Doctor's Life Simulator

Chapter 179 Genius, Director Yang's Exclamation (Subscribe)

The two of them rushed to the meeting room soon.

Seeing Director Zhang walk in with Qin Lang, several people have different expressions, but they all have the same impression, that is, this little doctor is so young!
When the deputy director and the attending physician saw Qin Lang himself, they got up with some admiration, and there was some joy in seeing an idol in their tone:

"Hello, Teacher Qin, I finally saw your true self today. I didn't expect you to be so young."

Regarding the reactions of the two doctors, Qin Lang was a little confused. When did he become Teacher Qin?
Director Zhang on the side blushed a little, and glared at the two subordinates. How could such stealthy things be said casually!

Director Zhang explained: "Doctor Qin, it's like this. Before, you didn't create a new "Qin method" for the treatment of hand avulsion injuries. I asked for your operation video from Director Wei. Use it as a textbook video in the department for them to observe and study, so everyone has been in love with you for a long time."

"Yes, yes, Teacher Qin, your free skin flap transplantation technique is really amazing, especially the use of various suture methods, it is simply superb. Oh, yes, yes, yes, it is these hands, I would even turn them into ashes know."

These two doctors praised Qin Lang, one was out of sincere admiration, and the other was because they were suppressed by Director Yang's aura before, and Qin Lang was also a doctor in Hecheng, and he also had his hopes on Qin Lang for the doctor in Hecheng. To prove and uplift the meaning.

In front of the experts in Shanghai, our local doctors in Hecheng are also very good.

Of course, Director Yang is well aware of the psychology of the doctors in the conference room, so he is also very curious. This doctor Qin is really as powerful as they boasted.

Hope, don't let yourself down for a while.

After all, Director Yang has traveled far and wide and talked about too many excellent doctors.

Director Yang was also interested, and asked Qin Lang about his idea of ​​the skin tube transplantation plan, and whether he could assist him to complete this operation.

However, before he could speak, Qin Lang spoke first:

"Doctors, Director Zhang, I'm really sorry, I was late due to the traffic jam on the rush hour in the morning."

While expressing his apologies, Qin Lang walked towards the small whiteboard in the conference room. Since Director Zhang invited him, of course he had to give them a better plan:

"Director Zhang, then I won't waste everyone's time. Just now I went to confirm the patient's condition again. I already have a mature plan, and now I will explain it to everyone."

After a few times of experience as a team leader in the treatment center, Qin Lang is now fully aura, with the demeanor of a great director.

Walking to the whiteboard, I took a look at the plan on the whiteboard, and was a little surprised. Is the level of the second hospital in this city okay? Although this plan is a bit cumbersome and complicated, the requirements for the surgeon are a bit higher, and the postoperative recovery is slightly worse A little bit, the rest are highlights, hands folded, nodded, and commented in a mature tone:

"Director Zhang, the skin tube transplantation plan you came up with is very good overall, and the design idea is also very thoughtful, but the operation is indeed too cumbersome, and it is not the best for the patient's prognosis. However, Overall it’s a good plan.”

Qin Lang didn't realize that this was the best plan proposed by Director Yang. After all, in his opinion, was this plan average? He just praised it sincerely and pointed out a few shortcomings.

Qin Lang thought that this should be used by Director Zhang's team to attract others. Since he was invited, this flawed plan can be eliminated.

Therefore, Qin Lang made an unbelievable operation, directly picked up a small eraser, and erased the plan that Director Yang worked so hard to draw.

Director Zhang, the two doctors from the Second Municipal Hospital were stunned, and the corners of Director Yang's mouth twitched. Isn't this kid a little too bloated?

Of course he understood the limitations of his plan, so he didn't interrupt Qin Lang's words, and he was curious why this Qin Lang could be so young and so awesome.

Director Zhang also didn't expect Qin Lang to do such a trick, so he observed Director Yang's reaction, but fortunately, the latter was quite good at nourishing his energy, so he didn't feel annoyed.

That being the case, Director Zhang also wanted Qin Lang to kill Director Yang's prestige, and let Director Wen know that the experts he invited were not here to make up numbers.

Director Zhang calmed down and listened carefully to Qin Lang's plan.

In the meeting room, only Qin Lang was left holding a brush, brushing and drawing on the small whiteboard.

While drawing, he explained his specific plan:
"Because the patient has completed wound debridement and drilled the skull, the depth of the drill has penetrated the skull after admission, so the course of treatment is too long, and there is a possibility that the external infection may spread to the brain."

"Due to the huge webbed scars on the patient's left forearm and lateral chest, the pedicled distal flap transplantation could not be performed, and the conventional repair had a long period of granulation growth."

Qin Lang analyzed with reason and evidence, and basically rejected all the plans that Director Yang and the doctors of the Second City Hospital could think of before.

Listening to Qin Lang's eloquent talk, Director Yang finally changed his color. This little doctor really has solid theoretical knowledge and rich clinical experience, and what he said hits the nail on the head.

interesting!
"Then, what doctor Qin thinks is the best way to deal with it?"

Director Yang couldn't help it anymore, looking at Qin Lang, he couldn't help asking.

Qin Lang glanced around, then said to several doctors in shock:
"I think the most ideal choice is to use the nearest skin flap."

Hearing Qin Lang's statement, several doctors were a little confused. It's not that they haven't thought about this angle, but there are problems.

Director Yang directly interrupted Qin Lang's words:

"Doctor Qin, I think you should also be aware that the patient's three major arteries: the superficial temporal artery, the posterior ear, and the occipital artery were all damaged, and the blood supply of the flap is a big problem, which is similar to the condition of a frozen neck .”

Regarding this question, Qin Lang shook his head lightly:
"This problem, under normal circumstances, is indeed difficult to achieve, but not long ago, the treatment center of our city's first hospital has proposed a brand-new retrograde blood supply model, which can solve this problem very well."

"Retrograde blood supply mode?"

Director Yang blinked, what is this?
Qin Lang explained the technique he had improved to Director Yang carefully.

After all, he is an expert in this field, Director Yang suddenly realized: "It can still be like this, Dr. Qin's thinking is really amazing."

Qin Lang has long been used to the reaction of Director Yang who has never seen the world. After all, Director Shen, Director Wei, Professor Qian, and Director Ling all said the same thing at the beginning, just to indicate a low-key and quiet, understatement:

"Now that the problem of retrograde blood supply has been solved, let's continue to look at our plan."

Qin Lang cleared his throat and continued to explain: "So, for this plan, I will design three composite skin flaps."

"Respectively, the base is located on the left forehead, a No. 1 and a half top of the head, rotated 90° to the left and lower, and the left side is a No. 2 occipital flap, and the base is located after the left posterior occipital artery is rotated 90° to the left."

“1号、2号瓣远端对接缝合后覆盖左颞侧前半部分缺损，基底位于右枕后动脉头顶部3号瓣，向左下方90°旋转，远端缝合于1、2号瓣的后侧后覆盖左侧颞部后半部分及枕部骨质外露伤口。”

Listening to Qin Lang's flap design plan, several doctors in the Second Municipal Hospital were a little confused, even Director Zhang half-understood, but he was amazing anyway.

Director Yang also showed a hint of admiration. Qin Lang's plan was indeed something he had never thought of. Under the genius-like retrograde blood supply mode, three nearby skin flaps were selected for transfer, which perfectly solved the cycle problem and coverage problem. .

However, Director Yang, while admiring him, also saw some small difficulties:

"Doctor Qin, however, according to your thinking, the operation must be performed in the order of 1, 2, and 3. Moreover, the requirements for the cutting and shape design of the flap are very high. We must wait for the docking of flaps 1 and 2 to complete." , cover the first half of the left temporal side of the wound, and then define the length and width of the No. 3 flap, otherwise there may be a situation where the docking is difficult and the wound is not fully covered, or the skin flap is too large, resulting in a waste of good scalp. This The difficulty of the operation seems to be on par with the skin tube transplant I designed?"

Regarding Director Yang's question, Qin Lang said confidently:

"Director Yang, you can rest assured. I am very good at the cutting, design, and suturing of skin flaps. In fact, I can also complete the plan of skin tube transplantation independently, but its postoperative effect is not as good as this plan. Well, there's more damage to the donor site as well."

"If you have no objections, then Director Zhang, we can arrange the operation!"

(End of this chapter)