Doctor's Life Simulator

Chapter 255 The Impressed Thoracic Surgeon

After diagnosing the real cause of the patient, Director Zhou immediately launched a consultation to discuss the surgical plan.

Regarding the treatment of the thoracoabdominal aorta, Director Zhou is of course very experienced, and quickly determined the surgical plan, which is the traditional treatment plan: aneurysm resection + artificial blood vessel replacement.

Director Zhou performed the surgery himself, and Zhang Anyi assisted him. After thinking about it, after all, Qin Lang was the first to discover the patient's illness. Moreover, according to the intentions of several surgical directors in the hospital, it is obvious that he wants to train Qin Lang comprehensively. Not limited to one department.

Professor Shen Xi established a new joint project for Qin Lang, and the full support of Dean Hang and Wei Guoqiang can be seen.Qin Lang is like Guo Jing, and the directors of various departments in the city's first hospital are like the seven monsters in the south of the Yangtze River, cultivating them together.Shape them into all-round talents.

Moreover, Director Zhou also wanted to investigate and see Qin Lang's surgery level in person. After all, he was going to be brought to Zijingang No. [-] Hospital this weekend for a topic in the field of top chest tumors, which represented the face of the No. [-] hospital in the city.

Director Zhou immediately called Qin Lang:
"Qin Lang, the patient you transferred yesterday has been diagnosed. It is the early stage of thoracoabdominal aortic aneurysm. The operation in the morning has been confirmed. You will join me in a while. I will perform the surgery myself, and Zhang Anyi will be the first assistant. You will be my second assistant." .”

Zhou Heng is a well-known thoracic surgeon in Zhejiang Province. Of course, Qin Lang would not refuse such a once-in-a-lifetime opportunity:
"It's a great honor, Director Zhou, I'll be over in a while."

In fact, in the simulated world, Qin Lang has long mastered the operation of thoracoabdominal aortic aneurysm at the master level, and, according to the most cutting-edge treatment plan today, it is a more advanced and minimally invasive stent graft technology. The treatment is performed in the thoracoabdominal aorta, and then sutured by a double vessel suturing device.

However, this kind of surgical technique is not practiced much in China, especially the suturing technique of double vessel suturing device. It can be said that Qinlang is the only one in Zhejiang Province today.

Regarding Director Zhou's traditional method, aneurysm resection + artificial blood vessel replacement, although there are some defects, but at Director Zhou's level, it is no problem for patients to have a better prognosis, so there is no need for Qin Lang to let Director Zhou adjusted the operation plan.

I also just took the opportunity to observe and observe how the director's level is this week.

After arranging Liu Peichun and Peng Yun for what he was doing in the emergency department, Qin Lang rushed to the thoracic surgery department.

Liu Peichun and Peng Yun have long been used to Qin Lang's busy state, rushing back and forth at both ends, and they are also full of admiration in their hearts.

Both are residents, but the gap is too great. Peng Yun is limited to some operations in the burn department, and now he spends more than half of his time with Lu Yu.As for Liu Peichun, it was even worse. He had already lost Qin Lang several times before he was safe and sound.

When Qin Lang came to the Thoracic Surgery Department, Zhang Anyi and the other young doctors were slightly surprised.

Zhang Anyi had already heard all kinds of rumors about Qin Lang, as well as the treatment of the astonishing hemorrhage during esophageal cancer surgery.It's just that they didn't expect that Qin Lang would come over at this time.

"Qin Lang, why did you come to our thoracic surgery department?"

Zhang Anyi admired Qin Lang quite a bit, and her tone was very soft.

"Director Zhou called me just now. There will be an operation in a while. I'm here to follow and learn."

Hearing Qin Lang's answer, Zhang Anyi nodded, but was a little puzzled. Didn't Director Zhou say he wanted to invite the doctor from the emergency department? Why did he invite Qin Lang to watch?

"Qin Lang, this operation was sent by the emergency department. Do you know who is the doctor who diagnosed the patient? When will he come?"

Looking at Qin Lang's youth, Zhang Anyi certainly didn't think it was Qin Lang's diagnosis.

Qin Lang casually replied:
"This patient is my preliminary diagnosis, suspected to be a thoracoabdominal aortic aneurysm. According to your description, the doctor in the emergency department is me."

Looking at Qin Lang's face, sincere and calm, Zhang Anyi was immediately startled:

"You said you diagnosed this patient? How did you do it?"

Zhang Anyi's first thought was not to believe it, and her second thought was to know how she came to the conclusion.

Of course, Qin Lang answered truthfully:
"It's really difficult to judge by routine interrogation and physical signs, so I performed a brand new body fluid biopsy on the patient, and through the abnormal biomarkers of exosomes, it was judged that there was a high probability that it was a thoracoabdominal aortic aneurysm."

"Brand-new body fluid biopsy? It's the new subject jointly launched by Professor Shen Xi from the First Hospital of Zijingang and our Thoracic Surgery Department and General Surgery Department."

This time, Zhang Anyi was really overturned.

Relying on an extra body fluid biopsy, it is judged that they need to go through a series of methods such as CT, color Doppler ultrasound, and a lot of clinical experience, and it is still possible to miss the early thoracoabdominal aortic aneurysm?

"Is this technology really that powerful?"

Zhang Anyi is a bit unbelievable, indeed, in their view, this cutting-edge technology is nothing more than a castle in the air, but Qin Lang did demonstrate it in front of him through this case, and they couldn't help being moved by it .

"Of course, as long as the data of the whole subject is further collected and the body fluid biopsy technology is improved. Human blood, urine, lymph, saliva, cerebrospinal fluid, pleural effusion and other fluids can be used. Through DNA sequencing and other means Obtain a more complete whole-body cancer molecular map to form a real precision medicine."

"Not only thoracoabdominal aortic aneurysm, liver cancer, prostate cancer, pancreatic cancer, melanoma, etc. can be diagnosed, prevented and treated at an early stage. In addition to early diagnosis, according to Professor Shen's vision, this liquid biopsy technology, Continuous monitoring, in addition to early diagnosis and disease monitoring, can also introduce personalized treatment, precise targeted drug, accurate prognosis, and prediction of recurrence, etc.”

When Qin Lang was giving Zhang Anyi and other young doctors a popular science, Director Zhou Heng also came over early, did not interrupt Qin Lang's introduction, and listened quietly, thoughtfully.

Soon after Qin Lang introduced this project, Zhang Anyi and others were a little amazed. According to Qin Lang's introduction, if the results of this project are really made, it will have epoch-making significance.

"How about it? What do you think after listening to it? Do you want to underestimate cutting-edge theories and forward-looking technologies?"

"Do you still feel that the brand-new topic Dr. Qin is researching is dispensable?"

Zhou Heng was a little disappointed with his junior doctor. It doesn't matter if he doesn't know how to study and understand, but Yelang is arrogant and doesn't know how to be in awe, so that's really wrong.

Director Zhou educated a few more words before waving his hand: "Okay, let's go to operate on the patient first, and then let Dr. Qin give you a lecture. Now that this topic is jointly carried out in our department, I also hope that you If you can pay attention to it, put in some effort, and gain something.”

If before, Zhang Anyi and others didn't take it seriously, but after witnessing Qin Lang's miraculous diagnosis this time, they are really convinced.

Under Zhou Heng's arrangement, the whole operation began soon. Director Zhou performed the surgery himself, Zhang Anyi was the first assistant, and Qin Lang was the second assistant.

Zhang Anyi also intends to show her own level for a while, so that Qin Lang can also know the strength of their thoracic surgeons.

(End of this chapter)