Doctor's Life Simulator

Chapter 128 Simulate, add wisdom, seek solutions! (seeking subscription)

Seeing Lu Min's reaction, Director Zhou and Principal Kong shuddered.

Director Zhou immediately asked: "Doctor Lu, what's the matter, do you have a new idea?"

Lu Min turned his head helplessly, then pointed his finger at Chen Mu's arm, and said bitterly: "Chen Mu's physique is a rare keloid physique."

Director Zhou mainly studies abdominal external hernias and gallbladder system diseases. He has not done too much research on this kind of superficial scars, so he asked a little puzzled:
"Scarring is not a normal result of wound healing. In the process of wound healing, scar formation is caused by hemostasis, inflammation, granulation tissue formation and remodeling. Will this affect the recovery of Chen Mu's hand function?"

Lu Min shook his head: "Director Zhou, this is the last time I participated in the research of Director Shen of the Department of Burns and Plastic Surgery. I only learned about it. Ordinary scars are different from pathological scars."

"For ordinary scars, the wound does not rise above the skin surface at the beginning, and there is no obvious depression. After a period of time, the appearance will return to normal. This is an ordinary scar."

"The scar is a lesion above the skin surface at the beginning, but does not exceed the scope of tissue damage. After a period of time, it gradually becomes flat and the symptoms subside. It is a hypertrophic scar."

"However, there is another kind of scar that is more terrifying. After healing, the wound scar is higher than the skin surface and exceeds the scope of tissue damage. It continues to grow and cannot subside on its own. It may even recur after simple surgery. The scope is larger than the original lesion. Expansion in the dermis and adjacent subcutaneous tissue is the symptom of Chen Mu, a keloid."

"Keloid is the scar hyperplasia secondary to skin injury. Due to the excessive deposition of collagen fibers, it will exceed the edge of the lesion and grow infiltratingly. It has a continuous increase in hyperplasia, and repeated ulceration and infection may occur. Severe Pain, itching and discomfort. For patients with this constitution, the inflammation of the tendon after surgery will be far more than that of ordinary patients, and it is very easy to adhere. Therefore, basically according to the existing suturing method, it is impossible to restore her normal function."

Lu Min's medical skills are really limited, so he reported to Director Zhou and Principal Kong all the time.

After hearing this, the two of them also froze on the spot.

Chen Mu's face was also pale. In fact, he was told by a well-known director in Shanghai before that, in theory, doctors would not recommend surgery for his keloid physique.

The recurrence rate after surgery alone is extremely high, and it needs to be combined with radiotherapy or drug injection therapy. After surgery, it is also necessary to take measures to promote incision healing and prevent scar hyperplasia.

Not to mention, tendon repair surgery that is more demanding for inflammation control.

"Doctor Zhou, is there any other plan, I don't want to end my music career. Please."

Chen Mu raised his head, begging almost desperately.

Feeling Chen Mu's gaze, Lu Min felt very uncomfortable.

"Director Zhou, in the field of keloids, Director Shen Jiachen of the Department of Burns and Plastic Surgery is a leader, or invite him to come over for a consultation. Keloids are clinically manifested, hereditary, gene regulation, cytokine-level telomerase, etc. They all have similarities with tumors, is it possible for some drugs and methods for treating tumors to be used in the control of keloids?"

In fact, Lu Min is really a very professional, high-quality, high-demanding elite doctor with strong comprehensive ability and broad-minded thinking. In the department, he has always been the idol of his juniors and even his peers.

He was also convinced that he lost in front of Qin Lang.

Hearing Lu Min's analysis, Director Zhou also nodded: "If that's the case, then contact Director Shen Jiachen and Professor Shen Xi from the Cancer Prevention and Control Center for a consultation together."

"Principal Kong, Ms. Chen Mu, and everyone later. We are the First Hospital of Zijingang, with the top medical level and expert think tank in Zhejiang Province. We will definitely do our best to provide the best solution!"

Director Zhou calmly reassured the patient and Principal Kong and others again.

Just waved his hand and took Lu Min to a consultation.

At this time, Director Han called again, contacted Director Zhou, and after a while of silence, he said that he would spare some time to participate in this consultation remotely.

At this time, several people heard a young voice communicating with the nurse in the ward, and quickly walked towards the ward.

Lu Min looked over, with a hint of surprise on his face: "Doctor Qin!"

I don't know why, seeing Qin Lang, Lu Min felt a sense of confidant in his heart.

"Dr. Lu, it was Director Han who gave me the call, asking me to come over and assist you in a consultation for this patient."

Seeing such a young doctor, Principal Kong and the others were a little puzzled. What is the use of such a young doctor?

Director Zhou was in a hurry to contact Shen Jiachen and Shen Xi, but he didn't pay too much attention to Qin Lang. He just nodded politely and signaled Qin Lang to follow them.

better than nothing!

Tang Yue obediently followed behind Qin Lang, ready to attend and participate together.

Director Zhou took everyone to the conference room to arrange various matters.

While walking, Lu Min told Qin Lang about the situation of some patients, and then said with some regret:

"Doctor Qin, if I didn't have the rare constitution of keloids, I was going to use the interlocking suture method you demonstrated yesterday to perform surgery on the patient, but it seems that it is not possible now. Do you have anything that can guarantee the suture Intensity, but also a surgical plan that can relieve inflammation?"

Qin Lang frowned. Although his tendon suture level was perfect, the inflammation caused by the keloid constitution and the subsequent adhesion could not be resolved with suture techniques.

[Ding, new task, through single-case simulation, through the improvement of clinical wisdom, a perfect solution is proposed that can not only preserve the strength of tendon sutures, but also solve the inflammatory reaction caused by scar constitution.Task reward: 1.1 life simulation points, 2. Chen Mu's guitar level]

Qin Lang was slightly taken aback. This simulator can also reward musical talents, but thinking about the aesthetics of his own artist before, he is relieved.

It's just that the artist's aesthetics can be used to design various surgical plans. What's the use of this guitar level?

Ordinary boys have such a level of guitar that they can use it to please girls, but what can be easily achieved by just standing there, why is it so complicated?

However, Qin Lang has no time to think about other things now.

Just start the simulation directly:

[Consume 1 life simulation point to start single case simulation]

[Under the suggestion and urging of Deputy Director Shen Jiachen, Tang Yue used the excuse of revising the thesis to treat you with impure motives.You participated in the Strawberry Music Festival together, and then met Chen Mu in a stage accident, and her hand was injured.You were entrusted by Director Han Hu to participate in the surgical consultation together. 】

[Because of the patient's keloid physique, after the tendon is sutured, there will be an inflammatory reaction far beyond ordinary people, leading to terrible adhesions.Therefore, at Lu Min's suggestion, we invited Deputy Director Shen Jiachen, who has done research on keloids, and your supervisor, Professor Shen Xi, for a consultation. 】

(End of this chapter)