Doctor's Life Simulator

Chapter 18 Intractable Diseases, Participating in Multidisciplinary Consultation
".needle holder.suture."

Qin Lang skillfully gave instructions to the equipment nurse.

"Come on, Doctor Xiao Qin~"

The little nurse followed Qin Lang's rhythm obediently.

Usually, before suturing, the skin graft is slightly trimmed to fit the shape of the wound in the recipient area, but Qin Lang's first step in taking the skin is too good, and there is no difference at all.

"Such precise eyesight and technique!"

Zhong Chengfa on the side was full of admiration. For plastic surgery hospitals, the surgery itself is not difficult. Basically, as long as a surgeon is trained, he can complete it in sevens and eighties. The difference lies in the accuracy and aesthetics.

A good doctor is one who is able to perform the most basic tasks of cutting, suturing, and knotting to a near-perfect level. Obviously, Qin Lang has this ability!
Next, I saw that Qin Lang began to use intermittent sutures. Between the skin graft and the wound, a long thread was kept every 3 stitches, and several adjacent sutures were clamped with a hemostat in groups.

"The strength is really good. The skin can't be too loose or too tight. It's amazing!"

Zhong Chengfa was thankful that he had come to observe the operation, otherwise he would have missed a clinical genius.

For a plastic surgery hospital, the core is the doctor's medical skills. For the same type of surgery, the appearance fee of a top doctor is dozens of times that of an ordinary doctor.

Moreover, the levels of service are vastly different, and these high-quality contacts can burst out with powerful energy at certain times!

"Yeah."

Amidst Zhong Chengfa's emotion, Qin Lang's operation was non-stop, and the stitching of the entire skin was soon completed.

".saline antibiotic.gauze"

Next, Qin Lang flushed and drained the subcutaneous fluid with saline, and spread the saline gauze containing antibiotics on it.

After evenly covering the loose gauze, use light force to make the skin and the wound adhere tightly, and at the same time use the long thread retained in the previous step to tie the gauze tightly.

The whole operation is smooth and fast!
Because Qin Lang used manual cutting throughout the whole process, Zhong Chengfa and Wu Youtu originally planned a four-to-ten-minute operation, but it was completed in less than two-to-ten minutes.

The next step is to arrange for postoperative care.

After all the dust settled, although Wu Youtu was shocked, on the surface it was calm:

"Xiao Qin, your surgery is not bad, what advice and suggestions do you have from Dr. Zhong?"

Wu Youtu looked at Zhong Chengfa with complacency in his eyes.

Zhong Chengfa blushed and coughed lightly. This is not bad. Comments and suggestions?

It's all done so perfectly, even if he can't do it so well, what can you say, just take Versailles!
Wu Youtu with thick eyebrows and big eyes has also learned badly!

Zhong Chengfa cleared his throat, his old face was peaceful, and his tone was sincere:
"Xiao Qin, are you interested in coming to my Shuguang Beauty Hospital to be my assistant? Just come over every weekend, and I will take you to do some operations together."

[Ding, congratulations to the host for completing the task: completing Wu Youtu's skin graft surgery, and being invited by Zhong Chengfa to enter Shuguang Beauty Hospital and become his assistant.Rewards: 1 bottle of stamina potion, 1 life simulation point. 】

Listening to the pleasant system sound, Qin Lang naturally agreed.

After all, going to a plastic surgery hospital on weekends can not only do more operations, but also earn a lot of money. After all, there is no income for doctor training and regular training.

Hearing Qin Lang's straightforward response, Zhong Chengfa was very satisfied.

After the operation, the three of them went to the washing room. Wu Youtu thought of something, and his tone was a little dignified:

"Ah Fa, tomorrow afternoon, I have invited Yu Shuxin from the Department of Pediatric Medicine and Zhang Jihu from the Department of Neurosurgery to discuss the condition of a patient with suspected hemangioma and the designated surgical plan. You will join us when the time comes."

This patient had been diagnosed and treated in a lower-level hospital before. At first, he was suspected to be a hemangioma, and he was given oral propranolol. However, after three weeks, instead of reducing the symptoms, the entire sacrococcygeal ulcer appeared, so he was transferred to the first hospital in the city. .

A week ago, Dr. Wu admitted the patient, changed the dressing, covered it with erythromycin eye ointment, cleaned it regularly, and the wound healed. After the patient's condition stabilized, he was discharged from the hospital. Unexpectedly, his condition suddenly worsened yesterday.

Therefore, Wu Youtu suspected that it was not a simple hemangioma, so he invited two attending physicians from the Department of Pediatric Medicine and Neurosurgery to consult together, hoping to find the real cause.

"no problem."

Zhong Chengfa readily agreed. He is also a senior attending physician in the dermatology department, so he might be able to find some clues.

Wu Youtu thought for a while, and added: "Tomorrow's patient's condition is very rare and special, and multidisciplinary consultation is also a very good learning opportunity, Qin Lang, come and listen in when the time comes, and learn about the treatment ideas of these seniors. "

"Okay, thank you Wu for attending."

Qin Lang is of course very grateful for this. After all, to become an excellent surgeon, not only clinical operations, diagnosis is also a very important part.

And this is also an opportunity to get acquainted with doctors from other departments. Qin Lang already understands that more life possibilities can be simulated by expanding relationships.

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

Cheng Yunfeng followed Qin Lang to start a day's ward rounds. Now Qin Lang has completely gained Qian Liang's trust, so he can take Cheng Yunfeng to act alone.

When asked about bed by bed, Qin Lang seemed to be a big boss, and Cheng Yunfeng also found that he could learn many skills and ideas of rounds from Qin Lang every time.

During the ward rounds, Cheng Yunfeng began to gossip:

"Qin Lang, I heard that Wu Zhizhi personally acted as your assistant yesterday, supporting the board?"

Qin Lang nodded flatly, and Cheng Yunfeng's eyes widened:

"Amazing, amazing. If the attending physician can give me an assistant during the regular training period, I can play for the rest of my life."

However, Mu Yunfeng looked at the monstrous Qin Lang again, and a ridiculous thought flashed through his mind, no way.

A few years later, it may be that Wu Zhuzhi brags to others that he was an assistant to Director Qin back then!

Sure enough, the gap between people is greater than the gap between humans and dogs!
"Oh, I can't come over for the afternoon ward rounds. Go and ask Dr. Qian to come with you."

After Qin Lang completed another bed, he said to Cheng Yunfeng.

"Ah, you asked for leave!"

Cheng Yunfeng was a little surprised, Qin Lang shook his head:

"In the afternoon, Director Wu had a patient with an intractable disease. He invited the attending doctors from other departments to let me sit in on their surgical plan consultation and gain insight."

"You can participate in multi-department consultation!"

Cheng Yunfeng was dumbfounded. It's not that even resident doctors rarely have the opportunity to participate in discussions of this level, let alone a junior doctor.

Cheng Yunfeng expressed his desire to participate.

"Brother Qin, teach me how to participate in this level of consultation."

Qin Lang thought for a while, and said solemnly:
"Let the attending physician act as your assistant first, and it should be all right."

Cheng Yunfeng: (p≧w≦q)
Soon in the afternoon, Qin Lang followed Wu Youtu's instructions and came to the conference room ahead of time to start the arrangement.

At the same time, he printed several copies of the materials that Wu Zhizhi handed over to him, and placed them on the table in advance.

Turned on the computer again, and projected all kinds of information about the patient. After everything was arranged in an orderly manner, Qin Lang himself chose the last seat and looked at it:

".The patient is a female. At birth, multiple color abnormalities were found in the sacrococcygeal region and waist, and the local spots are light blue in flakes."

Qin Lang looked again, and the attached photo was shocking.

". I went to Yuxian Hospital in Hecheng City and was suspected to be a hemangioma. I was given oral propranolol for treatment. Three weeks later, the entire sacrococcygeal area was ulcerated. I changed the dressing in our hospital and covered it with erythromycin eye ointment. , cleaned regularly, the wound healed, and the condition stabilized thereafter.”

"After being discharged from the hospital, the condition worsened. Parents found that his left foot was slightly everted. He defecated 1-2 times a day. He urinated frequently and urgently. When he was crying and exerting force, he would urinate overflowing. The urination was not far away, the urine was dripping, and the urination was interrupted."

".Suspected non-simple hemangioma"

Seeing this, Qin Lang was also in a serious mood. It seemed to be a rare and intractable disease.

(End of this chapter)