Doctor's Life Simulator

Chapter 184 Notification Received: Postgraduate Opening Ceremony

In the operating room, Director Lin quickly began to remove the necrotic tissue.

After entering the front of the pancreas in the lesser omental sac, Dr. Liu and Qin Lang were surprised to use fingers to separate and remove the necrotic tissue of the pancreas.

I have to say that this kind of senior director's experience is really rich, and the artist is so bold!
In order to be able to reach all pancreatic necrosis and effusion areas, it is necessary to expose the entire pancreas. In the field of vision, we can see that a thick cavity tissue package has been formed, and even a high degree of adhesion and edema has appeared locally.

Looking at this scene, Director Lin was also afraid for a while. Fortunately, Qin Lang's early prediction and proper handling allowed him to perform surgery on the patient in time.

Director Lin thought for a while, then put his finger into the separation, opened windows at multiple effusion locations, and probed through the separation to make all the windows open for traffic.

Especially in the area of ​​the head of the pancreas, access to the front of the head of the pancreas is possible by opening a window on the right side of the root of the transverse mesocolon.

Looking at the complex structure inside the pancreas, Qin Lang and Dr. Liu were also filled with emotion. It is worthy of such a high-level operation.

After completing this step, Director Lin began to flush and place drainage.

Along the entire long axis of the pancreatic bed, a drainage tube is placed, passing behind the hepatic and splenic flexures of the colon, and passing through the lateral abdominal wall.

The whole movement was so delicate and gentle that Qin Lang's scalp felt numb for a while.

This whole operation is very important for the grasp of the temperature. If it is too thorough, it is easy to damage the adjacent organs and blood vessels, resulting in bleeding, intestinal fistula and other complications. If the debridement is not thorough, there will be too much necrotic tissue left , may require reoperation.

"Amazing!"

Qin Lang memorized these operations carefully, so that in the next simulation, it can play a role in building a strategic plan.

The whole operation was completed very smoothly under the chief surgeon of Director Lin and with the assistance of Director Zhuang.

After the last step, Director Lin and Director Zhuang did not expect that the operation would go so smoothly.

Soon, everyone sent the patient to the ward, and the family members of the patient also greeted him.

The patient's mother was very anxious, her eyes were red, she looked at several doctors, she was especially impressed by Qin Lang who gave orders decisively on the island in the middle of the lake.

He went forward and grabbed Qin Lang's hand:

"Doctor, how is my daughter?"

"Don't worry, under the operations of Director Lin, Director Zhuang and Director Pang, the patient's condition has stabilized. He only needs to cooperate with the treatment, and the condition can basically be controlled. His life is out of danger."

Qin Lang comforted the family members softly.

"Thank you, doctor, thank you doctor."

The patient's family members didn't say anything else, they just kept thanking them. Then, they looked at Director Zhuang and the others, but they couldn't tell who was who, and just thanked them for a while.

Seeing such a reaction from the family members, several doctors were both proud and relieved after sending off the patient.

Several people also began to review and reflect, and they were all full of emotion.

Director Zhuang said solemnly: "This operation can be so smooth, it is really all due to Dr. Qin's diagnosis and command at the scene at the first time, so that everyone has enough time to deal with and operate later. .”

Director Lin also praised Qin Lang:
"Doctor Qin, when I opened the pancreas today, I was really scared for a while. If the diagnosis was made half an hour later, it might really be too late to rescue. This time, you really did a great job."

Director Lin said with some envy: "If I didn't know that you are a physician in the burn center, I really wanted to recruit you. With your talent and talent, it would be great to come to my general surgery department."

Director Zhuang also agreed, and then directly started poaching people: "Dr. Qin, we will continue to work together for the next six months. After that, if you think the emergency department is good, you can stay. We won't go back to the burn department."

Director Lin's eyes lit up when he heard Director Zhuang's words, yes, why didn't he think that he could figure it out slowly, and said, "Dr. For some surgical techniques, my general surgery will only be more refined and deeper, and when the time comes, I will personally be your assistant."

Of course, Qin Lang couldn't wish for Director Lin's kindness. The more opportunities there are in different departments, the more tasks can be stimulated.

Seeing the two directors being so optimistic about Qin Lang, Dr. Liu was really envious.

After Director Zhuang and Director Lin talked for a while, everyone ended the meeting separately.

Dr. Liu and Qin Lang continued to go to the duty room, while Director Pang came and was going to check the ward.As for Director Zhuang and Director Lin, they went home separately and continued to sleep and rest.

Back in the duty room, Dr. Liu took out a small book and asked Qin Lang again for today's peritoneal puncture identification skills.

Of course, Qin Lang would not cherish himself with a broom. For him, it is a great blessing to be able to pass on the medical knowledge he knows and carry it forward.

Every time one more doctor improves and masters one more skill, he can give patients more hope at critical moments.

In addition to the knowledge in conventional textbooks, Qin Lang also refined some of the elite identification skills he has mastered, which is very targeted.

Listening to Qin Lang's detailed explanation, Dr. Liu also benefited a lot.

"Doctor Qin, you are amazing. If I didn't know your age, I would have thought you were an old expert in the diagnosis of acute abdomen."

"Not to mention the paracentesis, in some specific cases, it is really the best auxiliary diagnostic method, simple, fast, and efficient!"

Dr. Liu gave Qin Lang a thumbs up.

After the explanation was finished, Dr. Liu absorbed it by himself and realized it.

While Qin Lang drank the tea made from wolfberries given by Cheng Yunfeng, and relaxed a little, suddenly the phone vibrated.

Qin Lang took it out and looked at it, it was an email notification, after a closer look, Qin Lang was also a little overjoyed.

Next week will be the opening ceremony of his postgraduate. When he goes to the First Affiliated Hospital of Zijingang University to attend the opening ceremony, he will officially start his postgraduate career.

According to the instructions in the email, at that time, in addition to the speeches of the school leaders, many senior brothers and sisters who have returned home will be invited to the opening ceremony. It is inevitable that some representative figures will come back to brag and give speeches.

Qin Lang also looked forward to this kind of thing when he was still a student. One day he would be able to return to his alma mater and become a role model in the eyes of all his juniors.

It's just a pity that after so many years, he still participated in this opening ceremony as a student.I just don't know, when the time comes, at the opening ceremony, what kind of resumes will those senior brothers and sisters who have already made a name for themselves in the industry have.

"The postgraduate opening ceremony of the First Affiliated Hospital of Zijingang University."

Think about it, Qin Lang is still looking forward to it, and he is getting better and better step by step!

While Qin Lang was thinking about it, something happened outside again. A woman in her twenties was very anxious, and hurriedly hugged a child who was only one or two years old, and entered the emergency department.

For the emergency department of a tertiary hospital, it is already so busy, and there are ups and downs.

Naturally, Dr. Liu began to ask the doctor immediately. The child's condition is very bad, accompanied by upper respiratory tract infection, tonsil inflammation, chills, diarrhea and nausea to a certain extent, accompanied by high fever, and pain in the whole abdomen .

Acute gastroenteritis?Gastrointestinal upper respiratory infection confusion?Mesenteric lymphadenitis?Acute appendicitis?

One possible disease appeared in Dr. Liu's mind. Early diagnosis is very difficult because most children cannot self-report or narrate inaccurate medical history and subjective symptoms.

Especially in the early diagnosis of appendicitis in children, it is easy for infants to delay the diagnosis, and some cases are confirmed after perforation. It has been reported that the perforation rate is 30% to 40%, and it can reach 90% in infants.

At a loss, Dr. Liu suddenly had a good idea. Didn't he just learn from Qin Lang on abdominal puncture, or try it out to assist diagnosis?

(End of this chapter)