Doctor's Life Simulator

Chapter 208 Simulation, becoming the top leader in the field of appendectomy
In the next few days, Qin Lang had planned to reduce the number of micro-skin transplant operations, but the strange thing was that the number of patients sent to Director Cui's medical team did not decrease but increased.

After Lu Yu completed the scheduled micro-skin transplant operation, he no longer admitted new patients.

For a while, those patients who came here because of their reputation were very dissatisfied, many of them went to the provincial capital hospital, and some patients who were transferred from the sister hospital went to Qin Lang's subordinates.

Five days passed in a hurry, during which Lu Yu secretly went to the ward every day to check on her uncle's recovery.

"Lu Yu, how is it? Dr. Qin said that he will arrange to stop the VSD this afternoon, and the time is not even five days. Will it work?"

Uncle asked with some concern.

Lu Yu checked carefully, and based on her experience, she naturally confirmed that her uncle's recovery is very good:
"It can't be better. As long as you change the dressing normally, your condition will be cured in a month. Moreover, Dr. Qin's operation this time also healed very well on the scar."

"Really?"

Hearing what Lu Yu said, both uncle and aunt were overjoyed.

Since the No. [-] Hospital of the city has recently treated a lot of micro-skin transplants, I often inquire about the situation of the remaining patients.

Moreover, my aunt has become a trend in recent years, and has added some patients with deep burns. There are also many patients in other hospitals, even provincial hospitals, and they will naturally inquire about each other in private.

Through the nurse and the little doctor, Aunt Lu Yu and uncle knew very well that uncle's condition was relatively serious.

However, in comparison, this recovery time is very astonishing. The one next door is much milder than him, and the surgery completed at the same time will take at least two or three days to reach his recovery level.

"Miraculous doctor." My uncle was completely convinced now, and looked at Lu Yu with some doubts, "Lu Yu, this little girl really came back from Jishuitan Hospital in the imperial capital? And the little Jin doctor you brought, the one next door is She did it, tsk tsk, you Jishuitan can't do it either. Besides, I don't think it's as painful as they describe. "

After Lu Yu heard this, his face turned pale, but he wanted to explain but couldn't, feeling aggrieved.

Who knew there was such a monster in the city's first hospital?
"Okay, you just listen to Dr. Qin's doctor's orders. I'll go first."

Lu Yu was about to leave awkwardly, but before he walked out of the ward, his uncle's voice came: "Okay, I won't come here anymore, Doctor Qin is enough."

Lu Yu froze, and walked out of the ward with a livid face.

Not long after Lu Yu left, Qin Lang walked into the patient's ward.

This time, the uncle and his wife saw Qin Lang's expressions completely different: "Doctor Qin, after I stop the VSD in the afternoon and change the medicine regularly, will it be possible to completely recover?"

Qin Lang nodded, and said confidently: "Yes, after the VSD is stopped today, you can be discharged from the hospital in 21 days. After you are discharged from the hospital, you should come back for regular checkups and observe the scar condition."

"21 days?"

Uncle Lu Yu's face was bright with spring, and he murmured silently in his heart: "Lu Yu, a stinky girl, still said it would take a month, but Dr. Qin is the best."

Lu Yu's aunt was also in a good mood, with a beaming face, she sized up Qin Lang carefully, and simply admired Qin Lang's appearance, compared to Lu Yu, she really couldn't do it, she was not ugly Read more and learn more:

"Doctor Qin, you are really young and promising."

After communicating with Uncle Lu Yu and his wife, Qin Lang left the ward.

In the next few days, Qian Liang basically mastered this technique, and with the addition of Director Cui and Wu Youtu, he was able to independently carry out the operation of improved micro-skin grafting combined with carbon fiber dressing.

Now it is only necessary for Qian Liang and others to increase the number of surgeries. When a certain statistical data is reached, the writing of the thesis can be started, and the "Clinical Operation Standard" that Director Wei is looking forward to can be proposed.

Therefore, Qin Lang continued to return to the emergency department to accumulate his rotation time again.

For Qin Lang's return, the doctors in the surgical team are of course very welcome, especially Liu Peichun, who has experienced partnering with Qin Lang, and now he is on duty alone, and he is really not used to it.

On the second day, Liu Peichun received a call early in the morning. After listening to it, he responded with a serious face and hung up the phone.

Liu Peichun got up directly and walked towards Qin Lang:

"Qin Lang, Director Pang called me just now. Half an hour later, there was a small consultation in the office. There was a patient with acute appendicitis who needed preoperative discussion. Director Pang generally recognized the typical appendicitis, but he felt a little strange , but I couldn’t find it. So I’m going to watch it together. Originally, I was only called, but you are also here, so let’s take a look together.”

"You, me, Director Pang, and Dr. Li, who is on rotation in the general surgery department, will also come together. This is the patient's medical record, please read it first."

"Ok."

Qin Lang came over to take the medical records.

In the past, departmental consultations were exchanges between attending doctors. Because appendicitis surgery is relatively small, Liu Peichun and Qin Lang, as residents, also had the opportunity to participate in the discussion.

"Doctor Liu, I want to go to the ward first to prepare for the next consultation."

Qin Lang read the information carefully, only from the symptoms and color Doppler ultrasound, it was indeed very similar to the typical symptoms of appendicitis, but since director Pang's intuition smelled something unusual, it was worth visiting the patient himself.

"Then I'll go and have a look with you, just to get to know the patient's situation in advance."

Liu Peichun picked up the medical records and got up. After several previous incidents, Dr. Liu is now following Qin Lang, which is a bit like a junior doctor following his teacher.

Soon the two arrived at the ward.

The patient is a 48-year-old middle-aged woman, accompanied by the patient's daughter.

"doctor."

Seeing Qin Lang and the others coming, the patient's daughter Hu Jingjing got up, said hello, looked at Qin Lang, and was slightly surprised.

At first glance, of course, he is so handsome.

The second is that this doctor is so young, he looks similar to himself, and he already has an assistant.

The third is to blush, after all, the corridor leader Qin is so handsome, and with the addition of a white coat, it is natural that she can't take her eyes away.

After regaining her composure, Hu Jingjing stepped aside: "Director Pang came to see me just now, and the initial diagnosis was appendicitis, and he said that we need to discuss whether to operate or not. Are you here to check on my mother's condition?"

Because Director Pang did a good job of appeasement before, the mentality of patients and their families is relatively stable, and appendicitis is only a minor operation in the eyes of ordinary people.

Qin Lang didn't speak, and walked directly to the patient.

Liu Peichun originally wanted to speak, but seeing that Qin Lang had already walked up, he didn't deliberately try to steal the limelight, and he also had a look at Qin Lang's diagnosis level of appendicitis.

Qin Lang walked in front of the patient and immediately started the simulation. Although his appendectomy has reached the master level, he is still inexperienced for some rare diseases.

[Consume 1 point of life simulation point to start the simulation:]

[You returned to the emergency department to continue your six-month rotation, Dr. Liu invited you to participate in a consultation with a patient suspected of typical appendicitis.When you came to the ward, based on your and Liu Peichun's experience, you didn't see any clues, but it was confirmed that it was typical appendicitis. 】

【Afterwards, at the consultation, you discussed together. Due to the tenderness of the McBurney's spot in the patient's right lower abdomen, rebound tenderness, mild muscle tension, no shifting dullness on percussion, and normal bowel sounds.After further examination, it is decided to operate. 】

[During the operation, it was found that the patient had a history of surgery and gastric disease before, and the lumen formed by adhesions after surgery was mistaken for the blind end of the appendix by the sonographer.In addition, the exudate from the gangrene of the appendix flowed to the right lower abdomen through the paracolonic ditch, causing tenderness and rebound tenderness in the right lower abdomen and other typical symptoms of appendicitis. 】

[Because of the misdiagnosis in the early stage, director Pang had rich experience during the operation. After the conventional laparotomy, the ectopic appendix was found only after a second upward enlargement of the wound during the operation.However, due to the enlarged wound, which caused the risk of infection, and the postoperative scar was too long, the patients and their families were not satisfied, which caused some disputes. 】

[After surgery, the best way to do this surgery is to use laparoscopic appendectomy, but the requirements for the surgeon are very high, basically only Director Zhuang can complete it. 】

[Next, you continued to rotate in the emergency department, where you participated in many appendicitis operations.You started to specialize in laparoscopic appendectomy, and at the same time tried various topics of modified appendectomy]

[In the burn treatment center, Cui Jianguo's group can continue their own research because of your subject.And Lu Yu started a new topic.With the full support of Director Wei, Lu Yu accumulated a lot of knowledge, gradually gained recognition, and made some achievements. 】

[The new official took office three fires, but because of your outstanding performance before, Lu Yu still respects you very much.The treatment center simply introduced some talents to cooperate with Lu Yu's subject. 】

[Six months later, your subject, perfected and launched the nationwide "Clinical Practice Guidelines for Improved Microskin Transplantation".With the efforts of Director Wei, at the annual meeting of the Burn Surgery Branch of the Huaguo Medical Association, a day was devoted to the discussion, which was finally passed perfectly.It has become a clinical practice standard of national expert consensus. 】

[In the same year, with the help of your aunt, you established Qin's Medical Equipment Co., Ltd. and began to produce related equipment. 】

[Because of this achievement, the treatment center of the city's first hospital and you are famous.You also successfully entered the Burn Surgery Branch of Huaguo Medical Association and became a member. 】

【Thanks to your efforts, Wu Youtu has his own time and energy to conduct research on his own subject.However, his subject is very difficult and requires long-term accumulation, and his ability and potential are limited, so there will be no results for a long time in the future. 】

[You have completed the rotation of the emergency department. Under the care of Director Zhuang, you have participated in many first aid operations, especially the rapid progress in appendicitis resection and cholecystectomy.You became the backbone of the emergency department. 】

[After the rotation period expires, you still have expectations for the topic of improved appendicitis resection, that is, to stay in the emergency department.For this, Wei Guoqiang also expressed support.And you have published papers on the several topics you have carried out before, and the development of the technique has also entered a mature stage.You are promoted to Attending Physician. 】

[In the same year, your Qin method project and Qin's allograft tendon vitrification preservation method project were all shortlisted for the first prize of Hecheng City Natural Science.After you returned to the treatment center, Lu Yu was very measured. 】

[You continue to rotate in the emergency department, and at the same time research on the topic of improved appendectomy, and you have gained a lot. 】

【Three years later, Lu Yu was promoted to Chief Physician.In the same year, Lu Yu joined the Burn Professional Committee of Huaguo Medical Association. 】

[Due to the lack of your assistance, it took Lu Yu seven years to complete several major projects of his own: 1. Heterogeneous (pig) decellularized dermal matrix repair deep burn wound technology, 2. Depth of platelet-rich plasma (PRP) Burn wound treatment technology, 3. Children's deep burn wound skin grafting combined with NPWT technology. 】

[In the same year, Lu Yu became famous and went to the imperial capital again. At the age of 30, you married Tang Yue.Under the arrangement of Wei Guoqiang, you started to take charge of several research groups left by Lu Yu. 】

[At the age of 35, you were promoted to chief physician, and Wei Guoqiang served as the executive vice president of the city's first hospital due to his outstanding contribution in the treatment center.And you, in addition to the field of burns, have also become an expert in acute abdomen. 】

[40 years old, your younger brother Huang Ping has made continuous progress over the years and has become the actual person in charge of the treatment center.Cheng Yunfeng became number three.And you are the meritorious director, and the two treat you respectfully.However, you devoted the rest of your life to improving appendectomy and made many achievements. 】

[50 years old, your medical device company is also getting bigger and stronger.Therefore, you basically don't have a good rest and work hard all year round. 】

【56 years old, your body has some problems, you have to retire early. 】

【You ended your career as a doctor】

[Simulation ends, doctor career evaluation, chief physician 63/80]

【You can retain one of the following abilities】

[1.56-year-old doctor skills]

[2.56-year-old clinical experience]

[3.56-year-old medical wisdom]

Of course, Qin Lang is very satisfied with this simulation, and has a top-notch level in appendectomy.

Unfortunately, my health is a bit poor, and I retired at the age of 56.

[Congratulations to the host for obtaining clinical experience at the age of 56]

[Host: Qin Lang
professional skills

Grade: Chief Physician 63/80
professional skills:
Basic surgical operations (cutting, suturing, exposure, etc.): perfect level
Burn plastic surgery skills: (omitted)
Long bear technique: master level (multiple improved skills)
Neck dissection: master level (creating improved surgery)
Negative Pressure Drainage (VSD) Technique: Master Class

Appendectomy: perfect level (modified multiple procedures)

Cholecystectomy: Master Class

Meek micro skin graft combined with carbon fiber dressing treatment technology: advanced
Xenogeneic (porcine) decellularized dermal matrix technology for repairing deep burn wounds: entry level

Platelet Rich Plasma (PRP) Technology for Deep Burn Wound Treatment: Entry Level

Special Skills:
Vision: +1
Smell: +1
(omitted)]

Looking at the patient again, Qin Lang was also a little surprised. The patient's condition was really a coincidence. Who would have thought that the shadow seen by the color ultrasound was not the blind end of the appendix, but the lumen formed by the adhesion after the operation.

In addition, the patient had a congenital mutation of the colon, and the appendix grew under the liver. Unfortunately, the exudate flowed to the right lower abdomen. If the McBurney incision was performed according to the typical appendix, the consequences would be disastrous.

Qin Lang briefly checked the patient's lower body again: "I already know the cause, let's go back and prepare for the consultation."

Qin Lang didn't want to waste time, so he turned around directly.

Before Dr. Liu could react, Qin Lang finished the physical examination, somewhat disbelieving:

"What can you tell from this?"

(End of this chapter)