Doctor's Life Simulator

Chapter 247 Simulation, get a new perfect skill!
【You follow Professor Shen Xi to learn the surgical procedures in the field of tumors.In the next time, apart from your rotation in the emergency department of the city's first hospital, you will find an opportunity to come to Zijingang first hospital for surgery practice.During this period, your talent: Blessed to the spiritual activation, a month later, your laryngeal dehiscence tumor resection reached an advanced level, Shen Xi and Han Hu reluctantly accepted this. 】

[Afterwards, you continued to learn surgical procedures in the field of tumors. Because you mastered the treatment of massive bleeding in chest tumor operations at the master level, you played an important and key role in several operations.Shen Xi and Han Hu appreciate you very much. 】

[Next, you continue to work and study back and forth between the two hospitals.Six months later, your previous research project in the Burn Unit has come to fruition.At the same time, several surgical procedures in the emergency department were also promoted.You are in both the Society for Burn Surgery and the Society for General Surgery.At the same time, the attending physician was promoted. 】

[In order to study laryngeal dehiscence tumor resection and pleural tumor resection, you started to participate in many operations with Director of General Surgery Zu Liang and Director of Thoracic Surgery Zhou Heng. 】

[At the age of 35, you were promoted to chief physician, and Wei Guoqiang served as the executive vice president of the city's first hospital due to his outstanding contribution in the treatment center.And you, in addition to the field of burns, have become a top expert in laryngeal dehiscence tumor resection, pleural tumor resection, and the management of massive bleeding in chest tumor surgery. 】

[At 40, you continue to study these techniques.At the same time, you followed Professor Shen Xi to start a project on tumor exosomes and liquid biopsy. The significance of the project lies in the early diagnosis of tumor lesions, real-time monitoring, personalized treatment, precise drug targeted therapy and prognosis assessment. 】

[45 years old, your skills in dealing with massive bleeding during chest tumor surgery have reached a new level and entered the perfect level.Combined with your flawless suturing skills, you have mastered a whole new way of suturing with the Double Vessel Stapler.This method, in the treatment of thoracoabdominal aorta, has less trauma, quicker postoperative recovery, safer, more effective and minimally invasive.There are few postoperative complications, and it has clinical promotion value.In addition to truly achieving minimally invasive treatment, shortening the length of hospital stay and increasing the utilization rate of beds is beneficial to patients themselves, their families and society. 】

[At the age of 46, you proposed to use Habib 4X coagulation electrode to perform radiofrequency ablation of the hemostatic cutter during the resection of tumors in the pleural cavity.This instrument, which was originally used for liver resection, was perfectly applied to tumors in the pleural cavity. 】

[At 50 years old, the several tumor surgeries you have specialized in all your life have all reached the perfect level.However, on the subject of tumor exosomes and liquid biopsy, Shen Xi’s wish was still not fulfilled, and the subject was eventually shelved due to your lack of energy. 】

[55 years old, your physical strength and energy are no longer suitable for you to perform surgery on the front line. 】

[58 years old, due to your average health, you have to retire early. 】

[You ended your career as a doctor. 】

[Simulation ends, doctor career evaluation, chief physician 64/80]

【You can retain one of the following abilities】

[1.58-year-old doctor skills]

[2.58-year-old clinical experience]

[3.58-year-old medical wisdom]

Qin Lang directly chose the second item, waiting for these techniques to be upgraded to the perfect level.

[Congratulations to the host for obtaining clinical experience at the age of 58]

[Host: Qin Lang
professional skills

Grade: Chief Physician 64/80
professional skills:
Basic surgical operations (cutting, suturing, exposure, etc.): perfect level
Burn plastic surgery skills: (omitted)
General surgery skills: (omitted)
Pleural Tumor Resection: Master Class

Treatment of bleeding in chest tumor surgery: perfect level, master the new Habib 4X coagulation electrode, the new suture method of double vessel suturing device
Laryngoschisis Tumor Resection: Perfect Grade

Special Skills:
Vision: +1
Smell: +1
Main knife aura: It can make the cooperating assistant feel at ease, and at the same time improve their operation level to a certain extent
Super Recovery: The main surgeon recovers after the wound, and the healing speed is accelerated by 20%
Super surgical field: Can see 10 clear surgical fields
(omitted)]

Qin Lang looked at the simulation results this time, and sure enough, as long as he spent time on some basic surgeries in the burn department and emergency department, he could basically achieve results.

However, this time the topic in the field of tumors is different. Even after spending a whole life trying to simulate it, there is still no result.

It seems that in the future, we can only simulate a few lives too much, or break through these difficult topics by increasing the wisdom of doctors.

Medicine, as expected, is getting more and more difficult as it goes up. It is no longer just relying on time and the amount of surgery to pile up, it needs talent, inspiration, and luck.

Qin Lang calculated that he still has 6 remaining life simulation points, and when he followed Professor Shen Xi to take charge of the tumor field, he started to simulate.

I hope that we can achieve something by then. After all, it is a milestone to find a reliable method for the early diagnosis of tumors.

Of course, before that, Qin Lang needs to lay a solid foundation step by step, continuously stimulate various tasks, and obtain rewards for life simulation points.

After thinking about it, Qin Lang said to Yan Zhengqi:
"Doctor Yan, Director Han hasn't come to watch my surgery recently. I hope you can invite him over for the next surgery for laryngeal cleft tumor. As for Professor Shen, I will personally invite him."

Qin Lang is now under the perfect level of laryngeal dehiscence tumor resection, of course he is full of pride, and even wishes to start another one now.

Regarding Qin Lang's request, Dr. Yan was obviously a little bit taken aback. Professor Shen was persuaded to leave by your appalling operation just now, and you want to invite him over from the next one?
Director Han didn't come these days, and that's what he meant. After all, there was no obvious progress, and they were very busy.

Doctor Yan really wanted to tell Qin Lang, don't you know your current level?

However, seeing Qin Lang's confident and earnest request, he finally agreed:

"Then after you go back in the past few days, after reviewing and summarizing, I will arrange the next operation for you. After that, Director Han and Professor Shen will come back to watch. I hope you will not let them down. Otherwise, please come over , but the gain outweighs the loss.”

Although Dr. Yan didn't quite understand it, he still respected Qin Lang's decision, but, at that time, what the two directors thought was out of his control.

After the operation was completed, Qin Lang had already gotten used to running at both ends, and drove back to the city's first hospital.

Dr. Yan went to Director Han, and Qin Lang wanted him to watch his next laryngeal dehiscence tumor resection.

Han Hu was a little surprised by Qin Lang's request. After all, in his department, the little doctor would hide as far away from him as possible, so he dared not ask him to come and guide him.

"It seems that Qin Lang has gained a lot of confidence after the operation these days. Okay, I'll go and watch."

Han Hu complied, and was also curious about how far Qin Lang had practiced, so he dared to take the initiative to invite him.

Doctor Yan wanted to tell Director Han not to expect too much, but in the end he held back. In fact, he didn't know what kind of medicine was sold in Qin Lang's gourd.

Obviously, today's operation is still a novice, so is it possible that the next one will be able to advance by leaps and bounds?
When Yan Zhengqi arranged for Qin Lang's next operation, Qin Lang had already returned to the city's first hospital.

In the general surgery department of the First Hospital of the city.

Today is the day when Zu Liang performed surgery on the patient with mid-esophageal cancer.

Originally, Zu Liang was appointed as the chief surgeon, and Zhou Heng, the director of the Thoracic Surgery Department, came to check it out, but unfortunately, there was a very serious patient in the Department of Thoracic Surgery, which required a multi-departmental joint operation. Zhou Heng could only participate in this one. Crisis surgery.

Director Zhuang Tong from the Emergency Department, Director Chu Tianxiong from the Department of Orthopedics, Director Zhou Heng from the Department of Thoracic Surgery, and Director Wei Guoqiang from the Department of Plastic Surgery and Burns participated in this consultation.

After Zhou Heng made the arrangements, Zu Liang of course needed to readjust the surgical team. In order to be able to stagger as much as possible with Director Zhou's operation, the operation time was moved back. It's just that Director Zhou's operation was too long. I started first, and after a while, Director Zhou rushed over.

Zu Liang called several doctors under his command for a meeting, after which it was confirmed that Chen Feng and Zhou Ming would be the assistants of Zu Liang.

And I heard that Qin Lang followed Shen Xi to learn chest tumor surgery these days. At the same time, Qin Lang's suture technique itself is the best in the city's first hospital surgery. After Zu Liang knew that Qin Lang had returned to the emergency department, he asked Zhou Ming to Qin Lang also invited over together.

Qin Lang was honored to be invited by Director Zu, and he was also very interested in this kind of esophageal cancer resection.

The reason why Zu Liang invited Qin Lang to the surgery team was because of his own ideas. Although he was confident, with his experience and qualifications, there would be no bleeding during the surgery.But after all, in terms of the choice of surgical approach, the method he adopted was not optimal, so calling Qin Lang was a backup.

If there was really massive bleeding during the operation, Qin Lang could at least contribute to the stitching.

Before the operation, Zu Liang carried out accurate clinical staging according to the plan made together with Director Zhou, and learned in detail the exact location of the tumor, the depth of local invasion, and the relationship with the important structures around it, such as large blood vessels. .

In order to be more accurate, contrast agent was injected into both upper limbs at the same time, so that the innominate veins on both sides can be clearly visualized.

After completing the general anesthesia on the patient, the actual operation began.

The patient was lying on the right side. Director Zu made a chest wall incision along the entire length of the patient's sixth rib. He skillfully cut through the muscle layer and entered the chest from the rib bed.

Chen Feng on the side assisted Zu Liang, and after a while, he pushed the front of the lungs away, exposing the posterior mediastinum.

As the director of general surgery at the city's No. [-] hospital, Zu Liang still had two brushes, and in a short while, he completed the cut of the mediastinal pleura.

"Start, free the esophageal tumor!"

Zu Liang took a deep breath, lifted his spirits, and started the most critical and dangerous dissociation.

Because the esophageal tumor was closely attached to the thoracic aortic arch, the field of vision was very poor. Although Zu Liang had experienced many battles, he inevitably made mistakes in judgment.

A proper artery of the esophagus was accidentally torn, and in an instant, a large amount of blood gushed out!

Oops!

Zu Liang's expression changed drastically, and Chen Feng and Zhou Ming beside him were even more nervous.

The rupture of blood vessels during this kind of tumor surgery will cause massive bleeding. If it is not handled properly, the consequences will be extremely serious!

"Zhou Ming, you go to the thoracic surgery operating room to find Director Zhou Heng, and tell the situation here. According to the time, they should be here soon."

"Chen Feng hemostatic forceps and hemostatic gauze are prepared to assist me in the hemostasis of the blood vessels, and clean up the bleeding points to provide a clear vision!"

"Qin Lang, stand by. After Dr. Chen and I stop the bleeding, assist me in suturing the blood vessels. The faster the suturing, the better."

Zu Liang issued three orders in a row with a dignified expression. After all, it was the time of life and death. After taking the hemostat from Chen Feng's hand, he quickly began to clamp the bleeding blood vessels and surrounding tissues. wild clear.

However, what is surprising is that Zu Liang clamped one section, and a crack appeared in the other.

"No, Qin Lang, hurry up and help me, now I can only stop the bleeding and suture at the same time!"

Looking at this situation, Zu Liang was somewhat unexpected. Over the years, this patient's hemorrhage was the most serious he had ever encountered.

[Ding, new task: Use various techniques to stop bleeding for the patient, complete suture at the same time, and assist Director Zu to complete the subsequent esophageal cancer resection.Task reward: 1.1 points of life simulation, 2. The theory of exosomes in early diagnosis of various tumor diseases: entry level. 】

(End of this chapter)