Chapter 304 The Diary of a Serious Man! (Please subscribe)
An Ruo went to apply a facial mask and came back while reading a book. Then she saw Zhou Cheng writing something with a pen, and asked out of curiosity: "Do you still have work to do?"
"No." Zhou Cheng stopped writing, adjusted the direction of the video on his phone, and then said, "I just wrote a diary and recorded some daily things and experiences."
"You can also not write it down, or you can make up for it tomorrow."
"It's okay, it's okay. You can continue writing your story, and I'll read for a while." An Ruo waved her hands, sat upright, spread out the book, and turned page by page, fearing that the water stains from the facial mask would drip onto the writing.
Zhou Cheng took up his pen and wrote down what he saw today.
This has nothing to do with the direction of the simulation, it is purely to record the experience.
"Wednesday, July 4th, was the second day after I came to Changshi. I didn't have the drinks and dinner yesterday. I did rounds in the department and saw the structure of the cases in the department. Because of Director Lu Bin's deliberate arrangement, there was no change today.
Nothing to gain."
"But from one point of view, it can be seen from the side that there are not many emergency patients in Chang City. Being able to convince the patients in a short period of time to stay in the Traditional Chinese Medicine Hospital proves that Chang City Traditional Chinese Medicine Hospital has a relatively complete 120 emergency system.
support."
"But according to Director Lu Bin, Chang City's 120 operation is assigned to departments based on the injured part and the experience of the staff on board the 120 emergency center."
"Most orthopedics are sent to the Traditional Chinese Medicine Hospital, but neurosurgery, general surgery and some special specialties will be transferred to other different hospitals, such as Changshi First Hospital, Changshi Fourth Hospital, and Changshi Maternal and Child Health Hospital."
"The reason for this arrangement is that each prefecture-level city hospital has different specialty specialties, so within 120, they are independently divided according to the corresponding reputation. Because the number and size of prefecture-level city hospitals are limited, emergency practitioners are all
I can remember the characteristics of each hospital and each specialty like a treasure."
"It's hard for me to evaluate whether this is a good thing or a bad thing at the moment. After all, the emergency patients in the Eighth Hospital were subject to the principle of picking up the missing patients and seeking medical treatment at the nearest location. In the Ninth Hospital of the Magic City, there is no such concern."
"Prefecture-level city hospitals are different from county-level hospitals. County-level hospitals are mostly the only designated medical institutions at the county level that are not competitive..."
After Zhou Cheng wrote hundreds of words eloquently, he closed the notebook. Then he saw An Ruo still reading quietly. He smiled at her, closed the notebook lightly, and took out a copy.
The book started to read.
Until around ten o'clock in the evening, Zhou Chengcheng took the initiative to disturb An Ruo, who had already taken off her mask and completed various tedious operations before going to bed, such as wiping her face.
"It's getting late, let's go to bed early."
"Okay." An Ruo quickly closed the book.
Then he raised his phone and walked to the bedroom: "I feel that this kind of video reading atmosphere is a bit weird. It's very quiet, but I'm not used to it."
An Ruo remembered that when Zhou Cheng was still in Magic City, they were alone in the study and reading in the living room. Although they couldn't see, they always felt that they were around, which made them feel a little more at ease. At least they could see when they walked out of the study.
Where is he.
Now, in the video, you can see it by looking up, but perhaps the essence of what is shown in the video is a series of cold digital images coming from thousands of miles away, which has a natural sense of strangeness.
"I feel the same way, but I find that when I get busy, I feel quite relaxed when I can video chat, and I remember that I have something to do, so I force myself to work hard to speed up the progress of my work, which can improve efficiency to a certain extent."
Zhou Chengcheng expressed his opinion.
Indeed, in the past, Zhou Cheng would always do simulations before going to bed, but after coming to Changshi, he put all the simulations in advance and wanted to finish everything and then start a video.
.
Chatting, compared to the previous loneliness when the mother and child were single, there is more expectation.
I can’t tell you what this kind of expectation feels like. Sometimes I feel it’s a sense of oppression. Sometimes I feel like someone is attached to me thousands of miles away. I have someone I like and a sense of agreement to do something together.
This caused him to lose a certain degree of freedom, but he also gained an imperceptible sense of belonging.
Zhou Cheng had no experience in falling in love, let alone in a long-distance relationship. Maybe Yang Yifeng and Liu Shiyu were like this, but Zhou Cheng had never felt this way before.
In Shanghai, when he and An Ruo lived in a community together, one of Zhou Cheng's little hobbies was to look at the lights in the study room of An Ruo's room through the curtains, and then catch her when she didn't go to bed on time.
Occasionally, he would spy on her with his little jokes about his telepathy.
But now after coming to Changshi, even yesterday, Zhou Cheng still had the habit of looking out the window.
"I'm so envious of you for being so self-disciplined. No, I have to become more self-disciplined. I have decided that from now on, before eight o'clock in the afternoon, I will read on time, wash my face and take a shower for an hour, and from nine o'clock to ten o'clock, I will have a video chat with you.
"Don't read." An Ruo was lying on the bedside, her cool nightgown blocking the view.
Like a cat sitting with the cute Pikachu pillow behind it.
"It doesn't seem right to have such strict rules? What if you have to work overtime on one day? You should be more flexible. Don't use your time like a tool. If it doesn't work, just divide the weekends more carefully.
.”
…
At half past ten, Zhou Cheng turned off the video and turned off the lights.
Then the next morning, we agreed to get up together at 5:30, run for half an hour, and then rush back at 6 o'clock to have breakfast.
Zhou Cheng found that when he could have breakfast regularly, An Ruo was already rushing home.
Seeing An Ruo's rather reserved expression, Zhou Cheng guessed that this was a relative of Nizi's family.
By the time An Ruo appeared on the screen again, it was already past seven o'clock.
Zhou Cheng had already gone out, so he said, "Don't you have some corn? Just heat it in the microwave for a few minutes and you can take it out to eat. If you buy a cup of soy milk, it will be enough."
"Okay, I won't talk to you anymore. I'm a little tired. I won't get up for a run tomorrow." An Ruo hurriedly continued to the department.
During this special period for girls, the time to go to work cannot be delayed.
Zhou Cheng arrived at the department in advance, and then went directly to the doctor's office. Then he discovered that there was no bed in charge under his job number.
In the past, he was a resident physician, so he had to take on the role of being in charge of patients, but now, Zhou Chengdu has not gotten out of this habit.
Okay, after looking around at the patients in Director Lu Bin's group, I probably have an understanding.
Zhou Chengcheng also asked the department's supervisor and bedside doctor to learn more about the situation.
Because after Zhou Cheng came to the department, he drank alcohol and was not a spoiler, and he had no airs. He was about the same age, so everyone's impression of Zhou Cheng was not good, but not bad either.
After chatting about some local customs, Zhou Chengcheng learned that in the past, Changshi Traditional Chinese Medicine Hospital had not had enough cases. The reason why these cases could be gathered was because Director Lu Bin used his own connections to find them.
There are more patients with fractures coming.
Just in this way, it is estimated that other hospitals will have relatively fewer sources of disease, but more atypical and inferior cases such as trauma, mutilation, and infection cases.
The difference between high-quality patients and poor-quality cases is actually based on the complexity of the disease. Fractures are relatively easy to treat, but the treatment methods and choices are different.
When Lu Bin, Qin Ming and others came to the department, they were very curious that Zhou Cheng came so early and had a lively chat with the junior doctor. He frowned slightly and said hello to Zhou Cheng.
This sentence scared Guipei and the two attending doctors so much that they no longer dared to talk to Zhou Cheng. After thinking about it, Zhou Cheng's current status was slightly higher than Lu Bin's by half a level. He was the boss of the boss, second only to the orthopedics department.
Chief Director.
But when it comes down to it, even the chief director of the Department of Orthopedics will be quite polite to Zhou Cheng. This is the advantage of having a big tree at his back and having a strong background.
Then, Zhou Chengcheng had no chance to find out any more news. Instead, he was invited by Lu Bin, Qin Ming and others to drink tea in the director's office. The other two directors were also in the director's office.
Qin Ming, the deputy director, was quite eye-catching among them. After chatting, Zhou Cheng also found out that Qin Ming also had a doctorate degree. No wonder it was so unusual.
As he spoke, Lu Bin mentioned vaguely: "Director Tong, Director Quan, today Dr. Zhou arranged seven fracture surgeries in one day. This is a huge workload. In our department, a single team used to have the most...
If you dare to arrange three or four stations, you will be exhausted."
"Are you two interested in today's surgery?"
Tong Haimo is the name of Director Tong, which shows that his family has a lot of questioning background. Compared with the names of his contemporaries, such as Dashan, it sounds much better.
"Seven? Seven stations? What's going on?" This scared Tong Haimo's regular German out of his wits.
Eat whatever you want, do whatever you want, eat round or flat ones...
Quan Zhuolin said: "Then we have to go and observe. It's unimaginable for us to complete seven operations in one day. Even if one operation takes an average of one and a half hours, it will take nine hours, plus the turnover?"
"Dr. Zhou, was the operation of the Ninth Hospital of Magic City where you were previously so crazy?"
Zhou Cheng smiled: "Director Quan and Director Tong are not so scary. Today's surgeries are relatively simple, so we will be a little trickier. Seven surgeries seem to be a lot of arrangements, but those that really require traumatic operations are not
not much."
Although Zhou Cheng was modest, he still left everyone speechless.
After the shift was handed over, after a quick ward check, everyone went to the operating room, including Quan Zhuolin and Tong Haimo. The doctor on duty today was from Director Tong's group, so everyone from Lu Bin's group was present. They felt that this
There is a big battle to be fought.
The first operating bed plan has been arranged, and the anesthesiologist has begun to skillfully prepare for spinal anesthesia!
Zhou Cheng didn't say much, just waited quietly for the operation to begin, and then personally participated in operations such as disinfection and draping.
Then, after all the preoperative preparations for the operation were completed, Zhou Chengcheng stood at the main operating position and said to a "safety officer" from Zhang Zhengquan's branch who arrived in the operating room and was about to go on stage: "Boss Chu, today's
You don’t need to go on stage for the surgery, our team still has plenty of manpower.”
Boss Chu is actually a safety officer affiliated with Chang City and belongs to the general technical director. But with Zhou Cheng here, he doesn’t dare to play tricks on others: "Dr. Zhou, you are really kidding. You belong to our chief instructor. How can I
Dare to go on stage? I’m here to learn.”
The current small incision open reduction and internal fixation technique originated from Zhou Cheng. He came not to help, but purely to learn, so as to facilitate his future work in the city. After improving his professional level and ability, his salary will also increase.
will be greatly improved.
It is impossible to say that I will be able to become the general technical director of Hunan Province in the future. From that time, I will have climbed up.
Lu Bin and others smiled and did not pay attention. Instead, they stood as assistants with Qin Ming and others.
Because Lu Bin and others were not at the same level as Xue Xiude and others, Zhou Cheng did not start the operation directly. Instead, he went step by step and performed a C-arm fluoroscopy in advance to accurately understand the actual fracture situation and
Distribution of fracture lines.
Then, after the fluoroscopy results came out, Zhou Cheng carefully analyzed the current fracture classification for everyone. Under this classification, why conservative treatment cannot be performed, how to enter the hole, and how to carry out small incision open reduction and internal fixation.
Layout thinking, and the entire surgical process.
For the first station, Zhou Cheng didn’t expect them to understand it and probably knew the process.
Therefore, after Zhou Cheng finished speaking, he immediately returned to the operating table and started the manual reduction based on the theory he described.
After the reduction, everyone left the operating room again and went to the isolation room.
When the C-arm fluoroscopy results came out, Lu Bin and others immediately took a breath of cold air. The fractures that were originally separated are now tightly together. Compared with open reduction, it is even more difficult.
Worse than that.
Zhou Chenggong said: "The reduction we are doing now is manual reduction of the fracture, plus manual reduction, so that the fracture lines are better aligned, but it is still unstable and the tendency of separation is very strong, so internal fixation is still needed."
"I believe all directors have understood some of the principles for small incision reduction. We will continue to follow the principles now."
"The wound and positioning are always the difficulties and key points in our surgical process..." Zhou Cheng did not forget that his purpose was to teach, and this kind of teaching was not done by Xue Xiude or Jing Jingxing.
Lu Bin and others have rich experience, but their theoretical reserves and initial basic skills have not yet reached that level, so they must learn in depth and in simple terms.
After an in-depth explanation, Zhou Cheng continued to operate slowly. Finally, when thirty-six minutes had passed, he announced that the operation had come to an end. At the same time, he said to the roving nurse in the operating room: "Teacher roving.
, please bring all the patients from the second and fifth units to the operating room, and take the fifth unit first."
When the circulating nurse heard that Zhou Cheng wanted to pick up two channels at the same time, she didn't understand. However, Lu Bin gave her an idea: "Dr. Zhou is the current instructor of our orthopedics department. Even Director Pi must listen to Dr. Zhou. He
I asked you to pick up two beds of patients, so please do your best to pick them up."
“Let’s all cooperate and work together to make our business more proficient.”
The circulating nurse was doubtful at this point.
After the explanation, the subordinate doctors were asked to complete the suturing, plaster external fixation, patient transfer and other operations. Zhou Chengcai said: "Director Lu, the operation we just performed was very simple and the operation time was not long, mainly because I did it in advance.
So we planned a reset.”
"After the reset is done well, a lot of time can be saved. Director Lu must know this better than me."
Quan Zhuolin spoke first and sighed: "The most difficult part of a fracture is the reduction. The most difficult fracture takes seven or eight hours to do. We have also experienced it. Like Dr. Zhou, you solved the most difficult part in one go."
"Even if it's a traditional open reduction, it probably won't take longer than the current surgery."
"Director Lu, I think Dr. Zhou's reduction technique is really useful. It can greatly improve the efficiency of the operation, and it can also improve the quality of the operation!"
In prefecture-level municipal hospitals, scientific research is not paid much attention because it is not promoted as much. Therefore, competition on a purely technical level has become the biggest topic.
If you see Zhou Cheng's miraculous skills with your own eyes, how can you not admire him?
Prefecture-level municipal hospitals do not need to undertake teaching tasks, so naturally they will not be burdened with too many scientific research, teaching and other tasks. Therefore, they only need to improve their own technology to the greatest extent.
The positioning of teaching hospitals is different. In addition to the daily diagnosis and treatment tasks, transporting and cultivating talents to the province or the country is also another important task. It is also a hard indicator to measure the comprehensive strength of a teaching hospital.
Zhou Cheng knew from the eyes and faces of Lu Bin and others that they were very interested in this.
Then I thought that it was not convenient to say the following words in front of so many people, so I walked into the isolation room again.
Zhou Cheng said again: "Director Lu, in terms of charges for this type of reduction, it is purely an operation charge. This is not included in the list of consumables. Whether it is an open surgery or a closed reduction and plaster external fixation, it is all charged."
They stay in the department."
"Therefore, this is a pure income for the department. As far as I know, the highest fee for surgical reduction is one thousand. If one part is one thousand, it will be a huge amount of income after a month.
.”
"In addition, if this kind of reduction technique is done well and you gain confidence, you will have greater confidence in dealing with any type of fracture in the future. In this way, when we deal with complex fractures, we can also improve our
work efficiency.”
Zhou Cheng stopped short and did not explain in depth, but it is estimated that Lu Bin and others knew what was going on.
Talking about dreams with people but not talking about money is nonsense.
We are all mortals and have to live and support our families. Money and income are the more critical stratifications. A job without money and a dream that cannot guarantee the basic living security you pay for are all nonsense.
Conservative treatment of fractures is criticized because it carries high risks and small benefits.
Moreover, most people don’t dare to charge for high-charge manual reduction because they are afraid of something going wrong. Usually, only when the patient sternly refuses surgical reduction will they allow the patient to risk a little bit of manual reduction treatment. However,
It will not be reflected in the charging standards.
Although Lu Bin and others did not answer, their expressions flashed at this moment.
Zhou Chengze continued: "To use a popular saying on the Internet, maybe when we do manual reduction, we don't have to pay much, we just use a little effort. But we know how to do manual reduction, and this knowledge and skills are enough
Worth the money!”
"Furthermore, except for our orthopedic staff, basically no one dares to use this kind of fracture reduction method. This is the value. It does not mean that there must be something objectively accompanying and attached to the patient to reflect the value!"
"Furthermore, although this kind of reset operation is expensive, it can be reimbursed, and emergency patients may have third-party responsible persons, so it is relatively acceptable. When we have a large number of patients, it is very important for the development of our department.
Considerable!”
"I have also seen that our hospital has quite a few beds. There must be some outpatients who cannot be admitted. Once the manual reduction is done, some simple fractures and bed pressure can be avoided..."
After Zhou Cheng continued to analyze for a while, the surgical patient on the previous unit was pushed out of the operating room.
The circulating nurse took the fifth patient into the operating room, and then the second surgical patient today was also on the way in.
"The anesthetist has gone to send the patient. What are we going to do when this patient is brought in?" She was a little unhappy. Until now, she still couldn't understand what Zhou Cheng was going to do when he brought this patient in.
do what.
Zhou Cheng and others heard this and walked out of the isolation room. Then the patient's affected limb was the right upper limb, which was a double fracture of the radius and ulna. The fracture classification is relatively simple and can be reduced manually.
Zhou Chengcheng said: "Thank you for your hard work, itinerant teacher. Please help me prescribe a syringe, local anesthetic, 100 ml of normal saline, and prepare a pair of polymer plaster and one or two rolls of bandages!"
After Zhou Cheng finished speaking, he continued the previous topic: "Director Lu, Director Tong. We have talked about the importance of fracture reduction before, and then there are also its indications and specific applications."
"For example, this fracture is relatively simple. In this case, we can perform a manual reduction during the operation."
"This does not waste a lot of time. Even when we are in the emergency department, we can send the patient to the operating room. Under anesthesia, the patient's pain will be reduced a lot!"
"The best anesthesia method is actually brachial plexus block, but we don't have the conditions now, so I plan to do a local block of the radial and ulnar nerves myself." Zhou Cheng finished.
Lu Bin and others' scalps felt numb.
Brother, the radial and ulnar nerves have strong variability, and the shape and lumen of the surrounding blood vessels are not as typical as the cephalic vein and axillary artery near the brachial plexus. Do you want to anesthetize the radial and ulnar nerves?
During the period of numbness, Zhou Chengcheng had already given the injection. After the patient cried out, Zhou Cheng comforted him: "It will hurt a little at first, but it will stop hurting soon!"
Then, everyone saw that Zhou Cheng was like unlocking a lock, inserting the needle directly into it, injecting as he retreated, and then after reaching a certain depth, he changed the direction and inserted the needle diagonally, without knowing where it went.
Then, Zhou Cheng pinched the patient's fracture site again: "Does it still hurt?"
"It doesn't hurt anymore." The patient raised his head, looked at Zhou Cheng curiously, and then said, "My hands are starting to feel a little warm, and they seem to be a little numb, and they seem to have no feeling again."
Zhou Cheng knew that this was when the local anesthetic started to take effect, so he chose total block instead of nerve branch block.
Then seeing the faces of Lu Bin and others twitching, he said: "In fact, you can do it without anesthesia, and it won't be very painful. Or, with the help of an anesthesiologist, you can choose brachial plexus block, which can also reduce the pain after reduction."
The patient is in pain and is willing to cooperate with functional exercises.”
After pushing out the syringe, Zhou Cheng did not use a cotton swab to stop the bleeding. Instead, he directly compared the flat film in the reader and started the reset.
The hand that had no feeling had lost its muscle tension, so it had no feeling or resistance. It was pinched by Zhou Cheng, shaking it from side to side, flipping it up and down, and performing the classic performance of fracture to Lu Bin and others.
The patient was not in pain, but said out of curiosity: "Dr. Zhou is still great. I don't feel pain at all now."
Although he didn't know Zhou Cheng's origins, he was really convinced that Lu Bin and other directors taught him a lesson and poked him twice, which saved him from the pain of his previous fracture.
The best way is to work hard in your hands and express yourself intuitively. This is a good doctor. I have definitely met a master!
I saw that after Zhou Cheng tinkered for a while.
"At this time, we can do more fluoroscopy to observe the reduction of the fracture line." Zhou Cheng said, and he was about to push the C-arm machine.
However, Tong Haimo had quick eyesight and quick hands, so he immediately took on the hard work of pushing the C arm.
The anesthesiologist hadn't returned yet, so the circulating nurse entered the isolation room with Zhou Cheng and others.
After seeing the fracture line, Lu Bin and others were used to being shocked, so they didn't feel much about the current reduction of the fracture.
Zhou Cheng looked at it and then said: "Well, that's right. In this case, if we perform plaster external fixation, combined with this young man's young strength and quick recovery, it is estimated that he will be able to heal quickly.
"
"At this time, if you put another plaster on it, the surgical treatment will be considered complete."
"Closed reduction is also a type of surgery. Although it was not taken seriously before, it has now been included in surgical operations and can be charged formally."
"At this time, when putting on a plaster, you need to pay attention to some key points..." Zhou Cheng went into detail, and then explained to Lu Bin and others the operating techniques of plaster external fixation.
Then he said: "Teacher, please send this patient back to the ward."
"Brother, we have already reset your fracture. We didn't make an incision, we just put a plaster on it to reset it. You will be hospitalized for another two days of observation and then you can go back."
"In addition, after you go back, the pain will reappear about three or four hours later. Don't worry. As long as you don't move around, the pain will not be severe. We will give you intravenous painkillers to let you have a good rest.
It won’t be so painful.”
"Take more good supplements, and after a period of time, the disease will heal on its own." Zhou Cheng told the patient.
"Thank you, thank you Dr. Zhou. It's best if you don't have surgery. Dr. Zhou, you are really a miracle doctor. Thank you, Dr. Zhou, I will ask you to do some major health care when you have time!" the patient said when he was pushed out of the operating room.
Astonishing. It shows his status in the world of regular city reality.
When the circulating nurse heard this, she was also amused and looked back at Zhou Cheng, with inexplicable horror in her eyes.
Although I don’t know if this patient can achieve therapeutic effects if he comes in and out so quickly, but judging from the current situation, Zhou Cheng’s strength is probably at a very high level.
…
The anesthesiologist and bedside doctor sent the patient back from the ward. They heard that one operation had ended and the number of subsequent operations had been reduced to five. They all looked at Zhou Cheng in shock.
But Zhou Cheng has started to rest now. After talking for so long before, his mouth was a little dry, so he went out to rest for a while and drank a glass of water.
Then after all the pre-operative preparations were completed, Zhou Cheng came on stage again.
This time, Zhou Cheng was faster and said to Lu Bin and others: "Director Lu, for this operation, I just want to show you how smooth the surgical process of this minimally invasive surgery can be. Follow-up, and then
Let me tell you the details."
Zhou Cheng said and started the manual reset.
"C-arm, fluoroscopy! Instrument teacher, prepare sharp knives and built-in mirrors!" Zhou Cheng ordered after only ten seconds.
After seeing the fracture line, Zhou Cheng did not ask anyone to withdraw the C arm. Instead, he pushed the C arm flat to the patient's chest, then quickly incised the skin, made holes, and placed internal fixation.
instrument.
After the connection is complete, perform C-arm fluoroscopy again.
This operation lasted only four minutes and twenty-seven seconds!
The roving nurse and the hand-washing nurse couldn't keep up with Zhou Cheng's rhythm. The roving nurse was constantly operating various instruments, while the hand-washing nurse was a little busy.
After seeing through the fluoroscopy that the fracture internal fixation device was connected, Zhou Cheng asked everyone not to come out. He opened the mushroom fixation site by himself and walked into the isolation room again.
The results are already out.
The positions of the fixed objects are relatively scattered, and the fracture line is looming——
All of this is describing to everyone that this operation is over.
Zhou Cheng then said: "Director Lu, next, you can try taking the mirror out of the bone window and then suturing it together. This operation can be completed."
"This operation is not complicated and effortless. As long as the position is good, there is no need to consider the problems of blood vessel damage and nerve damage. It is a very simplified operation."
Lu Bin and others nodded, and then Tong Haimo and Quan Zhuolin came on stage to play how to disassemble the mirror.
Zhou Chengcheng said to the circulating nurse: "Circulating teacher, please call the department and bring the patient from station 6 to the operating room. We will perform another manual reduction."
Zhou Cheng sat under the timing panel in the operating room, thinking about how to teach Lu Bin and others. He needed to systematically use cases to accumulate their knowledge reserve bit by bit.
Because they do not have the deep knowledge reserves of Professors such as Professor Jingxing Xing and Professor Xue Xiude, they have to slowly start from scratch, let them watch, then participate, and finally implement it alone, constantly experiencing the small skills.
We strive to have at least one director able to perform surgery alone within half a month!
Then gradually reduce the amount of fracture diseases and focus on other diseases!
On the operating table, Tong Haimo marveled: "If anyone had told me before that the fracture surgery could be completed within ten minutes, even if it was a professor, I would have rashly scolded him for bragging. But today, I am really excited."
I’ve learned a lot.”
Lu Bin glanced at Tong Haimo and said, "With your eyesight, what you can see is very limited."
"The reason why Dr. Zhou is able to do it so smoothly is that his manual reduction is very good. It will take at least more than an hour for us to complete the closed reduction."
The patient was stunned.
Question: "Director Lu, what did you just say? My operation is over? Don't lie to me?"
"It takes a lot longer than this for me to have sex with you? Isn't it too complicated and you don't want to do it carefully? Don't let it go wrong?"
In less than ten minutes, the operation was over. The patient was not frightened.
Surgery, in the eyes of ordinary people, is a life-and-death barrier at the gate of hell, so don't be careless.
"Don't worry. It was Dr. Zhou who performed the surgery on you. You have also read it on Baidu and Douyin. You can feel the quality of the surgery yourself after you go back."
"When I change your dressing and you feel no pain, you will know whether the quality of the surgery is good or not."
"If it weren't for the special situation now, how could ordinary people hire Dr. Zhou to perform surgery? You, this group of patients, are in trouble." Lu Bin quickly comforted him.
The quality is not good, so what was the surgery we did before?
Playing house?
"Oh my God, I really saw the man of God this time. The operation takes less time than taking a poop."
"It's true, Director Lu, that the conversation before the operation scared me so much that I almost wet my pants."
"There are various risks. I didn't sleep well last night. If I had known it was so simple, I would have slept well." The patient let out a long sigh of relief.
The atmosphere in the operating room improved instantly, except that the anesthetist was a little unhappy.
The anesthesia that had just been done had to be removed again. However, this kind of surgery is pleasing to the eye. This surgeon is indeed extraordinary. If in Shanghai, the anesthesiologist who could appreciate his surgery would be at least an associate professor.
You are just lucky to be able to co-star with him, right?
Then I continued to work step by step. After working for several years, I have become very familiar with this kind of anesthesia, and I don't complain about the hard work.
…
Noon, to be precise, is twelve fifteen minutes and thirty-seven seconds.
All orthopedic surgeries are completed, and it is the surgical turnover that consumes most of the time.
Then Lu Bin and others hurriedly greeted Zhou Cheng and said: "Dr. Zhou, you have worked really hard today. None of us can help. After we finish the billing for the surgery, we will go to dinner together. Dr. Zhou
, you go to the lounge below first and rest for a while."
Zhou Cheng was not polite. Seven surgeries and seven reductions were performed, so he was a little tired. Although it didn't take long, the ones that were being reset were all hands and legs. Aren't you tired?
Very tiring, but limited!
Those who are difficult can't do it, and those who can do it are not difficult.
Then, Lu Bin, Tong Haimo and Quan Zhuolin went to the operating room office and started charging and other operations. In fact, the circulating nurse can also do it, but today, Zhou Cheng gave the circulating nurse a hard time and did not have time.
Charges for these operations can only be charged back.
Don't bother with anesthesia or the consumables in the operating room.
Then the charging and surgical operation started.
The most basic ones include manual fracture reduction*7 and plaster external fixation*7.
Fracture prying reduction and internal fixation*4.
Small incision open reduction and internal fixation of fractures*4!
Calculated overall, the total operating costs, not including consumables and other expenses, are over 30,000!
This is pure income.
Not counting subsequent hospitalization expenses, etc.!
After reading it, Lu Bin and others fell silent.
"Is this the income of top professors who are purely technical?" Tong Haimo said.
Lu Bin took a breath: "There are some flying knife surgeries, and the appearance fee starts from 30,000 yuan. It only takes half a day, and you will know how much the top professors really earn."
"But, you have to have the opportunity to get this money, and you have to have the strength to get it!"
Well, this level is indeed beyond their imagination.
However, what Lu Bin has not said yet is that in foreign countries, the income of top surgical experts is really considerable. A joint replacement surgery costs US$70,000 to 80,000.
What is this concept?
It is close to 500,000 yuan. In China, a joint replacement cost only 50,000, 67, 80,000 in the past. If we compare it with domestic standards according to foreign standards, it will be truly unaffordable!
Full reimbursement means you have medical insurance. People without medical insurance have to bear it all on their own.
But no matter what, today, Zhou Cheng's arrival has indeed taught them a vivid lesson. Pure technical routes can really make a lot of money, and they will make more money than before.
Because the fees for the other four fracture patients are paid per disease, which is a lump sum.
According to the treatment method Zhou Cheng is currently performing, if it can be repeated?
To use a not-so-good word, the cost is very controllable, the profit is very considerable, and the burden on patients is not high, and medical insurance and third parties directly cover the entire cost!
Everyone is willing, and this is a win-win situation for all three parties.
In the department, the cost of simple surgical operations can be hundreds of thousands a month, so the annual turnover may be as high as 40 to 50 million...
After the surgery, Zhou Cheng was received very warmly.
There were not many people there, just Lu Bin, Qin Ming, Tong Haimo and Quan Zhuolin.
Not drinking, Zhou Cheng refused the request for a drink, everyone just ate, but let’s eat!
Lu Bin still asked the question he was most worried about: "Dr. Zhou, manual reduction is indeed a relatively classic treatment method, but is this operation difficult to learn?"
"If it is difficult to learn, then? This kind of minimally invasive fracture surgery is still relatively difficult to perform?"
Zhou Cheng thought about it carefully and said: "It is easy to learn but difficult to master, but it will always improve our professional capabilities. If there are some simple fracture patients in the future, directors can give it a try."
"You always have to get started first and try boldly."
Lu Bin nodded, and after pondering for a while, he said, "Okay, Dr. Zhou, thank you very much for coming."