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 As they walked, Qian Liang taught the two of them a lesson:
 "The ward round record is a core part of a complete case, and it is a record that the competent physician must complete within 48 hours of the patient's admission."
 "The resident physicians in our hospital are checked once a day in the morning and in the afternoon. Patients who are critically ill or whose condition is not stable after surgery should be observed at any time, processed and recorded."
 "As for the ward rounds of the director of the department, it is once a week. The director of the department and the head nurse of the ward participate in it. They mainly learn about the diagnosis and treatment of critically ill and complex hospitals, and problems in the management of the ward, and help them solve them."
 After Qian Liang finished speaking, he stopped and looked at the two of them: "So when the director of the department will round the room in a week, I hope you will be prepared, not to mention you, even I may be asked by the director. Don't talk."
 After the tense atmosphere was created, Qian Liang changed his words:
 "Of course, this is also an opportunity for elite physicians to emerge!"
 Cheng Yunfeng, who was on the side, obviously lit up and was eager to try. After all, as a scholar, he has a strong competitive spirit.
 Qian Liang was naturally very satisfied with Cheng Yunfeng's fighting spirit, and continued to add:
 "As for the hospital leaders' ward rounds, they are conducted once a month, and 2-3 wards are randomly checked each time, led by the dean or vice dean, and attended by the heads of functional departments, department directors, and head nurses in the ward to learn about ward management and The patient's diagnosis and treatment..."
 Soon, following Qian Liang's words, the three of them came to bed number 18, a patient with diabetic foot.
 In addition to conventional thermal injury, chemical burn, and electrical burn, the Orthopedic Burn Department of Hecheng No. 1 Hospital also treats various chronic wounds such as bedsores and ulcers.
 Diabetic foot patients are naturally an important part of it.
 Walking to the hospital bed, Qian Liang looked at the two of them: "Who will come first?"
 Cheng Yunfeng looked at the patient on the hospital bed. The exposed sick foot, with full-thickness skin damage and an abscess visible to the naked eye, was panicked.
 The burn knowledge I had prepared for several days was useless.
 Qin Lang, who was on the side, walked out with a calm expression.
 "Doctor Qian, I'll come."
 Qian Liang was slightly surprised, but he didn't stop it.
 After Qin Lang finished speaking, he stepped forward, his face was kind, and his tone was soft:
 "Uncle, how are you feeling today?"
 "Anything uncomfortable?"
 ...
 Soon, Qin Lang was skilled in asking the patient's medical history and what tests he had done.
 After the question, he completed the physical examination very smoothly and checked the results of various auxiliary examinations.
 The whole process is very simple and efficient, even Qian Liang on the side is a little pleasing to the eye.
 "Amazing, is this really a community doctor who came to study?"
 Of course, the process can be trained in advance, but the diagnosis of patients requires targeted analysis.
 Under the blessing of so many years of clinical experience, Qin Lang's whole personality changed, as if a higher-level doctor was explaining it to a lower-level doctor.
 "The patient's foot has full-thickness skin lesions, with abscesses, and myofascial space infection. According to the diabetic foot classification, it is Wagner grade 3. Early effective dilatation is required."
 Seeing Qin Lang's analysis, Qian Liang was slightly taken aback:
 "Is this a direct statement of treatment and a new demand for care?"
 "A little level."
 Qian Liang is really interested now, as for Cheng Yunfeng, who had placed his expectations before, he has long forgotten about it.
 "Qin Lang, tell me, what treatments can be used for Wagner level 3 diabetic foot?"
 Regarding the question raised by Qian Liang, Cheng Yunfeng, who was on the side, suddenly found that he could not understand a little.
 I have been recalling in my mind, what is Wagner level 3 of diabetic foot, and how this level is distinguished.
 Qin Lang smiled softly and replied skillfully: "The treatment of diabetic foot mainly includes systemic anti-infective treatment, topical use of fungicides and surgical drainage. Of course, for this patient, the most basic and most critical is Debridement and drainage."
 Qian Liang agreed with Qin Lang's answer, nodded, and continued to ask:
 "Then which debridement method do you think patients should use?"
 For Qin Lang, who has reached the intermediate level of debridement, this is naturally a matter of course, and he analyzes it in an orderly manner:
 "Currently commonly used are open debridement techniques, closed negative pressure drainage techniques, and small incision counterpart drainage techniques..."
 When the unfamiliar and familiar terms popped out of Qin Lang's mouth, Cheng Yunfeng frowned for a while, puzzled for a while, and then became confused again.
 "He's amazing!"
 Compared to Cheng Yunfeng's Ru Tingtianshu, Qian Liang kept nodding his head. Qin Lang was fine, so he continued to ask, "Let's talk about it."
 Qin Lang nodded: "Under normal circumstances, the patient's condition, due to the slow healing of the wound and the difficulty of treatment, should choose the closed negative pressure drainage technology. First, it can create a closed state and isolate the wound from the air. , to avoid cross-infection, and secondly, it can also significantly reduce the number of dressing changes on the wound surface and reduce the pain of patients."
 Hearing Qin Lang's analysis, Qian Liang agreed and said, "Yes, this is also the treatment we took for patients after the last round of wards."
 However, to Qian Liang's surprise, the ward round, which was already coming to an end, suddenly changed.
 Qin Lang looked at Qian Liang calmly: "Doctor Qian, under normal circumstances, continuing the closed negative pressure drainage technique is indeed the best treatment method for patients, but now I think the treatment plan should be adjusted."
 "Is he questioning Dr. Qian's treatment plan?"
 Cheng Yunfeng sucked in a breath of cold air, and looked at Qin Lang in surprise.
 Qian Liang was also a little puzzled.
 Qin Lang gave Qian Liang the latest examination results, especially the ankle-brachial index.
 "This is?"
 While Qian Liang was still reacting, Qin Lang pointed his gesture at the patient's sick foot:
 "Due to the use of this technology alone and the inaccurate timing of application, the patient's diseased foot has complications, and the last wound drainage has not been effectively controlled, and the anaerobic environment in a closed state is more likely to cause anaerobic bacteria to multiply. , instead exacerbated the infection. Moreover, the necrotic tissue sloughed off, further causing blockage of the drainage tube..."
 Under Qin Lang's calm and confident words, Qian Liang and Cheng Yunfeng instinctively followed his fingertips and looked over.
 "Look, the granulation tissue here is pale and inactivated, obviously tissue necrosis..."
 "Because of the continuous bleeding here, there is less new growth of granulation tissue, which cannot wrap muscles, tendons, and periosteum to expose them, which is prone to necrosis..."
 "The most important thing is that the patient's ankle-brachial index is lower than 0.3, and the blood supply to the lower extremities is obviously poor. Therefore, I think the treatment method needs to be adjusted as soon as possible, and the patient needs to be treated with open debridement as soon as possible, thorough debridement and adequate drainage!"
 Under Qin Lang's well-founded analysis, Qian Liang also suddenly realized: "Qin Lang, you are right. Very correct!"
 If it wasn't for Qin Lang's meticulous observation, he might have neglected it. If the timing of treatment was delayed, it would likely lead to aggravation of the patient's infection, spread to the surrounding area, and even cause systemic infection and poisoning.
 Thinking of this, Qian Liang also broke out in a cold sweat.
 "When did the advanced doctor become so powerful?"
 And this was just Qin Lang, who he didn't pay attention to. Qian Liang looked at the eight-year doctoral student next to him. Could it be that he was really old.
 "Cheng Yunfeng, do you have anything to add?"
 Cheng Yunfeng couldn't say anything other than calling Qin Lang Liu Liu Liu. After holding back his rough face for a long time, he finally shook his head.
 Seeing Cheng Yunfeng's state, Qian Liang breathed a sigh of relief. Look, this is what a newcomer should look like.
 Some of the moments in Qin Lang's discussion were given to Qian Liang, only a superior doctor with decades of clinical experience can have the certainty and old-fashioned eyes.
 After thinking for a while, Qian Liang instructed: "Cheng Yunfeng, just follow the contents of Qin Lang's ward rounds, write down the case, and adjust the doctor's order! The format and content are just as accurate as Qin Lang's process just now!"
 Hearing Qian Liang's order, Cheng Yunfeng could only nod his head.
 Co-authored, he is going to saddle Qin Lang before and after, and write the medical records bitterly.
 Why is it completely different from what I thought before I came?
 Cheng Yunfeng glanced at Qin Lang's face, so handsome and eloquent, all of a sudden he became more and more aggrieved.
 Thinking again, what Qin Lang said just now, recalled:
 Uncle, how are you feeling today? This and that@#￥%%...\u0026amp;...
 Cheng Yunfeng's whole face is twisted together, (⊙_⊙)?
 [Congratulations to the host for completing the ward round task and rewarding 2 life simulation points. 】
 Next, Qian Liang took the two to continue the ward round.
 After completing the task and getting the simulation point, Qin Lang naturally began to calm down and gave the opportunity to Cheng Yunfeng.
 The next case is a routine burn case. I have to say that Cheng Yunfeng is still a bit skilled in becoming an eight-year doctoral student.
 In particular, I have secretly done my homework before. I have mastered the method of estimating the burn wound area, and I can describe and record the burn wound at different stages in a standard way.
 Of course, it is still at the entry-level level, and Qin Lang's independent analysis, or even the amazingness of the improved treatment plan, is still incomparable.
 Soon, the three of them completed today's ward rounds.
 Overall, Qian Liang was very satisfied, especially Qin Lang's performance.
 "Today you have done very well. Starting tomorrow, I will teach you the use of common dressings, and master the basic treatment skills of burn wounds at different stages, and strive to master the correct methods for different parts, depths, and types of burn wounds as soon as possible. deal with."
 "Okay, Doctor Qian."
 For being crushed by Qin Lang today, Cheng Yunfeng plans to regain his face in the next training.
 In school, he practiced debridement, dressing and dressing.
 Soon, the first day of training was completed.
 After Qin Lang returned to the dormitory specially arranged by the First Hospital of the City, he started another simulation.
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 (The new book is set sail, you can read the old book “Auto Chess in the Operating Room”, the amount is large and the amount is full) 
 Qin Lang has obtained the life simulator system. As long as he obtains simulation points, he can simulate the career of a doctor and obtain various rewards: 
 【At the age of 24, through your own efforts, you have obtained the qualification to go to the first city hospital for further training from the community hospital. 】 
 【You entered the Burn Plastic Surgery Department of the First Hospital of the City. Due to the accumulation of your previous life, you performed well in the first round of wards. You overcame the eight-year doctoral students in the same group, and obtained the tube bed one week later. qualifications. 】 
 【Six months later, you performed the first operation, and the superior doctor was shocked. 】 
 【At the age of twenty-five, you have obtained the establishment of the first city hospital…】 
 【At the age of twenty-seven, your paper was published in The Lancet…】 
 … 
 【At the age of sixty, you retired from the hospital and ended your career as a doctor】 
 【The simulation is over, the doctor’s career evaluation, the national famous doctor is 95. 】 
 【You can keep one of the following abilities】 
 【1. Sixty-year-old doctor skills】 
 【2. Sixty-year-old clinical experience】 
 【3. The wisdom of practicing medicine at the age of sixty】
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 [Funny, contrasting, relaxing, non-traditional entertainment. Readers who want to see something different in entertainment can click here to have a look ~] 
 As a company that was established only a few years ago, Kuaiguang Entertainment has gone from being on the verge of bankruptcy to becoming a leader in the entertainment industry. It has many top anchors, original singers, and movie kings and actresses. 
 The legendary artist in it: 
 If you don't want to accept a business order, don't accept it. 
 If you don't want to participate in a variety show, don't participate. 
 Social account? 
 Artists are in control, they love to break up and break up, and they love to get married. 
 It can be called a mudslide in the entertainment industry. 
 As their boss, Yang Ruoqian is naturally regarded as the king behind the scenes of domestic entertainment. 
 "Mr. Yang, can you share the secret of your success?" 
 Yang Ruoqian covered his forehead: 
 "Is there a possibility? I never thought they could become popular..." 
 "I just wanted to show off from the beginning."
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 [Lin Fan]: I can see the health bars of everything, control everything, hide in the dark and devour the remaining health. Killing everything will give me experience points and make me stronger! 
 [Night Watchman]: We patrol at night. If you encounter danger, call us! 
 [Federal Research Institute]: We study creatures in the dark world, copy their abilities, and graft them onto ordinary people. Everything is voluntary. 
 [Mechanical Sect]: We abandon our flesh and blood bodies and reshape our mechanical bodies. We believe in the God of Mechanics! 
 [Flesh and Blood Sect]: Flesh and blood are the foundation. Everyone can become the God of flesh and blood! 
 [The Cryer] Anyone who sees my photos and videos will die. I will teleport over to kill you regardless of the distance. 
 [Reincarnator]: Anyone killed by the reincarnation knife in my hand will never be reincarnated. 
 [Time Train]: My passengers come from the past, present, and future. The terminal is here. Please get off! 
 The dark world overlaps with the real world, and the eternal night is coming!
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 Zhao Dahai was reborn overnight. He remembered one thing clearly. Axiang, the village beauty in the next village, was a virtuous and virtuous man who managed his family well and raised children well. He had three men and two women. He was a senior provincial official, a scientific academician and a billionaire. Isn't the purpose of a man all his life is to have a good wife and children? Who wouldn’t want to marry such a woman? How could such a good wife let go! 
 Is the world situation changing? the Internet? estate? stock market? Take off and marry Bai Fumei? From now on, reach the pinnacle of life? The lard has blinded the mind and the melon seeds have gone bad, right? ! How capable can a bastard be after he is reborn? 
 Zhao Dahai doesn't go anywhere, he stays in the fishing village, goes fishing to earn money to build a house, only the phoenix tree at home can attract the Phoenix, and he only wants to cut Hu Axiang. 
 (There is no changing world trend, no arrogance, getting rich overnight, or marrying Bai Fumei and reaching the pinnacle of life. There is only the daily life of fishing and marrying a wife in the fishing village. If you are interested, you can see if it suits your taste. If so, just bookmark it. Support me, if you don’t like it, just slide away.)
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 Lu Yu from the Department of Mechanical Engineering didn't want to be a factory boy, so he decided to become a UP in the handmade area. 
 So he left a question on the website: If I build a space jump machine for my graduation project, will it affect my becoming a big anchor? 
 Under the question and answer, many netizens joked. 
 "It will affect, and the impact is huge. I'm afraid you will disappear from the world for decades, who will help you update then?" 
 "If there were a few more peanuts, I wouldn't be so drunk!" 
 Faced with many doubts, Lu Yu just asked netizens to look forward to his live broadcast of the "finished product". 
 In fact, he just wanted to make a living for his debut. Black and red are also red, so he should attract traffic first. 
 So Lu Yu shamelessly started the space jump machine he built during the live broadcast, and who knew that he really jumped directly from the blue star space to Mars in an instant... 
 [A different black technology article, please read it, readers]
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 Reborn in the slums of Hong Kong before the global financial turmoil caused by the US subprime mortgage crisis in 2008, the love letter was returned by an aunt, and the magnificent life of ordinary people began.
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 He is an important weapon of the country, but he is also righteous and evil. 
 He is able to defend the country and take all directions. 
 The evil energy goes to the west with a sword and blood flows into the river. 
 When such an enchanting figure returns to the city after being released from prison, he faces all kinds of beauties and flowers. 
 How will the noisy sparkle spark out? It will be unparalleled in the world!
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 What will happen when a modern three-nothing? Pan Kang is obsessed with the old and low-handed? What will happen?
 …
 It’s impossible to pass the days, it’s impossible in this life.
 Only by squandering money and finding new beauties every day can I fill the emptiness in my heart.
 New Era Shenhao-Shi Lang Quotations. …
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 As a gold medal lawyer with a 100% winning rate, Lin Mo traveled to a parallel world. 
 As soon as he arrived, he encountered a bullying case that everyone was helpless to deal with. 
 Bully: "Sue me for bullying? We have protection laws to protect us, we won't be guilty, brothers continue to play music and dance!" 
 Lin Mo: "Haha" 
 Result: The bully was sentenced to death! 
 School bully: "I'm honest, please let me go..." 
 - 
 Encountered an infuriating and helpless marriage fraud case. 
 Female Fist: "Girls, as long as I get divorced, I can get millions? What? I'm shameless? If you have a boss, sue me!" 
 Lin Mo: "Haha." 
 Result: Convicted of fraud! 
 "Ah? Why am I convicted of fraud! Lawyer! Where is my lawyer!" 
 "Don't scream, I was sent in too..." 
 - 
 Encountered a case of counter-killing the underworld, everyone thought that the young man who resisted would be sentenced to death. 
 Lin Mo: "He was acting in self-defense, not guilty" 
 Result: The young man was acting in self-defense and was released in court! 
 So Lin Mo's sudden appearance shocked the entire legal community. 
 People from all walks of life commented on Lin Mo like this: 
 The old judge blew his beard and glared, knocking on the table wildly: "Where did this lawyer Lin Mo come from! He is simply playing with the law!" 
 A chief justice said with a frown: "I dare not say it, I'm afraid Lin Mo will send me to jail..." 
 The opponent lawyer was furious: "Lin Mo is a lunatic! Is there any law!" 
 The senior barrister in the industry sighed: "Compared with Lin Mo, I am just like a rookie!" 
 The people: "A lunatic within the law, a genius lawyer, a good lawyer for the people!"
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 【The author has completed 3 excellent books with over a million words, so feel free to read. 】 
 My name is Oda Shingo, I just traveled to Tokyo, and I am a down-and-out anime worker. 
 Good news: I got the [Anime Demon King] system. 
 Bad news: The system taught me to draw small-volume doujinshi to make money, and always wanted me to fall in love! 
 However, I can't afford to offend the assistant introduced by the system? 
 The cold and gloomy painter girl who can hide at any time is from Konoha Village! 
 The boxing girl is an assistant, and she comes with a dojo as a dowry! 
 The beautiful and rich landlady kept telling me that the legend of the snow woman is fake! 
 But the next second, she touched my fingertips, and I was frozen into an ice cube... 
 【Reading Tokyo articles is to twist into maggots. Stubborn! 】
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 Lin Fan travels to the parallel game world and binds the favorability value system—— 
 Ding, host and beauty hold hands, reward: one hundred thousand dollars! 
 Ding, the host hugs the beautiful woman’s waist, reward: $200,000! 
 Ding, the host kisses the beauty, reward: 500,000 US dollars! 
 Ding, the host and the beauty are in love…! 
 Picking up girls and picking up girls have become Lin Fan’s daily life, as long as the more beauties you have, 
 The more money you have, the richest man in the world, perhaps only overnight! 
 In addition to money, you can also earn points for knocking down beautiful women and turn on goodwill points 
 The mall has all kinds of black technologies, what you want, what you have! 
 (This story and characters are purely fictitious. Any similarity is purely coincidental and should not be imitated.)
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 Hollywood has summed up a lot of formulas... What movie will be successful? 
 But there are always big box office hits that fit the formula, 
 Ronald Lee travels back to Hollywood in the 1980s, 
 Can he discover the secret to the movie's success? 
 Because he can dream about movie clips he saw in his previous life... 
 He is good at making high-box-office movies, and he is also good at getting actors to win awards. 
 Brought Ronald many friends, enemies, and confidantes... 
 Please let the author take you back to the 80s with breakdance, afro, and high shoulder pads 
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 Ye Xiao traveled to the alien blue planet, where gods revived and demons raged. 
 Humans awakened various professions to fight against gods and demons. 
 Sword cultivators, elementalists, spiritualists, warriors, immortal cultivators, onmyoji... 
 Powerful professionals split mountains and destroyed the world. 
 Ye Xiao awakened a useless profession, lookout, destined to watch the lighthouse at sea for a lifetime. 
 Bind to the god-level pupil system, turn into a pupil master, sign in and fuse powerful pupils. 
 "Fuse copy eyes! I can learn other people's skills at a glance!" 
 "Fuse martial arts sky eyes! At the end of martial arts, I am the only one! The sky eye illuminates the past and the present!" 
 "Fuse fantasy magic pupil! Materialize the product of the fantasy world!" 
 "Fuse invincible double pupils! Double pupils open the sky!" 
 "Fuse the purple fairy demon pupil! Open your eyes and the sun and the moon are upside down, close your eyes and the gods and demons fall!" 
 "Fuse the eye of time! One glance at the past! One glance at the future!" 
 Ye Xiao has multiple invincible pupils, one glance to open the world, and one-upmanship for eternity. 
 There are three thousand gods in the sky, and they all bow their heads when they see me! 
 Demons are causing chaos, and gods are rampant, what should we do! 
 I open my eyes, and all the gods and demons in the sky will perish! 
 This book is also known as "Why do you kneel down when I just look at you?" 
 "I am an invincible pupil magician!" 
 "You don't recognize your relatives when you appear, and when I open my eyes, your life and death are unpredictable" 
 "A pair of eyes, suppressing all the worlds" 
 "Oh my god! The gods were killed by his eyes!" 
 "Are you strong? Come and look into my eyes and say it again"
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Doctor’s Life Simulator

Chapter 3 Textbook Level Rounds

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Doctor’s Life Simulator

Chapter 3 Textbook Level Rounds

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