Doctor's Life Simulator

Chapter 2 Plastic and Burn Department Report

[During the process of managing the bed, your hospital bed admitted a patient with an open fracture who was soaked in poisonous liquid and contaminated with Gustilo type I soft tissue injury.Due to the misjudgment of the superior doctor, the patient was combined with diabetes. After your debridement, severe infection and complications still occurred.In the end, the patient's right leg was amputated, and the patient's family made a big fuss in the hospital.As a temporary worker, you took the blame.You go back to the community hospital. 】

【You, who don’t know the truth, thought that the patient’s amputation was caused by your ineffective debridement technique. You once felt guilty and gave up the idea of ​​further study.I worked as a community doctor for half a year in a daze. 】

[At the age of 25, you resigned from the community hospital and returned home to inherit the family property.Your medical career is over. 】

[Simulation ends, doctor career evaluation, resident doctor level 2. 】

【You can keep one of the following abilities】

[1.25-year-old doctor skills]

[2.25-year-old clinical experience]

[3.25-year-old medical wisdom]

Qin Lang really didn't expect that he would end his career as a doctor at the age of 25 this time.

After thinking about it, Qin Lang chose the second option.

[Congratulations to the host, gaining 25 years of clinical experience. 】

[Host: Qin Lang
Grade: Residency 2/20
professional skills:
Rounds: Intermediate

Tube Beds: Entry Level
Debridement: Intermediate
Stitching: Entry Level
Dispensing: Advanced

】

In addition to the improvement of specific skills, Qin Lang also has a lot of case information and various operating experiences in his mind.

The most profound one is naturally the open fracture patient with Gustilo type I soft tissue injury who was soaked in toxic liquid and polluted by poisonous liquid in his mind.

"It seems that after two simulations, it is no problem to deal with the initial ward rounds, but what needs to be careful is the subsequent tube bed."

There is still one simulation point. Next, Qin Lang is going to study it and start the simulation.

In the next two days, Qin Lang specifically reviewed the literature on debridement of patients with Gustilo type I soft tissue injuries soaked in toxic liquids.

Sure enough, in cases like this, due to insufficient attention of clinicians, if conventional debridement methods are used, it is easy to cause infection, osteomyelitis, tissue necrosis, and even amputation.

In the last simulation, Qin Lang encountered the worst situation. The patient had diabetes and was directly amputated.

Qin Lang finally found similar cases through foreign literature, and the solution was to use extended debridement and assisted continuous sealing of negative pressure drainage, which can effectively reduce the infection rate.

"It's done!"

After Qin Lang had a direction, he started the third simulation.

[24 years old, through your own efforts, you have obtained the qualification to go to the city's first hospital for advanced training from the community hospital. 】

[You entered the Burn Plastic Surgery Department of the First Hospital of the City. Due to the accumulation of your previous life, you performed well in the first round of wards. You overcame the eight-year doctoral students in the same group, and obtained the tube bed one week later. qualifications. 】

[During the process of managing the bed, your hospital bed received a patient with an open fracture who was soaked in toxic liquid and contaminated with Gustilo type I soft tissue injury.I am in the middle of the chief physician's ward rounds, and your suggestion has been approved by the chief physician, and he has a good impression of you. 】

[Because of your outstanding performance, you won the opportunity to enter the operating room for yourself.However, due to your limited clinical talent and mediocre academic qualifications, you missed the contract in the end.You go back to the community hospital. 】

[At the age of 26, you once again got the opportunity to enter the city's No. [-] hospital for further study, but your talent is mediocre, your education is mediocre, and you were not recognized by the superior doctor in the end.Still, you get some surgical clinical experience. 】

[At the age of 30, you are used to life in a community hospital.However, with several opportunities for advanced studies, your level is higher than that of ordinary community doctors. 】

[At the age of 35, you have another chance to go to the city's first hospital for further study.This time, with years of accumulation, you finally successfully signed an outpatient clinic, every Saturday afternoon, for a period of one year.You have gained a lot of experience in consulting. 】

[40 years old, this year your colleague Zhou Ming retired.You succeeded him as the most senior general practitioner in the community hospital.A new graduate entered the community hospital. Under your training, he also went to the city's first hospital for advanced studies many times. 】

[At 60, you retired from the community hospital.You ended your career as a doctor. 】

[End of simulation, doctor career evaluation, resident physician 10/20]

【You can keep one of the following abilities】

[1.60-year-old doctor skills]

[2.60-year-old clinical experience]

[3.60-year-old medical wisdom]

Qin Lang looked at the simulation of his own life, and sure enough, it is basically impossible for undergraduates in this era to get the chance to stay in a tertiary hospital.

Since the first item can only acquire skills, but the initial level is entry-level, after thinking about it, Qin Lang chose the second clinical experience.

[Congratulations to the host, you have obtained 60-year-old clinical skills. 】

[Host: Qin Lang
Grade: Residency 10/20
professional skills:
Rounds: Advanced

Tube Bed: Intermediate

Debridement: Intermediate
Stitching: Intermediate

Dispensing: Advanced

】

All of a sudden, the debridement has been raised to the intermediate level, and the suture has also been raised to the intermediate level. With the addition of advanced ward round skills, it seems that it is enough for tomorrow's training trip.

Early the next morning, Qin Lang arrived at the First Hospital of Hecheng City.

The Burn and Plastic Surgery Department of the First City Hospital has a separate five-story building with its own standard operating room, pictorial library, laboratory, animal room, meeting room, and classroom.

Standing in front of the Department of Plastic Surgery and Burns Building, Qin Lang was also shocked. As expected of a third-class hospital, this random floor is worth their entire community hospital.

After Qin Lang entered the hall, he came to the nurse's station, where there were two nurses sitting.

Seeing Qin Lang approaching, one of the nurses stood up and led him to the meeting room after Qin Lang expressed his intention to come.

"Wait here for a while, and then go to the classroom for group training after the other people arrive."

Qin Lang nodded and walked in. There were already three people in the huge conference room.

After a short chat, I learned that there will be a total of ten people participating this time.

In addition to the four trainee doctors like me, there are also five Gui Peisheng from the city's first hospital. This time, the trainee doctors and Gui Peisheng will be trained under the superior doctors in groups of two and two. This is also a brand-new echelon construction model for the First Municipal Hospital.

Of course, the focus is still on the rotational training of trainees in our hospital, and by the way, training doctors.

Soon all ten people arrived, with five Gui Peisheng sitting on one side, and Qin Lang and five fellow doctors sitting on the other side.

Obviously, including Qin Lang, they all looked at the other side with some envy and admiration. After all, all five of them signed contracts with the Municipal First Hospital, and their future was bright.

Five regular trainees, two of whom are eight-year doctoral students, graduated from Imperial University of Traditional Chinese Medicine.

Two are from Modu University of Traditional Chinese Medicine, master students.

The last one graduated from Harbin Medical University and is also a master student.

In front of these five people, there were a few doctor trainees who were either undergraduates or third-rate masters. They really felt like they were studying with the prince.

Alexander!

Except for Qin Lang, the other trainee doctors were sweating profusely on their foreheads, they were incomparable, incomparable!
Finally half an hour later, after a brief explanation by the head nurse and preliminary training, the respective superior doctors came to lead the staff.

Qin Lang and Cheng Yunfeng, an eight-year doctoral student at Imperial University of Traditional Chinese Medicine, were in a group.

Cheng Yunfeng looks plain, but his whole temperament is very calm, exuding a confidence and demeanor of a master.

"Qin Lang, we will be in a group from now on, please take care of me."

Cheng Yunfeng's tone was indifferent. In front of a community doctor like Qin Lang, of course he had his pride and confidence.

Moreover, this time for Guipei, his opponents are only the other four Guipeisheng. As for Qin Lang, he is just passing by for a short time. In his plan, Qin Lang will be his younger brother in the future, helping him Knock on the case, change the doctor's order, before the saddle.

After the simple politeness, Cheng Yunfeng withdrew his enthusiasm and turned into a strict silence, not intending to communicate more with Qin Lang.

The two quietly waited for the superior doctor.

"My name is Qian Liang, a resident physician, and I will take care of you for the next two months."

Qian Liang is 33 years old, a native of Hecheng, with a gentle and fair appearance, wearing a pair of black-rimmed glasses.

When he was speaking, he obviously turned his eyes more towards Cheng Yunfeng's side. Compared with Qin Lang, of course he had high hopes for this doctoral student.

"We will go to the ward for rounds in a while, let me understand your basic skills first."

The plastic surgery and burn department has 30 beds and three professional groups, namely 30 burn and plastic surgery groups, 20 hand micro-flap internal surgery groups, and [-] vascular surgery and stem cell therapy groups.

But this time Qin Lang and Cheng Yunfeng were going to the beds of the burn and plastic surgery department.

"By the way, this time, after you have finished grouping, until the end of these two months, we will rate you every week. Take the group as a unit, and I hope you will come out on top."

After Qian Liang finished speaking, Cheng Yunfeng paused, and looked at Qin Lang, the meaning was obvious, don't let yourself be held back.

Qin Lang smiled lightly, but didn't say anything.

If it was before, I might have been shy, but after experiencing the simulation of the third generation, I really don't feel afraid of any Gui Peisheng.

Soon, led by Qian Liang, they entered the ward area.

At the same time, an electronic sound appeared in Qin Lang's mind:
[New task: Complete the first ward round and get the approval of the superior doctor Qian Liang.Reward: 2 life simulation points. 】

(End of this chapter)