Doctor's Life Simulator

Chapter 141 Simulation, "Qin Fa" is born! (Two in one, please subscribe)

After Qin Lang and Director Tian made an appointment, they entered the negotiation room again.

After all, the client spent 20 yuan to buy his plan, so the service must be in place, meticulous, and nuanced.

After surrounding Sister Sun for a while, he explained the whole technique thoroughly.

Sister Sun put on her clothes reluctantly, and picked up the design that Qin Lang handed her.

Obviously, the three of them were all conquered by Qin Lang, and each of them signed the contract without hesitation. In order to be able to operate as soon as possible, they all paid the deposit and design fee directly.

According to the previous agreement, Qin Lang will get [-]% of the operation fee, and Qin Lang will get all the design fee.

That is to say, in just one night, Qin Lang earned a staggering 60 yuan from three wealthy sisters by virtue of his sharp tongue, solid professional basic skills, and first-hand artist's aesthetic design draft!

"This medical beauty industry is really picking up money with sacks."

Moreover, it is predictable that as Qin Lang's reputation continues to grow, the more rich women he handles, the more beautiful the rich women around him will only grow.

Through these pillow winds, I believe that it will also greatly improve Qin Lang's contacts in Hecheng.

After the three rich ladies swiped their cards contentedly and left, Tang You pulled Qin Lang to the negotiation room, pushed Qin Lang in with one hand, and locked the door gently with the other behind his back.

"Doctor Qin, my raging behavior has changed a bit in the past few days. Do you want me to observe and observe?"

Tang You can become the head nurse of Shuguang Plastic Surgery, of course, because he has his unique charm and attractive appearance.

Put one hand on the collar like this, and gently put the other hand on Qin Lang's hand.

Slowly, slowly approaching.

Between sniffs, Qin Lang could even smell the thoughtful upbringing of the head nurse. Obviously, she had already bathed carefully before the medical examination.

Qin Lang lowered his head slightly, watching the head nurse, who was so quick to cover her ears, that the open nurse's coat revealed a very intimate and unobstructed surgical site, and raised her arms professionally.

Moreover, the underarm hair was shaved very finely so that Qin Lang could observe the underarm wound left by the original operation.

Since the nurse's pink gown is directly connected to the knee, the Qin corridor can be seen at a glance. Due to the angle, the scenery below can only be seen through the gap between the characters "in".

Qin Lang's eyesight was astonishing, and the head nurse's light-colored underpants revealed some unusual wet stains.

However, it was so obvious that Qin Lang didn't pay much attention to it, but gave Tang You another physical examination with a professional eye.

What Qin Lang didn't expect was that Tang You's feeling was right. Although it was extremely mild, her symptoms really got worse.

Qin Lang thought this was right, head nurse Tang was a simple patient, and she was a little anxious and wanted to be treated.

Qin Lang felt completely relaxed. If he hadn't confirmed the symptoms, he would have thought that head nurse Tang's physical examination was just an excuse.

"It's safe, it's safe."

Qin Lang breathed a sigh of relief, and his movements became smoother and calmer:

"Master Tang, it seems that I will slightly adjust your operation plan in the future. Indeed, it is best to do it this Saturday."

Tang You trusted Qin Lang's carefulness and professionalism.

"Okay, I've seen it all for you, so I'm relieved."

Head nurse Tang put on her pink coat gracefully. When she turned around, she gently stuck two fingers into the pink coat, inside the gap, hooked her underwear, pulled it, and relieved it. Gooey feeling.

"Whoo~"

Tang You breathed a sigh of relief, and then opened the door of the negotiation room.

"Doctor Qin, I will ask the property to transfer your design fee for today first, and as for the subsequent operation share, it will be settled after the completion."

"Okay, thank you Head Nurse Tang!"

Qin Lang received a text message from the Industrial and Commercial Bank of China on the way back to the First Hospital of the City:

“【工商银行】禾城工商银行：你9527账户23日22：22网银转账收入600000.00，可用余额4560302.67。”

Looking at the ever-increasing net worth, Qin Lang is still very happy. Although he is not short of money, what he earns is different from what his sister, mother, and aunt gave.

On the second day, early in the morning, Qin Lang came to the military hospital.

Director Tian was already waiting for him in the office.

Seeing Qin Lang coming in, Tian Hua came up to greet him very warmly:
"Qin Lang, I'm going to trouble you this time. This is the patient's situation I prepared. You can take a look at it first. Then, this morning, the experts from the imperial capital will arrive. We'd better come up with a plan before they arrive. There is also a countermeasure at the time of the meeting."

[Ding, new task: Through simulation, through the treatment of this patient, the "Qin method" is proposed for the first time, which systematically and comprehensively treats the patient's hand glove injury.Task reward: 1.1 points of life simulation, 2. Innate skill: Peach Blossom, better relationship with the opposite sex]

Qin Lang looked at this task and the rewards for a while. He just wanted to start a career now. With his character, he would not take the initiative, but he really wanted to have a relationship.

In terms of his growth experience over the years, he basically commits the common faults of all handsome and rich second generations: not taking the initiative, not refusing, and not being responsible.

"Oh, I really won't say no."

Qin Lang sighed again, and then took over the task:
"Don't panic, don't panic, as long as I focus on my career, I will be surrounded by scientific research women and clinical partners. As long as I don't take the initiative, nothing will happen."

Qin Lang began to read the patient's introduction seriously:

"Patient, male, 23 years old, because of a car accident while playing a motorcycle, the right forearm caused pain and deformity, and the distal end was numb and pale."

"Examination: right forearm deformity, bone exposure, obvious bone friction, limited movement, ulnar and radial artery pulse disappeared, fingertips were pale, and sensation disappeared. Multiple fractures of ulna and radius, defect of ulnar and radial artery, median nerve and ulnar artery neurological deficit"

Looking at the patient's condition, Qin Lang was also terrified. This is simply a destructive injury. Because it is on a different plane, it brings great difficulties to functional reconstruction.

When Qin Lang frowned, Tian Hua on the side also gave a wry smile:
"These young people nowadays just don't know how to control themselves, so they must die."

Tian Hua obviously has a preliminary treatment plan, but it is relatively conservative and conventional. The postoperative effect does not satisfy the patient and the patient's family. The reason for coming to the consultation.

"Qin Lang, don't put too much pressure on you, just try your best. I came to you just to try again. I hope we can show our strength in front of the experts in the imperial capital and don't be completely underestimated. If If there is really no better solution, then we accept it, and it is also an opportunity to learn from the experts of the imperial capital."

Tian Hua is more open-minded about this matter. It is best to have a plan. If not, then he can also recognize the gap between himself and the experts in Shanghai, and just learn with an open mind.

Qin Lang now has a general idea, but the specific details still need to be deliberated, fracture fixation and reduction, nerve anastomosis, tendon suture, and blood vessel anastomosis can basically be solved.

The most critical thing is how to repair the skin flap. According to his current framework, the skin flaps are cut from multiple donor sites, which requires precise selection, and then pruning and composite combination to form a brand new multiple donor area. leaf tissue flap.

Although he is now a perfect free skin flap transplantation, it still takes some time to deduce this comprehensive system repair plan.

"Director Tian, ​​like this, please give me some time. I have roughly an idea now, but I still need to deduce it carefully. Can you find some manuscript paper for me."

Tian Hua was very pleasantly surprised when he heard that Qin Lang had some ideas:

"Of course, Qin Lang, it just so happens that the experts from the imperial capital are about to arrive at the high-speed rail south station. In this case, I will go to the high-speed rail station first and pick up the experts from the imperial capital in person, and then I will discuss it with you when I come back."

"It's best if you can come up with it. If you can't fully deduce it, we can bring it up during the consultation. At that time, I will work with the experts from the imperial capital to advise you. Perhaps, we can come up with a perfect plan."

"Okay, Director Tian."

Qin Lang took the pen and paper handed over by Tian Hua, and began to deduce.

Tian Hua patted Qin Lang on the shoulder expectantly and appreciatively, and left the office to meet Xie Yuhua's team.

Holding a pen and paper, Qin Lang recalled all kinds of skin flaps routinely used on hand injuries, selected representative tissue flaps, and began to list them on paper:

Second toe, nail flap (toe flank flap), dorsum of foot flap, dorsum of foot three-leaf flap, anterior superior malleolus flap, etc.

Holding a pen and paper, Qin Lang vowed, "I, Qin, have always relied on myself and kept my feet on the ground."

Three minutes later, Qin Lang put down the pen and paper:
"Consume 1 life simulation point."

[The host accepted the invitation of Director Tian Hua, and came to the military hospital to conduct a consultation on the right arm trauma plan for the son of Director Zhang of the Housing and Urban-Rural Development Bureau.Before that, you have basically figured out the core framework and treatment ideas of "Qin Fa".However, due to the tight schedule, you still haven’t come up with a specific donor site flap, a composite plan, and the final multi-leaf tissue flap in a short period of time. 】

[Director Tian Hua picked up Xie Yuhua, Director of the Burn Department from Jishuitan Hospital in the Imperial Capital, and your acquaintance, Deputy Director Shen Jiachen, who was entrusted by Director Xie. 】

[While you were conceiving the plan, Wei Guoqiang called you.I want you to go back and discuss something related to Director Wei's upcoming TV promotion.Since Director Wei called rather urgently, you just called Tian Hua and went back to the Municipal First Hospital first.At the same time, the conceptual drawings of the plan were left on Tian Hua's office desk. 】

【Director Tian Hua took Director Xie Yuhua and Deputy Director Shen Jiayu to his office and sat for a while, exchanged simple greetings, took the patient's information, and went to the conference room together.During the nap, Director Xie Yuhua accidentally glanced at your conceptual drawing, but because it was too sloppy, he didn't pay attention to it. 】

[During the consultation, since your plan is still in the draft stage, you did not communicate with Director Tian Hua.Director Tian Hua put forward his original routine plan.Director Shen Jiaming also proposed a new plan, but it still couldn't solve the patient's demands.Director Xie Yuhua also proposed a plan, but he vetoed it. In the process of thinking, your blueprint flashed past by accident. 】

【Director Xie Yuhua, relying on this profound accumulation and your subconscious reminder of the concept map, he had a flash of inspiration and thought of multiple donor sites and the form of combined flaps to solve this flap repair.The three directors were all enlightened and felt that this was the correct way of thinking.It was the beginning, and they deduced together, but during the deduction process, they raised two fatal problems of this plan. 】

[That is the success or failure of skin flap transplantation. The most critical thing is the blood supply. A single skin flap transplantation often causes vascular crisis, including arterial crisis, venous crisis, and combined arteriovenous crisis.However, if a composite skin flap is used to form a multi-leaf tissue flap, one is how to complete this difficult suture, and the other is to solve the problem of blood supply. 】

[According to Director Shen Jiachen and Director Xie Yuhua's calculations, even if a suitable skin donor area is found and a multi-leaf skin flap plan is designed, if it cannot be solved, the blood supply problem after multi-leaf skin flap transplantation, local tissue deficiency Blood, hypoxia, and blood circulation disorders, especially microcirculation disorders, lead to local ischemia, congestion, and thrombus formation of the flap, and finally, there is a high probability of flap transplantation failure.And this kind of composite skin flap, a multi-leaf skin flap cut from multiple donor sites, can only be successful once, otherwise it will fall into the dilemma of having no skin flaps. 】

[Because these two problems could not be solved, the directors did not have much confidence in suturing, so they chose to give up this plan in the end. 】

[By the time you come out of Director Wei's office, call Tian Hua and put forward your ideas, it's too late.This idea has been denied, and you can't come up with a solution in a short time.In the end, the operation was carried out with the plan of knowing Director Yuhua. 】

[After that, the patient's repair was not satisfactory, and a second-stage operation was performed, but it still failed to meet the expectations of the patient and his family.And you also lost the best chance to gain Xie Yuhua's favor and appreciation.This will have an impact on your future election to the Standing Committee of the Burn Surgery Branch of the Huaguo Medical Association. 】

[However, you have not given up on the exploration of "Qin Fa".You led your special research group on skin flap repair for compound injuries of the hand, and continued to conduct research on various topics.And you, focus on "Qin Fa". 】

[Two months later, the Municipal First Academy finally introduced several top talents, and your research group has only become one of the forces.Because you didn't get the direct appreciation and recognition from Xie Yuhua.Even with the matchmaking between Deputy Director Shen Jiachen and Tang Yue, your career advancement will still tend to be mediocre. 】

【You don't care, you devote yourself to the research of "Qin Fa".For this reason, you did not pass the postgraduate assessment of Professor Shen Xi in the end. 】

【At the age of 30, you finally found an improvement plan in an academic exchange, which is to combine hyperbaric oxygen therapy and intervene in hyperbaric oxygen therapy (HBOT) after flap transplantation】

[At the age of 32, you are in the middle of the experiment again, and you have tested the best selective calcium ion anticaking agent-flunarizine that can meet the "Qin Law".It can prevent the loss of calcium ions well.Play to prevent vasospasm, thereby solving the problem of vascular crisis. 】

[At the age of 33, your "Qin method" was finally proposed systematically, that is, for the repair of tendons and nerves, use photochemical tissue bonding technology, combined with amniotic membrane wrapping, semi-knot locking tendon suture, and nerve anastomosis.After that, it was a repair plan to form a multi-leaf flap through flunarizine + HBOT, as well as multiple donor sites and composite flaps. 】

(End of this chapter)