Doctor's Life Simulator

Chapter 268 The Directors' Suffering, This Person Is Afraid of Contrast
Zhuang Tong, Zhang Anyi and others on the side were a little confused when they heard Qin Langxia's diagnosis because they had never encountered similar patients.

"What kind of disease is this?"

On the side, Director Zhou Heng is a senior director of Thoracic Surgery after all. During his clinical career, he has encountered this kind of disease, but the patient he took over at that time was also sent to the hospital in Hangzhou. , was finally diagnosed.

However, the solitary fibrous tumor in the chest that Zhou Heng had in mind was not exactly the same as this patient's condition.

Therefore, the directors and doctors of the first hospitals in the city were a little puzzled, and they took it for granted that Qin Lang was just talking casually.

Only Director Liao asked very curiously: "Qin Lang, how did you judge, let me tell you."

Feeling Director Liao's attitude, the directors are all first-class in their ability to observe words and emotions. Could it be that they were really caught by Qin Lang's words?Qin Lang made a sound like this, in addition to more accurately diagnosing the patient and proposing the most suitable treatment plan, the other reason is that he hopes to impress Director Liao deeply. After all, this is the assistant of his own uncle.

"One is the patient's chest X-ray film, single, sharp edge, huge lesion from pleural protrusion to lung field, and most of the chest cavity is opaque. At the same time, according to CT, the tumor is huge, solid, rich in blood supply, and obvious blood supply Blood vessels show a characteristic map-like enhancement when enhanced. In addition, the most critical reason is a brand-new exosome and body fluid biopsy technique that I am developing recently."

"Through testing, I found that the patient's vimentin, CD34 and bcl-2 were abnormal, especially CD34, so I suspected it was solitary fibrous tumor of the chest."

Hearing that Qin Lang used this cutting-edge project again, Zhou Heng and Zhang Anyi were also surprised. Could it be that this technology is really effective in diagnosing cancer tumors?
Zhou Heng explained to Director Liao:
"Director Liao, this cutting-edge exosome and body fluid biopsy technology is a subject of sincere collaboration between our hospital and Professor Shen Xi of the Cancer Prevention and Control Center of Zijingang No. and expand."

Hearing Zhou Heng's explanation, Director Liao was obviously a little surprised. After all, theoretical research in this area has not been carried out even in the tumor surgery department of Union Medical College Hospital. Director Liao took cutting-edge topics for granted.

After knowing that Qin Lang is a student of Shenxi, Director Liao also developed a good impression and closeness to Qin Lang in his heart, after all, they are all his own.

Qin Lang conveyed to Director Liao the content that Director Liao personally summarized and summarized afterwards in the simulated world.

Hearing Director Liao nodding again and again, I even felt a sense of confidant, and, in terms of some detailed judgments, even Director Liao didn't think of it for the time being.

The two discussed back and forth for several rounds, while Zhuang Tong, Zhou Heng and others listened quietly without saying a word, especially the attending physicians like Zhang Anyi took notes.

Seeing big bosses at the level of Qin Lang and Director Liao going back and forth, and quickly reaching an agreement, they were both envious and admired.

"Qin Lang, your analysis is very good. I think exactly the same as you. In addition to the arguments you put forward, I have a more convincing reason, that is, I met three people who were exactly the same in Xiehe before. patients with similar symptoms."

When Director Liao spoke, the tone was like, when a bunch of experts were identifying cultural relics, and when they were unsure, Emperor Puyi said something, this is fake.

When everyone asked him why, he said lightly that this was different from his home.

In addition to theoretical knowledge in medicine, clinical experience is also very important. For many unrecorded cases, doctors who have never seen it have no clue, but doctors who have experienced it are very sure.

For this patient, Director Liao is now making this judgment, coupled with Qin Lang's comprehensive analysis, he is even more convinced.

"Director Zhou, Director Zhuang, Director Chu, this solitary fibrous tumor of the chest is a rare tumor derived from mesothelial mesenchymal cells, accounting for 5% of pleural tumors, and it is often found in the head, limbs, and retroperitoneum. Liver, stomach and other conditions, such as patients, are indeed easy to be misdiagnosed, and it is very normal for you to be unable to diagnose."

After all, it is the home court of the city's first hospital, so Director Liao said a few words of comfort to take care of the face of these chief physicians.

Listening to Director Liao's explanation, the directors felt a little better, but when they saw Qin Lang, they became depressed all of a sudden, and they were afraid that there would be a comparison.

This Qin Lang is not only more knowledgeable than them, but also more handsome than them, and he has done a good job in surgery. The most important thing is that he is still very young.

After several directors sighed with emotion, under the auspices of Director Liao, they began to customize the operation plan.

Of course, everyone basically obeyed Director Liao's arrangement for this operation, and soon Director Liao confirmed: left thoracotomy + chest tumor resection + pneumonectomy of left lung.

As for whether to take radical resection or palliative resection, it should be decided according to the exploration after thoracotomy.

Regarding Director Liao's authoritative opinion, the directors of course did not dare to disagree. Qin Lang knew the answer, but now was not the time, so he temporarily agreed with Director Liao's operation plan.

After the plan was determined, the surgical team was formed. Since the operation was very complicated, involving thoracotomy, tumor resection, and total left pneumonectomy, Director Zhou Heng from the Thoracic Surgery Department and Zu Liang from the General Surgery Department joined the surgical team. And several directors unanimously recommended Qin Lang to participate in the operation.

Regarding this, Director Liao was also a little surprised. After all, he didn't know Qin Lang well, and he looked really too young.

"Director Liao, Qin Lang's blood vessel suture technique, suture technique, and some basic surgical techniques are the best in our city's No. [-] Hospital. Moreover, he has also had an amazing record in the bleeding of chest tumors. So, you let me He joined the surgical team."

After all, it is the home court of the First Hospital of the city. These directors have said so. Of course, Director Liao can't refuse, so he agreed to Qin Lang to join the team:
"However, my requirements are very strict. If I am on the operating table in a while, if I find that Qin Lang's level is not enough to support me, then I will not show mercy."

Liao Yan made it clear to everyone in advance, after all, no one is good enough when it comes to curing diseases and saving lives.

As for Qin Lang, Liao Yan didn't think he could really help in this operation, but more reflected the idea passed down from old to new in the city's first hospital. After all, a young doctor is a top boss in his industry. Showing his face in front of him is very helpful for his future.

Director Liao will naturally give this incense.

"Since you are a student of Professor Shen Xi, I hope you can prove that your level is worthy of such an operation."

Liao Yan secretly added something in her heart.

After Director Liao determined the plan, the surgical team communicated with the patient's family members. The gold-lettered signboard of Oncology Surgery of Union Medical College Hospital proposed the plan, and the patient's family members naturally did not dare to question it.

Soon the surgery will begin.

[Ding, new task, to assist Director Liao during the operation to complete the radical resection of the tumor.Mission Reward: 1 Traumatic Diaphragmatic Hernia Repair: Entry Level, 2.1 Life Simulation Points]

(End of this chapter)