Doctor's Life Simulator

Chapter 230 The Erudite Qin Lang, Hypothalamic Hamartoma
[Consume 1 life simulation point to start the simulation]

[You came to the tumor center of the First Hospital of Zijingang and participated in the case consultation and discussion of Professor Shen Xi's team.During the period, Dr. Wang Rou asked you about the case diagnosis of this patient.You know nothing about the field of tumors, so you lost an opportunity to show it in front of Shen Xi. 】

[For this, Shen Xi also thinks it is reasonable, after all, you are just a graduate student who just entered school.The several small doctors under him also failed to find the cause.Shen Xi analyzed the condition and found that the patient was a relatively rare hypothalamic hamartoma.Hypothalamic hamartoma can also manifest as other types of epilepsy, mental retardation and behavioral abnormalities, developmental deformities, and skeletal short stature. 】

[Since the patient is too young, the operation is very dangerous, so Shen Xi called Director Han Hu of the General Surgery Department and his attending physician Yan Zhengqi over.Discuss the best treatment plan together. Hypothalamic hamartoma is resistant to conventional antiepileptic drugs, and is insensitive to ketogenic diet therapy and vagus nerve electrical stimulation therapy. 】

【Therefore, several doctors finally decided to use surgical treatment. Director Han proposed several options, including hypothalamic hamartoma resection, transcranial endoscopic resection, laser interstitial thermocoagulation and Gamma Knife.Listening to these advanced plans, you were also greatly moved. As expected of the Cancer Prevention and Control Center of Zijingang First Hospital, the appendectomy and cholecystectomy performed by you in the city's No. [-] Hospital are not the same. 】

[Professor Shen Xi is not particularly satisfied with Director Han’s plan. After all, the probability of complete remission after traditional hypothalamic hamartoma resection is only 15% to 54%. More severe seizures and fever may result.Therefore, Professor Shen Xi proposed a cutting-edge treatment method: laser interstitial smile technology and radiofrequency ablation technology guided by cranial magnetic resonance imaging. 】

[At the same time, a stereotaxic EEG-assisted scheme is proposed, which can clarify the origin of epilepsy and the range of epileptogenic focus.Director Han Hu was also very surprised by these cutting-edge technologies. Although these technologies have been developed abroad and in several top hospitals in the imperial capital and Shanghai, they have not yet been popularized in Zijingang No. [-] Hospital. 】

[For these advanced plans of Professor Shen Xi, you are also in admiration.As expected of Professor Shen who has the appearance of an academician! 】

[Afterwards, under the theoretical guidance and program design of Professor Shen Xi, Director Han and Dr. Yan Zhengqi performed the operation on the patient together, and the operation was very successful.However, after the postoperative review, Professor Shen Xi proposed some more optimized details.Han Hu admired Professor Shen's ability and level.Director Han also encourages you to study well with Professor Shen. 】

[In the following time, while you follow Professor Shen to participate in the treatment of various tumor patients, you will continue to return to the emergency department of the city's first hospital for shifts.Because the surgical procedures in the field of tumors are very difficult and complicated, Professor Shen Xi only let you participate in some, and you did not have the opportunity to be the chief surgeon. 】

【Six months later, you were promoted to attending physician.You came to Zijingang No. [-] Hospital and learned the knowledge in the field of tumor from Professor Shen. 】

[Next, apart from the Wound Treatment Center of Huishi No. [-] Hospital, most of your energy will be spent on studying with Professor Shen.However, Professor Shen's subjects are very difficult. You have spent a lot of time and energy, but the results are not obvious. 】

[One year later, several of your projects won the first prize of natural science in Hecheng City, and you became the core backbone of the city's first hospital.However, in the Cancer Prevention and Control Center of Zijingang First Hospital, you are just an ordinary graduate student.Although you are good at basic surgery skills and have helped Shen Xi complete some projects, your scientific research ability has not met her requirements. 】

[Afterwards, you returned to the First City Hospital.Continuing to play the residual heat in the treatment center. 】

[At the age of 35, you were promoted to Chief Physician. Due to his outstanding contribution in the treatment center, Wei Guoqiang served as the executive vice president of the First Hospital of the city.And you, in addition to the field of burns, have also become an expert in acute abdomen.However, you are still a little bit unwilling, after all, you can't continue your research with Professor Shen. 】

[At the age of 45, a subject of Professor Shen's tumorigenesis mechanism and prevention has entered a bottleneck, and he has been unable to make progress throughout his life.For this, you also have more than enough energy. 】

[At 50, your medical device company has become bigger and stronger, and you have become a businessman more than a doctor.Years of high-intensity work has caused problems in your body. 】

[At the age of 52, you resigned as a doctor and started retirement. 】

【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, 52-year-old doctor skill]

[2, 52-year-old clinical experience]

[3, 52-year-old medical wisdom]

Looking at his own simulation, Qin Lang lamented that every topic in the field of tumors is very difficult to overcome, as long as he makes a little achievement, he can achieve success.Obviously, it is difficult to take this step with one's own talent and level.

It seems that in the future, after Professor Shen Xi gives himself a specific research direction and topic, he needs to add some medical wisdom and simulations of several lifetimes before he can achieve anything.

This time, Qin Lang first chose the second option.

In the small conference room, Shen Xi blinked at Qin Lang, and Wang Rou and several of Professor Shen's junior doctors also looked curiously at this Professor Shen's graduate student.

"Qin Lang, talk casually, it doesn't matter if you don't understand."

Shen Xi spoke softly, encouraging Qin Lang.

Qin Lang cleared his throat and talked eloquently:

"I really know something about this disease, because I want to follow Professor Shen to learn new topics in the field of tumors, and I spent a lot of time reading many journals in this field."

Seeing that Qin Lang was really ready to share his views endlessly, Wang Rou was also taken aback, she just asked casually, you really know!
A few other junior doctors also looked at Qin Lang with a sense of urgency. Is this really just a graduate student who just entered school?
Everyone listened to Qin Lang's detailed explanation:
"According to the patient's silly epilepsy, the clinical symptoms of niche precocious puberty, and the patient's MR examination and CT scan, you can see the nodule shadow in the hypothalamus area, which is connected with the gray nodule. So I judge that the symptoms of this patient are very rare. hypothalamic hamartoma."

"Hypothalamic hamartoma?"

Wang Rou and the other junior doctors frowned, never heard of it!Several people looked at Professor Shen Xi.

Professor Shen's complexion changed slightly, and she did not expect Qin Lang to be able to find the cause of the disease, but, how did he do it?
Shen Xi signaled Qin Lang to continue: "Continue."

Seeing Shen Xi's attitude, several junior doctors were very surprised. It seems that Qin Lang is really right!

Qin Lang continued to explain:

"This congenital dysplasia has a population incidence of about 1/5-10. It mostly occurs in early childhood, and women are slightly more than men. The clinical manifestations of hypothalamic hamartoma are relatively characteristic, mainly manifested as niche Precocious, jerky-like epilepsy can be accompanied by varying degrees of mental retardation, and some cases are accompanied by diabetes insipidus."

After Qin Lang finished explaining, Shen Xi nodded approvingly:
"Qin Lang, what you said is very correct. This patient is indeed a hypothalamic hamartoma."

"Wang Rou, go and call Director Han and Dr. Yan from the General Surgery Department to have a consultation and work out a treatment plan together."

While making arrangements, Shen Xi also had an idea in his heart, whether or not to let Qin Lang participate in the operation process later.Of course, Qin Lang is still unable to participate in the operation specifically, but he can find a relatively simple operation at that time and let him start as an assistant.

It was Qin Lang's performance that gave her great surprise and expectation.

After a while, Director Han and Dr. Yan rushed to the conference room of the Cancer Prevention and Control Center.

(End of this chapter)