve.

It cannot be said that their technology is not good, but that the positioning of each place is different.

This also just shows that Zhou Cheng's previous unit had many patients with simple fractures, and there was enough patient base to support him in practicing his amazing closed reduction and external fixation technique for fractures.

"Then you can see more from now on." Mao Yuxuan's mentality improved a bit.

Because I saw Zhou Cheng's shortcomings, I felt that Zhou Cheng was more real. Although Zhou Cheng has such great skills, he also has his own shortcomings. This is normal and like a human being.

"We won't have to worry about other things for now. We mainly focus on taking care of lower-level doctors and reviewing their medical orders."

"But these things are now done by the general resident, and these doctors also have something to do..."

"What we have to do now is review the surgery scheduled for tomorrow, if..."

After Mao Yuxuan told Zhou Cheng some common sense questions, he took Zhou Cheng towards the operating room.

Before that, Professor Xue Xiude, Gu Zhongliang and others had already gone down.

In addition to the chief resident, there are three attending doctors and above, plus two attendant chiefs. Therefore, the operation can be carried out normally regardless of whether the chief doctor on duty is in the hospital or in the operating room.

The chief resident can complete his own duties before entering the operating room and assuming his role.

Zhou Cheng asked: "Brother Xuan, do our hospitals routinely handle and treat patients with this kind of infection on weekdays?"

Somewhat curious, if beds 5 and 8 are handled and treated routinely, then he feels that what he considers to be the perfect level of skills needs to be rethought and recognised.

Mao Yuxuan also shook his head and smiled bitterly.

He replied: "Xiao Zhou, how can it be as amazing as you think? In fact, in clinical medicine, there are only a lot of principles. Surgery is surgery and medication, but the process and details of the surgery are slightly different."

"The reason why there are more patients now is because it is during the winter vacation. Generally, patients with this kind of infection rarely have the chance to come in summer, and it is hot and humid in summer. It is possible that such patients will be admitted to the ICU before they can be transferred..."

At this point, Mao Yuxuan hesitated to speak. The general meaning is that when it is cold, there are more such patients, and those in other seasons may not be able to carry them to the devil's capital.

But this kind of thing is not something that Mao Yuxuan can control, so he continued: "For example, Kyoto and Magic City are better at doing complex infections, but the other one is Xinjiang Province."

"There are many infected patients there, and the reimbursement ratio is also very high. Patients hardly have to spend any money."

"But no matter what, it still comes down to complete debridement. It's hard to say. If the debridement surgery is done well, the number of surgeries can be reduced."

"If the dosage and variety of antibiotics used are well selected, the duration of anti-infective treatment can be reduced. But these are issues that professors should consider. We junior doctors can only slowly rely on experience to figure it out."

Zhou Cheng had also heard Luo Yun say this conclusion before.

"What is the prognosis for such a patient in normal times?" Zhou Cheng continued to ask.

"Not necessarily. Ninety percent of patients can still get a relatively good prognosis."

"Of course, there are still about 10% of patients with complex infections whose prognosis is not very good due to various reasons." Mao Yuxuan did not hide or brag about the awesomeness of his department, and openly admitted that there are some

The prognosis for a small number of patients is poor.

But in fact, this is Mao Yuxuan's confidence.

I am able to treat so many patients that other provinces cannot handle until the cure rate reaches 90%. This is where I am awesome.

As for why it is not 100%, there are many factors.

It may be that the patient's family cannot afford the money, it may be that the patient himself is unwilling to receive treatment, or it may be that a small number of patients have infections that are simply weird and eventually develop into multiple infections throughout the body and eventually lose their lives.

, you may encounter them.

In addition to the theory of traditional Chinese medicine, which can cover 100% of diseases and has a super high "cure rate", modern medicine has always acknowledged its shortcomings.

It’s just that some people think that the reason why modern medicine does not have a once-and-for-all treatment method is because of the operation and operation of capital.

Zhou Cheng knew that people like Mao Yuxuan could openly admit that there were diseases that could not be cured in the Ninth Hospital of Modu. However, in the eyes of some outsiders, Ninth Hospital of Modu was supposed to be a fairyland where patients came.

Just have to walk out.

Where is such a magical place?

…

Following Mao Yuxuan all the way into the operating room, Zhou Cheng was also familiar with the process. After all, he had been here before the Chinese New Year.

"Xiao Zhou, you have been in our hospital for a while, right?" Mao Yuxuan looked at Zhou Cheng's familiar movements, smiled, and asked.

"Why didn't you think of coming to our trauma surgery department in advance?"

"I was doing experiments before, and I was trying to get some experience in sports medicine. And as you know, Brother Xuan, I am from Hunan Province. Professor Lin Ziyuan's senior sister Ding Dian is also from Hunan Province."
To be continued...