Doctor's Life Simulator

Chapter 330 Simulation, see through the sinister plan of Pfizer Group

[In order to further suppress Ming's Pharmaceutical Group, the person in charge of Pfizer's Huaguo District even found the muddy water organization in the United States, wrote an investigation report on Ming's Pharmaceutical Group, and further shorted it.Within half a month, the assets of Ming's Pharmaceutical Group were only one-tenth of their peak value. 】

【Even though Director Ming held a press conference and the executives of the joint venture bought back 5000 million US dollars of stock in the company, it still failed to arouse the outside world's confidence in Ming's Pharmaceutical Group.Due to the investment in your company and the investment in the medical school of the First Affiliated Hospital of Zijingang and the purchase of equipment, the cash flow was tight for a while.However, the research projects that have been invested have not achieved breakthroughs.Ming's Pharmaceutical Group is in a desperate situation. 】

[Ming Dong and your new company’s new anti-tumor drugs are still in the first phase, so they can’t provide much help.Fortunately, the improved ICR mouse inbred line project and your previous improved microskin combined with carbon fiber transplantation project are progressing smoothly. 】

[One month later, due to the short-selling report of the muddy water agency and the siege of foreign capital, Ming's Pharmaceutical Group had to give up struggling and was acquired by Pfizer Group at a low price.During the negotiation, you proposed to split off the new drug project invested heavily by Ming's Pharmaceutical Group and merge it with you and Ming Dong into a new company. Pfizer Group has no interest in this semi-finished product and agreed. 】

【Ming's Pharmaceutical Group has now disappeared, and Ming Dong is also getting depressed day by day.However, your new company is developing well. Although it cannot reach the scale of the previous Ming's Pharmaceutical Group, it has succeeded Ming's Pharmaceutical Group and supported the new drug research and development laboratory of Zijingang No. [-] Hospital.It's just that your new pharmacy major was eventually shelved because of these things.Regarding this, Wen Yunqi was helpless. After all, compared with a world-class pharmaceutical giant like Pfizer, Ming's Pharmaceutical Group was too immature. 】

[You continue to study the series of ventricular corrective surgery in Director Huang's Department of Cardiovascular Medicine.Relying on your previous accumulation, although you have no outstanding achievements in the future, you are still an elite surgeon. 】

[One year later, you returned to the First City Hospital. Since you have excellent levels in several fields, you have a lot of freedom in the City First Hospital.It's just that, inexplicably, you've devoted most of your life to ventricular surgery. 】

[At the age of 28, you were promoted to chief physician.At the same time, you have made some improvements in ventricular correction. Your talent is blessed with spiritual mobilization, and you have comprehended and mastered the modified Blalock-Taussig shunt. 】

[In the same year, you accidentally discovered that the new drug launched by Pfizer Group had serious side effects. It was just a lack of reports before, but time will tell everything.The first person to discover and sort out this situation was a top expert in Zhejiang Province, Professor Gao Jun, the vice president of Zhejiang Provincial Hospital of Traditional Chinese Medicine. 】

【Professor Gao spent more than a year conducting various experiments and discovered that the animal experiment data of Pfizer's new drug was suspected of being falsified.At the same time, relying on his own network, he collected enough case data across the country. After leading the team to make statistics, he concluded that it was the serious side effect of Pfizer's new drug, which could cause severe depression, myocardial infarction, schizophrenia, angina pectoris and other symptoms. .Professor Gao directly published an article on the top journal "The Lancet"]

[There was an uproar at home and abroad, and the Huaguo Center for Drug Evaluation (CDE) took action and directly removed the drug from the shelves.At the same time, the Food and Drug Administration took action and filed a US$20 billion claim against Pfizer of the United States.For a while, Pfizer was in a state of distress, but after all, it was the international pharmaceutical giant that ended the matter after the drug was removed from the shelves and compensated. The FDA also quickly issued a statement to deal with those involved in the entire fraud incident seriously. 】

[After half a year, the person in charge of Pfizer's China region resigned, and the person in charge of the Zhejiang Province region was also replaced.Knowing these things, Ming Dong and the others and you are all embarrassed, but it's too late.Ming Dong is very grateful to Professor Gao, but it would be great if you could find this problem earlier. 】

[At the age of 30, you continue to study in the first hospital of the city, and your technology continues to improve. 】

【40 years old, you are still studying in this field. The relationship you have accumulated before has given you many opportunities to exchange and learn in this field at home and abroad.This year, you also became an expert in ventricular surgery.But you, not satisfied, continue to refine and study in this field crazily. 】

[At the age of 45, after studying with Wen Yunqi and Director Huang, you finally came up with a brand-new and improved surgery method: Huaguo's first semi-ventricular correction surgery. 】

[50 years old, you have become one of the authorities in Zhejiang Province on ventricular corrective surgery.In the same year, with the accumulation of these years and a strong network of relationships, you became the vice president of the First Hospital of Hecheng City. 】

[55 years old, you passed out due to overwork during a disaster relief operation.After being rescued, your body is no longer suitable for continuing to struggle on the operating table. 】

[At the age of 60, you have retired from the position of vice president of the city's first hospital.You ended your career as a doctor. 】

[Simulation ends, doctor career evaluation, provincial famous doctor 81/90]

【You can retain one of the following abilities】

[1.60-year-old doctor skills]

[2.60-year-old clinical experience]

[3.60-year-old medical wisdom]

Of course, Qin Lang directly chose the second item, clinical experience.

[Congratulations to the host for obtaining clinical experience at the age of 60]

[Host: Qin Lang, provincial famous doctor 81/90]

professional skills

Ventricular correction surgery series: Master level, mastering the first improved surgery in Huaguo

Surgical procedures in the field of tumors:.
Plastic surgery for burns:
】

Looking at his ventricular corrective surgery, Qin Lang's confidence increased greatly, but what made him a little angry was that the head of Pfizer's Huaguo District turned out to be such a villain.

In the subsequent development, Qin Lang also saw the ruthlessness of capital and the insidiousness and cunning of foreign institutions.

This muddy water organization, Muddy Waters, is an anonymous investigation agency in the United States. It often publishes questioning investigation reports on listed companies in Huaguo, and hunted down several listed companies in Huaguo.

Of course, some of these companies do have problems, and some of them are completely malicious hunting and shorting. Many high-quality domestic companies have been delisted by foreign capital because of this.

Looking at the development in the simulated world, Qin Lang also quickly sorted out the various causes and effects. Obviously, this time, through Pfizer's eyeliner in the Ming's Pharmaceutical Group, the layout was made in advance, and the new drug of the Ming's Pharmaceutical Group was sniped. plan.

Later, through some secret operations, it passed the FDA approval. I thought it was seamless, but who knows, there were still serious side effects, and it was discovered by a top domestic expert, Professor Gao Jun, the vice president of Zhejiang Provincial Hospital of Traditional Chinese Medicine. the existing problems.

With a rigorous and detailed paper published in "The Lancet", this amazing scandal in the pharmaceutical industry was torn apart.

Qin Lang also secretly remembered it in his heart. After that, he had to plan in advance and pay attention to the new drug trends of Pfizer Group and Ming's Pharmaceutical Group, hoping to expose Pfizer's sinister face in advance and keep Ming's Pharmaceutical Group.

After all, in the simulated world, Ming Dong can also be regarded as his mother-in-law.In the real world, he is not mean to himself.

However, these are things for the future, and the most important thing now is to solve the immediate patient situation.

With the master-level ventricular corrective surgery and various improved techniques, Qin Lang is full of confidence.

"How about that?"

Hearing Qin Lang's unanswered answer, Zhong Zhizhi frowned directly.

The resident doctor was also very disappointed, and moved his hand to the elbow again, grabbed a piece of meat, stuffed it into his mouth in disappointment, and swallowed it with gritted teeth.

"However, I can try."

Qin Lang opened his mouth in shock.

"Doctor Qin, are you kidding me, haven't you done it before?"

Zhong Zhizhi thought that Qin Lang was trying to comfort him, but this kind of surgery is a matter of fact.

"I haven't performed the surgery independently, but I have seen that Dean Wen and Director Huang have both done it. I think everyone knows that this kind of surgery can be done after I have seen it several times, so there is no problem at all."

With the reward of 2 simulation points, Qin Lang will of course win this operation. Moreover, it is not easy to meet Dean Wen and Director Huang who can’t get away. when to do it.

"Zhong Zhizhi, trust me. My understanding of the modified Blalock-Taussig shunt is not necessarily shallower than Director Huang's."

Hearing Qin Lang say so conceitedly, Zhong Zhizhi was a little surprised, is this too crazy?

Then, I heard Qin Lang's rigorous and serious analysis: "The modified Blalock-Taussig shunt is especially suitable for patients with complicated cyanotic congenital heart disease and pulmonary blood loss."

"As a palliative surgery, compared with traditional surgery, this method can effectively promote the development of the patient's vascular tree. In addition, it has the following advantages, as follows:
First, the modified Blalock-Taussig shunt can effectively control the shunt blood volume of patients;
The second point is that although the modified Blalock-Taussig shunt has high requirements for the operation of the main surgeon, it does not require high equipment, and the risk of surgery for patients is relatively small;
The third point is that during the operation, the doctor can ensure that the doctor has a good vision and avoid damage to other tissues around the patient;
Finally, there is less damage to the anatomical structure of the patient's arteries during the operation, and the impact on the blood supply of the patient's upper limbs is avoided."

After listening to Qin Lang's eloquence and such a precise analysis, Zhong Zhizhi's face immediately softened, and his eyes lit up: "It really has all the advantages, and it is worthy of being Doctor Qin!"

The resident doctor at the side also quickly sucked in another strip of meat that had been pinched out, and clapped his hands: "As expected, Doctor Qin!"

"Then Doctor Qin, shall we prepare for the operation now?"

Zhong Zhizhi immediately relieved the pressure in his heart. Although Qin Lang is very young, he is still very prestigious in the hearts of these doctors. After all, he is the man who can make "Cell" publish a special issue!
Soon, Qin Lang and Zhong Zhizhi entered the operating room together, and the resident doctor was responsible for staying on duty.

At the same time, after Director Huang found out about such an operation, he hurriedly finished the task at hand and hurried back to the department.

Director Huang simply tidied up and rushed to the duty room. Just as he was about to knock on the door, he heard a strange sucking sound in the front-line duty room.

Director Huang pushed open the door suspiciously, only to see the resident holding his elbows in both hands, still eating.

Seeing Director Huang, the resident opened his mouth slightly, let go quickly, and let half his elbow fall into the disposable lunch box.

Seeing Director Huang, the resident doctor was almost dumbfounded, didn't it mean that he couldn't come back in time?

Director Huang looked at Youzai Youzai, and the resident doctor who was full of oil was also fascinated. Didn't it mean that the situation was urgent and the patient was dying?
"Where is Zhong Zhizhi?"

Director Huang asked immediately.

"Master Zhong. Hiccup. Cure."

The resident doctor had black lines on his face, knocked on his chest in a panic, blushed, and finally finished speaking: "Chief Zhong has entered the operating room with Dr. Qin, and the operation has started."

"Finally chose conventional surgery? How long has it been since?"

Director Huang hurriedly asked, if it is just the beginning, there is still time to change the technique, if it has been started for a while, then there is no way, although it can save lives, it is not perfect after all.

I blame myself for coming back a little late.

"It's been a while, but what Dr. Qin did was not a routine operation, it was a modified Blalock-Taussig shunt, hiccup~"

"What, can you explain clearly, the modified Blalock-Taussig shunt performed by Dr. Qin?"

"That's right, Dr. Qin was called by Dr. Zhong. Dr. Qin said that he has seen the dean and you do it, and he has learned it. So, let him be the chief surgeon."

Director Huang was stunned for a moment, and then his face became tense. Others don't know, but he still doesn't know. These days, Qin Lang has never followed up with the improved Blalock-Taussig shunt.

Didn't this just watch a few video teaching videos?

"Damn!"

Of course Director Huang was not angry because of Qin Lang's performance, but because he was afraid that Qin Lang would have an accident on the operating table. If your reputation is ruined, then you will lose a lot.

What's more, what's behind Qin Lang is also related to the new laboratory, the newly opened specialty, and the funds invested by major pharmaceutical companies. The more he thinks about it, the more Director Huang's heart beats faster, and things are getting worse.

"No, I'm going to stop Dr. Qin from performing the surgery. He can't have an accident at this juncture."

Director Huang turned around and ran towards the operating room. He couldn't afford to gamble, "Oh, you brat, don't know how rich you are now."

After a while, Director Huang entered the operating room, and saw a scene that surprised him.

In the operating room, Qin Lang quickly started the operation.

The patient's pulmonary artery pressure was <25 mm Hg under pulmonary artery puncture manometry, eligible for bilateral bidirectional Greene's procedure.

Under the guidance of Qin Lang, the anesthetist performed a provincial anesthesia on the patient and ligated the azygos vein.

Originally, Zhong Zhizhi was a little worried, but after Qin Lang started the operation, his calmness and composure made him feel at ease.

Listening to Qin Lang's intensive and sure instructions, there is a magical power that will fill the cooperating medical staff with confidence.

"2 mg heparin-assisted occlusion of the double superior vena cava separately"

"okay."

Zhong Zhizhi was not dissatisfied at all because his rank was higher than Qin Lang's, and he carried out Qin Lang's instructions very seriously.

Moreover, Zhong Zhizhi obviously felt that Qin Lang's understanding and operation of this operation was really better than Director Huang's.

"Doctor Qin, how did he learn at such a young age? Not only is he good at surgery, but he is also a genius in drug development."

The more he got in touch with Qin Lang, the more Zhong Zhizhi admired this unfathomable young man.

After making all the preparations, Qin Lang officially began to improve the BlalockTaussig shunt.

"Scalpel"

The surgical approach chosen by Qin Lang is from the right 4th intercostal incision into the chest. See Qin Lang's incision and the size of the incision.

Zhong Zhizhi, who was at the side, was terrified and persuaded again and again, not to be careless: "Doctor Qin, can the incision be made larger, so that this kind of vision can really carry out the next operation?"

Under ten times the field of vision, Qin Lang certainly didn't need the regular size, ignored Zhong Zhizhi, and directly started to free the subclavian artery.

Under Qin Lang's operation, the recurrent laryngeal nerve and vagus nerve were avoided very precisely.

Watching Zhong Zhizhi, he didn't dare to take a breath.

"It turns out that the boss did the surgery like this, and it's too extreme!"

Several times, Zhong Zhizhi felt that Qin Lang was about to damage his nerves, but he decisively and quickly swiped across the edge of the nerves, neatly.

Director Huang, who was standing beside the operating table, was also sweating coldly, but he didn't dare to interrupt at this point.

I can only pray in my heart, and nothing will happen.

Soon, Qin Lang began to free the pulmonary artery again.

"pliers."

Qin Lang continued to give orders and began to clamp the subclavian artery.

Zhong Zhizhi seriously assisted at the side, seeing Qin Lang's agile operation, he was amazed again, doctor Qin's hands are really too stable.

However, Zhong Zhizhi thought again, too stable is not good, just like his own hand trembling, when using ancestral handicrafts, a sudden trembling is also infinitely mysterious.

"Hehe~"

"Artificial blood vessels."

Hearing that Qin Lang began to choose to shunt the blood vessels, Director Huang stepped forward directly. After all, this is the key point of the whole operation, and he was afraid that Qin Lang would not have enough experience.

If this step is not handled well, other complications may occur in patients after modified Blalock-Taussig shunt, such as: pulmonary edema, artificial vascular embolism, etc.

Therefore, patients should choose appropriate shunt vessels during surgery to improve postoperative curative effect.

At present, there are mainly two kinds of shunt vessels used clinically, namely: artificial blood vessels and allogeneic blood vessels.

Among them, the allograft blood vessel has a special material and greater elasticity, and the shunt flow is too large after the operation, which increases the incidence of pulmonary edema.

Therefore, director Huang still approves of Qin Lang's choice of artificial blood vessels, but artificial blood vessels also have his flaws, that is, the selection of anastomosis must be careful during the operation, and it should be successful within two or three times. During the operation, it is necessary to properly trim the artificial blood vessel according to the specific patient's condition and experience, so that the patient is moderately tight.

This is also the key to the success of this operation. This step requires extremely high experience and on-the-spot response from the chief surgeon, and it is also a watershed between experts and ordinary doctors.

Zhong Zhizhi did not dare to take the lead because he did not have the confidence to take this step.

Director Huang stood aside, staring at Qin Lang's operation closely, and immediately stopped if it was not ideal.

Zhong Zhizhi, on the other hand, watched Qin Lang's operation very seriously, preparing to learn the skills.

"Scissors"

Hearing Qin Lang's order, the equipment nurse obediently cooperated to provide it.

After Qin Lang took the scissors, he began to trim them.

"So fast? Qin Lang, you!"

At first, Director Huang thought that Qin Lang would take a look at him, compare it first, and then trim it after careful consideration. Unexpectedly, when Qin Lang got the scissors, he cut it with a sharp and resolute knife.

I saw that the end of the anastomosis of the artificial blood vessel and the clavicle artery was cut into a 43° bevel, and it was inserted directly without inspection.

"7-0 prolene thread. Needle holder."

Qin Lang didn't stop at all, and directly started the end-to-side anastomosis with the subclavian artery.

Director Huang was on the side, took a deep breath, and couldn't calm down for a long time. When did this operation become so simple?

Once, it succeeded once!
You can't go in after a while, prepare people mentally, it's too rude!

It's crazy, even Dean Wen Yunqi can't do it so concisely and efficiently.

Director Huang suddenly felt as if he was getting old, and even his back was bowed a little. This feeling was still on a night when he was 35 years old, and he felt a sense of powerlessness and fear for his wife.

How much he hated his aunt when he was young, at that moment, director Huang longed for his aunt's body care.

"Ah~"

It is said that a man suddenly matures at a certain moment, and at the same time, at a certain night, he looks slumped, no longer high-spirited, and suddenly becomes old.

While Director Huang was depressed, Qin Lang had already started the corresponding pulmonary artery incision on the upper edge of the blood vessel, and anastomosed the other end of the artificial blood vessel end-to-side to the pulmonary artery.

Under the master-level technique, Qin Lang's anastomosis is naturally at the perfect level.

Looking at the anastomosis, the artificial blood vessel is at the textbook level, and the artificial blood vessel is in a state of no tension, and there is no leakage at all.

"Amazing."

Although Zhong Zhizhi can't be the main knife, his eyesight is still there, and he has seen good ones, so he knows that Qin Lang's operation is better than good ones!

"Biological Protein Glue"

Qin Lang continued to give instructions calmly, without the slightest awareness of completing a super difficult step.

"Assist in releasing the occlusion of the pulmonary artery and then loosen the subclavian artery occlusion clamp"

Under Qin Lang's instruction, Zhong Zhizhi cooperated very well.

After a while, I felt continuous fine tremors from the pulmonary artery anastomosis.

"How about it?"

Director Huang on the side was even more nervous than Qin Lang, so he hurriedly asked Zhong Zhizhi about his sense of touch, and he was only shivering after 99 prayers.

Zhong Zhizhi said excitedly: "Director Huang, I feel it. The continuous fine tremors are textbook-level tremors!"

"Sa O2 is also starting to rise!"

The nurse on the side also reported the patient's vital signs.

Hearing this, Director Huang smiled, and these feedbacks meant that the operation was successful.

(End of this chapter)