Doctor's Life Simulator

Chapter 213 Amazing!Suspension airless laparoscopic appendectomy

Zu Liang looked at Qin Lang, who was still calm and calm, and nodded. Since Director Zhuang had already spoken, he would naturally not insult the director.

Of course, to be honest, he didn't think Qin Lang could put forward any opinions on such a weighty consultation at such a young age.

Zu Liang looked at Qin Lang, looked at his young and handsome appearance, and thought of a possibility. Qin Lang's appearance is really good, and he has the potential to train a star doctor.

Could it be that Zhuang Tong improved his resume by participating in various operations and consultations of various weights.

The time is right, when the time comes, take it to an academic forum, and introduce Qin Lang, who has been packaged as handsome and has an unreal resume like a fake, to form an effect of a top star doctor.

Just like today's traffic niche, Internet celebrities, and high-value celebrity doctors, the persona is very capable of gaining favor and popularity for the emergency department of the city's first hospital.

Moreover, as the director of general surgery, he is very clear that recently Zhuang Tong is working on building a provincial-level discipline of acute abdomen, and the best way is to introduce influential star doctors.

This consultation and the particularity of the patients can gild Qin Lang, even if it is just soy sauce, but when packaging, it is enough to exaggerate it.

After figuring this out, Zu Liang also tacitly agreed, he can only feel that it is good to be young, have good looks and have a background.

The only thing that surprised him was that Director Pang, who has always been known for his fairness and rigor, also began to participate in the creation of a star doctor without blushing or beating.

It seems that the pressure of the provincial key discipline of acute abdomen really makes them do whatever they can.

The young man who sighed for good luck, Zu Liang also automatically ignored Qin Lang and began to study this case.

After all, their advanced age and special status still made them feel deeply pressured.

Director Pang has already done the preliminary work and projected the patient data.

Zhuang Tong began to introduce the patient's situation: "This patient has a special situation and a special status. Director Hong personally called me and told me that this operation can only be successful."

Zhuang Tong first set the tone for this consultation.

"Patient: Chai Long, 94 years old, clinically diagnosed with acute appendicitis"

Listening to Director Zhuang's introduction, Li Ming and Zu Liang also feel the pressure. Chai Long is still very influential in Hecheng, and his disciples and old officials are all over the upper class of Hecheng. component position.

For Chai Long to be able to come to their city's first hospital for surgery, they are deeply honored and slightly apprehensive. If it is done well, it will be a good thing for both fame and fortune in the medical circle of Hecheng, but it is also a mess, and the consequences are also unaffordable. of.

"Old patients have obvious decline in organ function, severe decline in body function, and are in a compensatory state. When acute appendicitis is complicated, the clinical symptoms are often not obvious, the disease progresses rapidly, and perforation is prone to occur, leading to diffuse peritonitis. Therefore, it is necessary to make a clear diagnosis as soon as possible. Surgery. Therefore, we are not given much time, and I hope that the plan and the candidate for the surgeon will be clarified at this consultation."

Zhuang Tong clarified the difficulty of the operation and the purpose of this consultation, and then turned to Director Pang, who studies acute abdomen.

Director Pang organized the following language to explain his point of view:
"For appendicitis resection, the traditional method is naturally to open OA, but with the development of laparoscopic technology, LA has become the gold standard, with small trauma, fast recovery, mild pain, short hospital stay and low incidence of postoperative complications, etc. Advantages. So, I think the use of laparoscopic technique is beyond doubt, just because of the age of the patient.”

Director Pang frowned, and continued to express his concerns:

"However, in order to ensure the exposure of the operative field and facilitate operation in the operating room, LA needs to establish and maintain a CO13 pneumoperitoneum pressure of 15-2 mmHg. Acceleration, increased blood pressure, decreased cardiac output, increased airway pressure, decreased SPO2, restrictive ventilatory dysfunction, etc. Therefore, there is still a lot of uncertainty in performing LA."

Zhuang Tong nodded: "Director Pang's worries are not unreasonable, but this operation will never allow accidents, so do you have any better suggestions?"

Several senior attending physicians frowned, it was really tricky, the patient was too old.

[Ding, new mission: Art improvement!During the departmental consultation, the host proposed a modified laparoscopic appendectomy with a success rate of more than 1.1%, and at the same time persuaded all the bosses to be qualified as the chief surgeon.Mission reward: [-] life simulation points]

"My personal opinion is to perform laparoscopic appendectomy, but due to the particularity of the patient, the following three points need to be done: first, it is natural to speed up the speed of appendectomy during the operation and minimize the impact of CO2. The second is adequate drainage to eliminate the possibility of late infection and inflammation. After all, the patient is too old. If the drainage is not clean, complications will be caused. The patient's physique is difficult to bear. The third point is nutritional support to ensure adequate nutrition. Accelerate the growth rate of granulation and accelerate the healing of patients."

Zu Liang put forward his opinion, and then looked at the crowd: "Just to achieve these three points, we need a surgeon with an extremely fast operation speed, a cooperating assistant, and an experienced nursing teacher at the same time."

"A very fast chief knife?"

Thinking of this, the two chief directors turned their attention to Director Pang, who has the deepest research on appendicitis surgery.

As for Director Pang himself, a young figure flashed in his mind, but he immediately stopped the idea. How dare he let Qin Lang bear such an important burden.

Li Ming naturally thought of Qin Lang on the side, but his thoughts went faster. After all, such an elderly patient with appendicitis surgery has such a special status. It was Qin Lang who was unlucky alone.

The emergency department and general surgery department of a hospital in the whole city will be affected.

Letting a junior doctor, who is still so young, perform such an important appendicitis operation, it feels like a big scandal in a certain department, and it is finally revealed that a temporary worker did it.

The saliva of public opinion alone can drown several people present for consultation, not to mention the censure from the patient's family members.

"It seems that only Director Pang is qualified to be the chief surgeon this time."

Li Ming expressed his opinion straight to the point.

Zhuang Tong, Zu Liang and others all agree that there is no dispute about the surgical plan and the choice of the surgeon. Everyone can contribute in the future to improve the details of the entire operation, and try to make the three points proposed by Director Zu the best. Perfect.

"Then decide on a candidate for the first assistant."

Dr. Li Ming began to advance to the next stage.

"For first aid, it is natural to have the most tacit understanding with Director Pang. This is still up to Director Pang to decide."

Zu Liang smiled slightly, and looked at Director Pang, who was in his prime. In fact, he was also very curious about who Director Pang would choose.

Director Pang has three resident doctors under him, and Liu Peichun is the one who has partnered the most in appendicitis operations. However, Dr. Liu is inconsistent, so he is not a very good candidate.

Director Pang felt everyone's eyes, and looked directly at Qin Lang: "Doctor Qin, how about helping me complete this operation?"

Li Ming didn't have too many surprises, and looked at Qin Lang: "Doctor Qin, this is a once-in-a-lifetime opportunity, dare you?"

Zhuang Tong also looked at Qin Lang full of expectations. Director Pang was able to entrust him with such an important operation to hold the mirror, which shows how much he thinks of him.

Compared with the three people who had seen Qin Lang's surgery, Zu Liang couldn't believe it.

"Director Pang, I don't think it's appropriate. This operation is so important, I suggest choosing from among the experienced residents."

Zu Liang questioned that Qin Lang was too young.

Zu Liang is not optimistic about Qin Lang. In order to gild Qin Lang, Director Pang is too hard. In normal operations, choosing Qin Lang to support the mirror will naturally not affect the final result, but this time the operation requires a lot of time. very high.

In case, Qin Lang can't control the surgical field well during the operation, which will delay the extension of the operation time, then the plan they discussed for a long time will be in vain.

Zu Liang looked at Zhuang Tong very seriously: "Director Zhuang, you know the weight of this patient, but there can be no mistakes."

Zhuang Tong took a sip of tea slowly, put down the cup, did not express his opinion, but looked at Qin Lang with a solemn tone: "Qin Lang, what do you think? Director Pang let you be his assistant because he fully trusts you, but You must be aware of the importance of this operation, if something goes wrong during the operation, not only you, Director Pang, but even me will be finished."

Facing Zhuang Tong's powerful aura, the other doctors also stared at Qin Lang covetously.

"I agree with Director Zu's point of view. It's really not appropriate for me to be a helper."

Qin Lang said unexpectedly.

Hearing Qin Lang's answer, Li Ming and Zu Liang were taken aback, so confident?

They were somewhat self-aware, but they gave up so quickly, which inevitably made them feel a little contemptuous. It seems that the people selected by Director Zhuang and Director Pang are embarrassing.

Director Pang was slightly taken aback, but he was not angry, but slightly disappointed.

Li Ming grabbed his cup and looked at Qin Lang thoughtfully.

Zhuang Tong tapped the table with two fingers a few times, did not speak, lowered his head slightly, and smiled lightly. He didn't blame Qin Lang, but felt a little pity.

"Then ask Director Pang to change to a new assistant."

Zu Liang swept across Qin Lang's face with disdain, and continued to advance the consultation.

"I don't think it's appropriate for me to be the first aid, but it's also inappropriate for Director Pang to be the chief surgeon."

Qin Lang directly interrupted Zu Liang's words, and looked at the disappointed Zhuang Tong.

"Ok?"

Zhuang Tong's heart trembled slightly, Qin Lang's confident and conceited eyes at the moment were very familiar, and he blurted out:

"Qin Lang, what do you mean?"

Qin Lang stood up, pushed his seat back, walked to Director Pang's place, and inserted a USB flash drive he had prepared into the computer.

Then he looked at the astonished crowd: "I don't think laparoscopic appendicectomy is very appropriate."

Director Pang pricked up his ears, the familiar feeling of Qin Lang in his eyes came back.

Three wrong, resounding!Looking at Qin Lang with a confident look.

Zu Liang and Li Ming have a sense of absurdity. This is obviously a consultation between the director and senior attendings. How do you feel that Qin Lang is the protagonist this time.

"I think the traditional laparoscopic appendectomy is not the best solution for this patient. So I want to propose a new operation."

After Qin Lang finished speaking, everyone was dumbfounded.

Li Ming wanted to vent, but he saw that Qin Lang had prepared a USB flash drive, with a serious attitude, and the ambiguous attitudes of Zhuang Tong and Director Pang.

However, his tone slowed down: "Qin Lang, then you can talk about it. If you can't say one, two, three, you will be the best."

Zu Liang was very quiet, but he didn't look at Qin Lang, but observed Zhuang Tong and Director Pang, because he doubted whether this was a play by the three of them.

After thinking about it for a while, Zu Liang entered a state of calmness like water. To be able to sit in the position of director of general surgery naturally has a deep understanding and self-cultivation.

This is probably a crucial step in packaging Qin Lang. This Zhuang Tong is usually as immobile as a mountain, but when he makes a move, he is astonished.

However, even if Zhuang Tong and Director Pang gave you a plan, Qin Lang, whom he would question later, showed his flaws, how could it be so easy because of his good looks and good skills.

On the side, Director Pang grinned in pure anticipation: "Qin Lang, tell me quickly?"

"The modification I propose is the suspension airless laparoscopic appendectomy."

While talking, Qin Lang showed pictures of the diagrams of surgical procedures that he had hand-drawn on the white paper.

PS: Thank you for the dangerous 1000 coins of the tunnel machine, boss, please try to code~
(End of this chapter)