Doctor's Life Simulator

Chapter 178 Comparing with Dr. Qin, is the plan of the experts in Shanghai mediocre? (Subscription required)

Facing Director Yang's strong aura, the deputy director of the Municipal Second Hospital was the first to put forward their plan, with a cautious and humble tone:
"Director Yang, the plan we were going to adopt before is also the repair method used by many people in the past, that is, after thorough debridement, drilling holes in the skull, with granulation growing and then free skin grafting. However, the granulation growth cycle of this plan is too long , and the risk of infection is also relatively high."

The deputy director thought for a while and then proposed another plan:
"So, another option is to embed a dilator under the unburned scalp, then expand the skin, and then move it to cover the exposed bone wound after 1-2 months of expansion."

Hearing the deputy director's thoughts, Director Yang thought for a while before denying the plan:

"I looked at the size of the patient's wound. Using skin dilation is also very time-consuming, and because the dilator is relatively close to the wound, the infection rate of the dilator is also high, and there is even a risk of breaking out."

Hearing Director Yang's sharp evaluation, the deputy chief physician also gave a wry smile, and he was sluggish. Indeed, these two plans took too long, and the risk of infection during the period was too great.

Director Yang continued to look at the information, and asked with some doubts:

"Why don't you consider using the left upper limb forearm and upper arm flap to cover the wound, and then perform a second operation to cut the pedicle?"

Director Zhang on the side took Director Yang's words and explained:
"It's not that we haven't thought about the plan proposed by Director Yang before, but the patient is an old electrician who suffered severe burns 20 years ago. There are huge webbed scars on the left forearm and side chest, forearm and upper arm. All of them were scar tissue, and pedicled distal flap transplantation could not be performed."

Hearing Director Zhang's explanation, Director Yang's complexion finally changed a little. The patient's situation seemed much more complicated and difficult to deal with than he imagined.

However, Director Yang is a top doctor in the field of burns after all, so he quickly thought of two plans, but these two plans also have obvious advantages and disadvantages.

"Everyone, I have some ideas now, but I still need everyone to discuss it together."

Director Yang is still very strict in his actions:

"The first plan is to use microsurgical techniques to perform free skin flap transplantation after omentum transplantation. However, this plan requires patients to undergo laparotomy, which is very painful."

Hearing this plan, Director Zhang and the other two physicians from the Second City Hospital also brightened their eyes, and it was a direction they had never imagined.

The success rate and risk of infection of this plan are obviously much lower than their previous plan, but the disadvantages are also obvious, that is, laparotomy is required, and the use of microsurgical techniques has very high requirements for doctors. The harm to the patient is also greater.

Unless it is a last resort, this plan will definitely not be adopted.

Zhang Jindong respected Director Yang's strength very much, so he asked:

"Director Yang, what is the second plan you mentioned?"

Director Yang raised his head and looked at several doctors: "This plan itself is the one with the least disadvantages and the best recovery among the existing plans. However, the operation difficulty of this plan itself is the highest. I can't complete it perfectly by myself, and I need the cooperation of a young doctor with solid basic skills in surgery who is also young and energetic."

Director Yang also had to accept his old age, and sighed: "If I were ten years younger, with my current experience and vision, I would be confident. But now, I don't know if there is any doctor in the Second Municipal Hospital who can cooperate with me to complete the operation. .”

Director Yang introduced this plan and drew it directly on the whiteboard in the meeting room:

"The idea of ​​this plan is to adopt the method of skin tube transplantation, which will be more cumbersome in terms of operation and surgical form."

After a while, Director Yang designed the entire plan idea and the whole set of plans, and looked at the whiteboard, neat and beautiful design drafts and analysis diagrams.

Director Zhang and his team members are somewhat admirable, but being able to understand and understand does not mean that they dare to try, especially some of the fine operations, the method of skin tube transplantation, is extremely cumbersome. level and ability, and would not consider this direction at all.

It can only be said that Director Yang of Ruijin Hospital in Shanghai is a brave man with high skills!

Director Zhang looked at his two junior doctors, and they all shook their heads bitterly. Given their level, they were not sure at all.

"Director Yang, I'm really sorry. Although the concept of this plan is very good, but with the current surgical level of our team, it is difficult to cooperate with you to complete this operation."

Zhang Jindong was also very ashamed.

Director Yang was expecting this result. After all, this technique is in the burn department of Ruijin Hospital in Shanghai, and he can't guarantee that it will meet the experience level of a doctor with excellent physical strength and energy.

From such a comparison, it seems that only the omentum transplantation plan that requires laparotomy and combined with microsurgical techniques can be used.

When Director Yang fell into the final decision, Zhang Jindong's cell phone rang.

Seeing the displayed name, Director Zhang was startled, how could he have forgotten about Qin Lang.

Director Zhang's tone was a little excited, but he still remained calm, and looked at Director Yang: "Director Yang, maybe we have another candidate to try. He is a young doctor from the First City Hospital that I invited before you came. He is very accomplished in free skin flaps, especially his basic surgical skills, which are the most talented and aura I have ever seen."

When Director Zhang described it, the other two doctors also reacted:

"Director Zhang said, but the founder of the "Qin Law" that we watched earlier, Doctor Qin from the City First Hospital?"

Director Zhang nodded, and the two doctors also showed a hint of expectation on their faces. Indeed, Dr. Qin, who can perfectly complete the design and suture of multi-leaf tissue flaps, is beyond doubt.

Seeing the reactions of Director Zhang and several doctors, Director Yang was also a little surprised.

When did Hecheng have such a powerful surgeon, and he created a surgery named after his surname in such a big tone?
Qin Fa, Director Yang said he was ignorant, but he was a little interested, and hoped that it would be difficult to live up to his reputation.

Director Zhang asked Director Yang for instructions: "Then Director Yang, I will leave for a while and bring Doctor Qin here."

Director Yang nodded slightly. Anyway, the whole consultation is now at an impasse, so it's not too late to wait. Moreover, he also wants to know how good the young doctor is who can be so respected by these doctors.

It is also a happy thing for these old experts to discover some young elite doctors. Although they are old, there are always people who are young.

After a while, Director Zhang went to bring Qin Lang in.

"Director Zhang, I already have a rough plan for flap transplantation, but I still need to see the patient's condition. You can take me to the ward first."

"You already have a plan?"

Zhang Jindong was very surprised. He also wanted to say that they already had a plan and wanted to wait for Qin Lang to see if it could be implemented.

However, if Qin Lang also had his own plan, he would not be in a hurry to throw out Director Yang's plan. After all, after brainstorming, Qin Lang's plan might be better than Director Yang's.

"Doctor Qin, this way please."

Zhang Jindong took Qin Lang to the ward.

Dean Wen and his family, of course, also saw Director Zhang leading Qin Lang, and their faces were a little puzzled. It wasn't Director Yang who was presiding over the plan consultation, so why did Director Zhang bring a small doctor over.

Dean Wen realized in an instant that Wei Guoqiang should have sent this person perfunctorily, and he was too young to be of any use.Zhang Jindong still has the leisure to bring him here to waste time. I don't know, is Mr. Wu also watching.

Dean Wen smiled embarrassedly at Mr. Wu and her younger brother, then walked over quickly.

"Director Zhang, you didn't cooperate with Director Yang in the conference room, why did you come out by yourself, and what's the situation. I didn't explain to you, don't waste the time of the patient and Director Yang?"

Dean Wen didn't quite understand, and his tone was not very good, and he didn't pay attention to Qin Lang at all, and didn't even say hello.

Director Zhang was neither humble nor overbearing, and introduced Qin Lang to Dean Wen:
"This is what I told you, Dr. Qin, an expert from the First Hospital of the city. Although Director Yang has proposed two proposals in the conference room, they both have some flaws. However, Dr. Qin just came over and has some thoughts and ideas. , so I took him to see the patient's condition again. After a while, I will meet with Director Yang to brainstorm and determine the final plan."

"Now, please step aside and don't affect our diagnosis of the patient's condition."

Director Zhang was also a little annoyed by Dean Wen's contempt and rudeness towards Qin Lang. Although he is the deputy dean, he also eats by judging his strength, and he is not used to it.

What's more, the burn department of the Second City Hospital was originally very low-level. Like some tasteless departments, it was added entirely for the comprehensive evaluation of the hospital.

He also wanted to make a big splash, but he couldn't get the support of the leaders and couldn't attract capable talents, so he could barely maintain it.

Really, I'm not happy about what I'm doing, it just so happens that my brother's National Wound Treatment Center is in full swing and there is a shortage of talents, so I went to the city's first hospital by myself.

Seeing Zhang Jindong being so tough, Dean Wen's face turned livid, so he shook his hands and stepped out of the way.

After Zhang Jindong took Qin Lang to carefully observe the patient's wound and condition, Qin Lang already knew it well.

"Director Zhang, it's ok. I already have a plan. Let's make a plan now. The operation can be carried out in a while."

Qin Lang's tone was firm, and he said very calmly, while walking, he briefly expressed his thoughts.

After hearing this, Zhang Jindong nodded again and again, greatly surprised: "Compared to Dr. Qin's plan, it seems that the experts at Ruijin Hospital in Shanghai are just average."

(End of this chapter)