Doctor's Life Simulator

Chapter 218 Endoscopic Retrograde Appendicitis Treatment for ERAT
Chai Shanshan directly sent prestige to Qin Lang: "Doctor Qin, I have a friend who has acute appendicitis. I recommend you to her. She is already on her way to the city's first hospital."

"Sweetheart leader Wang Xin~ a grimace."

After reading it, Qin Lang also had the idea of ​​being the main surgeon. After all, patients with endoscopic retrograde appendicitis treatment (ERAT) are not often encountered. One is that ordinary people do not have a high demand for non-invasive treatment. This type of operation is indeed expensive, and it is not a conventional operation.

After seeing this information, Qin Lang's heart was itching, and after saying goodbye to Tang Yue, he returned to the emergency department quickly.

Qin Lang quickly asked the nurse about Wang Xinxin's news. After all, it is impossible for a star of this level to go to the city's first hospital without attracting attention. He learned that Wang Xinxin had been transferred to the general surgery department.

After Chai Long's operation before, Qin Lang is also familiar with several doctors in the general surgery department.I happened to meet Director Zhuang Tong. Director Zhuang was invited by Director Zu to attend Wang Xinxin's surgery consultation.

Seeing Qin Lang, Director Zhuang also thought it was a coincidence, and with a thought, he beckoned to Qin Lang: "Qin Lang, come with me to the general surgery department, and we have an appendicitis surgery consultation to discuss together."

When Zhuang Tong and Qin Lang came to the general surgery ward, Zu Liang and Li Ming looked over.

Zu Liang was also a little surprised to see Qin Lang, but thinking about Qin Lang's impressive ability and Zhuang Tong's respect for him, he thought it was reasonable, so he said hello: "Director Zhuang, doctor Qin, come to us Let's have a consultation together. Let's discuss Wang Xinling's operation plan."

Hearing Doctor Qin's three words, Wang Xinxin also looked over. Naturally, he was very surprised, and he was stunned for a second: "It's you!"

The manager also didn't expect to see the young doctor Qin Lang again: "Director Zu, who is this?"

Zu Liang also didn't expect Qin Lang to meet Wang Xinxin: "This is doctor Qin Lang, who is on rotation in our emergency department. He is young and promising, and has a lot of experience in appendicitis surgery."

"Just now, Chai Shanshan told me that you performed a specially designed suspension airless abdominal laparoscopic surgery on his grandfather. Didn't you say that there is a way to operate on me without affecting Ming's surgery? Work the day after tomorrow?"

Combining what Chai Shanshan told her, Wang Xinxin asked eagerly.

Hearing that Wang Xinxin skipped over her and asked Qin Lang directly in front of Director Zu, the manager was naturally a little confused, and immediately took over: "Director Zu, there is really such a thing as Doctor Qin said that it will not affect the work tomorrow or the day after tomorrow. Appendicitis surgery?"

After all, Zu Liang said before that the best way is to use umbilicus laparoscopic surgery, but this kind of surgery also takes a week for initial recovery.

Qin Lang's manager didn't believe in Qin Lang's technique, which can be cured on the same day.

Zu Liang was surprised by Qin Lang's treatment plan for Wang Xinxin, and he naturally understood what Qin Lang was talking about based on his experience.

It's just that there is no precedent for this kind of plan in the First Hospital of Hecheng City, right?

To be honest, he is not very sure, and naturally he will not easily propose such a risky plan.

However, he did not deny it, and said slowly: "The treatment plan that Qin Lang said does exist."

"Really? That's great, just do this."

Wang Xinxin and his agent spoke in unison, excited.

"However, this plan has not been carried out in our hospital. It is very difficult and there are uncertainties in the operation."

Zu Liang explained that he naturally didn't want to use this technique unless it was absolutely necessary.

"This is what I want. There is a risk, and I am willing to take it."

Wang Xin gritted his teeth and looked at Zu Liang with determination.

"The work tomorrow and the day after tomorrow is too important for Wang Xinxin. Director Zu, please help us carry out this operation. With your senior qualifications and understanding of appendicitis surgery, it must be easy to grasp."

The manager also saw hope, so he naturally wouldn't compromise easily. He naturally ignored Qin Lang who first proposed this plan.

After all, in his eyes, there is no need to think about which side to choose between an experienced chief physician in his forties and a kid under 30 years old.

Wang Xinxin also looked at Zu Liang pleadingly, as for the existence of Qin Lang, he had long ignored it.

"Director Zu, just use this spell for me."

"Endoscopic Retrograde Appendicitis Treatment (ERAT) is indeed the first in China in the field of appendicitis. It was first proposed by Professor Liu Bingrong from the Second Hospital of Harbin Medical University, but when it comes to its principle, it is not unfamiliar. It It was extracted from endoscopic retrograde cholangiopancreatography (ERCP).

Although he didn't understand what Director Zu was talking about, Wang Xinxin and his manager were already extremely convinced by telling the past and present of the art so easily.

"To be honest, I have been practicing ERCP for almost seven years, and I have more than 1000 cases. So far, I have experienced every complication mentioned in the book, so I understand the core principles of this type of operation. On the chest. However, the specific operation of endoscopic retrograde appendicitis treatment for ERAT is still different. For the first time, I was worried that there might be complications after operation. Dare to say mastery. After all, the kind of geniuses who can do things smoothly the first time are rare."

Speaking of this, Zu Liang suddenly paused, and glanced at Qin Lang who was standing aside, isn't it the kind of person who can do it for the first time?
Zu Liang smiled bitterly, and continued: "It is not impossible to perform endoscopic retrograde appendicitis treatment for ERAT, but if the operation is unsuccessful, it will still be switched to surgery. You must be mentally prepared for this."

As the chief physician, Zu Liang naturally has his own pride. After all, Qin Lang has just performed a perfect case of suspension airless laparoscopic surgery. He still has a certain degree of confidence in trying ERAT, which is of the same origin as ERCP.

"Great."

Wang Xinxin listened to Zu Liang's agreement, endured the pain, clenched his fists and shouted.

"However, before that, the physical examination and filming that should be done are still needed. If the confirmation is correct, the operation will be performed immediately."

Zu Liang finally came to a conclusion.

The agent immediately took Wang Xinxin to do the corresponding inspection.

There are only a few doctors left in the consulting room.

"Qin Lang, you talked about ERAT with Wang Xinxin before, do you know anything about this technique?"

Although Zu Liang agreed to Wang Xinxin to try ERAT, but looking at Qin Lang, he had a new idea.

"It's very familiar. I've watched Professor Liu Bingrong's surgery video many times before. In fact, I came here before and wanted to participate in this surgery."

Qin Lang didn't hide it either.

"Is that so."

Zu Liang pondered for a while: "If I leave it to you to be the chief surgeon, how sure are you?"

Without hesitation, Qin Lang blurted out: "It's the same as the suspension gasless laparoscopic appendectomy before. Although it's the first time, I'm confident that I can do it."

Looking at Qin Lang's handsome and serious face, and thinking of the scene in the operating room last time, Zu Liang's heart was slightly shocked, this kind of sharp self-confidence.

Even at his age, he still can't escape the fear of being dominated by a bully!
"Qin Lang, I will be the surgeon later, and you will be my assistant. During the operation, I mean in case, if I can't do it, you will take over."

Compared to switching to surgery halfway through the operation, Zu Liang would rather take a gamble and trust Qin Lang.

After all, it was about the patient's health, and the reputation of the city's first hospital, compared to his own face, was naturally put at the end.

Of course, he is still confident that he can handle it, and Qin Lang's taking over is just a plan B.

"it is good."

Qin Lang agreed.

Soon Wang Xinxin completed various inspections and confirmed that the appendicitis had no perforation and gangrene, which met the criteria for endoscopic retrograde appendicitis treatment for ERAT.

Twenty minutes later, in the operating room, Zu Liang and Qin Lang were all ready.

Zu Liang is the chief swordsman, and Qin Lang is the first assistant.

The operation of ERAT does not require surgery, and the appendix cannulation is performed directly through the endoscope.

The normal opening of the appendix is ​​covered by the Gerlach's flap, so the transparent cap of the endoscope must be used to push away the Gerlach's flap before the appendix cannulation can be performed.

This kind of operation requires blind operation. It is just a simple push, but it is as simple as getting up in the middle of the night and touching the light switch by the bedside.

But because it was the first time, Zu Liang felt like a needle dropped in the muddy water.

After trying for a full 3 minutes, I still couldn't find the entrance, and the sweat was lying down directly from my forehead. Although I tried my best to control my mentality, I still had no clue.

Not everyone can complete the new operation without the guidance of a mature doctor.

ERCP surgery involves the pancreaticobiliary duct, and its anatomical structure is naturally different from that of the appendix.

Zu Liang was a little embarrassed, and looked to Qin Lang for help. Of course, he hoped that Qin Lang could do it, but he didn't want Qin Lang to really do it.

[Ding, new mission: Temporary rescue.Help colleagues complete Hecheng First Hospital, the first endoscopic retrograde appendicitis treatment ERAT, task reward: 1. Life simulation point 1 point]

Qin Lang and Zu Liang switched roles, and Zhuang Tong and Li Ming, who were watching from the sidelines, were amazed.

When switching roles during an operation, it is usually the lower-level doctors who can’t solve the problem, and the higher-level doctor next to him will shake his head and sigh, step out with an unfathomable step, take the scalpel in one hand, and cut two out of three times. Solve it easily, and then reap a meal of worship and kneel and lick from the next level.

But now Qin Lang has replaced Zu Liang, what does this mean?
(End of this chapter)