Doctor's Life Simulator

Chapter 224 Questions from the provincial capital inspection team!

Director Han Hu, the Director of Achievement led the team, and three other experts. Ma Shuya was the secretary of the inspection team. There were a total of six people in the group.

Director Zhuang and Director Pang personally greeted the delegation.

As soon as he saw Director Han and the others, Zhuang Tong naturally received him cordially. On the scene, the conversation was naturally very happy, and the host and guest had a great time.

Soon everyone arrived at the meeting room that had been prepared earlier.

On the long conference table, Zhuang Tong's people sat on one side, and Director Han and Director Cheng sat on the other side.

"First of all, on behalf of all the medical staff in the Emergency Department of the First Hospital of Hecheng City, I warmly welcome all the leaders and experts of the provincial capital inspection team to come and guide us."

Zhuang Tong was naturally familiar with this kind of reception, and after 10 minutes of hypocritical politeness, Liu Peichun poured a round of tea and finally got to the point.

"This week, our hospital officially launched the endoscopic retrograde appendicitis treatment ERAT pioneered by Professor Liu Bingrong from the Second Hospital of Harbin Medical University, and the suspended airless laparoscopic appendectomy pioneered by our doctors."

Zhuang Tong naturally put the two together on purpose to give these experts a blow.

Except for Han Hu, who had learned about the entire technique through Ma Shuya before, the rest of the experts in the inspection team were shocked, saying that improving a technique would be very remarkable.

"Doctor Liu, let's start."

Seeing the reactions of the members of the inspection team, Zhuang Tong was naturally very satisfied, and directly signaled Liu Peichun to switch the computer page to Qin Lang's hand-drawn operation diagrams and accompanying materials for subsequent operations.

Of course, this procedure was originally completed by Qin Lang, but it was too late to come back.

"Suspension airless laparoscopic appendectomy (NLA), the aging trend of the population has become increasingly severe in recent years. Acute appendicitis is the most common acute abdomen in general surgery, and its incidence in super-elderly patients over 80 years old It is also increasing year by year. With the continuous improvement of the level of surgery, anesthesia and monitoring, the operation of ultra-elderly patients has become normal.

Currently, laparoscopic appendectomy (LA) has become the gold standard for appendectomy.Traditional LA requires the use of CO2 to form pneumoperitoneum under general anesthesia for surgical operations. CO2 is easy to diffuse in the subcutaneous form of emphysema, and diffuses in the blood through the omentum to cause complications such as hypercapnia and cardiopulmonary dysfunction. , whose cardiopulmonary function is often already in a compensatory state, therefore, the application of LA is obviously limited. "

Liu Peichun unskillfully read the speech draft prepared by Qin Lang before, and took a deep breath:

"In the process, Dr. Qin Lang of our hospital, through his own thinking and research, proposed a new and improved surgical method for the special situation of elderly patients, that is, the suspended airless laparoscopy technique, which can be used in Minimally invasive surgery can be completed under hard anesthesia, which reduces the cardiopulmonary function requirements and intraoperative anesthesia risk for ultra-elderly patients."

Several experts were very surprised to hear that it was proposed by Qin Lang's improvement research, and they are naturally very familiar with the name Qin Lang, and it is often mentioned among them.

Then, they all looked at Qin Lang's side, with a hint of doubt on their faces, so why wasn't this handsome young man in the rumors present?
In other words, there is a doubt in my heart, is this technique really improved by him?If he doesn't come out, what is he afraid of?
Especially the effect, he naturally admires this technique, it is indeed a genius idea.

But for the improver, in his view, without more than ten years of skill and repeated surgical attempts on elderly patients, how could it be possible to propose such a targeted and effective optimization?
And as the reformer of this technique, he was absent from such an important meeting today, what else could it be if he was afraid of revealing his secrets?
After having this idea, Guoli thought he had seen everything, so he simply didn't try to expose it, and quietly watched Zhuang Tong's clumsy performance.

Sure enough, after introducing the suspended airless laparoscopy technique, Zhuang Tong showed the results of their operation this week.

Director Pang personally introduced: "This is the progress of the operation in our hospital this week. Counting the two cases completed by Qin Lang before, a total of 61 cases of ERAT and 5 cases of hanging airless laparoscopic appendectomy were performed."

When Director Pang said the amount of surgery, even Director Han Hu, who had been prepared before, opened his mouth slightly.

What an astonishing amount of surgery!
It seems that Zhuang Tong really put all his strength into the emergency department this time, maybe he went into battle himself.

Han Hu was a little worried. After all, one of the problems with the previous results was the waste of medical resources caused by the ERAT operation.

Although the ERAT technique is very cutting-edge, difficult, and even non-invasive.But no matter how complicated it is, it is still an appendicitis operation. For doctors above the deputy director level, if they focus on this and let go of the more critical patients, the gain outweighs the gain.

When Han Hu was contemplating slightly, the result was naturally a slight raise of his brows. What he wanted was that the Hecheng No. [-] Hospital would mobilize the teachers and mobilize all the senior deputy directors and attending physicians who could complete the ERAT.

Of course, there is another possibility that, in order to shock the inspection team, they falsified the number of surgeries and the selection of the surgeon.

If this is the case, then once the truth is revealed, this inspection trip will end with his extraordinary foresight and the conclusion that prefecture-level cities are not suitable for ERAT, which will be a severe blow to his achievements Han Hu's all-round victory moment!

"Abscess formation around the appendix was found in only 61 case of ERAT 1 patients 3 days after operation, which was classified as a complication (1.63%), and the remaining 60 cases were successfully treated (98.3%). As for the recurrence of appendicitis, it will take a year to make a conclusion. Obviously. Our hospital has the ability to carry out ERAT. At the same time, five cases of suspension gasless laparoscopic appendectomy were all successful, with good postoperative healing and normal indicators.”

While Director Pang was speaking, Liu Peichun simultaneously distributed the materials compiled by these cases and each patient's postoperative recovery situation to the delegation.

"This week, under the joint development of Qin Lang and I"

When Director Pang was making a report, Guoguo looked at a stack of materials, and found a very big loophole just in the summary section.

"Director Pang, stop for a moment, I have some questions about this statistics."

As a result, as if he had caught the handle, he launched an offensive.

Seeing the results of the attack, the rest of the expert team members also pricked up their ears.

"Director Pang, the information says that you completed 60 cases of ERAT operations within five days, and four suspended airless laparoscopic appendectomy?"

Hearing the brilliant data completed in five days, Director Pang was naturally very proud: "Not bad."

"But the information also said that there were only two of you performing the surgery, and the main operation was performed by this young man named Qin Lang, who is the improvement of the suspended airless laparoscopic appendectomy you mentioned just now. 60 units in five days, even if it is done in half, the average person needs 6 units a day! But according to your data, Qin Lang completed almost 50 units by himself, an average of 10 units per day!"

Hearing the doubts about the effectiveness, the rest of the expert team also agreed. It is understandable for the doctor to perform one operation for more than 20 hours in a row, but after the operation is completed, it will be postponed for a day or two.

For a mature doctor, the operation time of ERAT is 50-80 minutes, and the average operation time is 60 minutes, which means that Qin Lang spends almost ten hours a day in the operating room for five consecutive days, which is simply impossible.

"Is your data too ridiculous? Moreover, I even suspect that the improvement of suspension airless laparoscopic surgery was not proposed by such a young man."

He is full of confidence in the results. He is very clear about the endurance of the doctors in the operating room. It is already amazing for a person to be able to perform such high-intensity operations for two consecutive days. On the third day, he will definitely be exhausted.

Ten operations for five consecutive days?Not to mention the body, even the spirit has collapsed, how can it be so perfect to complete such delicate operations.

"Snapped!"

As a result, he slapped a document on the table and stared straight at Director Pang, Zhuang Tong and others.

The results are astonishing, and I have already seen my own victory!
The expert group on the side did not expect Director Cheng to be so direct and merciless, but in his heart he also felt that the data compiled by Hecheng City No. [-] Hospital this time was a bit too much.

"Everyone, I think that apart from the amount of surgery and the choice of surgeon, I also have doubts about the patient's postoperative recovery time."

Another expert on the side, as the deputy chief physician who had studied ERAT and followed up the operation, turned to the patient data that Qin Lang was in charge of.

"According to my experience, although ERAT is said to relieve abdominal pain immediately after surgery, the time in bed is almost zero, and the superficial symptoms can indeed reach the state of returning to work immediately, but the recovery of white blood cells and body temperature after the actual operation will take a certain amount of time. And During this period, our hospital has done research, usually within 4 to 5 days. The data of the patients who were operated by Director Pang are relatively real, but the average recovery time of the so-called surgery completed by Qin Lang is only about 3 days, and there is even a case of 2 days. back to normal."

"Of course, I don't rule out the differences in patients' constitutions, but such a large sample of 50 cases cannot be explained by chance."

The expert pushed his glasses, and also pushed the information on the table: "I want to hear your hospital's explanation."

Han Hu on the side frowned slightly. This incident was obviously beyond his expectations. Could it be that the Hecheng First Hospital really prepared the information to cope with this inspection?
That's really not worth the candle, he was a little disappointed with Zhuang Boy's team.

Academic fraud is not absent in this circle, but if it is discovered, it will be over!

For example, Han Chunyu, as the corresponding author, published a research result in the top international journal "Nature Biotechnology".His team invented a new gene editing technology - NgAgo-gDNA
Ma Shuya, the little secretary at the side, felt the tension in the conference room at this moment, shrunk her neck, and looked worried. Although she supported Qin Lang from the bottom of her heart, this statistic would not lie.

Now there are two possibilities in front of everyone, either the emergency department of the First Hospital of Hecheng City, collectively falsified, and packaged the star doctor persona of Qin Lang.

The second is that Qin Lang is really energetic, and his operation is far beyond ordinary people, even to the extent that he can increase the healing of patients through personal skills.

However, as a medical worker, Ma Shuya also had a hard time convincing herself.

When the expert group was in trouble, the door of the meeting room was opened, and a young doctor rushed in panting.

"Qin Corridor!"

(End of this chapter)