Doctor's Life Simulator

Chapter 163 Tutoring Dr. Qiao and Dr. Tang at Home

"Doctor Qin, let's start now. The first operation starts with the free flap repair of the superficial palmar branch of the radial artery."

After Tang Yue cleaned up, she took out her small tablet and started discussing with Qin Lang. She was still very serious and professional in her work.

Qin Lang also sat aside, and began to discuss with Tang Yue in detail the idea of ​​the whole thesis and the subsequent developments:

"We can be divided into the control group and the research group according to the different surgical treatment methods. The control group is treated with local pedicled transfer skin flap repair, and the research group is treated with multi-type free skin flap repair of the superficial branch of the palmar vein. The effect of defect repair, operation time, intraoperative blood loss, wound healing time, postoperative complication rate and patient satisfaction were compared in the group.

Tang Yue also admired Qin Lang's clear thinking and perfect plan:
"Okay, Dr. Qin, then we need to clarify the inclusion criteria and exclusion criteria for patients, as well as the candidates for the surgery."

Qin Lang thought for a while, then made a decision:

"In this way, the inclusion criteria can be hospitalization within 12 hours after sudden accidental injury, patients and their families informed and consented to this study, excluding patients with combined burns, patients with coagulation dysfunction, and patients with comminuted knuckle fractures."

Now that several projects have been carried out, Qin Lang already has great authority in the treatment center. Basically, as long as the deployment of personnel is proposed, Director Wei will fully support:

"As for the candidate for the director of this operation, let Deputy Director Huang Kaihang cooperate with our operation. I will arrange the admission and treatment of patients and other matters for you. You will concentrate on the statistics of data and the evaluation of the effect of defect repair. Mainly the aesthetics of the defect repair, the survival of the skin flap, and the two-point discrimination evaluation of the finger pulp.”

Hearing Qin Lang's professional and meticulous arrangements, Tang Yue was also a little surprised, it's really amazing.

Afterwards, the two also made systematic arrangements for the development of several other techniques. They also brought You Daren and Wu Youtu, two attending physicians, over to study the subject.

Before they knew it, the two of them worked until the evening.

At this time, Qiao Yiyi also finished the day's experiment and returned home.

As soon as she opened the door, Qiao Yiyi saw two people chatting enthusiastically at the dining table.

"Yiyi, what's your progress today?"

Qin Lang saw that Qiao Yiyi, as the leader of the research group, although he would delegate power, he still needs to pay attention to the progress that should be made, and make timely adjustments if there is a problem.

Hearing Qin Lang's question, Qiao Yiyi thought for a while, and then went along with the flow: "Brother Qin, our experiment went very well today, but there are still a few minor problems that I need to report to you."

Qiao Yiyi saw that Tang Yue had already occupied the magpie's nest, so she came to the coffee table in the living room, and took out her experimental materials for today:
"Brother Qin, come here and help me take a look."

Qin Lang would also attach great importance to this subject, so he walked over and left Tang Yue behind.

Tang Yue frowned slightly, but she didn't express anything. She quietly began to absorb and digest Qin Lang's previous arrangements.

After Qiao Yiyi called Qin Lang over, she started her output:

"Brother Qin, it looks like it. When we tested the content of hydroxyproline today, we encountered some doubts. Why can the change of mechanical properties be reflected by the content of hydroxyproline? What is the principle?"

Before, Qiao Yiyi was just doing testing following Qin Lang's design ideas with a half-knowledge. Today, Huang Ping, a team member who is eager to learn, asked her some questions about what she didn't understand. Then, Qiao Yiyi found that she didn't seem to understand the reason.

And when Qiao Yiyi raised this question, Tang Yue was also attracted, as if it was indeed a new knowledge point.

Even pricked up her ears and listened, she was curious how Qin Lang would explain it.

Regarding this, Qin Lang did not explain in detail before, so he patiently explained it to Qiao Yiyi:
"Collagen fibers in tendons are composed of collagen molecules and collagen. Hydroxyproline is a specific amino acid contained in collagen. Therefore, the detection of hydroxyproline content can indirectly reflect the protein content in collagen fibers and the organization. Structural changes."

In order to make Qiao Yiyi understand better, Qin Lang made an in-depth analysis:
"During the freezing and thawing process, ice crystal damage and solute damage will cause the structural destruction of the peptide bonds and other molecular bonds between the collagen peptide chains that make up the tendon, and more hydroxyproline will be released into free amino acid molecules, which will also change The structure and function of protein molecules and collagen fibers lead to a decrease in hydroxyproline content."

"According to the latest journal report in the United States, higher hydroxyproline content means higher maximum load and elongation, which is also consistent with the detection results of hydroxyproline content in our experiment."

After listening to Qin Lang's explanation, Qiao Yiyi suddenly realized, her eyes were full of admiration:

"Brother Qin, you are so amazing."

Tang Yue on the side was also shocked. This doctor Qin is so knowledgeable, no wonder he can become a graduate student of Professor Shen Xi.

"Mr. Shen still has vision. I must calm down and study with Qin Lang in the city's No. [-] hospital."

Tang Yue also has a very big ideal in her heart. She wants to become a scientific research expert and make her own contribution to the medical cause of Huaguo.

However, Qin Lang is what she needs to study hard at this stage, so she is not to be outdone!

"Dr. Qin, I also have a question. The multi-type superficial palmar branch of the radial artery free flap repair requires a high level of operation of the surgeon. There is still a big gap between Deputy Director Huang Kaihang and your level. .Then, does this surgical procedure fail to take into account the influence of the operator's level of operation on the incidence of postoperative complications?"

Faced with Tang Yue's question, Qin Lang also frowned. Indeed, different surgical methods, in the hands of doctors of different levels, have completely different results.

He just thinks about the problem at his own level.

Some operations are 65% difficult, but ordinary doctors can achieve [-]% effect, and top doctors can achieve [-]% effect, the difference is not big.

However, some operations are 65% difficult. No matter how hard ordinary doctors work, they can only achieve [-] points of effect, but top doctors can achieve [-]% of the effect, which is a world of difference.

This technique improved by Qin Lang is like this. He can achieve 65 points with it, but Deputy Director Huang Kaihang may only be able to achieve [-] points, which does not reflect the superiority of this technique.

Qin Lang thought about it and added some auxiliary steps to reduce the difficulty of the technique. After all, not everyone can be as good as him:

"Before Director Huang's operation, add color Doppler ultrasound to clarify the condition of affected finger vessels and perforating branches, strengthen the observation of damage and variation of superficial palmar vessels, and reduce preoperative misjudgment. Intraoperative microscope-assisted suture Attention should be paid to avoid damage to the recurrent branch of the median nerve and the thenar branch”

After listening to Qin Lang's plan, Tang Yue nodded slightly: "Doctor Qin, I still have a question about the retrograde blood supply mode, can you come over and have a look together?"

Of course, Qin Lang never refused to ask questions about work. After all, he was the leader of the research group, so he walked from the sofa in the living room to the dining room and sat next to Tang Yue.

Qiao Yiyi pursed her lips slightly, that is, she first digested the instructions Qin Lang gave her just now, and after understanding it thoroughly, she went to find new difficulties and doubts again.

After all, with Tang Yue's efforts, she can't be inferior to others.

After a while, after Qin Lang finished tutoring Tang Yue, Qiao Yiyi also called out: "Brother Qin, I have another question, and I need you to answer it."

The three of them, under Qiao Yiyi and Tang Yue's fighting spirit, and Qin Lang's left and right sides, continued to advance the progress of the project.

Time passed by minute by minute.

Under the stamina potion, Qin Lang's physique is not covered. Even if he deals with two people, he is very relaxed. Moreover, he is not afraid of two people asking, as long as he dares to ask, he can solve it satisfactorily, and he can also output extra.

"Do you have anything else to ask?"

Qin Lang is very satisfied with these two little assistants, whether it is curiosity or work ability.

Qiao Yiyi's eyes were already a little sleepy: "Brother Qin, no, no, I need to digest."

Tang Yue is also a little tired, and her head is a little overloaded. It is because Qin Lang has instilled too much knowledge today:

"Doctor Qin, I can't do it either."

(End of this chapter)