Doctor's Life Simulator

Chapter 222 The provincial capital investigation group came to the first hospital of the city (the third update, please subscribe)
Immediately afterwards, Han Hu narrated his views:
Some studies have pointed out that the incidence of intestinal flora imbalance in patients with appendix removal is significantly higher than that of people without appendectomy. Existence is reasonable. Although surgery has been developed for so many years, we need to explore the mysteries of the human body There are many more. Therefore, if the organs can be preserved, try to preserve them as much as possible, not one size fits all.

After listening to Director Han's remarks, many participating experts nodded slightly: What Director Han said is very reasonable. Are there really useless organs in the human body?Is it really possible to cut across the board at will?

Now Huaguo has set up the "Cholesterol Preservation Group", advocating the preservation of the gallbladder as much as possible; gynecology is also advocating the preservation of the uterus as much as possible. Although they can't say clearly what the effect of preserving the uterus is, they believe that preserving the uterus can delay aging. , Stabilizing endocrine effects, etc.

Seeing that everyone accepted his opening, Han Hu continued to analyze:
In addition, ERAT is a very good solution for many children and elderly infirm patients, as well as patients who cannot be operated on for various reasons, except for those who have special needs for beauty.Therefore, the popularization of ERAT in prefecture-level city hospitals will not lack a stable source of disease as Director Cheng thinks.

In addition, the core part of this operation is endoscopic retrograde angiography (ERA), which can make the diagnosis of acute appendicitis, and it can even be called the gold standard for diagnosis after several years.

If leakage of contrast medium is found under ERA, gangrene and perforation can be judged, and it is enough to transfer to general surgery for surgery. For mild appendicitis, ERAT is currently the best indication.

As mentioned earlier, some patients can achieve results through conservative treatment, but if the obstruction is not relieved, it is easy to relapse.However, ERAT itself is very minimally invasive, and it can immediately contact the obstruction and relieve abdominal pain immediately.To put it bluntly, it is just a colonoscopy.

There was an 8-year-old boy who had appendicitis in a child, and the pain was excruciating.We did ERAT for him. After getting off the stage, he ran all over the gastroscopy room. The pain was gone, and the family members including us were very relieved.

Just imagine, if this kind of operation can be promoted in municipal hospitals, patients will have such a good choice, and not everyone has the ability to come to the capital to see a doctor!

After talking a lot, Director Han looked at Director Cheng: "So I think that the ERAT operation performed by the First Hospital of Hecheng City this time has important experimental significance for our Provincial Medical Association."

In the conference room, most of the doctors were convinced by Director Han's picture. Compared with Director Cheng's independent ERAT department in the concentrated area, Director Han's plan can naturally benefit more patients in need.

Seeing everyone's reaction, Guoguo frowned slightly, but soon found the place of attack, which was Qin Lang:
"What I said so much is just Director Han's wishful thinking. I don't believe that Hecheng No. [-] Hospital can carry out this kind of operation, and it is such a young doctor."

"Of course, we have said so much. The most important thing is how the Hecheng First Hospital is doing in terms of ERAT surgery. Facts speak louder than words. Why don't we form a research team and go to the Hecheng First Hospital to investigate the difference? It's clear."

Director Han clasped his fingers together and looked at the result.

"However, the No. [-] Hospital of Hecheng City has just begun to carry out this technique. The sample size is too small to be convincing."

If it was just an operation, even a flying knife would do, and the medical records he had seen were too numerous to count, so the results were naturally thoughtful.

"This is very simple. I can contact Director Zhuang Tong of the Emergency Department of the First Hospital of Hecheng City and ask him to focus on the ERAT operation in the next week. After a week, our expert team will go to the field for field inspection. Maybe we will meet again to other surprises."

Han Hu had just read the two medical records given to him by Ma Shuya, one was ERAT, and the other was naturally a genius-like improved procedure: hanging airless laparoscopic appendectomy.

Of course, one of the reasons for this investigation was naturally his appreciation of Qin Lang itself, the second reason was his strong desire to promote the construction of the provincial acute abdomen department of the No. Step on results.

"Qin Lang, don't let me down."

Although Han Hu has not seen Qin Lang's ERAT surgery with his own eyes, he has full confidence in Qin Lang after experiencing the previous incident.

"Then it's a word."

The result is naturally to believe in his own experience. He just can't understand such a small fresh meat like Qin Lang. Through false packaging and establishing a person, how can he have any thoughts on specializing in technology, so that this kind of person can flourish in the academic circle? Shui Qi was simply an insult to the older generation of doctors who are rich and poor.

After the academic conference in Hangzhou ended and before the delegation took off, Zhuang Tong received a call from Hang Hu.

Of course he was looking forward to and anxious. This was a huge opportunity for Hecheng No. [-] Hospital to show his face, but it might also directly lead to the death of his provincial-level subject plan.

Zhuang Tong directly called Qin Lang, who was the cause of the incident, and Director Pang, who was in charge of the plan of the provincial-level subject of acute abdomen, to the office.

"You all know the things on Weibo, right?"

"This time, Qin Lang's move caught us all by surprise. We wanted to take a long-term plan, but now the ERAT operation can only be carried out in advance. I have already received a call from Director Han of Zijingang No. [-] Hospital. A week later, they A team of experts will be organized to come to our institute for inspection and study.”

Zhuang Tong frowned, a little anxious.

"Is there any effect?"

Director Pang's comments on Weibo about the results, as well as his slight disdain for the First Hospital of Hecheng City, naturally made him very upset.

"Of course, Director Pang, you know that there are different opinions in the Provincial Medical Association on the establishment of a provincial acute abdomen department in our hospital. Director Han naturally supports us, but Director Cheng has always disagreed with Director Han. , It has always been a suppressive attitude towards our hospital."

"So, within a week, I want you to find a way to complete a sufficient number of ERAT cases. We need to establish a statistical data. We need a good enough cure rate and minimal complications. I have contacted all the brothers in Hecheng City Unit, as long as suitable patients are screened, they will be sent to our hospital."

"The abdominal pain was relieved immediately after ERAT, and there was almost no time in bed, so the next five days were really enough to build a very convincing database. I need at least 40 cases."

For a week, an average of eight units per day, Qin Lang and Director Pang averaged four units per person per day, which can basically be completed.

After all, whether a surgery is successful or not, the patient’s good prognosis is the most important thing until the patient recovers. During the surgery, no matter how perfect it is, infection and complications during the surgery will still be judged as unsuccessful. of.

"Director Pang, Qin Lang, the operation this time is very critical. It is related to the construction of the provincial-level discipline of acute abdomen in our emergency department, so I hope you can complete it perfectly. After Director Han and Director Cheng come, give them a surprise."

Zhuang Tong looked at Qin Lang and Director Pang very seriously.

"Guaranteed to complete the mission."

Director Pang and Qin Lang answered in unison.

"Very well, the two of you are in charge of the main surgery. As for the mirror assistant and the first assistant, if there are not enough staff, I will transfer them from the general surgery department. I have already passed the meeting with Director Zu."

"Ok."

For the upcoming inspection team of the provincial capital, even if they feel the pressure, they are also full of enthusiasm to prove themselves.

"Qin Lang, Director Han is also very interested in your suspended airless laparoscopic appendectomy. In addition to ERAT, you also need to perform several within this week."

Zhuang Tong added that although Qin Lang was under great pressure, Zhuang Tong still wanted to see where his limit was.

"Okay, I know."

The small meeting about ERAT ended quickly, when Qin Lang and Director Pang walked out of the office.

Many patients were already on their way to the No. [-] Hospital of the City, especially Wang Xinxin's Weibo post, which made many patients realize that the No. [-] Hospital of Hecheng City still has this non-invasive treatment method for appendicitis.

In the next five days, Qin Lang and Director Pang performed ERAT simultaneously.

[Ding, new task: complete 40 cases of ERAT operations within a week, and 5 suspension-type airless laparoscopic appendectomy.Task rewards: 1.1 life simulation points, 2. Talented super surgical field: able to see 10 times clearer surgical field. 】

On the first day, Director Pang finished four operations and was exhausted. Under the physical strength potion, Qin Lang easily completed eight operations. Except for the noon break, one operation followed another in the morning and afternoon. There is no rest.At the same time, a suspended airless laparoscopic appendectomy was performed.

The most admirable thing is that even the final stitching was done by himself without leaving it to Kazusuke.

The next day, Director Pang naturally had four more sets. As he gets older, it is naturally slow to recover his energy. In addition, he had a 20-hour + major operation on one set a few days ago.There was a long break between each operation on this day.

Qin Lang naturally completed eight sets in a row, without resting at all in the middle, and being stingy, the assistants didn't even get the stitches and knots.At the same time, a suspended airless laparoscopic appendectomy was performed.

On the third day, Director Pang looked at Qin Lang's surgery volume, smoked a cigarette silently, and calculated the average surgery volume of the two according to the current calculation method of per capita wages, so only two were done.

Then, during the day, Qin Lang used the normal uninterrupted eight channels again.At the same time, a suspended airless laparoscopic appendectomy was performed.

Well, there are 5 units per capita, which is already up to the standard!

On the fourth day, Director Pang was an old man, with aspirations for thousands of miles, his legs were weak, and he only made one.

During the day, Qin Lang continued to build another eight ERATs. Because he was too involved, he didn’t even have a break at noon. After finishing eight more sets, he completed a suspension type. There was still time, and he made two more ERATs.

At the end of the fourth day, we saw 5.5 surgeries per capita!Increase instead of decrease!

Director Pang had a bold idea...

On the fifth day, Director Pang was drunk and looked at the sword with the light on. He dreamed of going back to the horn-blowing company and slept at home for a whole day.

Qin Lang is naturally non-stop, working from daytime to get off work. Due to the continuous repetition of ERAT these days, Qin Lang found that with the accumulation of surgery volume, his speed and completion have further improved!And I have my own special experience for ERAT!

On this day, Qin Lang was fascinated, come to one, make one, make one, come to one.
In the end, after the assistant and the equipment nurse changed several times, they were really tired and stopped the operation.

Director Pang was lying at home, and the number of surgeries per capita surged to 8 that day!
Director Pang has the illusion that he is a negative number!The less you do, the higher the total amount?

A total of 61 operations were completed in five days: 4 EARTs, [-] suspension gasless laparoscopic appendectomies.In addition to Wang Xinxin's before, Hecheng No. [-] Hospital, the database of the first batch of EART pilot projects was perfectly established.

On the sixth day, Qin Lang was forced to take a day off by Zhuang Tong and Director Pang. On the seventh day, it was also the last day of the week.

The expert team led by Director Han and Director Cheng came to the First Hospital of Hecheng City.

(End of this chapter)