When doctors have a simulated operating room

The money was so much that it was not worth it.

"What?! One hundred thousand?!"

Zhang Yi was stunned on the spot!

So the system can also reward money?

But what does it mean to withdraw virtual currency?

[Please log in to the Mars Coin APP and buy a currency called 'QINB'. You can get one hundred thousand yuan in two hours. ]

"Damn! So awesome?!"

This system is really thoughtful. If there is an extra one hundred thousand yuan in your bank account for no reason, it will definitely be checked.

But giving rewards in this way will not attract attention at all!

"Zhang Yi? Why are you stunned? They asked you where you are going to drink in the evening?" Wang Chenjun touched Zhang Yi with his elbow.

Zhang Yi came to his senses and said quickly, "It doesn't matter where we go, you decide."

Just as the group was about to leave the hospital, someone suddenly called Zhang Yi from behind.

"Zhang Yi, wait a minute!"

Everyone turned around and found that it was Chen Feng and his brother Chen Song.

The two were walking towards Zhang Yi with resentment on their faces.

"Zhang Yi! It's because of you that my brother lost the qualification to stay in the hospital! Humph, let's wait and see!" Chen Feng looked at Zhang Yi with disgust, and wanted to tear him to pieces.

Originally, they were determined to stay in the hospital, but because of Zhang Yi, Dean Qian changed his mind and re-evaluated.

Now, all those who gave money to the relatives were eliminated!

How could they not hate Zhang Yi?

Zhang Yi frowned, and he didn't like to hear this.

"What do you mean because of me? It's obviously your brother who is too weak. He failed the written test and the operation. How can you blame me for this?"

Wang Chenjun also said something fair on behalf of Zhang Yi: "That's right. Zhang Yi's grades were originally the first. If you, the relatives, hadn't given money to He Ming, Zhang Yi would definitely stay in the hospital!"

Zhang Yi looked at the two brothers Chen Feng with livid faces and asked: "By the way, you reported Director He for taking bribes today. Didn't that just expose you as the briber? Haha, I don't think you, Chen Feng, will be able to work in the Department of Nephrology in the end."

"You...!" Chen Feng narrowed his eyes and stared at Zhang Yi. After Zhang Yi said this, Chen Feng also reacted belatedly.

Really, what if Dean Qian fired them when he dealt with He Ming?

Wouldn't it be a waste of time? !

After a stalemate, the two brothers hurriedly left the hospital.

Zhang Yi and others were not disappointed by this unpleasant episode.

In the evening, several people had a happy farewell dinner.

After returning to the dormitory, Zhang Yi quickly picked up his mobile phone to download the Mars Coin APP.

After some operations, 'QINB' really began to soar!

In just two hours, Zhang Yi's principal of 1,000 yuan increased to 100,000 yuan!

"[Huaguo Huafa Bank] Your account with the last number 7743 has received 101,130.2 yuan, and the balance is 103,452.3 yuan."

After a while, Zhang Yi received a text message on his mobile phone.

"Hiss! So cool!"

Finally I have money!

Finally I am not a poor and tired dog intern!

Just when Zhang Yi was excitedly imagining the future, the system suddenly spoke again.

[The novice benefits have all been used up. In the future, if the host wants to practice surgery in the simulated operating room, he needs to use gratitude points to redeem it! ]

"Gratitude points?"

Zhang Yi remembered.

The system seemed to say before that the practiced surgery must be rewarded by the system or drawn by yourself?

[Yes, gratitude points need to be obtained from patients and their families. ]

[Only when you, the host, have received sincere gratitude from patients and their families can you obtain the corresponding gratitude points. ]

[You can only exchange the surgical operation knowledge you want to practice with gratitude points. ]

[So please, host, do your best! ]

[There will inevitably be difficulties and twists and turns on the road to becoming a great doctor in the country, but as long as the host is dedicated to serving the people and the doctor, I believe that in the near future the host will definitely become the best doctor in China! ]

So that's what it means.

However, after the system gave him this wave of chicken soup for the soul, Zhang Yi was instantly full of fighting spirit.

After falling asleep at night, Zhang Yi practiced the "artificial valve replacement" rewarded by the system in the simulated operating room.

Artificial valve replacement is a repair and improvement operation, which is often seen in rheumatic heart, congenital heart disease, etc.

It is to implant artificial valves into the heart cavity to restore the blood flow of the heart to normal levels.

In the simulated operating room, a virtual 13-year-old boy lies under the shadowless lamp.

The patient provided by the system is a congenital heart

Disease-mitral stenosis, valve replacement is needed to expand the mitral valve to restore blood circulation.

The human heart has four chambers, namely the right atrium and right ventricle, and the left atrium and left ventricle.

There are valves between each atrium and ventricle, and the function of the valve is equivalent to a valve.

It is precisely because of these four valves that the heart has the function of contraction, and the blood in the human body will return to the heart after traveling through the human body.

When the mitral valve in the left atrium connected to the left ventricle is narrow, it is difficult for the blood in the atrium to flow into the left ventricle. The blood will gradually accumulate in the left atrium, causing the capacity load of the left atrium to increase. Then, the left atrium will transmit this pressure to the pulmonary vein. Once the pulmonary vein pressure is high, the fluid in the blood vessels will penetrate into the alveoli, thus forming pulmonary edema.

This is why many heart diseases are accompanied by different degrees of lung disease.

Because the heart and lungs are connected, if one has a problem, the other is unlikely to be spared.

Carefully recalling the surgical steps in his mind, Zhang Yi put on gloves and a mask and prepared to start the operation.

This... is his first surgery as the main surgeon in his life!

And it's a major surgery like artificial valve replacement!

Whether it's open-chest or minimally invasive surgery, it's a test of his ability!

Taking a deep breath, Zhang Yi looked at the ECG monitor next to him.

BP112/70mmhg, R19 times/min, P102 times/min, SPO2 98%.

"Indicators are normal, start the operation!"

Considering that the patient in front of him is a 13-year-old child and has symptoms such as heart failure, Zhang Yi chose to open the chest.

(Patients with normal heart size can use minimally invasive methods, once patients with heart failure accompanied by boot-shaped heart or giant heart must use open-chest methods.)

Take up the scalpel and make a median incision on the sternum. The moment the knife is cut, gurgling blood overflows from the subcutaneous!

Zhang Yi quickly picked up the gauze to wipe it, and then continued to separate the tissue downwards.

After cutting the subcutaneous tissue, you have to change to an electric knife, because the more large blood vessels you go down, the denser the blood vessels are.

The electric knife can have a certain hemostatic effect.

After separating the pleura and ribs to expose the position of the entire heart, we began to prepare to establish extracorporeal circulation.

All heart surgeries require the establishment of an extracorporeal circulation channel.

That is, insert artificial tubes into the aorta, pulmonary veins, and pulmonary arteries, and connect them to the extracorporeal circulation machine.

Let the extracorporeal circulation machine replace the heart's ejection and the lungs' breathing function.

Only when the heart is in a quiet state can the operation be performed.

Zhang Yi was busy in the simulated operating room alone. Usually, this kind of operation requires two or three assistants.

But there were no assistants in the simulated operating room, so Zhang Yi had to rely on himself.

Although the movements were much slower, this made Zhang Yi more clear about each step of the operation and how to do it.

…

I don't know how long I practiced, anyway, Zhang Yi was awakened by a burst of alarm clocks.

When I woke up, I saw that there was one thousand yuan less in my bank card! !

Hiss!

It hurts to think about it!

In last night's simulated surgery, two scores were lower than 95 points!

I didn't expect the system to actually deduct money!

And the way to deduct money is to give a reward to a novel author!

What's the author's name?

Zhang Yi took a look and found that it was Zhe Er Gen Xiang Cai!

Zhang Yi sighed silently and started to get up and wash.

I have to report to the emergency department on time today!